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HomeMy WebLinkAboutPermit PG11-026 - SABEY DATA CENTER - SDC42SABEY DATA CENTER 3355 S 120 PL PG1 1 -026 City oNukwila 1 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.ci.tukwila.wa.us PLUMBING /GAS PIPING PERMIT Parcel No.: 1023049082 Address: 3355 S 120 PL TIIKW Project Name: SABEY DATA CENTER - SDC42 Permit Number: PG11 -026 Issue Date: 03/16/2011 Permit Expires On: 09/12/2011 Owner: Name: SABEY CORPORATION Address: 12201 TUKWILA INTL BLVD , 4TH FLOOR 98168 Contact Person: Name: JESICA ROGERS Address: 1221 2 AV N , KENT WA 98032 Email: JROGERS @HERMANSON.COM Contractor: Name: HERMANSON COMPANY LLP Address: 1221 2ND AV N , KENT, WA 98032 Contractor License No: HERMACLOO5BJ Phone: 206 - 396 -0081 Phone: 206 - 575 -9700 Expiration Date: 08/25/2012 DESCRIPTION OF WORK: FINISH ROUGH -IN FOR NEW FIXTURES AND SET TRIM OF FIXTURES. ALSO INSTALL NEW WATER HEATERS AS SHOWN ON DRAWINGS. Value of Plumbing /Gas Piping: $243,000.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $342.56 International Fuel Gas Code Edition: 2009 Electrical Service Provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Ji I hereby certify that I have read and exax4ned this permit and know the same to be true and correct. All provisions of law and ordinances Date: /1( (t1(.� governing this work will be complielF1 with, whether specified herein or not. The granting of this permit does not p 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 plumbing /gas piping permit and agree to the conditions on the back of this permit. Signature: Print Name: Date: 3`1 L'IZ° 1t 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: UPC -4/10 PG 11 -026 Printed: 03 -16 -2011 0 • PERMIT CONDITIONS Permit No. PG11 -026 1: ** *PLUMBING AND GAS PIPING * ** 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R -3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor /ceiling assemblies and fire - resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. doc: UPC -4/10 PG 11 -026 Printed: 03 -16 -2011 CITY OF TUKWItt Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http :llwww.ci.tukwila. wa.us 1 Plumbing/Gas Permit No. 1)6, k-1).) p Project No. (For office use only) PLUMBING / GAS PIPING PERMIT APPLICATION 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: Se3SS S • Tenant Name: t r\ J (� M. ( v New Tenant: Property Owners Name: ■11 Mailing Address: Floor: CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Mailing Address: I ZZ E -Mail Addresst Day Telephone: c90(9 -1L 1(l.l i ► - I UJ n •( .j x Number: Zip ,. IPLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: Sh.rn� E -Mail Address: Contractor Registration Number: OS Qbb\r-€- City Day Telephone: Fax Number: Expiration Date: ARCIHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: C o li co n Ar G k t it. GAN) re Mailing Address: l #-20 5'°h Av r vw t 2400 Sew -Ale Contact Person: B 4.6 'l to e ey bob. witn4'rej @ cat Son • Loa. E -Mail Address: City Day Telephone: Fax Number: VS1 Slot -2343 State Zip 2b 6 623 464-6 2 0 L 623 4 -625 IENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: Mailing Address: (12.1 2 "4 Ave N lCe n� City Contact Person: Dci vi cl IV e h re n Day Telephone: E -Mail Address: el ?le hre n (a ke r VA ar S °11 • Corn Fax Number: }-i r ►nna.h s o n CO • LLP WA 9P0 32. State Zip 1.04 575 9.70o 206 575 18) H :WpplicetionstFanns-Appticntions On Line\ 2010 Applications\ 7-2010 - Plumbing-0w Piping Permit Applimdon.doc Revised: 7 -2010 bh Page 1of2 Valuation of Project (contractor's bid pt $ 02- �, C:"Dc' • Oc • Scope of Work (please provide detailed information .6v\ f(id1elm erc o rts. k50 l /�t, NUJ-) krA.Cr Building Use (per Int'I Building Code): Occupancy (per Intl 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 Bidet Clothes washer, domestic 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 Wash fountain Receptor, indirect waste Sinks ( Urinals I Water Closet 3 Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent S 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 PERMIT APPLICATION NOTES - 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. The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International 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 : WS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDIN 0 • IRA■ ':O:• �Ac II Signature: w Lawri !.