HomeMy WebLinkAboutPermit M14-0227 - DOUVIA RESIDENCE - RENOVATION FOR RESIDENTIAL AIRCRAFT NOISE REMEDY IMPROVEMENTDOUVIA RESIDENCE
11836 44 AVE S
M14-0227
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
MECHANICAL PERMIT
3347401015
11836 44TH AVE S Issue Date:
Permit Expires On:
Project Name: DOUVIA RESIDENCE
Permit Number:
M14-0227
12/23/2014
6/21/2015
Owner:
Name:
Address:
DOUVIA CHARLES III
11836 44TH AVE S DOUVIA KIMBERLY,
TUKWILA, WA, 98178
Contact Person:
Name: SHARYN PARKER
Address: 7277 PERIMETER RD S , SEATTLE, WA,
98108
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
REGENCY NW CONSTRUCTION INC
PO BOX 6429 , BELLEVUE, WA, 98008
REGENNC04115
Phone: (206) 296-7437
Phone: (425) 883-1301
Expiration Date: 3/2/2016
DESCRIPTION OF WORK:
MECHANICAL RENOVATION OF SINGLE FAMILY HOME REQUIRED FOR PARTICIPATION IN FAA (RANRIP)
RESIDENTIAL AIRCRAFT NOISE REMEDY IMPROVEMENTS PROGRAM TO REDUCE NOISE INFILTRATION. THIS WORK
MAY INCLUDE STAND ALONE BLENDING UNIT VENTILATION SYSTEM WITH ASSOCIATED DUCTING AND/OR
VOLUME DAMPER INSTALLATION TO EXISTING FURNACES WITH EXISTING DUCTING.
Valuation of Work: $2,013.00
Type of Work: REPLACEMENT
Fuel type: ELECT
Fees Collected: $233.88
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
2012
2012
2012
2012
2012
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2012
Permit Center Authorized Signature:
Date: '')-- D3- 14
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 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.
Signature: �`e-<
Print Name: Let 6.r'E70
v�L.,
Date: ,�/.7 3 /%,/
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: Work shall be installed in accordance with the approved construction documents, and any changes made
during construction that are not in accordance with the approved construction documents shall be
resubmitted for approval.
2: All permits, inspection record card and approved construction documents shall be kept at the site of work
and shall be open to inspection by the Building Inspector until final inspection approval is granted.
3: All construction shall be done in conformance with the Washington State Building Code and the
Washington State Energy Code.
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 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: 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).
7: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center.
8: 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.
9: ***MECHANICAL PERMIT CONDITIONS***
10: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center (206/431-3670).
11: All permits, inspection record card and approved construction documents shall be kept at the site of work
and shall be open to inspection by the Building Inspector until final inspection approval is granted.
12: Manufacturers installation instructions shall be available on the job site at the time of inspection.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1800 MECHANICAL FINAL
0701 ROUGH -IN MECHANICAL
CITY OF TUKWiLA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Mechanical Permit No.
Project No.
•01.("t'-OdJ-1
Date Application Accepted:
Date Application Expires:
()=-17-1q
(For office use only)
MECHANICAL 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**
t
SITE LOCATION
Site Address:
Tenant Name:
11836 44th Ave. S. p ,n
tei
PROPERTY OWNER
Name:
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Sharyn Parker
Address: 7277 Perimeter Road South
City: Seattle State: WA Zip: 98106
Phone: (206) 296-7437 Fax: (206) 269-7315
Email: Sharyn.Parker@kingcounty.gov
King Co Assessor's Tax No.: 3347401015
Suite Number: Floor:
New Tenant: El Yes I..No
MECHANICAL CONTRACTOR INFORMATION
Company Name: not yet awarded
Address:
City: State:
Zip:
Phone: Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.:
Valuation of project (contractor's bid price): $ 2,013
Describe the scope of work in detail:
Mechanical renovation of single-family home required for participation in FAA (RANRIP) Residential. Aircraft Noise Remedy
Improvements Program to reduce noise infiltration. This work may include: stand-alone blending unit ventilation system with
associated ducting and / or volume damper installation to existing furnace with existing ducting.
