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HomeMy WebLinkAboutPermit B96-0194 - DOLEJSKA RESIDENCE - NEW SINGLE FAMILY RESIDENCECity of Tukwila S Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 BUILDING PERMIT Permit No: B96 -0194 Type: B -BUILD Category: NSFR Address: 12241 49 AV S Location: Parcel *: 017900 -1490 Zoning: Type Const: V -N Gas /Elec: Wetlands: Water: TUKWILA Contractor License No.: TENANT OWNER CONTACT CONSTRUCTION OF NEW 1064 SF RESIDENCE. Units: 001 Front: Buildings: 001 Left: Fire Protection: FIRE ALARMS (4) UBC Edition: 1994 Signature:_ DOLEJSKA CHRIS 12241 49 AV S, TUKWILA WA 98178 DOLEJSKA CHRIS 12241 49TH AVE S, TUKWILA WA 98178 CHRIS DOLEJSKA 12241 49 AV S, TUKWILA WA 98178 C Perm t Center Authorized Signature Date q q -q Status:. ISSUED Issued: 09/09/1996 Expires: 03/08/1997 Type of Occupancy: DWELLING Slopes: N Sewer: SEPTIC SETBACKS .0 Back: .0 Right: (206) 431 -3670 Phone: 206 767 -8303 Phone: (206)226 -7545 Phone: 206 767 -8303 ******************************************** * * * * * * * * * * * * * * * * * * * * * * * ** * * * * ** Permit Description: .0 . 0 Valuation: 75,469.52 Total Permit Fee: 1,220.96 ******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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. Date: 3- 9- 96 Print Name:__Gliel S DOL 115 1 Title: aWPER_ 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. l.lty ul i ukwila ...4/is DEVELOPER'S PRO :CT WARRANTY REQUEST FORM 4:.,i: } >:L+>r: �j.vvx. Y. :'v \� vn'':i:: > »y: •i • >:• {:Y :;:.:4:' • •n:; •...r:4;y> ! 4n•:•: +4 >'.' :j nriu;:v•:n: <•.j<4i �:t M.. n \+ > r: r �� ?ii �i S b8►; b :df�rcuto ..Taut orizecl6 : >:C >'�tii Eti N:. fo and 'INI. NAME OF DEVELOPMENT: Qw,VER 80 /4DER DATE: 4- g s 9 g q& --Q DEVELOPMENT ADDRESS: PERMIT NO.: PV(/ I?4, -6275- CASH ASSIGNMENT NAME eJ -(/Z(s Oiz.EZ fl! TEL NO. Zc>.,:-) y(0'7— 1 j 1 SHALL BE REFUNDED I 2L BY MAILING TO: ADDRESS: 1 A (WE, S (please print) CITY/STATE/ZIP 771KW! 4 14- 4' ; / 7 ■ D SCR • • OFITE TO • `1 - 9 (-1 NC / ., 'O ,, OW de : r ,.= .; , .: d 5 ; L?- Cl) c -ETE oil /i r y( „�/-- ij f2/ VV`wify cDitivE-Cr30 To 5T72E 7 As the owner, or authorized agent of the owner, I hereby submit cash or cash equivalent In the amount of $ sn a$ (3150% of value to complete work described above) and attach supporting documentation for value of work. I will have this work carried out and call for a final inspection by this date: ( 5 / 8' / ,5;'- ), or risk having the City use these funds to carry out the work with their own contractor or in -house manpower. If I fall to carry out the work, I hereby authorize the City to go onto the property to carry out completion of the above deficiencies. !further agree to complete all work listed above prior to requesting inspection and release of these funds. SIGNED: l ,D 1Q a TITLE: ocvry ?i v DER SiGNED: A/V AMOUNT: -t 5.10 . 0 a CASH 0 CASH EQUIVALENT THIS FUND IS AUTHORIZED TO BE ACCEPTED. DEPARTMENT HEAD: ,/ DEPOSITED THIS DATE: .,I % q t CffY RECEIPT NO. RECEIVED BY: 11—k r ,.,,o • Th10-t, situu 72 HOUR NOTIFICATION FOR INSPECTION AND RELEASE OF FUNDS DEVELOPER'S REPRESENTATIVE: All work identified in Section 1 of this form has now been completed and returned to department which authorized warranty. I hereby request inspection and release of my cash/cash equivalent. DATE: to;:ii s 64.44' CHECKED BY: I have reviewed the above work and found it acceptable and therefore authorize the release of the above cash assignment. AUTHORIZED BY: DEPARTMENT: • CASH EQUIVALENT — LETTER AUTHORIZING RELEASE AMOUNT: RELEASED THIS DATE: CASH CITY CHECK NO. Upon completion through Section 2, Finance personnel shall send copies to: — Developer — Finance Department — Permit Coordinator, DCD RELEASED BY: , FINANCE DEPT. Upon completion of entire form, Flnance personnel shall send copies to: — Developer — Flnance Department — Permit Coordinator, DCD r•s 1.t0 04/07 97,1.7,..:.TOTAL 450.00 06/13 /90 CITY OFTUKWILA CUSTOMER CHARGE TRANSMITTAL . •4a y, DATE: EMPLOYEE'S NAME: CUSTOMER: ti+o via ‘-c71 CHARGES: AMOUNT DESCRIPTION ACCOUNT NUMBER •• or DEPARTMENT DATE IN „PATE.;. <, ' R C OMMEN TS A Plan Review Meeting 1 -3 1 lc 2nd NOTIFICATION INIT: L IIS BUILDING - initial review 7/5/96 7/6/9 , (ROUTED) "O NSU LTA NT: Date Sent - Date Approved - YFIRE 7 'J / /( 1 6 FIREPROTECTION: Sprinklers 0 Detectors ON/A --”` FIRE DEPT. LETTER DATED 111 e�f /( �� INSPECTOR: S� INIT: �� / / PLANNING .2( P■rnnin ' 01- a� �ar� rcv, / p Z ZONING: PAR/LANDUSECONDITIONS? OYes 0 N f1EFERENCEFILE NOS.: INIT: Ai (') MINIMUMSETBACKS: N- S- E- W- PUBLIC WORKS 9� c , ��; UTILITYPERMITSREQUIRED? ONo 'Yes 1'UBLICWORKSLETTERDATED: 9 ( l , INIT: APR 4 ri ✓i i lzor mi-ted to Pub 7 CERT.OFOCCUPANCY? OYes %No UBC EDITION (year): n c-i 1 BUILDING - final review i /c( c 1, ( ( TYPEOFCONSTRUCTION: V 1,1 INIT: .+L ,„0, BUILDING OFFICIAL c/i/cl(, r i/ `l6 INIT: -14 . AMOUNT OWING: 7y /i 75 CONTACTED ('1 Y. 16 1 DATE NOTIFIED G1— q � Cj 0 "� (�/ BY: (init) 2nd NOTIFICATION BY: (init) 3RD NOTIFICATION BY: (init) ■ PLAN CHECK NUMBER q( -v19q REVIEW COMPLETED CITY OF TUKWILA ^, Department of Comt..unity Development — Permit Center 6300 Southcenter Boulevard - #100, Tukwila, WA 98188 (206) 431 -3670 P96 G � puilding Permit Application Tracking PROJECT NAME a , SITE ADDRESS y9 ✓ SUITE NO. 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. 1 IV( P_. 4 I 6.00 = Tc cal 02/15/96 DESCRIPTION AMOUNT RCPT #I DATE BUILDING PERMIT PLAN CHECK FEE 37 GAS lV, q 1 1. wL.O L... DESCRIBE WORK TO BE DONE: REMOVE EXISTING TI2f HO WIE (a UIi -I) NEW t-Os' BUILDING USE (office, warehouse, etc.) 511\)61-E FVt1v11 Rl;S1 >7ENCE FEE WILL THERE BE A CHANGE IN USE? i No L.) Yes If Yes, new building BUILDING SURCHARGE SOUARE FOOTAGE - Building: lO 6`1 SCE Fr, Tenant Space: Area of Construction:1 AT- l, <0,,F OTHER: OR HAZARDOUS MATERIALS IN THE BUILDING? System SMOKE A L/tatt.I 5 04) TOTAL - (,a ao. 910 SITE ADDRESS SUITE # 12.2 Liq _ tN, vE, S, TUKw1ua w A, 93 t'7g VALUE OF CONSTRUCTION - $ , 1/4„9 _ 5 i t PROJECT NArviE/TENANT i CARts .Doi - rsK>a ASSESSOR ACCOUNT # o n ioO / 90 (commercial) 0 Demolition (building) C) Other TYPE OF g Building L) Addition 0 Tenant Improvemen WORK: U Rack Storage 0 } Reroof `_) Remodel (residential DESCRIBE WORK TO BE DONE: REMOVE EXISTING TI2f HO WIE (a UIi -I) NEW t-Os' BUILDING USE (office, warehouse, etc.) 511\)61-E FVt1v11 Rl;S1 >7ENCE NATURE OF BUSINESS: WILL THERE BE A CHANGE IN USE? i No L.) Yes If Yes, new building requirements may need to be met. Please explain: SOUARE FOOTAGE - Building: lO 6`1 SCE Fr, Tenant Space: Area of Construction:1 AT- l, <0,,F 1'; ILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE X No ;_, `, ::s IF YES, EXPLAIN: FIRE PROTECTION FEATURES: ; Sorinklers -' Automatic Fire Alarm OR HAZARDOUS MATERIALS IN THE BUILDING? System SMOKE A L/tatt.I 5 04) CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 % -00 cP o PLAN CHECK NUMBER PROPERTY OWNER CHRk 1]O1-ETSKH ADDRESS 12Z ( ' Tn. tq VE, $, To Kw . CONTRACTOR s R ADDRESS VIA. ST. CONTRACTOR'S LICENSE # . ARCHITECT ADDRESS BUILDING. PERMIT APPLICATION I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER SIGNATURE ' DATE OR AUTHORIZED ; PRINT NAME H 6-2_,S_ . Do,e= J5 K}°+ 'PHONE 7( _.33 AGENT 'ADDRESS -1"UKuW(U CITY/ZIP ci $ CONTACT PERSON 5 PHONE 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. !his ;igure will be review= 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 architecVengineer, 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 riot 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 Commtgigoctetyelopment Building Division at 431 -3670. DATE APPLICATION ACCEPTED CITY OF TUt At E APPLICATION EXPIRES ( JUL-3 996 PERMIT CENTER / 7 IPHONEZO(0 r 7 67 - g3 INK Z0f - 3)31 iZIPq .1r7s P PHONE ;ZIP IEXP. DATE 'PHONE !Z!P IG:22ti4 ;OMMERCIAL 4EW COMMERCIAL BUILDIIJGS /AOOITIONS Completed building permit application (one for each structure). Assessor Account Number m :v.; 1 ,71 of thc• tuliowin : • Spe:ifk -, Lions Structural calculations stamped by a Washington State licensed engineer Soils repon stamped by a Washington State Iic•na -:d engineer Topographical survey Energy calculations stamped by a Washington State licensed. " -' engineer or architect Legal description . Working drawings, stamped by n Washington State licensed --= architect, which include: • Site plan • Architectural drawirgs • Structural drawings • Mechanical drawings • Elevations • Civil drawings, •.Landscape plan Completed utility permit application (one for entire project) Six {6) sets of civil drawings • ::TE: See utility permi: r,Jplicatio n and checklist for specific utility rc irenr4nt.. / Cf: STORAGE Corrpietec building permit appiicatior. Assessor Ac:.oun•. Nembei Two (2; Sets of plans. which ins ude: 3ui:d;ng for pla . ch•winc. • Enti'e space where rack will oe locate:: • Exi: doors • Dimensions of all aisles T• -ia ;t space floor place showing rack storage layout, aisles and c: include dimensions of racks (height. width and length), aisles an: eai! ways on plan. S : calculations stamper: try a Washington State licensed engineer !rack storage. 6' an::: ever). RESIDENTIAL — •:E\' SINGLE- FAMILY DWELLINGS!ADDITIONS Completed building permit application (one for each structure) Legal description Assessor Account Numbor - Two sets (2) of working drawings, which include: • Site: plan — •-- -__ ;fan, chow ctcss..: hid.—nn: -_•::e . • Foundation plan Include access to building, showing • Floor plan • width and length or access.) • Roof plan • • Building elevations (all views) • Building cross- section • Structural framing plans I Washington State Energy Code data - Completed utility permit application —1 Six (6) sets at site plans showing utilities te.)TE: Building site plan and utility site plan may be combined. See utility permit application and checklist for specific submittal requirements. Additional topographical and soils information may t.; required if unique d etc conditions. SUBiriOTTAL CHECKLIST COMMERCIAL TENANT. IMPROVEMENTS Completed building permit application (one for each structure or > tenant) El Assessor Account Number Two (2) sets of construction plans, which include: J Site plan L • Location of tenant space • Existing and proposed parking • Landscape plan (if applicable, i.e., change of use) J Overall building plan • Tenant location • Use of adjacent (common wall) tenant • Overall dimensions of building or square footage p 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. Construction details • Cross sections showing wall construction and method of attachment for floor and ceiling. 1 .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 earn structure) Assessor Account Number - Narrative describine existinc roof, material beinz: removed, and material being installed. NOTE: A certification letter is required prior to final inspection and sign- off of the permit. ANTENNA/SATELLITE DISHES Completed building permit application • Assessor Account Number Two (2) sets of plans, which include: Site Plan (showing building and location of antenna/satellite dish) Details antennarsateliite dish and method of attachment . Structural calculations r:tamped by a Washington State licensed engineer may be required RESIDENTIAL REMODELS Completed building permit application (one for each structure) Assessor Aocount 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 utility permit application and plans must be submitted'. REROOFS Li Completed building permit application (one for each structure) r Assessor Account Number 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. CITY OF TUKWILA Address: 12241 49 AV S Permit No: B96 -0194 Suite: Tenant: DOLEJSKA CHRIS Status: i'SSUED Type: B -BUILD Applied: 07/03/1996 Parcel #: 017900 -1490 Issued: 09/09/1996 4 . 4 . 4 4 4 4 4 4 .4 4 4 4 4 .* .4 . 4 * '.4 4 . 4 4 . 4 '4 '4 4 i '4 4 :4 4 .4 4 4 .4 . 4 .4 4 •A k 4 4 4 4 4 4 4 4 4 4 4 - 4 4 ;4 * .4 4 '4 * 4 4 4 4 .4 . 4 - 4 .4 4 4 . 4 - 4 4 4 4 4 Permit Conditions.: 1. No changes will be made to the plans unless approved by the Architect or Engineer and the Tukwila Building Division. 2. Plumbing permits shall be obtained through the 'Seattle -King County Department of Public Health. Plumbing will be inspected by that agency, including all gas piping (296- 4722). 3. Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical work will be inspected by that agency (248- 6630). 4. All mechanical work shall be under separate permit issued by the City of Tukwila. 5. All permits, inspection records, and approved plans shall be available at the job site prior to the start of any con- struction.'. These documents are to be maintained and avail- able until final inspection approval is granted. 6. All construction to be done in conformance-with approved plans and requirements of the Uniform Building Code (1994 Edition) as amended, Uniform Mechanical Code (1994 Edition), and Washington State Energy Code•(1994 Edition). 7. Ai`1'wood to remain in placed concrete shall be treated wood. 8. Engineered truss ...drawings and. calculations shall be on site and available to the building inspector for inspection ' pur.:pnses. :Documents shall bear. the seal and signature of a. Washington State Professional Engineer. 9. Any e,xpose'd:insulations backing material shall have a Flame Spread. Rating of 25 or less, and material. shall bear identi- ficati,on showing the fire performance rating thereof. 10. All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1994 Edition) as amended, Uniform Mechanical Code (1994 Edition). and Washington 'State Energy Code (1994 Edition). 11. There shal -1 be no occupancy of the building(s) until the final inspection has been completed. by the Tukwila Building Inspector. 12. Validity of Permit: The issuance of a permit or approval of plans, specifications, and computations :.hall not be con- strued to be a permit for, .or an approval of any violation of any of the provisions of the building code or of any other ordinance of the jurisdiction. No perrmmit presuming to give authority to violate or cancel the provisions of this code shall be valid. * * * * *,M•.t * * *****k* , ***A 4*** Ah• k**.* k** * *kA * *k*k4A*k ***k4k.l- * *k ** ** • CITV OF TUKWILA. WA � TRANSMIT *****.** h :k•k+kk*A* *kk *.k *k�YY'k���t *. 4Q 0 r..* it** **A *.k***A **** *A **4* * *•4•k*A** TRANSMIT Number; 89600475 Amount: 741.75 09/09/96 14 :18 Payment Method: CHECK Notation: CHRIS DOLEJSKA Init: 6LB Permit.No :,896 -0194 Tv'ae: B -BUILD BUILDING PERMIT Parcel Na.p; 917.900 -1490 Site AddressN 12241 49 AV 5 This Payment 74i.75 Total Fees: Total ALL Pmts: Balance: 1.220.96 1.220.96 .00 *** * * **•A4r**4*k�k•htk** **•*0•k* A************•k * *•k ** ***** ** *** ** ****+4 *** Account Code Description Amount 000 /322400 BUILDING - RES 737.25 000/386' ..904 STATE BUILDING SURCHARGE 4.50 c lNk**:l4h.l *•.l * *** k** A***•.4•k/<•k:*A *,A* *• k Ah •1*•.*•l•4AA11 *** *:1+:;•A C1TV or T U1;Wl :LA. I4 * **4 *Ah **k *hk * **A*A* *.4A* *irk 44* eF*• A**• ir, 4**A *•k.l; ** *4*kk **•k4kk:A *.kk TRANSMIT dumber: 96004405 Amount: 479..21 07/03/96 14:09 Payment Method: CHECK Notation: CHRIS DOLUSKA Init: KJP Permit No: B96• -0194 Tape: 0--BUILD BUILDING PERMIT Parcel No: 017900 -1490 Site Address: 12241. 49 AV 5 TRANSMIT Total Feet:: 1.220.96 This Payment 4779.21. Total ALL Pmts: 479.21 Balance: 741.7ti ***% **•A•**W** ********* k***** kkk* e•+****.A* * * *•A *r.1A.* *4k:5kAbA** Account Code D e s c r i p t i o n Amount 000/345.530 PLAN CHECK - RES 479.21. 0988 07/05 9617 TOTAL 479.21 P S ol o l Ql q l co• **4****44 * **4****4t4** *•*** k* k*• h• 4h: 1k ***4*** *.4*444A�r.k*4 ***•'a* ** CITY OF TUKWILA. WA -91 TRANSMIT ** *:t * *d * * ** * * **hh4A.4 k* * • k*• k* ***A*** * *•�•k�t *:k:k•# %.* * *h* ** TRANSMIT Number: 89600475 Amount: . 20.00 09/09/96 14 :39 Payment Method: CHECK `Notation: CHRIS DOLEJSKA Init: SLR Permit No: PW9G-0266 Type: PW-SSS SANITARY SIDE SEWER Parcel Not 017900 -1490 Site Addresa:'' 12241 49 AV S St: 0200 Fl: Un: . Location: 12241 49 AV S Total Fees: 20.00 This Payment 20.00 Total ALL Pints: 20.00 Balance: .00 4* 4***** 4******$• k*•+.. k* *•k *4*4 **A**4*4.* **•44*i4 * ** * *4* **444 * * ** 44*4* Account Code Description Amount 402/342.400 INSP FEE -- SME /SSS 20.00 c This Payment 25.00 : } *A *** **4 4 * k *4•k* k** **' * CI'f Y OF TUKWI:LA. • WA (n --0 1 RArlfifil:l *k # *Ak *A.***,4*k*•.Ak ** * +t *• k *:t k *: t 4 * *4 * *4 *4* TRANSMIT Number: R96004? , 5 Amount: 25.00 09/09/96 14:00 Payment Method: CHECK 'Notation: CHRIS DOLEJSKA Init: SLL3 Permit No: PW96•-0199 Type: PW -SD STORM DRAINAGE Parcel No: 017900 -1490 S i t e Address 12241 49 AV S St: 0200 Fl: Um: Location: 12:'51 49 AV S Total Fees: Total ALL Pmts: Balance: v 25.00 25.00 .00 4**: 4** e4***** 04*• k*** 1*• J.*. A*********;******•* a• h*i'*> w;•*** * * *:4.*•f:tt•k*••A *•k•k4AiA* Account Code Description Amount 000/345.030 PLAN CHECK UTILITY 10.00 412/342.400 INSP FEE - STORM DRAIN 15.00 R ac1a1 9I , 11ao-r. R-*aN) 91a1q� *k*kt *4•1(4k *k•k*A* *k*A* A**k* *•kk:t**<k•k•hkkA00 kAA-*A {k•k•k*•A*Ak•k *k CITY OF TUKWILA. WA Q (n ( clic4A*44:*6.44*****44k*A**4****A4. TRANSMIT *st!r* *k4*** .*****%** *�k *W�F* l•4'k* + TRANSMIT Number: R9600475 Amount: 50.00 09/09/96 14:39 Payment Method: CHECK Notation: CHRIS DOLEJSKA Init: SLB Permit No: PW2t3 -0274 Type: PW -FZC FLOOD ZONE CONTROL Parcel No: 017900 -1490 Site Address: 12241 49 AV S Location: 12241 49 AV S Total Fees: 50.00 This Payment 50.00 Total ALL Pmts: 50.00 Balance: .00 Ah** *i* * **•h*** *• ** A* 0**** i4A**** * **A•k•k•kAA4•k**1k 4• ***0144*A **iit * Account Code Description Amount 000/322.400 FLOOD ZONE CONTROL 50.00 A* ***4 * *A * *•k:4 *A*A * *A* ** ***r5••A 4 * A* * * *a *A*4,4 *A * * ** *A *Alk**rih *A *a* CITY OF TUKWILA. WA ** TRANSMIT et ** * * * **• Ak•A *K + *•k *4 . *4•hk*:1a*A** TRANSMIT Number: R9600475 Amount: 213.00 09/09/96 14:39 Payment Method: CHECK Notation: CHRIS DOLE.1SKA Init: 5LB Permit N.o: PW96 -0267 Tvue: VW-WM WATER METER PERMIT Parcel No: 017900 -1490 Site Address: 12241 49 AV S St: 0200 Fl: Un: Location: 12241 49 AV S /EX15T WM 19' SOUTH FROM THE NE r' Total Fees: 25.00 This Payment 25.00 Total ALL Plots: 25.00 Balance: .00 4 ***44***•k4*44* A. A* o4*• h** 4*A*4 ka* 4,*4*•44•4• * :4 * *44* ** * * ***4,s44 t•*.%*A*4 Account Cote Description Amount 000/345.830 PLAN CHECK - WATER METER 10.00 401/342.400 WATER INSPECTION FEE 15.00 R*aaai q/afacv ciloticto . 4.*.A**+++*a+*+14A*^*A*+ **A*+**^A++a++*Il*.A++A*k++*^*A+*A+' . CITY OF TUKNILA, WA TRANSMIT TRANSMIT Number: R9600476 Amount: 25.00 09/09/96 14:40 Payment Method: CHECK 'Notation: CHRIS DOLEJSKA Init: SLD ---'--'---'-----------------------------------'--'----'--'----- • Permit No: PN36-r0275 Type: PN-CCAS CURB CU7/ACCESS/SIDE Parcel No 017900-1490 Site Address: 12241 49 AV S Location: 12241 49 AV S/NEN DQTVENAY EDGE 5FT NORTH OF T Total Fees: 25.00 This Payment 25.00 Total ALL Pmts: 25.00 Balance: .00 ***+++*x+***+++a*+*+**a*++A**kA*++A*AAN++*x*+**+**+A+*+**+++AA^+ Account Code Description Amount 000/345.83O PLOW CHECK - UTILITY 10.00 000/342.400 INSP FEE - UTILITY 15.00 2991 09/09 96i7 TOTAL 886.75 .. �•iwt ..y'w ,- Se. ..r `��.•i••.. ' "r. �y„ ;.,, �1. }y,:'}KSi, Fw :: .if islts uy;:.;�tw. • c4'• :r .x.11 ••� tr r• �.. Project Name C....-, 1 'IS us\ L=- 5 V... • \ Address '` ` A ' \ \ 1 \ r 1 Retain current inspection schedule Needs shift inspection ?‹, Approved without correction notice Approved with correction notice issued Sprinklers: Fire Alarm: Hood & Duct: Halon: Monitor: Pre -Fire: Permits: City of Tukwila Fire Department ' )r,, - \ - N 6 r �� Authorized Signature TUKWILA FIRE DEPARTMENT FINAL APPROVAL FORM Permit No. -- 1 -f FINALAPP.FRM T.F.D. Form F.P. 85 John W. Rants, Mayor Thomas P. Keefe, Fire Chief Date Suite # r /. Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone :: (206) 575.4404 • Fax (206) 575-4439 Project. Type o ' 4VMM. Address Date :led: Special instructions: Date wanted: — s` - ° Requester: • • No.' .r 31a: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100,' Tukwila, WA 98188 Approved per applicable codes. OMMENTS: INSPECTION RECORD Retain a copy with pei► _ t PERMIT NO. (206) 431 -3670 Corrections required prior to approval. Date: 4 / / C (q $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection. Receipt No.: Date: Project: NWT D b 1.6 fype of inspection:Fl _ Address: -,, S Date called: ' 4 Special instructions: Date wanted: a.m. P.m. Requester: Phone No.: _ .: Approved per applicable codes. !..• '777 , • , INSPECTION RECO Retain a copy with pe INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Corrections required prior to approval. COMMENTS: Inspector: 6V 4/i 3 /7 1 $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: PERMIT NO. (206) 431-3670 Receipt No.: Date: COMMENTS: . c ( ‘.,.. a A - t-n -, 4 0 . hi iii 7 te/P _,X9 4., , ,,, ... ..1 41 de / 1 1 1) 61 1 Special instructions: ;2---7 .-- c40-6e..41...// or — s --, _ - ."---- - Projectb )Lt..4.2.. j..c, . c ( ‘.,.. Type of inspection: 4-- 1 --e---,- 4 Address 9 1 _ 9 , 9 A ‘..5 Date called: Special instructions: Date wanted: a.m. CiFeb Requester: Phone No.: 70 - INSPECT! N NO. INSPECTION RECO9J Retain a copy with peki FML PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431-3670 1 Approved per applicable codes. Inspect • r: Corrections required prior to approval. Date: $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Ca I to schedule reinspection. Receipt No.: Date: o' t: ' _ Typ of i p ti 1 0— �, t1.��5c�t L r _ L ko�� 'Ali .S � lV I Date gal,,gd� , Special instructions: Date anted: n (517- Requer. f.--- _ Phone No.: 61, . INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 9818 V i j ‘ Approved per applicable codes. INSPECTION RECO Retain a copy with peki f 1 PERMIT NO. (206) 431 -3670 COMMENTS: r i,414; , 1 66. 6 Inspector: ( Date: 4°47 Corrections required prior to approval. $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: Pr 'ecq! t TCsICA /24:-..; •. Ty o nsp pgl on: IN5uI.AT7or' it 49 Au S Date called: g_ cs _ Special instructions: Date wanted: .53 _ l _ 7 a.m.. Requester: n `' 12 1 Phone No.: 7 9 7- g 303 [ INSPECTION NO. Approved per applicable codes. INSPECTION RECO Retain a copy with peki CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 lcico - 0 194 PERMIT NO. (206) 431 -3670 COMMENTS: Inspector: Corrections required prior to approval. Date: (� $42.00 REINSPECTION FEE REQUIRED. Prior to inspect S on, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Prtg K A gs6. TYp rL t oU ctio rN su + -��DI \ d i t ► 14 C A M N s Date called: O- 5 _9- 7 Special instructions: Date wanted: g . 6 _ 91 Requester: C J. 1 R Phone No.: 1 - . INSPECTION NO. INSPECTION RECD . Retain a copy with pe CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 696- ol9L PERMIT NO. (206) 431 -3670 COMMENTS: Inspector: Approved per applicable codes. Corrections required prior to approval. Date: V( $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: •...., ..Lk.ti.ri^FSMdcax,x? • .r.: Pr 'W A P%E-s. Ty IAN).- pct i\i tALA - nO/•\ • L E 3 ��Z.E l ' S 9 A v S Date called: n- 45 q -- Spe instructions: Date wanted: p b , _11 O p.m Requester: Q .1 4 12.. 16 Phone No.: 7 (01 , b. ty INSPECTION RECDP Retain a copy with pelLi INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 9818 Approved per applicable codes. Receipt No.: Vito-0194 PERMIT NO. (206) 431 -3670 COMMENTS: Inspector (?) £ Corrections required prior to approval. Dat %k $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: na'''''11,12......=tdo.taZinceraxamaalogomon• cy) INSPECTION RECOVI\ Retain a copy with pelLi INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 [ kpproved per applicable codes. WAto- 064 PERMIT NO. (206) 431-3670 Corrections required prior to approval. COMMENTS: N.‹ $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: Type of inspectir iN ( 7 L. V9 m 5 DAte called: to — '. 91 instructions: Date wanted: 7.. 1 _1_7 p.m. Requester: ej, Phone No.: na'''''11,12......=tdo.taZinceraxamaalogomon• cy) INSPECTION RECOVI\ Retain a copy with pelLi INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 [ kpproved per applicable codes. WAto- 064 PERMIT NO. (206) 431-3670 Corrections required prior to approval. COMMENTS: N.‹ $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: lam► ��.�. Typ ins ction: . / Address: � Date called: v Special instructions: Date wanted:# '°' / 7 / _ y , a.rn. Requeser: Phone No.: INSPECTION RECOFC Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 9818 0894-0n47 PERMIT NO. (206) 431 -3670 ,pproved per applicable codes; Corrections required prior to approval; COMMENTS: Inspector: Date: 7- --/ $42.00 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 4 Project: p / ,,, 1.C.. 1Z‘1 Type of inOectiOn& 54 ..ee Address) . r Date called: ) Special in ructions: fr I V 1 e Date wanted: i e)-- / `. 6'-' Requester: Phone No.: pproved per applicable codes. COMMENTS: I 1 INSPECTION RECOFit> /87f;flrli Retain a copy with permit PERMIT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431-3670 Corrections required prior to approval. $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee mt be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Pry; LE-..-3-5 KA g _s • re t. rim n :51'I Ti71' AK / 14221:1 1 ' ct A jt , V I 5 Date called: V "j ... g J; i Special instruct :: } Date wanted:: �o ` t d' p.m. Requester: 0 41216 Phone No.: 7/0 4 [Receipt No.: INSPECTION RECOFO Retain a copy with permit INSPECTION NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Date: gc0 - © cq'� PERMIT NO. (206) 431 -3670 Approved per applicable codes. [Corrections required prior to approval. COMMENTS: rzw, I $4 '0 REINSPECTIO FEE R (WIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ,;. t: INSPECTION RECOD Retain a copy with permit BUILDING DIVISION Blvd., #100, Tukwila, WA 98188 15% on INSPEC N NO. CITY OF TUKWILA 6300 Southcenter PERMIT NO. L (206) 431 -3670 Project: l 3 s ice►. Type of inspecti o,o, (.10.4.,,a‘, t it Address: ! - 161 .41 A � � Date called: 9- Iq - f Special instructions: - Date wanted: -��rq .3 a .m. Requester: et Aris Phone No.: 76 7 - 8 303 required prior to approval. Approved per applicable codes. 1 1 Corrections CO MENTS: Inspector: CL t? Date: � � FEE REQUIRED. Prior to inspection, tee must Southcenter Blvd., Suite 100. CaII to schedule reinspection. $42.00 REINSPECTIO be paid at 6300 Receipt No.: Date: Project: Dole: 6K0-- Type of inspection: Address: ) (�� q N6 Date called: n „ (-4, 9 Special instructions: Date wanted: q _ 1o . q 0 a fj� Requester: hr i 6 Phone No.: t c INSPECTION RECOO Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. I PERMIT NO. $42.00 REINSPECT! • FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. (206) 431 -3670 COMMENTS: Corrections required prior to approval. Receipt No.: Date: City of Tukwila ( Permit No: PW96 -0266 Status: ISSUED Project: DOLEJSKA CHRIS Site Address: 12241 49 AV S St: 0200 Parcel No: 017900 -1490 Wetlands: Water: TUKWILA Type of Install: PSFR Number of Units: 000 New SQ FT: Contractor License No: TENANT OWNER CONTACT Inspection Fee: Hook UP Fee: Special Assessment: DOLEJSKA CHRIS 12241 49TH AVE S, TUKWILA WA 98178 DOLEJSKA CHRIS 12241 49TH AVE S, TUKWILA WA 98178 CHRIS DOLEJSKA 12241 49TH AVE S, TUKWILA WA 98178 Final Inspection Approved: SANITARY SIDE SEWER Inspector Signature Date Watercourse: Sewer: SEPTIC Exist SQ FT: (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Issued: 08/12/1997 Approval Letter: 09/09/1996 Expires: 02/08/1998 20.00 Acct No: 402/342.400 .00 Acct No: 402/388.102 .00 Acct No: 402/343.501 Slopes: N Add SQ FT: Phone: 206 767 -8303 Phone: (206)226 -7545 Phone: 206 767 -8303 Description: NEW 4" SANITARY SIDE SEWER &ABANDONMENT OF EXISTING SEPTIC TANK SYSTEM. NEW SAN SIDE SEWER CONNECTION @48 AV S,DOCUMENT FOR 5FT WIDE EASEMENT ON FILE. RECORDED COPY OF THIS EASEMENT REQUIRED PRIOR TO FINAL SIGN -OFF. EXISTING TRAILER WILL BE RELOCATED TO THE 5 END OF THE PROPERTY & UTILIZED AS CONST- RUCTION TRAILER ON SEPTIC FOR THE DURATION OF CON - STRUCTION-APPROX.9 MONTH. THE EX.SEPTIC TANK SHALL BE PUMPED EMPTY &REMOVED OR FIILED W /SAND. A COPY OF DOCUMENTATION FROM THE BUSINESS THAT PERFORMED THE PUMPING SHALL BE PROVIDED TO THE CITY UTILITY INSPECTOR. ************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** TOTAL FEE: 20.00 ************** 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: _ Date: V" (C1-17 k * * * * * * * ** Company: Title: ********************************************** * * * * * * * * ** ** * ** * * * * * * * * * * ** * * ** APPROVED FOR IS UANU BY: � JS /J� E Issued B y : _ �C.Y.i�� �� -97 Authoriz Permit Center Signature Date ************* k**** k********************** k**** * ** * * * * * * **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: 12241 49 AV S St: 0200 Suite: Tenant: DOLEJSKA CHRIS Type: PW -SSS Parcel #: 017900 -1490 0 o CITY OF TUKWILA Permit No: PW96 -0266 Status: ISSUED Applied: 08/26/1996 Issued: 08/12/1997 ** k* k* * *•k * *•k *•k k * **•k *'k* k k ** *•k **** ** k * ** * ** k * * *'k•It* k * *•k* k ** k* k*** k k* k** ** ** k ** Permit Conditions: 1. Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation' off - site or into existing, storm drainage facilities. 2. Any septic tanks in the, 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. 3. PRIOR TO FINAL SIGN -OFF APPLICANT SHALL SUBMIT A RECORDED COPY OF THE SAN SIDE SEWER EASEMENT AND METRO RESIDENTIAL SEWER USE CERTIFICATION FORM TO PUBLIC WORKS FOR PROCESSING. 4. PRIOR TO FINAL SIGN-OFF APPLICANT SHALL PAY THE SPECIAL SE- WER CONNECTION FEE:(APPROX:: $ 7K); EXACT AMOUNT WILL: BE APP- ROVED BY THE CITY COUNCIL AT A LATER DATE. 5. Work 'affecting traffic flows shall be closely coordinated with.theCity Utilities Inspector. Traffic Control Plans shallbe`submitted to the Inspector for prior approval, r" City of Tukwila C- t- (206) 431-3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 WATER METER PERMIT Permit No: PW96 -0267 Status: ISSUED Project Name: DOLEJSKA CHRIS Site Address: 12241 49 AV S St: 0200 Location: EXIST WM 19' SOUTH FROM THE NE PROPERTY CORNER Parcel #: 017900 -1490 Wetlands: Water Course: Slopes:N Water Dist: TUKWILA Sewer Dist: SEPTIC Type: NSFR No of Units: 000 Contractor License Number: TENANT DOLEJSKA CHRIS 12241 49TH AVE S, TUKWILA WA 98178 )WNER DOLEJSKA CHRIS 12241 49TH AVE S, TUKWILA WA 98178 :ONTACT CHRIS DOLEJSKA 12241 49TH AVE S, TUKWILA WA 98178 r* * * * * * * * * * * * * * * * ** * * * * * * * * * * * * ** Additional Description: Developer Construction Cost: .00 RECONNECT EXIST 3/4" WATER SERVICE TO THE NEW SFR METER INFORMATION: Water Meter Size: Work Order #: Type: PERM FEES: Regular Connection: Install Deposit: Plan Check: Inspection: Turn On Fee: Special Connect Fee: Other Fees: TOTAL FEES: 25.00 ************************************************ * * * * * * * * * * * * * * ** * * * * * * * * * * * * * ** I understand that the charge for the meter installation portion of the water meter /service installation is based on the actual cost of materials plus labor including 17% overhead. I agree to pay the installation fee (deposit) on the signing of this application and the balance of the cost when billed (overpayment will be refunded). Further, I agree to pay the regular connection charge, administrative plan check fee, inspection fee and turn -on fee as part of this application.I further understand that the water service piping from the public main to the water meter box and shut -off valve (corp stop) shall be constructed at my sole expense. THE APPLICANT MUST NOTIFY THE CITY INSPECTOR OF COMMENCEMENT AND COMPLETION OF WORK AT LEAST 24 HOURS IN ADVANCE. FOR AN INSPECTION CALL 433 -0179. Signature: Company: ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED FOR ISSUANCE: JJS 16(21.,_(-1$12255r2 Q I Cif Issued By : S,L I �� i Autho Center Signature Date ***************************************** k****** * * * * * * * * * * * * * * * * * ** * * * * * * * * * * ** I hereby certify that the permit holder whose name and address appears on this record has satisfactorily met the standards and conditions for the project approved herein. Final Inspection Approved By: .00 .00 10.00 15.00 .00 .00 .00 Inspector Signature Date Title: Issued: 08/12/1997 Approval Letter: 09/09/1996 Expires: 10/11/1997 Square Feet: Phone: 206 767 -,8303 Phone: (206)226 -7545 Phone: 206 767 -8303 75 Quantity: 1 Date: -tZ•q 7 Acct No: 401/388.102 Acct No: 401/386.520 Acct No: 000/345.830 Acct No: 401/342.400 Acct No: 401/343.405 Acct No: 401/388.101 CITY OF TUKWILA Address: 12241 49 AV S St: Suite: Tenant: DOLEJSKA CHRIS Type: PW -WM Parcel #: 017900 -1490 * * * **k•k ** * ** *•4** **44 *•*k•k * *•k k• ****• k kk**- k**** k*k k*** *•k* * *•k ** * *kkk•k Permit Conditions: 1. PRIOR TO FINAL SIGN -OFF APPLICANT SHALL SIGN A WATER PROPOR- TIONATE FAIR SHARE AGREEMENT DUE TO DEFICIENT WATER LINE IN 49 AV S. 0200 Permit No: PW96 -0267 Status: ISSUED Applied: 08/26/1996 Issued: 08/12/1997 Permit No: PW9G -0275 Status: ISSUED Project: DOLEJSKA CHRIS Site Address: 12241 49 AV S Location: NEW DRIVEWAY EDGE 5FT NORTH OF THE SOUTH P/L Parcel #: 017900 -1490 Watercourse: Wetlands: Slopes: N Sewer: SEPTIC Water: TUKWILA Contractor License No.: PENANT DOLEJSKA CHRIS Phone: (206)226 -7545 12241 49TH AVE S, TUKWILA WA 98178 )WNER DOLEJSKA CHRIS Phone: (206)226 -7545 12241 49TH AVE S, TUKWILA.WA.98178 i0NTACT CHRIS DOLEJSKA Phone: (206)767 -8303 12241 49 AV S,.TUKWILA, WA •98178 ****k•k********** ** h**k*•k**•h'k k* ***•k k ***k k*******•** *** k*• ***k**k•kk kk k•* k•k ** k*** *4* k Additional Permit Description: CONSTRUCT NEW DRIVEWAY FOR PROPOSED NEW RESIDENCE Existing Square Feet: Additional Square Feet: New Square..Feet: Inspection Fee: Plan Check Fee: TOTAL FEES: CURB CUT /ACCESS /SIDEWAi 15.00 10.00 25.00 Issued: 08/12/1997 Approval Letter: 09/09/1996 Expires: 02/08/1998 Acct No: 000/342.400 Acct No: 000/345.830 King County Valuation: Value of Construction: .00 P k***** k• k** •k. * * * ** *•k **k * *kkk'k4k***4* * ** kit * *****A******** **444 kb4**•**k*****k•k4*k* *k I hereby accept this permit and agree to abide all' applicable sections of'the City of Tukwila Municipal Code. We that the City of Tukwila shall held harmless .for all or any claims arising as a result of this project. Permits whi.ch have lapsed beyond the expiration date shall require a re- application and reissuance of the permit through the City at an additional fee. THE APPLICANT MUST NOTIFY THE CITY INSPECTOR OF COMMENCEMENT AND COMPLETION OF WORK AT LEAST 24 HOURS IN ADVANCE. TO SCHEDULE AN INSPECTION CALL 433 -0179. Final Inspection Approved: Issued By: I Date: Authorizes ermit Center Signature• **** k*** k******* k*****:***• k k4**** k************k k **** ** ** ****k ****** ***k**k*k*** I hereby certify that the permit holder whose name and address appears on this record has satisfactorily met the standards and conditions for the project approved herein. Signature: Date: **k k******' k*' k****** k*********************•******** k* **•k********* **•*k* *** *** * * **k* APPROVED FOR S',UANCE BY JJS Inspector Signature Date fz-97 F-19 92 CITY OF TUKWILA Address: 12241 49 AV S Permit No: PW96 -0275 Suite: Tenant: DOLEJSKA CHRIS Type: PW -CCAS Parcel #: 017900 -1490 Status: ISSUED Applied: 09/03/1996 Issued: 08/12/1997 k* k*********• k**' k****' k• k*** k*** k*' k***' k*** **k *'k•kkk * *'kkAk•k *k* k*k'k * *'k *•*k'k Permit Conditions: 1. Work affecting traffic flows shall be closely coordinated with the City Utilities Inspector., Traffic Control Plans shall be submitted to the Inspector for prior approval. 2. Driveways shall comply with City residential standards. Driveway width shall be a 10' minimum and 20' maximum. Slope shall be a maximum of 15 %. Turning radii shall be a minimum of five feet. 3. Driveways .shall be paved for a minimum distance of 20' from the edge of existing road pavement. Permit No: PW96 -0274 Status: ISSUED Project: DOLEJSKA CHIRS Site Address: 12241 49 AV S Location: Parcel #: 017900 -1490 Wetlands: Sewer: SEPTIC Contractor License No.: TENANT DOLEJSKA CHRIS 12241 49TH AVE S, TUKWILA WA 98178 )WNER DOLEJSKA CHRIS 12241 49TH AVE S, TUKWILA WA 98178 :ONTACT CHRIS DOLEJSKA 12241 49 AV S, TUKWILA, WA 98178 * ** •k k k k** •k •k k** k •k k* k k k k**** k •k * k***** •k ** k ' * ** k**** k k yl k* •k k k k k k • k k k k k k k k k k k k* k k* k 1 k k k Additional Permit Description: FLOOD ZONE CONTROL PERMIT FOR NEW RESIDENCE Existing Square Feet: Additional Square Feet: New Square Feet: Inspection Fee: Plan Check Fee: TOTAL FEES: 50.00 King County Valuation: Value of Construction: .00 k* k* k* k* * * * * *•k * *** k** * k* ** k *•k * *k *k*k ** k * ** k k**k*** k *** k * *•k*** kk-k*•***** kk*** I hereby accept this permit and agree to abide all applicable sections of the City of Tukwila Municipal Code. We agree that the City of Tukwila shall be held harmless for all or any claims arising as a result of this project. Permits which have lapsed beyond the expiration date shall require a re- application and,reissuance of the permit through the City at an additional fee. THE APPLICANT MUST NOTIFY THE CITY INSPECTOR OF COMMENCEMENT AND COMPLETION OF WORK AT LEAST 24 HOURS IN ADVANCE. TO SCHEDULE AN INSPECTION CALL 433 - 0179. Issued By: Signature: __ ___ -t-,�- Date: 6 (Z-9.9 kk* ' • kk** kkk*******• k** kk k*• k*** k* kkkk*k k*** k k*** kk•k k* k k• k* k* * ** **k * *kkhk•k *k :k* APPROVED FOR ISSUANCE B : JJS FLOOD ZONE CONTROL Watercourse: Slopes: N Water: TUKWILA 50.00 Acct No: 000/322.400 Acct No: 000/345.830 - sO.W Date g-g - 97 Au d /Permit Center Signature * *•k** * *•k•k* *k* *'k * ** ** *k ***** *** ***'k*** ***h *•k** *• ** 'k ***•k **k* **•k* ******•k * *k•k** I hereby certify that the permit holder whose name and address appears on this record has satisfactorily met the standards and conditions for the project approved herein. Final Inspection Approved: Inspector Signature Date Issued: 08/12/1997 Approval Letter: 09/09/1996 Expires: 02/08/1998 Phone: (206)226 -7545 Phone: (206)226 -7545 Phone: (206)767 -8303 Address: 12241 49 AV S Suite: Tenant: DOLEJSKA CHRIS Type: PW -FZC Parcel #: 017900 -1490 CITY OF TUKWILA Permit No: PW96 -0274 Status: ISSUED Applied: 09/03/1996 Issued: 08/12/1997 k k * *•k* ** *** *•k *•k k k* *•k•k k k•k k* * ** k k ** k ***** * * k•k* ** *•k* k **•k•k* k k* k k * Permit Conditions: 1. LOWEST FINISH FLOOR ELEVATION SHALL BE MINIMUM 1 FOOT ABOVE 100 YR FLOOD ELEVATION. APPLICANT SHALL SUBMIT A SITE PLAN SHOWING LOWEST FINISH ELOOR ELEVATION REFERENCE NGVD 1929 DATUM AND FEMA BENCH MARK TO PUBLIC WORKS FOR REVIEW & APPROVAL. 2 APPLICANT SHALL FOLLOW THE PROCEDURE FOR PROCESSING THE FLOOD ZONE CONTROL PERMIT AND SUBMIT A COMPLETE CERTIFICATE OF SURVEY FORM BY THE SURVEYOR OF. RECORD FOR THE DEVELOPMENT Permit No: PW96 -0199 Status: ISSUED Project: DOLEJSKA SRF SSS Site Address: 12241 49 AV 5 St: 0200 Location: 12241 49 AV S Parcel #: 017900 -1490 Watercourse: Wetlands:' Slopes: N Sewer: SEPTIC Water: TUKWILA Contractor License No.: TENANT DOLEJSKA CHRIS Phone: (206)226 -7545 12241 49TH AVE 5, TUKWILA WA 98178 )WNER DOLEJSKA CHRIS Phone: (206)226 -7545 12241 49TH AVE 5, TUKWILA WA 98178 k• k*' k***k**k*• k**** kk k* kk* hkk**** k• k** kkk k***** k'** kkkkk *k *kkkkkk*kkkk*kkk Additional Permit Description: STORM DRAINAGE FOR NEW RESI.DENCE /SPLASH BLOCKS Existing Square Feet: Additional Square Feet: New Square Feet: Inspection Fee:. Plan Check ,Fee: Issued By: TOTAL FEES: 25.00 STORM DRAINAGE Issued: 08/12/1997 Approval Letter: 09/09/1996 Expires: 02/08/1998 15.00 Acct No: 412/342.400 10.00 Acct No: 000/345.830 King County Valuation: Value of Construction: .00 k*• k*• k**: k*' k****k*.• k****************' k.**'***** k*k** k** k• kkk * *•k *k* *k** *_kk *k***kk *:kk**** I hereby accept this permit and agree to abide all applicable sections of the City of Tukwila Municipal Code: We agree that the City of Tukwila shall be held harmie;ss fora1l or any claims arising as a result of this project. Permits wh.j.ph have lapsed beyond the expiration date shall require a , re-application-and reissuance of the permit through the City at an additional fee. THE APPLICANT MUST NOTIFY THE CITY INSPECTOR.OF COMMENCEMENT AND COMPLETION OF WORK AT LEAST 24 HOURS IN ADVANCE. TO SCHEDULE AN INSPECTION CALL 433 -0179. Final Inspection Approved: Inspector Signature Date "t Date: kkk k k•k* * * * *'k** k * k* APPROVED FOR ISSUANCE BY: JS C LT2 Date: F// k• k*' k*** kkk• k***** k******* k*•*** ***•k *•k *k•k•k * *•k **•k *k* * **k*k Authorized rmit Center Signature * *•* * *k**•kk *k** k*•k k * * * ** *'k* * * * **k * * * **k * * ** k * *•k•kk•k **•kkk•k•k *kk•k**k* k *****k* ** k k I hereby certify 'that the permit holder whose name and address appears on this record has satisfactorily•met the standards and conditions for the project approved herein. r • Address: 12241 49 AV S St: 0200 Suite: Tenant: DOLEJSKA CHRIS Type: PW -SD Parcel #: 017900 -1490 CITY OF TUKWILA Permit No: PW96 -0199 Status: ISSUED Applied: 07/12/1996 Issued: 08/12/1997 ** *•k** ** k* * * ** k * *•k•* ** k ** k * ***** ** k** k*** kit* ** k * * * ** * *** k k b *•k k k* k *•k** Permit Conditions: 1. Temporary erosion control measures shall be implemented as the first order of businesstoprev.ent sedimentation off - site or into existing .storrn drainage_facil ities. 2. It is strongly recornmended'that storm drainage be certified by a licensed engineer; otherwise, the owner assumes liability for the design and any subsequent related damages. • TO: FROM: DATE: SUBJECT: 6 Asii i\ivivu4 DOLEJSKA NEW SFR AND REMOVAL OF EXISTING TRAILER 12241 49th Avenue South Project No.: P96 -0069 Plan Check No.: B96 -0194 Activity No.: PW96 -0199, 0266, 0267, 0274, 0275 Contact Person: Mr. Chris Dolejska Phone: (206) 767 -8303 City of Tukwila Department of Public Works NOTIFICATION OF UTILITY PERMIT ACTION PERMIT CENTER PUBLIC WORKS ENGINEERING SEPTEMBER 9, 1996 THE FOLLOWING PUBLIC WORKS PERMITS HAVE BEEN APPROVED FOR ISSUANCE IN ACCORDANCE WITH THE PLANS APPROVED ON September 9, 1996: PW96 -0199/ Storm Drainage PW96 -0266" Sanitary Side Sewer /Septic Tank Abandonment PW96 - 0267' /Water Meter(reconnect existing service) PW96 -0274✓ Flood Zone Control PW96 -0275 Access Two copies of the confirmed Utility Permit Application with a set of plans are attached for inclusion in the permit file. JJS /mv Attachments a/s C.F.: PW Utilities Inspector (copy of UPA, application and plans) Development File (copy of UPA, application and plans) Total Fees: John W. Rants, Mayor Ross A. Earnst, P. E., Director PERMIT FEE 25.00 20.00 25.00 50.00 25.00 $145.00 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: (206) 433-0179 • Fax (206) 431-3665 xrays:. yenyvt;; snx: w srs; ur..... �,.-. a� .,....d_.� ........... .......... • • C;?(45 q C y0- VOL E - 17 - 5 7 4 ? /2EC$ rO P/ Y F Sew Co nipEc'rroeu , ' E / 4,002av 8J coUNCiL. P12I v t2 To cayNEE 77oN T N6Gt/ 54-N/771 01 69- 01- 5E eN q? - 01 ,WE S St CH a (s POLE,J5 KFl- C6L. 9EPT ? 9' 40 RECEIVED SEP - 61996 TUKWILA PUBLIC WORKS PHONE 4206 -277 -8559 TEL Aug 26'96 12:06 No.003 P.02 • EASEMENT This easement grant is made between WILLIAM LOONEY, as his separate estate, and CHRIS DOLEJSKA, a single man. A. WILLIAM LOONEY is the owner of real property legally described as follows and hereinafter referred to as PARCEL A: LOT 14, BLOCK 7, ALLENTOWN ADDITION TO THE CITY 'OF SEATTLE, ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 12 OF PLATS, PAGE 100, IN KING COUNTY, WASHINGTON. SITUATE IN THE COUNTY OF KING, STATE OF WASHINGTON. B. Chris Dolejska is the owner of real property legally described as follows and hereinafter referred to as PARCEL D: LOTS 30 AND 31, BLOCK 7, ALLENTOWN ADDITION TO THE CITY OF SEATTLE, ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 12 OF PLATS, PAGE 100, IN KING COUNTY, WASHINGTON. SITUATE IN THE COUNTY OF KING, STATE OF WASHINGTON. C. WILLIAM LOONEY hereby grants to CHRIS DOLEJSKA, his heirs and assigns, an easement five (5) feet wide running the length of the northern border of Parcel A, for the express purpose of installing and maintaining a sewer line. Exclusive use of the easement premises is not hereby granted, Grantors expressly reserve unto themselves the right to uec the easement premises for sewer installation and maintenance. D. All provisions of this easement, including the benefits and burdens, run with the land and are binding upon and inured to the heirs, assigns, successors, tenants, Personal Representatives, of the parties hereto. / , y I " ` I S e -,� :z 6-' 1=- � �c..Cc..t,�,�� �- �a'.(/ ..t,r,.�.� ���.� c.t. (�� �S�:.c.r,(.p Se-t v ^ � EASEMENT -1 ..���� ,,��// � � ���� 4(1 d'u- � _ c� tc'2 , •.��f'L, &f d-a,r �� . 44,7 tit f... «�J ���� '�` � o PHONE##206- 277 -8559 TEL :206- 277 -8753 Aug 26'96 12 :06 No.003 P.03 seal this In witneoc whereof, the Grantor hao herein oet hic hand and /22?' of STATE OF WASHINGTON ) ) COUNTY OF KING On thi3 day personally appeared before me WILLIAM LOONEY, known to me to be the individual described in and who executed the in And foregoing instrument, acknowledged that he signed the same as his free and voluntary act and deed, for the uses and purposes therein mentioned. EASEMENT -2 GIVEN under my ph4.4 hand and official seal this ..g.. - day of , 1996. SS. , 1996. ze_daeLe.,.,g00 WILLIAM LOONEY NOTARY PUBLIC in and for the State of Washington, residing at: My commission expires: v.. • r . ,..0 P.H0b1U206- 277 -8559 TEL = M E T K O S C A N P R O P E R T Y PROFILE _ King County ii ** * * * * * ** * *,t,4**** *** * * * *** * *dr****** *,Yrvt ******* * * ** ** * * *** * *** * *** *** * **** **** ,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Recording Date:0] /18/95 Auditors Pee #:934 Sale Price :$1,800 FULL Deed Type :TAX DEED % Owned :100 Land :$10,000 Structure : Total :$10,000 Levy Cocle :2413 Sub /Plat :ALLENTOWN ADD Building Name =et == = = = = = ==rte = = a=cemmeaa =aa »OWNERSHIP INFORMATION «< cccaas=m aa=xs= tc=c=== = == = =a= Parcel Number :017900 1410 07 Building Id # Parcel Type :PLATTED Owner /Taxpayer. :LOONEY WILLIAM A CoOwner Site Address : *NO SITE ADDRESS* TUKWILA Mail Address :PO BOX 66098 SEATTLE WA 98366 Telephone :Owner Tenant GC CC Aug 26'96 »SALES AND LOAN INFORMATION «< arcs ===MM =sac== == = = = ===MU= = ===== Q:SE S:10 T:23N R:04E Loan Amount : Lender Loan Type • Interest Rate: » >ASSESSMENT AND TAX INFORMATION «< » >PROPF.RTY DFSCRIPTTON «< = =o== == : =n.occ =c=cQ= = =da =Q 12:07 No .003 P.04 Vesting Type :SOLE AND SEPAR Improved : 1996 Taxes :$151.28 Exempt Code : Excise Tax 4:1412778 Census :Tract Block Map Grid :625 F7 Neighborhood Cd:024002 Zoning Code :SR Land Use :901 VACANT,RESJDJNTTAL,LESS THAN 1 ACRE Legal :DLK 7 LOT 14 ALLENTOWN ADD Volume:12 Page:100 * * Profile-Page 1 of 2 *****************************************•******** * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** The Information Provided Is Deemed Reliable, But Is Not Guaranteed. .PLAN I TE 3CALE:1"-101 1 t 26' GRAVEL DRIVEWAY EXISTING GARAGE 24' APRON r 23' OU EXIST. TRAILER AND CONC. SLA B TO BE REMOVED g v35' LOWEST FLOOR_ELEV.=_101 PROPOSED HOME --( -u.B.C,AIPPROVED 1 ---- 28' *12' W RECEIVED ITY OF TUKWILA w METER SERVICE l SSS •••••■■•10 38' 1 M:7 3d-‹ UL 22 1996 PE MIT CENTER 191 El 110 1 EL :99 _ p — - ADD/7IolvkL _Wt2 I TTEN _INFtewIPJno, pi-Nti.. CHECK - $ .. 5qC, -- a l . GNRIS. DOLE J5Kv _ 122 . '+R.Ttt, 14VE. S., __TUKW I L IA . _Utli4 , . - CONSTRU CTIoN WILL, CDAIFORni TO ..ALL GITY OF TUKWILA MUNICIPAL CODES. -• -- RECEIVED------ -- CITY OF TUKWILA JUL 2 2 1996 PERMIT CENTER • UTILITY PERMIT APPLICATION NAG-01VA, O27 a27 Site Address: 122 1 qc) Th, AVE) 5; UvW1L W, en' 20 Rtvi of Project: e Rt2( 5 Do LESS Kn k,k1 4-1• Zr7I -3131 Property Owner': H!' 1) OLEISKV1 Street Address: 122. Li 77-I • 7 Engineer: ft-lit4E • •• Street Address: • Contractor: .-14 • • Street Address:» (7 e' • Cty Assessor Acct #:(3/ s / 900 1 Contractors License 1'53. City. of 7 :ila Central Permit System - Engineering Division • 6300 Southcenter Blvd., Suite #100, Tukwila, WA 98188 Phone: (206) 433•0179 Channelization/Striping/Signing Curb Cut/Access/Sidewalk Fire Loop/Hydr. (main to vault) - No.: Sizes: •Flood Zone Control • Hauling - Land Atterin cubic yards Landscape Irrigation* REcoorJ,'Ec r EAL Moving an Oversized Load Est. start/end times': • Date: • • • . ' Sanitary Side Sewer - No.: Viv4TE9AngT b tpo 41EFUNb/BILCI 0 NT. SERVICE BLLINGS To Street Address: • • ';'.; • Name: e R 5' • PO LETS09 Street Address: 12-2 t 4 4 9 TH Name:. • Sewer D Metro IlY 0 Hotel 0 Duplex Apa rt ments Standby VEdd 0 • • • 11K Single-Family Residential LJ . • No.**Of Units: • • . El Motel • 0 Triplex 1 Condominiums 1 HEREBY CERTIFY THAT 1 HAVE HEAD THIS ' ''''''''' AND I( Applicant/Authorized Print Name: CIA S '7- 3 - Phone: r7C9 `? 3 03 :!pate Application AcCepted: 7.... 3_ • JUL dle Expires: PERMIT CENT c'.)LE_T K Address: gqCo-of”i Phone No.: . Z6(0: : VT- 8303 TUi(wi Clt /Statealp: 1A10 q g I • Phone No.: City/State/Zip: • • Phone No.: • i• • City/State/Zip: I ` I Exp. Date: 0 Private O Sewer Main Extension ps Storm Drainage O Street Use O Water Main Extension • .0Private O Water Meter/ Exempt:- No.: Deduct 0• Water Only 0 X Water Meter / Permanent- No • O Water Meter / Temporary: - No.: Estimated quantity: Schedule: •0.0(her: Contact Person prAtname): S Pt l1E 0 Public 0 Public Sizes* Sizes___ Sizes'_ Phone No.: • 7 (07 - .?`303 " City/State/Zip: TUKIM Ln tot, 98'198 • Phone No.: ' City/State/Zip: '•,0Commercial/Industrial : • 0 • 0 Warehouse 1 0 Church • 0 School/College/University . . '0 Hospital • • 0 Other: • • Square footage of original building.space: ' • 1 . •'.' •':.;,.........i..!...11..-, ''..;:,!..:'-'.'••: .....: • • • • 0 Retail • 0 Manufacturing ?:i:::•1 IX New Building • 0 Remodel/ • 1 go a...i■k gm Square Addition i:ii:i::::::::::•-i Footage; t 0 . 64 S4,Fr, Square footage of additional building space: 1,„„,„ 00 King COunty Assessors valuation of existing structures: $ 7 q o ow. Valuation , :/ of work to be done: • u 1 --1= -- • Other: R EIVED Phone: • / q7 Water System Proportionate Fair Share Agreement The proposed development at: (address) 2- 2 ( X 4 - 9 t'A 14VC . S, TvKwf Ll1 kin 9877S (parcel no.) ©n9 0 — (� adds to the cumulative need for the accommodation for domestic and fire flow water service. The result of continuing development will be the need to undertake water system improvements that will provide for adequate service. The proposed development property is obligated to participate in funding future system improvements, and the owner waives the right to protest water L.I.D. or U.L.I D. formation. The owner will pay a proportionate fair share to fund system improvements prior to connecting to a newly constructed system if other than L.I.D. or U.L.I.D. funding sources are utilized. This agreement shall be binding upon the parties, their respective heirs, legal representatives, assignees, transferees and successors, and runs with the land. This agreement shall be recorded by the City Clerk with the King County Auditor as required by RCW Chapter 35.91, and the cost of said recording will be paid by the City. So that the Owner can remove encumbrances from the property caused by this requirement, the Owner can pay the City the Owner's pro -rata share for projected costs. These costs will be made available to the owner upon written request to the Public Works Director. Owner (signature) CJ_J- Owner (print name) CI-1(0S Street Address D d L ETS is it 12-2 IVE, S , Date 2 (9 c Phone . City /State /Zip Code X96- 0194 f'W %-O 20 303 T <UJ(L►4 wI1, ci Rr s For Parcel No. Owner: STATE OF WASHI� t TON COUNTY OF City of Tukwila Water System Proportionate Fair Share Agreement Page 2 j On this day personally appeared before me C �i S 1 L S kA 'me known to be the individual(s) described in and who executed the within and foregoing instrument, and acknowledged that he /she /they signed the same as his/her /their free and voluntary act and deed, for the uses and purposes therein mentioned. Given undgr, my hand and official seal th l y 2 day of Notary Public to Public Works Director L Da for the State of Washington residing at: , to CITY OF TUKWILA Department of Community Development Building Division - Permit Center 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 TY A-Ac G►T (vCt • REVISION SUBMITTAL DATE: t � - PROJECT NAME: CH R'S DD LEIS KI PROJECT ADDRESS: 2 2 U ) ( L I 477-( AVV / S SECTION A A � // PLAN CHECK/PERMIT NUMBER: 13(1- 01 94 TUKWiL Ft- 17 CONTACT PERSON: S ftimE PHONE: 7ef ' £s'3O3 FLOOR pt- N REVISION SUMMARY: MOVE X•TE1210R DOOR 0 SOU7N S IDE TO OTHEQ 5 (DE CF k ITCHEiU tviovE ile02D0 Y Rr I SE r=OUnloil -TIDIO '7" J- RPCKFl1L SHEET NUMBER(S) LOD' SfC77 1) p/1 "Cloud" or highlight all areas of revisions and date revisions. RECEIVED CITY OF TUKWILA JUL 1 8 1996 PERMIT CENTER SUBMITTED TO: - I co DR CL .6' LINEN 30" 8 / 8 " BATH W/50 C.F.M FAN EiR ' WATER YER HEATER 1 0'' SET/ PANTRY • ....FLOOR PLAN - CHANGE 49"(1-1 AVE. S. SCALE 3/2." = B64-- 0194 5' 30" 5' STOVE W/100 C,EM FAN SINK ATTIC ACCESS 22"x30' CLOSET KITHEN MOVE DOOR PROPANE HEATER CLOSET FRIDGE 8 RECEIVED CITY OF TUKWILA -- - JUL 1 8 igg6 PERMIT CENTER • SECTION AA- CHANGE SCALE 1" = 1' 12241 48T1-1 AVE S, - 1364-0194 . FINISH GRADE EXISTING GRADE RECEIVED CITY OF TUKWILA JUL 1 8 1996 PERMIT CENTER CITY OF TUKWILA Department of Community Development Building Division - Permit Center 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 RECEIVED CITY OF TUKWILA JUL 2 2 1996 PERMIT CENTER 11)0t24 " pu4- i r'tc REVISION SUBMITTAL DATE: 77— ZZ 9 4 PLAN CHECK/PERMIT NUMBER: PROJECT NAME: CHre(5 ISO L- ELT S' (I1 PROJECT ADDRESS: 7-2 q I W 9 411 ill . S CONTACT PERSON: S'IiL4 E REVISION SUMMARY: lv1OVE .BU1LD/AG 5' 077 Y to " To GO NI=O2Go To SET811 CK /Ci1►/E /2Eavir twEAli O F (TT}' CODE r• 1‘16E 511AHTl4PY SEWER (' / 2 (T Exl TS HOUSE FlzpWi L TO 90 T L)O2 ADO A-NO THER RTTI c OcCESS <2 TUTFU) 6EC Ii USE OF ell LILTED C CI C./,✓ G /N CE/-/7 , C')E f-thWE SHEET NUMBER(S) 5 (T E P4Ii IU F PL13-N "Cloud" or highlight all areas of revisions and date revisions. SUBMITTED TO: CITY USE ONLY PHONE: 767- f?343 B9 (0-0/9z/ 3/1 9/96 dAA kT' I fu Ld'k SITE PLAN SCRLE:NO' c R. 26' GRAVEL DRIVEWAY t EXISTING GARAGE 24' R_ 23' EXIST. TRAILER AND CONC. SLA B TO BE REMOVED 8'w 35' CONIC. APRON r - LOWEST FLOOR ELEW:10 I w 38' METER SERVICE AVES. 4"Qi SSS W PERMIT CENTER W PPE _12244_ E 1 PROPOSED HOME -u. }RC, Ai)PROVED 28'-->--, RECEIVED CITY OF TUKWILA 22i9 UL 1 100 > bDITioN�� INt I TTEN INFoRivinTioN PMN CHECK 5.36- a i ci q .,GH12IS. Do . I. zz .1...'+R T - Ii-VE, S, . _ ..'7 (Ri-8303 _ ...._ - coNSTQU CTIo0 w►LL, . conFDRtv1 To . itLL cITy of TuKvilL19 (MUNICIPAL cooEs, RECEWED -=- CITY OF TUKWILA JUL 2 21999 h`1 PERMIT CENTER. CITY OF TUKWILA Department of Community Development Building Division - Permit Center 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 REVISION SUBMITTAL DATE: 7 - 119 96 PLAN CHECK/PERMIT NUMBER: PROJECT NAME: C HP(S )OLE PROJECT ADDRESS: 9 ffi . 14 t , S CONTACT PERSON: 5 ff -a'1 e REVISION SUMMARY: C H I' GE LO Cr9 TION 0 AJEf /2 ES T I= I ( Y Dian tUT o 12I0 fu !IL 1-14' Di7 NIT H 1 Iv VOTE (J2ESSU12E / VOL U Pik) SHEET NUMBER(S) S 1 T "Cloud" or highlight all areas of revisions and date revisions. SUBMITTED TO: Bldg:; &L4- sev L d Planning /CIA Fire /i14 PHONE: f ��� � 7 _ 03 RECEIVED CITY OF TUKWILA J U L 1 6 1996 PERMIT CENTER ICecorol -ec/ Public :Works . Pw 3/19/96 SITE PLAN iL: 9" SCA LE: No' R. NEAREST FIRE HYDRANT 2.10' - 5' EL-. .99.5' 26' G RAVE L DRIVEWAY 10' EXISTING GARAGE 24' CONC. APRON E ROO Fj LINE OL) EXIST. TRAILER AND CONC, SLAB To BE REMOVED 8'x35' LOWEST FLOOR ELEV,= I01' PROPOSED NOME U.B.C, A PPROVED alaND SSS 38' G. 0. 45° c .o, —c 28' _ „?' -- 23' -� 19 R CEIVED E I CITY F TUKWILA W JUL 1 6 1996 3 A"COPPER 4 PE IT CENTER METER ►!1 SRV! CE . A Q4L, X11ITZ' EL -94 R. 100' Atir.Rrawwu.+.w.Y .... July 18, 1996 Chris Dolejska 12241 49 Avenue South Tukwila, WA 98178 RE: Building Permit B96 -0194 Dear Mr. Dolejska, We are currently reviewing your building permit for a single family house located at 12241 49 Avenue South in Tukwila. Upon review we have identified additional information that needs to be submitted before we can approve the permit. The five foot side yard setback can include only 18 inches of the roof overhang. Your drawings show the overhang at 2 feet. The house must be relocated or the overhang shortened to meet the setback requirement. Once we receive this information,, we will continue review of your application. If you have any additional questions or eoi»ments, please call me at 433 -7141. Sincerely, Nora Gierloff Assistant Planner City of Tukwila John W. Rants, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 4313665 City of Tukwila Fire Department Thomas P. Keefe, Fire Chief Fire Department Review Control #B96 -0194 (512) Re: Dolejska, Chris - 12241 49th Avenue South Dear Sir: July 16, 1996 The attached set of building plans have been reviewed by The Fire Prevention Bureau and are acceptable with the following concerns: 1. An approved automatic fire sprinkler extinguishing system is required for this project. (City Ordinance #1742) All sprinkler system plans, calculations and the contractors Materials and Test Certificates submitted to The Tukwila Fire Prevention Bureau must be stamped with the appropriate level of competency seal. (WAC 212 -80) All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department review and approval of drawings prior to installation or modification. New sprinkler systems and all modifications to sprinkler systems involving more than 50 heads shall have the written approval of the W.S.R.B., Factory Mutual, Industrial Risk Insurers, Kemper or any other representative designated and /or recognized by The City of Tukwila, prior to submittal to the Tukwila Fire Prevention Bureau. No sprinkler work shall commence without approved drawings. (City Ordinance #1742) Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (UFC 10.503) (City Ordinance #1742) 2. Your street address must be conspicuously posted on John W. Rants, Mayor Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone: (206) 575 - 4404 • Fax (206) 5754439 Page number 2 City of Tukwila Fire Department Thomas P. Keefe, Ftre Chief the building and shall be plainly visible and legible from the street. Numbers shall contrast with their background. (UFC 901.4.4) Every building shall be accessible to Fire Department apparatus by way of access roadways with all- weather driving surface of not less than 20' wide and 13'6" vertical clearance. Access roads in excess of 150' shall be provided with an approved turn- around area. Access shall be within 150' of all portions of the buildings. (UFC 902.2.2.1, UFC 902.2.1) Any overlooked hazardous condition and /or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. Yours truly, The Tukwila Fire Prevention Bureau cc: TFD file ncd John W. Rants, Mayor Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone (206) 575.4404 • Fax (206) 575.4439 • I • i11 Wi t\ 1• u . . v • 'f;'•• L . 