HomeMy WebLinkAboutPermit B93-0129 - NICHOLAS RESIDENCE - GARAGE,gll
1'
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2Ly.pf 7itkwiths
(206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
BUILDING PERMIT
Permit No: B93 -0129
Type: B -BUILD
Category: ASFR
Address: 4253 S 158 ST
Location:
Parcel #: 810860 -0522
Zoning: R1.72
Type Const: V -N
Gas /Elec:
Wetlands: A.
Water: HIGHLINE
Contractor License No.: GARAGEI081B7
TENANT
OWNER
CONTRACTOR
CONTACT
NICHOLAS DUANE
4253 S 158 ST, SEATTLE WA: t- 981,8,
NICHOLAS DUANE
4253 S 158 ST.' SEATTLE WA •, 98188
GARAGES ET,C, ;:INC
11721 MERID-I "AN #'161, '. PUYALLUP, WA 98373:
DEBBIEF IA'RBURGER,
1172,1MERI,DIAN `.. #1'61, P, +UYALLUP 'WA- 98373°'
Status: ISSUED
Issued: 05/26/1993
Expires: 11/22/1993
Type of Occupancy: PRIVATE GARAGE
Slopes: Y
Sewer: VAL VUE
Phone:
Phone:
one:
Phone;
206 431 -0401.
206 431 -0401
206 539 -7010
206 539 -1010
* * * * * * * * *** *z ** e************.*"* * * * **k * * * **•k* * * ** * ** a *'k ** ** *** *,**** * * ** * **
Permit Descr fption.
CONSLTRUCT,:''DETACHED GARAGE "672,• SQUARE FEET.
Units. 0�'s0,1 >'r
Bui1din'15, Oo].,,
Fire Prd;'tection:.N(A
UBC Edition 1991
* * *
Fr.o,nt:
i
SETBACKS'.
Back:
Right:
FF
., J -Valuation .. 1 L, 0t 0 64
�
; Tota Permit Fee; :y124ct27
25
* * * *• /c4 ;44i 4 * *..*** * * * * **'4-* *!k ** * * * * * * * *' **** * *44 **
* **
Permit Ce,pter SAthori ' ed Signature
I hereby' ,c'e�rtl,fy '���tha.t I have read andlexamin'ed• th.spermit and know° the
same to be atrue a,nd correct. All provis4onsof,...law' and. ordinances
governingis ~Work will be complied with, whether specified here.h or not
t
.,, ,„
The granting o`f thi's..:;�,p.erm
. it does not presume'' to give au,th`orit f to violate
or cancel the rovis'io,r s o-f`"-any other state or ,,local laws re.gUl.ating
construction or She performance �of,,WorkE. }�.�,1=;am authorized to 'sign for and
obtain this, bu1iding per t.
Signature': ___._
Print Name _j3g.4g C,"G +!Z tit
This permit shall become null 'and void"'lf' "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 lest inspection.
CITY OF TUKWILI
Department of Coliknunity Development - Permit Cent
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Building Permit Application Tracking
PLAN CHECK
NUMBER
6q3 -o ►aq
PROJECT NAME
N I
uo.r1-
SITE ADDRESS
X BUILDING -
initial review
SUITE NO.
4II'a /93 R.
(ROUTED)
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in writing by staff so
that the status of the project may be ascertained at any time.
• Plan corrections shall be completed and approved prior to sending to the next department.
• Any conditions or requirements for the permit shall be noted in the Sierra system or summarized
concisely in the form of a formal letter or memo, which will be attached to the permit.
O Please fill out your section of the tracking chart completely. Where information requested is not
applicable, so note by using "N /A ", date and initial.
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to review the project.
DEPARTMENT
DATE IN
DATE
APPROVED:
REQUIREMENTS / CC)MMENTS
CONSULTANT: Date Sent - Date Approved —
X BUILDING -
initial review
' l�
4II'a /93 R.
(ROUTED)
5.6-5—
i FIRE
4/14/33g.
its- Qy
FIRE PROTECTION: (J Sprinklers
(J Detectors N/A
6/.c., INSPECTOR:
FIRE DEPT. LETTER DATED:
INIT: 4e
3RD NOTIFICATION
PLANNING
1 `J }�
��2<j - }� :�
ZONING: �� .'�. BAR/LAND USE CONDITIONS? Yes ' Na
REFERENCE FILE NOS.:
%
INIT, /2 fir
MINIMUM SETBACKS: N- -301 S- j E- ' W-
PUBLIC
WORKS
7`3
193
UTILITY PERMITS REQUIRED? es No
PUBLIC WORKS LETTER DATED: /� /�3
INIT: ,!i"
/
OOTHER
1
INIT:
g BUILDING -
final review
5/ •
TYPE OF CONSTRUCTION:
ON
CERT. OF OCCUPANCY?
QYes (�?f�No
�"�
UBC EDITION (year):
199 1
INIT. .'
0 BUILDINGa51�i3
OFFICIAL
.
