HomeMy WebLinkAboutPermit D04-177 - THAI RESIDENCE - DECKTHAI RESIDENCE
12039 46 AV S
D04 -177
•
�..� City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
DEVELOPMENT PERMIT
Parcel No.: 3347401240 Permit Number: D04 -177
Address: 12039 46 AV S TUKW Issue Date: 08/27/2004
Suite No: Permit Expires On: 02/23/2005
Tenant:
Name: THAI RESIDENCE
Address: 12039 46 AV S, TUKWILA WA
Owner:
Name:
PHAM QUANG TUYEN
Address:
12039 46TH AVE S, TUKWILA WA
Contact Person:
N
Name:
KHIEM THAI
Address:
12039 46 AV S, TUKWILA WA
Contractor:
Name:
OWNER AFFIDAVIT IN FILE - KHIEM N. THAI
Address:
12039 46 AV S, TUKWILA WA
Contractor
License No:
DESCRIPTION OF WORK:
BUILDING A NEW 12'X 24' COVERED DECK.
Phone:
Phone: 206 383 -2534
Phone: 205 383 -2534
Expiration Date:
Value of Construction: $3,271.68 Fees Collected: $262.21
Type of Fire Protection: N/A Uniform Building Code Edition: 1997
Type of Construction: VN Occupancy per UBC: 27
Public Works Activities:
Channelization / Striping:
N
Curb Cut / Access / Sidewalk / CSS:
N
Fire Loop Hydrant:
N
Number: 0
Size (Inches): 0
Flood Control Zone:
N
Hauling:
N
Start Time:
End Time:
Land Altering:
N
Volumes: Cut 0 C.Y.
Fill 0 c.y.
Landscape Irrigation:
N
Moving Oversize Load:
N
Start Time:
End Time:
Sanitary Side Sewer:
N
Sewer Main Extension:
N
Private:
Public:
Storm Drainage:
N
Street Use:
N
Profit: N
Non - Profit: N
Water Main Extension:
N
Private:
Public:
Water Meter:
N
** Continued Next Page **
doc: Devperm D04 -177 Printed: 08 -27 -2004
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City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Permit Center Authorized Signature: � 49- 1 0e � '
Date: P ".P - d 4K
I hereby 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.
> Signature:
Date: r) 4K--- 2a , o I
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is
suspended or abandoned for a period of 180 days from the last inspection.
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doc: Devperm D04 -177 Printed: 08 -27 -2004
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�g City of Tukwila
1908
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
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Parcel No.: 3347401240 Permit Number D04-177
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Address: 12039 46 AV S TUKW Status: ISSUED
Suite No: Applied Date: 06/04/2004
Tenant: THAI RESIDENCE Issue Date: 08/27/2004
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1: ** *BUILDING DEPARTMENT CONDITIONS * **
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2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
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3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
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start of any construction. These documents shall be maintained and made available until final inspection approval is
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granted.
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4: All construction shall be done in conformance with the approved plans and the requirements of the International
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Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
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5: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
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any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
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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
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Building Official from requiring the correction of errors in the construction documents and other data.
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* *continued on next page **
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doc: Conditions D04 -177 Printed: 08 -27 -2004
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�..� City of Tukwila
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Department of Community Development i 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws
regulating construction or the performance of work.
Signature: Date: �— �'�►
Print Name: �{1.C �SZti - d7 X173- 1
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doc: Conditions D04 -177 Printed: 08 -27 -2004
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CITY OF TUKWIL A-1
Community Developme.. _ Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
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 ,
King �C.,o��Assessor's Tax No.: 9 3 4 -740 1 X40 y G
Site Address: �S�,C, 44 T �v ) � � ��i ix Suite Number: Floor:
Tenant Name: - 7L L wl u New-Tenant: E) .... Yes ❑ ..No
Property Owners Name: -HIE M :1- t
Mailing Address: In _�� {�{J {'� � (,�_l;\1J1 Lk qp`a
City State Zip
CONTACT PERSON
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Name: K :*, mk& i Day Telephone: Z� 3
Mailing Address: ...I .?Iq AG —fit 1�a}c lqo `2UV —W LAr l i l/4- _g -7
City State
E -Mail Address: t i 40 k wi m ai L • C on Fax Number:
GENERAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Day Telephone:
Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
ARCHITECT OVRECORD = All plans must be 'wet stamped by:Architect' of Record
Company Name:
Mailing Address: f
City state Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
ENGINEER OF RECORD -All plans must,be'.wet stamped by Engineer of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
\applications \permit application (3.2003)
3/2003
Page I
City
Day Telephone:
Fax Number:
Stale Zip
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Butldtng Pei t No.
