HomeMy WebLinkAboutPermit D04-293 - DONALDSON RESIDENCE - GARAGEDONALDSON RESIDENCE
13533 37 AV S
D04 -293
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1908
Cit y o. Tukwila
Steven M. Mullet, Mayor
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
DEVELOPMENT PERMIT
Steve Lancaster, Director
Parcel No.: 8864000075 Permit Number D04 -293
Address: 13533 37 AV S TUKW Issue Date: 09/17/2004
Suite No: Permit Expires On: 03/16/2005
Tenant:
Name: DONALDSON RESIDENCE
Address: 13533 37 AV S, TUKWILA WA
Owner:
Name: DONALDSON KENNETH EDWARD +KA
Address: 13533 37TH AVE S, TUKWILA WA
Contact Person:
Name: KAREN DONALDSON
Address: 13533 37 AV S, TUKWILA WA
Contractor:
Name: OWNER AFFIDAVIT - KENNETH E. DONALDSON
Address: 13533 37 AV S, TUKWILA WA
Contractor License No:
Phone:
Phone: 206 -248 -1916
Phone: 206 248 -1916
Expiration Date:
DESCRIPTION OF WORK:
CONSTRUCTION OF A 24'X 30' DETACHED GARAGE, APPROXIMATELY 18' TO THE PEAK OF THE ROOF,POUR
FOUNDATION, FOOTING AND CEMENT SLAB.
PUBLIC WORKS ACTIVTIES INCLUDE: STORM DRAINAGE FOR TIGHTLINING ROOF DOWNSPOUTS TO THE EXISTING
STORM DRAINAGE SYSTEM ON SITE.
Value of Construction: $23,536.80 Fees Collected: $1,032.07
Type of Fire Protection: NONE International Building Code Edition: 2003
Type of Construction: VB Occupancy per IBC: 26
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: N
Public: N
Storm Drainage:
Y
Street Use:
N
Profit: N
Non - Profit: N
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doc: IBC - Permit D04 -293 Printed: 09 -17 -2004
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1908
Water Main Extension:
Water Meter:
City d.. 'Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206- 431 -3670
Fax: 206 - 431 -3665
Web site: ci. tukwila. wa. its
N Private: N
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* *continued on next page **
Public:
Steven M. Mullet, Mayor
Steve Lancaster, Director
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doc: IBC - Permit D04 -293 Printed: 09 -17 -2004
1908
City at Tukwila Steven M. Mullet, Mayor
Departmei :t of Community Developn:etit
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206- 431 -3665
Web site: dtukwila.wa.us
Permit Number:
Issue Date:
Permit Expires On:
Steve Lancaster, Director
D04 -293
09/17/2004
03/16/2005
Permit Center Authorized Signature: Date:
I hereby certify that I have read and examined t is 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 theperformance of work. I am authorized to sign and obtain this development permit.
Signature: %<. Date: �l '— ? `v
Print Name: 16-e Do 11 C'L ``I
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 -293 Printed: 09 -17 -2004
�M I
�..�� City of Tu
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 8864000075
Address: 13533 37"S TUKW
Suite No:
Tenant: DONALDSON RESIDENCE
Permit Number:
Status:
Applied Date:
Issue Date:
D04 -293
ISSUED
08/11/2004
09/17/2004
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: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any
requirements for special inspection.
6: All wood to remain in placed concrete shall be treated wood.
7: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building
inspector. No exception.
8: 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).
9: 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.
10: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * **
11: Contractor shall notify Public Works Utility Inspector Mr. Greg Villanueva at (206)433 -0179 of commencement and
completion of work at least 24 hours in advance.
12: Any material spilled onto any street shall be cleaned up immediately.
13: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation
off -site or into existing drainage facilities.
14: From October 1 through April 30, cover any slopes and stockpiles that are 3H: 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 -293 Printed: 09 -17 -2004
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. City of Tukwila
` 1908
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
IS: 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.
16: 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.
* *continued on next page **
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doc: Conditions D04 -293 Printed; 09 -17 -2004
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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.
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.
Signature:
Date: c ? ^ ! - 7 't L- I
Print Name:
1
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doc: Conditions D04 -293 Printed: 09 -17 -2004
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1908
;SITE LOCATION ; '`1
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King Co Assessor's Tax No.: a o to l-1Q6( Q 7 5
Site Address: % �� - y� S ( I
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Suite Number: —'" Floor: - -
Tenant Name: d VV
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New Tenant: E] .... Yes [D•..No
Property Owners Name 1 4 c - IV/I/G - '7y `- 1< /?&U %�
/V 6, 06/L _
Mailing Address: J -3 3. - '7 ` G� /�!/�
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City State Zip
: CONTACT "PERSON -
/C.
