HomeMy WebLinkAboutPermit MI02-088 - DOAK HOMES - GARAGE DEMOLITIONDOAK HOMES LOT 3
12212 43 AV S
M102-088
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0179000240
Address:
Suite No:
12212 43 AV S TUKW
MISCELLANEOUS PERMIT
Permit Number:
Issue Date:
Permit Expires On:
MI02 -088
05/27/2003
11/23/2003
Tenant:
Name: DOAK HOMES, INC.
Address: 12212 43 AV 5, TUKWILA, WA
Owner:
Name: KIRKPATRICK
Address: 12212 43RD AVE S, SEATTLE WA
Contact Parson:
Name: DARRYL DOAK SR
Address: 11917 4 AV SW, SEATTLE, WA
Contractor:
Name: DOAK HOMES INC,
Address: 11917 4TH AVENUE S.W., SEATTLE, WA
Contractor License No: DOAKHI'092NZ
Phone:
Phone: 208 248.8687
Phone: 208 2468587
Expiration Date :08/01/2003
DESCRIPTION OF WORK:
DEMO EXISTING GARAGE AND CONCRETE SLAB (500 SF EACH) ON LOTS 4 & 6
PUBLIC WORK ACTIVITIES INCLUDE: CAPPING OF EXISTING SANITARY SIDE SEWER AND WATER SERVICE AT
PROPERTY LINE, EROSION AND SEDIMENT CONTROL
Value of Construction: $1,000.00
Type of Fire Protection: N/A
Type of Construction:
Fees Collected:
Uniform Building Code Edition:
Occupancy per UBC:
$71.60
1997
0017
Public Works Activities:
Curb Cut/Access /Sldewalk/CSS: N
Fire Loop Hydrant: N
Flood Control Zone: N
Hauling: N
Land Altering: N
Landscape Irrigation: N
Moving Oversize Load: N
Sanitary Side Sewer: Y
Sewer Main Extension: N
Storm Drainage: N
Street Use: N
Water Main Extension: N
Water Meter:
Channelization / Striping:
Number: 0
Size (Inches): 0
Start Time; End Time:
Volumes: Cut 0 c,y. Fill 0 c,y.
Start Time: End Time:
Private: Public:
Private:
** Continued Next Page **
Public:
doc: Miscperm
M102.088
Printed: 05.27.2003
City of Tukwila
Department of Community Development / 6300 Southcenter SL, Suite 100 / Tukwila, WA 98188 / (206) 431.3670
Permit Center Authorized Signature:
Date: .5; 7.--d 3
I hereby certify that 1 have read and examined t is 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 constr ion or, a performance of work. I am authorized to sign and obtain this mechanical permit.
Signature: A.!!.tr., „�,.,,,..' ._, Date:
Print Name:
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.
doe: MIscperm
M102.088
Printed: 05.27.2003
s
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431.3670
Parcel No.: 0179000240
Address: 12212 43 AV S TUKW
Suite No:
Tenant:
DOAK HOMES, INC.
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
M102 -088
ISSUED
06/20/2002
05/27/2003
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any
construction. These documents are to be maintained and available until final Inspection approval Is granted.
4: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997
Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition),
5: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations 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 ordinance of the Jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this
code shall be valid.
8: ' "PUBLIC WORKS DEPARTMENT CONDITIONS "'
7: Contractor shall notify Public Works Utility Inspector Mr. Greg Villanueva at (208)433.0179 of commencement and
completion of work at least 24 hours In advance.
8: Permit is valid between the weekday hours of 7 :00 a.m. and 3:30 p.m. only.
9: Any material spilled onto any street shall be cleaned up immediately.
10: Work affecting traffic flows shall be closely coordinated with the City Utilities Inspector. Traffic Control Plans
shall be submitted to the Inspector for prior approval.
11: Flagging, signing and coning shall be In accordance with MUTCD for Traffic Control. Contractor shall provide certified
flagmen for traffic control. Sweep or otherwise clean streets to the satisfaction of Public Works each night around
hauling route (No flushing allowed). Notify City Inspector before 12 :00 Noon on Friday preceding any weekend work.
12: Hauling over 50 cubic yards shall require application for a Hauling Permit prior to any associated activity.
13: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation
off -site or Into existing drainage facilities.
14: Sewer and water utilities shall be plugged at the mains If they are to be abandoned. If they will be used again in the
near future for a new building, they shall be capped at the property line and at the water meter respectively.
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
doc: Conditions
M102 -088
Printed: 05 -27 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431-3670
regulating construction or the performance of work,
Signature:
Print Name:
Date:
doc: Conditions
M102-088
Printed: 05- 27.2003
CITY OF Tl ";WILA
Permit Center
6300 Southccnter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
SIAI I USE ONI Y
Project Number:
Permit Number:
�az-egg
Miscellaneous Permit Application
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or facsimile.
