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Home My WebLink AboutPermit D03-130 - OJUROVICH RESIDENCE - FIRE DAMAGE REPAIROJUROVICH RESIDENCE 5166 S 166 ST EXPIRED 11 -02 -03 D03 -130 z ? z . Parcel No.: 5379200187 Permit Number: D03 -130 w cc 2 Address: 5166 S 166 ST TUKW Issue Date: 04/30/2003 Suite No: Permit Expires On: 10/27/2003 0 0 N CO Tenant: 2 Name: OJUROVICH RESIDENCE co LL Address: 5166 S 166 ST, TUKWILA, WA w O Owner: ga 5 Name: OJUROVICH JOSEPH Phone: c Address: 5166 S 166TH ST, SEATTLE WA = w Contact Person: z F. Name: JOSEPH & MARIANNE OJUROVICH Phone: 509 649 -3080 z O Address: P.O. BOX 595, ROSLYN, WA LIJ j Contractor: 0 c , Name: OWNER AFFDAVIT IN FILE Phone: p I-- Address: w W Contractor License No: Expiration Date: I--. 9 ? LL O W z U= O~ DESCRIPTION OF WORK: REPAIR AND REPLACE FIRE DAMAGE TO HOME Value of Construction: $ $500.00 Fees Collected: $28.00 Type of Fire Protection: Uniform Building Code Edition: 1997 Type of Construction: VN Occupancy per UBC: 0007 Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N 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: doc: Devperm City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Public Works Activities: N N DEVELOPMENT PERMIT Number: 0 Size (Inches): 0 Start Time: Volumes: Cut 0 c.y. Start Time: End Time: Private: Profit: Private: ** Continued Next Page ** D03 -130 End Time: Fill 0 c.y. Public: Non - Profit: Public: Printed: 04 -30 -2003 1ti?tijl' 1p tA.44'4 0 z City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature: 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 reg lating construction or the performance of work. I am authorized to sign and obtain this development permit. Signature Date: Print Name: MA- \ C b ` Uz0 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. doe: Devperm D03 -130 Printed: 04 -30 -2003 z w r4 2 O 0 • W J H N LL w 0 2 3: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical H W z = F— O w ~ • w 5: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any 0 construction. These documents are to be maintained and available until final inspection approval is granted. U cn D 1- 6: Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear w • w identification showing the fire performance rating thereof. H u-0 7: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 .. z i Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). c) O ~ Parcel No.: 5379200187 Address: 5166 S 166 ST TUKW Suite No: Tenant: OJUROVICH RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 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). work will be inspected by that agency (206- 835 - 1111). 4: All mechanical work shall be under separate permit issued by the City of Tukwila. 8: Fire retardant treated wood shall have a flame spread of not greater than 25. All materials shall bear identification showing the fire performance rating thereof. Such identification shall be issued by an approved agency having a service for inspection at the factory. 9: 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. Signature: doc: Conditions City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 A./ - (.4.4 4 ^^ Print Name: W-e1A ik) IJC- lZ o V L j'i< PERMIT CONDITIONS P D03 -130 Permit Number: D03 -130 Status: ISSUED Applied Date: 04/30/2003 Issue Date: 04/30/2003 Date: if) '?, -r./ D 3 Printed: 04 -30 -2003 r v ; ti f r 4 + . s t . Y a x a v n l _ 4 * ' ; ' z } King Co Assessor's Tax No.: Site Address: 57t'o Co 5, / � — �i.r.v1 l ti Suite Number: Floor: Tenant Name: o� AAA - � l fl-d�11. u eD U e-- New Tenant: .... Yes p-•.No Property Owners Name: i &p( (? \ Lo \ c Mailing Address:. 376, (d S . 1 C. eD - Si —rte ,(CwL City CONTACT PERSON Name: \Q'Se l CI.1KDVAGH Mailing Address: d OX 61' W , — q g q' City State Zip E -Mail Address: E GI/ A R Fax Number: 5 0( • Cow 30 g1 Company Name: Mailing Address: Contact Person: E -Mail Address: 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: Contact Person: E -Mail Address: Contact Person: E -Mail Address: \applications\pennit application (3.2003) 3/2003 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 ** ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: Page 1 mee ;uw� ‘iBuild>ing • Mech Permit No.. Public,Works Permit -No, Project No office use only). ... Ci ty (.t )'( City Day Telephone: Fax Number: 5s /g%, State Zip Day Telephone: O f" 41 30g0 City Day Telephone: Fax Number: State State State Zip Zip Day Telephone: Fax Number: Zip YG ,th''".7 ?:'a6,v BUILDING PERMIT INFORM :ION 206- 431 -3670 Valuation of Project (contractor's bid price): $ 50 • ( - Existing Building Valuation: $ Scope of Work (please provide detailed information): + - e k e_ 2 Will there be new rack storage? 0 ..Yes D.. 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: Will there be a change in use? ❑ .... Yes ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: D.. Sprinklers 0..Automatic Fire Alarm D..None D . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0..Yes ❑..No If "yes ", attach list of materials and storage locations on a separate S -1/2 x I I paper indicating quantities and Material Safety Data Sheets. \applications \permit application (3.2003) 3/2003 Page 2 Compact: Handicap: i�w ....+.�...... i „i . ,..: ✓�.iA.'� -,t� �ii,.:5.. fr_ �2 dY,`p %;;:.i.'t ,i'rb"�;w4i+�.ifk:Y PAZ 4009/110,tioar •, �rnc+n ' FaY4�rf,Trt�1e Existing Interior Remodel Addition to Existing Structure New Type of Construction per UBC Type of Occupancy per UBC la Floor 2 " Floor. 3" Floor Floors thru Basement 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): $ 50 • ( - Existing Building Valuation: $ Scope of Work (please provide detailed information): + - e k e_ 2 Will there be new rack storage? 0 ..Yes D.. 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: Will there be a change in use? ❑ .... Yes ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: D.. Sprinklers 0..Automatic Fire Alarm D..None D . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0..Yes ❑..No If "yes ", attach list of materials and storage locations on a separate S -1/2 x I I paper indicating quantities and Material Safety Data Sheets. \applications \permit application (3.2003) 3/2003 Page 2 Compact: Handicap: i�w ....+.�...... i „i . ,..: ✓�.iA.'� -,t� �ii,.:5.. fr_ �2 dY,`p %;;:.i.'t ,i'rb"�;w4i+�.ifk:Y PAZ 4009/110,tioar •, �rnc+n ' FaY4�rf,Trt�1e Scope of Work (please provide detailed information): Water District ❑ ...Tukwila 0... Water District #125 D ...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) 0 ...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 ❑ ... Total Cut ❑ ...Total Fill Please refer to Public Works Bulletin #1 for fees and estimate sheet \applications \permit application (3.2003) 3!2003 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... ❑ ...Temporary Water Meter Size.. ❑...Water Only Meter Size ❑ ... Sewer Main Extension Public ❑ ... Water Main Extension Public Call before you Dig: 1- 800 - 424 -5555 ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line ff 1 1 WO# WO# WO# Private Private ❑ .. Highline ❑ ...Renton ❑ .. Geoteclinical 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 ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line 0 ...Water ❑ ... Sewer Monthly Service Billing to: Name: Mailing Address: Number of Public Fire Hydrant(s) ❑ ... Sewage Treatment Day Telephone: City State Zip. Water Meter Refund /Billing: Name: Mailing Address: State Day Telephone: City Zip Page 3 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/I,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 PERMIT INFk .MATION 206431- 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 ....El Replacement .... 0 Commercial: New ....[J 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 TI -IAT 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 OWNE _I R AUTHORIZED Signature: .applicationslperntit application (3 - 2003) 3/2003 Print Name: MA- A dJ 136. Mailing Address: r �-a - 515 t20U lGH 7 Page 4 Date: 9133/4- Day Telephone: 6 6 i 4 ( - 1 City State Zip Date Application Accepted: 457- c e-ie Date Application Expires: /6 Staff Initials: Parcel No.: Address: Suite No: Applicant: Receipt No.: Initials: User ID: ACCOUNT ITEM LIST: Description doc: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 5379200187 5166 S 166 ST TUKW OJUROVICH RESIDENCE R03 -00524 SKS 1165 Payee: MARIANNE OJUROVICH TRANSACTION LIST: Type Method Description Payment Check 3041 BUILDING - RES STATE BUILDING SURCHARGE RECEIPT Account Code 000/322.100 000/386.904 Permit Number: Status: Applied Date: Issue Date: Payment Amount: 28.00 Payment Date: 04/30/2003 02:57 PM Balance: $0.00 Amount 28.00 Current Pmts 23.50 4.50 Total: 28.00 D03 -130 PENDING 04/30/2003 8172 04/30 9716 TOThL 29.00 Printed: 04 -30 -2003 COMMENTS: 1 ti r..6a Type of Inspection: /ALP - ( 1 ` r4. Address: '$/// �T Goo ‘ Date Called j � 613 Special Instructions: (t.--1/"' � l a L - 2.■ ..5./ "2-7 7 ‘ pro t d - kd d24 � /7 a� /, d cscD'a - S s it le. ,a J - k,- l� n A Project: -' &) W J O C' Type of Inspection: /ALP - ( 1 ` r4. Address: '$/// �T Goo ‘ Date Called j � 613 Special Instructions: (t.--1/"' � l a L Date'Wantd_ ,i G - D,3 �.a:m. p.m. Request''" �...1 (' 6 Phone No e vim - �d� O INSPECTION RE ORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERM (206 4 -3670 (� y i LLJ Approved per a pplicable codes. Corrections required prior to approval. Inspect Date El $47.00 REINSPECTION4EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: October 7, 2003 Joseph & Marianne Ojurovich P.O. Box 595 Roslyn, WA 98941 RE: Permit Application No. D03 -130 5166 South 166th Street Dear Permit Holder: 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. 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 or request and receive an extension prior to November 2, 2003, 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 City of Tukwila Xc: Permit File No. D03 -130 Bob Benedicto, Building Official Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206-431-3665 CITY OF IKWILA Permit Center 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 Telephone: (206) 431 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON COUNTY OF KING ) ss. Marianne of u Yo vi Gh , states as follows: 1. I have made application for a building permit from the City of Tukwila, Washington. H -4 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. 12- , 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 _` A.D \‘‘, P.�`SS�ONF 'I o NOTAR : U ..-- : PUBLIC 6 .16 - o bi X1 ,9, .,, ,,.• '.. , Ara AP' LICANT Signed and sworn to before me this 3ofh day of , 20 O-' . ace. a /624,, NOTARY PUBLIC in and fo' the State of Washington, residing at i </r") Name as commissioned: My commission expires: County. Alice. A. Deacy 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; ny 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 of a registered contractor with wages as his sole compensation; 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. s`.