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HomeMy WebLinkAboutPermit D06-038 - Jimerson Residence - Sheetrock and SidingJIMERSON RESIDENCE 12205 47 AV S D06 -038 Parcel No.: 0179001100 Address: 12205 47 AV S TUKW Suite No: City Tukwila Tenant: Name: JIMERSON RESIDENCE Address: 12205 47 AV 5, TUKWILA WA Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us DEVELOPMENT PERMIT Owner: Name: GRANT MELVIN +OLLIE M Phone: Address: 12203 47 AV S, TUKWILA WA Contractor: Name: OWNER AFFIDAVIT ON FILE - JOHNNY JIMERSON Phone: Address: , Contractor License No: Expiration Date: Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / C55• Y Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: N Hauling: N Start Time: End Time: Land Altering: N Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: N Moving Oversize Load: N Start Time: End Time: Sanitary Side Sewer: Y Sewer Main Extension: N Private: Public: Storm Drainage: Y Street Use: Y Profit: N Non - Profit: N doc: IBC - Permit Steven M. Mullet, Mayor • Contact Person: Name: JOHNNY JIMERSON Phone: 206 -501 -8014 Address: 12207 47 AV S, TUKWILA WA Steve Lancaster, Director Permit Number: D06 -038 Issue Date: 03/10/2006 Permit Expires On: 09/06/2006 DESCRIPTION OF WORK: COMPLETE SHEETROCK AND SIDING. PUBLIC WORKS ACTIVITIES INCLUDE: TESC, STORM DRAINAGE FOR DRIVEWAY, DRIVEWAY ACCESS, NEW WATER METER W /SERVICE LINE, AND ADDING TO EXISTING SANITARY SIDE SEWER. EXISTING STRUCTURES HAVE OVERHEAD POWER. POSSIBLE PAVEMENT MITIGATION FEE. Value of Construction: $7,500.00 Fees Collected: $11,451.97 Type of Fire Protection: NONE International Building Code Edition: 2003 Type of Construction: VB Occupancy per IBC: 0008 D06 -038 Printed: 03-10-2006 Water Main Extension: Water Meter: City site Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Fax: 206 - 431 -3665 Web site: ct.tukwila.wa.us N Private: Public: Y * *continued on next page ** Steven M. Mullet, Mayor Steve Lancaster, Director doc: IBC - Permit D06 -038 Printed: 03 -10 -2006 doc: BC-Permit City o' Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: ct.tukwila.wa.us Permit Center Authorized Signature: IM'AV 01A5tAkQ Permit Number: D06 -038 Issue Date: 03/10/2006 Permit Expires On: 09/06/2006 Date: Steven M. Mullet, Mayor Steve Lancaster, Director IDIde I hereby certify that I have read an am a this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be comp led 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 development permit. Signature: stres.. _ . _ _ i.■A . .. ►. ice.. _ Date: 3 — ► 0 -0 Print Name: 1O n h'+' 7 Cl \Yre Sf l-� 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. D06 -036 Printed: 03 -10 -2006 City of tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0179001100 Address: 12205 47 AV S TUKW Suite No: Tenant: 3IMERSON RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** PERMIT CONDITIONS Permit Number: D06 -038 Status: ISSUED Applied Date: 02/06/2006 Issue Date: 03/10/2006 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 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: All wood to remain in placed concrete shall be treated wood. 7: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 8: Manufacturers Installation instructions shall be available on the job site at the time of inspection. 9: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be obtained at City Hall in the office of the City Clerk. 10: 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. 11: 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. 12: 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. 13: 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. 14: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Department of Public Health - Seattle and King County (206/296 - 4932). doc: Conditions D06 -038 Printed: 03. 10.2006 City of tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 15: 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). 16: 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. 17: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** doc: Conditions * *continued on next page ** 18: Contractor shall notify Public Works Utility Inspector Mr. Greg Villanueva at (206)433 -0179 of commencement and completion of work at least 24 hours in advance. 19: Work affecting traffic flows shall be closely coordinated with the City Utilities Inspector. 20: Any material spilled onto any street shall be cleaned up immediately. D06 -038 Printed: 03 -10 -2006 Signature: doc: Conditions City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 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. /t.eal A - /A •AI I �maA Print Name: ; y . C 1Yr, tole-So y Date: 3 0b D06 -038 Printed: 03-10-2006 Parcel No.: 0179001100 Address: 12205 47 AV S TUKW Suite No: City crTukwila doc: PWWATER Department of Public Works 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -433 -0179 Fax: 206- 431 -3665 Web site: et.tukwila.wa.us TOTAL WATER FEES: $600.00 WATER METER INFORMATION DESCRIPTION OF WORK: COMPLETE SHEETROCK AND SIDING. PUBLIC WORKS ACTIVITIES INCLUDE: TESC, STORM DRAINAGE FOR DRIVEWAY, DRIVEWAY ACCESS, NEW WATER METER W /SERVICE LINE, AND ADDING TO EXISTING SANITARY SIDE SEWER. EXISTING