HomeMy WebLinkAboutPermit D12-053 - CLEAR CHANNEL OUTDOOR - BILLBOARD DEMOLITIONCLEAR CHANNEL
OUTDOOR
10802 EAST MARGINAL
wys
D12-053
City oftukwila
•
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.: 0323049046
Address: 10802 EAST MARGINAL WY S TUKW
Suite No:
Project Name: CLEAR CHANNEL OUTDOOR
Permit Number: D12-053
Issue Date: 03/15/2012
Permit Expires On: 09/11/2012
Owner:
Name: EMW NORTH L L C
Address: 3006 NORTHUP WAY STE 303 , BELLEVUE WA 98004
Contact Person:
Name: MICHAEL MAYES
Address: 3601 SIXTH AV S , SEATTLE WA 98134
Contractor:
Name: CLEAR CHANNEL OUTDOOR INC
Address: AP DEPT #861 PO BOX 599703 , SAN ANTONIO TX 78259
Contractor License No: CLEARCO942B3
Lender:
Name:
Address:
Phone: 206 - 494 -4200
Phone: 206 682 -3833
Expiration Date: 01/23/2014
DESCRIPTION OF WORK:
REMOVE BILLBOARD STRUCTURE
Value of Construction: $2,500.00 Fees Collected: $243.92
Type of Fire Protection: International Building Code Edition: 2009
Type of Construction: Occupancy per IBC: 0026
Electrical Service Provided by: SEATTLE CITY LIGHT
* *continued on next page **
doc: IBC -7/10
D12 -053 Printed: 03 -15 -2012
• •
Public Works Activities:
Channelization / 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:
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:
Date:
Public:
Non - Profit: N
Public:
copl fi
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 pre
construction or the performan cfe of work.
to this permi
Signature:
e 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: 1•A 1 1 1
Date: 3 151 i
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 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: 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.
5: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
6: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
doc: IBC -7/10
D12 -053 Printed: 03 -15 -2012
any violation of any of the provisions of the ing code or of any other ordinances of the of Tukwila. Permits
presuming to give authority to violate or cahe provisions of the code or other ordinan 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.
7: ** *PLANNING * **
8: Approval of this demolition permit should NOT be construed as approval of the pending billboard permit application,
S11 -087. Approval of S11 -087 is a seperate action by the City.
doc: IBC -7/10
D12 -053 Printed: 03 -15 -2012
CITY OF TUKWILA
Community Develops& Department
Public Works Departs
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA. +gov
be=t-4O `n t-4
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 **
S1TE•:LOCATIONT:4: `" Q
t- p►,t7t71� LA0- t-Mi;) King Co Assessor's Tax No.: °3W49 04 0
Site Address: APO 0323049O41-(g03 Suite Number: Floor:
Tenant Name:_t i 4 -iPcN1 i L New Tenant: ❑ Yes Z.. No
13RoSRTY:OWNER
Name:
MT/1W kocm1,4 t t,G
i
Address: 300(0 IVo «NJP Woe( SD I jr 3303
City: i3 VVW State: 16-10c Zip: ci
=.'CONTACT PERSON M person receiving all project `
• r::Z, .*+ Y SCommunicationr j �
1
Name: Mtl.1-tA -EL t%.1 p.,-1
City:6 State: vuk Zip:�10�
Address: sbo 1 (9-to pa 4
Contr Reg No.: c O 9 4283 Exp Date: 1124-311+
City: ,.-4---per-11,,..,— State: >wA Zip: 615134
Phone:1* Fax: o
4--47.ea0 4�- 0
311
Email: 1M e
► c�na€4MewILS&CigsWc% ,1nN .Con/1
';'d ENERAL . • . tiA .:. ' FOi2M'II( 1. ,. ' ..:,.
Company Name: 014A1.14 Oufiv0o?--
Address: 300 1 ,.n-f /vim
City:6 State: vuk Zip:�10�
Phone:'4 �d' ` 4-?•° Fax: X104,-) _ 037'7
Contr Reg No.: c O 9 4283 Exp Date: 1124-311+
Tukwila Business License No.: Sv S o 100 4 -*45
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Revised: August 2011
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Company Name:
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Engineer Name:
Architect Name:
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Address:
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Phone:
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Email:
ENGISTEER OF RFrCORD a
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Company Name: t-.1/A
Address:
Engineer Name:
City:
State:
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:ENDERiBQND1LSSiI)gD rec wied`orp oleos $S,000'ord tk.
