HomeMy WebLinkAboutPermit D05-334 - NGUYEN RESIDENCE - SUN ROOMNGUYEN RESIDENCE
4925 S 107 ST
EXPIRED 10 -03 -06
D05 -334
•
i
cit G. Tukwila Steven M. Mallet, Mayor
Departinew of Community Development Steve Lancaster Director
r l0 6300 Southcenter Boulevard, Suite #100
= Tukwila, Washington 98188
% Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
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Web site: ci.tukivilama.its
DEVELOPMENT PERMIT
Parcel No.: 5476800150 Permit Number: DOS -334
Address: 4925 S 107 STTUKW Issue Date: 10/13/2005
Suite No: Permit Expires On: 04/11/2006
Tenant:
Name: NGUYEN RESIDENCE
Address: 4925 S 107 ST, TUKWILA WA
Owner:
Name: WOOD DAVID H +CHARLOTTE E Phone:
Address: 107TH, TUKWILA WA 98178
Contact Person:
Name: DAN GARVIDA Phone: 206 - 261 -2418
Address: 12038 SE 169 PL, RENTON WA
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Contractor:
Name: OWNER AFFIDAVIT ON FILE Phone:
Address: ,
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
CONSTRUCT 19'X 17 SUNROOM OVER EXISTING CONCRETE PORCH ON GRADE
Value of Construction: $3,000.00 Fees Collected: $277.61
Type of Fire Protection: SMOKE DETECTOR 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 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 -334 Printed: 10 -13 -2005
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City of Tukwila
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Department of Community Development / 6300 Southcenter BL, Suite 101
PERMIT CONDITIONS
Parcel No.: 5476800150 Permit Number:
Address: 4925 S 107 ST TUKW Status:
Suite No: Applied Date:
Tenant: NGUYEN RESIDENCE Issue Date:
/ Tukwila, WA 98188 / (206) 431 -3670
DOS -334
ISSUED
09/07/2005
10/13/2005
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: Truss shop drawings shall be provided with the shipment of trusses delivered to the job site. Truss shop drawings shall
bear the seal and signature of a Washington State Professional Engineer. Shop drawings shall be maintained on the site
and available to the building inspector for inspection purposes.
5: 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.
6: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any
requirements for special inspection.
7: All wood to remain in placed concrete shall be treated wood.
8: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building
inspector. No exception.
9: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department
of Labor and Industries (206/248- 6630).
10: 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 005 -334 Printed: 10 -13 -2005
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City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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i 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.
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1 doc: Conditions 005 -334 Printed: 10 -13 -2005
City G. ' Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: d wkwila. wa. its
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: D05 -334
Issue Date: 10/13/2005
Permit Expires On: 04/11/2006
Permit Center Authorized Signature: Date: `: l 3� ct�
I hereby certify that I have read and am' d 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 the performance of work. I am authorized to sign and obtain this development permit.
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Signature: 7 Date:
Print Name: W'�� ►��
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 -334 Printed: 10 -13 -2005
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 -334 Printed: 10 -13 -2005
*%LA. w4r CITY OF T UKWIL4'�
Community Development Department
g Public Works Department
At Permit Center
190 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
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
--k King Co Assessor's Tax No.: �� I
Suite Number: Floor:
Tenant Name: New Tenant: ❑ .... Yes ❑ ..No
Property Owners Name: XD U
Mailing Address: e :'V1r `� 1 !� D qe�S—
City State Zip
CONTACTTERSON
Name: t�tl�� y ` Day Telephone ' t/ P� ' 9
Mailing Address: �V �� 1 �-' ��1 V , y4
City St Zip
at te
E -Mail Address: - � r�U k " �� G� ��C� tJ E Fax Number: -�+ '_51 ' Z 2-
GENERAUCONTRACTOR INFORMATION- (Mechanical Contractor information on back page)
Company
Mailing A
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 **
ARCHITECT OF: RECORD — All plans.tnust be wet stamped by Architect of Record
Company Name:.
