HomeMy WebLinkAboutPermit D03-166 - GRAY PROPERTY - FENCEGRAY FENCING
EAST MARGINAL WY
S & S 127T" PLACE
D03-166
City of Tukwila
Parcel No.: 7345600680
Address:
Suite No:
Public Works Activities:
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Tenant:
Name: GRAY PROPERTY
Address: EAST MARGINAL WY S & S 127 ST, TUKWILA WA
Owner:
Name: GRAY LEROY & MARCI
Address: 1760 FERRY SW, SEATTLE WA
Contact Person:
Name: LEROY GRAY
Address: 1760 FERRY AV SW, SEATTLE WA
Contractor:
Name: OWNER AFFIDAVIT ON FILE - LEROY GRAY
Address: 1760 FERRY AV SW, SEATTLE WA
Contractor License No:
DESCRIPTION OF WORK:
INSTALLING 50'L X 8'H WOODEN FENCING ON FRONT PROPERTY.
Value of Construction: $ $500.00
Type of Fire Protection:
Type of Construction:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Water Meter:
doc: Devperm
DEVELOPMENT PERMIT
** Continued Next Page **
D03 -166
Permit Number: D03 -166
Issue Date: 06/06/2003
Permit Expires On: 12/23/2003
Expiration Date:
Phone:
Phone: 206 660 -8667
Phone: 206 660 -8667
Fees Collected: $43.28
Uniform Building Code Edition: 1997
Occupancy per UBC:
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: N Public: N
Storm Drainage: N
Street Use: N Profit: N Non - Profit: N
Water Main Extension: N Private: N Public: N
N
Printed: 11 -12 -2003
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Signature:
Print Name:
don: Devperm
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Permit Center Authorized Signature: ': , {��, ("- e Date: / ( (/o 3
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 ►r he performance of work. I am authorized to sign and obtain this development permit.
bQe, y y
Date: //-. J -t - 2
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.
D03 -166
Printed: 11 -12 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 7345600680
Address:
Suite No:
Tenant: GRAY PROPERTY
Signature:
Print Name:
doe: Conditions
•
/ c ;114-7
PERMIT CONDITIONS
e fri �L c
Permit Number: D03 -166
Status: ISSUED
Applied Date: 06/02/2003
Issue Date: 06/06/2003
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any
construction. These documents are to be maintained and available until final inspection approval is granted.
4: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997
Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition).
5: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations 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 ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this
code shall be valid.
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.
Date:
D03 -166 Printed: 11 -12 -2003
1,
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
DESCRIPTION OF WORK:
Value of Construction: $ $500.00
Type of Fire Protection:
Type of Construction:
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Water Meter:
doc: Devperm
DEVELOPMENT PERMIT
z
Parcel No.: 7345600680 Permit Number: D03 -166 W11
Address: Issue Date: 06/06/2003
Suite No: Permit Expires On: 12/03/2003
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Tenant: _
Name: GRAY PROPERTY u) �
Address: EAST MARGINAL WY S & S 127 ST, TUKWILA WA
iii 0
Owner: g D.
Name: GRAY LEROY & MARCI Phone: u d
Address: 1760 FERRY SW, SEATTLE WA = w
f- _
Contact Person:
z F-
Name: LEROY GRAY Phone: 206 660 -8667 Z O
Address: 1760 FERRY AV SW, SEATTLE WA Ili j ;
Contractor: 0
Name: OWNER AFFIDAVIT ON FILE - LEROY GRAY Phone: 206 660 -8667 01--
Address: 1760 FERRY AV SW, SEATTLE WA W w
Contractor License No: Expiration Date: H
u- O
W z
INSTALLING 50'L X 8'H WOODEN FENCING ON FRONT PROPERTY. F-
0
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: N Public: N
Storm Drainage: N
Street Use: N Profit: N Non - Profit: N
Water Main Extension: N Private: N Public: N
N
** Continued Next Page **
D03 -166
Fees Collected: $43.28
Uniform Building Code Edition: 1997
Occupancy per UBC:
Printed: 06 -06 -2003
LI.uaI...I
z
Permit Center Authorized Signature: ese-Oe-low
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 oro •'-rformance of work. I am authorized to sign and obtain this development permit.
ACV air
Signature:
Print Name:
doc: Devperm
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
/e, 67,
D03 -166
Date: - 6 - e3
Date:
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.
Printed: 06 -06 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 7345600680
Address:
Suite No:
Tenant: GRAY PROPERTY
Signature:
Print Name:
doc: Conditions
bP47
PERMIT CONDITIONS
Permit Number: D03 -166
Status: ISSUED
Applied Date: 06/02/2003
Issue Date: 06/06/2003
1: ** *BUILDING DEPARTMENT CONDITIONS* **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any
construction. These documents are to be maintained and available until final inspection approval is granted.
4: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997
Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition).
5: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations 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 ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this
code shall be valid.
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.
D03 -166
Date: 4- - - � 3
Printed: 06 -06 -2003
, :L.I.:+A�'A; ?nt.. +.�.L .•..rw:..N» -.. t.!.wRr�i. "tom-. rcrY%, f.,wi ,I.I...a.rx.w..:.�w�.�.r+t J.�+.
Site Address:
Tenant Name: r( �
Property Owners Name: / [[ �� 0 c� -� � } �i�J ,rt'
Mailing Address: l2 (o( r•„p.6Z t. ti v. S
Name: Le.R
Mailing Address:
E -Mail Address:
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Contact Person: LE. 9 c L P.Pq
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
'ENGINEER OF. RECORD. - All plans must-be stamped by,Engineerotttecor
kapplications■pennit application (3 - 2003)
3/2003
Page 1
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 **
King Co Assessor's Tax No.: 73 7 5(t0Q(A �O
sota7t
uite Number:
New Tenant:
City
City
Fax Number:
S tate Zip
!N. TA CT PER S (
Day Telephone: P.0(0 in(o0 -- , r};7
Company Name: re. L0- Gajtvi
Mailing Address: I C7(8.0 tt?_,Q,Q,e,�
J City
Day Telephone: .2 (3 ( T3 7- cY0 W 9
Fax Number:
Contractor Registration Number: Leto' CDC. J `4 2 3 Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
All plans<must be wet stamped by Architect,o Recor
City
Day Telephone:
Fax Number:
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:_
E -Mail Address: Fax Number:
v ny,trMsn�t
Floor:
❑ .... Yes ❑ ..No
Stat
Zip
State Zip
State
Zip
� 1t11!lAl1V ,• ,
, U . J1 -J. I,IC: T;
"; >��, + -;�;` �. ,. ::
of i.i.:.
-(: • � ( \ \, G , { L F• H,l� "�A: Y7 r sr 9.p ,;.., { t� t° A ' 'i �.•.,... • LSV �' " ": 7 ! + • ;,i; ��� w �Jrf.nM S; r
x- 64 *?, F•.::.1$: ?,..14.,..V11,7::.,-n,". : r �k :. `LAN
u P f:',,, .r. , : r, -\ ?; •:,
r
Valuation of Project (contractor s bid price): $ , ,c n _ o 0
Scope of Work (please provide detailed information): 3) ' /- /''/ e r g / i '' H
/K 6, c Ora in
Will there be new rack storage? ..Yes El .. No
1" Floor
2 °:Floor
3`. Floor
:Floors
Basement
Accessory Structure*;
Attached • Garage
• Detached ,Garage ..
Attached:Carport
•
Covered Deck
Uncovered. Deck
\applications \permit application (3.2003)
3/2003
Page 2
Existing Builn,..g Valuation: $
If "yes ", see Handout No. for requirements.
!rovide:ALI Bailding AreaS'in Square •Footage'Below
Addition;to •
Existing
Structure
- -Type of
:. Construction
per UBC :.
