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Permit D03-252 - NGUYEN RESIDENCE - BASEMENT
NGUYEN RESIDENCE 4234 S 137 ST D03 -252 Z �=-z W Q� W U. U 00: co W= N L L W D ga =d _. �O Z H: 11.1 uj UO O _. O i- W • lu . —O .• Z W O F' Z Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving Oversize Load: Sanitary Side Sewer: Sewer Marn 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 z ~ w o w i O 00 J = E U) w w 0 2 Owner: . Name: DWARDIN DEVELOPMENT CO Phone: t Address: P 0 BOX 1059, SNOHOMISH WA H W z = Contact Person: H O Name: LAM NGUYEN Phone: 206 -321 -6806 z Address: 4234 S 137 ST, TUKWILA WA g Contractor: OP— 'Name: OWNER AFFIDAVIT IN FILE Phone: w Address: , I 0 Contractor License No: 0 z DESCRIPTION OF WORK: ai CONVERT BASEMENT INTO A LIVIING SPACE THAT CONSISTS OF A BATHROOM, BEDROOM, FAMILY ROOM AND WORSHIP H _. ROOM (SHRINE). z F- Parcel No.: 2612000110 Address: 4234 S 137 ST TUKW Suite No: Tenant: Name: NGUYEN RESIDENCE Address: 4234 S 137 ST, TUKWILA WA Value of Construction: $ $2,000.00 Fees Collected: $118.76 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 N N DEVELOPMENT PERMIT Permit Number: D03 -252 Issue Date: 09/12/2003 Permit Expires On: 03/10/2004 Expiration Date: 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: D03 -252 Public: Non - Profit: Public: Printed: 09 -12 -2003 Signature: Print Name: doc: Devperm City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature: -Cet -- 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. Date: l ( 2 - 0 3 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 -252 Date: Printed: 09 -12 -2003 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 2612000110 Address: 4234 S 137 ST TUKW Suite No: Tenant: NGUYEN RESIDENCE PERMIT CONDITIONS Permit Number: D03 -252 Status: ISSUED Applied Date: 08/19/2003 Issue Date: 09/12/2003 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 3: Plumbing permits shall be obtained through the Seattle -King County Department of Public Health. Plumbing will be inspected by that agency, including all gas piping (296- 4722). 4: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical work will be inspected by that agency (206- 835 - 1111). 5: All mechanical work shall be under separate permit issued by the City of Tukwila. 6: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any construction. These documents are to be maintained and available until final inspection approval is granted. 7: Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear identification showing the fire performance rating thereof. 8: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). 9: 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. 10: Ventilation is required for all new rooms and spaces of new or existing buildings in conformance with the Uniform Building Code and the Washington State Ventilation and Indoor Quality Code, Chapter 51 -13 WAC. 11: Wet bar area shall not include wiring to accommodate a stove. doc: Conditions * *continued on next page ** D03 -252 Printed: 07 -16 -2004 Signature: Print Name: doc: Conditions City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 I hereby certify that I have read these conditions and will comply with them 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 regulating construction or the performance of work. D03 -252 as outlined. All provisions of law and ordinances cancel the provision of any other work or local laws Date: t Printed: 07 -16 -2004 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS z Parcel No.: 2612000110 Permit Number: D03 -252 w Address: 4234 S 137 ST TUKW Status: ISSUED re n Suite No: Applied Date: 08/19/2003 6 5 Tenant: NGUYEN RESIDENCE Issue Date: 09/12/2003 v cn 0 co w -I _ f- w w u- 3: Plumbing permits shall be obtained through the Seattle -King County Department of Public Health. Plumbing will be = a �.. w z = 4: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical z 0 work will be inspected by that agency (206- 835 - 1111). LIJ O • - O H 6: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any w • w construction. These documents are to be maintained and available until final inspection approval is granted. F - H — O 7: Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear ui z UN O I- 8: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 z Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). 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. 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. inspected by that agency, including all gas piping (296- 4722). 