HomeMy WebLinkAboutPermit D13-247 - NGUYEN RESIDENCE - GARAGE DEMOLITIONNGUYEN GARAGE
DEMOLITION
3735 S 150 ST
D13-247
Parcel No:
Address:
•
City of Tukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
0041000544
3735 S 150 ST
DEVELOPMENT PERMIT
Project Name: NGUYEN GARAGE DEMOLITION
Permit Number: D13-247
Issue Date: 3/6/2014
Permit Expires On: 9/2/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
U S BANK NA
1 HOME CAMPUS #X2405017 , DES
MOINES, WA, 50328
HAN PHAN
5130 S 166 LN , SEATAC, WA, 98188
EXTREME CONST & ASPHALT LLC
24635 200TH AVE SE , MAPLE VALLEY,
WA, 98038
EXTRECA881BF
N/A < $5,000.00
Phone: (206) 229-6422
Phone: (253) 720-0749
Expiration Date:
DESCRIPTION OF WORK:
SUBTYPE: DEMO STATUS: PENDING DESCRIPTION:
Project Valuation: $2,000.00
Type of Fire Protection: Sprinklers: YES
Fire Alarm: NO
Fees Collected: $218.18
Type of Construction: V -B Occupancy per IBC: U
Electrical Service Provided by: TUKWILA FIRE SERVICE Water District: 125
Sewer District: VALLEY VIEW SEWER SERVICE
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
Public Works Activities:
Channelization/Striping: N
Curb Cut/Access/Sidewalk: N
• •
Fire Loop Hydrant: N
Flood Control Zone:
Hauling/Oversize Load: N
Land Altering: Volumes: Cut: 0 Fill: 0
Landscape Irrigation:
Sanitary Side Sewer: Number: 0
Sewer Main Extension: PRIVATE
Storm Drainage:
Street Use:
Water Main Extension: PRIVATE
Water Meter: Yes /1
Permit Center Authorized Signature:
7(// .L -e Date:///,/
I hearby 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 constr or the performance of work. I am authorized to sign and obtain this
development perm' and agr a ,the condition attached to this permit.
Signature:
Print Name:
Date:
This permit shall become null and void if the work is not commenced within 180 days for 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: 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.
5: 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).
6: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Building Department (206-431-3670).
7: 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.
8: ***PUBLIC WORKS DEPARTMENT CONDITIONS***
9: Any material spilled onto any street shall be cleaned up immediately.
• •
10: Temporary erosion control measures shall be implemented as the first order of business to prevent
sedimentation off-site or into existing drainage facilities.
11: The site shall have permanent erosion control measures in place as soon as possible after final grading has
been completed and prior to the Final Inspection.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700 BUILDING FINAL**
0101 PRE -CONSTRUCTION
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
-7-6)-1-13
(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
King Co Assessor's Tax No.: 0041000544
Site Address: 3735 S. 150th Street . Suite Number: Floor:
Tenant Name: IV l .P'\ .[) New Tenant: El Yes ❑..No
PROPERTY OWNER
Name: Han Phan, PE
Name: Adam Nguyen
Address: 5130 S. 166th Lane
Address: 823 - 3rd Ave, Suite #201
City: SeaTac State: WA
City: Seattle State: WA
zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: Han Phan, PE
Address:
Address: 5130 S. 166th Lane
City: SeaTac State: WA
Zip: 98188
Phone: (206) 229-6422 Fax:
Email: pbg.engr@yahoo.com
GENERAL CONTRACTOR INFORMATION
Company Name: To Be Determined
Address:
Address:
City: State:
Zip:
Phone: Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.:
City:
H:\Applications\Forms-Applications On Line\201 I Applications \Permit Application Revised - 8-9-1 I.docs
Revised: August 2011
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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): $ 2,000
Describe the scope of work (please provide detailed information):
Demo Existing Garage
Will there be new rack storage? ❑ Yes
Existing Building Valuation: $
Z.. 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:
0 Sprinklers 0 Automatic Fire Alarm 0 None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes 0 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
0 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 Line \2011 Applications\Permit Application. Revised - 8-9-I I.docx
Revised: August 2011
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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
1s` 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:
0 Sprinklers 0 Automatic Fire Alarm 0 None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes 0 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
0 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 Line \2011 Applications\Permit Application. Revised - 8-9-I I.docx
Revised: August 2011
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Page 2 of 4
PUBLIC WORKS PERMIT INFORMATION — 206-433-0179
Scope of Work (please provide detailed information):
NOT APPLICABLE
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ ...Tukwila 0...Water District #125
❑ ...Water Availability Provided
Sewer District
❑ ...Tukwila
❑ ...Sewer Use Certificate
❑ .. Highline
❑...Valley View ❑ .. 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 ❑ .. Insurance 0 .. 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
❑ .. Maintenance Agreement(s)
❑ ...Traffic Impact Analysis
❑ ...Hold Harmless — (SAO)
❑ ...Hold Harmless — (ROW)
❑ .. Right-of-way Use - Profit for less than 72 hours
❑ .. Right-of-way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
.. Abandon Septic Tank
.. Curb Cut
.. Pavement Cut
.. Looped Fire Line
❑ ...Permanent Water Meter Size...