:Type of
Occupancy per
UBC
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? J .... Yes 0 ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0.. Sprinklers ..Automatic Fire Alarm El -None El . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑..Yes ❑ ..No
If "yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets.
r. P, : w;aV= � �'� «',� ' t?,• .'.`:ae4;!Ci: ?hlf,7�: @':1�.`T4 :',
PUBLIC;
0
Scope of Work (please provide detailed intutmation):
Please: refer ;to:Publie Works Bulletin #1 for fees and estimate'' sheet.
Water District
❑ ...Tukwila 0... Water District #125
❑ ...Water Availability Provided
Sewer District
❑ ...Tukwila ❑ ... Va1Vue ❑ .. 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)
❑ ...Bond ❑ .. Insurance ❑ .. 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
Non Right -of -way
❑ ...Total Cut
❑ ...Total Fill
cubic yards
cubic yards
❑ ...Sanitary Side Sewer
❑...Cap or Remove Utilities
❑...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ ...Permanent Water Meter Size...
❑ ...Temporary Water Meter Size..
❑ ...Water Only Meter Size
❑ ...Sewer Main Extension Public _
❑ ...Water Main Extension Public
bpplicationlpermil application (3.2003)
3/2003
„
„
„
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
„
„
TI
Call before you Dig: 1- 800 - 424 -5555
„
WO#
WO#
WO#
Private
Private
❑ .. Highline
❑ .. Geotechnical Report ❑...Traffic Impact Analysis
❑ .. Maintenance Agreement(s) ❑...Hold Harmless
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
FINANCE INFORMATION
Fire Line Size at Property Line
❑ ...Water 0 ...Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
❑ ... Sewage Treatment
Day Telephone:
City
State
Zip
Day Telephone:
City
State
Zip
Page 3
•= 43`917
❑ ...Renton
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ...Deduct Water Meter Size "
Unit Type: `
Qty
Un it Type: •
Yp
Qty
Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace>100K 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 -50 HP /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
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Contact Person:
E -Mail Address:
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: New ....ID Replacement .... 0
Commercial: New .... ❑ Replacement ....
Fuel Type: Electric fJ Gas ....0 Other:
Indicate type of mechanical work being installed and the quantity below:
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 O
Signature: p
Day Telephone: 7t9 6 5'' 7 (2 9
Mailing Address: )41 y At . &; Se.431r.4� 1'4 7 4 Cit State Zip
Print Name:
Date Application Accepted:
(2443
1
Date Application Expires:
Staff Initials:
\applications\permit application (3.2003)
3/2003
,ERNIIT IN ORiviATL
•
HORIZED AGENT:
6,4
Page 4
State
eY.
Zip
Date: Lr
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Parcel No.: 7345600680 Permit Number: D03 -166 6 o
Address: Status: PENDING N ❑
Suite No: Applied Date: 06/02/2003 (0 w
Applicant: GRAY LEROY & MARCI Issue Date: -1 H
U) O
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2
Receipt No.: R03 -00671 Payment Amount: 43.28 u_ Q
Initials: SKS Payment Date: 06/02/2003 10:11 AM z w
User ID: 1165 Balance: $0.00 Z H
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TRANSACTION LIST: = w
Type Method Description Amount 1—;--
U. — 0
Payment Cash 43.28 Z
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Payee: LEROY GRAY
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
BUILDING - NONRES
PLAN CHECK - NONRES
STATE BUILDING SURCHARGE
RECEIPT
Account Code Current Pmts
000/322.100
000/345.830
000/386.904
23.50
15.28
4.50
Total: 43.28
92
:J�.06 06/03 9716 TOTAL 43.
Printed: 06 -02 -2003
COMMENTS:
"U.
Type of Inspection:
1.1c co - 1
Po 0 w c tas PEcTt cra c -i-- ke
I -- aav - a q c.so e -1-
1
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Special Instructions:
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t --S v1/4Ja ALss 1 k i, I 1 .111,kr+ ...E -a
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k ewe s:!-c be \ .
