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HomeMy WebLinkAboutPermit D17-0298 - BORRIES RESIDENCE - WINDOW REPLACEMENTSBORRIES RESIDENCE 3810 S 158 ST UNIT B-08 EXPIRED 08/08/18 D17-0298 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 4215000140 3810 S 158TH ST B08 Project Name: BORRIES RESIDENCE DEVELOPMENT PERMIT Permit Number: Issue Date: Permit Expires On: D17-0298 11/13/2017 5/12/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: CHRISTIANA TR -TTEE 440 S LASALLE ST #2000 , CHICAGO, WA, 60605 NAIDA KHAN Phone: (360) 945-2787 HOME DEPOT AT-HOME SRVCS, THE Phone: (770) 779-1300 2690 CUMBERLAND PKWY, SUITE 300 , ATLANTA, GA, 30339 HOMED**972RQ Expiration Date: 7/17/2018 9808 31 AVE SE , EVERETT, WA, 98208 DESCRIPTION OF WORK: REPLACE 3 WINDOWS LIKE FOR LIKE. Project Valuation: $2,345.00 Type of Fire Protection: Sprinklers: Fire Alarm: Type of Construction: VB Electrical Service Provided by: Fees Collected: $263.03 Occupancy per IBC: R-3 Water District: Sewer District: 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 No Permit Center Authorized Signature: Date: 11: 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 Nam Date: 11/ t 3/ If 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: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 6: 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. 7: ***BUILDING PERMIT CONDITIONS*** 8: 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. 9: 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. 10: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 11: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 12: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 0606 GLAZING 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. V 11 rtif Project No. Date Application Accepted: 11' `' 11 Date Application Expires: 6.1 • �$ (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 Site Address: 3810 S 158th St Tenant Name: Joseph Borries PROPERTY OWNER Name: Northwest Permit Inc. Name: Joseph Borries Address: 9808 31st St SE Address: 3810 S 158th St Unit B8 City: Everett State: WA City: Seattle State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Northwest Permit Inc. Address: 3600 Lind Ave SW #150 Address: 9808 31st St SE Phone: (800) 381-5699 Fax: City: Everett State: WA Zip: 98208 Phone: (360) 945-2787 Fax: (888) 400-0383 Email: naida@nwpermit.com GENERAL CONTRACTOR INFORMATION Company Name: Home Depot USA, INC Address: 3600 Lind Ave SW #150 City: Renton State: WA Zip: 98057 Phone: (800) 381-5699 Fax: Contr Reg No.: HOMED* *088RH Exp Date: 07/17/2018 Tukwila Business License No.: H:\Applications\Forn -Applications On Line\2011 Applications\Pmnit Application Revised - 8-9-1 I.docx Revised: August 2011 bh King Co Assessor's Tax No.: 4215000000 Suite Number: B8 Floor: New Tenant: ❑ Yes ❑..No 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 r' �'�-3 i'r r2,345 Valuationjof'�ropctjrontractor's bid price): $ Describe the scope of work (please provide detailed information): ``.l�if Repiac 3 Vi?dpws; Like for Like d S w Will there be new rack storage? 0 Yes Existing Building Valuation: $ .. 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? 0 Ycs 0 No If "yes", explain: 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? ❑ 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:\Applicatian\Forms-ApFlicetions On Line \2011 Applications\Pamit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 2 of 4 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1' 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? 