❑ ...Temporary Water Meter Size ..
❑ ...Water Only Meter Size
❑ ...Sewer Main Extension Public. ❑
❑ ...Water Main Extension Public 0
WO #
WO #
WO #
Private ❑
Private ❑
❑ .. Grease Interceptor
0 .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑...Deduct Water Meter Size
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:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State Zip
Day Telephone:
City
State Zip
H:\ApplicationsWorms-Applications On Line\201 I Applications\Permit Application Revised - 8-9-I 1.does
Revised: August 2011
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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 OWNER OR AU'`HORIZ :e►T NT:
Signature:
•
Print Name: Han Phan, PE
Mailing Address: 5130 S. 166th Lane
H:\Applications\Forms-Applications On Line\201 I Applications\Permit Application Revised - 8-9-1 I.docx
Revised: August 2011
bh
Date: 07/18/2013
Day Telephone: (206) 229-6422
SeaTac WA 98188
City State Zip
Page 4 of 4
• •
wq� City of Tukwila
yz 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.ov
Parcel No.: 0041000544
Address: 3735 S 150 ST TUKW
Suite No:
Applicant: NGUYEN DEMOLITION
RECEIPT
Permit Number: D13-247
Status: PENDING
Applied Date: 07/23/2013
Issue Date:
Receipt No.: R13-02185
Initials:
User ID:
WER
1655
Payment Amount: $218.18
Payment Date: 07/23/2013 08:44 AM
Balance: $0.00
Payee: ADAM NGUYEN
TRANSACTION LIST:
Type Method Descriptio
Amount
Payment Check 165 218.18
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - NONRES
PLAN CHECK - NONRES
STATE BUILDING SURCHARGE
000.322.100
000.345.830
640.237.114
Total: $218.18
129.50
84.18
4.50
Printed: 07-23-2013
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
Proj ct
Typ f Inspection;a
4,1...
l,j
Ad35.
1540
Date Called:
Special Instructions:
Date Wanted:
a.m.
Requester:
Ph a No:G
�f
Approved per applicable codes.
Corrections ,required prior to approval.
COMMENTS:
Ins ector:
Date:/�
—t
n REINSPECTION FEE REQUIR Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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
O/ 3-21/ 7
Project:
G2i,lf�
TYp/
/Aifi
i
7 3r ...5 itu S7 --Date
Called:
Special Instructions:
Date Wanted.
/_
/
�J
a.m.
Requester:
Phone No:
0 Approved per applicable codes. corrections required prior to approval.
COMMENTS:
t MiJST 22..MOVZ
f /P
,.--r el— i ...
I
Dater - 3 (
REINSPECTION FEE R UIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPEC1iON NO. PERMIT N0. Al
CITY OF TUKWILA BUILDING DIVISION 4-1
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
3N 3-2-417
C
Project:
buy F / 6 ARA -6E-
Type of Inspection:
?rte.-- (AAS '.
aOt()U3NF-. W()O\ 1, ke
Address:
3'7 35 P 50 :sr
Date Called:
.
p
1,N lrMp DiAst.ie.(_ A -f T�✓.rpecti
rAn 0 (r F --:A) A L ,TQAA 0 APr,A..a I T
Special Instructions:
k0
re k O J Q. .�` 7 (1 IA A Lr !AJ! I ► /-i-66 T e,�S
Date Wanted:
3-24 -
/
.t. .m.
P.M.
Requester:
Phone No:
Approved per applicable codes. �(�
J Corrections required prior to approval.
COMMENTS:
aOt()U3NF-. W()O\ 1, ke
-'v c PJ n A--t.)�\ r
A Arc `; A-176 W' I',,5 J cA ,\I"
p
1,N lrMp DiAst.ie.(_ A -f T�✓.rpecti
rAn 0 (r F --:A) A L ,TQAA 0 APr,A..a I T
ii A t -041 OA`+`-: J n ' . ,3t%,4.f
re k O J Q. .�` 7 (1 IA A Lr !AJ! I ► /-i-66 T e,�S
REINSPECTION FEE RE • IRED. Prior to next inspection. fee must be
paid at 6300 Southcente Blvd.. Suite,100. Call to schedule reinspection.
