HomeMy WebLinkAboutPermit D14-0330 - DELTA MASONIC TEMPLE #172 - SOUTH WALLDELTA MASONIC
TEMPLE #172
13034 41 AVE S
EXPIRED
06/08/15
D14-0330
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: http://www.TukwilaWA.gov
DEVELOPMENT PERMIT
7341600050 Permit Number: D14-0330
13034 41ST AVE S
Project Name: DELTA MASONIC TEMPLE #172
Issue Date: 10/31/2014
Permit Expires On: 4/29/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
DELTA MASONIC HALL
13034 41ST AVE S , SEATTLE, WA,
98168
JEREMY DUKES
16928 234 WAY SE , MAPLE VALLEY,
WA, 98038
MASON CONSTRUCTION SRVCS LLC
26156 243 PL SE , MAPLE VALLEY, WA,
98038
Phone: (206) 321-8590
Phone: (206) 321-8590
MASONCS896KU Expiration Date: 7/1/2015
DESCRIPTION OF WORK:
COVER THE SOUTH WALL OF THE STRUCTURE WHERE THE BRICK FACADE COLLAPSED WITH T1-11 SHEET SIDING.
Project Valuation: $13,000.00
Type of Fire Protection: Sprinklers:
Fire Alarm:
Type of Construction: VB
Electrical Service Provided by: TUKWILA FIRE SERVICE
Fees Collected: $591.18
Occupancy per IBC:
Water District: 125
Sewer District: 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
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
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 examined this permit and know the same to be true and correct. All
provisions of law and ordinances governing 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:
Print Name: .432Prr—ivt..1 bkgrSS
Date: / 0/3/
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 until 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 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).
7: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center.
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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700 BUILDING FINAL**
0409 FRAMING
0413 WALL SHEATHING/SHEAR
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Permit No. 1)14-
Project No. L' 1
Date Application Accepted:
Date Application Expires:
Q
0
(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.: 1 /24k (i 0 —OUSV
Site Address: 13o314 Lit sT AV6 5, Tt>tAt,Jtit.ct,yJb. °tt .S Suite Number: Floor:
Tenant Name: 5o - L. hew as % It
PROPERTY OWNER
Name: DtLf AA. i
N lG MU —
Address: 1�n2t1 u1�_
6-1,
YI
o '��-
City:t110,444 - t7J�
State: Wift Zip: LI 1 ,
CONTACT PERSON — person receiving all project
communication
Name: �. a.F.My e.5
Address: 11.011.43 2 :4rtit t,JAN& 5E
City: State: Zip
KAPL.E •f 144A..E�l A. >14a3�
Phone: Fax:
Zots.3-1.ISS90
Email:
J t)K-c 5 O. t-it toot.3Lot.1 • CAS
GENERAL CONTRACTOR INFORMATION
Company Name:
litt.6orS C.0641,112.114.•rto•sl $EwJtueS 1.1.0
Address:%WITS 23'1- th t..lAy Sir
City: MAPt.� J� E� State: �db. Zip:
419b3S
Phone: Fax:
Zoc..32t .VS90
Contr Reg No.: Exp Date:
Tukwila Business License No.:
New Tenant: ❑ Yes igj ..No
ARCHITECT OF RECORD
Company Name:
Architect Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Company Name:
Engineer Name:bbtb A b ( S5
Address:
9loo 4J1tte47.J.1e-1 51"—
City: SEAtc- c-C-. State:
w
Zip: 9 6 to8
Phone: Fax:
IA) t..toZI..1N111
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name: TA M4+ScAl 1
Address:
13034 Li is,— Pale $
City: State. :WA
Tt)Kv.t t Ls►v
Zip:
H:\Applications\Forms-Applications On Line\2011 Applications\Permit Application Revised - R-9-I l.docx
Revised: August 2011
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Page 1 of 4
BUILDING PERMIT INFORMATION — 206-431-3670
Valuation of Project (contractor's bid price): $ /3, dcO Existing Building Valuation: $
Describe the scope of work (please provide detailed information): GDJEP-- TIAG Sa.rr3 t- P U . 0? TEE
STwLXV kA.1%-k 'E VIAE F't LA CA1-1.ai-PSE0 vk T1—\\ StiE,Fr�
Will there be new rack storage? ❑ Yes
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
IS1 Floor
Bail
5-5
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 ❑ No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm
None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes gl 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
O 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
bh
Page 2 of 4
UBLIC WORKS PERMIT INFORMATION — 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 ❑ ...Water District # 125
❑ ...Water Availability Provided
Sewer District
❑ ...Tukwila
❑ ...Sewer Use Certificate
❑ .. Highline
El ...Valley View ❑ .. Renton
❑...Sewer Availability Provided
❑ .. Renton
❑ .. Seattle
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.
Submitted with Application (mark boxes which apply):
❑ ...Civil Plans (Maximum Paper Size — 22" x 34")
❑ ...Technical Information Report (Storm Drainage)
0 ...Bond ❑ .. Insurance ❑ .. Easement(s)
Proposed Activities (mark boxes that apply):
❑ ...Right-of-way Use - Nonprofit for less than 72 hours
0 ...Right-of-way Use - No Disturbance
❑ ...Construction/Excavation/Fill - Right-of-way 0
Non Right-of-way 0
❑ .. 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
❑ ...Total Cut cubic yards ❑ .. Work in Flood Zone
❑ ...Total Fill cubic yards ❑ .. Storm Drainage
❑ ...Sanitary Side Sewer ❑ .. Abandon Septic Tank ❑ .. Grease Interceptor
❑ ...Cap or Remove Utilities ❑ .. Curb Cut ❑ .. Channelization
O ...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 #
O ...Water Only Meter Size WO # ❑...Deduct Water Meter Size
❑ ...Sewer Main Extension Public ❑ Private ❑
❑ ...Water Main Extension Public 0 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:
City State Zip
Water Meter Refund/Billing:
Name:
Mailing Address:
Day Telephone:
City
State Zip
H:\Applications\Forts-Applications On Line\2011 Applications\permit Application Revised - t-9-I1.docs
Revised: August 2011
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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 1 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 AUT D AGENT:
Signature:
Print Name:
\sia-edv\ Jv-fa-S
Mailing Address: Ws2 $ 234•t'►h VJA..N.1 Se.
H:Wpplications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-I1.docx
Revised: August 2011
bh
Date:
Day Telephone: Zot.. 37-.1 • %S9 0
Ma.P1,E JM.ti.Fr1 1$03if
City State Zip
Page 4 of 4
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
I ACCOUNT I QUANTITY
PAID
$591.18
D14-0330 Address: 13034 41ST AVE S
Apn: 7341600050
$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
TOTAL FEES PAID BY RECEIPT: R3342
R000.322.900.04.00
0.00
$17.26
$591.18
Date Paid: Friday, October 17, 2014
Paid By: MASON CONSTRUCTION SERVICES LL
Pay Method: CASH
Printed: Friday, October 17, 2014 1:53 PM 1 of 1
CSYSTEMS
..„121*,M30
INSPECTION NO. PERMIT NO.
CITY OF TUKVVILA BUILDING DIVISION C
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
INSPECTION RECORD
Retain a copy with permit
Project: ‘ --- i
AAA 5ilk , C i CiltatO
Type of inspection:
..
, ) , \,, ,y {
, NiAddress:
i
, si -
236 34 Al Ati6
z
Dal ailed:
.I
Special Instructions:
°?1f
‘
\ i
\ix 51/4 \
',,
Date Wanted:
2-
I 0 -
t 4
Requester:
Phone No:
3
2_(
--- n
LjApproved per applicable codes.
12(orrections required prior to approval.
COMMENTS:
i
J
51019 ( ,S f For- S‘" 0-(.
e Ai i ? " 0A ( e.A77-u- Fp.; (,4
_
Ai p-r--1.) A4 (-2 hAil /4-A Li c_ f e 1,us
1
-,
(1( 01-(= -rA9 ,iN3dety—
_s ;144 —
/JP i lAt';"7-1-‘0L,t- 4',1,51)e(4-21)A r:or -SIA‘e
e,-ilite, 1 TP 131\;tr-P_
(,,,10,:re -e) tovf\s)ouTs A _splits(
,,,--)
'1910 er..._Ki. 1
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
Paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
City of Tukwila
Department of Community Development
5/1/2015
JEREMY DUKES
16928 234 WAY SE
MAPLE VALLEY, WA 98038
RE: Permit No. D14-0330
DELTA MASONIC TEMPLE #172
13034 41 AVE S
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, Director
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 6/8/2015.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 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 6/8/2015, 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,
Bill Rambo
Permit Technician
File No: D14-0330
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
PERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: D14-0330 DATE: 10/17/2014
PROJECT NAME: DELTA MASONIC HALL #172
SITE ADDRESS: 13034 41 AVE S
X Original Plan Submittal
Response to Correction Letter #
Revision # before Permit Issued
Revision # after Permit Issued
DEPARTMENTS:
kr At"' tiO3\-1'/
Building Division II
Public Works
if* AM-- 1 o-A
Fire Prevention
Structural
CPL
Planning Division
10
Permit Coordinator ❑
PRELIMINARY REVIEW:
Not Applicable
(no approval/review required)
REVIEWER'S INITIALS:
DATE: 10/21/14
Structural Review Required
DATE:
APPROVALS OR CORRECTIONS:
Approved
Corrections Required
(corrections entered in Reviews)
Approved with Conditions
Denied
(ie: Zoning Issues)
DUE DATE: 11/18/14
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
12/18/2013
Mason Construction Srvcs LLC
Page 1 of 2
0 Washington State Department of
Labor & Industries
Mason Construction Srvcs LLC
Owner or tradesperson
DUKES, JEREMY BERNARD
Principals
DUKES, JEREMY
BERNARD, PARTNER/MEMBER
DUKES, ALISHA
RENEA, PARTNER/MEMBER
(End: 01/15/2014)
Doing business as
Mason Construction Srvcs LLC
WA UBI No.
