HomeMy WebLinkAboutPermit D12-123 - LEMONS RESIDENCE - BATHROOM AND WINDOWSLEMONS RESIDENCE
14438 57 AV S
D12 -123
City oikukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206431-3670
Inspection Request Line: 206 -431 -2451
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 3365900550
Address: 14438 5T AV S TUKW
Suite No:
Project Name: LEMONS RESIDENCE
DEVELOPMENT PERMIT
Permit Number: D12 -123
Issue Date: 04/16/2012
Permit Expires On: 10/13/2012
Owner:
Name: SECRETARY OF HOUSING & URBA
Address: 4400 WILL ROGERS PKWY #300 , OKLAHOMA CITY OK 73108
Contact Person:
Name: RICHARD HARRIS
Address: 10025 271 ST NW , STANWOOD WA 98292
Contractor:
Name: RH CONSTRUCTION
Address: 10025 271 ST NW , STANWOOD WA 98292
Contractor License No: RHCONC *915R2
Lender:
Name:
Address:
Phone: 360- 547 -3211
Phone: 360 - 547 -3211
Expiration Date: 02/03/2014
DESCRIPTION OF WORK: le-m. mit vvit ke - 10".4s caiN atri r.e fl4 .P ct1l .e, i' p-
wk4oWs
Value of Construction: $2,000.00 Fees Collected: $256.50
Type of Fire Protection: NONE International Building Code Edition: 2009
Type of Construction: V -B Occupancy per IBC: 0022
Electrical Service Provided by: PUGET SOUND ENERGY
* *continued on next page **
doc: IBC -7/10
D12 -123 Printed: 04 -16 -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:
N
N
Water Main Extension:
Water Meter: N
Permit Center Authorized Signature:
Number: 0 Size (Inches): 0
Start Time:
Volumes: Cut 0 c.y.
Start Time:
End Time:
Fill 0 c.y.
End Time:
Private: Public:
Profit: N Non - Profit: N
Private: Public:
(4) Date: 1 ` 6- (-2,
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 per 't d•- -s not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or • - _ o :/ ce of work. I am authorized to sign and obtain this development permit and agree to the conditions attached
to this per ' �/ �� /
Signature. a - Date: Zd '1----
Print Name:
1`C
• f.3 W CiAY'li �,; J
�•4
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: Manufacturers installation instructions shall be available on the job site at the time of inspection.
7: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
doc: IBC -7/10
D12 -123 Printed: 04 -16 -2012
obtained at City Hall in the office of the City
8: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the
International Building Code and the Washington State Ventilation and Indoor Air Quality Code.
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.
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D12 -123 Printed: 04 -16 -2012
CITY OF TUKA
Community Developinelift Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Building Peat No. ) p -- ) 3
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:
Tenant Name:
I ( 3 O S 7 V � <i u ill -- Suite Number:
King Co Assessor's Tax No.:
PROPERTY OWNER
t
Name: i� c_z-�A-(.. y ,14.... /
Name:
Address: /0 0 Z S Z.:? (s'7LS7-
e,,,_ k 6 ri_4. (st _r_ �`e U, (,.,,,
Address: d go u / Z SZ_
Zit?? g2ei Z
City: Se !_ Nu gr State: 10 Zip:
...e-
CONTACT PERSON — person receiving all project
communication
t
Name: i� c_z-�A-(.. y ,14.... /
�r 5
Address: /0 0 Z S Z.:? (s'7LS7-
to vJ
City: S'�q 0,0001 , State: W (p,,_
Zit?? g2ei Z
Phone:3 577, 3 z(i Fax:
7
Email:
GENERAL CONTRACTOR INFORMATION
Company Name: �j 1� co,„ S' r u C'�jt0
Address: (0 6 215-\ 2_2( 54- 7` ,v e_r
City:Mtv. W 0 State: w 0,, Zipp ir,„2 92
Phone: �C s 7../2 / ( Fax:
J�
e_C
Contr Reg No.:04 cow �►91 �xp Date: Jo ,
Tukwila Business License No.: 000_5(.3 c'
H:Wpplications\Forms- Applications On Line\2012 Applications\Permit Application Revised - 2- 7- 12.docx
Revised: February 2012
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Floor:
New Tenant: El 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 1 of 4
BUILDING PERMIT INFORMATION — 206 - 431 -3670
Valuation of Project (contractor's bid price : $ 02c0 , `` 6;� rxiissting Sfiilding Valuation: $
Describe the scope of work (please provide detailed information): 1 Iv ti ' /0.-A) OA 5-47
L-,th- GL'5 (.> I`.1- 4- S r-1 7` gcbCl� -.. / ' V - >D if- -2 X G cc" //-GL
w t f-A— S' e7 40e4' F,5 2 . 7 L 061,,t, ,,,- 14 1-E- • Red, L 4 2,1___.
Will there be new rack storage? ❑ ....Yes ,It :.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, providefthefollowing:
Lot Area (sq ft): Floorgarea 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
-E
New p
,"G n
(� ��Z--
�`r+CaePOAl
gi I 1 IQ-e,
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, providefthefollowing:
Lot Area (sq ft): Floorgarea 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 — • • 1
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 t
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 ' Y TH . AWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING 0 UJ. ORIZED AGENT:
Signature:
Print Name: I
Mailing Address: / 2--t ? ( � N uioo emA-
•
Date: C — /6 20 1 Z
14 R-t Day Telephone: 3 6 6 ^S ' 7 ?2-
City State
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Zip
Page 4 of 4
'PUBLIC WORKS PERMIT INF 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
❑... Highline
❑ ...Valley View ❑...Renton
❑ ...Sewer Availability Provided
0... Renton
0... 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
❑ .. Permanent Water Meter Size (1)
❑ .. Temporary Water Meter Size (1)
❑ .. Water Only Meter Size
❑ .. Sewer Main Extension Public
❑ .. Water Main Extension Public
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
)f
fl
0
>f
WO #
WO #
WO #
Private ❑
Private ❑
0... Grease Interceptor
❑... Channelization
0... 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:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State
Zip
Day Telephone:
City
State
Zip
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Revised: February 2012
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Page 3 of 4
City of Tukwila
Departinent of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.eov
RECEIPT
ParcelNo.: 3365900550 Permit Number: D12 -123
Address: 14438 57 AV S TUKW Status: PENDING
Suite No: Applied Date: 04/16/2012
Applicant: LEMONS RESIDENCE Issue Date:
Receipt No.: R12 -01329
Initials:
User ID:
WER
1655
Payment Amount: $256.50
Payment Date: 04/16/2012 12:55 PM
Balance: $0.00
Payee: BARBARA TRENARY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3509 256.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - RES
STATE BUILDING SURCHARGE
000.322.100 252.00
640.237.114 4.50
Total: $256.50
doc: Receipt -06 Printed: 04 -16 -2012
INSPECTION RECORD
Retain a copy with permit
NO.
"CITY:OF TUKWILA BUILDING DIVISION
6300.Southcenter,Blvd.,: #100, Tukwila. WA 98188 , � (206) 431 -367
Permit.Inspection lRequest Line (206) 431 -2451
LIZ- -12. 3
PERMIT NO.
project
' ., FS
Type of Inspection:
1= 1rJel (.
Address:
1414 8 ; 7 -. ti u S
Date Called:
Special Instructions:
I A171 94 >v)
C:56 CP 6eil —C7/
Date Wanted:.
G --2.. /— I a
am:
p.m.
Requester:
Phone No
960— s4/7 --JZJ
Nr4
Approved. -per applicable codes.
COMMENTS:
DCorrections required prior to approval.
NSPECTION -_FEE EQUIRED. Prio to next inspection, fee must be
aid at 6300 Southcen r Blvd., Suit 100. Call to schedule reinspection.
3
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
612— /2.
PERMIT NO.
CITY OF' TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 IF= (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
Le .610A.1.G Y e2 J
Type of Inspection:
.• 4 of rE&I.4
Address:
I.S4q -gg 57 ii) S
Date Called:
Special Instructions:
Date Wanted:240— . /��d m
Requester:
Phone No:
L-125 -3 77 -5 IZ 7
1.A_proved per applicable codes. Corrections required prior to approval.
