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HomeMy WebLinkAboutPermit D04-250 - SCHOBER - VACANT - REROOFSCHOBERT - VACANT 4230 S 164 ST D04 -250 } J �YJ ! A, w� City dl Tukwila S teven M. Mullet, Mayor p � Depart►nent of Community Development Steve Lancaster, Director O 6300 Southcenter Boulevard, Suite #100 i 2 Tukwila, Washington 98188 E Phone: 206 - 431 -3670 iso * Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us DEVELOPMENT PERMIT Parcel No.: 5379800660 Permit Number D04-250 Address: 4230 S 164 ST TUKW Issue Date: 07/15/2004 Suite No: Permit Expires On: 01/11/2005 Tenant: Name: SCHOBER - VACANT Address: 4230 S 164 ST, TUKWILA, WA 98168 Owner: Name: SCHOBER 3ESS 3 +BARBARA A Phone: r Address: C/O CHILDWORKS LEARNING CTR, 4230 S 164TH ST "Pi l5iojv i Contact Person: Name: BRUCE E. 3ORDISON Phone: 509 968 -3182 Address: 1360 SUNSET RD, ELLENSBURG, WA Contractor: Name: ALL B ROOFING & SHEET METAL Phone: 509 962 -1093 Address: 312 W 13TH, ELLENSBURG, WA I Contractor License No: ALLBRSM997KT Expiration Date: 07/13/2006 DESCRIPTION OF WORK: { TEAR OFF ALL EXISTING ROOFING AND HAUL AWAY ALL DEBRIS. REMOVE ROOF TO EXISTING SHEATHING. PULL ALL NAILS OF ROOF. EXISTING ROOF IS A HOT TAR BUILT UP ROOF. ALSO REMOVAL ALL COMPOSITION SHINGLES TO SHEATHING. NEW ROOF SPEC #ICBO 4887, CLASS A FIRE RATING. INSULATION IS R19 - 6 -1/2" THICK } EXISTING. NEW SHINGLES ARE 30 YEAR PABCO PREMIER FIBERGLASS, CLASS A FIRE RATING. Value of Construction: $11,500.00 Fees Collected: $432.35 Type of Fire Protection: N/A International Building Code Edition: 2003 Type of Construction: Occupancy per IBC: 0008 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: j Hauling: Start Time: End Time: Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: Moving Oversize Load: Start Time: End Time: Sanitary Side Sewer: Sewer Main Extension: Private: Public: Storm Drainage: Street Use: Profit: N Non - Profit: N doc: IBC- Permit D04 -250 Printed: 07 -15 -2004 Z �z '~ w 00 0 wi J H WL w 9_j LLQ �d =w H Z t_ I_ O Z r_ U� ON 0H wW LL Z CO) O Z City at Tukwila 2 Department of Community Development —� 6300 Southcenter Boulevard, Suite #100 N 2 Tukwila, Washington 98188 �*+ Phone: 206 - 431 -3670 •y ti.NM."" " 1908 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us Water Main Extension: Private: Water Meter: N * *continued on next page ** Steven M. Mullet, Mayor Steve Lancaster, Director Public: i doc :IBC - Permit D04 -250 Printed: 07 -15 -2004 z W. u� D U O C O 0' LU CO LL` w O LL Q Nd = W z �.. z t--. LU w � o' ,o w W H U LL tll z U z I City oi lukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us Permit Number: Issue Date: Permit Expires On: Steven M. Mullet, Mayor Steve Lancaster, Director D04 -250 07/15/2004 01/11/2005 Permit Center Authorized Signature: acv Date: 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 permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this development permit. Signatu Print Name: U r- Date: 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. doc: IBC - Permit D04 -250 Printed: 07 -15 -2004 ZZ I Z Q M W WD J U U N o C0 J �-.. CO) LL WO U . UD = i .. W Z� Z O. W5 U� O CO. 0 H WW U u~_. ~O' lIJ Z CO) O Z ism" Cit y of Tukwila Department of Community Development 16300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS Parcel No.: 5379800660 Permit Number: D04-250 Address: 4230 S 164 ST TUKW Status: ISSUED Suite No: Applied Date: 07/15/2004 Tenant: SCHOSER - VACANT Issue Date: 07/15/2004 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 4: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 5: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 6: Manufacturers installation instructions shall be available on the job site at the time of inspection. 7: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be obtained at City Hall in the office of the City Clerk. 