HomeMy WebLinkAboutPermit D16-0319 - BORELLI - RESIDENTIAL STRUCTURE DEMOLITIONBORRELLI LLC
4404 S 133 ST
D16-0319
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
2613200134
4404 S 133RD ST
Project Name: BORELLI, LLC
DEVELOPMENT PERMIT
Permit Number: D16-0319
Issue Date: 1/4/2017
Permit Expires On: 7/3/2017
Owner:
Name:
Address:
BORRELLI REAL ESTATE INVEST
4404 S 133RD ST, TUKWILA, WA,
98168
Contact Person:
Name: CLINTON JOHNSON
Address: PO BOX 1908 , ISSAQUAH, WA, 98027
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
OWNER AFFIDAVIT ON FILE
! ! /
OWNER
,
Phone: (503) 680-7601
Phone:
Expiration Date:
DESCRIPTION OF WORK:
DEMO OF RESIDENTIAL STRUCTURE AND CAP SEWER
Project Valuation: $13,350.00
Type of Fire Protection: Sprinklers: NO
Fire Alarm: NO
Type of Construction: VB
Electrical Service Provided by: TUKWILA
Fees Collected: $902.67
Occupancy per IBC:
Water District: 125
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: 07 4c-7/(2
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 a ree to the conditions attached to this permit.
Signature:
Print Name:
Date: (II /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: All trees to be retained in the stream corridor are to be flagged and fenced off from the construction zone
prior to the removal of any structures. Fencing should be placed at the drip line of the trees to ensure the
tree roots are protected from damage from compaction. Chain link fencing should be used rather than
plastic.
2: ***PUBLIC WORKS PERMIT CONDITIONS***
3: The applicant or contractor must notify the Public Works Inspector at (206) 433-0179 upon commencement
and completion of work at least 24 hours in advance. All inspection requests for utility work must also be
made 24 hours in advance.
4: Prior to construction, all utilities in the vicinity shall be field located. NOTE: For. City of Tukwila utility
locates, call 811 or 1-800-424-5555.
5: Permit is valid between the weekday hours of 7:00 a.m. and 10:00 p.m. only. Coordinate with the Public
Works Inspector for any work after 5:00 p.m. and weekends.
6: No work under this permit during weekend hours without prior approval by Public Works. Coordinate with
the Public Works Inspector.
7: Work affecting traffic flows shall be closely coordinated with the Public Works Inspector. Traffic Control
Plans shall be submitted to the Inspector for prior approval.
8: Flagging, signing and coning shall be in accordance with MUTCD for Traffic Control. Contractor shall
provide certified flagmen for traffic control. Sweep or otherwise clean streets to the satisfaction of Public
Works each night around hauling route (No flushing allowed). Notify Public Works Inspector before 12:00
Noon on Friday preceding any weekend work.
9: Any material spilled onto any street shall be cleaned up immediately.
10: Temporary erosion control measures shall be implemented as the first order of business to prevent
sedimentation off-site or into existing drainage facilities.
11: The site shall have permanent erosion control measures in place as soon as possible after final grading has
been completed and prior to the Final Inspection.
12: Sewer and water utilities shall be plugged at the mains if they are to be abandoned. If they will be used
again in the near future for a new building, they shall be capped at the property line and at the water meter
respectively.
Contact the Valley View Sewer District at (206) 242-3236 for sanitary sewer capping requirements.
13: ***BUILDING PERMIT CONDITIONS***
14: 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.
15: 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.
16: All construction shall be done in conformance with the Washington State Building Code and the
Washington State Energy Code.
17: 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.
18: 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**
5200 EROSION MEASURES
5210 EROSION MEASURES FNL
1600 PUBLIC WORKS FINAL
CITY OF TUK►. _A
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Permit No. NV'
0� V1
Project No.
Date Application Accepted: 1 \2- \t10
Date Application Expires: \'2-1 \ (1
(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
King Co Assessor's Tax No.: Z(t) 132.0 , O l 31-i
Site Address: 'I'1O � S etrik 133 ra $+ 1-4w; T 1,; Ion WA 9 %I (og Suite Number: k) r � Floor: N I A
Tenant Name: ex r r-eAVI, LLC New Tenant: ❑ Yes ( . No
PROPERTY OWNER
Company Name:
Name: Borrtg.
I.LC
Address: 1
0.
