HomeMy WebLinkAboutPermit D13-284 - AZTECA MEXICAN RESTAURANT - REROOFAZTECA
17555 SOUTHCENTER PY
D13-284
City of Tukwila
4f
ti
- 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.: 2623049134
Address: 17555 SOUTHCENTER PY TUKW
Suite No:
Project Name: AZTECA MEXICAN RESTAURANT
Permit Number: D13-284
Issue Date: 09/12/2013
Permit Expires On: 03/11/2014
Owner:
Name: RAMOS PROPERTIES L L C
Address: 133 SW 158TH ST , BURIEN WA 98166
Contact Person:
Name: JULIO RIVERA VILLALON
Address: 6322 64 PL NE , MARYSVILLE WA 98270
Contractor:
Name: GREEN VALLEY CONSTRUCTION LLC
Address: 6322 64 PL NE , MARYSVILLE WA 98270
Contractor License No: GREENVC882ME
Lender:
Name:
Address:
Phone: 206 549-9223
Phone: 425-750-9940
Expiration Date: 07/05/2014
DESCRIPTION OF WORK:
PARTIAL REROOF: REMOVE DAMAGED CLAY TILE AND INSTALL CONCRETE TILE.
Value of Construction: $7,000.00 Fees Collected: $379.88
Type of Fire Protection: International Building Code Edition: 2012
Type of Construction: Occupancy per IBC: 0004
Electrical Service Provided by: PUGET SOUND ENERGY
**continued on next page**
doc: IBC -7/10
D13-284 Printed: 09-12-2013
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant:
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:
N Number: 0
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: N
Permit Center Authorized Signature: -' ifiGr
Date: c7//2.// 3
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
construction or the perfor nce of work. I am authorized to sign and obtain this development permit and agree to the conditions attached
to this permit.
Signature:
Date: 9112 11‘3
Print Name: v\ i 0 V Z.kU i
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: 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.
5: 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
D13-284 Printed: 09-12-2013
CITY OF TUKW,
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Per>lo. T)(� ZJL
Project No.
Date Application Accepted:
Date Application Expires:
(71
DylOq
(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.: 2CC7Z 30 L, — cl I3�I
Site Address:' C-6 191 Suite Number: Floor:
Tenant Name: f(.New Tenant: ❑ Yes ❑..No
PROPERTY OWNER
Name: Gitirm.do Moves) Ci. f JU\ 10 Ntlitioi
Address: (7 55C _ \ _ `1 kUy
Name:
uwS TA
ccs LL.0 •
L Dail: ,
\005,6ve..aA11Nc-- Com,
Address: 1.-155
Q _ U e
(
City: vA4.1t,
State: vi R
Zip: Cl$I n
CONTACT PERSON — person receiving all project
communication
Name: Gitirm.do Moves) Ci. f JU\ 10 Ntlitioi
Address: (7 55C _ \ _ `1 kUy
City U��C\ a Stated\414 . Zip: iv et
- Phone: ).06-49-9223 Fax:
L Dail: ,
\005,6ve..aA11Nc-- Com,
CCV�1�Al� fi ,1• Co
GENERAL CONTRACTOR INFORMATIN
Company Name: &ie.., UG�� (1 _4,,,,14.,Lo.
Address: G -322_G 44. L ry' 1
City: matic‘iat< State: \ "-r 0-
1
Zip: - 0
Phone: ZOG - 2 :
Architect Name:
Contr Reg No.:r tate uv f,tkxp Date:
.`
cl I LI
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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ARCHITECT OF RECORD
i `
Name: '.— 7- cc v ct G A l V 1 -CLC 0,
Address: 17365 S'cr.."101-'✓ y
Company Name:
Architect Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
i `
Name: '.— 7- cc v ct G A l V 1 -CLC 0,
Address: 17365 S'cr.."101-'✓ y
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))/
i `
Name: '.— 7- cc v ct G A l V 1 -CLC 0,
Address: 17365 S'cr.."101-'✓ y
CitykkiK.w�'.1A State: W, lh-Zip: ga"tg8"
Page 1 of 4
BUILDING PERMIT INFORMA']1— 206-431-3670
Valuation of Project (contractor's bid price): $ 1,000 �-- Existing Building Valuation: $
Describe the scope of work (please provide detailed information): Vr c Ose ir4CA @cc A > 1L, )
Will there be new rack storage? ❑ .... Yes ylf..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? 0 Yes 0 No If "yes", explain:
b
FIRE PROTECTION/HAZARDOUS MATERIALS:
0 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? 0 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 Safely Data Sheets.
