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Permit D04-213 - JIMERSON RESIDENCE - CARPORT
JIMERSON RESIDENCE 12203 47 AV S EXPIRED 07 -0(x05 D04 -213 v Z re W = aa. J0 00 WH u. W NO LL Q co = =a �w z= Z 01-_ L11 a 92 1- WW i-r 'O .. Z U N" I 0 z 1 �. Cit y of Tukwila i800 Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 DEVELOPMENT PERMIT I Parcel No.: 0179001100 Address: 12203 47 AV S TUKW Suite No: Permit Number D04 -213 Issue Date: 07/13/2004 Permit Expires On: 01/09/2005 Tenant: Name: JIMERSON RESIDENCE Address: 12203 47 AV S, TUKWILA WA D�- Name: Address: Contact Person: Name: Address: Contractor: Name: Address: Contractoi GRANT MELVIN +OLLIE M 12203 47TH AVE S, TUKWILA WA JOHNNY 31MERSON 12203 47 AV S, TUKWILA WA OWNER AFFIDAVIT IN FILE 12203 47 AV S, TUKWILA WA License No: Phone: Phone: 206 - 501 -8014 Phone: 206 501 -8014 Expiration Date: DESCRIPTION OF WORK: ENCLOSE EXISTING 380 SQ FT CARPORT. Value of Construction: $600.00 Fees Collected: $48.31 Type of Fire Protection: Uniform Building Code Edition: 1997 Type of Construction: Occupancy per UBC: 0017 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: N Flood Control Zone: N Hauling: N Land Altering: N Landscape Irrigation: N Moving Oversize Load: N Sanitary Side Sewer: N Sewer Main Extension: N Storm Drainage: N Street Use: N Water Main Extension: N Water Meter: N Number: 0 Size (Inches): 0 Start Time: End Time: Volumes: Cut 0 c.y. Fill 0 c.y. Start Time: End Time: Private: Public: Profit: N Non - Profit: N Private: Public: ** Continued Next Page ** .. D0 00• Z `~ w JU UO Cl) J � �LL w LLQ UD = �w Z H I- O Z f- w W U� ON W H5 LL ..Z w U= O F- Z ... City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature: ��_��- , ,� c'PiC Date: 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. I Signature: �?,�,,`��4.z Date: Print Name: rd D Yi H f VI-I This permit shall become n II 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. 1 i i doc: Devperm D04 -213 Printed: 07 -13 -2004 Z '~ w �U U 0 U) J � CO W O. J U- C% = w Z� �- O Z �— W U� CO off wW u. O W Z CO O Z City of Tukwila Department of Community Development 16300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS z Parcel No.: 0179001100 Permit Number D04-213 UJI Address: 12203 47 AV S TUKW Status: ISSUED Suite No: Applied Date: 06/23/2004 Tenant: JIMERSON RESIDENCE Issue Date: 07/13/2004 CO o C0 111m = it 1: ** *BUILDING DEPARTMENT CONDITIONS * ** N 0 w� 2: No changes shall be made to the approved plans unless approved b the design professional in responsible charge and the 9 pp P PP Y 9 P P 9 � � Building Official. U - rn CI 3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to w start of any construction. These documents shall be maintained and made available until final inspection approval is z granted. �. O 4: All construction shall be done in conformance with the approved plans and the requirements of the International ? o Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. v co 0 5: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department w H of Labor and Industries (206/248- 6630). v �- 0 6: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, z any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits v cn presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila o shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Z Building Official from requiring the correction of errors in the construction documents and other data. * *continued on next page ** doc: Conditions D04 -213 Printed: 07 -13 -2004 ><. City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 e 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. I 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. i i I Signature: Date: r 7 —`-3 _.� Print Name: 7V() H Y^ V V \_ - C- - Y S v 1,X— doc: Conditions D04 -213 Printed: 07 -13 -2004 Z �w D UQ to J � �w w U. CO D =w ? �-- E- O Z t-- W D0 OCo O rr .W W. LO .• Z W H =. O - Z CITY -OFF dKW/LA - Permit Ceti ter 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 Application # ALTERNATE PLAN SUBMITTAL AUTHORIZATION FOR LIMITED SCOPE OF WORK U.B.C. Section 106.3.2 exception Project name Address 1 4 kV Description of work 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 V Elevations Foundation ,.:: Cross sections Roof plan W.S.E.C. compliance Narrative Structural calculations ( stamped by Washington State licensed engineer ) Specific required information 5 � :ice! . 5 ry nFT��� 3. Other special instructions: J q UN 24 - jDFR,y�TC� ?004 Authorization by, TBD3 /96 -form 12 Date &/z 37 � ( Authorization void 30 days aft the date issued. ) ' �. ._�. .:: :.' �'.';< i,:::;, rcrv�i.;.'; �-+.:': �i. a.. i` i�.: t«.: wt; Y,: MS« �. �.; s:: v:, �. �. t. m�. aac.• 4;:.. .a +:.e�tr.�s:aNtswk.�.Ga�S.',� hrw:n ..:.4x av»waw. ....f� y. , .tLwdo:i.' r Z �z 1�1 � JU UO Cl) 0 W_ t— �w w O 9-1 LL = �w Z H F- O Z H W5 U O� wW H� w z ui U= O Z CITY OF TUK��' Community Development Department i Public Works Department Permit Center ' 90B 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 ** SITELOCATION Site Address: 12 --_ ! -,/-e- Tenant Name• \Y�'� Property Owners Name: �) Mailing Address: 12 p LI ? q n i.,. \1 .