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Permit D01-292 - PESOTSKY RESIDENCE - DEN AND BATHROOM
PESOTSKY RESIDENCE 3909 S 117 STREET City of Tukwila Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Parcel No: Address: Suite No: Location: Category: Type: Zoning: Const Type: Gas /Elec.: Units: Setbacks: Water: Wetlands: Contractor WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES, APPLICANT IS PROCEEDING AT THEIR OWN RISK. 734060 -0282 3909 S 117 ST ASFR DEVPERM LDR 001 North: SEATTLE License No: .0 South: Sewer: Scopes: Permit Center Authorized Signature: Signature: Print Name: C-o kg.e DEVELOPMENT PERMIT .0 VAL VUE N Fire East: P12 TS(' GC�°' Permit No: Status: Issued Expires: Occupancy: UBC: Protection: .0 West: (206) 431 -3670 001 -292 ISSUED 09/25/2001 03/24/2002 DWELLING 1997 .0 Streams: Phone: Phone: 206 241 -3794 OCCUPANT PESOTSKY RESIDENCE 3909 S 117 ST, TUKWILA WA 98168 OWNER PESOTSKY GEORGE 3909 S 117 ST, TUKWILA WA 98168 CONTACT ; GEORGE PESOTSKY 3909 S 117 STREET, TUKWILA, WA 98168 ** ** * *k•kk * * * ** * * * * *** * * *k* k** k ***** k*kk k****** ***.** k•Ic k •kk**•k -c k*** **** ******k* *** Permit Description: ADDING INTERIOR WALLS FOR NEW OFFICE SPACE AND BATHROOM IN EXISTING SINGLE FAMILY RESIDENCE . ** k** k• k* k**•k• k• kkk• k*• kkk k* kk * *kk•k*****A•kk•k•kkk•k•kk•k** kkk******** * *k *•k *k *kkkk•kkk * .. Construction Valuation: $ 250.00 PUBLIC :WORKS PERMITS: *(Water Meter Permits Listed Separate) Eng. Appr: Curb Cut /Access /Sidewalk /CSS: N Fire Loop Hydrant: N No: Size(in) .00 Flood Control Zone: N Hauling: N Start Time End Time: Land Altering: N Cut: Fill `;Landscape Irrigation: N Moving Oversized Load: N Start Time: End Time Sanitary Side Sewer: N No: Sewer Main Extension: N Private: N .Public: N Storm Drainage: N Street Use:. N Water. Main Extension: N Private: N Public: N * ******* * * * * *k *•k ********* *** * *** * **** **** * *** k** * *** * * *** ** k *** **k** *•k *•k•kk•k**** * TOTAL DEVELOPMENT PERMIT FEES: $ 43.28 k k************** * *•k * * * * *k *:k ***k *•kk ***k * * *k * * *k *k * *kk** * *•kkk•k * *k * ** ** *k *** ***** ** 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 provision of ary other state or local laws regulating construction or the performa of wor. I am authorized to sign for and obtain this .development p Date :1 0 9 r 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. Address: Suite errant: type DEVPERM arcel: #: 734060 -0282 ...k......**************** ;erini`t Conditions: CITY OF TUKWILA Permit No: D01-292 Status: ISSUED, Applied: 09/11/2001 Issued: 09/25/2001 • k• k************************ *** *** **•*** ** ** * * ***•* * *** changes will be made to the plans unless approved by the. 'Engineer and the Tukwi 1 :8uirlding:: ;,Divi •A11 construction to y he . done.; i.n`'confor. m ance, with approved ,plans and requ i reriients "'of the Un i - form ` Sul ld.i'ng Code ( 1997 Ed ition) as amerrde'd, Uniform Mechanical Code ::(1997 Edition) , and Washington . State Energy 'Code (1997 Edit ori) lumbing permits shalT be obtained thro,ugh :the Seattle -King. ounty Depart,men t qf': Pub 1 i Health P1 with i ng • w i 11 be inspected by that° agency, including" al .l gas pip._ing 296-.4122) ;;'-,'-'1,,..„ ,, , J , al i.dl i y of Perms e. The issuance of a perm v e it or approval of Jans s,pecifica•tions ;:,and; computations shall,;: not beacon s to }- be a permi t; : for . an approval of, 'any_ violation •. . ny • ,•.f' ,. .the : =ions of;, :the building code or of any •feet t ordi ; the juri.sdicti:on. No permit 'presuming�',st'o { ve. a�'uthor�i�.ty to 'violate:'or cancel the provisions of..