HomeMy WebLinkAboutPermit D12-065 - FOSTER CREEK II - SIDING AND STORAGE STRUCTUREFOSTER CREEK II
15036 MACADAM RD S
D12-065
City otkukwila •
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206331 -3670
Inspection Request Line: 206- 431 -2451
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 7661600180
Address: 15036 MACADAM RD S TUKW
Suite No:
Project Name: FOSTER CREEK II
DEVELOPMENT PERMIT
Permit Number: D12-065
Issue Date: 03/07/2012
Permit Expires On: 09/03/2012
Owner:
Name: TUKWILA ESTATES INVESTORS I
Address: PO BOX 98 , WOODINVILLE WA 98072
Contact Person:
Name: EVAN WESTCOTT
Address: 227 BELLEVUE WY NE, SUITE 177 , BELLEVUE WA 98004
Contractor:
Name: WESTCORP COMMERCIAL LLC
Address: 13240 NE 20 ST , BELLEVUE WA 98005
Contractor License No: WESTCCL926C 1
Lender:
Name:
Address:
Phone: 425 - 941 -0805
Phone: 425 941 -0805
Expiration Date: 04/06/2012
DESCRIPTION OF WORK:
REPLACE EXISTING T1 -11 SIDING WITH LIKE MATERIAL, REMOVE EXISTING STORAGE STRUCTURE.
Value of Construction: $5,000.00
Type of Fire Protection:
Type of Construction:
Electrical Service Provided by: SEATTLE CITY LIGHT
Fees Collected: $490.25
International Building Code Edition: 2009
Occupancy per IBC: 0021
* *continued on next page **
doc: IBC -7/10
D12 -065 Printed: 03 -07 -2012
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:
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 perfo horized to sign and obtain this development permit and agree to the conditions attached
to this permit
Signature:
Print Name:
i
Date: 3/7 b
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
5: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
doc: IBC -7/10
D12 -065 Printed: 03 -07 -2012
CITY OF TUKT
Community Develop t Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Building Pe t No. -D I a— 6'6
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
CONSTRUCTION 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
Site Address: 1,50 3' P "-A,ACL 'caavrTL , S ,
Tenant Name: FS -k CrEe-V -- -t
PROPERTY OWNER
Name: Ov Vie-- .� -
-a
Name: c ,. . _ p D�W��s
City: �..�1tA/l.e— State. Zip: ?goat
`7l1�"" ��
Address:. 8.776- i(py Ave. NC
Email: "0vtp vveDS rpCovi,5+rtALT1b?.Lb
City:ll j ,wide_ State: WA
Zip: Van_
CONTACT PERSON - person receiving all project
communication
Name: Ov Vie-- .� -
-a
Address: ZZ.- �1'�1/GAe_ t . I . ij€ 4j 77
City: �..�1tA/l.e— State. Zip: ?goat
`7l1�"" ��
Phone: `t Zs • l q . ogOS Fax: z/2.5-. 6 057 /
Email: "0vtp vveDS rpCovi,5+rtALT1b?.Lb
GENERAL CONTRACTOR INFORMATION
Company Name: we, ✓v. /, _ vw,e moo'
Address: Z2.7 T'ZAk�t,l.� N C1 7�L
City: '3���ev State: W Zip:
Phone: Ls. A q (.c m o5 Fax: ens: G n p7' /_
/
Contr Reg No.: Wesi - co_gZlad p Date: o q./.1.4, I t._
Tukwila Business License No.:
H:\Applications\Fonns- Applications On Line \2012 Applications\Permit Application Revised - 2- 7- 12.docx
Revised: February 2012
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King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑ .. No
ARCHITECT OF RECORD
Name:
Address:
Company Name:
Architect Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Name:
Address:
Company Name:
Engineer Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name:
Address:
City: State: Zip:
Page 1 of 4
BUILDING PERMIT INFORMATION — 206 - 431 -3670
Valuation of Project (contractor's bid pri : $l7 61)D' Existing ilding Valuation: $
Describe the scope of work (please provide detailed information): 1417 tam- exi=t/ --Ni T 1- 1 l 'N vY
1i1tlPce- &\ C five- 2XiS4 sfi� �- - J
Will there be new rack storage? ❑ ....Yes
K.No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ Yes �f No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No
If `yes', attach list of materials and storage locations on a separate 8 -1/2" x 11 " paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:\Applications\Forms- Applications On Line12012 Applications\Permit Application Revised - 2- 7.12.docx
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Page 2 of 4
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
l' Floor
2nd Floor
:0r
la
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 �f 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.
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Revised: February 2012
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Page 2 of 4
PERMIT APPLICATION NOTES —
• 1
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 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).
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 OWN : R O ' i 4 ORIZED AG T:
Signature:
Print Name:
Mailing Address: 2-S-7 Iden E 4H/7
H:\Applications\Forrns- Applications On Line \2012 Applications\Permit Application Revised - 2- 7- 12.docx
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Date:
02141/2512_
Day Telephone: LIZ'S` (M I.00 5
lever WA-
21e()(3Y
City State Zip
Page 4 of 4
PUBLIC WORKS PERMIT INFO TION — 206 - 433 -0179
•
Scope of Work (please provide detailed information):
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ .. Tukwila ❑ ...Water District #125
❑ .. Water Availability Provided
Sewer District
❑ .. Tukwila
❑ .. Sewer Use Certificate
Septic System:
❑ On -site Septic System — For -site septic system, provide 2 copies of a current septic design approved b/ ing County Health Department.
❑... Highline
❑ ...Valley View 0... Renton
❑ ...Sewer Availability Provided
0... Renton
❑... Seattle
Submitted with Application (mar 'tzoxes which apply):
❑ .. Civil Plans (Maximum Paper S' — 22" x 34 ")
❑ .. Technical Information Report (Sto �� i rainage)
❑ .. Bond ❑... Insurance \ ❑... Easement(s)
Proposed Activities (mark boxes that apply):
❑ .. Right -of -way Use - Nonprofit for less than 72 ii' +{ rs
❑ .. Right -of -way Use - No Disturbance
❑ .. Construction/Excavation /Fill - Right -of -way ❑
Non Right -of -way ❑
❑ .. Total Cut
❑ .. Total Fill
❑ .. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
❑ .. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
cubic yards
cubic yards
0... Abandon Septic
❑... Curb Cut
0... Pavement C
❑... Looped F. ' Line
❑ ...Geotechnical Report
0... Maintenance Agreem
❑ .. Traffic Impact Analysis
❑ .. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
❑ ... Right- of -wa se - Profit for less than 72 hours
❑ ... Right -of- ix Use — Potential Disturbance
rk in Flood Zone
torm Drainage
❑ .. Permanent Water Meter Size (1)
❑ .. Temporary Water Meter Size (1)
❑ .. Water Only Meter Size
❑ .. Sewer Main Extension Public
❑ .. Water Main Extension Publi
FINANCE INFORMATION
Fire Line Size at Property Line
❑ .. Water
❑ .:`ewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Re nd/Billing:
Name:
Mailing Address:
❑...Grease Interceptor
❑ ... Channelization
0... Trench Excavation
0... Utility Undergrounding
O # (2) " ,WO # (3) " WO #
WO # (2) O # (3) " WO #
WO # ❑ .. Delt,et Water Meter Size "
Private ❑
Private ❑
Number of Public Fire Hydrant(s)
❑ .. Sewage Treatment
Day Telephone:
City
State
Zip
Day Telephone:
City
State
Zip
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Page 3 of 4
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
Parcel No.: 7661600180
Address: 15036 MACADAM RD S TUKW
Suite No:
Applicant: FOSTER CREEK II
RECEIPT
Permit Number: D12-065
Status: APPROVED
Applied Date: 02/29/2012
Issue Date:
Receipt No.: R12 -00940
Payment Amount: $371.10
Initials: WER Payment Date: 03/07/2012 09:38 AM
User ID: 1655 Balance: $0.00
Payee: HOWARD RICHMOND
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
RD Pmts Re -Dist OP
Authorization No. 11707G
ACCOUNT ITEM LIST:
Description
371.10
.00
Account Code Current Pmts
BUILDING - RES
PLAN CHECK - NONRES
PLAN CHECK - RES
STATE BUILDING SURCHARGE
000.322.100
000.345.830
000.345.830
640.237.114
Total: $371.10
366.60
- 119.15
119.15
4.50
doc: Receiot -06 Printed: 03 -07 -2012
•
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.2ov
Parcel No.: 7661600180
Address: 15036 MACADAM RD S TUKW
Suite No:
Applicant: FOSTER CREEK II
RECEIPT
Permit Number: D12 -065
Status: PENDING
Applied Date: 02/29/2012
Issue Date:
Receipt No.: R12 -00864
Payment Amount: $119.15
Initials: LAW Payment Date: 02/29/2012 02:15 PM
User ID: 1632 Balance: $187.80
Payee: WESTCORP COMMERCIAL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 61925G
ACCOUNT ITEM LIST:
Description
119.15
Account Code Current Pmts
PLAN CHECK - NONRES
000.345.830 119.15
Total: $119.15
doc: Receipt -06 Printed: 02 -29 -2012
City fff Tukwila
Permit Center
6300 Southcenter Boulevard, Suite, 100
Tukwila, WA 98188
(206 431 -3670)
Application # 065
ALTERNATE PLAN SUBMITTAL AUTHORIZATION
FOR LIMITED SCOPE OF WORK
I.B.C.& I.R.C. Section 104.1
Project name '1f7STiE:z__ CAZEE14. E
Address (ca 3Co kt Ada.,n„ vdi S . ,'f �1, I a AJA 9N,48
Description of work tack_ 1--(- I ` sic /16 w/ M.or r( ?(, (Ze v►tove_ e4c i 4 --7 y
Related reference number
The above project permit applicant, due to the limited scope of work is authorized to submit reduced
plan requirements described below.
1. Complete permit application required: (Note, all application must include; 1) property assessor
number, 2) copy of contractors license or completed owner waiver form.)
Building
Mechanical Other
2. Minimum plan and /or specification requirement:
Site plan Floor plan Elevations Foundation
Cross sections Roof plan W.S.E.C. Compliance Narrative X
Structural calculations (stamped by Washington State licensed engineer )
Specific required information -/1
3. Other special instructions:
'4 t
gy-
Authorization by,
TBD36/96 -form 12
E�EI'VED
FEB 29 2012
PERMITCENTER
Date —Z%� /�
(Authorization void 30 days after the date issued.)
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION G
6300 Southcenter Blvd., #100, Tukwila. WA 98188 .h (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
o S� __.Crc
Ty of Inspection
r A WA sC e &j
Address: 1. •
1 c036 pikc4p�U
Date Called:
at g v' k6,1(
P)9
Special Instructions:
Date Wanted•
19 - i
INSPECTION RECORD
Retain a copy with permit
INSPECTIO N0.
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION G
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Pr 'ect:
r0 s i C.i .c)C 1E.
Typg�f Inspection:
ICE_ LAD V r_ .S1)13 llUdI4
Address:
1 5o3(0--Vtdd e-A-iAki
Date Called:
Special Instructions:
0 S A -144
-
- 0
' 4
r
Date Wanted.
m.
Requester:
1)h-42S — 9 I ---3-2-57
Approved per applicable codes. D- Corrections required prior to approval.
COMMENTS:
•
1
Insztor:
r7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fess.
b
a
BUILDING 1A
OSITE PLAN
1" = 30'-0"
UILDI
G 1B
BUILDING 1C
BUILDING 1D
BUILDING 2A-
1 1
BUILDING 2B
0
BUILDING 3A—
BUILDING 3B
FOSTER CREEK II *RR:
15036 MACADAM RD. S
TUKWILA, WA 98188
RIVE
AY
BUILDING 4A—
BUILDING 4B
BUILDING 4C-
1
BUILDING 4D
;DRIVEWA'
Replace existing T1 -11 siding in breezeway between
buildings with like material, fasten to attached nailing
schedule. Remove existing storage structure of
unknown origin.
Nailing to match size and spacing as existing siding, with a minimum of 8d. All
fasteners shall be non - corrosive.
FILE COPY
Permit No.. 1712---0Lec
Plan review approval is subject to errors and omissions.
. oproval of co r rttc�otl documents does not a t o ilia
th v t ration of any adopted code or ordinance. Rapt
of approves _ onions is acknowledged:
By
City Of Tukwila
BUILDING DIVISION
PROJECT ADDRESS
FOSTER CREEK II
15036 MACADAM RD. S
TUKWILA, WA98188
OCCUPANCY
R -2
.q
VICINITY PLAN
Contractor:
Westcorp Commercial
227 Bellevue Way NE #177
Bellevue, WA 98004
Contact: Evan Westcott
Phone: 425.941.0805
Contractor Lic # WESTCCL926C1
Owner:
Geo Properties
Woodinville, WA
113112
t l
,
tt
15036 MACADAM RD. S
ti
REVIEWED FOR
CODE COMPLIANCE
APPROVED
MAR 0 2 2012
City of
BUILDING
flAA
cwila
VISION
4 Vs•
N
.,Li ARATL PE �viiT
REQUIRED FOR:
bI2o&'5'
rgi Mechanical
V Electrical
cg Plumbing
( Gas Piping
C t pf T tikwlla
moll N
RECEIVED
FEB 2 9 2012
PERMITCENTER
17716AL. 'RMLf?.1Ca t ETA 1 L .
•
,<<sTlki (ai1 -11
42" /At$.
0-2/29720l Zv
2x� @ I (o" 0.c. Tom.
sot/ Z %Lj 'k'o -e1o,e... s #tir 7la4
2x(p + 0 9 , 5 4 s
STI kl C-i
ft-POW D) CA
tuc,(7
REVIEWED FOR
CODE COMPLIANCE
APPROVED
MAR 0 2 2012
City of Tukwila
BUILDING DIVISION
k1•
60 i`16 Prrr
'bt 5rfijCA
sTrrrc,
Srk t g-5
ECEIVEf
FEB 29 2012
PERMIT CENTEF
�� 5�'L�► 1`05 TE'iZ CP-Ek-
150 3(0 AA- LA.1)74N` S
lTcw«R,wA %I t8
• CO:`' "' p COM a
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D12 -065
.__ ........_..
PROJECT NAME: FOSTER CREEK II
SITE ADDRESS: 15036 MACADAM RD S
X Original Plan Submittal Response to Incomplete Letter #
DATE: 02 -29 -12
Response to Correction Letter #
Revision # After Permit Issued
DEPARTMENTS:
r'f
ui ding iv sion
Public Works 'il
Pchi 141A 09,-D1.17,
Fire Prevention tanning Division
Structural ❑ Permit Coordinator
III
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete
DUE DATE: 03-01 -12
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
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 03 -29-12
Approved Approved with Conditions Not Approved (attach comments)
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing slip.doc
2 -28 -02
Contractors or Tradespeople Peter Friendly Page
1
General /Specialty Contractor
A business registered as a construction contractor with L&I to perform construction work within the scope of
its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name WESTCORP COMMERCIAL LLC UBI No. 602792465
Phone 4259410805 Status Active
Address 227 Bellevue Way Ne, #177 License No. WESTCCL926C1
Suite /Apt. License Type Construction Contractor
City Bellevue Effective Date 2/21/2008
State WA Expiration Date 4/6/2012
Zip 98004 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
HYDECI.025K6
HYDE
CONSTRUCTION INC
Construction
Contractor
General
Unused
5/26/1998
9/4/2002
Archived
CUSTOHI995BW
CUSTOM HOMES INC
Construction
Contractor
General
Unused
1/16/2001
5/14/2010
Expired
Business Owner Information
Name
Role
Effective Date
Expiration Date
WESTCOTT, EVAN CHARLES
Partner /Member
02/21/2008
Amount
HARRIS, EDWARD J
Agent
04/06/2010
10/05/2011
HEIDI, RICHARD D
Partner /Member
02/21/2008
10/05/2011
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
DEVELOPERS SURETY
& INDEM CO
791407C
02/20/2008
Until Cancelled
04/05/2012
$12,000.00
02/21/2008
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
5
First Financial
Ins Co
NJCGL0000000329501
12/31/2011
12/31/2012
$1,000,000.0003
/01/2012
4
Starr Surplus
Lines Insurance
SLPGGL0070100
04/01/2011
04/01/2012
$1,000,000.00
04/01/2011
3
CAONKERSINS
460470000248500
04/01 /2010
04/01 /2011
$1,000,000.00
04/01/2010
2
NAVIGATORS
INS CO
SE09CGL01385200
02/20/2009
02/20/2010
$1,000,000.00
03/02/2009
1
COLONY INS CO
GL- 164776
02/20/2008
02/20/2009
$1,000,000.0002 /21/2008
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx
03/07/2012