Loading...
HomeMy WebLinkAboutPermit D10-046 - PACIFIC NORTHWEST PERIODONTICS - WALLSPACIFIC NORTHWEST PERIODONTICS 411 STRANDER BL EXPIRED 11 -09 -10 D10 -046 City Of 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: / /wwwci.tukwila.wa.us Parcel No.: 0223200052 Address: 411 STRANDER BL TUKW Suite No: DEVELOPMENT PERMIT Permit Number: D10 -046 Issue Date: 03/10/2010 Permit Expires On: 09/06/2010 Tenant: Name: PACIFIC NORTHWEST PERIODONTICS Address: 411 STRANDER BL , TUKWILA WA Owner: Name: MEDICAL CENTERS CO LLC Address: 411 STRANDER BLVD STE 107 , TUKWILA WA 98188 Phone: Contact Person: Name: JAMAL ELSOUKI Address: 622 216 ST SW , BOTHELL WA 98021 Phone: 425- 478 -1350 Contractor: Name: OLA'S CONSTRUCTION Address: 622 216TH ST SW , BOTHELL WA 98021 Phone: 425 - 478 -1350 Contractor License No: OLASCC *972LE • Expiration Date: 07/01/2010 DESCRIPTION OF WORK: DEMOLISH 5 WALLS AND BUILD 3 WALLS Value of Construction: Type of Fire Protection: Type of Construction: $3,800.00 FIRE ALARM Fees Collected: $275.43 International Building Code Edition: 2006 Occupancy per IBC: 0008 * *continued on next page ** doc: IBC -10/06 D10 -046 Printed: 03 -10 -2010 City olkukwila • 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: / /wwwci.tukwila.wa.us Permit Number: D10-046 Issue Date: 03/10/2010 Permit Expires On: 09/06/2010 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: 3- 1O—(0 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 performance of work. I am authorized to sign and obtain this development permit. /f Signatur Date: / / �J . t2J Print Name: 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 -046 Printed: 03 -10 -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.: 0223200052 Address: Suite No: Tenant: 411 STRANDER BL TUKW PACIFIC NORTHWEST PERIODONTICS Permit Number: Status: Applied Date: Issue Date: D10-046 ISSUED 02/18/2010 03/10/2010 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 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 mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431- 3670). 4: 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. • 5: New suspended ceiling grid and light fixture installations shall meet the non - building structures seismic design requirements of ASCE 7. 6: Partition walls that are•tied to the ceiling and all partitions greater than 6 feet in height shall be laterally braced to the building structure. 7: 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. 8: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 9: 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. 10: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the International Building Code and the Washington State Ventilation and Indoor Air Quality Code. 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. 14: ** *FIRE DEPARTMENT CONDITIONS * ** doc: Cond -10/06 D10 -046 Printed: 03 -10 -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 15: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 16: The total number of fire extinguishers required for a light hazard occupancy with Class A fire hazards is calculated at one extinguisher for each 3,000 sq. ft. of area. The extinguisher(s) should be of the "all purpose" (2A, 10 B:C) dry chemical type. The travel distance to any extinguisher must be 75' or less. (IFC 906.3) (NFPA 10, 3 -2.1) 17: Portable fire extinguishers, not housed in cabinets, shall be installed on the hangers or brackets supplied. Hangers or brackets shall be securely anchored to the mounting surface in accordance with the manufacturer's installation instructions. Portable fire extinguishers