HomeMy WebLinkAboutPermit M10-102 - KID N PLAYKID N PLAY
406 BAKER BL
STE 160
M10 -102
City Mbrukwila
•
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
MECHANICAL PERMIT
Parcel No.: 0223100037
Address: 406 BAKER BL TUKW
Project Name: KID N PLAY
Permit Number: M10 -102
Issue Date: 08/11/2010
Permit Expires On: 02/07/2011
Owner:
Name: VILLAGE PARTNERS SOUTHCENTE
Address: 1420 5TH AVE #2200 , SEATTLE WA 98101
Contact Person:
Name: SHANNON BUCKINGHAM
Address: 5108 D ST NW , AUBURN WA 98001
Email: SHANNONB @EMERALDAIRE.COM
Contractor:
Name: EVERGREEN REFRIGERATION LLC
Address: 727 S KENYON ST , SEATTLE WA 98108
Contractor License No: EVERGRL954R2
Phone: 253 - 872 -5665
Phone: 206 763 -1744
Expiration Date: 01/06/2012
DESCRIPTION OF WORK:
INSTALL (6) SUPPLY AIR DIFFUSERS, (2) RETURN AIR GRILLS, (2) BATHROOM EXHAUST
FANS AND (1) BREAK AREA EXHAUST FAN.
Value of Mechanical: $1,900.00 Fees Collected: $209.63
Type of Fire Protection: UNKNOWN International Mechanical Code Edition: 2009
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied
xami
with,
Date: Octl t 1 I [0
ed this •ermit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the p ormance of work. I am authorized to sign and obtain this mechanical permit.
Signature: _ Date:
Print Name:
This permit shall become null and void if the w: rk 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: IMC -4/10
M10-102 Printed: 08 -11 -2010
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 - 431 -3665
Web site: http://www.ci.tukwila.wa.us
Parcel No.: 0223100037
Address: 406 BAKER BL TUKW
Suite No:
Tenant: KID N PLAY
PERMIT CONDITIONS
Permit Number: M10 -102
Status: ISSUED
Applied Date: 07/29/2010
Issue Date: 08/11/2010
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431- 3670).
4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
5: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
6: Manufacturers installation instructions shall be available on the job site at the time of inspection.
7: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila
Building Department (206- 431 - 3670).
9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
10: 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.
* *continued on next page **
doc: Cond -10/06
M10-102 Printed: 08 -11 -2010
il III
C 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
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing
this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating
construction or the performance of work.
Signature: Date:
Print Name: ?Id)
doc: Cond -10/06
M10 -102 Printed: 08 -11 -2010
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httolhvww.ci.tukwila.wa.us
33- /8 00
MECHANICAL PERMIT APPLICATION
Mechanical 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
Site Address:
vo 6 t:M •e4VD
STR. %%15
Mfttitee. PZ. y
Property Owners Name: tJI z-e.../t 6 et At ftr/v 6,25- (.52v-774/ e-civ miz • •
Mailing Address: 6\./E 5 .1 51ee 4t/o5.11 527, ''4
City State
Tenant Name:
Suite Number: Floor:
New Tenant: 0 Yes
7 0
King Co Assessor's Tax No.: a 4-7 3/0 - —
.. No
Zip
CONTACT PERSON-i Who do wicintaet when
. • •
••l
Name:, 0._SAAJAts Day Telephone: 'S-...? — g7.--* 3 -61
Mailing Address: 377)8 4'..r, 4 457 • Al a/ 4 U c? Op AJ , kip( ,.
City State Zip
E-Mail Address: SH /4 4 N�.& ec---,cm:044./9x1 LE • Catki Fax Number: .5.•-.? - Z72. - S'- 7 92
MECHANICAL 'CONTRACTOR INFORMATION.... '._.• • : .
