HomeMy WebLinkAboutPermit M01-203 - GROUP HEALTH COOPERATIVEM01-203
Group Health
ANB
12401 E
Marginal Wy S
City of Tukwila
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M01 -203
Type: B -MECH
Category: NRES
Signature:
Print Name:__
MECHANICAL PE MIT
Address: 12401 EAST MARGINAL WY
Location:
Parcel #: 734560 -0490
Contractor License No: AIRCOCI131KQ
(206) 431 -3670
tatus: ISSUED
Issued: 11/05/2001
Expires: 05/04/2002
TENANT GROUP HEALTH COOPERATIVE Phone:
12401 EAST MARGINAL WY S, TUKWILA, WA 98168
OWNER GROUP HEALTH COOPERATIVE Phone: (206)448 -4699
JIM DOUMA PROPERTY MGMT, 521 WALL ST, SEATTLE WA 98121
CONTACT ARNIE MORALES Phone: 253 854 -8444
835 N CENTRAL AV, #132, KENT, WA 98032
CONTRACTOR AIR CONDITIONING COMPANY, INC. Phone: (253) 854 -8444
6265 SAN FERNANDO RD, GLENDALE, CA 91201
' kit * ** * * *'k ** * * * ** *k **. ** ****** k******* k******.. A ***kkk** *•k** * *k•k * ***A *•k * * *:k A*
Permit Description:
ADD NEW DIFFUSERS AND RETURN GRILLES IN ROOMS
W123A, Will, W114A, W114B AND W114C.
UMC Edition: 1997 Valuation:
Total Permit Fee:
***** * * ****.** ** **•k ** k* * *** *•k ****•k•k *•k * ***•k• *** * ** * *•k k** * **•k * *:1 *** **•.•k** k ****
__ __ _ /f-s-o i
Per'mi >t Ce t'erAuthorized Signature Date
1 hereby certify that I have read and examined this permit and know the
same 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 for and
obtain this building permit.
Date: II O 1
Title: _ fo ce+
500.00
46.50
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.
:SI+ L iuJi. 4u•+ J+ u: .6`:Jf::.%YSL'Ll.ii•vJ.tYwM1a�.
ACTIVITY NUMBER: M01 -203 DATE: 10 -25 -01
PROJECT NAME: GROUP HEALTH ANB PROVIDER RELATIONS
SITE ADDRESS: 12401 E MARGINAL WY S - BLDG A
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Is Issued
DEPARTMENTS:
Building Division
Public Works
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 1 0-30-01
Complete 7
Approved
\PRROUTE.DOC
5/99
CORRECTION DETERMINATION:
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
APPROVALS OR CORRECTIONS: (ten days)
0
Fire Prevention
(0-W 01
Structural
Approved n Approved with Conditions
Approved with Conditions
TUES /THURS ROUTI G:
Please Route Structural Review Required
REVIEWER'S INITIALS:
Comments:
REVIEWER'S INITIALS:
Incomplete n Not Applicable n
Planning Division
Permit Coordinator
No further Review Required
DATE:
DUE DATE 11 -27 -01
n
Not Approved (attach comments) n
REVIEWER'S INITIALS: DATE:
DUE DATE
Not Approved (attach comments) n
DATE:
" r •4i.:111 fib;: r'. i. 1' 1V'3f:Niy4di,f1.44.5411.:.+ '„
ACTIVITY NUMBER: M01 -203 DATE: 10 -25 -01
PROJECT NAME: GROUP HEALTH ANB PROVIDER RELATIONS
SITE ADDRESS: 12401 E MARGINAL WY S - BLDG A
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Is Issued
DEPARTMENTS:
Building Division
Public Works
Approved
Please Route
\PRROUTE.DOC
5/99
PLAN REVIEW /ROUTING SLIP
TUES /THURS ROUTING:
REVIEWER'S INITIALS:
CORRECTION DETERMINATION:
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete n Not Applicable n
Structural Revie Required
APPROVALS OR CORRECTIONS: (ten days) DUE DATE 11 -27 -01
Approved n Approved with Conditions
REVIEWER'S INITIALS:
Approved with Conditions
REVIEWER'S INITIALS:
n Planning Division
❑ Permit Coordinator
n
DUE DATE: 10-30-01
No further Review Required
DATE:
Not Approved (attac co ments) n
DATE:
T1
DUE DATE
Not Approved (attach comments) n
DATE:
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ra tAt '4h1L " ,'ftfJsi`S "Mr. iVnK
PERMIT NO.: III( I403
MECHANICAL PERMIT APPLICATIONS
INSPECTIONS
00002
00050
00060
00610
00700
01080
01090
01100
❑ 01101
❑ 01102
❑ 01105
❑ 01115
i
01800
❑ 04015
CONDITIONS
Pre - construction
WSEC Residential
WA Ventilation /Indoor AQC
Chimney Installation /All Types
Framing
Woodstove
Smoke Detector Shut Off
Rough -in Mechanical
Mechanical Equipment/Controls
Mechanical Pip /Duct Insul
Underground Mech Rough -in
Motor Inspection
Fire Final
Final Mechanical
Special -Smoke Control System
0001 No changes to plans unless approved by Bldg
Div
❑ 0014 Readily accessible access to roof mounted
equipment
❑ 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
0003 Electrical permits obtained through L & 1
❑ 0036 Manufacturers installation instructions required
on site
❑ "BTU maximum allowed per 1997 WA State Energy Code"
❑ 0041 Ventilation is required for all new rooms &
spaces
0005 All permits, insp records & approved plans
available
❑ "Fuel burning appliances
❑ "Appliances, which generate...."
❑ "Water heater shall be anchored...."
Additional Conditions:
TENANT NAME: Or
FEES
Plan Reviewer: f'"' ✓ Date:
4e01.4. ANs
Basic Fee (Y/N)
Supplemental Fee (Y/N)
Plan Check Fee (Y/N)
Furnace /Burner
to 100,000 BTU (qty)
Over 100,000 BTU (qty)
Floor Furnace (qty)
Suspended/Wall /Floor- mounted Heater (qty)
Appliance Vent (qty)
Heating/Refrig /Cooling Unit/System (qty)
Boiler /Compressor
to 3 HP /100,000 BTU (qty)
to 15 HP /500,000 BTU (qty)
to 30 HP /1,000,000 BTU (qty)
to 50 HP /1,750,000 BTU (qty)
over 50 HP/1,750,000 BTU (qty)
Air Handling Unit
to 10,000 cfm (qty)
over 10,000 cfm (qty)
Evaporative Cooler (qty)
Ventilation Fan (qty)
Ventilation System (qty)
Hood (qty)
Incinerator — Domestic (qty)
Incinerator — Comm /Ind (qty)
Other Mechanical Equipment (qty)
Other Mechanical Fee (enter $$)
Add'I Fees — Work w/o Permit (Y/N)
lnsp Outside Normal Hours (hrs)
Reinspections (hrs)
Miscellaneous Inspections (hrs)
Add'I Plan Review (hrs)
Permit Tech: h1 n Date: LOf D
CO IX 6M
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ACTIVITY NUMBER: M01 -203 DATE: 10 -25 -01
PROJECT NAME: GROUP HEALTH ANB PROVIDER RELATIONS
SITE ADDRESS: 12401 E MARGINAL WY S - BLDG A
Original Plan Submittal Response to Incomplete Letter #
Response to. Correction Letter # TRevision :#
After Permit Is Issued:
DEPARTMENTS:
Building Division n
Public Works n
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 10-30-01
Complete n
TUES /THURS ROUTING:
Please Route
REVIEWER'S INITIALS: 1 T ��
APPROVALS OR CORRECTIONS: (ten days)
Approved C
\PRROUTE.DOC
5/99
PLAN REVIEW /ROUTING SLIP
n
Fire Prevention
Structural
CORRECTION DETERMINATION:
Approved n Approved with Conditions n
REVIEWER'S INITIALS:
n
REVIEWER'S INITIALS:
Planning Division
Permit Coordinator
n
n
Incomplete n Not Applicable n
Comments:
Structural Review Required
No further Review Required _IN
DATE: / q 2 k al
DUE DATE 11 -27 -01
Approved with Conditions Not Approved (attach comments)
DATE:
DUE DATE
Not Approved (attach comments) n
DATE:
Project Name/Tenant: // �
G c o v k ? j r L A MI ?r o J: aer <.Q.la.A' o•\V
Value of Mechanical Equipment:
•.$ -Soo
Site Address : 12401 t3
' ,4:tlt.y .tCity State/Zip:
ar;, �rn
9 ey 5 . ?,dk,�4l o.. I,�).1
Tax Parcel Number:
-7 3 14s4 v - 0y3 o
Property Owner: J
GreutP 1-14.0.14-L•
Phone: ( )
Street Address: g,,,; t1i0' A City State/Zip:
12 C . Near :AAA W. le ;b, W.
Fax #: ( )
�ct� i
Contractor:
A *,r Cte ,P,04, 0,, p sue. CAeeo)
Phone: (2s3 )
8sy- $44'
` �
Street Address: City State/Zip:
$ A). OP *.Vkt gkA ke. *t3e. Ke.1 +.WA 17
Fax #: (2S3 )
g.-Ty - Z...
Contact Person:
A ∎ t Moro-\2S
Phone: (z.s3 )
3S4 - 841114
Street Address: City State/Zip:
$ 3S A). Ce wA-cal Aoe . lose KeN4. tAA 97o
Fax #: (ZS3 ) $S./ - BZZo
BUI LDING,'OWNER :OR'AUTHORIZEDAGENT: ' .
Signature:
Date:
i0 /ZS /o i
Print name: .1--
' Jere.
�ct� i
Phone: (�
3)
,s
'y - yqq'
Fax #: ( z ,3) 7S'( - 3z-to
Address:
RRcr A).
.5
Cev.Ar..l A/Q..
t37
City /State/Zip:
Keva. WA 9Po3
Description of work to be done (please be specific):
1//2/99
niech perniil.doc
CITY OF TLi(WILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Project Number:
Permit Number:
A a.&
a new wNC c � r111e in
111 W IIN A , u)114 R , ,,,,a 1.0 it Lit.
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.
MECHANICAL PERMIT REVIEW AND APPROVAL `REQUESTED: ' (TO BE FILLED OUT BY APPLICANT)
i
00►■S I.�Iz3�►,
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.
1 HEREBY CERTIFY THAT 1 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:
/o IAA*/
Date application expires:
¥.r &
Application taken by: (initials)
sArb
✓
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.
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 any water
heaters or vents being installed or replaced.
RESIDENTIAL : Two complete sets of attachments required with application submittal
Submittal Requirements
New. Single Family Residence
Heat loss calculations or Form H -6.
Equipment specifications.
Change -out or replacement of existing mechanical equipment
I 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.
I I/2/99
miscpmt.doc
NOTE: Water heaters and vents are included in the Uniform Mechanical Code — please include any water .
heaters or vents being installed or replaced.
• rtYl
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i.dl t,. 4 ! 'M w.
Address: 12401 EAST MARGINAL WY S Permit No: M01-203
Suite:
Tenant: GROUP HEALTH COOPERATIVE Status: ISSUED
Type: B-MECH Applied: 10/25/2001
•Parcel #: 734560-0490 Issued: 11/05/2001
-
Permit Condi t ions:
1 . No changes w i l l be made to the plans unless approved by the
Engineer and the Tukwi la Bk, i 1 ding Division.
2. All permits, inspect ion'',rebords, .and approved plans shall be
avai lable at the :j:60 site prior to the start of any con-
‘struction. These Aocu are to be maintained and ava 1 1
able until insPecti on :approval is', granted.
'Al 1 const.ructlont.o be done in conformance With approved
plans andrequireinents of the .Uniform Building Code (1997
Edi , ,a'mende'd, Uniform Meche'h-ita I Code (1997 Ed 1 t i on)
and Washington -, State'Energy- Code (1997 E d i t i o n ) .
Validity of Permit. The isuance of a pernii t or approval of
plans, specifications and computations shall not 'be con-,
strued a0ermtt,'fbr', or an approval of, any violation
oftaily pfthe 'proviSions of' the bui iding code or of any
other :Ordinance of the jurisdiction. No permit presuming to
give authority to ylplate or cancel , the provisions of this
code shall be valid., ,
. Manufacturers, instal let ion instructions required on site
for the bui.' di ng inspectors review.
. '
I h, ereby certify that -I have read these conditions and, wi 1 I Comply
with ylem as outlined. Al 1 provisjons of law and ordinances governing'
this work wii,11 be compl ied with, whether' specified herein or not.
The granting. of this permit does not presume to give authority to
violate\pr cancel the provisions of , any other work or local laws
regulattng construction or the performance, of work.