�i/ Date: I V I Print Name: N C O fiRP Day Telephone: 2 ■ W� • & 1 Arli nu. Mailing Address: City Date Application Accepted: ( 1 Date Application Expires: ( ., _, I/ l Staff Initials: we H: Vtpplicatians \FamtaAppllcntians On Unc \2010 Applicatiws\7 -2010 - Numbing-Gas Piping Pamir Applicetlon.doc Revised: 7 -2010 bb Page 2 of 2 • • � - -" wq City of Tukwila �� �Z 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.: 1023049082 Address: 3355 S 120 PL TUKW Suite No: Applicant: SABEY DATA CENTER - SDC42 RECEIPT Permit Number: PG11 -026 Status: APPROVED Applied Date: 02/04/2011 Issue Date: Receipt No.: R11 -00507 Initials: JEM User ID: 1165 Payment Amount: $274.05 Payment Date: 03/16/2011 11:57 AM Balance: $0.00 Payee: HERMANSON COMPANY LLP TRANSACTION LIST: Type Method Descriptio Amount Payment Check 30798 274.05 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 274.05 Total: $274.05 doc: Receiot -06 Printed: 03 -16 -2011 SET RECEIPT RECEIPT NO: R11 -00217 Initials: WER Payment Date: 02/04/2011 User ID: 1655 Total Payment: 13,571.34 Payee: JESICA ROGERS SET ID: 020411 SET NAME: SABEY DATA CENTER SET TRANSACTIONS: Set Member Amount M11 -020 13,502.83 PG11 -026 68.51 TOTAL: 13,502.83 TRANSACTION LIST: Type Method Description Amount Payment Credit C VISA 13,571.34 TOTAL: 13, 571.34 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 13,571.34 TOTAL: 13, 571.34 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 Project: A c. �1 A Type of Inspection: — I r.A A L Addres 3: 5! ' '7 R L Date Called: Special Instructions: Date Wanted: ce _y4 -11 a.m. p.m. Requester: Phone No: © Approved per applicable codes. Corrections required prior to approval. COMMENTS: ,Py- k 0o-►MptF ke tor: Date 58 ' 0 REINSPECTION FEE EQUIRED. P or to inspection, fee must be pai. at 6300 Southcenter Blv ., Suite 100. Call to sechedule reinspection. Rem No.: Date: INSPECTION RECORD Retain a copy with permit INSPECTIO N0. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION • 6300 Southcenter Blvd., #100, Tukwila. WA 98188. z. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Pro' t :' Type Ins ection: P (� s Addr : r. 33).5 t f)-. 0 Date Called: Special Instructions: off • • Date Wanted: • Requester: Phone r ---3 (71 ElApproved per applicable codes. COMMENTS: A,h4q -is royal. $ter AX (Df 71 1 a e. Insp ctor: • _ • rate � { in REINSRECTION FEE REQUIRED.•P or to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suit 100. Call to schedule reinspection. 71. :nTri 7:171.?..2::?..."7.... '5"; f-.74:?-'` r.""*.-"" • - • INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 12- Proje "43 ;el( '---7--i,i d sp,f Ai:06 Type of Inspection: vo..57for........... -, %..... Address: 33S -rt- Date Cake: a 01 1,„1 -.../.,-A./ Special Instructions: -r- N ,-. c p •r (_, a i s Date Wanted: d - ' "' —a-n- I p.m. Requester: Phone No ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: 7 ( /-;4 A puJ4/ '---7--i,i d sp,f Ai:06 7--7 1-7---- A pr A J £4 --- S'; --1--k p S.. A oL.I e....vf .-- 1 770/7- iy1 IQ Sri_ 1. e€4 f,r-,‘ 11 --A-1—: 0 A J (■ L .-..iV rfi A'f' r- \ )1 —77■Ard -r- N ,-. c p •r (_, a i s pei\eT/0, --stilVe k,)PfdL/4() J/ DI OoM ,i)..'1--, - K-si-- (La j 7 t,N __-_-1--_,,J - . 1 r, Date:.-7 _2 tfr‘ Inspector: REINSPECTION FEE REQUIRE. . Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.,' Suite 100. Call to schedule reinspection. 7 • . INSPECTION 'RECORD Retain a copy with permit INSPECTION NO. PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431-2451 (206) 431-3670 P-- Project. 5 bit,g-ty D-4----4-- Type of Inspection:_.-- u4k _IA plu .4 Address: in rtz iot-- Date Called:( Special Instructions: Sbc-42-- / Date Wanted. a.m. •- S— 1.0 1 i . Requester: Phone No Approved per applicable codes. Corrections required prior to approval. COMMENTS: ..„ ...ssre so, 40 1 Inspettor: Date: t( REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. • 1 Gity of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director 29.08 February 9, 2011 Jesica Rogers Hermanson Company 1221 2 Av N Kent, WA 98032 RE: Letter of Incomplete Application # 1 Plumbing/Gas Piping Permit Application PG11 -026 Sabey Data Center SDC42 — 3355 S 120 PI Dear Ms. Rogers, This letter is to inform you that your permit application received at the City of Tukwila Permit Center on February 4, 2011 is determined to be incomplete. Before your application can continue the plan review process the attached /following items from the following department(s) need(s) to be addressed: Public Works Department: Joanna Spencer at 206 431 -2440 if you have any questions concerning the following comment. 