HomeMy WebLinkAboutPermit D11-018 - OHRI FOUR-PLEX - REROOFOHRI 4 -PLEX
15409 42 AV S
D11 -018
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.: 0043000221
Address: 15409 42 AV S TUKW
Suite No:
Project Name: OHRI 4 -PLEX
DEVELOPMENT PERMIT
Permit Number:
Issue Date:
Permit Expires On:
D11 -018
01/31/2011
07/30/2011
Owner:
Name: OHRI ASHOO +SACHAR RACHNA
Address: 3704 55TH ST NE , TACOMA WA 98422
Contact Person:
Name: LINDA JONES (OR HELEN)
Address: 26301 79 AV S , KENT WA 98032
Contractor:
Name: CHETS ROOFING & CONST INC
Address: 26301 79TH AVE S , KENT WA 98032
Contractor License No: CHETSRC924BB
Phone: 253 887 -0194
Phone: 253 -887 -0194
Expiration Date: 01/04/2012
DESCRIPTION OF WORK:
TEAR OFF EXISTING ROOF AND SHEATING. INSTALL OSB PLYWOOD, 15 LB FELT AND 30 YEAR COMPOSITION
SHINGLES. COMPLETE WITH ALL METAL EDGING AND VENTALATION.
Value of Construction: $7,200.00 Fees Collected: $401.49
Type of Fire Protection: International Building Code Edition: 2009
Type of Construction: VB Occupancy per IBC: 0021
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
doc: IBC -7/10
D11-018 Printed: 01 -31 -2011
Permit Center Authorized Signature:
•
Date: D09.21
I hereby certify that I have read and e - ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie • 'th, hether sp cifie • erein or not.
The granting of
construction o
to this permit
Signature:
Print Name:
rity to violate or cancel the provisions of any other state or local laws regulating
to sign and obtain this development permi and a ree to the conditions attached
Date:
/ 3/
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.
PERMIT CONDITIONS:
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: 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.
doc: IBC -7/10
D11-018 Printed: 01 -31 -2011
CITY OF TUKV1DA
Community Development Department
Public Works Department
Permit Center
::_8300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://Www.eLtukwila.wa.us
)(0 L/31 L. .
Building Pe No.
Mechanical Permit No.
Plumbing/Gas Permit No.
Public Works Permit No.
Project No.
V11— b(1)
For of
ice use onl
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
n King Co �l Assessor's Tax No.: 00 30 0-0 22\
Site Address: /5./09 ik S / 7 i /K < d4-. k' 9 Suite Number: Floor:
Tenant Name:
New Tenant: ❑ Yes .. No
Property Owners Name: 45A 0? 53 - 3q7 ' ' il 0 B" -
Mailing Address:
City
State
Zip
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name: ��f r
Mailing Address:
Day Telephone: a
5
E -Mail Address:
City
Fax Number:
State
GENERAL CONTRACTOR INFORMATION -
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
s Ploofin
9.G3 o// h 1/e S-
Contact Person: 7QVl i , 4 2c'1, 3 -- 67-5-3
CAPiv,o 'e QOL . to/3' .
Contractor Registration Number: chE7 $AC- ILL 86
gro3 z
E -Mail Address:
City State Zip
Day Telephone: c243- 3r/ -019'/
Fax Number: A5-5 -1,1i" 5426, .
Expiration Date: -7l /ok .
ARCHITECT
RECORD - All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City State Zip
Day Telephone:
Fax Number:
ENGINEER OF RECORD - All plans must be stamped by Engineer of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
H:\Applications\ponn - Applications On Line\2010 Applications \7 -2010 - Permit Application:
Revised: 7 -2010
bh
City State Zip
Day Telephone:
Fax Number:
Page 1of6
BUILDING PERMIT INFORMATION- 206 - 431 -3670
Valuation of Project (contractor's bid price): $ 7r Existing Building Valuation: $
Scope of Work (please provide detailed information): / r f'1•C 0, 6( /-s-// jZO no/ 3%1 F/1- {�jiy��,
21 OS6 / /yWOae/> y - e0m /05'i - S/ /k/a7/e.3 .
(' oft7 /PTA ex/ 4/1 in I,AJ Po/q �j c
Will there be new rack storage? ❑ ....Yes
fki\k)
❑ ..No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ Yes ❑ No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No
If 'yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H: \Applications\Form3-Applications On Line\2010 Applications \7 -2010 - Permit Application.doc
Revised: 7 -2010
bb
Page 2 of 6
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
l' Floor
0�
V-n
L�
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 ❑ 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: \Applications\Form3-Applications On Line\2010 Applications \7 -2010 - Permit Application.doc
Revised: 7 -2010
bb
Page 2 of 6
PERMIT APPLICATION NOTES liplicable 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
SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZE) TO APPLY FOR THIS PERMIT.