\ City . -CONTACT• PERSON " .. Name: (� \�'�- �� -'rS� Day Telephone: Mailing Address: / � ~� �� �� A v e 1 /A City State Zip E -Mail Address: P? 0 ki C GENERAL'CONTRACTOR INFORMATION Company Name: Mailing Address: Contact E -Mail 0 f Fax Number: City Day Telephone: Fax Number: .... Yes E] ..No State V` �1 l Zip Contractor Registration Number: pom 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; musVbe�wet stamped. by Architect of.Record Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State ENGINEER OF; RECORD: All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: \applications\pertnit application (3 -2003) 3/2003 King Co Assessor's Tax No.: 0/1 W — 0- 0 — Suite Number: Floor: New Tenant: Page 1 h Z ~ w � D J0 00 Cl) 0 W = F— �LL w �Q � =d �W Z 1-^ �_O Z W U O� 0 I-.. WW HF- `-` 0 w Z U= O ~ Z BUILDING PERMIT INFORMATT0 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): 206- 431 -3670 0 _ Existing Building Valuation: $ C, 1 Will there be new rack storage? ❑ ..Yes ❑ .. No If "yes ", see Handout No. for requirements. Provide All Building Areas in Square Footage Below Addition to Type of Type of Interior Existing Construction Occupancy per Existing Remodel Structure New per UBC UBC 1'..: Floor 2 no Floor 3FL . Floor . - Tloors. thru Basement Accessory Structure* Detached Garage . .Attached Carport.. 3 1b U ;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): Floor area of principal dwelling: Floor area for accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain: FIRE PROTECTIONIHAZARDOUS MATERIALS: ❑.. Sprinklers ❑..Automatic Fire Alarm ❑..None ❑ . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes ❑ ..No If "yes ", attach list of materials and storage locations on a separate 8-I 12 x l I paper indicating quantities and Material Safety Data Sheets. \applications \permit application (3.2003) 3/2003 Page 2 Z Z QQ WV U O In C0 W J = C/) U_ WO }} �J LL Q N 2 f- W Z = f- I- O Z f- W W U ON � F- WW H� LL Z LLI U= O Z WORKS PERM ORMATION 206 =431-0179. Scope of Work (please provide detailed information): ! jA' 15e DA 7 Ae.,, & SS IN St;ii Su A . Or -Please refer to Public Works Bulletin 41 for fees and estimate sheet.. , Water Meter RefundBillina: Name: Mailing Address: \applications \permit application (3.2003) 3/2003 W er District ...Tukwila ❑... Water District # 125 ❑ .. Highline ❑ ...Renton ❑ ... Water Availability Provided Se er District ..Tukwila ❑... Va1Vue ❑ .. Renton ❑ ... Seattle ❑ ...Sewer Use Certificate ❑... Sewer Availability Provided ❑ .. Approved Septic Plans Provided ❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department. SuXmitted with Aanlication (mark boxes which a ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ ...Bond + ❑ .. Insurance ❑ .. Easement(s) Pt ose .�(ctivities (mark es 1t apply): ) P05% ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ ..Right -of -way Use - No Disturbance Construction /Excavation/Fill - Right -of -way Non Right -of -way ❑ .. Geotechnical Report ❑...Traffic Impact Analysis ❑ .. Maintenance Agreement(s) ❑...Hold Harmless • eu� ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ...Total Cut cubic yards ❑ .. Work in Flood Zone Total Fill cubic yards ❑ .. Storm Drainage `:Sanitary Side Sewer ❑ .. Abandon Septic Tank ❑ .. Grease Interceptor ❑ ...Cap or Remove Utilities ❑ .. Curb Cut ❑ .. Channelization ❑ ...Frontage Improvements ❑ .. Pavement Cut ❑ .. Trench Excavation ❑ ...Traffic Control ❑ .. Looped Fire Line ❑ .. Utility Undergrounding ❑ ...Backflow Prevention - Fire Protection " Irrigation " Domestic Water " Ib ••...Permanent Water Meter Size..." WO# Zb4, 07► [] ...Temporary Water Meter Size.. WO# ❑ ...Water Only Meter Size............ WO# ❑ ... Deduct Water Meter Size........ " ❑ ...Sewer Main Extension ............ Public Private ❑ ... Water Main Extension .............Public Private FINANCE INFORMATION Fire Line Size at Property Line _ ❑ ... Water ❑ ...Sewer Monthly Service Billing to: Call before you Dig: 1- 800 - 424 -5555 Number of Public Fire Hydrant(s) ❑ ...Sewage Treatment Name: Day Telephone: Mailing Address: City State Zip Day Telephone: ty State Zip Page 3 Z w OQQC � JU 0 NO C0 W H NW WO LL Q to = �W Z F- W W U� N OH WW HF- U- F- •• Z W U= O f Z MECHANICAL PERMIT INFOR .ON '10430070 41`x._ y` •• f'.� .•:.'4 �., .• ..Y „�..•.� . keHkN1C AL CONTRACTOR .• � INF ORMAM(YN � f , 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 ** r' Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Use: Residential: New .... n Replacement .... El . Commercial: New .... ❑ Replacement .... n Fuel Type Electric QN,, Gas....[] Other: `_�^+ . +.� :.� :,.fit , Indicate type of mechanical work being installed and the quantity below: U nit Type: Qty Unit T e: Type Qty Unit T e: -.. T ype:.. -., ”' Qty Boiler /Compressor: Qty Furnace <IOOK BTU Air Handling Unit >= 10,000 CFM Other Mechanical Equipment 0 -3 HP /100,000 BTU Furnace >IOOK BTU Evaporator Cooler 3 -15 HP /500,000 BTU Fl oor Furn Ventilation Fan 15 -30 HP /1,000,000 BTU Suspended /Wall /Floor Mounted Heater Ventilation System 30 -50 HP /1,750,000 BTU Appliance Vent Hood 50+ HP /1,750,000 BTU Heat/Refrig/Cooling System Incinerator - Domestic Air Handling Unit <= 10,000 CFM Incinerator — Comm /Ind PERMIT. APPLICATION NOTES Applicable to. all permits. in this 'app cation V. ilk �. 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. i BUILDING OWNER OR AUTHORIZED ENT: Signature: Date: I L 2- L/ )� Print Name: C� !'! Y1 Y� Sv Day Telephone: � (� A L 4 Mailing Address: 3 u� , W 1 7 C ity State Zip Date Application Accepted: Date Application Expires: Sta 1 \applications \permit application (3 -2003) 3/2003 Page 4 Z Z �W 0 CO C3 to W J NU_ WO J U_ N = W Z� W �5 �C3 U ON 0 F- WW 2 L O Z W 0M O Z , 1% BULLETIN A2 TYPE C PERMIT FEE ESTIMAI PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees PROJECT NAME __. t M AS F- PERMIT # ]�:) 04. - Z / 3 If you do not provide contractor bids or an engineer's estimate with your permit application, Public Works will review the cost estimates for reasonableness and may adjust estimates. 1. APPLICATION BASE FEE $250(l) 2. Enter total construction cost for each improvement category: General 3. 9 5. $ (5) cubic yards cubic yards Use the following table to estimate the grading application fee. Use the greater of the excavation and fill volumes. QUANTITY IN CUBIC YARDS RATE Up to 50 CY Free 51-100 $23.50 101-1,000 $37.00 1,001 - 10,000 $49.25 10,001 - 100,000 $49.25 for 1 10,000, PLUS $24.50 for each additional 10,000 or fraction thereof. 