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HomeMy WebLinkAboutPermit M03-161 - COSTCOCOSTCO 1160 SAXON DR M03 -161 -1 C.) 0_ NO; W I W: 2q J LL Q • D N = d` ui • 1- O Z 1-, w W; D! 1O U • • Z., 0 F-; doc: Mech City of Tukwila Department of Community Development 16300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 MECHANICAL PERMIT z z �. Parcel No.: 2523049063 Permit Number: M03 -161 re w Address: 1160 SAXON DR TUKW Issue Date: 10/21/2003 6 Suite No: Permit Expires On: 04/18/2004 v O N co w _Ii w Owner: u. Name: SADE PAUL +ELEANOR Phone: N a Address: 585 POINT SAN PEDRO RD, SAN RAFAEL CA I ILI z Contact Person: Name: GLEN GEARHART Phone: 425 463 -1362 ui w Address: 1110 112 AV NE, #500, BELLEVUE, WA v o Contractor: N _ Ot-- Name: BARCLAY DEAN CONST SRVCS INC Phone: 425 378 -2031 w w Address: 5150 VILLAGE PK DR SE STE 200, BELLEVUE WA F v Contractor License No: BARCLDCO25P7 Expiration Date: 12/31/2004 u_ o ill U= O F- z Tenant: Name: COSTCO Address: 1160 SAXON DR, TUKWILA, WA DESCRIPTION OF WORK: REPLACEMENT OF THREE EXISTING OVENS WITH THREE NEW OVENS Value of Construction: $19,500.00 Fees Collected: $69.31 Type of Fire Protection: N/A Uniform Mechnical Code Edition: 1997 Permit Center Authorized Signature: 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 t• 's permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating cons ' • ion or the perf nce of work. I am authorized to sign and obtain this mechanical permit. Date: le) /2( /0 3 Date: Signature: Print Name: taq 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. M03 -161 Printed: 10 -21 -2003 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 2523049063 Address: 1160 SAXON DR TUKW Suite No: Tenant: COSTCO PERMIT CONDITIONS 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 3: Plumbing permits shall be obtained through the Seattle -King County Department of Public Health. Plumbing will be inspected by that agency, including all gas piping (296- 4722). 4: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical work will be inspected by that agency (206- 835 - 1111). 5: MI permits, inspection records, and approved plans shall be available at the job site prior to the start of any construction. These documents are to be maintained and available until final inspection approval is granted. 6: Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear identification showing the fire performance rating thereof. 7: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). 8: Manufacturers installation instructions required on site for the building inspectors review. 9: Fuel burning appliances may not be installed in sleeping rooms, U.M.C. 304.5. 10: Appliances which generate flame, spark or glowing ignition, shall be elevated 18 inches above the floor (U.M.C. 303.1.3.). Permit Number: M03 -161 w Status: ISSUED re re Applied Date: 10/03/2003 Issue Date: 10/21/2003 o 0 ND co uJ J = F- N LL w 2 D. 3 = W z � 1- 0 z F— LU 0 O - 0 F— ww 1- O w O - O ~ 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: cA-t �/ Print Name: k v �� doc: Conditions M03 -161 Date: f / .` (o 3' Printed: 10 -21 -2003 z CITY OF TUKWIL4 Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Site Address: /./ A 0 . S� k ,D/L . Tenant Name: lei 5 % G 0 --ATI 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 ** Property Owners Name: 5 7C C" L Mailing Address: 9 5- ,O/1. /S A Q, City O NTACT;;PE_ _ Name: � c/ /' 'rat Mailing Address: / // - / /2 T ' v A U0 .`:GENE RAI'.<( E -Mail Address: &G . J6' L (/p^/,/1 2- Company Name: /3,,Q z c,L.r.2 `7 Ofoilyr Mailing Address: .5?So .p(7, z' G ,<X- U2. 4:- 6 City Contact Person: '5,5/K7 ra�rti /� E -Mail Address: - - r' - re �i t3ia/L L r y /�.s'/Jn/. /✓�T King Co Assessor's Tax No.: Suite Number: New Tenant: Floor: ❑ ...Yes M /A.. Sta :e Day Telephone: Y2 5- '/6 5 /3/9' c -el/c% i� 6 //a City State Fax Number: y2 S -4 165-2./ 'rJ (- )873/' Zip 3 62 °'? 