HomeMy WebLinkAboutPermit MI99-0035 - TUKWILA BP STATIONMI99 -0035
16200 W. Valley Hwy.
City of Tukwila
(206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MISCELLANEOUS PERMIT
WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES,
APPLICANT IS PROCEEDING AT THEIR OWN RISK.
Parcel No: 000580 -0038
Address: 16200 WEST VALLEY HY
Suite No:
Location: APPROX. 110 LF FROM NORTH PROPERTY LINE
Category: UTIL
Type: MISCPERM
Zoning:
Const Type:
Gas /Elec.:
Units: 000
Setbacks: North:
Water: TUKWILA
Wetlands:
Permit No: MI99 -0035
Status: ISSUED
Issued: 03/09/1999
Expires: 09/05/1999
Occupancy:
UBC:
Fire Protection:
.0 South: .0 East: .0 West:
Sewer: TUKWILA
Slopes: Y Streams:
Contractor License No: ARMSTC*373N0
OCCUPANT
OWNER
CONTACT
CONTRACTOR,
TUKWILA BP.STATION
16200 WEST VALLEY HY, TUKWILA WA 98188
TLIKWILA STATION LLC
16200 WEST VALLEY HY, TUKWILA WA 98188
LINDSEY BURCHAK
.16200 WEST•VALLEY HY, TUKWILA WA 98188
.ARMSTRONG CONSTRUCTION CO INC
2709 AUBURN WY N, AUBURN WA 98002
BILLING TO TUKWILA•STATION BP & CARWASH. Phone: (425)793 -7145
• 16200 WEST VALLEY HY, TUKWILA, WA 98188
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P� ruiik• Description:
1" EXEMPT WATER METER TAP WITH A DOUBLE CHFCI(
VALVE ASSEMBLY TO BE USED FOR A HOSE BIB FO
PARKING LOT WASHINCI
. .k* k.l..j.• A•** k**•*.**** k• k*kk• k*kk* k* k**** k• k***** k** k* k*• k* k*• kkk** *** *k ** ** *W ** **A* #:4:4***
Construction Valuation: $ .00
PUBLIC WORKS PERMITS: *(Water Meter Permits Listed Separate) Eng. Appr: 3,35
Curb Cut /Access /Si.dewalk /CSS: N
.Fire Loop Hydrant: N No: . Size(in): .00
Flood Control Zone: N
Hauling: N Start Time:. End Time:
,Land Altering: N Cut: Fill:
Landscape Irrigation: N
Moving Oversized Load: N Start Time: End Time:
Sanitary.Side Sewer: N No:
Sewer Main Extension: N Private: Public:
Storm Drainage: N
Street Use: N
Water Main Extension: N • Private: . • Public:
.0
Phone 425 -793 -7145
Phone: (253)833 -3355
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TOTAL DEVELOPMENT PERMIT FEES: $ 325.00
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Permit Center Authorized Signature:
L Date: rG CI
I hereby certify that I have read and examined this permit and know the sane
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
cancel the provi
or the perform
development p
Signature:
Print Nan
■
is permit does not presume to give authority to violate or
on of any other state or local laws regulating construction
I any authorized to sign for and obtain this
IrtriSe-
Date: 3 -
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.
03/09/99 CITY OF TUIWILA, WA _
12:30 ONDITIONS OF APPROVAL
MISCELLANEOUS PERMIT Permit No: 1 M199-0035 Parcel:. :00058O- 0038'
900. Conditions of Approval
DEPARTMENT
900„ . 1
The applicant mustnotify the
The applicant must notify. the City uti 1 ity inspector at
206- 433 -017t? upon commencement and comp letion• of work .at
least 24 hours in advance. A1J;..,.ins,pection requests for
ut i l i tv work: must a 1; ber made 24,:'hour,s7..i n advance..
