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HomeMy WebLinkAboutPermit D19-0162 - MCLAREN RESIDENCE - REPLACE DECKMCLAREN RESIDENCE 14729 59TH AVE S D19-0162 Parcel No: Address: City of Tukmux~U Department afCommunity Development 6]OODnuthcenterBoulevard, Suite #1OO Tukwila, Washington 98188 Phone: 206-431'3670 Inspection Request Line: 2O6'438'93S0 Web site: http://www.TukwilaWA.gov 8687800140 Project Name: MCLAREN RESIDENCE DEVELOPMENT PERMIT Permit Number: DI9'0I62 Issue Date: 7/I2/2019 Permit Expires On: 1/8/2020 Owner: 147Z959THAYS'TUKVV|L\WA, 98168 Contact Person: Address: Z69U92l8THAVE SE, MAPLE VALLEY, WA, 98038 Contractor: IRIS HOME IMPROVEMENT Address: Z69092l8TMAVE SE, MAPLE VALLEY, WA, 98038 License No: |NSJH1905QVV ''' Phone: (206)234-7211 Expiration Date: 5/2/2021 DESCRIPTION OF -WORK: REPLACE OLD DECK. Project Valuation,,: $6800.00 Type ofFire Protection: Sprinklers: NO Fire Alarm: NO Type ofConstruction: VU Electrical Service Provided by: TUKWILA Fees Collected: $413.00 Occupancy per IBC: R-3 Water District: TUKVV|LA Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: as Code: National Electrical Code. WA Cities Electrical Code: VV4[296-408: y Code: Public Works Activities. Chan neUzation/Sohping: Curb[ut/Access/Gdewa|k: Fire Loop Hydrant: Flood Control Zone: Hau|ing/OversizeLoad: Land Altering: Landscape Irrigation: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Permit Center Authohzed6gnat volumes: Cut: U R|i O Number: O 7-1;)-1e7- 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 (Yrdinances governing this work will be complied with, whether specified herein or not. The granting nfthis permit does not presume togive authority toviolate orcancel the provisions ofany other state orlocal laws regulating construction orthe performance ofwork. |xmauthorized tosign and obtain this development permit and agree tothe conditions attached tothis permit. Signature: >—'1-1 Print Name: (y��Ka '54/c, This permit shall become null and void if the work bnot commenced within 18Odays for the date ofissuance, orif the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: Date: 1: 'BUILDING PERMIT OJND[OONS*** 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, insp-ection record card and approved construction documents shall be kept at the site of work and shall be open to inspection by the Building Inspector until final inspection approval is granted. 4: All construction :shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 5: Notify the City ofTukwila Building Division prior toplacing any concrete. This procedure |s|naddition tu any requirements for special inspection. 6: All wood turemain inplaced concrete shall betreated wood. 7: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector, No exception. 8: 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 onsatisfactory completion ofthis requirement. 9: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. Acopy can heobtained atCity Hall inthe office ofthe City Clerk. lO: All plumbing and gas piping work shall beinspected and approved under a separate permit issued by the City nfTukwila Building Department (ZO6'43l'3670). Il: All electrical work shall beinspected and approved under aseparate permit issued bythe City ofTukwila Permit Center. 12: Preparation before concretep|acement: Water shall beremoved from place ofdeposit before concrete is placed unless a tremie is to be used or unless otherwise permitted by the building official. All debris and ice shall beremoved from spaces tobeoccupied byconcrete. l]: VALIDITY OFPERMIT: 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 tugive authority toviolate orcancel the provisions ofthe code orother ordinances nfthe City vfTukwila shall not hevalid. The issuance nfapermit based nnconstruction 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: (ZO6)438'935U 1700 BV|LD|NGF|NAL*^ OZOl FOOTING 0409 FRAMING CITY OF TUKWI'rA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Permit No. b 6 -1)1u2._ Project No. Date Application Accepted: 5- I I- tcl Date Application Expires: 11 - 1-7 (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: Tenant Name: PROPERTY OWNER Name: .eir..a /6/ kic. Larzin Address: H-7.24 5-f ti- Ave 5 City: Li4A 14 State: kvA Zip: 7316g CONTACT PERSON — person receiving all project communication Name: Ti,ride...6,454/c Address: g6.0 7 ,/ g "i/fve., s City: i/a//,1 State: gd. Zip: M a Phone: zo6 , z 3(1,724 Fax: Email: bLiso k i 62,-) cc7rn co s I.. . nzt GENERAL CONTRACTOR INFORMATION Company Name: iris //7,02.e %17 Vern ei-P Address:26, .2 5E City: 114,Fte vo State: Wl. Zip: .7e03.3 Phone: ,g06 // Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: King Co Assessor's Tax No.: Suite Number: New Tenant: Floor: Yes [1] .. No ARCHITECT OF RECORD Company Name: /144 Architect Name: Address: City: 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: Address: City: State: Zip: HAApplications\Forrns-Applications On Line \2012 ApplicationsTennit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 1 of 4 BUILDING PERMIT 06-431-3670 Valuation of Project (contractor's bid price): $ 6,/ go 11)(:) Existing Building Valuation: $ Describe the scope of work (please provide detailed information): 41)4 ce' Old deck, Will there be new rack storage? U....Yes o 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 Ist Floor rd Floor 3rd Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck / ;• 0 57 4 1 IA , 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: Will there be a change in use? ..... ..Yes FIRE PROTECTION/HAZARDOUS MATERIALS: .......Sprinklers .......Automatic Fire Alarm Compact: Handicap: El ..... ..No If "yes", explain: None Ea__ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes 4 No If "yes', attach list of materials and storage locations on a separate 8-1/2" x II" paper including quantities and Material Safety lata Sheets. SEPTIC SYSTEM 0 On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. HAApplications‘Forms-Applications On Line12012 ApplicationsTerrnit Application Revised 2-7-12.docx Revised: February 2012 Page 2 of 4 PIJBIi1C WORKS PERMIT INFO TION — 206-433-0179 Scope of Work (please provide detailed information): Call before you I)ig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ .. Tukwila 0 ...Water District # 125 0 .. Water Availability Provided Sewer District ❑ .. Tukwila ❑ .. Sewer Use Certificate ❑...Valley View ❑ ...Sewer Availability Provided ❑... Highline 0... Renton ❑...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) ❑... Geotechnical Report ❑ .. Bond ❑... Insurance ❑... Easement(s) ❑... Maintenance Agreement(s) Proposed Activities (mark boxes that apply): ❑ .. Right-of-way Use - Nonprofit for less than 72 hours ❑ .. Right-of-way Use - No Disturbance ❑ .. Construction/Excavation/Fill - Right-of-way 0 Non Right-of-way 0 ❑ .. Total Cut ❑ .. Total Fill cubic yards cubic yards ❑ .. 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 ❑... Work in Flood Zone ❑... Storm Drainage ❑ .. Sanitary Side Sewer 0...Abandon Septic Tank ❑... Grease Interceptor ❑ .. Cap or Remove Utilities ❑... Curb Cut ❑... Channelization ❑ .. Frontage Improvements ❑... Pavement Cut 0...Trench Excavation ❑ .. Traffic Control 0...Looped Fire Line ❑... Utility Undergrounding 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 WO # (2) " WO # (3) " WO # WO # (2) " WO # (3) " WO # WO # ❑ .. Deduct Water Meter Size " Private 0 Private ❑ FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ .. Water ❑ .. Sewer ❑ .. Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: City State Zip Water Meter Refund/Billing: Name: Mailing Address: Day Telephone: City State Zip H:Wpplications\Forms-Applications On Line\2012 Applications\Permit 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 OWNE. Signature: Print Name: HORRIIZ,FdIt AG sue' Ii Mailing Address: 2 ?O 18 Date: /4se/� Day Telephone: gOb' x - t/ 7211 d// .