HomeMy WebLinkAboutPermit D05-369 - STAR MART - REROOFSTAR MART
14101 INTERURBAN AV S
DOS -369
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City 6. lukwila '
DEVELOPMENT PERMIT
Parcel No.:
Address:
Suite No:
f
Tenant:
` Name:
Address
3365900880
14101 INTERURBAN AV S TUKW
STAR MART
14101 INTERURBAN AV S, TUKWILA WA
Owner:
Name:
TUKWILA INTERURBAN INV CO
Address:
C/O STRANDER, BOX 88636
Contact Person:
Name:
DAVE GOEMAN
Address:
25924 78 AV S, KENT WA
Contractor:
Name:
FIELDS ROOF SERVICE INC
Address:
25924 78 AV S, KENT, WA
Contractor
License No: FIELDRS262L1
Phone:
Steven M. Mullet, Mayor
Steve Lancaster, Director
DOS -369
10/11/2005
04/09/2006
Phone: 253 852 -4974
Phone: 253 - 852 -4974
Expiration Date: 09/25/2007
DESCRIPTION OF WORK:
REMOVE EXISTING ROOFING & INSTALL NEW GRANULATED MODIFIED BITUMEN ROOF SYSTEM. REPAIR WOOD DECKING
AS REQUIRED.
Value of Construction: $9,618.00 Fees Collected: $229.08
Type of Fire Protection: International Building Code Edition: 2003
Type of Construction: Occupancy per IBC: 0019
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant: N
Number: 0
Size (Inches): 0
Flood Control Zone:
Hauling:
Start Time:
End Time:
Land Altering:
Volumes: Cut 0 c.y.
Fill 0 c.y.
Landscape Irrigation:
Moving Oversize Load:
Start Time:
End Time:
Sanitary Side Sewer:
Sewer Main Extension:
Private:
Public:
Storm Drainage:
Street Use:
Profit: N
Non-Profit: N
Water Main Extension:
Private:
Public:
Water Meter: N
doc: IBC - Permit D05 -369 Printed: 10 -11 -2005
Permit Number:
Issue Date:
Permit Expires On:
Departmer :t of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: ci.tttk vilama.its
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City o.' Tukwila
Departniew of Conimieuiity Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.its
Permit Number:
Issue Date:
Permit Expires On:
Steven M. Mullet, Mayor
Steve Lancaster, Director
D05 -369
10/11/2005
04/09/2006
Permit Center Authorized Signature: t Date: 1
I hereby certify that I have read and min 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 o tr ion or th performance of work. I am authorized to sign and obtain this development permit.
Signature: Date:
'II Print Name: JET i L y0 V-/Iq- C? 1/I
f.
{ This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is
j suspended or abandoned for a period of 180 days from the last inspection.
i
doe: {BC- Permit D05 -369 Printed: 10 -11 -2005
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�g City o f Tukwila
1908
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 3365900880 Permit Number: D05 -369
Address: 14101 INTERURBAN AV S TUKW Status: ISSUED
Suite No: Applied Date: 10/11/2005
Tenant: STAR MART Issue Date: 10/11/2005
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: Prior to final inspection a written statement from the rooting contractor shall be required. The statement shall
confirm the fire classification of the roof assembly that was installed.
5: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
6: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
obtained at City Hall in the office of the City Clerk.
7: 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.
* *continued on next page **
doc: Conditions D05 -369 Printed: 10 -11 -2005
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1906 City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 If Tukwila, WA 98188 / (206) 431 -3670
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances
i
governing this work will be complied with, whether specified herein or not.
I The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws
regulating construction or the performance of work.
Signature:
�� I`
Date:
' doc: Conditions D05 -369 Printed: 10 -11 -2005
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1908
CITY OF TUKWIL4
Community Development im partment
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
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
U / ` / King Co Assessor's Tax No.: ���([Sl t7 - OZ$ D
Site Address: f `f �� - J _ _ A"i T er tf �Ypo O PN Suite Number: Floor:
Tenant Name: Stgr4 / Ql^� New Tenant: El .... Yes ❑ ..No
Property Owners Name: 7t7?ed'crnln a ro ( -360 Z7
Mailing Address:
; GENERA.L ".CONTRACTOR INFORMATION - (Mechanical Contractor information on back page)
Company Name: I - r (fkq 00 F 5 -ro "C �-
Mailing Address: -5 H 77 t' 4/e-- se,
r e City State Zip
Contact Person: LP l C�eC'�� Day Telephone: 45 - 9 �Y
E -Mail Address: nn Fax Number: 5 - F5 -
Contractor Registration Number: F " l- L ' N R - 2 �Z L j Expiration Date: al 1 -7� b �-
**An original or notarized copy current Washington State Contractor License must be presented at ihe time of permit issuance **
ARCHITECT OFRECORD -:All plans must be wet stamped, by Architect of Record
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
ENGINEER OF RECORD =-;Ali plans :must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
y: %*rmits pluslice chansatpermil application (7.2004)
Revised: 6•8-05
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BUILDING HERMIT .INFORMATION - 206 431 -3670
Valuation of Project (contractor's bid price): $ C f, / � (� Existing Building Valuation: $
I(
Scope of Work (please provide detailed information): PIyiG' 6"_ C�( I ^o �, v ,�j5lrW 4
n
Will there be new rack storage? ❑ ..Yes ❑.. No If "yes ", see Handout No. for requirements.
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 for 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 ❑..Automatic Fire Alarm ❑..None El. Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? []..Yes ❑ ..No
If "yes", attach list of materials and storage locations on a separate 8-112x 11 paper indicating quantities and Material Safety Data Sheets.
gAkpermits pluslicc changes \permit application (7.2004)
Revised 6.8.05
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Existin
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
I" Floor
2 nd Floor
Yd 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 for 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 ❑..Automatic Fire Alarm ❑..None El. Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? []..Yes ❑ ..No
If "yes", attach list of materials and storage locations on a separate 8-112x 11 paper indicating quantities and Material Safety Data Sheets.
gAkpermits pluslicc changes \permit application (7.2004)
Revised 6.8.05
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Page 2
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MECHANICAL PERMIT INFOn'MATION- 206- 431 -3670 ' -
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Valuation of Project (contractor's bid price): S
Scope of Work (please provide detailed information):
Use: Residential: New .... ❑
Commercial: New .... ❑
Fuel Type Electric ..... E] Gas .... ❑
Replacement..... ❑
Replacement..... ❑
Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty
Unit Type:
Q
'Unit Type:
Qty
Boiler/Compressor:
Q
Furnace <100K BTU
Air Handling Unit >I 0,000
Fire Damper
0 -3 HP /100,000 BTU
CFM
Furnace >100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
Thermostat
15 -30 HP /1,000,000 BTU
to Single Duct
Suspended /Wall /Floor
Ventilation System
Wood /Gas Stove
30 -50 HP /1,750,000 BTU
Mounted Heater
Appliance Vent
Hood and Duct
Water Heater
50+ HP /1,750,000 BTU
Repair or Addition to
Incinerator - Domestic
Emergency
Heat/Refrig/Cooling
Generator
System
Air Handling Unit
Incinerator — CommAnd
Other Mechanical
<10,000 CFM
Equipment
:. .PERMIT APPLICATION NOTES = .Applicable.to all permits in. this, application.
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/0"WN150 OR AUTHORIZED AGENT:
Si
.Date:
Print Name: �� < Z� C yt Day Telephone: 7
Mailing Address: - y ` 7? WA Q$03 Z
City State Zip
Date Application Accepted: ( Date Application Expires: Staff Initials:
q: \\permits plus\icc changes \permit application (7 -2004)
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.,A14itf1AxitR'413 . � ' �yy
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City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No::
Address:
Suite No:
Applicant:
3365900880
14101 INTERURBAN AV S TUKW
STAR MART
Permit Number:
Status:
Applied Date:
Issue Date:
DOS -369
APPROVED
10/11/2005
Receipt No.:
R05 -01503
Payment Amount:
229.08
Initials:
JEM
Payment Date:
10/11/2005 11:22 AM
User ID:
1165
Balance:
$0.00
Payee: DALE GOEMAN
TRANSACTION LIST:
Type Method Description Amount
---- - - - - -- -- - - - - -- --------------------- - - - - -- ------ - - - - --
Payment Cash 229.08
j.
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
BUILDING = NONRES 000/322.100 224.58
t .
