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HomeMy WebLinkAboutPermit M08-191 - THOELKE RESIDENCETHOELKE RESIDENCE 14915 62 AV S M08 -191 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: 3597000102 14915 62 AV S TUKW THOELKE RESIDENCE 14915 62 AV S , TUKWILA WA JON THOELKE 14915 62 AV S , TUKWILA WA Contractor: Name: PROCIW CONSTRUCTION Address: 1156 GRIFFIN AV STE 206 , ENUMCLAW WA Contractor License No: PROCIC *941DT DESCRIPTION OF WORK: ALTERATIONS TO DUCTWORK TO ACCOMODATE CHANGES TO FLOORPLAN Value of Mechanical: $1,000.00 Type of Fire Protection: Furnace: <100K BTU >100K BTU Floor Furnace Suspended/Wall/Floor Mounted Heater Appliance Vent Repair or Addition to Heat/Refrig /Cooling System.... Air Handling Unit <10,000 CFM >10,000 CFM Evaporator Cooler Ventilation Fan connected to single duct Ventilation System Hood and Duct Incinerator: Domestic Commercial/Industrial Cityllif Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us THOELKE JEFFREY P 14915 62ND AVE S , TUKWILA WA MECHANICAL PERMIT EQUIPMENT TYPE AND QUANTITY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 242 -8994 Phone: 253 468 -0005 Expiration Date: 03/30/2010 M08 -191 08/26/2008 02/22/2009 Fees Collected: $183.13 International Mechanical Code Edition: 2006 Boiler Compressor: 0 -3 HP /100,000 BTU 0 3 -15 HP /500,000 BTU 0 15 -30 HP /1,000,000 BTU.. 0 30 -50 HP /1,750,000 BTU.. 0 50+ HP /1,750,000 BTU 0 Fire Damper 0 Diffuser 0 Thermostat 0 Wood/Gas Stove 0 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment doc: IMC-10/06 M08 -191 Printed: 08-26 -2008 Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied The granting of this permit does not p construction or performan doc: I MC -10/06 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Permit Number: M08 -191 Issue Date: 08/26/2008 Permit Expires On: 02/22/2009 Date: 0* 14 min this permit and know the same to be true and correct. All provisions of law and ordinances •tly, whether specified herein or not. slime /give authority to violate or cancel the provisions of any other state or local laws regulating authorized to sign and obtain this mechanical permit. Date: A(o /j 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. M08 -191 Printed: 08-26 -2008 Parcel No.: 3597000102 Address: Suite No: Tenant: doc: Cond - 10/06 14915 62 AV S TUKW THOELKE RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: M08 -191 ISSUED 07/21/2008 08/26/2008 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 mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431- 3670). 4: 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. 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: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 7: Manufacturers installation instructions shall be available on the job site at the time of inspection. 8: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the International Building Code and the Washington State Ventilation and Indoor Air Quality Code. 9: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 10: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431- 3670). 11: 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. M08 -191 Printed: 08-26 -2008 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us 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 giv.- authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Signature. Print Name: doc: Cond -10/06 Date: M08 -191 Printed: 08-26 -2008 r SITE LOCATION �� // ,rr� King Co Assessor's Tax No.: 3 5 ?coo /U�- Site Address: /9/ 6 04 4 ,1- — 7714-7. S° • l7ier��Jci, t 28 Suite Number: Floor: Tenant Name: GC /(71? G Property Owners Name: Mailing Address: /41/C Name: Company Name: Mailing Address: CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: /At i,rtr.ci.tukwila.wa. us U-C.) • 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 ** tee KLi)/ City GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Contact Person: E -Mail Address: Contractor Registration Number: Contact Person: E -Mail Address: Q:Uppliaaticm\Foants- Applications On Line13 -2106 - Permit Applimtion.doc Revised: 9-2006 bh • ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Building Permit No. — 5� Mechanical Permit No. /� _ ( n Plumbing/Gas Permit No. VOA? 2il G- Public Works Permit No. Project No. (For office use only) New Tenant: ❑ Yes [2:.No 9' /lp State Zip CONTACT PERSON - who do we contact when your permit is ready to be issued Day Telephone: ( ck 02K2- "43 7 /© V Mailing Address:` / S 4 � D i VE • So . /UX14) /L� , !.