HomeMy WebLinkAboutPermit D12-222 - COSTCO - INTERIOR DEMOLITIONCOSTCO INTERIOR
DEMOLITION
400 COSTCO DR
D12 -222
City oftukwila
•
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
DEVELOPMENT PERMIT
Parcel No.: 2523049063
Address: 400 COSTCO DR TUKW
Suite No:
Project Name: COSTCO INTERIOR DEMOLITION
Permit Number: D12 -222
Issue Date: 06/26/2012
Permit Expires On: 12/23/2012
Owner:
Name: COSTCO WHOLESALE CORPORATIO
Address: PROPERTY TAX DEPT 006 , 999 LAKE DR 98027
Contact Person:
Name: LARRY PRESCOTT
Address: 437 25 ST NE, SUITE F , PUYALLUP WA 98372
Contractor:
Name: INTERSTATE CONST GROUP INC
Address: 437 29 ST NE, SUITE F , PUYALLUP WA 98372
Contractor License No: INTERCG974QR
Lender:
Name:
Address:
Phone: 253 - 435 -0949
Phone: 253 - 435 -0949
Expiration Date: 12/01/2013
DESCRIPTION OF WORK:
REISSUANCE OF EXPIRED PERMIT D11-284. THIS PERMIT IS FOR (2) INSPECTIONS ONLY, FIRE AND BUILDING
FINALS.
Value of Construction: $0.00 Fees Collected: $130.50
Type of Fire Protection: SPRINKLERS /AFA International Building Code Edition: 2009
Type of Construction: III-B Occupancy per IBC: 0019
Electrical Service Provided by: PUGET SOUND ENERGY
* *continued on next page **
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D12 -222 Printed: 06 -26 -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 Number: 0
N
Start Time:
Volumes: Cut 0 c.y.
Start Time:
Size (Inches): 0
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:
Cp
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
construction or the pe
to this permit.
Signature:
Print Name:
es not presume to give aut - e or cancel the provisions of any other state or local laws regulating
ized to sign and ob • n this development permit and agree to the conditions attached
nce of we . I am au
L,4-)2.12-7 d
D a t e : : l0
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 CONDTITONS * **
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: When special inspection is required, either the owner or the registered design professional in responsible charge,
shall employ a special inspection agency and notify the Building Official of the appointment prior to the first
building inspection. The special inspector shall furnish inspection reports to the Building Official in a timely manner.
6: A final report documenting required special inspections and correction of any discrepancies noted in the inspections
shall be submitted to the Building Official. The final inspection report shall be prepared by the approved special
doc: IBC -7/10
D12 -222 Printed: 06 -26 -2012
inspection agency and shall be submitted t Building Official prior to and as a conditional inspection
approval.
7: 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.
8: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any
requirements for special inspection.
9: All wood to remain in placed concrete shall be treated wood.
10: 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.
11: 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).
12: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
13: 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.
14: ** *FIRE DEPARTMENT CONDITIONS * **
15: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the
following concerns:
16: Accumulation of combustible waste material is prohibited during the demolition phase of this project. Remove and
properly dispose of all waste material prior to the close of the working day and as often throughout the day as needed.
17: Maintain coverage and operability of portable fire extinguishers, sprinkler systems and fire alarm systems during
demolition and construction.
18: 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).
19: An approved manual fire alarm system including audible /visual devices and manual pull stations is required for this
project. The fire alarm system shall meet the requirements of Americans With Disabilities' Act (I.B.C.), N.F.P.A. 72
and the City of Tukwila Ordinance #2328.
20: All new fire alarm systems or modifications to existing systems shall have the written approval of The Tukwila Fire
Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #2328) (IFC
104.2)
21: An electrical permit from the City of Tukwila Building Department Permit Center (206- 431 -3670) is required for this
project.
22: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2327 and
#2328)
23: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at
(206)575 -4407.
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D12 -222 Printed: 06 -26 -2012
CITY OF TUKISA
Community Developarfit Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Pe t No. b()---2.3_2.,_
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
/�,�, King Co Assessor's Tax No.:
Site Address: `� ` 0 ' 7'O c2 ? �L� . //lie te.i.L4 Suite Number: Floor:
Tenant Name: _a� Te New Tenant: ❑ Yes ❑.. No
PROPERTY OWNER
Name:
n-° 57)z • /il1zc0t
LAiZIZ`� CSe��
Name:
.7 c c7
City: /4-LL[,> o State: �A-
Zip : "Kg7
Phone:2 3 '%3 5-.„, %4/ --Ff : 2;_3 4 X31
Email: A- 2-0-y@ ,)1/4sTt5?�721-T5-
Address:
,9�I
'1
LA-1z i .2:70/ ✓ b
City— 41A.
,
417,
State:
l
4..
Zip
CONTACT PERSON — person receiving all project
communication
Name:
n-° 57)z • /il1zc0t
LAiZIZ`� CSe��
Address:
7 -25 7( /0
7 G
�� �7> /
City: /4-LL[,> o State: �A-
Zip : "Kg7
Phone:2 3 '%3 5-.„, %4/ --Ff : 2;_3 4 X31
Email: A- 2-0-y@ ,)1/4sTt5?�721-T5-
,-2.)-1-z. uC
'3
rte) c7PC
GENERAL CONTRACTOR INFORMATION
Company Name:
z- j rL -'ZS rA-7 U
n-° 57)z • /il1zc0t
Address:
,43o vs,
City: State:
Architect Name:
Zip:
Phone: Fax:
Address:
Conti- Reg No.: iv / a,zcc 97i,
p ate:
z
/I b,,12
Tukwila Business License No.:
Phone:
Fax:
H:.Applications\Forms- Applications On Line\2012 Applications\Permit Application Revised - 2- 7- 12.docx
Revised: February 2012
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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 1 of 4
BUILDING PERMIT INFORMATION — 206 - 431 -3670
Valuation of Project (contractor's bid pric: $ 2010 b / 7
Existing 13i1i lding Valuation: $
Describe the scope of work (please provide detailed information): /'2¼4 ' o-4 L '1? i S p �j vtJ ALL
1} - ! .zc.4 , 2> g•
G /24.5 la- f9
n�r> %/ ATE >A) 04.16
Will there be new rack storage? ❑ ....Yes
ST
£ ' i $�-
b ttit
GG�r72,e L
1-f
...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:
yK Sprinklers EEK. 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 SajetyData 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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Revised: February 2012
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Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1st Floor
JO, G "/
/2 0//
a
o
-13
�l
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:
yK Sprinklers EEK. 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 SajetyData 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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Revised: February 2012
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Page 2 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
❑ ...Valley View
❑ ...Sewer Availability Provided
❑... Highline
❑ ... Renton
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) ❑... Geotechnical Report
❑ .. Bond 0... Insurance 0... Easement(s) 0... Maintenance Agreement(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
❑ .. 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
❑... Looped Fire Line
1)
0
0
U... Grease Interceptor
❑... Channelization
❑...Trench Excavation
0... Utility Undergrounding
WO # (2) " WO # (3)
WO # (2) " WO # (3)
WO # ❑ .. Deduct Water Meter Size
Private ❑
Private ❑
" WO#
" WO#
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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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 HE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWN
Signature: i , +�^ Date: �� /J
Print Name: v/ �='�° 2/ Da Telephone: 4-
Mailing Address: 4i'3 7 ` 27 4J
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City / State Zip
Page 4 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.Oov
RECEIPT
Parcel No.: 2523049063 Permit Number: D12 -222
Address: 400 COSTCO DR TUKW Status: PENDING
Suite No: Applied Date: 06/26/2012
Applicant: COSTCO INTERIOR DEMOLITION Issue Date:
Receipt No.: R12 -01991
Payment Amount: $130.50
Initials: WER Payment Date: 06/26/2012 01:41 PM
User ID: 1655 Balance: $0.00
Payee: LARRY PRESCOTT
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 390579
ACCOUNT ITEM LIST:
Description
130.50
Account Code Current Pmts
BUILDING - NONRES
STATE BUILDING SURCHARGE
000.322.100
640.237.114
Total: $130.50
126.00
4.50
doc: Receipt -06 Printed: 06 -26 -2012
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
b12-272--
Project:
Type Anspection:
Address:
Loo e O;0_b -1cZ-.
Date Called:
Special Instructions:
Date Wanted: .rri�
0-- -2S_t7
p:m.
Requester:
Phone No:
L2.S -Sc cu_ G ss,U
-Approved per applicable codes. O Corrections required prior to approval. �P .
COMMENTS:
QC) f1411 %
/ &01.
L
ECTION FEE REQU RED. Prior to ext inspection, fee must be
6300 Southcenter B vd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pter Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with LEl 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 INTERSTATE CONST GROUP INC UBI No. 602339476
Phone 2534350949 Status Active
Address 437 29Th St Ne, Ste F License No. INTERCG974QR
Suite /Apt. License Type Construction Contractor
City Puyallup Effective Date 11/19/2003
State WA Expiration Date 12/1/2013
Zip 98372 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
PACIFIF915DU
PACIFIC INTERSTATE
FCLTY CNTRS
Construction
Contractor
General
Unused
3/31/2009
3/31/2011
Expired
Business Owner Information
Name
Role
Effective Date
Expiration Date
PRESCOTT, LARRY
President
11/19/2003
Amount
LORENZ, KENNETH
Vice President
11/19/2003
G24099945002
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
SF2715
11/13/2003
Until Cancelled
$12,000.00
11/19/2003
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
7
WESTCHESTER
G24099945002
11/18/2009
11/18/2012
$1,000,000.00
11/17/2011
FIRE INS
6
CHARTER OAK
FIRE INS CO
526D990000F
11/18/2007
11/18/2009
$1,000,000.00
10/29/2008
5
GREAT
AMERICAN INS
GLP9252761
11/18/2007
11/18/2008
$1,000,000.0011
/08/2007
GREAT
4
AMERICAN E f& S
GL0566441903
11/18/2006
11/18/2007
$1,000,000.00
11/09/2006
INS CO
3
GREAT
AMERICAN E 13 S
GL05664419-
11/18/2005
11/18/2006
$1,000,000.00
11/18/2005
INS CO
02
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
06/26/2012