INIT: :.. -
REVIEW COMPLETED
AMOUNT
OWING:
44 1-5960
CONTACTED
D-Q-Uove_
DATE NOTIFIED
5.6-5—
BY: ,.-�Q
(init.) �.�Q�
2nd NOTIFICATION
'
BY:
(init.)
3RD NOTIFICATION
•
BY:
01/06/93
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
BUILDIF PERMIT
APPLICATION
DESCRIPTION
;`AMOUNT':"
RCP. T<<#
!:,DATE
PLAN CHECK
NUMBER
BUILDING' PERMIT FEE <.
PLAN :CHECK. FEE
BUILDING SURCHARGE
OTHER: < >'
SITE ADDRESS SUITE #
'3:3 `1) ( I K7d _P 6 R
VALUE OF CONSTRUCTION - $
. ROJECT NAME/TENANT
CA, ) t_.,- iCq(.
C.)
ADDRESS!_IQc-7 ) b)nLut ri 1 ed"1,
ASSESSOR ACCOUNT #
CII< I0C�(p`Csa_ -C
(commercial) U Demolition (building)
0 Other
.
TYPE OF iVe :uiiding • Addition
WORK: 0 Rack Storage 0 Reroof
• Tenant Improvement
0 Remodel (residential)
c. r .` .
C_OA s
DESCRIBE WORK TO BE DONE:
_ . 0 _,
BUILDING USE (office, warehouse, etc.)
G> *C f (.,
'lC
ADDRESSII ~%.? 1 • 1,Cd I (6;,( 6
NATUFIE OF BUSINESS'
WILL THERE BE A CHA E IN USE? (g-IVo 0 Yes If Yes, new building requirements may need to be met. Please explain:
SQUARE FOOTAGE - Building: ( n 7 -) t1. / Tenant Space: Area of Construction:
WILLMIERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
ib 0 Yes IF YES, EXPLAIN:
PROPERTY OWNER i�
PHONE 2
ADDRESS!_IQc-7 ) b)nLut ri 1 ed"1,
'CP_L th
cr
PHONE5 3C/
ZIPC/G f g
,...m/(,)
Zi g
CONTRACTOR t , — c
ADDRESSII ~%.? 1 • 1,Cd I (6;,( 6
I (l7 ( -
( )•
WA. ST. CONTRACTOR S LICENSE #
�� C) � 1
EXP. DATE ) . % 9
PHONE
ARCHITECT
ADDRESS
ZIP
1; HEREBY ;CERTIFY: THAT 1 HAVE RE:'i
BE TRUEAND C.O.RRECT AND I AM
BUILDING OWNER
OR
AUTHORIZED
AGENT
CONTACT PERSON
D ;EXAMINED_T.
BRED .1 O AP.,PL
SIG N�.� l�
PRIN- NAME Jt.Q �l 'i /� �LL
ADDRt
i P _. £ Cur iac.I
PLICATION AND KNOW .THE ;SAME TO
;THIS> PERMIT .
/I
101
DATE I 1 a
PHONE3C /n /C.�
CITM• Fu
PHONE a Q p q 9 73
APPLICATION SUBMITTAL In order to ensure that your ap• ication is accepted for plan review, please make sure to fill out the
application completely and follow the plan submittal checklist on the reverse side of this form. Handouts are available at
the Building counter which provide more detailed inforrnation on application and plan submittal requirements.
Application and plans must be complete in order to be accepted for plan review.
VALUATION OF CONSTRUCTION Valuation for new construction and additions are calculated by the Department of
Community Development prior to application submittal. Contact the Permit Coordinator at 431 -3670 prior to submitting
application. In all cases, a valuation amount should be entered by the applicant. This figure will be reviewed and Is
subject to possible revision by the Building Division to comply with current fee schedules.
BUILDING OWNER / AUTHORIZED AGENT If the applicant is other than the owner, registered architect/engineer, or contractor
licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this
permit application and obtain the permit will be required as part of this submittal.
EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of application shall
expire by limitations. The building official may extend the time for action by the applicant for a period not exceeding 180
days upon written request by the applicant as defined in Section 304(d) of the Uniform Building Code (current edition).
No application shall be extended more than once.
If you have any questions about our process or plan submittal requirements, please
contact the Department of Community Development Building Division at 431 -3670.
DATE APPLICATION ACCEPTED
'-4 halq3
DATE APPLICATION EXPIRES
CCs .t
97/16491
COMMERCIAL
NEW COMMERCIAL BUILDINGS/ADDITIONS ..
SUBMITTAL CHECKLIST
.1 [Com Plated building permit application (one for each structure)
Assosscie Account Number
: "1: •:
twci•gaii:(2) of the, followin6: : ...................
, • .„,'", : .
. • . • . • . • . .• • .. . • • • • •• . • „••• •.•. "..
. . .
Structural calculations stamped by"4•WaShIngtort State :licensed
[] Solis report stamped by.aWaShingtOr Statel licensed englneer
Topographical survey . • :::• „
• •. . •
:Energy calculations stamped by a Washington State Iicensed
engineer or architect
Legal description :•... "..: : : „:• •„":.
