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Home My WebLink AboutPermit D18-0211 - HOLIDAY INN EXPRESS - SWIMMING POOLHOLIDAY INN EXPRESS SWIMMING POOL 90 ANDOVER PARK E D18-0211 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.TukwitaWA.gov 0223000040 90 ANDOVER PARK E DEVELOPMENT PERMIT Permit Number: Issue Date: Permit Expires On: HOLIDAY INN EXPRESS - SWIMMING POOL D18-0211 7/13/2018 1/9/2019 Owner: Name: TUKWILATSD LLC Address: 21109 66TH AVE S , KENT, OR, 98032 Contact Person: Name: JIM CULVER Address: 1115 HIGHLAND DR , STAYTON, OR, 97383 Contractor: Name: BLUE MOUNTAIN POOLS INC Address: 13121 S WARNOCK RD , OREGON CITY, OR, 97045 License No: BLUEMPI021NG Lender: Name: TUKWILATSD LLC Address: 21109 66TH AVE S , KENT, WA, 98032 Phone: (503) 819-0638 Phone: Expiration Date: 1/16/2020 DESCRIPTION OF WORK: NEW PERMIT TO COMPLETE THE WORK STARTED UNDER EXPIRED PERMIT D17-0021; NO NEW PLANS, USE EXPIRED PERMIT PLANS BUILDING AN IN -GROUND POOL AND SPA. WILL INCLUDE CIRCULATING PIPING AND SETTING OF PUMPS AND HEATER. NOT DOING ELECTRICAL OR MECHANICAL Project Valuation: $0.00 Type of Fire Protection: Sprinklers: Fire Alarm: Type of Construction: VB Electrical Service Provided by: TUKWILA Fees Collected: $169.59 Occupancy per IBC: U 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: Volumes: Cut: 0 Fill: 0 Number: 0 Water Meter: No c Permit Center Authorized Signature: J(. C -W 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 an agree to the conditions attached to this permit. Signature: Print Name: Date: 7-/3-(c9 This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***BUILDING PERMIT CONDITIONS*** 2: Work shall be installed in accordance with the approved construction documents, and any changes made during construction that are not in accordance with the approved construction documents shall be resubmitted for approval. 3: All permits, inspection record card and approved construction documents shall be kept at the site of work and shall be open to inspection by the Building Inspector until final inspection approval is granted. 4: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 5: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any requirements for special inspection. 6: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 7: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** CITY OF TUKCA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Pert No. b 1 so - 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: YO ,d~ /wee' Ark 4 Suite Number: Floor: Tenant Name: //o/i /04.4 LL it in x p rrSS New Tenant: ❑ Yes ❑ .. No PROPERTY OWNER Name: M &)4rT Address: ///5 1/g2 /� j r. Name: Phone 3-9'9- Q630 Fax: Email:J,:-ed, e a wl,rfe CoNSfrvciio.r co,.._ Address: Zip:9 7 2 iq 77 Phone: ,1,% 3 892 /08 Fax: City: State: Zip: CONTACT PERSON - person receiving all project communication Name: M &)4rT Address: ///5 1/g2 /� j r. City: 4�.7or-- / State: Orrpop. / Zip: Q7_183 Phone 3-9'9- Q630 Fax: Email:J,:-ed, e a wl,rfe CoNSfrvciio.r co,.._ GENERAL CONTRACTOR INFORMATION Company Name:e. 2 „44,,,,t,....'"g Address:/3/2( - &JQeplea/ ret city: AI Or, e4,- Statea ryor Zip: f7d '/f Phone: 00 3 7 6Q - ySf4 Fax:re 3 7 !o - 319 3 Contr Reg No.: 3�V/ M r z o2PP Date: ke ,' of Tukwila Business License No.: xis 099 -le 341 J3-2-40/8‘25-25 H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh ARCHITECT OF RECORD Company Name: Y'1 An K ,tom Company Name: /''t lez �• A scorre iQ /r= s Architect Name: /< I /mac h o .-- Address: 6 9/ s 3--74.)/06t G czch ,.._ 4/4ve_ City: r.l� aO State f • Zip:9 7 2 iq 77 Phone: ,1,% 3 892 /08 Fax: Email: /CSN / D( /� �t/kG r inC• C'or^- ENGINEER OF RECORD Company Name: Y'1 An K Engineer Name: ket/ty- i/ j. Address:3g 33 5-4) A"e/� , City: y .} / 0 State Zip:9 72 01- 4 K• Phone:JO 3 -199-O iW Fax: Email: lee.o.I/g! vnX • eo.µ- LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: t^/4 Ajk ; ft, ?z,,r ve710:_ 2 �G Address: 2 l C(1 e .44.- City/nda/4ate: Zip: 705, Page 1 of 4 BUILDING PERMIT INFORMATIC "\- 206-431-3670 0 Valuation of Project (contractor's bid price): $ 7,) e�� Describe the scope of work (please provide detailed information): Existing Building V aluation: $ �//�co.-, f,0-0e14er.r-ray.R216 1 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 I S 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:\Applications\Fonns-Applications On Line\2012 Applications\Pennit 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 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? 