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HomeMy WebLinkAboutPermit D18-0058 - SEGALE PROPERTIES / UNIT 10 - REMOVE MANUFACTURED HOMESEGALE TEMP HOUSING DEMO UNIT - 10 19407 SOUTHCENTER PKWY APT 10 018-0058 Parcel No: Address: Project Name: 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 0222049043 Permit Number: 19407 SOUTHCENTER PKWY APT 10 Issue Date: Permit Expires On: SEGALE TEMP HOUSING DEMO - UNIT 10 D18-0058 3/21/2018 9/17/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: SEGALE PROPERTIES LLC PO BOX 88028 , TUKWILA, WA, 98138 KIRSTIN SEGALE PO BOX 88028, TUKWILA, WA, 98138 SEGALE PROPERTIES LLC PO BOX 88028 , TUKWILA, WA, 98138 SEGALPL902CQ N/A - LESS THAN $5,000 Phone: (206) 575-2000 Phone: (206) 575-2000 Expiration Date: 4/3/2018 DESCRIPTION OF WORK: REMOVE EXISTING 840 SQ FT MANUFACTURED HOME FROM SITE. DISCONNECT AND CAP POWER, SANITARY AND WATER. Project Valuation: $1,000.00 Type of Fire Protection: Sprinklers: NO Fire Alarm: NO Type of Construction: VB Electrical Service Provided by: TUKWILA Fees Collected: $404.52 Occupancy per IBC: R-3 Water District: HIGHLINE 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 No -6- Permit Center Authorized Signature: A " 1 'lam (2/ �.1 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 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. 1/G)l Q f Signature: �. CalL Date: 2 v! � 1 Print Name: ( ( Se It_ I 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: 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. 5: 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). 6: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 7: ***BUILDING PERMIT CONDITIONS*** 8: 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. 9: 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. tribN 10: 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. 11: 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). 12: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 13: 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. 14: ***PUBLIC WORKS PERMIT CONDITIONS*** 15: 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. 16: Permit is valid between the weekday hours of 7:00 a.m. and 10:00 p.m. only. Coordinate with the Public Works Inspector for any work after 5:00 p.m. and weekends. 17: No work under this permit during weekend hours without prior approval by Public Works. Coordinate with the Public Works Inspector. 18: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off-site or into existing drainage facilities. 19: 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. 20: Sanitary sewer shall be plugged at the nearest sanitary sewer manhole or at the location agreed to by Applicant/Contractor and the Public Works Inspector. Coordinate with the Public Works Inspector. 21: Applicant/Contractor shall obtain a water capping permit from Highline Water District at (206) 824-0375. 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 5070 SANITARY SIDE SEWER 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. bi - Dose 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.: 0222049043 Site Address: 19407 Southcenter Pkwy, Tukwila, WA 98188 Suite Number: Floor: Tenant Name: Segale Temporary Housing #10 (D14-0120) New Tenant: ❑ Yes m ..No PROPERTY OWNER Name: Kirstin Segale Name: Segale Properties LLC Address: PO Box 88028 Address: PO Box 88028 City: Tukwila State: WA City: Tukwila State: WA Zip: 98138 CONTACT PERSON — person receiving all project communication Name: Kirstin Segale Address: PO Box 88028 Address: PO Box 88028 Phone: (206) 575-2000 Fax: City: Tukwila State: WA Zip: 98138 Phone: (206) 575-2000 Fax: Email: admin@segaleproperties.com GENERAL CONTRACTOR INFORMATION Company Name: Segale Properties LLC Address: PO Box 88028 City: Tukwila State: WA Zip: 98138 Phone: (206) 575-2000 Fax: Contr Reg No.: SEGALEPL902CQ Exp Date: 04/03/2018 Tukwila Business License No.: BUS -0101320 H:\Applications\Forms-Applications On Line\2011 Applications\Permit Application Revised - 8-9-11.docx Revised: August 2011 bh 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 INFORMATIO- 206-431-3670 Valuation of Project (contractor's bid price): $ 1,000 Existing Building Valuation: $ 56,500 Describe the scope of work (please provide detailed information): Disconnect and cap power, sanitary and water. Remove existing 840 SF structure from site. Will there be new rack storage? ❑ Yes m.. 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 ❑ No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm • None 0 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 O 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 1St Floor 2"d Floor 3`d 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 ❑ No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm • None 0 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 O 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 INFOATION — 206-433-0179 Scope of Work (please provide detailed information): Disconnect and cap power, sanitary and water. Remove existing 840 SF structure from site. 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 m ...Tukwila ❑ ...Sewer Use Certificate m .. Highline ❑ ...Valley View ❑ .. Renton O ... Sewer Availability Provided 0 .. Renton ❑ .. Seattle Septic System: O 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 applv): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34") ❑ ...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ .. 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 ❑ ...Total Fill cubic yards cubic yards O ...Sanitary Side Sewer ..• .Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. 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 ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line ❑ ...Permanent Water Meter Size... 31 WO # ❑ ...Temporary Water Meter Size .. 19 WO # ❑ ...Water Only Meter Size ❑ ...Sewer Main Extension Public ❑ Private 0 ❑ ...Water Main Extension Public ❑ Private ❑ 35 WO # ❑ .. Grease Interceptor ❑ .. Channelization 0 .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Deduct Water Meter Size 59 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: Applications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-11.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. BUILDINGT Signature: UTH Print Name: Kirstin Segale ZED AG [/ 1 it Mailing Address: PO Box 88028 Date: 03/07/2018 Day Telephone: (206) 575-2000 Tukwila WA 98138 H:\ Applications\Forms-Applications On Line \2011 Applications'Permit 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 ACCOUNT QUANTITY PAID $1,388.64 D18-0057 Address: 19407 SOUTHCENTER PKWY APT 09 Apn: 0222049043 $347.16 DEVELOPMENT $92.75 PERMIT FEE R000.322.100.00.00 0.00 $88.25 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 PUBLIC WORKS $250.00 BASE APPLICATION FEE I R000.322.100.00.00 0.00 $250.00 TECHNOLOGY FEE $4.41 TECHNOLOGY FEE I R000.322.900.04.00 0.00 $4.41 D18-0058 Address: 19407 SOUTHCENTER PKWY APT 10 Apn: 0222049043 $347.16 DEVELOPMENT $92.75 PERMIT FEE R000.322.100.00.00 0.00 $88.25 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 PUBLIC WORKS $250.00 BASE APPLICATION FEE R000.322.100.00.00 0.00 $250.00 TECHNOLOGY FEE $4.41 TECHNOLOGY FEE R000.322.900.04.00 0.00 $4.41 D18-0059 Address: 19407 SOUTHCENTER PKWY APT 