5: All mechanical work shall be under separate permit issued by the City of Tukwila. identification showing the fire performance rating thereof. 10: Ventilation is required for all new rooms and spaces of new or existing buildings in conformance with the Uniform Building Code and the Washington State Ventilation and Indoor Quality Code, Chapter 51 -13 WAC. 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: Print Name: doe: Conditions L-1 N(a>L6F6o D03 -252 Date: Printed: 09 -12 -2003 1-W et _ Parcel No.: 2612000110 Permit Number: D03-252 _1 0 Add 4234 S 137 ST TUKW Status: ISSUED N a Suite No: Applied Date: 08/19/2003 CO w Applicant: NGUYEN RESIDENCE Issue Date: 09/12/2003 _I t- w Receipt No.: R04 -00891 Payment Amount: 47.00 w (0 d Initials: SKS Payment Date: 07/16/2004 09 :37 AM H = User ID: 1165 Balance: $0.00 z 1... 1— O z 1` U� O o1-- w W U Type Method Description Amount L L ' -O . z Payment Cash 47. w N U 0 ; z Payee: LAM NGUYEN TRANSACTION LIST: ACCOUNT ITEM LIST: Description doc: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PLAN CHECK - RES RECEIPT Account Code Current Pmts 000/345.830 47.00 Total: 47.00 .7.7.2799 07/16 9716 TOTAL 47.00 Printed: 07 -16 -2004 Site Address: 4-934 5. i 7 ST • Tenant Name: Property Owners Name: T7 Nl; V YF Mailing Address: E -Mail Address: Company Name: NA (C)WNR 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 Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Ato 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** I 7 N iYCn) Mailing Address: SA-i 1 C As Ain Vf Name: t4jC{f L NGr)'1FN) LAM NGu71EIJ Day Telephone: 3/1-PIE A S s T — . MNUvJ (1 816K Cog 7 c j7aR) King Co Assessor's Tax No.: k' 120 Q H j O 03 Suite Number: New Tenant: E .... Yes D ..No City State Floor: Zip (oG) 321 _ 6g0c, City State Zip Fax Number: (246) 43 y- 2495 State State State BASEMENT 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 be wet stamped byArehitect:ofRecord: Zip City Day Telephone: Fax Number: ENGINEER OF RECORD:: - All,plans must be,wet stamped by Engineer of Recor Zip City Day Telephone: Fax Number: ! Valuation of Project (contractor's bid price): $• (2 ) O Existing Building Valuation: $ QV.) (1103 Scope of Work (please provide detailed information): PLS ! Sft , - }Cif I Will there be new rack storage? 0 ..Yes [No If "yes ", see Handout No. for requirements. '. Provide'Al1 Building Areas in SquareFootage Below :I "'Floor . . 2m Floor. 3`° Floor Floors ;Basement Accessory Structure* Attached Garage • Detached Garage. Attached 'Carport . Detached Carport Covered Deck:: Uncovered. Deck Interior Remodel Sao Addition to Existing Structure 0 0 Type of Construction per UBC . . Woe Type, of Occupancy per' UBC ..• v 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? 0 ....Yes ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 0.. Sprinklers J..Automatic Fire Alarm (] ..None . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes ..No If"yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets. \appliations\permit application (3.2003) 3/2003 Page 2 PUBLICWORKS:PERMIT INFORMATION= 206- 433 Scope of Work (please provide detailed information): Water District ❑ ...Tukwila 0... Water District #125 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate ❑ ...Septic System - For onsite septic system, provide 2 copies of a Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ ...Total Cut ❑ ...Total Fill ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities , [Q . ❑ ...Frontage Improvements ❑ . ❑ ...Traffic Control / ❑ . ❑ ...Backflow Prevention - Fire Prote Irrigati9n Domeftic Water ❑ ...Permanent Water Metes me... ❑ ...Temporary Water Myfer Size.. ❑ ... Water Only Meter Size ❑ ...Sewer Main Ext Sion Public _ ❑ ...Water Main E ension Public _ FINANCE INFORMATION Fire Line Siz at Property Line ❑ ... Wate ❑ ...Sewer Month Service Billing to: Name: Water Meter Refund/Billing: Name: Mailing Address: \applications\permit application (3.2003) 3/2003 cubic yards cubic yards „ Call before you Dig: 1- 800 - 424 -5555 Please refer .to Public'Works Bulletin . #1., for fees and estimate •• Abandon Septic Tank . Curb Cut . Pavement Cut . Looped Fire Line WO# WO# WO# Private Private I ❑ .. Highline ,❑ ...Renton ❑...ValVue 0... Sewer Availability Provided ❑ .. Renton ❑ ...Seattle ❑ .. Approved $ . ptic Plans Provided current sept' design approval by King County Health Department. y t �. � ti( ❑ Report ❑...Traffic Impact Analysis F Maintenance Agreement(s) ❑...Hold Harmless .Y Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours e,r ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance r ❑ .. Right -of -way Use — Potential Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way +� Non Right -of -way ❑ .. Work in Flood Zone ❑ .. Storm Drainage Number of Public Fire Hydrant(s) ❑ ...Sewage Treatment Page 3 eet. ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑...Deduct Water Meter Size Day Telephone: Mailing Address: Zip City City State Day Telephone: State Zip Unit Type: Qty . Unit Type: ` Qty ` Unit Type:.: Qty . , Boiler /Compressor: Qty .. Fumace<I00K BTU Air Handling Unit >= 10,000 CFM Other Equip 0 -3 HP /100,000 BTU Furnace >100K BTU Evaporator Cooler 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System .. 30 -50 HP /1,750,000 BTU Appliance Vent Hood 50+ HP /1,750,000 BTU Heat/Refrig/Cooling System Incinerator - Domestic Air Handling Unit <= 10,000 CFM Incinerator — Comm/Ind - ••MECHANICAL PERMIT.;INFORMATION.- 206=431 3670 Contact Person: E -Mail Address: Contractor Registration Number: Indicate type of mechanical work being installed and the quantity below: Mailing Address: \applications\permit application (3 -2003) �2 s. 147TU Si Pao, 4 - roteiNit MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Day Telephone: Fax 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 .... D Replacement .... 0 Commercial: New ....0 Replacement .... 0 Fuel Type: Electric 0 Gas ....❑ Other: PERMITAPPLICATION : NOTES, - .Applicable to all permits in this.application Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT: Signature: / i Al " Y"''' Date: g /7/o 3 4 - Print Name: jCFIAFI- G'Jc rfEIr.) Day Telephone: (.2.0 321- G D ate Application Accepted: e — o8 Date Application Expires: z --/1-0 St als: J ^ Y.'7.':ITY?T1pyMfx9.biFalkAtp;. I&)A- V State Zip SJ:a ai.�+a2 7i� Payee: ACCOUNT ITEM LIST: Description doc: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 z RECEIPT if-- . CY QQ 2 _.10 w • 0 J = H wO 2 Receipt No.: R03 -01117 Payment Amount: 72.76 g Q co Initials: SKS Payment Date: 09/12/2003 10:24 AM s w User ID: 1165 Balance: $0.00 Z H 1— O Z 1— W Lu D 0 O — O 1-- TRANSACTION LIST: = 0 Type Method Description Amount F" — 0 Payment Cash 72.76 t1J Z U= O ~ Parcel No.: 2612000110 Address: 4234 S 137 ST TUKW Suite No: Applicant: NGUYEN RESIDENCE TY NGUYEN BUILDING - RES STATE BUILDING SURCHARGE Account Code Current Pmts 000/322.100 68.26 000/386.904 4.50 Permit Number: D03 -252 Status: APPROVED Applied Date: 08/19/2003 Issue Date: Total: 72.76 2577 09/12 9716 TOTAL 72.76 Printed: 09 -12 -2003 Z 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 2612000110 4234 S 137 ST TUKW NGUYEN RESIDENCE R03 -01016 BLH ADMIN Payee: TY NGUYEN TRANSACTION LIST: Type Method Description Payment Cash BUILDING - RES PLAN CHECK - RES RECEIPT Account Code 000/322.100 000/345.830 Permit Number: Status: Applied Date: Issue Date: Payment Amount: 46.00 Payment Date: 08/19/2003 12:19 PM Balance: $72.76 Amount 46.00 Current Pmts .99 45.01 Total: 46.00 D03 -252 PENDING 08/19/2003 1 X1,. ":2() rj. 6 TOT i.. 46„rC Printed: 08 -19 -2003 Project :: / �(' / Type of Inspection: Address J 7 � 4 23 9 �. /a'2 Date Called: / ,} / /- / / -(/' r Special Instructions: Date Wanted: //- /Z e a. m. Requester: / Phone No: X06 , .a/-z2e?o4 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERM (206)431 -3670 �pproved per applicable codes. El Corrections required prior to approval. COMMENTS: �P V vT1 \-A Co vop't 0\i * V r\cd Inspector Date: ' 1) • 0 l ) $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: Pr j ct: AR Type oklns coon Ad s • Date Ca� d. Special Instructions: ! Date Wanted: a. d7 p.m. Requester: 1/ 4 Pho V ( o - ,2, iI - I gn(9 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 `PERM! (206)431 - 3670.. COMMENTS: Inspector: ^^�� A Dater—. f)X Corrections required prior to approval. Receipt No.: Date: El $47.00 REINSPECTION PEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Project: AI 4 t/ Y4- f U ; /cf- S- Type of I . spection: ,,� ir,-O.u. i7Z-7 Add .ess: 1 1 1 ,-2 .s . /37 sr Date Call - 3 -may _- Special Instructions: Date Wanted: r v 0Y a.m. �' F�, ` p.m. Requester`J > // �I V �L- `G/-G - // Ph ne No: ( . . , , / - 6, INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 - INSPECTION NO. (206)431 -3670 Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: Ins pector• ❑ 47.0 ai ES REINSPECTION FEE 1 EQUIRED. Pri t 6300 Southcenter Blv , Suite 100. Redoifit No.: Date:, r to inspection, fee must be all to schedule reinspection. Date: a Project: �y� �� Type of Inspection: FR4ni / Adc}rg3s_ /3 7 S Date Called: _2 Special Instructions: Date Wanted: �a.rr. 67-62.9-06/ p.m. Requester: Phone o: —3,9Z/ 47O 0206 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188, (206)431 -3670 pproved per applicable codes. Corrections required prior to approval. COMMENTS: � J>/ - ,e�►/ / - lnspec 4 r: R eipt No.: 00 REINSPECTION FEE EQUIRED. Pyi to Inspection, fee must be Date: id at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: Pro'ect: k .4 . /' . _ Type of Inspection: 1 , 1 _I, dd , ), s t/ c r 7 Date Called: 1 7 (� Special Instructions: Date Wanted: /I ''' a....,,,„ p.m. Requester: J ! Phone NQ: ( v& 42 ( r `.,r((J INSPECT! • NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 D Approved per applicable codes. INSPECTION RECORD Retain a copy with permit b3s2 PER (206)431 -3670 COMMENTS: R-2.4 u _ Corrections required prior to approval. 'ill ` ) Date: 61g-6,1 $47.00 REINSPECTION FE • EQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: COMMENTS: 4, OD P120 1 / b, —2 — .et77/;7e4d/ /..--- 7 2// le Aidtw- , ,D)2/"2-)h; 41 o /A/I < /-d r Kt- a ( 1 el 0 5'141 i c 11. TO C 1 (L , - ... AJoAr-tl Pta .-,•,,,,, e4...) / Date Wanted: .1 c3 TO OA/g /Z. L I D Prk. p.m' .......) -_2AiS? IL - 4 1 . eki/4 l IS e,ti ; - i h 14 7) Phone No: _fiat ?- -4 p9 n(9 Project 4, )& Type of InspectIon: , i (A_ 0 AA 1 Date Called: Speci. Instructions: V 1t9 ... . ' Z Date Wanted: Prk. p.m' Requester: k C Phone No: _fiat ?- -4 p9 n(9 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 981 88 El Approved per applicable codes. Spector: t No.: O itA11 4 0 REINSPECTION t 6300 Southcent , INSPECTION RECORD Retain a copy with permit \.. Dat PER (206 431-3670 la %re No Ei Corrections required prior to approval. "JO F REQUIRED. nor to inspection, fee must be Blvd., Suite 100. Call to schedule reinspection. Date: Project' (, l L ��, 0 Type_ Inspection: /_ / kr' `'V A --- t . : .. - Ad ress I �� z-4 1., Date Called: // o Y Special Instructions: 10 ..00R `�o-%,1\0)c � 6..Se Curf■ 1 v ^^ 4 I t,- (Air -f- S d. j''v'kc-f a -P` 1 , Date Wanted: /� 1 j fZ-1 P.m. / Requester: ( «� -,{ Y v` C- h Phone No: Z OC)-• 3• (- G SOU COMMENTS: (!) / � 14C /L eav(Qawl ) . (. >>�Alo eA) SPA i / s 7 - 2Z-.. '' � 6 )- 4-J) i "Jj1. To f= /C UYZ- 3 6 // COY C'' )/- ,Or17 i7Y /e -- / - V , ri lie . S / firs Liy 1 '`- c.: r, , s. f Ai r OAS aliggOlg r 12 •C) R 4, /L DO C) la . S i /7 F w" /9" / A/ccj < 7l) &f ,Q f _. no ? J 77) me - J/J . 3J .. r /•.2 e 8 d r,e /A16 774946-6 -0 r2 7 7-- . _2 ier l /,i, /,:> '. /V -'Z spe tor: ., 0 AoA km y� / Dat ti z. /cue/ El Approved per applicable codes. INSPECTION RECORD Retain a copy with permit ry a5 0-- INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 17GI Corrections required prior to approval. 47.00 REINSPE FEEEQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter B vd., Suite 100. Call to schedule reinspection. Receipt No.: Date: v �� COMMENTS: V -A� .— V _ (� 2 `f c.0 /l tA..1� - e `.�V - A i Type f Inspection: r0 on, ! - � K' k? ( »l1 Cd# .0x.Jl t r/∎ , 1 it:;•■-•A .14. ,...........e ...;17-1,41.-....„ Y;.,,,,..,...ce..,tr,„..,, .. ial Instru ions: f ( �y t�.���+�1 (/lam )(Z .._. -2 ` � k ,0 rl .0 R .1!1 - i i°_. L ' P c . ("/I F`" . C,( .v....1. r ,..... , 1 .,_J ( e 16 / 1.,., .fi .: n A -- d; h ,�- t,.. �__--/ , -a''Y\" ,/\J 14-110.-1 _ rV t.rL L::— ; 1 .l .,l .- 1 _re . 2 ,C( N.A...Z L ) 0 • 1 .''.li-M."LC r� w -r � V k U CAI .t AJJ 4( g,.-.) f 4 lGiil . • Pr t: 14 (e )1 . Type f Inspection: r0 on, Ad re , 1 f o l , Date Called: a 1 7 ! t 11. Spe ial Instru ions: f ( �y t�.���+�1 (/lam )(Z 11./1 , Date Wanted: �i oti p.m. Requester:, Pho 4S3 – a c� ► — 1 1 4 r 0 C C INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 El Approved per applicable codes. Corrections required prior to approval. j �► Date: , /o IIJ / $47.00 REINSPECTI N FEE REQUJRED. Prior to inspection, fee Fnust be paid at 6300 Southcenter Blvd., S ite 100. Call to schedule reinspection. Receipt No.: Date: COMMENTS: Typ jpf Inspection:, k LO-00A.A.A., .___J k 4, i tns..)1 /El ,9-,'`d --' ' ti.ica G') C L ,,.... c � ,..2,-- J c --v-- c ( n tr .:. _ _,.. .._ci7' .z 4--, .A.C. J -e, t k �. . 0\ C-Ax_fr .._4 -19-6 k i -e-N , Q c _Q, . ),(g_ c . a �r; 0 Q� o 6) Li. _ i . U „ � r. & ..- c t n.."