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HomeMy WebLinkAboutPermit D2000-125 - STOTSENBERG RESIDENCE - REMODELSTOTSENBERG REMODEL D2000 -125 City of Tukwila Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Signature: DEVELOPMENT PE RM: T WARNING IF CONSTRUCTION BEGINS BEFORE APREAL PERIOD EXPIRES APPLICANT IS PROCEEDING A7 THEIR OWN RI S. Parcel No: 161000-0156 Address 3742 142 ST _;Mite No: Location: Category: A'SFR Type: DEVPERM Zoning: NCC Con: t Type: Gas /Elec.. Unit.: 001 Setbacks: North: .0 South: .0 Water: N/A ;ewer: N/A Wetlands: Slopes: N Contractor License No: OCCUPANT GREG STOTSENBERG 374E S 142nd ST, TUKWILA WA 98168 OWNER ANDERSEN GUSSIE C PO BOX 692, BLACK DIAMOND WA 98010 CONTACT GREG STOTSENBERG 3742 S 142nd ST, TUKWILA WA 94168 Permit Center Authorized Signature: Occupancy: UBC : Fir'e Pc East: .0 West: Print Name: SIN -- ■C.t3242L� �# J �— jag_K Permit No: D2O0U -1._5 tatus • I'SSUED issued: 0l3/10/2000 E •:dire':•: 02/06/2001 Streams: (206) 431 -3670 DWELLING 199 .0 Phone: Phone: (206)000 -0000 Phone: 206 -241 -7145 t :4 k 4 4.4 k k k****•k .4:4*** * k k * 4 k k **** k:4 4•k k* k k k 4 k k* k .4 JO, 4 k k :4 k :4 :4:+ k** k 4•.4•.l• *** k•k:4 ** * ** k 4 y 1 Permit Description: REMODEL k * **.kk* **•k* * *•.4•:4 *k *k * ** *• ** Ak *k*44 *kkk:k.4•:4* *•.4•k• *:4•** *4, **** • k•.4 .4•k* * * *** 4,*** * *k* *:44 Construction Valuation: $ 10,000.00 PUBLIC WORKS PERMITS: •4 (Water• Meter Permits Listed Separate) Eng. Appr: Curb Cut /Access /'Sidewalk /CSS : Fire Loop Hydrant: No: Size(in): .00 Flood Control Zone: Hauling: Start Time: End Time: Land Altering: Cut: Fill: Landscape Irrigation: Moving Oversized Load: Start Time: Sanitary Side Sewer: No: Sewer Main Extension: Private: Storm Drainage: Street Use: Water Main Extension: Private: End Time: Public: Public: k' 4• k 4 **: 4• k. *** * *•** ** * *: *k•k *4 4 444 - .4•k: 444444 - k94444:44'k* *:4 :4 A•44*:4•4.94 c TOTAL DEVELOPMENT PERMIT FEES: $ 484.81 *...k•.k* ***: 4• k**• k** 4 : 4 *: 4 ; 4 **• k: 4 ****• k**: 4*• k: 4•** 4***** 4k :4 *:4***k.4k * *:k:k**•k**k*449.4 • *9**9*'.4 Date:l LQ I hereby certify that I have read and examined this permit and know the same to be true and correct. All prcivisions 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 state or local laws regulating construction or the performance _1 wor'l . I am authorized to sign for and obtain this development permi Date: : This permit shall become nuii and void if the wc'r'k is nor commer•ccd within 140 days from the date of issuance, or if the w+JiL is suspended or abandoned for a period of 180 days from the last inspection. Z ~ w re 00 to O tu J = w w0 co = F— w _ Z ZO U1 w 0 0 N '. 0 I— . w w W 0 Z Address: 3742 S 142 ST Suite: Tenant: Type: DEVPERM Parcel 4: 161000-0156 CITY OF TUKWILA Permit No: D2000-125 Status: ISSUED Applied: 04/28/2000 Issued: 08/10/2000 444k**W A* 1,4,4 . 1( AA -4 k 4,444 .*kk* . kkAAA* . k*i4A . kikAkl.***11**AAAkk.A.*Akl.k1WkAlAA.4* Permit Conditions: 1. No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 2. Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear identi- fication showing the fire performance rating thereof. 3. All construction to be done: in conformance with approved plans and requirements of the Uniform Building Code (.1997 Edition) as amended, Uniform Mechanical Code (1997 Edition), and'Washingion State Energy Code (1997 Edition). 4. Plumbing permits shall be obtained through, the Seattle-King County Department of Public Health, Plumbing will be inspected by that agency, including all gas piping (296-4722), 5. Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical work will be inspected by that agency (248-6630). 6. All mechanical work shall be under separate permit issued by the City of Tukwila. 7. Applicant shall obtain a separate plumbing permit from King County Enmironmental Health Dept. @ (206) 296-4932 for any plumbing modifications inside the building. 8. All permits, inspection records, and approved plans shall be available at the job site prior to the start, of any con- struction. These documents are to be maintained and avail- able until final inspection approval is granted. .. Project Namerrenant: ' Type of work: ❑ New Single- Family Residence ❑ Addition - Single - Family Residence Il Remodel- Single - Family Residence ❑ Residential Accessory Structure* ❑ Remodel /Addition to Accessory Structure ❑ Garage(s) ❑ Deck(s) - Covered & Uncovered ❑ Residential Reroof Is this site served by: ❑ Sewer ❑ Septic (King County Health Dept. approval required - 296 -4722) Value of Construction: Site Address: ` / /�� n -- . .3 7 L SU . , q7 Stat!Zip9 Me �.w /� � '&6 Parcel b6 W ��(� Property Owner: - 5/4 Floor Area Ratio: (total floor area of all structures divided by the area of the lot) Phone: D _ z Vt 7/ Street Address: r» / I /© - 4 rc 4 /e. A) / ity State/Zip: . 