HomeMy WebLinkAboutPermit D03-286 - CITY OF TUKWILA - CASCADE VIEW PARKCASCADE VIEW
PARK
3503 SOUTH 142ND
STREET
D03 -286
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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 Permit Number: X03-286 ;i- w
Address: 3503 S 142 PL TUKW Issue Date: 09/22/2003 re 3:
Suite No: Permit Expires On: 03/20/2004 v
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Tenant: w H
N ame: CITY OF TUKWILA co
Address: 3503 S 142 PL, TUKWILA WA w 0
Owner: Q
Name: CITY OF TUKWILA Phone:
Address: 6200 SOUTHCENTER BL, TUKWILA WA =
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Contact Person:
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Name: TOM PULFORD Phone: 206 431 -2444 z O
Address: 6300 SOUTHCENTER BL, TUKWILA WA UJ uj
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Contractor: 0 cn
Name: 3 HARPER CONTRACTOR INC Phone: o'—
Address: 17937 CEDAR GROVE RD SE, MAPLE VALLEY = w
Contractor License No: JHARPCI081B7 Expiration Date:01 /22/2005 I— -
DESCRIPTION OF WORK:
DEMOLITION OF EXISTING 64 SQ FT STORAGE SHED
Value of Construction: $ $100.00 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:
Water Main Extension:
Water Meter:
doc: Devperm
Public Works Activities:
Sanitary Side Sewer: N
Sewer Main Extension: N Private: N
Storm Drainage: N
Street Use: N Profit: N
N
N
DEVELOPMENT PERMIT
Private: N
D03 -286
Public: N
Non - Profit: N
Public: N
Printed: 09 -22 -2003
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Signature:
doc: Devperm
City of Tukwila
Permit Center Authorized Signature:
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Print Name: 1 "∎ (AA/
416(/--
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.
Date: Z2 ' � -�
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 per it does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating co n the performance of work, I a m authorized to sign and obtain this development permit.
D03 -286
Date: Fr -22-'_ Zug` -7
Printed: 09 -22 -2003
Permit Number: D03 -286 w
Status: ISSUED rt g
Applied Date: 09/11/2003 U
Issue Date: 09/22/2003 0 O
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7: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be 0
construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any P. t—
other ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this z
code shall be valid.
Parcel No.: 1523049259
Address: 3503 S 142 PL TUKW
Suite No:
Tenant: CITY OF TUKWILA
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).
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.
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws
regulating construction or the performance of work.
Signature:
doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
D03 -286
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Date: T"` 24'u 3
Printed: 09 -22 -2003
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Site Address:
Tenant Name:
-Property Owners Name: CA-T
[Mailing Address: CSZ -t ? '->4.)
Name:
--Iv Mailing Address:
E-Mail Address:
Contact Person:
E-Mail Address:
Contact Person:
Napplicationskpermit application (3.2003)
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
**Please Print**
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King Co Assessor's Tax No.: l 4 —c22'5
Suite Number:
New Tenant:
City
Fax Number:
State
Floor:
D.... Yes D..No
State
9eicte
Zip
Day Telephone: - 2-0 Le y2 - 24"7‘ c.
State Zip
143 c r 2 7
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Company Name:
Mailing Address: 1 C
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**
Company Name:
Mailing Address:
State
Zip
City
Day Telephone:
E-Mail Address: Fax Number:
:ENGINEER nORRECOR1) MuSt lie WeeStaniped by:Eiigin6ei;OReCcird
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Company Name:
Mailing Address:
State
Zip
City
Contact Person: Day Telephone:
E-Mail Address: Fax Number:
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Valuation o rlwroject(ab trac Y bid price): $
Scope of Work (please provide detailed information):
"ta
Existing Building Valuation: $
Will there be new rack storage? 0 ..Yes (J .. No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Bel�w
:l" :F
2':Floor.
:3 Floor
Floors ?
Basement::
Accessory Structure *,
; Attached Garage
Detached Garage
': Attached,Carport:
•
Detached: Carport :.
Covered'Deck
:' Deck
Lt f - A r
Addition'to
Existing
Structure
'' ^:Type,of
Construction •
per UBC
: : Type of
Occupancy per
UBC •.
PLANNING DIVISION:
Single - family building footprint (arca 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 ❑ .. If "yes ", explain: '"-U
FIRE PROTECTION/HAZARDOUS MATERIALS:
0.. Sprinklers J ..Automatic Fire Alarm 0,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.
la ppliationslpcnnit application (3 -2003)
3/2003
Page 2
nil
Scope of Work (please provide detailed information):
--- 7 s €_._
Please refer to Public Works Bulletin #1 for fees and estimate' sheet.
