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Permit D09-112 - GRANDE TERRACE APARTMENTS - BUILDING A - REROOF
GRANDE TERRACE APTS BUILDING A 15830 39 PL S D09 -112 Parcel No.: 8108600620 Address: 15830 39 PL S TUKW Suite No: Tenant: Name: GRANDE TERRACE APTS, BLDG A Address: 15830 39 PL S , TUKWILA WA 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: SUPER STAR CORPERATION Address: 30104 17TH AVE SW , FEDERAL WAY WA 98023 Phone: Contact Person: Name: PETE GIERE Address: PO BOX 24449 , FEDERAL WAY WA 98093 Phone: 206 234 -2481 Contractor: Name: HORIZON CONTRACTORS INC Address: PO BOX 24449 , FEDERAL WAY WA 98093 Phone: 253 838 -5833 Contractor License No: HORIZCI110KR City Tukwila DEVELOPMENT PERMIT DESCRIPTION OF WORK: REMOVE EXISTING COMPOSITION ROOF, INSTALL NEW FELT, VENTING, 30 -YEAR ARCHITECTURAL SHINGLES, FLASHINGS, ETC. Value of Construction: $9,800.00 Fees Collected: $270.10 Type of Fire Protection: International Building Code Edition: 2006 Type of Construction: VB Occupancy per IBC: 0021 doc: IBC -10/06 * *continued on next page ** Permit Number: D09 -112 Issue Date: 06/30/2009 Permit Expires On: 12/27/2009 Expiration Date: 05/19/2011 D09 -112 Printed: 06 -30 -2009 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving Oversize Load: Permit Center Authorized Signature: doc: IBC -10/06 City olkukwila 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 N N Number: 0 Size (Inches): 0 Start Time: Volumes: Cut 0 c.y. Start Time: Print Name: et 1i trt Permit Number: D09 - 112 Issue Date: 06/30/2009 Permit Expires On: 12/27/2009 End Time: Fill 0 c.y. 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 Date: 0(41901 01 I hereby certify that I have read and ex ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied hether 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 construction or the performance of work. I am authorized to sign and obtain this development permit. Signature: _ ` Date: I25 lac) 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 -112 Printed: 06 -30 -2009 0 City of Tukwila Parcel No.: 8108600620 Address: 15830 39 PL S TUKW Suite No: Tenant: GRANDE TERRACE APTS, BLDG A 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 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 a Permit Number: D09 -112 Status: ISSUED Applied Date: 06/30/2009 Issue Date: 06/30/2009 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: Insulating materials, where exposed as installed in buildings of any type of construction, shall have a flame spread index of not more than 25 and a smoke development index of not more than 450. Where facings are installed in concealed spaces in buildings of Type III, IV, or V construction, the flame spread and smoke - developed limitations do not apply to facings, that are installed behind and in substantial contact with the unexposed surface of the ceiling, wall or floor finish. 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: Structrual Observations in accordance with I.B.C. Section 1709 is required. At the conclusion of the work included in the permit, the structural observer shall submit to the Building Official a written statement that the site visits have been made and identify any reported deficiencies which, to the best of the structural observer's knowledge, have not been resolved. 7: All wood to remain in placed concrete shall be treated wood. 8: 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. 9: Manufacturers installation instructions shall be available on the job site at the time of inspection. 10: 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. 11: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 12: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431- 3670). 13: 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. doc: Cond -10/06 D09 -112 Printed: 06 -30 -2009 Signature: 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 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 construction or the performance of work. Print Name: (, r( doc: Cond -10/06 D09 -112 Date: / ?s1 Gi ordinances governing or local laws regulating Printed: 06 -30 -2009 Mailing Address: ' G ISX Mailing Address: rf c#/c 2'iH't 7 Contact Person: C (r; rt E -Mail Address: Contractor Registration Number: 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 Company Name: fi Gr12o^ 1c ° C4") CC "4- tek - L• � f- ( Contact Person: E -Mail Address: Contact Person: E -Mail Address: H:'ApplicationsWorms- Applications On Line\2009 Applications \I -2009 - Permit Application.doc Revised: 1 -2009 bh City Mechanical Permit No Building Permit No. Plumbing /GasTermit Public Works Permit Project No. For office use only) 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.: t0 `Vf 0 `' VO Site Address: i 5 $?J L r S TVktvi)ol / Suite Number: A Floor: New Tenant: ❑ Yes ❑..No Tenant Name: (r SANt Tclr ^Lc (a-(' Ce-rp4m( Property Owners Name: v1 o t tP f%) fN4f+ Mailing Address: S AJ A Lovt State Zip CONTACT PERSON- who do we contact when your permit is ready to be issued Name: 1 LTL ere- Day Telephone: G td v ..1 Li 2 0,- 2 wA 0 18 . 0 g� State cit E -Mail Address: Fax Number: Zip GENERAL CONTRACTOR ,INFOR:MATION (Contractor Information for Mechanical;(pg 4) for P and Gas Piping (pg 5)) Fe cvs.1 L./ A Li A k gOWS City Day Telephone: lot- 2 - 2 Number: Expiration Date: Me`1 2 d t I State Zip ARCHITECT OF RECORD All plans must be wet stamped by Arch' Company Name: Mailing Address: i City Day Telephone: Fax.Number: State Zip ENGINEER OF RECORD - All pla*S must be wet stamped by Engineer of =Record' Company Name: Mailing Address: State Zip City Day Telephone: Fax Number: Page 1 of 6 BUILDING PERMIT INFORMATION - 206 -431 -3670 Valuation of Project (contractor's bid price): $ 6 00 t G o Scope of Work (please provide detailed information): 1 2 0. 11 o•c t4i ' N 41(I) CGM C- ('cc C, ( „j4 -c.1I At t., Ft. 1+ V&-h 36 /e r' Will there be new rack storage? ❑ Yes Provide All Building Areas in Square Footage Below l Floor 2n Floor 3 Floor Floors Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck Interior Remodel Addition to Existing Structure Type of Construction per IBC Type of Occupancy per IBC. 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. H:\ApplicationsWorms- Applications On Line \2009 Applications\1 -2009 - Permit Application.doc Revised: 1 -2009 bh Existing Building Valuation: $ J.. No If yes, a separate permit and plan submittal will be required. Page 2 of 6 Date Application Accepted: (970 ® Date Application Expires: II-- I92 Staff Initials: Signature: Print Name: 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 OWN yr' AUT r.:.• t &I it ED AGENT: Mailing Address: 1 hoc- 2 H:\Applications\Porms- Applications On Line\2009 Applications \1 -2009 - Permit Application.doc Revised: 1 -2009 bh City Date: 1Vt 20) 2ael Day Telephone: 206-21k1-atii Pt)v. -1 G ( A /8'0 State Zip Page 6 of 6 PLUMBING AND GAS PIPING PERMIT INFORMATION - .206 -431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Ad• s: Contact Person: E -Mail Address: Contractor Registratio City Day Telephone: Fax Number: mber: Expiration D Valuation of Project (contract • bid price): $ Scope of Work (please provide d ' ed information): Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and /or gas piping outlets : installed and the quantity below: Fixture Type: Bathtub or combination bath/shower Dishwasher, domestic, with independent drain Shower, single head trap Sinks Rain water system — per drain (inside building) Grease interceptor for commercial kitchen ( >750 gallon capacity) Each additional medical gas inlets /outlets greater than 5 Atmospheric -type vac breakers not include lawn sprinkler backflow protections (1 -5) Qty Fixture Type: Bidet Drinking fountain or water cooler (per he Urinals Water he • d /or vent or alteration of r piping and /or water atment equipment Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 H� Applications\Forms- Applications On- Line\2009 Applications \1 -2009 Permit Application.doc Revised. 