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HomeMy WebLinkAboutPermit D10-178 - FIBERDYNE LLC - STORAGE RACKSFIBERDYNE LLC 17616 WEST VALLEY HY EXPIRED 07 -22 -11 D10 -178 City ATukwila • 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.: 2523049017 Address: 17616 WEST VALLEY HY TUKW Suite No: Project Name: FIBERDYNE LLC DEVELOPMENT PERMIT Permit Number: D10 -178 Issue Date: 07/27/2010 Permit Expires On: 01/23/2011 Owner: Name: BROMEL DAVID K Address: 3409 S LAURELHURST DR NE , SEATTLE WA 98105 Contact Person: Name: STEVE LAMBERT Address: 17616 WEST VALLEY HY , TUKWILA WA 98188 Contractor: Name: HALLCO Address: 14322 ADMIRALTY WAY #144 , LYNNWOOD WA 98037 Contractor License No: HALLC* *991 QW Phone: 425 970 -6354 Phone: 425 - 870 -6883 Expiration Date: 11/16/2011 DESCRIPTION OF WORK: INSTALL 7'11" TALL, 4' DEEP AND 10' WIDE RACKING IN DESIGNATED AREAS OF THE SHOP PORTION OF FACILITY. ALL RACKIGN WILL BE BOLTED TO THE GROUND. Value of Construction: $0.00 Fees Collected: $115.38 Type of Fire Protection: International Building Code Edition: 2009 Type of Construction: IIIB Occupancy per IBC: IIIB * *continued on next page ** doc: IBC -10/06 D10 -178 Printed: 07 -27 -2010 City c"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 Number: D10 -178 Issue Date: 07/27/2010 Permit Expires On: 01/23/2011 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving Oversize Load: N N Number: 0 Size (Inches): 0 Start Time: Volumes: Cut 0 c.y. End Time: Fill 0 c.y. Start Time: End Time: Sanitary Side Sewer: Sewer Main Extension: Private: Public: Storm Drainage: Street Use: Profit: N Non - Profit: N Water Main Extension: Private: Public: Water Meter: N Permit Center Authorized Signature: -6/-f-c-i a/AA Date:O7 // 7//() 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 performance of work. I am authorized to sign and obtain this development permit. y /, Signature: a/7, ,L 1 , 9 C� ( Date: /, / / ( d / V Print Name: 4/ -r,n a / v 1 L d IC d 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 -10/06 D10 -178 Printed: 07 -27 -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.: 2523049017 Address: 17616 WEST VALLEY HY TUKW Suite No: Tenant: FIBERDYNE LLC PERMIT CONDITIONS Permit Number: D10 -178 Status: ISSUED Applied Date: 07/14/2010 Issue Date: 07/27/2010 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: All rack storage requires a separate permit issued through the City of Tukwila Permit Center. Rack storage over 8 -feet in height shall be anchored or braced to prevent overturning or displacement during seismic events. The design and calculations for the anchorage or bracing shall be prepared by a registered professional engineer licensed in the State of Washington. 6: 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 -178 Printed: 07 -27 -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 ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: a7`a r iii c `�l • l� 0 /( c,— doc: Cond -10/06 D10 -178 Printed: 07 -27 -2010 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto: //www. ci. tukwila. wa. us Building Permit No. Mechanical Permit No. Plumbing/Gas Permit No. 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 ** SITE LOCATION King Co Assessor's Tax No.: .2r71--12 O'1 — 610 11 Site Address: /76" / West Va //e j I /( f �U cad, Suite Number: Floor: G / (/ �/ / / New Tenant: ❑ Yes ❑ ..No Property Owners Name: �a v i of Rrorkto_f (/VOrl1`t V 0. /(e (.� L t e} Mailing Address: 3'/09 W- L&AreQitaC,sf Ur NF SPQ i WA cf 8 /Q S City State Zip Tenant Name: F'hf rA,iits LLe CONTACT PERSON – who do we contact when your permit is ready to be issued Name: c eve Lam &r t. / �Day Telephone: (4/ 25) 9 7 D - v 35 Mailing Address: / 7 / / .OP Gd M/`l) j 7-11 kid / 1 G City State % 8 / Zip E -Mail Address: d /t2 m b ent (0 6.