SEPTIC SYSTEM
0 On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:Wpplicattons\Forms-Applications On Line\2012 Applicauons\Permit Application Revised - 2-7-12.docx
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? 0 Yes 0 No If "yes", explain:
b
FIRE PROTECTION/HAZARDOUS MATERIALS:
0 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? 0 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 Safely Data Sheets.
SEPTIC SYSTEM
0 On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:Wpplicattons\Forms-Applications On Line\2012 Applicauons\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 2 of 4
PERMIT APPLICATION NOTE*
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
Signature:
Hj,
AUTHORIZED AGENT:
Print Name: -SQ ° ?I,VQ(G. V l `A
Mailing Address: Q..O • S36-. 1§1-39 -4
H: Apphcations\Forms-Applications On Line \20I2 ApplicationsWermit Application Revised - 2-7-12.docx
Revised: February 2012
bh
Date:
Day Telephone: 70,6 -
9E131,3
Li:{ - .(.
City
State Zip
Page 4 of 4
PUBLIC WORKS PERMIT INFOPTION — 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 she
Water District
❑ .. Tukwila 0 ...Water District #125
❑ .. Water Availability Provided
Sewer District
❑ .. Tukwila
❑ .. Sewer Use Certificate
Septic System:
0 On-site Septic System — For on- te septic system, provide 2 copies of a current septic esign approved by King County Health Department.
❑... Highline
❑ ...Valley View ❑ ... Renton
❑ ...Sewer Availability Provided
nton
... Seattle
Submitted with Application (mark bo which apply):
❑ .. Civil Plans (Maximum Paper Size ' 2" x 34")
❑ .. Technical Information Report (Storm D 'nage) 0... Geotec ical Report
❑ .. Bond 0... Insurance ►\ ... Easement(s) 0... Main ance Agreement(s)
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 0
Non Right-of-way
❑ .. Total Cut
❑ .. Total Fill
cubic yards
cubic yards
❑ .. Sanitary Side Sewer 0... Ab. ' on Septic T
❑ .. Cap or Remove Utilities 0... C . Cut
❑ .. Frontage Improvements ❑... avement Cut
❑ .. Traffic Control ■ . Looped Fire Line
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic W.
❑ .. Permanent Water Meter Size (1)
❑ .. Temporary Water Meter Size
❑ .. Water Only Meter Size
❑ .. Sewer Main Extension.... Public
❑ .. Water Main Extension. Public
31
❑ .. Traffic Impact Analysis
❑ .. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
Right-of-way Use - Profit for less than 72 hours
...Right-of-way Use — Potential Disturbance
0... Work in Flood Zone
0...Storm Drainage
0...Grease Interceptor
0... Channelization
❑...Trench Excavation
0... Utility Undergrounding
WO # (2) " # (3)
WO # (2) " WO (3)
WO # ❑ .. Deduct ater Meter Size
Private 0
Private 0
" WO#
" WO#
FINANCE INFORMAT aN
Fire Line Size at Prop Line Number of Public Fire Hydrant(s)
0 .. Water 0 .. Sewer 0 .. Sewage Treatment
Monthl Servic • illin to:
Name: Day Telephone:
Mailing i ress:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State Zip
Day Telephone:
City
State Zip
H:Wpplications\Forms-Applications On Line\2012 Apphcattons\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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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.Rov
RECEIPT
Parcel No.: 2623049134 Permit Number: D13-284
Address: 17555 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 09/04/2013
Applicant: AZTECA MEXICAN RESTAURANT Issue Date:
Receipt No.: R13-02535
Initials:
User ID:
JEM
1165
Payment Amount: $379.88
Payment Date: 09/04/2013 10:27 AM
Balance: $0.00
Payee: JOSE TRINIDAD RODRIGUEZ, GREEN VALLEY CONSTRUCTION
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 082713
ACCOUNT ITEM LIST:
Description
379.88
Account Code Current Pmts
BUILDING - NONRES
PLAN CHECK - NONRES
STATE BUILDING SURCHARGE
000.322.100
000.345.830
640.237.114
Total: $379.88
227.50
147.88
4.50
rine Roraint-11R
Printed: 09-04-2013
INSPECTION RECORD
Retain a copy with permit
INSPECT •N NO.
1)13-2641
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 g (206) 431-3670
Permit Inspection Request -Line (206) 431-2451 _
Project:
A-zi �C
Type of Inspection:
SLa
n a AL-
Ad
1—dress: 56 S C
F
Date Called:
Special Instructions:
Date WUant�d:
1
_
.0.
Requester:
Phone No:
,106-51-1
722-
Approved per applicable codes. Corrections required prior to approval. If
COMMENTS:
'Poo" rA Cle-vNA.
D:
I?te-- -(3
ECTION FEE REQUIRED\ Prior to next inspection, fee must be
6300 Southcenter Blvd., S ite 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
)3-284
Project.;Type
> i E C fit-
of Ins ection:
i2evVSh` i4--th, iv c
Address:
5dz<tti
d
• RI
Date Called:
Special Instructions:
`
Date Wanted:
9-z
- \a,
�.c�
Requester:
Phone No:
NApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
1.(k) R i si ROT A\)pRn Q
Date:
`-v- 2-0— P;�
SPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter 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
b) -3-2.a-1
Project:
CA►4
Type of Inspection:
R OO-- S 14 F AT l
-Z GCA fns
Address:
1-756 SC
Pt-{
Date Called:
Special Instructions:
6
Date y anted:
Requester:
Phone No:
2O0— 5L
---tZZ 3
pproved per applicable codes. Corrections required prior to approval.
COMMENTS: RA • CD S VVE,orTvt
NSPECTION FEE R `' UIRED. Prior to n ext inspection, fee must be
at 6300 Southcenter :lvd., Suite 100. all to schedule reinspection:
INSPECTION RECORD
Retain a copy with permit .D1 -3-M41
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:
F11T C f1 Mx i e. AN.)
Type of Inspection:
Rte- 12. 2DD i—
'1 'JFM -I o .bP 'rep Iflo ;.-
Address:
1-7 5 G
S.(`.
Date Called:
Special Instructions:
Ne��
Date anted:
- 1- 3
a`.mi
_-
Requester:
Phone No:
' Approved per applicable codes.
tl Corrections required prior to approval. !�
COMMENTS: l �e-.JS. �1.( i J)
CD .Q $✓t,c 3Q S kee4s c' 8l kicAJoal
'1 'JFM -I o .bP 'rep Iflo ;.-
7>4.11
a) cIP\t'-emsSIVA LkIAi( ItiS oQ-leri
i
NSPECTION FEE RE¢[UIRED. Prior fo next inspection, fee must be
id at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
3
Project: Partial Reroof
Owner: Azteca Mexican Restaurant
General Manager: Gerardo Almeda
Ph: (206) 575-0990
Address: 17555 Southcenter Pkwy
Tukwila, WA 98188
Green Valley
Construction u.c.
Licence #GREENVC882ME
Contractor: Green Valley Construction LLC.
Lic# GREENVC882ME
Ph: (206) 549-9223
Address: 6322 64th PL NE
Marysville, WA 98270
Project Description
A' -
08/28/2013
R REVIEWED FOR
CODE COMPLIANCE
APPROVED
SEP 0 9 2013
City of Tukwila
BUILDING DIVISION
PILE COpy
RECEIVED
CITY OF TUKWILA
SEP 042013
PERMIT CENTER
• Uninstall the damaged/used roof. Clay tile.
• Prepare the structure (roof basement) and the site for the installation of the new
roof.
