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HomeMy WebLinkAboutPermit D05-083 - NEWPORT HEIGHTS APARTMENTS - BEAMS AND DECKNEWPORT HEIGHTS APARTMENTS 5600 S 152 ST D05 -083 DEVELOPMENT PERMIT Parcel No.: 1157200210 Permit Number D05 -083 Address: 5600 S 152 ST TUKW Issue Date: 03/11/2005 Suite No: Permit Expires On: 09/07/2005 Tenant: Name: NEWPORT HEIGHTS APARTMENTS Address: 5600 S 152 ST, TUKW ILA WA Owner: Name: EQR - R E TAX DEPT - 27119 Phone: Address: PO BOX 87407, CHICAGO IL - 8'4 X 12 BEAM, 1 - 10'4 X 12 BEAM. REPLACE 3/4 PLYWOOD AND REFLASH AND Contact Person: Name: LARRY ADKINS Phone: 425 - 836 -2811 Address: 24006 108 PL SE #J -205, KENT WA Value of Construction: Contractor: Fees Collected: $52.40 Name: PARAGON DESIGNS INC Phone: 972 - 478 -2255 Address: 2812 TRINITY SQUARE #110, CARROLLTON TX Contractor License No: PARAGD101667 Expiration Date: 05 /0112005 DESCRIPTION OF WORK: REPAIR AND REPLACE - 1 - 8'4 X 12 BEAM, 1 - 10'4 X 12 BEAM. REPLACE 3/4 PLYWOOD AND REFLASH AND DECK COAT. Value of Construction: $1,000.00 Fees Collected: $52.40 Type of Fire Protection: International Building Code Edition: 2003 Type of Construction: Occupancy per IBC: 0021 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: N Hauling: N Start Time: End Time: Land Altering: N Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: N Moving Oversize Load: N Start Time: End Time: Sanitary Side Sewer: N Sewer Main Extension: N Private: Public: Storm Drainage: N Street Use: N Profit: N Non - Profit: N Water Main Extension: N Private: Public: Water Meter: N City of Tukwila S teven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: cOukwila.wa.us Z Z w. WV 00 CO 0. CO J F. N LL: W U . �d H =.. Z r-. Z O. W U �' O � o H. w X r` u. 0 i11 Z U N: F- H O Z doc: IBC - Permit D05 -083 Printed: 03 -11 -2005 0 i City of Tukwila Steven M. Mullet, Mayor Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: ci.t:ikwila.wa.us Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director D05 -083 03111/2005 09/07/2005 J Permit Center Authorized Signature: Date: 4 I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this ermit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating con stru nor the rfor nee of work. I am authorized to sign and obtain this development permit. Signature: Date: /I / 4-5 j Print Name: L �1�'• / 1, (i9 S This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. i i i i Z H iF— Z` W: 6 D. vO No CO) =: J � N LL' W O LL Q = W O: ZH LLJ O co)' W F— U± LL ~ O; W Z U N, O Z doc: IBC-Permit D05 -083 Printed: 03 -11 -2005 ILA, k, City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS z Parcel No.: 1157200210 Permit Number D05 -083 z: Address: 5600 S 152 ST TUKW Status: ISSUED W Suite No: Applied Date: 03/11/2005 D,. Tenant: NEWPORT HEIGHTS APARTMENTS Issue Date: 03/11/2005 v p Cl) o co w . � 1: ** *BUILDING DEPARTMENT CONDITIONS * ** ►_— U. W O es shall be made to the approved plans unless approved b the design professional in responsible charge and the 2: No changes PP P PP Y 9 P P 9 � Building Official. � a' 3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to (n start of any construction. These documents shall be maintained and made available until final inspection approval is w' granted. Z H 4: All construction shall be done in conformance with the approved plans and the requirements of the International w O Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. L U 5: All wood to remain in placed concrete shall be treated wood. �p p co 6: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, = W j any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits E-- presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila U. O shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Z� Building Official from requiring the correction of errors in the construction documents and other data. U U), ' Z � * *continued on next page ** i doc: Conditions D05 -083 Printed: 03 -11 -2005 f Cit of Tukwila f906 y Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. g Si nature: Date: V I Print Name: doc: Conditions D05 -083 Printed: 03 -11 -2005 z Z u�D J U :, UO: W WI J CO U- W O' U. ¢; N d Fes-- W"; H- O Z W U p; ,O CO W W' Z U N Z � 4. i . i j doc: Conditions D05 -083 Printed: 03 -11 -2005 z Z u�D J U :, UO: W WI J CO U- W O' U. ¢; N d Fes-- W"; H- O Z W U p; ,O CO W W' Z U N Z � i CITY OF TUKWIL4 ("") Community Development Department o Public Works Department = Permit Center rsoe 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 .SITE LOCATION Site Address: l Tenant Name:_ Property Owners Name: Mailing Address: Building Permit; �`� Mechanical Permit No. Public Works Permit No. Project No. (For office use onl . Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** King Co Assessor's Tax No.: uite Number: Floor: 4 _ � vo*'tJltS New Tenant: ❑ .... Yes ❑ ..No CONTACT PERSON (city / State Zip Day Telephone: &3e kl / Mailing Address: /= = ==`'mil �- O 4C City State Zip ) E -Mail Address: Fax Number: GENERAL CONTRACTOR INFORMATION (Mechanical Contractor information on back page). Company Name: 4 Mailing Address: �� /� �iC��h! Z�`��/ �(5� '�-iC� � �f� CAI -21 "�Ii - 'd Qt— City State Zip 7 Contact Person: Day Telephone: ` 2� E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** ARCHITECT OF RECORD. All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: City State Zip Day Telephone: Fax Number: ENGINEER OF:RECORD - All plans.must be wet stamped by Engineer of Record Company Name:_ Mailing Address: Contact Person:_ E -Mail Address: %permits pluslicc changes \permit application (7.2004) Pap I City State Zip Day Telephone: Fax Number: ZZ W JU UO W= H CO LL W u- � = W �o W ~ W U 0 F- W U ti.i Z U= O Z BUILDING PERMIT INFORM> -'LION - 206 -431 -3670 Will there be new rack storage? ❑ ..Yes ❑ .. No If "yes ", see Handout No. for requirements. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain: FIRE PROTECTIONIHAZARDOUS MATERIALS: [I.. Sprinklers ❑..Automatic Fire Alarm []..None ❑ . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes ❑ .. No If "yes ", attach list of materials and storage locations on a separate 8 -112 x II paper indicating quantities and Material Safety Data Sheets. \permits plus\icc changes\pennit application (7.2004) Page 2 Z iH Z W 0 CO W N � ` J � CO u_ W O 9_ U. Q N d F=- _ Z OF. W O— t .13 H WW H LL O 111 Z U= O Z \ aluation of Project (contractor's bid price): $ Existing Building Valuation: $ r- Work (please provide detailed information): l .4 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 0 Floor 2 Id Floor 3 Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck . >tYr PLANNING DIVISION: Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain: FIRE PROTECTIONIHAZARDOUS MATERIALS: [I.. Sprinklers ❑..Automatic Fire Alarm []..None ❑ . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes ❑ .. No If "yes ", attach list of materials and storage locations on a separate 8 -112 x II paper indicating quantities and Material Safety Data Sheets. \permits plus\icc changes\pennit application (7.2004) Page 2 Z iH Z W 0 CO W N � ` J � CO u_ W O 9_ U. Q N d F=- _ Z OF. W O— t .13 H WW H LL O 111 Z U= O Z \ aluation of Project (contractor's bid price): $ Existing Building Valuation: $ r- Work (please provide detailed information): l .4 I PUBLIC WORKS PERMIT INFO'' -*4 iATION - 206- 433 -0179 Scope of Work (please provide detailed information): Call before you Dig: 1- 800 - 424 -5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila El ... Water District # 125 ❑ - Highline ❑ ...Renton ❑ ... Water Availability Provided Sewer District ❑ ...Tukwila El ... ValVue ❑ .. Renton ❑ ...Seattle ❑ ...Sewer Use Certificate ❑ ... Sewer Availability Provided ❑ .. Approved Septic Plans Provided ❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department. Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑ ... Traffic Impact Analysis ❑ ... Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑ ... Hold Harmless Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ .. Right -of -way Use — Potential Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way Non Right -of -way ❑ ...Total Cut cubic yards ❑ .. Work in Flood Zone ❑ ...Total Fill cubic yards ❑ .. Storm Drainage ❑ ...Sanitary Side Sewer ❑ .. Abandon Septic Tank ❑ .. Grease Interceptor ❑ ...Cap or Remove Utilities ❑ .. Curb Cut El.. Channelization ❑ ...Frontage Improvements ❑ .. Pavement Cut ❑ .. Trench Excavation ❑ ...Trafc Control ❑ .. Looped Fire Line ❑ .. Utility Undergrounding ❑ ...Backflow Prevention - Fire Protection " Irrigation " Domestic Water " ❑ ...Permanent Water Meter Size... WO# ❑ ...Temporary Water Meter Size.. WO# ❑ ...Water Only Meter Size............ WO# ❑ ...Deduct Water Meter Size " ❑ ...Sewer Main Extension ............ Public Private ... Water Main Extension .............Public Private FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ... Water ❑ ...Sewer ❑ ... Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: City State Zip Water Meter RefundBillins: Name: Day Telephone: Mailing Address: City State zip \permits plus \lcc changes\permit application (7.2004) Page 3 c ZZ S Z '~QQ W W� UO CO) LU N t] J � N O W 9 U. < N = W Z O W p Q U a f- WW ~ H ti O llJ Z UN O I— Z.. MECHANICAL PERMIT INFC 'vIATION — 206 - 431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: ' Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Use: Residential: New .... ❑ Commercial: New .... F1 Fuel Type Electric ..... ❑ Gas....❑ Replacement..... ❑ Replacement..... ❑ Other: _ Indicate type of mechanical work being installed and the quantity below: Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Com pressor: Q Furnace <100K BTU Air Handling Unit >I0,000 Fire Damper 0 -3 HP /100,000 BTU CFM Furnace >100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected Thermostat 15 -30 HP /1,000,000 BTU to Single Duct Suspended/Wall/Floor Ventilation System Wood /Gas Stove 30 -50 HP /1,750,000 BTU Mounted Heater Appliance Vent Hood and Duct Water Heater 50+ HP /1,750,000 BTU Repair or Addition to Incinerator - Domestic Emergency Heat/Refrig/Cooling Generator - System Air Handling Unit Incinerator — Comm/Ind Other Mechanical <10,000 CFM I I Equipment PERMIT APPLICATION NOTES - Applicable to all permits in this application Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING 0 OR AUTH� ZED N'Tw Signature: L Date: r Print Name: l��C Day Telephone: .. - Mailing Address: '���� �C �� •4 -�:'�' 1 4� - �x 75W City State Zip Date A' Date A plic�tion Accepted: I Date Application Ex I Sta Initials: ` V7 \permits plus \icc changes \permit application (7.2004) Z �Z �W JU UO NO J H CO) LL WO LL C0 = a �W Z F- Z� LU5 U� O N o1-- W H O. 111 Z U N 1= _ O F- Z CITY OF JKWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 Application # ALTERNATE PLAN SUBMITTAL AUTHORIZATION FOR LIMITED SCOPE OF WORK U.B.C. Section 106.3.2 exception Project name NeWff n JdP,K�W( ±2M Address Description of work Related reference number The above project permit applicant, due to the limited scope of work is authorized to submit reduced plan requirements describe as noted below. 1. Complete permit application required: ( Note, all application must include; 1) property assessor number, 2) copy of contractors license or completed owner waiver form. ) Building V Mechanical Other Z Minimum plan and /or specification requirement: Site plan Floor plan Elevations Foundation Cross sections Roof plan W.S.E.C. compliance Narrative V i Structural calculations ( stamped by Washington State licensed engineer ) Specific required information 1LA9M 0A h F, ��C,(�1� -�C . ' Lk t i . i • 3. Other special instructions: II��P�C�"t'DlJ ��'tRI�M,Lt�G �1 NC:I A ,JV I Authorization by, Date ( �� Authorization void 30 days aft the ate Issued. ) TBD3 /96 -form 12 Z Z �W 2 J U. UO. ND w= J (.. U. WO U- Q N D. 2 LU Z �. �O Z 1--. U O N ;D H WW � U U. O Z U Z (-..ity of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 1157200210 Address: 5600 S 152 ST TUKW Suite No: Applicant: NEWPORT HEIGHTS APARTMENTS Receipt No.: R05 -00362 Initials: BLH User ID: ADMIN Payment Amount: 52.40 Payment Date: 03/11/200512:40 PM Balance: $0.00 Payee: PARAGON TECHNICAL ROOF SERVICES INC TRANSACTION LIST: Type Method - - - - -- - - - - -- Payment Check ACCOUNT ITEM LIST: Description BUILDING - RES STATE BUILDING SU Description Amount 2942 52.40 Account Code Current Pmts ------- - - - - -- ---------- - - - - -- ------ - - - - -- 000/322.100 47.90 RCHARGE 000/386.904 4.50 Total: 52.40 i i OB& 03/14 9710 TOTAL 52.40 doc: Receipt Printed: 03 -11 -2005 Permit Number D05 -083 Status: APPROVED Applied Date: 03/11/2005 Issue Date: Z W' (L) 0 CO) CO) W; W O� :3; LL. ¢- = d: �_ Z F- O Z H: W �p O N ,0 H W W tll Z O ~, Z � INSPECTION RECORD Retain a copy with permit 00�;) INSPECTION NO. P E N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 Proj Pe Typ4f u), inspection Address: I 1 Date Called: Special Instructions: Date Wanted: a.m. Requester: Phone No: DAftproved per applicable codes. Corrections required prior to approval. COMMENTS' ?