HomeMy WebLinkAboutPermit D10-196 - SINGH RESIDENCESINGH RESIDENCE
5140 S 172 LN
EXPIRED
02 -02 -11
D10 -196
City okukwila
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
DEVELOPMENT PERMIT
Parcel No.: 8125200234 Permit Number: D10 -196
Address: 5140 S 172 LN TUKW Issue Date: 08/02/2010
Suite No: Permit Expires On: 01/29/2011
Tenant:
Name: SINGH RESIDENCE
Address: 5140 S 172 LN , TUKWILA WA
Owner:
Name: DRAKE SYLVIA M
Address: 21619 4TH AVE S , NORMANDY PARK WA 98198
Phone:
Contact Person:
Name: HARRY SINGH
Address: 21625 4 AV S , NORMANDY PARK WA 98198
Phone: 206 - 261 -7657
Contractor:
Name: H S GENERAL CONSTRUCTION INC
Address: 21619 4TH AVE S , NORMANDY PARK 98198
Phone: (206)261 -7657
Contractor License No: HSGENSG953LB
Expiration Date: 06/02/2011
DESCRIPTION OF WORK:
PERMIT ISSUED FOR EXPIRED PERMIT D 10 -196. SUBJECT TO ONLY 3 INSPECTIONS REMAINING FOR COMPLETION.
MORE INSPECTIONS WILL REQUIRE REINSPECTION FEES. PER RSB
Value of Construction:
Type of Fire Protection:
Type of Construction:
V -B
$0.00 Fees Collected: $193.50
International Building Code Edition: 2006
Occupancy per IBC: 0022
* *continued on next page **
doc: IBC -7/07
D10 -196 Printed: 08 -02 -2010
1.11LA."
w City o Tukwila
Department of Community Development
-ff 6300 Southcenter Boulevard, Suite #100
0 Tukwila, Washington 98188
Phone: 206- 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
Permit Number: D10 -196
Issue Date: 08/02/2010
Permit Expires On: 01/29/2011
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: Private: Public:
Storm Drainage:
Street Use: Profit: N Non - Profit: N
Water Main Extension: Private: Public:
Water Meter:
Permit Center Authorized Signature:
N
2L-R„0„ Date: 94-1 0
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 pe mit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the pe orm . e o work.( m authorized to sign and obtain this developm - nt • e mit.
Signature: _/ / Date:
Print Name:
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 -196 Printed: 08 -02 -2010
111) •
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.: 8125200234
Address: 5140 S 172 LN TUKW
Suite No:
Tenant: SINGH RESIDENCE
PERMIT CONDITIONS
Permit Number: D10 -196
Status: ISSUED
Applied Date: 08/02/2010
Issue Date: 08/02/2010
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 mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431 - 3670).
4: 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.
5: Truss shop drawings shall be provided with the shipment of trusses delivered to the job site. Truss shop drawings shall
bear the seal and signature of a Washington State Professional Engineer. Shop drawings shall be maintained on the site
and available to the building inspector for inspection purposes.
6: Insulating materials, where exposed as installed in buildings of any type of construction, shall have a flame spread
index of not more than 25 and a smoke development index of not more than 450. Where facings are installed in concealed
spaces in buildings of Type III, IV, or V construction, the flame spread and smoke - developed limitations do not apply
to facings, that are installed behind and in substantial contact with the unexposed surface of the ceiling, wall or
floor finish.
7: 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.
8: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any
requirements for special inspection.
9: All wood to remain in placed concrete shall be treated wood.
10: Manufacturers installation instructions shall be available on the job site at the time of inspection.
11: 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.
12: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the
International Building Code and the Washington State Ventilation and Indoor Air Quality Code.
13: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances
shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms,
bathrooms, toilet rooms, storage closets, surgical rooms.
14: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE
GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that
the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests.
doc: Cond -10/06
D10 -196 Printed: 08 -02 -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. tukwi la. wa. us
15: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall
be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum
distance of 4- inches shall be maintained above the controls with the strapping.
16: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila
Building Department (206- 431 - 3670).
17: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431- 3670).
18: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
arty violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
19: Contractor shall notify Public Works Project Inspector Mr. Dave Stuckle at (206)433 -0179 of commencement and completion
of work at least 24 hours in advance.
20: Any material spilled onto any street shall be cleaned up immediately.
* *continued on next page **
doc: Cond -10/06
D10 -196 Printed: 08 -02 -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:
,14/uy sn
Date: g/Zi/
ordinances governing
or local laws regulating
doc: Cond -10/06 D10 -196
Printed: 08 -02 -2010
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hltp://www.ci.tukwila.wa.us
Building Permit No.