• Evaluate the roofing basement and structure. Determine if needs any maintenance
or repair. Installation of PLYWOOD CDX 1/2".
• Installation of FELT #30
• Installation of ICE and water (under layer)
• Installation of Elevated Batten system.
• Installation of roofing material: CONCRETE TILE.
• Installation of Ridge
• Installation of bird stops, where needed.
• Installation of all flashing.
• Installation of all existing vent. (Improved by Ridge -vent)
• Installation of all existing Flapper vent.
• Replacement of all existing roof metals.
• Installation of Rain drainers where needed.
• Evaluation and installation of all items needed in the roofing area.
• Quality Control.
• Final Inspection.
DVT - 2'8 4
MC SQUARED, INC.
OLYMPIA, WASHINGTON 98506
(360) 754-9339
FAX (360) 352-2044
Job: Litz_A V•g• • C2-00 v•
Date: 9 \III 11' By:
T\7-wtWA.
wt • s v2-NA-etk
Sheet: Page 1 of
• REVIEWED FOR;
CODE COMPLIANCE
APPROVED
SEP 09 2013
City of TuictIvilit
BUILDING DIVISION
FttVItWtU WK
CODE COMPLIANCE
APPROVED
Boral Roofing
Jtr £U IJ MaretireatadVM4Veet
•
200 Mansell Court East, Suite
Roswell, GA 30076
305 City "LT utw[a information
BUILDINOTffacatl20
contact Date Completed: May 25, 2011
Health & Safety Latest Revision: February 9, 2012
SECTION I — PRODUCT IDENTIFICATION
Product Name: Concrete Roof Tile Chemical Family: Predominately Sand and Cement
Formula: Mixture
SECTION II — HAZARDOUS INGREDIENTS
Ingredients CAS # % Weight Exposure Limits
Portland Cement 65997-15-1 20 —
Silica Sand, Quartz 14808-60-7 40 -
Limestone 1317-65-3 0 — 30
Fly Ash Various 0 — 14
Blast Furnace Slag Various 0 —
Acrylic Polymer Various 0 —
Iron Oxide Various 0 —
Titanium Dioxide 13463-67-7 0 —
Chromium Compounds Various 0 —
The above chemistries are provided for industrial hygiene and environmental
specifications. This information has been compiled from data believed
calcium, chromium, cobalt, copper, lead, molybdenum, nickel, tin,
trace amounts. Concrete roof tile as shipped does not present an exposure
OSHA PEL (mg/m3) ACGIH TLV (mg/m3)
40 15 (total); 5 (respirable) 10
75 10 / %Si02 + 2 (respirable) 0.025 (respirable)
15 (total); 5 (respirable) 10
Not available Not available
4 Not available Not available
5 Not available Not available
2 10 (fume) 5 (fume)
2 15 (total); 5 (respirable) 5
2 1 (total) 0.5 (total)
purposes and are not intended to represent product
to be reliable. Elements such as aluminum, arsenic, boron,
titanium, vanadium, and zirconium may be present in
hazard.
SECTION Ill — PHYSICAL/CHEMICAL CHARACTERISTICS
Boiling Point: NA Melting Point: NA Specific Gravity: 2.6
Vapor Pressure: NA Vapor Density: NA Solubility in Water: Negligible
Appearance and Odor: Granular solid, essentially odorless.
SECTION IV — FIRE AND EXPLOSION HAZARD DATA
SECTION V — REACTIVITY
Roof tile as shipped does not pose a fire or explosion hazard.
Roof tile as shipped is not reactive
SECTION VI — HEALTH HAZARD DATA
Roof tile as shipped does not present an inhalation, ingestion or contact hazard. However, operations such as sawing and grinding may Nit jq the vE
following effects. !'i t t. C
ACUTE EFFECTS OF OVEREXPOSURE: CITY OF TU K'
Eye: May cause irritation by abrasion with dust or chips. SEP 0 4 20
Skin: Concrete dust or chips may cause irritation or rashes in hypersensitive individuals; May cause cuts and skin abrasions.
Inhalation: Concrete dust or chips may cause congestion and irritation in nasal and respiratory passages. PERMIT C E N II
Ingestion: No known acute effects.
CHRONIC EFFECTS OF OVEREXPOSURE: 113017tai
221.1
Excessive exposures to respirable particulates (dust) over an extended period of time may result in the development of pulmonary diseases
such as silicosis.
CARCINOGENICITY:
The following carcinogenicity classifications for crystalline silica have been established by the following agencies:
OSHA: Not regulated as a carcinogen
IARC: Group 1 carcinogenic in humans
NIOSH: Carcinogen, with no further categorization
NTP: Known carcinogen
WARNING: Concrete dust may contain crystalline silica, a chemical that has been determined by the agencies listed above to cause
cancer. Inhalation of concrete dust above established or recommended exposure levels should be avoided by use of wet sawing or
shaping and/or use of a NIOSH and/or MSHA approved respirator.
SECTION VII — PRECAUTIONS FOR SAFE HANDLING AND USE
Ventilation: Provide adequate ventilation to maintain exposures below the OSHA PEL and ACGIH TLV for quartz and
other substances.
Respiratory Protection: For airborne concentration exceeding the OSHA PEL or ACGIH TLV use a NIOSH and/or MSHA approved respirator
in accordance with a respiratory protection program as required by the OSHA Respirator Standard 29 CFR 1910.134.
Other Protective Equipment: Eye and Face: Face shields should be used when sawing tile.
Skin: Use gloves and or protective clothing if abrasions or allergic reactions are experienced.
Other. Use of steel toe shoes is recommended when handling tile.
Other controls: Use of wet sawing methods is recommended anytime that roof tile must be cut.
SECTION VIII — FIRST AID AND MEDICAL
Inhalation: Remove from exposure to airborne particulates. Consult a physician if breathing does not return to normal.
Skin: Wash with soap and water. If a skin reaction causes irritation or a rash that does not heal within a few days consult a
physician. Treat abrasions as any other scrape or cut with disinfectants and bandages.
Eye: Flush with running water. Obtain medical assistance if irritation continues.
Medical Conditions Excessive dust exposure may aggravate existing respiratory disorders or other sensitivities resulting in irritation
to
Aggravated by Exposure: respiratory tract, eyes and skin that may require medical consultation.
SECTION IX — OTHER REGULATIONS
RCRA: Roof tile in its solid form is typically considered a non -hazardous waste for disposal, but local regulation may
vary, therefore all waste must be disposed/recycled/reclaimed in accordance with federal, state, and local
environmental control regulations. Water containing roof tile solids, such as from wet sawing operations, should also be
disposed of in accordance with federal, state and local environmental regulation.
EPCRA Section 311/312: Roof tile as shipped are not a Section 311/312 reportable product.
EPCRA Section 313: Roof tile as shipped are not subject to the Section 313, Toxic Chemical Release Inventory reporting requirements.
DOT: Roof tile as shipped are not hazardous materials per DOT regulations.
SECTION X — OTHER INFORMATION
Boral Roofing considers our product an "article" as defined in 30 CFR 1200(b)(g)(iv) and 40 CFR 372.38. As an article, an MSDS is not required and the
product is exempt from all other requirements of the hazard communication standard. OSHA requires an MSDS for brick because it is occasionally dry
sawed. We recommend only wet sawing of the roof tile.
This MSDS was prepared with information believed accurate at the time of preparation and was prepared and provided in good faith. However, Boral
Roofing assumes no responsibility as to the accuracy or suitability of such information and no warranty expressed or implied is made.
