HomeMy WebLinkAboutPermit D12-042 - SILVER DOLLAR CASINO - FINAL INSPECTIONSILVER DOLLAR CASINO
14027 INTERURBAN AV S
D12 -042
City okukwila
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
DEVELOPMENT PERMIT
Parcel No.: 3365900830
Address: 14027 INTERURBAN AV S TUKW
Suite No:
Project Name: SILVER DOLLAR CASINO
Permit Number: D12-042
Issue Date: 02/10/2012
Permit Expires On: 08/08/2012
Owner:
Name: TUKWILA LAND COMPANY L L C
Address: 10116 RAINIER AVE S , SEATTLE WA 98178
Contact Person:
Name: PETER BAUMANN
Address: 14060 INTERURBAN AV S , TUKWILA WA 98168
Phone: 206 - 714 -2926
Contractor:
Name: OWNER AFFIDAVIT - PETER BAUMANN Phone:
Address:
Contractor License No: Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
REISSUANCE OF EXPIRED PERMIT D 11 -091. THIS PERMIT IS FOR (1) FINAL INSPECTION ONLY. ANY CORRECTIONS
WILL RESULT IN REINSPECTION FEES BEING ASSESSED.
SISTER OR REPLACE 2 X 10 DF #1 JOISTS AT WALK -IN COOLER, SHEET WITH 3 /4 "PT CDX WITH 5/8" CEMENT
BOARD OVER, THEN TOPPED WITH COMMERCIAL GRADE VINYL FLOORING. PERMIT ISSUED "OVER THE COUNTER"
SUBJECT TO FIELD INSPECTION PER DAVE LARSON
Value of Construction: $0.00 Fees Collected: $67.50
Type of Fire Protection: International Building Code Edition: 2009
Type of Construction: V -B Occupancy per IBC: 0004
Electrical Service Provided by: PUGET SOUND ENERGY
* *continued on next page **
doc: IBC -7/10
D12 -042 Printed: 02 -10 -2012
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant: N Number: 0 Size (Inches): 0
Flood Control Zone:
Hauling: N Start Time: End Time:
Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation:
Moving Oversize Load: Start Time: End Time:
Sanitary Side Sewer:
Sewer Main Extension: Private: Public:
Storm Drainage:
Street Use: Profit: N Non - Profit: N
Water Main Extension: Private: Public:
Water Meter: N
Permit Center Authorized Signature:
J �C r
-`� Date: 10-
"
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
construction or th
to this permit.
Signature:
Print Name:
"t does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
ormance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached
/677572- 4,1144-A-A7.1
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.
PERMIT CONDITIONS:
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431- 3670).
4: 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.
5: 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.
6: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
obtained at City Hall in the office of the City Clerk.
doc: IBC -7/10
D12 -042 Printed: 02 -10 -2012
7: VALIDITY OF PERMIT: The issuance or gr- g of a permit shall not be construed to be a t for, or an approval of,
any violation of any of the provisions of the ing code or of any other ordinances of the f 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 -042 Printed: 02 -10 -2012
CITY OF TUKWILA `; T-14 l�
Community Developr,'' Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Building Permit No. A)
Project No.
Date Appplic
ate Appli
Accd:.
4.Expires:
(For office use only)
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 **
SITE LOCATIl
King Co Assessor's Tax No.:
Site Address: / /L Z7 4'i(?%� ?C9/C'i5) =1 rvi , t Suite Number:
Tenant Name: ,S-/Z
PROPERTY;0 NE
Name: 7/ I1 I2 ez
Address: 6-1* 5. 6,0,:k.2,,/ /
State: 64, A
City: ,�TJ�✓
Zip:q�G -�
CONTACT
communi
Name:
Ikmd d, J
Addres7d6 0 f/V%E:/e. ebei 4-47
City: 77/4 G l Lk
Phonve674/61992 Fax O6 v,191. u3�
State: Wit..
