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Home My WebLink AboutPermit D05-080 - NGO RESIDENCE - DEMOLITIONNGO DEMOLITION 12228 48TH AVENUE SOUTH City 0. 'T ukwila DEVELOPMENT PERMIT Permit Number: Issue Date: Permit Expires On: Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us Parcel No.: 0179001390 Address: 12228 48 AV S TUKW Suite No: Tenant: Name: NGO RESIDENCE Address: 12228 48 AV S, TUKWILA WA Owner: Name: HOVLAND RUTH E Address: PO BOX 9822, SPOKANE WA Contact Person: Name: JUAN NGO Address: 14310 4 AV SW, BURIEN, WA Contractor: Name: 3 N BUILDERS INC Address: 14310 4 AV SW, BURIEN, WA Contractor License No: JNBUINB956DS Phone: Steven M. Mullet, Mayor Steve Lancaster, Director DOS -080 04/01/2005 09/28/2005 Phone: 206 229 -0498 Phone: 206 229 -0498 Expiration Date: 03 /10/2007 DESCRIPTION OF WORK: DEMOLITION OF WOOD FRAMED OUT BUILDING 16 X 32 (512 SQ FT). Value of Construction: $500.00 Fees Collected: $52.35 Type of Fire Protection: N/A International Building Code Edition: 2003 Type of Construction: Occupancy per IBC: 0026 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 doc: IBC - Permit D05 -080 Printed: 04 -01 -2005 Z `F- Z mo W. UO Co 0 to LL. W J' LL- Q: N d =w H Z F= F- O`. Z 1-- w U j n o .O N 0 F— ' W W. LL O; Z: O E"' z � City 0. Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us r^. Permit Number: Issue Date: Permit Expires On: Steven M. Mullet, Mayor Steve Lancaster, Director DOS -080 04/01/2005 09/28/2005 Permit Center Authorized Signature: Date: 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 constructio or the performance of work. I am authorized to sign and obtain this development permit. Signature: Date: Print Name: 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. Z Z' W U . U O. N 0 cn W J f- co u- W O LL � . (1) d '. =W Z �a Z �- 5: O N' 0 F- W W' H V' u_ p; ll! Z U =: Z E . City of Tukwila teas Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS Parcel No.: 0179001390 Permit Number DOS -080 z W ! Address: 12228 48 AV S TUKW Status: ISSUED j Suite No: Applied Date: 03/11/2005 Tenant: NGO RESIDENCE Issue Date: 04/01/2005 0 ' j CO 1: ** *BUILDING DEPARTMENT CONDITIONS * ** Lu H co LL WO 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. J � 3: All permits, inspection records and approved plans shall be at the job site and available to the inspectors prior to � P � P � PP r P ] P P� LL Q =d; start of any construction. These documents shall be maintained and made available until final inspection approval is w granted. z = F--. 1-- 4: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary w w: sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of v N this requirement. o �' 5: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, w = v any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila z shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the v N' Building Official from requiring the correction of errors in the construction documents and other data. 0 z * *continued on next page ** i i doc: Conditions D05 -080 Printed: 04 -01 -2005 1 w"A City of Tukwila 1 I Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 1 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: ' Print Name: l r Date: �S I Z Z` �w u� D , U O' w= J CO LL.' WO 95 LL. ¢ i V Z F— w W ; � o ,,2 U L p ui Z CO) O� Z \ doc: Conditions D05 -080 Printed: 04 -01 -2005 � w CITY OF T UKWI LA Community Development Department g Public Works Department Permit Center isob '� 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Building Permit No. Mechanical. Permit No. Public Works Permit No. Project No. use { Applications and plans must be complete in order to be accepted for plan review. 1 Applications will not be accepted through the mail or by fax. t * *Please Print ** I SITE LOCATION 3 - King Co Assessor's Tax No.: 0/7 Q6 / e 90 Site Address: Z22� ., : S'r Suite Number: Floor: Tenant Name: r flJ J 0 - £�.