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HomeMy WebLinkAboutPermit D06-366 - Pro Golf Discount - ReroofPRO GOLF DISCOUNT 301 TUKWILA PY D06 -366 Parcel No.: 0223000010 Address: 301 TUKWILA PY TUKW Suite No: Tenant: Name: PRO GOLF DISCOUNT Address: 301 TUKWILA PY, TUKWILA WA Owner: Name: BETA HOLDINGS LTD Address: 18827 BOTHELL WAY NE, BOTHELL WA, 98011 Phone: Contact Person: Name: DALE GOEMAN (FIELD ROOF SERVICE) Address: 25924 78 AV S, KENT WA, 98032 Phone: 253 852 -4974 Contractor: Name: FIELDS ROOF SERVICE INC Address' 25924 78 AV S, KENT, WA 98032 Phone: 253 - 852 -4974 Contractor License No: FIELDRS262L1 DESCRIPTION OF WORK: REMOVE EXISTING ROOFING. INSTALL NEW GRANULATED TORCHDOWN ROOFING. Value of Construction: Type of Fire Protection: Type of Construction: doc: BC-PERMIT City cw Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Fax: 206- 431 -3665 Web site: ci.tukwila.wa.us $49,643.00 DEVELOPMENT PERMIT **continued on next page" Expiration Date:09 /25/2007 Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: D06 -366 Issue Date: 10/17/2006 Permit Expires On: 04/15/2007 Fees Collected: $1,321.17 International Building Code Edition: 2003 Occupancy per IBC: 006 -366 Printed: 10-17-2006 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: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Signature: doc: IBC- PERMIT City 4>ird Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: cttukwila.wa.us N N Water Main Extension: Water Meter: N Permit Center Authorized Signature: I hereby certify that I have read and xa ordinances governing this work will b comp Ai— Permit Number: DO6 -366 Issue Date: 10/17/2006 Permit Expires On: 04/15/2007 Number: 0 Size (Inches): 0 Start Time: End Time: Volumes: Cut 0 c.y. Fill 0 c.y. Start Time: End Time: Private: Public: Profit: N Non - Profit: N Private: Public: Steven M. Mullet, Mayor Steve Lancaster, Director Date: 101 is permit and know the same to be true and correct. All provisions of law and with, whether specified herein or not. The granting • his rmit dges not presume to give authority to violate or cancel the provisions of any other state or local laws regulating c• n or th of work. I am authorized to sign and obtain this development permit. • /41I \„._ Date: /0 / 7 "n i Print Name: ' i'€ (ml P //f'lc✓vl, 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. 006 -366 Printed: 10 -17 -2006 Parcel No.: 0223000010 Address: 301 TUKWILA PY TUKW Suite No: Tenant: PRO GOLF DISCOUNT 10: ***FIRE DEPARTMENT CONDITIONS*** doc: Conditions City Or' Tukwila 1: ***BUILDING DEPARTMENT CONDITIONS*** Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us PERMIT CONDITIONS Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: D06 -366 Status: ISSUED Applied Date: 10/02/2006 Issue Date: 10/17/2006 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: Prior to final inspection a written statement from the roofing contractor shall be required. The statement shall confirm the fire classification of the roof assembly that was installed. 5: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 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 plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 8: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (206/248- 6630). 9: 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. 11: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 12: Application of roof coverings with the use of an open -flame devices requires a separate permit from the Tukwila Fire Department located at 444 Andover Park East, Tukwila, Washington, 98188; telephone - (206)575 -4407. There shall be not less than one multi - purpose portable fire extinguisher with a minimum 3 -A 40 -B:C rating on the roof being covered or repaired. (IFC 105.6.24, 1417.3) 13: Any overlooked hazardous condition and /or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. D06 -366 Printed: 10-17 -2006 City bld Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us 14: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575 -4407. doc: Conditions **continued on next page** Steven M. Mullet, Mayor Steve Lancaster, Director D06 -366 Printed: 10 -17 -2006 City cTukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us Steven M. Mullet, Mayor Steve Lancaster, Director 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 cons • ctio/,�• r the performance of work. Signature: Print Name: doc: Conditions Date: / 77 006 -366 Printed: 10-17 -2006 Site Address: 30 I 7i4ladda Atkothzy Tenant Name: Ry, 6 A 1 o r i vr Property Owners Name: kb; COM,' erc_r,-e "ter 1n5 Mailing Address: /till 13 0 Ogg (V7 . e.nie.110 CONTACT PERSON 'rivho do o;oioiliaq itkiitt'yOklierniit is ready tobelasiet17':-:-: Name: I ni • se It/ I Mailing Address: 2559 tf 04//e So. Kepi loA- cir4 city state Zip E-Mail Address: 061C, eft ticAS tortfleru ;ce • Q4)-1 Fax Number: 2.c din 9 GENERAL CONTRACTOR INFORMATION (Contractor Information tor Mechanical (pg 4) for Plumbing and Gas Piping (pg5)) - Company Name: /9 Ck15 R OCIP Set1/ irt -117/C Mailing Address: ) - 77 Ave cc, Contact Person: Usk g e,s Contractor Registration Number: fleb) RS 21.1 L 1 Contact Person: E-Mail Address: Contact Person: E-Mail Address: CITY OF TUKWILA Community Developmeepartment Public Works Deportment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hup://www.ctrulnvila wa us Building Pemlit No; • Mechanical P - Publie Works Permit $o Protect No in OAAepliattionsWorms•Applicasions On Line \ 3-2006 - Permit Application Revised: 9-2006 bh 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** King Co Assessor's Tax No.: 021300 -COO —09 Suite Number: Floor: New Tenant: D .... Yes 0..No eaq-ite City Day Telephone: 3-2- 977 CM State State City State Zip Day Telephone: 2 S3 97 79 E-Mail Address: Fax Number: 151- 7S -9719 Expiration Date: 7 - 1 s- 07 Ian Wei 2_ ARCHITECT OFRECORD SAO plans must be wet stamped 'by 4;ehitect of Reepr Company Name: Mailing Address: Zip State City Day Telephone: Fax Number: stat To/ / Zip Zip ENGINEER OF RECORD- All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Page 1 of 6 t q r { ` xa �, r Existing, t Interi Rem o del A ddition w Existing ° ` Con ction per Occupanc3 set; °n Floot`w �'aGTS` mot ', & r M t Floors :.,I a s AceessQrf Structure' t z`' A ttached age Detaehec Garage 4 {r 'R AttachedC port q ' Detached Carport ri CoyaredDeck + . ' =1 k w i Un ov Deck F 9 = Valuation of Project (contractor's bid price): $ — (9/ 6 D(? Existing Building Valuation: $ Scope of Work (please tS se provide detailed information): 61h/o1e ax is i 1 r y nierr �-r of 1nS -1-4) New &tinslo>ra/ Ton -Mown rooh-eg. J Will there be new rack storage? ❑.... Yes .. No If yes, a separate permit and plan submittal will be required. 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. Q:Appliationa\Ponnt- Applications On Line \3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 2 of 6 %Fixture .Qtl' ;.Fut Type: tureT}Pe: : .: Fixture: Pe Bathtub or combination bath/shower Drinking fountain or water cooler (per head) W fountain Gas piping outlets Bidet Food -waste grinder, commercial Recept indirect waste Clothes washer, domestic Floor drain Sinks Dental unit, cuspidor Shower, single he trap Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet Building sewer or trailer park sewer Rain water s : em — per drain (insi. building) Water heater and/or vent Additional medical gas inlets/outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair o teration of water piping - s or water treating equip : ent Repair or alteration of drainage or vent piping Medical gas piping system serving one to five - nlets/outlets for specific gas PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): Building Use (per Intl Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water: Indicate type of plumbing fixtures and/or gas piping outlets be Q:\Application,tWmms- Application. On Line.' - Permit Apptic.tion.doe Revised: 9-2006 bh Sewer: city Day Telephone: Fax Number: Expiration Date: tailed and the quantity below: State Zip Page 5 of 6 ` >PERMIT APPLICATION Nita - Applicable to all permits in this a!