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Home My WebLink AboutPermit D12-139 - CLAIM JUMPER RESTAURANT - REROOFCLAIM JUMPER 5901 S 180 ST EXPIRED 04-1(r13 D12-139 City ofI'ukwila S 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 Parcel No.: 3523049031 Address: 5901 S 180 ST TUKW Suite No: Project Name: CLAIM JUMPER RESTAURANT DEVELOPMENT PERMIT Permit Number: D12 -139 Issue Date: 04/26/2012 Permit Expires On: 10/23/2012 Owner: Name: GRE MANAGEMENT SERVICES INC Address: 4240 ROCKLIN RD #9 , ROCKLIN CA 95677 Contact Person: Name: JUSTIN GOIN Address: 5901 S 180 ST , TUKWILA WA 98188 Contractor: Name: NORTHWEST ROOF MANAGEMENT Address: 30124 126 CT SE , AUBURN WA 98092 Contractor License No: NORTHRM927B8 Lender: Name: Address: Phone: 206 - 575 -3918 Phone: 253 - 804 -3132 Expiration Date: 03/15/2014 DESCRIPTION OF WORK: REMOVE EXISTING ROOF TILE AND STORE ON ROOF. REMOVE BATTENS AND UNDERLAYMENT. INSTALL ONE LAYER OF CERTAINTEED WINTERGUARD ICE AND WATER UNDERLAYMENT. REINSTALL BATTENS AND ROOF TILE. Value of Construction: $17,000.00 Fees Collected: $417.00 Type of Fire Protection: AFA International Building Code Edition: 2009 Type of Construction: V -B Occupancy per IBC: 0004 Electrical Service Provided by: PUGET SOUND ENERGY * *continued on next page ** doc: IBC -7/10 D12 -139 Printed: 04 -26 -2012 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: (off Date: ` W 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 oz 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: 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: 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. 6: 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 doc: IBC -7/10 D12 -139 Printed: 04 -26 -2012 shall not be valid. The issuance of a permit i d on construction documents and other data l not prevent the Building Official from requiring the correcti errors in the construction documents and o data. doc: IBC -7/10 D12 -139 Printed: 04 -26 -2012 Ci CITY OF TUK Develop t Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Pe t No. b)-- ( -,?) 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 Addresser 1 $ c Y� - f Tenant Name: I4 u wt PROPERTY OWNER Name: i La hd v. y •S ► /� �'� L°■ el.a. vh en 4. 1 a-/dd % Address: l S i O{ j e.s J, L C � £;IL [ City: /t d �S�vv State2( Zip: --.) - )C�2 -) CONTACT PERSON — person receiving all project communication AtName: 1S /� `4I. (') 6 % Address: ,..201,2.44 126 4, G vsy.. j - Address: 9 O t & ✓1f ` /8 `State: S7r :It City: —7-c. ,,i BUILDING PERMIT INFORMATION — 206 - 431 -3670 Valuation of Project (contractor's bid price : $ (lfpd 0 Existing uilding Valuation: $ Describe the scope of work (please provide detailed information): sk & vh u v e._ e.)(r s-61 R a err d,.. ro dd 14- f•-'e4,, ,S :01 C114 i d a y weh 7 h. Si y .— e f' ee ✓' f4 � �7�� d w t h 7l e r C� � � � � tGe ci d i i /` ()IA ctfr /ac y n'i {n f re I IA 5-4 If 6a-Ffr,N a rid foal' %r /v Will there be new rack storage? ❑ ....Yes 12'..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: ❑ Sprinklers 1] 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:Wpplications'Forms- Applications On Line \2012 Applications\Permit Application Revised - 2- 7- 12.docx Revised: February 2012 bh Page 2 of 4 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1' 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: ❑ Sprinklers 1] 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:Wpplications'Forms- Applications On Line \2012 Applications\Permit Application Revised - 2- 7- 12.docx Revised: February 2012 bh Page 2 of 4 4 1r 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 ❑... Highline ❑ ...Valley View 0... Renton ❑ ...Sewer Availability Provided ❑... Renton ❑... Seattle 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. Submitted with Application (mark boxes which apply): ❑ .. Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ .. Technical Information Report (Storm Drainage) ❑ .. Bond 0... Insurance ❑... Easement(s) Proposed Activities (mark boxes that apply): ❑ .. Right -of -way Use - Nonprofit for less than 72 hours ❑ .. Right -of -way Use - No Disturbance ❑ .. Construction/Excavation /Fill - Right -of -way ❑ Non Right -of -way ❑ ❑ :. Total Cut ❑ .. Total Fill cubic yards cubic yards ❑ .. Sanitary Side Sewer ❑ .. Cap or Remove Utilities ❑ .. Frontage Improvements ❑ .. Traffic Control ❑ .. Backflow Prevention - Fire Protection Irrigation Domestic Water ❑...Geotechnical Report 0... Maintenance Agreement(s) ❑ .. Traffic Impact Analysis ❑ .. Hold Harmless — (SAO) ❑ .. Hold Harmless — (ROW) 0... Right-of-way Use - Profit for less than 72 hours 0... Right-of-way Use — Potential Disturbance ❑... Work in Flood Zone ❑... Storm Drainage .. Abandon Septic Tank . Curb Cut . Pavement Cut . Looped Fire Line !f ❑ .. Permanent Water Meter Size (1) " WO # ❑ .. Temporary Water Meter Size (1) " WO # ❑ .. Water Only Meter Size WO # ❑ .. Sewer Main Extension Public ❑ Private ❑ ❑ .. Water Main Extension Public ❑ Private ❑ U... Grease Interceptor ❑... Channelization 0... Trench Excavation ❑... Utility Undergrounding (2) " WO # (3) " WO # (2) " WO # (3) " WO # ❑ .. Deduct Water Meter Size f) FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ .. Water ❑ .. Sewer ❑ .. Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: City State Zip Water Meter Refund/Billing: Name: Mailing Address: Day Telephone: City State Zip H:tApplications\Forms- Applications On Line N.2012 Applications\Permit Application Revised - 2- 7- 12.docx Revised: February 2012 bh Page 3 of 4 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 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 a WNE ' OR AUTHORIZED AGENT: yy� Signature.— i. _ Date: ei/2 G / /.�, Print Name: �� V` �Z'G g-C Day Telephone: 2S3 - Ebef — 3132, Mailing Address:.-20 (2 (( (2-6 4' Z' 5 H:\Applications\Forms- Applications On Line \2012 Applications'Pennit Application Revised - 2- 7- 12.docx Revised: February 2012 bh A vC/r A/ — 67809.2 City State Zip Page 4 of 4 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.eov Parcel No.: 3523049031 Address: 5901 S 180 ST TUKW Suite No: Applicant: CLAIM JUMPER RESTAURANT RECEIPT Permit Number: D12 -139 Status: PENDING Applied Date: 04/26/2012 Issue Date: Receipt No.: R12 -01434 Initials: User ID: WER 1655 Payment Amount: $417.00 Payment Date: 04/26/2012 02:40 PM Balance: $0.00 Payee: NORTHWEST ROOF MANAGEMENT TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 880329 ACCOUNT ITEM LIST: Description 417.00 Account Code Current Pmts BUILDING - NONRES STATE BUILDING SURCHARGE 000.322.100 412.50 640.237.114 4.50 Total: $417.00 doc: Receiot -06 Printed: 04 -26 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: 01-111: "Al o.72/,i,3/2 ,PF$T Type of Inspection: i 4Th 7"146, & /pefit//1Gift) //1/4) / (2/M-S AlGYJf Zege/ gC Address: .59 0 / .S /466 S°_i` Date Called: "i.e., '1-: Special Instructions: Date Wanted: /D,/6 / /a" a.m. c."'' Requester: Phone No: ao (' -575-- 39" ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: & /pefit//1Gift) //1/4) / (2/M-S AlGYJf Zege/ gC \ / /ribs ao- iz /le vie C7,/ / ;Ali& A ev' 4/ '*/. mil ! .)✓o✓/ c!-' 4S' "i.e., '1-: r inspector*,/i ¥EI lSPECTION FEE RkQUIRED. Prior to next inspection, fee must be pal at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Day 0 /8/? :_INSPECTION RECORD Retain a copy with permit INSPECTION N0:. PERMIT NO. CITY.OF TUKWILA BUILDING DIVISION Permit Inspection ReqUest Line Tukwila. WA (206) 431 - 2451188 �� (206) 431 -3670 .t)i2 -/S) Project: r ' ,ei ; , • PAR' Type of Inspection: /� Inspection: 744/A, Address: : S70 (9/v Date Called: Special Instructions: _ = Date Wanted:.m. 5 �' / Z p.. p.m.. Requester: Phone No Approved per-applicable codes. Corrections required prior to approval. COMMENTS: ?e7- (ifLS4e41,6A./S - Alen, f4 Date: 5 — U -'2-- n,/RE)$1SPECTION FEE REQI}(RED. Prior to next inspection. fee must be (paid at 6300 Southcenter BlO\d.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit 9/2 -/37 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 Projecrit: - ,..,,,_ Type of Insp�e�/tion:1 / Address: . S Date Called: Special Instructions: 74 4 S lki,e Date Wanted:. —^-� a.rr�i Requester: Phone No El Approved per applicable codes. Corrections required prior to approval. • COMMENTS: p ‘g rg ()6 --356- 384 Date: J % /2_. n E,INSPECTION FEE REQI IRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 03 -05 -2013 JUSTIN GO1N 5901 S 180 ST TUKWILA WA 98188 jitAyaggor: on; ll%1ayor epartmentYof Community Developmei t Jack Pace; Director RE: Permit No. D12 -139 CLAIM JUMPER RESTAURANT 5901 S 180 ST 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, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 04/16/2013. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 04/16/2013, 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, /�1fU W, `Jenni r Marshall Fermi Technician File: Permit File No. D12 -139 6300 Southcenter Boulevard ` Suite #100 0 Tukwila, Washington 98188 • Phone 20 4-31-3670 • FTc 206 - 431 3665 10 -01 -2012 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director JUSTIN GOIN 5901 S 180 ST TUKWILA WA 98188 RE: Permit No. D12 -139 CLAIM JUMPER RESTAURANT 5901 S 180 ST 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, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 11/04/2012. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and /or receive an extension prior to 11/04/2012, 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, ifer Marshall it Technician File: Permit File No. D12 -139 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 -431 -3665 Northwest Roof Management 30124 126th CT SE Roof Proposal # 2014 Auburn, WA 98092 DATE: March 21, 2012 Toll Free -1- 866 -610 -6976 Fax 253- 939 -2598 Submit To: Frank Smith, Landry's Inc. Project Address: Phone: (713) 850 -1010 (office), (949) 439 -6000 (office direct) Landry's -Claim Jumper 5901 South 180th Street fasmith @ldry.com Seattle, WA 98188 On Site Contact: Justin Goin Roof Removal and Decking Replacement 1. NW Roof Management shall cover and protect landscaping, sidewalks, public entry ways and areas as needed. 2. NW Roof Management shall carefully remove roof tile and store to reuse. 3. NW Roof Management shall carefully remove batten strips a store to reuse. 4. NW Roof Management shall remove # 30 pound roofing felt down to wood decking. 5. NW Roof Management shall inform Frank Smith, Landry's, Inc., of any sheathing deterioration backed with photo documentation. Roof decking replacement shall be above and beyond roof replacement cost at $ 35.00 per- sheet. Price includes removing and replacing with like type materials. All additional wood work shall be at $ 35.00 per hr plus material unless otherwise noted on change order form and agreed upon by all parties. Roof Installation 1. NW Roof Management shall clean, prep and inspect roof deck surface prior to applying roof. underlayment. 2. NW Roof Management shall install a roof CertainTeed Winterguard (ice & water shield) or a material comparable in quality. 3. NW Roof Management shall reinstall batten strips per Tile manufactures speciations. 4. NW Roof Management shall reinstall tile, replacing all broke or damaged tile matching color of existing as closely as possible. Roof Flashing Details I. Northwest Roof Management shall place two layers of winter guard (ice and water shield) directly over roof decking, at pipe penetrations, under chimney pan flashing, at skylights and at roof to wall transitions. Job Site Clean -up 1. NW Roof Management shall clean grounds and roof gutters of all job related roof debris and properly dispose of. Payment Terms 1. Frank Smith, Landry's, Inc. agrees to make a deposit of $ 6,500.00 once project is started to cover material and dump fee costs, made out to Northwest Roof Management. 2. Frank Smith, Landry's, Inc. agrees to pay Northwest Roof Management the balance of $10500.00 upon completion. • • GENERAL CONDITIONS 1. Scope of Work. Northwest Roof Management shall conduct roofing work at the location specified above in accordance with the proposal set forth above. Northwest Roof Management shall provide all labor, materials, equipment and tools necessary for the completion thereof, all in accordance with the terms and conditions set forth herein. Northwest Roof Management shall complete all work in a workmanlike fashion and, unless otherwise noted, in accordance with standard roofing practices. 2. Change Orders. Any alteration or deviation from the above specifications involving extra costs, will be executed only upon a written change order from the Customer, and will become an extra charge over and above the price set forth herein. 