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HomeMy WebLinkAboutPermit D18-0021 - CITY OF TUKWILA - COMMUNICATIONS OFFICE WALLCITY OF TUKWILA COMMUNICATIONS 6300 SOUTHCENTER BLVD SUITE 115 D18-0021 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 0003200005 Permit Number: 6300 SOUTHCENTER BLVD 115 CITY OF TUKWILA - COMMUNICATIONS Issue Date: Permit Expires On: 018-0021 2/16/2018 8/15/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: TUKWILA CITY OF 6200 SOUTHCENTER BLVD , TUKWILA, WA, 98188 HENRY ANCIRA 14000 INTERURBAN AVE S , TUKWILA, WA, 98168 LAKE WASHINGTON CONST LLC 12819 SE 38TH ST #504 , BELLEVUE, WA, 98006 LAKEWWC883DE N/A LESS THAN $5,000 Phone: (206) 433-7146 Phone: (206) 228-2708 Expiration Date: 4/14/2018 DESCRIPTION OF WORK: BUILD ONE WALL APPROXIMATELY 10 FT LONG Project Valuation: $3,525.00 Type of Fire Protection: Sprinklers: YES Fire Alarm: YES Type of Construction: VB Electrical Service Provided by: TUKWILA Fees Collected: $297.02 Occupancy per IBC: B 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 296-46B: WA State Energy Code: 2017 2017 2017 2015 Public Works Activities: Channelization/Striping: r 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: (4 Water Meter: No Permit Center Authorized Signature: Date: d- ( 6 vc e 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: r� v S, cShe c/dak, Date:al 'Pe 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: 3: Fire protection systems shall be maintained in accordance with the original installation standards for that system. Required systems shall be extended, altered or augmented as necessary to maintain and continue protection whenever the building is altered, remodeled or added to. Alterations to fire protection systems shall be done in accordance with applicable standards. (IFC 901.4) 1: All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department review and approval of drawings prior to installation or modification. New sprinkler systems and all modifications to sprinkler systems involving more than 50 heads shall have the written approval of Factory Mutual or any fire protection engineer licensed by the State of Washington and approved by the Fire Marshal prior to submittal to the Tukwila Fire Prevention Bureau. No sprinkler work shall commence without approved drawings. (City Ordinance No. 2436). 5: Maintain fire alarm system audible/visual notification. Addition/relocation of walls or partitions may require relocation and/or addition of audible/visual notification devices. (City Ordinance #2437) 4: All new fire alarm systems or modifications to existing systems shall have the written approval of The Tukwila Fire Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #2437) (IFC 901.2) 6: An electrical permit from the City of Tukwila Building Department Permit Center (206-431-3670) is required for this project. 2: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2436 and #2437) 7: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 8: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575-4407. 9: ***BUILDING PERMIT CONDITIONS*** 10: 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. 11: 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. 12: Partition walls shall not be tied to a suspended ceiling grid. All partitions greater than 6 feet in height shall be laterally braced to the building structure. Such bracing shall be independent of any ceiling splay bracing. 13: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 14: 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. 15: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 16: 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. 17: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431-3670). PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 1400 FIRE FINAL 0409 FRAMING CITY OF TUKW'' A 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: Date Application Expires: (For office use only) CONSTRUCTION PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. **Please Print** SITE LOCATION Site Address: ((3O( 1314 King Co Assessor's Tax No.: Suite Number: //S• Floor: ..t Tenant Name: C1 + y c Tv Pe -‘4J/ /o . PROPERTY OWNER Name:` %�e� r Aac lrc., Address $? q( / S 1' VC s s Name: C14_ Phone: zoZ Z g� Z2 Fax: City: -7..L ` 1State: r^ Address: 3 ,D So 0 t c:,_,\a-v 2 \ +,- Ir City: -to kt,., t j a� State: k1 - Zip: 96 /6 06 CONTACT PERSON — person receiving all project communication Name:` %�e� r Aac lrc., Address $? q( / S 1' VC s s Address: Phone: zoZ Z g� Z2 Fax: City: -7..L ` 1State: r^ Zip: Phong:.oG^ 5.7-1 .6z9yFax: Email: / GENERAL CONTRACTOR INFORMATION Company Name: ,s1i 6)&s ] t ^ C Address $? q( / S 1' VC s s City1 , State: ��A Zip:7450 ct •� Phone: zoZ Z g� Z2 Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: C .