STATE BUILDING SURCHARGE 000/386.904 4.50
Total: 229.08
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Ci
1909
ty of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.:
3523049005
Permit Number:
Address:
17780 SOUTHCENTER PY TUKW
Status:
Suite No:
Applied Date:
Applicant:
SLEEP COUNTRY, LUXURY
Issue Date:
i Receipt No.:
R05 -01460
Payment Amount:
Initials:
JEM
Payment Date:
User ID:
1165
Balance:
DOS -269
APPROVED
07/21/2005
1,271.18
10/03/2005 02:51 PM
$0.00
Payee: SUNET BUILDERS INC.
i
TRANSACTION LIST:
Type - - - - -- Method -- Description Amount
--- -- ---- - - - - -- - - - - --
Payment Check 16317 1,271.18
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- ACCOUNT ITEM LIST:
:Description Account Code Current Pmts
------------------------ - - - - -- -------- - - - - -- ------ - - - - --
BUILDING - NONRES 000/322.100 1,266.68
STATE BUILDING SURCHARGE 000/386.904 4.50
Total: 1, 271.18
7197 10/04 9 710 TOM 1271.18
doc: Receipt P(nted: 10 -03 -2005
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INSPECTION RECORD'
Retain a copy with permit
INSKCTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100; Tukwila, WA 98188 (206)431 -367
Proje t:
Type of I loiction:
r!
Date /�:
r r
Special Instructions:)
Date Wanted:
RequesteL�� -
Pho a No: -5 3)e
i
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K�
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
I
f
Inspector: Date:
$58.00 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.: Date:
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INSPECTION RECORD
4
Retain a copy with permit
i INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
1
I .
Pro'ec : T
Typ f Ins pef tio 2 ) 1 17(IA A I �I?a G
Abldros O � � D
Date CaJRed: 1
1 1
m5
Spec I Instructions: D
Date W F
Approved per applicable codes. Corrections required prior to approval.
I COMMENTS:
a
Inspector uate:
$58. INSPECTION FE EQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.: Date:
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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 -3Y
Project:i -.
Type of In p ction:
Addn
Date Called:
Special Instructions:
Date Wanted: a.m.
��. - • mom.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
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Receipt No.: Date: 1 —
tJ paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection,
�7
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NUMBER PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
444 Andover Park East. Tukwila. Wa. 99198 ?nr SAS -44m
Project: r� , �.�;L•
Type of Inspection:
Address: ��9 p! C ✓�s� �,� �f y
Suite #:
Contact Person:
Special Instructions:
Phone No.:
LJ�JAlpprovecl per applicable codes. FICorrections required prior to approval.
COMMENTS:
f
1 7
Needs Shift %Inspection:
Sprinklers:
Fire Alarm: `
Hood & Duct:
Monitor:
Pre -Fire:
Permits: i
Occupancy Type:
L Inspector: G J � .1� Date: S r /c., 7 Hrs.: J
t A $80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from
e ityof Tukwila Finance Department. Call to schedule a reinspection.
Word /Inspection Record Form.Doc 1/13/06 T.F.D. Form F.P. 113
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Look Up a Contractor, Electrir-°-nn or Plumber License Detail
Washington State Department of Labor and Industries
General /Specialty Contractor
A business registered as a construction contractor with L &I 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
FIELDRS262L1
Licensee Name
FIELDS ROOF SERVICE INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
600125673
Ind. Ins. Account Id
GOEMAN, DALE J
Business Type
CORPORATION
Address l
25924 78TH AVE S
Address 2
01/01/2000
City
KENT
County
KING
State
WA
Zip
98032
Phone
2538524974
Status
ACTIVE
Specialty 1
ROOFING
Specialty 2
UNUSED
Effective Date
6/21/1974
Expiration Date
9/25/2007
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
GILMER, GARY S
PRESIDENT
01/01/2000
GOEMAN, DALE J
PRESIDENT
01/01/2000
PATNODE, TERRY M.
PRESIDENT
01/01/2000
MANDELAS, MICHAEL
J
SECRETARY
01/01/2000
GILMER, THOMAS A
PRESIDENT
06/21/1974
12/09/2002
PEPPER, SCOTT
TREASURER
06/21/1974
12/09/2002
FPEAK,DUANE
VICE
PRESIDENT
06/21/1974
12/09/2002
Pagel of 3
https:H fortress. wa. gov /lni /bbip /printer.aspx ?License= FIELDRS262LI 10/11/2005
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