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HomeMy WebLinkAboutPermit D11-385 - LO REMODEL - BATHROOMLO REMODEL 3418 S 140 ST Dl 1 -385 City okukwila • 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.: 8864000635 Address: 3418 S 140 ST TUKW Suite No: Project Name: LO REMODEL DEVELOPMENT PERMIT Permit Number: D 11 -385 Issue Date: 12/27/2011 Permit Expires On: 06/24/2012 Owner: Name: FEDERAL NATIONAL MORTGAGE A Address: PO BOX 650043 , DALLAS TX 75265 Contact Person: Name: DAVID CALIXTO Address: 9839 NE 26 ST , BELLEVUE WA 98004 Contractor: Name: JC CONTRACTING LLC Address: 1030 S TRENTON ST , SEATTLE WA 98108 Contractor License No: JCCONCL906NQ Phone: 206 - 261 -5615 Phone: 206 - 261 -5615 Expiration Date: 08/18/2012 DESCRIPTION OF WORK: CREATE SMALL 3/4 BATH IN UPPER FLOOR OF HOUSE INCLUDING SHOWER, TOILET, SINK, AND 12 FEET OF LINEAL WALLS INCLUDING A DOOR. (PLUMBING TO BE UNDER SEPARATE PERMIT.) Value of Construction: $4,000.00 Fees Collected: $439.63 Type of Fire Protection: NONE 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 -385 Printed: 12 -27 -2011 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving Oversize Load: N N Number: 0 Size (Inches): 0 Start Time: Volumes: Cut 0 c.y. Start Time: End Time: Fill 0 c.y. End Time: Sanitary Side Sewer: Sewer Main Extension: Private: Public: Storm Drainage: Street Use: Profit: N Non - Profit: N Water Main Extension: Private: Public: Water Meter: N Permit Center Authorized Signature: LAI Date: 14:7 tl 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 perfo ice of work. I . th' ed to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: Print Name: Date: 10/. /// This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431- 3670). 4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 5: 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: All wood to remain in placed concrete shall be treated wood. 7: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building doc: IBC -7/10 D11-385 Printed: 12 -27 -2011 inspector. No exception. • • 8: 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. 9: 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. 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 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). 12: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 13: 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 -7/10 011 -385 Printed: 12 -27 -2011 Site Address: CITY OF TUKV (A Community Develop; _ it Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hrtp://www.TukwilaWA.gov CONSTRUCTION PERMIT APPLICATION 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 ** 3V/63 iI ?" 9g165 Tenant Name: 1 15' '7 Z 2 King Co Assessor's Tax No.: 8Y2- 063,5" Suite Number: Name: •Cobger L d Address: 3 t //19 S., jez; Si City: 664.41/fr State: tc/A Zip: w.,E 's_ Name: 1i) c,49.4.. / %a Company Name: Address: City: `le!!L< -- State: i Zip: 9goi., ©© :Phone y 2,0`6'Fax: Address: Email• �r�I�' 4 i�Q/ x 7De�i !!t': 4f.,J7 Company Name: J � / ®��4E.: 74/. Address: 3, r - v y - City: i . State: /4.7A Zip: Phone: L 2 '/J6,/.6 -Fax: Contr Reg No J ,r„ ,G " AExp Date: 6 / /b/ziz. Tukwila Business License No.: 127,0..5-7. H.\Applications\Forms- Applications On Line \2011 Applications\Permit Application Revised - 8- 9- 11.docx Revised August 2011 bh Floor: New Tenant: ❑ Yes ❑.. No Company Name: Engineer Name: Address: City: State: Zip: Phone: Fax: Email: Page 1 of 4 Company Name: Architect Name: Address: City: State: Zip: Phone: Fax: Email: Company Name: Engineer Name: Address: City: State: Zip: Phone: Fax: Email: Page 1 of 4 �N�ma.