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Permit D12-084 - RAINBOW TRAILER PARK - IMPROVEMENT
RAINBOW TRAILER PARK 3716 S 152 ST D12 -084 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.: 0041000655 Address: 3716 S 152 ST TUKW Suite No: Project Name: RAINBOW TRAILER PARK DEVELOPMENT PERMIT Permit Number: D12 -084 Issue Date: 03/13/2012 Permit Expires On: 09/09/2012 Owner: Name: VIP 3614 LLC Address: PO BOX 28 , KIRKLAND WA 98083 Contact Person: Name: RAINBOW TRAILER PARK Phone: Address: 3716 S 152 ST , TUKWILA WA 98168 Contractor: Name: ALL -STATE CONSTRUCTION INC Address: 19817 61 AV SE , SNOHOMISH WA 98296 Contractor License No: ALLSTCI947J5 Lender: Name: Address: Phone: 360 - 668 -3777 Expiration Date: 06/08/2012 DESCRIPTION OF WORK: REMOVE DRYWALL, INSULATION, CABINETRY AND ROOFING. REPLACE WITH NEW. PLUMBING AND ELECTRICAL AS NEEDED. REMEDIATE MOLD IF FOUND. SUBJECT TO FIELD INSPECTION. Value of Construction: $30,000.00 Fees Collected: $1,092.10 Type of Fire Protection: NONE International Building Code Edition: 2009 Type of Construction: V -B Occupancy per IBC: 0021 Electrical Service Provided by: SEATTLE CITY LIGHT * *continued on next page ** doc: IBC -7/10 D12 -084 Printed: 03 -13 -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: lu,S1 Date: 13 -�� 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: ,ii _ �` Date: 3i/j// Print Name: Lj o ec.( j J' o 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: Insulating materials, where exposed as installed in buildings of any type of construction, shall have a flame spread index of not more than 25 and a smoke development index of not more than 450. Where facings are installed in concealed spaces in buildings of Type III, IV, or V construction, the flame spread and smoke - developed limitations do not apply to facings, that are installed behind and in substantial contact with the unexposed surface of the ceiling, wall or floor finish. doc: IBC -7/10 D12 -084 Printed: 03 -13 -2012 6: All construction shall be done in conformiimg with the approved plans and the requirem of the International Building Code or International Residential C, International Mechanical Code, WashingtoWte Energy Code. 7: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 8: 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. 9: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms, bathrooms, toilet rooms, storage closets, surgical rooms. 10: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests. 11: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum distance of 4- inches shall be maintained above the controls with the strapping. 12: 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). 13: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 14: 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 -084 Printed: 03 -13 -2012 CITY OF TUK Develop t Department Public Works Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Building Pe t No. .b I 0 Project No. 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: Z 37/6 S Tenant Name: PROPERTY OWNER Name: G1 d 4 o A O et rn .f e...r Address: 19 CC/ 7 6 / S-1:1 AA' e S' r Name: J e+ Phone: 6 _ Z( c e ' 6 6/ ax: 3 6 d E 6 V 3 7 7 7 Email: /,—h,Sen .Se/ /J'6,oi,„ &s ph(,ihoo.c Tukwila Business License No.: Address: p p 0 A 2 g City: hc) rii / a^ City: State: �, Zip:e7 g J �s, CONTACT PERSON — person receiving all project communication Name: G1 d 4 o A O et rn .f e...r Address: 19 CC/ 7 6 / S-1:1 AA' e S' r City: S -, 040,-)J1, State: 1A/PS/ Zip:1 Zy Phone: 6 _ Z( c e ' 6 6/ ax: 3 6 d E 6 V 3 7 7 7 Email: /,—h,Sen .Se/ /J'6,oi,„ &s ph(,ihoo.c GENERAL CONTRACTOR INFORMATION Company Name: / 9/ �- J�'zcV c 0 , ) n L, Address: / ea 2 6 / 4, v.e tz //% City: S v, D 4 .t„ 1J 4 State:�� Zip1 f(2-7‘ Phone: Fax: zo6' Z /4f G61.7 .3b0 1st C?