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Home My WebLink AboutPermit D14-0014 - RICE RESIDENCE - UPGRADESRICE RESIDENCE 4716 S 122 ST D14-0014 Parcel No: Address: Project Name: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: htto://www.TukwilaWA.Rov 3347401455 4716 5122 ST RICE RESIDENCE DEVELOPMENT PERMIT Permit Number: D14-0014 Issue Date: 5/19/2014 Permit Expires On: 11/15/2014 Owner: Name: Address: RICE GARY C 4716 S 122ND ST, TUKWILA, WA, 98178 Contact Person: Name: SHARYN PARKER Address: 7277 PERIMETER RD S, SEATTLE, WA, 98108 Contractor: Name: G & G SPECIALTY CONTRCTORS INC Address: 4633 S 36 ST, PHOENIX, AZ, 85040 License No: GGSPEGS919RT Lender: Name: FAA (RANRIP) Address: RESIDENTIAL AIRCRAFT NOISE REMEDY IMPROVEMENTS PROGRAM, Phone: (206) 296-7437 Phone: (480) 921-4079 Expiration Date: 12/31/2015 DESCRIPTION OF WORK: PROJECT INVOLVES UPGRADES OF EXISTING SYSTEMS AND DOES NOT REQUIRE ANY PHYSICAL CHANGES TO THE BUILDING FOOTPRINT OR STRUCTURE. INCLUDES REPLACEMENT OF WINDOWS WITH VINYL -FRAMED ACOUSTICAL WINDOWS, INSTALLATION OF SECONDARY ALUMINUM -FRAMED SLIDING GLASS STORM DOORS, INSTALLATION OF SWING -OUT ALUMINUM STORM DOORS, AND INSTALLATION OF CHIMNEY -TOP ACOUSTICAL DAMPERS AT FIREPLACES AND ATTIC INSTALLATION. Project Valuation: $27,600.00 Fees Collected: $1,103.22 Type of Fire Protection: Sprinklers: NO Fire Alarm: NO Type of Construction: VB Occupancy per IBC: R-3 Electrical Service Provided by: TUKWILA FIRE SERVICE Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: Internations Building Code Edition: 2012 International Fuel Gas Code: 2012 International Residential Code Edition: 2012 WA Cities Electrical Code: 2012 International Mechanical Code Edition: 2012 WA State Energy Code: 2012 Uniform Plumbing Code Edition: 2012 Public Works Activities: Channelization/Striping: Curb Cut/Access/Sidewalk: Fire Loop Hydrant: Flood Control Zone: Hauling/Oversize Load: Land Altering: Landscape Irrigation: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Volumes: Cut: 0 Fill: 0 Number: 0 No Permit Center Authorized Signature: Date: t l 1� I hearby certify that I have read and ed this permit and know the same to be true and correct. All provisions of law and ordinances gover _ 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 performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. ' / Signature: Date: 5 1Q ` l7 Print Name: ,/ X /i�Nr./c Ih1A,Vt This permit shall become null and void if the work is not commenced within 180 days for 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 PERMIT CONDITIONS*** 2: Work shall be installed in accordance with the approved construction documents, and any changes made during construction that are not in accordance with the approved construction documents shall be resubmitted for approval. 3: All permits, inspection record card and approved construction documents shall be kept at the site of work and shall be open to inspection by the Building Inspector untiJ final inspection approval is granted. 4: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 5: 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. 6: 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. 7: 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). 8: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 9: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 0409 FRAMING 0606 GLAZING 0603 ROOF/CEILING INSUL CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building 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** CATION Site Address: 4716 S. 122nd St. Tenant Name: PROPERTY OWNER Name: 02kce Address: City: State: Zip: CONTACT PERSON — person receiving all protect communication Name: Sharyn Parker Address: 7277 Perimeter Road South City: Seattle State: WA zip: 98108 Phone: (206) 296-7437 Fa": (206) 269-7315 Email: Sharyn.Parker@kingcounty.gov +GENERAL CONTRACTOR INFORMATION Company Name: not yet awarded Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: King Co Assessor's Tax No.: 3347401455 Suite Number: Floor: New Tenant: ❑ Yes ..No ARCHTfECT OF RECORD Company Name: SM Stemper Architects, PLLC Architect Name: Timothy Fenlason Address: 4000 Delridge Way SW, Suite 200 City: Seattle State: WA Zip: 98106 Phone: (206) 624-2777 Fa": (206) 624-2973 Email: tenlason@jonespayne.com ENGINEER OF RECO Company Name: Engineer Name: Address: City: State: Zip: Phone: Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater perRC'N 19.27 095) Name: FAA (RANRIP) Residential Aircraft Noise Address: Remedy Improvements Program City: State: Zip: H:\Applications\Forts-Applications On Line\2011 Applications\Permit Application Revised- 8-9-11.docx Revised: August 2011 bh Page 1 of 4 Valuation of Project (contractor's bid price): $ 27,600 Existing Building Valuation: $ Describe the scope of work (please provide detailed information): Renovation of single-family home to reduce noise infiltration. This project has several components that involve upgrades of existing systems and does not require any physical changes to the building footprints and structure, including: replacement of windows with vinyl -framed acoustical windows, installation of secondary aluminum -framed sliding glass storm doors, installation of swing -out aluminum storm doors, installation of chimney -top acoustical dampers at fireplaces and attic insulation. Will there be new rack storage? ❑ Yes 0.. No If yes, a separate permit and plan submittal will be required. Provide All Banding Areas in Square > ootage Below Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Typo of OeeePaneY Per IBC I" Floor 1,480 2°0 Floor 3'" Floor Floo thru Basement Accessory Structure* e Detac 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: 1,480 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: ❑ Sprinklers El Automatic Fire Alarm El None Other (specify) battery sm/CO Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No 1f `yes', attach list of materials and storage locations on a separate 8-1/2"x II" 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:\Applications\Forms-Applications On Line \2011 Applications\Pernut Application Revised - 8-9-11.docx Revised: August 2011 bh Page 2 of 4 } pun, tic WORKS FFRmiT TION - 206-433-0179 Scope of Work (please provide detailed information): Ca11 before you Dig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District m ...Tukwila ❑ ... Water District # 125 O ...Water Availability Provided Sewer District m ...Tukwila 0 ...Sewer Use Certificate ❑ ... V alley View ❑...Sewer Availability Provided ❑ .. Highline ❑ .. Renton ❑ .. Renton ❑ .. 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 analv): ❑ ...Right-of-way Use - Nonprofit for less than 72 hours ❑ ...Right-of-way Use - No Disturbance O ...Construction/Excavation/Fill - Right-of-way 0 Non Right-of-way 0 0 ...Total Cut 0 ...Total Fill cubic yards cubic yards ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities O ...Frontage Improvements ❑ ...Traffic Control 0 ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. Geotechnical Report ❑ .. Maintenance Agreement(s) ❑ ...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 0 .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Permanent Water Meter Size... WO # 0 ...Temporary Water Meter Size .. WO # 0 ...Water Only Meter Size II WO # 0 ...Deduct Water Meter Size O ...Sewer Main Extension Public ❑ Private 0 0 ...Water Main Extension Public ❑ Private 0 FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) O ...Water 0 ...Sewer 0 ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip H:Upplications\Fornts-Applications On Line1201 I Applications\Permit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 3 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 OWNER OR Signature: Print Name: Ti othy Fenl RIZED AGENT: 0 Mailing Address: 4000 Delridge Way SW, Suite 200 Date: I (3w- Zfl t Day Telephone: (206) 624-2777 Seattle WA 98106 City State Zip H:Upplications\Forms-Applications On Line\201 I Applications'Permit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 4 of 4 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $30,413.70 D14-0006 Address: 4928 S 113 ST Apn: 3348401741 $1,337.30 DEVELOPMENT $1,298.10 PERMIT FEE R000.322.100.00.00 $784.00 PLAN CHECK FEE R000.345.830.00.00 $509.60 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $39.20 TECHNOLOGY FEE R000.322.900.04.00 $39.20 D14-0007 Address: 4230 S 116 ST Apn: 3347400050 $1,103.22 DEVELOPMENT $1,070.90 PERMIT FEE R000.322.100.00.00 $646.30 PLAN CHECK FEE R000.345.830.00.00 $420.10 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $32.32 TECHNOLOGY FEE R000.322.900.04.00 $32.32 D14-0008 Address: 4811 S 124 ST Apn: 0179003115 $1,103.22 DEVELOPMENT $1,070.90 PERMIT FEE R000.322.100.00.00 $646.30 PLAN CHECK FEE R000.345.830.00.00 $420.10 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $32.32 TECHNOLOGY FEE R000.322.900.04.00 $32.32 D14-0009 Address: 12216 47 AVE S Apn: 0179001140 $924.38 DEVELOPMENT $897.32 PERMIT FEE R000.322.100.00.00 $541.10 PLAN CHECK FEE R000.345.830.00.00 $351.72 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $27.06 TECHNOLOGY FEE R000.322.900.04.00 $27.06 D14-0010 Address: 5702 S PAMELA DR Apn: 7344000020 $1,077.20 DEVELOPMENT $1,045.65 PERMIT FEE R000.322.100.00.00 $631.00 PLAN CHECK FEE R000.345.830.00.00 $410.15 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 Date Paid: Tuesday, February 11, 2014 Paid By: PAMELA K KUEHL Pay Method: CREDIT CARD 055617 Printed: Tuesday, February 11, 2014 10:49 AM 1 of 11 e SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT I QUANTITY I PAID $30,413.70 D14-0010 Address: 5702 S PAMELA DR Apn: 7344000020 $1,077.20 TECHNOLOGY FEE $31.55 TECHNOLOGY FEE R000.322.900.04.00 $31.55 D14-0011 Address: 4702 S 124 ST Apn: 0179001210 $857.74 DEVELOPMENT $832.64 PERMIT FEE R000.322.100.00.00 $501.90 PLAN CHECK FEE R000.345.830.00.00 $326.24 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $25.10 TECHNOLOGY FEE R000.322.900.04.00 $25.10 D14-0012 Address: 12212 46 AVE S Apn: 0179000910 $1,129.22 DEVELOPMENT $1,096.14 PERMIT FEE R000.322.100.00.00 $661.60 PLAN CHECK FEE R000.345.830.00.00 $430.04 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $33.08 TECHNOLOGY FEE R000.322.900.04.00 $33.08 D14-0013 Address: 11870 44 PL S Apn: 3347400790 $957.70 DEVELOPMENT $929.66 PERMIT FEE R000.322.100.00.00 $560.70 PLAN CHECK FEE R000.345.830.00.00 $364.46 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $28.04 TECHNOLOGY FEE R000.322.900.04.00 $28.04 D14-0014 Address: 4716 S 122 ST Apn: 3347401455 $1,103.22 DEVELOPMENT $1,070.90 PERMIT FEE R000.322.100.00.00 $646.30 PLAN CHECK FEE R000.345.830.00.00 $420.10 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $32.32 TECHNOLOGY FEE R000.322.900.04.00 I I $32.32 Date Paid: Tuesday, February 11, 2014 Paid By: PAMELA K KUEHL Pay Method: CREDIT CARD 055617 Printed: Tuesday, February 11, 2014 10:49 AM 2 of 11 SYSTEMS 4 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $30,413.70 D14-0015 Address: 4920 S 114 ST Apn: 3348401711 $1,077.20 DEVELOPMENT $1,045.65 PERMIT FEE R000.322.100.00.00 $631.00 PLAN CHECK FEE R000.345.830.00.00 $410.15 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $31.55 TECHNOLOGY FEE R000.322.900.04.00 $31.55 D14-0016 Address: 13049 56 AVE S Apn: 2172000060 $1,285.28 DEVELOPMENT $1,247.61 PERMIT FEE R000.322.100.00.00 $753.40 PLAN CHECK FEE R000.345.830.00.00 $489.71 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $37.67 TECHNOLOGY FEE R000.322.900.04.00 $37.67 D14-0017 Address: 12055 44 AVE S 1 Apn: 3347400420 $657.82 DEVELOPMENT $638.60 PERMIT FEE R000.322.100.00.00 $384.30 PLAN CHECK FEE R000.345.830.00.00 $249.80 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $19.22 TECHNOLOGY FEE R000.322.900.04.00 $19.22 D14-0018 Address: 12404 50 PL S Apn: 0179002265 $1,207.26 DEVELOPMENT $1,171.88 PERMIT FEE R000.322.100.00.00 $707.50 PLAN CHECK FEE R000.345.830.00.00 $459.88 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $35.38 TECHNOLOGY FEE R000.322.900.04.00 $35.38 D14-0019 Address: 11836 44 AVE S Apn: 3347401015 $1,363.32 DEVELOPMENT $1,323.35 PERMIT FEE R000.322.100.00.00 $799.30 PLAN CHECK FEE R000.345.830.00.00 $519.55 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 Date Paid: Tuesday, February 11, 2014 Paid By: PAMELA K KUEHL Pay Method: CREDIT CARD 055617 Printed: Tuesday, February 11, 2014 10:49 AM 3 of 11 SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS I ACCOUNT PermitTRAK QUANTITY PAID $30,413.70 D14-0019 Address: 11836 44 AVE S Apn: 3347401015 $1,363.32 TECHNOLOGY FEE $39.97 TECHNOLOGY FEE R000.322.900.04.00 $39.97 D14-0020 Address: 12012 44 AVE S Apn: 3347401060 $857.74 DEVELOPMENT $832.64 PERMIT FEE R000.322.100.00.00 $501.90 PLAN CHECK FEE R000.345.830.00.00 $326.24 WASHINGTON STATE SURCHARGE 8640.237.114 $4.50 TECHNOLOGY FEE $25.10 TECHNOLOGY FEE R000.322.900.04.00 $25.10 D14-0021 Address: 12020 42 AVE S Apn: 3347400290 $1,493.36 DEVELOPMENT $1,449.57 PERMIT FEE R000.322.100.00.00 $875.80 PLAN CHECK FEE R000.345.830.00.00 $569.27 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $43.79 TECHNOLOGY FEE R000.322.900.04.00 $43.79 D14-0022 Address: 4925 S 125 ST Apn: 0179002840 $1,259.28 DEVELOPMENT $1,222.37 PERMIT FEE R000.322.100.00.00 $738.10 PLAN CHECK FEE R000.345.830.00.00 $479.77 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $36.91 TECHNOLOGY FEE R000.322.900.04.00 $36.91 D14-0023 Address: 1223146 AVE S Apn: 0179000840 $857.74 DEVELOPMENT $832.64 PERMIT FEE R000.322.100.00.00 $501.90 PLAN CHECK FEE R000.345.830.00.00 $326.24 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $25.10 TECHNOLOGY FEE R000.322.900.04.00 $25.10 Date Paid: Tuesday, February 11, 2014 Paid By: PAMELA K KUEHL Pay Method: CREDIT CARD 055617 Printed: Tuesday, February 11, 2014 10:49 AM 4 of 11 gralrinillfsysTEms Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $30,413.70 D14-0024 Address: 4702 S 122 ST Apn: 3347401430 $924.38 DEVELOPMENT $897.32 PERMIT FEE R000.322.100.00.00 $541.10 PLAN CHECK FEE R000.345.830.00.00 $351.72 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $27.06 TECHNOLOGY FEE R000.322.900.04.00 $27.06 D14-0025 Address: 11608 40TH AVE S Apn: 7340600140 $1,545.38 DEVELOPMENT $1,500.06 PERMIT FEE R000.322.100.00.00 $906.40 PLAN CHECK FEE R000.345.830.00.00 $589.16 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $45.32 TECHNOLOGY FEE R000.322.900.04.00 $45.32 D14-0026 Address: 13007 57TH AVE S Apn: 2137000020 $791.10 DEVELOPMENT $767.96 PERMIT FEE R000.322.100.00.00 $462.70 PLAN CHECK FEE R000.345.830.00.00 $300.76 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 TECHNOLOGY FEE $23.14 TECHNOLOGY FEE R000.322.900.04.00 $23.14 D14-0027 Address: 12239 46 AVE S Apn: 0179000830 $857.74 DEVELOPMENT $832.64 PERMIT FEE R000.322.100.00.00 $501.90 PLAN CHECK FEE R000.345.830.00.00 $326.24 WASHINGTON STATE SURCHARGE 8640.237.114 $4.50 TECHNOLOGY FEE $25.10 TECHNOLOGY FEE R000.322.900.04.00 $25.10 D14-0040 Address: 11664 44 AVE S Apn: 3347400690 $1,389.32 DEVELOPMENT $1,348.59 PERMIT FEE R000.322.100.00.00 $814.60 PLAN CHECK FEE R000.345.830.00.00 $529.49 WASHINGTON STATE SURCHARGE B640.237.114 $4.50 Date Paid: Tuesday, February 11, 2014 Paid By: PAMELA K KUEHL Pay Method: CREDIT CARD 055617 Printed: Tuesday, February 11, 2014 10:49 AM 5 of 11 PSYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $30,413.70 D14-0040 Address: 11664 44 AVE S Apn: 3347400690 $1,389.32 TECHNOLOGY FEE $40.73 TECHNOLOGY FEE R000.322.900.04.00 $40.73 M14-0005 Address: 4928 S 113 ST Apn: 3348401741 $233.88 MECHANICAL $224.88 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $147.40 PLAN CHECK FEE R000.322.102.00.00 $44.98 TECHNOLOGY FEE $9.00 TECHNOLOGY FEE R000.322.900.04.00 $9.00 M14-0006 Address: 4230 S 116 ST Apn: 3347400050 $221.32 MECHANICAL $212.81 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $137.75 PLAN CHECK FEE R000.322.102.00.00 $42.56 TECHNOLOGY FEE $8.51 TECHNOLOGY FEE R000.322.900.04.00 $8.51 M14-0007 Address: 4811 S 124 ST Apn: 0179003115 $221.32 MECHANICAL $212.81 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $137.75 PLAN CHECK FEE R000.322.102:00.00 $42.56 TECHNOLOGY FEE $8.51 TECHNOLOGY FEE R000.322.900.04.00 $8.51 M14-0008 Address: 12216 47 AVE S Apn: 0179001140 $221.32 MECHANICAL $212.81 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $137.75 PLAN CHECK FEE R000.322.102.00.00 $42.56 TECHNOLOGY FEE $8.51 TECHNOLOGY FEE R000.322.900.04.00 1 $8.51 Date Paid: Tuesday, February 11, 2014 Paid By: PAMELA K KUEHL Pay Method: CREDIT CARD 055617 Printed: Tuesday, February 11, 2014 10:49 AM 6 of 11 SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $30,413.70 M14-0009 Address: 5702 S PAMELA DR Apn: 7344000020 $233.88 MECHANICAL $224.88 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $147.40 PLAN CHECK FEE R000.322.102.00.00 $44.98 TECHNOLOGY FEE $9.00 TECHNOLOGY FEE R000.322.900.04.00 $9.00 M14-0010 Address: 4702 S 124 ST - Apn: 0179001210 $221.32 MECHANICAL $212.81 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $137.75 PLAN CHECK FEE R000.322.102.00.00 $42.56 TECHNOLOGY FEE $8.51 TECHNOLOGY FEE R000.322.900.04.00 $8.51 M14-0011 Address: 4928 S 113 ST Apn: 3348401741 $221.32 MECHANICAL $212.81 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $137.75 PLAN CHECK FEE R000.322.102.00.00 $42.56 TECHNOLOGY FEE $8.51 TECHNOLOGY FEE R000.322.900.04.00 $8.51 M14-0012 Address: 11870 44 PL S Apn: 3347400790 $221.32 MECHANICAL $212.81 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $137.75 PLAN CHECK FEE R000.322.102.00.00 $42.56 TECHNOLOGY FEE $8.51 TECHNOLOGY FEE R000.322.900.04.00 $8.51 M14-0013 Address: 4716 S 122 ST Apn: 3347401455 $221.32 MECHANICAL $212.81 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $137.75 PLAN CHECK FEE R000.322.102.00.00 $42.56 Date Paid: Tuesday, February 11, 2014 Paid By: PAMELA K KUEHL Pay Method: CREDIT CARD 055617 Printed: Tuesday, February 11, 2014 10:49 AM 7 of 11 SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT I QUANTITY PAID $30,413.70 M14-0013 Address: 4716 S 122 ST Apn: 3347401455 $221.32 TECHNOLOGY FEE $8.51 TECHNOLOGY FEE R000.322.900.04.00 $8.51 M14-0014 Address: 4920 S 114 ST Apn: 3348401711 $221.32 MECHANICAL $212.81 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $137.75 PLAN CHECK FEE R000.322.102.00.00 $42.56 TECHNOLOGY FEE $8.51 TECHNOLOGY FEE R000.322.900.04.00 $8.51 M14-0015 Address: 13049 56 AVE S Apn: 2172000060 $246.42 MECHANICAL $236.94 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $157.05 PLAN CHECK FEE R000.322.102.00.00 $47.39 TECHNOLOGY FEE $9.48 TECHNOLOGY FEE R000.322.900.04.00 $9.48 M14-0016 Address: 12055 44 AVE S 1 Apn: 3347400420 $221.32 MECHANICAL $212.81 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $137.75 PLAN CHECK FEE R000.322.102.00.00 $42.56 TECHNOLOGY FEE $8.51 TECHNOLOGY FEE R000.322.900.04.00 $8.51 M14-0017 Address: 12404 50 PL S Apn: 0179002265 $233.88 MECHANICAL $224.88 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $147.40 PLAN CHECK FEE R000.322.102.00.00 $44.98 TECHNOLOGY FEE $9.00 TECHNOLOGY FEE R000.322.900.04.00 I $9.00 Date Paid: Tuesday, February 11, 2014 Paid By: PAMELA K KUEHL Pay Method: CREDIT CARD 055617 Printed: Tuesday, February 11, 2014 10:49 AM 8 of 11 SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $30,413.70 M14-0018 Address: 11836 44 AVE S Apn: 3347401015 $246.42 MECHANICAL $236.94 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $157.05 PLAN CHECK FEE R000.322.102.00.00 $47.39 TECHNOLOGY FEE $9.48 TECHNOLOGY FEE R000.322.900.04.00 $9.48 M14-0019 Address: 12012 44 AVE S Apn: 3347401060 $221.32 MECHANICAL $212.81 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $137.75 PLAN CHECK FEE R000.322.102.00.00 $42.56 TECHNOLOGY FEE $8.51 TECHNOLOGY FEE R000.322.900.04.00 $8.51 M14-0020 Address: 12020 42 AVE 5 Apn: 3347400290 $221.32 MECHANICAL $212.81 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $137.75 PLAN CHECK FEE R000.322.102.00.00 $42.56 TECHNOLOGY FEE $8.51 TECHNOLOGY FEE R000.322.900.04.00 $8.51 M14-0021 Address: 4925 S 125 ST Apn: 0179002840 $246.42 MECHANICAL $236.94 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $157.05 PLAN CHECK FEE R000.322.102.00.00 $47.39 TECHNOLOGY FEE $9.48 TECHNOLOGY FEE R000.322.900.04.00 $9.48 M14-0022 Address: 12231 46 AVE S Apn: 0179000840 $221.32 MECHANICAL $212.81 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $137.75 PLAN CHECK FEE R000.322.102.00.00 $42.56 Date Paid: Tuesday, February 11, 2014 Paid By: PAMELA K KUEHL Pay Method: CREDIT CARD 055617 Printed: Tuesday, February 11, 2014 10:49 AM 9 of 11 91781""SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $30,413.70 M14-0022 Address: 12231 46 AVE S Apn: 0179000840 $221.32 TECHNOLOGY FEE $8.51 TECHNOLOGY FEE R000.322.900.04.00 $8.51 M14-0023 Address: 4702 S 122 ST Apn: 3347401430 $233.88 MECHANICAL $224.88 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $147.40 PLAN CHECK FEE R000.322.102.00.00 $44.98 TECHNOLOGY FEE $9.00 TECHNOLOGY FEE R000.322.900.04.00 $9.00 M14-0024 Address: 11608 40TH AVE S Apn: 7340600140 $233.88 MECHANICAL $224.88 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $147.40 PLAN CHECK FEE R000.322.102.00.00 $44.98 TECHNOLOGY FEE $9.00 TECHNOLOGY FEE R000.322.900.04.00 $9.00 M14-0025 Address: 13007 57TH AVE S Apn: 2137000020 $233.88 MECHANICAL $224.88 PERMIT ISSUANCE BASE FEE R000.322.100:00.00 $32.50 PERMIT FEE R000.322.100.00.00 $147.40 PLAN CHECK FEE R000.322.102.00.00 $44.98 TECHNOLOGY FEE $9.00 TECHNOLOGY FEE R000.322.900.04.00 $9.00 M14-0026 Address: 12239 46 AVE S Apn: 0179000830 $221.32 MECHANICAL $212.81 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $137.75 PLAN CHECK FEE R000.322.102.00.00 $42.56 TECHNOLOGY FEE $8.51 TECHNOLOGY FEE R000.322.900.04.00 $8.51 Date Paid: Tuesday, February 11, 2014 Paid By: PAMELA K KUEHL Pay Method: CREDIT CARD 055617 Printed: Tuesday, February 11, 2014 10:49 AM 10 of 11 e, SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $30,413.70 M14-0030 Address: 11664 44 AVE S Apn: 3347400690 $233.88 MECHANICAL $224.88 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $147.40 PLAN CHECK FEE R000.322.102.00.00 $44.98 TECHNOLOGY FEE $9.00 TECHNOLOGY FEE R000.322.900.04.00 $9.00 TOTAL FEES PAID BY RECEIPT: R1222 $30,413.70 Date Paid: Tuesday, February 11, 2014 Paid By: PAMELA K KUEHL Pay Method: CREDIT CARD 055617 Printed: Tuesday, February 11, 2014 10:49 AM 11 of 11 elm SYSTEMS INSPECTION RECORD Retain a copy with permit PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., 8100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431.2451 • Type of inspe qQn: r , Add ��ii..,, Lr 11 t s I Z--t" Date Called: Special instructions: Date W :• , r 1 'I Cu p.m. Requester: Phone No: Approved per applicable codes. DCorrections required prior to approval. COMMENTS: cf) Ce7La7 INAf Date* -7-I PECTION FEE REQUIR . Prior to next spection, fee must be pal 6300 Southcenter Blvd.. uite 100. Call o schedule reinspection. PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D14-0014 PROJECT NAME: Rice Residence DATE: 01/10/2014 SITE ADDRESS: 4716 S 122 St X Original Plan Submittal Response to Correction Letter # Revision # Revision # before Permit Issued after Permit Issued DEPARTMENTS: hC 01,-15-ICI Building Division Public Works Fire Prevention Structural Planning Division Permit Coordinator PRELIMINARY REVIEW: DATE: 01/14/14 Not Applicable ❑ Structural Review Required ❑ (no approval/review required) REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required (corrections entered in Reviews) Notation: 0 DUE DATE: 02/11/14 Ng. Approved with Conditions Denied (ie: Zoning Issues) REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 G & G SPECIALTY CONTRCTORS TNC Page 1 of 2 0 Washington State Department of Labor & Industries G & G SPECIALTY CONTRCTORS INC Owner or tradesperson GOODBALLET, JAMES SCOTT Principals GOODBALLET, JAMES SCOTT, PRESIDENT GOODBALLET, TERESA LYNN, SECRETARY GOODBALLET, CHARLES ELMER, CHIEF EXECUTIVE OFFICER WAVY, CHRISTINE, CHIEF OPERATING OFFICER Doing business as G & G SPECIALTY CONTRCTORS INC WA UBI No. 602 975 812 Parent company G & G SPECIALTY CONTRCTORS INC 1221 N. Monde! DR GILBERT, AZ85233 480-921-4079 Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. GGSPEGS919RT Effective — expiration 12/31 /2009-12/31 /2015 Bond HARTFORD FIRE INS CO Bond account no. 59BSBEA9058 $12,000.00 Received by L&I Effective date 01/03/2011 12/18/2010 Bond history Insurance National Union Fire Ins of PA $1,000,000.00 Policy no. xnd0055800 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602975812&LIC=GGSPEGS919RT&SAW= 05/19/2014