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Home My WebLink AboutPermit D10-234 - ALBRITTON RESIDENCE - STEPSALBRITTON RESIDENCE 13312 56 AV S D10 -234 City oftukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 2172000215 Address: 13312 56 AV S TUKW Suite No: Project Name: ALBRITTON RESIDENCE DEVELOPMENT PERMIT Permit Number: D 10 -234 Issue Date: 09/07/2010 Permit Expires On: 03/06/2011 Owner: Name: ALBRITTON JONETH C Address: 13312 56TH AVE S , SEATTLE WA 98178 Contact Person: Name: JOE ALBRITTON Phone: 206 - 242 -0964 Address: 13312 56 AV S , TUKWILA WA 98178 Contractor: Name: ICO CONSTRUCTION LLC Address: 14618 76 AV CT E PUYALLUP WA , 98375 Contractor License No: ICOCOCL944CG Phone: 253 - 531 -4628 Expiration Date: 03/04/2012 DESCRIPTION OF WORK: REPLACE OLD STEPS WITH SOLID POURED CONCRETE. STEPS HAVE 7 3/4" RISE & 14" RUN WITH A FLAT PAD OF 40" X 10' FOR DOOR ENTRANCE. HAND RAIL IS TO BE INSTALLED ON THE SOUTH STEP WALL Value of Construction: $5,000.00 Fees Collected: $490.25 Type of Fire Protection: UNKNOWN International Building Code Edition: 2009 Type of Construction: V -B Occupancy per IBC: 0022 * *continued on next page ** doc: IBC -10/06 D10 -234 Printed: 09 -07 -2010 City oiI'ukwila • 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.tulcwila.wa.us Permit Number: D1O -234 Issue Date: 09/07/2010 Permit Expires On: 03/06/2011 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: Date: q--)-10 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 constructioi or the pe •; ance of work. I am au • - d to sign and obtain this development permit. Signature. Date: Print Name: ∎J E% ff b `, 6 l d 'y 7 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 -234 Printed: 09 -07 -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.: 2172000215 Address: Suite No: Tenant: 1331256AVSTUKW ALBRITTON RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: D10-234 ISSUED 08/27/2010 09/07/2010 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: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any requirements for special inspection. 6: 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. 7: 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. 8: 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 -234 Printed: 09 -07 -2010 • • �J��i�A Wqs 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: ..)‘U /�/^ % �J C 1" ie 1 04/ Date: f ` 7 doc: Cond -10/06 D10 -234 Printed: 09 -07 -2010 CITY OF TUKI_A Community Develaffnent Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. ci. tkwila. wa. us Building Pell No. b t o - 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.: 2_ c72,00- 02-(ST Site Address: /3A/92 5 % A t So . / q69, 7? Suite Number: -- Floor: — Tenant Name: Je 4 CS -ie2 /Jlb t1d) New Tenant: ❑ Yes .. No Property Owners Name: S e 4 £5fr/z Mailing Address: 3.9-me /4S .6> le. City State Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Name: ..7-5e Dze ES-kJ-2 A/A0i th.A/ Mailing Address: Shin 4-< j / le. E -Mail Address: Day Telephone: 02196 - fit 2- tej /o l/ City Fax Number: State Zip GENERAL CONTRACTOR INFORMATION - (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: Tc40 &0A5 I4, -40.x, C. Mailing Address: /1-/ / f G Ave (1 R " 4h� / Ci Contact Person: Al E -Mail Address: 0 C.'/Y) Cdw► Contractor Registration Number: _Z./ p /? 