HomeMy WebLinkAboutPermit D12-344 - SABEY CORPORATION - VACANT SPACE - RESTROOMThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
D12-344
Sabey Corporation — Vacant Space
3411 South 120th Place
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
F,age # Code
Exemption � � �� Brief Explsnatoty Description, Statute /Rule
The Privacy Act of 1974 evinces Congress' intent that
Personal Information —
social security numbers are a private concern. As
such, individuals' social security numbers are
Social Security Numbers
redacted to protect those individuals' privacy pursuant
5 U.S.C. sec.
DR1
Generally — 5 U.S.C. sec.
to 5 U.S.C. sec. 552(a), and are also exempt from
552(a); RCW
552(a); RCW
disclosure under section 42.56.070(1) of the
42.56.070(1)
42.56.070(1)
Washington State Public Records Act, which exempts
under the PRA records or information exempt or
prohibited from disclosure under any other statute.
Redactions contain Credit card numbers, debit card
Personal Information —
numbers, electronic check numbers, credit expiration
12
DR2
Financial Information —
dates, or bank or other financial account numbers,
RCW
RCW 42.56.230(4 5)
which are exempt from disclosure pursuant to RCW
42.56.230(5)
42.56.230(5), except when disclosure is expressly
required by or governed by other law.
VACANT SPACE
3411 S 120 PL
D12 -344
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
Parcel No.: 1023049069
Address: 3411 S 120 PL TUKW
Suite No:
Project Name: VACANT SPACE
DEVELOPMENT PERMIT
Permit Number: D12-344
Issue Date: 10/24/2012
Permit Expires On: 04/22/2013
Owner:
Name: SABEY CORPORATION
Address: 12201 TUKWILA INTL BLVD 4THFL , SEATTLE WA 98168
Contact Person:
Name: BRANDON HARRIS Phone: 206 - 281 -8700
Address: 12201 TUKWILA INTERNATIONAL BL, FOURTH FLOOR , TUKWILA WA 98168
Contractor:
- Name: SABEY CONSTRUCTION INC. Phone: (206)281 -4200
Address: 12201 TUKWILA INTERNATIONAL BLVD , SEATTLE WA 98168 -5121
Contractor License No: SABEYCI033KM Expiration Date: 01/12/2013
Lender:
Name:
Address:
DESCRIPTION OF WORK:
REISSUANCE OF EXPIRED PERMIT D11-375. 2 INSPECTIONS ONLY REMAINING. NON - STRUCTURAL INTERIOR TENANT
IMPROVEMENT - ADD RESTROOM
Value of Construction: $15,000.00 Fees Collected: $130.50
Type of Fire Protection: SPRINKLERES /AFA International Building Code Edition: 2009
Type of Construction: V -B Occupancy per IBC: 0024
Electrical Service Provided by: SEATTLE CITY LIGHT
* *continued on next page **
doc: IBC -7/10
D12 -344 Printed: 10 -24 -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: N
r
Permit Center Authorized Signature: [OA, Date: 10 0 —2-
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
constructio p ance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached
to this pe I
Signature: \ ' J Date: ! 0 • 2-I . l a
Print Name: ` D NJ #V
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: 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.
6: 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
doc: IBC -7/10
D12-344 Printed: 10 -24 -2012
this requirement.
•
7: 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.
8: 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.
9: 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).
10: All electrical 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.
doc: IBC -7/10
D12 -344 Printed: 10 -24 -2012
CITY OF TUKA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Pei . . 1-/
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
Site Address:
Tenant Name: 114 4LS 1 -J ' 1%At�
King Co Assessor's Tax No.:
3'1ii /2c PL ivew, /q-/ L) r
Suite Number:
PROPERTY OWNER
Name: S 4 8 e 7 Co a po tfrrt o A)
Address:
it.ZO/ prtcwr /a :CA, rn e. . aLio c{vw
City:se4 n la State. t Zip:
CONTACT PERSON - person receiving all project
communication
Name: e, „r 00 A) /J4 G e4t5
Address:
2-tot 7111c..wNt4- L rt. 13' /VIP yr# F,44
City: Sett! State: W A t Zip:9 &t 4 t
Phone, 1 _ ' 1 O o Fax:
Email:
GENERAL CONTRACTOR INFORMATION
Company Name:
�,q g E-%1 ((mural/0,0Z
Add ess:
Zol uctm,ir: L,trrt- 511"4o ,/ Thri,2
City: Staicvit C St 4_ , Zip:, ei va
Phone I, 2 1_ 4 7 u Fax:
Contr Reg N.: E 10 Kr EExp Datet: _ (7.. (
Tukwila Business License No.:
H:\Applications \Forms - Applications On Line\2012 Applications\Permit Application Revised - 2- 7- 12.docx
Revised. February 2012
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Floor:
New Tenant: ❑ Yes [9.. 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): $ la; v00 0 ' " Existing Building Valuation: $
Describe the scope of work (please provide detailed information):
eutldik, PPpk4 1'4 Pe. >uew1t_
VII —316
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:
_a. Sprinklers Q. Automatic Fire Alarm ❑ None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes [ .4r 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.
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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
ls` Floor
9 tS 7 0
2' 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:
_a. Sprinklers Q. Automatic Fire Alarm ❑ None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes [ .4r 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.
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Page 2 of 4
PUBLIC WORKS PERMIT INFOATION — 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 ❑ ... 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 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
❑ ... Right -of -way Use — Potential Disturbance
❑... Work in Flood Zone
0... Storm Drainage
❑ .. Sanitary Side Sewer ❑ ... Abandon Septic Tank
❑ .. Cap or Remove Utilities 0... Curb Cut
❑ .. Frontage Improvements 0... Pavement Cut
❑ .. Traffic Control ❑...Looped Fire Line
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ .. Permanent Water Meter Size (1)
❑ .. Temporary Water Meter Size (1)
❑ .. Water Only Meter Size
WO #
WO #
WO #
❑...Grease Interceptor
❑ ... Channelization
❑...Trench Excavation
❑...Utility Undergrounding
(2) " WO # (3)
(2) " WO # (3)
❑ .. Deduct Water Meter Size
❑ .. Sewer Main Extension Public ❑ Private ❑
❑ .. Water Main Extension Public ❑ 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:
City State Zip
Water Meter Refund/Billing:
Name:
Mailing Address:
Day Telephone:
City
State
Zip
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Page 3 of 4
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
Signature:
Print Name:
Mailing Address:
HORIZED AGENT:
— dd
N74 (>itti -c-
Date: is • 24 r / t.
Day Telephone: 2P ti 7 3 O (i,t1 7
2-2,t4 J t ?'L""' g^ " ■0o0esiuti 1-1,-el „'ry'
City /
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State Zip
Page 4 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.: 1023049069
Address: 3411 S 120 PL TUICW
Suite No:
Applicant: VACANT SPACE
RECEIPT
Permit Number: D12-344
Status: PENDING
Applied Date: 10/24/2012
Issue Date:
Receipt No.: R12 -02951
Payment Amount: $130.50
Initials: WER Payment Date: 10/24/2012 09:29 AM
User ID: 1655 Balance: $0.00
Payee: HUGHES CONSTRUCTION
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3417 130.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - NONRES
STATE BUILDING SURCHARGE
000.322.100
640.237.114
Total: $130.50
126.00
4.50
dew.. Rer hint -f1R
PrintArl• 1f1- 9d -7f119
!/�
INSPECTION RECORD'.
Retain a copy with permit.
INSPECTION NO. PERMIT N0:
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 pa, (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
PType
Project: h- "`r`s -4 _
of- Inspection:
F N A--L_l .)
. il e
Address: ZE
�
-.41' !p 120 i _
Date Called:
Special Instructions:
Date Wanted:/
=
`
,,,m30..
Requester:
Phone N^o�:
� oCP"
MApproved per applicable codes.
Corrections required' prior to approval.
COMMENTS:
eryll / J /107,4 .AJ Ic..74
,� /
jliEINSPECTION FEE REQUIRED. Prior tp next inspection .fee must _ be
" it 6300 Southcenter Bl)d., Suite 100. Call to schedule reinspection
i-C° 4 .q
Date:"
/-/
Contractors or Tradespeople Prier Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with List 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
SABEY CONSTRUCTION INC
2062814200
12201 Tukwila Intl Blvd
4TH FLOOR
Seattle
WA
981685121
King
Corporation
UBI No. 601532164
Status Active
License No. SABEYCI033KM
License Type Construction Contractor
Effective Date 5/14/1997
Expiration Date 1/12/2013
Suspend Date
Specialty 1 General
Specialty 2 Unused
r Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
SABEYC *953RE
SABEY
CORPORATION
Construction
Contractor
General
Unused
12/5/2005
12/5/2013
Active
DASCOC'066KD
D A S
CONSTRUCTION
CORP
Construction
Contractor
General
Unused
5/4/1994
5/4/1997
Archived
BERKLCI088CE
BERKLEY
CONSTRUCTION INC
Construction
Contractor
General
Unused
2/5/1992
2/5/1993
Archived
ARCHIDG132QZARCHITECTUALDEV
GROUP INC
Construction
Contractor
General
Unused
11/9/1987
11/9/1992
Archived
SABEYC'141PH
SABEY
CORPORATION
Construction
Contractor
General
Unused
10/8/1986
12/31/2001
Archived
OWPROI *221RR
0 & W PROPERTIES
INC
Construction
Contractor
General
Unused
12/19/1978
10/1/1986
Archived
BERKLS'267LP
BERKLEY
STRUCTURES INC
Construction
Contractor
General
Unused
6/17/1974
12/31/1991
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
SABEY, DAVID ARTHUR
President
05/14/1997
SEWELL, PATRICIA ANNE
Secretary
01/19/2011
POOLE, LAURENT D
Secretary
01/01/1980
01/19/2011
HARMON, JAMES N
Treasurer
01/01/1980
01/19/2011
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
5
HARTFORD FIRE
INSURANCE CO
52BSBCQ3983
12/31/2004
Until Cancelled
$12,000.00
12/20/2004
Assignment of Savings Information
Savings
Assignment of Savings Account Number
Effective Date Release Date Assignment Type Impaired Date Amount Received Date
1
4/21/1994
Until
Released
Bond
$6,000.00
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
17
NATIONAL FIRE
INS CO OF
HARTFO
2094061165
05/01/2010
11/01/2012
$1,000,000.00
10/28/2011
https: // fortress .wa.gov /lni/bbip/Print.aspx
10/24/2012