HomeMy WebLinkAboutPermit D18-0035 - MCDONALD'S - FINAL INSPECTIONMCDONALD'S
16501 SOUTHCENTER PKWY
D18-0035
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
5379200282
16501 SOUTHCENTER PKWY
Project Name: MCDONALD'S
Permit Number: D18-0035
Issue Date: 2/13/2018
Permit Expires On: 8/12/2018
Owner:
Name:
Address:
Contact Person:
Name:
MCDONALD'S CORP 046-0069
PO BOX 182571, COLUMBUS, WA,
43218
JAKE HATFIELD
Address: 18026 72 AVE S , KENT, WA, 98032
Contractor:
Name: DB GENERAL CONTRACTORS INC
Address: 7038 S 220TH ST , KENT, WA, 98032
License No: DBGENGC94309
Lender:
Name:
Address:
Phone: (206) 251-5489
Phone: (253) 736-2980
Expiration Date: 10/9/2018
DESCRIPTION OF WORK:
FINAL INSPECTION FOR EXPIRED PERMIT D17-0146
Project Valuation: $25,000.00
Type of Fire Protection: Sprinklers:
Fire Alarm:
Type of Construction:
Electrical Service Provided by: TUKWILA
Fees Collected: $148.47
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 296-46B:
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
Permit Center Authorized Signature:
11t ripmr) Date:11A nc
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:
EPIC(
Date: 2, l3 (t
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:
<NONE>
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700 BUILDING FINAL**
CITY OF TUKHA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Per No. P "007k)
)
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
King Co Assessor's Tax No.:
Site Address: i s5 c') S kA -1n Cevt t c v pr4iZ w &j Suite Number: Floor:
Tenant Name: Nc e t3 to of e (S New Tenant: ❑ Yes .. No
PROPERTY OWNER
Name: ---ftP 0( el r)
/
Company Name: i ID v r f �S
and
Name: Vice! tv& al A �0vp
%C//
c( Coui /J
Address: r oJ i6 ��
City: Icti44_ State: lnfq
Address: Yo .ox 1 t2 '17/(
Phone: zoo Zt, slie Fax:
Phone: : (5-cier Fax:
City: C\tti umW oV`7 State:
uvft
Zip: 47,321;
CONTACT PERSON — person receiving all project
communication
Name: ---ftP 0( el r)
/
Company Name: i ID v r f �S
and
Address: ka2 60 72itt, 1 5241
%C//
c( Coui /J
Address: r oJ i6 ��
City: Icti44_ State: lnfq
Zip: %$037
Phone: zoo Zt, slie Fax:
Phone: : (5-cier Fax:
Email:'Sake 01b -ere, Cowl
Contr Reg No.: 6669(30 Exp Date: 10/1/7003
GENERAL CONTRACTOR INFORMATION
Name:
/
Company Name: i ID v r f �S
and
S
%C//
c( Coui /J
Address: r oJ i6 ��
City: PtA State: ,, A Zip:
�, �
Phone: : (5-cier Fax:
Address:
Contr Reg No.: 6669(30 Exp Date: 10/1/7003
Tukwila Business License No.:
H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
bh
ARCHITECT OF RECORD
Name:
/ f 1
Company Name: S¢vevt 1-1V1'1 - Ckle SO/06
S
Architect Name:
Address: ` l 4 ( Pevtite 0 Nc
City: (1 Taw State: , Zip:
Address:
Phone: Fax:
Email:
State:
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 INFORMATIOO206-431-3670
Valuation of Project (contractor's bid price): $ 251G
Existing Building Valuation: $
Describe the scope of work (please(provide detailed information): (' /
KQX. ( ` e'fitii pPk$1/I tai,- I eG't pe'rm'/ it I)17 - ar lib
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:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Floor area of accessory dwelling:
Number of Parking Stalls Provided: Standard:
Compact: Handicap:
Will there be a change in use? 0 Yes ❑ 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? ❑ 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:\Applications\Forms-Applications On Line\2012 ApplicationsU'ermit Application Revised - 2-7-12.docx
Revised: February 2012
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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:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Floor area of accessory dwelling:
Number of Parking Stalls Provided: Standard:
Compact: Handicap:
Will there be a change in use? 0 Yes ❑ 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? ❑ 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:\Applications\Forms-Applications On Line\2012 ApplicationsU'ermit Application Revised - 2-7-12.docx
Revised: February 2012
bh
Page 2 of 4
PUBLIC WORKS PERMIT INFOOATION — 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
0 .. Tukwila
0 .. Sewer Use Certificate
❑... Highline
❑...Valley View ❑...Renton
❑ ...Sewer Availability Provided
0... Renton
0... Seattle
Septic System:
❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department.
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):
❑ .. 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
❑ .. Total Fill
cubic yards
cubic yards
❑ .. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
❑ .. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ .. Permanent Water Meter Size (1)
❑ .. Temporary Water Meter Size (1)
❑ .. Water Only Meter Size
D... Geotechnical Report
❑... 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
0... Curb Cut
0...Pavement Cut
0...Looped Fire Line
❑ .. Sewer Main Extension Public
❑ .. Water Main Extension Public
51
71
❑... Grease Interceptor
❑... Channelization
0...Trench Excavation
❑... Utility Undergrounding
WO # (2) " WO # (3) " WO #
WO # (2) " WO # (3) " WO #
WO # ❑ .. Deduct Water Meter Size "
Private 0
Private 0
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:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State
Zip
Day Telephone:
City
State
Zip
H:Wpplications\Forms-Applications On Line \20I2 Applications\Fermit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 3 of 4
f-•\
PERMIT APPLICATION NOTES — 1„/'
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 R AUT IZED
Signature: Date: 2" /3 /e
Print Name: �t 14441Cle 1 Day Telephone: 2.o6 Z5 ( 6-197
Mailing Address: ta(.p 72 '7o I a/Tl 1/2/2/- Wet g�32-
H:Wpplications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
bh
City State Zip
Page 4 of 4
DESCRIPTIONS
PermitTRAK
Cash Register Receipt
City of Tukwila
ACCOUNT 1 QUANTITY
PAID
148:47
D18-0035 Address: 16501 SOUTHCENTER PKWY Apn: 5379200282
$148.47
Credit Card Fee
$4.32
Credit Card Fee
R000.369.908.00.00
0.00
$4.32
DEVELOPMENT
$137.50
PERMIT FEE
R000.322.100.00.00 0.00
$133.00
WASHINGTON STATE SURCHARGE
B640.237.114 0.00
$4.50
TECHNOLOGY FEE
$6.65
TECHNOLOGY FEE R000.322.900.04.00 0.00 $6.65
TOTAL FEES PAID BY RECEIPT: R13776
$148.47
Date Paid: Tuesday, February 13, 2018
Paid By: JAKE HATFIELD
Pay Method: CREDIT CARD 05335G
Printed: Tuesday, February 13, 2018 10:43 AM 1 of 1
CRWSYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
JI1--A93S
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project'Type
/1lC' 9"
S
Type of Inspection:
AoLQING- f'I
t—
Address:
s
mow/!
Date Called:
Special Instructions:
Date Wanted:
3 -,./-/8
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
b�{ UILDft & FM -L,
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
Dl8-ooac
Project:
Ds
Type of Inspection:
auIL-Doi6— APO/—
NSAddme
ress:
Address:
11Q5-0/ $CoMCW MR fl
Date Called:
/
Special Instructions:
Date Wanted:
-�1())8
cam,'
p.m.
Requester:
Phone No:
Approved per applicable codes.
aorrections required prior to approval.
COMMENTS:
,lin P40141/ (=A PI a ' s
Inspector:
1),5
Date2 _gQ -18.
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
D IO -'003
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
Proj c :
//7e,Aa4roS
Typ f Inspection:
50/LP/N6- —rN4'—
Address:Date
/4629/ c5'avr..egiSTIR% !
Called:
Special Instructions:
Aid NYSPtrC77aNSc°arnAili
aR4aa 81-1 R
26(o- 1/ -2,5)0
Date Wanted:
2 -/---le.
t a.m'
P.m•
Requester:
Phone No:
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
1.4 ,N.41111 ✓
/d ICW7gitil 2 D ,(oto; /04,1A, /970ar/7— 41007
Inspector:
Date:
-IV
i' 8
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
DB GENERAL CONTRACTORS I
5
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DB GENERAL CONTRACTORS INC
Owner or tradesperson
Principals
BEDNARIK, DEWAINE, PRESIDENT
Doing business as
DB GENERAL CONTRACTORS INC
WA UBI No.
602 650 709
7038 SOUTH 220TH ST
KENT, WA 98032
253-736-2980
KING County
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor
License specialties
GENERAL
License no.
DBGENGC943O9
Effective — expiration
09/29/2006-10/09/2018
Bond
.................
DEVELOPERS SURETY & INDEM CO
Bond account no.
743855C
Active.
Meets current requirements.
$12,000.00
Received by L&I Effective date
09/29/2006 09/28/2006
Expiration date
Until Canceled
Insurance
Western National Assur Co
Policy no.
CPP114887000
$1,000,000.00
Received by L&I Effective date
08/21/2017 09/28/2016
Expiration date
09/28/2018
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.
License Violations
No license violations during the previous 6 year period.
Help us improve
httns://secure.lni.wa.eov/verify/Detail.aspx?UBI=602650709&LIC=DBGENGC94309&SAW= 2/13/2018
DB GENERAL CONTRACTORS INC
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.
122,683-00
................................
Doing business as
DB GENERAL CONTRACTORS
Estimated workers reported
Quarter 4 of Year 2017 "21 to 30 Workers"
L&I account contact
TO / DALE MCMASTER (360)902-5617 - Email: MCMS235@lni.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
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