HomeMy WebLinkAboutPermit MI2000-029 - TUKWILA VILLAGE - RESIDENCE DEMOLITIONTUKVVILA
VILLAGE
City of Tukwila
(206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 * Tukwila, Washington 98188
MISCELLANEOUS PERMIT
WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES,
APPLICANT IS PROCEEDING AT THEIR OWN RISK.
Parcel No: 155420 -0036
Address: 14220 4.1 AV 5
Suite No:
Location:
Category: DEMO
Type: MISCPERM
Zoning: NCC
Const Type:
Gas /Elec.:
Units: 001
Setbacks: North:
Water: N/A
Wetlands:
Fire
.0 South: .0 East:
Sewer: N/A
Slopes: N
Contractor License No: SOUNDAA006CZ
OCCUPANT
OWNER
CONTACT
CONTRACTOR
TUKWILA VILLAGE
14220 41 AV S, TUKWILA WA 98188
CITY OF TUKWILA
6200 SOUTHCENTER BL, TUKWILA WA 98188
MIKE CUSICK
6300 SOUTHCENTER BL, TUKWILA WA 98188
SOUND ASBESTOS ABATEMENT
PO BOX 58414, RENTON, WA 98058
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Permit Description:
DEMOLITION OF EXISTING 2,173 SO FT SINGLE FAMILY
RESIDENCE. PUBLIC WORKS ACTIVITIES INCLUDE LAND
ALTERING- APPROX, 201 CY OF FILL AND TEMP. CONST-
RUCTION ACCESS.
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Construction Valuation: $ 12,000.00
PUBLIC WORKS PERMITS: k(Water Meter Permits Listed Separate) Eng. Appr: JJS
Curb Cut /Access /Sidewalk /CSS: Y
Fire Loop Hydrant: N No: Size(in): .00
Flood Control Zone: N
Hauling: N Start Time: End Time:
Land Altering: N Cut: Fill: 201
Landscape Irrigation: N
Moving Oversized Load: N Start Time: End Time:
Sanitary Side Sewer: N No:
Sewer Main Extension: N Privete:
Storm Drainage: N
Street Use: N
Water Main Extension: N Private: Public:
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TOTAL DEVELOPMENT PERMIT FEES: $ 76.50
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Date : SE -off
Permit No:
Status:
Issued:
Expires:
MI2000 -029
ISSUED
05/05/2000
11/01/2000
Occupancy: DWELLING
UBC: 1997
Protection:
.0 West: .0
Streams:
Phone:
Phone: 206 - 433 -1800
Phone: 206-433-0179
Phone: 206 -898 -4213
Public:
Permit Center Authorized Signature:
I hereby certify that 1 have read and examined th 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 provision of any other state or local laws regulating construction
or the performance of work. I am authorized to sign for and obtain this
developmen
Signature.
Print Name:
ermit.
.CY1� _ _ iT.�Zril!1Z
Date :1.15 ::�,."'O
This permit shall become null and..v.oid 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.
Address: 14220 41 AV
;Suite:
f
Tenant:
Type: MISCPERM
Paine 1 ft: 155420 -0036
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Permit Conditions:
1, No charges will be made to the plans unless approved by the
Engineer and the Tukwila Building Division.
2`. `Al1 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).
. Validity of Permi e. • - The istuance of ` a permit or approval ' of
plans, spedificatios, and computations shell not be con-
strued t+ be :a permit for, or an approval of, any °violation
of any of the ,pr Ovisicins of',the; building code or of any
other; ord i nande, of, the jurisdiction. No permit " presuming to
give4aothority to violate, or cancel the provisions of this_'_
codadtha11.. ba valid.
A11,E p•errits= 4 inspection records, and approved plans, sha,,l l
available at the job site prior to the start of any con
stpU,ction.. ` These documents are to be maintained and .avai l-
atLi`1e until final inspection' appro'val is granted.