< L L✓ W 8 JO H:\Applications\Forms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh New Tenant: ❑ Yes 1. No ARCHITECT OF RECORD Name: Address: Company Name: Architect Name: Address: City: State: Zip: Phone: Fax: Email: 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 of 4 BUILDING PERMIT INFORMATIO206-431-3670 Valuation of Project (contractor's bid price): $ 3 5 Z ° O Existing Building Valuation: $ Describe the scope of work (please provide detailed information): /4-- e-44/ 01 Pix la /opt' Will there be new rack storage? ❑ ....Yes No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? 0 Yes 0 No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 0 Sprinklers 0 Automatic Fire Alarm 0 None 0 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 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:\ApplicationsWorms-Applications On Line&2012 Applications'Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1St Floor 2nd Floor 3rd Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? 0 Yes 0 No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 0 Sprinklers 0 Automatic Fire Alarm 0 None 0 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 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:\ApplicationsWorms-Applications On Line&2012 Applications'Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 f PUBLIC WORKS PERMIT INFOP,,,ATION — 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 0 .. Tukwila ❑ .. Sewer Use Certificate ❑... Highline ❑...Valley View ❑... Renton ❑ ...Sewer Availability Provided O ... 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 ❑... Easement(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 ❑ Non Right-of-way ❑ ❑ .. Total Cut 0 .. Total Fill cubic yards cubic yards ❑ .. Sanitary Side Sewer ❑ .. Cap or Remove Utilities ❑ .. Frontage Improvements ❑ .. Traffic Control ❑ .. Backflow Prevention - Fire Protection 0... Geotechnical Report 0...Maintenance Agreement(s) ❑ .. 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 ❑... Storm Drainage 0...Abandon Septic Tank ❑...Curb Cut 0... Pavement Cut 0...Looped Fire Line Irrigation Domestic Water ❑ .. Permanent Water Meter Size (1) " WO # 0 .. Temporary Water Meter Size (1) " WO # ❑ .. Water Only Meter Size WO # ❑ .. Sewer Main Extension Public ❑ Private ❑ ❑ .. Water Main Extension Public 0 Private ❑ ❑... Grease Interceptor ❑... Channelization ❑...Trench Excavation ❑... Utility Undergrounding (2) " WO # (3) (2) " WO # (3) ❑ .. Deduct Water Meter Size " WO# " WO# 37 FINANCE INFORMATION Fire Line Size at Property Line ❑ .. Water ❑ .. Sewer ❑ .. Sewage Treatment Monthly Service Billing to: Name: Number of Public Fire Hydrant(s) Day Telephone: Mailing Address: City State Zip Water Meter Refund/Billing: Name: Mailing Address: Day Telephone: City State Zip HAApplications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 3 of 4 /Th 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. BUILDIN O A • ' I�,1AUtr"1 D AGENT: Signature: Print Name: Mailing Address Ii:Wpplications\Forms-Applications On Line \20I2 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Date: 1-23---) Day Telephone: tr:96 (A 22O / 4 City State Zip Page 4 of 4 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT PermitTRAK QUANTITY I. PAID $297.02 D18-0021 Address: 6300 SOUTHCENTER BLVD 115 Apn: 0003200005 $297.02 DEVELOPMENT $288.42 PERMIT FEE R000.322.100.00.00 0.00 $172.07 PLAN CHECK FEE R000.345.830.00.00 0.00 $111.85 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $8.60 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R13535 R000.322.900.04.00 0.00 $8.60 $297.02 Date Paid: Tuesday, January 23, 2018 Paid By: LAKE WASHINGTON CONSTRUCTION L Pay Method: CHECK 1308 Printed: Tuesday, January 23, 2018 1:09 PM 1 of 1 CRWSYSTEMS 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 DS -0021 Pr•je t:Type 6t -.u Tis Kw, 1,4 ..... of Inspection: c ` t . . F' .: L COM M. (Ail % C.C4f I.071 Date Called: Special Instructions: 6300 � ,ce-w RLV44, ; *- t IS. Date Wanted: C. 5- 22 -Zoe P.m. Requester:/i c,.; tl-r-d Lj NIU Phone No: _ WL— S" 71- CQZV I'Approved per applicable codes. Corrections required prior to approval. COMMENTS: B.