HomeMy WebLinkAboutPermit D01-315 - RAVENHILL / WOOD RESIDENCE - REROOF AND STAIRSRAVENHILL/WOOD
4925 SOUTH 107T"
STREET
D01 -315
City of Tukwila
Parcel No.: 5476800150
Address: 4925 S 107 ST TUKW
Suite No:
Tenant:
Name: RAVENHILIJWOOD
Address: 4925 SOUTH 107 STREET, TUKWILA, WA
DEVELOPMENT PERMIT
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Owner:
Name: THOMSON HECTOR G Phone:
Address: 4925 S 107 ST, SEATTLE WA
Contact Person:
Name: JOHN RAVENHILL Phone: 206 725 -0276
Address: 4925 S 107 ST, TUKWILA, WA
Contractor:
Name: AFFIDAVIT IN FILE Phone:
Address: ,
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
REPLACE ROOF; ADD TWO DORMERS; NEW STAIRS.
Value of Construction:
Type of Fire Protection:
Type of Construction:
Public Works Activities:
$1,850.00
Permit Number: D01 -315
Issue Date: 01/03/2002
Permit Expires On: 07/02/2002
Fees Collected: $113.73
Uniform Building Code Edition: 1997
Occupancy per UBC: 0007
Curb Cut/Access /Sidewalk/CSS: N
Fire Loop Hydrant: N Number: 0 Size (Inches): 0
Flood Control Zone: N
Hauling: N Start Time: End Time:
Land Altering: N Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation: N
Moving Oversize Load: N Start Time: End Time:
Sanitary Side Sewer: N
Sewer Main Extension: N Private: N Public: N
Storm Drainage: N
Street Use: N
Water Main Extension: N Private: N Public: N
Water Meter:
Channelization / Striping:
** Continued Next Page **
doc: Devperm
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D01 -315 Printed: 01 -03 -2002
Permit Center Authorized Signature:
Print Name:
doc: Devperm
City of ?ukwi1a
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Jr ( 1 z vr6
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 t presume to give authority to violate or cancel the provisions of any other state or local laws
regulating construction formance of work. I am authorized to sign and obtain this development permit.
Signature: C
Date:
Date: S Z
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.
D01 -315 Printed: 01 -03 -2002
City of'i'ukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 5476800150
Address: 4925 S 107 ST TUKW
Suite No:
Tenant:
1: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
2: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any construction. These
documents are to be
maintained and available until final inspection approval is granted.
3: Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear identi- fication
showing the fire performance
rating thereof.
4: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as
amended, Uniform Mechanical Code
(1997 Edition), and Washington State Energy Code (1997 Edition).
5: Structural observation shall be provided for this project. Architect or engineer responsible for the structural design shall submit a
written statement to the
Building Official in accordance with UBC - Sec. 307.
6: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any requirements for
special inspection.
7: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be con- strued to be a
permit for, or an approval
of, any violation of any of the provisions of the building code or of any other ordinance of the jurisdiction. No permit presuming to
give authority to violate
or cancel the provisions of this code shall be valid.
8: There shall be no occupancy of the building(s) until the final inspection has been completed by the Tukwila Building Inspector.
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws
regulating construction or the performance of work.
Signature:
doc: Conditions
PERMIT CONDITIONS
Print Name: 1.t/ -+ 12
001 -315
Permit Number: D01 -315
Status: ISSUED
Applied Date: 10/01/2001
Issue Date: 01/03/2002
Date: �i�, -/ - 3 6
Printed: 01 -03 -2002
Project Name/Tenant
Type of work: ,❑ Single- Family Residence ❑ Addition - Single - Family Residence
E Interior Remodel- Single - Family Residence Cl Residential Accessory Structure*
❑ Remodel /Addition to Accessory Structure , ❑J rage(s)
CI Deck(s) - Covered & covered Ltd Residential Reroof
Value of Construe ' n:
Site Address: City State /Zip:
L- 7 4 'g ZS r S / 0 7 ST 044 c/ (7
Tax Parcel Num er:
57(1 o --a/ 5 -- oS'
Property Owner:
•n
� I�r//f -/tom/ e-6„.. J l/)Dcp
_
�---- sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck
Phone: - 7.2,.Z sci �. -s
Z o G --T • •v 2 - r F.
