HomeMy WebLinkAboutPermit D09-008 - BIDLACK RESIDENCE - REROOFBIDLACK RESIDENCE
4261 S 144 ST
D09 -008
Tenant:
Name: BIDLACK RESIDENCE
Address: 4261 S 144 ST , TUKVVILA WA
Contractor:
Name:
Address:
Phone:
Contractor License No:
Value of Construction:
Type of Fire Protection:
Type of Construction:
doc: IBC - 10/06
V -B
CitAlif 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
Owner:
Name: FARNAM LYNN A
Address: 231 S 177TH PL #C -202 , BURIEN WA 98148
Phone:
$6,500.00
DEVELOPMENT PERMIT
Parcel No.: 0040000370 Permit Number: D09 -008
Address: 4261 S 144 ST TUKW Issue Date: 01/20/2009
Suite No: Permit Expires On: 07/19/2009
Contact Person:
Name: CHRISTINE AYALA
Address: 26828 MAPLE VALLEY HWY , MAPLE VALLEY WA 98038
Phone: 253- 630 -5920
Expiration Date:
DESCRIPTION OF WORK:
ON SHOP /GARAGE REMOVE METAL ROOFING, INSTALL OSB AND CDX PLYWOOD SHEATHING, INSTALL COMPOSITE ROOF
- GAF -ELK 30 YEAR
* * continued on next page **
Fees Collected: $352.65
International Building Code Edition: 2006
Occupancy per IBC: 0026
D09 -008 Printed: 01 -20 -2009
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: N 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:
Permit Center Authorized Signature:
The granting of
construction or,
Signature:
Print Name:
doc: IBC -10/06
City OTukwila •
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 does not pre
rforman ne oo.wo
N
h ACvoe'�
Permit Number: D09 -008
Issue Date: 01/20/2009
Permit Expires On: 07/19/2009
Date: � -- 9
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.
ve authority to violate or cancel the provisions of any other state or local laws regulating
hod to sign and obtain this development permit.
Date: [V �O
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.
D09 -008 Printed: 01 -20 -2009
Parcel No.: 0040000370
Address:
Suite No:
Tenant:
1: ** *BUILDING DEPARTMENT CONDITIONS * **
doc: Cond -10/06
4261 S 144 ST TUKW
BIDLACK RESIDENCE
• •
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
Permit Number:
Status:
Applied Date:
Issue Date:
D09 -008
ISSUED
01/20/2009
01/20/2009
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 roofing 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: Manufacturers installation instructions shall be available on the job site at the time of inspection.
7: 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.
8: 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 **
D09 -008 Printed: 01 -20 -2009
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work
construction or performance of work.
Signature:
Print Name:
•
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.tulcwila.wa.us
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and
this work will be complied with, whether specified herein or not.
f),14
doc: Cond -10/06 D09 -008
Date
ordinances governing
or local laws regulating
Printed: 01 -20 -2009
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
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
Site Address: 1 / t2 (0 / 4 > i / f
Tenant Name:
Property Owners Name: R l cK i Cl a C
Mailing Address: t la (,1 i E / 4 -11-1
Contractor Registration Number:
E -Mail Address:
Q:\Applications\Porms- Applications On Line \3 -2006 - Permit Application.doc
Revised: 9 -2006
bit
Project No.
Building Permit No.
Mechanical Permit N
Plumbing /Gas Permit No.
iblic Works Permit No.
only)
King Co Assessor's Tax No.: 00 0 03 t
Suite Number: Floor:
New Tenant: ❑ Yes ❑ ..No
),
C
tY
CONTACT PERSON - who do w e contact when your permit is ready to be issued
Name: 0 ; G 3}t4. ), Yj 4 y � Telephone
Mailing Address: (.2 �P 1 e V C l 1 P kJ I e IAAA) A V 4 1' ta.p k �(.` i- U i' i 1 6 J, Ci �� State Zip
E Mail Address: l� n I �1 �P GL `� et ,<41 i n� iri n *ft' 0 H aXx4uMber:
GENERAL CONTRACTOR INFORMATION
(Contractor Information for Mechanical (pg 4) for Plumbing and G�assPipinng
v { a
Company Name: V v ` <, 1 +C pp �� l e& 4 e j I) ()T"1
Mailing Address: p� (0 r e fit 75 �J�lat_ V itth . y t 1 v )r Ty M
Uc t, L.�'A- 9R038/
t State Zip
Contact Person: �. '15 A-e Day Telephone: J (0 6
E -Mail Address: AA r 1 j i te �1)(J 101,14,1o, ? ( 9aVNumber: r9 .
13 ■ Expiration Date: I- '-` &b / 1)
ARCHITECT OF RECORD - All plan
must be wet stamped by Architect of Record
State
Company Name:
Mailing Address:
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
State
Zip
Zip
City
Contact Person: Day Telephone:
Fax Number:
ENGINEER OF RECORD Alll plans must be wet stamped by Engineer of Record
Zip
Page 1 of 6
BUILDING PERMIT INFORMATION — 206-431-3670
Valuation of Project (contractor's bid price): $ 6' S 't , dv Existing Building Valuation: $
Scope of Work (please provide detailed information): F MOW_ Me.) ,( � ryt,J , } j- ,,,Q) ® 3 Ej a , k( d
COV ?[\ 4W(1 ? [ \ / : 4 W ( 1 $ ) 'Lc( , ciAll ( v _ —
2 0 9 N
Will there be new rack storage? ❑ Yes
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 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 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 including quantities and Material Safety 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.