-,-,1-L. i _ .. \ , QC 'v . V■fd 4 >” \ \(V t 6 0 4 .).ewav> c Ic Malt-Li ti f Project: . n M r- - 7 H ' 12—r \ -(...6 Typ jpf Inspection:, k LO-00A.A.A., Address: �2 S - i3� Date Call d: -- i -"? - Special Instructions: Date Wanted: I a.m. Q _ a LI p.m. Requester: r: ( / f Phone No: IS 2) —ZC, — I.lj INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 f3 - z Approved per applicable codes. rICorrections required prior to approval. Date: g —©L/ U S47 REINSPECTION F'E REQUIRED. Pridr to inspection, fee must be p • id at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: ir II oars* "we i REVIEWED FOR CODE COMPLIANCE . APPROVED JUL 0 72004 W► tg oSo (ExisriNc) GO fig sI.i]E � I V (es; tyi iAO IBMSMI No dumps shall be nods to the scope of work without prior approval of NOTE: Revisions wMi require anew � submittal and may include additional plan review fees. bEc K (i x i ST iNC-r) CORRECTION � �J���� n b � � �� FILE Tnit Non review approval Is subject to errors and =Won Approval of Ion doainents do not avec*. /r the *lotion of any adopted code or ardlnanoa. Ap t 32 ...__ _ , .. , : _ , ands is i !.7l / / / ._L_ .J / / / / t ! LLL / L!_ SEPARATE rawer 4/ REQUIRED PM Ef M.awrca1 d earkal f Numbing ar Gs Piping I DIVISION OAR, lOX I) D lbkvollo ING IVISION BR BR 14 x 10 SuIK t/ (zit / %// 4 / / I / / / , . , , , , 7 7 " / . / /1f . SftRH/ ` J �l 5a CFM FAN 1 Vild .2030 it z w JU 00 CO 0 co W = 1 W° Q � Q LLQ co I d tl Z HO Z I- W W U � o 1- w H L I Z H — O 1- z • w City of Tukwila Department of Community Development Steve Lancaster, Director PLANNING DIVISION COMMENTS DATE: June 21, 2004 CONTACT: Lam Nguyen RE: D03 -252, Nguyen Residence ADDRESS: 4234 South 137 St. 1. The Planning Division has approved your permit for the addition to your residence. The kitchen detail submitted with the building permit has been revised to show a wet bar rather than a full kitchen. A wet bar cannot include a stove, so please be aware that the wet bar area cannot include an electrical outlet capable of being used by a stove. If you have any questions, Carol Lumb is the planner assigned to the file and can be reached at 206 - 431 -3661. y; \mydocs \gencral\2003- Memos \DO3 - 252 -2.doc CODE ES FOR C OMPLIANCE ADP ROItTO JU L' 0 7 2004 BUILDING f Tukwila Steven M. Mullet, Mayor e #100 • Tukwila, Wash!ngton 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 ADDRESS: 4234 S. 137 ST TUKWILLA, WA 98168 OWNER/CONTRACTOR: TY NGUYEN CONTACT: MICHAEL NGUYEN (206)321 -6806 PROJECT: BASEMENT IMPROVEMENT SCOPE OF WORK: 1. Convert a basement into a living space that consists of a bathroom, bedroom, family room, and a worship room (shrine). Total basement area is 880 s.f. 2. Wood frame construction, with 2X4 walls @ 16" O.C. with grade above average (Douglas fir). 3. Install wall insulation R =21. 4. Install one new window. 5. Smoke detectors are hardwired, with battery backup. FILE COPY 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 Permit No. REVISIONS N® CHANGES SHALL BE. MADT.i. K vaiT . THE SCOPE OF APPROVAL OF TUWALA, BUILDING oNtsiow. tots REVISIONS VALI. REQUIRE ANEW PLAN SUBMITTAL WO NAY te ADDITIONAL PLAN RSV1EW SEPARATE PERMIT REQUIRED FOR: MECHANICAL VELECTRICAL 5,1"LUMBING VGAS PIPING CITY OF TUKWILA BUILDING DIVISION RECEIVED CITY OF TIJKWILA AUG 19 2003 PERMIT CENTER lo5-zsz, cNi i /I / / / / / / / /,., <1 1)0 N WIN B0 SO (Ex iSTiNG) V/' /% / / / / / /f/ LiViN6r RM IC / x II ZH INE 16 f WA:"/ - 32 1/ zEcK (1XIs T ff.iG -) - ErrrR . / Goa stile_ :1R TiNiSttEl eAS 1ENT PL I* dF SCAI 14 /i I0 �r 1 WIN 6R IOx 1U QowUS I C7 x 5 (ExrOEr) TI //// X5'2" w ,030 RECEIVED (:ITY OF TIJKWILA AUG 1 9 2003 PERMIT CENTER z z rt w 6 U 00 CO C J I-- CO LL W O LL j • a I W Z14- wo Lu U a O - O I-- W LI] • U LL 3 O .. z w U = 0 z Unfinished BAsEptri w Dining 15'- 8'x10' Family 15'•8'x21' UP Kitchen 1 Deck ss DN IIIIIIIIIII' Pantry — Q E.111 #rll0 C Garage 23'5"x22'3" UNPUBLISHED ED WORK 1 nt. Entry Covered Porch Nom somi Nom Nom mom Nom 4 ,,, (ul Al N Ram rLAM1 NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR - THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. OF VENT AREA REQUIRED 3. TYPICAL VENT SIZE • I4'x8'x.15 (15% EFFICIENCY) _ .58 SF PER VENT NET FREE AREA 4. VENT AREA / .58 • 9.98 VENTS REQUIRED. 5, 10 VENTS SHOWN (SEE PLAN FOR LOCATION) 6 10 VENTS x .58 • SO SF OF VENT AREA PROVIDED. 