HomeMy WebLinkAboutPermit D14-0328 - BOULEVARD AT SOUTH STATION - WALKWAY AND DECKBOULEVARD AT
SOUTH STATION
4708 SOUTHCENTER MALL
D14-0328
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: http://www.TukwilaWA.gov
Parcel No: 2223049003
DEVELOPMENT PERMIT
Permit Number: D14-0328
Address: 4708 SOUTHCENTER BLVD Issue Date: 10/15/2014
Permit Expires On: 4/13/2015
Project Name: BOULEVARD AT SOUTH STATION
Owner:
Name:
MG ACRES APARTMENTS LP
Address: 10505 SORRENTO VALLEY RD , SAN
DIEGO, WA, 92121
Contact Person:
Name: JESUS DELEON Phone: (541) 730-0001
Address: 4708 SOUTHCENTER BLVD APT J102 ,
TUKWILA, WA, 98188
Contractor:
Name: PLATINUM EXTERIORS INC Phone: (541) 327-8100
Address: 259 NORTH AVE , JEFFERSON, WA,
97352-9710
License No: PLATIE1891BG Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
BUILDING A: REPAIR WALKWAY, HANDRAIL, DECK COATING, AND (3) STEPS
Project Valuation: $4,200.00
Type of Fire Protection: Sprinklers:
Fire Alarm:
Type of Construction: VB
Fees Collected: $202.22
Occupancy per IBC: R-2
Electrical Service Provided by: TUKWILA FIRE SERVICE Water District: 125
Sewer District: TUKWILA SEWER SERVICE,VALLEY VIEW
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 International Fuel Gas Code:
2012 WA Cities Electrical Code:
2012 WA State Energy Code:
2012
2012
2014
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 e
provisions of law and ordinances gove
mine
ing t
Date:
this permit and know the same to be true and correct. All
is 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 co struction or the performance of work. I am authorized to sign and obtain this
development permit and a e to the conditions attached to this permit.
Signature:
Print Name:
I�
Date:
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:
<NONE>
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
0 1700 BUILDING FINAL**
0 0409 FRAMING
0 0101 PRE -CONSTRUCTION
CITY OF T .. ILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building rermit No. 'b[1-4" d7�
Project No.
Date Application Accepted: f0J l5
Date Application Expires:
(For office use only)
CONSTRUCTION PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
**Please Print**
SITE LOCATION
/�
King Co Assessor's Tax No.: 112_� ^(1196
Site Address: 0e9
SOW/4 � /C-- I6-i L/s° uite Number: Floor:
Tenant Name:
PROPERTY OWNER
Name: yin �
��,�-e'
Address: 50S
retina_ i/Q.1(y 0
City:Szt
e) State: �p Zip:q 2121
CONTACT PERSON — person receiving all project
communication
Name: j
Address 74 S,E% 2 de-P1
6-i a
i/Uz.
city:....,- 1.14 State:
iia75
Zip:
Phone: 73® Fax:
54 1' doe ;
Email:
GENERAL CONTRACTOR INFORMATION
Company a Eickg-i tgS.
Addressee �gx ,_/9/
City State:4172 Zip :1 7 4,52.
Pho e: Fa
/,._?27_8ie v ase11— 3z7— 2g14,
Contr Reg No.: Exp Date: t f
piaTE '`l 7/l
Tukwila Business License No.:
New Tenant: ❑ Yes ❑ .. No
ARCHITECT OF RECORD
Company Name:
Architect Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Company Name:
Engineer Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Emai ;
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name:
Address:
City: State: Zip:
H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 1 of 4
BUILDING PERMIT INFO- — 206-4311-3670
Valuation of Project (contractor's bid price): $
b()
Existing Building Valuation: $
Describe the scope of d work (please provide detailed information): f.�
,% - , U f50/r 4 /4- �rC „®ram ,, A; �
-----+
®
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
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy
IBC
1 sr 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:
0 Sprinklers ❑ Automatic Fire Alarm 0 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 Sheei
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\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page2c
PUBLIC WORKS PERMIT
LMATION — 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 she
Water District
❑ .. Tukwila ❑ ...Water District # 125
❑ .. Water Availability Provided
Sewer District
❑ .. Tukwila
❑ .. Sewer Use Certificate
Septic System:
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current sep 'c 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... Geot- nical Report
❑ .. Bond 0...Insurance 0... Easement(s) ❑... Ma' tenance Agreement(s)
❑... Highline
❑ ...Valley View 0...Renton
❑ ...Sewer Availability Provided
enton
0... Seattle
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 cubic yards
❑ .. Total Fill cubic yards
0 .. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
❑ .. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ .. 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
0... Storm Drainage
❑... Ab. r son Septic Tank 0... Grease Interceptor
❑... C Cut ❑... Channelization
❑... P. vement Cut 0... Trench Excavation
D. ooped Fire Line 0...Utility Undergrounding
❑ .. Permanent Water Meter Size (1) WO #
❑ .. Temporary Water Meter Size (1) " WO #
❑ .. Water Only Meter Size WO #
❑ .. Sewer Main Extension ' ublic 0 Private 0
❑ .. Water Main Extension . Public 0 Private 0
FINANCE INFORMATION
(2) " WO #
(3)
(2) " WO # (3)
❑ .. Deduct Water Meter Size
Fire Line Size at Property L e Number of Public Fire Hydrant(s)
0 .. Water ■ .. Sewer ❑ .. Sewage Treatment
Monthly Service Billi to•
Name: Day Telephone:
Mailing Address:
" WO#
" WO#
31
Water Meter ' fund/Billing
Name:
City
State Zip
Day Telephone:
Mailing Address:
City
State
Zip
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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 THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OW�R AUTHORIZED AGENT:
Signature: Date:
Print Name: ja yCZu/ ,/ c - /)
s� F a
Mailing Address: l 7E).
