HomeMy WebLinkAboutPermit D10-172 - LOKEN RESIDENCE - REROOFThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
D10 -172
Loken Residence
14253 55th Avenue South
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule
The Privacy Act of 1974 evinces Congress'
intent that social security numbers are a private
concern. As such, individuals' social security
Personal Information —
numbers are redacted to protect those
Social Security Numbers
individuals' privacy pursuant to 5 U.S.C. sec.
5 U.S.C. sec.
DR1
Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
under section 42.56.070(1) of the Washington
42.56.070(1)
42.56.070(1)
State Public Records Act, which exempts under
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
Redactions contain Credit card numbers, debit
card numbers, electronic check numbers, credit
Personal Information —
expiration dates, or bank or other financial
RCW
14
DR2
Financial Information —
account numbers, which are exempt from
42.56.230(5)
RCW 42.56.230(4 5)
disclosure pursuant to RCW 42.56.230(5),
except when disclosure is expressly required by
or governed by other law.
LOKEN RESIDENCE
14253 55 AV S
CANCELLED 08/12/10
D10 -172
VILA
d�2 906''
z
City aftukwila
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
Parcel No.: 0761000190
Address: 14253 55 AV S TUKW
Suite No:
DEVELOPMENT PERMIT
Permit Number: D 10 -172
Issue Date: 07/09/2010
Permit Expires On: 01/05/2011
Tenant:
Name: LOKEN RESIDENCE
Address: 14253 55 AV S , TUKVVILA WA
Owner:
Name: LOKEN DAVID W +DEBBIE S
Address: 14253 55TH AVE S , TUKWILA WA 98168
Phone:
Contact Person:
Name: GREG HANSEL
Address: 16234 15 AV SW , BURIEN WA 98166
Phone: 206 - 227 -1472
Contractor:
Name: HANSEL CONSTRUCTION INC.
Address: 11037 19 AV SW , SEATTLE WA 98146
Phone: 206 - 246 -5680
Contractor License No: HANSECI042BH
Expiration Date: 10/06/2010
DESCRIPTION OF WORK:
REROOF 2100 SQ FT SINGLE FAMILY RESIDENCE. RESHEATH WITH OSB.
Value of Construction:
Type of Fire Protection:
Type of Construction:
$3,200.00
V -B
Fees Collected: $275.43
International Building Code Edition: 2006
Occupancy per IBC: 0022
* *continued on next page **
doc: IBC -7/07
D10 -172 Printed: 07 -09 -2010
City "Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspectio n Req uest Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
Permit Number: D10 -172
Issue Date: 07/09/2010
Permit Expires On: 01/05/2011
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant: N Number: 0 Size (Inches): 0
Flood Control Zone:
Hauling: N Start Time: End Time:
Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation:
Moving Oversize Load: Start Time: End Time:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
Permit Center Authorized Signature:
Private:
Profit: N
Private:
N
Public:
Non - Profit: N
Public:
Date:
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 thi permit does not p sume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or t ;� ,• erformance oYw $rk. I am aut rized to sign and obtain this development permit.
Signature:
Print Name:
Date:
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: IBC -7/07
D10 -172 Printed: 07 -09 -2010
• •
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
Parcel No.: 0761000190
Address: 14253 55 AV S TUKW
Suite No:
Tenant: LOKEN RESIDENCE
PERMIT CONDITIONS
Permit Number: D10 -172
Status: ISSUED
Applied Date: 07/07 /2010
Issue Date: 07/09/2010
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: 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.
4: 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.
5: 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.
6: 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.
7: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any 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.
* *continued on next page **
doc: Cond -10/06
D10 -172 Printed: 07 -09 -2010
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:
l
444(
Date: / °(
ordinances governing
or local laws regulating
doc: Cond -10/06 D10 -172
Printed: 07 -09 -2010
CITY OF TUKWIL•
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci. tukw ila.wa.us
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 **
//_�� C King Co Assessor's Tax No.: 0 76,./ 000 / i a
Site Address: //25 � `"5�h / t) `7 . T40/ /tom Suite Number:
Tenant Name:
Property Owners Name:
David 9- 13e L4e
Mailing Address: 5ei171 t✓
Floor:
New Tenant: ❑ Yes ❑..No
City
State
Zip
CONTACT .PERSO
who do we contact when :your permit'is ready to' issued ;' :
Name: %4a 15'x! CO)1 StvaC MC • Day Telephone: 20b--
Mailing Address: /613 ( /S set) (Jr/ lAJ 9ff/ ro
City State Zip
E -Mail Address: /I CA/11 Ce- CCM .S 7 4 e)271Cd 7 • 4' Fax Number: I-90h CZ7cPICD
GENERAL CONTRACTOR INFOR1ViA;TION° ; r
(Contractor Information for Mechanical.(pg 4) for Plumbing and Gas
Company Name: 1`1/(,� 1/1Sd CC)/ S ±1 /7/1.c, J
Mailing Address: I (� 234' 1 S *1 5k) 6 L1 YI (°_/') WA. 9 / 6
Nay) s
City State Zip
1 Day Telephone: 0-0 6v ' L) 7 /41 7/-
E -Mail Address:
M C(571_ S 7 (bilir.iS ri Fax Number: (, /�i ^- / t✓ 56.f C�
_
Expiration Date: / e, 1 " /C:
Contact Person:
Contractor Registration Number: RA J5iE i. /1Y�� / H
::ARCHITECT OF.RE.CORD - hill plans must' be: wet' stamped by At-diked cif Record.
•
Company Name:
Mailing Address:
City
• Contact Person: Day Telephone:
Fax
E -Mail Address:
ENGINEER OF RECORD - Alt :pl"a'ds ".in st be wet stamped by Engidetr.o Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
H:\ApplicationsTorms- Applications On Line\2009 Applications \I -2009 - Permit Application.doc
Revised: 1 -2009
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State
Zip
State
Zip
Page 1 of 6
Valuation of Project (contractor's bid price): $ �O O 1 O
Scope of Work (please provide detailed information): C7�L
Existing Building Valuation: $
Ctr //Liz—
Will there be new rack storage? ❑ Yes
�j
.. No If yes, a separate permit and plan submittal will be required.
Provide All 'Building Areas.in Square Footage Below.
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 11" paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:1ApplicationslForms- Applications On Linet2009 Applications11-2009 - Permit Application.doc
Revised: 1 -2009
bh
Page 2 of 6
-'
Existing
- Interior'Remodel •,
..' Addition,to •
Existing:,
. - Structure •.:
`.
- '
:- New '••
. ; Type.of ' •
. Construction per ..
'.[.:' . -' - IBC - ' .
Type, of •, : .
Occupancy per
- ` .IBC . ' '-'
15t Floor
9-4 TD
2nd .Floor
3rd Eloor
.,Floors .
Basement'.
.Accessory. Structure'
^ At ached'Garace
D'etaehedGarage•: -
:' Attached- Caiport -•..
•Detached, Carport .
• a s ' -
Covered Deck '
Uncovered Deck
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 11" paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:1ApplicationslForms- Applications On Linet2009 Applications11-2009 - Permit Application.doc
Revised: 1 -2009
bh
Page 2 of 6
•
PERMIT APPLICATION NOTES - Applicable to: all pe "rmi<ts ><nahisrappl>icatiolr
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 OW ER OR AUTHORIZED AG r T:
Signature: %�
Print Name- - /S /1iSe-/
Date: 7-7—/
g).23/. / �/ Day Telephone: .266 L7- 5--.Le-
Mailing 0
Address: 7 � ! A / L ? StJ /(J T/r J ) `7 e /h6
City State Zip
Date Application Accepted:
�_7-f0
Date Application Expires:
-7 -11
Sta#1 Initials:
Staff
H:\ Applications\Forms- Applications On Line \2009 Applications \I -2009 - Permit Application.doc
Revised: 1.2009
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Page 6 of 6
PLUMBING AND GAS PIPIN ERIVIIT INFORMATION'- }2:06=431
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
State zip
Contact Person:
E -Mail Address:
Contractor Registration Number: Expiration Date:
City
Day Telephone:
Fax Number:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed 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 outlets being installed and the quantity below:
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
H WpplicationsJ'orms- Applications On- Line12009 Applications11.2009 Permit Application.doc
Revised: 1 -2009
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Page 5 of 6
wqs City of Tukwila
yDepartment 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
Parcel No.: 0761000190
Address: 14253 55 AV S TUKW
Suite No:
Applicant: LOKEN RESIDENCE
RECEIPT
Permit Number: D10 -172
Status: PENDING
Applied Date: 07/07/2010
Issue Date:
Receipt No.: R10 -01254
Payment Amount: $275.43
Initials: WER Payment Date: 07/07 /2010 02:31 PM
User ID: 1655 Balance: $0.00
Payee: HANSEL CONSTRUCTION
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash
Authorization No.
ACCOUNT ITEM LIST:
Description
275.43
Account Code Current Pmts
BUILDING - RES
PLAN CHECK - RES
STATE BUILDING SURCHARGE
000.322.100
000.345.830
640.237.114
Total: $275.43
164.20
106.73
4.50
doc: Receiot -06 Printed: 07 -07 -2010
Scope of Work: Re -roof at 14253 55th Ave. S., Tukwila, WA
Tearing off 21 squares of cedar shake.
Resheeting with 7/16 osb using 10d 3" nails over g/" skip sheeting, 6" on edges
and 12" on field. Laying 30 Ib. felt and roofing with 21 squares of Pabco Premier
40 yr. - Pewter Gray.
Cost for the job: $3,200
Contractor: Hansel Construction, Inc.
FILE COPY
Permit No.
Plan review approval is subject to errors and omissions.
Approval of construction documents does not authorize
lh„ violation of any adopted code or ordinance. Receipt
r/. approved l°i s Copy an. • nditions is acknowledged•
By
Date:
City Of Tukwila
BUILDING DIVISION
b(O' tlZ
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOT'=: r?,vis!ons will require a new plan submitt ^!
' ude a ddtional plan rvi',,, . Y
REVIEWED FOR -
CODE COMPLIANCE
APPMVED
JUL 0 8 2010
Al— w
City of Tukwila
BUILDING DIVIfl
RECEIVED
JUL 07 2010
PERMIT CENTER
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
September 8, 2010
Greg Hansel
Hansel Construction, Inc.
11037 19 Ave SW
Seattle, WA 98146
RE: Request for Refund
Development Permit D10 -172
Loken Reroof —14253 55 Ave S
Dear Mr. Hansel,
This letter is in response to your request for cancellation of and refund for the above referenced
project. The Building Official has reviewed your letter and approved both the cancellation and a
full refund. Enclosed is a check in the amount of two hundred seventy -five dollars and forty -
three cents ($275.43).
If you have any questions you can contact us in the Permit Center at 206 431 -3670.
Sincerely,
ifekM shall
it Te ician
File: Permit No. D10 -172
Encl
W: \Pennit Centcr\Refimds\Refimds\D10 -172 Pennit Refund.doc
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
CITY OF TUKWILA, WA 98188 -2544
ACCOUNTS PAYABLE CHECK
NO.
INVOICE NUMBER .: �`
: GATE -
., P.O. NUMBER,
- - -. • ... \• . a DESCRIPTION' ' • . - -1• `d' V. - .r, ••''' -. ": , ,^ ;..• 9
T.. -.. "AMOUNT. '..
090710303
08/17/2010
*' *' * *• "275.43
BLDG PERMITS - RES.
275.43
PLEASE DETACH BEFORE DEPOSITING
THE:F.A;;CE,OF,,' THIS 'DOCUMENT `HASA'COLOREW,BACKGROUND 'NOPA WHITE,BACKGROUND ,
PAY
TO THE
ORDER
.OF
CITY OF-TUKWILA
6200 Southcenter Boulevard
Tukwila WA 98188 -2544
PAYABLE THROUGH .
U 9. BANK
151 Andover Park East `...
. Tukwila,. WA 88188
19-10
1250
"1-,V ,L vENDORS%1"�
�a NUNIBFF3
. DATE, "",
CHECK r r
NUMBER
• ri
''' '; t CNECICrAM0UN7S.F:'t,
:«era « -lu+w
012594 .:
09/07/2010
..
*' *' * *• "275.43
Two Hundred Seventy Five Dollars and Forty Three Cents
HANSEL CONSTRUCTION INC
11037 - 19TH AVE SW
SEATTLE, WA 981.46 •
ti :,;THE.BACK.OF;, THIS, DO CUMENT:HAS?AN!'ART,IFICIAL'• WATERMARK= ;HOLD AT .:ANANGL'`EtSOVIEW
TO:
FROM:
DATE:
SUBJECT:
MEMORANDUM
Laurie Anderson
Jennifer Marshall
08/17/2010
Loken Reroof, 14253 55 Av S
Permit Number D10 -172
Please draw a check in the amount of $275.43 (two hundred seventy -five dollars and
forty -three cents) to be payable to Hansel Construction, Incorporated at 11037 19 Ave
SW, Seattle WA 98146.
The scope of the work ended up not involving the structural diaphragm of the roof and
consequently no permit was needed. The permit has been cancelled and the Building
Official has directed a 100% refund of the plan review and building permit fees.
The account numbers and refund amounts are as follows:
000.322.100 (Building Permit, Residential) for the amount of $164.20
000.345.830 (Plan Check, Residential) for the amount of $106.73
640.237.114 (Washington State Surcharge) for the amount of $4.50
Please forward the check to me and I will forward it on to the applicant.
Thank you!
August 10, 2010
City of Tukwila
Community Development
Attn: Bob Benedicto
6300 Southcenter Blvd. #100
Tukwila, WA 98188
RE: Permit No. D10 -172
Loken Residence
14253 55th Ave S, Tukwila, WA
Mr. Benedicto:
Upon inquiring of a permit with the building department, we were told a roof permit was
necessary for this project. Apparently because the structural diaphragm of the roof did not
change this permit was not necessary.
We are requesting a full refund of all fees at this time.
Please either reimburse David Loken directly or Hansel Construction, Inc.
Thanks for your time.
Greg Hansel
Hansel Construction, Inc.
cc: Loken's
(JA
74A"
og/OD /D
2'lS.*
• •
PLAN K VIEW /ROUTING SLIP
ACTIVITY NUMBER: D10 -172 DATE: 07 -07 -10
PROJECT NAME: LOKEN RESIDENCE
SITE ADDRESS: 14253 55 AV S
X Original Plan Submittal Response to Incomplete Letter # _
Response to Correction Letter #
Revision # After Permit Issued
DEPARTMENTS:
ilding Division mi
Public Works
n
AIM NA- lit 0
Fire Preve tion
Structural
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete
DUE DATE: 07-08-10
Not Applicable
Permit Center Use Only
INCOMPLETE LETTER MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
LETTER OF COMPLETENESS MAILED:
TUES /THURS ROUTING:
Please Route lg Structural Review Required n No further Review Required
REVIEWER'S INITIALS:
DATE:
n
APPROVALS OR CORRECTIONS:
DUE DATE: 08-05-10
Approved n Approved with Conditions 14 Not Approved (attach comments) n
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing slip.doc
2-28-02
Contractors or Tradespeople Pr ter Friendly Page
•
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.
Business and Licensing Information
Name HANSEL CONSTRUCTION INC UBI No. 601663704
Phone 2062465680 Status Active
Address 16234 15Th Ave Sw License No. HANSECI042BH
Suite /Apt. License Type Construction Contractor
City Burien Effective Date 1/8/1996
State WA Expiration Date 10/6/2010
Zip 98166 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
HANSEC'174NP
HANSEL
CONSTRUCTION
Construction
Contractor
General
Unused
8/17/1983
8/15/1996
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
HANSEL, GREG A
Payment
01/01/1980
09 -2- 21402 -6KNT
UNITED RENTALS NORTHWEST INC
InterPlead: No
HANSERL, DENISE M
Date: 06/08/2009
Amount: $1,820.41
Bond(s): 5E5202
01/01/1980
Dismissed
HANSEL, DENISEM
Agent
01/01/1980
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
6
CBIC
SE5202
09/27/2002
Until Cancelled
$12,000.00
10/02/2002
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
CBIC
INSSE5202
09/27/2003
09/27/2010
$1,000,000.00
09/21/2009
Summons /Complaint Information
Cause
County
Complaint
Judgment
Status
Payment
Paid By
09 -2- 21402 -6KNT
UNITED RENTALS NORTHWEST INC
InterPlead: No
KING
Date: 06/08/2009
Amount: $1,820.41
Bond(s): 5E5202
Date:
Amount: $0.00
Dismissed
Date:
Amount:
Warrant Information No unsatisfied warrants on file within prior 6 year period
https: // fortress .wa.gov /lni/bbip /Print.aspx 07/09/2010