HomeMy WebLinkAboutPermit D06-187 - Nguyen Residence - Shop DemolitionNGUYEN RESIDENCE
12055 44 AV S
EXPIRED
D06 -187
City of rikwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 3347400420
Address: 12055 44 AV S TUKW
Suite No:
Tenant:
Name: NGUYEN RESIDENCE
Address: 12055 44 AV S, TUKW ILA WA
Owner:
Name: JENNE RAYMOND W
Address: 12055 44TH AVE S, SEATTLE WA
Contact Person:
Name: THANH D. NGUYEN
Address 12055 44 AV S, TUKW ILA WA
Contractor:
Name: OWNER AFFIDAVIT ON FILE
Address:
Contractor License No:
DESCRIPTION OF WORK:
DEMOLISH 1020 SF STORAGE /SHOP
Value of Construction: $5,000.00
Type of Fire Protection:
Type of Construction:
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:
N
N
Water Main Extension:
Water Meter: N
doc: Devperm
DEVELOPMENT PERMIT
Permit Number: D06 -187
Issue Date: 07/14/2006
Permit Expires On: 01/10/2007
Expiration Date:
Phone:
Phone: 206 334 -4546
Phone:
Fees Collected:
Uniform Building Code Edition:
Occupancy per UBC:
Number: 0 Size (Inches): 0
Start Time: End Time:
Volumes: Cut 0 c.y. Fill 0 c.y.
Start Time: End Time:
Private: Public:
Profit: N Non - Profit: N
Private: Public:
** Continued Next Page "
$231.84
D06 -187 Printed: 07 -14 -2006
City of 1`Gkwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Permit Center Authorized Signature:
A.Gc -e-e Date: O7(7V
I hereby certify that I have read and examined 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.
Signature:
Date: 1 / ti d 4 -
Print Name: en-/A NF-/ 7 AT N 's =/v
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: Devperm
D06 -187 Printed: 07 -14 -2006
City of Tt►tewila
Parcel No.: 3347400420
Address: 12055 44 AV S TUKW
Suite No:
Tenant: NGUYEN RESIDENCE
doc: Conditions
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.uv
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
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.
* *continued on next page **
Steven M tit, Mayor
Steve Lancaster, Director
Permit Number D06-187
Status: ISSUED
Applied Date: 05/23/2006
Issue Date: 07/14/2006
D06 -187 Printed: 07 -14 -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:
City of T ewila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: ri.tukwila.wa.us
(t" ?nit
Print Name: I-1-dg N l ,< ,) 1 4 No- "/C
doc: Conditions
Steven M. Asset, Mayor
Steve Lancaster, Director
Date: 7
y
0
D06 -187 Printed: 07 -14 -2006
I.:
CITY OF TUKWILA
Community Developme J lepartment
Public Works Deparime»
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
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**
410 LOCATION _ -
Site Address: /2OSri LI LI TH AVh
Tenant Name: 77fA -VN N IJ&UYFN
Property Owners Name: I2.OSS L/ 1.1 rtt S/l
Mailing Address: / 20 .�S L4 t l TH Ai/C ''O .
Name: 7IfA- -U H i> . PJ& U
E-Mail Address: ,(!!)
Company Name:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
A)15A -U
Q:UppaWiouworm.- Applieetiom On LineV -2006 - Pemit AppbWion.doc
Revised: 4-2006
bb
King Co Assessor's Tax No.: 33 L( 740 Oil 20
Suite Number: Floor:
City
New Tenant: ❑ .... Yes Q ;.No
LA1A
State
gR17SZ
Zip
Day Telephone: 9 or, SS I 7 46 'A
Mailing Address: / 2 O C S 1.1 U r" AVE CO . TW K IA J i (H la) /1 . C i c 1 7$
City State Zip
Fax Number: Ai n
'GENERAL, CONTRACTOR INFORMATION -
(Contractor information for Mechanical (pg4) tor and Gas Piping (pg 5)
Mailing Address:
City
Day Telephone:
Fax Number:
State
Contractor Registration Number: Expiration Date:
- ARORITECT,OF"RECORD - Alt plans must be wet stamped by Architect of Record "
Company Name:
Mailing Address:
Zip
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
State
City
Day Telephone:
Fax Number:
Zip
Page l of 6
�
*Valuation of Project (contractor's bid price): $ eigating Building Valuation: $
.Scope of Work (please provide detailed information):
7 FM, as /.3 sr, g /s 4. -,i
Will there be new rack storage? ❑ ..Yes ❑ .. No (If yes, a separate permit and plan submittal will be required)
ovide = Alt Building Areas in Square Footage Bei
1 "Floor
2
r Floor
doors:
esemetit .
1lceesso, Structure* : ° ..
A
hed'Garage
Detached Garage
Attached. Carport
Detached Carport
Covered Deck ; ..
Uncovered Deck
Existing
0
emodel
.Ad to
Existing
Striieture
T of
Construction
p r IBC �
Type of
OccUpancy
ffiC per
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 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 0 ..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.
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.