3. Reroof Pricing The cost for the reroof as specified in proposal section includes all labor, material, equipment, insurance, permits, supervision and sales tax for the lump sum of $ 17,000.00 4. Time for Performance. The work shall be scheduled after the customer accepts this proposal, and will be substantially completed within a reasonable amount of time, weather permitting. Delays due to inclement weather, or any other cause beyond the reasonable control of Northwest Roof Management, shall extend the time for completion. Northwest Roof Management's decision is final as to whether its crews can work in any weather conditions. The response time of an Emergency reroof will be as soon as possible or within 24 hours. A non - emergency reroof that is needed will be within 3 days of signed proposal date. 5. Payment Terms: Payment will be due upon completion. Northwest Roof Management may withdraw its offer to provide materials and services without penalty or recourse by customer if proposal is not accepted within 30 days. By signing this proposal, customer expressly acknowledges that it is understood that Northwest Roof Management will protect its lien rights in the event that payment is not received in the time restraints established. 6. Insurance. Northwest Roof Management's workers are covered by Worker's Compensation Insurance, and Northwest Roof Management carries One Million Dollars in comprehensive liability insurance. Proof of such coverage is available upon request. 7. Special Indemnity. Northwest Roof Management shall not be held financially responsible for any damage to ceilings, contents, flooring, or anything else due to water intrusion or job progress. We also cannot be held financially responsible for additional repairs required due to leaking walls, windows, chimneys, air conditioning units, roof mounted apparatus, plumbing, clogged drains, etc. 8. Clean up. Northwest Roof Management shall keep the work reasonably neat and free of rubbish and debris. Upon completion of the work, Northwest Roof Management shall remove rubbish and debris, and its tools and equipment, and shall leave the work area in a "broom clean" condition. 9. Excusable Delays. Northwest Roof Management shall not be liable for damages for delays in performance or failure to perform due to causes beyond the reasonable control, and without the fault or negligence of Northwest Roof Management. Such causes may include, but are not limited to, inclement weather, war, riot, strike or walkout, embargo, fire, flood, tornado, hurricane, other acts of God, shortages of materials or labor, delays caused by third parties or customer, or any other occurrence or event beyond the reasonable control of Northwest Roof Management. Contractors or Tradespeople Plier 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 NORTHWEST ROOF MANAGEMENT UBI No. 602098816 Phone 2538043132 Status Active Address 30124 126Th Ct Se License No. NORTHRM927B8 Suite /Apt. License Type Construction Contractor City Auburn Effective Date 1/28/2008 State WA Expiration Date 3/15/2014 Zip 98092 Suspend Date County King Specialty 1 Roofing Business Type Individual Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status NORTHRM994CN NORTHWEST ROOF MANAGEMENT Construction Contractor General Unused 2/15/2001 2/13/2002 Archived QUALIPCO27NL QUALITY PROFESSIONAL CONST Construction Contractor General Unused 8/13/1998 8/12/1999 Archived Business Owner Information Name Role Effective Date Expiration Date STOCKS, JOHN A Owner 01/28/2008 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 American Contractors Indem CO 100189876 03/05/2012 Until Cancelled $6,000.00 03/15/2012 3 Lexon Ins Co 9804884 02/05/2011 Until Cancelled 02/07/2012 $12,000.00 03/09/2011 2 COLONIAL AM CAS & SURETY OF MARYLAND LPM4077770 02/05/2009 Until Cancelled 02/07/2011 $12,000.0002/19 /2009 1 AMERICAN CONTRACTORS INDEM CO 100040645 01/15/2008 Until Cancelled 03/02/2009 $6,000.00 01/28/2008 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 Houston Specialty Ins Co TEN - 071411 07/14/2011 07/14/2012 $1,000,000.00 07/14/2011 4 GOTHAM INS CO 5100591610 07/14/2010 07/14/2011 $1,000,000.00 07/09/2010 3 AXIS SPECIALTY INS CO TSZCL0020201007/14/2009 07/14/2010 $1,000,000.0007 /17/2009 2 FIRST MERCURY INS CO FMTX004410 07/14/2008 07/14/2009 $1,000,000.00 01/20/2009 1 ATLANTIC CAS INS CO L071002828 01/17/2008 01/17/2009 $300,000.0001/28 /2008 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 04/26/2012