HomeMy WebLinkAboutPermit M07-025 - HOLLOWAY RESIDENCE - LOT 2HOLLOWAY RESIDENCE
11856 44 AV S
M07 -025
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
3347401029
1185644AVSTUKW
HOLLOWAY RESIDENCE, LOT 2
1185644AVS,TUKWILAWA
HOLLOWAY DAWNA
134 S BRANDON ST , SEATTLE WA
DAWNA HOLLOWAY
134 S BRANDON ST , SEATTLE WA
Contractor:
Name: BABY CONSTRUCTION INC
Address: 134 S BRANDON ST , SEATTLE WA
Contractor License No: BABYCI *011RH
DESCRIPTION OF WORK:
MECHANICAL INCLUDING RADIANT FLOOR HEATING FOR NEW 1537 SF SFR.
REVISION #1: ADD GAS FIREPLACE INSERT
Value of Mechanical:
Type of Fire Protection:
$5,000.00
SMOKE DET
Furnace: <100K BTU
>100K BTU
Floor Furnace
Suspended/Wa]1/Floor Mounted Heater
Appliance Vent
Repair or Addition to Heat/Refrig /Cooling System....
Air Handling Unit <10,000 CFM
>10,000 CFM
Evaporator Cooler
Ventilation Fan connected to single duct
Ventilation System
Hood and Duct
Incinerator: Domestic
Commercial/Industrial
Cityf Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
MECHANICAL PERMIT
EOUIPMENT TYPE AND OUANTITY
1
0
0
0
1
0
0
0
0
2
1
1
0
0
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 8514322
Phone: 206 762
Expiration Date: 02/19/2008
M07 -025
05/09/2007
03/17/2009
Fees Collected: $269.95
International Mechanical Code Edition: 2003
Boiler Compressor:
0-3 HP /100,000 BTU 0
3 -15 HP /500,000 BTU 0
15-30 HP /1,000,000 BTU.. 0
30-50 HP /1,750,000 BTU.. 0
50+ HP /1,750,000 BTU 0
Fire Damper 0
Diffuser 0
Thermostat 1
Wood/Gas Stove 0
Water Heater 1
Emergency Generator 0
Other Mechanical Equipment 1
doc: IMC-10/06 M07 -025 Printed: 11 -24 -2008
Permit Center Authorized Signature:
Signature:
Print Name:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http://www.ci.tukwila.wa.us
awsw
tv
ftior
Permit Number: MO7 -025
Issue Date: 05/09/2007
Permit Expires On: 03/17/2009
Date: it (. I. b
I hereby certify that I have read and ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied , whether s or not.
The granting of this permit does not pres to give authority to violate or canc -1 the provisions of any other state or local laws regulating
construction or th= • = ormance of work. = • • to sign and obtain this mechanical permit.
Date:
This permit shall become null and void if the work is not comme ed within 180 days from the date of issuance, or if the work is suspender
or abandoned for a period of 180 days from the last inspection.
doc: IMC M07 -025 Printed: 11 -24 -2008
Parcel No.: 3347401029
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
1185644AVSTUKW
HOLLOWAY RESIDENCE, LOT 2
11856 44 AV S , TUKVVILA WA
HOLLOWAY DAWNA
134 S BRANDON ST , SEATTLE WA
DAWNA HOLLOWAY
134 S BRANDON ST , SEATTLE WA
BABY CONSTRUCTION INC
134 S BRANDON ST , SEATTLE WA
Contractor License No: BABYCI *011RH
Value of Mechanical:
Type of Fire Protection:
City -f Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
$5,000.00
SMOKE DET
Furnace: <100K BTU
>100K BTU
Floor Furnace
Suspended/Wall/Floor Mounted Heater
Appliance Vent
Repair or Addition to Heat/Refrig /Cooling System....
Air Handling Unit <10,000 CFM
>10,000 CFM
Evaporator Cooler
Ventilation Fan connected to single duct
Ventilation System
Hood and Duct
Incinerator: Domestic
Commercial/Industrial
MECHANICAL PERMIT
DESCRIPTION OF WORK:
MECHANICAL INCLUDING RADIANT FLOOR HEATING FOR NEW 1537 SF SFR
Fees Collected: $211.95
International Mechanical Code Edition: 2003
EOUIPMENT TYPE AND OUANTITY
1
0
0
0
1
0
0
0
0
2
1
1
0
0
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 851 -3322 -
Phone: 206 762 -3322
Expiration Date: 02/19/2008
M07 -025
05/09/2007
11/05/2007
Boiler Compressor:
0-3 HP /100,000 BTU 0
3 -15 HP /500,000 BTU 0
15-30 HP/ 1,000,000 BTU.. 0
30 -50 HP /1,750,000 BTU.. 0
50+ HP /1,750,000 BTU 0
Fire Damper 0
Diffuser 0
Thermostat 1
Wood/Gas Stove 0
Water Heater 1
Emergency Generator 0
Other Mechanical Equipment 0
doc: IMC -10/06 M07 -025 Printed: 05-09 -2007
City of Tukwila
Permit Center Authorized Signature: M
I hereby certify that I have read and ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied , whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulatinc
construction or the performance of work. I am authorized to sign and obtain this mechanical permit.
Signature:
Print Name:
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
i'fkup" "°(-4=t3
Permit Number: MO7 -025
Issue Date: 05/09/2007
Permit Expires On: 11/05/2007
Date:
Date:
Sig lob
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 suspender
or abandoned for a period of 180 days from the last inspection.
doc: IMC -10/06
M07 -025 Printed: 05-09 -2007
Parcel No.: 3347401029
Address:
Suite No:
Tenant:
11856 44 AV S TUKW
1: ** *BUILDING DEPARTMENT CONDITIONS * **
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
HOLLOWAY RESIDENCE, LOT 2
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
M07 -025
ISSUED
02/06/2007
05/09/2007
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431 - 3670).
4: .All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
5: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
6: There shall be no occupancy of a building until fmal inspection has been completed and approved by Tukwila building
inspector. No exception.
7: Manufacturers installation instructions shall be available on the job site at the time of inspection.
8: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the
International Building Code and the Washington State Ventilation and Indoor Air Quality Code.
9: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall
be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum
distance of 4- inches shall be maintained above the controls with the strapping.
10: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila
Permit Center.
11: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206 - 431 - 3670).
12: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
13: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE
GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that
the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests.
14: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances
shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms,
bathrooms, toilet rooms, storage closets, surgical rooms.
doc: Cond -10/06
M07 -025 Printed: 05-09 -2007
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
* *continued on next page **
M07 -025 Printed: 05-09 -2007
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and
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
construction or the performance of work.
Signature:
Print Name:
It
doc: Cond -10/06 M07 -025
Date: 5111..09-
ordinances governing
or local laws regulating
Printed: 05-09 -2007
CITY OF TU k;W
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hap: //www.citukwila.wa.us
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
SITE LOCATION
Site Address: j / 5570 H"y-+L
Tenant Name:
Property Owners Name: J, Wt\,//. mil- L. 1/V A '
Mailing Address:
City
CONTACT PERSON - who do we contact when your permit is ready to be issued
DP►A 1 - l
Mailing Address: 1 ?,4- S 6ranCdofl Sr"
E -Mail Address: dawtnct.. tit) (1owt+ aconnCa-SJr
Name:
G ENERAL CONTRACTOR INFORMATION
(Contra Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Mailing Address:
Company Name: CAD
by Cors stYVc*-i
t34 .3 ran don s't
[3ri a n C3ec.k
Of
Contractor Registration Number: bt�Mj G O t 1( ik
Company Name: D P A t S I t N (W r.
Building Permit No
Mechanical Permit
Plumbing/Gas Permi
Public Works Permit ?.
Project No.,
King Co Assessor's Tax No.: 33.} -7 4 ct
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
State
Day Telephone: 2 - 0 ( g 5 i
S� oct' e kret
City
State
• C Fax Number: Z o to " l. 2
Zip
sea l.e. wick 9sI08'
City State Zip
Day Telephone: 20 (e, $ St 332.3
Fax Number: Zflto 7 (p 2. 33 ZZ
Expiration Date:
ARCHITECT' OF RECORD - Alt plans must be wet stamped by Architect oflecor
—
Contact Person: »p r?, Gl A '8 i TFJ
E -Mail Address: - Plsrris? e_V., e_com
City State
Day Telephone: ZO(c — iaZ4 — $1
Fax Number: 2--0 G, — 6 z - 612 -I
Zip
ENGINEER OF-RECORD - All 'plans
ust be wet stamped by Engineer of Recor
_ +.4 '
.r.
Mailing Address: - q 1 944. Ave_
Contact Person: f9 (ept s - r 1
E -Mail Address: C CODISRt'rt . C.4:M
Q: 1Applications\Forms- Applications On Linel3-2006 - Permit Applieation.doc
Revised: 9 -2006
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.v-4 v44.1_4%4400.
city
Day Telephone: 1 425 - $ZZ — q 09
Fax Number:
ltvA
State Zip
Page 1 of 6
• Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑ Yes
rovide All Building
Square Footage Below
Floor
sem
ara
-Detached .
ta chei
pv
Dec
ve
Un
15
j 35I
— s
t 7
1f h
14
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Z
Compact: Handicap:
Will there be a change in use? ❑ Yes ❑ No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None g Other (specify) 4tiA,Dv6 Oer
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No
If `yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Sa f y ata Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
Q:\Applica tions\Forms- Applications On Line\ -2006 - Permit Application.doc
Revised: 9 -2006
bh
Existing Building Valuation: $
0.. No If yes, a separate permit and plan submittal will be required.
Page 2 of 6
PUB3LIC WORKS PERMIT LORMATION
Scope of Work (please provide detailed information):
Water District
[i...Tukwila
❑ ...Water Availability Provided
Sewer District
[... Tukwila
❑ ...Sewer Use Certificate
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 hours
❑ ...Right -of -way Use - No Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way
Non Right -of -way
❑ ...Total Cut cubic yards
❑ ...Total Fill cubic yards
❑ ...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑ ...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ ...Permanent Water Meter Size...
❑ ...Temporary Water Meter Size ..
❑ ...Water Only Meter Size
❑ ...Sewer Main Extension Public _
❑ ...Water Main Extension Public
El... Water District #125
❑... Va1Vue
0... Sewer Availability Provided
It
Q:UpplicationsWorms- Applications On LineU -2006 • Permit Application.doc
Revised: 9 - 2006
bh
206- 433 -0179
Call before you Dig: 1- 800 -424 -5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
❑ .. Highline
❑ .. Renton
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ .. Renton
❑ .. Seattle
Septic System:
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department.
Submitted with Application (mark boxes which apply):
❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ")
❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s)
❑ .. Right -of -way Use - Profit for Tess than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
WO #
WO #
WO # ❑...Deduct Water Meter Size
Private
Private
❑...Traffic Impact Analysis
❑ ...Hold Harmless — (SAO)
❑...Hold Harmless — (ROW)
FINANCE INFORMATION
Fire Line Size at Property Line
❑...Water ❑...Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
❑ ...Sewage Treatment
Day Telephone:
City
State
Zip
Day Telephone:
City
State
Zip
Page3of6
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit >10,000
CFM
0
Fire Damper
0
0 -3 HP /100,000 BTU
Furnace >100K BTU
Evaporator Cooler
v
Diffuser
0
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
O
Thermostat
1
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
a
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Emergency
Generator
a
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig /Cooling
System
a
Incinerator - Domestic
0
Other Mechanical
Equipment
a
Air Handling Unit
<10,000 CFM
Incinerator – Comm/Ind
a
'MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Mechanical work (contractor's bid price): $ S 0 00 9— '
Scope of Work (please provide detailed information): ("AA t 1 E (ter kec
Use: Residential: New .... ® Replacement .... ❑
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas....[. Other:
Indicate type of mechanical work being installed and the quantity below:
Q:\Applications\Forms- Applications On LineU -2006 - Permit Application.doc
Revised: 9 -2006
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Page 4 of 6
Fixture Type: .
2.
. Fixture T
Type: �
Qty �
Fixture T ,
Type-
fixture Type:
Bathtub or combination
bath/shower
Drinking fountain or water
cooler (per head)
0
Wash fountain
Gas piping outlets
I
Bidet
Food -waste grinder,
commercial
a
Receptor, indirect
waste
o
Clothes washer, domestic
i
Floor drain
0
Sinks
3
Dental unit, cuspidor
a
Shower, single head trap
o
Urinals
o
Dishwasher, domestic,
with independent drain
Lavatory
•
Water Closet
o
Building sewer or trailer
park sewer
o
Rain water system — per
drain (inside building)
a
Water heater and/or
vent
Additional medical gas
inlets/outlets — six or more
G
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
b
Repair or alteration of water
piping and/or water treating
equipment
b
Repair or alteration
of drainage or vent
piping
6
Medical gas piping system
serving one to five
inlets /outlets for specific gas
(�
PLUMBING AND GAS PIPII'PERMIT INFORMATION — 206 -43
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Valuation of Plumbing work (contractor's bid price): $ 1 0 0 0 a'
Valuation of Gas Piping work (contractor's bid price): $ 1 ) 0 0 0 12
Scope of Work (please provide detailed information):
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Q:WpplicationsWorms- Applications On Linel3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
Contractor Registration Number: Expiration Date:
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Sewer:
Page 5 of 6
I rERMI APLUcATIo
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed 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 expire by limitation.
Building and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
Plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition).
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.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature:
Date Application Accepted:
Print Name: Oct CIA Fkvito
Mailing Address: S
Date Application Expires:
cnlocel�a-
Mattor
Q:\Applications\Forms- Applications On Line3-2006 - Permit Application.doc
Revised 9 -2006
bh
.6.00010101,d0
Day Telephone: 20 (c z ( Z Z
City
Date: lication
Date: 2 f / a -
t lcnOcs
Zip
State
Staff Initials:
Page 6 of 6
RECEIPT NO: R08 -03817
Initials: JEM
Payment Date: 11/24/2008
User ID: 1165 Total Payment: 116.00
Payee: DAWNA HOLLOWAY
SET ID: 1124 SET NAME: HOLLOWAY RES
SET TRANSACTIONS:
Set Member Amount
M07 -025 58.00
PG07 -039 58.00
TOTAL: 58.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1150 116.00
TOTAL: 116.00
ACCOUNT ITEM LIST:
Description
GAS - RES
MECHANICAL - RES
City of Tukwila,
Department of Community Developm en t
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: htto: //www ci. tukwila. wa. us
SET RECEIPT
Account Code Current Pmts
000/322.100 58.00
000/322.100 58.00
TOTAL: 116.00
9920 11/25 9707 TOTAL 116.00
RECEIPT NO: R07 -00780
Payee: BRIAN A. BECK
SET TRANSACTIONS:
Set Member Amount
City of Tukwila
epartment of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: //www. ci. tukwila. wa. us
SET RECEIPT
Initials: JEM Payment Date: 05/09/2007
User ID: 1165
SET ID: 0509 SET NAME: HOLLOWAY
D07 -041 8,575.68
D07 -042 8,596.50
M07 -025 175.56
M07 -026 175.56
PG07 -039 302.00
PG07 -040 302.00
TOTAL: 18,127.30
Total Payment: 18,127.30
TRANSACTION LIST:
Type Method Description Amount
Payment Check 105 18,127.30
TOTAL: 18,127.30
ACCOUNT ITEM LIST:
Description
BUILDING - RES
CASCADE WATER ALLIANCE
GAS - RES
MECHANICAL - RES
PLAN CHECK - RES
PLAN CHECK - WATER METER
PLUMBING - RES
PW LAND ALT PERMIT FEE
PW PERMIT /INSPECTION FEE
PW PLAN REVIEW
STATE BUILDING SURCHARGE
Account Code Current Pmts
000/322.100
401/386.550
000/322.100
000/322.100
000/345.830
000/345.830
000/322.100
000/342.400
000/342.400
000/345.830
000/386.904
3,220.42
10,594.00
176.00
351.12
10.00
20.00
418.00
47.00
75.00
-1.00
9.00
8000 05/09 9716 TOTAL 18127.30
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http. /lwww.ci.tukwila.wa.us
TRAFFIC MITIGATION FEES
WATER CONNECTION
WATER INSPECTION FEE
WATER INSTALLATION (DEP)
WATER TURN -ON FEE
104.367.120 2,027.76
401/379.002 120.00
401/342.400 30.00
401/386.520 980.00
401/343.405 50.00
TOTAL: 18,127.30
Doc: RECSEPS -06
RECEIPT NO: R07 -00174
Initials: JEM
User ID: 1165
Payee: DAWNA HOLLOWAY
SET ID: S000000686 SET NAME: HOLLOWAY
SET TRANSACTIONS:
Set Member Amount
City ' Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http:/lwww.d.tukwila.wa.us
D07 -041 1,327.87
D07 -042 1,341.40
M07 -025 36.39
M07 -026 36.39
PG07 -039 61.50
PG07 -040 61.50
TOTAL: 2,865.05
TRANSACTION LIST:
Type Method Description Amount
Payment Check 3016
ACCOUNT ITEM LIST:
Description
PLAN CHECK - RES
PW BASE APPLICATION FEE
PW PLAN REVIEW
SET RECEIPT
TOTAL:
Account Code Current Pmts
000/345.830 2,289.05
000/322.100 500.00
000/345.830 76.00
TOTAL: 2,865.05
Payment Date: 02/06/2007
Total Payment: 2,865.05
2,865.05
2,865.05
716 TOTAL 267
Proj�ec�t:
b //0 wit y /?("S" -Alt 0
Type of Ins ction:
iNA /
Address: 5 C 4/ V 4V
Date Called:
Special Instructions:
Date Wanted:
J
Requester:
Phone No:
UG r / 3 ?Z 2
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION R
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36' 0
/7707-e)2•
❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
P
'
1 e- DT
(Receipt No.:
'Date:
Project: n
F v lldulAl Re f cLcE
Type Inspecti n:
' L- OL-t_4(4 l P', -.
Address. 5 44 _ A ' S° �/
Date Called: /
Special Instructions:
Date Wanted: Z ! (3 — D q a.m.
(111
Requester:
Requester:
Phone No:
MD'7 "v2J
INSPECTION RECORD
l Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISIONH
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3070
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
Date: O �
E1 $60.00 REI - ECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6310 Southcenter Blvd., Suite 100. Call to schedule reinspection.
(Receipt No.:
'Date:
Project Name:
A. ❑
B. ❑
C. ❑
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Permit Center /Building Division:
206 -431 -3670
Public Works Department:
206 -433 -0179
Planning Division:
206 -431 -3670
RESIDENTIAL HEATING AND VENTILATION COMPLIANCE FORM
(Complete Sections I and II for Group R Occupancies 4 Stories or Less)
MECHANICAL PERMIT APPLICATION NO.: /J . t .
BUILDING PERMIT APPLICATION NO.: t701
Site Address: 11 lg 5 ry 1 -}'14-4& AV- s
1. WASHINGTON STATE ENERGY CODE HEATING DESIGN M it OD (select A, B or C below):
System Analysis - W.S.E.C. Chapter 4 (submit docc mentation)
Component Performance Approach - W.S.E.C. Chapter 5 (submit documentation)
Prescriptive Option - W.S.E.C. Chapter 6 (for prescriptive, complete the following calculation):
House Square Footage (heated space): 15 37
X 20 BTU/h
= 30,0
❑ Heating System Installed, (check system type below):
1. ❑ Electric Resistance
2. ❑ Electric (forced air)
3. Q Other Fuels (gas, heat pump)
Effective: 7/1/02
%applications\heating and ventilation system - form h.6 (7 -2002)
Perri -I4o.
Maximum B
II. WASHINGTON STATE VENTILATION AND INDOOR AIR QUALITY CODE (sel
1. House Square Footage: 1537
2. House Number of Bedrooms: .'
3. Required Outdoor Air Table 3 -2: Minimum - 00 cfm
Maximum - / 2 - 0 cfm
Pry
ttt g.E.WP •
APPROVED
APR 13 2007
Of Tukwila
IVISIsN
A. ❑ Ventilation by Performance or Design Method - W.S.V.I.A.Q. Section 302 (submit documentation).
B. ❑ Prescriptive Ventilation Options - W.S.V.I.A.Q. Section 303 (select one of the following):
1. ❑ Ventilation using Exhaust Fans (Section 303.4.1.)
❑ Exception for outdoor air inlets - Forced air heating system w /interior doors undercut h"
2. ❑ Ventilation integrated with Forced Air System (Section 303.4.2.)
3. ❑ Ventilation using Supply Fan (Section 303.4.3.)
4. ❑ Ventilation using Heat Recovery System (Section 303.4.4.)
❑ Prescriptive Minimum /Maximum Outdoor Air Calculation specified in Table 3 -2 (see reverse side of form).
CITYOFTUKjItA
FEB 06 2007
PERMITCENTER
Mod- -O25
02 -02 -2009
DAWNA HOLLOWAY
134 S BRANDON ST
SEATTLE WA 98108
RE: Permit No. M07 -025
11856 44 AV S TUKW
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 International Building Code and/or the International Mechanical Code, every permit issued by the Building Division 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 Inspection Request Line at 206 -431 -2451 to schedule 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 one or more extensions of time for
additional periods not exceeding 90 days each. 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 and receive an extension prior to 03/17/2009 , 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,
C ) •7 tSk t
Bill Rambo
Permit Technician
xc: Permit File No. M07 -025
City of Tukwlla
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
R2n1) Cirssthnantar Rnstlavard Csslta #E11111 • Tn4uiI1b W ,,chlnatnn O11112R a Ahnna• 9fR- A21 -2A7n a F,v. 9ni5_A21_2AAC
March 11, 2008
Dawna Holloway
134 S Brandon Street
Seattle WA 98108
RE: Request for Extension
Development Permit No. D07 -041
Mechanical Permit No. M07 -025
Plumbing/Gas Piping Permit No. PG07 -039
Holloway Residence, Lot 2 —11856 44 Av S
Dear Ms. Holloway,
This letter is in response to your written request for an extension to Permit Nos. D07 -041, M07 -025, and
PG07 -039. The Building Official has reviewed your letter and considered your request to extend the
above referenced permit. The City of Tukwila Building Division will be extending the expiration date of
your permit an additional 180 days, through September 19, 2008.
If you should have any questions, please contact our office at (206) 431 -3670.
Sincerely,
ifer Marshall
it Technician
File: Permit No. D07 -041, M07 -025, & PG07 -039
P:\Pemut Center\Extension Letters\Pemtits\2007\D07 -041+ Permit Extension.doc
Page 1 of 1
jem
City of Tukwila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Jennifer Marshall - extension request D07 -041
SAZITM ts"`.5:iZ:..;:d V.:0,==.
From: "D Holloway" <dawna.holloway @comcast.net>
To: "'Jennifer Marshall ' <jmarshall @ci.tukwila.wa.us>
Date: 03/05/2008 10:00 AM
Subject: extension request D07 -041
Jennifer Marshall
City of Tukwila „ �/
6300 Southcenter Blvd. suite 100 1�'
Tukwila \, WA 98188
A)
RE: permit # D07 -041 )I\11°
3/5/08
Dear Jennifer,
I am writing to request an extension on the above mentioned permit, at 11858 44 ave S.
We plan to finish the first house in a few weeks and start on the other house directly after.
Any questions you know how to find me. 206.851.3322
Thanks, Dawna Holloway
Dawna Holloway
Eastbay Sculpture & Lighting Inc
206.851.3322
NINO
C1 Ty R pF' ' (i1 Vw�
MAR 0 5 ?008
PERMIT LEN7ER
,o/ile7ild /e0chl
r
01917 AtAos
6 cflinto%
file: / /C:\ Documents %20and %20Settings \j ennifer -m\ Local %20Settings \Temp\XPGrpWis... 03/05/2008
September 15, 2008
Dawna Holloway
134 S Brandon St
Seattle WA 98108
RE: Request for Extension #3
Mechanical Permit No. M07 -025
Plumbing Permit No. PG07 -039
Holloway Residence —11856 44 Av S
Dear Ms. Holloway,
This letter is in response to your written request for an extension to Permit Nos. M07 -025 and
PG07 -039. The Acting Building Official has reviewed your letter and considered your request to
extend the above referenced permits. The City of Tukwila Building Division will be extending
your permits an additional 180 days from the date of expiration (through March 17, 2009) as
requested.
If you should have any questions, please contact our office at (206) 431 -3670.
Sincerely,
fkA-
ifer Marshall
it Technician
File: Permit No. M07 -025 & PG07 -039
City of Tukwila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
P:\Permit Center\Extension Letters\ Pemtits220071M07 -025 Pemut Extension #3.doc
Page 1 of 1
jem
6300 Southcenter Boulevard. Suite #100 • Tukwila. Washington 98188 • Phone)! 206- 4 -_41570 • Fay 21M-441 Afs
Jennifer Marshall - letter to tukwila about permit extension M07- 025 -2.doc
From: "Eastbay Sculpture & Lighting Inc"
To: "'Jennifer Marshall "'
Date: 09/11/2008 1:38 PM
Subject: letter to tukwila about permit extension M07- 025 -2.doc
Jennifer Marshall
City of Tukwila
6300 Southcenter Blvd. suite 100
Tukwila \, WA 98188
RE: permit # M07 -025
9/11/08
Dear Jennifer,
I hope all is well with you.
oes -<1ofate!
ig19 der
-R i f *
0008
CITY pFa alA
SEP 1-11008
PERMIT CENT
I need to request an extension on the above mentioned permit, at 11856 44 ave. We are moving
forward with this house but do not have anything to inspect until the boiler is purchased at the end.
Any questions you know how to find me. 206.851.3322
Thanks, Dawna Holloway
0012$
GAT : 0310
file: / /C:\ Documents %20and %20Settings \j ennifer -m\ Local %20Settings \Temp\XPGrpWis... 09/11/2008
Pe
xc:
07 -29 -2008
DAWNA HOLLOWAY
134 S BRANDON ST
SEATTLE WA 98108
RE: Permit No. M07 -025
11856 44 AV S TUKW
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 International Building Code and/or the International Mechanical Code, every permit issued by the Building Division 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 Inspection Request Line at 206 -431 -2451 to schedule 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 one or more extensions of time for
additional periods not exceeding 90 days each. Extension requests must be In writine 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 and receive an extension prior to 09/18/2008 , 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,
Ter Marshall,
it Technician
Permit File No. M07 -025
wet
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
October 23, 2007
Dawna Holloway
134 S Brandon St
Seattle WA 98108
RE: Request for Extension
Mechanical Permit Nos. M07 -025 & 026
Holloway Residence —11856 & 11858 44 Av S
Dear Ms. Holloway,
This letter is in response to your written request for an extension to Permit Nos. M07 -025 & 026.
The Acting Building Official has reviewed your letter and considered your request to extend the
above referenced permits. The City of Tukwila Building Division will be extending your permits
an additional 180 days from the date of expiration (through May 03, 2008) as requested.
If you should have any questions, please contact our office at (206) 431 -3670.
File: Permit No. M07 -025 & 026
P:\Pemtit Center\Extension Letters \Permits\2007\M07 -025 & 026 Pemut Extension.doc
Page 1 of 1
jem
Cizy 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
Jennifer Marshall
City of Tukwila
6300 Southcenter Blvd. suite 100
Tukwila\, WA 98188
RE: permit # M07 -025
Dear Jennifer,
RE: permit # M07 -026
I hope all is well with you.
I need to request an extension on the above mentioned permit, at 11856 44 ave. This
house isn't going to be built until later this winter, I shouldn't have bought the permit at
the time that I did, because we have know all along that we wouldn't be building this
house until we finished the 11858 house. I must have thought I had to buy the permit
when I was buying the other permit or I might have thought the permit was good for a
year. I don't really remember.
Any questions you know how to find me. 206.851.3322
Thanks, Dawna Holloway
Jennifer Marshall
City of Tukwila
6300 Southcenter Blvd. suite 100
Tukwila, WA 98188
Dear Jennifer,
I need to request an extension on the above mentioned permit, at the address 11858 44
ave south. Due to the concrete shortage a few months back we were unable to pour the
slab as quickly as we had hoped. We are almost ready for a mechanical inspection we
might even be ready by November 5 but it might be a week or two after that so in an
attempt to be cautious, I am requesting an extension.
Any questions you know how to find me. 206.851.3322
Thanks, Dawna Holloway
0 4; 0 "
t\t,c) P
CITYROF TUKW►LA
O CT 2 ` 2 2007
PERMIT CENT
(94, -4At
/60 did
lot c'
10 -02 -2007
DAWNA HOLLOWAY
134 S BRANDON ST
SEATTLE WA 98108
RE: Permit No. M07 -025
11856 44 AV S TUKW
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 International Building Code and/or the International Mechanical Code, every permit issued by the Building Division 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 Inspection Request Line at 206 -431 -2451 to schedule 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 one or more extensions of time for
additional periods not exceeding 90 days each. 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 and receive an extension prior to 11/05/2007 , 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,
'fer Marshall,
Permit Technician
xc: Permit File No. M07 -025
City of Tukwila Steven M Mullet, Mayor
Department of Community Development Steve Lancaster, Director
A 1/V1 • T..L...:1e idhnh :nntnn OR1RR • Dhnno• 9ni5_421-2Am • Fw• 9 n/i_QZ1. 3/SAS
DEPARTMENTS:
Buil •) g P 'vision
Public Works
Documents/routing slip.doc
2 -28 -02
ACTIVITY NUMBER: M07 -025 DATE: 02 -06 -07
PROJECT NAME: HOLLOWAY RESIDENCE, LOT 2
SITE ADDRESS: 118XX 44 AV S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Issued
Comments:
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete ff Incomplete ❑
TUES/THURS ROU ING:
Please Route Structural Review Required
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
DUE DATE: 02-08-07
DATE:
DATE:
Planning Division
Permit Coordinator
n
Not Applicable n
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
No further Review Required
DUE DATE: 03-08-07
Approved ❑ Approved with Conditions Not Approved (attach comments) n
Notation:
REVIEWER'S INITIALS:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Project Name:
Project Address:
Created: 8 -13 -2004
RrvicPA•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: //www.ci.tukwila.wa.us
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: 11 /2 ti / 0 D Plan Check/Permit Number:
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
Xi Revision # _ 1 after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
ft L rH RcS
I e5( ) 4L(r S
Contact Person: Ai/A t\--DitUAtt Phone Number: ZoC-, P-)51
Summary of Revision: {> �— S - 1�i ' RPM a re
M o - 7-0 35
Steven M Mullet, Mayor
Steve Lancaster, Director
colt raz
Nov 2
? 0 4 8
PE4 ��
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
14 Entered in Permits Plus on ' ( ?�1,l ( �V i v
\applications\forms- applications on line\revision submittal
License Information
License
BABYCI *011RH
Licensee Name
BABY CONSTRUCTION INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601993211
Ind. Ins. Account Id
#3
Business Type
CORPORATION
Address 1
134 S BRANDON ST
Address 2
City
SEATTLE
County
KING
State
WA
Zip
98108
Phone
2067623322
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
12/8/1999
Expiration Date
2/19 /2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
BECK, BRIAN A
Cancel
Date
01/01/1980
Bond
Amount
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#3
CBIC
SE8079
02/01/2003
Until
Cancelled
$12,000.00
01/27/2003
#2
RLI INS
CO
SRS1003479
11/30/2001
Until
Cancelled
02/26/2003
$12,000.00
01/29/2003
Washington State Department of Labor and Industries
General/Specialty Contractor
A business registered as a construction contractor with L &I to perform
construction work within the scope of its specialty. A General or Specialty
construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= BABYCI *011 RH 05/09/2007