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HomeMy WebLinkAboutPermit 6813 - Matthews Residence - Foundation6813 91-401 matthews brian 15123 42nd avenue south foundation Permit 6813 - Matthews Foundation TYPE OF CONST.: V -N UBC EDITION (year) 1988 SETBACKS: N- S - E- ADDRESS 4056 South 152nd, Tukwila, WA W - s FIRE PROTECTION: UTILITY PERMITS REQUIRED? Yes oyes N� (through Public Worka) OSprinklers 0 Detectors ® N/A ZONING: BAR /LAND USE CONDITIONS? ® Yes 0 No CONDITIONS (other than those noted on or attached to permit/plans) PROPERTY OWNER Brian Matthews PHONE' 243 - 8778 ADDRESS 4056 South 152nd, Tukwila, WA ZIP 98188 CONTRACTOR Owner PHONE ADDRESS ZIP WA. ST. CONTRACTOR'S LICENSE # EXP. DATE ARCHITECT PHONE ADDRESS ZIP CITY OF TUKWILA Dept. of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 BUILDING PERMIT NO. DATE ISSUED: ols--q SITE ADDRESS PROJECT NAME/TENANT Matthews, Brian USE TOTAL:: APPROVED FOR ISSUANCE BY: SIGNATURE: 15123 42 Av S Foundation for move on house. bUILUIN-ti (POST WITH INSPECTION CARD AND PLANS IN A CONSPICUOUS LOCATION) ;; >: DESCRIPTION BUILDING PERMIT FEE . PLAN CHECK' FEE. BUILDING S.URCHARGE<:: >! TOTAL.; AMOUNT;::: RCPT: #?: 54;.00 :;2255 • 4 :'5.Q . 9 1;6 -91; PLAN CHECK NO.: 91 - 401 PROJECT.. INFORMATION SUITE # ASSESSOR ACCOUNT it 004100 - 0595 -02 TYPE OFD] New Building Addition Tenant Improvement (commercial) Li Demolition (building) Li Grading/Fill WORK: 0 Rack Storage 0 Reroof 0 Remodel (residential) i Other: Foundation DESCRIBE WORK TO BE DONE: /. SQUARE OCC. FEET LOAD SQUARE FEET OCC. LOAD SQUARE OCC. FEET LOAD SQUARE OCC. FEET LOAD SQUARE OCC. FEET LOAD TOTAL SQUARE FEET TOTAL OCC, LOAD l i1 PRINT NAME: CERTIFICATE OF OCCUPANCY NO. This.permit sh become null and void,rf.. the work is not co mmenced within 180 days from t he date o rssuance,or if the kirk is susperided orabar for a: period of : 180 days from the las �nspsctlbn • DATE ISSUED: BUILDING OFFICIAL I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of lay and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give a ority to violate or cancel the provisions of any other state or local laws regulating constructiqn -Q, the perfor� work. I am authorized to sign for and obtain this building permit. VALUE OF CONSTRUCTION - $ 3,000.00 DATE: t C) • -) ) COMPANY: DATE: Cd /4 M7/ V!l'lOJVV PERMIT NO. C CONTACTED 3 3 r r i an DATE READY D DATE NOTIFIED B 1 d `� 1 �j-` C l i ( BY: PERMIT EXPIRES 2 2nd NOTIFICATION B BY: (init.) AMOUNT OWING d d) 3 3RD NOTIFICATION B BY: (snit.) t BUILDING�ERMIT APPLICATION TRACKING PLAN CHECK NUMBER _ga L4\ PROJECT NAME �t w � , Briar_ SITE ADDRESS 15 INSTRUCTIONS TO STAFF • Contacts with applicants or requests for information should be summarized in writing by staff so that any time the status of the project may be ascertained. • Plan corrections shall be completed and approved prior to sending on to the next department. • Any conditions or requirements for the permit shall be noted on the plans or summarized concisely in the form of a formal letter or memo, which will be attached to the permit. • Please fill out your section of the tracking chart completely. Where information requested is not applicable, so note by using "N /A ". BUILDING SQUARE FOOTAGE/OCCUPANCY INFORMATION (to be filled out by Plan Checker) SQUARE FEET SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD OCC. LOAD SQUARE FEET OCC. LOAD TOTAL SQUARE FEET DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. ;DEP BUILDING - initial review FIRE ,PLANNING P gLti- t0 -7 -n 12. RO T D /e) / 9 - 1 t It INIT >-'✓ U 0 114 V V • ry • PUBLIC WORKS 0 OTHER BUILDING - final review INIT: Rev RE UIREME , .....::..,..,:....:........:,.:...... ....,::..:....:,.:......,.,.... CONSULTANT: Date Sent FIRE PROTECTION: FIRE DEPT. LETTER DATED: ZONING: REFERENCE FILE NOS.: MINIMUM SETBACKS: N- (i,1 UTILITY PERMITS REQUIRED? PUBLIC WORKS LETTER DATED: PE OF CONSTRUCTION: VA/ Sprinklers 'v / O /6 Date A ME . Yes No roved Detectors kJ N/A INSPECTOR: ,> / Z BAR/LAND USE CO 10 S? Yes REVIEW COMPLETED SUITE NO. TOTAL OCC. LOAD t UBC EDITION (year): 08/171 SITE ADDRESS SUITE # VALUE OF CONSTRUCTION - $ -i •; PROJECT tJAME/T NANT Y - I 0,DS GO 4, ,I_ , ASSESSOR ACCOUNT # 1\ G o '1 1 C C - n 5 -,)'_; _ o :. ? ',, 2 6 '7 A (commercial) U Demolition (building) 0 Other 1-` )11; !4 tab, S ilt41 >1l1<' TYPE OF 0 New Building • Addition U Tenant Improvement WORK: 0 Rack Storage 0 Reroof 0 Remodel (residential) DESCRIBE WORK TO BE DONE: -- r -" „)» li (%1,`I 7 ‘ b ii,A. (Ltslj..i . HoU r i:tv .►, i,i`,( . BUILDING USE (office, warehouse, etc.) 11 It.; (11'( ( -1 N'( l.i . `.: NATURE OF BUSINESS: f ( I O 1 r (,); T.1 , WILL THERE BE A CHANGE IN USE? Q' No 0 Yes If Yes, new building requirements may need to be met. Please explain: SQUARE FOOTAGE - Building: , ■., ot , Tenant Space: Area of Construction: WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? +( No 0 Yes IF YES, EXPLAIN: PROPERTY OWNER is �'IF,►.l f'�� ��E��'1).7a PHONE �, 7 t,. (" 7-. r'. ADDRESS it oS (:. I<-3':i Nh i'hI 1{ Iti) j L A ZIP CONTRACTOR 54 F PHONE ADDRESS ZIP WA. ST. CONTRACTOR'S LICENSE # EXP. DATE ARCHITECT PHONE ADDRESS ZIP I HEREBY:; CERTIFY :THAT I HAVE::READ BE ` :TRUE :AND :CORRECT, AND ;I,�AMA AUTH A D .4 MINED :THIS :iAPPLICATION;AN )31 l E O.APPLY FOR : THIS PERMIT.:. ,' 11 KNQW HE SAM TO ; :T . ;. DATE — : BUILDING OWNER OR AUTHORIZED AGENT SIGNATURE `' ( PRINT NAME i . , t •) P k 14 .1 (� ... 