Use: Residential: New ❑ Replacement ❑
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑ Gas
Other:
H:\Applications\Forms-Applications On Line \201 I Applications\Mechanical Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 1 of 2
Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty
Furnace <1 OOk btu
Furnace >100k btu
Floor furnace
Suspended/wall/floor
mounted heater
Appliance vent
Repair or addition to
heat/refrig/cooling
system
Air handling unit
<10,000 cfm
Unit Type
Qty
Air handling unit
>10,000 cfm
Evaporator cooler
Ventilation fan
connected to single duct
Ventilation system
1
Hood and duct
Incinerator — domestic
Incinerator —
comm/industrial
Unit Type
Qty
Fire damper
Diffuser
Thermostat
Wood/gas stove
Emergency generator
Other mechanical
equipment
Boiler/Compressor
Qty
0-3 hp/100,000 btu
3-15 hp/500,000 btu
15-30 hp/1,000,000 btu
30-50 hp/1,750,000 btu
50+ hp/I,750,000 btu
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 extension of time for additional periods not to exceed 90 days each. The extension shall be requested in writing
and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
1 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 A
Signature:
Print Name: Ti - othy Fenlason
IT O' IZED AGENT:
Mailing Address: 4000 Delridge
ay SW, Suite 200
Date: 0-Vet- ( L(
Day Telephone: (206) 624-2777
Seattle WA 98106
City State Zip
H:\Applications\Forms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-1 I.docx
Revised: August 2011
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Cash Register Receipt
City of Tukwila
DESCRIPTIONS I ACCOUNT
PermitTRAK
QUANTITY
PAID
$13,932.30
D14-0378 Address: 11664 44 AVE S Apn: 3347400690 $857.74
DEVELOPMENT $832.64
PERMIT FEE
R000.322.100.00.00
0.00
$501.90
PLAN CHECK FEE
R000.345.830.00.00
0.00
$326.24
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE $25.10
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$25.10
D14-0379 Address: 4925 S 125TH ST Apn: 0179002840 $957.70
DEVELOPMENT $929.66
PERMIT FEE
R000.322.100.00.00
0.00
$560.70
PLAN CHECK FEE
R000.345.830.00.00
0.00
$364.46
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE $28.04
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$28.04
D14-0380 Address: 12239 46TH AVE S Apn: 0179000830 $924.38
DEVELOPMENT $897.32
PERMIT FEE
R000.322.100.00.00
0.00
$541.10
PLAN CHECK FEE
R000.345.830.00.00
0.00
$351.72
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE $27.06
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$27.06
D14-0381 Address: 12020 42ND AVE S Apn: 3347400290 $1,389.32
DEVELOPMENT $1,348.59
PERMIT FEE
R000.322.100.00.00
0.00
$814.60
PLAN CHECK FEE
R000.345.830.00.00
0.00
$529.49
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE $40.73
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$40.73
D14-0382 Address: 12012 44TH AVE S Apn: 3347401060 $791.10
DEVELOPMENT $767.96
PERMIT FEE
R000.322.100.00.00
0.00
$462.70
PLAN CHECK FEE
R000.345.830.00.00
0.00
$300.76
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
Date Paid: Thursday, December 18, 2014
Paid By: PAMELA K KUEHL, KING COUNTY IN
Pay Method: CREDIT CARD 015718
Printed: Thursday, December 18, 2014 12:17 PM 1 of 5
CRWYSTEMS
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY PAID
$13,932.30
D14-0382 Address: 12012 44TH AVE S Apn: 3347401060 $791.10
TECHNOLOGY FEE $23.14
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$23.14
D14-0383 Address:11836 44TH AVE S Apn:'3347401015 $991.02
DEVELOPMENT $962.00
PERMIT FEE
R000.322.100.00.00
0.00
$580.30
PLAN CHECK FEE
R000.345.830.00.00
0.00
$377.20
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE $29.02
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$29.02
