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HomeMy WebLinkAboutPermit D10-167 - MATHIAS - DEMOLITIONThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. D10 -167 Mathias Demo 1205644 th Avenue South RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = Brief Explanatory DeSctiptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that Personal Information — social security numbers are a private concern. As such, individuals' social security numbers are Social Security Numbers redacted to protect those individuals' privacy pursuant 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. to 5 U.S.C. sec. 552(a), and are also exempt from 552(a); RCW 552(a); RCW disclosure under section 42.56.070(1) of the 42.56.070(1) 42.56.070(1) Washington State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card Personal Information — numbers, electronic check numbers, credit expiration 25 DR2 Financial Information — dates, or bank or other financial account numbers, RCW RCW 42.56.230(4 5) which are exempt from disclosure pursuant to RCW 42.56.230(5) 42.56.230(5), except when disclosure is expressly required by or governed by other law. MATHIAS DEMO 12056 44 AV S EXPIRED 01 -30 -11 D10 -167 City oftukwila 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.: 3347401130 Address: 12056 44 AV S TUKW Suite No: Project Name: MATHIAS DEMO DEVELOPMENT PERMIT Permit Number: D10 -167 Issue Date: 07/22/2010 Permit Expires On: 01/18/2011 Owner: Name: MATHIAS R E Address: PO BOX 65078 , PORT LUDLOW WA 98365 Contact Person: Name: JOSEPH ANDERSON Phone: 206 - 947 -6345 Address: 13001 MARTIN LUTHER KING JR WY S , SEATTLE WA 98178 Contractor: Name: K & B EXCAVATING INC Address: 13110 NE 177 PL 140 , WOODINVILLE WA 98072 Contractor License No: KBEXCI *055LE Phone: 425 - 844 -2799 Expiration Date: 10/02/2011 DESCRIPTION OF WORK: COMPLETE DEMOLITION OF ENTIRE STRUCTURE, REMOVAL OF ALL DEBRIS, AND LEAVING SITE NEAT & CLEAN. PUBLIC WORKS ACTIVITIES INCLUDE EROSION CONTROL, WATER SERVICE CAPPINF @ THE WM AND SEPTIC ABANDONMENT, WHICH WAS PERFORMED ALREADY BY CONTRACTOR AS A RESULT OF AN RFA. Value of Construction: Type of Fire Protection: Type of Construction: $4,000.00 V -B Fees Collected: $583.43 International Building Code Edition: 2009 Occupancy per IBC: 0022 * *continued on next page ** doc: IBC -10/06 D10 -167 Printed: 07 -22 -2010 City ("'ukwila • 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 Number: D10 -167 Issue Date: 07/22/2010 Permit Expires On: 01/18/2011 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: 01 /d?It 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 o performance of work. I am authorized to sign and obtain this development permit. /� Signa G9't�t .1.()L j� . _ Date: -7-------,2-0 "`� Print Name: 60 ✓! n ( -ems Yf 6 60 ✓ .eS 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 -167 Printed: 07 -22 -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.: 3347401130 Address: 12056 44 AV S TUKW Suite No: Tenant: MATHIAS DEMO PERMIT CONDITIONS Permit Number: D10 -167 Status: ISSUED Applied Date: 06/30/2010 Issue Date: 07/22/2010 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 City of Tukwila Building Department (206- 431 - 3670). 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. 8: * ** *PLANNING DEPARTMENT CONDITIONS * * ** 9: Fire and Parks impact fees shall apply if a complete building permit is not recieved within one year of demolitin. 10: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** 11: Contractor shall notify Public Works Project Inspector at (206)433 -0179 of commencement and completion of work at least 24 hours in advance. 12: Permit is valid between the weekday hours of 7:00 a.m. and 3:30 p.m. only. 13: Any material spilled onto any street shall be cleaned up immediately. 14: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off -site or into existing drainage facilities. 15: The site shall have permanent erosion control measures in place as soon as possible after final grading has been completed and prior to the Final Inspection. 16: From October 1 through April 30, cover any slopes and stockpiles that are 3H: IV or steeper and have a vertical rise of doc: Cond -10/06 D10 -167 Printed: 07 -22 -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 10 feet or more and will be unworked for greater than 12 hours. During this time period, cover or mulch other disturbed areas, if they will be unworked more than 2 days. Covered material must be stockpiled on site at the beginning of this period. Inspect and maintain this stabilization weekly and immediately before, during and following storms. 17: From May 1 through September 30, inspect and maintain temporary erosion prevention and sediment at least monthly. All disturbed areas of the site shall be permanently stabilized prior to final construction approval. 18: Any septic tanks in the area shall be pumped empty and removed or filled with sand. A copy of the documentation from the business that performed the pumping shall be provided to the City Utilities Inspector. 19: Water service line will be used again in the near future for a new building, therefore it shall be capped at the water meter. * *continued on next page ** doc: Cond -10/06 D10 -167 Printed: 07 -22 -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. er-X.tiW Print Name: C3Daq 1 P-- o Date: % 0 G c7 doc: Cond -10/06 D10 -167 Printed: 07 -22 -2010 KB Excavating Inc • CITY OF TUKWILA Community Development Deportment Public Woks Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http : //ti+ww.ct.rukwfla wa.us 425 844:58 p -1 iCthpi.� " IkI "lQI ,ll�, (tU ' tf rld i l,li; t I l iee ll.111 iC` lit :iii, ��I vilti't��Aldal ,l 't� al,� � �i��i�ir��:i :!I:q,�� i ii.' Itg1111'11�7 11 :' . 1 111 1•�U„I171 i2il0 9it 11[1t1 o' I' 1:i1q112711111 ,ley 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 Prints• i'; "'rS }j10 ^F.'t.. 9' i�kl !q•i,:�:I'!4r'!!P:i'•Y'ji:l I" Pi1i1rG!i',r'a'I A;Qi1:n'�:6 ?"�F ,Fh11t4 °° ,� F !.4:1.11,r11114,1,�'jy -� I llkil{r.0 { rilF 411411'1111.,',1-; i{i� 111 it ilfI " f R lo ".11 Lt, 1 l'rl ai!l?�: {1,110i� ti71t' lk 1r(' ! ! r, }.Illyllj �` ePFII {illil1 4 ,�� tN 1 nr tall . !{� .h ,ar a_ :d∎I ,tl :Lr I r.rh, r,. o�] y Rl�' I A Ai I{ h: '' King Co Assessor's Tax No.: Site Address: Aan'l egi - 4 ,c[ .. d J 4. r. Suite Number: Floor: Tenant Name: 7 • New Tenant: ❑ Property Owners Name: gist i? a Ski L6i....t Mailing Address:: orP _11ti'7H® -113 Yes .No 1r4 iww`4 +,�I14Fm ]a�•.pa.,�, ,cull' ,Itr i '' jl iii 1��!''°f � � 't �'a., Cr ,[ 1. tPri 11� P}>•`''i�V i:11l16�i1'�'17?� +�y!1li,,, ' i�� 'j {. l�� Tr`Ip � 1!�Glj[�7j�'iklf:' %'' Fiif'11N �: ' Idfe � r �11 ''11',i{u{)Ijl�1iiltl..,lM`.;; '�L� ,jIT 11 _Ilu'd d 10'"L�� {I',:Ittn. i�l�lj. � II,`''q �! j• l�j i I V i r r; �l�ll.!Y , 1i ,�,��51:t1i�f1 �� �1 � w.��Ct7.�11,��^ Pad Name: JD-S210 A .46, 14 1 P\ Mailing Address: 41 . it Day Telephone: c100/4.- 7-15,54S— AP. ./ l� Swe Zlp E -Mail Address :JOE-5144.6.e a. / O,4. -1a, 'L. G6/►^ Fax Number: el/Ph - 77a- (57654 Company. Name: Kt 6 Mailing Address:: � N r % 1 vl i O - / 1 PL NO Contact Person; j ati E -Mail Address: . b r iwor- a s • a eeOV►-t Conaactor Registration Number: r1 PaEX Gr X055 LE tat oinlv1L..L.,� iv i802 • Day Telephone: 4 -S - 7.qy Z 194 Fax Number. 1415 - 54"4e4-9105g Expiration Date: 10! 2_/i l Company Name: Mailing Address: y; i';III!�rl9,iI;VC!li! +' iil:' ,N '`P II }1IPP , ,'ll,' , i;t1` Contact Person: E -Mail Address: iu2^Arc lt7 .,,rn.;;irr:�nd;�au,ar;•!n,,. :�'. 