`INI/
PERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
ACTIVITY NUMBER: D13-284 DATE: 09/04/13
PROJECT NAME: AZTECA MEXICAN RESTAURANT
SITE ADDRESS: 17555 SOUTHCENTER PY
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # after Permit Issued
DEPARTMENTS:
041 (
11/ding ivision
Public Works
AlA" OA- 9-5--i)
Fire Prevention
• Structural
Planning Division
❑ Permit Coordinator ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Incomplete ❑
DUE DATE: 09/06/13
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
REVIEWER'S IN TIALS: DATE:
Structural Review Required ❑ No further Review Required ❑
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE: 10/03/13
Not Approved (attach comments) E
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials:
Contractors or Tradespeople Pryer Friendly Page
•
General/Specialty Contractor
A business registered as a construction contractor with LEI 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 GREEN VALLEY CONSTRUCTION LLC UBI No. 603201616
Phone 4257509940 Status Active
Address 6322 64Th Pl Ne License No. GREENVC882ME
Suite/Apt. License Type Construction Contractor
City Marysville Effective Date 7/5/2012
State WA Expiration Date 7/5/2014
Zip 98270 Suspend Date
County Snohomish Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
VIKINRC89100
VIKING ROOFING &
CONSTRUCTION
Construction
Contractor
General
Unused
9/20/2011
9/20/2013
Re
Licensed
VIKINR'910CF
VIKING ROOFING
Construction
Contractor
Roofing
Unused
2/6/2009
2/6/2011
Re
Licensed
Business Owner Information
Name
Role
Effective Date
Expiration Date
SIERRA VILLANUEVA, DELFINO
Agent
07/05/2012
Amount
SIERRA VILLANUEVA, DELFINO
Partner/Member
07/05/2012
1G0120016430007/02/2013
RODRIGUEZ, JOSE TRINIDAD
Partner/Member
07/05/2012
CALDERON AGUILAR, MIGUEL A
Partner/Member
07/05/2012
American
Safety
Indemnity Co
Bond Information
Bond Company Name
American Contractors
Indem CO
Bond
1
Page 1 of 1
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
100199620
07/02/2012
Until Cancelled
$12,000.00
07/05/2012
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
2
INTERNATIONAL
INS CO OF
HANNOV
1G0120016430007/02/2013
07/02/2014
$1,000,000.0007/02/2013
1
American
Safety
Indemnity Co
AU1100062582
07/02/2012
07/02/2014
07/02/2013
$1,000,000.0007/01/2013
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
09/12/2013
PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT
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Reroof peoject area
Scale 1/100
71.
New roof area (Concrete Tile Boral)
- elevated battens system
- Under layer (ice and water)
- Plywood CDX 2"
- Roof Components (Flashing,
Vents, Pipes, bird stops, etc.)
New roof metals
Ridge (improved by ridge vent)
EXISTING FLAT ROOF (NOT
PART OF THE PROJECT)
EXISTING ROOF (NOT PART OF
THE PROJECT)
SKYLIGHTS
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Roofing General Plan
FILE COPY
Permit No. T*2—D'b9
Plan review approval is subject to errors and omissions.
Approval of construction documents does not authorize
the violation of any adopted code or ordinance. Receipt
of approved Field is acknowledged:
BY alto
`„
Date: Qi !2i l'3
aty Of Tkikwiia
BUILDING DIVISION
Scale 1/100
SEPARATE PERMIT
REQUIRED FOR:
,151, Mechanical
ig Electrical
Plumbing
I Gas Piping
`7;-;:y of Tukwila
DIVISION
►:iQUJ .N N Q o
sMIL
pa1/11M
r i ■s1 SU 0
u r�.
11:1 1166.--iiraLrfan
Floor plan
Vicinity Map
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building. Division.
NOTE: Revisions will -require a new plan submittal
and may include additional plan review fees.
REVIEWED FOR
CODE COMPLIANCE
APPROVED
SEP 0 9 2013
City of ila
BUILDING VISION
Green Valley
3• Construction LLC.
#ceased • bonded . insured
Licence #GREENVC882ME
PROJECT
PARTIAL REROOF
OWNER:
AZTECA MEXICAN RESTAURANT
STORE LOCATION
SOUTH CENTER
GENERAL MANAGER
GERARDO ALMEDA
ADDRESS:
17555 SOUTHCENTER PKWY
TUKWILA, WA 98188
DRAWING:
JULIO VILLALON
NOTES:
RECEIVED
CITY OF TUKWILA
SEP 042013
PERMIT CENTER
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