Q:Wppliuuonswomu- Applications On Linsv -2006 - Permit Appnc.eon.doc
Revised: 4-2006
bb
Page 2 of 6
Fixtare Type:
Qty
Fixture Type:
Qty
Fixtu 'Type:
Qty '
Fixture Type:
Qty
Bathtub or combination
bath/shower
Drinking fountain water
cooler (per head)
W � ountain
/
Gas piping outlets
Bidet
Food -waste grinder,
commercial
,,' eceptor, indirect
waste
Clothes washer, domestic
Floor drain
Sinks
Dental unit, cuspidor
Shower, single head trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
/
Water Closet
Building sewer or trailer
park sewer
Rain water system — pe %
drain (inside buildin:,
, Water heater and/or
nt
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Repair or alteratio .efwater
piping and/or w " treating
equipment
R• •iroralteration
of • 'nage or vent
pipin:
Medical gas piping system
serving one to five
inlets/outlets for specific
gas
Additio medical gas
inlets/ r ' tlets — six or more
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
state Zip
City
Day Telephone:
Fax Number:
Contractor Registration Number: Expiration Date:
Contact Person:
E -Mail Address:
Valuation of Project (co ctor's bid price): $
Scope of Work (please provi detailed information):
Indicate type of plumbing fixtures and/or gas`Qiping outlets being installed and, e quantity below:
QMppl ice tion,WFarne- Applications On Lea: V -2006 - Permit Appllotion.doc
Revised'. 4-2006
bh
Page 5 of 6
PERMIT APPLICATION NOTE • Applicable to all permits in this ap
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 PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORI)D AGENT:
i
signature: a N 'd ' m/
Print Name: THM'/N b A/GU' /FA
Mailing Address: /20CC 1 14 7 " AVE S't7
Date Application Expires:
Z3 -oly
Date Application Accepted:
•
5
Q1 AppticatiauWorms- Applieetione On Line 3 -2006 • Permit Applicationdoc
Revised: 42006
bh
rut IA11 LA
City
Date: r- 19- aG
Day Telephone:
State Zip
Staff]gitials:
Page 6 of 6
i
City of Ttkwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 3347400420
Address: 12055 44 AV S TUKW
Suite No:
Applicant: NGUYEN RESIDENCE
Receipt No.: R06 -01040 Payment Amount: 142.28
Initials: LAW Payment Date: 07/14/2006 11:22 AM
User ID: 1630 Balance: 50.00
Payee: THANGH NGUYEN
TRANSACTION LIST:
Type Method Description
Amount
Payment Cash 142.28
ACCOUNT ITEM LIST:
Description
Current Pmts
BUILDING - NONRES
STATE BUILDING SURCHARGE
RECEIPT
Account Code
000/322.100 137.78
000/386.904 4.50
Permit Number: D06 -187
Status: APPROVED
Applied Date: 05/23/2006
Issue Date:
Total: 142.28
7389 07/14 9716 TOTAL 142.78
doc: Receipt Printed: 07 -14 -2006
Parcel No.:
Address:
Suite No:
Applicant:
Receipt No.:
Initials:
User ID:
Payee:
ACCOUNT ITEM UST:
Description
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
3347400420
12055 44 AV S TUKW
NGUYEN RESIDENCE
R06 -00709
BLH
ADMIN
THANH D. NGUYEN
TRANSACTION LIST:
Type Method
Payment Check
PLAN CHECK - NONRES
Description
1149
Account Code
000/345.830
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
Payment Amount: 89.56
Payment Date: 05/23/2006 08:40 AM
Balance: $142.28
Amount
89.56
Current Pmts
89.56
Total: 89.56
D06 -187
PENDING
05/23/2006
5729 05/23 9716 TOTAL 613.89
doc: Receipt Printed: 05-23 -2006
12 -06 -2006
THANH D. NGUYEN
12055 44 AV S
TUKWILA WA 98188
RE: Permit No. D06 -187
12055 44 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:
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last jnspection; 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 01/10/2007, 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:
Call the City of Tukwila Inspection Request Line at 206-431-2451 to schedule for the next or final inspection.
shall,
ician
Permit File No. 006 -187
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 -431 -3665
DEPARTMENTS:
St0 6
Buildln Divlis on
Pt �blic� �Works
IJk�h�t itifk 5—z '-o
Complete
Comments:
APPROVALS OR CORRECTIONS:
Approved ❑
Notation:
REVIEWER'S INITIALS:
Documents/routing slip.doc
2 -28-02
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D06 -187 DATE: 05 -23 -06
PROJECT NAME: NGUYEN DEMOLITION
SITE ADDRESS: 12055 44 AV S
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete
TUES/THURS ROUT NG:
Please Route Structural Review Required
REVIEWER'S INITIALS:
Approved with Conditions
6
Plann Div
Permit Coordinator
DUE DATE: 05-25-06
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: 06-22-06
Not Approved (attach comments) ❑
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
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
-73/#4 N r
[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. /3 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.
\applications\8 -2004 affidavit in lieu of contractor registration
/V C vy' 6/ ✓, states as follows:
PERMIT NO.: .[ .C7(Q — /8 7
ti
APPLICANT
Signed and sworn to before me this
day of .114y 2006 .
NOTARY PUBLIC in and for thepotate of Washington,
Residing at /6 /13 County.
Name as commissioned: Alice A. De a C y
My commission expires: 6-/6-08
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
\applications\8 -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. My 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;
13. 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 ; dry: - highway , projects who have been
prequalified as required by Ehapter 13 of the Laws
of 1961, RCVV 47.28 070 with the department of
transportation to perform highway construction,
reconstruction, or maintenance work.
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. REEIVED
.. CITY OF TUKIA/ILA
MAY 2t'3-20N
PERMITCENTF-h
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