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HomeMy WebLinkAboutPermit D12-170 - EASTLAND RESIDENCE - MOBILE HOME DEMOLITIONEASTLAND DEMO 12242 48 AV S D12 -170 City ("Tukwila 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.: 0179001415 Address: 12242 48 AV S TUKW Suite No: Project Name: EASTLAND DEMOLITION DEVELOPMENT PERMIT Permit Number: D12 -170 Issue Date: 05/23/2012 Permit Expires On: 11/19/2012 Owner: Name: EASTLAND FREDERICK +SHARON L Address: 12242 48TH AVE S , TUKWILA WA 98178 Contact Person: Name: FRED EASTLAND Address: 12242 48 AV S , TUKWILA WA 98178 Contractor: Name: BERWICKS MNFCTRD HOME SCV INC Address: PO BOX 1563 , PUYALLUP WA 98371 Contractor License No: BERWIMH930MP Lender: Name: Address: Phone: 206 767 -3741 Phone: 253 - 606 -9323 Expiration Date: 07/17/2013 DESCRIPTION OF WORK: DEMOLITION OF EXISTING 672 SF MOBILE HOME. PUBLIC WORKS ACTIVITIES INCLUDE EROSION CONTROL AND DISCONNECTION OF WATER AND SEVER LINE. Value of Construction: $10,500.00 Fees Collected: $496.04 Type of Fire Protection: NONE International Building Code Edition: 2009 Type of Construction: Occupancy per IBC: 0022 Electrical Service Provided by: SEATTLE CITY LIGHT * *continued on next page ** doc: IBC -7/10 D12 -170 Printed: 05 -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: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: N N Y Water Main Extension: Water Meter: N Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie Number: 0 Size (Inches): 0 Start Time: Volumes: Cut 0 c.y. End Time: Fill 0 c.y. Start Time: End Time: Private: Profit: N Private: xa with The granting of this permit does not pr construction or the performance of work to this permit. Signature: Date: Public: Non - Profit: N Public: ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating • I am authorized to sign and obtain this development permit and agree to the conditions attached Print Name: A,;(,-742 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: 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. 5: 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. 6: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila doc• IBC -7/10 D12 -170 Printed: 05 -23 -2012 Building Department (206- 431 - 3670). • S 7: All electrical work shall be inspected and approved under a separate permit issued by the City 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. 9: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** 10: The applicant must notify the City Project Inspector at (206)433 -0179 upon commencement and completion of work at least 24 hours in advance. All inspection requests for utility work must also be made 24 hours in advance. 11: Contractor shall notify Public Works Project Inspector at (206)433 -0179 of commencement and completion of work at least 24 hours in advance. 12: Work affecting traffic flows shall be closely coordinated with the City Project Inspector. Traffic Control Plans shall be submitted to the Inspector for prior approval. 13: Any material spilled onto any street shall be cleaned up immediately. 14: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off -site or into existing drainage facilities. 15: No storm drainage design was provided as part of the application submittal. Ground infiltration systems shall be used whenever soil types and site conditions permit. New filtration systems shall not negatively impact any existing properties in the area. A ground infiltration system design shall be submitted to the City for review and approval by the City Surface Water Engineer prior to construction. 16: Sewer and water utilities shall be plugged at the mains if they are to be abandoned. If they will be used again in the near future for a new building, they shall be capped at the property line and at the water meter respectively. doc: IBC -7/10 D12 -170 Printed: 05 -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 Building Permit No. Project No. Date Application Accepted: Date Application Expires: DI --10 l,p I�,a I12� 12 II (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: 12242 48 Ave S Tenant Name: Eastland Demolition King Co Assessor's Tax No.: 017900 -1415 Suite Number: New Tenant: PROPERTY OWNER Name: Fred Eastland Name: Frederick & Sharon Eastland City: State: Zip: 7e1y,A«,� �� 9,37/ Address: 12242 48 Ave S Contr Reg No.: yt iivveL92(20Date: 1 �1UW City: Tukwila State: WA Zip: 98178 CONTACT PERSON — person receiving all project communication Name: Fred Eastland Address: /0. l'- 8, 2-k' A.1. -. c? City: State: Zip: 7e1y,A«,� �� 9,37/ Address: 12242 48 Ave S Contr Reg No.: yt iivveL92(20Date: 1 �1UW +L—ili Tukwila Business License No.: City: Tukwila State: WA Zip: 98178 Phone: (206) 767 -3741 Fax: City: Email: Zip: Phone: GENERAL CONTRACTOR INFORMATION Company Name: l� G � G l Address: /0. l'- 8, 2-k' A.1. -. c? City: State: Zip: 7e1y,A«,� �� 9,37/ Phone: Fax: asp —,60Z ,Y.3 7.S.? ��-,7 Contr Reg No.: yt iivveL92(20Date: 1 �1UW +L—ili Tukwila Business License No.: H: \ApplicationsWorms- Applications On Line \20I I Applications \Permit Application Revised - 8 -9 -1 I.docx Revised: August 2011 bh Floor: ❑ Yes ❑..No ARCHITECT OF RECORD Name: N/A Address: Company Name: N/A Architect Name: Address: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD Name: N/A Address: Company Name: N/A 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: N/A Address: City: State: Zip: Page I of 4 BUILDING PERMIT INFORMATION — 206 - 431 -3670 Valuation of Project (contractor's bid price): $ •/ Existing Building Valuation: $ Describe the scope of work (please provide detailed information): Demolition of existing mobile home Will there be new rack storage? ❑ Yes E.. 