HomeMy WebLinkAboutPermit D03-204 - HEMENWAY RESIDENCE - GARAGEHEMENWAY RESIDENCE
4040 S 128 ST
D03 -204
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City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 7340600665
Address: 4040 S 128 ST TUKW
Suite No:
Tenant:
Name: HEMENWAY PHILIP
Address: 4036 S 128TH ST, SEATTLE WA
Owner:
Name: HEMENWAY PHILIP Phone:
Address: 4036 S 128TH ST, SEATTLE WA
Contact Person:
Name: JEFF HEMENWAY Phone: 206 244 -2222
Address: 4036 S 128 ST, TUKWILA WA
Contractor:
Name: OWNER AFFIDAVIT - JEFF HEMENWAY Phone: 206 244 -2222
Address: 4036 S 128 ST, TUKWILA WA
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
REPAIR & REPLACE.
Value of Construction: $ $1,550.00 Fees Collected: $98.63
Type of Fire Protection: N/A 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
Public Works Activities:
N
N
DEVELOPMENT PERMIT
Permit Number: D03 -204
Issue Date: 07/08/2003
Permit Expires On: 01/04/2004
Number: 0 Size (Inches): 0
Start Time: End Time:
Volumes: Cut 0 c.y. Fill 0 c.y.
Start Time: End Time:
Private:
Profit:
Private:
** Continued Next Page **
D03 -204
Public:
Non - Profit:
Public:
Printed: 07 -08 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Permit Center Authorized Signature:
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.
Signature:
doe: Devperm
Print Name: ■1■iSih 0 1• 1 -
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.
D03 -204
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Printed: 07 -08 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
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Parcel No.: 7340600665 Permit Number: D03 -204 4 i — w
Address: 4040 S 128 ST TUKW Status: ISSUED oL 2
Suite No: Applied Date: 07/08/2003 6 m
Tenant: HEMENWAY PHILIP Issue Date: 07/0812003 o
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4: Any exposed insulations backing material shall have a Flame Spread Rating of 25 or Tess, and material shall bear z O
identification showing the fire performance rating thereof. w
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5: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 v 0
Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). 0 H
6: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be w w
construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any i–
other ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this LI 0
code shall be valid. U
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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.
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: Date: 7/8/ 3
Print Name : -;./ t>- (46...meNwA 7
doc: Conditions
D03 -204
Printed: 07 -08 -2003
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Site Address: 40 4-0 5 , 1 ZS 5
Tenant Name: P I (, - fuel- Jtt. fh'
Property Owners Name: P 4 1 L, _ fri L1U/ f
Mailing Address: t' S , 12_43
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`CONTACT.PERSON.
Name:
Mailing Address:
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 (3.2003)
3/2003
CITY OF TUKWILA
Community Development L artment
Public WUrks 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**
40 5
Page 1
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
lJ
City
City
Fax Number:
(A..) 6-
State
Floor:
❑ ... Yes
❑ ..No
Day Telephone: 7 D(' 744 22-2-Z
T U)LJ) LA c 1ta4
State Zip
2O6/ 24-+ 2 .Z55
State
Zip
City
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 **
ARCHITECT_OF:;RECORD All plans must be wet stamped by Architect ofRect O
State
State
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:
'' ' '�� . S"�J;.�1i�{t�✓Y'(irllt� 1414.1/ }.t ��(r�t�:G� �+Y�i{���zf'A Y . 1.F��k3 �!.?�5�.+�iJ1i'u'�.5 Ic
BUILDING PERMIT. INFORMATION -20643173670
i
Valuation of Project (contractor's bid price: $ j 5 0, Existing Building Valuation: $ 0
Scope of Work (please provide detailed information): 5 fi E -- F ivC' i.C?S e/) 1 `p 1 _ 1 9 'vs- !r
Will there be new rack storage? ❑ ..Yes Rj.. 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): i Pg,3 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 Stat Provid d: Standard:. — r ' Compact: Handicap:
Will there be a change in use? ❑ ....Yes ❑i N If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0.. Sprinklers ❑..Automatic Fire Alarm ca.None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous ma :vz;als in the building? ❑..Yes ❑..No
1f "yes". attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets.
tappliations'permit application (3.2003)
3/2003
Page 2
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of . .
Construction
per UBC
Type of .
Occupancy per
UBC . .
— P T Floor
2 " Floor
3'd Floor
Floors _ . thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
BUILDING PERMIT. INFORMATION -20643173670
i
Valuation of Project (contractor's bid price: $ j 5 0, Existing Building Valuation: $ 0
Scope of Work (please provide detailed information): 5 fi E -- F ivC' i.C?S e/) 1 `p 1 _ 1 9 'vs- !r
Will there be new rack storage? ❑ ..Yes Rj.. 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): i Pg,3 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 Stat Provid d: Standard:. — r ' Compact: Handicap:
Will there be a change in use? ❑ ....Yes ❑i N If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0.. Sprinklers ❑..Automatic Fire Alarm ca.None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous ma :vz;als in the building? ❑..Yes ❑..No
1f "yes". attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets.
