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HomeMy WebLinkAboutPermit M01-097 - FOSTERVIEW ESTATES - LOT 35City of Tukwila .' Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Permit No: MO1 -097 Type: B -MECH Category: RES Address: 4275 S 137 ST Location: Parcel #: 261200 -0350 Contractor License No: DUJARD *204L0 UMC Edition ` : 1997 * * * * * * * * *4k MECHANICAL PERMIT TENANT FOSTERVIEW ESTATES - LOT 35 Phone: 4275 S 137 ST, TUKWILA WA 98188 OWNER DUJARDIN DEVELOPMENT CO Phone: 425- 334 -5018 PO BOX 5308, EVERETT WA 98206 CONTACT JOHN KAPPLER Phone: 425 - 641 -5320 14311.SE 16 ST, BELLEVUE WA 98007 CONTRACTOR DUJARDIN DEVELOPMENT CO PO BOX 1059, SNOHOMISH WA 98291 *** * *•k * * * * *`k * * * * * * * * * * * * **•k** fir** k******•*** k** * * *** * * * * * * * * * * * *•k * * * * * * **** Permit Description: INSTALL NEW FORCED AIR SYSTEM IN NEW SINGLE FAMILY RESIDENCE. Valuation: Total Permit Fee: (206) 431 -3670 Status: ISSUED Issued: 07/16/2001 Expires: 01/12/2002 4,000.00 128.88 ******'******.**** k* * ** * * * * * * * * * * * * *•k * *. * * * * * * * *** Permit,; Center Authorized Signature Date I hereby'.ce'rtify that I have read and examined this permit and know the same tob`e true and correct. All provisions of law and ordinances governing . work will be complied with, whether specified herein or not Signature: :Print Name: 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 for and obtain this • i.ldi• • mit Date: - , \Vot Title: 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. • wi =. V 00- N p, CO W w O: LL. Q : . . `2 O= W w z 0 • z. PLAN REVIEW/ROUTING SLIP TIVITY NUMBER M01 -097 PROJECT NAME: FOSTERVIEW ESTATES LOT 35 SITE ADDRESS: 4275 S 137TH ST SUITE NO: Original Plan Submittal DATE: 05 -23 -01 Response to Incomplete Letter # Response to Correction Letter # Revision # AFTER Permit Is Issued DEPARTMENTS: B ilaing Division � Wc. f9 -�-7( Public Works E DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: TUES /THURS ROUT NG: Please Route Structural Review Required REVIEWER'S INITIALS: VMIROUTF.DOC 5rri Fire Prevention Structural APPROVALS OR CORRECTIONS: (ten days) Th Planning Division C ❑ Permit Coordinator Incomplete ❑ Not Applicable PI DUE DATE: 05 -24 -01 No further Review Required PERMIT COORL) DUE DATE 06-21 -01 n DATE: Approved ❑ Approved with Conditions ❑� Not Approved (attach comments) REVIEWER'S INITIALS: DATE: CORRECTION DETERMINATION: DUE DATE Approved n Approved with Conditions n Not Approved (attach comments) n REVIEWER'S INITIALS: DATE: ACTIVITY NUMBER M01 -097 DATE: 05 - - PROJECT NAME: FOSTERVIEW ESTATES LOT 35 SITE ADDRESS: 4275 S 137 ST SUITE NO: Original Plan Submittal Response to Incomplete Letter # Response, to Correction Letter # Revision # AFTER Permit Is Issued DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete PLAN REVIEW /ROUTING SLIP Structural Incomplete n Comments: TUES /THURS ROU NG: Please Route Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: (ten days) Approved n Approved it Conditions REVIEWER'S INITIALS: CORRECTION DETERMINATION: REVIEWER'S INITIALS: Fire Prevention Ti Planning