CITY OF TUKWILA
Permit Mo: M12000- -029
Status: ISSUED
Applied: 02/08/2000
Issued: 05/OS/2000
CONt1RACTQR SHALL NOTIFY FUE L IG WORKS t T1LTIY INSPECTOR MR,
GREG VILL ANUE.VA (2O6) 4:i30179 AF COMMENCCMENI` AND
C4 MPILETION OF WORK AT LEAS I 24 HOURS IN ADVANCE,
Temporary, erosion control measures shall be , implemented as:
the 'f ,rst order of business to 'prevent sedimentation off-
site `or'a..into existing storm druinage facilities
The s 1 to sha 11, I > ve' permanent erosion control measures
;place ar`f;soon s,.possible after final grading he' been
comp l e ted! e•nd prior to the Final .: Inspection.
Work affecting „traffic f lows I sha11;; be closely coordinated
with the City's !aUtilities Inspector. Traffic control plans
shall be submitted to the Inspector for priori approval.
.
FROM OCTOBER 1 THROUGH 'APRIL 30, COVER ANY SLOPES AND
STOCKPILES THAT ARE 3H: 1V OR STEEPER AND HAVE A VERTICAL
RISE OF 10 FEET OR MORE AND WILL BE UNWORKED FOR GREATER
THAN 12 HOURS. DURING THIS TIME PERIOD, COVER OR MULCH
OTHER DISTURBED AREA:, IF THEY WILL BE UNWORKED MORE THAN
2 DAYS. COVERED MATERIAL MUST BE STOCKPILED ON SITE AT THE
BEGINNING OF THIS PERIOD. INSPECT AND MAINTAIN THIS
STABILIZATION WEEKLY AND IMMEDIATELY BEFORE, DURING AND
IMMEDIATELY FOLLOWING STORMS.
FROM MAY 1 THROUGH SEPTEMBER 30, INSPECT AND MAINTAIN
TEMPORARY EROSION PREVENTION AND SEDIMENT AT LEAST
MONTHLY.
LL DISTURBED AREA .`OF THE SITE SHALL BE PERMP
TABXLIZED PRIOR yT,l' -r FINAL CONSTRUCTION APPROU,
CITY OF- TUKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Miscellaneous Permit Application
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mall or facsimile.
Project Name/Tenant:
NR 144th Tukwila IntPrnatinndl RlvI
RpdpvplatamPni
Value of Construction:
$12,000_nn
Tax Parcel Number:
1420 -0036
Site Address:
14220 41st Ave S, Tukwila, WA 98188
City State /Zip:
Property Owner:
City of Tukwila
Phone:
206- 433 -0179
Street Address:
61OO utllrpntar R11/6. Tukwila. WA
City State /Zip:
98188
Fax #:
206 -411 —1665
Contact Person:
Mika r•itai rk
City /State /Zip:
Phone:
dame
Street Address:
Same
City State /Zip:
Fax #:
Same
Contractor:
Phone:
Street Address:
City State/Zip:
Fax #:
Architect:
Phone:
Street Address:
City State/Zip:
Fax #:
Engineer:
City of Tukwila Public Works riept _
Street Address:
Same
City State/Zip:
Phone:
Sams
Fax #:
Aam„
MISCELLANEOUS PERMIT REVIEW AND APPROVAL REQUESTED: 0 BE FILLED OUT BY APPLICANT
Description of work to be done:
WIII there be storage of flammable /combustible hazardous material in the building? ❑ yes ❑ no
Attach llaf of materials and Nora a location on so arato 8 1/2 X 11 a or Indlcatin uantitles & Material Safoh Data Sheets
....trove Ground Tanks Antennas/Satellite Dishes Bulktgaed/Docks Commercial Roroof
LA Demolition ❑ Fence ❑ Mechanical ❑ Manufactured Housing•Replacement only
❑ Parking Lots ❑ Retaining Wails ❑ Temporary Pedestrian Protection/Exit Systems
❑ T�tmporary Facilities ❑ Tree Cutlin,
APPLICANTREOUEST.FOR MISCELLANEOUS PUBLIC WORKS PERMITS
Channolizatlon/Striping
❑ Flood Control Zono
❑ Landscape Irrigation
al Storm Drainage
❑ Water Motor /Exempt #,