100,001 - 200,000 $269.75 for 1 100,000, PLUS $13.25 for each additional 10,000 or fraction thereof. 200,001 or more $402.25 for 1 200,000, PLUS $7.25 for each additional 10,000 or fraction thereof. TOTAL PLAN REVIEW AND APPROVAL FEE DUE WITH PERMIT APPLICATION (1 +4 +5) $ 297 �� The Plan Review and Approval fees cover TWO reviews: 1) the first review associated with the submission of the application /plan and 2) a follow -up review associated with a correction letter. Each additional review, which is attributable to the Applicant's action or inaction shall be charged 25% of the Total Plan Review Fee. Approved 09.25.02 Revised 03.18.03 Revised 05.13.03 Revised 06.07.04 Erosion prevention 15d Water - 70 - 0 , / Sewer 250 ✓ Storm water :300 V Road /Parking /Access -YA -ee-5- 3,56 ✓ A. Total Improvements 1.' 0a Calculate improvement -based fees: B. 2.5% of first $100,000 of A. 4-7 5 ," C. 2.0% of amount over $100,000, but less than $200,000 of A. D. 1.5% of amount over $200,000 of A. yr0 TOTAL PLAN REVIEW FEE (B +C +D) $ !I �'" (4) GRADING Plan Review and Permit Fees Enter total excavation volume Enter total fill volume z ~ w J0 UO 0 w W �U_ w 9 J U_ � = w z� F- O z F- w U� ON o F- wW F_ LL O w z UN P_ O z BULLETIN A2 TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION P may adjust estimated fees �o � 6. Permit Issuance /Inspection Fee (B +C +D) $ 4 (6) 7. Pavement Mitigation Fee 'ro " '-� �/ 9 (7) The pavement mitigation fee compensates the City for the reduced life span due to removal of roadway surfaces. The fee is based on the total square feet of impacted pavement per lane and on the condition of the existing pavement. Use the following table and Bulletin 1 B to estimate the pavement mitigation fee. Approx. Remaining Years Pavement Overlay and Repair Rate (p er SF of lane width 20 -15 100% $10.00 15 -10 75% $7.50 0 -7 50 $5.00 7- o $3.30 5-2(25%) $2.50 2 -1 10% $1.00 0 -1 $0.00 8. GRADING Permit Review Fee Grading Permit Fees are calculated using the following table. Use the greater of the excavation and fill volumes from Item 5. QUANTITY IN CUBIC YARDS RATE 50 or less $23.50 51-100 $37.00 101-1,000 $37.00 for 1`100 CY plus $17.50 for each additional 100 or fraction thereof. 1,001 - 10,000 $194.50 for 1s` 1000 CY plus $14.50 for each additional 1,000 or fraction thereof. 10,001 - 100,000 $325.00 for the 1s` 10,000 CY plus $66.00 for each additional 10,000 or fraction thereof 100,001 or more $919.00 for 1s` 100,000 CY plus $36.50 for each additional 10,000 or fraction thereof. Approved 09.25.02 2 Revised 03.18.03 Revised 05.13.03 Revised 06.07.04 (8) z i� w JU UO Cl) 0 co W Ww w U - W :3 = �. w z F— F— O z F- w w U� O� 01-- UJ U tL ~O w z CO z BULLETIN A2 r TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION P may adjust estimated fees N1 Total A through E 4 (9) 10. ADDITIONAL FEES A. Allentown Water (Ordinance 1777) $� B. Allentown Sewer (Ordinance 1777) $ 9_s C. Ryan Hill Water (Ordinance 1777) $ D. Special Connection (TMC Title 14) $ E. Duwamish $ F. Storm Drainage Mitigation $ G. Other Fees $ Z C �To A through G $_ S te- (10) (AC_ P /a 1 -7 -17 1�' DUE WHEN PERMIT IS ISSUED (6 +7 +8+9 +10) $ ESTIMATED TOTAL PERMIT ISSUANCE AND INSPECTION FEE This fee includes two inspection visits per required inspection. Additional inspections (visits) attributable to the Permittee's action or inaction shall be charged $47.00 per inspection. Approved 09.25.02 Revised 03.18.03 Revised 05.13.03 Revised 06.07.04 D. Water Meter- Water only* E. Water Meter- Temporary* * Refer to the Water Meter Fees in Bulletin Al C. Water Meter- Permanent* Oo ° p TOTAL OTHER PERMITS A. Water Meter - Deduct ($25) B. Flood Control Zone ($50) 3 z H w . JU 00 N co W J = 52 U_ W J U_ ? a = W �- _ z� �-- O w U� LU O- o�_ W F-P �O w z U CO ~ O�_ z 14 Cit of Tukwila y 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 0179001100 Address: 12203 47 AV S TUKW Suite No: Applicant: JIMERSON RESIDENCE Receipt No.: R04 -00865 Initials: SKS User ID: 1165 4 Permit Number D04 -213 Status: APPROVED Applied Date: 06/23/2004 Issue Date: Payment Amount: 28.31 Payment Date: 07/13/2004 10:05 AM Balance: $0.00 Payee: JOHNNY JIMERSON TRANSACTION LIST: Type Method Description Amount ---- - - - - -- -- - - - - -- --------------------- - - - - -- ------ - - - - -- Payment Cash 28.31 ACCOUNT ITEM LIST: Description Account Code Current Pmts ------------------------ - - - - -- ---------- - - - - -- ------ - - - - -- BUILDING - RES 000/322.100 23.81 STATE BUILDING SURCHARGE 000/386.904 4.50 Total: 28.31 doc: Receipt 2715 07/14 97 TOTAL 28.31 Printed: 07 -13 -2004 z ~w UO N to W Jf- S2 LL WO U- 0) = �W z H t`- O z F— W W U� O Cl) o f W UJ H LL O .z W co O z AA �...._. City of Tukwila 1908 i 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 0179001100 Permit Number D04 -213 Address: 12203 47 AV S TUKW Status: PENDING Suite No: Applied Date: 06/23/2004 Applicant: 3IMERSON RESIDENCE Issue Date: Receipt No.: R04 -00765 Payment Amount: 20.00 Initials: BLH Payment Date: 06/23/2004 12:27 PM User ID: ADMIN Balance: $28.31 Payee: JOHNNY JIMERSON TRANSACTION LIST: Type Method Description Amount Payment Cash 20.00 r ACCOUNT ITEM LIST: Description Account Code Current Pmts ------------------------ - - - - -- ---------- - - - - -- ------ - - - - -- ' f BUILDING - RES 000/322.100 2.74 PLAN CHECK - RES 000/345.830 17.26 i Total: 20.00 i i Z Z W Q 2. JU UO Cl) J = H 12 U- WO U - �CY =W ? F- O Z I-- W U� ON. O F-- W W U_ �. Z. W L) O ~. Z r INSPECTION RECORD Retain a copy with permit 0 . INSPECTION NO. PERMIT 0 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: Type of Inspection: Address: Date Called: G, ' Specia n tructions: Date Wanted: a.m. p.m. Requester: Phone No: ' Approved per applicable codes. 