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HomeMy WebLinkAboutPermit D04-233 - GARWACKI RESIDENCE - IMPROVEMENTGARWACKI RESIDENCE 4920 SOUTH 107x" STREET D04 -233 W CL UO coo w Ili co u. WO lL Q' 1 I-W Z F- O Z1- ut ui O co O — O 1- W • u� o. LI O z U= O ▪ 1- Z � Ci of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 1 DEVELOPMENT PERMIT Parcel No.: 5476800201 Permit Number D04 -233 Address: 4920 S 107 ST TUKW Issue Date: 07/06/2004 Suite No: Permit Expires On: 01/02/2005 Tenant: Name: GARWACKI RESIDENCE Address: 4920 S 107 ST, TUKWILA WA Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: Contractoi KENT WILFRED 4920 S 107TH ST, TUKWILA WA LINDA HOFFMAN 1008 140 AV NE, #101, BELLEVUE WA GLASS DOCTOR 1120 SW 16 ST 1A, RENTON WA - License No: GLASSD *963DC Phone: Phone: 206 - 979 -7954 Phone: 253 926 -8660 Expiration Date: 03 /03/2006 DESCRIPTION OF WORK: ADD GRIPPABLE HANDRAIL ONE SIDE AT ENTRY STAIR. ADD TEMPERED GLASS AT 3 WINDOWS WITHIN 2' OF DOORS AND ELECTRICAL. Value of Construction: $1,000.00 Type of Fire Protection: Start Time: Type of Construction: VN Volumes: Cut 0 c.y. Public Works Activities: Start Time: 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 Fees Collected: $68.44 Uniform Building Code Edition: 1997 Occupancy per UBC: 0007 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 ** doc: Devperm D04 -233 Printed: 07 -06 -2004 Z ��- Z �w Q � JU U N J = H �w w� U_ Q U = F Z I— O Z t- w w U ON 0H ww �O w Z U= O~ Z �:. City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature: 2� 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 perfor ance of work. I am authorized to sign and obtain this development permit. Signature: Date: Print Name: 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. doc: Devperm D04 -233 Printed: 07 -06 -2004 Z �w �U UO CO 0 w� CO LL w O. U- a CO D 2 �-w Z �O Z F- LLI �5 U� ON o t- wW F- LL O w z. U CO, O Z �11v1, 1 ..� City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS Parcel No.: 5476800201 Address: 4920 S 107 ST TUKW Suite No: Tenant: GARWACKI RESIDENCE Permit Number: Status: Applied Date: Issue Date: D04 -233 ISSUED 06/30/2004 07/06/2004 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 4: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. * *continued on next page ** doc: Conditions D04 -233 Printed: 07 -06 -2004 z ~w 00 co W S2 LL w LLQ co =w z �. I— O z F— W5 U� ON o E-- wW ILL O W z U= O z � ►Aw ti City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Signatu Print Name: 11 1 Date: o doc: Conditions D04 -233 Printed: 07 -06 -2004 z w � D 00 CO o. CO J � U) L w 2 �. 9 -1 U- ¢ U) =w CY ? t— W o Do +o CO 0 f—. wW �- o w z. CO 0 O z Jurl au Ult lu;uocd unmwnuml & 1 06/29/04 17:04 FAX 4255627001 PRUDENTII M SR 002 wr CITY OF TUMIA I % 14 rim Community Development Department Qdifik: niv d.; r - . Public Works Department V Permit Center 6300 Southcenter Blvd., Suite 100 0WIVUM F C.. Tukwila, WA 98188 V, 4 Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted throush the mail or by fax. •'Please Print" • 111 i MT i* E-Mail Address: Fax Number: G NERAILt T.. I ON." almic4l. 0-011 A j­ '0 z "k DNTRA- w 10 IN d King Co Assessor's Tax No.: &Zsoc:>zn( Site Address: Suite Nurnbtr: Floor Mailing Address: Tenant Name: Now Tenant: Yes []..No Property Owners Name: RA. Y 6ivoAQ41 — Fax Number: Contractor Registration Number. Mailing Address: sDrhr A uy mq� Mad: LW City y sa Zip City stme Zip Contact Person-. Day Telepbone: Name: 1--l-AVII �t�_& Day Telephone: EkG11NR1E91k R :7 • PON Mailing Address: 1 06 &u NE gaie7vue Company Name: PhAr C4 swr zip E-Mail Address: Fax Number: G NERAILt T.. I ON." almic4l. 0-011 A j­ '0 z "k DNTRA- w 10 IN d Conipmay Name: PV Mailing Address: City State zip Contact Person: Day Telephone: E-Mail Address. • Fax Number: Contractor Registration Number. Expiration Date: ••AP