HomeMy WebLinkAboutPermit MI02-199 - CHURCH BY SIDE OF THE ROAD - REROOFCHURCH BY THE
SIDE OF THE ROAD
14825 TUKWILA
INTN'L BLVD
EXPIRED
10 -27 -03
LL
M102 -199
k
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No,: 0041000122
Address:
Suite No:
MISCELLANEOUS PERMIT
14825 TUKWILA INTERNATIONAL BL TUKW
Permit Number:
Issue Date:
Permit Expires On:
M102 -199
01/06/2003
07/05/2003
Tenant:
Name: CHURCH BY SIDE OF THE ROAD
Address: 14825 TUKWILA INTERNATIONAL 81, TUKWILA, WA
Owner:
Name:
Address:
Contact Person:
Name:
Address:
CHURCH BY SIDE OF THE ROAD
P 0130X 68545, SEATTLE WA
RUSS NUSS
3455 5 148 ST, TUKWILA WA
Contractor:
Name: HANSEL CONSTRUCTION INC.
Address: 11037 19 AV SW, SEATTLE WA
Contractor License No: HANSECI042BH
Phone:
Phone: 206. 243.5024
Phone: 206. 246.5680
Expiration Date: 10 /02/2004
DESCRIPTION OF WORK:
SANCTUARY REROOF - CLASS "A" ROOFING - SEE ATTCHED SPECIFICATIONS FOR INSULATION
Value of Construction:
Type of Fire Protection:
Type of Construction:
S14,000.00
Fees Collected:
Uniform Building Code Edition:
Occupancy per UBC:
5395.96
1997
0005
Public Works Activities:
Curb Cut/Accest/Sldewalk/CSS:
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:
Channelization /Striping:
N
N
N
N
N
N
N
N
N
N
N
N
Number: 0
Start Time:
Volumes: Cut 0 c.y.
Start Time:
Private:
Private:
** Continued Next Page
Size (Inches): 0
End Time:
Fill 0 c,y.
End Time:
Public:
Public:
dam Miscperm
•
MI02 -199
Printed: 01-06-2003
City of Tukwila
Department of Community Development / 6300 Southcenter Bt., Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Permit Center Authorized Signature :,_ tee c : Gate:.....
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 o,, ► ►_ ' : • , rmance of work. I am authorized to sign and obtain this mechanical permit.
Signature:
Date: / " % -6 3
Print Name: /Vk s /5 l�.�t
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
M102-199 Printed: 01-06-2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 0041000122
Address: 14025 TUKWILA INTERNATIONAL BL TUKW
Suite No:
Tenant:
CHURCH BY SIDE OF THE ROAD
Permit Number:
Status:
Applied Date:
Issue Date:
MIO2 -199
ISSUED
12/10 /2002
01/06/2003
1: * * *BUILDiNC 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: A statement from the roofing contractor verifying fire retardant class of roof will be required prior to final
inspection (see attached procedure).
5: 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).
6: 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 bo compiled 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:
Print Name:
�usr ,ill i-rrr
Date: -3
doc: Conditions
M102-199
Printed: 01 -06 -2003
}
CITY OF T''KWILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Project Number:
Permit Number:
R t UM ON \'
1/>,761
Miscellaneous Permit Application
1925 72.3 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/Tenant: (7„4„4,..c4 n ,�/ie $�.J e ,lye A eve
C5 / ore f /lye
Value of Construction:
.ter_ '/ a" L' �`.
jm.
Site Address : >t4 City S ate/Zip:
,_ fG/S.� .S^ �8 - S 2-7;:(144 f )4 ')9/
6
Tax Parcel Number:
qt'o b •— o 1 z. Z coo 8 S; Gofp3
Property Owner:
Commercial Reroof
•Replacement only
Tree Cuttin
I
Phone: (24 6 ) 'L Y .3 .— s-d Z - c
�
Street Address: el City State/Zip:
City /Sta e/Zip:
Fax #: ( )
2 cat_ 6 8y 6
Contractor: �S e( nit,. L P o
0 Metro
Phone: (Z�t )
2 2 7 —/ Y 7 1
Street Address: ((o 3'? . 19. Avt, sN c /,q ty St e Z4p1
G>irf'7
Fax #: ( )
�----
Architect: r t
(AI 4/
Phone:
2s
531-- �3 c
Street Address: (Z 2 0 2. ?es G. /L _ ,, C �r Le c � ity Baal 9 /9
/'�`�'� J T
/
Fax #: (ZS -3)
7 . G�YZ
/
Engineer:
1,. 1 D -
Phone: (•
z -s,>?)