CITY OF TUKWILA
4.
e te• "%■•• • ,4} • r -• • 4
kl'A•4:M , ` 1 44.1 7 ;Y:A . A ; "Algtk .,rItteeM41' ;
4,A init.k 7i!
V:k ******4t******************* *************
CITY OF TtJKWIL4,
WPt. ;
JpANSMITNumber: R0101 iO4 Amount:
Perm i t No M01-203 Type: B-MECH MECHANICAL PERMIT
Parcel No 734560-0490
; ` . ` : S i t e Address: 12401 EAST MARGINAL WY S
Total Fees : 46.50
Thi s Payment 46.50 Total ALL Pmts: 46,50
Balance: .00
***************kiikWA
Account Code ' Descri pti on
0001345.830 , PLAN CHECK -' NONRES
000/322.100 MECHANICAL - NONRES
• TRANSMIT
46.50 11105/01 1333
Payment Method: CHECK , Notation : AIR CONDITIONING In i t : (AS
Amount
9.30
37.20
46.5'0
066( ti./06 9716 _AM*
•
• Project).—
4 7 1-4
Type of s ection: i )
Address:'
Yr
Date ca
-0(
Special instr ctions:
)
-
d:
Date wa
a.m.
Requester:
Phone:
7) I
Approved per applicable codes.
COMMENTS:
Inspector:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 981
Date:
ok-2z23
PERMIT NO.
Corrections required prior to approval.
6)431-3670
41 . • .41
El 547.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
[eceipt No: pate:
.19
' • -; •-; r- ; .::„ ):
MARK
NOTE:
M1
Diffuser and retum grille in remodel room apace
PERMIT
M2
New diffuser and return grille connect to existing svetem
M3
Existin ! thermostat to remain .
- SEP -24 -2001 12:40
CORN[RSTON
ARCHITECTURAL GROUP, P
1904 1NIRD AVENUE, SUITE 500 SEAiTil,
Memorandum
To:
CC:
From:
Date:
Re:
Arnie Morales — ACCO
Jim Wood -• Trammell Crow
Com • an
Alex Clark - Cornerstone .
Architectural Group
9-17 -2001
Mechanical Scope of Work
discussion with Arnie Morales —
ACCO
REFLECTED CEILING FLAG NOTES
INTERNET: www.comers#oneardh.com
CORNERSTONE ARCH'L GROUP
WASNING1ON 9810
Project #:
Project:
File:
Encl:
construction scope of work for the Provider Relations Tenant Improvement.
� undel„«nd that the Plan Check approvals are
subject to errors and omissions and approval of
Tans does not authorize the violation of any
Rdopted code or ordinance. Receipt of con -
tea ctor's copy of approved plans acknowledged.
360 %3 - ; - ;
Date i1 /S 0
G FlOktrideil Rel
Memorandum of Me
Work for ACCO 9-17
Sheets Al, A2
3Cti 'YP. 02/05
•
SEPARATE PERMIT
REOUIRED FOR:
anical Scope of
oo 1R MECHANICAL
VELC TRICAL
I� PLUMBING
[GAG PIPING
Pursuant to the Phone conversations with Arnie Morales of ACCO, regarding the mecha ip1ef - rU 4Wi LA
.'" DIVISION
The minor tenant improvement as shown on the attached plans and the mechanical adjustments;
Scope of Work
1. New diffuser and return grille at Office W123A would be extended off of existing VAV box FP1A-
115.
2. At area between grid 3 and 4, current mechanical zone (Zone 1) at exterior wall of building will
remain. Thermostat shall stay in existing location near grid 4-A
3. Mechanical zone (Zone 2) for W114, W112, W113 shall remain, and add new conference room
W111 to this zone with diffuser and retum grille . The thermostat shall stay in W113 on the west
wall.
4. Mechanical zone (Zone 3) that served the. previous conference room W117 shall serve the (3)
new divided offices. Thermostat to remain In near current location in proposed office.
5. Scope of new equipment , 3 new diffusers for Offices W1148, W 114C in Zone 3 and 3 new
return grilles.