Fl Working drawings, stamped by a Washington State licensed •:••
t I architect, which include: • • • „
fl
• Architectural drawings ::.•
• Structural drawings •
• Mechanical drawings ••• l• :
• Civil drawings
• Landscape plan
Completed utility permit application (one. fer.ertire
1 Six (6) sets of civil drawings . •
NOTE: See utility permit application and checklist for specilic:IUtilitY,
submittal requirements.
, ..
.'•
• • - • '• • • : •
•
Completod building permit application
7 -Entire space where racks will be located •'.
• Exit doors
• Dimensions of all aisles
Tenant space floor plan showing rack storage layout; al03s•!3110.:•:::::
exits. ; •-•
NOTE:. include dimensions ol racks (height, :width and length),:aisles
and exit ways on plan.
:Structural calculations stamped by a Washington State licensed:'...;:.
• engineer (rack storage:(Kand over).
.i.-ANTENNA/SATEL.L11,T.
..•:. . .
. . . .
Assossor Account Number
".• Twa (2) sets 01 plans, whlch Include.
Site Plan (showing building and location 0! antenna/satelHte dis
Dotalis antenaJsateJJIte dish and method of attachment
I I
1 Structural calculations stamped by a Washington Stato licensed
engineor may be requlrod
Legal doscription
r—' Assessor Account
..................
• n . ,
• Site plan p!an, show ciosest hydrant Iocazlon.
• Foundation : plan ylIdIng,- showing
• Floor plan Width and lerigth'61.
• Building etevations (alt views)
• :Structural framing plans
Washington State F.nergy Codo data
CPriiplOied utility permit application
Six (6) sots of . Site plans :sboWing: utilities
plan and Utility.siteplan may be comb!ned. Soe
;:. utillty permit application :iandblieek4! (or apocific submittal roqulrernents.
Additional . ;•
topographical and'seilsiriforMetiOMaybeirequIredtfVITI7:::
site Coniiition
• • .... . .. „ ...
'...'" — :•:'
:.:.: ..' .1..;. .. :'.: .; ..:::• ..:.:::'::,.'',l.:'.:. :.'I , .. :: - RESIDENTIAL - '' . . '- . ' ' ... ,.,..• ,:„.....,,'.,.I . ., .
.:, .:,. ., -:.:•:..,s.,.:.,, ...'' .... ....:..,.:•..,i;.',,. :.....i, ...::j.,:...:.:',:...,..::.. '......:,.,...-:...:i.....::'-..:,..:..........::...i:':,..:':.::L:.: .,:1."' .:::]!;.‘.:„.....'.:..:::•'....:.;.-..::„,',::.,...,•s'.....:.,...'.:•.::,'"•.......::..:::.::.::.'.:....:.."::..;,:.•,.:..:,•,,:,,.,:,:"•.-•.:J:•:,:•::...::,.•.:•,.:.:. •,.7,;'.•; •':•..:.,..:.:•!.-,..;;•:.:,:..,.::.:-:...., :•:.::,•!: :...:,:,::...„',.',,.-:,...::,.:...:,:...:.-.,:,..,,..:.....,,:,;,...,„:,- .."...,,. • •..:..,":.i•...,....:.
.:.::..•...,,..:...•.::.•REMODELS
Completed ,buildin
g
' :.,:,...•.•Q ,.:::,,•.::".,, :..:
•::..,.:'..:.:.,y..,„....•..':.7-,'• :,,:. . : .......,....::,.•• ..::..pormit 7..:::,.,.::,,::..•.::'.:...7.,'..-::......:''......,•....'.,''..':?•.-.,i,..',,'...•........:'::',::,••i.
7.."'.,:,,:..:..:'.:.:::i':;:::'.•::•.:,.":.:::„• .':. ,;:'.i.::‘'.b:..'...:...,:..,...:,:::": ...-..:., .i..."'.,....•...:.:-:.',•:.'. .;:..
:•..::'::c::..:''.::..:..::•'.,:=1..::..:,:::,.i'•::i1::,:.::..'s:...''::..•..,;..,..::,r...::..:.,::::' ,...:•:•,:..:
,:.,,:::,•.,:,:.::.. ...,:..i,:;
',.-.;..•;',::.:],', 7.,.i...:',.;.:......:i..i::,..::::.' .,..':...: .n:.:::.•..:..,. .::;.,-..f..,;::.;.' ....:...f ;: ..:, „..:',:. .. -iJ: .,•::'i:.••..-.:.. :::..
•L.:......,:- ... „. ' ::.:..,:.:1:•;•-.::-,... :°.:..• .' ":..:
• .. :-.'::-:.. ' ! ..'.,L..:::I..-.— .'...''{ .„l,..-.,..':, ...... ...,'...
:, ...r.. ,
i,.,
(0;'..'P,' :.
P
Assessor :.kcco4r
which include:
• Site plan
,:oou904!FkiiPlan
.:446f;PICr
:;3iilC°g:ele■ali"!;(611,m.9rs
Building cross-section
• plans
00it;:/t?nkpt■! 'ii'd66°,t°1. .:i:.•
i::• .f' '.'..l"., • Y"...':,. ” .'1• .
1. '.-. i.. .-. 4....,.'?:.-,':- . , .. .. . :. 7.11.:1 t•
•.::::•:::.::a.:..7.:- '..::-::::':..P•;;..;:;. 4.• hc'
::i:•••
i..a::....:••::.:",t..:..'fi. ..
g........' - r ii:P/a7thctbe'qqp71tfP!
!ROOFS:
:09pfl6iiei!idii6pp,,,it applicatlon
Ai5e5r5"oiht: NOM;ii
existing •:ip„.04!0.,f1.beiiO and
certiflcatiop
. .:Iii of O1feriit
.-.,.„.,
,.. '
..'.' :
for eaphiptructIP.e.
• .• • •
City of Tukwila
Department of Public Works
John W. Rants, Mayor
M E M O R A N D U M
NOTIFICATION OF UTILITY PERMIT ACTION
TO: PERMIT CENTER
FROM: PUBLIC WORKS ENGINEERING DIVISION
DATE: MAY 20, 1993
Ross A. Earnst, P. E., Director
SUBJECT: UTILITY PERMIT AVAILABILITY /REQUIREMENTS
Nicholas SFR Garage
4253 South 158th Street
Project No. P93 -0058
Activity No. PW93-0083
Contact Person: Debbie Marburger
Telephone No.: (206) 539 -1010
THE FOLLOWING PUBLIC WORKS PERMIT IS AVAILABLE FOR ISSUANCE ACCORDING TO THE PLAN.
APPROVED ON May 20, 1993:
Storm Drainage
Two copies of the confirmed Utility Permit. Application Form and approved site
plan have been included in the permit files.
JP /cd
cf: City Utilities Inspector (w /copy of plan /application)
Development file (w /copy of.plan /application)_
ad.d25.nicholaa.upa
6300 Southcenter Boulevard, Suite #1100. • Tukwila, Washington 98188.
Phone: (206) 433.0179 • Fax (206) 431.3665
STORM DRAINAGE
Permit No: PW93 -0083
Status: ISSUED
,• Project: NICHOLAS GARAGE
Site Address: 4253 S 158 ST
Location: SW CORNER OF PARCEL
Parcel #: 810860 -0522
Wetlands:
Sewer: VAL VUE
Contractor License No.: GARAGEI081B7
OWNER NICHOLAS DUANE A +TEUj3ER =`1
Y :��• n'�.,_ �,...� . °sue,
4253 S 158TH, S E A•T�i` •ff 's l A• 8`1"T 8 " ` -�'
CONTRACTOR GARAGES ETC, I. ,0 �`�'�f ' `r ,A ;; W +„ °,
11721 MERICG3,;'AN #1611,1 F1UYALLUP, W,A' +98373 °
CONTACT MARBURGER�,,,,��B`BIE. , 4;s�.�° 1
11721 ME I_47 IAN,EY ; 31,61;N PUYALLUP 98.3}73 r',
k•k•h *•k*•kh•k* * * * *•k * *I ° *kkk* *k kkk•kK,k.3k *'ki kkkk*.**;*'
Issued: 05/26/1993
Approval Letter: 05/20/1993
Expires: 11/22/1993
Watercourse:
Slopes: Y
Water: HIGHLINE
'6.:0:ne • 206 539 -7010
Phori" ,; , G 20'6) 539 -1010
****.#49441(k41**********
'•``S7k N
e N
Additional
Perm % eF
t pt tion ,..Q
DETACHED GARAGE, � ,
Existing Squar0Feet :
New SquArtr Feet :
936 hfl
i'67
Inspect�i,op F,a,e,•'" ';15.00 r;'- Acct'= No 412/•3,4,2 400
�, `' 5.830
Plan Ch;pyck Fee:); 1°0..,.p0 lf Acct `NeY,000 /1
TOTAL FEE sC' 25'.'00 n..... l..,
t.,t S , "' `
King Count Valua:.t „i.on �t _� ,; ..;, Ii ,. /� �:.
r Va1•U.e. o�f,,Construct'ion't .00
SSEr s' � ��, , ^t�
*k * * * * *** * *�1*.kik ** *• ,:• kk• k,• k** 444 * * * *•k4V *•k.•kk*'►��k�kk k * " *k * * **** *kk *, *k *k * * *** **
I hereby aocept:$his,'permi�t-'and a'gr,e�e��`to'al= i.i:,ae al,l� "ppplicab1e sect,ion5 of the
City of Tu Y4r�rFi 1a Munia� {ipa i (34e,j4uWe agree a ,it; :he..,City of T'uk;w'i1a, stij 1 be
held harmle,ac3 tor a,l1 ;'or any claims arist,.pg �, p�
o k i' as a re.:,.r.l t of .this r;,o ji} ,a .
Permits whicch� ha, ..e "lapsed beyond the expiratiotj date s�ia11 )require a P wir
1
re -app 1 i cat' o`r\ apd4; `'e i 6 nuance of the er�m:i t.':t1 r' �.g C "y
` p ,o u ii' t ii e fit a,tr,7 a n a;d` i t i o n a 1
fee. ; , ', "; ;;� ,� ' eJ ! °' t t;:'..,. . � c. ;.;,,... x ,. r.