STRUCTURES HAVE OVERHEAD POWER. POSSIBLE PAVEMENT MITIGATION FEE. METER #1 Steven M. Mullet, Mayor James F. Morrow, P.E., Director Permit Number: D06 -038 Issue Date: 03/10/2006 Permit Expires On: 09/06/2006 Water Meter Size: 0.75 0 Quantity: 1 0 Water Meter Type: PERM Work Order Number: 5204j05 METER #2 METER #3 0 0 Connection Charge: Y $60.00 $0.00 $0.00 Installation: Y $490.00 $0.00 $0.00 Additional Install Deposit: $0.00 $0.00 $0.00 Plan Check Fee: Y $10.00 $0.00 $0.00 Inspection Fee: Y $15.00 $0.00 $0.00 Turn On Fee: Y $25.00 $0.00 $0.00 Subtotal: $600.00 $0.00 $0.00 Cascade Water Alliance (RCFC): N $0.00 $0.00 $0.00 006 -038 Printed: 03 -13 -2006 CITY OF TUKIVILA Community Deyelopmentlaeparbnent Public Works Department Permit Center 6300 Southcenter Blvd, , 8uite 100 Tukwila, WA 98188 IsAt 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 Address: / 2-2- 0 T Tenant Name: Wf�hnn' Property Owners Name: a 1 s h I Mailing Address: / 7- +Vt CONTACIt'I'ERSON Name: a Mailing Address: 12- E -Mail Address: 1 2 v ne e> P/ 1Yln c2r.501- /� `� a King Co Assessor's Tax No.: O 1 11 q oa "' 1 100 1 � 1 [ 4 've Sos' Suite N Floor: �1 m P 1f•t.DY. / e e a ❑ .... Yes No City State Zip Day Telephone: ZD 01-tot `�- jv-c „So- VNA, N\ ty V 4 l z % City Fax Number: GENEItM CON'fnACTOR_INFORMATION •.(Mechanical Contrector information on back pagey Company Name: 720 Y e Mailing Address: car 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" ARCFYITECT OF RECORD -Ail plans must be wet stamped by Architectof Record Company Name: Mailing Address: Zip Contact Person: E -Mail Address: Company Name: Mailing Address: Contact Person: E -Mail Address: a:t per^m p W ties vmydlpvmi application ( - 2004 ) 'levied: 41-05 ba Page I State Zip City Day Telephone: Fax Number: State ENGINEER OF RECORD -All plans must be wet stamped by Engineer of Record city Day Telephone: Fax Number. State Valuation of Project (contractor's bid price): $ C) '1 0 0 xtsting Building Valuation: $ Scope of Work lease provide detailed information':r 6 bet\ -c 0 C.' -K. N ' a F l o c ' th" c P s;d:v Will there be new rack storage? ❑ .. Yes INO If "yes ", see Handout No. for requirements. Provide All Building. Areas in Square Footage Below I Floor - 2" Floor 3 F loor Floors Basement Accessory Structure" Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck . Uncovered Deck Existing So Interior Remodel 1 --/0 D Addition to Existing Structure Type of Construction per IBC Type of Occupancy per IBC PLANNING DIVISION: Single - family building footprint (area of the foundation of ail structures, plus any decks ova 18 inches and overhangs greater than 18 inches) For an Accessory dwelling, provide the following: Lot Area (sq ft): 300 0 Floor area of principal dwelling: y UU 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 . one ❑ . Other (specify) 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 indicating quantities and Material Safety Data Sheets. q:Wpennits phuacc dungnbemn application (7-2004) Revised: bg-OS EA Page 2 PUBLIC WORKS PERMIT 11MATION -206- 433 - 0179.` =_ SytSmined with Application (mark boxes which apply): �t ...Civil Plans (Maximum Paper Size -22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) — ❑...Bond ``JJ— Insurance ► ❑ opose Achvifles (mart boxes pr fiat apply): ` it `) ❑ ...Right -of -way Use - Nonprofit for less than 72 hours 0/..Right-of-way Use - No Disturbance ...Construction/Excavation/Fill - Right-of-way ✓ Non Right -of -way ❑ ...Total Cut cubic yards ❑ ...Total Fill cubic yards Side Sewer ❑ ...Cap or Remove Utilities ❑...Frontage Improvements ❑...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water Cw ..Permanent Water Meter Size... f 14- " WO# 97,o4 -; o% ❑ ...Temporary Water Meter Size .. WO# ❑ ...Water Only Meter Size WO# ❑...Sewer Main Extension Public _ Private ❑ ...Water Main Extension Public _ Private _ nAperinits pbu\icc changeepvmb application (7 -2004) xerbw: seas bit Scope of Work (please provide detailed information): G Call before you Dig: 1- 800 - 424-5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. der District `WJ ...Tukwila ❑... Water District #125 ❑ .. Highline o ...Water Availability Provided er 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. ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line ❑ .. Geotechnical Report ❑ .. Maintenance Agreement(s) i ❑...Hold Harmless ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right-of-way Use - Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑...Renton ❑...Traffic Impact Analysis (fa ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑...Deduct Water Meter Size " @IANCEINFORMATION Fire Line Size at Property Line ❑...Water ❑...Sewer Monthly Service Billing to: Name: Mailing Address: Number of Public Fire Hydrant(s) ❑...Sewage Treatment Day Telephone: City State Lp Water Meter Refund/Billing: Name Day Telephone: Mailing Address: Cay Stale Zqt Page 3 Unit Type: Qty Unit Type: Qty Unit Type: Qty Bolter /Compressor: Qty Fumace<l00K BTU Air Handling Unit >10,000 CFM Fire Damper 0 - 3 HP /100,000 BTU Evaporator Cooler Diffuser 3.15 HP /500,000 BTU _Fumace>IOOKBTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 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 5Or HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Emergency Generator Air Handling Unit <10,000 CFM Incinerator — Comm/Ind Other Mechanical Equipment CHANICAL PERMIT INFORMATION H 206-4: MECHANICAL CONTRACTOI INFl TIC z, $�?1 1'(4 Company Name: Mailing Address: city State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Use: Residential: New ....0 Replacement ❑ Commercial: try �New ....