1. VENTS SHALL BE COVERED WITH CORROSION RESISTANT WIRE MESH WITH OPENINGS OF 1/4' MAX. a VENTS LOCATED IN RIM JOIST MUST BE PERMANENTLY BAFFLED. WSEC 502.1.4.1 9' -3' - KITCHkN If/Jf) (rt1i 1'IIN. -WHOLE HOUSE FAN 100 CFM MN. VTOS WHOLE HOUSE EXHAUST FAN CONNECTED A 24 HOUR TIMER - 100 CFM MIN., VTo IR THERMOSTAT 6 50' ABOVE FLOOR 0 1I0v SMOKE DETECTOR PER UBC WITH BATTERY BACKUP INTERCONNECTE 24 HOUR TIMER TO WHOLE HOUSE FAN Unfinished Basement RE CITY AUG PER U NTiN 13A$EME:W Porch CONC l' -9' FP -3 S 4 Kitchen VINYL f 5' -3 1/2' 16010 OVHD DOOR ,2' -51/2' 8' -5 518' 51/16' ► 3' -3 I/16' ' -6 V2' 5' -3 1/2' 4' -81/8' 4' 2 1/2' P -12 12' 6' -11 1/2' 2' -II 1/2' Covered Porch CONC. BRAGS 740 12' EATING IMR 5' -I0 1/2' 1/4' I. 3' -5 I/4' Dining CARPET (P -12) P -4 16' -3' PI i N FLOOR PLAN Family CARPET 6' -6' In N n R[ CEIVE CITY OF TIJK VILA 'CR QiCEI\TER P -16 19 2003 April 21, 2004 Mr. Lam Nguyen 4234 South 137 Street Tukwila, WA 98168 Dear Mr. Nguyen: City of Tukwila Department of Community Development Steve Lancaster, Director RE: CORRECTION LETTER #1 to Revision #1 Development Permit Application Number D03 -252 This letter is to inform you of corrections that must be addressed before your development permit(s) can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Building and Planning Departments. At this time, the Public Works and Fire Departments have no comments. Planning Department: Carol Lumb, Planner, at (206) 431 -3661 if you have any questions regarding the attached memo. Building Department: Ken Nelsen, Senior Planner, at (206) 431 -3677 if you have any questions regarding the above memo. Steven M. Mullet, Mayor Please address the attached comments in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that four (4) complete sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a `revision sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections /revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at (206) 433 -7165. Sincerely, U G C'._ -; ., Stefani Spencer / Permit Technician encl xc: File No. D03 -252 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 - 431 -3665 City of Tukwila Department of Community Development Steve Lancaster, Director DATE: March 2, 2004 APPLICANT: Michael Nguyen RE: D03 -252 ADDRESS: 4234 S. 137` Street Please review the following comments listed below and submit your revisions accordingly. If you have any questions on the requested revision, Carol Lumb is the planner assigned to the file and can be reached at 206 - 431 -3661. 1. This permit cannot be approved, as the site does not meet the criteria for approving an accessory dwelling unit. Adding a kitchen to the basement area that also includes a bathroom and living area would make this space an accessory dwelling unit. The minimum lot size for parcels that contain an accessory dwelling unit is 7,200 sq. ft. This parcel is only 4,851 sq. ft. A copy of the criteria for approving accessory dwelling units is attached. c:\ mydocs \gencral\2004- Mcmos \D03- 252.doc PLANNING DIVISION COMMENTS Steven M. Mullet, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 TUKWILA MUNICIPAL CODE Sections: 18.10.010 18.10.020 18.10.030 18.10.040 18.10.050 18.10.055 18.10.057 18.10.060 Chapter 18.10 LOW DENSITY RESIDENTIAL (LDR) DISTRICT Purpose Permitted Uses Accessory Uses Conditional Uses Unclassified Uses Design Review Maximum Building Footprint Basic Development Standards 18.10.010 Purpose This district implements the Low Density Residen- tial Comprehensive Plan designation, which allows a maximum of 6.7 dwelling units per net acre. It is intended to provide low density family residential areas together with a full range of urban infrastructure services in order to maintain stable residential neigh- borhoods, and to prevent intrusions by incompatible land uses. Certain LDR properties are identified as Commercial Redevelopment Areas (see Figures 18 -9 or 18 -10) to encourage aggregation with commercial properties that front on Tukwila International Boule- vard. Aggregation and commercial redevelopment of these sites would implement the Pacific Highway Revitalization Plan and provide opportunities to rede- fine and create more uniform borders between the commercial corridor and the adjacent residential neigh- borhoods. (Ord. 1865 §4, 1999, Ord. 1758 §1(part), 1995) 18.10.020 Permitted Uses The following uses are permitted outright within the LDR district, subject to compliance with all other applicable requirements of the Tukwila Municipal Code. 1. Dwelling — One detached single- family dwelling per lot. 2. Animal veterinary, including associated temporary indoor boarding; access to an arterial is required. 3. Public parks, trails, picnic areas and playgrounds, but not including amusement parks, golf courses, or commercial recreation. 4. In Commercial Redevelopment Area 4 (see Figures 18 -9 or 18 -10), the uses and development standards of the adjacent commercial zone are permitted and shall apply, subject to the specific criteria and procedures defined in TMC 18.60.060. 