THE APPLICAN ST N TIFY',THE CITY IN:�PECTt�'R'44OF dp M�dNCEME ,T AND Cr't7 L 0
` � Q ,. � �.,. ��:. M ,� N ,�.,lr:. �� M P E T I N
OF,WOORKgAT LEAs X24 I-l111 ,R,. r�Ng ADVANCE. ” "TO SCHEDULE •AN INS,P,ECTION6,,CALL
Addi tionalr
,1/ 4 .
Signature: __ �U- e.c =;•• , . �.;,, l ..0 v�.._,�
k * * * * *•k * *•k * *•k * * *•k * **461€44p* * ** * ** * ** * l*' Mt�k•t, *.,* * *'** ***•k * *'k * * ** *.*4* ** *4** * * ** *k *•k **
APPROVED FOR SSUANCE'�61!t:~ �; .,. E, .,
Issued By: _ IZl,.�'_2.7 .e, _'%,SoF!',,. - -- ,:�.D4 , ._ , /. k 3 •
Authorized Per m•,i t Center i.^gn:atifv.e ..... --
************ k*****: k*********** k*• k**: k***);• k* k•*• k**' k* * ** * * **•k*** **** * * *** * * * * * *•k **
I hereby certify that the permit holder whose name'and address appears on:
this record has satisfactorily met the standards • and conditions for the
project approved herein.
Final Inspection,Approved:
Inspector Signature Date
Date:
City of Tiz( vita
Central Permit System - Engineering Division
6300 Southcenter Blvd., Suite #100, Tukwila, WA 98188 /7193 -ova Phone: (206) 433 -0179
Appl � ` on #
�� .p93 -- 00.58
UTILITY PERMIT APPLICATION
PROJECT
INFORMATIOR
Property Owner:
Street Address:
Engineer:
Street Address:
Contractor:
Street Address:
Site Address:
Name of Project:
3
/1/ics,'a24S S.cR C4RA94
QEJ1/4) i/ " /Y /e:1/04.4S
�'3 L • #4-4747-
/t/a/r/ "
q A. 4.4 y4 ; .S 'TG - / ..711/G.
/ r./? /.0 /AM
Phone No.:
Cit /State /ZI :
Phone No.:
City /State/Zip:
Phone No.:
Cit /State/Zip:
• 3/ - 0101
3339 -- 7ora
Y444 /P 'B 3
King Cty Assessor Acct #:
PERMIT
REQUESTED
/O64'0 – DS12 Contractor's License #:
❑ Cl annelization /Striping /Signing
❑ Curb Cut/Access /Sidewalk
❑ Fire Loop /Hydr. (main to vault) – No.: Sizes_
❑ Flood Zone Control
.07%3 ❑ Hauling
❑ Land Altering cubic yards
❑ Landscape Irrigation
❑ Moving an Oversized Load
Est. start/end times'
Date:
❑ Sanitary Side Sewer – No.:
T,g4 ..Z'aVo7 Exp. Date:
❑ Sewer Main Extension ❑ Private ❑ Public
AC Storm Drainage
❑ Street Use
❑ Water Main Extension ❑Private ❑ Public
❑ Water Meter / Exempt: – No.: — Sizes*
Deduct ❑ Water Only ❑
❑ Water Meter / Permanent – No.' — Sizes•
❑ Water Meter/ Temporary:– No.: Sizes•
Estimated quantity:
Schedule:
❑ Other:
:WATER; :METEI
D E P;O S.I.TI
'REFUND /BILII
MONTHL' :1
.::, .: .............. .::.
::SERVICE;::
BILL1f�IGS' >TO: = >_ <' >' <' Street Address:
Name:
Street Address:
Name:
Phone No.:
City /State/Zip:
Phone No.:
City /State/Zip:
❑ Water ❑ Sewer
DESCRIPTION OF PROJECT::
❑ Multi•le -Famil Dwellin•
No. of Units:
❑ Metro
❑ Commercial/industrial
❑ Hotel
❑ Motel
❑ Office
❑ Retail
❑ Standby
❑ Single - Family Residential
❑ Du • lex ❑ A • artments
Other: 01,e44E"
❑ Triplex
❑ Warehouse
❑ Manufacturing
❑ Condominiums
❑ Church
❑ Hospital
❑ School /College /University
❑ Other:
M {SCELIANEOUS`' .j New Building ❑ Remodel/ Square footage of original building space:
F
lUTATIOfJ<> S uare
ootage• 17..E Addition
IN OR Square footage of additional building space:
King County Assessor's valuation of existing structures: $ Valuation of work to be done: $
LHEREBY CERTIFY THAT I HAVE READ THIS APPL:ICATiDN ANDKNOW THE,SAME TQ BESTROE AND CORK. ECT :<
Applicant /Authorized
A.: i.n. r --
Contact Person
. 1• 1: • it _ 10 ..x: ■ '
Print Name:
Address: //'2/ /y.4p//1 /,QA/ ..4"." 4" /L f
Date:
Phone:
•
dP/ 9973 Phoneme
0/O
Date Application Accepted:
Date Application Expires:
,_
04/22/92
SUBMITTAL CHLKLIST
All site plans shall be provided in one submittal for review by the Public
Works Department. Six (6) sets of plans stamped by a licensed engineer
are required along with this application completed and signed by the
applicant's representative.