Mechanical Permit Ns
Plumbing/Gas Permit No
Public Works Permit Na
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
Site Address: 5/ 4'O /72
Tenant Name:
Property Owners Name:
Mailing Address: 2/6 Z.,5- e -cf '
King Co Assessor's Tax No.: S — OJ-3
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
City State Zip
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name: /ie.oe !% At c. r7 Day Telephone: 2 _` 21/-7675-7 ^
Mailing Address: /6 /,4 �/c 1 /��"e�/C''0%�rvy State 98./ d`
//�� City / Zip
E -Mail Address: /'/ @ t..57) r (0; & CG '44M Number: Z 42-49— cf( C
GENERAL CONTRACTOR, INIFORMATI(
(Contractor Information. for Mechanical (pg 4j) foorPlluumBing and Gas Piping (pg
Name: 5• ,�, c_ h-c �--6t eh�� /k)
Mailing Address: 7/6 l 9 0711 1(.
)eM f 9613(
/14/971,0--/ City State Zip
Contact Person: A- ti Day Telephone: g. ?Z /— 76'5
E -Mail Address: /7 - J / (;76)Lr1 'I ' &fax Number: ge6 4/1W- ? ei
Contractor Registration Number: /1 ‹4E1�'SGt 953L11 Expiration Date: 6 /a) Zd / /
ARCHITECT OF RECORD All plans must be wet stamped by Arch
of'Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
FaxNumber:
State
Zip
ENGINEER OF RECORD
st be wet stamped by Engine
Company Name:
i\e/l/fr%' L giv6/"Lie-6.Witi
Mailing Address: j'�/
Contact Person: 0' l!� L /✓l l HG'1 -taCi
E -Mail Address:
H:\Applications\Forms- Applications On Line\2009 Applications \I -2009 - Permit Application. doc
Revised: 1 -2009
bh
ifi
City
Day Telephone: 9- 1 S
Fax Number:
State Zip
Page 1 of 6
BUILDING PERMIT INFORMATION - 206 - 431 -3670
Valuation of Project (contractor's bid price): $ Existing Building Valuation: $
Scope of Work (please provide detailed information): 2 i.s$U Q O,C 42�,r -�
Will there be new rack storage? ❑ Yes
0.. No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
Existing
tat Floor
2 "° Floor !'
3rd Floor
Interior Remodel
Addition to
Existing
Structure
Type of
Construction per
Type of
Occupancy per
IBC
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached' Garage
Attached Carport
Detached Carport
overed 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:WpplicationsTorms- Applications On Line\2009 Applications \1 -2009 - Permit Application.doc
Revised: 1 -2009
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Page 2 of 6
PERMIT APPLICATION NOTES — Applicable to all permits in', is 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.
BUILDING OWNS OR,A;�UT RIZED AGENT:
Signature: �'
Print Name: k -6 1/
Mailing Address: 2/A 25- 011 V - ' /-)C)lWi "4,4e-e"
''Z ' fr ',;57"/ 9 -
tty State Zip
Date: 77/ 27/ 6
Day Telephone: 267- 76'5-7-
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications \Forms - Applications On Line\2009 Applications \1-2009 - Permit Application.doc
Revised: 1.2009
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Page 6 of 6
PLUMBING AND GAS PIPING PERMIT INFORMATION - 206-431-3670
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 (please provide d: ailed information): re 1 S.S Vt O .�.
reev"1- W908—.13
Building Use (per Int'l Building Code):
Occupancy (per Int'I Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and /or gas piping outlet
g installed and the quantity below:
Fixture Type:
Qty
Fixture Type:
a
Fixture Type: "
Qty
Fixture Type:
Qty
Bathtub or combination
bath/shower
Bidet
lothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking fountain or a`r
water cooler (per 11..4
Lavatory
Fo -waste grinder,
com cial
Wash f: tain
Floor Drain
Receptor, indirect waste
Shower, single head trap
Sinks
Urinals
Water Close
Building sewer and each
trailer park sewer
Each grease trap
(connected to not more
than 4 fixtures - <750
_allon ca.aci
Rain water system — per
drain (inside building)
Water he 'r and/or vent
Industrial waste ' .tment
interceptor, includ', trap
and vent, except for , . hen
•e _rease interce•tor`;
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
•air or alteration of
ater 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
eluding backflow
pi tection devices
Atmospheric -type v. urn
breakers not inclu• • in
lawn sprinkler b. flow
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
H:\Applications\Forms- Applications On- Line\2009 Applications \1 -2009 Permit Application.doc
Revised: 1 -2009
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Page 5 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.tukwila.wa.us
RECEIPT
Parcel No.: 8125200234 Permit Number: D10 -196
Address: 5140 S 172 LN TUKW Status: PENDING
Suite No: Applied Date: 08/02/2010
Applicant: SINGH RESIDENCE Issue Date:
Receipt No.: R10 -01462
Initials:
User ID:
WER
1655
Payment Amount: $193.50
Payment Date: 08/02/2010 01:42 PM
Balance: $0.00
Payee: H S CONSTRUCTION
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5517 193.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - RES
STATE BUILDING SURCHARGE
000.322.100 189.00
640.237.114 4.50
Total: $193.50
PAYMENT
a
doc: Receiot -06 Printed: 08 -02 -2010
INSPECTION RECORD
Retain a copy with permit
INSPECT! N NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 42--
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
p�O - I7(6,
Pro' t; ,
`tc R 64_ i s: eAce
Type of taspection:
1 A ,� L-
j , el(
Addr ss:
5i0 s-
I7�
ate Called:
/
Specia Instructions:
)
Date Wanted: _
a. mom.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
)7'-\5L (
1 (()) / (i) ((--447-241
)
,L,-, S J
-C c. esI /� e•()
1,Ja,p f,Pe Drp,rzia g A..c,0 .