¢lisation BUILDING r `` R O UTHORIZED AGENT: Signature: ! - / "- Print Name: 1)., It . Go em Mailing Address: 25q Z'* 71T V *t S.. I Date Application Accepted: tol O2) 0 1 , Q:Upplicuions\Forms-Applications On Line\3 -2006 - Petnit Appliation.doc Revised: 9 -2006 bit 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 rio 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. Date: 9-27-0 6 Day Telephone: 151 - 977 7 w.4. 1'7032 zip City State Date Application Expires: ot i 1 Page 6 of 6 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0223000010 Address: 301 TUKWILA PY TUKW Suite No: Applicant: PRO GOLF DISCOUNT Receipt No.: R06 -01653 Payment Amount: 802.48 Initials: JEM Payment Date: 10/17/2006 01:43 PM User ID: 1165 Balance: 50.00 Payee: FIELDS ROOF SERVICE, INC. TRANSACTION LIST: Type Method Description Amount Payment Check 67648 802.48 ACCOUNT ITEM LIST: Description Current Pmts BUILDING - NONRES STATE BUILDING SURCHARGE RECEIPT Account Code 000/322.100 797.98 000/386.904 4.50 Permit Number D06 -366 Status: APPROVED Applied Date: 10/02/2006 Issue Date: Total: 802.48 0822 10/17 9716 TOTAL 802.48 doc: Receipt Printed: 10-17 -2006 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0223000010 Address: 301 TUKWILA PY TUKW Suite No: Applicant: PRO GOLF DISCOUNT Receipt No.: R06 -01539 Payment Amount: 518.69 Initials: JEM Payment Date: 10/02/2006 09:37 AM User ID: 1165 Balance: $802.48 Payee: FIELDS ROOF SERVICE, INC. TRANSACTION LIST: Type Method Description Amount Payment Check 67591 518.69 ACCOUNT ITEM LIST: Description Current Pmts PLAN CHECK - NONRES RECEIPT Account Code 000/345.830 518.69 Permit Number: D06 -366 Status: PENDING Applied Date: 10/02/2006 Issue Date: Total: 518.69 0293 10/02 9716 TOTAL 518.69 doc: Receipt Printed: 10-02 -2006 Project Project?) G/4 JO Type of Inspection: )767) ,�� ?t,7 Address: ^ 0 Date Called: Special Instructions: t Cu 1/ 3 Z&l iZ L z�— I*77 7 3R7 —o) Date Wanted: ) i �� Request Request Phone No: 2-5-3- 5 7 -977 2 INSPECTION RECORD Retain a copy with permit , - 3 6 ‘ PER INSPECTION NO. • , CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 981820 06)431 -3670 OMMENTS: (4 -wi DV P Al, Men 5( Os - 4o 4; to i, Inspector: Date: pproved per applicable codes. El Corrections required prior to approval. $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: ..,,. Pro1 /+ Y'/I) 6 d /T (�,SPJtrn/ f Type ea/inspection: /G _,?p Address: _ , ?O/ vCkbM P9 Date Called: Special Instructions: Date Wanted: /0 - -az> 0 L t P rr= Requester: Phone No: 1.5 —252— VC 7 t/ INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) {31.3670 `Approved per applicable codes. COMMENTS: 2 O 6 - ? c - (, 3 v,. 114.4 [44. Jr.r .r $58.00 REINSPECTION FEE QUIRED. Prior to inspection, fee must be paid at 6300 Southcenter B d., Suite WO. Call to sechedule reinspection. Receipt No.: Date: INSPECTION RECORD Retain a copy with permit PERMIT, NO. Corrections required prior to approval. Date: /0 -- 7 -oL Project: ( s ( fah i Type of Inspection: c--,l) A /�e s t,9p/ 5 7 Date Called: I Special Instructions: Date Wanted: a.m. p.m. Requester: V Phone hip: 2--1 9'Th - iw c 50 INSPECTION NO. 0 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit `Do 1 -Vob PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 D Corrections required prior to approval. COMMENTS: iii-//07 ) T LA., v P �� -i Th (11 01( uK• Ftar Inspector: Date: JO? $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: COMMENTS: Type of Inspection: Sewer Connection Address: 118 / 8 4 4 PI s Date Call ;2-29-06 �1 Special Instructions: Date Wanted: L /a .m 'p.m. sr 4O' r ' &n Gam. Project: Johnson Res, Type of Inspection: Sewer Connection Address: 118 / 8 4 4 PI s Date Call ;2-29-06 �1 Special Instructions: Date Wanted: L /a .m 'p.m. 21 2' 21 -0 6 Requester: Ve rdayn e Phone No: 206-9 54 - 6185 Lv INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION RECORD Retain a copy with permit DO5- 366 PERMIT NO. Approved per applicable codes. jj Corrections required prior to approval. Inspector: wor Date: , $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cal to sechedule reinspection. Receipt No.: Date: N CD w' a, J a H U w O V H w rQ m m m N O V Ln N Cf ro Lo MD m N N N, 0•I m yy� r Y y , TUKWILA PARKWAY i t I l i • 1 , g i l l I 1 I I tie / iiii. Ii�- I. I- �iii1liii���ii. i_ �_ i. 1. i. I. 2Jill[ Inch 1/16 J. STCOTTqp Since s721° 5I6 4I4 EI6 ZI6 ll6 OILY;.. I� I8 . IL I9 h -, I4 IE IZ I L w0l LLj Z LLrr, Cam.! vJ � I 'Q V i-- �.r b. C o ' 0 O O 4 � V1 (O � a 0 3� G A ►x b. 