BLD-05-0512
c
c
c
CITY OF YELM INSPECTION LOG
PROJECT
PERLvIIT NuMBER
ADDRESS
SET BACKS Date
Front
Rear
SIde/Flanking
SIde
{2,Y11
FOOTING REBAR
Comments
Date
/7
5 b )-A
FOOTING
o 12"
o 16"
o other
o requued vents
WALL REBAR
"\V ALL
o 6"
o 8"
o other
Date
COlYIBINED FRAJ\1E/ EXTERIOR SHEAR WALL INSPECTION
Hold downs 0 Shear Nmlmg 0
Frame 0 GasIPropane 0
Plumbmg 0 Mechamcal 0
Comments
li~SULATION
Comments
o Gas
o Foam and Seal
o Electnc
o Vapor barner
o other
o PVA
SHEET ROCK/SHEAR WALL NAIL
Comments
OTHER
Comments
FINAL
:- Sewer Final
- Address
Comments
r Landscape Final
_ SIdewalk
c: Electncal =: Ch"II Final
;;;nSUl;PJ /;; Dramage
~@f@\~~J'---
crr'l Of 'lE\.tlI_aU1\.OlNG OEPft,R1tl1EN1
CER11flCft,1E Of ocCUP ft,NC'l
\-\as bee
---
---- .>--
~____r:::.-------- ~
05-05'\ 2
__ nC tnereo' is nereb'i aU. N\a~imUm p..IIOWable
d tne ,ollowing occupa 'i N\a~imum floor Loads
p..rea under Occupant Lbs per sa ft.
inis certi'icate Load
floors Occupancies SQuare feet 25 J
'\500 5 \
N\ 2500 "\
'\ \
S-2 -
'\
...- \ -
\---
902 Naiers ste '\-1\.
fire lone
Occupanc'i Group
Use lone
i'ipe o~ constructiOn
MIS2
~
~c \J-B
~
Building p..ddress
parKer paInt
9770 calfol\ cenletfl.d. Sle. <;
san QieaO CI\. 92'\ 26
plan Number
owner Name
Owner p..ddress
Building permit Number
~
,tnoriz.ed
RemarKs.
Ma\l 22 2006
!\reas Inspected
special conditions ----
y... NO
Is 6uildioQ SP1\o~lered? ---- '1ES ~
oate --
- G. car\son------- .
~ ~~rl'lic s\1al\ \)e posled in a conSPICUOUS. place
POS11tlG 1\1e certllicale 010CCupancv d e.cepl bV \\1e 6uildlnQ OfflC\8\
on \\10 premises and s\18\1 nO\ be rem""e
~
Building Ofticial
~~
o
o
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0512-YL
Issue Date 05/18/2006
(Work must be started within 180 days)
Receipt No
42140
Name: Arch Drafting & Design
Phone:
714-404-3897
Address: 12823 Maxwell Dr
City' Tustin
State: CA Zip 92782
Site Address: 902 Algiers Dr., Ste 1_A
Assessor Parcel No. 22730110203
Subdivision.
Lot:
Name. Great Northwest Builders
Contact:
Phone: 360-337-2464
Address: P.O. Box 3194
City' Silverdale
State: WA Zip 98383
Contractor License No: GREATNB013BJ
Expires. 02/03/0834
Business License:
P"rc)"ect InfHrmati"6n:$;" .
:J ....... ....... I If....
Project: Parker Paint TI
Description of Work: Tenant Improvement at Niqually Plaza
Suite 1-A
Sq. Ft. per floor (1 st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other): OTHER
f~~s:
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
--------------------------- -------------
Building Permit - Other 234 45 0.00 0.00 o 0000 0.0000 $1,000
Building Plan Review 152.39 0.00 000 o 0000 o 0000
TOTAL FEES $386.84
Ar>plican!:~ 'Affra~"it: .",...
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applying as a contractor, I futher certify that I am currently
registered in the State of Washington.
USE OKlLY
Signature
:;/P-
Date 1'5pt/o'
..Fi..n.a..rjc~~.e~(;.tion..._.:...
Date:
':',:.'" .. ....\.. ....-.. ""'",
"T .:.' .... .
~y. .. . .
KUf' ':' .:" '.:"',' .. ''':7'''''' ._"-:' '\
Firm
RECE\PT No 42140
....THREE HUNDRED EIGHTY SIX DOLLARS & 84 CENTS
DATE REC W)
05/18/06 42140
/\Mr)UNT
386.84 CHECK
REF NO
6452
RECE\\/E[) Hi! 1M
ARCH DRAFTING & DESIGN
12823 MAXWELL DR.
TUSTIN CA 92782
o
BUDGETARY
GRETCHEN
__ _ PERil I T -234 .. 45-- - PI;ANREVIElI- 1:52-:39---- - ------ -- -- -- ----- - - .. -- ----- ----- --- ------ -- - --------
o
Parker Pamt Store TI ReVIew
March 31 , 2006
The TI IS approved for constructIOn wIth the followmg noted changes to the
Plan Notes Number references plan number
1 EXIt wIdths per IBC 1008 I I
2. Occupancy 25 for store and 8 for warehouse
3 FIre extmgUIsher SIze and locatIOn per IFC 906
4 Sheet rock wIth 5/8" and fire tape wall on store SIde of new breeze way
5 Dumpster locatIOn per IFC 304
6 EXlstmg system the owner's responsIbIlIty per IFC 508
7 Storage per IFC 3404.3 5
8 20 foot fire lane to be mamtamed
9 Where applIcable refer to IBC Chapter 7
10 Occupancy per table IBC 1004 1 2, see note 2
13 See table IFC 3404 3 6 3(1) for storage
15 See spnnkler reqUIrements m IFC 3404 3 6.2 for allowable storage over 5 gallons
16 See table IFC 3404 3 6.3( 1) for storage
General Notes
1 Delete eXIt SIgn at eXlstmg double door
2 Supply emergency IIghtmg at eXIt
3 ElectrIcal permIt through Washmgton State Labor and IndustrIes
xl' to r-')
Ad" ,,?O
Vqu'
If-'?
A'I' "tI'
\"f"
o
o
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: 90 l... A \ B \ e,t' ~ Vr. Parcel #. 21.-.7 ~ .0 \ - \ 0 z. 03
Zoning, Current Use. Proposed Use. Jf1 tWr-J...11 1(...
o New Construction ~Re-Model/ Re-Roof / Tenant Improvement
Il Plumbing n Mechanical n Fire PrevenUSuppress/Alarm n Other
Project Description/Scope of Work:JY.()'I\ s.trv"bl /11 J~ i' J t>I' J ~1'?111___ .;. oS
Project Value. .$ Z ~O ()
1st FIOO~2nd Floor - 3rd Floor-=-
Building Area (sq. ft) Parking Garage
Building Height
Are there any environmentally sensitive areas located on the parcel? I
completed environmental checklist must accompany permit application.
If yes, a
BUILDING':OWNER{fEI~Ar~t:r4AMf!. ~ ~..
A6DRE'SS"--lP'-'r~-'~-"N. /Yii,-;" Wit
CITY mUGU" Is/-.,,~ STATE WIf ZIP 'f~O'lO
11(..
~Rc;HltECT~~IGI~iEER t, 0"
ADDRESS/2.bZ..s 1'n4f>tw"U
CITY Tv"'TIII STATE c.~
~~.r;J~bL CQNtBA9TQB
ADDRESS
CITY STATE
CONTRACTOR'S LICENSE #
p~iJj~~c~i\1t~I9~
ADDRESS
CITY STATE
CONfRAcTOR'S LICENSE #
LICENSE #
EMAIL
ZIP QZ,7P/1.. TELEPHONE (71'1) i04 - 35'H
TELEPHONE
EMAIL
ZIP FPU<
EXP DATE CITY LICENSE #
TELEPHONE
EMAIL
FPU<
EXP DATE CITY LICENSE #
ZIP
MECE!AN!QALc"ONTRActOR
ADDRESS
CITY STATE
CONTRACTOR'S LICENSE #
TELEPHONE
EMAIL
FPU<
EXP DATE CITY LICENSE #
ZIP
Copy of City Mitigation documentation (TFC).
r hereby certify that the above infonnation is correct and that the construction on, and the occupancy and the use of the
above described property will be in accordance with the laws, rules arid regulations of the State of Washington and the
City ofYelm.
-s~~
~
~'310~
Date
(Please circle one.)
~
Applicant's Signature
Owner' Contractor I Owner's Agent I Contractor's Agent I Tenant
All pennits are non-transferable and will expire if work authorized by such penn it is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
105 Yelm Avenue West
PO Box 479
Yelm, WA 98597
(360) 458-3835
(360) 458-3144 FAX
www.ci.yelm.wa.U8
lJ\~~'~
C9 \ -v
o
MATERIAL
DRY FAST STAIN CLEAR BASE
SAFETY
D A T A
SHE E T
Page
1
PRODUCT NAME
PRODUCT CODE
UPC #
DRY FAST STAIN CLEAR BASE
3010
HMIS CODES H F R P
2 3 0 B
------------------
------------------
SECTION I
MANUFACTURER IDENTIFICATION
-----------------
-----------------
EMERGENCY PHONE
INFORMATION PHONE
PARKER PAINT
3003 SOUTH TACOMA WAY
TACOMA, WA 98409
1-800-255-3924
253-473-1122
DATE PRINTED
NAME OF PREPARER
05/12/05
J BURNWORTH
MANUFACTURER I S NAME
ADDRESS
----------
---------
SECTION II
HAZARDOUS INGREDIENTS/SARA III INFORMATION
---------
---------
REPORTABLE COMPONENTS
CAS NUMBER
VAPOR PRESSURE
nun Hg @ TEMP
WEIGHT
PERCENT
* TOLUENE 108- 8 8- 3 22 68 31 97
OSHA PEL 100 PPM, ACGIH TLV 50 PPM, OTHER 150(S)
* XYLENE 1330-20-7 5 1 68 31
OSHA PEL 100 PPM, ACGIH TLV 100 PPM, OTHER 150 PPM
* ALIPHATIC HYDROCARBON 64742-89-8 15 100 11 98
OSHA PEL 500 PPM, ACGIH TLV 300 PPM
* AROMATIC HYDROCARBON 64742-95-6 3 68 12
OSHA PEL 100 PPM, ACGIH TLV NOT ESTAB
* MINERAL SPIRITS 66/3 64742-47-8 2 6 68 9
OSHA PEL 100 PPM, ACGIH TLV 100 PPM
*INDICATES CHEMICAL(S) SUBJECT TO THE REPORTING REQUIREMENTS OF SECTION 313 OF SARA TITLE III AND OF
40 CFR 372 ARE PRESENT
*W A R N I N G* This product contains a chemical known to the state of California to cause cancer,
birth defects, or other reproductive harm
=============== SECTION III PHYSICAL/CHEMICAL CHARACTERISTICS ============
BOILING RANGE 2IIoF SPECIFIC GRAVITY (H20=1) 0 85
VAPOR DENSITY HEAVIER THAN AIR EVAPORATION RATE SLOWER THAN ETHER
SOLUBILITY IN WATER INSOLUBLE COATING V 0 C 6 80 lb/gal
APPEARANCE AND ODOR CLEAR COLORLESS LIQUID WITH AROMATIC ODOR
================= SECTION IV FIRE AND EXPLOSION HAZARD DATA ==============
FLASH POINT 880F METHOD USED SETAFLASH
FLAMMABLE LIMITS IN AIR BY VOLUME- LOWER 0 6 UPPER 7 6
OSHA FLAMMABILITY CLASS FLAMMABLE LIQUID 1-C
EXTINGUISHING MEDIA FOAM, ALCOHOL FOAM, C02, DRY CHEMICAL
SPECIAL FlREFIGHTING PROCEDURES FULL PROTECTIVE EQUIPMENT, INCLUDING A SELF-CONTAINED
BREATHING APPARATUS, SHOULD BE USED WATER MAY BE USED TO COOL CLOSED CONTAINERS TO PREVENT
PRESSURE BUILD UP AND POSSIBLE AUTO-IGNITION OR EXPLOSION WHEN EXPOSED TO EXTREME HEAT AVOID
SPREADING BURNING LIQUID WITH WATER USED FOR COOLING
UNUSUAL FIRE AND EXPLOSION HAZARDS KEEP CONTAINERS TIGHTLY CLOSED ISOLATE FROM HEAT,
ELECTRICAL EQUIPMENT, SPARKS AND OPEN FLAME CLOSED CONTAINERS MAY EXPLODE WHEN EXPOSED TO EXTREME
