HomeMy WebLinkAboutPermit D04-272 - MACFARLAND RESIDENCE - RESIDENCE DEMOLITIONMACFARLAND RESIDENCE
15826 42 AV S
D04 -272
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� Jar ..........w,q�.
O y Depart »tent of Community Development
6300 Southcenter Boulevard, Suite #100
1 N Tukwila, Washington 98188
Phone: 206 - 431 -3670
X908 Fax: 206 - 431 -3665
Web site: cOuknvilama.us
DEVELOPMENT PERMIT
Parcel No.: 8108600580
Address: 15826 42 AV S TUKW
Suite No:
Permit Number:
Issue Date:
Permit Expires On:
Steven M. Mullet, Mayor
Steve Lancaster, Director
D04 -272
08/16/2004
04/16/2005
Tenant:
Name: MACFARLAND RESIDENCE
Address: 15826 42 AV S, TUKWILA WA
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
Contractoi
MAHLER JUDITH I
15826 42ND AVE S, TUKWILA WA
MARY E. MACFARLAND
1922 42 AVE, #22, SEATTLE, WA
OWNER AFFIDAVIT - MARY MACFARLAND
1922 42 AV E, #22, SEATTLE WA
License No:
Phone:
Phone: 206 324 -0699
Phone: 206 324 -0699
Expiration Date:
DESCRIPTION OF WORK:
DEMOLITION OF EXISTING 1,085 SQUARE FOOT SINGLE FAMILY RESIDENCE, UTILITIES HAVE BEEN CAPPED AND
SEPTIC SYSTEM WILL BE FILLED OR REMOVED.
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Value of Construction: $3,000,00
Fees Collected: $174.55
Type of Fire Protection: NONE
International Building Code Edition: 2003
Type of Construction:
Occupancy per IBC: 0022
.Public Works Activities:
t
}
Channelization / Striping:
N
Curb Cut / Access / Sidewalk / CSS:
N
Fire Loop Hydrant:
N
Number:
0 Size (Inches): 0
Flood Control Zone:
N
Hauling:
N
Start Time:
End Time:
Land Altering:
N
Volumes:
Cut 0 c.y. Fill 0 c,y.
Landscape Irrigation:
N
Moving Oversize Load:
N
Start Time:
End Time:
Sanitary Side Sewer:
N
Sewer Main Extension:
N
Private:
Public:
Storm Drainage:
N
i Street Use:
N
Profit:
N Non - Profit: N
Water Main Extension:
N
Private:
Public:
Water Meter:
N
doc: IBC- Permit
004 -272 Printed: 01 -24 -2005
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1908
Cit y o Tukwila
Steven M. Mullet, Mayor
Department of Comnitutity Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: c0trkwila.wa.us
Steve Lancaster, Director
Permit Number D04-272
Issue Date: 08/16/2004
Permit Expires On: 04/16/2005
Permit Center Authorized Signature: ��w, ��� Date: / - --- 2 ��s
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 per/ does o r ume to give authority to violate or cancel the provisions of any other state or local laws
regulatincg.cWstructj6rr the p nce of work. I am authorized to sign and obtain this development permit.
Print Name: �/e�►^ (a LA "-L
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is
suspended or abandoned for a period of 180 days from the last inspection.
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doc: IBC- Permit D04 -272 Printed: 01 -24 -2005
C ity OR Tukwila Steven M. Mullet, Maya-
Department of Community Development Steve Lancaster Director-
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: ci.tulnvila.wa.us
DEVELOPMENT PERMIT
Parcel No.: 8108600580
Address: 15826 42 AV S TUKW
Suite No:
Permit Number D04 -272
Issue Date: 08/16/2004
Permit Expires On: 02/12/2005
Tenant:
Type of Fire Protection: NONE
Name: MACFARLAND RESIDENCE
Address: 15826 42 AV S, TUKWILA WA
Type of Construction:
Owner:
Name: MAHLER JUDITH I
Phone:
Address: 15826 42ND AVE S, TUKWILA WA
Contact Person:
Channelization / Striping:
Name: MARY E. MACFARLAND
Phone: 206 324 -0699
Address: 1922 42 AVE, #22, SEATTLE, WA
Curb Cut / Access / Sidewalk / CSS:
Contractor:
Name: OWNER AFFIDAVIT - MARY MACFARLAND
Phone: 206 324 -0699
Address: 1922 42 AV E, #22, SEATTLE WA
Number:
Contractor License No:
Expiration Date:
DESCRIPTION OF WORK:
DEMOLITION OF EXISTING 1,085 SQUARE FOOT SINGLE FAMILY RESIDENCE. UTILITIES HAVE BEEN CAPPED AND
SEPTIC SYSTEM WILL BE FILLED OR REMOVED.