❑ Replacement Fuel Type. Electric r t!} Gas ....0 Other: 1 - Indicate type of mechanical work being installed and the quantity below: b 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): $ Scope of Work (please provide detailed information): I'ERMIT:AT'PLIt1T IQN,1"GUTE5 `'ApP6�abte to at[ periaits m t6tspplicaHon' 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 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). 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 0 • OR AUTHORIZED A Signature: iii .S g6- .a a as Print Name: • a a Mailing Address: ) � I► 1/9- / Av4' I Date Application Accepted: 2 -O(p q: \Vcnads pls\f¢ damps \pamit application ( Revised: 6-405 Page 4 (W04) Date: —A —o6 1 pa Telephone: 20 0 City \ , \a � State Date ? Date Application Expires: _ 6 •-00 -'S itials: QUANTITY IN CUBIC YARDS RATE Up to 50 CY Free 51 -100 $23.50 101 -1,000 $37.00 1,001— 10,000 $49.25 10,001 - 100,000 $49.25 for I 10,000, PLUS $24.50 for each additional 10,000 or fraction thereof. 100,001 — 200,000 $269.75 for 1 100,000, PLUS $13.25 for each additional 10,000 or fraction thereof. 200,001 or more $402.25 for 1" 200,000, PLUS $7.25 for each additional 10,000 or fraction thereof. BULLETIN A2 4w TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees PROJECT NAME j / fl4 Rson) (TER) PERMIT# D06 — 0 38 If you do not provide contractor bids or an engineer's estimate with your permit application, Public Works will review the cost estimates for reasonableness and may adjust estimates. 1. APPLICATION BASE FEE 2. Enter total construction cost for each improvement category: Mobilization Erosion prevention !'SO Water /Sewer /Surface Water , 3o0 Road/Parking/Access 4 1-So A. Total Improvements 11 0 0 3. Calculate improvement -based fees: B. 2.5% of first $100,000 of A. 47 S e C. 2.0% of amount over $100,000, but less than $200,000 of A. — D. 1.5% of amount over $200,000 of A. 4. TOTAL PLAN REVIEW FEE (B +C +D) 5. Enter total excavation volume Enter total fill volume GRADING Plan Review and Permit Fees Approved 09.25.02 Last Revised Jan. 2006 cubic yards cubic yards S 4.7 s% Use the following table to estimate the grading plan review and permit fee. Use the greater of the excavation and fill volumes. TOTAL PLAN REVIEW AND APPROVAL FEE DUE WITH PERMIT APPLICATION (1 +4 +5) $ 2 -�° The Plan Review and Approval fees cover TWO reviews: 1) the first review associated with the submission of the application/plan and 2) a follow -up review associated with a correction letter. Each additional review, which is attributable to the Applicant's action or inaction shall be charged 25% of the Total Plan Review Fee. 1 (5) (4) QUANTITY IN CUBIC YARDS RATE 50 or less $23.50 51 -100 $37.00 101 -1,000 $37.00 for 1 100 CY plus $17.50 for each additional 100 or fraction thereof. 1,001 - 10,000 $194.50 for l 1000 CY plus $14.50 for each additional 1,000 or fraction thereof. 10,001 - 100,000 $325.00 for the 1s 10,000 CY plus $66.00 for each additional 10,000 or fraction thereof 100,001 or more $919.00 for 1 100,000 CY plus $36.50 for each additional 10,000 or fraction thereof. Approx. Remaining Years Pavement Overlay and Repair Rate (per SF of lane width) 20 -15 (100 %) $10.00 15 -10 (75 $7.50 %) (10 -7 50 %� $5.00 7 -5 (S3 %) $3.30 5 -2 (25 %) $2.50 2 -1 (10 %) $1.00 0 -1 $0.00 BULLETIN A2 TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees 0 6. Permit Issuance/Inspection Fee (B+C+D) $ ¢7 tett 7. Pavement Mitigation Fee to 9 ' D go 6y (7) The pavement mitigation fee compensates the City for the reduced life span due to removal of roadway surfaces. The fee is based on the total square feet of impacted pavement per lane and on the condition of the exist ng pavement. Use the following table and Bulletin 1B to estimate the p 8. GRADING Permit Review Fee Grading Permit Fees are calculated using the following table. Use the greater of the excavation and fill volumes from Item 5. Approved 09.25.02 Last Revised Jan. 2006 2 (6) (8) WATER METER FEE Permanent and Water Only Meters Size (inches) Installation Cascade Water Alliance RCFC 01.01.2006 - 12.31.2006 Total Fee 0.75 $600 $4648 $5248 1 $1100 $11620 $12720 1.5 $2400 $23240 $25640 2 $2800 $37184 $39984 3 $4400 $74368 $78768 4 $7800 $116200 $131790 6 $12500 $232400 $244900 9. TOTAL OTHER PERMITS A. Water Meter — Deduct ($25) B. Flood Control Zone ($50) C. Water Meter — Permanent* 400 D. Water Meter — Water only* E. Water Meter — Temporary * Refer to the Water Meter Fees in Bulletin Al Approved 09.25.02 Last Revised Jan. 2006 Temporary Meter 0.75" 2.5" $300 $1,000 3 BULLETIN A2 TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees Total A through E $ (.00 (9) 10. ADDITIONAL FEES A. Allentown Water (Ordinance 1777) $ B. Allentown Sewer (Ordinance 1777) $ lo 189 Z= C. Ryan Hill Water (Ordinance 1777) $ D. Special Connection (TMC Title 14) $ E. Duwamish $ F. Transportation Mitigation $ G. Other Fees $ Total A through G• $ Jo P29 22 " (10) DUE WHEN PERMIT IS ISSUED (6 +7 +8 +9+10) $ I O 1 S$ Cr 1 ESTIMATED TOTAL PERMIT ISSUANCE AND INSPECTION FEE This fee includes two inspection visits per required inspection. Additional inspections (visits) attributable to the Permittee's action or inaction shall be charged $47.00 per inspection. 