Project Name/Tenant. -
�o - ��c.> ac v f" / �
Description of work to be done (please be specific):
2,690id 4X/ 77A -'/5 -- A-' ,Sed siR pi -srlA/M d'»'ea t
5% €m'' . T 2 d s o . , . 4N G
An 5 4 4. .5 )
Value of Conss ��t'tp�Q ,4A'
W.
Site Address :
/ 2-`� l :2 57 '3 �'4'��1( /c°
City State/Zip:
S, TU��
Tax Parcel Number:
D .. •7 e-e() -- () 5 # 02.50
Property Owner.
Phone:
)
Street Address: City State/Zip:
/1'9 �- Y �7 /9-v e CCc, SF*I-t .q/ yr
Fax #: (
) t / /
Contractor: j'� %� ' /
Tb y / lc-, , !/�eT- 5'—.
Phone: (
t ) r 1 I c■
Street Address:
! (9 / .?
r
City State/Zip:
/�
Fax #: (
) l ( ( f /
1-l/ �r`e Gu' P
Architect: ii
Phone: (
)
Street Address:
City State/Zip:
Fax #: (
)
Engineer:
/�� / / /�
-
-t�-� ��� i #fJ'c�'Pr2,ly
Phone: ( .a
12) rr'J5' — /Dg$
Street Address:
.
City State/Zip:
Fax #: (
.1
Contact Person:
Phone: (tee) ' Y(_ e S -I 7
Street Address: j je,
— fit . / �� ,
City State/Zip:
Fax #: ( ) / ,. //
MISCELLANEOUS PERMIT REVIEW AND APPROVAL RE UESTED: (TO NE FILLED OUT BY APPLICANT)
Description of work to be done (please be specific):
2,690id 4X/ 77A -'/5 -- A-' ,Sed siR pi -srlA/M d'»'ea t
5% €m'' . T 2 d s o . , . 4N G
An 5 4 4. .5 )
Will there be storage of flammable/combustible hazardous material in the building? ❑ yes o
Attach list of tnntorlals and stern e location cut orate B 1/2 X 11 to Jet Indicntln unntitics & Material Saki Data Sheets
• Above Ground Tanks • Antennas/Snleilite Dishes ID Bulkhead/Docks Commercial Reroof
"(Demolition ❑ Fence ❑ Manufactured Housin •Replacement only
❑ Perkin, Lots ❑ Retninin, Walls ❑ Tem or Facilities Tree Catlin j
•■■ APPLICANT 19UEST FOR MISCELLANEOUS PUBLIC WORKS PERMITS
Chnnnollzatlon/Strlping U Curb cut/Access/Sidewalk nit Loop/Hydrant (main to vault)//:
❑ Flood Control Zone ❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq. ft.grnding/clearing
❑ Landscape Irrigation ❑ Sanitary Side Sewer 0: ❑ Sower Main Extension —0 Private 0 Public
❑ Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public
0 Deduct 0 Water Only
1
❑ Water Motor /Exempt #
❑ Water Motor /Permanent #
❑ Water Meter Temp #
❑ Miscellaneous
Size(s):
Size(s):
SIze(1): Est. quantity: gal
u Movtng Oversized Load/Hauling
Schedule:
MONTHLY SERVICE BILLINGS TO:
Name:
Phcane�.,
,
Address ��, / 7 `+/t /S?-
P
tr • G� .�
C ygt telCl x,
/(,jam/ .
G
r
Water
Sewer
0—Metro
• 7- Standby
WATER METER DEPOSIT/REFUND BILLING:
Name:
Phone:
Address;
City / State/Zip:
.•••••...,.r,..
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.
[ Date application accepted:
tom _4
9/9/99
miscpnu.doc
.r.
Date application expires:
z'2c --oz
Application taken by: (initials)
Al t MISCLL LANEOUS P "" IT APPLICATIONS MUST BF SUBMIT • WITH THE FOLLOWING:
A ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
D BOICDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
D ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT
D STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED
STRUCTURAL ENGINEER
D CIVIUSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.)
ri
Sli13MI1 APPI I( AT ION AND REQUIRED ( HF( KI ISIS 1OR
PERMIT RFVIFW
Submit checklist No: M -9
Above Ground Tanks/Water Tanks - Supported directly upon grade
exceeding 5,000 gallons and a ratio of height to diameter or width which
exceeds 2:1
O
Antennas/Satellite Dishes
Submit checklist No: M -1
6,40.0e,
Bulkhead /Dock
Submit checklist No: M -10
0
.Commercial Reroof
Submit checklist No: M -6
a
Demolition
Submit checklist No: M -3
.Fences - Over 6.feet in Height
Submit checklist No: M -9
Land Altering/Grading/Preloads
Submit checklist No: M -2
Miscellaneous Public Works Permits
Submit checklist No: H -9
Manufactured Housing (RED INSIGNIA ONLY)
Submit checklist No: M -5
0
Moving Oversized Load /Hauling
Submit checklist No: M-5
0
Parking Lots .41..