original or notarized copy of current Washington State Contractor License mast be presented at the time of permit issuance• A0 ARV,fit '6t c"tor -S, Company Name- Mailing Address: City stme Zip Contact Person-. Day Telepbone: E-Mail Address. Fax Nwnber• EkG11NR1E91k R :7 • PON Company Name: PhAr Mailing Address: City Stair 21 Contact Person: Day Telephone: E-Mall Address; Fax Number: % at" plus%m %Mft"VVIrIt avokidon (WON] rose I Z Z W U L) 0 Cl) C3 W W U) LL W 2� LQ W Z 1-- 0 Z F- W W 5 UU) 0 C3 1— W X u 1-- LL —0 z 0 Z 08/28/04 18 :58 FAX d2S5827901 NR ••vVVV VL..V V 1 1 I J V V CIDENTIAL MSR t9i oua 'i�Ll1�NG �"EXT'NFbI -� IE Valuation of Project (contractor's bid price); )d Existing Building Valuation: S * Scope of Work (please provide detailed information): RAIL `1 6�AS a 3 wJ.ul ow IAA r - ItE 4 4 RICA L Will there be new rack storage? [3., Yes ❑.. No If "yee see Handout No, for requirements. provide Alt Building Arco( in,Square Footage Below 0 PLANNING DIVISION: O Single - family building footprint (area of the roundallon of all sowtums, plus any decks over 19 inches end overhangs grattr than I B inctsw} •For an Accessory dwelling, provide the following: Lot Area (sq R): 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 hls or her primary residence. Number ofparking Stalls Provided: Standard: Compact. Handicap: Will there be a change in use? ❑ .,..Yes []..No If "yes ", explain: FIRE PROTECTION/IAZARDOUS MATERIAC.S' P e Q.. Sprinklers ❑..Automatic Fire Alarm []:.Nona ❑. Other (specify) Will there be storage or use of flammable, combustible or hazardous materiels in the building? ©.. Yes ❑.. No If " ye; ", attach list o/materiol and storage locariom o n a separate 8.111 x I1 paper indlcadmi; quantities and Material W ety Data Shwa. gomwpf"WCrtuntn4w strtirau n(1.3004) Page 2 r- . 1 i t Z Q ;3: W -j U UO to 0 W= J I- CO LL WO LL d CO _ Cy F_ W Z O W LLj �p U 0 0 Q H W �U L �— O W Z UN H� O Z Addition to Type of Type of Imelior Existing Construction Occupancy per t< ExistinA Remodel Stricture k lew per 1BC IBC l Flaor Z Floor 3` Ftaor• Floors thm Bnsemcnt Accessory Structure• Anached Geroec Dettched Game Attached Carport Detached Carport' Covered Deck Ar SS,� uncovered Deck . >s< /70 PLANNING DIVISION: O Single - family building footprint (area of the roundallon of all sowtums, plus any decks over 19 inches end overhangs grattr than I B inctsw} •For an Accessory dwelling, provide the following: Lot Area (sq R): 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 hls or her primary residence. Number ofparking Stalls Provided: Standard: Compact. Handicap: Will there be a change in use? ❑ .,..Yes []..No If "yes ", explain: FIRE PROTECTION/IAZARDOUS MATERIAC.S' P e Q.. Sprinklers ❑..Automatic Fire Alarm []:.Nona ❑. Other (specify) Will there be storage or use of flammable, combustible or hazardous materiels in the building? ©.. Yes ❑.. No If " ye; ", attach list o/materiol and storage locariom o n a separate 8.111 x I1 paper indlcadmi; quantities and Material W ety Data Shwa. gomwpf"WCrtuntn4w strtirau n(1.3004) Page 2 r- . 1 i t Z Q ;3: W -j U UO to 0 W= J I- CO LL WO LL d CO _ Cy F_ W Z O W LLj �p U 0 0 Q H W �U L �— O W Z UN H� O Z Jun JU Uq lU t Utia rah tlwnum 1 a naou�, i n r Co 06/29/04 IB :SO PAX 4255627901 —� PRU N SR av � tP Ll�'. 'S��� T�3'I�F1�. �: �IQN�-' �Q. �i= 433tp1�'9�:;�.:= ';..'