9.00. 1
mporar,y ;`erosiofd contro
Temporary -girds ion :,6o60.-.61 measureS :.sha1l't,k� i►zip1eiji nted as
the first yr der.;.o 'business tro_,p event e'd`ime ttat i't6i:,otf-
site orf.Anto- ..ex.i�st`ing Storm' °drai. c 'l:itie •
900. 1
No':•water per Vice. design was
No , water` service desi,grt wads provided as pay t 'ef the,.
app7,icati:gn suhmitltial' The :water service design nd . r
ubsegtlerit' dins tract:..ion 'shel'l--be .completed in aci :c;r.dance
w'li,::t;h C<i ty, water- : tan`derds��ff` Type. ":i' copper tubing' ^h� �l:.i,,:-;b
u.s with"in : „t a ,.;:
h L'i t'v r..i gh;t`- t�f.- ar,a'. f t ~om0..th e a.
w`e.;ter, meter as-one of the r e;gu rewen.t :, ;•, .
r
900.. - The ,er�►)o.'t; meter 'yicif, ;` s.ha11. in
Page: 1
,INEFFECT
INEFFECT
INEFFECT
The exempt ureter ";w�:r'r•k, shal i include a,. State Depar tmen-t : of
th .ap+pr`oved "do'ub,l e{ Ghr:cb.' .va;lsre a^:,`eltib 1.y,
CITY OF T' 'KWILA
Permit Center
6300 Southcenter 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 mall or facsimile.
Project Names nant:
�./L))r:L,J1 //)- S147,•u✓1 is /�,� C �✓'4 -s )4-
Val e o onstruction:
O, C()
Site Add s:, p 1 I I �- l)JACity State /Zip:
( .6.0 1 bjr l./ 4_ // e /TL,✓ . (c%JtLVL f4 9:�'d
Tax Parcel Number:
Uvc s -t6 - U0 3 5- --' L/
Property Owne� 'itx. 7 L
POT--
S reet Address: City S ate /Zip:
l6 Z au Cam, (f (4- /I e�� )4( 4f f �Jct.,/,'1a. ;_ `j kz <-k'
Fa #:
I /> c:-. 7 3 --7' 7 2-
Ce-ntt ac PH:P 1 3w-c 1,0-)L_
-jam 7,3 -7)'-/f------
S r City State /Zip:
J, t/9 -frc7 j ar.✓ 7 "�c/ �C�✓, 44, ti , 5�, �-�
Fax #:
�/� �- 7 5�3 '- 757 2...._
Contrac r:
/1 -rrtn S� S
Pho e: _
' s ? _ s_33 - 33 s__`�'r
S et Addr s: City State /Zip;
a�l uc r0 t,✓/i-y yl . %� 04j.,4 (,J/}: �,too.�-
Fax #
a.3 3 --35 / --6 ,./a 7
Archite : f /
VC- r�i5•C -r/ oII,e!i1 ! //cry
Phone:
Six6 '11)S " -ic /— /2-3 2...
pStreet ddres Cit State /Zip:
stA /`//o ``l4._v_e ki f� ..cast 1 ItWV�� �JG .. �IZZ ��
Fax #: /
1,l S _ L /S7 -- Ifs l
Engineer•
i irL E..0,4_>1 e d- /}SSGc_ t'7 .e$
Phone
11 _-aSI --Li
S rest Address: Cit State /Zip:
l �lf � GJ M41'- -e i1,'e -,i. i�r � (:.f; t,�'', kt?-69 1
Fax #:
MISCELLANEOUS PERMIT REVIEW AND APPROVAL REQUESTED: (TO BE FILLED OUT BY APPLICANT) r, ;.
Description of work to be done: i l„1 'Mg- 0A- pi erx,t,
Will there be storage of flammable /combustible hazardous material In the building? ❑ yes ca no
Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets
❑ Above Ground Tanks El Antennas /Satellite Dishes ❑ Bulkhead /Docks ❑ Commercial Reroof
❑ Demolition ❑ Fence ❑ Mechanical ❑ Manufactured Housing - Replacement only
❑ Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection /Exit Systems
❑ Temporary Facilities ❑ Tree Cutting
APPLICANT REQUESTFOR 'MISCELLANEOUS PUBLIC;WORKS.PERMITS'
0
Channelization /Striping
Flood Control Zone
Landscape Irrigation
Storm Drainage
Water Meter /Exempt #
Water Meter /Permanent
Water Meter Temp #
❑ Miscellaneous
❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s):
❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq. ft.grading /clearing
❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private
❑ Street Use ❑ Water Main Extension 0 Private 0 Public
Size(s): 1" 0 Deduct • Water Only
Size(s):
Size(s): Est. quantity:
❑ Moving Oversized Load/Hauling
gal
0 Public
Schedule:
MONTHLY SERVICE BILLINGS TO: ; . ,
Namai -zyk .4' I, s4-72c) ri D Y 61- co.r' /�./'/) s_ /.1--1
Phone:40 �-- '�lj
-- -2 / u /J'J
Address: /6ZUU [�, u /lez /AA,
Cif /�to /r4- L.1f9.-
7 c -1 "
%Water V Sewer 0 Metro 0 Standby
WATER METER DEPOSIT /REFUND BILLING:
Name )L ,1j1- 7'rii Q to G✓�S /�-- 1 Phone: al) !i 3
I L✓ L/' � /�c-�/ -� City/State/Zip:
✓ /Gw,
1 - 1.t/A -_ s is--- AddZ c-CJ . 4 //
Value of Construction - In all cases, a value of constFuction 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 a catloi pf =: qq
Date app on er : qq
Apaaken by: (initials) I
ALL MISCELLANEOUS PL . IT APPLICATIONS MUST BE SUB ED WITH THE FOLLOWING:
LL I AWI iN'L�. 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
➢ CIVIL/SITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER
(P.E.)
