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Permit D17-0221 - GLICK RESIDENCE - STORAGE SHEDS
GLICK STORAGE SHEDS 11914 INTERURBAN PL S D17-0221 Parcel No: Address: Project Name: 0 City of Tukwila O 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 7340600023 11914 INTERURBAN PL S GLICK STORAGE SHEDS DEVELOPMENT PERMIT Permit Number: D17-0221 Issue Date: 9/20/2017 Permit Expires On: 3/19/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: GLICK SHOSHANA 11914 INTERURBAN PL S , TUKWILA, WA, 98168 JUSTIN ANDREW RODDA Phone: (206) 271-2629 131 NE 54 ST , SEATTLE, WA, 98105 RODDA DESIGN & BUILD 131 NE 54TH ST, SEATTLE, WA, 98105 RODDADB834DL SHOSHANA GLICK Address: 11914 IONTERURBAN PL S , TUKWILA, WA, 98168 Phone: (206) 261-2038 Expiration Date: 3/13/2019 DESCRIPTION OF WORK: PROVIDE CONSTRUCTION OF CODE COMPLIANT BUILDING FOOTINGS, RELOCATION OF TWO NON -OCCUPIED, UNHEATED STORAGE SHEDS. FASTEN SHEDS TO FOOTINGS FOR EARTHQUAKE. Project Valuation: $19,641.00 Type of Fire Protection: Sprinklers: Fire Alarm: Type of Construction: VB Electrical Service Provided by: TUKWILA Fees Collected: $865.97 Occupancy per IBC: U Water District: TUKWILA 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: Volumes: Cut: 0 Fill: 0 Landscape Irrigation: Sanitary Side Sewer: Number: 0 Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: No I 1 Permit Center Authorized Signature: Date: `1—)-01 7 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: Date: lr 2G 1( yZ 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: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 5: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any requirements for special inspection. 6: All wood to remain in placed concrete shall be treated wood. 7: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 8: 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. 9: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be obtained at City Hall in the office of the City Clerk. 10: 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). 0 0 11: Preparation before concrete placement: Water shall be removed from place of deposit before concrete is placed unless a tremie is to be used or unless otherwise permitted by the building official. All debris and ice shall be removed from spaces to be occupied by concrete. 12: 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** 0301 CONCRETE SLAB 0201 FOOTING 0409 FRAMING CITY OF TU LA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TulcwilaWA.gov Building Permit No. ' dam' Project No. Date Application Accepted: - IS -- Date Date Application Expires`. . - f,5" f '- II (For office use only) I 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.: Site Address: 11914 Interurban PI. S Tenant Name: 'Src 0 5,4104 a Cr fe Z 734060-0023 Suite Number: Floor: PROPERTY OWNER . Name: Justin Andrew Rodda Name: Shoshana Glick City: Seattle State: WA Zip: 98105 Address: 11914 Interurban PI. S Contr Reg No.: RODDADB843DL Exp Date: 3-30-2019 City: Tukwila State: WA Zip: 98105 CONTACT PERSON — person receiving all project communication Name: Justin Andrew Rodda Address: 131 NE 54th St. S City: Seattle State: WA Zip: 98105 Address: 131 NE 54th St. Contr Reg No.: RODDADB843DL Exp Date: 3-30-2019 Tukwila Business License No.: City: Seattle State: WA Zip: 98105 Phone: 206 271 2629 Fax: City: Email: horus2010©gmail.com Zip: Phone: GENERAL CONTRACTOR INFORMATION Company Name: RODDA DESIGN & BUILD Address: 131 NE 54th St. S City: Seattle State: WA Zip: 98105 Phone: 206 271 2629 Fax: Contr Reg No.: RODDADB843DL Exp Date: 3-30-2019 Tukwila Business License No.: H:Wpplications\Forms-Applications On Line \2011 Applications\Fetmit Application Revised - 8-9-1 I.docx Revised: August 2011 bh New Tenant: ❑ Yes ❑ .. No ARCHITECT OF RECORD Name: SKo Sr14,14 Cr7—i& r= Company Name: Address: ,Sa Architect Name: City: State: Address: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD Name: SKo Sr14,14 Cr7—i& r= Company Name: Address: ,Sa Engineer Name: City: State: Address: City: State: Zip: Phone: Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: SKo Sr14,14 