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Permit D01-340 - COBLENTZ RESIDENCE - PATIO COVER
COBLENTZ RESIDENCE EXPIRED D01 -340 City of Tukwila Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES, APPLICANT IS PROCEEDING AT THEIR OWN RISK. Parcel No: 537980 -0570 Address: 4438 S 164 ST Suite No: Location: Category: ASFR Type: DEVPERM Zoning: LDR Const Type: Gas /Elec.: Units: 001 Setbacks: North: Water: HIGHLINE Wetlands: Contractor License N OCCUPANT Signature :_ Print Name:_ DEVELOPMENT PERMIT 0 South: .0 East: .0 West: -Sewer: SEPTIC Slopes: N Permit Center Authorized Signature:_ CoVed.z__ Permit No: Status: Issued: Expires: Occupancy: UBC: Fire Protection: Date: (206) 431 -3670 DO 1 -340 ISSUED 11/08/2001 05/07/2002 DWELLING 1997 . Streams: Phone: Phone: 206 -242 -8921 COBLENTZ RESIDENCE 4438 S 164 ST, TUKWILA, WA 98188 OWNER SCHMIDT.EDWARD"C . /4438'S 164 ST, SEATTLE 'WA CONTACT PAUL COBLENTZ 4438 S 1.64 ST,`TUK.WILA, WA 98188 ************jr****************************** k* ** * *•k*•k * ** ** k *•k * *k* " * * * *k* *** *•k * k * * *•k* Permit Description: REPAIR AND REPLACEMENT OF ROOF STRUCTURE ON AN EX ENCLOSED PATIO /BARBEQUE STRUCTURE THAT IS .FROM THE 1,940 S k **' k*=*:******** k• k* A4****.**** k4*************A******* *•k * * *k* * * : * *•k *A **** * ***** ** Constr.•u'ction "Valuation: $ 1,300:00. PUBLIC; WORKS'" PERMITS: *(Water Meter Permits Listed Separate) Eng. Appr: Curb 'C'ut /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 Gut: 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' kk** kk****• k* * * * * * * * ** * * * * ** ** * k* k** **k•k * *k ** * * * ** *** TOTAL DEVELOPMENT PERMIT FEES: $ 83.54 * *•k * * ** * **k ******* * *•k** {r** * *** * * ** * **** * *•k•k•k*•k*k** k** *k *k*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 any of -r state or local laws regulating construction or the performance of work . / am authorized to sign for and obtain t h i s development per 11 8/01 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 130 days from the last inspection. ,.�.1.. -.n i. ...._:.•.,u.: •'......, ..,..., ..,...�.., .., >s .:,.s..w.:y..w ..:a:.. .:., u:.:., u..,. u. i, 1.,,.. sf. 1: i:. u'.::: 4. Et: kn. stri.;. i..:. f.._.. u. V... ,...,.a•ia,n:�,c.uu..;x.:{i:��: lira;. ix'.: wksL ,i.�,fGa:.,i;:.��'sG:.a:, ^dx;c, 2::r 'sr:. '� k. 'c:_3..:.r .r'_t.b':u� +... Z re ILI 6 0 0 0 W H w J c o — a . = W Z F. Z o w U � oi- w U. - r- - 0 WZ = z c ••■•■•••••••••• ... . , . Address: 4438 S 164 ST Suite: Tenant: Type: DEVPERM Parcel #: 537980-0570 • -. i Name: • CITY C1F TUKWILA • ' • Permit No: D01-340 • Status: ISSUED Appl ied: 10/12/2001 Issued: 11/08/2001 Ree.mtt Conditions phanges will be made to the plans unless approved by the Engineer and the Tukwile:..80jdfngDfyision. All construction to.,4e: with approved ., , 5. „. plans and requirekentS—Of the UniforM"BU„fldfng Code (1997 •,;;Edition) as amended, UnifOrM Mechanical, Code!::(4997 Edition), and WashingtOnState Edition) Validity ofi • The issuance of e, t or;•.approval of .• s01,61fiPatfOns,. and ..computationS shall notbe con , perMit ,for, ' or an approval any violation af any of the provisions of the .:building -code or Of any5.,. 9.they: of the jur4SciTotton. No permit , I)resuMi.ng to to violate or cancel the provision of this code sh1J be val , . . ..- All ',;permits, inspection record, and approved Olans%Shall)4e avallatil 6 at .‘,the jolY-site prior to the start of 'any- On- . • .sNr,Ucti.oWi :These dpcuMentS, are to 4e avail- , 444 until final/j6spect ion approifal:•iS-granted. - - ••••.• ,5: • hereby certify that -I have read these conditions and ,wi 1 1 comply ith .them5as outlined Al 1:: Of _law and ordinances governing ' his , work will be cOml-red'; whether specified ilere'in - The granting ol this permit ''does notpreSUMe to give othpr violatebr&panper,the provisions of any other work or regulatfng constru n or the p rfornance vork. Project Name/Tenant: c\ 1 t°1 ∎r e - VIN C) : • � ar)c7 Cj) Z_1ti/ C tAf ►r.; t1•. citidi Value of Construction: Lard . Site Address: City State /Zip: - 11 S 1bk''01,\ V∎AA ■- . 1t/.- ( if4 t u Tax P rce Number: 5 7 9107 0570 o Property Owner: 1 Pot,A C kAr.‘ ( 1)(eAz_ Phone: Street Address : I i f t 44 j S. 'f ? fA 1 l v),L L CityState / rI7 �l I e 7 Fax #: Contractor: 1 1 (� Phone: Street Address: I C State /Zip: Fax #: Architect: __ Phone: Street Address: City State /Zip: Fax #: Engineer: Phone: Street Address: City State /Zip: Fax #: Contact Person: n rCA.NA L(-)LI.e.f\k Phone: Street Address: City State /Zip: Fax #: Description of work to be done: c.f r Cska ‘\q C.,:�t w.eit 0 %&c-c> 5rr rl■r'= i9+\ < NA i 'h7 enc. C›,.?, (E��:a/ (;u.; be ittA.z $tct. cd-..rt_ 'ra.t �s pro 6-n `Ctr lA'1Os. Type of work: ❑ New Single - Family Residence ❑ Addition - Single - Family Residence ❑ Interior Remodel- Single - Family Residence ❑ Residential Accessory Structure* (ke( Remodel /Addition to Accessory Structure ❑ Garage(s) ❑ Deck(s) - Covered & Uncovered ❑ Residential Reroof Is this site served by: 0 Sewer ❑ Septic (King County Health Dept. approval required - 296 -4722) Existing Square Footage for Structure: 25 2. sq. ft. Dwelling [(''� �;,.,t2:° L sq. ft. Covered Deck(s) yk C lis. L sq. ft. Garage /Carport t( 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) ,. 1(-) *For an Accessory dwelling, provide the following: 1 S OG0 50 Lot area 2.c00 Floor area of principal dwelling 16b 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 - - WVILA Permit Center 6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188 (206) 431 -3670 • R STAFF USE ONLY Project Number: Permit Number: DO` --340 Single - Family Residential Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. APPLICANT REQUEST FOR PUBLIC WORKS SITE/CIVIL PLAN REVIEW OF THE FOLLOWING: (Additional reviews shall be determined by the Public Works Department) ❑ Channelization /Striping ❑ Curb cut /Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s): ❑ Flood Control Zone ❑ Hauling ❑ Land Altering: 0 Cut cubic yds. 0 Fill cubic yds. ❑ Moving an Oversized Load: Start Time: End 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: ❑ 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: lb-I2 - «/ Date application expires: Application taken by: (initials) PLEASE SIGN BACK OF APPLICATION FORM SFPERMIT.DOC 2/13/97 µ..,,nr.Prry. • . Ih+ m, q...., wwr•. ..,WeannmltAW;'rrin'wfrgON*rtRal t- TAVrIMK T'AI.Yef.: r.,, .,.., u,,F�,., •c �. BUILDING OWNER OR AUTHORIZED AGENT: Signature: Date: Print name: Phone: Fax #: Address: , 4 4., - i ''' " a ii W ' City /State /Zip: ,0 I G -FAMIL ' RESIDEN 14 L 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 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. SFPERMIT.DOC 2/13/97 '•A *.:7 .'44k* 1,1 A *..A.* i.#4c : k1r * * *:4 *A 4**.k* kkA*A4i**AA4.*i4itcA *k•A *44 *A** T :TY OF Till <WILA. WA TRC SMI1 h:Ad4•k ****,* *A• ***4;t•** *.' sk,i *.k**•i- ** **A' *Jk:EfitAk ***kfirak:lk*!r:4k ** *kA*.A!c TRANSMIT Numbers 80101.337 : Amount: 13.54 10/12/01. 13:43 Paymgnt`:Me4hod: CHECK Nota41on: CouLr:NTt KAS Total Fees: 33.54 f s ,Payment 83. 4 Total ALL Pmts 83.54 Ba1 Rnce: „00 4* ihAk,*s 1`*• e5 *il4 ****!roF * * *,i **Aici% ** * * *1% *** * * * *,x7% *AA 1AA * ** *A **4 * * ecoun I Code Description Amount. 00)322.100 : E3U1LDING - .RED . 47.')O 0u!-345'..f334 -PLAN. CHECK - .RES :, 31.14 U.7, 866.'304 STATE BUILDING SURCHARGE 4.50 Permi't No:. DOi. -340 ; Type: DFVPERM DEVELOPMENT PERMIT, Parcel Nci:; 537980 -0570 �i e : Ad d r e s s: 4438 S 16 4; ST TN'rl`4) ` i , '83.54 Prejec • D 4d? Type of I c / c Addre s: - y.�� 1�y.H ��, Da te c .4-61w alled: ' Special instructions: - , i G �`- lege.410 ece..--a;S.„..44,4? Date wanted: /f 7�4V m...... p.m. Requester• �y `` ,4 / eer.1/2 P ..b INSPECTION RECORD Retain a copy with permit INSPECTION NO. 1 . CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 .1 .Po /3V' PERMIT NO. (206)431 -3670 Corrections required pr or to app oval. COMMENTS: f �Gl rte 5c 'f Receipt No: Date: �4[A+Rs..jhirSi+� 1��. »4L:�ftnl.Y.1w n Approved per applicable codes. $47.00 REINSPECTI Q FEE REQUIRED. Prior to insp "ecti3n`, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. • a•rt.w.{if.] 2aiti .Z4 ILti fi+itiY +!h'iw.4�5i���i-�.lS$n$4 :.: eqt'.� xr. ilZW..44ei na4 00 0 W = • u. w }} J. IL < CD w o z 1— ul U o o - • F- w w � U LL Lll H- • _ 0 I— z • •.•, •- • ■.-,. ---• • • •, PIRED 0■.\A\ . _ 1171-Th kA./c\ 9S 4i58' 20& L Z. V21. SEPARATE PERMIT REQUIRED FOR: L f MECHANICAL— .EltELECTRICAL VSLUIVIBING • lirGAS PIPING "CITY OF TUKWILA BUILDING DIVISION eP.-1ALL BE r•AADE TO • 7, , CP7-. WITHOUT PRIOR BUILDING A "my P..411 PLAN REVIEW FE& • ? \ COTS/ I understand that the Plan Check approvals are subject to errors and omissions and approval of plans does not authorize the violation of any adopted or ordinance:. Rece.ipt.of con- tractor's copy of approved plans acknowledged. By Date Permit No. ■.. CITY OF TUKWILA --kPPROVED - 6 2.tigl NOV ks NOTED SA.Pi.ONG DiVist RECEIVED CITY OF TUKWILA NOV - 5 2001 INCOMPLETE PERMIT CENTER LTR# _IL_ bovi , , ■.t,■3'}•}:14;;e.Z.:53.10:41R;0■4,W10{.*ilirt.it.' 'X r■z o r .. 1,v,; • G�RcI Oi��.�'�G`. -- �1r,�.......'UIG\5 -i - Ll1.�JOG - p'C�.(T c ( , ri. _.. .:. cosh`. co ._. Aepcndi _61\ _ . . . . �� � ...._ � S . c � c.clA n C O C F o C\ _.... r••etd•` . ( c_. � t�rrn « -., �� .5 . LAS � �Or r ._ ��._.. .. °c c m -e(,iA�__.._z �s (ex" Is, " 6 n .. of_ ..._ Si - MPS c . S +rarsD `} .. �t,�r� - �,�,� 1 ■ c,r,c%v�'�..._. s %) 0.(\ y c a e CIT A4 R QWlu c :\ Zv b _ ?- ''( _ 92_1 NOV -6 2601 tss hOTEO BUILDING DIVISION G 9516'3 RECEIVED CITY OF TUKWILA Nov - 5 2001 INCOMPLETE PERMIT CENTER LTR# b Ot4 D ,fitigi .ua ,u clin404i0V. n . 0 O W = w u. a ? F- 1-O Z 2 ✓ N: O • H _ w F V — o ai • � '. z • INCOMPLETE LTR# 1 Co TU's:W LL p pRo`1D .. . a\ - -6 ZgOi SUI DI DIVISION RECEIVED CITY OF TUKWIU NOV - 5 2001 PERMIT CENTER DO% - 5q 0 V y / ? ,' 1_ 7 t„ i 4' 1") I z •N o z rn o -I rn= m . -Iv 0' cg m m O -I = M -� c �' D "n ✓ 0 m im mN 0 O n 0 c E . z . ;4x'h:;{.'Z Y:c�j; �.��Rtcr; �"( ?4.V f z fig , 5 cc..hh 1 V•2 QM 4 d3.W30 -100i 5 AO#! tV'11M)If i. dO A.110 OBA13031"I _.... NOISil11O �f IO1S 03I.QM S LOCZ9 - fl 11 2002 OW 3131 dW00Nl au I dX .. .. c, •2 h h 1 hI } CM OF 11.1V,V?11.k APPROVED ki NOV - 6 2M 3 P,S C4O 1 ED ...... -LLD G DIVISIO 1� INCOMPLETE EXPIR MAY 2 9 2002 CITY OF UKWILA NOV - 5 2001 PERMIT CENTER D II P z-L( a s9),i 01) -w U3►:s' ') 111NE&J RECEIVED CITY OF TUKWItA NOV _52001 PERMIT CENTER vott ref cAk5 '11-e. cc-0 n \, 'or t k-5 w ' fin bo ; -e„..k r, J.,n re. U vC 5VIC%AA - 1/4,1/4/e_ 194c7; p∎Qc Cs5 E co (\k' 1145 ct►,.e, errc �G�/r-i` EX tuAker except For (AI.Et e TC't. - c , ..; ■ �..� �t1 ■1v v: 11va. 5';"Ct,■t:f ‘r •CrA IRE MAY 2 9 2002 j 7.24_ _ i g 2c,Lt G LAC- ` 5. 1611 \ fit,6 -6 ?0 Kit f SUILDN V4 1Cl taveort,c_ (GtF Stf.a1nN. cc of Y 2! on Ceti r il it 2. L' NF -er., R ;6 ?x Io jir pc n S� y+ yes exk' 3ot1r, end. oF ro e r'S , 30 F !i ctif.cL CL ? com o r 1(`^e\ rlt3140z r Z- Ln6 teRTID INCOMPLETE DECEIVED lti V OF TUKWILA NOV - 5 2001 PERMIT CENTER g..,.v( ,t,,,,. bo • 3•v I 414S. z W .. 6 00 CO = H W 0 g J. u. < . D. a H Z F . Z 2 uj U 0 O I- W W'. O N '. O 1 - : z I 1 .... ll I 1 1 vott ref cAk5 '11-e. cc-0 n \, 'or t k-5 w ' fin bo ; -e„..k r, J.,n re. U vC 5VIC%AA - 1/4,1/4/e_ 194c7; p∎Qc Cs5 E co (\k' 1145 ct►,.e, errc �G�/r-i` EX tuAker except For (AI.Et e TC't. - c , ..; ■ �..� �t1 ■1v v: 11va. 5';"Ct,■t:f ‘r •CrA IRE MAY 2 9 2002 j 7.24_ _ i g 2c,Lt G LAC- ` 5. 1611 \ fit,6 -6 ?0 Kit f SUILDN V4 1Cl taveort,c_ (GtF Stf.a1nN. cc of Y 2! on Ceti r il it 2. L' NF -er., R ;6 ?x Io jir pc n S� y+ yes exk' 3ot1r, end. oF ro e r'S , 30 F !i ctif.cL CL ? com o r 1(`^e\ rlt3140z r Z- Ln6 teRTID INCOMPLETE DECEIVED lti V OF TUKWILA NOV - 5 2001 PERMIT CENTER g..,.v( ,t,,,,. bo • 3•v I 414S. z W .. 6 00 CO = H W 0 g J. u. < . D. a H Z F . Z 2 uj U 0 O I- W W'. O N '. O 1 - : z r r &-A) y_ 5�'c v.s•'e �vG.�'�.l II � Li k- \ n om. 1c\ LG 5 17' 6 ' orcl I niN t Ct ( E ( 5so kA60 n Wt'.D U JA-5 t7.. UrtG tlAco Q [ LJ �x i� -r-� 5 -re Th oge c� f-a co rv.e . D — Uorb� L ve- c 1 1 1 7 AC) i'erp \ 5L.');iu - �0 y r.5 6ir\ol er` i b. 3 rte. or ore i tNA\ r b6rj . 114 rA.,J \• . 1960; GU \ L`- 0 `' i.c" yov W co r\c-Cir04t.c.4 v.A I 1 � T ; � e o 1 nik\, wO$ • .. V,¢1,p. : . . _. . .. �off. . ASNA l.u: ti'\i'es:OC 6 wy,5 (P1RE MAY 2 9 2002 kki own re5 ce9 cAce.. LAN-L1, b„.; I u/1 tyre, "Ac 6eA r d ,1 in 'The I e, Lo rt" e_ ©w,r in6,66 0.re iv P f 6Crtl _ �w CO if INCOMPLETE LT R# I J . RECEIVED CITY OF TUKWILA NOV - 5 2001 PERMIT CENTER bOt4D 11 :i•t %n'FY ""v r .. �... r�.��f.i. rvila ! ; x ° i':o;c�.1 :4k .:'G a„� " ". r�L%pis'l}`, ,tk�Ye +. ite3.0.4V144,4 ACTIVITY NUMBER: D01 -340 PROJECT NAME: Coblentz Residence SITE ADDRESS: 4438 S. 164 St. Original Plan Submittal Response to Correction Letter # Revision # DATE: 10 -12 -01 SUITE # Response to Incomplete Letter # After Permit Is Issued DEPARTMENTS: R-78 B ildifig Division ct /0 Public Works S n]r��IZ to - tc, of DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete ri Comments: TUES /THURS ROUTING: Please Route PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP n CORRECTION DETERMINATION: Approved 1PRROUTE.DOC 5/99 C- 53 t o -( (o'o Fire Prevention. Structural Incomplete zrige4 --o/ Structural Review Required APPROVALS OR CORRECTIONS: (4 weeks) Approved with Conditions REVIEWER'S INITIALS: Approved n Approved with Conditions n REVIEWER'S INITIALS: REVIEWER'S INITIALS: Plarkning Division Permit Coordinator DUE DATE: 10-16-01 44 No further Review Required II Not Applicable n DATE: DUE DATE 11 -13 -01 Not Approved (attach comments) DATE: DUE DATE Not Approved (attach comments) DATE: 53ti7rkri. ,:i `Ski' uIAN»iSG:sns7 }ksr'i .t;;E,''`^�r.;si ' z ' 00 c o co W 0 g J. LL j • a H= z �. ►- 0 z I- uj W • 0 • en 0— o � = W r . U- O o tiii z U N: z ACTIVITY NUMBER: D01 -340 PROJECT NAME: COBLENTZ RESIDENCE SITE ADDRESS: 4438 SOUTH 164 STREET Original Plan. Submittal Response to Correction Letter.# DATE: 11 -5 -01 XX Response to Incomplete Letter #1 Revision # After Permit. Is Issued DEPARTMENTS: Buildin 'vision kW 1RI 'CI Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: TUES /THURS ROUTING: Please Route REVIEWER'S INITIALS: PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP Structural Incomplete Structural Review Required APPROVALS OR CORRECTIONS: (ten days) Approved n Approved with Conditions CORRECTION DETERMINATION: Approved \PRROUTE.DOC 5/99 I Fire Prevention n Planning Division n REVIEWER'S INITIALS: Permit Coordinator 1:14 DUE DATE: 11 -06-01 Not Applicable No further Review Required DATE: DUE DATE 12 -04 -01 Not Approved (attach comments) DATE: DUE DATE Approved with Conditions n Not Approved (attach comments) REVIEWER'S INITIALS: DATE: F-1 ACTIVITY NUMBER: D01 -340 DATE: 11 -5 -01 PROJECT NAME: COBLENTZ RESIDENCE SITE ADDRESS: 4438 SOUTH 164 STREET „Original Plan Submittal XX Response to Incomplete Letter. #1 Response to Correction Letter # Revision # After Permit Is Issued DEPARTMENTS: Building Division Public Works Complete Approved Approved n \PRROUTE.DOC 5/99 PLAN REVIEW /ROUTING SLIP TUES /THURS ROUTING: Please Route n Structural REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: (ten days) REVIEWER'S INITIALS: CORRECTION DETERMINATION: Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete n Not Applicable Comments: Required Approved Conditions Planning Division Permit Coordinator DUE DATE: 1 1-06-01 No further Review Required I I DATE: 11 iD' 20 � DUE DATE 12 -04 -01 Not Approved (attach comments) DATE: lI -6'"Zal Approved with Conditions ri Not Approved (attach comments) REVIEWER'S INITIALS: DATE: DUE DATE I I i. fan ed'li::cisv ir+ :£:ao}t=: �i.:v, y.6; ' <;S9:WnM''i{ili 1:14. 44VP 4 . i' 46 PERMIT NO.: 1)I .40 BUILDIYG PERMITS INSPECTIONS ❑ 00001 Progress Inspection Status ❑ 0000" Pre-construction ❑ 00003 Investigation ❑ 0000 OK to Occupy ❑ 00005 Remove Stop Work Order ❑ 00006 *ollow -up ❑ 00007 Pre -Move inspection ❑ 00050 WSEC Residential ❑ 00060 WA Ventilation/Indoor AQC ❑ 00070 ILEA Inspectiorvyfodular Struct ❑ 00071 Mobile Home Tie Down Insp ❑ 0007 Marriage Lines ❑ 00090 Resteel ❑ 0009 Footing Drains ❑ 00100 Foundation Footings ❑ 00200 Foundation Walls ❑ 00250 Foundation Insulation ❑ 00300 Concrete Slab/Slab Insulation ❑ 00350 Crawl Space ❑ 00400 Shear Wail Nailing ❑ 00450 Plywood '.Pall Sheathing ❑ 00500 Roof Sheathing Nailing ❑ 00524 Plywood Deck Nailing ❑ 00550 Exterior Wall Sheathing ❑ 00600 Masonry Chimney ❑ 00610 Chimney installatiorvAll Types gi 00700 Framing ❑ OO750 Roof/Ceiling Insulation ❑ 00300 Floor Insulation ❑ 00801 Wall Insulation ❑ 0080' Exterior Roof Insulation Q 00803 Glazing Inspection ❑ 0081 Lighting and Controls O 00900 Suspended Ceiling ❑ 01000 Interior Wallboard Fastening ❑ 01001 Exterior Wallboard Fastening ❑ 01110 Pre -Move Inspection ❑ 01115 Motor Inspection ❑ 01 120 ° -e -Demo ❑ 01140 Pre- reroof ❑ 1400 Final -Fire 01700 Final - Buiiding ❑ 01900 Final - Reroof ❑ 03100 Site Visit ❑ 04000 Special Concrete ❑ 04001 Special -Bolts in Concrete ❑ 04001 Special- vlomiResist Conc Frame ❑ 0400 Special -Reinf Steel Prestress C 04004 Special- Welding C 04005 Special-High-Strength Bolting C 04006 Special- Structural Masonry ❑ 04007 Special -Reinf Gypsum Concrete ❑ 04003 Special - insulating Conc Fill Q 04009 Special -Spray Fireproofing ❑ 04010 Special - Piling, Piers, Caissons ❑ 04011 Special - Shotcrete ❑ 04013 Special- Grading, ExcawFill ❑ 0401: Special- Retaining Wall ❑ 0401-1 Special - Panels ❑ 04015 Special -Smoke Control System TENANT NAME: C(7;LtaNTZ I40i CONDITIONS 4 00l No changes to plans unless approved by Bldg Div ❑ 0010 Special inspection required. notify Bldg Div ❑ 0011 Special inspector shall submit final signed report ❑ 0012 New ceiling grid & light fixture shall meet lateral bracing ❑ 0013 Partition walls attached to ceiiing grid ❑ 0014 Reacily accessible access to ,roof mounted equipment ❑ 0015 Engineered truss drawings 3c ,talcs shall be on site ❑ 0016 Exposed insulation backing material ❑ 0017 Subgrade preparation including drainage. excavation ❑ 0013 Statement from rooting contractor verifying tire retardant class of roof 0019 All construction to be done in conformance `.v/approved plans ❑ "No work shall be done in addition to those modifications..." ❑ 0002 °lumbing permits shall be obtained through King Co ❑ 0020 Structural observation shall be provided for this projec: ❑ 0021 All food preparation establishments must have King Co ❑ 0022 Fire retardant treated `.vood shall have flame spread of ❑ 0023 Notify Building Division prior to placing any concrete ❑ 0024 All spray applied tireprooting 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 0023 Rack storage requires separate permit 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. :lac concrete 0036 Manufacturers installation instructions required on site "BTU maximum allowed per 1997 WA State Energy Code" 0035 Contact PW Div to obtain inso for water sewer connect 0033 A C of O will be required for :his permit 0039 Final approval for all Ti whin the limits of the SC Mall 0004 All mechanical work shall be under separate permit 0040 All construction noise to be in compiiance with 3.2 TMC 041 Ventilation is required for all ne..v rooms & spaces 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 .VABO certified inspector ❑ 0003 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 :antis require approval and compliance with King Co Health Dept. ❑ "Obtain required inspections from appropriate water 3t sewer districts" ❑ "Fuel burning appliances • "Appliances, `.vhich 1.enerace...." ❑ "Water heater shall be anchored...." ❑ "Reroof" 0 ❑ ❑ Permit Tecii: Plan Rev ie`.ver .dj Date: Date: i I —&-zoo( I :.: +t ar :'4.'Sr . Xx. lr` i1?. irdd <� :ntr�'�ia;:yrisc <dis`�„r +fr 'wAa.vu ,a1 µ ; kalifs.« ;:ik .�FS� ;.ifs J % :aa' a .n,�,uiEi rxdi F,ei :fit ACTIVITY NUMBER: D01 -340 DATE: 10 -12 -01 PROJECT NAME: Coblentz Residence SITE ADDRESS: 4438 S. 164 St. SUITE # 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 Incomplete Not Applicable Comments: OIDE izater ccas.mtt; xAt4 , 'S4 4Ue) ` icOF t%\ Nlls.PS ci-IAT Al2 - co t'? lEPtAGE;D t W .L UDI�. - ntze S pACt NC of "RAFr'E.P. TUES /THURS ROUTING: Please Route \PRROUTE.DOC 5/99 Approved n REVIEWER'S INITIALS: PLAN REVIEW /ROUTING SLIP Structural Revi Fire Prevention n Planning Division Structural APPROVALS OR CORRECTIONS: (4 weeks) red Permit Coordinator REVIEWER'S INITIALS: DUE DATE: 10-16-01 DUE DATE 11 -13 -01 Approved with Conditions n Not Approved (attach comments) No further Review Required DATE: t 0-1(a-2001 DATE: CORRECTION DETERMINATION: DUE DATE Approved n Approved with Conditions Not Approved (attach comments) n REVIEWER'S INITIALS: DATE: ACTIVITY NUMBER: D01 -340 PROJECT NAME: Coblentz Residence SITE ADDRESS: 4438 S. 164 St. Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # DATE: 10 -12 -01 SUITE # Revision # After Permit Is Issued DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete n n PLAN REVIEW /ROUTING SLIP Fire Prevention Structural Incomplete TUES /THURS ROUTING: Please Route n Struc ral Review Required REVIEWER'S INITIALS: C 53 Comments: APPROVALS OR CORRECTIONS: (4 weeks) DUE DATE 11 -13 -01 Approved n Approved with Conditions n Not Approved (attach comments) REVIEWER'S INITIALS: CORRECTION DETERMINATION: Approved Approved with Conditions n REVIEWER'S INITIALS: \PRROUTE.DOC 5/99 n Planning Division Permit Coordinator DUE DATE: 1 0-16-01 Not Applicable No further Review Required . DATE: (Ul l o 4 j DATE: DUE DATE Not Approved (attach comments) DATE: ACTIVITY NUMBER: D01 -340 DATE: 10 -12 -01 PROJECT NAME: Coblentz Residence SITE ADDRESS:. 4438 S. 164 St. SUITE # X . .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 I Structural Review Required ri No further Review Required REVIEWER'S INITIALS: PAC— APPROVALS OR CORRECTIONS: (4 weeks) Approved REVIEWER'S INITIALS: CORRECTION DETERMINATION: Approved \PRROUTE.DOC 5/99 PLAN REVIEW /ROUTING SLIP Fire Prevention Structural Approved with Conditions Approved with Conditions REVIEWER'S INITIALS: Planning Division Permit Coordinator DUE DATE: 10 -16-01 Incomplete n Not Applicable DATE: 10 I Z O DUE DATE 11 -13 -01 Not Approved (attach comments) I I DATE: DUE DATE Not Approved (attach comments) DATE: z z ; re w JU 00 0 N W = F- (0 w , w0 LL a = F_ _ . Z 0. Z O - o1 11J F- 0 II ui Z O z ACTIVITY NUMBER: D01 -340 PROJECT NAME: Coblentz Residence SITE ADDRESS: 4438 S. 164 St. SUITE # _Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # DATE: 10 -12 -01 Revision # After Permit Is Issued DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: TUES /THURS ROUTING: Please Route Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: (4 weeks) Approved CORRECTION DETERMINATION: Approved REVIEWER'S INITIALS: \PRROUTE.DOC 5/99 PLAN REVIEW /ROUTING SLIP n Fire Prevention Structural Incomplete Approved with Conditions I Planning Division Permit Coordinator DUE DATE: 10-16-01 Not Applicable n No further Review Required DATE: IO 116/ DUE DATE 11 -13 -01 Not Approved (attach comments) n REVIEWER'S INITIALS: DATE: DUE DATE Approved with Conditions n Not Approved (attach comments) DATE: D ,e Entered in Sierra on 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. Date: iLlot Plan Check/Permit Number: D01 -340 Response to Incomplete Letter # __1_ Response to Correction Letter # Revision # after Permit is Issued Project Name: COBLENTZ RESIDENCE Project Address: 4438 SOUTH 164 STREET Contact Person: PAUL COBLENTZ Phone Number: Summary of Revision: 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: ZO(, Zs ./Z ?97 INCOMPLETE LTR #� REC EIVED CITY OF TUKWILA 10/16/01 .ea: :� >iiVrSi kalrLSefAy:t�i ''7a1:x.;' .. I+i'sttk.4 3idW∎th%(4 , ,..?V Aar 4r0:4:4I,1«'m&11 -.t bsi .t "ii5 October 16, 2001 Mr. Paul Coblentz 4438 S. 164th Tukwila, WA 98188 RE: Letter of Incomplete Application #1 Development Permit Application Number DO1 -340 4438 South 164th Dear Mr. Coblentz: This letter is to inform you that your permit application received at the City of Tukwila Permit Center on October 12, 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: Bob Benedicto, Plans Examiner at (206)431 -3670, if you have any questions regarding the following: 1. Provide roof framing plan. 2. Show roof members that are to be replaced, include size and spacing of rafters. 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 end File: Permit File No. DO1 -340 City of Tukwila Department of Community Development Steven M. Mullet, Mayor Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Plzone: 206 - 431 -3670 • Fax: 206 - 431 -3665 April 5, 2002 Paul Coblentz 4438 South 164th Street Tukwila, Wa 98188 RE: Permit Application No. D01 -340 4438 South 164th 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: 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 8, 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, Stefania Spencer Permit Technician Cizy of Tukwila Xc: Permit File No. D01 -340 Bob Benedicto, Building Official • CaII the City Of Tukwila Permit Center at (206) 431 -3670 to schedule a progress / final inspection 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 Rrr.._ wr.uWtRl•.'ea.YC : n..w ? eYaYU.'Mh'J.n' MN�Y' S+ A AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON COUNTY OF KING AFFCONT 1/13/00 CITY OFT "KWILA Permit Center 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 Telephone: (206) 431 -3670 SS. , states as follows: engage an unregistered contractor to perform construction work. APPLICANT Signed and sworn to before me this County. 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 pe under 'ta -'law in any decision to i i N • = day of IJCAl ( , 20 C l Pu g o,� 0V r ti ? NOTA PUBLIC in and for the State of Washington, residing at Name as commissioned: p\-it, L My commission expires: z o Q C IL/ 2 J 00 . 0 W H W O w 2 ga I v ` Ili F- _ Z F- 0 zr w w U � o H- w w ✓ - - LL Z P 1 z 18.27.090 Exemptions. This chapter shall 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; Officers of a court when they are acting within the scope of their office; 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; 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; . 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; 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 operatics witwiin the scope of his license; 15. Any person who engages in:tI a artiv!ties•herein regulated as an employee i istgr -ed contractor with wages as his sole comperlsatiom. r 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. z ~ w • . J U U 0 • 0 CO - H U) LL, w u. ¢ a = w z F i- O w ~ uj 2 p U 0- O H- wW U -- O w z U = 0 z