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Home My WebLink AboutPermit D10-086 - KIMBALL RESIDENCE - DEMOLITIONKIMBALL DEMOLITION 16219 51 AV S D10 -086 Cityef 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.ci.tukwila.wa.us Parcel No.: 5379800341 Address: 16219 51 AV S TUKW Suite No: DEVELOPMENT PERMIT Permit Number: D10-086 Issue Date: 05/06/2010 Permit Expires On: 11/02/2010 Tenant: Name: KIMBALL DEMOLITION Address: 16219 51 AV S , TUKWILA WA Owner: Name: KIMBALL IAN Address: 16219 51ST AVE S , TUKWILA WA 98188 Phone: Contact Person: Name: IAN KIMBALL Address: 16227 51 AV S , TUKWILA WA 98188 Phone: 206 769 -6782 Contractor: Name: KIMBALL CONSTRUCTION Address: 16227 51 AV S , TUKWILA WA 98188 Phone: 206 - 769 -6782 Contractor License No: KIMBAC *010RO Expiration Date: 05/06/2012 DESCRIPTION OF WORK: DEMOLITION OF EXISTING 800 SF SFR, 240 SF GARAGE, AND 48 SF SHED. Value of Construction: $5,000.00 Fees Collected: $306.95 Type of Fire Protection: International Building Code Edition: 2006 Type of Construction: VB Occupancy per IBC: 0022 * *continued on next page ** doc: IBC -10/06 D10 -086 Printed: 05 -06 -2010 City oPI'ukwila 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: D10-086 Issue Date: 05/06/2010 Permit Expires On: 11/02/2010 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: LA):‘-) Date: 6-0 D10-086 v 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. Date: 5- 6'2-0'1 d 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 -086 Printed: 05 -06 -2010 Parcel No.: 5379800341 Address: Suite No: Tenant: • 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 1621951AVSTUKW KIMBALL DEMOLITION PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: D10-086 ISSUED 04/01/2010 05/06/2010 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 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: 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: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 6: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 7: 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 -086 Printed: 05 -06 -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 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. Signature: � 7 Date: S- cg-Zl 0 Print Name: L —°."^- Kr .. Jo 1 l ordinances governing or local laws regulating doc: Cond -10/06 D10 -086 Printed: 05 -06 -2010 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://ivww.ci.tukwila.wa.us Building Permit No. 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 Address: 1 1 4 Tenant Name: Property Owners Name: Mailing Address: S1`AVt- 5 King Co Assessor's Tax No.: 5 3 41 500 3`1 1 Suite Number: Floor: 51 -4v 3. New Tenant: ❑ Yes ❑..No Kw, City t,.JAState 4Fsr& Zip CONTACT PERSON who do we contact when your permit is ready to be issued Name: Yx,1 Mailing Address: /6Z z:7 5) /11/ L 5, 2c, 1 1 Z 000 ['? G t �.v� ,` k ., C o wk. E -Mail Address: Day Telephone: ? 76" ct �& City State Zip Fax Number: Z)% ` 5 E t% - C7I 1 GENERAL CONTRACTOR INFORMATION (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: i �..C�.547;,r f!n Mailing Address: Z Z 5/ A v r 5 Contact Person: --e-1---01.04. -. wt 1 k E -Mail Address: 1 beh \ CO w' City Day Telephone: 2-0tr, Fax Number: Contractor Registration Number: Expiration Date: u•A d )1 / State Zip ARCHITECT OF RECORD All plans must be wet stamped by Arch Company Name: 4 e!' +(t�.n �,., ��yt vie /` Mailing Address:) 7 Co) by AVE. Contact Person: L V rct ✓t C p // V � It E -Mail Address: l/ i ,! . C ,t4 5 f 0 �Ot City State Day Telephone: t-1 7-5 yr?af Zip - (1) `t°0 Fax ZS Z 8130 ENGINEER OF RECORD — All plebs must b wet stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E -Mail Address: H'\Applications\Forms- Applications On Line \2009 Applications \1 -2009 - Permit Apphcation.doc Revised: 1 -2009 bh City Day Telephone: Fax Number: State Zip Page 1 of 6 BUILDING PERMIT - INFORM_ _ ION -- 206 -431 -3670 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): coo Existing Building Valuation: $ ul 4 e ref 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 Foo age 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: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION /HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If `yes', attach list of materials and storage locations on a separate 8 -1/2 " x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Applications\Forms- Applications On Line \2009 Applications \1 -2009 - Permit Application.