Loading...
HomeMy WebLinkAboutPermit D17-0118 - PHILLIPS DENTISTRY - REROOFPHILLIPS DENTISTRY 16218 42ND AVE S BLDG D17-0118 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 5379800695 16218 42ND AVE S BLDG Project Name: PHILLIPS DENTISTRY DEVELOPMENT PERMIT Permit Number: D17-0118 Issue Date: 5/16/2017 Permit Expires On: 11/12/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: PHILLIPS JAMES H 16218 42ND AVE S, TUKWILA, WA, 98188 GREG REISWIG PO BOX 2050 , ISSAQUAH, WA, 98027 ANDERSON ROOFING INC PO BOX 2050 , ISSAQUAH, WA, 98027 ANDERRI055DA JAMES PHILLIPS 16218 42ND AVE S , TUKWILA, WA, 98188 Phone: (425) 677-7070 Phone: (425) 222-6569 Expiration Date: 3/1/2019 DESCRIPTION OF WORK: REMOVE EXISTING ROOFING, INSTALL NEW TORCHDOWN MEMBRANE OVER 2 LAYERS OF FIBERGLASS BASE SHEET WITH A REFLECTIVE COATING (APPLIED IN SUMMER). THIS ISA CLASS B FIRE RATING. Project Valuation: $10,835.00 Type of Fire Protection: Sprinklers: Fire Alarm: Type of Construction: VB Electrical Service Provided by: TUKWILA Fees Collected: $550.95 Occupancy per IBC: B Water District: HIGHLINE 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 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: Print Name: id<4 Date: /4f l6 026 17 This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***BUILDING PERMIT CONDITIONS*** 2: Work shall be installed in accordance with the approved construction documents, and any changes made during construction that are not in accordance with the approved construction documents shall be resubmitted for approval. 3: All permits,"inspection record card and approved construction documents shall be kept at the site of work and shall be open to inspection by the Building Inspector until final inspection approval is granted. 4: Readily accessible access to roof mounted equipment is required. 5: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 6: 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. 7: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206-431-3670). 8: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 9: Prior to final inspection for this building permit, a copy of the roof membrane manufacturer's warranty certificate shall be provided to the building inspector. 10: 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. 12: Application of roof coverings with the use of an open -flame device or use of a propane fueled asphalt kettle requires a separate permit from the,Tukwila Fire Marshals Office located at 6300 Southcenter BI Suite 209 Tukwila, WA 98188. Telephone (206) 575-4407. There shall be not less than one multi-purpose portable fire extinguisher with a minimum 2-A20-B:C rating and a charged, minimum diameter 5/8 diameter water line(hose) on the roof being covered or repaired. (IFC 105.6.23, 3504.2.5, 3504.2.6) 11: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2436 and #2437) 13: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 14: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575-4407. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 0103 PRE-REROOF CITY OF TUKKILA. Commraaity Development Department Public Works Department Permit Center 6300 Soutlicenter Blvd, Suite 100 Tukwila WA 98188 http.:11wwww.TukwilaWA. ov Building Permit No.. - pH `ProjectNo. Date Application Accepted: S Date Application Expirs: t (For office. use onl i) cun s lKUc l iVr' YLK1Vi11 AYYLICA i1Vrr 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 Site Address: 110Q1, 8 _ "uct T7 v S Tenant Name: 1-x7 King Co Assessor's Tax No.: J 31 `f 80 ` oLR S Suite Number: Floor: New Tenant: ❑ .....Yes J..No PROPERTY OWNER Name: GREG RE -1560I & Name: 7A,MES Hu —I1,5 City:S 5SA-Q v State: (U A Zip.geo7 Address: I ba 1 8 _ Lfa rid_ Ave S Email: inf0A)andersollr0Cie. .CbIfIn City: TU Kw ILA State: L.4J 14- Zip:1819 CONTACT PERSON — person receiving all project communication Name: GREG RE -1560I & Address: eD e c ' o2b s-7) City:S 5SA-Q v State: (U A Zip.geo7 Phone: itd5- _Bwf— g 1-16 Fax. ` ds —aq s— 7 (t o 7 Email: inf0A)andersollr0Cie. .CbIfIn GENERAL CONTRACTOR INFORMATION j7.095) Name: rt tpc Company Name:A00eP J Roarl/J 6_ _rijG Company Name: Address: pb 13 ox,. a -O s.