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HomeMy WebLinkAboutPermit MI98-0190 - ZAPUTIL RESIDENCE - REROOFRUDOLPH ZAPUTIL MI98-0190 CITY OF ''IKWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 F•R STAFF USE ONLY Project Number: Permit Number: 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 ame/Tenant: I` t Vol Y 4 Gee? Description of work to be done: 'W /� ���/ ,25 �iz J -� of Construction: C. c9-0 . o ❑ Above Ground Tanks ❑ Antennas /Satellite Dishes ❑ Bulkhead /Docks rikL`ommerciai Reroof ❑ Demolition ❑ Fence ❑ Mechanical ❑ Manufactured Housing - Replacement only ❑ Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection /Exit Systems ❑ Temporary Facilities ❑ Tree Cutting Site Address: a ..y City State /Zip: / �i i7 / . ; =- // n..e . Cs. ,.4.,.2 /Ala . , ~ Tax Parcel Number: 678 ` /y /I() .— t�•i) Phone: Property Owner: * >f /1-��Phone: Aril. 6 -Ty 2 LI 14 9 Street Address: / f/ / T / City State /Zip: S,, 4%14 f�. 50. �. 4/4,& /r1 /a. 9f/V Fax Contact Person: (V /j ,� Phone: a2©, 9 0 9 9 1 / Street Add ess: f�355 City State /Zip: ,i, v,� /�/ 4��s� Fssf yS .lo full Contractor 9k9-pc� 40 e Phone: �f - ,2 Z 6,- ( 5c �xpoueive� /s Street Addr =6s. ' j , s t wity'tate /Zip: • s Fax #: p s- f 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: 'W /� ���/ ,25 �iz J -� .� Will there be storage of flammable /combust le hazardous material in the building? ❑ yes no Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets ❑ Above Ground Tanks ❑ Antennas /Satellite Dishes ❑ Bulkhead /Docks rikL`ommerciai 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 ❑ Flood Control Zone ❑ Landscape Irrigation ❑ Storm Drainage ❑ Water Meter /Exempt # ❑ Water Meter /Permanent # in 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: l Phone: Address: City /State /Zip: 0 Water 0 Sewer 0 Metro 0 Standby WATER METER DEPOSIT /REFUND BILLING: Name: Address: IPhone: 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 lre�• Algcylopaken by: (Initials) ALL MISCELLANEOUS PER T APPLICATIONS MUST BE SUBMI ED WITH THE FOLLOWING: A ALL DRAWINGS SHALL BE AT A LEGIBLE'SCALE AND NEATLY DRAWN A BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED A ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT A STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED STRUCTURAL ENGINEER A CIVIL/SITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.) ❑ 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 Submit checklist No: M -1 El Awnings /Canopies - No signage Commercial Tenant Improvement Permit ❑ Bulkhead/Dock Submit checklist . No: M -10 El 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 ❑ Loading Docks Commercial Tenant Improvement. Permit... Subrnit checklist No: H -17 ❑ Mechanical (Residential & Commercial) Submit checklist No.. M -8, Residential only - H-6, H-16 ❑ Miscellaneous Public". Works Permits Submit checklist: No H -9 ❑ ' 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 ❑ r Retaining Walls - Over 4 feet in height Submit checklist 'No: M -1 El Temporary Facilities Submit checklist ".No: M -7 . ❑ Temporary Pedestrian Protection /Exit Systems Submit checklist No:. M -4 ❑ 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 contractorllcensed 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: l Fax M: 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 -0190 15171 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, Benda Holt Permit Coordinator Xc: Duane Griffin, Building Official CITY OF 7'7JKWILA Permit Cente?- 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 1311( 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. 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