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HomeMy WebLinkAboutPermit MI98-0205 - CHMIELEWSKI RESIDENCE - GARAGE DEMOLITIONCHMIELEWSKI RESIDENCE MI98-0205 CITY OF TT 'KWILA Permit Center 6300 Soulhcenter Boulevard, Suite 100 Tukwila, WA 08188 (206) 431 -3670 FO • STAFF USE ONLY LJVart.; � 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 NarneTTenant:JHN Tw Ot\J l f✓ 1- {1v1(ELE WS K I Value of Construction: a2 r©o v Site Address: 15$3 c 47 Ave. 5 . T City State /Zip: VKif1L/ l/ 4�'/�� Tax Parcel Number: 2386X6' --0025 Property Owner: JAN i rW ONA G NMi ELE WS K ( Phon7020 1 ,24 /- O2 5ff Street Address: 15873 $- /../7 A r e ..5 City State /Zip: - Fax #: 0 Water Contact Person: 3AN GE'} MI ELEW SKI Phone: Street Address: City State /Zip: 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 PERM)T.REVIEW AND APPROVAL•REQUESTED: (TO QEFILLEp C .BY*!IL(CANT }`;' Description of work to be done: rPt° mo Li s li -I-144 g a, i-a-ge ' /p 5 ift-- Will there be storage of flammable /combustible hazardous material in the building? ❑ yes I no Attach list of materials and storage location on separate 81/2"X 11 paperdndicating quantities & Material Safely Data Sheets ❑ bove Ground Tanks ❑ Antennas /Satellite Dishes ❑ Bulkhead /Docks ❑ Commercial Reroof LW Demolition ❑ Fence ❑ Mechanical ❑ Manufactured Housing- Replacement only ❑ Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection /Exit Systems ❑ Temporary Facilities ❑ Tree Cutting L APPLICANT•REQUEST.FOR MISCELLANEOUS PUBLIC .WORKS PERMITS ❑ 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): Sl e(s)' Est. quantity: gal Schedule: ❑ Moving Oversized Load/Hauling MONTHLY SERVICE BILLINGS TO: • ;: .... :..:...:............ i: Name: I 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. Dale application accepted: /D -7- (0'-193 Date application expires: 7-lam' -9i AppllcaNpn_taken by: (Initials) ALL MiSCEL ANEOUS PE4 T APPLICATIONS MUST BE SUBM D WITH THE FOLLOWIN : ALL DRAWiI GS SMALL BE AT A LEGIBLE'SCALE AND NEATLY DRAWN , 10110 • -BYILbING SITE RLAI§ 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.) ri SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR PERMIT REVIEW <Sutirnit checklist No ; M-9 ' i Above.G ound Tanks/Water..Tanks `= SUppoited directly Upon grade :." exceeding• 5,000 gallons;and a ratio Of height to, diameter Or Width which exceeds 2:1 0 Antennas/Satellite -Dlishes Submit checklist''•;No; M -1:. J .Awnings /Canopies No.signage,: • , • Commercial.Tenant.improvernent Permit < E Bulkhead/Dock y Submit checklist No • M -10 In Comtnercial•Reroof ` Submit checklist No , M -6" Ei Demolition: • Subtpit checklist No M 3;• ?M 3a 0 Fences - OVer 6'feet!in'Height 'Submit cfieckliar No M =9' El Land Altering/Grading/Preibads >. Submit checklist, •.. No ::. M -2..:. E L'oading,Dock8 Commercial Tenant'Improvemerit: ° :. .. Permit.. Sitbmit checklist No: H =1.7 O Mechanical`(Ies(dentiai & Commercial)' t = ' '.,::1'...i. ' Submit checklist-. . No ; M -8, Residential' only - H =6, H -16'• Miscellaneous Public Work:;yPertnits - • Submit c.: ecklist No; H 9 ri Manufactured busing:(RED.I.NSIGNIA ONLY) 'Submit checklist' No M,§-. 0 Moving,Overslzed Load/Hauling Submit checklist No M -5 ' :: • El Parking Lots . Submit checklist No: ; M -4 rii Residentlal Reroof - Exempt with following exception: If roof structure to be repairedior replaced . Residential Building Permit ' Submit checklist , .. No:.. M -6 . 0 Retaining Walls - dyer 4;feet in height ,Submit checklist :','No: . M -1 El Temporary: Facilities Submit checklist No :. M -7" Temporary !Pedestiian'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 Ageht, If the applicant is other than the owner, registered architect/engineer, or contractor licensed; by the State of Washington, a notarized letter Irons the property. owner authorizing the agent to submit this permit appllcation.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 HORIZED'AGENTc . . Signature: 1 Date: /0 —.2 6 _ ,i Print name: v;.4- C t " /CZ, GG/-SX / Phoner6�24 /..2255( Fax #: Address: /J• 3 r 4, 7 4 ve ._ / iZilePt, -, i-a. City /State /Zip: 4/4 of /N) PLAN RVIEW /R�UTI SLIP ACTIVITY NUMBER: PROJECT NAME: 14198 -0205 CHMIELEWSKI. RESIDENCE `.. DATE:: 10 -26 -98 OriginarPlan Submittal Response to Incomplete Letter • Response to Correction Letter # Revision # After Permit Is Issued DEPARTMENTS: Bu'idi�tooi271S )54 PubSc Works Fire lsre(ention t ru a Stru l Id, Planni 'Disio' n 0� Perm' o drdinato Coordinator IL DETERMINATION OF COMPLETENESS: (Tues, Thurs) Complete Incomplete Ell Comments: DUE DATE: 10 -27 -98 Not Applicable 0 TUES /THURS ROUTING: Please Route 0 No further Review Required 0 Routed by Staff ri (if routed by staff, make copy to master file and enter into Sierra) REVIEWERS INITIALS: DATE: APPROVALS OR CORRECTIONS: (ten days) DUE DATE: 11 -24 -98 Approved Approved with Condition Not Approved (attach comments) ri REVIEWERS INITIALS: DATE: CORRECTION DETERMINATION: DUE DATE: Approved ❑ Approved with Conditions E Not Approved (attach comments) El REVIEWERS INITIALS: DATE: C:. City of Tukwila John W. Rants, Mayor Department of Community Development Steve Lancaster, Director December 2, 1999 Jan & Iwona Chmielewski 15835 47th Ave S Tukwila WA 98188 Re: EXPIRED PERMIT APPLICATION #M198 -0205 15835 47th Ave $ Dear: Jan & Iwona: In reviewing our current permit application files, it appears that your permit application for the Chmielewski Residence Garage Demolition, applied for on 10- 26-98, 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, G.amir-o- Bill Rambo Permit Technician Xc: Duane Griffin, Building Official 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 4313670. Fac (206j 431.4665,