'c' Zip State Zip Day Telephone: 2- 5 - 57 , - 'Z,0 d Fax Number: 4 $ _ 5 7 s- --3 cva d 0 Contractor Registration Number: 2- / /3/ XCG/'G , r. 5 1 Expiration Date: / * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** NARCIIITE to 't t X 21 t •t , � III `plans must _be wetsta nped'byArchitect of.Recori Company Name: Mailing Address: .; ✓ �; Contact Person: E -Mail Address: applications■petmit application (3.2003) State State Zip City Day Telephone: Fax Number: ENGINEE OF,RECO Company Name: Mailing Address: Zip City Contact Person: Day Telephone: E -Mail Address: Fax Number: Z _1- Z re w 6 J U O 0 CO CO J LL W 0 u. Z 1- 0 Z ILI U� c H WW I-- - u. O W Z U O F ' Z M K Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Wqrk (pkeseepr *de detailed information): I. • Will there be new rack storage? 0 ..Yes ❑ .. No If "yes ", see Handout No. for requirements. Provide All Building Areas in Square Footage Below .l "•Floor -: 2 3f* Floor Floors : .Basemen ) Accessory : Structure* Attached Garage Detached Garage •Attached,Carport Detached' Carport: Covered Deck Uncovered Deck Interior Remodel • Addition to Existing - Structure . Type . of,. • Construction -Per UBC Type of Occupancy per UBC:: 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? 0 ....Yes ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑.. 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 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets. .applicationa\permit application (3.2003) 3/2003 Page 2 PUBGIG; WORKS t PERMIT1NFO t1�iATIOr Scope of Work (please provide detailed information): Water District ❑ ...Tukwila 0... Water District #I25 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ... ValVue ❑ .. Renton ❑ ...Seattle ❑ ...Sewer Use Certificate 0... 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) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way Non Right -of -way ❑ ...Total Cut ❑ ...Total Fill Please refer to Public. Works Bulletin #1 for fees and estimate sheet. cubic yards cubic yards ❑...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ ...Permanent Water Meter Size... ❑...Temporary Water Meter Size.. ❑ ...Water Only Meter Size ❑ ...Sewer Main Extension Public _ ❑ ...Water Main Extension Public 'pplicationatpermit application (3-2003) 3/2003 „ Call before you Dig: 1- 800 - 424 -5555 ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line „ N WO# WO# WO# Private Private ❑ .. Highline ` Page 3 ❑ .. Geotechnical Report ❑...Traffic Impact Analysis ❑ .. Maintenance Agreement(s) ❑...Hold Harmless ❑ ...Renton ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line ❑ ...Water ❑ ... Sewer Monthly Service Billing to: Name: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: Number of Public Fire Hydrant(s) ❑ ...Sewage Treatment Day Telephone: City Day Telephone: ' City State State Zip Zip wF 4)" Unit Type: ', Qty. . Unit Type: : Qty Unit Type: Qty . Boiler /Compressor: Qty Furnace <100K BTU Air Handling Unit >= 10,000 CFM Other Mechanical Equipment 0 -3 HP /100,000 BTU Furnace >100K BTU Evaporator Cooler 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System 30 -50 HP /1,750,000 BTU Appliance Vent Hood 50+ HP /1,750,000 BTU Heat/Refrig/Cooling System Incinerator - Domestic Air Handling Unit <= 10,000 CFM Incinerator — Comm/Ind Contact Person: E -Mail Address: MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contractor Registration Number: Valuation of Project (contractor's bid price): $ BUILDING OWNER CLAUTHORIZED AGENT: � ✓� /i_ Print Name: Date Application Accepted: Haitians it a • • t'cation 3.2003 I Date Application re wo g MECHANICAL': ,ERM1 INFORMATION 206;431` 367 ;: State Zip City Day Telephone: Fax Number: Expiration Date: * *An original or notarized copy of current Washingto State Contractor License must be presented at the time of permit issuance ** Scope of Work (please provide detailed information): ,Z4 (3J /1 $ i w I, 01/6/✓-r G✓I7W (3) /A/ e.