HomeMy WebLinkAboutPermit D10-093 - SUMNER RESIDENCE - REROOFSUMNER REROOF
15625 44 AV S
D10 -093
Citytf 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.: 8108600122
Address: 15625 44 AV S TUKW
Suite No:
DEVELOPMENT PERMIT
Permit Number: D10 -093
Issue Date: 04/14/2010
Permit Expires On: 10/11/2010
Tenant:
Name: SUMNER REROOF
Address: 15625 44 AV S , TUKWILA WA
Owner:
Name: SUMNER TERRY E +PATRICIA L
Address: 15625 44TH AVE S , TUKVVILA WA 98188
Phone:
Contact Person:
Name: WAYNE FRYE
Address: 712 54 AV E , TACOMA WA 98424
Phone: 253 - 232 -0318
Contractor:
Name: METAL ROOF SPECIALTIES INC
Address: 712 54 AV E , TACOMA WA 98424
Phone: 253 - 926 -1633
Contractor License No: METALRS086O2
Expiration Date: 04/29/2011
DESCRIPTION OF WORK:
INSTALL FIRRING OVER FLAT ROOF TO PROVIDE SLOPE FOR NEW METAL ROOF. PROVIDE FOR INCREASED VENTING.
SUPPLY AND INSTALL VINYL BACKED INSTALLATION UNDER NEW STRUCTURAL METAL DOOR PANELS FOR ENHANCED
ENERGY EFFICIENCY.
Value of Construction: $13,955.00 Fees Collected: $945.78
Type of Fire Protection: International Building Code Edition: 2006
Type of Construction: VB Occupancy per IBC: 022
* *continued on next page **
0
doc: IBC -10/06
D10 -093 Printed: 04 -14 -2010
City otTukwila
•
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: D10-093
Issue Date: 04/14/2010
Permit Expires On: 10/11/2010
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:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
N
Private: Public:
Profit: N Non - Profit: N
Private: Public:
Permit Center Authorized Signature: i �U , ► ( Date:
I hereby certify that I have read and
governing this work will be complie
The granting of this permit do
construction • • th performan
Signature:
Print Name:
n• pres
e of ork.
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this development p
Date: 4 iV
\1•109\)9.1.6_ f2 -
I
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
of abandoned for a period of 180 days from the last inspection.
doc: IBC -10/06
D10 -093 Printed: 04 -14 -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
Parcel No.: 8108600122
Address: 15625 44 AV S TUKW
Suite No:
Tenant: SUMNER REROOF
PERMIT CONDITIONS
Permit Number: D10-093
Status: ISSUED
Applied Date: 04/08/2010
Issue Date: 04/14/2010
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: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
6: 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.
7: 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.
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.
* *continued on next page **
doc: Cond -10/06
D10 -093 Printed: 04 -14 -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 w
Signature:
Print Name:
Date: `7//4f /V
ordinances governing
or local laws regulating
doc: Cond -10/06 D10 -093
Printed: 04 -14 -2010
CITY OF TUKWILL
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://wwwcitukwila.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 **
Site Address: IS L 55 Lg Lfit Av' ,, S
Tenant Name:
Property Owners Name: I A`T pLI A At.l% 1 RYZ / � umt421 A p
Mailing Address: t 51025
•' AV S - UIL�[ � �� A 98/
City State Zip
King Co Assessor's Tax No.: D 0 860W /
Suite Number: Floor:
New Tenant: ❑ Yes ❑ ..No
NTACT' PERS'ON:: :who do -we contact When ;!our permit is 'ready to. be issued • ::•
Name: A 12, V- fR41 qq / - Day /Telephone: 253 232-- O3I C7
Mailing Address`: •'r] 12- 5 A v� . E. • 1 Ac M t / City i _I 8142 stato zip
E -Mail Address: V 1 4 e M1:Ji'141zo a1At lEsa (O^. Fax Number: '253' 92br 3 LOY
GENERAL CONTRACTOR INFORMATION
(Contractor Information for Mechanical;(pg.4) for 1'lumb!ng;and "Gas Pipmg (pg 5))
Company Name: /AE-TA L R OOc- S Kt./AL-11 E' , `1 Q p ' l
Mailing Address: 112. 54 442 AVM g . f' C.OI4\ i>y `u A 7 D 92"1
�� ,z2 �S €L 1 N Day Telephone: 263- 2h 1(a X13 Zip
Contact Person: l` ^- / " C
E -Mail Address: �E`2tR.`�e rAL12bof9.ccit l fl (oi Fax Number: W3-- 91.10- 3q 5
Contractor Registration Number: META L ES. 08 (002. Expiration Date: '9/29/ 2.O I 1
:'.•ARCHITECT OF::RECORD 4.11 plans!must tamped•by. Architect of'Record
Company Name: - -
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: FaxNumber:
State
Zip
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
H:\ApplicationsWonms- Applications On Line\2009 Applications \1.2009 - Permit Application.doc
Revised: 1 -2009
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State
Zip
Page 1 of 6
-*Valuation of Project (contractor's bid price): $ ) 3, / 5 S
Scope of Work (please provide detailed information): 11"•.I bT14 U.. (9 C31::3 Fl R R, N 6- (N>C ✓ . 'F L A-"
Tzoo - iO a-o418 St-nm o& NJeN,14 tAK -rpl. .V—ot Pp..cv o- foe
1'NGieL Srct S■ppu-i Atgb I 1■11 Pi GU Utnyl., eik d IrAct4c '1014 UN00 --
0ev.1 Q.1/4)1 4L/A6'SPLRbate- PANELS fun- ea.11-14x/E ENt-` .6'6105 WI
Existing Building Valuation: $
Will there be new rack storage? ❑ Yes
❑.. No if yes, a separate permit and plan submittal will be required.
