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HomeMy WebLinkAboutPermit D12-308 - AMERICA WEST BANK - NEW SINGLE FAMILY RESIDENCEAMERICA WEST BANK HOUSE 4601 S 139 ST D12 -308 City oilkukwila • 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.: 3229200092 Address: 4601 S 139 ST TUKW Suite No: Project Name: AMERICA WEST BANK DEVELOPMENT PERMIT Permit Number: D12-308 Issue Date: 09/24/2012 Permit Expires On: 03/23/2013 Owner: Name: AMERICA WEST BANK Address: ATTN SPECIAL ASSETS , 110 S FERRALL ST 99202 Contact Person: Name: ANTHONY ROMMEL Address: PO BOX 1121 , MARYSVILLE WA 98270 Contractor: Name: A W R INC Address: PO BOX 1121 , MARYSVILLE WA 98270 Contractor License No: AWRINI *962R9 Lender: Name: Address: Phone: 425 - 367 -7551 Phone: 425 -367 -7551 Expiration Date: 01/04/2013 DESCRIPTION OF WORK: REISSUANCE OF EXPIRED PERMIT: 8 INSPECTIONS REMAINING CONSTRUCTON OF A NEW 2355 SF SFR WITH 438 SF ATTACHED GARAGE AND 216 SF OF UNCOVERED DECK. PROJECT ON VALLEY VIEW SEWER AND WATER DISTRICT # 125 WATER. PUBLIC WORKS ACTIVITIES INCLUDE ACCESS DRIVEWAY, LAND ALTERING, STORM DRAINAGE AND EROSION CONTROL. Value of Construction: $0.00 Fees Collected: $508.50 Type of Fire Protection: International Building Code Edition: 2009 'Type of Construction: V -B Occupancy per IBC: 0022 Electrical Service Provided by: SEATTLE CITY LIGHT * *continued on next page ** doc: IBC -7/10 D12 -308 Printed: 09 -24 -2012 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: N Number: 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: Size (Inches): 0 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: g'.)" 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 pe construction or the pe to this permit. Signature: Print Name: does not p ance of w ume to give autho ' to violate or cancel the provisions of any other state or local laws regulating . I am authorized =ign and obtain this development permit and agree to the conditions attached Date: 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: Truss shop drawings shall be provided with the shipment of trusses delivered to the job site. Truss shop drawings shall bear the seal and signature of a Washington State Professional Engineer. Shop drawings shall be maintained on the site and available to the building inspector for inspection purposes. 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 -308 Printed: 09 -24 -2012 7: All wood to remain in placed concrete she treated wood. 8: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 9: Manufacturers installation instructions shall be available on the job site at the time of inspection. 10: 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. 11: 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. 12: 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. 13: 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. 14: 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. 15: 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). 16: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206 - 431 - 3670). 17: 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. 18: ** *FIRE DEPARTMENT CONDITIONS * ** 19: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 20: All required hydrants and surface access roads shall be installed and made serviceable prior to and during the time of construction. (IFC 503.1, 508.1) 21: Every building shall be accessible to Fire Department apparatus by way of access roadways with all- weather driving surface of not less than 20' wide and 13'6" vertical clearance. Access roads in excess of 150' shall be provided width an approved turn- around area. Access shall be within 150' of all portions of the buildings. (City Ordinance #2047) 22: New and existing buildings shall have approved address numbers, building numbers or approved building identification placed in a position that is plainly legible and visible from the street or road fronting the property. These numbers shall contrast with their background. Address numbers shall be Arabic numbers or alphabet letters. Numbers shall be a minimum of 4 inches (102mm) high with a minimum stroke width of 0.5 inch (12.7mm). (IFC 505.1) 23: All electrical work and equipment shall conform strictly to the standards of the National Electrical Code. (NFPA 70) 24: An electrical permit from the City of Tukwila Building Department Permit Center (206- 431 -3670) is required for this ,project. 