HomeMy WebLinkAboutPermit D09-172 - TRACY RESIDENCE - REROOFTRACY RESIDENCE
5323 S 139 ST
D09 -172
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Phone:
Contact Person:
Name:
Address:
Phone:
1670400128
5323 S 139 ST TUKW
Contractor:
Name: TEDRICK'S ROOFING INC
Address: 37220 188TH AVE SE , AUBURN, WA 98092
Phone:
Contractor License No: TEDRIRI121NC
DESCRIPTION OF WORK:
REMOVE ONE LAYER OF EXISTSIN GHOT BUILT UP ROOF. REPLACE ROTTED SUB - STRUCTURE OF 2 X 6 TONGUE AND
GROOVE (T & G) FROM GUTTER EDGE UP TO THE 2ND BEAM FOR STRENGTH. INSTALLING 2" OF POLLY ISO RF OF
12.5 AND TORCH ON A ONE PLY MEMBRANE - GRANULATED.
Value of Construction:
Type of Fire Protection:
Type of Construction: VB
doc: IBC -10/06
TRACY RESIDENCE
5323 S 139TH ST , TUKWILA WA
City 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
TRACY CELESTE M
5323 S 139TH ST , TUKWILA WA 98168
JAMES TEDRICK
37220 188 AVE SE , AUBURN WA 98092
206 730 -2884
$9,995.00
DEVELOPMENT PERMIT
* * continued on next page **
•
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date: 05/07/2011
Fees Collected:
International Building Code Edition:
Occupancy per IBC:
D09 -172
08/19/2009
02/15/2010
DEL® �ECf To SPE ON
$270.10
2006
0022
D09 -172 Printed: 08 -19 -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
�ry �+ amt Start Time: End Time:
Land Altering: p Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigativr'a
Moving Oversize Load: Start Time: End Time:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
Permit Center Authorized Signature:
doc: IBC -10/06
City git 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
N
The granting of this permit does not
construction or t . erformance
Signa / . �� —✓ � �i Date:
P
Permit Number: D09 -172
Issue Date: 08/19/2009
Permit Expires On: 02/15/2010
Private: Public:
Profit: N Non - Profit: N
Private: Public:
Date: 001
I hereby certify that I have read and e • ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied whether specified herein or not.
uthority to violate or cancel the provisions of any other state or local laws regulating
orized to�ign and obtain this development p -rmit.
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 -172 Printed: 08 -19 -2009
Parcel No.: 1670400128
Address: 5323 S 139 ST TUKW
Suite No:
Tenant: TRACY 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
Permit Number: D09 -172
Status: ISSUED
Applied Date: 08/19/2009
Issue Date: 08/19/2009
2: 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.
3: Fire retardant treated wood shall have a flame spread of not greater than 25. All materials shall bear identification
showing the fire performance rating thereof. Such identification shall be issued by an approved agency having a service
for inspection at the factory.
4: 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.
5: Manufacturers installation instructions shall be available on the job site at the time of inspection.
6: 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.
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.
doc: Cond -10/06
* *continued on next page **
D09 -172 Printed: 08 -19 -2009
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.
doc: Cond -10/06 D09 -172
Date:
ordinances governing
or local laws regulating
Printed: 08 -19 -2009
J
r
King Co D Assessor's Tax No.: i1,� - 0 9X21
302
Site Address: 5 --Co - /39 -J/ L�`i/ /4 7 �� U�6 Suite Number: Floor:
Tenant Name:
Property Owners Name: — rieitC C t/E- e
Jr- I/G
Mailing Address:s3
•
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.cltukwila.wa.us
'roj:ect'N0
For.:o ceiis , ,only)'5;
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 **
Contact Person 4 J
E -Mail Address:
0
Contractor Registration Number: 2 ■'.. RJR / /2/A /C
CONTACT PERSON -_ who w e'contact when permit is ready:to' be issued
Name: f r_ / .4R /t.✓ Day Telephone.
Mailing Address:..77.2•Zd / � /�j/ j 1 a)
City
New Tenant: ❑ Yes ❑ ..No
Zip
State
State
Zip
E -Mail Address: Fax Number:
GENERAL CONTRACTOR INFORMAThON•
, Information for,Mechanical (pg 4)'for Plumbing and Gas Piping (pg 5)) `,,.