3020 ,t►i'e,rurban
kte. S.
City: Tv vC W %\ A.
�y I �j
State: W h Zip: 9 0Ib 0
CONTACT PERSON - person receiving all project
communication
Company Name:
Name: CII, FA n JD /n S 0 n
Address: t• f c I5 Ce. € r S.
Address: p. 0. () O L I'og.
Phone:(752) it7t¢ .1utii1 Fax: (153)474_6153
553) 47 ' O 1V'53
City: 15561/41%, N't'l State: ` IA Zip:6
W 1
0 1027
Phone: 50 3 6%O 7(9 0\ Fax:
Zip:
Email: _ C t`% AkrOr1,'C @ G (140.11 .c one)
GENERAL CONTRACTOR INFORMATION
Company Name:
Address:
Address: t• f c I5 Ce. € r S.
City: 1 CA CO m Ct. State: `_ I ^ Zip:901 !
Phone:(752) it7t¢ .1utii1 Fax: (153)474_6153
553) 47 ' O 1V'53
City:
State:
Zip:
Phone:
Fax:
Phone:
Fax:
Contr Reg No.:
Email:
Exp Date:
Tukwila Business License No.:
F1:\Applications\Forms-Applications On Line12012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
bh
ARCHITECT OF RECORD
Company Name: Stis
S Aga H.11'En&Aeers 1n
,
Architect Name: La r r L 'i n c� e.,\
Address: t• f c I5 Ce. € r S.
City: 1 CA CO m Ct. State: `_ I ^ Zip:901 !
Phone:(752) it7t¢ .1utii1 Fax: (153)474_6153
553) 47 ' O 1V'53
Email: lc rrl1;nOe..t @s:* s -ksII-enoy;nerrs.ca
ENGINEER OF RECORD
Name: Orar
Company Name:
C ASL. ASAr(k: Te.ck
Engineer Name:
St it 60,,..e__ Ov
J
Address:
City:
City:
State:
Zip:
Phone:
Fax:
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name: Orar
own2.r
T %AcVNC2�
Address:
City:
State: Zip:
Page 1 of 4
BUILDING PERMIT INFORMATI( 206-431-3670
Valuation of Project (contractor's bid price): $ ) 0'.50 Existing Building Valuation: $
Describe the scope of work (please provide detailed information):
e_ b G -I-; on o4' eXt5Ti"t j rCs1()CA'f'ial
( 56kten(_Ic uk" 60 t(c) t 5
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 No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0 Sprinklers 0 Automatic Fire Alarm ❑ None
x
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 8-1/2"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 ApplicationsWermit Application Revised - 2-7-I2.docx
Revised: February 2012
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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 No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0 Sprinklers 0 Automatic Fire Alarm ❑ None
x
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 8-1/2"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 ApplicationsWermit Application Revised - 2-7-I2.docx
Revised: February 2012
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Page 2 of 4
PUBLIC WORKS PERMIT INF( IATION — 206-433-0179
Scope of Work (please provide detailed information):
e.6140o� ex;�4- i resIaeM- d Sk uckut•t.5 only
$ e...0.342-1--- •
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
W ter District
.. Tukwila ❑ ...Water District #125
❑ .. Water Availability Provided
Se er District
.. Tukwila
❑ ... Highline
0 ...Valley View 0...Renton
❑ .. Sewer Use Certificate ❑ ...Sewer Availability Provided
❑... Renton
0... Seattle
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.
