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Permit D18-0006 - HORIZON FORD - ACOUSTIC TILES, CARPETING, DRYWALL REPAIRS ETC
HORIZON FORD 14027 INTERURBAN AVE S D18-0006 Parcel No: Address: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov DEVELOPMENT PERMIT 3365900830 14027 INTERURBAN AVE S Project Name: HORIZON FORD Permit Number: D18-0006 Issue Date: 1/29/2018 Permit Expires On: 7/28/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: TUKWILA GAMING LLC 8200 TACOMA MALL BLVD , LAKEWOOD, WA, 98499 AMERICUS VERGARA 720 N 10TH ST, STE A-351, RENTON, WA, 98057 A VERGARA LLC 720 N TENTH ST - SUITE A-351 , RENTON, WA, 98057 VERGAVL84ORK FRANK WILCHER 14027 INTERURBAN AVE S , TUKWILA, WA, 98168 Phone: (206) 883-4630 Phone: (206) 883-4630 Expiration Date: 12/12/2018 DESCRIPTION OF WORK: REPLACE EXISTING MIRROR CEILING TILES WITH NEW ACOUSTIC TILES, REMOVE AND REPLACE CARPETING, PRIME AND PAINT WALLS AND CEILING AREAS. VARIOUS DRYWALL REPAIRS AND NEW DRYWALL TO GO OVER BAD WALLS. CE17-0395 Project Valuation: $20,000.00 Type of Fire Protection: Sprinklers: NO Fire Alarm: NO Type of Construction: Electrical Service Provided by: TUKWILA Fees Collected: $840.75 Occupancy per IBC: Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-466: WA State Energy Code: 2017 2017 2017 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: 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 th state or local laws development pe Signature: Print Name: permit does not presume to give authority to violate or cancel the provisions of any other egulating nstruction or the performance of work. I am authorized to sign and obtain this and agreto the conditions attached to this permit. Date: - ZS V22 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: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 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: 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. 10: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431-3670). 11: Applicant will need to apply for a sign permit for proposed building mounted signage. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 0409 FRAMING 0606 GLAZING 0406 SUSPENDED CEILING CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Permit No. D18# Project No. Date Application Accepted: \C(b6 Date Application Expires: (For office e o ly) 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 Site Address: 14027 INTERURBAN AVE Tenant Name: Horizon Ford King Co Assessor's Tax No.: Suite Number: Floor: PROPERTY OWNER Name: HORIZON FORD Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Americus Vergara Address: 720 N 10th st. Suite A-351 City: Renton State: WA Zip: 98057 Phone: 206-883-4630 Fax: Email: mdmmstr@yahoo.com GENERAL CONTRACTOR INFORMATION Company Name: A VERGARA LLC Address: 720 N 10TH ST SUITE A-351 City: State: Zip: Phone: Fax: Contr Reg No.: 604-060-175 Exp Date: 12/12/2018 Tukwila Business License No.: H:Wpplications\Forms-Applications On Line \2011 Applic tions\Permit Application Revised - 8-9-1 I .docx Revised: August 2011 bh New Tenant: Yes ❑..No ARCHITECT OF RECORD l Name:- U . 1`C l --A______ Address: vt0 21 Company Name: _ �"_) 1 .5 Architect Name: State: .Zip:otg) ija Address: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD l Name:- U . 1`C l --A______ Address: vt0 21 Company Name: _ �"_) 1 .5 Engineer Name: State: .Zip:otg) ija Address: City: State: Zip: Phone: Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) l Name:- U . 1`C l --A______ Address: vt0 21 147- --Al _ �"_) 1 .5 Ci_ ty State: .Zip:otg) ija fkl'I.0�1Cn Page 1 of 4 BUILDING PERMIT INFORMATION — 206-431-3670 20,000.00 Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Describe the scope of work (please provide detailed information): Replace exiting mirror ceiling tiles with new acoustic tiles, remove and replace carpeting. prime and paint walls and ceiling areas. Various drywall repairs and new drywall to go over bad walls. Will there be new rack storage? 