HomeMy WebLinkAboutPermit D16-0150 - 14623 BUILDING / VACANT SPACE - SOUTHEAST CORNER DAMAGE REPAIRVACANT SPACE
14623 35TH AVE S
D16-0150
� 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.�ov
DEVELOPMENT PERMIT
Parcel No: 2044000015
Address: 14623 35TH AVE S
Project Name: VACANT SPACE
Owner:
Name: ISLAMIC COMMUNITY OF THE BO
Address: 20001 25TH AVE NE , SHORELINE, WA,
98155
Contact Person:
Name: NIHAD DOZIC
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
4704183 PL SW , LYNNWOOD, WA,
98037
AFFIDAVIT - NIHAD DOZIC
�
Address: , , ,
DESCRIPTION OF WORK:
Permit Number: D16-0150
Issue Date: 6/9/2016
Permit Expires On: 12/6/2016
Phone: (425) 420-4242
Phone:
Expiration Date:
REPAIR DAMAGE TO THE SOUTHEAST CORNER OF THE BUILDING DUE TO CAR RUNNING INTO IT. REFRAME WALL
AND FINISH INSIDE AND OUT. OUTSIDE FINISH WITH HARDI PANEL, INSIDE FINISH WITH DRYWALL
CE16-0100
Project Valuation: $4,000.00 Fees Collected: $181.64
Type of Fire Protection: Sprinklers:
Fire Alarm: YES
Type of Construction: VB Occupancy per IBC: B
Electrical Service Provided by: TUKWILA Water District: 125
Sewer District: VALLEY VIEW
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:
Public Works Activities:
2012 National Electrical Code:
2012 WA Cities Electrical Code:
2012 WAC 296-466:
2012 WA State Energy Code:
2012
2014
2014
2014
2012
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 Si nature: ��N"'"' � 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: / � Date: � � � � �
�
Print Name: � /I���
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 Buiiding Inspector until final inspection approval is granted.
4: Partition walls shall not be tied to a suspended ceiling grid. All partitions greater than 6 feet in height shall
be laterially braced to the building structure. Such bracing shall be independent of any ceiling splay
bracing.
5: Insulating materials, where expnsed 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: 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.
8: 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.
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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700 BUILDING FINAL**
0409 FRAMING
0502 LATH & GYPSUM
0601 WALL INSULATION
0413 WALL SHEATHING/SHEAR
�J�.rJ l LA _WqS
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CITY OF TUKh �..A
Community Deve[opment Department
Public Works Department
P2YiYlli CEYltBY
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA. �ov
SITE LOCATION
Building Permit No.
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**
King Co Assessor's Tax No.:
Site Address: �� � 4�J � � � �� � � Suite Number:
Tenant Name: i�ig-C'���f-
PROPERTY OWNER
Name: G R �
�U
Address: ��� n .}-�-� �v� � ��'
o�
City: �/_�,e %,n� State: W� Zip' G�g�s
l/I v-�
CONTACT PERSON — person receiving all project
communication
Name: . `� � � �
1" p
Address: �O � ..,� p� � �
/
City: ��/ State: �� Zip: dj���
Phone: ,Z�. �, ,Lax:
Email: l��� �-��/ � �S1V • �i�D'�L
GENERAL CONTRACTOR INFORMATION
Company Name:
Address: /
City: %State: Zip:
/
Phone: Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.:
Floor:
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:
Address:
City: State: Zip:
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BUILDING PERMIT INFORMATIG � 206-431-3670
. �—
Valuation of Project (contractor's bid price): $ �
Describe the scope of work (please provide detailed
Existing Building Valuation: $
�.��r �
t,✓ �i✓' `7 (,✓ i4'�''{ .. � �
Will there be new rack storage? ❑.... Yes �io If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
Addition to Type of Type of
Existing Construction per Occupancy per
Existin Interior Remodel Structure New IBC IBC
ls` Floor
2" Floor
3` 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 hazazdous materials in the building? ❑.......Yes ,��...�. No
If "yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including guantities 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.