3--.7?—S1/2 8
Street Address: r _City State/Zip:
( 2, 2.4>Z- Pam At-R-- •uoA•4 9e,(1 K YY
Fax #: ( )
Contact Person: „ J�
ufr A. Cr
Phone: (26 �,)
Z t(3 --SQ Z �/
Street Address: �( .— s- . . ,..e‘ S e ,. e— /City State/Zip:
e f .../..............2..... t3l tf £�
Fax #: ( )
2 Yl _ tS ri o
MISCELLANEOUS PERMIT REVIEW AND APPROVAL RE 0 UESTED: (TO BE FILLED OUT IIV APPLICANT)
Description of work to be done (please be specific): a It
SI awl c`%+- r�er o o �
•
-- Sets �
r.
�[
ivic L4,1 .i ec•l `I NG4isrts -tbf 'As -LA/d1
jm.
Will l th be storage of flammable/combustible hazardous material In the building? ❑ yes ® no
AAttncc?t list of materials n,,d store e location o_arnte 8 1/2 X 11 paper indlcatin unn ties & Material Safe( Data Sheets
-
lJ Above Ground Tanks ' U Antennas /Satellite Dishes ❑ Bulkhead/Docks
❑ Demolition ❑ Fence ❑ Manufactured
❑ Parking Lots ❑ Retai_ n g Walls ❑ Tem ora
Housin
Facilities
Commercial Reroof
•Replacement only
Tree Cuttin
...APPLICANTIVUEST FOR MISCELLANEOUS PUBLIC WORKS PERMITS
Channellzatlon/Striping
Flood Control Zone
Landscape Irrigation
Storm Drainage
Water Motor /Exempt #
Water Motor /Permanent #
Water Meter Temp #�
Miscellaneous
Curb cut/Accoss/Sldewalk U Fire loop /Hydrant (main to vault)#: Size(s): __ __a
❑ Land Altering: 0 Gut cubic yards 0 FIII___cublc yards 0 sq, fi,grading/clearing
❑ Sanitary Side Sewer #: _ ❑ Sower Main Extension 0 Prtvnto 0 Public
❑ Street Use ❑ Water Main Extension 0 Private 0 Public
Size(s): 0 Doduct 0 Water Only
Size(s): _
_,_, Size(s): Est, quantity: _ gal
❑ Moving Oversized Load/Hauling
Schedule:
u
MONTHLY SERVICE BILLINGS TO:
Name:
Phone:
Address:
City /Sta e/Zip:
0 Water
0 Sewer
0 Metro
0 Standby
WATER METER DEPOSIT /REFUND BILLING:
Name:
Phone:
Address:
SWIM
City /Sta e/Zip:
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 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: p
/0 �e G�
Date application expires:
Applicatiagtakn by: (initials)
1
9/9/99
n,iscpm,.doc
•
tri
411 MISCELLANEOUS PH T APPLICATIONS MUST BE SUBMIT ' ` WITH THL FOLLOWING:
> ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
> BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
• ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT
• STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED
STRUCTURAL ENGINEER
• CIVIUSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.)
Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not
available at 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 ".
lull *R /:Owner /Authorind 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
• rmitra • ilcatlon and obtain'the • ermlt will be re • uired as • art of this submittal.
•
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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
30 NE
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
Submit checklist No: M -9
Signature:
Print ti
rj
Antennas /Satellite Dishes
Submit checklist No: M -1
Date:
Bulkhead /Dock
Submit checklist No: M -10
ii
Commercial Reroof
Submit checklist No: M -6
' n
Demolition
Submit checklist No: M -3
Fences - Over 6 feet in Height
Submit checklist No: M -9
Land Altering/Grading/Preloads
Submit checklist No: M -2
Miscellaneous Public Works Permits
Submit checklist No: H -9
d
Manufactured Housing (RED INSIGNIA ONLY)
Submit checklist No: M -5
Q _
Moving Oversized Load /Hauling
Submit checklist No: M -5
Parking Lots
Submit checklist No: M4
O
Retaining Walls - Over 4 feet in height
Submit checklist No: M -1
Temporary Facilities
Submit checklist No: M -7
0
Tree Cutting
Submit checklist No: M -2
Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not
available at 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 ".
lull *R /:Owner /Authorind 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
• rmitra • ilcatlon and obtain'the • ermlt will be re • uired as • art of this submittal.
