The URL can be used to link to this page

Home My WebLink AboutPermit D14-0382 - FORHAN RESIDENCE - REMODELFORHAN RESIDENCE 12012 44 AVE S D14-0382 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 3347401060 Permit Number: D14-0382 12012 44TH AVE S Project Name: FORHAN RESIDENCE Issue Date: Permit Expires On: 12/23/2014 6/21/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: FORHAN PAUL E+MONIKA D 12012 44TH AVE S , TUKWILA, WA, 98178 SHARYN PARKER Phone: (206) 296-7437 7277 PERIMETER RD S , SEATTLE, WA, 98108 REGENCY NW CONSTRUCTION INC PO BOX 6429 , BELLEVUE, WA, 98008 REGENNC041J5 FAA (RANRIP) RESIDENTIAL AIRCRAFT NOISE REMEDY IMPROVEMENTS PROGRAM, Phone: (425) 883-1301 Expiration Date: 3/2/2016 DESCRIPTION OF WORK: 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. Project Valuation: $18,422.00 Type of Fire Protection: Sprinklers: Fire Alarm: Fees Collected: $791.10 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: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2012 2012 2012 2012 2012 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 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: jj1; — Date: I� 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: O�—CSC„ Print Name: L• C C G Yeyd yam. 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. '2 Date: / -Z S7/y 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 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. 10: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431-3670). 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 Permit No. p 1, I 3 Project No. Date Application Accepted: _t Date Application Expires: (9 (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 Site Address: 12012 44th Ave. S. Tenant Name: Vn flirt A PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Sharyn Parker Address: 7277 Perimeter Road South City: Seattle State: WA Zip: 98108 Phone: (206) 296-7437 Fax: (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.: 3347401060 Suite Number: New Tenant: Floor: El Yes m..No ARCHITECT 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 Fax: (206) 624-2973 Email: tfenlason@jonespayne.com ENGINEER OF RECORD Company Name: Engineer Name: Address: City: State: Zip: Phone: Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: FAA (RANRIP) Residential Aircraft Noise Address: Remedy Improvements Program City: State: Zip: H: Applications\Forms-Applications On Line\2011 Applications\Permit Application Revised - 8-9-I1.docx Revised: August 2011 bh Page I of 4 BUILDING PERMIT INFORMATIO1.—206-431-3670 Valuation of Project (contractor's bid price): $ 18,422 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 Building Areas in Square Footage Below Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC lit Floor 672 2"d 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: 672 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 VI No If"yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None 0 Other (specify) battery sm/CO Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes V] 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. U \Applicattons\Forms-Applications On Line\201 1 Applications\Permit Application Revised - 8-9-1 Ldocx Revised August 201 I bh Page 2 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 A ' It ' I ED AGENT: Signature: Print Name: Ti .thy Fenlaso', Day Telephone: Mailing Address: 4000 Delridge Way SW, Suite 200 Seattle city Date: (—Oe--- 1 (—( (206) 624-2777 .r WA 98106 State Zip H:\Applications\Forms-Applications On Line\201 1 Applications \Permit Application Revised - 8-9-1 I.docx Revised: August 2011 bh Page 4 of 4 PUBLIC WORKS PERMIT INR,i(MATION — 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 0 ...Water Availability Provided Sewer District m ...Tukwila ❑ ...Sewer Use Certificate Septic System: ❑ On -site Septic System — For on -sit- -ptic system, provide 2 copies of a current septic design a oved by King County Health Department. ❑ .. Highline ❑ ...Valley View 0 -. Renton ❑ ... ewer Availability Provided ❑ .. Renton ❑ . Se., `e Submitted with Application (mark boxe ❑ ...Civil Plans (Maximum Paper Size — ❑ ...Technical Information Report (Storm D 0 ...Bond ❑ .. Insurance hich apply): Proposed Activities (mark boxes that apply): ❑ ...Right-of-way Use - Nonprofit for less than 72 h s 0 .. Rig f `if --way Use - Profit for less than 72 hours ❑ ...Right-of-way Use - No Disturbance ❑ .. ' ' t-of-way Use — Potential Disturbance ❑ ...Construction/Excavation/Fill - Right-of-way ❑ Non Right-of-way x 34") age) ❑ .. Geotechnical R in ❑...Traffic Impact Analysis .. Easement(s) 0 .. Maintenance ;,'_reement(s) 0 ... Hold Harmless — (SAO) 0 ...Hold Harmless — (ROW) ❑ ...Total Cut ❑ ...Total Fill cubic yards cubic yards .. Work in Flood Zone ❑ .. Storm Drainage ❑ ...Sanitary Side Sewer ❑ .. Abando `-ptt ' ank ❑ ...Cap or Remove Utilities ❑ .. Curb 0 ...Frontage Improvements ❑ .. Pav- '-nt Cut ❑ ...Traffic Control ❑ .. Ls .ed Fire Line O ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ ...Permanent Water Meter Size... WO # 0 ...Temporary Water Meter Size.. WO # ❑ ...Water Only Meter Size WO # ❑ ...Sewer Main Extension P is ❑ Private 0 ❑ ...Water Main Extension blic ❑ Private ❑ FINANCE INFORMATION Fire Line Size at Property Li ' Number of Public Fire Hydrant(s) O ... Water 'i ...Sewer 0 ...Sewage Treatment Monthly Service Bill' Name: ❑ .. Grease Interceptor 0 .. Channelization 0 .. Trench Excavation ❑ .. Utility Undergrounding educt Water Meter Size Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip H:\Applications\Forms-Applications On Line\2011 Applications\Permit Application Revised - 8-9-11. docx Revised' August 2011 bh Page 3 of 4 Cash Register Receipt City of Tukwila DESCRIPTIONS I ACCOUNT QUANTITY PAID PermitTRAK $13,932.30 D14-0378 Address: 11664 44 AVE S Apn: 3347400690 $857.74 DEVELOPMENT $832.64 PERMIT FEE R000.322.100.00.00 0.00 $501.90 PLAN CHECK FEE R000.345.830.00.00 0.00 $326.24 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $25.10 TECHNOLOGY FEE R000.322.900.04.00 0.00 $25.10 D14-0379 Address: 4925 S 125TH ST Apn: 0179002840 $957.70 DEVELOPMENT $929.66 PERMIT FEE R000.322.100.00.00 0.00 $560.70 PLAN CHECK FEE R000.345.830.00.00 0.00 $364.46 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $28.04 TECHNOLOGY FEE R000.322.900.04.00 0.00 $28.04 D14-0380 Address: 12239 46TH AVE S Apn: 0179000830 $924.38 DEVELOPMENT $897.32 PERMIT FEE R000.322.100.00.00 0.00 $541.10 PLAN CHECK FEE R000.345.830.00.00 0.00 $351.72 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $27.06 TECHNOLOGY FEE R000.322.900.04.00 0.00 $27.06 D14-0381 Address: 12020 42ND AVE S Apn: 3347400290 $1,389.32 DEVELOPMENT $1,348.59 PERMIT FEE R000.322.100.00.00 0.00 $814.60 PLAN CHECK FEE R000.345.830.00.00 0.00 $529.49 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $40.73 TECHNOLOGY FEE R000.322.900.04.00 0.00 $40.73 D14-0382 Address: 12012 44TH AVE S Apn: 3347401060 $791.10 DEVELOPMENT $767.96 PERMIT FEE R000.322.100.00.00 0.00 $462.70 PLAN CHECK FEE R000.345.830.00.00 0.00 $300.76 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 Date Paid: Thursday, December 18, 2014 Paid By: PAMELA K KUEHL, KING COUNTY IN Pay Method: CREDIT CARD 015718 Printed: Thursday, December 18, 2014 12:17 PM 1 of 5 erWSYSTEMS Cash Register Receipt City of Tukwila Receipt Number DESCRIPTIONS PermitTRAK ACCOUNT I QUANTITY PAID $13,932.30 D14-0382 Address: 12012 44TH AVE S Apn: 3347401060 $791.10 TECHNOLOGY FEE $23.14 TECHNOLOGY FEE R000.322.900.04.00 0.00 $23.14 D14-0383 Address: 11836 44TH AVE S Apn: 3347401015 $991.02 DEVELOPMENT $962.00 PERMIT FEE R000.322.100.00.00 0.00 $580.30 PLAN CHECK FEE R000.345.830.00.00 0.00 $377.20 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $29.02 TECHNOLOGY FEE R000.322.900.04.00 