N
Value of Construction: $3,000.00
Fees Collected: $174.55
Type of Fire Protection: NONE
International Building Code Edition: 2003
Type of Construction:
Occupancy per IBC: 0022
Public Works Activities:
Channelization / Striping:
N
Curb Cut / Access / Sidewalk / CSS:
N
Fire Loop Hydrant:
N
Number:
0 Size (Inches): 0
Flood Control Zone:
N
Hauling:
N
Start Time:
End Time:
Land Altering:
N
Volumes:
Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation:
N
Moving Oversize Load:
N
Start Time:
End Time:
Sanitary Side Sewer:
N
Sewer Main Extension:
N
Private:
Public:
Storm Drainage:
N
Street Use:
N
Profit:
N Non - Profit: N
Water Main Extension:
N
Private:
Public:
Water Meter:
N
doc: IBC - Permit D04 -272 Printed: 08 -16 -2004
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City 0. "Tukwila
Departntei :t of Commuirity Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.trtkwila.wa.us
Steven M. Mullet, Mayor-
Steve Lancaster-, Director
Permit Number D04-272
Issue Date: 08/16/2004
Permit Expires On: 02/12/2005
/6 ^a
Permit Center Authorized Signature: ��'` ' 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.
Signature: T- UtiVt (� t ► �RQ - Date: 20
Print Name: M'� e - /t4 iq Fl1 j? 6 - t
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: IBC - Permit D04 -272 Printed: 08 -16 -2004
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City of Tukwila
f9C0
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 8108600580 Permit Number: D04-272
Address: 15826 42"S TUKW Status: ISSUED
Suite No: Applied Date: 08/02/2004
Tenant: MACFARLAND RESIDENCE Issue Date: 08/16/2004
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: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
5: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department
of Labor and Industries (206/248- 6630).
6: 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,
7: CLASS 2 & 3 SLOPES ON SITE. NO TREE REMOVAL WITHOUT A TREE CUTTING PERMIT.
8: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * **
9: The applicant must notify the City Utility Inspector at (206)433 -0179 upon commencement and completion of work at least
24 hours in advance. All inspection requests for utility work must also be made 24 hours in advance.
10: Work affecting traffic flows shall be closely coordinated with the City Utilities Inspector. Traffic Control Plans
shall be submitted to the Inspector for prior approval.
11: Any material spilled onto any street shall be cleaned up immediately.
12: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation
off -site or into existing drainage facilities.
13: The site shall have permanent erosion control measures in place as soon as possible after final grading has been
completed and prior to the Final Inspection.
14: From October 1 through April 30, cover any slopes and stockpiles that are 3H:1V or steeper and have a vertical rise of
10 feet or more and will be unworked for greater than 12 hours. During this time period, cover or mulch other disturbed
areas, if they will be unworked more than 2 days. Covered material must be stockpiled on site at the beginning of this
period. Inspect and maintain this stabilization weekly and immediately before, during and following storms.
doc: Conditions D04 -272 Printed: 01 -24 -2005
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CIL of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
i 15: From May 1 through September 30, inspect and maintain temporary erosion prevention and sediment at least monthly. All
r disturbed areas of the site shall be permanently stabilized prior to final construction approval.
i
j 16: Any septic tanks in the area shall be pumped empty and removed or filled with sand. A copy of the documentation from
the business that performed the pumping shall be provided to the City Utilities Inspector.
* *continued on next page **
doc: Conditions D04 -272 Printed: 01 -24 -2005
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City of Tukwila
rBOB
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Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 ! (206) 431 -3670
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I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances
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.
