HomeMy WebLinkAboutPermit D15-0295 - AZTECA MEXICAN RESTAURANT - REROOFAZTECA M CAN
17555 SO Url IIHCENTER PKMTY
D15-0295
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
Parcel No: 2623049134 Permit Number: D15-0295
Address: 17555 SOUTHCENTER PKWY Issue Date: 11/23/2015
Permit Expires On: 5/21/2016
Project Name: AZTECA MEXICAN RESTAURANT
Owner:
Name:
RAMOS PROPERTIES L L C
Address:
133 SW 158TH ST, BURIEN, WA,
98166
Contact Person:
Name:
JOSE RODRIGUEZ
Phone: (206) 601-3850
Address:
12656 10TH AVE S , SEATTLE, WA,
98188
Contractor:
Name:
GREEN VALLEY CONSTRUCTION
Phone: (425) 750-9940
Address:
6322 64T PL NE, MARYSVILLE, WA,
98270-5303
License No:
GREENVC882ME
Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
REROOF - REAPIR A LEAK AND AN AREA OF 3' BY 5', REPLACE PLYWOOD CDX 1/2", TORCH DOWN AND REPLACAE
FLASHING AS NEEDED.
Project Valuation: $700.00 Fees Collected: $81.78
Type of Fire Protection: Sprinklers:
Fire Alarm:
Type of Construction: Occupancy per IBC:
Electrical Service Provided by: TUKWILA FIRE SERVICE Water District: HIGHLINE
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 296-4613:
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
i �
�Yp
Permit Center Authorized Signature: 4Date:
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 aD4 agree to the conditions attached to this permit.
Signature:
_T--
Print Name: mliycfe.
Date: V( Z
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: Readily accessible access to roof mounted equipment is required.
5: Insulating materials, where exposed as installed in buildings of any type of construction, shall have a
flame spread index of not more than 25 and a smoke development index of not more than 450. Where
facings are installed in concealed spaces in buildings of Type III, IV, or V construction, the flame spread
and smoke -developed limitations do not apply to facings, that are installed behind and in substantial
contact with the unexposed surface of the ceiling, wall or floor finish.
6: All construction shall be done in conformance with the Washington State Building Code and the
Washington State Energy Code.
7: All wood to remain in placed concrete shall be treated wood.
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"
-« 0—
CITY OF TUALA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
ho://www.TukwilaWA.gov
SITE LOCATION
Building Permit No. 9 1,5 " o
Project No.
Date Application Accepted:
Date Application Expires: ` ��—) ([/
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"
\ 1 �ji King Co Assessor's Tax No.:.
Site Address: � 77 1 55 5 �IJq-\3n ce,4ed 1 OlVSuite Number: Floor:
Tenant Name: "ROLMO--, &Ak f s LU - A-Af-QU YU iCcx.n RC i New Tenant: ❑ ..... Yes �] .. No
PROPERTY OWNER
Name: n �CT�,)
-
Address: j %S�rj \,� � pj
City. . CUO(x State: VIA ztp:'�18k
CONTACT PERSON — person receiving all project
communication
Name: Todn 1
Address: tZ��o Io N A U) S
City:
i State: \,/)a Zip:
Phone: Go j_ Fax:
Email:
GENERAL CONTRACTOR INFORMATION
Company Name: C (0?,W Wit,
i
LL
Address: &3 2`` 2 boy *ro
City: & $V111 State: \IVA Zip: IF2,10
Phone: 206. 60 j _ 3g50 Fax:
Contr Reg No.:Cc q9t-Nvc&,r611% Exp Date: -11 %201 fo
Tukwila Business License 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:
Address:
City: State: Zip:
H:Wpplications\Forms-Applications On Line\2012 ApplicationsTermit Application Revised - 2-7-12.docx
Revised: February 2012
Page 1 of 4
BUILDING PERMIT INFORMATIC 206-431-3670
Valuation of Project (contractor's bid price): $ ilW\y ® �� / 1f. Existing Building Valuation: $ \/ 000 10 ob
Describe the scope of work (please provide detailed information):_—yJ 4-4 avid re-mi,( a Ip—QiC , ar\ Qe-q
Will there be new rack storage? ❑ .... Yes V.- 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
I" Floor
2"d 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 8): 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 El ....... None El ....... 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 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.
