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Permit D17-0020 - CHALET SOUTH CONDOS - CARPORT DAMAGE REPAIR
CHALET SOUTH CONDOS 4006 S 158 ST D17-0020 Parcel No: Address: Project Name: City of Tukwila 0 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 1508000000 Permit Number: D17-0020 4006 S 158TH ST BLDG 1 w Issue Date: Permit Expires On: CHALET SOUTH CONDOS 3/7/2017 9/3/2017 Owner: Name: Address: Contact Person: Name: Address: „ WA, TROY VERT 1516 S AINSWORTH AVE , TACOMA, WA, 98405 Contractor: Name: PERCIVAL CONST GEN CONTRS INC Address: 4419 N 44 ST, TACOMA, WA, 98407 License No: PERCICG925D5 Lender: Name: Address: N/A LESS THAN $5,000 Phone: (253) 230-4946 Phone: Expiration Date: 4/6/2018 DESCRIPTION OF WORK: REPLACE DAMAGED 6" X 6" HF AT THE CENTER OF CARPORT WITH APPROVED POSITIVE CONNECTION AT TOP AND BOTTOM OF 6" X 6" Project Valuation: $1,200.00 Type of Fire Protection: Sprinklers: NO Fire Alarm: NO Type of Construction: VB Electrical Service Provided by: TUKWILA Fees Collected: $172.58 Occupancy per IBC: U 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: 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: Alro 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 permi and agree to the conditions attached to this permit. Signature: Print Name: a\ Ea( 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. Date: 6--) 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: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 6: 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 CITY OF TUKLA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 • ' http://www.TukwilaWA.gov Building Permit No. Project No. Date Application Accepted: —� L 7 Date Application Expires: 1 1 7 (For• office use only) r 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 LOCATIONIX,C) , 5 56 . S � 1- (rAl el $188 -�- r, q King Co Assessor's Tax No.: Site Address: U OO( 5 1.5g° se; I UL'tc tiIa, 144 713 8 Suite Number: Tenant Name: Ovilof S W (.64 PROPERTY OWNER Name:—VV-Q Name:/14p 5!j(144 'CO 4 City;_ . State:` Zip: atitcis. Address: 9006 S i 5e4_,,, '. 5� Email.— City: T I, ,14 Sttate: l 4 Zip: Cl5{' f 18 CONTACT PERSON — person receiving all project communication Name:—VV-Q Address: Is---) S 4 I4;,NSwoz A \) City;_ . State:` Zip: atitcis. Phone 1�_.9ci<i(ax: c Email.— � - "' iu CI 6 - PRA :- GENERAL CONTRACTOR INFORMATION Company Name: �•@C 4.)MCo 1 Address- ddress• ) ��y LILA(, LLL ► ♦ t` 4--141 hti Company Name, --QT. City:,,...--- AeL State: 6.44 , Zip: em 6 Phonels;> // _- ,� Fax: Address: Contr Reg No.: Exp Date: httQF Tukwila Business License No.: City;_ State H:Wpplications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Floor: New Tenant: ❑ Yes ❑.. No ARCHITECT OF RECORD Name: Address: Company Name, --QT. Architect Name;_, Address: Address: laic., .5, Nidelozi It. httQF State: City;_ State Zip: S Phone:aD_ ���y 14(1 L Fax: Emai • 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 of4 BUILDING PERMIT INFORMATI 206-431-3670 0 Valuation of Project (contractor's bid price): $ p a C) Ct— Describe the scope of work (please provide detailed information): —rep E g9i elCsCam Existing Building Valuation: $ 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: Will there be a change in use? ❑ Yes ,! FIRE. PROTECTION/HAZARDOUS MATERIALS: 0 Sprinklers 0 Automatic Fire Alarm Compact: Handicap: No If "yes", explain: « — Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Other (specify) 0 YesNo 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:\ Applications\Forms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 li �s 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 c 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: Will there be a change in use? ❑ Yes ,! FIRE. PROTECTION/HAZARDOUS MATERIALS: 0 Sprinklers 0 Automatic Fire Alarm Compact: Handicap: No If "yes", explain: « — Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Other (specify) 0 YesNo 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:\ Applications\Forms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 li �s Pr. PUBLIC WORKS PERMIT INFO ' TION — 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 ❑ .. Tukwila ❑ .. Sewer Use Certificate ❑...Highline ❑ ...Valley View ❑...Renton 0 ...Sewer Availability Provided 0...