HomeMy WebLinkAboutPermit D12-058 - RUSSELL RESIDENCE- DECKRUSSELL DECK
14232 57 AV S
D12 -058
City oPI'ukwila
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.: 3365900690
Address: 14232 57 AV S TUKW
Suite No:
Project Name: RUSSELL DECK
DEVELOPMENT PERMIT
Permit Number: D12 -058
Issue Date: 02/23/2012
Permit Expires On: 08/21/2012
Owner:
Name: RUSSELL SEAN M
Address: 14232 57TH AVE S , TUKWILA WA 98168
Contact Person:
Name: CHRIS BULLOCK
Address: 21015 72 AV SE , SNOHOMISH WA 98296
Contractor:
Name: NW CUSTOM DECK
Address: , 21015 72 AV SE
Contractor License No: NWCUSD *986DL
Lender:
Name:
Address:
Phone: 206 235 -4545
Phone: 98296
Expiration Date: 11/04/2012
DESCRIPTION OF WORK:
REPLACE EXISTING 310 SF DECK (SUBJECT TO FIELD INSPECTION)
Value of Construction: $7,700.00 Fees Collected: $485.70
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 **
SUB3ECT TO
mu) INSPECTION
doc: IBC -7/10
D12 -058 Printed: 02 -23 -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:
N
N
Number: 0 Size (Inches): 0
Start Time:
Volumes: Cut 0 c.y.
Start Time:
Sanitary Side Sewer:
Sewer Main Extension: Private:
Storm Drainage:
Street Use: Profit: N
Water Main Extension: Private:
Water Meter:
Permit Center Authorized Signature:
N
End Time:
Fill 0 c.y.
End Time:
Public:
Non - Profit: N
Public:
Date:
I hereby certify that I have read and ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie • hether specified herein or not.
The granting of this permit - es nr •re"' e • giv
construction or the perfo
to this permit.
to violate or cancel the provisions of . y other tate or local laws regulating
and a•, ee to the conditions attached
sign and obtain this development pe
Signature: Date:
Print Name:
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 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. is3s v 92)
3: All wood to remain iri.placed ;concrete shall be treated wood.
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: A Certificate of Occupancy shall be issued for this building upon final inspection approval by Tukwila building
inspector.
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 -058 Printed: 02 -23 -2012
7: All plumbing and gas piping work shall Alispected and approved under a separate peek issued by the City of Tukwila
Building Department (206- 431 - 3670).
8: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
9: 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 -058 Printed: 02 -23 -2012
• •
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
: Date Application• Accepted: • ' '
Date Application'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=LOCATION
Site Address: 4'2..3 ZT� �� S.
T.�ILWI�.��rQ
c,, f)", %
Tenant Name:
,0OJrERA OWNER. . •
Name: 12...4-t SS Q- `L
Address: \ 4cZ..3Z $ -' '&. c.
City: --t— ti. tt...,.-,.a State: k.4ja1/4 Zip: r-t`bt ((%
'CONTACT PERSON - person receiving all project •
communication .
Name: Gw.ti..S � LA_ L..\..0C• .
Address: Z O O \s-- —1 Z " Vy�i. S l2
City: S State:�.JA. Zip: sic., (
M,uH.,u<b�I
Phone- 'Z0c.- 2.c - a ¢3Fax: 4-•j 16- G410
Email: k-L) G.4.tirU- '1'tb 6<_.,c.. ,a '4.t ,, C:,,a
GENERAL CONTRACTOR INFORMATION •
Company Name: ,
Address: Z t. Q t. c —)2:-.4 k/ ,1. ,1. S iZ
City: 174-0M i ti W State: L tja1/4 . Zip: " t L 1
Phone:2.0L.-Z-1, t'_ 4�( -. Fax: 41.<'- ) j - ( . . 4 1 0
Contr Reg No.: tQ �Gu t.o, > ,-tEaZ e: 4 .-t 1 t.z.
Tukwila Business License No.: bOp -s--:%Ocx O
H:\ Applications \Forms - Applications On Line \2011 Applications\Permit Application Revised - 8 -9 -1 1.docz
Revised: August 2011
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King Co Assessor's Tax No.: (% l O' aft()
Suite Number: Floor:
New Tenant: ❑ Yes ' :.No
'ARCHITECT OF, RECORD
•• • :
.
Company Name:
Address:
Architect Name:
City:
State:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Name:
• '• '::,
Company Name:
Address:
Engineer Name:
City:
State:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
.LENDER/BOD ISSUED (required for projects $5000_'or;(:•.
greater per-RCW 1.9 :27.095) ' • ' ' ' ' . • t- ' "'' :' : :. :`' .'
Name:
Address:
City:
State:
Zip:
Page 1 of 4
-BU 1,Di!NG •PERMVF INFORM.ATION"— 206- 43,1��367O ° •
Valuation of Project (contractor's bid price): $ Z 1 O v • 00 Existing Building Valuation: $
Describe the scope of work (please provide detailed information):
L'Alk WA l N,f - o (JVD otk-& t N St)
Will there be new rack storage? ❑ Yes
L.. No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage;Below •
.•
•P.•
°w u: • I.
•
Existing'
•' ' .. '
. Interior Remodel
Addition to •..,
•
Existing
Structure ' . '
•..
.,.. .... ,
• . New
Type of • .'1
. Construction,;per
IBC
Type .6f ..
. Occupancy y.per
IBC'
In Fldor •
N
2ndiFlbor • '• •
.
•
--
43.t. o floor . •
-
- -
Floors • : - thru
!Basement
1^ o
Accessory 'Structure*
• Aifached Garage .
A9
Detached Garage
••
' .
,pl,61
'Attached Carport '
'Detached Ca•rport
Covdred•Deck .
IIrioovered Beck
10
"1 \ O
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 ❑ 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 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\201 I ApplicationslPermit Application Revised - 8.9.1 Ldocx
Revised August 2011
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Page 2 of 4
PUBLIC WORKS PERMIT INFORMATION — 206- 433 -0179
Scope of Work (please provide detailed information):
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ ...Tukwila 0... Water District #125
❑ ...Water Availability Provided
Sewer District
❑ ...Tukwila
❑ ...Sewer Use Certificate
❑ .. Highline
❑...Valley View ❑ .. 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 ❑ .. Insurance ❑ .. 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
❑ .. Geotechnical Report
❑ .. Maintenance Agreement(s)
❑...Traffic Impact Analysis
❑ ... Hold Harmless — (SAO)
❑ ...Hold Harmless — (ROW)
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
❑ ...Permanent Water Meter Size...
❑ ...Temporary Water Meter Size ..
❑ ...Water Only Meter Size
❑ ...Sewer Main Extension Public
❑ ...Water Main Extension Public
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
WO #
WO #
WO # ❑ ...Deduct Water Meter Size
Private ❑
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:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State
Zip
Day Telephone:
City
State
Zip
H:Wpplications\Forms- Applications On Line 2011 Applications\Permit Application Revised - 8 -9 -1 I.docx
Revised: August 2011
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Page 3 of 4
13..E1U flit APPLICATION NOTES —
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 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 B HE . WS OF THE STATE 0 W HINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Signature: Date: /-2-1 (Z'
Print Name:
Mailing Address: \ ( Z-"" NtL-4\. S • Z . M01-40.* .l 6 W ,
City
BUILDING OWNER IZED A
�•1`A -` S
JL& t Day Telephone:
Z,J Co - - 'c ( 4 �1
H:\Applications\Forns- Applications On Line12011 ApplicationslPermit Application Revised • 8 -9 -1 l.docx
Revised. August 2011
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l3L4
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.e.ov
Parcel No.: 3365900690
Address: 14232 57 AV S TUKW
Suite No:
Applicant: RUSSELL DECK
RECEIPT
Permit Number: D12 -058
Status: PENDING
Applied Date: 02/23/2012
Issue Date:
Receipt No.: R12 -00770
Payment Amount: $485.70
Initials: JEM Payment Date: 02/23/2012 12:17 PM
User ID: 1165 Balance: $0.00
Payee: NW CUSTOM DECK
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 18004 485.70
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - RES
STATE BUILDING SURCHARGE
000.322.100 481.20
640.237.114 4.50
Total: $485.70
doc: Receiot -06 Printed: 02 -23 -2012
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. ,/
CITY OF TUKWILA BUILDING DIVISION CAI
6300 Southcenter Blvd., #100, Tukwila. WA 98188 1Z, (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451,
P/2- 05 8
Project:
A))/SSE // ,1)F (1/•<
Type of Inspection:
/= /4/4 /
Address:
/4/2-.I 2 5'714/v S
Date Called:
Special Instructions:
CoI �''f' re 4 Al
Date Wanted:.
_3 —2 —) 0
a.m:•
p.m.
Requester:
_
V
Phone No:
c20 b-clSi -- li/, -7/e
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
2f-` (6-c
1
Inspector:
•
Date:
ri REINSPECTION FEE REQUIRED. Prior io next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
•
•
•
•
•
•
•
•
INSPECTION RECORD ��----�vv
etain a copy with permit b l � "Q`e /
INSPECTION NO.
PERMIT NO.0 ' /��/
CITY. OF TUKWILA BUILDING DIVISION _I
6300 Southcenter'Blvd., #100, Tukwila. WA 98188 }?, (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project ��
Type ofh�pfv itk■-
t I.01,' 7
Addres :
3
Date Called:
Special Instructions: —
•
•
Date Wante •
✓ '
_ f
1
�a.m�.
p'nT.
Requester:
Phone No:
aApproved per applicable codes.
Corrections required prior to approval. 3
COMMENTS:
Date ( L
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300.Southcenter Blvd., Suite 100. Call to schedule reinspection.
•
r,
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. t
. CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permitlnspection•Request Line (206) 431 -2451
Project:
Type of Inspection: �1
• �i 0 c'- ST' * }- K
Date C�alled�`��j /� - � f � f�,�
J.�.� t
.SS e.--c--9
Addr'es�s,:� -� �_
� � �
Special Instructions:
•
- •
Date Wanted: � a.m.
Z - Zvi -- IL—
Requester:
Phone No:
7,o c) - 7-3S - (_SIs
El Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
/e ..ove -D ,s7310 VVor(C
' , Pfo Je jYA- tt ,4
, nC
PAi
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L_ -4-n d ' 'A
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REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Per Friendly Page
General /Specialty Contractor
A business registered as a construction contractor with LW 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 NW CUSTOM DECK UBI No. 602188822
Phone 8773693255 Status Active
Address 21015 72Nd Ave Se License No. NWCUSD*986DL
Suite /Apt. License Type Construction Contractor
City Snohomish Effective Date 3/13/2002
State WA Expiration Date 11/4/2012
Zip 98296 Suspend Date
County Snohomish Specialty 1 General
Business Type Individual Specialty 2 Unused
Parent Company
ses
License
Name
Type
Specialty
1
Specialty 2
Effective
Date
Expiration
Date
Status
CENTURI920DP
CENTURY
ROOFING INC
Construction
Contractor
Roofing
Unused
3/17/2008
3/17/2012
Active
DECKT**011CP
DECK TECH
Construction
Contractor
General
Unused
2/17/1999
2/11/2000
Archived
DECKT**027D5
DECK TECH
Construction
Contractor
Other
(Specify)
Fencing
3/25/1998
2/1/1999
Archived
WEBUIBI022D5
WE BUILD
THE BEST
INC
Construction
Contractor
General
Unused
3/25/1998
2/1/1999
Archived
ABR00 " "024DQAl3B
ROOFING
Construction
Contractor
Roofing
Gutters/Downspouts
3/18/1998
2/1/1999
Archived
BULLO " "107Q6
BULLOCK
COMPANY,
THE
Construction
Contractor
General
Unused
11/26/1990
3/10/1998
Archived
ABR00 ""011CA
A & B
ROOFING
Construction
Contractor
Roofing
Gutters /Downspouts2
/1/1999
2/12/2009
Re
Licensed
Business Owner Information
Name
Role
Effective Date
Expiration Date
BULLOCK, CHRISTOPHER W
Owner
03/13/2002
Bond Amount
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
6
WESTERN SURETY CO
24844808
11/04/2010
Until Cancelled
$12,000.00
11 /04/2010
5
AMERICAN STATES INS
CO
6602195
10/10/2008
Until Cancelled
12/16/2010
$6,000.0010/22/2008
4
AMERICAN
CONTRACTORS INDEM
CO
100034590
10/10/2007
Until Cancelled
11/15/2008
$6,000.0011
/19/2007
3
ACCREDITED SURETY
Et CAS CO
10018058
04/30/2004
10/10/2007
$6,000.0003/25/2005
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
lInsurancelCompany NamelPolicy NumberlEffective DatelExpiration DatelCancel Datellmpaired Datel Amount 1Received Datel
https://fortress.wa.gov/lni/bbip/Print.aspx
02/23/2012