n
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR
PERMIT REVIEW
Submit checkii §t Not M=9
Above Ground Tanks/Water Tanks - Supported directly upon grade
exceeding 5,000 gallons and a ratio of height to diarrieter or width
which exceeds 2 :1
0
Antennas /Satellite Dishes
Submit checklist Not M -1
El
Awnings /Canopies - No signage
Commercial Tenant Improvement
Permit
0
Bulkhead/Dock
Submit checkli §t No M -10
ri
Commercial Reroof
Submit checklist ' No: M -6
El
Demolition
SUbtnit checklist :No: M -3;: M -3a
El
Fences - Over 6 feet in Height
Submit checklist No: M -9
O
Land Aitering/Grading/Preloads
Submit checklist No: M -2
0
Loading. Docks
Commercial Tenant Improvement
Permit...Stibrnit checklist No: H-17
il
Mechanical (Residential:& Commercial)
Submit checklist No M-8;
Residential,only,- N =$, H -16
Submit checklist ' No N =9
0
Miscellaneous, Public Works' Permits
ri
Manufactured Housing ;(RED INSIGNIA ONLY)
Submit checklist: No: " M =5
J
Moving Oversized Load/Hauling
Submit checklist No: M -5'
0
Parking Lots
Submit checklist No: M -4
0
Residential Reroof - Exempt with following exception: If roof structure
to be repaired or replaced
Residential Building Permit
Submit checklist No: M-6
0
Retaining Walls - Over 4 feet in height
Submit checklist No: M =1
El
Temporary Facilities .
Submit checklist No: M -7
O
Temporary Pedestrian Protection /Exit Systems
Submit checklist No: M -4
Tree Cutting
Submit checklist " No: M -2
® 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 ".
Building Owner /Authorized 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 permit application and
obtain the permit will be required as part of this submittal
I HEREBY CERTIFY THAT / 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. /l
BUILDIN As NER I R AU
' ORIZED *GENT:
Signature
IC
Datea _
._
/(
Print na- e: lrlids
t? ,—r. 'JC — -
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Add z 46A.),
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c/it5:. %9,
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CITY OF TURWII_A, WA Reprinted: 03/09/99 12 :27 'TRANSMIT
h“ * * *.A ** * *A** ** *•* *A * *i. * * ** *zl * ** **ilk * * * *kA*AltAkie hA* * *i< * * * * * **
TRANSMIT Number: R9800021 Amount: 325.00 03/09/99 1.2-26
Payment ; Method: CHECK Notati on y TUKWILA 11 P ln i t a rTLII
Permit flow 'PMI99 -003 t. Type.: MISCPERM MISCELLANEOUS PERMIT
Parcel No: 000560--0.033
Site .Address: 16200 WEST .'ALLEY HY
Location: APPROX. 110 LF . FROM NORTH PROPERTY LINIi.
1'utal Fees: 325.00
This Payment 325.00 'total ALL Pmts: 225.O0
`Balance: .00
*** *** * * *A*:lk;Sr1 * *AA•**:1 *dr** * k***** A** *:1 *;t** *A*** *A * * :1•k +1kh ****•* 1*
Account. Code Det,ov iptian Amount
000/345.830 PLAN. CHECI; •- WATER METER 10.00;
401/342..4100 WATER INSPECTION FEE 15.00
401/340.405 WATER TURN-ON FEE 300++00
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INSPECTION RECORI(s_.
