HomeMy WebLinkAboutPermit D12-040 - NGUYEN RESIDENCE - UPGRADESNGUYEN RESIDENCE
5805 S 147 ST
D12-040
City ofkukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Inspection Request Line: 206- 431 -2451
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 8687800097
Address: 5805 S 147 ST TUKW
Suite No:
Project Name: NGUYEN RESIDENCE
DEVELOPMENT PERMIT
Permit Number: D12-040
Issue Date: 02/08/2012
Permit Expires On: 08/06/2012
Owner:
Name: NGUYEN TIN Q
Address: 5805 S 147TH ST , SEATTLE WA 98168
Contact Person:
Name: KENNY NGUYEN
Address: 5805 S 147 ST , TUKVVILA WA 98168
Contractor:
Name: F LEE STENSON INC.
Address: 1801 S 93 ST C -27 , SEATTLE, WA 98108
Contractor License No: FLEESI* 122CA
Lender:
Name:
Address:
Phone: 206 778 -2980
Phone: 206 241 -7738
Expiration Date: 03/07/2013
DESCRIPTION OF WORK:
REPLACE EXISTING WINDOWS, REPLACE GARAGE SHEETROCK, AND UPGRADE INSULATION AS REQUIRED IN EXISTING
HOME. ALSO FINISH WORK INCLUDING NEW CABINETS, FLOOR COVERING, AND APPLIANCES.
Value of Construction: $7,000.00 Fees Collected: $226.00
Type of Fire Protection: SMOKE DETECTORS International Building Code Edition: 2009
Type of Construction: VB Occupancy per IBC: 0022
Electrical Service Provided by: PUGET SOUND ENERGY
* *continued on next page **
MILD z-zccia
nSPeerrOri
doc: IBC -7/10
D12 -040 Printed: 02 -08 -2012
Public Works Activities:
Chartnelization / 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':
045 r i f
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
N
N
N
Number: 0 Size (Inches): 0
Start Time:
Volumes: Cut 0 c.y.
End Time:
Fill 0 c.y.
Start Time: End Time:
Private:
Profit: N
Private:
Public:
Non - Profit: N
Public:
Date: 02-
ed this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
The granting of this permit does not pr
construction or the performance of work.
to this permit.
Signatu
to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this development permit and agree to the conditions attached
Print Name: �} TE �! S 0 ij
Date: 2/, 20 /
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 CONDMONS * **
2: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431- 3670).
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: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
5: All wood to remain in placed concrete shall be treated wood.
6: 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.
doc: IBC -7/10
D12 -040 Printed: 02 -08 -2012
7: All construction noise to be in compliancilith Chapter 8.22 of the City of Tukwila Muni114 Code. A copy can be
obtained at City Hall in the office of the City Clerk.
8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila
Building Department (206- 431 - 3670).
9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
10: 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.
doc: IBC-7/10
D12 -040 Printed: 02 -08 -2012
CITY OF TUKWILA
Community Developi7 Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:' /www.TukwilaWA.gov
Building P it No.
Project No.
Date Application Accepted:
Date Applicatic n;Expires:
(For office use only)
oi-to
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 **
< King Co Assessor's Tax No.:
k( Site Address: S8:0 5- 5 ///7 / 7 //'4 9f/ Suite Number:
,e Tenant Name: ,'w7' A,/, i y
u
PROPERTY;O
M<K
ame: 7
Addre
)y -7
Cit
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State:
9'57/ >
CONTACT P1
communication':
Name. )),
A% � 7
Addr
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State:
Phone: Fax:_
7.4) 6, 71/:3 - -2-9 O 266 , 2 y .__ /9S 7
Email:��r'�y�� SCCs
GEN)F, L CCi O (lf f i c
Company Name:
r.Acr S /[-Ai so/v evwsT
Address:
/,s S" •S w/ 2 S i ON/1 4
City: (1/Z //5 State: L4,J,4 Zip: 9e/ b‘:
Phone: Fax:
Contr Reg No.• Exp Date:
/'4 S,Z* /22C it =3/7 24:./3
Tukwila Business License No.: C.1`1.1
H. Wpplications\Forms- Applications On Line \2011 Applications\Permit Application Revised - 8- 9- 11.docx
Revised: August 2011
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Floor:
New Tenant: I`. Yes
❑.. No
UTE,
1,01E
I
Company Name:
Address:
City:
Phone:
State: Zip:
Email:
Compay Name:
Engineer
Address:
City:
Phone:
Email:
e:
Zip:
ax:
Name:
Address:
City:
State: Zip:
Page 1 of 4
acv �•v i ua• v •- AI 11 UV 11- /V J� 1/'�/�/ij/ R Y� I"oL1t ��IV 9�
'1 G1( 91..1 `'.-.- ■._. IY�WI Ir 1�.I�i/ 1 i l )L1Ci
Valuation of Project (contractor's bid pric $U ,° Existing . 'ding Valuation: $(K. /S�JC,
Describe the scope of work (please provide detailed information): /2/=-/-1/4/1 /.._=,( i5 T%.Ae 6 c,v: vocus
Ai_ ,/32 /5 6/1n /16 f Si« j r 4_0(A, ,O,& i c. ', i/ rS r A-/, .tom /Lc.cvt.