- uJ, y')go3(5) City // State Zip H:\Applications\Forms-Applications On Linel20I2 Applications\permit Application Revised - 2-7-I2.docx Revised: February 2012 Page 4 of 4 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID $413.00 PermitTRAK D19-0162 Address: 14729 59TH AVE S Apn: 8687800140 $413,00 Credit Card Fee $12.03 Credit Card Fee R000.369.908.00.00 0.00 $12.03 DEVELOPMENT $389,37 PERMIT FEE R000.322.100.00.00 0.00 $232.04 " PLAN CHECK FEE R000.345.830.00.00 0.00 $150.83 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $6.50 TECHNOLOGY FEE .60 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R17682. R000.322.900.04.00 0.00 $11.60 $413.00 Date Paid: Friday, May 17, 2019 Paid By: JINDRICH BEJSAK Pay Method: CREDIT CARD 291238 Printed: Friday, May 17, 2019 11:08 AM 1 of 1 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 05/17/2019 11:08:11 AM CREDIT CARD SALE MASTERCARD CARD NUMBER: **********0658 K TRAN AMOUNT: $413,00 APPROVAL CD: 291238 RECORD #: 000 CLERK ID: kandace 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 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 Permit Inspection Request Line (206) 438-9350 Project:. ' Mc. A 0 Type of Inspe ion: Mdit.J.144- -V-1.Aht.e., Address: ;Date Called: Sp,.iailnst tions: RCP114-ei0 .Z).-fr< , Date Wanted: , 43 a.m. P.m. Requester: i%.i.) 11.124Leilk Phone No: 2.4C62 Za .77.A It . Approved per applicable codes. Corrections required prior to approval. COMMENTS: A-Pfize:=A4J) ns pecor: Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection, INSPECTION RECORD Retain a copy with permit IVSPE ION 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: Type of Inspection: Addh'e ©ate Called: :Special Instru Date ' ,tar ted: a.m. p.m. Requeste Phone N Approved per applicable codes. Corrections required prior to approval. TCOMMENTS: Inspector. Date; -7 3 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit ,an" % 2, 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 P : Type n ec on: ddre : 111 72-5 Date Called: Special Instruc : DateWanted: . • e u : Phone No: Approved per applicable codes. gtOMMENTS: Corrections required prior to approval. n pec Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. R5O7.A. sips SCr4 S tor-/rIiVe p lij I 1$5 it4 fre v ,fly oposc //\ Y•1 qloft'ort 54 1e REVIEWED FOR CODE COMPLIANCE APPROVED kS JUL 10 2019 City of Tukwila BUILDING DIVISION SEPARATE PERMIT REQUIRED FOR: Meaheasl g Elea�laal Plumbing Z Gas PIA City of Tukwka BUILDING DMSION FILE CO! Permit No. )an rev,Fw aCOroval Is suolea fo errors a00 )miss10fls Approval al oonsiruCI10n documents does ZQ IIIQ vtolatIon of any moved code or ,101Papce ReCeipl of approve0 Poo Copy and lit s CknOWI ea: City of Tukwila DOING DIVISION RECEIVED CITY OF TUKWILA COR NEON JUL I 0 2019 PERMIT CENTER RECEIVED CITY OF TUKWILA JUL101019 PERMIT CENTER V�S Sidcvualk hvvv7/ MIVEPA�' 1 `��ou5e ExrElig \\'\ 0' 24.: RECEIVED CITY OF TUKWILA Ju111099 PERMIT CENTER RECEIVED ITY OF TUKWILA JIL 1 0 101 PERMIT CENTER .cK tifrAcfi 11a1 r RECEIVED CITY OF TUKWILA JUL 10 Y019 PERMIT CENTER City of Tukwila Allan Ekberg, Mayor Department of Community Development June 10, 2019 JINDRICH BEJSAK 26909 2I8TH AVE SE MAPLE VALLEY, WA 98038 RE: Correction Letter # 2 DEVELOPMENT Permit Application Number D19-0162 MCLAREN RESIDENCE - 14729 59TH AVE S Dear JINDRICH BEJSAK, Jack Pace, Director This letter is to inform you of corrections that must be addressed before your development permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the following departments: BUILDING DEPARTMENT: Allen Johannessen at 206-433-7163 if you have questions regarding these comments. • (GENERAL INFORMATION NOTE) PLAN SUBMITTALS: (Min. size 11x17 to a preferably maximum size of 24x36; all sheets shall be the same size; larger sizes may be negotiable. "New revised" plan sheets shall be the same size sheets as those previously submitted.) (BUILDING REVIEW NOTES) 1. Previous correction memo requested specific plan drawing and tip sheets were provided to show what is required for deck permit drawings and information. New drawings provided are not clear and are missing information i.e. attachment to the house and the footings do not appear to be adequate etc. Please carefully look over the tip sheets and provide deck construction plans neatly drawn to a scale in like format shown on the tip sheets. 