�� ,rr..•� m -w° s ?n..:ry +{r+a ,ax.,,n ,4...'Sr^'. }i'�°S y: i„ � `. @;r° ,t" yq � r,>w �'�'4+•i' a y. ti 7,11E;0„,1, ' yx' DING P 'Ii _ION- . 20633`, gnFC�" arw. _ ..p, [ ,'l. .£k S�.1•..'�(r:$.",$, y,N sh +�'.'� -. x�+. �,' +fi' 1p,�pW't °. .i.. fl ^ r • :. f a • ^ -.° 'rA."d''.a'.:��S L.ya.'k -%:�.� Valuation of Project (contractor's bid pri . $ "T Existing ding Valuation: $ /2e ase)f) Describe the scope of work (please provide detailed information): G2 ?& S92ieJ/ 344 ba -h 2,ate 3‘. Y349 5 itac ie- , 4 f , was a �� Will there be new rack storage? ❑ ....Yes I..No if yes, a separate permit and plan submittal will be required. :sal,, - ii= xa;;a: Builmg rea§iin Tata- - Y' t'1 :: ' •Y.q.:, ` a" jt . 'i1y;St � £ x,� :•t . { fl ,. ., "-t°{ k` %t" "+i� -°°_ {.-ui;� t uy k Ezistutg . r 41 a^ interior Remodel Add th.On .xl to Esttng 5'• ,StF a7 ?Structure° : ey2 .,r # z:: r na.i. v as .� N .... i 3 ,t• x� �, ..,+no::r Asa f..r�.e:,u Construction. r. -sx 2'� n s iBG .+s a o �• £.t Y: _;:i".t • ; Occu an er. P . Tsril ' iBC {� 1, 1650 , , , i`s 'h4''� ' .'� e t �� �f}�¢ 0 0 V Floor 't5 goo a U ►'-) ; E'3F,,l�toort }w;. Flourstt thru rig, q$as,,epmettw }�� ccessoy,� iiii6 , f•3"7J��(' t•:��trt _ydf °u�, t�c�.( l ITT'' � 4t .crE.y,°F?•:: `l�i:,.v e4��t AttacheiiGaragi 1^ Detached G e4 , { ' ^ : etach�e�d �atport t i . x5 ' f.4:zTili3{f ;tft avereDey�c4kp i�t4A�.' fn? p 13 4tN1:�d:4 ,F,3FK�sG:�... jx5n i.fieL°°.;z� 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) I" *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 rC 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 ata 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 : lApplications&Forms- Applications On Line \2011 Applicationslpermit Application Revised - 8- 9- 11.docx Revised: August 201 I bh Page 2 of 4 Value of Construction — In all cases, a value' T 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. 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). 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 OW� R AUTHO Signature: Print Name: O7%`7'4) Ct /x7 Mailing Address: N 2 H:\ApplicationsWorms- Applications On Line \2011 Applications'Permit Application Revised - 8- 9- 1I.docx Revised: August 2011 bh Day Telephone: City Date: /0 /W �1 Za& State Zip is Page 4 of 4 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.: 8864000635 Address: 3418 S 140 ST TUKW Suite No: Applicant: LO REMODEL RECEIPT Permit Number: D11 -385 Status: APPROVED Applied Date: 12/06/2011 Issue Date: Receipt No.: R11 -02783 Initials: User ID: Payee: WER 1655 Payment Amount: $332.90 Payment Date: 12/27/2011 08:55 AM Balance: $0.00 JC CONTRACTING LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 4133 332.90 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - RES STATE BUILDING SURCHARGE 000.322.100 640.237.114 Total: $332.90 328.40 4.50 doc: Receiot -06 Printed: 12 -27 -2011 • 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.: 8864000635 Address: 3418 S 140 ST TUKW Suite No: Applicant: LO RESIDENCE RECEIPT Permit Number: D11 -385 Status: PENDING Applied Date: 12/06/2011 Issue Date: Receipt No.: R11 -02640 Payment Amount: $106.73 Initials: JEM Payment Date: 12/06/2011 02:49 PM User ID: 1165 Balance: $168.70 Payee: JC CONTRACTING LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 4127 106.73 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - RES 000.345.830 106.73 Total: $106.73 doc: Receipt -06 Printed: 12 -06 -2011 INSPECTION N INSPECTION RECORD Retain a copy with permit Di( -34'5 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 12, (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: Type of Inspection: Address: 3i 1 f 410-71%-'r— Date Called: Special Instructions: Date Wanted ��a rj� 3 - -7 —(Z p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. e COMMENTS: A,I Ole A ( &,314 r ?