HomeMy WebLinkAboutPermit D06-119 - Bernabel Residence - Garage DemolitionBABEL RESIDENCE
5021 S 124 ST
D06 -119
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0179002275
Address: 5021 S 124 ST TUKW
Suite No:
Tenant:
Name: BERNABEL RESIDENCE
Address: 5021 S 124 ST, TUKWILA WA
Owner:
Name: QUINN TYLER W & T C
Address: P O BOX 98130, DES MOINES WA
Contact Person:
Name: SIMON BERNABEL
Address: 2004 SW 152 ST, APT #2, BURIEN WA
Contractor:
Name: OWNER AFFIDAVIT - SIMON BERNABEL DIAZ
Address: ,
Contractor License No:
DESCRIPTION OF WORK:
DEMOLITION OF 576 SF DETACHED GARAGE
Value of Construction:
Type of Fire Protection:
Type of Construction:
Public Works Activities:
V -B
$1,500.00
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS• N
DEVELOPMENT PERMIT
Expiration Date:
Water Main Extension: Private: Public:
Water Meter: N
doc: Devperm
** Continued Next Page **
Permit Number: D06 -119
Issue Date: 04/07/2006
Permit Expires On: 10/04/2006
Phone:
Phone: 206 248 -8095
Phone:
Fees Collected: $115.00
Uniform Building Code Edition:
Occupancy per UBC: 0020
Fire Loop Hydrant: N Number: 0 Size (Inches): 0
Flood Control Zone:
Hauling: N Start Time: End Time:
Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation:
Moving Oversize Load: Start Time: End Time:
Sanitary Side Sewer:
Sewer Main Extension: Private: Public:
Storm Drainage:
Street Use: Profit: N Non - Profit: N
D06 -119 Printed: 04 -07 -2006
Print Name:
Tukwila City of
Permit Center Authorized Signature:
doc: Devperm
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Date: U'1l
I hereby certify that I have read and a ar fined this permit and know the same to be true and correct. 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 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.
0 1/07 7 ' /o6
Signature: Date:
Al2 vtc 8ernaloe.W
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 -119 Printed: 04 -07 -2006
Parcel No.: 0179002275
Address: 5021 S 124 ST TUKW
Suite No:
Tenant: BERNABEL RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
doe: Conditions
tukwila
City of
PERMIT CONDITIONS
**continued on next page"
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Permit Number: D06 -119
Status: ISSUED
Applied Date: 04/05/2006
Issue Date: 04/07/2006
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: 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.
5: 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.
006 -119 Printed: 04 -07 -2006
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws
regulating construction or the performance of work.
Signature:
Print Name:
doc: Conditions
City of Tukwila
Ate.)ct,ride1 ne /3e
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Date: SO 1- 706
D06 -119 Printed: 04-07 -2006
Company Name:
Mailing Address:
CITY OF TUKWILA
Community Development
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
\pennit4 phis tice china tpermit application (7 -7004)
Building Pemt o. Vt tY I q
Mechanical Permit No.
Public. Works Permit No.,
Project No. 1 0co
(Por owe nae 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**
King Co Assessor's Tax No.: f) 13-go r, z `z y- 5
Site Address: 27.1 5 / z y . S'T r i, ! a ! r In Suite Number: Floor:
Tenant Name:
Property Owners Name: S 1 nit) N Re CY7 a 1 e i
Mailing Address: Z D o y , S ' i e r 1, 52, i t i 3 tiA9- /To r i e t-t l n>,CJ 9R/ 4C
City State Zip
Page I
New Tenant:
❑ .... Yes
❑ ..No
Name: S brrt>' J> P 0-7 el b P / j Art— Telephone: (Z. O 2 -- she R 0 y
Mailing Address: tOOy St.t) //3 ,_ hrt� �! � � B
7 9 w-rU't ui 917/6(
City State Zip
E -Mail Address: Fax Number:
GENERAL CONTRACTOR INFORMATION'- (Mechanical Contractor information on back page)
Company Name:
Mailing Address:
State
City
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"
ARCHITECT OF RECORD -All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of
State
Zip
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
BUILDING PERMIT INFORMATIO - 206 -431 -3670:
Valuation of Project (contractors bid pric$ Sb n
Existing BSIding Valuation: $ �3� n t9 O
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑ ..Yes ❑ .. No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
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 It): Floor area of principal dwelling: Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑.. Sprinklers ❑..Automatic Fire Alarm ❑..None ❑ . 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.