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
PERMIT NO.
(206)431 -3670
Project
SC. 3e_
J',All',
ITT. of Inspection: Il
to 1 1��f
Address: (J�v I , ,
tv V`'
IL
MA/
ate called:
Special instructions:
nq c�
�l�
S e 11"46)
Date wanted:
,..„_
a.m.
p.m.
Requester:
�
Phone:
Approved per applicable codes. n Corrections required prior to approval.
COMMENTS:
11/17,15g "6� 16 Sst uY� ntia..,,. la
9'lA40*, fi�viUtiJ-.2e1 f.Al.o -,4b4 "fy
Kk 01 ape.tu 4ruck -frii ()D.A. v IT,
br/L'I'v.- vitt- -P -€.-13t-ei \ / 6-6 K 0 K
/ifiq i ..s cerc,rfa,„, ,
14 witski, stA,A-ASsi4 w,,,-*-LQ
aer,,teA t,i 6-1.6 s .94
Inspector:
Date:
L-11
11 9
LI $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection,
1 natn•
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
INSPECTION RECORD ;(hh1 C,Iq 0035}
Retain a copy with permit ''1 1 !!
PERMIT O.
(26)431 -3670
Project:
1 r..t„ I tlw
f� P
Type of Inspection: f
(t p 10
Address:
Ka (AO.
ot ,Y
Date called:
Special instructions:
Date wanted:
>��_
a.m.
P.m.
• Requester:
Phone:
nApproved per applicable codes.
COMMENTS:
C. rections required prior to approval.
P2/1
C w�
em--44
3 f 9 i✓cj q sk» v V-9-eJ
Date:
I 1/71
El $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
l)nrn:nt Mn. I data•
\S\
APPROVED PER PUBLIC WORKS
LETTER DATED ../sL. j÷123.1
I" Rotor WM (wATuit.
ONLy)
- SEE PERM rr- co/vberlows
. - • •-•--
RECEIVED
FEB 1 7 1999
TUKWILA
___RUBLICA-WOFI KS
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CITY OF TUKWILA Id: ACTP125 Keyword: UACT User: 1636 03/25/99
Activity Table Processing MISCELLANEOUS PERMIT
Permit No: MI99 -0035 Occupant: TUKWILA BP STATION
Status: ISSUED Address: 16200 WEST VALLEY HY
Water Meter (Public Works)
Water Meter Size:
Quantity:
(TEMP /PERM /EXMT /DED):
Work order. No
5105L
Type: MISCPERM Vere: 9801 Screen: 05
Meter #1 Meter #2
1.00 .00
1
EXMT
Meter #3
.00
Connection Charge(Y /N):Y .00 .00 .00
Install Deposit(Y /N):Y .00 .00 .00
Add'l Install Deposit: .00 .00 .00
Plan Check (Y /N) •Y 10.00 .00 .00
Inspection (Y /N) •Y 15.00 .00 .00
Turn On (Y /N) •Y .00 .00 .00
Special Assessment....: .00 .00 .00
Other Fee : 300.00 .00 .00
Subtotal : 325.00 .00
Total Water Meter Fee: 325.00
P7- Update, F2- Previous Line, F1 =Screen Index, ESC =Cancel Update
.00
TO:
FROM:
DATE:
SUBJECT:
City of Tukwila
Department of Public Works
John W. Rants, Mayor
NOTIFICATION OF UTILITY PERMIT ACTION
Permit Center
Public Works Engineering
March 1, 1999
Southcenter BP
16200 West Valley Hwy
Project No: PRE96 -036
Permit Number: MI99 -0035
Contact Person :Lindsey Burchak
Phone: (425)793 -7145
Ross A. Earnst, P. E., Director
THE FOLLOWING PUBLIC WORKS PERMITS HAVE BEEN APPROVED FOR ISSUANCE
IN ACCORDANCE WITH THE PLANS APPROVED ON March 1, 1999:
1" Exempt Water Meter (Water Only)
PERMIT FEE
$ 325.00
TOTAL: $ 325.00
Two copies of the confirmed Utility Permit Application and plans are attached for inclusion in the
permit file.
JJS /jjs
CF: Development File (with copy of application and plans)
PW Utilities Inspector (with copy of application and plans)
Finance Dept. (with copy of application)