Company Name: ,IL.01A.-.1f-0(4-..t)
Mailing Address:
Contact Person:
E-Mail Address: (
Akit
. City
A {71) LI6
State Zip
Day Telephone:
Fax Number:
Expiration Date:
Contractor Registration Number: MCA AX
ACHITECJ Or;iitto
- • - •
4:.AllIplans.must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Contact Person:
E-Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
Contact Person:
E-Mail Address:
H:\Applications\Forms-Applications On Linel2009 Applicationsk1-2009 - Mechanical Permit Application doc
Revised: 1-2009
bh
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
ob
Valuation of Project (contractor's bid price): $ I / 966"
Scope of Work (please provide detailed information): i/V" S'tl( C'•
(R--) u (i iC I &- G RJ (-Lc L C ) 8 11-k ItQc3d,t,
so
R. Ex « P.E
► t2 b
exc. 1 "( r
t
U
A D
Use: Residential: New ❑ Replacement ❑
Commercial: New 61111 Replacement ❑
Fuel Type: Electric Gas [ Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty
Unit Type: • ,
Qty
Unit Type: .
Qty
Boiler /Compressor: '
Qty .
Furnace <100K BTU
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Furnace >100K BTU
Evaporator Cooler
Diffuser
G� p
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15 -30 HP /1,000,000
BTU
Suspended/Wall/Floor
Mounted Heater
Ventilatiqn System
L krA d 04-A4-144.
3
Wood/Gas Stove
30 -50 HP /1,750,000
BTU
Appliance Vent
Hood and Duct
Emergency Generator
50+ HP /1,750,000 BTU
Repair or addition to
Heat/Refrig/Cooling System
Incinerator — Domestic
Other Mechanical
Equipment
Air Handling Unit <10,000
CFM
Incinerator— Comm/Ind
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 additional periods not to exceed 90 days each. The extension shall be requested in writing
and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER R AUTHORIZED AGENT:
Signature:
Date:
Print Na rri -� � t� 1t L< 1(0.1 cU Qicl Day Telephone: — — .S6 0r
Mailing Address: SVOZ " . b b 1 0.1/ /4, V G`u RAJ e (.,-'4 . 9.3 OD I
City
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
HMpplicationslForms- Applications On Line\2009 Applications1l -2009 - Mechanical Permit Application.doc
Revised: 1.2009
bh
Page 2 of 2
• •
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.: 0223100037
Address: 406 BAKER BL TUKW
Suite No:
Applicant: KID N PLAY
RECEIPT
Permit Number: M10 -102
Status: PENDING
Applied Date: 07/29/2010
Issue Date:
Receipt No.: R10 -01448
Initials:
User ID:
WER
1655
Payment Amount: $209.63
Payment Date: 07/29/2010 12:31 PM
Balance: $0.00
Payee: EMERALD AIRE INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1494 209.63
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - NONRES
PLAN CHECK - NONRES
000.322.102.00.00 167.70
000.345.830 41.93
Total: $209.63
PAY
ECVE
ENT
doc: Receiot -06 Printed: 07 -29 -2010
L.
•
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
(Adi
• INSPECTION RECORD
Retain a copy with permit /A11
PERMIT N.
6300 Southcenter BIVd., #100; Tukwila: WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 =2451 •
Proje` _ /
p!
Type Rs jns ecti
: Ar
/f
Adds: i
/1
j`
Date Called:
Speci 1 Instructions:
•
Date Wanted:
'�
�-`
[ "
�a m,,,
p.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval. -
�
COMNTS:
I
• fJ7r4A: � Gbd(-1 lef�
REINSPECTION FEE REQb ' ED. 'rio • next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection:
_$4.11: ;ter.. {,,t.:.e..7;:ep• a^/'.woe -. •••:M.,;s : ^.,+.•n .•-r ';tee »a'8ss• ^h!•liertti
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
.....PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION Pe—
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
Projeyt�. x.11 n(^
Type o Inspection:I LA. 41 IA-
At 6 C0 a A.ves..