0 Ycs 0 No If "yes", explain: 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? ❑ 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:\Applicatian\Forms-ApFlicetions On Line \2011 Applications\Pamit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 2 of 4 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 • - ' j' t� ❑ ..,Tukwila 0 ...Valley View ❑ .:Sewer Use Certificate Y" ❑ ...Sewer Availability Provided ❑ .. Highline ❑ .. Renton .: Renton s 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 apply): 0 ...Right-of-way Use - Nonprofit for less than 72 hours ❑ ...Right-of-way Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right-of-way 0 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 0. ❑. ❑. ❑. ❑ ' .. Geotechnical Report 0 .. Maintenance Agreement(s) ❑ .. ❑.. Right-of-way Use - Profit for Right-of-way Use — Potential ❑ .. Work in Flood Zone ❑ .. Storm Drainage . Abandon Septic Tank . Curb Cut . Pavement Cut . Looped Fire Line ..• .Permanent Water Meter Size... WO # ❑ ...Temporary Water Meter Size .. " WO # ❑ ...Water Only Meter Size " " WO # ❑ ...Sewer Main Extension Public 0 Private 0 • ❑ ...Water Main Extension Public 0 Private 0 ❑...Traffic Impact Analysis ❑ ...Hold Harmless — (SAO) ❑ ...Hold Harmless — (ROW) less than 72 hours Disturbance ❑ .. Grease Interceptor ❑ .. Channelization .. • Trench Excavation ❑ .. Utility Undergrounding 0 ...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line ❑...Water • ❑...Sewer Monthly Service Billing to: Name: Number of Public Fire Hydrant(s) ❑ ...Sewage Treatment Day Telephone: Mailing Address: City 'State Zip Water Meter Refund/Billing: Name: Mailing Address: Day Telephone: City State Zip H:\Applicetiona\Fortns-Applications On Line\2011 Applications\Pmnit Application Revised - 8-9-11.docx Revised; August 2011 bh Page 3 of 4 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 !I`.A R OR AUTH f ' ZED AGENT: Signature: �l Date: Y \/ Li 14 Print Nan' Day Telephone: (1616)q45-7.141, Mailing Address: Tat* "Me ME- S HMpplicatioa \Forms -Applications On Line \ 201 1 ApplicationsTermit Application Revised - 8-9-11.doat Revised: August 2011 bh Cvcr+e:* V4Pc eteaoS City State Zip Page 4 of 4 r,A1 A -4 290E Cash Register Receipt City of Tukwila Receipt Number R1.2776 DESCRIPTIONS ACCOUNT QUANTITY PermitTRAK PAID $263.03 D17-0298 Address: 3810 S 158TH ST B08 Apn: 4215000140 $263.03 DEVELOPMENT $255.43 PERMIT FEE R000.322.100.00.00 0.00 $152.08 PLAN CHECK FEE R000.345.830.00.00 0.00 $98.85 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $7.60 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12776 R000.322.900.04.00 0.00 $7.60 $263.03 Date Paid: Monday, November 13, 2017 Paid By: NORTHWEST PERMIT Pay Method: CHECK 10680 Printed: Monday, November 13, 2017 12:09 PM 1 of 1 CSYSTEMS 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 17 -o2qq Project: 13aPRlh3' Rrs-tDaticE Type of Inspection: BvI�J)iNG. ' lNietl-- Address: 36/O S, i y7f:.5 B Date Called: Special Instructions: Date Wanted: 2--4 -i p.m Requester: %kRAJ __.0 Phone No: gig-- ZC 7— 2?2.7 Approved per applicable codes. (Corrections required prior to approval. COMMENTS: • /94A/1r-f- J7 el /'L s Al' 11916-04fA 4C Reg/1W1J Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Window summary 3810 S 158th St Unit B8 Ln No Description REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE Ravi ,ions will require a new plan submittal and may include additional plan review fees. Room ID 1 1 59 1/2" (T) X 35 1/2" (T) Clear Value White Slider (XO); Tip -to -Tip; Bedroom Block Frame; Colonial All White Flat (2V2H); Title 24; Intercept; ProSolar Shade Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; Y2 Alum Lok Ra/St Steel Stayba; Tape Applied; Two Cam White; Plain; Corrosion Resist Roller/Glide (UI=95"); DP:15; U-Factor:.30; SHGC:.20; Unit qualifies for ENERGY STAR? region(s): North Central, South Central, Southern.; Unit qualifies for Title 24. 