HomeMy WebLinkAboutPermit D05-221 - WADE RESIDENCE - RESIDENCE DEMOLITIONWADE RESIDENCE
5014 S 118 ST
DOS -221
i
City ox Tukwila
Steven M. Mullet,
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Mayor
Department of Community Development Steve Lancaster, Director
l0 6300 Southcenter Boulevard, Suite #100
N= Tukwila, Washington 98188
Phone: 206 - 431 -3670
1908 Fax: 206 - 431 -3665
Web site: cOukwila.wa.us
DEVELOPMENT PERMIT
Parcel No.: 3348400789
Permit Number D05-221
Address: 5014 S 118 ST TUKW
Issue Date: 06/29/2005
Suite No:
Permit Expires On: 12/26/2005
Tenant:
Name: WADE RESIDENCE
Address: 5014 S 118 ST, TUKWILA WA
i
Owner:
r Name: BURNS GEORGE H
Phone:
Address: 5022 S 118TH ST, TUKWILA WA
Contact Person:
f Name: ROBERT WADE
Phone: 480 -221 -3769
Address: 10024 S 46 ST, PHOENIX AZ
Contractor:
Name: COBBLESTONE COMPANY, THE
Phone: 206 - 365 -6595
Address: PO BOX 77219, SEATTLE, WA
I Contractor License No: COBBLC *033BM
i
Expiration Date: 11 /10/2005
DESCRIPTION OF WORK:
DEMOLISH EXISTING 950 SQ FT SINGLE FAMILY RESIDENCE.
Value of Construction: $3,000.00 Fees Collected: $174.55
Type of Fire Protection: NONE International Building Code Edition: 2003
Type of Construction: Occupancy per IBC: 0022
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
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:
doc: IBC - Permit D05 -221 Printed: 06 -29 -2005
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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.
City of Tukwila Steven M. Mullet, Mayor
Department of Community Developmet :t
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: cOukwila.wa.us
Permit Number:
Issue Date:
Permit Expires On:
Steve Lancaster, Director
D05 -221
06/29/2005
12/26/2005
Permit Center Authorized Signature: Date: �'f4
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 constructi or th a rm ce f work. am au orized to sign and obtain this development permit.
Sianature: �� _ _f V Date: >' a
Print Name: () Z'e ( 1 0 "C t vV
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doc: IBC - Permit D05 -221 Printed: 06 -29 -2005
Cit y of Tukwila
f906
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 3348400789 Permit Number: DOS -221
Address: 5014 S 118 ST TUKW Status: ISSUED
Suite No: Applied Date: 06/29/2005
Tenant: WADE RESIDENCE Issue Date: 06/29/2005
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
5: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
6: Removal of septic tanks require approval and compliance with permit and inspection requirements through the
Seattle /King County Department of Public Health (206/296- 4722).
7: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
obtained at City Hall in the office of the City Clerk.
8: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming 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
Building Official from requiring the correction of errors in the construction documents and other data.
* *continued on next page **
doc: Conditions D05 -221 Printed: 06 -29 -2005
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C it of Tukwila
D*4kx;
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Department of Community Development / 6300 Southcenter BL, Suite 100 J 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, e-,z t " - W Y�'- C'( �-L
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IOLA, 11P
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1905
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 Co Assessor's Tax No.: _ E 3Y 6 Z - ) 78�
CC l m
Site Address: d b y .5 �/ f Suite Number: Floor:
Tenant Name: New Tenant: ❑ .... Yes []..No
Property Owners Name: Ao ,,
Mailing Address:
SG
City State Zip
CONTACYPERSON
Namew Q /Z{� GiCJ . aj"d �' T)av Telephone d Z Z " — 3 7 � 9
Mailing Address:
. 416 t4 cS 11-
F IN A /� E I P /� x A) �_ r Fax State Zip
E -Mail Address: , , k l / ..e.� t ' Fax Number:
GENERAL - (Merlianical Contractor information on back page)
Company Name: nn
Mailing Address: l�6v
City State Zip
Contact Person: C (2 r ) ' yo Day Telephone: �06 — 9 6 � - 6 S:9 �
E -Mail Address: Fax Number:
Contractor Registration Number: Co� 2G 1t d 33 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
Mailing A
1
CITY OF TUKWIL4
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Contact Person: `
E -Mail Address:
q:Upermits plus \icc changes\pamit application (7 -2004)
Revised: 611.05
bh
Page 1
City State Zip
Day Telephone:
Fax Number:
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,�BUILDING' PERMIT: INFORMA I'ION 206= 4313670
Valuation of Project (contractor's bid price): $ 3e- Existing Building Valuation: $ Q
Scope of Work (please provide detailed information): I- e vt tC) > J 6)
Will there be new rack storage? ❑ ..Yes
W:. 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): —�-� gSa 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 9 No If "yes ", explain: 6�C �) h nu r:�,e
1 FIRE PROTECTION/HAZARDOUS MATERIALS:
❑.. Sprinklers ❑ ..Automatic Fire Alarm one ❑ . 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 I1 paper indicating quantities and Material Safety Data Sheets.
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gMpermits plus \ice changes\permit application (7.:004)
i Revised'. 6•9-05 Page 2
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Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
13t Floor
2n. Floor
3` .Floor
Floors thru
Basement
te►�ev✓d
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): —�-� gSa 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 9 No If "yes ", explain: 6�C �) h nu r:�,e
1 FIRE PROTECTION/HAZARDOUS MATERIALS:
❑.. Sprinklers ❑ ..Automatic Fire Alarm one ❑ . 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 I1 paper indicating quantities and Material Safety Data Sheets.