8: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. * *continued on next page ** OTO doc: Conditions D04 -250 Printed: 07 -15 -2004 z �z �w �U 00 CO 0 cn w J H S2 LL W L J Q = CJ �w z r F- O z ir- w 0 0 .O F- w W �O 16d U= z f City of Tukwila } 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. Signature: (.G .QAC/ Date: Print Name: r V C - P -J 'q- 0o doc: Conditions D04 -250 Printed: 07 -15 -2004 z �U (L) 0 : N CO) CO) L w O; wa �d =w I.- _ 1- O. Z F-- w �o O CO: o r`- =U ILL O 111 Z U CO O Z ILA, w CITY OF TUKWILA Community Development Department Public Works Department Permit Center 1908 '� 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Building Permit No. Mechanical Permit No. Public Works Permit No. Project No. For o ice use on! 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" SITE LOCATION // King Co Assessor's Tax No.: Site Address: �r2-3 � l� y ��So Suite Number: Floor; Tenant Name: �� - V' �'�i � a4) L ) New Tenant: ❑ .... Yes 4 ..No Property Owners Name: Mailing Address: Cit Lam, State (� Zip Z� CONTACT PERSON: Name: C- d tiU Day Telephone: 1 U - • • E1161— �' City / _ o� State Zip E -Mail Address: Fax Number: 50 / F�� ! 2S ( / GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page) . i Company Name: > < k G rJ Mailing Address: \ v' V vc� 2 s _ , ^ City State Zip Contact Person: QCf QDU' d Day Telephone: � icf 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: City State Zip Contact Person: Day Telephone: { E -Mail Address: 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 plus\icc changes \permit application (7.2004) Page 1 City Day Telephone: Fax Number: State Zip Z Z W W 2 D UO (f) 0 J = CO U. WO �_J LL N = W H Z� F- o W ~ W U O - o�_ WW H� �O Z W U= O Z ..► BUILDING PERMIT INFORMATION - 206 - 431 -3670 Valuation of Project (contractor's bid price): $ .� Existing Building Valuation: $ Scope of Work (please provide detailed information): 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 1 , 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 o e of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Will there be a change in use? ❑ ....Yes ❑ ..No FIRE PROTECTION/HAZARDOUS MATERIALS: El.. Sprinklers []..Automatic Fire Alarm / Compact: Handicap: If "yes'', explain: ❑..None El. 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 -1/2 x 1 / paper indicating quantities and Material Safety Data Sheets. \permits pluskicc changeApermit application (7.2004) Page 2 �Z W �U 0 Cl) J :r CO LL WO �Q co = W Z F— l'— O W ~ 2� U� O� 13 H Ww F=-- H u. O .Z W U= O Z Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1" Floor 2 "d Floor 3r Floor Floors thru Basement Accessory Structure* Attached Garage .Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck PLANNING DIVISION: Single- family building footprint (area of the foundation of all structures, plus any decks over 1 , 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 o e of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Will there be a change in use? ❑ ....Yes ❑ ..No FIRE PROTECTION/HAZARDOUS MATERIALS: El.. Sprinklers []..Automatic Fire Alarm / Compact: Handicap: If "yes'', explain: ❑..None El. 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 -1/2 x 1 / paper indicating quantities and Material Safety Data Sheets. \permits pluskicc changeApermit application (7.2004) Page 2 �Z W �U 0 Cl) J :r CO LL WO �Q co = W Z F— l'— O W ~ 2� U� O� 13 H Ww F=-- H u. O .Z W U= O Z MECHANICAL PERMIT INFk,.