Division n Permit Coordinator n n DUE DATE: 05 -24 -01 Not Applicable n No further Review Required DATE: DUE DATE 06-21 -01 Not Approved (attach comments) Ti DATE: (,'"� -)' DUE DATE Approved n Approved with Conditions [ I Not Approved (attach comments) DATE: PERMIT N0.: OD (' 09 1 MECHANICAL PERMIT APPLICATIONS INSPE CTTONS ❑ 00002 Pre - construction ❑ 00050 WSEC Residential ❑ 00060 WA Ventilation/Indoor AQC 00610 Chimney Installation/All Types ❑ 00700 Framing ❑ 01080 Woodstove ❑ 01090 Smoke Detector Shut Off Q r 01 100 Rough -in Mechanical ❑ 01101 Mechanical Equipment/Controls 01102 Mechanical Pip/Duct Insul ❑ 01 105 Underground Mech Rough -in ❑. 01115 Motor Inspection ❑ 1400 Fire Final 01800 Final Mechanical ❑ 04015 Special -Smoke Control System CONDITIONS •[e 0001 No changes to plans unless approved by Bldg Div ❑ 0014 Readily accessible access to roof mounted equipment ❑ l 0016 Exposed insulation backing material 0019 All construction to be done in conformance w /approved plans 0002 Plumbing permits shall be obtained through King Co 0027 Validity of Permit u 0003 Electrical permits obtained through L & I Ce 0036 Manufacturers installation instructions required on site ❑ "BTU maximum allowed per 1997 WA State Energy Code" CI 0041 Ventilation is required for all new rooms & spaces ❑ "Fuel burning appliances "Appliances, which generate...." Q "Water heater shall be anchored..:." Additional Conditions: FEES Basic Fee (YN) Supplemental Fee (YN) Plan Check Fee (Y•) Furnace/Burner to 100,000 BTU (qry) Over 100,000 BTU (pry) Floor Furnace (qty) Suspended/Wall/FIoor- mounted Heater (qty) Appliance Vent (qry) Heating/Refrig/Cooling Unit/System (qry) Boiler /Compressor to 3 HP /100,000 BTU (qry) to 15 HP /500,000 BTU (qry) to 30 HP /1,000,000 BTU (qry) to 50 HP /1,750,000 BTU (qry) over 50 HP /1,750,000 BTU (qry) Air Handling Unit to 10,000 tiro (qry) over 10,000 cfm (qry) Evaporative Cooler (qry) Ventilation Fan (qry) - J~ Ventilation System (qry) Hood (qry) Incinerator — Domestic (qty) Incinerator — Comm/Ind (qry) Other Mechanical Equipment (qry) Other Mechanical Fee (enter SS) Add' l Fees.— Work w/o Permit (Y/N) Insp Outside Normal Hours (hrs) Reinspeccions (hrs) Miscellaneous Inspections (hrs) Add'I Plan Review (hrs) Plan Reviewer: Permit Tech: Date: ce— p'Z601 Dace: 1 Project Name/Tenant: � c71 1 - teini ve.W es 0.tes Lo -* 3 5' Value of Mechanical Equipment: Sitg Address : City State/Zip: 27 S S otxtlr- 111 fit• Tax Parcel Number: 2(9.1200- 03S Property Owner: VD os r i it 'n Cf.) E.lop •e-r.*-- Co . Phone: (91V) 331 -sot '8 • Street Ad ss: City State/Zip: Plp. Rtx S3∎ZA E■er -eAt U.) Pi 18 ni, Fax #: (12S) 33 Li -6134i - Ul.1.Ll,cJk -- Contractor: V L -Chl Phone: ( ) Fax #: ( ) Address. . • 1 ajO6I Street Address: T City State/Zip: Fax #: ( ) Contact Person: K�tP 1 •PAr -- Pcr- D'Inafe.QJb '". S. Phone: (12-5 ) lo4 I • S 32u Street Address: City State/Zip: 1 ti 311 56 l lg"M fit'.. %.e.M.) U-Q-, W Pt 4 1 4001 Fax #: ( ) u4 i • S3I A BUILDING )'OWNEkOKAUTHORIZED'A'GENT:: '' "'' I 0 T , • !Il: 5lf Signature: . . Date: Print name: S+ - Ul.1.Ll,cJk -- Phone: ( ) Fax #: ( ) Address. . • 1 ajO6I f><refin;reet City/State/Zip: CITY OF TG ..WILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 Project Number: Permit Number. Mechanical Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. CHANIGAL',PERMIT.REVIEW AND APPROVAL'REQUESTED: (7'O'BEFILLEb'0UT4Y'APPLICA Description of work to be done (please be specific): (ThS tm. NEW S•F,12-• Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit is issued OR submit Form H-4, "Affidavit in Lieu of Contractor Registration ". Building Owner /Authorized Agent: If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and obtain the permit will be required as part of this submittal. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PER JURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. 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 114.4 of the Uniform Mechanical Code (current edition). No application shall be extended more than once. Date application accepted: �2z -- CD( Date application expires: Applicat taken by: (initials) 11/2/99 mech perdail daa ✓ Submittal Requirements Floor plan and system layout Roof plan required to identify individual equipment and the location of each installation (Uniform Mechanical Code 504 (e)) Details and elevations (for roof mounted equipment) and proposed screening Heat Loss Calculations or Washington State Energy Code Form #H -7 H.V.A.C. over 2,000 CFM (approximately 5 ton and larger) must be provided with smoke detection shut- off and will be routed to the Fire Prevention division for additional comments (Uniform Mechanical Code 1009). Specifications must be provided to show that replacement equipment complies with the efficiency ratings and other applicable requirements of the Washington State Nonresidential Energy Code. Structural engineer's analysis is required for new and the replacement of existing roof equipment weighing 400 pounds and greater (Uniform Building Code 1632.1). Structural .documentation shall be stamped by a Washington State licensed Structural Engineer. ' New Smile Family Residence ESIDENTIAL: Two complete sets of attachments required with application submittal Submittal Requirements Heat loss calculations 'or Form H-6. Equipment specifications. Change - out or replacement of existing mechanical equipment .Narrative of work to be done, including modification to duct work. Installation of Gas Fireplace Narrative with specification of equipment and chimney type. If using existing chimney, provide a letter by a certified chimney sweep stating that the chimney is in safe condition. NOTE: Water heaters and vents are included in the Uniform Mechanical Code — please include any water heaters or vents being installed or replaced. Mechanical Permits COMMERCIAL: Two complete sets of drawings and attachments required with application submittal NOTE: Water heaters and vents are included in the Uniform Mechanical .Code — please include anywater heaters or vents being installed or replaced. ignatUre : r°int Name, Address: 4275 137 ST te: :Tenant: • FOSTERVIEW ESTATES - LOT 35 Type:. B -MECH 'P roe1 #:.261200 -0 CITY : Of+ TUKWILA Permit No: M01-097 Status: ISSUED Appl ied: 05/22/2001 Issued: 07/16/2001 . .1M'• k" k• kk• k• k*• k' k• k• k• k• k• k• k• k• k-k• k• k' kk• k• k• k• k• k• k• k***' k• k: k •k•k•kk•k•k k •k*•k•k* *•k•kk*•k:t•k *k"k *k:k 'Permit Condition:,:.. P.'Iuntb1ng permits s.ha11 be obtained, through the Seattle- King County Department of Pub 1.i c Hea 1 th. Plumbing will be inspected by that agency: including a11 gay piping (296- 4722) Electrical permits _.ha11 be obtained!:hrough the Washington State Division ?of Labor tend 'Industries, and all elec.tric:a ,;work wi 1 1 be :i'nspected by that agencv (240 -6630) WATER HEATER ''SHALL ' BE ANCHORED TO RESIST EARTHQUAKE 510.5 No changes will' be made to the plans unless "approved by Engineer ` the Tukwila Buil.dinq''D'ivision. All permits, inspect •onrecords and approved plans, sha11 ;; :avai'1able atthe 'job -site prior to the start of any con struction. , Those documents are to be ma inta ined and ava'i 1 - eb l er tut i 1 ,'f'i na 1 inspection appr ova 1 is granted. All construction to be. done; : in c'onfor'm =anc.e .wi.th approved; plays and requirements of the Lin i form Bu 11 d i ng Code (1997 Ed i;t:ian );: as amended, Uniform Mechanical ,Code , (19 !7 Ed i ti on) , and Washington ; State Energy .ode '(3997. Edition) Val ty, of Permi t. The issuance of . a per'n►it or .approva 1 : of Plant', specif,ications. and Co"nlputat Cons ` shat l not be con- strued tol be .a:rpermit for or an approval.. of 1 - : acv 'violation of ;any : ot° the prey ions of the.. building . code or of anv other ord i nance,of the jurisd`i "ct,ion No permit presuming, t give - aLthor'; :t'y,to violate or cancel : :the provisions` of ;:.th'i code ., hal 1,'.. is e: 'v a l .i d`. Manufactu,rers :l l at i on instructions reuu i red for `.the`; i 1 di ng .i,nspectors review hereby: certify' :that I,.-have read these condition and wi 1, ith them as outlined. X11 provi_,ions of+ :law and ordinances' governing is work • : wi :ll be a conipl led wi ,th. whether.. :: s, led`herein or not. Dt3te' e :gra.n.tinu ut. thi " perrnit does not presume: to gr v,e.a.uthori to . .viol`ate`.or cancel the :pro :vi 1ons. of any cother..wor} ;or local 1. US regu1eting cot strustion or the; pertcr nru,ce :;of wor ~k . ■ < 'U " v'; * * * ** C * ** '' ****> k** �sk******.* . * * *'�. "ik * ** * ** * * *'* * *. ** * ** *,fir *sk * * * ** G fTY OF TUI{WIL1 . NA :' TRANSMIT sk*.*************:***** st slnk*** * * * * * * * * * * * * * * " * . * ** * * * . * ** f.;Rf NSMXT Number?.: _:01a08$$3 Amount... 128.88; 07/16/01 Payment ,Method's =CHECK i'•lot ;at:ion: gl►JARDIN DEVELOP` " : Iriit: EILH Permit No: M012-.097 'Type:: E3 -MECH MECHANICAL PERMIT" Parc'e1 . No: 261200-0350 S i t<e (iddreys s 4275 S .137 ST 'total, Fees: 128.88 Total ALL Pin': 128.88 B iii arice: .00. t *0.4:: * * * * * * * * * ** * * *' ** ********** * * * * * * * * * *` * ** * *: * ** * * ** *• * * ** y couv1tr Co Desrri pt i Do Aiaount 0133:45 „830 PLAN CHECK RES 25.78: 10 0 i EC -- RES 1'03.10 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 Pro' Type_ of Inspection::_ A 5 ress: Date called ; L /.Z7 C-41' X 37 Specia instr ctions: Date wanted Requester: Phone:. Approved per applicable codes. 