HomeMy WebLinkAboutPermit D09-068 - SOUND MENTAL HEALTH - TEMPORARY POSTSSOUND MENTAL HEALTH
6100 SOUTHCENTER BL
D09 -068
Parcel No.: 3597000221
Address: 6100 SOUTHCENTER BL TUKW
Suite No:
Tenant:
Name: SOUND MENTAL HEALTH - TEMP
Address: 6100 SOUTHCENTER BL , TUKWILA WA
Citylkf 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.tulcwila.wa.us
DEVELOPMENT PERMIT
Owner:
Name: CENTERPLEX
Address: 6100 SOUTHCENTER BL STE 150 , TUKWILA WA 98188
Phone: 206 246 -9986
Contact Person:
Name: PETE PERKINS
Address: 4148 148 AVE NE , REDMOND WA 98052
Phone: 206 423 -2980
Contractor:
Name: PATTISON CONSTRUCTION COMPANY
Address: 4078 148 AV NE, BLDG M , REDMOND, WA 98052
Phone: 425 497 -8222
Contractor License No: PATTICC982D2
Permit Number: D09 -068
Issue Date: 04/29/2009
Permit Expires On: 10/26/2009
P rE� e Ecr 7.13 R�S pE
b
Expiration Date: 03/22/2006
DESCRIPTION OF WORK:
INSTALL TEMPORARY WOOD POSTS TO SUPPORT LANDINGS IN STAIRWELLS TO PREVENT FURTHER SETTLEMENT OR
MOVEMENT OF STAIR LANDINGS EXISTING IN EXIT STAIRWELLS. PERMANENT ENGINEERED DEISNG WILL BE
SUBMITTED SEPARATELY.
Value of Construction:
Type of Fire Protection:
Type of Construction:
doc: IBC -10/06
$2,500.00
* *continued on next page **
Fees Collected: $142.70
International Building Code Edition: 2006
Occupancy per IBC: 0008
D09 -068 Printed: 04 -29 -2009
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
City oiliTukwila
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
Fire Loop Hydrant: N Number: 0
Flood Control Zone:
Hauling: N Start Time:
Land Altering: Volumes: Cut 0 c.y.
Landscape Irrigation:
Moving Oversize Load: Start Time:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied
The granting of this ` 't does no
construction or t
Signature:
Print Name:
doc: IBC -10/06
N
.k P2rk&s
Private:
Profit: N
Private:
Permit Number:
Issue Date:
Permit Expires On:
Date:
•
Size (Inches): 0
End Time:
Fill 0 c.y.
End Time:
Public:
Non - Profit: N
Public:
Y417 1,0c1
D09 -068
04/29/2009
10/26/2009
'ned this permit and know the same to be true and correct. All provisions of law and ordinances
, whether specified herein or not.
ume t• • ive authority to violate or cancel the provisions of any other state or local laws regulating
/ authorized to sign and obtain this development permit.
Date: / /07-0d
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.
D09 -068 Printed: 04 -29 -2009
Parcel No.: 3597000221
Address:
Suite No:
Tenant:
doc: Cond -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
6100 SOUTHCENTER BL TUKW
SOUND MENTAL HEALTH - TEMP
1: ** *BUILDING DEPARTMENT CONDITIONS * **
5: All wood to remain in placed concrete shall be treated wood.
PERMIT CONDITIONS
* *continued on next page **
•
Permit Number:
Status:
Applied Date:
Issue Date:
D09 -068
ISSUED
04/29/2009
04/29/2009
2: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
3: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
4: Fire retardant treated wood shall have a flame spread of not greater than 25. All materials shall bear identification
showing the fire performance rating thereof. Such identification shall be issued by an approved agency having a service
for inspection at the factory.
SUB3ECT TO
FIELD INSPECTION
6: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
7: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
obtained at City Hall in the office of the City Clerk.
8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila
Permit Center.
9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
10: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
arty violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
D09 -068 Printed: 04 -29 -2009
11 •
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
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
construction or the performance of work.
Signature:
Print Name:
Pk 1?k5
doc: Cond -10/06 D09 -068
Date: / /9--e? b40?
?
ordinances governing
or local laws regulating
Printed: 04 -29 -2009
Tenant Name:
Mailing Address:
Name:
Company Name: Sk
Mailing Address:
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Contact Person: R(.4.1 54..1 I P2)
Company Name:
Mailing Address:
P lumb irig/Gas P ermit. Nc
Public Works =Permit No
Project No
No.
(F'or office use only).
Building Permit No.
Mechanical Permit
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 **
SITE LOCATION
Site Address: (Q /OD r cA:Acc ,ki-"6 6\ V cL
5 t h
Property Owners Name: ` � DW'
"P)-e_ -PA G c__--
Mailing Address: I / 4 18 /f IA/
E -Mail Address: ? E d - c+ , SCm C_ .
