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Home My WebLink AboutPermit PG06-159 - WESTFIELD SOUTHCENTER MALL - GENE JUAREZGENE JUAREZ 1070 SOUTHCENTER MALL PG06 -159 my ^ Tit��'n DEPT. C, CG' :': :: tti' C''. `r. , 2NT 63C0 CgUTI-{„CN l G4 CLVD. TUKWILA, WA 98188 Novi PLUMBING /GAS PIPING PERMIT Parcel No.: 2623049023 Address: 1070 SOUTHCENTER MALL TUKW Suite No: Permit Number: Issue Date: Permit Expires On: Pt ivir t Calla PG06 -159 09/25/2006 03/24/2007 Tenant: Name: GENEJUAREZ Address: 1070 SOUTHCENTER MALL, TUKW ILA WA Owner: Name: WESTFIELD CORPORATION LLC Address: 11601 WILSHIRE BL, LOS ANGELES CA Contact Person: Name: DANI MEYERS Address: 1221 2 AV N, KENT WA Contractor: Name: HERMANSON COMPANY LLP Address: 1221 2ND AV N, KENT, WA Contractor License No: HERMACL005BJ Phone: Phone: 206 575 -9700 Phone: 206 - 575 -9700 Expiration Date:08 /25/2008 DESCRIPTION OF WORK: Value of Plumbing /Gas Piping: $0.00 Fees Collected: $606.00 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND QUANTITY 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] (cont.I 0 Building sewer and each trailer park sewer 0 0 Rain water system - per drain (inside bldg) 0 1 Water heater and/or vent 2 0 Industrial waste treatment interceptor, including 2 its trap and vent, except for kitchen type 0 grease interceptors 0 0 Repair or alteration of water piping and /or water 3 treatment equipment 0 0 Medical gas piping system serving one to five 17 inlets /outlets for a specific gas 0 0 1 15 Gas Piping 0 Gas piping outlets (0 -5) 3 3 Gas piping outlets (6 +) 0 "continued on next page" doc: UPC - Permit PG06 -159 Printed: 09-25-2006 CITY OF Tl 'KW!' A DEPT. or CC.'.;::u::fT1' D. :v: ' r`;M:77NIT 6300 SLU11icL :LATER LLVD. TUKWILA, WA 98188 PERMIT CENTER Permit Number PG06 -159 Issue Date: 09/25/2006 Permit Expires On: 03/24/2007 Permit Center Authorized Signature: (y/�,ndP Date: angle YO I hereby certify that I have read and i ed t is permit and know the same to be true and correct. All provisions of law and ordinances governing this work will b c mp 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. 1 am authorized to sign and obtain this plumbing/gas piping permit. Signature: C Date: q (c.?'- lb (n Print Name: Din iPAiP, Matters 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: UPC - Permit PGO6 -159 Printed: 09 -25 -2006 City Tukwila Steven M. Mullet, Mayor 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 CONDITIONS Parcel No.: 2623049023 Address: 1070 SOUTHCENTER MALL TUKW Suite No: Tenant: GENE JUAREZ Steve Lancaster, Director Permit Number: PGO6 -159 Status: ISSUED Applied Date: 09/25/2006 Issue Date: 09/25/2006 1: ***PLUMBING AND GAS PIPING*** 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. **continued on next page** doc: Conditions PGO6 -159 Printed: 09-25 -2006 City Tukwila bair Steven M. Mullet, Mayor 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 Steve Lancaster, Director 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: Print Name: IMAY1 tP,L(C MPA( -CJirS Date: CV725/n C doc: Conditions PG06 -159 Printed: 09-25 -2006 tied CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http : //www. cif tukw it a. wn. us Building Permit No. Mechanical Permit No. Plumbing/Gas Permit No Public Works Permit. No Project No. (For °filet we `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• ISITE LOCATION:. King Co Assessor's Tax No. :n? \ a Wa 4- ' Site Address:1OZ�a� 0-i te_ra -Cr V'0 _�1 Suite Number: Floor: ,s Tenant Name: LX.r D Jun y'P .. New Tenant: ❑ Yes (/J..No Property Owners Name: O-t,e. c j LLL) r e Z Sal On MailingAddress:ken O ¶ )' Otflk , :IDA t. Seed-lit City State Zip CONTACT PERSON - who do we contact when your permit is ready to be Issued Name :T. Lh l '(^v Mailing Address: 1 tria. aria. E -Mail Address: CI L1cr Day Telephone: a-010 - '. )1 C)' q 100 e? eln I Of\ gXO32 -- City 1 �f ° YiYt(1l 1��t7 . co rn Fax Number: a • ' )7 5 ` q %OO GENERAL CONTRACTOR INFORMATION - (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg Company Name: 14 ex mo_ri o 1 Rid �t-i 1 �/ n n 2 Mailing Address: i as ac 'We. N . pang w A `Itcea Contact Person :lam : ,1 E -Mail Address:O et heirno-nttyl corn car Day Telephone: //2�Bc sate B -K5- (t/�L Oa 1 ,r T Fax Number: l . tD- 515 - �I 'p I3 C) Contractor Registration Number: Fi b AC_ L. bb5)3 Expiration Date: O1 a4.0 / O1 t ARCHITECT OF RECORD - An plans must be wet stamped by Architect ofReeord Company Name: M+ t ter i ' t MM1C C-1 Mailing AddressAIO N�� UU* t .k�Yter3 The... 1 tiJ�% FSi r a� Sate 61711-- Contact Person: Day Telephone: ac* - . - o E -Mail Address: Fax Number: rlip - L.C224 '-:1:)1.1.0-1 ENGINEER OF RECORD - An plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Contact Person: E -Mail Address: Q: AppliodonsTomm- Appli.edo u On Lin.V.2006 -Pan* Appliationdoc Revised 9.2006 bit Sate Zip Page 1 of 6 MECHANICAL CONTRACTOR INFORMATION Company Name:i-lermaxflQ,n Amin9 ($arse. as l'sC -)__ Mailing Address: city state Zip Contact Person: Day Telephone: E-Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Mechanical work (contractor's bid price): S OOC) Scope of Work (please provide detailed information): \n5 1(t ). 1 rater -k-op hen.* 90 r D� nets) domes ti C, l Oak r \01 lerS tan V. ne_LO ex. is fVS �+ Yltti\ ctnc\ c]Ssnc r1i ts�1,�n{k 1n5tsA �- ‘Tho-t wake S113Vc ci-C., se: Residential: New .... ❑ Replacement....❑ Commercial: New...; ' Replacement....❑ Fuel Type: Electric yr Gas.. Indicate type of mechanical work being installed and the quantity below: Other: Unit Type: - Qty - Unit Type: - - - Qty Unit Type: -- Qty - Boiler /Compressor: - -- Qty Fumace<IOOK BTU Air handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Fumace>100K BTU Evaporator Cooler Diffuser SO 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct .a Themtostat "f t i, 15 -30 HP /1,000,000 BTU a Suspended/Wall/Floor Mounted Heater Ventilation System - - Wood/Gas Stove 30-50 HP /1,750,000 BTU Appliance Vent Hood and Duct Emergency Generator 50+ HP /1,750,000 BTU - Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment ArHandlingUnit <10,000 CFM a Incinerator— Comm/Ind QMppiicatiauWmms- Appliratimu On LineU -2006 - Permit Applies/sad= Revised: ?mob a, Page 4 of PLUMBING AND GAS MIN ERMIT INFORMATION - 206 -431 PLUMBING AND GAS PIPING CONTRACT (9 INFORMATION Company Name: uCflT'p n`)(Nn Wr pant) v \ r� \ Mailing Address:It�a 1 &hd T-N'Q., N • /'K2n 1 00 q%6B �- City Contact Person:►`n'�_fl�_i tilt Day Telephone: rivr✓- 1515 —f [bQ E -Mail Address: ( td y c1 e» l` Y n nbfln . LbY'^ Fax Number: ) U) — 6-15 `CI gbQ Contractor Registration Number: 14E9.l '11A CL6n5137 Expiration Date: %)o to L U� Valuation of Plumbing work (contractor's bid price): S 150 CO Valuation of Gas Piping work (contractor's bid price): S otCl. OW Scope of Work (please provide detailed information): \n5 ne_o3 ' o .Y■t CIA 14 LAC Si-C -. 1 VC-int 1r‘Nt- d weer. lnsi-ca I', nod s►nKs)UX3cr c tOsr ) c3aS dirge r, crxr\\tn3 1 vk-i- on_ l _ Building Use (per Int'I Building Code): aC(S3 \ 6G ocC _ Q Occupancy (per Int'I Building Code): R =7O 1 IQ a per *u te. 1 oty-I-_ ( . 3 Utility Purveyor Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quan ity below: Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty FixtureType: Qty , Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets .3 Bidet Food-waste grinder, commercial Receptor, indirect waste I Clothes washer, domestic 1 Floor drain $ Sinks t 5 Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain ,� Lavatory I 1 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 pretreat rent 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/oudets for specific gas Q:1Applirallau \Fmm- Applinnmu On IinN -3ro6 - Pernik Applicsiatdoc Revised: 9-2W6 bb Page 5 of 6 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. puildine and Mechanical Permit The Building Official may grant one or more extensions of tune for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 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 1 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 Atrf AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING Signature: • �l a ar Print Name:L \Y-1 inneuC3 R AUTHORIZED AGENT: Mailing Address: t as 3.P C\-if N . Date: q j1 Ob Day Telephone: — 5-15- Ct -MO -Kent c0Y4 q )Ba City State Zip Date Application Accepted: 0907 Date Application Expires: rjbli OM: Staff Initials: air— Q: Af l'ktatAFonm- Applivaou On Line U -2006 - Pemdt Appliutimdoc Revised -2006 m Page 6 of 6 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 2623049023 Permit Number: PGO6 -159 Address: 1070 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 09/25/2006 Applicant: GENE JUAREZ Issue Date: Receipt No.: R06 -01501 Payment Amount: 606.00 Initials: JEM Payment Date: 09/25/2006 03:14 PM User ID: 1165 Balance: $0.00 Payee: HERMANSON CO. LLP TRANSACTION LIST: Type Method Description Amount Payment Check 1649 606.00 ACCOUNT ITEM LIST: Description Current Pmts Account Code GAS - NONRES PLUMBING - NONRES 000/322.100 88.00 000/322.100 518.00 Total: 606.00 0095 09/25 9716 TOTAL 606.00 doc: Receipt Printed: 09 -25 -2006 7 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit Project:6�H-e J/40 re Z Type /17 Do n/ bola / Pheit1L Address: //)7/7 Sa *I roof J/•r // Called: 7- ?0V7 Special Instructions: g� ��' 3 ( /1/c- Date Wanted: 4272 p.m. Requester: Phone No: pproiied per applicable codes. Corrections required prior to approval. COMMENIFS: nspect Date: 0/.07 0 $58.00 R ECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: INSP N NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit (206)431.367x,0 Profsgxt:,� --l/ -*/tie d 7!4 /f 3 Type of Inspection: Fi�va 1 � ?t 07 6 ',L �-�fyl1 ■07 4' .1 rY Address: /b 7t0 sOn16"A•uk" Date Called: ,4 eve' Jo add Special Instructions: Date Wanted: 3 -2 f--02 a.m Requester: mcC-C t n, A l 6./G, /7 vi , ,e47, Phone No: c-21)(,-6/7 - L,2 7P, r 6�t /.. t> i2, S t2k Approved per applicable codes. ElCorrections required prior to approval. '0 COMMENTS: ,opicat t C n i„.4,` "7 9 „:40,,, /eh -/ �-�fyl1 ■07 4' .1 rY d11J7OT' /40n b - "/rD /B ,4 eve' Jo add �a /AC-1. 74, La / / JA't/ }, 4 Pr—o& 4( za a� ijfle /2 , I W' 7 /wvl- te.r.ri %I,l 4 mcC-C t n, A l 6./G, /7 vi , ,e47, 7 -S « i t. (,ti,®/ i 34f cerewo r 6�t /.. t> i2, S t2k . �5 T h -s, ,.e / I- L4.,,, in/ ierl.I..t. -C,ran �?, ,“ -e :Lll / -N//L(. »d f 1 i ur )7I),u l j, q,t Mm-C- 1 114 "%2 IDate:3_2d ri $58.0 REINSPECTION VEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Viy. fro INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit PE (206)431 \367 Project' Pn ( 'Type T ' 'z— of Inspection: zo(j r�5 �), Address: Date Calle Special Instructions: Date Wanted: 3 -Z/ -07 a.m. 1 Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: boa 5 F, )- 4_,nr .,ee, iY-4 -72.7€4 �d 7s &a Dater -2/ ri $58:60 REINSPECTIO'N FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: (Date: INSPECTION d0. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 r 6)431 -3 7 Project: air-G1 - T Type ooff Inspection: Type , 0 �LA Address: �it.L 10X) SO th.Afi Date /� Special Instructions: Date Wanted: a.m. 3-20-07 Requester: Phone No 2.F.e --6/7 -62-713 Approved per applicable codes. Corrections required prior to approval. COMMENTS: /(1' 1v AL/1/2z_ r , 2 % A" Z S -Trop „v./ .. /lr c..l.G/ e )14157 f , *oakc rp, 1 ' / I II AIN i Jam. / ,4'>' Q G/Kw,7. Cans, ree h22, u inspector, e -T Date:2 9 9 D $58.00 REINSPECTIOf7 FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit 1 -3 Project: LoF.VC 2//9et3 Type of Inspection,: 2vii / 4N %t� Address: /070 56W/1411/21/4'' /117" Date Called: `/ Special Instructions: Date Wanted: /— 3 /— 07 (a.rt% p.m. Requester: Phone No: 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS:. p. y, Ins $Dectlyr: /Arotial IAit.t`f/ Dat) J 3 / /a 7 .00 REINSPECT FEE REQUIRED. Prior to inspection, fee must be id at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: ,_Sif1jAkmit zit I I is k.eat INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 Project: r�Alee•S hv-t3 Type of Inspection: /2eryh — /N 4,nSi' Address: /Ole 54//ri,,v#, /4/ Date Called: Special Instructions: Date Wanted: //— 7— o L ca.m� Pm. Requester: Phone No: c -b/7 -/ 77P c 0 Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: r 2 a ,O t cri ` S ,c, nspector: ri $58.OBREINSPE�FE 'REQUIItED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Date: J %-11)L Receipt No.: 'Date: tsaAdt 09 -17 -2008 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director WESTFIELD CORPORATION LLC 11601 WILSHIRE BL LOS ANGELES CA 90025 RE: Permit No. PG06 -159 GENE JUAREZ 1070 SOUTHCENTER MALL TUKW Dear Property Owner: In reviewing our current records, the above referenced property is due to have an updated test of the backflow prevention assemblies installed therein. The test(s) is intended to determine if the backflow prevention assembly is operating in accordance with the manufacturer's listed standards. See attached list for the assemblies which need updated test. Where the test indicates that an assembly must be replaced, the work must be done by a licensed plumbing contractor in accordance with the requirements of a plumbing permit. A subsequent successful test of the new assembly will be required for final inspection approval of the installation. In accordance with the Tukwila Municipal Code and Uniform Plumbing Code Section 603.3.3, the premises owner is required to have the backflow prevention assembly tested by a Washington State Department of Health certifed backflow assembly tester. A test report(s) is required to be submitted to the City within 30 days of this notice. If all backflow assemblies pass the required test, the next test will be one (1) year from the date of the successful test report. You will be notified when to schedule the next test. Thank you for your cooperation in this matter. Sincerely, tiar Brenda Holt, Permit Coordinator xc: Permit File No. PG06 -159 PG06-159 Page 1 of 2 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206- 431 -3665 BACKFLOW ASSEMBLIES THAT REQUIRE TESTING: Assembly #1 Type of Assembly: RPBA Manufacturer: ZURN WILKEN Model: 975XL Size: 0.75 Serial No.: W306497XLTCO Date Inspection Due: 03/19/2008 Assembly #4 Type of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: Assembly #7 Type of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: 0 0 Assembly #2 Type of Assembly: RPBA Manufacturer: ZURN WILKEN Model: 975XL Size: 0.75 Serial No.: 28255 Date Inspection Due: 03/19/2008 Assembly #5 Type of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: Assembly #8 Type of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: 0 0 Assembly #3 Tylp of Assembly: RPBA Manufacturer: ZURN WILKENS Model: 975XL Size: 2 Serial No.: W305996XLTCO Date Inspection Due: 03/19/2008 Assembly #6 Type of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: Assembly #9 Type of Assembly: Manufacturer: Model: Size: Serial No.: Date Inspection Due: 0 PG05 -159 Page 2 of 2 LVVLI Vt/ fl VV31414V4V1, LlVV4l 1. ••l Vl 11µ1llVYl S_tIYYSAOY LY44L1.1 (45V 1 Vl L 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. License Information License HERMACL005BJ Licensee Name HERMANSON COMPANY LLP Licensee Type CONSTRUCTION CONTRACTOR UBI 602004844 Ind. Ins. Account Id PARTNER/MEMBER Business Type LIMITED LIABILITY COMPANY Address 1 1221 2ND AVE N Address 2 City KENT County KING State WA Zip 980322945 Phone 2065759700 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/11/2000 Expiration Date 8/25 /2008 Suspend Date Separation Date Parent Company Previous License HERMAC'2I7NT Next License Associated License Business Owner Information Name Role Effective Date Expiration Date HERMANSON, RICHARD L PARTNER/MEMBER 01/01/1980 ALMON, KEVIN PARTNER/MEMBER 01/01/1980 MACDONALD, JAMES PARTNER/MEMBER 01/01/1980 Bond Information Bond Company Bond Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date https: // fortress. wa. gov/ Ini/ bbip/ printer.aspx?License= HERMACL005BJ 09/25/2006