HomeMy WebLinkAboutPermit D11-291 - TORRANCE RESIDENCE - FIRE DAMAGE REPAIRTORRANCE FIRE REPAIR
13849 37 AV S
EXPIRED
06-13-12
Di 1-291
City dftukwila
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
Parcel No.: 8864000660
Address: 13849 37 AV S TUKW
Suite No:
Project Name: TORRANCE FIRE REPAIR
DEVELOPMENT PERMIT
Permit Number: D11 -291
Issue Date: 09/09/2011
Permit Expires On: 03/07/2012
Owner:
Name: RABOIN MARCIA
Address: 13849 37TH AVE S , SEATAC WA 98168
Contact Person:
Name: WILLIAM SMITH
Address: 18404 SE 264 PL , COVINGTON WA 98042
Contractor:
Name: A 1 CHIMEY REPAIR
Address: 201 -S 11 ST , MOUINT VERNON WA 98274
Contractor License No: 1 CHIM 1 C908PN
Phone: 360 941 -6947
Phone: 360 - 941 -6947
Expiration Date: 10/15/2012
DESCRIPTION OF WORK:
DUE TO FIRE DAMAGE NEW FLOOR JOISTS, SIDING, WINDOWS, AND DOORS AS WELL AS NEW INSULATION AND
DRYWALL TO BE INSTALLED. EXTENSIVE PLUMBING AND ELECTRICAL WORK WILL BE DONE UNDER SEPARATE PERMITS.
Value of Construction: $57,000.00 Fees Collected: $2,732.68
Type of Fire Protection: NO International Building Code Edition: 2009
Type of Construction: VB Occupancy per IBC: 0022
Electrical Service Provided by: SEATTLE CITY LIGHT
* *continued on next page **
doc: IBC -7/10
D11 -291 Printed: 09 -09 -2011
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant: N Number: 0 Size (Inches): 0
Flood Control Zone:
Hauling: N Start Time: End Time:
Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation:
Moving Oversize Load: Start Time: End Time:
Sanitary Side Sewer:
Sewer Main Extension: Private: Public:
Storm Drainage:
Street Use: Profit: N Non - Profit: N
Water Main Extension: Private: Public:
Water Meter: N
Permit Center Authorized Signature:
JJLJd- Date: I
1
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 perfor}nance of work. I am authori to sign and obtain this development permit and agree to the conditions attached
to this permit.
Signature:
"/w l7 /li�G4 Date: ?/ //t
Print Name: Zir
S i4A , +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 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 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: 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.
6: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any
requirements for special inspection.
doc: IBC -7/10
D11 -291 Printed: 09 -09 -2011
7: All wood to remain in placed concrete s
e treated wood.
•
8: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building
inspector. No exception.
9: 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.
10: 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.
11: 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.
12: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall
be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum
distance of 4- inches shall be maintained above the controls with the strapping.
13: 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).
14: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431- 3670).
15: 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.
16: ** *FIRE DEPARTMENT CONDITIONS * **
17: Provide carbon monoxide and smoke alarms for bedrooms and hallway to bedrooms per code
doc: IBC -7/10
D11 -291 Printed: 09 -09 -2011
CITY OF TUKA
Community Devel8Prnent Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.qov
Building Pea No.
Mechanical Permit No.
Plumbing/Gas Permit No. P H f ' /2-i
Public Works Permit No.
Project No.
(For office use only)
P1/- 211
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 / 3f/,' 3 274 /4 �� S 74' /.
King Co Assessor's Tax No.: y b egoo_O[/(iO
Site Address: / 3 FYI 3 2 ? Q ve S: %u i',✓, % Suite Number: Floor:
Tenant Name: New Tenant: ❑ Yes ❑..No
Property Owners Name: A, .0 ie 7'r._,1 Ce //
Mailing Address: /2 6,2 .2 /d ec- c d 4 A ve S Se- �.'7/ �e
City
State
7„P-
Zip
CONTACT PERSON — who do we contact when your permit is ready to be issued
Name: 4)/ I7. �- 7 1,47, W
Mailing Address: V" Y S C�,2 a < / /'
E -Mail Address:
Day Telephone: 3 6o - j 5//- G 'iv %
coif,;1� + 4/A "13a s% ?