5. Shelters. (Ord. 1976 §17, 2001; Ord. 1865 §5, 1999; Ord. 1758 §1(part), 1995) 18.10.030 Accessory Uses The following uses and structures customarily appurtenant to a permitted use, and clearly incidental to such permitted use, are allowed within the LDR district. 1. Adult day care. 2. Accessory dwelling unit, provided: a. minimum lot of 7,200 square feet; b. accessory dwelling unit is no more than 33% of the square footage of the primary residence and a maximum of 1,000 square feet, whichever is less; c. one of the residences is the primary residence of a person who owns at least 50% of the property, d. dwelling unit is incorporated into the primary detached single - family residence, not a separate unit, so that both units appear to be of the same design as if constructed at the same time; e. minimum of three parking spaces on the property with units less than 600 square feet, and a minimum of four spaces for units over 600 square feet; and f. the units are not sold as condominiums. 3. Family child care homes, provided the facility shall be licensed by the Department of Social and Health Services Office of Child Care Policy and shall provide a safe passenger loading zone. 4. Garage or carport (private) not exceeding 1,500 square feet in floor area, provided it is located on the same Iot as the principal use and is subject to the regulations affecting the main building. 5. Greenhouses (noncommercial) and storage sheds not exceeding 1,000 square feet in floor area. 6. Home occupations. 7. Institutional uses such as hospitals, food banks, schools, or government facilities may have two cargo containers per lot with approval as a Type 2 decision; criteria are listed at TMC 18.50.060. 8. Parking areas. 9. Private stable, if located not less than 60 feet from front lot line nor less than 30 feet from a side or rear lot line. It shall provide capacity for not more than one horse, mule or pony for each 20,000 square feet of stable and pasture area, but not more than a total of two of the above mentioned animals shall be allowed on the same lot. (Ord. 1989 §2, 2002,- Ord. 1976 §18, 2001; Ord. 1758 §1(part), 1995) 18.10.040 Conditional Uses The following uses may be allowed within the LDR district, subject to the requirements, procedures, and conditions established by the Conditional Use Permits chapter of this title. 1. Bed and breakfast facilities, provided: a. the manager /owner must live on -site, February 3, 2004 Lam Nguyen 4234 South 137th Street Tukwila, WA 98168 Dear Permit Holder: City of Tukwila Department of Community Development Steve Lancaster, Director RE: Permit Application • No. D03 -252 4234 South 137th Street 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. Steven M. Mullet, Mayor 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 March 10, 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 -252 Bob Benedicto, Building Official 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 :: h<;. �:+ i6jrilCaG '::;;:YiiSW,dR•.rt.u'Y[v4A4:• !.24'+s: ACTIVITY NUMBER: D03 -252 PROJECT NAME: NGUYEN RESIDENCE SITE ADDRESS: 4234 South 137 Street Original Plan Submittal DATE: 05 -28 -04 Response to Incomplete Letter # X Response to Correction Letter #110 X Revision # 1 lafter a permit is issued DEPARTMENTS: Build Public Works APPROVALS i CORRECTIONS: Documents /routing slip.doc 2-28-02 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP REVIEWER'S INITIALS: Fire Prevention ❑ Planni D v1 vision r Structural ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 06 -01 -04 Complete 2 Incomplete ❑ Comments: Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROyTING: Please Route I Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: PERMIT COORD COPY MR*�Ml4MNwYw.Mms+rkw ahr<rx�'. DUE DATE: 06 -29 -04 Approved Approved with Conditions ❑ Not Approved (attach comments) ❑ Notation: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D03 -252 PROJECT NAME: NGUYEN RESIDENCE SITE ADDRESS: 4234 S. 137 STREET Original Plan Submittal DATE: 02 -25 -04 Response to Incomplete Letter # Response to Correction Letter # X Revision # 1 after /before permit is issued DEPARTMENTS: Building Divis Public Works WW1 weft. 3 -2 -0 Documents /routing slip.doc 2-28-02 APPROVALS OR CORRECTIONS: PERMIT COORD COPY MC/ Fire Prevention Structural REVIEWER'S INITIALS: PERMIT COORD COPY ti tVOlf Planning Division U ❑ Permit Coordinator DUE DATE: 03 -02 -04 of DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete [v Incomplete ❑ Comments: Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS RO)ITING: Please Route ,L,1( Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: DUE DATE: 03 -30 -04 Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) V Notation: DATE: Permit Center Use Only CORRECTION LETTER MAILED: " V-0`1 Departments issued corrections: Bldg (i Fire k Ping PW ❑ Staff Initials: "S44 ACTIVITY NUMBER: D03 -252 PROJECT NAME: NGUYEN RESIDENCE SITE ADDRESS: 4234 S 137 ST DATE: 08 -20 -03 X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After permit Is Issued DEPARTMENTS: -, -0. Building Division PV4(Arks DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 08 -21 -03 Complete d Incomplete ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS R9UTING: Please Route Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INMALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents /routing sllp.doc 2.28.02 PERMIT COORD CC, PLAN REVIEW /ROUTING SLIP MlAG( "I(. $ -l/-03 Fire Prevention 0 Structural ❑ PERMIT COORD COPY C.NL 41K, 5 -a-/ _03 Planning Division Permit Coordinator Not Applicable ❑ DUE DATE: 09 -18 -03 Not Approved (attach comments) ❑ DATE: Revision No. I Date Received I Staff I Initials I Date Issued Summary of Revision: Received By: Staff Initials / I ,2s - dy S � Summary of Revision: _ / , c��u.�a • , c.70 ,e r c-4. . --.: ,G,,,.; .� _ /AA / 7 ,fe �, 7, 'ti., • - - Received By: e . Revision No. 1 Date Staff I Received I Initials Date Issued Stan Initials Starr Initials Summary of Revision: Summary of Revision: Received By: Revision No. . Date Received Staff Initials Date I Issued Starr Initials Summary of Revision: Received By: Revision No. Data Received Staff Initials Date Issued Staff Initials Summary of Revision: Received By: PROJECT NAME: /tt9 u ` /6 Site Address: 'Yc.1 /37"` 57e REVISION LOG PERMI JO: S S.2 Original Issue Date: 9-/23 Revision No. Summary of Revision: Date Received Staff Initials Received By: Date Issued ease4rint) (please print) (please print) please print (please print) .vt.•*.4+NN'ujn,RpDYi*3# Staff Initials Date: 5 P Contact Person: Summary of Revision: 2 O" S r Entered in Permits Plus on City of Tukwila Department of Community Development - Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 (206)431 -3670 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Plan Check/Permit Number: Response to Incomplete Letter # Response to Correction Letter # I -tu oks t°YN' Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: h /6 J/ 0 GwcG� Project Address: 12 3l 1.4 SA 4/4 /(.�C z,e ye-7T 4 121 � cL t ° { � t,LA.Q Do c,2 Phone Number: /f 7/-5 3 / J l l�ti R IAA \J 19; L /` c'''Y ��Fo urn. , '4 pF eepi r te ' Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: stS 08/06/03 City of Tukwila Department of Community Development - Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 (206)431 -3670 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: Plan Check/Permit Number: O Response to Incomplete Letter # j Response to Correction Letter # Revision # 4 after Permit is Issued O Revision requested by a City Building Inspector or Plans Examiner Project Name: 9. t cqLr Project Address: 4,23 4- Contact Person: L •(l � 63k4 Phone Number: 09_06' r- C!8 Summary of Revision: M I at.). L l (! r .D /ti( 6-f -E 'F14 BoNuS &lcWt j' fr O 1?- S`CIA'1 i f N S'7A - ( 5 £ e ms ° � � uU R V-9 / r Q,6nat -c ? W V ) LIV 1- wki -Fe_R tci-F t',4-7 pony N 51 LL L 5N r ,Ft e r b M yriz lAr t 3P r, ,q.g� j2 (1J 57 A4 4'xr/N pr) NI ( 4=,e) IA/ &:- a( ill akf GUST iki_ c:,`o,tit 1( $A- CITE -h VP C '46-- 17 F .:6 c o-l'e S iN 71 N ,e).-/Vi) LiV /AI -A' TN STA-LL r2 Ntr,RE Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: 1C Entered in Permits Plus on 0 'M{ 08/06/03 STATE OF WASHINGTON COUNTY OF KING AFFCONT 1/13/00 CITY OF ; KWILA Permit Center 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 Telephone: (206) 431 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION ss. ,s, — - - LEROY W. MILLER NOTARY PUBLIC STATE OF WASHINGTON COMMISSION EXPIRES APRIL 9, 2005 , 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. , 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. Signed and sworn to before me this -f day of A UC --(it S , 20 0 . NOTARY PUBLIC W and for th&State of Washington, residing at � County. Name as commissioned: L ezyv Gc.) / I ter My commission expires: '471/ 18.27.090 Exemptions. This chapter s b.qI 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 ROW; 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.