—O City: 1 S A- Q 04H State:Go R Zip: a2 -7 Phone: efo2 5-.6 71 _Fax: i+a-5 -aciS -'1 tas'% Address: ContrReg No.:hit) 0,RR10550AExp Date: 3_ 1_aD.19 Tukwila. Business License No.: 6U 5-9 9 --1 155A State: H:iappliwtiensTerms-Applications OaLine12011 AppGcatiaulPcmitApplication P.e.ised-8-9-11.dxx Revised: Auaust2011 ARCHITECT OF RECORD j7.095) Name: rt tpc Address:16Zi8 (Ld, 1, ve. S -- Company Name: Architect Name: Address: City: State: Zip: Phone: Fax Email: ENGINEER OF RECORD j7.095) Name: rt tpc Address:16Zi8 (Ld, 1, ve. S -- Company Name: Engineer Name: Address: City: State: Zip: Phone: Fax: Email: LENDER/BOND ISSU'EIA (required for projects $5,000 or greater per RCW 19.2 j7.095) Name: rt tpc Address:16Zi8 (Ld, 1, ve. S -- City: City: l.r�.N��a. State: �r Zip: „o I88 Pace 1 of 4 BUILDING PERMIT INFORMAT 206-431-3670 , Valuation of Project (contractor's bid price): $ 10, 3. Existing Building Valuation: $ Describe the scope of work (please provide detailed information): ` A 'Rc_w•ov2 �tX;sf �� �i•:��.-.q i S i -o k\ y\o�A 1 Q �!`CY, A C1w r�-.e w.ncvx-2-. 0t1`42r` Z LPA .ex.S d' • �v-�SksS(ck.p SLk VV‘ -e_r) bq� q q C(�Ss 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 Handi cap: Will there be a change in use? 0 Yes 0.......No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ ....... Sprinklers ❑ ....... Automatic Fire Alarm 0 None ❑ .......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 0.. ..... On-site Septic System —For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. A: Application:Terms-Applications OnLine20 11 ApplicatiamiPermit ApplicationRe iced - 8-9-tt.do= Retisect Auaun2011 Pure 2of4 - Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC • Type of Occupancy per, iBC '` In Floor 2i 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 Handi cap: Will there be a change in use? 0 Yes 0.......No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ ....... Sprinklers ❑ ....... Automatic Fire Alarm 0 None ❑ .......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 0.. ..... On-site Septic System —For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. A: Application:Terms-Applications OnLine20 11 ApplicatiamiPermit ApplicationRe iced - 8-9-tt.do= Retisect Auaun2011 Pure 2of4 a P APPLICATION NO' 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 foradditional 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 1NOW 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 AUTH Signature:rvaewc� 66q- Print Name: G E& R ELS O/ / &- Day Telephone: !+01-5' g a -7() AGENT: Date: i 2 — ( "7 Mailing Address: PO tgb>c c.OS7. $::ApplicationsToems•Applications OnLine,2011 AppticaticsaTermit ApplieationRevised - 8-9-11. does Revised.. August 2011 City State Zip Parte 4of4 Cash Register Receipt City of Tukwila DESCRIPTIONS I PermitTRAK ACCOUNT I QUANTITY I PAID $550.95 D17-0118 Address: 16218 42ND AVE S BLDG Apn: 5379800695 $550.95 Credit Card Fee $16.05 Credit Card Fee I R000.369.908.00.00 0.00 $16.05 • DEVELOPMENT $519.30 PERMIT FEE R000.322.100.00.00 0.00 $312.00 PLAN CHECK FEE R000.345.830.00.00 0.00 $202.80 WASHINGTON STATE SURCHARGE 8640.237.114 0.00 $4.50 TECHNOLOGY FEE $15.60 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11405 R000.322.900.04.00 0.00 $15.60 $550.95 Date Paid: Tuesday, May 02, 2017 Paid By: GREG REISWIG Pay Method: CREDIT CARD 020484 Printed: Tuesday, May 02, 2017 2:37 PM 1 of 1 #SYSTEMS Owner's Name: i r Owner's Complete Address: Building Name:i'N'Nk'ps e -v‘ ._s) -12.-x Building Complete Address: 16%1 g - `1 Z k k/+ -u. S S. dKi.4q 1,..1 A csg (gs7 Roofing Contractor Name: A if\ck.e-r-s �.,.. . D0 c_. „1 , Lv, . Roofing Contractor Complete Address: PG g 0 %`- D-05 S-0 T SS Qc, i.