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HomeMy WebLinkAboutPermit D18-0244 - BOULEVARD AT SOUTH STATION / BUILDING J - REROOFBOULEVARD AT SOUTH STATION -BLDG J 4510 SOUTHCENTER BLVD BLDG J D18-0244 Parcel No: Address: Project Name: 0 City of Tukwila a 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 2223049003 Permit Number: D18-0244 4510 SOUTHCENTER BLVD BLDG 1 Issue Date: 8/24/2018 Permit Expires On: 2/20/2019 BOULEVARD AT SOUTH STATION - BLDG J Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: MG ACRES APARTMENTS LP 10505 SORRENTO VALLEY RD , SAN DIEGO, WA, 92121 DAVE LALONDE Phone: (253) 722-7661 10029 S TACOMA WAY - SUITE E-5 , LAKEWOOD, WA, 98499 GORMAN ROOFING SERVICES INC 2229 E UNIVERSITY DR , PHOENIX, AZ, 85034 GORMARS983LL LIVCOR 233 S WACKER DR - SUITE 4200 , CHICAGO, IL, 60606 Phone: (602) 262-2423 Expiration Date: 7/12/2020 DESCRIPTION OF WORK: REMOVE EXISTING SHINGLES, UNDERLAYMENT AND FLASHINGS. INSTALL NEW 15LB FELT IN FIELD, SELF ADHERED UNDERELAYMENT N WALL RUNS NEW FLASHINGS, VENTS AND 30 YR LAMINATE SHINGLES. Project Valuation: $27,842.00 Type of Fire Protection: Sprinklers: Fire Alarm: Type of Construction: Electrical Service Provided by: TUKWILA Fees Collected: $1,180.09 Occupancy per IBC: 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: 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 _J Permit Center Authorized Signature: Date:19 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 permi,'nd agree to th conditions attached to this permit. Signature: !'{ Print Name: /JG! VC 7.6/ t-k'IA Date: 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: 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. 6: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be obtained at City Hall in the office of the City Clerk. 7: Prior to final inspection for this building permit, a copy of the roof membrane manufacturer's warranty certificate shall be provided to the building inspector. 8: 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** 0103 PRE-REROOF CITY OF TUK.A Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building NOR No.` ts/TE\-'' 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' J3eLleLo 7 Scot, i S'--ti/I,f ' Rij:JU Lam' 1% f _. ] i KingCoAssessor's Tax No.: �d�-3G'T 0Q? Site Address: II'S /0 ST/Ce(1�v` R/�) ll.� kw At 15 1 J t Suite Number: Floor: New Tenant: ❑ Yes ❑ .. No Tenant Name: PROPERTY OWNER Name: p4G. P,t e' 1 !eS Gray, Address: l' j I��OS �Qrrel, a I;� fi%y � S,, iC City: San ro; e('.,G Stater . Zip:�lJa/ CONTACT PERSON — person receiving all project communication Name: OOVQ L L ndQ Address: 100� S lC,cC► . LIcy S.t„ <-- 5 City: L,�� State: t�'�t,�1 Zip ,SL 99 11 �l / Phone:1S s.„ ),., 76'1 Fax: .,a ca3 C Emai1:dewe) f G(�!^> 61 : tr wrur Tei,• (Om GENERAL CONTRACTOR INFORMATION Company Name: r~_ m Address:'( 9 s Ii.cG1t>fiir Ly s E's 1) City: La e Ll State: �d j� Zip:9399 !!ll 9 Phone: 3 s64:1—013S Fax: 43_ 5 j`c,),? /, Contr Reg No. rinG,!l 3C.t. Exp Date: / /�ale / Tukwila Business License No.: I-:Wpplications\Fonns-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh ARCHITECT OF RECORD Name:Litial- Address:-33 ikCilet^ 1 Jy, Company Name: City: Ch CQclO State:'L ZipY`QCDC Architect Name: Address: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD Name:Litial- Address:-33 ikCilet^ 1 Jy, Company Name: City: Ch CQclO State:'L ZipY`QCDC 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:Litial- Address:-33 ikCilet^ 1 Jy, L 1 00 City: Ch CQclO State:'L ZipY`QCDC Page 1 of 4 BUILDING PERMIT INFORMATION 206-431-3670 / `‘ /42a4+ ;---I . Valuation of Project (contractor's bid price): $ / j ''ql, Existing Building Valuation: $ Dperibr the scope of work (please provide de ailed information): Rei�M.l .. ��r s ry lesi, (AhcierIc y rn d gad f/ ,ms - InS%/l nes.? )51b'reft in I :eId,IQIF--Q here() ctiN ��e4 McAi On i,cl1) r�,)S hem �'�`�'�,`,%'s>Ven�s enc) 30yr �gm,nk' .�'�j?���.t- y 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: 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: ❑ 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 ❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\ Applications\Forms-Applications On Line\2012 Applications\Permit 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 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: 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: ❑ 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 ❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\ Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 ['PUBLIC WORKS PERMIT INF TION — 206-433-0179 Scope of Work (please provide detailed information): Call before you Dig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ .. Tukwila 0 ...Water District #125 ❑ .. Water Availability Provided Sewer District ❑ .. Tukwila ❑ .. Sewer Use Certificate ❑... Highline ❑...Valley View ❑...Renton ❑ ...Sewer Availability Provided 0... Renton 0... 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): ❑ .. Civil Plans (Maximum Paper Size — 22" x 34") ❑ .. Technical Information Report (Storm Drainage) ❑ .. Bond 0... Insurance 0... Easement(s) Proposed Activities (mark boxes that apply): ❑ .. Right-of-way Use - Nonprofit for less than 72 hours ❑ .. Right-of-way Use - No Disturbance ❑ .. Construction/Excavation/Fill - Right-of-way 0 Non Right-of-way 0 ❑ .. Total Cut ❑ .. Total Fill cubic yards cubic yards ❑ .. Sanitary Side Sewer ❑ .. Cap or Remove Utilities ❑ .. Frontage Improvements ❑ .. Traffic Control 0 .. Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. Permanent Water Meter Size (1) ❑ .. Temporary Water Meter Size (1) ❑ .. Water Only Meter Size ❑ .. Sewer Main Extension Public ❑ .. Water Main Extension Public ❑...Geotechnical Report ❑ ... Maintenance Agreement(s) 0 .. Traffic Impact Analysis ❑ .. Hold Harmless — (SAO) ❑ .. Hold Harmless — (ROW) 0... Right-of-way Use - Profit for less than 72 hours 0...Right-of-way Use — Potential Disturbance 0...Work in Flood Zone 0... Storm Drainage 0...Abandon Septic Tank ❑...Curb Cut 0...Pavement Cut 0...Looped Fire Line )f WO # WO # WO # Private 0 Private 0 0... Grease Interceptor ❑... Channelization 0... Trench Excavation 0...Utility Undergrounding (2) " WO # (3) " WO # (2) " WO # (3) " WO # ❑ .. Deduct Water Meter Size " FINANCE INFORMATION Fire Line Size at Property Line 0 .. Water 0 .. Sewer 0 .. Sewage Treatment Monthly Service Billing to: Name: Number of Public Fire Hydrant(s) Day Telephone: Mailing Address: City State Zip Water Meter Refund/Billing: Name: Mailing Address: Day Telephone: City State Zip H:\Applications\Forms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 3 of 4 PERMIT APPLICATION NOTES -fl C.) 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 OWN R AUIZED AGENT: Signature: .,n Print Name: naue,__ L 6 L (}42._ Mailing Address: / 60 19 S LA) Date: /VI Day Telephone: 2:S3 -74—'7W ICRLviak) (); %Fig? H:\Applications\Forms-Applications On Line\2012 Applications'Permit Application Revised - 2-7-12.docx Revised: February 2012 bh City State Zip Page 4 of 4 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PermitTRAK PAID $8,125.92 D18-0235 Address: 4530 SOUTHCENTER BLVD BLDG H Apn: 2223049003 $738.72 Credit Card Fee $21.52 Credit Card Fee R000.369.908.00.00 0.00 $21.52 DEVELOPMENT $684.24 PERMIT FEE R000.322.100.00.00 0.00 $659.24 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $25.00 TECHNOLOGY FEE $32.96 TECHNOLOGY FEE R000.322.900.04.00 0.00 $32.96 D18-0236 Address: 4520 SOUTHCENTER BLVD BLDG I Apn: 2223049003 $738.72 Credit Card Fee $21.52 Credit Card Fee R000.369.908.00.00 0.00 $21.52 DEVELOPMENT $684.24 PERMIT FEE R000.322.100.00.00 0.00 $659.24 WASHINGTON STATE SURCHARGE 6640.237.114 0.00 $25.00 TECHNOLOGY FEE $32.96 TECHNOLOGY FEE R000.322.900.04.00 0.00 $32.96 D18-0243 Address: 4708 SOUTHCENTER BLVD OFFICE Apn: 2223049003 $738.72 Credit Card Fee $21.52 Credit Card Fee R000.369.908.00.00 0.00 $21.52 DEVELOPMENT $684.24 PERMIT FEE R000.322.100.00.00 0.00 $659.24 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $25.00 TECHNOLOGY FEE $32.96 TECHNOLOGY FEE R000.322.900.04.00 0.00 1 $32.96 D18-0244 Address: 4510 SOUTHCENTER BLVD BLDG .1 Apn: 2223049003 $738.72 Credit Card Fee $21.52 Credit Card Fee R000.369.908.00.00 0.00 $21.52 DEVELOPMENT $684.24 PERMIT FEE R000.322.100.00.00 0.00 $659.24 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $25.00 TECHNOLOGY FEE $32.96 TECHNOLOGY FEE 1 R000.322.900.04.00 1 0.00 I $32.96 Date Paid: Friday, August 24, 2018 Paid By: DAVE LALONDE Pay Method: CREDIT CARD 314234 Printed: Friday, August 24, 2018 11:44 AM 1 of 3 SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT 1 QUANTITY I PAID PermitTRAK $8,125.92 D18-0245 Address. 4706 SOUTHCENTER BLVD BLDG G Apn: 2223049003 $738.72 Credit Card Fee $21.52 Credit Card Fee R000.369.908.00.00 0.00 $21.52 DEVELOPMENT $684.24 PERMIT FEE R000.322.100.00.00 0.00 $659.24 WASHINGTON STATE SURCHARGE 8640.237.114 0.00 $25.00 TECHNOLOGY FEE $32.96 TECHNOLOGY FEE R000.322.900.04.00 0.00 $32.96 D18-0246 Address: 4710 SOUTHCENTER BLVD BLDG F Apn: 2223049003 $738.72 Credit Card Fee $21.52 Credit Card Fee R000.369.908.00.00 0.00 $21.52 DEVELOPMENT $684.24 PERMIT FEE R000.322.100.00.00 0.00 $659.24 WASHINGTON STATE SURCHARGE 8640.237.114 0.00 $25.00 TECHNOLOGY FEE $32.96 TECHNOLOGY FEE R000.322.900.04.00 0.00 $32.96 D18-0247 Address: 4714 SOUTHCENTER BLVD BLDG E Apn: 2223049003 $738.72 Credit Card Fee $21.52 Credit Card Fee R000.369.908.00.00 0.00 $21.52 DEVELOPMENT $684.24 PERMIT FEE R000.322.100.00.00 0.00 $659.24 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $25.00 TECHNOLOGY FEE $32.96 TECHNOLOGY FEE R000.322.900.04.00 0.00 $32.96 D18-0248 Address: 4718 SOUTHCENTER BLVD BLDG D Apn: 2223049003 $738.72 Credit Card Fee .. $21.52 Credit Card Fee R000.369.908.00.00 0.00 $21.52 DEVELOPMENT $684.24 PERMIT FEE R000.322.100.00.00 0.00 $659.24 WASHINGTON STATE SURCHARGE 8640.237.114 0.00 $25.00 TECHNOLOGY FEE $32.96 TECHNOLOGY FEE R000.322.900.04.00 0.00 $32.96 Date Paid: Friday, August 24, 2018 Paid By: DAVE LALONDE Pay Method: CREDIT CARD 314234 Printed: Friday, August 24, 2018 11:44 AM 2 of 3 SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $8,125.92 D18-0249 Address: 4722 SOUTHCENTER BLVD BLDG C Apn: 2223049003 $738.72 Credit Card Fee $21.52 Credit Card Fee R000.369.908.00.00 0.00 $21.52 DEVELOPMENT $684.24 PERMIT FEE R000.322.100.00.00 0.00 $659.24 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $25.00 TECHNOLOGY FEE $32.96 TECHNOLOGY FEE R000.322.900.04.00 0.00 $32.96 D18-0250 Address: 4726 SOUTHCENTER BLVD BLDG B Apn: 2223049003 $738.72 Credit Card Fee $21.52 Credit Card Fee R000.369.908.00.00 0.00 $21.52 DEVELOPMENT $684.24 PERMIT FEE R000.322.100.00.00 0.00 $659.24 WASHINGTON STATE SURCHARGE 6640.237.114 0.00 $25.00 TECHNOLOGY FEE $32.96 TECHNOLOGY FEE R000.322.900.04.00 0.00 $32.96 D18-0251 Address: 4732 SOUTHCENTER BLVD BLDG A Apn: 2223049003 $738.72 Credit Card Fee $21.52 Credit Card Fee R000.369.908.00.00 0.00 $21.52 DEVELOPMENT $684.24 PERMIT FEE R000.322.100.00.00 0.00 $659.24 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $25.00 TECHNOLOGY FEE $32.96 TECHNOLOGY FEE R000.322.900.04.00 0.00 $32.96 TOTAL FEES PAID BY RECEIPT: R15242 $8,125.92 Date Paid: Friday, August 24, 2018 Paid By: DAVE LALONDE Pay Method: CREDIT CARD 314234 Printed: Friday, August 24, 2018 11:44 AM 3 of 3 SYSTEMS CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 08/24/2018 11:43:21 AM CREDIT CARD SALE VISA CARD NUMBER: **********2256 K TRAN AMOUNT: $8,125.92 APPROVAL CD: 314234 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 https: //classic. convergepay. com/V irtualMerchant/transaction. do?dispatchMethod=printTra... 8/24/2018 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $3,972.33 D18-0243 Address: 4708 SOUTHCENTER BLVD OFFICE Apn:2223049003 $441.37 Credit Card Fee $12.86 Credit Card Fee R000.369.908.00.00 0.00 $12.86 DEVELOPMENT $428.51 PLAN CHECK FEE R000.345.830.00.00 0.00 $428.51 D18-0244 Address: 4510 SOUTHCENTER BLVD BLDG J Apn: 2223049003 $441.37 Credit Card Fee $12.86 Credit Card Fee R000.369.908.00.00 0.00 $12.86 DEVELOPMENT $428.51 PLAN CHECK FEE R000.345.830.00.00 0.00 $428.51 D18-0245 Address: 4706 SOUTHCENTER BLVD BLDG G Apn: 2223049003 $441.37 Credit Card Fee $12.86 Credit Card Fee R000.369.908.00.00 0.00 $12.86 DEVELOPMENT $428.51 PLAN CHECK FEE R000.345.830.00.00 0.00 $428.51 D18-0246 Address: 4710 SOUTHCENTER BLVD BLDG F Apn: 2223049003 $441.37' Credit Card Fee $12.86 Credit Card Fee R000.369.908.00.00 0.00 $12.86 DEVELOPMENT $428.51 PLAN CHECK FEE R000.345.830.00.00 0.00 $428.51 D18-0247 Address: 4714 SOUTHCENTER BLVD BLDG E Apn: 2223049003 $441.37 Credit Card Fee $12.86 Credit Card Fee R000.369.908.00.00 0.00 $12.86 DEVELOPMENT $428.51 PLAN CHECK FEE R000.345.830.00.00 0.00 $428.51 D18-0248 Address: 4718 SOUTHCENTER BLVD BLDG D Apn: 2223049003 $441.37 Credit Card Fee $12.86 Credit Card Fee R000.369.908.00.00 0.00 $12.86 DEVELOPMENT $428.51 PLAN CHECK FEE 1 R000.345.830.00.00 1 0.00 I $428.51 Date Paid: Friday, August 10, 2018 Paid By: DAVE LALONDE Pay Method: CREDIT CARD 210190 Printed: Friday, August 10, 2018 10:09 AM 1 of 2 SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK - $3,972.33 D18-0249 Address: 4722 SOUTHCENTER BLVD BLDG C Apn: 2223049003 $441.37 Credit Card Fee $12.86 Credit Card Fee R000.369.908.00.00 0.00 $12.86 DEVELOPMENT $428.51 PLAN CHECK FEE R000.345.830.00.00 0.00 $428.51 D18-0250 Address; 4726 SOUTHCENTER BLVD BLDG B Apn: 2223049003 $441.37 Credit Card Fee $12.86 Credit Card Fee R000.369.908.00.00 0.00 $12.86 DEVELOPMENT $428.51 PLAN CHECK FEE R000.345.830.00.00 0.00 $428.51 D18-0251 Address: 4732 SOUTHCENTER BLVD BLDG A Apn: 2223049003 $441.37 Credit Card Fee $12.86 Credit Card Fee R000.369.908.00.00 0.00 $12.86 DEVELOPMENT $428.51 PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R15133 R000.345.830.00.00 0.00 $42$.51 $3,972.33 Date Paid: Friday, August 10, 2018 Paid By: DAVE LALONDE Pay Method: CREDIT CARD 210190 Printed: Friday, August 10, 2018 10:09 AM 2 of 2 SYSTEMS CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 08/10/2018 10:09:02 AM CREDIT CARD SALE VISA CARD NUMBER: **********2256 K TRAN AMOUNT: $3,972.33 APPROVAL CD: 210190 RECORD #: 000 CLERK ID: Rachelle 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 haps ://classic.convergepay. com/VirtualMerchant/transaction.do?dispatchMethod=printTr... 