HomeMy WebLinkAboutPermit D18-0053 - CARY LANG CONSTRUCTION / LOT 104 - SINGLE FAMILY RESIDENCE DEMOLITIONCARY LANG DEMO -LOT
104
11811 44THAVES
D18-0053
Parcel No:
Address:
Project Name:
0
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: httD://www.TukwilaWA.aov
DEVELOPMENT PERMIT
3347400555 Permit Number: D18-0053
1181144TH AVE S
CARY LANG DEMO - LOT 104
Issue Date: 3/16/2018
Permit Expires On: 9/12/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
BUSS DARRYL F
PO BOX 179 , BLACK DIAMOND, WA,
98010
CARY LANG
29815 24 AVE SW , FEDERAL WAY,
WA, 98023
CARY LANG CONSTRUCTION INC
29815 24TH AVE SW , FEDERAL WAY,
WA, 98023-2300
CARYLCI1010F
CARY LANG
29815 24 AVE SW , FEDERAL WAY,
WA, 98023
Phone: (206) 423-5055
Phone: (253) 661-6880
Expiration Date: 9/26/2018
DESCRIPTION OF WORK:
DEMOLITION OF 504 SQ FT SINGLE FAMILY RESIDENCE, 468 SQ FT DETACHED GARAGE AND 147 SQ FT SHED
PUBLIC WORKS ACTIVITIES INCLUDE SEPTIC SYSTEM ABANDONMENT, EROSION CONTROL AND WATER SERVICE
CAPPING.
Project Valuation: $16,500.00
Type of Fire Protection: Sprinklers: NO
Fire Alarm: NO
Type of Construction: VB
Electrical Service Provided by: TUKWILA
Fees Collected: $1,247.70
Occupancy per IBC: R-3
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:
Date: t/--ifr
I hearby certify that I have read and examined this permit and know the same to be true and correct. All
provisions of taw 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 permi nd agree to.4he conditions attached to this permit.
Signature://
Print Name: L�'v-' w � (I;
Date: // /6/��
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: ***PUBLIC WORKS PERMIT CONDITIONS***
2: Call to schedule mandatory pre -construction meeting with Dave Stuckle, Public Works Inspector, (206) 433-
0179.
3: The applicant or contractor must notify the Public Works Inspector at (206) 433-0179 upon commencement
and completion of work at least 24 hours in advance. All inspection requests for utility work must also be
made 24 hours in advance.
4: Prior to construction, all utilities in the vicinity shall be field located. NOTE: For City of Tukwila utility
locates, call 811 or 1-800-424-5555.
5: Permit is valid between the weekday hours of 7:00 a.m. and 5:00 p.m. only. Coordinate with the Public
Works Inspector for any work after 5:00 p.m. and weekends.
6: No work under this permit during weekend hours without prior approval by Public Works. Coordinate with
the Public Works Inspector.
7: Work affecting traffic flows shall be closely coordinated with the Public Works Inspector. Traffic Control
Plans shall be submitted to the Inspector for prior approval.
8: Any material spilled onto any street shall be cleaned up immediately.
9: Temporary erosion control measures shall be implemented as the first order of business to prevent
sedimentation off-site or into existing drainage facilities.
10: The site shall have permanent erosion control measures in place as soon as possible after final grading has
been completed and prior to the Final Inspection.
11: From October 1 through April 30, cover any slopes and stockpiles that are 3H:1V or steeper and have a
vertical rise of 10 feet or more and will be unworked for greater than 12 hours. During this time period,
cover or mulch other disturbed areas, if they will be unworked more than 2 days. Covered material must
be stockpiled on site at the beginning of this period. Inspect and maintain this stabilization weekly and
immediately before, during and following storms.
12: From May 1 through September 30, inspect and maintain temporary erosion prevention and sediment at
least monthly. All disturbed areas of the site shall be permanently stabilized prior to final construction
approval.
13: Any septic tanks in the area shall be pumped empty and removed or filled with sand. A copy of the
documentation from the business that performed the pumping shall be provided to the Public Works
Inspector.Applicant and/or contractor shale file a REPORT OF WASTEWATER TANK ABANDONMENT with
King County Public Health; form is attached.
14: Sewer and water utilities shall be plugged at the mains if they are to be abandoned. If they will be used
again in the near future for a new building, they shall be capped at the property line and at the water meter
respectively.