Company NameZli(,fC-0/j�`,K, C
Mailing Address: 7.Zeao / , z.) ,(/ 44,
City State Zip
7,6A?/ Day Telephonep?DZ 73b y
Fax Number bY j
Number3 ' - 6
Expiration Date '
% ARCHI•TECT OF RECORD - -All plans must - be:wet stamped-by Arci tectof•Record
Company Name: - -
Mailing Address: V � •
City
Contact Person: Day Telephone:
E -Mail Address: FaxNumber:
State
Zip
'1..� "' � A� ,fy1� �t.54' d t�"..�•h9 / •�
ENGINEER OF RECORD - All plads +must be stum ped by Engmeerof�Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
H:\Applications\Forms- Applications On Line\2009 Applications \1 -2009 - Permit Application :doc
Revised: 1 -2009
bh
State
Zip
Page 1 of 6
•
•Exist>ng '
ti
Interior Remodel
• •Addition to r z.
Existing
S k ... tuie , . .
�
r
;Y a;. No , ' � - j
" , ype of.
C on uction• er
w !'A ' ' ; }b? !i
{ _;pelvf
t Oo ang
?.. .
'1 Elobr, •
• 2{ .;Floor
F.
.r
, Floors: ; .:. ^' . `
• Y +I
Bfsefnen i,
•. lecessoryoStriie ure*F .:
ICY. 7�
iratactie ; 1 * '1 1 : f
'1 ;. --?.s 7 - -, `"fie. " '1' •
.at`ached;Gacage - •
IAtti'l1lea7L-A-56Ytr - 1 , -: `
yr' 7• r Y. ,i.--.:'.1.-X. ri- t'•7` . •
:aDeiiiclie I Cai7isrt ..'
...CgveredCD"eck. .7. •
` ' •
..Utcoveied'D •• `
Valuation of Project (contractor's bid price): $ / / $ 4 // Existing Building Valuation: $
Scope of Work (please provide detailed information) :, 0(166 ,' M / .: • .. w S /PL.. , w
/.• St-i ,c,€ fn -r • C6/,w 2
O k C2 i S09/7 ,22-�i/�. � lT/4;l, � i pr� �oiy f-./v- /? CO,- /o2„_< e'
inieC Nd- / 1-mtifF e € -G/ -v,
Will there be new rack storage? ❑ Yes
H: ApplicationsTorms- Applications On Line12009 Applications11 -2009 - Permit Application.doc
Revised 1 -2009
bh
❑.. No If yes, a separate permit and plan submittal will be required.
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.
Page 2 of 6
I
fo
•
•PERMIT APPLICATION NOTES Applicabl to" all perm ><n thls,appllcat •
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 W HINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OW ' ' OR AU
Signa
/ I h9e/ , - /SA/?/
M. mg Address: 3 7-Z. .zO
Date:94
Day Telephone. r Q o2ggy
.4ti'3c, v /41/ gem
City State Zip
Date Application Expires:
NAM Ito
Date Application Accepted:
H:\Applications\Forms- Applications On Line \2009 Applications \1-2009 - Permit Application.doc
Revised: 1 -2009
bh
Staff Initials:
Page 6 of 6
Fixture T ype•
Qty-
Fixture Type:-
Qty
Fi ;- re .Type: -, - -• ' : '.
Qty
•- Fixture Type::
- -•Qty "
Bathtub or combination
bath/shower
Bidet
Cloth. washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking foun ;'n or
•
water cooler ,.er head)
Food-was rinder,
commercia
Floor Drain
Shower, single head trap
Lavatory j
Wash fountai
Receptor, indirect waste
Sinks
Urinal ;%
Water Closet
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
W • ' r heater and/or vent
Industrial waste trea...- t
interceptor, including ..