Provide All :Building, Areas =in' quare•Footage. Blow;
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over I8 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:VApplicationsWomu- Applications On Line \2009 Applications1l -2009 - Permit Application.doc
Revised: 1 -2009
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Page 2 of 6
Existing
; -
- InteriorRemodel .
"Additiori'-to:
Existing
• r Structure ..
New •
:• •:TXPe:of'...
:Construction per,
L= '`a•..., IBC .. . .
. Type of;
. Occupancy,pei.
:IBC. •'
1st Floor
::3 rd:Floor
- Floors.. . thru..':
'Basoniept •
•Avicessory.Structure!
sAtta"'ched:GarageA': ""' "
is :14 .. - ,
!'D'e'tached Gauge.• - - .
L- ti: a:•ar•;
: Atiacfied Carport: •
Detached'Carport -
•
Covered' Deck •
• Uncovered Deck •
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over I8 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:VApplicationsWomu- Applications On Line \2009 Applications1l -2009 - Permit Application.doc
Revised: 1 -2009
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Page 2 of 6
PhUMBING AND GAS PIPINIT : ERIVIIT'INFORIVIATION`';.20
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 Code):
Occupancy (per Int'I Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below:
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
• Fixture Type:
Qty
Bathtub or combination
bath/shower
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking fountain or
water cooler (per head)
Food -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 vent
Industrial waste treatment
interceptor, including trap
and vent, except for kitchen
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 greater
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
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:' pplications\Forms- Applications On- Line\2009 Applications \1-2009 Permit Application.doc
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PERMIT APPLICATION NOTE
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 shalt 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDIN
0
Signature:
ZED AG NT:
— ES'o Nr- Molt. gi Tr) c. Date: Li - ' -10
Print Name: � I21611..6 • S L j h
Mailing Address:
912. 6 -P AN/ - iA C b 4A
Day Telephone: 2S3 - 921' —/ 40/
4 98L{VI
State
Zip
Date Application Accepted:
loss I O
4
Date Application Expires: `O jo Ito
1
Staff Initials: )f.
/ (�A,
H:Upplications\Forns- Applications On Line Applications \I 2009 - Permit Appl ication. doc
Revised 1-2009
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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.ci.tukwila.wa.us
RECEIPT
Parcel No.: 8108600122 Permit Number: D10-093
Address: 15625 44 AV S TUKW Status: APPROVED
Suite No: Applied Date: 04/08/2010
Applicant: SUMNER REROOF Issue Date:
Receipt No.: R10 -00632
Payment Amount: $355.20
Initials: JEM Payment Date: 04/14/2010 01:06 PM
User ID: 1165 Balance: $0.00
Payee: METAL ROOF SPECIALTIES, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 21994 355.20
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - RES
000.322.100 355.20
Total: $355.20
YMt
E(FRI
doc: Receipt -06
Printed: 04 -14 -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
Parcel No.: 8108600122
Address: 15625 44 AV S TUKW
Suite No:
Applicant: SUMNER REROOF
RECEIPT
Permit Number: D10 -093
Status: PENDING
Applied Date: 04/08/2010
Issue Date:
Receipt No.: R10 -00596
Payment Amount: $590.58
Initials: JEM Payment Date: 04/08/2010 11:42 AM
User ID: 1165 Balance: $0.00
Payee: METAL ROOFING SPECIALTIES, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 21983 590.58
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - RES
PLAN CHECK - RES
STATE BUILDING SURCHARGE
000.322.100
000.345.830
640.237.114
Total: $590.58
355.20
230.88
4.50
E } °'
ECEVE
doc: Receiot -06 Printed: 04 -08 -2010
k •
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Pro'ect:
ype of Inspectio
A dress:
1_5(02.,S.
4
Date Called:
Special Instructions:
04 3 721 1 - 6
(
•
Date Wanted:
RequeSter:
Phone No:
9_53
—124
— 1(33
Approveber applicable codes. El Corrections required prior to-approval.
COMMENTS:
l° U1, /o . (eJ 'e
Insp ctor:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must by
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
ti
INSPECTION .RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 2-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Proje�:Mar n Jac. —F O
Type „offns iL( e. S7
"
Address:
%-. A
1,
Date CallA C�a 6h
.��,
15 625
Special Instructions:
"Y.-04k./ 6� 22 t� l/ !