-P It e7l I-J Qr �yo n Lf-e rPWA-(4 r / 4 k r) S fA Inspector Date: $47.00 REINSPECrION FEE REQUIRED. Prior to Inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date. Z iH Z; _3 00 Cj) O1 W = LL 0 :3 j. IPA LU Ir 0, W W 25; 'O W LLJ � (y . LL6 0 Z� CO) L) Z INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERM O. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 COMMENTS: C 4 LU eS Ph 1 ,. M Approved per applicable codes. Corrections required prior to approval. Prod ct: Type of Ins ection: ��r'ir��.� f�u� ,fir � ¢� � Address: Date Called: Special Instructions: Date Wanted: a.m. �l 3 � Vlr\�h Requester: Phone No: Inspector: _ Date: $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. r Z �Z Q �W W� J U UO cn Q w= N u_ W O: LL a, U Q` = C� H =. z H I- O WI- 5 W , U:. LL O 111 Z U= O z �' • — '�9 tom, LARRY ADKINS 24006 108 PL SE 0 -205 KENT WA 98031 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director RE: Permit No. D05 -083 5600 S 152 T� TU K W Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code and /or the International Mechanical Code, every permit issued by the Building Division under the provisions of this code shall expire by limitation and become null and void if the building or work authorized.by such permit is not. . commenced within 180 days from the date of such:permit, or if the building or..work authorized by.such permit is. suspended. or. abandoned at any time after the work.is commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Permit Center at 206 - 431 -3670 to arrange for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Building Code does allow the Building Official to approve a one -tune extension UP to 180 days. Extension requests must be in writing and Provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 09/10/2005, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, I Brenda Holt, Permit Coordinator xc: Permit File No. DOS -083 Bob Benedicto, Building Official 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 Z Z` w JU U0 Co o W =`' J �.. . N U.: W 0: 9 Q` cf) W. Z t— 0. Z F-' W W U U, iO N' WW � U �LL E'. O ui Z U CO) Z i Department of Community Development 6300 Southcenter Blvd, Suite 100 Tuk%vila, WA 48188 Phone - (206)431 -3670 Fax: (206)431 - 366665 M.-K- To : From: Fax: _ `'I I�� Z'L Date: Phone: Pages: Re: ❑Ur gent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Comments: r J - 1AXIMMUMIEWM4 MIR Ef"MANOMIAMY omit Z H W: d � vO U. CO O' CO) = J F_ T LL W O 9J LL Q N D. M a F- W WMI ` Z � ' H O Z F- :O C 0 H W W: �U �O — Z IL) CO) O F ' Z �. Look Up a Contractor, Electric' or Plumber License Detail ,.� Pagel of 2 'f _ Topic Index Contact Info Search Home Safety 1. Claims & Insurance Workplace Rights Trades It Licensing Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber r General/Specialty .. 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Account Id 0 ' Business Type CORPORATION Address 1 2812 TRINITY SQUARE #110 Address 2 City CARROLLTON County OUT OF STATE I State TX ti i Zip 75006 Phone 9724782255 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/27/1999 Expiration Date 5/1/2005 Suspend Date Separation Date Parent Company Previous License PARA *0 34RK Next License Associated License ... ....................... ...........ry,.,,........_...,.. w....,....... . Business O wner Information s ! Name Role I Effective Date Expiration Date https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= PARAGDI016B7 03/11/2005 Z w UO CO) 0 w= CO) I.- W O LL Q' c a H= F— O. Z F— W C3 U O 13 1 — L u LL � 111 Z O ~� Z