HomeMy WebLinkAboutPermit D10-199 - OFFICE OF THE GOVERNOR - FIRST FLOOROFFICE OF THE
GOVERNOR
6840 FORT DENT WY
D10 -199
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.: 2954900425
Address: 6840 FORT DENT WY TUKW
Suite No:
Project Name: OFFICE OF THE GOVERNOR
DEVELOPMENT PERMIT
Permit Number: D10 -199
Issue Date: 09/01/2010
Permit Expires On: 02/28/2011
Owner:
Name: PEPPERWOOD HOLDINGS LLC
Address: 2835 82ND AVE SE #300 , MERCER ISLAND WA 98040
Contact Person:
Name: GEORGE GOODFELLOW
Address: MSA 2221 FIFTH AV , SEATTLE WA 98121
Contractor:
Name: FOUSHEE & ASSOCIATES CO INC
Address: BOX 3767 , BELLEVUE, WA 98009
Contractor License No: FOUSHAC 1580D
Phone: 206 - 441 -1449
Phone: 425 746 -1000
Expiration Date: 08/12/2011
DESCRIPTION OF WORK:
FIRST FLOOR COMMERCIAL OFFICE TENANT IMPROVEMENT INCLUDING CREATING A NEW ENTRANCE OFF THE
COORIDORAND FILLING IN A PARTITIONED DEMISING WALL.
Value of Construction: $3,500.00 Fees Collected: $275.43
Type of Fire Protection: SPRINKLERS International Building Code Edition: 2009
Type of Construction: V -B Occupancy per IBC: 0008
* *continued on next page **
doc: IBC -10/06
D10 -199 Printed: 09 -01 -2010
City oitTukwila •
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: D1O -199
Issue Date: 09/01/2010
Permit Expires On: 02/28/2011
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant:
Flood Control Zone:
Hauling:
Land Altering:
Landscape Irrigation:
Moving Oversize Load:
N
N
Number: 0 Size (Inches): 0
Start Time:
Volumes: Cut 0 c.y.
End Time:
Fill 0 c.y.
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:
Permit Center Authorized Signature:
N
Date: q— I " t 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 • . o nce of work. Ithorized to sign and obtain this development permit.
Signature: Date: 2G (C-
Print Name: C V l r .• 9 r7 v
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
D10-199 Printed: 09 -01 -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.: 2954900425
Address:
Suite No:
Tenant:
6840 FORT DENT WY TUKW
OFFICE OF THE GOVERNOR
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
D10 -199
ISSUED
08/02/2010
09/01/2010
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: 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.
6: 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.
7: 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.
8: 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.
9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
10: 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.
11: ** *FIRE DEPARTMENT CONDITIONS * **
12: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the
following concerns:
13: 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)
14: 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
doc: Cond -10/06
D10-199 Printed: 09 -01 -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
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)
15: 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)
16: 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)
17: 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)
18: 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)
19: 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)
20: 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)
21: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10)
22: 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)
23: Maintain sprinkler coverage per N.F.P.A. 13. Addition/relocation of walls, closets or partitions may require relocating
and/or adding sprinlder heads. (IFC 901.4)
24: Sprinklers shall be installed under fixed obstructions over 4 feet (1.2 m) wide such as ducts, decks, open grate
flooring, cutting tables, shelves and overhead doors. (NFPA 13- 8.6.5.3.3)
25: All new sprinlder systems and all modifications to existing sprinkler systems shall have fire department review and
approval of drawings prior to installation or modification. New sprinkler systems and all modifications to sprinkler
systems involving more than 50 heads shall have the written approval of the W.S.R.B., Factory Mutual, Industrial Risk
Insurers Kemper or any other representative designated and /or recognized by the City of Tukwila, prior to submittal to
the Tukwila Fire Prevention Bureau. No sprinlder work shall commence without approved drawings. (City Ordinance #2050)
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.
doc: Cond -10/06
D10-199 Printed: 09 -01 -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
29: The maximum flame spread class of finish materials used on interior walls and ceilings shall not exceed that set forth
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 -199 Printed: 09 -01 -2010
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing
this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating
construction or the performance of work.