Name: RiC � / 6 Al 6 L 6
Day Telephone co9 Vt
Mailing Address: 3. fq 1. /9 .
Nr» N e , t;� y/ 7alf'
City State "Lip
E -Mail Address:
Fax Number:
7.
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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 **
\
I
-.GENERAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State Zip
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 Archited of Record
Company Name:
Mailing Address:
Contact Person:
ENGINEER OF _RECORD = All "plans must 66.* et stamped by. Engineer of Record
City State Zip
Day Telephone:
Fax Number:
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
State Zip
Day Telephone:
Fax Number:
I \applications \permit application (3.2003)
3/2003
i Page
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BUILDINGPERMIT`INFORM ION 4206431467V
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J 'Y .� , r, `j , t s t � .ry,�, "• ;�F���� . s ,4t . , �i .. �:i .s F � ! ° i
Valuation of Projecttcontractor's bid price): $ J d 1 00. Existing Building Valuation: $
Scope of Work (please provide detailed information): % 0 /
' 4zQez I O T
-?il�I piLc_ f S' let.- o6
Will there be new rack storage? [:]..Yes 0 .. No If "yes ", see Handout No. for requirements.
_Provide All Building Areas Jn.Square Footage Below.:
SO-
F .
Addition to Type of Type of ,
InteriorExisting Construction Occupa. ' per
Existing Remodel Structure New per UBC UBC
1'.:Floor.
2 ". Floor
3 Floor.
Floors ;: thru
Basement
Accessory Structure*
Attached Garage
, :Detached: Garage' .
26 �f
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)
*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 El ..No If "yes ", explain:
FIRE PROTECTIONMAZARDOUS MATERIALS:
E].. Sprinklers []..Automatic Fire Alarm E]..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 -112 x 11 paper indicating quantities and Material Safety Data Sheets.
lapplicationApermit application (3.2003)
3/2003 Page 2
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CHANICAL
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City
Contact Person: Day Telephoi
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration D
* *An original or notarized copy of current Washington State Contractor License must be pre
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
State o Zip
d at the time.of permit issuance **
67W � i
Use: Residential:
New
.... ❑
Replacement ....
❑
Commercial:
New
.... ❑
Replacement ....
❑
Fuel Type Electric
..... ❑
Gas
....❑` Other:
0 -3 HP /100,000 BTU
Indicate type of mechanical work being installed and the qua ly below:
Unit Type:
Qty :
,Unit Type:
Qty
Unit Type
Qty
Boiler /Compressor::
Qty
Furnace <100K 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 stem
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood Z
50+ HP /1,750,000 BTU
_
Heat/Refrig /Cooling
System
Inc erator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm /Ind
PERMIT APPLICATION NOTES App!'6ble to4a11 peni61t9 Im this app!>ccation
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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 I
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.
UILDING OWNER OR AUT ORIZ GENT:
Signature: / Date:
Print Name: K' N N E 7 7-/ Z5. oNf1 GQSt? /U Day Telephone: c � " " d W>
Mailing Address: _51 '3`7 '' C - S. 16
City State zip
Date Application Accepted: I Date Application Expires: S ' 'als:
\applications \permit application (3.2003)
3/2003 Page 4
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Cit of Tukwila
race
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6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 8864000075 Permit Number D04 -293
Address: 13533 37 AV S TUKW Status: APPROVED
Suite No: Applied Date: 08/11/2004
Applicant: DONALDSON RESIDENCE Issue Date:
( Receipt No.: R04 -01257 Payment Amount: 728.12
i
l Initials: SKS Payment Date: 09/17/200411:00 AM
User ID: 1165 Balance: $0.00
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i Payee: KENNETH E. DONALDSON
i
TRANSACTION LIST:
1 Type Method Description Amount
---- - - - - -- -- - - - - -- --------------------- - - - - -- ------ - - - - --
Payment Check 3034 728.12
t
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
BUILDING - RES 000/322.100 467.62
PW BASE APPLICATION FEE 000/322.100 250.00
PW PERMIT /INSPECTION FEE 000/342.400 3.00
PW PLAN REVIEW 000/345.830 3.00
STATE BUILDING SURCHARGE 000/386.904 4.50
Total: 728.12
;.r. -4 09; ':I 9716 T01 - AL. 728.1.2
doc: Receipt Printed: 09 -17 -2004
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City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 8864000075
Address: 13533 37 AV S TUKW
Suite No:
Applicant: DONALDSON RESIDENCE
i
Permit Number
Status:
Applied Date:
Issue Date:
D04 -293
PENDING
08/11/2004
Receipt No.: R04 -01054
Payment Amount:
303.95
j Initials: BLH
Payment Date:
08/11/2004 03:49 PM
User ID: ADMIN
Balance:
$472.12
i
Payee: KAREN AND KENNETH DONALDSON
TRANSACTION LIST:
�- Type Method Description
- - - -- -- - - - - -- --------------------- - - - -
Amount
-- ------ - - - - --
---- -
Payment Check 3032
303.95
1
ACCOUNT ITEM LIST:
'
Description Account Code
Current Pmts
----- - - - - --
------------- - - - - -- ---------- - - - -
I PLAN CHECK - RES 000/345.830
4
-- - - - - - --
303.95
Total: 303.95
_. ,K172 00/12 9716 TOTAL 303-95
doc: Receipt Printed:;08 -11 -2004
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INSPECTION RECORD
Retain a copy with permit S"9 INSPE ION N0. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Pr 'ect:
0 i V
Type of Inspection:
Address:
Date Called:
I f 0
Special Instructions:
3 " Zo
Date Wanted: a.m
Requester.
j PEone No: �.
tg� -Pprovecl per applicable codes.
FI Corrections required prior to approval.
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Inspector Date.
X47.0 REINSPECTI N FEE RE UIRED. Pr'or to inspection, fee must be
phi at 6300 Southcenter Blvd., uite 100. Call to schedule reinspection.
Re'celpt No.: I Date:
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INSPECTION RECORD
Retain a copy with permit -Do 3
INS ION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206 )431 -3670
Pro'ect:
vo
Type of Ins ection*
Address. 41
Date Called:
Special Instructions:
3 2
Date Wanted:
a.m.
° s
Requester:
Phone No.
I
Receipt No.: Date:
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Approved per applicable codes. Corrections required prior to approval.
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Approved per applicable codes. Corrections required prior to approval.
INSPECTION RECORD n
Retain a copy with permit
INSPECTION NO. PERMIT NO.,Q
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
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Project:
Type of Inspection:
)0 In (ddaha
tale
A ress: � �
�'
Date Called:
S
Spec al Instructions:
Date Wante _ n5 a.m.
v
Requester:
P one N
M ote 2 Ll t - X 7.?
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
A
nsp r: Date:
47.00 REINSPE ION FEE RE RED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cal to sc h e dule reins pection.
Receipt No.: Date:
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' INSPECTION RECORD
Retain a copy with permit J y3
INSPECTION NO. PERM O
CITY OF TUKWILA BUILDING DIVISION
C 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20 431 -3670
i
i
Project: /
Type of InspVion: f
Address: r�(
Date Called:
1-2- , -o C/
Special Instructions:
Date Wanted: a. m.
Requester:
Phone No:
- s � - a 7
Fl Approved per applicable codes. K corrections required prior to approval.
Receipt No.: Date:
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IJ paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT
I CITY OF TUKWILA BUILDING DIVISION !�
I 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43'1 "J3 .70
a Approved per applicable codes. Corrections required prior to approval.
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INSPECTION RECORD
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INSPECTI N0. PER O.
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6300 Southcenter Blvd., #100, Tukwila, WA 98188 ( 06)4 '1 =3670
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INSPECTION NO.
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
Projectl
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INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
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INSPECTION RECORD —a�3
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CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
r'roject:
Type Inspection
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INSPECTION RECORD �D�f _ ��
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INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: D�Q��S�� Rem
5 Type of Inspection:
Address: 1 ,3 5 - 33 37A A%/e
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1908
September 9, 2004
C ity of Tukwila Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
Ms. Karen Donaldson
13533 37`" Avenue South
Tukwila, Washington 98168
RE: CORRECTION LETTER #1
Development Permit Application Number D04 -293
Donaldson Residence —13533 37`" Avenue South
Dear Karen:
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 Public Works Department. At this time, the Planning, Building and Fire Departments
have no comments.
Planning Department: Carol Lumb, at (206) 431 -3661, if you have any
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 messenker service.
If you have any questions, please contact me at (206) 433 -7165.
Sincerely,
"su e � ; lFi1L,Cii
Stefania Sf&er
Permit Technician
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xc: File No. D04 -293
6300 Southcenter Boulevard, Suite #100 e Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206.431 -3665
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City of Tukwila Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
PLANNING DIVISION COMMENTS
DATE:
CONTACT:
RE:
ADDRESS:
August 12, 2004
Karen Donaldson
D04 -293, Donaldson Residence
1353337 1h Avenue South
Please review the following comments listed below and submit your revisions accordingly.
If you have any questions on the requested revision, Carol Lumb is the planner assigned to
the file and can be reached at 206 -431 -3661.