0 Yes 0.. 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? ❑ Yes 0 No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 0 Sprinklers ❑ Automatic Fire Alarm 0 None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ 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. H:\Applications\Forms-Applications On Line \2011 ApplicationsWetmit 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 ' Floor 3500 sf 3500 sf 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? ❑ Yes 0 No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 0 Sprinklers ❑ Automatic Fire Alarm 0 None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ 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. H:\Applications\Forms-Applications On Line \2011 ApplicationsWetmit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 2 of 4 PUBLIC WORKS PERMIT INFORMATION — 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 ❑...Water District #125 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila 0 ...Sewer Use Certificate 0 .. Highline ❑... Valley View ❑ .. Renton ❑ ...Sewer Availability Provided El.. 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) ❑ ...Bond 0 .. Insurance 0 .. Easement(s) Proposed Activities (mark boxes that apply): 0 ...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 cubic yards ❑ .. Work in Flood Zone ❑ ...Total Fill cubic yards 1=1.. Storm Drainage 0 .. Geotechnical Report ❑ .. Maintenance Agreement(s) ❑ ...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 ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities 0 ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line ❑ .. Grease Interceptor ❑ .. Channelization El.. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Permanent Water Meter Size... 7 7 WO # 0 ...Temporary Water Meter Size .. WO # ❑ ...Water Only Meter Size WO # ❑...Deduct Water Meter Size ❑ ...Sewer Main Extension Public ❑ Private 0 ❑ ...Water Main Extension Public 0 Private 0 FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water ❑ ...Sewer ❑ ...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:1Applications\Forms-Applications On Line12011 Applications\Permit Application Revised - 8-9-1 I.docx Revised: August 2011 bh Page 3 of 4 PERMIT APPLICATION NOTES — Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING 0 Signature: NER OR AUTHORIZED AGENT: Print Name: Date: 1"--S t `' `►"^� q'' Day Telephone: - ,-�IDT) y,�� Mailing Address: 72-c)‘ks-c � 1. S.%- - ' �� • e)11�- � WC 7 City State Zip H:\Applications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-1 I.docx Revised: August 2011 bh Page 4 of 4 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK . ACCOUNT QUANTITY PAID $840.75 D18-0006 Address: 14027 INTERURBAN AVE S Apn: 3365900830 $840.75 DEVELOPMENT $816.15 PERMIT FEE R000.322.100.00.00 0.00 $491.91 PLAN CHECK FEE R000.345.830.00.00 0.00 $319.74 WASHINGTON STATE SURCHARGE 8640.237.114 0.00 $4.50 TECHNOLOGY FEE $24.60 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R13233 R000.322.900.04.00 0.00 $24.60 $840.75 Date Paid: Monday, January 08, 2018 Paid By: A VERGARA LLC Pay Method: CHECK 3034 Printed: Monday, January 08, 2018 11:58 AM 1 of 1 CRWSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION ftt S'-ecop 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: //9 /ZAP 7' yzi3 Type of Inspection: Address: /1/0 7 0reR/ABA/ ,4t% 6 Date Called: Special Instructions: Alti.-0/N6 Pi/Mk,-..2 .11�pe./XD,?'.Q C` xiN6- G� 42./A/G — Date Wanted: 2. —16 C Requester: Phone No: 2©i9-353- 106 ® Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: OK— Cu2-/%16- uta- FRiiiU.fl G- - S035s-/VW et/L._fN� Ci bC —$L)ILDrk& Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. COVER SHEET 1. Pg 1 Floor plan: No Changes Tenant Improvement. 2. Pg 2 Site plan: No Changes 14027 Interurban Ave S Tukwila, WA 98168 Parcel # 3365900830 3. Project description: Tenant Improvement: 1. New drywall for cosmetic due to mirror removal. 