having a gross weight not exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 5 feet (1524 mm) above the floor. Hand -held portable fire extinguishers having a gross weight exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 3.5 feet (1067 mm) above the floor. The clearance between the floor and the bottom of the installed hand -held extinguishers shall not be less than 4 inches (102 mm). (IFC 906.7 and IFC 906.9) 18: Fire extinguishers shall not be obstructed or obscured from view. In rooms or areas in which visual obstruction cannot be completely avoided, means shall be provided to indicate the locations of the extinguishers. (IFC 906.6) 19: Extinguishers shall be located in conspicuous locations where they will be readily accessible and immediately available for use. These locations shall be along normal paths of travel, unless the fire code official determines that the hazard posed indicates the need for placement away from normal paths of travel. (IFC 906.5) 20: Fire extinguishers require monthly and yearly inspections. They must have a tag or label securely attached that indicates the month and year that the inspection was performed and shall identify the company or person performing the service. Every six years stored pressure extinguishers shall be emptied and subjected to the applicable recharge procedures. If the required monthly and yearly inspections of the fire extinguisher(s) are not accomplished or the inspection tag is not completed, a reputable fire extinguisher service company will be required to conduct these required surveys. (NFPA 10, 4-3, 4 -4) 21: Egress doors shall be readily openable from the egress side without the use of a key or special knowledge or effort. (IFC 1008.1.8.3 subsection 2.2) 22: Dead bolts are not allowed on auxiliary exit doors unless the dead bolt is automatically retracted when the door handle is engaged from inside the tenant space. (IFC Chapter 10) 23: Door handles, pulls, latches, locks and other operating devices on doors required to be accessible by Chapter 11 of the International Building Code shall not require tight grasping, tight pinching or twisting of the wrist to operate. (IFC 1008.1.8.1) 24: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10) 25: Aisles leading to required exits shall be provided from all portions of the building and the required width of the aisles shall be unobstructed. (IFC 1013.4) 26: Maintain fire alarm system audible /visual notification. Addition/relocation of walls or partitions may require relocation and/or addition of audible /visual notification devices. (City Ordinance #2051) 27: All new fire alarm systems or modifications to existing systems shall have the written approval of The Tukwila Fire Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #2051) (IFC 104.2) 28: An electrical permit from the City of Tukwila Building Department Permit Center (206- 431 -3670) is required for this project. 29: The maximum flame spread class of finish materials used on interior walls and ceilings shall not exceed that set forth doc: Cond -10/06 D10 -046 Printed: 03 -10 -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 in Table No. 803.5 of the International Building Code. 30: In order to provide you with the fastest police and fire protection under emergency conditions, please post your suite, room or apartment number in a conspicuous place near the main entry door. (IFC 505.1) 31: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2050 and #2051) 32: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 33: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575 -4407. * *continued on next page ** doc: Cond -10/06 D10 -046 Printed: 03 -10 -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. Signa -. - _ Date: J // o %m /0 Print Name: doc: Cond -10/06 010 -046 Printed: 03 -10 -2010 • 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 O Building Permit No T)1 0 -' 0 l Mechanical Permit No. Plumbing /Gas Permit No.' Public Works Permit No. 