HomeMy WebLinkAboutPermit D18-0225 - L & R SERVICES - RETAINING WALL REPLACEMENTL & R SERVICES
4712 S 134T" PL
D18-0225
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
2616600071
4712 S 134TH PL
L & R SERVICES
DEVELOPMENT PERMIT
Permit Number: D18-0225
Issue Date: 8/23/2018
Permit Expires On: 2/19/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
SCHWEIGER ERIC M
29850 148TH AVE SE , KENT, WA,
98042
ERIC MOE
12805 SHOREWOOD DR SW , BURIEN,
WA, 98146
JEM CONTRACTORS INC
12805 SHOREWOOD DR SW , BURIEN,
WA, 98146
JEMCOI*984CF
ERIC SCHWEIGER
Address: 29850 148TH AVE SE , KENT, WA,
Phone: (425) 864-0452
Phone: (425) 864-0718
Expiration Date: 2/11/2020
DESCRIPTION OF WORK:
REPLACE APPROX 50' OF EXISTING RETAINING WALL. EXISTING CONCRETE RUBBLE WALL HAS FAILED. INSTALL
NEW ENGINEERED ECOLOGY BLOCK WALL.
Project Valuation: $34,000.00
Type of Fire Protection: Sprinklers: NO
Fire Alarm: NO
Type of Construction:
Electrical Service Provided by: TUKWILA
Fees Collected: $1,304.94
Occupancy per IBC: U
Water District: 125
Sewer District: VALLEY VIEW,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: Volumes: Cut: 0 Fill: 0
Landscape Irrigation:
Sanitary Side Sewer: Number: 0
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter: No
Permit Center Authorized Signature:
Date: aV)-3 YO
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 permjt ¢n gree to the conditions attached to this permit.
Signature:
Print Name:
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: When special inspection is required, either the owner or the registered design professional in responsible
charge, shall employ a special inspection agency and notify the Building Official of the appointment prior to
the first building inspection. The special inspector shall furnish inspection reports to the Building Official in
a timely manner.
5: A final report documenting required special inspections and correction of any discrepancies noted in the
inspections shall be submitted to the Building Official. The final inspection report shall be prepared by the
approved special inspection agency and shall be submitted to the Building Official prior to and as a
condition of final inspection approval.
6: Subgrade preparation including drainage, excavation, compaction, and fill requirements shall conform
strictly with the recommendations given in the soils report. Special inspection is required.
7: All construction shall be done in conformance with the Washington State Building Code and the
Washington State Energy Code.
8: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to
any requirements for special inspection.
9: Masonry construction shall be special inspected.
10: 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**
0201 FOOTING
0202 FOOTING DRAINS
0200 FOUNDATION WALL
4022 SI -MASONRY
4035 SI -SOILS
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.
Project No.
Date Application Accepted: 1
Date Application Expires: 1 12..0.
(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: 4712 South 134th Street Tukwila wa
Tenant Name: L&R Services
King Co Assessor's Tax No.: 261660-0071
Suite Number:
New Tenant:
PROPERTY OWNER
Name: Eric Moe
Name: Eric Schweiger
Address: 12805 Shorewood Dr SW
Address: 29850 148th Ave SE
City: Burien State: Wa
City: Kent State: Wa
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Eric Moe
Address: 12805 Shorewood Dr SW
Address: 12805 Shorewood Dr SW
Phone: (425) 864-0452 Fax:
City: Burien State: Wa
Zip: 98146
Phone: (425) 864-0452 Fax:
City: Woodinville State: Wa
Email: eric@jemcontractors.com
Phone: (425) 488-0599 Fax:
GENERAL CONTRACTOR INFORMATION
Company Name: JEM Contractors
Address: 12805 Shorewood Dr SW
City: Burien State: WA Zip: 98146
Phone: (425) 864-0452 Fax:
Contr Reg No.: CCJEMCOI*984CF Exp Date: 02/11/2020
Tukwila Business License No.:
H:\Applications\Forms-Applications On Line\2011 Applications\Permit Application Revised - 8-9-1I.docx
Revised: August 2011
bh
Floor:
❑ Yes
ARCHITECT OF RECORD
Name: Fel t✓ cciv 4 e l () a_
Company Name: Robinson
Company Name:
Engineer Name: Barbara Gallagher
Architect Name:
City: Woodinville State: Wa
Address:
Phone: (425) 488-0599 Fax:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Name: Fel t✓ cciv 4 e l () a_
Company Name: Robinson
City: KQ. State: , , a_ Zip:
Engineer Name: Barbara Gallagher
Address: 17625 130Th Ave NE Suite 102
City: Woodinville State: Wa
zip: 98072
Phone: (425) 488-0599 Fax:
Email: bgallagher@robinson-noble.com
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name: Fel t✓ cciv 4 e l () a_
Addressii 85-6 A /v,( SC-
City: KQ. State: , , a_ Zip:
Page 1 of 4
BUILDING PERMIT INFORMATION — 206-431-3670
Valuation of Project (contractor's bid price): $ 34,000 Existing Building Valuation: $ 659,000
Describe the scope of work (please provide detailed information):
Replace approximately 50 feet of existing retaining wall. Existing concrete rubble wall has failed. Install new engineered ecology
block wall
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? ❑ Yes II No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm VI None ❑ 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
❑ 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\2011 Applications\Permit Application Revised - 8-9-11.docx
Revised: August 2011
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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
Is' Floor
7,500
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? ❑ Yes II No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm VI None ❑ 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
❑ 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\2011 Applications\Permit Application Revised - 8-9-11.docx
Revised: August 2011
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Page 2 of 4
PUBLIC WORKS PERMIT INFORMATION — 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
m ...Tukwila ❑ ...Water District #125
❑ ...Water Availability Provided
Sewer District
m ...Tukwila
❑ ...Sewer Use Certificate
❑ .. Highline
❑ ... Valley View ❑ .. Renton
❑ ... Sewer Availability Provided
❑ .. 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):
VI ...Civil Plans (Maximum Paper Size — 22" x 34")
0 ...Technical Information Report (Storm Drainage)
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s)
Proposed Activities (mark boxes that apply):
0 ...Right-of-way Use - Nonprofit for less than 72 hours
m ...Right-of-way Use - No Disturbance
0 ...Construction/Excavation/Fill - Right-of-way ❑
Non Right-of-way
❑ ...Total Cut 80 cubic yards
❑ ...Total Fill 55 cubic yards
❑ ...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑ ...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ .
❑.
❑.
❑ .
z
❑ .. Geotechnical Report
❑ .. Maintenance Agreement(s)
❑ ...Traffic Impact Analysis
❑ ... Hold Harmless — (SAO)
0... Hold Harmless — (ROW)
❑ .. 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
O ...Permanent Water Meter Size...
❑ ...Temporary Water Meter Size ..
❑ ...Water Only Meter Size
❑ ...Sewer Main Extension Public 0
❑ ...Water Main Extension Public ❑
O .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
WO #
WO #
WO # ❑ ...Deduct Water Meter Size
Private ❑
Private ❑
FINANCE INFORMATION
Fire Line Size at Property Line
O ...Water 0 ...Sewer
Monthly Service Billing to:
Name:
Number of Public Fire Hydrant(s)
0 ...Sewage Treatment
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 \2011 Applications\Permit Application Revised - 8-9-11.docx
Revised: August 2011
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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.
Date: 7 14/ t
Print Name: Eric Moe Day Telephone: (206) 246-1204
Mailing Address: 12805 Shorewood Dr SW
H:\Applications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-11.docx
Revised: August 2011
bh
Burien Wa 98146
City State Zip
Page 4 of 4
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
( ACCOUNT I QUANTITY
PAID
$1,304.94
D18-0225 Address: 4712 S 134TH PL
Apn: 2616600071
$1,304.94
DEVELOPMENT
$1,267.29
PERMIT FEE
R000.322.100.00.00
0.00
$752.90
PLAN CHECK FEE
R000.345.830.00.00
0.00
$489.39
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$25.00
TECHNOLOGY FEE
$37.65
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R15011
R000.322.900.04.00 0.00
$37.65
$1,304.94
Date Paid: Tuesday, July 24, 2018
Paid By: JEM CONTRACTORS
Pay Method: CHECK 11990
Printed: Tuesday, July 24, 2018 12:03 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
OM -0225
Project: p
L R Se v'icitS
Type of Inspection
Foo+ 4...)\ --Ai ►t1. S
Address: % llg
47/2 S. /�y
Date Called: �,
Special Instructions:
Date Wanted: �'
9-9-2- I(
a.m�
p. .
Requester:
Phone No:
Approved per applicable codes.
COMMENTS:
jam' - br,4/K's
Corrections required prior to approval.
%5°76, L.tJFK.E /S 24hts4z1
Aica jaew12,A.Avic
Inspector: --/....“21)
Date:9 _ L'- c/V
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
SEPA ATL PERMIT
REQUIRED FOR:
ClKlachanical
Iectrical
Cif/Plumbing
c 'Gas Piping
City of Tukwila
BuluDING DIVISION
N
REVISIONS
No changes shall he made to the scope
of work witho+;t prior approval of
T,ily :,ila f3u ding Division
NOTE: I;cviscr;:, will require a new plan submittal
and may include additional plan review fees.
--411110
ef
I w�
•
I, I
•1
rLANNING APPROVgb/
No changes can be madeto1he
plans without approval from
Planning Division of D
Approved By:_ta
rate:
FILE COPY
Permit No. b [g
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 Cop: j d conditions is acknowledged:
By:
Data:
City of Tukwila
BUILDING DIVISION
1 0'-0"
,
s
777- 7
o'A
Ultabock Retaining Wall
Property Line
Drain Pipe
No know easements
REVIEWED FOR
CODE COMPLIANCE
APPROVED \
12k-TCity of Tukwila
BUILDING DIVISION
AUG 02 2018
CBT
EC�' ED
F -ND
JUL 2018X
RMIT CEN •kR
SPECIFICATIONS FOR GRAVITY ULTRABLOCK WALL
General:
1. The contractor shall have an approved set of plans and specifications on site at all times during the construction of the
wall. The wall layout is the responsibility of the contractor.
2. A professional engineer or representative should observe and monitor the construction of the wall.
3 Blocks shall consist of 2.5'x2.5'x5.0' UltraBlocks or equivalent.
4. Blocks shall be placed in accordance with UltraBlock wall specifications and guidelines.
Subgrade Preparation:
1. The ground should be prepared by removing surficial unsuitable soil, exposing medium dense or better inorganic, native
soils as approved by the geotechnical engineer.
2 The excavation shall be cleaned of all excess material and protected, as necessary, from construction traffic to maintain
the integrity of the subgrade.
3 The base of the excavation should be deep enough to satisfy the 5 -foot setback from slope face as shown on the section.
Minimum embedment is 12 Inches,
Fill Placement:
1 Structural fill should have parameters equal to or better than those stated for the reinforced wall fill with less than 20%
passing the number 200 sieve. The geotechnical engineer may allow a higher silt content based on review of the wall
design and proposed fill parameters.
2. Soil density tests should be performed as designated by the geotechnical engineer.
3. Fill soils in the wall area shall be compacted to at least 95% of Maximum Dry Density IMDD) as determined by ASTM D-
1557 Maximum Dry Density.
4 The soil shall be placed in relatively uniform horizontal lifts not exceeding 10 or 12 inches in thickness. The lift thickness
shall not exceed the manufacturer's recommended depth for the compactive device used on the project.
Drainage:
1. A drainage system shall be installed as shown in the typical cross-section detail. The wall drain shall consist of sand and
gravel and a 4 -inch perforated pipe place behind the base of the block facing. The sand and gravel blanket should have a
minimum width of 12 inches. The perforated pipe should be tightlined to an approved drainage at the low point of the wall.
2. Surface water shall not be allowed to pond in or near the reinforced fill zone during or after construction.
Design Parameters:
Retained Backfill 31 deg 120 PCF
Foundation Soil 40 deg 135 PCF
External Stability:
Minimum Factor of Safety against Base Sliding = 1.5
Minimum Factor of Safety against Overturning = 2.0
Minimum Factor of Safety against Bearing = 3.0
Inspection:
The construction shall be periodically inspected under the direction of an engineer registered in the state of Washington with
experience in the design of retaining walls.
ECOLOGY BLOCK LAYOUTS FOR ON-SITE RETAINING WALLS
7.5'
1
10'
TYPICAL GRAVITY ULTRABLOCK WALL CROSS-SECTION
(not to scale)
FREE DRAINING
SAND & GRAVEL
CAP BLOCK
(OPTIONAL)
ULTRA BLOCK
w OR EQUIVALENT
z
0
rn
uJ
O
2
/LOW PERMEABILITY CAP
UNDERLAIN BY MIRAFI 140N
3
1
12
1
12" (min)
5' (min)
NATIVE UNDISTURBED SOIL
OR STRUCTURAL FILL
J
EXISTING FILL
1=IIIII
illl�'ll
4" PERFORATED PIPE
REVIEWED FOR
CODE COMPLIANCE
APPROVED
AUG 02 2010
Gity of Tukwila
BUILDING DIVISION
RECEIVED
CITY OF TUKWILA
JUL 2 4 2018
PERMIT CENTER
Note:
ROBINSON'
NOBLE
PM: BAG
July 2018
3103-002A
Figure 2
Gravity Ultrablock Wall Detail
JEM Contractors: Sound Transit Schweiger Property
u
Project:
Location:
Designer:
Date:
Section:
Design Method:
Design Unit:
U Itra Wa l I
JEM Sound Transit Schweiger Property
Tukwila
BGallagher
7/18/2018
Section 3
AASHTO_LRFD 2012
Ultrabiock
Seismic Acc: 0.440
SOIL PARAMETERS
Retained Soil:
Foundation Soil:
Leveling Pad:
GEOMETRY
Design Height:
Wall Batter/Tilt:
Embedment:
Leveling Pad Depth:
Slope Angle:
Slope Length:
Slope Toe Offset:
cp coh y
31 deg 0 psf 120 pcf
40 deg 0 psf 135 pcf
40 deg 0 psf 140 pcf
Crushed Stone
7.40 ft
0.0/ 0.00 deg
0.00 ft
0.49 ft
18.5 deg
20.0 ft
0.O ft
Live Load: 0 psf
Live Load Offset: 0.00 ft
Live Load Width: 0 ft
Dead Load: 0 psf
Dead Load Offset: 0.0 ft
Dead Load Width: 0 ft
Leveling Pad Width: 5.91 ft
Toe Slope Angle: 26.50
Toe Slope Length: 4.99
Toe Slope Bench: 0.00
z
to -
o2
U'
CO
PERMIT CENTER
Note: Calculations and quantities are for PRELIMINARY ANALYTICAL USE ONLY and MUST NOT be used for final
design or construction without the independent review, verification, and approval by a qualified professional
engineer.
UltraWall 5.0.18138
Pana 1
2/7/2019
City of Tukwila
Department of Community Development
ERIC MOE
12805 SHOREWOOD DR SW
BURIEN, WA 98146
RE: Permit No. D18-0225
L & R SERVICES
4712 S 134TH PL
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 3/3/2019.
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 3/3/2019, 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.
Jazzel Salzar
Permit Technician
File No: D18-0225
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
pPERMIT CORD COPY c
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: D18-0225 DATE: 07/24/18
PROJECT NAME: L & R SERVICES
SITE ADDRESS: 4712 S 134TH ST
X Original Plan Submittal Revision # before Permit Issued
Revision # after Permit Issued
Response to Correction Letter #
DEPARTMENTS:
Building Division
/OM AP
Public Works
AM AM - 1 -
Fire Prevention IEJ
Structural
Planning Division
Permit Coordinator
-31-0
1
PRELIMINARY REVIEW:
Not Applicable ❑
(no approval/review required)
REVIEWER'S INITIALS:
DATE: 07/26/18
Structural Review Required
DATE:
APPROVALS OR CORRECTIONS:
Approved
❑ Approved with Conditions
Corrections Required ❑ Denied
(corrections entered in Reviews) (ie: Zoning Issues)
Notation:
DUE DATE: 08/23/18
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials:
12/18/2013
JEM CONTRACTORS INC
CWashington State Department of
Labor & industries
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Workplace Rights Trades & Licensing
JEM CONTRACTORS INC
Owner or tradesperson
Principals
MOE (MILES), JENNIFER
TRACY, PRESIDENT
MOE, ERIC CARL, VICE PRESIDENT
SCHLEMLEIN, GARTH, AGENT
SHINN, MIKE, SECRETARY
(End: 04/27/2007)
Doing business as
JEM CONTRACTORS INC
WA UBI No.
602 160 486
12805 SHOREWOOD DR SW
BURIEN, WA 98146
425-864-0718
KING County
Business type
Corporation
Governing persons
ERIC
CARL
MOE
JENNIFER TRACY MOE;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor
License specialties
GENERAL
License no.
JEMCOI*984CF
Effective — expiration
02/06/2002— 02/11/2020
Bond
...............
Hanover Insurance Company, The
Bond account no.
1005580
Active.
Meets current requirements.
$12,000.00
Received by L&I Effective date
05/15/2012 05/26/2012
Expiration date
Until Canceled
Insurance
............................
Ohio Security Ins Co $1,000,000.00
Policy no.
BKS54805221
Received by L&I Effective date
05/23/2018 07/07/2018
Expiration date
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https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602160486&LIC=JEMCOI*984CF&SAW= 8/23/2018
JEM CONTRACTORS INC
0
07/07/2019
0
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&l 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.
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.
This company has multiple workers' comp accounts.
Active accounts
L&I Account ID
878.329-01
Doing business as
JEM CONTRACTORS INC
Estimated workers reported
Quarter 2 of Year 2018 "7 to 10 Workers"
L&I account contact
TO / JULIE SUR (360)902-4715 - Email: SURJ235@Ini.wa.gov
Track this contractor 0
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
No inspections during the previous 6 year period.
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https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602160486&LIC=JEMCOI*984CF&SAW= 8/23/2018