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