0 ion Vsio Payee: JOHNNY JIMERSON ACCOUNT ITEM LIST: Description doc: Receipt -06 BONDS /DEPOSITS RECEIPT Parcel No.: 0179001100 Permit Number: D06-038 Address: 12205 47 AV S TUKW Status: ISSUED Suite No: Applied Date: 02/06/2006 Applicant: JIMERSON RESIDENCE Issue Date: 03/10/2006 Receipt No.: R06 -01909 Payment Amount: $75.00 Initials: LAW Payment Date: 12/05/2006 02:54 PM User ID: 1632 Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Check 1013 75.00 Account Code Current Pmts 000/386.908 75.00 Total: $75.00 2381 12/06 9719 TOTAL 75.00 Printed: 12-05 -2006 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0179001100 Address' 12205 47 AV S TUKW Suite No: Applicant: JIMERSON RESIDENCE Receipt No.: R06 -01258 Payment Amount: 58.00 Initials: JEM Payment Date: 08/15/2006 09:12 AM User ID: 1165 Balance: 50.00 Payee: JOHNNY JIMERSON TRANSACTION LIST: Type Method Description Amount Payment Cash 58.00 ACCOUNT ITEM LIST: Description Current Pmts BUILDING INVESTIGATION RECEIPT Account Code 000/322.800 58.00 Permit Number D06 -038 Status: ISSUED Applied Date: 02/06/2006 Issue Date: 03/10/2006 Total: 58.00 8643 08/15 9716 TOTAL 58.00 doc: Receipt - Printed: 08 -15 -2006 Parcel No.: Address: Suite No: Applicant: Receipt No.: R06 -00329 Initials: JEM User ID: 1165 Payee: ACCOUNT ITEM LIST: Description doc: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 0179001100 12205 47 AV S TUKW JIMERSON RESIDENCE JOHNNY R. JIMERSON TRANSACTION LIST: Type Method Description Payment Check 1012 BUILDING - NONRES BUILDING - RES PLAN CHECK - NONRES PLAN CHECK - RES PLAN CHECK - WATER METER PW BASE APPLICATION FEE PW PERMIT /INSPECTION FEE PW PLAN REVIEW SEWER - ALLENTOWN /RYAN STATE BUILDING SURCHARGE WATER CONNECTION WATER INSPECTION FEE WATER INSTALLATION (DEP) WATER TURN -ON FEE 000/322.100 000/322.100 000/345.830 000/345.830 000/345.830 000/322.100 000/342.400 000/345.830 402/379.004 000/386.904 401/379.002 401/342.400 401/386.520 401/343.405 RECEIPT Permit Number: Status: Applied Date: Issue Date: Payment Amount: 11,327.97 Payment Date: 03/10/2006 02:19 PM Balance: $0.00 Amount 11,327.97 Account Code Current Pmts -.59 189.86 - 123.41 123.41 10.00 250.00 47.50 47.50 10,189.20 4.50 60.00 15.00 490.00 25.00 Total: 11,327.97 D06 -038 APPROVED 02/06/2006 3405 03/10 9716 TOTAL 11327.97 Printed: 03 -10 -2006 Parcel No.: Address: Suite No: Applicant: Receipt No.: R06 -00170 Initials: User ID: Payee: TRANSACTION LIST: Type Method doc: Receipt Payment ACCOUNT ITEM LIST: Description City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 0179001100 12207 47 AV S TUKW 3IMERSON RESIDENCE BLH ADMIN JOHNNY JIMERSON Cash BUILDING - NONRES PLAN CHECK - NONRES Description 000/322.100 000/345.830 RECEIPT Account Code Permit Number: Status: Applied Date: Issue Date: Payment Amount: 124.00 Payment Date: 02/06/2006 10:33 AM Balance: $193.77 Amount 124.00 Current Pmts .59 123.41 Total: 124.00 D06 -038 PENDING 02/06/2006 2095 02/07 9710 TOTAL 124.00 Printed: 02 -06 -2006 20070131003255 Return Address: Parties: Other: CITY OF TUKWILA Office of the City Clerk 6200 Southcenter Blvd. Tukwila, WA 98188 (206) 433-1800 Document Title(s): _ . Tukwila City [111 1111111 20070131003255 CITY OF TUKYXL 1116C 36.00 PAGE001 OF 005 01/311 /2007 15:55 KING COUNTY, NA CITY OF TUKWILA DOCUMENT RECORDING COVER SHEET Conveyance of Public Improvements City of Tukwila, WA 6200 Southcenter Boulevard Tukwila, WA 98188 Jimerson Jimmy Last Pint Initial Company Name (if business) 12203 47`" Ave S Address WA 98178 State Zip Legal Description: 43-44 5 Allentown Add Assessor's Property Tax Parcel/Account Number(s): 017900 -1100 i Retum to: City Clerk City of Tukwila 6200 Southcenter Boulevard Tukwila, WA 98188 DEED OF CONVEYANCE OF PUBLIC IMPROVEMENTS Above this line reserved for Recorder's use CONVEYANCE OF PUBLIC IMPROVEMENTS Grantor/Borrower: Johnny Jimerson 12203 47 Ave South Tukwila, WA 98178 Grantee /Beneficiary: CITY OF TUKWILA, a Washington municipal corporation Document Reference Number(s): D06 -038 Section/Township /Range: SE 10 23 4 Assessor's Tax Parcel Number(s): 017900 -1100 Property Address: 12207 47 Ave. South, Tukwila Property Legal Description (abbreviated): 43-44 5 Allentown Add Page 1 of l The Grantor, Johnny Jimerson, conveys, warrants, and dedicates to the CITY OF TUKWILA, a Washington municipal corporation, the following described public water /sanitary sewer /stomm water utility improvements: APPROXIMATELY: Twelve(12) feet of %-inch type K copper pipe, one (1) each -'/< inch water meter box with' inch check valve and angle stop, one (1) water tap service, one (1)' " by eight inch saddle, one (1)' " corp. stop, and all appurtenances. ENGINEERING COSTS: $ 0.00 CONSTRUCTION COSTS: $9,000.00 TOTAL: $9,000.00 DEED OF CONVEYANCE OF PUBLIC IMPROVEMENTS Page ,2 of / situated in King County, State of Washington. DATED this 5 day of 1 o` , 200h. STATE OF WASHINGTON COUNTY OF KING On this S' day of .l nn� `Tmearyin Ise S1ck'lc< GRANTOR: By: ) s s. DEED OF CONVEYANCE OF PUBLIC IMPROVEMENTS (signature) �� Y1, hr' (print name) (title) ' canter , 200 , before me personally appeared , to me known to be the owvl e l'' of , that executed the within and foregoing instrument and acknowledged the said instrument to be the free and voluntary act and deed of said corporation for the uses and purposes therein mentioned, and on oath stated that he was authorized to execute and in fact executed said instrument on behalf of the corporation. Given under my hand and official seas this S tet day of - December , 200 Cv Type /Print Name kv2 I' c A-wer l� Notary Public in and for the ✓ tice cG[Gz State of Washington residing at My Commission expires 05 -1 0 Page 3 of 1 DEPARTMENTAL APPROVAL: �afnes F. Morrow, Public Works Director RECEIVED FOR FILING: Jar(e Cantu, City Clerk ACCEPTED AND APPROVED for the City of Tukwila this / day of , 2000(, By: CITY OF TUKWILA rv1 Steven M. Mullet, Mayor DEED OF CONVEYANCE OF PUBLIC IMPROVEMENTS Page 7 of V Project: gems ccrit Type of Inspection: Addre / 7. � ^ , J qi eS 7 Date Called: /7 / / Special Instructions: 1 L ✓� C,-�. _ P. iI Date Wanted: / F / a.m. Requester: /,t / M. ill 7 Phone 44./C) .Szl — rar0 INSPECTION RECORD Retain a copy with permit 00C _03}/ PERMIT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 El Approved per applicable codes. El Corrections required prior to approval. COMM/NTS: 22 6 Of L!.19 IwS T.42G •�' I'�< ) rsp Date: t'/al GG ri $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: Proje�c ".� `>i-, P^ � , On Type of Inspection: �, / =i)24i Addre 12,2 -t *- 4? /-�, 5 Called: Dat Called: Special Instructions: ' Date Wanted: 7 ,/7 2 _ O(' RequesterJ - Phone N ` 5 5 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 r 6)431 -3 7 Approved per applicable codes. D Corrections required prior to approval. COMMENTS: �r 4[L _ 0 $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: COMMENTS: - < / ve /oa , (,e- 1 r Addr ss: / ;�o3 97 Date Called: 0h/OL picioe 9 pm, Special Instructions: Date Wanted: /0 /5 (a /2f6A6 i�ic toolic /50 ..Y 1 Re r- )J L./Tmrts(r rkiciA cam) kJ ( Phone No: 1 .206, - Sol - &Di Pro 'e J rrerS(/)k l( pnc c s �tiQ Type of In p e t i∎ ccX. Addr ss: / ;�o3 97 Date Called: 0h/OL Special Instructions: Date Wanted: /0 /5 (a a.m. p.m. Re r- )J L./Tmrts(r Phone No: 1 .206, - Sol - &Di w ew f INSPECTION RECORD Retain a copy with permit PERMIT NO. X 6.03? INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. Inspector: !Date: /M / 6 0 $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: Projgct c"Ln e /2 soA/ /ties Type of Inspection: / -ANA / Address: /'ays Y7 qv 5 Date Called: Special Instructions: /'i r°../\ r �r/uF Date Wanted: a.m. 1A -5 - off - Requester: Phone No: a2 4 -so/ - , / c/ 0 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit INSPECTIOWNO. CITY OF TUKWILA BUILDING DIVISIO 6300 Southcenter Blvd., #100, Tukwila, WA 98188 %Corrections required prior to approval. COMMENTS: 1')2Sis -0IQ d 44 l 2) r -s f4!/ / /1A 4;1 / !i! f T /7fj /tr% es-e 7 0' /C..- ra4 s t6 7 ` ill / t,3 icAa - 60 1 d /> Svc Date: /Z-- c_nd $58.0 REINSPECTION EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. `Receipt No.: 'Date: ._ -, ... Project: . Type of Inspection: W NW ? teM Adde / ill /1. Y` ( Date Called: 'I / '� b // Special Instructions: Date Wanted: v �` 1 ' �°G a.m. p m. Reghon l{G IL / / PYYe / (� — I-�C-1040; INSPECTION RECORD Retain a copy with permit PERMIT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: 11/7, o6 - C� c 1. ID? 4 - Svcfrwr4g Apok SI, pploc.ty, M n ,t M i M i I no Wt �. , 11 fit C (dj7[lPii T 1V1PT Rt ((,c Inspector: g I (Date: 11 h /a6 0-1/41 ri $58.10 REINSPECTION FEE REQUIRED. Prior to inspection,, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. 'Receipt No.: 'Date: 1 COMMENTS: Type of Inspection PW F I na l Address:I 2g 6 ve s Date Called: "_ 8 -06 Special Instruct ns: v Inny iII be At 1220 47 Ave 5. Date Wanted: 11-9 -06 m. Requester,. Requester: .� Jlmerson Phone No: 206 6 014 1( ii I. pt7t (c%stAAk.ic,i to c1 11/9/c /Not (AoT4, 4 I I tl(club ku i,ti U.re ^ Project: . � merson e s Type of Inspection PW F I na l Address:I 2g 6 ve s Date Called: "_ 8 -06 Special Instruct ns: v Inny iII be At 1220 47 Ave 5. Date Wanted: 11-9 -06 m. Requester,. Requester: .� Jlmerson Phone No: 206 6 014 INSPECTION RECORD Retain a copy with permit D06 -038 INSPECTION NO. PERMIT NO. CITY OF T A BUILDING DIVISION 6300 Southcent Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. Inspector: Date: iti $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: Proj >P,m�r Type of Inspection: V /Inn A'o1 Address: � z»s - 't74 Cis Date Called: ----. Sp ciallnstructions: Date Wanted: Z& a Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTI014NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PEE M V 6)431-3670 COMMENTS: 7)) St4-49 {1 L A /fart bi L e Ce, .7 SD 74- L f/` 4 /ran Approved per applicable codes. Corrections required prior to approval. 