tappliations'permit application (3.2003)
3/2003
Page 2
=P
� LI.0 WORKS,. PERMIT INF
Scope of Work (please provide detailed information):
5e eact_05E_O
Water District
❑ ...Tukwila ®... Water District # 125
❑ ... Water Availability Provided
Sewer District
❑ ...Tukwila O... ValVue ❑ .. Renton ❑ ...Seattle
❑...Sewer Use Certificate ❑... Scwer 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 Tess than 72 hours
❑ ...Right -of -way Use - No Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way
Non Right -of -way
❑ ...Total Cut
❑ ...Total Fill
❑..: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 _
lapplicationstpetmit application (3 -2003)
312003
„
cubic yards
cubic yards
RMATION 6‘,113
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
Call before you Dig: 1- 800 - 424 -5555
„
WO#
WO#
WO#
Private
Private
Page 3
❑ .. Highline
c,
❑ ...Renton
❑ .. Geotechnical Report ❑...Traffic Impact Analysis
❑ .. Maintenance Agreement(s) ❑...Hold Harmless
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ... Deduct Water Meter Size
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
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 /I00,000 BTU
Furnace >100K BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan 1
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-PERMIT INFOT' 206=431 -3670
MECHANICAL CONTRACTOR INFORMATION
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 **
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential: New ....❑ Replacement ....0
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas ....0 Other:
Indicate type of mechanical work being installed and the quantity below:
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.
1 HEREBY CERTIFY THAT l 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:
Date: -1/s/03
1-1 A 4 &M -,.'' J fx6 ale lephone: 2-06' 4 T Z ?/
Print Name: PH)
State
Signature:
Mailing Address:
lapplicationslpermit application (3-2003)
3/2003
41 5 L 12<7 54-7 - ru r//9
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Page 4
City State Zip
Day Telephone:
Fax Number:
Zip
Date Application Accepted:
I Date Application Expires:
Staff Initials:
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RECEIPT 4- W
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Parcel No.: 7340600665 Permit Number: D03 -204 6 o
Address: 4040 S 128 ST TUKW Status: PENDING co 0
Suite No: Applied Date: 07/08/2003 co w
Applicant: HEMENWAY PHILIP Issue Date: � H ,
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Receipt No.: R03 -00817 Payment Amount: 98.63 LL ¢ .
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Initials: SKS Payment Date: 07/08/2003 04:55 PM = w
User ID: 1165 Balance: $0.00 Z H
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Type Method Description Amount I � '
Payee:
TRANSACTION LIST:
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PHILIP HEMENWAY
Payment Check 5352
BUILDING - RES
PLAN CHECK - RES
STATE BUILDING SURCHARGE
98.63
Account Code Current Pmts
000/322.100
000/345.830
000/386.904
57.05
37.08
4.50
Total: 98.63
0300 07.:09 ':7.1.6 TOTAL 98 ,, 63
Printed: 07 -08 -2003
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COMMENTS: (A -i'
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Date Called:
Special Instructions:
Date Wanted:
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Requester: !
Phone No:
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INSPECTION RECORD
Retain a copy with permit
INSPECT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
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a-734.2,a/
(206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
Date
4, 1L- 4 / 01 Th
El $47. 0 REINSPECTION E REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
,'v'is`it S..3,`'x•k�9.:, ��G` �'li.SlYvit C.i�A:i.'
Receipt No.:
Date:
COMMENTS:
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Date Called:
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Requester:
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of Inspection: Garage f
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Address:
4040 5 . aRi s +.
Date Called:
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Special Instructions:
1 At paw
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Date Wanted: a.m.
S -1 2 - 03 I :30(
Requester:
Ph I I4( VIA eI-,wcR1
Phone No:
aoto —a4 -2222.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION i9'�/3 •
6300 Southcenter Blvd., #100, Tukwila, WA 9818
Approved per applicable codes. Ej Corrections required prior to approval.
l
Date:
; ' /?
$47.00 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
}
PO3 -20'4
„
REVISION
• NO CHANGES SHALL BE MADE TO
THE SCOPE OF WORK WITHOUT PRIOR
APPROVAL OF TUKWILA BUILDING DIVISION.
NOTE: REVISIONS ‘VILL REQUIRE A NEW PLAN SUBMITTAL
AND MAY INCLUDE PLA!.I t"::'.
4140 Garage Plans
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27'
4040 Garage 3 View
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NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR1HAN
THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT.
8' 7"
12' 2"
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NOTICE: IF THE DOCUMENT S DUE TO THIS AN
QUALITY OF THE DOCUMENT.
THIS NOTICE IT I
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5/8" J Bolts 4' O.C.
-• 18"
4040 Garage Footing
II
2x6 Std Studs 16 "O.C.
2x6 PT Plate
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Concrete, 5 Sack M'
5/8" Rebar ,4 Places
14" AGL
24"
18"
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Ground level on east side
CITY OF TUKy %
APPROVED
JUL 0 8 2003
AS NOTED
$ 0 T TY
Ground level on west side
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JUL 0 8 2003
AS NOTED
North top
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NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR
THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT.