Date Called: i
Special Instructions:
Date Wanted: /
�f" —(� 'IJ'�
a.m.
p.rri
Requester:
Phone No:
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
7
1
Inspe o r: fa I j\j'\
Datey ( ( 1
❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
r
•
NEW WPLYWOOO
ON 2%6®16 OC
JOIST LD
PER PLAN
0-0•
NEW SUSP CEILING
SW OMB
NEW WALL
286• WO SKIDS 9
16'50 WSW ORR
FA SIDE
BOT LUTE W
POWER PLUMED
FASTDERS
ERIST CONK: SLAB
OWALL DETAIL
*IS0 VF
STRNCTJRE ABOVE
2X6 WO TOP PLATE TO
STRUCTNE
FILE COPY
Permit
PROJECT INFORMATION
PROJECT ADDRESS', 406 RAKER BLVD,TUKWIA. WA 6E166
Ian Is to � � , I ! �!.�� •
pproval of conduction documents does not dze
rle violation roof any adopt code or ordinance. Receipt .
approves • .1', f ,1• :Ii1 r.• 6.�:'� iUI'I7 {i l� Is ackfotf ''!ed:
D a t a : )1104
_-.
City Of 1U �`® —
V `1A
N1AL TENANT NRIOVENENTCONSISONG OF
NON-STRUCTURAL pi-RUMORS AND COORS FOR
TVA NEW BATTIROO S AND AN OFFICE
ALSO NCLUOED IS A LOW PARTIAL NGT PARTTTO 4
ASSESSORS PARCEL
NIINBER 0223IOW3T06
EOSTPARONG
LAYOUT
THAT PORTION OF TRACTS ANDOVER INDUSTRIAL PARK N0. S
ACCORDING TO THE PUT THEREOF. RECORDED N 5O.UN1E Tt OF PLATS
PAGES 66 AND 61, PINING COROT, WASHNGTOR DESGMBED AS FOLLOWS.
BEGIIO4G AT THE SOUINVEST CORNER OF SAP TRACT k
THENCE SOUTH WI 22. EAST AIDING THE 50UTERLY LAOS OF SAD TRACT 3,
AO67ANCE OF 25020 FEET TO THE TRUE POWTDF BEGINNING, SAID POINT
BENG THE SOUTHEAST CORNER OF THE OAVIDSON PRODUCTS CLUPANY SITE,
AS OESCRME6 N THAT NSTRUNENT RECORDED L5.ER RECORDING ROAMER ST7504T,
7008:2.412517202055(4002.24(684(2.2.101114 SOUTHERLY BOUNOI
O THE KIRS0668NPANY SITE. AS RECORO®I1DEi1 RFLORONG PRAISER 6140630
THENCE SOUTH 662512T EAST A OSTANCF OF 1451 FEET TO
THE SOUTHEAST CORNER OF SAD KIRSCH COMPANY SfCi:
THENCE SOUTH 010506• WESTA OLSTANCE OF 2455 FEET
TO THE SOUTHERLY LISTS OF SAID TRACT;
THENCE NORTH 660522. WEST A OSTAHCE OF 1451• FEET
TO THE TIDE PONT OF 5E(i4 W NO.
PROJECT DIRECTORY
NARK MCDONALD
VILLAGE PARTNERS SOUTH CENTER LLC
420 FIFTH AVE 10210
SFATTE WA 1611
Pot 405) 511.1243
EPARATE PERMIT
REQUIRED FOR:
Piping patectrical
cirpiumbing
areas
City of Tukwila
ILDING DIVISION
AROIRECE
[ELECT SPACE 1.10
345CFIFORMA AVE 5W
ST1O01
BATTLE WA 93116
CONTACT, TODD BERT13J0TT
Pt 06)137
Mc �) tlT.$6
NEW W PANTED 110E
CAP AND TRW
BUILDING CODE SUMMARY
BAKER Botit ARD
RETAIL CENTER. .
WA
12.426 5F GROSS
2,3455E
OOC LOAOFACTOR
TABLE 1004.1.2
MLRFR OF EATS 1215 SF U35.N- 22.015REOD
ZONING CODE SUMMARY
KD N PLAY
PAC
TUKWILA NAILTAL COOS 110.E 16
TUC (TUKVALA URBAN [FIRER)
OFF-STREET PANNING
RETA5L 4 STNJS PER 1660 SF
KID N PLAY
6 C011G
SWOT WALL
MAX 40.
HEIGHT
KID N RAY
PARIONG
RAKER BWEVARORETAL CENTER PARKING SN44RY
KDNRAY 21005FRETALUIOI.0 1
24550 A[J>CSWRV
124550
DRAWING INDEX
PROW IFORNAliCAL VICINITY PLAN, BUILDING PLAN
ROO6 RAIL RFRECTED CEILING PLAR DETAILS, SCHEDULES
MI 0- 1 0 jTUKWIL&WA
PERMIT 5.11.10
PERMIT CORRECTIONS 5.I8. 10
TENANTl
1490 SF
REVISIONS
No changes shall be made to the _
of work without prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees— - I -
SCUM
NEVI, rt *�r'f NIT/.r'pM ENSIU 7.ENIilOMMI'I
BAKER BOULEVARD
RECEIVED
JUL 29 2010
PERMIT CENTER
PROJECT INFORMATION
SITE PUN, BUILDING PLAN
LIGHTING LECEN
6' RECESSED DIVMJ01T
90 M N EXHAUST rAN
ILLUMINATED EXIT SIGH V/ EMERGENCY EGRESS
ILLUMINATION V/ MIN 1 FOOT CANDLE AND
90 MINUTE BATTERY BACK UP PER IBC 1SECT.)006)
WALLTYPES F01
,P,
RATING
7�u
EXIST WALL
0 W ST GWB 1d1
2X0 Sf1IDSTOUNDERSIDE OF STRUCTURE
SOT 4100
S* 420
0 _�_ ffi5TUO.STOIWOERSOEOF STRUCTURE 1401
\TdA Sr c. 19
Fnav
u 50'4140
7❑ M DSSN05T010d AFF HN
lam. S! 440
a5S1UDST0r47AFF MR
5154148
MP£
5509 CUING
NP AFT
Isar Mil SILO UP TO SS
71? MTL STUD LP TO 10r
12 GA. O Tr QC_
SPLAY VANES p
M 0L.
1. AU. SPLAY COUPOW BE N 1rE wrtN
AnAOEO muPGNFArr.
L ALL SPLAY VANES TO BE TAUT E. WO
BOTH ENOS WAILS IDDa N 1' OF WIl
DOOR SCHEDULE
4148 CELNG
4, @v.-0F
00.0 XEMA06
517E
LIAR. FN MOl EOb4lXfOpINFSSI
1 100 P1 741X?.CX1710
2 BON PI 7'-0•X7'-0'1)704•
3 SLOP P1 0017.44X114'
4 1001 PT 0b XT'UX 131' 1404
GWBC0001G
@OQ Aff
WAU.IGUNTO
1 ALL SIAYNARFS TYPICALLY' O tr. AND
4'4 FROM PERFAETEA 50PORT PARnroNS.
4. AL SPLAY WIRES TO BE AT OR LESS
TALL MAN RUNNERS TO BE HEAVY DUTY
WALLIW
P4AU
WAINSCOT TO
rd AFF. TYP
THIS WALL
FROAOE SPACE AT
OPPOSING WALL
ALL WYSENSI�
PIMA WAINSCOT TO
4'.0 AFF. TYP THIS
WALL
CAPS 0E(BNO
@ 044 MP
101 ' Imo:uSTIm GRUS CF10RI
IT RUBBER BASE, TYP
ALL WMLS
YWSO
WATTACHED
WALL O 120 O.C.
1110 GRAB BAR
NOTES NATO® AREAS INDICATE POSSIBLE LOCATIONS FOR REOUNED BLOCKING.
GRAB BARS SNAIL BE CAPABLE OF BEARING A VERTICAL OR HORIZONTAL
FORCE OF 2S0 LBS PER NISI 117.1 SECTION ®17.
cvIcy Jh
DE COMP,L.ANC .
PPRfVED
u201J
POPRNET AT ALL
1EUBFR; ] ALUA ENT
WALLS (OF 4)
SEISMIC BRACING DETAIL.
GRAB BAR REQUIREMENTS
TENANT 5
N PLAY
145 SF
NOTE MEREACEESSORITY 6REQUIRED. NNIDIES, PW$ LATCHES. LOOS
AND OOER OPERATING OE2NOS ON 000RS, W1100, ,CABNETS.
PIULIBNG FUTURES, NO STODGE FAOIITES.9WL HAVE A LEVER
OF OTHER OWE All PE0OT OPERAD N BY 00057 OR ARM
PRESSURE NCI W00OI DOES NOT REQUIRE TIORGRASPING, CR TASTING
TO OPERATE PHi ANSI 111.I SECTION 3094
KID N PLAY
BN1oulM 11Q HAIL WON
CONTROLS NOTNORETRAN 1T
FRON FRONT OP CODITER TYP
INSULATE EXPOSED HOT
WATER AND DRAIN
PIPES. TW
TUKWILA, WA
aQyzi
PAPER TOWEL
DISPENSER/
RECEPTACLE
LAVATORY TOP 1IINROR
047 X r4T' X
1-211• GATE
PERMIT 5.11.10
PERMIT CORRECTIONS 52/3.10
RECEIVED
JUL 29 2010
PERKT,GfehirgR
DETAILS. SCHEDULES
17ERLOSTATS /AO
FIE MARV
PL LSTATONS
TOILET TOILET GRAB BARS
PAPER
HOLDER
MOUNTING HEIGHT DETAIL - ACCESSIBLE FIXTURES
REFLECTED CEILING PLAN
SCALE: 1/4"=r-0"
• P
•
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M10 -102 DATE: 07 -29 -10
PROJECT NAME: KID N PLAY
SITE ADDRESS: 406 BAKER BL — SUITE 160
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
G b , —t0
Old ing sion �l
Public Works Ti
ire Prevention w
Structural
Planning Division
Permit Coordinator
n
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
DUE DATE: 08-03-10
Complete Incomplete n Not Applicable Ti
Comments:
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
REVIEWER'S INITIALS:
n No further Review Required
DATE:
APPROVALS OR CORRECTIONS:
Approved
Notation:
Approved with Conditions
[yJ.
DUE DATE: 08 -31 -10
Not Approved (attach comments)
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
Contractors or Tradespeopleter Friendly Page
a
General /Specialty Contractor
A business registered as a construction contractor with LEI to perform construction work within the scope of
its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name EVERGREEN REFRIGERATION LLC UBI No. 602512953
Phone 2067631744 Status Active
Address 727 5 Kenyon St License No. EVERGRL954R2
Suite /Apt, License Type Construction Contractor
City Seattle Effective Date 1/6/2006
State WA Expiration Date 1/6/2012
Zip 98108 Suspend Date
County King Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
EVERGHH910J0
EVERGREEN HOME
HEATING & ENGY
Construction
Contractor
General
Unused
4/20/2009
4/20/2011
Active
EVERGI'201D7
EVERGREEN
REFRIGERATION INC
Construction
Contractor
General
Unused
3/27/1980
7/31/2006
Relicensed
Business Owner Information
Name
Role
Effective Date
Expiration Date
EVERGREEN REFRIGERATION LLC
Partner /Member
12/22/2005
Amount
PATTON, DAVID
Partner /Member
01 /06/2006
BAW54192293
PATTON, RODGER
Partner /Member
01/06/2006
PATTON, MATTHEW
Partner /Member
01/06/2006
Continental
Western Ins Co
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
1
TRAVELERS CAS a
SURETY CO
104667361
01/01/2006
Until Cancelled
$12,000.00
01/03/2006
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
3
AMERICAN FIRE
AND CASUALTY
COM
BAW54192293
07/31/2010
07/31/2011
$1,000,000.00
07/29/2010
2
Continental
Western Ins Co
CWP2640663
07/31/2006
07/31/2010
$1,000,000.00
03/23/2009
1
ALASKA
NATIONAL
INSURANCE CO
05GLS31381
07/31/2005
07/31/2006
$1,000,000.00
01/03/2006
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx
08/11/2010