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Home My WebLink AboutPermit PG09-036 - POTTER RESIDENCEPOTTER RESI 3407 S 140 ST PGO9-036 E CE Parcel No.: 1523049121 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: doc: UPC -10/06 3407 S 140 ST TUKW Contractor: Name: BURIEN NATURAL GAS SERVICE INC Address: 153 SW 154 ST , BURIEN WA Contractor License No: BURIENG027OD DESCRIPTION OF WORK: INSTALL WATER HEATER AND RUN (4) GAS PIPING OUTLETS Value of Plumbing /Gas Piping: Fees Collected: Cityllf 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 POTTER RESIDENCE 3407 S 140 ST , TUKWILA WA POTTER GLENN 3407 S 140TH ST , TUKWILA WA $4,000.00 $197.00 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: Phone: Expiration Date: 08/19/2009 PG09 -036 04/09/2009 10/06/2009 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 Plumbing (cont.) 0 Building sewer and each trailer park sewer 0 0 Rain water system - per drain (inside bldg) 0 0 Water heater and /or vent 1 0 Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors 0 0 Repair or alteration of water piping and/or water 0 treatment equipment 0 0 Repair or alteration of drainage or vent piping 0 0 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 0 0 Gas Piping 0 Gas piping outlets (0 -5) 4 0 Gas piping outlets (6 +) 0 PG09 -036 Printed: 04 -09 -2009 Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied The granting of this permit does not pres Signature: Print Name: doc: UPC -10/06 City ofTukwila 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: PG09 -036 Issue Date: 04/09/2009 Permit Expires On: 10/06/2009 Date: amired this • -rmit and know the same to be true and correct. All provisions of law and ordinances ith, hether specified herein or not. to give authority to violate or cancel the provisions of any other state or local laws regulating constructio .- performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Date: oti [al [0/) 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. PG09 -036 Printed: 04 -09 -2009 Parcel No.: 1523049121 Address: Suite No: Tenant: 3407 S 140 ST TUKW POTTER RESIDENCE 1: ** *PLUMBING AND GAS PIPING * ** doc: Cond -10/06 to 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 CONDITIONS Permit Number: Status: Applied Date: Issue Date: 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. * * continued on next page ** PG09 -036 ISSUED 04/09/2009 04/09/2009 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. 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. PG09 -036 Printed: 04 -09 -2009 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. • 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. Signature: ` L Print Name: doc: Cond -10/06 PG09 -036 Date: /X ordinances governing or local laws regulating Printed: 04 -09 -2009 CITY OF TUKWIN Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 1...... _..: .. _. till, ' I I II.1 Jftll Ft flif •I SITE LOCATION ki Site Address: :3 :3 Tenant Name: u- ',� Property Owners Name: & (ems o ` ut _ Mailing Address: .I U S t 1 (( Ca-AL Name: L %(' < < / -CA Mailing Address: E -Mail Address: In 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 ** S 4v 1 610 11, AvN GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Mailing Address: I S -3 S 1 L4) , H:wpplicatiomlFonm- Applications On Linec2009 ApplicationsU- Revised: 1 -2009 bh - Permit Applicationdoe Building Permit No. Mechanical Permit No. Plumbing /Gas Permit No. Public Works Permit No. Project No. (For o ice use only) King Co Assessor's Tax No.: lc-7-1V 1 '" L'1 Suite Number: City ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record h 10,0 6 - 0M- State Floor: New Tenant: ❑ Yes Er:No Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Day Telephone: DV L: - .)- 1 / 4 /V•- (q b City State Fax Number: 06' — 6 Company Name: x- ■' _ t-"N. 0 aA-t.✓ t� (9 3d Li . . Li) if ` 7( &4. City State Zip Contact Perso c.:4 t C iti)•ltr'J� ca Day Telephone: r'(Xc, `2-Ce t "c D E -Mail Address: Fax Number: Contractor Registration Number: l3(..t`tiZ l-- it) (..,1 0:1 G 0 Expiration Date: q — t ( ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Contact Person: Day Telephone. E -Mail Address: Fax Number: State Zip Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Page 1 of 6 Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Fumace<100K BTU I 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 Ventilation System Thermostat Wood/Gas Stove 15 -30 HP /1,000,000 BTU 30 -50 HP /1,750,000 BTU Suspended/Wall/Floor Mounted Heater 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 Air Handling Unit <10,000 CFM Incinerator — Comm/Ind Use: Residential: New .... ❑ Replacement .... Commercial: New .... ❑ Replacement .... ❑ H:\Applicanons\Fotms- Applications On Line\2009 Applications \ 1-2009 - Permit Applicalion.doe Revised: 1 -2009 bh MECHANICAL PERMIT INFORMATION - 206- 431 -3670 MECHANICAL CONTRACTOR INF T Company Name: �. ► s-O,i/\ C o✓f 1 . ( as G Mailing Address: ( S S S . ( , 1. J ( -- fr '` 1 IY . .e� ales r 0 /'d City State Zip Day Telephone: Q a-t-fic ^ D Contact Person: = V i c / it) ��5�_ E -Mail Address: S i C u Fax Number: r '9C ) ' a - a-ler' 6-1 Contractor Registration Number: 0 Expiration Date: cj Valuation of Mechanical work (contractor's bid price): $ 0 <.7 0 Scope of Work (please provide detailed information): r � (`X 4S � e' T v v 1 c , � a ft- L1) CL Fuel Type: Electric ❑ Gas .... Other: Indicate type of mechanical work being installed and the quantity below: Page 4 of 6 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Lavatory Food -waste grinder, commercial Wash fountain Floor Drain Receptor, indirect waste Shower, single head trap Sinks Urinals Water Closet Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent I and Industrial waste treatment interceptor, including trap vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment Repair or alteration of 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 vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets p I 1 PLUMBING AND GAS PIPAERNIIT INFORMATION = 206431.0 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Project (contractor's bid price): $ Scope of Work lease provide detailed informatio ): 10 ‘41-471 S--ek 01. Building Use (per Int'1 Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: H: Applicadons\Fomss- Applicaaens On- Line\2009 Applicalions11-2009 Permit Application.doc Revised: 1 -2009 Wi Page 5 of 6 Date Application Accepted: 1 Date Application Expires: • 1,0 0E1 ifit) Staff Initials: I BUILDING OR AUTIORIZED AGENT: Signature: Print Name: ( / r v" t L 4 11 S -- Mailing Address: 1S3 S.u 1 S H:1Applications For ms- Applicen®s On ISne12009 Applications \ 1-2009 - Permit Application.doe Revised: 1 -2009 bh 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). 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. Day Telephone: 13(2-4r, VA-0N City Date: 7 State Zip Page 6 of 6 RECEIPT NO: R09 -00548 Initials: JEM SET TRANSACTIONS: Set Member M09 -037 PG09 -036 TOTAL: ACCOUNT ITEM LIST: Description GAS - RES MECHANICAL - RES PLUMBING - RES CiP 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 Payee: BURIEN NATURAL GAS SERVICE, INC. Amount 166.21 197.00 166.21 SET RECEIPT Payment Date: 04/09/2009 User ID: 1165 Total Payment: 363.21 SET ID: S000001191 SET NAME: Tmp set/Initialized Activities TRANSACTION LIST: Type Method Description Amount Payment Check 1685 363.21 TOTAL: 363.21 Account Code Current Pmts 000.322.103.00.0 92.00 000.322.102.00.0 166.21 000.322.103.00.0 105.00 TOTAL: 363.21 PAYMENT RECEIVED Projec Type of Inspectio f,' / L 6AJ- prp,t r � 5,1c en c Ad .4 or, s- (4,--3-7---D ate Called: ' (,_,� 6 , � � /� ___, Special Instructions: Date Wanted: I ` J r (� � j p.m. Requester: Phone J o � O « qt— C + 1 f33 P6 o1- 64 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 -36 Approved per applicable codes. Corrections required prior to approval. COMMENTS: pe 77 ( q El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: COMMENTS: 15 ps, o f - 1(.7 !G ) P.f Address: I (La(.... 1 1 < , A ) A k) .1 j *, i R f kki1 ?Pee.. t eA Min .,rr'P!AC!' ►• (I Ji C. , -) ,t'.J r.ft II :cr , ,) A I i 6 Les ,) . . k. ''. 1 7k Project: Type of Inspection: . 120.0 -'.v ,,-)4,0,y ADO, / -s Address: Date Calle i_ �1 646 Special Instructions: /., Date Wanted: rp.m. L /_.. /3 ` 6 Requester: Phone No: _ 4 -1Yg_ Approved per applicable codes. INSPECTION RECORD Retain a copy with permit PERMIT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Corrections required prior to approval. (_* Inspectc• Date: 3 J c� $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: -' �— April 13, 2010 Eric Nelson Burien Natural Gas Service, Inc. 153 SW 154 St Burien, WA 98166 RE: Request for Re- opening/Extensions Mechanical Permit No. M09 -037 Plumbing/Gas Piping Permit No. PG09 -036 Potter Residence - 3407 S 140 St Dear Mr. Nelson, This letter is in response to your written request for the extension to Permit Numbers M09 -037 and PG09 -036 for the Potter Residence. The Building Official has reviewed your letter and considered your request. The City of Tukwila Building Division will be extending your permit an additional 30 days, through May 13, 2010. Please note that there will no be additional extensions; a final inspection must be conducted within these 30 days or expiration will occur without reconsideration. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, City of Tukwila Department of Community Development Jack Pace, Director fer Marshall t Technician File: Permit No. M09 -037 & PG09 -036 W:\Permit Center\Extension Letters\Permits\2009\M09 -037 Permit Extension #2.doc Jim Haggerton, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Apr 08 10 04:46p 0000000 City of Tukwila Bill Rambo 6300 Southcenter BLVD Tukwila, WA 98188 RE: Glen Potter 3407 S. 140 St Permit # PG09 -036 Dear Mr. Rambo, Thank you, for your consideration. If you have and questions please all me. Sincerely Eric Nelson President (:1) 0617 4 v1 kva '. 09� D� . 