HomeMy WebLinkAboutPermit D03-058 - WALZ RESIDENCE - STORAGE SPACE• I
WALZ RESIDENCE
11816 40 PL S
D03 -058
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Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address: ,
Contractor License No:
DESCRIPTION OF WORK:
ADDITION OF 40 SQ FT STORAGE SPACE ON TWO FLOORS. BOTTOM FLOOR SPACE MAILY FOR FOUNDATION OF THE
MAIN FLOOR.
Value of Construction:
Type of Fire Protection:
Type of Construction:
Public Works Activities:
Curb Cut/Access /Sidewalk/CSS:
Fire Loop Hydrant:
Flood Control Zone:
Hauling:
Land Altering:
Landscape Irrigation:
Moving Oversize Load:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
Channelization / Striping:
doc: Devperm
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
7340600060
1181640 PLSTUKW
WALZ RESIDENCE
1181640 PL S,TUKWILAWA
WALZ DAVID B
PO BOX 69034, SEATTLE WA
DAVID WALZ
PO BOX 69039, SEATTLE WA
OWNER AFFIDAVIT
$3,696.00
N/A
VN
N
N
N
N
N
N
N
N
N
N
N
N
DEVELOPMENT PERMIT
Start Time:
Private: N
Private: N
** Continued Next Page **
D03-058
Number: 0
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date:
Start Time:
Volumes: Cut 0 c.y.
Phone:
Phone: 206 - 246 -0759
Phone:
Fees Collected:
Uniform Building Code Edition:
Occupancy per UBC:
D03 -058
02/26/2003
08/25/2003
End Time:
Fill 0 c.y.
End Time:
Public: N
Public: N
$164.96
1997
7
Size (Inches): 0
Printed: 02 -26 -2003
uAO.W. o' V. �C bNri. .n:%.:. k}'NbnU.R1M:L�.li�ln:ti.'
..Signature:
Print Name:
doc: Devperm
City of `Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Permit Center Authorized Signature:
I4GInui ,vn) Ata4m)
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 p w ma e of work. I am authorized to sign and obtain this development permit.
D03 -058
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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: 02 -26 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 7340600060
Address: 11816 40 PL S TUKW
Suite No:
Tenant: WALZ RESIDENCE
Signature:
Print Name: JM/ (P
doc: Conditions
■
PERMIT CONDITIONS
Permit Number: D03 -058
Status: ISSUED
Applied Date: 02/20/2003
Issue Date: 02126/2003
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: 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).
4: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical
work will be inspected by that agency (206- 835 - 1111).
5: All mechanical work shall be under separate permit issued by the City of Tukwila.
6: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any
construction. These documents are to be maintained and available until final inspection approval is granted.
7: Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear
identification showing the fire performance rating thereof.
8: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997
Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition).
9: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any
requirements for special inspection.
10: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations 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 ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this
code shall be valid.
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws
regulating construction or the performance of work.
D03 -058
Date:
ti.:.... ..�k..� ...
Printed: 02 -26 -2003
Site Address:
Name:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
applications \permit application (1.2003)
1/2003
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 **
ir tiff_zi / 5,
Mailing Address: of . 6 e I,1 `*
►CTQR .INFORMATIO
N b wi,P, own
Page 1
King Co Assessor's Tax No.: V 4 O,6 ' 0060
Suite Number:
City
Day Telephone:
City
Fax Number:
City
Day Telephone:
Fax Number:
Floor:
New Tenant: .... Yes J ..No
Tenant Name:
Property Owners Name: 1` A" l� I,P IIAG Z
Mailing Address:
State
Z1/G o7s%
State
Zip
q
State Zip
State
State
Zip
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 must be wet stamped by Architect of Record
Zip
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD._ All plans must be wet stamped by Engineer of Record
Zip
City
Day Telephone:
Fax Number:
i i {T..yy�'i..j]Py 3 iJaw.4S f 4
BUILDING :PERMIT. INFORM. . ION = 206= 431 -3670
Valuation of Project (contractor's bid price): $ 'Z.. 6r/41. Existing Building Valuation: $
Scope of Work (please provide detailed informatioft): AV/ % / G/S/ O / 5 ,X 4( E $2 ' C
/
ii
/ �/
Ct/
•
Will there be new rack storage? 0... Yes No If "yes ", see Handout No.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single family building footprint (area of the foundation dal! 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:
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.
