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HomeMy WebLinkAboutPermit PG09-071 - SOUTHGATE MOBILE HOME PARK #59SOUTHGATE MOBILE HOME PARK 14005 42 AV S SPACE 59 EXPIRED 01 -10 -I1 PGO9-071 Parcel No.: 1523049008 Address: Suite No: Tenant: Name: SOUTHGATE MOBILE HOME PARK Address: 14005 42 AV S SPACE 59 , TUKWILA WA Owner: Name: STEPPING STONE VENTURES L L Address: 20303 10TH AVE W , LYNNWOOD WA Contact Person: Name: MICHAEL TSCHOHL Address: PO BOX 634 , LYNNWOOD WA Contractor: Name: EAGLE GAS MECHANICAL INC Address: 7503 228 ST SW , EDMONDS WA Contractor License No: EAGLEGM077DT DESCRIPTION OF WORK: GAS PIPING TO RELOCATED GAS METER Value of Plumbing /Gas Piping: $250.00 Fees Collected: Plumbing Bathtub or combination bath/shower 0 Bidet 0 Clothes washer, domestic 0 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 doc: UPC -7/07 14005 42 AV S TUKW Cityef 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 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND OUANTITY * * continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 425 - 750 -7764 Phone: 425 776 -9689 Expiration Date: 06/16/2010 Uniform Plumbing Code Edition: 2006 $92.00 International Fuel Gas Code Edition: PG09 -071 07/07/2009 01/03/2010 2006 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and/or vent 0 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) 5 0 Gas piping outlets (6 +) 0 PG09 -071 Printed: 07 -07 -2009 Permit Center Authorized Signature: doc: UPC -7/07 City oPTukwila Department of Community Development 6300 Southcenter Boulevard, Suite 4100 Tukwila, Washington 98188 Phone: 206- 431 -3670 Fax: 206- 431 -3665 Web site: http: / /www.ci.tukwila.wa.us L49,c, • Permit Number: PG09 - 071 Issue Date: 07/07/2009 Permit Expires On: 01/03/2010 Date: '7-'7-61 I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the perform ce of wo I uthorized to si d obtain this plumbing /gas piping permit. Signature: Date: Print Name: Al:144t 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 -071 Printed: 07 -07 -2009 Parcel No.: 1523049008 Address: Suite No: Tenant: doc: Cond -10/06 14005 42 AV S 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 SOUTHGATE MOBILE HOME PARK 1: ** *PLUMBING AND GAS PIPING * ** 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 -071 ISSUED 07/07/2009 07/07/2009 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 bacldilled 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 -071 Printed: 07 -07 -2009 Signature: Print Name: • 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. 4 ` A-eL V I SC.hdh doc: Cond -10/06 PG09 -071 WV Date: `•/ 7Q ordinances governing or local laws regulating Printed: 07 -07 -2009 i CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htip://www.citukwila.wa.us SITE LOCATION Site Address: 14005 42nd Av S Suite Number: Tenant Name: #50, 55, 32, 33, O1, 59, 60, 15, 24, 25, 9, 10, 20 Property Owners Name: S'I-pp 1 h' 1D M E • 1803 1 ° 0 Mailing Address: 2 SO b 10 A4 W Li WA) 017 City CONTACT PERSON - who do we contact when your permit is ready to be issued Name: Michael Tschohl Mailing Address: Box 634, Lynnwood, WA 98046 E -Mail Address: MTSCHOHL @LIVE.COM Building Permit No. Mechanical Permit No. Plumbing/Gas Permit No. - YGpct - ©'7 � Public Works Permit No. Project No. (For office use only) 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.: I U -30 7 008 New Tenant: ❑ Yes ®..No WO- State Day Telephone: (425) 750 -7764 City State Fax Number: (425) 967 -5983 Floor: Zip Zip GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: Mailing Address: Zip City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: H: \ApplieationsTomts- Applications On Line \2009 Applications \1 -2009 - Permit Application.doc Revised: 1 -2009 bh State Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record State State Zip City Contact Person: Day Telephone: E -Mail Address: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: Zip Page I 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) Food -waste grinder, commercial Floor Drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste treatment interceptor, including trap and 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 Company Name: Mailing Address: BOX AN 4,34 PLUMBING AND GAS PIPING PERMIT INFORMATION — 206 - 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION EAGLE GAS MECHANICAL Contact Person: MICHAEL TSCHOHL E - Mail Address: MTSCHOHL @LIVE.COM Contractor Registration Number: 601454859 Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: H:\Applications\Fonns- Applications On-Line \2009 Applications \1-2009 Permit Applieation.doc Revised: 1 -2009 bh WA 98046 State Zip (425) 750 -7764 (425) 967 -5983 Expiration Date: 03/31/2010 LYNNWOOD City Day Telephone: Fax Number: Valuation of Project (contractor's bid price): $ 250 Scope of Work (please provide detailed information): GAS PIPE TO RELOCATED GAS METERS Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Sewer: 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. 