< MATION — 206 - 431 -3670 ivi iii, A ii A -^ld s,vN it rlAl, l iNrvnivtiA i i N 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 informati Use: Residential: New .... ❑ Replacement..... ❑ Commercial: New .... ❑ eplacement..... ❑ Fuel Tyne Electric ..... ❑ Gas.... Other: Indicate type of mechanical work being installed and the quantity below: Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler/Compressor: Q Furnace <100K BTU Air Handling Unit >10,000 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 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 BIER OR AUTH - RIZED AGENT: Signature: �l.l. Print Name: Mailing Address: S[) - Date Application Accepted: Date Application Expires: I Staff Initials: Date: �— S o Day Telephone: 5C7 5 1 hlshuvc) L(fa�(-\ 2 - City State Zip \permits plus\icc changes \permit application (7.2004) Page 4 .Y +K. xw�.rmx+Marovs '6,a . aaz.+«:+ rnnw• �w* zy+ r�r�n.: �rx? vaa�r' 4rxh: vmarrc, �imw: msar�; �cPr .t•n�*.Mn..uxw.:td5t�'x:�>.t, ,/ �7r' ? z? J+ C, � Y', h�," i" 4' .+�1'�"�73xC++�hR?i�i4ua4.'s4., ,. ... Y 1 �r 1.' Z ��- Z �W QQ JU UO W= U) LL WO LQ U� = F_ W ZF- Z° LU5 U� O� 0 F— LU W u. O .Z W CO) O Z �" w Nk 1906 Ci of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 5379800660 Permit Number D04-250 Address: 4230 S 164 ST TUKW Status: PENDING Suite No: Applied Date: 07/15/2004 Applicant: SCHOSER - VACANT Issue Date: Receipt No.: R04 -00887 Payment Amount: Initials: SKS Payment Date: User ID: 1165 Balance: Payee: BRUCE JORDISON TRANSACTION LIST: `.. Type Method Description Amount Payment Check 1133 432.35 432.35 07/15/2004 03:51 PM $0.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ------------------------ - - - - -- ---------- - - - - -- ------ - - - - -- BUILDING - NONRES 000/322.100 259.30 i PLAN CHECK - NONRES 000/345.830 168.55 STATE BUILDING SURCHARGE 000/386.904 4.50 Total: 432.35 .- -,-2774 07116 9716 MTAL 432-35. Printed: 07 -15 -2004 z J U' UO C �. w= J �. U) LL W O LLQ = �. w z H F-- O Z I— w �o U O - W W F- u. O W Z U =; O Z _. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PER T NO ! CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (ZO 431 -3670 Projec • , Type of Inspection: Addre s: VC3 � !L� S•t Date Called: I l 01 /r Special Instructions: Date Wanted: ro - (7r L11 /US p.m. Requester• Phone No* 309 -5'a -- )ad y Approved per applicable codes. Corrections required prior to approval. COMMENTS: 1 re�4' Rr S r P Q` I Q 1AJ S 0 P �- 0 1� � o F • i N� 1,,, _- �.�. i I it -u, $ .00 REINSPECTION FEE REQUIRED., rior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 7 Z Z' UO Wx cn L W O LLQ cr) �W Z O. W ~ W U� O N O I_- WW U .. Z W U= O h-; Z f / INSPECTION RECORD Retain a copy with permit �0 INSPECTION NO. j CITY OF TUKWILA BUILDING DIVISION i 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 al hone N Fl Approved per applicable codes. �Correc qu e dprfol"to approv COMMENTS: y Receipt No.: Date: Pr 'eyct: D(CWA ya Type of ins pe 'oft: 1i A � � D to Called: � Special Instructions: Date Wanted: M. p.m. Requester: p Z �W LL.� U 0, N LU N LL W O, J N d = W F Z O 5 U O N O H W W LL Z . 11 U= O F- Z r _ s r wL ck kau V, acuo, /V , I S FOO Fy ts eot:�+) L s r v cn . _ tJ Q -co c�Y�- dS t T (C� �!`' Sh 1' m (. d TC 20 Lf&g C(ace, p CA y t 1 Z �D J 0: 0 : W= J H., N LL: W O'. J N �. W. Z � z O W W �o 0 W W. H U �O ui z U N' p M. O Z i I? Z w C.) 00 CO) w W:r CO) LL w0 LL Cf) Z �- W Z 0 Z I-- W UJ .C.) CO) 0- 'a WW 0, ui Z: CO Z z �.. z W QQ � JU UO M 0. co w J = H CO LL, LL J 0 �J LL. Q (O = LLI Z I-- O. z F- LLI 2 5 U O N WW LL. O .. z w CO O z CITY OF -- 'IJKWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 ywrr o"`'' f �- 4 RESIDENTIAL REROOF: REROOFS ►�I M -6 Submittal Checklist Single- family structures are exempt from reroof permitting unless roof structure is to be repaired or replaced, in which case a Residential Building Permit is required. COMMERCIAL REROOF: If roof structure is to be repaired or replaced, a commercial building permit will be required. Req'd N/A 1. 1994 Washington State Non - residential Energy Code requires documentation showing roof insulation conforms with W.S. E.C. Section 1132.1 Exception #6. Documentation must verify one of the following. 1 r. _g a) The subject roof is currently insulated or conforms otherwise with the W.S.N.E.C. b) The roof will be insulated to conform with the required W.S.N.E.C. R- values. ,/1 12. Roofing manufacturer's specification and listing for fire retardant rating. 3. U.B.C. APPENDIX SECTION 1516 - BUILT -UP ROOFS: 1516.1 General. Built -up roof covering be corrlpletely remove before ,plyicg.the eX roof g .Qyefiny% New roofing conforming to Section 1503 shall be applied except that when the new roof is to be applied directly to a nailable deck which has residual bitumen adhering to it, a rosin -sized or other dry sheet shall be installed prior to the installation of the new roof system. ing official may allow existing roof coverings to remain when inspection or other evidence reveals all of the following: 1) That the roof structure is sufficient to sustain the weight of the additional dead load of the roof covering. 2) The roof deck is structurally sound. 3) Roof drains and drainage overflows are sufficient to prevent extensive accumulation of water. 4) The existing roof covering is securely attached to the deck. 5) The existing insulation is not water soaked. 6) Fire - retardant requirements are maintained. NOTE: A certification letter is required prior to final inspection and sign -off of the permit. 9/9/99 appAm -b.doc 61 Z ~ w .J U UO UU J = U) LL w LQ = F _ w Z H F- O Z F- w W U� ON 0H W FU u- O w Z U= 0 H O Z �r N i �D lW_{ r IAM A03 L .4 _ 4W MM L awl o�J W cn s. 1908 12 - 06 - 2004 i I City of Tukwila Steven M. Mullet, Mayor Department of Community Development BRUCE E. JORDISON 1360 SUNSET RD ELLENSBURG, WA 98926 RE: Permit No. D04 -250 4230 S 164 ST TUKW Dear Permit Holder. Steve Lancaster, Director 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 -time extension tie to 180 days. Extension requests must be in writing and Provide satisfactory reason 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 01/11/2005, 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, Stefania Spencer, Permit Technician xc: Permit File No. D04 -250 Bob Benedicto, Building Official 6300 Southcenter Boulevard, Suite #100 - Tukwila, Washington 98188 - Phone: 206.431 -3670 - Fax: 206 - 431 -3665 . .•;,r....: w ..:v ...'+. a::..r«.w,z <os..s,r,.:.�;ek'r, Tq..:w.<n•..:,.W:..w.a:' .,.�u.�o: aa. ).y;:.;•.D :+.. +��.�..:a.::�ri:��..wwdr'� t :i,id�.wc:ui+:p::3z7:,,.il..,c� . y2, ;.sF�G�}- iwY }�„i e.a.t• : �::.�'r.i�'n4r 4"e.;5az• »T�:.. Z �Z '~aa W W JU UO y0 CO) LLJ W = I— 00 u- wO LL Q. N 0 = d �.. W Z F— t O Z H U O 0- 0 F— WW S O .Z w CO) t= � O Z Look Up a Contractor, Electrir;nn or Plumber License Detail Page 1 of 2 _ Topic Index Contact Info Search Home Safety ;, Claims a Insurance Workplace Rights Trades a Licensing Find a Law or Rule ' Get a Form or Publication' Look Up a Contractor, Electrician or Plumber General /Specialty Contractor A business registered as a construction contractor with L &I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. License Information License ALLBRSM997KT Licensee Name ALL B ROOFING Et SHEET METAL Licensee Type CONSTRUCTION CONTRACTOR I UBI 602123167 Verify Con trac Premium Status I Ind. Ins. Account Id i Business Type INDIVIDUAL 4 Address 1 312 W 13TH Address 2 City ELLENSBURG County KITTITAS i i State WA { Zip 98926 S j Phone 5099621093 3 Status ACTIVE Specialty 1 ROOFING Specialty 2 SHEET METAL Effective Date 5/30/2001 RF Expiration Date 7113/2006. FT "KwIia Suspend Date '/ S ) , Separation Date P�RMI r Parent Company R Previous License Next License Associated License Business Owner Information Name I Role I Effective Date - -- - -- -- -- - - t JORDISON, BRUCE EDWARD JR OWNER 05/29/2001 https :H fortress. wa. gov /lni/bbip /detail.aspx ?License= ALLBRSM997KT 07/15/2004 Z �- Z �W 2 D UO W� N U. WO �QQ u- 0 D W Z H I- 0 F_ W U O- OH WW LL Z ui co v o� Z : Z I �' '~ W U N 0 J H N LL, c W O, G 95 LL Q c o) = Cy W x z 0 .W W U� N Q F•- W T W i L U r � LL �- _Z U_N o Z