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Home My WebLink AboutPermit D13-324 - HOMEWOOD SUITES - BUILDING 5 REROOFHOMEWOOD SUITES BUILDING 5 6915 FORT DENT WY EXPIRED 04/14/14 D13-324 City oiatukwila 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: 6915 FORT DENT WY TUKW Suite No: Project Name: HOMEWOOD SUITES, BLDG 5 DEVELOPMENT PERMIT Permit Number: D13-324 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 D13-324 Printed: 10-16-2013 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: Storm Drainage: Street Use: Water Main Extension: Water Meter: Permit Center Authorized Signature: I hereby certify that I have re governing this work will b • - • � • riorma The granting of this construction or th to this permit. Private: Profit: N Private: N Public: Non -Profit: N Public: Date: 10— 1 \(3 and ex • •- ed this permit and know the same to be true and correct. All provisions of law and ordinances mplie • frth, whether specified herein or not. of •resume to give authority to violate or cancel the provisions of any other state or local laws regulating • C!'ork. I am authorized to sign and obtain this development permit and agree to the conditions attached Date: /CI 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: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be obtained at City Hall in the office of the City Clerk. 6: 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. doc: IBC -7/10 D13-324 Printed: 10-16-2013 7: VALIDITY OF PERMIT: The issuance or gran of a permit shall not be construed to be a p -nit for, or an approval of, any violation of any of the provisions of the b g code or of any other ordinances of the Ci Tukwila. Permits presuming to give authority to violate or cance e provisions of the code or other ordinancesthe 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 D13-324 Printed: 10-16-2013 CITY OF TUOC4 Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://wvvw.TukwilaWA.gov Building Perit No. Project No. Date Application Accepted: Date Application Expires: t,92 2)i -L 5 (For office use on! 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 A /-1117, 0A) Co Assessor's Tax No.: rk" 1171 V - • Suite Number: Floor: Site Address: L,9., / De' 04y Tenant Name: hiftteivea St4; 174 PROPERTY OWNER Name: Name: 4 pple Rel 1,.. Address: eict E- flak tc, I City: gzcliAltrkA State: ti4 Zip:.2324 t CONTACT PERSON - person receiving all project conununication Name: Name: 4,AI Y1V fe Address:,, a St A/1-1 Su; I -r-- D City: A4. Lttek State: (A) 4 Zip: 900 ( Phone: cpocp... 1s-c-094)Fax: it., _ ,A.- Phone: 09440.1,s -5--o 9 t. to Fax: Email: i/j ".• le • 44.11'16te41 j4'444%_I e- 0 4%*1 GENERAL CONTRACTOR INFORMATION Name: Company Name: t.,e.2 Asia- .1Z Address:St- /Ai Su-jr-- D State. 4 Zip: City: 14.4.4./..4. N . I 9/00 Phone: 09440.1,s -5--o 9 t. to Fax: Zip: Phone: Fax: Contr Reg No.:teivrretortiv z_Exp Date: Email: Tukwila Business License No.: t 0 .ti4 12) 0 0( H: \ Applications \Forms -Applications On Line‘2012 ApplicationsTermit Application Revised - 2-7-12,docx Revised: February 2012 New Tenant: Yes ID .. No ARCHITECT OF RECORD Name: Company Name: 4 Architect Name: Address: / City: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD Name: Company Name: Engineer Name: Address: Ai 4 City: City: State: Zip: Phone: Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: Address: itilA City: State: Zip: Page 1 of 4 BUILDING PERMIT INFORMA206-431-3670 Valuation of Project (contractor's bid price): $ -59/0°0 Existing Building Valuation: $ Describe the scope of work (please provide detailed information): , t , r• ty ,T moo/ 3o 1b F If Iia!' `G-/ , tF) e J/ i vt (% gy pe4f Imo► /v v«-5. ei.a CA ti w • z Pe tHS• 541. it -r ,Le- Mak. tJe-c 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 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? 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 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:Wppl¢anons\Forms-Applications On Line\2012 Apphcations\Pormn 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 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 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? 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 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:Wppl¢anons\Forms-Applications On Line\2012 Apphcations\Pormn Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2. of 4 PUBLIC WORKS PERMIT I4 IATION - 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 ❑... Highline ❑ ...Valley View 0... Renton ❑ ...Sewer Availability Provided 0... Renton 0... Seattle Septic Svstem: ❑ 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) 0... Geotechnical Report ❑ .. Bond ❑...Insurance 0... Easement(s) ❑... Maintenance Agreement(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 ❑ .. Sanitary Side Sewer ❑ .. Cap or Remove Utilities 0 .. Frontage Improvements ❑ .. Traffic Control ❑ .. Backflow Prevention - Fire Protection Irrigation Domestic Water cubic yards cubic yards ❑ .. 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 ❑... Work in Flood Zone ❑ ... Storm Drainage . Abandon Septic Tank . Curb Cut . Pavement Cut . Looped Fire Line ❑ .. Permanent Water Meter Size (1) ❑ .. Temporary Water Meter Size (1) ❑ .. Water Only Meter Size ❑ .. Sewer Main Extension Public ❑ .. Water Main Extension Public 0... Grease Interceptor ❑... Channelization ❑...Trench Excavation 0... Utility Undergrounding WO # (2) " WO # (3) " WO # WO # (2) " WO # (3) " WO # WO # 0 .. Deduct Water Meter Size " Private 0 Private 0 FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) 0 .. Water 0 .. 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 H:\Applications\Forms-Applicatrons On Line\2012 Apphcations\Permn Application Revised - 2-7-12.docx Revised: February 2012 Page 3 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 THIS ERE "AND 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: /0 Print N • `>c � Day Telephone: 2D6-2.55-- 0 9 0 Mailing Address: 10416 i3 S + /kl W 9840/ City State Zip H:WpplicationsWorms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 4 of 4 Date: Address: LQcA �j�/6ti Tukwila, WA 981 Description of Work: (b1('1i o � C I Q'v11 (,ti `Ai 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.Qov Parcel No.: 2954900460 Address: 6915 FORT DENT WY TUKW Suite No: Applicant: HOMEWOOD SUITES, BLDG 5 RECEIPT Permit Number: D13-324 Status: APPROVED Applied Date: 10/14/2013 Issue Date: Receipt No.: R13-02889 Initials: User ID: JEM 1165 Payment Amount: $819.10 Payment Date: 10/16/2013 11:10 AM 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 Printart 1n -1R-91111 3/3/2014 City of Tukwila Department of Community Development KYLE AAHL 3416 B ST SW, STE D AUBURN WA, 98001 RE: Permit No. D13-324 HOMEWOOD SUITES, BLDG 5 6955 FORT DENT WY Dear Permit Holder: Jim Haggerton, Mayor Jack Pace, Director New Inspection Request line 206 438-9350 Sp 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, Jen Per )41) ifer Marshall it Technician Fi o: D13-324 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Contractors or Tradespeople Prir Friendly Page • General/Specialty Contractor A business registered as a construction contractor with LEtI 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 ArchCohlnsurance BUDKEY, BARRY L 05/01/2012 01/01/1980 FULTON, ROBERT $2,000,000.00 01/01/1980 22 HAYS, PATRICIA L 1PKG8875304 01/01/1980 05/01/2013 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 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 Colnsurance 11PKG8900707 05/01/2013 05/01/2014 $2,000,000.00 04/25/2013 23 ArchCohlnsurance 11PKG8875304 05/01/2012 05/01/2013 $2,000,000.00 05/08/2012 22 CoArch Insurance 1PKG8875304 05/01/2012 05/01/2013 05/08/2012 $2,000,000.00 05/08/2012 21 Arch Insurance Co 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 $2,000,000.0004/29/2010 18 ARCH INS CO 11PKG2202602 05/01/2008 05/01/2009 $2,000,000.00 04/30/2008 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 httns://fortress.wa.gov/lni/bbin/Print.asnx 10/16/2013