1!n� :,�rga.rt:,:l:a:� o P O'1 E4MG�R'u r'il3d.;l'�i ffr, lE�!(!k ��.Ufi ''limit' ∎2_„Gt say Day Telephone: Fax Number: Such Zip Company Name: Mailing Address: City Contact Pelson: Day Telephone: E -Mail Address: Fax Number: lt1Mpl ct iouVaut- AvdiWfm Ot lieA7oot Ap,lintln.N4DO1.• Pamir Aopllealen4 waist& 1-3a04 Page 1 0/.6 m Sum Zip L8 /Z8 39ttd NOS83GNei 30C 98£SZLL99Z 8E :TT 8TGZ /51/98 BUILDING PERMIT INFORMATION 0 -4',' Valuation of Project (contractor's bid price): 4g' .1/4069 Scope of Work (please provide detailed information): Existing Building Valuation: $ 2ue • A4. `/� mi /9-La e a_.E r - 0& n J 9 Will there be new rack storage? ❑ Yes a. No If yes, a separate permit and plan submittal will be required. Provide; All Ruildigg Areas in yqua e Footage Below 1s`, Floor _. Addition to Existing, Structure•;., Type of nstruction per IBC Type of Occupancy per IBC 2" 3`d Floor Floors - Basement Accesso let Attached Garage Detached Garage Attached 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: 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 \I -2009 - Permit Application. doc Revised 1 -2009 bh Page 2 of 6 PERMIT APPLICATION. NOTES = .Applicable to all permits in 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 OWN ' OR AUTHORIZED A NT: Signature, jal "iCsf.a/" Print Mine: /d5P0 i , h .ems -.5 o n Day Telephone:_ Mailing Address: /gyp © / 1772 414,,x.5.. _ %& / /a C�.4 / City Date: jp -- 2' a1D/ a o6- 77x2 -c 837 ed! 7c5' State Zip Date Application Accepted: le - 30-1 0 Date Application Expires: I� 30— t Staff Initials: I H:\Applications \Forms - Applications On Line \2009 Applications \I -2009 - Permit Application doc Revised: 1 -2009 bh Page 6 of 6 BULLETIN A2 *TYPE C PERMIT FEE ESTIMATE • PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees PROJECT NAME V l/t02A PERMIT # f (,V ' (,1- If you do not provide contractor bids or an engineer's estimate with your permit application, Public Works will review the cost estimates for reasonableness and may adjust estimates. 1. APPLICATION BASE FEE $250 (1) 2. Enter total construction cost for each improvement category: Mobilization 1007 Da Erosion prevention Water /Sewer /Surface Water 3Z 141'6 19'p 19u1.) Road/Parking /Access S� -1?l2 c7/27, A. Total Improvements O1I ,ZS, 3. Calculate improvement -based fees: B. 2.5% of first $100,000 of A. C. 2.0% of amount over $100,000, but less than $200,000 of A. D. 1.5% of amount over $200,000 of A. 4. TOTAL PLAN REVIEW FEE (B +C +D) $ (4) 5. Enter total excavation volume Enter total fill volume cubic yards cubic yards Use the following table to estimate the grading plan review and permit fee. Use the g=reater of the excavation and fill volumes. QUANTITY IN CUBIC YARDS RATE Up to 50 CY Free 51 — 100 $23.50 101 — 1,000 $37.00 1,001 — 10,000 $49.25 10,001 — 100,000 $49.25 for 1sT 10,000, PLUS $24.50 for each additional 10,000 or fraction thereof. 100,001 — 200,000 - $269.75 for 1sT 100,000, PLUS $13.25 for each additional 10,000 or fraction thereof. 200,001 or more $402.25 for 1sr200,000, PLUS $7.25 for each additional 10,000 or fraction thereof. GRADING Plan Review and Permit Fees $ (5) TOTAL PLAN REVIEW AND APPROVAL FEE DUE WITH PERMIT APPLICATION (1 +4 +5) $ The Plan Review and Approval fees cover TWO reviews: 1) the first review associated with the submission of the application /plan and 2) a follow -up review associated with a correction letter. Each additional review, which is attributable to the Applicant's action or inaction shall be charged 25% of the Total Plan Review Fee. Approved 09.25.02 Last Revised Jan. 2009 1 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.: 3347401130 Address: 12056 44 AV S TUKW Suite No: Applicant: MATHIAS DEMO RECEIPT Permit Number: D10 -167 Status: APPROVED Applied Date: 06/30/2010 Issue Date: Receipt No.: R10 -01391 Initials: User ID: Payee: LAW 1632 Payment Amount: $308.00 Payment Date: 07/22/2010 03:31 PM Balance: $0.00 JOSEPH ANDERSON TRANSACTION LIST: Type Method Descriptio Amount Payment Check 134 308.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PW BASE APPLICATION FEE PW PERMIT /INSPECTION FEE PW PLAN REVIEW 000.322.100 000.342.400 000.345.830 Total: $308.00 250.00 29.00 29.00 PAY ENT RECEIVED doc: Receiot -06 Printed: 07 -22 -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.: 3347401130 Address: 12056 44 AV S TUKW Suite No: Applicant: MATHIAS DEMO RECEIPT Permit Number: D10 -167 Status: PENDING Applied Date: 06/30/2010 Issue Date: Receipt No.: R10 -01209 Initials: User ID: Payee: WER 1655 Payment Amount: $275.43 Payment Date: 06/30/2010 02:42 PM Balance: $0.00 JOSEPH ANDERSON TRANSACTION LIST: Type Method Descriptio Amount Payment Check 386 275.43 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 PI:YMENT RECEIVED doc: Receiot -06 Printed: 06 -30 -2010 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION �- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Prole t: ......,/ , r' ex, V\ r 1.S Z4 7J Typ of Inspection: Pre.. - tO AJ Addre s: .a. C/ Date Called: Special Instructions: / Date Wantedi�� a.m. Requester: bN -7 -re Phi t9 - 17'72., --637 Corrections required prior to approval. COMMENTS; ki ) bN -7 -re P Xc`--c) a tS Gv (e-e- - ICI P &3( c tiooptcz r r !.-e - ; it-e P,` b 4 --� ,S r `T-; AA_e 1--,o ilutt I\ it 1 Inspector: .{ Date: ri $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: SEPARATE PERMIT REQUIRED FOR: ,Mechanical jpectrical "lambing Gas Piping City of Tukwila , BUILDING DIVISION ci • • H 0 0 L N O CD rr� V O O 0 ww c I I cc bA ��.- Q w � Clo 1.4 V) ?V) a ): n ‘Nt. REVISIONS No changes shall be made to the scope of Work without prior approval o' Tukwila Building Division. NOTE: Revisions will require a new plan stibmittal and may include additional plan review fees. 0 c .. 13 Q.) PO d ` Re rr\ i ti 5 7 .: ci E P E uea... coy Cf. CO REVIEWED FOR CODE COMP . IANCE APPRinli : D JUL 12 20 0 _) City of ila BUILDING `i 1 14IflM � b � _c) N Ci cc' szLi -606E o� 4i49124iir f eeb7x. t.oem-ievv oP xtsr 3/4 "wHf lWM 1- BEET' of Stnce& 2/-a.of0 ree 71044)( -1-A l0- i�a.+lars.w..s.L These plans have been reviewed by the Public Works Department for conformance with current City standards. Acceptance is subject to errors and omissions which do not authorize violations of adopted standards or ordinances. The responsibility for the adequac: of the design rests totally with the designer. Additions, deletions or revisions to these drawings of per this date will void this acceptance kid will require a resubmittal of revised drawings fr subsequ .nt approval. Itinal acceptance is subject to field inspection by the Public Works utilities inspector. $ate: By: 7/09 /2-cpf, �s FILE COPY Permit No. NO-1( PI Tian revlsw approval is subject to errors and omissions. Approval of construction documents does not authorize the violation of any adopted code or ordinance. Receipt of approved Field Copy and conditions is aci nowledg r Date: City Of litkwila BUILDING DIVISION RECEIVED JUN S 0 2010 PERMIT CENTER Robert Mathias 12056 44th Ave South Tukwila Wa. 98188 • Date Order # 5/12/2010 756 • Robert Mathias 12056 44th Ave South Tukwila, WA 98188 l0- ((07 -".- 813 A"7L" 1. _. `r pP 3r' :. < -'R cs,'r.5^^?..- c agk.. o ..cote- w;.e_ l sr„ ,nprr?!'" ,r,`4 • fit #40 Due on receipt io[y14 rl :tz. r :.4C c '. . ' a. * &. May 18th 2010 1 Cost to pump and fill the tank. .1),-) L 750.00 RECEIVED JUL 07 PERNUTCENTER 750.00T 2010 1�' p T ®itli IPLE Subtotal $750.00 Thank You for your Business a v & LTR# o Sales Tax (9.5%) $71.25 _ .. _._ _ Total • r° " $821.251 l0- ((07 Burinis Septic Task Seavice Prank Wick ueeao 410 South 140th Street Buritto, WA 98168 (202) 243-3120 r 20 -"du. 4/0/ /5iteMcni 6`750 -7 fi? 'z3 ‘ I b Wick %O & gegen septic task. ©/1 eo14 /14/C J -rok Ato j AAr ,oS6 4'f5 71M'k Tv & l =d L'N Duptb of Flosare Depth at Stade) toyer Won anditiest at Net Candidest ,;, lbas LC. Marbly LC. TO Payment Due Upon Receipt Of This Bill 1% %� 1I%� yam F chew gel be m db ei ae:mat ate. Ica �a a e��Me weeder to � �ee the Caul may** emote nnaamer Sas le eeds satearmam or Unnatiskatacy ifteeitgesstory 03 Signed Jim Haggerton, Mayor epartment of Community U'evelopment Jack Pace, Director 12 -01 -2010 JOSEPH ANDERSON 13001 MARTIN LUTHER KING JR WY S SEATTLE WA 98178 RE: Permit No. D10 -167 12056 44 AV S TUKW Dear Permit Holder: 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 01/30/2011. 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 01/30/2011, 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 -167 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665 July 2, 2010 • ty of Tu..E Jia • Jim Haggerton, Mayor Department of Community Development Joseph Anderson 13001 Martin Luther King Jr Wy S Seattle, WA 98178 RE: Incomplete Letter #1 Development Permit Application D10 -167 Mathias Demo —12056 44 Av S Dear Mr. Anderson, Jack Pace, Director This letter is to inform you that your permit application received at the City of Tukwila Permit Center on June 30, 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: Public Works Department: Joanna Spencer at 206 431 -2440 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 -167 W: \Permit Center \Incomplete Letters\2010\D10 -167 Incomplete Ltr #1.DOC 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 • • PUBLIC WORKS DEPARTMENT COMMENTS DATE: July 2, 2010 PROJECT: Mathias Residence Demo 12056 44th Ave S PERMIT NO: D10-167 PLAN REVIEWER: Contact Joanna Spencer (206) 431 -2440 if you have any questions regarding the following comments. 1) Since the property is on a septic system please show the location of the septic tank on your plan. If you have a problem locating it on site, please contact King County Wastewater Program, Black River Environmental Health office at 900 Oakesdale Avenue SW, Suite 100, Renton, WA 98057, phone 206 296 -4932 and request a record drawing of your septic system. See attached PW Infrastructure Design and Construction Standards Chapter 8.0.3 for septic tank removal or abandonment. 2) Please show location of the existing 3/4" water meter and the water service to the house. 3) Please submit a construction cost estimate for septic system removal /abandonment and water service capping. H: Joanna/D10 -167 inc • 1 PER. i PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D10 -167 DATE: 07 -07 -10 PROJECT NAME: MATHIAS DEMO SITE ADDRESS: 12056 44 AV S Original Plan Submittal X Response to Incomplete Letter # 1 Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Building kg, 04 iD Division Public Works Fire Prevention Structural n Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete n DUE DATE: 07-08-10 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: Please Route Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 08-05-10 — Not Approved (attach comments) Approved Approved with Conditions 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 • qy `pig i; �l$�(j • PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D10 -167 PROJECT NAME: MATHIAS DEMO SITE ADDRESS: 12056 44 AV S X Original Plan Submittal _ Response to Correction Letter # _ DATE: 06 -30 -10 Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: v1vl� L cul ding ivision ‘1.1.5 ve t -7- -10 Public Works Fire Preven ion Structural SIA 410 Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete DUE DATE: 07 -01-10 Not Applicable Comments: Permit Center Use Only '' ,l INCOMPLETE LETTER MAILED: —7-2 __ I0 LETTER OF COMPLETENESS LED:_._____ „ , Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PWStaff Initials: TUES/THURS ROUTING: Please Route Structural Review Required No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 07 -29 -10 Approved Approved with Conditions n Not Approved (attach comments) n 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 v • 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 r ,fit.• ;. a , .�': .•�,..:�.dW gar ' a tytym.r.: Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: %- 7- j 0 Plan Check/Permit Number: D 10 -167 Response to Incomplete Letter # 1 ❑ Response to Correction Letter # ❑ Revision # after Permit is Issued Revision requested by a City Building Inspector or Plans Examiner Project Name: Mathias Demo Project Address: 12056 44 Av S Contact Person: dlik r_ Phone Number: 09(7 a" (.c2 &3 7 M) \ OttR_ -- S � r v c crL a- tx,0 l / Jowt/v‘ hG _ IYr,.Ge� (.01-1 um -7— 0010 mama OPTUMVIIA 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 "7-77 - f 0 IJUL 0 7 2010 PERMIT CENTEp \applications \forms - applications on Tine \revision submittal Created: 8 -13 -2004 Revised: Page 1 of 1 Joanna Spencer - Re: SFR @ 12056 44 Ave S Demochard- ,. -„ _ ....... , 11, ...M _ w .. a .ite...,«.o... -..... �, .- � ... ... � q ... Wen. .e.... 14.141.4 . .. From: Richard Takechi To: Joanna Spencer Date: 07/01/2010 2:50 PM Subject: Re: SFR @ 12056 44 Ave S Demochard- There's an existing 3/4" water meter that has been off since 2/10. The account is in the inactive status. The property is on septic, part of the Allentown Ph II area. The house is on the Metro line, which means it's not subject to the Allentown connection charge. There are no surface water liens on the property. »> Joanna Spencer 07/01/2010 2:13 PM »> Richard - What is the status of their WM ? Are they on sewer or still on septic ? Any liens ? Thanks, Joanna D10 In file: / /C:\Documents and Settings \joanna.TUKWILA \Local Settings \Temp\XPgrpwise \4C... 07/01/2010 Contractors or Tradespeople Printer Friendly Page • General /Specialty Contractor A business registered as a construction contractor with LEN 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 K & B EXCAVATING INC UBI No. 601576333 Phone 4258442799 Status Active Address 13110 Ne 177Th PI 140 License No. KBEXCI•055LE Suite /Apt. License Type Construction Contractor City Woodinville Effective Date 6/5/1995 State WA Expiration Date 10/2/2011 Zip 980725714 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date KIRKPATRICK, MARGARET 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 1 COLONIAL AM CAS & SURETY OF MD LPM4040441 10/02/2001 Until Cancelled $12,000.00 09/14/2001 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 6/2/1995 Until Released Bond $6,000.00 6/7/1995 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 15 NORTH PACIFIC INS CO C15130627 10/02/2008 10/02/2010 $2,000,000.00 09/25/2009 14 LLOYDS OF LONDON (UNDERWRITER CJ0677063 10/02/2007 10/02/2008 $1,000,000.00 09/11/2007 13 UNDERWRITERS AT LLOYDS CJ0583077 10/02/2006 10/02/2007 $1,000,000.00 09/22/2006 12 UNDERWRITERS AT LLOYDS CJ0352155 10/02/2004 10/02/2006 $1,000,000.0009 /27/2005 11 LLOYDS OF LONDON (UNDERWRITER CJ0352155 10/02/2003 10/02/2004 $2,000,000.0009 /25/2003 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 07/22/2010 KB Excavating Inc 425 844 -#58 p.1 DEPARTMENT OF LABOR AND IND1ISfRII-S REGISTERED AS PROVIDED BY LAW AS CONST CONTR GENERAL REGIST. It EXP. DATE CCOI KBEXCI.055LE 10/2/2011 EFFECTIVE DATE 6/5/1995 K & B EXCAVATING INC 13110 NE 177TH PL 140 WOODINVILLE WA 98072 -5714