4040 Garage
Rafters are 2x6's 24" o.c. Ridge beam is a 1x6
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62- 2x6x68" std Le. e. 31 -14' x2x6
140' of 2x6 std for double plate
7- 2x10x10 for headers
3- 2x12x12 for front header
3 - 2x12x12 for front door header
22 -9 "J bolts
70' 2x6 PT for bottom plate
4040 Garage Parts List
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$178
57
56
32
32
25
42
Concrete 74' footing + 63' x2' wall = 74 cu ft + 83 cu ft = 157 cu ft = 6 cu yrds500
32- 2x6x10 rafters 131
15 - 14' rafter braces
27' 1x6 for ridge beam
30 shts 1/2 OSB
86
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300
$1454
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January 2, 2004
Jeff Hemenway
4036 South 128th Street
Tukwila, WA 98168
RE: Permit Application No. D03 -204
4040 South 128th Street
Dear Permit Holder:
city of Tukwila
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.
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 February 9,
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 -204
Bob Benedicto, Building Official
Steven M. Mullet, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665
February 10, 2004
Mr. Jeff Hemenway
4036 South 128 Street
Tukwila, WA 98168
RE: Request for Extension — Permit No. D03 - 204 — 4040 South 128'h Street
Dear Jeff:
This letter is in response to your written request for an extension to Permit No. D03 -204. Based on the
information received, the City of Tukwila Building Division will be extending your permit to August 6,
2004.
Please be advised that this will be the only extension granted for this project and no further notice will
be ,eiven prior to the expiration date. A new permit and associated fees will be required after the
above -noted expiration date.
If you should have any questions, please contact our office at (206) 431 -3670.
/sks
Robert Benedicto
Building Official
File: Permit No. D03 -204
city of Tukwila
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
Stefania Spencer
City of Tukwila
Dept. of Community Development
6300 Southcenter Blvd.
Tukwila, WA 98188
RE: 4040 S. 128th St. garage rebuild permit extention application
Dear Stefania:
Please extend my garage rebuild permit # D03 -204.
The reasons for not having completed this project on time are directly related to
Tukwila's requests that we clean up my father's (Phil Hemenway) 4040 property and 2
other properties to their standards. As he is 83 years old, this clean -up falls on me. Also
because of his age many other things become my responsibility. So I have been
cutting up and disposing of "junk" cars etc. and finding solutions to the many code
enforcement requests one by one, while at the same time trying to earn a meager bit
of a living while also making sure the lives of several people go smoothly. The garage
project has taken a back seat for a while. Soon the bulk of the cleanup will be done and I
can continue rebuilding the garage.
Thankyou for the extention.
o, l�s,
/god
Yours Sincerely,
4
Jeff Hemenway
Jeff Hemenway
4036 S. 128th
Tukwila, WA 98168
2/6/04
RECEIVED
CITY OF TUKWILA
FEB 0 6 2004
PERMIT CENTER
STATE OF WASHINGTON
COUNTY OF KING
AFFCONT 1/13/00
CITY OF 7 W XWILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
ss.
0 4-4-7 A FF gEMeiLMAJAY , states as follows:
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.
s GE
A. Os ���
�oivF� f i
1
i : o NOTARY
� PUBLIC
APP NT
Signed and sworn to before me this
4ti day of 'u /y , 20 03
residing at King
Name as commissioned:
My commission expires:
County.
Alice A. Deas
6 -O4
H -4
(26 a. Niea c
NOTARY PUBLIC in and the State of Washington,
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 Tess 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 operat,.,n 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.
i .,ufn�tJ s•ti ?n usSJs� i 'taw'$r r "' 1v ��6 " ° ' x t _ } iMki ui:weez 4L tsiiswftoi 6Yd:9{q
Owner:
Name:
Address:
•
Tenant:
Name:
Address:
Contact Person:
Name:
Address:
Value of Construction:
Type of Fire Protection:
Type of Construction:
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
Parcel No.: 7340600665
Address: 4040 S 128 ST TUKW
Suite No:
HEMENWAY PHILIP
4036 S 128TH ST, SEATTLE WA
HEMENWAY PHILIP
4036 S 128TH ST, SEATTLE WA
JEFF HEMENWAY
4036 S 128 ST, TUKWILA WA
Contractor:
Name: OWNER AFFIDAVIT - JEFF HEMENWAY
Address: 4036 S 128 ST, TUKW ILA WA
Contractor License No:
DESCRIPTION OF WORK:
REPAIR & REPLACE.
$ $1,550.00
N/A
VN
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
N
DEVELOPMENT PERMIT
Number: 0
Start Time:
Volumes: Cut
Start Time:
Private:
Profit:
Private:
** Continued Next Page **
003 -204
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date:
100
Phone:
Phone: 206 244 -2222
Phone: 206 244 -2222
Size (Inches): 0
End Time:
0 c.y. Fill 0 c.y.
End Time:
Public:
Non - Profit:
Public:
D03 -204
07/08/2003
01/04/2004
Fees Collected: $98.63
Uniform Building Code Edition: 1997
Occupancy per UBC: 0007
ZO3
Printed: 07 -08 -2003