HomeMy WebLinkAboutPermit D04-075 - FERGUSON RESIDENCE - REROOFFERGUSON
RESIDENCE
13961 56T" AVENUE
SOUTH
D04 -075
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Cit y of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
DEVELOPMENT PERMIT
Parcel No.: 0002800028
Address: 1396156"S TUKW
Suite No:
Permit Number:
Issue Date:
Permit Expires On:
Tenant:
Name:
FERGUSON RESIDENCE
Address:
1396156 AV S, TUKWILA WA
I Owner:
Name:
FERGUSON ROBERT
Address:
i
13961 56TH AVE S, TUKWILA WA
Contact Person:
Name:
ROBERT FERGUSON
Address:
1396156 AV S, TUKWILA WA
Contractor:
Volumes: Cut 0 c.y.
Phone:
D04 -075
02/27/2004
08/25/2004
Phone: (206)243 -9075
Name: DYNAMIC DESIGN ROOF CONST INC Phone: (206)242 -7999
Address: 622 S CENTRAL AVE, KENT WA
Contractor License No: DYNAMDR975MB Expiration Date: 07/02/2005
DESCRIPTION OF WORK:
NEW ROOF WITH SHEETING REPAIR AND GABBLE BOARD REPLACEMENT.
Value of Construction: $ $3,350.00 Fees Collected: $101.75
Type of Fire Protection: Uniform Building Code Edition: 1997
Type of Construction: Occupancy per UBC: 0007
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant: N
Number: 0
Size (Inches): 0
Flood Control Zone:
Hauling:
Start Time:
End Time:
Land Altering:
Volumes: Cut 0 c.y.
Fill 0 c.y.
Landscape Irrigation:
Moving Oversize Load:
Start Time:
End Time:
Sanitary Side Sewer:
Sewer Main Extension:
Private:
Public:
Storm Drainage:
Street Use:
Profit:
Non - Profit:
Water Main Extension:
Private:
Public:
Water Meter: N
.. D0 00
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,9os Ci of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Permit Center Authorized Signature: A UL2 - UAVQ Date: OC L2- /0 c
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and
ordinances governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating construction or the performance of work. I am authorized to sign and obtain this development permit.
Signatu
Print Name:
� i-. Fee,
Date:
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: Devperm D04 -075 Printed: 02 -27 -2004
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�.� City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
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Parcel No.: 0002800028 Permit Number: D04-075 z
Address: 1396156 AV S TUKW Status: ISSUED 2
Suite No: Applied Date: 02/27/2004 D
Tenant: FERGUSON RESIDENCE Issue Date: 02/27/2004 v p
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I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances i
governing this work will be complied with, whether specified herein or not. ? F
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The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws LU UJ
regulating construction or the performance of work. v o
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Signature: Date: 0V 704 = U.
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Print Name: B G �` G !� z
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doc: Conditions D04 -075 Printed: 02 -27 -2004
�
RECL.. eD
CITY OF TUKWILA
FED 2 ;' 2 0 , 0 1 r
PERMIT CENTER
Tukwila Building Division
(206)431 -3670
Application # C - 0
ALTERNATE PLAN SUBMITTAL AUTHORIZATION
FOR LIMITED SCOPE OF WORK
U.B.C. Section 106.3.2 exception
Project name F, L t 6
Address 6 A y'C- 5.
Description of work lzez — Tee. - Ir'oe�' CLIrp F r i re ro o F
Related reference number
The above project permit applicant, due to the limited scope of work is authorized to submit reduced plan
requirements describe as noted below.
1. Complete permit application required: ( Note, all application must include; 1) property assessor
number, 2 copy of contractors license or completed owner waiver form. )
Building v Mechanical Other
2. Minimum plan and/or specification requirement:
Site plan Floor plan Elevations Foundation
Cross sections Roof plan W.S.E.C. compliance
Specific required information
Narrative
3. Other special instructions:
�V'G� l� wit' �E'✓'I�.i "�
6V
Authorization by,
i
TBD3/96 -f3
Date Z. -2 lbe
4.
id 30 days after a date issued. )
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Structural calculations ( stamped by Washington State licensed engineer )
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CITY OF TUKWILA
Community Development Department
g Public Works Department
Permit Center
1D0 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 **
Tenant Name: K1) b
Property Owners Name:
Mailing Address:_°
King Co Assessor's Tax No.: dad Zgd' -aDZB
Site Address: 3 q Suite Number: Floor:
New Tenant: ❑ .... Yes ❑ ..No
h At /P .
City J State Zip
Name
Mailing Address:
City state Zip
E -Mail Address: Fax Number:
, GENERAL,; , ' CONTRACTOR INFORMATIQN ;y f
i 5 '• ! c.. ' > �' ✓ (�,� 7 .' ; .^ t. .G.. g�7:..
Day Telephone: �6� a2t13'�76
Company Name:
Mailing Address:
City State Zip
Contact Person: g ahe d e ne ✓') Day Telephone: 5
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; =;Ail 'taus masf be w�t`st'amped V Ar.'C66ct:o :',"
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Company Name:
Mailing Address:
ENGINEER OFvRECORD Alt ptans`rius`t be wet stamped tiyEngneer of Record t ° `, <j'
State Zip
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
%applicationstperrnit application (] -200))
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='B. ILI�ING,PT.I�MITNRIVI� O
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.,t•�:i.:: ,y "1: t':a1' ^I j. . y. . +5. ,.;P.rlil.,�!��)�':P.q .��.�
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Valuation of Project (cotltiactor's bid price): $ Existing Building Valuation: $ i 6 Q 1 V
Scope of Work (please provide detailed information): AVew 1 ,h cvP• #t. ✓ e k f e 8
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plu § decks \andhang gs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: for accessory dwelling:
*Provide documentation that sh ows that the principal owner lives in one or her primary residence.
Number of Parking Stalls Provided: Standard: Compandicap:
Will there be a change in use? ....Yes ❑ ..No If "yes ", explai
i
FIRE PROTECTION/HAZARDOUS MATERIALS: \
Fl.. Sprinklers []..Automatic Fire Alarm ❑..None . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? .. Yes [:] ..No
!f ' yes ", attach list of materials and storage locations on a separate 8 -112 x 11 paper indicating quantities and Material Safety Data Sheets•
lapplia1i0n5\permit application (3.2003)
312003 Page 2
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Will there be new rack storage?
❑ ..Yes El.. No
If "yes ", see Handout No.
for requirements.
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PrbAde Building Areas hi Sgdare,Footage:Below
A
YPe o '
'
lntenor
; Existing
Construction
Occupancy per'`.
Existing `
Remodel
Structure '
New
per UBC .
UBC
l Floor
2 Floor
3` Floor
;Floors +' ' . 'thru
: .
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plu § decks \andhang gs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: for accessory dwelling:
*Provide documentation that sh ows that the principal owner lives in one or her primary residence.
Number of Parking Stalls Provided: Standard: Compandicap:
Will there be a change in use? ....Yes ❑ ..No If "yes ", explai
i
FIRE PROTECTION/HAZARDOUS MATERIALS: \
Fl.. Sprinklers []..Automatic Fire Alarm ❑..None . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? .. Yes [:] ..No
!f ' yes ", attach list of materials and storage locations on a separate 8 -112 x 11 paper indicating quantities and Material Safety Data Sheets•
lapplia1i0n5\permit application (3.2003)
312003 Page 2
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CHANICAI,�'E�tMIT,xNFORMATXON
..i�' y + •. f.; 'tl t \��'; ��� „ >ti Y:>> ,. � t .t r t . .J F
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....fI Other:
Indicate type of mechanical work being installed and the quantity below:
V J(T a :,
YP •
Qh! >
;:Unit Type: '
Qty..:
Un it Type:*
Qty
Bo �erlCompressor
Qty'
Furnace <I OOK BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP4100,000 BTU
Furnace>IOOK BTU
Evaporator Cooler
3 -15 HP/50b, BTU
Floor Furnace
Ventilation Fan
15 -30 HP/1,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
30 -50 HP /1,750, 0 BTU
Appliance Vent
Hood
50+ HP /1,750,000 B
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm/Ind
HERMIT ;`IPPLICATION: N1TES Applicable. to al! permits >tn'ths , . .'app CA i
•
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as
defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER O AUTHORIZED AGENT:
Signature: Date: 2 —;�Z— Ott
t _ roc - x - 407S (H)
Print Name: NO ,
Mailing Address:
Date Application Accepted: Date Application Expires: Staff Initials:
DA a o 0 � a.- 7 16 �j I /..4�j
\applica application (3.2003) [] P
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City State Zip
City of Tukwila
f9Q6
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
BUILDING - RES 000/322.100 97.25
STATE BUILDING SURCHARGE 000/386.904 4.50
Total: 101.75
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RECEIPT
Parcel No.: 0002800028
Permit Number
D04 -075
Address: 13961 56 AV S TUIKW
Status:
PENDING
Suite No:
Applied Date:
02/27/2004
Applicant: FERGUSON RESIDENCE
Issue Date:
Receipt No.: R04 -00236
Payment Amount:
101.75
Initials: LAW
Payment Date:
02/27/200410:00 AM
User ID: 1630
Balance:
$0.00
j Payee: ROBERT L FERGUSON
i
{ � TRANSACTION LIST:
# Type Method Description
11 - - - - - -- -- - - - - -- ------ --------------
—
Amount
- - - - -- ------ - - - - --
Payment Check 5460
101.75
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
BUILDING - RES 000/322.100 97.25
STATE BUILDING SURCHARGE 000/386.904 4.50
Total: 101.75
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INSPECTION RECORD
Retain a copy with permit D be
INSPECTION N0. PERM
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 06 431 -3670
Pr 'ect:
Ty cbf Inspection
Address (
I C
Date Called:
�-.
Special Instructions:
Date Wanted: "" ' M .
P M.
Requester:
Phone No:
��S 1
Approved per applicable codes. Corrections required prior to approval.
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Inspector' , Date:
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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ceipt No.: Date:
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(. INSPECTION RECORD {�
Retain a copy with permit -0 0 7
i INSPECTION NO. PER N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 20 )4 -3670
Pro' t:
Type of In pection•
i
JC71--A'77' ZLL& J/7 0
Address:
Date Called:
1 n
-('
� '1
Speual In tructions:
Date Wanted:
Requestgrr:
KL LP, eA
Phone No: (�
Approved per applicable codes. ffCorrecti �sequ�ir d prior to approll.
COMMENTS:,
4 C 4 , 4 1 - - In / r t.o
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Inspector:* Date: 3- � \ �� LI ��v, I
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.: I Date:
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INSPECTION RECORD
Retain a copy with permit
INSPECTION N0. * PER . CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 670
pproved per applicable codes. Corrections required prior to approval.
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Project: ;-� ( Type of In ectio
�r I�c4te - '!'c�
Ad ress: Date Called:
3�
Special Instructions: Date Wanted: a.m..
2 p.m.
Requester: '
l -2 ? air+
Phone No:
-�ro� Zoe �- 24
NA
Inspecto . c Date:
$47.00 REMPECTION FEE REQUIRED. Prior to inspection, fee must
i paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectic
Receipt No.: Date:
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Inspecto . c Date:
$47.00 REMPECTION FEE REQUIRED. Prior to inspection, fee must
i paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectic
Receipt No.: Date:
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i 02/27/2004
UC
10:22
2538870111
CHETS ROOFING
/LI /fUUr
Ju.AO rm
rev rv.
_ ( ADD, CMS, REN, REP,PRT,REI,SUS,DOB,DEL,NCM,CRL
CRUMCC
DEPARTMENT OF LABOR AND INDUSTRIES
CRIS
prod
ID: 01
CONETMWION CMML CTOR INFORMATION
?OPTION
_ ( ADD, CMS, REN, REP,PRT,REI,SUS,DOB,DEL,NCM,CRL
or Screen Iu
ACTIVE
) ?LICENSE NUMBER:
QYNAMM 78tatue:
?Contractor Type:
A
CC OONST C
contractor Name;
DYNAMIC DESIGN ROOF CONCT IND UBI:
602293189
Parent Cospany :
Search Name
DYNAMIC DESIGN
Address Lino 1
622 .9 CENTRAL AVE
Address Line 2
Ci ty,Sta�ts,21p
KENT NOS
KING
Telepnone =
county:
2062427M ?Reg Reason Code:
17
allsative Date
070=09 ?Business Typo;
?Specialty Code 1:
C CORP
01 ONNERAL
Expiration Date:
Suspended Oats :
070206
000600 ?Specialty Code 2:
00 UNWED
Audit Until Date:
000000
Nbr of Type Chg:
0 Employees:
(Y IN)
Fee Received Ut:
000000 LINIIS ID:
F1=Hlp F2 =UBH Fa•End Fa=Adr FSmPry F6 =Nxt
Record Review successful
0
PAGE 01
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LICENSE DETAIL INFORMATION Form
l
STATE OF WASHINGTON
DEPARTMENT OF LABOR AND INDUSTRIES
Specialty Compliance Services Division
P. O. Box 44000 Olympia, WA 98504 -4000
Page I of 2
THE RESULT OF YOUR INQUIRY FOR LICENSE NUMBER SELECTED IS:
LICENSE DETAIL INFORMATION
Current Filter: None
Registration# or License DYNAMDR975MB
Name
DYNAMIC DESIGN ROOF CONST INC
Address
622 S CENTRAL AVE
Address
City
KENT
State
WA
Zip
98032
Phone Number
2062427999
Effective Date
7/2/2003
Expiration Date
7/2/2005
Registration Status
ACTIVE
Type
CONSTRUCTION CONTRACTOR
Entity
CORPORATION
Specialty Code
GENERAL
Other Specialties
UNUSED
UBI Number
602293153
* * *VIEW CROSS REFERENCE FILE FOR THIS LICENSE* * *
* * *VIEW PRINCIPAL OWNER(S) FOR THIS LICENSE* * *
* * *VIEW CONTRACTOR BOND /SAVINGS INFORMATION * * *
* * *CHECK INQUIRY FOR SUMMONS AND COMPLAINTS* * *
* * * VIEW CONTRACTOR INSURANCE INFORMATION * * *
New inquiry by CITY , NAME , PRINCIPAL OWNER NAME , LICENSE , UBI
NUMBER check the
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CHETS ROOFING
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fmcdsi"- nom AND LICENSES
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UNIFIED BUSINESS 10 0: 802 293 153
BUSINESS ID 0: 001
LOCATION; 0001
ORGANIZATION TYPE
DOMESTIC PROFIT CORPORATION
DYNAMIC DESIGN ROOFING & CONSTRUCTION, INC.
1014 146TH ST SW
i 6URIEN WA 98146
TAX REGISTRATION INDUSTRIAL INSURANCE
UNEMPLOYMENT INSURANCE
RE4ISTERED.••TRADE -NAMES
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