Curb cut/Accoss /Sldowalk ■ Firo Loop /Hydrant (main to vault) #: Sizo(s):
® Land Altering: 0 Cut cubic yards c81 Fillm_cublo yards 0 dq. ft.grading/cloaring
® Sanitary Side Sower #: Sower Main Extension 0 Private 0 Public
❑ Street Use ❑ Water Main Extension 0 Private 0 Public
Sizo(s): 0 Deduct 0 Water Only
® Water Motor /Permanent #cifpliv„og Sizo(s):
❑ Water Meter Temp #, , SE,._ Sizo(s : _ Est, quantity: gal Schedule:
❑ Miscellaneous Moving Oversized Load/Hauling
SERVICE BILLINGS TO:
*MONTHLY
Name:
Phone:
Address: 1
City /State /Zip:
0 Water
0 Sewer
0 Metro
0 Standby
WATER METER DEPOSIT /REFUND BILLING.
Name:
Address:
Phone:
City /State /Zip:
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 Wilia applicant as defined in Suction 107.4 of the Uniform Building Code (current edition). No application
shall be extended more than once.
Date ap= call • • . ccep :O�
• . •
Dale ap •. alien . �Ires 0
•, , •
ApplicOta f • Initials)
MISCPMT.DOC 7/11/96
twI
0d
1ii
r
LL MISCELLANEOUS PER ' APPLICATIONS MUST BE SUBMIT D WITH THE FOLLOWING:
,.;
ALL' 0.10446ASVALL BE AT A LEGIBLE' SCALE AND NEATLY DRAWN
• BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
➢ ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT
• STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON
LICENSED STRUCTURAL ENGINEER
> CIVIL/SITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER
(P.E.)
❑ Copy of Washington State Department of Labor and Industries Valid Contractor's License. It
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 ".
Buliding,_OWn.r/Authorlsed Agent. 11 the applicant's other than the owner, registered architect / engineer ,.or.contractor.11csriged�
by the State of Washington, a notarized letter from the properfy.owner authorizing the agent to submit this permit application and
obtain the ermit will be re uired as • it of this submittal, •
1 HEREBY CERTIFY THAT I E READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJUR,Y / : E LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZEO TO APPLY FOR THIS
PERMIT.
11 lh %11. Llo r,'OS' • _ rUTHORIZED : GENT:
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR PERMIT REVIEW
❑
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 .
Submit checklist .No: M -9
❑
Antennas/Satellite Dishes
Submit checklist • No M -1 •
Commercial Tenant improvement
Permit
(71
AWnings /Canopies - No signage
Bulkhead/Dock
Submit chedklist No: M -10
❑
niinerclat Reroof•
Submit checklist No i M -e
Demolition
Submit ciiticklldt No;',- M -3, M•3a:
❑
Fencea.Mier 6 feet in Height
:Submit dhecklist Nd: M-9
E
Land Altering/Grading/Preload,
Submit checklist No: M -2
❑
Loading Docks 5
• .
Commercial Tenant Improvement • -
Permit .Submit checklist•Nos H -17:
❑
Mechanical (Residential.& Commercial)
Submit checklist No M.8; -
Residentintonl - HAI H -16
❑
. Mlicellaneous; Publlo'.Works- Permits
Submit oheckllet No H•9
❑
Manufacturiid Housing.(RED INSIGNIA ONLY)
Submit checklist No: M•5
oving - OVerslzed Loid/HaulIng
Submit oheokllstt -, No: MaS
❑
Parking Lots : •
Submit checklist No: M -4.
Residential Building Permit ~
Submit checklist -, • No: . M -8: ' .