11 Corrections required prior to approval. COMMENTS: n / � A qG 4-t za �_-- L--J paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. teceipt No.: Date: Z Z JU UO. N ��. TU- W O 9Q = �W Z l— ZO LU �5 U� ON WW u" O Z W U= O Z �� im ri Et T7 IRS 17 AL 13UIWING DIMON SEPARATE PERMQT REQUIRED f�R: © Mel Be FlIcb1ca E3 Pkxnbkng L7 Gas Piping Gtr/ Of Tukwila L. B MING DPASIONN No clumm dmN be Im mda to the sm" of work 1A1Nhout prior approval of Tukwila Building Division. NONE: Revisions will require a new plan submltW and may indude additional plan review Bees, REVIEWED FOR CODE COMPLIANCE APPROVED JUL' 0 9 2004 City Of Tukwila BUILDING DIVISION �&r 1 0+z PC - 415 Z W oc � �D. UO Nc W_ F- �IL WO 9� L? � = W Z F F- O Z F- WW U� ON 0 F- WW HF- u. O LLi Z U= O F. Z �x . . . .... .... v � S . Imo/^ � 17� s ��� PRE �—C�c� ( .'..� r �'� rt C I CIS 6". iWv AVM TO PMD Icy Q]1 REVIE R CODE COMPLIANCE 4 3 � n v r � py �oL� JUL 0 9 2004 IN ,, f Tukwila BUILG 3-D IVISION 6- In � � � � w+ rcd. m*eA o f0+ af ?Ywm -kv bmineis � 1Jo+ P 4 pa heNl�ol 20 04 PK41601 . J)D 4 - Z..'I 3 R v - I C A z W 2 D 00 Cj) 0 C0 W W 3: LL W 0 2 � 9 _j U. CO) = W m z� 0 W �_ W LLI C13 0 0 �_ W W X o w U z 1. 03' vop-T4 0 Z 4 � 1 W . r � LLI D 00 No co w W:r LL ui LL D N O X H W Z HO Z F- W LLJ 2 :5 . D 0 0 co 0— LLJ X U- 0 z co 0 3: O Z y yEr�,����,���o�✓,��Ts �a 1 CITY pF Tu�N((�y APR 2 pEijW CkfV7�R C ORRECTION LTR# .r' to Do *0 ;' ► t f . I� z �W Q � JU 00 U) S2 U. w L� cl)a W z f- z O: w �5 U0 :0 co W uj �0 U- z ui N o z 1908 1 2 �O August 2, 2005 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director Mr. Johnny Jimerson 1220347 1h Ave S. Tukwila, WA 98178 Re: Building Permit D04 -213 Code Violations RFA04 -306 Dear Mr. Jimerson: This letter is to clarify outstanding issues on the above property related to the construction of a dwelling unit. In June 2004 you applied for a permit to enclose a carport. This permit was issued to you July 13, 2004. On January 7, 2005 during an inspection, the building inspector determined that the work being done exceeded the scope of the permit issued to you and a notice and order was posted. The notice and order required you to submit a revision to your original plans to address various issues concerning the use of the structure as a dwelling unit. You submitted a revision on February 22, 2005, which included more detailed plans as requested by the Building department. These plans were reviewed and after one other request for information, Revision #1 was approved for issuance. The scope of this revision triggered additional fees owing at the time the revision is issued. These fees include Allentown Sewer Assessment of $9,825.30, water installation fees of $490.00 and other Public Works and Building related charges. As it stands now, the "red tag" is still in effect prohibiting further construction work on this project until the Revision is issued. The Revision cannot be issued until all the fees are paid. The total amount of fees owing is $10,930.85. In addition, the City continues to receive complaints about junk vehicles, vehicle parking on unimproved surfaces, trash and debris, and vehicles blocking the street in front of this property. We would like to resolve all these issues and suggest that we arrange a meeting with you and representatives of Building, Public Works, and Code Enforcement in the very near future. Please contact me no later than August 12, 2005 to arrange a date and time for this meeting. I look forward to hearing from you. Sincerely, K6 tttiu,r -u C .AE01" Kathryn A. Stetson Code Enforcement Officer 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206- 431 -3665 z Z �w 2 3U UO Cl) C0 W J = H S2 U- w LLQ ND i F - w z z� W w U� o - o F- w W u-- O w z U= oF- z 1 0. W� ILA, 1908 06 -07 -2005 X JOHNNY JIMERSON 12203 47 AV S TUKWILA WA 98178 V� City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director RE: Permit No. nn 12207 47 AV S 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 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 Permit Center at 206 - 431 -3670 to arrange 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 -time extension up to 180 days. Extension requests must be in writlne 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 07/06/2005, 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, Stefania Spencer, Permit Technician xc: Permit File No. D04 -213 Bob Benedicto, Building Official 6300 Southcenter Boulevard, Suite #100 * Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 Z �Z W QQ 5 L) UO Co co W = H �LL WO }} �J U. Q to D = �W Z H 1— O Z F-- W W U ON 0H WW H U. O .• Z W U= Z U � 0 cn` 1908 April 15, 2005 wi 0 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director Mr. Johnny Jimerson 12203 47"' Avenue South Tukwila, Washington 98178 RE: CORRECTION LETTER #1 to REVISION #1 Development Permit Application Number D04 -213 Jimerson Residence —12203 47' Avenue South Dear Johnny: This letter is to inform you of corrections that must be addressed before your development permit(s) 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 Planning and Public Works. Departments. At this time, the Building and Fire . Departments have no comments. Plannins Department: Brandon Miles, at (206) 431 -3684, if you have questions regarding the attached memo. Public Works Department Dave McPherson, at (206) 431 -2448, if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that four (4) complete sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a `Revision Submittal 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) 433 -7165. Sincerely, Stefania Spencer Permit Technician encl xc: File No. D04 - 213 6300 Southcenter Boulevard, Suite #100. * Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431.3665 •;�i.5� :��::�;.';:e;;.;i�:; : aRw:;. si.`.: i.:. t'.^:;: icSr.«. nr1. �z: LCFt�nnnu .:iw:rw::.u�:iiStro;•ta'1.,u¢iw -,.sx..'s u 'try.a tt - uct ku "' Js`� ii'�t;t,�''{.;.:: a�, �;:i;�a:,,s Z Z �2 �U UO CO 0 J H S2 w w LL Q N =) = F- w Z 1 O Z W U ON 0H_ w F- F- u. O W Z ' U= O F ' Z = r� _ r _ t - r r 1908 t r City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director PLANNING DIVISION COMMENTS DATE: February 24, 2005 CONTACT: Johnny Jimmerson RE: D04 -213 ADDRESS: 1220347 1h Ave S The Planning Division of DCD has reviewed the revisions that ere submitted on February 22, 2005 fort he above permit. The permit that was issued by the City was to enclose the existing carport. The revision is to now convert the existing carport into a separate dwelling unit. The applicant is currently incomplete and the following needs to be submitted: 1. According to King County records there are three lots on this one parcel. Revise the site map to include the location of all parcel lines on the property. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 o Phone: 206 - 431 -3670 a Fax. 206. 431 -3665 z ;3: z �W QQ � JU UO CO 0 co W J = H D U- W O WQ N 0 �W z 3: I— O z F— W �O U 0- WW LL O W z U =. O ~. z DATE: CITY OF TUKWILA PUBLIC WORKS DEPARTMENT REVIEW COMMENTS March 8, 2005 PROJECT: Jimerson - (SFR) 112203 —47 1h Ave. South Parcel No. 017900 -1100 PERMIT NO: D04 -213 PLAN REVIEWER: Contact David McPherson at (206) 431 -2448, if you have any questions regarding the following comments. 1. Show & label on plan sheet the existing sanitary side sewer. Show how new addition, will be served by sanitary sewer. Allentown sanitary sewer assessment is $9,825.30 until January 31, 2006. 2. Show & label on plan sheet the water meter and service line. Show how new addition, will be served by water and location of new water meter. Allentown water assessment is $5,356.80 until January 31, 2006. 3. Cascade Water Alliance RCFC for new 3 /a -inch water meter is $2222.00 — see Public Works bulletin Al — enclosed. 4. Provide, as applicable, additional information on your site plan. Include; edge of existing pavement, existing and proposed parking, storm drainage for downspouts, power, nearest fire hydrant, etc. 5. Provide note on plan that sanitary side sewer cleanouts shall be installed to finished ground level. 6. Undergrounding of power applies to this permit. Show and label power on site plan. 7. Provide cost of each improvement category, on sheet 1 of the plan review and approval sheets — enclosed. 8. Pavement mitigation fee may apply to this permit, if street pavement is open cut. See Pavement Mitigation Bulletin no. 1B — enclosed. z ~ w 00 Cl) �_ S2 LL w 0 �:3 LL ¢ co) = d �w z � O Z F- w w U� O N .0 F- wW 0 w z U= ~O F- z i . ..1.1,. i.i:.ral... .(J< +.(..e)�:.tii•• u5.4Kt« , a.ia.ty.F�r:` at3Si�. +.:ur: +`.cao-: »:,,+a�„ , �..:c.,n • ..w asnn,.a.: ,,.�•:;..ai.ur+,. ti 'p4riWw %i lPttir5:.3.:�:D:zs.' -e;. 12 -06 -2004 �qs i • JOHNNY JIMERSON 12203 47 AV S TUKWILA WA 98178 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director RE: Permit No. D04 -213 12203 47 AV S 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 . 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 hc+reby advised to: Call the City of Tukwila Permit Center at 206 - 431 -3670 to arrange 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 -time extension up to 180 days. 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 01/09/2005, 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, i Stefania Spencer, Permit Technician xc: Permit Pile No. D04 -213 Bob Benedicto, Building Official 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 9 Fax. 206 - 431.3665 .� .n.w•...s..s rF.n.w9�W.d .�: .YN2Rq'EkSC:YK'S'?FY'N7P'i:r a�7.anv?.vrtyYA, Z �z '~ W JD U CO J = t— �W WO 9-1 WQ = a W Z H F O Z H W W D ON o�- W U LL Z W CO O F- Z PERMIT COORD COPY rf . / ice � PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D04 -213 DATE: 04 -20 -05 PROJECT NAME: JIMERSON RESIDENCE SITE ADDRESS: 1220347 TH AVENUE SOUTH Original Plan Submittal _Response to Incomplete Letter # X Response to Correction Letter # 1 TO X Revision # 1 Fa before permit is issued DEPARTMENTS -- Building Division ❑ Fire Prevention ❑ Planning Division Public S /,,, EM �� Structural ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 04 -21 -05 Complete Incomplete ❑ Not Applicable ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TOES /THURS VTING: Please Route Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS Approved ❑ Approved with Conditions Notation: DUE DATE: 05 -19 -05 Not Approved (attach comments) ❑ REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: PERMIT" COORD COPY Documents/routing slip.doc 2.28.02 z ~w (y- 2 JU U ND W = � WO J U. Ln a = W z� �O Z �5 U� O- OH W F-P !!=O --z W CO O z F PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D04 -213 DATE: 02 -22 -05 PROJECT NAME: JIMERSON RESIDENCE SITE ADDRESS: 1220347 TH AVENUE SOUTH Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # X Revision # bofef@ permit is issued DEP RT ENTS• A 104 •2- IVA sM doaeA 2.• *iOls Bui mg Division Fire Pr n Q Planning Division W1 Public Wor Structural ❑ &T Permit Coordinator e DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 02 -24 -05 Complete Incomplete ❑ Not Applicable ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TOES /THURS R TING: Please Route Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS Approved ❑ Approved with Conditions ❑ Notation: REVIEWER'S INITIALS: DUE DATE: 03 -24 -05 Not Approved (attach comments) DATE: Permit Center Use Only CORRECTION LETTER MAILED: ,l�•► Departments issued corrections: Bldg [I Fire El Plno� z0J PW Staff Initials: Documents /routing sllp.doc 2 -28.02 �..., e. .. :..,a �., �, .., r. ,.:.: �.�u.,KNn&.�Ll���`.� -:,. •. �: � .;.�+,.,�S:ry'.{:�',{= +li��t:'sa 'klc�laus�4r„LCJw�if..5 v...... t.ilted:w.S+Yi � _ _ _ _ ,5.:'•• z r i~ W � 0 UO �o CO W J = CO L w J U � = w z z° W LU 5 C3 U ON CH wW LL O z W CO O z " PERMIT COORD COPY ' PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D04 -213 DATE: 06 -23 -04 PROJECT NAME: JIMERSON RESIDENCE - CARPORT SITE ADDRESS: 1220347 TH AVENUE SOUTH X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision #_afteribefore permit is issued DEPARTMENTS: Build PViAo ` n` )L_' Public Works GPI Rp U -14-o, Planning Division Permit Coordinator wi wk ( - ** Fire Prevention Structural ❑ DETERMINATION OF COMPLETENESS (Tues., Thurs.) Complete Rr Incomplete ❑ Comments: DUE DATE: 06 -24 -04 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUTING: Please Route Structural Review Required REVIEWER'S INITIALS: ❑ No further Review Required ❑ DATE: APPROVALS OR CORRECTIONS Approved ❑ Approved with Conditions Notation: DUE DATE: 07 -22 -04 Not Approved (attach comments) ❑ REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: PERMIT COORD COPY Documents /routing slip,doc 2 -28.02 z ~w JU UO UU CO W S2 LL w LLQ WD = �w Z H �_O z �_ W W U� o U)_ F_ wW L O . W z U= O~ z ' f City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tulnvila.wa.its Steven M. Mullet, Mayor Steve Lancaster, Director REVISION SUBMITTAL Revision submittals must be submitted in person: at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: �/- D� Plan ChecWPermit Number: D04 -213 ❑ Response to Incomplete Letter # ® Response to Correction Letter # 1 TO ® Revision # 1 after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name JIMERSON RESIDENCE Project Address: 1220347 TH AVENUE SOUTH Contact Person: Johnny Jimerson Phone Number: ry of Revision: n 0 Sheet Number(s): E� "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: ` k , Entered in Permits Plus on pplications Ibrms- applications on line evision submittal Created: 8 -13 -2004 Revised: JIM 11IN1�1MMMM= a z Z J0 00 0 W= � w LQ = F- w z f- t— O w ~ w U� O- 0 F_ w W F� -O W U= O F- z City of Tukwila o y Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 1908 Fax: 206 - 431 -3665 Web site: http:11www.ci.tukwila.wa.us Steven M. Mullet, Mayor Steve Lancaster, Director ]REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 2Z Plan Check/Permit Number: ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # A l Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Project Addre: Contact Persoi Summary of R......,.... . LA . t P br -- _.e Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: Entered in Permits Plus on \appl icationsWorms-appi ications on me evision submittal Created: 8 -13 -2004 Revised: - �g =,�1 :ii, . vi' is4. r:.^.' �r,>. y: ,�.++:a«1b.`..'t,s3u:;.S:..�.in ::.i1i.'r..c., tt1�:: ;t'i 'iuG{3' �:'�Gn!'i!a� :i'i.ktiw.+;. : Y'el+.b •i!f!l�K ad:tYw +'^k z ~ W ' tY 2 J0 00 0 W= CO U. w U.Q �D = �. w z F— O z I— w �5 U ON 0 I— wW LL O w z U= O H- z Department of �` • Natural Resources and Parks Residential Sewer Use Certification Wastewater Treatment King County Division (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.) Pursuant to King County Code 28.84, all sewer customers who establish a new service which uses metropolitan sewage facilities shall be subject to a capacity charge. The amount of the charge is established annually by the King County Council as a rate 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 or this form should be referred to King County Wastewater Treatment Division at (206) 684 -1740. (Please print or type) Owner's Name a.✓I (Last, First,, Middle Initial) Property Tax I.D. Number /j'd�% Subdivision Nam q,!(l.•t��dS ubdiv. # Lot # - -44 Block # -6 Building Name (if applicable) Property Street Address z•!P3 City, State, Zip :FzAa44jLLc%,T� Owner's Mailing Address -0�icoE (If different from above) Owner's Phone Number Property Contact Phone Number ( ) Party to be Billed ,d1,-Pir7�o�/ (if different from owner) Party's Mailing Address City or Sewer District Date of Connection Side Sewer Permit # Demolition of pre- existing building? ❑ Yes 54-1515 Type of building demolished? Sewer disconnect date? For King County use: Account # Monthly Rate Six Month Due Residential Customer Please check appropriate box: Equivalent (RCE) 2'gngle- family 1.0 ❑ Duplex (0.8 RCE per unit) 1.6 r� 7X � � ❑ 3 -Plex (0.8 RCE per unit) 2.4 ; E1 4 -Plex (0.8 RCE per unit) 3.2 t ❑ 5 or more (0.64 RCE per unit) No. of Units x 0.64 = ❑ Mobile home space (1.0 RCE per space) ' No. of Spaces x 1.0 = 1> 0 For condominiums, please fill out Supplemental Form A in addition to this form. I certify that the information given is correct. I understand that the capacity charge levied will be based on this information and any deviation will require resubmission of corrected data for determination of a revised capacity charge. Signature of Owner /Representative 4 4"�� gl��4daeZ4 '-- Date Print Name of Owner /Representative v ,� rJ �Yv►��rS�,.. 1057 (Rev 7/02) White — King County Yellow/- Local Sewer Agency Pink — Sewer Customer > rx . .:. ... .. „ w: °n....v ,.. :.,..« <n .. ,..... ; x•..., iv..`.»": :: Y': w:,, ,1:= .::«W"”- "1.1'- '.""..`N�,..r >..rra.. �:�. w. ; ;� ' ' y4,C` � '+`i {fi m•.M.a..�'�i.�r • e� z z �w 0 CO J = H S2 LL WO UQ to � = �w z t— ZF_ W �5 U� O� o E- W W H U_ O z W U= O z CITY OF TU,KWILA Permit Center 6300 Southcenter Boulevard, Suite 100, Telephone: (206) 431 -3670 APPLICANT Signed and �s a to before me this Tukwila, WA 98188 STATE OF WASHINGTON ) Z z ss. X w COUNTY OF KING ) D 00 T\yvt v� S D W = states as follows: 1 . I have made application for a building permit from the City of Tukwila, Washington. DU- w O 2. 1 understand that state law requires that all building construction contractors be registered with the U State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the = a Revised Code Washington, a copy of which is printed on the reverse side of this Affidavit. I have i read or am familiar with RCW 18.27.090. ? ~ �0 Z E-- 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 N Washington, or that one of the exemptions stated under RCW 18.27.090 applies. o 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby wW attest that after reading the exemptions from the registration requirement of RCW 18.27.090, 1 `� 0 consider the work authorized under this building permit to be exempt under No. , and N will therefore not be performed by a registered contractor. 0 I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to Z engage an unregistered contractor to perform construction work. �• SAX TON \ \� ro c co Q,R� �s '• ��� C \ AFFCONT 1113100 3 `k day of V0111111111 H -4 20 - V . NOTARY PUBLIC in ard�r the "St* of Washington, residing at e V\ C- County. Name as commissioned: --CPc `\ ° 5 My commission expires: 3 - '�-Ci --D-6 ). -w �iti1 ::iraA p11:1 % n,'e� XS..y i,SJwr1.ti.;..Lt {vS . �s f: iJ�. 1, iw: tiiri. 4, :. ;iaMy�.�';1:4�M:.%�'!li -.x..: b.N- �� +1.�i� ::IiJi�x4NLe , ,�� {rs ,ry �o�\.� 18.27.090 Exemptions. This chapter shall not apply to: 1. 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; 2. Officers of a court when they are acting within the scope of their office; 3. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 4. 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; of the operation is made into contracts of amounts less than $500 for the purpose of 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; 10. 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 when any of the above work is performed by a registered contractor; 11. An owner who contracts for a project with a registered contractor; 5. 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 a structure; 6. 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; 7. 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; B. Any person who only furnished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor; 9. Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials and all other items is less than $500, such work, or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any 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 �12. ny person working on his own property, whether ccupied by him or not, and any person working on his residence, whether owned by him or not but this 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; 13. Owners of commercial properties who use their own employees to do maintenance, repair, and alteration work in or upon their own properties; 14. 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; 15. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his sole compensation; 16. 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. AFFCONT 1113100 Z ~ w o 2 JU 0 NO J= CO U- w EQ (D D Y �w Z ZO W w Cl ON 0 F- wW �O Z w U= O Z ' ��.; ��" �; t �J�w:: r' �7�" � w Y �.+ ° "`w, `+ ec�r" t�4•✓, wu,+ t«.: �w:, �p weir'". iyi�r1 ?S�t;±myantRrc".Nq.�k+s:t,i�.., .. . e !M - , hLi ��; "�,•.l.,c i%f' �I"�?':"�►C fool" cnr 'in Tri; n =;e a _ i • . ACee;�x ?rCe ;�� �t ?��•_ct t1 c r" ^� � , rs !i - t - t �.. c �: ?�:�I:'rC Zx'�,` d o P0, 9tjth(�' V;() 'I.,(l�c � - s s r ord ' ..ar �arcl ' n � � = ~ :.I3cE�S. Tl�e c ca 7cg1- of th e derlgni rests totai,v uLIr1on tleiet�t�i �r 1'fi '�C' ^;'C t t� e E 4'"� i, � ,► c alter this d ate will 't � is accep tance �r. w; ll - cqz ;re a resubm,ttal of revised drawlings approval. 3'�Le 1S C' �I �._�}kCtlln by acce t ti t �. •-� •�, • `. ' !I-e P �: Plic Works j �::;i4tic li~ t By&- i 1 ly V7 E t ` I ' e OUTS1DE 7",'- �:.� i �`..._ -mot �� ���1i�.` T;�;, �,�t�,�'►�s/�i�/�,� 74_vo�. lAo Zoe �G yV {�S/ -1'r- ED7- Ole 10, f l i� t k l ri g.. ; 14 X , f _ . I le 7 4 -0 f-ol 4 P pep) A j Z r � F E 1 t s �; 0 N �'Ri ql : /Z''ri�' fie ' 4� /, ..._. r �,Vlo T? '�' SLY _..,... __ -4 Ag ' r J i sr , & ... .; lif1� i ; ;PIA Ali& X --- V_ 3 tte ► WA9 .. � f E 2 V Ik O�' 4 0 �zEVj vN C C)f j -P Nwo JUN Ct v 04 cwD q 6 JI L D APB , 41 r r ECEIVED FEB 2 5 203 TUKWILA PUBLIC WORKS RED C. TY OF TUK'Klt� PERMIT Itif. C 0 R E iGN L T R a 1 C ��/� /Gk�'T J100/. C�7 40� S2 `6x /sT4 zo4.o I � S.T/�<Tv I� • • • t 0 •t • • • • • • S op t 6'p�y�ov�� F+ be Me" ft "m sce" C rr- -!�: • p"W I rah d •.- : - :: �i� 6a�i�diw� h.. . _ . rz :, - s w requee a near plan sL arx, r mac: t4e pion m4ew mss. ,t Q LOT COVERAGE: LOT SIZE: 9000 SQ FT: LOT COVERAGE: 1215 SQ FT; PERCENTAGE COVER: 13.5 NOTES: STRUCTURAL: BEARING SOIL = 2000 PSI (ASSUMED) FLOOR = 40# SQ/FT (LIVE) 10# (DEAD): ROOF = 35# SQ/FT FOUI�TDATION AND CONCRETE: L CEMENT TO BE PORTLAND CEMENT 5 - 1/2 SACK MIX 2. FOOTINGS TO REST ON UNDISTURBED SOIL 3. BACKFILL AND PACK AT FOUNDATION 4. REMOVE AND CLEAN ALL DEBRI UNDER EXIST'G CONCRETE SLAB PRIOR TO CARPENTRY AND INTERIOR • I. STRUCTURAL LUMBER = DOUGLAS FIR (1450 F) OR BETTER UNLESS NOTED OTHERWISE LUMBER COMING IN CONTACT WITH CEMENT TO BE PRESSSURE TREATED 2. FOUNDATION MUDSILLS TO BE BONED W /112" DIA. BY 10" ANCHOR BOLTS EMBEDDED 7~ MIN. INTO CONCRETE @ 4 FT MAX. AND WITHIN 1 FT FROM CORNERS ; 3. EXTERIOR WALLS TO BE DOUBLE CONSTRUCTION 4. FLOORING TO BE 3/8" PARTICLEBOARD OVER 5/8" CDX PLYWOOD �. NAILING PER IBC AND CITY OF TUKWELA CODES AND STANDARDS G. EXTERIOR DOORS = 1 - 314" SOLID CORE WNIEW PORT 7. INTERIOR DOORS = 1 -318" HOLLOW CORE 8. DOWNSPOUTS = 3~X5 RECTANGULAR 9. ATTIC VENTILATION NOT LESS THAN 130 OF VENTILATED AREA 10. CEILING AND WALLS = '/z ' GWB 11. MAX. WINDOW SILL HEIGHT = 44" ABOVE FLOOR W /5.7 SQ FT CLEAR 12. HEADERS OVER WINDOWS AND DOORS = DOUBLE 2 * ENERGY: INSULATION 1- CEILING = R - 3 8: EXTERIOR WALLS = R - 21: FLOOR = R - 10 2. WEATHER EXTERIOR DOORS WffWI'ERLOCKING INVISIBLE ALUM. SILL GLAZING: DOUBLE G . GLAZING MAX. 1LsAX U'" VALUE .40: HEATING. HIGH EFF. GAS I PLUMBING PER IBC AND CITY OF TU`KWELA CODES AND STANDARDS ELECTRICAL: 200 AMP 120/240 VOLT SERVICE PER IBC SECURITY: 1. SMOKE DETECTORS WIRED TOGETHER ON 1 IOV - ~ 2. ENTRY DOORS TO BE OPERABLE FROM INSIDE WITHOUT SPECIAL KNOWLEDGE OR EFFORT W/DEAD BOLT %Z~ MIN. THROW 3. WINDOWS TO BE SECURED W/LOCKING DEVICE INACCESSIBLE FROM OUTSIDE q1t �4ew ! � t 111t or I COOD. E C 0 f 41 1-1 A N C E OF r JUN 3 ?U65 'Ye oa V i!"