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Home My WebLink AboutPermit MI02-139 - HEALTH SOUTH - REROOFHEALTHSOUTH 17780 SOUTHCENTER PY EXPIRED 07 -13 -03 M102 -139 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 MISCELLANEOUS PERMIT Parcel No.: 3523049005 Permit Number: M102.139 Address: 17780 SOUTHCENTER PY TUKW Issue Date: 01/13/2003 Suite No: Permit Expires On: 07/12/2003 Tenant: Name: HEALTH SOUTH Address: 17780 SOUTHCENTER PY, TUKWILA, WA Owner: Name: Address: Contact Person: Name: ROB KING Address: 20503 88 AV W, EDMONDS WA Contractor: Name: MCDONALD & WETLE INC Address: 2020 NE 194TH, PORTLAND, OR Contractor License No: MCDONWI161)S Phone: Phone: 425.778.1921 Phone: Expiration Date: 12/10/2003 DESCRIPTION OF WORK: REMOVE AND REPLACE ROOF Value of Construction: Type of Fire Protection: Type of Construction: $29,250.00 Fees Collected: Uniform Building Code Edition: Occupancy per UDC: $733.39 1997 Public Works Activities: Curb CuVAccess/Sldewaik/CSS: N Fire Loop Hydrant: N Flood Control Zone: N Hauling: N Land Altering: N Landscape Irrigation: N Moving Oversize Load: N Sanitary Side Sewer: N Sewer Main Extension: N Storm Drainage: N Street Use: N Water Main Extension: N Water Meter: Channelizatian / Striping: Number: 0 Size (Inches): 0 Start Time: End Time: Volumes: Cut 0 c.y. Fill 0 c.y. Start Time: Private: Private: ** Continued Next Page End Time: Public: Public: doc: Miscperm M102.139 Printed: 01- 13.2003 1g City of Tukwila Department of Community Development / 6300 Southcenter Bt., Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature : kalittailo aAta4I 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 or the performance of work, I am authorized to sign and obtain this mechanical permit, Date: Signature: . /r"� ,, '. / `,) Date: / `/ 3.- 63 Print Name: 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. doc: Miscperm M102 -139 Printed: 01.13.2003 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 3523049005 Address: Suite No: Tenant: HEALTH SOUTH 17780 SOUTHCENTER PY TUKW PERMIT CONDITIONS Permit Number: M102 -139 Status: ISSUED Applied Date: 08/28/2002 Issue Date: 01/13/2003 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 3: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any construction. These documents are to be maintained and available until final inspection approval is granted. 4: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition), 5: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations 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 ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this code shall be valid. 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. Signature; %.� '�` :- �''� °• 11 �- Print Names e v( Date: — doc: Conditions M102.139 Printed: 01 -13 -2003 CITY OF IKWILA Permit Center 6300 Southccntcr Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 Miscellaneous Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. Project Name/Ten t: c �- i2ot�/= dr- � tlaw-S�i &A (- Value of Construction: 2 9 Z50 Tax Parcel Number: .,..........._.._.........._..............._ Will there be storage of flammable/combustible hazardous material In the building? ❑ yes 211 no Attach listlist of materials and story a location on se 'grate d 1/2 X 11 in Jer Indicatin ua,,tlttes & Material Saki Data Sheets U Above Ground flanks Antennas/Satellite Dishes Bulkhead/Docks Commercial Reroof ❑ Demolition ❑ Fence ❑ Manufactured Housin •Replacement only ❑ Parkin Lots ❑ Retainin Walls ❑ 'tem ore Facilities LJ Tree Collin Site Address : /MO 5 C✓ f CCCa! Y City State/Zip: Property Owner: a. Lilt w , Phone: Phone: ( ) SG 3 G'3 6 - 2 S'(, 0 Street Address: 4 I e' 5411�12�c/°77cJ S` t2c LIC oS oI City State /Zip: 9 a3 — Fax If: ( ) Contractor: Phone: ( ) _ Street Address: City State/Zip: Fax II: ( Architect: Ai //?- Phone: ( Street Address: City State/Zip: Fax 11: ( Engineer: /� Phone: ( ) Street Address: City State/Zip: Fax If: ( 1 Contact Person: .. Phone: ( 1 Street Address: -M City State/Zip: Fax 1i: ( ) O MISCELLANEOUS PERMIT REVIEW AND APPROVAL RE . UESTED: (TO BE FILLED OUT BY APPLICANT) Description of work to be done (please be specific): n E tki fi v 0 , tuc taac A,, .,..........._.._.........._..............._ Will there be storage of flammable/combustible hazardous material In the building? ❑ yes 211 no Attach listlist of materials and story a location on se 'grate d 1/2 X 11 in Jer Indicatin ua,,tlttes & Material Saki Data Sheets U Above Ground flanks Antennas/Satellite Dishes Bulkhead/Docks Commercial Reroof ❑ Demolition ❑ Fence ❑ Manufactured Housin •Replacement only ❑ Parkin Lots ❑ Retainin Walls ❑ 'tem ore Facilities LJ Tree Collin APPLICANT RE VEST FOR MISCELLANEOUS PUBLIC WORKS PERMITS L� Chisnnollzntlon/Striping O Flood Control Zone O Landscape Irrigation ❑ Storm Drainage ❑ Water Meter /Exempt E� ❑ Water Meter /Permanent It ❑ Water Meter Temp 1Y ❑ Miscellaneous �! Curb cut/Access/Sidewalk Fire Loop/Hydrant (main to vaut )H:_ Size(s): ❑ Land Altering: 0 cut .cubic yards 0 FIIl__eubic yards 0 sq, ft.grading/elearing ❑ Sanitary Side Sewer 1: ❑ Sewer Main Extension —5 Private 0 Public ❑ Street Use ❑ Water Main Extension 0 Private 0 Public Wets): 0 Deduct 0 Water Only Size(s): Sho(s): Est, quantity: gal 07;1; Oversized Load/Hauling Schedule; a MONTHLY SERVICE AILLINCS TO: Name: Phone: Address: City /Sta a /Zip: 0 Water 0 Sewer 0 Metro 0 Standby WATER METER DEPOSIT /REFUND BILLING: Name: Phone: Address; City /Sta e/Zip: Vague 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 extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. [Date application accepted• 9/9/99 miscpnrr.dar Date application expires: ( -a &-3 Application taken by: (initials) 911 MISCLLI_ANFOUS PE' ;- T APPLICATIONS MUST BFSUBMITT.: WITH THE FOLLOWING: > ALL DRAWINGS SHALL RE AT A LEGIBLE SCALE AND NEATLY DRAWN 9 BUILDING SITE'PLANS /Xj lD UTILITY PLANS ARE TO BE COMBINED 9 ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT 9 STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED STRUCTURAL ENGINEER 9 CIVIUSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.) O MitiVill APPI I( AT ION ANI) RF(lUIRFD ( III( KI ISIS 1 O Above Ground Tanks/Water Tanks - Supported directly upon grade exceeding 5,000 gallons and a ratio of height to diameter or width which exceeds 2:1 PFRMIT RFVIFW Submit checklist No: M -9 El Antennas/Satellite Dishes Submit checklist No: M -1 ri Bulkhead /Dock Submit checklist No: M -10 Phone: fitr2 4 Commercial Reroof Submit checklist No: M -6 0 Demolition Submit checklist No: M -3 CI Fences - Over 6 feet in Height Submit checklist No: M -9 in Land Altering/Grading/Preloads Submit checklist No M -2 0 Miscellaneous public Works permits Submit checklist No: H -9 0 O Manufactured Housing (REW INSIGNIA ONLY) Moving Oversized Load /Hauling Submit checklist No: M -5 Submit checklist No: M -5 0 Parking Lots Submit checklist No: M -4 ci Retaining Walls - Over 4 feet In height Submit checklist No: M -1 0 Temporary Facilities Submit checklist No: M -7 O Tree Cutting Submit checklist No: M -2 Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available M the time of application, a copy of this license will be required before the permit is issued, unless the homeowner will be the builder OR submit Form H-4, "Affidavit in Lieu of Contractor Registration ". tpdullding Owner /Authoriz.d Agent if the applicant Is other than the owner, registered architect /engineer, or contractor licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this ermlt application and obtain the permit will bo required as art of this submittal, I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO RE TRUE UNDER PENALTY OF PERJURY RV THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. WILDING OW' ZED AG ENT: Signature: ` Flif Print name: d �r mirAmm A dr s'„ 6' y IS A`� � ► �, I Date: Z is Phone: fitr2 4 • %%c).. 9e / Fax S' ( ) City /State 1p: , $024 9!9!99 snlscpn doc City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: Address: 17780 SOUTHCENTER PY TUKW Suite No: Applicant: HEALTHSOUTH BUILDING RECEIPT Permit Number: MI02 -139 Status: PENDING Applied Date: 08/28/2002 Issue Date: Receipt No.: R020001261 Initials: KAS User ID: 1684 Payment Amount: 733.39 Payment Date: 08/28/2002 02:29 PM Balance: $0.00 Payee: MBK TRANSACTION LIST: Amount Typo Method Description Payment Check 1403 <«s ACCOUNT ITEM LIST: Description Account Code current Pmts BUILDING - NONRES PLAN CHECK - NONREB STATE BUILDING SURCHARGE 000/322.200 000/345.830 000/386.804 441.75 287.14 4.50 Total: 733.39 all doc: Receipt Printed: 08- 28.2002 fir Ti INSPECTION RECORD Retain a copy with permit INS ION N0. ERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20. )431 =3670 02! M • . / Pe L n. ,ectl` iit dif .,. Date Ca = - C S e' o pQC a nstruct ons: e ' ate "an/ i /. KQquoster� 'Kt. Ph0 7 ,0) " 0' 7`C • 5}.2 pproved per applicable codes. n Corrections required prior to approval. COMMENTS: • .,. tlit A i Ai • a — A,. f n"(All rt, ca►-� N - r yko r n v A S L) 1 r ♦ ' • ` to s 1 • / vav► -\ 0 $47.00 REINSPECTION FEE REQUIRED. Prior to Inspection, fee must be paid at 6300 Southceriter Blvd., Suite 100. Call to schedule relnspection, .ti PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: Mi02 -139 PROJECT NAME: Healthsouth reroof SITE ADDRESS: 17780 Southcenter j/LOriginal Plan Submittal Response to Correction Letter # Revision # After Permit Is Issued DATE: 08 -28 -02 Response to Incomplete Letter # DEP_ RTMENTS: Bu ii geeit hg Division an Public WGrks 1 j 122 iL , - 241-02-. Fire Prevention Q Structural Planning Division D Permit Coordinator It DETERMINATION OF COMPLETEN.SS: (Tues., Thurs.) Complete 2/ Comments: Incomplete DUE DATE :_08.29 -Qi Not Applicable D Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined Incomplete: Bldg 0 Fire D Ping 0 PW D Staff Initials :, LETTER OF COMPLETENESS MAILED: TUES/THURS ROUTING: Please Route Er Structural Review Required D No further Review Required REVIEWER'S INITIALS: DATE: APISAYALLQUAKELCILQNS: Approved D Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE :_.09-26-02 Not Approved (attach comments) D DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg D Fire 0 Ping D PW D Staff Initials: Documents/touting slip.doc 2.28-02 iiiii411416.40044A414444.14.4•44.4.44, . , • . .51 .544 .1 .4:4 Si .11.■ sat .1184.07114001111•644 44.1.44t4414411,54454. , • tlIalk-161111 I ,114 4-4.411.41 1;(0-052.01111114/401 11V= WWI -1-1/1 T-1 - DEPARTMENT OP LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL :REGX ST; 44t 4 MR1 DATE CCO1 elvMCDONWI161JS 12/10/2003 EPPECTIMEoDnEvo m604/10/1984 MCDONALD & WETLE INC 2020 NE 194TH PORTLAND OR 97230-7442 O14441i lb1,1) 45, , 444 . 4,55 5. 5 5,5,5 .5 5 ac5 . X. 4 • 4f1 14,4 - .401i41. ANWIZIEVAII1 . 4?. 471.1g471.POIR", 1' 4