BUILDING OWE O UTHOR#�E AG
Signature: r�
Print Name:
Mailing Address: or& 30/
IDate Application Accepted:
Day Telephone:
7°rfh gkr S R'en>' . 9303 2_
otl2-qii
City
Date: `f /Ji
02.53- 8�7 -GrgS�
State
Zip
Date Application Expires:
V t
24
H:\Application\Porms- Application On Line\2010 Applications \7 -2010 - Permit Application.doc
Revised: 7 -2010
bh
Staff Initials: 66,A,„
Page 6 of 6
1
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: http: / /www.ci.tukwila.wa.us
RECEIPT
Parcel No.: 0043000221 Permit Number: D11-018
Address: 15409 42 AV S TUKW Status: PENDING
Suite No: Applied Date: 01/24/2011
Applicant: OHRI RESIDENCE Issue Date:
Receipt No.: R11 -00120
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $401.49
Payment Date: 01/24/2011 12:34 PM
Balance: $0.00
CHET'S ROOFING AND CONSTRUCTION, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 35698 401.49
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - RES
PLAN CHECK - RES
STATE BUILDING SURCHARGE
000.322.100
000.345.830
640.237.114
Total: $401.49
240.60
156.39
4.50
doc: Receiot -06 Printed: 01 -24 -2011
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
INSPECTION RECORD
Retain a copy with permit
,v / / -nag
PERMIT NO.
a�
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
(i /MI - Pi -0x
Type of Inspection:
£7& ,1 L.
Address:
/5 4/ a', L /.2 A U
Date Called:
Special Instructions:
9/Vii
Date Wanted:
- 5- - //
Ca.m`
p.tlf
Requester:
Phone No:
n2 6 6 --j3-e -4
75 3
V,...., Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
"P'"'1%4 frk ;ye
Rece
Date:
'7
EINSPECTION FEE RE u UIRED. rior to inspection, fee must be
6300 Southcenter Blvd., Suite 10 Call to schedule reinspection.
o.:
!Date:
::.
INSPECTION RECORD
Retain a copy with permitilig--e:VP
INSPECTION NO. PERMIT N
CITY OF TUKWILA BUILDING DIVISION
6300.Southcenter Blvd.; #100, Tukwila. WA 98188 . (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
e:3,41R2- V - A 1.6. x
Type of Inspection:
pino- Re POO r7--
Address:
/ 5-4165. 4/2
4-0
Date Called:
?Al --ae n 004
-. -
Special Instructions:
. . ..
Date Wanted:
f'..fitr71:
Requester:
.
Phone No:
046- 3.54
-6.75
3
8SglApproved per applicable codes.
ElCorrections required prior to apiyoval.
COMMENTS:
(
?Al --ae n 004
- 4i p'
Wawrkt
iled-c kk.41.0.44?
110
446
1
A
le
.,.....ed'
/
—
i 2
,
-
-..
40"
,
1T ''XIal
Inspect
Date:
1/2c,
SPECTION.F E REQUI 1 D. Prior t .next inspection. fee must be
at 6300.Southcenter Blvd., Suite 100. Call to schedule reinspection.
AN.
• Li
pftiVOIVYT-,•10- -A5Z/It. ' • • • ••• • • -••
06 -30 -2011
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
LINDA JONES (OR HELEN)
26301 79 AV S
KENT WA 98032
RE: Permit No. D11 -018
15409 42 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 08/01/2011.
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 08/01/2011, 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. D11 -018
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
v. c.l dc, 11sl
Bonded and Insured
Ash
253-347-4608
Chet's
ROOflI GO�ctonlizc
1-87
Ke A 98032
No.
Roo
Proposal Submi?�T onlrioo brtz moat i
ties TQ
h �� ► ■ritr1US 1011 nob ram. K.
