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HomeMy WebLinkAboutPermit B96-0115 - CARUTHERS RESIDENCE - GARAGECity of Tukwila (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 BUILDING PERMIT Permit No: B96 -0115 Type: B -BLDG Category: NSFR Address: 11853 44 AV S Location: Parcel #: 334740 -0490 Zoning: R1.72 KR315E 102304 Type Const: V -N Gas /Elec: Wetlands: Water: TUKWILA Contractor License No.: Status: ISSUED Issued: 05/10/1996 Expires: 11/06/1996 Type of Occupancy: PRIVATE GARAGE Slopes: N Sewer: SEATTLE TENANT CARUTHERS RALPH & PATRICIA 11853 44 AV S, TUKWILA, WA 98178 OWNER CARUTHERS RALPH 11853 44 AV S, TUKWILA, WA 98178 CONTACT PATRICIA CARUTHERS 11853 44TH AVENUE SOUTH, TUKWILA, WA 98178 Phone: 206 763 -2080 Phone: 206 763 -2080 **' k***************************************** * * * * ** * * * * * * * * * * * * * * * * * * * * * * * ** Permit Description: CONSTRUCT NEW DETACHED GARAGE. Units: 001 Buildings: 001 Fire Protection: N/A UBC Edition: 1994 Front:; Left: SETBACKS .0 Back: .0 .0 Right: .0 Valuation: 10,878.00 Total Permit Fee: 292.84 ********.****************** * ** * * * * * * * * ** * * ** * ** * * * **** ** ** *fir * ** * * * ** * * * ** ** Permit Center Authorize bignature 5-10_ c1.0 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 for and obtain this building permit. Signature: 641/4/W66-- Print Name:Pair)C CU CA-ri --her5 Date: Title: 6%u4.Q %/ _J_(2,, 99 4 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. =s - `, it l% t 'ac s � ' D ER 1Nt.E! �`4����1�iwF:fi�v , '�a�+r�.,s, >. • t, DATE IN x,{�3rh».. #. £y .. `� , ._ y D►4T Eta, 4 �tV i APPR`O�V'ED� <Y ` '.'i -.r:" "+ i�:.:��� M s� ?,k _,; ,.,,,; : _ �m t tr Lr 'a R / COMMENT } ' ''' wr .F,� . u�', , rv;; , a�s,.:., ..:rr.e+o�+;lxw. ?�. �x.<;, �:- �aax: a- w„ r,.; i.�r��, rr..:t�:t�fi�`'��'A.: f, �r f Plan Review Meeting _ y - �-1 5- l - q 2nd NOTIFICATION INIT' ' 0 BUILDING - initial review t /1/c1 C ���q,, R' ROUTED C ONSULTANT: Date Sent - Date Approved - O FIRE .� /./ ,44r'' 5 -"` 9 FIREPROTECTION: • Sprinklers I Detectors •N/A FIRE DEPT. LETTER DATED: INSPECTOR: INIT: OiLANNING 1\-1R i\I C--) 'ZONING: pAR /LANDUSECONDITIONS? OYes OPb REFERENCE FILE NOS.: INIT: NINIMUMSETBACKS: N- S- E- W- .0 PUBLIC WORKS 5.6* y( , UTILITYPERMITSREQUIRED? ❑ Yes 3 N f UBLICWORKSLETTERDATED: I NIT: J- vl V.? ". • ∎ ,„ 0 BUILDING - final review 6A `l(,,fq fcv p I YPEOFCg , STR C ION: V14 CERT.OFOCCUPANCY? °Yes UBC EDITION (year): 19% INIT: )46 0BUILDING OFFICIAL _ ; /(�,; • INIT: AMOUNT OWING: 4 IT -1, CONTACTED P 6 0L, DATE NOTIFIED - 5 \ c q (0 0r t.) `----4 f5 BY: (init.) 2nd NOTIFICATION 3RD NOTIFICATION (It.) PLAN CHECK NUMBER FAD - 011E3 CITY OF TUKWILA Department of Community Development - Permit Center 6300 Southcenter Boulevard - #100, Tukwila, WA 98188 (206) 431 -3670 Building Permit Application Tracking PROJECT NAME v Ro1ph f SUITE NO. SITE ADDRESS I «53 Wu Pw INSTRUCTIONS TO STAFF • Contacts with applicants or requests for information should be summarized in writing by staff so that the status of the project may be ascertained at any time. • Plan corrections shall be completed and approved prior to sending to the next department. • Any conditions or requirements for the permit shall be noted in the Sierra system or summarized concisely in the form of a formal letter or memo, which will be attached to the permit. • Please fill out your section of the tracking chart completely. Where information requested is not applicable, so note by using "N/A ", date and initial. DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. REVIEW COMPLETED 02/15/96 vavv vwuwvnivi ow1&Vaiu, I URwrra vvn U0 i00 (206) 431 -3670 g Ur' JLt -0 DESCRIPTION AMOUNT RCPT # DATE BUILDING PERMIT FEE 1 PLAN CHECK FEE L{ .80 1_ 0 BUILDING SURCHARGE 4 1 ' 1 ' 1 IC/100N n1(' . I Ili FILL I U OUT C O 111 P ( 1 r i I v OTHER: TOTAL • QcW i 1 SITE ADDRESS SUITE # I nrj?). ltLi (h1A, VALUE OF CONSTRUCTION - $ `+f3,500,00 PROJECT NAME/TENANT t_.0._rwk I ICI',`-; (1(Lr ASSESSOR ACCOUNT # 33 0490. 05 TYPE OF N New Building 4, Li Addition Li Tenant Improvement (commercial) Li Demolition (building) WORK: 0 Rack Storage 0 Reroof 0 Remodel (residential 0 Other* DESCRIBE WORK TO BE DONE: . lnS;C horn, ; ey'.P( k 1 (I nt ra.t '. 6 (1 x zo ! bu.Llci new m...rc�� ?(= O 25 x20 BUILDING USE (office, war�hi t se, et e cU ' k V - e / 0 0 ; , +00 s--o (-(-, e ) NATURE OF BUSINESS: No bt.r5.1,01e :s c.A/1.e. WILL THERE BE A CHANGE IN USE? GS No 0 Yes If Yes, new building requirements may need to be met. Please explain: SQUARE FOOTAGE - Building: ( : , Tenant Space: 0 Area of Construction: WILL THERE BE STORAGE OR USE OF FLAMkfABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? J No 0 Yes IF YES, EXPLAIN: FIRE PROTECTION FEATURES: 0 Sprinklers 0 Automatic Fire Alarm System PROPERTY OWNER Rair?h 1.) 6 - r(Cla F. ((I r I-h ADDRESS j I i'' r ' it i H /" , ZIP q81---is CONTRACTOR 0101103 h�<i I(( PHONE ADDRESS ZIP WA. ST. CONTRACTOR'S LICENSE # EXP. DATE ARCHITECT PHONE ADDRESS ZIP CITY OF TUKWILA Department of Community Development - Building Division BUILDIN PERMIT APPLICATION I;HEREBY : CERTIFY THAT I; HAVE READ:: AND:; EXAMINED: THIS APPLICATION ANDKNOW THE<:SAME;.:' BE TRUE `AND. CORRECT, AND .I: AM; AUTHORIZED T. O; APPLY FOR :THIS PERMIT.. : BUILDING OWNER OR AUTHORIZED AGENT CONTACT PERSON SIGNATURE PRINT NAME, ; ; , ADDRESS �o•1 r i C t (� Lcv okhQ rz) DATE PHONE{!( :• ) /(. C!TWZI P PHONE � ,� G ° G1 �? cf APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill out the application completely and follow the plan submittal checklist on the reverse side of this form. Handouts are available at the Building counter which provide more detailed information on application and plan submittal requirements. Application and plans must be complete in order to be accepted for plan review. VALUATION OF CONSTRUCTION Valuation for new construction and additions are calculated by the Department of Community Development prior to application submittal. Contact the Permit Coordinator at 431 -3670 prior to submitting application. In all cases, a valuation amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Building Division to comply with current fee schedules. BUILDING OWNER / AUTHORIZED AGENT If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and obtain the permit will be required as part of this submittal. EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of application shall expire by limitations. 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 304(d) of the Uniform Building Code (current edition). No application shall be extended more than once. If you have any questions about our process or plan submittal requirements, please contact the Department of Community Development Building Division at 431 -3670. DATE APPLICATION ACCEPTED (-1 (10 DATE APPLICATION EXPIRES COMMERCIAL Two sets (2) of the following : Specifications Structural calculations stamped by a Washington State licensed engineer report stamped by a Washington State licensed engineer Ej Topographical survey E l Energy calculations stamped by a Washington State licensed engineer or architect • rrj Legal description Working drawings, stamped by a Washington State licensed > architect, which include: • Site plan • Architectural drawings • Structural drawings • Mechanical drawings • Elevations • Civil drawings • Landscape plan n Completed utility permit application (one for entire project) 11 Six (6) sets of civil drawings SUBMITTAL CHECKLIST NEW COMMERCIAL BUILDINGS /ADDITIONS: ; :: Completed building permit application (one for each structure • Assessor Account Number NOTE: See utility permit application and checklist for specific utility submittal mquirements. RACK STORAGE Completed building permit application I Assessor Account Two ( sets of plans, which include: n Building floor plan showing: • Entire space where racks will be located • Exit doors . • Dimensions of all aisles El Tenant space floor plan showing rack storage layout, aisles and exits n Six . (6) sets of site plans showing utilities NOTE: Include dimensions of racks (height, width and length), aisles and exit ways on plan. E Structural calculations stamped by a Washington State licensed engineer (rack storage S and over). RESIDENTIAL NEW SINGLE - FAMILY DWELLINGS /ADDITIONS n Completed building permit application (one for each structure) Li Legal description n Assessor Account Number n Two sets (2) of working drawings, which include • Site plan (on plan show closest hydrant location. • Foundation plan . Include access to building, showing • Floor plan width and length of access ) : • Roof plan • Building elevations (all views) *: Building cross- section • framing plans Washington State Energy Code data utility permit application ; NOTE: Building site plan and utility site plan maybe combined See utility permit application and checklist for specific submittal requirem Additional topographical and soils information may be required if unique site conditions COMMERCIAL TENANT IMPROVEMENTS,: Completed building permit (one for each titmice's tenant C Assessor Account Number Two (2) sets of construction plans, which include: Site plan :: ;• • Location of tenant space • Existing and proposed parking • Landscape plan (if applicable, i.e., change of use Overall building plan . •.Tenant location • Use of adjacent (common wall) tenant Overall dimensions of building or square footage El Floor plan of proposed tenant space • Tenant space plan with use of each room labelled • Exit doors, egress patterns. • New walls, existing wall, and walls to be demolished. n Construction details . • Cross sections showing wall construction and method of attachment for floor and ceiling. I Structural calculations stamped by a Washington State licensed engineer may be required if structural work is to be done (2 sets) NOTE: If any utility work Is to be done, submit separate utility permit application and plans. REROOF Completed building permit application (one for each structure) C Assessor Account Number n Narrative describing existing roof, material being removed, and material being installed. NOTE: A certification letter is required prior to final Inspection and sign - o/l of the permit. ANTENNA/SATELLITE DISHES n . Completed building permit application Assessor Account Number I I Two (2) sets of plans, which include: n Site Plan (showing building and location of antenna/satellite dish) f rn Details antenna/satellite dish and method of attachment n Structural calculations stamped by a Washington State licensed engineer may be required RESIDENTIAL REMODELS Completed building permit application (one for each structure) n Assessor Account Number Two (2) sets of working drawings, which include: • Site plan • Foundation plan • Floor plan •• Roof plan • Building elevations (all views) • Building cross - section • Structural framing plans . . NOTE If any utility work Is to be done provide:utiliy permit application : and plans must be submitted. REROOFS n Completed building permit application (one for each structure) n Assessor Account Number El Narrative describing existing roof, material being removed,' and material being installed. NOTE A certification letter is required prior to final Inspection and sign= off of the permit CIIY OF' TUKWILA ••■■■■••. Permit No: 096-0115 Address: 11353 44 AV S Suite: lenant: CARUTHERS RALPH - 6 PATRICIA rype: B-BLDG Parcel •: 334740-0490 -4 4***'4 ** Permit Conditions: 1. lemporary erosion control measures shail be implemented as the first order of busineSSPrevent_sedimentation off- site or into existing-star:M:: 2. APPLICANT IS REoulytoijo-wit SPLASH EILOCKS 3. No changes willbe,-„madeto the plans unless asiproved by the Tukwila Build110Sin • 4. ElectricalperMits,shal) 'be 'Obtained-,through State Diyan dfLa'bor' and Iustrfes ankCalieleCtr'ical work will he jnspasted bx agene248-6830)....„, 5. All per'Mit'.z recOirds:, and apOraved Plans sha)1 be . , avai1a04 at the ioh site Orioltpthe start .of any.con struat4'6n. Ihese'documents'are td —be maintained and avails- ableYuntO:finarinspection:.approal is granted'. 6. All,'-'a0n4,ructiah to be done'4,1- with apProi..eed . plans: and iequiremenbs of the Uniform Building Code A1994 Edtfioni, aMended.Uniforlechahical Code (1994 Edto ashington 1:.tiatejnergy Code ('194 Edition). 7. Vaqditv af Rermtt.. ThemiSsuancerof a permtt or approval of - - p laps pecii 1atlo omputat I Ons ;hall not 0,,:e con- sted to:he'a''PeT6it an:!apprOiial Of an'. violattbn • • ot the poyAsions/Ofithe Widing code or of other oi'dinance thejjurisdfction': presuming to give :auitoritv to violate or cancet-the:prov;sions'of this codeshaWbe Status: ISSUE' Applied: 04/301996 issued: 05/10/1496 4-44 4FATAI►3�{"SFr+4"15:4 ".WT.Yni C 7N""F 5 :'fr. 093..4*Pwrf "f4" i9iriengli5iworow ft6ma.7amiv(+u nN+WT+.+...•..+ r .. w ..r er , - -.- •'.• h 4•:4 *frir*- *AltAA*J4A k• k*k•kA*A***A* *10.k ** 4AA. /0*:th CITY OF TUKWILA. WA Gj �, •ht *k:k*•A:4A:4h***•Ak�k **t *•b ***' e• h4e•4: 4 ASr k•kA*AhAk4:4:•frkAih4dt:i ** *I *4: /Q .: 123 4 /3t!!�t7 .I 'nit: SLR TRANSMIT Number: 96004077 Amount: 113.59 0 Prtvment Method: CHECK Notation: PATRICIA CARl1THE Permit Na: f39G• -0115 Type: 13• -1LD13 BUILDING PERMIT Phrce'l Na: 334740 -•0490 Site Address: 11853 44 At) a Total Fees: This Payment 11:3.59 Total ALL Pmts: Balance: 4.** A* A**• h**%***• A•***A* Ah .•k *A *k4*A1%* * *•A * * * * *A * *kA*AkA Account Code Description 000/345.830 PLAN CHECK -• RES .V *.A* *dck*IrA.*.1k:1A*A* AA4:1*k CITY OF TUKWI :LA, WA !' *A *:4• *A•kkkis A *k** *:k :k ` !:4+1:1'* TPtit4 i 1I1 Number: 96004120 Arnou Payment Method ;. CHECl Notat i Permit No: 890- -0115 •fyoe: 13• -BLDG Parcel No: 324 ?40- •0490 Site Address: 11.853 44 AV S 4:*:k+44r * ***A*k* TRANSMIT 292.84 113.59 179.2 * * *A *i kA4AA44* Amount 1.13.59 c *4*AA*:4k4 ** *•A * *?e•k4A*J* 4*kkk*A.,FA*A TRANSMYv 4 * kA** :FAAAAA:A•kA *AkA *.k *A:k,ki.h1iI g *123 t. t; : 179.25 0 5/ 1 0/ 9 6 12:47 gin: PATRICIA CARUfHE snit: SLR BUILDING PERMIT Total Fees: 292.04 This Payment 179.25 Total ALL Pats: 2 92.04 Balance: .00 *AA t *t1•A *A'AA *A*A•A *i. * *•A * * *A, • AA* A* A* A* AA*A4A, *AAAA * *A**A*•A4A * *AAA*A* Aci:ounn'. ", Code Description 000/322.100 BUILDING -• 1 ES 000/ 386.904 STATE BUILDING SURCHARGE AIflount 1.74.75 4.50 GENERA TOTAL CHECK CHANGE 113.59 113.59 113.59 0.00 5043A000 03 :55 GENERA TOTAL CHECK CHANGE 5348A000 179.25 179.25 179.25 0.00 03:12 °;:} • +?� �^7f /..' 'O .o , •j ° . ''.��'1 •.�f is J�' LI Parcel No: 334740-0490 Site Address: 11053 44 AV S Sr: 01 Fl: Location: 11.053 44 AV S GENERA 20.00 TOTAL 20.00 CHECK; 20.00 CHANGE 0.00 4471A000 14 :37 * * * *):44 ** **k ** 71 *s\k*k *ki. *kA k**** A•A +4•k.A.•.1 * *A** * *A *?•A*A**** •A * -• CITY OF •fLKNILA. WA •A•A * * *k*kk'A * *k * *A,A if ksi *•k sti.*it lc'A it* it•k;: #k.t *le A *A i4hy/O * 1.3 TRANSMIT Number: 9600394/ .Amount: 20.00 0.1/09/56 11:41 Pavment histhod: CHECK Notation: PAT C,IPUTHEt.S Trtiit: SMC TRANSMIT Permit No: PW96 -•0071 Type: PW -SSS SNN1lAkY SIDE SEWER Un: STUB 5 FT SOUTH (huh; THE NORTH Total Fees: 20,.00 This Peyment 20.00 Total FALL Pmts: 20.00 Balance: .00 • AAA''**••*** A****** A* 7• A**7 A7.**•****• * **l *•k * * *7A * * +7A *k**f:* *•A **af *A *7.* Account Code Description Amount 402/342.401) ].NSP FEE -• LIME /SOS 20.00 Project: (--A1.40110-9 Type of inspectio . N Address: I I W ¢¢ AV- S Date call /0-1 Special instructions: Date wanted: / -S 4 M Requester: Phone No.: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 9818 I0 Approved per applicable codes. C MMENTS: Inspector: 1 INSPECTION RECORD r Retain a copy with permit P PERMIT NO. Corrections required prior to approval. Date: ,_{206},,431 -3670 V(76 $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: ProjecT tut 14A 1.v Type of inspection' 1 471 f 1 Address:'{ vs3 44 `y 4 ,p 'y ,5 , Date called: ) V 1,, Special instructions: C, c' U S" t 6 11,A (k u 1 V t lO Date wanted: i .m. Requester: ii Phone No.: 43.9 513°1 Inspector: II Approved per applicable codes. ' COMMENTS: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 L ►r� l Corrections required prior to approval. Date: O M" (206) 431 - 3670 $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: COMMENTS: i) AOCN-c1R - 6481-11 NU; IZZ kt1i ‘ 0 (2.' d F --- e ►Q_ Awl St Lt— iaLAttc tr9 aiL a I Al _____11 1 C 0 ^ o A Corr G t i ti " ` 1 ' a e AJc.N.0 F— C I 0" LNC, i ') w N.`a-- Address: 1 1 � / r 4 JL , S `? / O '/ , 7- Z aircr • SA eA - r44I AG SNAAA, VC NA i o Ar (0 ' . o IJ C,e3. II i 0 n r rJ Tu i Ff%142. a. Requester: V � Phone No.: i,�/ Project:a cm/ S Type of inspection: Date called: 'V f j i Q I • Date t Address: 1 1 � / r 4 JL , S `? / O '/ , Special instruction �, f31 �S, � � � L�- �. ` , OK wanted: I /,� , t ( a. Requester: V � Phone No.: i,�/ C INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206) 431 -3670 Approved per applicable codes. [Corrections required prior to approval. Inspector: e?c Date. ' (U 2. Mi x $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. I Receipt No.: Date: Project: , } LAM 4 240 Type of inspection: , - d: 0 Address • 1)863 yy a,� s. D a te cfille 8�� /s Special instructions: Date wanted: a/ Requester: < „� Phone No06 3' ,d -D INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 /A C I Approved per applicable codes. MMENTS: Inspector. INSPECTION RECORD Retain a copy with permit Date: - 0 139 O Os" PERMIT NO. (206) 431 -3670 Corrections required prior to approval. $42.00 REINSPEC7YON FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: R Ag . 1 JA woe, Tt lld e ae called: 3-1-C1 ( 4' *--- * P ci t l r -la i T 1 izIgt 4 A v 5 Special instructions: No b ki 9- kw E - i 6 ( . till Date wantecig 2 _ 9 (0 .rn Requester:p . . Phone No16 3 _ zr INSPECTION NO. INSPECTION RECORD Retain a copy with permit C Oile-016 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 \/.1 (206) 431-3670 Approved per applicable codes. COMMENTS: Corrections required prior to approval. 164J azAe,i_oleeek7 et-4o ii-ef-0 Inspector: Date: r eceipt No.: .44 • AIM. $42.00 REINSPECTIO ' REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: P- +-1 , 6 • Type of inspection: g m e ds n v s Date called:.- ^ lc, Special instructions: Date wanted ^ 16-_ 1 . Requester: s A / 1 5 ...... 2(c) Phone No.: �I INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., 100 Tukwila WA 98188 I1 Approved per applicable codes. COMMENTS: �� "0144._ Inspector: INSPECTION RECORD Retain a copy with permit Date: CA (206) 431 -3670 Corrections required prior to approval. $42.00 'REINSPECTIOff4 FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: b t i TO: FROM: DATE: SUBJECT: City of Tukwila John W. Rants, Mayor Department of Public Works Ross A. Earnst, P. E, Director NOTIFICATION OF UTILITY PERMIT ACTION PERMIT CENTER PUBLIC WORKS ENGINEERING APRIL 8, 1996 CARUTHERS SFR SSS 11853 44th Ave. S. Activity No.: PW96 -0071 Contact Person: Mr. Ralph Caruthers Phone: (206) 763 -2080 THE FOLLOWING PUBLIC WORKS PERMITS HAVE BEEN APPROVED FOR ISSUANCE IN ACCORDANCE WITH THE PLANS APPROVED ON April 8, 1996: PW96 -0071 Sanitary Side Sewer /Septic Tank Abandonment $20.00 Total Cost: $20.00 PERMIT FEE JJS /mv Attachments a/s C.F.: PW Utilities Inspector (copy of letter, application and plans) Development File (copy of letter, application and plans) aq6 -0115' Two copies of the confirmed Utility Permit Application with a set of plans are attached for inclusion in the permit file. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: (206) 433.0179 • Fax (206) 4313665 City of Tukwila L Permit No: PW96 -0071 Status: ISSUED Project: CARUTHERS SSS Site Address: 11853 44 AV S St: 01 Parcel No: 334740 -0490 Final Inspection Approved: SANITARY SIDE SEWER Inspector- Signature Date Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Issued: 04/09/1996 Approval Letter: 04/08/1996 Expires: 10/06/1996 Wetlands: Watercourse: Slopes: N Water: TUKWILA Sewer: SEATTLE Type of Install: PSFR Number of Units: 001 Exist SQ FT: Add SQ FT: New SO FT: Contractor License No: TENANT CARUTHERS RALPH 11853 - 44TH. AVE SO., SEATTLE WA 98178 OWNER CARUTHERS RALPH 11853.- 44TH.•AVE SO., SEATTLE WA 98178 CONTACT RALPH .CARUTHERS 11,853 44TH AV S, TUKWILA WA 98178 (206) 431 -3670 Phone: 206 763 -2080 Description: NEW 4 "SANITARY SIDE SEWER AND ABANDONMENT OF EXIST SEPTIC TANK SYSTEM. EXISTING STUB IS APPROX. 5 FT SOUTH FROM THE NORTH PROPERTY LINE. * k * * * * * * * * *** ** A* A*** k* * *•k** **** ********* ****A AAA**************A** Inspection Fee: 20.00 Acct No: 402/342.400 Hook UP Fee: .00 Acct No: 402/388.102 Special Assessment: .00 Acct No: 402/388.101 TOTAL FEE: 20.00 ** k *'k * * * * * * * ** ** k* k****************************** * * * *** * * * * * * ** *** **** *** * * *•k ** THE APPLICANT HEREBY ACCEPTS THIS PERMIT AND AGREES TO ABIDE BY ALL APPLICABLE SECTIONS OF THE CITY OF TUKWILA MUNICIPAL CODE AND APPROVED PLANS. WE ALSO AGREE THAT THE CITY OF TUKWILA SHALL BE HELD HARMLESS FROM ALL OR ANY CLAIMS ARISING AS A :RESULT OF THIS PROJECT.PERMITS WHICH. HAVE LAPSED BEYOND THE PERMIT EXPIRATION DATE SHALL REQUIRE REAPPLICATION AND RE- ISSUANCE OF THE PERMIT THROUGH THE CITY OF TUKWILA AT AN ADDITIONAL FEE. APPLICANT MUST NOTIFY THE CITY INSPECTOR OF COMMENCEMENT & COMPLETION OF WORK AT LEAST 24 HOURS IN ADVANCE. FOR AN INSPECTION CALL 433 -0179. Signature: alfieeeti Date: / /1 . 74' Company: C122/70.) Title: k * * * *•k * * * * * * * * * ** k * * * * * * * * * * * * * * * * * * ** * * * * * *'A ** * ** **•k * * ** * * * * * * * * * * *** * * *•k ** APPROVED FOR ISSUANCE BY: JJS Issued By: L _rnC U L -6 1. - 5 ( e Aut orized Permit Center Signature Date • k• kk******* kkkkkkAkkkk** kk kk k*k*** AA** A k k**• k* k** * * * *A * * *•k * * * ** * * * * * * * * * * * * * *** I hereby certify that the permit holder whose name and address appears on this record has satisfactorily met the standards and conditions for side sewer construction. Address: 11853 44 AV S St: 01 Suite: Tenant: CARUTHERS RALPH Type: PW-SSS Parcel 1: 334740-0490 CITY Or TUKWILA Permit No: PW9G -0071 Status: ISSUED Applied: 04/01/1996 Issued: 04/09/1996 A 'A • k * • A • A 'A •A A M • M ' A ' A 'A 'A A 'AMA ' M k ' k ' A • A A M M A • k • A • M •M • M 'A ' A 'A •k • M • k •M • k •k •M • A M • M •M •k •k 4 • k •A •M •A • M •A •k •A •k k •k •A 'A •A 'A •A - A 'A 'A •A 'A 'k M A •M Permit Conditions: 1. EXISTING SEPTIC TANK SHALL BE PUMPED EMPTY AND REMOVED OR FILLED WITH SAND. A COPY OF DOCUMENTATION FROM THE BUSINESS THAT PERFORMED THE PUMPING SHALL BE PROVIDED TO THE CITY UTILITIES INSPECTOR. 2. PRIOR TO FINAL SIGNOFF APPLICANT• SHALL SUBMIT METRO RESIDENTIAL SEWER USE CERTIFICATION TO PUBLIC WORKS FOR PROCESSING. 3. Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off - site or into existing storm drainage facilities. t. r APPROVED PEL PUBLIC WORKS LETTER DATED tilOSIEiC, 1S. Caru 11653 - 1 -P-1 4 kAv . So. INICIMM.•=111•■•■•• LI LLj iNve. So. • 10' or more Iona* auk' u,. .s Wit-1-3q-5139 j u31 -O0-5 a5 -40(07 RECEIVED e.-44-- - 7603 -a-00 0 APR 0 1 1996 TUKWILA PUBLIC_WORK; CITY OF TUKWILA Id: ROUT130 Keyword: UACT User: 1636 05/09/96 Activity document routing maintenance. BUILDING PERMIT Permit No: B96 -0115 Tenant: CARUTHERS RALPH & PATRICIA Status: PENDING Address: 11853 44 AV S Route: 1 Current Route Line: 5 of 7 Packet Units Description Station Status Received Assigned Complete aaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa Packet Units Action Station Initials Status Received Assigned Completed BUILD 01 01 C PUBWKS JJS Ap Cond. 05/01/96 05/03/96 05/09/96 Priority (0 /low..9 /high): 0 Regular hours (HH.MM): .00 Overtime Hours(HH.MM): Comments 1[UTILITY PERMIT APPLICATION ROUTED TO PWD 4/30/96. SLB ] 2[NO PUBLIC WORKS PERMITS ARE REQUIRED FOR THIS DEVELOPMENT. ] 3[PER PHONE CONVERSATION W /MRS CARUTHERS THE SITE IS FLAT ] 4[AND NO DRAINAGE PROBLEMS EXIST, SHE AGREED TO PUT SPLASH ] 5[BLOCKS TO CONTROL ROOF DRAINAGE. JJS 5/09/96 ] 6[ 7 [ 8 [ 9[ 10[ aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa F1 =Help, ESC =Exit current screen. : HEREI3Y.:CERTIFY:Tl1AT1 HAVE. REA i 1115. APP. L'ICAT/ON ANO KNOW THE :SAME:TO;B iiiTRtIE AND'CORRE Applicant/Authoriz Contact Person .ri . . • i. - ZOTIOWMAPPFT i Print Name: R ph C +,,,-+ -h fr Address: Date:3 ZS GI ( Phone: 2O( - 763 ).0 0 Phone: Date Application Accepted: f RIL. I , I4iji Date Application Expires: o -01 I) 1 . t, PROJECT Site Address: INFORMATION < Name of Project: Engineer: Street Address: Contractor: Street Address: King Cty Assessor Acct #: 'b - 000 Contractor's License #: rt..) -00 4 1� 1 df J ::.WATER': METEI DEPOSIT! REFUND /BILLI MONTHLY;< BILLINGS TO: No. of Units: , Name: • Street Address: DESCRIPTION: OF..:PROJEC ❑ Multiple- Family Dwelling ❑ CommerciaVlndustrial ❑ Office ❑ Retail MISCELLANEOUS ' New Building INFORMATION Square Footage: King County Assessor's valuation of existing structures: $ City of Tuk. iila Applk Central Permit System – Engineering Division 6300 Southcenter Blvd., Suite #100, Tukwila, WA 98188 Name: Street Address: ❑ Motel n# 1 r07 Phone: (206) 4310179 UTILITY PERMIT APPLICATION Property Owner: K,l.l h 1 t- Pa rijo A. Car (A., Street Address: lift 3 41 A t L) PERMITS ❑ Channelization/Striping /Signing REQUESTED;:;::; ❑ Curb Cut/Access/Sidewalk ❑ Fire Loop/Hydr. (main to vault) – No.: — Sizes: ❑ Flood Zone Control ❑ Haufing ❑ Land Altering 'cubic yards ❑ Landscape Irrigation ❑ Moving an Oversized Load Est. start/end times* Date: Sr Sanitary Side Sewer – No.: r ❑ Water ❑ Sewer Cl Metro ❑ Standby Single -Family Residential ❑ Hotel ❑ Duplex ❑ Apartments ❑ Triplex El Condominiums ❑ Church ❑ Hospital Phone No.: 71713-20o City /State/Z ipT� I.)l� • 901 Phone No.: City/State/Zip: Phone No.: Cit /State/Zip: ❑ Sewer Main Extension ❑ Private ❑ Public ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension ❑Private ❑ Public ❑ Water Meter / Exempt: – No.: — Sizes* Deduct ❑ Water Only ❑ ❑ Water Meter / Permanent – No • — Sizes• ❑ Water Meter / Temporary: – No.:_ Sizes• Estimated quantity: Schedule: o Zhe f Phone No.: City/State/Zip: hone No.: e City /State/Zip: ❑ Other: Exp. Date: Cl Warehouse ❑ Manufacturing ❑ Remodel/ Square footage of original building space: Addition Square footage of additional building space: Valuation of work to be done: $ RECEIVED TUKWILA rUDLIO WOf'<'' ❑ School/College /University ❑ Other: 04/22/92 ::THEREBYZERTIFr.THATI HAVE:READ.THPAPPLICATIOIC lc QW:ME:SAME70 CORRECT.' Applicant/Authorized p • . cc, Agent Signal re: ' zA e a_ 3 t (i Contact Person , 1 r) (print name): t'a., C.6.-r Let1ters Address: I IA 5 — /-/-q 'I-- A- u-e„So . ' Print Name: 0A6 .C.{,LAAA-hers ' Date: 11 3e) Phone: ( 9.062 73- Phone: ( Date Application Accepted: Ll_. 