Submit checklist No: M -4
Q
Retaining Walls - Over 4 feet in height
Submit checklist No: M -1
0
,j icq or4ry,Facilities N . • , .
ti
Submit ch cklist ,, tlo: M -7 .
r .6
. � 4
0
Tree Cutting ;.•
�5l9bmit checklisp;.,Nq: ,M...2
0 Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not
available at the time of application, a copy of this license will be required before the permit is issued, unless the
homeowner will be the builder OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ".
Building:Owner /Authorised Agent If the applicant Is other Win the owner, registered architect/engineer, or contractor
Ilccnsdd by the State of Washington, a notarized letter from the, property owner authorizing the agent to submit this
permlfapplication and obtain the ermlt will be re + ulred as +art of this submittal.
I HERESY 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 OI, ER OR AUTHORIZED AGENT:
Signature: ,,/'
( /
Date:
6,40.0e,
Print name:
Phone: (
) 2y� -�s'�7
Fax N: (
)
Address: ,//9/7
p94 /I, 5,4.1
tat�zZ�n�
,City /s�i-G�
4_, ge(96
9/9/99
nelscpnU.doc
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•
CITY OF T'',KWILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
M -3
Submittal Checklist
Miscellaneous Permits
DEMOLITION
✓
Site Plan Requirements
✓
Working Drawings
p
III
R.�it•.
Distance between structures and property lines
Existing landscaping
Fill with Sand
Dismantle /destro ca •
Building location and total square footage
Identi current sewer/water billin, account number
Ha uiin re uirements must be mat if over 50 cubic ards of material is to be taken to or from site
High water mark of river if within 200 feet of shoreline
Identify water meter size
Iffi
Foot print and location of structures to be removed
Temporary/permanent erosion control plan
Two (2) foot contours an site
►
Points of access for demolition activities
in
0
Limits of area to be disturbed by demolition activities
Locate existing sanitary side sewers and points to be
•Iu• red /ca• •ed at •ro•e line
Locate existing water meters, Identify existing meters to be
removed by City Public Works staff, Identify existing water
services to be capped by demolition contractor.
n
■Location
Identify existing side drain: modify and /or capped
of slopes 20% or greater, wetlands, watercourses .•
and their buffers
Additional Requirements
Asbestos Abatement: Obtain approval from Puget Sound Air Pollution Control Agency prior to proceeding with
demolition
If structure to be demolished Is over 4000 sq, ft., SEPA checklist is re • ulred
Construction debris to be taken to debris facilit Kin. Count informational handout available at Permit Center-
Foundation must be completely removed
Abandonment of Se • tic Tank for residential re • uirea the foliowin • conditions be met:
Pump tank empty
Fill with Sand
Dismantle /destro ca •
Letter or recei t to veri above conditions have been met b pum in service
Identi current sewer/water billin, account number
Ha uiin re uirements must be mat if over 50 cubic ards of material is to be taken to or from site
Fire Protection System Demo (issued throw h Flre De artment)
An inspection prior to demolition will be made and again at mid - demolition and after work is completed.
2/22/01
apps\O.doc
Puget Sound Air Pollution Control Agency
110 Union Street, Suite CO 6 ♦ Seattle•WA +99107.2038
(206) 343 -8800
Guidelines for Application to Perform a Demolition
Who must file for a demolition permit?
Any property owner who is going to burn or demolish v structure, including, but not limited
to, commercial buildings, or abandoned structures on private property. The purpose of the
permit is to certify that the building is asbestos-free prior to demolition
•
Why must I file for a demolition permit with PSAPCA? I already filed one with the
building department.
Building departments do not regulate asbestos. Federal law requires the tiling of a demolition
permit with the Puget Sound Air Pollution Control Agency, and removal of all asbestos.
What should I do first?
You must hire an Environmental Protection Agency (EPA) accredited inspector to survey
your structure for asbestos. A copy of this survey must be available for inspection during
demolition You cannot demolish a building with any asbestos still present. Look for
qualified inspecto;is in the vellcw pages under Asbestos Removal, Laboratories,Arnalytical,.
Building Inspection, Asbestos or Environmental Consulting and Testing,
What if the inspector finds asbestos in the building?
If there is asbestos in the building, it must be removed prior to demolition. You must hire a
'certified asbestos abatement contractor for removal.
• What do I need as far as paperwork is concerned?