Signature: Date: Z / O
Print Na e:
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doc: Conditions D04 -272 Printed: 01 -24 -2005
S
�`.. Cit y of Tukwila
r�os
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 8108600580 Permit Number: D04-272
Address: 15826 42 AV S TUKW Status: ISSUED
Suite No: Applied Date: 08/02/2004
Tenant: MACFARLAND RESIDENCE Issue Date: 08/16/2004
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: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
5: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department
of Labor and Industries (206/248- 6630).
6: 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.
7: CLASS 2 & 3 SLOPES ON SITE. NO TREE REMOVAL WITHOUT A TREE CUTTING PERMIT.
8: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * **
9: The applicant must notify the City Utility Inspector at (206)433 -0179 upon commencement and completion of work at least
24 hours in advance. All inspection requests for utility work must also be made 24 hours in advance.
10: Work affecting traffic flows shall be closely coordinated with the City Utilities Inspector. Traffic Control Plans
shall be submitted to the Inspector for prior approval.
11: Any material spilled onto any street shall be cleaned up immediately.
12: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation
off -site or into existing drainage facilities.
13: The site shall have permanent erosion control measures in place as soon as possible after final grading has been
completed and prior to the Final Inspection.
14: From October 1 through April 30, cover any slopes and stockpiles that are 31-1: IV or steeper and have a vertical rise of
10 feet or more and will be unworked for greater than 12 hours. During this time period, cover or mulch other disturbed
areas, if they will be unworked more than 2 days. Covered material must be stockpiled on site at the beginning of this
period. Inspect and maintain this stabilization weekly and immediately before, during and following storms.
doc: Conditions D04 -272 Printed: 08 -16 -2004
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f City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
i
4 15: From May 1 through September 30, inspect and maintain temporary erosion prevention and sediment at least monthly. All
disturbed areas of the site shall be permanently stabilized prior to final construction approval.
i
16: Any septic tanks in the area shall be pumped empty and removed or filled with sand. A copy of the documentation from
the business that performed the pumping shall be provided to the City Utilities Inspector.
i
* *continued on next page **
doc: Conditions 004 -272 Printed: 08 -16 -2004
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. foe Ci 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.
Signature: Date:
Print Name:
1
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doc: Conditions D04 -272 Printed: 08 -16 -2004
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L4 w, CITY OF TUKWILA
i Community Development Department
Public Works Department
Permit Center
1908 6300 Southcenter Blvd., Suite, 100
Tukwila, WA 98188
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
;SITE: LOCATION
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King Co Assessor's Tax No.:
600 S $-o
�Z Yer vt Soffit
Site Address:
Suite Number:
Floor:
I Tenant Name: VP -rPJ i
New Tenant: ❑ .... Yes
❑ ..No
Property Owners Name: M k4 � t-/ t: . N119 c ,� 1-t41 V l�
Mailing Address: r'� 2 HZr` Y� E39ST Zz--
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City
state
Zip
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;.CONTACT= PERSON ;.
Name: MA `L t✓ • M I4C 1 �4iZC�41tii]�
Day Telephone: _ Z01-
3 2 � d 6'1
f 7
Mailing Address: l r 1 l Z x - A ✓c 9. # 2 -
5 E/4 T1 Lt:
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City
State
Zip
E -Mail Address:
Fax Number:
GENERAL CONTRACTOR INFORMATION {`
Company N
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 **
ARCHITECT OF RECORD -.'All plans :must be wet stamped by Architect of Record ' ..
Company Name:
Mailing Address:
City State Zip
Contact Person:
Day Telephone:
E -Mail Address: Fax Number:
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:
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BUILDING PERMIT INFORMA - "" "ON - 206- 431 -3670 ;.�.
Will there be new rack storage? E:].. Yes 0 ... No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single- family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) O ��
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): 0 0 0 Floor area of principal dwelling Floor area for accessory dwelling: N/�'
*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 W .. No If "yes ", explain:
FIRE PROTECTION /HAZARDOUS MATERIALS:
❑ . Sprinklers ❑..Automatic Fire Alarm None []..Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑.. Yes JR.. No
If "Yes ", attach list of materials and storage locations on a separate 8-112 x I I paper indicating quantities and Material afety Data Sheets.