7ey/z Fax #: Contractor: Phone: Street Address: City State /Zip: Fax #: Architect: Phone: Street Address: City State /Zip: Fax #: Engineer: Phone: Street Address: City State /Zip: Fax #: Contact Person:/) & rGs6 �T° s-c- ,drf3 7 Phone: ,06 zY// 7/ V Street Address: City State /Zip: Fax #: Description of work to be done: -, , o U e L, Type of work: ❑ New Single- Family Residence ❑ Addition - Single - Family Residence Il Remodel- Single - Family Residence ❑ Residential Accessory Structure* ❑ Remodel /Addition to Accessory Structure ❑ Garage(s) ❑ Deck(s) - Covered & Uncovered ❑ Residential Reroof Is this site served by: ❑ Sewer ❑ Septic (King County Health Dept. approval required - 296 -4722) Existing Square Footage for Structure: 16 7'/ sq. ft. Dwelling i"' 7 sq. ft. Covered Deck(s) - sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck Proposed New Square Footage: sq. ft. Dwelling sq. ft. Covered Deck(s) sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck Floor Area Ratio: (total floor area of all structures divided by the area of the lot) "For an Accessory dwelling, provide the following: Lot area Floor area of principal dwelling Floor area of accessory dwelling • Provide documentation that shows the principal owner lives in one of the dwellings as his or her primary residence. CITY OF TU "WI LA Permit Center 6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188 (206) 431 -3670 Project. Number: Permit Number: Single- Family Residential Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. APPLICANTREQUEST:FOR PUBLIC WORKS SITE/CIVIL PLAN REVIEW OF THE FOLLOWING:. (Additional reviews shall be determined by the Public Works Department) ❑ Channelization /Striping ❑ Curb cut /Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s): ❑ Flood Control Zone ❑ Hauling ❑ Land Altering: 0 Cut cubic yds. 0 Fill cubic yds. ❑ Moving an Oversized Load: Start Time: End Time: ❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public ❑ Water Meter /Permanent # Size(s): ❑ Water Meter Temp # Size(s): Est. quantity: gal Schedule: ❑ Miscellaneous Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be re- viewed 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 ex- pire by limitation. The building official may extend the time for action by the applicant for period not exceeding 180 days upon written request by the applicant as definec(in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. Date p icahon c ted: - boa SFPERMIT.DOC 2/13/97 Dal app!" f a e _ 200d I Applic ion tak G als) PLEASE SIGN BACK OF, PPIICATION FORM 1V° Z I w cc 00 (0 o V1 W W = w � j c d = W t-- Z I- H ZI- w w U u) O N O H W 2 0 u- W Z U N = O ~ Z rim LU • • BUILDING:OWNeR AUTHORIZED AGENT: .'' .. J Signature: .�, 4 Date: y / l� ° fy • - Print name: • �jr s� 7� �r✓�� Phone C:Xv — z //•' Z 'C Fax #: Address: / / A / rtry .- City/State/Zit , t) e i be . ALL SINGLE - FAMILY RESIDtNTIAL PERMIT APPLICATIONS MUST B SUBMITTED WITH THE FOLLOWING: DRAWINGS PREPARED ■ A REGISTERED ARCHITECT OR PI ESSIONAL ENGINEER MAY BE REQUIRED BY THE BUILDING OFFICIAL : ALL bRbWINGS pHIALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN • �, BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED N/A SUBMITTED Copy of recorded Legal Description from King County ❑ Complete Land Use Applications if not previously submitted (i.e., Reasonable Use Exception, Variance, Shoreline or Tree Permit). ❑ Attach plans, reports or other documentation required to comply with Sensitive Area Ordinance and other land use or SEPA decisions. ❑ If dwelling has a septic tank, and a bedroom or bathroom are added, provide written approval from the King County Health Department or the Tukwila Public Works Department prior to submittal of permit application. ❑ Copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit is issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ". Building Owner /Authorized Agent If the applicant is other than the owner, registered architect/engineer, or contractor licensed by theState:of Washington," a notarized; letter from the property owner authorizing the agent to submit.: this permit application and ;obtain'the permit willl be required as part of this submittal. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LA OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. SFPERMYT.DOC 2/13/97 Certificate of water /fire flow availability (Form H - a). Contact the Public Works Department (206) 433 -0179 for servicing district. Certificate of sewer availability (Form H -11). Contact the Public Works Department (206) 433- 0179 for servicing district. Metro: Residential Sewer Certification (if Tukwila Sewer District) (Form H -12) King County Health Department approval for septic - 296 -4722 Four (4) sets of working drawings, which include: Site Plan (see example Form H - 16) 1. Existing fire hydrant location(s). 2. Proposed access road. 3. Driveway location- driveway shall be 10' wide minimum and 20' wide maximum. If driveway is over 150' long, driveway shall be 20' wide and have an approved turnaround (City Ordinance 1741). 4. North arrow and scale. 5. Building setback from property lines. Any proposed or existing easements must be shown on plan. 6. Public Works review requires the following on site plan: driveway location (10' min., 20' max. width), show proposed and existing power, water and sewer lines, existing storm drainage system, downspouts and foundation drains, and where drains tie -in. 7. Parking plan. 8. Lowest building elevation (if in Flood Control Zone). 9. Estimated /proposed topography at 2' intervals and proposed elevation of lowest floor level. 10. Identify location of sensitive areas slopes 20% or greater, wetlands, watercourses and their buffers. 