A completed Application to Perform a Demolition
® $25 check payable to PSAPCA.
CD Copy of survey stating the structure has been inspected and no
asbestos was found,
or
an Application to Perform an Asbestos Project filed by an asbestos contractor to
remove any asbestos in the building,
Please include all of the required paperwork with your application or a permit cannot be
issued.
Flow long will ittake?
You may begin demolition on the llth- working day after you have provided us with the
required information, Your approved Demolition Perrnit will be mailed
to you within 10- working days after receipt by the Agency.
PSAPCA Form No. 66-181 (5/94) jrs
City of Thkwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No,:
Address:
Suite No:
Applicant:
0179000240
12212 43 AV S TUKW
DOAK HOMES, INC.
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
M 102 -088
PENDING
06/20/2002
Receipt No,:
Initials:
User ID:
R020000833
SKS
1165
Payment Amount:
Payment Date:
Balance:
51.50
06/20/2002 05:12 PM
$0.00
Payee:
DOAK HOMES
TRANSACTION LIST:
Amount
Type
Method Description
Payment
ACCOUNT ITEM LIST:
Check 1853
Description
Current Pmt s
51.50
Account Code
BUILDING - NONRES
STATE BUILDING SURCHARGE
(lac: Receipt
000/322.100
000/386.904
47.00
4.50
Total: 51.50
36,"21.
Printed: 06- 20.2002
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0179000240
Address: 12212 43 AV S TUKW
Suite No:
Applicant: DOAK HOMES, INC.
RECEIPT
Permit Number: MI02 -088
Status: APPROVED
Applied Date: 06/20/2002
Issue Date:
Recelpt No.: R03.00640
Initials: SKS
User ID: 1165
Payment Amount: 20.00
Payment Date: 05/27/2003 10:48 AM
Balance:
$0.00
Payee: DARRYL DOAK
TRANSACTION LIST:
Type Method Deocription
Amount
Payment Check 3092
ACCOUNT ITEM LIST:
Description
20.00
Account Code Current Pmto
INSP FEE - 8ME /888
402/342.400 20.00
Total: 20.00
9020 05/28 9716 TOTAL 20.00
doc: Receipt
Printed: 05.27.2003
IN PECTION NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter 81vd„ #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
!LIMP
PERM
Or ilk
(206 1-3670
roje •
- .... Id, .1
ype o nspecuon:
.
-
Ad 71Date
% ...1
1„.0/ 4 moo+
Called:
pec a nstruct ons:
ate "ante :
%....
al)
II,
, -
one
Iglkoproved per applicable codes, OCorrections required prior to approval,
r
EJ $47.00 REINSPECTION E REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter BIvd,, Suite .100, Call to schedule reinspection.
•
jL
•
i
INSPECTION RECORD � �
Retain a copy with permit
INS'
CTION 9, PERMIT NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431,3670
to ec •________________________ ype o nspection:
raj
jDaIcCa e :
pec a nstruct ens: *Ate "ante.: a.m.
p,m,
one `o:
0 Approved per applicable codes. u Corrections required prior to approval,
nspector:
Date:
$47,00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd,, Suite 100. Call to schedule reinspectlon.
MAIM
,..ter:,,,
deoWaIN
iiiii
•
to ec •________________________ ype o nspection:
raj
jDaIcCa e :
pec a nstruct ens: *Ate "ante.: a.m.
p,m,
one `o:
0 Approved per applicable codes. u Corrections required prior to approval,
nspector:
Date:
$47,00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd,, Suite 100. Call to schedule reinspectlon.
MAIM
,..ter:,,,
PERMIT COORD CUrY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M102 -088
DATE: 6 -21 -02
PROJECT NAME: DOAK HOMES - LOT 3
SITE ADDRESS: 12212 43RD AV S
XOriginal Plan Submittal
Response to Correction Letter # Revision # After Permit Is Issued
rResponse to Incomplete Letter #
D P TS
6.2644 411. . ti-tr' ' al, . (,.25 02
Builds g Division en Fire Prevention �] Planning Division
Pu • o ks Structural ❑ Permit Coordinator
MITERMINALLONSIECOMELETENESI: (Tues., Thurs.)
Complete Ci Incomplete ❑
Comments:
DUE DATE: :, 6.a-02
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED : LETTER OF COMPLETENESS MAILED :��,
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /TMURS ROU ING:
Please Route Emir Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS:
DATE:
APP OR VALSOR CORRECTIONS;
Approved ❑
Notation:
Approved with Conditions
Li(
DUE DATE: 7 -23-02
Not Approved (attach comments) ❑
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED
Departments issued corrections: BIdg Q Fire 0 Ping ❑ PW ❑ Staff Initials:
PERMIT COORD COPY
Documenls/routin$ slip.doc
218-01
}