Company Name: a 4 +S ate, � 92(1Q -( 1 Gs r
Mailing Address: Lf/YP ,P/ye lk i'4& i'
Contact Person: J `�
E -Mail Address: p Q.--P A o. 4` f Q'1 q L co
Contractor Registration Number: 1 U
E -Mail Address:
TL-
179 a Li lt
Contact Person: l✓ hL-- P 1 rl
E -Mail Address:
HA Applications On Linet2009 Applications11-2009 - Permit Application.dec
Revised. 1 -2009
bh
King Co Assessor's Tax No.: 1—- 11th )
Suite Number. Floor: 1 — 3
City
CONTACT PERSON - who do we contact when .your permit is ready to be issued
Day Telephone: aA, (0. - 3 --9 8 0
R eJ-vv.w,t4 9�o1'a-
City State Zip
Fax Number: k l ZS 4/7 — 8 ZZ3
GENERAL CONTRACTOR; INF0RM,A.TIOrsT
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)
R e4 vtAt.1, 64_. wy- "80 5 �
City State Zip
Day Telephone: 66 ') y3-3 — g` 0
Fax Number: (2J") Y 9 7 g2.2- ?,
Expiration Date:
ARCHITECT OF RECORD X11 plans'must be wet stamped
A
by Architect of Record
Fax Number:
New Tenant: ❑ Yes 0..No
State
State
Zip
City
Day Telephone:
Fax.Number:
Zip
ENGINEER OF RECORD - Alr
p
must be wet stampedby Engineer
tidool ((A - P3072—
City State &Q ` / Zip
Day Telephone: � /'7 - e `-F - u
8
'f e 8d1— 0`1-i 0
Page 1 of 6
BUILDING PERMIT INFORMATION - 206 - 431 -3670
Valuation of Project (contractor's bid price): $ OZ� s Existing Building Valuation: $
Scope of Work (please provide detailed information): -- .6.\,5j j � �Qh.42u-e t� d- I J�cf Aj
s � e a.�c1.'t v. ) ►. s rw-e (1,,5 �o �O*ev e -..c ,,� i .Q.+}-
tv,.6v- e- "^.e.-± ° -f 53 .-A• r �a� '� .S — e�G�S' ; Ex ; s saw -ei�tx
Will there be new rack storage? ❑ Yes A. No If yes, a separate permit and plan submittal will be required.
ls Floor
2 Floor
3' Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage.
Attached Carport
Carport , .
Covered Deck
Deck
Provide All Building Areas in Square Footage Below
Existing
nterior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
Type of
Occupancy per
IBC
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 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: Compact: Handicap:
Will there be a change in use? ❑ 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 II" 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.
H:\Applications\Forms- Applications On Line\2009 Applications \I -2009 - Permit Application.doc
Revised: 1.2009
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Page 2 of 6
PERMIT APPLICATION NOTES — Applicable to all permits in this 'application
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 105.3.2 International Building 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 0
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).
Date Application Expires:
Signature: '/
Print Name: J-?.k ? k4 4 s ` ,�—
Mailing Address: W I S J ie tk kve-
T'cciksm
Date Application Accepted:
GENT:
H:\Applications\Forms- Applications On Line\2009 Applications \I-2009 - Permit Application.doc
Revised: 1 -2009
bh
Date: T /a"? /
Day Telephone: 6. 7 3 g-9 8o
e.a..K.„ L wr9- `18o Sa--
City State Zip
Staff Initials:
Page 6 of 6
.Fixture Type:
Qty •
Fixture Type: ' .
)Eixtu're Type ':` :.Qty
)k'iztui.e
Bathtub or combination
bath/shower
Bidet
.
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking fountain r
water cooler (p ead)
-,.od -waste grinder,
c• I; ercial
Floor Drain
Shower, single head trap
Lavatory
Was ountain
Receptor, indirect waste
Sinks
Urinals
Water C °•, et
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
Wate eater and/or vent
Industrial w. treatment
interceptor, inc ding trap
and vent, except , kitchen
type grease interce.t
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
epair or alteration of
water piping and/or water
treatment equipment
Repair or alteration o\
drainage or vent piping `,.
