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D03 -284
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Parcel No.: 1523049259
Address: 3503 S 142 PL TUKW
Suite No:
Tenant:
Name: CITY OF TUKWILA
Address: 3503 S 142 PL, TUKWILA WA
Owner:
Name: CITY OF TUKWILA Phone:
Address: 6200 SOUTHCENTER BL, TUKWILA WA
Contact Person:
Name: TOM PULFORD Phone: 206 241 -2444
Address: 6300 SOUTHCENTER BL, TUKWILA WA
Contractor:
Name: 3 HARPER CONTRACTOR INC Phone:
Address: 8425 1 AV S, SEATTLE, WA
Contractor License No: JHARPCI081B7 Expiration Date: 01/22/2005
DESCRIPTION OF WORK:
DEMOLISH EXISTING 1026 SQ FT HOUSE AND ATTACHED COVERED DECK
Value of Construction: $ $5,000.00 Fees Collected: $51.50
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: 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
Water Main Extension: N Private: N
N
Water Meter:
doc: Devperm
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Public Works Activities:
DEVELOPMENT PERMIT
D03 -284
Permit Number: D03-284
Issue Date: 09/22/2003
Permit Expires On: 03/20/2004
Public: N
Non - Profit: N
Public: N
Printed: 09 -22 -2003
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itka
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:
C
D03 -284
Date:
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and
ordinances governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating con ioi or the performance of work. I am authorized to sign and obtain this development permit.
Date:
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is
suspended or abandoned for a period of 180 days from the last inspection.
Printed: 09 -22 -2003
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City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 1523049259
Address: 3503 S 142 PL TUKW
Suite No:
Tenant: CITY OF TUKWILA
Signature:
doc: Conditions
PERMIT CONDITIONS
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 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.
6: 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).
7: 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.
8: Remove all weeds, concrete, stone foundations, flat concrete, concrete patios, masonry walls, garage floors, driveways
and similar structures and all loose miscellaneous material. Properly cap sanitary sewer and water connections,
properly fill or otherwise protect all basements, cellars, septic tanks, wells and other excavations.
9: Removal of septic tanks require approval and compliance with permit and inspection requirements through the Seattle -
King County Department of Public Health (296- 4722).
10: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
obtained at City Hall in the office of the City Clerk.
D03 -284
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Permit Number: D03 -284 ~ w
Status: ISSUED o:
Applied Date: 09/11/2003 v
Issue Date: 09/22/2003 0 0
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:
Printed: 09 -22 -2003
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CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
\ Ati.444 K S Tukwila, WA 98188
Wv t4 LOY-
Site Address: ? 7 7 2 5 . I 2-
Tenant Name:
Property Owners Name: C l C* `1 Ji- ti1N.'( -. ailing Address: f SOLVO
E - Mail Address: Teat (--'E- D C( .rtl r.J` wtc T. • P't . kS
GENER
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
F uLucolt
\applications \permit application (3.2003)
3/2003
ONTRACTOR.INFORMATIO
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**
Page 1
King Co Assessor's Tax No.: J `7 542c — OZ Scr
Suite Number: Floor:
New Tenant: J .... Yes [] ..No
City
State
Zip
Day Telephone: 20G2 - LEV 2qy
; C ONTACT'PERSON c,
Name:
Mailing Address:
City State Zip
Fax Number: Zo 6 2- ' 7 A, - '3 to. O. to
—
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 **
'ARCHITECT :0
-All plans must be`wet sitampedby Architect of Record
Company Name:
Mailing Address:
State
City
Day Telephone:
Fax Number:
Zip
ENGINEER OF plans must be wet stamp by: Engineer of Recor d :.
State
Zip
City
Day Telephone:
Fax Number:
VLIZig
Valuation ,(cortractor's bid price): $ S ot"U
Will there be new rack storage? f ..Yes
\applications\pennit application (3.2003)
3/2003
Page 2
Scope of Work (please provide detailed information):
9f/Wt-b -Lc L � L OL Slz \& CC
1 12, -j Ct -1-2.) 66_ Pip^6- . ci c � j
o If "yes ", see Handout No.
Existing Building Valuation: $ 4 1 6 1 a ' v
for requirements.
Provide All Building Areas in Square Footage Below
1" 'Floor
2" °;Floor
f Floor
Floors
Basement ;: .
Accessory-Structure
,Attaehed,Garage
"Detached Garage
Attached Carport .. •
. Detached Carport;,
Covered Deck.
Uncovered. Deck
Interior
Remodel
Addition to
Existing
Structure
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: (2-14.-c0.01 "T-2) P
FIRE PROTECTIONIHAZARDOUS MATERIALS:
❑.. Sprinklers ❑ ..Automatic Fire Alarm g..None p . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes tg.. 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.
f •C *hg.�4';�y ?4t6t4vr %ry>MC' �. .,,ewew
Scope of Work (please provide detailed information):
Please refer. to Public '.Works Bulletin #1 for fees and estimate sheet.
Water District
❑ ...Tukwila [ ... Water District # 125
❑ ... Water Availability Provided
Sewer District
❑ ...Tukwila 'A,.. ValVue ❑ .. Renton ❑ ...Seattle
❑ ...Sewer Use Certificate 0... Sewer Availability Provided ❑ .. Approved Septic Plans Provided
❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department.
Submitted with Application (mark boxes which apply):
❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ")
❑ ...Technical Information Report (Storm Drainage)
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s)
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 hours
121—Right-of-way Use - No Disturbance •
..Construction/Excavation/Fill - Right -of -way Pc_r(otc-
Non Right -of -way /
❑ ...Total Cut
❑ ...Total Fill 20
cubic yards
cubic yards
❑...Sanitary Side Sewer
171 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 _
\applicationstpermit application (3.2003)
3t2003
„
■
„
Call before you Dig: 1- 800 - 424 -5555
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
„
WO#
WO#
WO#
Private
Private
LtT cA. Cep
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❑ .. Highline
❑ ...Renton
(--kzo S. „..)-e ,C
k/V w d °•!a
❑ .. 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
tF ire 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
Page 3
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Unit Type:
YP
Qty
Unit Type:
yP .
Qty
Type: ;.
Qty ::
Boiler /Compressor: :...
Qty
Furnace <100K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace >100K BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm/Ind
i� 'CHAN`ICAL 'ERMIT IN, FORMATION =4206431;3670
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Contact Person:
E -Mail Address:
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 **
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential: New ....❑ Replacement ....
Commercial: New ....[] Replacement ....❑
Fuel Type: Electric 0 Gas ....G Other:
Indicate type of mechanical work being installed and the quantity below:
',PERMIT APPLICATION NOTES
•
Print Name:
Mailing Address: ( Sotzak:40-- )t..\119
'a 3- 003
`6k3 istwar
plicable to all perltnits,in.this,application
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as
defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWN • e • UT 9 'RI ED AGENT:
Signature: • �� 7 II .2 i
� Date: 6
Date Application Accepted:
Date Application Expires:
.5
Staff Initials:
1
Day Telephone: 20 Ce Li3t — 2ci (
City
melee
State Zip
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Payee: ACCT 303.00.594.190.41.11
Payment Other
BUILDING - RES
STATE BUILDING SURCHARGE
RECEIPT
Parcel No.: 1523049259 Permit Number :. D03 -284
Address: 3503 S 142 PL TUKW Status: PENDING
Suite No: Applied Date: 09/11/2003
Applicant: CITY OF TUKWILA Issue Date:
Receipt No.: R03 -01106 Payment Amount: 51.50
Initials: SKS Payment Date: 09/11/2003 09:40 AM
User ID: 1165 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
51.50
Account Code Current Pmts
000/322.100 47.00
000/386.904 4.50
Total: 51.50
2529 09/11 9716 TOTAL 0.00
Printed: 09 -11 -2003
Pr • ct `
4 -- ri-A L.,„, (a)
Type of Inspection:
l /VC P
Ad ress:
D - S . IL fl
Date Calle cfr
�j � L l,o3 .---�
Date Wanted 1 a.m
rn C m.
Spe'2ial fnstrucfions:
Reqester:
1 01'� � rJc i - ffY 3
Phone
d ( : '(
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•
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes.
COMMENTS:
Inspector:. Date:
$47.0 ' REINSPECTION F E REQUIRED. Prior to inspection, fee must be
•aid :t 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
INSPECTION RECORD
Retain a copy with permit
•
El Corrections required prior to approval.
-0
Date:
PERMIT
Proj5ct: i .. -
LA)
Type ors -
pection:
ii C (10171,0
AdP
dLes
3 co Pfi?'''-'r-P/J
Date Called:
Special InstruCtions:
Date Wanted:c
6 5 , 3 4.m.
Reques,t7r-.
A I . 67762/ i
Phone No:
C// ( ntp)57 1 - LP,)Ril
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88
Approved per applicable codes.
(206)431-3670
El Corrections required prior to approval.
COMMENTS:
.00 REINSPE ION FEE REQUI ED. Prior to inspection, fee must be
id at 6300 Sout enter Blvd., Sdlte 100. Call to schedule reinspection.
eceipt No.:
Date:,
Date:
NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN
THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT.
ACTIVITY NUMBER: D03 -284 DATE: 09 -11 -03
PROJECT NAME: CITY OF TUKWILA - DEMO RESIDENCE
SITE ADDRESS: 3503 S 142 ST
X Original Plan Submittal _Response to Incomplete Letter # _
Response to Correction Letter # Revision # after permit Is Issued
DEPARTMENTS:
Building Division LJ
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete [ Incomplete ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS R�TING:
Please Route Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: 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 slip.doc
2 -28 -02
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
/40 NA- q•IV.03
Fire Prevention
Structural ❑
PERMIT COORD COPY
e.ft- Nl.. q• Ki.a3
Planning Division 0
Permit Coordinator
DUE DATE: 09 -16 -03
DUE DATE: 10 -14 -03
x
Not Applicable ❑
Not Approved (attach comments) ❑
DATE:
LICENSE DETAIL INFORMATION Form Page 1 of 2
* *
* *
* *
* *
* *
LICENSE DETAIL INFORMATION
Current Filter: None
STATE OF WASHINGTON
DEPARTMENT OF LABOR AND INDUSTRIES
Specialty Compliance Services Division
P. O. Box 44000 Olympia, WA 98504 -4000
THE RESULT OF YOUR INQUIRY FOR LICENSE NUMBER SELECTED IS:
Registration# or License JHARPCI08I B7
Name J HARPER CONTRACTOR INC
Address 179371 CEDAR GROVE RD SE
Address
City MAPLE VALLEY
State WA
Zip 980386220
Phone Number 2067634383
Effective Date 1/27/1992
Expiration Date 1/22/2005
Registration Status ACTIVE
Type CONSTRUCTION CONTRACTOR
Entity CORPORATION
Specialty Code GENERAL
Other Specialties UNUSED
UBI Number 601322160
*VIEW CROSS REFERENCE FILE FOR THIS. LICENSE1* *.
*VIEW PRINCIPAL OWNER(S) FOR THIS LICENSE* * *
*VIEW CONTRACTOR BOND /SAVINGS INFORMATION
* VIEW CONTRACTOR INSURANCE INFORMATION * * *
* **
*CHECK INQUIRY FOR SUMMONS AND COMPLAINTS* * *
New inquiry by CITY , NAME , PRINCIPAL OWNER NAME , LICENSE , UBI
NUMBER, check the
L$41 Contractor Industrial Insurance Premium Status or return to the L &I Construction
Compliance_Home_Page
https://wws2.wa.gov/Ini/bbip/TF2Form.asp?License=JHARPCI081B7
9/22/03
•
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