COMMENTS:
Dat_
e:
INSPECTION FEE RE UIRED. Prior) next inspection fee must be
paid at 6300 Southcenter Blvd.. Suite T00. Call to schedule reinspection.
INSPECTION RECORD` /�
Retain a copy with permit ✓ ' —' Z-1
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
' i '
• i -
Project �C• t ',. * • �..
ri)4. s � :e
T pe of Inspection: e.
1 *-�.. vG
Addres�s`�.[
Y
Date Called:
Special- Instructions: .
f
Date Wanted:.
r
.' if „ -a.m.-
p.m.
Requester:
Pho r
..-.3
7/ —S 1 ?...;
aApproved per applicable codes. Corrections required prior to approval. 7
COMMENTS:
A-1iA.10V -t.,4,
"7/1 L 74� ��e� �i •
1 specto
Date:
_ tr`t''��✓' Y-/
EINSPECTION FEE REQUIRE 1 . Prior /t next inspection, feeva ust -bo'"`
paid at 6300 Southcenter Blvd.; uite,i 0. Call to schedule reinspection.
i
• . • ......
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUICWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Protct: k
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1-yr src4Tri: ,
2-1
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1-441
3ss: .-- '7 Avi.,
Date Called:
Special Instructions:
. .
Date Wante d:
s..S — ‘. –
.. --..
LS
( 2:
,....
P.m.
Requester:
Phl r.;:o _
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
■--
( )) [. AS(-Yi'N %'•si ) lA) 4ctkJ‹.... 01 1
/
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. .
t-----. N.,
Insbectary
Date:
/ REINSPECTION FEE REQUI ED. Priorlojext inspection, fee must be
pai at 63Q Southcenter Blvd.. Suite 100. Call to schedule reinspection.
•
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 -3670
Permit Inspection Request Line (206) 431 -2451
1)(Z-- 03
Pro�j'ect: A� �y j
P �� "1I11V
P
leis.
1
Type of Inspection:
f} a �/
�'l�•� Nt�1/
Address: ss:
`!
Date Cal ed: b
Special Instructions:
///
/
Date Wanted:.
rr I/
a,d,;
Requester:
Phone No:
•
1211
pproved per applicable codes. 0 Corrections required prior to approval. g
COMMENTS:
(- I
Inspec
\_ •
Date:
fZv
❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peer 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 RH CONSTRUCTION UBI No. 602976698
Phone 3605473211 Status Active
Address 10025 271St St Nw License No. RHCONC`915R2
Suite /Apt. License Type Construction Contractor
City Stanwood Effective Date 12/22/2009
State WA Expiration Date 2/3/2014
Zip 98292 Suspend Date
County Snohomish Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company RH CONSTRUCTION LLC
Business Owner Information
Name
Role
Effective Date
Expiration Date
MORGAN, IRMA
Agent
12/22/2009
Amount
HARRIS, RICHARD ALVA
Partner /Member
12/22/2009
BIS00012369-
01
HARRIS, KRISTINE MARIE
Partner /Member
12/22/2009
02/03/2012
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
American Contractors
Indem CO
100107584
12/17/2009
Until Cancelled
$12,000.00
12/22/2009
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
5
Developers
Surety a Indem
Co
BIS00012369-
01
01/26/2012
01/26/2013
$1,000,000.00
01/26/2012
4
Nevada Capital
Ins Co
77NPP4009373
12/17/2010
12/17/2011
$1,000,000.0012
/17/2010
3
NEVADA
CAPITAL INS CO
77NPP4009373
12/17/2010
12/17/2011
$1,000,000.0012
/17/2010
2
Nevada Capital
Ins Co
77NPP4009373
12/17/2009
12/17/2010
$300,000.00
12/23/2009
1
Nevada Capital
Ins Co
NCIC001460
12/17/2009
12/17/2010
$300,000.0012/22
/2009
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
04/16/2012