�,���'•'; ���I:,.,�, ;�. ��..::'•�� ";. -:: Scope of Work (please provide detailed ioforrrtation): N 51 .. Call before you Dig: 1 424.5555 Plesse rertr to Public Works Bulletin 111 for rtes and- est)rnttte'shekt. i Water Dit_trict Q... Tukwila ❑...Water District ak125 ©,.Highline ❑..,Renton t [� ...Water Availability Provided Q ...Sewer Use Certiflcatc ❑... Sewer Availability Provided C)., Approved Septic Plans Provided Q... Septic System - for onsite septic systeer, provide 2 copies of a current septic design approval by Icing County Health Department. Submitte4l with A91pl (enalk boxes which s t ...Civil Plans (Maximum Pieper Sire -22" t 34 ") ❑ ... Technical Information Report (Storm Drainage) ❑ .. Geotechnical Rcoon ❑ ... Traffic impact Analysis insurance Q.. Eascment(s) ❑.. Maintenance Agrecmer7t(s) []...Hold Harmless I Ptoo med ActivIlies rk b9aes t hat apply): Ej ..Riglst•of way Use - Nonprofit for Iess than 72 hours ❑ .. Right -of -way Use - Profit for less than 72 hours ❑...Righl -of -way Use -No Disturbance Q .. Right-of-way Use— Potential Disturbance j ❑ ...ConswctionlFAcavation/Fill - Right-of-way Nah Right- i D ...Total Cut cubic yards ❑ .. Work in Flood Zone j]...Tutal Pill cubic yards Q., Storm Drainage Q... Sanitary Side Sewer ❑ .. Abandon Septic Tank Q.. Grease interceptor [3 _Cap or Remove Utilities Q .. Curb Cut (3 .. Channelization ❑...Frontage Improvctncnts Q.. Pavement Cut ❑ .. Trench Excavation Q...Traf is Control ❑ ., Looped Fire Line ❑ ,, utility Undcrtiounding Q ...Backflow Prevention - Fire Protection " ' [mgatlon " Domestic Water Q .- ,Pannanent Water Meter Site... WON ❑ ...Temporary Water Meter Size,, WON Q ...Wster Only MetarSize ............ WON ❑,,,Deduct Water Meter Size ........ " Sewer Main Extension ............ Public Private Water Main Extension .............Public Private F(NA IC�MfQJLMATION Fire Line Size at Property Line Number of Public Fite Hydtant(s) []—Water []...Sewer Q...SewaltTreatment !ylonthly Service Bill ns to: Name: Day Telephone: Mailing Address: City Six& Lip Water Meter ReNridlBillia Name: Day Telephone: Mailing Address: Cso• sap. 7jp yamKuPWIV94 O.njftlrn 4jFk";OS(7.Mdj Page 3 �Z� 1 Z �W 2 �0 UO 0) ❑ CO Uj _j _ H U) U_ WO L L = d f. W Z 1— zO U 0 co W W �U u. O W Z L ) C0 O Z f JU11 ♦lV U- iU• Uvu .... ,..... —. 08/29/04 18:57 FAX 4255827901_ _PRI DENTl 1SSR 10005 A` ION-.= 2�f 6431 - G O• , . : :'..; .. ;; ;. MECHANICAL CONTRACTOR ]INFORMATION N Company Name: Matting Address: Ow s(W zip Contact Person: Day Telephone: E -Mail Address Fax Number: _ Contracttx Registration Number: lrxpirmlon 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): S_ Scope of Work (please provide detailed information): _ Use; Residential: New .... ❑ Replacement,-.0 Commercial: New....[] Boiler /Com reisor: Replacement.....❑ Fat l Tree Electric .....O Gas .... [ I Other: _ indicate type of mechanical work bein -. installed and the quantity below: Unitive: Qty Unit T e; Unit Type: Q Boiler /Com reisor: Sl Furnace <1 OOK BTU Air Handling Unit >10,000 Fire Damper 0-3 HP /to0,000 BTU CFM Fumocr >IOOK BTU Evaporator Coota Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Conaecwd Thermostat 15.30 HP11,000,000 BTU to single Duct Suspended/Wall/Floor Ventilation System Wood/Gas Stove 30- 501P11,150,000 BTU Mounted Heuer fiance Vent Hood and Dam Water Hater 1 50+ HP /1,750 000 BTU Repair or Addition to tncinentor- Domestic Emc.•rgeney HcallRefrig/Cooting Generator S slcm Air Handling Unit Incinerator - Comm/lnd Other Mechanical <10 000 CFM Equipmen . �` ERMX' F �' ��L��AT ���tivo��► Ap�li�a�t�_ agill .jie';tmi�ri•tbis :la�p�ic��iva; ,•�� -` �:�- ^.•mss.:_ - ••" :;....i. -i„ Value of Construction - In all cases, a value of rats tction 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 110 days following the date of application shall expire by limitation. The Building Official may extend the time foroction by the applicant for a period not excceding 180 days upon written request by the applicrnt as defined in Section 101.4 of the Uniform Building Codc (current edition). No application shall be extended more than once. I HEREBY CERTIFY THAT I HAVE READ AND EXAMMED THIS APPLICATION AND KNOW THE SAME TO BE TRUE TINDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING 0 ORIZED ADEN •�� Signature• Date• -� L` Print Name: /9C L Day Telephone. 2 3)>3 4 Mailing Address. t 1. l / _ )A WUA D,� 12r L.QrAW N U C,{�L /! sMC zip City Date Application Accepted: Date Application Expires: Staff I i 'als: %"ftms ew0a d"r+Mv"k applkwkn gaoo.> Page 8 Z Q W JU UO to ❑ W J = H to LL W O LLQ C O = �W Z H f- O Z I- W �p U ON a WW H LL O �Z UN O Z Jun 30 04 10:08a GRRWRCKI 6 RSSOCIRTES 323- 344 -4105 06/29/04 10:55 FAX 4255r 01 P MS p. 3 S -R AI C1 TY OF TUKW /LA 6300 Sauthcanter Boulevard, Suite 100 Tukwila, WA 66186 (206) 431 -3670' - Application # ALTERNATE PLAN SUBMITTAL AUTHORIZATION FOR LIMITED SCOPE OF WORK U.B.C. Section 106.3.2 exception project n; Address " p - l!a — w1I Related reference number The above project permit applicant, due to the limited ,swpe of work is authorized to submit reduced plan requirements describe as noted below. 1. Complete permit application required: ( Note, all application must include: f) property assm;sor number, 2) copy of contractors license cir completed owner waiver form. ) Buildinq V Mechanical Other J 2. Minimum plan and/or specification requirement; 0* ASAA 4C*O Site plan Z Floor plan Elevations Z Foundation Cross sections Roof plan W.S.E.C. compliance Narrative Structural calculatbns ( stamped by Washington State licensed engineer) -90- IFT f Authorization by, late (AulhorizMian void 30 days P r the d =d. TSD3196 -farm 12 ww.'="' ' "n.. ' �.w:axa•+:uG, .F,e::'�bptps). Z �Z �W QQ JU UO J N LL WO 9 -1 LL Q rn = �W Z� F- O Z 1— �j U 0 t•- W 1=— H LL Li.j Z U� O F- Z :. City of Tukwila ' 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 5476800201 Address: 4920 S 107 ST TUKW Suite No: Applicant: GARWACKI RESIDENCE Permit Number: Status: Applied Date: Issue Date: D04 -233 PENDING 06/30/2004 Z _� i~ W JU 00 CO 0. C0 W J = H CO U- w �a:3 u. Q =a �w z= H H O Z 1— W LL j O CO) 0 I— W W: F- C-): U - O Z W co O Z Receipt No.: R04 -00831 Initials: SKS User ID: 1165 Payment Amount: Payment Date: Balance: 43.25 07/06/2004 03:48 PM $0.00 Payee: LINDA HOFFMAN TRANSACTION LIST: Type Method Description Amount ---- - - - - -- -- - - - - -- --- - ----------------- - - - - -- ------ - - - - -- Payment Check 7056 43.25 ACCOUNT ITEM LIST: Description Account Code Current Pmts - --- ---- -------- ----- -- - - ----- ---- ---- ---- ---- ----- --- - --- BUILDING - RES 000/322.100 38.75 STATE BUILDING SURCHARGE 000/386.904 4.50 Total: 43.25 doc: Receipt 07/07 9716 TOTAL 43 -25 Printed: 07 -06 -2004 .. City of Tu INS 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 5476800201 Address: 4920 S 107 ST TUKW Suite No: Applicant: GARWACKI RESIDENCE Permit Number Status: Applied Date: Issue Date: D04 -233 PENDING 06/30/2004 Receipt No.: R04 -00809 Payment Amount: 25.19 Initials: BLH Payment Date: 06/30/2004 04:17 PM User ID: ADMIN Balance: $43.25 Payee: LINDA HOFFMAN TRANSACTION LIST: Type Method Description Amount ---- - - - - -- -- - - - - -- --------------------- Payment Cash - - - - -- ------ - - - - -- 25.19 i ACCOUNT ITEM LIST: Description Account Code Current Pmts ------------------------ - - - - -- -- ----- - - - - -- ------ - - - - -- PLAN CHECK - RES 000/345.830 25.19 Total: 25.19 1 i I i doc: Receipt 2337 07/01 9710 TOTAL 25.19 Printed: 06 -30 -2004 Z ~ w JU 0 N C0 Lu J = H CO U- w O �Q Cj) = �w Z F- F- O Z F- w w U� ON D F- wW H L - O itl Z C0 O Z INSPECTION RECORD Retain a copy with permit INSPECTION NO. P I N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) -3670 i Project: Type of Ins ection: r � t-- 2- Address: Date Called: - ' 7- 0 Special Instructions: Date Wanted: a.m. P.M. Requester, / N Phone No: �i G Receipt No.: Date: y Z W JU UO (D 0 J = I•- CO LL WO 9� LL Q to = �W Z F- HO W H W U O N. 0 F- WW H� tL O Z W co O Z paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSWTION RE66RD 4 Retain a copy with permit 1 2) � INSPECTION NO. PER N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20 431 -3670 Project: 6 Type of inspection: Address: rzo S /07 Date Called: - ft Special Instructions: Date Wanted: p.m. Requester: Phone No: Receipt No.: 1 77 MS J Z = Z JU UO N a co W J = CO L W 9-1 LL j CY = W Z Zo W W U (A 17 H WW U_ Z W U= O E- Z u paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. FBI OPY pool It .0. 4. S Plan review approval is subject w eux" and WW& AppvM of do am II mits does not audwft the vki0m of any adopted code or ordinance. Rao* ofaccrovedpoddCoovandmitMancis ---A— -Ilk 1-1 lk,7" 0 OWN ME -s"! 7 No changes dwl be moft to dw so** of work whfm* p*w opp i n - ol of INIME: Reviskm will require a new plan submftd and may mdude addWW pbn mylew fam aj .A :Pu� III m A F OR V1 RE CODE COMPUANCE city T I a IOLDING DVISot4 LR NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEARTHAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. LILIE" H F I T "'l FBI OPY pool It .0. 4. S Plan review approval is subject w eux" and WW& AppvM of do am II mits does not audwft the vki0m of any adopted code or ordinance. Rao* ofaccrovedpoddCoovandmitMancis ---A— -Ilk 1-1 lk,7" 0 OWN ME -s"! 7 No changes dwl be moft to dw so** of work whfm* p*w opp i n - ol of INIME: Reviskm will require a new plan submftd and may mdude addWW pbn mylew fam aj .A :Pu� III m A F OR V1 RE CODE COMPUANCE city T I a IOLDING DVISot4 LR NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEARTHAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. LILIE" H .......... F1 "'l VA) k. FBI OPY pool It .0. 4. S Plan review approval is subject w eux" and WW& AppvM of do am II mits does not audwft the vki0m of any adopted code or ordinance. Rao* ofaccrovedpoddCoovandmitMancis ---A— -Ilk 1-1 lk,7" 0 OWN ME -s"! 7 No changes dwl be moft to dw so** of work whfm* p*w opp i n - ol of INIME: Reviskm will require a new plan submftd and may mdude addWW pbn mylew fam aj .A :Pu� III m A F OR V1 RE CODE COMPUANCE city T I a IOLDING DVISot4 LR NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEARTHAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. i 2 ,A., -/- (, {,, FOP, REVTE N V4PUP%CF- CO OF co AP BUILD DIV t la>FV1 LA - - ��� �ct�pouuS WiT14 04 S OF POOP lb Vve j5f4?eMv S M SAC-V OW W E NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. �� C FrtWAL %* I cormecTIMA � fov to 6WIl % vo - 16 e less 4k*Av% for VV\Olrf, 4 RAMA r ,Ifor . -sec4ov&k o r AAAa 6V46 r FVWIA6 �s�r�"�ct. .mot � 1. 1 .............. 4 ............. t la>FV1 LA - - ��� �ct�pouuS WiT14 04 S OF POOP lb Vve j5f4?eMv S M SAC-V OW W E NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. �� C FrtWAL %* I cormecTIMA � fov to 6WIl % vo - 16 e less 4k*Av% for VV\Olrf, 4 RAMA r ,Ifor . -sec4ov&k o r AAAa 6V46 r FVWIA6 �s�r�"�ct. .mot � 1. 1 .............. 4 ELECTRICAL WORK PERMIT APPLICATION Request Inspection 1 i Annual Permit ❑Alarm ❑Carnival ❑Commercial Residential ❑Residential Maint. ❑ Signs U Thermostat ❑ Telecom. Job wired by Electrical contractor . � Owner Installation description Electrical contractor name License number / Dale Anoroved By i Purchaser's mailing ad 5,� City State ZIP .. Telep h one number FAX number Premises owner's name �,,�IG i'�'t'!� s✓ �c��� / - /y�J J`,�1 T-` C fee . Cash Check # �l ; f }, . Address of inspection Department of Labor & Industries use only -�--g Becomes permit when properly validated . Expires one (1)year from date of last activity city County , Power company 77a r el 7 f Act Vity fit � Ar'- i k at mt 1 .903 rV TI-R.-I ..D f 36534:: 'sfi, j��t)E}i 101.2 1 hereby certify that I arnthe owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am lls; ; ps}rf i<2.70 making the electrical installation or alteration in compliance with the G electrical law, Chapter 19.28 RCW. ❑ Charge my contractor's account. Signature of'Qwner, electrical contractor or electrical administrator X ; i •,'� f! �. �. Electrical inspections are for safe wiring methods: White- inspector Canary- fiscal Pink - customer Green job site WALLS Insulation Only Date Appr , Cover- ❑ See progressive report CEILING ' nsulation Only 1, Da a Approved By 1 / I c/ Cover - V4- Dale Anoroved By i F MOSTAT Approved By TCH Approved By Date AI FEEDER Date Inspection Date Area, Building or Equipment Inspected Action Taken El ectrica l Inspector I b ,% o Z l�� �.� <c ,� C ��-� �- n -�--g n rn C_ o 3 rn G i�v . Notes: - " - u V F500- 001 -000 electrical work permit application rev 7 -01 --) POST THIS COPY ON JOBSITE. THIS IS YOUR PERMANENT RECORD. VIA QlTF tat•M� s ,,w S -t .?rrssa`xwrsavu��xm�Md CFS1tt iMf.4?a•?+Kx . px r Y ,nti ! u �n�c:;pr�,,l c•.sw. w,•,?t" W • >sri ii, - fr- +Y+ +w++Aiwfi[v.3SA, �.G' v . a+ ywxn+ 4.+ M-K Jeiwnxl f-+..�.t��T't."i•Fd *,Y,OwR., Z ~ W 2 JU UO CO O co = H C0 IL WO LLQ co = C% �W Z� Z� W �5 U� CO o I- W 2 F- LL O 111 Z CO O Z Tuesday, June 22, 2004 Linda Hoffman Prudential Michael Smith Real Estate Dear Linda Regarding Garwacki to Constantine, I wish to state the following: It was called to my attention that there were some defects on the house that were not picked up by the original inspector. I proceeded to the house to investigate this myself. Sure enough, the under layment of siding is missing on the majority of the house and needs to be replaced. Now, I cannot expect you to take my word for this, so I'm asking you to get an independent inspection, and not someone hired by the seller. I'm sure you can understand that spending an extra $15,000 for this is not what Ms.Constantine had in mind. After spending an extra afternoon at the City of Tukwila we also noted that there were many items not signed off with the permits, and then noting on the form 17 that Herr Garwacki had stated thatthtt they were indeed all finalized. The City said that they would never have signed off on the siding with the under layment missing. Linda, my client is going to go to the Board of Realtors and the State Attorney General with all of this information if her earnest money deposit is not returned in an expedient manner. I hope all of this information will be disclosed to any future purchaser. Sincerely Steve Lent John L. Scott Real Estate `TC %C �4" Z 03 !) Z Z �w QQ J UO CO CO L wo LL a d =w I- O Z F-- w W U� O CO o � W u" O W Z CO . T. P O Z June 14, 2004 To: Whom It May Concern From: Midstate Remodeling Re: Michael Moore Lynn Constantine 5719 Olive Ave SE Auburn, Wa. 98092 Michael Moore contacted our office in regards to the property on 4920 S. 107` St. He was interested in getting access to the back of the property and building a garage. Midstate felt the tank and drain field would need further investigation before Mr. Moore could get an okay to build. Upon discussion with Mr. Moore, we looked at the exterior of the residence. Midstate found there were no under layment shingles installed. Shims were used in place of under layment which can cause a water block in the sidewalls; resulting in sidewall failure, rot bugs, mildew, and mold. This problem was found on the entire west wall, north wall, and parts of the east and south walls. The west side of the residence is already showing signs of bleed from the tarpaper on the front of the shingles. Midstate also found there was no Z metal used on the belt lines, and little or no caulking around the window wraps on the entire house. The front door of the south side is delaminating from the result of little or no sealer. There is an inch and a half gap under the door, which can create moisture problems. In order to correct these problems, it will be costly in material and time. i i i E i r AN, t A Oko p Zo ��AM�rc 0� DPI -z � z JU UO Cj) J � �LL w 9-1 LL Q CO) D = a �w z F- O w �5 U O o F- w F=- H �O .z UN O'' z Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 I