HomeMy WebLinkAboutPermit D03-135 - MIEDEMA RESIDENCE - IMPROVEMENTMIEDEMA RESIDENCE
13705 41ST AVENUE
SOUTH
D03 -135
Water Main Extension:
doc: Devperm
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 7360600530
Address: 13705 41 AV S TUKW
Suite No:
Tenant:
Name: MIEDEMA RESIDENCE
Address: 13705 41 AV S, TUKWILA WA
Owner:
Name: MIEDEMA BILL +KATHY
Address: 17160 NE 5 ST, BELLEVUE WA
Contact Person:
Name: KATHY MIEDEMA
Address: 17160 NE 5 ST, BELLEVUE WA
Contractor:
Name: OWNER AFFIDAVIT IN FILE
Address: ,
Contractor License No:
DESCRIPTION OF WORK:
REMOVE OLD DRY WALL AND ADD INSULATIONL. REPLACE WITH NEW DRY WALL. REMOVE OLD TUB AND REPLACE.
REMOVE 1/2 WALL SEPARATING KITCHEN AND LIVING AREA. CHANGE (MOVE) ENTRY DOORS OF BATHROOM,
BEDROOM
AND OUTSIDE DOOR TO DECK.
Value of Construction: $ $2,500.00 Fees Collected: $141.86
Type of Fire Protection: NONE Uniform Building Code Edition: 1997
Type of Construction: VN Occupancy per UBC: 0007
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
DEVELOPMENT PERMIT
Permit Number: D03 -135
Issue Date: 06/13/2003
Permit Expires On: 12/10/2003
Expiration Date:
Phone:
Phone: 425 - 562 -1821
Phone:
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: N
Storm Drainage: N
Street Use: N Profit: N
N
Private: N
D03 -135
Public: N
Non - Profit: N
Public: N
Printed: 06 -13 -2003
r :i,. .....i}a i w_, ;'i L..ti.J_c........,. k' ' c:.. �.:4 .r } ��~ , „ �, ..:,v> >w.^�.? t ri• �j♦h�?�?:;mFb/.� � k'1/";,j fJX�,t 6 :" 4 ' r i�r` htl?
Water Meter: N
doc: Devperm
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
** Continued Next Page **
D03 -135
Printed: 06 -13 -2003
Permit Center Authorized Signature:
Signature:
Print Name: 7 /e
doe: Devperm
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
c&
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 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.
003 -135
Date: 06/13/03
Date: 6 ---/ 3 -03
Printed: 06 -13 -2003
'r ".+fauiirk+ raw
Print Name: rcL '/l) I - (—' i , 114 / Cl'C 6'1'1 /'
doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 7360600530
Address: 13705 41 AV S TUKW
Suite No:
Tenant: MIEDEMA RESIDENCE
Signature:
PERMIT CONDITIONS
D03 -135
Permit Number: D03 -135
Status: ISSUED
Applied Date: 05/05/2003
Issue Date: 06/13/2003
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 Tess, 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.
11: There shall be no occupancy of the building(s) until the final inspection has been completed by the Tukwila Building
Inspector.
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.
Date: ,. j • r�J
a.,j,.wron+»rx m •.w - ... - kMM•yt!.AFR•' - • ." ... s . stw+MN3ti.'4rtfU �. '.. i�ie,s i- '.�13'f `i�371.M
Printed: 06 -13 -2003
u�Y;:9P�kr5'k�
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Tenant Name:
Mailing Address:
Name:
Mailing Address:
y L ,
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
\applicationa\permit application (3.2003)
3/2003
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 **
Site Address: 13 70 S' LJ/ 5 & U f S
/ 1 L Dm�
Fes. "'+ti 'h .. ���tt'+"�.r §��+'t.10a1�
K lM i'Q d. Q vV\ •
17((o, s4
E -Mail Address: OA i Q cQQ hn ct ) k2 Ia.
4 ••
Property Owners Name: 8 t 1 4- KGI. iik ci L A
S_} Blartat yr /.o iAJ/
City
�� ` "y; �ft�? y���j : ; e+P ��.