1.4;938F1 .eonsnibio 10
O
1) Protect plants, grass lawn,lsi " c f u el i c i i C. i � gq;
� eVOl
2) Tear off existing roof down to decking and dispose of at a proper facility. x`9`9°'
3) Re -nail loose sheathing.
4) Replace any delaminated/faulty s e ng w1 new z . ner sheet.
5) Install (1) ply of #15Ib ASTM asphalt saturated felt over roof deck with 2 p all valleys. •
6) Install (30 year) fiberglass shingles over paper man shingles wiII be fastened with electro
galvanized roofing nail. SIIUT i�
7) Install hooded vents to code..
8) Install new flashing over standing pipesMOI2IVICI OttlI®JIU
9) Re -flash roofing along adjoining walls with new steps 26g baked on enamel metal.
10) Re -flash roofing around skylight curbs with new baked on enamel sheet metal.
11) Re -flash roofing around chimney with new baked on enamel sheet metaL
12) Clean gutters and downspouts.
13) On a daily basis all debris generated by Chet's Roofing, will be cleaned up and or organized in a ro ion : manner.
14) Remove all equipment and debris. - V t
CITY •} > ., ; LA
Labor Warranty 10 Years �} ' Material W
Type of roofing �: 30 year. �� Color.
arranty: JAN 2 4 2011
Bid Amount: $: ‘ 10.00
(Add local sales tax and wilding permit fee, only if required) PERMIT C N R
Cont. Reg. #CHETSRC924BB
a' \'\ , 02-x`
1 Ivoiq1 IZVOMS WhaewoPerformedAt:
eboo&kr t
Conditions of sale:
Payment is expected on day of completion of contract. All accounts not paid on day of completion of contract are considered past due. Credit card
payments are not accepted if account is past due. Interest of 12% of unpaid balance will be applied on the 1' of the month, then will be applied
thereafter, on the monthly bases starting on the 1' day of each month following. Contractor will institute collection proceedings for unpaid balance
against Buyer. All expenses incurred by Contractor, i.e. attorney fees, collections agency fees, interest and late fees, will be responsibility of the Buyer.
If contract balance is not paid in full after collection proceedings have been executed, all warranty(s) will be null & void. No return visits or additional
work will be done if there are outstanding monies owed to Contractor. Warranties noted above become effective when payment is received In full. At
such time as the contract price has been paid in full, this roof will be warranted against leaks and poor workmanship. Defective materials are covered by
the manufacturer's warranty. Workmanship warranty does not cover damages due to uncontrollable. weather conditions. By signing this contract, you
are stating you haveiauthorization to act on behalf of the property owner. However, all persons signing this contract on behalf of the property owner will
be held legally responsible fbrpayment of the contract price himself, if property owner does not pay. Contractor will complete this Agreement. No verbal
or other agreements shall change any part of this contract. Title to the described products will pass to Buyers when products are installed pursuant to
RCW 19.16.100 and 19.16.250. Excess materials are not subject to contra
Contractor the cost. All workers are covered by WA State Workman Com, nsation Insurance. We giVignom this contract at any t, e before
work begins. This proposal is based upon a visual inspection and readily i•. ntifiable condi�:�i ps_. i te�i ,,�s u �previ•us
workmanship or rotted wood are not included in the contract bid. Should ragenni rf Fain la i toidli or • l use its
best efforts to reach Buyer or his representative after the discovery of hid • en conduce f. on . c(raig fd10'RO ttiniltite a b'Tdden def ; are listed
on the back of this proposal. Consequential damages are not responsibili of the Contract r Fit pje eu, d p ri i tt' -tracked sheet •ck broken
flowers, dust on neighbor's house, falling objects (pictures, vases, etc). C. tractor is not t f r' alit deitsuent'dam'a *es due too„ii a uacies,
structural or otherwise, of your property before, during or after the contract oyro �esaii u,, 4l�gtJ4otilirtlif , +,ttrafksiiju,driveway�a� • m
dumpster or trucks, damage to ceiling from vibration due to work or loading of mattegqals;�doa coo ys liaj{gLarrcess,to driveway or.yard;area for
placement of dumpster or dump truck for debris. Contractor is not responsible fd-Trdlentatibnsb g tffddcks'd'rworli krocess. Contractor must be
given notice of any problems arising with it's workmanship to remedy the sitffatier o e ng un e . en or completed by other
contractors. If anyone other then Chet's'Rooflng & Construction performs work on or adjust/damages roof surface, the workmanship warranty will
become null and void. No commitments are given by any promises or statements made by any agent of Contractor other then written and provided
herein. By signing this proposal you also give Chet's Roofing & Const. Inc. s the right to correct any and all issues or concerns in correspondence with
the work performed by CHETSRC Inc
I have received a copy of this proposal and have read backside, and received Notice to Customer form. I understand I
have 72 -hour time period to cancel this signed contract. I also understand that if I decide to cancel this contract after
72 -hour time period, I will be responsible for cost of the material that is special ordered or non - refundable.
