HomeMy WebLinkAboutPermit D11-183 - NORTH HILL APARTMENTS - BUILDING D - DECKS8T'T iQ
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City ofkukwila •
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
DEVELOPMENT PERMIT
Parcel No.: 1157200351
Address: 5860 SOUTECENTER BL TUKW
Suite No:
Project Name: NORTH HILL APARTMENTS - UNITS D102, D202, D302
Permit Number: D11 -183
Issue Date: 07/06/2011
Permit Expires On: 01/02/2012
Owner:
Name: NORTH HILL APTS INC
Address: 85 S WASHINGTON #308 , SEATTLE WA 98104
Contact Person:
Name: LEE ANDERSON
Address: 5010 S TACOMA WY , TACOMA WA 98409
Contractor:
Name: G P ANDERSON CONSTRUCTION INC
Address: 121 BELLA BELLA DR , FOX ISLAND WA 98333
Contractor License No: GPANDCI033RP
Phone: 253 - 377 -4486
Phone:
Expiration Date: 12/16/2011
DESCRIPTION OF WORK:
DECK REPLACEMENT
Value of Construction: $9,000.00 Fees Collected: $433.01
Type of Fire Protection: International Building Code Edition: 2009
Type of Construction: V -B Occupancy per IBC: 0021
Electrical Service Provided by: PUGET SOUND ENERGY
* *continued on next page **
doc: IBC -7/10
D11 -183 Printed: 07 -06 -2011
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant:
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:
N
Number: 0
Size (Inches): 0
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: 7-10-t(
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
construction or th
to this permit.
does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
ce of work. I am authorized to sign and obtain this development permit and agree to the conditions attached
Signature Date:
Print Name: 4eCej or.)
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 CONDI'T'IONS * **
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: 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.
5: All wood to remain m placed concrete shall be treated wood.
6: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
doc: IBC -7/10
D11 -183 Printed: 07 -06 -2011
7: All construction noise to be in complianc h Chapter 8.22 of the City of Tukwila MunicilCode. A copy can be
obtained at City Hall in the office of the City erk.
8: 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 -183 Printed: 07 -06 -2011
CITY OF TUKV
Community Develo ent Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Building Petill No. IV- `O 3
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: / /� J " ° j:I , (1 Api Q /09-(a 02130Z New Tenant: ❑ Yes ❑.. No
0t7&i(., ..ctc
5 yco 5e I,c e4r glod
King Co Assessor's Tax No.:
Suite Number: Floor:
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON — who do we contact when your permit is ready to be issued
Name:
f—G � Add S o
Day Telephone: 9.5 3 377 (/'66.
&
Mailing Address: SO/6 U/41 (Aca►t"^�.
City
Fax Number: aS3 Sot OAST(
E -Mail Address: Lf- QdUh
lbw Gieyo
State Zip
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name: G P 4 du s • Cu 4 5 _.--, Mailing Address: 50/0 Sot k � _ ' w si (A)„,/ `mo o
/J f City State Zip
`�"IQ•tf� Day Telephone: a 53 377 L /(j
Contact Person: e-L a, Y P
E -Mail Address: /e4-- q p g t CiErSGA • CDe" C4. s / 112. A C,/ Fax Number: o) 5- 3 3 3 ( 6 2 g /
Expiration Date: /2/ 4.— 2 0 /!
Contractor Registration Number: GP AN DC I 013 !4
ARCHITECT OF RECORD — All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
Fax Number:
E -Mail Address:
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\Forms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc
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Page 1 of 6
BUILDING PERMIT INFORMATION — 206- 431 -3670
Valuation of Project (contractor's bid price] $ "OW Existing ilding Valuation: $
Scope of Work (please provide detailed information): D k
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 II" 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 Applications17 -2010 - Permit Application.doc
Revised: 7 -2010
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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
1g 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 II" 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 Applications17 -2010 - Permit Application.doc
Revised: 7 -2010
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Page 2 of 6
PLUMBING AND GAS PIPING PERBOINFORMATION — 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 (contractor's bid price): $
Scope of Work (please provide detailed information):
Building Use (per Int'l Building Code):
Occupancy (per Intl Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Bathtub or combination
bath/shower
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking fountain or
water cooler (per head)
Food -waste grinder,
commercial
Floor Drain
Shower, single head trap
Lavatory
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
Water heater and/or vent
Industrial waste treatment
interceptor, including trap
and vent, except for kitchen
type grease interceptors
