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HomeMy WebLinkAboutPermit D17-0001 - EMBASSY SUITES SEATTLE AIRPORT - ATRIUMEMBASSY SUITES SEATTLE AIRPORT HOTEL 15920 W VALLEY HWY D17-0001 Parcel No: Address: Project Name: 0 City of Tukwila 0 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 0005800024 15920 W VALLEY HWY DEVELOPMENT PERMIT Permit Number: D17-0001 Issue Date: 1/3/2017 Permit Expires On: 7/2/2017 EMBASSY SUITES SEATTLE AIRPORT HOTEL Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: SEATAC HOTEL OWNER LLC 350 W HUBBARD ST STE #250 , CHICAGO, WA, 60654 KRISTOFFER EGGERT 6264 ELLIS AVE S , SEATTLE, WA, 98108 J R ABBOTT CONSTRUCTION INC Phone: (206) 276-5227 Phone: (206) 467-8500 3408 1ST AVE S SUITE 101, SEATTLE, WA, 98134-1805 JRABBCI022JZ Expiration Date: 3/1/2018 KOAR-SEATAC PARTNERS 370 AMAPOLA AVE #210 , TORRANCE, WA, 90501 DESCRIPTION OF WORK: REISSUANCE OF EXPIRED PERMIT D15-0288 - FINAL INSPECTION ONLY ATRIUM WORK - REMOVE PLANTER AREA AND INFILL LOWERED SLAB AREA W/NEW INFILL SLAB O.G. SOME NEW FOOD AND BEVERAGE EQUIPMENT & MISC ELECTRICAL WORK UNDER SEPARATE PERMIT NO PLANS FOR THIS PERMIT SEE D15-0288 PUBLIC WORKS ACTIVITIES INCLUDE VACUUM CLEANING ( SEDIMENT REMOVAL) OF THE EXISTING STORM DRAINAGE CATCH BASINS AND REMOVING LEAVES FROM THE EXISTING DRAINAGE SWALES IN THE PARKING LOT INCLUDING THE BACK PARKING LOT AS WELL. Project Valuation: $375,000.00 Type of Fire Protection: Sprinklers: YES Fire Alarm: YES Type of Construction: IA Electrical Service Provided by: TUKWILA Fees Collected: $148.47 Occupancy per IBC: R-1 Water District: TUKWILA Sewer District: TUKWILA 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: R,1 Date: 3-1 7 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 to-. laws regulating construction or the performance of work. I am authorized to sign and obtain this develop ent permit and agree to the conditions attached to this permit. Signature: Print Name: 5b,.>-r��-�� Date:\ j i 1" 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: Due to lack of current maintenance of the parking lots storm drainage system all catch basins shall be vacuum cleaned/sediment removed and the existing drainage swales shall have leaves and debris removed to assure proper function of the storm drainage system at both parking lots. 2: Portable fire extinguishers, not housed in cabinets, shall be installed on the hangers or brackets supplied. Hangers or brackets shall be securely anchored to the mounting surface in accordance with the manufacturer's installation instructions. Portable fire extinguishers having a gross weight not exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 5 feet (1524 mm) above the floor. Hand- held portable fire extinguishers having a gross weight exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 3.5 feet (1067 mm) above the floor. The clearance between the floor and the bottom of the installed hand-held extinguishers shall not be less than 4 inches (102 mm). (IFC 906.7 and IFC 906.9) 3: Extinguishers shall be located in conspicuous locations where they will be readily accessible and immediately available for use. These locations shall be along normal paths of travel, unless the fire code official determines that the hazard posed indicates the need for placement away from normal paths of travel. (IFC 906.5) 4: Fire extinguishers require monthly and yearly inspections. They must have a tag or label securely attached that indicates the month and year that the inspection was performed and shall identify the company or person performing the service. Every six years stored pressure extinguishers shall be emptied and subjected to the applicable recharge procedures. If the required monthly and yearly inspections of the fire extinguisher(s) are not accomplished or the inspection tag is not completed, a reputable fire extinguisher service company will be required to conduct these required surveys. (NFPA 10, 7.2, 7.3) 5: The total number of fire extinguishers required for an ordinary hazard occupancy with Class A fire hazards is calculated at one extinguisher for each 1,500 sq. ft. of area. The extinguisher(s) should be of the "All Purpose" (3A, 40B:C) dry chemical type. Travel distance to any fire extinguisher must be 75' or less. (IFC 906.3) (NFPA 10, 5.4) 6: Maintain fire extinguisher coverage throughout. 7: Aisles and aisle access ways serving as a portion of the exit access in the means of egress system shall comply with the requirements of this section. Aisles or aisle access ways shall be provided from all occupied portions of the exit access which contain seats, tables, furnishings, displays and similar fixtures or equipment. The required width of aisles shall be unobstructed. (IFC 1017.1) 8: The required aisle width shall extend from floor to ceiling. Rack structural supports and catwalks are allowed to cross aisles at a minimum height of 6 feet 8 inches (2032 mm) above the finished floor level, provided that such supports do not interfere with fire department hose stream trajectory. (IFC 3206.9.2) 9: Sprinklers shall be installed under fixed obstructions over 4 feet (1.2 m) wide. (NFPA 13-8.6.5.3.3) 10: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2436 and #2437) 11: Fire protection systems shall be maintained in accordance with the original installation standards for that system. Required systems shall be extended, altered or augmented as necessary to maintain and continue protection whenever the building is altered, remodeled or added to. Alterations to fire protection systems shall be done in accordance with applicable standards. (IFC 901.4) 12: All new fire alarm systems or modifications to existing systems shall have the written approval of The Tukwila Fire Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #2437) (IFC 901.2) 13: Maintain fire alarm system audible/visual notification. Addition/relocation of walls or partitions may require relocation and/or addition of audible/visual notification devices. (City Ordinance #2437) 14: The maximum flame spread class of finish materials used on interior walls and ceilings shall not exceed that set forth in Table No. 803.9 of the International Building Code. 15: Accumulation of combustible waste material is prohibited during the demolition phase of this project. Remove and properly dispose of all waste material prior to the close of the working day and as often throughout the day as needed. 16: Maintain coverage and operability of portable fire extinguishers, sprinkler systems and fire alarm systems during demolition and construction. 17: In occupancies of Groups A, E, I and R-1 and dormitories in Group R-2, curtains, draperies, hangings and other decorative materials suspended from walls or ceilings shall be flame resistant in accordance with NFPA 701 or be noncombustible. Where required to be flame resistant, decorative materials shall be tested by an approved agency and pass Test 1, as described in NFPA 701, or such materials shall be noncombustible. Reports of test results shall be prepared in accordance with NFPA 701 and furnished to the fire code official upon request. (IFC 807.1, 807.2) 18: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 19: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575-4407. 20: ***BUILDING PERMIT CONDITIONS*** 21: 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. 22: 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. 23: The special inspections and verifications for concrete construction shall be as required by IBC Chapter 17, Table 1705.3. 24: When special inspection is required, either the owner or the registered design professional in responsible charge, shall employ a special inspection agency and notify the Building Official of the appointment prior to the first building inspection. The special inspector shall furnish inspection reports to the Building Official in a timely manner. 25: A final report documenting required special inspections and correction of any discrepancies noted in the inspections shall be submitted to the Building Official. The final inspection report shall be prepared by the approved special inspection agency and shall be submitted to the Building Official prior to and as a condition of final' inspection approval. 26: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any requirements for special inspection. 27: 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. 28: Per Tukwila Municipal Code, a fire watch is required any time a fire sprinkler or fire alarm system is impaired. The fire watch shall be maintained until the system is restored. Contact the Tukwila Fire Marshal's Office at 206-575-4407 for detailed fire watch requirements. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 1400 FIRE FINAL CITY OF TUKA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov (13 Building Permit No. 'b I7- 000 Project No. Date Application Accepted: 1-1-1 7 Date Application Expires, 1-3� 1 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 King Co Assessor's Tax No.: 0065 gi300l Site Address: 411.,11:, \iJt.YT Yp.1,`ti't 'A Tenant Name: Lt-c\�t�3411 6v r s Suite Number: PROPERTY OWNER Name: \13-\6AO '6..i16t`j---C Address: . Cv'Li:-\ k1.\ai U 6 Name: City: 5kavRir State: 'OP Zip: cutter" Phone: ,2 Fax: -1 -5111- Address: Email: Phone: ,2� i 512 Fax: le City:,,r � State: 1#.4. Zip: ,91)51)\ - CONTACT PERSON - person receiving all project communication Name: \13-\6AO '6..i16t`j---C Address: . Cv'Li:-\ k1.\ai U 6 City:��v.: State: `W‘`=•. Zip:\, City: 5kavRir State: 'OP Zip: cutter" Phone: ,2 Fax: -1 -5111- City: 5Eu_v.tts: State: tk.h Email: Phone: ,2� i 512 Fax: le GENERAL CONTRACTOR INFORMATION Company Name: : re.szZZ Address: 1`itt \' k�� 5!= 1b'\ City:��v.: State: `W‘`=•. Zip:\, Phone:, N- - el-4v Conti Reg No.: J G‘64.2.4 Exp Date: "IA'tk Tukwila Business License No.: H:\ Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Floor: New Tenant: ❑ Yes )K.. No ARCHITECT OF RECORD Name: . Company Name: v,aL,�+ 0,24.,,,v,kt;..et,,ti-t Architect Name: VAC\S i:Lrzz-mat.`( Address: Engineer Name: City: 5Eu_v.tts: State: tk.h Zip: 1g`biz,. Phone: ,2� i 512 Fax: le Email: City: ENGINEER OF RECORD Name: . Address: ())�b i\MuFvst,� i1Ycs.\J 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: ())�b i\MuFvst,� i1Ycs.\J City:--rtr�..hr\►LZ State: kAr Li Zip: 1)-e:.\ Page 1 of 4 BUILDING PERMIT INFORMATIt- 206-431-3670 0 Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Describe the scope of work (please provide detailed information): §Sx'Qsvw\ 'ds;.atib(t t j N 0.ic.\L \. lam �u‘"0.4. p.�Ew . a . L. StRrc N£l ..i .*to - -v t,dszvx@i‘e-tet 11-aN4:. t"`Sc . Et,-Z.CettN co* - -k 'Z4%. Will there be new rack storage? ❑ ....Yes If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers 0 Automatic Fire Alarm None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes \CIE No If `yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM 0 On-site Septic System - For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1St Floor 11),ei>1> <►rVe" X lA L 2nd Floor 3rd Floor \� Floors thru '', ` ..-/ Basement .-,-"---- Accessory Structure* '~p- Attached Garage / �,� �- ` Detached Garage '\ Attached Carport ,-/' /` Detached Carport Covered Deck ,.---- ...----------- Uncovered Deck Uncovered /----- PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers 0 Automatic Fire Alarm None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes \CIE No If `yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM 0 On-site Septic System - For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 PUBLIC WORKS PERMIT INF IATION — 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 D .. Tukwila 0 ...Water District #125 ❑ .. Water Availability Provided Sewer District ❑ .. Tukwila 0 .. Sewer Use Certificate 0... Highline ❑ ...Valley View 0... Renton 0 ...Sewer Availability Provided ❑... Renton 0... Seattle Septic System: 0 On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. Submitted with Application (mark boxes which apply): 0 .. Civil Plans (Maximum Paper Size — 22" x 34") 0 .. Technical Information Report (Storm Drainage) 0 .. Bond ❑...Insurance 0... Easement(s) Proposed Activities (mark boxes that apply): ❑ .. Right-of-way Use - Nonprofit for less than 72 hours ❑ .. Right-of-way Use - No Disturbance 0 .. Construction/Excavation/Fill - Right-of-way 0 Non Right-of-way 0 ❑ .. Total Cut ❑ .. Total Fill cubic yards cubic yards ❑ .. Sanitary Side Sewer ❑ .. Cap or Remove Utilities 0 .. Frontage Improvements 0 .. Traffic Control ❑ .. Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. Permanent Water Meter Size (1) 0 .. Temporary Water Meter Size (1) ❑ .. Water Only Meter Size ❑• ❑• ❑• O... Geotechnical Report ❑ ... Maintenance Agreement(s) 0 .. Traffic Impact Analysis ❑ .. Hold Harmless — (SAO) ❑ .. Hold Harmless — (ROW) 0... Right-of-way Use - Profit for less than 72 hours 0... Right-of-way Use — Potential Disturbance 0... Work in Flood Zone 0... Storm Drainage .. Abandon Septic Tank .. Curb Cut .. Pavement Cut .. Looped Fire Line ❑ .. Sewer Main Extension Public ❑ .. Water Main Extension Public 31 WO # WO # WO # Private 0 Private ❑ 0...Grease Interceptor 0... Channelization 0... Trench Excavation ❑... Utility Undergrounding (2) " WO # (3) (2) " WO # (3) 0 .. Deduct Water Meter Size " WO# " WO# FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ .. Water 0 .. Sewer 0 .. Sewage Treatment Monthly Service Billing to: Name: Mailing Address: Day Telephone: 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 bh Page 3 of 4 PERMIT APPLICATION NOTES —0 0 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. BUILDIN Signature: R AUTHORIZED AGENT: Print Name 1.V L Mailing Address: 'SAW?