0 G / % Zig L Ej id4 4P37s- 2 i Zip Day Telephone: °PA:3-6-9q-- to LW Fax Number: Expiration Date: #40/10/ 0 ARCHITECT OF RECORD - All plans must be stamped by Architect of Record Company Name: Mailing Address: Zip City Contact Person: 1 Day Telephone: E -Mail Address: Fax Number: State ENGINEER OF RECORD - All plans must be stamped by Engineer of Record Company Name: Mailing Address: City State Zip Contact Person: \ Day Telephone: E -Mail Address: Fax Number: H:\Applications\Porms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: 7 -2010 bh Page 1 of 6 BUILDING PERMIT INFORMATION — 206 - 431 -3670 oo Valuation of Project (contractor's bid price $ 5000 -- Existing ilding Valuation: $ Scope of Work (please provide detailed information): 7P_ia/�C /.e73, D/d '5,19:15 -1 c" ' .SDIi l $61,r, C(9711 C/2ed $ 6 #,s MA) 1e G. ? �LcQ -e 4 a// /SSA •Erg10 1A11/Mr.�� o-' do" Y / o' 7Ji2 JO(a toAn1t.4 is eft o Pet; / /s YD K jrIlsoir /IGaF 6te r/qi° ,jd)! f .sdee/l 71)& 11 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 ft): T1 Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that 3'hows 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:1Applications\Porms- Applications On Line\2010 Applications17 -2010 - Permit Application.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 IBC I at Floor II 62174 �_ �- 2 "d Floor // Da sg ..__. — - .---• 3rd Floor //1Z t — —� . .— .— Floors 3 thru 311 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 ft): T1 Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that 3'hows 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:1Applications\Porms- Applications On Line\2010 Applications17 -2010 - Permit Application.doc Revised: 7 -2010 bh Page 2 of 6 PERMIT APPLICATION NOTES — likable to all permits in this application • Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). 0 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. BUILDIN 1r(1i NER OR AUT I RIZED AGENT: / Signature.' Print : e: ___Tatie74 /4/4P/1141"0 Ma''ng Address: / 3 3 / , 2. 5 4 ? .ao. IDate Application Accepted: )_ - 1 Date: V/,210 %D /D Day Telephone: a(l(o 8462- 094g 5 eAf le GOA- GJP/2 City State Zip Date Application Expires: H:\ pplications\Forms- Applications On Line \2010 Applications \7 -2010 - Permit Application.doe Revised: 7 -2010 bh IL- 27- 1/ Staff Initials: Page 6 of 6 1 PLUMBING AND GAS PIPING PERII,INFORMATION — 206 - 431 -3670 • PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: State Zip City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Valuation of Plumbing work (co actor's bid price): $ Valuation of Gas Piping work (con actor's bid price): $ Scope of Work (please provide detai • • information): Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Expiration Date: Sewer: Indicate type of plumbing fixtures and/or gas piping outle , being i t =:. lied and the quantity below: Fixture Type: Qty Fixture Type: i,� 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) , ood -waste grinder, ,.,mmercial Floor Drain Shower, single head trap Lavatory .h fountain Receptor, indirect waste Sinks Urinals Wate , loset Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater . d/or vent Industri. ' waste treatment intercepto . ' ncluding trap and vent, e ,:pt for kitchen type grease in ceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Rep or alteration of w. ° r piping and/or water atment equipment Repair or altera: ,n of drainage or vent it •ing 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 •;t 'ce other than atmospheric - e vacuum breakers over 2 inch (51 mm) diameter _ Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacu breakers not included ' lawn sprinkler bac ' • w protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets H: Application&Forms- Applications On Line12010 Applications17 -2010 - Permit Application.doc Revised: 7 -2010 bh Page 5 of 6 • • wq� City of Tukwila Department of Community Development G1. 