HomeMy WebLinkAboutPermit D18-0251 - BOULEVARD AT SOUTH STATION / BUILDING A - REROOFBOULEVARD AT SOUTH
STATION -BLDG A
4732 SOUTHCENTER BLVD
BLDG A
D18-0251
Parcel No:
Address:
Project Name:
C
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
2223049003 Permit Number:
4732 SOUTHCENTER BLVD BLDG A Issue Date:
Permit Expires On:
BOULEVARD AT SOUTH STATION - BLDG A
D18-0251
8/24/2018
2/20/2019
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
10029 S TACOMA WAY - SUITE E-5 ,
LAKEWOOD, WA, 98499
GORMAN ROOFING SERVICES INC
2229 E UNIVERSITY DR, PHOENIX, AZ,
85034
GORMARS983LL
LIVCOR
233 WACKER DR STE 4200, CHICAGO,
IL, 60606
Phone: (253) 722-7661
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
fl
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 n ��
Permit Center Authorized Signature: �!/V�// �' G "
tf
Date: 067,-- ( a
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 agre to he conditions attached to this permit.
Signature:
Print Name:
Left
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.
c 4
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 TUIPW.144
Community Dever:,Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
SITE LOCATION
Building PNo.,W
Project No.
Date Application Accepted: /ib� \/1� 1
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**
A
RcLtileuare 7 .Soy,+/ � �� 1,fi
RId11%% ] /, KingCo Assessor's Tax No.: )-A.2.-3O1 1 O02
Site Adress: L17 32 ,, C CV' nix) c) 1, kfv/fit (pm
Suite Number: Floor:
Tenant Name: New Tenant: ❑ Yes
PROPERTY OWNER
Name: IA CShoer ! i,sJ Grcl
Address: /OJ�S Ucrrel,TG VI fik) &A:k
City: S' �� CC�,G State: I Zip: �e1/j I
CONTACT PERSON — person receiving all project
communication
Name:OOve L
ndQ,
Address:
102
v J�CCk LJc s�s4,r-5
City: 4.�=t' \t
y
State: L,t/�l /ZipC1 f op
1
Phone: 1S 3" 7».
/
7 j Fax: Ij ._ c c
Email:(t ue ld�
VV / ci eyarmGfrl'C
,,roi.ru:rek- C.Cmt
GENERAL CONTRACTOR INFORMATION
Name: Lraiai_'
Company Name: Lyc h ,�„Q f se Irl; � C.Q.k”
1
Company Name:
Address: 1 29 s %CG1nlC'� ,Z.,;k E-
City: ck i co,c)c; State:IL
City: j �/ e LSC) State: d�' Zip:c
L. 'U
9
Phone:1S 3-59_013s Fax: 2.. 3_ 5w`c13 C� /�
Address:
Contr Reg No.kTitu_SExp Date:
Tukwila Business License No.:
State:
H:Vtpplications\Fonns-Applications On Line\2012 Applications\Pennit Application Revised - 2-7-12.docx
Revised: February 2012
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.. No
ARCHITECT OF RECORD
Name: Lraiai_'
Company Name:
L100
City: ck i co,c)c; State:IL
Architect Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Name: Lraiai_'
Company Name:
L100
City: ck i co,c)c; State:IL
Engineer Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name: Lraiai_'
/ f }
Address:.C3S Ida.C— `er^ 1$W.
L100
City: ck i co,c)c; State:IL
Zip 0c0C
Page 1 of 4
BUILDING PERMIT INFORMATION 206-431-3670
r'—�GO
Valuation of Project (contractor's bid price): $ .7� Th.