D14-0384 Address: 13007 57TH AVE 5 Apn: 2137000020 $857.74
DEVELOPMENT $832.64
PERMIT FEE
R000.322.100.00.00
0.00
$501.90
PLAN CHECK FEE
R000.345.830.00.00
0.00
$326.24
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE $25.10
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$25.10
D14-0385 Address: 12404 50TH PL S Apn: 0179002265 $1,311.30
DEVELOPMENT $1,272.86
PERMIT FEE
R000.322.100.00.00
0.00
$768.70
PLAN CHECK FEE
R000.345.830.00.00
0.00
$499.66
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE $38.44
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$38.44
D14-0386 Address:11608 40TH AVE 5 Apn: 7340600140 $1,545.38
DEVELOPMENT $1,500.06
PERMIT FEE
R000.322.100.00.00
0.00
$906.40
PLAN CHECK FEE
R000.345.830.00.00
0.00
$589.16
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE $45.32
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$45.32
Date Paid: Thursday, December 18, 2014
Paid By: PAMELA K KUEHL, KING COUNTY IN
Pay Method: CREDIT CARD 015718
Printed: Thursday, December 18, 2014 12:17 PM 2 of 5
CR
SYSTEMS
Cash Register Receipt
City of Tukwila
DESCRIPTIONS ACCOUNT QUANTITY PAID
PermitTRAK $13,932.30
D14-0387 Address: 1223146 AVE S Apn: 0179000840 $724.46
DEVELOPMENT $703.28
PERMIT FEE
R000.322.100.00.00
0.00
$423.50
PLAN CHECK FEE
R000.345.830.00.00
0.00
$275.28
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE $21.18
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$21.18
D14-0388 Address: 4702 S 122 ST Apn: 3347401430 $1,129.22
DEVELOPMENT $1,096.14
PERMIT FEE
R000.322.100.00.00
0.00
$661.60
PLAN CHECK FEE
R000.345.830.00.00
0.00
$430.04
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE $33.08
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$33.08
M14-0222 Address: 11664 44 AVE'S Apn: 3347400690 $221.32
MECHANICAL $212.81
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$137.75
PLAN CHECK FEE
R000.322.102.00.00
0.00
$42.56
TECHNOLOGY FEE $8.51
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$8.51
M14-0223 Address: 12239 46 AVE 5 Apn: 0179000830 $233.88
MECHANICAL $224.88
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$147.40
PLAN CHECK FEE
R000.322.102.00.00
0.00
$44.98
TECHNOLOGY FEE $9.00
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$9.00
M14-0224 Address: 4925 S 125TH ST Apn: 0179002840 $246.42
MECHANICAL $236.94
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$157.05
PLAN CHECK FEE
R000.322.102.00.00
0.00
$47.39
Date Paid: Thursday, December 18, 2014
Paid By: PAMELA K KUEHL, KING COUNTY IN
Pay Method: CREDIT CARD 015718
Printed: Thursday, December 18, 2014 12:17 PM 3 of 5
CRWSYSTEMS
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
I QUANTITY I PAID
$13,932.30
M14-0224 Address: 4925 5 125TH ST Apn:1.0179002840 $246.42
TECHNOLOGY FEE $9.48
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$9.48
M14-0225 Address: 12020 42ND AVE S Apn: 3347400290 $221.32
MECHANICAL $212.81
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$137.75
PLAN CHECK FEE
R000.322.102.00.00
0.00
$42.56
TECHNOLOGY FEE $8.51
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$8.51
M14-0226 Address: 12012 44TH AVE S Apn: 3347401060 $233.88
MECHANICAL $224.88
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$147.40
PLAN CHECK FEE
R000.322.102.00.00
0.00
$44.98
TECHNOLOGY FEE $9.00
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$9.00
M14-0227 Address: 11836 44TH AVE S Apn: 3347401015 $233.88
MECHANICAL $224.88
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$147.40
PLAN CHECK FEE
R000.322.102.00.00
0.00
$44.98
TECHNOLOGY FEE $9.00
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$9.00
M14-0228 Address: 12404 50TH PL S Apn; 0179002265 $126.76
MECHANICAL $121.88
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$65.00