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 LOCATION King Co Assessor's Tax No.: Q,) -)_3)-0 Site Address: 44 "QA."A t-v tv 7 ( 7.49- Suite Number: 1a a Floor: Tenant Name: M- `F` a f'°- Tt-1 ■E,!'* Q E. IL% a1Z1.Q n? t c ) New Tenant: ❑ Yes larNo Property Owners Name: 41-.-f lAk H PC I Mailing Address: City State Zip CONTACT PERSON - who do we contact when your permit is ready to be issued Name: 076)/(9Z E 5- 04.1 Mailing Address: 6✓z9 A (6 5t. SN 1 -* Day Telephone( 5) 4722 —I S© City State ip E -Mail Address: Fax Number: GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: 04,t 5 co Ais f -eri,Ct, 0A/ Mailing Address: 6y6 / ,, 5-7- W 67-4_, .109 ` olI City State Zip Contact Person: D—AnIA L 5 5ct., %k Day Telephone:( 75) y 7$ - / 3 5 o E -Mail Address: Contractor Registration Number: js' C CQ` 7 7,2 L E Fax Number: Expiration Date: z/ //a.1 p /e) ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record. Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: H'\Applications\Forms- Applications On Line\2009 Applications \I -2009 - Permit Application.doc Revised: 1 -2009 bh State Zip Page I of 6 0 BUILDING PERMIT INFORMATION - 206 - 431 -3670 Valuation of Project (contractor's bid price): $ 3 g 00 . , Existing uilding Valuation: $ Scope of Work (please provide detailed information): j'>Lryic,6s% 5. 0/4 /5 6Cci.Id 3 ^+4C2.(�S 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 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: *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: Floor area of accessory dwelling: 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? fl 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 \I-2009 - Permit Applicanon.doc Revised: 1 -2009 bh Page 2 of 6 Existing Interior Remodel Addition to Existing ' Structure. • • - New • ' . Type of ..Construction per • • IBC ' • Type of Occupancy per IBC 151 Floor 2nd Floor 3rd Floor ) a2 Cg S9 3 RD s?' 0, Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport 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: *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: Floor area of accessory dwelling: 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? fl 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 \I-2009 - Permit Applicanon.doc Revised: 1 -2009 bh Page 2 of 6 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 OWNER OR AUTHORIZED AGENT: Signature: Print Name: 7:4nt3t ri5ojk Mailing Address: 6a ) 6 5d- • s Day Telephone: Date: 9, 1( w Date Application Accepted: Date Application Expires: Staff Initials: L— (D k t- H:WpplicationsWorms- Applications On Line\2009 Applications \I -2009 - Permit Application. doc Revised: 1 -2009 bh Page 6 of 6 • 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.atukwila.wa.us RECEIPT Parcel No.: 0223200052 Address: 411 STRANDER BL TUKW Suite No: Applicant: PACIFIC NORTHWEST PERIODONTICS Permit Number: Status: Applied Date: Issue Date: D10-046 ISSUED 02/18/2010 03/10/2010 Receipt No.: Initials: User ID: R10 -00744 WER 1655 Payment Amount: $63.00 Payment Date: 04/30/2010 10:58 AM Balance: $0.00 Payee: JAMAL ELSOUKI TRANSACTION LIST: Type Method Descriptio Amount Payment Check Authorization No. ACCOUNT ITEM LIST: Description 