HomeMy WebLinkAboutPermit D06-400 - Bollywood Video - Fire Damage RepairBOLLYWOOD VIDEO
14818 TUKWILA
INTERNATIONAL BL
D06 -400
City oTukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206431 -3670
Fax: 206431 -3665
Web site: ci.tukwila.wa.us
Parcel No.: 0041000143 Permit Number D06 -400
Address: 14818 TUKWILA INTERNATIONAL BL TUKW Issue Date: 10/24/2006
Suite No: Permit Expires On: 04/22/2007
Tenant:
Name: BOLLYWOOD VIDEO
Address: 14818 TUKWILA INTERNATIONAL BL, TUKWILA WA
Owner:
Name: STEINBERG DOUGLAS J +SUSAN
Address' P O BOX 68340, SEATTLE WA, 98188
Phone:
Contact Person:
Name: DOUG STEINBERG
Address' PO BOX 12283, BUCKLEY WA, 98321
Phone: 206 841 -7501
Contractor:
Name: OWNER AFFIDAVIT - DOUG STEINBERG
Address: ,
Phone:
Contractor License No:
DESCRIPTION OF WORK:
REPAIR ROOF SHEATHING FROM FIRE DAMAGE
Value of Construction:
Type of Fire Protection:
Type of Construction:
doc: IBC - PERMIT
DEVELOPMENT PERMIT
$250.00 Fees Collected: $52.35
International Building Code Edition: 2003
Occupancy per IBC:
**continued on next page **
Expiration Date:
Steven M. Mullet, Mayor
Steve Lancaster, Director
D06-400 Printed: 10 -24 -2006
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant:
Flood Control Zone:
Hauling:
Land Altering:
Landscape Irrigation:
Moving Oversize Load:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
Permit Center Authorized Signatur
Print Name:
doc: IBC - PERMIT
City Or/Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
N
N
N
Private:
Profit: N
Private:
Number 0 Size (Inches): 0
Start Time: End Time:
Volumes: Cut 0 c.y. Fill 0 c.y.
Start Time: End Time:
/1.II ll,1—. I I
Public:
Non - Profit: N
Public:
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: 1306 -400
Issue Date: 10/24/2006
Permit Expires On: 04/22/2007
Date: IDI2 lot
this permit and know the same to be true and correct. All provisions of law and
I hereby certify that I have read and
ordinances governing this work will b • omp led 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 performan = of w'-rk. I am authorized to sign and obtain this development permit.
Date:
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.
D06-400 Printed: 10 -24 -2006
City ofrTukwila
1: ***BUILDING DEPARTMENT CONDITIONS***
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
PERMIT CONDITIONS
* *continued on next page**
Steven M. Mullet, Mayor
Steve Lancaster, Director
Parcel No.: 0041000143 Permit Number: D06 -400
Address: 14818 TUKWILA INTERNATIONAL BL TUKW Status: ISSUED
Suite No: Applied Date: 10/24/2006
Tenant: BOLLYWOOD VIDEO Issue Date: 10/24/2006
2: 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.
3: 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.
4: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila
Permit Center.
5: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department
of Labor and Industries (206/248- 6630).
doc: Conditions 006 -400 Printed: 10 -24 -2006
City or/Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206431 -3665
Web site: ct.tukwila.wa.us
Signa D[ e: ire .4/. Date:
Steven M. Mullet, Mayor
Steve Lancaster, Director
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws
regulating construction or the performance of work.