Mailing Address:
Contact Person:
E -Mail Address:
City State Zip
Day Telephone:
Fax Number:
ENGINEER. OF RECORD - All plans must be wet stamped by Engineer: of Record
0
Company Name:
Mailing Address
Contact Person: -
E -Mail Address:
City
Day Telephone:
Fax Number:
State Zip
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BUILDING PERMIT INFORM. ION 206431 -3670
Valuation of Project (contractor's bid price): $ r-- Existing Building Valuation: $
Scope of Work (please provide detaYed information):
�(���' )GI �C 1 � �tN'� -tad
Go CAT rZ_ V. Vol (�Do c, 0.6x;;r--
Will there be new rack storage? []..Yes ) 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):S.T Floor area of principal dwelling:�D Floor area for accessory dwelling:
*Provide documen ation 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: A
[I.. Sprinklers ❑..Automatic Fire Alarm ❑..None �] -Other (specify) ��L Will there there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes [YNo
If "yes ", attach list of materials and storage locations on a separate 8 -112 x 11 paper indicating quantities and Material Safety Data Sheets.
q:Upermhs plus\icc changes \permit application (7.2004)
Revised 6 -8-05 Page 2
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Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
1 st Floor
2" Floor
3` 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):S.T Floor area of principal dwelling:�D Floor area for accessory dwelling:
*Provide documen ation 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: A
[I.. Sprinklers ❑..Automatic Fire Alarm ❑..None �] -Other (specify) ��L Will there there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes [YNo
If "yes ", attach list of materials and storage locations on a separate 8 -112 x 11 paper indicating quantities and Material Safety Data Sheets.
q:Upermhs plus\icc changes \permit application (7.2004)
Revised 6 -8-05 Page 2
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PUBLIC WORKS. PERMIT IN TION - 206 - 433 =0179
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Scope of Work (please provide detailed information):
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Call before you Dig: 1- 800 - 424 -5555
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Please refer to Public Works Bulletin #1 for fees and estimate sheet.
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Water District
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❑ ...Tukwila El ... Water District # 125 ❑ .. Highline ❑ ... Renton
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❑ ... Water Availability Provided
to 0
District
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❑ ...Tukwila ❑... ValVue ❑ .. Renton ❑ ...Seattle �
CO to U.
�•,�.{
..Sewer Use Certificate
❑ . ... Sewer Availability Provided ❑ .. Approved Septic Plans Provided
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❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department.
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Submitted with Application (mark boxes which apply):
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❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ")
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❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑ ... Traffic Impact Analysis
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❑ ...Bond ❑ ..Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) El ... Hold Harmless
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Proposed Activities (mark boxes that apply):
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❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ .. Right -of -way Use - Profit for less than 72 hours
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❑ ...Right -of- -way Use - No Disturbance ❑ .. Right -of- -way Use — Potential Disturbance
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❑ ...Construction/Excavation/Fill - Right -of -way
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Non Right -of -way
❑ ...Total Cut cubic yards ❑ .. Work in Flood Zone
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❑ ...Total Fill cubic yards ❑ .. Storm Drainage
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❑ ...Sanitary Side Sewer El.. Abandon Septic Tank ❑ .. Grease Interceptor
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❑ ...Cap or Remove Utilities El.. Curb Cut ❑ .. Channel ization
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❑ ...Frontage Improvements El.. Pavement Cut ❑ .. Trench Excavation
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❑ ...Traffic Control ❑ .. Looped Fire Line El.. Utility Undergrounding
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❑ ...Backflow Prevention - Fire Protection
f ,r
Irrigation
"5
Domestic Water "
❑ ...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
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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 RefundBilline:
Name: Day Telephone:
Mailing Address: City state - Zip
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q: \lpermits plus\ice changes\pertnit application (7.2004)
Revised: 6.8.05 `
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Page 3
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 Type:
Qty
Boiler /Corn pressor:
Q
Furnace <IOOK BTU
Air Handling Unit >10,000
Fire Damper
0 -3 HP/ 100,000 BTU
CFM
Furnace>IOOK 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
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Other Mechanical
I
<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 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).
