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HomeMy WebLinkAboutPermit D10-016 - CHALET SOUTH CONDOMINIUMS - DECK REPAIRSCHALET SOUTH CONDOS DECK REPAIRS 4012 S 158 ST D10 -016 Citylif Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http://www.citulcwila.wa.us Parcel No.: 1508000000 Address: 4012 S 158 ST TUKW Suite No: DEVELOPMENT PERMIT Permit Number: D10 -016 Issue Date: 02/23/2010 Permit Expires On: 08/22/2010 Tenant: Name: CHALET SOUTH CONDOS - DECK REPAIR Address: 4012 S 158 ST , TUKWILA WA Owner: Name: CHALET SOUTH CONDO COMPLEX Address: C/O PHILLIPS RE SVCES , 312 FAIRVIEW AVE N 98109 Phone: (206)282 -8600 Contact Person: Name: CHRIS REELEY Address: 1115 S 140 ST , SEATTLE WA 98133 Phone: 206 - 949 -4841 Contractor: Name: MCLEOD CONSTRUCTION LLC Address: 1115 N 140 ST , SEATTLE WA 9 +8133 Phone: 206 - 545 -7837 Contractor License No: MCLEOCL951DD Expiration Date: 03/07/2011 DESCRIPTION OF WORK: REMOVE AND REPLACE DAMAGED DECK RAILINGS ON FOUR DECKS AND INSTALL SOLID SURFACE MEMBRANE ON FOUR DECKS. Value of Construction: $24,000.00 Fees Collected: $905.73 Type of Fire Protection: International Building Code Edition: 2006 Type of Construction: VB Occupancy per IBC: 0021 * *continued on next page ** doc: IBC -10/06 D10 -016 Printed: 02 -23 -2010 City oftukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Permit Number: D1O -016 Issue Date: 02/23/2010 Permit Expires On: 08/22/2010 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: N Permit Center Authorized Signature: Date: 6c-/a31 /c) 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. 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 rformance of wor. -. au orized to sign and obtain this development pe 't.7 Signature: / Date: Print Name: r/ faartav2 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. doc: IBC -10/06 D10 -016 Printed: 02 -23 -2010 • • 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 Parcel No.: 1508000000 Address: Suite No: Tenant: 4012 S 158 ST TUKW CHALET SOUTH CONDOS - DECK REPAIR Permit Number: Status: Applied Date: Issue Date: D10 -016 ISSUED 01/21/2010 02/23/2010 1: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 2: 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. 3: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any requirements for special inspection. 4: 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 ** doc: Cond -10/06 D10 -016 Printed: 02 -23 -2010 • • 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 give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: O Date: Z/---3,/c--D doc: Cond -10/06 D10 -016 Printed: 02 -23 -2010 CITY OF TUKWILP Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tulcwila.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 ** King Co Assessor's Tax No.: Site Address: 4/7b /1,6,1e,11-•' S /5g114- 1�/4 �yL ��// AJ/ Tenant Name: !� .504;4 ('k l4 /v /p. Property Owners Name: Mailing Address: arm e ! -5 a bo d < I:Soel --WO) Suite Number: Floor: New Tenant: ❑ Yes ❑ .. No City CONTACT PERSON - •who'do;we contact when,your'permit isiready.to,be issued.'. Name: a11 F' Jt% 5t'df r ?e/ 33 Mailing Address: State Zip Day Telephone: Zip E -Mail Address: Cf 1 —/e C4.44„. Fax Number: g - 5-45' —?d-✓r GENERAL: CONTRACTOR INFOR14 rIONk -!` (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Pipig'(g Company Name: L (li e (`'on5/,1 LL Mailing Address: 1l //v l Contact Person: "!�%� iLS i e e 6e E -Mail Address: Contractor Registration Number: ✓✓1 C.. L L 7 C q S/ A tQ £4 q City State Zip Day Telephone: I) 6 —`Lzicf ('!Vl% Fax Number: (9-66 ••4 Expiration Date: g - 7- 1/ ARCHITECT:OF.RECORD =it1 plans; must 'tie:wetstamped:by "A'rchtect:of Record ;.; Company Name: Mailing Address: City State (Zip Day Telephone: 02,0b a -7 ` 75 FaxNumber: Contact Person: 5-1-eve, X.l (4)&“../ E -Mail Address: lj 71:0", cJ e @ 4.e.pg.cd. ,l a ctf k. yS, 1GINEER OF RECORD = uplada mist be wetstAmped byEnghneer otRecord • Company Name: Mailing Address: A l e 2 c 7 6 0 A(J, L ` 1 / e i r A 5 6 CO a / 4 f / e . t/ c ' - i& fret, City State Zip Contact Person: iVae1 -,S 7 tI r j `E`/ Day Telephone: .c -g1 g' / 6 6,4i? E -Mail Address: H:WpplicationsWorms- Applications On Line \2009 Applications \1.2009 - Permit Application.doc Revised: 1 -2009 bh Fax Number: Page 1 of 6 BUILDING PERMIT INFO_ ION — 206 :431 -3670 Valuation of Project (contractor's bid price): $ ti/ /9 Ob Existing Building Valuation: $ Scope of Work (please provide detailed information): eerwv ot, gw,p l as t rot 1 1 5 cr N. `-' C dlctc5 twi fri 50 s a q� e->,n b ry e, o rlv /�o .,r- ota./c 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 Belo,w Existing Interior Remodel Addition.to Existing: Structure gYpe of Constructioh: per . '. Typa,of-. Occupancy per *7- I' Floor 2nd Floor 3`d Floor Floors thru :Basement Accessory Structure* 'Attache'd Garage 'Detached Gardge• Attaehed Carpi Detached'Carpoit ',Covered' Deck Uncovered Deck 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 PROTECTIONMAZARDOUS 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 I I " 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 AApplicationsWorms- Appiications On Line12009 Appllcationsll •2009 • Permit Application doc Revised. 1 -2009 bh Page 2 of 6 PERMIT APPLICATION. NOTES— Applicable to` all''permits: nYptisrappl e4,1 :,.. '. 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 OW OR AUTHO ZED AGENT: Signature: 'f s�Pi��`% Print Name: C/ Ks 1 ce ley Day Telephone: Mailing Address: / to-- /V - % e10 f'4 5i 5 .,fT6/2 City State Zip Date Application Accepted: ©I OA ` ° Date Application Expires: 01 A I 0 Staff Initials: �� H: \Apphcations\Forms- Applications On Line\2009 Applications \1 -2009 - Permit Application.doc Revised: 1 -2009 bh Page 6 of 6 PLUMBING AND- GAS PIPING INFO'RmATI( 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 Project (contractor's bid price): $ Scope of Work (please provid etailed information): Building Use (per Int'I Building Code): Occupancy (per Int'I Building Code): Utility Purveyor: Water: Indicate type of plumbing fixtures and /or gas pipit outlets being installed Sewer the quantity below: Fixture Type: Qty Fixture Type: Qty Fixt - Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Bidet Clo - s washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) ood -waste grinder, commercial Floor Drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and/or v t sdustrial waste treatment i rceptor, including trap an ent, except for kitchen type _ ease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alt- -:tion of water pipi . and/or water treatmen quipment Repair r alteration of drainage vent piping Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 Bac ' ow protective de e other than ospheric -type vacuum .reakers 2 inch (51 mm) diameter or smaller Backflow pro .- tive device other than atmo -- heric -type vacuum breakers ver 2 inch (51 mm) diam- er Each lawn sprinkler system on any one meter including backflow protection 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 H: Applications\Forms- Applications On- Line12009 Applications11 -2009 Permit Applicationdoc Revised 1.2009 bh Page 5 of 6 of Tukwila. • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: hip: //www. ci. tukw ila. wa. us SET RECEIPT RECEIPT NO: R10 -00091 Initials: JEM User ID: 1165 Payee: CHRIS D REELEY, MCLEOD CONSTRUCTION LLC Payment Date: 01/21/2010 Total Payment: 4,369.38 SET ID: 0121 SET NAME: CHALET SOUTH CONDOS SET TRANSACTIONS: Set Member Amount D10 -013 D10 -014 D10 -015 D10 -016 TOTAL: 905.73 905.73 1,652.19 905.73 905.73 TRANSACTION LIST: Type Method Description Amount Payment Credit C VISA - - - 4,369.38 TOTAL: 4,369.38 ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - RES PLAN CHECK - RES STATE BUILDING SURCHARGE 000.322.100 2,637.20 000.345.830 1,714.18 640.237.114 18.00 TOTAL: 4,369.38 PAYME ` T RECEIVED INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 44 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Projec ( Alf ( rdtos Type of Inspection: fVGA, ,A TT ve 0/ f /. v , It A,JQJ A dress: ��i� S � 4 I/ i Date Called: Special Instructions: 7 Date Wanted: �� � �J / a .m. Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: TT ve 0/ f /. v )41),,r:-/J--- Inspectgf Gtil Date: 2 } , ( c) 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: Page .1 •^f 1. 136 ft N CityGIS Copyright O 2006 All Rights Reserved. The information contained herein is the proprietary property of the contributor supplied under license and may not be approved except as licensed by Digital Map Products. cihttp: / /maps.digitalmapc tra1. .9 <-3 X R I l . Sri i z 40 q 0 r.. C �_ 1 -Em = - IS/v07 01 _062 /index. html z a A ef `< S. El 0 a C = ) a N N Q@ C.a07 O m w to o' , z 13,1 'Q= Dsuaco * N.0 O cA > > < co C 0 co L Q •r. CD cu 01/21/2010 4 2 6 DEPEW HAWKINS &. ASSOCIATES, INC. • Notes: 1. Install ledger board. 2. Install 26 or 28 gauge "Z" flashing. 3. Install TIETEK tape with PM7000 at the top edge of the flashing vertical leg adhering to the substrate. 4. Shingle WRB over PM7000 and under the WRB above flashing. 5. Install joist with a notch at the top to allow space for the "Z" flashing. Install hangars (Not shown) 6. Install 1x4 trim board to fill in the area opened to install the flashing. Bevel the top edge to shed the water. General Notes: A. This installation is to be incorporated when the integrity of the cladding and waterproofing is not known. Title: DECK LEDGER BOARD FLASHING TO SUBSTRATE Date: 1/26/2009 Project: Chalet South By: Steve Depew Sheet 1 of 1 Scale: None DEPEW HAWKINS AND ASSOCIATES, INC. • 1834 SW 152ND STREET, BURIEN, WA 98166 = O ® w / -0m< z eh. v 8rn ®—° `f' ®Cm Cr..) <rQ 73 E: 2 ni gill 0 zoi .Ow m 0 CLD -DC1 EfGIfEERS Project No. Sheet No. f Project Subject //G Leo C P7,5 11,-Le C/4 0 2 Date By /j',e'% 2 A., P7 2r22 .'2 1L'/.2,d,2. SPslcc. CAic,T'teLCs. cr,°,' ,2e/z, boars To .8cb CC T ,e9.4Cd . 47 6W-5g/ ,9 Jx)in' o'V 9 C. //z 7'o. e9aaow ."70 ,¢ ,44 A) "V" /Z ni1/sr7.v 6 Cc vc,T /oAJ AR/ oe To ,.c.sc! -AJ AJTs tSCG= S1-e cr"2)a -s (_ , /79' C. /4'9cl ACa ca 6Te0c1242 -52 r_40.4-762A.4 7,5, REVIEWED FOR CODE COMPLIANCE APPROVED FEB 19 2010 City of Tukwila BUILDING DIVISION' cmS9Riu► JAN 21 2010 PERMIT CENTER P1OOUp DO , Er1GIr1EERS Project Project No. Sheet No. /2rr'.9i2 Date • �2/ /i6 Subject % - /emd' �c sIce/ cfPo-7 By f72j L2) kow s o, (g) /6 d L — Ncrs,/ ? 11xV /aosi P7csi/.s o,Jo S7A44rst d-4 ?9Tte t AJ) 6 )1014 / sVezt,srz TJc.`c< CO•cJS,- LJci /o-J "94.4 Sc2��v� ft tiyi�S /ri7o PT tiQ0..3 To No 7- .v/PAc9.o (�9LV.yv /�ce/J !/ /cck) /u S /6 o) s..v 7/v) 1144 sik. �\\ /4,1'0,2/o2 sArP c� /naineeRs DCI Project Subject Project No. Sheet No. 3 .466c '2c:~» /2 Date /% /coe/ co.-7s/rt./Cha By /1/e/ /«d es e (e 141k►uwaC1 / "re* t Our OF Rim g) tt g72 %TAs SGQde4.)S, Sr€P Pert_ Giklefep rcraN Ad2. at, Cavjgrlcl■ S (2) %41 ^- .tkwu ,A7 Zee Flo Jars Air ./41 kit avAt) Aft.4„ . -9 5/ ou 'yr? 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Awe_ I r ,vis r / 16 SQ `ik,•o) /i gdsoQ ct .405/ -,e-2 .?Sc` IC`2/o,� ,-a //J S(.y/ L c. , .t. Cc. AJ fS f74 FicrL O • • Department of Community Development January 26, 2010 Chris Reeley 1115 N 140th St Seattle, WA 98133 RE: Incomplete Letter #1 Development Permit Application D10 -016 Chalet South Condos — 4012 S 158 St Dear Mr. Reeley, Jim Haggerton, Mayor Jack Pace, Director This letter is to inform you that your permit application received at the City of Tukwila Permit Center on January 21, 2010 is determined to be incomplete. Before your application can continue the plan review process the attached/following items from the following department(s) need(s) to be addressed: Planning Department: Stacy MacGregor at 206 433 -7166 if you have any questions concerning the attached comments. Please address the comment above in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that four (4) sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal a.`Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at the Permit Center at (206) 431 -3670. Sincerely, Bill Rambo Permit Technician Enclosures File: D10 -016 W: \Permit Center \Incomplete Letters\2010\D10 -016 Incomplete Ltr # 1.DOC 6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 0 Phone: 206 - 431 -3670 0 Fax: 206 - 431 -3665 • PLANNING DIVISION COMMENTS DATE: 1 -26 -10 APPLICANT: Chalet South Condos - deck repair RE: D10-016 ADDRESS: 4012 S 158th Street The plans as submitted are not approved. Please review the following comments listed below and submit your revisions accordingly. If you have any questions on the requested revision, Stacy MacGregor is the planner assigned to the file and can be reached at 206 - 433 -7166. 