H:Wpplications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012 Page 2 of 4
; I PUBLIC WORKS PERMIT INFO _4ATION — 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 ❑... 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 aor
❑ .. Civil Plans (Maximum Paper Size — 22" x 34")
❑ .. Technical Information Report (Storm Drainage) El ... Geotechnical Report ❑ .. Traffic Impact Analysis
❑ .. Bond ❑... insurance ❑... Easement(s) ❑... Maintenance Agreement(s) ❑ .. Hold Harmless — (SAO)
E1.. Hold Harmless — (ROW)
Proposed Activities (mark boxes that apply):
❑ .. Right-of-way Use - Nonprofit for less than 72 hours El ... Right-of-way Use - Profit for less than 72 hours
❑ .. Right-of-way Use - No Disturbance ❑... Right-of-way Use — Potential Disturbance
❑ .. Con struction/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
El ... Work in Flood Zone
❑ ... Storm Drainage
El ... Abandon Septic Tank
[I ... Curb Cut
El ... Pavement Cut
... Looped 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:
Name:
Mailing
Water Meter Refund/Billing:
Mailing
❑ ... Grease Interceptor
❑... Channelization
... Trench Trench Excavation
... Utility Utility Undergrounding
WO # (2) WO # (3) WO #
WO # (2) WO # (3) WO #
WO # E1.. Deduct Water Meter Size "
Private ❑
Private ❑
Number of Public Fire Hydrant(s)
❑ .. Sewage Treatment
Day Telephone:
City
Day Telephone:
State Zip
City
State Zip
H:\Applications\Forms-Applications On Line\2012 ApplicationsTemit Application Revised - 2-7-12.docx
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 OWNER(OR ANW.ORIZED AGENT:
Date: it /_5
Print Name: cJO I fO K IUC UVA Day Telephone: ` -_ f j
Mailing Address: �� /Q Tµ saa `W h TF/K-L
City State Zip
H:\Applications\Forms-Applications On Line\2012 ApplicationsTermit Application Revised - 2-7-12.docx
Revised: Febmary 2012
Page 4 of 4
DESCRIPTIONS•
PermitTRAK
QUANTITY
PAID
$81.78
D15-0295 Address: 17555 SOUTHCENTER PKWY
Apn: 2623049134
$81.78
DEVELOPMENT =
$78.10
PERMIT FEE
R000.322.100.00.00
0.00
$73.60
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE
$3.68
TECHNOLOGY FEE
TOTAL
R000.322.900.04.00 0.00
$3.68
Date Paid: Monday, November 23, 2015
Paid By: GREEN VALLEY CONSTRUCTION
Pay Method: CREDIT CARD 05799Z
Printed: Monday, November 23, 2015 8:29 AM 1 of 1
. _ WY57EMS
��Q
,? 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
Project: ,� �
Type of In&ec`��
Address: /
DateCalled:
`"kilk
A I e-Gz1,1
/
Special Instructions:
Date Wan d.-a.m.
Requester:
Phone No:
p® roved per applicable codes. LJ Corrections required prior to approval.
paid at 6300 Southcenter Blvd., Suite 100. Catl to schedule reinspection.
Green Valley Construction LLC
Page 1 of 2
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Safety
Washington State Department of
Labor & Industries
Green Valley Construction LLC
Owner or tradesperson
Principals
Sierra Villanueva, Delfino, PARTNER/MEMBER
Rodriguez, Jose
Trinidad, PARTNER/MEMBER
Calderon Aguilar, Miguel
A, PARTNER/MEMBER
Sierra Villanueva, Delfino, AGENT
Doing business as
Green Valley Construction LLC
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6322 64th PI NE
MARYSVILLE, WA98270
425-750-9940
SNOHOMISH County
WA UBI No. Business type
603 201 616 Limited Liability Company
Governing persons
DELFINO
SIERRA
JOSE TRINIDAD RODRIGUEZ SIERRA;
MIGUEL CALDERON:
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.
GREENVC882ME
Effective — expiration
07/05/2012— 07/08/2016
Bond
........_.......
American Contractors Indem CO
$12,000.00
Bond account no.
100199620
Received by L&I
Effective date
07/05/2012
07/02/2012
Expiration date
Until Canceled
Insurance
..........................
INTERNATIONAL INSURANCE COMPAN
$1,000,000.00
Policy no.
IG01100203502
Received by L&I
Effective date
07/08/2015
07/02/2015
Expiration date
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=603201616&LIC=GREENVC882ME&SAW= 11/23/2015
Green Valley Construction LLC
IiM11311 I111
Page 2 of 2
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 L & I' tax debts are recorded for this contractor license during the previous 6 year period, but some debts
may be recorded by other agencies.
License Violations
No license violations during the previous 6 year period.
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
This company has multiple workers' comp accounts.
Active accounts
L&I Account ID Call L&I account representative for
236,708-01 account status.
Doing business as
GREEN VALLEY CONSTRUCTION LLC
Estimated workers reported
Incomplete premium report received.
L&I account representative
Collections Dialer Unit, 800-301-1826 - Email: dialercollections@Lni.wa.gov
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=603201616&LIC=GREENVC882ME&SAW= 11/23/2015