HomeMy WebLinkAboutPermit D15-0107 - BANASKY HOWARD - CEILING AND WALLS INSULATIONHOWARD BANASKY
480 ANDOVER PARK E
D15-0107
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: 2623049093
Address: 480 ANDOVER PARK E
Project Name: HOWARD BANASKY
DEVELOPMENT PERMIT
Permit Number: D15-0107
Issue Date: 6/9/2015
Permit Expires On: 12/6/2015
Owner:
Name:
480 ANDOVER PARK EAST LLC
Address:
600 ANDOVER PARK E , SEATTLE, WA,
98188
Contact Person:
Name:
JIMMIE WILLIAMS
Phone: (206) 280-3049
Address:
218 MAIN ST#479, KIRKLAND, WA,
98033
Contractor:
Name:
SPECIALTY INSULATION NW
Phone: (206) 280-3049
Address:
218 MAIN ST, STE 479, KIRKLAND,
WA, 98033
License No:
AEC416
Expiration Date:
Lender:
Name:
SPECIALTY INSULATION NW
Address:
218 MAIN ST, STE 479, KIRKLAND,
WA, 98033
DESCRIPTION OF WORK:
INSULATE WAREHOUSE CEILING AND WALLS USING FIBERGLASS INSULATION AND FIRE RATED FACING
Project Valuation: $85,000.00 Fees Collected: $2,306.72
Type of Fire Protection: Sprinklers:
Fire Alarm:
Type of Construction: Occupancy per IBC:
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:
Channelization/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: Dater
1 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 re Ia'ti construction or the performance of work. I am authorized to sign and obtain this
development per it and ree to the conditions attached to this permit.
Signature: 9 Date:
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: 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: 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).
6: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center.
7: 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.
8: 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) 438-93SO
1700 BUILDING FINAL"
0603 ROOF/CEILING INSUL
0601 WALL INSULATION
h
CITY OF TU;>, ",LA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
ft://www.TukwilaWA.jzov
ov
SITE LOCATION
Site
Tenant Name:
Building Permit No.
Project No.
Date Application Accepted: �2
Date Application Expires: 7i
For )ffice 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"
PROPERTY
/OWNER
Name: fi QW 61I' .
j�
0 n Q S/� ` Of
Address: 6 67O nv
'Paft LDS
City: ru /` State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: t
f t
Address: a l
SW
maf*" 5k 5.��
City: /
`r K033
State: Zip:
Phone:
Phone.;? 0- 0 yR
Fax:
Email: l
�/ i 'w► Sf � � 'OI�tM d e G
v .1
GENERAL CONTRACTOR INFORMATION
Company Name: *�gre
` 1
Address: j �j , n T, S 9 79
r
City: -i h d State: t4) n Zip: o
Phone: � ax: 1�
Q O32 -
Contr Reg No. 3 p,661.i � 8 g 76Exp Date: _, 2J _ a 0 /�
FTukwila Business License No.: 6
King Co Assessor's Tax No.:
TH ' h Suite Number: Floor:
J ,+ g8/8g
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:
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095) / Name: ✓1 NO
Address:
212 a ° el S Skik YN
City: f c1 y^ State: W A Zip: Q 3_9
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Revised: February 2012 Page 1 of 4
BUILDING PERMIT INFORMATI_ - 206-431-36--70
Valuation of Project (contractor's bid price): $ J, 0 o ig Existing Building Valuation: $
Describe the /scope of work (please provide detailed information): 10 ;oi SG, �cr�,S e 420,re, of -Q cep
7� ton 1.5 M -7 r ca /ra S S l H SL-A (d o h t- , re l a /P j Pa c i P%Q
Will there be new rack storage? ❑ ....Yes U ••No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
Ex stLng
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
151Floor
SawGGi�ir
val mq,
2 nd Floor
P 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:
-ZOO..... Sprinklers ❑ .......Automatic Fire Alarm El ....... 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 Sa ety 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.