HEAT DURING EMERGENCY CONDITIONS, OVER EXPOSURE TO DECOMPOSITION PRODUCTS MAY CAUSE A HEALTH
HAZARD
------------------------
------------------------
SECTION V
REACTIVITY DATA
-----------------------
-----------------------
STABILITY STABLE
CONDITIONS TO AVOID EXTREME HEAT, SPARKS OR OPEN FLAME
INCOMPATIBILITY (MATERIALS TO AVOID) STRONG OXIDIZING MATERIALS
HAZARDOUS DECOMPOSITION OR BYPRODUCTS INCOMPLETE COMBUSTION CAN PRODUCE CARBON MONOXIDE
HAZARDOUS POLYMERIZATION WILL NOT OCCUR
==================== SECTION VI HEALTH HAZARD DATA =======================
INHALATION HEALTH RISKS AND SYMPTOMS OF EXPOSURE INHALATION OF HIGH CONCENTRATIONS OF
VAPORS MAY LEAD TO NASAL IRRITATION, HEADACHE, NAUSEA, ASPHYXIATION OR UNCONCIOUSNESS
SKIN AND EYE CONTACT HEALTH RISKS AND SYMPTOMS OF EXPOSURE REPEATED CONTACT CAN
DEFAT SKIN CAUSING IRRITATION AND DERMATITUS EYE CONTACT CAN CAUSE SEVERE IRRITATION, REDNESS,
TEARING OR BLURRED VISION
o 0fj~
C)) L--
o
MATERIAL
DRI FALL -- WHITE
S A F E T Y
DATA
SHE E T
Page
1
PRODUCT NAME
PRODUCT CODE
UPC #
DRI FALL -- WHITE
2050
HMIS CODES H F R P
2 3 0 B
------------------
------------------
SECTION I
MANUFACTURER IDENTIFICATION
-----------------
-----------------
EMERGENCY PHONE
INFORMATION PHONE
PARKER PAINT
3003 SOUTH TACOMA WAY
TACOMA, WA 98409
1-800-255-3924
253-473-1122
DATE PRINTED
NAME OF PREPARER
05/12/05
J BURNWORTH
MANUFACTURER'S NAME
ADDRESS
---------
----------
SECTION II
HAZARDOUS INGREDIENTS/SARA III INFORMATION
---------
--------
REPORTABLE COMPONENTS
CAS NUMBER
VAPOR PRESSURE
mm Hg @ TEMP
WEIGHT
PERCENT
----------------------------------------------------------------------------------------------------
* ALIPHATIC HYDROCARBON 64742-89-8 15 100 9 64
OSHA PEL 500 PPM, ACGIH TLV 300 PPM
* XYLENE 1330-20-7 5 1 68 9
OSHA PEL 100 PPM, ACGIH TLV 100 PPM, OTHER 150 PPM
* TOLUENE 108-88-3 22 68 3 89
OSHA PEL 100 PPM, ACGIH TLV 50 PPM, OTHER 150(S)
* MINERAL SPIRITS 66/3 64742-47-8 2 6 68 2
OSHA PEL 100 PPM, ACGIH TLV 100 PPM
* ACETONE 67-64-1 181 7 68 2
OSHA PEL 750, ACGIH TLV 750, OTHER 1000
*INDICATES CHEMICAL(S) SUBJECT TO THE REPORTING REQUIREMENTS OF SECTION 313 OFSARA TITLE III AND OF
40 CFR 372 ARE PRESENT
*W A R N I N G* This product contains a chemical known to the State of California to cause cancer
=============== SECTION III PHYSICAL/CHEMICAL CHARACTERISTICS ============
BOILING RANGE 1980F SPECIFIC GRAVITY (H20=1) 1 52
VAPOR DENSITY HEAVIER THAN AIR EVAPORATION RATE SLOWER THAN ETHER
SOLUBILITY IN WATER INSOLUBLE COATING V 0 C 3 31 1b/gal
APPEARANCE AND ODOR WHITE COLORED LIQUID WITH AROMATIC ODOR
================= SECTION IV FIRE AND EXPLOSION HAZARD DATA ==============
FLASH POINT <540F METHOD USED SETAFLASH
FLAMMABLE LIMITS IN AIR BY VOLUME- LOWER 0 6 UPPER 12 8
OSHA FLAMMABILITY CLASS FLAMMABLE LIQUID I-B
EXTINGUISHING MEDIA FOAM, ALCOHOL FOAM, C02, DRY CHEMICAL
SPECIAL FlREFIGHTING PROCEDURES FULL PROTECTIVE EQUI PMENT, INCLUDING A SELF-CONTAINED
BREATHING APPARATUS, SHOULD BE USED WATER MAY BE USED TO COOL CLOSED CONTAINERS TO PREVENT
PRESSURE BUILD UP AND POSSIBLE AUTO-IGNITION OR EXPLOSION WHEN EXPOSED TO EXTREME HEAT AVOID
SPREADING BURNING LIQUID WITH WATER USED FOR COOLING
UNUSUAL FIRE AND EXPLOSION HAZARDS KEEP CONTAINERS TIGHTLY CLOSED ISOLATE FROM HEAT,
ELECTRICAL EQUIPMENT, SPARKS AND OPEN FLAME CLOSED CONTAINERS MAY EXPLODE WHEN EXPOSED TO EXTREME
HEAT DURING EMERGENCY CONDITIONS, OVER EXPOSURE TO DECOMPOSITION PRODUCTS MAY CAUSE A HEALTH
HAZARD
------------------------
------------------------
SECTION V
REACTIVITY DATA
-----------------------
-----------------------
STABILITY STABLE
CONDITIONS TO AVOID EXTREME HEAT, SPARKS OR OPEN FLAME
INCOMPATIBILITY (MATERIALS TO AVOID) STRONG OXIDIZING MATERIALS
HAZARDOUS DECOMPOSITION OR BY PRODUCTS INCOMPLETE COMBUSTION CAN PRODUCE CARBON MONOXIDE
HAZARDOUS POLYMERIZATION WILL NOT OCCUR
==================== SECTION VI HEALTH HAZARD DATA =======================
INHALATION HEALTH RISKS AND SYMPTOMS OF EXPOSURE INHALATION OF HIGH CONCENTRATIONS OF
VAPORS MAY LEAD TO NASAL IRRITATION, HEADACHE, NAUSEA, ASPHYXIATION OR UNCONCIOUSNESS
o
o
MATERIAL
DRI FALL - WHITE
SAFETY
DATA
SHE E T
Page
2
SKIN AND EYE CONTACT HEALTH RISKS AND SYMPTOMS OF EXPOSURE REPEATED CONTACT CAN
DEFAT SKIN CAUSING IRRITATION AND DERMATITUS EYE CONTACT CAN CAUSE SEVERE IRRITATION, REDNESS,
TEARING OR BLURRED VISION
SKIN ABSORPTION HEALTH RISKS AND SYMPTOMS OF EXPOSURE NONE ARE KNOWN AT THIS TIME
INGESTION HEALTH RISKS AND SYMPTOMS OF EXPOSURE SWALLOWING CAN CAUSE GASTROINTESTINAL
IRRITATION, NAUSEA, VOMITING AND DIARRHEA. VOMITING CAN RESULT IN ASPIRATION OF MATERIAL INTO THE
LUNGS WHICH CAN CAUSE CHEMICAL PNEUMONITIS
HEALTH HAZARDS (ACUTE AND CHRONIC)
ACUTE (SHORT TERM) OVER EXPOSURE CAN CAUSE SKIN AND EYE IRRITATION INHALATION CAN CAUSE ACUTE
NERVOUS SYSTEM DEPRESSION CHARACTERIZED BY NASAL IRRITATION, HEADACHE, DIZZINESS, CONFUSION OR
UNCONSCIOUSNESS
CHRONIC (LONG TERM) OVER EXPOSURE TO VAPORS MAY CAUSE KIDNEY OR LIVER DAMAGE
CARCINOGENICITY NTP CARCINOGEN No IARe MONOGRAPHS No OSHA REGULATED No
LABORATORY STUDIES WITH RATS HAVE SHOWN THAT PETROLEUM DISTILLATES CAUSE KIDNEY AND LIVER DAMAGE OR
TUMORS SEVERAL STUDIES EVALUATING PETROLEUM WORKERS HAVE NOT SHOWN SIGNIFICANT INCREASES OF KIDNEY
DAMAGE, NOR KIDNEY OR LIVER TUMORS
MEDICAL CONDITIONS GENERALLY AGGRAVATED BY EXPOSURE NONE KNOW AT THIS TIME
EMERGENCY AND FIRST AID PROCEDURES
INHALATION REMOVE TO FRESH AIR IF BREATHING HAS STOPPED, APPLY ARTIFICIAL RESPIRATION
CONSULT A PHYSICIAN
EYE CONTACT WASH EYES WITH CLEAN WATER FOR AT LEAST 15 MINUTES CONSULT A PHYSICIAN
SKIN CONTACT WASH AFFECTED AREAS WITH SOAP AND WATER REMOVE CONTAMINATED CLOTHING CONSULT A
PHYSICIAN IF IRRITATION PERSISTS
INGESTION DRINK 1 OR 2 GLASSES OF WATER TO DILUTE DO NOT INDUCE VOMITING! CONSULT A PHYSICIAN
OR POISON CONTROL CENTER
=========== SECTION VII PRECAUTIONS FOR SAFE HANDLING AND USE ============
STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED VENTILATE THE AREA REMOVE
ALL SOURCES OF IGNITION (FLAME, HOT SURFACES, ELECTRICAL, STATIC OR FRICTIONAL SPARKS) AVOID SKIN
CONTACT AND BREATHING VAPORS CONTAIN AND REMOVE WITH INERT ABSORBENT AND NON-SPARKING TOOLS
REMOVE ALL NON-ESSENTIAL PERSONNEL DIKE AROUND THE SPILLED MATERIAL
WASTE DISPOSAL METHOD DO NOT ALLOW MATERIAL TO CONTAMINATE GROUND WATER SYSTEMS ABSORB LARGE
SPILLS WITH SAND, CLAY OR DIATOMACEOUS EARTH DISPOSE IN ACCORDANCE WITH LOCAL, STATE, AND FEDERAL
DISPOSAL REQUIREMENTS
PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING STORE IN A COOL, WELL VENTILATED AREA
AWAY FROM SOURCES OF IGNITION STORE LARGE QUANTITES ONLY IN BUILDINGS DESIGNED TO COMPLY WITH OSHA
1910 106
OTHER PRECAUTIONS DO NOT TAKE INTERNALLY KEEP OUT OF REACH OF CHILDREN
===================== SECTION VIII CONTROL MEASURES ======================
RESPIRATORY PROTECTION WEAR A PROPERLY FITTED NIOSH/MSHA APPROVED VAPOR/PARTICULATE
RESPIRATOR OR AN AIR-SUPPLYING RESPIRATOR UNLESS VENTILATION IS ADEQUATE TO KEEP AIRBORNE
CONTAMINATION BELOW APPLICABLE OSHA, PEL OR ACGIH TLV OCCUPATIONAL EXPOSURE LIMITS
VENTILATION PROVIDE SUFFICIENT VENTILATION IN VOLUME AND PATTERN, WITH EXPLOSION PROOF
EQUIPMENT TO KEEP AIR CONTAMINANT CONCENTRATION BELOW APPLICABLE OSHA PEL OR ACGIH TLV OCCUPATIONAL
EXPOSURE LIMITS (SECTION II)
PROTECTIVE GLOVES RUBBER OR NEOPRENE GLOVES ARE RECOMMENDED TO PREVENT SKIN ::;ONTACT
EYE PROTECTION USE CHEMICAL SAFETY GOGGLES OR FACE SHIELD TO PREVENT EYE CONTACT
OTHER PROTECTIVE CLOTHING OR EQUIPMENT COVERALLS, GLOVES AND HOOD ARE RECOMMENDED DURING
SPRAY APPLICATION PROTECTIVE CREAMS MAY BE USED FOR EASE OF CLEAN-UP, NOT FOR PROTECTION EYE BATH
AND SAFETY SHOWER MAY BE NECESSARY
WORK/HYGIENIC PRACTICES WASH HANDS BEFORE EATING OR USING THE RESTROOM
========================= SECTION IX DISCLAIMER ==========================
AS OF THE DATE OF PREPARATION OF THIS DOCUMENT, THE FOREGOING INFORMATION IS BELIEVED TO BE ACCURATE
AND IS PROVIDED IN GOOD FAITH TO COMPLY WITH APPLICABLE FEDERAL AND STATE LAW (S) HOWEVER, NO
WARRANTY OR REPRESENTATION WITH RESPECT TO SUCH INFORMATION IS INTENDED OR GIVEN
Look Up a Contractor, Electncian or Plumber License DetaIl
o
o
Page 1 of3
Topic Index Contact Info
Safety Claims & Insurance
Workplace Rights
Trades & Licensing.
