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HomeMy WebLinkAboutPermit D03-065 - CONQUEST SUBSTANCE ABUSE TREATMENT CENTER - TENANT IMPROVEMENTCONQUEST CENTER 4617 S 744 STREET D03 -065 Value of Construction: Type of Fire Protection: Type of Construction: Public Works Activities: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Channelization / Striping: doc: Devperm City of ''; ukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 z Parcel No.: 0040000490 Permit Number: D03 -065 1 H Address: 4617 S 144 ST TUKW Issue Date: 02/27/2003 LU CG Suite No: Permit Expires On: 08/26/2003 QQ JU Tenant: U 0 Name: CONQUEST SUBSTANCE ABUSE TREATMENT CTR to w Address: 4617 S 144TH STREET, TUKWILA, WA _1 H CO u_ Owner: w 0 Name: CONQUEST SUBSTANCE ABUSE TR Phone: Address: PO BOX 667, EDMONDS WA I c = Contact Person: I— W O Name: SANDERS, JERRY Phone: 206 246 -5263 Z = Address: 4617 S 144TH STREET, TUKWILA WA 0 I— O Z I— w Contractor: 2 D Name: OWNER AFFIDAVIT IN FILE - JERRY SANDERS Phone: 206 246 -5263 U O Address: 4617 S 144TH STREET, TUKWILA, WA 0 H Contractor License No: Expiration Date: w u1 U DESCRIPTION OF WORK: I 0 COMPLETION OF PERMIT D97 -0239. WORK CONSISTS OF COMPLETING A 4'X29' DRYWALL - MAIN ROOM; 12'X16' — Z BATHROOM; 4'X8' FRAMING AND 30'X2' CONCRETE FLOOR U Cl) P _ OI $ 300.00 DEVELOPMENT PERMIT Curb Cut/Access /Sidewalk/CSS: Fire Loop Hydrant: 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: ** Continued Next Page ** D03 -065 Fees Collected: Uniform Building Code Edition: Occupancy per UBC: Private: Public: Private: Public: $ 28.00 1997 Printed: 02 -27 -2003 Z Signatur& Print Name: doc: Devperm City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature: -6YE Date: 7 1: 7 3 I hereby 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 constryyction or the perf•rmance of work. I am authorized to sign and obtain this development permit. j Date: —� 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 suspended or abandoned for a period of 180 days from the last inspection. D03 -065 Printed: 02 -27 -2003 Parcel No.: 0040000490 Permit Number: D03 -065 Address: 4617 S 144 ST TUKW Status: ISSUED Suite No: Applied Date: 02/27/2003 Tenant: CONQUEST SUBSTANCE ABUSE TREATMENT CTR Issue Date: 02/27/2003 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 3: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical work w i l l be inspected by that agency (206 -835- 1111). 4: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any construction. These documents are to be maintained and available until final inspection approval is granted. 5: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). 6: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations 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 ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this code shall be valid. I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. I ..011/ `' -� — 6 -3 1 / Date: " Signatu - � A, ` / / / �L`� J Print Name: doc: Conditions City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS �RAR� S;t1-06IER D03 -065 Printed: 02 -27 -2003 GYr.e1fJU.Y�w11+k Y.N'*.we. epo Property Owners Name: CONTACT PERSO Name: 77 2,4 Mailing Address: E -Mail Address: Contact Person: E -Mail Address: Contact Person: E -Mail Address: Contact Person: E -Mail Address: \applications'.pennit application (1.2003) 112003 CITY OF TUKWILA Community Development Department 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 ** King Co Assessor's Tax No.: 0 t7 c-/ D o o .- p' `/ 9 d e Site Address: 46. / 7 5, / / Li / > Suite Number: Floor: Tenant Name —J y / 6 Mailing Address: Sa4.-,..e, Q.f Page 1 : dl: MFnCi :.SR�N*.'