0 Corrections required.prior to'approval: COMMENTS: Inspecto Date: $47.. REINSPECTION EE REQUIRED. Prior to inspection fee must be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule.reinspection. INSPECTION RECORD —r Retain a copy with permit : PERMIT NO P ' ct: -� . t ew-, - Type of I pecti,g : , �G/p ' ress: 3-74 Date called: Special instructions: Date wanted:. -G -40., a.m. CN•mi Request: C 'ry Phone: / INSPECTION RECORD Retain a copy with permit INSPECTION NO. ' CITY OF. TUKWILA BUILDING DIVISION 6306Southcenter Blvd, #100; Tukwila, WA 98188 COMMENTS: ° -Plr loo lit) ; -\-k vvtict 11 tJ faC,"14 (WS° e UY o4Pv kPa- Y 4-rc' Inspector • Date: 2— (_1() PERMIT (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: �il �4 ;.5i'iiiir'.•;�.A:ira,:[�5�,,: �� �� �• ; LS�a���: YS�t: t' w1£. �' �i.: i�t46. }:t::�,,�'E* 7, t ' �s• ^d; . .: _ � k,}u'' .,G.:Ci�7::�"r a+.rihr. +:, wt.. nrt. ri: i. u.�:,F.;:a,::�,:�aara•2w�wK�$i P r t :': Y? 1 & r L 1 3f` Type„of Inspection: / yy ( / Address: a ' ?. -. ' , ' .,/ :`j S`+- Date called:. 2 L_I - 0 Sp ecial instructions L t v Date wanted: . �`' Reque3ter: 1 Phone. ISPECT10N�1!10- NSPECTION RECORD etain a copy with permit OF it) WILA BUILDING DIVISION ✓Southcenter.Blvd' #100, Tukwila, WA 98188 /L4 O PERMIT NO. (206)431 -3670 Approved per`applicable ` codes: Corrections required prior to approval. COMMENT .• .:- �-- , . ..4 t n 11 rr A? c � ,6„0 "? $47.00 EINSPECTION #E � REQUIRED. Prio to inspection, fee must be paid at 6300' Southcenter Bivd., Suite 100. Call to schedule reinspection. Receipt Not, .; Date: Project: `P ' ' h P(1) -#‘35 e t Type of Inspection: -) - r-1/4oucv ( n Address: LI --.--/ 5 c-i-- Date called: 1 I - .2.10-0/ Special instructions: Date wanted: Requester: r_ v,... a r .1 Phone: Inspector: 'c INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit • 'V kt.cX7'% 161-097 PERMIT NO. dr (206)431-3670 COMMENTS: roptecA 'toy .44 1 , 2 3 -Nninn „ ) prAP \ c nvv\pl-Q4-e •- r ed Ur —t ro ffZJ Approved per applicable codes. 0 Corrections required prior to approval. Date: El $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: • • ".; • ••••;- • `' • ' • COMMENTS: Type of Inspe 'on: , T _t i.>> tt l- i Trr) v\ U'e W ct� ' r `l'P rrt�- P r I hS�-41 [ I r41' c Date called: 11 l s - Li in RAY ur A ( ov\ s 4OY .vet^,-1 -. Special instructions: Date wanted: 1 — 1 S Ot a.m. p•m 2 rokik J-P I Y.g-.\-a [.1 -1--0Y‘ t h S rt ,0.nS Phone: \ - ► c (. ? c k - eG rrok,.e5 9 n ( 1 e. 0 F -1`\:c -Pv\ Q rA 1,p h42 . \Ptit CLUG+ Y!'e P C . c 40 1\ YY1,0 o \ Ct t t 1-1 _ 1 Se( . / C dv\ e,nsciAt10v.' \ ; ,t.. skin, ke,. Cs‘ t. lro I + fl N.J , . ),,ICI 01tr QQ e Ql\ ?( ac- \ t Projec . i v - Vvety 3S Type of Inspe 'on: , T _t ress: S" s l 37 Date called: 11 l s - Li Special instructions: Date wanted: 1 — 1 S Ot a.m. p•m Requester: Phone: Inspector: 0 $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 r� PERMIT NO. (206)431 -3670 E} Approved per applicable codes. Corrections required prior to approval. Date: c , 0 1 A t' d $4 ` i'" ' t"- Mx—r g awn .0 vo w W O: LL Q' d , . ,ON; .. W W V's — 0 Ill Z U -i :O 1- z P / -o.54t r-vret}.) -Lo* 3T e o Inspection: 1 t f Y \- l►' 1 A ess: 15 s 137 < Date c Nec it j 3 /o t Special instructions: ■ Date n / Requ ter: -? try V' Ph, l n — 3 3o - -1(Q0q INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 CO MENTS: (1) 3 - cc-Ans. f ---- 3 -'v crw re ?crrz- i� A rIA./Q r 4 4 12.e-C (- e s l ct,r A e-4 e 0 (S rJ£(14 ill n ectdr: r eWl„S 1 --1 /"�... ri h Date: 11 / o 00 REINSPECTION FEE EQUIRED. Prior o inspection, fee must be paid 6300 Southcenter Blvd. uite 100. Call to s edule reinspection. Receipt No: Date: ' 4 pproved applicable codes. PERMIT NO. (206)431 -3670 Corrections required prior to approval. Project: Type of In ection: t Ad t f a is c; 13 Date cal ed: 6i Special instructions: {flJ.d it ) Date wanted: q DI Requester: / ) C7r Pho : �f 'C _ 330 -q&OS< INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: (YD 1?\ --s (e +I c,61 :>, ( e + �► C� fit�ts�- Inspector: t. Date: _ / /f C7,) El $47.0 EINSPECTION FEE REQ RED. Prior to inspection, fee must be paid at 63 Southcenter Blvd., Suite 1 0. Call to schedule reinspection. Receipt No: Date: �s '�.iit5 s.' i�:i'`.`..'.�'�C �;mm�i::t i. : = � i.'# .�N�..v..e...,. >.a �.�:..7 <�.:.:.....: �� - ter.• � , . wit UO to D -U2 cr � W N u.. a g� W• • W DD iCS D H: •W W: U lii z... Project Name: 1-Ds EE-t ate.ez_,. List SS Address: 1235 3o uM 131b, xi Residential Building Permit Number: 1 . Prescriptive Option W.S.E.C. Chapter 6, (check building permit option used): ❑I. ❑ ❑ in. II iv. ❑v. ❑vI. ❑vil. CI VIII. 2. House Square Footage (HSqFt) 3. Heating System installed, (check system type below): ❑ a. Electric Resistance /21 BTU /h per sq. ft. ❑ b. Electric (forced air) /24 BTU /h per sq. ft. a c. Other Fuels (gas, heat pump) /27 BTU /h per sq. ft. 4. Equipment: a. Make 1..1.0L.13 '•e,_. b. Model U (7 e QS U g c. Size in BTU's bp, 00 ( 5. Calculation/(HSqFt) 1 S/4/ si (see line 2 above) BTU /h X 27 (see line 3 a, b, or c above) Lu Z BTU Equipment Maximum Size ` 9 PERMIT APPLICATION #: 7/9/96 CIT'OF TUKWILA Permit Center 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 Telephone: (206) 431 -3670 Prescriptive Heating System Sizing for Single Family Homes - New Construction Washington State Energy Code Chapter 9, Climate Zone 1 H -6 FILE COPY Applicant's Signature: Date: RECEIVED CM OF TUKWILA MAY 2 2 20 01 PERMIT CENTER w U w w w 0 g Q - ° 3 O' 2 j U , O I — ': w w ▪ p - O U N o ff. LICENSE DETAIL INFORM ION Form 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 DUJARD *204L0 Name DUJARDIN DEVELOPMENT CO Address PO BOX 1059 Address City SNOHOMISH State WA Zip 982911059 Phone Number 4253345018 Effective Date 6/20/80 Expiration Date 12/16/01 Registration Status ACTIVE Type CONSTRUCTION CONTRACTOR Entity CORPORATION Specialty Code GENERAL Other Specialties UBI Number 600351267 * * *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, NUMBER, UBI NUMBER or return to the L &I Construction Compliance Home Page http: / /www.lni.wa.gov /CONTRACTORS /TF2Form.asp ?License= DUJARD *204L0 2/28/01