1•� 1 ( PHO NE ,, ,� 7 7 ) '' ADDRESS 4 \0( :,( s j<',,,1 ►Jt '+UKwi1.1'1 CITY2IP 4!A. 6.J1 '5 1 8 CONTACT PERSON ' r1 `\ it /I PHONE 2 q, ( -7 7 p (206) 431 -3670 PLAN CHECK NUMBER CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 GI 1 401 DATE APPLICATION 4c CEPTED I BUILDII3 PERMIT APPLICATION BUILDING PERMIT FEE PLAN CHECK FEE BUILDING SURCHARGE OTHER: TOTAL ' DESCRIPTION AMOUNT RCPT. DATE APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill out the application completely and follow the plan submittal checklist on the reverse side of this form. Handouts are available at the Building counter which provide more detailed information on application and plan submittal requirements. Application and plans must be complete in order to be accepted for plan review. VALUATION OF CONSTRUCTION Valuation for new construction and additions are calculated by the Department of Community Development prior to application submittal. Contact the Permit Coordinator at 431 -3670 prior to submitting application. In all cases, a valuation amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Building Division to comply with current fee schedules. BUILDING OWNER / AUTHORIZED AGENT If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and obtain the permit will be required as part of this submittal. EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of application shall expire by limitations. 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 304(d) of the Uniform Building Code (current edition). No application shall be extended more than once. If you have any questions about our process or plan submittal requirements, please contact the Department of Community Development Building Division at 431-3670. DATE APPLICATION EXPIRES COMMERCIAL Working drawings, stamped by a Washington State licensed architect, which include: • Site plan • Architectural drawings'; • Structural drawings • Mechanical drawings • Elevations • Civil drawings • • Landscape plan Completed utility permit application (one for entire project) ri Six (6) sets of civil drawings NOTE: Soo utility permit application andchecklist'for specific utility: submittal requirements NEW COMMERCIAL BUILDINGS /ADDITIONS. C � Completed building permit application (one for each structure) Assessor Ac.ount Number Two sots (2) of the following: 1 Specifications Structural calculations stamped by a Washington State licensed engineer i l Soils report stamped by a Washington State licensed engineer Topographical sir -vny - Energy calculations stamped by a Washington State licensed engineer or architect Legal description RACK STORAGE • ANTENNA/SATELLITE DISHES" Completed building permit application :. Assessor Account Number Two (2) sets of plans ;:which include 1 Site Plan (showing building and location of antenna/satellite Details antenna/satellite dish and method of attachment Structural calculations: stamped by a Washington State livens engineer may be required F--1 Completed budding permit application:. Assessor Account. Number Two (2) sets of plans, which Include { Building floor plan. showing: • Entire space where racks will be located • Exit doors ; • Dimensions of all aisles —1 Tenant space floor plan showing rack storage layout; aisles and Brits. ,.. ,,.. NOTE : dimensions of racks (height,: width and 'length), aisles and exit ways on plan.' . I _I Structural calculations stamped by a Washington State licensed engineer (rack storage B' and over). SUBSVIITTAL CHECKLIST INIMOIMMIONMENIMMOONIMIMMINMV NEW SINGLE - FAMILY DWELLINGS /ADDITIONS : 171 Completed building permit application (one for each •structure v? Legal description 17 Assessor. Account' Number; T1 Two sots (2) of working drawings, which ' includo : . • Site plan — (On plan, show closes :hydrantlocation: Foundation plan include access: to bull din showing • Floor plan width and length of access.) Roof plan. • Building elevations (all views) Building cross- section • Structural framing plans (� Washington State Energy Code data.. Completed utility permit application LJ s (6) sets of site plans showing utilities NOTE: Building site plan and utility site plan may bo combined. See utility permit application and checklist for specific submittal requirements.' Additional topographical and soils information may be required if unique site conditions. COMMERCIAL TENANT IMPROVEMENTS.':: Completed building permit application (one : for each structure r -- 1 Assessor Account Number Two (2) sets of construction plans which include;;: Site plan • Location of tenant space • • Existing and proposed parking • %Landscape plan (If applicable, i e ; •change of use Overall building plan • Tenant location • Use of adjacent (common wall) tenant • Overall dimensions of building • or square footage; Floor plan of proposed tenant space i.Tenant space plan with use of each room labelled • Exit doors, egress patterns. • New walls; existing wall; and walls to be demolishe Construction; details • Cross . sections showing wall construction and method o attachment for floor and cailing • Structural calculations stamped'tiy.a Washington" State' licensed :• engineer may be required if structural work to •be :done;(2 sets). NOTE. if any utility work is to be done, 'submit separate utility permi application and plans. `: REROOF I ; ,Completed building permit; application (one: for each structure Assessor. Account Number Narrative describing existing roof;`.materiallbeing removed, an —. material beingans .NOT . A certification letter is required prior to final ins and sign Completed.buiiding permitapplicrition, Assessor Account Number Two (2):sets of working drawings, which: include • Site plan:' •. Foundation plan • .Floor'plan, Roof plan:: • :" Building elevations (all views •:Building section Structural.framing plans NOTE:. If any utility,worlr Is:tc be done provide utility permit and plans must be submitted, REROOFS`. : .