603 116 037
26156 243rd PL SE
MAPLE VALLEY, WA98038
206-321-8590
KING County
Business type
Limited Liability Company
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor
License specialties
GENERAL
License no.
MASONCS896KU
Effective — expiration
05/31/2011— 07/01/2015
Bond
Wesco Insurance Co
Bond account no.
46WB005694
Active.
Meets current requirements.
$12,000.00
Received by L&I Effective date
09/25/2012 09/20/2012
Expiration date
Until Canceled
Bond history
Insurance
Farmers Ins Exchange
Policy no.
605011313
$1,000,000.00
Received by L&I Effective date
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603116037&LIC=MASONCS896KU&SAW= 10/31/2014
looeSK\IVIy l.on[enr i rowser Llorary\JI 1 C rLPoV.owg%I IKOILU IJ ,:u4
PLANNING APPROVED •
No changes can be madeto these
plans without approval from the
Planning Division of DCD
Approved By: C
pp _
Date:
Sa..rs
1 SEPARATE PERMIT
REQUIRED FOR:
L Mechanical
Crtlectrical
er
mbing
as Piping
City of Tukwila
BUR DING DIVISION
FIE
Permit No,
Hif105 3f1N3AV 151b
COPY
This set of construction documents shall
hP kept at the site of work and shall be
ro inspection by the Building Official
F ►s duly authorized representative.
City Of Tukwila
BUILDING DIVISION
No changes shalt be made to the scope
of work withoui prior approval of
Tuk'.vila Building Division_
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees.
REVISIONS .1
1m.
tlf-T
DELTA WHITE CENTER MASONIC LODGE #172
wee' BC.AvL-1. -
E
SOUTH 1315T STREET
RECEIVED
CITY OF TUKWILA
OCT 17 2014
PERMIT CENTER
REVIEWED FOR
CODE COMPLIANCE
APPROVED
OCT 2 3 2014
'Yr
City of Tukwila
BUILDING DIVISION
DH-
0 8' 16' 32'
SCALE: 1 /16" = 1'-0"
U
W
cc
a
LOCATION
DRAWING NO.
PROJ. MGR.
SUPER INT.
SUBMISSION
SUB. DATE
WRK REQ. NO.
_ 01
_ JEREMY DUKES
_ ANTHONY GENTILL
02
11/21/13
13556
DELTA WHITE CENTER MASONIC LODGE #172
U-J
W 1—
O~
re
a
DELTA WHITE CENTER LODGE #172
13034 41ST AVENUE SOUTH
TUKWILA, WA 98038
DESIGNED BY
DRAWN BY
- JEREMY DUKES
CHECKED BY -
FILE NAME 1 - LODGE SITE PLAN
DRAWING NO.
A0.00
SHEET -NO 1 OF 2
SHEET -TOTAL 2
C:\Users\JeremyDukes\Documents1Autodesk\MASONS LODGE\ ELEVATIONS FOR TEMP REPAIR.dwg\9/23/201411:30 AM
EAST ELEVATION
06 11 00.F1 - 2X6
07 21 0O.A4 - R-19 BATT INSULATION
09 29 00.C1 - 1/2' GYPSUM WALLBOARD
06 11 00.A3 -
EXISTING STUDS
04 05 19.N2 - 22 GA. CORRUGATED TIE
SIDING CORNER DETAIL
07 95 13.D1 - JOINT SEALANT
07 26 00.A3 - 6 MIL POLYETHYLENE
04 21 00A2 - STANDARD BRICK - 1/2" JOINT
06 16 00.D5 - 3/8" EXTERIOR GRADE PLYWOOD (T1-11)
1' X 6' WHITE WOOD
TH ELEVATION
REVIEWED FOR
CODE COMPLIANCE
APPROVED
OCT 2 3 2014
City of Tukwila
BUILDING DIVISION
RECEIVED
CITY OF TUKWILA o 8' 16' 32'
OCT 1 7 2014
PERMIT CENTER
SCALE: 1/16" = 1'-0"
DRAWING NO. _ 02
PROJ. MGR. _ JEREMY DUKE
SUPER INT. _ ANTHONY GEP
SUBMISSION _ 02
SUB. DATE _ 11/21/13
WRK REQ. NO. _ 13556
DELTA WHITE CENTER MASONIC LODGE #172
ELEVATIONS
DELTA WHITE CENTER LODGE #1
13034 41ST AVENUE SOUTH
TUKWILA, WA 98038
DESIGNED BY
DRAWN BY
CHECKED BY
FILE NAME
- JEREMY DUKES
- LODGE SITE PL.,
DRAWING NO.
A1.00
SHEET -NO 1 OF 2
SHEET -TOTAL 2