PLAN CHECK FEE
R000.322.102.00.00
0.00
$24.38
TECHNOLOGY FEE $4.88
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$4.88
Date Paid: Thursday, December 18, 2014
Paid By: PAMELA K KUEHL, KING COUNTY IN
Pay Method: CREDIT CARD 015718
Printed: Thursday, December 18, 2014 12:17 PM 4 of 5
CR
SYSTEMS
Cash Register Receipt
City of Tukwila
DESCRIPTIONS ACCOUNT QUANTITY PAID
PermitTRAK $13,932.30
M14-0229 Address: 13007 57TH AVE S Apn: 2137000020 $221.32
MECHANICAL $212.81
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$137.75
PLAN CHECK FEE
R000.322.102.00.00
0.00
$42.56
TECHNOLOGY FEE $8.51
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$8.51
M14-0230 Address: 11608 40TH AVE S Apn: 7340600140 $258.96
MECHANICAL $249.00
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$166.70
PLAN CHECK FEE
R000.322.102.00.00
0.00
$49.80
TECHNOLOGY FEE $9.96
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$9.96
M14-0231 Address: 1223146 AVE S Apn: 0179000840 $233.88
MECHANICAL $224.88
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$147.40
PLAN CHECK FEE
R000.322.102.00.00
0.00
$44.98
TECHNOLOGY FEE $9.00
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$9.00
M14-0232 Address: 4702 S 122 ST Apn: 3347401430 $221.32,
MECHANICAL $212.81
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$137.75
PLAN CHECK FEE
R000.322.102.00.00
0.00
$42.56
TECHNOLOGY FEE $8.51
TECHNOLOGY FEE R000.322.900.04.00 0.00 $8.51
TOTAL FEES PAID BY RECEIPT: R3797 $13,932.30
Date Paid: Thursday, December 18, 2014
Paid By: PAMELA K KUEHL, KING COUNTY IN
Pay Method: CREDIT CARD 015718
Printed: Thursday, December 18, 2014 12:17 PM 5 of 5
?SYSTEMS
INSPECTION RECORD
Retain a copy with permit
1 PECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
/1111- 0 z2-7
Project:
TA,,, Vita
Type of Inspection: ,
At_cl, P tut (
, _X.a-S
Address:
1 I f)3 4 1 vi fk lt. 41( 2 -
S 0 .
Date Called:
Special Instructions,
.
A.41
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector
13fS
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
PERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: M14-0227 DATE: 12/17/14
PROJECT NAME: DOUVIA RESIDENCE
SITE ADDRESS: 11836 44 AVE S
X Original Plan Submittal
Response to Correction Letter #
Revision # before Permit Issued
Revision # after Permit Issued
DEPARTMENTS:
Building
Public Works
Auk ti-4-vA
Division
Fire Prevention
Structural
Planning Division
Permit Coordinator 1
PRELIMINARY REVIEW:
Not Applicable
(no approval/review required)
DATE: 12/23/14
Structural Review Required
REVIEWER'S INITIALS: DATE:
n
APPROVALS OR CORRECTIONS:
Approved
Corrections Required
DUE DATE: 01/20/14
Approved with Conditions
Denied
(corrections entered in Reviews) (ie: Zoning Issues)
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
12/18/2013
REGENCY NW CONSTRUCTIC TNC
Page 1 of 2
igok
kV/ashingtan State Department of
)Labor & Industries
REGENCY NW CONSTRUCTION INC
Owner or tradesperson
FOOTE, BRIAN LEE
Principals
FOOTE, BRIAN LEE, PRESIDENT
Doing business as
REGENCY NW CONSTRUCTION INC
WA UBI No.
601 696 917
PO BOX 6429
BELLEVUE, WA 98008
425-883-1301
KING County
Business type
Corporation
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.
REGENNC041J5
Effective — expiration
04/25/1996— 03/02/2016
Bond
TRAVELERS CAS & SURETY CO
Bond account no.
103713311
Received by L&I
02/19/2002
Insurance
Navigators Ins Co
Policy no,
sf13cg101922700
Received by L&I
02/11/2014
Insurance history
Savings
$12,000.00
Effective date
02/20/2002
Expiration date
Until Canceled
$1,000,000.00
Effective date
02/20/2013
Expiration date
02/20/2015
No savings accounts during the previous 6 year period.
.1
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