HomeMy WebLinkAboutPermit D12-247 - SUNWOOD CONDO - ROOF REPAIRSUNWOOD CONDOS
ROOF REPAIR
15209 SUNWOOD BL
D12 -247
City okukwila
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
DEVELOPMENT PERMIT
Parcel No.: 8141400000
Address: 15209 SUNWOOD BL TUKW
Suite No:
Project Name: SUNWOOD CONDO - ROOF REPAIR
Permit Number: D12 -247
Issue Date: 08/08/2012
Permit Expires On: 02/04/2013
Owner:
Name: SUNWOOD CONDOMINIUMS
Address: C/O SUHRCO RESIDENTIAL PROP , 10655 NE 4TH ST STE 711 98004
Contact Person:
Name: TIM LONG
Address: PO BOX 65181 , SHORELINE WA 98155
Contractor:
Name: CONSOLIDATED GTR & SHT MTL LLC
Address: 16751 BURKE AV N , SHORELINE WA 98133
Contractor License No: CONSOGS902RN
Lender:
Name:
Address:
Phone: 425 - 780 -0400
Phone:
Expiration Date: 12/15/2012
DESCRIPTION OF WORK:
BUILDUP CURB FOR EXISTING SKYLIGHT
Value of Construction: $1,986.00 Fees Collected: $212.40
Type of Fire Protection: International Building Code Edition: 2009
Type of Construction: V -B Occupancy per IBC: 0021
Electrical Service Provided by: PUGET SOUND ENERGY
* *continued on next page **
doc: IBC -7/10
D12 -247 Printed: 08 -08 -2012
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant: N Number: 0
Flood Control Zone:
Hauling: N Start Time:
Land Altering: Volumes: Cut 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
Size (Inches): 0
End Time:
Fill 0 c.y.
Water Main Extension: Private: Public:
Water Meter:
Permit Center Authorized Signature:
Date: 6 -/c r(
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 performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached
to this permit. w ,
Signature: (MY' "t 1$1, Date: 8/1)/
Z
Print Name: 7 714"i 4 0A-)�
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: 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.
6: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
doc: IBC -7/10
D12 -247 Printed: 08 -08 -2012
obtained at City Hall in the office of the Citrk.
•
7: Prior to final inspection for this building permit, a copy of the roof membrane manufacturer's warranty certificate
shall be provided to the building inspector.
8: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
9: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
10: ** *FIRE DEPARTMENT CONDITIONS * **
11: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the
following concerns:
12: Application of roof coverings with the use of an open -flame devices requires a separate permit from the Tukwila Fire
Department located at 444 Andover Park East, Tukwila, Washington, 98188; telephone - (206)575 -4407. There shall be not
less than one multi- purpose portable fire extinguisher with a minimum 2 -A 20 -B:C rating on the roof being covered or
repaired. (IFC 105.6.24, 1417.3)
13: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2327 and
#2328)
14: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of
such condition or violation.
15: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at
(206)575 -4407.
doc: IBC -7/10
D12 -247 Printed: 08 -08 -2012
CITY OF TUKYI
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. (01--- 2'
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 / J 3S cu Y1 %(/a0 / /Vi( -! 1(Al �' c 81 er
-� King Co Assessor's Tax No.:
Site Address: /S`2 SG�>1G ✓Ot�G� ‘04,p4 1�,�,d'�tc Suite Number: Floor:
Tenant Name: So., n ( ,)J o h d o c New Tenant: ❑ Yes ® .. No
PROPERTY OWNER
Name: S'Gt, rl too 04 GQ yva riy ,
Address: is-2Y6— St,n (voa t &Al va(
City: lk A 1,1)3457 State:., Ja Zip:
CONTACT PERSON — person receiving all project
communication
Name: I) Th /6 4
•1
Address;q) ail K5,-/s i
Address: , ) 44, 65-/ :v
Phone: Fax Fax 6/-7 „.... %2 Sb
City: -46 ,re 6.4. Q State: ti)4.,
Zipcorr
Phone: 4/26 -7e 0- 6e66, Fax: 26
77y_ /2 q 6
Email: ,
GENERAL CONTRACTOR INFORMATION
Company Name:t- 6 I ), l�e J liv�#y r.tqpC� -44
Gl /�� �1
•1
Address;q) ail K5,-/s i
City: S40 Ye /,/n C State: ‘,L)ct. Zip:gpJd .