08/10/2018 Page 2 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 08/10/2018 10:09:02 AM CREDIT CARD SALE VISA CARD NUMBER: **********2256 K TRAN AMOUNT: $3,972.33 APPROVAL CD: 210190 RECORD #: 000 CLERK ID: Rachelle Thank you! Customer Copy https://classic.convergepay.com/VirtualMerchant/transaction.do?dispatchMethod=printTr... 08/10/2018 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit inspection Request Line (206) 438-9350 DI -0Z'i4' jPrroojjeect: .� ` ^ w.C�lkleut a/1 £ ► `'r T e of Ins pec ion: r �A `� 1 F7-02%,{� 11=c1C960 744;+r115 Date Called: Special Instructions: L D L%rJ10 So 7n L- (.:ii Date Wanted:p O'^LQ/- p.m. Requester: blew cd( One o 3) 7 —1t Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector:' L.00 C___Q Date: C REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 1 -REVISIONS No changes sha`l be made to th pe of s Lark without prior approval of I Terri;e Building Division ftCIT ;evisions will require a new plan submittal and may include additional plan review fees. FILE C PY Permit No. Plan review approval is subject to errors and omissions. 1 7-7a1 c' c:77t '..":on documents does not authorize t, ,..ce. Receipt and�^ .+� ._. J C �� a 1 cancli:ic,l3 YJ G...... ..r ....r.+�.�.. . Date: City of Tukwila BUILDING DIVISION b19- SEPAr:VTE FEFiMIT REQUIRED FOR: id Mechanical t7 Electrical ["Plumbing tWGas Piping City of Tukwila Ql�ii►_�"n ; DIVISION REVIEWED FOR CODE COMPLIANCE APPROVED AUG 202018 City of Tukwila BUILDING DIVISION SECTION 01010 - SCOPE OF WORK 01010 -1 1.01 LOCATION A. The roof replacement shall occur at: BOULEVARD AT SOUTH STATION 4708 SOUTHCENTER BOULEVARD TUKWILA, WA 98188 RECEIVED D 1.02 SUMMARY OF WORK CITY OF TUKWILA A. This project shall include but not be limited to: AUG Q 7 2018 1. Removal of existing shingles, underlayment and flashings to the roof decking ERi- CENTER 2. Repairs to the roof decking. 3. Installation of self -adhered underlayment at all walls. 4. Installation of new shingles. 5. Installation of new metal edge flashing. 6. Installation of new metal cap flashing. 7. Installation of new wall flashing at all rake walls and head walls. 8. Installation of fiber -cement trim and counter flashing at all rake walls and head walls. 9. Installation of new flashings at roof penetrations. 10. Installation of new static roof vents at existing locations. 11. Repairs to existing gutters and downspouts. 12. Related work, including sheet metal work and sealant work, as required for watertight roofing system. 13. Painting of roof accessories. 14. Issuance of roof guarantees. B. No more than two buildings shall be under construction at any one time. Work will not commence to Other buildings until 100% completion. 1.03 RELATED DOCUMENTS A. The roofing material Manufacturer's current specification manual shall be considered a portion of these Specifications. B. National Roofing Contractor's Association (NRCA): NRCA Roofing and Waterproofing Manual, Fourth Edition, 1996. C. Sheet Metal And Air Conditioning Contractors National Association (SMACNA): Architectural Sheet Metal Manual 6th Edition. D. Asphalt Roofing Manufacturers Association (ARMA): ARMA Residential Asphalt Roo p Manual. E. Submittal of a bid by the Contractor shall be considered evidence that the Otintritvit VIM above material manuals and requirements. CODE COMPLIANCE 1.04 CONTRACTOR RESPONSIBILITIES APPROVED A. TheContractorshall procure and pay for all permits, licenses and fees nece-ssary forAt�ttenu j�riFf w B. 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A M m P1 oz mD_ o r C � - D mm rvm r ` D oz nrm Z m 9NIHSV13 3D03 1b'13W 39NN l3 1IHN 3Saf103 d3ldV1S 1N3WAd1dJ Nl 1133 v1 z mm m< v) z A m= nZ 1-10D" O Z N N REVIEWED FOR CODE COMPLIANCE APPROVED AUG 202018 • City of Tukwila BUILDING DIVISION HERMIT COORD COPY. PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D18-0244 DATE: 08/14/18 PROJECT NAME: BOULEVARD AT SOUTH STATION BLDG J SITE ADDRESS: 4510 SOUTHCENTER BLVD X Original Plan Submittal Response to Correction Letter # Revision # Revision # before Permit Issued after Permit Issued DEPARTMENTS: kc Building Division Public Works ❑ NA-� Fire Prevention Structural Planning Division ❑ Permit Coordinator PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 08/16/18 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required ❑ Approved with Conditions ❑ Denied (corrections entered in Reviews) (ie: Zoning Issues) Notation: DUE DATE: 09/13/18 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 GORMAN ROOFING SERVICES It 1 -tome Espanol Contact Page 1 of 2 Search L&I A -Z Index Help My L&:t Safety & Health Claims & Insurance Workplace Rights Trades & Licensing k Washington State Department of Labor & Industries GORMAN ROOFING SERVICES INC Owner or tradesperson Principals GORMAN, DANIEL J, PRESIDENT Doing business as GORMAN ROOFING SERVICES INC WA UBI No. 602 208 941 2229 E UNIVERSITY DRIVE PHOENIX, AZ 85034 602-262-2423 Business type Corporation 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. GORMARS983LL Effective — expiration 06/13/2002— 07/12/2020 Bond Contractors Bonding & Insurance Co Bond account no. AH8286 $12,000.00 Received by L&I Effective date 04/01/2014 06/03/2014 Expiration date Until Canceled Bond history Insurance Associated Industries Ins Co I $1,000,000.00 Policy no. aes104878900 Received by L&I Effective date 10/02/2017 09/21/2017 Expiration date 09/21/2018 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts ............... No L&I tax debts are recorded for this contractor license during the previous 6 year period, ut some debts may be recorded by other agencies. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602208941 &LIC=GORMARS983LL&SAW= 8/24/2018 GORMAN ROOFING SERVICES INC License Violations t No license violations during the previous 6 ymperiod. 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 037,391-00 ..................... _ ......... Doing business as GORMAN ROOFING SERVICES INC Estimated workers reported Quarter 2 of Year 2018 "11 to 20 Workers" L&I account contact T4 / TERRI MADISON (360)902-4654 - Email: KIRT235@Ini.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 11/21/2016 Inspection no. 317942462 Location 10811 SE 239TH PL Kent, WA 98031 Inspection results date 04/13/2015 Inspection no. 317935617 Location 3015 NW Market St. Seattle, WA 98107 No violations No violations 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=602208941 &LIC=GORMARS983LL&SAW= 8/24/2018