HomeMy WebLinkAboutPermit D12-070 - SOUTHCENTER GAS STATION - WATER DAMAGE REPAIRSOUTHCENTER GAS
STATION
16200 WEST VALLEY HY
D12 -070
,���'"'- wq City o�Tukwila
sy
o ? 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.: 0005800038
Address: 16200 WEST VALLEY HY TUKW
Suite No:
Project Name: SOUTHCENTER GAS STATION
DEVELOPMENT PERMIT
Permit Number: D12 -070
Issue Date: 03/02/2012
Permit Expires On: 08/29/2012
Owner:
Name: SOUTHCENTER GAS STATION LLC
Address: 2224 KAMBER RD , BELLEVUE WA 98007
Contact Person:
Name: JOHNNY KIM
Address: 3709 94 ST SW , LAKEWOOD WA 98499
Contractor:
Name: HYUNDAI CONSTRUCTION
Address: 3709 94 ST SW , LAKEWOOD WA 98599
Contractor License No: HYIJNDC *963MH
Lender:
Name:
Address:
Phone: 253 - 222 -1386
Phone: 253 - 584 -3609
Expiration Date: 07/28/2012
DESCRIPTION OF WORK:
WATER DAMAGE REPAIR: REMOVE SHEET ROCK (ABOUT 1 FT HIGH), REPLACE WET SHEET ROCK AND INSULATION,
REMOVE AND REPLACE WET CARPET SUBJECT TO FIELD INSPECTION.
Value of Construction: $800.00 Fees Collected: $80.10
Type of Fire Protection: International Building Code Edition: 2009
Type of Construction: V -B Occupancy per IBC: 0019
Electrical Service Provided by: PUGET SOUND ENERGY
* *continued on next page **
doc: IBC -7/10
D12 -070 Printed: 03 -02 -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:
End Time:
Fill 0 c.y.
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:
Date: 3-HL
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 permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached
to this permit.
Signature:
Pant
Date: ) /Z 7/
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 -070 Printed: 03 -02 -2012
7: All electrical work shall be inspected an roved under a separate permit issued by ti ty of Tukwila Building
Department (206- 431 - 3670).
8: 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 -070 Printed: 03 -02 -2012
CITY OF TUK
Community Develop t Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Building Peat No. )--Q 70
Project No.
Date Application Accepted: i
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 `5„,frity CC//f / 1�
Site Address: r 62eZ W M H1&%`'
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
Tenant Name: 1/4.56 VnIG 7 c j%}S 5 1 CM/ L-LG
PROPERTY OWNER
Name: J`oh n ply 1 c ' k
Name: 5n11 l4ce4 -rd OAS S'(ATION
4.4...c...,
Address: %'Zoo W vim,t, It -iwY
City: iti rait)06D. State: IAA
City: 'NM I Lfl State: Lo 4.
Zip:
CONTACT PERSON — person receiving all project
communication
Name: J`oh n ply 1 c ' k
Address: 3709 1g c74#1 sr S&L)
Address: 370 9 94.444 r S( j j
Phone:235 5607 Fax:
City: iti rait)06D. State: IAA
Zip: (18(19:1
Phone: 2 2f3S6 Fax:
Email:
GENERAL CONTRACTOR INFORMATION
Company Name: HY JtJw j r -R(4, /6A/
Address: 3709 1g c74#1 sr S&L)
City: ZAK6Wejelb, State: WA Zip:4/84 77
II
Phone:235 5607 Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.:
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ARCHITECT OF RECORD
Name:
Address:
Company Name:
Architect Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Name:
Address:
Company Name:
Engineer Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name:
Address:
City: State: Zip:
Page 1of4
BUILDING PERMIT INFORMATION — 206 - 431 -3670
Valuation of Project (contractor's bid price): $ (Ptrr;) D Existing Building Valuation: $
Describe the scope of work (please provide detailed information): t E 4Oli '�6T� 661C- ('A& i' 1'it'et/41
IPPGA i J -( 5 Rat', /- NsvZA0d/Vi I<' -td 14)6 T f
cAReer
Will there be new rack storage? ❑ ....Yes
❑ ..No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
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 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.
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Page 2 of 4
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1' Floor
2nd Floor
3rd Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
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 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.
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Page 2 of 4
PERMIT 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 BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature: —.. �� . Date:
Print e: " O 4 -----
` pi `" 7 i Day Telephone:
Mailing Address: 3.7°C7 94-1'k s-t- _Slit) at °0.i> Wpb} —
City State Cr
3/22
a
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PUBLIC WORKS PERMIT INFOTION — 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 s het.
Water District
❑ .. Tukwila ❑ ... Water District #125 0... Highline ' enton
❑ .. Water Availability Provided
Sewer District
❑ .. Tukwila
❑ .. Sewer Use Certific
Septic System:
❑ On -site Septic System — Foi -site septic system, provide 2 copies of a current
❑...Valley View ❑...Renton
❑ ...Sewer Availability Provided
Submitted with Application (mark boxes which apply):
❑ .. Civil Plans (Maximum Paper Size. 22" x 34 ")
❑ .. Technical Information Report (Storm ainage) 0... technical Report ❑ .. Traffic Impact Analysis
❑ .. Bond ❑... Insurance 11... Easement(s) ❑ i aintenance Agreement(s) ❑ .. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
❑... Seattle
tic design approved by King County Health Department.
Proposed Activities (mark boxes that apply):
❑ .. Right -of -way Use - Nonprofit for less than 72 hou
❑ .. 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
❑ .. Backfiow Prevention - Fire Protect
Irrigation
Domesti
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
Abandon Septic Tan
... Curb Cut
...Pavement Cut
0... Looped Fire Line
❑ ... Grease Interceptor
❑ ... Channelization
0... Trench Excavation
❑... Utility Undergrounding
❑ .. Permanent Water Meter Siz ;, ) " WO # (2) " WO (3) " WO #
❑ .. Temporary Water Meter S 7 (1) " WO # (2) " WO # (3) " WO #
❑ .. Water Only Meter Size . fl WO # ❑ .. Deduct ; Meter Size "
❑ .. Sewer Main Extension Public ❑ Private ❑
❑ .. Water Main Extensio �¢ Public ❑ Private ❑
FINANCE INFORMATioN
Fire Line Size at Prop Line
❑ .. Water
Monthl Servic- :. `in to:
Name:
❑ .. Sewer
Number of Public Fire Hydrant(s)
❑ .. Sewage Treatment
Day Telephone:
Mailing Address:
State Zip
Water Meter Refund/Billing:
Name:
Mailing Address:
City
Day Telephone:
City
State Zip
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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.Tukw ila WA.Qov
Parcel No.: 0005800038
Address: 16200 WEST VALLEY HY TUKW
Suite No:
Applicant: SOUTHCENTER GAS STATION
RECEIPT
Permit Number: D12 -070
Status: PENDING
Applied Date: 03/02/2012
Issue Date:
Receipt No.: R12 -00898
Initials:
User ID:
WER
1655
Payment Amount: $80.10
Payment Date: 03/02/2012 04:22 PM
Balance: $0.00
Payee: JOHNNY KIM
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 02516B
ACCOUNT ITEM LIST:
Description
50.10
Account Code Current Pmts
BUILDING - NONRES
STATE BUILDING SURCHARGE
000.322.100 75.60
640.237.114 4.50
Total: $80.10
doc: Receiot -06 Printed: 03 -02 -2012
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 YQ- (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project:
<567rr -HcdW G 4S
Type of Inspection:
F)
4 (YP v AA-Aks y -- 4- pptde0'91
Address:
/&20c e.,,/GSr vi//A-.Y / /5,
Date Called:
Special Instructions:
Date Wanted:.
—g— / 4,— /2
P.m.
Requester:
Phone No:
S3- 222 - /.sc9(
I Approved per applicable codes.
ElCorrections required prior to approval. T
COMMENTS:
Perth (/oip/k //:"Art J
4 (YP v AA-Aks y -- 4- pptde0'91
3 9 9 -639,/
Inspe 'r:
Date:
/
INSPECTION FEE EQUIRED. Prior o next inspection. fee must be
aid at 6300 Southcenter Blvd., Suite 110. Call to schedule reinspection.
-..•
•
•
• ...... •
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
12 -0-7
Project:
i G t i N \ T J O C4c..„
Type of Inspection:
IA3 A k k --i-NiStl ( •
Address:
lb 2.0 0 tOes."7 VA 1 ketif
Date Called:
• .
Special Instructions:
• •
Date Wanted:
Z — (....— CZ
p.m.
'Requester:
Phone No:
VApproved per applicable codes. 0 Corrections required prior to approval. 7
COMMENTS:
.1,
,JE4t1
INSPECTION FEE REQ VIED. Prior /to ext inspection, fee must be
M
paid at 6300 Southcenter d.. Suite 10 . Call to schedule reinspection.
Date:
3 - e
Contractors or Tradespeople Pr er 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 HYUNDAI CONSTRUCTION UBI No. 602356051
Phone 2535843609 Status Active
Address 3709 94Th St Sw License No. HYUNDC*963MH
Suite /Apt. License Type Construction Contractor
City Lakewood Effective Date 7/8/2004
State WA Expiration Date 7/28/2012
Zip 98499 Suspend Date
County Pierce Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
HYUNDCC107JD
HYUNDAI CONST CO
LTD
Construction
Contractor
General
Unused
4/4/1990
7/31/2004
Archived
LIGHTCC110DP
LIGHTHOUSE
CONSTRUCTION CORP
Construction
Contractor
General
Unused
3/17/1989
2/1/1991
Archived
GOLDESC967MH
GOLDEN S J
CORPORATION INC
Construction
Contractor
General
Unused
7/8/2004
7/8/2006
Inactive
Business Owner Information
Name
Role
Effective Date
Expiration Date
KIM, JOHNNY
President
07/08/2004
Bond Amount Received Date
PARK, SUKIL
Vice President
07/08/2004
02/27/2012
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
2
Navigators Ins Co
46BCO23995
02/27/2012
Until Cancelled
07/12/2012
$12,000.0002/28 /2012
1
CBIC
SF4353
06/15/2004
Until Cancelled
07/12/2007
07/12/2011
$12,000.0007/08 /2004
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
4
Capitol
Specialty Ins
Corp
CS00348107
07/12/2011
07/12/2012
$1,000,000.0008
/11/2011
3
CAPITOL
SPECIALTY INS
CORP
CS00348107
07/12/2007
07/12/2011
$1,000,000.0008
/17/2010
2
MUTUAL OF
ENUMCLAW INS
CO
BOPHUH001
07/05/2007
07/05/2008
$1,000,000.0007
/05/2007
1
AMERICAN
STATES INS CO
01CG205180
07/05/2004
07/05/2007
$1,000,000.00
06/07/2006
Summons /Complaint Information
Cause
County
Complaint
Judgment
Status
Payment
Paid By
06 -2- 08558 -8
PIERCE
Date: 01/25/2007
Date:
https://fortress.wa.gov/lni/bbip/Print.aspx
Dismissed
Date:
03/02/2012