HomeMy WebLinkAboutPermit D16-0246 - HOMEWOOD SUITES - REROOFHOMEWOOD SUITES
6955 FORT DENT WAY
D16-0246
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
2954900460 Permit Number: D16-0246
6955 FORT DENT WAY BLDG 4 Issue Date: 9/6/2016
Permit Expires On: 3/5/2017
Project Name: HOMEWOOD SUITES
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
APPLE EIGHT SPE TUKWILA INC
814 E MAIN ST, RICHMOND, WA,
23219
KYLE AAHL
3416 B ST NW, SUITE D , AUBURN,
WA, 98188
CENTIMARK CORPORATION
12 GRANDVIEW CIRCLE,
CANONSBURG, PA, 15317
CENTIC*099NZ
Phone: (206) 255-0920
Phone: (724) 743-7777
Expiration Date: 6/20/2017
DESCRIPTION OF WORK:
REROOF - REMOVE EXISTING DIMENTIONSAL SHINGLES. INSTALL 30 LB FELT PAPER. ICE AND WATER IN VALLEY
AND PEETRATIONS. INSTALL NEW 30 YEAR DIMENSIONAL SHINGLES PER MANUFACTURES SPECS.
Project Valuation: $0.00
Type of Fire Protection:
Sprinklers:
Fire Alarm:
Type of Construction:
Electrical Service Provided by: TUKWILA
Fees Collected: $144.15
Occupancy per IBC:
Water District: TUKWILA
Sewer District: TUKWILA
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:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
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:
Date:
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 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:
Print Name: c3 <151,
Date: 6S1C) %
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:
<NONE>
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700 BUILDING FINAL**
CITY OF TUKh
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Permit No. 171Q, ' DIA 1"
Project No.
Date Application Accepted:
Date Application Expires:
(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
r ^^ King Co Assessor's Tax No.: ZqS 1-190 O! 66
Site Address: C95 -5. -For+ Cleft Way Q Ic/ Li
Tenant Name: Noble Wend .St4;406
PROPERTY OWNER
Name: Lam/ (e Qa k I
Name: t
A _r7le Re 1 'h F =.: 1'14- rle
1
City: A C46�
State.• ,• IQ` Zip: R aro t
/V yl/
Address:
ply L. MA.vi
Email:
%rile. kid ece.fttDurk. cool
City: n State:
'�C,c kmanda.
Zip:
Z:cZ(q
CONTACT PERSON — person receiving all project
communication
Name: Lam/ (e Qa k I
Address. :314i6 n �. 1 Or. 5&;-6 b.
In
City: A C46�
State.• ,• IQ` Zip: R aro t
/V yl/
Phone: Fax:
206 Zss- of zo
Email:
%rile. kid ece.fttDurk. cool
GENERAL CONTRACTOR INFORMATION
Company Name: C&iJ : mar (_
Address: 3y16 q_ j. .,w.. SG; -1.e t
City: AN( lID �� State: wa Zip: vefo1
Phone:206 _ -072o Fax:
Contr Reg No.: CE wT.T. Lv Zp Date:
Tukwila Business License No.:
H:Wpplications\Forms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
bh
Suite Number:
Floor:
New Tenant: ❑ Yes ❑ .. No
ARCHITECT OF RECORD
Name:
Address:
Company Name:
Architect Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Name:
Address:
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:
Page 1 of 4
BUILDING PERMIT INFORMATI( 206-431-3670
Valuation of Project (contractor's bid price): $ 39/ () 5. en Existing Building Valuation: $
Describe the scope of work (please provide detailed information): IerylOye g._ - A OX Me/15;dnai $ti. rile.