� J � / O l/o f' City State Zip E -Mail Address: 9 077ZIF>zf i . -. 60/9 Fax Number: 4 Company Name: Mailing Address: City State zip Day Telephone: Fax Number: Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record ' �� >� 7Z/L) ,1 g-e, /J 7E-e7-0,2—C- o o - ,fax (o C s� x'/67/0 4r// 90/6 City state Ti c , Contact Person: wed Ake '0 T» • t- Day Telephone: (D&) Y3 - ! 7 / E -Mail Address: 4ieke /71 A (..'454 Fax Number: �G) 90/"6 6(, Company Name: Mailing Address: City State Zip Day Telephone: umber: e Page 1 of 6 Valuation of Project (contractor's bid price): $ t', C) d D BUILDING PERMIT INFORMATION - 206 -431 -3670 g o 0 0 0 Existing Building Valuation: $ Scope of Work (please provide detailed information): —2;937 .t) DF 4)Ez,) -rccrf l r- Pp / /C iteatiGt 11PPc/t, /j�p1/iY! 4 / /1 /PI' Ut LJQ // S A 4''7, miler j'-P 1) 7 r4 m Will there be new rack storage? ❑ Yes /No 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) 3 ° Z0 *For an Accessory dwelling, provide the following: Lot Area (sq ft): /3, d SD Floor area of principal dwelling: "it° 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 PROTECTIONIHAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm 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 II "paper including quantities and Material ty Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System – For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Qwpplicamom\Fomn- Applcetiom On L ne13 -2006 - Permit Applicmiondoc Revised: 9-2006 bb None ❑ Other (specify) Page 2 of 6 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1s Floor 2 Floor 3` Floor Floors thru \•.. Basement Accessory Structure' Attached Garage Detached Garage v& ,--.._ //) i 5 ? '' Uk — Attached Carport Detached Carport ,-- Covered Deck oD 0 — + n ..-- Uncovered Deck Valuation of Project (contractor's bid price): $ t', C) d D BUILDING PERMIT INFORMATION - 206 -431 -3670 g o 0 0 0 Existing Building Valuation: $ Scope of Work (please provide detailed information): —2;937 .t) DF 4)Ez,) -rccrf l r- Pp / /C iteatiGt 11PPc/t, /j�p1/iY! 4 / /1 /PI' Ut LJQ // S A 4''7, miler j'-P 1) 7 r4 m Will there be new rack storage? ❑ Yes /No 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) 3 ° Z0 *For an Accessory dwelling, provide the following: Lot Area (sq ft): /3, d SD Floor area of principal dwelling: "it° 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 PROTECTIONIHAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm 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 II "paper including quantities and Material ty Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System – For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Qwpplicamom\Fomn- Applcetiom On L ne13 -2006 - Permit Applicmiondoc Revised: 9-2006 bb None ❑ Other (specify) Page 2 of 6 PUBLIC WORKS PERMIT INFORMATION - 206 -433 -0179 Scope of Work (please provide detailed information): Water District ❑ ...Tukwila ❑... Water District #125 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate Please refer to Public Works Bulletin #1 for fees and estimate sheet. Septic System: ❑ 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): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34") ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geoteclmical Report ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right-of-way Non Right -of -way ❑ ...Total Cut cubic yards ❑ ...Total Fill cubic yards ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ ...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size .. ❑ ...Water Only Meter Size ❑ ...Sewer Main Extension Public _ ❑ ...Water Main Extension Public ❑... ValVue 0... Sewer Availability Provided It ❑ . ❑ . ❑ . ❑ . Q:\ApplicMlmuWonns- Applications On l.inet3 -2006 - Permit Applicatioadoc Revised: 9 -2006 bb . Abandon Septic Tank . Curb Cut . Pavement Cut . Looped Fire Line Call before you Dig: 1 424 - 5555 ❑ .. Highline ❑ .. Renton WO # WO # WO # Private Private ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Renton ❑ .. Seattle ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ ...Deduct Water Meter Size ❑...Traffic Impact Analysis ❑ ...Hold Harmless — (SAO) ❑...Hold Harmless — (ROW) ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City Day Telephone: City State State Zip Zip Page 3 of 6 Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: 0-3 HP /100,000 BTU Qty Furnace<100K BTU Air Handling Unit >10,000 CFM Fire Damper Fumace>100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood/Gas Stove 30 -50 HP /1,750,000 BTU Appliance Vent Hood and Duct Emergency Generator 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit <10,000 CFM Incinerator — Comm/Ind MECHANICAL PERMIT INFORMATION — 206 -431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: 13 Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Mechanical work (contractor's bid price): $ ' 1 CDC% 0 Scope of Work (please provide detailed information): A Ott i n 7 (MtCG„ i ° I pl�M�t�a 44--tle' 'Cp' mar Lie feet4t( a(Ca,vt,0i4k #1PW Use: Residential: New .... ❑ Replacement .... ❑ Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric .....0 Gas...." Other. Indicate type of mechanical work being installed and the quantity below: Q: WpphcanonstFom s- Appltcanons On Wnel3 -2006 - Pemtit Application.doc Revised: 9 -2006 bh State Zip Page 4 of 6 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or bath/shower , Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet _ Food -waste grinder, commercial _ Receptor, indirect waste r Clothes washer, domestic — Floor drain •-- Sinks ,-- Dental unit, cuspidor -" Shower, single head trap A Urinals — Dishwasher, domestic, with independent drain __ Lavatory Water Closet Building sewer or trailer park sewer "'- Rain water system – per drain (inside building) _ Water heater and/or vent Additional medical gas inlets/outlets – six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors _. Repair or alteration of water piping and/or water treating equipment — Repair or alteration of drainage or vent piping , / V Medical gas piping system serving one to five inlets/outlets for specific gas PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 - 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Plumbing work (contractor's bid price): $ / D vU Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): Building Use (per Int'1 Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Q:Uppl liti IsWomu- Applicffiions On Ime\3 -2006 - Pest Applicetioadoc Revisal: 9 -2006 bh Page 5 of 6 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. Building and Mechanical Permit 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). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing 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 O R 7 OR AUTH ZED AGENT: Signature: Print Name: .3 - Ff `7 l ono a Mailing Address: / (Z .1& / e Date Application Expires: o(lvl,21 I Date Application Accepted: Q :WpplientionsWorm-Applications On L neO -2006 - Permit Application.doc Revised: 94006 bh i1a City Date: 1; /r ) r 20052 Day Telephone: 9.°(.0 .S 7 Q 3a.s24 g 1 fo 8 State Zip Staff Initials: Page 6 of 6 Parcel No.: 3597000102 Address: 14915 62 AV S TUKW Suite No: Applicant: THOELKE RESIDENCE Receipt No.: R08 -03481 Initials: WER User ID: 1655 Payee: JON THOELKE TRANSACTION LIST: Type Method doc: Receiot -06 Payment Check ACCOUNT ITEM LIST: Description MECHANICAL - RES City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: //www. ci. tukwila. wa. us Descriptio 4383 Account Code RECEIPT Amount 43.50 000.322.102.00.0 Total: $43.50 Permit Number: Status: Applied Date: Issue Date: Payment Amount: $43.50 Payment Date: 10/09/2008 02:11 PM Balance: $0.00 Current Pmts 43.50 M08 -191 ISSUED 07/21/2008 08/26/2008 Printed: 10 -09 -2008 Doc: RF.CSFTS -f1R RECEIPT NO: R08 -03056 Initials: JEM User ID: 1165 Payee: JONATHAN S. THOELKE SET ID: 0825 SET NAME: THOELKE RESIDENCE SET TRANSACTIONS: Set Member Amount City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: //www.ci.tukwila.wa.us D08 -382 858.50 .'M0 19:] 146.50 PG08 -212 152.00 TOTAL: 1,157.00 TRANSACTION LIST: Type Method