UTILITY DISTRICTS:
Note: If the utility district is not City of Tukwila, you must provide written verification and approval from that utility district at the time of permit
application.
Water
❑ .. City of Tukwila Water District ❑ .. Water District 1 ❑... Highlinc Water District ❑ ... City of Renton Water District
Sewer
❑ .. City of Tukwila Sewer District ❑ .. Val Vue Sewer District ❑...City of Renton Sewer District ❑...City of Seattle Sewer District
❑ .. Septic System (If property is served by a septic system, 2 copies of approved septic design from King County Health Department must be
submitted at the time of permit application)
4pplication3\permit application (1.2003)
11200]
Page 2
7
for requirements.
Handicap:
ns st.tn.L�t :5«.Yc'r<a:.Y.i.ki�Sk,n`: 14 %ie; iFlc'fiFA. :L3.+,.'h,;..::.l..�i�L'FS•ta Fx "'N#'i tr4. 2',V;.` " 4 ;
`Iftifixr;ifiUgr „;
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per UBC
Type of
Occupancy per
UBC
1't Floor
�f D t
�
2 " Floor
3 Floor
Floors • thru
Basement
`� �1 n 1-11
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck .. .
Uncovered Deck
BUILDING :PERMIT. INFORM. . ION = 206= 431 -3670
Valuation of Project (contractor's bid price): $ 'Z.. 6r/41. Existing Building Valuation: $
Scope of Work (please provide detailed informatioft): AV/ % / G/S/ O / 5 ,X 4( E $2 ' C
/
ii
/ �/
Ct/
•
Will there be new rack storage? 0... Yes No If "yes ", see Handout No.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single family building footprint (area of the foundation dal! 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:
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.
UTILITY DISTRICTS:
Note: If the utility district is not City of Tukwila, you must provide written verification and approval from that utility district at the time of permit
application.
Water
❑ .. City of Tukwila Water District ❑ .. Water District 1 ❑... Highlinc Water District ❑ ... City of Renton Water District
Sewer
❑ .. City of Tukwila Sewer District ❑ .. Val Vue Sewer District ❑...City of Renton Sewer District ❑...City of Seattle Sewer District
❑ .. Septic System (If property is served by a septic system, 2 copies of approved septic design from King County Health Department must be
submitted at the time of permit application)
4pplication3\permit application (1.2003)
11200]
Page 2
7
for requirements.
Handicap:
ns st.tn.L�t :5«.Yc'r<a:.Y.i.ki�Sk,n`: 14 %ie; iFlc'fiFA. :L3.+,.'h,;..::.l..�i�L'FS•ta Fx "'N#'i tr4. 2',V;.` " 4 ;
`Iftifixr;ifiUgr „;
PUBLIC;WORKS .PERMIT INA.. . .MATION.:= 206- 433 -01.
Scope of Work (please provide detailed information):
Street Use:
0 .. Street Use
Land Altering and /or Hauling:
❑ .. Land Altering: ❑...Cut
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
lapplicationstpemtit application (1-2003)
1/2003
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
❑...Channelization /Striping
Storm Drainage:
❑ .. Storm Drainage ❑...Flood Control Zone
Water ... ❑
Call before you Dig: 1- 800 - 424 -5555
cubic yards ❑...Fill
❑...Curb cut/Access/Sidewalk
Sewer Information:
0 .. City of Tukwila Sewer District ❑ .. Val Vue Sewer District ❑...City of Renton Sewer District ❑ ..City of Seattle Sewer District
0 .. Sanitary Side Sewer ❑ .. Sewer Main Extension ❑ .. Private ❑ .. Public
Water Information:
❑ .. City of Tukwila Water District ❑ .. Water District # I25 0... Highline Water District 0... City of Renton Water District
❑ .. Water Main Extension ❑ .. Private ❑...Public
❑ .. Water Meter/Exempt: Size(s): ❑ .. Deduct 0... Water Only
❑ .. Water Meter Permanent #: Size(s):
❑ .. Water Meter Temporary #: Size(s): ❑ .. Est. Quantity: gallons
❑ .. Fire Loop/Hydrant (main to vault) #: Size(s): ❑ .. Landscaping Irrigation
❑ .. Miscellaneous:
City
Sewer ... ❑ Sewage Treatment ❑
Page 3
City
cubic yards ❑ .. Hauling
Day Telephone:
State
Fire Line ....
Zip
Day Telephone:
State Zip
Unit Type:. :
Qty
Unit Type:
Qty
• Unit Type:
Qty
Boiler /Compressor:
Qty :..
Fumace<100K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace >100K BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
15 -30 HP /1,000,000 BTU
Suspended/Wall /Floor
Mounted Heater
Ventilation System
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm/Ind
CHANICAL PERMITS INFORMATION 6,431'=1,67
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 ....D 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 OWNS ► R AU I a ' ZED
Signature:
Print Name:
Mailing Address:
JA
\applications \permit application (1.2003)
1/2003
Page 4
Date: 7
Day Telephone: 26' ' 2L' 6 -CI % S te'
Date Application Accepted:
Date Application Expires:
Staff Initials:
z
RECEIPT z
re w
Parcel No.: 7340600060 Permit Number: D03-O58 U o
Address: 11816 40 PL S TUKW Status: APPROVED 0
Suite No: Applied Date: 02/20/2003 J H
Applicant: WALZ RESIDENCE Issue Date: N u_
w
Receipt No.: R03 -00237 Payment Amount: 102.96 , g Q
Initials: KAS Payment Date: 02/26/2003 04:37 PM = d
User ID: 1684 Balance: $0.00 1" u1
Z 1-
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Payee:
WALZ
TRANSACTION LIST:
Type Method Description Amount = U
Payment Check 2798 102.96 u- p
RD Pmts Re -Dist .00 111 Z
0
Z
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
BUILDING - RES
PLAN CHECK - NONRES
PLAN CHECK - RES
STATE BUILDING SURCHARGE
000/322.100
000/345.830
000/345.830
000/386.904
Account Code Current Pmts
97.25
-62.00
63.21
4.50
Total: 102.96
r , :,.. , `.) , , tf ( ; r (_ • A2ti
Printed: 02 -26 -2003
Parcel No.: 7340600060
Address: 11816 40 PL S TUKW
Suite No:
Applicant: WALZ RESIDENCE
Receipt No.: R03 -00202
Initials: BLH
User ID: ADMIN
Payee: DAVID WALZ
Payment Cash
ACCOUNT ITEM LIST:
Description
PLAN CHECK - NONRES
iffy T , Il
erlyefrahvitielin / dp &Pt 1 �1�3p t�nt Steve Lancaster, Director
RECEIPT
Payment Amount: 62.00
TRANSACTION LIST:
Type Method Description Amount
Account Code Current Pmts
000/345.830 62.00
Permit Number: D03 -058
Status: PENDING
Applied Date: 02/20/2003
Issue Date:
62.00
Total: 62.00
o2. 2.i. '271.6 T{O{TAL 62 C
Steven M. Mullet, Mayor
Payment Date: 02/20/2003 09:26 AM
Balance: $102.96
do i3§19 1 B t outhcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 V u I : 'P -3665
4` 4 11 .:.3eio-ia.klixm�- .n t'X�� .i�J.:ke:kjaid+ag:f o.2; <�:%1:.'.1.
Proje
Type of Inspection:
Ad ress: 4
1/0/6-- ,,
4 `� C
Date Called:
Special Instructions:
Date Wanted: / � — � ` �� j
/
a.m.
�''
Requester:
Phone No:
rt,
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
PER
( 06)431 -3670
COMMENTS:
4 4/ t/► 51.-0-7 11.
r h I
1''
Date:
El Approved per applicable codes. ® Corrections required prior to approval.
$47.O ' REINSPECTION EE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Project:
('?„,.e_ae, i ' e.- 1#/ ( /. ..41 1 b $1--
'Type of Ins•ec ion:
illi
Addresy ex9 LID /1_5
Date Called:
Special Instructions:
Date Want
— a-
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
COM TS:
cd.443
Date:
Approved per applicable codes. O Corrections required prior to approval. to inspection, REINSPECTION FEE REQUIRED. Prior p ection , fee must e
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Project*,
a � 2.
A 1-44
-6/7(�
Type of Inspection: ,
f .�.. ' 1 / ..44.y .
A dress: �
77 1 I
� r, �
P
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'
Date Called: 6/0
Special Instructions:
,
Date Wanted: cp, . .
// o'-
Reuest
Phone No: } / ,, f�.,
e'(-. t-Q P1 ' t� 7
/0
INSPECTION NO.
IR/. Approved per applicable codes.
COMI MENTS:
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
El Corrections required prior to approval.
$47.00 REINSPECTI egr EE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Proje t:
Type of spectioriY■f(f _401 L,/(V:
Address:
It ( L /()
,I,5,
Date Ca led:
; /
Special Instr ns:
Date Wante't( / tam
J �/0 p•m•
ttt
Requeste�
i
(( °
Phone No:
- 7 u - a'-I L - D 731
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 ,(,206)431 -3670
Approved per applicable codes. J Corrections required prior to approval.
COMMENTS:
f
Date: f)/41..7
El $47.00 REINSPECTIOI4„IEEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
I Receipt No.:
Date:
2pc
„sp)
Projz t: ,l /
Type of Inspection:
Address: '
/ /� /, qD �,,� /'J.
Date Called:
/v 0 2 9 - a3
Special Instructions: /
Gl v 6 �!_,.,1 4 z, Yc.�
Q
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Date Wanted:
/U` .�O - ,
.�
m. .
m.
�p. ,
Requesteer,t ✓
/'
Phone
e No: 0 966 , ,.:
- 07.5
9
INSP 'dT NO. PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #1 Tukwila, WA 98188 (206)431 -3670
N Approved per applicable:codes:
INSPECTION RECORD
Retain a copy with permit
COMMENTS:
!At 7‘,// /72-,
(
Corrections required prior to approval.
;LLA'
$47.00 REINSPECTION ; E REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
c�::�nN.,.ti,'rnar.:`. � i'ci.'ut �•'i•.`�.::a:c i�i5et.a.�. iF,:9 sx ^.:.5 .. ...
Proje AB T
Type of Inspection:
Address: � °
°I, D
Date Called.
Specral Instr c io s: D
Date Wante a
a.ni.
Requester:
INSPE NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Cb 31- a5 .-
(206)431 -3670
El Approved per applicable codes. Vj Corrections required prior to approval.
COMMENTS:
1 J (iL
/ P /rd�,
'j VC.f /4/99n Date: v!!
El 47. EINSPECTIO FIE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southce r Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Project: f
Type of Inspection) ( 4
Address: / /e)/6 —W ,�,�
Date Called: 2
7rD
Special Instructions:
ate Wanted: Ci.m,
7 �_ `7, p.m.
�/
Requester:
Phone No:
.2
.i +i �Y'•l ?t::�a..,; rte.. :i,'', ,�r:w- ... ... . . .
INSPECTION RECORD
Retain a copy with permit
ION NO. PERMIT N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
COMMENTS:
Inspector:
Date:
7-g" !:\
Approved per applicable codes. J Corrections reqyired prior to approval.
$47.00 REINSPECTION F REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
t,
Proj ``
g1I1 CI
t(
t� �cx
Type of Insptibn: `L
P�.�� -lt N C
Ad�rfs ±•
I)) _S
Date Called:
Special Instructions:
Date Wanted:
a.m.
p.m.
Requester:
--. 3)4 . \,/ d
Phone No:
INSPECTION RECORD
Retain a copy with permit �� �` Q
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
PERMIT NO.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 �� (206)431 -3670
El Approved per applicable codes.
COMMENTS:
Inspect r
Date:
R oA A $47.00 REINSPECTION FEE REQUI ED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
la Corrections required prior to approval.
Project t i 'd I / /Z..
Type of Ins_�ect7, -4 �
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Address:
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Date Called
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• INSPECTION RECORD
Retain a copy with pytnit
INSPECTION NO. PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20:)431 -3670
Approved per applicable codes.
Inspect ot" `��u-'"'�
El Corrections required prior to approval.
COMMENTS:
Date:
E] $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Project
ki( / w ' (./i
tie,. /
Type of Inspection:
1
Date Called•
4-4 4
Address:
Special Instructions:
C - 2
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Date Wanted:
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a.m.
Requester:
Phone No:
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88
Ei $47.00 R1NPECTION FEE ttQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
2 6)431-3670
COMMENTS:
Approved per applicable codes. El Corrections required prior to approval.
Receipt No.:
Date:
• •
•
Project
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Type of I ection: 1
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Address:
Date Called:
Spec., n ions:
Date Wanted:
V/
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Requeste :
Phone No:
g_ . Approved per applicable codes.
COMMENTS:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206 3 -3670
El Corrections required prior to approval.
S47.00 rFEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southce er Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN
THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT.
10 -01 -2004
DAVID WALZ
PO BOX 69039
SEATTLE WA 98168
RE: Permit No. D03 -058
1181640 PLSTUKW
Dear Permit Holder:
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Building Code and /or the International Mechanical Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Permit Center at 206 - 431 -3670 to arrange for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Building Code does allow the Building Official to approve a one - time extension up to 180 days.
Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have
prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 11/06/2004, your permit will become null and
void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Stefania Spencer,
Permit Technician
xc: Permit File No. D03 -058
Bob Bcnedicto, Building Official
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 - 431 -3665
t;N
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D03 -058
PROJECT NAME: WALZ RESIDENCE
SITE ADDRESS: 11816 40 PLACE SOUTH
X Original Plan Submittal
Response to Correction Letter #
DATE: 02 -21 -03
Response to Incomplete Letter #
Revision # After Permit Is Issued
DEPARTMENTS: 16 , Mt5I A 2-25
Buildi visio 0 Fire Prevention E
Public Works n Structural ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete 1E 1 Incomplete ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route 12 Structural Review Required ❑ No further Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS:
Documenishouting slip.doc
2.213-02
O !7(- V 225 3
Planning Division ['
Permit Coordinator
DUE DATE: 02 -25-03
Not Applicable ❑
DUE DATE: 03-25 -03
Not Approved (attach comments) ❑
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
y;Fy3'.s _ :.i:.;n1 ;:ic.:S. :L., .,: i::.i, Diu:+ y:: r' aw%; uz�:;. znivuK: s: �Sr.; tasu'ri.Jis�f�M.:ir�;u.,',•.rxr
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON )
COUNTY OF KING )
1. I have made application for a building permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code Washington, a copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW 18.27.090.
3. I understand that prior to issuance of a building permit for work which is to be done by any
contractor, the City of Tukwila must verify either that the contractor is registered by the State of
Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby
attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I
consider the work authorized under this building permit to be exempt under No. , and
will therefore not be performed by a registered contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to
engage an unregistered contractor to perform construction work.
AFFCONT 1/13/00
CITY OF T 'CWILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
ss.
, states as follows:
Signed and sworn to before me this
Zi(4) day of
residing at
My commission expires: c
H -4
, 20 O
NOTARY PUBLIC in and for the State of Washington,
I� 1-12 County.
Name as commissioned: (
aoogi't1%i3 t4s. s.��.iis„�u�:, �:
18.27.090 Exemptions. This chapter shall not apply to:
1. An authorized representative of the United States
Government, the State of Washington, or any
incorporated city, town, county, township, irrigation
district, reclamation district, or other municipal or
political corporation or subdivision of this state;
2. Officers of a court when they are acting within the
scope of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground
mine or mineral deposit when performed by an owner
or lessee;
5. The sale or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into and do not become a
permanent fixed part of a structure;
6. Any construction, alteration, improvement, or repair
of personal property, except this chapter shall apply
to all mobile /manufactured housing. A
mobile /manufactured home may be installed, set up,
or repaired by the registered or legal owner, by a
contractor licensed under this chapter, or by a
mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW;
7. Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site
or reservation under the legal jurisdiction of the
federal government;
8. Any person who only furnished materials, supplies, or
equipment without fabricating them into, or
consuming them in the performance of, the work of
the contractor;
9. Any work or operation on one undertaking or project
by one or more contracts, the aggregate contract
price of which for labor and materials and all other
items is less than $500, such work, or operations
being considered as of a casual, minor, or
inconsequential nature. The exemption prescribed in
this subsection does not apply in any instance
wherein the work or construction is only a part of a
larger or major operation, whether undertaken by the
same or a different contractor, or in which a division
AFFCONT 1/13/00
of the operation is made into contracts of amounts
less than $500 for the purpose of evasion of this
chapter or otherwise. The exemption prescribed in
this subsection does not apply to a person who
advertises or puts out any sign or card or other
device which might indicate to the public that he is a
contractor, or that he is qualified to engage in the
business of contractor;
10. Any construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts or
reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or poultry
raising; or to clearing or other work upon land in rural
districts for fire prevention purposes; except when
any of the above work is performed by a registered
contractor;
11. An owner who contracts for a project with a
registered contractor;
12. Any person working on his own property, whether
occupied by him or not, and any person working on
his residence, whether owned by him or not but this
exemption shall not apply to any person otherwise
covered by this chapter who constructs an
improvement on his own property with the intention
and for the purpose of selling the improved property;
13. Owners of commercial properties who use their own
employees to do maintenance, repair, and alteration
work in or upon their own properties;
14. A licensed architect or civil or professional engineer
acting solely in his professional capacity, an
electrician licensed under the laws of the state of
Washington, or a plumber licensed under the laws of
the state of Washington while operating within the
boundaries of such political subdivision. The
exemption provided in this subsection is applicable
only when the licensee is operating within the scope
of his license;
15. Any person who engages* in the activities herein
regulated as an employee .6f e. registered contractor
with wages as his sole .compiansation;
16. Contractors on highway projects who have been
prequalified as required by chapter 13 of the Laws of
1961, RCW 47.28.070 with the department of
transportation to perform highway construction,
reconstruction, or maintenance work.
tt
a':HYdti4: 4.4Wti4 +F hhvrx•Y %� +IY.+
File: D03 -0058
35mm Drawing
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III I I III ��I III I I III III III ICI III III III I�.l III III III ICI ��I I�� III ��I III III
Inch. 1/16 1I
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96 VII. Z1• 66 6 8 L 9 9 ti E Z 06 6 Wo
ii iiiiliiiiIIIIi ,pil,,,iI
REQUIRED FOR:
MECHANICAL
ELECTRtCAL
d' ePL_IDfVIBlNG
� GAS PIPING
Date
Permit No.
I understan d that the Plan Check
subject to errors and omissions and approvals are
subject
does not authorize the violation o f any ! of
;:::clopted code or ordinance. Re
f tractor's copy f approved ceipt of con -
P pproved plans acknowledged.
REVISIONS
No CHANGES SHALL
BUILDING DIVISION,
WILL REQUIRE A NEW PLAN
SITE PLAN FOUNDATION PLAN
SECTION A-A
INSULATION
FLOORING
RAFTER
ASPHALT SHINGLE
BASEMENT PLAN
SECTION C-C
SECTION B-B
FIRST FLOOR PLAN 7340600060