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HomeMy WebLinkAboutPermit D12-162 - RIVERVIEW PLAZA - VACANT SPACEVACANT SPACE 16040 CHRISTENSEN RD D12-162 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.: 2523049039 Address: 16040 CHRISTENSEN RD TUKW Suite No: Project Name: VACANT SPACE DEVELOPMENT PERMIT Permit Number: D12 -162 Issue Date: 05/23/2012 Permit Expires On: 11/19/2012 Owner: Name: BRCP RIVERVIEW PLAZA LLC Address: 248 HOMER AVE , PALO ALTO CA 94301 Contact Person: Name: JEFF UNDERWOOD Address: 5602 SECOND AV S , SEATTLE WA 98108 Contractor: Name: GATEWAY CONSTRUCTION SRVCS INC. Address: 5602 2ND AVE S , SEATTLE WA 98108 Contractor License No: GATEWCS992C3 Lender: Name: Address: Phone: 206 - 786 -7381 Phone: (206)621 -9111 Expiration Date: 03/04/2014 DESCRIPTION OF WORK: PARTIAL DEMOLITION OF EXISTING WALLS, MINOR SPRINKLER WORK. NEW LIGHTS, CEILING TILES AND CARPET. Value of Construction: $21,000.00 Fees Collected: $811.18 Type of Fire Protection: SPRINKLERS International Building Code Edition: 2009 Type of Construction: Occupancy per IBC: 0008 Electrical Service Provided by: PUGET SOUND ENERGY * *continued on next page ** doc: IBC -7/10 D12 -162 Printed: 05 -23 -2012 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: Hauling: N Start Time: End Time: Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: Moving Oversize Load: Start Time: 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: Permit Center Authorized Signature: N Date: 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 perfgrmance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: Print Name: Wit ac Date: 5p 3 / / , AeouS 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: New suspended ceiling grid and light fixture installations shall meet the non - building structures seismic design requirements of ASCE 7. 5: Partition walls that are tied to the ceiling and all partitions greater than 6 feet in height shall be laterally braced to the building structure. 6: 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. doc: IBC -7/10 D12 -162 Printed: 05 -23 -2012 7: There shall be no occupancy of a buildineil final inspection has been completed and roved by Tukwila building inspector. No exception. 8: 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. 9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 10: 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). 11: 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. 12: ** *FIRE DEPARTMENT CONDITIONS * ** 13: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns:' 14: Maintain sprinkler coverage per N.F.P.A. 13. Addition/relocation of walls, closets or partitions may require relocating and /or adding sprinkler heads. (IFC 901.4) 15: All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department review and approval of drawings prior to installation or modification. New sprinkler systems and all modifications to sprinkler systems involving more than 50 heads shall have the written approval of Factory Mutual or any fire protection engineer licensed by the State of Washington and approved by the Fire Marshal prior to submittal to the Tukwila Fire Prevention Bureau. No sprinkler work shall commence without approved drawings. (City Ordinance No. 2327). 16: The total number of fire extinguishers required for a light hazard occupancy with Class A fire hazards is calculated at one extinguisher for each 3,000 sq. ft. of area. The extinguisher(s) should be of the "all purpose" (2A, 10 B:C) dry chemical type. The travel distance to any extinguisher must be 75' or less. (IFC 906.3) (NFPA 10, 3 -2.1) 17: Portable fire extinguishers, not housed in cabinets, shall be installed on the hangers or brackets supplied. Hangers or brackets shall be securely anchored to the mounting surface in accordance with the manufacturer's installation instructions. Portable fire extinguishers having a gross weight not exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 5 feet (1524 mm) above the floor. Hand -held portable fire extinguishers having a gross weight exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 3.5 feet (1067 mm) above the floor. The clearance between the floor and the bottom of the installed hand -held extinguishers shall not be less than 4 inches (102 mm). (IFC 906.7 and IFC 906.9) 18: Fire extinguishers shall not be obstructed or obscured from view. In rooms or areas in which visual obstruction cannot be completely avoided, means shall be provided to indicate the locations of the extinguishers. (IFC 906.6) 19: Extinguishers shall be located in conspicuous locations where they will be readily accessible and immediately available for use. These locations shall be along normal paths of travel, unless the fire code official determines that the hazard posed indicates the need for placement away from normal paths of travel. (IFC 906.5) 20: Fire extinguishers require monthly and yearly inspections. They must have a tag or label securely attached that indicates the month and year that the inspection was performed and shall identify the company or person performing the service. Every six years stored pressure extinguishers shall be emptied and subjected to the applicable recharge procedures. If the required monthly and yearly inspections of the fire extinguisher(s) are not accomplished or the inspection tag is not completed, a reputable fire extinguisher service company will be required to conduct these required surveys. (NFPA 10, 4 -3, 4 -4) 21: Maintain fire extinguisher coverage throughout. 22: In order to provide you with the fastest police and fire protection under emergency conditions, please post your suite, room or apartment number in a conspicuous place near the main entry door. (IFC 505.1) 23: This review limited to speculative tenant space only - special fire permits may be necessary depending on detailed description of intended use. 24: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2327 and #2328) doc: IBC -7/10 D12 -162 Printed: 05 -23 -2012 25: Any overlooked hazardous condition alSr violation of the adopted Fire or Building G s does not imply approval of such condition or violation. 26: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206) 575 -4407. doc: IBC -7/10 D12 -162 Printed: 05 -23 -2012 CITY OF TUKN Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Building Per 1111 12 - (e Z Project No. Date Application Accepted: 5 —t 1-- t 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 King Co Assessor's Tax No.: Site Address: /60 I/O Tenant Name: ✓,c> -A-„or SpAC.tz- PROPERTY OWNER Name: (J 4 (iit)DeELioob Name: // pp V1/1.ZG0 PE- Oroic/> >.Z -/ Phone:206 -- 7-e4 - %3gFax: 20,4 - t21 - 4113 Address: /60 4 ;7 ff� E-D, /OD City: /U //L State: t Zip: CONTACT PERSON — person receiving all project communication Name: (J 4 (iit)DeELioob Address:56 1/ z,,:,o Rot. So , City: f/...i47 GE State: , J A Zip w/b$ Phone:206 -- 7-e4 - %3gFax: 20,4 - t21 - 4113 Email: / c� !2 60- rgGSIq y- 7-"- X.0 Coin GENERAL CONTRACTOR INFORMATION Company Name: c ,4yiy CO ialAC7 .?.€Nits Address: (560 Z_ 2`'" /c41., S, City: ��� / State: L,A Zip: /Qe Phone. .66 — 62.1-9// / Fax.206_ 7/ 9//3 Contr Reg No.: Exp Date: CC GR7Fbic5992,c3 3- y -/4' Tukwila Business License No.: PUS- 6101704i H:Wpplications\Forms- Applications On Line\2012 Applications\Permit Application Revised - 2- 7- 12.docx Revised: February 2012 bh q 0 37 Suite Number: /05 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 1 of 4 BUILDING PERMIT INFORMATION — 206 - 431 -3670 • Valuation of Project (contractor's bid price): $ , // ODU , O a Existing Building Valuation: $ Describe the scope of work (please provide detailed information): PRk T�G4L OP. ,Ex Z ,i7 72- t �Sla oe_ Lei" woa2K ,�l�t,-> L,z�HrS I c ZLZ'- �r- BSI 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 Sa ty 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:\Applications\Forms- Applications On Line \2012 Applications\Permit Application Revised - 2- 7- I2.docx 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 lat 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 Sa ty 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:\Applications\Forms- Applications On Line \2012 Applications\Permit Application Revised - 2- 7- I2.docx Revised: February 2012 bh 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 EED GENT: Signature: Print Name: Date: 5---t/- / 2- T6.FP j.%tx9Ei2 -L3 OOP Day Telephone: 7–G 1S 7.86 — Vg/ Mailing Address: , 66OZ , 1)17 1)17 %{tip. 5e). Z>, City H:Wpplications\Forms- Applications On Line\2012 Applications\Permit Application Revised - 2- 7- 12.docx Revised: February 2012 bh State Zip Page 4 of 4 PUBLIC WORKS PERMIT INFTION — 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 #I25 ❑ .. Water Availability Provided Sewer District ❑ .. Tukwila ❑ .. Sewer Use Certificate ❑... Highline ❑ ...Valley View 0... 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 ❑... Easement(s) Proposed Activities (mark boxes that apply): ❑ .. Right -of -way Use - Nonprofit for less than 72 hours 1=1.. Right -of -way Use - No Disturbance ❑ .. Construction/Excavation /Fill - Right -of -way ❑ Non Right -of -way ❑ ❑ .. Total Cut cubic yards I=1.. Total Fill cubic yards ❑ .. Sanitary Side Sewer ❑ .. Cap or Remove Utilities ❑ .. Frontage Improvements ❑ .. Traffic Control ❑ .. Backflow Prevention - Fire Protection Irrigation Domestic Water ❑...Geotechnical Report 0... Maintenance Agreement(s) ❑ .. Traffic Impact Analysis ❑ .. Hold Harmless — (SAO) ❑ .. Hold Harmless — (ROW) El... 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 ❑ .. Permanent Water Meter Size (1) 11.. Temporary Water Meter Size (1) ❑ .. Water Only Meter Size ❑ .. Sewer Main Extension Public ❑ .. Water Main Extension Public „ o... Grease Interceptor 0... Channelization 0... Trench Excavation ❑... Utility Undergrounding WO # (2) " WO # (3) " WO # WO # (2) " WO # (3) " 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:\Applications\Forms- Applications On Line\2012 Applications\Perinit Application Revised - 2- 7- 12.docx Revised: February 2012 bh Page 3 of 4 i 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.: 2523049039 Permit Number: D12 -162 Address: 16040 CHRISTENSEN RD TUKW Status: APPROVED Suite No: Applied Date: 05/11/2012 Applicant: VACANT SPACE Issue Date: Receipt No.: R12 -01667 Initials: User ID: Payee: WER 1655 Payment Amount: $493.40 Payment Date: 05/23/2012 02:16 PM Balance: $0.00 SHANNON R GREEN (PHONE) TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 61322C ACCOUNT ITEM LIST: Description 493.40 Account Code Current Pmts BUILDING - NONRES STATE BUILDING SURCHARGE 000.322.100 488.90 640.237.114 4.50 Total: $493.40 doc: Receiot -06 Printed: 05 -23 -2012 1 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.ov Parcel No.: 2523049039 Address: 16040 CHRISTENSEN RD TUKW Suite No: Applicant: VACANT SPACE RECEIPT Permit Number: D12 -162 Status: PENDING Applied Date: 05/11/2012 Issue Date: Receipt No.: R12 -01557 Payment Amount: $317.78 Initials: WER Payment Date: 05/11/2012 11:19 AM User ID: 1655 Balance: $493.40 Payee: JEFF UNDERWOOD TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 01586C ACCOUNT ITEM LIST: Description 317.78 Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 317.78 Total: $317.78 doc: Receiot -06 Printed: 05 -11 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 Project: I. CI-50A—C-P Type of nspect'on: P I Address: I(0(4d CJ ' ' --e-NCe.i Date Called: t Special Instructions: Date Wanted 'a.m PAM Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: U-r 'mot ` I .�� 4--„ -A > 6t;, /\- f Ins ctor: A Date :1.7.7 '(>_ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit . £ -o4 7 PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206- 575 -4407 Project: U p,s c Sprinklers: Fire Alarm: Type of Inspection: Address: Suite #: /05 l boYo Ckt, s�o'"°'JContact Person: Special Instructions: Phone No.: pproved per applicable codes. Corrections required prior to approval. COMMENTS: c■( Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre - Fire: Permits: Occupancy Type: Inspector: o S"a-- Date: ---4-6/ / Z Hrs.: ' $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. Billing Address Attn: Company Name: Address: City: State: Zip: Word /Inspection Record Form.Doc 6/11/10 T.F.D. Form F.P. 113 INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit 0/2 — /G PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206- 575 -4407 Project: v4 c 4 n7- \ 5 Pct c. c. Type of Inspection: gyp., '.-z4 / ., e"....,-,-- Address: l a vet Suite #: dos- ctizysi.„, AeR. Contact Person: -Special Instructions: Pre -Fire: Phone No.: Approved per applicable codes. Corrections required prior to approval. v COMMENTS: Needs Shift Inspection: Sprinklers: A Fire Alarm: Hood & Duct: / Monitor: Pre -Fire: Permits: - Occupancy Type: Inspector: , - Date: A Z Hrs.: 1/ ^f $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. CaII to schedule a reinspection. Billing Address Attn: Company Name: Address: City: State: Zip: Word /Inspection Record Form.Doc 6/11/10 T.F.D. Form F.P. 113 REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. N : Revisions will require a new plan submittal J may igide additional otTrt - -view fens. STORAGE 104 1 e rr on Owl Y o r ii RECPT. 