Signature:
Print Name: C 1 1 V' P S Sc-e(2.47)
Date:
doc: Cond -10/06
D10-199 Printed: 09 -01 -2010
CITY OF TUKWILA.
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: t "www. c i. tukwila. wa. us
1 \
Building Permit No. U t o-'1 q
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
Site Address:
Tenant Name:
Frzsmr be..�cr TWO
tee 'Fowl- Dam- WWI
King Co Assessor's Tax No.: Z.1154+10 - (54 V5
Suite Number: N. GTtt Floor: RAT
New Tenant: 0 Yes S..No
Property Owners Name: .k,t+N C . tk&CETIIC1.1 IDEIMI -0 p' MEAT"
Mailing Address:
City
I-
State
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name: {�ictt.Q6:4m. �- (.40c,FE..t..1. / Day Telephone: 2.4,6 44 1 -144-7
Mailing Address: 11015A 2,2,2.1 1 MIS' -r All= S I- Arr'1..S. VIA if ss j 2. (
• City State Zip
E -Mail Address: j e Caloolp .Ufly) e., vim:vi ..1 $'T N Fax Nurpber: 2176 4,441-4-3G. I
GENERAL CONTRACTOR INFORMATION
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name: I+ V`-''
Mailing Address:
Contact Person: V r 1M
,esGed.- cpac,
A-S Svc r -(p
City
Day Telephone: `Z Y 6 "' l ocr�
State Zip
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
ARCHITECT OF RECORD - Rill plans.must be wet stamped by. Archltect of Record
Company Name: ATZ•4 t N S're 14 tr1
Mailing Address: 1.22 % Ft tart . �1/C
AS5 0 CI i rr ¶
W4 9fi312..(
City State Zip
Contact Person: (j G p=. ) Day Telephone: 'Z- '(c+ 44 1- 1 41--1 -°1
E -Mail Address:
`.►•vim
INFax.,Number: 2• Ca. 44 (- 45 4,
a CC,
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 \Applicauons\rorms- Applications On Line\2009 Applications \I -2009 - Permit Application doc
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State
Zip
Page 1 of 6
BUILDING PERMIT INFORMATION - N- 206- 431 -3670
• I/
Valuation of Project (contractor's bid price): $ 3 t 5OC 0 0 Existing Building Valuation: $
Scope of Work (please provide detailed information): Fr V S4- - roc.- CG ✓►'1 ph c PC r a
02eF(ce- 1ev\ Ppf .-w►rrc)t;-e--i4tet-F rviv&Iv0ln, Crc 4r t-,
rt pie w Cvl4va arm OPE 4-L\e- Covet dc,- Q H4
Pc [ kr/5 l v1 a paft4 toot1ec cea,cSrr.5 ttiul f -
Will there be new rack storage? ❑ ....Yes
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:
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.
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Page 2 of 6
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
181 Floor
2-2 3
it
2nd Floor
3rd Floor
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:
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:Wpplications\Forms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc
Revised: 7 -2010
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Page 2 of 6
CITY OF TUKIA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
SITE LOCATION
Building 11 11/
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 **
King Co Assessor's T o.:
Site Address: Suite Nu .;'' er: Floor:
❑ Yes ❑..No
Tenant Name:
New Tenant:
Property Owners Name:
Mailing Address:
City State Zip
CONTACT PERSON — who do we contact when y r permit is ready to be ° ued
Name: Day Telephone:
Mailing Address:
City State Zip
E -Mail Address: Fax Number:
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbin nd Gas ing (pg 5))
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Number:
Contractor Registration Number: E ation Date:
ARCHITECT OF RECORD — Al t lans must be stamped by Architect of Recor
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
ENGINEER OF R ORD — All plans must be stamped by Engineer of Record
Company Name:
Mailing Add
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
H:Wpplications\Forms- Applications On Line12010 Applications \7 -2010 - Permit Application. doc
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Page 1 of 6
PERMIT APPLICATION NOTES — AAtcable 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 rTHORIZED AGE T:
Signature: Date:
Print Name:
C�ndt J' SC�tt2 U
Mailing Address: 2C3
1Of202o(a
Day Telephone: `).---O 6- 2407" Coca. O
M cPc e --- a t d/ ut, * '7E0 Yo
City
Stake Zip
Date Application Accepted: ��- 0
Date Application Expires:
Staff Initials: l4 %
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PLUMBING AND GAS PIPING PERM INFORMATION — 206 - 431 -3670
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 Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (con actor's bid price): $
Scope of Work (please provide deta d information):
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets beingistalled an `+ e quantity below:
Fixture Type:
Qty
Fixture Type:
Qty
Fl ur '` ype:
Qty
Fixture Type:
Qty
Bathtub or combination
bath/shower
Bidet
Clo • - washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking fountain or
water cooler (per head)
'*s od -wa grinder,
commerci.