Phone No:
Proj :
(�'� r:+
Type of Inspection:
1.1c co - 1
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Addr ss:
!, (`
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ate Called:
- 1_7 1_7
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Special Instructions:
D a t e W an t e d :
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.... (.3�
a.m.
p.m.
Requester:
_R Q
Phone No:
CITY OF TUKWILA BUILDING DIVISI
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes. Corrections required prior to approval.
INSPECTION NO.
or:
INSPECTION RECORD
Retain a copy with permit
aid at 6300 Southcenter Blvd., Suite 10
Date:
PERMIT NO.
ON ,
(206)431 -3670
7.00 REINSPE N FEE REQUIRED. rior to inspection, fee must be
. Call to schedule reinspection.
Receipt No.:
Date:
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NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN
THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT.
Pr ' ct:
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Type of Ins p ion: '
'
, ,°
A dress:
P ir
S.
. fa7
Date Called:
S-I-, ) /(1 1 ( 03
Special Instr L ions:
Date Wanted: a.m.
j1 �� � pm.
f
Requ steer: / (..(
Phone t d� IT: 20 Lo(.„D gcet.07
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
'.Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
PeA4uLl dcw. LtZ
tAk 1D C
- N
Rec No.:
Date:
zalo3
$470 REINSPECTION FE EQUIRED. P9 or to inspection, fee must be
at 6300 Southcenter Biv ., Suite 100'. Ca I to schedule reinspection.
Date:
Proj C
(^ PIOPIA211
Type of r�spection:
--- ,�'G e, /1ii ` I r
Ad ress: I
t i S s,
Date Iled: d
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Special tru `
Date Wanted a.m.
1 I / aD/0 \.m.
Requester:
LL
Li C7r-
Phonee i c 2
La — to eo 8 Le Le i
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
pproved per applicable codes.
COMMENTS:
: 1! - tor:
$4'.00 REINSPECT' FEE REQUIRED. rior to inspection, fee must be
p• id at 6300 Southcenter Blvd.,'Suite 100. Call to schedule reinspection.
pt No.:
INSPECTION RECORD
Retain a copy with permit
Corrections required prior to approval.
Date:
Date:
t'
iYL 3 - I ie(p
PER
NO
(206)431 -3670
S.
Project
......e.: .P.•/>9
Type of Inspection:
F i ' / t )••4,
Address:
Afte
,
Ci i 2; S
Date Called:
W --r9 . 3
Special Instructions:
---.
Date Wanted: a.m.
// - -o3 P•m•
Requester:
kc,) I C:24•C.e.
14 /..-e?
Phone :
o
— 446 7
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(2
6)431-3670
g... Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
CI. a. 097 1 --
40 1 XV/°' 4 10-,
-)
,-51(C-qj ,y 7 e
ri $47.00 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
S.
•
Project..,
Type of Ins ection: .
Address:.
e/7% -'s / S ley? sr
Date Cale r/
s' "O 6
Special Insfructions�
ia
C, %'��4 t� �-
Date Wanted:
-26-
C a.m.
`
Requester: ��i'
c', lam
Phone No:
INSPECTION NO.
•
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
COMMENTS:
Insp , or:
$47.00 REINSPECTIO
paid at 6300 Southcen
eceipt No.:
Date:
FEE REQUIRED ' rior to inspection, fee must be
er Blvd., Suite 00. Call to schedule reinspection.
Date:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
2 ctiSPFa - ria - N , ()- ± k e
1. 0 (.3v' Ni c tL.- " 0 co o 0-o--i- ( ��
Type of IIn
I G�
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes.
Corrections required prior to approval.
7.00 REINSPEC1N FEE REQUIRED.
aid at 6300 Southcenter Blvd., Suite 10
Date:
i rior to inspection, fee must be
Call to schedule reinspection.
Receipt No.:
Date:
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Date
Permit No.