City
Day Telephone:
AP( J I v �.
State �' Zip
H:\Applications\Forms-Applications On Linet2012 Applications\Permit Application Revised - 2-7-12.docx
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AUTHORIZATION FOR ALTERNATE PLAN
SUBMITTAL (LIMITED SCOPE OF WORK)
IBC & IRC Section 104.1
Date: /2,/ 4 Permit/Application Number: T)
(4 — 032411
Address: -708 -104.-itt (-1441 f Rif/ Tukwila, WA 981
Description of Work: I. _ ,4r:v�i
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 E Plumbing/Gas Piping ❑ Electrical ❑ Other
2. Plan and/or Specification (minimum):
❑ Site Plan ❑ Floor Plan
❑ Cross Sections ❑ Roof Plan Narrative ❑ Narrative WSEC Compliance
❑ Elevations ❑ Foundation ❑ Structural Calcs
3. Required Inspections (only completed when to be issued over the counter):
Framing ❑ Glazing
4. Other Special Instructions:
Final ❑ Other:
Authorized By:
Printed Name:
4 //iar (re, #/;,
.T604--`( knt-G4h'
Date:
(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.doc:
Cash Register Receipt
City of Tukwila
DESCRIPTIONS I ACCOUNT I QUANTITY I
PermitTRAK
PAID
$202.22
D14-0328 Address: 4708 SOUTHCENTER BLVD Apn: 2223049003
$202.22
DEVELOPMENT
$192.80
PERMIT FEE
R000.322.100.00.00
0.00
$188.30
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE
$9.42
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3317
R000.322.900.04.00 0.00
$9.42
$202.22
Date Paid: Wednesday, October 15, 2014
Paid By: WILLIAM A EPPS, PLATINUM EXTER
Pay Method: CREDIT CARD 415161
Printed: Wednesday, October 15, 2014 12:16 PM 1 of 1
CRWSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: r
„
Type of ll pection:/
.
Address:
4117a sC -
/ I l
t L
`
Date Called:
Special Instructions:
Date Wanted -
.�
_ /4 am_,
l p.m.
Requester:
Phone No:
DApproved per applicable codes. tl Corrections required prior to approval.
COMMENTS:
OP r IvC7k. r�� NAn1
'
'1\i\/
/
(
A
Inspector:
Date:, t0 - 2�t
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
PLATINUM EXTERIORS INC
Page 1 of 2
Cijil Washington State Department of
Labor & Industries
PLATINUM EXTERIORS INC
Owner or tradesperson
EPPS, WILLIAM A
Principals
EPPS, WILLIAM A, PRESIDENT
BEGGS, BRANDY LEA, SECRETARY
Doing business as
PLATINUM EXTERIORS INC
WA UBI No.
603 075 372
PO BOX 491
JEFFERSON, OR97352
541-327-8100
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.
PLATIEI891 BG
Effective — expiration
01/07/2011— 01/07/2015
Bond
PLATTE RIVER INS CO
Bond account no.
A270004160
$12,000.00
Received by L&I Effective date
01/07/2011 12/29/2010
Expiration date
Until Canceled
Insurance
Cincinnati Specialty Underwrit $1,000,000.00
Policy no.
CSU0052120
Received by L&I Effective date
10/30/2013 10/26/2013
Expiration date
10/26/2014
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603075372&LIC=PLATIEI891 BG&SAW= 10/15/2014