■ 4. ate
Page 1
King Co Assessor's Tax No.: 73 2 6 C532
Suite Number:
New Tenant:
Floor:
❑ .... Yes ❑ ..No
State
Zip
Av. e�
•
v1°} 4,114, ,° r• 1Ot3;:h t i
Day Telephone:
4-ydo ?
ef, f uu i tAJA
City State Zip
- Q 1 Fax Number:
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
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 **
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
City
Day Telephone:
Fax Number:
State
Zip
,1414Pg.
Company Name:
Mailing Address:
State
Zip
44, 12 11 s
1Y�:CFti"
o-3
1 ..BUILDINGPERNIITINF,ORIVIATION t : 2 06.; 431 -3670 :S Jfy;,r:rt• Vff,,Y} ar.' ,.�r,�.- .;A.' ;',` « i1',A; .. , u G;�y.d.t� •. :,:; +i67 nd .+
i .G.�. ",a;...r : •Z. r ;: ' 'T ,. y 'v,�' st J, j9 4" ac'ti tr n;i�: ,.r
*Valuation of Project (contractor's bid price). £ c:? 5?) 0. 0 C) Existing Bu►, ,,tng Valuation: $ j O d • 0 0
t• Watil
Scope of Work (please provide detailed information): yy i U C. ('9 1 A Q. � ✓\CQ odd.
s) . .► n K Q. • l t v t .. . . ' - • v' I 4 U i (• • lae. Q
Ro ono a o `IQ, well() s souse -4-1 A k. t e vt t- l ( U z n c ucec k . . aexivi o wtei ve
Etn doo cS o - t m b*roo , of r\GQ 0 (../ s ick l' cdcc c 40 PC>
Will there be new rack storage? ❑ ..Yes No If "yes ", see Handout No. for requirements.
'.applications)pertnit application (3.2003)
3/2003
Provide All Building Areas in Square Footage Below
Page 2
1 ".Floor
2 "° Floor
3t0 Floor •
Floors
Basement•
Accessory Structure * : ;
Attached Garage
Detached Garage
Attached Carport
Detached Carport
CoveredDeck
Uncovered Deck
633
Interior
Remodel
G, 33
Addition to
Existing
Structure
New
.Type of
Construction
per:UBC
::Type of ..:' .:.
Occupancy per
UBC
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:
❑..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 I / paper indicating quantities and Material Safety Data Sheets.
Scope of Work (please provide detailed information):
as Q l a A-1(9)11, � ..e 00 e I_. : -4--
U'cO +c)1 4- (P p (oi.Q 0 . RP
—I- i V'. ✓�
Oke: refer to Public Woks Bulletin` #1 .to''r,tecs and estimate sheet ': ; ' e'!
Water District
❑ ...Tukwila 42K. Water District # i 25
❑...Water Availability Provided
Sewer District
❑ ...Tukwila alVue ❑ .. 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 - Profit for less than 72 hours
❑ ...Right -of -way Use - No Disturbance ❑ .. Right -of -way Use — Potential Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way
Non Right -of -way
❑...Total Cut cubic yards ❑ .. Work in Flood Zone
❑ ...Total Fill cubic yards ❑ .. Storm Drainage
El ...Sanitary Side Sewer
0 ...Cap or Remove Utilities
0 ...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 _
0 ...Water Main Extension Public _
\appliationa\pennit application (3 -2003)
3noo3
11
Call before yo
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
11
11
11
WO#
WO#
WO#
Private
Private
❑ .. Highline
Page 3
Dig: 1 800 - 424 - 5555 0 U S
❑ ...Renton
❑ .. Geotechnical Report ❑ ...Traffic Impact Analysis
❑ .. Maintenance Agreement(s) ❑ ...Hold Harmless
0 .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑...Deduct Water Meter Size 11
Q add
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
11nit�T . ,.42 ` ; ! i
ype�:, . ti.:� � � .,, �
s ,Qty:..