0.00 $29.02 D14-0384 Address: 13007 57TH AVE S Apn: 2137000020 $857.74 DEVELOPMENT $832.64 PERMIT FEE R000.322.100.00.00 0.00 $501.90 PLAN CHECK FEE R000.345.830.00.00 0.00 $326.24 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $25.10 TECHNOLOGY FEE R000.322.900.04.00 0.00 $25.10 D14-0385 Address: 12404 50TH PL S Apn: 0179002265 $1,311.30 DEVELOPMENT $1,272.86 PERMIT FEE R000.322.100.00.00 0.00 $768.70 PLAN CHECK FEE R000.345.830.00.00 0.00 $499.66 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $38.44 TECHNOLOGY FEE R000.322.900.04.00 0.00 $38.44 D14-0386 Address: 11608 40TH AVE S Apn: 7340600140 $1,545.38 DEVELOPMENT $1,500.06 PERMIT FEE R000.322.100.00.00 0.00 $906.40 PLAN CHECK FEE R000.345.830.00.00 0.00 $589.16 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $45.32 TECHNOLOGY FEE R000.322.900.04.00 0.00 $45.32 Date Paid: Thursday, December 18, 2014 Paid By: PAMELA K KUEHL, KING COUNTY IN Pay Method: CREDIT CARD 015718 Printed: Thursday, December 18, 2014 12:17 PM 2 of 5 SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $13,932.30 D14-0387 Address: 1223146 AVE S Apn: 0179000840 $724.46 DEVELOPMENT $703.28 PERMIT FEE R000.322.100.00.00 0.00 $423.50 PLAN CHECK FEE R000.345.830.00.00 0.00 $275.28 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $21.18 TECHNOLOGY FEE R000.322.900.04.00 0.00 $21.18 D14-0388 Address: 4702 5 122 ST Apn: 3347401430 $1,129.22 DEVELOPMENT $1,096.14 PERMIT FEE R000.322.100.00.00 0.00 $661.60 PLAN CHECK FEE R000.345.830.00.00 0.00 $430.04 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $33.08 TECHNOLOGY FEE R000.322.900.04.00 0.00 $33.08 M14-0222 Address: 11664 44 AVE S Apn: 3347400690 $221.32 MECHANICAL $212.81 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $137.75 PLAN CHECK FEE R000.322.102.00.00 0.00 $42.56 TECHNOLOGY FEE $8.51 TECHNOLOGY FEE R000.322.900.04.00 0.00 $8.51 M14-0223 Address: 12239 46 AVE S Apn: 0179000830 $233.88 MECHANICAL $224.88 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $147.40 PLAN CHECK FEE R000.322.102.00.00 0.00 $44.98 TECHNOLOGY FEE $9.00 TECHNOLOGY FEE R000.322.900.04.00 0.00 $9.00 M14-0224 Address: 4925 S 125TH ST Apn: 0179002840 $246.42 MECHANICAL $236.94 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $157.05 PLAN CHECK FEE R000.322.102.00.00 0.00 $47.39 Date Paid: Thursday, December 18, 2014 Paid By: PAMELA K KUEHL, KING COUNTY IN Pay Method: CREDIT CARD 015718 Printed: Thursday, December 18, 2014 12:17 PM 3 of 5 rfSYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $13,932.30 M14-0224 Address: 4925 S 125TH ST Apn: 0179002840 $246.42 TECHNOLOGY FEE $9.48 TECHNOLOGY FEE R000.322.900.04.00 0.00 $9.48 M14-0225 Address: 12020 42ND AVE 5 Apn: 3347400290 $221.32 MECHANICAL $212.81 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $137.75 PLAN CHECK FEE R000.322.102.00.00 0.00 $42.56 TECHNOLOGY FEE $8.51 TECHNOLOGY FEE R000.322.900.04.00 0.00 $8.51 M14-0226 Address: 12012 44TH AVE S Apn: 3347401060 $233.88 MECHANICAL $224.88 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $147.40 PLAN CHECK FEE R000.322.102.00.00 0.00 $44.98 TECHNOLOGY FEE $9.00 TECHNOLOGY FEE R000.322.900.04.00 0.00 $9.00 M14-0227 Address: 11836 44TH AVE S Apn: 3347401015 $233.88 MECHANICAL $224.88 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $147.40 PLAN CHECK FEE R000.322.102.00.00 0.00 $44.98 TECHNOLOGY FEE $9.00 TECHNOLOGY FEE R000.322.900.04.00 0.00 $9.00 M14-0228 Address: 12404 50TH PL S Apn: 0179002265 $126.76 MECHANICAL $121.88 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $65.00 PLAN CHECK FEE R000.322.102.00.00 0.00 $24.38 TECHNOLOGY FEE $4.88 TECHNOLOGY FEE R000.322.900.04.00 0.00 $4.88 Date Paid: Thursday, December 18, 2014 Paid By: PAMELA K KUEHL, KING COUNTY IN Pay Method: CREDIT CARD 015718 Printed: Thursday, December 18, 2014 12:17 PM 4 of 5 SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $13,932.30 M14-0229 