Cr7—i& r= Address: ,Sa City: State: Zip: Page 1 of 4 BUILDING PERMIT INFORMA - 206-431-3670 Valuation of Project (contractor's bid price): $tea'%9 r G sI Describe the scope of work (please provide detailed information): Provide construction of code compliant building footings, relocation of two nonoccupied, unheated storage sheds, fastening sheds to footings for earthquake Existing Building Valuation: $ Will there be new rack storage? ® Yes 0.. No If yes, a separate permit and plan submittal will be required. r Provide All Building Areas in Square Footage Below PLANNING DIVISION: 04 - Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) 1444.5 *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: NIA - 0 I/}..❑ Sprinklers 0 Automatic Fire Alarm 0 None❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes 0 No If `yes', attach list of materials and storage locations on a separate 8-1/2"x II" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM pc ❑ 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\2011 Applications\Permit Application Revised - 8-9-11.docx -Revised: August 2011 bh Page 2 of 4 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC l' Floor 800 2nd Floor 3'd Floor - Floors thru - Basement Accessory Structure*(61 iv1 �Ll Attached Garage .. Detached Garage 1 1 ,, Attached Carport . Detached Carport Covered Deck Uncovered Deck 132 PLANNING DIVISION: 04 - Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) 1444.5 *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: NIA - 0 I/}..❑ Sprinklers 0 Automatic Fire Alarm 0 None❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes 0 No If `yes', attach list of materials and storage locations on a separate 8-1/2"x II" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM pc ❑ 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\2011 Applications\Permit Application Revised - 8-9-11.docx -Revised: August 2011 bh Page 2 of 4 PUBLIC WORKS PERMIT IN ' RMATION — 206-433-0179 Scope of Work (please provide detailed information): Grading for footings, build footings, move 2 unoccuppied, unheated storage shed buildings (10' x 20' and 12' x 16', attach to new footings 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 0 .. Highline ❑ ...Valley View ❑ .. Renton ❑ ... Sewer Availability Provided ❑ .. Renton ❑ .. 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): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34") ❑ ...Technical Information Report (Storm Drainage) 0 .. Geotechnical Report ❑ ...Bond 0 .. Insurance 0 .. Easement(s) ❑ .. Maintenance Agreement(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 0 Non Right-of-way ❑ ...Total Cut 1 cubic yards ❑ ...Total Fill 1 cubic yards ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑. ❑. ❑. ❑. Lrl ❑ ...Traffic Impact Analysis ❑ ...Hold Harmless — (SAO) ❑ ...Hold Harmless — (ROW) ❑ .. Right-of-way Use - Profit for less than 72 hours ❑ .. Right-of-way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage . Abandon Septic Tank . Curb Cut . Pavement Cut . Looped Fire Line ❑ ...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size .. ❑ ...Water Only Meter Size ❑ ...Sewer Main Extension Public 0 ❑ ...Water Main Extension Public 0 ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding WO # WO # WO # ❑...Deduct Water Meter Size Private 0 Private 0 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: Day Telephone: Mailing Address - Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip H:\Applications\Forms-Applications On Line12011 Applications Penult Application Revised - 8-9-11.docx Revised August 2011 bh Page 3 of 4 PERMIT APPLICATION NOTES t✓ 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 OWNER OR AUTHORIZED AGENT: -- Signature: Date: 8/2/2017 Print Name: Justin Andrew Rodda Day Telephone: 206 271 2629 Mailing Address: 131 NE 54th St. SeattleWA 98105 City State Zip H:\Applications\Forms-Applications On Line \2011 Applications'Permit Application Revised - 8-9-11.docx Revised: August 2011' bh Page 4 of 4 Cash Register Receipt City of Tukwila Receipt Number R12370 DESCRIPTIONS ACCOUNT PermitTRAK • QUANTITY PAID $536.64 D17-0221 Address: 11914 INTERURBAN PL S Apn: 7340600023 $536.64 Credit Card Fee $15.63 Credit Card Fee R000.369.908.00.00 0.00 $15.63 DEVELOPMENT $496.41 PERMIT FEE R000.322.100.00.00 0.00 $491.91 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE .$24.60 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12370 R000.322.900.04.00 0.00 $24.60 $536.64 Date Paid: Wednesday, September 20, 2017 Paid By: SHOSHANA GLICK Pay Method: CREDIT CARD 02456D Printed: Wednesday, September 20, 2017 1:44 1 of 1 PM CRWSYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID $329.33 PermitTRAK D17-0221 Address: 11914 INTERURBAN PL S Apn: 7340600023 $329.33 Credit Card Fee $9.59 Credit Card Fee R000.369.908.00.00 0.00 $9.59 DEVELOPMENT $319.74 PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R12136 R000.345.830.00.00 0.00 $319.74 $329.33 Date Paid: Tuesday, August 15, 2017 Paid By: SHOSHANA GLICK Pay Method: CREDIT CARD 04461D Printed: Tuesday, August 15, 2017 12:52 PM 1 of 1 CRI1VSYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit D17-022-% 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: G./.. /C. S/IAiG-a-f . ` Type of Inspection: /3U I La 046- 9 NAL Address: 11914 iNTNIAR t PL i c5, Date Called: Special Instructions: Date Wanted: 16-31-11 aln. .m Requester: Phone No: QApproved per applicable codes. Corrections required prior to approval. COMMENTS: ofd BL4LD/NC` 1 t_ 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 D1-7-022,1 Project: Type of Inspection: Address: ie/q/1/ Luirevevw a_ .5' Date Called: Special Instructions: • Date Wanted: /c/47/1 Requester: r T7AIA144 Phone No: 266'27/-2o 2r `�'c' Approved per applicable codes. Corrections required prior to approval. COMMENTS: DK- ('C CM+£ 52_111 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 ill- IU Projj�s°ct: . , . l Type of ection: Address: 1149/q liviz-igriRevir-A1 Pt S Date Called: Special Instructions: Date Wanted: Requeste . Phone No: IZApproved per applicable codes. Corrections required prior to approval. COMMENTS: CSbC — ap- 2 rtho5 Inspector: Date: /o -/7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit DI7-622/ 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: 6 -Li ct sib 57/LS Type of Inspection: /i4 -71N6. -- Address: Hi/ `). i ArizozURt3AM% PLIC Date Called: Special Instructions: Date Wanted: /0—`i-,7 Ca•m p.t1i. Requester: Phone No: Approved per applicable codes. D Corrections required prior to approval.' COMMENTS: Inspector: f Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. )(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 Pr ject: SCK .T01(24.166" f Type spection: a>la,Ai 1, mo -i- Si' , 0104 5.(123/9e-1< 'k l Address:. 11q/1/ / lamr,J PL Called: Special Instructions: Date Wanted r zqk p.m - Requester. Phone No: I ! Approved per applicable codes. Corrections required prior to approval. COMMENTS: elo RaFci7oMs' RAvtili<O 1, mo -i- Si' , 0104 5.(123/9e-1< 'k l � sr PAa" R—y, o)ve ib A,/ '; )*� /I k 6-.S fvl L B6 n4,71/ / rvl VP/ 1 -// / HE) A//¢/-7 ✓C G ov.N)1 Inspector: Date: r-.29—/ 2 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. COVER SHEET DRAWING INDEX #001 SITE PLAN #002 SHED A AND B SECTIONS AND ELEVATIONS ADDRESS : 11914 Interurban PI. S. PARCEL # Net edh g 5 Lf b T D 0 023 SCOPE OF WORK: Grading for footings, build footings, move 2 unoccupied, unheated storage shed buildings (SHED A 12'x16'x12' and SHED B 10'x20'x8'), attach to new footings. SQUARE FOOTAGE OF ALL FLOORS: 940 SQ. FT. SQUARE FOOTAGE OF PROPOSED WORK: 392 SQ. FT. 7 br7o22J REVIEWED FOR CODE COMPLIANCE APPROVED AUG 292017 City of Tukwila BUILDING DIVISION CITY OF TUKWILA AUG 15 2011 PERMIT CENTER 9ERM1T COORD COPY o PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D17-0221 DATE: 08/15/17 PROJECT NAME: GLICK STORAGE SHEDS SITE ADDRESS: 11914 INTERURBAN PL S X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # ,after Permit Issued DEPARTMENTS: Awc 11 Public Works (641 Building Division Vi %II Fire Prevention Structural Mg PM— (6 01 Planning Division IN ❑ Permit Coordinator PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) REVIEWER'S INITIALS: DATE: 