-1,/ l Use: Residential: New .... ❑ Replacement .... ❑ Commercial: New .... ❑ Replacement ...., Fuel Type: Electric ❑ Gas .... Other: Indicate type of mechanical work being installed and the quantity below: .LICATION,`NOTES licable 61111 perms 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. Date: /c' /3/ Day Telephone: y,_•t- ;=/G 3 - / 36 Mailing Address: //i e> j/ '-'<' .t'v c' MJ'� '` 5 ,' f3sGC ���/ =✓:Y r'v.K' `fkOc' . City State Zip Staff initials: i • Receipt No.: R03 -01270 Initials: SKS User ID: 1165 ACCOUNT ITEM LIST: Description MECHANICAL - NONRES PLAN CHECK - NONRES City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 2523049063 Address: 1160 SAXON DR TUKW Suite No: Applicant: COSTCO Payee: BARCLAY DEAN CONSTRUCTION RECEIPT TRANSACTION LIST: Type Method Description Amount Payment Check 49373 69.31 Account Code Current Pmts 000/322.100 55.45 000/345.830 13.86 Permit Number: M03 -161 Status: APPROVED Applied Date: 10/03/2003 Issue Date: Payment Amount: 69.31 Payment Date: 10/21/2003 11 :50 AM Balance: $0.00 Total: 69.31 3912 10/21 9716 TOTAL 69.31 don: Receipt Printed: 10 -21 -2003 Projedt. : CC Type of Ins tio r Add leaf /!l, D f Date Calle / D V3 V Special Instr a tions: " � = �r .. Sw. , _ _ a Reque ' i1 v 4 Date Wanted: � � p.m. r: Pho -X _ 53( - I 0.33 Y?2 O3-:fle I INSPECTION RECORD Retain a copy with permit INSPECTION NO. _ J T Y OF TUKWILA BUILDING DIVISION ;6300 Southcenter Blvd.,: #100, Tukwila, WA 98188 ( 06)431 -3670 PER TN Approved per applicable codes., 0 Corrections required prior to approval. $47. EINSPECTI FEE REQUIRED. Prior to inspection, fee must be paid at b300 Southce ter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: SEPARATE PERMIT REQUIRED FOR: 0 MECHANICAL _. ELECTRICAL (PLUMBING AREA OF WORK VGA a PIPING THIS PERM IT - - - -v CITY OF TUKWILA BUILDING DIVION , 1110 112TH AVE. NE 1 SUITE 500 BELLEVUE, WA 1 98004 t 425.463.2000 1 f 425.463.2002 riAZ ; NO CHANGES SHALL. BE MADE TO THE SCOPE OF WORK WITHOUT PRIOR APPROVAL OF TUKWILA BUILDING DIVISION. Pt7TE: REY'SlbNS WlU PY:1111.1F A NW RANI SfU9mn Nomovto OCI 13 gin iks 4oitu ___ —.•-ter B DitzL 42eeeti b i.r y �aM i k w ERAvr CENTER ® MulvannyG2 Architecture: All rights reserved. No part of this document may be reproduced in any form or by any means without permission in writing from MulvannyG2 Architect COSTCO WHOLESALE FILL COPY I understand that the Plan Check approvals are subject to errors and omissions and approval of plans does not authc.rize the violation of any adopted code or ordinance. Receipt of con- tractor's copy of approved plans acknowledged. ft 11 e. m303 ,.../4,/ A1.01 93- 0440 -15 PM: GLEN GEARHART 1160 SAXON ROAD, TUKWILA, WA 98188 OCTOBER 03, 2003 REPLACE THREE (3) HOBART DOUBLE RACK GAS OVENS, MODEL HBA2G 1110 112TH AVE. NE I SUITE 500 BELLEVUE, WA 1 98004 t 425.463.2000 I f 425.463.2002 EXISTING PROOFER TO REMAIN QiA OP TUKWILA OCT 0 2003 PERMIT CENTER 0 1' 2' 4' 8' ® MulvannyG2 Architecture: All rights reserved. No part of this document may be reproduced in any form or by any means without permission in writing from MulvannyG2 Architecture. COSTCO WHOLESALE 93- 0440 -15 PM: GLEN GEARHART 1160 SAXON ROAD, TUKWILA, WA 98188 OCTOBER 03, 2003 A1.02 O O O REPLACE THREE (3) HOBART DOUBLE RACK GAS OVENS, MODEL HBA2G 1110 112TH AVE. NE I SUITE 500 BELLEVUE, WA 1 98004 t 425.463.2000 I f 425.463.2002 EXISTING PROOFER TO REMAIN QiA OP TUKWILA OCT 0 2003 PERMIT CENTER 0 1' 2' 4' 8' ® MulvannyG2 Architecture: All rights reserved. No part of this document may be reproduced in any form or by any means without permission in writing from MulvannyG2 Architecture. COSTCO WHOLESALE 93- 0440 -15 PM: GLEN GEARHART 1160 SAXON ROAD, TUKWILA, WA 98188 OCTOBER 03, 2003 A1.02 HOBART! FOOD EQUIPMENT STANDARD FEATURES • Digital programmable