-'1 e1A
,lam f:Qf c r 4
ui�aar
a . � / ' Div
f r 1, M
�.
1\ ''I
(J_
1
Date: P"--� C —7i
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:
•r
INSPECTION RECORD
Retain a copy with permit
No -11(0
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
PERMIT NO.
Project. .
Type of Inspection: .
- Ftun.4 L/o�rA 1,1a S bt -en See Di e.i.
Asris O 5 (� Z
Date Called: 5 i 6/to
Special Instructions:
Date Wanted:
1 1 6 Ito
p.
Requester
Phone No:
26 67 -2COI -iGS -7
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
- Ftun.4 L/o�rA 1,1a S bt -en See Di e.i.
FtcA Ied
- -,no,lic
Inspector: 125
Date: 8/6 bp
❑ $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:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
Prgjeet: A /1 , ern
�(� / �[
Type of Inspecti n:
404
Address.
51 SD < 172 La,
Date Called:
g 1 11 e
Special Instructions:
Date Wanted:
44g1 S1 AO
Requester:
Phone 2Q(_
M 062 / _ 7057
0 Approved per applicable codes.
i)E5
DCorrections required prior to approval.
COMMENTS:
r
+na
- •Fteta_te_
' _ &iced
4-0
.Se_ed
c' f yard
Ire
Inspector: mC
Date: 3 j -(( o
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:
tea_ - _..,..
•
"M ` s' x. �Yii' R. Sa^:°_.-...' n�:,. fiKtr}. a�`% s�.: r3ti. w'. P. tN ?%b!SLr,F<'.:�.T.K.w- ;kk'�E..'� wJ?�� fic•
• INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
444 Andover Park East, Tukwila; Wa. 98188 206. -575 -4407
Project: 5,., 16 y
,ee. s ,•rje ,c.... ..
Type of Inspection: F. J
Address: j I JO
Suite ##:
So . ' 72 44 •
-
Contact Person:
'e"' /4
Special Instructions:
Phone No.:
e24- ZCI — 'X X
4
• I ✓I Approved per applicable codes.
nCorrections required prior to approval. •
COMMENTS:
i'
A -,r�j4 t� t f1' Ace...... �d//e164,
6 491.46_ A! .1,,* -e..
Needs Shift Inspection:
Sprinklers:
• :.:Date:
-.8•/61/0 .
Fire Alarm: _
Hood & Duct:
Monitor: . - - - -- - -- - - --
Pre -Fire:
it
Permits: -
- Occupancy Type:
'
'°-
..Inspector: F
f..3
• :.:Date:
-.8•/61/0 .
Hrs.:
•
$80.00 REINSPECTION FEE REQUIRED. You will receive an. invoice from
the City of Tukwila Finance Department. Call to schedule a .reinspection.
Word /Inspection Record Form.Doc
1/13/06
C.:
•f
. T.F.D. Form F.P. 113
ti
Jim Haggerton, Mayor
Department of Community Development
3�>
01 -03 -2011
HARRY SINGH
21625 4 AV S
NORMANDY PARK WA 98198
RE: Permit No. D10 -196
5140 S 172 LN TUKW
Dear Permit Holder:
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 02/02/2011.
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 02/02/2011, 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. D10 -196
6300 Southcenter.Boulevard, Suite #100 o Tukwila, Washington 98188 o Phone: 206 - 431 -3670 o Fax: 206 - 431 -3665
Contractors or Tradespeople Printer Friendly Page Page 1 of 1
•
•
General /Specialty Contractor
A business registered as a construction contractor with LEI 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 H S GENERAL CONSTRUCTION INC UBI No. 602481655
Phone 2062617657 Status Active
Address 21619 4Th Ave S License No. HSGENSG953LB
Suite /Apt. License Type Construction Contractor
City Normandy Park Effective Date 6/2/2005
State WA Expiration Date 6/2/2011
Zip 98198 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
DRAKE, SYLVIZ
Agent
06/02/2005
Amount
DRAKE, SYLVIZ
President
06/02/2005
C115G1363
Bond Information
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
CBIC
SG 1363
05/16/2005
Until Cancelled
$12,000.00
06/02/2005
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
4
CBIC
C115G1363
05/16/2009
05/16/2011
$1,000,000.00
04/26/2010
3
CBIC
C11SG1363
05/16/2007
05/16/2009
$300,000.00
05/06/2008
2
CBIC
C11SG1363
05/16/2006
05/16/2007
$300,000.00
08/21/2006
1
CBIC
C11SG1363
05/16/2005
05/16/2006
$300,000.00
06/02/2005
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 /Print.aspx 08/02/2010