\fICk 4vvt. 5. k Date: k I $1 Day Telephone: TR: i cF , ‘y V- H:Wpplications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh City State Zip Page 4 of 4 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $148.47 D17-0001 Address: 15920 W VALLEY HWY Apn: 0005800024 $148.47 Credit Card Fee $4.32 Credit Card Fee R000.369.908.00.00 0.00 $4.32 DEVELOPMENT $137.50 PERMIT FEE R000.322.100.00.00 0.00 $133.00 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $6.65 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R10245 R000.322.900.04.00 0.00 $6.65 $148.47 Date Paid: Tuesday, January 03, 2017 Paid By: PAUL SANTULLI JR Pay Method: CREDIT CARD 751035 Printed: Tuesday, January 03, 2017 11:35 AM 1 of 1 riTl19'SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit bi?-coo l 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 t Co a Address: /SW LL , Special Instructions: T e of Inspection: „s• 01Libt#l6- '/A A -L Date Called: Date Wa ed: /7 a.m. Reque er: Phone No: 'Approved per applicable codes. IBJ Corrections required prior to approval. COMMENTS: Inspector: Date: 9/11 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 coo 1 ‘°1 Project: iM Ss) I Typ4 of Inspection: '6U1 Lb AZ- hiAiAt. Address: /512c2 ! tAt,z e -I )4WV Date Called: Special Instructions: C.« Date Wanted� cii 7 a.m. p.m. Requester. d Phone , o:' 206 •- (Is - s -315 - Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: r wc ctTec, -F-TiV I.L Appaenu P4)00‘ 46. -f t / inspector: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. J R ABBOTT CONSTRUCTION I HOME'. Espanol Contact Search L&I Page 1 of 3 A -Z Index Help Mtn LCI Safety & Health Claims & Insurance Workplace Rights Trades & Licensing Washington State Department of 'k Labor & Industries J R ABBOTT CONSTRUCTION INC Owner or tradesperson Principals FRASER, RICHARD H FRASER, GWEN F NELSON, RONALD A, PRESIDENT KLEIN, DOUGLAS J, PRESIDENT STRAND, TIMOTHY R, PRESIDENT SPRAGUE, ANDREW W, PRESIDENT ABBOTT, JOHN R, PRESIDENT STEDMAN, TROY L, PRESIDENT PRICE, MICHAEL W, PRESIDENT SHALLEY, BRANNON E, PRESIDENT NEWMAN, WENDY P, VICE PRESIDENT MCGOWAN, JOHN P, VICE PRESIDENT ABBOTT, DAWN E, SECRETARY SEAMNA, MARK C, SECRETARY ROBERTSON, ROBERT M, TREASURER Doing business as J R ABBOTT CONSTRUCTION INC WA UBI No. 600 479 123 3408 1ST AVE S SUITE 101 SEATTLE, WA 98134-1805 206-467-8500 KING County Business type Corporation Goveming persons ANDY SPRAGUE BRANNON SHALLEY; DOUGLAS JOSEPH KLEIN; JOHN ABBOTT; JOHN MCGOWAN; MARK SEAMAN; MIKE PRICE; RON NELSON; TROY STEDMAN; WENDY NEWMAN; 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. JRABBCI022JZ Effective — expiration 04/09/1998— 03/01/2018 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600479123&LIC=JRABBCI022JZ&SAW= 1/3/2017 J RB Aond BBOTT CONSTRUCTION IN_C LIBERTY MUTUAL INS CO Bond account no. 023009859 $12,000.00 Received by L&I Effective date 04/24/2006 04/01/2006 Expiration date Until Canceled Insurance Liberty Mutual Fire Insurance Policy no. TB2Z91459332026 $1,000,000.00 Received by L&I Effective date 05/27/2016 06/01/2016 Expiration date 06/01/2017 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. 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 No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID 458,011-00 Account is current. Doing business as J R ABBOTT CONSTRUCTION INC Estimated workers reported Quarter 3 of Year 2016 "Greater than 100 Workers" L&I account representative T3 / DEBRA MODER (360)902-5598 - Email: MORE235@Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 07/14/2016 Inspection no. 317940586 Location 22704 SE 4th Street Sammamish, WA 98074 Inspection results date 10/30/2014 Inspection no. 317608909 Location 380 Winslow Way E Bainbridge Island, WA 98110 Inspection results date 09/17/2014 Inspection no. No violations No violations No violations Page 2 of 3 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600479123 &LIC=JRABBCI022JZ&SAW= 1/3/2017 J R ABBOTT CONSTRUCTION INS, 317447456 4 J Location 2420 N. Proctor St. Tacoma, WA 98406 Inspection results date 09/08/2014 Inspection no. 317420651 Location 14550 Interurban Ave S Tukwila, WA 98168 No violations 0 Inspection results date 04/02/2014 Inspection no. 316974104 Location 23320 Hwy 99 Edmonds, WA 98026 Inspection results date 10/08/2012 Inspection no. 316534999 Location 26401 Pacific Hwy S Des Moines, WA 98198 Inspection results date 04/03/2012 Inspection no. 315795955 Location 1415 5th Avenue Seattle, WA 98101 Inspection results date 03/02/2012 Inspection no. 315789396 Location 2209 N Pearl Street Tacoma, WA 98406 No violations No violations No violations No violations Page 3 of 3 © 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=600479123&LIC=JRABBCI022JZ&SAW= 1/3/2017