•this..' o ie shall be val�i 1yec,tri ca 1 :per..riri °tc. s,, ha 11;, be ',obta i ned ough the Wash i ngton: tate,. Diuis`iori "of-•..Labor and Industries s::and all electrical Cork wiltil b inspected' b - y •( =iagenc . 248 -6630) �l ;. periiri ts, inspection n r: �.rds, and approved plans shall • i,v.'oi 1, able :at' the job ;site p t e t • rior o,. t start of any con...- truction ; •These `documents are to' be ma_iritained .and..avai 1• 1,e unt{i i final inspection approval ` : granted. rerebjrt erti,fy that I have read these conditions and will comply th them as outlined . All prow i s:i a n s of law aw and ordinances governing h is ;work will be complled with, whether speci f i ed' herein or not. he granting ` w ;of th . permit. does not presume: to g i v e , 'authori-ty to violate or can 1 the ;. pr v i s ions ,of., an.y. other work.: or local laws 'regulating cot _uction, r the ,performance of work. ate. _0 :':ktfritiJ ?a ii 413A•ti% Project Name/Tenant: ��)t^ /t' /- Type of work: ❑ New Single - Family Residence ❑ Addition - Single - Family Residence ad _ Interior Remodel- Single - Family Residence ❑ Residential Accessory Structure* %' Remodel /Addition to Accessory Structure ❑ Garage(s) ❑ Deck(s) - Covered & Uncovered ❑ Residential Reroof Value of ConstructioM Existing Square Footage for Structure: sq. ft. Dwelling sq. ft. Covered Deck(s) Site Address: 390 ' 10 �7 c ,. �MeArci / 1 City State /Zi : 9& Tax Parcel Number: Floor Area Ratio: (total floor area of all structures divided by the area of the lot) Property Owner: Y am? nps 0 4WIT Phone: Street Address: City State /Zip: Fax #: i Contractor: , i7�Z -L Phone: Street Address: City State /Zip: Fax #: Architect: Phone: Street Address: City State /Zip: Fax #: Engineer: Phone: Street Address: City State /Zip: Fax #: Contact Person: Phone Street Address: City State /Zip: f =mc aa( ,,o� �j 3SZ / Description of work to be done: / cf ecc. :, 72.e' /'( /2 G.e= :4: -6f.S 7?"" G= ' -A .�c� __� ' .ten etz- z .t:. --- __�..� -- Type of work: ❑ New Single - Family Residence ❑ Addition - Single - Family Residence ad _ 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: ❑ Sewer ❑ Septic (King County Health Dept. approval required - 296 -4722) Existing Square Footage for Structure: sq. ft. Dwelling sq. ft. Covered Deck(s) sq. ft. Garage /Carport sq. 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) *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. CITY OF TU, /VILA Permit Center 6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188 (206) 431 -3670 R STAFF USE ONLY Project Number: Permit Number: Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. SFPERMIT.DOC 2/13/97 1v'aa...r End Time: DoI. 2dlZ. Single - Family Residential Permit Application APPLICANT REQUEST FOR PUBLIC WORKS SITEJCIVIL 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) #: Size(s): ❑ Flood Control Zone ❑ Hauling ❑ Land Altering: 0 Cut cubic yds. 0 Fill cubic yds. ❑ Moving an Oversized Load: Start Time: ❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public ❑ Water Meter /Permanent # Size(s): ❑ Water Meter Temp # Size(s): Est. quantity: gal Schedule: El Miscellaneous 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: Date application expires: Application taken y: i itials) PLEASE SIGN BACK OF APPLICATION FORM BUILDING OW ' gR A , ORI , ED AGENT: Signature: fr : / Date: 629. / Print name: /�' ( [ ,may -t'� /^ Phone: Cit /State /Zip'---• / ` / r ,• �.