11 Apn: 0222049043 $347.16 DEVELOPMENT $92.75 PERMIT FEE R000.322.100.00.00 0.00 $88.25 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 PUBLIC WORKS $250.00 BASE APPLICATION FEE R000.322.100.00.00 0.00 $250.00 TECHNOLOGY FEE $4.41 TECHNOLOGY FEE R000.322.900.04.00 0.00 $4.41 D18-0060 Address: 19407 SOUTHCENTER PKWY UnitAPT 12 Apn: 0222049043 $347.16 DEVELOPMENT $92.75 PERMIT FEE R000.322.100.00.00 0.00 $88.25 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 PUBLIC WORKS $250.00 BASE APPLICATION FEE R000.322.100.00.00 0.00 $250.00 TECHNOLOGY FEE $4.41 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R14058 R000.322.900.04.00 0.00 $4.41 $1,388.64 Date Paid: Wednesday, March 21, 2018 Paid By: SEGALE PROPERTIES LLC Pay Method: CHECK 644889 Printed: Wednesday, March 21, 2018 3:27 PM 1 of 1 011WSYSTEMS DESCRIPTIONS PermitTRAK Cash Register Receipt City of Tukwila ACCOUNT QUANTITY PAID $229.44 D18-0057 Address: 19407 SOUTHCENTER PKWY APT 09 pn: 0222049043 7. DEVELOPMENT $57.36 PLAN CHECK FEE R000.345.830.00.00 0.00 $57.36 D18-0058 Address: 19407 SOUTHCENTER PKWY APT 10 n: 0222049043, , o 57. DEVELOPMENT $57.36 PLAN CHECK FEE R000.345.830.00.00 0.00 $57.36 D18-0059 ' Address: 19407 SOUTHCENTER PKWY APT 11 Apn: 0222049043 57.36 DEVELOPMENT $57.36 PLAN CHECK FEE R000.345.830.00.00 0.00 $57.36 D18-0060 Address: 19407 SOUTHCENTER PKWY Apn: 0222049043 7 DEVELOPMENT $57.36 PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R13953 R000.345.830.00.00 0.00 $57.36 $229.44 Date Paid: Wednesday, March 07, 2018 Paid By: SEGALE PROPERTIES LLC Pay Method: CHECK 2260 Printed: Wednesday, March 07, 2018 3:21 PM 1 of 1 CRWYSTEMS INSPECTION RECORD Retain a copy with permit 1) r -005 - 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: ��►e'YI 1 k'ti Tof Inspection: it �' Y l /V I!rL A dr� lir do 7 .c `Vt - Called: Date Called: (J hh ("7:771. Special Instructions: ----01("\--1.0 ate Wanted:,- Requester: Phone No: W.Approved per applicable codes. COMMENTS. Corrections required prior to approval. Inspector:� ( , Date: i o 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 `Dl cols - 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 PrQ�ject: Type of n lection: Ad r s: IgY07Sc? (64EI0 Date Called: Special Instructions: Date Wanted: t 0 /Y/l l am p.m Reque ter: L° U-r't' S Phone N aoees 5'75- ?0,00 pproved per applicable codes. LJ Corrections required prior to approval. COMMENTS: rG ert Kt/ Idect Date: 10/4'I REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. PLANNING APPROVED • No changes can be madeto these plans without approval from the Planning Division of DCD Approved By: Date: 1 44 REVISIONS No chances shatl hr made to the scope of work without prior approval of Building Division. OTT. le signs will require a new plan submittal and may include additional plan review fees. IeC.sEP-ta1 ,, PA) i. PERMIT JiIT T � f QUIRED FOR: ]Mechanical E Eiectrical ('Plumbing GrGas Piping City of Tukwila BuLDlNO DIVISION MODULAR UNIT 9, 10, I I AND 12 TO BE REMOVED FROM SITE. SEGALE PROPERTIES A LIMITED LIABILITY COMPANY PO BOX 88028 • TUKWILA, WA 98138 • 206.575.2000 SAND BLAST BUILDING 19407 SOUTHCENTER PARKWAY DISCONNECT POWER AT PEDISTALS, TYPICAL UNIT 012 �r6"S IE:33.91\ C.O. IE: 34.12(6"N,E) I ieeeeee IRIM: 35.33 IEE: 323 32.113 (1 (12"N) : 2" Q VALVE BOX ; METER PEDESTAL J DISCONNECT SANITARY AT GRADE AND CAP, TYPICAL C.0. 