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Revised: February 2012 Page 2 of 4
,.I I PUBLIC WORKS PERMIT INOWATION — 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 ❑ ... Highline El ... Renton
❑ .. Water Availability Provided
Sewer District
❑ .. Tukwila ❑ ...Valley View ❑... Renton El ... 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 ap
❑ .. Civil Plans (Maximum Paper Size — 22" x 34"
❑ .. Technical Information Report (Storm Drainage) El ... Geotechnical Report El.. Traffic Impact Analysis
❑ .. Bond ❑... Insurance El ... Easement(s) El ... 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 El ... Right-of-way Use — Potential Disturbance
❑ .. Construction/Excavation/Fill - Right-of-way ❑
Non Right-of-way ❑
❑ .. Total Cut cubic yards
❑ .. Total Fill cubic yards
❑ .. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
❑ .. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑... Work in Flood Zone
El ... Storm Drainage
El ... Abandon Septic Tank
El ... Curb Cut
El ... Pavement Cut
El ... Looped Fire Line
❑ .. Permanent Water Meter Size (1) "
❑ .. Temporary Water Meter Size (1) "
❑ .. Water Only Meter Size........... "
❑ .. Sewer Main Extension............ Public ❑
❑ .. Water Main Extension............ Public ❑
FINANCE INFORMATION
Fire Line Size at Property Line _
❑ .. Water ❑ .. Sewer
Monthly Service Billing to:
Mailing
Water Meter Refund/Billine:
Mailing
WO # (2)
WO # (2)
WO#
Private ❑
Private ❑
❑ ... Grease Interceptor
❑ ... Channelization
❑ ... Trench Excavation
❑... Utility Undergrounding
WO # (3) WO #
WO # (3) WO #
❑ .. Deduct Water Meter Size "
Number of Public Fire Hydrant(s)
❑ .. Sewage Treatment
Day Telephone:
City
Day Telephone:
State Zip
City
State Zip
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Revised: February 2012 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 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
Signature:
OWAUTHORIZED AW
Print Name: / `✓P h4M r %t1 r� JM Day Telephone: wo 9
Mailing Address:_ �j / d
City State Zip
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Revised: February 2012 Page 4 of 4
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$1,426.46
D15-0107 Address: 480 ANDOVER PARK E
Apn: 2623049093
$1,426.46
DEVELOPMENT
$1,358.75
PERMIT FEE
R000.322.100.00.00
0.00
$1,354.25
WASHINGTON STATE SURCHARGE
8640.237.114
0.00
$4.50
TECHNOLOGY FEE
$67.71
TECHNOLOGY FEE
TOTAL
R000.322.900.04.00 0.00
$67.71
Date Paid: Tuesday, June 09, 2015
Paid By: JIMMIE WILLIAMS
Pay Method: CREDIT CARD 055317
Printed: Tuesday, June 09, 2015 2:53 PM 1 of 1 �{w�
U L.! "fSYS7EM5
Date Paid: Tuesday, May 12, 2015
Paid By: SPECIALTY INSULATION
Pay Method: CREDIT CARD 010817
Printed: Tuesday, May 12, 2015 2:08 PM 1 of 1
??U U SYSTEMS
rRA 4
INSPECTION RECORD 7
3 Retain a copy with permit �� D�� YID
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
P ject: � �pk
Xt )C QaS�
Type o I��ection: �
A�Mess: G P �
Date Caile
Special Instructions:
t�
Dater a rVe a.m.
t! `� p.m.
�-Irow l (
Pho�.nJ
0 (�Q
Approved per applicable codes. Corrections required prior to approval.
MENTS:
C7 v k A
Inspector: r Date:
r 1
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call. to schedule reinspection.
WNINSPECTION RECORD
Retain a copy with permitINSP PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350 �Q—-+
Pro'ect:
Type of Inspection:
Add ess:
Date Called:
Special Instructions:
Date antgd:_� �� a.m.
p.m.
Requester:
Phone No:
�inspector: �/'�_� luau/.^ r�
El 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: D15-0107
DATE: 05/12/15
PROJECT NAME: SAHALE SNACKS
SITE ADDRESS: 3411 S 120TH PL
X Original Plan Submittal Revision # before Permit Issued
Response to Correction Letter # Revision # after Permit Issued
DEPARTMENTS:
kT A, Wc, E—tcr-(N- W �0 0� C FL
Building Division ® Fire Prevention ® Planning Division
43� gk 00q
Public Works ® Structural ❑ Permit Coordinator
PRELIMINARY REVIEW: DATE: 5/14/2015
Not Applicable ❑ Structural Review Required ❑
(no approval/review required)
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
DATE:
DUE DATE: 6/11/2015
Approved ❑ Approved with Conditions ❑
Corrections Required ❑
(corrections entered in Reviews)
Notation:
REVIEWER'S INITIALS:
Denied ❑
(ie: Zoning Issues)
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
12/18/2013
SPECIALTY INSULATION NW LT C
Page 1 of 2
Home Inicio en Espanol Contact
Safety
Washington State Department of
Labor & Industries
SPECIALTY INSULATION NW LLC
Owner or tradesperson
Principals
WILLIAMS, JIMMIE R, PARTNER/MEMBER
UNITED STATES CORP AGENTS
INC, AGENT
Doing business as
SPECIALTY INSULATION NW LLC
WA UBI No.
603 145 127
License
A-L Index Help My Secure L&.I
Claims & Insurance Workplace Rights Trades & Licensing
218 MAIN ST SUITE 479
KIRKLAND, WA98033-6108
425-898-4390
KING County
Business type
Limited Liability Company
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor Active. .......................................................
Meets current requirements.
License specialties
Insulation and Acoustical
License no.
SPECIIN887C8
Effective — expiration
0212812012— 08/13/2016
Bond
Ironshore Indemnity Inc
$6,000.00
Bond account no.
SUR40002091
Received by L&I
Effective date
1011612014
10/06/2014
Expiration date
Until Canceled
Bond history
Insurance
MESA UNDERWRITERS SPECIALTY IN
$2,000,000.00
Policy no.
MP0046003003152
Received by L&I
Effective date
02/20/2015
02/20/2015
Expiration date
02/20/2016
Insurance history
Savings.
.N................o .
savings accounts during the previous 6 year period.
Lawsuits against the bond or savings
Cause no.
https:Hsecure.lni.wa.gov/verify/Detail.aspx?UBI=603145127&LIC=SPECIIN887C8&SAW= 6/2/2015
REVISIONS
No changes shall be made to the scope
i ....... I %��] REVISIONS
Ti tikwila Building Division. REV DE8CRIPnON
P ^T=: Ijavisions will require a new plan sub ii
Q a� M1'ndl rnniy in;,'I�;do additional p..an re,�Svf fcds.. W 4 11 S — ln3 fa %/ .St cK�
ply 000,J+ d644 9-2! JA4
ILe'l ss ?3
Face Wr»f' VVA
Jne i�c�i n9 'ta�e
the
)f a
480 Andover Park East
FIRST FLOOR PLANVIEW
SCALE: 1 /32" = V-011
ce �l h - r,.s fa 1 / k- 1/9 im
I,YISti Ja / o h w/
DATE APPROVED
FILE COPY w0f -�,ac2 wyof V%lk
Permit No. DID - 010-1
flew approval is subject to errors and omissions.
31 of construction documents does not authorize
ition of any adopted code or ordinance. Receipt
ved Field C py and conditi s is owledged:
By:
Date:
City of Tukwila
I Ili 1 S[!!tn :7101\1
4,p Wit(
REAVWED FOR
CODE COMPLIANCE
APPROVED
MAY 2 8 2015
.Ar� ?-?-
City of Tukwila
BUILDING DIVISION
/1' Mechanical
,Electrical
IfTplumbing
J3,16-as Piping
j City of Tukwila
.. C:V:
RECEIVED
CITY OF TUKWILA
MAY 12. 2015
PERMIT CENTER
N16. hi fA
UNLESS OD*ItYM SPEpFlm
OWENSIONS ARE IN INCHES
HEATCON COMPOSITE SYSTEMS -PHONE:
600 Andover Paris East FAX. (2
TOLERANCES ARE:
Seattle, Wo 98188-7610 Mnwxf
FRACTIONS DECIMALS
vu
XX
°007
HEATCON 480 BLDG
°° "°r s `""
INSULATION LAYOUT
J. BALINT
XXXXX
o.o
J. LOMBARD
xxxxx
B
I L480 — 01
J. LOMBARD
05-05-15
fw NO
575-1333
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