Q:\Applications\Fotms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
[No If yes, a separate permit and plan submittal will be required.
Page 2 of 6
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
l Floor
2°c1 Floor
3 Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
BUILDING PERMIT INFORMATION — 206-431-3670
Valuation of Project (contractor's bid price): $ 6' S 't , dv Existing Building Valuation: $
Scope of Work (please provide detailed information): F MOW_ Me.) ,( � ryt,J , } j- ,,,Q) ® 3 Ej a , k( d
COV ?[\ 4W(1 ? [ \ / : 4 W ( 1 $ ) 'Lc( , ciAll ( v _ —
2 0 9 N
Will there be new rack storage? ❑ Yes
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 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 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 including quantities and Material Safety 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.
Q:\Applications\Fotms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
[No If yes, a separate permit and plan submittal will be required.
Page 2 of 6
PERMIT APPLICATION NOTES — Applicable to all per
in this applica
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 ENT:
Signature:
Print Name:
Mailing Address: & ( r ?5 Ala
Date Application Accepted:
Q: Applications\Forms- Applications On Line 1.3 -2006 - Permit Applieetion.doc
Revised: 9 -2006
b6
Date Application Expires:
Date: /-6Z) -0
Day Telephone: ,Q 5 /036.5c
Da Tele hone:
JiU.) t
City t�� ' Leii1 (,/4
Staff Initials:
Page 6 of 6
Parcel No.: 0040000370 Permit Number: D09 -008
Address: 4261 S 144 ST TUKW Status: PENDING
Suite No: Applied Date: 01/20/2009
Applicant: BIDLACK RESIDENCE Issue Date:
Receipt No.: R09 -00104
Initials: WER
User ID: 1655
City of Tukwila
Payee: WASHINGTON STATE ROOFING
Payment Check 5264 352.65
ACCOUNT ITEM LIST:
Description
BUILDING - NONRES
PLAN CHECK - NONRES
STATE BUILDING SURCHARGE
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
TRANSACTION LIST:
Type Method Descriptio Amount
RECEIPT
Account Code Current Pmts
000/322.100
000/345.830
000/386.904
Payment Amount: $352.65
Payment Date: 01/20/2009 02:10 PM
Balance: $0.00
211.00
137.15
4.50
Total: $352.65
1667 01/20 9707 TOTAL 352.65
doc: Receiot -06 Printed: 01 -20 -2009
COMMENTS"
Type of Inspection:
Address:
.C,/2 /�,, /z/
. 0474 S'AP4-1 ok 7 6
'
Date Wanted:
/-2‘-dc Cltp.mi
( by N i) eIert
Phone No .
x=22G _ 7 7/ - /C q5-
414n!rv6 . )
�.
_
Arir r ( / �/P �- `n, /
W
Probe
Type of Inspection:
Address:
.C,/2 /�,, /z/
Date Called:
Special Instructions:
•
Date Wanted:
/-2‘-dc Cltp.mi
Requester:
Phone No .
x=22G _ 7 7/ - /C q5-
INSPECTION RECORD '' 11 C
Retain a copy with permit Ud 7e
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes.
/1/1"1
El $60.9 1 REINCE I
paat 630 SPE Southcenter FE Blvd R
Receipt No.:
'Date:
Dat
UIRED. rior to inspection, fee rrfust be
., Suite 10 . Call to schedule reinspection.
1
El Corrections required prior to approval.
Project ` o 1 /I r
/ ...e5: g
pe of nspestior�:�
4 f^
Adds( 1 SO
141 sr 11.
Date Called:
'
Special Instructions:
6 kof -t -'
)t fk
Date Wanted:
Z �� .m
Requester:
Phone No
44-1
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
❑ Approved per applicable codes.
PERMIT NO.
Corrections required prior to approval.
COMMENTS:
o `i'1 /..-DJ PX
Mk-i3O r tAkAe _ 1
e
Inspector:
'Date:
v Z�
T
ri $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:
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
2
AMERICAN
CONTRACTORS
INDEM CO
100051924
07/29/2008
Until
Cancelled
$12,000.00
08/01/2008
1
AMERICAN
CONTRACTORS
INDEM CO
100029523
12/ 19/2007
Until
Cancelled
09/25/2008
$12,000.00
01/08/2008
Name
Role
Effective Date
Expiration Date
JOHNSON, JESSE M
PRESIDENT
01/08/2008
Amount
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
FIRST
Untitled Page
General /Specialty Contractor
A business registered as a construction contractor with LW 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
WASHINGTON STATE
ROOFING INC
2062934422
26121 220TH PLACE SE
MAPLE VALLEY
WA
98038
KING
Business Type CORPORATION
Parent
Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous
License
Next License
Associated
License
Specialty 1
Specialty 2
602786460
ACTIVE
WASHISR924BH
CONSTRUCTION
CONTRACTOR
1/8/2008
1/8/2010
JOHNSIL934NC
GENERAL
UNUSED
Business Owner Information
Bond Information
Insurance Information
o
•
Page 1 of 2
https: // fortress. wa. gov /lni/bbip/Detail. aspx ?License= WASHISR924BH
01/20/2009