doc: Conditions D06 -400 Printed: 10-24 -2006
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
CITY .OF TUKWILA
Community Developmerpartment
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci tukwila wa. us
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 Prints*
Site Address: 11- TI/L%W ( M V\4 122k d
Tenant Name: ! /A to & IX. ,/ L eke ti
Property Owners Name: ` u r E t t. t�S
Mailing Address: e 6 Rex .a 2.23
Nam h O
Mailing Address:
E -Mail Address: c n e.t a S e a ny • lam
- GENERAL CONTRACTOR INFORMATION
(Contractor Information for Mechanical (pg d) Plumbing and Gas Piping (pg
Contact Person:
E -Mail Address:
Q:UppliationNbnns- Applications On Line 3 -3006 - Permit Application.doc
Revised: 9 -2006
Mi
King Co Assessor's Tax No.: OCy 10 — 01 ( -(5
Suite Number:
New Tenant:
City
C (Pe
city
Fax Number:
Floor:
.... Yes .No
State
"CONTACT PERSON
Who do we contact when your permit is ready to be issued
Day Telephone: 2r6 r (Fyn-
,7' , xs—cy
State Zip
Company Name: Ott1/2
Mailing Address:
City
Day Telephone:
Fax Number:
Contractor Registration Number: Expiration Date:
State
State
State
Zip
Zip
ARCHITECT RECORD - Alf plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Zip
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD -- All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
Zip
City
Day Telephone:
Fax Number:
Page I of 6
4
) atm �
=)ntttiQr'Remode
11ddrt { Ott to spe
of
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ttaC zed gg = t
. )�erached liSTa�e k y
z. a
Attached C4?Ppft
1Ctache a punt t ' a ,;
Covered Pet »- =
Lfnrovored Deck
OU
Valuation of Project (contractor's bid price): $S 0
Scope of Work (please provt detailed information): AA t
I S C t ✓f!o / Re_ lnw ✓) •
Will there be new rack storage? 0.... Yes
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:
Will there be a change in use? ❑ Yes ❑ No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No
If "yes', attach list of materials and storage locations on a separate 8 -1/2 "x 11 " paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
Q: ApplicetiondFotma-Appliations On Line 3 -2006 - Permit Application. doe
Revised: 9 -2006
bh
Existing Building Valuation: $
0 I • Corr:
❑ .. No If yes, a separate permit and plan submittal will be required.
Compact: Handicap:
Page 2 of 6
f PERMIT APPLICATION NO a Applicable to all permits in this app Leah°
• 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.
Signature:
Print Name:
Mailing Address:
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 S*% ./
TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZEJYtO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUT . 0 3! NT:
I Date Application Accepted:
S
QMpplicsuo•Wonu.Appliatimu On LineU -2006 - Permit Appliatioa.doc
Reviled: 9.2006
bh
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Date: /11
Day Telephone: ge6] i4/ 7 4.5 .7 1/
City
State
Zip
Date Application Expires:
Staff Initials:
Page 6of6
Fixture Type: - t <
Qty
:- FixtureType:
"• ure Type: ::.
QtY
'PixtureTypet ',:..
Bathtub or combination
bath/shower
Drinking fountain or water
cooler (per head)
sh fountain
Gas piping outlets
Bidet
Food -waste grinder,
commercial
Rece ..r, indirect
waste
Clothes washer, domestic
Floor drain
Sinks
Dental unit, cuspidor
Shower, single head .
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
Water Closet
Building sewer or trailer
park sewer
Rain water syst — per
drain (inside . tiding)
Water heater an..
vent
Additional medical gas
inlets/outlets — six or more
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Repair or : ration of water
piping :. or water treating
equip. ". " t
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to five
inlets/outlets for specific gas
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 • rk (contractor's bid price): $
Valuation of Gas Piping wor ontractor's bid price): $
Scope of Work (please provide d ed information):
Building Use (per Intl Building Code):
Occupancy (per Intl Building Code):
Utility Purveyor: Water:
Indicate type of plumbing fixtures and/or gas piping outlets bein: ' stall - d the quantity below:
Q Uppliations\Ponns- Application. On Line \3.2006 - Permit Appliation.doc
Revised: 9-2006
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Page 5 of 6
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"
Project name /J 61 4-c- .s- /1/ 6 r✓ � OCT 2 4 P006
Address / Veit' �. / / P ERMIT CA
Description of work < ,flCR G,Fn/C ` /2nrrl /2t9,a9
Related reference number
The above project permit applicant, due to the limited scope of work is authorized to submit reduced plan
requirements describe as noted below.