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Name:
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Zip:
Page 1 of 4
Valuation of Project (contractor's bid pr i• $ �SEJD Existing/gilding Valuation: $ w4l4.
Describe the scope of work (please provide detailed information): Vel■A4U'g 13I I■INcy1/447-9 STPN iPS-'
Will there be new rack storage? ❑ ....Yes
.No If yes, a separate permit and plan submittal will be required.
gro��ae uud>ing Tess; I aquare > .op tage netow
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riPS
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
Compact: Handicap:
No If "yes ", explain:
FIRE PROTECTION/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.
H:Vtpplications\Forms- Applications On Ltne\2011 Applications\Fermit Application Revised - 8- 9- 11.docx
Revised: August 2011
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Page 2 of 4
" PUBLIC WORKS'PERMIT'INFORMATION 206:=A33- 0179:..
Scope of Work (please provide detailed ation): ,VL 12 i )t 7-4
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 Certificate
❑... Highline
❑ ...Valley View 0... Renton
❑ ...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)
❑ .. Bond 0... Insurance 0... Easement(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
0... Geotechnical Report
El... Maintenance Agreement(s)
❑ ...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
0... Work in Flood Zone
❑... Storm Drainage
0... Abandon Septic Tank
0... Curb Cut
0... Pavement Cut
0... Looped Fire Line
f>
0... Grease Interceptor
0... Channelization
O ... Trench Excavation
O ... Utility Undergrounding
❑ .. Permanent Water Meter Size... >3 WO #
❑ .. Temporary Water Meter Size .. 13 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:
Mailing Address:
Day Telephone:
City
State Zip
H:Wpplications\Forms- Applications On Line\2011 Apphcations\Fermn Application Revised - 8- 9- 11.docx
Revised: August 2011
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Page 3 of 4
lr PERMITA:PPLICATION MOTES;
1•
Value of Construction — In all cases, a valt�
to possible revision by the Permit Center to c
construction amount should be entered by the ap
ply with current fee schedules.
t. This figure will be reviewed and is subject
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.
t1.4 4sHo4.4:)
BetttttrI Ow IN tit OR AUTHORIZED AGENT:
Signature:
Print Name: Nit Aien L
Mailing Address: 1$ ,o (Dlt4 f(/ t:
H:'Applications\Forms- Applications On Line 120I 1 Appltcauons\Permit Application Revised - 8- 9- 11.docx
Revised: August 2011
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Date: 212-4/2-
Day Telephone: 24947 4614- - 4 .8E7
'Pr 410 134-
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
RECEIPT
Parcel No.: 0323049046 Permit Number: D12 -053
Address: 10802 EAST MARGINAL WY S TUKW Status: PENDING
Suite No: Applied Date: 02/21/2012
Applicant: CLEAR CHANNEL COMMUNICATIONS Issue Date:
Receipt No.: R12 -00721
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $243.92
Payment Date: 02/21/2012 11:34 AM
Balance: $0.00
MICHAEL MAYES
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 085830
ACCOUNT ITEM LIST:
Description
243.92
Account Code Current Pmts
BUILDING - NONRES
PLAN CHECK - NONRES
STATE BUILDING SURCHARGE
000.322.100
000.345.830
640.237.114
Total: $243.92
145.10
94.32
4.50
doc: Receiot -06 Printed: 02 -21 -2012
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 t?, (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451 V. •
Project:
(Ii A t 0 I- NA'31.11.
Type of Inspection:
ri ti;nt.
Address:
l.C) 0,4— FINS"• fg R241 MAL
Date Called:
Special Instructions:
Date Wanted:.
fa.m_,
Requester:
Phone No:
266 '445q-
-!
9274
Approved per applicable codes. El Corrections required prior to approval. .
