HomeMy WebLinkAboutPermit D10-273 - HUBNER RESIDENCE - IMPROVEMENTHUBNER RESIDENCE
14254 34 AV S
D10 -273
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.: 1523049165
Address: 14254 34 AV S TUKW
Suite No:
Project Name: HUBNER RESIDENCE
DEVELOPMENT PERMIT
Permit Number: D10 -273
Issue Date: 11/04/2010
Permit Expires On: 05/03/2011
Owner:
Name: TUN NAN +AMKY WONG
Address: 14254 34TH AVE S , TUKWILA WA 98168
Contact Person:
Name: HERALD HUBNER
Address: 19655 1 AV S #208 , SEATTLE WA 98148
Contractor:
Name: SAMARA HUBNER INC, THE
Address: 19655 1 AV S #208 , SEATTLE WA 98148
Contractor License No: SAMARHI066LG
Phone: 206 - 949 -6896
Phone: 206 878 -8875
Expiration Date: 07/15/2012
DESCRIPTION OF WORK:
REPLACE DOWNSTAIRS WINDOW TO MEET CODE, IMPROVE STAIRCASE TO MEET CODE. INSTALL BATHROOM
DOWNSTAIRS, REPLACE ALL PLUMBING (ENTIRE HOUSE) AND CONNECT TO SEWER MAIN. PROJECT ON VALLEY VIEW
SEWER.
Value of Construction:
Type of Fire Protection:
Type of Construction:
$5,000.00
V -B
Fees Collected: $306.95
International Building Code Edition: 2009
Occupancy per IBC: 0022
* *continued on next page **
doc: IBC -10/06
D10 -273 Printed: 11 -04 -2010
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
Permit Number: D1O -273
Issue Date: 11/04/2010
Permit Expires On: 05/03/2011
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: N
/)
Permit Center Authorized Signature: 1 k ► l ∎J f . ..
Date:
I hereby certify that I have read and
governing this work will be complie
ed tlus permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not pr e 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.
Signature:
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 -10/06
D10 -273 Printed: 11 -04 -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
Parcel No.: 1523049165
Address:
Suite No:
Tenant:
14254 34 AV S TUKW
HUBNER RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
D10 -273
ISSUED
10/04/2010
11/04/2010
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: 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.
6: All wood to remain in placed concrete shall be treated wood.
7: 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.
8: 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.
9: 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.
10: 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.
11: 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).
12: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
13: 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.
14: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * **
doc: Cond -10/06
D10-273 Printed: 11 -04 -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
15: Any sewer /plumbing modifications and/or reconnection to existring sewer pipe outside the building requires coordination
with Valley View Sewer District at (206) 242 -9547. Applicant shall call the District to determine if permit or
inspection is required.
* *continued on next page **
doc: Cond -10/06
D10 -273 Printed: 11 -04 -2010
s �
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: htv://wwwci.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:
Ace
Date:
doc: Cond -10/06
D10 -273 Printed: 11 -04 -2010
CITY OF TUKIII1A
Community Develo ent Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
I
Building Pet* No.
Mechanical Permit No.
Plumbing/Gas Permit No.
Public Works Permit No.
Project No.
(For office use only)
Wo Lb— g
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: /q 14. A uC .
King Co Assessor's Tax No.: OS' Z IOL/ 11& — oc/
Suite Number:
Tenant Name:
Property Owners Name: 774F- 504,4 cy, tz okokiet2
Mailing Address: /I/o 1 Sr d4Vt: So. 20
New Tenant:
City
Floor:
❑ Yes ❑ .. No
Laid-
State
9S -isig-
Zip
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name: /1-1E'2v4 tJlo N ± tZ
Mailing Address: t14' Sf Ave .o •
'frZo c�
E -Mail Address:
Day Telephone: 2Yo
c N It_
City
Fax Number: 70 6
— 995—G rr-94v
State / Zip
ZVI/ — to (o 7Sr
GENERAL CONTRACTOR INFORMATION -
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address: ) , (o Ttc / St 4-uc . _So.