0 $58.00 REINSPECTION tE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Projet L k " Ti meen Type of I rne Address: Called Special Instructions: - Date Wanted / / �� a.m. P.m. Requester: Phone NO: 2-06 -So"--60A- /es INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #1 00, Tukwila, WA 98188 PER N • ... 4 4 . (206)431-367 Approved per applicable codes. ❑Corrections required prior to approval. COMMENTS: Inspector: ex-A— / i- G' ' ' rate 9—n-66 pi $58.00 REINSPECTION FEt REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: (Date: ( Project: c - • 9yrnt r , '»v 4PSie4NeP' Type of Inspection: /T /��. r �A Address: /2205 4 /2 405 Date Called: ' Special Instructions: Date Wanted: es— 3, -OC m. Requester: Phone No: a0s- 50 / - 8c/ y INSPECTION RECORD Retain a copy with rermit INSPECT! NO. CITE' OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206$31 -36 Approved per applicable codes. Corrections required prior to approval. CO ENTS: n $58.00 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: • 'Date: Project: tili Ale 26614 4s. Type of Inspection: : c 2 ,ehri fry l... Address: / 2-7- 6 5 9 7 4 LI 5 Date Called: Special Instructions: Date Wanted: F t– 2 5 - 0 G. Cazi P.m. Requester: Phone No: a0 6 501- 00( 4 1 INSPECTION RECORD Retain a copy with permit INSPECTI N NO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 R pproved per applicable codes. Corrections required prior to approval. CQ11 -ire) n $58.00 iNSPECTIOWFEE REQUIRED. Prior to inspection, fee must be I—I paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. 'Receipt No.: 'Date: - „....: „,„_„[;.:‘,, Project' of Inspection: k-, « '5 / 1-y1:7 } \.r " er Or Address: /Z7_05 474 C a Date Called: Special Instructions: Date Wanted: el-2A.----0‹ Requester: Phone No: INSPECTIO!! NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 COMMENTS: z.. Pay"- 4 lees A f�Jn J r ` A /, r."/ /# 7C 3 1 3 °Approved per applicable codes. Date: 7 0 $58.00 REINSPECTIOkFEE REQUIRED. Prior to inspection; fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: (Date: INSPECTION RECORD Retain a copy with permit (206)431 - 36 Corrections required prior to approval. / Project - ,cal Type of Inspection: So /, fa4> \ ` Address: Date Called Special Instructions: f // /J, ' yy� / h J Phone D ate Wanted: ...� � 6 P .m. q : a nester. No: i 1S INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 IV A pproved per applicable codes. Ei Corrections required prior to approval. COMMENTS: 1 re? COM ken 1.441 /c 4' wir $58. R r EINSPECTION' EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: INSPirCTION RECORD Retain a copy with permit PER N (206)431.3670' Project'_. O �' Type of Inspection: 9,9 / Addre Date Called: � S' Special Instructions: Date Want /y - Vi r'� 'C ' > a.m.` P.m. Requester: i Phone No: INSPE ON 0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit COMMENTS: 1') 1»4,4Jte- ae., 6- - 1) tc/ 9 4 4/4/ iecej 14.; ci s H, h ; at 9 l , L 2 _ Arai A t 64,, .,r &- r s 54'e` -V J Ito IOC 1' s/: . 1' rf,en 01 Inspector: ,Date u4, Corrections required prior to approval. 0 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. 'Receipt No.: Date: Project.... V av Type of Inspection: (97- ■C 274 C 14 failed: Address: / 24.05---c-n 4, Date Special Instructions: Date Wanted: 4 Requester: Phone No: INSPECTION RECORD Retain a copy with permit JNSPECF$CYI NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 COMMENTS: P 9 coArca 4 IOC 4 1 ,4 9 /1,1 1 - 4 Inspector: rate,: itt.4) Approved per applicable codes. Corrections required prior to approval. $58.00 REINSPECTIOH FEt REQ IRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedute reinspection. !Receipt No.: 'Date: Special Instructions: Date Calle • : Date Wanted' Requeste . Phone No: Inspect 206)431 -367 INSPECTION NO. COMMENTS: INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. Corrections required prior to approval. /t 4. s 6 (2, r 0- � 1 ?- C ' d Date Slid) D 558.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: Project. Li /iii • 7,0 Type of Inspection: / �rop/fr%, `., Address: i)IZD� -- `?746 Date Called: Special Instructions: Date Wanted: _— // CP. Requester: Phone No: INSPECTION RECORD L Retain a copy with permit INSPECTIO N O. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. COMMENTS: ylCorrections required prior to approval. e Y., 4_ Z�- i 0 — conitirheini hoc4.4 _ 4-i l hei , „t .4 2 3 x ct h.,,.,,,,L Date: $58.00 REINSPECTION FEE QUIRED. Prior to inspection, fee must be aid at 6300 Southcenter Blvd., Suite 100. Call to sechedute reinspection. (Receipt No.: vt M . (Date a.21 tc(O . P (206)431 -3 Projec Type of Inspection: Address: /2-2_05- 4 S. Date Ca ed: _ • Special Instructions: Date Wan, era. T) Vim. Requester: Phone No: IN NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 0 Approved per applicable codes. COMMENTS: NYC/ t Q �,eD ¢ /' -r' Q r' ,' r'e' 44P INSPECTION RECORD Retain a copy with permit gt Corrections required prior to approval. n $58. REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: (206)431 -367 Project: _day ,�� ..n.. Type of Inspection: • _ ..