1536 63.00 Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 Total: $63.00 63.00 PAYME T R ED doc: Receiot -06 Printed: 04 -30 -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 RECEIPT Parcel No.: 0223200052 Permit Number: D10-046 Address: 411 STRANDER BL TUKW Status: PENDING Suite No: Applied Date: 02/18/2010 Applicant: PACIFIC NORTHWEST PERIODONTICS Issue Date: Receipt No.: R10 -00281 Initials: WER User ID: 1655 Payment Amount: $275.43 Payment Date: 02/18/2010 01:55 PM Balance: $0.00 Payee: JAMAL ELSOUKI TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1525 275.43 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - NONRES PLAN CHECK - NONRES STATE BUILDING SURCHARGE 000.322.100 000.345.830 640.237.114 Total: $275.43 164.20 106.73 4.50 doc: Receiot -06 Printed: 02 -18 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit G� .0(0 -01‘.0 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION It 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 PYk)r/ L I� n�`,'Q nd� I " Type ofre oAA (' Address: 411 n r � 8(u. Date Called: Special Instructions: 1 e$ :( A--e /2.-<3 7 4 a( Date Wanted: / a.m. S /2-- ° C Requester: Phone No_: _ 117 8, _ /35_0 ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: P ` -T44 A- Pry d G_ ,)-( P s: rki , . ()k T 6-01/4.i -e_/- 1 e$ :( A--e /2.-<3 7 4 a( t Inslbector: Date —/ 2 ❑ $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: 10 -01 -2010 City qf Tukwlla Jim Haggerton, Mayor Department of Community Development JAMAL ELSOUKI 622 216 ST SW BOTHELL WA 98021 RE: Permit No. D10 -046 411 STRANDER BL TUKW Dear Permit Holder: Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 11/09/2010. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, , provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and /or receive an extension prior to 11/09/2010, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File: Permit File No. D10 -046 6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 0 Phone: 206 - 431 -3670 o Fax: 206 - 431 -3665 • PE✓A, of t ' ',}�•t' { "! "� . st: lct,� ; [�epry r PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D10 -046 DATE: 04 -26 -10 PROJECT NAME: PACIFIC NORTHWEST PEDIATRICS SITE ADDRESS: 411 STRANDER BL SUITE 302 Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # _ X Revision # 1 After Permit Issued DEPARTMENTS: ul din I Islon tit 0 �u"blic Wo s Are�Prevention Structural SM a7 c Planning Division Permit Coordinator 1 DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete DUE DATE: 04 -27 -10 Not Applicable Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUESITHURS ROUTING: Please Route Structural Review Required REVIEWER'S INITIALS: No further Review Required DATE: APPROVALS OR CORRECTIONS: Approved n Approved with Conditions DUE DATE: 05 -25 -10 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 • Pi C N PLAN VIEW/ROUTING SLIP 40 ACTIVITY NUMBER: D10 -046 DATE: 02 -18 -10 PROJECT NAME: PACIFIC NORTHWEST PERIODONTICS SITE ADDRESS: 411 STRANDER BL SUITE 302 X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: AlfrG ding Division Public Works A ,)C_ re Prevention Structural 'to sr1 N/4 )---.)-3-0 Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete DUE DATE: 02 -23-10 Not Applicable n Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route I >i Structural Review Required No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 03-23 -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 • PROJECT NAME: 'tr' Cc )J Lt) 1' `cikv* 5 SITE ADDRESS: 1-tIA. givt►.nkte- ► ORIGINAL ISSUE DATE: 3- 4(0 46 PERMIT NO: l -610— 0 1-1 REVISION LOG REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS 1 1-l-4-6-{0 U44- _30— I� - Summary of Revision: C Q Si (ncrn4&n, s A7I thLt -e l 1.� � Received by: -rA,1 .FC,.., Li ,1 REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED. STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: City of Tukwila Steven M. Mullet, Mayor 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 Steve Lancaster, Director ..�p7 ih ISION'SUBM�IcTTr L x Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: y/a9W,,?6 /0 Plan Checlk/Permit Number: ® - O V K ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # ZS— Revision # { after Permit is Issued Revision requested by a City Building Inspector or Plans Examiner Project Name: Rot Ct ■ 00' Project Address: V/ lj4-(0.}-1A f -A 61 Vc Contact Person: .3 A- 13r 1 , ,Sn V 1(k Phone Number: (I1jJ 9 7 - t3 O Summary of Revision: RECEIVED CITY OP YUKINEA APR 26 2010 PePhall 09018% Sheet Number(s): "Cloud" or highlight all areas of revision including date of revis• r Received at the City of Tukwila Permit Center by: Entered in Permits Plus on ��'- t 0 \applications\forms- applications on Iine\revision submittal Created: 8 -13 -2004 Revised: Contractors or Tradespeople Peer Friendly Page I 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 Ola's Construction UBI No. 602301087 Phone 4254781350 Status Active Address 622 216Th St Sw License No. OLASCC'972LE Suite /Apt. License Type Construction Contractor City Bothell Effective Date 6/5/2003 State Wa Expiration Date 7/1/2010 Zip 98021 Suspend Date County Snohomish Specialty 1 General Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date Elsouki, Jamal Owner 06/05/2003 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 CBIC SF0103 06/01/2003 Until Cancelled $12,000.00 06/05/2003 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 3 CBIC INSSF0103 06/01/2009 06/01/2010 $500,000.00 05/29/2009 2 CBIC INSSF0103 06/01/2005 06/01/2009 $1,000,000.0004 /14/2008 1 CBIC INSSF0103 06/01/2003 06/01/2005 $1,000,000.0005 /12/2004 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period https: // fortress .wa.gov /lni/bbip/Print.aspx 03/10/2010 I 1 1e �I • 10 r� •0 •0 /, /, i, 0, 0 /° r; I 1111111111 I: -- --11i .- ■-- ■ ■ ■E "__. __ _- 111111 111111111 111111111111111111 11111 11111111 ■■ ■■ AIWMKE KMZ2El .ls ■ ■ ■ ■■ I■ ■ ■■ ■ ■ ■ ■■■ ■■ ■= 111111•111•1111111111111111 LCUA-1-,2 REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may include additional plan revavr fees. ri ■ 1.11111.11 111 1111,1ibila FILE COPY permit No. io- o' b Plan review approval is subject to errors and *missions. Approval roval of construction documents does no authorize thc.. violation of any adopted code or ordinanc :. Receipt of approved Field Copy and conditions is ackn swledged: By Date: City Of Tukwila BUILDING DIVISION i1III1lIlihIII ■0 ■L. 1111 ,■_ iiu1■■■■ ■I■ 01111611M17111"11 "mgi I EH NEM ®■i■■■■ ■ ■ ■ -■ 111111111111111111=11111•1111 NM EN II 111111 ■■ ' _ ".its' 'I"' II IN IIIIIIIIIMMIMMINI Oh. II IN II MEI WEN■w _ _ r r.�ii.Ti wLr 4r4TI ,,,.,. ■■�M, ■■ ■ ......... ■s ■a MINIM • I■NE■■IIN■■ ■ ■ I��i■■I ■■■■• • GS ■■■■ ■ • 5cQP(S o G roR'< ■■■■■ ■f ■ ■I■■ IMMEMOMMEMEMMIN . ■■ ■■■■E■EEE■ ,'i■■■■■■f■iR O MIMMENN■ ■fl amm: Hsu aim■ 1 ■ ■I■■ 'i'■iffi® ®®E■ 1 aI�!■ ■■■■■ u , WW1 ■■■■■Et r 111111/11111p11 ■■■■ ■■ ■r ■ 16- ODONTICS . .E F(4 :$ C SEPIRATE PERMIT REWIRED FOR :! lirMelchanical Electrical 1 +binj a { iping 'City of Tukwila BuuliNG DIVISION RBVIEWR , NC E i E COPE E OOMPLII APPROVED 'APR 2'8 2010 pz_oc:)/›., /x£44 --mac C>as. r i 0 tcl:�t- .._.__. A. T o. T A- — "o r- $ /N.i -qLs 3 •mew w-*� -L-$ , /41-S P LGY\. TE72.222rila City of Tukwila BUILDING DIVISION N W 1- U] PACIFIC REVISIONS BY: REVISION NOEL t N f r CA7C.S S-ryr4 G 1 /vI4- e-t.._ To PO: PPI,91 1 !ND, CA'r: s taxi s 7%,/ -1 c PAIRr'7'u, -/ LA.-At-c.,.. TJ G c_' D�..�''MQ t../ Sleo. l N or c,�r�> 5. f i p/4A7-/ 7i kfrA- e__ Dlo-o�+h RECEIVED APR 2 6 2010 PERMIT CENTER DATE: 02/17/2010 S CAL.. 1 OF 1 n E LE" V�T�2 11111111111111.11111 MMEMINIMMIMEM • • milmmummai ............. .1.. .1 ....... ............ • 11011101. 110111111111 rums. immuningra mum elm Lmennomme.y. I! ■ 'r■"'r G1�� �■ 111111111111 Plemgmem a ■■■ ■ m• iIIiIrJII11r"" 1jul11] all II ° rfr e rr iu Urid ■P _ _ !i!1111U111 J■ ■■■ a■r■ ■ ■■ . ...■ � ■ ■ ■■■ MOM 111 II MAIM 118111 II MI11111116 MEMMINO a.r.i 19i • FILE COPY Permit No. ' 10- W Plan review approval Is subject to errors and omissions. Approval of construction documents does not authorize the violation of any adopted code or ordinance. Receipt ni approved Reid Copy and conditions is acknowledged: By '-as Date: 3//�o /es City Of Tukwila BUILDING DIVISION SCc'P 0 &t 2 ;1: De plc.) ! f - %. A -COT Al— 0 F _s 3 f •l l ln.i fv,i e, 5 /3-_ - P • SEPARATE PERMIT REQUIRED FOR: e Mechanical eitectdcal Plumbing Gras Piping City of Tukwila E1_14.01NG DIVISION NIMMOMMO. . omm pm: mod ti1 N ii • mommilri: mom INN• ommtem - Aria i ' ill 1711 1111111111:1! MIIIM QATN fRoolo/\ F( :1$ (- ' O6CK �UV} (e7J. a. tea.... .�u� m . -►« .. L • I MMERNMEMOPMEM IM WM= =00fr ek IIII1P 11- VAV !G- ell/f dVak‘ f pLA --f` -c REVISIONS V No changes shall be made to the scope of Atvork without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal ! 1 4 may in :'jade additional plan review fees. I Lts_Gt C? 77ZZ2 4 ScALt yF....— . -�u..- •. i ' f ND! cA7 E EXd S-rir J <= Wifft -c.6,._ To R lJ�y? ax J S.7ih/ FAA TI 7-to I't l IN/ DiCt!-1T -S •/`. /Gam'4.4.,• P f'T/T /0,r1 REVIEWED Mil— ODE COMPLIANCE APPROVED' MARS 0 9 2010 City of Tukwila BUILDING nivicinM RECEIVED FEB 18 2010 PERMIT CENTER Ta 4J.. Qcr /I / OlOEO% alEIVEREw PERIODONTICS PACIFIC 0 W I- In 0 J Ix W 0 4 In TUKWILA, WASHINGTON REVISIONS BY: DATE: 02/1 7/20 1 0 SCALE: 3/4"= 11-0" 0 F 1 ., -zi,..JIMINIMPI --F--."-"Illill All .skjaali " min: :1 IA imiiiiiiMil iludillholl .. == IM II N A 1 M_t` IIiaiIIIIui - .L.r�■ ■■ 1, --- ■ ■N ■ �- L S Ct 5 - -r P ail ■ \ ■■ ■■■■ ■ : . ■ ■PEER r 6 . • SIN! ■I ■■ — i■ ■ ■ g ■■■■ 1■ s ■ ..0 `� RD d L t4r w N. k — . - ■ ■ uiiiiii. 1-1- I I , _ Imam �■ 2 . [ ._ �_a _ M.uui -c-. ! - I ■ ■E . i� 1 ■...a.iia•■ ■■■■■■ ■ -c-. • - pi■ ■I _ Fr__ ■■■■iii 1! ■ ■ ill • ■ ■ :Ei� 3 ! 1 mfici' emmumm - ■ ■ ■ ■ ■'�� �_ _ Nti ■ P_ r!, ` . ■ ■ ■■■■■■ ■ ■■ U _ ,c_ ■■ l i Li ■■■ c"�E■ 7-, ai ..,� ■ a 4 _. - �' I -- Qete S7 SD ,NE -- . ■ NEL,_12 _L ' liill .M■■ .ATIi 7 I - , is•rzlertIAc� ...I . El ■ ■� Ul I■ 111 M E . " • SYI . N C.. - IrAN. 7� ■■ ■1111 �Iw ■■■ • - i _ li■. zi , • ,A ■ ■■ • - . ■■ ■. 1■ +1I _ .. %■ a ■1a■■ y 'T ›c206 T`' . ■ - IP L■ i dill ■ ■■ f 11 , l' - A I I H 1 asitarmegmmibirri I ___mj 1 _ ___r_■Y I L , M.:: . ___1122, T 7 i H Lill Mg mummE______ Amigg 1 .1 r munimimmmumilas N L ■. ; . : • PI A . v _e- !.� m ME , r ill El M■ _ E LE" V�T�2 11111111111111.11111 MMEMINIMMIMEM • • milmmummai ............. .1.. .1 ....... ............ • 11011101. 110111111111 rums. immuningra mum elm Lmennomme.y. I! ■ 'r■"'r G1�� �■ 111111111111 Plemgmem a ■■■ ■ m• iIIiIrJII11r"" 1jul11] all II ° rfr e rr iu Urid ■P _ _ !i!1111U111 J■ ■■■ a■r■ ■ ■■ . ...