08/17/17 Structural Review Required DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required DUE DATE: 09/14/17 ❑ Approved with Conditions ❑ ❑ Denied (corrections entered in Reviews) (ie: Zoning Issues) Notation:/e\ /1My2 Sir‘e.Zj— REVIIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire 0 Ping ❑ PW 0 Staff Initials: 12/18/2013 RODDA DESIGN & BUILD Home, Espanol Contact Page 1 of 2 Search L&I A -Z Inde Help I1yLAI Safety & Health Claims & Insurance Workplace Rights Trades & Licensing Washington State Department of Labor & Industries RODDA DESIGN & BUILD Owner or tradesperson RODDA, JUSTIN ANDREW Principals RODDA, JUSTIN ANDREW, OWNER WA UBI No. 604 098 430 131 NE 54TH ST SEATTLE, WA 98105 206-261-2038 KING County Business type Individual 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. RODDADB834DL Effective — expiration 03/13/2017— 03/13/2019 Bond ........._..... Wesco Insurance Co Bond account no. 46WB084193 $12,000.00 Received by L&I Effective date 03/13/2017 03/10/2017 Expiration date Until Canceled Insurance Security National Insurance $1,000,000.00 Policy no. NAI18464100 Received by L&I Effective date 03/13/2017 03/10/2017 Expiration date 03/10/2018 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, u some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=604098430&LIC=RODDADB834DL&SAW= 9/20/2017 RODDA DESIGN & BUILD No active workers' comp accounts during the pre4.ous 6 year period. O Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes ........_..............................._............. No strikes have been issued against this contractor. Contractors not allowed to bid ............................................................................................ No debarments have been issued against this contractor. Workplace safety and health No inspections during the previous 6 year period. 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.gbv/verify/Detail.aspx?UBI=604098430&LIC=RODDADB834DL&SAW= 9/20/2017 (TEI 3c\iT 1 1 U�. Cc?\(E:R.E C? { SLt � 3 0 iJ COPY Permit No. 91.1 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 Field Comer and conditions is acknowledged: By: Date: �/ZOJ/*2. City of Tukwila BUILDING DIVISION .L.....�—+.._J.._1.... 4_.._s. _.r_.... .. '5 • 0 O1DD SAD SIGNI � a < naUlL�fiD GENERA i CONTRACTOR td iA ;46)1,27,11:?, is db coY 4 P L Beni s` : oro s J REVISIONS No changes shall be made to the scope of work without prior approval of. Tukwila Building Division. NOTE # evisicnm wiil recii re a ne. r plan submItts► cnci m:iv i..:aide s ir. dition;.I pian reviev, fees ilf cyr�[_ II 0 REVIEWED FOR CODE COMPLIANCE APPROVED AUG 29 2017 City of Tukwila BUILDING DIVISION kj5.1((\( I SEPARATE PE. 'FAIT REQUIRED FOR: tZMechanical ErElectrical dumbing (D/Gas Piping City of Tukwila DIVISION RECEIVED CITY OF TUKWILA AUG 15 2017 PERMIT CENTER i'1- 0 ZZj $1414404,„E...5 • .5555/15;;;;;z/55555175/519/-5/5/755/ "/5//,,////1'//f5=lif JI ;?.?.`44?‘„""?‘="1..??? "'".."•;„ 2/44:24"441:42:,IF=4,44:-=.4. 774227-4W":4tt:,t'g': ''t=74'0 4 /-2#01 t 4:44.ita4.????.??A*44"Itf 7zAttt.==tttttttmentl l'''-'5'="4=4"zn=r1TIAValt? 444".4.tttzvt,'„t '.4",Xintr.=571,-ZZ, K.% cAL_E_ 1, PftSf#,ZiftM,8,_ 1.1, ralft400141.0 : ' t .".,,--AAAAAAAA**.o J I ... ; i 4 44 1 al 11. 1 tf5/5 f4545 -e feafrit fix5ffiLfrif 4rti//iffff251/ffaIffrfriff/r11145511:5.55.,.4.....5. 41imitzt MOM' WALL 4 • • .6 ? ? • 1 • # • F H 9 C.T• t.1 1--c? Locr F tJ MK. 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CAL.E 1 1-r , (/' 1.0 ‘1,q1- o e ) o ' 0 OC • .1 NOTE 1 5 4 440/155/4??5,40/0•55:55505:*0'54 ...„A454::::;,55,55:17,.55/4tfAtiA44/54.1/5/45 ..//g/".4•.5../ ttottrvoirob 555/00/001/05/55345/5* .414//-*,414f5.54I,A;f44 lot,ted E 0 NI' P.5.Iff7.4f./;15.$/./..nwNIS g1:4:4;4"1-.-E.;,14-1Strg4t;*4:441 I) A ad4,440,604.0941410,0141 //4•1041/5**51 ????.??0#4?????4•;?15?-5-???44??...?:??????4,4???...????????????.?????????,????.??????????????,;????....1?m??,74. . 54, \\.; nH „r/ REVIEWED FOR CODE COMPLIANCE APPROVED AUG 29 2017 City of Tukwila BUILDING DIVISION • RECEIVED CITY OF TUKWILA AUG 15 2017 PERMIT CENTER I', •-.....•'."."'''....*.-'fr )