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 O)YNER.OR A T. RIZED GENT:
Signature: Date:
Print Name:
.� tr
Mailing Address: �- N( — �-� FL
Day Telephone.
2.Cjty . *2.&. - '2q1
�p - ro ` Lf�N�& - S�) 5-S
City State Zip
Date Application Accepted: • a • K I Date Application Expires: O � • �� • � Staff Initials:
M q:\ \permits plus \icc clungcs \permit application (7 -2004)
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�. City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.:
Address:
Suite No:
Applicant:
f
5476800150
4925 S 107 ST TUKW
NGUYEN RESIDENCE
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
D05 -334
APPROVED
09/07/2005
1
. Receipt No.: R05 -01516 Payment Amount: 210.62
Initials: 7EM Payment Date: 10/13/2005 02:17 PM
User ID: 1165 Balance: $0.00
Payee: DANIEL V GARVIDA
s
TRANSACTION LIST:
Type - - _ - -- Method Description - - - - -- Amount
- - - - -- ------------------ - - - - -- --
Payment Check 5147 210.62
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
BUILDING - RES 000/322.100 206.12
STATE BUILDING SURCHARGE 000/386.904 4.50
{ Total: 210.62
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$.:1.'15 10/13 9716 TOTAL 2;1.0.
doc: Receipt Printed: 10 -13 -2005
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City of Tukwila
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6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
1
RECEIPT
Parcel No.: 5476800150
Address: 4925 S 107 ST TUKW
Suite No:
Applicant: CAM HOUNG THI NGUYEN
Permit Number:
Status:
Applied Date:
Issue Date:
DOS -334
PENDING
09/07/2005
Receipt No.:
R05 -01328
Payment Amount:
66.99
i
Initials:
JEM
Payment Date:
09/07/2005 03:04 PM
i User ID:
1165
Balance:
$210.62
r Payee: DANIEL V GARVIDA
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i TRANSACTION LIST:
Type Method Description Amount
Payment Check 5104 66.99
is
i ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
j PLAN CHECK - RES 000/345.830 66.99
t.
Total: 66.99
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6916 09/013 9716 TOTAL 66.99
doc: Receipt Printed: 09 -07 -2005
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ILE TION CORD
Retain a copy with permit
INSPECTIOWItT PE
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367 1
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Project:
Type of In pection:
'
Address:
Date Called:
Speci I I structions:
Date Wanted: a,
�. .m
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
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$58.00 REINSPECTI0W FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 SoLiNcenter Blvd., Suite 100. Call to sechedule reinspection.
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INSPECT
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Retain a copy wi permit
INSPECTION NO. PERM
CITY OF TUKWILA BUILDING DIVISION
6 300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-36�
Project
Not fiLaM-3
Type of
Addrless:q / -
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Date Called:
5pe ial instructions:
Date Wanted: a. m.
p.m.
Requester:
Phone No:
Corrections required prior to approval.
O Approved per applicable codes.
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Inspector
Date: L
$58.06' REINSPECT ION FEE REQUIRED. Prior to inspection, fee must be
I Receipt No.: I Date:
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INSPECTION RECORD � � 93
Retain a copy with permit T
INSPECTION NO. PERM ff NO.'
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (06)4 -36 0
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Project:
21 �1 ,� S -
Type of Inspection: I
00 7` /A/ G.
Addr
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Date Called:
Special Instructions:
Date Wante // ,.a�.^m�^.
06 C r•
Requester:
Phone No:
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a Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
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Inspec Date: Z
8.00 REINSPECTION FEE EQUIRED. Prior to }}' spection, fee must be
aid at 6300 Souihcenter Blv ., Suite 100. Call�Eo sechedule reinspection.
Receipt No:" Date:
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-J; .. O City of Tukwila Steven M. Mullet, Mayor
J'` :. = Department of Community Development Steve Lancaster, Director
�'' •'fir
1908
09 -05 -2006
DAN GARVIDA
12038 SE 169 PL
RENTON WA 98058
RE: Permit No. D05 -334
4925 S 107 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,
i 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 tirne after the work is commenced for a period of 180 days.
I.
Based on the above, you are hereby advised to:
f
Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next.or final inspection. ,
I
. . 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 one or more extensions of time for
additional periods not exceeding 90 days each. Extension requests must be in writhm 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 10/03/2006, your permit will become null and i
void and any further work on the project will require a new permit and associated fees.
S
Thank you for your cooperation in this matter.
Sincerely,
t w�
e� r M rshall,
ician
xc: Permit File No. DOS -334
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6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665
J
city of Tukwila
Department of Community Development Steve Lancaster, Director
Steven M. Mullet, Mayor
Aso,.
03 -03 -2006
DAN GARVIDA
12038 SE 169 PL
RENTON WA 98058
RE: Permit No. D05 -334
4925 S 107 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 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 Inspection Request Line at 206 - 431 -2451 to schedule 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 or more extension of time for.
additiona perios not exceeding 90 days each. 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 04/11/2006, 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,
►(1;t �DU1
J ifer . arshall,
Permit Technician
xc: Permit File No. D05 -334
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665
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PERMIT COORD COF ._.
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D05 - 334
DATE: 09 -07 -05
PROJECT NAME NGUYEN RESIDENCE
SITE ADDRESS 4925 S 107 ST
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Issued
DEPART EN TS: �! /y
B tiii g
n v is � 06 Fire Prevention � FEZ Public Works _ Structural ❑
044 Of q-'O
Planning Division 1
Permit Coordinator ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete Incomplete ❑
Comments:
i
TUES/THURS ROU ING:
I
Please Route Structural Review Required
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{ REVIEWER'S INITIALS:
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Permit, Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Not Applicable ❑
APPROVALS OR CORRECTIONS DUE DATE: 10 -05-05
Approved ❑ Approved with Conditions le
Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS: DATE:
❑ No further Review Required ❑
DATE:
DUE DATE: 09 -08-05
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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:
206431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO.: 2OG a�
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
Cd M H N 0111 C % N C: LA states as follows:
[please print]
1. I have made application for a building permit from the City of Tukwila, 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 re uirement 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 I may be waiving certain rights that I might otherwise have under state law in any decision to engage an
unregistered contractor to perform construction work.
APPLICANT/ O W W
,_�..• ° 'acs A e''
• F.p 'S
Nd.rq A'•. �A
* : V�_ ;
Signed and sworn to be a me this
day of ' 20 0,A
NOTARY PUBLIC in and for the State of Washington,
Residing at
Name as commissioned:
County.
My commission expires: l Ud
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\applications\8 -2004 affidavit in lieu of contractor registration
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, br 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 highway projects who have been
prequalified as 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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PROJECT SITE: -
FROJECT INFORMATION: STRUCTURAL G NOTE5
5. 1 0 - 7th ST omNr itI !�V�ST = I j DESCRIPTION OF PROJECT: CONSTRUCT 19' X IT' SUNROOM CONSTRUCT .
T ION: ALL ON5TRl1GTION TO BE IN ACCORDANCE WITH
- ---- -- - ---__ _ Ai i •, ' INTERNATIONAL RESIDENTIAL CODE 2003 AS AMENDED BY THE LOCAL BUILDING DEPARTMENT.
°yS ti� S R Se _ ; ' # t to _ — �� OVER AN EXI5TING CONCRETE PORCH.
