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HomeMy WebLinkAboutPermit D11-156 - THORNTON RESIDENCE - 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. D11 -156 Thornton Demolition 1332856 th Avenue South RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) 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 numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 26 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. THORNTON DEMOLITION 13328 56 AV S D11 -156 City oftukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.TukwilaWA.gov Parcel No.: 2172000205 Address: 13328 56 AV S TUKW Suite No: Project Name: THORNTON DEMOLITION DEVELOPMENT PERMIT Permit Number: D11 -156 Issue Date: 09/02/2011 Permit Expires On: 02/29/2012 Owner: Name: THORNTON RALEIGH J Address: 13328 56TH AVE S , TUKWILA WA 98178 Contact Person: Name: SARA SLATTEN Address: 16720 REDMOND WY, SUITE G , REDMOND WA 98052 Contractor: Name: PELLAND ENTERPRISES Address: 16516 119TH AVE CT E , PUALLUP 98374 Contractor License No: PELLAE *0380C Phone: 425 - 749 -9945 Phone: (253)8453766 Expiration Date: 06/27/2012 DESCRIPTION OF WORK: DEMOLITION OF EXISTING SINGLE FAMILY RESIDENCE TOTALING 980 SF) AND DETACHED GARAGE (TOTALING 409 SF). SEPARATE BLDG PERMIT APPLICATIONS SUBMITTED FOR NEW REPLACEMENT SINGLE FAMILY RESIDENCE AND DETACHED GARAGE. PUBLIC WORKS ACTIVITIES INCLUDE EROSION CONTROL, CAPPING OF SEWER AND WATER SERVICE. Value of Construction: $6,700.00 Fees Collected: $645.97 Type of Fire Protection: International Building Code Edition: 2009 Type of Construction: V -B Occupancy per IBC: 0022 Electrical Service Provided by: SEATTLE CITY LIGHT * *continued on next page ** doc: IBC -7/10 D11 -156 Printed: 09 -02 -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: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Permit Center Authorized Signature: N N Y Y • Number: 0 Size (Inches): 0 Start Time: Volumes: Cut 0 c.y. End Time: Fill 0 c.y. Start Time: End Time: Private: Profit: N Private: Date: Public: Non - Profit: N Public: I hereby certify that I have read and "-,y�,� ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie whether specified herein or not. The granting of this permit does not p e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or t performance of work. am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: Print Name: Date: 9 \ 2-1 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 or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ** *BUILDING DEPARTMENT CONDPIIONS * ** 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 doc: IBC -7/10 D11 -156 Printed: 09 -02 -2011 Department (206- 431 - 3670). • 1 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: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** Applicant shall obtain a Puget Sound Air Pollution Agency (PSAPCA) demo permit prior to any demolition activity. 9: The APPLICANT SHALL CALL Public Works Dept. at 206 433 -0179 48 Hours in advance to schedule a Public Works pre - construction meeting. The applicant must notify the City Project Inspector at (206)433 -0179 upon commencement and completion of work at least 24 hours in advance. All inspection requests for utility work must also be made 24 hours in advance. 10: Contractor shall notify Public Works Project Inspector at (206)433 -0179 of commencement and completion of work at least 24 hours in advance. 11: Work affecting traffic flows shall be closely coordinated with the City Project Inspector. 12: Flagging, signing and coning shall be in accordance with MUTCD for Traffic Control. Sweep or otherwise clean streets to the satisfaction of Public Works each night around hauling route (No flushing allowed). Notify City Inspector before 12:00 Noon on Friday preceding any weekend work. 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 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: Disconnected side sewers which will be reconnected in the near future shall be capped at the property line. 19: Sewer and water utilities shall be plugged at the mains if they are to be abandoned. If they will be used again in the near future for a new building, they shall be capped at the property line and at the water meter respectively. 20: ** *PLANNING DEPARTMENT CONDITIONS * ** 21: Demolition final shall not be approved until a bond or other financial assurance is submitted for removal of the shed. The owner must provide a bond or other financial guarantee acceptable to the Director in the amount of 150% of the cost of removal of the shed that will remain on site and assurance that the shed will be removed or demolished in the event that a new home is not constructed on the property. doc: IBC -7/10 D11 -156 Printed: 09 -02 -2011 CITY OF TUKOLA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. ci. tkwila. wa. us • Dino Building Permit No. •U -(31' Mechanical Permit No. Plumbing/Gas Permit No. Public Works Permit No. Project No. pti-015-4- (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 King Co Assessor's Tax No.: 2172000205 Site Address: 13328 56th Avenue South Tenant Name: N/A Property Owners Name: Raleigh & Myrna Thornton Mailing Address: 13328 56th Avenue South Suite Number: Floor: New Tenant: ❑ Yes ❑..No Tukwila City State 98178 Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Name: Sara Slatten Mailing Address: 16720 Redmond Way E -Mail Address: sslatten @ armstrong- homes.com Day Telephone: (425) 749 -9945 Redmond City State Fax Number: (425) 8834741 98052 Zip GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: Armstrong Construction Mailing Address: 2715 Aubum Way North Contact Person: Kevin Coons, Superintendent E -Mail Address: kevinc @armstrong- homes.com Contractor Registration Number: ARMSTC *373NO Aubum City State Day Telephone: (253) 833 -3355 Fax Number: (253) 351 -6429 98002 Zip Expiration Date: 05/07/2012 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 tineUA10 Applications 7-2010 - Pemtit Application.doc Revised: 7 -2010 bh Page I of 6 BUILDING PERMIT INFORMATI• 206 -431 -3670 • Valuation of Project (contractor's bid price): $ 6,700.00 Existing Building Valuation: $ Scope of Work (please provide detailed information): Demolition of existing single family residence (totaling 980 SF) and detached garage (totaling 409 SF). Separate building permit applications submitted for new replacement single family residence and detached garage. Will there be new rack storage? ❑ Yes m.. 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 Line\2010 Applications\7 -2010 - permit Application.doc Revised 7 -2010 bh Page 2 of 6 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC la' Floor 980 rd Floor 3`d Floor Floors thru Basement Accessory Structure' Attached Garage Detached Garage 409 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 Line\2010 Applications\7 -2010 - permit Application.doc Revised 7 -2010 bh Page 2 of 6 Staff Initials: I 1 d/ 1 PERMIT APPLICATION NOTES — Applicable to all permits in this application Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). I HEREBY CERTIFY THAT 1 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 OWNE Signature: Print Name: AUTHOi AGE frf •S/C1 t, Mailing Address: 13328 56th Avenue South Day Telephone. Tukwila City Date: 6-7-0 ^/ 9 [ /] 2O& A3 0266; - / "" 98178 �[l /LIS- WA State Zip Date Application Accepted: Date Application Expires: a' 1 (/ H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: 7 -2010 bh Page 6 of 6 • City of Tukwila 1 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: http: / /www.Tukwila WA.gov Parcel No.: 2172000205 Address: 13328 56 AV S TUKW Suite No: Applicant: THORNTON DEMOLITION RECEIPT Permit Number: D11 -156 Status: APPROVED Applied Date: 06/07/2011 Issue Date: Receipt No.: R11 -01936 Initials: User ID: Payee: JEM 1165 Payment Amount: $502.00 Payment Date: 09/02/2011 04:00 PM Balance: $0.00 LAURA L JIMENEZ TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1011 502.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - RES PW BASE APPLICATION FEE PW PERMIT /INSPECTION FEE PW PLAN REVIEW STATE BUILDING SURCHARGE 000.322.100 000.322.100 000.342.400 000.345.830 640.237.114 Total: $502.00 221.50 250.00 13.00 13.00 4.50 doc: Receipt -06 Printed: 09 -02 -2011 CitI)of Tukwila, Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206-431-3665 Web site: hap : /hvww. ci. tukwila. wa. us SET RECEIPT RECEIPT NO: R11 -01146 Initials: WER Payment Date: 06/07/2011 User ID: 1655 Total Payment: 1,653.04 Payee: LAURA L JIMENEZ SET ID: 060711 SET NAME: THORNTON SET TRANSACTIONS: Set Member Amount D11 -156 D11 -157 TOTAL: 143.97 1,509.07 143.97 TRANSACTION LIST: Type Method Description Amount Payment Check 1002 1,653.04 TOTAL: 1,653.04 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - RES 000.345.830 1,653.04 TOTAL: 1,653.04 E%'' . A. 2 Retain a copy with ermitiP/1' /5 b • 1 • • • INSPEe1I0N'NO.' • . Pi p PERMIT NO. i :: -. • . .CITY OF' TUKWILA BUILDING DIVISION i. • "6300 Southcenter:Bivd,, #100, Tukwila. WA 98188 vt. (206) 431 -367 . Permit Inspection• Request Line (206) 431 -2451 • INSPECTION RECORD Project: " 7-Y4)476*. ® In 0 Type of Inspection: % // /p1,,-. Address: :: ,. : - ./ J . .Sb ev 5 Date Called: Special Instructions: • • _..,. Date Wantyyd:. i /0 /4.7 /// y P.m. Requester: Phone No: c2-53- V./ S —774/0 Approved per applicable codes. Corrections required prior to approval. /0 COMMENTS: / 7 ((Yarn, 041 / INSPECTION FEE REQ 'RED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: 1�n•-� 1othW itiW ©_ Type of Inspe �qn: 1 M11 Address: Jme fat Av C Date Called: Special Instructions: Date Wanted: 101.1 Z + 11 • a.m. P.m., Requester: (plot G Phone No: k...._ )1 IDAliproved per applicable codes. Corrections required prior to approval COMMENTS: (at/WI ok ffaywoi-ina Inspect° %e3 Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. :�:• .- -•■FEie INSPECTION RECORD Retain a copy with permit INSPE TON NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION /V // 6300 Southcenter Blvd., #100, Tukwila: WA 98188 g (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: -r rN 0A/ JD4 40 Type o nspection: '.,, ! tV ACr- LSv. t O , Address: I 3 3 ? g 5- (.0 -rt Date Called: Special Instructions: .( ( ').rtes`( (- Je UQ);c vv1d$ Date Wanted:. r / ml 0 ' I f ',f (P.m Requester: Phone 35 `?'? .4 0 ?,5 3 - -- ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: .( ( ').rtes`( (- Je UQ);c vv1d$ . 77►70,.t 0) b I il : ©k .)n (-AI D i---0 - J < <k., I --'n 01 ,.--. A I i Inspector: • Date: 0_, I n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit 3+(- t. co PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 g.. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: L-4> IT; ) o Type of Inspection: Pre- co-1a �k-AAa Address:: _ Date Called: Special Instructions: ' d 53 f ri (f 0 t V / Date Wante j r % / .m ari. Requester: Phone No: Approved per applicable codes. a Corrections required prior to approval. COMMENTS: Insp ctor: ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Q r..•r'-.•v ar. -n• .u-sec rtc.. pv+ ti:-.. -- --4-- • -F • [- -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 _61( -15-te sie) fit t: y� KY) /- R Type of Insper`_tiion fj Tor 44ure_ net) bu;1I. irude of • Address: Date Called: ) a 1 11 Sp�cial Instructions: Date Wanted: O I-2. l) ' • .Lm . P.m- Requester: . tiOIA 4 Phony 3 (4,...._ 1,7 4.° ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: — Clifie04 af- bu, to(i, .c9.2-4 riot- . aea.oty fj Tor 44ure_ net) bu;1I. irude of • - .`Deoh eJ -.o builA;, 4, of- Pt:nf . RPtzdy Cor cu.- Wt_ elf u) bull d , :Inane/ - S,-- -Te nt e- - 14strAf ted . Ct rvkl e d Inspector: vs Date: 70112-111 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. •i • • •� INSPECTION NO. •:`INSPECTION RCORD,.t 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 Project: + 0f/1 1riY1 m o Type of I ection! - W Address: I ? $ Ave s Date Called: 03//6/11 Special Instructions: �Qi� hour rIvY 1St IA, ,,e1 n n-\ I Date Wanted: oil, I 1 fviau m. ques ter �� Phone No: a5 .3 - 5131 -775/0 t<� Ei Approved per applicable codes. a Corrections required prior to approval. COMMENTS: O,,,JLQ.,, - CL, Attouiefi Inspector: Date: /2,h, /jr REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. _ City of Tukwila 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 206 -431 -3670 ECSNEL NOV -7 2011 + f.;IrY OF rUKWllA FINANCE DEPT .. .- DEVELOPER'S PROJECT WARRANTY REQUEST FORM Section 1. _ to be completed by, Developer Name of Development: Tib(rt{Dr1 1' es L deer c.Q.__ Address: 13322$ Sal J So ,1 k(,C1i [2. i 6 1-19 Release should be sent to: Name: r� 1 L� o rn-fb r-- Date: l lci l l Permit No. Address: I33iZ S404'iC_ S City /State /Zip TIti JL l,a 1, 0,6 L-7 9:3 Phone Number: c2O - 3 - 1--7 c?,7 Description of items to be completed (reference plans /documents where items are described): eO NC) or CAs H ' s.1-1- his YL o -le-A Uri e,rn . (c tie. fie. Ply C4 i -D=714.6 1 t 21 ob,_ -L sh ►z a'+ be Are ro, _.6( V)51,10( 'i s & k»' u 4.34 4r re A.) a L o� Sited = Shezte ---/ r>✓r a4 nr► 10r o+pee -Ii — T. –/b rer,-tx-vr_ .4_ d s pr_ce_ to ocapc be_ '$ac°° As the owner, or authorized agent of the owner, I hereby submit cash or cash equivalent in the amount of $ 30b .' (150% of value to complete work above) and attach support documentation for value of work. I W1 have this work carried out and call for a final inspection by this date: �d.. 3l 20I(, or risk having the City use se funds to carry out the work with their own contractor or in -house manpower. If I fail to carry out the work, I hereby authorize the City to go onto the property and carry out completion of the above deficiencies. I further agree to complete all work listed above prior to requesting inspection and r of these funds. Signed: Ci ip,Gik.__- ��?.�'l�i l�A 69(4(21-721,11 ( Title: e—OCUA Section Z - to4b :completed°`by City staff THISaFUN, Signed: A i 1a.. �' I ! Department Head: Amount: 'II . %a . 0 Deposited this Date: gCash /Check ❑ Cash Assignment ❑ Bond City Receipt No.: 19-R - 01-01-16t Received By: 11 mc, ,y O Sectio0 to b eo pf004.4 y Qeve oiler All work identified in Section 1 of this form has now been completed and returned to department which authorized warranty. I hereby request inspection and release of my cash /cash equivalent/bond. Developer's Representative: Date: To:be cornplpted by C tyiataff I have reviewed the above work and found it acceptable and therefore authorize the release of the above cash /cash equivalent/bond. Inspector: Date: Authorized By: 41110.0P 4 �- to be .completed by' City staff Amount Released: $ 300, 00 Check - Ch ck V o -3(4. 00 59 ❑ Cas Equivalent - Letter attached ❑ Bond - Letter attached Date Released: al MI / Released by: (a� ,(,(h,c j' "yU yvv0 %polity and procedures\red bookadeveloper's proJea warranty form Created: February 2005 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.Tukwila WA.gov Parcel No.: 2172000205 Address: 13328 56 AV S TUKW Suite No: Applicant: THORNTON DEMOLITION RECEIPT Permit Number: Status: Applied Date: Issue Date: D11 -156 ISSUED 06/07/2011 09/02/2011 Receipt No.: Initials: User ID: RI 1 -02049 JEM 1165 Payment Amount: $300.00 Payment Date: 09/19/2011 04:16 PM Balance: $0.00 Payee: CONNIE J TAYLOR TRANSACTION LIST: Type Method Descriptio Amount Payment Check Authorization No. ACCOUNT ITEM LIST: Description 1017 300.00 Account Code Current Pmts BUILDING BOND /DEPOSIT 000.239.100 Total: $300.00 300.00 doc: Receiot -06 Printed: 09 -19 -2011 Pi:. PLAN VIEW /ROUTING SLIP ACTIVITY NUMBER: D11 -156 DATE: 06 -07 -11 PROJECT NAME: THORNTON DEMOLITION SITE ADDRESS: 13328 56 AV S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: fr- B ing ivision lI Public rks WW1 � r i 1 11' awe 01' Dl' crimi Fire Prevention is Planning Division Structural ❑ Permit Coordinator le DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 06-09-11 Complete Incomplete ❑ Not Applicable ❑ Comments: • 'Permit Center..U.se 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: Approved Approved with Conditions Notation: REVIEWER'S INITIALS: DATE: DUE DATE: 07 -07-11 Not Approved (attach comments) n Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 NOTE: ACTUAL LOCATION OF CATCH BASIN IS 158' NE FROM HERE RIM ELEV. = 21.09' '36 "W ALC'D 05 -23 -11 FOUND NAIL AT CORNER T 13326 05 -23 -11 SET REBAR & CAP "GEOD LS#15025" ON LINE JbNC. S • BUILDING WOOD FENCE IS 1. 1 ' NE'LY OF LINE S56 .11 ' 36 "E 0 �t (K\ne° »QD FENCE 0 4 ' NE'LY _\F\\ t \ n ,.• FVNE 41751:MidtP $.4 ♦ NI dotannents does not authonza any adopted code or ordinance. Receipt Copy ang4,condMons admo dged: CONC STAIRS HOU -E No; 1$328 UIL°DINGENVELOPE A`R A 980 &P PD. 2FD.; + /, GfricApflA ots4 To ea "+ Pyrovlowik TOTALI1Jfr )�cp SAVE ELEV. SINN: These plans have beer, reviewee by the Publi c Works Departure& for'gonformd�ace with curren City standards. Acctance is subject to errors and 0 omissions which do not authg,rize violatiolp of adopted standards or ordinancL5. The resporbspility for the adequac_- of the design rests totally with the dee 3- hiditions, deletions or revisions to these sEd-ra9gg g atdAfhis date will void this acceptance "GEOp age a resubmittal of revised drawiti for subsequent approval. s ,6g0" _ s �ti �J — --- 6Nc PRIOR TO COMMENCING WITH DEMOLITION A "pre -demo inspection" is required. S Contractors shall provide documentation that an "asbestos survey" has been completed. If needed, abatement procedures per "Puget Sound Clean Air Agency" shall be completed and documentation of compliance shall be provided at time of final inspection. a � U U rn ti N V1 A-1 Ci-PPI » Final acceptance is subject to field54;nspection ' _f.$ ^I •w 11111" $'- 1 4 Date: o leN S56 G oS'o ►-1 cop : Rai. JJS 05 -23 -11 SET REBAR & CAP 501-)&a. "GEOD LS#15025" b ON LINE No Changes shall be of work without pri Tukwila Buildin NOTE: Revisions will requir and may include addition ade to the scope r approval of Division. n submittal an review fees. iimmimmommme fRECEIVED �� toN coN l#F.D 4/nAlA t)t, p o JUN 07 2011 SCALE TCENTER REVIEWED FOB ODE COMPLIANCE APPROVED JUL 0 7 2011 _ City o f kwila U DIN IVISION cad I" =-- 101 Contractors or Tradespeople P -ter 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company PELLAND ENTERPRISES LLC 2534357740 16516 119Th Ave Ct E Puyallup WA 983749517 Pierce Limited Liability Company UBI No. 602170157 Status Active License No. PELLAEL983L7 License Type Construction Contractor Effective Date 6/27/2002 Expiration Date 6/27/2012 Suspend Date Specialty 1 General Specialty 2 Unused Business Owner Information Name Role Effective Date Expiration Date PELLAND, GREG H Partner /Member 06/27/2002 Amount PELLAND, KENDRA K Partner /Member 06/27/2002 685393 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 CBIC 5E4774 06/27/2002 Until Cancelled $12,000.00 06/27/2002 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 11 United Specialty Insurance Com 685393 03/25/2011 03/25/2012 $1,000,000.00 03/25/2011 10 INTERSTATE FIRE & CAS CO SGL1002236 03/25/2010 03/25/2011 $1,000,000.00 03/25/2010 9 INTERSTATE FIRE & CAS CO SGL1001117 03/25/2009 03/25/2010 $1,000,000.00 03/25/2009 8 INTERSTATE FIRE AND CAS CO SGL1000472 03/25/2007 03/25/2009 $1,000,000.00 03/25/2008 7 FIRST MERCURY INS CO FMMA000455 03/25/2006 03/25/2007 $1,000,000.00 03/27/2006 6 NATIONAL FIRE Et MARINE INS CO 72LPE701966 03/25/2005 03/25/2006 $1,000,000.00 03/25/2005 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 09/02/2011 Memo February 29, 2012 To: Laurie Anderson From: Brenda Holt Re: D11 -156 Please refund $300.00 to Connie J. Taylor. The demolition of the shed on the property located at 13328 — 56th Avenue S is complete and has been inspected and approved by the Building/Planning Department. Please make the check out to: Connie J. Taylor 13328 — 56th Avenue S Tukwila, WA 98178 Please send the check to my attention and I will forward it to them. Thank you. Xc: File No. D11 -156 H:1Documents\Bond Release1D11 -156 - refund memo.docx City of Tukwila 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 206 -431 -3670 DEVELOPER'S PROJECT WARRANTY REQUEST FORM Sectio i - to be completed'by Developer Name of Development: --rh., n.#011 1 I ddeinG� Address: 1332_$ S(A1' Ave_ So - L�.�(,c)1 la, Release should be sent to: Name: o rr14% 1� Address: 1 332 `, S($4-< S(1 City/State /Zip [t.`JL la 1.,(>6 Phone Number: ccOo- 43- 1.-q7 Description of items to be completed (reference plans /documents where items are described): BOND o Ik r CAs H e s-r-f As no i,eA Un / e rru (5././e- P/a cs-1 iiikth la : She/A- n o-{- be Noi, (o o'-e6( l c. J J 1!bno( 'ls ,st,JootAirai re 1i o 1 shed = Sheol /VI pC09e(4) — fir. rerrwt -- d (s (,66 d. !mac 4ao7)61° As the owner, or authorized agent of the owner, I hereby submit cash or cash equivalent in the amount of $ 3ae .� (150% of value to complete work above) and attach support documentation for value of work. I will have this work carried out and call for a final inspection by this date: 6d. 21 261( or risk having the City use these funds to carry out the work with their own contractor or in -house manpower. If 1 fail to carry out the work, I hereby authorize the City to go onto the property and carry out completion of the above deficiencies. I further agree to complete all work listed above prior to requesting inspection and r of these funds. egx■Ale /_ Signed: �� i L� -7' /1J l�A' /CLtjl.K Title: Date: Q lt( Permit No.: 4( -ISLo Section.2 - to b- completed by City staff THIS-FUND. IS AU- II ORI E�� TO BE ACCEPTED Signed: i� k L ir! 4.�� �' Department Head: .6,_____• • ti... Amount:. V d Deposited this Date:' Id IS . - �"C Cash /Check ❑ Cash Assignment ❑ Bond (� n City Receipt No.: �t' - Off1-01- \ Received By: /1 %A .SLO K Section..3 - to be completed by Developer All work identified in Section 1 of this form has now been completed and returned to department which authorized warranty. I hereby request inspection and release of my cash /cash equivalent/bond. Developer's Representative: Inspector: Date: To be completed by City. staff I have reviewed the above work and found it acceptable and therefore authorize e release o cashicasb equivalent/bond. Date: 2/7- 47/2_0/ Z Authorized By: Section 4 - to be completed by City staff Amount Released: $ ❑ Check - Check No. ❑ Cash Equivalent - Letter attached ❑ Bond - Letter attached Released by: CI Date Released: \policy and procedures red bookldevdoper's project warranty form Created: February 2005 • 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 Parcel No.: 2172000205 Address: 13328 56 AV S TUICW Suite No: Applicant: THORNTON DEMOLITION RECEIPT Permit Number: Status: Applied Date: Issue Date: D11 -156 ISSUED 06/07/2011 09/02/2011 Receipt No.: Initials: User ID: Payee: R11 -02049 JEM 1165 Payment Amount: $300.00 Payment Date: 09/19/2011 04:16 PM Balance: $0.00 CONNIE J TAYLOR TRANSACTION LIST: Type Method Descriptio Amount Payment Check Authorization No. ACCOUNT ITEM LIST: Description 1017 300.00 Account Code Current Pmts BUILDING BOND /DEPOSIT 000.239.100 Total: $300.00 300.00 don: Receiot -06 Printed: 09 -19 -2011 1 Brenda Holt From: Jaimie Reavis Sent: Tuesday, February 28, 2012 4:18 PM To: Brenda Holt Subject: cash assignment for D11 -156 Hi Brenda, I completed inspections of the new house associated and garage associated with this permit. The applicant has fulfilled the requirements for which we collected a cash assignment. We can now refund the $300.00 cash assignment collected under this permit. Thank you, Jaimie 1 CITY OF TUKWILA, WA 98188 -2544 ACCOUNTS PAYABLE CHECK NO. a` INVOICEitiumeER ; ' --' SAIZVDATtatM a :011NUMBER;? ..3 ,+n`'"." ?'v t #C RiPi'iG,N` y "'aw- mo w � .,� a'. ' , �. £: +� AMOUNTI. V'a.„MM.,. D11 -156 02/29/2012 300.00 DEMO OF SHED 300.00 PLEASE DETACH BEFORE DEPOSITING THE FACE OF THIS DOCUMENT HAS'A COLORED BACKGROUND —NOT A-WHITE'BACKGROUND' CITY. OF TUKWILA 6200 Southcenter Boulevard Tukwila WA 98188 -2544 • PAYABLE ThROUGIi ' 151 Andover Padc'Ea31 ', Tukwila; WA 98188 19 -10 ' 1250 PAY". Three Hundred Dollars and No Cents TO THE TAYLOR, CONNIE ORDER 13328 56TH AVE. S` TUKWILA, WA 98178 OF OF_THIS;DOCUMENT FIASaAN,'ARTIFICIAL.WATERMABK +HOLD AT AN ANGLE:TO VIEW t