HomeMy WebLinkAboutPermit D17-0239 - DOMINIC METROPOLOS RESIDENCE - REMOVE UPPER KITCHEN CABINETS AND OPEN WALLDOMINIC METROPLOS
RESIDENCE
15227 40 AVE S
D17-0239
Parcel No:
Address:
0
City of Tukwila
c3
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.eov
DEVELOPMENT PERMIT
0043000165 Permit Number: D17-0239
15227 40TH AVE S
Project Name: DOMINIC METROPLOS RESIDENCE
Issue Date: 9/26/2017
Permit Expires On: 3/25/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
TOOKE BURETTE F
15227 40TH AVE S , TUKWILA, WA,
98188
IGNACIO SORIA
PO BOX 3227 , RENTON, WA, 98056
TRINITY CNSTRCTION RSTRT LLC
PO BOX 3227 , RENTON, WA, 98056
DOMINIC METROPOLOS
15227 40TH AVE S , TUKWILA, WA,
98188
Phone: (425) 362-9836
Phone: (425) 572-0609
Expiration Date:
DESCRIPTION OF WORK:
REMOVE UPPER KITCHEN CABINETS AND OPENING WALL
Project Valuation: $5,000.00
Type of Fire Protection:
Sprinklers:
Fire Alarm:
Type of Construction: VB
Electrical Service Provided by: TUKWILA
Fees Collected: $331.00
Occupancy per IBC: R-3
Water District: 125
Sewer District: VALLEY VIEW
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:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
Public Works Activities:
Channelization/Striping:
Curb Cut/Access/Sidewalk:
Fire Loop Hydrant:
Flood Control Zone:
Hauling/Oversize Load:
Land Altering:
Landscape Irrigation:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
Volumes: Cut: 0 Fill: 0
Number: 0
Permit Center Authorized Signature:
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:
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 PERMIT CONDITIONS***
2: 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.
3: 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.
4: All construction shall be done in conformance with the Washington State Building Code and the
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 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.
0
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700 BUILDING FINAL**
0409 FRAMING
CITY OF TU L DILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Permit No. I/ 01140
Project No.
Date Application Accepted:
f 11( j
Date Application Expires: %J b
(For office use on
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.:
Site Address: 15227 Ave. S, ' tAkuSAGLr 40i:k Suite Number: Floor:
Tenant Name: Dr)rniY11r VIAt. Y'DrItis- i70�D. New Tenant: ❑ Yes ❑..No
PROPERTY OWNER
Name:
Aminic. MeA-ro0DS- Nab
Address: 1 Saal 1i b+k. IWe • s .
City: wi State: A Zip:
CONTACT PERSON - person receiving all project
communication
Company Name:
Tr i n.i 44 Concs 'y'U 'C�1QL'1_ Res -!brat rI, LI
Name:
lar! .C.% b Sbr l -
City:�e State:1
Address: -17.0. Box 3z21
Phone: Fax:
L/2 512-6!009
City: ` nkbn State:VIA Zip:
Contr Reg No.: Exp Date:
Phone: 4/25 3&02-R83GFax. 1125 512-t
09
Email: -Ec Sery I ces 45 et ,wu 1. <'.nm
GENERAL CONTRACTOR INFORMATION
Company Name:
Tr i n.i 44 Concs 'y'U 'C�1QL'1_ Res -!brat rI, LI
Address:
P.D. Bre 3221
City:�e State:1
Zipg805/13
Phone: Fax:
L/2 512-6!009
Architect Name:
Contr Reg No.: Exp Date:
Tukwila Business License No.:
H:\ApplicationsWorms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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ARCHITECT OF RECORD
Name: onevi le‘ i G I'yie,'ET'o p 105 -pea°
Address:15 1 1-16%-k_
k_ l -/l° .
Company Name:
State: va1A Zip:
Architect Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Name: onevi le‘ i G I'yie,'ET'o p 105 -pea°
Address:15 1 1-16%-k_
k_ l -/l° .
Company Name:
State: va1A Zip:
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: onevi le‘ i G I'yie,'ET'o p 105 -pea°
Address:15 1 1-16%-k_
k_ l -/l° .
City:Tu-5`
State: va1A Zip:
Page 1 of 4
BUILDING PERMIT INFORMATI— 206-431-3670
O
Valuation of Project (contractor's bid price): $ 5, OOP .00 - Existing Building Valuation: $ 4 ro, too . a
Describe the scope of work (please provide detailed information): Rp rnpJi hq tAloper !gc
CA -bine -J-5 o pe"ni r l 1 i-kiven u I,1. �,J
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 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:
Will there be a change in use? 0 Yes 0 No If "yes", explain:
Compact: Handicap:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ 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 ,
❑ 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
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1st Floor
4C el
2nd Floor
f
3rd Floor
-•-
Floors thru
Basement
t
—
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
r,r -•
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:
Will there be a change in use? 0 Yes 0 No If "yes", explain:
Compact: Handicap:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ 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 ,
❑ 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
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Page 2 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 AUTHO : IZED AGENT:
Signature:
Print Name:
nacio Soric
Date: C(—tp-1i
Day Telephone:1{ 2 3(2. — � p
Mailing Address: (100' �� e r f we.. 5 0 Ase—fed-r— , , 9 A q.t. 5g
City State Zip
H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 4 of 4
PUBLIC WORKS PERMIT INI( MATION — 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 '
0 .. Sewer Use Certificate
Septic System:
0 On-site Septic System — For -site septic system, provide 2 copies of a current septic des. approved by King County Health Department.
❑ ...Valley View
❑ ...Sewer Availability Provided
0... Highline
❑ ... Renton
❑... Renton
❑.o: eattle
Submitted with Application (mark axes which apply):
❑ .. Civil Plans (Maximum Paper S — 22" x 34")
❑ .. Technical Information Report (Sto . Drainage) 0... Geotechnic ' eport ❑ .. Traffic Impact Analysis
❑ .. Bond 0...Insurance 0... Easement(s) 0... Mainten e Agreement(s) ❑ .. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
Proposed Activities (mark boxes that apply):
❑ .. Right-of-way Use - Nonprofit for less than =? ;? ours
❑ .. Right-of-way Use - No 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
0 .. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention = Fire Protection
Irrigation
Domestic Water
❑ .. Permanent Water Meter Size (1)
❑ .. Temporary Water Meter Size (I)
❑ .. Water Only Meter Size
❑ .. Sewer Main Extension blic
❑ .. Water Main Extension ublic
❑... 'gig_ t -of -way Use - Profit for less than 72 hours
❑. ,;r ight-of-way Use — Potential Disturbance
0...Work in Flood Zone
❑... Storm Drainage
❑ ... Aband
0... Cur
O ...P ent Cut
0... :roped Fire Line
O ... Grease Interceptor
❑... Channelization
0...Trench Excavation
O ...Utility Undergrounding
WO# (2) '; WO# (3) " WO#
WO # (2) ,> • # (3) " WO #
WO # ❑ .. Dect Water Meter Size
Private 0
Private ❑
FINANCE INFORMATION
Fire Line Size at Property
❑ .. Water A .. Sewer
Monthl Service Billi
Name:
Number of Public Fire Hydrant(s)
❑ .. Sewage Treatment
Day Telephone:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State Zip
Day Telephone:
City
State Zip
H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 3 of 4
Receipt: Number
DESCRIPTIONS
PermitTRAK
ACCOUNT 1 QUANTITY
;
PAID
$331.00
D17-0239 Address: 15227 40THAVE S
'Apn: 0043000165
$331.00
DEVELOPMENT
$321.40
PERMIT FEE
R000.322.100.00.00
0.00
$192.06
PLAN CHECK FEE
R000.345.830.00.00
0.00
$124.84
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE
• $9.60
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R12259
R000.322.900.04.00 0.00
$9.60
. r $331.00
Date Paid: Wednesday, September 06, 2017
Paid By: TRINITY CONSTRUCTION
Pay Method: CHECK 5053
Printed: Wednesday, September 06, 2017 10:00 1 of 1
AM
CRYFISYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
D17 -o23 i
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Protect:
Protect:
Ne RbPiOs ,
Type of Inspection:
FI11I_OI — AN,AL.