5 _ q Date Application Expires: 110— Po--A-a ,e,r5 Phone No.: Cit /State/Z1 • -- ruLkletio, Pro Street Address: I 1053 - Engineer: r) lek Street Address: Name of Pro ect: 3NATawmgT, REFUND/BILLI MONTHLY SERVI • BILLINGS TO: City of Tukv,, Central Permit System — Engineering Division 6300 Southcenter Blvd., Suite #100, Tukwila, WA 98188 Site Address: I ,S53 - 1 -1 4 4 44 & A-06 Name: Street Address: Name: Street Address: dr' El Water El Sewer ''''''''''''''''''''''' .„ ............... ''''' ......... Pry So El Multiple-Family Dwelling CI Hotel No. of Units: CI Motel El CommerciaVlndustrial New Building INFORMATION Square UTILITY PERMIT APPLICATION El Office El Retail a.r Contractor: r\10.... ‘k Street' Address: King Cty Assessor Acct #: 3 3 - 7 1 40 00b-Eltractors License #: PERMITS. . 0 Channelization/Striping/Signing REQ UESTED 0 Curb Cut/Access/Sidewalk • • 0 Fire Loop/Hydr. (main to vault) — No.: Sizes: O Flood Zone Control O Hauling O Land Altering cubic yards O Landscape Irrigation O Moving an Oversized Load Est. start/end times: Date: O Sanitary Side Sower No.: Cl Metro El Standby tg Single-Family Residential CI Duplex CI Apartments CI Triplex CI Condominiums D Warehouse 0 Manufacturing Applicatlf r ruitio-ou_40 ID Sewer Main Extension El Private O Storm Drainage O Street Use O Water Main Extensbn 0Private El Public O Water Meter / Exempt: — No.: Sizes' Deduct El Water Only 0 O Water Meter / Permanent — No • Sizes:_ O Water Meter / Temporary: — No.: Sizes_ Estimated quantity: Schedule: O Other: CI Church CI Hos ital • • _7 • ^ - • • , •-•-•• -•-■ - • ^ • - •- Phone No.: City/State/Zip: Phone No.: City/State/Zip: Phone No.: City/State/Zip: Phone No.: City/State/Zip: El Other: Phone: (206) 433-0179 - 7 403-aso8D Exp. Date: O School/College/University CI Other: CI Remodel/ Square footage of original building space: Addition Square footage of additional building space: King County Assessors valuation of existing structures: $ Valuation of work to be done: $ El Public 178 04/22/92 L enrage aline Place eP sttn3 ( 25' Lo+ deseil,p--ion : I Lod 9 2- g3-11-4 fblock A - D.411 HtlISITAPS meado0 &ar biv - N 12_ All of a3 s IIi, of . ■ \r. Po Ie '',. ;'T� .T ULULTIeS Are re tit.►�rin R rR ECEIVED g CITY OF TUKWILA No changes wLU be made c_ 44+ Ave So .... APR 3 0 1996 • Deck &i.LldLng t I es" Side, Phan CIT TUKWILA �2PROF OVED MT 1 0 199 1AS NW ED BU1L�iNG D1Vt310N above ound powerul l I\ PERMIT CENTER !R - 'TE PERMIT. IEC. _'.ED FOR: 7 EICANICAL 1 EL- PLC • 'AC ?iNG C • OF •: W LA L. NC 'iiclON Si 0 F 9X'I� Overs—a oo r REAR o^ 'Y T 1 Ow rh ro_v FIl E cony t understand that t0e flan- Cl. -it app:, subject Pr errors end- omisslone cod plans does, not authorize the violatio0 c: c.7 ' code or ordinance. Receipt of contractor's cc y „r i opproeed plena e a owIedgiel gj Slegraje.V4 r al rA iOA./I Date 4)1(C. -.t i° 9-4“ »9C Permit No' Y.Jq Y O ( MAP` -1 U 191.6 ',..;i. i. RECENED CriY OF'TUI(N/I[A ' A$ 00) 3`0 APR 1906 11I LOING oivtst N * LocATe GARAGEIXo. Ope liN6(s) 6uc6I - nt#' A MINIMUM 4' u fPe INAceD WALL pAtIeL G71U. Occult AT CO214ee OF SIDS. 2'. L' IT !1C I+ CCh + G,,.t FTq • IX t0 GFCia. T I - II SI \Th 1 7 C-E.5 2" " +(9' icz f — 21 a„ FOUNDATI ON CITY OF TUKWILA APPROVED MAY 1 0 1996 AS NOIE RECEIVED CITY OF TUKWILA APR 3 0 1996 • $ X 1 0" Ced,.. Jo,s&s Ib„ O cen"Tt, 8' an Ce.. or g Ce er Wc-115 16 e,. Ce.. - Ve- 35 "x I4 rcG L-0—roe i,c, w,.,4 u, r t I'. a a ( " " W «dt. ° 2S o Roo F APPROVED MAY 1 0 1996 RECEIVED RECEI AS NOIED .1/ Cm EC VED BUILDING DIVISION APR 3 0 1996 Arm., omrrun , 0 „ 1 _ � } ( 2.8 $ X 1 0" Ced,.. Jo,s&s Ib„ O cen"Tt, 8' an Ce.. or g Ce er Wc-115 16 e,. Ce.. - Ve- 35 "x I4 rcG L-0—roe i,c, w,.,4 u, r t I'. a a ( " " W «dt. ° 2S o Roo F APPROVED MAY 1 0 1996 RECEIVED RECEI AS NOIED .1/ Cm EC VED BUILDING DIVISION APR 3 0 1996 Arm., omrrun , 0 „ 1