HomeMy WebLinkAboutPermit D13-044 - SOUTHCENTER GOLF DEMOLITION - TENANT IMPROVEMENTSOUTHCENTER GOLF
DEMOLITION
18791 SOUTHCENTERPY
D 13-044
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: htto://www.TukwilaWA.gov
DEVELOPMENT PERMIT
Parcel No.: 3523049015
Address: 18791 SOUTHCENTER PY TIIKW
Suite No:
Project Name: SOUTHCENTER GOLF DEMOLITION
Permit Number: D13-044
Issue Date: 04/05/2013
Permit Expires On: 10/02/2013
Owner:
Name: SEGALE PROPERTIES LLC
Address: PO BOX 88028 , TUKWILA WA 98138
Contact Person:
Name: JASON BRADLEY
Address: PO BOX 68697 , SEATTLE WA 98168
Contractor:
Name: SCARSELLA BROTHERS INC
Address: PO BOX 68388 , SEATTLE WA 98168
Contractor License No: SCARSBI183B8
Lender:
Name:
Address:
Phone: 253 261-4099
Phone: 206 872-7173
Expiration Date: 05/07/2015
DESCRIPTION OF WORK:
DEMOLITION OF (2) STORY GOLF DRIVING RANGE (SEE EXPIRED PERMIT D10-200, EXPIRED IN 2011).
HIGHLINE WATER DISTRICT.
PRIVATE SANITARY SEWER.
Value of Construction: $33,450.00
Type of Fire Protection:
Type of Construction:
Electrical Service Provided by: PUGET SOUND ENERGY
Fees Collected: $1,578.44
International Building Code Edition: 2009
Occupancy per IBC:
**continued on next page**
doc: IBC -7/10
D13-044 Printed: 04-05-2013
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant: N Number: 0
Flood Control Zone: N
Hauling: N Start Time: End Time:
Land Altering: N Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation: N
Moving Oversize Load: N Start Time: End Time:
Size (Inches): 0
Sanitary Side Sewer: N
Sewer Main Extension: N Private:
Storm Drainage: N
Street Use: N Profit: N
Water Main Extension: N Private:
Water Meter: N
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
xami
with,
Public:
Non -Profit: N
Public:
Date: ; 4 i/
117
ed this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
The granting of this permit does not pres e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction of the performanc work. I am authorized to sign and obtain this development permit and agree to the conditions attached
to this permit.
Signature:
Print Name:
Date: 0—A.3
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: 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.
5: 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).
6: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
doc: IBC -7/10
D13-044 Printed: 04-05-2013
Department (206-431-3670).
•
7: 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.
8: ***PUBLIC WORKS DEPARTMENT CONDITIONS***
9: Contractor shall notify Public Works Project Inspector Mr. Dave Stuckle at (206) 433-0179 of commencement and
completion of work at least 24 hours in advance.
10: Water service (domestic and fire prevention) capping shall be (or) has been coordinated with the Highline Water
District inspector at (206) 824-0375.
11: Sanitary sewer shall be capped at the MH within Southcenter Parkway.
doc: IBC -7/10
D13-044 Printed: 04-05-2013
CITY OF TUI'`LA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Pe. 'nit No. % 0
Project No.
Date Application Accepted:- d l(3
Date Application Expires:
For of ce use onl
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: 1 g711 SouTN-GEWl ! �Pa kwfY
Tenant Name: c. -:"V tAllk 13 CXClVia V i i V
PROPERTY OWNER
Name:
Name:
egor io ik)
Name: , - c &.. .
V1�, /�
Q v,,V,9 6-pn
City: seAli Li State:wA, Zip: RSI
Phone: :5 3 �6, _Loll Fax:.353 —3`75--
Address: V 0 rwy /
`
Q 1)0,2/1
/it
Phone: 2x3—$72 -7) 73
City: 1-1A ll�lnj t �.
State: 9 _ r pr.