11. Identify location and size of significant trees that are located in sensitive areas and buffers or the shoreline zone. Of those, identify which are to be removed (Title 18, City of Tukwila Zoning Code). 12. Identify location of high water mark of the Green /Duwamish River if site is located within 200' of the high water mark. 13. See Public Works Checklist for detailed site plan information required for Public Works Review (Form H -9). Foundation plan and details Floor plan AO Roof plan w5 A c c. � f Building elevations (all views)-- Building height Building cross - section Structural framing plans and details necessary to completely describe construction Washington State Energy Code Data (Gas /Electric /Oil /Propane /Heat Pump) Form H -15 available at Permit Center OR Prescriptive Heating System Sizing Chap 9 Form H -6. z w It 00 c 0 o w W CD Li_ 0 2 Q U) 0 = w z = w U O - 0- W I- H w z C.) U) 1= z Prec 5-7-11 Type of Inspe ti Address 31 .S. 14 '1 Si, Date calle Special ins ructions: ZIoloi Date want i' f �/ p.m. Requesp P �900A au/ — 7 (L/ INSPECTION NO. INSPECTION RECOI" Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION • 6300 Southcenter Blvd, #100; Tukwila, WA 98188 PERMIT NO. (206)431 -3670 Approved per applicable codes. L1 required prior to approval. COMMENTS: .�' VNS ( - 0 r 6 . — E 3 (-1 o v, Inspector: Date: cD L _ 1 1 •� �}�, 0 $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: :. Yrt+y�R'�:Tt�i A�h'1� • � Z J , .N9W�y1r'i�'� Z .v�1'Y�.Ji� y Cl 1'i�Ks2��li�SS��iif :�•' z ~ w re 2 JU 0 0 tn = 11.1 Nu. WO g Q ; w z � o. z w U � O - C) E- W tu IL F"' W z U2 O~ z COMMENTS: a ei f / ( Gj 7 • 78_, fi 44v !-ui 7 '7 // l ` r �5 S /.v.. ni , c-f- D . 2 J) t Wit.cr4 1.---46 y 7 / au-e -, ,G/l-f/il. / 11 h/ / f,n ` ra / . }4r? /ice /,., 6 r • i l•, 'e- G 1 49 t' rt..61 /A' Requester: / /a4 44 i f jl, &4> c. ,(4 _ r.,tii-s } r./ /4,0 "-I-It'd ci . fi.. _. 7 / 5 e -� !- 5 5 A / . f / 4�Vi /J t /_,,t/ !'7%^r..( -s T'- 4:;,h s / � C ■ 4P - r-, a 12 z-ii' k 1' !a* S 74_,, Gt cd ri-i Project: Ve S /tom T p oflnspec`on: e "/r, /- ai �5 S /.v.. ni , c-f- D47 / Specia instructions: Di/0/ Requester: / P hone: Poi- 4' 7 / p INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 9818 El Approved per applicable codes. Inspector: INSPECTION RECOIL l ' ' 1 1 j Retain a copy with permit �ZD�-/ Ot. ✓ 4A-?f"' f Date: ?--! PERMIT NO. (206)431 -3670 U " Corrections required prior to approval. $47.00 REINSPECTION ' EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: Receipt No: s if di ti ai, 'v:+_nrt..i "�:ir+;%iicd'al.,_•e .r:.ste.. 4.rt:,�:.'. �' tti_.; ak::: �..,. �>:. �' 4' ���i ei.n:.as�...,.�- .rr_�v_Tf,.w. '�dz:u..,..�c �:��' �:i...N,.�:t,,, a:::,.ki...1$r.}i� ": z re W 6 .J 00 to W= F- w w ga a w z� z0 W j o 0 0 f— w a. O Z . = O z COMMENTS: L ..- d l': 34 (#742i- ,4 .4. 1 - 1 ,4) , J,7‘,471./ , '- / a " -...* ' -"".. / .. i A/V ir-r.f ' / / )er,, 0/..tA .1? e IC S/411 5 :I - L5 --c a ,(3 s 4061.-- ?..._ /, ...--e,r Lii(.44t a. r_....k (0.11 S -bt 1 1-- \S » Z.,‘ le__ A // / i ra 8 Li) cS 7 I t- r)i'd f f AI /i,leiel 1 1-1 lord ( -47. e ni s < of ,.t., u A'/ ' kAp,i y (19, e,. _ ' g. .., Ak -4 _ (Pr k" ,) " / .g,e 1 1 Get <relh s 1 4 0 /I 1400 g, kl-ii 11 Id di .4 h i le— ChvrA — lieu FAoject: (re CI Type of lnspectibn: Address) ' 5 N 5 -1--1 Datg_called: i Dat i"3/20 ( °I Special instructions: Dat w nted. '‚ o 1 a. r_....k (0.11 R 4 4 sterf KC( lA( Phone: Z(10 -2_ - 71 t-i, O INSPECTION RECOR Retain a copy with p'er INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION i 6300 Southcenter Blvd, #100, Tukwila, WA 981818 Inspector: PERMIT NO. ■)‘ (206)431-3670 ri Approved per applicable codes. J Corrections required prior to approval. Date: 1 1.14 111 $47.00 REINSPECTIQJ HE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: Proje . I _____ A., 41 - Type of lnspec 4 a; Adds: Date called: Special instructions: Date wanted: a.m. Requester: Phone: :.1 • INSPECTION NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 INS 2 RECOR Retain a copy with per PERMIT NO. (206)431-3670 n Approved per applicable codes. Corrections required prior to approval. 4 Ae ' ;21/.444d ,) Aei. 11-1112/4 d e-te 4 'E 7Z-10e S1-2-141 _ 0 $47.00 REINSPECTION E REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: z 1 z g 6 _a 0 00 co 0; (OW W I -J u. tij 0 2 g u_ <• ° LLI Z I-0 Z uj 0 0). 0 04— .W u i I a al co r- 0 1 z P j ect: u"e G S tO }Sean bct.r T e�of Inspection: g a. ne t n3 ddress I Z Dat e c led: Special instructions: D -atte� w ntteed: f a.m. I �?�v( p.m. ReS}uesc ( on• P / .�c�ry e-,711" )_`7 , 43- og INSPECTION NO. INSPECTION RECOR Retain a copy with perm CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter B lvd, #100, Tukwila, WA 98188 PERMIT NO. (206)431 -36 Approved per applicable codes. Corrections required prior to approval. COMMENTS: ' e Inspector: Date:7— 3-1') 0 $47.O REINSPECTION HE QUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: �iC :.'S:,i+4.:'�`,�..t.'.Si:�sa �f.•���'".AbAL�. Tar". 6, 1.? iti ,!!`.fc'wi.':.�:07G�'a"3L�=� �o{y,:, ��i��;.: J;' sniiN.