Mecfiarical'e`rmtt Igo
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Pulili'c Wo ks Per'riut 0
ri t (Fdr'oce' use only)
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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 ,
King �C.,o��Assessor's Tax No.: 9 3 4 -740 1 X40 y G
Site Address: �S�,C, 44 T �v ) � � ��i ix Suite Number: Floor:
Tenant Name: - 7L L wl u New-Tenant: E) .... Yes ❑ ..No
Property Owners Name: -HIE M :1- t
Mailing Address: In _�� {�{J {'� � (,�_l;\1J1 Lk qp`a
City State Zip
CONTACT PERSON
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Name: K :*, mk& i Day Telephone: Z� 3
Mailing Address: ...I .?Iq AG —fit 1�a}c lqo `2UV —W LAr l i l/4- _g -7
City State
E -Mail Address: t i 40 k wi m ai L • C on Fax Number:
GENERAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Day Telephone:
Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
ARCHITECT OVRECORD = All plans must be 'wet stamped by:Architect' of Record
Company Name:
Mailing Address: f
City state Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
ENGINEER OF RECORD -All plans must,be'.wet stamped by Engineer of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
\applications \permit application (3.2003)
3/2003
Page I
City
Day Telephone:
Fax Number:
Stale Zip
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BUILDING PERMIT INFq, N - 206
�"7
Valuation of Project (contractor's bid price): $ Existing Building Valuation:
Scope of Work (please provide detailed information): k ,
Will there be new rack storage? ❑ ..Yes [] .. No If "yes ", see Handout No. for requirements.
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 for 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 ❑ ..No If "yes ", explain:
FIRE PROTECTIONIHAZARDOUS MATERIALS:
❑..Sprinklers []..Automatic Fire Alarm []..None . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ ..Yes ❑ ..No
1f "yes", attach list of materials and storage locations on a separate S -112 x I 1 paper indicating quantities and Material Safety Data Sheets.
tapplicationslpermit application (3.2003)
312003 Page 2
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Existing .
Interior
Remodel
Addition to '
Existing
Structure
.
New
Type of
Construction.
per UBC
Type of.
Occupancy per
UBC . '
2" Floor ..... .
3` 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 for 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 ❑ ..No If "yes ", explain:
FIRE PROTECTIONIHAZARDOUS MATERIALS:
❑..Sprinklers []..Automatic Fire Alarm []..None . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ ..Yes ❑ ..No
1f "yes", attach list of materials and storage locations on a separate S -112 x I 1 paper indicating quantities and Material Safety Data Sheets.
tapplicationslpermit application (3.2003)
312003 Page 2
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PUBLIC WORKS PERMIT RMATION - 206 - 433=0179
Scope of Work (please provide detailed information):
Call before you Dig: 1- 800 - 424 -5555
Please refer. to Public Works Bulletin . #1.for fees and estimate sheet.
Water District
❑ ...Tukwila ❑... Water District # 125 ❑ .. Highline ❑ ...Renton
❑ ...Water Availability Provided
Sewer District
❑ ...Tukwila ❑... ValVue ❑ .. Renton ❑ .'..Seattle
❑ ...Sewer Use Certificate ❑... Sewer Availability Provided ❑ .. Approved Septic Plans Provided
❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval 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 ❑ ... Traffic Impact Analysis
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑ ... Hold Harmless
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 hours
❑ ...Right -of -way Use - No Disturbance
❑ ...Construction/Bxcavation/Fill - Right -of -way
Non Right -of -way _
❑ ...Total Cut cubic yards
❑ ...Total Fill cubic yards
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❑ ... Sanitary Side Sewer
❑ ...Cap or Remove Utilities
[]...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection _
Irrigation
Domestic Water
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use - Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
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❑ ...Permanent Water Meter Size... WO#
❑ ...Temporary Water Meter Size.. WO#
❑ ... Water Only Meter Size............ WO# ❑...Deduct Water Meter Size........ "
❑ ...Sewer Main Extension ............ Public Private
❑ ... Water Main Extension ............. Public Private
FINANCE INFORMATION
Fire Line Size at Property Line _
❑ ...Water ❑ ...Sewer
Monthlv Service Billing to:
Name:
Day Telephone:
Mailing Address:
City State Zip
Water Meter Refund/Billing:
Meter Refund /Billing•
Day Telephone:
Mailing Address:
City State Zip
\applications\permit application (3.2003)
3/2003
Number of Public Fire Hydrant(s)
❑ ...Sewage Treatment
Page 3
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MECHANICAL PERMIT. INFOPATION := 206- 431 =3670 }
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential:
Commercial:
Fuel Type Electric
New
.... ❑
New
....