6. Scope of new equipment --1 new diffuser for Offices W123A- In Zone 4, and 1 new return grille.
Please review the scope of work with the attached plans in consideration of the mechanical work
required. If there any discrepancies please let the Architect know immediately Alex Clark, 206 6 82- 5000 . CEIVED
CITY OF TUKWILA
CITY r
sUAL ►uv
•
FACSIMILE: (206) 621.7717 1ELEPNONE: (206) 682 -5000
o c 3 0 2001
AS NOiLt)
‘LO-1F7,- 61 •IO �•1
OCT 2 5 2001
CENTER
Ab 1 -203
4k', ur... Li. s:.: ab ..;'r'.ilw+Tt:1'aL.+�'U:`2fn:Ki ail. �siN!?.; l'. �xsN. k- r; i$: y; 6; i :.cAriri��ik= ti%.4 r.:
'SEP -24 -2001 12 41 CORNERSTONE ARCH'L GROUP
C
C
[ORERSiONi
lRtN11E[IIIRII GROUP
rid rW, 1015N NO loUR.=
NNLINNINI NI
Group Noah Cooperate.
Acing North ado
206 621 7717 P.04/05
h
r
i
OFFICE
•
i •
•
ELECT
W124
STAIR
W100S2
OCT
PARTIAL FLOOR PLAN EAST
CITY OF Tt14 ard_
P,PpR( Annum
Provider Relations T n M "Pmririli 3 �J X001
i <l j cU
RECEIVED
OF TUKWILA
2520
PERMIT CENTER
Al
)1
SEP -24 -2001 12:41
CORNERSTONE ARCH'L GROUP
206 621 7717 P.05/05
uraippe IMP
area
1 ELIZ 1111
I r v �
if= wa►_:!t-agnrsaminita
_!!IF2"*".40 rAgammimmera
I Ell= I IffillgilW ii __ �!1 r
r :�. - I� � FAA— m
1 111 WA WA ism KIN PrA NM MOM
1%111 1111Z11111VAINIDA =MUM
e CC 5 FAIIIIPMEININVA 1"111W4 4
I 10111111.1A / / = r
OFFI ! atom mom=
I w114Jr I� ®7� IIIMEMINI I��':
111 JY ,1 IIIII■11
CORNERSTONE
"r''�'� ARCHIT CJURAL GROUP
1101 NOM 111M 10a /AL 111.S101
IWL00HR 1101 18101.011,//r/
PARTIAL FLOOR PLAN WEST
1/8- .1.-0-
Admh North Bid& CITY OF TI O o- ib -
_ !PRO'
Proyklrr Relations Tinent Improirnt n01
ps
'i`+J
RECEIVED
CITY OF TUKWILA
T 2 0 2001
PERMIT CENTER
A2
TOTAL P.05
•.r . ' -." 6 :r.Si'.'it L c: lFiemt+.',r, <::tie:AiE&:
.4,04;4;44 '1.'4.44 =?': '«"t�ti'aV':��x` ;+w# `k�"i � . s " i .::'la, ',t fx, sSd "vfur: ek flkiv 'r4';fi�G4kFs`3k#C.s�.1.'' K,,i'.3iS:xrwa��a 'w33o.;r3;!r. sit.
LICENSE DETAIL INFORMATION Form Page 1 of 1
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 AIRCOCI131 KQ
Name AIR CONDITIONING COMPANY INC
Address 6265 SAN FERNANDO RD
Address
City GLENDALE
State CA
Zip 91201
Phone Number 8182446571
Effective Date 5/18/87
Expiration Date 10/2/03
Registration Status ACTIVE
Type CONSTRUCTION CONTRACTOR
Entity CORPORATION
Specialty Code AIR CONDITIONING
Other Specialties PLUMBING
UBI Number 601003669
* * *VIEW PRINCIPAL OWNER(S) FOR THIS LICENSE* * *
* * *VIEW CONTRACTOR BOND /SAVINGS INFORMATION * * *
'CHECK *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
https://wws2.wa.gov/Ini/bbip/TF2Form.asp?license=AIRCOCI131KQ
10/25/01
,�. r.. iti,.e4s..... �G. n A,u....r*.-:,, �._'�..,. rr.ai b,'�!•,'.t ;d .Ar. ....':1 A.,. ....,..*�Ji. r7:.n:.y1.:F: ,.
Balance Due: $ ..
ed Current Contractor Registration Card:
Need to Enter Contractor Information in Sierra: ❑ Yes
❑ Yes J No
No
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