Su mitted with Application (mark boxes which apply):
. Civil Plans (Maximum Paper Size — 22" x 34")
❑ .. Technical Information Report (Storm Drainage)
0 .. Bond ❑...Insurance ❑... Easement(s)
Proposed Activities (mark boxes that apply):
❑ .. Right-of-way Use - Nonprofit for less than 72 hours
0 .. Right-of-way Use - No Disturbance
❑ .. Construction/Excavation/Fill - Right-of-way 0
Non Right-of-way 0
❑ .. Total Cut
❑ .. Total Fill
cubic yards
cubic yards
❑ .. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
❑ .. Frontage Improvements
0 .. Traffic Control
0 .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑... Geotechnical Report
❑ ... Maintenance Agreement(s)
❑ .. Traffic Impact Analysis
❑ .. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
0... Right-of-way Use - Profit for less than 72 hours
❑ ... Right-of-way Use — Potential Disturbance
0...Work in Flood Zone
❑... Storm Drainage
0... Abandon Septic Tank
❑...Curb Cut
0...Pavement Cut
0...Looped Fire Line
❑ .. Permanent Water Meter Size (1)
❑ .. Temporary Water Meter Size (1)
0 .. Water Only Meter Size
❑ .. Sewer Main Extension Public 0 Private 0
❑ .. Water Main Extension Public 0 Private 0
31
WO #
WO #
WO #
0...Grease Interceptor
❑ ... Channelization
O ... 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
0 .. Water 0 .. Sewer
Monthly Service Billing to:
Name:
Number of Public Fire Hydrant(s)
❑ .. Sewage Treatment
Day Telephone:
Mailing Address:
City
Water Meter Refund/Billing:
Name:
Mailing Address:
State
Zip
Day Telephone:
City
State
Zip
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Revised: February 2012
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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 TH T I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJU Be THE WS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWE ORIZED A(4ENT:
Signature:I 11111P Date: I /1 �� b
Print
C is on 304A3on
Mailing Address: P. o . b O x \ °l O
H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
hh
Day Telephone:
co 3 - (9 c -7(
155&Iv JA 1Uz 7
City State Zip
Page 4 of 4
BULLETIN A2
TYPE C PERMIT FEE ESTIMATE
PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION
PW may adjust estimated fees
PROJECT NAME &)R( LLT DEcuLITZON PERMIT # b/6 -0;i9
(�
4-4•014 S. %'3r e) 54%)
If you do not provide contractor bids or an engineer's estimate with your permit
application, Public Works will review the cost estimates for reasonableness and may adjust
estimates.
1. APPLICATION BASE FEE $250 (1)
2. Enter total construction cost for each improvement category:
Mobilization
Erosion prevention / 0 00
Water/Sewer/Surface Water (i 500
Road/Parking/Access
A. Total Improvements 2) 5 o o
3. Calculate improvement -based fees:
B. 2.5% of first $100,000 of A.
C. 2.0% of amount over $100,000, but less than $200,000 of A.
D. 1.5% of amount over $200,000 of A.
4. TOTAL PLAN REVIEW FEE (B+C+D) $ 62. - (4)
42.5o
5. Enter total excavation volume cubic yards
Enter total fill volume cubic yards
Use the following table to estimate the grading plan review fee. Use the
greater of the excavation and fill volumes.
QUANTITY IN CUBIC
YARDS
RATE
Up to 50 CY
Free
51
— 100
$23.50
101
— 1,000
$37.00
1,001
— 10,000
$49.25
10,001
— 100,000
$49.25 for 1ST 10,000,
PLUS $24.50 for each additional 10,000 or fraction thereof.
100,001 —200,000
$269.75 for 1ST 100,000,
PLUS $13.25 for each additional 10,000 or fraction thereof.
200,001 or more
$402.25 for 1ST 200,000,
PLUS $7.25 for each additional 10,000 or fraction thereof.
GRADING Plan Review Fees
$ (5)
TOTAL PLAN REVIEW FEE DUE WITH PERMIT APPLICATION
(1+4+5) $ 312,
The Plan Review and Approval fees cover TWO reviews: 1) the first review associated with the submission of the
application/plan and 2) a follow-up review associated with a correction letter. Each additional review, which is
attributable to the Applicant's action or inaction shall be charged 25% of the Total Plan Review Fee.
Approved 09.25.02
Last Revised 01/15/16
1
BULLETIN A2
TYPE C PERMIT FEE ESTIMATE
PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION
PW may adjust estimated fees
6. Permit Issuance/Inspection Fee (B+C+D)'
7. Pavement Mitigation Fee
$ (2 , 5 (6)
The pavement mitigation fee compensates the City for the reduced life span due to removal of
roadway surfaces. The fee is based on the total square feet of impacted pavement per lane and
on the condition of the existing pavement. Use the following table and Bulletin 1B to estimate
the pavement mitigation fee.
Approx.
Remaining Years
Pavement Overlay and
Repair Rate
(per SF of lane width)
20-15 (100%)
$10.00
15-10 (75%)
$7.50
10-7 (50%)
$5.00
7-5 (33%)
$3.30
5-2 (25%)
$2.50
2-1 (10%)
$1.00
0-1
$0.00
8. GRADING Permit Issuance/Inspection Fee
Grading Permit Fees are calculated using the following table. Use
the greater of the excavation and fill volumes from Item 5.