Medical gas piping
system serving 1 -5
inlets /outlets for a
specific gas
Each additional medical
gas inlets/outlets greater
than 5
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
Backflow protective device
other than atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Each lawn sprinkler
system on any one meter
including backflow
protection devices
Atmospheric -type va
breakers not include in
lawn sprinkler bac ow
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registr• 'on Number: Expiration Date:
Valuation of Project (contra .r's bid price): $
Scope of Work (please provide • -tailed information):
Building Use (per Int'I Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and /or gas piping outle eing installed and the quantity below:
H : 'Applications\Forms- Applications On- line12009 Applications11.2009 Permit Applicationdoc
Revised, 1-2009
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Page 5 of 6
Parcel No.: 3597000221
Address: 6100 SOUTHCENTER BL TUKW
Suite No:
Applicant: SOUND MENTAL HEALTH - TEMP
Receipt No.: R09 -00649
Initials:
User ID:
Payee:
TRANSACTION LIST:
Type Method Descriptio Amount
ACCOUNT ITEM LIST:
Description
doc: Receipt -06
JEM
1165
PETE PERKINS
Payment Credit Crd VISA -
Authorization No. 007721
BUILDING - NONRES
STATE BUILDING SURCHARGE
• il)
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
RECEIPT
142.70
Account Code Current Pmts
000/322.100 138.20
640.237.114 4.50
Total: $142.70
Permit Number: D09 -068
Status: PENDING
Applied Date: 04/29/2009
Issue Date:
Payment Amount: $142.70
Payment Date: 04/29/2009 12:57 PM
Balance: $0.00
Printed: 04 -29 -2009
Pr2ketl.
e/stl f / r� � rd /XI /r SP ' %
Type oflaspection/
• Not
Ad M ress:
0 S
Date Called:
Special Instructions:
Date Wanted:
S ! 7 - o f 9
CA—
p.m.
Requester:
Phone No:
3
Decl G
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 'fs
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
pproved per applicable codes. Corrections required prior to approval.
COMMENTS:
/ :7 21- tleM"' ✓1 /
Inspe Date:
i,, 1 L S_ 7 - d
❑ $60.0 INSPECTION FEE R L QUIRE . Prior to inspection, fee must be
paid -300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt o.:
Date:
Project:
Type of Inspection:
Address:
4 /00 / 41,P.
. aft,
Date Called:
i tJ
Special Instructions:
.
Date Wanted:
S ` 7 .- V ".
gym`
p.m.
Requester:
Phone No:
c:2 aG - .sc) /- 984' 7
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT
0
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:
Ins
El $60. ' i REINSPECTION FE REM! D. Prior to inspection, fee must be
pai s t 6300 Southcenter vd., Su to 100. Call to schedule reinspection.
Receipt No.:
Date:
S- 7_
Date:
Project
Type of Inspection:
Add ss:
Date Called:
Special Instructions:
Date Wanted:
S— ,/ -
. rl.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION C',
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
El Approved per applicable codes.
0 Corrections required prior to approval.
COMMENTS: p4
,/ 8054 Cerise c,e,4su,,,,,L
4 h ,D A' ? -aPt s: .eeZ
In
oute
Date:
REINSPECTION F ERE
QI6IRED. Prior to inspection, fee must be
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.: (Date:
•
Related reference number
•
City Of Tukwila
Permit Center
6300 Southcenter Boulevard, Suite, 100
Tukwila, WA 98188
(206 431 -3670)
Application # t 0 I d l.Q U
ALTERNATE PLAN SUBMITTAL AUTHORIZATION
FOR LIMITED SCOPE OF WORK .�..�.._
I.B.C.& I.R.C. Section 104.1 C11'V
APR 2 91009
Project name ���ko■ ‘,! �,,s \ ` PERMir
Address (dl C9 0 � � lr. c.- Va.1 L) -
Description of work 2P e.,,4 r 4 Y e ,arc --e
c ,�-„ c_ 1 t1
The above project permit applicant, due to the limited scope of work is authorized to submit reduced
plan requirements described below.
1. Complete permit application required: (Note, all application must include; 1) property assessor
number, 2) copy of contractors license or completed owner waiver form.)
Af� 1 c al
Building
3. Other special instructions:
TBD36/96 -form 12
2. Minimum plan and /or specification requirement:
Site plan Floor plan Elevations
Authorization by,
Mechanical Other
Foundation
Cross sections Roof plan W.S.E.C. Compliance Narrative
Structural calculations (stamped by Washington State licensed engineer )
Specific required information — L aJ
0
Date L–Z
(Authorization void 30 days after the date issued.)
TIT
IMMINEIMMISIMEI
ENGINEERING;
Structural Calculations
mgogri
for '". �►s)
Sound Mental Health
Temporary Stair Landing Shoring
April 28 2009
I EXPIRES 09- 23-10
17924 - 140th Avenue NE, Suite 220
Woodinville, WA 98072 -4315
Phone: (425) 814 -8448
Fax: (425) 821 -2120
REVIEWED FOR
CODE COMPLIANCE
P r y € k®v�
APR 2 8 200
City of T kwila
BUILDING IVISION
SUBJECT TO
FIELD INSPECTION
pol--0(oS
TL
ENGINEERING
17924 — 140th Avenue NE, Suite 220
Woodinville, WA 98072 -4315
Phone: (425) 814 -8448
Fax: (425) 821 -2120
Calculations
BTL
ENGINEERING
AS SumE
IWb ruJCat'tc knrriAl
At SC- ()t.. •
ou f5
S tZE
eEnr" -P3
y
oA-
4 6
4,05 +
F
525 (�
Isoo 1h
CtlaC7 oiJ fR orrl
2 = 30 PSF
5 PS!?
Y ILT 35 Psf
5 (A r r w ■r)Tth OF
a.
S
S g Pat ta,►nwtr
,
512lN1,E(c:
0,4 Poi 2%. 5 7
f l. 1
5741 R 'Ru►t2
P =24
-7, 5 K
U 5e 4143 Po 5
5e-e rot.t.oU1►., t,
PAGt
2- (i) +.1 oa.. ........
. 510 KL.F TL
c KC PL\
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:(24)(124 i°0
4(2. ICu
Project: 50urJO rvve
Designed By: �A
17924 - 140th Avenue NE, Suite 220
Woodinville, WA 98072 -4315
Phone: 425-814-8448
Fain 425- 821 -2120
Date: `i
Project Number Client Scale: Page - C4l
lkr` .fib
ENGINEERING
2005 NDS
3.7 -SOLID COLUMNS and 15.3 - BUILT -UP COLUMNS
[lid Column �► j F
C =
Visually graded lumber (Dimensional)
No Rre Rating
Douglas Hr #2
Fe' = Fe CP
Fc Fe CD CM Ct CF
F - = 1350 psi
C = 0.234
I Fe' = 316 psi I
25.315 s 3 tto
1
(1) 2x4
(2) 2x4
(3) 2x4
(4) 2x4
(5) 2x4
Cm =
C =
CF =
1350 psi Emin = 580 ksi
1.00 E = 580 ksi
1.00 1= 11.0 ft
1.00 d = 3 1/2 in
1.00 IC = 1.0
1 = 132.0 in
kid = 37.7
Cp = Kf
Fep = 335
c = 0.8
K 1.0
ate Crushing
1658
1 +r / j 2
2c
F /
F*
c
0.822 Enid
F� —
DF Plate C
2126 —�'`" 3281
4253 6563
4975 .379 9844
6634 8505 13125
8292 10631
(1)r s6 7 F-'i2_
M v./ltvvcr
17924 - 140th Avenue NE, Suite 220
Woodinville, WA 98072 -4315
Phone: 425-814-8448
Fax: 425-821-2120
Date: 4/28/2009
Page: C
TL
EN GINEERTNG
17924 — 140th Avenue NE, Suite 220
Woodinville, WA 98072 -4315
Phone: (425) 814-8448
Fax: (425) 821 -2120
Details
BTL
ENGINEERING
17924 - 140th Avenue NE, Suite 220
Woodinville, WA 98072 -4315
Phone: 425 -814 -8448
Fax: 425 - 821 -2120
fterTU
P AC Pr a►-n o F
-azIPLE Oeeet) 1 -r(P.
Strt.Ps A-34
()me" 5 10E OF
PO T'IPt
E xi 5
fit
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4A
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Project: 5°t1' ) l \E,-j1AL uEA 111
Project Number: Client:
Designed By £An Date: '( 25- o'
Scale: Page:
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
PATTICC001 DZ
PATTISON
CONSTRUCTION
CO LLC
CONSTRUCTION
CONTRACTOR
GENERAL
UNUSED
3/9/2000
3/1/2003
EXPIRED
PATTICC982D2
PATTISON
CONSTRUCTION
COMPANY
CONSTRUCTION
CONTRACTOR
GENERAL
UNUSED
3/22/2002
3/25/2010
REREGISTERED
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
FIRST NAT
INS CORP
6519060
02/27/2009
Until
Cancelled
$12,000.00
02/20/2008
Name
Role
Effective Date
Expiration Date
PATTISON, MICHAEL W
PRESIDENT
02/27/2009
Amount
Insurance
Company
Name
Policy Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
3
TRAVELERS
INDEMNITY
DTC00800M372IND08
03/01/2009
03/01/2010
$1,000,000.0003
/02/2009
Untitled Page
•
•
General /Specialty Contractor
A business registered as a construction contractor with Lftl 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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
PATTISON GENERAL
CONTRACTOR
4254978222
4148 148TH AVE NE
REDMOND
WA
98052
KING
Corporation
PATTISON INC
UBI No. 602182087
Status ACTIVE
License No. PATTIGC917C7
License Type CONSTRUCTION
CONTRACTOR
Effective Date 2/27/2009
Expiration
Date
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
2/27/2011
Other Associated Licenses
Business Owner Information
Bond Information
Insurance Information
https://fortress.wa.gov/lni/bbip/Detail.aspx
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04/29/2009