HomeMy WebLinkAboutPermit D19-0146 - PENNY GILLEN - REROOFGILLEN RESIDENCE
REROOF
4900 S 161 ST
EXPIRED
02/25/2020
019-0146
Parcel No:
�=^�»x ^�� Tukwila
*~�~�xvo uU�o�m�Koa
Department ofCommunity Development
630O8wuthcenterBoulevard, Suite #1VO
Tukwila, Washington g81g8
Phnne:306'43l,367O
Inspection Request Line: %06'438'9350
Web site: http://www.TukwilaWA,gov
5379800228
DEVELOPMENT PERMIT
Project Name: GILLEN RESIDENCE REROOF
Permit Number:
Issue Date:
Permit Expires On:
O19-014G
5/2]/Z019
1l/l9/ZUl9
Owner:
Name;
Contact Person:
Name:
Contractor:
Address:
License No:
Lender
Name:
E[HOLSD|ANAE+PENNYTGILL
4900 SldlSTST,TV@m|i�WA,
98188
RJTC0T[841P8
PENNYG|LL[N
Phone: (253)257-0I11
Phone:
Expiration Date:
DESCRIPTION DFWORK:
TEAR OFF ROOF, RE -SHEET ENTIRE ROOF AND INSTALL METAL ROOFING.
Project Valuation: $14,995.00
Type ofFire Protection: Sprinklers:
Fire Alarm:
Type nfConstruction: V8
Electrical Service Provided by: TUKWILA
Fees Collected: $672.83
Occupancy per IBC: R-Z
Water District: M|GHL|NE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
Gas Code:
ational Electrical Code:
VV4Cities Electrical Code:
VvACZg64613:
Code:
ublic Works Activities:
[hanne|izadon/StripinA:
/ 11
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:
I hearby certify that I have read and examined this permit and know the same to be true and correct. All
provisions of law and ordinances governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other
state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this
development permit and agree too the conditions attached to this permit.
Signature:
Print Name: 1QO ( 'kb —
Date: ._17
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: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the
City of Tukwila Building Department (206-431-3670).
8: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center.
9: VALIDITY OFPERMIT: The issuanceorgranting cf apermit shaUnot beconstrued tobeapermit for, oran
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 ofthe City ofTukwila shall not bevalid. The issuance ofapermit based onconstruction
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; (JO6)4389350
1700 BU|LD/NGF!mAL**
0103 PRE'KEROOF
0401 ROOF SHEATHING
CITY OF TUK
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:
Date Application Expires:
(For office u
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:
Tenant Name: 61197 rp
PROPERTY OWNER
Name:
Pea
Address:
City:
06.k/2M (A
State:
Zip:
CONTACT PERSON — person receiving all project
communication
\i.\.) e \zo_e c
Address: ....S. 0 \ \ G--0 s
City: S c",ctnoLv j c State: kivrev
Zip:
Phone: 2..S12. 1 02i Fax:
Email: v.0 e_i cs
GENERAL CONTRACTOR INFORMATION
Company Name: \-Z'
Address: SA \ (7 '‘ '
City: State:
Phone: 2.c. .3._i ov&Fax:
Contr Reg No.: v.4-vc 61-04 ‘exp Date: 0 I 1,
Tukwila Business License No.: 0 .c0 . at_ 333
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: El Yes
ARCHITECT OF RECORD
Company Name:
Architect Name:
Address:
N
City:
/c)
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Company Name:
Engineer Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name:
067
61(e)
Address: /7/0
5 /67 574...
City: --a(ttidel
State: ton.
--Rw
Zip:
H:VApplicationsWorms-Applications On Line \2012 ApplicationsTermit Application Revised - 2-7-12.docx
Revised. February 2012
bh
Page 1 of 4
BUILDING PERMIT INFORMAT10006-431-3670
4," AS.