COMMENTS:
Thr'1 \` U Ac I ! IAJAi
nspe • r:
IDate:
-27- I•
REI SPECTION FEE REQUIRED. ior to next inspection. fee must be
pjd at 6300 Southcenter Blvd.. Suit 100. Call to schedule reinspection.
PLANNING APPROVED •
No changes .can be made. to these
plans without approval from the
Planning Division of DCD
Approved. By
Date:
Parcel Map and Data
P.
03;'3:54;d02 i
0.32 ! } i� ; t 2 4 t0
'0323049046
•
.032.39491 phi
(C) 2010 King Count.
0:.?...11.30 .64
4
SEPARATE PERMIT
REOtE0.. FOR:
fa Mechanical
Electrical
Plumbing
Gas Piping
City of Tukwila
BUILDING DIVISION
1,13230.41L-,10.31:
Parcel Number 0323049046
Site Address
Zip code
Taxpayer
EMW NORTH L L C
KLVIEVVED FOR
CODE COMPLIANCE
APPROVED
MAR 0 2 2012
•
City o f c Lumina
BUILDING ►'VISION
14
AP e7r"
c' 3' 1Fen_ -
I Z x 2.4- ► Acts/' T� 5i N h i cirS AND /k���Gtvcr
TwF S PP-11> z1‘7'kiC''''�- - �✓P�ot��
FILE COPY
Permit Na., V)12— c)
Pen review approval b iubjpolo ens end omissions.
Approval of construction documents does not authorize
the vidat:'n of any adopted code or ordnance. Receipt
of approved Copy condi onsis>iadobawledged:
Oats,
qty Of Waves
BUILDING DIVISION
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees. i
bU05 3
RECEIVE
FEB 212012
PERMIT CENTER
•rothlMll WOW 1' •
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D12 -053 DATE: 02 -21 -12
PROJECT NAME: CLEAR CHANNEL OUTDOOR
SITE ADDRESS: 10802 EAST MARGINAL WY S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Issued
DEPARTMENTS:
Ing
411)( 2"r
;ulv,i
f
u lic orks
444 4?-.-r"IR '1N41 /HNC
Fire Prevention Planning Division
Structural
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Incomplete
DUE DATE: 02 -23-12
Not Applicable
n
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
Structural Review Required
No further Review Required
n
REVIEWER'S IN TIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE: 03-22 -12
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 -28 -02
Contractors or Tradespeople P ter Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with L &I 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 CLEAR CHANNEL OUTDOOR INC UBI No. 602060313
Phone 2066823833 Status Active
Address Ap Dept #861 Po Box 599703 License No. CLEARC0942B3
Suite /Apt. License Type Construction Contractor
City San Antonio Effective Date 1/23/2006
State TX Expiration Date 1/23/2014
Zip 78259 Suspend Date
County Out Of State Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
ARTMAN, CHRIS
President
01/23/2006
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
2
BERKLEY REGIONAL
0141199
01/18/2010
Until Cancelled
$12,000.0001/28
/2010
6
INS CO
4361000
11/01/2010
11/01/2011
$1,000,000.0011
/01/2010
1
MUTUAL INS
CO
022017818
022017818
01/18/2006
Until Cancelled
02/15/2010
$12,000.0001/23
/2006
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
7
Ins Co of the
State of PA
GL2704942
11/01/2011
11/01/2012
$1,000,000.00
10/24/2011
6
INS CO OF THE
STATE OF PA
4361000
11/01/2010
11/01/2011
$1,000,000.0011
/01/2010
5
INS CO OF THE
STATE OF PA
6506441
11/01/2009
11/01/2010
$1,000,000.00
10/23/2009
4
INS CO OF THE
STATE OF PA
GL1872073
11/01/2008
11/01/2009
$1,000,000.00
10/30/2008
3
INS CO OF THE
STATE OF PA
GL1595634
11/01/2007
11/01/2008
$250,000.00
10/26/2007
2
AMERICAN
HOME
ASSURANCE
GL5760929
11/01/2006
11/01/2007
51,000,000.0011
/07/2006
1
AMERICAN
HOME
ASSURANCE CO
GL5751521
11/01/2005
11/01/2006
$1,000,000.00
01/23/2006
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
03/15/2012