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HomeMy WebLinkAboutPermit D11-145 - HEATHERWOOD APARTMENTS - DRYWALLHEATHERWOOD APARTMENTS 5851 S 152 ST UNITS 201, 202, 203 & 301, 302, 303 Dl 1 -145 City oftukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.TukwilaWA.gov DEVELOPMENT PERMIT Parcel No.: 1157200380 Address: 5851 S 152 ST TUKW Suite No: Project Name: HEATHERWOOD APARTMENTS - BLDG A Permit Number: Issue Date: Permit Expires On: D11 -145 05/25/2011 11/28/2011 Owner: Name: TUKWILA REALTY LLC Address: C/O SUHRCO RESIDENTIAL , 2010 156Th AVE NE STE 100 98007 Contact Person: Name: ANGELINA RUIZ Address: 11831 SE 32 ST , BELLEVUE WA 98005 Contractor: Name: PIPELINE PLUMBING & CONSULTING, INC. Address: 11831 SE 32 ST , BELLEVUE WA 98005 Contractor License No: PIPELPC 101 BW Phone: 425 - 644 -2622 Phone: 425 644 -2622 Expiration Date: 09/13/2012 DESCRIPTION OF WORK: REPLACE DRYWALL REMOVED TO FACILITATE POTABLE WATER REPIPE. UNITS 301, 302, 303, 201, 202 & 203 REVISION #3: CORRECT UNITS IN STACK ORDER. UNITS SHOULD BE 102, 202, 302 AND 103, 203, 303. WER Value of Construction: $5,000.00 Fees Collected: $187.80 Type of Fire Protection: SPRINKLERS International Building Code Edition: 2009 Type of Construction: V -B Occupancy per IBC: 0021 Electrical Service Provided by: * *continued on next page ** doc: IBC -7/10 D11-145 Printed: 06 -07 -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. Start Time: End Time: Fill 0 c.y. 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: � - 4� -1 Date: I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: Print Name: Date: C9 — L / 247tc4S Se A rr 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 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 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. doc: IBC -7/10 D11-145 Printed: 06 -07 -2011 7: All electrical work shall be inspected anciroved under a separate permit issued by tlety of Tukwila Building Department (206- 431 - 3670). 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. doc: IBC -7/10 D11-145 Printed: 06 -07 -2011 Parcel No.: Address: Suite No: City ofkukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Inspection Request Line: 206- 431 -2451 Web site: http: / /www.TukwilaWA.gov 5851 S 152 ST TUKW DEVELOPMENT PERMIT Project Name: HEATHERWOOD APARTMENTS Permit Number: D11 -145 Issue Date: 05/25/2011 Permit Expires On: 11/21/2011 Owner: Name: Address: Contact Person: Name: ANGELINA RUIZ Address: 11831 SE 32 ST , BELLEVUE WA 98005 Contractor: Name: PIPELINE PLUMBING & CONSULTING, INC. Address: 11831 SE 32 ST , BELLEVUE WA 98005 Contractor License No: PIPELPC101BW Phone: 425 - 644 -2622 Phone: 425 644 -2622 Expiration Date: 09/13/2012 DESCRIPTION OF WORK: REPLACE DRYWALL REMOVED TO FACILITATE POTABLE WATER REPIPE. UNITS 301, 302, 303, 201, 202 & 203 Value of Construction: $5,000.00 Fees Collected: $187.80 Type of Fire Protection: SPRINKLERS International Building Code Edition: 2009 Type of Construction: V -B Occupancy per IBC: 0021 Electrical Service Provided by: * *continued on next page ** doc: IBC -7/10 D11 -145 Printed: 05 -25 -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: ., 3 S Date: –0)-3— j I I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: Print Name: A/ft cis Date: 6— 02S —/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. 