Zip: t
D 12i !1
CONTACTPPERSON — person receiving all project
communication
Name:
Name:
egor io ik)
Address: Po D 0.7
Address: po so) "07
City: seAli Li State:wA, Zip: RSI
Phone: :5 3 �6, _Loll Fax:.353 —3`75--
/).(A
EmaiL:`i'uson..h ,,,,,s ,,4,,„,„,,,,
/it
GENERAL CONTRACTOR INFORMATION
Name:
Company Name: 5cA. ,A
egor io ik)
Address: po so) "07
Architect Name:
City: 5641 -LE
State: wp Zip: s
/it
Phone: 2x3—$72 -7) 73
Fax: .253-3`J,5'-1201
State:
Contr Reg No.:
Exp Date:
Fax:
Tukwila Business License No.:
Email:
H:Wpplications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docz
Revised: February 2012
bh
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑ .. 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
,"BUILDINGT-
0031-3670
•
Valuation of Project (contractor's bid price): $ )/7, 4C Existing Building Valuation: $
Describe the scope of work (please provide detailed information): 1?F rrot-JTltrJ i7P a 5TD1L Y (OLP NR iv, M&
r-A.t,l &E , (-10 tsr n wtf 910-200
Will there be new rack storage? ❑ ....Yes ❑ ..No .1k; 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 0 No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers 0 Automatic Fire Alarm 0 None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes 0 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:\Applicattons'Forms-Applications On Line 2012 Applications\Permit 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
n_i 910
11•46
2nd Floor
1tnX0
vv
b
3rd Floor
Floors . ;thru
Basement
Accessory Stricture*
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 0 No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers 0 Automatic Fire Alarm 0 None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes 0 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:\Applicattons'Forms-Applications On Line 2012 Applications\Permit 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 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:
WNER OR AU IORIZED AGENT:
f4StorJ
Print Name:
G. BRA -014 ti
Mailing Address: P !7 367( 65617
H:Wpplications\Forms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
bh
Date: )/603
Day Telephone: .25'3- -26/ -1/011
S E4-VLe.. wh `18/60
City 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
RECEIPT
Parcel No.: 3523049015 Permit Number: D13-044
Address: 18791 SOUTHCENTER PY TUKW Status: APPROVED
Suite No: Applied Date: 02/07/2013
Applicant: SOUTHCENTER GOLF DEMOLITION Issue Date:
Receipt No.: R13-01222
Initials: JEM
User ID: 1165
Payment Amount: $1,578.44
Payment Date: 04/04/2013 02:39 PM
Balance: $0.00
Payee: PW ACCOUNT 104.98.595.800.62.00, PA 98410437.1500.107
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Other
Authorization No.
ACCOUNT ITEM LIST:
Description
1,578.44
Account Code Current Pmts
BUILDING - NONRES
PLAN CHECK - NONRES
PW BASE APPLICATION FEE
PW PERMIT/INSPECTION FEE
PW PLAN REVIEW
STATE BUILDING SURCHARGE
000.322.100
000.345.830
000.322.100
000.342.400
000.345.830
640.237.114
Total: $1,578.44
718.75
467.19
250.00
69.00
69.00
4.50
Drinhnrl• !1d_!ld_9Mz
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
- PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3
Permit Inspection Request Line (206) 431-2451 N''
Project:
6. �U t r- ,D 6 -Ai 0
Type -of Inspection: _
An./ �L -(� .
Address:
iCk ( SC 'A.r{r��J�
Date Called:
Special instructions:
s�
Z'
Date Wanted:4
a.m.
Requester:
Ph e.'
Approved per applicable codes. Corrections required prior to approval:
COMMENTS:
,wiiikTr 6-0 (de
Inspec
A
Or: .0‘.,LA A 4,41
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sehedule reinspection.;'
Date:
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:.
rot. ; u
Type of Inspection:
l N kl�
Address: t 66 ey
viti
Date Called: ()
Special instructions:• -
_
Date Wa ted:.
We ., 04110
a.m.
Requester:' 6
Phone No:
2_3zil
1-1011
0 Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Inspector: 95
Date��°
(01(3
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
T23N,R4E,WM
j i {
A A.R. ri:v /, T
I echanicai
MIactncal
f Iumbing
as Piping
>: of Tukwila
J,
7'213 DIVISION
T
RAGER RD
APPRQYED
MAR 012013
a (atirL�i
ENCE AND
REMOVED
Es- COPY
rIllIt ,te
se
S EE�SPo6Of 6.fl��tiYvt3
REVISIONS —
s shaft t'^ made to the scope
11,++t1 ' prior approval of
'iUiI
f;iC1C1 DiVtS;O;T
`,':ifi roq>_!ir- P. is .;
submittal
plan revietii k : -s.
4 ppe oval is subject to errors and omis ons:
: 1=t uctian documents does net aui:' '?e
. f.idopted code or ordinance. Bac ;
Jai Co y andIS acknowledged:
�
By
Yate:
l
RECEIVED
CITY OF TUKWILA 1<
FEB 0 7 2013
Yfr/D
City of Tukwila
PUBLIC Works
REVIEWED FOR
:ODE COMPLI¢NCB
APPROVE
MAR 0 4 2013
City of Tukwila
BUILDING DIVISION
DIS -'014
LEGEND
CEMENT CONCRETE SIDEWALK
OR TRAFFIC ISLAND REMOVAL AREA
F'�Fr
PERMIT CENTER
City Of liakwila
131..IC' WORKS DEPT.
ENGINEERING*STREETS• WATER *SEWER *PARKS *BUILDING
Designed KTP
Drawn OXA
DAVID EVANS
AND ASSOCIATES INC.
415 - 118th Avenue SE
Bellevue Washington 98005-3518
Phone' 425.519.6500
ASPHALT PAVEMENT REMOVAL AREA
REMOVE
REMOVE
REMOVE
EXISTING FOUNDATION
EXISTING PAVEMENT
EXISTING BRIDGE
GRIND EXISTING PAVEMENT
SAWCUT (REMOVE PAVEMENT TO
EDGE OF EXISTING ROADWAY)
STORM DRAIN PIPE REMOVAL
CLEARING LIMITS
CONCRETE CURB & GUTTER REMOVAL
Y‘wmtN+1\-\ FENCE REMOVAL
FEDERAL AID PROJECT NO. STPUL-1041(003)
SOUTHCENTER PARKWAY
EXTENSION
SITE PREPARATION PLAN
0 10 20
GENERAL NOTES
1. ADJUST EXISTING WATER VALVES AND
HYDRANTS TO GRADE. SEE PAVING PLANS
FOR LOCATIONS.
2. EXISTING POWER AND TELEPHONE UTILITY
FACILITIES TO BE RELOCATED BY OTHERS.
3. CLEARING AND GRUBBING LIMITS SHALL BE
APPROVED BY THE ENGINEER.
CONSTRUCTION NOTES
OSAWCUT AND REMOVE EXISTING CONCRETE
AND GUTTER
O SAWCUT AND REMOVE EXISTING ASPHALT
PAVEMENT
3 SAWCUT AND REMOVE EXISTING CONCRETE
SIDEWALK
• REMOVE EXISTING CATCH BASIN
O REMOVE EXISTING STORM DRAIN PIPE
OPLUG AND ABANDON EXISTING PIPE
OREMOVE EXISTING GUARDRAIL
OREMOVE EXISTING FENCE
O REMOVE EXISTING TREE
10 ADJUST MONUMENT CASE AND COVER TO
11 REMOVE EXISTING STORM DRAIN PIPE AFTER
CONSTRUCTIONSYSTEM OF PROPOSED STORM DRAIN'
12 REMOVE EXISTING CONCRETE BARRIER
13 GRIND EXISTING PAVEMENT, 2" MIN. DEPTH
(SEE SHEET DT03 FOR GRINDING DETAIL)
14 SAWCUT AND REMOVE EXISTING 12" CONCRETE
PANEL
15
16
17
18
19
21
22
23
24
25
REMOVE EXISTING SIGN
REMOVE EXISTING CURB
REMOVE EXISTING BLOCK WALL
REMOVE EXISTING OIL WATER SEPARATOR
REMOVE EXISTING STORM DRAINAGE VAULT
REMOVE EXISTING BUILDING FOUNDATION
(SEE SP20)
REMOVE LUMINAIRE AND FOUNDATION
REMOVE EXISTING ELECTRICAL VAULT
ABANDON AND DECOMMISSION WELL
REMOVE EXISTING 3" TO 6" UNDERDRAINS WITHIN
GRADING LIMITS, LOCATIONS ARE APPROXIMATE
RELOCATE EXISTING FENCE
J
BD
If
3
F
}
F
v
CALL 48HOURS
BEFORE YOU DIG
COMMON GROUND
ALLIANCE
811
Revisions
SP19
37
d
257
He No. monooi_sPEn s.exg
Scale AS SHOWN
Date 02/10
T23N,R4E,WM
MATCHLINE STA. 9+00
SEE SHEET SP19
40 LP'<
FROM STA.
