HomeMy WebLinkAboutPermit D03-061 - CERNIK RESIDENCE - REROOFCERNIK RESIDENCE
3530 S 146 ST
EXPIRED
D03-061
z
~ w
00
co
w =
J i-
N Ll„
w O
Phone: g
J
u_
a
=
Phone: 206 - 849 -0745 Z w
I— O
Z I—
LL!
2 p
Phone: v
0 I--
Contractor License No: Expiration Date: W w
0r-
LL
..
0 —
O
Parcel No.: 0040000310
Address: 3530 S 146 ST TUKW
Suite No:
Tenant:
Name: CERN IK RESIDENCE
Address: 3530 S 146 ST, TUKWILA WA
Owner:
Name: GINN ARDELLA
Address: 6251 SO 153RD ST, TUKWILA WA
Contact Person:
Name: DASON CERNIK
Address: 3530 S 146 ST, #4
Contractor:
Name:
Address:
DESCRIPTION OF WORK:
REPLACE SHEATING AND ROOFING OF SFR
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
$2,000.00
DEVELOPMENT PERMIT
D03 -061
Permit Number: D03 -061
Issue Date: 02/24/2003
Permit Expires On: 08/23/2003
Fees Collected: $73.75
Uniform Building Code Edition: 1997
Occupancy per UBC: 0007
Number: 0 Size (Inches): 0
Start Time: End Time:
Volumes: Cut 0 c.y. Fill 0 c.y.
Start Time: End Time:
Private: Public:
Private: Public:
** Continued Next Page **
Printed: 02 -24 -2003
Z
Permit Center Authorized Signature:
Signature:
Print Name:
doc: Devperm
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
&f
Cr 4
D03 -061
Date:
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and
ordinances governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating consJit Lion or the performance of work. I am authorized to sign and obtain this development permit.
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 -24 -2003
..,.,;r..,. b.C : ;li?i- .
z
w
re L
-1
U O
CO Ill
J =
Date: J-S� w O
(,)
W
H =
Z �
H O
z F-
uj
0
O -
0H
iw W
hF
L I O
w Z
U2
O f-
z
Signature:
Print Name:
doc: Conditions
City of 'Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0040000310
Address: 3530 S 146 ST TUKW
Suite No:
Tenant: CERNIK RESIDENCE
I hereby certify that I have read these conditions and
governing this work will be complied with, whether
The granting of this permit does not presume to give
regulating construction or the performance of work.
■
det-/ (Z- --
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
D03 -061
ISSUED
02/24/2003
02/24/2003
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: 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.
4: 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).
5: 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.
will comply with them as outlined. All provisions of law and ordinances
specified herein or not.
authority to violate or cancel the provision of any other work or local laws
D03 -061
Date: , R
Printed: 02 -24 -2003
. 41��5 � ;jl t , i�iltiv}.}7.�. °�''�, "•t,i!°
Site Address:
Tenant Name:
Property Owners Name:
Mailing Address:
Name: PSa CC�Ni
Mailing Address:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
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 **
3S 14 'S7: , 4 L )c-4
Contact Person:
E -Mail Address:
\appliations\permit application (1.2003)
1/2003
Page 1
King Co Assessor's Tax No.:
Wet” /, 3, Number:
New Tenant:
City
Day Telephone: 6 ° (/7 e`
T'
o/
City State Zip
Fax Number:
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Expiration Date:
Contact Person:
E -Mail Address:
Contractor Registration Number:
* *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 b Architect of Record
City
Day Telephone:
Fax Number:
ENGINEER OF-RECORD -All plans must be wet stamped by Engineer of Record
1r n.1'.x+,W'.�4rt`:a': aGiiL3�:L
City
Day Telephone:
Fax Number:
'k t.wv; +.-tides
Floor:
.... Yes D ..No
State
State
State
Stale
Zip
Zip
Zip
Zip
i d'N41 1,,,
�I11R�w�a'11�la ,
BUILDINGS•P,ERMIT:INFORMArr ' l .4 ==200,111.71 , 67 . 0
Page 2
Valuation of Project (contractor's bid price): $ 0 0 0 07--25(
Scope of Work (please provide detailed information): (� ;
Will there be new rack storage? 0... Yes ❑ .. No If "yes ", sec Handout No.
Number of Parking Stalls Provided: Standard: Compact:
\appliutionrtpennit application (1 -2001)
1/2003
Existing Building Valuation: $
► ,
iv
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.
Handicap:
Will there be a change in use? ❑...Yes ❑ .. No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ .. 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 0.. Water District h125 0... Highline 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)
too ,r,;raaaR.aw » :
e..:.,fvrfiy.141 '.4
Aiat
Existing
Interior
Remodel
Addition to
Existing
Structure
New .
Type of
Construction
per UBC
Type of
Occupancy per
UBC
1" Floor
2 " Floor
3r °. Floor
Floors thru
Basement
Accessory Structure'
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck.
Uncovered Deck
BUILDINGS•P,ERMIT:INFORMArr ' l .4 ==200,111.71 , 67 . 0
Page 2
Valuation of Project (contractor's bid price): $ 0 0 0 07--25(
Scope of Work (please provide detailed information): (� ;
Will there be new rack storage? 0... Yes ❑ .. No If "yes ", sec Handout No.
Number of Parking Stalls Provided: Standard: Compact:
\appliutionrtpennit application (1 -2001)
1/2003
Existing Building Valuation: $
► ,
iv
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.
Handicap:
Will there be a change in use? ❑...Yes ❑ .. No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ .. 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 0.. Water District h125 0... Highline 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)
too ,r,;raaaR.aw » :
e..:.,fvrfiy.141 '.4
Aiat
Scope of Work (please provide detailed information):
Street Use:
0 .. Street Use
Land Altering and /or Hauling:
❑ .. Land Altering: ❑...Cut
Storm Drainage:
❑ .. Storm Drainage ❑...Flood Control Zone
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
\appticationalpumit application (1.2003)
1/2003
Please refer to Public. Works Bulletin #1 for fees and estimate sheet.
❑... Channel ization /Striping
Water ... ❑ Sewer ... ❑
Call before you Dig: 1-800-424-5555
cubic yards 0... Fill
0... Curb cut/Access/Sidewalk
cubic yards ❑ .. Hauling
Sewer Information:
❑ .. City of Tukwila Sewer District ❑ .. Val Vue Sewer District ❑...City of Renton Sewer District ❑ ..City of Seattle Sewer District
❑ .. Sanitary Sidc Sewer ❑ .. Sewer Main Extension ❑ .. Private ❑ .. Public
Water Information:
❑ .. City of Tukwila Water District ❑ .. Water District # 125 ❑... Highline Water District ❑...City of Renton Water District
❑ .. Water Main Extension ❑ .. Private ❑... Public
❑ .. Water Meter /Exempt: Size(s): ❑ .. Deduct ❑...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:
Page 3
Day Telephone:
City
Sewage Treatment ❑ Fire Line .... ❑
State Zip
Day Telephone:
City
State Zip
,.,; . .,... .�.
4,1'4:;');4:11 .::.::�1,::.Yw� d •:: Al3NwdS Nw{: c) .?. � A�b .�'ikii4a5NJfl::gl6ilF. nc:
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <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
. .MECHANICAL PERMITi :INFORMATION 206- 431
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 .... Ej
Commercial: New ....El Replacement ....
Fuel Type: Electric D Gas ....0 Other:
Indicate type of mechanical work being installed and the quantity below:
PERMIT APPLICATION NOTES.- Applicable to all perii its 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 OWN R OR AUTHORIZED AGENT: F
Signature:
Print Name: .7A--.s 0 / / e_
Mailing Address: r or C S
s� G� w
City
Date: 2/7 t /U
Day Telephone: 2.I , g /, - d ? /Z--
State
Zip
Date Application Accepted:
Date Application Expires:
I Staff Initials:
\applicairoru\permit application (1.2003)
I/20o3
Page 4
Payee:
doc: Receipt
DASON CERNIK
BUILDING - RES
STATE BUILDING SURCHARGE
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT zZ
r
Parcel No.: 0040000310 Permit Number: D03-061
Address: 3530 S 146 ST TUKW Status: PENDING U O
Suite No: Applied Date: 02/24/2003 0 0
Applicant: CERN RESIDENCE Issue Date: w =
J i_.
CO ii.
Receipt No.: R03 -00220 Payment Amount: 73.75 w O
Initials: KAS Payment Date: 02/24/2003 03:52 PM t ? .
User ID: 1684 Balance: $0.00 to a
I-
Z
ZO
TRANSACTION LIST:
Type Method Description Amount —
to
0 -
Ill
Payment Cash 73.75 X U
u. O
.Z
w
U=
~ O 1 '
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
000/322.100
000/386.904
69.25
4.50
Total: 73.75
:
")71.6 i ;3• ",�fi..
Printed: 02 -24 -2003
Project:.
C��"rp!
Type of I pection:
�'��?,
Address:
/ ....
.C1
Date called: � �
Special instructions:
.
Date wanted :^^��,��,', �-
— 2 3 p.m.
Requester
Phone: 09 -fir
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
,003 -vb1
(206)431 -3670
COMMENTS:
Inspector:
i
/
Date:2,.�. 3
Approved per applicable codes. fl Corrections required prior to approval.
$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:
July 3, 2003
Dason Cernik
3530 South 146th Street, #4
Tukwila, WA 98168
RE: Permit Application No. D03 -061
3530 South 146th Street
Dear Permit Holder:
Based on the above, you are hereby advised to:
Thank you for your cooperation in this matter.
Sincerely,
Stefania Spencer
Permit Technician
Xc: Permit File No. 003 -061
Bob Benedicto, Building Official
Guy of Tukwila
• Call the City Of Tukwila Permit Center at (206) 431 -3670 to arrange for the next or final
inspection.
It
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 Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the
Building Official 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.
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 or request and receive an extension prior to August 27,
2003, your permit will become null and void and any further work on the project will require a new permit and
associated fees.
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
v r.•Fne�r,.•..