1. Complete
number,
Cross sections
Authorization by
TBD3 /96 -form 12
CITY OF LJKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Del � oH3
Application # AEA €'• Liz. 7
ALTERNATE PLAN SUBMITTAL AUTHORIZATION '""` -y0D
FOR LIMITED SCOPE OF WORK
U.B.C. Section 106.3.2 exception
I a • • cat • • • ust include; 1) property assessor
copy of contractors license or completed owner waiver form.
Building x Mechanical
Other
2. Minimum plan and /or specification requirement:
Site plan _ Floor plan _ Elevations J Foundation
Roof plan _ W.S.E.C. compliance _ Narrative
Structural calculations ( stamped by Washington State licensed engineers )
Specific required information / Reif -T S4 e,9 t-11)t /S T i" r7;17". t Oe /kP
/77 /i �Gti!t/� l /U .9 /
3. Other special instructions: 0 6 r4 / , � .�'"r 2) ,r3rni el
riv -/) item r/uw / ✓L/
/C. Date /0 C
( Authorization void 30 days after the date issued. )
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0041000143 Permit Number: 1306 -400
Address: 14818 TUKWILA INTERNATIONAL BL TUKW Status: PENDING
Suite No: Applied Date: 10/24/2006
Applicant: BOLLYWOOD VIDEO Issue Date:
Receipt No.: R06 -01711 Payment Amount: 52.35
Initials: JEM Payment Date: 10/24/2006 04:29 PM
User ID: 1165 Balance: $0.00
Payee: DOUGLAS STEINBERG
TRANSACTION LIST:
Type Method Description
Amount
RECEIPT
Payment Cash 52.35
ACCOUNT ITEM LIST:
Description
Current Pmts
BUILDING - NONRES
PLAN CHECK - NONRES
STATE BUILDING SURCHARGE
Account Code
000/322.100
000/345.830
000/386.904
29.00
18.85
4.50
Total: 52.35
1131 10/25 9716 TOTAL 52.35
doc: Receipt Printed: 10 -24 -2006
Project:
&o //9 (aooa tit 6Pr)
Type of Inspection:
/- /A/ /
Address:
/ 96 /6 7 )(441dt 4 7,ts /•
Date Called:
G�
Special Instructions:
1)/2,P ) / 7 fSP
.2 pAg
Date / W ' anted � : p
4 _ 29- 0 7
/ a,p�I
lam""
Requester:
Phone 6 —81/4 —756
/
INSPE TION NO.
INSPECTION RECORD
Retain a copy with permit
`•i/
I�ad
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspect
Date:
,
i i di -s /1
i rare - 7 •
$58 Or ' NSPECTION j' QUIRE.. Prior to inspection, fee must be
paid • 6300 Southcenter r d., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
03 -01 -2007
DOUG STEINBERG
PO BOX 12283
BUCKLEY WA 98321
City of Tukwila Steven Al. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
RE: Permit No. D06 -400
14818 TUKWILA INTERNATIONAL BL 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 and/or the International Mechanical Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Building Code does allow the Building Official to approve one or more extensions of time for
additional periods not exceeding 90 days each. Extension requests must be in writing and provide satisfactory reasons why
circumstances beyond the applicants control have prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 04/22/2007 , 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,
shall,
Permit Technician
04-140
xc: Permit File No. D06 -400
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 - 3670 • Fax: 206 - 431 -3665
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
STATE OF WASHINGTON)
COUNTY OF KING
ss.
l applicationst8 -1004 affidavit in lieu of contractor registration
Residing at
Permit Center /Building Division:
206 -431 -3670
Public Works Department:
206 - 433 -0179
Planning Division:
206 -431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO.: i
Qs .� &lc's -t i
states as follows:
[please print]
1. I have made application for a building permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the State of
Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of
Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW
18.27.090.