Unit Type:
Gas .. F
Replacement .... D
Replacement .... F
Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty '.
Unit Type:.
Qty
Unit Type:
Qty ::
Boiler /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace >IOOK BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
15 -30 HP /1,000,000 BTU
Suspended /Wall /Floor
Mounted Heater
Ventilation System
30- 501•IP /1,750,000 BTU
Appliance Vent
Hood
50+ HP /1,750,000 BTU
_
Heat/Refrig /Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm /Ind
PERMIT APPLICATIONNOTES -- AppIi<c ble.to all perinits in this application -
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 extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as
defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once.
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:
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Print Name: Kw a Day Telhone�ep " { �
Mailing Address:_ ?,� 4 , n _ iZ(,k;t Lti LIEF t OA
Date Application Accepted: Date Application Expires: Staff Initials:
\,applications \permit application (3.2003)
3 /2003 Page 4
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City of Tukwila
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6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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RECEIPT
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Parcel No.: 3347401240
Permit Number:
X04 -177
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Address: 12039 46 AV S TUKW
Status:
APPROVED
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Suite No:
Applied Date:
06/04/2004
Applicant: THAI RESIDENCE
Issue Date:
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Receipt No.: R04 -01144
Payment Amount:
205.63
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Initials: SKS
Payment Date:
08/27/2004 01:36 PM
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User ID: 1165
Balance:
$0.00
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Payee: KHIEM N. THAI
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TRANSACTION LIST:
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Type Method Description
- - - - -- -- ---------- - - - - --
Amount
- - - - --
0
? Payment Cash
205.63
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J i ACCOUNT ITEM LIST:
Description Account Code
i
Current Pmts
BUILDING - RES 000/322.100
194.50
PLAN CHECK - RES 000/345.830
6.63
STATE BUILDING SURCHARGE 000/386.904
4.50
Total: 205.63
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4347 08/ '7 1 10 TC TAL- 205-63
doc: Receipt Printed: 08 -27 -2004
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C iY t of Tukwila
6300 Southcenter BL, Suite 100 It Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
i Parcel No.: 3347401240
Address: 12039 46 AV S TUKW
{ Suite No:
Applicant: THAI RESIDENCE
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Permit Number D04 -177
Status: PENDING
Applied Date: 06/04/2004
Issue Date:
Receipt No.: R04 -00664 Payment Amount:
4
Initials: BLH Payment Date:
! User ID: ADMIN Balance:
Payee: KHIEM THAI (TR #19529)
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TRANSACTION LIST:
Type Method Description
1: Amount
i-- --------------------- - - - - -- ------ - - - - --
Payment Check 1411 56.58
56.58
06/07/2004 09:56 AM
$108.38
ACCOUNT ITEM LIST:
Description Account Code
Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
PLAN CHECK - RES 000/345.830 56.58
Total: 56.58
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doc: Receipt Printed: 06 -07 -2004
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PE IT O.
CITY OF TUKWILA BUILDING DIVISION ,
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
M Approved per applicable codes. QZorrections required prior to approval.
COMMENTS: 1
T�of Inspection:
Address:
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Date Called:
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Special Instrucoons:
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Date Wanted: I
p.m.
Requester:
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Phone No
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M Approved per applicable codes. QZorrections required prior to approval.
COMMENTS: 1
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$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.: Date:
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- INSPECTION RECORD
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Retain a copy with permit
INSPECTION NO. PER N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project
Type of Inspection:
V' I t
Address: 2- (, AV,
S.
Date Called:
Special instructions:
Date Wanted: a.m.