Find a Law or Rule Get a Form or Publication
Look Up a Contractor, Electrician or Plumber
Printer Friendly VersiOll
General/Specialty Contractor
A business registered as a construction contractor with Lal 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
License Information
License GREATNB013BJ
Licensee Name GREAT NORTHWEST BUILDERS
Licensee Type CONSTRUCTION CONTRACTOR
UBI 601924261 Verify Workers Comp Premium
Status
I Ind. Ins. Account 96824400
Id
Business Type INDIVIDUAL
Address 1 PO BOX 3194
Address 2
City SILVERDALE
County KITSAP
State WA
Zip 983833194
Phone 3603372464
Status ACTIVE
Specialty 1 GENERAL
Specialty 2 UNUSED
Effective Date 1/11/1999
Expiration Date 2/312008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
: Associated
License
.""""'".~".~,,
https.l/fortress.wa.gov/lm/bblp/Detall.aspx?Llcense=GREA TNBO 13BJ
5/18/2006
Look Up a Contractor, ElectncIan or Plumber License DetaIl
o
o
Page 2 of3
Business Owner Information
Name Role Effective Date Expiration Date
BURNS, JEFFREY S OWNER 01/01/1980
Bond Information
I Bond Bond
Company Account Effective Expiration Cancel Impaired Bond Received
Bond Name Number Date Date Date Date Amount Date
Until
#3 RUINS CO SRS1009639 01/18/2006 Cancelled $12,00000 02/03/2006
ACCREDITED
SURETY & Until
#2 CAS CO 1009249 01/10/2004 Cancelled 01/10/2006 $12,00000 01/26/2004
I GULF INS Until
#1 CO B32648669 01/10/2002 Cancelled 01/19/2004 $12,000 00 01/11/2002
_...~.~.
Savings Information
Bank Assignment
Bank Branch of Savings Effective Release Assignment Impaired Received
Savings Name Location Number Date Date Type Date Amount Date
WELLS
FARGO BAINBRIDGE
#1 BANK ISLAND 1028235505 01/07/1999 01/03/2003 Bond $6,00000 1/11/1999
.............. .......... ................... ............,~"'.......
Insurance Information
Company Effective Expiration Cancel Impaired Received
Insurance Name Policy Number Date Date Date Date Amount Date
CAPITOL
SPECIALTY
#8 INS CORP CS00213936 08/20/2005 08/20/2006 $2,000,000 00 09/07/200
CAPITOL
SPECIALTY
#7 INS CORP CS00213936 08/18/2005 08/20/2006 $1,000,000 00 08/22/200
\ CAPITOL
SPECIALTY
#6 INS CORP CS00213936 08/20/2004 08/20/2005 $1,000,000 00 10/08/200
\
NORTHLAND
INSURANCE
#5 COMPANIES CP413068 08/20/2003 08/20/2004 $1,000,000 00 08/29/200
I NORTHLAND
#4 INS CO CP413068 08/20/2002 08/20/2003 $1,000,000 00 08/27/200
i NORTHLAND
#3 INS CO CP413068 08/20/2001 08/20/2002 01/11/200
I WESTERN
NATIONAL
#2 ASSUR CO GL300001464126260 01107/2000 01107/2002 01/12/200
j WESTERN
NATIONAL
ASSURANCE
#1 CO TBD 01/07/1999 01/07/2000
https.//fortress.wa.gov/lm/bblp/Detall.aspx?License=GREA TNBO 13BJ
5/18/2006
o
o
Parker Pamt Store TI ReVIew
March 31, 2006
The TI IS approved for constructIOn wIth the followmg noted changes to the
Plan Notes Number references plan number
1 EXIt wIdths per IBC 1008 1 1
2. Occupancy 25 for store and 8 for warehouse
3 FIre extmgmsher SIze and locatIOn per IFC 906
4 Sheet rock wIth 5/8" and fire tape wall on store sIde of new breeze way
5 Dumpster locatIOn per IFC 304
6 EXIstmg system the owner's responsibIlIty per IFC 508
7 Storage per IFC 3404.3 5
8 20 foot fire lane to be mamtamed
9 Where applIcable refer to IBC Chapter 7
10 Occupancy per table IBC 1004 1.2, see note 2
13 See table IFC 3404 3 6.3(1) for storage
I5 See spnnkler reqmrements m IFC 3404 3 6.2 for allowable storage over 5 gallons
16 See table IFC 3404.3 6.3(1) for storage
General Notes
1 Delete eXIt SIgn at eXIstmg double door
2 Supply emergency lIghtmg at eXIt
3 Electncal permIt through Washmgton State Labor and Industries