t . p0.:'::,?'.' a
`UnitT `` .. }:
, Q ty
. Uini.t�T a �, '' ,
YB r
LQ , ;
gBuer /co nipress . _ •? ,' ., :
o
` QtY�
Furnace <100K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 H /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
Contact Person:
E -Mail Address:
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Indicate type of mechanical work being installed and the quantity below:
Mailing Address:
City State Zip
Day Telephone:
Fax Number:
Contractor Registration Number: Expiration Date:
**An original or notarized copy of current Washington State, Contractor License must be presented at the time of permit issuance **
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:
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 OWNER OR AUTHORIZED AGENT: ' /
4 ( Signature: /'\ �l�t �li�, r � C. iw) A
Print Name: Kc()14) r / (k-vo /q
Mailing Address: / , ) 'U • S`�"
Date Application Accepted:
I — 1'03
\applications \permit application (3.2003)
3/2003
Date Application Expires:
Page 4
:;rpY.YvYO
Day Telephone:
City
i }C
Date: S 2 -o
— S7
to A c
00
State Zip
Staff.]nit
1CVt
.ea v.Nrn e'H'[^ v tt,YAb1
Parcel No.:
Address:
Suite No:
Applicant:
Receipt No.:
Initials:
User ID:
Payee:
TRANSACTION LIST:
Type Method
doc: Receipt
Payment
RD Pmts
ACCOUNT ITEM LIST:
Description
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
7360600530
13705 41 AV S TUKW
MIEDEMA RESIDENCE
R03 -00730
LAW
1630
BILL & KATHLEEN MIEDEMA
Check 4730
Re -Dist
BUILDING - RES
PLAN CHECK - NONRES
PLAN CHECK - RES
STATE BUILDING SURCHARGE
Description
RECEIPT
Account Code
000/322.100
000/345.830
000/345.830
000/386.904
Permit Number:
Status:
Applied Date:
Issue Date:
Payment Amount: 87.75
Payment Date: 06/13/2003 04:28 PM
Balance: $0.00
Amount
87.75
.00
Current Pmts
83.25
-54.11
54.11
4.50
Total: 87.75
D03 -135
APPROVED
05/05/2003
976;2: 06/16 9716 MIA AL 87.7:
Printed: 06 -13 -2003
z
RECEIPT
f z
re w
Parcel No.: 7360600530 Permit Number: D03 -135 v
Address: 13705 41 AV S TUKW Status: PENDING V o
Suite No: Applied Date: 05/05/2003 co w
Applicant: MIEDEMA RESIDENCE Issue Date: LU _
H
CO W
w °
Receipt No.: R03 -00550 Payment Amount: 54.11 g Q
CO D
Initials: BLH Payment Date: 05/05/2003 12:38 PM = a
User ID: ADMIN Balance: $87.75 1— w
Z
l- 0
z i-
w
O �
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O F-
w -
Type Method Description Amount F = - U
�O
'Payment Check 4664 54.11 Z
LU
U =
O ~
Payee:
TRANSACTION LIST:
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
BILL MIEDEMA
PLAN CHECK - NONRES
Account Code Current Pmts
000/345.830 54.11
Total: 54.11
8357 05/06 9716 TOTAL 54.11
Printed: 05 -05 -2003
.�4�. aty {Its
F;iFa!!;�p�,ry�LY k ° rjl.�f,�ctij
to i acA e4t;c4.. sa taW: vv, ls'a
z
Pr c :
Type of Inspection:
on:
l
1370 t r
Date Called:
JO .2 - C
,--"-
Special I structions:
�n
/ , pOW:;#
6 cant ( 0 /0 z
2 Ri 5P)
Date Want d
! /
a r
p.m.
Requester:
� nfrNo: - , ..
(200 ) `�q - .5
'
ri
6703 -13<
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMI7'NO. "
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
121 Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Comp 1 -9
Inspector.