Respectfully Submitted by: Buyer Approval: �•••
Chees Roofing & Contraction Signature . 1)411(,)Isls
Saks Estimator: Chet Chndel nsid 206- 841 -6339 Date:
FILE COPY
C
Permit Permit No. , bil
-h v
Plan review approval is subject to errors and omissions.
tiprroval of construction documents does not authorize
the violation of an adopted �,,; = In
� `: � - ed:
of approved ••: o and
° %; rr;iuE : ►, i
Date:
City Of lbkwila
BUILDING DIVISION
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.
4
REVIEWED FOR
�
CODE CO MPLIA N
Ap®o vD
JAN 2 8 2011
-'11--- C' ry o fTulmila BUILDING nlvMRi(1 N
OPERMITCOORDCOPYIP
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D11 -018 DATE: 01/24/11
PROJECT NAME: OH RI 4 -PLEX
SITE ADDRESS: 15409 42 AV S
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # after Permit Issued
DEPARTMENTS:
uilcling Division
Public Works ❑
AF' iire Prevention I.
Structural
Planning Division
❑ Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete IN
Comments:
Incomplete U
DUE DATE: 01/25/11
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:
Please Route IN;
REVIEWER'S INITIALS:
Structural Review Required ❑ No further Review Required ❑
DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 02/22/11
Approved ❑ Approved with Conditions 1>< Not Approved (attach comments)
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections:
Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documems/routing slip.doc
2 -28 -02
Contractors or Tradespeople P,nter Friendly Page
1
General /Specialty Contractor
A business registered as a construction contractor with L&I to perform construction work within the scope of
its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name CHET'S ROOFING & CONST INC UBI No. 602786907
Phone 2538870194 Status Active
Address 26301 79Th Ave S License No. CHETSRC924BB
Suite /Apt. License Type Construction Contractor
City Kent Effective Date 1/2/2008
State WA Expiration Date 1/4/2012
Zip 98032 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
censer
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
CHETSRC011MA
CHET'S ROOFING a
CONSTRUCTION
Construction
Contractor
General
Unused
7/1/1999
7/1/2000
Archived
DYNAMDR975MB
DYNAMIC DESIGN
ROOF CONST INC
Construction
Contractor
General
Unused
7/2/2003
7/2/2005
Expired
CHETSRC000BE
CHET'S ROOFING a
CONSTRUCTION
Construction
Contractor
General
Unused
1/5/2000
7/9/2009
Re-
Licensed
Business Owner Information
Name
Role
Effective Date
Expiration Date
CHMLELINSKI, CHESTER T
President
01/02/2008
Bond Amount
CHMIELINSKI, HELEN H
Secretary
01/02/2008
100148201
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
American Contractors
Indem CO
100148201
01/01/2011
Until Cancelled
$12,000.0012/22
/2010
1
AM STATES INS
6542953
01/01/2008
Until Cancelled
01/01/2011
$12,000.00
01/02/2008
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
CRUM Et
FORSTER
SPECIALTY INS
GL0191312
07/01/2010
07/01/2011
$1,000,000.00
06/28/2010
3
UNITED
SPECIALTY INS
AGL0920704
07/01/2009
07/01/2010
$1,000,000.0007
/06/2009
2
UNITED
SPECIALTY INS
CO
AGL0810441
07/01/2008
07/01/2009
$1,000,000.00
07/01/2008
1
FIRST MERCURY
INS CO
FMFL002902
07/01/2007
07/01/2008
$1,000,000.00
01/02/2008
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
01/31/2011