.t','�av'Wa�WIa�S�fi.r rCMm�uxlxr City City Fax Number: New Tenant: .. ... Yes [] ..No State State State Zip Day Telephone: C 6 3 Zip Company Name: Mailing Address: City Day Telephone: Fax Number: Zip 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 ** ARCHITECT OF::RECORD =All plans Most be wet stampedbyArchitect.of Record Company Name: Mailing Address: Zip City Day Telephone: Fax Number: State ENGINEER OFRECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: Stale Zip City Day Telephone: Fax Number: cgj;i�iiifut;r B11ILDING P Psr- Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): It' t{ ` ) 2 - - 4 - — / 0 • 3 0 / irthsrfiA16 4 ),e ` fiP 7 -0237 Will there be new rack storage? ❑...Yes ❑ .. No If "yes ", sec Handout No. Existing Building Valuation: $ for requirements. Provide All Building Areas in Square Footage. Below PLANNING DIVISION: Single family building footprint (area of the foundation or 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 ❑.. 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 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets. UTILITY DISTRICTS: Note: If the utility district is not City of Tukwila, you must provide written verification and approval from that utility district at the time of permit application. Water ❑.. City of Tukwila Water District ❑ Water District #125 0... Highline Water District ❑...City of Renton Water District Sewer 0 .. City of Tukwila Sewer District ❑ .. Val Vue Sewer District ❑...City of Renton Sewer District ❑...City of Seattle Sewer District ❑ .. Septic System (If property is served by a septic system, 2 copies of approved septic design from King County Health Department must be submitted at the time of permit application) .appticationslpennit application (1.2003) 1/2003 Page 2 . ' r1 ?v 16"x Existing Interior Remodel Addition to Existing Structure New Type of Construction per UBC Type of Occupancy per UBC 1" Floor 2' Floor 3 Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck B11ILDING P Psr- Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): It' t{ ` ) 2 - - 4 - — / 0 • 3 0 / irthsrfiA16 4 ),e ` fiP 7 -0237 Will there be new rack storage? ❑...Yes ❑ .. No If "yes ", sec Handout No. Existing Building Valuation: $ for requirements. Provide All Building Areas in Square Footage. Below PLANNING DIVISION: Single family building footprint (area of the foundation or 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 ❑.. 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 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets. UTILITY DISTRICTS: Note: If the utility district is not City of Tukwila, you must provide written verification and approval from that utility district at the time of permit application. Water ❑.. City of Tukwila Water District ❑ Water District #125 0... Highline Water District ❑...City of Renton Water District Sewer 0 .. City of Tukwila Sewer District ❑ .. Val Vue Sewer District ❑...City of Renton Sewer District ❑...City of Seattle Sewer District ❑ .. Septic System (If property is served by a septic system, 2 copies of approved septic design from King County Health Department must be submitted at the time of permit application) .appticationslpennit application (1.2003) 1/2003 Page 2 . ' r1 ?v 16"x `P.UBLIC- WORKS :PERMIT NFu MATION. = .206;433 =017 • Scope of Work (please provide detailed information): Street Use: ❑ .. Street Use Land Altering and /or Hauling: 0.. Land Altering: ❑...Cut Monthly Service Billing to: Name: Mailing Address: Water Meter Refund /Billing: Name: Mailing Address: 1applicationa4,cnnit application (1.2003) 1/2003 Call before you Dig: 1- 800 - 424 -5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Storm Drainage: ❑ .. Storm Drainage ❑...Flood Control Zone ❑ .. Fire Loop/Hydrant (main to vault) #: ❑...Channelization /Striping Water ... ❑ cubic yards 0... Fill 0... Curb cut/Access /Sidewalk City Sewer ... ❑ Sewage Treatment 0 Page 3 cubic yards ❑ .. Hauling Sewer Information: ❑ .. City of Tukwila Sewer District ❑ .. Val Vue Sewer District ❑...City of Renton Sewer District ❑ ..City of Seattle Sewer District ❑ .. Sanitary Side Sewer ❑ .. Sewer Main Extension ❑ .. Private ❑ .. Public Water Information: ❑ .. City of Tukwila Water District 0.. Water District #125 0... I- lighline Water District ❑...City of Renton Water District ❑ .. Water Main Extension ❑ .. Private ❑ ...Public ❑ .. Water Meter/Exempt: Size(s): ❑ . Deduct 0... Water Only ❑ .. Water Meter Permanent #: Size(s): ❑ .. Water Meter Temporary #: Size(s): ❑ .. Est. Quantity: gallons Size(s): 0.. Landscaping Irrigation ❑ .. Miscellaneous: Day Telephone: Day Telephone: City Slate Fire Line .... ❑ Zip State Zip i . . {. r.. f:- i 1�,5 i.. fi �iair M;��:%lC nrJ�' S h��i i+kPf t$ 't� �i ltri.r j ioX �.di:.