-77/c 44.4402.4- A L.A.I Oa
Contact Person: )4dokitiL
E -Mail Address:
Contractor Registration Number: Sv4r 2)- ) (I (o Co Z v
44 le-
City
Day Telephone: 9'c9 S 6A-5 Cp
Fax Number: ?b(n -25i L/ - G 6 7
Expiration Date: 7/15 126 / jL
LtiVit
State
9 Y�
Zip
ARCHITECT OF RECORD - All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
State
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
Zip
ENGINEER OF RECORD - All plans must be stamped by Engineer of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
H:\ Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc
Revised: 7 -2010
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City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 6
BUILDING PERMIT INFORMATIO 206- 431 -3670
J_1.,0�_,�,�,
Valuation of Project (contractor's bid price): $ 7 7i WU,
Existing Building Valuation: $ /7r (DO O. SI--
Scope of Work (please provide detailed information): Re P E a / I pl u.ti„ 10 t'. (°oN CA- #
gtwcCi JA 1 ■ u Vet CF 17o.+..v Sjw.vL i w %.it J taw •,o 1M.?.c - dezae i
Z-AM n1/` au 'si' A : a -L`-4, 1 4■44Gre4 CC3 G /
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): 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 (2( Other (specify) 5141 o kt [C h-S
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\Forms- Applications On Line12010 Applications17 -2010 - Permit Application.doc
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Page 2 of 6
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of .
Occupancy per
IBC
1g Floor
2nd Floor
3rd 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 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 (2( Other (specify) 5141 o kt [C h-S
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\Forms- Applications On Line12010 Applications17 -2010 - Permit Application.doc
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Page 2 of 6
PLUMBING AND GAS PIPING PERIVd)NFORMATION — 206 - 431 -3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: -- A (ye if rr it , I t
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Plumbing work (contractor's bid price): $ S boa
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information):
Building Use (per Int'l 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
Clothes washer, domestic
I
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
I
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet
A
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
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Page 5 of 6
1
PERMIT APPLICATION NOTES — licable 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).
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:
Signature:
Print Name: '-.\-∎, `y,a6'L
Mailing Address: /' (S ) S}- A t.des Sv. 20
Date Application Accepted:
Date: 0C4 y )21i) (
Day Telephone: 20 6 4:47 —C„ Sr 5 L
City
State Zip
Date Application Expires:
Staff Initials:
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1
• •
City of Tukwila
l ;�2 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.: 1523049165 Permit Number: D10-273
Address: 14254 34 AV S TUKW Status: PENDING
Suite No: Applied Date: 10/04/2010
Applicant: HUBNER RESIDENCE Issue Date:
Receipt No.: R10 -01970
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $306.95
Payment Date: 10/04/2010 11:39 AM
Balance: $0.00
SAMARA HUBNER INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 30758 306.95
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - NONRES
PLAN CHECK - NONRES
STATE BUILDING SURCHARGE
000.322.100
000.345.830
640.237.114
Total: $306.95
183.30
119.15
4.50
doc: Receiot -06 Printed: 10 -04 -2010
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
1,3/0
CITY OF TUKWILA BUILDING DIVISION •
6300 Southcenter Blvd., #100, Tukwila. WA 98188 • (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
2/,6^/J A
Af S -
Type of Inspection:
r/ A/AG
Address: ,3
4' 4 v
Date Called:
Special Instructions:
Date Wanted:
3 --
%
—/ / p.m.
Requester:
Phone No:
...?Ola
—
y9— L'cG
Approved per applicable codes. E Corrections required prior to approval.
COMMENTS:
f
J
4.
Inspector:
�R
r
l
Date:
-25-- • ti
ECTION FEE REQUI ° E. Prior tyiiext inspection. fee must be
at 6300 Southcenter B d Suite 1.00. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.%.-
CITY OF TUKWILA BUILDING DIVISION
ig-
( 431 -3670
Duo z ?3I
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451•
Project:
Type of Inspection: .
Address: �+
y .gyp
Date Called:
Special Instruct;
s:
Date Wanted: .
/ — eso — / /
a.m.
-
Requester:
Phone No:
egn 4 - 5- 417 --6
Approved per applicable codes. ❑ Corrections required prior to approval. -b -
I
(.0-1(
.n'REINSP5`CTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
7.1.m a. • xw:. •,
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.: !
ITY OF TUKWILA'BUILDING DIVISION
6300 Southcenter Blvd.., #100, Tukwila. WA 98188 . (206) 431 -3670
'Permit Inspection Request Line (206) 431 -2451
INSP CTI J N NO.
