HomeMy WebLinkAboutPermit MI98-0189 - ZAPUTIL RESIDENCE - REROOFRUDOLPH ZAPUTIL MI98-0189
CITY OF('JKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
FOR STAFF USE ONLY
Project Number;
Permit Number:` : ! ' r
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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:
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Value of Construction:
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Tax Parcel Nqi r
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Site Address:
Property Ow er:
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Phone:
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Fax #:
Street Address: r
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City State /Zip:
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Contact Person:
City State /Zip:
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Phone:
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Street Address D S
Contracto� /
Phone:
Street Address: l / ��
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City State /Zip:
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Fax #: 2G
Architect:
Phone: Q
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Street Address:
City State /Zip:
Fax ,0
Engineer:
Phone:
Street Address:
City State /Zip:
Fax #:
MISCELLANEOUS PERMIT REVIEW AND APPROVAL REQUESTED: (TO BE FILLED .OUT BYAPPLICANT) ,
Description of work to be done:
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Will there be storage of flammable /combustible hazardous material i the building? ❑ yes
Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities 441aterial Safety Data Sheets
❑ Above Ground Tanks ❑ Antennas /Satellite Dishes ❑ Bulkhead /Docks lmmercial Reroof
❑ Demolition ❑ Fence ❑ Mechanical ❑ Manufactured Housing - Replacement only
❑ Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection /Exit Systems
❑ Temporary Facilities ❑ Tree Cutting
APPLICANTREOUEST FOR MISCELLANEOUS PUBLIC WORKS.P.ERMITS.
❑ Channelization /Striping
❑ Flood Control Zone
❑ Landscape Irrigation
❑ Storm Drainage
❑ Water Meter /Exempt #
❑ Water Meter /Permanent #
❑ Water Meter Temp #
❑ Miscellaneous
❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s):
❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq. ft.grading /clearing
❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public
❑ Street Use ❑ Water Main Extension 0 Private 0 Public
0 Deduct 0 Water Only
Size(s):
Size(s):
Size(s): Est, quantity: gal Schedule:
❑ Moving Oversized Load/Hauling
MONTHLY SERVICE BILLINGS TO: .
Name:
I Phone:
Address:
City /State /Zip:
0 Water
0 Sewer
0 Metro 0 Standby
WATER METER DEPOSIT /REFUND BILLING:
Name:
1 Phone:
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:
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Date apgl7%lozplre6
Application taken by: (initials)
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ALL MISCELLANEOUS PER ' T APPL1CATIONS MUST BE SUBMI ED WITH THE FOLLOWING:
• ALL DRAWINGS SHALL 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
• CIVIUSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER
(P.E.)
0
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR
PERMIT REVIEW
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
❑
Antennas /Satellite Dishes 0
Submit checklist No: M -1
❑
Awnings /Canopies - No signage
Commercial Tenant Improvement
Permit
Bulkhead/Dock
Submit checklist . No: M -10
Commercial Reroof
Submit checklist No: M -6
❑
Demolition
Submit checklist No: M -3, . M -3a.
❑
Fences - Over 6 feet in Height
Submit checklist No: M =9
❑
Land Altering/Grading/Preloads
Submit checklist No: M -2
0
Loading Docks
Commercial Tenant Improvement
Permit. Submit checklist No: H -17
0
Mechanical (Residential & Commercial)
Submit checklist . No. M -8,
Residential only - H -6,. H -16
0
Miscellaneous Public Works Permits
Submit checklist No H =9
n
Manufactured Housing (RED INSIGNIA ONLY)
Submit checklist No: M -5
❑
Moving Oversized Load/Hauling
Submit checklist No: M -5
❑
Parking Lots .
Submit checklist No: M -4
❑
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
❑
Temporary Facilities
Submit checklist No: M -7
❑
Temporary Pedestrian Protection/Exit Systems
Submit checklist No: M -4
is
❑
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 archltect/englneer,.or, contractor licensed .
by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and
obtain the permit will be required as part of this submittal.
1 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 / AM AUTHORIZED TO APPLY FOR THIS
PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature: I
Date:
Print name:
Phone:
I Fax #:
Address:
City /State /Zip:
City of Tukwila
John W. Rants, Mayor
Department of Community Development Steve Lancaster, Director
August 16, 1999
Jerry Draper
16355 130th. Avenue Southeast
Renton, WA 98058
Re: EXPIRED PERMIT #M198.0189
15151 52 "d. Avenue South
Dear: Jerry Draper:
In reviewing our current permit application files, it appears that your Mechanical
Permit application for Rudolph Zaputil Residence applied for on 10 -05 -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 the date of this letter, your permit application for the work described above
is 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,
Brenda Holt
Permit Coordinator
Xc: Duane Griffin, Building Official
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Prestique vs. ordinary three -tab shingles
The difference couldn't be more dramatic. Prestique
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Meanwhile, ordinary three -tab shingles are flat and
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Prestique Plus with the High
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COMPARISON
•
THE ELK LINE AT A GLANCE
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High Definition
Shading creates a visual
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Backed by a 30-year
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Prestique 11
Raised Profile
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limited warranty.
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This traditional-look
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a 30-year limited
warranty.
Product selections and color offerings are subject to change witho e.
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Regional Office:
4600 South Mill Avenue
Suite 100
Tempe, AZ 85282
800-879-4355
CITY OF( UKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
ISr M -6
Submittal Checklist
Miscellaneous Permits
REROOFS
RESIDENTIAL REROOF: Single- family structures are exempt from reroof permitting unless roof structure is to
be repaired or replaced, in which case a Residential Building Permit is required.
COMMERCIAL REROOF: If roof structure is to be repaired or replaced, a commercial building permit will be
required.
✓
Document Requirements
Narrative describing existing roof, material being removed, and material being installed
Any roofing material documentation available is requested for review of application
Note: A certification letter is required prior to final inspection and sign -off of the permit
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