Phone: Fax Fax 6/-7 „.... %2 Sb
Contr R e g � NN oo . 0 GS,y,Qa e Exp 7 — ' — J 2
✓ J2
.
Tukwila Business License No.: Az c _ 6 v 39 y,Q
H:Wpplications\Forms- Applications On Line\2012 Applications\Permit Application Revised - 2- 7- 12.docx
Revised: February 2012
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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 price: $ / g ‘6° Existing ding Valuation: $
Describe the scope of work (please provide detailed information): et�,�'f� •[,� Jt'3 G LA. Y,� �e , - 4e._3( A7
)),A,
Will there be new rack storage? ❑ ....Yes
❑ ..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 11): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ Yes ❑ No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No
If `yes', attach list of materials and storage locations on a separate 8 -1/2 "x 11" paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
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Revised: February 2012
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Page 2 of 4
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Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
lst Floor
sky %4
Gc 1 D f A r
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 11): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ Yes ❑ No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No
If `yes', attach list of materials and storage locations on a separate 8 -1/2 "x 11" paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
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Revised: February 2012
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Page 2 of 4
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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 OW�� A -T RIZED AGENT:
Signature:
Print Name: /7r‘
Mailing Address: /20 A2,04 b'/ g)
H: Applications \Forms- Applications On Line\2012 Applications\Permit Application Revised - 2- 7- 12.docx
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Date: %A7 / ,v
���.
Day Telephone: 246 - 2004/74
Wet, ciswr-
City State Zip
Page 4 of 4
PUBLIC WORKS PERMIT INFWTION — 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
0... Renton
0... 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 0... Easement(s)
Proposed Activities (mark boxes that applv):
❑ .. Right -of -way Use - Nonprofit for less than 72 hours
El.. Right -of -way Use - No Disturbance
❑ .. Construction/Excavation /Fill - Right -of -way ❑
Non Right -of -way ❑
❑ .. Total Cut cubic yards
❑ .. Total Fill cubic yards
El.. Sanitary Side Sewer
El.. Cap or Remove Utilities
El.. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ .. Permanent Water Meter Size (1)
El.. Temporary Water Meter Size (1)
❑ .. Water Only Meter Size
❑ ... Geotechnical Report
0... Maintenance Agreement(s)
❑ .. Traffic Impact Analysis
El.. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
0... Right-of-way Use - Profit for less than 72 hours
0... Right-of-way Use — Potential Disturbance
0... Work in Flood Zone
O ... Storm Drainage
0... Abandon Septic Tank
0... Curb Cut
El... Pavement Cut
0... Looped Fire Line
❑ .. Sewer Main Extension Public
❑ .. Water Main Extension Public
If
>>
WO #
WO #
WO #
Private ❑
Private ❑
❑...Grease Interceptor
❑ ... Channelization
❑...Trench Excavation
0... Utility Undergrounding
(2) >> WO # (3)
(2) >> WO # (3)
❑ .. Deduct Water Meter Size
>> WO #
WO#
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ .. Water El.. Sewer ❑ .. Sewage Treatment
Monthly Service Billing to:
Name: Day Telephone:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State
Zip
Day Telephone:
City
State
Zip
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Page 3 of 4
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City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206 -431 -3665
Web site: http: / /www.Tukwila WA .gov
RECEIPT
Parcel No.: Permit Number: D 12 -247
Address: 15209 SUNWOOD BL TUKW Status: PENDING
Suite No: Applied Date: 07/27/2012
Applicant: SUNWOOD CONDO - ROOF REPAIR Issue Date:
Receipt No.: R12 -02212
Initials:
User ID:
WER
1655
Payment Amount: $212.40
Payment Date: 07/27/2012 09:27 AM
Balance: $0.00
Payee: CONSOLIDATED GUTTER & SHEET
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 012652
ACCOUNT ITEM LIST:
Description
212.40
Account Code Current Pmts
BUILDING - NONRES
PLAN CHECK - NONRES
STATE BUILDING SURCHARGE
000.322.100
000.345.830
640.237.114
Total: $212.40
126.00
81.90
4.50
doc: Receiot -06 Printed: 07 -27 -2012
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300'Southcenter Blvd., #100, Tukwila. WA 98188 C =- s), (206) 431 -367'
Permit Inspection Request Line (206) 431 -2451
b/2 y7
Project:
SL /,vc, oUC. ed,o)o
Type of Inspection:
/.17vA L,.
Address:
f 52_09 Si/AMA/0C O t? L
Date Called:
Special Instructions:
Date Wanted:.
/p — h/— /Z
4m
p.m.
Requester:
Phone No:
4 /2-S — 7Se- 04'00
}Approved per applicable codes. El Corrections required prior to approval. /
COMMENTS:
rN'►t Clew.? (6 f Fi .iAt,
C
)ector Date:
, EINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
IITY at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
_
.1._
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
6/2 -24/7
Project:
�Ci ? /A/latl L) 0()AiD0
Type of Inspection:
/;)/`)(l /---• -.SM' /)I 'f //V 4
- /-----/2/9/Pik
Address:
/5,20.9 ,Sz/ ialc JZ
1:' /._
Date Called:
Special Instructions:
Date Wanted:.
a`m..
Requester:
Phone No:
LL25- 7AO-:c /e)(
Approved per applicable codes.
Corrections required prior to approval.
•.0
COMMENTS:
�r/ J /
f ' ,204, .S 0/IM, -, --A
j:4.
2) /::-/2/4.44,4 ,4 AA.e)h✓1/f 7
( 1
N.
Inspkctor.
n RFFINSPECTION FEE REQUIRED. prior to next inspection. fee must`be
paid /at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
/em*,
Date:
el--
Consolidated
Gutter & Sheet Metal, LLC
PO Box 65181, Shoreline WA 98155
(206) 408 -1848
Customer File #: 1487 Date: 6/18/2012
(Cut tourer` MaillligfAddmss. ( Raise & Re- Install 8'x8' Skylight
Steve Gregory (Sunwood Condos)
Consolidated GSM offers to fumish all materials and perform all labor as described be Terms and
Conditions as set forth on the reverse side hereof: REVISIONS
No changes shall he made to the scope
mirk wltrlotai prior approval of
Tuk,,vila Building Division.
NOT:: G :ovisicns will require a new plan submittal
firma; may in;;lude additional plan review fees.
J
eflase tf work
/LE COPY
Load roof materials.
Remove existing 8'x8' Skylight.
Build up skylight frame approximately 4 & 1/2".
Inspect sub -deck for necessary replacement of wood components to accept new
Replace 1/2" CDX plywood at $52.00 per sheet (All materials & labor included)
Any unforeseen woodwork will be performed at $65.00 per man hr. plus actual material costs u pon
homeowner approval
Our jobsite will be left in a dean orderly manner with a watertight seal at the end of each dalo
Raise approx. 2' of outside roof curb. Permit N N O.
Fabricate and install custom metal for approx. of outside roof curb.
2'
Install crickets on two sides of skylight to alleviate standing water.
Re -flash around skylight box with smooth torchdown.
Apply Kamac reflective coating on patched area.
Re-set skylight on raised curb.
iPh°asetll Wor1th? _4
Perform final inspection.
(JoilLocation;
Sunwood Condo 15209
IP oq saILOptions
Raise & Re -Seal Skylight $1,691.
Pl0,1 r view approval is subject to errors and omissions.
of construction documents does not authr)te
f►,- ,:;ration of any adopted code or ordinance. Recei.pt
of improved Field i py and conditions is acknowledvd:
By
F 8
11 I
Trim out inside of skylight well with 1x8 MDF • $295.00 + tax & peerprm'l!itr�f e�tt t ,ir Ilan^
The preceding proposal options are subject to our Standard Terms and Conditions on the reverA�5i98 +88f.�6y�ON
deviations from the work described above will be performed only upon the direction of the Customer, and Customer agrees to pay
Consolidated's standard charges for such work.
Estimated starting date of shall be subject to availability of materials, manpower and
weather conditions.
This proposal is good for 20 days from the date first written above, and shall automatically lapse if not
accepted in writing by Customer by that time. Our Terms are 1/3 at contract • ' • • • - - • completion.
By: , Consolidated
Customer hereby agrees to accept this foregoing Proposal this
Customer Signature
REVIEWED FOR
C 8CO
APPROVED
nn II AUG 0 3 2012
C1� mat
City of Tukwila
BUILDING DIVISION
d
Date:
b1X- 1.14-7
SEPARATE PERMIT
REQUIRED FOR:
f IRIlAarhapicaj_, 20
arElectrical
r
r I i1
g
as Piping
"". J of Tukwila
EIVED
JUL 27 2012
PERMIT GETTER
FILE COPY
Permit No.
AUTHORIZATION FOR ALTERNATE PLAN
SUBMITTAL (LIMITED SCOPE OF WORK)
IBC & IRC Section 104.1
Date: 7 -- / Permit /Application Number: b 0:—;--)-1 7
Address: / 2 _ 2 c7 Tukwila, WA 981 860
Description of Work: r P��G>'. --, )016
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(s):
KBuilding ❑ Mechanical ❑ Plumbing /Gas Piping ❑ Electrical ❑ Other
2. Plan and /or Specification (minimum):
❑ Site Plan ❑ Floor Plan ❑ Elevations ❑ Foundation
❑ Cross Sections ❑ Roof Plan Narrative ❑ Narrative WSEC Compliance
❑ Structural Calcs
3. Required Inspections (only completed when to be issued over the counter):
'Framing ❑ Glazing IEinal ❑ Other:
4. Other Special Instructions:
ROOPEriNglar
CODE COMPLIANCE,
PAPINVIVED l'
AUG 0 3 2012
Date:
(Authorization void 30 days after date)
RECEIVED
JUL 27 7017
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 431-36TERAARGENTER
City of Tukwila 7w:vermit Center\ Templates \Forms\Autta.for - Reduced Plan Submittal.docx
BUILDING DIVISION ��
TCOORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D12 -247 DATE: 07 -27 -12
PROJECT NAME: SUNWOOD CONDOS - ROOF REPAIR
SITE ADDRESS: 15209 SUNWOOD BL
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
6uilding''Divi� n 11;I`��
Public Works
Yn AV i,)—
Fire Prevention
Structural
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete
n
DUE DATE: 07 -31 -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
nNo further Review Required
REVIEWER'S IN1TIALS:
DATE:
n
APPROVALS OR CORRECTIONS:
Approved
Notation:
Approved with Conditions
DUE DATE: 08-28-12
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 Tradespeople *ter 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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
CONSOLIDATED GTR & SHT MTL LLC
2063009138
16751 Burke Ave North
Shoreline
WA
98133
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603054384
Active
CONSOGS902RN
Construction Contractor
12/15/2010
12/15/2012
General
Unused
Other Associated Licenses
License
L
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
NORTHCG964QQNORTHWEST
CUSTOM GUTTERS
Construction
Contractor
Metal
Fabrication
Unused
11/18/2004
2/5/2011
Expired
Business Owner Information
Name
Role
Effective Date
Expiration Date
KEENE, BRIAN A
Agent
12/15/2010
Amount
KEENE, BRIAN A
Partner /Member
12/15/2010
FMWA00193902
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
UNITED STATES FIRE
INSURANCE COMPANY
615978760
11/29/2010
Until Cancelled
$12,000.00
12/15/2010
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
First Mercury
Ins Co
FMWA00193902
12/01/2011
12/01/2012
$1,000,000.00
12/05/2011
2
First Mercury
Ins Co
FMWA00193902
12/02/2011
12/02/2012
$1,000,000.00
11/30/2011
1
FIRST MERCURY
INS CO
FMWA001939
12/01/2010
12/01/2011
$1,000,000.0012
/15/2010
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
08/08/2012