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Repair or alteration of
water piping and/or water
treatment equipment
Repair or alteration of
drainage or vent piping
Medical gas piping
system serving 1 -5
inlets /outlets for a
specific gas
Each additional medical
gas inlets /outlets greater
than 5
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
Backflow protective device
other than atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Each lawn sprinkler
system on any one meter
including backflow
protection devices
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
H:Wpplications\Forms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc
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Page 5 of 6
PERMIT APPLICATION NOTES — A
cable 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 OWNS OR UTHORIZED AGENT: /�
Signature: Date: 6- -1- /1
Print Name: ` C— — tJ'S 0 Day Telephone: IBC 5.--3 3-77 4-i t-(� ,
Mailing Address: 5010 3)QL( Tacos-, 4)`7 acc,,,,a . 9 8-Yo
State
City Zip
IDate Application Accepted:
tp3)--- Li
Date Application Expires:
H:1Applications\Forms- Applications On Line12010 Applicationsl7 -2010 - Permit Application doc
Revised: 7 -2010
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Staff Initials:
Page 6 of 6
SET RECEIPT
RECEIPT NO: R11 -01275
Initials: Payment Date: 06/22/2011
User ID: 1655 Total Payment: 2,598.06
Payee: LEE ANDERSON
SET ID: 062211 SET NAME: NORTH HILL APTS
SET TRANSACTIONS:
Set Member
D11 -180
D11 -181
D11 -182
D11 -183 '
D11 -184
D11 -185
TOTAL:
Amount
433.01
433.01
433.01
433.01
433.01
433.01
433.01
TRANSACTION LIST:
Type Method Description Amount
Payment Credit C VISA 2,598.06
TOTAL: 2,598.06
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - NONRES
PLAN CHECK - NONRES
STATE BUILDING SURCHARGE
000.322.100 1,558.20
000.345.830 1,012.86
640.237.114 27.00
TOTAL: 2,598.06
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO. / y
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:
Type o Inspection:
`
Adds os Sc 81(1/4.16.
Date C,atl d
Special Instructions:
1 Di, ,
i 3 6 v DG,r,te'
Date Wanted:. C ....-2s_._
,!
Requester:
Phone 3 3— S I (-
06
/� Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
),(ppi
Inspecto
(Date:
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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GAF MATERIALS
CORPORATION
OWNER:
Ruberoitr/GAFGLAS®
DIAMOND PLEDGE"'
NDL ROOF GUARANTEE
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M -3 PROPERTIES LLC C/O FULBRIGHT & JAWORSKI LLP
No. G2011- 00006545
We�lher
Slappu .'
Pi810011a Pledge
PERIOD OF COVERAGE' 15 YEARS
NAME AND TYPE OF BUILDING. M3 BUSINESS CENTER - BUILDING B
ADDRESS OF BUILDING' 1001 -1061 ANDOVER PARK EAST, TUKWILA, WA 98188
SPECIFICATION: NB4MP6
APPLIED BY:
SNYDER ROOFING OF WA LLC / SNOHOMISH, WA
AREA OF ROOF: 332.00 SQUARES
DATE OF COMPLETION' 09/08/2011 GUARANTEE EXPIRATION DATE' 09/08/2026
THE GUARANTEE/SOLE AND EXCLUSIVE REMEDY
GAF MATERIALS CORPORATION ( "GAF ") guarantees to you, the original owner of the building described above, that GAF will provide "Edge
To Edge" protection by repairing leaks through the GAF roofing membrane, liquid applied membrane or coating, base flashing, Insulation,
expansion Joint covers, preflashed accessories and metal fleshings used by the contractor of record that meet SMACNA standards (the "GAF
Roofing Materials ") resulting from manufacturing defects, ordinary wear and tear or workmanship In applying the GAF Roofing Materials.
There is no dollar limit on covered repairs. Leaks caused by any materials other than those Ilsted above, such as the roof deck, non -GAF
Insulation, or any other materials used in the construction of the roof system, are not covered.
GUARANTEE PERIOD •
This guarantee ends on the expiration date listed above. NOTE: Lexsucoe and uncoated M -CURB fleshings are covered by this guarantee only
for the first ten years.
OWNER'S RESPONSIBILITIES
Notification of Leaks
In the event of a leak through the GAF Roofing Materials, you must make sure that GAF is notified directly about the leak, in writing, within 30
days by email (preferred) at guaranteeservlces@gaf.com, or in writing to Guarantee Services Department, 1361 Alps Road, Bldg. 11 -1, Wayne,
New Jersey 07470, or GAF will have no responsibility for making repairs. NOTE: The roofing contractor Is NOT an agent of GAF; notice to the
roofing contractor is NOT notice to GAF.
By notifying GAF, you authorize GAF to investigate the cause of the leak. If the Investigation reveals that the leak is not covered by this
guarantee, you agree to pay an investigation cost of $500. This guarantee will be cancelled If you fall to pay this cost within 30 days of receipt
of an invoice for It.
Preventative Maintenance and Repairs
A. In order to maximize the trouble -free performance of your roof, you must perform regular Inspections and maintenance and keep records of
this work.