Floor Drain
Shower, single head trap
Lavatory
Wash fountai :
Receptor, indirect waste
Sinks
Urinals
Water Closet
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
Water heater and/or v::
Industrial waste treat t
interceptor, including tr '
and vent, except for kitch -,
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 alt - ,ration of
water pipi : and/or water
treatme - quipment
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
Bac . ow protective
d - ce other than
. 't ospheric -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
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i •
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.: 2954900425
Address: 6840 FORT DENT WY TUKW
Suite No:
Applicant: OFFICE OF THE GOVERNOR
RECEIPT
Permit Number: D10 -199
Status: PENDING
Applied Date: 08/02/2010
Issue Date:
Receipt No.: R10 -01469
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $275.43
Payment Date: 08/02/2010 03:31 PM
Balance: $0.00
PEPPERWOOD HOLDINGS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 001171 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
PAYME T
RECEIVE
doc: Receiot -06 Printed: 08 -02 -2010
INSPECTION RECORD
Retain a copy with permit
b'(9 --1
1
INSPECTION NO. PERMIT NO.
\1 ►NYII
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd: #100, Tukwila. WA 98188 (206) 431. 3670• •
• Permit Inspection Request Lin (206) 431 - -2451
Project:
k
Type.of Inspection: t r •
Adc#Tesys�i
6•°
Date Called:
•
Special.Instructions:
•
Date Wanted: !
I�- t±
r.
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
Permit Inspection Request Line (206) 431 -2451
Project: /
oAcer!' d frredde
Type of Inspection:
/AJ'l '('
Address:
(( %) co gr:DF/TA
Date Called:
C/
Special Instructions: -
. (17 04/
ate Wan ed:
a.m.
Requester:
Phone No:
q -96
-6.78/
aApproved per applicable codes.
'COMMENTS:
LiCorrections required prior to approval.
Inspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection,-fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
+� acs., z.7z=
INSPECTION RECORD
Retain a copy with permit
M__AD
01 4) 15/
• ' INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, TukWila. WA98188 (206) 431-3'670
Permit Inspection Request Line (206) 431-2451
Projest,,,
et .:h (-- e lc coaceptAL
Type nspection:
A-14..t.A.4„
Called:
Address:„.. %....,— „Bate
La 8"Afq f-.41-1 61404
Special Instructibns::
q.U.-4650
Date Wanted: .
/
/.
0 -(q--(0 • •
Requester:
Phone No
'4 245
-"-.446 -474
Approved per applicable codes.
Corrections required.prior to approval.
COM 'ENT&
■.-419,0
•
-N6
Date:
/ — I
INSPECTION FEE EQUIRED.,•Priiir to next inspection fee must be- x, •
id at 63005outhcanter Blvd., Suite 100. Call to schedUle reinspection.
; •
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•
w •
n.,
INSPECTION NUMBER
INSPECTION RECORD
Retain a Copy with .permit
16 '4'r;iR'G'i
PERMIT' NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
444 Andover Park East, Tukwila, Wa. 98188 206- 575 -4407
Project: 0444
d 4
Type of Inspection .
)--i1f l , EAJ
Address: i' 4/ ()
Suite #:
/T ,)- 4e � ►w i
Contact Person:
t
Special Instructions:
Phone No.: .
Approved per applicable codes.
I I Corrections required prior to approval.
• COMMENTS:
e0 ediatArt a,- d 40: ("' " "4-
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
y
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
, __
Occupancy Type:
Inspector:
riforif
I Date: i.i. /i 1/D
Hrs.:
n $80.00'R NSPECTION FEE REQUIRED. You will receive an invoice from
the City of Tukwila Finance Department. Call to schedule a reinspection.
Word /Inspection Record Form.Doc
1/13/06
T.F.D. Form F.P. 113
a
ta.r',ta'aro
INSPECTION RECORD •
Retain a copy'with permit
INSPECTION. NUMBER PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
444 Andover Park East, Tukwila, Wa. 98188 .—. 206 -575 -4407
Project:
O F/ei o) - rjJE6,00E,2rww442
Type of Inspection::
■A2 �✓ ,44-
Address: 6/690
Suite #:`
'1- O4 1..."1
"
Co tact Person:
-0c-riAt..c /r.t.7'-kasl--it-‘:
Special Instructions:
'Monitor:
Phone No.:
Approved per applicable codes.
•
Corrections required prior to approval.
COMMENTS:
Nit IS, T 61.c 7-1.44.411A 1144
rL►s
014
•
Needs Shift Inspection:
Sprinklers:
j i0
Fire Alarm :
Hood & Duct:
.,•
'Monitor:
Pre -Fire:
Permits:
Occupancy Type:
•
Inspectoly
Date: i
j i0
0
-Hrs.:
n $80.00 REINS' ECTION FEE REQUIRED. You will receive an invoice from
the City of Tukwila Finance Department. CaII to schedule a reinspection.
Word /Inspection Record Form.Doc 1/13/06
T.F.D. Form F.P. 113
•
PLAN
•
S5 V
6; r
IE /ROUTING SLIP
ACTIVITY NUMBER: D10 -199 DATE: 08 -02 -10
PROJECT NAME: OFFICE OF THE GOVERNOR
SITE ADDRESS: 6840 FORT DENT WY
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENT ,
Bt`]ilding Division (��
Public Wo(I01.
G
re�Prevention
Structural
ID 9-3-10
Pldnning Division [ 1
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Incomplete
DUE DATE: 08-03-10
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 4X, Structural Review Required
REVIEWER'S INITIALS:
No further Review Required
DATE:
APPROVALS OR CORRECTIONS:
Approved n Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE: 08-31 -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
Contractors or Tradespeople Peer Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with Lfxl 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 FOUSHEE ft ASSOCIATES CO INC UBI No. 600259643
Phone 4257461000 Status Active
Address Po Box 3767 License No. FOUSHAC158OD
Suite /Apt. License Type Construction Contractor
City Bellevue Effective Date 9/4/1985
State WA Expiration Date 8/12/2011
Zip 98009 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
BIRTCJV088LK
BIRTCHER / FOUSHEE A
JNT VNTR
Construction
Contractor
General
Unused
6/12/1992
6/12/1994
Archived
BIRTCCL093M6
BIRTCHER
CONSTRUCTION
LIMITED
Construction
Contractor
General
Unused
7/26/1991
7/11/1994
Archived
LEYSHL'150NR
LEYSHEE LTD
Construction
Contractor
General
Unused
8/19/1985
8/1/1992
Archived
LEYSHCL181MF
LEYSHEE COMPANY
LTD
Construction
Contractor
General
Unused
7/6/1982
6/28/1983
Archived
ROWLEFC236RW
ROWLEY /FOUSHEE
CONST CO INC
Construction
Contractor
General
Unused
12/16/1977
12/16/1985
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
FOUSHEE, JEFFERY C
Cancel Date
01/01/1980
Amount
BARKER, RICHARD A
26
01/01/1980
GL03790723
ANDERSON, LOCH G
04/15/2011
01/01/1980
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
7
SAFECO INS CO OF
AMERICA
5771144
08/12/2001
Until Cancelled
$12,000.00
07/23/2001
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
26
ZURICH
AMERICAN INS
CO
GL03790723
04/15/2010
04/15/2011
$1,000,000.00
03/15/2010
25
ZURICH
AMERICAN INS
CO
GL03790723
04/15/2006
04/15/2010
$1,000,000.00
03/04/2009
24
ZURICH
AMERICAN INS
CO
GL0379723
04/15/2005
04/15/2006
$1,000,000.00
04/15/2005
https://fortress.wa.gov/lni/bbip/Print.aspx
09/01/2010