2 1 59 1/2" (T) X 35 1/2" (T) Clear Value White Slider (XO); Tip -to -Tip; Block Frame; Colonial All White Fiat (2V2H); Title 24; Intercept; ProSolar Shade Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; Y2 Alum Lok Ra/St Steel Stayba; Tape Applied; Two Cam White; Plain; Corrosion Resist Roller/Glide (UI=95"); DP:15; U-Factor:.30; SHGC:.20; Unit qualifies for ENERGY STAR? region(s): North Central, South Central, Southern.; Unit qualifies for Title 24. 3 1 71 1/2" (T) X 47 1/2" (T) Clear Value White Slider (XO); Tip -to -Tip; Block Frame; Title 24; Intercept; ProSolar Shade Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; Y2 Alum Lok Ra/St Steel Stayba; Tape Applied; Two Cam White; Plain; Corrosion Resist Roller/Glide (UI=119"); DP:15; U-Factor:.30; SHGC:.23; Unit qualifies for ENERGY STAR? region(s): North Central, South Central, Southern.; Unit qualifies for Title 24. FILE COPY Permit No. •o q Plan review approval is subject to errors and omissions. Approval of constriction documents does not authorize the violation of any adopted code or ordnance. Receipt of approved Field Copy and conditions is acknowledged: By: Date: City of Tukwila BUILDING DIVISION Bedroom I SEPARATE PERMIT REQUIRED FOR: CW techanical GElectrtc al ($ 'Plumbing Gas Piping City of Tukwila svi,i'!NG DIVISION REVIEWED FOR CODE COMPLIANCE APPROVED NOV 0 7 2017 'ArCity of Tukwila BUILDING DIVISION RECEIVED CITY OF TUKWILA IJV -1 2017 PERMIT CENTER tt1-Otit Is tit I14-11, if '- i-'1 t ' 1• $ t 9 � i 2 a. ' I i ` 1 1 € .J r N 4 i• "r- ski 1 i 7 t r r ,-� Icu / r 1 1 • I e . ' r V1I d. t---' 1 1 r i ( ( C 1 1— • 1 T"s .•.._...y— r f 4 a I , , f - o- 1 T � i•1 ice._ 1 _ 1 ._ 1'` ` - - r ,...... { , "'0 . 0 • • I r r r 11 1 , •r ► ti frn7 Fr F # {1 i 1- • L --REVIEWED FOR • CODE COMPLIANCE APPROVED NOV :07 2017 City of Tukwila BUILDING DIVISION • • 4. K :,,•, rw� A 0 at a, cid3v a, � a `o: CS oA. pr -1 c N ani f 7EV )DE INK Ci BULLI City of Tukwila BUILDING DIVISION f :OA PRI I of ZING BUILDING DIVISION rt Dil c7 F( PLLA 'VED 2011 ukwi14 JIVIS City of Tukwila BUILDING DIVISION F 0 ICE ,REVIEVI )DE COI APPR 0 di ? NG' SECTION R310 EMERGENCY ESCAPE AND RESCUE OPENINGS R310.1 Emergency escape and rescue opening required. Basements, habitable attics and every sleeping room shall have not less than one operable emergency escape and rescue opening. Where basements contain one or more sleeping rooms, an emergency escape and rescue opening shall be required in each sleeping room. Emergency escape and rescue openings shall open directly into a public way, or to a yard or court that opens to a public way. Exception: Storm shelters and basements used only to house mechanical equipment not exceeding a total floor area of 200 square feet (18.58 m ). R310.1.1 Operational constraints and opening control devices. Emergency escape and rescue openings shall be operational from the inside of the room without the use of keys, tools or special knowledge. Window opening control devices complying with ASTM F 2090 shall be permitted for use on windows serving as a required emergency escape and rescue opening. R310.2 Emergency escape and rescue openings. Emergency escape and rescue openings shall have minimum dimensions as specified in this section. R310.2.1 Minimum opening area. 17 Emergency and escape rescue openings shall have a net clear opening of not less than 5.7 square feet (0.530 m ). The ne clear opening dimensions required by this section shall be obtained by the normal operation of the emergency escape and rescue opening from the inside. The net cjar hei•ht opening shall be not Tess than 24 inches (610 mm) and the net clear width shall be not less than 20 inches (508 rrg9 N Exception: Grade floor or below grade openings shall have a net clear opening of not less than 5 square feet R310.2.2 Window sill height. Where a window is provided as the emergency escape and rescue opening, it shall have a sill height of not more than 44 inches (1118 mm) above the floor; where the sill height is below grade, it shall be provided with a window well in accordance with Section R310.2.3. 20:IN. CLEAR • , MIN '6PENABLE 4 AREA , \�5.7SOFT, \MIN 41 IN.. 'CLEAR MIN i rMINIMIUM SIZE ,WINDOW FOR 20 IN.' CLEAR WIDTH` •SILLHEIGHT 44 IN. MAX IN: CLEAR MINIMUM SIZE WINDOW FOR 24 IN_ CLEAR'HEIGHT 'For 'SI 1 inch 25.4 mm,"1 'square foot 0 0929 r2.: Figure R390,2.1, , ;EMERGENCY ESCAPE AND RESCUE 1M_NDOW 24 IN. CLEAR? MIN _ ... (FLOOR t 1 OPENABLE AREA `5.7 SQ FT MIN. 'N. MINIMUM SIZE WINDOW FOR 24 IN_ CLEAR'HEIGHT 'For 'SI 1 inch 25.4 mm,"1 'square foot 0 0929 r2.: Figure R390,2.1, , ;EMERGENCY ESCAPE AND RESCUE 1M_NDOW 24 IN. CLEAR? MIN _ ... (FLOOR 7/2/2018 City of Tukwila Department of Community Development NAIDA KHAN 9808 31 AVE SE EVERETT, WA 98208 RE: Permit No. D17-0298 BORRIES RESIDENCE 3810 S 158TH ST Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director 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 8/8/2018. 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 fmal 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 8/8/2018, 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: D17-0298 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D17-0298 DATE: 11/1/17 PROJECT NAME: BORRIES RESIDENCE SITE ADDRESS: 3810 S 158TH ST X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: A-5- kw (- 11-3-9 Building Division Public Works Fire Prevention Structural Planning Division ❑ ❑ Permit Coordinator n PRELIMINARY REVIEW: Not Applicable (no approval/review required) REVIEWERcS INITIALS: DATE: 11/02/17 Structural Review Required DATE: APPROVALS OR CORRECTIONS: DUE DATE: 11/30/17 Approved Corrections Required ❑ Approved with Conditions ❑ Denied (corrections entered in Reviews) (ie: Zoning Issues) Notation: ri REVIEWER06 INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 HOME DEPOT, THE Home Espanol Contact Safety & Health Claims & Insurance 0 Washington State Department of Labor & Industries Page 1 of 5 Search L&I A -Z Index Help My L&I Workplace Rights Trades & Licensing HOME DEPOT, THE Owner or tradesperson Principals HOFFMANN, KEVIN ANDREW, CHIEF EXECUTIVE OFFICER WAITS, CHRISOPHER WAYNE, MEMBER INGRAM, STACY S, MEMBER BLANK, ARTHUR (End: 06/02/2010) DAY, MARSHALL L (End: 06/02/2010) MARCUS, BERNARD (End: 06/02/2010) BRILL, RONALD (End: 06/02/2010) Doing business as HOME DEPOT, THE 2455 Paces Ferry Rd. C-11 Hm Svcs Compliance ATLANTA, GA 30339 770-433-8211 WA UBI No. Business type 601 262 719 Corporation Governing persons KELLY H BARRETT FRANCIS S BLAKE; ARTHUR M BLANK; RONALD M BRILL; JOHN COSTELLO; FRANK L FERNANDEZ; REBECCA I FLICK; JAMES INGLIS; BERNARD MARCUS; ROBERT L NARDELLI; STEVEN TAPLITS; CAROL B TOME; 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. HOMED**088RH Effective — expiration 12108/1992— 07/17/2018 Bond WESTCHESTER FIRE INS CO $12,000.00 Bond account no. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601262719&LIC=HOMED**088RH&SAW= 11/8/2017 HOME DEPOT, THE Page 2 of 5 K07246286 Received by L&I Effective date 10/14/2005 11/0112005 Expiration date Until Canceled Insurance Old Republic Ins Co $9,000,000.00 Policy no. mwzy310022 Received by L&I Effective date 02/22/2017 03/01/2017 Expiration date 03/01/2018 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings Cause no. 17-2-14056-2SEA Complaint fled by HAI TRAN & HONG VUONG Complaint date 10/27/2017 Open Complaint against bond(s) or savings K07246286 Complaint amount $0.00 Cause no. 17-2-07530-8 Complaint filed by MATTHEW & REBECCA CARLMAN Open Complaint against bond(s) or savings K07246286 Complaint date Complaint amount 05/05/2017 $3,676.29 Cause no. 17-2-0420134 Complaint filed by ROIG, AVI & STOCKWELL, JENNIFER Open Complaint against bond(s) or savings K07246286 Complaint date Complaint amount 07/25/2017 $0.00 Cause no. 14-231770-1 SEA Complaint filed by ALEXANDER KOLMYKOV-ZOTOV Dismissed Complaint against bond(s) or savings K07246286 Complaint date Complaint amount 12/03/2014 $0.00 Cause no. 14-2-04919-4 Complaint filed by GUY & KRISTY KELLY Complaint date 07/16/2014 Open Complaint against bond(s) or savings K07246286 Complaint amount $0.00 Cause no. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601262719&LIC=HOMED**088RH&SAW= 11/8/2017 HOME DEPOT, THE 13-2-001834 Complaint filed by EMMETT & SONJA LENIHAN Dismissed Complaint against bond(s) or savings K07246286 Complaint date Complaint amount 03/06/2013 $140,000.00 Cause no. 12-2-25085-5SEA Complaint filed by METROPOLITAN PROPERTY & CASUALTY INS CO Dismissed Complaint against bond(s) or savings K07246286 Complaint date Complaint amount 08/1412012 $8,823.46 L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations Infraction no. NDALS00788 Issue date 05/22/2017 Violation city ATLANTA Type of violation CONSTRUCTION INFRACTION Description Failure to provide consumer with the required disclosure statement signed and dated by the customer. Satisfied RCW/WAC 18.27.114(1) RCW Violation amount $500.00 Infraction no. FDISH00613 Issue date 06/07/2013 Violation city Pacific Type of violation FAS INFRACTION Description Failure to obtain an alteration permit before altering a mobile or manufactured home as required. Installed comp roof Satisfied RCW/WAC 43.22.435 RCW Violation amount $1,000.00 Infraction no. FDISH00590 Issue date 11/13/2012 Violation city Pacific Type of violation FAS INFRACTION Description Failure to obtain an alteration permit before altering a mobile or manufactured home as required. Installed new roof Satisfied RCW/WAC 43.22.435 RCW Violation amount $800.00 Infraction no. FDISH00574 Issue date 08/10/2012 Violation city Satisfied RCW/WAC 43.22.435 RCW Violation amount Page 3 of 5 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601262719&LIC=HOMED**088RH&SAW= 11/8/2017 HOME DEPOT, THE Pacific Type of violation FAS INFRACTION Description Failure to obtain an alteration permit before altering a mobile or manufactured home as required. Re roofed MFG home $400.00 Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. This company has multiple workers' comp accounts. Active accounts L&I Account ID 706,094-00 Doing business as HOME DEPOT INC Estimated workers reported N/A L&I account contact (360)902-4817 Track this contractor Self Insured. This business is certified to cover its own workers' comp costs. No premiums due. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 09108/2017 Inspection no. 317945003 Location 423 160th Street South Spanaway, WA 98387 Violations Inspection results date 04/1112014 Inspection no. 317271583 Location 1325 Fones Road Olympia, WA 98500 No violations Inspection results date 03/03/2014 Inspection no. 316966688 Location 6200 E Lake Samammish Pkwy SE Issaquah, WA 98029 Violations Page 4 of 5 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601262719&LIC=HOMED**088RH&SAW= 11/8/2017 HOME DEPOT, THE Inspection results date 09/05/2013 Inspection no. 316868579 Location 1101 Kingswood Dr Sw Tumwater, WA 98512 No violations Inspection results date 12/02/2011 Inspection no. 315576645 Location 580 7th Ave Longview, WA 98632 Violations Page 5 of 5 © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601262719&LIC=HOMED* *088RH&SAW= 11/8/2017