1. An aerial photo of the site and a site visit show that there is an existing structure on
the southwest corner of the property, where the proposed garage is shown on the
submitted site plan. Will that structure be removed? If so, a demolition permit is
required to remove the structure and should be submitted along with the permit to
construct the new garage.
2. If the structure is remaining, then the site plan must be revised and information
provided on the square footage of the structure. The zoning code limits garages
and car ports to a total of 1500 square feet of floor area.
q:\niydocs\gencrai\2004-Menlos\DO4-293.doc
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax. 206 - 431 -3665
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PERMIT COORD COr��
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D04 -293 DATE: 09 -13 -04
PROJECT NAME: DONALDSON RESIDENCE
SITE ADDRESS: 1353337 TH AVENUE SOUTH
Original Plan Submittal
Response to Incomplete Letter #
X Response to Correction Letter # I Revision # after /before permit is issued
DEPARTMENTS
Building Division ❑ Fire Prevention
Public Works ❑ Structural
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❑ Plag Division �]
❑ Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete Incomplete ❑
Comments:
DUE DATE: 09 -14 -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 7'Structural TING:
Please Route Review Required
REVIEWER'S INITIALS:
0
APPROVALS OR CORRECTIONS
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
DATE:
Documents /routing sllp.doc �A: G� ! l�
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❑ No further Review Required
DATE:
DUE DATE: 10 -12 -04
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PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D04 -293 DATE: 8 -11 -04
PROJECT NAME DONALDSON RESIDENCE
SITE ADDRESS 13533 37 " S
X Original Plan Submittal
Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Issued
DEPARTM NTS:
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Fire Prevention
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Planning
Permit Coordinator
DUE DATE: 8 -12-04
Not Applicable ❑
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INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS RO TING:
Please Route Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS:
DATE:
APPROVALS OR CORRECTIONS DUE DATE: 9
Approved ❑
Notation:
Approved with Conditions ❑
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED: q"d
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PWX Staff Initials:
Documents /routing slip,doc
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City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206- 431 -3670
Fax: 206- 431 -3665
Web site, http:11ivi w.ci.tukwila.wa.its
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: ?—/ Plan Check/PermitNumber D04 -293 '
❑ Response to Incomplete Letter #
® Response to Correction Letter # 1
❑ Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Project Name:
Donaldson Residence
Project Address 13533 37 Avenue South
Contact Person Karen Donaldson Phone Number:
CORRECTION
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by: e�► S
' Entered in Permits Plus on ` -
•
4appIicati onsvorms- applications on unevevision
Created: 8 -13 -2004
Revised:
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CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Permit Center /Building Division:
206 - 431 -3670
Public Works Department:
206 - 433 -0179
Planning Division:
206 -431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO.: IiCJ�Q�
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
f�e L�)1 r, /J 4 n , states as follows:
[please print]
1. I 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. 1 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.
APP
to
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Signed and sworn to before me this
day of 20�
NOTARY PUBLIC in and for the State of Washington,
Residing at �� , County.
Name as commissioned:
My commission expires: J I9 - y(0
\applications \8 -2004 affidavit in lieu of contractor registration
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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;
8. 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
r�
contracts of amounts less than $500.00 for the
purpose of the evasion of this chapter or
otherwise. The exemption prescribed in this
subsection does not apply to a person who
advertises or puts out any sign or card or other
device which might indicate to the public that he is
a contractor, or that he is qualified to engage in
the business of contractor;
11. Any construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts
or reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or
poultry raising; or to clearing or other work upon
land in rural districts for fire prevention purposes;
except then any of the above work is performed
by a registered contractor;
12. An owner who contracts for a project with a
registered owner;
13. Any person working on his own property, whether
occupied by him or not, and any person working
on his residence, whether owned by him or not but
his exemption shall not apply to any person
otherwise covered by this chapter who constructs
an improvement on his own property with the
intention and for the purpose of selling the
improved property;
14. Owners of commercial properties who use their
own employees to do maintenance, repair, and
alteration work in or upon their own properties;
15. - A licensed architect or civil or professional
engineer acting solely in his professional capacity,
an electrician licensed under the laws of the state
of Washington, or a plumber licensed under the
laws of the state of Washington while operating
within the boundaries of such political subdivision.
The exemption provided in this subsection is
applicable only when the licensee is operating
within the scope of his license;
16. Any person who engages. rrl W.- Octivities herein
regulated as an employee, of ',registered
contractor with wages a$ his sole' compensation;
17. Contractors on highway projects who have been
prequalified as required by 6apter.1.3 of _the Laws
of 1961, RCW 47.28.070, with the department of
transportation to perform highway construction,
reconstruction, or maintenance work.
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