and vent, except for kitch = t
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 alteration of
water piping and/or water
treatment equipment
Repair or alteration of
drainage or vent piping
Medical gas piping
system serving 1 -5
inlets /outlets for a
specific gas
Each additional medical
gas inlets /outlets great-;
than 5
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
Backflow protective device
other than atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
ach lawn sprinkler
stem on any one meter
in . uding backflow
pro ction devices
Atmospheric -ty - vacuum
breakers not ' luded in
lawn sprinkler backflow
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
I
PLUMB °ING AIVD CAS ? PF
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Project (contracto - bid price): $
Scope of Work (please provide de -d 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 ou s being tailed and the quantity below:
HAApplicationsWForms- Applications On- Line12009 Applications1l -2009 Permit Applieation.doc
Revised 1 -2009
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State
Zip
Page 5 of 6
Parcel No.: 1670400128
Address: 5323 S 139 ST TUKW
Suite No:
Applicant: TRACY RESIDENCE
Receipt No.: R09 -01295
Initials:
User ID:
Payee:
JEM
1165
ACCOUNT ITEM LIST:
Description
BUILDING - RES
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
TEDRICK'S ROOFING, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5502 270.10
Authorization No.
RECEIPT
Account Code Current Pmts
000/322.100 265.60
640.237.114 4.50
Total: $270.10
Permit Number: D09 -172
Status: APPROVED
Applied Date: 08/19/2009
Issue Date:
Payment Amount: $270.10
Payment Date: 08/19/2009 12:49 PM
Balance: $0.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 08 -19 -2009
Prroiec -
// �TCS
Type of Ins ection:
/ //l/�
Address: /
,.32—? ,...5
/
Date Called: of____ J cjtitt`
Special Instructions:
•
.
Date Wanted:
i ln.m
Requester:
Phone No:
4C3 G - 7 -, aSI Sy
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA. BUILDING DIVISION F
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
4-
F e/W.1 - e-to A-tp e=-11-i.--
Inspe or:
Date:
D $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:
t,
COMMENTS:
de �e•t
Type o nspectio
k t a.�
Al
---
-
(,
rrA
Date Wanted:
L t
\
r
t J LS b`- ?S -fly—
( et
;.
L-A-1
I N
c f C —,/ a
r,
Pr
�(C
de �e•t
Type o nspectio
k t a.�
Al
Address:
53?
S. 131 s
Date Called:
Special Instructions:
Date Wanted:
c� a.m. aro
Requester:
Phone No
. 7,o4. - '73
0
-284
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
0 Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
poq-02_
PERMIT NO.
VZ—
(206)431 -3670
orrections required prior to approval.
ri $60.00 REINSPECTION FEE RE UIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
Receipt No.:
'Date:
Pry �9
TYp O of tl s 44 4 7,% /A/e
Address:
4. go S /35
Date Called: r�� / , 1
1 v�-t
Special Instructions:
7
Date W ted:
2—O — D
a
p• •
Requester:
Phone No:
a-06
-730 —2
9
ar
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION `
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -360
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
/7 �
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
Insp ttor:
Date: s
D �
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:
6 /
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
3
OLD
REPUBLIC
SURETY CO
YLI217051
05/02/2002
Until
Cancelled
ARCHIVED
$12,000.0003/07
/2002
2
OLD
REPUBLIC
SURETY CO
YLI217051
07/07/199005/02
/2002
$6,000.00
1
DEPENDABLE
INS CO INC
43460WA6596
07/07/1988
07/07/1990
$6,000.00
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
TEDRIR *199MH TEDRICK'S
ROOFING
CONSTRUCTION
CONTRACTOR
GENERAL
UNUSED
7/8/1981
7/7/1988
ARCHIVED
Name
Role
Effective Date
Expiration Date
TEDRICK, JAMES E JR
Cancel
Date
01/01/1980
Amount
TEDRICK, CAROL E
01/01/1980
Insurance
Company Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
Untitled Page
•
oi
General /Specialty Contractor
A business registered as a construction contractor with L8I 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
Business Type
Parent
Company
TEDRICK'S ROOFING
INC
2068243440
37220 188TH AVE SE
AUBURN
WA
980928909
KING
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
601068894
ACTIVE
TEDRIRI121 NC
CONSTRUCTION
CONTRACTOR
8/3/1988
5/7/2011
GENERAL
UNUSED
Other Associated Licenses
Business Owner Information
Bond Information
Insurance Information
Page 1 of 2
https: // fortress .wa.gov /lni/bbip /Detail.aspx
08/19/2009