B. To keep this guarantee in effect, you must repair any conditions in the building structure or roofing system that are not covered by this
guarantee but that GAF concludes may be threatening the Integrity of the GAF Roofing Materials (e.g., porous walls allowing water entry into
the roofing system).
C. You may make temporary repairs to minimize damage to the building or its contents in an emergency, at your sole expense. These repairs
will not result In cancellation of the guarantee as long as they are reasonable and customary and do not result in permanent damage to the
GAF Roofing Materials.
D. Any equipment or material that impedes any inspection or repair must be removed at your expense so that GAF can perform Inspections
or repairs.
EXCLUSIONS FROM COVERAGE
(e.g., Items that are not "ordinary wear and tear" or are beyond GAF's control)
This guarantee does NOT cover conditions other than leaks. This guarantee also does not cover leaks caused by the following:
1. Inadequate roof maintenance, that Is, the failure to follow the
Scheduled Maintenance Checklists provided with this guarantee
(extra copies available by calling Guarantee Services at
1- 800- ROOF -411).
2. Unusual weather conditions or natural disasters including, but not
limited to, windstorms, hall, floods, hurricanes, lightning, tornados,
and earthquakes, unless specifically covered under this guarantee.
3. Damage to the roof constructed of the GAF Roofing Materials due to:
(a) movement or cracking of the roof deck or building; (b) Improper
installation or failure of any non -GAF Insulation or materials; (c)
Infiltration or condensation of moisture through or around the walls,
copings, building structure or surrounding materials except where
high wall GAF waterproofing fleshings are Installed; (d) chemical
attack on the membrane, including, but not limited to, exposure to
grease or oil; or (e) the failure of wood nailers to remain attached
to the structure. -
4. Traffic of any nature on the roof unless using GAF walkways applied
in accordance with GAF's Application and Specifications Manual.
5. Blisters In the GAF Roofing Materials that have not resulted in leaks
unless (a) the blister Is between the base sheet and Insulation
and a Stratavente Eliminator"" perforated venting base sheet is
installed directly over Isocyanurate insulation, or (b) the blister is in
a seam and may affect the watertight Integrity of the GAF Roofing
Materials.
6. Changes In the use of the building or any repairs, modifications or
additions to the GAF Roofing Materials after the roof is completed,
unless approved in writing by GAF.
7. Conditions that prevent positive drainage or result from ponding
water.
8. Any condition (e.g., base flashing height or lack of counterflashing)
that is not In accordance with GAF's Application and Specifications
Manual or any deviation or modification from any specification
published in the Manual, unless specifically authorized by a GAF
Contractor Services Manager or Director in writing.
No representative, employee or agent of GAF has the authority to assume any additional liability or responsibility for GAF, except In writing
signed by an authorized GAF Contractor Services Manager or Director. NOTE: Any inspections made by GAF are limited to a surface Inspection
only, are for GAF's sole benefit, and do not constitute a waiver of any of the terms and conditions of this guarantee.
TRANSFERABILITY
You may transfer or assign this guarantee to a subsequent owner of this building for the remaining term only if: 1) the request is in writing to GAF
at the address listed below within 60 days after ownership transfer; 2) you make any repairs to the GAF Roofing Materials or other roofing or
building components that are Identified by GAF after an Inspection as necessary to preserve the integrity of the GAF Roofing Materials; and 3)
you pay an assignment fee of $500. This guarantee Is NOT otherwise transferable or assignable by contract or operation of law, either directly
or indirectly.
LIMITATION OF DAMAGES; MEDIATION; JURISDICTION; CHOICE OF LAW
THIS GUARANTEE IS EXPRESSLY IN LIEU OF ANY OTHER GUARANTEES OR WARRANTIES, EXPRESS OR IMPLIED, INCLUDING
ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, and of any other obligations or liability
of GAF, whether any claim against It is based upon negligence, breach of warranty or any other theory. In NO event shall GAF be liable for any
CONSEQUENTIAL OR INCIDENTAL DAMAGES of any kind, including, but not limited to Interior or exterior damages and/or mold growth.
The parties agree that, as a condition precedent to litigation, any controversy or claim relating to this Guarantee shall be first submitted to
mediation before a mutually acceptable mediator. In the event that mediation is unsuccessful, the parties agree that neither one will commence
or prosecute any lawsuit or proceeding other than before the appropriate state or federal court in the State of New Jersey. This Guarantee shall
be governed by the laws of the State of New Jersey, without regard to principles of conflicts of laws. Each party Irrevocably consents to the
Jurisdiction and venue of the identified courts above.
NOTE: This Guarantee becomes effective only when all bills
for installation and supplies have been paid in full to the roofing
contractor and materials suppliers, and the Guarantee charge has
been paid to GAF Materials Corporation.
This guarantee must have a raised seal to be valid.
02009 GAF Materials Corporation • 5/09 • COMTS587
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GAF MATERIALS CORPORATION
1361 ALPS ROAD, BOILOINO 11 -1
WAYNE, NJ 07470
By: _
11/10/2011
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North 14i11 Apa'tm.11t3
Ettuadtion Map
4
SEPARATE PER
REQUIRED FOR:
Mechanical
oCI
El
Plumbing
ectrical
Gas Piping
City of Tukwila
BUILDING DIVISION
FILE COPY
► 3
Plan review approval is subject to errors and omissions.
Approval of co ,«; , .,:: meets does not authorize
Stctkcui1r BIB ^^
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees.
Date: 7-6
City Of Tukwila
BUILDING DIVISION
ay lumber
A Century of Performance + Integrity
253.752.7000 fax 253.759.7560
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City of Tukwila
ING DIVISION
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1 east JUlt 22 2011
?CENTEf
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ENGINEERED WOOD PRODUCTS
/Mike Harwick
Sales Representative
Office: 253.752.7000
mobile: 253.973.4419
harwick @graylumber.com
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A Century of Performance + Integrity
253.7523000 fax 253.759.7560
graylumb r.com
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Date 540-1°
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REVIEWED
O
COD APPROVED
JUL 01 2011
City of Tukwila
BUILDING DIVISION
RECE1VEr
JUN 22 2011
P A. i jT CENTEF
SOLIDSTART°
ENGINEERED WOOD PRODUCTS
Mike Harwick
Sales Representative
Office: 253.752.7000
mobile: 253.973.4419
harwick @graylumber.com
• •
PLAN FZEEVIEW/ROUTING SLIP
ACTIVITY NUMBER: D11 -183 DATE: 06 -22 -11
PROJECT NAME: NORTH HILL APTS - UNITS D102, D202, D302
SITE ADDRESS: 5860 SOUTHCENTER BL
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
ding Divis on I
Public o s Lie
Fire Prevention
Structural
n
OU-3D •
Planning Division
Permit Coordinator it
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete n
DUE DATE: 06 -23 -11
Not Applicable
Permit Center Use Only
INCOMPLETE LETTER MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
LETTER OF COMPLETENESS MAILED:
TUES/THURS ROUTING:
Please Route
Structural Review Required
No further Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved n Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE: 07 -21 -11
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 Prier Friendly Page
1
General /Specialty Contractor
A business registered as a construction contractor with Lal 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 G P ANDERSON CONSTRUCTION INC UBI No. 601838669
Phone 2535497450 Status Active
Address 121 Bella Bella Dr License No. GPANDCI033RP
Suite /Apt. License Type Construction Contractor
City Fox Island Effective Date 12/17/1997
State WA Expiration Date 12/16/2011
Zip 98333 Suspend Date
County Pierce Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
r Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
APEXCL'024B0
APEX CONSTRUCTION
LLC
Construction
Contractor
General
Unused
1/20/1998
1/4/2003
Archived
OLYMPVC055MP
OLYMPIC VIEW
CONSTRUCTION INC
Construction
Contractor
General
Unused
7/17/1995
9/30/1998
Archived
OLYMPVC054R9
OLYMPIC VIEW
CONSTRUCTION
Construction
Contractor
General
Unused
12/29/1994
9/30/1995
Archived
ANDERC'086B2
ANDERSON
CONSTRUCTION
Construction
Contractor
General
Unused
1/22/1992
1/22/1995
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
ANDERSON, GARY
Cancel Date
01/01/1980
Bond Amount
ANDERSON, PEGEEN
3
01/01/1980
6382694
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
3
AMERICAN STATES INS
6382694
12/16/2005
Until Cancelled
$12,000.0011/01
/2005
2
DEVELOPERS SURETY
Et INDEM CO
445696C
12/16/2001
Until Cancelled
02/06/2006
$12,000.0012/22
/2005
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
12
LIBERTY
NORTHWEST
INS CORP
BH053575320
12/16/2010
12/16/2011
$1,000,000.0010
/08/2010
11
OOHIO CABINS
BH053575320
12/16/2008
12/16/2010
$1,000,000.00
11/06/2009
10
0010 CAS INS
BH053575320
12/16/2007
12/16/2008
$1,000,000.00
12/12/2007
9
FIRST
SPECIALTY INS
CORP
FGL22900572600
12/16/2005
12/16/2007
$1,000,000.00
12/15/2006
8
FIRST MERCURY
INS CO
FMIL000270
12/16/2004
12/16/2005
$1,000,000.0012
/23/2004
https://fortress.wa.gov/lni/bbip/Print. aspx
07/05/2011