HomeMy WebLinkAboutPermit D05-152 - WOODSIDE APARTMENTS - DECKSWOODSIDE APARTMENTS
3721 S 152 ST
EXPIRED 04 -10 -06
D05 -152
City a., Tukwila
o z Department of Community Development
-1 ) 6300 Southcenter Boulevard, Suite #100
N = Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
1908
Web site: ci.wkwila.wa.us
Parcel No.: 0043000115
Address: 3721 S 152 ST TUKW
Suite No:
Tenant:
Name: WOODSIDE APARTMENTS
Address: 3721 S 152 ST, TUKWILA WA
Owner:
DEVELOPMENT PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Steven M. Mullet, Mayor
Steve Lancaster-, Director
D05 -152
05/12/2005
11/08/2005
Name:
KIM CHUE
Address:
3730 CENTRAL ST SE, OLYMPIA WA
Contact Person:
Name:
CHUL KIM
Address:
PO BOX 69517, SEATAC WA
Contractor:
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Name:
OWNER AFFIDAVIT IN FILE - CHUL KIM
Address:
P.O. BOX 69517, SEATAC, WA
Contractor
License No:
Phone: 206 - 835 -6300
Phone:
Expiration Date:
DESCRIPTION OF WORK:
REPLACE DRYROTTED MEMBERS OF 24 DECKS.
Value of Construction: $5,000.00
Type of Fire Protection: NONE
Type of Construction:
Public Works Activities:
Channelization / Striping:
N
Curb Cut / Access / Sidewalk / CSS:
N
Fire Loop Hydrant:
N
Flood Control Zone:
N
Hauling:
N
Land Altering:
N
Landscape Irrigation:
N
Moving Oversize Load:
N
Sanitary Side Sewer:
N
Sewer Main Extension:
N
Storm Drainage:
N
Street Use:
N
Water Main Extension:
N
Water Meter:
N
Fees Collected: $369.62
International Building Code Edition: 2003
Occupancy per IBC: 0021
Number: 0 Size (Inches): 0
Start Time: End Time:
Volumes: Cut 0 c.y. Fill 0 c.y.
Start Time: End Time:
Private: Public:
Profit: N Non - Profit: N
Private: Public:
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doc: IBC- Permit D05 -152 Printed: 05 -12 -2005
�J ,�Wtiu►; wqs City of Tukwila S teven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
0 6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
2
Phone: 206-431-3670
1908 Fax: 206 - 431 -3665
Web site: cOukwila.wa,us
Permit Number D05 -M
Issue Date: 05/12/2005
Permit Expires On: 11/08/2005
1
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 construction or t e performance of work. I am authorized to sign and obtain this development permit.
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i Signature: t Date 1(
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Print Name: G L 41 lti. '
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: IBC - Permit D05 -152 Printed: 05 -12 -2005
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
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Parcel No.: 0043000115 Permit Number DOS -152
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Address: 3721 S 152 ST TUKW Status: ISSUED
Suite No: Applied Date: 05/09/2005
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Tenant: WOODSIDE APARTMENTS Issue Date: 05/12/2005
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1: ** *BUILDING DEPARTMENT CONDITIONS * **
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I 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: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
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obtained at City Hall in the office of the City Clerk.
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6: 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
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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.
* *continued on next page **
doc: Conditions D05 -152 Printed: 05 -12 -2005
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�g C of Tukwila
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Department of Community Development 16300 Southcenter BL, Suite 100 / Tukwila, WA 98188 I (206) 431 -3670
i I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances
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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.
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Signature:
i Print Name:
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doc: Conditions 005 -152 Printed: 05 -12 -2005
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1905 f
CITY OF TUKWILA, ."
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Building Permit No. 1'�7
Mechanical Permit No.
Public Works Permit No.
Project No:
(For office use only)
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: 3 7 2 - I S - 1 S` ,2v tl s f
Tenant Name:
Suite Number: Floor:
New Tenant: ❑ .... Yes ❑ ..No
Property Owners Name:
Mailing Address: A O 1% x S' 1 lei, L U �, le l b
City State Zip
CONTACT ,PERSON..:
Name: Day Telephone:
Mailing Address: • �" �a x �' `l S 1 � c ���� V / f E
City State Zip
E -Mail Address: o . Co i-1., Fax Number. - �� C z 5�
GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page)
Company Name: 0E1VZs -4 b-c2 i^�- �yiCvtr �'� C r c--
Mailing Address:
•
J City r � State Zip
4
Contact Person: �, / K / Day Telephone: �-'!V D � �-- b
E -Mail Address: G ul ( br 1C J,0 . Co U- 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 Stale 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:
\pertnils plus \icc changes\pertnit application (7.204)
Page t
King Co Assessor's Tax No.: ULlt(
City
Day Telephone:
Fax Number:
State Zip
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- 431 -3670
BUILDING. PERMITINFOi&f. .' ON -206
Valuation of Project (contractor's bid price): $ 4_i Q 0 9 Existing Building Valuation: $ 1 . 4 Xp 4 - t
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑ ..Yes O�.. 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:
El.. 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 1 I paper indicating quantities and Material Safety Data Sheets.
\permits plus\icc changes\pertnit application (7 -2004)
Page 2
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Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
1" Floor
i3 ' 1 d 0
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2 Floor
1 3 1? o ,
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3` Floor
--
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
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, a
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:
El.. 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 1 I paper indicating quantities and Material Safety Data Sheets.
\permits plus\icc changes\pertnit application (7 -2004)
Page 2
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PUBLIC, WORKS PERMIT INF TION 20 206 7433 -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
El—Water Availability Provided
Sewer District
❑ ...Tukwila ❑... ValVue ❑ .. Renton ❑ ...Seattle
❑ ...Sewer Use Certificate El ... 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 El.. 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
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ ...Sanitary Side Sewer ❑ .. Abandon Septic Tank
❑ ...Cap or Remove Utilities ❑ .. Curb Cut
❑ ...Frontage Improvements ❑ .. Pavement Cut
❑ ...Traffic Control ❑ .. Looped Fire Line
❑ ...Backflow Prevention - Fire Protection "
Irrigation "
Domestic Water "
❑ ...Permanent Water Meter Size... WO# _
[1—Temporary Water Meter Size.. WO# _
❑ ... Water Only Meter Size............ WO# _
❑ ...Sewer Main Extension ............ Public Private
❑ ... Water Main Extension .............Public Private
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ...Deduct Water Meter Size ........ "
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment
Monthly Service Billing to:
Name:
Mailing Address:
City
State Zip
Water Meter RefundBilling:
Name: Day Telephone:
Mailing Address:
City State Zip
%permits pluslice changes \permit application (7.2004)
Page 3
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Day Telephone:
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.MECHANICAL PERMIT INF .. ATION — 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 **
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Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential:
Commercial:
Fuel Type Electric..
New
.... ❑
New
.... ❑
❑
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 /Com pressor:
Qty
Furnace <I OOK BTU
Air Handling Unit >I0,000
Fire Damper
0 -3 HP /100,000 BTU
CFM
Furnace>I OOK 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 OWNER O UTHORIZED AGENT:
Signature: /Yi. l G 7 1-... Date:
Print Name: G I M `` Day Telephone:
Mailing Address: 0 9"o Y_ R� ��/ - i�� (% 'JG r
City Stale Zip
Date Application Accepted: Date Application Expires: I Sta 1 itials:
\permits plus \icc changes \permit application (7.2004)
Page 4
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0043000115
Address: 3721 S 152 ST TUKW
Suite No
Applicant: WOODSIDE APARTMENTS
RECEIPT
Permit Number D05 -152
Status: APPROVED
Applied Date: 05/09/2005
Issue Date:
Receipt No.: ROS -00685
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Initials: SKS
User ID: 1165
Payment Amount: 280.06
Payment Date: 05/12/2005 04:43 PM
Balance: $0.00
Payee: WOODSIDE APARTMENTS
TRANSACTION LIST:
Type Method Description Amount
---- - - - - -- -
- -- - - -- --------------------- - - - - -- ------ - - - - --
Payment Check 2424 280.06
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
BUILDING - RES 000/322.100 275.56
STATE BUILDING SURCHARGE 000/386.904 4.50
Total: 280.06
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3:132 05/13 9716 Yp'i'k 280 06
doc: Receipt Printed: 05 -12 -2005
Cit y of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0043000115
Address: 3721 S 152 ST TUKW
Suite No:
Applicant: WOODSIDE APARTMENTS
Receipt No.: R05 -00648
Initials: BLH
User ID: ADMIN
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
D05 -152
PENDING
05/09/2005
Payment Amount: 89.56
Payment Date: 05/09/2005 09:28 AM
Balance: $280.06
Payee: WOODSIDE APARTMENTS
TRANSACTION LIST:
Type Method Description Amount
---- - - - - -- -- - - - - -- --------------------- - - - - -- ------ - - - - --
Payment Check 2422 89.56
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
PLAN CHECK - RES 000/345.830 89.56
Total: 89.56
29"78 05/1 +.0 (716 TOTAL 89 ��c�
doc: Receipt Printed: 05 -09 -2005
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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,.-.-.
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city of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
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03 -03 -2006
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CHUL KIM
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PO BOX 69517
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SEATAC WA 98168
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RE: Permit No. DOS - 152
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3721 S 152 ST TUKW
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Dear Permit Holder:
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In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
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Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division under the
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provisions of this code shall expire by limitation and become null and void if the building or work authorized by such.permit is not
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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.
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Based on the above, you are hereby advised to:
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Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
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This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
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the project should be considered abandoned.