% ON r r,,F' A6 L L I x ldf of r�, W Gn Pfp�i-i atv or T VMON — f . :...... s' �_�•2s- -�_'7- � !� - V - t -_r -.� -� ` .� _ -. ... .�-- -+•. rte.- - .r..— � _ .�-..� � +•�..► -_ — !�.- �� -.•-- -ter. -r _ - -_ - �'7�1"�'�'_ . _ „"'!.�- � _ � - .-_ . - �-�� _- __ -�-- •mac _ -• ._ �� tr I dw;p� X � #o/T9oo //� v a� t F +C m CITY OF TUKVYlL./4 F `6 QCs PERW Ce4TER s Tirwr�t.+, �i �1si7a A�►rEE s /os �r' �� D0� Zl3 fe -0 4b a� z 1�vs /ws��++/�� a -p Co zzi : \IR ��t -111, it i �,' OZ) w� u '0 0 4 00 ra 21 lz w:� Ulf j T g '004/7 '000O NI A � V.. N 0 ire �v � OOOF t o0 N � I i I I I n � � •7�ib7�rb Hz �oo� glsrx� � f N A l 0 ;Xvv�r� e.-rarAP0 21'�Q/Y�l9/� �71�'�/V07 a Sd7S '7iY97ir�' 2�.�'/14 ���s�.� s - rssf'd� -- � IftiliIIIIIIIIIIII111111 7fli9�.i9�iiZ 0 ��i�o gj�rQ��dvo�r! 0 ae rf1 4ho- 4w3 Coo,/ /011ow iro >�;z 77K le g �-x a1/Y�1t�.��7/7�15 7- 1,G%.Z /X 14 AF III;r/ro ?��v� �»✓ %�voa'�/ `\ C? rme ..,00 p j j� ' l d vlwe�r �e or CA f V'ff %r If-'// 1 ;1I 77 (P�' �J,� '��f �Yar�+� u4 P��.�dn�y po M �ux�q hA rp �n �+� Poofl..A M00% •poom �� Ito 'Fir - .4V — f V000007et" -Zllof�, 77 > 7 ' - -,• . tii �`� 3 i ' � " !.VC blT.Tl Y '1, - iCWCd !IV t1l 17�: k11iC T)c t ;rimcrtt for c n forrnance, with ciirrer.t (; v Acceptan is subjeci to errom and -r < which do not orize vio lations of Dr �D �.� c�04r , 1 _ __ . _ ._.._ X t eri e a� . 3prd% or ordin eem. The a onsibiIltv � _.... --... -..,, _ _ q r . e a d cgn acy of the design rests totally w the ' ,Addition„ delenono or revisions to these ..: • - ; r gs after this date will void this raubtnitti revi Se� x • require a s seouent appravaL = , Of r ; . acceptance is subject field oa by - t1 c Pli" I ;c 'Forks utilities i or. Y. - --- z 04 . v G. f y , ! • AL Am t r ���'1►/ /� _ .-�• �.,i y x.7 � � 10,� ip `• rr�. aF4 � fl' 100-.?- g- 4 v 9C� ` TG , r - A 9 4i�p� � , 1 Z ,: A r, X A� •; . Q fi r" V I 0or k 1p • j t - y WV 0 k= �y 1 t ` i ECEIVED FEB 2 � � TU KWI LA PUBLIC WOR RECE!'VEty C;rrY0FTUKW1i F7 PERMlT CgN7-E,3 C C F 0 N Toll V FIL AMA-Vft �o��,cry,4��xr�s: mezzos .�,.,�,0m 400 O A .eEVi�SED: /ricwic/w ►Yq 7oi /a Y�/,ib i� a qr -- 'a �. _ rr -- - s .� - '+ _ _ - as - : _ - '•*_sr - - - +R••'� - �- �wey - ^� - '�'L»*r'-- -a► •►ai..- �_�.e--•1 -- R+.�+ �� � - �._. -- �--- -� - - - - _ . _ - .__ ._ - --- �y 1 t ` i ECEIVED FEB 2 � � TU KWI LA PUBLIC WOR RECE!'VEty C;rrY0FTUKW1i F7 PERMlT CgN7-E,3 C C F 0 N Toll V FIL AMA-Vft �o��,cry,4��xr�s: mezzos .�,.,�,0m 400 O A .eEVi�SED: /ricwic/w ►Yq 7oi /a Y�/,ib i� a �sa�r•�p,lrvvo� :aearl-�xo s�iS� e�jrr v >iirta��1 1a'od a'Y7 1 �3d joA ,., 5 r x �I N I D 4 s 00 N O II i I �aa ,vim / =a '371i7S 7 , Ar�_2Z jW i t � 4 v MY - _ --- - - _, /V 7 00 �1 av/tr� p'�'a'��1��Vi�37'7 odc go 7 S'o�7S '7J✓v.� �i -�iX� � p Q/N�'/'✓oal.�, / ��'���'�!{�� ,r��it'l L 70� O/ X0 �'�/!O �iWil�1 kQ�,. 8� ��✓ /�1d�i1E'S20�9I�� a� a'�/10 9/f/ /mil /1d00/rI eI M - wff 1 keok rrr �; / IL - 7f,1/- l✓�'�g' X �' � 1SyX�� 00 / 100/1 o"Iff I S 77e dvwi LS d1 r r !$ •ba s � r �sAV �» -7- • NQ.SUIMIS ��"�• �Lr� �v �.�d�� - �1w;''<„J �ri��a' 7 .7 0 z� --.-a 1 Ct -�� ►- ✓GRIGkF'T i v •• • • • Ll _ • f • , • . OIL V • �i✓��st�'T ?doh' lli 11 s�F.r�Y. SALE .//,¢dory O� t - 54 0 ,4-0 S-� 0 he C -S oricr wpprvvw It 7 "' -�5 •'T a n ew pj&j sL; ptan cf��L' / ' o G _.- - - - -- - - i,. - - - -- - -- - --- .. -..._ LOT COVERAGE: LOT SIZE: 9000 SQ FT: LOT COVERAGE: 1215 SQ FT; PERCENTAGE COVER: 13.5 NOTES: STRUCTURAL: BEARING SOIL = 2004 PSI (ASSUMED) FLOOR = 40# SQ/Fr (LIVE) 10# (DEAD). ROOF = 35# SQ/FT FOUNDATION AND CONCRETE: 1. CEMENT TO BE PORTLAND CER &NT 5 -1/2 SACK MIX 2. FOOTINGS TO REST ON UNDISTURBED SOIL 3. BACKFILL AND PACK AT FOUNDATION 4. REMOVE AND CLEAN ALL DEBRI UNDER EXIST'G CONCRETE SLAB PRIOR TO CARPENTRY AND INTERIOR - I I . STRUCTURAL LUMBER = DOUGLAS FIR (1450 F) OR BETTER UNLESS NOTED OTHERWISE LUMBER COMING IN CONTACT WITH CEMENT TO BE PRESSSURE TREATED 2. FOUNDATION MUDSILLS TO BE BOLTED W /1/2" DIA. BY 10•' ANCHOR BOLTS EMBEDDED 7" MIN. INTO CONCRETE @ 4 FT MAX. AND WITHIN 1 FT FROM CORNERS 3. EXTERIOR WALLS TO BE DOUBLE CONSTRUCTION 4. FLOORING TO BE 3/8" PARTICLEBOARD OVER 5 /8" CDX PLYWOOD 5. NAILING PER IBC AND CITY OF TUKWILA CODES AND STANDARDS G. EXTERIOR DOORS = 1 - 3/4" SOLID CORE W/VIEW PORT 7. INTERIOR DOORS = 1 -3/8" HOLLOW `CORE 8. DOWNSPOUTS = 3•'X-* RECTANGULAR 9. ATTIC VENTILATION NOT LESS THAN 130 OF VENTILATED AREA 10. CEILING AND WALLS = V;' GWB 11. MAX. WINDOW SILL HEIGHT = 44" ABOVE FLOOR W/5.7 SQ FT CLEAR 12. HEADERS OVER WINDOWS AND DOORS = DOUBLE 2~X6" ENERGY: INSULATION 1. CEILING = R -3 8: EXTERIOR WALLS= R -21: FLOOR = R -10 2.WEATHER EXTERIOR DOORS WMTMRLOCKING INVISIBLE ALUM. SILL GLAZING: DOUBLE GLAZING MAX. U" VALUE .40: HEATING: HIGH EFF. GAS ! PLUMBING PER IBC AND CITY OF TUKWILA CODES AND STANDARDS ELECTRICAL: 200 AMP 120/240 VOLT SERVICE PER IBC SECURITY: 5 1. SMOKE DETECTORS WIRED TOGETHER ON 110V 2. ENTRY DOORS TO BE OPERABLE FROM INSIDE WITHOUT SPECIAL KNOWLEDGE OR EFFORT W/DEAD BOLT %i ' MIN. THROW 3. WINDOWS TO BE SECURED W/LOCKING DEVICE INACCESSIBLE FROM OUTSIDE --- x iL liY� • w Q � i I� � T DE �����ANC21 .. JUN - 3 ?005 x 4 iLj. S L I T; r r n -��I r ~� 1 i� +J ; C .O � � O * I I F, /4e /-# 0000=4-00C �,�4 fye �S � - 5�- -�.��� �oi7'9oo / /uo C T s r l X3 f i E 0 I� (000 RECEIVED APR � 1 2005 TUKWILA PUBLIC WORKS R CITY OF TUKVVU F!f- F oil' 2 PERM i 164 �1ti�a Ojv�✓ER: low R"4xEAV: 1)4)5 pZl3 u l