control Standard digital control panel - Bake /steam timers - Cool -down mode - Vent mode Advanced digital control panel includes standard control features plus: - Four stage baking - Auto on /off control - Auto vent - 99 menus - Optional backup controls • 300,000 BTU in -shot burner system • Titanium stabilized high -temp stainless steel tubular heat exchanger with welded construc- tion for longer life • Heavy duty rack lift includes high -temp bearings and slip clutch soft start rotation system • Stainless steel interior and exterior construction • Shipped in two main sections for ease of installation • Flush floor provides easy access - no ramp required • Field reversible bake chamber door • Fully welded hood for Type II installation • Space saving 72" wide x 62" deep footprint co (less canopy) • Wide viewing glass (21" W x 57.5" H) • Self- contained spherical cast steam system °CI • Pre - plumbed gas and water lines • Built -in rollers and levelers for ease of installation • Single point 8" vent connection • Stainless steel "Bastyle rack lift • Capacity - two single racks or one double rack • One year parts /labor warranty MODEL ❑ HBA2G a Double Rack Oven, Gas OPTIONS Cl Back -up control ❑ Propane gas ❑ Floor extender kit ❑ Shipped assembled (less canopy /steam system) Cl Aluminum or stainless steel oven racks ❑ High output 350,000 BTU burner system Cl Dual stack vent collar (for multiple vent installation) ❑ Hood with grease filters (complies with NFPA 96 for Type I installations) ❑ Narrow viewing glass (10" W x 57.5" H) CI "Castyle rack lift CI Kosher package DR )` o rU /LA Specifications, Details and Dimensions on Bgck, HBA2G DOUBLE RACK OVEN a GAS NOTE: Above shown with advance control panel 701 S Ridge Avenue, Troy, OH 45374 a937- 332 -3000 61- 888- 4HOBART ns +� Item # Quantity C.S.I. Section 11400 PERMIT cFNTgn co 6) 0 C a, r m 0 0 m Cn z SECTION (CRATED) (ACTUAL) PALLET WGT./ CU. FT. Heating 107" x 70" x 47" 99.5" x 62" x 36" 2400/20.4 Bake 107" x 70" x 47" 99.5" x 62" x 36" 1365/20.4 Hood 95.5" x 20.5" x 39" 72" x 95.5" x 16 365/4.4 Door 77.5" x 10.5" x 50" 44.6" x 74" x 8.5" 270/2.4 Steam System Box 31.5" x 16.5" x 14" N/A 595/4.21 Vim HBA2G DOUBLE RACK OVEN a GAS ,HOBART! FOOD EQUIPMENT DETAILS AND DIMENSIONS UTILITIES ()Water 6 %2" NPT. Cold water © 30 psi. (310 kPa) minimum © 4.5 GPM (.29 liters /sec) flow rate. 0 Drain 6 Choose either rear or front drain and plug the drain connection that is not in use. Route to air -gap drain. 'Rear drain resides 5.5" from floor Rear drain:'/," NPTF Front drain: W NPTF ()Gas fi 1 /" NPT. Connect Point Standard - Natural Gas, 300 k BTU /hr @ 5 " -14" wc Natural Gas, 350 k BTU /hr @ 5 " -14" wc Propane Gas, 300 k BTU /hr © 12" - 14 wc Propane Gas, 300 k BTU /hr @ 12 " -14" wc Natural Gas: 300,000 BTU /HR (85 kj /sec) Optional 350,000 BTU /HR Propane Gas: 300,000 BTU /HR (73.3 kj /sec) Natural Gas Input Rate 3 5" to 14" w.c. (1.25 kPa to 3.50 kPa) Propane Gas Input Rate 6 12" to 14" w.c. (3.0 kPa to 3.5 kPa) ® Electrical 6 2 supplies required. 1) 120/60/1.20 amp dedicated circuit. 2) 208 - 240/60/3 4.4 amps 208 - 240/60/1 7.0 amps 480/60/3 2.1 amps 0 Hood Vent 6 8" diameter connection collar. Hood is fully welded. Customer to supply duct and ventilator fan per local code. Chamber vents are factory- ducted to this integral hood. Airflow proving switch is factory installed. 750 cfm (21.3 m' /min) req'd. (0.6" w.c. (150 Pa) static pressure drop through hood.] CEILING LINE POWEPEP Roof VENTILATOR LUPPLIED AND INSTALLED . 8Y omens POOP r VENT PIPE SUPP. A INSTALLED - BY OTHERS 157.5 em Side View 155 cm NOTES 1. The purchaser is responsible for all installation costs and for providing: Disposal of packing materials; labor to unload oven upon arrival; installation mechanics; and all local service connections including electricity, vents, gas, water and drain per local code. A factory technician or factory authorized installation technician must supervise and approve any installation. 