\permits phu\cc chang>tpenne application (7 -2104)
Page 2
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
In Floor
2 Floor
3' Floor
Floors
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
BUILDING PERMIT INFORMATIO - 206 -431 -3670:
Valuation of Project (contractors bid pric$ Sb n
Existing BSIding Valuation: $ �3� n t9 O
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑ ..Yes ❑ .. No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
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 It): Floor area of principal dwelling: Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑.. Sprinklers ❑..Automatic Fire Alarm ❑..None ❑ . 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.
\permits phu\cc chang>tpenne application (7 -2104)
Page 2
PUBLIC WORKS PERMIT INFORMATION — 206 -433 -0179
Scope of Work (please provide detailed information):
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
0...Tukwila ❑... Water District #125
❑...Water Availability Provided
Call before you Dig: 1 800 - 424 - 5555
❑ .. Highline
❑ ...Renton
ewer 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.
Submitted with Application (mark boxes which apply):
❑...Civil Plans (Maximum Paper Size -22" x 34 ")
❑ ...Technical Information Report (Storm Drainage)
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s)
proposed Activities (mark boxes that apply):
❑...Right -of -way Use - Nonprofit for less than 72 hours
❑...Right -of -way Use - No Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way
Non Right -of -way
❑ ...Total Cut cubic yards ❑ .. Work in Flood Zone
❑...Total Fill cubic yards ❑ .. Storm Drainage
❑ ...Sanitary Side Sewer
❑...Cap or Remove Utilities
❑...Frontage Improvements
❑...Trafc Control
❑ ...Backflow Prevention - Fire Protection _
Irrigation
Domestic Water
❑...Permanent Water Meter Size...
❑ ...Temporary Water Meter Size ..
❑...Water Only Meter Size
❑ -.Sewer Main Extension Public
❑ ...Water Main Extension Public _
*rinks pW4ce changes \pennit application (7-2004)
SI
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
SI
Of
WOW
WO#
WO#
Private
Private
❑ .. Geotechnical Report ❑...Traffic Impact Analysis
❑ .. Maintenance Agreement(s) ❑...Hold Harmless
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
Page 3
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑...Deduct Water Meter Size
FINANCE INFORMATION
Fire Line Size at Property Line
❑...Water ❑...Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refun illin :
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
❑...Sewage Treatment
Day Telephone:
City
State
Zip
Day Telephone:
City State Zip
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace<100K BTU
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Fumace>100K BTU -
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
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
50 +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
MECHANICAL PERMIT INFO TION - 206- 431 -3670
Use: Residential: New .... ❑ Replacement ❑
Commercial: New .... ❑ Replacement ❑
Fuel Type: Electric ❑ Gas ....0 Other:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
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 **
Indicate type of mechanical work being installed and the quantity below:
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.
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 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once.