`. x�. W. S�s�'• c3.. w.' �iS. �N;: di. �i�P. y :rwr.'w•«3r:L":.S'.Sif.'M;,: {� Z w re 6 00 W' J U) u.. WO u_ = d ~ Z �. Z° Q, U O N' 0 I- I U '. I— u. O z W co O ~ Z � Project: y t Type of Inspec U Addre 7 -2 ` i Date called: Special instructions: Date wante wante a.mDate a.m. Requester: Phone: • v INSPECTION NO. INSPECTION RECO Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 [ �,.' i�'•.' b' rY' �' ti'. S4i. 7::;,'° i�- l�l' ���+ i G`"�'`"G�3'�.��`��.y,�.`�. ?� ° � , p ^, A* , �r }�!"+:�i:�: "i�'� PERMIT NO. (206)431 -367 COMMENTS: Approved per applicable codes. n Corrections required prior to approval. ❑ $47. &0 REINSPECTION FE • REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: ' Z QQ ~ re 2 w . 0. 00 co � W= J F W u Q = d I— W ZH F— O Z 1— w U � OU 0 I— W 0 L O U= O~ Z Project: Type of'lrt3 ttion: .StA , + ' d ress �� � • -€..? ': ". Date calla . . i �5 (f) Special.i trbctions: Date want d: ` LQ a:m.N, J / '®( p.m. Requ s er: (°red 11 S enl�.4 Phon 3") ( (4 t �7 i 4 f5 INSPECTION RECO Retain a copy with permit IFISPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 9Si :888\∎ I PERMIT NO. (206)431 -3 COMMENTS: f ro rte r 7/r- r Inspector: bate: ( 0... :(9 ....69 ) r Approved per applicable codes. Corrections required prior to approval. $47.00 REINSPECTION F E REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: r -� � - '.CG '�%5..n'�1.�.` �y`.. ti:'. -h•• -.�s• , � c•h :ri.:s:' •J':W :e �.. :nkr —'. -' r : ^•. {�I(�.. �, •• y�t.' � ✓'4 f 1 ..3'�.�i Ius•.�.���, .. s1x :...f �3.'- a.« �,.4t ^ V.� • .Sb'��:i:.ii1�9�.d:.: �F3: li` t..% L.. a- a!- �. v. rui.+,.:, 1. 5:;: 7d�%.. •?i...i.i.�i�ir.,.�rsS4aa:�J�o COMMENTS: r ► 6 t _ +n 4 -- Y a I<. , -U tv #'Pt i4r ( (`, lS A tr1 c� CE? U1 1/x S t J '. Ct �-5,,. 1h,i 4 e't t)0l.--. I V\5 r>0= '7)■,.. -fir A,- P 'er'h . 6 r w /AI Special instructions: 3) C-mxpic)-k-c- .C re__ \‘' \ A pi. 620 F' l ,..---N es (/k 1 P uvx E' (-ALA tt (6 trv, �t�A(.f , _ - kir' /,Aw.,'.tAr rcrnf_ _r_l YW' ( ,) Arca,■o h.r,L., ��. Phone: 2 -C(0 - 2u1 - 7I4 5 1 h .o I\I'Q % `�I \Deftvii l 1 K tj T rnt^n t `A'CPeel'i % �l 41 4 u,A o161 Project: (rPC S f +' c v v 11 V T e of Inspection: 1 In%t rt \a Addres4: , / � 7 q Z S / 1(z. 1 S - 1 Datecalled• t, f l Z / r7 Special instructions: D wanted: '� a. m. p.m Requester: Phone: 2 -C(0 - 2u1 - 7I4 5 0 INSPECTION NO. INSPECTION RECO Retain a copy with perm CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 Approved per applicable codes. DZom - (25 PERMIT NO. (206)431 -3670 Corrections required prior to approval. Inspector: Date: / 0 t El $47.00 REINSPECTION FEE ,REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: a.. ...4A.i:L.1:L'L6 YI: a4u lEAw�U +L�ul.�.i.•''/(ilvw.�Pi.On -.. i.WNt �Y k' C'1 :��i :. :.•'y } �1 1^' C t ol�?1 ��.�+. i�Liii" �. Iaa��iaw� :lima.X.�f,1.w::Y:iJ..iv'Y�3i -� .G.M'27N�d Project: P ".1 re ,34-}-4r.►1(t 'Y 9 . Ty .of Inspection t t t- ra (i i,k i , TxrSk Addre . 3 zaa 5 L4_1 , f Date galled: ca (4070 Special instructions: Date w Cited: a.mi" /r) p.m. Requester: Phone: �/ l�^— ,20(n — �.LJ/ r 1 ( t _fr INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila,. WA-981 n Approved per applicable codes. INSPECTION RECO Retain a copy with permit PERMIT NO. (206)431 -36 COMMENTS: U71 _s k Corrections required prior to approval. Jr �� El $47.0 i INSPECTION EE ' EQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., : uite 100. Call to schedule reinspection. Receipt No: Date: �a +« li.�: • ' ��1 t, i�+�r'� .->: Sa!`% �: k+ �1�a�". �� i`, o3�t• 1' �' i 'f�'a'��%�i':1.3.�:s'� <'CLt2i�. +`i�C +. u�3 , tr ..,. i i:�s+ i:i5.�. 4, .,- :'r'+ >•�; C.7li I�:. ltd} �t S. i. F.7 iti! G`! 1} e1i }�'S;,avSlta+�Jtrt�.nlb.5.'r1C +t!t Z re LAI 00 W = tiL CO ~. wO �a w Z � 0 w 2 o O N . H w u. O t� C ; O~ Z COMMENTS: , -- l \ _ .) , oy/v1hr t . , 1.‘1,,, 1 ov rec ( Special instructions: cA e e r tAki I 0-- el ul vri Requester: q tW1 1 Phone -itir -J./ Project: ( Shx&-nhe4-q . 'Type of Inspection: Mimi 1- A l i f(7- l'a Sl- Date called: /2. -- 0 • Special instructions: Date wanted: .: L ... .,)Ti. • 17-27-00 p.m. Requester: q tW1 1 Phone -itir -J./ INSPECTION NO. INSPECTION REC Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 COMMENTS: r O - i / A J D 77-(24r 14 0 ae- t rAGG. t 7- £'Th 9 Q ec44 -4 c f 2X!3 `r * --TUtva rW /4 30,r � rtz 04e/ 454.4144.'0-)2 P-;‘ igcF_ vV 4-t-e_ E6,6 Phone: ;)c(n - a l — I A Vic �u� / /0' jjc. 4 ry ; i _ rS ` °) ' 434-717t4 15 00: xrp es &Ct 2(C project: req 5 - SeA berOr lype of Inspection:' rct rn-)tr Address: h e l -. 3 I_V z S i y 5 -- DAte called: �: - L-1 ()C:_ Special instructions: Qate wanted:"" e- - .),c-3... cc p.m. queste : Ka .0 I Phone: ;)c(n - a l — I A Vic r INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 PERMIT NO. (206)431 -3670 E] Approved per applicable codes. d Corrections required prior to approval. Ins or Daley ) J $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: R# ii$ s��it� �u�3CGS' �Y�l iC2�r�r�iilCJ� ,�t'"��'�l�itY - ' ` %i'orea`N�S.` "�'`a: s' �s�: w,:....:«_.t..ua'I.n.�r,�S.:�:d ! Q Z Q ~ Z r QQ LI JU 0 0 0 . N J H N LL W O 2 gQ = I- W Z � HO Z H W 0 0- a F- W iu 9 Cu' --- _ 0 I— z COMMENTS: 41/1114416 ,Me/4- ,e,d l a 0 1- /*API/ 7 0 PLISE A-7UP 4 ae.- GL) / T2-/ "Y_44-?-/-tio, 70 6,e44 A 0 Lis, .2Mf.6`1 ,egw97.(4) re9--x_. /Ais,ae_c_7707t7 a-4 4(� ,E.kx. Special instructions: .• )J& 7 :&-/t 4 r,<_3p ' C Oil A Project: el f ('-: (l 7...)i `7.). 0 /'..)(' r 9 Type of Inspection: ) cc, rNm.rIc Address:' 5 ' ) LA D lid ` Date called: Special instructions: .• d. Date wante - - 7 * :i -' ' C Oil _Requester: Phone: 1- 1115 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 9818 0 Approved pert applicable codes. ., 11-2 z Ui re 0 0 WI CO IL u j 0 g < cn 111 Z I- 0 Z I- cu- Ui uj I 0 0 Z w I= IT 0 Project: S _ S` O }e Y)('i/� 1&, Type of Inspection: , _ St C1(J LWv \C PIMOJu Address: S . . 3��I2 � ST Date called: S -10 -00 Special instructions: IA 15 p\pc s.e, t1 Date wanted:,, ! 0 .. Re It�doe rYQ: Phone: - 1.1S - - S �S .5 9 1 3 I stop work :'' +*+���*+**+**++/++** *+�/+�+++ �- 2-600 7o�WSNIT TRANSMIT �""'-.'.''-.''' CiTY OF TUKNlLA � . NA ^^^^ �� +* CiTY OF TUKNl� H ' � p x � +*+ �� �+****+��*AA*�+ + +* ^++A*a*+* *****��*�*+»+** �� °^ ^^'�'' � .ox o� ou/?R/�0 14�3� R98O0273 Amount: CHECK Natatiun: NASHlMGT TRANSMIT Number: Payment Method: ---'--'----'-- Permit No: Parcel No: Site Address: This P�yment +**++*a********+` 02000-125 Typo: .�^.' ��- .--'--.-'_'------'--_--'_.-'--_-'_- --`—'- --�' DEVPERM DEVELOPMENT PERMIT 161000~0156 3742 S 142 ST 404,81 +*A*+++4+**�Al*+**** Account Code .000/3 22,100 .1V0 000/345.830 00O/386,904 —~~--^-.�,-'-,-.._.—'-~--~------, • Description BVI|DING - kES PLAN CHECK - KES STATE BUILDING SURCHARGE 484.81 04/28/�0 14�32 ON CARS Init: NER Tuta 484 l Fees: . 81 Total ALL Pints: 484.81 Oulaoce: ^ 00 A'A**+*k**AA**k Amount 362.50 117.81 4.50 '~'` -� ~ ` �` �� ' 3871 ^-J"" 9717 TOTAL 484.81 _ I LI 2- 2 7 .`, • ` I �� "I i \ r yi ( f x , •'C r re< \b SEPARATE PERMIT RE UIRED FOR: pIECHANICAL ELECTRICAL [,PLUMBING [ GAS PIPING CITY OF TUKWILA BUILDING DIVISION ( .t ) -- I. plan: : :': :: s r" fauihorize the v,ci;-:liur c. r;,..., adopted co!_'c: or ordinance. F eceipt of con- tractor's copy - •prov pl ns acknowledg.J. � � LLB B _— Date ` 0 ` to Permit No. P 2fm_tr APPROVED P1/4U6 g 2000 BUILDING DIVISION RECEIVED CITY OF TUKWILA APR 282000 PERMIT CENTER . ° : • cr U : v 0' w 0 g Q. D. d F =.. W' z � Z ° U 0 0 —; w w Li Z, c o 0 ~ z TOTAL GLAZING AREA ENRGYCOD.DOC 2/13/97 CITY OF-TUKWILA Permit Center 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 Telephone: (206) 431 -3670 S.F. + TOTAL CONDITIONED FLOOR AREA S.F. x 100 = PROPOSED GLAZING PERCENTAGE ZOOOb IZS H -15 ACTIVITY #: WASHINGTON STATE ENERGY CODE RESIDENTIAL COMPLIANCE FORM PRESCRIPTIVE APPROACH 1. HEAT SOURCE: 3 (gas, oil, propane, heat pump, electric) 2. WINDOW SCHEDULE: Fill in the window schedule based upon the proposed residential design and calculate the glazing area as % of the conditioned floor area. 3. CHECK PRESCRIPTIVE OPTION: Glazing percentage will determine which option to choose. Mark option at top of column. (See back of this sheet) WINDOW SCHEDULE GLAZING /SKYLIGHTS BY TYP NO MANUFACTURER FRAME MATERIAL f. MODEL # SIZE TOTAL GLAZING AREA 44 (add entire column) U -VALUE AREA S.F. The proposed glazing percentage must be less than or equal to the glazing percentage listed unc be, prescriptive option that is selected. err OF TuKWILA APR 2 8 2000 PERMIT CENTER 3 Z HZ rcw 00 wF w o 2 g Q = d I- w Z = H I- O Z I- w W U O - . O I— W W H 0 O .. w = O Z ❑ Exhaust ventilation sha I be provided for each dwelling unit as follows (S. 302): LOCATION MINIMUM AT .25 W.G. MFR. /MODEL FAN LABEL CFM (.1 W.G.) KITCHEN FAN 100 CFM BATHROOM FAN 50 CFM BATHROOM FAN 50 CFM BATHROOM FAN 50 CFM LAUNDRY FAN 50 CFM ❑ WHOLE HOUSE FAN* 0 50 CFM (1 - BEDROOMS) (CHOOSE ONE) 0 80 CFM (3 BEDROOMS) 0 100 CFM (4 BEDROOMS) ❑ *Whole house fan also serves as a kitchen or bath spot fan: 0 YES 0 NO If a spot fan is designated as a whole house fan, the capacity shall be the larger CFM requirement. ❑ Whole house fan: Location attic fan is closer than 4' to O Whole house fan is listed 0 Whole house fan wiring 0 Whole house fan shall Sone rating (< 1.5 if ceiling) /labeled "for Continuous use." for control routed to central location. run continuously: Kitchen rate 25CFM, bath & laundry rate 20CFM. 1 Integrated forced -air furnace v (IAC Code S. 303.1.2(b)) shall be used instead of a whole house fan and fresh air inlets in the bedrooms: 0 YES 0 NO 0 If yes, a 6" outside air inlet duct with damper limiting the ventilation rate to .35 -.5 ACH, shall run from the building exterior to the furnace return plenum. ❑ Mechanical ventilation fan ducts shall be > 4" and properly sized using IAQC, Table 3 -3. ❑ Fresh air shall be provided for each unit as follows: (IAQ Code, S. 302.6.1): O Each bedroom: Tested, screened, controllable, through -wall port (> 4 sq. in.) to the exterior. O Overall living area: One wall port as specified for bedrooms. OR: El Central 'forced air furnace which delivers outside makeup air through the ducting system. If MINIMUM VENTILATION REQUIREMENTS FOR RESIDENTIAL OCCUPANCIES FOUR STORIES AND LESS Chapter 51 -13 W.A.C. Source specific and whole house ventilation systems are required for residential occupancies. In addition, exhaust ventilation fans must provide specific performance ratings and (in the case of the whole house fan) specific "Sone" ratings. Fill in the exhaust fan schedule below with the fan manufacturer's name, model number and performance rating. Secondly, check the criteria that applies to your design. ENRGYCOD.DOC 2/13/97 CITY OF T "KWI LA Permit Center 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 Telephone: (206) 431 -3670 `Ern evzo J ACTIVITY #: H -15 ".