`. ri Completed building permit application (one for each structure Assessor Account Number Narrative describing existing roof, matenal being removed, an material being installed.:> NOTE: A certification letter is required prior to iinal Inspection and sigh;.. off of the permit I X " PERMITS TO PWD APPROVED PERMIT NUMBER APPROVED PLAN /LETTER DATE a ISSUED Fc>vni Ci, of'1 Channelization/Striping /Signing Curb Cut/Access/Sidewalk i I O P q)- a- 13 -co- Fire Loop /Hydrant Flood Zone Control Grade/Fill Hauling Landscape Irrigation Moving an Oversized Load Sanitary Side Sewer Sewer Main Extension (private) Sewer Main Extension (public) )� Storm Drainage D r (g.6 , ) 31,4 Water Main Extension (private) Water Main Extension (public) Water Meter (exempt) size: No.: O Deduct 0WaterOnly Water Meter (permanent) size: No.: Water Meter (temporary) size: No.: Other: Other: RECEIVED TYPE OF REVIEW TO PWD APPROVED REQUESTED COMMENTS q - al Fc>vni Ci, of'1 q-((0 -c 1) PLAN CHECK NUMBER ROUTING PERMITS REQUIRED PROJECT NAME UTILITY P .OJ ECT TRACKING CHECKLIST YrI (L--tn r _ WS, r i o.l SITE ADDRESS SUITE NO. CONDITIONS OF PERMIT ISSUANCE OR FINAL SIGN -OFF OF PROJECT • : 6 • P A NAND KNQW :THE SAME: TO :BR ;TRUE AND CORRECT Applicant /Authorized - Agent i n re. � �rt�C,� ti 9 $ tl , . iy, `rl J ,. A t 1-6 FS � ' � Contact Person (print name): — Address: _ Print Name: (5 R q, z Date: �l _ 4 - ,� ( Phone: 9.4: 17 Phone: Date Application Acce d: q a Date Application Expires: 3 _ J ( — Q Q CITY OF TUKWILA Central Permit System - Engineering Division 6300 Southcenter Blvd., Tukwila, WA 98168 Phone: (206) 433 -0179 PROJECT >; .. < Site Address: 151 - INFORMATION' Name of Project: Property Owner: t,-)f (NJ fi3Os/? F _ Street 4 1 - aS6 S. g 5.Z''' �? Engineer: Street Address: Contractor: Street Address: King County Assessor Account Number: Ik p(' PERMITS':;:;'::: ❑ Channelization /Striping /Signing REQUEST ED,` ❑ Curb Cut/Access /Sidewalk ❑ Fire Loop /Hydr. (main to vault) — No.: Sizes: ❑ Flood Zone Control ❑ Grade/Fill cubic yards ❑ Hauling • El Landscape Irrigation ❑ Moving an Oversized Load Cd Sanitary Side Sewer— No.: I ❑ Sewer Main Extension Private ❑ Public ❑ WATER: MET <REFUND /RIL MONTHLY: SERVICE;:;: '' BILLINGS T ❑ Water Name: Street O c i S. LS 2, N p Name: r i P 3 U . 1\4/1') I ?1 iAv.. Street 4 1 - 056 S `' 7' r Sewer ❑ Metro ❑ Standb °DESCRIPTION<.OF PROJECT CYSingle- Family Residential (ii (41.) S. gi i711,4ii5 ❑ Multiple - Family Dwelling ❑ Hotel No. of Units: ❑ Motel ❑ Commercial/Industrial ❑ Office ❑ Retail MISCELLANEOUS. INFORMATION.':; ❑ New Building Square Footage: King County Assessor's valuation of existing structures: $ t !) UTILITY PERMIc APPLICATION ❑ Duplex A-2's h R "Jc`. J . '1 1'1 IDU — L9 r'.) --O2 ❑ Triplex ❑ Warehouse ❑ Manufacturing ❑ Apartments ❑ Condominiums ❑ Church ❑ Hospital PLAN CHECK NUMBER: Phone No.: City /State /Zip: Phone No.: City /State /Zip: . 7m267 A ❑ Storm Drain ❑ Street Use ❑ Water Main Extension Private ❑ Public ❑ ❑ Water Meter / Exempt: — No.: Sizes* Deduct ❑ Water Only ❑ Ji Water Meter/ Permanent — No • .1_ Sizes: " ❑ Water Meter/ Temporary: — No.: Sizes' ❑ Other: City /State /Zip: /'t I I L E5 t Phone No.: 2+3 - e City /State /Zip: Z Kk)) `:,)c3 1 8 ❑ Other: ❑ Remodel/ Square footage of original building space: Addition Square footage of additional building space: Valuation of work to be done: $ 3000 yo l Phone No.: ; `i - f 7 • 7A City /State /Zip: c I f; Phone No.: 24 - ; 778 ❑ School /College /University ❑ Other: Ago 09/18/90 SUBMITTAL CHECK :.1ST T All site plans shall be provided in one submittal for review by the Public Works Department. Six (6) sets of plans stamped by a licensed engineer are required along with this application completed and signed by the applicant's representative. The following information is necessary for Public Works Department evaluation and approval of site plans: • All utility construction is to meet the City of Tukwila Standards • Indicate scale of drawing and show north arrow • Identify location by address or distance to nearest intersection CURB CUT /ACCESS /SIDEWALKS/ CHANNELIZATION /STRIPING /SIGNING O Dimensions O Type of surfacing - asphalt, crushed rock, etc,(and thickness) O Percent of slope or runoff direction O Size of curb cuts /location O Vehicular and pedestrian traffic facilities, including signing and striping, wheel chair ramps, curb cuts FIRE LOOP /HYDRANT O Type of pipe O Size of pipe /location O Location and type of all valves O Type of bedding and backfill materials /percent compaction O Distance from structures, storm and sewer facilities at minimum separation O Location and size of thrust blocking FLOOD ZONE CONTROL (Requirements are under Flood Ord, No. 1462 and can be obtained from the Public Works Dept.) O Lowest finished floor elevation O Contours and elevations per National Geodetic Vertical Datum LAND ALTERING (CLEARING, GRADE AND FILL) O Contour map (2' intervals) showing existing and proposed contours O Estimate of yardage, both cut and fill O Erosion control plan HAULING O Copy of Certificate of insurance coverage (minimum $1,000,000) O $2,000 bond made out to the City of Tukwila for property damages caused by activities O Route map LANDSCAPE IRRIGATION O Location of DSHS approved double check valve O Type of pipe - copper, high density molecular plastic, ductile O Size and depth of pipe O Size of meter O Location and elevation of meter box (water meter - permanent and exempt). Clearly show whether tap is on main or domestic service O Location and type of tap O Type of bedding and backfill materials /percent compaction MOVING AN OVERSIZED LOAD O Copy of Certificate of insurance coverage (minimum $1,000,000) O $5,000 bond made out to the City of Tukwila for property damages