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Home My WebLink About16404 SMOKEY POINT BLVD_BLD20130051_2026 BUILDING INSPECTION REPORT GIcY �� Permit No. 13 Address: SAwl lD� Contractor: t0 ��! Owner: . D.�./1�i3� Date: g//,>' APPROVAL EP PARTIAL APPROVAL Cp VIOLATION ® CORRECTION REQUEST Corrections listed below MUST BE MADE before work can be approved Please contact inspector Was not able to perform inspection Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before Inspector: Date.- 0 Under-floor ® Framing ® Gas Piping ® Footing ® Drywall, nailing ® Consultation ® Foundation ®Shear Nailing ® Groundwork ® Mechanical ®Grid ® Struct. Slab ® Wood Stove ® Rough-in Final ® Masonry ® Drainage ® Insulation Other: S i _ _ _ Z • • c .• _ Cis -1��c- .v1��Y��\ti •1( •-.i. IL •. .-1� BUILDING INSPECTION REPORT G 'VY �� Permit No. Address: .�/% /'j: J/el Contractor: r�7` Sl�� f'G17 9�_JNG_ O Owner: Date: APPROVAL PARTIAL APPROVAL VIOLATION CORRECTION REQUEST Corrections listed below MUST BE MADE before work can be approved Please contact inspector Was not able to perform inspection Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before 11 -j am, Inspector: Date: ® Under-floor ® Framing ® Gas Piping ® Footing ® Drywall, nailing ® Consultation ® Foundation ®Shear Nailing ® Groundwork ® Mechanical ® Grid ® Struct. Slab ® Wood Stove Ell Rough-in Final ® Masronry ® Drainage ® Insulation Other: �5-1 /V GiTY OF ARLII -4GTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:16404 Smokey Point Blvd. Permit#:51 Parcel#:31052900101500 Valuation: OWNER Name:PREWITT LARRY G Address: 14721 EVERGREEN WAY City,State Zip:STANWOOD,WA 98292 Phone:360-333-6125 APPLICANT Name:Dr.Steven Paige/Dr.J.Bressler Address: City,State,Zip:, Phone:206-430-3222 LIC#: EXP: CONTRACTOR Name:THE SIGN POST Address:2019 E BAKERVIEW ROAD City,State,Zip:BELLINGHAM,WA 98226 Phone:360-671-1343/360-303-6623 LIC#:Labor&Industries EXP: 3/27/2013 JOB DESCRIPTION PERMIT TYPE: BLD CODE YEAR: 2009 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI10/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of A lingt must be reporte sa es . eturn form and coded City of Arlington#3101. Signature Print Name bate Released By Date CONDITIONS THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 3/29/2013 Sign Permit Fee $200.06 Total Due: $200.06 Total Payment: $0.00 Balance Due: $200.06 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon L � � ,' I I /^ I SIGN PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington,WA 98223 • Phone(360)403 3551 • FAX (360)403 3418 THIS APPLICATION MUST BE ACCOMPANIED BY THREE(3)SETS OF COMPLETE PLANS,INCLUDING STRUCTURAL CALCULATIONS WHERE APPLICABLE, THREE(3)FULLY DIMENSIONED PLOT PLANS SHOWING ALL SIGNS ON SITE. (EXISTING&PROPOSED) Project Address �� Alr 'J�VCeI ID#: Lot#: Subdivision: _R J Valuation Phone Numb Owner:— P� L✓' '=/J�� Address �/ / /�1 ity:A/�2 /✓��C.Y1fState: Zip Code: Contractor: TLt-e S-" Phone Number: Cell Phone: 360 303 i6,63 Fax: E-mail: )CY�� •y.s�:>,fi C.•r Address: �'�I`( c�c✓v)Y`'y ity Stater Zip Code: Contractor's License Number: Expiration: WALL SIGN CALCULATIONS / MONUMENT SIGN CALCULATIONS Wall height `� Wall length Total street frontage in feet Area of wall Height of proposed sign Sign lengthy Sign height `` Width of proposed sign Total sign area Total sign print area First floor sq. ft. �� Total sign structure area _ First floor sq. ft. X .025= Is there other wall signage on the building? No❑Yes If yes, provide location and sq.ft. of each sign. I hereby certify that the above information is correct anc at Aeconstruction on, and the occupancy and the use of the above-described property will be in accordance with the laws, rules and regulations of the State of Wasp, vt 6--e Applicants ignature Date 6 Print Appl cants Name Z- 2-4 I ?Fq L?' 0 hkP FOR STAFF USE ONLY _,,,,E11E L5 70 rmit# Acc e y Amount Received Receipt# Date Received WEB Forms—126 Page 1 of 1 COA Engineetsfmumt. r �. SIGN APPLICATION REQUIREMENTS Department of Community Development City of Arlington• 238 N Olympic Ave •Arlington, WA 98223• Phone (360)403 3551 o FAX(360) 403 3418 PLEASE PROVIDE THE FOLLOWING INFORMATION AS IT PERTAINS TO YOUR PROJECT Scaled Site Plan (i.e. 1" = 20') ----------------S-THE€T-NAME—-------------------- Show location of subject property, with lot dimensions and road names; location and square footage of proposed and existing freestanding signs, with FREESTANDING SIGN dimensions, distances to property lines and driveways; 0 ✓✓/ location and square footage of all proposed and existing wall signs on the building; and height and dimensions of projecting signs, with distances to VISIBILITY TRIANGLE property lines. (NOTE: Plan must show location and square footage of all signs on entire site.) WALL SIGN Freestanding signs may not create a sight obstruction. For signs over 3' in height, provide a 30' x 30' sight visibility triangle pursuant to AMC 20.68.045(b), measured from property lines(including access lanes). 10, Wall(Including Marquee and Canopy)Signs ® ® ® 1"PAINTED PLYWOOD, NON-ILLUMINATED, ® genelric retell 0 3' ATTACHED TO WALL STUDS Provide drawings showing dimensions, wording, and WITH(8)3/8"x 6"LAG graphics of sign; provide calculations for square ® ® ® BOLTS footage; indicate construction materials, attachment CALCULATIONS: hardware, method of attachment, and attachment Allowed Signage— sf of 18t floor of building or leased detail; indicate whether or not sign is to be illuminated space x 0.025= sf and, if so, describe how. Proposed Signage—10'x 3'=30sf Scale:9/<°= 1' Provide building elevations showing placement of wall signs, including marquee, canopy, and other similar signs. (NOTE: �� Min.8' required to bottom of projecting Freestanding (including Monument Signs sign.) ( 9 ) 9 Scale: Provide drawings showing height, dimensions, wording and graphics of sign; provide calculations for square 8 footage; specify any required landscaping; indicate f - - construction materials and whether or not sign is to be I 4' internally illuminated. 12' Provide scaled drawings of sign footing, including size of pole supports and all supporting connections. Freestanding signs require engineering calculations; consult the Building Official for clarification. (NOTE: �ti " � Design for 80 mph wind, Exposure B, Seismic Zone III, CALCULATIONS: 12"frost depth.) Allowed Signage— feet of street frontage x(depending 8/2010 on zoning—see attached chart)0.3 or 0.75= sf Proposed Signage—8'x 4' =32sf r .