1) Due to the addition of plumbing fixtures, a King County Non - Residential Sewer Use form is required to be completed. List only the new fixtures not any replaced in kind. Please address the comment above in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that two (2) sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal a Revision Submittal Sheet must accompany every resubmittal. I have enclosed one for your convenience. Revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at the Permit Center at (206) 431 -3670. Sincerely, Bill Rambo Permit Technician Enclosures File: PG11 -005 W:\Permit Center\ Incomplete Letters \2011 \PG 11 -026 Incomplete Ltr # 1.DOC 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 • fi0ERMITCOORD PY M PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -026 DATE: 03/04/11 PROJECT NAME: SABEY DATA CENTER - SDC42 SITE ADDRESS: 3355 S 120 PL Original Plan Submittal X Response to Incomplete Letter # 1 Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS :d Pu lic Works Fire Prevention Structural Planning Division n nPermit Coordinator ❑ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete 1%, Comments: Incomplete ❑ DUE DATE: 03/08/11 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 Structural Review Required ❑ No further Review Required n REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 04/05/11 Not Approved (attach comments) ❑ DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documentshouting slip.doc 2 -28 -02 I1. GOA PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -026 DATE: 02 -04 -11 PROJECT NAME: SABEY DATA CENTER - SDC42 SITE ADDRESS: 3355 S 120 PL X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: Building Division ,(\�(`S �n `'ublic Works Fire Prevention Structural n Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete [xtr DUE DATE: 02 -08 -11 Not Applicable Comments: ' Permit Center Use Only INCOMPLETE LETTER MAILED: — 1" � LETTER OF COMPLETENE AILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PWW Staff Initials: TUES/THURS ROUTING: f�1 Please Route ❑ Structural Review Required I I No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 03-08-11 Approved n Approved with Conditions ❑ Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 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 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 9 J ` I Plan Check/Permit Number: PG 11-026 ® Response to Incomplete Letter # 1 ❑ Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Sabey Data Center - SDC42 Project Address: 3355 S 120 P1 Contact Person: JesieO 2 QJ Phone Number: 263 O th 5 \ 1 Summary of Revision: D l ( n eno • ETUKWILA OF MAR 04 2011 RERWr CENTsC3 Sheet Number(s): 1 V 1 "Cloud" or highlight all areas of revision including date of revision irc/ Received at the City of Tukwila Permit Center by: Entered in Permits Plus on 63/04(/// \applications\forms- applications on Iine\revision submittal Created: 8 -13 -2004 Revised: King County Department of Natural Resources and Parks Wastewater Treatment Division Non - Residential Sewer Use Certification • To be completed for all new sewer connections, reconnections or change of use of existing connections. • This form does not apply to repairs or replacements of existing sewer connections within five years of disconnect. Please Print or Type ` '36`...3 `'J, 12( ace_ Property Street Address Tit ii \ �.C'.'t, . We∎ crc l V9 City State ZIP • ‘ThQ 1 Owner's Name Subdivision Name Lot # Subdiv. # Building Name �� 2 Block ' (if a pCiPab(e) Owners Phone Number (with Area Code Property Contact Phone Number (with Area Code) Owner's Mailing Address i p c\ � ,' >>G VNt-1 ?:1Nd S LILO For King County Use Only Account # Jnrt►ran No. of RCEs Monthly Rate CITY 1+ 1' LA MAN 0 d 2011 PERMIT-CENTS Property Tax ID Party to be Billed (if different from owner) City or Sewer District Date of Connection Side Sewer Permit # Please report any demolitions of pre - existing building on this property. Credit for a demolition may be given under some circumstances. Demolition of pre - existing building? 0 Yes Vtisio Was building on Sanitary Sewer? 0 Yes 0 No Was Sewer connected before 2/1/90? 