Submit checklist No: -M =1
❑
Rssldentlal.Reroof - Exempt with following exception :.11 roof structure
to be.re • aired :or re • laced .'
❑
0
Retaining Walls • Over 4 feet in height ,
Temporary Facilities
S bmit checklist ,No; -7.
❑
Temporary Pedsstrlan Protectlon/EXIt'Systsms
Submit checklist No: M
Tree Cutting
Submit ohenkllat No: M%2'
❑ Copy of Washington State Department of Labor and Industries Valid Contractor's License. It
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 ".
Buliding,_OWn.r/Authorlsed Agent. 11 the applicant's other than the owner, registered architect / engineer ,.or.contractor.11csriged�
by the State of Washington, a notarized letter from the properfy.owner authorizing the agent to submit this permit application and
obtain the ermit will be re uired as • it of this submittal, •
1 HEREBY CERTIFY THAT I E READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJUR,Y / : E LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZEO TO APPLY FOR THIS
PERMIT.
11 lh %11. Llo r,'OS' • _ rUTHORIZED : GENT:
Signature: r�" /
Date:
2 f
Print name:
/y, /4
„,5/
Phone:
Address:
City — a.e/ p:
- -
•:
1
MISCPMT.DOC 7/11/96
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;ITV,: OF TUK14ILA. NA1 fl
TRANSMIT Number: 8900027' Amount'
p:tyioiMt Method: CHECK Notation:
tt 4
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�t*ithAA A * ***** #*A*,VA 4*
76.50 0/ O J /vO l a a OO
squid) ASUESTOS Ynit: ILO
N iM t✓ M 1.J I/' iH M A4 M •. MN MMM W M N is qi iV Y ii w M i•. M i. M M M M a. M .. M Iii M• if M M Y• M if4 M k I. M- I.
Permit Not MI2000• -029 Type" MIS PERM MISCELLANEOUS PERMIT
Parr= t; flag 155420 -0036
Site Address' 14220 41 AV S
'total Fees' , 76.50
This .Puyment 76.50 rotml AI•t.. t'mt iu 76.50
Uulancet .00
* 40(440.* *A** **40. 440*A *dA'*040,114**,M1 f****d ** * *0#4A*11#* F*1t.A 44***#
Amount
l %a corints 'Cudu
000/322.100
00^4. /345. S10
000/$06.9'04
00.0/:342.400
•
II•M / M * t MM /b! /M
■
Description `` y
D U I(= M I N ' „ M H 1 O N R E V
PLAN CHECK UTILITY
UT IE HUTLDXND SURCHAHC3C
INSP FEE UTILITY
47.00
10.00
4.0
15.00
M M M io • M W 1' *: * W 4 11, W M M M S% i"r I• MMM M M i/ M M M i`
e Aar' a# 302
00.6qq. 1
408 .05/00 97.7 TOTAL 0,00 :
.r.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
PERMIT NO
(206)431 -3670
Project: , / Type of Inspec ion:
J& A
Address:
Date called:
1
.
Special instructions:
Date wanted:
a .
Requester:
Phone:
Approved per applicable codes.
Corrections required prior to approval.
$47,00 REINSPECTION ESE REQUIRED, Prior to inspectlo , fee must be paid
at 6300 Southcenter Blvd, Suite 100. CaII to schedule reins ' action.
Receipt No:
Date:
1
1 g
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 981E
, C
PtRMIT NO.
! ojed:
t >l 1 0 c. t 1 c<(
pe of inspection:
%(
",„,
Address:
ti-t 2 C LA\e5 A.)
: • • .
'"t t - CI.)
Special instructions:
Date wanted:
Ct" S Cf
a.m.,
1,
Re ► uester:
P one: -- � i
r
pproved per applicable codes.
COMMENTS:
Corrections required prior to approval.
1§
14;11:11ii°71611,"
847,00 REINSPECTION FEE REQUIRED, Prior to Inspection, fee must be paid
at 6300 Southcenter Blvd. Suite 100. Cali to schedule reins • action.