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. Submitted with Application (mark boxes which apply): 0 .. 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 0 .. Right-of-way Use - No Disturbance ❑ .. Construction/Excavation/Fill - Right-of-way 0 Non Right-of-way 0 ❑ .. Total Cut 0 .. Total Fill cubic yards cubic yards ❑ .. Sanitary Side Sewer 0 .. Cap or Remove Utilities 0 .. Frontage Improvements 0 .. Traffic Control ❑ .. Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. ❑.. ❑.. ❑ .. ❑...Geotechnical Report 0...Maintenance Agreement(s) 0 .. Traffic Impact Analysis ❑ .. Hold Harmless — (SAO) ❑ .. Hold Harmless — (ROW) 0... 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 . 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 0 Private 0 0 .. Water Main Extension Public 0 Private 0 (2) (2) ❑ ... Grease Interceptor ❑ ... Channelization 0... Trench Excavation 0... Utility Undergrounding " WO # (3) WO # " WO # (3) " WO # ❑ .. Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line ❑ .. Water 0 .. Sewer Monthly Service Billing to: Name: Number of Public Fire Hydrant(s) ❑ .. Sewage Treatment Mailing Address: Day Telephone: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip H:Wpplications\Forms-Applications On Liae\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 OWN OR AUT IZE AGENT: Signature: Print Name: ""T(Lel ' 0^::,"cr.r- Mailing Address: /67.6 5 , (RIDS (.mac 44\... H:Wpplications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2=7-12.docx Revised: February 2012 bh Date: Day Telephone: City State Zip Page 4 of 4 Cash Register Receipt City of Tukwila Receipt Number R11030 DESCRIPTIONS PermitTRAK 1 ACCOUNT QUANTITY PAID $107.58 D17-0020 Address: 4006 S 158TH ST BLDG 1 Apn: 1508000000 $107.58 Credit Card Fee $3.13 Credit Card Fee R000.369.908.00.00 0.00 $3.13 DEVELOPMENT $99.60 PERMIT FEE R000.322.100.00.00 0.00 $95.10 WASHINGTON STATE SURCHARGE 8640.237.114 0.00 $4.50 TECHNOLOGY FEE $4.85 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11030 R000.322.900.04.00 0.00 $4.85 $107.58 Date Paid: Tuesday, March 07, 2017 Paid By: DAVID PERCIVAL Pay Method: CREDIT CARD 07491C Printed: Tuesday, March 07, 2017 11:00 AM 1 of 1 CRSYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID D17-0020 Address: 4006 S 158TH ST BLDG 1 Apn: 1508000000 $65.00 DEVELOPMENT $65.00 PERMIT FEE PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R10715 R000.322.100.00.00 R000.345.830.00.00 0.00 0.00 $1.93 $63.07 $65.00 Date Paid: Wednesday, February 01, 2017 Paid By: PERCIVAL CONSTRUCTION Pay Method: CASH Printed: Wednesday, February 01, 2017 2:45 PM 1 of 1 CSYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit D17 -602o PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: el,j446-7 .57)07,1 6)/SO Type of Inspection: BOLDili& F11 L Address: Date Called: Special Instructions: 06. t / Date Wanted: 47 .m. Requester: Phone No: Approved per applicable codes. a Corrections required prior to approval. COMMENTS: A'1 --- inspector: �-5 Date: 7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Calt to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit P17 0020 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION •6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: Address: cf<O 57. I.577MS% Date Called: Special Instructions:.3Lde 1 Date Wanted: 7 —S'1p'` Requester: 1 DAVE Phone No: _ 25 3 — IQO* `" 1°70: 70: Approved per applicable codes. D Corrections required prior to approval. COMMENTS: fmi `' /, c---` Inspector: Date: REINSPEC ION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 0 0 0 • 13 • -..,. t 4 . r - A .....: '3,--‹- cth 1 •10 ti \-,..? ---, • k.,4K *to- .,-- . 4 ,e, :.,...:. tnip ,o‘,A. m P t. !*4 - • k .:. 7,' _, #1-• -. # V 'II I J ,(12's3 cn o5e , ..... -0 • Ill 0 cn — .4 A_ aki$ o w i o •-',3 189 S 900 u raMIMISHEMWRiti PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D17-0020 DATE: 02/01/17 PROJECT NAME: CHALET SOUTH CONDOS SITE ADDRESS: 4006 S 158 ST X Original Plan Submittal Response to Correction Letter # Revision # Revision # before Permit Issued after Permit Issued DEPARTMENTS: ?Z �--�1 Building Division ❑ t•tik i\i ri Public Works A/A--i7 Mn 2I7. Fire Prevention ❑ Planning Division Structural ❑ Permit Coordinator PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 02/02/17 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required DUE DATE: 03/02/17 ❑ Approved with Conditions ❑ ❑ Denied ❑ (corrections entered in Reviews) (ie: Zoning Issues) Notation: (' 1N) REVIEWER'S INITIALS: DATE: tPer`nit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW ❑ Staff Initials: 12/18/2013 PERCIVAL CONST GEN CONTRSC 4,1 Hine. Espanol Contact Safety & Health Claims & Insurance Washington State Department of . Labor & Industries Search L&I Page 1 of 2 A -Z Lidex Help My L&I Workplace Rights Trades & Licensing PERCIVAL CONST GEN CONTRS INC Owner or tradesperson Principals PERCIVAL, DAVID Ole, PRESIDENT PERCIVAL, MARY E, SECRETARY Doing business as PERCIVAL CONST GEN CONTRS INC WA UBI No. 602 814 328 4419 N 44TH ST TACOMA, WA 98407 253-756-6591 PIERCE County Business type Corporation Governing persons DAVID 0 JR PERCIVAL MARY ELLEN PERCIVAL; 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. PERCICG925D5 Effective — expiration 03/25/2008— 04/06/2018 Bond .............. CBIC $12,000.00 Bond account no. SH7780 Received by L&I Effective date 03/25/2008 03/19/2008 Expiration date Until Canceled Insurance ............................... Ohio Security Ins Co $1,000,000.00 Policy no. BKS55492242 Received by L&I Effective date 10/11/2016 10/07/2016 Expiration date 10/07/2017 Ohio Security Ins Co $1,000,000.00 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602814328&LIC=PERCICG925D5&SAW= 3/7/2017 PERCIVAL CONST GEN CONTRS INC Policy no. BKS55492242 Received by L&I Effective date 01/26/2016 03/19/2013 Expiration date 03/19/2017 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings Cause no. 15-2-06658-2 Complaint filed by SHERWIN WILLIAMS CO Complaint date 03/13/2015 L&I Tax debts Tax debt no. 310777 Filed by Department of Labor and Industries Cause no 16-9-91625-3 Tax amount $604.76 License Violations ................................................... No license violations during the previous 6 year period. Dismissed ................................. Complaint against bond(s) or savings SH7780 Complaintamount $1,757.76 Paid .............. Filing date 05/11/2016 County PIERCE Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID 153,994-00 Doing business as PERCIVAL CONSTRUCTION Estimated workers reported Incomplete premium report received. L&I account representative T4 / TERRI MADISON (360)902-4654 - Email: KIRT235@Ini.wa.gov Call L&I account representative for account status. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Page 2 of 2 ©Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602814328&LIC=PERCICG925D5&SAW= 3/7/2017 — REVISIONS No changes shall he made to the scope 4 of work without prior approval of 1 Tukwila Building Division. .._ NOT1 Revisions will require a new plan submittal end may inde additional plan review fees . ; . -77 r7.1. -7111T kt i" rL$ chanical lecncaI Plumbing LY Gs Piping a:_y of Tukwila "GI DIVISION FILE COPY Permit No, D1--002-0 Plan reviaw approval is subject to errors and omissions. Approvai of constn,on cioruments does not authorize the violation of any adopted code or ordinance. Receipt of approved Field Cqpy and conditions is acknowledoed: By: Date: 3h 11 City of Tukwila BUILDING DivpioN - / \ ----- • 1- -•0/.1 ‘. • - r \ 7 r ' RECEIVED CITY OF TUKWIL FEB 01 2017 PERMIT CENTER REVIEWED FOR CODE COMPLIANCE APPROVED MAR 0 2 • PO V4 -- City of Tulkvila BUILDING DIVISION 11s Up' Lto' \‘? kL,D Ca, k)C-cL) ANFRE57---- —cc AC(0-7 -T-1\cc2_ 0 REVIEWED FOR CODE COMPLIANCE APPROVED MAR 0 2 2011 1 CITyROECFETIuVKwED iLoUL s iptyiNoGf Tukwila FEB 01 2017 PERMIT CENTER