_ �' ..tK:.: ..a9.os •• ric. ;:G.:'.= V✓;i'r��,;(Kik1•i�''.cj �.xnd+Ff�^6�wNS.�a7 +i.a "•'.u`�- .iu:'�.::v"�+ -t, :.v:.J.;:. ..: J' r.: �.. �,..:. c: w,:: tl;. 9v......:�a.t.E.:ti ;,.L"��;t„�,u� t...•. - L.w,;:,_ :..
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)(Valuation of Project (contractor's bid price): $ 3 t o o 0 ' y 0 r Existing Building Valuation: $V WL)V - yv.d
Scope of Work (please provide detailed information): Xe Mtoli f� eM o i"x f f� N S rrtk hl�e
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per UBC
Type of.
Occupancy per
UBC .
1' Floor
. 2 nd Floor'
3` Floor
Floors ~ thru
_Basement.:
D
Accessory Structure* . .
Attached Garage
Detached Garage .
Attached Carport
Detached Carport.
Covered Deck
Uncovered Deck ...
PLANNING DIVISION:
Single- family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) O ��
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): 0 0 0 Floor area of principal dwelling Floor area for accessory dwelling: N/�'
*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 W .. No If "yes ", explain:
FIRE PROTECTION /HAZARDOUS MATERIALS:
❑ . Sprinklers ❑..Automatic Fire Alarm None []..Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑.. Yes JR.. No
If "Yes ", attach list of materials and storage locations on a separate 8-112 x I I paper indicating quantities and Material afety Data Sheets.
_ �' ..tK:.: ..a9.os •• ric. ;:G.:'.= V✓;i'r��,;(Kik1•i�''.cj �.xnd+Ff�^6�wNS.�a7 +i.a "•'.u`�- .iu:'�.::v"�+ -t, :.v:.J.;:. ..: J' r.: �.. �,..:. c: w,:: tl;. 9v......:�a.t.E.:ti ;,.L"��;t„�,u� t...•. - L.w,;:,_ :..
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)(Valuation of Project (contractor's bid price): $ 3 t o o 0 ' y 0 r Existing Building Valuation: $V WL)V - yv.d
Scope of Work (please provide detailed information): Xe Mtoli f� eM o i"x f f� N S rrtk hl�e
MECHANICAL'PERMIT INFORMATION - 206 - 431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
f
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential:
New
.... ❑
Replacement ....
❑
Commercial:
New
.... ❑
Replacement ....
❑
Fuel Tyne Electric.....❑
Gas ....
Other:
0 -3 HP/ 100,000 BTU
Indicate type of mechanical work being installed and the quantity below:
Unit T e:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler/Compressor:
Qty
Furnace< OOK 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
Floor Furnace
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 A permits " this application;
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to
possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The
Building Official may 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.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY
OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature: _ Z � y tC,.0 Date:
Print Name: I E NJ�G �9- �(�4h/� Day Telephone: 266 32- NoI
Mailing Address: 1 /Z� A-✓L-' C 22- <^ A( WA • !2—rell 2 --
City State Zip
Date Application Accepted: Date Application Expires: Staff Initials:
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Cit y of Tukwila
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6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
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Parcel No.:
Address:
Suite No:
Applicant:
8108600580
15826 42 AV S TUKW
MACFARLAND RESIDENCE - VACANT
Permit Number:
Status:
Applied Date:
Issue Date:
D04 -272
PENDING
08/02/2004
Receipt No.: R04 -00998
Initials: SKS
User ID: 1165
Payment Amount:
Payment Date:
Balance:
Payee: LIQUID PROPERTIES LLP
TRANSACTION LIST:
Type Method Description Amount
---- - - - - -- -- - - - - -- --------------------- - - - - -- ------ - - - - --
Payment Check 1221 174.55
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
BUILDING - NONRES 000/322.100 103.06
PLAN CHECK - NONRES 000/345.830 66.99
STATE BUILDING SURCHARGE 000/386.904 4.50
174.55
08/02/200410:23 AM
$0.00
Total: 174.55
3415 08/03 9716 TOTAL 174.55
doc: Receipt Printed: 08 -02 -2004
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INSPECTION RECORD
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INSPECTION NO. PERM r
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
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Ipt No.: Date:
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INSPECTION RECORD
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INSPECTION PERMIT C
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
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INSPECTION RECORD
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INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670
Prol
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❑ Approved per applicable codes.
