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Permit D15-0084 - LANG / MONTOYA RESIDENCES - GARAGE DEMOLITION
LANG-MONTOYA DEMOLITION 14720 59 AVE S D15-0084 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.Rov DEVELOPMENT PERMIT Parcel No: 3597000061 Permit Number: D15-0084 Address: 14720 59TH AVE S Issue Date: 5/4/2015 Permit Expires On: 10/31/2015 Project Name: LANG -MONTOYA DEMOLITION Owner: Name: MONTOYA DAVID+KELLY Address: 14720 59TH AVE S , TUKWILA, WA, 98168 Contact Person: Name: CARY LANG Address: 29815 24 AVE SW, FEDERAL WAY, WA, 98023 Contractor: Name: CARY LANG CONSTRUCTION INC Address: 29815 24TH AVE SW, FEDERAL WAY, WA, 98023-2300 License No: CARYLCI101OF Lender: Name: N/A LESS THAN $5,000 Address: , , , Phone: (206) 423-5055 Phone: (253) 661-6880 Expiration Date: DESCRIPTION OF WORK: DEMOLITION OF A 1324 SO. FT GARAGE Project Valuation: $4,500.00 Fees Collected: $324.62 Type of Fire Protection: Sprinklers: NO Fire Alarm: NO Type of Construction: VB Occupancy per IBC: U 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: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-46B: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Public Works Activities: Channel ization/Striping: Curb Cut/Access/Sidewalk: Fire Loop Hydrant: Flood Control Zone: Hauling/Oversize Load: Land Altering: Volumes: Cut: 0 Fill: 0 Landscape Irrigation: Sanitary Side Sewer: Number: 0 Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: No Permit Center Authorized Signature: " r ' �' Date: 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: / � ✓�Z,- -- Date: �'/7 - Print Name: 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: 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. 3: 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. 4: 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). 5: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 6: 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" 0101 PRE -CONSTRUCTION CITY OF TUKWILA Community Development Department • Public Works Department • Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.i,zov Building Permit No. I) IV% Project No. Date Application Accepted: — Date Application Expires: I o use 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.: 30:;L 00066 Site Address: ! © C e J ` -W� t Suite Number: Floor: Tenant Name: PROPERTY OWNER Name: C 4 && Address: IqFu 5 f CityTwkw ' State: R-A 7 Zip: f4t/r CONTACT PERSON — person receiving all project communication Name: v Address: 9 City: rP G'W &i�( State: �� Zip:7 Phone: 06 ��23 3 �S Email: Caj' 4+�► c /#7-O'kA-F ,"A—v I J GENERAL CONTRACTOR INFORMATION Co 2 any Name: s: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: 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: D L u Engineer Name: 18f 1� Address: 15,E.55 N taoygJyAt city;-M l� /� W,1 State: W ,_ Zip:?9 B r �7 Phone:rya Email: t C 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\2011 Applications\Permit Application Revised - 8-9-1I.docx Revised: August 2011 bh Pagel of 4 BUILDING PERMIT INFORMATION — 206-431-3670 Valuation of Project (contractor's bid price): $ f' Existing .Building Valuation: Describe the scope of work (please provide detailed information): geo,ol,,e- 13.2 qO Will there be new rack storage? ❑..... Yes YI.. 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 1" Floor 2" 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 ❑ .......No If `yes', attach list of materials and storage locations on a separate 8-112"x I I " 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:\Applio tions\Forms-Applications On Line\2011 ApplicationsTermit Application Re%rised - 8-9-1 I.docz Revised: August 2011 Page 2 of 4 bh 3/5/2015 King County Department of Assessments: eReal Property http:/finfo. ki ngcounty.gov/Assessor/eReal Property/Dashboard.aspx?Parcel N br=2025770340 2/2 PUBLIC WORKS PERMIT INFORMATION - 206-433-0179 Scope of Work (please provide detailed information): Call before you Dig: 811 Please refer to Public Works Bulletin #.l for fees and estimate sheet. Water District ❑ ...Tukwila El ... Water District #125 ❑ .. Highline ❑ . Renton ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ... Valley View ❑ .. Renton ❑ .. Seattle ❑ ...Sewer Use Certificate ❑... Sewer Availability Provided 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 apr ❑ ...Civil Plans (Maximum Paper Size —22" x 34") ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report El... Traffic Impact Analysis ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑ ...Hold Harmless — (SAO) ❑...Hold Harmless — (ROW) Proposed Activities (mark boxes that apply): ❑ ...Right-of-way Use - Nonprofit for less than 72 hours ❑ .. Right-of-way Use - Profit for less than 72 hours ❑ ...Right-of-way Use - No Disturbance ❑ .. Right-of-way Use — Potential Disturbance ❑ ...Construction/Excavation/Fill - Right-of-way ❑ Non Right-of-way ❑ ❑ ...