- �aNr "+M1:grt•.�tr^xavxv.:w?Y•: r.. r.*..«...' n;;: q- r..„ cen cro. rx: A�> 1�t; C?!': Lr,. « , ' c rY C Glazing max: of floor zt U value 2 Door U value Ceiling with , attics vaulted Walls: above grade t elow interior erlor Floor. 7 Slab HEAT SOURCE: ELECTRIC (except heat pumps) OPT I OPT II OPT III OPT IV OPT V OPT VI OPT VII* OPT VIII* 0 0 0 0 0 0 0 0 10% 046 040 :.(R.25) R38 R30 ` R-30 R -10 R -10 R -30 12% 0.40 • 040, (R 2.5) R -30 'R-21 R -30 R =10 . 15% 0 20 R 38 18% 0.39 -.' 0.20 (R -5). 21% -:...0:36 0.20 (R =5). R -38 R -30 R -21. R -21 'R =10 .. R-30. R -10:: * < two stories R5 foam sheeting required in addition to R19 cavity insulation. 2 Glazing trade -offs may be made if the Option U -value requirement is not exceeded. PLAN REVIEW (for official use only) Selected Option is appropriate for this dwelling design. ❑ YES ❑ NO Option may be a better choice. Notes: Approved by: Date: ENRGYCOD.DOC 2/13/97 Vn21 i CH. )TER 6, PRESCRIPTIVE OP'■ .JNS FOR ALL "R" OCCUPANCIES, CLIMATE ZONE I J RECEIVED C1tV OP TI110',u A APR 2 8 2r1 PERMIT CC - 2 1 :' ``:f� °R:WIOA z w o: 0 0 co w= H U LL w 2 = � z � 1- 0 w ~ uj 2p U 0- w � u W Z U 0~ z NOTE: Carefully review the requirements of each of the options in the charts below. From the table that refers to your heat source, choose the option that best suits your dwelling design. Glazing percentage determines which option to choose. Your building design must match the selected option requirements without exceptions or substitution. Design drawings must indicate all applicable requirements from table. HVAC AFUE Glazing max: % of floor U-value Door U- value ,.(R- value) .. Ceilings with attics vaulted ,Walls: above grade below grade ' interior 0 ei tenor. :Floor:...... ... Slab:on grade :. HEAT SOURCE: OTHER (gas, oil, propane, heat pumps) OPT I 0 >._.78 10 %; 0.70. 0.40 .. . -30 •R -30 R715 R -15 R -:10 R -10... OPT II 0 > .78':.`. 12 % 0.65 0.40 (R -2,5) R -15 R -15 R -10 R -10 OPT III 0 > .88 21% 0.75 0.40 '. ;(R -2:5) R -19 .. R =19 R -10 R -19 ; R -10` OPT IV 0 > .21% 0.65 0.40 (R -2.5) R -30 R -30 R -19 R -19 R -10 R -19 R -10 OPT V 0 > 21% 0.60 0:40 (R -2.5) R -30: R -30 R -19 R =19 R - R -19' R -10 OPT VI* OPT VII* 0 0 * < two stories The " >" symbol means more than or equal to; " <" means less than or equal to. 2 Glazing trade -offs may be made if the Option U -value requirement is not exceeded. PLAN REVIEW (for official use only) Selected Option is appropriate for this dwelling design. ❑ YES ❑ NO Option may be a better choice. Notes: Approved by: Date: ENRGYCOD.DOC 2/13/97 ISO CHAP ER 6, PRESCRIPTIVE OPTIGt.S FOR ALL "R" OCCUPANCIES, CLIMATE ZONE I 7: ACTIVITY NUMBER D200 -125 PROJECT NAME: STOTSENBERG SITE ADDRESS: 3742 142 ST Original Plan Submittal DATE: 05 -25 -01 SUITE NO: Response to Incomplete Letter # Response to Correction Letter # Revision # AFTER Permit Is Issued DEPA TMENTS: Build ivision Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: TUES /THURS ROUTING: Please Route APPROVALS OR CORRECTIONS: (ten days) Approved Y9tRO1111.DOC srrl PLAN REVIEW /ROUTING SLIP Fire Prevention Structural Incomplete Structural Review Required Approved with Conditions REVIEWER'S INITIALS: DATE: REVIEWER'S INITIALS: DATE: CORRECTION DETERMINATION: DUE DATE Approved Approved with Conditions 1 Not Approved (attach comments) REVIEWER'S INITIALS: DATE: n Permit Coordinator No further Review Required PERMIT COORD COPY Planning Division DUE DATE: 05-29-01 Not Applicable n DUE DATE 06-26 -01 Not Approved (attach comments) I z ~ w 00 CO 0 (o w co u_ w O g g d. � w z� w O �. w U O O � 0 I— w w Lt. w Z O F" z BUILDING DIVISION REVIEW Date: Project Name: Application #: Plan Reviewer: May 17, 2000 Greg Stotsenberg D2000 -125 Bob Benedicto Tukwila Building Division 6300 Southcenter Blvd. Tukwila, WA 98188 206 / 431 -3670 Additional information and clarifications to the plans will be required to complete a plan review of your application. Please provide the following information on the plans. 1. Provide a brief narrative of the scope of work for this remodel. 2. Label the use of all rooms on plan, Show all doors. 3. Note or otherwise provide a key to show the extent of all existing walls, walls to be removed, and walls to be constructed. 4. Two details have been provided which show steel "I" beams as supporting members. Indicate the size and location of each beam. Provide a detailed connection for the end bearing points. Detail the load path of these beams down to and provide for a foundation. End! initial plan review. • Page 1 May 17, 2000 Greg Stotsenberg 12739 — 10th Avenue NE Seattle, WA 98125 RE: CORRECTION LETTER #1 Development Permit Application Number D2000 -125 Stotsenberg Residence 3742 South 142nd Street Dear Mr. Stotsenberg: City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director This letter is to inform you of corrections that must be addressed before your development permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Building Division. At this time, the Fire Department, Planning Division and Public Works Department have no comments regarding your application for permit. The City requires that four (4) complete sets of