3. I understand that prior to issuance of a building permit for work which is to be done by any contractor, the City of
Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions
stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that
after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized
under this building permit to be exempt under No. . and will therefore not be performed by a registered
contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an
unregistered contractor to perform construction work.
Signed and sworn to before me this
day of t Dc* he r
Gam � eS
NOTARY BLIC in and for the State of Washington,
T6t la
Name as commissioned: urie
20 "
County.
4- 'jJ (2
My commission expires: 05—?9-/O
18.27.090 Exemptions. This chapter shall not apply to:
1.
2. An authorized representative of the United States
Government, the State of Washington, or any
incorporated city, town, county, township,
irrigation district, reclamation district or other
municipal or political corporation or subdivision of
this state;
3. Officers of the court when they are acting within
the scope of their office;
4. Public utilities operating under the regulations of
the utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business
5. Any construction, repair or operation incidental to
the discovering or producing of petroleum or gas,
or the drilling, testing, abandoning, or other
operation of any petroleum or gas well or any
surface or underground mine or mineral deposit
when performed by an owner or lessee;
6. The sale or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into and do not become a
permanent fixed part of the structure;
7. Any construction, alteration, improvement or
repair of personal property, except this chapter
shall apply to all mobile, manufactured housing. A
mobile /manufactured home may be installed, set
up, or repaired by the registered or legal owner,
by a contractor licensed under this chapter, or by
a mobile/manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW;
Any construction, alteration, improvement, or
repair carried on within the limits and boundaries
of any site or reservation under the legal
jurisdiction of the federal government;
9. Any person who only fumished materials,
supplies, or equipment without fabricating them
into, or consuming them in the performance of, the
work of the contractor;
10. My work or operation on one undertaking or
project by one or more contractors, the aggregate
contract price of which for labor and materials and
all other items is less than $500.00, such work, or
operations being considered as of a casual, minor,
or inconsequential nature. The exemption
prescribed in this subsection does not apply in all
instance wherein the work or construction is only a
part of a larger or major operation, whether
undertaken by the same or a different contractor,
or in which a division of the operation is made into
\applications\8 -2004 affidavit in lieu of contractor registration
contracts of amounts less than $500.00 for the
purpose of the evasion of this chapter or
otherwise. The exemption prescribed in this
subsection does not apply to a person who
advertises or puts out any sign or card or other
device which might indicate to the public that he is
a contractor, or that he is qualified to engage in
the business of contractor;
11. My construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts
or reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or
poultry raising; or to clearing or other work upon
land In rural districts for fire prevention purposes;
except then any of the above work is performed
by a registered contractor;
12. An owner who contracts for a project with a
registered owner;
13. My person working on his own property, whether
occupied by him or not, and any person working
on his residence, whether owned by him or not but
his exemption shall not apply to any person
otherwise covered by this chapter who constructs
an improvement on his own property with the
intention and for the purpose of selling the
improved property;
14. Owners of commercial properties who use their
own employees to do maintenance, repair, and
alteration work in or upon their own properties;
15. A licensed architect or civil or professional
engineer acting solely in his professional capacity,
an electrician licensed under the laws of the state
of Washington, or a plumber licensed under the
laws of the state of Washington while operating
within the boundaries of such political subdivision.
The exemption provided in this subsection is
applicable only when the .licensee is operating
within the scope of his Jicenso;,,.
16. Any person who engages , the:_ activities herein
regulated as an employ of a registered
contractocwith "as his sole tlompensation;
17. Contractors on- highway proje "ct& who have been
prequalified as required by cbiapter 13 of the Laws
of 1961, RCW 47.28,070.*ith the department of
transportation to perform highway construction,
reconstruction, or maintenance work.