HomeMy WebLinkAboutPermit D13-323 - HOMEWOOD SUITES - BUILDING 4 REROOFHOMEWOOD SUITES
BUILDING 4
6955 FORT DENT WY
EXPIRED 04/14/14
D13-323
City oilitukwila •
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.: 2954900460
Address: 6955 FORT DENT WY TUKW
Suite No:
Project Name: HOMEWOOD SUITES, BLDG 4
DEVELOPMENT PERMIT
Permit Number: D13-323
Issue Date: 10/16/2013
Permit Expires On: 04/14/2014
Owner:
Name: APPLE EIGHT SPE TUKWILA INC
Address: 814E MAIN ST , RICHMOND VA 23219
Contact Person:
Name: KYLE AAHL
Address: 3416 B ST SW, STE D , AUBURN WA 98001
Contractor:
Name: CENTIMARK CORPORATION
Address: 12 GRANDVIEW CIRCLE , CANYONSBURG, PA 15317
Contractor License No: CENTIC*099NZ
Lender:
Name:
Address:
Phone: 206 255-0920
Phone: 800-558-4100
Expiration Date: 06/20/2015
DESCRIPTION OF WORK:
REMOVE EXISTING DIMENSIONAL SHINGLES. INSTALL 30 LB FELT PAPER, ICE & WATER IN VALLEY &
PENITRATIONS. INSTALL NEW 30 YEAR DIMENSIONAL SHINGES PER MANUFACTERS SPECS.
Value of Construction: $39,000.00 Fees Collected: $819.10
Type of Fire Protection: International Building Code Edition: 2012
Type of Construction: Occupancy per IBC: 0020
Electrical Service Provided by: PUGET SOUND ENERGY
**continued on next page**
doc: IBC -7/10
D13-323 Printed: 10-16-2013
Public Works Activities:
;.hannelization / Striping: N
:urb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant: N Number: 0
Flood Control Zone:
Hauling:
Land Altering:
Landscape Irrigation:
Vloving Oversize Load: Start Time:
N
Start Time:
Volumes: Cut 0 c.y.
Size (Inches): 0
End Time:
Fill 0 c.y.
End Time:
Sanitary Side Sewer:
Sewer Main Extension: Private: Public:
3torm Drainage:
Street Use: Profit: N Non -Profit: N
Nater Main Extension:
Mater Meter:
?ermit Center Authorized Signature:
Private: Public:
N
Date: 1.0--1(9- I 3
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
/overning this work will • co ied with, whether specified herein or not.
Phe granting of this
;onstruction or th
o this permit.
signature:
oes not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
ance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached
?rint Name:
Date:
Phis 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
nr abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***BUILDING DEPARTMENT CONDITIONS***
3: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
3uilding Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
;tart of any construction. These documents shall be maintained and made available until final inspection approval is
(ranted.
1: All construction shall be done in conformance with the approved plans and the requirements of the International
3uilding Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
3: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
;ewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
xcavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
his requirement.
3: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
loc: IBC -7/10
D13-323 Printed: 10-16-2013
obtained at City Hall in the office of the City.
•
7: Prior to final inspection for this building permit, a copy of the roof membrane manufacturer's warranty certificate
shall be provided to the building inspector.
8: 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
D13-323 Printed: 10-16-2013
CITY OF TLA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.zov
Building Pennit No. D129- 2
Project No.
Date Application Accepted: 10. ti ` 13
Date Application Expires:
(For ice 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.: -2-6i5 144-0
Site Address: (955 r°` I De'''. (J4' �L Suite Number:
n � �
Tenant Name: �fe �Gc� /ZS
PROPERTY OWNER
Name: /4(� l
Name: Apple. Relt. Cl90,.:.1.c,
City: Am.L4.r� State: W 4 Zip: 9v0
Address: 61(4. C t1St S -
Email: A �T�t. le • 416eefri 444-411- i c O 4"4
City: izzLiiMt State: v A
Zip:.1.32j t
CONTACT PERSON - person receiving all project
communication
Name: /4(� l
Address: Y (, a Sf 4 4) sm % D
City: Am.L4.r� State: W 4 Zip: 9v0
Phone: „).(74:._ 1 -0920Fax: e, — ✓r.-
Email: A �T�t. le • 416eefri 444-411- i c O 4"4
GENERAL CONTRACTOR INFORMATION
Name:
Company Name: /rem 1 u"Z
Address: .31.1/4 %3 sr 04/ Sk•A_ D
Engineer Name:
City: A kl �� State: w- I Zip: 9800
Phone/T�Zsr-p 9 L n Fax:
City: State:
Contr Reg No.:tEN.SLtDrtiv Exp Date: 0(11)...91
( 5
Tukwila Business License No.: ,1 `' 14 , 13
Email:
H:\Applications\Forms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
Floor:
New Tenant: ❑ Yes ❑ .. No
ARCHITECT OF RECORD
Name:
Company Name: 4
Architect Name:
Engineer Name:
Address: N
/,
City: State:
Zip:
Phone: Fax:
City:
Email:
Zip:
ENGINEER OF RECORD
Name:
Company Name:
Engineer Name:
Address:
/�/ / 4
City:
State:
Zip:
Phone:
Fax:
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name:
A /
Address:
/`� /A
City:
State:
Zip:
Page 1 of 4
BUILDING PERMIT INFORMAT206-431-3670
Valuation of Project (contractor's bid price): $ 59' 0
Describe the scope of work (please provide detailed information):Itt
Existing Building Valuation: $
grnslaw ;d t5 Fro- Iia ,y. i a�i�cY pe,,kTra�vwS.
07-etsizo �G4!
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? 0 Yes 0 No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0 Sprinklers 0 Automatic Fire Alarm ❑ 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
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:Wpplications\Forms-Applications On Line \20I2 ApplicationsWermit 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
18t 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:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0 Sprinklers 0 Automatic Fire Alarm ❑ 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
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:Wpplications\Forms-Applications On Line \20I2 ApplicationsWermit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 2 of 4
PUBLIC WORKS PERMIT IIN MATION — 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 0 ...Water District #125
❑ .. Water Availability Provided
Sewer District
❑ .. Tukwila
❑ .. Sewer Use Certificate
0... Highline
❑ ...Valley View ❑ ... Renton
❑ ...Sewer Availability Provided
0... Renton
0... Seattle
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.
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 0
Non Right-of-way 0
❑ .. Total Cut
❑ .. Total Fill
cubic yards
cubic yards
❑ ... 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
❑... Work in Flood Zone
❑... Storm Drainage
❑ .. Sanitary Side Sewer 0... Abandon Septic Tank 0...Grease Interceptor
❑ .. Cap or Remove Utilities 0... Curb Cut ❑... Channelization
❑ .. Frontage Improvements 0...Pavement Cut 0...Trench Excavation
❑ .. Traffic Control 0...Looped Fire Line 0...Utility Undergrounding
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ .. Permanent Water Meter Size (1) WO # (2) " WO # (3)
❑ .. Temporary Water Meter Size (1) " WO # (2) " WO # (3)
❑ .. Water Only Meter Size WO # 0 .. Deduct Water Meter Size
❑ .. Sewer Main Extension Public 0 Private 0
❑ .. Water Main Extension Public 0 Private 0
" WO#
" WO#
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
0 .. Water 0 .. Sewer 0 .. 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
H:Wpplicatronaorms-Applications On Lrne\2012 Applications\Permrt Application Revised - 2-7-12.docx
Revised: February 2012
Page 3 of 4
PERMIT APPLICATION NOTES 41,
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 THIN. ERE SAND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJUR LAWS t STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OW
Signature: Date: 6t9"-Pli^/
Print Na f 4,4 Day Telephone: LU 6 -2SC' 9 Z-10
Mailing Address: )41'O ( S + /l W Sc.41 1-
H:Wpplicanons\Forms-Applications On Line \2012 Appbcauons'Permn Application Revised - 2-7-12.docx
Revised: February 2012
bh
A4r✓t
City
ui goo/
State Zip
Page 4 of 4
Date: `n , t
Address: �i2�cjc C `) ( 1/6'''� W Tukwila, WA 981.J
Description of Work: (lin 0 ,A)j \OVA ak Vn C
•
AUTHORIZATION FOR ALTERNATE PLAN
SUBMITTAL (LIMITED SCOPE OF WORK)
IBC & IRC Section 104.1
Permit/Application Number: V'
&IA- ;2Y -I
(ID -0111.10
The above project permit applicant, due to the limited scope of work, is authorized to submit reduced plan
requirements described below:
1. Complete permit application(s):
Building ❑ Mechanical ❑ Plumbing/Gas Piping ❑ Electrical ❑ Other
2. Plan and/or Specification (minimum):
❑ Site Plan ❑ Floor Plan ❑ Elevations ❑ Foundation ❑ Structural Calcs
0 Cross Sections ❑ Roof Plan 91, Narrative ❑ Narrative WSEC Compliance
3. Required Inspections (only completed when to be issued over the counter):
❑ Framing
❑ Glazing ritt Final 1;4 Other: reitilivow
V\01`-
4. Other Special Instructions:
(---ku (A)A,rr/cit"Lr ,c)1A)/1
Authorized By:
Printed Name: KLMO 1 J"` I , Gv
Date: / O — 14 — /
(Authorization void 30 days after date)
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 431-3670 • Fax: 206 431-3665
W:\Permit Center\Templates\Forms\Auth for Reduced Plan Submittal.docx
ke‘ 2tt
• •
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.ov
RECEIPT
Parcel No.: 2954900460 Permit Number: D13-323
Address: 6955 FORT DENT WY TUKW Status: APPROVED
Suite No: Applied Date: 10/14/2013
Applicant: HOMEWOOD SUITES, BLDG 4 Issue Date:
Receipt No.: R13-02889
Payment Amount: $819.10
Initials: JEM Payment Date: 10/16/2013 11:10 AM
User ID: 1165 Balance: $0.00
Payee: CENTIMARK
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1645565 819.10
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - NONRES
STATE BUILDING SURCHARGE
000.322.100 814.60
640.237.114 4.50
Total: $819.10
Ann- aero,ni_na
Printari in -1S-7013
3/3/2014
City of Tukwila
Department of Community Development
KYLE AAHL
3416 B ST SW, STE D
AUBURN WA, 98001
RE: Permit No. D13-323
HOMEWOOD SUITES, BLDG 4
6955 FORT DENT WY
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, Director
New Inspection Request Line
246 438-
9350
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of
such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun
for a period of 180 days. Your permit will expire on 4/14/2014.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-431-2451 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 4/14/2014, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
fer Marshall
t Technician
File No: D13-323
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
Contractors or Tradespeople Pr�er Friendly Page
•
General/Specialty Contractor
A business registered as a construction contractor with Lft1 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 CENTIMARK CORPORATION UBI No. 601200502
Phone 7247437777 Status Active
Address 12 Grandview Circle License No. CENTIC'099NZ
Suite/Apt. License Type Construction Contractor
City Canonsburg Effective Date 8/9/1991
State PA Expiration Date 6/20/2015
Zip 15317 Suspend Date
County Out Of State 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
METALMI006R6
METALMARK
INC
Construction
Contractor
Roofing
Siding
12/26/2000
1/22/2005
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
DUNLAP, EDWARD B
Cancel Date
01/01/1980
Amount
RUDZIK, JOHN A
24
01/01/1980
11PKG8900707
LIEKAR, JOHN P JR
05/01/2014
01/01/1980
URBANIC, JOSEPH
04/25/2013
01/01/1980
ArchCoh Insurance
BUDKEY, BARRY L
05/01/2012.
01/01/1980
FULTON, ROBERT
$2,000,000.0005/08/2012
01/01/1980
22
HAYS, PATRICIAL
1PKG8875304
01/01/1980
05/01/2013
Bond Information
Bond
Page 1 of 2
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
8
WESTERN SURETY CO
158965125
05/21/2009
Until Cancelled
$12,000.00
05/29/2009
7
WESTERN SURETY CO
158965125
08/01/2004
05/21/2009
$6,000.00
06/14/2004
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
24
ArchCohlnsurance
11PKG8900707
05/01/2013
05/01/2014
$2,000,000.00
04/25/2013
23
ArchCoh Insurance
11PKG8875304
05/01/2012.
05/01/2013
$2,000,000.0005/08/2012
22
CoArh Insurance
1PKG8875304
05/01/2012
05/01/2013
05/08/2012
$2,000,000.00
05/08/2012
21
Corch Insurance
11PKG2382905
05/01/2011
05/01/2012
$2,000,000.00
05/05/2011
20
ARCH INS CO
11PKG2296004
05/01/2010
05/01/2011
$2,000,000.0005/06/2010
19
ARCH INS CO
11PKG2249904
05/01/2009
05/01/2011
$2,000,000.00
04/29/2010
18
ARCH INS CO
11PKG2202602
05/01/2008
05/01/2009
$2,000,000.0004/30/2008
17
ARCH INS CO
11PKG2125701
05/01/2007
05/01/2008
$2,000,000.00
04/26/2007
Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx
10/16/2013