I HEREBY C
PENALTY OF
UILDING 0
S ignatur
Print Name:
Mailing Address:
TIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
URY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
I Date Application Accepted:
\permits plus\icc changes \ permit application (7.2000)
OR AUTHORIZED AGE
■e -entA)
8 ,.4,f P t
7
it
�e
0
Date Application Expires:
Page 4
Date: by -OS - bg
Day Telephone:
&tor t A gl6 6
City State Zip
Staff Initials:
Parcel No.: 0179002275
Address: 5021 S 124 ST TUKW
Suite No:
Applicant: BERNABEL RESIDENCE
Receipt No.: R06 -00477 Payment Amount: 75.00
Initials: JEM Payment Date: 04/07/2006 05:01 PM
User ID: 1165 Balance: $0.00
Payee: UNITED STATES POSTAL SERVICE
TRANSACTION LIST:
Type Method Description
Amount
ACCOUNT ITEM LIST:
Description
Current Pmts
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Payment Check 84940842 75.00
BUILDING - NONRES
PHOTOCOPIES /DUP SERVICES
PLAN CHECK - NONRES
STATE BUILDING SURCHARGE
000/322.100
000/341.690
000/345.830
000/386.904
RECEIPT
Account Code
Permit Number: D06 -119
Status: APPROVED
Applied Date: 04/05/2006
Issue Date:
66.80
.28
3.42
4.50
Total: 75.00
4416 04/11 9710 TOTAL
75-00
Printed: 04 -07 -2006
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0179002275 Permit Number: D06-119
Address: 5021 S 124 ST TUKW Status: PENDING
Suite No: Applied Date: 04/05/2006
Applicant: BERNABEL RESIDENCE Issue Date:
Receipt No.: R06 -00453 Payment Amount: 40.00
Initials: NM Payment Date: 04/05/2006 10:14 AM
User ID: 1165 Balance: $74.72
Payee: SIMON BERNABEL
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 40.00
PLAN CHECK - NONRES
RECEIPT
Account Code Current Pmts
000/345.830 40.00
Total: 40.00
4221 04/05 9716 TOTAL 40.00
Printed: 04 -05 -2006
1 ` ect:
Inc RkAf
� •
Type of Inspection:
`riJq(
Add ess:
'5a zt S
P.M
s+
Date Called:
a,
Special Instructions:
Date Warted:
- a
cap
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
..WApproved per applicable codes.
(Receipt No.:
poC9-1
Corrections required prior to approval.
COMMENTS:
CO Per » :1 oavtn.e 1F Ft k/ vet I
Date:
M c.a./L/0-
58.00 REIN PE TION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedute reinspection.
Date:
Project:
t ,�
Type Inspection: titan", reit—t
Addressso 1
4` ,, ?y iv
Datesalled:
Special Instructions:
/
Date ann
5 " 1 ( 1 7`
a.m.
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 (206)431.
PERMIT NO.
Approved per applicable codes. Corrections required prior to approval.
C O MENTS:
•
$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:
MM.. p ac nf 7 '
Typeol" DVSAekil�G
Date Called: d
Address:
5Q 1 / 5
lays - /
Special Instructions:
Date Wanted:
5 — o6 ;
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431-
Approved per applicable codes. DI Corrections required prior to approval.
COMMENTS:
or:
Ott# le
8.00 REINSPECTIOI FEE REQUIRf,O. Prior to inspection, fee must be
aid at 6300 Southce er Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
'Date:
DEPARTMENTS:
AWL' 4'-M 4
Bantling Division L�SI
Public Works
WIA M. HIS, 4
Comments:
Documents/routing slip.doc
2 -28-02
'PERMIT COORD COPY �.
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D06 -119 DATE: 04 -05 -06
PROJECT NAME: BERNABBEL RESIDENCE
SITE ADDRESS: 5021 S 124 ST
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Issued
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete 1M Incomplete
TUES/THURS ROUTING:
Please Route IlYf Structural Review Required
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS:
511 J%_ 4-40 -
Fire Prevention g
❑ Permit Coordinator
DUE DATE: 04 -06 -06
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
No further Review Required
DATE:
DUE DATE: 05-04-06
Not Approved (attach comments) n
DATE:
13 44 t 4-0e
Planning Division
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
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. 7 0i 0 DiM of approve! ' : c.:: I conditions Is a**wk� _ 11 al
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Date: 01 07Y/06
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