D — ( p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
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Inspector: r Date:
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.: Date:
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Parcel No.: 334740124 Permit No.: D04 -177
Address: 12039 46 AV S Status: PENDING
Suite No.: Applied Date: 06/04104
Applicant: THAI RESIDENCE Issue Date:
Treasurer's Receipt No.: 19529 Payment Amount: $58.56
Initials: SKS Payment Date/Time: 6/4/0412:00 AM
User ID: 1165 Balance: $34.97
Payee KIEM NGOC THAI
TRANSACTION LIST:
Type Method Description Amount
PAYMENT CHECK 1411 $56.58
ACCOUNT ITEM LIST:
Description Account Code Current Payments
PLAN CHECK - RES 000/345.830 56.58
Total: $56.58
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07 -05 -2005
KHIEM THAI
12039 46 AV S
TUKWILA WA 98178
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster Director
RE: Permit No. D04 -177
12039 46 AV S TUKW
Dear Permit Holder:
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 and /or the International Mechanical Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Permit Center at 206 -431 -3670 to arrange for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Building Code does allow the Building Official to approve a one -tune e- Weirsion up to 180 days.
Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have
prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 08/10/2005, 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,
Brenda Holt,
? Permit Coordinator
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xc: Permit File No. D04 -177
Bob Benedicto, Building Official
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 0 Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
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KHIEM THAI
12039 46 AV S
TUKWILA WA 98178
City of Tukwila Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
RE: Permit No. D04 -177
12039 46 AV S TUKW
Dear Permit Holder:
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 and/or the International Mechanical Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Permit Center at 206 - 431 -3670 to arrange for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if-
the project should be considered abandoned.
If such determination is made, the Building Code does allow the Building Official to approve a one -tune extension nn to 180 days.
Extension requests must be in ivriting and provide satisfactory reasons why circumstances beyond the applicants control have
prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 03/01/2005, 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,
Stefania Spencer,
Permit Technician
xc: Permit File No. D04 -177
Bob Benedicto, Building Official
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Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
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RE: Letter of Incomplete Application # 1
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Development Perniit Application D04 -177
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Thai Residence — 12039 46"' Avenue South — Deck Addition
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Dear Khiem:
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This letter is to inform you that your application received at the City of Tukwila Permit Center on June 4, 2004, is
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determined to be incomplete. Before your application can continue the plan review process the following items need
to
to be addressed:
Building Department: Ken Nelsen, at 206 431 -3677, if you have questions concerning the following:
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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. Revisions must be made in person and will not be accented thronmh the _mail
or by a messenger service.
If you have any questions, please contact me at the Permit Center at (206) 433 -7165.
Sincerely,
�edj CCcL��Lt�
Stefania Spencer
Permit Technician
Enclosures
File: Permit File No. D04 -177
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D04 -177 DATE: 07 -16 -04
PROJECT NAME: THAI RESIDENCE - DECK ADDITION
SITE ADDRESS: 1203946 TH AVENUE SOUTH
Original Plan Submittal
Response to Incomplete Letter # 1
Response to Correction Letter # Revision # after/ permit is issued
DEPARTMENTS: -o� 1'
Buil P&N s n Fire Prevention ❑ Planning Division IN
Public Works ❑ Structural ❑ Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 07 -20 -04
Complete Incomplete ❑ Not Applicable ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TOES /THURS ROU NG:
Rot Ro Structural Review Required
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
PERMIT DOORD COPY
Documents /routing sllp.doc
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❑ No further Review Required
DATE:
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DUE DATE: 08 -17 -04
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PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D04 -177 DATE: 06 -04 -04
PROJECT NAME: THAI RESIDENCE
SITE ADDRESS: 1203946 TH AVENUE SOUTH
X Original Plan Submittal
_Response to Correction Letter #
_Response to Incomplete Letter #
Revision # afterEbefore permit is issued
DEPART ENTS:
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Permit Coordinator
DETERMINATION OF COMPLETENESS (Tues., Thurs.)
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DUE DATE: 06 -08 -04
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Permit Center Use Only
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TUES /THURS ROUTING:
Please Route ❑ Structural Review Required
REVIEWER'S INITIALS:
❑ No further Review Required ❑
DATE:
APPROVALS OR CORRECTIONS
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Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
PERMIT COORD COPY
Documents /routing slip,doc
2.28.02
DUE DATE: 07 -06 -04
Not Approved (attach comments) ❑
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City of Tukwila
Department of Community Development - Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
(206)431 -3670
REVISION SUBMITTAL
Revision submittals must be submitted in person at the Permit Center. Revisions will toot be accepted
through the mail, fax, etc.
