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HomeMy WebLinkAboutPermit D05-221 - WADE RESIDENCE - RESIDENCE DEMOLITIONWADE RESIDENCE 5014 S 118 ST DOS -221 i City ox Tukwila Steven M. Mullet, q 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 i Z Z �W QQ JU U CO O0, w= J � CO LL W O �. co D W. Z P' I— O z� W Do ,O N ` o W v LL —O w Z O Z i This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. 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 Z �W D 0 0 Co o w= J H; Co LL` W O LL Q U) D = W Z H 0 Z f-� W O CO WW F=- V. LL ~O ui z. C O Z 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 z �z H D '~' w U NO to W W_ H NLL wo U-Q (0 D = �w z t~- I— O z 1— w U� ON o f w w. H0 LO ..z w U= O~ z i f I i f S j r I i i i i i ii 1 i C it of Tukwila D*4kx; y 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 t i � y IOLA, 11P t � p 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: _ «.i.'.:+i m\M.'....5, S Vie d S,�w r. �+.:r.'ti.� 5yRll.i!'A ^�}k.ZMifCA`tlA4� �bx�{(� � kwwxfi!✓ • �'• �rlGiri +�N�llp:' S.Yw4Lttn�y�o:C' 4W.iY'.L''w`w PM6MM1yi Z — Z '~ W � WV UO N0 C0 Uj J H CO LL WO 2 QQ LLQ �D _° �W Z �o Z F- W U� O� o f- W H� �O LLi Z U� O F ` Z t ,�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. Z �Z �W aa� JU UO CO LU J f C0 U_ WO 9� LL ? cl)a =W H Z H H O Z H WW U� O CO) WW H� LL tll UN O Z gMpermits plus \ice changes\permit application (7.:004) i Revised'. 6•9-05 Page 2 bh 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. Z �Z �W aa� JU UO CO LU J f C0 U_ WO 9� LL ? cl)a =W H Z H H O Z H WW U� O CO) WW H� LL tll UN O Z gMpermits plus \ice changes\permit application (7.:004) i Revised'. 6•9-05 Page 2 bh 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 Z Z �W QQ� . J O. CO C0 W J = C0 U. W O U. Q = �W F— O Z LLI W ?0 O CO � H = ~ H LL O tll Z: CO) O Z q:Npermits plus\icc changestpermit application (7 -2004) Revised: 6.8.05 Page 3 bh 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 bh M ���mv 11 W11:111 � N11114 A n !,I & i �b Z Z �w UO CO) 0 C0 W J = H CO W WO U- Q. Nd �W Z H O Z l! W W VO O - o�- LU = U. U- 0 W Z U= O F- Z '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 \ V i � 1 1 'j'f� } = 10 064/29 1 1 1 16 1:.iIAL 349 -_i.0 doc: Receipt Printed: 06 -29 -2005 2 H: W U O. Cl) p: U) C/) LL WO LL Q = CY i— 2 Z t- Zo W 5 UC3 O co); w —O .. Z W CO) 'O ~' Z 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. i El COM ENTS: Z Z OQQG W . WV UO wi N LL W O LL Q co = d. �.. W 2 Z }.. F— O Z l!— �5 UO O - O H- W O .. Z. V CO) INSPECTION RECORD �~ Retain a copy with permit INSPECTION NO. PWIT CITY OF TUKWILA BUILDING DIVISIO 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (,l.' -3670 k I . },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• P AD l� � Le 0 Z �Z W U UO: N co W J =' S2 LL WO U . U �. = CY F- _: Z P 1- O' Z !— LU 5 U D 0 H WW �U IZ Z 111 U 3: O ~' Z 5 " (.e.S�� 0 Z �Z W U UO: N co W J =' S2 LL WO U . U �. = CY F- _: Z P 1- O' Z !— LU 5 U D 0 H WW �U IZ Z 111 U 3: O ~' Z 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 �W W� J U: UO N0. w= J W LL W O 9 5 LL aC I .-_ ?� �O Z H. �5 U O N, W u.l U- Z U C; H F-' O Z v Approved per applicable codes. El Corrections required prior to approval. t� i I Look Up a Contractor, Electrig4 or Plumber License Detail i Page 1 of 3 I { Topic Index I Contact Info Search Home Safety Claims & Insurance :; Workplace Rights Trades 8 Licensing _..._ ._._....,w...___.. ! Find a Law or Rule ; Get a Form or Publication Look Up a Contractor, Electrician or Plumber General /Specialty Contractor J A business registered as a construction contractor with L£tl to perform construction work within the scope i 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 Z � =-Z' . W �D 0O, Cj) 0 w= sI.- R u_ W 0, 2 9Q = CY LLI ?F 0 W Uj U 0 W W F=- U �O W U= O Z P File,, D05 -0221 35mm Drawing #1 P" 0 �j 0 00 W O ( 0 N Q. �o (0 Ci U o' • A., A%. 5 6 FIM MLZU Plan review approval Approval of is S UbJW W errors and omissia construction d0 c 0 rdft does not auUxft • the violation of any adopted C0* or ordinanm of approved Field Co and =Wftm BY Dm*: . 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 (JTLDTN1(- i)o5 - ;ta i