The following information is necessary for Public Works Department
evaluation and approval of site plans:
• All utility construction is to meet the City of Tukwila Standards
• Indicate scale of drawing and show north arrow
• Identify location by address or distance to nearest intersection
• Identify public right -of -way and any easements
• Use standard 24'. x 36' sheets for all site plans
CURB CUT /ACCESS /SIDEWALK /
CHANNELIZATION /STRIPING /SIGNING
O Dimensions
O Type•of surfacing - asphalt, crushed rock, etc.(and thickness)
O Percent of slope and runoff direction
O Size of ourb cuts / locations
O Vehicular and pedestrian traffic facilities, including signing and
striping, wheel chair ramps, Curb cuts
O 20' of paving on all gravel driveways connecting to paved roads
FIRE LOOP /HYDRANT
O Type of pipe / hydrant
O Size of pipe/location
U Location and type of all valves
O Type of bedding and backfill material / percent compaction
O Distance from structures, storm and sewer facilities
O Location and size of thrust blocking
FLOOD ZONE CONTROL (Requirements are under Flood Ord.
No. 1462 and can be obtained from the Public Works Dept.)
O Lowest finished floor elevation
O Contours and elevations per National Geodetic Vertical Datum
LAND ALTERING (CLEARING, CUT AND FILL)
O Contour map (2' Intervals) showing existing and proposed contours
O Estimate of yardage, both cut and fill
O Erosion control plan with temporary and permanent measures
HAULING
O Quantities of materials to be hauled to and/or from site
O Copy of Certificate of insurance coverage (minimum $1,000,000)
O $2,000 bond made out to the City of Tukwila for property damages
caused by activities
O Route map
LANDSCAPE IRRIGATION
U Location of DSHS approved double check valve
O Type of pipe - copper, high density molecular plastic, ductile
O Size and depth of pipe
O Size of meter and meter box
0 Location and elevation of meter box (water meter - permanent and
exempt). Clearly show whether tap is on main or domestic service
O Location and type of tap
O Type of bedding and backfill material / percent compaction
MOVING AN OVERSIZED LOAD
O Copy of Certificate of insurance coverage (minimum $1,000,000)
O $5,000 bond made out to the City of Tukwila for property damages
caused by activities ,
O Business License with City of Tukwila
O Route map
O Dimensions (L X W X H) of overall Toad
SANITARY Sit. SEWER
O Type of pipe - concrete, PVC, etc.
O Size of pipe/location
O Percent of slope on pipe/length of run
O Connection point(s) to existing system
O Location of cleanout(s) and test Tec(s)
O Type of bedding and backfill material /percent compaction
O Invert elevations at structures and junctions
SEWER MAIN EXTENSION
O Type of pipe - concrete, PVC, etc.
O Size of pipe/location
O Percent of slope on pipe/length of run
O Connection points) to existing system
O Location of cleanouts and manholes
O Type of bedding and backfill material /percent compaction
STORM DRAINAGE (include existing topography and proposed
grading and surfacing)
O Type of pipe = concrete, ADS; etc.
O Size' of pipe / location •
O Percent of slope on pipe /.length,of run
O Location of all structures
O Square footage of area to be drained, including roof area
O Type of bedding and backfill material / percent compaction
O Invert or flow line elevations
STREET USE
0 Complete description of proposed activity
O Map with address and outline of limits of activity relative to public
right -of -way and easements
O Proposed traffic control/detour (per Manual of Uniform Traffic
Control Devices)
O Proposed schedule (times and dates)
WATER MAIN EXTENSION
O Type of pipe — copper, PVC, etc.
O Size of pipe / location
O Hydrant types and locations
O Valve types and locations
O Connection point(s) to existing system
O Type of connection - live tap, tee, etc.
O Location and size of thrust blocking
O Size and location of mains, including elevations (profile)
WATER METER - EXEMPT
O Diagram of domestic system/tie in of exempt meter
O Number /account for existing domestic meter
O Size and type of material of meter, service and meter box
O Site address
WATER METER - PERMANENT
O Type of pipe - copper, high density molecular plastic, ductile
O Size and depth of pipe
O Size of meter and meter box
O Location and elevation of meter box (water meter - permanent and
exempt)
O Location and type of tap
O Type of bedding and backfill materials /percent compaction
WATER METER - TEMPORARY
O Address and hydrant location
O Size of meter
O Estimate of quantity and schedule
•
Atter the Public Works Departmentmpleted their review and the plans are approved, the applicant will be notified
by letter concerning the necessary permits and requirements; an approved set of plans will accompany the letter.