0-) /1- M :1 4' 4 f--:44 e-f /f- /-',P4 i u F-&S' /1 S A-11- 13" e i_J G/i,d S C,A r<a '
fF c (JI4 /" 70 X /S ?ix/ //
Will there be new rack storage? ❑ ....Yes
If yes, a separate permit and plan submittal will be required.
side All :Building Are
in Square FOn
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6
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Floor , '
Atl
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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:
Compact: Handicap:
Will there be a change in use? ❑ Yes ❑ No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None NI Other (specify) "tiAu -t per
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 ata 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 -1 I.docx
Revised. August 2011
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Page 2 of 4
I • PUBLIC wORKSPER1VIIT E' oRMVIAT1ON - 2o6 -433 -0179
i Scope of Work (please provide detailed Ormation):
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
.. Tukwila ❑ ...Water District #125 ❑... Highline
❑ .. Water Availability Provided
Sew r District
Tukwila ❑ ...Valley View 0... Renton
❑ .. Sewer Use Certificate ❑ ...Sewer Availability Provided
❑ .. Renton
❑ .. Seattle
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.
Submitted with Application (mark boxes which apply):
❑ .. Civil Plans (Maximum Paper Size — 22" x 34 ")
❑ .. Technical Information Report (Storm Drainage) D... Geotechnical Report
❑ .. Bond ❑... Insurance
❑... Easement(s) 0... Maintenance Agreement(s)
Proposed Activities (mark boxes that apply):
❑ .. Right -of -way Use - Nonprofit for less than 72 hours
❑ .. Right -of -way Use - No Disturbance
❑ .. Construction/Excavation/Fill - Right -of -way ❑
Non Right -of -way ❑
❑ .. Total Cut
❑ .. Total Fill
cubic yards
cubic yards
❑ .. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
❑ .. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ ...Traffic Impact Analysis
❑ ...Hold Harmless — (SAO)
❑ ...Hold Harmless — (ROW)
0... Right -of -way Use - Profit for less than 72 hours
0... Right -of -way Use — Potential Disturbance
❑... Work in Flood Zone
0... Storm Drainage
0... Abandon Septic Tank
❑... Curb Cut
❑... Pavement Cut
0... Looped Fire Line
0... Grease Interceptor
❑... Channelization
❑...Trench Excavation
❑... Utility Undergrounding
❑ .. Permanent Water Meter Size... WO #
❑ .. Temporary Water Meter Size .. WO #
❑ .. Water Only Meter Size WO # ❑ ...Deduct Water Meter Size
❑ .. Sewer Main Extension Public ❑ Private ❑
❑ .. Water Main Extension Public ❑ Private ❑
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ .. Water ❑ .. Sewer ❑ .. Sewage Treatment
Monthly Service Billing to:
Name: Day Telephone:
Mailing Address:
City
State Zip
Water Meter Refund/Billing:
Name: Day Telephone:
Mailing Address:
City
State Zip
H: Applications\Forms- Applications On Line \20I 1 Applications\Permit Application Revised - 8- 9.11.docx
Revised: August 2011
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Page 3 of 4
PERMIT APPLICATION NOTES
Value of Construction — In all cases, a value onstruction amount should be entered by the apple. 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).
1 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 OWNER OR AUTHORIZED AGENT:
Signature
Date: 2/ G /Z!J / Z
Print Name: /< A /L S % ' it/ S O A.A Day Telephone:
Mailing Address: / vrS S C!/ J.2 S7
H:',ApplicationlForrns- Application On Linet2011 Applications\Permn Application Revised - 8- 9- 11.docx
Revised August 2011
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City
State Zip
Page 4 of 4
City 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.TukwilaWA.gov
Parcel No.: 8687800097
Address: 5805 S 147 ST TUKW
Suite No:
Applicant: NGUYEN RESIDENCE
RECEIPT
Permit Number: D12-040
Status: APPROVED
Applied Date: 02/08/2012
Issue Date:
Receipt No.: R12 -00558
Payment Amount: $226.00
Initials: JEM Payment Date: 02/08/2012 12:59 PM
User ID: 1165 Balance: $0.00
Payee: FREDERICK LEE STENSON
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 05589C
ACCOUNT ITEM LIST:
Description
226.00
Account Code Current Pmts
BUILDING - RES
STATE BUILDING SURCHARGE
000.322.100 221.50
640.237.114 4.50
Total: $226.00
doc: Receipt -06 Printed: 02 -08 -2012
INSPECTION RECORD
Retain a copy with permit
IN3PftTION NO. Py p PERMIT NO.
CITY OF' TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 rt. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project
f
Type
Address.
Date Called:
Special Instructions:
Date Wanted: .4f--- �/�
Requester: -
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COM ENTS: o / _ 41
❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
• paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
27
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
l,) (1I�f � P s
Typ f Inspection:
, t1/4) AL-
L. , CO,` /16
Address: y '71-
,Date
T
Called:
Spec al Instructions:
Date Wanted: /`
'°"`1
G�
1
a.m.
" � �:,pan1^
(�--
Requester:
Phone No:
2 --0 G - -71
y_2980
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
7- , 7, ..a .G d,"
14 R . SPECTION FEE REQ IRED. ° rior to next inspection. fee must be
aid at 6300 Southcenter B . d.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
ID C2 CSI C
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 v. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
NF.,t-1ttfp
'tR4.s
Type of Inspection:
5.uJr,
Address:
SAO'S 5
I L-l-7
Date Called:
Special Instructions:
Date Wanted:.
- I%- iz
�a-
�t
Requester:
Phone No:
_ 7(\)(n- 778 - 2.t-i 6
0
tS\Approved per applicable codes. EJ Corrections required prior to approval. 3
COMMENTS:
(Inspecto
Dale:
6
ri QU
gol PECTION FEE RE)RED. Prior td next inspection. fee must be
pa' at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
)1 2- )4O
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 R (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
Af6 7/ Ae A/ - s' ‹ S
Type of Inspe Sion: --,�
LAj A- -1t -EA (1- , .) iV
Addres : is-t.
Date Called:
Special Instructions:
Date Wanted:.
'`a.
Requester
( `.( AA.
Phone No:
7 _0 6 -• -7
42-? 5J ',.)
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
1
INSPECTION FEE REQUIRED. P, for to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
•
City of Tukwila
Jim Haggerton, Mayor
v Department of Community Development Jack Pace, Director
Y.
April 3, 2012
Kenny Nguyen
5805 S 147 St
Tukwila, WA 98168
RE: Correction Letter #1 to Revision #1
Development Permit Application Number D12 -040
Nguyen Residence — 5805 S 147 St
Dear Mr. Nguyen,
This letter is to inform you of corrections that must be addressed before your development permit can be
approved. All correction requests from each department must be addressed at the same time and
reflected on your drawings. I have enclosed comments from the Building Department. At this time the
Fire, Planning, and Public Works Departments have no comments.
Building Department: Allen Johannessen at 206 433 -7163 if you have questions
regarding the attached comments.
Please address the attached comments in an itemized format with applicable revised plans,
specifications, and /or other documentation. The City requires that four (4) sets of revised plans,
specifications and /or other documentation be resubmitted with the appropriate revision block.
In order to better expedite your resubmittal, a `Revision Submittal Sheet' must accompany every
resubmittal. I have enclosed one for your convenience. Corrections /revisions must be made in person
and will not be accepted through the mail or by a messenger service.
If you have any questions, please contact me at (206) 431 -3670.
Sincerely,
Bill Rambo
Permit Technician
encl
File No. D12 -040
W:\Permit Center\Correction Letters\2012\DI2 -040 Corr Ltr #1 to Rev Hl.doc
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Tukwila Building Division:'.
Allen Johannessen, Plan Examiner..'
Building Division Review Memo
Date: April 3, 2012
Project Name: Nguyen Residence
Permit #: D12- Nguyen Residence
Plan Review: Allen Johannessen, Plans Examiner
The Building Division conducted a plan review on the subject permit application. Please address the
following comments in an itemized format with revised plans, specifications and /or other applicable
documentation.
(GENERAL NOTE)
PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size).
(If applicable) Structural Drawings and structural calculations sheets shall be original signed wet
stamped, not copied.)
1. Plans provided lack sufficient clarity to show the scope of work. Please provide plan that is drawn to
scale (1/4 inch = 1 foot) on a minimum size 1 1 x 17 sheet. Plan shall clearly show rooms with in the
vicinity of the kitchen. Show dimensions of rooms, walk ways, openings, door openings etc. The wall
to be installed shall not block any necessary passage ways. Clearly specify the wall to be installed by
clouding the work area and provide dimensions.
Should there be questions concerning the above requirements, contact the Building Division at 206-
431 -3670. No further comments at this time.
