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Home My WebLink AboutPermit MI98-0153 - GABRIEL RESIDENCE - FENCEGABRIEL RESIDENCE MI98-0153 CITY OF ?"/KWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 F•R STAFF USE ONLY Project Number: Permit Number: in rff SI #0/53 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: C Il DCt fit/' Gt.L v i Description of work to be done: vi J c_re.... Value of Construction: I, 000. o 0 Site Address: City State /Zip: Tax Parcel Number: Property Owner: ^, / Address: Phone:a e' Co r a 46 _ OS -at Street Address: I City /State /Zip: City State /Zip: Fax #: Contact Person: •Q I-1 OP-12-V' 0v- -g eveo,faka. vl .e� Phone: Street Address: f v c S -> /((..,4 7,h C.ity State /Zip: • �u.� r C.n( �� /lam �'` Fax #: Contractor: Phone: Street Address: City State /Zip: Fax #: Architect: Phone: Street Address: City State /Zip: Fax #: Engineer: Phone: Street Address: City State /Zip: Fax #: MISCELLANEOUS PERMIT REVIEW AND APPROVAL REQUESTED: (TO BE FILLED OUT BY APPLICANT) Description of work to be done: vi J c_re.... Will there be storage of flammable /combustible hazardous material in the building? ❑ yes ❑ no Attach list of materials andstora.e location on se 'wale 8 1/2 X 11 •a•erindicatin. • uantities & Material Safet Data Sheets ■ Above Ground Tanks ■ Antennas /Satellite Dishes ■ Bulkhead/Docks ■ Commercial Reroof ❑ Demolition Fence ❑ Mechanical ❑ Manufactured Housing- Replacement only ❑ Parking Lots Retaining Walls ❑ Temporary Pedestrian Protection /Exit Systems ❑ Temporary Facilities Tree Cutting APPLICANT- REQUEST FOR MISCELLANEOUS PUBLIC WORKS PERMITS ❑ Channelization /Striping ❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s): ❑ Flood Control Zone ❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq. ft.grading /clearing ❑ Landscape Irrigation ❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public ❑ Water Meter /Exempt # Size(s): 0 Deduct 0 Water Only ❑ Water Meter /Permanent # Size(s): ❑ Water Meter Temp # Size(s : Est. quantity: gal Schedule: ❑ Miscellaneous Ell Moving Oversized Load/Hauling MONTHLY SERVICE BILLINGS TO: Name: Phone: Address: I City /State /Zip: 0 Water 0 Sewer 0 Metro 0 Standby WATER METER DEPOSIT /REFUND BILLING: Name: IPhone: Address: 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 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: Date application expires: Application ken leis) ALL MISCELLANEOUS PE- ' IT APPLICATIONS MUST BE SUB ED WITH THE FOLLOWING: A,LL DRANWIN $ SHALL BE AT A LEGIBLESCALE 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 ➢ CIVIUSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.) 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 /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 properly owner authorizing the agent to submit this permit application and obtain the permit will be required as pad of this submittal 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGINT: SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR PERMIT REVIEW 0 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 0 Antennas /Satellite Dishes Submit checklist ' No:. M -1 0 Awnings /Canopies - No signage 1 Commercial Tenant Improvement Permit Bulkhead/Dock Submit checklist •No:. M -10 • ' Commercial Reroof Submit checklist No: M -6" 1/4s--7 Demolition • Submitcthecklist.. No M -3; . M -3a • 71 Fences - Over 6 feet in Height Submit checklist ' No: M -9 • 0 Land Altering/Grading/Preloads Submit checklist No:" W2 0 Loading Docks • Commercial Tenant Improvement ' Permit... Submit checklist Noi H =.1.7 . 0 Mechanical (Residential & Commercial) Submit checklist.. No • M -8; Residential:only - H -6, H -16 Miscellaneous Public Works, Permits • Submit. checklist No H -9 in Manufactured Housing (RED INSIGNIA ONLY) Submit checklist No: M -5 0 Moving Oversized Load/Hauling Submit checklist " No: M -5 Parking Lots Submit checklist. No: M -4 0 Residential Reroof - Exempt with following exception: If roof structure to be repaired or replaced Residential Building Permit Submit checklist :.. No: M -6, • Retaining Walls - Over 4 feet in height , Submit checklist No:. M -1.' J Temporary Facilities Submit checklist: . No: M -7 0 Temporary Pedestrian Protection/Exit'Systems Submit checklist: No :: M -4. ' : 0 Tree Cutting Submit checklist :No: M=2. 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 /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 properly owner authorizing the agent to submit this permit application and obtain the permit will be required as pad of this submittal 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGINT: Signature: w. I Date: g, , 3 r q Print name: o(c,u Phone: Fax 1t• 1/4s--7 Address: ( a.. i S I LI, q -r h ` -1 . ?'w(�c.c.)r C.f,t_ City /l atte/Zip: gs,76,,y PLAN REVIEW /ROUTING SLIP P&Rr)iT cceac. caPY ACTIVITY NUMBER: ri-rqP .-0 is-3 DATE: /3-`7 �s PROJECT NAME: /2 o 7 6—d, e / )( Original Plan Submittal Response to Incomplete Letter Response to Correction Letter # Revision After Permit Is Issued EPARTMENTS: I✓vio 111134i is Works Fire tion Planning Division d YIb -1 V 0.1— 616 Structural N, Permit Coordinator • DETERMINATION OF COMPLETENESS: (Tues, Thurs) Complete n Incomplete Comments: DUE DATE: "Fr" l E Not Applicable n TUES /THURS ROUTING: Please Route E No further Review Required Routed by Staff (if routed by staff, make copy to master file and enter into Sierra) REVIEWERS INITIALS: DATE: APPROVALS OR CORRECTIONS: (ten days) Approved DUE DATE: 9 - /S- 9 Ff Approved with Conditions c Not Approved (attach comments) n REVIEWERS INITIALS: DATE: CORRECTION DETERMINATION: DUE DATE: Approved Ej Approved with Conditions ❑ Not Approved (attach comments) El REVIEWERS INITIALS: DATE. \PR•ROUTE,DOC City of Tukwila John W. Rants, Mayor Department of Community Development Steve Lancaster, Director December 2, 1999 Roger Gabriel 4215 S 144 th St Tukwila WA 98168 Re: EXPIRED PERMIT APPLICATION #M19 8-0153 4215 S 144 th St Dear: Roger Gabriel: In reviewing our current permit application files, it appears that your permit application for Gabriel Residence Concrete Fence, applied for on 8- 13 -98, has not been issued by the City of Tukwila Permit Center. Per the Uniform Building Code and /or Mechanical Code, every permit application not issued within 180 days from the date of application shall expire by limitation and become null and void. In order to renew your permit application after expiration, you will need to resubmit a new permit application, plans and supporting documentation, and the necessary plan review fees. The City of Tukwila is currently under the 1997 Uniform Building Code and 1997 Uniform Mechanical Code. As of ten -days from the date of this letter, your permit application for the work described above will be considered expired. Please contact the Permit Center at (206) 431 -3670 if you wish to submit a new permit application. Thank you for your cooperation in this matter. Sincerely, GAP Bill Rambo Permit Technician Xc: Duane Griffin, Building Official 6300 Southcenter Boulevar4 Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 ! Fear (206) 4313665