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•'� PUBLIC WORKS PERMIT INFO ATION - 206-433-0179
Scope of Work (please provide detailed information): -�� �'?�{�Icl'r _ �'� �i Y�i' �P�
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑.. Tukwila ❑... Water District # 125 ❑... Highline
❑ .. Water Availability Provided
Sewer District
❑ .. Tukwila ❑ ...Valley View ❑... Renton
❑.. Sewer Use Certificate ❑...Sewer Availability Provided
❑... Renton
❑... Seattle
S�►tic Svstem•
0 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 Aaplication (mark boxes which aaplv):
❑.. Civil Plans (Maximum Paper Size – 22" x 34")
❑.. Technical Information Report (Storm Drainage) ❑... Geotechnical Report ❑.. Traffic Impact Analysis
❑ .. Bond ❑... Insurance ❑... Easement(s) ❑... Maintenance Agreement(s) ❑ .. Hold Harmless – (SAO)
❑ .. Hold Harmless – (ROW)
Proposed Activities (mark boxes that aaply):
❑.. 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
❑ .. 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
❑ ... Storm Drainage
❑... Abandon Septic Tank
❑... Curb Cut
❑... Pavement Cut
❑... Looped Fire Line
>,—
❑.. Permanent Water Meter Size (1) " WO #_
❑.. Temporary Water Meter Size (1) " WO #
❑.. Water Only Meter Size ........... " WO #
❑.. Sewer Main Extension............ Public ❑ Private ❑
❑.. Water Main Extension...........: Public ❑ Private ❑
FINANCE INFORMATION
Fire Line Size at Property Line _
❑ .. Water ❑ .. Sewer
Monthlv Service Billin�to:
Name:
Mailing Address:
Water Meter Refund/Billine:
Name:
Mailing Address:
❑... Grease Interceptor
❑ ... Channelization
❑ ... Trench Excavation
❑... Utility Undergrounding
(2) " WO # (3) " WO #
(2) " WO # (3) " WO #
_ ❑ .. Deduct Water Meter Size "
Number of Public Fire Hydrant(s)
❑ .. Sewage Treatment
Day Telephone:
c�cy
Day Telephone:
c;ry
State Zip
Sta[e Zip
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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 cunent 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 AUT$BR�ED AGENT:
Signature:
r
Date: � � Vl — 0 % � � �
Print Name: /U ��F4'j� �S ��''('i Day Telephone: �f 2� '– ��-� �-tu} 2
MailingAddress:__��%��-1 /��"'`�/ !' L S t-�J y�Nw�.� �-.%a¢ ��0,3'�
City State Zip
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Date Paid: Thursday, June 09, 2016
Paid By: NIHAD DOZIC
Pay Method: CHECK 163
Printed: Thursday, June 09, 2016 11:55 AM 1 of 1 �����
SYSTEMS
INSPECTION RECORD
� Retain a copy with permit .�° J�J �
INS ION N0. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION .
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
�Approved per applicable codes. � Corrections required p�ior to approval.
U 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 �� ����
IN ION N0. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
�Approved per applicable codes. a Corrections required prior to approval.
�._��
� 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 permrt �l�
INSP I O N N 0. P E R M I T N 0.
CITY OF TUKWILA BUILDING DIVISION .
6300 Southcenter Bivd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
� Approved per applicable codes. a Corrections required prior to approval.
� REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedute reinspection.
,f� INSPECTION RECORD , �, �'
7 Retain a copy with permit lS -C�1 �Q
ON N0. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 Q06) 431-3670
Permit Inspection Request Line (206) 438-9350
�Approved per applicable codes. �Gorrections required prior to approval.
Iinspector:/�� IDate:(O /�/� � I
� REINSPECTION FEE REQUIREQ. Prior to next inspection. fee must be
paid at 6300 Southcenter Btvd., Suite 100. Call to schedule reinspection.
�6=- r3'� Y�-
� � INSPECTION RECORD
Retain a copy with permit
INSPECTI N N0. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Ilnspector: P/r-/ (uate� � �, /� I
�-- r
� REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
�`�����"�'9iS CITYOF TUKWILA
�� j `� Depariment of Community Deueiopment
�E4 ,�0 6,30o Southcenter Boulevard, Tukwila, WA gSi88
`� `•�• i= Telephone: (206) 4,3i-36�o FAX (206) 431-3665
�''�"i908'f'� E-mail: tukpian(a�ci.tukwila.wa.us
Permit Center/Building Division
206 43i-36�o
Public Works Department
206 433-0179
Planning Division
206 43i-36�o
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO: J V
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
� � '� � � �./ � � � C , states as follows:
[please print name]
i. I have made application for a permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.2�.090 of the
Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW i8.2�.090.
3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the
City of Tukwila must verify either that the contractor is registered by the State of Washington, or that
one of the exemptions stated under RCW i8.2�.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW i8.2�.ogo,
I consider the work authorized under this permit to be exempt under number �, and will therefore
not be performed by a registered contractor.
5. I understand that the licensing provision of RCW i9.28.i6i through i9.28.2�i shall not apply to
persons making electrical installations on their own property or to regularly employed employees
working on the premises of their employer. The proposed electrical work is nat for the construction
of a new building for rent, sale or lease.
I understand that I may be waiving certain rights that I might otherwise have under state law in any decision
to engage an unregistered contractor to perform construction work.
LAURIE A. VNER�E
NOTARY PUBLIC
STATE OF Wq�{�NGTON
��M�SS�ON EXPIRES
MAY 29, 2018
�
Owner/Owner' gent*
Signed and sworn to before me this
_��' a� of ��c n� , 2o r(�
.
�._:" ,
�: ' �'L�%�C� � �'��-�/-�
I�TARY PUBLIC in and for the State of Washington
Residing at ��� ✓t C� , County
Name as commissioned: _I`CI�G�t ��� ;��C12���'
My commission expires: U� l�1��
18.2�.oqo Exemptions. The registration provisions of this chapter do not apply to:
i. An authorized representative of the United States
government, the state of Washington, or any incorporated
city, town, county, township, irrigation district, reclamation
district, or other municipal or political corporation or
subdivision of this state;
2. Officers of a court when they are acting within the scope
of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their own
business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground mine
or mineral deposit when performed by an owner or lessee;
5. The sale of any finished products, materials, or articles of
merchandise that are not fabricated into and do not become
a part of a structure under the common law of fixtures;
6. Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile/manufactured home retail dealer or
manufacturer licensed under chapter 46.�o RCW who shall
warranty service and repairs under chapter 46.�o RCW;
�. Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site or
reservation under the legal jurisdiction of the federal
government;
8. Any person who only furnished materials, supplies, or
equipment without fabricating them into, or consuming
them in the performance of, the work of the contractor;
9. Any work or operation on one undertaking or project by
one or more contracts, the aggregate contract price of
which for labor and materials and all other items is less
than five hundred dollars, such work or operations being
considered as of a casual, minor, or inconsequential nature.
The exemption prescribed in this subsection does not apply
in any instance wherein the work or construction is only a
part of a larger or major operation, whether undertaken by
the same or a different contractor, or in which a division of
the operation is made into contracts of amounts less than
five hundred dollars for the purpose of evasion of this
chapter or otherwise. The exemption prescribed in this
subsection does not apply to a person who advertises or
puts out any sign or card or other device which might
indicate to the public that he or she is a contractor, or that
he or she is qualified to engage in the business of
contractor;
io. Any construction or operation incidental to the
construction and repair of irrigation and drainage ditches
of regularly constituted irrigation districts or reclamation
districts; or to farming, dairying, agriculture, viticulture,
horticulture, or stock or poultry raising; or to clearing or
other work upon land in rural districts for fire prevention
purposes; except when any of the above work is performed
by a registered contractor;
ii. An owner* who contracts for a project with a registered
contractor, except that this exemption shall not deprive the
owner of the protections of this chapter against registered
and unregistered contractors. The exemption prescribed in
this subsection does not apply to a person who performs
the activities of a contractor for the purpose of leasing or
selling improved property he or she has owned for less than
twelve months;
i2.* Any person working on his or her own property,
whether occupied by him or her or not, and any person
working on his or her personal residence, whether owned
by him or her or not but this exemption shall not apply to
any person who performs the activities of a contractor on
his or her own property for the purpose of selling,
demolishing, or leasing the property;
i3. An owner* who performs maintenance, repair, and
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
i4. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of the
state of Washington or licensed by a political subdivision of
the state of Washington while operating within the
boundaries of such political subdivision. The exemption
provided in this subsection is applicable only when the
person certified is operating within the scope of his or her
certification;
i5. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
i6. Contractors on highway projects who have been
prequalified as required by RCW 47.28.0�0, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
i�. A mobile/manufactured home dealer or manufacturer
who subcontracts the installation, set-up, or repair work to
actively registered contractors. This exemption only applies
to the installation, set-up, or repair of the
mobile/manufactured homes that were manufactured or
sold by the mobile/manufactured home dealer or
manufacturer;
i8. An entity who holds a valid electrical contractor's
license under chapter i9.28 RCW that employs a certified
journeyman electrician, a certified residential specialty
electrician, or an electrical trainee meeting the
requirements of chapter i9.28 RCW to perform plumbing
work that is incidentally, directly, and immediately
appropriate to the like-in-kind replacement of a household
appliance or other small household utilization equipment
that requires limited electric power and limited waste
and/or water connections. An electrica] trainee must be
supervised by a certified electrician while performing
plumbing work.
* Per Washington State Department of Iabor and Industries lessee has
been interpreted to be equivalent to owner for purposes of exemptions.