329 LF 16
135+21, LT
TO STA. 136+91, 55' LT
REMOVE VAULT AND ALL
WATER SERVICE ITEMS,
SEE WA06
LF'
205 LF'
-nu
T1U
T1U
0 10 20
GENERAL NOTES
ADJUST EXISTING WATER VALVES AND
HYDRANTS TO GRADE. SEE PAVING PLANS
FOR LOCATIONS.
2. EXISTING POWER AND TELEPHONE UTILITY
FACILITIES TO BE RELOCATED BY OTHERS.
3. CLEARING AND GRUBBING LIMITS SHALL BE
APPROVED BY THE ENGINEER.
13+00
4-
134+00
CO ST. 1
SOU THCENTER PARKWAY
FILL
FlLL
FILL
FlLL
FILL
LL
'I
DRIVING • RANGE FENCE AND
TALL POSTS TO BE REMOVE
BY OTHERS
P
*E
REVIEWED FOR
%ODE COMPLI6NCE
MAR 0 4 2013
City of Tukwila
BUILDING DIVISION
APPROVED
MAR 012013
jity of Tukwila
PUBLIC Works
406411
LEGEND
•
%%///
FILL FILL
RECEIVED
CITY 01=-TU,KWILA-
y�" FEB -air -201-3
PERMIT CENTER
CEMENT CONCRETE SIDEWALK
OR TRAFFIC ISLAND REMOVAL AREA
ASPHALT PAVEMENT REMOVAL AREA
REMOVE EXISTING FOUNDATION
REMOVE EXISTING PAVEMENT
REMOVE EXISTING BRIDGE
GRIND EXISTING PAVEMENT
SAWCUT (REMOVE PAVEMENT TO
EDGE OF EXISTING ROADWAY)
STORM DRAIN PIPE REMOVAL
CLEARING LIMITS
CONCRETE CURB & GUTTER REMOVAL
tetCttl\\N1N1 FENCE REMOVAL
15
16
17
19
20
22
23
24
25
CONSTRUCTION NOTES
SAWCUT AND REMOVE EXISTING CONCRETE
AND GUTTER
SAWCUT AND REMOVE EXISTING ASPHALT
PAVEMENT
SAWCUT AND REMOVE EXISTING CONCRETE
SIDEWALK
4o
REMOVE
EXISTING CATCH BASIN
REMOVE EXISTING STORM DRAIN PIPE
PLUG AND ABANDON EXISTING PIPE
REMOVE EXISTING GUARDRAIL
REMOVE EXISTING FENCE
REMOVE EXISTING TREE
ADJUST MONUMENT CASE AND COVER TO GRADE
REMOVE EXISTING STORM DRAIN PIPE AFTER
CONSTRUCTION OF PROPOSED STORM DRAIN
SYSTEM
REMOVE EXISTING CONCRETE BARRIER
GRIND EXISTING PAVEMENT, 2" MIN. DEPTH
(SEE SHEET DT03 FOR GRINDING DETAIL)
SAWCUT AND REMOVE EXISTING 12" CONCRETE
PANEL
REMOVE EXISTING
REMOVE EXISTING
REMOVE
REMOVE
REMOVE
EXISTING
EXISTING
EXISTING
SIGN
CURB
BLOCK WALL
OIL WATER SEPARATOR
STORM DRAINAGE VAULT
REMOVE EXISTING BUILDING FOUNDATION
(SEE SP20)
REMOVE LUMINAIRE AND FOUNDATION
REMOVE EXISTING ELECTRICAL VAULT
ABANDON AND DECOMMISSION WELL
REMOVE EXISTING 3" TO 6" UNDERDRAINS WITHIN
GRADING LIMITS, LOCATIONS ARE APPROXIMATE
RELOCATE EXISTING FENCE
CALL 48 HOURS
BEFORE YOU DIG
COMMON GROUND
ALLIANCE
li
}
F
v
B_L.IC' WORKS DEPT_
IGINEERING•STREETS *WATER •SEWER*PARKS• BUILDING *
By
Date
FEDERAL AID PROJECT 140. STPUL-1041(003)
SOUTHCENTER PARKWAY
EXTENSION
011
F�eNo.
J
Designed
KTP
0200
SP06
D
oxn
0200
IMI
DAVID EVANS
Q AND ASSOCIATES INC.
24
257
Checked
MST
02/10
ProiEng
MU
0200
415 -118th Avenue SE
Bellevue Washington 98005-3518
Phone: 425 519.6500
SITE PREPARATION PLAN
luKnoao>saeae.a
ProjDir
Scale AS.SHOWN
Field8k#
No.
Date
Revisions
Date 02110
*PERMIT COORD COM
PLAN REVIEW/ROUTING SLIP
ACTIVITY NUMBER: D13-044 DATE: 02/07/13
PROJECT NAME: SOUTHCENTER GOLF DEMOLITION
SITE ADDRESS: 18791 SOUTHCENTER PY
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # after Permit Issued
DEPARTMENTS:
uilding Division
br'i C -H3
Public Works
bT *1 a-13
Fire Prevention
Structural
ItAP Pri9 02_ 6,1)
•
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete "R
Incomplete El
DUE DATE: 02/12/13
Not Applicable ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials:
TUES/THURS ROUTING:
Please Route 1.2r Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 03/12/13
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials:
Contractors or Tradespeople)/ ister Friendly Page
•
General/Specialty Contractor
A business registered as a construction contractor with LftI 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 SCARSELLA BROS INC UBI No. 578035242
Phone 2538727173 Status Active
Address P 0 Box 68697 License No. SCARSBI183B8
Suite/Apt. License Type Construction Contractor
City Seattle Effective Date 1/28/1982
State WA Expiration Date 5/7/2015
Zip 981680697 Suspend Date
County King 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
SBSTRSL947LWSB
STRUCTURES
LLC
Construction
Contractor
General
Unused
9/28/2006
10/19/2014
Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
SCARSELLA, FRANK TONY
President
01/28/2002
Amount
SCARSELLA, ROBERT PHILIP
Vice President
01/28/2002
2083280154
SCARSELLA, GINO RONALDO
Vice President
06/10/2011
SCARSELLA, RICHARD ALBERT
Vice President
06/10/2011
National Fire
Ins Co of Hartfo
SCARSELLA, DONALD A
Secretary
01/28/2002
06/10/2011
SCARSELLA, ANTHONY
Secretary
01/28/1982
06/10/2011
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
3
SAFECO INS CO OF
AMERICA
6315018
01/01/2005
Until Cancelled
$12,000.00
01/04/2005
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
NATIONAL FIRE
INS CO OF
HARTFO
2083280154
05/01/2011
Until Cancelled
$1,000,000.00
04/26/2011
25
National Fire
Ins Co of Hartfo
2083280154
05/01/2010
Until Cancelled
$1,000,000.0004/29/2010
24
NATIONAL FIRE
INS CO
2083280154
05/01/2006
05/01/2010
$1,000,000.0005/04/2009
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.l;ov/lni/bbip/Print.aspx
04/05/2013