HomeMy WebLinkAboutPermit D09-159 - LA PANZANELLA - CHANGE OF USELA PANZANELLA
18475 OLYMPIC AV S
D09 -159
Parcel No.: 7888900111
Address: 18475 OLYMPIC AV S TUKW
Suite No:
Tenant:
Name: LA PANZANELLA
Address: 18475 OLYMPIC AV S , TUKWILA WA
Owner:
Name: RRP LA PANZANELLA LLC
Address: 1808 PARKSIDE DR E , SEATTLE WA 98112
Phone:
Contact Person:
Name: RONALD HACKER
Address: 18475 OLYMPIC AV S , TUKVVILA WA 98188
Phone: 425 - 318 -2410
Contractor:
Name:
Address:
Phone:
Contractor License No:
doc: IBC-10/06
City`f 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
DEVELOPMENT PERMIT
Permit Number: D09 -159
Issue Date: 08/11/2009
Permit Expires On: 02/07/2010
Value of Construction: $500.00 Fees Collected: $64.50
Type of Fire Protection: SPRINKLERS International Building Code Edition: 2006
Type of Construction: DI -N Occupancy per IBC: 0010
Expiration Date:
DESCRIPTION OF WORK:
REISSUE OF EXPIRED PERMIT D08 -087. CHANGE OF USE FROM F -1 TO F -2. NO NEW PLANS REQUIRED AS ONLY (1)
FINAL INSPECTION REMAINS.
* * continued on next page **
D09 -159 Printed: 08 -11 -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:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter: N
Permit Cente - • ed Signature: Date: 8-11-d
I her •y 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 • -e complied wi hether sp ified herein or not.
The • . ting of
construction
Print Name:
doc: IBC -10/06
City cOTukwila •
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
oes not pre
ce:ofw
N
N
to give
autho
(cDAMco Er'C
Start Time:
Volumes: Cut 0 c.y.
Start Time:
Permit Number: D09 -159
Issue Date: 08/11/2009
Permit Expires On: 02/07/2010
Number: 0 Size (Inches): 0
End Time:
Fill 0 c.y.
End Time:
Private: Public:
Profit: N Non- Profit: N
Private: Public:
ority to violate or cancel the provisions of any other state or local laws regulating
to sign and obtain this development perrnit. (�
Date: 0 �/ l �l T
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 -159 Printed: 08 -11 -2009
Parcel No.: 7888900111
Address: 18475 OLYMPIC AV S TUKW
Suite No:
Tenant: LA PANZANELLA
1: ** *BUILDING DEPARTMENT CONDITIONS * **
doc: Cond -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 CONDITIONS
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
D09 -159
ISSUED
08/11/2009
08/11/2009
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: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431- 3670).
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: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building
inspector. No exception.
7: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila
Permit Center.
8: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
9: 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.
D09 -159 Printed: 08 -11 -2009
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
•
City of Tukwila
The
cons
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 • : • • • -d with, whether specified herein or not.
ting of this permit
ction or the perforn
Signature:
Print Name:
doc: Cond -10/06
oes not pres
ce of wo
•
e to give authority to violate or cancel the provision of any other work or local laws regulating
Date: W////aY3 1
D09 -159 Printed: 08 -11 -2009
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukw ila. wa. us
Building Permit N
Mechanical Permit
Plumbing /Gas,
Project No.
(For office use only) ,
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 Address: ( ti if Ito C) IL pvpi(
Tenant Name: £4- ,.t) EL
Property Owners Name:
Mailing Address: rg lJt/i l(
Name: l C
Mailing Address: / "/ 9 0 ` at(.- C(4_16: _5
E -Mail Address: /'o #JC L4p ,it -,,, a
King Co Assessor's Tax No.: I tvit
Suite Number: Floor:
New Tenant: Yes ❑ ..No
traid! •e
City
0-
State
CONTACT PERSON - who do we contact when your permit is ready to be issued
Day Telephone: 975 3/ ' -2 V/0
rv` 1�. �v- X8188
City State
Zip
Fax Number: a " "70 .�'S - !'Cp
GENERAL CONTRACTOR INFORMATION
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping'(pg 5
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
ARCHITECT OF RECORD
Company Name Ytf /E)'U E
rry�a / r
Mailing Address: J / t2('E 5
Contact Person: P)1-- rf 6F A) e5
11 plans must be wet stamped by Arch
d(
City
Day Telephone:
Fax Number:
Expiration Date:
of Record
State
Zip
Lc/it-
f fr`3q
City State Zip
f ax Day Telephone: A-'4P' (o � 2 3 .- 33
E -Mail Address: e Oct lr/Ii e N 5 e -7W 1t' .d4, { -b t F Number: o9-" ' 4;7,3 - 7rS C l�
ENGINEER OF RECORD - All plait
must b
wet stamped by Engtaeer of
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
11:\ApplicationsTorms- Applications On Line\2009 Applications \1-2009 - Permit Application.doe
Revised: 1 -2009
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City
Day Telephone:
Fax Number:
Page 1 of 6
State
Zip
BUILDING PERMIT INFORMATION - 206 -431 -3670
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Cat
Will there be new rack storage? ❑ Yes
0 F w F - 7_
Existing Building Valuation: $
0.. No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
1 Floor
2 Floor
3 1.4 Floor
Floors ; thru
Basement
- Accessory Structure*
Attached Garage
Detached Garage
Attached Carport'.