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. BUILDING WN OR UTHO E • 4 , Signature: f V / Print Name: l" I I G IV E- V c_140 hL_ Mailing Address: TV OX 4034 Date Application Expires: Date Application Accepted: H:\Applieations\Fonns- Applications On Line \2009 Applications \I -2009 - Permit Application.doc Revised: 1 -2009 bh Date: - 7A3/04 Day Telephone: '4 ZS- 750 -9,44( (Jr st.wcoo ws:1-514 5$o4( City State Zip Staff Initials: Page 6 of 6 Receipt No.: R09 -01033 Payee: EAGLE GAS MECHANICAL ACCOUNT ITEM LIST: Description doc: Receiot -06 GAS - RES 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 TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5182 92.00 Authorization No. RECEIPT Account Code Current Pmts 000.322.103.00.0 92.00 Total: $92.00 Parcel No.: 1523049008 Permit Number: PG09 -071 Address: 14005 42 AV S TUKW Status: PENDING Suite No: Applied Date: 07/07/2009 Applicant: SOUTHGATE MOBILE HOME PARK Issue Date: Payment Amount: $92.00 Initials: WER Payment Date: 07/07/2009 11:09 AM User ID: 1655 Balance: $0.00 PAYME;r RECEIVED Printed: 07 -07 -2009 COMMENTS: Type of I spectio : r Address: _ 1 Date Called;. `s .1 A p r : J (' J (el I C 1 a.m. s, Z' ��u e5( r ,� � .7 P 0 t i 4A ..j : \ -P fi V O t) ' - '/ i 11 : 1 6. n Ar- ejik . . .,. ProjS: G MO�,t I Type of I spectio : r Address: _ 1 Date Called;. L ` 4.1 I N Special Instructions: OA IT 7 Date Wanted: a.m. Requester: Phone No: I r l - F•7rs INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PCxo9 -o717 PERMIT NO. g- (206)431-3670 Approved per applicable codes. Corrections required prior to approval. J ri $60.00 REINSPECTION FEE REQ IRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Date: Receipt No.: Date: 12 -01 -2010 MICHAEL TSCHOHL PO BOX 634 LYNNWOOD WA 98046 RE: Permit No. PG09 -071 14005 42 AV S TUKW Dear Permit Holder: Department of Comm;' pity 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 01/10/2011. 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, , provided the inspection shows progress. -or- 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. In the event you do not call for an inspection and /or receive an extension prior to 01/10/2011, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File: Permit File No. PG09 -071 d a Jim Haggerton, Mayor 6300 Southcenter Boulevard, Suite #100 o Tukwila, Washington 98188 c Phone: 206 - 431 -3670 o Fax: 206 - 431 -3665 June 17, 2010 Cheryl Wallace Eagle Gas Mechanical Inc PO Box 634 Lynnwood, WA 98046 RE: Request for Extension #2 Permit Nos. PG09 -067 through PG09 -079 Southgate Mobile Home Park Dear Ms. Wallace, This letter is in response to your written request for extension to Permit Numbers PG09 -067 through PG09 -079. The Building Official has reviewed your letter and considered your requesi to extend the above referenced permits. The City of Tukwila Building Division will be extending your permits an additional 180 days, through December 29, 2010. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, City of T Jim Haggerton, Mayor Department of Community Development Jack Pace, Director fer a shall it Te ician File: Permit No. PG09 -067 through 079 W:\Pennit Center\Extension Letters \Pennits\2009\PG09 -067 Permit Extension #2.doc c,...thrantor Rnn/et/ard. Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -367 • Fax: 206 - 431 -3665 06/10/10 City of Tukwila Dept of Community Development Email: brambo @ci.tukwila.wa.us Dear Building Official, We would like to request extensions on the following permits as they are scheduled to expire on 7/2/10. It is now warm enough for the residents to withstand the day while we shut off the gas in their area. We will be sending out letters in the mail both in English and Spanish to let them know we will be shutting off their gas for 1 day. We were given 6 mo extensions in Dec 2009 as we were unable to gain access due to language barriers during the winter months and it was too cold to turn off gas. We would like 6 month extensions, if possible. Permit #'s PG09 -067 PG09 -068 PG09 -069 PG09 -070 PG09 -071 PG09 -072 PG09 -073 PG09 -074 PG09 -075 PG09 -076 PG09 -077 PG09 -078 PG09 -079 Thank you for your consideration. Sincerely, Cheryl Wallace, Office Manager Eagle Gas Mechanical Inc PO Box 634 Lynnwood WA 98046 -0634 425 - 776 -9689 office 425 - 967 -5983 fax Eagle Gas Mechanical, Inc. General