HomeMy WebLinkAboutPermit D15-0213 - APOSTOLIC ASSEMBLY - STRUCTURES AND BUILDING DEMOLITIONAPOSTOLIC ASSEMBLY
15436 42 AVE S
D15-0213
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
DEVELOPMENT PERMIT
Parcel No: 2223049013 Permit Number: D15-0213
Address: 15436 42ND AVE S Issue Date: 9/23/2015
Permit Expires On: 3/21/2016
Project Name: APOSTOLIC ASSEMBLY
Owner:
Name: APOSTOLIC ASSEMBLY OF THE F
Address: 15436 42ND AVE S , TUKWILA, WA,
98188
Contact Person:
Name:
GEORGETTE TRUJILLO
Address:
13233 TENTH AVE S , BURIEN, WA,
98168
Contractor:
Name:
KING'S GENERAL CONTRACTORS LLC
Address:
13233 TENTH AVE S , BURIEN, WA,
98168
License No:
KINGSGC868137
Lender:
Name:
N/A LESS THAN $5,000
Address:
Phone: (206) 227-9465
Phone: (206) 227-9465
Expiration Date: 1/27/2016
DESCRIPTION OF WORK:
DEMO 2 WOOD STRUCTURES AND ONE BRICK BUILDING OF 55 X 30 LONG, ONE STORY HIGH.
Project Valuation: $3,000.00 Fees Collected: $507.98
Type of Fire Protection: Sprinklers: NO
Fire Alarm: NO
Type of Construction: VB Occupancy per IBC: U
Electrical Service Provided by: TUKWILA FIRE SERVICE Water District: 125
Sewer District: NONE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-46B:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Public Works Activities:
Channelization/Striping:
Curb Cut/Access/Sidewalk:
Fire Loop Hydrant:
Flood Control Zone:
Hauling/Oversize Load:
Land Altering: Volumes: Cut: 0 Fill: 0
Landscape Irrigation:
Sanitary Side Sewer: Number: 0
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter: No
LPermit Center Authorized Signature: `0Date: -- ' 7
1 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 nd agree to the conditions attached to this permit. 17/03
Signature: Date:
DPrint Name: ull
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: No work to occur in stream or stream buffer on the site. See Sensitive Areas map, attached.
2: ***BUILDING PERMIT CONDITIONS***
3: 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.
4: 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.
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 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: ***PUBLIC WORKS PERMIT CONDITIONS***
10: The applicant or contractor must notify the Public Works Inspector at (206) 433-0179 upon commencement
and completion of work at least 24 hours in advance. All inspection requests for utility work must also be
made 24 hours in advance.
11: Permit is valid between the weekday hours of 7:00 a.m. and 10:00 p.m. only. Coordinate with the Public
Works Inspector for any work after 5:00 p.m. and weekends.
12: Any material spilled onto any street shall be cleaned up immediately.
13: Temporary erosion control measures shall be implemented as the first order of business to prevent
sedimentation off -site or into existing drainage facilities.
14: 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.
15: From October 1 through April 30, cover any slopes and stockpiles that are 3H:1V or steeper and have a
vertical rise of 10 feet or more and will be unworked for greater than 12 hours. During this time period,
cover or mulch other disturbed areas, if they will be unworked more than 2 days. Covered material must
be stockpiled on site at the beginning of this period. Inspect and maintain this stabilization weekly and
immediately before, during and following storms.
16: From May 1 through September 30, inspect and maintain temporary erosion prevention and sediment at
least monthly. All disturbed areas of the site shall be permanently stabilized prior to final construction
approval.
17: Applicant shall contact Water District #125 (206-242-9547).
Existing water meter has been locked since July 2011. Applicant will need to sign an unlock request from
Water District #125 if water is needed for this demolition.
If water is not needed for this demolition or other use, then Water District #125 will disconnect the
tailpiece on the meter to prevent damage to the service line & water meter.
18: Applicant shall contact Valley View District (206-242-3236) to verify if this property is connected to the
Valley View District sanitary sewer system.
19: Any septic tanks in the area shall be pumped empty and removed or filled with sand. A copy of the
documentation from the business that performed the pumping shall be provided to the Public Works
Inspector.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700
BUILDING FINAL"
5200
EROSION MEASURES
5210
EROSION MEASURES FNL
0101
PRE -CONSTRUCTION
1600
PUBLIC WORKS FINAL
s
CITY OF TM, _1,A
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
bft://www.TukwilaWA.P-ov
Building Permit No._�,�
Project No.