�1?yr %CY 4d%k w FS x ,Wf.'3ifi ''t�t`kLa i mt+lihC,hN`T':ek � r t'a;{ at.Y a�ib�'�ttitti 'AV!'.kV^.++! Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: ' Qty Furnace <100K BTU Air Handling Unit >= 10,000 CFM Other Mechanical Equipment 0 -3 HP /100,000 BTU Furnace >100K BTU Evaporator Cooler 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan 15 -30 HP /1,000,000 BTU Suspended/Wall /Floor Mounted Heater Ventilation System 30 -50 HP /1,750,000 BTU Appliance Vent Hood 50+ HP /1,750,000 BTU Heat/Refrig/Cooling System Incinerator - Domestic Air Handling Unit <= 10,000 CFM Incinerator — Comm/Ind MECHANICAL PERMIT-INFORMATION . 206= 431 -3670 Indicate type of mechanical work being installed and the quantity below: 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): $ Scope of Work (please provide detailed information): Use: Residential: New ....0 Replacement .... 0 Commercial: New ....0 Replacement .... Fuel Type: Electric 0 Gas ....J Other: .PERMIT APPLICATION NUTES.- Applicable to O.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 extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. 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 OWNER OR AUTHORIZED AGENT: Signature 0y Day Telephone: , o 6 - '-f 6 - 32 3 C 16'F Print Name: j £ R R! s A Mailing Address: City I Date Application Accepted: Date Application Expires: a - 7`o 5 Staff Initials tapplicationatpermit application (1.2003) 1!2003 Page 4 tv. >'sSilunk - Date: Q 3 State Zip City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 0040000490 Permit Number: DO3 -065 Address: 4617 S 144 ST TUKW Status: APPROVED Suite No: Applied Date: 02/27/2003 Applicant: CONQUEST SUBSTANCE ABUSE TREATMENT CTR Issue Date: Receipt No.: R03 -00240 Payment Amount: 28.00 Initials: SKS Payment Date: 02/27/2003 10:28 AM User ID: 1165 Balance: $0.00 Payee: JERRY SANDERS - CONQUEST CENTER TRANSACTION LIST: Type Method Description Amount doc: Receipt Payment Check 29289 28.00 ACCOUNT ITEM LIST: Description BUILDING - RES STATE BUILDING SURCHARGE Account Code Current Pmts 000/322.100 23.50 000/386.904 4.50 Total: 28.00 :)2/22 : ?' 16 TOTAL Printed: 02 -27 -2003 Project: .ttgifl Type of Inspection: Address: 1 11 s • 1 ` S+i Date Calle Lv ig u 1 0 .3 Special Instructions: Date Wanted: L 1 j Requester: P ( 1 2 0(Q) t „....5,2L23 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERM (206)431 -3670 Corrections required prior to approval. COMMENTS: (/) � JV ,f .J - 1 e-344 eh.3` is P EA-p-t-c - 1 ( i "vvub 11 t-� .tr� ,4 ,4 .A. r .00 REINSPECTION FE REQUIRED. Pr' r to inspection, fee must be aid at 6300 Southcenter Blvd., Suite 10 CaII to schedule reinspection. Receipt No.: Date: Date: COMMENTS: Type of Inspection: / //7(77 0 Sy.5 /1 ? r.da p G<JR le-r- 6/c„ 7 - 1/ Addr- : 7 5 ,� p . S--iop P Iv 6r 7 04 3e k-.-1 -I r^cT- v QS l G3 5 d /4! ?//i - r,7 1- / "AJ) I 11 1 /ty-vs e — /pu e /?L.S 04-Yv'e0 Ti /S — x - 9, 0 4✓e0 g i (4) 1 t .--- r-e-74,fr, ,),, , 4 Requeste : / /fil Phone Nos. ; 9 90' _.,....,) C) / 4, o / _ Ai c� \. Pr ject: / C0 n�f /i(5. .5 �{ H (L Type of Inspection: / //7(77 Addr- : 7 5 , �` Sf Date Called: 7 — Special Instructions: OW 77 g i (4) Date Wante•. 6 / g ©3 a. p.m• Requeste : / /fil Phone Nos. ; 9 90' - - ‘ Z.; INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 I'nspe eceipt No.: r: , \ ed 4.