QUANTITY IN CUBIC
YARDS
RATE
50 or less
$23.50
51
—100
$37.00
101
— 1,000
$37.00 for 1St 100 CY
plus $17.50 for each additional 100 or
fraction thereof.
1,001— 10,000
$194.50 for 1St 1000 CY
plus $14.50 for each additional 1,000 or
fraction thereof.
10,001 — 100,000
$325.00 for the 1St 10,000 CY
plus $66.00 for each additional 10,000 or
fraction thereof
100,001 or more
$919.00 for lst 100,000 CY
plus $36.50 for each additional 10,000 or
fraction thereof.
9. Technology Fee (5% of 6+8)
Approved 09.25.02
Last Revised 01/15/16
2
(7)
(8)
$ . \')) (9)
f
BULLETIN A2
TYPE C PERMIT FEE ESTIMATE
PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION
PW may adjust estimated fees
10. TOTAL OTHER PERMITS
A. Water Meter — Deduct ($25)
B. Flood Control Zone ($52.50 — includes Technology Fee)
C. Water Meter — Permanent*
D. Water Meter — Water only*
E. Water Meter — Temporary*
* Refer to the Water Meter Fees in Bulletin Al
Total A through E $ (9)
11. ADDITIONAL FEES
A. Allentown Water (Ordinance 1777) $
B. Allentown Sewer (Ordinance 1777) $
C. Ryan Hill Water (Ordinance 1777) $
D. Allentown/Foster Pt Water (Ord 2177) $
E. Allentown/Foster Pt Sewer (Ord 2177) $
F. Special Connection (TMC Title 14) $
G. Duwamish $
H. Transportation Mitigation $
I. Other Fees $
Total A through I $ (10)
DUE WHEN PERMIT IS ISSUED (6+7+8+9+10+11) $ b J . C"))
ESTIMATED TOTAL PERMIT ISSUANCE AND INSPECTION FEE
This fee includes two inspection visits per required inspection. Additional inspections (visits)
attributable to the Permittee's action or inaction shall be charged $60.00 per inspection.
WATER METER FEE
Permanent and Water Only Meters
Size
(inches)
Installa 'on
Cascade Water Alliance
RCFC
01.01.2016 -12. . 016
Total Fee
0.75
$625
$.•i
$6630
1
$1125
'. 5,012.50
$16,137.50
1.5
$2425
'.30,025
$32,450
2
$2825
$4: 140
$50,865
3
$4425
$96,0: t
$100,505
4
$782
$150,125
$157,950
6
$ 25
$300,250
$312,775
Approved 09.25.02
Last Revised 01/15/16
Temporary Meter
0.75"
$300
2.5"
$1,500
327/IN
r-
,NAILA_11,44,
4o ti
Q �
2908
Cash Register Receipt
City of Tukwila
Receipt Number
R10287
DESCRIPTIONS
PermitTRAK
I ACCOUNT
QUANTITY I
PAID
$378.13
D16-0319 Address: 4404 S 133RD ST
Apn: 2613200134
$378.13
PUBLIC WORKS
$375.00
BASE APPLICATION FEE
R000.322.100.00.00
0.00
$250.00
PERMIT ISSUANCE/INSPECTION FEE
R000.342.400.00.00
0.00
$62.50
CONSTRUCTION PLAN REVIEW
R000.345.830.00.00
0.00
$62.50
TECHNOLOGY FEE
$3.13
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R10287
R000.322.900.04.00
0.00
$3.13
$378.13
Date Paid: Wednesday, January 04, 2017
Paid By: BORRELLI REAL ESTATE INVESTMEN
Pay Method: CHECK 1361
Printed: Wednesday, January 04, 2017 3:24 PM 1 of 1
WSYSTEMS
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT I QUANTITY I
PAID
$524.54
D16-0319 Address: 4404 S 133RD ST
Apn: 2613200134
$524.54
DEVELOPMENT
$509.24
PERMIT FEE
R000.322.100.00.00
0.00
$305.90
PLAN CHECK FEE
R000.345.830.00.00.
0.00
$198.84
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE
$15.30
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R9895
R000.322.900.04.00 0.00
$15.30
$524.54
Date Paid: Monday, November 21, 2016
Paid By: BORRELLI REAL ESTATE INVEST
Pay Method: CHECK 1345
Printed:. Monday, November 21, 2016 2:21 PM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSP ION 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
Pr:
a r eLL-1, &C.
Ty of Inspection:
bu i Li i &r- ilk L
Address:
4/1/0 11 S /!3
Date Called:
ST
Special Instructions:
Date Wa �ed� 1
//
a:m.
m.
Reques er-
CtiAlr
Phone No:
45 -CCS 6RV'7o&/
Approved per applicable codes.
['Corrections required prior to approval.
COMMENTS:
-17)kvFrxL
.
Inspector:
Date:
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
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
Pr ect:
t leteGL I UC>
Ty of Inspection:
WILbi,z,C. r iA-L
Address:
)4/o1I S 1330 Si
Date Called:
Special Instructions:
Date Wanted:'.m.
J?/ 7
Requester
Phone No:
Approved per applicable codes. 1 Corrections required prior to approval.
COMMENTS:
l)
gavicr- 47.-J6 Affiloreb PAWS Altr-
/ T - Nu eairAer kJ1Ac
Date:
3/t7
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
City of Tukwila
Department of Community Development
December 06, 2016
CLINTON JOHNSON
PO BOX 1908
ISSAQUAH, WA 98027
RE: Correction Letter # 1
DEVELOPMENT Permit Application Number D16-0319
BORELLI, LLC - 4404 S 133RD ST
Dear CLINTON JOHNSON,
Allan Ekberg, Mayor
Jack Pace, Director
This letter is to inform you of corrections that must be addressed before your development permit can be approved. All
correction requests from each department must be addressed at the same time and reflected on your drawings. I have
enclosed comments from the following departments:
BUILDING DEPARTMENT: KC ELLIS at 206-396-4269 if you have questions regarding these comments.
1. Provide an asbestos survey for each structure. .
2. Identify structures for PSAPCA permit.
Please address the comments above in an itemized format with applicable revised plans, specifications, and/or other
documentation. The City requires that two (2) sets of revised plan pages, specifications and/or other documentation be
resubmitted with the appropriate revision block.
In order to better expedite your resubmittal, a 'Revision Submittal Sheet' must accompany every resubmittal. I have
enclosed one for your convenience. Corrections/revisions must be made in person and will not be accepted through the mail
or by a messenger service.
If you have any questions, I can be reached at (206)433-7165.
Sincerely,
Rachelle ' ipley
Permit Technician
File No. D16-0319
6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
PERMIT COORD CO
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: D16-0319 DATE: 12/15/16
PROJECT NAME: BORRELLI LLC
SITE ADDRESS: 4404 S 133 ST
Original Plan Submittal
X Response to Correction Letter # 1
Revision # before Permit Issued
Revision # after Permit Issued
DEPARTMENTS:
Y - CE AttiC I2-4 -tfr
Building Division III Fire Prevention
Public Works
Structural
Planning Division
❑ Permit Coordinator
111
PRELIMINARY REVIEW:
Not Applicable ❑
(no approval/review required)
DATE: 12/20/16
Structural Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 01/17/17
Approved
Corrections Required
❑ Approved with Conditions
❑ Denied
(corrections entered in Reviews) (ie: Zoning Issues)
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
12/18/2013
PERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: D16-0319 DATE: 11/21/16
PROJECT NAME: BORRELLI, LLC
SITE ADDRESS: 4404 S 133RD ST
X Original Plan Submittal
Revision #
before Permit Issued
Response to Correction Letter # Revision # after Permit Issued
DEPARTMENTS:
E Cor"??-
Building Division
Mll PCwo
Public Works
frM 14X IIIA
Fire Prevention [1111! Planning Division
�� Pc1N G
IIIA
Structural
n
Permit Coordinator n
PRELIMINARY REVIEW:
Not Applicable n
(no approval/review required)
REVIEWER'S INITIALS:
DATE: 11/22/16
Structural Review Required
DATE:
APPROVALS OR CORRECTIONS:
Approved
Corrections Required
DUE DATE: 12/20/16
❑ Approved with Conditions
Nog
(corrections entered in Reviews)
Notation:
Denied
(ie: Zoning Issues)
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections:
Fire 0 Ping ❑ PW 0 Staff Initials:
12/18/2013
City of Tukwila
REVISION
SUBMITTAL
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Web site: http://www.TukwilaWA.gov
Revision submittals must be submitted in person at the Permit Center.
Revisions will not be accepted through the mail, fax, etc.
Date: /2— — lJ " 1 Plan Check/Permit Number:
❑ Response to Incomplete Letter #
• Response to Correction Letter # I
❑ Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
❑ Deferred Submittal #
Project Name:
��-- 031 7
Project Address:
Contact Person:
1 'o'1 SQ , r3 3 `` Cf .
Phone Number:
Summary of Revision:
P(5 CVd pia e- 1 e t
RECEWED
CITY OF TUKWIL,
DEC 15 2016
PERMIT CENTER
Sheet Number(s):
"Cloud" or highlight all areas of revision including d% e of revi ion
Received at the City of Tukwila Permit Center by:
Entered in TRAKiT on 1?—`
W:\Permit Center \Templates\Forms\Revision Submittal Form.doc
Revised: August 2015
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-3670 FAX (206) 431-3665
E-mail: tukplanOci.tukwila.wa.us
Permit Center/Building Division
206 431-3670
Public Works Department
206 433-0179
Planning Division
206 431-3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON)
COUNTY OF KING
ss.
CI; (1-(-0A )01NA*
[please print name]
, states as follows:
PERMIT NO: ` / 0-3/
1. 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 18.27.090 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 18.27.090.
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 18.27.090 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 requiremen of RCW 18.27.090,
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 19.28.161 through 19.28.271 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 not for the construction
of a new building for rent, sale or lease.
I understand that I may be waiving certain rights that I mig
to engage an unregistered contractor to perform construe
LAURIE A. WERLE
NOTARY PUBLIC
STATE OF WASHINGTON
COMMISSION EXPIRES
MAY 29, 2018
othe
ner/Owner' Agent*
r state law in any decision
Signed and sworn to before me this
day of v Gl Vl UGc N 20 17.
NOTAR ' PUBLIC in and for the State of Washington
Residing at
/ - , County
Name as commissioned:
My commission expires:
18.27.090 Exemptions. The registration provisions of this chapter do not apply to:
1. 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 46.7o RCW who shall
warranty service and repairs under chapter 46.7o RCW;
7. 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;
1o. 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;
11. 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;
12.* 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;
13. 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;
14. 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;
15. 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;
16. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. 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;
18. An entity who holds a valid electrical contractor's
licenseunderchapter..19:28 RCW that employs a certified
journeyman electrician, a certified residential specialty
electrician, or an electrical trainee meeting the
requirements of chapter 19.28 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 requiresJimiteddelectrie power and'Iimited waste
and/or water connections. An electrical trainee must be
supervised by a certified electrician while performing
plumbing work.
* Per Washington State Department of Labor and Industries lessee has
been interpreted to be equivalent to owner for purposes of exemptions.
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REVIEWED FOR
..CODE COMPLIANCE
APPROVED
DEC 2 2, 2016
la a
City of Tukwila
BUILDING DIVISION
PLANNING APPROVED •
No. changes *can be made. to these
plans; without approval from the
Planning Division of DCD .
Approved By: 1"--/. Oro u Y\
Sate: t1-
J
J/
REVISIONS
No changes shall be made to the scope
of work q.'ithoc t prior approval cif
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees.
JSEPARATE PERMIT
REQUIRED FOR:
J
IMA chanica)
atiectrical
E3' i mbing
Utas Piping
City of Tukwila
BUILDING DIVISION
LE COPY
Permit Po, 9 0
Plan rekjiew opprovAl is subject to errors and omissions.
Approval of construction documents' does not authob iza
:the violation of any 'adopt R • code or ordinance. Rccsi t
of approved Field Co'tions is. acknowledged:
Ey:
'1. Date:
City ofi'Tukwila
BUILDING DIVISION
These plans have been reviewed by the Public
Works Department for conformance with current
City standards. Acceptance is' subject to errors and
omissions' which do not authorize yiolations of
adopted standards or ordinances. The responsibility
for the adequacy of the design rests totally with the
designer. Additions, deletions or revisions to these
drawings after this date will void this acceptance
and will require a resubmittal of revised, drawings
for subsequent approval.
rind acceptance is subject to field inspection by
the Public Works utilities inspector.
Date: By:
• lZNl
SITE DEMOLITION PLAN
SCALE: I" = 20'
10 20
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CITY OF TUKWILA
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PERMIT CENTER
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