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:\Applications\Fonns-Applications On Line\2012 Applications\Pennit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 r PUBLIC WORKS PERMIT INFOTION — 206-433-0179 Scope of Work (please provide detailed information): r � t 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 ❑ .. Tukwila ❑ .. Sewer Use Certificate ❑... Highline ❑ ...Valley View 0...Renton ❑ ...Sewer Availability Provided 0... Renton ❑... 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) 0... Geotechnical Report ❑ .. Bond ❑... Insurance ❑... Easement(s) 0...Maintenance Agreement(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 ❑ .. Traffic Impact Analysis ❑ .. Hold Harmless — (SAO) ❑ .. Hold Harmless — (ROW) ❑ ... Right-of-way Use - Profit for less than 72 hours O ... Right-of-way Use — Potential Disturbance 0... Work in Flood Zone 0... Storm Drainage ❑... Abandon Septic Tank ❑... Curb Cut El...Pavement Cut O ...Looped Fire Line ❑ .. Sewer Main Extension Public ❑ ❑ .. Water Main Extension Public 0 0...Grease Interceptor ❑ ... Channelization ❑ ...Trench Excavation ❑... Utility Undergrounding WO # (2) " WO # (3) " WO # WO # (2) " WO # (3) " WO # WO # ❑ .. Deduct Water Meter Size " Private Private 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:Wpplications\Forms-Applications On Line \20I2 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 3 of 4 fTh PERMIT APPLICATION NOTES J 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 0 Signature: Print Name: / Mailing Address: TH NT: J, 4 vel iii S 7�.l�.. H:Wpplications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Day Telephone: slot") Ci Date: 7- i3 - /8 /0 3-8/9-4(56 Qreco w f7J83 Sfite Zip Page 4 of 4 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $169.59 D18-0211 Address: 90 ANDOVER PARK E Apn:-0223000040 $169.59 Credit Card Fee $4.94 Credit Card Fee R000.369.908.00.00 0.00 $4.94 DEVELOPMENT $158.00 PERMIT FEE R000.322.100.00.00 0.00 $133.00 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $25.00 TECHNOLOGY FEE $6.65 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R14937 R000.322.900.04.00 0.00 $6.65 $169.59 Date Paid: Friday, July 13, 2018 Paid By: EDWARD A WHITE Pay Method: CREDIT CARD 07731A Printed: Friday, July 13, 2018 10:14 AM 1 of 1 CRWSYSTEMS CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 07/13/2018 10:12:57 AM CREDIT CARD SALE VISA CARD NUMBER: **********3494 K TRAN AMOUNT: $169.59 APPROVAL CD: 07731A RECORD #: 000 CLERK ID: Bill X {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy Page 1 of 2 http s : //c lassic. convergepay. com/V irtualMerchant/transactio n. do?di spatchMetho d=printTr... 07/13/2018 INSPECTION NO. INSPECTION RECORD Retain a copy with permit D11? -02/71 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Pr'ec: I I./41 &CS S Type of Inspection: ..-1.JI t'h r►1, -rot) L dress: / rr Date Called: pJeciciapInstructions: (`� ✓` ► kF" t -r" / 0: `r - JL1(&y"1-1WI-C. £'RVJ,v17�o21 Date Wanted: 7 —) 6 '� �/ �O • Requester Lcri J 71%A Phone No: kApproved per applicable codes. Corrections required prior to approval. COMMENTS: arc- gdg-pil,!G- fool - Inspector: „0l Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. BLUE MOUNTAIN POOLS INC c ]-tome Espanol Contact Safety & Health Claims & Insurance Ilk Washington State Department of Labor & Industries Search L&I Page 1 of 2 A -Z Index Help My Workplace Rights Trades & Licensing BLUE MOUNTAIN POOLS INC Owner or tradesperson STAMP, ROY LYNN Principals STAMP, ROY LYNN, PRESIDENT STAMP, RANAE SUSAN, VICE PRESIDENT WA UBI No. 601 862 525 13121 S WARNOCK RD OREGON CITY, OR 97045 503-760-4554 Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor License specialties Swimming Pools, Spas and Hot Tubs License no. BLUEMPI021 NG Effective — expiration 08/07/1998— 01/16/2020 Bond Great American Ins Co of NY Bond account no. 790286532319 Active. Meets current requirements. $6,000.00 Received by L&I Effective date 11/02/2012 10/29/2012 Expiration date Until Canceled Bond history Insurance Hartford Fire Ins Co $1,000,000.00 Policy no. 59UUN0J2126 Received by L&I Effective date 03/13/2018 03/15/2018 Expiration date 03/15/2019 Sentinel Insurance Company LTD $1,000,000.00 Policy no. 59UUN0J2126 Received by L&I Effective date 03/13/2018 03/15/2014 Expiration date Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601862525&LIC=BLUEMPI021NG&SAW= 7/13/2018 BLUE MOUNTAIN POOLS INC 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 03/15/2019 No L81 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. Workers' comp No active workers' comp accounts during the previous 6 year period. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health No inspections during the previous 6 year period. Page 2 of 2 Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601862525&LIC=BLUEMPI021NG&SAW= 7/13/2018