1 Ot .a • y.•.. . r o `• o. 1 1 0 -. ir N s es Y1 x .s 4 - .O st kk � JJ 124T H• 11 ' ossI •O ., x 1 - JO a ss • ••■ sT. ST. 12 5Th s ,„.. c • .f .' 4 tiP K 11� •e 17 xim (1 . I .1. (iv 1111111101/11111441113111111 181111 \ I I • itk w 5 5 ,. sr • • • • 0% • 1 06: 3' t so r ' 0 • • .. • of 1 1 • / L.. L . i ! LL I .i! r?, 1~1 '! :'t I`.�I F A 0:i. W f-, A R i.> t: f •J a, ♦`\ `♦ t:: I'♦% i })1 &. N • N r), 1 1 '-- --- --- `-- ----- - - - -__ _ ♦ ''° • ,. E' J9 il "Lllittlf. .M >ir DESCRIPTION 2/ ' A n A LLENTOIYNOD /T /ON 7O G /TYOrSF�T _, //ti /o%rurasq /roc /a. /.F-z# A' .rr %:- nw..qq n/ /ix .4'»'rw..rr of & no -# 1. c/a/•v/.'s olio/ /u,:5lxr /ur / rb /1 v ///x.xe ?4'E. 1772. /E c v'Qq d/e N /,ix o /,hod BanlxJ/ c/ahnS a C.( 16 en we/.fcc / %n resin 1,e Cenkr Loge o Ate 2y/a/ , i /he No hetn fiv1, ond //x Cab/nho O, ' P Foilor•yy?, //iex.. %4,.47 olony ,/ti on d o : :1u 4' ' /hiek yh /4',.sa' a / air. h 'Ix ?: thux •. l r '4'E. 0 on u '-'.xo hon rn#? !!C c5 /.vr, a ,37•'1 L.c4ahno Coon No 47., //xrxc N8? 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H •/gihaldsan S/ok d 13ro3h..7 an 15S Cozen /y a/ 11,17 This •3 //o eer/r /y //2/ on /h,3 71-h dog a/ MOrrh A /906 b�fite nx o /Sabi• ah ono",/b/ /he .5bk a/1?6shgr>9hnn, ,ccrsono /J/ appear• co' cMseph A /kn ond F /.pro 4'/c, weir di-Ale AI • , %n, !o me /11/70/W7 %o 1 t- paw Sa ns o ,n c e, Who cxea�/cd /1'4 N//h /n ,n,iliumcn' and each ere/ • sya?ro %/ crflrwsirkdg i ed /o nx /ha/ Ihgy P d of/ seo•ed //k saran of ollea ond rc✓unlOiy c/ /o.• ti,$. ord purposes obn,'e rrx;n /waned. .�aa�vy ,v.� or s - �.E w pt +a • n .26 �� .. 4,,, • r + Z r � 2. 3('Kv! r1:0 Any riATTEO �QY CNWQ/WN Lo-z 4 awe unt. zsd/NLL,R, JEwrnE /w(+wf MARCH /306 .3041z /AWN / IVO N7' r r V y s �. I I. J • . I ",. r r' 0 sr • RECEIVED • CITY OF TUKINILA• , JUL • 0 3 1996 PERMIT CENTER F,ornirxo' and opprcnrd 11126 .9 Ghy of 410r41/i10 /.7bb. \�i\ .4! L. Ha/en /ix \\\\ Coun'fr gloreyo'. • �J Cxo.il'Eyc+ii Exorr hed, and approved by 11V Boon/ n/ Cows /y . Ccmm/ss/oneis //,s 9 day efcli. AD. /940. P C/ c 5rn)h legal description I thAVE.S DLEA!t.: OUT T 6" WYE / — 6' COVER — — EASE''1E' IT - p' .L — INSo_0TrOr' TEE S6. E : 1'1.= 6' 122Z-1 A 9 TH. AVE. S. 516-0194 JUNCTION a" PLUG SEWER PIPE 641PV- C_SCD.40 6.6xG WYE CLEAN OUT G" PLUG LOT:14 BLOCK:7 100' 140'@ 31/2% 73' EASEMENT 30' 60' EL: 99' 8 EL: 99.5' SEWER PIPE 4 "PVC.SCD.4o 6 "x "x4 " JUNCTION 4" PLUG 24' EXISTING GARAGE 26' 1 2.5' teEAN 4' PLUG; 100' 28' TIPS 38' E PROPOSED HOME LOWEST FLOOR ELEV. - 101'3" EXIST. TRAILER 85x55' TO BE REMOVED W/ CONCRETE SLAB FILE COPY 1 under =a the Plan Check sub,;e, to errors and omissions and s -;J of Plans does not eutha(as y!f oblation of any adopted code or 4t of contractor's copy of approved piMB, By Date Permit No. EXIST. SEPTIC TO BE FILLED LID DEMOL(SHEG 12241 2'1 -.-4 REVISIONS THE SC OF WORK WITHOUT R OR APPROVAL OF TUKWILA BUILDING , ^.._. - -- 5' 23' 2' — ROOF LINE F � — LOT': 20-31 BLOCK :7 62' f 10' These plans have been reviewed by the Public Works Department for conformance with current City stand' .rds. Acceptance is subject to errors and which do not authorize violauo S of adopted standards or ordinances. The r=_secra:'oility for the adequacy of the design rests totally with the designer. Additions, deletions or r"visions to these drawings after this date will void this acceptance and will require a resubmittal of revised drawings for subsequent approval. ELEC. UTIL. POLE 19' GRAVEL - DRIVEWAY SEPARATE PERMIT REQUIRED FOR: I / MECHANICAL JL ,.., / ELECTRICAL C7 PLUMBING E1' GAS PIPING CITY OF TUKWILA BUILDING DIVISION EL: 99' E COPPER PIPING W 3 /4 "METER AND SERVICE • 2ST��I z 0 EL- 99.5' CITY OF TUGVUl Final nce is subject to field inspection by APPROVED the Pa. t,orks utilities inspector. Date y fy SEP 0 9 1996 / AS NOTED G'�t: ; �IVfBfi lA c� fE - � /CM BUFL RECENEC CITY OFTUKWILH JUL 2 21996 PERMIT CENTER R_ 49th AV_ 1 I` ' Y 2 "x6 ": MUDSILL MUDSILL T PRESS. TREAT. - TIE DOWN BOLTS I _ _ 1 I . I 4'x 8 O.S.B.- T.d DECKING I z I I I _ , � _7 X I CRAWL SPACE ACCESS 2 "x70 "x28' B.C.I. 2'HEIGHT FLOOR JOISTS 3' 111 W/ 2 SQ. FT. VENT 16" O.C > AB < 30" 1 I CONCRETE GIRDER SUPPORT FOOTING .24 x 6" "NEIGHl SECTION "x I I 1 II • 4 4" GIRDER SUPPORT POSTS -- , ® �� 1 1 I i . 1 i z r "X6" ^411N in ' 4 GIRDER' - I � . CONCRETE STEM WALL 6 "1/V x 24-"H 14' -' 1 CONCRETE FOOTING 12 "W x 6 "H CRAWL SPACE ..VENTS 16 "W x 8'H 17 COUNT FOUNDATION PLAN SCALE h /2 '= I' 12241 49TH. AVE. S. 1064 SQ. FT. 13'16-0191 SECTIO A C 3/4" CDg_ RIM JOIST SECTION AA 28' WA _1 E.H SUPPLY PIPE RECENEO Cltt OF TUKWILA PERMIT CENTER CITY OF TUK ILA APPROVED SEP G 9 1B96 AS 1i131LO BUILDING DIVR CI FLOOR. " L. " _ 12z�! 9.T H � LINEN 13'2" I 6'10" MASTER BEDROOM ' - 2 "'k2 " FRAMING SMOKE DET. 30" 2 "x4 "FRANMIN3 SINK 28 "! MT E" LIVING ROOM PROPANE HEATER 13'8" 13 6" SMOKE DET. DINING 13' 6" SMOKE D 10'2" LINEN 8'4" CLOCET 10'2" CITY OF TUKWILA APPROVED SEP 0 9 1996 AS NOTED BUILDNG L- !'°?ON RECEIVED CITV OF TUKWILA � PERMIT CENTER ROOF PiLAN SC.: Y2 1/ = 122Z-1 dTTN. 1064 SO. FT. 36" DOOR OPTIONAL SKYLIGHTS 22 "x48" ROOFING MATERIAL 30 YR. COMPOSITION SHINGLE 3 TAB` 5'X4' 2 FASCIA 32' 28' _ 2'} 42' 2' -38' 1.'x3' RIDGE PEAK 36" DOOR HEADERS 5'X 4' MANUFACTURED 2 "X4" -W TYPE ROOF TRUSS NO.2 OR BETTER Novi -FIR 2 " x 6 " VERGE RAFTER GABLE END TRUSS 4'x 7 /is" O.S.B. SHEATHING RECEIED CITY Of TU V KWILA JUL 1996 PERMIT CENTER CITY OF TUKWILA APPROVED SEP 0 9 1996 AS NOTED BUILDING [ ' O N SCALE 3 /8 = 1 12241 49TH AVE:S.: ELEVATIONS 13q& oic4 ;I r 11 EAST SIDE SOUTH SIDE 7 "x9" ROOF VENTS 8 COUNT NORTH SIDE Irrlll� i r ROOFING- 30 YR. COMPOSITION SHINGLE-'3TAB WEST SIDE FLOOR LINE COMPOS ITION SIDING 4'x S 7 /is'� i zon GROUNDLINE EXISTING AND PROPOSED RECEIVED CIN OF TUKWI JUL -.3 "S9F, PERMIT CENTER CITY Of TUKWILA APPROVED SEP 0 9 1996 AS NUIED MOLD I,G DiVP51 1 4'x 8'x 7 /t8 " O.S.B. ROOF SHEATHING COMPOSITION SHINGLES ROOFING FELT FRIEZE BLOCK W/ VENT - SCREEN 1`x4" TRIM BOARD TYVEC ?Gex$_x_a COMPOSITE SIDING RIM JOIST 3 /4"GDX PLYWOOD PRES. _TREAT. 2 XG" MUDSILL L f 5 -SACK CONCRETE PERIMETER WALL 9 " -I1 FOUNDATION' GROUNDLINE SECTIONS SCALE 11/2" = 1' 12241 49TH. AVE. S. S' PRE -FAB W-TYPE ROOF TRUSS 4-1K112 PITCH NO.2 * BETTER HEM -FIR 0.4" INSULATION R: -35 GYPSUM WALLBOARD 5 /$" TRUSS TIE DOWN WINDOW HEADER W/INSULATION WINDOW- LOW /E c ARGON FILLED VINYL W /SCREENS INSULATION R - 21 GYPSUM WALLBOARD 1 /2 " PARTICAL BOARD / -r4 r 0.S. B. DECKING /a "'x8 "ANCHOR BOLT NO. 4 REBAR 6MIL. VAPOR BARRIER' INSULATION R -30 FIBERGLASS' W /VAPOR BARRIER -FLOOR JOIST 2 "x 10" x 28' B.C.I. C RAW LSPACE METAL TIE BRACKET ROOFING SHINGLE 25 V2" C }412" ` 1 1 WSECT,ON AA SECTION AB 24" 4"X6" GI RDER 4"x,4" GIRDER SUPPORT POST CONCRETE FOOTING 2 "x 6" FASCIA 2"X6" VERGE RAFTER 24" MUDSILL GROUNDUNE FOUNDATION SILL ANCHOR BOLT 24" 2 ".B" FRAMING N O.21- BETTER HEM -FIR 2' VERTICLE REBAR 4' 0.C. OR LESS 4 ROOF TRUSS 4 "x 6 "GIRDER 4 GIRDER SUPPORT, INSULATION SECTION AC FRIEZE BLOCK t GRAY/ L_C` VENT 2"H xia "fit/ NO. 4 REBAR flECEiVED CITY OF TUKWIIA 91; PERMIT CENTER. CITY OF TOKWIIA APPROVED SEP 0 9 1996 AS NOTED BUILDING DIVMION