- '6.e y n OAP . Cowl Fax Number: GENERAL CONTRACTOR INFORMATION – (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: HA l CO Mailing Address: MAO // ,-/l /rf) T(9 10 / y li fit i i&irl WA 9 11 08 /� 1 �" / / Ctty State Zip Contact Person: D) r K t-r a �_ Day Telephone: ( 2 S) l) ey 9 - / 03 I E -Mail Address: ha //CO Se a tfl, Q rh S h . Cam Fax Number: Contractor Registration Number: Expiration Date: ARCHITECT OF RECORD – All plans must be stamped by Architect of Record Company Name: L&'n C.P 1A- e Ass o C Mailing Address: /36 L. 4k-e S iGil Avl xu-c Sew.fti, W1- 9,122-6s1 i BO / / City /> Stat Zip Contact Person: 0 t Fa de;^(0 4 Day Telephone: �2 66� 9°53 – 3 / � "t/ E -Mail Address: 6 A d c!e L 1) /ntatag,r. eon Fax Number: ENGINEER OF RECORD – All plans must be stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip H:1Applications \Form - Applications On Line120t0 Applications \ 7-2010 - eenmt Apphwnoadoc Revised: 7 -2010 bh Page 1 of 6 • BUILDING PERMIT INFORMATION — 206 -431 -3670 Valuation of Project (contractor's bid price): $ G 6O • a O Existing Building Valuation: $ Scope of Work (please provide detailed information): In S fa // �% r /1 it ra ck i rtQ .' M d es r4 rt a fed O,-ras o-c %o d4013 prf7a1 O �7 - }/ IG, c 4in g Gr h, hn f // ifs ipvt -eyed ac ' //I -fall yt0ocgzp a_Ad /0'404, �k . rG cllt K r,Co e Zk 1 on cit plaivl - � Will there be new rack storage? Yes ❑.. 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 It): 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: Will there be a change in use? ❑ Yes No If "yes ", explain: Handicap: FIRE PROTECTION/HAZARDOUS MATERIALS: Will there be Sprinklers ❑ Automatic Fire Alarm ❑ OthN ❑ None storage ���� No If "yes', attach list o materials and storage locations on a separate 8-1/2" 11 " r including quan f,�"' rr f `y f g pa page g q aterial ety 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:1Apphcations\Forms- Applications On L13012010 Applicanons\7 -2010 - Pemut Apphcanon.doc Revised: 7 -2010 bh Page 2 of 6 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per C la Floor 'ty/ b t r( 2nd Floor 3`d Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport 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 It): 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: Will there be a change in use? ❑ Yes No If "yes ", explain: Handicap: FIRE PROTECTION/HAZARDOUS MATERIALS: Will there be Sprinklers ❑ Automatic Fire Alarm ❑ OthN ❑ None storage ���� No If "yes', attach list o materials and storage locations on a separate 8-1/2" 11 " r including quan f,�"' rr f `y f g pa page g q aterial ety 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:1Apphcations\Forms- Applications On L13012010 Applicanons\7 -2010 - Pemut Apphcanon.doc Revised: 7 -2010 bh 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). Plumbina 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 OWNER OR AUTHORIZED AGENT: /� n Signature: / lu /rt./ ,/ it a 91 c (CYO (r^ ��j l arc 7 r/ H a kb /c are: (/i <) f/ 2 G/D Print Name: (S to V 2 Yt Za C 1C Day Telephone: Oa-) 9 700 — 625 el Mailing Address: Wa Co WeS7L Va 1-(1/ J %Cite , f4 \Af A 93 /6P8 State Zip IDate Application Accepted: I 1 ij 1 „o Date Application Expires: H:\Applicariom\Forms- Applications On ljna\2010 Applicaticm17 -2010 - Permit Applicaeonaoc Revised: 7 -2010 bh Staff Initials: ,. f c.' Page 6 of 6 • 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.tukwi la. wa. us RECEIPT PAYMENT RECEIVED Parcel No.: 2523049017 Permit Number: D10 -178 Address: 17616 WEST VALLEY HY TUKW Status: PENDING Suite No: Applied Date: 07/14/2010 Applicant: FIBERDYNE LLC Issue Date: Receipt No.: R10 -01422 Initials: User ID: LAW 1632 Payment Amount: $75.38 Payment Date: 07/27/2010 04:17 PM Balance: $0.00 Payee: FIBERDYNE TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 041719 ACCOUNT ITEM LIST: Description 75.38 Account Code Current Pmts BUILDING - NONRES PLAN CHECK - NONRES STATE BUILDING SURCHARGE 000.322.100 000.345.830 640.237.114 Total: $75.38 67.20 3.68 4.50 doc: Receiot -06 Printed: 07 -27 -2010 r ID 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 Parcel No.: 2523049017 Permit Number: D10 -178 Address: 17616 WEST VALLEY HY TUKW Status: PENDING Suite No: Applied Date: 07/14/2010 Applicant: FIBERDYNE LLC Issue Date: Receipt No.: R10 -01312 Initials: User ID: JEM 1165 Payment Amount: $40.00 Payment Date: 07/14/2010 12:50 PM Balance: $75.38 Payee: FIBERDYNE TRANSACTION LIST: Type Method Descriptio Amount Payment Cash Authorization No. ACCOUNT ITEM LIST: Description 40.00 Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 40.00 Total: $40.00 PAYMENT RFCEIVED doc: Receiot -06 Printed: 07 -14 -2010 July 14, 2010 FiberDyne LLC 17616 West Valley Highway Tukwila, WA 98188 Re: Rack Storage Permit To whom it may concern: FILE COPY We here at FiberDyne would like to submit an application for a rack storage permit. We are located at 17616 West Valley Highway, and the nature of our occupancy is Fl: Manufacturing. All racking will be 7 feet 11 inches tall, standard step beams of 48 inches deep, 120" wide and bolted to the ground with 4 % inch long by % inch wide steel anchor bolts. These racks are teardrop style. Only non - hazardous materials will be stored on these racks. All racks were left in the building by the previous tenant. We are simply submitting this permit application to put the racking back up in new locations. Attached are the proposed placements of the racking. All drawings are clearly labeled. Since these are Tess than 8 feet tall, we do not need the engineering for a structural calculations sheet. Because the racking was left to us by the previous tenant, the only fees would be labor for the installation. We have called a few rack storage suppliers in the area, and the cost would be about $600.00 for installation. If the unit price is needed, each 10 feet wide rack storage section would cost approximately $120.00 each (depending on the vendor). Wire decking would run about $50.00 per unit. We have a neighboring tenant to the east of us: Protime Sports. This business is classified as mercantile. We also have a neighboring tenant to the west of us: Spectra Contract Flooring. This business is also classified as mercantile. If you have any questions, please contact us at (425)970 -6354. Thank you, Katarina Wolcott REVIEWED FOR CODE COMPLIANCE JUL 2 3 WO City of Tukwila pnnc la BUILDING RECENV CITY OF TU JUL 14 2010 PERMIT CENTER LA 17616 west valley ttignway, 1 uKwtla, WA - lioogle Maps tutp: / /maps.googte.com/ maps? q= ifloor %20tukwila&oe= utf- 8 &rls =or... li(,) ,;,),1‘.. maps ^°dress Get Directions MyMeas To see all the details that are visible on the screen, use the "Print" link next to the map. Prim Send Link fiberdyne ... fiberdyne 1 Moor tuk... 1 of 1 --REVIEWED ACE CODE COMP P ROVE JUL 2 3 2U1U City of Tukwila Diva la BUILDING DIVISION 7/14/2010 10:17 AM 't 1 west vauey rugnway, lutcwua, wit - uoogie maps nap://maps.googte.conumaps n=q5zsource=s_q&mr=en&geocode=te... Address W Valley Hwy L-30 01$: maps Tukwila, WA 98188 I I M-nkler elvd c. sc30\'"- c5 ©2010 Google 1 of 1 0 rn u. r. z ea S 180th SI 180th Si Bridge co Get Google Maps on your phone 7 Text the word "GMAPS" to 466453 5 0. Fiberth,M I A SW 4.3,d St 11 3 "4 Map data C.d011i:Google REVIEWED FOR CODE COMPLIANCE onvE JUL 2 3 2010 City of Tukwila BUILDING nnlicinni 7/14/2010 10:17 AM 06 -01 -2011 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director STEVE LAMBERT 17616 WEST VALLEY HY TUKWILA WA 98188 RE: Permit No. D10 -178 17616 WEST VALLEY HY 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 07/22/2011. 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 07/22/2011, 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, i,‘w '----/(-- Bill Rambo Permit Technician File: Permit File No. D10 -178 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 t Jim Haggerton, Mayor Departme t of Community Develop ent January 21, 2011 Steve Zak 17616 West Valley Hwy Tukwila, WA 98188 RE: Request for Extensions Development Permit No. D10 -178 Fiberdyne — 17616 West Valley Hy Dear Mr. Zak, Jack Pace, Director This letter is in response to your written request for an extension to Permit Number D10 -178. 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 from the date of expiration, through July 22, 2011. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, ifer Marshall it Technician File: Permit No. D10 -178 W \Pennit Center\Extension Letters\Pennits\2010\D10 -178 Permit Extension.doc 6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 0 Phone: 206 - 431 -3670 0 Fax: 206 - 431 -3665 Page 1 of 1 Bill Rambo - Fwd: permit# D10 -178 From: To: Date: 01/19/2011 1:40 PM Subject: Fwd: permit# D10 -178 Hi Bill We have a request for an extension for permit # D10-178 it ?s for some racking less than 8 foot in height, it ?s been inspected already, but the inspector told us that we might want to keep the permit open so we can install two more racks that were on the plans but are not yet installed , were not sure if we will need them just yet. Thank you Steve Zack of K. .e/ 18°`1/2J4 .446° Ol Zo -2o1/ �hp�res 1��3 -11 tx-66Lei RECEIVED JAN 19 2011 PERE CENTER file: / /C:\ temp \ XPGrpWise\ 4D36E9B4tuk- mai16300- po100136753814C2B 1 \GW }00001.... 01/19/2011 12 -01 -2010 «j, of T , epartment of Community Development STEVE LAMBERT 17616 WEST VALLEY HY TUKWILA WA 98188 RE: Permit No. D10 -178 17616 WEST VALLEY HY TUKW Dear Permit Holder: Jim Haggerton, Mayor 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 01/23/2011. 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 01/23/2011, 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, .D,,:11 ',,,„L_ Bill Rambo Permit Technician File: Permit File No. D10 -178 6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 o Phone: 206 - 431 -3670 s Fax: 206 - 431 -3665 likERMiT C �. � ; � COPY ei PLAN REVIEW/ROUTING SLIP ACTIVITY NUMBER: D10 -178 DATE: 07/14/10 PROJECT NAME: FIBERDYNE LLC SITE ADDRESS: 17616 WEST VALLEY HY X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued DEP RTMENTS: ui ing ivision Public Works n AK PM- 1--(() Fire Prevention Structural ❑ Planning Division Permit Coordinator n DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete n DUE DATE: 07/15/10 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUTING: Building Please Route Structural Review Required n No further Review Required n REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 08/12/10 Not Approved (attach comments) n 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 Pifer Friendly Page • General /Specialty Contractor A business registered as a construction contractor with LEt1 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 HALLCO UBI No. 600530388 Phone 4258706883 Status Active Address 14322 Admiralty Way #44 License No. HALLC "991QW Suite /Apt. License Type Construction Contractor City Lynnwood Effective Date 11/16/2001 State WA Expiration Date 11/16/2011 Zip 98037 Suspend Date County Snohomish Specialty 1 General Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date HALL, DIRK Owner 11/16/2001 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 2 DEVELOPERS STY i3 INDEMNITY CO 571661C 10/30/2003 Until Cancelled $12,000.00 10/08/2003 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 8 NEVADA CAPITOL INS CO 77NPP4001769 10/30/2008 10/30/2010 $1,000,000.00 10/14/2009 7 NEVADA CAPITOL INS CO NCIC000213 10/30/2008 10/30/2009 $1,000,000.00 10/14/2008 6 MAXUM INDEMNITY CO BDG00016715 10/30/2007 10/30/2008 $500,000.00 10/29/2007 5 MAXUM INDEMNITY CO BDG0001671- 04 10/30/2005 10/30/2007 $500,000.00 10/13/2006 4 INDEMNITY CO BDG0001671 10/30/2004 10/30/2005 $1,000,000.00 10/05/2004 3 DEVELOPERS STY Et INDEMNITY CO BDG0001671 10/30/2003 10/30/2004 $1,000,000.00 10/08/2003 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Printaspx 07/27/2010 NOTE ; ALL RNcI:iaG- 1 S 7� l ►" tRLL, AA/0 WILL QC USC1� O(k LVnn ie-Ck IAN NUN HA�iA�1n�S Si- o kRCT-c ALL R\CKNG- \AflLL • BE ME pros i r&-t Stort-s aLI : i i /RACjKLAJG\ P ARMING- RAC OW6- RfkC IC\N& -- \ , k RAG N 1 Pj4 KiVv� PA t -1NG i t {0' RA( Kt A/G- RACkIN(r REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may include additional plan review fees. FILE COPY Permit Plo..1) 10 " 17 Ian review approval is subject to errors and omissions. pproval of construction documents does not authorize t; : violation of any adopted code or ordinance. Receipt approved Field Copy and conditions is acknowledged: By V ,`,i7 » /t2_,6t Date: - aly 2 9, o i Q City Of liakwiia BUILDING DIVISION Pantry Storage dot/iris/wive & %4; M0h0:41.Y * QAD1NG I AK A Spectra vt-fracf HOoriikt. CODECOMP I NCE APDR(1Vep J 2 3 2010 ��cityofUL rukwila� BUILDING rnvisinN REGENED CITY OF TUKVNLA JUL 14 2010 PERMIT CENTER