('�
Existing Building Valuation: $
D scri the scope of wo�r'k (please provide depiled informatio ): Ket 1.54; .s-rcyler� uhder/ciy me j qA()
f Io r\ Ms • mete I1 hew 15161�c �n ef� Q — a t e ) t,t/►\de IcJ Me/1an (tic ram'
r ew t'/� c�i� n sJ Ve11DS gm() ?O r �G1mi . e •�/j��(' tis
Will there be new rack storage? 0 ....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? 0 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:\Apphications\Fonns-Applications On Line12012 AppGeations\Permit Application Revised - 2-7-12.doet
Revised: February 2012
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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
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:
❑ 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:\Apphications\Fonns-Applications On Line12012 AppGeations\Permit Application Revised - 2-7-12.doet
Revised: February 2012
bh
Page 2 of 4
r;oL1c WORKS PERMIT INI)RMATION - 206-433-0179
Scope of Work (please provide detailed mfo ation):
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 cubic yards
❑ .. Total Fill cubic yards
❑ .. Sanitary Side Sewer
0 .. Cap or Remove Utilities
❑ .. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑... Geotechnical Report
0...Maintenance Agreement(s)
❑ .. Traffic Impact Analysis
❑ .. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
❑... 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
...Abandon Septic Tank
... Curb Cut
... Pavement Cut
... Looped Fire Line
❑ .. Permanent Water Meter Size (1) "
❑ .. Temporary Water Meter Size (1) "
❑ .. Water Only Meter Size "
❑ .. Sewer Main Extension Public 0
❑ .. Water Main Extension Public ❑
0... Grease Interceptor
0... Channelization
0...Trench Excavation
0... Utility Undergrounding
WO # (2) " WO # (3)
WO # (2) " WO # (3)
WO # ❑ .. Deduct Water Meter Size
Private 0
Private 0
" WO#
" WO#
FINANCE INFORMATION
Fire Line Size at Property Line
❑ .. Water ❑ .. Sewer 0 _. Sewage Treatment
Monthly Service Billing to:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
Day Telephone:
Water Meter Refund/Billing:
Name:
Mailing Address:
city
State
Zip
Day Telephone:
City
State
H: Applicatione\Forms-Applications On Line\2012 ApplieationssFemtit Application Revised - 2-7-12.door
Revised: February 2012
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Page 3 of 4
PERMIT APPLICATION NOTE; - ,1
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 Intemational 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 OR AUjIyRIZED AGENT:
Signature: id -6 -
Print Name:C{U� L Lci-, C;�2
Mailing Address: / 60 19 S / t•LC,C1 \ LA).
Date: V-7/)
ay Telephone: 253`7, 7CC1
H:\Applications\Fonns-Applications On Line\2012 Applications\Pemit Application Revised - 2-7-12.docx
Revised: February 2012
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City State Zip
Page 4 of 4
Cash Register Receipt
City of Tukwila
DESCRIPTIONS ACCOUNT QUANTITY
PAID
PermitTRAK
$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
B640.237.114
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
$32.96
D18-0244 Address: 4510 SOUTHCENTER BLVD BLDG J 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 I 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
B640.237.114
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
B640.237.114
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
B640.237.114
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 I
$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
B640.237.114
0.00
$25.00
TECHNOLOGY FEE $32.96
TECHNOLOGY FEE
I 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
8640.237.114
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
Page 1 of 2
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
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
CRWSYSTEMS
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$3,972.33
D18-0249 Address: 4722 SOU'THCENTER 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
x.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
$428.51
$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
Page 1 of 2
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
http s : //classic . convergepay . com/V irtualMerchant/transaction. do?dispatehMetho d=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 NO.
INSPECTION RECORD
Retain a copy with permit
0251
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION4.--.
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
BL SO.%L d- k
Tye of Inspection:
n At
F
L
Address:
'/ 32 Srahee, r 73/ t
Date Called:
Special Instructions:
'6ha A
Date Wanted: p
7'�� O
a.m.
p.m.
Requester:
Phone No:+
CEJ -722
7611
pdApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
747P
it%
'6 10)
f et
Inspector:
F
Date:
9-/y-2401
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
SEPARATE r i , SIT
REQU RED FOR:
Cirtvlechanical
Ditiectrical
II/Plumbing
(D' as Piping
City of Tukwila
Eft J'L_nTN a DIVISION
FILE COPY
Permit No. IBJ �Ql' 0151
Pian review approval is subject to errors and omissions.
Approval of construction documents does not authorize
the violation of any adopted coda or ordinance. Receipt
of approved Field Cop , : nd conditions is acknowledged:
By:
Date:
City of Tukwila
BUILDING DIVISION
REVISIONS
No changes shall he made to the scope
of work without prior approval of
Tu <wila Building Division
. TE: fl visions will require a new plan submittal
I and may include additional plan review fees.
e)•- o
REVIEWED FOR
CODE COMPLIANCE
APPROVED
AUG 2 0 2018
City of Tukwila
BUILDING DIVISION
SECTION 01010 - SCOPE OF WORK 01010 -1
1.01 LOCATION
A.
The roof replacement shall occur at:
1.02 SUMMARY OF WORK
A.
B.
RE
A.
B.
C.
D.
E.
BOULEVARD AT SOUTH STATION
4708 SOUTHCENTER BOULEVARD
TUKWILA, WA 98188 RECEIVED
CITY OF TUKWILA
This project shall include but not be limited to:
AUG 0 7 2018
1. Removal of existing shingles, underlayment and flashings to the roof deckinc,. ERM IT 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.
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 LATED DOCUMENTS
The roofing material Manufacturer's current specification manual shall be considered a portion of these
Specifications.
National Roofing Contractor's Association (NRCA): NRCA Roofing and Waterproofing Manual, Fourth
Edition, 1996.
Sheet Metal And Air Conditioning Contractors National Association (SMACNA): Architectural Sheet Metal
Manual 6th Edition.
Asphalt Roofing Manufacturers Association (ARMA): ARMA Residential As
Submittal of a bid by the Contractor shall be considered evidence that the
above material manuals and requirements.
1.04 CONTRACTOR RESPONSIBILITIES
A. The Contractor shall procure and pay for all permits, licenses and fees ne
work.
V IFOR
ftilll r AME
APPROVED
AUG 2 0 2018
ssary for the execution of
City of Tukwila
B. The contractor shall fumish all labor, materials, insurance, services, taxes . niStikiNglitGaIDA510010
all reroofing and related work necessary for the completion of the project s • • W • • -geed,
reliable, leak free, and functional installation, in strict accordance with the project Specifications.
BOULEVARD AT SOUTH STATION It4If 1010 - SCOPE OF WORK
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REVIEWED i -OR
CODE COMPLIANCE
APPROVED
AUG 2 0 20:3
City of Tukwila
BUILDING DIVISION
ERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: D18-0251 DATE: 08/14/18
PROJECT NAME: BOULEVARD AT SOUTH STATION BLDG A
SITE ADDRESS: 4732 SOUTHCENTER BLVD
X Original Plan Submittal Revision # before Permit Issued
Response to Correction Letter # Revision # after Permit Issued
DEPARTMENTS:
A -to 9-1(910
Fire Prevention 111 Planning Division
Building Division
Public Works ❑
Structural
❑ Permit Coordinator
PRELIMINARY REVIEW:
Not Applicable ❑
(no approval/review required)
REVIEWER'S INITIALS:
DATE: 08/16/18
Structural Review Required
DATE:
APPROVALS OR CORRECTIONS:
Approved
Corrections Required
❑ Approved with Conditions
❑ Denied
(corrections entered in Reviews) (ie: Zoning Issues)
DUE DATE: 09/13/18
Notation:
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 INC
Horne Espanol Contact
Safety & Health Claims & Insurance
Washington State Department of
`,) Labor & Industries
Page 1 of 2
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Workplace Rights Trades & Licensing
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
License specialties
GENERAL
License no.
GORMARS983LL
Effective — expiration
06/13/2002— 07/12/2020
Bond
Contractors Bonding & Insurance Co
Bond account no.
AH8286
Active.
Meets current requirements.
$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, but 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
No license violations during the previous 6j period.
0
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 laves of the state of Washington.
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=60220894 1 &LIC=GORMARS983LL&SAW= 8/24/2018