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Home My WebLink AboutPermit PG07-154 - REHABITAT NORTHWEST - LOT 2REHABITAT NORTHWEST LOT 2 13332 32 AV S PGO7-1 54 Parcel No.: 1523049306 Address: Suite No: 13332 32 AV 5 TUKW City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us Tenant: Name: REHABITAT NORTHWEST - LOT 2 Address: 13332 32 AV S , TUKWILA WA Owner: Name: REHABITAT NORTHWEST Address: 3601 WEST MARGINAL WY S , SEATTLE WA Contact Person: Name: CHAD DETWILLER Address: 3601 WEST MARGINAL WY SW , SEATTLE WA Contractor: Name: T & J PLUMBING /MECHANICAL Address: 317 153 ST E , TACOMA WA Contractor License No: TJPLUJP974MU DESCRIPTION OF WORK: PLUMBING AND GAS PIPING FOR NEW 2800 SF SFR Value of Plumbing /Gas Piping: Fees Collected: doc: UPC /06 $10,000.00 $401.00 Plumbing Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND OUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 932 -7355 Phone: 253 535 -0176 Expiration Date: 07/31/2009 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 Steven M Mullet, Mayor Steve Lancaster, Director PGO7 -154 08/07/2007 02/03/2008 Plumbing (cont.) 2 Building sewer and each trailer park sewer 1 0 Rain water system - per drain (inside bldg) 0 1 Water heater and/or vent 1 0 Industrial waste treatment interceptor, including 1 its trap and vent, except for kitchen type 0 grease interceptors 0 1 Repair or alteration of water piping and/or water 0 treatment equipment 0 1 Repair or alteration of drainage or vent piping 0 3 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 0 1 Gas Piping 0 Gas piping outlets (0-5) 4 3 Gas piping outlets (6 +) 0 PG07 -154 Printed: 08 -07 -2007 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied doc: UPC -10/06 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us Permit Number: PGO7 -154 Issue Date: 08/07/2007 Permit Expires On: 02/03/2008 Steven M Mullet, Mayor Steve Lancaster, Director Date: V Ol 014 permit and know the same to be true and correct. All provisions of law and ordinances r 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 perfo an re of work. I am authorized to sign and obtain this plumbing /gas piping permit. Date: /7 d Signature: Print Name: �� /4 r' 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. PG07 -154 Printed: 08 -07 -2007 Parcel No.: 1523049306 Address: Suite No: Tenant: doc: Cond - 10/06 13332 32 AV S TUKW 1: ** *PLUMBING AND GAS PIPING * ** LI City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us REHABITAT NORTHWEST - LOT 2 PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: PGO7 -154 ISSUED 06/01/2007 08/07/2007 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R -3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor /ceiling assemblies and fire- resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. PG07 -154 Printed: 08 -07 -2007 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us 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: as'' Print Name: L��l�C1A4, IA' doc: Cond -10/06 Date: g/7 a7 PG07 -154 Printed: 08 -07 -2007 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www. ci tnkwi la. ti ra . us Site Address: /333P-- 32 � ataz 5 �; f s2 - Tenant Name: & LL 4-J- 4, .. 4 Tic_ Property Owners Name: 8;1,11, t v e lec t/ T c Mailing Address: .J'1 CJ. �la,'� -/ 41, S CJ Name: &a' bit air Mailing Address: _3to0 I 0J. / Go.1;•04_( iJ y S lJ E -Mail Address: £ aort� L, L ,]est, Company Name: Reto b est J r _ Mailing Address: .n..M/) I I.J. l q u/ a r-5 ;,�u & ( /,c )a- S (j Contact Person: (La) ff�� I E - Mail Address: ,'4 J ' reLj .4 ct d ,e •t. Contractor Registration Number: 4-1-1 A P Lir q 7,3 Company Name: Mailing Address: Contact Person: E -Mail Address: ER OF'` RECORD . -All plans must sset stamp by Etigtaeer te#)�e i • Company Name: ItLua_ Mailing Address: / a Am. 40E kle+ -tkiv l /e. 4) 4- iisb7A- City State Zip Contact Person: 14. Day TelephoneO 1 /?9 - 090 7 E -Mail Address: Mrn0 s w ► a0o1 y edao.c-o►+ti Fax Number: (125 qg q - 090 lrApplieationeFomv- Application, On tine' -_ • Panda Appliwtion.doe R,evired: 9 - 2006 bh 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.: Suite Number: Floor: New Tenant: ❑ Yes ❑..No cit G )4 State 9WQ , Zip Day Telephone: .C: 1)/3.2 - 73 S5 9f/4 City // State Zip Fax Number: ( %) 7355 red 4J4 City State Zip Day Telephone: tie 93;2' Fax Number: ) 9 933 - 73,43 Expiration Date: OS /,y /'f City Day Telephone: Fax Number: State Zip Page 1 of 6 BUILDING PERMIT INFORMATION - 206-431-3670 Valuation of Project (contractor's bid price): $ P 000 Scope of Work (please provide detail C X Existing Building Valuation: $ N/ S - e F Will there be new rack storage? ❑ Yes R. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in :Square Footage:B I t Floor. 9 NA 3`.d Floor Floors ::a;1:::: thru .. B asetMefrt` . ' liecessory Structure• Attached Garage Detached Oa rage Attached Carport Detached: Carport Covered: Del. Uncovered Deck Existing — a- Interior Remodel /CIA Addition to xisting Structure ..?/ $C>c) ANA; 1J /l- /J74 N/4 -5 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): A y Floor area of principal dwelling: 1,1 30 Floor area of 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: Z Compact: Handicap: Will there be a change in use? ❑ Yes ▪ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ ....... Sprinklers ❑ Automatic Fire Alarm Er 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 x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System – For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q: V■pplicationsnF'onns- Application On [ite'3 -2006 - Permit Application.doc Revised: 9 - 2006 bh Page 2 of 6 PUBLIC :WORKS :PERMIT INFORMATION 06433- 0179:;: Scope of Work (please provide detailed information): &w r - Ale r..'1 5 — 5 F R_ Water District ❑ ...Tukwila a.... Water District #I25 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate ■i �... ValVue ❑ ...Sewer Availability Provided Q: Applications \Forms-Applications On Lin&3 - - Penis Applic tion.doc Revised: 9 -2006 bh Call before you Dig: 1- 800 - 424 -5555 ❑ .. Highline El ...Permanent Water Meter Size... WO # ❑ ...Temporary Water Meter Size .. WO # ❑ ...Water Only Meter Size WO # ❑ ...Sewer Main Extension Public Private ❑ ...Water Main Extension Public Private Please refer to Public Works Bulletin #1 for fees and estimate sheet ❑ .. Renton ❑ .. Renton ❑ .. Seattle Septic System: ❑ On -site Septic System - For on -site septic system. provide 2 copies of a current septic design approved 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 - (SAO) ❑ ...Hold Harmless - (ROW) 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 ,i ...Total Cut o?s cubic yards ❑ .. Work in Flood Zone ...Total Fill S 0 cubic yards ❑ .. Storm Drainage '...Sanitary Side Sewer ❑ .. Abandon Septic Tank ❑ .. Grease Interceptor ❑ ...Cap or Remove Utilities ❑ .. Curb Cut ❑ .. Channelization ❑ ...Frontage Improvements ❑ .. Pavement Cut A .. Trench Excavation ❑ ...Traffic Control ❑ .. Looped Fire Line X,.. Utility Undergrounding ❑ ...Backflow Prevention - Fire Protection " Imgation " Domestic Water ❑ ...Deduct Water Me Size FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrants) ❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter Refund /Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip Page 3 of 6 Unit Type: Qty Unit Type: Qty Unit Type: Qty . ':Bailer /Compressor: Furnace <100K BTU ( Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Furnace >100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct S Thermostat 1 15-30 HP /1,000,000 BTU Suspended/Wall /Floor Mounted Heater Ventilation System Wood/Gas Stove 30-50 HP /1,750,000 BTU Appliance Vent ` Hood and Duct 1 Emergency Generator 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig /Cooling System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit <10,000 CFM Incinerator — Comm /Ind Use: Residential: New .... Commercial: New .... ❑ MECHANICAL PERMIT INFORMATION _ -;206- 431 - 3670... MECHANICAL CONTRACTOR INFORMATION /I Company Name: eat-si: L g /I `j �� r e aLf3 ei Mailing Address: PO . 6.20 Contact Person: Tarr4 E -Mail Address: l Contractor Registration Number: L T L t+1- OSS .( Valuation of Mechanical work (contractor's bid price): $ 7,60 Scope of Work (please provide detailed information): - Lt( Fuel Type: Electric ❑ Gas ... Q:lkpplications\Frnma- Applications On line13-2006 - Permit Apphcab'nd c Revised: 9 -2006 bh Replacement .... ❑ Replacement .... ❑ Indicate type of mechanical work being installed and the quantity below: City State Zip Day Telephone: ( 3 0) R9 7 - ' Z 6, Fax Number: (360) 4s 4 7 - $3 7 Expiration Date: o/Sft�" Other: Page 4 of 6 Fixture Type: Qty Fixture Type: Qty'.: Fixture Type:: Qty Fixture Type Qt , y Bathtub or combination bath/shower d- Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic I Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet 3 Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Additional medical gas inlets/outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and/or water treating equipment • Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas PLUMBING AND GAS PIPING PERMIT INFORMATION PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: T' pi, • II Mailing Address: 311 AA 153 Contact Person: — rod d, E -Mail Address: Fax Number: Contractor Registration Number: `T S P LLLSP Q Lj M (L Expiration Date: 1 31 j0 '7 Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work (contractor's bid price): $ 1 `` Scope of Work (please provide detailed information): l�s � I O w) pft.,..4.,*N Se roc e. We-to SF . Building Use (per Int'l Building Code): vR Occupancy (per Int'l Building Code): R-3 Utility Purveyor: Water: rs-t.3I 1 * (aS �D bOc Sewer: lid V Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below: k7 4Fyy.5" City State Zip Day Telephone: 53) — q9 Q:4lpplicatons \Forms - Applicators On line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 5 of 6 Date Application Accepted: f � --0 Date Application Expires: Staff Initials: , , , n 1 PERMIT APPLICATION NOTES Applicable to all pernllt, in t is app 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. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.32 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). 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 OWNER OR UT RIZED AGENT: Signature: / ax Print Name: Nkad .& h 9 ;// r' Mailing Address: -EGO 1 f..l. alt. r,va ( Git Q:1Applications \Forme- Applwtiofl On line\3 -2006 - Permit Apptication.d c Revised: 9 -2006 bb . k) Day Telephone: Seage_ City Date: 6 /%l (,) 43x- 73S hi A g�lv,n State Zip Page 6 of 6 r ....• DT' r RECEIPT NO: R07 -01621 Initials: WER User ID: 1655 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http://www.ci.tukwi/a.wa.us Payee: REHABITAT NORTHWEST, INC. SET ID: 0806A SET NAME: REHABITAT NW, LOT2 SET TRANSACTIONS: Set Member Amount D07 -194 3,681.34 D07 -206 3,188.60 M07 -123 235.00 M07 -133 194.00 PG07 -154 401.00 PG07 -164 349.50 TOTAL: 8,049.44 Payment Check 2389 ACCOUNT ITEM LIST: Description BUILDING - RES GAS - RES MECHANICAL - RES PLAN CHECK - RES PLUMBING - RES PW LAND ALT PERMIT FEE PW PERMIT /INSPECTION FEE STATE BUILDING SURCHARGE TRAFFIC MITIGATION FEES SET RECEIPT TRANSACTION LIST: Type Method Description Amount TOTAL: Account Code Current Pmts 000/322.100 4,636.18 000/322.100 176.00 000/322.100 388.00 000/345.830 127.50 000/322.100 488.00 000/342.400 47.00 000/342.400 150.00 000/386.904 9.00 104.367.120 2,027.76 TOTAL: 8,049.44 Payment Date: 08/07/2007 Total Payment: 8,049.44 8,049.44 8,049.44 if Project: / 4 K1 46/ T /� r i Type of�spection: /- / /1' / C 4s P4 » q /333 Date Called: Special Instructions: Date Wanted: / - I ._ ar a. m. Requester: Phone No: COMMENTS: 0 /%01 ti /it rA.M /_ (•g 4-6- %D6,9 '( - p le 1• ,� 3 INSPECTION RECORD Retain a copy with permit IMPEL' ION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION C 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20 -3670 nspect p Re -ipt No.: Date: !Date: /2‘d7,(,- proved per applicable codes. LJ Corrections required prior to approval. 8 I REINSPECTION FEE RE UIRE ' Prior to inspection, fee must be at 6300 Southcenter Blvd.. Suite 00. Call the schedule reinspection. v P ,vto�J1 144 NJ TypCfI4cti p: vi 4► � '�'' Address: ►3332 44 C Date Called: Special Instructions: Date Wanted: 13.11 ) (i'-) a.m. (", Requester: .. Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 6 0 O Approved per applicable codes. COMMENTS: I pe tar: Date: >"- (AM• -" ) 1A 1, 4 �./ 1 I / C. 1 6 f v / El $ . y 1 0 REINSPECTION FEE Prig to inspection. fee must be I p at 6300 Southcenter Blvd.. Suite 100. Cell the schedule reinspection. 'Date: (Receipt No.: Corrections required prior to approval. Proj ect: h 4 / i, Type of Ir�pec on — // V � Addre x..7.3.3 ?3z�v5 Date Call Special Instructions: Date Wanted: 25 - 07 a.m. Lp.rn. Requester: PZt • Z _s� - 3 Y 7V INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #1 00, Tukwila, WA 98188 V s_ Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: / i � /�� 7 fi- / pect Receipt No.: 'Date: 0(r-2_ / PERMIT NO. it- (206)431 -3670 � .00 REINSPECTION FEE R EQUIRED rior to inspection. fee must be ald at 6300 Southcenter Blvd.. Suit 00. Call the schedule reinspection. 'PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG07 -154 DATE: 06 -01 -07 PROJECT NAME: REHABITAT NW LOT 2 SITE ADDRESS: 13332 32 AV S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: , G 1 BuiI iIng Division Public Works ❑ Fire Prevention ❑ Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Documents /routing slip.doc 2 -28-02 Incomplete Planning Division n Permit Coordinator n DUE DATE: 06-05-07 Not Applicable n Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTI G: Please Route Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 07-03-07 Approved ❑ Approved with Conditions Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: License Information License TJPLUJP974MU Licensee Name T & J PLUMBING/MECHANICAL Licensee Type CONSTRUCTION CONTRACTOR UBI 602314444 Ind. Ins. Account Id #2 Business Type INDIVIDUAL Address 1 317 153RD ST E Address 2 City TACOMA County PIERCE State WA Zip 98445 Phone 2535350176 Status ACTIVE Specialty 1 PLUMBING Specialty 2 BOILER/STEAM FIT/PROC PIPING Effective Date 7/31/2003 Expiration Date 7/31/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date GUIRSCH, TODD OWNER 07/31/2003 Bond Amount Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #2 CBIC SG2156 07/31/2006 Until Cancelled $6,000.00 05/17/2006 COLONIAL AM CAS & Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 `' Washington State Department of Labor and Industries 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. https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= TJPLUJP974MU 08/07/2007