\ (..,n- ai OO Z7 Roofing Contractor Phone: 425 C.77 70'70 Polyglass Registered Contractor # (as applicable): Polyglass Product(s) Used: "'c\\t-C.11 c 04-1., A PP Other Roofing Products Used: nil 0.ta,rk¢. F her &G 55 bets., -u-a-$ plyj Project Size: aci -CO square Feet Completion Date: 3- (t - t -( f TERMS AND CONDITIONS: Definitions: °Polyglass" shall mean Polyglass® U.S.A, Inc. 1111 W. Newport Center Drive; Deerfield Beach, FL 33442. 'Owner" shall mean the original party listed above as Owner's Name whose building the Polyglass roof membrane product is installed. Polyglass warrants; the Polyglass product to be free from manufacturing defects which affects the ability of the membrane to perform in a watertight manner (herein considered defective) for the period of Twelve (12) years from the date of original installation of the roofing membrane for all Mineral Surfaced, Polyrefiect®, and Fibered Aluminum and Acrylic coated membranes. Fifteen (15) years for Emulsion/Fibered Aluminum or Emulsion/Acrylic coated. Smooth surfaced membranes with or without Non-Fibered Aluminum coating will be limited to Ten (10) years. This warranty is for the sole benefit of Owner described above ('Owner") and is not transferrable or assignable. Warranty must be completed in its entirety and registered with Polyglass to become in effect otherwise the Polyglass membrane shall have warranty protection as provided by its Product Liability Coverage on packaging. A legible copy of this Warranty and proof of purchase must be registered with Polyglass U.S.A., Inc. Attn: Warranty Department 1111 W. Newport Center Drive; Deerfield Beach, FL 33422 within 90 days of the original date of purchase. Should Polyglass' membrane be deemed defective by Polyglass, as described above, Polyglass shall exercise the option to repair or replace such defective materials, excluding any associated labor to perform these tasks. Polyglass' maximum liability, under any circumstances, shall not exceed the cost of the defective membrane at time of claim; excluding all installation related labor costs; costs of flashing, metal work, or other materials not supplied or furnished by Polyglass. This sum shall be pro -rated at year Two (2) of its term, reduced by 1/12; (1/15) for 15 Year (1/10) for 10 year, remaining in the warranty period and further reduced by any cost previously incurred by Polyglass for the repair or replacement of any Polyglass materials under this warranty. Any such repair or replacement to remedy leakage shall be owner's SOLE AND EXCLUSIVE REMEDY against Polyglass. All terms and conditions under this warranty will be governed under Florida Law. Polyglass shat lie a no -o 1 atlonrba a po the fol owls a crl sio a this Ikfila l s g strong 1 gmag y r..-, f sa, ., IA n put not 6' e410 Lr I� n ail r, o ado vend lau�nc a ebn� ; �a (rakes oar si ''la acts o) g or a u al ca` Ilful'or n09Ugent_acts, . Va alis t Dania a by use ) enals t fuhedr y Polyglass Owner r les ee fails . co with"Polylass Roo Maintenance ip ,Wa aintenance Warranty Guideli es is available at . a . •Its. ma,9e, b "st udtural " ilur includin ; thou 1 itatio settiin - o shif in of Y . ;,. 9Pv�,,l rtip n ,,j g ding, orlj),ovemn cra � deflection otthe�oof deck, trate, roof lation b ding design or cons ction, inadequ to attic Ventilation pan em cal, dt i'''-'6* olyg - las4r raffi(rrage op�ena s on ation o de $ ti or oisture in, through -o :a o n the ti. Is, • pi . rldin •s`tructufe'oithe urideriying,0 -surrounding areas;` 5) Alterations or repairs made on or through the ''f:or obj (i clu n . out limitation, machines, structures, fixtures, or utilities) are placed on 12 Year (10 Year Non -Coated)* LIMITED ROOFING MATERIAL WARRANTY (*Warranty is self -executed by user) rra ty Guidelines lyglass Roof the roof without prior written authorization of P 6) Metal work or other materials not furnished Doygfa s n `f, rip he12,209 system