HomeMy WebLinkAboutPermit D04-408 - CRESCENT HOMES - LOT 5CRESCENT HOMES
LOT 5
13512 43 AV S
D04 -408
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Parcel No.: 2613200155
Address: 13512 43 AV S TUKW
Suite No:
City oi Tukwila
Tenant:
Name: CRESCENT HOMES - LOT 5
Address: 13512 43 AV 5, TUKWILA WA
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
DEVELOPMENT PERMIT
Owner:
Name: SARA DEVELOPMENT INC Phone:
Address: PO BOX 5544, KENT WA
Permit Number: D04-408
Issue Date: 12/08/2004
Permit Expires On: 06/06/ 2005
Contact Person:
Name: TED CHESLEDON Phone: 206 778 -7920
Address: 425 PONTIUS AV, #125, SEATTLE WA
Contractor:
Name: BAY DEVELOPMENT CORPORATION Phone: 253 569 -7579
Address: 425 PONTIUS AV N, #125, SEATTLE WA
Contractor License No: BAYDEC *022MB Expiration Date:07 /02/2006
DESCRIPTION OF WORK:
ADDING NEW 10 X 20 SF DECK TO NEW SINGLE FAMILY RESIDENCE
Value of Construction: $3,775.20 Fees Collected: $203.19
Type of Fire Protection: N/A International Building Code Edition: 2003
Type of Construction: VB Occupancy per IBC: 26
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant: N Number: 0 Size (Inches): 0
Flood Control Zone: N
Hauling: N Start Time: End Time:
Land Altering: N Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation: N
Moving Oversize Load: N Start Time: End Time:
Sanitary Side Sewer: N
Sewer Main Extension: N Private:
Storm Drainage: N
Street Use: N Profit: N
Water Main Extension: N Private:
N
Water Meter:
doc: IBC- Permit
D04 -408
Public:
Non - Profit: N
Public:
Steven M. Mullet, Mayor
Steve Lancaster, Director
Printed: 12 -08 -2004
Print Name:
doc: IBC - Permit
fowN
City cot Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206- 431 -3665
Web site: ci.tukwila.wa.us
Permit Center Authorized Signature:
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 construy or the performance of work. I am authorized to sign and obtain this development per
Signature: Date:
in L r e5 L
D04 -408
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: D04 -408
Issue Date: 12/08/2004
Permit Expires On: 06/06/2005
Date: /''V
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.
Printed: 12 -08 -2004
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doe: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2613200155
Address: 13512 43 AV S TUKW
Suite No:
Tenant: CRESCENT HOMES - LOT 5
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
* *continued on next page **
D04 -408
Permit Number: D04 -408
Status: ISSUED
Applied Date: 11/12/2004
Issue Date: 12/08/2004
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building
inspector. No exception.
5: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
Printed: 12 -08 -2004
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doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
I hereby certify that I have read these conditions and will comply with them
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
regulating construction or the performance of work.
Print Name: Trb he) LL
D04 -408
as outlined. All provisions
cancel the provision of any
Signature: Date: / 2 14P 4 /
of law and ordinances
other work or local laws
Printed: 12 -08 -2004
'SITE :LOCATION
Site Address:
Tenant Name: Gtt.. C.w, •T t1 0:n a.
Property Owners Name:
Mailing Address: Z A •j t S
Name. - TZ/)
Mailing Address: L.I Z S 't1 -�•v Ti S
E -Mail Address:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
1-.;744- S
CITY OF TUKWIL4
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
135 'Z Li 3 V1JE C,A•rt -
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E -Mail Address:
*permits pluslicc changes *permit application (7 -2004)
D
Cit
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
Page I
Building Permit i,o. .1/O
4- O.V
Mechanical Permit No.
Public Works Permit No.
Project No.
(For office use only)
King Co Assessor's Tax No.: 0 ^ 0/55
Suite Number: Floor:
New Tenant: ❑ .... Yes ❑ ..No
Zip
t.)4-
State
CONTACT PERSON
Day Telephone(2- -'
S•c LAM-- i
Cit c State Zip
Fax Number(j.U( 3 2 3- -(:'•7 G Z
GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page)
State
State
Zip
Company Name: -/ 13 :9-.1 DJ-Li •
Mailing Address:
Cit State Zip
Day Telephone:
Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Zip
Cit
Day Telephone:
Fax Number:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Cit
Day Telephone:
Fax Number:
75eR3aMfP? ?91; I �} 3P1CviA +IY^M+::t YdM Mr7iArW +t klh !,n •
Valuation of Project (contractor's bid pr' $ /2v Existing Fogitfling Valuation: $
Scope of Work (please provide detailed information):
?v IZ ,�tL
Will there be new rack storage? ❑ ..Yes ❑.. No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single- family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact:
%permits plus%icc changes %permit application (7.2004)
Page 2
Handicap:
Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0.. Sprinklers ❑_Automatic Fire Alarm ❑..None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes ❑ .. No
If "yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets.
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
I" Floor
2" Floor
3 Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
' A) p
Valuation of Project (contractor's bid pr' $ /2v Existing Fogitfling Valuation: $
Scope of Work (please provide detailed information):
?v IZ ,�tL
Will there be new rack storage? ❑ ..Yes ❑.. No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single- family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact:
%permits plus%icc changes %permit application (7.2004)
Page 2
Handicap:
Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0.. Sprinklers ❑_Automatic Fire Alarm ❑..None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes ❑ .. No
If "yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets.