Plat \CADD\Drawings\R13720—PS—OEMO.dwg Layout Name
L:\Working\R13720 — Adam Sh
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S.150TH STREET:,,
hi98.01S,11V
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CO Oktg"
P
S PARATE PERMIT
EQUIRED FOR:
Olt Mechanical
Electrical
Plumbing
tZi Gas Piping
City of Tukwila
EISJILDING DIVISION
►:1
•
1
EXISTING HOUSE
. TO REMAIN
J, •
5wvI 54 E
EX. GARAGE
TO BE DEAIOUSHED
(APPROX 446 SF)
LOT 2
(12,273 SQ FT)
I I:cn
I II
I ,I
PgNT OF ACCESS FOR DEI.IOJTION
1 F W
I \�
50
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LEGEND
PROPERTY UNE
– ADJACENT PROPERTY UNE
— ROW CENTERUNE
ROW UNE
I — EX. EASEMENT UNE
LEGAL DESCRIPTION
THE EAST 60 FEET OF LOT 9, BLOCK 4; FIRST ADDITION TO ADAMS HOME TRACTS, ACCORDING TO THE
PLAT THEREOF RECORDED IN VOLUME 12 OF PLATS, PAGE 50, RECORDS OF KING COUNTY, WASHINGTON;
TOGETHER WITH AN EASEMENT FOR DRIVEWAY PURPOSES OVER AND ACROSS THE WEST 12 FEET OF THE
NORTH 150 FEET OF LOTI10 IN SAID BLOCK 4 AS GRANTED RUNNING 4813051.
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 subrna-
and may include additional plan reviow fe
TAX PARCEL! NUMBER
0041000544
ova-... .:..r._.. ...._r......,
REVIEWED FOR
(CODE COMPLIANCE
I APPROVED
i
I
I City of
BUILDING b t/ISION
NOV 14 2013
iia
UTILITIES/SERVICES
FILE COPY
Permit No. b t ~ 24--i
,.
Plan review approval is subject to errors and omissions.
Approval of construction documents does r'c;i -.. -'
the violation of any adopted ►c . e or ord t!anca. R -.,
of approved Fieldtopy :;f=� I I ons is acknowleag i
;'ate:
City Of lbkwila
BUILDING DIVISION
PLANNING APPROVE -7
No
PPROVE-
No changes can be made to t A e
plans without approval from the
Planning Division of DCD
Approved By:
Date:
HORIZONTAL G0RAPHICJO SCALE
2' JO 20
1 loch = 20 11.
CALL 48 HOURS
BEFORE YOU DIG
1-800-424-5555
REFERENCE
SHEET NO.
SP1
SHEET
1
OF
1
SHEETS
1-
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W EL
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C/ J
2
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0
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of
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0
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0
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CHECKED BY:
0
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it
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WATER: •
KING COUNTY WATER DISTRICT 1125
3460 SOUTH 148TH STREET .
SEATAC, WA 98188
(206) 242-9547
GAS.
PUGET SOUND ENERGY
1-800-321-4123
POWER:
SEATTLE CITY UGHT
(206) 386-1687
SEWER: FIRE:
VALLEY VIEW SEWER DISTRICT TUKWILA FIRE DEPARTMENT
3460 SOUTH 148TH STREET HEADQUARTERS STATION 51
TUKWILA, WA 98168 444 ANDOVER PARK EAST
(206) 242-3236 TUKWILA, WA 98188
(206) 575-4404
TELEPHONE:
QWEST
(800) 526-3557
CABLE
COMCAST
(253) 288-7532
b13-
SCHOOL:
TUKWILA SCHOOL DISTRICT #406
46TUKWILA,
W 9a 68 RECEIVED
(206) 901 – 6000 CITY OF TUKWILA
JUL 13 2013
PERMIT CENTER
REVISION DESCRIPTION
PERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
ACTIVITY NUMBER: D13-247 DATE: 07-23-13
PROJECT NAME: NGUYEN GARAGE DEMOLITION
SITE ADDRESS: 3735 S 150 ST
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
uulding Division �5 Fire Prev�/e'ntion1 Planning Dyisi 11 1
P'Gb"lic Wotks� Structural n Permit Coordinator 1
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 07-25-13
Complete N Incomplete n
Comments:
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
REVIEWER'S INITIALS:
No further Review Required
DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 08-22-13
Approved n Approved with Conditions ,I Not Approved (attach comments) n
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials:
Documents/routing slip.doc
2-28-02
EXTREME CONST & ASPHALT I C
'4'
Washington State Department of
Labor & Industries
•
Page 1 of 2
EXTREME CONST & ASPHALT LLC
Owner or tradesperson
WHEELER, HEATHER MARIE
Principals
WHEELER, HEATHER MARIE
Doing business as
EXTREME CONST & ASPHALT LLC
WA UBI No.
603 151 558
24635 200TH AVE SE
MAPLE VALLEY, WA98038
253-720-0749
KING County
Business type
Limited Liability Company
Governing persons
HEATHERWHEELER
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor Active.
Meets current requirements.
License specialties
GENERAL
License no.
EXTRECA881 BF
Effective — expiration
01/06/2012 — 02/06/2016
Bond
Wesco Insurance Co
Bond account no.
46WB024534
Received by L&I
05/09/2013
Insurance
Underwriters at Lloyds
Policy no.
PFK048263
Received by L&I
05/01/2013
Savings
No savings accounts during the previous 6 year period.
$12,000.00
Effective date
05/01/2013
$1,000,000.00
Effective date
05/01/2013
Expiration date
05/01/2014
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603151558&LIC=EXTRECA881 BF&SAW= 03/06/2014