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.
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f Plan Review
Meeting
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5- l - q
2nd NOTIFICATION
INIT' '
0 BUILDING -
initial review
t
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ROUTED
C ONSULTANT: Date Sent - Date Approved -
O FIRE
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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
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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
-
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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
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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[
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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
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( 25'
Lo+ deseil,p--ion : I
Lod 9
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HtlISITAPS meado0 &ar biv -
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s IIi, of .
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'',. ;'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
•
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CIT TUKWILA
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MT 1 0 199
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PERMIT CENTER
!R - 'TE PERMIT.
IEC. _'.ED FOR:
7 EICANICAL
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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
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Ope liN6(s) 6uc6I - nt#'
A MINIMUM 4' u fPe
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OF SIDS.
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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
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APPROVED
MAY 1 0 1996 RECEIVED
RECEI
AS NOIED .1/ Cm EC VED
BUILDING DIVISION APR 3 0 1996
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, 0 „
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$ X 1 0" Ced,.. Jo,s&s
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APPROVED
MAY 1 0 1996 RECEIVED
RECEI
AS NOIED .1/ Cm EC VED
BUILDING DIVISION APR 3 0 1996
Arm., omrrun
, 0 „
1