revised plans be resubmitted with the appropriate revision block. If your revision does not require revised plans but requires additional reports or other documentation, please submit four (4) copies of each document. In order to better expedite your resubmittal, a `revision sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections /revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at (206)431 -3672. Sincerely, Brenda Holt Permit Coordinator encl xc: File No. D2000 -125 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 ... .. • z z re 11 J U U 0 0 , co co Ili J F- 2 u w u. fa _ ° Z �. wO uj 0 O -_ o w w. LL O. w U w O z ACTIVITY NUMBER: D2000 -125 DATE: 4 -28 -2000 PROJECT NAME: GREG STOTSENBERG SITE ADDRESS: 3742 S 142n ST XX Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # _ After Permit Is Issued DEPARTMENTS: Bu'Idin ?Divisio 5-1, P blic Works M hb 5 - 3 DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: TUES /THURS ROUT NG: Please Route Structural Review Required 1 No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: (ten days) Approved REVIEWER'S INITIALS: PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP Approved with Conditions CORRECTION DETERMINATION: IVII� Fire Prevention I VA Structural Incomplete ; +1 141 e.� ti- 1h -o0 Approved Approved with Conditions REVIEWER'S INITIALS: \PRROUTE.DOC 5/99 a Planning Division s_Z-° Permit Coordinator DUE DATE:5-2-2000 Not Applicable n DUE DATE 5-28 -2000 Not Approved (attach comments) o� DUE DATE Not Approved (attach comments) DATE: z w QQ • � J U O 0 0 N W= J H I 0 ' u_? = W H = z �. Zo o N 0 I- W W . z ▪ = o z Revision • No. Date Received Staff Initials Date Issued ••Staff Initials I I I I Summary of Revision: P►& & , oc (mac.01,-" -- K Received By: - ! . `- -- CIS Revision No. Date Received Staff Initials Date Issued Staff Initials I I I I Summary of Revision: I 1 Received By: . Revision No. . Date Received Staff Initials Staff Initials Date Issued Staff Initials a I 1 I 1 Summary of Revision: Summary of Revision: Received By: Revision No. Date Received Staff Initials Date Issued Staff Initials • Summary of Revision: Received By: Revision No. Date Received Staff Initials Date Issued ! Staff Initials Summary of Revision: Received By: PROJECT NAME: ,�S-�o'f's�.,l, --�-� - PERMI JO:.. 1 n -- z - Site Address: 31 '-1 Z 4 % 1`i Z. si - -- Original Issue Date: REVISION LOG _—fir (plea e print) (please print) (please print) p z z re 2 J U 00 w1- N u. W ? . N = W z � 0 Z I— LLJ U � O D . � W L'O ..Z W O~ z Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: ! City of Tukwila Department of Community Development - Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 (206)431 -3670 Received at the City of Tukwila Permit Center by Entered in Sierra on � 2_ Q-) Plan Check/Permit Number: 0 Response to Incomplete Letter # ❑ Response to Correction Letter # } Revision # ( after Permit is Issued Project Name: (� y-r: ('��- Ce - .� �.�,c ,k .L C' t Project Address: 3 4 2 } !! \\ 2_ 31/4 Contact Person: �2 ud ( ` � � . Phone Number: (Z- O ) 2A C y z5 Summary of Revision: �� �, ca CO n ‘ ° g a, GjI �p1 Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision pa�a 1. 001 08/30/00 MR�Q7p _ _ __""'"� ., z 1 ~ w = J U 0 0' U0 : J = I- N LL w O. 2 g Q. � z � 0. w 2o w W = - U tt. O ui z 1- z Date: 8- 7-2o City of Tukwila Department of Community Development Steve Lancaster, Director Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. 0 Response to Incomplete Letter # g ,,... Response to Correction Letter # I Revision # after Permit is Issued Project Name: S l c' Q-- 7 S P. e_..1 Project Address: -3.-1 J 2. "L , -- Contact Person: g P i Summary of Revision: Plan Check/Permit Number: . Zr � � �Z S John W. Rants, Mayor Phone Number: z r 5 r F6c)r KtL IVhU CITY OF TUKWIlA AUG - 7 2000 Sheet Number(s): PFSeur ccr*TOre "Cloud" or highlight all areas of revision including date of revision Rece'ved at the City of Tukwila Permit Center by: Entered in Sierra on f3-1-op 06/29/99 l 4r4d +. :,..• er a, ps , w(e,e,sac,,r.tcs�'- #G,,k+1Wac Inotnn oAIAR • 12061 431-3670 •Fax ( 2061 4313665 T ' A'0.sT /1C + n'r+im•� c• tl•2 ^9 fLS'.' - •� '""" ^^' *"E'er tl:R'G1L*.'.=r- Mmnuv.d•^w- z z cc w -JU 00 J F- wO H m o w 1 0 O : Z CO. O z A City of Tukwila Department of Community Development - Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 (206)431 -3670 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: • ZS • 3 j Plan Check/Permit Number: D 20 • � Z Response to Incomplete Letter # El Response to Correction Letter # Revision # after Permit is Issued Project Name: c.• 1 (lr ' �� e_.-4.-LA Project Address: 3 4-2 7 0'2_ ski. 2 l l Contact Person: Sat ud �p v- � tea. Phone Number: � Oc) f 2.A 4 Summary of Revision: �, d q A CO kCO \Q c) / ;$ a \ eo,L4 _, Sheet Number(s): Entered in Sierra on "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: 4-- t MAY 2 5 2001 5-- - i:rr•C.ivEr? PERMIT CENTER 08/30/00 z • • • • w. � -J C.) O 0 (0 D; !-L-1 w . N u. w J' = Z F. ZO w Ili 2 D U O N; 0 H. w w I- . . z • 0 z PART A: (To be completed by applicant) Site Address (Attach map and Legal Description showing hydrant location and size of main): Owner Information: Agent/Contact Person: Name: &/t-g4 5 a r,Se,//3)L.0 Name: Address: /x'03/ / Yf, �i i,¢, / eO, o .&.L37 �) � 4/i Address: Phone: D Z //- 7i`7/`/.S - 2-- 0 47 - * 9 /e Phone: This certificate is for the purposes of: ❑ Residential Building Permit El Preliminary Plat ❑ Short Subdivision ❑ Commercial /Industrial Building Permit ❑ Rezone ❑ Other Estimated number of service connections and meter size(s): F_ Cs-i- T ij Vehicular distance from nearest hydrant to the closest point of structure a 0 ft. Area is served by W . t ill district : / ZS: v l tility ) � A � � Owner /Agent Sign., 7 / Date: Z7/7/C) Certificate of Water Availability PROJECT #: PART B: (To be completed by water utility district) The proposed ency /PFjone CITY OF JKWILA Permit Censer 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 Telephone: (206) 431 -3670 roj ct i ocated within (Use separate sheet if more room is needed) (Required only if outside City of Tukwila water utility district) (City /County) The improven ents r =• uired to upgrade the water syste to bring it into compliance with the utilities' comprehensive plan or to meet the minimum flow requirements of the project before connection: 8 /15 rtivi Based upon the improvements listed above, water can be provided and will be available at the site with a flow of qpm at 20 psi residual for a duration of 2 hours at a velocity of fps as documented by the attached_galculations. I her: .3/ 'edify that the above information is true and correct. - 2 ` - / / .204, - PART C: (To be completed by governing jurisdiction) By Date Water Availability: ❑ Acceptable service can be provided to this project El Acceptable service cannot be provided to this project unless the improvements in item C2 are met. ❑ System isn't capable of providing service to this project. (Use separate sheet if more room is needed) A y /Phone WTRAVAIL.DOC 6/5/96 H-ha RECEIVED CITY (ter Date I URWILR Minimum water system improvements: (At least equal to B2 above) 20 00 1 zS APR 7 ft ?On PERMIT CENTER z ~ w re I JU U N0 U) = H U w w ga _ ° w Z = F- 0 Z H w w U� O �_ H w W uO w U H O Z ReF. "ential Sewer Use Certific, ' on (To be completed for all new sewer connections, reconnections, or change of use of existing connections. This form does not apply to repairs or replacements of existing sewer connections within five years of disconnect.) 4iiV Pursuant to King County Ordinance No. 11034, all sewer customers who establish a new service which uses metropolitan sewage facilities after February 1, 1990 shall be subject to a capacity charge. The amount of the charge is established annually by the King County Council but is limited by state law to $10.50 per month per residential customer or residential customer equivalent for a period of fifteen years. The purpose of the charge is to recover costs of providing sewage treatment capacity for new sewer customers. The charge is collected semi- annually. All future billings can be prepaid at a discounted amount. Questions regarding the capacity charge on this form should be referred to King County Wastewater Treatment Division at (206) 684 -1740. (Please print or type) Owner's Name STD "Se.../SE—A-4 ex/ /4 (Last, First Middle Initial) Property Tax I.D. Number /4 /coo — o i S Z. Property Legal Address: Gh.4 -•✓ A4 46 Subdivision Name—bime.s C,,'4k. Subdiv. # Lot # 11 Block # Z, Building Name (if applicable) Property Street Address 3 S . I L12. 1 - 1 -!5 7 - . City, State, Zip /w k 1 4 1 13,_ . 5 a 1(o ? Owner's Mailing Address /5 - 0.3/ /N; /f' 1 RD .6 (II different ( -/ ferent from above) 5 e 1 ) 4 G e f g 8 a Owner's Phone Number (Z0 ) Z'/ /— 7/ /$ Property Contact Phone Number ( zo ta) Z'`/ / - 7 / '/ Party to be Billed A///4 (if different from owner) Party's Mailing Address -s& (if different from above) f City or Sewer District (/ A- /0 u.2_ Date of Connection 4'`X I37 i Side Sewer Permit # A /A Demolition of pre- existing building? O Yes klo Demolition Permit # Residential Customer Please check appropriate box: Equivalent (RCE) (Single- family 1.0 • Duplex (0.8 RCE per unit) O 3 -Plex (0.8 RCE per unit) l7 4 -Plex (0.8 RCE per unit) ❑ 5 or more (0.64 RCE per unit) No. of Units ❑ Mobile home space (1.0 RCE per space) No. of Spaces x0.64= x 1.0 = 1.6 2.4 3.2 For condominiums, please fill out Supplemental Form A in addition to this form. PERMIT CENTER I certify that the information given is correct. I un•erstand that the capacity charge levied will be based on this information and any deviation will require resubmission c• rrected data for determination of a revised capacity c arge. Date 7 // S; a-rs c.c/ Signature of Owner /Representative Print Name of Owner /Representative 1057 (Rev. 21001 White — Kin, County Yello •cal Sewer Agency P' — Sewer Customer ZOOO 2 s RECEIVED CITY OF TUKWItA APR 2 8 2000 z re 2 J o O 0 • o J = t— w w 0 �Q ( A 0 = w Z = H I— O Z ~ • w U 0 O D- 0 I— u j • O .. O ~ z T 1\ Lc , 4 c AMCF\ c. (1) - 20ora ra_s iT= Mr L - , C) t C oJ • - - I L:nca-F3:and that ttr Piz:n appmva:s are to erroro and or and approval of plans do tn no aut'ic:rize the violation of any pdnptd coda or , :,rdinar:ce. 1.::=..ceipt of con- dctor8 copy c.::f orpi OVECi plans L'Ic:nowledoed / Permtt No„ _IOC° r I o 1 0 0 -o VPROY1.10 N •-, - � L-`/ H P o o F\ ,..00R to 40 r \f Pa— o���ect E.t t3a� l t c VV1 RECEIVED CITY OFTUKWIL 1 AUG - 7 2000 PERMIT CENTER