GA -'-'d
�
j (R^ t VOc,�
poor, -1
�'�
.
51
P /
Date Wanted: `a.m.
- ( S 'o� p.m.
Requester:
Phone No:
� —232-03
- 2:53 I
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
�
iU » 1 c_feA J
r 9 (�ei
�!fi
�z f
%
n o M/ �vv v!
i7 Z.( 1.c- if
OK--- n
L oJi r
e-)6.
(
a ► 1
r,
Date:/ S
❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sch'edu!le reilispection.
Receipt No.:
'Date:
AM
INSPECTION RECORD U�����1
Retain a copy with permit
INSPECTION NO. PERMIT Nai� f
CITY OF TUKWILA BUILDING DIVISION 12- l'V
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Proje / �// /� (//7 Q ® 1 f��Type
of n1s/p�ectsingJn: 2 f 1
Address
/41 t2sell �-s.
Date Called:
..
Special Instructions:
Date Wanted:
--- c..a.2....,
p.m.
Requester:
/ .a A.-- . c �' /\e-...4C J c.•, -1
Phone
Zn
.. Z.32- —0316/
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS: �, I t L A (' iT j OJA ,
.3�,10,� hen -� AJ c 1 c)?
A 1vvr A 1 on (F .,-c-,) / Cs
oil GC kAs
cif �n) � f � Q n
� rce�U
bl i - J,K-0‘,( Pk— (co:t A; Ai ()CIA - N IN
--1/3- /I Jf W<<i ,v�r
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f e,4 4 6
(, v,t ,0 :-•J P? -c _r ,'1� ,-S
A �1) ()/ J A
. t A n
Date:
V
El $60.00 REINSPECTION FEE REQUIR D. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
FILE COPY
Permit No t t 0 011°7
Plan review approval is subject to errors and
4pproval of construction documents does not autho
thc violation of any ado . =:. or ordinance. Rece
n{ approved R d Cop ns is acknowledg
By
Date:
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 review fees.
APQIL~ 6, 2btc
(1
City Of Tukwila
BUILDING DIVISION
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REVI WED FOR
CODE OMPLIANCE
AP 'ROVED
AP`; 14 2010
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Ci of Tukwila
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APF F 0 8 2010
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APPRMED
APR 1 4 2010
City of Tukwila
BUILDING niviRinN
RECEIVED
CITY OF TUKWLA
APR 0 8 2010
PERMIT CENTER
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APPROVED
APR 1 4 2010
City of Tukwila
BUILDING DIVISIM
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RECEIVED
CITY OF TUKWILA
APR 0 8 2010
PERMIT CENTER
11, •
'JO
City of Tu g Y ala
Jim Haggerton, Mayor
Department of Community Development
WAYNE FRYE
712 54 AV E
TACOMA WA 98424
RE: Permit No. D10 -093
15625 44 AV S 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 10/19/2010.
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.
-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 10/19/2010, 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,
-1);k12 qa,„,11,
Bill Rambo
Permit Technician
File: Permit File No. D10 -093
6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 0 Phone: 206 - 431 -3670 o Fax: 206 - 431 -3665
0 PER ITC . r COP`4P
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D10 -093 DATE: 04/08/10
PROJECT NAME: SUMNER REROOF
SITE ADDRESS: 15625 44 AV S
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # after Permit Issued
DEPART ENTS: 3 �V
ullding ivision
Public Works
!Lk
Fire Preven Ion
»hi- 1-k-A1-0
Planning Division
nStructural ❑ Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete ❑
DUE DATE: 04/13/10
Not Applicable
a
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 Structural Review Required
REVIEWER'S INITIALS:
No further Review Required ❑
DATE:
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE: 05/11/10
Not Approved (attach comments) ❑
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 liter Friendly Page
•
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 Metal Roof Specialties Inc UBI No. 601402154
Phone 2539261633 Status Active
Address 712 54Th Ave E License No. METALRS08602
Suite /Apt. License Type Construction Contractor
City Tacoma Effective Date 9/22/1992
State Wa Expiration Date 4/29/2011
Zip 984242728 Suspend Date
County Pierce Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
Iselin, Jerald D
&Nbsp;
01/01/1980
Amount
Iselin, Luann D
&Nbsp;
01/01/1980
WAC460148
Iselin, Jerald D
Agent
01/01/1980
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
4
AMERICAN NATIONAL
FIRE INS CO
790286533452
04/29/2002
Until Cancelled
$12,000.00
04/22/2002
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
13
CORNHUSKER
CAS CO
WAC460148
04/29/2005
04/29/2010
$1,000,000.00
04 /17/2009
12
CLARENDON
AMERICAN INS
CO
HML0004771
04/29/2004
04/29/2005
$1,000,000.00
04/27/2004
11
A RCA IN S CO
AM
M ERICA N
HML0002703
04/29/2003
04/29/2004
$1,000,000.00
04 /29/2003
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
https: // fortress .wa.gov /lni/bbip /Print.aspx 04/14/2010