109 NEW CARPE Isom gow•Ill LEGEND == = = DEMOLITION OPEN EXISTING PARTITION TO REMAIN. 1 105 1 NEW PARTITION ".)/9" 05 PROVIDE NEW DIRECT /INDIRECT LIGHTS IN EXISTING GRID EXISTING ACOUSTICAL TILE TO REMAIN (REPLACE ANY DAMAGED TILES ONLY) THIS LAYOUT IS FOR PLANNING PURPOSES AREA MEASURED FROM CL TO CL OF SWILL BE APPROIAMATLLY AS SHOO DRAWINGS ARE PREPARED AND SHALL AND WAGES DUE TO ACTUAL JOB SIZES ARE APPROXIMATE FURNITURE AND AS DESIGN SUGGESTIONS ONLY, AND ARE N OR OBLIGATION OF THE OWNER OR THE FINN : :.,• 7 1 11:11 1 l - 1'i 1'.' '.I1 :' LT 1 ARE S THE •■1.P0.::. LAY C. I RM 110s 225sf/15 =15 OCC FLOOR PLAN -SUITE 105 1 AK 107 SCALE: 1 /S" = 1' -0" FILE -COPY permit Noy, ttP(2- PIan review apploVBi IS subject to 611015 and Approval of construction documents does not the violation of any adopted code or ordinance. of applied Field eld Copy : i . I i : • i \)By Wig/7 ! ,E. Date: 5j2'//2 nze City Of Tt,kwila BUILDING DIVISION SEPARATE PERMIT REQUIRED FOR: Mechanical Electrical Plumbing Gas Piping City of Tukwila BUILDING DIVISION C III III III III IMI II /776943 OF gGES$ �in�26 C ONO MEP REMOVE FILM FROM ALL EXTERIOR GLASS oPf» NEW CARPE r MI NM IOW wow rl NEW CARPE REVIEWED FOR CODE COMPLIANCE APPROVED MAY 21 2012 It- OA' City of ifa VISION aiss• Maw SE 106 RECEIVED MAY 112012 PERMIT CENTER btaI&2 NEIL plonninp 181. riors\ orrlil Pdu rl DESIG 22002 • 64th Avenue W., Suite 2C Mountlake Terrace, WA 98043 T: 425 -670 -6706 F: 425-774-8219 Z 3 J 4 • N a 4 e WI d 1►3� 2 L 4 V REVISIONS 5 -21 -09 REVIEW I SUITE 105 TUKWILA, WASHINGTON TITLE SPACE PLAN 09,077 Job No.: ASS Drawn By: SHEET SP-1 • PENT CU ' Q � PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D12 -162 DATE: 05 -11 -12 PROJECT NAME: VACANT SPACE SITE ADDRESS: 16040 CHRISTENSEN RD, SUITE 105 X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: B tin vi ion D Public Work Fire Prevention 111 Prnning ivision Permit Coordinator Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete n DUE DATE: 05-15-12 Not Applicable Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES /THURS ROUTING: Please Route 111) Structural Review Required REVIEWER'S INITIALS: No further Review Required DATE: APPROVALS OR CORRECTIONS: Approved Notation: Approved with Conditions DUE DATE: 06 -12 -12 Not Approved (attach comments) REVIEWER'S INITIALS: 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 Pryer 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 GATEWAY CONSTRUCTION SRVCS INC UBI No. 602086011 Phone 2066219111 Status Active Address 5602 2Nd Ave. S. License No. GATEWCS992C3 Suite /Apt. License Type Construction Contractor City Seattle Effective Date 2/26/2001 State WA Expiration Date 3/4/2014 Zip 98108 Suspend Date County King 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 NIELSC*02708 NIELSEN CONSTRUCTION Construction Contractor General Unused 9/28/1998 9/15/2000 Archived Business Owner Information Name Role Effective Date Expiration Date SACCO, RONALD President 02/26/2001 Bond Amount NIELSEN, CRISTIAN Vice President 02/26/2001 105165492 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 3 TRAVELERS CAS & SURETY CO 105165492 08/19/2008 Until Cancelled $12,000.0008/21 /2008 2 RLI INSURANCE CO SRS1008614 02/26/2002 08/19/2008 03/25/2012 $12,000.0003/04 /2002 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 12 Charter Oak Fire Ins Co DTC0527D0333C0F11 08/01/2011 08/01/2012 $1,000,000.00 07/28/2011 11 CHARTER OAK FIRE INS CO DTC0527D0333C0F10 08/01/2010 08/01/2011 $1,000,000.00 07/28/2010 10 CHARTER OAK FIRE INS CO DTC0527D0333C0F09 08/01/2009 08/01/2010 $1,000,000.0007 /31/2009 9 CHARTER OAK FIRE INS TC05451M120C0F08 08/01/2008 08/01/2009 $1,000,000.0008 /01/2008 8 CONTINENTAL WESTERN INS CWP2699920 08/01/2008 08/01/2009 $1,000,000.0007 /24/2008 7 LIBERTY NORTHWEST INS C03162727 08/01/2006 08/01/2008 S1,000,000.0008/01/2008 6 NORTH PACIFIC INS CO CO2162727 02/26/2006 02/26/2007 $1,000,000.00 01/04/2006 Summons /Complaint Information Cause 1 County 1 Complaint 1 Judgment Status] Payment 1Paid By] https: // fortress .wa.gov /lni /bbip /Print.aspx 4613 -4 05/23/2012