15: Any material spilled onto any street shall be cleaned up immediately.
16: Temporary erosion control measures shall be implemented as the first order of business to prevent
sedimentation off-site or into existing drainage facilities.
17: The site shall have permanent erosion control measures in place as soon as possible after final grading has
been completed and prior to the Final Inspection.
18: From October 1 through April 30, cover any slopes and stockpiles that are 3H:1V or steeper and have a
vertical rise of 10 feet or more and will be unworked for greater than 12 hours. During this time period,
cover or mulch other disturbed areas, if they will be unworked more than 2 days. Covered material must
be stockpiled on site at the beginning of this period. Inspect and maintain this stabilization weekly and
immediately before, during and following storms.
19: From May 1 through September 30, inspect and maintain temporary erosion prevention and sediment at
least monthly. All disturbed areas of the site shall be permanently stabilized prior to final construction
approval.
20: Any septic tanks in the area shall be pumped empty and removed or filled with sand. A copy of the
documentation from the business that performed the pumping shall be provided to the Public Works
Inspector.
21: Sewer and water utilities shall be plugged at the mains if they are to be abandoned. If they will be used
again in the near future for a new building, they shall be capped at the property line and at the water meter
respectively.
22: ***BUILDING PERMIT CONDITIONS***
23: 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.
24: 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.
25: 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.
26: 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).
27: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center.
28: 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.
0
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700 BUILDING FINAL**
5200 EROSION MEASURES
5210 EROSION MEASURES FNL
0101 PRE -CONSTRUCTION
1600 PUBLIC WORKS FINAL
5160 PUBLIC WORKS PRE -CON
5070 SANITARY SIDE SEWER
5130 WATER METER - PERM
CITY OF TUKT4:),1
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TulcwilaWA.gov
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
81J y/1 till,' ' King Co Assessor's Tax No.: 3 / 7110° s
Site Address: ` Suite Number: Floor:
Tenant Name:
P
OPER
Name:
Address:
,(04c
State:
Zip:
CONTACT PERSON - person receiving all project
;communication
Name:
Address:
City:
State: Zip:
Pho
Fax:
ail: /- e 7
1.. C(f J� ti t, �✓h v i L
GENERAL CONTRACTOR INFORMATION „
'&mpany NameC/r,is L
" c h , (ciii r S Flog''(
Address: 2 G� g/ J
`! v t
5 c ti
City: rae 11 k....1/66 a . ,State:
4 Zip: ,it 2-
Phone:Z-06-4/ 2-3 3:
Contr Reg No.:
Exp Date:
Tukwila Business License No.:
H:\Applications\Forms-Applications On Line\201 I Applications \Permit Application Revised - 8-9-11.docx
Revised: August 2011
bit
New Tenant: ❑ Yes ..No
ARCHITECT OF RECORD
Company Name:
Architect Name:
Address:
City:
State: Zip:
Phone:
Fax:
Email:
ENGINEER
�F RECORD
Company Name:
Engineer Name:
Address:
City:
State: Zip:
Phone:
Fax:
Email:
LENDEI(jND ISSUED',
greater per RCW 19.27.095)
Name:
Address: S� r
City:
State: Zip:
Page 1 of 4
BUU DjN+
6-431-3670
Valuation of Project (contractor's bid price): $ ! J/ 66°
Describe the scope of work (please provide detailed information):
DF-roo i-forne/
Will there be new rack storage? ❑ Yes
Existing Building Valuation: $
0.. No If yes, a separate permit and plan submittal will be required.