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 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 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. doc: IBC -7/10 D11-145 Printed: 05 -25 -2011 7: All electrical work shall be inspected and - approved under a separate permit issued by tlitty of Tukwila Building Department (206- 431 - 3670). U 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. doc: IBC -7/10 D11-145 Printed: 05 -25 -2011 CITY OF TUKISA Community DevelaPhent Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.citukwila.wa.us Building Pet No. •b i I 1 14 S 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.: Site Address: 5 g67 S /6::R s'i' 1-1401.170, Suite Number: t- 14r01 4 tAroo of pi-P-f405 Property Owners Name: Mailing Address: City Tenant Name: New Tenant: Floor: 1 - 3 ❑ Yes ❑..No State Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Name: iv1A rC S rrri �i8) s'-e_ 3,2s+- `V kV BfV' f) e l /%1€ f 1 h dtp),. Cc n'1 Mailing Address: E -Mail Address: Day Telephone: a S3- 9 ^ 6I 36' City Fax Number: oos 14-.2S Stale - 2 ?�g GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: Mailing Address: ekt b.' Sa �d 1lg3j c o n g/'/-/'\'►. City Contact Person: I i 101 rC fit 5 S . rye Day Telephone: E -Mail Address: In, t,-y'.. efy-c 1, k,, P j vl <Mb i (14'1 Fax Number: 14,0\ °18005' State Zip 1LL,W 6W- - p2 7 Contractor Registration Number: Expiration Date: ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Contact Person: E -Mail Address: State Zip ENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Contact Person: E -Mail Address: H:\ApplicationsWorms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised. 7 -2010 bh State Zip Page 1 of 6 BUILDING PERMIT INFORMATION — 206 - 431 -3670 Valuation of Project (contractor's bid price : $ Pk/19 5/000 Existing tiding Valuation: $ Scope of Work (please provide detailed information): rta j i()ire roc boot rd -�o r (-� f 7° � h 1?-5 2 0 11 c2 D. I „R 0? 30 )14 o .2, ?o 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: 4 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. 111 ApplicalwnslForms- Applications On Lint12010 Applications17 -20]0 - 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 1St 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: 4 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. 111 ApplicalwnslForms- Applications On Lint12010 Applications17 -20]0 - Permit Application doc Revised 7 -2010 bh Page 2 of 6 I Date Application Accepted: PERMIT APPLICATION NOTES - Ilicable to all permits in this application s1 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 i 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 HERE13Y 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 OW ER OR AUTH RIZED AGENT: Signature: Print Name: fyyi tos stoolrr"t Mailing Address: J 1 (231 S- -e - c2 S Dayj Telephone: Date: l / tg c / 11 City 1/I.,dl State Zip Date Application Expires: Staff Initials: H 1ApplicationsWorms- Applications On Line,20l 0 App I ications17 -2010 - Permit Application. doc Revised 7 -2010 bh Page 6 of 6 1 i • 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.TukwilaWA.gov RECEIPT Parcel No.: Permit Number: D11-145 Address: 5851 S 152 ST TUKW Status: PENDING Suite No: Applied Date: 05/25/2011 Applicant: HEATHERWOOD APARTMENTS Issue Date: Receipt No.: R11 -01063 Initials: User ID: Payee: WER 1655 Payment Amount: $187.80 Payment Date: 05/25/2011 08:49 AM Balance: $0.00 PIPELINE PLUMBING (PHONE) TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 015284 ACCOUNT ITEM LIST: Description 187.80 Account Code Current Pmts BUILDING - RES STATE BUILDING SURCHARGE 000.322.100 640.237.114 Total: $187.80 183.30 4.50 doc: Receipt -06 Printed: 05 -25 -2011 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. ,,� CITY OF TUKWILA BUILDING DIVISION C� -/ . 6300 Southcenter Blvd., #100, Tukwila. WA 98188 *-- (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 << 145 P r o R t 6 4 , C A ) J c l TYP f Inspection: ®'^tc] t l� Address: 4 Date Ca,;, -. 6;\03 Special Instructions: Date Wanted: &;i —,?--- V a.m. Requester: t,<'06.:. Phone 7_53 —WO o O — tJ;6 Approved per applicable codes. Corrections required prior to approval. COMMENTS: PpliKr1(>0),A IA 1017 t A1T3 Ai? P ro u4 Arm; 162, 2,,b2(36-2,— t O__?�Za.3�3� Inspector Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD DU ' I; Retain a copy with permit I INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 V=im" (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 i4 Pro'e t: 4e., ef uod d Type of Inspection: r , �; ,v A L 3u . !6. Ae' Address: Date Called: Special Instructions: Date Wanted -1- II a.m. Kr m: Requester: Phone No: 2S3- f'e0- 4013,6 0 Approved per applicable codes. El Corrections required prior to approval. • COMMENTS: v et- OA 1L1� f� np Inspector, p.AA tki,c_i Date: to �r r ❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • • INSPECTION RECORD Retain a copy with permit O1' -!4S INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Proje t; _ -f'� ` ! W1(} Type ,of lnAIctio n 0 . I ,Q ,11,. Address; S I s /-40 I S. r Date Called: a� Special Instructions: Date Wanted: `. r' ( r ' f p.m. Requester: Phone N9; 2 3 -'Y4 -6 I JApproved per applicable codes. a Corrections required prior to approval. COMMENTS: .D t '-r . Ora s I r Inspect Date: V f l n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must ble paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ¢3p, g: •- -r--v *?!!:IC.- T'77• .rl'r"s'7 17'r ".,'• : • .�.. _ -•µm�� .,T w+py:+7 ', .?• t - - 11,7 �Z. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. ��, CITY OF TUKWILA BUILDING DIVISION • 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 IPr Proj t: v.! 33 0 Type of Inspection: � V� Address: l� S-Fr c i S. r ±SZ Date Called: _. Special Instructions: Date Wanted: a dry_ , t — (' �m p.m. Requester: Phone No: 253-- go -6oX34 JApproved per applicable codes. Corrections required prior to approval. COMMENTS: Prei of 'lit 7 ..A (0E.— REINSPECTION FEE REQUIRED. Prior to next inspection, fee .must be. paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. • INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 43._ t°(206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Pro' c�ertiJ �. 0 Type Vr.spectork. />• u e [ a,IA l.? Address _ Date Called: ( Special Instructions: Date Wanted: .S -3 / ^ // // c-- a.rp,. P.m. Requester: Phone `o: 7 >3-X80 _ 41 ElApproved per applicable codes. COMMENTS: Corrections required prior to approval. 0441\ Asfpf,fixtA 3n '7(o3 * 3 �. InsKtor: Date - r 1/ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION N0. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 �'ti Ott v t4 5 Pro ct: P%tJkG /M; Type of Inspection: (..)!� aiA JA,r Ad ss(: / s. / s2 Date Called: (,p 101 ?.0 (( 5v f P L,,�,ki� , A-- Special Instructions: 7CS 3 0 ( V 1 � I 3°7r 3 �3 2-02-2.0_3 / Date Wanted: — 3 / —. )i asp.. p.m. Requester: 130-3 } 1D3 -%A Phone No- ElApproved per applicable codes. EJCorrections required prior to approval. COMMENTS: 4( ,,Jt -'S ` vk "' J , 03 60/1 S z-,0/0 aiA JA,r ffcJ/7 0 3 j3 .0 /A 1 (,p 101 ?.0 (( 5v f P L,,�,ki� , A-- � PA"Aba A i r pr 641a 6A17 i. 0 O/1 fk 130-3 } 1D3 -%A Insp ctor: n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD • Retain a copy with t3etmit INSPECTION NO. 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: ,41p4 T,ile 9/3 Type of Inspection: Address: .-5--,035--/ s .6--„? 5-7 Date Called: Special Instructions: Date Wanted: ..