Receipt No:
Date:
•
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
(206)431 -3670
Pro t:
Typ of Inspe tion:
�
Da a called:
�
�
Special instructions:
D • wari ed.
R � es ter
wr
Phone:
,2 ►
Approved per applicable codes. El Corrections required prior to approval.
$47,00 REINSPECTION FEE REQUIRED, Prior to inspection, fee must be paid
at 6300 Southcenter Blvd„ Suite 100. Call to schedule reins ection.
Receipt No:
Date:
F, ,
To:
Date:
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
NOTICE OF DECISION
State Department of Ecology, SEPA Division
Puget Sound Air Pollution Control Agency
March 21, 2000
This notice is to confirm the decision reached by the City of Tukwila on demolition,
hauling and erosion control permits for the redevelopment site at S. 144 St. and Tukwila
International Boulevard. The City of Tukwila approved the Miscellaneous Permits based
on a review of the application, the environmental review and City codes,
This letter is issued pursuant to the Permit Application Types and Procedures, Tukwila
Municipal Code Zoning Chapter, (TMC 18.104.170,) and Public Notice procedures, State
Environmental Policy Act (TMC 21.04.210) on the following project and permit
approvals.
pROJEfy'F FILE NUMBER: P2000 -010
ACTIVITY I11LF4a: E2000 -002; M12000 -026; M12000.027; M1200011
02901112000- 030;M12000- 031;M12000 -033;
M12000 -034; M12000 -035; M12000 -036; M12000-
037; M12000 -38.
APPLICANT: City of Tukwila
REQUEST: Demolition and hauling of a motel, homes, and
miscellaneous structures and erosion control of
site.
J OCATION: 14242 Tukwila International Boulevard; 14220
41 Av. S; 14223 41 Av. S; 14228 41 Av. S;
1423841 Av. S; 1424141 Av. S; 14245 41 Av. S;
14247 41 Av. S
ETI;RMIN 'I, ON: Determination of Nonsignificancc
Project materials including the applications, plans, any staff reports, and other studies
related to the permits are available for inspection at:
Tukwila Department of Community Development;
6300 Southcenter Blvd,, Suite 100; Tukwila, WA 98188
Monday through Friday; 8:30 a.m. - 5 :00 p.m.
'The planner managing the project is Moira Carr Bradshaw,.who may be contacted at 431- .
3670 for further information. You have 21 days from the date of this Notice of Decision
to appeal. The decision is appealable to the Hearing Examiner. Appeals should be made
pursuant to Appeal Processes, Zoning Chapter, Tukwila Municipal Code, (TMC 18.116.)
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206.431 -3670 • Fax: 206. 431.3665
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PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: , MI2000 -029 (P2000 -010) DATE: 2 -8 -2000
PROJECT NAME: TUKWILA VILLAGE
_XX original Plan Submittal
Response to Incomplete Letter #
_...Response to Correction Letter # �Zevision # After Permit Is Issued
DEPARTMENTS:
BuIl ng Division Fire r vention Pian "h Division
foe, e, 2 ` 1 b oo i , f
P &iblic �s r Structural ❑ Permit Coordinator
14.1,-
so
•
DETERMINATI N OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 210-2000
Complete 12:1
Comments: _
Incomplete El
Not Applicable ❑
TUES/THURS ROUTING:
Please Route Ea Structural Review Required Ej No further Review Required ❑
REVIEWER'S INITIALS:
DATE:
APPROVALS OR CORRECTIONS: (ten days)
Approved ❑ Approved with Conditions
REVIEWER'S INITIALS:
DUE DATE„79 -200Q
Not Approved (attach comments) ❑
DATE:
CORRECTION DETERMINATION:
DUE DATE_,,,
Approved El Approved with Conditions ❑ Not Approved (attach comments) ❑
....
REVIEWER'S INITIALS; DATE:
. ..
WRRAUTE.DOC
5/99
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