I/ the plans are not approved, the applicant will be notified by letter of necessary resubmittal requirements.
*'********"******** �k. yh**h**********.*.*** *.k * *Ak * * * ** * * * * *A * *:* * * * * * *k **
CITY OF T,t1KWI.LA, NA TRANSMIT,
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`TRANSMIT . Number» , 93000448'Ampunt» 87.7.5 04; /i2/ /i 4kn
permit .Na 89370129 `Type: H BUID .UILDINGPRMIT
Par�ce1 No: ` 81080- ;0522
Site Addres ;''. 4253 :.5 1:58 ST': •
aymer%i Method: CHECK Natation: GARAGES .ETC, INC. Irtit4 :.SLB
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Account' Code. De r i pt i on f'a i d
,000,/345 »830.:.
'PLAN :. GH CK: ~ RES 57.75
Total (This Payment) » 87.75..
GENERA 87.75
TOTAL . 87 ..75
CHECI( 87.75
CHANGE 0,00.
9727A000 15.0,E
'Total Fees:: 227.25'
Tutal , All Paymer%ta» 87x75
8 a'1 once 139.50 .., .
*k* k***: k*** k** * *. * * * * * *,tiekk *•k * * **** *•kk* ***k*** ** *khkk ** k*k * * *k* **
CITY OF TUKWILAy.. Wq TRANSMIT
• * ** * ** ** * * *'rit ** *4{ * k4**** ***** k*************** /��{r *�h /�k�k�** * *h ***,** **** ..
TRANSMIT:Number�a 930.00663 Amount: 1.32 5O 0,5/2b/93 03:45
Permit No• 09370129 Type: 0 RUXI D BUILDING PERMIT
Parcel No: -81,0860-0522 05/.26/93
Site Addre s: 4253 9 158 Si
Payment Method: CHECK Natation: garages 'etc Initr, DLM
***** * *** * *** *ie * * * ** *:k* * * * * ** r * * * * *k ** * * ** *k. * * * *:k * ** * * *k *kk;. * **
Account: Code Description r Paid
000%322.100. BUILDXNG''w RE5 135.00
000/306.90 8'iA1E HUILDINO SURCHARGE 4.50
Total .(This Payment). 13q.50
GENERA 135.00
GENERA. .4.50
TOTAbH.. 139.50
. CHEC#( •139.50
CHANGE 0.00
•1015A000
* * ** ** * *, * ** k 'i *v k* * * * ** *' ** * ** * ** * **_* * * * * ** k * * * * ** * **k *'*** * * * * • •
:CITY, 'O ..TUKWILA, WA * b * *1 R N m.IT
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TRANSMIT; Nl umber: :'93000664 AmauntC.`: 25.;00: 05/26/33 :'•08 :48
•:'Per•mit,`No: PW93:w0083 Type: PW.�i3D STOCUM '•OR iINASE '•;; • • Parcel Naa ,S1.0866-05,12 05/26/.93.
Site Addr'esrx•.42'33 �a,. :1.58.,,.ST
L;acat'i ori: SW: CORNER : OF `PARCEL. `
Payment Method :: CASH N.otation:.gara9:es, :etc.: ,In1t: DLM : ::
* * *. ** * * * *, *, *'****'***,******* *' * * • * * *4 * ** *, * * * * ** * * * * * * * ** ** 4: * ** * * * * * *' •
Account • Code Description . paid
;000/3:45.834, PLAN :.CHECK ... ..0iIi»ITY 10.40 .:
• 4.12/3'42.400 INS(' .FEE w :STORM DRAIN `. : 15.00
Total (This :;,PRymarit) 25.40
GENERA
GENERA .
TOTAL.
CASH
CHANGE
1016A000
10.00
15. 00,
25..00.
25.00
0.00
15:02,
Tate 1. p. es:
Totu1 Al 1
•
8 1 anre,G.
CITY OF TUKWILA
Address: 4253 S 158 ST
Permit No: B93 -0129
Tenant: NICHOLAS DUANE Status: ISSUED
Type: B -BUILD Applied: 04/12/1993
Parcel #: 810860 -0522 Issued: 05/26/1993
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Permit Conditions:
1. Limit acitivity to wittlln :;Q,w�
sui It :fence to cons} al a d ime rtitation.
possible after f,j.x1 J readin.g.t
No changes will b:e� made., t nth
Tukwila Builds° i g' '`givif'ai"c►t1
3. Electrical mit,:,.sh{aL1 be.
„eKteri or. . Use
eeta.te as soon as
p l altA alt u n 1 e s s a p proverd by the
T� l�A.X fl i kl �r
�S ,aN•%J'LI try '�'� ``��' '�3.
btained through- the Westit0g,ton
State Div/iAt n of GLabor.''and x,Isn'd'ustrkTes a yd arl.l �`e,1}ectrl;Ca;l
.work w 1 ;,be lflspec,ted by'`.that agency (248'416,657) `', .