��GQ� New Tenant: ❑ .... Yes ❑ ..No Property Owners Name:_ d Mailing Address: Z ¢ � 1 o 4 Tom`'`' 3. W %j 4 /re — /X - A ) ? City State Zip CONTACT PERSON.. Name: Mailing Address: Day Telephone: _040 G �Z / -' d �� a E -Mail Address: Fax Number: GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page) . State Zip Company Name Mailing Address City State Zip Contact Person: Day ,jf/G-�o 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 ** ARCHITECT OF RECORD All plans must be wet stamped by. Architect of Record Company Name: Mailing Address: 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: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: \permits plus \icc changes \permit application (7.2004) Page 1 �ZZ W t � JU 00 D W= CO) LL w 9� LL N �W z� �O ZI— W UJ � p' U O CO. C1 WW H LL O CO O Z \ BUILDING PERMIT INFORMAT--�ON - 206 - 431 -3670 n_ Valuation of Project (contractor's bid price): $ �� Existing Building Valuation: $ Scope of Work (please provide detailed information): 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 PROTECTION/HAZARDOUS 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 If "yes", attach list of materials and storage locations on a separate 8 -112 x I I paper indicating quantities and Material Safety Data Sheets. \permits plus\ice changes \permit application (7.21)04) Page 2 Z �z '~ W QQ 7- JU UO Cl) W= J �.. N LL W OC LL Q Nd �W Z F- O. Z t_ W W 5 U� O N 0 H WW F- U' O ll! Z U= O Z Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC I" Floor 2 "d Floor 3 Id 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 PROTECTION/HAZARDOUS 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 If "yes", attach list of materials and storage locations on a separate 8 -112 x I I paper indicating quantities and Material Safety Data Sheets. \permits plus\ice changes \permit application (7.21)04) Page 2 Z �z '~ W QQ 7- JU UO Cl) W= J �.. N LL W OC LL Q Nd �W Z F- O. Z t_ W W 5 U� O N 0 H WW F- U' O ll! Z U= O Z 0 PUBLIC WORKS PERMIT INFORMATION - 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 E] ... Tukwila ❑... Water District # 125 ❑ .. Highline - 1 ...Renton ❑ ... Water Availability Provided Sewer District ❑ ...Tukwila El ... 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 a ❑ ...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 cubic yards ❑ ...Total Fill cubic yards ❑ ... 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 El.. Channelization ❑ .. Trench Excavation El.. Utility Undergrounding ❑ ...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 r 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 RefundBilling: Name: Day Telephone: Mailing Address: City state Zip \permits plus\icc changes \permit application (7.2004) Page 3 Z Z �W QQ 1 UO CO 0. W =' J (.. C0 LL W O 2 QQ LLQ co = C'1 Z 1... ZO W 0 O -. 0 1--. 2U 1— ,— O W Z U= O Z \ W MECHANICAL PERMIT INFOIuvIATION — 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: New ....❑ Commercial: New .... ❑ Fuel Type Electric ..... ❑ Gas .... ❑ Replacement..... ❑ Replacement..... ❑ Other: Indicate type of mechanical work being installed and the quantity below: Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler/Compressor: Q Furnace <100K BTU Air Handling Unit >I0,000 Fire Damper 0 -3 HP /100,000 BTU CFM Furnace>100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected Thermostat 15 -30 HP /1,000,000 BTU to Single Duct Suspended /Wall/Floor Ventilation System Wood /Gas Stove 30 -50 HP /1,750,000 BTU Mounted Heater Appliance Vent Hood and Duct Water Heater 50+ HP /1,750,000 BTU Repair or Addition to Incinerator - Domestic Emergency Heat/Refrig/Cooling Generator -System Air Handling Unit Incinerator — Comm/Ind Other Mechanical <I0,000 CFM Equipment PERMIT .APPLICATION NOTES - Applicable to all permits 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 OWN OR A HORIZED GENT - Sienature: �� ,._� Date- Print Na Mailing z Date Application Accepted: Date Application Expires: Staff Initials: 3 IF- /r- d s I ,aS \permits plus \icc changes \permit application (7 -2004) Page 4 Z Z �W QQ� JU 0 U) o Ito LU J = H N LL WO J LL Q N � = �W Z� H- O W �5 U� O - l.