�) Fax #: .., /, +�.,. t , : . ` ` 'r m y' /1,'L Address: � 7l7z Al 7 Y �� S' V - FAMILY RESIDENTIAL PERMIT APPLICATIONS MUST BE SUBMITTED WITH THE FOLLOWING: DRAWINGS PREPARED BY A REGISTERED ARCHITECT OR PROFESSIONAL ENGINEER MAY BE REQUIRED BY THE BUILDING OFFICIAL • ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN • BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED N/A SUBMITTED ❑ ❑ Copy of recorded Legal Description from King County ❑ ❑ Certificate of water /fire flow availability (Form H -11 a). Contact the Public Works Department (206) 433 -0179 for servicing district. ❑ ❑ Certificate of sewer availability (Form H -11). Contact the Public Works Department (206) 433- 0179 for servicing district. ❑ ❑ Metro: Residential Sewer Certification (if Tukwila Sewer District) (Form H -12) ❑ ❑ King County Health Department approval for septic - 296 -4722 Four (4) sets of working drawings, which include: ❑ ❑ Site Plan (see example Form H - 16) 1. Existing fire hydrant location(s). 2. Proposed access road. 3. Driveway location- driveway shall be 10' wide minimum and 20' wide maximum. If driveway is over 150' long, driveway shall be 20' wide and have an approved turnaround (City Ordinance 1741). 4. North arrow and scale. 5. Building setback from property lines. Any proposed or existing easements must be shown on plan. 6. Public Works review requires the following on site plan: driveway location (10' min., 20' max. width), show proposed and existing power, water and sewer lines, existing storm drainage system, downspouts and foundation drains, and where drains tie -in. 7. Parking plan. 8. Lowest building elevation (if in Flood Control Zone). 9. Estimated /proposed topography at 2' intervals and proposed elevation of lowest floor level. 10. Identify location of sensitive areas slopes 20% or greater, wetlands, watercourses and their buffers. 11. Identify location and size of significant trees that are located in sensitive areas and buffers or the shoreline zone. Of those, identify which are to be removed (Title 18, City of Tukwila Zoning Code). 12. Identify location of high water mark of the Green /Duwamish River if site is located within 200' of the high water mark. 13. See Public Works Checklist for detailed site plan information required for Public Works Review (Form H -9). ❑ ❑ Foundation plan and details ❑ ❑ Floor plan ❑ ❑ Roof plan ❑ ❑ Building elevations (all views) ❑ ❑ Building height El ❑ Building cross - section ❑ ❑ Structural framing plans and details necessary to completely describe construction ❑ ❑ Washington State Energy Code Data (Gas /Electric /Oil /Propane /Heat Pump) Form H -15 available at Permit Center OR Prescriptive Heating System Sizing Chap 9 Form H -6. ❑ ❑ Complete Land Use Applications if not previously submitted (i.e., Reasonable Use Exception, Variance, Shoreline or Tree Permit). ❑ ❑ Attach plans, reports or other documentation required to comply with Sensitive Area Ordinance and other land use or SEPA decisions. ❑ ❑ If dwelling has a septic tank, and a bedroom or bathroom are added, provide written approval from the King County Health Department-or the Tukwila Public Works Department prior to submittal of permit application. ❑ ❑ Copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit is issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ". 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. 1 HEREBY CERTIFY THAT 1 HAVE REACy/AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE I,AWS- pF THE STA SFPERMIT.DOC 2/13/97 OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. 1 .4 "A. ..: ;;. 1:ee.16:, I ...1s U .,........ ,.... k74 ; * * * * A kk o t: i 4 k; C * k * s l.kyt k" z4. kk t. k.• Akkk.•' k ; *.k • TUKW]:LA..l�lA 1ROWEi+ir, Air is ;AkA,k h kkk.t okkh *A* *A *.*A.A:k 1; 4 ( 1% k *k:k *A*A :k�-1rA:F•k:kkk:k* * ' • kk R iil T`; i~lutist.t� i.: N R0 01154 Amount c 8.; �;�;:26 Ni7r�.me�l ti; Kettitit GHLCI( 1 at b eri e GH Gi2i IV`. •PCSUT'S kV: : •I r1 i t g SKS. ly '►emit i�o� i?Ui �� �TyP � DEVPERS4 DEVELOPMI 0,1 PER ,14 �M Sit e,_: . Address: 8509 5 11.7.. SST• • " Total Fes::` 43.28:: Fees: ayrment 28.,00 Total ALL Pmts: 43.28 Eg 1 ii c e : 00 *k frkicik : 4F.;11.tt14+ 71A•A4 744*k* * *0*.AAst** * **4riN4***4A ** r•k*** #Afir•k* Ac rpunt Code Descr •i to nr� P Amnctrit OQ 0/322:. J.Oo BUILDING -• :RE:S 23.30 O 0O//88t,..'�04 STATE 'BUILDING :SURCHARGE ; 4.30 • kE'.;kh **firk,***4rt k•k e.•.. **:4* **.s ► hh *A: *** **� i*4. * *. * *. *A•k:4.AA *AA k4*** T (J K4i . L A , 4t Fl 7 It A i'l S Itt T. T • • h *k *.k;******k * *, i A*•* Ak* A**A'`*; tk*< lk .:k**-irt* *:4•!idr.fie **r * * *** r RI1sMr ` • N :unib'0re ::'.RQ10:i1.8 AnioOnt.a.: 1 t.8 ' ` , . 2 2 5 09/1.1 /Q1. 1.',��,,Q. 0,t`h6d : : ..CHSI�' No I:.a 1 i an : '. t3 C p(t13E ; PES47.•CSICv :t n;1 . .103. t rm;tt No: DQL -292 'Type: ,DEVPERM. DEVELOPMLN1 PERMIT `i'44,El Nc; ° : 734080-.028 :df. � . 3 a�' s .1 ;3 r Total. F eos g 43.28 T©tal: ' ALL Pmts: 15.28 Bal,ance� 28.00 * * *. *4 * * * *;� * * * * *Alk* * * *,*A *` * * * * * * * * * *k * * ** *fit * * ** 4*• ** * *A+ **•4 *' ** 6663:inte" . • Desi:r�i pt p' Areaunt. 0/3 K£3 t} ,P L.014 CHECK; - RCS 15,28 Pro'ect: i c.6 S. DTSI 1 Typ of Inspection: S Address: 39c9 S; i/7 ''r.i7 Date called: y_025 --per Special instructions: Date wanted: , a 4 / --.2 La o ? • Phone: Cab 1- 3 7 F t- i i INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 Approved per applicable. codes. COMMENTS: Corrections required prior to approval. $47.00 REINSPECTIO f E REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection. Receipt No: Date: '� $. re L k • • UO 00. • • w I, •J F'' W O. J. I w Z �:. I— O: Z 1— ;O 0 li— W Z U : O: • W . U T O Z ' O LApproved per applicable codes. • • • " INSPECTION RECORD. Retain d copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98108 (206)431-3670' . ..... , Project. 6 /3 Address: 37 Special instructions: Type of InspAon: Date called: Date wantt Requester:' •-; Phone: , ri Corrections required prior to approval. $47.00 EINSPECTION • F EQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., uite 100. Call to schedule reinspection. Date: Receipt No: " . • z z w u 0 • 0 COW UiI ( uj g co I- al Z 0 Z W uj 2 D. D 0 0 0 I- u j — 0 O 2- 0 ' ••••■:': INSPECTION RECORD Retain a copy with permit INSPECTION .NO. • CITY OF TUKWILA BUILDING DIVISION , 63O0Southcenter Blvd, #100, Tukwila, WA '9818 Special instruti�ns: • • . Date called: Date wanfed:, // a .m. P.m. Requester: , „ • . TYPe lyX/Y n2 7t/6-1T - 7, COMMENTS: • • • "04poivg-i) silie.21,2" ; • ' *••.*:.:"!' • .00 REINSPECTION E REQUIRED. Pri at 6300 Southcenter131vd , Suite 100. Call to eceipt No r./ Date: A 42- it to inspection, fee must be paid schedule reinspection. Date: Approved per applicable codes. El Corrections required prior to approval. , • • • • • • • ...• . C) . Fe_ PERMIT NO. (206)431-3670 INSPECTION RECORD Retain a copy with permit ;INSPECTION NO: IT YOF TUKWILA BUILDING DIVISION 300‘Southcenter Blvd, #100, Tukwila, WA 98188 c t../' f C - 6/44 6/ 1? ?l5t'l Date: . .; W no 0 0 0 • WI J I— W o LLQ co Fr W Zt.- I- 0 :. Z F—• gyp; O O i- W • W O•: w z o 1 0 COMMENTS: Type of InspOion: ei.C64 - Iiii NOV 712:11/5(4c en al() Address: ' ' .59e9 S//7 , ..S7 Date called p 4trey7-0s\--i (J, 1--(9-c,./,s (2.2 c::2 9 in , i-t/i rkiet-im 5 , 7 7 i i y /,,,,a o.,evi/ ,, 1 "5 &Li/7 /7 (9 / (,' id e -/ v 7(i -- /ha A 19 PivAi Requester: 9 . 4 - 1 ) 12-. 6)0!k 8e - r - t),V i t,M Phone: ,, /3/1 Fe d F- (P / ° / ,oci h,47--//7 At (24/"Vel 0,4. 4--7 , 7) / Q//tilbi/tI r eP 2- ic/i iv r P PO /1/4 fc'7 pf2 DJ s el 7/5.5 ;cryo I ,g) (1 0/M , 77 74,0</e. g/ 7,4,6 (? ) I '24 Project: , , ,., _ ./..e..o7is .,. it Type of InspOion: Address: ' ' .59e9 S//7 , ..S7 Date called •Special instructions: Date wanted: p.m. Requester: 9 . 4 Phone: ,, INSPECTION RECORD Retain a copy with permit , INSPECTION NO. _ CITY TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 PERMIT NO. (206)431-3670 Approved penapplicable codes. Corrections required prior to approval. .00 REINSPECT N FEE REQUIRED. rior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. QII to schedule reinspection. Receipt No: Date: 47 444 z z ct • 0 0 W LL1 • • ILI I j- 00 u_ u j 0 • g < 1 0 1- al Z Z 1- 1.1.1 ui 2 n 0 == 1- u j 0 1- — IL — 0 ill co " 0 E.. lecti`r "`. • TVpe of Inspection: Address: Date called: / ` Special instructions: ' Dat anteed: p.m. Requester: c:,.. p e's-�s /E Phone: Approved per applicable codes. • :; +;;, 2 H' X al 62 U0 N p wi u. W g . J.. 9n _ Z w� uj 0 i W �— U 0 tii U � By Da Pe • If1 - q ,:s // 606 I+ I. • • r • • I � I DtAMG DM y , \ 1 digf. ° it'No. PTA 1 4 PP' ; by. ll�f 1 � • 1 • MtutrLM o� FatOttgf, 7 - FILE - COPY -- APPROVED - � _ ....... �.F 5 ..... -- ;$;,S - NOTE ,ma ... � 1 1 understand that Playa Check a royals 1 i subject t•o',errors a omissionsarcd approv plans does not authorize the y "�6Iation of any - _ _ _ . i 41 adopted code or ordinan.- Receipt of con - iI tractor's copy of approve -� `: - __ _- :. =� — z— — `l - -- �� ----• ': _ — I re 1 1 • -149 " I . I,„ f J/ • — f'Rp VIDE. �Xi -0,USf - Zt1 . 4 • •.• _ . __A • RECEIVED CITY OF TUKWILA 1 -' 1 1 . 2001. . IT CENTER DefrZ9Z t may..: , • 4 • • '��%it,,;,Ul • • • . • • 1 -. • W. tx 6 U O; N0 . W=. J (0 U- W 0 g J ' u. a: • _ = d. Z Z H 0 O � ; O = V` O til U co Z September 9, 2002 George Pesotsky 3909 South 117th Street Tukwila, WA 98168 RE: Permit Application No. D01 -292 3909 South 117th Street Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the Building Official under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: • Call the City Of Tukwila Permit Center at (206) 431 -3670 to arrange for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Building Code does allow the. Building Official to approve a one -time extension uo to 180 days. Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection or request and receive an extension prior to October 23, 2002, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, --Adja-e--?e-e-e- Stefania Spencer Permit Technician Xc: Permit File No. 1301 -292 Bob Benedicto, Building Official Ciiy of Tukwila Steven M. Mullet, Mayor • Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 _; April 5, 2002 George Pesotsky 3909 S 117th Street Tukwila, WA 98168 RE: Permit Application No. D01 -292 3909 S 117th Street Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the Building Official under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: • Call the City Of Tukwila Permit Center at (206) 431 -3670 to schedule a progress / final inspection A progress inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Building Code does allow the Building Official to approve a one -time extension up to 180 days. Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection or request and receive an extension prior to May 20, 2002, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerel Stefania Spencer Permit Technician City of TukIvila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director Xc: Permit File No. D01 -292 Bob Benedicto, Building Official 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665 2 6 -1 C.) - UO to 0 w • W O Z H Z �. W W, co ; H V O F .. Z ACTIVITY NUMBER: D01 -292 PROJECT NAME: PESOTSKY RESIDENCE SITE ADDRESS: 3909 SOUTH 117 STREET XX Original Plan Submittal Response to Correction Letter # Revision # DATE: 9 -11 -01 Response to Incomplete Letter # _ After Permit Is Issued DEPARTMENTS: Build'iY�gDivision [?1 1-24 Public Works J l S Ri&i q -( -01 DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete F Incomplete TUES /THURS ROUTING: Please Route REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: (ten days) Approved Approved with Conditions Fl \PRROUTE.DOC 5/99 Y- PLA PERMIT IEW %RO SLIP Fire Prevention Vt(t, q- l3-0( Structural Structural Review Required n REVIEWER'S INITIALS: CORRECTION DETERMINATION: Approved n Approved with Conditions n REVIEWER'S INITIALS: Planning ‘-/&.. ' - I q -41 Permit Coordinator DUE DATE: 9-13-01 Not Applicable No further Review Required DUE DATE 10 -11 -01 ; Comments: DATE: Not Approved (attach comments) DATE: DUE DATE Not Approved (attach comments) DATE: F si:v. �.tz... �t`::. aW! i. nn'd:4t«�✓�r..JJ�.� {.J;a:l!+„ .s. },its,;. d.:5 'i�'c 1 ACTIVITY NUMBER: D01 -292 DATE: 9 -11 -01 PROJECT NAME: PESOTSKY RESIDENCE SITE ADDRESS: 3909 SOUTH 117 STREET XX Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: TUES /THURS ROUTING: Please Route PLAN REVIEW /ROUTING SLIP REVIEWER'S INITIALS: Structural Incomplete APPROVALS OR CORRECTIONS: (ten days) \PRROUTE.DOC 5/99 Structural Rev ' equired 1 No further Review Required DATE: 9" -zoo! Fire Prevention Approved Approved 't Co di, ions REVIEWER'S INITIALS: Planning Division Permit Coordinator DUE DATE: 9-1 3-01 Not Applicable DUE DATE 10 -11 -01 n Not Approved (attach comments) DATE: - 1 - Z5'7.120' CORRECTION DETERMINATION: DUE DATE Approved I I Approved with Conditions Not Approved (attach comments) REVIEWER'S INITIALS: DATE: * 1 ;,14: .`:✓74;:«`9dAst.:d4i?S' rlM ak? ::::i'ril:. +K ■;i ;4 'i&V.'`ei z ' re w U ; o O w � w s• J �. • LL w O 1 L• O N o w • w — O ai Z U u. H O z PERMIT NO.: D I •- Z9 2. BUILDING PERMITS INSPECTIONS ❑ 00001 Progress Inspection Status ❑ 00002 Pre - construction ❑ 00003 Investigation ❑ 00004 OK to Occupy ❑ 00005 Remove Stop Work Order ❑ 00006 Follow -up ❑ 00007 Pre -Move Inspection ❑ 00050 WSEC Residential ❑ 00060 WA Ventilation /Indoor AQC ❑ 00070 NLEA Inspection /Modular Struct ❑ 00071 Mobile Home Tie Down Insp ❑ 00072 Marriage Lines ❑ 00090 Resteel ❑ 00095 Footing Drains ❑ 00100 Foundation Footings ❑ 00200 Foundation Walls ❑ 00250 Foundation Insulation ❑ 00300 Concrete Slab /Slab Insulation ❑ 00350 Crawl Space ❑ 00400 Shear Wall Nailing ❑ 00450 Plywood Wall Sheathing ❑ 00500 Roof Sheathing Nailing ❑ 00525 Plywood Deck Nailing ❑ 00550 Exterior Wall Sheathing ❑ 00600 Masonry Chimney ❑ 00610 Chimney Installation/All Types B 00700 Framing ❑ 00750 Roof /Ceiling Insulation ❑ )J 0800 Floor Insulation 00801 Wall Insulation ❑ 00802 Exterior Roof Insulation ❑ 00803 Glazing Inspection ❑ 00815 Lighting and Controls ❑ 00900 Suspended Ceiling ikr 01000 Interior Wallboard Fastening ❑ 01001 Exterior Wallboard Fastening ❑ 01110 Pre -Move Inspection ❑ 01115 Motor Inspection ❑ 01120 Pre -Demo ❑ 01140 Pre- reroof ❑ JO 1400 Final -Fire 01700 Final - Building ❑ 01900 Final - Reroof ❑ 03100 Site Visit ❑ 04000 Special- Concrete ❑ 04001 Special -Bolts in Concrete ❑ 04001 Special -Mom /Resist Conc Frame ❑ 04003 Speeial -Reinf Steel Prestress ❑ 04004 Special - Welding ❑ 04005 Special -High- Strength Bolting ❑ 04006 ' Special - Structural Masonry ❑ 04007 Special -Reinf Gypsum Concrete ❑ 04008 Special - Insulating Cone Fill ❑ 04009 Special -Spray Fireproofing ❑ 04010 Special - Piling, Piers, Caissons ❑ 04011 Special - Shotcrete ❑ 04012 Special - Grading, Excav /Fill ❑ 04013 Special - Retaining Wall ❑ 04014 Special - Panels ❑ 04015 Special -Smoke Control System TENANT NAME: TE` T`�1 iZe6 CONDITIONS 0001 No changes to plans unless approved by Bldg Div ❑ 0010 Special inspection required, notify Bldg Div ❑ 001 1 Special inspector shall submit final signed report ❑ 0012 New ceiling grid & light fixture shall meet lateral bracing ❑ 0013 Partition walls attached to ceiling grid ❑ 0014 Readily accessible access to roof mounted equipment ❑ 0015 Engineered truss drawings & calcs shall be on site ❑ 0016 Exposed insulation backing material ❑ 0017 Subgrade preparation including drainage, excavation ❑ 0018 Statement from roofing contractor verifying fire retardant class of roof ,0019 All construction to be done in conformance w /approved plans ❑ "No work shall be done in addition to those modifications..." Q" 0002 Plumbing permits shall be obtained through King Co ❑ 0020 Structural observation shall be provided for this project ❑ 0021 All food preparation establishments must have King Co ❑ 0022 Fire retardant treated wood shall have flame spread of ❑ 0023 Notify Building Division prior to placing any concrete ❑ 0024 All spray applied fireproofing shall be special inspected ❑ 0025 All wood to remain in placed concrete shall be treated ❑ ,0026 All structural masonry shall be special inspected 0027 Validity of Permit ❑ 0028 Rack storage requires separate permit t ' 0003 Electrical permits obtained through L & I ❑ 0030 No occupancy of building until final insp by Bldg Div ❑ 0032 Remove all weeds, concrete, stone foundations, flat concrete ❑ 0036 Manufacturers installation instructions required on site ❑ "BTU maximum allowed per 1997 WA State Energy Code" ❑ 0035 Contact PW Div to obtain insp for water /sewer connect ❑ 0038 A C of 0 will be required for this permit ❑ 0039 Final approval for all TI w /in the limits of the SC Mall ❑ 0004 All mechanical work shall be under separate permit ❑ 0040 All construction noise to be in compliance with 8.2 TMC ❑ 0041 Ventilation is required for all new rooms & spaces [ +7 0005 All permits, insp records & approved plans available ❑ 0006 All structural concrete shall be special inspected ❑ "Applicant shall obtain a separate plumbing permit from King Co" ❑ "Anchoring — All new construct and substantial improvement shall be anchored to prevent flotation" ❑ 0007 All structural welding shall be done by WABO certified inspector ❑ 0008 All high- strength bolting shall be special inspected ❑ 0009 Bolts installed in concrete shall be special inspected ❑ 0031 Comply with requirements of TMC 16.04 ❑ 0034 Removal of septic tanks require approval and compliance with King Co Health Dept. ❑ "Obtain required inspections from appropriate water & sewer districts" ❑ "Fuel burning appliances ❑ "Appliances, which generate...." ❑ "Water heater shall be anchored...." ❑ " Reroof' Plan Reviewer: Permit Tech: Date" 25-- 2c, Date: . "" 0l ". �iH :t 4 t:as.ii:>r��ti.w', , .:n�75;, earl ;:5.'•r;Y!w:,!�3 =kt;ye3:i�;f:. �i,K +:.`rb`.',se:o3 �... t :i�� 1 ACTIVITY NUMBER: D01 -292 DATE: 9 -11 -01 PROJECT NAME: PESOTSKY RESIDENCE SITE ADDRESS: 3909 SOUTH 117 STREET XX Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued DEPARTMENTS: Building Division Public Works Complete Comments: TOES /THURS ROUTING: Please Route REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: (ten days) Approved n CORRECTION DETERMINATION: Approved \PRROUTE.DOC 5/99 PLAN REVIEW /ROUTING SLIP Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete Structural Review Required O`o Approved with Conditions �d REVIEWER'S INITIALS: Planning Division Permit Coordinator DUE DATE: 9-13 -01 Not Applicable rn No further Review Required DATE: ( I ' 2(61 DUE DATE 10 -11 -01 Approved with Conditions n Not Approved (attach comments) T1 REVIEWER'S INITIALS: DATE: DUE DATE Not Approved (attach comments) n DATE: mo w ` 6 00 w , = ' am ; N LL: w g to 0 = a z F ... 1- O z I- 'O N , 0 H w w . li- -O .. z W • = o I- 'ACTIVITY NUMBER: D01 -292 DATE: 9 -11 -01 PROJECT NAME: PESOTSKY RESIDENCE SITE ADDRESS: 3909 SOUTH 117 STREET XX Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued DEPARTMENTS: Building Division Public Works TUES /THURS ROUTING: Please Route REVIEWER'S INITIALS: Approved Approved \PRROUTE.DOC 5/99 PLAN REVIEW /ROUTING SLIP CORRECTION DETERMINATION: Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete yr Not Applicable Comments: Structural Review Required APPROVALS OR CORRECTIONS: (ten days) Approved with Conditions REVIEWER'S INITIALS: Approved with Conditions REVIEWER'S INITIALS: Planning Division Permit Coordinator DUE DATE: 9-13 -01 No further Review Required tO, DATE: a ° 1 L � DUE DATE 10 -11 -01 n Not Approved (attach comments) DATE: DUE DATE Not Approved (attach comments) DATE: r Y•...,�r , { ' i .. rt:; t ana�«:l, u. lS .P C: s �'::;dt ic�e}x' :�St4,: iaiY �ri tnbS ACTIVITY NUMBER: D01 -292 DATE: 9 -11 -01 PROJECT NAME: PESOTSKY RESIDENCE SITE ADDRESS: 3909 SOUTH 117 STREET XX Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 9-1 3-01 Complete ri Incomplete n Comments: TUES /THURS ROUTING: Please Route REVIEWER'S INITIALS: • Approved \PRROUTE.DOC 5/99 PLAN REVIEW /ROUTING SLIP Structural Structural Review Required APPROVALS OR CORRECTIONS: (ten days) Approved with Conditions REVIEWER'S INITIALS: Fire Prevention n Planning Division Permit Coordinator Not Applicable n No further Review Required DATE: / 310 DUE DATE 10 -11 -01 Not Approved (attach comments) DATE: CORRECTION DETERMINATION: DUE DATE Approved n Approved with Conditions Not Approved (attach comments) REVIEWER'S INITIALS: DATE: tSn,i.::5J3tu �r;.:t::.tii:':.1iki u�A >.e'. &;ld!+1sti.r >�tiSK : ;iCwa:4.1t'ab.< ' tai:. " ; `m7 i . 'lmt#:id *);.44:4.;=•, �k ±'d wiry' i -`�: id•i,�3}i!%:'`G'1iaW.e? :f ••• • ... ••••• •••••:•• ::: . P e rs on ..:... ..: D at* :&::s . : : : ; : :: : : : : : 1 : 1 : :i i i 5 :: : Ii ii : i : : :g : :::: : : : : : : : :: i ii : : .: :: : : i mi I: :II , :::: :::•:•:::• :::4:•5:::•:x.x.:•:•:::::::•:.:.:::•:.5:::.:::•: :::•:::.::: ::.):.:.x.x.*::::::•:•:•:.:•:. • • :* ;*:,::.* :.:i:i::::.::.::.::.*;::8;;;:;;;: ::::::::::::*:;::::::....w:...„::......::::.::::::::::::::::::.:::::,::::::::::::::::::::::::::::::,: ::::::::::::::::::::::::::::.::::::::::::::::::::::..::::::::::::::::*: 925-0/ 77 C ,20::. > ..zit/- 37' V C , alance Due: $ leed Current Contractor Registration Card: 0 Yes leed to Enter Contractor Information in Sierra: El Yes Unlawful to Alter or Deface this Permit — POST ON JOB SITE PERMIT IS NON - TRANSFERABLE status : Issued Owner Name : PESOTSKY GEORGE Parcel : 7340800282 Job Location : 3909 S 117TH ST Insp. Code : EASTGATE SERVICE CENTER Bldg. Type : Single Family Note : ALT /SUBJ TO CODE/RLIM CONTRACTOR: Bus Ph : 1:3O _b30 License No of0.(3— Area Phone • East - 296 -4928 Seattle - 233 -2621 NOTICE TO OWNER AND CONTRACTOR : Plumbing approval DOES NOT cover side sewer or septic tank Inspection. Do NOT accept work without HEALTH DEPARTMENT approval. Work must NOT be covered until Inspected and approved by Inspector. All work must conform to requirements of the KING CO. and SEATTLE CITY Ordinance. Permits expired Tess than a year from expiration date may be renewed for one half of permits cost or $50.00 whichever Is less. Rough In OK Final OK " Required Corrections (SEE REVERSE SIDE FOR DETAILS) List of Fixtures Number of Fixtures Water Closet 1 Bath Tub /Shower 1 Wash Basin 1 Kitchen Sink 1 Total Number of Fixtures 4 Date Fee Description Total Fee 75.00 75.00 9/11/01 9/11/01 EM or Report Public Health Seattle & King County Environmental Health Division Permit No : Date Issued : Date Renewed : Expires : SR 1025909 9/11/01 9/11/02 P L U M B I N G PERMIT Page :1 of 1 Date Insp. Date Insp. Plumbing - Single Family PAYMENT Val. By : EE0000279 6601 v7 101' '!fi1:LM.i