■ � ■ ■ ■■■ MOM 111 II MAIM 118111 II MI11111116 MEMMINO a.r.i 19i • FILE COPY Permit No. ' 10- W Plan review approval Is subject to errors and omissions. Approval of construction documents does not authorize the violation of any adopted code or ordinance. Receipt ni approved Reid Copy and conditions is acknowledged: By '-as Date: 3//�o /es City Of Tukwila BUILDING DIVISION SCc'P 0 &t 2 ;1: De plc.) ! f - %. A -COT Al— 0 F _s 3 f •l l ln.i fv,i e, 5 /3-_ - P • SEPARATE PERMIT REQUIRED FOR: e Mechanical eitectdcal Plumbing Gras Piping City of Tukwila E1_14.01NG DIVISION NIMMOMMO. . omm pm: mod ti1 N ii • mommilri: mom INN• ommtem - Aria i ' ill 1711 1111111111:1! MIIIM QATN fRoolo/\ F( :1$ (- ' O6CK �UV} (e7J. a. tea.... .�u� m . -►« .. L • I MMERNMEMOPMEM IM WM= =00fr ek IIII1P 11- VAV !G- ell/f dVak‘ f pLA --f` -c REVISIONS V No changes shall be made to the scope of Atvork without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal ! 1 4 may in :'jade additional plan review fees. I Lts_Gt C? 77ZZ2 4 ScALt yF....— . -�u..- •. i ' f ND! cA7 E EXd S-rir J <= Wifft -c.6,._ To R lJ�y? ax J S.7ih/ FAA TI 7-to I't l IN/ DiCt!-1T -S •/`. /Gam'4.4.,• P f'T/T /0,r1 REVIEWED Mil— ODE COMPLIANCE APPROVED' MARS 0 9 2010 City of Tukwila BUILDING nivicinM RECEIVED FEB 18 2010 PERMIT CENTER Ta 4J.. Qcr /I / OlOEO% alEIVEREw PERIODONTICS PACIFIC 0 W I- In 0 J Ix W 0 4 In TUKWILA, WASHINGTON REVISIONS BY: DATE: 02/1 7/20 1 0 SCALE: 3/4"= 11-0" 0 F 1 „C - .L.r�■ ■■ 1, --- ■ ■N ■ �- L S Ct ■ 7- ■■■■ ■ : l H■-, ; - •, Ell " - — - ' 7 it, � 1■ ■ ..0 `� RD d L t4r w N. k — . - ■ ■ ■�.� 1-1- I I , _ Imam �■ 2 . [ ._ �_a _ -c-. ! ■ ■E . i� ■ ■To■ Q_Q ■ -c-. M■ 1! ■ ■ ill • 3 ! 1 - ■ ■ r ■ _ ,c_ ■■ l i - ■■■ c"�E■ 7-, ai ..,� ■ a 4 _. - �' I -- Qete S7 SD ,NE -- . ■ NEL,_12 _L ' _ ..1 r ,.r .ATIi 7 I - , is•rzlertIAc� ...I . ■� Ul ■■ ■1 111 M E ex, SYI . N C.. - ;,t cAe- 7� ■1111 �Iw li■. zi • • ,A . M .. • - . ■. ■■■ +1I _ .. %■ a ■1a■■ P ' . ■ - ' . L■ ■ 1 I L , M.:: . ___1122, T 7 i H Lill Mg E LE" V�T�2 11111111111111.11111 MMEMINIMMIMEM • • milmmummai ............. .1.. .1 ....... ............ • 11011101. 110111111111 rums. immuningra mum elm Lmennomme.y. I! ■ 'r■"'r G1�� �■ 111111111111 Plemgmem a ■■■ ■ m• iIIiIrJII11r"" 1jul11] all II ° rfr e rr iu Urid ■P _ _ !i!1111U111 J■ ■■■ a■r■ ■ ■■ . ...■ � ■ ■ ■■■ MOM 111 II MAIM 118111 II MI11111116 MEMMINO a.r.i 19i • FILE COPY Permit No. ' 10- W Plan review approval Is subject to errors and omissions. Approval of construction documents does not authorize the violation of any adopted code or ordinance. Receipt ni approved Reid Copy and conditions is acknowledged: By '-as Date: 3//�o /es City Of Tukwila BUILDING DIVISION SCc'P 0 &t 2 ;1: De plc.) ! f - %. A -COT Al— 0 F _s 3 f •l l ln.i fv,i e, 5 /3-_ - P • SEPARATE PERMIT REQUIRED FOR: e Mechanical eitectdcal Plumbing Gras Piping City of Tukwila E1_14.01NG DIVISION NIMMOMMO. . omm pm: mod ti1 N ii • mommilri: mom INN• ommtem - Aria i ' ill 1711 1111111111:1! MIIIM QATN fRoolo/\ F( :1$ (- ' O6CK �UV} (e7J. a. tea.... .�u� m . -►« .. L • I MMERNMEMOPMEM IM WM= =00fr ek IIII1P 11- VAV !G- ell/f dVak‘ f pLA --f` -c REVISIONS V No changes shall be made to the scope of Atvork without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal ! 1 4 may in :'jade additional plan review fees. I Lts_Gt C? 77ZZ2 4 ScALt yF....— . -�u..- •. i ' f ND! cA7 E EXd S-rir J <= Wifft -c.6,._ To R lJ�y? ax J S.7ih/ FAA TI 7-to I't l IN/ DiCt!-1T -S •/`. /Gam'4.4.,• P f'T/T /0,r1 REVIEWED Mil— ODE COMPLIANCE APPROVED' MARS 0 9 2010 City of Tukwila BUILDING nivicinM RECEIVED FEB 18 2010 PERMIT CENTER Ta 4J.. Qcr /I / OlOEO% alEIVEREw PERIODONTICS PACIFIC 0 W I- In 0 J Ix W 0 4 In TUKWILA, WASHINGTON REVISIONS BY: DATE: 02/1 7/20 1 0 SCALE: 3/4"= 11-0" 0 F 1