Valuation of Project (contractor's bid price): $
Existing Building Valuation: $
Describe the scope of work (please provide detailed information):
-re CA { 0 Q-C cooC--
re- sheeir Ey-re coo Q
1rr)--e --e/t1 Zoo-c-.3q)
Will there be new rack storage? D .... Yes ..No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
Pt Floor
2"d Floor
3'd Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? El .......Yes If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
El Sprinklers 0 Automatic Fire Alarm 0 None El Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? El Yes El 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
1:1 On -site Septic System - For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:\Applicalions\Forms-Applications On Line12012 ApplicationsTerrnit Application Revised - 2-7-12.doca
Revised: February 2012
Page 2 of 4
PUBLIC WORKS PERMIT INFO 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
El .. Tukwila El ...Water District #125
.. ▪ Water Availability Provided
Sewer District
C] .. Tukwila
El .. Sewer Use Certificate
Highline
0 ...Valley View ... Renton
o ...Sewer Availability Provided
0... Renton
0... Seattle
Septic System:
El 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):
o .. Civil Plans (Maximum Paper Size — 22" x 34")
El .. Technical Information Report (Storm Drainage)
0 .. Bond El...Insurance El... Easement(s)
Proposed Activities (mark boxes that annlv):
0 .. Right-of-way Use - Nonprofit for less than 72 hours
o .. Right-of-way Use - No Disturbance
El .. Construction/Excavation/Fill - Right-of-way 0
Non Right-of-way 0
o .. Total Cut
El .. Total Fill
cubic yards
cubic yards
0 .. Sanitary Side Sewer
O .. Cap or Remove Utilities
O .. Frontage Improvements
E1 .. Traffic Control
Backflow Prevention - Fire Protection
Irrigation
Domestic Water
El... Geotechnical Report
0...Maintenance Agreement(s)
0 .. Traffic Impact Analysis
.. Hold Harmless — (SAO)
0.. Hold Harmless — (ROW)
0... Right-of-way Use - Profit for less than 72 hours
Ej ... Right-of-way Use — Potential Disturbance
... Work in Flood Zone
0... Storm Drainage
0...Abandon Septic Tank
0...Curb Cut
0... Pavement Cut
0...Looped Fire Line
21
El .. Permanent Water Meter Size (1)
O .. Temporary Water Meter Size (1)
El .. Water Only Meter Size
o .. Sewer Main Extension Public 0
o .. Water Main Extension Public El
0... Grease Interceptor
0... Channelization
0...Trench Excavation
El...Utility Undergrounding
WO # (2)____" WO # (3) " WO #
WO # (2) " WO # (3) " WO #
WO # El .. Deduct Water Meter Size
Private 0
Private El
FINANCE INFORMATION
Fire Line Size at Property Line
.. Water 0 .. Sewer El .. 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
HAApplications\Forms-Applications On Line\2012 Applicationaerrnit Application Revised - 2-7-12.docx
Revised: February 2012
bh
Page 3 of 4
PERMIT APPLICATION NOTES —
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature: Date: / 1 / 1 9'
Print Name:
Mailing Address: i.(67 6\- C
Day Telephone:
2s3 Go G z
Jr-
ClIy State Zip
HAApplicationsTorms-Applications On Line \2012 ApplicationstPennit Application Revised - 2-7-12.docx
Revised: February 2012
Page 4 of 4
Cash Register Receipt
City of Tukwila
4..,, DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY ii:
..,. '
PAID
$672,83
D19-0146 Address: 4900 S 161ST ST
Apn: 5379800228
$672.83
• DEVELOPMENT
. •
$653.23
PERMIT FEE
R000.322.100.00.00
0.00
$391.96
PLAN CHECK FEE
R000.345.830.00.00
0.00
5254.77
WASHINGTON STATE SURCHARGE
8640.237.114
0.00
$6.50
TECHNOLOGY FEE
$19.60
TECHNOLOGY FEE
R000.322.900.04.00
..,,
0.00
$19.60
TOTAL FEES PAID BY RECEIPT: R17549 .
....
.:
$672.83
Date Paid: Wednesday, May 01, 2019
Paid By: TRISTON WEBSTER
Pay Method: CHECK 1401
Printed: Wednesday, May 01, 2019 8:01 AM 1 of 1
*4.
YS
INSPECTION RECORD
,._ Retain a copy with permit
iNSPE TION 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
Address:
11900 5 /
Special Instructions:
/,
Approved per applicable codes.
rilotaL
Date Called:
Date Wanted:
Reque eri
a.m.
p.m.
4
Corrections requi
02� !
approval.
COM
ENTS:
Inspec
s
D
REINSPECTION FEE REQUIRED. Prior to next inspectio , tee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION Nt). PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: ‘, �
1
Type of t n sp� +cion:
Address:
Date Called:
-Special Instructions:
Date Wanted:
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENT
nspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
SITE PLAN
PREPARLO 9r: CASH M, cARIl Pl:,
PROJECT NAME:
DATE: 8/ 14/20 i 8
ADDRESS: 4900 S 161 s1 Si; T Ukwil
PARCEL ! 5379800228
DESCRII110N O"r W0fiI;:
INSTALL RATIO CO\'ER
PAGE NUMBER: I
LEGAI, DESCRIPTION:
MC MICKEN HEIGHTS DIV i, 2 UNREC BEG ON
W LN 147 FT S OF NW COP IN CONT ALG SD LN
143,40 FT TN S 88.42.38 E 6892 FT TO NXN
CURVE RGT CENTER OF WCH LIES 5 88.42.33
45 FT TN NELY ALG SD CURVE ARC DIST 4916 FT
TH N 26.06.49 W 83,74 FT T1=, N 0107,16 E 29,10
FT TH N 88-42.38 W 55 Ft TO BEG
cc
1-
z
W
U
NOTE; PROPETY 1 N23 ARE BASED UPON GIS DATA AND ARE
APROXIMATE, PROPERTY OWNER AND CONTRACTOR API
RESPGSABLE FOR CONFIRMING SETBACKS,
NODE: DIMENTIONS ARE BASED UPON GIS DATA. CONTRACTOR
RESPGSABLE FOR CONFIRMING .MESURMiE.NTS AND PROVIDEING
UPDATED DATA, TO ENGINEER OF RECORD BEFORE MODIFYING,
0 5' 10' 15' 20' 25'
II
SCALE: 1"-10'
=1L
Permit �No.
Plan review approval is subject to errors ano
omissions Ai proval of construction aocuments does
nOt author z the violation of any adopted code or
ordinance Receipt of approved Fiala Copy and
nns KnowiedgeC:
By.
Date..
SEPARATE PERM!
REJ UIRED FOR:
Mechanical
Electrical
Plumbing
Gas Piping
City of Tukwila
BUILDING DIVISION
itq of Tuowii6
BUILDING DIVISION
'EXIJIIN0 Dk:K,
EXISTINUDE(CK
PROPOSED ,/
PA90 COMER t i
PROPERTY LINE
RiVISIONS
No changes snall e maae to the scope
of work without p ,+r aporoval of the
Tukwila Butld g Division,
NOTE: Revisions will quire a new plan
submittal and may Include ditlonal plan review.
)Nell.` /
49005161siS1
09
City of Tukwila
BUILDING DIVISION
CULDESAC OF
1900S 161siST
9
0
\c-i(30
scpve_
A -co t LA)
\c,0
Sewn s 4?) ‘r) C\te
Roo P
GC
6 on
Cocnrra
RECEIVED
CITY OF TUKWILA
MAY 0 1 2019
PERMIT CENTER
City of Tukwila
Department of Community Development
1/2/2020
RON WEBSTER
501 167TH ST CT E
SPANAWAY, WA 98387
RE: Permit No. D19-0146
GILLEN RESIDENCE REROOF
4900 S 161ST
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 2/25/2020.
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 fmal 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 2/25/2020, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File No: D19-0146
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
PERMIT COORD COP,(
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: D19-0146 DATE: 05/01/19
PROJECT NAME: GILLEN RESIDENCE - REROOF
SITE ADDRESS: 4900 S 161ST
X Original Plan Submittal
Response to Correction Letter #
Revision #
Revision #
before Permit Issued
after Permit Issued
DEPARTMENTS:
PO nip
Building Division
Public Works
Fire Prevention
Structural
LI
Planning Division
Permit Coordinator
LI
PRELIMINARY REVIEW:
Not Applicable LJ
(no approval/review required)
REVIEWER'S INITIALS:
DATE: 05/02/19
Structural Review Required
DATE:
APPROVALS OR CORRECTIONS:
Approved
Corrections Required
r
(corrections entered in Reviews)
Approved with Conditions
Denied
(ie: Zoning Issues
DUE DATE: 05/30/19
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW El Staff Initials:
12/18/2013
Home 17;$.panol
Safety & Health Claims & Insurance
411 likk Washington State Department of
40 Labor & Industries
A-Z Index Help 1..M
Workplace Rights Trades & Licensing
RJ & T CONSTRUCTION
Owner or tradesperson
Principals
WEBSTER, TRISTON JAMES, OWNER
Doing business as
RJ & T CONSTRUCTION
501 167TH ST CT E
SPANAWAY, WA 98387
253-257-0211
PIERCE County
WA UBI No. Business type
604 050 752 Individual
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.
RJTCOTC841P8
Effective — expiration
10/2812016— 10/28/2020
Bond--
West#n Surety Co
Bond'account no.
63315493
$12,000 00
Received by L&I Effective date
08/1612017 08/15/2017
Expiration date
Until Canceled
Bond history
Insurance
United Specialty Insurance Com $1,000,000.00
Policy no
SI148,41A220203
Received by L&I Effective date
10/24/2018 10/27/2017
Expiration date
10/27/2019
Insurance history
Savings
No savings accounts during the previous 6 year period.
Lawsuits against the bond or savings
Cause no.
17-2-07239-2
Complaint filed by
WASHINGTON CEDAR & SUPPLY CO
Closed/Satisfied
Complaint against bond(s) or savings
46WB080959
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