Address:_
/5227 A/r 6,
Date Called:
Special Instructions:
Date Wanted:
/..2,15-17
("1".701-
a.ml:z`'-i7 p.m.
Requester:
1 6/JACi e
/do -Z9-01
Phone No:
if 2:- $22. - 9 8'31
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
12–/5"-i /7
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
-0339
PERMIT NO.
rolect:
114l/UBC metarLcS
Typeo pection:
12A14/17A &
Address:
/S'-22 7 «2 m
S
Date Called:
Special Instructions:
Date Want d•
A / ~%
aim..y
p.m -
Requester.
Phone No:
12s--3<2-- 9'e36
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
/-7"
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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City of Tukwila
Department of Community Development
September 15, 2017
IGNACIO SORIA
PO BOX 3227
RENTON, WA 98056
RE: Correction Letter # 1
DEVELOPMENT Permit Application Number D17-0239
DOMINIC METROPLOS RESIDENCE - 15227 40TH AVE S
Dear IGNACIO SORIA,
Allan Ekberg, Mayor
Jack Pace, Director
This letter is to inform you of corrections that must be addressed before your development permit can be approved. All
correction requests from each department must be addressed at the same time and reflected on your drawings. I have
enclosed comments from the following departments:
BUILDING DEPARTMENT: Allen Johannessen at 206-433-7163 if you have questions regarding these comments.
O (GENERAL INFORMATION NOTE)
PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size. New revised
plan sheets shall be the same size sheets as those previously submitted.)
(BUILDING REVIEW NOTES)
1. Page 2 kitchen floor plan does not clearly show the layout of the kitchen and does not clearly identify which wall
is to be altered. Also, the elevation framing details shows two doors in the wall to be renovated but does not match
the kitchen floor plan. Please provide clarity to the plans where all elements are consistent, most particularly where
the work is to be performed. Cloud the location of work on the floorplan.
2. On sheet 5 specify what the center section is constructed of. Unless you are to alter any part of the roof, that
information is not necessary to show. Indicate if this wall is a bearing/sheer-wall.
3. Specify metal straps and hardware connections for the beams and columns.
Note: Contingent on response to these corrections, further plan review may request for additional corrections.
Please address the comments above in an itemized format with applicable revised plans, specifications, and/or other
documentation. The City requires that two (2) sets of revised plan pages, specifications and/or other documentation be
resubmitted with the appropriate revision block.
In order to better expedite your resubmittal, a 'Revision Submittal Sheet' must accompany every resubmittal. I have
enclosed one for your convenience. Corrections/revisions must be made in person and will not be accepted through the mail
or by a messenger service.
If you have any questions, I can be reached at 206-431-3655.
Bill Rambo
Permit Technician
File No. D17-0239
R-6,1
6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
9ERMIT COORD COPY.. o
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: D17-0239
DATE: 09/19/17
PROJECT NAME: DOMINIC METROPLOS RESIDENCE
SITE ADDRESS: 15227 40 AVE S
Original Plan Submittal
X Response to Correction Letter # 1
Revision # before Permit Issued
Revision # after Permit Issued
DEPARTMENTS:
Building Division ON Fire Prevention
Public Works
Structural
n
Planning Division
❑ Permit Coordinator
•
PRELIMINARY REVIEW:
Not Applicable ❑
(no approval/review required)
DATE: 09/21/17
Structural Review Required
REVIEWER'S INITIALS: DATE:
n
APPROVALS OR CORRECTIONS: DUE DATE: 10/19/17
Approved
Corrections Required
❑ Approved with Conditions
❑ Denied
(corrections entered in Reviews) (ie: Zoning Issues)
Notation:
El
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials:
12/18/2013
q)ERMIT COOED COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: D17-0239 DATE: 09/07/17
PROJECT NAME: DOMINIC METROPLOS RESIDENCE
SITE ADDRESS: 15227 40TH AVE S
X Original Plan Submittal
Response to Correction Letter #
Revision # before Permit Issued
Revision # after Permit Issued
DEPARTMENTS:
kS COvYZ_ CLAL"
Building Division 11
ublic Works gitt
MNfA—
Fire
Prevention
Structural
PfAe "17
Planning Division
Permit Coordinator ❑
PRELIMINARY REVIEW:
Not Applicable n
(no approval/review required)
DATE: 09/07/17
Structural Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved
DUE DATE: 10/05/17
❑ Approved with Conditions
Corrections Required
(corrections entered in Reviews)
Notation:
Denied
(ie: Zoning Issues)
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only [�
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg— Fire ❑ Ping ❑ PW ❑ Staff Initials:
12/18/2013
O
City of Tukwila
0
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Web site: http://www.TukwilaWAgov
REVISION
SUBMITTAL
Revision submittals must be submitted in person at the Permit Center.
Revisions will not be accepted through the mail, fax, etc.
Date: °11141111 Plan Check/Permit Number: pm .b 11 D D39
►.1
Response to Incomplete Letter #
Response to Correction Letter # 1
Revision # after Permit is Issued
D Revision requested by a City Building Inspector or Plans Examiner
❑ Deferred Submittal #
Project Name: tb Vtt (tic, V e4 -oV\DS ',12 5ieltincl.
Project Address: 152.21 '1D+k Ave. S � TL)kt.wt l L , 1l)1R
Contact Person: Sq nexe,I 0Snt-�0.. Phone Number: gots 3102- 4183(p
Summary of Revision:
.•]]
1. —"Pone, 2. - char► Ci eco cActr pke, r, aid idP rti-Vi-Fi eel
11 ....Jr 11— I am _
--he. 1Li finer\ •c ltpr -00,.-r1- oln p3 • 2..
2. - RAT_ S - The,�C i �C�r,ev� u.xx.1,1 is o. h ea_ri rpt L a 1,1.
3 -- ? e_ 5 - arc s o o nne iDr\s acre -\r he
Q Nlo -C-Dr fie. b arn6 wand CD1t)nr\rn - line4
locutte \or evl C,1 Dtd - en5itir cek D tb1(r
Sheet Number(s): I
RECEIVED
CITY OF TUKWILA
"Cloud" or highlight all areas of revision including date of revision
Received at the City of TukwilaP�ermit Center by:
(
"Entered in TRAKiT on "t t Cr I. 7
W:\Permit Center \Templates\Forn&Revision Submittal Form.doc
Revised: August 2015
1
TRINITY CNSTRCTION RSTRT LSC
Hoine 13spanol Contact
Safety & Health Claims & Insurance
coWashington State Department of
Labor & Industries
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TRINITY CNSTRCTION RSTRT LLC
Owner or tradesperson
Principals
SORIA, IGNACIO, DIRECTOR
SORIA, BELEN, DIRECTOR
Doing business as
TRINITY CNSTRCTION RSTRT LLC
WA UBI No.
604 059 173
PO BOX 3227
RENTON, WA 98056
425-572-0609
KING County
Business type
Limited Liability Company
Governing persons
BELEN
SORIA
IGNACIO SORIA;
License
I VI
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor
License specialties
GENERAL
License no.
TRINICR838CL
Effective — expiration
0211312017— 02/13/2019
Bond
Ironshore Indemnity Inc
Bond account no.
SUR40006520
Active.
Meets current requirements.
$12,000.00
Received by L&I Effective date
02/13/2017 02/09/2017
Expiration date
Until Canceled
Insurance
Nautilus Ins Co $1,000,000.00
Policy no.
NN816289
Received by L&I Effective date
09/08/2017 06/02/2017
Expiration date
06/02/2018
Insurance history
Savings
No savings accounts during the previous 6 year period.
Lawsuits against the bond or savings
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https://secure.lni.wa.gov/verify/Detail.aspx?UBI=604059173 &LIC=TRINICR83 8CL&SA W= 9/22/2017