Date: 1 8 _ c)l
El $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:
5.6
Projec : ,
nI - e C W
.f' S
Type of
l PO, v' •(,l.) CA V-
Ad ress:
c\ 5-
LL��
)- 1 k
A V
Date Called: i
I v , 1 2 ) - G Lf
Special Instructions:
Date Wanted: m.
1 U 3 0z( 4..-m:
Requester:
Phone No:
44,1, i�tti�:.z�s;�'wviw'
to
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PER
06)431 -3670
. 1 . ...t / pproved per applicable codes. Corrections required prior to approval.
COMMENTS:
. R-sQ/14/Jii -
ri $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector
Date: 0 _ 1 °Li
Receipt No.:
Date:
Pr j ct: Al &
rf
Type fl sp ction: .
A dre •
1 0 :.. , z- ( k 14 O (
Date Called:
t —...
Spe al Instru ions:
' ' a.a- p ?
A K.0.0/A? K.0.0 if /
c iAli late c 4 .
Date Wanted: ( am,,,
1 D `✓ /04 p.m.
Requester:
Atone N.
( p) g (40- % L17
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
COMMENTS:
(206)431 -3670
Corrections required prior to approval.
Inspectors 3
Date: ( U `�• OG'
El $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:
COMMENTS:
4 A
Type of In ction: (�� ��y
l A,) ' 1(zi
d t 3 . (D-.
Li A4 .S..
D to Called:
a C e 5 J V
Special
I nStrucfions:
D
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1
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6 113 7 5t
wi 1 I
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Pr 'ect:
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Type of In ction: (�� ��y
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Li A4 .S..
D to Called:
a C e 5 J V
Special
I nStrucfions:
D
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1
)04
6 113 7 5t
wi 1 I
Date Wanted: dn..
Requester:
Phone No:
( --1 — % scl 31qc4
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. P RMIT NO.
CITY OF TUKWILA BUILDING DIVISIO
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20 431 -3670
Approve per applica le codes.
Corrections required prior to approval.
Inspector
1/C1 /1
Dater •
$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:
Pr
ect:
/ ,
.
Typ f Inspection:
l / 14(? Q
AdIre.-
. ateCalled. ( C/oq Special
Instructions:
l l
V -
�
p
� � � t
i •
Date Wanted:
4m .
T p.m.
/ ` / 'r
Requester:
(/
Phore_No:
Y/ ' 3f0.,
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(20 •)431 -3670
Approved per applicable codes.
El Corrections required prior to approval.
COMMENTS:
Date: Li
Inspector: r L./
A W1
E] $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:
Project:.
Type of Insp ctikn:
ddress:
., r
D�t� Called.
/
Special Instructions:
t �'+ cY1
`
Date Wanted:
(
44
/
° .m.
Requester:
�
t
Ph e No
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
PER
( 06)431 -3670
COMMENTS:
Inspector:
El Corrections required prior to approval.
Date:
El $47.00 REINSPECTION F E REQUIRED. Prior to inspection, fee mu t be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Pro'ect: I ,
IIg 4!..rrA'_:4.LA
A• dr ss ..
\ - 7 (7) -1 -4 1 ■ c
Type of In pection:
! L 11, i z
Aate Called:
\-1") ,...
/
c)3
Special Instructions:
' iJ C■ge o ci p„ .�
. -4 . 4/l Cw�
Date Wanted:. i
( V 1 4
p1-,
Cp :m'.
Requeste\:
Phone N o.4 r
1-4 'g a 9 - / 4 -0
I 1(S r`a+aA�s t*mi
INSPE ION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
• L. I {/�
04 4- O✓1.
Approved per applicable codes.
COMMENTS:
Pr- r/ alt, & c v
.a:
INSPECTION RECORD
Retain a copy with permit
4.1 CA-\J 0-
7.00 REINSPECTI9N FEE REQUIRED. Prio
id at 6300 Southcenter Blvd., Suite 100.
/ e is,
Corrections required prior to approval.
Date:
Li /24
to inspection, fee mt t be
Ito schedule reinspection.