Address: 13007 57TH AVE S Apn: 2137000020 $221.32 MECHANICAL $212.81 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $137.75 PLAN CHECK FEE R000.322.102.00.00 0.00 $42.56 TECHNOLOGY FEE $8.51 TECHNOLOGY FEE R000.322.900.04.00 0.00 $8.51 M14-0230 Address: 11608 40TH AVE S Apn: 7340600140 $258.96 MECHANICAL $249.00 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $166.70 PLAN CHECK FEE R000.322.102.00.00 0.00 $49.80 TECHNOLOGY FEE $9.96 TECHNOLOGY FEE I R000.322.900.04.00 0.00 $9.96 M14-0231 Address: 1223146 AVE S Apn: 0179000840 $233.88 MECHANICAL $224.88 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $147.40 PLAN CHECK FEE R000.322.102.00.00 0.00 $44.98 TECHNOLOGY FEE $9.00 TECHNOLOGY FEE R000.322.900.04.00 0.00 $9.00 M14-0232 Address: 4702 S 122 ST Apn: 3347401430 $221.32 MECHANICAL $212.81 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $137.75 PLAN CHECK FEE R000.322.102.00.00 0.00 $42.56 TECHNOLOGY FEE $8.51 TECHNOLOGY FEE R000.322.900.04.00 0.00 TOTAL FEES PAID BY RECEIPT: R3797 $8.51 $13,932.30 Date Paid: Thursday, December 18, 2014 Paid By: PAMELA K KUEHL, KING COUNTY IN Pay Method: CREDIT CARD 015718 Printed: Thursday, December 18, 2014 12:17 PM 5 of 5 CRWSYSTEMS INSPECTION RECORD Retain a copy with permit DI V-(03212_ INSPECTIOli NO. PERMIT NO. CITY OF TUKVVILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 9818 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: 'Type \':-.01"11%-a 1.4 19/e- of Inspection: 11-'4 ha I -Address: iMiti L/6/-61 4-VeSt. Date Called: Special Instructions: Date Wanted: 13 - - a.m. 'Requester: 'Phone No: Approved per applicable codes. EJCorrections required prior to approval. tOMMENTS: inspector: Date: _ 13- ir REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100, Call to schedule reinspection. 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) 438-9350 0.) Project: . I 'Type Forimpt, Re5tartiC of Inspecton: Address: /7,0 /?., V ti fig A-tte, 5 0 , Date Called: Special Instructions: 444 Date Wanted: t( — T a.m. P.m. Requester: Phone No: Approved per applicable codes. D Corrections required prior to approval, COMMENTS: Inspector: DaT.e.,:2_ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100, Call to schedule reinspection. PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D14-0382 PROJECT NAME: FORHAN RESIDENCE SITE ADDRESS: 12012 44 AVE S DATE: 12/17/14 X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: Building Division Public Works n AO- v--p-1 Fire Prevention Structural Planning Division n Permit Coordinator PRELIMINARY REVIEW: Not Applicable (no approval/review required) REVIEWER'S INITIALS: DATE: 12/23/14 Structural Review Required DATE: APPROVALS OR CORRECTIONS: Approved Approved with Conditions Corrections Required ❑ Denied (ie: Zoning Issues) (corrections entered in Reviews) DUE DATE: 01/20/14 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 REGENCY NW CONSTRUCTIC TNC Page 1 of 2 Washington State Department of L/) Labor & Industries REGENCY NW CONSTRUCTION INC Owner or tradesperson FOOTE, BRIAN LEE Principals FOOTE, BRIAN LEE, PRESIDENT Doing business as REGENCY NW CONSTRUCTION INC WA UBI No. 601 696 917 PO BOX 6429 BELLEVUE, WA 98008 425-883-1301 KING County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor License specialties GENERAL License no. REGENNC041J5 Effective — expiration 04/25/1996— 03/02/2016 Bond TRAVELERS CAS & SURETY CO Bond account no. 103713311 Received by L&1 02/19/2002 Insurance ............................ Navigators Ins Co Policy no. sf13cg101922700 Received by L&I 02/11/2014 Insurance history Savings Active. Meets current requirements. $12,000.00 Effective date 02/20/2002 Expiration date Until Canceled $1,000,000.00 Effective date 02/20/2013 Expiration date 02/20/2015 No savings accounts during the previous 6 year period. (IT TT,T /l<1/!1/ls1nor Tl1 TN 1-, TI. TT.T/'1l\ Al Tr() CI A TX 7_ el inn innlA