Description Amount Payment Check 4377 ACCOUNT ITEM LIST: Description BUILDING - RES MECHANICAL - RES PLUMBING - RES STATE BUILDING SURCHARGE SET RECEIPT TOTAL: Payment Date: 08/26/2008 Total Payment: 1,157.00 1,157.00 1,157.00 Account Code Current Pmts 000/322.100 854.00 000.322.102.00.0 146.50 000.322.103.00.0 152.00 000/386.904 4.50 TOTAL: 1,157.00 RECEIPT NO: R08 -02676 Initials: JEM User ID: 1165 Payee: JONATHAN S. THOELKE SET TRANSACTIONS: Set Member Amount ACCOUNT ITEM LIST: Description PLAN CHECK - RES City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: //www. ci. tukwila. wa. us SET RECEIPT Payment Date: 07/21/2008 Total Payment: 629.73 SET ID: 5000001084 SET NAME: Tmp set/Initialized Activities D08 -382 555.10 rgnr9:1^ -, 36.63 PG08 -212 38.00 TOTAL: 629.73 TRANSACTION LIST: Type Method Description Amount Payment Check 4370 629.73 TOTAL: 629.73 Account Code Current Pmts 000/345.830 TOTAL: 629.73 629.73 5108 07/21 0 7.10 TOTAL 629.73 Project: , fL �°5 of Inspection: f-� '9 V / ��� / s 62 4' Date Called: I Special Instructions: Date Wanted: Requester: Phone No: �2 O — 2V2 V PERMIT NO. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36170 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION N iej ., Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: t7, ,fK4 / / v9/ I spector 60. REINSPECTION ' REINSPECTION FE REQUIRED. rior to inspection, fee must be . • at 6300 Southcenter B vd., Suite 100. Call to schedule reinspection. Re ipt No.: 'Date: Proigc Type o rD p A./ Addre : a > t---4 ( - k' Date Called: ) 1 ( S (O Cam` J Special nstructions: i Date Wanted: , 1 Df 7A - m p . Requester: v Phone No: INSPECTION RECORD Retain a copy with permit PERMIT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: zit AtA-4 Inspector( jus 1Date 2 4 oV II 0$60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'Receipt No.: 'Date: COMMENTS: 4f Type of Inspe oq: / z71 / / 6 - Date Called: Special Instructions: -1sut4 Date Wanted: /v - zip v Requester: 1 4.4 X. � S / A - - 7 ( 7 , ) ,1A ,'\s e.e !` AS v J APPS►. J ' o 1 A 5 o (•t�i r,g( ;1 ) A- W `' s.i ? At 5 JA t ►/1 .1 - F-9 • ,2 — l / , 4.,\ Proj /t12 ' 4f Type of Inspe oq: / z71 / / ` 0U c Date Called: Special Instructions: Date Wanted: /v - zip v Requester: Phone 247Z- . / INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 E Approved per applicable codes. INSPECTION RECORD Retain a copy with permit PERMIT NO. j ,4/ Corrections required prior to approval. LI $60.00 REINSPECTION FEE REQUIRED. Prior t inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: • .raiummilt1 JON THOELKE 14915 62 AV S TUKWILA WA 98168 RE: Permit No. M08 -191 14915 62 AV S TUKW Dear Permit Holder: City of Tukwila Department of Community Development Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 09/18/2009. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period. -or- Jim Haggerton, Mayor 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 09/18/2009, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, er M. hall P; Technician File: Permit File No. M08 -191 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 July 20, 2009 Jon Thoelke 14915 62 Avenue S Tukwila, WA 98168 RE: Request for Extensions #2 Permit Nos D08 -382, M08 -191, & PG08 -212 Thoelke Residence —14915 62 Ave S Dear Mr. Thoelke This letter is in response to your written request for an extension to Permit Numbers D08 -382, M08 -191, and PG08 -212. The Building Official has reviewed your letter and considered your request to extend the above referenced permits. The City of Tukwila Building Division will be extending your permits an additional 60 days from the date of expiration, through September 18, 2009, as requested. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, ifer Mtrshall it Technician City of Tukwila Department of Community Development File: Permit No. D08 -382, M08 -191, & PG08 -212 W;\Permit Center\Extension Letters\Permits\2008\D08 -382 Permit Extension #2.doc jem Jim Haggerton, Mayor Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 City of Tukwila Dept of Community Development Tukwila, WA 98188 Attn: Bob Benedicto Reference Permits: D08 -382 M08 -191 PG08 -212 Dear Bob, I am continuing to make progress on projects covered under the referenced permits. Two things delayed completion that may not allow enough time to complete the inspections prior to expiration. (1) My Contractor went out of business so I am having to finish the tasks he was supposed to do and (2) I was not aware the related Electrical Permit EL08- 1364 expired as the permit contact person was from the contractor so I am having to get a new Electrical Permit for that final inspection prior to the final building inspection. I am within days of calling for the remaining inspections. Please extend the above permits for 60 days to avoid the risk of having them expire should the inspectors require any rework. Thank you, Jon Thoelke, 7/14/2009 oi14.40 Otexx-d b d - R GI�v OF � j - V � 1 ► kw ILA IJUL 14 2009 PERMIT CENTER 6t.f 01-12A I oci Lct -. o111001 06 -03 -2009 JON THOELKE 14915 62 AV S TUKWILA WA 98168 RE: Permit No. M08 -191 14915 62 AV S TUKW Dear Permit Holder: Jim Haggerton, Mayor Department of Community Development Jack Pace, Director In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Building Code does allow the Building Official to approve one or more extensions of time for additional periods not exceeding 90 days each. Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 07/21/2009 , your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician xc: Permit File No. M08 -191 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Int April 3, 2009 Jon Thoelke 14915 62 Avenue S Tukwila, WA 98168 RE: Request for Extensions Permit Nos D08 -382, M08 -191, & PG08 -212 Thoelke Residence —14915 62 Ave S Dear Mr. Thoelke, This letter is in response to your written request for an extension to Permit Numbers D08 -382, M08 -191, and PG08 -212. The Building Official has reviewed your letter and considered your request to extend the above referenced permits. The City of Tukwila Building Division will be extending your permits an additional 90 days from the date of expiration, through July 21, 2009. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, File: ifer Marshall it Technician city of Tukwila Department of Community Development Jack Pace, Director Permit No. D08 -382, M08 -191, & PGO8 -212 P:\Permit Center\Extension Letters\Permits\20080D08 -442 Permit Extension.doc jem Jim Haggerton, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 City of Tukwila Dept of Community Development Tukwila, WA 98188 Attn: Bob Benedicto Reference Permits: r�n nor) 1/V U - J UL MOR-1 91 P008 -212 1CA� nut), I am continuing to make progress on projects covered under the referenced permits. The remaining contractor effort is minimal but is awaiting some finish work that I, as the homeowner, am completing_ Please extend the above permits for 90 days. /4111P 7.1 On I Noel le, 3/31 /2009 OH vPegreND 41-6 NDTEP P'e 40We - 'Car 04/02/01 eAcp■ 1-es H -1--0 9 lit/ I of L60\ ._ *.1 f on RECEIVED CITY OF TUKwu MAR 31200 ` CENTER 03 -02 -2008 JON THOELKE 14915 62 AV S TUKWILA WA 98168 RE: Permit No. M08 -191 14915 62 AV S TUKW Dear Permit Holder: Thank you for your cooperation in this matter. Sincerely, xc: F er Marshall, t Technician Permit File No. M08 -191 ity of Tu l s . . la Department of Community Development Jim Haggerton, Mayor Jack Pace, Director In reviewing our current records the above noted permit has not received a fmal inspection by the City of Tukwila Building Division. Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or fmal inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Building Code does allow the Building Official to approve one or more extensions of time for additional periods not exceeding 90 days each. Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 04/22/2009 , your permit will become null and void and any further work on the project will require a new permit and associated fees. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 ACTIVITY NUMBER: M08 -191 DATE: 08 -26 -08 PROJECT NAME: THOELKE RESIDENCE SITE ADDRESS: 14915 62 AV S Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # X Revision # 1 after Permit Issued DEPARTMENTS: Bui •'Ing DiSisi on Public Works n Structural n Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route ❑� Structural Review Required n No further Review Required DATE: REVIEWER'S INITIALS: DUE DATE: 09-25-08 Approved Approved with Conditions n Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 PLAN REVIEW /ROUTING SLIP 'ERMIT COORD COPY 40 Fire Prevention Incomplete n n DUE DATE: 08-28-08 Not Applicable ❑ DATE: Planning Division n n u ACTIVITY NUMBER: M08 -191 DATE: 07 -21 -08 PROJECT NAME: THOELKE RESIDENCE SITE ADDRESS: 14915 62 AV S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued DE ,� uiTding Division ' Public Works Complete Comments: DETERMINATI N OF COMPLETENESS: (Tues., Thurs.) Remit Center Use Only ... INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROU ING: Please Route Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28-02 4 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP M AY 01 41 Fire Prevention Structural Incomplete n DUE DATE: 07-24-08 Not Applicable n No further Review Required DATE: Planning Division Permit Coordinator n n DUE DATE: 08-21-08 Approved n Approved with Conditions Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: :Permit Center Use •Only.' . : • CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: • REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS 1 01 IZi.c A 0f2ti — Summary of Revision: ; ` Summary of Revision: A f 1� L dp e e IM ekrk N,VVI 1LL, in 41A e Received by: Received by: r Apo z e, g(c72 7 REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: _ REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS S ummary of Revision: Received by: PROJECT NAME: SITE ADDRESS: dlw PERMIT NO: ORIGINAL ISSUE DATE: REVISION LOG (please print) (please print) (please print) (please print) (please print) Date: l (9 9 Q R City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: hitp: //www.ci.tukwila.wa.us i REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Plan Check/Permit Number: in OS ` / 9 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # 2 Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: 7 e f ke KC'S PY1 cQ_ Project Address: / 4 ?/5 (.0,2 Aj Ise Contact Person: J Sum of Revision: �'n c red S cope_ 7n of lL a. \applicationslforms- applications on linarevision submittal Created: 8-13 -2004 Revised: % ut�Cwi'l� WA 9 <k/4 0 O�'1 P/ Phone Number: . (, -.2 lieref P4 14 Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: . E Entered in Permits Plus on to - 1-O c2„L. nC CEWVED CITY OF TUKWILA OCT 0 9 2080 IT CENTER ❑ Response to Incomplete Letter # ❑ Response to Correcfon Letter # Entered in Permits Plus on City of Tukwila Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: g loll g Plan Check/Permit Number: JkI 0/5 q, Revision # l'= ;.'ermit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: e)� / PERMIT CENTER o _ / Project Address: 14-715 Co en d_ Ave_ S. , i of e tJ/ (a I o (/' Contact Person: -� 0 / VICI f I �C� Phone Number: ZOLP .242 Summary of Revision: r>c� sc a rrf 1,0 ri( fo etc re /9la c -Pme - fctma de Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: \applications\forms- applications on line\revision submittal Created: 8 -13 -2004 Revised: Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us Receveo CITY OF TURWMA AUG 26 2008 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 HARTFORD FIRE INS CO 52BSBDA1406 03/26/2006 Until Cancelled 03/30/2006 $12,000.00 03/30/2006 Name Role Effective Date Expiration Date PROCIW, TRACEY ANN AGENT 03/30/2006 Amount PROCIW, DON L JR PRESIDENT 03/30/2006 CCP542551 PROCIW, TRACEY ANN VICE PRESIDENT 03/30/2006 Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 4 CENTURY SURETY CO CCP542551 04/23/200804/23 /2009 $1,000,000.0004 /24/2008 Untitled Page General /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 Phone Address Suite /Apt. City State Zip County KING Business Type Parent Company PROCIW CONSTRUCTION 2534680005 1156 GRIFFIN AVENUE SUITE 206 ENUMCLAW WA 98022 CORPORATION PROCIW HOLDING Et DEV CORP UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 602596049 ACTIVE PROCW "941 DT CONSTRUCTION CONTRACTOR 3/30/2006 3/30/2010 PROCIC*074N3 GENERAL UNUSED Business Owner Information Bond Information Insurance Information • 0 Page 1 of 2 https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= PROCIC *941 DT 08/26/2008