resulting in leaks; 7) Poor workmanship in the original application o atenals as determined in Poaglass' sole judgment; 8) Failure to utilize Polyglass' latest instructions an recoihmendfifibns as too ins I ation procedures; 9) Damage resulting from lack of positive, proper or adequate drainage; - 10) Loss in part or in whole of granule or other surfacing; 11) Damage or injury arising in any way from an actual or alleged discharge or release of any pollutant or waste, environmental or airborne contaminates; - 12) Damage or injury arising in any way from testing/sampling of the membrane, design and consulting errors or omissions. 13) Failure to register this warranty within 90 days of purchase to Polyglass. 14) Protective coating or other surfacing material not covered by these warranty coverages. Coverage is limited to membrane compound and mat reinforcement. In addition to items 1-16 above, owner agrees by registration of this warranty that Polyglass shall have no responsibility whatsoever for bodily injury to any person or damage to the structure or its contents directly or indirectly arising out of any defects in its roof membrane or any other consequential or incidental damages or attorneys fees. Polyglass' sole responsibility is the repair or replacement of defective membrane that is directly related to leakage. This warranty does not include the cost of removal of existing materials, or the cost of, labor to repair or replace the defective membrane and/or overburden installed to the Polyglass membrane. Conditions related to items 1-16 above, with the exception on items 8, 12 & 16 shall result in immediate termination of this warranty in its entirety without further notification from Polyglass. Claim Procedure: • Polyglass shall have no obligation under this warranty unless Owner shall have promptly notified Polyglass in writing along with attached Proof of Purchase to Polyglass by registered or certified mail. Direct all claims to Polyglass, U.SA, Inc. 1111 W. Newport Center Drive, Deerfield Beach, Florida 33442, ATTN: Warranty Department. Any claim shall provide a copy of warranty and detailed information of the leakage and alleged defect. Polyglass must receive such notice within ten (10) days after discovery of the claimed defect, failure to notify will result in voiding of this warranty. Polyglass reserves the right to request retained samples from the roof to be provided at Owner's expense and submitted to Polyglass for analysis in lieu of any site review or in-service materials. Owner shall provide Polyglass, and its agents and employees, free, safe and reasonable access to the roof during regular business hours during the term of the warranty. Owner shall be responsible for all costs related to safe and reasonable access to investigate claim. Failure to comply will result in voiding of this warranty. Polyglass' good -faith determination of the source of leakage, damage, or alleged defect to the roof shall be exclusive and binding to owner. Polyglass' failure at any time to enforce any of the terms and conditions of this warranty shall not be construed as a waiver of such provisions. Polyglass reserves the right to discontinue or modify any of its products and shall not be liable to Owner as a result of any such discontinuance or modification. This constitutes your entire express warranty for the products or system of products purchased. To the extent permitted by law, all other warranties, whether express or implied, including, but not limited to the implied warranties of MERCHANTABILITY and FITNESS FOR A PARTICULAR PURPOSE are EXCLUDED. ANY IMPLIED WARRANTIES ARISING BY OPERATION OF LAW ARE LIMITED IN DURATION TO THE TERM OF THIS WARRANTY. POLYGLASS WILL NOT PAY OR BE LIABLE UNDER ANY CIRCUMSTANCES FOR INCIDENTAL, CONSEQUENTIAL, SPECIAL OR EXEMPLARY DAMAGES, OR FOR LOST PROFITS OR BUSINESS INTERRUPTION LOSS. YET, SOME STATES DO NOT ALLOW LIMITATIONS ON HOW LONG AN IMPLIED WARRANTY LASTS, OR THE EXCLUSION OR LIMITATION OF INCIDENTAL OR CONSEQUENTIAL DAMAGES, SO THE ABOVE LIMITATION OR EXCLUSION MAY NOT APPLY TO YOU. No implied warranty can be modified by any course of dealing, course of performance or usage of trade. This warranty gives you specific legal rights and you may also have other rights which vary from state to state. NO REPRESENTATION, PROMISE, AFFIRMATION OR STATEMENT BY ANY EMPLOYEE OR AGENT OF POLYGLASS WILL BE ENFORCEABLE AGAINST POLYGLASS UNLESS IT IS SPECIFICALLY INCLUDED IN THIS WARRANTY. POLYGLASS' AGENTS HAVE NO AUTHORITY TO GIVE WARRANTIES BEYOND THOSE PROVIDED IN THS WARRANTYALL RIGHTS AND DUTIES ARISING UNDER THIS WARRANTY SHALL BE GOVERNED BY FLORIDA LAW. Warran presented and determined as Incomplete or Inaccurate shall be considered null and void. By Including the signature below, I confirm that I have . and acknowledge bovs and Conditions of this w rrant a Due to document size, print and submit on legal 8.6" x14" legal paper or as 2 pages 7 - 04 2014 Ud121NlySE 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 bi 7- 0118 Pr ect: IL\ll 4 � ) _ r [44- u.��` � y :f Inspection: T oAddress: ��1 ,r (� 1/: /AG Il2f)D Aiir Date Called: Special Instructions: • Date WaAte . a.m. Requeste : «s ,- Phone No: s qZ. a Eb41®62=.10 04Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: oK 75pf1-p4G nkiet, C .00 r) Inspector: Date: 601/-/7 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 -64 Pr ect: MiztiP. bal./Mr/eV p tion: Ty of Insr/69-007;:" � %.,� ' A/ '9- 1� Address: 162/6' 4PM) Date Called: Special Instructions: • Date W . to : 033,/ e�?2y1,3 ?Z4L.zr 2 /3) ( 3� Request r: Phone No: i 7 ❑ Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: PA( — -/00--i-r-Alt/ '/m'�%L. ;Qjvgisepuivernii 1-.2e ''-/ (J5)'I' C- eo de 033,/ e�?2y1,3 ?Z4L.zr 2 /3) ( 3� Inspector: Date: icy —G7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. FILE COPY Permit No. Plan review approval is subject to errors and omissions. Approval of construction documents does not authorize the violation of any adopted code or ordinance. Receipt of approved Eid Copy and conditions is acknowledged: By: j,, Date: %lp / l7 City of Tukwila BUILDING DIVISION REVISIONS r ----No changes shall be made to the scope of work without prior approval of i Tukt.vila Buildin g Division. NOTE: Revisions will require a new^v mitfai and may include additional plan review fetes. bri,-011S SEPARATE PERMIT REQUIRED FOR: Dititechantcal Ulf -Electrical Cit#0 bang ( i as Piping City of Tukwila LNG DIVISION REVIEWED FOR CODE COMPLIANCE APPROVED MAY 11 2011 City of Tukwila it BUILDING DIVISION RECEIVED CITY OF TUKWILA MAY 022017 PERMIT CENTER Tukwila Family Dentistry Tukwila WA - Bing Maps bing maps Tukwila Family Dentistry Address: 16218 42nd Ave S, Tukwila, WA 98188 Phone: (206) 244-5187 Website: http://www.familydentistrytukwila.com/ Hours Monday - Thursday 8:00 AM - 6:00 PM Saturday 9:00 AM - 1:00 PM V;cinif Y https://www.bing.com/maps?&ty=18&q=Tukwila Family Dentistry ... 5 581h,St —,- 5{Ith Sf' Sutton( y Estend4 Stays ch,'3 L 5t` N Q1 �aSt __ sloznast z IN v J a `1 \ Jl Crestview Park 4�--"`-�- hS lee is ,, nautiq)rer4l washingtan\nm, T�ukvtfila Family ,Denbstry .- lasprr s 2" f/lysses . C'olff . Festnutent-S'16'diH,$'t'""' Sne,orl.t.m � 5 Gahiona'sci cucinain • Crystal Springs Pork �4{t i t crystatr, r..-, Springs Pan` • McMicken Heights Park 1 of 1 w5_166thSt S 4 163rrf_p1Li REVIEWED FOR CODE COMPLIANCE APPROVED MAY 11 2011 City of Tukwila BUILDING DIVISION .0 5J65tttSt _ _, . 500.feet.- 0.2017 HERE' RECEIVED CITY OF TUKWILA MAY 02 2011 PERMIT CENTER 4/12/2017 8:02 AM 16218 42nd Ave S - Google Maps Googie https://www.google.com/maps/place/16218+42nd+Ave+S,+Tukwila... aps 16218 42nd Ave S cess 9V Imagery ©2017 Google, Map data ©2017 Google 10 ft I. 16218 42nd Ave S Tukwila, WA 98188 1, Uk2- 0,1( ef,c+sfy ro/l-J d�311nt, wewilomAe..