% -1 1 LOADS: DE55NOA 25 PW
I I OYV�R: GAMFNJ�ONG THI NG�l1YEN FLOOR LIVE LOAD 40 PSF (30 PSF BEDROOM)
'$ ti 4925 - 5 fO1TH 5T. DECK LIVE LOAD 40 P5F
85 MPH, EXPOS
I -- -- -- _. t , -.R ? F anti: BALCONY LIVE LOAD 60 P5F
S Norfotic St I = ' `►- SEATTLE, WA �I8116
- : �- : ;. °t , -c, WIND EXPOSURE B
PROJECT ADD RESS: 4
1JO '. 925 - 5 IOTTH ST. I SEISMIC DESIGN CATA60RY D2
SEATTLE WA 88178 r - .- :� .;_ .
$Goo� �. t � FOUNDATIONS: (1) FOUNDATIONS TO BE PLACED ON FIRM UNDISTIARBED EARTH, AT LEAST 18
�r BELOW ADJACENT EXTERIOR GRADE. (2) ALLOWABLE SOIL BEARING PRESSURE: 2000 PE
Him
+t. �- ��- -- - ; �..� .4 �;,,= LOT DESCRIPTION: 11 MERRfGKS ACRE TRS DIV * 2
• , ; e; c �-_ t (AS+5UMED) (3) Foundations for all buildings where the surface of the gr ound slo
W/ 1/2 LE55 IRAN LN R/IN 9r o es
P
�; S 104th ' s r--- ! ' 0 more than I foot In 20 toot shall be level or shall be stepped so that both to and
23'
-- - �' I c bottom of such foundation are level.
p 4&, <t CONCRETE: CONCRETE TO ATTAIN A 26-DAY COMPRESSIVE STRENGTH of 2,500 PSI, USING
�-
y - •-- '--., ; -'`� ;.. PARCEL TAX NUMBER: 54 ?6800150 TYPE I CEMENT, AT LEAST 5 ? SACKS PER CUBIC YARD. MAXIMUM SLUMP 15 4 ". MAXIMUM
Screston St .. —± AGGREGATE 51ZE 15 1 ?'.
i q' -- S ZONE: SINGLE FAMILY RESIDENTIAL
! , i REI NFORCING: ALL BAR REINFORCING TO COWORM TO A5TM A615, GRADE 60. ALL !MELDED
N' AREA OF COVERAGE: WIRE FABRIC TO COWORM TO ASTM AI85. ALL HORIZONTAL REINFORCING TO BE GONT NUCA -'
AT CORNERS AND INTERSECTIONS BY USE OF CORNER BARS LAPPING 2'-0" EACH DIRECTION
� LOT AREA: 1'1,151 50.FT. OR BY LAPPING REINFORCING 2`-O' AROUND CORNER. WELDING OR TACK YIELDING OF
4 i& rn' > °�` ~� BLDG. FOOTPRINT: 810 50PT. REINFORCING BARS TO OTHER BARS OR PLATES, ETC., 15 PROHIBITED EXCEPT YIHERE
S f1 �" -- ADDITION: 232 50.FT. (5UNROOM) SPEGlFlGALLY APPROVED BY THE ENGINEER. REINFORCING STEEL SHALL 13E ACCURATELY
,
r ♦ PLACED AND ADEGIUATEI..Y SECURED !N POSITION. LOCATION OF REUORGEMENT SHA�'°I� BE
--ti
ARE �` �.-a` I $Arartsi TOTAL BLDG. FOOTPRINT: I,133 SQ.FT. �� �O. AS INDICATED ON THE DWGS. THE LENGTH OF LAPPED SPLICE SHALL BE 48 BAR >�"�TERS
LOT .O-, MINIMUM, UNO. THE NONGONTAG
PISA It�l/kN1 appnOral iS Subject fb errors and FARTHER T SPLICED REINFORCEMENT SHALL NOT BE SPACED
APART THAN 6 MELDED OR MECHGNIGAL CONNEGTION5 SHALL
/ ; `' f "` ? ' - --- -��� '�- _ '�a _- ' &`� c° 4 '•` � VERSfB..Y
tt St -; - - ' "°j am s1► '9v�;s_ IMPERVI AREA: I�65 SQ.F'f. l obS�) Of � � dm r � 125 PERCENT OF THE SPECIFIED YIELD STRENGTH OF THE BAR IN TEN510K
h s 17th Pi ' =1 �•` GLAZING:
00 violation d &W d OOde or a dkld m FOLLOWING MINIMUM CONCRETE PROTECTION FOR REINF SHALL BE PROVIDED:
� -.:. of Field
�: ,p Q: S y, f AREA OF HEATED SPACE: 1 .520 SOFT. �� � CAST AGAINST AND PERMANENTLY EXPOSED TO EARTH 3'
�,q �• �S �19� S;.-� �s - .` a - EXP05EP TO EARTH OR LEATHER:
- :� GLAZING:
``�- '"•' ';,. #6 BARS AND LARGER 2'
''" : ' PERCENTAGE: #5 BARS AND SMALLER Babe: NOT 13 O T WITH THE GROUND:I I/2"
NOT EXP05ED TO WEATHER OR IN 00WAG
/ SLABS, WALLS 3/4"
TABLE OF CONTENTS: CRY of Tukwlb ANCHOR BOLTS ALL BOLTS TO CONFORM TO ASTM A -30'7 OR AS SHOPIN ON THE DRAWINGS\
BUILDING DIVISION ALL ANCHOR BOLTS SHALL BE 5/8' DIAMETER J BOLTS W/3" �C3"xl /4' PLATE WASHERS,
/ A -1.0 SITE PLAN„ VICINITY MAP, PROJECT IM O., GEN. NOTES. 1' MINIMUM EMBEDDED IN CONCRETE, AND PLACED AT NO MORE THAN 6' 0(% UNLESS NOTED
/ OTHERWISE (UNO). ONE BOLT SHALL BE PLACED WITHIN 12" OF EACH END OF THE SILL
A-2.0 FLOOR PLAN, FOUNDATION, FRAMING, SECTION 4 ELEVATION5 PLATE W/ MINIMUM 2 BOLTS PER SILL PLATE PIECE.
- - NAILING: ALL NAILS SPECIFIED TO BE COMMON WIRE NAILS. FRAMING NAILING TO BE IN
O GOMPIANGE WITH TABLE R602.3(I) I.R.G. UNO.
TY MAC r' c' rT sal t LWIBER: LUMBER 2 INCH NOMINAL TO BE H.F. #2 OR BETTER, UNO. LUP93ER OVER 2 IN CHE5
�0 c= t:
SCALE: NTS `:E *`t'° � an D
al of NOMINAL TO BE .F. #2 FOR BEAMS, AND #2 FOR GOLUMN5, UNO. ALL WOOD IN CONTACT
/ n : -... -.
ls`= ULdIding Dkftlon
1.2 : _t WITH COW.R E TO BE PRESSURE TREATED.
/ RIDGE GAP a n ` ri : • t; 7 ,Z'..,+' cr+. a reeY, p n s,�b
r�tal
_.� .�,c: gall r�:e.. _��.
/ - 1 PRE - FABRICATED ROOF TRUSSES: TRU55E5 SHALL BE PLANT FABRICATED OF D.F. OR H.F.
/ F-XISTR46 TRUSSES AND BEAR SEAL OF MANUFACTURE. SUBMIT TRU55 SHOP DRAWMN&S AND CALCULATIONS
/ TO REMAIN lX3 DUBLIN GORRUGAT'ED STAMPED, SIGNED AND DATW BY A WASHfNGTON STATE LICENSED STRUCTURAL ENSINEER
ROOF, COMP. 24" O.G_ GONT F , ROOFING TO THE ENGINEER OF RECOIL D FOR REVIEW AND APPROVAL PRIOR TO FABRICATION.
CRICKET BIRD BLOCKING !2
GLUED- LAMINATED BEAMr': ALL 6LU -LAM BEAMS TO BE OF DOUGLAS FIR COAST RE610N
KILN DRIED, NM COMBINATION 24F V4 I:6 E (Pb =2,400 P51, Fv =240 P51) FOR SIMPLE
/2' PLY SAL FLASHING —�3 SPAN AND 24F V8 1.8E (Fb =2,400 P51,
F'v =240 P51) FOR CONTINUOUS AND GNATILEVERED
A BEAMS, UNO. USE WATERPROOF 61-UE . LAMIMATED MEMBER TO CONFORM TO
TRU=S ESS e 2 O. AITG 5TANDARDS 111, BE Ad w CERTIFIED, AND BEAR AN AITG IDENTIFICATION MARK.
CAMBER ALL GLU LAMINATED BEAMS TO 2�000' RADI SE.
/ ROOF, COMP. PRE- ENkSINEEFMD STRUCTURAL LIk-WERS: ALL ENGINEERED LUMBER5 SHALL MEET OR
/
METAL FLASHING EXEED C Fb =2, PSI, Fv = 285 PSI, F4.11 = 2,900 P51, Fo??650P5I, AND E=2.0 E, IWO.
AA
/
/ t 131 i BY x "1
RUS -JOI J O IS GORPORATION AND TO BE INSTALLED PER MAM�IFAGTURE'S SPEG� ! ATIG ONS.
/ EXISTING FASCIA o 13E REMOVED � 0414"
/ TO REMAIN 4x8 � � —! HI H 161, � OR B. (2) ROOF SHEATHING TOO BE I� I SPAN RATING 32/!6, FLOOR GDX
I
/ EXISTING WALL StMfP�-'O x 8 5HEATHINGS TO BE 3/4 INCH MIN. T46, SPAN RATING 48/24, AND EXTERIOR WALL
TO REMAIN 0 SHEATHING TO BE U2 INCH, SPAN RATING 24/0., UNO. (3) FASTEN AT ALL SUPPORTED
EDGE5 WITH 8d NAILS AT 6 INCH OG AND AT INTF.WOR SUPPORTS WITH 8d NAIL5 AT
t 12 INCH OG4 UNO. (4) ROOF AND FLOOR SHEATHINGS SHALL BE INSTALLED WITH LONG
z 1/4 PLEX -GLASS DIREGT1om� PERmcicuAR To SUPPoRTS_ o) THE FLOOR SHEATHING SHALL BE GLUED
TO THE SUPPORT5 WITH AN APPROVED ADHESIVE.
/ 4X4 POST (P.TJ F (__ ; HARDWARE: ALL HARDWARE SHALL BE MANUFACTURED BY SIW50H STRONG -TIE, LINO.
TIMBER CONSTRUCTION NOTES: (1) WHEN TOP PLATE 15 IN BY HEADER„ HEADER,
SHALL HAVE STRAP GONNWTOR5 TO THE TOP PLATE EACH END. USE 2- SIPP50N MISTA24
GONNEGTOR5. LINO. W PROVIDE SOLID BLOCKING OVER SUPPORTS. (3) ALL EXTERIOR
(2) 2X4 HIOR. GOVT. STUD WALLS SHALL BE 2x6 STUDS a 16' OG MAX. ALL INTERIOR STUD WALLS SHALL BE
2x4 MIN 5nM ® 16" OG MAX., UND. (4) WAL.L5, EXCEPT PARnroN WALLS, SHALL HAVE
I A SINGLE BOTTOM PLATE AND A DOUBLE TOP PLATE. TOP PLATE LAP SPLICE SHALL BE 4'
MIN IN LENGTH W/ l6d NAILS a 3" OG (ST ). 0) ALL DOOR AND WINDOW HEADERS
NOT GALLED OUT IN PLANS SHALL BE (2)2x8 HF #2 MINIMUM W/ ONE CRIPPLE AND ONE
I j i f 51W EACif END FOR OPENINGS 4' OR LESS, AND ONE CRIPPLE AND TWO STUDS FOR
' . ! OPENIN6 OVER W WIDE. (6) ALL C X JA445 NOT GALLED OUT IN THE PLANS SHALL. BE
f /4' PLEXI- 6LA55
(2) STUDS. SPIKE LAMINATED COLUMNS TOGETHER W/ 16d FACE NAILS ® 12 OG MAX
(T) SPIKE LAMINATED 2 -2x COLUMN FOR HROLDOM W/ l6d FACE NAILS a 4" oC MAX.