Date:
(2 1 6)431 -3670
COMMENTS: i �--
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S eci I Instructions:
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pection:
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INSPECTION NO.
El Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
PERMIT N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Corrections required prior to approval.
/ L /h
�
0 $47.00 REINSPECTy6N FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Date: 1- 2-` 0 <
Receipt No.:
Date:
S
Pr ject: rr1 ,�{,Q a.e/'Yr
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COMMENTS: ``
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Inspector
Date: /
INSPECTION NO.
CITY OF TUKWILA BUILDING \ DIVISION
6300 South cepter B1vd., #100, Tukwila, WA 98188
JJ Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO
(206)431 -3670
Corrections required prior to approval.
$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:
V
Project: ,
n terokeAnita
(
Type spection 1
P .S' i ka
AtIM: H 1 st Atie _
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Date Called: 7/.3
Date Wanted:
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Special Instructions:
Reque:1 in
P e No:
(10 Li) 7b q ( 0 Cri
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88
PERMIT NO
(206) 43 1-3670
Approved per applicable codes.
Corrections required prior to approval.
COM ENTS:
$47.00 EINSPECTI FEE IQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedureinsPection.
Receipt No.:
Date:
1111rL. 4
4,44.444/;.:40i,;„41,Lah:lk:
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Project: /� �r
Type of Ins ection:
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Address:
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54
Date Ca led:
Special 1ructions:
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Date Wanted:
a.m.
Requester:
Phone No:
2
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INSPECION NO.
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
PERMIT N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
El Corrections required pr approval.
‘r4
COMMENTS:
Inspector,
Date:
El $47.00 REINSPECTION FFE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
File: D03 -0135
35mm Drawing
#1
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O
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O
73 (pb(o6 OS) oos
Miederla Residence
4/18/03
1/4" = 1'
Foundation additions
Fill in 2 X 4 framing @ 16' on center under existing
4 X 8 beam. C this wall)
Existing 4 X 8 beam
Install new
LUS48 hangers —_
7' -ll•
3' -0•
Lack of support solution
Existing 4 X 8 beam
Existing 2 X 6 Floor Joist to remain
11' - 0•
Proposed new 24 X 24 X 10 concrete pad
reinforced w/4 pcs 4 4 rebar,
4 X 4 treated post with 2/ AC4 post cap plates
@ top and 1/ CBSQ44 post base @ bottom.
Existing beam splice solutic
Proposed new 24 X 24 X IC concrete pad
reinforced w/4 pcs k 4 rebar,
4 X 6 treated post with 2/ AC6 post cap plates
@ top and 1/ CBSQ46 post kase @ bottom. '
Existing 4 X 8 beam
n
Existing splice in beams w/ no po
Existing pad & 4 X 6 treated post
to remain
l0' - 0
Existing 2 X 6
Floor Joist to
remain
' fin•:...,:; y . .
14' -0'
14 -0
1
2' - 6 X 6'8
Miedena Residence
4/18/03
1/4" = 1'
Proposed changes main
floor plan
Note' R (s
- Remove drywall and install R-yi insulation
In existing exterior walls
- Install R -4.9 insulation under floor
-Blow in additional attic Insulation
,23 0
Bath
Sink
2' -6 X 4'0
Relocate
plumbing for
washer
Toilet
Utility room
Remove window �,•>_�
& relocate Stack =
door Washer r:
Dryer New walls
around refer
Relocate
door
Relocate
bath
/or
//
U
Replace 2' -6
X 6'8 exterlo
door w/2' -6
4' -6 window.
Nook
Remove non bearing
wing wall
Kitchen
Sink
I I
2' -0 X 2' -8
0
N
N
2' -2
X
6' -8
door
_ T _
Bedroom
Remove non bearing wall
and brick chimney.
Range
Relocate existing door
&fill in framing.