Date Application Accepted: -Q f
Date Application Expires:
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 Gj 4 3� y ?-,a Aue, S , L� �1l 1 C,,_ (&)C,
Site
Ten
PROPERTY OWNER
ER
a
Name: U ry (c As
Address Z / ALk_, WI
t?
City: iflt
State: L�Aicx_ c UG
CONTACT PERSON — person receiving all project
communication
Name:
v , I 1 U
Address:
v ia
/ v l
City:
Phone:
r L
/ 7
!7 (J
State: Zip:
F x:
Email:
GENERAL CONTRACTOR INFORMATION
Company Name:
IA(qt C (J
Address: L_t'�AX,
State: Zip:�j / I7
City: r( bU
GG�
• 7 Fax
Phone17
Contr Reg No.: Exp Date:
Tukwila Business License No.:
a
Kine Co Assessor's Tax No.:
Number: Floor:
New Tenant: E4 ..... Yes ❑ .. No
ARCHITECT OF RECORD
Company Name:
Architect Name:
Address:
City: State: Zip:
Phone: Fax:
Email:
ENGINEER OF RECORD
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:
H:\Applications\Forms-Applications On Line\2012 ApplicationsTermit Application Revised - 2-7-12.docx
Revised: February 2012 Page 1 of 4
BUILDING PERMIT INFORMATI — 206-431-3670
Valuation of Project (contractor's bid price): $ 3C'm 59 Existing Building Valuation:: $
Describe the scope of work (please pr vide detailed information): 6e M0� � L000 C S�ruciu/ _/
ON ILCc, tU c o PW— Sklf yhr
Will there be new rack storage? ❑ .... Yes 9.. No
If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
I' Floor
p `Jd
2" Floor
3rd Floor
Floors thru
Basement
G !!gymp
lVV
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
�j (•,
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:0 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? J(Z...... Yes ❑ .......No If "yes", explain:
FIRE PROTECTIONIHAZARDOUS MATERIALS:
❑ ....... Sprinklers ❑ .......Automatic Fire Alarm Z.... None El ....... 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 8-112" 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 ApplicationsTermit Application Revised - 2-7-12.docx
Revised: February 2012 Page 2 of 4
PUBLIC WORKS PERMIT INFC IATION — 206-433-0179
of Work (please provide detailed
50j
a bt<t4t, s fi-L<Jynr
/j , , � I
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ .. Tukwila ❑ ... Water District # 125 El ... Highline El ... Renton
❑ .. Water Availability Provided
Sewer District
El.. Tukwila ❑ ...Valley View El ... Renton El ... Seattle
❑ .. Sewer Use Certificate ❑ ... Sewer Availability Provided
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 appl
❑ .. Civil Plans (Maximum Paper Size — 22" x 34"
❑ .. Technical Information Report (Storm Drainage) ❑ ... Geotechnical Report El.. Traffic Impact Analysis
❑ .. Bond ❑... Insurance El ... Easement(s) ❑ ... Maintenance Agreement(s) ❑ .. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
Proposed Activities (mark boxes that apply):
❑ .. Right-of-way Use - Nonprofit for less than 72 hours ❑ ... Right-of-way Use - Profit for less than 72 hours
❑ .. Right-of-way Use - No Disturbance El ... Right-of-way Use -Potential Disturbance
❑ .. Construction/Excavation/Fill - Right-of-way ❑
Non Right-of-way ❑
❑ .. Total Cut cubic yards
❑ .. Total Fill cubic yards
❑ .. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
❑ .. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑... Work in Flood Zone
El ... Storm Drainage
El ... Abandon Septic Tank
El ... Curb Cut
❑... Pavement Cut
El ... Looped Fire Line
❑ .. Permanent Water Meter Size (1)
❑ .. Temporary Water Meter Size (1)
❑ .. Water Only Meter Size........... "
❑ .. Sewer Main Extension............ Public ❑
❑ .. Water Main Extension............ Public ❑
FINANCE INFORMATION
Fire Line Size at Property Line
❑ .. Water ❑ .. Sewer
Monthly Service Billin¢ to:
Mailing Address:
Water Meter Refund/Billine:
Mailing
❑ ...
Grease Interceptor
❑ ...
Channelization
El ...
Trench Excavation
[I ...
Utility Undergrounding
WO # (2) " WO # (3) WO #
WO # (2) " WO # (3) " WO #
WO # ❑ .. Deduct Water Meter Size "
Private ❑
Private ❑
Number of Public Fire Hydrant(s)
❑ .. Sewage Treatment
Day Telephone:
city
Day Telephone:
State zip
city
State zip
H:\Applications\Forms-Applications On Line\2012 ApplicationsWermit Application Revised - 2-7-12.docx
Revised: February 2012 Page 3 of 4
F•
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-NER_OR AUTHORIZED AGENT:
Signature:
Print Name - a /C.t & _1` &a e
Mailing
Day Telephone:
City
Date: e L V
State Zip
H:\Applications\Forms-Applications On Line\2012 ApplicationsTermit Application Revised - 2-7-12.docx
Revised: February 2012 Page 4 of 4
Date Paid: Wednesday, September 23, 2015
Paid By: APOSTOLIC ASSEMBLY OF THE F
Pay Method: CHECK 1247
Printed: Wednesday, September 23, 2015 3:35 1 of 1
SYSTEMS
PM
DESCRIPTIONS
PermitTRAK
ACCOUNTQUANTITY
PAID
$257.98
D15-0213 Address: 15436 42ND AVE S Apn: 2223049013
$257.98
DEVELOPMENT
$250.52
PERMIT FEE
R000.322.100.00.00
0.00
$149.10
PLAN CHECK FEE
R000.345.830.00.00
0.00
$96.92
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE
$7.46
TECHNOLOGY FEE
TOTAL FEES ' .
R000.322.900.04.00
0.00
$7.46
Date Paid: Thursday, August 20, 2015
Paid By: APOSTOLIC ASSEMBLY OF THE F
Pay Method: CHECK 1205
Printed: Thursday, August 20, 2015 9:22 AM 1 of 1
SYSTEMS
2
INSPECTION RECORD
/N Retain a copy with permit j�� -a�.i
SPECTION 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
Pr jest: ro
Type/�f Igs ecti-:r
Address:
s 3 - od .
Date Cal d:
Special Instructions:
Dat an ed:/� a.m.
—lams p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
O 2-
Inspector: �G Date:
REINSPECTION FEE REQUIRED. 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 N0. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Pro'ect:
Type of In ctigr �--'
Address:
Date Called:
Special Instructions:
Date Wanted: r a.
l/ � p.m.
Requester:
Phone No:
❑ Approved per applicable codes. orrections required prior to approval.
ylnspector: ' C��i� (uate: 1//
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
ON
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) 438-9350
Pro'ect: ,
Type of spectio
Addre s: zu_/
Date Called:
Special Instructions:
�•�t
Date Wa ta.m.
-]—�=� p.m.
_ L.._.:._
Reques er:
Phone_No: y-
XApproved per applicable codes. Corrections required prior to approval.
Inspector: Dated [L
EJ REINSPECTION FEE REQUIRED. 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) 438-9350
Project:
Type o Inspection:
Addres-. V
Date Catlett:
Special Instructions-,
Date Wanted:
a.m.
Requester,
Phone
—) 1:1 Approved per applicable codes. 0 Corrections required prior to approval.
F� REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
iil
6 ),6 , 53
D uAo 'br i CV--
G 1 \A J /1
Yhese plans have been reviewed by the Public
Works Department for conformance with current
City standards. Acceptance is subject to errors and
omissions which do not authorize violations of
adopted standards or ordinances. The responsibility
for the adequacy of the design rests totally with the
designer. Additions, deletions or revisions to these
drawings after this date will void this acceptance
and will require a resubmittal of revised drawings
for subsequent approval.
Final acceptance is subject to field inspection by
the Public Works utilities inspector.
Date: By.
1
M o c& rro
Deno
REVISIONS——
No changes shall be made to the scope
of work without prier approvel of {
i Wkwila Building Divisic` f
ROTE: Revisions will require a r,,-. r p!an s«bmitt%r
an t ma/ ir:,'uds acid t►`onai pian
r5S
too/ X2p V
Ll
REVIEWED FOR
CODE COMPLIANCE
APPROVED
SEP 01 2015
DcJ '��-
City of Tukwil
BUILDING DIV ION
co�mr
Permit No. �uR—
Plan review approval is t
Apprc val of construction
the di ation of adop'
of ap oved Field Copy e
By 1z
Date:�t
to errors and omissions.
cents does not authorize
le or ordinance. Receipt
tuitions is acknowledged:
City of Tukwila
U
ILDING DIVISION
.0Mec?nanical
Ele trical
ErPlumhing
j�Gas Piping
r of Tuk,svila
INC) DN!SION
AECEMM
CITY OF TOKtl IA
AN 2 a 2015
PFRI T rFVY EP
�ostolt sSe,(40 ,y
yZ� %ve 51
"(U V-W I �0, l wo',
Scc\ke
IS a,, ();Q3
NOTICE TO CONTRACTOR
CONSTRUCTION CONTRACTOR'S RESPONSIBILITY'
Before bidding or starting any construction work, you are required to obtain a written asbestos report
from the building owner or owner's agent. The report must be based on a survey by an accredited
AHERA building inspector unless the building owner assumes materials in the structure are asbestos or
has other convincing documents showing asbestos is not present in the work area. A building owner
may know asbestos has been removed during prior work or that a new building has been constructed
using materials certified to be asbestos free.
If you discover suspect asbestos materials, you must report them to the building owner within 24 hours.
Asbestos materials may be found in enclosed structures or between other materials, where they are not
accessible before..work.
State law specifies a minimum $250 per day fine for failure to obtain the asbestos report. This fine can
be applied to both the contractor and building owner. Additional fines may be applied if workers are
exposed to airborne asbestos.
Washington State Department of Labor & Industries regulations & policy with regards to asbestos removal.
A Copy of the asbestos report must be made available to the building inspector prior to the first
inspection. In addition, if asbestos has been found, confirmation of the completed abatement work
must be provided to the building inspector. Inspection scheduling will not be accepted until this
documentation is received by the building inspector.
City of Tukwila Allan Ekberg, Mayor
Department of Community Development Jack Pace, Director
4/ 1 /2016
GEORGETTE TRUJILLO
13233 TENTH AVE S
BURIEN, WA 98168
RE: Permit No. D15-0213
APOSTOLIC ASSEMBLY
15436 42ND AVE S
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 5/11/2016.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 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 5/11/2016, 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,
Bill Rambo
Permit Technician
File No: D15-0213
6300 Southcenter Boulevard Suite #100 e Tukwila, Washington 98188 • Phone 206-431-3670 * Fax 206-431-3665
PERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: D15-0213
DATE: 08/20/15
PROJECT NAME: APOSTOLIC ASSEMBLY CHURCH - DEMO
SITE ADDRESS: 15436 42 AVE S
X Original Plan Submittal Revision # before Permit Issued
Response to Correction Letter # Revision # after Permit Issued
DEPARTMENTS:
A-y �-w �, g e- s Nor ��� c L AtA)�-
Building Division Fire Prevention Planning Division
"u DU V�ti
Public Works Structural ❑ Permit Coordinator
PRELIMINARY REVIEW: DATE: 08/25/15
Not Applicable ❑ Structural Review Required ❑
(no approval/review required)
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 09/22/15
Approved ❑ Approved with Conditions ❑
Corrections Required ❑
(corrections entered in Reviews)
REVIEWER'S INITIALS:
Denied ❑
(ie: Zoning Issues)
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
12/18/2013
King's General Contractors LLC
4nWashington State Department of
Labor & Industries
King's General Contractors LLC
Owner or tradesperson
Trujillo, Georgette
Principals
Trujillo, Georgette, MANAGER
WA UBI No.
603 368 280
License
Home Inicio en Espanol Contact
Safety Claims & Insurance
1323310th Ave S
BURIEN, WA
206-227-9465
KING County
Business type
Limited Liability Company
Page 1 of 2
Search L&I
A-Z Ind(
Workplace Rights
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.
KINGSGC868B7
Effective — expiration
01 /27/2014— 01 /27/2016
Bond
.................
Wesco Insurance Co $12,000.00
Bond account no.
46W B053950
Received by L&I Effective date
09/05/2014 09/04/2014
Expiration date
Until Canceled
Bond history
Insurance
..............................
Preferred Contractors Ins Co R $1,000,000.00
Policy no.
PCIC423903
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=603368280&LIC=KINGSGC868B7&SAW= 9/23/2015