-322? Contr Reg No.:g // S y y Exp Date: l• _ _ 9 - / L Tukwila Business License No.: H:Wpplications\Forms- Applications On Line \2012 Applications\Permit Application Revised - 2- 7- 12.docx Revised: February 2012 bh King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes .. No 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 14 BUILDING PERMIT INFORMATION — 206 -431 -3670 Valuation of Project (contractor's bid pri ' $ 3 0/ D J 0 Existing ilding Valuation: $ 0 0 0 0 Describe the scope of work (please provide detailed information): R e_ sv/4,41,,, Ab4/ e 0C�lA, . Re /14t i..,Ji /-4 ✓1 e / t/ ©R 2 r-- -42 oil 4' Lo' O co ✓tom( . Will there be new rack storage? ❑ ....Yes o 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: 7 5 6 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: /V f4 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. H:1ApplicationslForms- Applications On Line\2012 ApplicationsWermit Application Revised - 2- 7.12.doca Revised: February 2012 bh Page 2 of 4 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1 . Floor 7 5 ! O ,---g)-- 2nd Floor 3`d 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: 7 5 6 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: /V f4 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. H:1ApplicationslForms- Applications On Line\2012 ApplicationsWermit Application Revised - 2- 7.12.doca Revised: February 2012 bh Page 2 of 4 .i PUBLIC WORKS PERMIT INFO TION — 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 ❑ ...Water District # 125 ❑ .. Water Availability Provided Sewer District ❑ .. Tukwila ❑ .. Sewer Use Certificate 0... Highline ❑ ...Valley View ❑ ... Renton ❑ ...Sewer Availability Provided 0... 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 0... 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 0... Storm Drainage 0... Abandon Septic Tank ❑... Curb Cut 0... Pavement Cut 0... Looped Fire Line If ❑ .. Permanent Water Meter Size (1) " WO # ❑ .. Temporary Water Meter Size (1) " WO # ❑ .. Water Only Meter Size " WO # ❑ .. Sewer Main Extension Public ❑ Private ❑ ❑ .. Water Main Extension Public ❑ Private ❑ ❑...Grease Interceptor ❑... Channelization ❑...Trench Excavation 0... Utility Undergrounding (2) " WO # (3) " WO # (2) " WO # (3) " WO # ❑ .. Deduct Water Meter Size " 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\2012 Applications\Permit Application Revised - 2- 7- 12.docx Revised: February 2012 bh Page 3 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: �y , Date: 3 / / Z Print Name: o rPrr f y /' '1,rt yr J e 4 Day Telephone: 2-0 6 z f g 6 6/ 7 Mailing Address: / % 4i/ 7 6 / e,,t, H•1Applications\Fomu- Applications On Line 12012 Applications\Permit Application Revised - 2- 7- 12.docx Revised: February 2012 bh s'^-o4 o Jt4 4,,41 . q 8 296 City State Zip Page 4 of 4 • C City of Tukwila Parcel No.: Address: Suite No: Applicant: 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 0041000655 3716 S 152 ST TUKW RAINBOW TRAILER PARK RECEIPT Permit Number: Status: Applied Date: Issue Date: 1)12-084 ISSUED 03/13/2012 03/13/2012 Receipt No.: R12 -01042 Initials: User ID: WER 1655 Payment Amount: $663.65 Payment Date: 03/13/2012 02:35 PM Balance: $0.00 Payee: GORDON HANSEN TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 03605G ACCOUNT ITEM LIST: Description 663.65 Account Code Current Pmts BUILDING - RES STATE BUILDING SURCHARGE 000.322.100 640.237.114 Total: $663.65 659.15 4.50 doc: Receiot -06 Printed: 03 -13 -2012 A44 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 • Project: Type of nspectio Addres Date Called: Special Instructions: �y CU `0 (rj t -40 ',air-. Date Wanted:. _ `_ - - / -C2:Th -- p.m. Requester: Phone ^ 40 - Se 2-(1.7. 6 (0 ( r Approved per applicable codes. Corrections required prior to approval. COMMENTS: ry- WT-ex),t,- .AG-Te Inspectoi Date: 1-7 REINSPECTION FEE REQUIRED. Prior to next inspection;,.fee,must.be• _: ; •, paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectio_.n:.• ".:, . INSPECTION RECORD Retain a copy with permit INSPE TION NO. d6' PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 I. (20) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: rc tkNi1.i xlT Aim tcX2 91{ Type of Inspection: l.t3 A +‘ .�.15Ltteerr'Oki Address: 1lLI 1 '5 2 s —i• Date Called: _ A3 —.7--/V5?( ( Special Instructions: Date Wanted:. (n3 — 2. 7 - 12 a.m. p.m. Requester: Phone No: .20(i -210,-6:,40)-7 Approved per applicable codes. Corrections required prior to approval. COMMENTS: 0---i;f31.// Ak7 - 4/)/43 __-...", A/4 /LL,vSa 1/ "ACM/e/) _ A3 —.7--/V5?( ( — - - - /*41/4V0Ve R SPECTION FEE REQ 1RED. Prior to ext inspection, fee must be p d at 6300 Southcenter Blvd., Suite 10 . Call to schedule reinspection. • • INSPECTION RECORD Retain a copy with permit INSPECTJON NO.. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION C 6300 Southcenter Blvd., #100, Tukwila. WA 98188 i? . (206) 431 -3670 Permit Inspection.Request Line (206) 431 -2451 V- : -- -OKI Pro ct: • + :,134,1,,) IIA(i - Type of nspection; trAdAtn Address: ` ' _ 1 .. fin( I >2 5T— Date Called: Special Instructions: (� �( Date Wanted:. '21-- l �a.m p.m. Requester: Phone No: Z.d (Q - 21k -- (06 ill QApproved per applicable codes. ElCorrections required prior to approval. 7 COMMENTS: (47. e e k- AreAS' Inspe • of r: Date: f D REINSPECTION FEE REQUIRED Prior to next inspection. fee must be paid at•6300.Southcenter Blvd.. Suite 100. Call to schedule reinspection. !• INSPECTION RECORD Retain a copy with permit -054 INSPECTION NO. PERMIT N0. CITY OF' TUKWILA BUILDING DIVISION •6300 Southcenter.Blvd., #100, Tukwila. WA 98188 ' -- (206) 431 -3610 • . Permit Inspection Request Line (206) 431 -2451 Project: - ' -1 IC��n(80J l r,- 1 Type o Inspect n: i) o r S P_. I •A4 Addres • Date Called: . 1 Special I struttions: Date Wanted:. Requester: Pho No 61 ` z t d 6 l 7 Approved per applicable codes. Corrections required prior to approval. COMMENTS: -- (-.6de- Date,.. • D REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite.100. Call to schedule reinspection. �j IZ Contractors or Tradespeople Prter 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 ALL -STATE CONSTRUCTION INC UBI No. 602600756 Phone 3606683777 Status Active Address 19817 61St Ave Se License No. ALLSTCI947J5 Suite /Apt. License Type Construction Contractor City Snohomish Effective Date 6/8/2006 State WA Expiration Date 6/8/2012 Zip 98296 Suspend Date County Snohomish Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company ALL -STATE CONSTRUCTION, INC. Business Owner Information Name Role Effective Date Expiration Date ALL -STATE CONSTRUCTION, INC. Agent 04/25/2006 Amount HANSON, GORDON President 06/08/2006 SCP0857081 HANSON, NANCY Vice President 06/08/2006 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 1 CBIC SG7624 06/07/2006 Until Cancelled $12,000.00 06/08/2006 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 6 Western Heritage Ins Co SCP0857081 06/07/2011 06/07/2012 $1,000,000.0006 /15/2011 5 Western Heritage Ins Co SCP0805605 06/07/2011 06/07/2012 $1,000,000.0005 /03/2011 4 WESTERN HERITAGE INS CO SCP0805605 06/07/2010 06/07/2011 $1,000,000.00 06/03/2010 3 WESTERN HERITAGE INS CO SCP0755795 06/07/2009 06/07/2010 $1,000,000.00 06/08/2009 2 CBIC C11SG762401 06/07/2007 06/07/2010 $1,000,000.00 04/03/2009 1 CBIC C11SG7624 06/07/2006 06/07/2007 $1,000,000.00 06/08/2006 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 03/13/2012