Topic Index I Contact Info f Search Home Safety Claims 8t Insurance Workplace Rights Trades 13 Licensing Find a Law or Rule: Get a Form or Publication Look Up a Contractor, Electrician or Plumber General /Specialty Contractor •'A business registered as a construction contractor with L£tl to perform construction work within the scope ': !of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. ? License Information License GLASSD "963DC Licensee Name GLASS DOCTOR Licensee Type CONSTRUCTION CONTRACTOR I UBI I 602342280 Verify Contractor Premium Status Ind. Ins. Account Id ! Business Type CORPORATION t Address 1 1120 SW 16TH ST 1 A Address 2 City RENTON County KING State WA Zip 98055 j Phone 2539268660 Status ACTIVE Specialty 1 GENERAL ' Specialty 2 UNUSED Effective Date 3/3/2004 Expiration Date 3/3/2006 ' Suspend Date Separation Date 1 Parent Company MV SERVICES INC Previous License MRROOP`022NE ' Next License 5 ' Associated License y Business Owner Information Name Role Effective Date GAI, MICHAEL P PRESIDENT 03/03/2004 https:H fortress. wa. gov /lni/bbip /detail.aspx ?License= GLASSD *963DC 07/06/2004 Z �w QQ JU 00 N J = CO U. w 9-1 LL Q Cj) D Y �. w z ZO W w U� ON o I-- WW H (.5 LL O .z w U= O z Look Up a Contractor, Electrician or Plumber License Detail Page 2 of 2 SPOSARI, VINCENT VICE PRESIDENT 03/03/2004 SPOSARI, VINCENT SECRETARY 03/03/2004 GAI, MICHAEL P TREASURER 03/03/2004 SPOSARI, VINCENT AGENT 03/03/2004 Bond Information Savings Information No Matching Information Insurance Information Bond Bond Effective E Expiration C Cancel I Impaired R Received Insurance N Company Account Effective Expiration Cancel Impaired Bond Received i Bond Name Number Date Date Date Date Amount Date #1 CBIC SF4072 02/09/2004 12/13/2004 $ $12,000.00 03/03/2004 Savings Information No Matching Information Insurance Information _.._ ...._......_..._._.....__...... _._ .... _..._..._...._......._....__......_..._._....... ..................._.........._ No Matching Information �taLt_��v Seerch About LEd I Find a job at LEd I Information en espanol I Site Feedback 1 1- 800 - 547 -8367 :. � w�shingtlnn 0 Washington State Dept. of Labor and Industries. Use of this site is subject to the laws of the state of Washington. Access Agreement I Privacy and security statement I Intended use /external content policy Visit access.wa.gov Staff only link https: // fortress. wa. gov /lni/bbip /detail.aspx ?License= GLASSD *963DC 07/06/2004 Z ~w 00 CO 0 CO LU J :C U) w w u - U)d = w ZF t- O w �5 U� O N o H- Ww u- - 0 ui Z O Z Company P Policy E Effective E Expiration C Cancel I Impaired R Received Insurance N Name N Number D Date D Da te D Date D Date A Amount D Date ZURICH INS CO j #1 ( (SWITZERLAND) P PAS42932765 1 12/13/2003 1 12/13/2004 $ $1,000,000.00 0 03/03/2004 .... _..._..._...._......._....__......_..._._....... ..................._.........._ No Matching Information �taLt_��v Seerch About LEd I Find a job at LEd I Information en espanol I Site Feedback 1 1- 800 - 547 -8367 :. � w�shingtlnn 0 Washington State Dept. of Labor and Industries. Use of this site is subject to the laws of the state of Washington. Access Agreement I Privacy and security statement I Intended use /external content policy Visit access.wa.gov Staff only link https: // fortress. wa. gov /lni/bbip /detail.aspx ?License= GLASSD *963DC 07/06/2004 Z ~w 00 CO 0 CO LU J :C U) w w u - U)d = w ZF t- O w �5 U� O N o H- Ww u- - 0 ui Z O Z Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 Topic Index I Contact Info _ _ ----- T � Search 1� y Home Safety Claims 6t Insurance Workplace Rights Trades Q Licensing Find a Law or Rule . Get a Form or Publication Look Up a Contractor, Electrician or Plumber General /Specialty Contractor ;A business registered as a construction contractor with L81 to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. __.......,. ...,................... .... . ....._ ...... _ .._.. . License Information License ALPINI "997NF Licens Name ALPINE INSTALLATIONS Licensee Type CONSTRUCTION CONTRACTOR s UBI 601975036 Verify Co1ltLac Premium Status Ind. Ins. Account Id Business Type INDIVIDUAL ' Address 1 19722 HWY 9 SE Address 2 City SNOHOMISH County SNOHOMISH 1 State WA Zip 98296 Phone 4254872730 Status ACTIVE Specialty 1 GLAZING /GLASS Specialty 2 UNUSED Effectiv Date 8/6/2001 i Expiration Date 8/6/2005 Suspend Date t Separation Date Parent Company Previous License _ _ .....__. ___.. __. _ ............. Next License Associated License ! Business Owner Information Name f Role I Effective Date PARKER, TODD D w. ]OWNER „ 108/06/2001 https:Hf ortress.wa.gov/lni/bbip/detail.aspx?License=ALPfNI * 997NF 07 Z '~ w or � UO C/) J = H C0 LL W LL � =w Z 25 D0 U O N o�- W H� LL O ui Z U= O Z Look Up a Contractor, Electrician or Plumber License Detail I I Bond Information Page 2 of 2 ? Savings Information No Matching Information Insurance Information Bond Bond Effective Expiration Cancel Impaired Received Insurance Company Account Effective Expiration Cancel Impaired Bond Received Bond Name Number Date Date Date Date Amount Date COLONIAL 43 AMERICAN 52SBAFM6029 08/06/2003 08/06/2004 08/06/2004 $500,000.00 07/22/2003 #1 CAS 8t SURETY LPM4061503 08/06/2001 $6,000.00 08/06/2001 ? Savings Information No Matching Information Insurance Information Unsatisfied Summons /Complaints Information No Matching Information Start_a_Re- - b About LEd I Find a job at LEd I Informacion en espanol I Site Feedback 1- 800 -547 -8367 ;A�.� washington V Washington State Dept. of tabor and Industries. Use of this site is subject to the taws of the state of Washington. Nism Access Agreement I Privacy and security statement I Intended use /externat content policy I Visit access.wa.gov Staff only link M https : // fortress. wa. gov /lni/bbip /detail.aspx ?License= ALPINI *997NF 07/06/2004 I. z '~ w JU U0 CO WX CO U. WO J U. N = W F— T. 91-- O w U� O � 0 F— WW H� u. O z W U= OF- z Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date HARTFORD CAS INS 43 CO 52SBAFM6029 08/06/2003 08/06/2004 08/06/2004 $500,000.00 07/22/2003 HARTFORD CAS INS #2 CO 52SBAFM6029 08/06/2001 08/06/2003 $300,000.00 08/06/2002 HARTFORD CASUALTY f #1 INS CO TBD 08/06/2001 08/06/2002 08/06/2001 Unsatisfied Summons /Complaints Information No Matching Information Start_a_Re- - b About LEd I Find a job at LEd I Informacion en espanol I Site Feedback 1- 800 -547 -8367 ;A�.� washington V Washington State Dept. of tabor and Industries. Use of this site is subject to the taws of the state of Washington. Nism Access Agreement I Privacy and security statement I Intended use /externat content policy I Visit access.wa.gov Staff only link M https : // fortress. wa. gov /lni/bbip /detail.aspx ?License= ALPINI *997NF 07/06/2004 I. z '~ w JU U0 CO WX CO U. WO J U. N = W F— T. 91-- O w U� O � 0 F— WW H� u. O z W U= OF- z PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D04 -233 DATE: 06 -30 -04 PROJECT NAME: GARWACKI RESIDENCE SITE ADDRESS: 4920 SOUTH 107 STREET X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision #_after /before permit is issued DEPARTMENTS: Buildin ii�ision 1� Fire Prevention M Planning Division ❑ Public Works ❑ Structural ❑ Permit Coordinator 09 DETERMINATION OF COMPLETENESS (Tues., Thurs.) DUE DATE: 07 -01 -04 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: TUES /THURS ROOTING: Please Route , � , J ( Structural Review Required i REVIEWER'S INITIALS: ❑ No further Review Required ❑ DATE: APPROVALS OR CORRECTIONS Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DUE DATE: 07 -29 -04 Not Approved (attach comments) ❑ PERMIT COORD COPY Documents /routing slip.doc 2 -28.02 z � z �w QQ JU UO N W = I-- �w WO �� LL � =w F_ 0 z�_ w w U� N o f- wW z W CO F- x O z