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HomeMy WebLinkAboutPermit M03-157 - DONALDSON RESIDENCEDONALDSON RESIDENCE 13533 37T" AVENUE SOUTH M03 -7 57 z a� W. 63: U0. co Cy 1 J W O; gQu. D.Q. I-W;. z W UU N. .0 H .= U . 9Lf O•, • . Z; UN H Z City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 8864000075 Address: 13533 37 AV S TUKW Suite No: Tenant: Name: DONALDSON RESIDENCE Address: 13533 37 AV S, TUKWILA WA MECHANICAL PERMIT Owner: Name: KENNETH DONALDSON Phone: Address: 13533 37TH AVE S, TUKWILA WA Contact Person: Name: ROD 7ESSMER Address: P.O. BOX 53123, BELLEVUE, WA Contractor: Name: OWNER AFFIDAVIT - ROD 7ESSMER (AGENT) Address: P.O. BOX 53123, BELLEVUE, WA Contractor License No: Value of Construction: $500.00 Type of Fire Protection: N/A Permit Center Authorized Signature: Signature: Print Name: doc: Mech M03 -157 Permit Number: M03 -157 Issue Date: 09/26/2003 Permit Expires On: 03/24/2004 Phone: Expiration Date: Phone: 206 264 -0404 DESCRIPTION OF WORK: ORIGINAL DUCT WORK REMOVED AT TIME OF REPAIR TO STRUCTURE. REPLACING DUCTWORK AS NECESSARY IN AREA OF REPAIR. SUBJECT TO FIELD VERIFICATION. Fees Collected: Uniform Mechnical Code Edition: 1 '�fL 0 INSPECTION C TION $44.80 1997 Date: 970- 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 provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this mechanical permit. Date: ? ' �-- � ' - 03 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. Printed: 09 -26 -2003 I doc: Conditions City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 8864000075 Address: 13533 37 AV S TUKW Suite No: Tenant: DONALDSON RESIDENCE PERMIT CONDITIONS M03 -157 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 3: 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. 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: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of 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. 6: Manufacturers installation instructions required on site for the building inspectors review. 7: Fuel burning appliances may not be installed in sleeping rooms, U.M.C. 304.5. 8: Appliances which generate flame, spark or glowing ignition, shall be elevated 18 inches above the floor (U.M.C. 303.1.3.). 9: Water heater shall be anchored to resist earthquake (U.P.C. 510.5). 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: C / �d ' Date: ?" ^ �� Print Name: � D -S rn E Permit Number: M03 -157 Status: ISSUED Applied Date: 09/26/2003 Issue Date: 09/26/2003 Printed: 09 -26 -2003 z w w 0 0 ca w N u. w L ? co d I-w z i- 0 w ~ U • 0 0— D i— W O W Z O~ z { CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Site Address: /—q- 3 -3 7 of A- v ,S' 7uk t /1 Tenant Name: Property Owners Name: Do N ALt. S o N Mailing Address: /3.5 3 3 -- 37 77# V S, ' 1 u K W/ L 4- bk..) /1- City 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 ** T TE ,LOCATII King Co Assessor's Tax No.: K EN N 4 n1 LpalA -,P -t- 1« CONTA Name: Mailing Address: E -Mail Address: Contact Person: E -Mail Address: \applicationatpermit application (3.2003) R DA S E S M �A- P, o , 1 3 ox - 5 . 3 1 - 3 j r { Lc - c 1./t)4 Contact Person: E -Mail Address: Contractor Registration Number: Contact Person: E -Mail Address: Suite Number: New Tenant: Day Telephone: Zo 6 — 2 4 D *D 4- eiity Fax Number: City Day Telephone: Fax Number: Floor: Ej .... Yes El ..No State Z ip qao /S-3 /. State Zip Company Name: Mailing Address: State Zip Expiration Date: * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** ARCHITECT OF RECOI 'gyp. .., II pla ns p must be: wet stamp ofRecor • Company Name: Mailing Address: State Zip City Day Telephone: Fax Number: ENGINEER'OF: RECORD Ail plans y4nust be.wet stamped by Engineer o>T Record .: Company Name: Mailing Address: State Zip City Day Telephone: Fax Number: ^.'w'r : v . • .i +,.. ili ;n`r`.:i'36v&.l,'riir3xiG.,dl:' 2�r,',ki�k: BBIJILDING= PERMIT. INFORMA TION:4. X206 431=367 t17 a h4w'k't': I 2,. 4 1M : . 1. M ' �e � ., Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): Will there be new rack storage? 0 ..Yes ❑ .. No If "yes ", see Handout No. for requirements. Provide All Building Areas in Square Footage Below .., • 2"°.Floor :3` .. Floors''',` _-.Baseineitt Accessory: Structure!., AttachedGerage ;- • Detached. Garage Attached. Carport. •. Dctached:.Carport'. .Covered'Deck Uncovered Deck Addition'to • Structure Type of Construction per UBC : Type of Occupancy Per UBC ,. 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 for 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: Compact: Handicap: Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ .. Sprinklers ❑ ..Automatic Fire Alarm ❑..None ❑ . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes ❑ .. No 'Yes". attach list of materials and storage locations on a separate 8 -1/2 x / / paper indicating quantities and Material Safety Data Sheets. iapplicationrlpermit application (3.2003) 3/2003 Page 2 tMI Scope of Work (please provide detailed information): Water District ❑ ...Tukwila 0... Water District #I25 ❑ ...Water Availability Provided Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ ...Constntction/Excavation/Fill - Right -of -way Non Right -of -way ❑...Total Cut ❑ ...Total Fill cubic yards cubic yards ❑...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑...Frontage Improvements ❑ ... Traffc 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 _ \epplications\permit application (3.2003) 3t2003 11 11 ft if Call before you Dig: 1- 800 - 424 -5555 Please refer. to Public Works Bulletin #1 for feet and estiinate,sheet. Page 3 ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line ❑ ...Renton WO# WO# WO# Private Private ❑ .. Highline Sewer District ❑ ...Tukwila ❑... ValVue ❑ .. Renton ❑ ...Seattle ❑ ...Sewer Use Certificate 0... Sewer Availability Provided ❑ .. Approved Septic Plans Provided ❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department. ❑ .. Geotechnical Report ❑...Traffic Impact Analysis ❑ .. Maintenance Agreement(s) ❑...Hold Harmless ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) 0 ...Water ❑ ...Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Mailing Address: Day Telephone: City Water Meter Refund/Billing: Name: Mailing Address: Day Telephone: City State State Zip Zip s� �:S .. ... '•�c , , rN.:. ., irk ?i:.T" §hit. .:clr "i........: Unit Type: .: :; ' YP ' Qty Yp •''. ` Unit Type: .Qty Unit Type: YP : . , : Qty : Boiler/Compressor: - Qty Fumace <100K BTU Air Handling Unit >= 10,000 CFM Other Mechanical Equipment 0 -3 HP /100,000 BTU Fumace>100K BTU Evaporator Cooler 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System 30 -50 HP /1,750,000 BTU Appliance Vent Hood 50+ HP /1,750,000 BTU Heat/Refrig/Cooling System Incinerator - Domestic Air Handling Unit <= 10,000 CFM Incinerator — Comm/Ind ;'MECHANICAL PERMITINFORMATION:- 206=431 3670 Indicate type of mechanical work being installed and the quantity below: MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** Valuation of Project (contractor's bid price): $ - O • 0 O Scope of Work (please provide detailed information): R E'In L A Q- / C /-/SA D L/ C'T'S' (5 M 0 K e" 0 LoJD Use: Residential: New .... ❑ Replacement .... ❑ Commercial: New .,..❑ Replacement ....0 Fuel Type: Electric p Gas ....0 Other: :4p E Riy1IT f. PI; ICATION NQT s aM . ` 7.> r' y .l ` c 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. 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. 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 O OR AU ORIZED AGENT: Signature: 4 3'V1.Q' Date: q-2.- 6 Day Telephone: — 2 C 9 0 9 -0 Mailing Address: P 0 . .80A 53 / D-3, B e L- E ✓ IJ E d I- Y -21 2- 3 City State Zip Print Name: Date Application Expires: Date Application Accepted: -6"3 tappticatiotutpcmtit application (1 -2001) R D Staff Initials: _ i `'".»,..� �:......� ;.•"a'` .. . , c,h« w..tG: . ,u.wu..i' i..ata.Ea:w':iS . aihk::3m.S 3+:si .;: 144 Payee: ROD JESSMER Payment Cash ACCOUNT ITEM LIST: Description doc: Receipt MECHANICAL - RES City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 8864000075 Permit Number: M03 -157 Address: 13533 37 AV S TUKW Status: APPROVED Suite No: Applied Date: 09/26/2003 Applicant: DONALDSON RESIDENCE Issue Date: Receipt No.: R03 -01180 Payment Amount: 44.80 Initials: SKS Payment Date: 09/26/2003 11:36 AM User ID: 1165 Balance: $0.00 TRANSACTION LIST: Type Method Description Amount 44.80 Account Code Current Pmts 000/322.100 44.80 Total: 44.80 3077 09/26 9716 TOTAL 44.80r Printed: 09 -26 -2003 Projic : Type of Inspe ion: Ad cU 5 3 -7 I Date Called: r v O 1( S pecial Instructions: 1 , 3 e Date Wanted: a.m. Requester: � Pho� a2 \ 1 r �p� 0 ete2 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 12 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit (206)431 -3670 El Corrections required prior to approval. COMMENTS: 'FCX' r y\ i T 0,9,-,e (o-le Tv F, ■.S A-1 Dated / ` / REINSPECTION FE REQUIRED. prior to inspection, fee must be at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: Project Type of Insg ' Address: %.q 5 7 c S Date Called: re . a Special Instructions: G e,t 0 l ''_"' Date Wanted: 03 a4 Requester _ Phone No: N INSPECTION RECORD in a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 COMMENTS" nsp tor: f (1,1414/ ` l,t A u•c ) 'Receipt No.: 'Date: /; /57 PERMIT N ( 06 31 -3670 roved per applicable codes. ❑ Corrections required prior to approval. Date • 0 47.00 REINSPECTIOI FEE REQUIRE . Prior to inspection, fee must be p aid at 6300 Southce er Blvd., Sui 100. Call to schedule reinspection. Z rt D J U O U � � U) u. W 0 u._ = z� zl W N O I —' =W rm o Ui Z = O ~ z Project:, /�% , �6V 7 (e 'aci>e Type �� O 6 ,C /rj%ee"Tt �7`o/ ` Address: /3.33 .37 & S Date Called G "f " 3 Special In tructions: e, 0 /C i! l� 1 Cc-,2 7 Date Wanted: a.m. -.'� Requester :., ` /1./0 /4--' ( Qd-,yGG -- Phone No: o ao& o 2.4 / -- M / INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 /dJ (206)431 -3670 COMMENTS: Wovk Piono led off - w evvo"' Approved per applicable codes. El Corrections required prior to approval. Ei $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: notice and order Projec 0nr t t `t . l � ' Type of Inspec ion: ... t■e.....- Address��� � A ,( � i -D � te �� /�- Called: Special Instructions: `--� Date Wanted: a. Requeste C WideseIY* J Y' 1 !-i Z s Phone No: Inspector: Date: INSPECTION RECORD' Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PER NO. (206)431 -3670 a Approved per applicable codes. Corrections required prior to approval. E S47.00 IER NSPECTION F RE QUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Project: Type of Inspec }io f ' n Addre� .�„ `�� � .� ,(� �D /�- ' ate Called: f Special Instructions: / Date Wanted: a. Requeste . 4y -i S c Phone No: INSPECTION NO. CITY OF BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 D Approved per applicable codes. Ej Corrections required prior to approval. COMMENTS: L // P./ (vt-i4 lee A - (.4141 D4- S7 v (-;e / 7 A' e7," Inspector: INSPECTION RECORD Retain a copy with permit Date: D $47.00 REINSPECTION IF , REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: !Date: f All persons engaged in doing or causing work to be done are hereby ordered to forthwith STOIC WORK, pertaining to construction, alterations or repairs on these premises. Located at: Y.` )LATI LX-rf CITY OF TUKWILA DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 6300 Southcenter Blvd., Suite 160 Tukwila, Washington 98188 Tel: (206)431 -3670 Stop Work Order N9 OTICE & ORDER Me C.J7 l.-: r. c- �r / ?-t ///:,/, :...:.: it CORREC 9 Iy_E 'ACTION REQUIRED: Apply fq z n 00: hin 15 days of this notice. Remove illegal construction within 15 days of this notice & call for re- inspection. Discontinue use of structure or portion thereof Vacate building and secure against entry. POSTED A.M P.M. 200 • BY )u () 7 - .3 . '�- DO NOT REMOVE THIS NOTICE FPXRATMG: It is unlawful to remove this notice. Failure to comply with the requirements of this order or to cease activity shall subject the offender to a Civil Infraction Citation. Each civil infraction shall carry with it a monetary penalty of $100.00 for the first violation, S175.00 for a second violation of the same nature or a continuing violation, and S250.00 for a third or subsequent violation of the same nature or a continuing violation. Chapter 8.45, Tukwila Municipal Code STATE OF WASHINGTON COUNTY OF KING CITY OF TI., WILA Permit Center 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 Telephone: (206) 431 -3670 ss. O p J& S E R,, foR OW Af 571 states as follows: H -4 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION 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 Signed and sworn to before me this c9 (n day of 2k be, , 20 (XS . ( NOTAR PUBLIC in and for the State of Washington, residing at / / I County. Name as commissioned: KAi �A- ti /Tc%- My commission expires: 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; 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; J 15. Any person who engages in,tie activitl°s herein regulated as an employae regisjered contractor with wages as his sole cor,Opensation;. 16. Contractors on highway'proj �rt'i t5., have been prequalified as required bji.ahapter• -1 of the Laws of 1961, RCW 47.28.070 with the department of transportation to perform highway construction, reconstruction, or maintenance work.