If such determination is made, the Building Code does allow the Building Official to approve a one or more extension of time for
additiona perios not exceeding 90 days each. Extension requests must be in writlnag 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 04/10/2006, your permit will become null and
i void and any further work on the project will require a new perntit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
fe arshall,
Permit Technician
xc: Permit File No. D05 -152
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665
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City of Tukwila Steven M. Mullet
Oi 1 , Mayor
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`y d' '•.. '' Department of Community Development Steve Lancaster, Director
1908
October 11, 2005
Chul M. Kim
Woodside Apartments
PO Box 69517
Seattle, WA 98168
RE: Request for Extension
Development Permit No. D05 -152
Woodside Apartments — 3721 S 152 ST
Dear Mr. Kim:
This letter is in response to your written request for an extension to Permit No. D05 -152. The City of
Tukwila Building Division will be extending your permit for an additional 180 days (through April 10,
2006). Please be advised that this will be the only extension granted for this project. .
Per your letter, please call and immediately schedule an inspection to verify progress made. The number
to call in order to schedule this inspection is (206) 431 -3670.
Sincerely,
Jv �
de nif r arshall
Permit Technician
File: Permit No. D05 -152
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P: UennifeAExtension Letters1D05 -152 - Permit Extension.doc Page 1 of 1
jem
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 a Phone: 206 - 431 -3670 • Fax. 206 - 431 -3665
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October 6, 2005
Jennifer Marshall o Q 7 Z4Q
Permit Technician o c MM S
City of Tukwila
Tukwila, Wash 98188
Re: Permit No. D05 -152
3721S.152 nd St., TUKW
Dear Jennifer
I received your letter dated October 3, 2005 informing me that the permit
may be expiring if certain steps are not taken.
After I obtained the permit I have retained two carpenters and paid certain
advance retainer fee. The carpenters did complete repair of one deck and
then would not show up again citing various excuses. I have waited several
months for them to come back to complete repairs. Since they are not
coming back to complete repairs I have been searching to find another
qualified carpenters. I believe I found someone I was looking for now and
they could start completing repairs within a week or so.
Thus, I would appreciate one 180 days extension to complete repairs I have
contemplated when the permit was obtained. If building inspection
department wishes to inspect one deck repaired please inform me so that, I
can "show.the work completed.
Sincerely yours,
Chul M. Kim, property manager �i
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Woodside Apartment CD V
P O Box 69517,
Seattle, Wash 98168 �. L
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CHUL KIM
PO BOX 69517
SEATAC WA 98168.
City of Tukwila Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
RE: Permit No. D05 -152
3721 S 152 ST 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 -time extension tin 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 11/08/2005, 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,
Jennifer arshall,
Permit Technician
xc: Permit File No. D05 -152
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206.431 -3670 * Fax: 206 - 431 -3665
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PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER D05 -152 DATE: 5 -9 -05
PROJECT NAME WOODSIDE APARTMENTS
SITE ADDRESS 3721 S 152 ST
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS
Building vision Fire Prevention
Public Works Structural ❑
Uh_ s q-/ CL5 -
DETERMINATION OF MPLETENE : (Tues., Thurs.)
Complete Incomplete ❑
Comments:
P/N 4 - - p l�j
Planning Division
Permit Coordinator ar
DUE DATE 5 -10 -05
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS R UTING:
Please Route Structural Review Required
REVIEWER'S INITIALS:
❑ No further Review Required
DATE:
APPROVALS OR CORRECTIONS DUE DATE: 6 - 7 - 05
Approved ❑ Approved with Conditions F� Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing sllp.doc
2 -28 -02
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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:
206 - 4 - 3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO.: _'57
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
e -�� states as follows:
[please print]
1. 1 have made application for a building permit from the City of ukwila, Washington.
2. 1 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 of
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. 1 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 require ent of RCW 18.27.090, 1 consider the work authorized
under this building permit to be exempt under No., and will therefore not be performed by a registered
contractor.
I understand that 1 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. a
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\appI! cation s\8 -2004 affidavit in lieu of contractor registration
AP
Signed and sworn to before me this
/Z tai day of NO V .20
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NOTARY PUBLIC in and fortthe State of Washington,
Residing at King , County.
Name as commissioned: Al l C e
My commission expires: 6- 16 - 01
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 in the activities herein
regulated as an employee of a registered
contractor with wages as his sole compensation;
17. Contractors on projects who have been
prequalifiedas required by chapter 13 of the Laws
of 1961, RCW 47.28.070 with the department of
transportation to" perform highway construction,
reconstruction, or maintenance work.
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File: D05 -0152
35mm Drawing
#1 -3
Pr"
FILE '11640" 11'
It Non - 111ir LSIIIW� 1
Plan review appiroval i su
bJect tD ermrs and om3m�_
APPmval of construction documents does not auI
Ov violation of any adopted CI)d or
ordinance. jta
_1� d Cppy and = Wft ffi is
Of aWmved Field acla-gWT
�,
BY
EK_* 'I-
rolls
NO Ch SIVW dW1 be MW9 to the scope
of WOrk WNKWt prior approval of
TulkWila Building Division.
NOTE: Revisions will require a ner/ plan submittal
and may include additional plan review fees.
"Q -------------- ---------
RCIR
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MAY 1 12005
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MAY - 9 2005
PERMIT CENTER
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