206-248 -2100 April 8, 2010 CITY RECEIVED T j LA APR 082010 PERMIT CENTER We are ready to get final inspections and realized that the we are acouple days past the deadline and would humbly ask if we could get the inspections completed next week without renewing the permit MR. Potter has been traveling quite extensively for his job and has not been able to coordinate with him to get the inspection completed. p.1 - td.cC/ fg te)70 ,zeiemA4z0—xtiet-tzet4 15 Y*11,0 ERIC NELSON 153 SW 154 ST BURIEN WA 98166 RE: Permit No. PG09 -036 3407 S 140 ST TUKW Dear Permit Holder: -or- Bill Rambo Permit Technician File: Permit File No. PG09 -036 City of Tukwila Department of Community Development In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 04/08/2010. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period. 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. Thank you for your cooperation in this matter. Sincerely, qC Jim Haggerton, Mayor In the event you do not call for an inspection and/or receive an extension prior to 04/08/2010, your permit will become null and void and any further work on the project will require a new permit and associated fees. Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 October 9, 2009 Eric Nelson Burien Natural Gas Service, Inc. 153 SW 154 St Burien, WA 98166 RE: Request for Extension Plumbing/Gas Piping Permit No. PG09 -036 Potter Residence - 3407 S 140 St Dear Mr. Nelson, This letter is in response to your written request for extension to Permit Number PG09 -036. The Building Official has reviewed your letter and considered your request to extend the above referenced permit. The City of Tukwila Building Division will be extending your permit an additional 180 days, through April 8, 2010, per your request. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, File: ifer Marshall it Technician City of f Tukwila Department of Community Development Permit No. PG09 -036 W:\Permit Center\Extension Letters \Permits\2009\PG09 -036 Permit Extension.doc Jim Haggerton, Mayor Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Oct 07 09 10:44a 0000000 City of Tukwila Bill Rambo 6300 Southcenter BLVD Tukwila, WA 98188 RE: Glen Potter 3407 S. 140 St Permit # PG09 -036 Dear Mr. Rambo, Thank you for the reminder, I am asking for 1 extension to get this permit finaled. Unfortunately Mr. Potter has been traveling quite extensively for his job and has not been able to coordinate with him to get the inspection completed. He expects to have his schedule calm down closer to the end of the year and is willing and eager to schedule when he is in town on a more regular basis. Thank you, for your consideration. If you have and questions please all me. Sincerely c Nel .n 'reside /R /0007 206 -248 -2100 Burien Natural Gas Service, Inc. 153 SW 154 ' St. - Burien, WA 98166 Phone 206 - 248 -2196 -- Fax 206 - 248 -2100 September 28, 2009 p.2 1x;1e5 10— \0- 69 ERIC NELSON 153 SW 154 ST BURIEN WA 98166 RE: Permit No. PG09 -036 3407 S 140 ST TUKW Dear Permit Holder: City of Tukwila Based on the above, you are hereby advised to: The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. -or- Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File: Permit File No. PG09 -036 Jim Haggerton, Mayor Department of Community Development Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 10/10/2009. 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period. 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. In the event you do not call for an inspection and /or receive an extension prior to 10/10/2009, your permit will become null and void and any further work on the project will require a new permit and associated fees. 6300 Southcenter Boulevard, Suite #100 • Tukwila. Washington 98188 • Phone: 206- 431 -3670 • Farr 2nh- 4 11 -3h(S Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 COLONIAL AM CAS SURETY OF MD LPM4060818 12/09/2001 Until Cancelled 01/01/1980 ARCHIVED $6,000.00 12/07/2001 3 FAR WEST INS CO 411003828 08/19/200112/09 /2001 $6,000.00 08/07/2001 2 FAR WEST INS CO 411003828 08/19/2000 08/19/2001 $4,000.00 11/21 /2000 Name Role Effective Date Expiration Date NELSON, ERIC J Effective Date 01/01/1980 Status WEIGEL, JOHN ARMORCLAD INC FLOORS INC 01/01/1980 NELSON, KIMBERLY A 12/28/1995 01/01/1980 ARCHIVED License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ARMORFI053R8 ARMORCLAD INC FLOORS INC CONSTRUCTION CONTRACTOR UNUSED 12/28/1995 12/18/1997 ARCHIVED Untitled Page • • General /Specialty Contractor A business registered as a construction contractor with L&l 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 BURIEN NATURAL GAS SERVICE INC UBI No. 601892471 Phone 2532482196 Status ACTIVE Address 153 SW 154 ST License No. BURIENG027OD Suite /Apt. License Type CONSTRUCTION CONTRACTOR City BURIEN Effective Date 9/4/1998 State WA Ex 8/19/2009 Date Zip 98166 Suspend Date County KING Business Type Corporation Parent Company Specialty 1 HTG /VENT /AIR CONDITIONING Specialty 2 UNUSED Other Associated Licenses Business Owner Information Bond Information Page 1 of 2 https: // fortress .wa.gov /lni/bbip/Detail.aspx 04/09/2009