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Permit D11-392 - CITY OF TUKWILA - CLEAR CHANNEL OUTDOOR - BILLBOARD DEMOLITION
CLEAR CHANNEL OUTDOOR 14840 TUKWILA INTERNATIONAL BL D11 -392 City orukwila Department of Community Development 6300 Southcenter Boulevard, Suite #1 00 Tukwila, Washington 98188 Phone: 206-43 1 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.TukwilaWA.gov DEVELOPMENT PERMIT Parcel No.: 0041000130 Permit Number: D11-392 Address: 14840 TUKWILA INTERNATIONAL BL TUKW Issue Date: 04/30/2012 Suite No: Permit Expires On: 10/27/2012 Project Name: CLEAR CHANNEL OUTDOOR Owner: Name: CITY OF TUKWILA Address: 6200 SOUTHCENTER BLVD , TUKWILA WA 98188 Contact Person: Name: MICHAEL MAYES Address: 3601 6 AV S , SEATTLE WA 98134 Contractor: Name: CLEAR CHANNEL OUTDOOR INC Address: AP DEPT #861 PO BOX 599703 , SAN ANTONIO TX 78259 Contractor License No: CLEARCO942B3 Lender: Name: Address: Phone: 206 494 -4200 Phone: 206 682 -3833 Expiration Date: 01/23/2014 DESCRIPTION OF WORK: DEMOLITION OF EXISTING BILLBOARD AS PART OF THE CITY OF TUKWILA SIGN REMOVAL PROJECT. (2) SIGN PANELS ARE BEING REMOVED. (SHALL BE CREDITED TOWARDS (5) FACES BEING REMOVED FOR THE CONSTRUCTION OF A SINGLE FACED STATIC DIGITAL SIGN TO BE CONSTRUCTED AT WEST VALLEY HY AND S 180 ST.) Value of Construction: $4,999.00 Fees Collected: $306.95 Type of Fire Protection: International Building Code Edition: 2009 Type of Construction: I Occupancy per IBC: 0026 Electrical Service Provided by: SEATTLE CITY LIGHT * *continued on next page ** doc: IBC -7/10 D11 -392 Printed: 04 -30 -2012 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. End Time: Fill 0 c.y. 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: Permit Center Authorized Signature: N Date: ` - ✓V�j� 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 o4he performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this perm Signature. Print Name: MI %/l�l/tj� M� Date: 4-1*' /i z-- 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 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 electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 6: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, doc: IBC -7/10 D11 -392 Printed: 04 -30 -2012 any violation of any of the provisions of the b ing code or of any other ordinances of the f Tukwila. Permits presuming to give authority to violate or can he provisions of the code or other ordinanc 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. 7: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** 8: Arty material spilled onto any street shall be cleaned up immediately. 9: ** *PLANNING DEPARTMENT CONDITIONS * ** 10: The demolition of the permit is occurring on a property owned by the City. The City has approved the demolition permit pursuant to its regulatory authority authorized under the Tukwila Municipal Code. Acting as a landlord, the City has demanded that Clear Channel Outdoor remove the foundation of the billboard. The removal of the foundation is not included in this permit. Removal of the foundation is not a regulatory issue. The issuance of this permit in no way should be construed as waiver of any legal action the City might take to compel removal of the billboard foundation from the City's property. doc: IBC -7/10 D11 -392 Printed: 04 -30 -2012 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto: / /www.TukwilaWA.gov Building Permit No. 17 l ✓ 1 Project No. Date Application Accepted: Date Application Expires: (For office use only) 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 ** SITE LOCATION Site Address: 14840 Tukwila International Blvd Tenant Name: Clear Channel Outdoor King Co Assessor's Tax No.: 0041000130 Suite Number: NA Floor: NA New Tenant: ❑ Yes m ..No PROPERTY OWNER Name: Michael Mayes Name: City of Tukwila City: SEATTLE State: WA Zip: 98134 Address: 6200 Southcenter Blvd Email: michaelmayes @clearchannel.com City: Tukwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Michael Mayes Address: 3601 6TH AVE S City: SEATTLE State: WA Zip: 98134 Phone: (206) 494 -4200 Fax: Email: michaelmayes @clearchannel.com GENERAL CONTRACTOR INFORMATION Company Name: Clear Channel Outdoor Address: 3601 6TH AVE S City: SEATTLE State: WA Zip: 98134 Phone: (206) 682 -3833 Fax: (206) 447 -0377 Contr Reg No.: CC01 CLEARC094: Exp Date: 01/23/2012 Tukwila Business License No.: BUS - 0100438 H: \Applications \Forms - Applications On Line \2011 Applications \Permit Application Revised - 8 -9 -I I.docx Revised: August 2011 bh ARCHITECT OF RECORD Name: NA Address: Company Name: NA Architect Name: Address: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD Name: NA Address: Company Name: NA Engineer Name: Address: City: State: Zip: Phone: Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: NA Address: City: State: Zip: Page 1 of 4 BUILDING PERMIT INFORMATION — 206 - 431 -3670 Valuation of Project (contractor's bid price): $ 4,999 Existing Building Valuation: $ 0 Describe the scope of work (please provide detailed information): Demolition of existing billboard as part of City of Tukwila Sign Removal Project. 2 sign Panels are being removed and shall be credited toward the 5 faces being removed for the construction of a single faced static digital sign to be constructed at on a City Owned Lot on W Valley Highway and 180TH 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) 0 For an Accessory dwelling, provide the following: Lot Area (sq ft): 0 Floor area of principal dwelling: 0 Floor area of accessory dwelling: 0 *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: 0 Compact: 0 Handicap: 0 Will there be a change in use? ❑ Yes © No if "yes ", explain: FIRE PROTECTION /HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm iii None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes Pi 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 \2011 Applications \Permit Application Revised - 8- 9- 11.docx Revised: August 2011 bh Page 2 of 4 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC l' Floor 0 2nd Floor 0 3rd Floor 0 Floors thni 0 Basement 0 Accessory Structure* 4 Attached Garage 0 Detached Garage 0 Attached Carport 0 Detached Carport 0 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) 0 For an Accessory dwelling, provide the following: Lot Area (sq ft): 0 Floor area of principal dwelling: 0 Floor area of accessory dwelling: 0 *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: 0 Compact: 0 Handicap: 0 Will there be a change in use? ❑ Yes © No if "yes ", explain: FIRE PROTECTION /HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm iii None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes Pi 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 \2011 Applications \Permit Application Revised - 8- 9- 11.docx Revised: August 2011 bh Page 2 of 4 • • • PERMIT APPLICATION NOTES — 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. 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 ER TRIZED AGENT: Signature: Date: 12/12/2011 Print Name: Michael Mayes Mailing Address: 3601 6TH AVE S H: \Applications \Forms - Applications On Line \2011 Applications \Permit Application Revised - 8 -9 -1 I.doc Revised: August 2011 bh Day Telephone: (206) 4944200 SEATTLE WA 98109 City State Zip Page 4 of 4 CAP 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 RECEIPT NO: R12 -01068 Initials: JEM Payment Date: 03/15/2012 User ID: 1165 Total Payment: 375.60 Payee: MICHAEL R MAYES SET ID: 0315 SET NAME: CLEAR CHANNEL SET TRANSACTIONS: Set Member Amount D11 -392 D11 -394 TOTAL: 187.80 187.80 187.80 TRANSACTION LIST: Type Method Description Amount Payment Credit C VISA 375.60 TOTAL: 375.60 ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - NONRES STATE BUILDING SURCHARGE 000.322.100 640.237.114 366.60 9.00 TOTAL: 375.60 Ci, 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 12 -13 -2011 at 11:10:45 12/13/2011 RECEIPT NO: R11 -02707 Initials: JEM Payment Date: 12/12/2011 User ID: 1165 Total Payment: 1,582.31 Payee: MICHAEL R HAYES SET ID: 1212B SET NAME: CLEAR CHANNEL OUTDOOR SET TRANSACTIONS: Set Member Amount D11 -392 119.15 D11 -393 119.15 D11 -394 119.15 D11 -395 1,224.86 TOTAL: 1,224.86 TRANSACTION LIST: Type Method Description Amount Payment Credit C VISA 1,582.31 TOTAL: 1,582.31 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 1,582.31 TOTAL: 1,582.31 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 v, t• (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: Type of Inspection: Address: tq &6~ Q Date Called: Special Instructions: Date Wanted:. (, — ' 7-" 12— a.m'.' p.m. Requester: Phone No: .".o( -1-4C14-1 422 L( %Approved per applicable codes. D Corrections required prior to approval. COMMENTS: ." • nspect 'Date: 2 7— 1 L 0 AA .11, k. n."......".....,. wr % C.A. A� �r r1 R , N PECTION FEE REQUIRED. rior to next inspection. fee must be pa d t 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION. NO. PERMIT NO. - • •CITY-OFTUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection•Request Line (206) 431 -2451 Project: 4A.4,e (111,14/11/A1-- Type of Inspection: r-Y?F • i'lC)t)S7--/2 frt'7 C.) Address: Date Called: Special' Instructions:. . V G 6060? -C9 J Date Wanted:. /a:a m Requester: Phone No: i-/..25 -236 •34u G Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector Date: ( r i f i REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 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. SEPARATE PERMIT REQUIRED1FOR: qa Mechanical tgl Electrical Piumbing I Gas Piping City of Tukwila BUILDING DivlsioN FILE COPY Pent* No., Flan review appmvat naiad boors and omkkonne. &pproval of construction documents does not authorize the violation of any adopted code or ordnance. Receipt of approved ormons is acknowledged: ev. Date 1 . . . tr) '7.74 7.7.1 8 0 PLANNING APPROVED No changes can be made. to these plans without approval from the Planning Division of DCD Approved By: Dater oz_ 0041000130 Parcel Number Site Address CITY OF TUKWILA REVIEWED FOR CODE COMPLIANCE APPROVED FEB 2 3 2012 City qfiukwiIa BUILDIN DIVISION RECEIVED I ()FT' iKINILA 14.:•_1:. 1 2 2011 PERMIT GEMTER • . . . . . . . . . . . • . . ' . • . • , • ----'47ST•str • • �ERN!!T COORD COP* PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D11 -392 DATE: 12/12/11 PROJECT NAME: CLEAR CHANNEL OUTDOOR - DEMO SITE ADDRESS: 14840 TUKWILA INTERNATIONAL BL X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: ding 'vision I "I Fire Prevention P arming Division ®� g 9 Public Works NM Structural Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete x Comments: Incomplete DUE DATE: 12/13/11 Not Applicable 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 n No further Review Required n REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Notation: REVIEWER'S INITIALS: Approved with Conditions DUE DATE: 01/10/12 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 Contractors or Tradespeople Per Friendly Page • General /Specialty Contractor A business registered as a construction contractor with LEO 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 CLEAR CHANNEL OUTDOOR INC UBI No. 602060313 Phone 2066823833 Status Active Address Ap Dept #861 Po Box 599703 License No. CLEARC0942B3 Suite /Apt. License Type Construction Contractor City San Antonio Effective Date 1/23/2006 State TX Expiration Date 1/23/2014 Zip 78259 Suspend Date County Out Of State Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date ARTMAN, CHRIS President 01/23/2006 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 2 BERKLEY REGIONAL 0141199 01/18/2010 Until Cancelled $12,000.0001/28 /2010 6 INS CO 4361000 11/01/2010 11/01/2011 $1,000,000.0011 /01/2010 1 MUTUAL INS CO 022017818 022017818 01 /18/2006 Until Cancelled 02/15/2010 $12,000.00 01/23/2006 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 7 Ins Co of the State of PA GL2704942 11/01/2011 11/01/2012 $1,000,000.00 10/24/2011 6 INS CO OF THE STATE OF PA 4361000 11/01/2010 11/01/2011 $1,000,000.0011 /01/2010 5 INS CO OF THE STATE OF PA 6506441 11/01/2009 11/01/2010 $1,000,000.0010 /23/2009 4 INS CO OF THE STATE OF PA GL1872073 11/01/2008 11/01/2009 $1,000,000.00 10/30/2008 3 INS CO OF THE STATE OF PA GL1595634 11/01/2007 11/01/2008 $250,000.0010/26 /2007 2 AMERICAN HOME ASSURANCE GL5760929 11/01/2006 11/01/2007 $1,000,000.00 11/07/2006 1 AMERICAN HOME ASSURANCE CO GL5751521 11/01/2005 11/01/2006 $1,000,000.00 01/23/2006 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 04/30/2012