uildiug Areas.in Square
00
Below
2n` Floor
50y
Accessory St acture*
S
/V
Attached Garage
Detached C
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 0 Automatic Fire Alarm ❑ None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? a Yes 0 No
If `yes', attach list of materials and storage locations on a separate 8-1/2"x 11 "paper including quantities and Materia! 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 Applications\Petmit Application Revised - 8-9-11.docx
Revised: August 2011
bh
Page 2 of 4
Scope of Work (please provide detailed information):
Call before you Dig: 811
Pleaserefer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
] ..Tukwila ❑...Water District #125 ❑ .. Highline
❑ ...Water Availability Provided
❑ .. Renton
wer District
...Tukwila 0...Valley View ❑ .. Renton ❑ .. Seattle
...Sewer Use Certificate 0...Sewer Availability Provided
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")
0 ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report 0... Traffic Impact Analysis
❑ ...Bond 0 .. Insurance 0 .. Easement(s) 0 .. Maintenance Agreement(s) 0... Hold Harmless — (SAO)
❑ ...Hold Harmless — (ROW)
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 El
❑ ...Total Cut cubic yards
❑ ...Total Fill cubic yards
❑ ...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑ ...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ .. Right-of-way Use - Profit for less than 72 hours
0 .. Right-of-way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
19
❑ ...Permanent Water Meter Size... WO #
❑ ...Temporary Water Meter Size .. WO #
❑ ...Water Only Meter Size WO #
❑ ...Sewer Main Extension Public 0 Private ❑
❑ ...Water Main Extension Public ❑ Private ❑
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑...Deduct Water Meter Size
55
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ ...Water ❑ ...Sewer 0 ...Sewage Treatment
Monthly Service Billing to: / _
Name: CAA,. L u it Cep- s c- V tiL 2 �� Day T lephone: 6 yZ' 5c�
Mailing Address: `2_q9/c--12...q" 4'r/r° S L., 1 t'G4/r4i f jN l,V A— 9 i 2 3
City State Zip
Water Meter Refund/Billing:
Name:
Mailing Address:
Day Telephone:
City
State Zip
H:\Applications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-11.docx
Revised: August 2011
bh
Page 3 of 4
PERMIT APPLICATIQN NATES -
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 QIIAUTHORIZED A/G.ENT:
Signature: L G ^ L---
Print Name: (14-0 L i CO,— TTA/6.
Mailing Address:
Date: 3/0 7
Day Telephone: Z 4)6-Y z 3 --,JOS 5-
2 -616. --
j2 -61S' 2 `/`1- kyr' S" l.t..r ��%��-� ( --k" wA-- 9' cg02 3
H:\Applications\Forms-Applications On Line \2011 ApplicationsWe mit Application Revised - 8-9-11.docx
Revised: August 2011
bh
City State Zip
Page 4 of 4
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
1 ACCOUNT
QUANTITY
PAID
$992.93
D18-0053 Address: 1181144TH AVE 5
Apn: 3347400555
992.93
DEVELOPMENT
$396.46
PERMIT FEE
R000.322.100.00.00
0.00
$391.96
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
PUBLIC WORKS
$575.00
BASE APPLICATION FEE
R000.322.100.00.00
0.00
$250.00
PERMIT ISSUANCE/INSPECTION FEE
8000.342.400.00.00
0.00
$37.50
CONSTRUCTION PLAN REVIEW
R000.345.830.00.00
0.00
$37.50
BASE APPLICATION FEE
R000.322.100.00.00
0.00
$250.00
TECHNOLOGY FEE
$21.47
TECHNOLOGY FEE
1 R000.322.900.04.00
0.00
$21.47
ProjectTRAK
$539.70
PRE18-0009 Address: 14213 34 AVE S
Apn: 5537200116
$539.70
PRE -APP
$514.00
APPLICATION FEE
R000.345.810.00.00
0.00
I $514.00
TECHNOLOGY FEE
$25.70
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R14013
R000.322.900.04.00 0.00
$25.70
$1,532.63
Date Paid: Friday, March 16, 2018
Paid By: CARY LANG CONSTRUCTION INC
Pay Method: CHECK 25427
Printed: Friday, March 16, 2018 9:08 AM 1 of 1
SYSTEMS
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY
PAID
PermitTRAK
254.77
D18-0053 Address: 11811 44TH AVE S
Apn: 3347400555
254.77
DEVELOPMENT
$254.77
PLAN CHECK FEE
TOTAL FEES PAID BY RECEIPT: R13939
R000.345.830.00.00
0.00
$254.77
$254.77
Date Paid: Tuesday, March 06, 2018
Paid By: CARY LANG CONSTRUCTION INC
Pay Method: CHECK 253376
Printed: Tuesday, March 06, 2018 11:50 AM 1 of 1
CRWSYSTEMS
INSPECTION RECORD
Retain a copy with permit ��$-OOS.3
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
Project:>
CAr �tr -NMo - i log
Type of Inspection:
amkatr F,,ii L
Addre :
k on -14t Ave. S.
Date Called:
Special Instructions:
Vt?
LD.}- 4* I OH
Date Wanted:
q -26- 2,W
p.m.
Requester:
Phone No:
.r
Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
xu,iei (Dema)F^AL^env
Inspector: 620 Ca__
Date:
y26Zad
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Public Health a
Seattle & King Count
REPORT OF WASTEWATER TANK ABANDONMENT
Return completed form to Public Health — Seattle & King County, Environmental Health Division, 14350 SE Eastgate Way,
Bellevue, WA, 98007, Tel. (206) 296-4932. Faxed co ies will not be accepted due to data entry purposes.
6[5 DATE: / /
PARCEL (APN):
4
1
4
Instructions for completing form: This form is to be completed by any persons permanently removing a
septic tank, seepage pit, cesspool, or other on-site sewage system wastewater tanks from service.
Complete and submit this report to the health officer within thirty (30) days of the abandonment.
Authority: Chapter 13.04.054, the Code of King County Board of Health, Title 13.
General Information (Please print):
Name of Owner/Occupant of Property:
Address: IIv( 44" luc- TuKWILhr
Wastewater Tank Data:
Type of Sewage Tank: Septic Tank Pump Tank Holding Tank Other:
Number of Compartments Pumped:
Not Applicable Comments
Number of Gallons Pumped:
Checklist Item Yes No
Septage removed by an approved pumper?*
Tank lid removed or destroyed?
Tank void filled with compacted soil or
gravel?
*OSS Pumper Name:
King County Certification Number:
Reason for wastewater tank abandonment:
Property being served by public sewers Property
being served by replacement tank
Structure being demolished
Comments:
Report of Wastewater Tank Abandonment
Revised 11/9/2012
ings\R18125-PS-DEMO.d
L:\Working\R18125 - 11811 44th Ave S (LANG
Mor 04, 2018 - 7:29pm
504
Oso
G 0so,
FILE COPT
Permit No. t1-OOZ7
I o
Pian review e pprcval is sub;sct to errors and omissioner
Approval of construction documents does not cuthoriz
the violation of any adopted coda or ordinance. Receii
of approved Field C • rand conditions is acknowledge
N88°21'12'W 250.00'
WOOD SHED
EX. GARAGE
TO BE DEMOLISHED
(468 SF)
w00D
DECK
yp1
EX. HOUSE
T3 BE DEMOLISHED
(504 SF)
EXIS7106
000SE
By:
Date:'I/i //8
. City of Tukwila
REFERENCE
SHEET NO.
SP1
10
BUILDING DIVISION
EX. TREE
TO BE REMOVED (TYP)
EX. TREE
TO REMAIN
EX. SHED
TO BE DEMOLISHED
(83 SF)
GARAGE
12'DECID'
CON
CONC.
w000
DECK
62'CEDAR
12'0000
I8"CEDA
12 -CEDAR
ASPHALT
N88°21'12'W 250.00'
Know what's below.
CaII before you dig.
HORIZONTAL GRAPHIC SCALE
10 5 0 5 10
1 inch = 10 ft.
EX. SHED
TO BE DEMOLISHED
(147 SF)
OHP
mscranical
geElectrice.►
rly^mbIn9
eas Pipinn
cI
,,ilk r,,,
REMOVE EX: CONCRETE PAD
se pians have been reviewed h
y the
o ks Department for conformance withPlic cubrrent
City standards. Acceptance is subject to errors and
emissions which do not authorize violations of
:Idsopted standards or ordinances. The responsibility
for the adequacy of the design rests totally
designer. Additions, deletions or revisions to these
the
drawings after this date will void this acceptance
and wiIl require a resubmittal of revised drawings
for subsequent approval.
Final acceptance is subject to field inspection
the Public Works utilities inspector. by
Date:
3 07 iS
By:
LEGEND I�
OPERTI/E, of Tuk ila
— —
rSBUILDING DIVISI
RIGHT OF WAY LI?
bl 00S 3 — RIGHT OF WAY CENTERLINE
— ADJACENT PROPERTY LINE
ROOF OVERHANG LINE
• PROPERTY CORNER
OHP
POINT OF ACCESS
FOR DEMOLITION
OHP._
C7RP-- — ------
CAP EX. SIDE SE Ci
No charriaer sh" 'm.• de to ith
of work withci4 ono). aper
Tukwila BtPding Divisi n
i 1`40TE. Flavisions will regt:lre a flee/ pan
v I f
oPPi
bmitt. i
and may inc'ude addition plan r*„vf fees
I R ::CEI ED
CITY OF TUKWILA
RECEIVED
MAR 06 2018
TUKWILA
PUBLIC WORKS
10
MAR 0 6 2018
SHEET
1
OF
1
SHEETS
feZ
g
9 n 0S r
0
W
co
1
0
z N
o
PER
D FO
PARCEL NUMBER
3347400555
W
0
co
H. H. PHAN
co
H. H. PHAN
PROJ. MNGR:
CODE COMPLIAN
APPROVED
Z
MAR 1 3 2B
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C
O
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m
O
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P ERMIT COORD COPY o
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER:
D18-0053 DATE: 03/06/18
PROJECT NAME: CARY LANG DEMO - LOT 104
SITE ADDRESS: 1181144 AVE S
X Original Plan Submittal
Response to Correction Letter #
Revision # before Permit Issued
Revision #
after Permit Issued
DEPARTMENTS:
PvNO
Building Division
Aux
Public Works
4e,
AVA e
Fire Prevention 111 Planning Division
Structural
Permit Coordinator
PRELIMINARY REVIEW:
Not Applicable ❑
(no approval/review required)
REVIEWER'S INITIALS:
DATE: 03/08/18
Structural Review Required
DATE:
APPROVALS OR CORRECTIONS:
Approved
Corrections Required
(corrections entered in Reviews)
Approved with Conditions
Denied
(ie: Zoning Issues)
DUE DATE: 04/05/18
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections:
Bldg ❑ Fire ❑ Ping 0 PW ❑
Staff Initials:
12/18/2013
Joanna Spencer
From: Richard Takechi
Sent: Wednesday, March 7, 2018 11:22 AM
To: Joanna Spencer
Subject: RE: DEMO @ 11811 44th AVE S
Hello Joanna.
The property is still on septic. It was also part of the Metro project in which KC paid for the sewer connection.
No liens from Finance.
Water meter is still active.
Richard
From: Joanna Spencer
Sent: Wednesday, March 7, 2018 10:46 AM
To: Richard Takechi <Richard.Takechi@TukwilaWA.gov>
Cc: Joanna Spencer <Joanna.Spencer@TukwilaWA.gov>
Subject: DEMO @ 11811 44th AVE S
Good morning Richard,
Is the subject property on sewer or still on septic?
What is the status of their water meter?
Any liens?
Thanks,
JOANNA SPE1VCER
Development Engineer Tukwila Public Works
6300 Southcenter Blvd, Suite 100, Tukwila, WA 98188-2544
Phone: 206 431-2440 Fax: 206 431-3665
FBLC
bISOos3
1
CARY LANG CONSTRUCTION IN
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0 Washington State Department of
Labor & Industries
0
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CARY LANG CONSTRUCTION INC
Owner or tradesperson
Principals
LANG, CARY MITCHEL, PRESIDENT
LANG, JENNIFER ANN, SECRETARY
Doing business as
CARY LANG CONSTRUCTION INC
WA UBI No.
601 231 391
29815 24TH AVE SW
FEDERAL WAY, WA 98023
253-661-6880
KING County
Business type
Corporation
License
Verify the contractors active registration / license / certification (depending on trade) and any past violations.
Construction Contractor Active.
Meets current requirements.
License specialties
GENERAL
License no.
CARYLCI101 OF
Effective — expiration
09/06/1990— 09/26/2018
Bond
........._...
DEVELOPERS SURETY & INDEM CO
Bond account no.
796451C
$12,000.00
Received by L&I Effective date
09/10/2008 08/09/2008
Expiration date
Until Canceled
Insurance
Developers Surety & Indem Co $1,000,000.00
Policy no.
BIS00028853
Received by L&I Effective date
08/24/2017 09/10/2017
Expiration date
09/10/2018
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
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CARY LANG CONSTRUCTION INC
No L&I tax debts are recorded for this cont license during the previous 6 year period, but somoOts
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.
L&I Account ID
582,910...-00
....... _...................
Doing business as
CARY LANG CONSTRUCTION INC
Estimated workers reported
N/A
L&I account contact
T2 / MATT PEDERSEN (360)902-5476 - Email: PEDM235@lni.wa.gov
Account Is closed.
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
.......................................................
No strikes have been issued againstthis 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.
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https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601231391 &LIC=CARYLCI101 OF&SAW= 3/16/2018