(4-11, "---)4411- . .G71;7174 Inspector: ELV_LO Date: r22-z4vc( 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 6---8T.,4? Pro'ect: a; Y Of 7 k4tJ1 tri Type of Inspection: FRAM] 46 - Address: 6 zoo-leo/term tl-vb, Date Called: Special Instructions: cofiiitiiu4PG TIC1 //5— Date Wanted: —2/-18 CD p.m. Requester: Phone No: stRiApproved per applicable codes. LJ Corrections required prior to approval. COMMENTS: OK— fRityrk, [N& Inspector: Date: 2. / i'( REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. i INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit E_• PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 Project: (% EXISTING ROOF SYSTEM NO CHANGE At EXISTING V. CEILING HEIGHT Communications SUITE 115 SCALE 3116" =1'-0" Friday. November 17. 2017 07:22 AM U TOP OF WALL STUD CHANNEL SHALL NOT ATTACH TO CEILING GRID. PROVIDE SEPARATE STEEL CHANNEL BRACING TO OPEN WEB JOIST STRUCTURE ABOVE.WITH ALTERNATING DIAGONAL BRACING MIN. 4 FEET ON CENTER. EXISTING SUSPENDED CEILINGS TYP. NO CHANGE, REPAIR AS NEEDED. SOUND BATT INSULATION 5/8 GWB EA. SIDE OF 2X4 METAL STUDS 4 E FILE C3PY U_ DESK OFFICE 3 OFFICE 4 Permit No. P(6' 00`1-\ Plan review approval is subject to errors and omissions. SOUND BATT-INSULAAproval of construction documents docs r. )- £.iu.e orize the violation of any adopted co :o or crd no;;c^ r �n° t sHorroFLooR of approved Feld Copy�and conditions . ER'RIVI- d: @24'O.C.MIN. � a iJ {:ice -1 c; W/POWDER ACTUATED NAILS INTERIOR PARTITION TYP. 3 112" WALL NON BEARING By: Date: P D K DESK E DESK RECEPTION DESK City cf Tu wila BUILDING Li ;ViS ON --OPEN AT DESK HALLWAY OFFICE 2 DESK PRI ffth -\70 L r 0 SEPARAiF� i .i REQUir fn El Mechanical [21 Electrical rig'Piumbing t Cas Piping City of Tuk f<r ' g�J;l,"ram , REVIEWED FOR (1ODE COMPLIANCE APPROVED FEB 13 2018 75 9Y' X 8' A J U 24-2u" CORREC IO City of Tukwila BUILDING DIVISION LTR#. ----- SUITE 115 SCALE: 3/16" = 1'-0" PAGE: NEW WALL SCALE: As Noted DATE: Friday, November 17, 2017 DRAWN BY: ALLEN JOHANNESSEN PROJECT AND LOCATION: Communications PHONE: FAX: EMAIL: CITY OF TUKWILA 6300 SOUTHCENTER BLVD. Ste 100 PHONE: 206-433-7163 TUKWILA FAX: 98188 al.johannessen©tukwilawa.gov REVISIONS No changes sho01 mcIde to the scope of work witho:t pror approval of Tukft",ila i 'i\inion NOTE: l3Visicns will ran ubr itt; art may ...'ode aff.tonoi pk i b1Poozi RECEIVED CITY OF TUKWILA FEB 12 2018 PERMIT CENTER City of Tukwila Department of Community Development February 12, 2018 HENRY ANCIRA 14000 INTERURBAN AVE S TUKWILA, WA 98168 Allan Ekberg, Mayor Jack Pace, Director RE: Correction Letter # 1 DEVELOPMENT Permit Application Number D 18-0021 CITY OF TUKWILA - COMMUNICATIONS - 6300 SOUTHCENTER BLVD - SUITE 115 Dear HENRY ANCIRA, This letter is to inform you of corrections that must be addressed before your development permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the following departments: BUILDING DEPARTMENT: Allen Johannessen at 206-433-7163 if you have questions regarding these comments. • (GENERAL INFORMATION NOTE) PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size. New revised plan sheets shall be the same size sheets as those previously submitted.) (If applicable) "STAMP AND SIGNATURES" "Every page of a plan set must contain the seal/stamp, signature of the licensee(s) who prepared or who had direct supervision over the preparation of the work, and date of signature. Specifications that are prepared by or under the direct supervision of a licensee shall contain the seal/stamp, signature of the licensee and the date of signature. If the "specifications" prepared by a licensee are a portion of a bound specification document that contains specifications other than that of an engineering or land surveying nature, the licensee need only seal/stamp that portion or portions of the documents for which the licensee is responsible." It shall not be required to have each page of "specifications" (calculations) to be stamped and signed; Front page only will be sufficient. (WAC 196-23-010 & 196-23-020) (BUILDING REVIEW NOTES) 1. Please cloud or identify the wall you intend to install. Include dimensions. 2. Show how it shall be attached top and bottom, type of studs and GWB. Note: Contingent on response to these corrections, further plan review may request for additional corrections. Please address the comments above in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that two (2) sets of revised plan pages, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a 'Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections/revisions must be made in person and will not be accepted through the mail or by a messenger service. A'2nn -.-•--- n- --, --- - , ., ,, .,.,, i 1 If you have any questions, I can be reached at (206)433-7165. Sincerely, v)i(\itr) Rachelle Ripley Permit Technician File No. D18-0021 Kann .cnvthrontPr Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 c PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D18-0021 DATE: 02/12/18 PROJECT NAME: CITY OF TUKWILA - COMMUNICATIONS SITE ADDRESS: 6300 SOUTHCENTER BLVD - SUITE 115 Original Plan Submittal Revision # before Permit Issued X Response to Correction Letter # 1 Revision # after Permit Issued DEPARTMENTS: Pd U Building Division Public Works Fire Prevention Structural n Planning Division nPermit Coordinator PRELIMINARY REVIEW: Not Applicable n (no approval/review required) REVIEWER'S INITIALS: DATE: 02/13/18 Structural Review Required DATE: n APPROVALS OR CORRECTIONS: Approved Corrections Required Approved with Conditions Denied (corrections entered in Reviews) (ie: Zoning Issues) DUE DATE: 03/13/18 n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire 0 Ping 0 PW ❑ Staff Initials: 12/18/2013 '1,sERMiT COORD COPY o PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D18-0021 DATE: 01/23/18 PROJECT NAME: CITY OF TUKWILA - COMMUNICATIONS SITE ADDRESS: 6300 SOUTHCENTER BLVD - SUITE 115 X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: Cdttc2._ 6S)cg Building Division bv1A//,�- re ublic Wor s Fire Prevention Structural PRELIMINARY REVIEW: Not Applicable n (no approval/review required) MA )3 Aj/4 )-(tr((ii Planning Division II Permit Coordinator 1111 DATE: 01/25/18 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required (corrections entered in Review DUE DATE: 02/22/18 Approved with Conditions C Denied (ie: Zoning Issues) n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED. Departments issued corrections: B dg 'U Fire ❑ Ping 0 PW 0 Staff Initials: R*** 12/18/2013 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: _— t Z - P Plan Check/Permit Number: D18-0021 ❑ Response to Incomplete Letter # • Response to Correction Letter # 1 ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner ❑ Deferred Submittal # Project Name: CITY OF TUKWILA - COMMUNICATIONS Project Address: 6300 SOUTHCENTER BLVD 115 Contact Person: t ,(' lQ,k— Phone Number: Z O 6' 2 2 s- 70% (j Summary of Revision: RECEIVED CITY OF T FEB 12 2018 Sheet Number(s): "Cloud" or highlight all areas of revision including dat of revisi Received at the City of Tukwila Permit Center by: 2- Entered in TRAKiT on W:\Permit Center (Brenda)\Forms\Permit Center Documents (Word)\Revision Submittal Form.doc Revised: August 2015 LAKE WASHINGTON CONST LLt Home Espanol Contact Safety & Health Claims & Insurance Washington State Department of Labor & Industries Page 1 of 2 A -Z, index help My L&I Workplace Rights Trades & Licensing LAKE WASHINGTON CONST LLC Owner or tradesperson Principals SHERLOCK, KRISTA SUSANNA, PARTNER/MEMBER Doing business as LAKE WASHINGTON CONST LLC WA UBI No. 603 148 627 12819 SE 38TH ST #504 BELLEVUE, WA 98006 206-228-2708 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. LAKEWWC8830E Effective — expiration 03/05/2012— 04/14/2018 Bond ................ Wesco Insurance Co Bond account no. 46wb023580 $12,000.00 Received by L&I Effective date 04/24/2013 04/23/2013 Expiration date Until Canceled Bond history Insurance ... .... _ ............. Security National Insurance $1,000,000.00 Policy no. NA105606104 Received by L&I Effective date 04/18/2017 04/23/2017 Expiration date 04/23/2018 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. Help us improve https://securedni.wa.gov/verify/Detail.aspx?UBI=603148627&LIC=LAKEWWC883DE&SAW= 2/16/2018 LAKE WASHINGTON CONST LLC No license violations during the previous 6 y.:ar period. License Violations 0 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 Account is current. 150,024-01 ................................ Doing business as LAKE WASHINGTON CONSTRUCTION Estimated workers reported Quarter 4 of Year 2017 "Less than 1 Workers" L&I account contact T5 / MELISSA VEST (360)902-5613 - Email: VESM235@Ini.wa.gov 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 J 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=603148627&LIC=LAKEWWC883DE&SAW= 2/16/2018