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HomeMy WebLinkAboutPermit D04-409 - CRESCENT HOMES - LOT 3CRESCENT HOMES - LOT 3 13522 43RD AVENUE SOUTH D04 -409 z �z cW i0 O 0 co o W= J H u. W0 O a �_ Z� I-0 Z F- LU uj U 0 O - O I- W • uj H u. O WZ 0 0 z Cit y o Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: ci.tukivila.tiva.us z DEVELOPMENT PERMIT 1 z '~ w re 2 Permit Number: D04 -409 6 Issue Date: 12/08/2004 0 0 Permit Expires On: 06/06/2005 w O w F- U) u_ w 0 Phone: I a i .. w z H Contact Person: z O Name: TED CHESLEDON Phone: 206 778 -7920 111 Lu Address: 425 PONTIUS AV, #125, SEATTLE, WA D in U N Contractor: c E- Na BAY DEVELOPMENT CORPORATION Phone: 253 569 -7579 = w Address: 425 PONTIUS AV N, #125, SEATTLE WA i-- v Contractor License No: BAYDEC *022MB Expiration Date:07 /02/2006 "_- 0 w z — • I O ~ z Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Public Works Activities: Water Meter: doc: IBC - Permit 2613200153 13522 43 AV S TUKW CRESCENT HOMES - LOT 3 13522 43 AV 5, TUKWILA WA SARA DEVELOPMENT INC PO BOX 5544, KENT WA DESCRIPTION OF WORK: ADDING NEW 10 X 20 SF DECK TO NEW SINGLE FAMILY RESIDENCE Value of Construction: $3,775.20 Type of Fire Protection: Type of Construction: VB Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fees Collected: $203.19 International Building Code Edition: 2003 Occupancy per IBC: 26 Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: N Hauling: N Start Time: End Time: Land Altering: N Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: N Moving Oversize Load: N Start Time: End Time: Sanitary Side Sewer: N Sewer Main Extension: N Private: Storm Drainage: N Street Use: N Profit: N Water Main Extension: N Private: N D04 -409 Public: Non - Profit: N Public: Steven M. Mullet, Mayor Steve Lancaster, Director Printed: 12 -08 -2004 Y f � .•;�,eu . 4: CJiaY3 ti«: s.. �n�4' ..L�.re%..M.�:.�,.+�.S:.rMas.J .t(.l.(.r$n.i.1i.' u.41t..:�+e1i+.V.r ±:J'i+�.�F?'.�M.i� »(.�i.l bl. W�W3� .v.Li:.1R "+n7Y:+�i1^.+:it`u Permit Center Authorized Signature: City oi Tukwila Print Name: — 7 - 70 doc: IBC - Permit 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 Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: D04 -409 Issue Date: 12/08/2004 Permit Expires On: 06/06/2005 Date: 1.. 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 constructer r t erformance of work. I am authorized to sign and obtain this development permit. Signature: — Date: /e/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. D04 -409 Printed: 12 -08 -2004 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 2613200153 Address: 13522 43 AV S TUKW Suite No: Tenant: CRESCENT HOMES - LOT 3 1: ** *BUILDING DEPARTMENT CONDITIONS * ** PERMIT CONDITIONS Permit Number: D04 -409 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. doc: Conditions * *continued on next page ** D04 -409 Printed: 12 -08 -2004 z = z w 00 J H N LL w 0 u. < w a I— al Z = ZO 1,11 w U 0 O N. • H w O w z = O~ z 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: 'TO CML%SLC doc: Conditions as outlined. All provisions cancel the provision of any Signature: Date: /210/d of law and ordinances other work or local laws D04 -409 Printed: 12 -08 -2004 z z �w 00 CO 0 u, ui (I) u. uJ 0 J u. H 0 Z H. 0 O - 0 1— i v . LL '6 W Z U = z SITE LOCATION Site Address: Tenant Name: i3i 134-1 Dt2. New Tenant: ❑ .... Yes ❑ ..No Property Owners Name: S ,3t J-Z_ r j-,) r Mailing Address: u Z S P v' : VZ S Name: '"r� o L AI C- S coo NJ Company Name: Contact Person: E -Mail Address: Vomits plus \icc changes \permit application (7.2004) 1..4 •d- 3 CITY OF TUKWILA ( Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 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 ** 13'')ZZ 3 a Page I King Co Assessor's Tax No.: O !3 ZIP •i-i2 E -Mail Address: t3 got- ui./. Building Permit ..o. 1)© (4, Mechanical Permit No. Public Works Permit No. Project No. (For office use only) Suite Number: Floor: T'IZti- City r~,1 State Zip Day Telephone: Z-,6 7'12t) Mailing Address: 1 -(2 'S tr i Ii L * I' 7 5 S c- T71-4._ 4-J `12 ) 5 City State Zip • Fax Number: C 32.3 - V1 6--- GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page) Mailing Address: City 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 ** State State State Zip ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Zip ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Zip i Valuation of Project (contractor's bid pr $ / J D CI u 0 Scope of Work (please provide detailed inthrmation): ,L) Will there be new rack storage? ❑ ..Yes 0.. No \permits plus\icc changes \permit application (7.2004) w Page 2 Existing r — \ 'ling Valuation: $ If "yes ", see Handout No. for requirements. Provide All Budding 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: Handicap: Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 0.. Sprinklers ❑..Automatic Fire Alarm ❑..None 0.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 l" Floor 2n Floor 3 Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck I it) i Valuation of Project (contractor's bid pr $ / J D CI u 0 Scope of Work (please provide detailed inthrmation): ,L) Will there be new rack storage? ❑ ..Yes 0.. No \permits plus\icc changes \permit application (7.2004) w Page 2 Existing r — \ 'ling Valuation: $ If "yes ", see Handout No. for requirements. Provide All Budding 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: Handicap: Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 0.. Sprinklers ❑..Automatic Fire Alarm ❑..None 0.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. I ajaru l/M1%.13 rJ 1VYI11 1111'VM Y Let 1 aVl \- 6Vttr- •yJ.I -V1 /7 Scope of Work (please provide detailed ination): ❑ ...Total Cut ❑ ...Total Fill Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑...Tukwila ❑... Water District #125 ❑...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ... ValVue ❑ .. Renton ❑ ...Seattle ❑...Sewer Use Certificate 0... Sewer Availability Provided ❑ .. Approved Septic Plans Provided ❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department. Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑...Bond ❑ .. Insurance ❑ .. Easement(s) Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑...Right -of -way Use - No Disturbance ...Construction/Excavation/Fill - Right -of -way Non Right -of -way cubic yards cubic yards ❑...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑...Permanent Water Meter Size... ❑ ...Temporar Water Meter Size .. ❑ ...Water Only Meter Size ❑...Sewer Main Extension Public _ ❑ ...Water Main Extension Public _ tpermils plusticc changestpermit application (7.2004) „ „ ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line Call before you Dig: 1- 800 - 424 -5555 WO# WO# WO# Private Private ❑ .. Highline ❑ .. Geotechnical Report ❑...Traffic Impact Analysis. ❑ .. Maintenance Agreement(s) ❑...Hold Harmless ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage FINANCE INFORMATION Fire Line Size at Property Line ❑ ...Water ❑ ...Sewer Monthly Service Billing to: Name: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: Number of Public Fire Hydrant(s) ❑ ...Sewage Treatment Day Telephone: City State Zip Day Telephone: City State Zip Page 3 ❑ ...Renton ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑...Deduct Water Meter Size „ Z I Z W QQ � J U U J i— NW 04 to cl IL Q = W H Z � 1— O Z I— W W U O N O 1-- W W H 0 u' Ui Z • 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 /1,000,000 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 INFOkiv1ATION — 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 ❑ 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. BUILDING O AUTHORIZED AGENT: Signature: Date: f / /'-i /t- Print Name: T &V L-h' S LL -72.: Day Telephone:(;.e) �,> ', 7 - 20 Mailing Address: 4.a .S ThYJ ; i u S / 2- 0J \permits plus\icc changes\permit application (7 -2004) Page 4 City State Zip Date Application Accepted: Date Application Expires: Staff Initials: Z RECEIPT Z �w Parcel No.: 2613200153 Permit Number: D04 -409 6 v Address: 13522 43 AV S TUKW Status: PENDING v o Suite No: Applied Date: 11/12/2004 N w Applicant: CRESCENT HOMES - LOT,' Issue Date: -J H WO 2 Receipt No.: R04 -01521 Payment Amount: 203.19 g Initials: SKS Payment Date: 11/12/2004 03:09 PM = a i _ w User ID: 1165 Balance: $0.00 Z = i- i— O Z I— w • w Payee: BAY DEVELOPMENT CORPORATION v Ca O S ca E- w • w Type Method Description Amount ~ I= 11 O Payment Check 8852 203.19 iii U = 1- • F- TRANSACTION LIST: ACCOUNT ITEM LIST: Description doc: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 BUILDING - NONRES PLAN CHECK - NONRES STATE BUILDING SURCHARGE Account Code Current Pmts 000/322.100 000/345.830 000/386.904 120.42 78.27 4.50 Total: 203.19 (A) Printed: 11 -12 -2004 Z Project: �" ce•Se'FAff /�i. ,no Type of Inspection: " / • /352-2.- e 93Av. Date Called: ? - ` Z - ° y Special Instructions: Date Wanted: C� —77-0 /Z / a.m. p.m. Requester - —�� . Phone No: INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION / (206)431 -3670 INSPECTION NO. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO ; -• COMMENTS: r: Date 2© Approved per applicable codes. El Corrections required prior to approval. Ins 7.00 REINSPECTION FE REQUIRE rior to inspection, fee must be j paid at 6300 Southcenter- lvd., Suitel 00. Call to schedule reinspection. Receipt No.: Date: Z _ — Z w aa • � J U O 0 rn w w i- N lJ.. w 0 } g J u_ j = w ? • wo w 0 (D_ 0 I— w W H ,- Z w U= O~ Z ?rpjecji ,Aarvifit when- ,,, Type of Inspgaion: 1----ra„pt,ivy Address: 1- i 1 " 5 Date Called: 2- 310 Spetla nstructions: — I Date Wanted: a.m. P'' Alip P. Requester: e....01 Phi -Ngo; 41 ) 773 -.- 7 , q20 INSPECTION NO. INSPECTION RECORD Retain a copy with permit ),/ a.l pE CITY OF TUKWILA BUILDING DIVISIW, 6300 Southcenter Blvd., #100, Tukwila, WA 9818d " (Z06)431 COMMENTS: Inspect D .00 REINSPECT! N FEE REQUI7 D. Prior to inspection, fee must be aid at 6300 Southce ter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: -Alto UOUV•aftNik. Approved per applicable codes. I I Corrections required prior to approval. Project: r F "er» Type of Ins ection: /U 7 V Address: 13 5 22 y3 #9 S Date Called: a / �2. 7 47 Special Instructions: Date Wanted: /0212 7 , O f< a.m. p.m. Requester: / -te c Phone No: INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING D,IVIQ 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 . 6)431 -3670 pproved per applicable codes. Corrections required prior to approval. COMMENTS: 4_- •...9 r $ 7.00 REINSPECTION EE REQUIR . Prior to inspection, fee must be / paid at 6300 Southcenter Blvd., Sui 100. Call to schedule reinspection. Receipt No.: D % 5 _2 ) 2 Date: 1Z re W 6 J U O 0 N 0 J W 2 ga W d =W H = Z F. W o W co 0 0 W 0 r__. -4.: Z 0 Z • V % j -kC L. s 5 2 2. 4 3Y Avg LaiA 95/c..8 FILEa4 Permit No. • Plan review approval is subject to errors and om Approval of construction documents does no: au the violation of any adopted code or ordinance. of approved Field py and conditions is BY Date: t2 1 o/v L Cky BUILDING � 7UICVWIa DIVISION 5'3.0 • jA 4a' B S I/ rcf (\lt 5C¢ rlrt t-loS I � Zb t a 1 45 4 Ave S v' FiNG4e � tL 1 \O1 t •f M ,, 47 ( `1 bo 4o REVIEWED FOR CODE COMPLIANCE NOV 2 2 2.004 RECVED CITY OF TUKWILA NOV 1 .. 2014 PERMIT CENTER ila ILDN DIVISION OT z 1 w re 2 6 U O W W O 2 g Q I O I- w Z rr WO • W U O — O H w LL. Z w — • I O ~ z NOTICE: IF THE DOCUMENT TO THE QUALITY 4 ITY OF THE DOCUMENT. THIS NOTICE IT IS DUE PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D04 -409 PROJECT NAME: CRESCENT HOMES - LOT 3 SITE ADDRESS: 13522 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: �, ( Buildi f ' rl DiE1 J4 Fi 6-I c i re Prevention Public Works I � -I1,v Structural ❑ DETERMINAT N OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Documents /routing slip.doc 2-28-02 Incomplete REVIEWER'S INITIALS: PERMIT COORD COPY PIT f , Pla nin Division Permit Coordinator DUE DATE: 11 -16 -04 DUE DATE: 12 -14 -04 X Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROSJTING: Please Route LIQ Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Fri Not Approved (attach comments) ❑ Notation: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: z ~ w e JU 00 co W J W 2 u. Q = I— Ili Z = W C.) 0- 0I- W W u. Z W U= O~ z j� /.1M..'t.'.a'?.�.i� : J. u:i�1r�i�i'v.1' «� »:>;•l+iil �..v.'w::l�ttai' #�:ISF shale+% e.. ' 4i.,"4441‘ '