HomeMy WebLinkAboutPermit D08-501 - CITY OF TUKWILA - WAY BACK INN - STORM ENTRYWAY BACK INN
14688 MACADAM RD S
EXPIRED
OS -24 -09
D08 -501
Parcel No.: 7661600270
Address: 14688 MACADAM RD S TUKW
Suite No:
Cityef Tukwila
Tenant:
Name: WAY BACK INN
Address: 14688 MACADAM RD S , TUKWILA WA
Owner:
Name: TUKWILA CITY OF
Address: 6200 SOUTHCENTER BLVD , TUKWILA WA 98188
Phone:
Contact Person:
Name: VERN FRANCIS
Address: 2524 JONES AV NE , RENTON WA 98056
Phone: 425 228 -0211
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Contractor:
Name: OWNER AFFIDAVIT - DOROTHY FRANCIS
Address:
Phone:
Contractor License No:
DESCRIPTION OF WORK:
CONSTRUCT STORM ENTRY ON EXISTING PORCH
doc: IBC -10/06
DEVELOPMENT PERMIT
* *continued on next page **
Permit Number: D08 - 501
Issue Date: 11/25/2008
Permit Expires On: 05/24/2009
Expiration Date:
Value of Construction: $500.00 Fees Collected: $34.50
Type of Fire Protection: International Building Code Edition: 2006
Type of Construction: VB Occupancy per IBC: 0022
D08 - 501 Printed: 11 -25 -2008
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant:
Flood Control Zone:
Hauling:
Land Altering:
Landscape Irrigation:
Moving Oversize Load:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
Permit Center Authorized Signature
I hereby certify that I have read an ex
governing this work will be compli _ d wit
The granting of rmit does not p
construction the pe ormance of work.
Signature:
Print Name:
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: http: / /www.ci.tukwila.wa.us
N
N
N
s e to gi a authority to violate or cancel the provisions of any other state or local laws regulating
au • tized to sign and obtain this development permit.
'G >
1/77A/ 7
Number: 0
Start Time:
Volumes: Cut
Start Time:
Private:
Profit: N
Private:
0 c.y.
Date:
Permit Number:
Issue Date:
Permit Expires On:
Size (Inches): 0
End Time:
Fill 0 c.y.
End Time:
Public:
Non - Profit: N
Public:
Date: 1 1[142
D08 -501
11/25/2008
05/24/2009
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
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.
doc: IBC -10/06 D08 -501 Printed: 11 -25 -2008
Parcel No.: 7661600270
Address: 14688 MACADAM RD S TUKW
Suite No:
Tenant: WAY BACK INN
1: ** *BUILDING DEPARTMENT CONDITIONS * **
6: All wood to remain in placed concrete shall be treated wood.
doc: Cond -10/06
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: http://www.ci.tukwila.wa.us
PERMIT CONDITIONS
•
Permit Number: D08 -501
Status: ISSUED
Applied Date: 11/25/2008
Issue Date: 11/25/2008
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.
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: 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.
9: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila
Permit Center.
10: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206 - 431 - 3670).
11: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
* *continued on next page **
D08 -501 Printed: 11 -25 -2008
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
•
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and 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.
doc: Cond -10/06
Date: //
008 -501 Printed: 11 -25 -2008
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila. Iva. us
Tenant Name: &JAY &A j.) AJ
Property Owners Name: C (7 y p F Ti- /64 / £4
Mailing Address: /. (1) (,c) j C "Z
Vag /kJ n A
Mailing Address: 2 - 2 - `/
Name:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
kSA
Contact Person:
E -Mail Address:
Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Building Permit No.
Mechanical Permit No.
Plumbing/Gas Permit No.
Public Works Permit No.
Project No.
(For office use only)
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
SITE LOCATION
,,�� // King Co Assessor's Tax No.:
Site Address: . ' {' !►/l - C Ar DIVA< S E. ✓, Suite Number: Floor:
A 12)x/
City
City
New Tenant:
- n>>v W,4
State
State
State
Yes
wA-c
state
CONTACT PERSON - who do we contact when your permit is ready to be Issued
Day Telephone: (`'/Lr) 2-a 0z 1
❑..No
rgo
Zip
Zip
E -Mail Address: »C tS it G cov(4C45 °r, A.07- Fax Number:
GENERAL CONTRACTOR INFORMATION
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Zip
City
Day Telephone:
Fax Number:
Expiration Date:
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
Zip
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
State
Zip
City
Day Telephone:
Fax Number:
Page 1 of 6
BUILDING PERMIT INFORMATION - 206 - 431 -3670
Valuation of Project (contractor's bid price): $ goo.
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑ Yes
Q. Applications\Forms- Applications On Line13 -2006 - Permit Application. doc
Revised. 9 -2006
bh
s7)1 .jc-r SIT) A. r rrty orc) c:.7(cS1
Existing Building Valuation: $
o If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
I :t Floor
2° Floor
3 Floor
Floors
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
Interior Remodel
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 all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ Yes ❑ No If "yes ", explain:
FIRE PROTECTION /HAZARDOUS MATERIALS:
• S It,•o VG! 0l/hu.n
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None (specify)' etrtca b - T ,,,,�,, ;y \,. `
Will there be storage or use of flammable, combustible or hazardous materials in the building? (((( ❑ Yes ❑ No
If 'yes', attach list of materials and storage locations on a separate 8 -1/2 "x 11" paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
Page 2 of 6
Date Application Accepted:
PERMIT APPLICATION NOTES — Applicable to all permits in this application
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
Building and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
Plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition).
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PE,JURY BY THE AWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING WNER OR AUTH
Signature:
Print Name: Vcn�Awc (5 ( 6 eipAlk V�( s+tia) Telephone:
Mailing Address: 2 2 tl > Aoe (V fr G
Date Application Expires:
Q: Wpplications\Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
City
Date: l' I'
State Zip
Staff Initials:
/`
Page 6 of 6
Project name (..0 1'01.4
Address 1,44p$R 1ZD '
Description of work Co6.1
Related reference number
2. Minimum plan and/or specification requirement:
Site plan Floor plan
Authorization by,
TBD36/96 -form 12
•
City Of Tukwila
Permit Center
6300 Southcenter Boulevard, Suite, 100
Tukwila, WA 98188
(206 431 -3670)
•
ALTERNATE PLAN SUBMITTAL AUTHORIZATION
FOR LIMITED SCOPE OF WORK
I.B.C.& I.R.C. Section 104.1
Elevations Foundation
3. Other special instructions: 6ntxtvenotI
Application # tO
The above project permit applicant, due to the limited scope of work is authorized to submit reduced
plan requirements described below.
1. Complete permit application required: (Note, all application must include; 1) property assessor
number, 2) copy of contractors license or completed owner waiver form.)
Building Mechanical Other C c 5 t 7Cr,
Cross sections Roof plan W.S.E.C. Compliance Narrative
Structural calculations (stamped by Washington State licensed engineer )
Specific required information ` d.lA Li4q use, / Nszsb. Ltksr,
Date t � QS
(Authorization void 30 days a r the ate issued.)
Parcel No.: 7661600270
Address: 14688 MACADAM RD S TUKW
Suite No:
Applicant: WAY BACK INN
Receipt No.: R08 -03820
Payee: VERN FRANCIS
ACCOUNT ITEM LIST:
Description
BUILDING - RES
STATE BUILDING SURCHARGE
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http:/lwww.ci.tukwila.wa.us
Payment Cash 34.50
TRANSACTION LIST:
Type Method Descriptio Amount
RECEIPT
Initials: JEM Payment Date: 11/25/2008 10:20 AM
User ID: 1165 Balance: $0.00
Account Code Current Pmts
000/322.100 30.00
000/386.904 4.50
Total: $34.50
Permit Number: D08 - 501
Status: APPROVED
Applied Date: 11/25/2008
Issue Date:
Payment Amount: $34.50
9919 11/25 9707 TOTAL 34.50
doc: Receiot -06 Printed: 11 -25 -2008
Hartnet Manor Entry Way Modification
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Remove wall between
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Remove existing door
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04 -02 -2009
VERN FRANCIS
2524 JONES AV NE
RENTON WA 98056
RE: Permit No. D08 -501
14688 MACADAM RD S TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a fmal 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 fmal 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 05/24/2009 , your permit will become null and
void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
— Ipt.
Bill Rambo
Permit Technician
xc: Permit File No. D08 -501
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
•
CITY OF TUKWILA
Department of Community Development
630o Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -3670 FAX (206) 431 -3665
E - mail: tukplanPci.tukwila.wa.us
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON)
COUNTY OF KING )
ss.
Permit Center /Building Division
206 431 -3670
Public Works Department
206 433 - 0 1 79
Planning Division
206 431 -3670
PERMIT NO: 1) 0 Q — I
, 4 /?// f 4 y remy ci/s , states as follows:
[please print]
1. I have made application for a 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 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 permit to be exempt under No. L3 , and
will therefore not be performed by a registered contractor.
5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to
persons making electrical installations on their own property or to regularly employed employees
working on the premises of their employer. The proposed electrical work is not for the
construction of a new building for rent, sale or lease.
I understand that I may be waiving certain rights that I might otherwise have undej.tate law in any
decision to engage an unregistered contractor to perf. -- . onstruction work
0" r • Owner's Agent
Signed and sworn to before me this
12� day of �l/f/a, ", , 20
,etii/Dck
_/
I
NOTAR BLIC in and for the State of Washington
Residing at tm l
, County
Name as commissioned: 1/f. S ?CO ck
My commission expires: ) 0 I 11 l l
18.27.090 Exemptions. The registration provisions of this
1. An authorized representative of the United States
government, the state of Washington, or any
incorporated city, town, county, township, irrigation
district, reclamation district, or other municipal or
political corporation or subdivision of this state;
2. Officers of a court when they are acting within the
scope of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their
own business;
4. Any construction, repair, or operation incidental to
the discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground
mine or mineral deposit when performed by an owner
or lessee;
5. The sale of any finished products, materials, or
articles of merchandise that are not fabricated into and
do not become a part of a structure under the common
law of fixtures;
6. Any construction, alteration, improvement, or repair
of personal property performed by the registered or
legal owner, or by a mobile /manufactured home retail
dealer or manufacturer licensed under chapter 46.70
RCW who shall warranty service and repairs under
chapter 46.7a RCW;
7. Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site
or reservation under the legal jurisdiction of the federal
government;
8. Any person who only furnished materials, supplies,
or equipment without fabricating them into, or
consuming them in the performance of, the work of the
contractor;
9. Any work or operation on one undertaking or project
by one or more contracts, the aggregate contract price
of which for labor and materials and all other items is
less than five hundred dollars, such work or operations
being considered as of a casual, minor, or
inconsequential nature. The exemption prescribed in
this subsection does not apply in any instance wherein
the work or construction is only a part of a larger or
major operation, whether undertaken by the same or a
different contractor, or in which a division of the
operation is made into contracts of amounts less than
five hundred dollars for the purpose of evasion of this
chapter or otherwise. The exemption prescribed in this
subsection does not apply to a person who advertises or
puts out any sign or card or other device which might
indicate to the public that he or she is a contractor, or
that he or she is qualified to engage in the business of
contractor;
10. Any construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts or
reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or poultry
chapter do not apply to:
raising; or to clearing or other work upon land in rural
districts for fire prevention purposes; except when any
of the above work is performed by a registered
contractor;
ii. An owner who contracts for a project with a
registered contractor, except that this exemption shall
not deprive the owner of the protections of this chapter
against registered and unregistered contractors. The
exemption prescribed in this subsection does not apply
to a person who performs the activities of a contractor
for the purpose of leasing or selling improved property
he or she has owned for less than twelve months;
12. Any person working on his or her own property,
whether occupied by him or her or not, and any person
working on his or her personal residence, whether
owned by him or her or not but this exemption shall not
apply to any person who performs the activities of a
contractor on his or her own property for the purpose of
selling, demolishing, or leasing the property;
13. An owner who performs maintenance, repair, and
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
14. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of
the state of Washington or licensed by a political
subdivision 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 person certified is operating within the scope
of his or her certification;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an
employee with wages as his or her sole compensation;
16. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. A mobile /manufactured home dealer or
manufacturer who subcontracts the installation, set -up,
or repair work to actively registered contractors. This
exemption only applies to the installation, set -up, or
repair of the mobile /manufactured liom that were
manufactured or sold by.the Mobile/manufactured
home dealer or manufacturer;
18. An entity who holds a valid electrical contractor's
license under chapter 19.28 RCW that employs a
certified journeyman electrician, a certified residential
specialty electrician, or an electrical trainee meeting the
requirements of chapter 19.28 RCW to to perform
plumbing work that is incidentally, directly, and
immediately appropriate to the like -in -kind
replacement of a household appliance or other small
household utilization equipment that requires limited
electric power and limited waste and /or water
connections. An electrical trainee must be supervised by
a certified electrician while performing plumbing work.