25: Adequate ground ladder access to rescue windows shall be provided. Landscape a flat, 12' deep by 4' wide area below each required rescue window. 26: Maximum grade for all projects is 15 %. 27: In combustible construction, fire blocking and draftstopping shall be installed to cut off all concealed draft openings (both vertical and horizontal). (IBC 717.1) (IBC 717.2.2(a,b) 28: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2327 and 42328) doc: IBC -7/10 D12 -308 Printed: 09 -24 -2012 29: To schedule all construction fire - relate ections send an e-mail to flreinsprequesta.wa.us. Include your name, telephone number, permit number, pr ject name and address and type of inspection quested. 30: Each circuit breaker shall be legibly marked to indicate it's purpose. (NEC 110 -22) 31: For all commercial, multifamily and single family subdivisions, hydrants shall be placed so that a hydrant is within 150 feet of a building and so that no point of a building (around its perimeter) is greater than 300 feet from a hydrant. Distance from a hydrant to a building is measured along the path of vehicular travel. (City Ordinance #2052) 32: The minimum fire flow and flow duration requirements for one- and two - family dwellings having a fire area which does not exceed 3,600 square feet (344.5 m2) shall be 1,000 gallons per minute (3785.4 L/min.). Fire flow and flow duration for dwellings having a fire area in excess of 3,600 square feet (344.5 m2) shall not be less than that specified in Table A- ID -A -1. Exception: A reduction in required fire flow of 50 percent, as approved by the chief, is allowed when the building is provided with an approved automatic sprinkler system. (IFC Appendix B 105.1) 33: Fire hydrants shall conform to American Water Works Association specifications C- 502 -54; it shall be compression type, equipped with two 2 -1/2" N.S.T. hose ports and one 5" Storz pumper discharge port, and shall have a 1 -1/4" Pentagon open -lift operating nut. (City Ordinance #2052) 34: Fire Department access and existing hydrants shall be constantly maintained during demolition and construction. 35: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 36: These plans were reviewed by Inspector 514. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575 -4407. 37: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** 38: 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. 39: Contractor shall notify Public Works Utility Inspector at (206)433 -0179 of commencement and completion of work at least 24 hours in advance. Contractor shall follow all the conditions and recommendations of Gary A. Flowers, PLLC Geotech Report revised on Oct 30, 2007 and previous AESI Geotech report dated Feb 13, 1997, revised on Nov 13, 1998. 40: The City of Tukwila has an undergrounding ordinance requiring the power, telecommunications, and cable service lines be underground from the point of connection on the pole to the house. 41: Permit is valid between the weekday hours of 7:00 a.m. and 3:30 p.m. only. 42: Flagging, signing and coning shall be in accordance with MUTCD for Traffic Control. Contractor shall provide certified flagmen for traffic control. Sweep or otherwise clean streets to the satisfaction of Public Works each night around hauling route (No flushing allowed). Notify City Inspector before 12:00 Noon on Friday preceding any weekend work. 43: Any material spilled onto any street shall be cleaned up immediately. 