2. All services must comply with federal, state and local codes. 3. To reduce the risk of fire, the appliance is to be mounted on floors of non - combustible construction with non - combustible flooring and sur- face finish and with no combustible material against the underside thereof, or on non - combustible slabs or arches having no combustible material against the underside thereof. Such construction shall in all cases extend not less than 12 inches beyond the equipment on all sides. IMPORTANT: Do not route utilities (wiring, plumbing, etc.) in or under the non - combustible floor beneath the oven. 4. Minimum clearances to combustible construction: 0 inches from sides and back. 10 feet minimum ceiling height. 5. Consult local authorities to determine whether TYPE I (grease) or TYPE II (vapor) duct and ventilator fan will be required. 6. Actual weight approx. 4,245 lbs. 7. Manufacturer reserves the right to make changes in sizes and specifications. Top View 72,0" 103 911 As continued product Improvement is a policy of Hobart, specifications are subject to change without notice. Front View 701 S Ridge Avenue, Troy, OH 45374 6937- 332 -3000 61- 888- 4HOBART F -40014 (REV. 1/03) LITHO IN U.S.A. (H -01) 0 himcdOPRecycicdP.pa o c ti Or ; _ r Fd f 1 44 e v R#, " � 'V 14 cm c 99. 5" 252 cm Ci Y OF (1�(YVq, APPFIO TO OCT 1 3 2603 AS Mi]LU PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: M03 -161 PROJECT NAME: COSTCO SITE ADDRESS: 1160 SAXON DRIVE DATE: 10 -03 -03 X Original Plan Submittal Response to incomplete Letter # _ Response to Correction Letter # Revision # after /before permit is issued DEPARTMENTS: \A ALUC /0L3 -03 Building Division Public Works ❑ 5/1 /VA_ /0 - ' 1-05 Fire Prevention Structural CI Planning Division Permit Coordinator DUE DATE: 10 -07 -03 DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete [ Incomplete ❑ Comments: Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS RO)ITING: Please Route lJ Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Not Approved (attach comments) 0 Notation: REVIEWER'S INITIALS: DUE DATE: 11 -04 -03 DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents(routIng sl(p.doc 2 -28 -02 r; r::.ISMIT COORD COPY z w JU O 0 co • w J W • O g< _ a I- al Z = I— I O Z H. W W 0 I- w I 0 LU U = O F Z LICENSE DETAIL INFORM A. TION Form Page 1 of 2 STATE OF WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES Specialty Compliance Services Division P. O. Box 44000 Olympia, WA 98504 -4000 THE RESULT OF YOUR INQUIRY FOR LICENSE NUMBER SELECTED IS: LICENSE DETAIL INFORMATION Current Filter: None Registration# or License BARCLDCO25P7 Name BARCLAY DEAN CONST SRVCS INC Address 5150 VILLAGE PK DR SE STE 200 Address City BELLEVUE State WA Zip 98006 Phone Number 4253782031 Effective Date 10/27/1998 Expiration Date 12/31/2004 Registration Status ACTIVE Type CONSTRUCTION CONTRACTOR Entity CORPORATION Specialty Code GENERAL Other Specialties UNUSED UBI Number 601222672 *VIEW CROSS REFERENCE FILE FOR THIS LICENSE* * *VIEW PRINCIPAL OWNER(S) FOR THIS LICENSE* * * *VIEW CONTRACTOR BOND /SAVINGS INFORMATION * * * *CHECK INQUIRY FOR SUMMONS AND COMPLAINTS* * * * VIEW CONTRACTOR INSURANCE INFORMATION * * * New inquiry by CITY , NAME , PRINCIPAL OWNER NAME , LICENSE , UBI NUMBER , check the L &l Contractor Industrial Insurance Premium Status or return to the L &I Construction Compliance Home Page https://wws2.wa.gov/lni/bbip/TF2Form.asp?License=BARCLDCO25P7 10/21/2003 I M2541524100 In/I)71 DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL ..' ': REGIST . ' ,## • EXP. DATE CC01 `BARCLDCO25P7 '12/31/2004 EFFECTIVE DATE 10/27/1998 BARCLAY DEAN CONST SRVCS INC 5150 VILLAGE PK DR SE STE 200 BELLEVUE WA 98006 Dual) And Display Certificate � 5 i !"A to N s /°U: LIG f "14k i% %%