Contractor License: EAGLEGM077DT PO Box 634, Lynnwood, WA 98046 Phone: 425 - 776 -6989 Fax: 425 - 967 -5983 Email: office @eagle gas.com website: www.eagle-gas.com Fax: 206 - 431 -3665 Attn: Bill Rambo tad t Y d 2 c (a// l , RECEIVED JUN 10 2010 PERMIT CENTER ., He, 1 -. l \-c\r‘A 1211_1 l i o MICHAEL TSCHOHL PO BOX 634 LYNNWOOD WA 98046 RE: Permit No PG09 -071 14005 42 AV S TUKW Dear Permit Holder: Department of Community 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 07/02/2010. Based on the above, you are hereby advised to: 1 �� y Jim Haggerton, Mayor evelopment 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. -or- 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. In the event you do not call for an inspection and /or receive an extension prior to 07/02/2010, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File: Permit File No. PG09 -071 Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 e Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 December 24, 2009 Cheryl Wallace Eagle Gas Mechanical Inc PO Box 634 Lynnwood, WA 98046 RE: Request for Extension Permit Nos. PG09 -067 through PG09 -079 Southgate Mobile Home Park Dear Ms. Wallace, This letter is in response to your written request for extension to Permit Numbers PG09 -067 through PG09 -079. The Building Official has reviewed your letter and considered your request to extend the above referenced permits. The City of Tukwila Building Division will be extending your permit an additional 180 days, through July 2, 2010. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, Jenn erm er Marshall t Technician C ity of TU d'. x ed Jim Haggerton, Mayor Department of Community atevelopment Jack Pace, Director a7� File: Permit No. PG09 -067 through 079 W:\Permit Center\Extension Letters \Permits\2009\PG09 -079 Permit Extension.doc 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 uec; v'+. iup 12/9/2009 City of Tukwila Dept of Community Development Dear Building Official, Permit #'s PG09 -067 PG09 -068 PGO9 -069 PG09 -070 PG09 -071 PG09 -072 PG09 -073 PG09 -074 PG 09 -075 PG09 -076 PG09 -077 PG09 -078 PG09 -079 L dyi� Sao iweUl Idl lR. I We would like to request extensions on the following permits as we have been unable to gain access due to language barriers and now it is winter months and too cold to turn off gas. We would like 6 month extensions, if possible. Thank you for your consideration. Sincerely, Cheryl Wallace, Office Manager Eagle Gas Mechanical Inc PO Box 634 Lynnwood WA 98046 -0634 425- 776 -9689 office 425- 967 -5983 fax office @eagle- gas.com Eagle Gas Mechanical, Inc. General Contractor License: EAGLEGM077DT PO Box 634, Lynnwood, WA 98046 Phone: 425 -776 -6989 Fax: 425- 967 -5983 Email: office@eagle- gas.com website: www.eagle- gas.com Fax:206- 431 -3665 Attn: Bill Rambo •E> adl40,o 64-Etrlk 01010 crzdi / go clatedA 12 - 4LJ'yV f'JJUJ DEC REG 4 9 2009 COMiYium f Y OEVELOPIuiENT p.i MICHAEL TSCHOHL PO BOX 634 LYNNWOOD WA 98046 RE: Permit No. PG09 -071 14005 42 AV S TUKW Dear Permit Holder: 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 01/03/2010. Based on the above, you are hereby advised to: Sincerely, 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. -or- 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. In the event you do not call for an inspection and /or receive an extension prior to 01/03/2010, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Bill Rambo Permit Technician File: Permit File No. PG09 -071 ity x r �ty ® u � '��. � rz ' � 1 1 ' Jim Haggerton, Mayor Department of Community Development --- c,,,,L Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 a Tukwila, Washington 98188 a Phone: 206 - 431 -3670 0 Fax: 206 - 431 -3665 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 STATE FARM FIRE Et CAS CO 980911089 03/23/2002 Until Cancelled $6,000.00 04/15/2002 2 STATE FARM FIRE Et CAS CO 980911089 03/23/1998 03/23/2002 $4,000.00 1 STATE FARM FIRE � CASUALTY CO 980911089 03/23/1993 03/23/1998 $4,000.00 Name Role Effective Date Expiration Date TSCHOHL, MICHAEL V 01/01/1980 DUKES, SUSAN 01/01/1980 Untitled Page 0 0 General /Specialty Contractor A business registered as a construction contractor with LEtI 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 II Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company EAGLE GAS MECHANICAL INC 4257769689 7503 228TH ST SW EDMONDS WA 98026 SNOHOMISH Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601454859 ACTIVE EAG LEGM077DT CONSTRUCTION CONTRACTOR 3/30/1993 6/16/2010 PLUMBING UNUSED Business Owner Information Bond Information Insurance Information Page 1 of 3 https: // fortress .wa.gov /lni/bbip/Detail.aspx 07/07/2009