0 Yes 0 No Sewer disconnect date: Type of building demolished? Request to apply demolition credit to multiple buildings? 0 Yes 0 No A. Fixture Units Fixture Units x Number of Fixtures = Total Fixture Units Kind of Fixture Fixture Units No. ot.Fixtures Total Fixture Units Public Private Public Private Bathtub and Shower 4 4 Shower, per head 2 2 ' a. Dishwasher 2 2 Drinking fountain (each head) 1 .5 2. 1 Hose bibb (interior) 2.5 2.5 5 1.5 Clotheswasher or laundry tub 4 2 Sink, bar or lavatory 2 1 2 2 Sink, Clinic flushing 8 8 Sink, kitchen 3 2 Sink, other (service) 3 1.5 '2. L# 5 Sink, wash fountain, circle spray 4 3 Urinal, flush valve, 1 GPF 5 2 I 2 Urinal, flush valve, >1 GPF 6 2 .Urinal, waterless 0 0 Water closet, tank or valve, 1.6 GPF 6 3 '3 Water closet, tank or valve, >1.6 GPF 8 4 Total Fixture Units 1 2.13 Residential Customer Equivalent (RCE) 20 fixture units equal 1.0 RCE Total No. of Fixture Units 20 _ 1.4 RCE B. Other Wastewater Flow (in addition to Fixture Units identified in Section A) Type of Facility /Process: Estimated Wastewater Discharge: 0 Gallons /days Residential Customer Equivalents (RCE): 187 gallons per day equals 1.0 RCE Total Discharge (gal /day) = 187 C. Total Residential Customer Equivalents: (add A & B) O A B 1 1.4 D • ' .t# RCE RCE INCOMPLETE Pursuant to King County Code 28.84, all sewer customers who establish a new service which uses metropolitan sewage facilities shall be subject to a capacity charge. The amount of the charge is established annually by the King County Council at a rate per month per residential customer or residential customer equivalent for a period of fifteen years. The purpose of the charge is to recover costs of providing sewage treatment capacity for new sewer customers. All future billings can be prepaid at a discounted amount. All future billings can be prepaid at a discounted amount. Questions regarding the capacity charge or this form should be referred to King County's Wastewater Treatment Division at 206- 684 -1740. I certify that the information given is correct. I understand that the capacity charge levied will be based on this information and any deviation will require resubmission of corrected data for de Ina 'on of a revised capacity charge. Signature of Owner /Representative s 1 Print Name of Owner /Representative 1058 (Rev. 9/07) k - Kino County Yellow - Local Sewer Aoencv Date Pink - Sewer Customer ..saet.,,:., Contractors or Tradespeople P.er Friendly Page • 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 HERMANSON COMPANY LLP UBI No. 602004844 Phone 2065759700 Status Active Address 1221 2Nd Ave N License No. HERMACLOO5BJ Suite /Apt. License Type Construction Contractor City Kent Effective Date 1/11/2000 State WA Expiration Date 8/25/2012 Zip 980322945 Suspend Date County King Specialty 1 General Business Type Limited Liability Partnership Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status HERMAC'016RN HERMANSON CORPORATION Construction Contractor General Unused 1/11/2000 8/21 /2002 Archived HERMAC *217NT HERMANSON CORPORATION Construction Contractor Air Heat,Ventilation,Evaporat Metal Fabrication 8/30/1979 8/21/2000 Archived Business Owner Information Name Role Effective Date Expiration Date NICOLAISEN, KNUT H Partner /Member 08/05/2010 Bond Amount BROCK, DANIEL L Partner /Member 08/05/2010 929381801 FOX, DEAN M Partner /Member 08/05/2010 HENGEL, STEPHEN A Partner /Member 08/05/2010 TRAVELERS CAS ft SURETY CO DYCKMAN, KENNETH A Partner /Member 08/05/2010 01/01/2006 ROBINETT, PAUL J Partner /Member 08/05/2010 HERMANSON, RICHARD L Partner /Member 01/01/1980 ALMON, KEVIN Partner /Member 01/01/1980 08/05/2010 MACDONALD, JAMES Partner /Member 01/01/1980 08/05/2010 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 WESTERN SURETY CO 929381801 01/01/2006 Until Cancelled $12,000.00 12/01 /2005 3 TRAVELERS CAS ft SURETY CO 081S103514123BCM 07/22/2001 Until Cancelled 01/01/2006 $12,000.0008/21 /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 9 American GL0370326107 08/21/2010 08/21/2011 $1,000,000.0008 /18/2010 Zurich Ins Co ZURICH 8 AMERICAN INS GL0370326106 08/21/2008 08/21/2010 $1,000,000.00 08/24/2009 CO 7 AMERICAN GL03703261 08/21/2004 08/21/2008 $1,000,000.0008 /20/2007 ZURICH INS CO 04 6 AMERICAN ZURICH INS CO GL03703261 03 08/21/2004 08/21/2007 $1,000,000.00 08/18/2006 https://fortress.wa.gov/lni/bbip/Print.aspx 03/16/2011