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 WI None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes I 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:\ Applications \Forms- Applications On Line \2011 Applications\Permit Application Revised - 8.9 -I I.docx Revised: August 2011 bh Page 2 of 4 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1st Floor 672 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 WI None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes I 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:\ Applications \Forms- Applications On Line \2011 Applications\Permit Application Revised - 8.9 -I I.docx Revised: August 2011 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 OR AUTHORIZED A . NT: Signature: Print Name: Frederick Eastland Mailing Address: 12242 48 Ave S H:\ Applications \Forms - Applications On Line \201 I Applications\Permit Application Revised - 8 -9 -1 I.docx Revised: August 2011 bh Date: 05/22/2012 Day Telephone: (206) 767 -3741 Tukwila WA 98178 City State Zip Page 4 of 4 • 1---- tI�A wq 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.gov Parcel No.: 0179001415 Address: 12242 48 AV S TUKW Suite No: Applicant: EASTLAND DEMOLITION RECEIPT • Permit Number: D12 -170 Status: APPROVED Applied Date: 05/22/2012 Issue Date: Receipt No.: R12 -01655 Payment Amount: $496.04 Initials: JEM Payment Date: 05/23/2012 07:54 AM User ID: 1165 Balance: $0.00 Payee: FRED EASTLAND TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1935 496.04 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - NONRES PLAN CHECK - NONRES STATE BUILDING SURCHARGE 000.322.100 000.345.830 640.237.114 Total: $496.04 297.90 193.64 4.50 doc: Receiot -06 Printed: 05 -23 -2012 ' INSPECTION RECORD ., Retain a copy with permit. INSPECTION NO. PERMIT NO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 1--- (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 PiCje (c � M Ty pe f`In ectiQn: ? u ( , A Address: ' 7L AVE Date Called: Special Instructions: � ,�6 - " pitta J• !! e Date Wanted: S.2.S a.m. � ?.._ :m Requester: Phone No: LL /� 49l /fl� > 24 —"5-2.6•0 f Approved per applicable codes. E Corrections required prior to approval. COMMENTS: Inspector: .d,z4 Date, , n. REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE: Revisions win require a new plan submittal and may include additional plan review fees j 0 9.6 / 1 4,2 r £ /,9Y 12722V PLANNING APPROVED . • No changesban be made.to these plans without approval from the Planning Division of DCD Approved By: 11 ' Date: FILE COPY RIM* NO. 17 Plan review approval is subject to errors and omissions. Approval of construction documents does not authorize the violation of any adopted code or otthnance. Receipt of approved Fmk! Copy and conditions is admowledged: Dab: REVIEWED FOR CODE COMPLIANCE APPROVED MAY 2 2 2012 City of BUIL0, ING City Of Ttdcwila BUILDING DIVISION CA 13 0 RECEIVED li`tv OF TuKimuh MAY 22 20121 ERtor' CENTEP iPERMIT CHORD COP' PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D12- 1.0 PROJECT NAME: EASTLAND DEMOLITION SITE ADDRESS: 12242 48 AV S DATE: 05/22/12 X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: 1, A g ©5. 2.- I tc'ZZ,I ( �Yl .,�P Building Division MI 12 Fire Prevention Planning Division oas Public Works ® Structural n Permit Coordinator n DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete DUE DATE: 05/24/12 Incomplete ❑ Not Applicable n Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUTING: Please Route n Structural Review Required n No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved DUE DATE: 06/14/12 Approved with Conditions Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents /routing slip.doc 02/29/12 Contractors or Tradespeople Pirer 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 BERWICKS MNFCTRD HOME SCV INC Phone 2536069323 Address Po Box 1563 Suite /Apt. City Puyallup State WA UBI No. 602728206 Status Active License No. BERWIMH930MP License Type Construction Contractor Effective Date 7/17/2007 Expiration Date 7/17/2013 Zip 98371 Suspend Date County Pierce Specialty 1 Manufactured /Mobile Home Set - Up Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date BERWICK, WILLIAM President 07/17/2007 Bond Amount BERWICK, LAURA Vice President 07/17/2007 61099088 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 2 Western Surety Co 61099088 07/10/2011 Until Cancelled $6,000.00 07/05/2011 1 WESTERN SURETY CO 70308186 07/10/2007 Until Cancelled 09/28/2011 $6,000.0007/17/2007 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 Liberty Northwest Ins Corp BKS1254479930 05/29/2011 05/29/2012 $1,000,000.0005 /19/2011 3 OHIO CAS INS BH01154479930 05/29/2010 05/29/2011 $1,000,000.00 05/28/2010 2 ATLANTIC CASUALTY INS CO L1250004062 05/29/2008 05/29/2010 $300,000.00 05/28/2009 1 ATLANTIC CAS INS CO L1250004060 05/29/2007 05/29/2008 $300,000.00 07/17/2007 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 05/23/2012