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COMMEATS:
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INSPECTION NO. jEI
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: �—
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COMMENTS:
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INSPECTION NO. PER T
CITY OF TUKWILA BUILDING DIVISION '
! 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: / j
Type of Inspectlo
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INSPECTION RECORD
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INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
Type of Inspection: &
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$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
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INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
�O F� Approved per applicable codes. 1:1 Corrections required prior to.approval.
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$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must I
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Receipt No.: Date:
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STOP WORK
4 AVE SOUTH
DEMOLITION PERMIT EXISTING, CAPPED
WATER METER
APPLICATION
EXISTING
SITE ADDRESS DRIVEWAY (POINT EXISTING, CAPPED
15826 42ND AVENUE SOUTH EXISTING OF ACCE55) SEWER STUB
TUKWILA, WA 98188 MAPL #
PARCEL NUMBER: EXISTING, CAPPED
• � GAS STUB
8108600580
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LEGAL DESCRIPTION: I- EXISTING
THE SOUTH 50 FEET OF THE N CEDAR
NORTH HALF OF TRACT 64 OF Ex15TING 5EPTICI EXISTING 3
SUNNYDALE GARDENS TANK TO BE FIR 75 '
EMPTIED AND
DIVISION NO. 1, ACCORDING FILLED NTH �• z �,` � �x�
TO PLAT RECORDED IN SAND
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VOLUME 25 OF PLATS, AT
30' -0"
PAGE(S) 50, IN KING COUNTY,
WASHINGTON.
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APPLICANT:
EXI5TING 5TRUCTURE
MARY MACFARLAND �
These plans have been reviewed by the Publ (TO DE DEMOLI5NED) '
Works Department for conformance with curre :.. 2595 SQ. FT.
City standards. Acceptance is subject to error ' d
omissions which do not amhorize violations of
adopted standards or ordinances. T e onsibi '
design rest s totally --
for the adequacy of the
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designer. Additions, deletions or revisions to these,,] - U ' I
drawings after this date will void this acceptance I i
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and will require a resubmittal of revised drawings
for subsequent approval. I
FILE
Final acceptance is subject to field inspection by I I
the Public Works AV ctor. ' i Pb init ift •
Date: L4 I I
A U l3 6 2 20� I Plan review approval is bject bD and om
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PER Approval of construction men not auftft
MIT CENTER i fife Violation of any code or ordinance,
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C OORD C(
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D04 -272 DATE: 08 -02 -04
PROJECT NAME: MACFARLAND RESIDENCE - DEMO
SITE ADDRESS: 1582642 ND AVENUE SOUTH
X Original Plan Submittal
_Response to Incomplete Letter #
Response to Correction Letter # Revision # after/before permit is issued
DEPARTMENTS:
Buil ing Division
Public Works
GAWI G b•G•
Fire Prevention
Structural ❑
apt' Alv& 8-3-
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete Incomplete ❑
Comments:
DUE DATE: 08 -03 -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 Zt Structural TING:
Please Route Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS
Approved ❑ Approved with Conditions [V�
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
DUE DATE: 08 -31 -
Not Approved (attach comments) ❑
Documents /routing sllp,da
2.28.02 PERMIT C O O R D COPY
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CITY OF TUKWIL4 Permit Center /Building Division
Community Development Department 206 - 431 -3670
Permit Center Public Works Department:
6300 Southcenter Blvd., Suite 100 206 - 433 -0179
Tukwila, WA 98188 Planning Division:
206 -431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO.: �'��z.-
STATE OF WASHINGTON)
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COUNTY OF KING
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states as follows:
[please print]
1. 1 have made application for a building permit from the City of Tukwila, Washington.
2. 1 understand that state law requires that all building construction contractors be registered with the State of
Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of
Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW
18.27.090.