44: Clean and remove debris from City catch basin in and around hauling routes. Provide adequate temporary access as not to interfere with other vehicle movement or cause trucks to travel over curbs. All vehicles must make a complete stop prior to entering public right -of -way. 45: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off -site or into existing drainage facilities. 46: From October 1 through April 30, cover any slopes and stockpiles that are 3H: IV or steeper and have a vertical rise of 10 feet or more and will be unworked for greater than 12 hours. During this time period, cover or mulch other disturbed areas, if they will be unworked more than 2 days. Covered material must be stockpiled on site at the beginning of this period. Inspect and maintain this stabilization weekly and immediately before, during and following storms. 47: From May 1 through September 30, inspect and maintain temporary erosion prevention and sediment at least monthly. All disturbed areas of the site shall be permanently stabilized prior to final construction approval. 48: The site shall have permanent erosion control measures in place as soon as possible after fmal grading has been completed and prior to the Final Inspection. 49: It is strongly recommended that storm drainage designs be certified by a licensed engineer. Otherwise, the owner assumes liability for the design and any subsequent related damages. doc: IBC -7/10 D12 -308 Printed: 09 -24 -2012 50: Driveways shall comply with City resid standards. Driveway width shall be a 10' rnlirm and 20' maximum. Slope shall be a maximum of 15 %. Turning radii slilPe a minimum of 5'. 51: The Geotechnical Engineer of record shall provide certification on a lot by lot basis, including excavations for utility lines, that the work has been completed in accord with all geotechnical recommendations. doc: IBC -7/10 D12 -308 Printed: 09 -24 -2012 CITY OF TUKi Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Building Poet No. 1) L)-- 30 Project No. Date Application Accepted: `1 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: 4/6Q / S' /39f" Sf King Co Assessor's Tax No.: Suite Number: New Tenant: PROPERTY OWNER Name: f�/� Name: /l i Cet 4 �J ∎'r Exl vl K Si�C I G/ A Address: //o � I/ S,- Ferrol City: _co Address: State: /4)14 Zip: 9 Gg4 CONTACT PERSON — person receiving all project communication Name: f�/� Address: /; 0 /Sox 021 City: n �a C147 � State: �, f /L Zip 2 L 17755 Phone: eoc 3C I Fax: C a 6,52 239 Z Email: ----- /ovly kiia_cef ii/ rc.eS_Lovt// GENERAL CONTRACTOR INFORMATION Company Name: a /, I r Address: no &O x,./ {/ Z/ City: � S� /r if. State: NA Zip :q �17c3 Phone: 1/7-S' A7 7SY/ Fax: ?&O 6 SZ i; Z Contr Reg No.: 4 w n ra ?(2a4xp Date: 7 ! 1/U /?o' S Tukwila Business License No.: H:Wpplications\Forms- Applications On Line\2012 Applications\Permit Application Revised - 2- 7- 12.docx Revised: February 2012 bh Floor: ❑ Yes Er: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 INFORMATIO1 — 206- 431 -3670 $ 0 0 ©-- Existing Building Valuation: / $ Describe the scope of work (please provide detailed information): C. P`� . 'p!re Per/44 Valuation of Project (contractor's bid price): $ 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 R): 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 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\Fonns- Applications On Line12012 Applications\Pennit Application Revised - 2-7-12.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 1' Floor rd 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 R): 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 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\Fonns- Applications On Line12012 Applications\Pennit Application Revised - 2-7-12.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 T APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WAS ' ► GTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER O° U : ' t AGENT: Signature: /// � Print Name: /2I `11i.414 ' l4 /1,tH1 l r �/ Mailing Address: Pc 62x // Z / /,4a,►l _rui /lam H:\Applications\Forms- Applications On Line\2012 Applications\Permit Application Revised - 2-7-12 docx Revised. February 2012 bh Day Telephone: City Date: 9/2/1fiL wit 92'7 0 State Zip Page 4 of 4 PUBLIC WORKS PERMIT INFATION — 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 Septic System: ❑ On -site Septic System — For o ite septic system, provide 2 copies of a current septic design approved King County Health Department. 0... Highline ❑ ...Valley View 0... Renton ❑ ...Sewer Availability Provided ❑... Renton 0... Seattle Submitted with Application (mark b ❑ .. Civil Plans (Maximum Paper Si ❑ .. Technical Information Report (Storm ❑ .. Bond 0... Insurance es which apply): 22" x 34 ") ainage) ... Easement(s) ❑... Geotechnical Report ❑ .. Traffic Impact Analysis 0... Maintenance Agree t(s) ❑ .. Hold Harmless — (SAO) ❑ .. Hold Harmless — (ROW) Proposed Activities (mark boxes that apply): ❑ .. Right -of -way Use - Nonprofit for less than 72 ho ❑ .. Right -of -way Use - No Disturbance ❑ .. Construction/Excavation /Fill - Right -of -way ❑ Non Right -of -way ❑... Right -of -w- w se - Profit for less than 72 hours 0... Right-of ay Use — Potential Disturbance ❑ .. 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 FINANCE INFORMATION Fire Line Size at Property Line ❑..Water ❑..S. 'er Monthly Service Billing to: ❑... ; ork in Flood Zone Storm Drainage 0... Abandon Septic ❑... Curb Cut 0... Pavement C ❑...Looped F. Line O # (2) " 0 WO # (2) " WO# ❑..De Private ❑ Private ❑ 0... Grease Interceptor ❑ ... Channel ization ❑...Trench Excavation 0... Utility Undergrounding # (3) " WO # # (3) " WO # ct Water Meter Size Number of Public Fire Hydrant(s) ❑ .. Sewage Treatment Name: Day Telephone: Mailing Address: Water Meter Refu : illin Name: City State Zip Day Telephone: Mailing Address: Zip City State H:\Applications\Fonns- Applications On Line12012 Applications\Permit Application Revised - 2- 7- 12.docx Revised'. February 2012 bh Page 3 of 4 • • 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 Parcel No.: 3229200092 Address: 4601 S 139 ST TUKW Suite No: Applicant: AMERICA WEST BANK RECEIPT Permit Number: D12-308 Status: PENDING Applied Date: 09/24/2012 Issue Date: Receipt No.: R12 -02683 Payment Amount: $508.50 Initials: WER Payment Date: 09/24/2012 12:33 PM User ID: 1655 Balance: $0.00 Payee: ANTHONY ROMMEL TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 294552 ACCOUNT ITEM LIST: Description 508.50 Account Code Current Pmts BUILDING - RES STATE BUILDING SURCHARGE 000.322.100 504.00 640.237.114 4.50 Total: $508.50 doc: Receiot -06 Printed: 09 -24 -2012 e r• INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF' TUKWILA BUILDING DIVISION 6300°So`utlicenterBlvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 P` o ect: _Type • A JC ei ' t. -1 L,' J Y- .DA'\ t~ f Inspection: { j . l (3 , tic i Address: Date Called: Special Instructions: • • ` Date Wanted:. 6 i " (d• -f 2.- .a m _ p.m. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS:. A- A-- I )t c Inspe tor: 1-1.REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid:at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • r • INSPECTION RECORD Retain a copy with permit 112. 30 e ' INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION ' 6300 Southcenter Blvd., #100, Tukwila. WA 98188 t (206) 431 -3670 Permit' Inspection Request Line (206) 431 -2451 i' Project: t,3 A 4-r S3An Type of Inspection: Rildi' fife iftsINis t, Address: - 14661 $ 13fi 9r^ Date Called: A ' but16• /16 Special Instructions: . Date Wanted: !a jlb (tZ (a.rt� Requester: Phone No: LIZ 67 -? S S ) Approved per applicable codes. Corrections required prior to approval. 7 COMMENTS: ?pia 1 : `f"i3/ _ {.n_5� 4\ r -...mss [..S sIrTh p, Bilit-A4 -Ail.'--DL-e_s t.J o I lc — £ 00-JA AU e( . !/S i .11` L\ 030( -S -- r:x + 1 Inspgfi`or: Date: (f REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ;nfNSPECTION RECORD 'Retain a copy with permit D -3oE INSPECTION • M: g= PERMIT N0. h..: • • CITY.OF'TUKWILA BUILDING DIVISION :ti :6300 Southcenter;Bliid #100, Tukwila. WA 98188 tz, (206) 431 -367C Permit Inspection. Req;t `est Line (206) 431 -2451 Project: 1 �•'• j eJ r- -' r (3�1 t/l T pe of Inspection: «� r r 6 1 2 ' ,4---2.J. Address: "iZt . ,,o) /39 Date Called: Special Instructions: • • Date Wanted:. / ! � `(2.__ ate. `,. Requester: Phone No: a' r. • • • Approved per•applicable codes. ❑ Corrections required prior to approval. COMMENTS: r • • • • • • • *AA ro)c- CAL, • • • Ins actor. . Date: t _ ( L --- REINSPECTIONt,FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Soiithcenter Blvd.. Suite 100. Call to schedule reinspection. 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: vreri(a. WPSt 3A/ 14 fieu.ie Type of Inspection: CAS, L4 , i T S c., Address: W)/ S S29.S& Date Called: h'2 /0/// Special Instructions: Date Wantedt:. / p / 0 JP-- rn Requester: Ton, Phone No: ya'5- 36,7 -7 5 / 0 Approved per applicable codes. L "1 COMMENTS: ElCorrections required prior to approval. ��inal-ed T2 GI V� a �cQ F Ire( d Inspector: 9S Date: . (D i � i2_ • 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 PERMIT NUMBERS CITY OF TUKWILA FIRE ,DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206 -575 -4407 Project: 4.4 c,,i'ea,* w--st %3�./e. Type of Inspection:. • r, •.z r °'•, i Fire Alarm: Address: I /40 S /37. - sr. Suite #: Contact Person: T0 A-d dies 5 ,....4,,,IZ-• Pre -Fire: Special Instructions: Phone No.: y7 r— 3 (...7.- 7C) .. It Approved per applicable codes. Corrections required prior to approval. . COMMENTS: .' Sprinklers: l_ Fire Alarm: Hood & Duct: Hrs.: A-d dies 5 ,....4,,,IZ-• Pre -Fire: ` Permits: Occupancy Type: 7-01.5'#. el O r . e ) g " 4 - A .!`! d h e A: ar - l 9 d - . 6 7 - 4 ' . . i 2 a . d . (' - , c .., i t S -1--0 syt . aJ is . ; 1 i Needs Shift Inspection: + Sprinklers: l_ Fire Alarm: Hood & Duct: Hrs.: Monitor: Pre -Fire: ` Permits: Occupancy Type: Inspector: P S 3 Date: v p/ 24i i 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 Contractors or Tradespeople Per 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company A W R INC 4253677551 Po Box 1121 Marysville WA 98270 Snohomish Corporation UBI No. 602450065 Status Active License No. AWRINI'962R9 License Type Construction Contractor Effective Date 12/29/2004 Expiration Date 1/4/2013 Suspend Date Specialty 1 General Specialty 2 Unused sociated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status AWRCOS'986CN A W R CONSTRUCTION SERVICES Construction Contractor General Unused 2/15/2002 2/15/2006 Out Of Business Business Owner Information Name Role Effective Date Expiration Date ROMMEL, ANTHONY 12/29/2004 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 CBIC SE1983 12/31/2005 Until Cancelled $12,000.00 01/03/2006 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 7 Contractors Bonding & Insuranc C11SE1983 12/15/2010 12/15/2012 $1,000,000.00 11/07/2011 6 WESTERN HERITAGE INS CO SCP0777975 12/15/2009 12/15/2010 $1,000,000.00 11 /30/2009 5 WESTERN HERITAGE INS CO SCP0727166 12/15/2008 12/15/2009 $1,000,000.00 12 /10/2008 4 UNDERWRITERS AT LLOYDS PFK038276 12/15/2007 12/15/2008 $1,000,000.00 12/06/2007 3 UNDERWRITERS AT LLOYDS PFK034533 12/15/2006 12/15/2007 $1,000,000.0012 /06/2006 2 UNDERWRITERS AT LLOYDS PFK030545 12/15/2005 12/15/2006 $2,000,000.00 01 /03/2006 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 Infractions /Citations Information No records found for the previous 6 year period https: // fortress .wa.gov /lni/bbip /Print.aspx 09/24/2012