• ... ✓f Address /z2eat --y7 As S Da a Cal ed: • Special Instructioifts: — Date Wanted 6 r ti- -0 �a n p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. COMMENTS: 6" /7 - & c / Q __/ 'lib IDate ef •(�� 71 $58.00 R£INSPECTION *EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. (Receipt No.: I Date: 206)431 -361'0 Corrections required prior to approval. Proje „? Type of Inspection: 20 j Address: /2 -o ,7 4 ' Date Called: Date Wanted:_ Special Instru ns: Pa equester: Phone No: t INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 COMMENTS: 1, /.rd-c/Z° 40l nvl fCia 4' , — r )6 G 9 ` c rr re A_ !` —. // e < ft 4 .'S1 (206)431 -36 Approved per applicable codes. Corrections required prior to approval. $58.60 REINSPECTION FEE REQUIRED. Prior to inspection, fee mustbe paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. 'Receipt No.: Date: Pryoo ess?t:� Or inF.SO// /.?eS. Type of Inspection: fLh'L /A!G ‘a„ Address: /2.24.5 4 /7 4 e -S - Date Called: Special Instructions: Date Wanted: 06 tm ` O Requester: Phone No: EC7ON NO. INSPECTION RECORD Retain a copy with permit INSPE ON NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 /"o PE (200433 -3 proved per applicable codes. El Corrections required prior to approval. COMMENTS: $58.00 REINSPECTION F REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. 'Receipt No.: 'Date: Project: J . )t,'t 0*A..4,rt-, Type of Inspection: ■Ma kat v Cff Address: 1-- v ' 4 Date Called: Spec I Instructions: Date Wanted_ _ 2-5-a J ( Requester: Phone No: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 El Approved per applicable codes. COMMENTS: 54 -RY A 4 - ice a_. �i�r./� t s ' ShA/.../'P,./I 7 r S / /l�' Art c'71- i/H� _ A " /S.c ,drcG ri $ c. 00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: INSPECTION RECORD Retain a copy with permit ttRrv30 PER NR N Corrections required prior to approval. Project /n-, Type of Inspection: Cho? f ��� J. ~�� s Address: 1Z ?12s - 9 ,e, $' Date Called: Special Instructions: 'Date Wanted: 3 / %,3 -06 I % � P.m. Requester: Phone No: El Approved per applicable codes. INSPECTION RECORD Retain a copy with permit INSPE ION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ,I- -x.}38 j,/i Corrections required prior to approval. COMMENTS: A70 i f) P, -r y -, L 41441,4 r n $5 ' .00 REINSPECTION E REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. (Receipt No.: 'Date: Project.... of Inspection: Address: /2-2OS— 974-, C' Date Called: Special Instructions: Date Wanted: 7 � �7 2 �,,,� c.. p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit 038 PERMIT CITY OF TUKWILA BUILDING DIVISION j 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 COMMENTS: LIIS� Inspector�W .V. ILL.. Date: '"../3 /3/ El Approved per applicable codes. Corrections required prior to approval. 0 $58.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Project Type of Inspection: ° Address: /22os -20 4%). S Date Called: Special Instructions: Date Wanted: 'OA Requester: Phone No: INSPEC"AON NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 n Approved per applicable codes. gi Corrections required prior to approval. COMMENTS: 44 1, a . r, s fl ta'r s I; inc i fnelart. 4e #47/ A L - d,)-, �--- , ep 0 $59.00 REINSPECtION FEE REQUIRED. Prior to Inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. (Receipt No.: (Date: Project ! ) r �J, 1401 , Type of Inspection: �-/ 90/ }, /� C Vel t Addrje@ss: j / /2-zo s /!S� S Date Called: \.... Special Instructions: Date Wanted: 3 /3- (a.5 -p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. COMMENTS: . r ' S ,AS7 iN'SC T' / 1 73 2, -04°C G Corrections required prior to approval. ri $58.do REINSPECTI016 FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: Project: S'y►. Pi, s an Type of Inspection: 201 » ,a Address: 2 2A0 Date Called: .., Special Instructio Date W 6.4 equester -13 Phone No: INSPECTION NO. INSPECTION RECORD Retain a copy with permit ,071,038 PERMIT O CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 pC l Corrections required prior to approval. COMMENTS: 3 11 ofielcsie 74, 4 .06.--9 4--- rJ4V1 6f aF. e Zo v J /k ( # J it/tic 3/ *-E /Z be Fti9 L 1 teii Inspect I Date: tn / E Approved per applicable codes. $58.00 REINSPECT ON FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. (Receipt No.: Date: Project. —. �� Type of Inspection: f�r. /+ a Address t � y I �f co 00 y ate Called: Spe is t ru Ions: / i Date Wanted. / ,,/ J %g —a P.m. Requester: Phone No: J INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION. 6300 Southcenter Blvd., #1 00, Tukwila, WA 98188 pproved per applicable codes. Corrections required prior to approval. COMMENTS: $58.03REINSPECTION (fEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcent r Blvd., Suite 100. Call to sechedule reinspection. Project: t. 1 cJ i.ivne cik) Type of Inspection: f2 -as- ( 4, —147/r Address: 7 n ? VA/ Date Called: Spe Instructions: Date Wanted: it Requester: P 206 - Sad -- 80 / INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Ei Approved per applicable codes. INSPECTION RECORD Retain a copy with permit PER (206)431 -3670 Corrections required prior to approval. COMMENTS: ply ave tt bot_h3 Date. dt D .00 REINSPECTION FEE RE RED. r to inspection, fee must be aid at 6300 Southcenter Blvd., Suite 1 . Call to sechedule reinspection. 'Receipt No.: Date: All persons engaged in doing or causing work to be done are hereby ordered to forthwith STOP WORK, pertaining to construction, alterations or repairs on these premises. Chapter 16.04 Tukwila Municipal Code: Located at: / 2- 7,97 7 ,/ /,v ,(cep , VIOLATION: n mi/ 1:4 e4-Ir : � it Sr, 4nez , of/ R .so k- ' ..earc -- (rJ6 /0-0 "/Vc CORRECTIVE ACTION REQUIRED NOTICE & ORDER CITY OF TUKWILA DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 6300 Southcenter Blvd., Suite 100 Tukwila, Washington 98188 Tel: (206)431 -3670 Request for Action No. /J' Gi Apply for a building permit within 15 days of this notice. Remove illegal construction within 15 days of this notice & call for re- inspection. she Discontinue use of structure or portion thereof /Or, 4' Povrt I /v ia / / she l"ee Vacate building and secure against entry. A.M. / P.M. 4 32004 • BY L:. i/ 1�r I CODE 0 ICIAL DO NOT REMOVE THIS NOTICE. YY AR YING: 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 amonetary penalty of$100.00 for the first violation, $175.00 for a second violation of the same nature dr a continuing violation, and 5250.00 for a third or subsequent violation of the same nature or a continuing violation. Chapter 8.45, Tukwila Municipal Code All persons engaged in doing or causing work to be done are hereby ordered to forthwith STOP WORK, pertaining to construction, alterations or repairs on these premises. Chapter 16.04 Tukwila Municipal Code. Located at: VIOLATION: NOTICE & ORDER 7 CITY OF TUKWILA DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 6300 Southcenter Blvd., Suite 100 Tukwila, Washington 98188 Tel: (206)431 -3670 t Q 2, � �O / CORRECTIVE ACTION REQUIRED: 0 Apply for a building permit within 15 days of this notice. O 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 CODE OFFICIAL DO NOT REMOVE THIS NOTICE. Request for Action No. WARNING: 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, $175.00 for a second violation of the same nature or a continuing violation, and $250.00 for a third or subsequent violation of the same nature or a continuing violation. Chapter 8.45, Tukwila Municipal Code 07 -28 -2006 JOHNNY JIMERSON 12207 47 AV S TUKWILA WA 98188 RE: Permit No D06 -038 12205 47 AV S TUKW Dear Permit Holder: City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 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 fun( 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 09/09/2006, 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. D06 -038 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206-431-3665 ACTIVITY NUMBER: D06-038 DATE: 2 -6 -06 PROJECT NAME: JIMERSON RESIDENCE SITE ADDRESS: 12207 47 AV S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: 2 0 � • Bui 1 g Division Complete �,2 � ERMIT COORD COPY . PLAN REVIEW /ROUTING SLIP 5l� 2- -€ Fire Prevention Incomplete ❑ PlA nning Division Permit Coordinator ❑ Pu 1p Iic Works Structural A/A/ -off. DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 2-7-06 Not Applicable ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS RO9TING: Please Route „u,{ Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 3-7-06 Approved ❑ Approved with Conditions Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing sliv.doc 2-28-02 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 STATE OF WASHINGTON) ) ss. COUNTY OF KING ) AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION T r; in h J Cl \YNne'Ye17 [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. 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. 102 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. -' s N19 t der S F 0 Q rr \ i i � v v oTAR y 9 0 .' , P ,° yr 9 " , i5 0.* A. N. ../C WA ` � \? r \applications\B -2004 affidavit in lieu of contractor registration Signed and sworn to before me this Olh day of 1 � • in and for the State of Washin 1 County. 0 OE 4 NOTARY PUBL 4 �. s Residing at Name as commissio My commission expires: PERMIT NO.: 2 0 states as follows: 2006. 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 or 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 when performed by an owner or lessee; 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 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; 8. 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; 9. 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, 10. Any 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 lapplications18 -2004 affidavit in lieu of contractor registration contracts of amounts less than $500.00 for the purpose of the 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; 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; 12. An owner who contracts for a project with a registered owner; 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 his 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; 14. Owners of commercial properties who 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 as his sole compensation; 17. Contractors on highway projects who have been prequalified as required by chapter 13 of the Laws of 1961, RCW 47.28.070 with the department of transportation to perform highway construction, reconstruction, or maintenance work. x x x