3. 1 understand that prior to issuance of a building permit for work which is to be done by any contractor, the City of
Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions
stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that
after reading the exemptions from the registration requirement of RCW 18.27.090, 1 consider the work authorized
under this building permit to be exempt under No. , and will therefore not be performed by a registered
contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an
unregistered contractor to perform construction work.
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APPLI
Signed and sworn to before me this
164 day of A L[UtCS f , 20 D' .
NOTARY PUBLIC in and for the State of Washington,
Residing at K! ✓l Q , County.
Name as commissioned: Ali ce A. Idea :
My commission expires: �" 6 0 9
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18.27.090 Exemptions. This chapter shall not apply to:
1.
2. An authorized representative of the United States
Government, the State of Washington, or any
incorporated city, town, county, township,
irrigation district, reclamation district or other
municipal or political corporation or subdivision of
this state;
3. Officers of the court when they are acting within
the scope of their office;
4. Public utilities operating under the regulations of
the utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
5. Any construction, repair or operation incidental to
the discovering or producing of petroleum or gas,
or the drilling, testing, abandoning, or other
operation of any petroleum or gas well or any
surface or underground mine or mineral deposit
when performed by an owner or lessee;
6. The sale or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into and do not become a
permanent fixed part of the structure;
7. Any construction, alteration, improvement or
repair of personal property, except this chapter
shall apply to all mobile, manufactured housing. A
mobile /manufactured home may be installed, set
up, or repaired by the registered or legal owner,
by a contractor licensed under this chapter, or by
a mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW;
B. Any construction, alteration, improvement, or
repair carried on within the limits and boundaries
of any site or reservation under the legal
jurisdiction of the federal government;
9. Any person who only furnished materials,
supplies, or equipment without fabricating them
into, or consuming them in the performance of, the
work of the contractor;
10. Any work or operation on one undertaking or
project by one or more contractors, the aggregate
contract price of which for labor and materials and
all other items is less than $500.00, such work, or
operations being considered as of a casual, minor,
or inconsequential nature. The exemption
prescribed in this subsection does not apply in all
instance wherein the work or construction is only a
part of a larger or major operation, whether
undertaken by the same or a different contractor,
or in which a division of the operation is made into
\applications\8 -2004 affidavit in lieu of contractor registration
15. A licensed architect or civil or professional
engineer acting solely in his professional capacity,
an electrician licensed under the laws of the state
of Washington, or a plumber licensed under the
laws of the state of Washington while operating
within the boundaries of such political subdivision.
The exemption provided in this subsection is
applicable only. when the licensee is operating
within the scope of hiss license;
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16. Any person who engages in the activities herein
regulated as an employee 'of a registered
contractor with wages as his sole compensation;
17. Contractors ;on highway projects who have been
prequalified as required, by chapter 13 of the Laws
of 1961, RCW' 47,.2'8.070 with the department of
transportation to perform highway construction,
reconstruction, or maintenance work.
contracts of amounts less than $500.00 for the
purpose of the evasion of this chapter or
otherwise. The exemption prescribed in this
subsection does not apply to a person who
advertises or puts out any sign or card or other
device which might indicate to the public that he is
a contractor, or that he is qualified to engage in
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the business of contractor;
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11.
Any construction or operation incidental to the
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construction and repair of irrigation and drainage
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or reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or
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poultry raising; or to clearing or other work upon
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land in rural districts for fire prevention purposes;
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except then any of the above work is performed
by a registered contractor;
12.
An owner who contracts for a project with a
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Any person working on his own property, whether
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15. A licensed architect or civil or professional
engineer acting solely in his professional capacity,
an electrician licensed under the laws of the state
of Washington, or a plumber licensed under the
laws of the state of Washington while operating
within the boundaries of such political subdivision.
The exemption provided in this subsection is
applicable only. when the licensee is operating
within the scope of hiss license;
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16. Any person who engages in the activities herein
regulated as an employee 'of a registered
contractor with wages as his sole compensation;
17. Contractors ;on highway projects who have been
prequalified as required, by chapter 13 of the Laws
of 1961, RCW' 47,.2'8.070 with the department of
transportation to perform highway construction,
reconstruction, or maintenance work.