� General/Specialty Contractor A business registered as a construction contractor with LEd to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name SIGN POST INC, THE UBI No. 601548545 Phone 3606711343 Status Active Address 2019 E Bakerview Rd License No. SIGNPI*065MM Suite/Apt. License Type Construction Contractor City Bellingham Effective Date 7/14/1994 State WA Expiration Date 7/1/2014 Zip 98226 Suspend Date County Whatcom Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status SIGNPT*07069 SIGN POST/SGNFST Construction General Unused 9/29/1993 7/19/1994 Archived SGNS/STRPG, T Contractor SIGNPSS077LB SIGN POST/SGNFST Construction General Unused 6/2/1993 2/16/1994 Archived SGN/STPG, THE Contractor SIGNP**1 41 DD 'SIGN POST, THE Construction General Unused 3/4/1986 9/29/1993 Archived Contractor Business Owner Information Name Role Effective Date Expiration Date GEORGE, GLORENE M Agent 01/01/1980 GEORGE, GLORENE MARIE President 01/01/1980 GEORGE, RAYMOND L 'Vice President 01/01/1980 Bond Information Bond Bond Company Name Bond Account Numberl Effective Date Expiration Date Cancel Date Ilmpaired Date Bond fi 2 MERICAN STATES INS EX912746 I07/01/2002 Until Cancelled $12: co Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount R 10 Colley Forge Ins 4017717473 09/10/2012 09/10/2013 $2,000,000.000 9 National Fire I4017717473 09/10/2010 09/10/2012 $2,000,000.000 Ins. of Hartford 8 14017717473 09/10/2009 09/10/2010 $1,000,000.00 0 J • r c� NATIONAL FIRE Et MARINE INS CO 7 HARTFORD CAS 52UUNJO0860 I09/10/2008 09/10/2009 I$1,000,000.000 INS CO 6 HARTFORD CAS 52UUNJO0385 �09/10/2007 09/10/2008 I$1,000,000.000 INS CO MUTUAL OF 5 ENUMCLAW INS NC30063 09/10/2007 09/10/2008 $1,000,000.000 CO MUTUAL OF 4 ENUMCLAW INS NC30063 09/10/2005 09/10/2007 $1,000,000.000 CO Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information No records found for the previous 6 year period Contractors or Tradespeople Printer Friendly Page Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with Lltl to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name SJS MECHANICAL SERVICES LLC UBI No. 602478200 Phone 2067630334 Status Active Address 3317 3Rd Ave S, Ste 100 License No. SJSMEMS951 KL Suite/Apt. License Type Construction Contractor City Seattle Effective Date 5/13/2005 State WA Expiration Date 5/17/2013 Zip 98134 Suspend Date County King Specialty 1 Plumbing Business Type Limited Liability Company Specialty 2 Unused Parent Company Other Associated Licenses Specialty Effective Expiration License Name Type 1 Specialty 2 Date Date Status PRIMM Construction Air PRIMMMLOOOOGMECHANICAL Contractor Plumbing Heat,Ventilation,Eva porat 9/7/2000 9/27/2004iArchived LLC _ WILCE PRIMM Construction Air WILCEPM032OR MECHANICAL Contractor Plumbing Heat,Ventilation,Evaporat 9/19/1997 9/5/2000 Archived LLC Business Owner Information Name Role Effective Date Expiration Date JOHNSON, STEVEN P Partner/Member 05/13/2005 SCODELLER, TERRY R Partner/Member 05/13/2005 SMITH, BRENT Partner/Member 05/13/2005 Bond Information Bo Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date(Bond Amount Received Date 1LDEVELOPERS SURETY I 575020C 05/12/2005 Until Cancelled $6,000.0005/13/2005 £t INDEM CO Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Datel Amount lReceived Date 5 American Fire BKA1253475190 05/06/2011 05/06/2013 $1,000,000.00 04/30/2012 Et Casualty Co AMERICAN FIRE 4 AND CASUALTY 13KA1153475190 05/06/2010 05/06/2011 $1,000,000.00 05/03/2010 COM 3 AMERICAN FIRE BKA53475190 05/06/2008 105/06/2010 �$1,000,000.00 05/01/2009 Et CASUALTY CO _ WEST 2 AMERICAN INS BKW53475190 05/06/2006 05/06/2008 $1,000,000.0004/13/2007 CO Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lnilbbip/Print.aspx 2/7/2013 BUILDING INSPECTION REPORT G 'V Y � Permit No. 13 Address: A0 yv Contractor: � �� Owner: Date: $APPROVAL ® PARTIAL APPROVAL ® VIOLATION ® CORRECTION REQUEST Corrections listed below MUST BE MADE before work can be approved Please contact inspector Was not able to perform inspection Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before � s Inspector: Date: / ® Under-floor ® Framing ® Gas Piping ® Footing ® Drywall, nailing ® Consultation ® Foundation ®Shear Nailing ® Groundwork ® Mechanical ® Grid ® Struct. Slab ® Wood Stove ® Rough-in Final ® Masonry ® Drainage ® Insulation Other: S . . � -� ,ry, . r �. .. _, ' � t .. -1.�. : { F :1� �' . .S ♦ � .. 1 �. . � �� 'r ~ �.-r �S �. .. ..�. r _ . - ' I ti• �� 1 ' �'- 1{! _. ,-. «• �. BUILDING INSPECTION REPORT G1�C Y f Permit No. �3 Address: l.�l% �j ABC 7� Contractor:C1N G't — Date: y �� APPROVAL PARTIAL APPROVAL VIOLATION CORRECTION REQUEST Corrections listed below MUST BE MADE before work can be approved Please contact inspector Was not able to perform inspection Call 360-435-0674 FOR RE-INSPECTION by 5:00 pm the day before ¢11�f Inspector: Z:�DZIIZ,1' Date: ® Under-floor ® Framing ® Gas Piping ® Footing ® Drywall, nailing ® Consultation ® Foundation ®Shear Nailing ® Groundwork ® Mechanical ®Grid ® Struct. Slab CO Wood Stove ® Rough-in Final Co Masonry / ® Drainage ® Insulation Other: �� sV GiTY OF ARLhqGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:16404 Smokey Point Blvd. Permit#:51 Parcel#:31052900101500 Valuation: OWNER Name:PREWITT LARRY G Address: 14721 EVERGREEN WAY City,State Zip:STANWOOD,WA 98292 Phone:360-333-6125 APPLICANT Name:Dr.Steven Paige/Dr.J.Bressler Address: City,State,Zip:, Phone:206-430-3222 LIC#: EXP: CONTRACTOR Name:THE SIGN POST Address:2019 E BAKERVIEW ROAD City,State,Zip:BELLINGHAM,WA 98226 Phone:360-671-1343/360-303-6623 LIC#:Labor&Industries EXP: 3/27/2013 JOB DESCRIPTION PERMIT TYPE: BLIP CODE YEAR: 2009 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of A lingt must be reporte a es eturn form and coded City of Arlington#3101. Van- o • -A-1 3 Signature Print Name ate 1,7 Released By Date CONDITIONS THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 3/29/2013 Sign Permit Fee $200.06 Total Due: $200.06 Total Payment: $0.00 Balance Due: $200.06 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon t SIGN PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX (360)403 3418 THIS APPLICATION MUST BE ACCOMPANIED BY THREE(3)SETS OF COMPLETE PLANS,INCLUDING STRUCTURAL CALCULATIONS WHERE APPLICABLE, THREE(3)FULLY DIMENSIONED PLOT PLANS SHOWING ALL SIGNS ON SITE. (EXISTING&PROPOSED) � Project Address: 4�9 3 AlrAo Cel ID#: Lot#: ( Subdivision Valuation � Owner: —�'r > , i � EeS / � 954LF Phone Number.:- Address�E/��;1 ��°®""� ��1ity �2/�✓E �LY�State: ��'4 Zip Code. Contractor: Ttt-e vt f '9 Phone Number: .360 6 Z1 34( 3 Cell Phone: 36-0 303 66-2-3 Fax: E-mail: )Cxt Address '2-49 `CclCc✓y 1 r w ity: ' Stater Zip Code Contractor's License Number: 1 G N1�2 L� S/H wl Expiration: WALL SIGN CALCULATIONS / MONUMENT SIGN CALCULATIONS Wall height Wall length Total street frontage in feet Area of wall .2Z?"e'--)U Height of proposed sign Sign length Sign height - Width of proposed sign Total sign area Total sign print area First floor sq. ft. Total sign structure area First floor sq. ft. X .025 = Is there other wall signage on the building? No[:]Yes If yes, provide location and sq.ft. of each sign. I hereby certify that the above information is correct ana4 KattI`e'constructton on, and the occupancy and the use of the above-described property will be in accordance with the laws, rules and regulations of the State of Wasi�#Von. Applicants'Signature Date vt r j 6 eo✓'y—c Print Appl cants Name 2_4 F 0 h;+� r-^ I FOR STAFF USE ONLY RECEI E J EARL7nt IS6rmit# Acc e v Amount Received Receipt# Date Received WEB Forms—126 Page 1 of 1 C0A EngineeriMJQ2Pf- J 1 - SIGN APPLICATION REQUIREMENTS Department of Community Development City of Arlington . 238 N Olympic Ave • Arlington,WA 98223• Phone (360)403 3551 . FAX (360) 403 3418 PLEASE PROVIDE THE FOLLOWING INFORMATION AS IT PERTAINS TO YOUR PROJECT Scaled Site Plan (i.e. 1" = 20') —--------------STuEE-T-NAME---- ------------------ Show location of subject property, with lot dimensions and road names; location and square footage of proposed and existing freestanding signs, with FREESTANDING SIGN dimensions, distances to property lines and driveways; O 'e location and square footage of all proposed and existing wall signs on the building; and height and dimensions of projecting signs, with distances to VISIBILITY TRIANGLE property lines. (NOTE: Plan must show location and mn,van,% square footage of all signs on entire site.) WALL SIGN Freestanding signs may not create a sight obstruction. 4 For signs over 3' in height, provide a 30' x 30' sight visibility triangle pursuant to AMC 20.68.045(b), measured from property lines(including access lanes). 10, Wall (Including Marquee and Canopy) Signs ® 1"PAINTED PLYWOOD, NON-ILLUMINATED, ri lr+eta3111 Provide drawings showing dimensions, wording, and genera ® 3' ATTACHED TO WALL STUDS WITH(8)3/8"X 6"LAG graphics of sign; provide calculations for square ® BOLTS footage; indicate construction materials, attachment CALCULATIONS: hardware, method of attachment, and attachment Allowed Signage- sf of 1 st floor of building or leased detail; indicate whether or not sign is to be illuminated space x 0.025=__sf and, if so, describe how. Proposed Signage- 10'x 3'=30sf Scale: '/<"= 1' Provide building elevations showing placement of wall signs, including marquee, canopy, and other similar (NOTE: signs. Min.8' required to bottom of projecting (including Monument Signs sign) Freestanding ( g ) 9 Scale: Provide drawings showing height, dimensions, wording and graphics of sign; provide calculations for square 8' footage; specify any required landscaping; indicate construction materials and whether or not sign is to be I ra 4' internally illuminated. 12' Provide scaled drawings of sign footing, including size of pole supports and all supporting connections. Freestanding signs require engineering calculations; consult the Building Official for clarification. (NOTE: Design for 80 mph wind, Exposure B, Seismic Zone III, CALCULATIONS: 12"frost depth.) Allowed Signage- feet of street frontage x(depending 8/2010 on zoning-see attached chart)0.3 or 0.75= sf Proposed Signage-8'x 4' =32sf Gem�ra[/Specialty Contractor A business registered as a construction contractor with LEtI to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name SIGN POST INC, THE UBI No. 601548545 Phone 3606711343 Status Active Address 2019 E Baker-view Rd License No. SIGNPI"065MM Suite/Apt. License Type Construction Contractor City Bellingham Effective Date 7/14/1994 State WA Expiration Date 7/1/2014 Zip 98226 Suspend Date County Whatcom Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status SIGNPT"07069 SIGN POST/SGNFST Construction General Unused 9/29/1993 7/19/1994 Archived SGNS/STRPG, T Contractor SIGNPSS077LB'SIGN POST/SGNFST Construction General Unused 6/2/1993 2/16/1994 Archived SGN/STPG, THE Contractor SIGNP""141DD 'SIGN POST, THE Construction General 'Unused 3/4/1986 9/29/1993 Archived Contractor Business Owner Information Name Role Effective Date Expiration Date GEORGE, GLORENE M Agent 01/01/1980 GEORGE, GLORENE MARIE President 101/01/1980 GEORGE, RAYMOND L 'Vice President 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date(Impaired Date Bond A 2 I MERICAN STATES INS EX912746 07/01/2002 Until Cancelled $12: Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount R 10 co Valley Forge Ins 4017717473 09/10/2012 09/10/2013 $2,000,000.000 9 National Fire 4017717473 I 09/10/2010 09/10/2012 $2,000,000.000 Ins. of Hartford 8 4017717473 09/10/2009 09/10/2010 $1,000,006 0 NATIONAL FIRE Et MARINE INS CO 7 HARTFORD CAS 52UUNJ00860 I 09/10/2008 09/10/2009 I $1,000, TINS CO 000.00 0 6 HARTFORD CAS 52UUNJ00385 �09/10/2007 09/10/2008 I$1,000,000.00 0 INS CO MUTUAL OF 5 ENUMCLAW INS NC30063 09/10/2007 09/10/2008 $1,000,000.00 0 CO MUTUAL OF 4 ENUMCLAW INS NC30063 09/10/2005 09/10/2007 $1,000,000.00 0 CO Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information No records found for the previous 6 year period Contractors or Tradespeople Printer Friendly Page Page 1 of 2 1 General/Specialty Contractor A business registered as a construction contractor with Lftl to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name SJS MECHANICAL SERVICES LLC UBI No. 602478200 Phone 2067630334 Status Active Address 3317 3Rd Ave S, Ste 100 License No. SJSMEMS951KL Suite/Apt. License Type Construction Contractor City Seattle Effective Date 5/13/2005 State WA Expiration Date 5/17/2013 Zip 98134 Suspend Date County King Specialty 1 Plumbing Business Type Limited Liability Company Specialty 2 Unused Parent Company Other Associated Licenses Specialty Effective Expiration License Name Type 1 Specialty 2 Date Date Status PRIMM Construction Air PRIMMML000OG MECHANICAL Contractor Plumbing Heat,Ventilati on,Eva porat 9/7/2000 9/27/2004 Archived LLC WILCE PRIMM Construction Air WILCEPM032OR MECHANICAL ,Contractor Plumbing Heat,Ventilati on,Eva porat 9/19/1997 9/5/2000 Archived LLC Business Owner Information Name Role Effective Date Expiration Date JOHNSON, STEVEN P Partner/Member 05/13/2005 SCODELLER,TERRY R Partner/Member 05/13/2005 SMITH, BRENT Partner/Member 05/13/2005 Bond Information Bond Bond Company Name Bond Account NumberjEffective DatelExpiration Date Cancel Date Impaired Date iBond Amount Received Date 1 DEVELOPERS SURETY 575020C 05/12/2005 Until Cancelled $6,000.0005/13/2005 Et INDEM CO Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number 1 Effective Datel Expiration Date Cancel Date Impaired Date! Amount IReceivedDatel American Fire 5 BKA1253475190 05/06/2011 I05/06/2013 $1,000,000.00 04/30/2012 Ft Casualty Co I AMERICAN FIRE 4 AND CASUALTY BKA1153475190I05/06/2010 05/06/2011 $1,000,000.0005/03/2010 COM 3 AMERICAN FIRE BKA53475190 05/06/2008 05/06/2010 $1,000,000.00 05/01/2009 &CASUALTY CO WEST FZ WEST INS BKW53475190 05/06/2006 05/06/2008 I$1,000,000.00 04/13/2007 Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 2/7/2013