2' -8 X 6'8
entry door
Main Room
Remove 4'0 X 4'6 window
and move existing entry door
to location of vacant window
opening. (fill in framing)
.�.— ...»w.•..nw.s.�TrcrahN: <: w:Cdi� A4'c�
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Cool 0 Avw
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0 3AI333L1
Existing 4X 8 beams
AC6 post caps
„
Typical post detail
for new posts in crawl
4/18/03
scale 1" = 1'
CBSQ46 post base
24 X 24 X 10 concrete
pad
#4 rebar
831N3O liWa3d
NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR1HAN
THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT.
7
RD
' i
831N3O liWa3d
NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR1HAN
THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT.
10 -01 -2004
KATHY MIEDEMA
17160 NE 5 ST
BELLEVUE WA 98008
RE: Permit No. D03 -135
13705 41 AV S TUKW
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 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:
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 11/14/2004, 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,
xc: Pcrmit File No. D03 -135
Bob Benedicto, Building Official
City of Tukwila
Call the City of Tukwila Permit Center at 206 -431 -3670 to arrange for the next or final inspection.
Stefania Spencer,
Permit Technician
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 - 431 -3665
IIIMSESSEsemmenes r..+.+.trhwt•+'fa:rc atwwr:3r+taw p u. s. Arga rmr Akt+ ruw+, wvw ,ion..araw�:qu+erseirl+rIff.'. ri:OtiffrtMt!.*
Steven M. Mullet, Mayor
December 8, 2003
Kathy Miedema
17160 NE 5th Street
Bellevue, WA 98008
City of Tuki,vila Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
RE: Permit Application No. D03 -135
13705 41st Avenue South
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 January 26,
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 -135
Bob Benedicto, Building Official
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Documents /routing slip.doc
2-28-02
Ad00 ai000!I 2rJ
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D03 -135
PROJECT NAME: MIEDEMA RESIDENCE
SITE ADDRESS: 13705 41 AV S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
DATE: 05 -05 -03
Revision # After Permit Is Issued
DEPARTMENTS:
/to) 640 ' n I 1 1°3 Build nl g 6ivision [� Fir
Publi Works k �LD- Structural ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 05 -06 -03
Complete
Comments:
Incomplete
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROIjTING:
Please Route , L_J , / Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 06 -03 -03
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
COORD CO'
411 5
Planning Division ❑�
Permit Coordinator
Not Applicable ❑
DATE:
•
45Gys,CF34y #S.vA
STATE OF WASHINGTON
COUNTY OF KING
Ka-hleer Miecue,ria
AFFCONT 1/13/00
CITY OF 7 \ CWILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
ss.
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.
, states as follows:
/kw (.*
APPLICANT
Signed and sworn to before me this
day of /
a&L b a c
NOTARY PUBLIC in and or the State of Washington,
residing at KI h j County.
Name as commissioned: A/l Ce A. Decay
My commission expires: 6-/6-04
dv 3 .lid;
Vit
H -4
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�` rrnw. v: nrrt» r! r.+! Aerxnarrar�r�a K- rer.:w��.,.. «�... �.r +..r,�v,..w
Q ■O fir,
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 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.
File: D03 -0135
35mm Drawing
#1
REQUIRED FOR:
tfMECHANICAL
VELEGTItiCAL
PLUMBING
GAO PIPING
CITY OF TUKWILA I
BUILDING DIVISION
No CHANGES SHALL [ E MADE TO
SCOPE OF '. 'ORK WITHOUT PRIOR
,P,I3'AL (6F TUr\ ILA BUILDING DIVISION.
I understand that the Plan Check approvals are
subject to errors and omissions and approval of
plans does not authorize the violation of any
adopted code or ordinance. Receipt of con-
tractor's copy of approved plans acknowledged.
By--
Date 6 - - -O
Permit. No
a
FILE COPY
I: 3 T E: REVISIONS WILL REQUIRE A NEW PLAN SUBMITTAL
D MAY INCLUDE ALIDMOMPL PLAN REVIEW FEES.
RECEIVED
CITY OF TUKWILA
MAY 0 5 ?OL':
PERMIT CENTER
X03