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.: 2172000215 Permit Number: D10-234 Address: 13312 56 AV S TUICW Status: PENDING Suite No: Applied Date: 08/27/2010 Applicant: ALBRITTON RESIDENCE Issue Date: Receipt No.: R10 -01760 Initials: User ID: Payee: WER 1655 Payment Amount: $370.25 Payment Date: 09/07/2010 10:00 AM Balance: $0.00 JONETH ALBRITTON TRANSACTION LIST: Type Method Descriptio Amount Payment Check 963 370.25 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - RES STATE BUILDING SURCHARGE 000.322.100 365.75 640.237.114 4.50 Total: $370.25 PAYMENT FCEV tD doc: Receiot -06 Printed: 09 -07 -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.: 2172000215 Address: 13312 56 AV S TUKW Suite No: Applicant: ALBRITTON REWSIDENCE RECEIPT Permit Number: D10 -234 Status: PENDING Applied Date: 08/27/2010 Issue Date: Receipt No.: R10 -01705 Initials: User ID: Payee: WER 1655 Payment Amount: $.85 Payment Date: 08/27/2010 02:15 PM Balance: $370.25 JOE ALBRITTON TRANSACTION LIST: Type Method Descriptio Amount Payment Cash Authorization No. ACCOUNT ITEM LIST: Description .85 Account Code Current Pmts BUILDING - RES 000.322.100 .85 Total: $.85 doc: Receipt-06 Printed: 08 -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.: 2172000215 Address: 13312 56 AV S TUKW Suite No: Applicant: ALBRITTON REWSIDENCE RECEIPT Permit Number: Status: Applied Date: Issue Date: D10-234 PENDING 08/27/2010 Receipt No.: Initials: User ID: R10 -01704 WER 1655 Payment Amount: $119.15 Payment Date: 08/27/2010 02:15 PM Balance: $371.10 Payee: JOE ALBRITTON TRANSACTION LIST: Type Method Descriptio Amount Payment Cash Authorization No. ACCOUNT ITEM LIST: Description 119.15 Account Code Current Pmts PLAN CHECK - RES 000.345.830 Total: $119.15 119.15 doc: Receiot -06 Printed: 08 -27 -2010 F' 41 • tor: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION' - 6300 Southcenter Blvd:, #100, Tukwila:.1NA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431-3670.. Project: ALOALTT.O.Aif /RP 5 Type of Inspection: t N4-t j t 6:A. • • Address: l 1.3 311/.. 54) . - -5._- - Date ed` � p t. 9.60 Special Instructions: . • • — Date Wanted• ' � �j -' + � � _ a.r - p.m. Requester: - Phone No: . -- 2,4 _0 t 414 Approved per•applicable codes El Corrections required prior to approval.. . COMMENTS: • 13 Inspe • Date: 2 • 0 REINSPECTION.FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southicenter Blvd., Suite 100. Call to .schedule reinspection. . • . INSPECTION RECORD Retain a copy'with permit INSPECTION 0: PERMITwNO: ▪ •:' ' CITY OF TUKWI.LA BUILDING DIVISION-:„-g—: 6300 Southcenter Blvd!, #100; Tukwila.•WA 98188 ; (206)01=3670 .. - • Permit Inspection Request Line (206) 431 -2451 • : Project: frrTWi / Type of Inspection : R. .I.sV _ UY Aess: .., 1 r2. 5 I IS Date Called: , ' . Special Instructions: . • • Y i Date Wanted: 9:- r4 a,m. p.m: Requester: Phone No: 213692-42.'• 05 • • • • • ■ Approved per applicable codes. Corrections required prior to approval. COMMENTS: • Date: 0 n REINSPECTION FEE REQUIRED. Prior•torriext inspection. fee must be paid at 6300 Southcenter 'Blvd:, Suite 100. Call to schedule reinspection. • 02 -01 -2011 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director JOE ALBRITTON 13312 56 AV S TUKWILA WA 98178 RE: Permit No. D10 -234 1331256 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 03/07/2011. 