� ,/ 7 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit Corrections required prior to approval. Date: EE REQUIRE . P 47.00 REINSPECTIO F rior to inspection, fee must be Blvd., at 6300 Southce ter Suit 100. Call to schedule reinspection. Date: PERMIT (206) 31 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON ) COUNTY OF KING ) E k t n ' S' f J R S CITY OF 1KWILA Permit Center 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 Telephone: (206) 431 -3670 1. I have made application for a building permit from the City of Tukwila, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. I understand that prior to issuance of a building permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized under this building permit to be exempt under No. , and will therefore not be performed by a registered contractor. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. AFFCONT 1/13/00 A. D - �GSS ioti c %, 1 • • o ff \ i ■ • • /// . PUBLIC 17 � WAS ss. , states as follows: AP PLICA H -4 Signed and sworn to before me this 2 7f-ti day of Fe brI/cat y , 20 03 . (7&.2_. ke-CLeAr NOTARY PUBLIC in and foF the State of Washington, residing at Ki rq County. Name as commissioned: A Ji C . A. D e.a ct/ My commission expires: 6 - /6- 0 wu: ';w:�;JJ+s:a�:Csltt�uii AFFCONT 1/13/00 18.27.090 Exemptions. This chapter shall not apply to: 1. An authorized representative of the United States Government, the State of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district, or other municipal or political corporation or subdivision of this state; 2. Officers of a court when they are acting within the scope of their office; 3. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 4. Any construction, repair, or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, or other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 5. The sale or installation of any finished products, materials, or articles of merchandise which are not actually fabricated into and do not become a permanent fixed part of a structure; 6. Any construction, alteration, improvement, or repair of personal property, except this chapter shall apply to all mobile /manufactured housing. A mobile /manufactured home may be installed, set up, or repaired by the registered or legal owner, by a contractor licensed under this chapter, or by a mobile /manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW; 7. Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 8. Any person who only furnished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor; 9. Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials and all other items is less than $500, such work, or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into contracts of amounts less than $500 for the purpose of evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he is a contractor, or that he is qualified to engage in the business of contractor; 10. Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry raising; or to clearing or other work upon land in rural districts for fire prevention purposes; except when any of the above work is performed by a registered contractor; 11. An owner who contracts for a project with a registered contractor; 12. Any person working on his own property, whether occupied by him or not, and any person working on his residence, whether owned by him or not but this exemption shall not apply to any person otherwise covered by this chapter who constructs an improvement on his own property with the intention and for the purpose of selling the improved property; 13. Owners of commercial properties who use their own employees to do maintenance, repair, and alteration work in or upon their own properties; 14. A licensed architect or civil or professional engineer acting solely in his professional capacity, an electrician licensed under the laws of the state of Washington, or a plumber licensed under the laws of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the licensee is operating within the scope of his license; 15. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his sole compensation; 16. Contractors on highway projects who have been prequalified as required by chapter 13 of the Laws of 1961, RCW 47.28.070 with the department of transportation to perform highway construction, reconstruction, or maintenance work. .13 ur z ~ z e J U 00 0 C/) W J 1- w J Li. co a I— w z H zI- � p O • - O I-- • w H � LLO .. Z w U 0 z 1