HomeMy WebLinkAboutPermit D12-327 - I-FLY - FOUNDATIONI -FLY SEATTLE
349 TUKWILA PY
D12 -327
City otTukwila
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.: 0223000010
Address: 349 TUKWILA PY TUKW
Suite No:
Project Name: I -FLY SEATTLE
DEVELOPMENT PERMIT
Permit Number: D12-327
Issue Date: 10/09/2012
Permit Expires On: 04/07/2013
Owner:
Name: BETA HOLDINGS LTD
Address: 18827 BOTHELL WAY NE , BOTHELL WA 98011
Contact Person:
Name: BILL ADAMS
Address: 349 TUKWILA PY , TUKWILA WA 98188
Contractor:
Name: RUSHFORTH CONSTRUCTION CO
Address: 6021 12 ST E, SUITE 100 , TACOMA, WA 98424 -1399
Contractor License No: RUSHFC *305R1
Lender:
Name:
Address:
Phone: 206 979 -4359
Phone: 253 - 922 -1884
Expiration Date: 03/27/2013
DESCRIPTION OF WORK:
FOUNDATION FINAL (RENEWAL OF D10-295). PER BUILDING OFFICIAL, FINAL SPECIAL INSPECTION LETTER TO BE
PROVIDED.
Value of Construction: $0.00 Fees Collected: $67.50
Type of Fire Protection: SPRINKLERS /AFA International Building Code Edition: 2009
Type of Construction: LIB Occupancy per IBC: 0006
Electrical Service Provided by: PUGET SOUND ENERGY
* *continued on next page **
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D12 -327 Printed: 10 -09 -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: 1,0106t \
I hereby certify that I have read and ex • this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied wi ether specified herein or not.
The granting of this permit does not pres o give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached
to this permit.
Signature:
Print Name:
)1, a0,1 /
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: The special inspections and verifications for concrete construction shall be required.
6: The special inspection of bolts to be installed in concrete prior to and during placement of concrete.
7: 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
doc: IBC -7/10
D12 -327 Printed: 10 -09 -2012
building inspection. The special inspector Ai furnish inspection reports to the Building O. in a timely manner.
8: 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
inspection agency and shall be submitted to the Building Official prior to and as a condition of final inspection
approval.
9: Subgrade preparation including drainage, excavation, compaction, and fill requirements shall conform strictly with the
recommendations given in the soils report. Special inspection is required.
10: 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.
11: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any
requirements for special inspection.
12: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila
Building Department (206- 431 - 3670).
13: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
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D12 -327 Printed: 10 -09 -2012
CITY OF TUK_LA
Community Develop ent Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Building Pe
Project No.
Date Application Accepted: 10
Date Application Expires:
(For office use only)
-D —9-1
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
Site1A►ddress:
Te' narit Name:
King Co Assessor's Tax No.:
l,/ ea\-\\e,
PROPERTY OWNER
Company Name:
Name: -- \1 / . ,,^S
111fit dt" ,
'
Name:
Address: 3419
\J mv e, p\m (�
Address:
Address:
$93
Phone: Ins_ 9"49VmFax:
City:
State:
Zip:
rC'O' NTACT PERSON - person receiving all project
communication
Company Name:
Name: -- \1 / . ,,^S
111fit dt" ,
'
Company Name:
Address: 3419
\J mv e, p\m (�
Address:
City: u�, 9 State: vAA Zi
$93
Phone: Ins_ 9"49VmFax:
City:
Email: blirf1 i ly 5eA,
GENERAL CONTRACTOR INFORMATION
Company Name:
Company Name:
Address:
Address:
Architect Name:
City:
State:
City:
State:
Zip:
Phone:
Fax:
Phone:
Fax:
Contr Reg No.:
Email:
Exp Date:
Tukwila Business License No.:
H:Wpplications\Forms- Applications On Line\2012 Applications\Permit Application Revised - 2- 7- 12.docx
Revised: February 2012
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uite Number: Floor:
New Tenant: ❑ Yes .. No
ARCHITECT OF RECORD
Name:
Company Name:
Address:
Architect Name:
City:
State:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Name:
Company Name:
Address:
Engineer Name:
City:
State:
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 INFORMATIO 206 -431 -3670
•
Valuation of Project (contractor's bid price): $ \r/AL
Building Valuation: $
Describe the scope of work (please provide detailed information): �l I- �,F'C�'/'�L
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:
OfSprinklers [..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 Safe{ ata 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
'Existing
Interior Remodel
Addition to
Existing
Structure ..
• . New • -
Type of
Construction per
IBC
Type of
Occupancy per
• IBC
1st 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:
OfSprinklers [..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 Safe{ ata 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
IPUBLIC WORKS PERMIT INFVIATION — 206 - 433 -0179
Scope of Work (please provide detailed information):
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ .. Tukwila ❑ ...Water District #125
❑ .. Water Availability Provided
Sewer District
❑ .. Tukwila
❑ .. Sewer Use Certificate
❑... Highline
❑...Valley View 0...Renton
❑ ...Sewer Availability Provided
0... Renton
0... Seattle
Septic System:
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department.
Submitted with Application (mark boxes which apply):
❑ .. Civil Plans (Maximum Paper Size — 22" x 34 ")
❑ .. Technical Information Report (Storm Drainage)
❑ .. Bond ❑... Insurance 0... Easement(s)
Proposed Activities (mark boxes that apply):
❑ .. Right -of -way Use - Nonprofit for less than 72 hours
❑ .. Right -of -way Use - No Disturbance
❑ .. Construction/Excavation /Fill - Right -of -way ❑
Non Right -of -way ❑
❑ .. Total Cut
❑ .. Total Fill
cubic yards
cubic yards
0... Geotechnical Report
0... Maintenance Agreement(s)
❑ .. Traffic Impact Analysis
❑ .. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
0... Right-of-way Use - Profit for less than 72 hours
0... Right-of-way Use — Potential Disturbance
0... Work in Flood Zone
0... Storm Drainage
❑ .. Sanitary Side Sewer 0... Abandon Septic Tank
❑ .. Cap or Remove Utilities 0... Curb Cut
❑ .. Frontage Improvements 0... Pavement Cut
❑ .. Traffic Control 0... Looped Fire Line
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ .. Permanent Water Meter Size (I)
❑ .. Temporary Water Meter Size (1)
❑ .. Water Only Meter Size
❑ .. Sewer Main Extension Public ❑
❑ .. Water Main Extension Public ❑
❑...Grease Interceptor
0... Channelization
❑...Trench Excavation
❑ ... 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:
Mailing Address:
Day Telephone:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State Zip
Day Telephone:
City
State Z
p
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Revised: February 2012
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Page 3 of 4
PERMIT APPLICATION NOTES —
„.�rT
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 OW NER�.R A HORI
Signature:
D
ENT:
Print Name: L N,l∎ ■a /Vs '!S
Pa_ iling Address: 3L1 c —TCAVIXA O Y�1
H:\Applications\Forms- Applications On Line \2012 Appltcattons\Permrc Application Revised - 2- 7- 12.docx
Revised: February 2012
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Date: —1 iZQ AZ
Day Telephone: 2-C> V
TrAh \5,
City
9s
State Zip
Page 4 of 4
INSPECTION RECORD
Retain a copy with permit
INSPE TI I N NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 4i
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451 i-
Project:
.1\
Type of Inspection:
Dater
Address:
1 t-.l Ci -1-1_114._
P ti
Date Called:
Special Instructions:
Date Wanted:.
10110117
a.m.
cam
Requester:
Phone No:
.. f) C, -el 79
- y . S c;
Approved per applicable codes. ❑ Corrections required prior to approval. Ci
COMMENTS:
:,t 1...12 .�.
/1/0e ill. o11th1, K' ID
Insptor: C.
.1\
11
Dater
f le.
___
n REINSPECTION FEE REQUIRE Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Ci, 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: /hvww. ci. tukwila. wa. us
SET RECEIPT
RECEIPT NO: R12 -02804
Initials: JEM
Payment Date: 10/09/2012
User ID: 1165 Total Payment: 261.00
Payee: SKY ENTERTAINMENT, LLC - WILLIAM ADAMS
SET ID: S000001806 SET NAME: IFLY SEATTLE
SET TRANSACTIONS:
Set Member
D12 -327
D12 -328
EL12 -0949
TOTAL:
Amount
67.50
130.50
63.00
67.50
TRANSACTION LIST:
Type Method Description Amount
Payment Credit C VISA 261.00
TOTAL: 261.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING INVESTIGATION
STATE BUILDING SURCHARGE
000.322.800
640.237.114
TOTAL:
252.00
9.00
261.00
Contractors or Tradespeople P ter Friendly Page
1
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 RUSHFORTH CONSTR CO INC UBI No. 600024538
Phone 2539221884 Status Active
Address 6021 12Th St E Suite 100 License No. RUSHFC'305R1
Suite /Apt. License Type Construction Contractor
City Tacoma Effective Date 12/21/1970
State WA Expiration Date 3/27/2013
Zip 984241399 Suspend Date
County Pierce Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
ses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
TEAMTIL9906D
TEAM TACOMA
III LLC
Construction
Contractor
General
Unused
1/4/2001
3/2/2005
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
RUSHFORTH, RANDY G
Cancel Date
01/01/1980
Amount
NAKAMURA, KIM W
26
01/01/1980
glo534464907
SKINNER, JUDITH L
03/01/2013
01/01/1980
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
SAFECO INS CO OF
AMERICA
6378756
06/30/2006
Until Cancelled
$12,000.00
06/22/2006
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
26
Zurich
American Ins Co
glo534464907
03/01/2011
03/01/2013
$2,000,000.0003
/06/2012
25
ZURICH
AMERICAN INS
CO
GL534464905
03/01/2009
03/01/2011
$2,000,000.0003
/01/2010
24
VALLEY FORGE
20889497
03/15/2008
03/15/2009
$1,000,000.00
03/10/2008
23
VALLEY FORGE
INS CO
2095998662
03/15/2007
03/15/2008
$1,000,000.0003
/23/2007
22
NATIONAL FIRE
INS CO
2088949497
03/15/2006
03/15/2007
$1,000,000.00
03/15/2006
Summons /Complaint Information
Cause
County
Complaint
Judgment
Status
Payment
Paid By
08 -2- 42346 -8SEA
GSF I
KING
Date: 12/11/2008
Amount: $265,524.42
Date:
Amount: $0.00
Dismissed
Date:
Amount:
https://fortress.wa.gov/lni/bbip/Print.aspx
10/09/2012