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Q a > a =� ca L2 I' �t7 N kn Iq �a 'off o a f• �a R L myAft C G C 0 Q u o Q C j N W C I- �; W w 2;l • 4L a v ' W . a ILL � r rA .a oa y a o v r•1 t �U •rt w�l S w • /V� W �W, A a d u bi 'g a T O .. ,� 4 '" a' � E w s aq ;r7 A M E" q v� • �` !' lh m U 0 14 V Iii V V • s y 0 v = oil, a o !• o y •M u C� py �o = b0 i • I ., I i L __ I c� aro � s .D a y, V�.4PC Q .1 %WQj rQ ~ yA U "rte"• � � '�� � � � pg Cj �aaaa OCT 012006 w o; PERMITOMTER i Inch 1/16 �.2 t� f., ilmpo �!�,Ii�!( ���i-r4,rltli�t�t�t�►�5 ���I�������1��6 :� 1 1 , £STCOTT�: S/ncei872,• t i .. L���i����l����i����l����i����I����i����1�����itt��l����it�J�t��► ���Jt�t����tt��t�i�tttltttt�t�filtttt��tttltttt��tttltl���ftttlttt� ►����I��t������1 03 -01 -2007 DALE GOEMAN (FIELD ROOF SERVICE) 25924 78 AV S KENT WA 98032 RE: Permit No. D06 -366 301 TUKWILA PY 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 and/or the International Mechanical Code, every permit issued by the Building Division under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206-431 -2451 to schedule for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Building Code does allow the Building Official to approve one or more extensions of time for additional periods not exceeding 90 days each. Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 04/23/2007 , 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, rshall, Permit Technician Ath xc: Permit File No. D06.366 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 DEPAR: B it ng Division MI Public Works ❑ Comments: APPROVALS OR CORRECTIONS: Approved ❑ Notation: REVIEWER'S INITIALS: Documents/routing slip.doc 2 -2602 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D064ino c, PROJECT NAME: PRO GOLF DISCOUNT SITE ADDRESS: 301 TUKWILA PY X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # DATE: 10 -02 -06 Revision # After Permit Issued TUES/THURS ROUT NG: Please Route d Structural Review Required REVIEWER'S INITIALS: Approved with Conditions 60 C Jv- fr Fire Prevention Structural ❑ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete d Incomplete ❑ DATE: DATE: Planning Division Permit Coordinator No further Review Required DUE DATE: 10-03-06 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DUE DATE: 10-31-06 Not Approved (attach comments) ❑ Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: License Information License FIELDRS262L1 Licensee Name FIELDS ROOF SERVICE INC Licensee Type CONSTRUCTION CONTRACTOR UBI 600125673 Ind. Ins. Account Id PRESIDENT Business Type CORPORATION Address 1 25924 78TH AVE S Address 2 City KENT County KING State WA Zip 98032 Phone 2538524974 Status ACTIVE Specialty 1 ROOFING Specialty 2 UNUSED Effective Date 6/21/1974 Expiration Date 9/25/2007 Suspend Date Separation Date Parent Company Previous License WESTCC•093BZ Next License TOPRUCL94IOA Associated License Business Owner Information Name Role Effective Date Expiration Date GILMER, GARY S PRESIDENT 01/01/2000 GOEMAN, DALE 7 PRESIDENT 01/01/2000 PATNODE, TERRY M. PRESIDENT 01/01/2000 MANDELAS, MICHAEL l SECRETARY 01/01/2000 GILMER, THOMAS A PRESIDENT 06/21/1974 12/09/2002 PEPPER, SCOTT TREASURER 06/21/1974 12/09/2002 PEAK, DUANE VICE PRESIDENT 06/21/1974 12/09/2002 Look Up a Contractor, Electrir;an or Plumber License Detail Page 1 of 3 Washington State Department of Labor and Industries 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. https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= FIELDRS262L1 10/17/2006