•
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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
30 NE
A AUTHORIZED AGENT:
Signature:
Print ti
t
t•vsr
Date:
Phone: (29( 12'U —s—, ?y
Address: mg
r
7_
91949
InIscpoodoc
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (208) 431 -3670
RECEIPT
Parcel No.: 0041000122
Address: 14825 TUKWILA INTERNATIONAL 81 TUKW
Suite No:
Applicant: CHURCH 8Y SIDE OF THE ROAD
Permit Number:
Status:
Applied Date:
Issue Date:
M102 -199
PENDING
12/18/2002
Receipt No.: 8020001773
Initials: KAS
User ID: 1684
Payment Amount: 395.96
Payment Date: 12/20/2002 03:09 PM
Balance:
$0.00
Payee: CHURCH BY THE SIDE OF THE ROAD
TRANSACTION LIST:
Amount
Type Method Description
Payment Cheek 48852 395.96
ACCOUNT ITEM LIST:
Description Account Code
Current Pmts
BUILDING - NGNRES
PLAN CHECK - NONRE3
STATE BUILDING SURCHARGE
000/322.100
000/345.830
000/396.904
237.25
154.21
4.50
Total: 395.96
36561 12/24 9710 TOTAL 395.96;
doe: Receipt
Printed: 12- 20.2002
:*11111044A-4,44 4,-I-=':144".:
INSPECTION NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
PER
206)4 1.3670
'11pproved par applicable cadge.
COMMENTS:
1111■1■1•111i1111011•1111■
EJCorrections required prior to approval,
ll=1■11.
spector:
16300 Southcenter Blvd., Suite 10
Rece No.:
lor to inspection, fee must • e
• Call to schedule reinspection.
Date:
' •,;;;::•"! r•.
o ns ion,
Date
lg MEM
iaw in qi,u0
6 -
pec a nstruct ons:
°quest*.
(..- i
one ■ o:
.41K • MEM
'11pproved par applicable cadge.
COMMENTS:
1111■1■1•111i1111011•1111■
EJCorrections required prior to approval,
ll=1■11.
spector:
16300 Southcenter Blvd., Suite 10
Rece No.:
lor to inspection, fee must • e
• Call to schedule reinspection.
Date:
' •,;;;::•"! r•.
0 NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
PERM
(206)431.3670
PJ
1 S' '
1- pe ho nspection:
7:
Cass
v
Date a led: —
b3
US
Trr. 6.
instructions:
spa:
Date Wanted:
• equester
.
,
....
• 124612.■
)
•
- 1 /
472
Approved per applicable codes.
COMMENTS:
.1111111•11111116
ElCorrections required prior to approval.
1111111•••=1.11MUMMOIMINSINISINow•
03,01ammommormom
MMIMINIM AMIE
7.00 REINSP ION FEE EQUIRED. Prior to inspection, fee must be
aid at 6300 Southcenter B vd,, Suite 100. Call to schedule reinspection.
elpt No.:
Date:
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Ins this s unit/milli adaptable preduet suitable far a verity of Ilicatlemo.ACFeim.11
le a eteeed•ter, pe ism eof. IM Ittatnettd to henry black nen•asphattft), fibs+
r lnfora.i flit hteti,ACFoInf•tl e area ava'Isbla;n 1!•pd fo�r,Avaitsble in 4 n 4'
(I220men n I210mM) and 4' n a' (1220mm x 2l40nvn) penes,
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tapoid playa to Mb polithe d��nirnde wife ininoirMg the Its thorn& Odom
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CI' Y�t'JF�f 'oam' Insulations
DEC 2 0 zooz DATA SHEET
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i;
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: MI02 -199 DATE: 12 -20 -02
PROJECT NAME: Church by the Side of the Road - Reroof
SITE ADDRESS: 14825 Tukwila. International BI
AC_Original Plan Submittal _... _..Response to Incomplete Letter #
Response to Correction Letter #_�__ Revision # After Permit Is Issued
!_'ik _ A . S.
r
Bull's : • I Sion
Public Works ❑
Fire Prevention
Structural ❑
Planning Division
Permit Coordinator
igt
DETERMINATION OE COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete ❑
DUE DATE:,..-4 -Q2
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED:
Departments determined Incomplete: I31dg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
LETTER OF COMPLETENESS MAILED:
TUES /THURS ROUTING;
Please Route L Structural Review Required ❑ No further Review Required
REVIEWER'S INITIALS:
DATE:
A,PPROVM O CORRECTIONS:
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE :_,_•_1:21 -03
Not Approved (attach comments) ❑
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections; Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents/routing slip.doc
2.16-02
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REGISTERED AS PROVIDED 2? LAW AS
CONST CONT .GENERAL •
. REGIST. # EXP. DATE.
CCO1. HANSECI042BH 10/02/2004,
EFPECTIVE DATE 01/08/1996
HANSEL CONSTRUCTION IN
11037 19TH AVE SW
SEATTLE 9814-2O41
Slyttittort.
t.sued t oti LABOR AND INDUSTRIRS
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