® •
p
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D12 -040 DATE: 03 -27 -12
PROJECT NAME: NGUYEN RESIDENCE
SITE ADDRESS: 5805 S 147 ST
Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # X Revision # 1 After Permit Issued
DEPA'TME TS:
4-10k _
uwith i
i s vision `
Fire Prevention
Public Works ❑ Structural
n
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
DUE DATE: 03-29 -12
Complete Incomplete ❑ Not Applicable ❑
Comments:
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 7C. Structural Review Required ❑ No further Review Required
REVIEWER'S INITIALS:
DATE:
APPROVALS OR CORRECTIONS:
Approved Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE: 04-26-12
Not Approved (attach comments) le-
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg Fire 0 Ping ❑ PW ❑ Staff Initials:
Documents /routing slip doc
2 -28 -02
PROJECT NAME:
SITE ADDRESS:
PERMIT NO:
ORIGINAL ISSUE DATE: z--e-1
REVISION LOG
REVISION
NO.
DATE RECEIVED
STAFF
INITILS
ISSUED DATE
STAFF
INITIALS
Summary of Revision: 1 e �_. S �a.,r< <� 14 P ��:-', 4 r 1, �v. � � -
W
C( 2
Reza ^°' : by:
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision:
Received by:
(please print)
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision:
Received by:
(please print)
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision:
Received by:
(please print)
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision:
Received by:
(please print)
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision:
Received by:
(please print)
City of Tukwila
11-REVISION
SUBMITTAL
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Web site: http: / /www.TukwilaWA.gov
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date:
Plan ChecWPermit Number:
❑ Response to Incomplete Letter #
Response to Correction Letter # /
❑ Revision # / after Permit is Issued
kRevision requested by a City Building Inspector or Plans Examiner
D/2 -0z/0
Project Name: TT/7"4,-
Project Address: S3 � f y 7 _
Contact Person: j�jpt? 7 w �t Phone Number: 2 t 3 770 20
Summary of Revision:
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
` J — Entered in Permits Plus on ` d- C)— l
H:\ Applications\Forms- Applications On Lme\2010 Applications \7 -2010 - Revision Submittal doc
Revised. May 2011
RECEIVED
APR 20 2012
PERMIT CENTER
City Mr Tukwila
REVISION
SUBMITTAL
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Web site: http : //www.ci.tukwila.wa.us
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: 3/27/012.__ Plan Check/Permlt Number:
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
Revision # / after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Project Name:
Pl--014 0
Project Address: S-8 O f
S7
Contact Person: M/
Summary of Revision:
T/2. A A,/
Phone Number:
02.0 Co
-7 S -2986
TO // /-92 -7 2
Tv F/4 L //t/ F X /S 7-744 ( 4i2 /I U.0.1_. e- TU C.e5 i4 /A4 .0
(!J / 71' S /1/5 C i<.CS Ta /- JJ 7 S`/' /5/2 /17 1r TC-1J
/1A, L, / L /QO2, i,
RECEIVED
CITY OFTUt<W
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
Entered in Permits Plus on C__
H: Applic.tl Woon,-AppIopion, Om lina12010 AppUptlonA7 -2010 - Revision Snbmitlsl.da
anted: 8-13-2004
Revised: 7 -2010
Contractors or Tradespeople Pilfer Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with LEI 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 F LEE STENSON INC UBI No. 601036362
Phone 2062417738 Status Active
Address 155 Sw 152 Nd Street License No. FLEESI'122CA
Suite /Apt. UNIT A License Type Construction Contractor
City Seattle Effective Date 2/1/1988
State WA Expiration Date 3/7/2013
Zip 98166 Suspend Date
Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
County King
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
SHEPPCR088MG
SHEPPARD
CONST &
RMDLNG INC
Construction
Contractor
Carpentry/Framing
Siding
7/7/1992
7/1/1996
Archived
SWIIN "081CJ
5 W I INC
Construction
Contractor
General
Unused
2/11/1992
2/10/1995
Archived
STENSWI122DA
STENSON
WHITESPAR INC
Construction
Contractor
General
Unused
3/1/1988
2/10/1992
Archived
STENSFL162CB
STENSON, F LEE
Construction
Contractor
General
Unused
2/2/1984
1/25/1988
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
STENSON, FREDERICK LEE
President
02/01/1988
Amount
STENSON, CHARLENE
17
01/01/1980
01/01/1980
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
5
CBIC
638940
01/25/2002
Until Cancelled
$12,000.00
01/22/2002
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
17
CBIC
C11638940
05/15/2007
05/15/2012
$1,000,000.0004
/15/2011
16
PRAETORIAN
INS CO
HFP200125400
05/15/2007
05/15/2008
$1,000,000.0004
/23/2007
15
INSURANCE
CORP OF
HANNOVER
H86FP1689903
05/15/2006
05/15/2007
$1,000,000.0003
/20/2006
14
INS CORP OF
HANNOVER
H86FP1689901
05/15/2004
05/15/2006
$1,000,000.00
04 /01/2005
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
02/08/2012