-'"..26- // . p.m. Requester: Phone No: ,2s3_eS1h -6 /3.G Approved per applicable codes. O Corrections required prior to approval. COMMENTS: fi1 ^ /� t~ ) ,..)P, :Ad ?rovQ�� nscectQr \ Date: jcr / 2 G1 l RE! PECTION FEE REQUIRI ED. Prior to n)xt inspection, fee must be paid-at 6300 Southcenter Blvd., Suite 1:00. Oall to schedule reinspection. City of Tukwila REVISION SUBMITTAL Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Web site: http: / /www.ci.tukwila.wa.us Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 6-1- ( I Plan Check/Permit Number: Lt- O Response to Incomplete Letter # ❑ Response to Correction Letter # Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Z°1Jt/4,0 j-co-cd Project Address: 5 g S' / s_ 15,2 Contact Person: ,pLi /l g s ya Y'%?,` Phone Number: -25.3 - e80 - 6 Summary of Revision: C ILAMA 6 Scot c kf L o rk 1/.n 17- 10 ,7,c 077/ 3 oa 1 ©3/9- o ;J 30 3 HECE+VFn CITY OIL f kwn* 1JUN 0 7 2011 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date o revision Received at the City of Tukwila Permit Center by: --Entered in Permits Plus on (o — )-- t H:\Applications\Fonns- Applications On Line\2010 Applications \7-2010 - Revision Submittal.doc Created: 8 -13 -2004 Revised: 7 -2010 Contractors or Tradespeople Pf ter Friendly Page • General /Specialty Contractor A business registered as a construction contractor with LaI 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 PIPELINE PLUMBNG /CONSULTNG INC UBI No. 601189310 Phone 4256442622 Status Active Address 11831 Se 32Nd St. License No. PIPELPC101BW Suite /Apt. License Type Construction Contractor City Bellevue Effective Date 1/16/1990 State WA Expiration Date 9/13/2012 Zip 98005 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses Effective Ex Date on Status PIPELP'159NT PIPELINE Construction plumbing Fire Protect 8/30/1985 8/30/1990 Archived PLUMBING Contractor System SSCALP'1640E S 8 S ON CALL Construction Plumbing Fire Protect 9/5/1984 8/30/1985 Archived PLUMBING Contractor System Business Owner Information Name Role Effective Date Expiration Date FOWLER, STEVEN T B 01/01/1980 Bond Information Page 1 of 2 Bond B Bond Company Name B Bond Account Number E Effective Date E Expiration Date C Cancel Date I Impaired Date B Bond Amount R Received Date 6 L LEXON INS CO 9 9800271 0 08/30/2009 U Until Cancelled $ $12,000.0009/16 / /2009 5 D DEVELOPERS SURETY 7 748001C 0 08/30/2007 U Until Cancelled $ Business Owner Information Name Role Effective Date Expiration Date FOWLER, STEVEN T B 01/01/1980 Bond Information Page 1 of 2 Bond B Bond Company Name B Bond Account Number E Effective Date E Expiration Date C Cancel Date I Impaired Date B Bond Amount R Received Date 6 L LEXON INS CO 9 9800271 0 08/30/2009 U Until Cancelled $ $12,000.0009/16 / /2009 5 D DEVELOPERS SURETY 7 748001C 0 08/30/2007 U Until Cancelled $ $12,000.0009/05 / /2007 4 C CBIC 6 658195 0 08/30/2001 0 08/30/2007 1 10/12/2009 $ $12,000.0009/10 /2001 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 19 NATIONWIDE MUTUAL INS CO ACPGL7852354529 08/30/2010 08/30/2011 $1,000,000.00 08/31/2010 18 NATIONWIDE MUTUAL INS CO ACPGL7832354529 08/30/2009 08/30/2010 $1,000,000.00 09/01/2009 17 NATIONWIDE MUTUAL INS CO ACPGL7812354529 08/30/2007 08/30/2009 $1,000,000.00 09/09/2008 16 NATIONWIDE MUTUAL INS CO ACPGL07511599155 08/30/2005 08/30/2007 $1,000,000.0008 /15/2006 15 NATIONWIDE MUTUAL INS CO ACPGL07501599155 08/30/2004 08/30/2005 $1,000,000.0009 /01/2004 14 SECURITY NATIONAL INS CO CPA05370300007 08/30/2003 08/30/2005 $1,000,000.0007 /26/2004 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 05/25/2011