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Furnace>100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15 -30 HP/I,000,000 BTU
Suspended /Wall/Floor
Mounted Heater
Ventilation System
Wood /Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Water Heater
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
Other Mechanical
Equipment
MECHANICAL PERMIT INFOR1viATION — 206- 431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential: New .... ❑ Replacement
Commercial: New .... ❑ Replacement
BUILDING OWN R AUTHORIZED AGENT:
Signature: "
Print Name: TC i) 7' /-tt±3 L ( X
Mailing Address: 117 S f N /v S
\permits plus \icc changes \permit application (7.2004)
Fuel Type: Electric ❑ Gas ....0 Other:
Indicate type of mechanical work being installed and the quantity below:
PERMIT APPLICATION NOTES — Applicable to all permits in this application
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as
defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Date Application Accepted:
I,' -( Z - (T C
I Date Application Expires:
r2 "O
Staff lnitia s
i
Page 4
Date: %/ // v L I
Day Telephone: (7,0e 7 7 :? —7 j 4 �-- 1.4) e oe;
City State Zip
TRANSACTION LIST:
Type
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Payee: BAY DEVELOPMENT CORPORATION
Payment Check 8852
BUILDING - NONRES
PLAN CHECK - NONRES
STATE BUILDING SURCHARGE
000/322.100
000/345.830
000/386.904
RECEIPT
Parcel No.: 2613200155 Permit Number: D04 -408
Address: 13512 43 AV S TUKW Status: PENDING
Suite No: -- Applied Date: 11/12/2004
Applicant: CRESCENT HOMES - LOT/.5 Issue Date:
Receipt No.: R04 -01520 Payment Amount: 203.19
Initials: SKS Payment Date: 11/12/2004 03:08 PM
User ID: 1165 Balance: $0.00
Method Description Amount
203.19
Account Code Current Pmts
120.42
78.27
4.50
Total: 203.19
Printed: 11 -12 -2004
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
D9 1,0
PERM 1O.
(206)4'31-3670
VI Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
".ko i yvt i -- t C W\p \'(''k
Inspectors X j r.ir
Date: )./ o
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
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Type of InspeEtipn:
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Date Called:
- 1 7
S pecial Instructions:
Date Wanted: / rn.
rg
P.m.
Requester: .
Phone
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
D9 1,0
PERM 1O.
(206)4'31-3670
VI Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
".ko i yvt i -- t C W\p \'(''k
Inspectors X j r.ir
Date: )./ o
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
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Type of I spection: t '-'
ddress: � 69
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Date Called:
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Special Instructions:
......-7-
Date Wanted. an
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Requester: ,� )� , /�
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Phone No:
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INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PE
(206431 -3670
Approved per applicable codes. O Corrections required prior to approval.
COMMENTS:
Inspector: ) b_ < n ( (J
Date:
a $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
SS
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Type of Inspection:
Address:
Date Called. 1 /7 4/05
Special Instructions:
p
Date Wanted:
L( / 5/a5
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Requester:
>uo-C
Phone No:
- e) (42 -a 7/ - /(/
3
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERM!
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 t 6)43 -3670
Approved per applicable codes.
In Corrections required prior to approval.
COMMENTS:
ti•� Com t-e4 - rnow ohc c c ire„
Se el 0.0oet 4\ 22
Inspector. g (
Date: 5 0
11 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
---.101,146 U e, S t c v.r
COMMENTS: t 1 • 1
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Address:
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Date Called:
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Special Instru tions:
Date Wanted: II/ 7J0 ,- .7.
Requester: r •
Phone No:
7,0 0 `.? -- ipq (o
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD (
Retain a copy with permit
1 66
PER T N
7
06)31 -3670
Approved per applicable codes. Corrections required prior to approval.
Inspector:
Date: 1 , 5 a
`� S
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
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Special Instructions:
Date Wanted: I� / a.tn.\
Requester:
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Phone No:
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
1:4 Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
•
I.
Inspector(
Date: L
El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
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REVISIONS
er n c]t a.r^o r call be made to the scope
• .:rheut peer approval w � � S�
0 tiding Division. . manual
NOTE: R ions will equal ed
and may indude ��;y� fee
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REVIEWED FOR
CODE COMPLIANCE
DEC 0 1 2004
ty- Of Tukwila
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ACTIVITY NUMBER: D04 -408
PROJECT NAME: CRESCENT HOMES — LOT 5
SITE ADDRESS: 13512 43 AVENUE SOUTH
DATE: 11 -12 -04
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # afterTbefore permit is issued
DEPARTMENTS:
Bulls! • Division 6()
At 0,0 9-1114 k/c 11-11-01/
Public Works
Complete
APPROVALS OR CORRECTIONS:
Approved ❑
Notation:
Documents /routing slIp,doc
2-28-02
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
Approved with Conditions
M 51 4'- II-1k°
Fire Prevention
Structural ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete
d
REVIEWER'S INITIALS:
PERMIT COORD COPY
Pla Division
f r ' l 0
Permit Coordinator Ar
DUE DATE: 11 -16 -04
Not Applicable ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS RO3dTING:
Please Route 14 Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
DUE DATE: 12 -14 -04
Not Approved (attach comments) ❑
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
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12/01/2004 12:13 2063236762 CRESCENT HOMES
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DEPARINWNT OF LABOR AND IN Dz JsTRIEs
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
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Cd01 4 10LYDEC*022ME 07/02/2004
EFFECTIVE DATE 07/02/1998
BAY DEVELOPMENT CORPORATION
425 PONTIUS AVE N #125
SEATTLE WA 98109
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