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gMpermits plus \ice changes\permit application (7.:004)
i Revised'. 6•9-05 Page 2
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Call before you Dig: 1 -500- 424 -5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
...Tukwila ❑... Water District # 125 El.. Highline ❑ . Renton
❑ ... Water Availability Provided
Sewer District
❑ ...Tukwila E] ... 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
v ❑ ... Bond ❑ .. Insurance El.. Easements) ❑ .. Maintenance Agreement(s) ❑ ... Hold Harmless
Proposed Activities (mark boxes that apply):
r
❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ .. Right -of -way Use - Profit for less than 72 hours
F Use - No Disturbance ❑ .. Right -of -way Use — Potential 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
❑ .. Work in Flood Zone
❑ .. Storm Drainage
E3.. Abandon Septic Tank
El.. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
❑ ...Permanent Water Meter Size... 11 WO# _
❑ :..Temporary Water Meter Size.. 19 WO# _
... Water Only Meter Size............ It 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:
Day Telephone:
City
State Zip
Water Meter Refund/Billine:
Name: Day Telephone:
Mailing Address:
City
State - Zip
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q:Npermits plus\icc changestpermit application (7 -2004)
Revised: 6.8.05 Page 3
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MECHANICAL PERMIT INFORMATION — 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 .... ❑ Replacement..... ❑
Commercial: New .... ❑ Replacement..... ❑
Fuel Type Electric ..... ❑ Gas....❑ Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty
Unit Type:
Qty
Unit T e:
Qty
Boiler/Compressor:
Qty
Furnace<100K BTU
Air Handling Unit >10,000
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
I
Incinerator — Comm/Ind
Other Mechanical
<I0,000 CFM
I 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 grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested
in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNE R A HORI ED AGENT:
GC / -a—� ' -P Date: Z -0
Signature: O e: V
Print Name: P r� d + t! Day Telephone:
Mailing Address: �� tCsLp(���k Z.4
City State Zip
Date Application Accepted: Date Application Exp'res: Staff Initials:
��9 �o5 /�2 a 9 /u S
q:tlpermits plusticc changes \permit application (7 -2041)
Revised 6.4.05 Page 4
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'R. City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 3348400789
Address: 5014 S 118 ST TUKW
Suite No:
Applicant: ROBERT WADE
Receipt No.: R05 -00941
Initials: LAW
User ID: 1630
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
D05 -221
PENDING
06/29/2005
Payment Amount: 174.55
Payment Date: 06/29/2005 11:14 AM
Balance: $0.00
Payee: GEORGE BURNS
TRANSACTION LIST:
Type - - - - -- Method Description - - - - -- Amount
-- - - - - -- ---------------------------
Payment Check 1173 174.55
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
BUILDING - NONRES 000/322.100 103.06
PLAN CHECK - NONRES 000/345.830 66.99
STATE BUILDING SURCHARGE 000/386.904 4.50
Total: 174.55
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} = 10 064/29 1 1 1 16 1:.iIAL 349 -_i.0
doc: Receipt Printed: 06 -29 -2005
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INSPECTION RECORD I Cf �o�a
etain a copy with permit (( 2
INSPE PE J -
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Pro'ect:
Type of Inspec i *.
Adess�: - f;
~ i !
Date ailed:
Special Instructions:
( �' Cat" t �
Datd Wanted:
Req s r:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
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COM ENTS:
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INSPECTION RECORD �~
Retain a copy with permit
INSPECTION NO. PWIT CITY OF TUKWILA BUILDING DIVISIO
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (,l.' -3670
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},6pproved per applicable codes. E] Corrections required prior to approval.
P ojec : Ty of Inspection:
Date Called
cy
Special Instr ctions: Date Wanted: a.m.
�/� C) m
{' � D Requester•
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
Type of In pe do
Add rgips
o II�S
Date Called:
DC/
1�Me) s
Special Instructions:
Liou r p� �' ✓
—�j ►�rs�P c �-� "cam
"
Date Wanted: o a. m.
vs
Requester:
.54e ue y
Phone No:
Inspector: � ' Date:
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspectic
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Approved per applicable codes. El Corrections required prior to approval.
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of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment E
of account and carry general liability insurance.
License Information
License
COBBLC" 033BM
Licensee Name
COBBLESTONE COMPANY, THE
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
t
601758979 Verify Workers Comp Premium
Status
Ind. Ins. Account
Id
Business Type
CORPORATION
Address 1
PO BOX 77219
Address 2
City
SEATTLE
County
KING
State
WA
Zip
98177
i
Phone
2063656595
Status
ACTIVE
Specialty 1
CONCRETE
Specialty 2
EXCAVATION /GRADING
Effective Date
1/14/1997
Expiration Date
11/10/2005
Suspend Date
Separation Date
h
Parent C ompany
Previous License
COBBLC "066C7
Next License
,.. ....
Ass oc i ated _ . ,.. ,... ,_,...u.... _..,...... ,...,..... -.. _ ....,..,...z. _. I
License
Bus iness Owner Information s
https:H fortress .wa.gov /lni/bbip/Detail.aspx ?License= COBBLC *033BM 06/29/2005
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of approved Field Co and =Wftm
BY
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. D BU DIV99M
REVI
.7-1 ar
t-c-s-is-hall be mob to the scqm
uAthout prior approval of
T�:" Building Dlvkkm
NOTE: Revisiohs-.�glfl require a mw pbn submMl
and mmi lnrhriA A.:e
RECEIVED
OITY OF TUKWLA
WN 2
PERMIT CENTER
REVIEWED FOR
CODE COMPLIANCE
JUN 2 9 2005
Qtr Of Tufmil -a
T V T S T N
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