�/ /� City State Zip
�!g p.r/ 4 j S / sz y 'i ZOO a/ Ce.--t e4 SI. rt e le Fax Number: 0253 - 023 C' ` `// 7-6--
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name: ,
Mailing Address: /J' /O % 5 C- ,2 D G / i4 / L C'OY it a 4' ' G✓.A f J O `1-Z
City State Zip • Contact Person: 4}/ /// /1 5 oti , d Day Telephone: ? 6G - ) Y //- a 9'%
E -Mail Address: 7/0".1 ti...S' `! aZ j/c-.S s`Z O/ 0 e.0,4ic $/ ne. i Fax Number: 25-3 - 3 �'v - y/ %J
Contractor Registration Number: t C//2 /1..IG %O ef `'/V Expiration Date: /6//D/ .20/7
A 1 Ci(, ./f4 'IC / /t
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\Porms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc
Revised: May 2011
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Page 1 of 6
BUILDING PERMIT INFORMATION — 206 - 431 -3670
Valuation of Project (contractor's bid pr $ .52 QQQ
Existing ilding Valuation: $
Scope of Work (please provide detailed information): /f /tie ea F/oa r J e / S/3 , /!%ew s , a(. y, ,,,'AaPoai,,
r Qaors /tie ,,.J , /vi7 a.; 4 4 c GJa. ir/' 4et..1e/- 6 owgi k, ' /t,( e-✓! J /RV�te
, J
We i./ G /t-e_,/,./c. 25-- //D o071/ ,./z _A? - ,220 2o a ' /k /s - s ,,c-� ,
1 C.tJ'/ - 4/r /e-�; /vec✓ .Z,L.c,,& / £5
re/Pa/ Gl/).[,q // J, Ati%!t
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 Vk 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 Applications17 -2010 - Permit Applicationdoc
Revised: May 2011
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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
1' Floor
9ao -#
2°d 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 Vk 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 Applications17 -2010 - Permit Applicationdoc
Revised: May 2011
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Page 2 of 6
PERMIT APPLICATION NOTES — Allcable 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.
Print Name:
Mailing Address: WO Y S C 426 pt.
Date Application Accepted:
D$I2SI(f
Date: $/o9 SO
Day Telephone:C3C 0) Cf u - 6 9(4-7
(f3 I ►3tv; I,3c. X78"0 ci2
State Zip
Date Application Expires:
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Permit Application doc
Revised: May 2011
bh
Staff Initials:
Page 6 of 6
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�J��ILA wqs 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.: 8864000660
Address: 13849 37 AV S TUKW
Suite No:
Applicant: TORRANCE FIRE REPAIR
RECEIPT
Permit Number: D11 -291
Status: PENDING
Applied Date: 08/25/2011
Issue Date:
Receipt No.: R11 -01965
Initials: WER
User ID: 1655
Payment Amount: $1,029.50
Payment Date: 09/09/2011 09:51 AM
Balance: $0.00
Payee: RICHARD TORRANCE
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1026 1,029.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - RES
000.322.100 1,029.50
Total: $1,029.50
doc: Receipt-06 Printed: 09 -09 -2011
Cif, 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
SET RECEIPT
Copy Reprinted on 08 -25 -2011 at 12:20:37 08/25/2011
RECEIPT NO: R11 -01869
Initials: JEM
Payment Date: 08/25/2011
User ID: 1165 Total Payment: 1,895.33
Payee: RICHARD TORRANCE
SET ID: S000001562 SET NAME: TORRANCE RES
SET TRANSACTIONS:
Set Member Amount
D11 -291 1,703.18
PG11 -128 192.15
TOTAL: 1,703.18
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1019 1,895.33
TOTAL: 1,895.33
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - RES
PLAN CHECK - RES
PLUMBING - NONRES
STATE BUILDING SURCHARGE
000.322.100
000.345.830
000.322.103.00.0
640.237.114
TOTAL:
1,029.50
669.18
192.15
4.50
1,895.33
•
INSPECTION RECORD
Retain a copy with permit 6 1{-11
INSPECTION NO. PERMIT NO. 6/(/f
CITY OF TUKWILA BUILDING DIVISION r
6300 Southcenter Blvd., #100, Tukwila. WA 98188 Q- (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
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Type of Inspection:
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Date Called:
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Special Instructions:
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Date Wanted:.
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Requester:
Phone N :O _'
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21Approved per applicable codes.
aCorrections required prior to approval. 4.
COMMENTS:
Insper:
I Date:
I z .I (I
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
i..._- �_ `y.,�____. _ .
Insper:
I Date:
I z .I (I
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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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. A//
CITY. OF' TUKWILA BUILDING DIVISION
Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
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Project:
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Type of Inspection:
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Address:
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Requester:
Phone No:
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Approved per applicable codes.
ECorrections required prior to approval.
COMMENTS:
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0 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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.'-°;INSPECTION RECORD
'.Retain a copy with permit
INSPECTIO NO. PERMIT NO.
CITYOrTUKWILA BUILDING DIVISION
6300•5outhcenter_Bly 1., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection :Re'yuest Line (206) 431 -2451
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Type of Inspection:
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Address:
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Date Called:
Special Ins r ctions:
Date Wanted:.
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p.m.
Requester:
proved per applicable codes. L'Corrections required prior to approval.
COMMENTS: '
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REINSPECTIRN.'FEE REQUIRED. Prior to next inspection. fee must be
paid at6300%140center Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO
INSPECTION RECORD
Retain a copy with permit
/ZC.
Dti -291
PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION e`/
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Protect:
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Type Inspection: ,
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Address: ""t""t.* �
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Date Called:
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Special Instructions:
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Date Wanted:. /
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p.m.
Requester:
Phone No:
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JApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
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Inspector:
Date:
II -3 -1/
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectioh.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
DI t -29'(
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 v2.. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
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Type of Inspection:
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Approved per applicable codes. -Corrections required prior to approval.
COMMENTS:
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r7 REINSPECTION FEE REQUIRED. Prio to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call•to schedule reinspection.
INSPE TION NO.
INSPECTION RECORD
Retain a copy with permit
oti-2.11
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 tie (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project
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Type of Inspection:
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Date Called:
Special Instructions:
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Requester:
Phone No: 941 w 66,4
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ElApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
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❑ REINSPECTION FEE REQUIRED. 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
pti -711
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
.. Permit Inspection Request Line (206) 431 -2451
INSP ECTION NO.
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COMMENTS:
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REINSPECTION FEE REQUIRED. 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 NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
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Requester:
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Corrections required prior to approval.
COMMENTS:
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REINSPECTION FEE REQUIRED. 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 NO.
:CITY OF TUKWILA BUILDING DIVISION
• 6300 Southcenter Blvd., #100, Tukwila. WA 98188 14. (206) 431 -3670
Permit inspection Request Line (206) 431 -2451
Project:
Type of I s ec on:
Address: '
rI,
Date Called:
Special Instructions:
.
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Date Wanted ( (ITT"."
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Requester:
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Approved per applicable codes. Ir✓f Corrections required prior to approval.
COMMENTS:
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} REINSPECTION FEE REQUIRE O. Prior to next inspection. fee must be
paid• at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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INSPECTION RECORD
Retain a copy with permit
. :INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 112- (206) 431 -3670
Permit.Inspection :Request Line (206) 431 -2451
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Project:
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Type of Inspection:
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Address: • 11,
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Date Called:
Special Instructions: •
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Date Wanted _ , _
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Requester:
Phone No:
-I ce 6 - q41
6547
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
IDateq -F---
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r 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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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF' TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 se" (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
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eject:
1 402R,4- C L
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Type of Inspection:
44 8 V CNA Nj. k
Addles i 3,7
446..
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Date Called:
Special Instructions:
AJk. --
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Date Wanted- s'-' -- am',
1' " r -2. r (( p.m.
Requester:
Phone No: •
3(0— Cr4 f —40547
Approved per applicable codes. 11 Corrections required prior to approval. a
COMMENTS:
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Inspector:
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❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
05 -01 -2012
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
WILLIAM SMITH
18404 SE 264 PL
COVINGTON WA 98042
RE: Permit No. D11 -291
TORRANCE RESIDENCE
13849 37 AV S TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 06/13/2012.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 06/13/2012, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. DI 1 -291
6300 Southcenter Boulevard, Suite 4100 • Tukwila, Washington 98188 • Phone 206 - 431 -3670 • Fax 206 -431 -3665
•
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D11 -291
PROJECT NAME: TORRANCE FIRE REPAIR
DATE: 08/25/11
SITE ADDRESS: 13849 37 AV S
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision #
after Permit Issued
DEPARTMENTS:
Bui in Division otb
Public Works
glic 69) 0
Fire Prevention
Structural
J�-
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Incomplete
DUE DATE: 08/30/11
Not Applicable
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
Structural Review Required
No further Review Required n
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 09/27/11
Approved Approved with Conditions Not Approved (attach comments) n
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center'Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing slip.doc
2 -28 -02
Contractors or Tradespeople P ter Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with L &I 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 A 1 CHIMNEY REPAIR UBI No. 603054648
Phone 3609416947 Status Active
Address 201 S 11Th St License No. 1CHIM1C908PN
Suite /Apt. License Type Construction Contractor
City Mount Vernon Effective Date 10/15/2010
State WA Expiration Date 10/15/2012
Zip 98274 Suspend Date
County Skagit Specialty 1 General
Business Type Partnership Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
HAYES, THOMAS JUSTIN
Partner
10/15/2010
Amount
SMITH, WILLIAM DEAN
Partner
10/15/2010
L1250012900
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
American Contractors
Indem CO
100142081
10/12/2010
Until Cancelled
$12,000.00
10/15/2010
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
2
ATLANTIC CAS
INS CO
L1250012900
10/12/2010
10/12/2011
03/02/2011
$1,000,000.00
10/18/2010
1
ATLANTIC CAS
INS CO
1035608A
10/12/2010
10/12/2011
$1,000,000.00
10/15/2010
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 09/09/2011
SEPARATE PERMIT
REQUIRED FOR:
CrIlA tichankud
ErElecttical
Crinumbing
Lomas Pipe
City of Tukwila
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REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
Mr.:: Revisions will require a new plan submittal
cr J may include additional plan review fees.
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Mei TrAdew approval Is to •. ;.;;_.
it, 1 of construction thicurnents does not-authorize
Yation of any adopted code or owe.
LipplOWEI IS
By
Date: , 9'/9/
City Of lklkwila
BUILDING DIVISION
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APPROVED
SEP n 2011
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City of Tukwila
BUILDING DIVISION
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AUG 2 5'2011
PERMIT CENTER