0/0 -2.73
Project:
/4/.74.8A/die ,9 _
Type of Inspection:
G .4,4ziip'ar
Address:
/ V.2,5 4/ •.g 11
14!,/ C
Date Called:
Special Instructio s:
Date Wanted:
a.m
Requester:
Phone No:
Approved per applicable codes.
DCorrections required prior to approval. ?.D •
COMMENTS:
•
Inspector:
•
Date: •
—a":1‘, —4/
REINSPECTION.FEE REQUIRED. Prior to next inspection. fee must be
paid at:6300.Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Pa o.
i •=Sorrow ` ..PI • •Is6'Y- -4lli' her. .@{•fin X-.4 d.. 1.•.
:+.�r�tirare. -r-
ST.00r.
4
-40
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
4/0-273
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: .
124goR Hes %.
Type of Inspection:
rkipii/A/4
Date Called:
Address:
Special Instructions: .
/
Date Wanted: a.m.
Requester:
Phone No: .
e 9 64 -c1/5" -68i 4
Approved-per applicable codes. C
orrecuons required prior.to approval.,
COMMENTS:
1
Fi . f
REINSPECTION FEE REQUIREMAP e :or t next inspection. fee must be
paid at 6300 Southcenter Bledl.guite 100. Call to schedule reingpection.
, ,..; f\
4
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D10 -273
PROJECT NAME: HUBNER RESIDENCE
SITE ADDRESS: 14254 34 AV S
X Original Plan Submittal
Response to Correction Letter #
DATE: 10 -04 -10
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
tO
Dui dind Division
public
lv
1, 1-0
o
rks
N-
ire Prevention
Structural
Planning Division
❑ Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 10-05-10
Complete
Comments:
Incomplete n
Not Applicable
n
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
nNo further Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved n Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE: 11-02-10
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 liter Friendly Page
o
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 SAMARA HUBNER INC, THE UBI No. 601493197
Phone 2068788875 Status Active
Address 19655 - 1St Ave 5 #208 License No. SAMARHI066LG
Suite /Apt. License Type Construction Contractor
City Seattle Effective Date 6/7/1994
State WA Expiration Date 7/15/2012
Zip 98148 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
HUBNEBC169DW
HUBNER BROTHERS
CONST INC
Construction
Contractor
General
Unused
3/16/1984
6/7/1994
Archived
HUBNEBC336NM
HUBNER BROS
CONSTRUCTION
Construction
Contractor
General
Unused
8/14/1967
6/7/1983
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
HUBNER, HERALDA
Member
01/01/1980
Bond Amount
HUBNER, GORDON HENRY
Member
01/01/1980
70751316
HUBNER, NORMAN STANLEY
Member
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
WESTERN SURETY CO
70751316
07/15/2009
Until Cancelled
$12,000.0008/13
/2009
5
PLATTE RIVER INS CO
41084539
06/21/2008
Until Cancelled
07/30/2009
$12,000.0007/11
/2008
4
AMERICAN STATES INS
CO
6172483
06/07/2002
Until Cancelled
08/04/2008
$12,000.0006/07
/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
18
NEVADA
CAPITAL
INSURANCE
COMPA
77NPP4013327
07/15/2010
07/15/2011
$1,000,000.00
07/09/2010
17
CENTURY
SURETY CO
CCP604895
07/15/2009
07/15/2010
$1,000,000.00
07/10/2009
16
ESSEX INS CO
3CY7422
07/15/2008
07/15/2009
$1,000,000.00
07/15/2008
15
ESSEX INS CO
3CQ2931
07/10/2008
07/10/2009
$1,000,000.00
07/14/2008
14
ESSEX INS CO
3CQ2931
07/10/2007
07/10/2008
$1,000,000.00
08/01/2007
13
CORNHUSKER
CAS CO
WBP0017052
07/10/2003
07/10/2007
$1,000,000.00
07/06/2006
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
11/04/2010
•
SEPARATE PERMIT
REQUIRED FOR:
Menhanicel
Plumbing
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City of Tukwila
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OCT 15 2010
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Approval of construction documents does not authcrizo
the violation of any adopted code or ordinance. Reca pt
of approved Fold Copy and conditions is acknowledged.
By
City Of 'UMW
BUILDING DIVISION
REVISIONS
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OCT 04 2010
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RECEIVED
OCT 0 4 2010
PERMIT CENTER