caused by activities O Business License with City of Tukwila O Route map SANITARY SIDE ?WER O Type of pipe - conc f etc. O Size of pipe /location O Percent of slope on pipe /length of run O Connection point(s) to public O Location of cleanout(s) and test Tec(s) MC- t,'� O Type of bedding and backfill material /percenf compaction- h �` O Invert elevations at structures and junctions A 01 04 AC ,'(�' SEWER MAiN, EXTENSION O Type of pipe - concrete, PVC, etc. O Size of pipe /location O Percent of slope on pipe /length of run O Connection point(s) to public O Location of cleanouts O Type of bedding and backfill material /percent compaction STORM DRAINAGE (including existing topography and proposed grading and surfacing) O Type of pipe O Size of pipe O Percent of slope /length of run O Location of all structures O Square footage of area to be drained, including roof area O Bedding material for pipe O Invert or flow line elevations STREET USE O Complete description of proposed activity O Map with address and outline of limits of activity relative to public right -of -way and easements O Proposed traffic control /detour (per Manual of Uniform Traffic Control Devices) O Proposed schedule (times and dates) WATER MAIN EXTENSION O Type of pipe O Size of pipe O Hydrant type and locations O Valve type and locations O Connection point(s) to existing system O Type of connection - live tap, tee, etc. O Location and size of thrust blocking O Size and location of mains, Including elevations (profile) WATER METER • EXEMPT O Diagram of domestic system /tie In of exempt meter O Number /account for existing domestic meter O Size and type of material of meter and service O Site address WATER METER - PERMANENT O Type of pipe - copper, high density molecular plastic, ductile O Size and depth of pipe O Size of meter O Location and elevation of meter box (water meter - permanent and` exempt) O Location and type of tap O Type of bedding and backfill materials /percent compaction ( WATER METER - TEMPORARY O Address and hydrant location O Size of meter O Estimate of quantity and schedule After the Public Works Department has completed their review and the plans are approved, the applicant will be notified by letter concerning the necessary permits and requirements; an approved set of plans will accompany the letter. If the plans are not approved, the applicant will be notified by letter of necessatr_esubmittal requirements. '74i "_ g ' 5 , . T Type oflnspecttrF . T 16e 3 42 ,gI n _ ri / Date Called: fJ ~ , 714,.;.3.... '` q Special Instructions: Date Wanted: 0 "�,�dZ'"' ( . m . Requestc P , , hone Noy !.� c7 7 (,,y ;. a 1 INSPECTION RECORD IIIL P—T1 Retain a copy with permit fNS CTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431 -3670 COMMENTS :. Inspector: Approved per applicable codes, __a ...C.9 required prior to approval. ❑ $30,00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'L —79e Date: Date: PERMIT NO. COMMENTS: t G {,,S Type of lnspectio�~ ' �) f lC JC _/ dP, 7 „ A_tlE., s. . Al Special Instructions: Date Wanted: (� � " I I r - l r p.m. Requester: Phone No, ' r .3 __ g-1 7 � r ■M I► i EIVIr MEI r - .— .. C., r ., . , e/ 1 ec� Ic' 1 AA) t G {,,S Type of lnspectio�~ ' �) f lC JC _/ dP, 7 „ A_tlE., s. Dale Called: g _._., r q Special Instructions: Date Wanted: (� � " I I r - l r p.m. Requester: Phone No, ' r .3 __ g-1 7 J . f . INSPECTION RECORD C Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ER FT (206) 431 -3670 ❑ Approved per applicable codes. ci4 Corrections required prior to approval. Inspector ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Dale: 8,_//...92 Date: ro ec / �yy �� � 1 1M1� - p � nn � 1/1 I V W Type of Inspection: , d't �' j/f/ ii Address. 12... G Date Called; (/' -z _ a t 2 Special Instructions: Date Wanted: -0 � 7 2€9.m. Requester: l..... vti ot Phone No.: 2 , ,. w $ 7 7 g • C) INSPECTION RECORD 0 (- Retain a copy with permit, • CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ❑ , Approved per applicable codes. PERM (206) 431 -3670 Corrections required prior to approval. ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. `roe Type ofinspection: Addre L Date Called: Special ns ctlons: Date Wanted: /1— am Requester: Phone No.: Approved per applicable codes. I1■161 RECORD Retain a copy with permit CITY • F TUKWILA BUILDING DIVISION 6300 S'outhcenter Blvd., #100, Tukwila, WA 98188 (206) 431 -3670 ❑ Corrections required prior to approval. ❑ $30.00 REINSPECTION F E REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: CITY OF TUKWILA 6200 SOUTHCENTER BOULEVARD, TUKWILA. WASHINGTON 98188 October. 16, 1991 Brian Matthews 4056 South 152nd Street Tukwila, WA 98188 SUBJECT: Brian Matthews Residence, 15123 42nd Avenue South Utility Permit Application (Plan Check No. 91 -401) Dear Mr. Matthews: In accordance with our previous conversations concerning the subject project, the Public Works Department hereby approves the site plans, with revisions as noted on the plans. You are referred to other City Departments, including Fire and Community Development, for their requirements and approvals which may affect the commencement of this work. Please contact Denise Millard, Permit Coordinator at 431 -3672, to have the following permits prepared for pickup: 1. Curb Cut /Access /Sidewalk Permit (Permit Fee = $25.00) Driveway needs to be paved for a distance of 20 feet from the edge of existing pavement. 2. Storm Drain Permit (Permit Fee = $25.00) If you have any further questions, please call me at 433 -0179. Sincerely, John A. Piero P.E. Associate Engi. eer Public Works Department JP /amc:8:matthews PHONE # (2061433.1800 xc: Greg Villanueva, City Utility Inspector Permit Coordinator. Ann Siegenthaler, Planning Read File Development File: Brian Matthews Single Family Gary L. VanDusen, Mayor site plan legal decription site plan survey 8702051120 site plan site plan site plan site plan SEPARATE PERMIT AND APPROVAL REQUIRED I understand that the Plan Check approvals are subject to errors and omissions and approval of ptans does not authorize the violation of any adopted code or ordinance. Receipt of contractor's copy of a • •ved pi s acknowledged. APPROVED OCT 17 1991 foundation plan foundation cross section legal description anchor bolts legal description CITY OF TUKWILA 6200 SOUTIICENTKR BOULEVARD, TUKWILA. WASHINGTON 98188 Plan Check #91 -401: Matthews, Brian 15123 42 Av S I PHONE n (2061433.1800 THE UNDER TUKWILA UKWILA BUILDING PERMIT NUMBER l� l -, F THE APPROVED 1. No changes will be made to the plans unless approved by the Tukwila Building Division. 2. Plumbing permit shall be obtained through the King County Health Department and plumbing will be inspected by that agency, including all gas piping (296- 4732). 3. Electrical permit shall be obtained through the Washington State Division of Labor and Industries and all electrical work will be inspected by that agency (872- 6363). 4. All mechanical work shall be under separate permit through the City of Tukwila. 5. All permits, inspection records, and approved plans shall be posted at the job site prior to the start of any construction. 6. Any exposed insulations backing material to have Flame Spread Rating of 25 or less, and material shall bear identification showing the fire performance rating thereof. 7. All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1988 Edition), Uniform Mechanical Code (1988 Edition), and Washington State Energy Code (1991 Edition). 8. Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any requirements for special inspection. 9. All wood to remain in placed concrete shall be treated wood. 10. Approval of this permit application is subject to the conditions set forth in the Planning memorandum to file (see attached copy). Gary I.. VanDuseu, Mayor a Matthews, Brian Page 2 • 11. 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 this code or of any other ordinance of the jurisdiction. No permit presuming to give authority or violate or cancel the provisions of this code shall be valid. "X" REQUIRED INSPECTIONS PHONE AP DATE APPROVED INSPECT. INITIALS DATE(S) CORRECTION NOTICE ISSUED x 1 Footings 431 -3670 X 2 Foundation 431 -3670 3 Slab and/or Slab Insulation 431 -3670 4 Shear Wall Nailing 431 -3670 5 Roof Sheathing Nailing 431 -3670 6 Masonry Chimney 431 -3670 7 Framing 431 -3670 R 8 Insulation 431 -3670 9 Suspended Ceiling 431 -3670 10 Wall Board Fastening 431 -3670 11 12 13 14 FIRE FINAL Insp: 575 -4407 x 15 PLANNING FINAL 431 -3670 x 16 PUBLIC WORKS FINAL 431 -3670 x 17 BUILDING FINAL 431 -3670 CITY OF TUKWILA Department of Community Development - Permit Center 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 SITE ADDRESS: 15123 42 Av S • BUILDIf BUILDIIV PERMIT INSPECTION RECORD (Post with Building Permit in conspicuous place) SUITE NO.: BUILDING (.Dr3 PERMIT NO. DATE ISSUED: PROJECT: Matthews, Brian CALL FOR INSPECTIONS AT LEAST 24 HOURS IN ADVANCE (INSPECTOR COMMENT SECTION INSPECTION PROCEDURES AND REQUIREMENTS All approved plans and permits shall be maintained available on the site in the same location. 1. FOOTING - When survey stakes and forms are set and rebar is tied in place. 2. FOUNDATION - When forms and rebar are In place. 3. SLAB - If structural slab or if underslab insulation is required. 4. SHEARWALL NAILING - Prior to cover. 5. ROOF SHEATHING NAILING - Prior to cover. 6. MASONRY CHIMNEY - Approximately midpoint. 7. FRAMING - After rough -in inspections such as mechanical, plumbing, gas piping, electrical and fire stopping is in place. 8. INSULATION - After framing approval, but before installation of wallboard. Baffles must be installed to keep attic ventilation points clear. 9. SUSPENDED CEILING - Fasten diffusers, lights and seismic bracing. 10. WALL BOARD FASTENING - Prior to taping (see UBC Chap. 47 and Table 47G). 11. 12. 13. 14. FINAL FIRE INSPECTION - Contact Fire Department for their requirements. 15. FINAL PLANNING INSPECTION - Contact Planning Department for their requirements. 16. FINAL PUBLIC WORKS INSPECTION - Contact Public Works Department for their requirements. 17. FINAL BUILDING INSPECTION - When all work, corrections, reports and other inspections are complete. OTHER AGENCIES: Plumbing (including gas piping) — King County Health Department — 296 -4732 Electrical — Washington State Department of Labor and Industries — 277 -7272 A preconstruction meeting with the Building Inspector may be scheduled prior to starting the job by contacting the Department of Community Development, Building Division at 431 -3670. Although not required, a meeting of this type can often eliminate problems, delays and misunderstandings as the project progresses. 0911419( Plan Check No.: 6 11 - 40 t REQUIRED INSPECTIONS LAN REVIEW COMMEI TS Project: v1A F:..a5, ¶ 2f,&M No changes will be made to the plans unless approved by thev4rehiteet 'end -the Tukwila Building Division. Plumbing permit shall be obtained through the King County Health Department and plumbing will be inspected by that agency, including all gas piping (296- 4722). Electrical permit shall be obtained through the Washington State Division of Labor and Industries, and all electrical work will be Inspected by that agency (277- 7272). All mechanical work shall be under separate permit through the City of Tukwila. All permits, inspection records, and approved plans shall be posted at the job site prior to the start of any construction. 6. When special inspection Is required, either the owner, architect or engineer shall notify the Tukwila Building Division of appointment of the inspection agencies prior to the first building inspection. Copies of all special inspection reports shall be submitted to the Building Division in a timely manner. Reports shall contain address, project name and permit number of the project being inspected. 7. All structural concrete to be special inspected (Sec. 306, UBC). 8. All structural welding to be done by W.A.B.O. certified welder and special inspected (Sec. 306, UBC). 9. All high- strength bolting to be special inspected (Sec. 306, UBC). 10. Any new ceiling grid and light fixture installation is required to meet lateral bracing requirements for Seismic Zone 3. 11. Partition walls attached to ceiling grid must be laterally braced if over eight (8) feet in length. 12. Readily accessible access to roof mounted equipment is required. 13. Engineered truss drawings and calculations shall be on site and available to the building inspector for inspection purposes. Documents shall bear the seal and signature of a Washington State Professional Engineer. Any exposed insulations backing material to have Flame Spread Rating of 25 or less, and material shall boar identification showing the fire performance rating thereof. 15. Subgrade preparation including drainage, excavation, compaction, and fill requirements shall conform strictly with recommendations given in the soils report prior to final inspection (see attached procedure). 16. A statement from the roofing contractor verifying fire retardancy of roof will be required prior to final inspection (see attached procedure). All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1988 Edition), Uniform 0 t Mechanical Code (1988 Edition), Washington State Energy Code (449e- Edition ), i- WO'eehingtertetete-Rega a.•ditier• 18. All food preparation establishments must have King County Health Department sign -off prior to opening or doing any food processing. Arrangements for final Health Department inspection should be made by calling King County Health Department, 296 -4787, at least three working days prior to desired inspection date. On work requiring Health Department approval, it is the contractor's responsibility to have a set of plans approved by that agency on the job site. 19. Fire retardant treated wood shall have a flame spread of not over 25. All materials shall bear identification showing the fire performance rating thereof. Such identification shall be issued by an approved agency having a service for inspection at the factory. Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any requirements for special inspection. 21. All spray applied fireproofing, as required by U.B.C. Standard No. 43 -8, shall be special inspected. All wood to remain in placed concrete shall be treated wood. 23. All structural masonry shall be special inspected per U.S.C. Section 306 (a) 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 this code or of any other ordinance of the jurisdiction. No permit presuming to give authority or violate or cancel the provisions of this code shall be valid. 25. A Certificate of Occupancy will be required for this permit. 1. Footings X 2. Foundation 3. Slab /Slab Insulation 4. Shear Wall Nailing 5. Roof Sheathing Nailing 6. Masonry Chimney 7. Framing X 8. Insulation 9. Suspended Ceiling 10. Wall Board Fastening 11. 12. 13. 14. Fire Final 15. Planning Final 16. Public Works Final X 17. Building Final Plan Check No.: 6 11 - 40 t REQUIRED INSPECTIONS LAN REVIEW COMMEI TS Project: v1A F:..a5, ¶ 2f,&M No changes will be made to the plans unless approved by thev4rehiteet 'end -the Tukwila Building Division. Plumbing permit shall be obtained through the King County Health Department and plumbing will be inspected by that agency, including all gas piping (296- 4722). Electrical permit shall be obtained through the Washington State Division of Labor and Industries, and all electrical work will be Inspected by that agency (277- 7272). All mechanical work shall be under separate permit through the City of Tukwila. All permits, inspection records, and approved plans shall be posted at the job site prior to the start of any construction. 6. When special inspection Is required, either the owner, architect or engineer shall notify the Tukwila Building Division of appointment of the inspection agencies prior to the first building inspection. Copies of all special inspection reports shall be submitted to the Building Division in a timely manner. Reports shall contain address, project name and permit number of the project being inspected. 7. All structural concrete to be special inspected (Sec. 306, UBC). 8. All structural welding to be done by W.A.B.O. certified welder and special inspected (Sec. 306, UBC). 9. All high- strength bolting to be special inspected (Sec. 306, UBC). 10. Any new ceiling grid and light fixture installation is required to meet lateral bracing requirements for Seismic Zone 3. 11. Partition walls attached to ceiling grid must be laterally braced if over eight (8) feet in length. 12. Readily accessible access to roof mounted equipment is required. 13. Engineered truss drawings and calculations shall be on site and available to the building inspector for inspection purposes. Documents shall bear the seal and signature of a Washington State Professional Engineer. Any exposed insulations backing material to have Flame Spread Rating of 25 or less, and material shall boar identification showing the fire performance rating thereof. 15. Subgrade preparation including drainage, excavation, compaction, and fill requirements shall conform strictly with recommendations given in the soils report prior to final inspection (see attached procedure). 