Detached Carport
Covered Deck
Uncovered Deck
al,0
9-9- 1
Interior Remodel
Addition to
Existing
Structure
Type of
Construction per
IBC
111 fU fPn104.
( I1 hl wiwK
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? 113.- Yes ❑ No If "yes ", explain: flr®!M b
FIRE PROTECTION/HAZARDOUS MATERIALS:
V Sprinklers G- 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:\Applications\Forms- Applications On Line \2009 Applications \1-2009 - Permit Application.doc
Revised: 1 -2009
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Page 2 of 6
PERMIT APPLICATION NOTES - Applicable to all perm
pl>tc
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.
I HEREBY
PENALT
Date Application Accepted:
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).
THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
Y THE LAWS OF T. STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Signature:
Print Name: 04S4v
Mailing Address: f $ K--`j 1) A - j r 4t" 5
Date Application Expires:
H:Wpplications\Forms- Applications On Line\2009 Applications \1 -2009 - Permit Application.doc
Revised: 1 -2009
bh
Date: r/1
Day Telephone: 4 p --2* c
- l4 Fgi f 8'
City State Zip
Staff Initials:
Page 6 of 6
Fixture Type:
Qty
Fixture Type:
Q r
Ft ure Type:
Qty
Fixture Type:
Qty
Bathtub or combination
bath/shower
Bidet
Clot washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking fountain or
water cooler (per head)
Food -wa '- grinder,
commercia
Floor Drain
Shower, single head trap
Lavatory
Wash fountai '
Receptor, indirect waste
Sinks
Urinals
Water Closet
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
Water heater a or vent
Industrial waste treatm • ,$ t
interceptor, including tra
and vent, except for kitche `
type grease interceptors
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Repair or : teration of
water p ing and /or water
treatm t equipment
Repair or alteration of
drainage or vent piping
Medical gas piping
system serving 1 -5
inlets /outlets for a
..ecific gas
Each additional medical
gas inlets /outlets greater
than 5
Ba flow protective
d- ice other than
• ospheric -type vacuum
.reakers 2 inch (51 mm)
diameter or smaller
Backflow protective device
other than atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
ch lawn sprinkler
sy ' -m on any one meter
inclu, 'ng backflow
protec 'n devices
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
PLUMBING AND GAS PIPING PERMIT INFORMATION - 206- 431 -3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Na
Mailing Address:
e Zip
Contact Person:
E -Mail Address:
Contractor Registration N ber: Expiration Date:
Valuation of Project (contractor's .'• price): $
Scope of Work (please provide detail- 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 bein stalled and the quantity below:
H:\Applications\Forms- Applications On-Line \2009 Applications \1 -2009 Permit Application.doc
Revised'. 1-2009
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City
Day Telephone:
Fax Number:
Page 5 of 6
Parcel No.: 7888900111
Address: 18475 OLYMPIC AV S TUKW
Suite No:
Applicant: LA PANZANELLA
Receipt No.: R09 -01259
Payee: RONALD HACKER
Payment Credit Crd VISA -
Authorization No. 00617C
ACCOUNT ITEM LIST:
Description
doc: Receipt -06
BUILDING - NONRES
STATE BUILDING SURCHARGE
•
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
RECEIPT
Initials: WER Payment Date: 08/11/2009 02:48 PM
User ID: 1655 Balance: $0.00
TRANSACTION LIST:
Type Method Descriptio Amount
64.50
Account Code Current Pmts
000/322.100 60.00
640.237.114 4.50
Total: $64.50
Permit Number: D09 -159
Status: APPROVED
Applied Date: 08/11/2009
Issue Date:
Payment Amount: $64.50
PAYMENT
RECEIVE
Printed: 08 -11 -2009
Project:
LA P A N) Z akI t-1. -A
Type of Iection:
I°- I N A( -
Address:
1 gLI 7 5 OL1 )M PIC
Date Called:
Special Instructions:
/
Date W ted:
,aim.
Requester: /
Pone No:
4 1 1 z5 -31 t9 - ZLII 0
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
'E' MIT NO.
F—
(206)431-3 7
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
p & . ? f AA. :7 L
Inspecto
fit
Date:
r7 $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: