HomeMy WebLinkAboutPermit D14-0204 - SEGALE PROPERTIES - SINGLE FAMILY RESIDENCE DEMOLITIONSEGALE SFR DEMO
18054 SOUTHCENTER PKWY
D14-0204
Parcel No:
Address:
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
DEVELOPMENT PERMIT
3523049032
18054 SOUTHCENTER PKWY
Project Name: SEGALE SFR DEMOLITION
Permit Number: D14-0204
Issue Date: 7/22/2014
Permit Expires On: 1/18/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
SEGALE PROPERTIES LLC
PO BOX 88028 , TUKWILA, WA, 98138
BARRY BENNETT
PO BOX 88028 , TUKWILA, WA, 98138
SEGALE PROPERTIES LLC
PO BOX 88028 , TUKWILA, WA, 98138
SEGALPL902CQ
SEGALE PROPERTIES
PO BOX 88028 , TUKWILA, WA, 98138
Phone: (206) 396-2012
Phone: (206) 575-2000
Expiration Date: 4/1/2016
DESCRIPTION OF WORK:
DEMOLITION OF 1,800 SF RESIDENCE AND SURROUNDING SHEDS. REGRADE TO MATCH GRADING PLANS FOR THE
TUKWILA SOUTH PROJECT (PW10-064)
TERMINATE AND CAP ALL UTILTIES, PUMP AND REMOVE SEPTIC TANK.
HIGHLINE WATER DIST. & CITY OF TUKWILA SANITARY SEWER SERVICE AREA.
Project Valuation: $7,275.00
Type of Fire Protection: Sprinklers:
Fire Alarm:
Type of Construction: VB
Electrical Service Provided by: TUKWILA FIRE SERVICE
Fees Collected: $692.51
Occupancy per IBC: R-3
Water District: HIGHLINE
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
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:
I hearby certify that I have read and exa
provisions of law and ordinances governi
ined
thi
kc
Date: Oli tdH
his permit and know the same to be true and correct. All
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:
Print Name: 7,,-L/7 --. A.rtP (-'I
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:
Date: 7/2 07
1: ***PUBLIC WORKS PERMIT CONDITIONS***
2: The applicant or contractor must notify the Public Works Inspector at (206) 433-0179 upon commencement
and completion of work at least 24 hours in advance. All inspection requests for utility work must also be
made 24 hours in advance.
3: Any material spilled onto any street shall be cleaned up immediately.
4: Temporary erosion control measures shall be implemented as the first order of business to prevent
sedimentation off -site or into existing drainage facilities.
5: The site shall have permanent erosion control measures in place as soon as possible after final grading has
been completed and prior to the Final Inspection.
6: From October 1 through April 30, cover any slopes and stockpiles that are 3H:1V or steeper and have a
vertical rise of 10 feet or more and will be unworked for greater than 12 hours. During this time period,
cover or mulch other disturbed areas, if they will be unworked more than 2 days. Covered material must
be stockpiled on site at the beginning of this period. Inspect and maintain this stabilization weekly and
immediately before, during and following storms.
7: From May 1 through September 30, inspect and maintain temporary erosion prevention and sediment at
least monthly. All disturbed areas of the site shall be permanently stabilized prior to final construction
approval.
8: Any septic tanks in the area shall be pumped empty and removed or filled with sand. A copy of the
documentation from the business that performed the pumping shall be provided to the Public Works
Inspector.
9: Applicant shall provide Seattle & King County Public Health a Report of Wastewater Tank Abondonment.
Community Environment Health, 900 Oakesdale Ave SW, Renton, WA
10: Applicant/Contractor shall obtain a water capping permit from Highline Water District at (206) 824-0375.
11: Prior to any demolition work the applicant or contractor shall submit to Public Works a copy of Demolition
permit from Puget Sound Clean Air Agency.
12: ***BUILDING PERMIT CONDITIONS***
13: 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.
14: 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 until final inspection approval is granted.
15: 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.
16: 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).
17: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center.
18: 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**
5200 EROSION MEASURES
5210 EROSION MEASURES FNL
0101 PRE -CONSTRUCTION
1600 PUBLIC WORKS FINAL
CITY OF TUKOA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
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
Go
krAi King Co Assessor's Tax No.: 353Z 3)/ 9030 ..
Site Address: I 0 S'i e. u evI1 uite Number: Floor: '--
Tenant Name: Uho c C. ()pi i t / 1 d1) P lei New Tenant: 0 Yes 0 „No
PROPERTY OWNER ... ,
Name: S�e 1e pc +te LL.G
Address: po z' 3 co3...
City: UU kwl (a State: W A Zip: la-/.f
CONTACT PERSON - paeanreceiving all project
communication
Name: _.10li‘ l•`{ CE>f In AP tet
Address: 1 BoxF./50- a
City: / l! tN 1 l� State: i _ / A Zip: 9�/
Phone: 90(0_ (0. _90IaFax: _ S%5 /644:72
Email:
Bcv.%At+ta) SffialeDcamerfies-cam
D
Company Name: Set l t R3 P (` . i 3 LLC
Address: To . �k no
City: w ; ix. State: IAA Zip: 58-,
Phone: 3%% ' „,aIaFax: d:::;6_ 5-is - I (4,01
Contr Reg No.:SEGAL'PL"lOaCap Date: y/ 3/ 62'
Tukwila Business License No.: z O ) O+- O
ARC i CT OF RE€ORD
Company Name:
N/A
Architect Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Company Name:
N/A
Engineer Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Name:
Address:
"N ��.1` P"p
City:
State: Zip:
H:\Applications\Forms-Applications On Line \2011 Applicationa\Permit Application Revised - 8-9-11.docx
Revised: August 2011
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Page 1 of 4
,altaW
7
BUILDING PERMIT INFORMATI (- 206-431-3670
Valuation of Project (contractor's bid price): $ (1(T75---Q) Existing Building Valuation: $ t�
Describe the scope of work (please provide detailed information):
��. ✓ o1SC t r cs• O (r'tnlY I t 5 kft .
•
surL p l Jec-1- (pv,10 -0c
T em° Le
Tio. ",s
Will there be new rack storage? ❑ Yes
r c -10 t,(C+Cit,
ENo If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
I't Floor
1300 SF
vid Floor
3rd Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
'1o0 S F
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)137 Sf=
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): r -7( LOC) S I Floor area of principal dwelling: / 3DO 3 F Floor area of accessory dwelling: 'fOLD St
*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:
❑ Sprinklers 0 Automatic Fire Alarm Er. None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ 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:\Applications\Forms-Applications On Line\2011 Applications\Permit Application Revised - 8-9-11.docx
Revised: August 2011
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Page 2 of 4
1011.
PUBLIC WORKS PERMIT INF( 4ATION - 206-433-0179
Scope of Work (please provide detailed information):
pPvv,7tr, Gi0 CAI C'v \Q
P wt�1iL 2 t9/ v O
I/ GJ�M(,
+0 SPIT f,
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ ...Tukwila ❑... Water District #125
❑ ...Water Availability Provided
Sewer District
❑ ...Tukwila
❑ ...Sewer Use Certificate
�Highline ❑ .. Renton
❑... Valley View ❑ .. Renton
❑...Sewer Availability Provided
❑ .. Seattle
Sea ie System:
On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department.
Su itted with Application (mark boxes which apply):
...Civil Plans (Maximum Paper Size — 22" x 34")
❑ ...Technical Information Report (Storm Drainage) 0 .. Geotechnical Report
0 ...Bond 0 .. Insurance ❑ .. 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 ❑
Non Right-of-way 0
❑ ...Total Cut
❑ ...Total Fill
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
❑ ...Sanitary Side Sewer E . Abandon Septic Tank ❑ .. Grease Interceptor
...Cap or Remove Utilities ❑ .. Curb Cut ❑ .. Channelization
0 ...Frontage Improvements ❑ .. Pavement Cut ❑ .. Trench Excavation
❑ ...Traffic Control ❑ .. Looped Fire Line ❑ .. Utility Undergrounding
❑ ...Backflow Prevention - Fire Protection "
Irrigation "
Domestic Water
❑ ...Permanent Water Meter Size... WO #
❑ ...Temporary Water Meter Size.. WO #
❑ ...Water Only Meter Size WO # ❑...Deduct Water Meter Size
❑ ...Sewer Main Extension Public 0 Private 0
❑ ...Water Main Extension Public ❑ Private ❑
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
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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 AUTHORIZED AGENT:
Signature:
Print Name:
Mailing Address:
Date: Okro//y
Day Telephone: l D(U' 3%_, ooja
/1/40v110L- W71 93/3k
City State Zip
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DESCRIPTIONS
PermitTf
Cash Register Receipt
City of Tukwila
ACCOUNT QUANTITY