( t®lip ( d Inspe to Date: 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 YQ- (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: /e 44 O n 4 L,p dC Type Inspection: ; 1 o i/1 4 C / v A,� , • , Address: Date Called: Special Instructions: Date Wanted: - - 2 — 13 -(2....-`-a.m. p.m. Requester: Phone No: 26(0- 2 CD( -SCo (S Approved per applicable codes. t orrections required prior to approval. COMMENTS: ^ oet)--- F---,` Ai41 2-) Ai ee. 0 M Q •i, spt„ (1. ,J e e -i) rn a (f 1-11,4-A-414,(1. Inspe 1Date:7 REINSPECTION FEE REQUIRE . Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. an. — r.r .r..___A . . ht _.Y _.J. • INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 ie. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 INSPECTION RECORD Retain a copy with permit PERMIT NO. ‘p Project: / ��.) [Le M J d ,�'I/ Type of In ection: r ri A--4 • „ .6' Add' ress: 24 14 d Date Called. Special Instr ctions: Date Wanted: t -3- . Q__ Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. 'COMMENTS: l� +� (,, -oULF Inspe (Date :,! ri REINSPECTION FEE REQUIRED! Prior to next inspection. fee must be . paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. CITY OF TUKWILA BUILDING 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 INSPECTION RECORD Retain a copy with permit 1 D ! 1 - 3 5 PERMIT NO. DIVISION (206) 431 -3670 Project: L n ,2f Low -L Type of Inspection: �iv�e -04/4 1(Jo2..— Address: v.t. -S-4 4 t (( �/ L 4 0-3-1 Date Called: j I A-z-. /, 6_ 11- 0A0Vf. S. Special Instructions: Date Wanted:. j -3 - i'_ p.m. Requester: Phone No 2.4..W--- ,. - ?(o( —SC°f5 Approved per applicable codes. Corrections required prior to approval. COMMENTS: X. Aipm J G_ v d1/41r r ?O.a!- ' W S \o? c.c.s .3r 1` ---X, JO (Ici-zirk ‘,t,. (2) m Fi . 1f Nikil i,aLe.,../N -19 p(-e.T -;------ 4 (Ins • ector: (Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectioh. FELE COPY Permit No PP— r v;3w approval is subject to errors and omissions. Of construction documents does not au rrizs tr, of any adopted code or ordnance. Receipt o; Lpproved Field :. : twisdged: By Date: City Of lbkwita BUILDING DIVISION SEPARATE PERMIT REQUIRED FOR Intithanicar eDecMca! akumbfng affas Piphg City of Tukwila BUILDING DIVISION a REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. tr i revisicns will require a new plan submittal and may include additional plan review fees. 1 t-- r PLANNING APPROVED- No changes.can be made to these plans without approval from the Planning Division of DOD Ak7M3/I //r 'a5'2 Approved By:_s\ a Date: ) -1 — t,1 OE/ DFO MPLIAN E OVED 2 3 2011 City •f Tukwila BUILD G DIVISI N INCOMPLETE ! TR# DU IVED C1 .FTUKW ILA DEC 15 2011 PERMIT CENTER ;i5 Jol /0" 1 b700 NDA AQW4 w164 N/9 ,,(/tiy 0 c0 N vI Fx/Snnr4, eavi*as0/449 <?--x y P PPL " ax 5TOD5e /4''. O. '4N6 I. of 11 WI SOWA'b (//. OAI j/I / a Tri' Etc'Nrif 6-1.19 fl flOcAr i0 6 PE-7-4w- A- fV P 1G -L. NDAI w�C r °'-‘11 6 D R ,(/ //V6) tt ix c L I ear_ IL- S- 1 1, REVor iz/ /3/'/ U pp6k PLOD ?LAN i4 I 2:131N3311M13d ZAPPER fLoiOR C€ sS _SCc 17M LA/ ALE EX6T /Av4 57AR 2?EYA /L5 E Xisyl cjAi - x , UV /A Oki 30 xzf:3 OPEN/A(4 Exi5r/Ai FIT L /iit d/r L- UPPt,' FLOOR 1JSl //ID 6W O - OM m rn CC co 0 Cn v 0m m 30m<_ z0 �Om 1. Q c 0.2 � 11 0 � nx, z m TPA - btw / ATC 0 L C WA I /2- /7.-'/ J e prct/FA/ Ex /5r /N4 (A/C/ /sec revt4 ,fix/ sr /A/4 17 X /I/ L!V/NL? VDM 2:13/N3311V*13d Ex 197Alq 3aXVD" 4-p A/a•v4 n_ c-) Or 7n 20 -WA( ( at- 05A- d SA- )(754/4/ e A- EX/ 5r�Aj 100 ,e Ex/Si/004 0 F /TFL4to P,4/ _DOW /x/4 DIC 0 e , r ,A /2 -/3- Cen C w g Nciii33s 5s020 z o0 z 0 5 m 90 15101 gYh 1b'7cfhXC NI VW- L Cat-/d hf *Id 1, Z/, l / ht ?d l d rY V c1 /'1 v cMf /YY 7% /4 hex ' 'fh'/i S/ x 3 — imp 77iM ,00e/17 X r° 1Yl DIY' �__ A-v /19 (77Q7 1-91-t 7-3 -� �� - ' /`/c7/i73 55-01 7 4, /1004 <od S x 1/vv3g g,x °I js /oCYo27.d g h ?,e27/..1075 9 L6,xP k 7J ic `”-.1 171 I claat•A A76, I� h/ 1 f`PWt 'd 3M91+S - 5 NV/ .-sJ7r wim 01310 /7/19 7g7 1?)( 7 t ,v PERMIT CENTER J.54 )J .7 i J 1 ifl of ?7V/A hxz trr3codoed /f_7' (11Y1717/79 gxZ r2' nor -ig: tO7f 10P 7d 1 yin hX 8 .12/1>v 51X3 0.0 ___LsIU g rz 4W/J5iX 3 a`/d iv/t0 7/c a :J IQi 7 Jcd7 01 ' /X /SX 2 c7 gad of d 9d/et Ni mt „7/ l . r''Yca„ili� - • City of O, Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director December 9, 2011 David Calixto 9839 NE 26 Street Bellevue, WA 98004 RE: Incomplete Letter #1 Development Permit Application D11 -385 Lo Remodel — 3418 S 140 St Dear Mr. Calixto, This letter is to inform you that your permit application received at the City of Tukwila Permit Center on December 6, 2011 is determined to be incomplete. Before your application can continue the plan review process the attached/following items from the following department(s) need(s) to be addressed: Building Department: Allen Johannessen at 206 433 -7163 if you have any questions concerning the attached comments. Please address the comment above in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that four (4) sets of revised plans, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at the Permit Center at (206) 431 -3670. Sincerely, J P nn fer it j/elke shall ician Enclosures File: DI 1 -385 W:\Permit Center \Incomplete Letters\2011\D11 -385 Incomplete Ltr #1.doc 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Tukwila Building Division Allen Johannessen, Plan Examiner Determination of Completeness Memo Date: December 8, 2011 Project Name: Lo Remodel Permit #: D11 -385 Plan Review: Allen Johannessen, Plans Examiner The Building Division has deemed the subject permit application incomplete. To assist the applicant in expediting the Department plan review process, please forward the following comments. (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size). (If applicable) Structural Drawings and structural calculations sheets shall be original signed wet stamped, not copied.) 1. Provide a cross section detail of the upper floor showing sloped ceilings with the roof slope down to the floor. Specify floor joist size and spacing. Provide dimensions of all ceiling heights including the sloped ceilings and any pony walls. Show width of room and width of ceilings (to show head room space). 2. Provide more specific details of the stairs for access including identifying upper and lower landings. Provide dimensions of the stairway with dimensions for the length of the stairway as it approached the upper floor. Provide a brief floor plan of the lower floor identifying the different rooms. The concern is to identify the required head room at the top of the stairs and any access ways within the top level. 