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FILE COPY
I understand that the Plan Check approvals are
subject to errors and omissions and approval of
plans does not authc•rize the violation of any
adopted code or ordinance. Receipt of con-
tractor's copy of approved plans acknowledged.
itamr„
fk??RONIP1. OF 2.00103 WOW,
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VS: SCOPE, OF OVA VakiCoUlf POO
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CITY OF TUKWILA
APPROVED
JUN - 42003
AS IOIEll
DNG
RECEIVED
CITY OF TUKWILA
JUN 0 2 2003
PERMIT CENTER
;" 3- Voto
November 4, 2003
Leroy Gray
1760 Ferry Avenue SW
Seattle, WA 98116
Dear Permit Holder:
city of Tukwila
Department of Community Development Steve Lancaster, Director
RE: Permit Application No. D03 -166
East Marginal Wy S & S 127th Street
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.
Steven M. Mullet, Mayor
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila
Building Division. Per the Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the
Building Official 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.
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 -time
extension 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 or request and receive an extension prior to December 23,
2003, 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. D03 -166
Bob Benedicto, Building Official
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665
re:�.u._e ;:t;.:::,k��:'s'.:5.�'..:+li. 532; C• Y«` isu` A� +'[y'hti:;S;. ?.Y,i".iiekYli':
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Documents /routing slip,doc
2 -28 -02
PLAN REV
ACTIVITY NUMBER: D03 -166 DATE: 06 -02 -03
PROJECT NAME: LEROY GRAY - FENCE
SITE ADDRESS: S 127 ST & EAST MARGINAL WY S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Is Issued
DEPARTMENTS
061 Hl.
Gtl.
Buildi�l'� Division Fire Prevention
Pul l c` Ioflls VI 1st j] Structural ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 06 -03 -03
Complete Er Incomplete ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROU)ING:
Please Route 1 / Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions [] Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
OUTING SLIP
L. rL , *- - -623
Planning Division
Permit Coordinator
Not Applicable ❑
DUE DATE: 07 -01 -03
DATE:
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON
COUNTY OF KING
e 1
E pp. ASt'
• u
AFFCONT 1/13/00
CITY OF JKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
ss.
,Q, t°)-) ,i4 , , states as follows:
1. I have made application for a building permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code Washington, a copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW 18.27.090.
3. I understand that prior to issuance of a building permit for work which is to be done by any
contractor, the City of Tukwila must verify either that the contractor is registered by the State of
Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby
attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I
consider the work authorized under this building permit to be exempt under No. / 2 , and
will therefore not be performed by a registered 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
Signed and sworn to before me this
PCM
2' day of
H -4
, 20 03 .
NOTAR PUBLIC in and for the State of Washington,
residing at County.
Name as commissioned: 6A - 1( MAIV
My commission expires: fi l c -63
18.27.090 Exemptions. This chapter sr 'I not apply to:
1. 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;
2. Officers of a court when they are acting within the
scope of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
4. 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;
5. 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 a structure;
6. 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;
7. 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;
8. 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;
9. Any work or operation on one undertaking or project
by one or more contracts, the aggregate contract
price of which for labor and materials and all other
items is less than $500, such work, or operations
being considered as of a casual, minor, or
inconsequential nature. The exemption prescribed in
this subsection does not apply in any 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
AFFCONT 1/13/00
of the operation is made into contracts of amounts
less than $500 for the purpose of 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;
10. 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 when
any of the above work is performed by a registered
contractor;
11. An owner who contracts for a project with a
registered contractor;
12. 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 this
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;
13. Owners of commercial properties who use their own
employees to do maintenance, repair, and alteration
work in or upon their own properties;
14. 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;
15. Any person who engages in activities herein
regulated as an employee of r€ i f„;tered contractor
with wages as his sole corriper,sationl;
•
16. Contractors on highway projects Wtio have been
prequalified as required by/chapter:,12'bf the Laws of
1961, RCW 47.28.070 with the department of
transportation to perform highway construction,
reconstruction, or maintenance work.