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 ❑ ...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 # El . Water OnlyMeter Size............ " WO # El Water Meter Size " ❑ ...Sewer Main Extension.............Public ❑ Private ❑ ❑... Water Main Extension .............Public ❑ Private ❑ FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ... Water ❑ ...Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: City State Zip Water Meter Refund/Billing: Name: Day Telephone: Mailing Address: City State Zip H:\Appliwtions\Forms-Applications On Line\2011 Applications\Permit Application Revised - 8-9-1 I.docx Revised: August 2011 Page 3 of 4 bh 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 OW R AUTHOW Date: /✓ Print Name:. e�� !—J ft el (� !a�' �%' �"�G `` Day Telephone: 2-06 -7.0 Mailing Address: 2W/r 2`7 V t- , C 'tl City State Zip H:\Applications\Forms-Applications On Line\201 I Applications\Permit Application Revised - 8-9-1 Ldocx Revised: August 2011 Page 4 of 4 bh DESCRIPTIONS PermitTRAK • QUANTITY PAID $624.62 C15-0007 Address: 14720 59TH AVE S Apn: 3597000061 $300.00 PUBLIC WORKS $300.00 TRAFFIC CONCURRENCY R104.367.121.00.00 0.00 $300.00 D15-0084 Address: 14720 59TH AVE S Apn: 3597000061 $324.62 DEVELOPMENT $315.20 PERMIT FEE R000.322.100.00.00 0.00 $188.30 PLAN CHECK FEE R000.345.830.00.00 0.00 $122.40 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $9.42 TECHNOLOGY FEE TOTAL11 R000.322.900.04.00 0.00 $9.42 Date Paid: Wednesday, April 08, 2015 Paid By: CARY LANG CONSTRUCTION Pay Method: CREDIT CARD 03371G Printed: Wednesday, April 08, 2015 10:13 AM 1 of 1 r![ 7 SY57E/v15 INSPECTION RECORD er Retain a copy with permit k-5--o8 IVS—PIECTION NO. PERMIT NO. CITY OF TUKWILA BUILMNG DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Type of Insp ction. ?, I Address: �Av Date Called: Special Instructions: Date waswa. a.rn .3 p.rn, rReguestec Ca CAry c-kq A P h4 / 106 - 13 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Catt to schedule reinspection. AS INSPECTION RECORD Retain a copy with permit 0(.5� IN TON NO. PERMIT NO. CITY OF TUICWILA BUILDING DIVISION 6300 Southcenter Blvd.., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request- Line (206) 438-9350 Project. Q �e TyT of Inspection: / e--co &"-T t �dd resiT � Date Called: Special Instructions'. film Date a.m. �jfante&--- S p.m. Requester: P nne No: Iinspector: 4 a- S - I S — 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: D15-0084 DATE: 04/08/15 PROJECT NAME: LANG-MONTOYA DEMOLITION SITE ADDRESS: 14720 59 AVE S X Original Plan Submittal Revision # before Permit Issued Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: M nAwl, 4-q-< � � �.ui INdDivision ire Prevetion Plannin Division J, Qblic Works ��� Structural ❑ Permit Coordinator PRELIMINARY REVIEW: DATE: 04/09/15 Not Applicable ❑ Structural Review Required ❑ (no approval/review required) REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved x Corrections Required ❑ (corrections entered in Reviews) Notation: DATE: DUE DATE 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: 05/07/15 12/1812013 CARY LANG CONSTRUCTION T' T , Page 1 of 2 1-.tome; Inicio en Ispafiol C'ontac:t. Safety Washington State Department of Labor & Industries CARY LANG CONSTRUCTION INC Owner or tradesperson LANG, CARY MITCHEL Principals LANG, CARY MITCHEL, PRESIDENT LANG, JENNIFER ANN, SECRETARY Doing business as CARY LANG CONSTRUCTION INC WA UBI No. 601 231 391 License Search L&I A-% .Index Help My Secure I. &I Claims & Insurance Workplace Rights Trades & Licensing 29815 24TH AVE SW FEDERAL WAY, WA98023 253-661-6880 KING County Business type Corporation 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. CARYLCI101 OF Effective — expiration 09106/1990— 09/13/2016 Bond ................. DEVELOPERS SURETY & INDEM CO $12,000.00 Bond account no. 796451 C Received by L&I Effective date 09/10/2008 08/09/2008 Expiration date Until Canceled Insurance ......................... Developers Surety & Indem Co $1,000,000.00 Policy no. BIS000040607 Received by L&I Effective date 08/12/2014 09/10/2014 Expiration date 09/10/2015 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No Ui tax'debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=601231391 &LIC=CARYLCI 101 OF&SAW= 5/4/2015 L R a U t 1�1 r NG;p,,���G 777777 CURVE =: T ALE A URV C E L E N GTH RAD1 US . TANG NT E DELI" A . _Qi26.01 230, 1302 r 6'2 47 C2 > 18:89 230;:00 , �..45 4`42'19,1 tTYOFTUKW L : IA zo0. 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