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 lst Floor ()% 2nd Floor 3rd Floor ^_ ---- -- Floors thru Basement Accessory Structure* lr CJA Sc l___ �( Attached Garage Detached Garage -2J C _ Attached Carport Detached Carport Covered Deck - _.�- -- Uncovered Deck 1 & S -C1 PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION /HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If `yes', attach list of materials and storage locations on a separate 8 -1/2 " x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Applications\Forms- Applications On Line \2009 Applications \1 -2009 - Permit Application.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 AUT OtIZED A ENT: Signnattuure: 17-^- r>✓v 7 Date: 2� ?O 10 P nft t Named 1/A Day Telephone: Z O(c ? Z Mailing Address: /6, Z Z ? 5/ A I/1` 5 J >r/ w. 1o. c4,74 WI g r City State Zip Date Application Aoc,`, ! ti pIl �� Date Application Expires: �� I I Staff Initials: 4 H:\Applications\Forms- Applications On Line\2009 Applications \1 -2009 - Permit Application. doc Revised: 1.2009 bh Page 6 of 6 PLUMBING AND GAS PIPING' PERMIT` INFORMATIONt'41 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 provide detailed information): Building Use (per Int'l Building Co, =? Occupancy (per Int'l Building Code): Utility Purveyor: Water: er: Indicate type of plumbing fixtures and /or gas pi g outlets being instal , d and the quantity below: Fixture Type: Qty" Fixture Type: Qty Ffure Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Bidet k° lathes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) <f y''' Food -waste grinder, commercial Floor Drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals r r Water Closet Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and/o ent + In strial waste treatment inte 'y-ptor, including trap and ve r, except for kitchen type gre:i.e interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or a ration of water pip g and/or water treatme equipment y, Repair or : eration of drainage or :{ t piping Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 Ba '' ow protective d.,+ ce other than ospheric -type vacuum Breakers 2 inch (51 mm) diameter or smaller Backflow protecti \ device other than atmosphe ` -type vacuum breakers over 'e. inch (51 mm) diameter 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,1ApplicationsWorms- Applications On- Une12009 Applications11.2009 Permit Application.doc Revised: 1 -2009 bh Page 5 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.ci.tukwila.wa.us Parcel No.: 5379800341 Address: 16219 51 AV S TUKW Suite No: Applicant: KIMBALL DEMOLITION RECEIPT Permit Number: D10 -086 Status: APPROVED Applied Date: 04/01/2010 Issue Date: Receipt No.: R10 -00781 Initials: User ID: Payee: WER 1655 Payment Amount: $187.80 Payment Date: 05/06/2010 10:18 AM Balance: $0.00 IAN KIMBALL TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 216071 ACCOUNT ITEM LIST: Description 187.80 Account Code Current Pmts BUILDING - NONRES STATE BUILDING SURCHARGE 000.322.100 183.30 640.237.114 4.50 Total: $187.80 PAYMENT RECFI\/F..D doc: Receipt -06 Printed: 05 -06 -2010 Cifil 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 SET RECEIPT RECEIPT NO: R10 -00556 Initials: JEM Payment Date: 04/01/2010 User ID: 1165 Total Payment: 3,321.67 Payee: IAN KIMBALL SET ID: S000001368 SET NAME: KIMBALL RESIDENCE SET TRANSACTIONS: Set Member Amount D10 -086 119.15 D10 -087 3,202.52 TOTAL: 119.15 TRANSACTION LIST: Type Method Description Amount Payment Credit C VISA - - - 3,321.67 TOTAL: 3,321.67 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES PW BASE APPLICATION FEE PW PLAN REVIEW 000.345.830 2,936.67 000.322.100 250.00 000.345.830 135.00 TOTAL: 3,321.67 P E �Y & RFFVE INSPECTION NO. INSPECTION RECORD Retain a copy with permit Di 0-44 PERMIT NO. C CITY OF TUKWILA BUILDING DIVISION 8- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Pro'1- pd Type o specti n: �1 4 Address: I c, ,,,� *' 1 Date Called: Special Instructs ns: /� Date Wanted: a.m.. .� 3 — % u p.m. Requester: Phon'La CO 16 -(0`7E2... ( ®Approved per applicable codes. Corrections required prior to approval. COMMENTS: F Inspect : Date: / 3 $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: 41" INSPECTION NO. INSPECTION RECORD Retain a copy with permit 0(0 -dS PERMIT NO. CITY OF TUKWILA BUILDING DIVISION g, 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project:lAA 54 f / ' Type of Inspection: ioz, Address: i (40 245 SI s, Date Called: Special Instructions: / Date Wanted: ^� �� r �a.mm S —?S' Requester: Phoneme (0 _'7 (09- 6n It Approved per applicable codes. Corrections required prior to approval. COMMENTS: lnsp Date:— — 1.° ri $60.00 REINSPECTION FEE - EQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 10.10' fP REVIEWED FOR CODE COMPLIANCE AmotnAVED 3 010 Cityof ,�ila FILL COPY BUILDI C DI iSInig Permft No. _ bl2 l7 __,_ Plan review approval is subject to errors and orris, Approval of construction documents does not autl the violation of any adopted code or ordinance. RE of approved Field Copy and conditi • is acknowle iI y1a f1 • Lmeter Pe _J f f=ire l•�y�rti� t' )33; 5, +E. AeP�o�sS s-�'��e'�- 1ST ,AVENUE SOUTH -54 REVISI _ . No cf1 ;d3ees shall be ma a to 910 . . of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may include additional plan review fees. By Date: 5 6 -1o1° City Of Tukwila BUILDING DIVISION OWNER: KIMBALL, IAN AND DAO SITE ADDRESS: 16219 - 515T AVENUE SOUTH, TUKWILA, WA 9&188 TAX ID* (PARCEL *) 5379800341 LEGAL: .MC MICKEN HEIGHTS DIV *2 PLAT BLK 5, PLAT LOT 21, Q -5 -T -R NE- 21 -23 -4 y)ccArr Vc.v " crtvuEw APR 012010 PERMIT CENTER Dt0-01)(0 ~ PERMIT COORD COPY . PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D10 -086 DATE: 04/01/10 PROJECT NAME: KIMBALL DEMOLITION SITE ADDRESS: 16219 51 AV S X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # after Permit Issued DEPARTMENTS: 640 A4A N //- ,1'40 ding Dlv' 'isioCid irire Prevention ti k s Structural u IicWo C I 001, Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete ❑ DUE DATE: 04/06/10 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUTING: Building Please Route IA Structural Review Required ❑ No further Review Required n REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DUE DATE: 05/04/10 DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 Contractors or Tradespeople Pf ter Friendly Page General /Specialty Contractor A business registered as a construction contractor with Lal 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 Kimball Construction UBI No. 601999600 Phone 2067696782 Status Active Address 16227 515t Ave 5 License No. KIMBAC'010R0 Suite /Apt. License Type Construction Contractor City Tukwila Effective Date 12/20/1999 State Wa Expiration Date 5/6/2012 Zip 98188 Suspend Date County King Specialty 1 General Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date Kimball, Ian M Owner 12/20/1999 Bond Information Page 1 of 1 Bond 2 Bond Company Name CBIC Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date SC4657 11/16/2001 Until Cancelled $12,000.00 11/28/2001 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 8 Nevada Capital Ins Co 77NPP4008514 10/22/2009 10/22/2010 S1,000,000.00 10/30/2009 7 Nevada Capital Ins Co NCIC000716 10/22/2009 10/22/2010 $1,000,000.00 10/29/2009 6 COUNTRY CAS INS CO CM5048669 05/10/2006 05/10/2009 $1,000,000.00 04/15/2008 5 UMIALIK INS CO GL1000101 12/10/2005 12/10/2006 $1,000,000.00 12/10/2005 4 CAPITOL SPECIALTY INS CO CS00201916 12/10/2003 12/10/2005 12/10/2005 $2,000,000.00 12/14/2004 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period https: // fortress .wa.gov /lni/bbip/Print.aspx 05/06/2010