PAID
$602 50
D14-0203
Address:
l0 SOUTHCENTER PKWY
Apn: 3523
30125
PUBLIC WORKS
$300.00
PERMIT ISSUANCE/INSPECTION FEE
R000.342.400.00.00
0.00
$25.00
CONSTRUCTION PLAN REVIEW
R000.345.830.00.00
0.00
$25.00
BASE APPLICATION FEE
R000.322.100.00.00
0.00
$250.00
TECHNOLOGY FEE
$1.25
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$1.25
D14-0204
Address:18054 SOUTHCENTER PKWY
Apn: 3523049032
$301.25
PUBLIC WORKS
$300.00
BASE APPLICATION FEE
R000.322.100.00.00
0.00
$250.00
CONSTRUCTION PLAN REVIEW
R000.345.830.00.00
0.00
$25.00
PERMIT ISSUANCE/INSPECTION FEE
R000.342.400.00.00
0.00
$25.00
TECHNOLOGY FEE
$1.25
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R2644
R000.322.900.04.00
0.00
$1.25
$602.50
Date Paid: Tuesday, July 22, 2014
Paid By: SEGALE PROPERTIES
Pay Method: CHECK 637303
Printed: Tuesday, July 22, 2014 10:20 AM 1 of 1
SYSTEMS
DESCRIPTIONS ACCOUNT QUANTITY I PAID
PermitTRAK $982.44
D14-0203 Address: 18010 SOUTHCENTER PKWY Apn: 3523049118 $591.18
DEVELOPMENT $573.92
PERMIT FEE
R000.322.100.00.00
0.00
$345.10
PLAN CHECK FEE
R000.345.830.00.00
0.00
$224.32
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE $17.26
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$17.26
• D14-0204 Address: 18054 SOUTHCENTER PKWY Apn: 3523049032 $391.26
DEVELOPMENT $379.88
PERMIT FEE
R000.322.100.00.00
0.00
$227.50
PLAN CHECK FEE
R000.345.830.00.00
0.00
$147.88
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE $11.38
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R2497
R000.322.900.04.00 0.00 $11.38
$982.44
Date Paid: Tuesday, July 01, 2014
Paid By: SEGALE PROPERTIES
Pay Method: CHECK 637247
Printed: Tuesday, July 01, 2014 8:33 AM 1 of 1
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
s'4-o2`i
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
t•
Type of Inspection:
s;
O /— Sc PUJ4
Date Called:
Special Instructions:
bate Wanted:
t 1 — tZ-114
a.ni.
Requester:
Phone No:
til&pproved per applicable codes. El Corrections required prior to approval.
•
COMMENTS:
Date:
NSPECTION FEE REQUI ED. Prior to/next inspection. fee must be
p f d at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
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 �A
.of inspectih
Address:
Date Called:
special Instructions:
DatWanted:
i
a.
Requester:
Phone No:
5/ Approved per applicable codes. Corrections required prior to approval.
'COMMENTS:
Date:
'7— 22-1
SPECTION FEE REQUIRED. Prior to ext inspection. fee must be
at 6300 Southcenter 131 .. Suite 100 Call to schedule reinspection.
INSPECTION RECO
Retain a copy with permit
INSPECTION NUMBER
_ d Zo-f
Mi5`-5_ is2.-
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
?nfi-575-44f17
Project:
A
A
Type of Inspection,."
-e / 7/1-/2. vi,1
t j",
/
Address:
Suite #: ��
��
U�
,g_
Contact Person:
Special Instructions;
Phone No.:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
7-7/-6A_
Ftss
Pis
ss
7F-c2-
P-As3
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type;
Inspector:
a3111,53
Date: /J/z
Hrs.: / .0
i
$100.90 REINSPECTION FEE REQUIRED. You will receive an invoice from
'the City of Tukwila Finance Department. CaII to schedule a reinspection.
Billing Address
Attn:
Company Name:
Address:
City:
State:
Zip:
Word/Inspection Record Form.Doc
T.F.D. Form F.P. 113
INSPECTION RECORD
Retain a copy with permit
INSPECTION NUMBER
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project
/ef.U'i
Type of Inspection:
P
Address:
Suite#: 56 SC vV.IN, (
Contact Person:
Special Instructions:
Phone No.:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Pr
Permits:
Occupancy Type:
Inspector:
Date: /f
z7/j
$10000 REINSPECTION FEE REQUIRED, You will receive an invoice from
the City of Tukwila Finance Department. Call to schedule a reinspection.
Billing Address
Attn:
Company Name:
Address:
City:
State:
Word/Inspection Record Form.Doc 3/14/14
Zip:
T.F.D. Form F.P. 113
`It's Not What We Do, It's How We Do It
Norde. eat Abe tenant services, Inc.
November 10, 2014
To: Barry Bennett
Segale Properties
PO Box 88028
Tukwila WA 98138
RE: Letter of Completion
Residence
18038 South Center Parkway
Tukwila WA 98188
Dear Mr. Bennett
RECEIVED
CITY OF TUKWI
LA
NOV 14 2014
PERMIT CENTER
This letter will serve as our notice of completion of the asbestos abatement for the above
mentioned address per project # 4403-14. Northwest Abatement Services, Inc. performed the
following:
Northwest Abatement Services, Inc. removed and disposed of select asbestos containing
materials found in the proposed demolition area. Materials included vinyl floor coverings with
underlayment. Asbestos containing materials were removed using certified personnel and
according to all the state and local codes. All asbestos containing materials were removed during
this abatement project. This project focused on removing select materials that would allow the
complete demo of this structure.
If you have any questions or require further information, please call us (253) 588-0440.
S',ce� 1y,
1 4'16 65 -
eff Rogers
`,
Project Manager �"\
Northwest Abatement Services, Inc.
al
P.QBox 39246 • 96223241At&• WA98499•i53)5868440.Floc(7 3)588-01913 • 1-800-58843340
Wee www/matelemertoom • atimeitir#NORITIAS066RN
SEPARATE PERMIT
REQUIRED FOR:
Mechanical
CrElectrical
[Plumbing
lIGas Piping
City of Tuk.v a
irt
HOUSE DEMOLITION
ADDRESS: 18054 57TH AVE S
TAX PARCEL: 352304032
SQUARE FEET: 1,300 SF
LOT SQUARE FEET: 27,420 SF
PLANNING APPROVED •
No changes can be madeto these
plans without approval from the
Planning Division of DCD
Approved By: C _ L\2
Date:
These plans have been reviewed by the Public
Works Department for conformance with current
City standards. Acceptance is subject to errors and
omissions which do not authorize violations of
adopted standards or ordinances. The responsibility
for the adequacy of the design rests totally with the
designer. Additions, deletions or revisions to these
drawings after this date will void this acceptance
and will require a resubmittal of revised drawings
for subsequent approval.
Final acceptance is subject to field inspection by
the Public Works utilities inspector.
Date: By:
REVISIONS
No changes shall he made to the scope
of work witho;;t prior approval of
F!'.''.finci Division.
plan submittal
----� `�= - .! )nzl pan f it;t►:-;L,,
FILE COPY
Permit No. D t1% 02-O 4
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 Copy and conditions is acknowledged:
By:
Date: v 7/aa//y
City of Tukwila
BUILDie = C VISION
ICI 30034144K Co.an.y
53YS0.001's
1
9GLSlt91 w
JS"LfYNL3i
REVIEWED FOR
CODE COMPLIANCE
APPROVED
JUL 1 1 2014
ft-v
City of Tukwila
BUILDING DIVISION
ION
RECEIVED
JUL' 012014
TUKWILA
?UBI_IC WORKS
RECEIVED
CITY OF TUKWILA
JUL 0 1 2014
PERMIT CENTER
PERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: D14-0204
DATE: 07/01/2014
PROJECT NAME: SEGALE SFR DEMOLITION
SITE ADDRESS: 18054 SOUTHCENTER PY
X Original Plan Submittal
Response to Correction Letter #,
Revision #
Revision #
before Permit Issued
after Permit Issued
DEPARTMENTS:
Al -
Building Division II
L 01 �01"N
Public Works II
Fire Prevention
Structural
1\4 01:01.114 cAt kP o
Planning Division
Permit Coordinator n
PRELIMINARY REVIEW:
Not Applicable ❑
(no approval/review required)
REVIEWER'S INITIALS:
DATE: 07/03/14
Structural Review Required
DATE:
n
APPROVALS OR CORRECTIONS:
Approved
Corrections Required
(corrections entered in Reviews)
Approved with Conditions
Denied
(ie: Zoning Issues)
DUE DATE: 07/31/14
1&,/
El
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
12/18/2013
SEGALE PROPERITIES LLC
Page 1 of 2
CoWashington State Department of
Labor & Industries
SEGALE PROPERITIES LLC
Owner or tradesperson
SEGALE, MARIO A
Principals
SEGALE, MARIO A, PARTNER/MEMBER
SEGALE, MARIO A, AGENT
Doing business as
SEGALE PROPERITIES LLC
PO BOX 88028
TUKWILA, WA 98138-2028
206-575-2000
KING County
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.
SEGALPL902CQ
Effective — expiration
02/18/2010— 04/03/2016
Bond
SAFECO INS CO OF AM
Bond account no.
6115146
Received by L&I
03/28/2002
Insurance
Alaska National Insurance Co
Policy no.
14DLS31006
Received by L&I
03/28/2014
Insurance history
Savings
No savings accounts during the previous 6 year period.
$12,000.00
Effective date
02/18/2010
Expiration date
Until Canceled
$1,000,000.00
Effective date
04/01/2014
Expiration date
04/01/2015
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602023533&LIC=SEGALPL902CQ&SAW= 07/22/2014