1. Include the dimension of the new deck on the plans. If the new decks increase in size or dimensions, the site plan needs to show the setbacks of the new decks from all the property lines. HERMIT COORD COPY r PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D10 -016 DATE: 02/11/10 PROJECT NAME: CHALET SOUTH CONDOS - DECK REPAIR SITE ADDRESS: 4012 S 158 ST Original Plan Submittal X Response to Incomplete Letter # 1 Response to Correction Letter # Revision # after Permit Issued D�E�P�ARTTMMENTS: BtuiTding Div ono yt° Public Works n Fire Prevention Structural n n sr' »J44- a-ik,-to Planning Division I, Permit Coordinator n DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete ❑ DUE DATE: 02/16/10 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES /THURS ROUTING: Building Please Route Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved n Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 03/16/10 Not Approved (attach comments) n DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 HERMITC . 1RD COPY el PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D10 -016 DATE: 01 -22 -10 PROJECT NAME: CHALET SOUTH CONDOS - DECK REPAIR SITE ADDRESS: 4012 S 158 ST X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: Building Division 'Public w Nis 1-ift0 PclM Git N1P Oi t' Fire Prevention f1 Structural SPA 13-evx fk —10 Planning ivision nPermit Coordinator n DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete n Comments: Incomplete DUE DATE: 01-26-10 Not Applicable n Permit Center Use Only )..)-11,' INCOMPLETE LETTER MAILED: t V Departments determined incomplete: Bldg ❑ LETTER OF COMPLETENESS MAILED: Fire ❑ PIngly" PW ❑ Staff Initials: TUES /THURS ROUTING: Building Please Route n REVIEWER'S INITIALS: Structural Review Required n No further Review Required ❑ DATE: APPROVALS OR CORRECTIONS: DUE DATE: 02-23-10 Approved Approved with Conditions ❑ Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 • 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 psis, ; • qr .V4.1 • TT1ppa�4'� Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: Z /0 Plan Check/Permit Number: Response to Incomplete Letter # El Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Duo -oily Project Name: �� 4t2 ,■ Y yy 11. Project Address: O \i- v- Contact Person: _ e Phone Number:( e 6) _$S - 72S' Summa of Revision: 36//9- C - • errvO ~RcUI FEB 1 2010 PERmRcENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: Entered in Permits Plus on I LO \applications \forms- applications on line\revision submittal Created: 8 -13 -2004 Revised: Contractors or Tradespeople Peter Friendly Page • Page 1 of 2 General /Specialty Contractor A business registered as a construction contractor with L &I 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 Mcleod Construction Llc UBI No. 602474102 Phone 2065457837 Status Active Address 1115 N 140Th St License No. MCLEOCL951DD Suite /Apt. License Type Construction Contractor City Seattle Effective Date 3/7/2005 State Wa Expiration Date 3/7/2011 Zip 98133 Suspend Date County King Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status GOODMC*00601 Goodmansen Construction Construction Contractor General Unused 9/21/2000 9/7/2002 Archived Business Owner Information Name Role Effective Date Expiration Date Goodmansen, Craig D Partner /Member 03/04/2005 Bond Amount Goodmansen, Andrea S Partner /Member 03/04/2005 545759C Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 DEVELOPERS SURETY a INDEM CO 545759C 03/07/2005 Until Cancelled $12,000.0003/07 /2005 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 4 FIRST MERCURY INS CO FMWA000847 10/24/200910/24 /2010 $1,000,000.0010 /23/2009 https : / /fortre ss. wa. gov /lni/bbip /Print. aspx 02/24/2010