3. Specify if this is to be used as a bedroom. If so identify the bedroom window sizes. Bedroom window shall meet egress per code. A bedroom shall require a smoke and CO detector which shall be shown on the plan. 4. Plans shall be drawn to scale, typically'' Y4" per foot scale. Should there be questions concerning the above requirements, contact the Building Division at 206 -431- 3670. No further comments at this time. oPERMIT COORD COPS PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D11 -385 PROJECT NAME: LO REMODEL SITE ADDRESS: 3418 S 140 ST Original Plan Submittal Response to Correction Letter # DATE: 12/15/11 X Response to Incomplete Letter # 1 Revision # after Permit Issued DEPARTMENTS: `�1 �i n t' ?& Building` Divisio Public Works Fire Prevention Structural Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete 1)(1 Incomplete DUE DATE: 12/20/11 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 REVIEWER'S INITIALS: No further Review Required DATE: APPROVALS OR CORRECTIONS: DUE DATE: 01/17/12 Approved Approved with Conditions Not Approved (attach comments) 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 HERMIT COORD COIN, PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D11 -385 DATE: 12/06/11 PROJECT NAME: LO REMODEL SITE ADDRESS: 3418 S 140 ST X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: 2 !vision Mf' b is orks Ik `2»14 Fife Preve'ib'n Structural Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete n Incomplete DUE DATE: 12/08/11 Not Applicable Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: t2II II 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: Approved Notation: REVIEWER'S INITIALS: Approved with Conditions DUE DATE: 01/05/12 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 City01) of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Web site: http: //www.ciiukwila.wa.us REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: ///5/// Plan Check/Permit Number: Response to Incomplete Letter # I ❑ Response to Correction Letter # ❑ Revision # after Permit is Issued OW Tu LA DEC 15 2011 ❑ Revision requested by a City Building Inspector or Plans Examiner PERMIT CENTER Project Name: Project Address: Contact Person: L ■dI 3)--1[6 S IL-t0 St Din' /z GA /,L-Tv Summary of Revision: Phone Number: Zip ZeP/ G/055' s c r/a Pz J JD /3T .S /z ‘,.//f76 '7 -4t/7 /mac/ /G/f/1/V/4/4 5/2, L //7/4'/-V ,ALT lij /7 - ' �LOD.P rifie1- /- D677627 G/A-4,,O �� /GL E/) fDI57j /5G/G *A _ i ;. Sheet Number(s): S.rre P (/% 'y1 Jlr c„ a/ - 4G/ "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: a( Entered in Permits Plus on H:\Applic tlmisWams- Appliations On 13ne\2010 Applications \7 -2010 - Revision Subndttal.doc (rated: 8-13-2004 Revised: 7 -2010 Contractors or Tradespeople Pryer 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 JC CONTRACTING LLC UBI No. 603021895 Phone 2062615615 Status Active Address 1030 S Tenton St License No. JCCONCL906NQ Suite /Apt. License Type Construction Contractor City Seattle Effective Date 8/18/2010 State WA Expiration Date 8/18/2012 Zip 98108 Suspend Date County King Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date CALIXTON, JOHN Partner /Member 08/18/2010 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 RLI INS CO LSM0194757 08/17/2010 Until Cancelled $12,000.00 08/18/2010 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 Western Heritage Ins Co SCP0839439 02/09/2011 02/09/2012 $1,000,000.0002 /10/2011 1 WESTERN HERITAGE INS CO SCP0817498 08/17/2010 08/17/2011 $1,000,000.00 08/18/2010 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 12/27/2011