HomeMy WebLinkAboutPermit M06-150 - CAMPBELL AND TAYLOR RESIDENCECAMPBEIL & TAYLOR
ADDITION
4417 S 136 ST
EXPIRED 08 -08 -07
M06 -150
CITY OF TUKWI A
DEPT. OF CO U.:ITY DE I LOr ENT
6300 SGUTHCEN T ER CLVD.
TUKWILA, WA 98188
Parcel No.: 7347600075
Address: 4417 S 136 ST TUKW
Suite No:
Tenant:
Name:
Address'
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
Contractor License No:
CAMPBELL & TAYLOR RESIDENCE
4417 S 136 ST, TUKWILA WA
CAMPBELL LESLIE
1023 CALIF LN SW, SEATTLE WA
OWNER AFFIDAVIT - PETER D. TAYLOR
DESCRIPTION OF WORK:
MECHANICAL FOR 913 SF 2 -STORY ADDITION
Value of Mechanical: $2,000.00
Type of Fire Protection: SMOKE DETECTORS
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
EQUIPMENT TYPE AND QUANTITY
0
0
0
5
0
0
0
0
0
3
0
0
0
0
**continued on next page**
doc: IMC- Permit M06 -150
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone:
Phone:
Expiration Date:
PERMIT CENTER
M06 -150
08/18/2006
02/14/2007
Fees Collected: $180.79
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 5
Wood /Gas Stove 0
Water Heater 1
Emergency Generator 0
Other Mechanical Equipment 0
Printed: 08 -18 -2006
CITY OF TUKWIIA
DEPT. OF CC U;:ITY CC`.: LOrM3NT
6300 EC, UTHOCNYER CLVD.
TUKWILA, WA 98188
Permit Center Authorized Signature:
doc: IMC- Permit
, EP!"f!T CENTER
Permit Number: M06 -150
Issue Date: 08/18/2006
Permit Expires On: 02/14/2007
trtivziolf
I hereby certify that I have read and in -d is permit and know the same to be true and correct. All provisions of law and
ordinances governing this work will b= •m. 'e. with, whether specified herein or not.
Date:
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 construc ion or the performance of work. I am authorized to sign and obtain this mechanical permi t. �y
Signature: Y/�l or s pe� Date: 8 — 7 getV
Print Name: P'1 19- 4/ /O/`
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.
M06 -150 Printed: 08 -18 -2006
City &rTukwila
1: ***BUILDING DEPARTMENT CONDITIONS***
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: hitukwila.wa.us
Parcel No.: 7347600075
Address: 4417 S 136 ST TUKW
Suite No:
Tenant: CAMPBELL & TAYLOR RESIDENCE
PERMIT CONDITIONS
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M06 -150
Status: ISSUED
Applied Date: 07/13/2006
Issue Date: 08/18/2006
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 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.
4: Manufacturers installation instructions shall be available on the job site at the time of inspection.
5: 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.
6: 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.
7: 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.
8: 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.
9: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila
Permit Center.
10: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department
of Labor and Industries (206/248- 6630).
11: 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.
doc: Conditions
"continued on next page**
M06 -150 Printed: 08 -18 -2006
City dhr'Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: cLtukwila.wa.us
ftwe
Steven M. Mullet, Mayor
Steve Lancaster, Director
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: / iv /.
Print Name: `e r er D. (Qy ° o -`
doe: Conditions
Date: Y ` l8 ,2006
M06 -150 Printed: 08 -18 -2006
CITY OF TUKWILA
Community Developm ,Department
Public Works Department
Permit Center
8300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
ht tp: //www. Ci. tkwila. we. us
!SITE LOCATION
site Address: AI-I n 5. 1
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"
Suite Number:
Tenant Name: �+ New Tenant:
Property Owners Name:lee'-LIE. l asArP u 4 ThTee.. lZywR_.
Mailing Address: 4141 -1 4, It - sT Ti.tKW ILA , City
I CONTACT PERSON
Name: PFTER TLYL6l2 Day Telephone. ZOC 977 2..l
Mailing Address: /FN I7 S . (74 WA- R S I Gt.
Store Zip
City
E-Mail Address: teS I It tA?belt Z &danteASt Yle+- Fax Number. Ks
tat
Building Per jNo. Pu 1 - —
Mechanical Permit No. JAd/ {�
Plumbing/Gas Permit No. Fr, (jp -
Public Works Permit No.
Project No. 1
or Oi B use
King Co Assessor's Tax No.: 73 its PD 75- O,' 2
Floor.
❑ Yes ❑..No
WA 98 Ii1P)
State Zip
w
t GENERAL CONTRACTOR INFORMATION —
f (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg S) )
Company Name:
Mailing Address:
Zip
City
Contact Person Day Telephone:
E-Mail Address: Fax Number:
Contractor Registration Number. Expiration Date:
I ARCHITECT OF RECORD -All plans must be wet stamped by Architect of Record
I
Company Name: MKS I VE&Sn ids fES /61.1 /f5LiI
Mailing Address: 171 o S/ /4t> ATrt kit 98122
City State tip
Contact Person: IMIICK I U Ow Day Telephone: 21%- 726 —`115 DO
E-Mail Address: cock t ata r. e A 1, raet Fax Number. aO6— VG— 00%1
I ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Q: Apptiationstrems- Applianion on 6iee\3 -2036 -remit Apptiesecadoc
Revised. 4-2006
State
Zip
Page 1 of 6
BUILDING PERMIT INFORIc - 206 -431 -3670
k
Valuation of Project (contractor's bid price): $ 1 0 0 1 000 , on Existing Building Valuation: $ I (O t 0 00 . a O 7 "
Scope of Work (please provide detailed information): �E tnoytc t J5iw'� M`�' �7A710tJ r2O sv1 492
CF Ell ST., I 4en2Y WA. RR/.IY E SIOEILE FA Wuth' 1,S I Ut3JCE ..BUILD 14Fks 2
471:42.9 resewm Aunl-rlolu Ouse_ tr>asvt_ 4P Acs Ar R & embare �/ocs
Exet t..sp E q4t kb ALot,. *sr* Sin Stets t 1a,t>rnots Osiriz.00lz.
Will there be new rack storage? 0.. Yes o (If yes, a separate permit and plan submittal will be required)
Provide All Building Areas In Square Footage Below
FLANNING DIVISION: [/
Single- family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) 2- 3 T4 •
'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: V Compact: Handicap:
Will there be a change in use? ❑....Yes (.No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0.. Sprinklers ❑..Automatic Fire Alarm
Will there be storage or use of flammable, combustible or hazardous materials in the building? 0.. Yes .No
If "yes", attach list of materials and storage locations on a separate 8-1/2 x I I paper indicating quantities and Material Safety Data Sheets.
SEPTJC 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: UpplicaISa Fame- Appliradem On lim3-2006 - Permit Appliadon.doc
Revisal: 4-2006
❑..None '[..Other (specify) . 5P19 //[ C J P c7 590/ 1 --
Page 2 of 6
I 4
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
I' Floor
/at,
�f "l
�t t-
tt$Q
2 Floor
H32..7
3 Floor -
Floors _ thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
315.1?"
Attached Carport
Detached Carport
Covered Deck
/47. 5
Uncovered Deck
317
38'
BUILDING PERMIT INFORIc - 206 -431 -3670
k
Valuation of Project (contractor's bid price): $ 1 0 0 1 000 , on Existing Building Valuation: $ I (O t 0 00 . a O 7 "
Scope of Work (please provide detailed information): �E tnoytc t J5iw'� M`�' �7A710tJ r2O sv1 492
CF Ell ST., I 4en2Y WA. RR/.IY E SIOEILE FA Wuth' 1,S I Ut3JCE ..BUILD 14Fks 2
471:42.9 resewm Aunl-rlolu Ouse_ tr>asvt_ 4P Acs Ar R & embare �/ocs
Exet t..sp E q4t kb ALot,. *sr* Sin Stets t 1a,t>rnots Osiriz.00lz.
Will there be new rack storage? 0.. Yes o (If yes, a separate permit and plan submittal will be required)
Provide All Building Areas In Square Footage Below
FLANNING DIVISION: [/
Single- family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) 2- 3 T4 •
'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: V Compact: Handicap:
Will there be a change in use? ❑....Yes (.No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0.. Sprinklers ❑..Automatic Fire Alarm
Will there be storage or use of flammable, combustible or hazardous materials in the building? 0.. Yes .No
If "yes", attach list of materials and storage locations on a separate 8-1/2 x I I paper indicating quantities and Material Safety Data Sheets.
SEPTJC 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: UpplicaISa Fame- Appliradem On lim3-2006 - Permit Appliadon.doc
Revisal: 4-2006
❑..None '[..Other (specify) . 5P19 //[ C J P c7 590/ 1 --
Page 2 of 6
I 4
•
PUBLIC WORKS PERMIT INFnRMATION - 206 - 433 -0179
Scope of Work (please provide detailed information): � �� YAt✓ I�b ,njo1 1
f4642-r. I Stye WD NAME 5 &Iitry wasiDrEicc BUILD 14r—id- 1 Shot?
! realm krpnrtki ateGulki eat- kr Wan Or Exist. /lousE.
Exnu-r> WD. 1 cat A.ni th iAkCr a SO[.RT4 <zas Arm, t! I sr ,
Call before you Dig: 1-800-424-5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Eater Diktrict
.. .Tukwila Er.. Water District #123
❑...Water Availability Provided
Tukwila O...ValVue
❑ ...Sewer Use Certificate ❑... Sewer Availability Provided
�ut,mitted with Aoolicatlon (mark boxes which aooM:
.Civil Plans (Maximum Paper Size -22" s 34 ")
❑ ...Technical Information Report (Storm Drainage)
❑...Bond ❑ .. Insurance ❑ .. Easement(s)
Lr000sed Activities (mark boxes that aunty):
❑
...Right-of-way Use • Nonprofit for less than 72 hours
❑...Rightof -way Use - No Disturbance
❑
...Construction/Excavation/Fill - Right-of-way
Non Right-of-way
❑...Total Cut /0 cubic yards
❑...Total Fill 0 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 _
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ ,. Pavement Cut
❑ .. Looped Fire Line
If
Private
Private
❑ .. Highline
❑ .. Renton ❑ .. Seattle
❑ .. Approved Septic Plans Provided
❑ .. Geotechnical Report
❑ .. Maintenance Agreement(s)
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑.. Renton
❑ .. Right-of-way Use - Profit for less than 72 hours
❑ ..
Right-of-way Use - Potential Disturbance
❑...Deduct Water Meter Size
❑...Trafffic Impact Analysis
❑ ...Hold Harmless - (SAO)
❑...Hold Harmless - (ROW)
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
FINANCE INFORMATION
Fire Line Size at Property Line
❑...Water ❑...Sewer ❑...Sewage Treatment
Monthly Service Billinpigi
Name:
Number of Public Fire Hydrant(s)
Day Telephone:
Mailing Address:
City State
Water Meter Refimd/Billing:
Name:
Zip
Day Telephone:
Mailing Address:
City State Zap
QiAppamdonNOnns- Aprliaums On rimy- 2006 -Pohl Appiieaiaa.doe
Raised: 42006
f�
Page 3 of 6
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace<100K BTU
Air Handling Unit >10,000
CFM
Fire Damper
0-3 HP /100,000 BTU
Furnace>100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
2
.2
Thermostat
r
7
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Water Heater
)
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/RefrigJCooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Comm/1nd
Other Mechanical
Equipment
MECHANICAL PERMIT INFOTtMATION - 206 - 431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
state
City
Day Telephone:
Fax Number:
Expiration Date:
Zip
Valuation of Project (contractor's bid price): $ • ofiv
Scope of Work (please provide detailed information) 1E �0s Q11D1 oiV fTCf�N1 IRAQ_
M Exist: t rt& WA Sri? ..<ocatE limYxt vi RE6 P UCE. 8uuw Meta a MOW
••
r.
i -_
T
trnisi T) Fxvii' WD.1cx Airev-4 WEEr A Stxsss► . xt4rerA1,ruv 4 1 Pte
Use: Residential: New .... tRf
Commercial: New .... ❑
Fuel Type: Electric El Gas —.0
Indicate type of mechanical work being installed and the quantity below:
Q :Aipliada.Wamn- Applialioa Oe rineu -2006 - Permit Appliemw.doc
Revised: 4-2006
Ni
Replacement .... ❑
Replacement ....0
Other:
Page 4 of 6
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Bathtub or combination
bath/shower
t
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
Bidet
Food -waste grinder,
commercial
Receptor, indirect
waste
Clothes washer, domestic
(
Floor drain
Sinks
Dental unit, cuspidor
Shower, single head trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
n
r
Water Closet
2.
Building sewer or trailer
park sewer
Rain water system — per
drain (inside building)
Water heater and/or
vent
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of water
piping and/or water treating
equipment
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to five
inlets/outlets for specific
gas
Additional medical gas
inlets/outlets — six or more
PLUMBING AND GAS PIPINERMIT INFORMATION — 206-43 70
bravo
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Cit State Zip
Contact Person: Day Telephone:
E-Mail Address: Fax Number:
Contractor Registration Number:
Expiration Date:
Valuation of Project (contractor's bid price): S 5; 450
Scope of Work (please provide detailed informati ) 4'yc `e V�FD � �d7D)17D��RAF( 1�C�1Y.
OF Ear. 1 4rhQY klD, FRAtenz Sins,! rawittY 4-cii 7S1.tcl . Busies NEW 26 y
_-t► at. - tl, _i a \ a a. It 4 4(
A I.
Mk _dr.(
_s• _., lb
Exts - r. WD ThCe. ,4 klrsr 4 Scum ..5 Dr A»ma, i /"
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Q:1Appliatiaa,Wam,-Applications On 1JmU- 2006 - Panvit Applialioe da
Revised: 42006
td
Page 5 of 6
J
PERMIT APPLICATION Nurn — Applicable to all permits in this application
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.
Buildi 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 105.32 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 OVVNEff OR AUT AGENT :
Signature: t + r(/ -
-
Print Name: Pe - r I). / a v /or
Mailing Address: 4 14 (7 < ? 34 t
Date Application Expires: a t i is I
I Date Application Accepted: b 1,7 I
QWdieem.WamrMNimlan. On Line V -2006 -Remit ApgtahmAm
Revised: 43006
Na
Date: 7- /3 goo‘
Day Telephone: 206 93 7 2/55
` aC W Intl
WA. `18 itA
City State Zip
Staff Initials:
r 1
Page6of6
Copy Reprinted on 08-18-2006 at 15:49:55 08/18/2006
RECEIPT NO: R06 -01303
Initials: JEM
Payment Date: 08/18/2006
User ID: 1165 Total Payment: 1,571.39
Payee: PETER D. TAYLOR
SET ID: 0818
SET TRANSACTIONS:
Set Member Amount
D06 -269
#106 =150
PG06 -088
TOTAL:
TRANSACTION LIST:
Type Method Description
Payment Check 1663 1,571.39
TOTAL: 1,571.39
ACCOUNT ITEM LIST:
Description
1,225.26
150.63
195.50
1,571.39
BUILDING - RES
MECHANICAL - RES
PLAN CHECK - RES
PLUMBING - RES
PW LAND ALT PERMIT FEE
STATE BUILDING SURCHARGE
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
SET RECEIPT
SET NAME: CAMPBELL & TAYLOR
Amount
Account Code Current Pmts
000/322.100 1,197.26
000/322.100 150.63
000/345.830 7.50
000/322.100 188.00
000/342.400 23.50
000/386.904 4.50
TOTAL: 1,571.39
51 08/21 9716 TOTAL 1571.39
Steven M. Mullet, Mayor
Steve Lancaster, Director
RECEIPT NO: R06 -01024
Initials: JEM
User ID: 1165
Payee: PETER D. TAYLOR
SET TRANSACTIONS:
Set Member Amount
D06 -269
M06 -150
PG06 -088
TOTAL:
ACCOUNT ITEM LIST:
Description
PLAN CHECK - RES
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206- 431 -3670
Fax: 206 - 431 -3665
778.22
30.16
34.50
842.88
SET RECEIPT
Payment Date: 07/13/2006
Total Payment: 842.88
SET ID: S000000523 SET NAME: Tmp set/Initialized Activities
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1645 842.88
TOTAL: 842.88
Account Code Current Pmts
000/345.830
TOTAL:
842.88
842.88
J7.1 z "'ln TOTAL 042. CB
Steven M. Mullet, Mayor
Steve Lancaster, Director
Project:
AAA 7 /Am
7i' � n
Type of Inspection:
7 / ft��t
Address:
W it i 7 So /3G
Date ailed.
Special instructions:
Date Wanted:
7
7)
N n.
Requester:
Phone No:
2-t- -737 is
INSPECTION RECORD
Retain a copy with permit
INSPECT NO
CITY O F TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Ma - /Sv
1 1
Approved per applicable codes. Corrections required prior to approval.
CO MENTS:
In $58.00 REINSPECTION`FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
07 -02 -2007
PETER TAYLOR
4417 S 136 ST
TUKWILA WA 98168
RE: Permit No. M06 -150
4417 S 136 ST 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 206431 -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 08/08/2007 , 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. M06 -150
City 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
01-02 -2007
PETER TAYLOR
4417 S 136 ST
TUKWILA WA 98168
RE: Permit No. M06 -150
4417 $ 136 ST 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 inspectigp.
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 02/14/2007 , 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,
xc: Permit File No. M06 -150
City of Tukvvila Steven Al. 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
ACTIVITY NUMBER: M06 -150 DATE: 07 -14 -06
PROJECT NAME: CAMPBELL & TAYLOR ADDITION
SITE ADDRESS: 4417 S 136 ST
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Issued
DEPARTMENTS: ��, �
B I Ong i sion
Public Works ❑ Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route d Structural Review Required
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS:
Documents/routing slip.doc
2 -2802
‘,PERMIT COORD COPY �.
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Incomplete ❑
Planning Division
Permit Coordinator
DUE DATE: 07-18 -06
DATE:
Not Applicable
No further Review Required
DATE:
DUE DATE: 08-15-06
Not Approved (attach comments) ❑
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
CITY OF TUKWIL4
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
STATE OF WASHINGTON)
COUNTY OF KING )
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO.: 10
Ma! (51
ss.
Pe to r 0. 6 a. y /0t ; states as follows:
(please print].
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 of
Washington& a copy of which is printed on the reverse side of this Affidavit. l have read or am familiar with RCW
'1827.090.
3 . t understand that prior to Issuance. of a luliding 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 Guy of Tukwila of my compliance with this requirement, I hereby attest that
after reading the exemptions from the registration [ utrement 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 1 might otherwise have under state law in any decision to engage an
unregistered contractor to perform constriction work.
■
lapplicationstb2004 affidavit in lieu of contractor registration
PLICANT
Signed and sworn to before me this
/34 day of August 2006.
�dett. Q•. Ai
NOTARY PUBLIC in and for tit tate of Washington,
Residing at Km q r1 County.
Name as commissioned: Alice A. Dea c v
My commission expires: 6-/6-0 l
18.27.090 Exemptions. This chapter shall not apply to:
1.
2. An authorized representative of the United States
Government; the State 'of Washington, or any
incorporated city, town, county, township,
irrigation district, 'reclamation 'district pr other
municipal or political corporation or subdivision of
this state;
3. Officers of the court when they are acting within
the scope of their office;
4. Public utilities operating under the regulations of
the utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
5. 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 13.
when performed by an Owner r or)essee, ,
6. 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 the structure ;
7. Any construction, alteration, improvement or
repair of personal property, _except this chapter
shaU 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;
8. My 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;
9. My person who only furnished materials,
supplies, or equipment without fabricating them
into, or consuming them in the performance of, the
work of the contractor;
10. My work or operation on one undertaking or
project by one or more contractors, the aggregate
contract price of which for labor and materials and
all other items is less than $500.00, such work, or
operations being considered as of a casual, minor,
or inconsequential nature. The exemption
prescribed in this subsection does not apply in all
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 of the operation is made into
\applications18 -2004 affidavit in lieu of contractor registration
contracts of amounts less than $500.06 for the
purpose of the evasion . of this . chapter s ce ..
otherwise. The exemption prescribed'x: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 centractor;;orthat he is qualified to engage In
the business of contractor,
11. 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 then any of the above work is performed
by a registered contractor, r' C>
-.. i
12. An owner who contracts fora project with a
registered owner,
My 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
his exemption shall not apply to any person
otherwise covered by this chapter who bonstructs
an improvement on his own property ' with the
intention and for the purpose of selling the
improved property;
14. Owners of commercial properties w ho use their
own employees to do maintenance, repair, and
alteration work In or upon their own properties;
15. 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;
16. Any person who engages in the activities herein
regulated as an employee of a registered
contractor with wages es his sole compensation;
17. Contractors, dn, highway projects who have been
prequalifte as required byphapter 13 of the Laws
of 1961; ROW 47.28.070 with the department of
transportation, to "perform highway construction,
reconstruction „of maintenance work.