8" DI SANITARY SEWER SLOPE: 10 DOMESTIC WATER AT VALVE BOX, TYPICAL PSETRANSFOME4 FILE COPY Permit Na j S- CLQ glE3 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 Copy and conditions is admowledged: 4/ Address: 19407 Southcenter Parkway Unit #10 Tukwila, WA 98188 Tax Parcel: 022204-9043 Square Feet: Building 840 SF 1E: 32.94 EX TRANSITION POINT T TOP PIPE ELE: 36.26 10:34.99 E: 33.81 Date: 3�ai 1 UNIT 07 City of Tukwila BUILDING DIVISION UNI' 06 IE: 32.58 I 6" ROOF DRAT SLOPE: 196 12" STORM SLOPE: 196 SCH 80 PVC 10:3533(6"S) RIM:35.51 IE:/IE: 31.64 (125) IE: 31.64(1]"N) / 8151:36.34 IE: 31.35 (1216) II \WATER SHUT OFF AT METER APPROVED MAR 15 2018 Gity of Tukwila PUBLIC Works RECEIVED CITY OF TUKWILA MAR 07 2018 PERMIT CENTER JUNCTION VAULT 19400 STREET SOUTHCENTER PARKWAY SITE PLAN I" -2a 1S*bOOS REVIEWED FOR CODE COMPLIANCE APPROVED MAR 16 2010 City of Tukwila 8/1/2018 City of Tukwila Department of Community Development KIRSTIN SEGALE PO BOX 88028 TUKWILA, WA 98138 RE: Permit No. D18-0058 SEGALE TEMP HOUSING DEMO - UNIT 10 19407 SOUTHCENTER PKWY Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 9/17/2018. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 9/17/2018, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, l Ra he a ip //9 Permit Technician File No: D18-0058 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D18-0058 DATE: 03/07/18 PROJECT NAME: SEGALE TEMP HOUSING DEMO - UNIT 10 SITE ADDRESS: 19407 SOUTHCENTER PKWY X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: A c 3-94 Building Division D 4vU G Public Works 11 Ail OA- ivActx$ /4-1° Fire Prevention Structural Planning Division 3-13-10 11 ❑ Permit Coordinator II PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 03/08/18 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 04/05/18 Approved ❑ Approved with Conditions Corrections Required ❑ Denied ❑ (corrections entered in Reviews) (ie: Zoning Issues) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 SEGALE PROPERITIES LLC Home Espanol Contact Safety & Health Claims & Insurance Washington State Department of JLabor & Industries Search L&I A-ZIndex help Page 1 of 2 My I.&I Workplace Rights Trades & Licensing SEGALE PROPERITIES LLC Owner or tradesperson Principals SEGALE, MARIO A, PARTNER/MEMBER SEGALE, MARIO A, AGENT Doing business as SEGALE PROPERITIES LLC WA UBI No. 602 023 533 PO BOX 88028 TUKWILA, WA 98138-2028 206-575-2000 KING County Business type Limited Liability Company Governing persons LISA M ATKINS TINA A COVEY; DEVELOPMENT METRO LAND; TERESA NADEAU; NITA L SEGALE; 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. SEGALPL902CQ Effective — expiration 02/18/2010— 04/03/2018 Bond ......._....... SAFECO INS CO OF AM Bond account no. 6115146 $12,000.00 Received by L&I Effective date 03/28/2002 02/18/2010 Expiration date Until Canceled Insurance Alaska National Insurance Co $1,000,000.00 Policy no. 17DLS31006 Received by L&I Effective date 03/31/2017 04/01/2017 Expiration date 04/01/2018 Insurance history Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602023533&LIC=SEGALPL902CQ&SAW= 3/19/2018 SEGALE PROPERITIES LLC Savings No savings accounts during the previous 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&l tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. f 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 878,961-02 ............................. Doing business as SEGALE BUSINESS PARK Estimated workers reported Quarter 4 of Year 2017 "51 to 75 Workers" L&I account contact T3 / KAYLENE MONIER (360)902-6627 - Email: BRKB235@lni.wa.gov Account is current. 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 Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 12/09/2014 Inspection no. 317552669 Location 196th St and Southcenter Pkwy. Tukwila, WA 98188 Violations Page 2 of 2 O 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=602023533&LIC=SEGALPL902CQ&SAW= 3/19/2018