Water District
❑ ...Tukwila O.... Water District #I25
❑ ...Water Availability Provided
Sewer District
❑ ...Tukwila f .. 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
❑ ...Right -of -way Use - No Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way
Non Right -of -way
❑ ...Total Cut cubic yards
❑ ...Total Fill cubic yards
❑ ...Sanitary Side Sewer ❑ .. Abandon Septic Tank ❑ .. Grease Interceptor
❑ ...Cap or Remove Utilities ❑ .. Curb Cut ❑ .. Channelization
❑ ...Frontage Improvements ❑ .. Pavement Cut ❑ .. Trench Excavation
❑ ...Traffic Control ❑ .. Looped Fire Line ❑ .. Utility Undergrounding
❑ ...Backflow Prevention - Fire Protection "
Irrigation
Domestic Water "
❑ ...Permanent Water Meter Size... 11 WO#
❑ ...Temporary Water Meter Size.. 11 WO#
❑ ...Water Only Meter Size 11 WO#
❑...Sewer Main Extension Public Private
...Water Main Extension Public Private
\applications\permit application (3.2003)
3 /2003
Call before you Dig: 1- 800 - 424 -5555
❑ .. Highline
❑ .. 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
❑ ...Renton
❑ ...Deduct Water Meter Size
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ ...Water
Monthly Service Billing, to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
❑ ...Sewer ❑ ...Sewage Treatment
Day Telephone:
City
State Zip
Day Telephone:
City
State Zip
Page 3
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Unit Type :" ;
Qty
Unit Type:
Qty
Unit Type:' ::
Qty
Boiler /Compressor:
Qty
Furnace <I00K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Fumace>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
MsMF P! ANICAL PERNIlTiNFORMATION -: 206 = 4313670, .
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone: Z
E -Mail Address: Fax Number: Z
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Contractor Registration Number: Expiration Date: QQ
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** J U
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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 Gas ....0 Other:
Indicate type of mechanical work being installed and the quantity below:
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 O UTH ED AGENT:
Signature:
Print Name: v VII Putt -- fit
Mailing Address: (.5) Q -06 l2,t. v 2
icaion (3.2003)
Day Telephone:
City
Date: q_i' 2`'''
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Zip
Date Application Accepted:
9 -7/ —D3
Date Application Expires:
Staff Initials:
SAS
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RECEIPT ,i- W
Parcel No.: 1523049259 Permit Number: D03 -286 v
Address: 3503 S 142 PL TUKW Status: PENDING N o
Suite No: Applied Date: 09/11/2003 w w
Applicant: CITY OF TUKWILA Issue Date: N
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Receipt No.: R03 -01108 Payment Amount: 51.50 u_ j
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Initials: SKS Payment Date: 09/11/2003 09:42 AM H W
User ID: 1165 Balance: $0.00 z � .
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Payee: ACCT 303.00.594.190.41.11 8 N
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TRANSACTION LIST: i U
Type Method Description Amount t ~O
Payment Other 51.50 lL u)
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ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
BUILDING - NONRES
STATE BUILDING SURCHARGE
Account Code Current Pmts
000/322.100 47.00
000/386.904 4.50
Total: 51.50
2527 09/11 9716 TOTAL 0.00
Printed: 09 -11 -2003
a,n< :1, i iti:•`LKsl }`�`:`:t ;F,' k;'ts K
Pr
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Type of Inspectron: •
Ad ress .
Date Called: '
Special Instructions:
Date Wanted: I
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Reques r.
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Cpproved per applicable codes.
ector: 1 _
�y�.Q.... ` \ L /"...4" .4 CA
Receipt No.:
Date:
0 C,)g (.)
PERMIT p10
(206)431 -3670
El Corrections required prior to approval.
COMMENTS:
Date:
J -7
7.00 REINSPECTION I EE REQUIRED. Prioq to inspection, fee must be
id at 6300 Southcenter Blvd., Suite 100. all to schedule reinspection.
Pro' t:
- Ta.k�;(a
Type of Inspecti
rye' -
Address. ,.,,.
S5 S• / /
Called:
a 0 3
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p.m.
Special. Instructions:
Date Wanted:
/ .5/0?
Requester.
fid (
Phone No:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
pproved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
PER
(20•)431 -3670
C I t (, r� 7 - (o
or required prior to approval.
COMMENTS:
47 00 REINSPECTION TSE REQUIR . Prior to inspection, fee must be
pai at 6300 Southcenter lvd., Suit 100. Call to schedule reinspection.
Rfcei(� No.:
Date:
_ 2 5 -
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 -286 DATE: 09 -11 -03
PROJECT NAME: CITY OF TUKWILA - DEMO SHED
SITE ADDRESS: 3503 S 142 ST
X Original Plan Submittal
Response to Incomplete Letter #
Response to Correction Letter # Revision # after permit Is Issued
DEPART_JDD�IEN Al e& 414.65
Building Division
Public prks
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 09 -16 -03
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 ROJITING:
Please Route lot Structural Review Required ❑ No further Review Required Cl
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions LD] Not Approved (attach comments) ❑
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
a
M51 N/, .1(• .03
Fire Prevention C
Structural
PERMIT COORD COPY
CPL kiA.. 1.* .03
Planning Division Q
❑ Permit Coordinator
Not Applicable ❑
DUE DATE: 10 -14 -03
DATE:
larra
LICENSE DETAIL INFORMATION Form
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:
LICENSE DETAIL INFORMATION
Registration# or License JHARPCI081 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 LICENSE***
'VIEW *VIEW PRINCIPAL OWNER(S) FOR THIS LICENSE* * *
* * *VIEW CONTRACTOR BOND /SAVINGS INFORMATION * * *
* * *CHECK INQUIRY FOR SUMMONS AND COMPLAINTS* * *
* * * VIEW CONTRACTOR INSURANCE INFORMATION *"
Page 1 of 2
New inquiry by CITY , NAME , PRINCIPAL OWNER NAME , LICENSE , UBI
NUMBER , check the
L &I Contractor Industrial Insurance Premium Status or return to the L &I Construction
Compliance Home Page
https://wws2.wa.gov/lni/bbip/TF2Form.asp?License=JHARPCI081B 7
9/22/03
L 'ti�t4 ?.Ji`�4cL�
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File: D03 -0286
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