• RECEIVED CITY OF TUKWILA REVIEWED FOR CODE COMPLIANCE MAY 02 2017 APPROVED MAY 11 2017 PERMIT CENTER City of Tukwila BUILDING DIVISION 1 of 2 4/12/2017 8:11 AM Below is the "CertainTeed Flintlastic Smooth Torch Applied" listing with UL for a Class B Fired Rated roof assembly over a wood deck. Class B Deck: C-15/32 Incline: 'A (or less) Vapor Retarder (Optional): — Type G2 "Glasbase" base sheet or UL Classified vapor retarder. Insulation (Optional): — One or more layers or combination the following: Ultragard Premier, polyisocyanurate, perlite, glass fiber or wood fiber insulation. Base Sheet: — Two layers Type G2 "Glasbase" base sheet. Membrane: One layer "Flintlastic STA" (modified bitumen), heat fused. Surfacing: — "FlintCoat-A150" or "FlintCoat-A300", or Karnak Corp. "97AF" or "98AF", applied at 1-1/2-gal./100-ft2. REVIEWED FOR CODE COMPLIANCE APPROVED MAY 11 2017 City of Tukwila BUILDING DIVISION RECEIVED CITY OF TUKWILA MAY 02 2017 PERMIT CENTER 9ERMIT COORD COPY.: PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D17-0118 PROJECT NAME: PHILLIPS DENTISTRY SITE ADDRESS: 16218 42 AVE S X Original Plan Submittal DATE: 05/02/17 Revision # before Permit Issued Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: A-3 Pole tt1 II Building Division Public Works ❑ Fire Prevention - Structural XI Planning Division Permit Coordinator ❑ PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) REVIEWER'S INITIALS: DATE: 05/04/17 Structural Review RequiredCI DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required (corrections entered in Reviews) Approved with Conditions Denied (ie: Zoning Issues) DUE DATE: 06/01/17 Notation: REVIEWER'S INITIALS: DATE: ,Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials: 12/18/2013 ANDERSON ROOFING INC Home Espanol Contact Safety & Health Claims & Insurance 41111) Washington State Department of 16, Labor & Industries Search L&I A-7,, Index Help Page 1 of 2 My 1,&I Workplace Rights Trades & Licensing ANDERSON ROOFING INC Owner or tradesperson Principals REISWIG, GREG BRENT, PRESIDENT JOY, TERESA, SECRETARY ANDERSON, DENNIS L, PRESIDENT (End: 02/26/2000) ANDERSON, DAVID L, VICE PRESIDENT (End: 02/26/2000) REISWIG, GREG B, SECRETARY (End: 02/26/2000) HOWARD, WILLIAM J, SECRETARY (End: 02/26/2000) ANDERSON, DENNIS L,,AGENT (End: 02/26/2000) Doing business as ANDERSON ROOFING INC WA UBI No: 601 606 054 PO BOX 2050 ISSAQUAH, WA 98027 425-222-6569 KING County Business type Corporation Governing persons DAVID LLOYD ANDERSON GREGORY BRENT REISWIG; 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. ANDERRI055DA Effective — expiration 03/01/1995— 03/01/2019 Bond ................. TRAVELERS CAS & SURETY CO Bond account no. 206022403 $12,000.00 Received by L&I Effective date 03/01/2002 02/25/2002 Expiration date Until Canceled Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601606054&LIC=ANDERRI055DA&SAW= 05/16/2017 ANDERSON ROOFING INC Insurance ............................... Scottsdale Ins Co Policy no. BCS0035659 $1,000,000.00 Received by L&I Effective date 09/28/2016 10/01/2016 Expiration date 10/01/2017 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. This company has multiple workers' comp accounts. Active accounts ................................................. L&I Account ID 950,894-00 Doing business as ANDERSON ROOFING INC Estimated workers reported Quarter 1 of Year 2017 "4 to 6 Workers" L&I account representative T3 / STEPHANIE HENDERSON (360)902-5598 - Email: HSTE235@Ini.wa.gov Track this contractor r3' Account is current. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 01/09/2017 Inspection no. 317943192 Location 16836 424th Ave SE North Bend, WA 98045 Inspection results date 08/08/2014 Inspection no. 317381747 • Location 4311 NE Sunset Blvd Renton, WA 98059 Violations Violations Page 2 of 2 C? 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=601606054&LIC=ANDERRI055DA&SAW= 05/16/2017