Street Address:
,,- /
ez S / 07 57 0/14
City State /Zip:
e1 g / - 75‹
Fax It:
ti >ow/S'
Contractor:
Phone:
Street Address:
/914/ A-4 c›1-
City State /Zip:
Fax #:
Architect:
Phone:
Street Address:
City State /Zip:
Fax #:
Engineer:
�y �
//
Phone:
Street Address:
City State /Zip:
Fax # #:
Contact Person: p
..J NA/ / / a5/tJ//
Pho :
( ,26,6 ) 7 -2,2 -.3d 3
Street Address: �
5/
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City State/Zip:
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Fax #:
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Description of work to be done: 2, yPc__,�c. 6 /.,00 , r-} T�c-a rvee -'tj' - ,L/ /54.-&- Srv-}/ veS
Type of work: ,❑ Single- Family Residence ❑ Addition - Single - Family Residence
E Interior Remodel- Single - Family Residence Cl Residential Accessory Structure*
❑ Remodel /Addition to Accessory Structure , ❑J rage(s)
CI Deck(s) - Covered & covered Ltd Residential Reroof
Is this site served by: ❑ Sewer Septic (King County Health Dept. approval required - 296 -4722)
Existing Square Footage for Structure: / 3 c} 4 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: /'5 e 6 sq. ft. Dwelling ,-- ft. Covered Deck(s)
_
�---- sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck
T /
Floor Area Ratio: (total floor area of all structures divided by the area of the lot)
*For an A cessory dwelling, provide the ollowing:
t Lot area Floor area of principal dwelling / a 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 TU''WILA
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
❑ Flood Control Zone
❑ Moving an Oversized Load:
❑ Sanitary Side Sewer #:
❑ Curb cut /Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #:
❑ Hauling ❑ Land Altering: 0 Cut cubic yds. 0 Fill
Start Time: End Time:
❑ Sewer Main Extension 0 Private 0 Public
❑ Street Use ❑ Water Main Extension 0 Private 0 Public
Size(s):
Size(s): Est. quantity: gal Schedule:
❑ Storm Drainage
❑ Water Meter /Permanent #
❑ Water Meter Temp #
in Miscellaneous
Size(s):
cubic yds.
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:
l0
SFPERMIT.DOC 2/13/97
Date app D
),e a _ .. OdVIMMMMMP.V..WVIW'ITPWOrattNWO NlwrMrATNOVVII*R nxxv«rv4•.rt
R STAFF USE ONLY
Project Number:
Permit Number: DO t• I
Application taken by: (initials)
PLEASE SIGN BACK OF APPLICATION FORM
BUILDING OR AUTHORIZ- ; ' GENT:
Signature: , ` �'"".�
/
Date:
dl , t... 6 C3 )
Print name:
�o / 4 a-I RIA- VrEr -a 1-(---/ 1.--4r
Phone
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cr2 17;47
Fax #:
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Address:
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WO
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City/State/Zip:
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ALL SINGLE- 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 SITE4PLANS AND UTILITY PLANS. ARE T9 BE.'G.OMBINED rr °' -.,
N/A SUBMITTED
❑ ❑ Copy of recorded Legal Description from King County
❑ ❑ Certificate of water /fire flow availability (Form H -11a). 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
17/ /H -9).
Found
❑ / f , ation plan and details
❑ El Floor plan
❑ LJ Roof plan
❑ ❑ Building elevations (all views)
El ❑ Building height
❑ ❑ 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.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF
PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
SFI'ERMIT.DOC 2/13/97
Payee: J. RAVENHILL
TRANSACTION LIST:
ACCOUNT ITEM LIST:
doc: Receipt
pity of Tukwila
Current Pmts
Amount
Description
BUILDING - RES
PLAN CHECK - RES
STATE BUILDING SURCHARGE
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 5476800150 Permit Number: D01 -315
Address: , 4925 S 107 ST TUKW Status: APPROVED
Suite No: Applied Date: 10/01/2001
Applicant: Issue Date:
Receipt No.: R020000009 Payment Amount: 113.73
Initials: SKS Payment Date: 01/03/2002 10:15 AM
User ID: 1165 Balance: $0.00
.Type Method Description
Payment Check 4958 113.73
000/322.100
000/345.830
000/386.904
Account Code
66.20
43.03
4.50
Total: 113.73
2327 01/07 9716 TOTAL 113.73
Printed: 01 -03 -2002
P ject:;
Type of Inspection:
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Phone No: ;
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INSPECTION RECORD
Retain a copy with permit OW-315 j &.
INSPECT N NO. PERMIT NO.
ITY OF TUKWILA BUILDING DIVISION
300 - Southcenter Blvd:, #100, Tukwila, WA 98188
pproved per. applicable codes.
•
(206)431 -3670
E1 Corrections required prior to approval.
COMMENT
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47.00 REINSPECT O FEE RE UI
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paid at $300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
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INSPECTION NO.
INSPECTION RECORD
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CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
(206)431
IS Corrections required prior to approval.
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Receipt No.:
Date:
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INSPECTION NO.
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
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COMMENTS:
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INSPECTION RECORD
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paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
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INSPECTION RECORD
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INSPECTION NO. PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367
M pproved per applicable codes.
El Corrections required prior to approval.
COMMENTS:
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$47.00 REINSPECTION I E REQUIRED. Pri to inspection, fee must be
pals at 6300 Southcenter Ivd., Suite 100. all to schedule reinspection.
pt No.:
Date:
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INSPECTION NO PERMIT NO
CITY. OF TUKWILA BUILDING DIVISION � b 'yv ' . .
00 Southcenter Blvd, #100, Tukwila, WA 98188 (206)431- 3670
Approved per applicable codes. Corrections required prior to approval.
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D $47.00 REINSPECTION FEE REQUIRED. Prior tctinspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
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INSPECTION RECORD,/,
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' INSPECTION NO.
TY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
Approved'per applicable codes. Corrections required prior to approval,
COMMENTS:
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NAINF' - - A / •
$47.00 REINSPECTIeN fEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
• ,,, ,CLutt: :I ,
PERMIT NO.
(206)431-3670
•
INSPECTION RECORD
Retain a copy with permit
INSPECTION N0:
•
ITY;OF TUKWILA BUILDING DIVISION
300Southcenter Blvd; #100, Tukwila, WA 98188
Approved per applicable codes.
at 6300 Southcenter B vd., Suite 100. Call to schedule reinspection.
PERMIT NO.
(206)431 -3670
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Project:
weo s
Special instructions:.
r e of Inspection:
Date ca e.:
Datg.yvant ed:�
Requ ster:
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Corrections required prior to approval.
,COMMENTS:
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47.00 REINSPECTIO J FEE REQUIRE Q. Prior to inspection, fee must be paid
Receipt No:,.
Date:
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INSPECTION RECORD
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INSPECTION NO PERMIT NO
CITY OF TUKWILA BUILDING DIVISION •
6300 Southcenter Blvd, #100, Tukwila, WA 98188 (206)431-36
Pr;p z w ,. /4,64 „ ,41,
Address:
1 /07
Special instructions:
Type of Inspection.
Date called:
Date wanted:
• 'Requester.;
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pproved per applicable codes.
Corrections required prior to approval.
Receipt No:
Date:
$ . 0 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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DEC 24 2001
BUILDING ROWYO
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BUILDING
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D01 -315
0, 107t4 Street
FILE COPY
an( that the Plan Check approvals are
to errors and omissions and approval of
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CITY OF TUKWILA
OCT 0 1 2001
PERMIT CENTER
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RECEIVED
CITY OF TUKWILA
PERMIT CENTER
4925 -2.hom
Upstairs Floor Plan
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May 12, 2003
John Ravenhill
4925 S 107th St
Tukwila, WA 98175
Dear Permit Holder:
Xc: Permit File No. D01 -315
Bob Benedicto, Building Official
city of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
RE: Permit Application No. D01 -315
4925 S 107th St
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 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 June 4, 2003,
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, .
Stefania "Spencer
Permit Technician
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
July 2, 2002
John Ravenhill
4925 South 107th Street
Tukwila, WA 98175
city of Tukwila
Department of Community Development Steve Lancaster, Director
RE: Permit Application No. D01 -315
4295 S 107th 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:
Sincerely,
Xc: Permit File No, 001 -315
Bob Benedicto, Building Official
• 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 August 5,
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.
�.v
Stefania Spencer
Permit Technician
Steven M. Mullet, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 - 431 - 3665
l;sLi .w r .14/ti
October 4, 2001
Mr. John Ravenhill
4925 South 107th Street
Tukwila, WA 98178
• RE: Letter of Incomplete Application #1
Development Permit Application Number D01-315
Ravenlull/Wood — 4925 South 107th Street
Dear Mr. Ravenhill:
City of Tukwila
••••••••••••••001111411■11/41110.11111MMINIMI,
Department of Community Development
This letter is to inform you that your permit application received at the City of Tukwila Permit Center on
• October 1, 2001, is determined to be incomplete. Before your permit application can begin the plan
review process the following items need to be addressed.
• Building Division: Ken Nelson Plans Examiner at (206)431-3670, if you have any questions
regarding the following:
• 1. Need floor plans of interior - label rooms
• 2. Need framing plan for front porch.
The City requires that four (4) complete sets of revised plans be resubmitted with the appropriate revision
block. If your revision does not require revised plans but requires additional reports or other
documentation, please submit four (4) copies of each document.
In order to better expedite your resubmittal a 'Revision Sheet' must accompany every resubmittal. I
have enclosed one for your convenience. Revisions must be made in person and will not be accepted
through the mail or by a messenger service.
If you have any questions, please contact me at the Permit Center at (206) 433-7165.
Sincerely,
Stefania Spencer
Permit Technician
end1
File: Permit File No. D01
Steven M. Mullet, Mayor
Steve Lancastei; Director
•=01116
6300 Southcenter Boulevard, Suite 11100 • Mktvila, Washington 98188 • Phone: 206-431-3670 • Fax: 206-431-3665
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ACTIVITY NUMBER: D01 -315 DATE: 10 -16 -01
PROJECT NAME: Ravenhill /Wood
SITE ADDRESS:. 4925 S. 107 St. SUITE #
Original Plan Submittal
x
Response to Incomplete Letter #j
Response to Correction Letter # Revision # After Permit Is Issued.
DEPARTMENTS:
elA
Build 'ng Division
Public Works
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
TUES /THURS ROUTING:
Please Route
\PRROUTE.DOC
5/99
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Structural
Incomplete
Structural Review Required
APPROVALS OR CORRECTIONS: (4 weeks)
n Permit Coordinator
Planning Division
DUE DATE: 10-18-01
Not Applicable
Comments:
No further Review Required
REVIEWER'S INITIALS: DATE:
DUE DATE 11 -15 -01
Approved n Approved with Conditions Not Approved (attach comments)
REVIEWER'S INITIALS: DATE:
CORRECTION DETERMINATION: DUE DATE
Approved Approved with Conditions n Not Approved (attach comments) Fl
REVIEWER'S INITIALS: DATE:
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ACTIVITY NUMBER: D01 -315
PROJECT NAME: RAVENHILL /WOOD
SITE ADDRESS: 4925 SOUTH 107 STREET
XX
Original Plan Submittal
Response to Correction Letter #
DATE: 10 -01 -01
Response to Incomplete Letter #
Revision #
After Permit Is Issued
DEPARTMENTS:
t&)
Building Division
,at 10 ' L-o 1
Public Works
Complete
APPROVALS OR CORRECTIONS: (ten days)
Approved
Approved
CORRECTION DETERMINATION:
F ';.;IT COORD CC ""
PLAN REVIEW /ROUTING SLIP
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Fire Prevention
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Incomplete
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Approved with Conditions
REVIEWER'S INITIALS:
\PRROUTE.DOC
5/99
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Planning Division
iti t
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 10-02-01
Not Applicable
Comments: dd
TUES /THURS ROUTING:
Please Route n Structural Review Required No further Review Required
REVIEWER'S INITIALS:
REVIEWER'S INITIALS:
DATE:
DUE DATE 10 -30 -01
Not Approved (attach comments)
DATE:
DUE DATE
Not Approved (attach comments)
DATE:
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted
through the mail, fax, etc.
Date: OG j 2 / 9
City of Tukwila
Department of Community Development - Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
(206)431 -3670
Response to .art es
❑ Response to Correction Letter #
❑ Revision # after Permit is Issued
Project Name:
Plan Check/Permit Number: 4.2 O J — . 1
Project Address: yf e9 2.
Contact Person: r Phone Number: 7 c ' ` c7'2 76
Summary of Revision:
rI/ / - A - -� / 2 " c' 2
CITY OF t RECEIVED
2 1 2002
PERMIT CENTER
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
Entered in Sierra on l D- Z Z
08/30/00
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Date: / D — J
Project Name:
Project Address:
City of Tukwila
Department of Community Development - Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
(206)431 -3670
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted
through the mail, fax, etc.
® Response to Incomplete Letter # _1_
▪ Response to Correction Letter #
El Revision # after Permit is Issued
RAVENHILLIWOOD
Plan Check/Permit Number: DO 1 -315
4925 SOUTH 107 STREET
&66
Contact Person: JOHN RAVENHILL Phone Number: J 0 a;7 ( o 7a'.\ -' 40"`”
Summary of Revision:
RFCEIVED
CITY OF TUKWILA
/.1.1t1
PERMIT CENTER
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
0 Entered in Sierra on
10/04/01
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AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON
COUNTY OF KING
DQD
CITY OF i iKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
ss.
, states as follows:
H -4
1. I have made application for a building permit from the City of Tukwila, Washington.
2. 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.
3. 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.
4. 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. , 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.
AFFCONT 1/13/00
147LW
APPLICANT
_= E A. p \�
P�� �� Signed and sworn to before me this
%/ ' i NOTAR y' .' �#,/ 9
� .3rd day of �Qn�ary , 20 �2
� � i .. F'UBUC • , i/ •
', oPwAs
NOTARY PUBLIC in and f r the State of Washington,
residing at king County.
Name as commissioned: Alice A. •Deac y
My commission expires: b-16-04
+2ra' 4i.;;t:4W c�x"� tin'u!c7�Sr4'AiF*. t i Yr}S4K+b tsok
18.27.090 Exemptions. This chapter "-all not apply to:
1. An authorized representative of the United States
Government, the State of Washington, or any
incorporated city, town, county, township, irrigation
district, reclamation district, or other municipal or
political corporation or subdivision of this state;
2. Officers of a court when they are acting within the
scope of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground
mine or mineral deposit when performed by an owner
or lessee;
5. The sale or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into and do not become a
permanent fixed part of a structure;
6. Any construction, alteration, improvement, or repair
of personal property, except this chapter shall apply
to all mobile /manufactured housing. A
mobile /manufactured home may be installed, set up,
or repaired by the registered or legal owner, by a
contractor licensed under this chapter, or by a
mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW;
7. Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site
or reservation under the legal jurisdiction of the
federal government;
8. Any person who only furnished materials, supplies, or
equipment without fabricating them into, or
consuming them in the performance of, the work of
the contractor;
9. Any work or operation on one undertaking or project
by one or more contracts, the aggregate contract
price of which for labor and materials and all other
items is less than $500, such work, or operations
being considered as of a casual, minor, or
inconsequential nature. The exemption prescribed in
this subsection does not apply in any instance
wherein the work or construction is only a part of a
larger or major operation, whether undertaken by the
same or a different contractor, or in which a division
AFFCONT 1/13/00
of the operation is made into contracts of amounts
less than $500 for the purpose of evasion of this
chapter or otherwise. The exemption prescribed in
this subsection does not apply to a person who
advertises or puts out any sign or card or other
device which might indicate to the public that he is a
contractor, or that he is qualified to engage in the
business of contractor;
10. Any construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts or
reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or poultry
raising; or to clearing or other work upon land in rural
districts for fire prevention purposes; except when
any of the above work is performed by a registered
contractor;
11. An owner who contracts for a project with a
registered contractor;
12. Any person working on his own property, whether
occupied by him or not, and any person working on
his residence, whether owned by him or not but this
exemption shall not apply to any person otherwise
covered by this chapter who constructs an
improvement on his own property with the intention
and for the purpose of selling the improved property;
13. Owners of commercial properties who use their own
employees to do maintenance, repair, and alteration
work in or upon their own properties;
14. A licensed architect or civil or professional engineer
acting solely in his professional capacity, an
electrician licensed under the laws of the state of
Washington, or a plumber licensed under the laws of
the state of Washington while operating within the
boundaries of such political subdivision. The
exemption provided in this subsection is applicable
only when the licensee is operating within the scope
of his license;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor
with wages as his sole compensation;
16. Contractors on highway projects who have been
prequalified as required by chapter 13 of the Laws of
1961, RCW 47.28.070 with the department of
transportation to perform highway construction,
reconstruction, or maintenance work.
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