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Permit D11-152 - HEATHERWOOD APARTMENTS - SHEETROCK
HEAThERWO OD APARTMENTS 5851 S 152 ST Dl 1 -152 Parcel No.: Address: Suite No: City oikukwila • 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.TukwilaWA.gov 5851 S 152 ST TUKW DEVELOPMENT PERMIT Project Name: HEATHERWOOD APARTMENTS Permit Number: Issue Date: Permit Expires On: D11 -152 06/01/2011 11/28/2011 Owner: Name: Address: Contact Person: Name: MARCUS SEGARRA Address: 11831 SE 32 ST , BELLEVUE WA 98005 Contractor: Name: PIPELINE PLUMBING & CONSULTING, INC. Address: 11831 SE 32 ST , BELLEVUE WA 98005 Contractor License No: PIPELPC 101 BW Phone: 253 - 880 -6136 Phone: 425 644 -2622 Expiration Date: 09/13/2012 DESCRIPTION OF WORK: REPLACE SHEETROCK THAT WAS REMOVED TO REPLACE WATER PIPING IN UNITS 102, 202, 302, 103, 203 & 303 Value of Construction: $500.00 Fees Collected: $67.50 Type of Fire Protection: SPRINKLERS International Building Code Edition: 2009 Type of Construction: V -B Occupancy per IBC: 0021 Electrical Service Provided by: * *continued on next page ** doc: IBC -7/10 D11-152 Printed: 06 -01 -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. Start Time: End Time: Fill 0 c.y. 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: (% I L I 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 and agree to the conditions attached to this permit. Ail Signature: ' / — Date: 6/1/17 ` 7 Print Name: ?)1,014TJ4 Spa �L 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. PERMIT CONDITIONS: 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: Insulating materials, where exposed as installed in buildings of any type of construction, shall have a flame spread index of not more than 25 and a smoke development index of not more than 450. Where facings are installed in concealed spaces in buildings of Type III, IV, or V construction, the flame spread and smoke - developed limitations do not apply to facings, that are installed behind and in substantial contact with the unexposed surface of the ceiling, wall or floor finish. doc: IBC -7/10 D11 -152 Printed: 06 -01 -2011 6: All construction shall be done in conform with the approved plans and the requirem of the International Building Code or International Residential t , International Mechanical Code, Washingt to 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: 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. 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. doc: IBC -7/10 D11 -152 Printed: 06 -01 -2011 CITY OF TUK Community DevelVolet Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Building Pei-01%1o. blt-15-.1._ 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: King Co Assessor's Tax No.: Suite Number: Floor: / — 3 sg c/ s I v7 \ Tenant Name: L Property Owners Name: P4tge/ L /00 J a pl'p Wvtoi Mailing Address: New Tenant: ❑ Yes ❑ .. No City State Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Name: Gl/lMrrAt s _Cegettrrek Day Telephone: vC 43-880- p Mailing Address: 1/g3 1 5- e - 302 d d 51L- f //e off Qfg©cC City E -Mail Address: 54e a (' 01-1 el1AmbJ fl 7 IBC- (('1 Fax Number: s? 04 t 7E3V GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: 1-12e / L rilit 141 tit ig 3) 5-10- 3n2VJ s-4- f,,egevtne cl Mailing Address: City State Zip Contact Person: IMPtie04 Sf4Ot n'— Day Telephone: 53 ego- 6.1 E -Mail Address: Fax Number: tog- 6W—r. 0,q7 (Se Contractor Registration Number: Expiration Date: ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip ENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip H: Applications\Ponns- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: May 2011 bh Page 1of6 BUILDING PERMIT INFORMATIO- 206 - 431 -3670 Valuation of Project (contractor's bid price): $ %= % %''`� 0� Existinguilding Valuation: $ Scope of Work (please provide detailed information): Rf 0 '.e 5ke-e roc, -Oi,/. 1/voiS re M 0 re -J 1 / 0 / 1 o a,, o a i 3 0 a 7 ` J Q ?,..2c9, 303 ui ()We r Will there be new rack storage? ❑ ....Yes ..No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: 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 Line12010 Applications17 -2010 - Permit Application.doc Revised: May 2011 bh Page 2 of 6 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1' Floor 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:\Applications\Forms- Applications On Line12010 Applications17 -2010 - Permit Application.doc Revised: May 2011 bh Page 2 of 6 1 PERMIT APPLICATION NOTES — E•icable 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 0 OR TH ZED AGENT: Signature: Name: 9'[14 J Sl°�� Mailing Address: 1 �� 3/ S' -P - 3o'n d 5 7 Date: (h / 1 / 1/ Day Telephone: S ? ^ 6d " 016' Ili voe City State rig,0( Zip IDate Application Accepted: Date Application Expires: Staff' Initials: H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: May 2011 bh Page 6 of 6 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov RECEIPT Parcel No.: Permit Number: D11 -152 Address: 5851 S 152 ST TUKW Status: PENDING Suite No: Applied Date: 06/01/2011 Applicant: HEATHERWOOD APARTMENTS Issue Date: Receipt No.: R11 -01101 Payment Amount: $67.50 Initials: WER Payment Date: 06/01/2011 03:36 PM User ID: 1655 Balance: $0.00 Payee: PIPELINE PLUMBING (PHONE) TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 711053 ACCOUNT ITEM LIST: Description 67.50 Account Code Current Pmts BUILDING - RES STATE BUILDING SURCHARGE 000.322.100 63.00 640.237.114 4.50 Total: $67.50 doc: Receiot -06 Printed: 06 -01 -2011 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. 6II -I52_ CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Pro'e t: el" W006 Type o Inspection: Ad! S • 152.--4-- Date Called: Special Instructions: % Date Wanted: (4 n — �a.m� G Requester: Phone No 253- S(pl -2In Approved per applicable codes. a Corrections required prior to approval. COMMENTS: oek-q wol c.bmp(ar per 4:7- c.-DAA p(M Ctf)\ ri REINSPECTION FEE REQUIRED. rior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: Date: J r. 4t$ 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 OII - Z Project: rod� Type of Inspection kA./ __S Address: /. 5-F<5 (S. 15Z Date Called: - Special Instructions: ( SOS- SS' -0, Fe .." Date Wanted: / D 2 C " (1 a.m. p.m. Requester: Phone No 2_ )3 -56 2 I v Approved per applicable codes. Corrections required prior to approval. / COMMENTS: I �1 , ( )--r_S 6„) a^ /00.1.0.. v 4 Sit e ems 1 a Insdector: A7 Dater (— 1( n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. I Retain a copy with permit INSPECT ON NO. PERMIT NO. CITY OF TUKWI'LA BUILDING DIVISION _ •, • 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 =3670. • • Permit Inspection Request Line (206) 431 -2451 Project: WAT HI' RWcoD • Type oa�f I,nnsp�e_ctii'oJ}�� C� WLS rAP Addr s' _ �— 5 �5 S S. (Si ST_ Date Called: Special Instructions: O C)S3 11 0 i X Date Wanted• ^� ••' a_a.m` -, • l,0 l (1 p.m. Requester: Phone rti • ElApproved per applicable codes. Corrections required prior to approval. 7.'• COMMENTS: /\ %] • C1 • • Date:l , d 1:1".<,..4 EINSPECTION FEE REQO RED. Prior to next nspectioh, fee must be.. T :k': aid at 6300 Southcenter BLd., Suite 100. Cal to schedule reinspection. • INSPECT NO. INSPECTION RECORD Retain a copy with permit 52L 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: I -tt ti--) O Type of Inspection: C: +Ai AL & : i d i A 4 (PAIL CIA Address: n! SS1 s. 1525 Date Call �� Special Instructions: Date Wanted: I / ( 4 �� I P.m. ( Requester: Phone No: 7 3 —8O-(3( ElApproved per applicable codes. O Corrections required prior to approval. COMMENTS: ?Ar(& pfI)1!k c9 3o3 �� OA fr D'\ mote ) -� Date .. l r t ( ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. R' - - P r. -1r4J. ir- : ? rTx :F ;.� - r -r- I`rY 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 2 Pro. t V A i )J S APT: Type of Inspectitiu Address: Date Called: Special Instructions: Date Wanted: a.m. (®— (( (p.m: 1 Requester: Phone No- ?5.3 --- WWO -6(3c LJApproved per applicable codes. Lj Corrections required prior to approval. COMMENTS: c) P Po O-i-) A << w 1 tom _.,� or: EINSPECTION FEE REQUIRED. Prior to ext inspection. fee must be aid at 6300 Southcenr Blvd.. Suite 100. all to schedule reinspection. Date/. CAA_ INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OFTUKWILA BUILDINGDIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 611-152_ Pro' ct: &.1/0 ODA Type of Inspection: Address: ,.--, tcgsI S. t52 —s'- Date Called: Special Instructions: Date Wanted: 6 /`� a.m. Requester: Phone No: 253- 'k'O _G /3J: ElApproved per applicable codes. a Corrections required prior to approval. COMMENTS: Inspe or: Date: 1 ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • • • r Contractors or Tradespeople Peer Friendly Page • General /Specialty Contractor A business registered as a construction contractor with LEI 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 PIPELINE PLUMBNG /CONSULTNG INC UBI No. 601189310 Phone 4256442622 Status Active Address 11831 Se 32Nd St. License No. PIPELPC101BW Suite /Apt. License Type Construction Contractor City Bellevue Effective Date 1/16/1990 State WA Expiration Date 9/13/2012 Zip 98005 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company sociated Licenses Specialty Specialty 2 Effective Expiration Dat Status PIPELP'159NT PIPELINE Construction plumbing Fire Protect 8/30/1985 8/30/1990 Archived PLUMBING Contractor System SSCALP'1640E S &SON CALL Construction plumbing Fire Protect 9/5/1984 8/30/1985 Archived PLUMBING Contractor System Business Owner Information Name Role Effective Date Expiration Date FOWLER, STEVEN T B 01/01/1980 Bond Information Page 1 of 2 Bond B Bond Company Name B Bond Account Number E Effective Date E Expiration Date C Cancel Date I Impaired Date B Bond Amount R Received Date 6 L LEXON INS CO 9 9800271 0 08/30/2009 U Until Cancelled $ $12,000.0009/16 / /2009 5 D DEVELOPERS SURETY 7 748001C 0 08/30/2007 U Until Cancelled $ Business Owner Information Name Role Effective Date Expiration Date FOWLER, STEVEN T B 01/01/1980 Bond Information Page 1 of 2 Bond B Bond Company Name B Bond Account Number E Effective Date E Expiration Date C Cancel Date I Impaired Date B Bond Amount R Received Date 6 L LEXON INS CO 9 9800271 0 08/30/2009 U Until Cancelled $ $12,000.0009/16 / /2009 5 D DEVELOPERS SURETY 7 748001C 0 08/30/2007 U Until Cancelled $ $12,000.00 0 09/05 /2007 4 C CBIC 6 658195 0 08/30/2001 0 08/30/2007 1 10/12/2009 $ $12,000.0009/10 /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 19 NATIONWIDE MUTUAL INS CO ACPGL7852354529 08/30/2010 08/30/2011 $1,000,000.0008 /31/2010 18 NATIONWIDE MUTUAL INS CO ACPGL7832354529 08/30/2009 08/30/2010 $1,000,000.0009 /01/2009 17 NATIONWIDE MUTUAL INS CO ACPGL7812354529 08/30/2007 08/30/2009 $1,000,000.00 09/09/2008 16 NATIONWIDE MUTUAL INS CO ACPGL07511599155 08/30/2005 08/30/2007 $1,000,000.00 08/15/2006 15 NATIONWIDE MUTUAL INS CO ACPGL07501599155 08/30/2004 08/30/2005 $1,000,000.0009 /01/2004 14 SECURITY NATIONAL INS CO CPA05370300007 08/30/2003 08/30/2005 $1,000,000.0007 /26/2004 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 06/01/2011