2. New paint. 3. New carpeting. 4. Ceiling tiles replacements. 5. New windows for security purposes. 6. Removal of old sign and installing Vinyl banner on awning. 4. Occupancy classification: Car Dealership RECEIVED CITY OF TUKWILA 5. 3600 sf PERMIT CENTER' 6. Vicinity map. P1(15/0(/ PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D18-0006 PROJECT NAME: HORIZON FORD SITE ADDRESS: 14027 INTERURBAN AVE S X Original Plan Submittal Response to Correction Letter # DATE: 01/09/18 Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: Ac kVA Building Division ❑ ���Fllbl� Pub is orks A -K 9- EU -18 KNo$ /roc, 1-0--(e Fire Prevention ❑. Planning Division ❑ Structural ❑ Permit Coordinator ❑ PRELIMI NARY REVI EW: Not Applicable ❑ (no approval/review required) REVIEWER.S INITIALS: DATE: 01/11/18 Structural Review Required DATE: APPROVALS OR CORRECTIONS: DUE DATE: Approved ❑ Approved with Conditions Corrections Required ❑ Denied (corrections entered in Reviews) (ie: Zoning Issues) Notation: 02/08/18 REVIEWERS INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 R =:f= ° •_ I ' APPROVED G.,sc. changes can be madeto these plans without approval from the Planning Division of DCD Approved By: M 14 I [date: N )--f e SEPARATE PERMIT REQUIRED FOR: CAechanical Q4lectrical Critumbing Q Gas Piping City of Tukwila BUILDING DIVISION FILE COPY Permit No. I) (S- 000 o Pian 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 Chop and conditions is acknowledged: By. Data, t —247 - vcb REVISIONS No changes shall be made to the scope of work litho; it prior approval of Till,: rila Building Division NOT:: : s ev stuns will require a new plan submittal and may indude additional plan review fees. City of Tukwila BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE APPROVED JAN 172018 + Pit Ci of Tukwila BUILDING DIVISION -1 -- J i REVIEWED FOR MP.6AANCE APPROVED JAN 1 7 2010 pi of T kw1Ia UILQ!N s tIVEU CITY OF TUKWILA JAN 0 8 2018 PERMIT CENTER g i i k REVIEWED FOR MP.6AANCE APPROVED JAN 1 7 2010 pi of T kw1Ia UILQ!N s tIVEU CITY OF TUKWILA JAN 0 8 2018 PERMIT CENTER 11.1 pr1•, i ?C-4. •-# J glcvscv_n Co coo s P 18� 4..__. I 1/4" DRYWALL DUE TO COSMETICS mad WINDOWS FOR SECURITY Z413a 50 se) s itur 1 /2 WALL REPLACEMENT OF BRASS RAILING MENS ROOM WOMENS ROOM F--1/�7'Af► M7 UP 14 o.w �-cri ����✓L�S cmc i f !'1 N{► 4b15o X3a WINDOWS FOR SECURITY SOI13INSOO Ol 311a 11VM)WO 17/G REVIEWED FOS" CODE COMPLIANCE APPROVED JAN 17 2018 City of Tukwila ��.1�� DIVISION s a REEIVED CITY OF TUKWILA JAN 0 8 2018 PERMIT CENTER A VERGARA LLC Washington State Department of )Labor & Industries Home Espanol Contact Search L&I Page 1 of 2 A -Z Index Help My L&I Safety & Health Claims & Insurance Workplace Rights A VERGARA LLC Owner or tradesperson VERGARA, AMERICUS J JR Principals VERGARA, AMERICUS J JR, PARTNER/MEMBER WA UBI No. 604 060 175 720 N 10TH ST SUITE A-351 RENTON, WA 98057 206-883-4630 KING County Business type Limited Liability Company 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. VERGAVL84ORK Effective — expiration 12/12/2016-12/12/2018 Bond Wesco Insurance Co Bond account no. 46wb090483 $12,000.00 Received by L&I Effective date 12/01/2017 12/06/2017 Expiration date Until Canceled Bond history Insurance ....................... Security National Insurance Policy no. NAI09733703 $1,000,000.00 Received by L&I Effective date 12/01/2017 12/06/2017 Expiration date 12/06/2018 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. Trades & Licensing Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=604060175&LIC=VERGAVL84ORK&SAW= 1/29/2018 A VERGARA LLC License Violations No license violations during the previous 6 yt .period. Workers' comp No active workers' comp accounts during the previous 6 year period. 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.gov/verify/Detail.aspx?UBI=604060175&LIC=VERGAVL84ORK&SAW= 1/29/2018