1 -2009 bh xture Type: hes washer, domestic Foo+ to grinder, comme Wash fou Water Closet Industrial waste tre interceptor, includin and vent, except for kit type grease interceptors Repair or alteration of drainage or vent piping Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Gas piping outlets Qty tate Fixture Type: Dental unit, cuspidor Floor Drain Receptor, indirect waste Building sewer and each trailer park sewer Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Medical gas piping system serving 1 -5 inlets /outlets for a specific gas ch lawn sprinkler em on any one meter in ing backflow protection devices Zip Qty Page 5 of 6 Project name Address Description of work Related reference number Building S City Of Tukwila Permit Center 6300 Southcenter Boulevard, Suite, 100 Tukwila, WA 98188 (206 431 -3670) Application # D.o I p_ i ALTERNATE PLAN SUBMITTAL AUTHORIZATION FOR LIMITED SCOPE OF WORK I.B.C.& I.R.C. Section 104.1 14 70 2i) ('1,- /Qa M The above project permit applicant, due to the limited scope of work is authorized to submit reduced plan requirements described below. 1. Complete permit application required: (Note, all application must include; 1) property assessor number, 2) copy of contractors license or completed owner waiver form.) Mechanical Other 2. Minimum plan and /or specification requirement: Site plan Floor plan Elevations . Foundation Cross sections Roof plan W.S.E.C. Compliance Narrative Structural calculations (stamped by Washington State licensed engineer ) Specific required information 3. Other special instructions: Authorization by, TBD36/96 -form 12 Date 6 ,30 � (Authorization void 30 days after the date issu d.) RECEIPT NO: R09 -01006 Initials: JEM Payee: PETE GIERE SET TRANSACTIONS: Set Member Amount D09 -112 D09 -113 D09 -114 D09 -115 D09 -116 TOTAL: ACCOUNT ITEM LIST: Description BUILDING - RES STATE BUILDING SURCHARGE Cit? 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 270.10 270.10 270.10 215.50 179.10 270.10 SET RECEIPT • Payment Date: 06/30/2009 User ID: 1165 Total Payment: 1,204.90 SET ID: S000001261 SET NAME: HORIZON CONTRACTORS TRANSACTION LIST: Type Method Description Amount Payment Credit C MC - - - 1,204.90 TOTAL: 1,204.90 Account Code Current Pmts 000/322.100 1,182.40 640.237.114 22.50 TOTAL: 1,204.90 PAYMENT RECEIVED Pro'ect: raga MilA Type of Inspe cf'`o �,ne- � � : (�,� ` 1�d dress: /s 3y PL s, D ate Called: T Special Instructions: Q � �J6 - 0 3 7 _ epik r-f'ol �� \\ v Date Want a.m. Requester: Phone O tv - 23`j " 21i d 04q - i/2_ INSPECTION RECORD Retain a copy with permit INSPECT' . N NO. PERMIT NO. / CITY OF TUKWILA BUILDING DIVISION Iz /� 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367 Approved per applicable codes. Corrections required prior to approval. 4, COMMENTS: oPJ l4; i L6,1n' (P. i Inspecer: Th Date: 17- (4- 0 El $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: License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status HORIZRI124K5 HORIZON ROOFING INC CONSTRUCTION CONTRACTOR CARPENTRY /FRAMING ROOFING 5/25/1988 5/17/1989 ARCHIVED Name Role Effective Date Expiration Date VASALE, R SCOTT Cancel Date 01/01/1980 Bond Amount VASALE, VICTOR 7 01/01/1980 546790C Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 7 DEVELOPERS SURETY It INDEM CO 546790C 05/15/2005 Until Cancelled $12,000.0005/15 /2005 6 CUMBERLAND CAS & SURETY CO MB00900026 05/14/2002 Until Cancelled 05/15/2005 $12,000.0005/06 /2002 CUMBERLAND Untitled Page S Page 1 of 3 General /Specialty Contractor A business registered as a construction contractor with LEtI to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name 601086126 HORIZON CONTRACTORS UBI No. INC Phone 2538385833 Status ACTIVE Address P. 0. Box 24449 License No. HORIZCI110KR Suite /Apt. License Type CONSTRUCTION CONTRACTOR City FEDERAL WAY Effective Date 5/19/1989 State WA Expiration 5/19/2011 Date Zip 98093 Suspend Date County KING Specialty 1 GENERAL Business Type Corporation Specialty 2 UNUSED Parent Company Other Associated Licenses Business Owner Information Bond Information https://fortress.wa.gov/lni/bbip/Detail.aspx 06/30/2009 :.a li g t c— C7 CO ° © d rn (fl ON.3 4,....— 0 _o i 15 S v i. 1.1-$S1 ' .5 T r\I • 8$ Is i -b /v) 4ew1)(^ -1. 5 t J 14 Q'j S3 5 5+ -vm4 ki 7%9 J171