- W W H� �O .Z W U= O� Z \ 0 R City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 I Parcel No.: ` Address: Suite No: Applicant: i 0179001390 12228 48 AV S TUKW NGO RESIDENCE RECEIPT Permit Number: Status: Applied Date: Issue Date: D05 -080 PENDING 03/11/2005 Receipt No.: R05 -00359 Payment Amount: 52.35 Initials: SKS Payment Date: 03/11/2005 09:34 AM User ID: 1165 Balance: $0.00 Payee: JULIE QUACH /JUAN NGO TRANSACTION LIST: Type Method Description Amount Payment Check 3819 52.35 ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - NONRES 000/322.100 29.00 PLAN CHECK - NONRES 000/345.830 18.85 STATE BUILDING SURCHARGE 000/386.904 4.50 Total: 52.35 0864 03/14 9710 TOTAL 52.35 doc: Receipt Printed: 03 -11 -2005 z W; U O' CO) CY Wx J F— S2 LL. W O: J` LL S2 d. = F- z� 11-0 z� W U O �; W W' H U W N U O INSPECTION RECORD� Retain a copy with permit INSPECTION NO. PERM CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: c � Type of Inspgction: / Address: ' Date Called Special Instructions: Date Wanted: am. M. Requester: Phone No: C./ a Approved per applicable codes. Corrections required prior to approval. x 11� I i Z QQ �. JU UO NO: co W J F NLL w O, LL Q co d � W LLJ O N o1-- Ww U L 111 O Z INSPECTION RECORD ' ;�� Retain a copy with permit SP INSPECTION NO. PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20 )43'1 -3670 Pr ' ct: Type of Insp c op: Addres ,�,t� 22�z2 - A ..5 Date Called: l g 5 _ Splecial Instructions: Date Wanted: ✓ a.m� a.m. Requester: Phone No: t ( 10 Approved per applicable codes. Corrections required prior to approval. L Inspect r: Date: r' $58.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: i Z Z W� JU UO W= w O N =` = a }.. W Z� Z 0 W 5 U O. O N; 0 H. W W. X U' -- Z O Z PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D05 -080 DATE: 03 -11 -05 PROJECT NAME: NGO RESIDENCE - DEMO SITE ADDRESS: 1222848 TH AVENUE SOUTH X Original Plan Submittal Response to Correction Letter # _Response to Incomplete Letter # Revision # after /before permit is issued UEPAKTME C :3 �f ��t M� Buildin 5'`S� ,�1 /�,� Division Fire Prev on � 3, 9 manning Division Q Public Works Structural ❑ Permit Coordinator ;e - 1It1AA PJA— DETERMINATION OF COMPLETENESS (Tues., Thurs.) DUE DATE: 03 -15 -05 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: TUES /THURS R�TING: Please Route Structural Review Required REVIEWER'S INITIALS: ❑ No further Review Required DATE: u 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: PgRMIT COORD COPY Documents /routing slip.doc 2 -28.02 DUE DATE : - 04-12-05 Not Approved (attach comments) ❑ z F w It 2 JU U Q �LL w O J LL _, � =w Z t.. ZO W w, 2 5 U O N' OH w w' L o z UN 2 O Z . mat•. FbLalGxtaf'.._- �vct4fatvS. ix_•J.�ynY:'a:"GY'niiw:':4!i::1 :- vs9"` �: L`. G:: iiiu Nrr..L'SJe.^''.:L"_' �'�-: ,' .. .. __ _._ • = .� F . ' J �:'� �(Yy yet REGISTERED AS PROVIDED BY LAW AS CONST. 'CONT., GENERAL . REGIST'. ': EXP _DATE- . ,r CCO1 JNBUINB95.6DS 03/10/2007% ; r,� = •,� °EFFECTIVE DATE 03/10/200 • ; U LD RS E ti fr ,;INC :e 14310 4TH _ AVE.SW BURIEN. 98166 1.. St�na[ure issued by DEP. ZTMF_NT OF LABOR AN 1NDUSTRUES \ [ '•fo h G'':" "i zx , ` NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR - THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT, ` . _ y fit? . G `„9 -'!' • = .� F . NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR - THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT,