HomeMy WebLinkAboutPermit D03-310 - GRIFFEN RESIDENCE - IMPROVEMENTGRIFFEN RESIDENCE
14488 58T" AVENUE
SOUTH
D03 -310
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Parcel No.: 3365901165
Address: 14488 58 AV S TUKW
Suite No:
Th
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Tenant:
Name: JEFFREY MICHAEL GRIFFIN
Address: 14488 58 AV S, TUKWILA WA
DEVELOPMENT PERMIT
Owner:
Name: GRIFFIN JEFFREY MICHAEL Phone:
Address: 14488 58TH AVE S, TUKWILA WA
Permit Number: D03 -310
Issue Date: 10/02/2003
Permit Expires On: 03/30/2004
Contact Person:
Name: JEFFREY GRIFFIN Phone: 206 901 -9251
Address: 14488 58 AV S, TUKWILA, WA
Contractor:
Name: OWNER AFFIDAVIT IN FILE - JEFFREY GRIFFIN Phone: 206 901 -9251
Address: 14488 58 AV S, TUKWILA WA
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
PERMIT ISSUED TO FINISH WORK FROM OLD PERMIT D02 -218. SCOPE OF WORK INCLUDES: REFRAMING LIVING ROOM
WALS, WINDOWS AND DOOR OPENINGS. REPLACE WINDOWS, INSTALL PLYWOOD SHEETING AND SIDING.
Value of Construction: $ $2,000.00 Fees Collected: $39.12
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
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 -310
Public:
Non - Profit:
Public:
Printed: 10 -02 -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 he p- ' ors► - nce of work. I am authorized to sign and obtain this development permit.
Signature:
Print Name: 1 , —S -e P-P r e.
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.
doc: Devperm
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Date: -z d 3
D03 -310
Date: 10 -2
Printed: 10 -02 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
1: ** *BUILDING DEPARTMENT CONDITIONS * **
inspected by that agency, including all gas piping (296- 4722).
identification showing the fire performance rating thereof.
Print Name:
doc: Conditions
PERMIT CONDITIONS
Parcel No.: 3365901165 Permit Number: D03-310 z
Address: 14488 58 AV S TUKW Status: ISSUED fr g
Suite No: Applied Date: 10/02/2003 6
Tenant: JEFFREY MICHAEL GRIFFIN Issue Date: 10/02/2003 U p
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3: Plumbing permits shall be obtained through the Seattle -King County Department of Public Health. Plumbing will be = C�
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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). LU
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6: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any = w
construction. These documents are to be maintained and available until final inspection approval is granted. F-
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7: Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear ili Z
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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.
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
5: All mechanical work shall be under separate permit issued by the City of Tukwila.
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:
D03 -310
Date: / 0 2 - 0 )
Printed: 10 -02 -2003
Project Name/Tenant: C ( \ �
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Type of work: ❑ New Single- Family Residence Addition - Single- Family Residence
17 Interior Remodel- Single - Family Residence ❑ Residential Accessory Structure*
❑ Remodel /Addition to Accessory Structure ❑ Garage(s)
❑ Deck(s) - Covered & Uncovered ❑ Residential Reroof
Is this site served by: ra Sewer ❑ Septic (King County Health Dept. approval (equired - 296 -4722)
Existing Square Footage for Structure: )4 6 • Z.q. ft. Dwelling sq. ft. Covered Deck(s)
r/alue o onstruction:
--;Jc "r 1
Site Address:
Mc) '53
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City State /Zip:
.i k r ) eii 1 `igml
Tax Parcel Number:
33& 5 5e, -- 11 ‘.5"
Property Owner:
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*For an Accessory dwelling, provide the following:
Lot area Floor area of principal dwelling Floor area of accessory dwelling
" Provide documentation that shows the principal owner lives in one of the dwellings as his or her primary residence.
Phone:
206 X101 ci 2 1
_
Street Address:
l c l '-1 e `) 5
5 it via 5
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City State /Zip:
9 i$ I
Fax #:
Contractor:
Phone:
Street Address:
City State /Zip:
Fax #:
Architect:
Phone:
Street Address:
City State /Zip:
Fax #:
Engineer:
Phone:
Street Address:
City State /Zip:
Fax #:
Contact Perso
Pho
Street Address:
/W88
ea ,4v S - 7 - 4,140/4,-
City State /Zip:
4'7/4
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Description of work to be done: � e }-- (� '� M .E'
p ., P I c_ -t' (-r) i ✓l 6r Czj Z. .j 'TCij p 1 t.�c. rei .S h _ e- �'1 , :t- .y , if , 1, -.> 1 .