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 03/07/2011, 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, —.Q,,,,\Ic "R—J., Bill Rambo Permit Technician File: Permit File No. D10 -234 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 °PEN • PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D10 -234 DATE: 08 -27 -10 PROJECT NAME: ALBRITTON RESIDENCE SITE ADDRESS: 13312 56 AV S X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: tU uii �" �ding Division bi(c A/ 44- 8[ 1 ~1D pIre Prevention itki Structural Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete n DUE DATE: 08 -31 -10 Not Applicable n Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUTING: Please Route Structural Review Required n No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 09 -28-10 Approved n Approved with Conditions 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 Prj,ier Friendly Page 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 ICO CONSTRUCTION LLC UBI No. 602555359 Phone 2535314628 Status Active Address 14618 76Th Ave Ct E License No. ICOCOCL944CG Suite /Apt. License Type Construction Contractor City Puyallup Effective Date 2/7/2006 State WA Expiration Date 3/4/2012 Zip 98375 Suspend Date County Pierce Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company ther Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status BAYITSE1100J BAYIT SHASA ELOHIM LTD Construction Contractor General Unused 9/11/1989 8/30/1990 Archived DOUBLLC151NEDOUBLEL CONSTRUCTION Construction Contractor General Unused 8/5/1985 7/9/1989 Archived QUALIC'216N0 QUALITY CONSTRUCTION Construction Contractor General Unused 8/20/1979 8/20/1980 Archived ICOCOC'981KW I C 0 CONSTRUCTION CO Construction Contractor General Unused 5/16/2002 5/16/2006 Relicensed Business Owner Information Name Role Effective Date Expiration Date MILIRONS, ALBERT CLIFTON Partner /Member 02/07/2006 Bond Amount MILLIRONS, CAROLYN J Partner /Member 02/07/2006 100111894 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 3 American Contractors Indem CO 100111894 01/28/2010 Until Cancelled $12,000.0001/29 /2010 2 CBIC SH6992 02/04/2008 Until Cancelled 01/20/2010 $12,000.00 01/29/2008 1 EMPIRE FIRE & MARINE INS CO FS802109 02/03/2006 Until Cancelled 02/03/2008 $12,000.0002/07 /2006 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 5 BANKERS INS 46044000288790001 /04/2010 01/04/2011 $1,000,000.0001 /29/2010 4 UNDERWRITERS AT LLOYDS pfk040887 02/04/2009 02/04/2010 $1,000,000.00 02/10/2009 3 U/W AT LLOYDS PFK038636 02/04/2008 02/04/2009 $1,000,000.0001 /30/2008 2 UNDERWRITERS AT LLOYDS LONDON PFK035014 02/04/2007 02/04/2008 $500,000.0001/22 /2007 1 UNDERWRITERS AT LLOYDS PFK031010 02/04/2006 02/04/2007 $500,000.00 02/07/2006 https: / /fortress.wa.gov /lni /bbip /Print. aspx 09/07/2010 5(t 4V „So --;› 44. sleiA isocilt • AO 110‘ th o 't '1:;. .(. loost i 4 ' li.ce- 00:9 04)..:eht`t‘ti4:4"64.eto, 00,0 1- e 4,1c1-6,04Zeplaccincial 5-irrs Me coiuce_&d.e... 14;47 Re-BA/2, odo P.1 aexd-rie.x ot1Qft pctd, to Ails/ 4 eAch +e p1 440401 e4) stt eo,efil .4Ackt ha ye,- 7 Vdi " # rti CA, oi "att. 4414 So WY. s;Je sit*, st 5fee-s u4J11 :ee Bevele, irev. .41g4.0) REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. Nt117.:: Revisions will require a new plan submittal r:r.),1 may include additional plan review fees. KING APPICIVED - No changes Cin—birmadatothese plans without approval from the Planning DMsion of DCD Approved Date: B• D [I / • • a ?trApairt I. 1 44 • 5"5/4e L'elpechlot 12C cdie Ibe,w eiA idairc /// ....a.... man, aa, aa.Nava.a.ar,,, a.aaaaania., a, s+ FILE COPY Permit No. t110.239 Plan review approval is subject to errors and omissions. Approval of construction documents does not authorize the violation of any adopted code or ordinance. Receipt of approved Field Copy nd conditions is acknowledr By A / t cp ate: — — 6 City Of Tukwila BU MANG DIVISION 4.21.eroutkeeao*.g. , -to p utt.e“, .-Mte ed5e 0-C -I-e - rs 14), ipe • Z(41,ecitoia. 0tie4 REVIEWED FOR CODE COMPLIANCE _APPROVED__ utok C ABTUILiglIGTVIIia DUkIVIISlONI RECEIVED • - .1)10.*..2Z-44 AUG 27 2010 PERMIT CENTER SCALE: 1 DATE : g1/46,04142/0 APPROVED BY: 52;e1/41,1% 44;e/itiv DRAWN BY REVISED DRAWING NUMBER 4/24/406.