4. All pet nisi s, 'nspectloni records, and approvedi'.�plans.1shall be
ma i nta d 4 v i ' ab 1 e at the , Jb) site r for to the start ofzi,`
any :constr,uc,�t ion. �,i� These. „ \tdocu rents ,ar'e to be maih,ta ±n d �
avai rle' ' ti l final s ect'e,on a roval is
5. Not i1ty't ;ey,,Cri�ty'`of Tukwila Bujr d'1ngw.,,.D,ivision prior to W�d�
p l a rl =” g any concrete . ' -Th•i. p'E� cediu e�' is in addition' to .:any
• r e q r, e m arre>+�e Or r s p �c;i-a -1� ,1 n siS,e e t i o n'�s ,7' .,��)�,• "�..,. firs <��"s'�`.,
Eng1i eyed truss drawings and c. ;41,cu' �ations.�... ha11 be on site
,an Ivai 1a,k1le t :,the;•`buki Odin i rsp�e'dto y,for inspection
pu ses:� , Docurents� sh;a 11 *lb ar the' serail an i s 1 gnatur{e 0'1'4'4 �
Wa rtgtop; State Pf of, s1ona�k, Eng ne r`.,. nit,,, ,,,a;
7.. Al 1 nnei uct 'ton tro'be, done din "'cconf�or�mance.rNwl th approved
i It;;r{; � 'W lie, � Yr n
p1a and r quirementc o tt e Unlfo m Bu:ilding Code .(�19 1A"
Ed i • rr) 2 s amended by . the Wash i; g' on,4Sta°,ir.e ,B.uri i d i ng4 Co
,Un,i _ er~ nifca1. Code :(1991 Ed1t :o` )�,A; °and Was ing onr,
Ener Cod e ( X94 Second- Editi on)
.
Va.l i o
q R rmilt The issuance o a ,R rinfi,,t 9r..a, ipr o a;,
to <• ,r,
:plans., , pec1f tea tions'and comput.a i ,s a 1 . nclt, be :con -
strued a be ' a perm''1tt :for,_ or a ti pprb 41,, .0,4hy vial at'.i
of ''any off. the p,e '.i,s'i o��, of this, code or of many o . ° '
ord /nano `f the ' urisd�i tjon. No .perrnit,presumih to
.
authority �. iolai e or `canoel t:h.e0pro't/isions af, thl
shall be v
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206) 431 -3670
ro m'
Type of Inspe «ion;
/
Ad re
S. /5
57-
sl a : :.;
'2
-'2
1.5
Special nstructions:
Date Wanted.
. - tl
0..m.
Requester:
Phone No.;
i f —
/ 9!
(Approved per applicable codes.
❑ Corrections required prior to approval.
COMMENTS:
I Inspector:
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
.) INSPECTION RECORD 0
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 ,.-- �'� (206) 431 -3670
Pr o �/
r t�v
S U� fi
Type o nspe
n:
re1O/
5-3 Z
158 ST
Date Called:
Special Instructions:
Yy
Date Want
:
�
�.
r
--
M
,)
am.
Requester:
�../
-e ;
Phone No.:
.i
^,
/ 2
❑ Approved per applicable codes. „Igi, Corrections required prior to approval.
COMMENTS: 1) / //C.-4_ 44 5.
s
2--) /4-4-7 40 A-- 4t /S heed'
(4.,/ M p
frx,t.ef fi
�l es C-(0( *.A2h/ 44- 7cA I7 e�L7'~
3) A d
4 64 /-
'13/-3677g e t,//2.7
❑ $30.o0.REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
Receipt No.:
INSPE C INSPECTION RECORD' C-
o. a copy with permit
CTION NO. .
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
(206) 431 -3670
ro
Nie.hla. , Duane
ype o nspect n:
PUJD
1nu..l
Address: L 0 S3 6 tSJ
5a.
Date Called:
Special Instructions:
`` oy fv\ Dr ut f) PI0I3 -
Date Wanted:
am. .m.:
Requester:
Phone No.:
Approved per applicable codes.
COMMENTS:
❑ Corrections required prior to approval.
: Vf'' IL
❑ $30.00 REIN ECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.`,
Lea* No.:
Date:
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
G3
D-9
PERMrr N0.
(206) 431 -3670
:et:
II I.A.; .. a• I. .i
-3
Type of Ins.: ►... n:.
•arm
4•
t
..t
i
Sp
nstructions:
Date Wanted
---
Requester:
Phone o. :''"
Approved per applicable codes.
COMMENTS:
0 Corrections required prior to approval.
Ar.L'
CJ $30.00 REINSPECTIO �EE REQUIRED.. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd,, Suite 100. Call to schedule reinspection.
•
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SEPARATE PERMIT
REQUIRED FOR:
D y ECHANICAL
D ELECTRI
CAL
0 PLUMBING
D GAS PIPING
CITY OF TUKWILA
i3U1LD!NG DIVISION
1 understand that to Pia it
subject to error
plans does not autbor9.ze thlo
Waked coda or orOinarµoo. Receipt of, contractor'
OpY taf approved 9ed
.�
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0 16 THS INCH 1 2 3 4 _ 5 6 7 8
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APR t2 1993
PERMIT CliNTR
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