16. A statement from the roofing contractor verifying fire retardancy of roof will be required prior to final inspection (see attached procedure). All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1988 Edition), Uniform 0 t Mechanical Code (1988 Edition), Washington State Energy Code (449e- Edition ), i- WO'eehingtertetete-Rega a.•ditier• 18. All food preparation establishments must have King County Health Department sign -off prior to opening or doing any food processing. Arrangements for final Health Department inspection should be made by calling King County Health Department, 296 -4787, at least three working days prior to desired inspection date. On work requiring Health Department approval, it is the contractor's responsibility to have a set of plans approved by that agency on the job site. 19. Fire retardant treated wood shall have a flame spread of not over 25. All materials shall bear identification showing the fire performance rating thereof. Such identification shall be issued by an approved agency having a service for inspection at the factory. Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any requirements for special inspection. 21. All spray applied fireproofing, as required by U.B.C. Standard No. 43 -8, shall be special inspected. All wood to remain in placed concrete shall be treated wood. 23. All structural masonry shall be special inspected per U.S.C. Section 306 (a) 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 this code or of any other ordinance of the jurisdiction. No permit presuming to give authority or violate or cancel the provisions of this code shall be valid. 25. A Certificate of Occupancy will be required for this permit. CITY OF T UKWILA 6200 SOUTHCENTER BOULEVARD, TUKWILA, WASHINGT RANIDID1 . TO �� H (206) 4331800 FILE: Matthews Residence, Bldg. Permit Appl. #91-401 RE: CONDITIONS of Planning Division approval DATE: October 14, 1991 PREP: Ann Siegenthaler, Assistant Planner • The proposal submitted by Brian Matthews for the above project does not meet current front setback requirements. However, a setback waiver has been granted by the Director of DCD. This minimum front setback has been set at 28.9 feet. • The Planning Division approves the Matthews proposal on the condition that a Boundary Line Adjustment, which provides for adequate setbacks for the above Lot 3 and the. adjacent Lot 1 (directly west), be. completed and recorded by February 15, 199. cc: Bldg. official Brian Matthews Gary L, Van Dasen, Mayor * D.C.D - BUILDING DIVISION * PLAN REVIEW * PLAN REVIEW NO : 91 -401 PROJECT NAME: BRIAN MATTHEWS, FOUNDATION FOR HOUSE MOVE. DATE: October 17, 1991 OCCUPANCY GROUP: R -3, SINGLE FAMILY RESIDENCE TYPE OF CONSTRUCTION: V -N. NO CHANGE LOCATION ON PROPERTY: O.K. PER TABLE 5 -A, SPECIAL CONDITIONS FROM PLANNING, RE: MEMO TO FILE. BUILDING HEIGHT / NO OF STORIES: ONE FLOOR AREA: APPROX. 1800 SF OCCUPANCY LOAD: N/A EXITING REOUIREMENTS: N/A DETAILED REQUIREMENTS OCCUPANCY: O.K. TYPE OF CONSTRUCTION: O.K. CHAPTER 23, U.B.C.: O.K. SUBJECT TO FIELD INSPECTION W.S.E.C.: APPLICABLE REQMTS. NOTED ON PLANS.BARRIER FREE REQUIREMENTS:N /A PREPARED BY: CITY OF TUKWILA 6200 SOUTHCENTER BOULEVARD, TUKWILA. WASHINGTON 98188 October 11, 1991 James Dent 6726 17th Avenue S.W. Seattle, WA 98106 Dear Mr. Dent: PHONE N (206) 433.1800 SUBJECT: Brian Matthews Residence 15123 42nd Avenue South Utility Permit Application (Plan Check No. 91- 051 -U) B. A $ 5,000 bond made out to the City of Tukwila for property damages caused by activities. C. A copy of your business license with the City of Tukwila. 6. The need and arrangements for overhead utility dis- connections /reconnections must be identified and coordinated respectively. Gary L. banDusen, ,11mvor The Public Works Department has reviewed the subject application for moving an oversized load and has identified the following requirements for the permit: 1. Prior to approving the request for this permit, damage done to a stop sign post on a previous oversized load haul must be repaired. 2. The haul route map submitted with the permit application does not address the correct location of the owner's property. Resubmit a corrected map for the entire haul route within the Tukwila City Limits. 3. A traffic control plan needs to be submitted and approved. 4. The total height of the trailered house, width and length shall be furnished to the City. 5. In addition to the route map, you need to furnish: A. A copy of your certificate of insurance coverage (minimum $1,000,000) naming the City of Tukwila as insured. 7. The move should take place on a weekend; however, due to the need to expedite this matter before the 15th of the month, the move can be scheduled on a weekday during late night - early morning hours. There should be a minimum disruption of traffic and no disruption of commercial business activity. 8. The date and hour for the morning activity shall be provided to the City Utilities Inspector, Greg Villanueva (433 -0179) at least 24 hours in advance, so that he can be at the scene and monitor the move within City Limits. If you need further clarification, please call me at 433 -0179. Sincerely, John A. Pier Associate En Public Works JP /amc:8:dent P .E. neer Department xc: Ann Siegenthaler, Planning Greg Villanueva, City Utilities Inspector Permit Coordinator Read File Development File: Brian Matthews Single Family site plan site plan site plan OWNER. sOSIT S.. HOUSE ADDRESS....... 7 NAME SUB - DIVISION DISTRICT APPROVAL BY (fi DATE.I . .0 6 2 �Z TEST RESULTS VO VAL VUE SEWER DISTRICT APPLICATION FOR SIDE SEWER PERMIT CONTRACTOR. PERMIT N 03713 EASEMENT No.»1.C1_Z 1,05 3 CARD Na...»..»......»..».. RASEMENT: SCALE ...RECEIVED - CITY OF TUKWIIA PERMIT4ENTER .; I HEREBY CERTIFY THAT THE ABOVE CONNECTION HAS BEEN MADE AS SHOWN, PRIOR TO BACKFILL BY DATEI.K '" e 9 this certificate provides th )epartment of Health and wilding & Land Development rith information necessary to :valuate development proposals. o no wri a in this box APPLICANT'S NAME PROPOSED USE StNaU, FR/Ali P (b (i. LOCAT ZON (Attach map & legal description if necessary) ) SEWER AGENCY INFORMATION FILE W 7d 20 1. a. © Sewer service will be provided by side sewer connection only to an existing " size sewer (J feet from the site and the sewer system has the capacity to serve the proposed use. OR b. 0 Sewer service will require an improvement to the sewer system of: C3( feet of sewer trunk or lettere' to reach the site; 2. (Must be completed if 1.b above is checked) F279 number ❑ Building Permit ❑ Short Subdivision a.l./i The sewer system improvement is in conformance with a County approved sewer comprehensive plan. OR b. ❑ The sewer system improvement will require a sewer comprehensive plan amendment. 3. a. The proposed project is within the corporate limits of the district or has been granted Boundary Review Board approval for extension of service outside the district or city. OR b. Annexation or BRB approval will be necessary to provide service. 4. Service is subject to the following: a. Connection charge: b. Easement(s): c. Other: I hereby certify that the above sewer agency information is true. This certification shall be valid for one year from date of signature. 1' /: L t r r 2 j r , ; r .. , _t ^ 1' < rh 1 - ^� '7•+ Agency Name r. 1.•; 11 '. r Y ; •7 Title Please r4 trn to: BUILDING & LAND DEVELOPMENT 450 Admmistiation Building RECEIVED Seattle, Washington 98104 CITYoFTUKW 206 344.7900 SEP 1 6 1991 KING COUNTY CERTIFICATE OF SEWER AVAILABILITY PERMIT CENTER ° I 16NPLA t and /or name ❑ Preliminary Plat or PUD ❑ Rezone or other ❑ (2) the construction of a collection system on the site; and /or ❑ (3) other (describe) MAT EL1CH Signatory Name S gnature • Date short plat 3b6001 survey V 0 DECLAFU N OF EASEMENT' FOR SIDE SEWER VAL VUE SEWER DISTRIi 14816 MILITARY ROAD SOUL . WHEREAS, THIS AGREEMENT, made this day of J?)1Gf•( , 1990Y between P.O. BOX 68063 SEATTLE, WASHINGTON 981 S NAME_ (DIAL 1 . ,,,, i S D it iff erg _ , 242 - 3236 Owners of the following described real property situated in King County, Washington, to —wit: !_ .4 4 - PLc4 86 00 / AND OWNERS NAME � I� t AlJ x. ►"Irt ! �_fJ. �Y�c > �N' I �t Owners of the following described real property situated in King County, Washington, to —wit: Lct v 104% L �i ri !' 384.00/ AND OWNERS NAME Owners of the following described real property situated in King County, Washirigto to - wit :G L6+ 2. 0-P - (67 ee14.41 U'10✓ f PISA tf are desirous of establishing a side sewer easement for the benefit of each of said properties. WITNESSETN: That for and in consideration of the mutual covenants herein expressed, it is hereby agreed between the above parties as follows: r) let -- A side sewer shall be constructed as follows :, (brief legal description of 7) loc ation of easement) E Af 10 z / 2 R„d E /O f : (.vf 3 2nd — There shall be, and each party does grant unto the other, an easement /0 D feet wide for sewer along the line as constructed for the use of said properties and of uuch additional area immediately adjacent to the easement as shall be required for the construction and repair as may be required of the sewer pipeline. 3rd — The cost of construction of said sewer shall be borne by the owners of the said properties as follows: 4th — The cost of maintenance, repair or reconstruction of that portion of the sewer used in common shall be borne in equal shares, except that the owners of any lower parcel shall not be responsible for the part of the sewer above their connection; and when nec— essary to repair, clean or reconstruct the sewer, the parties to this agreement shall have a right of entry for that purpose. 5th — This agreement shall be a covenant running with the land and shall bq binding upon all parties, their heirs and assigns forever. IN WITNESS WHER •F a hereunto set our hands and Beals the day and year first above A LL written .* ice w STATE OF WASHINGTON ) SS COUNTY OF KING This is to certify that on this 2 /dJ day of `' 2.- -.4, -, 19 qd undersigned, a Notary Public in and for the State of Washington, duly sworn, personally came /,5 2c- .a., w RECD r F; -;cn r ti 3.00 . C) c ; cr, r r*, !t) — 0S73 G RECFEE 2.00 * * * * ?.00 35 w , before me, the commissioned and to me knovn,,to be the parties who executed the within instrument, and acknowledged to me tha the ,: he, she ) signed and sealed the same as ei _) his her ) free and volu act ,pnd deed for the uses and purposes therein entioned. WITNESS my hand and seal the day and year in this certificate first above written. otary Public in and for 0 Washington, residing at TO: SINCERELY YOURS, Telephone: 242.9547 FRANKLIN PEARSON Water 2i�1rict no. 125, .Jn Count, c P.O. Box 68147, Riverton Hts. Br. Of lice: 2849 South 150th SEATTLE, WASHINGTON 98168 WATER AVAILABILITY )St , 420 thic. S. vitioalL4 RECEIVED CITY OF TUKWILA SEP 1 6 MI PERMIT INTER FRANKLIN PEARSON Superintendent ANN WILSON Office Manager LEGAL DESCRIPTION : LOT 3 dF k ►^�0 c , � gtirkr Par 0° 38600 I R Eca -Ps ar i(f OR CIA April pEc 140freg mmyr4 FILE ob 67420 511 2 0 PROPERTY ADDRESS: SIZE OF MAIN SERVING SITE IS I'L. INCHES MAIN IS ' (7 FEET FROM THE SITE. THE NEAREST FIRE HYDRANT WITH APPROXIMATELY t ap FEET FROM THE SITE. THERE IS APPROXIMATELY 1000 GPM." 00 '1.p T5 t (R-9 infiltration system section a-a vicinity map