Email:
H.\Applications \Forms-Applications On Line \2011 Applications\Permit Application Revised - 8 -9 -11. docx
Revised. August 2011
bh
New Tenant:
Floor:
Yes
Company Name:
Architect Name:
Address:
City:
State: Zip:
Phone:
Fax:
Email:
Company Name:
Engineer Name:
Address:
City:
State: Zip:
Phone:
Fax:
Email:
Name:
Address:
City:
State: Zip:
Page 1 of 4
GENE L QIT'' A "b 'A TIC
Company Name:
1-14*- ( u65-
Address:
City: State:
Zip:
Phone: Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.:
H.\Applications \Forms-Applications On Line \2011 Applications\Permit Application Revised - 8 -9 -11. docx
Revised. August 2011
bh
New Tenant:
Floor:
Yes
Company Name:
Architect Name:
Address:
City:
State: Zip:
Phone:
Fax:
Email:
Company Name:
Engineer Name:
Address:
City:
State: Zip:
Phone:
Fax:
Email:
Name:
Address:
City:
State: Zip:
Page 1 of 4
Valuation of Project (contractor's bid pr" $
Describe the scope of work (please provide detailed information): / ST ' e4, '(ye
�r tee G Existing `]ding Valuation: $
F (}0(57-7_,s- ex/Aft-4 fAi ceot-d-z , er CA/1/y '1,47— &DN. d-ifini-
Y r C4 Vets, 70 7'Z'4 L-yee, er,4t_ /6;‘vj — %1 /Al. yL
Will there be new rack storage? ❑ ....Yes
..No If yes, a separate permit and plan submittal will be required.
ide All Building Areas. in
Ai
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
FIRE P TECTION/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.
Compact: Handicap:
❑ No If "yes ", explain:
H.\ Applications \Forms - Applications On Line\201 I ApplicationsWermit Application Revised - 8-9-11 docx
Revised. August 201 I
bh
Page 2 of 4
PERMIT APPLICATION NOTES — •
Value of Construction — In all cases, a value nstruction amount should be entered by the applies[. 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).
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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR A ITN IZED AGENT:
Signature: -•' Date: 2 -
Print Name:
Mailing Address: 11-1P60
H: Wpplications'Forms- Apphcatrons On Linet201 I Applications\Permit Application Revised - 8- 9- 11.docx
Revised August 2011
bh
Day Telephone:
City
State Zip
Page 4 of 4
1,PUBLIC WOR S PERMI T 'O_ J i �1 296,4» -0179
Scope of Work (please provide detailed i rmation): W
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ .. Tukwila ❑ ...Water District #125
❑ .. Water Availability Provided
Sewer District
❑ .. Tukwila
❑ .. Sewer Use Ce icate ❑ ...Sewer Availability Provided
0... Highline
❑...Valley View ❑...Renton
Septic System:
0 On -site Septic Syste -- For on -site septic system, provide 2 copies of a current septic design approved
❑ .. Renton
❑ .. Seattle
Submitted with Application ark boxes which apply):
❑ .. Civil Plans (Maximum Pa : r Size — 22" x 34")
❑ .. Technical Information Report •torm Drainage)
❑ .. Bond ❑... Insurance 0... Easement(s)
Proposed Activities (mark boxes that appl
❑ .. Right -of -way Use - Nonprofit for less th. ' 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
ing County Health Department.
❑... Geotechnical Repo ❑ ...Traffic Impact Analysis
0... Maintenance Agr ent(s) ❑ ...Hold Harmless — (SAO)
❑ ...Hold Harmless — (ROW)
0... Right -way Use - Profit for less than 72 hours
0... Ri -of -way Use — Potential Disturbance
... Work in Flood Zone
0... Storm Drainage
❑... Abandon es 'c Tank
❑... Curb t
0... Pa ent Cut
0... roped Fire Line
Domestic Wate
❑ .. Permanent Water Meter Size... 2, WO #
❑ .. Temporary Water Meter Size .. WO #
❑ .. Water Only Meter Size 22 WO #
❑ .. Sewer Main Extension ...Public ❑ Private ❑
❑ .. Water Main Extension... Public ❑ Private ❑
FINANCE INFORMATI
❑... Grease Interceptor
0... Channelization
❑...Trench Excavation
❑...Utility Undergrounding
.Deduct Water Meter Size
Fire Line Size at Prop Line Number of Public Fire Hydrant(s)
❑ .. Water ❑ .. Sewer ❑ .. Sewage Treatment
Month] Servic- illin_ to:
Name: Day Telephone:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State
Zip
Day Telephone:
City
State
Zip
H 1Applications'Forms- Applications On Line \2011 Applications\Permit Application Revised - 8 -9 -11 docx
Revised: August 201 I
bh
Page 3 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
RECEIPT
Parcel No.: 3365900830 Permit Number: D12-042
Address: 14027 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 02/10/2012
Applicant: SILVER DOLLAR CASINO Issue Date:
Receipt No.: R12 -00595
Initials:
User ID:
WER
1655
Payment Amount: $67.50
Payment Date: 02/10/2012 02:13 PM
Balance: $0.00
Payee: PETER BAUMANN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash
Authorization No.
ACCOUNT ITEM LIST:
Description
67.50
Account Code Current Pmts
BUILDING - NONRES
STATE BUILDING SURCHARGE
000.322.100 63.00
640.237.114 4.50
Total: $67.50
doc: Receiot -06 Printed: 02 -10 -2012
4-
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 -367
Permit Inspection Request Line (206) 431 -2451
Project:
S'I_VC4 6:L -A ;z
Type of Inspection:
t- i,v,1L
Address:
t ` CZ..? . N oz.,-,r),(0,
Date Called:
Special Instructions:
C' A r i IA iI(Ars)
Date Wanted:.
,.-•- I ; f / 1 ?
a.m,
cli.tIL
Requester:
'hC 1 - f
Phone No:
6 (z-.-7 )1 ?`12 f
t3Appr.oved per applicable codes. Corrections required prior to approval.
COMMENTS:
-Jr t .( o \ 4 '
Ei REI SPECTION FEE REQU ED. Prior to n : t inspection, fee must be
'd at 6300 Southcenter Blv• . Suite 100. Call to schedule reinspection.
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -3670 FAX (206) 431 -3665
E -mail: tukplan@ci.tukwila.wa.us
Permit Center /Building Division
206 431 -367o
Public Works Department
206 433 -0179
Planning Division
206 431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO: b l d' V 21 2
STATE OF WASHINGTON)
ss.
COUNTY OF KING
ePZ9L I5 A/4 -ih//N/ , states as follows:
[please print name]
1. I have made application for a 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 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 requirem of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number(', and will therefore
not be performed by a registered contractor.
5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to
persons making electrical installations on their own property or to regularly employed employees
working on the premises of their employer. The proposed electrical work is not for the construction
of a new building for rent, sale or lease.
I understand that I may be waiving certain rights that I mi: t otherwise have under state law in any decision
to engage an unregistered contractor to perform const n work.
LAB
A�8LAG
C
o". WASH`
t caner /Owner's gent*
Signed and sworn to before me this
/vim
day of i24
,20//.
C / `
NOTAR PUBLIC in a for the State of Washington
Residing at J /�.,
Name as commissioned: (// 4� `/4 ,'ta r�
My commission expires: .S /4/—/47/
, County
18.27.090 Exemptions. The regetion provisions of this chapter do not apply to.
1. 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;
2. Officers of a court when they are acting within the scope
of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their own
business;
4. 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;
5. The sale of any finished products, materials, or articles of
merchandise that are not fabricated into and do not become
a part of a structure under the common law of fixtures;
6. Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW who shall
warranty service and repairs under chapter 46.70 RCW;
7. 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;
8. Any person who only furnished materials, supplies, or
equipment without fabricating them into, or consuming
them in the performance of, the work of the contractor;
9. Any work or operation on one undertaking or project by
one or more contracts, the aggregate contract price of
which for labor and materials and all other items is less
than five hundred dollars, such work or operations being
considered as of a casual, minor, or inconsequential nature.
The exemption prescribed in this subsection does not apply
in any 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 contracts of amounts less than
five hundred dollars for the purpose of 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 or she is a contractor, or that
he or she is qualified to engage in the business of
contractor;
10. Any 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 when any of the above work is performed
by a registered contractor;
11. An owner* who contracts for a project with a registered
contractor, except that this exemption shall not deprive the
owner of the protections of this chapter against registered
and unregistered contractors. The exemption prescribed in
this subsection does not apply to a person who performs
the activities of a contractor for the purpose of leasing or
selling improved property he or she has owned for less than
twelve months;
12.* Any person working on his or her own property,
whether occupied by him or her or not, and any person
working on his or her personal residence, whether owned
by him or her or not but this exemption shall not apply to
any person who performs the activities of a contractor on
his or her own property for the purpose of selling,
demolishing, or leasing the property;
13. An owner* who performs maintenance, repair, and
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
14. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of the
state of Washington or licensed by a political subdivision 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
person certified is operating within the scope of his or her
certification;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. A mobile /manufactured home dealer or manufacturer
who subcontracts the installation, set -up, or repair work to
actively registered contractors. This exemption only applies
to the installation, set -up, or repair of the
mobile /manufactured homes that were manufactured or
sold by the mobile /manufactured home dealer or
manufacturer;
18. An entity who holds a valid electrical contractor's
license under chapter 19.28 RCW that employs a certified
journeyman electrician, a certified residenpo.1 necialty
electrician, or an electrical trainee me'g the ` /•.
requirements of chapter 19.28 RCW Ls perform plumbing
work that is incidentally, directly, anXimlttrdtately
appropriate to the like -in -kind re acerailt bf a household
appliance or other small househo • • tilization equipment
that requires limited electric power 4 limited waste
and /or water connections. An electrical trainee must be
supervised by a certified electrician while performing
plumbing work.
• Per Washington State Department of Labor and Industries lessee has
been interpreted to be equivalent to owner for purposes of exemptions.