Date: ? " & O7 Plan Check/Permit Number: D04 -171
® Response to Incomplete Letter # 1
❑ Response to Correction Letter #
❑ Revision # after/before Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Project Name: THAI RESIDENCE — DECK ADDITION
Project Address: 1203946 TH AVENUE SOUTH
Contact Person Khiem Thai Phone Number
Summary of Revision:
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Sheet Number(s):
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Received at the City of Tukwila Permit Center by-
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Entered in Sierra on
06/10/04
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CITY OF TUKWILA Permit Center /Building Division:
Community Development Department 206 - 431 -3670
Permit Center Public Works Department:
6300 Southcenter Blvd., Suite 100 206 - 433 -0179
Tukwila, WA 98188 Planning Division:
20 -431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
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1. I have made application for a building permit from the City of Tukwila, Washington.
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2. 1 understand that state law requires that all building construction contractors be registered with the State of
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Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of
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Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW
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18.27.090.
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3. 1 understand that prior to issuance of a building permit for work which is to be done by any contractor, the City of
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Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions
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stated under RCW 18.27.090 applies.
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4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that
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after reading the exemptions from the registration re uirement of RCW 18.27.090, 1 consider the work authorized
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and will therefore not be performed b a r
under this building permit to be exempt under No. _� , p y g
contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an
unregistered contractor to perform construction work.
APPLICANT
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\applications\8 -2004 affidavit in lieu of contractor registration
Signed and sworn to before me this
day of U
20 4 LV L 1
NOTARY PUBLIC in and dff'r the State of Washington,
Residing at !`''c , County.
Name as commissioned:
My commission expires:
18.27.090 Exemptions. This chapter shall not apply to:
1.
2. An authorized representative of the United States
Government, the State of Washington, or any
incorporated city, town, county, township,
irrigation district, reclamation district or other
municipal or political corporation or subdivision of
this state;
3. Officers of the court when they are acting within
the scope of their office;
4. Public utilities operating under the regulations of
the utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
5. Any construction, repair or operation incidental to
the discovering or producing of petroleum or gas,
or the drilling, testing, abandoning, or other
operation of any petroleum or gas well or any
surface or underground mine or mineral deposit
when performed by an owner or lessee;
6. The sale or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into and do not become a
permanent fixed part of the structure;
7. Any construction, alteration, improvement or
repair of personal property, except this chapter
shall apply to all mobile, manufactured housing. A
mobile /manufactured home may be installed, set
up, or repaired by the registered or legal owner,
by a contractor licensed under this chapter, or by
a mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW;
8. Any construction, alteration, improvement, or
repair carried on within the limits and boundaries
of any site or reservation under the legal
jurisdiction of the federal government;
9. Any person who only furnished materials,
supplies, or equipment without fabricating them
into, or consuming them in the performance of, the
work of the contractor;
10. Any work or operation on one undertaking or
project by one or more contractors, the aggregate
contract price of which for labor and materials and
all other items is less than $500.00, such work, or
operations being considered as of a casual, minor,
or inconsequential nature. The exemption
prescribed in this subsection does not apply in all
instance wherein the work or construction is only a
part of a larger or major operation, whether
undertaken by the same or a different contractor,
or in which a division of the operation is made into
\applications \8 -2004 affidavit in lieu of contractor registration
contracts of amounts less than $500.00 for the
purpose of the evasion of this chapter or
otherwise. The exemption prescribed in this
subsection does not apply to a person who
advertises or puts out any sign or card or other
device which might indicate to the public that he is
a contractor, or that he is qualified to engage in
the business of contractor;
11. Any construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts
or reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or
poultry raising; or to clearing or other work upon
land in rural districts for fire prevention purposes;
except then any of the above work is performed
by a registered contractor;
12. An owner who contracts for a project with a
registered owner;
13. Any person working on his own property, whether
occupied by him or not, and any person working
on his residence, whether owned by him or not but
his exemption shall not apply to any person
otherwise covered by this chapter who constructs
an improvement on his own property with the
intention and for the purpose of selling the
improved property;
14. Owners of commercial properties who use their
own employees to do maintenance, repair, and
alteration work in or upon their own properties;
15. A licensed architect or civil or professional
engineer acting solely in his professional capacity,
an electrician licensed under the laws of the state
of Washington, or a plumber licensed under the
laws of the state of Washington while operating
within the boundaries of such political subdivision.
The exemption provided in this subsection is
applicable only when the licensee is operating
within the scope of his license;
16. Any person who engages irf fhd.,,7ctivities herein
regulated as an emp}oyee,, of - a..' .registered
contractor with wages ai'his 9ole'dompensation;
17. Contractors on highway proj6cts who have been
prequalified as required by Ghapter.13 of the Laws
of 1961, RCW 47.28.07Q wqh- the department of
transportation to perform highway, construction,
reconstruction, or maintenance work.
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