,t511111 3o LR. F�-1�ppr. + C � + wa-�r- A Valley n ei-il e, $ . " rid
0; rvlpn5; fla 1 5 h:., e Per- Marl u 1od
Will there be new rack storage? ❑ ....Yes
❑ ..No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
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? 0 Yes 0 No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0 Sprinklers ❑ Automatic Fire Alarm 0 None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes 0 No
If `yes', attach list of materials and storage locations on a separate 8-1/2" x 1I " paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
0 On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
bh
Page 2 of 4
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1St Floor
2nd 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? 0 Yes 0 No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0 Sprinklers ❑ Automatic Fire Alarm 0 None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes 0 No
If `yes', attach list of materials and storage locations on a separate 8-1/2" x 1I " paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
0 On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
bh
Page 2 of 4
PUBLIC WORKS PERMIT INF( IATION — 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 0 ...Water District #125
❑ .. Water Availability Provided
Sewer District
0 .. Tukwila
0 .. Sewer Use Certificate
❑... Highline
❑ ...Valley View 0... Renton
❑ ...Sewer Availability Provided
0... Renton
0... Seattle
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 apply):
❑ .. Civil Plans (Maximum Paper Size — 22" x 34")
❑ .. Technical Information Report (Storm Drainage)
❑ .. Bond 0... Insurance 0... Easement(s)
Proposed Activities (mark boxes that apply):
❑ .. Right-of-way Use - Nonprofit for less than 72 hours
❑ .. Right-of-way Use - No Disturbance
❑ .. Construction/Excavation/Fill - Right-of-way ❑
Non Right-of-way 0
❑ .. Total Cut
❑ .. Total Fill
cubic yards
cubic yards
0 .. Sanitary Side Sewer
0 .. Cap or Remove Utilities
❑ .. Frontage Improvements
❑ .. Traffic Control
0 .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
0 .. Permanent Water Meter Size (1)
❑ .. Temporary Water Meter Size (1)
❑ .. Water Only Meter Size
❑ .. Sewer Main Extension Public 0
❑ .. Water Main Extension Public 0
O... Geotechnical Report
0... Maintenance Agreement(s)
❑ .. Traffic Impact Analysis
❑ .. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
❑ ... Right-of-way Use - Profit for less than 72 hours
0...Right-of-way Use — Potential Disturbance
0... Work in Flood Zone
0... Storm Drainage
0... Abandon Septic Tank
0... Curb Cut
0...Pavement Cut
0...Looped Fire Line
33
WO #
WO #
WO #
Private 0
Private 0
O... Grease Interceptor
❑ ... Channelization
❑...Trench Excavation
0...Utility Undergrounding
(2) " WO # (3) " WO #
(2) " WO # (3) " WO #
❑ .. Deduct Water Meter Size
FINANCE INFORMATION
Fire Line Size at Property Line
Number of Public Fire Hydrant(s)
0 .. Water 0 .. Sewer 0 .. Sewage Treatment
Monthly Service Billing to:
Name:
Mailing Address:
Day Telephone:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State
Zip
Day Telephone:
City
State
Zip
H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
bh
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 0 - NE' �1' O' ZED AGENT:
Signature:
Print Name:
Mailing Address: 3 t.6 B. <51- , 541:4e
f
H:'Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
bh
Day Telephone:
Date: 6Sp (6
Vim• `ftt
State Zip
Page 4 of 4
Cash Register Receipt
City of Tukwila
DESCRIPTIONS 1 ACCOUNT - QUANTITY
PermitTRAK
PAID
$144.15
D16-0246 Address: 6955 FORT DENT WAY BLDG 4 Apn: 2954900460
$144.15
DEVELOPMENT
$137.50
PERMIT FEE
R000.322.100.00.00
0.00
$133.00
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE
$6.65
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R9335
R000.322.900.04.00 0.00
$6.65
$144.15
Date Paid: Tuesday, September 06, 2016
Paid By: CENTIMARK CORPORATION
Pay Method: CREDIT CARD 010451
Printed: Tuesday, September 06, 2016 12:32 PM 1 of 1
CRWSYSTEMS
d
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:
kb/Oat-Mb
iMS
TypAof Inspection:
ISuW1-bi/4c- 1—/AAL
Address:
69%5
L/,
Date Called:
Special Instructions:
Pe ace
1
j'
�1
Date Wanted
J3 /6
/,'
a.m.
Requester:
it - +
Phone No:
206 -?3e -g29(
NApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Inspector:
Date: 0,//61
F-7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
CENTIMARK CORPORATION
Washington State Department of
I Labor & Industries
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CENTIMARK CORPORATION
Owner or tradesperson
Principals
DUNLAP, EDWARD B
RUDZIK, JOHN A
LIEKAR, JOHN P JR
URBANIC, JOSEPH
BUDKEY, BARRY L
FULTON, ROBERT
HAYS, PATRICIA L
Doing business as
CENTIMARK CORPORATION
WA UBI No.
601 200 502
12 GRANDVIEW CIRCLE
CANONSBURG, PA 15317
724-743-7777
Business type
Corporation
Governing persons
BARRY
L
BUDKEY
EDWARD B DUNLAP;
JOHN W GOLDING;
JOHN P LIEKAR JR;
JOHN A RUDZIK;
JOSEPH URBANIC;
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.
CENTIC*099NZ
Effective — expiration
08/09/1991— 06/20/2017
Bond
.................
WESTERN SURETY CO
Bond account no.
158965125
$12,000.00
Received by L&I Effective date
05/29/2009 05/21/2009
Expiration date
Until Canceled
Insurance
.............................
Arch Insurance Co
Policy no.
$2,000,000.00
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