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Type of work: ❑ New Single- Family Residence Addition - Single- Family Residence
17 Interior Remodel- Single - Family Residence ❑ Residential Accessory Structure*
❑ Remodel /Addition to Accessory Structure ❑ Garage(s)
❑ Deck(s) - Covered & Uncovered ❑ Residential Reroof
Is this site served by: ra Sewer ❑ Septic (King County Health Dept. approval (equired - 296 -4722)
Existing Square Footage for Structure: )4 6 • Z.q. ft. Dwelling sq. ft. Covered Deck(s)
sq. ft. Garage /Carport I O '-I , C---‘1. ft. Accessory Structure(s) sq. ft. Uncovered Deck
Proposed New Square Footage: sq. ft. Dwelling sq. ft. Covered Deck(s)
sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck
Floor Area Ratio: (total floor area of all structures divided by the area of the lot) .. 2 - Z 0 l . I 1
*For an Accessory dwelling, provide the following:
Lot area Floor area of principal dwelling Floor area of accessory dwelling
" Provide documentation that shows the principal owner lives in one of the dwellings as his or her primary residence.
Single - Family Residential Permit Application
CITY OF TUmWILA
Permit Center
6300 Southcenter Blvd,, Suite 100, Tukwila, WA 98188
(206) 431 -3670
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or facsimile.
APPLICANT REQUEST •FOR 'PUBLIC WORKS'SITE/CIVIL PLAN REVIEW OF THE FOLLOWING:
(Additional reviews shall be determined by the Public•Works Department)
❑ Channelization /Striping ❑ Curb cut /Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #:
❑ Flood Control Zone Cl Hauling ❑ Land Altering: 0 Cut cubic yds. 0 Fill
❑ Moving an Oversized Load: Start Time:
❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public
❑ Storm Drainage 0 Private 0 Public
❑ Water Meter /Permanent #
❑ Water Meter Temp #
❑ Miscellaneous
❑ Street Use ❑ Water Main Extension
Size(s):
Size(s): Est. quantity:
End Time:
gal
Size(s):
cubic yds.
Schedule:
Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be re-
viewed 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 ex-
pire 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.
Date application accepted:
7---m ; 4102
Date application expires:
l —Z V-0.3
Application taken by: (initials)
PLEASE SIGN BACK OF APPLICATION FORM
SFPERMIT.DOC 2/13/97
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Parcel No.:
Address:
Suite No:
Applicant:
Receipt No.:
Initials:
User ID:
Payee:
Payment
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
3365901165
14488 58 AV S TUKW
JEFFREY MICHAEL GRIFFIN
R03 -01203
SKS
1165
JEFFREY M. GRIFFIN
TRANSACTION LIST:
Type Method Description
Check 1177
BUILDING - RES
STATE BUILDING SURCHARGE
000/322.100
000/386.904
RECEIPT
Account Code
Permit Number:
Status:
Applied Date:
Issue Date:
Payment Amount:
Payment Date:
Balance:
Amount
39.12
Current Pmts
34.62
4.50
Total: 39.12
3320 10/03 9710 TOTAL
D03 -310
ISSUED
10/02/2003
10/02/2003
39.12
10/02/2003 04:01 PM
$0.00
39.12
Printed: 10 -02 -2003
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COMMENTS:
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Date Called: /;�
Special Instructions:
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Project:
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Type of Inspection:
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Date Called: /;�
Special Instructions:
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Date Wanted: ' ` / D
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Requester.
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INSPECTION NO.
-Approved per applicable codes.
INSPECTION RECORD j \;\
Retain a copy with permit 1 A- 13- D1 6
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Corrections required prior to approval.
Inspector:
Date: I b - I o- O3
0 $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
COMMENTS:
Type of Inspectipn:
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Special Instructions:
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Type of Inspectipn:
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Address:
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Date Called:
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Special Instructions:
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Date Wanted:
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Requester•
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INSPECTION RECORD
Retain a copy with permit
INSPECTIDN NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
Inspector,
l.�
(206)431 -3670
Corrections required prior to approval.
/f//1/1)
Date:
0
$47.00 REINSPECTION E REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection.
Receipt No.:
Date:
STATE OF WASHINGTON
COUNTY OF KING
7A
AFFCONT 1/13/00
Q om ': % SIGN �'•'�
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CITY OF Tr r 'WILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
k ) ( Tr • 1:J: states as follows:
ave made application for a building permit from the City of Tukwila, Washington.
PP g P Y 9
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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.
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.
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. /QZ. , 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.
ss.
APPLICANT
residing at
Signed and
�4 day of
•
n to before me this
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20 G-
NOTARY PUBLIC in and for the State of Washington,
Name as commissioned:
An1
County.
641C ( 46/9A/ - -
My commission expires: ��