i I j 2X4 PONY WALL (6) PROVIDE 5IMP -SON AG OR BG GAP AT EACH POST TO REAM GONNEGTION„ UNO. (9)
OW O.G. INHERIE STRUCTURAL GOLIWINS AND P05T'S ARE EXPOSAV TO YIEATHER. OR TO WATER
H H t I I I' I !? I SPLASH ABOVE A CONVMTE SURFACE, FRONDED A MIN. 1' PLINTH ABOVE THE CONCRETE
I/2" AB. a 3' O.G. `' AGE.. (10) FASTS E RS IN CONTACT NTH PRES1 --m TREATED WOOD SHALL BE HOT -DIP
FLOOR Jp15T W/ 3`X3')!14' PLATES GALVANIZED PER ASTMI A OR BE STAIN11LE56 STEEL.
EXIST. TO REMAIN 2X SILL (P TJ CONSTRUGT'10N NOTES: (U CONSTRUCTOR %HALL VERIFY ALL NOTES, DIMENSIONS, AND
I6' X 16' X 8' PAD CONDITI S PRIOR TO GOIvTRUGTION Alm NOTIFY THE ARC•HNTEGT AND THE E3461 R
EXISTING FDN. #4 VERT. a 16' O.G. FOR THE DEVfAT10N5. (2) SEE AR�GHATEGTU WI
RAL DRANGS FOR DIMENSIONS NOT SHOY�I
TO REMAIN 2X4 a lb` O . ALT 90V (3) wmTRAc IS RE%rctrIBL.E FOR ERECTION STABILITf AND ieapoRARY SHORING
4` GONG PAD (2) e4 HROR elb" AS GARY UNTIL FIRMA&ANT SUPPORT AND STIFFENING ARE INSTALLED. CONTRACTOR
RNiTww CHUWlc m SHALL BE SUBMTTED IN wiTIN6 To THE ARiCCmrTEGT AND EN6NmR
• FOR AF 1'WjWAL PRIOR TO FABRICATION OR CONSTRUGTk*L CONTRACTOR 15 RESP0tZ4BLE
51 TE PLAN < • s FAR AEU. SAFETY ;AUi'406 AM MlET1100S, TE 41NI UES, 5 OR PROCEDUEZES
• • s ` `` TO 2 CIRM His WORK_ THE 5TRi;UG11)RAL ENSIMMIZ HAS NO OVERALL
SCALE: i" = 20'-0" AU V0RITY OR ACTUAL AND /OR D!REGT 4510ILITY FOR THE SPECIFIC
WORKING cotapi ioNS AT THE SIT AMP/OR FOR ANY HIAZARIPS RESULTING FROM THE
A0 OR ANY TRADE GONTRAeTOR . THE 57FSXTURAL ENGlMEB2 HAS NO DUTY TO
R rMT561, SUPERVM NOTE, CORRECT, OR REPORT AW. HEALTH OR SAFETY DEFWAENCIES
OF THE Orff 3t, CONTRACTORS, OR OTHER ENTITIES OR PERSONS AT THE PROJECT SITE.
TYP NALL BETA I L
56ALE: SAV = I' - 0"
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DAN 6ARVIDA
206-261.2418
CHEGIGED BY:
DAN GAFMPA
SHEET TITLE:
SITE PLAN
)ACARTY MAP
CPM NOTES
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DAN GAFMPA
SHEET TITLE:
SITE PLAN
)ACARTY MAP
CPM NOTES
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