2. Also requested was a site plan with tip sheets provided for an example of what is required. Plans provided are not to scale and are missing dimensions to the property lines. Please carefully look over the site plan tip sheets and provide plans accordingly. Plans shall be neatly drawn and to scale, no exceptions. Note: Contingent on response to these corrections, further plan review may request for additional corrections. Please address the comments above in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that two (2) sets of revised plan pages, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a 'Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections/revisions must be made in person and will not be accepted through the mail or by a messenger service. Sincerely,.," t--?t, • < Bill Rambo Permit Technician FileNo, DI9-0162 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 City of Tukwila Department of Community Development May 22, 2019 JINDRICH BEJSAK 26909 218TH AVE SE MAPLE VALLEY, WA 98038 RE: Correction Letter # I DEVELOPMENT Permit Application Number D19-0162 MCLAREN RESIDENCE - 14729 59TH AVE S Dear JINDRICH BEJSAK, Allan Ekberg, Mayor Jack Pace, Director This letter is to inform you of corrections that must be addressed before your development permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the following departments: BUILDING DEPARTMENT: Allen Johannessen at 206-433-7163 if you have questions regarding these comments. • (GENERAL INFORMATION NOTE) PLAN SUBMITTALS: (Min. size 11x17 to a preferably maximum size of 24x36; all sheets shall be the same size; larger sizes may be negotiable. "New revised" plan sheets shall be the same size sheets as those previously submitted.) (BUILDING REVIEW NOTES) 1. The plans are missing much of the necessary information i.e. ledger attachment, flashing footing sizes and all other dimensions H, W, L of the deck etc. Provide specific and complete details with dimensions as it relates to this deck. Tip sheets are provided to assist you in your plan design that we require. Plans shall be neatly drawn to scale. 2. Include a site plan to show the house and the location of the deck to be re -built complete with dimensions from property lines. Note: Contingent on response to these corrections, further plan review may request for additional corrections. Please address the comments above in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that two (2) sets of revised plan pages, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a'Revision Submittal Sheet' must accompany every resubmittal. 1 have enclosed one for your convenience. Corrections/revisions must be made in person and will not be accepted through the mail or by a messenger service. Sincerely, Bill Rambo Permit Technician File No. D19-0162 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 EMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D19-0162 DATE: 07/10/19 PROJECT NAME: MCLAREN RESIDENCE SITE ADDRESS: 14729 59TH AVE S Original Plan Submittal Revision # before Permit Issued X Response to Correction Letter # 2 Revision # after Permit Issued DEPARTMENTS: huiC Building Division 111 Public Works Fire Prevention Structural Planning Division 11 Permit Coordinator • PRELIMINARY REVIEW: DATE: 07/11/19 Not Applicable III Structural Review Required (no approval/review required) REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 08/08/19 Approved El Approved with Conditions El Corrections Required (corrections entered in Reviews) Denied (ie: Zoning Issues) Notation: P REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 1:1 Fire LJ Ping 0 PW 0 Staff Initials: 12/18/2013 °PERMIT COORD COPY C, PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D19-0162 DATE: 06/07/19 PROJECT NAME: McLAREN RESIDENCE SITE ADDRESS: 14729 59 AVE S Revision # before Permit Issued X Response to Correction Letter # Revision # after Permit Issued Original Plan Submittal DEPARTMENTS: kr CO Vic& (°-1' 11 Building Division Public Works Fire Prevention Structural Planning Division Permit Coordinator II PRELIMINARY REVIEW: Not Applicable (no approval/review required) REVIEWER'S INITIALS: DATE: 06/11/19 Structural Review Required DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required Approved with Conditions Denied (corrections entered in Reviews) (ie: Zoning Issues) DUE DATE: 07/09/19 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: 104 Departments issued corrections: Bldg Fire El Ping PW Lij Staff Initials: 12/18/2013 PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D19-0162 DATE: 05/17/19 PROJECT NAME: MCLAREN RESIDENCE SITE ADDRESS: 14729 59TH AVE S X Original Plan Submittal Revision # before Permit Issued Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: Building vision Vil\A Public Works At1 W/A- Fire Prevention Structural Nut Planning Division 111 Permit Coordinator ID PRELIMINARY REVIEW: Not Applicable (no approval/review required) DATE: 05/21/19 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required Approved with Conditions Denied (corrections entered in Reviews) (ie: Zoning Issues) DUE DATE: 06/18/19 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: c)C1 Departments issued corrections: Bldg Fire D Ping 0 PW Staff Initials: 144 12/18/2013 City of Tukwila REVISION SUBMITTAL Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov . RECEIVED CITY OF TUKWILA JUL to 2019 PERMIT CENTER Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: Plan Check/Permit Number: D19-0162 LI Response to Incomplete Letter # Response to Correction Letter # 2 0 Revision # after Permit is Issued Revision requested by a City Building Inspector or Plans Examiner Deferred Submittal # Project Name: McLaren Residence Project Address: 14729 59 Ave S Contact Person: ///4,1-- /3 zi Summary of Revision: 0\40 Phone Number: .0e21,23 # 72 // / Sheet Number(s): "Cloud" or highlight all areas of revision including date evision Received at the City of Tukwila Permit Center b Entered in TRAKiT on 7- 10 - 1 CAL/sers\bill-r\Desktop \Revision Submittal Form.doc Revised: August 2015 City of Tukwila REVISION SUBMITTAL Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 61/7 ,Z4P/t/ Plan ChecWPermit Number: D19-0162 0 Response to Incomplete Letter # RECEIVED El Response to Correction Letter # 1 CITY OF TUKWILA LI Revision # after Permit is Issued 0 Revision requested by a City Building Inspector or Plans Examiner Deferred Submittal # Project Name: McLaren Residence Project Address: 14729 59 Ave S Contact Person: ./f 1—,S0 y CI Summary of Revision: Phone Number: JUN 0 7 2019 PERMIT CENTER 6..Z1/43# 72// Oily! :14 Sheet Number(s): "Cloud" or highlight all areas of revision including date ofrevision Received at the City of Tukwila Permit Center by: 0 Entered in TRAKiT on CAUsers\ bill-eiDesktop \Revision Submittal For-m.(10c Revised: August 2015 Home Espafiol Contact. Safety & Health Washington State Department of Labor & Industries Claims & Insurance 1Search L&I / I ndiix IliIp Workplace Rights IRIS HOME IMPROVEMENT Owner or tradesperson Principals BEJSAK, JINDRICH, HANDYMAN Doing business as IRIS HOME IMPROVEMENT WA UBI No. 601 625 643 26909 218TH AVE SE MAPLE VALLEY, WA 98038 206-234-7211 KING County Business type Individual Governing persons JINDRICH BEJSAK IRENA BEJSAKOVA; Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. ApprenticeTraining Agent Not allowed to have apprentices. License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirernents. License specialties GENERAL License no. IRISHHI905QW Effective — expiration 02/07/2011— 05/02/2021 Bond Developers Surety & Indem Co Bond account no. 276949C Received by L&I 04/04/2013 Insurance Ohio Cas Ins Co Policy no. BK054628223 Received by L&I 10/0912018 $12,000 00 Effective date 03/28/2013 Expiration date Until Canceled $1,000,000.00 Effective date 11/09/2017 Expiration date 4p, My l.&I Trades & Licensing Help us improve 11/09/2019 / '4\ Insurance history Savings No savings accounts during the previous 6 year period. Larsuits 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. LWorkers' comp Public Works Requirements Workplace safety and health Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve