HomeMy WebLinkAboutPermit D12-017 - DANG RESIDENCE - IMPROVEMENTDANG RESIDENCE
4208 S 124 ST
D12 -017
City Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 0179000105
Address: 4208 S 124 ST TUKW
Suite No:
Project Name: DANG RESIDENCE
DEVELOPMENT PERMIT
Permit Number: D12-017
Issue Date: 02/16/2012
Permit Expires On: 08/14/2012
Owner:
Name: FEDERAL NATIONAL MORTGAGE A
Address: 8100 NATIONS WAY , JACKSONVILLE FL 32256
Contact Person:
Name: THY DANG
Address: 13744 45 AV S , TUKWILA WA 98168
Phone: 206 - 272 -0526
Contractor:
Name: OWNER AFFIDAVIT - THANH DANG Phone:
Address:
Contractor License No: Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
REMOVE ALL INTERIOR WALLBOARD, INSTALL DOUBLE PANE WINDOWS WITH 4 X 8 HEADERS, ADD R -15 INSULATION
TO WALLS, ADD R -49 INSULATION TO CEILINGS, NEW DRYWALL, HARD WIRED SMOKE DETECTORS AND WALL VAPOR
BARRIER. NO WORK IN BASEMENT
Value of Construction: $6,000.00 Fees Collected: $540.86
Type of Fire Protection: International Building Code Edition: 2009
Type of Construction: VB Occupancy per IBC: 0019
Electrical Service Provided by: SEATTLE CITY LIGHT
* *continued on next page **
doc: IBC -7/10
D12 -017 Printed: 02 -16 -2012
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
•
Fire Loop Hydrant: N Number: 0 Size (Inches): 0
Flood Control Zone:
Hauling: N Start Time: End Time:
Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation:
Moving Oversize Load: Start Time: End Time:
Sanitary Side Sewer:
Sewer Main Extension: Private: Public:
Storm Drainage:
Street Use: Profit: N Non - Profit: N
Water Main Extension: Private: Public:
Water Meter:
N
Permit Center Authorized Signature: I 1 1 l .� i. Date:
I hereby certify that I have read an - ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be compli • whether specified herein or not.
The granting of this permit does not p - ume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached
to this permit.
6‘6114/11 Date: / /6
Signature:
Print Name:
4/\J H DA- i
This permit shall become null and void 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.
PERMIT CONDITIONS:
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431- 3670).
4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
5: Insulating materials, where exposed as installed in buildings of any type of construction, shall have a flame spread
index of not more than 25 and a smoke development index of not more than 450. Where facings are installed in concealed
spaces in buildings of Type III, IV, or V construction, the flame spread and smoke - developed limitations do not apply
to facings, that are installed behind and in substantial contact with the unexposed surface of the ceiling, wall or
floor finish.
doc: IBC -7/10
D12 -017 Printed: 02 -16 -2012
6: All construction shall be done in confoce with the approved plans and the requir ts of the International
Building Code or International Residents e, International Mechanical Code, Washin State Energy Code.
7: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the
International Building Code and the Washington State Ventilation and Indoor Air Quality Code.
8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila
Building Department (206- 431 - 3670).
9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
10: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
doc: IBC -7/10
D12 -017 Printed: 02 -16 -2012
CITY OF TUKWILA
Community Develop Department
Public Works Departn t
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
CONSTRUCTION PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
SITEFLOCATI[t
/ _ King Co Assessor's Tax No.:
Site Address: l 20q S. ' % UKW��A , Gel R Tiquite Number: Floor:
Tenant Name: ! l ink' New Tenant: ❑ Yes ❑.. No
r >PROPERTYfiOWNER ...., 7 ... e
Name: T--HA 'NI-f" Q "'N'G
City: _7-Lucca- (C State: ix.) ii-- Zip: c g2f Ji
Address: 1'574 4 a s-11— .A-VE S _.
Email: -E,, a I,-L. . clang. @ Lueilnait - , eesv►i
City: -T -U Kw i (A- State: .) -r — Zip: 9
7(6 8
; CONTACT- PERSON person receiving a11"project tc °
M.,s�M tf ysi 1 ,.,.z S 1 h t �. y !F-
comniunlcation; .,.. ti % ... �.. ;?.a �k {' ' .
Name: .-,-
�ffYJN�.
Address: 1374, LI 4 5--f ., f (f E' .S
City: _7-Lucca- (C State: ix.) ii-- Zip: c g2f Ji
Phone: (20 6) 27 2 - O f 6 Fax:
Email: -E,, a I,-L. . clang. @ Lueilnait - , eesv►i
Ct* AL`CONTRACTOR INFO.04:14 N} .`h ', ,
Company Name:
-�°
Company Name:
Address:
Address:
Architect Name:
City:
State:
City:
State:
Zip:
Phone:
Fax:
Phone:
Fax:
Contr Reg No.:
Email:
Exp Date:
Tukwila Business License No.:
H:\Applications'Forms- Applications On Line\2011 Applications\Permit Application Revised - 8- 9- 11.docx
Revised: August 2011
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ARCHITECT, OF>RECORD
;, ": �
-�°
Company Name:
Address:
Architect Name:
City:
State:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ElYGINFglIMF R) CARD
,7-, 0
' ; i ,-
Company Name:
Address:
Engineer Name:
City:
State:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
,FND R 6014in; ISS VEn (req`liii - fox proi'ects $s,000 ill:
. _greater,per RC W 9 27' -{.) _ :.: ;_ s t 9 r' Y "7.
Name:
Address:
City:
State:
Zip:
Page 1 of 4
BUILDIN(PERMIT INFORM -ATION 306 431 - 3670:` .
t
Valuation of Project (contractor's bid AP $ e) C-01) , °-°�`yy�� Existing.lding Valuation: $
Describe the scope of work (please provide detailed information): "tf 14 �,i�ti� V' C# MO ftk
V c" 1)4 I VPV tclA i tk4 lei "e w i 4ovJS w �; k kfil.G..4;
ad 12— lc iv A d.bt 12I - 4 e,i l,i h he u 1 t ' kkrbt
L
- kr
Will there be new rack storage? ❑ ....Yes
❑ ..No If yes, a separate permit and plan submittal will be required.
'rovtde All Bu lding Areaslln Square Footage`Below,
,t e t t.. A
t pi ;�. M a~
!!Y`J :. !r .]Kk.ve�.O n.I Y
*,.,„, " 9'6s. /I h i_'f41C.
. -.,.,:
k
-� .. Q.!' f 4
S- Exist�n ;:
g
4d ,�, ,_ ?
s1:4• .
f} �C�N
*Interior ..
terior•Rem el
-i F't
, Aildrtion to - ,
Existm r�
.,' .(�:• g T�]
- 1: j
; Structure ��
h.
R
, ,7 r . ,
Ml �' y4. ��
'1
t ;New ;,� y
4 f
;, ",, ;.Type ci r rt
∎Construction per
.. yCr iS
.i ; x .i•t
; A.,; : IBC r
�.
d ,t Type of
. rOpcupancy pertly,
r , } Y.. -��.1 Cy..
x, t .
,.' ., IBC ..+ -
;2nd
∎Floor Y.t�,.na !'
�•:
rd 5.
Floor r 4 x
Floors° . - - ,
"Basement` ,„:, .
t Wvr �..
Acces ry tructure*:
l'AttaCh.ed Garage 1.
1 '5 r: tats
1 Detached Garage ;
Attitili it
A
Detached Carpo�rt ,
Coveidai eck ,
xG P-j _, >jsz
,CAS•
Uncovered Decks °
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ Yes ❑ No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
El Sprinklers ❑ Automatic Fire Alarm ❑ None 4it Other (specify) 0 II - tt e L
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No
If `yes', attach list of materials and storage locations on a separate 8 -1/2 "x 11 " paper including quantities and Material Safe Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:Wpplications\Forms- Applications On Line \2011 Applications\Permit Application Revised - 8- 9- 11.docx
Revised: August 2011
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Page 2 of 4
PUBLIC WORKS PERMIT INFORMATION — 206- 433 -0179
Scope of Work (please provide detailed irt..,rmation):
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ .. Tukwila ❑ ...Water District #125
❑ .. Water Availability Provided
Sewer District
❑ .. Tukwila
❑ .. Sewer Use Certificate
Septic System:
❑ On -site Septic System — Fo -site septic system, provide 2 copies of a current septic design approv
0... Highline
❑ ...Valley View 0... Renton
❑ ...Sewer Availability Provided
❑ .. Renton
❑ .. Seattle
Submitted with A t lication mark oxen which a s s t
❑ .. Civil Plans (Maximum Paper S — 22" x 34 ")
❑ .. Technical Information Report (Sto drainage)
❑ .. Bond 0... Insurance 0... Easement(s)
by King County Health Department.
❑... Geotechnical Rep., ❑ ...Traffic Impact Analysis
❑... Maintenance A ement(s) ❑ ...Hold Harmless — (SAO)
❑ ...Hold Harmless — (ROW)
Proposed Activities (mark boxes that apply):
❑ .. Right -of -way Use - Nonprofit for less than 72 ` :urs
❑ .. Right -of -way Use - No Disturbance
❑ .. Construction/Excavation /Fill - Right -of -way ❑
Non Right -of -way
0... Rig sf -way Use - Profit for less than 72 hours
❑... R'.' t -of -way Use — Potential Disturbance
❑ .. Total Cut
❑ .. Total Fill
cubic yards
cubic yards
❑ .. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
❑ .. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
0... Abando
0... Curb
❑... Pa
0... Work in Flood Zone
0... Storm Drainage
eptic "1''apk
t a.
ent Cut
oped Fire Line
❑ .. Permanent Water Meter Size... WO #
❑ .. Temporary Water Meter Size .. WO #
❑ .. Water Only Meter Size WO #
❑ .. Sewer Main Extension ublic ❑ Private ❑
❑ .. Water Main Extension ..Public ❑ Private ❑
FINANCE INFORMATION
0... Grease Interceptor
❑... Channelization
0... Trench Excavation
0... utility Undergrounding
❑ ...De • `;t Water Meter Size
Fire Line Size at Property ne Number of Public Fire Hydrant(s)
❑ .. Water ❑ .. Sewer ❑ .. Sewage Treatment
Monthl Service Bil to
Name:
Day Telephone:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State
Zip
Day Telephone:
City
State
Zip
H. \ Applications\Porms- Applications On Line \2011 Applications\Permit Application Revised - 8 -9 -11. docx
Revised. August 2011
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Page 3 of 4
r st
K.7 c i#; R4
Value of Construction — In all cases, a valu onstruction amount should be entered by the app'
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.
t. This figure will be reviewed and is subject
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature:
Print Name::-(" Prn(U- DA-f\/
Mailing Address: f 2,740 f /� S& t ✓� 1J
H:Wpplications\Forms- Applications On Line \201 I AppbcationsTermit Application Revised - 8- 9- 11 .docx
Revised: August 2011
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Date: f
Day Telephone: ( b 6) L7 2,- o27
City State Zip
Page 4 of 4
Project name
Address
Description of work
City Of Tukwila
Permit Center
6300 Southcenter Boulevard, Suite, 100
Tukwila, WA 98188
(206 431 -3670)
•
Application # O 0=0 11
ALTERNATE PLAN SUBMITTAL AUTHORIZATION
FOR LIMITED SCOPE OF WORK
I.B.C.& I.R.C. Section 104.1
m itt pm S� c)E-.lu
Wg
Related reference number
r. LA
�ry Rn` F OVi
.IAN 2 5 2012
PERMIT CEWTEK
The above project permit applicant, due to the limited scope of work is authorized to submit reduced
plan requirements described below.
1. Complete permit application required: (Note, all application must include; 1) property assessor
number, 2) copy of contractors license or completed owner waiver form.)
Building Mechanical Other
2. Minimum plan and /or specification requirement:
Site plan Floor plan ` Elevations Foundation
Cross sections Roof plan W.S.E.C. Compliance Narrative
Structural calculations (stamped by Washington State licensed engineer )
Specific required information
3. Other special instructions: p,-j
/"If // St -I(/
Authorization by,
TBD36/96 -form 12
OZ kv\ v
Date l f 7.1
(Authorization void 30 days after the date issued.)
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 0179000105
Address: 4208 S 124 ST TUICW
Suite No:
Applicant: DANG RESIDENCE
RECEIPT
Permit Number: D12-017
Status: ISSUED
Applied Date: 01/25/2012
Issue Date: 02/16/2012
Receipt No.: R12 -03008
Payment Amount: $63.00
Initials: WER Payment Date: 10/30/2012 02:51 PM
User ID: 1655 Balance: $0.00
Payee: THANH DANG
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash
Authorization No.
ACCOUNT ITEM LIST:
Description
63.00
Account Code Current Pmts
PLAN CHECK - RES
000.345.830 63.00
Total: $63.00
rinr. Ranaint -nR
Printatl 1n-In-2n1
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206-431-3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 0179000105
Address: 4208 S 124 ST TUKW
Suite No:
Applicant: DANG RESIDENCE
RECEIPT
Permit Number: D12-017
Status: APPROVED
Applied Date: 01/25/2012
Issue Date:
Receipt No.: R12 -00692
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $409.30
Payment Date: 02/16/2012 03:52 PM
Balance: $0.00
THANH Q DANG
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. B26146
ACCOUNT ITEM LIST:
Description
409.30
Account Code Current Pmts
BUILDING - RES
STATE BUILDING SURCHARGE
000.322.100 404.90
640.237.114 4.50
Total: $409.30
doc: Receiot -06 Printed: 02 -16 -2012
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206- 431 -3670
Fax: 206-431-3665
Web site: http: / /www.TukwilaWA.aov
Parcel No.: 0179000105
Address: 4208 S 124 ST TUKW
Suite No:
Applicant: DANG RESIDENCE
RECEIPT
Permit Number: D12-017
Status: PENDING
Applied Date: 01/25/2012
Issue Date:
Receipt No.: R12 -00262
Payment Amount: $131.56
Initials: JEM Payment Date: 01/25/2012 03:51 PM
User ID: 1165 Balance: $409.30
Payee: THYDAO DANG
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 05514B
ACCOUNT ITEM LIST:
Description
131.56
Account Code Current Pmts
PLAN CHECK - RES
000.345.830 131.56
Total: $131.56
doc: Receiot -06 Printed: 01 -25 -2012
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT N0:. ,v
CITY OF TUKWILA BUILDING DIVISION �( /y
6300 Southcenter Blvd., #100, Tukwila. WA 98188 12, (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Pro' is
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Typ Ins t �`1 pectiOnw r
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Address:
lb L
1 74
Date Called:
Speer I Instrl ions:
Date Wanted:1
(—'•-
Requester:
Phonhoe0N — 2,172
eSr- 2
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
(€IMd( &4 4 I
0 L v IDate:/I
•
REINSPECTION FEE REQUIRED. Prior to next inspection,. fee must. be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedute.reinspection.
Inspe(r:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
AlL
12 -C),7
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
40/9^/Ca / .5
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Type of Inspection:
In/ /A1 L
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1, 5, 1164 &' A io)c (34f t alt *--._
Address:
5/2.o ,S /.?
5,
Date Called:
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Special Instructions:
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Date Wanted:.
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a.m'
p.m.
Requester:
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4 p r-r 1 p 5L, 0 p Jr isbokti . • lukiL
Phone No:
ElApproved per applicable codes.
orrections required prior to approval.
COMMENT p A sfs 6:1.r S �+" rs ( k"-2k
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Ipector:
Date:
1• r.
n REINSPECTION FEE FM MIRED. Prior to next inspection, fee must be
paid at 6300 So/ut centt�e'(�r�JjJBlvd., Suite 100. Call to schedule rein ?pection. ji e ,4,..(2_„,
eA
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
t?. t 7
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 4 - (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: A n /
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TYpepnxpgction: WO to
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Addres :
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Special Instructions:
r
Date Wanted:
_ /��m•,.
( p.m.
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Requester:
Phone No:
Approved pet applicable codes. Corrections required prior to approval.
COMMENTS:
•
Inspi;ictor:
IDate:..7„
•
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Retain a copy with permiti712-' 0
•
INSPECTION PERMIT NO.
:CITYi.OFTUKWILA BUILDING DIVISION c-'1
NO:
6300 Southcenter:VV:d., #100, Tukwila. WA 98188 _It_ (206) 431-3670
Permit Inspection Request Line (206) 431-2451
'INSPECTION RECORD
Projecbitii . 'IT % A
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'
Type of Inspection:‘ -..._ ,
:TA Jeff , 6A-r-, .3 AI
Address. • • -IA
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Date Called:
: 24e • 17-4
Special Instructions: • .
•
Date Wanted:.s.. 3 i ?
. .
Requester:
Phone 1:1:,:e„,----
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XV •
• Approved perapplicable codes.
. '
r•
•
Corrections required prior to approval.
COMMENTS:
lib ‘TAICCe A?( _N-(ei e aro c_k Jowl,
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Date:
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REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
c4. • Li
• . . paid at.6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
1=(
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
3)12 -017
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 = (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project 1 rJ r 6 Q-4
Type_In We.
r 6:64- , 4
Add2{:^ O ¶ `^ ` jr
Date Called:
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4
Special Instructions:
Date Wanted:.
4 m
Requester:
le
Phone No:
�J
s .� rs -�.: 4, sJA ,e tk J e ! 0u6*
DApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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r ; Dr _ , J-- r v.r
Su )A-----11 3 r\
A
Inspector:
J /1 A
Date: 4 _ ` ( _
I---p
REINSPECTION FEE EQUIRED.ZRior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit 1
CITY OF TUKWILA BUILDING DIVISION
r)1 017
PERMIT NO.
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
(206) 431 -3670
Project: -,
Project:
lc �,) . (�.A(
TyRe of Inspection:
Ty Re
ie49 ,� Step WQ% i
Addr s : 1
12 ST
Date Called:
I
Special Instructions:
i''
Date Wanted:
-7
( /
_A,AM_
(2_ p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval. '
COMMENTS:
Ins ector:
Date '2
❑ REINSPECTION FEE IEQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
-Tu 1\C: one CAIVr46
(ArNf reqt/LiMt iV1 1001Ge141
FILE CO
Permft No. V)
Plan review approval Is subject to wore .
4208 So 124-111—
Approval of constatotion docurnots does not authorize
tnc violation of any wed code or ordinance. Receipt J _ A W4 9g) 6 S
of approved Fed Copy end conditions Is edmowiedped:
7h4
£
//6
/ 12
Oty Of mikwmi
stukuNG DIVISION
15 ‘V,/ 1;' :l .41
.r
REVIEWED FOR
CODE COMPLIANCE
APPROVED
FEB 15 2012
City •' T .kwil
BUILDIN (VISION
.11
2J31N331tiNH3d
g'
4, z5'
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees.
SEPARATE PERMIT
REQUIRED FOR
Mechanical gt
Electrical
Plumbing
Gas Piping
City of Tukwila
BUILDING DIVISION
Narrative
1. Remove all interior wall boards.
2. Install new double panel windows. and 4x8 headers over all windows.
3. Some new electrical and plumbing to be under separate permits.
4. Add R -15 insulation to walls and R-49 to ceilings.
5. New drywall.
6. Add hard wired smoke detectors with battery back -up.
7. No work in basement except add 1 smoke detector.
REVIElNED FOR
8. New wall boards. CODE COMPLIANCE
APPROVED
9. Wall vapor barrier.
FEB 15 2012
City of Tukwila
BUILDING DIVISION
Rtutivt�
CITY OF Tt KIMLA
JAN 2 5 2012
PERMIT CENTER
D12 -ol�
FILE COPY
Permit No. TA V
Plan review approval is subject to errors and omissions.
Approval of construction documents does not authorize
the violation of any adopted code or ordinance. Receipt
of approved Field Copy and conditions is ac nowledgud:
) CD
5=:)
■
BY
Date:,
1
N
10/30/ 1a
City Of 1Ukwila
BUILDING DIVISION
4208 s
124rff• T.
TUKVviLA , vc/A 98168
50'
1 Ii
f „f
REVIEWED FOR
CODE COMPLIANCE
APPROVED
MAY 0 9 ?012
kwila
IVISION
City of
BUILDIN
• ••••Y•:iI? J' "..• �.•.. wiT':'FliTJ'�ilFr.'�i'�t �:�cil
\V
IVING
BEDROOM
SD
falN331IV i3d
SEPARATE PERMIT
REQUIRED FOR:
Mechanical
0 Electrical
Plumbing
Gas Piping
City of Tukwila
i�.. (.'ING DIVISION
DINftCi RDUr'
2
(SD
CLosL
&& DROOM
ITC h
11-11-1 - L11
zi9
4-„ '
A-DD 4
(-.-t Li I•••1
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division
!()T: ravisions will require a new plan submit!
_ ", J may include additional plan review fee::
- -I
J
10 -01 -2012
City of Tukwila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
THY DANG
1374445AVS
TUKWILA WA 98168
RE: Permit No. D12 -017
DANG RESIDENCE
4208 S 124 ST TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 11/19/2012.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 11/19/2012, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Venni er Marshall
perm t Technician
File:
Permit File No. D12 -017
6300 SouthcenterBoulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 -431 -3665
ERMIT COORD COPS
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER:
PROJECT NAME:
SITE ADDRESS:
D12 -017
DANG RESIDENCE
4208 S 124 ST
DATE: 05/04/12
Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
X Revision # 1 after Permit Issued
DEPARTMENTS:
+ Building Division
NIP( CIG-
Public Works
I7
Fire Prevention
Structural
Planning Division
Permit Coordinator n
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Incomplete
DUE DATE: 05/08/12
Fl Not Applicable
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED:
Departments determined incomplete: Bldg ❑
LETTER OF COMPLETENESS MAILED:
Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROUTING:
Please Route Structural Review Required
REVIEWER'S INITIALS:
No further Review Required 5-4
DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 06/05/12
Approved K Approved with Conditions n Not Approved (attach comments) n
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑
Staff Initials:
Documents /routing slip.doc
02/29/12
ERMIT COORD COPIO
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D12 -017
PROJECT NAME: DANG RESIDENCE
DATE: 01/25/12
SITE ADDRESS: 4208 S 124 ST
X Original Plan Submittal
Response to Incomplete Letter #
Response to Correction Letter # Revision # after Permit Issued
DEPARTM NTS:
Building Division
PubN
lic W r s
1- 0 k)--.6-IZ
Fire Prevention
Structural
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete fyi
Comments:
Incomplete
DUE DATE: 01/26/12
Not Applicable
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route sp
REVIEWER'S INITIALS:
Structural Review Required
No further Review Required
DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 02/23/12
Approved Approved with Conditions L] Not Approved (attach comments)
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing slip.doc
2 -28 -02
PROJECT NAME:
SITE ADDRESS:
PERMIT NO:S 1)l �'1
ORIGINAL ISSUE DATE: (?2 1(1 12
REVISION LOG
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
1
C61"0141, IQ
q6v�
(0-,U; (a-
Summary of Revision: C)h ovJ c e y� A in ct.1-1, r D1 avt -P ow p I k,,
Received by: �" �`(,vkA
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision:
Received by:
(please print)
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision:
Received by:
(please print)
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision:
Received by:
(please print)
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision:
Received by:
(please print)
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision:
Received by:
(please print)
4
City of Tukwila
REVISION
SUBMITTAL
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Web site: http: / /www.TukwilaWA.gov
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: Plan Check/Permit Number: D
_0
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Project Name:
Project Address:
Contact Person:
T-- 4N-i DA NCB
4-4-c9 S i. --H/ ST
REGtiVtu
CITY OF TUKWILA
MAY 0 4 2012
PERMIT CENTER
T-14 y PA N C7 Phone Number: 6) 2-7 Z • 0 S� G
Summary of Revision: l
c2bl ow (-3e c•i\kkiv vuom w, -now plotA
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by: hc,0i-t i I L
r,St Entered in Permits Plus on
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Revision Submittal.doc
Revised: May 2011
•
CITY OF TUICWILA
Department of Community Development
630o Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 4313670 FAX (206) 931 -3665
E -mail: tukplanaci.tukwila.wa.us
Permit Center /Building Division
206 431 -3670
Public Works Department
206 433 -0179
Planning Division
206 431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO:
t(2
-OM
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
l - N- OAN o
[please print name]
, states as follows:
1. I have made application for a permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW 18.27.090.
3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the
City of Tukwila must verify either that the contractor is registered by the State of Washington, or that
one of the exemptions stated under RCW 18.27.090 applies.
4 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number j . , and will therefore
not be performed by a registered contractor.
5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to
persons making electrical installations on their own property or to regularly employed employees
working on the premises of their employer. The proposed electrical work is not for the construction
of a new building for rent, sale or lease.
I understand that I may be waiving certain rights that I might otherwise have under state law in any decision
to engage an unregistered contractor to perform construction work.
�NVMNNN��ff
issv
r14,41
•
10-; :$b1/4,f
Owner /Owner's Agent*
Signed and sworn to before me this
day of l Q,
NOTARY PUBLIC in and for the State of Washington
Residing at
Name as commissioned: S 0-1- - C
My commission expires: 1 O — — 0.0 1
18.27.090 Exemptions. The registrar provisions of this chapter do not apply to.
1. An authorized representative of the United States
government, the state of Washington, or any incorporated
city, town, county, township, irrigation district, reclamation
district, or other municipal or political corporation or
subdivision of this state;
2. Officers of a court when they are acting within the scope
of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their own
business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground mine
or mineral deposit when performed by an owner or lessee;
5. The sale of any finished products, materials, or articles of
merchandise that are not fabricated into and do not become
a part of a structure under the common law of fixtures;
6. Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW who shall
warranty service and repairs under chapter 46.70 RCW;
7. Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site or
reservation under the legal jurisdiction of the federal
government;
8. Any person who only furnished materials, supplies, or
equipment without fabricating them into, or consuming
them in the performance of, the work of the contractor;
9. Any work or operation on one undertaking or project by
one or more contracts, the aggregate contract price of
which for labor and materials and all other items is less
than five hundred dollars, such work or operations being
considered as of a casual, minor, or inconsequential nature.
The exemption prescribed in this subsection does not apply
in any instance wherein the work or construction is only a
part of a larger or major operation, whether undertaken by
the same or a different contractor, or in which a division of
the operation is made into contracts of amounts less than
five hundred dollars for the purpose of evasion of this
chapter or otherwise. The exemption prescribed in this
subsection does not apply to a person who advertises or
puts out any sign or card or other device which might
indicate to the public that he or she is a contractor, or that
he or she is qualified to engage in the business of
contractor;
10. Any construction or operation incidental to the
construction and repair of irrigation and drainage ditches
of regularly constituted irrigation districts or reclamation
districts; or to farming, dairying, agriculture, viticulture,
horticulture, or stock or poultry raising; or to clearing or
other work upon land in rural districts for fire prevention
purposes; except when any of the above work is performed
by a registered contractor;
11. An owner* who contracts for a project with a registered
contractor, except that this exemption shall not deprive the
owner of the protections of this chapter against registered
and unregistered contractors. The exemption prescribed in
this subsection does not apply to a person who performs
the activities of a contractor for the purpose of leasing or
selling improved property he or she has owned for less than
twelve months;
12.* Any person working on his or her own property,
whether occupied by him or her or not, and any person
working on his or her personal residence, whether owned
by him or her or not but this exemption shall not apply to
any person who performs the activities of a contractor on
his or her own property for the purpose of selling,
demolishing, or leasing the property;
13. An owner* who performs maintenance, repair, and
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
14. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of the
state of Washington or licensed by a political subdivision of
the state of Washington while operating within the
boundaries of such political subdivision. The exemption
provided in this subsection is applicable only when the
person certified is operating within the scope of his or her
certification;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. A mobile /manufactured home dealer or manufacturer
who subcontracts the installation, set -up, or repair work to
actively registered contractors. This exemption only applies
to the installation, set -up, or repair of the
mobile /manufactured homes that were manufactured or
sold by the mobile /manufactured home dealer or
manufacturer;
18. An entity who holds a valid electrical contractor's
license under chapter 19.28 RCW,that employs a certified
journeyman electrician, a certified residential specialty
electrician, or an electrical Jarainep.meetinge,
requirements of chapter 4.28 RCW to per+i`orjr{ vlumbing
work that is incidentally,.;direeily, and immediately,
appropriate to the like- in- kindteplaceruent of p hoflsehold
appliance or other small bousrehold utilization equipment
that requires limited electric Bower and.9imited w to
and /or water connections:,tln electrical trairro* artist be
supervised by a certified eldctrician while performing
plumbing work.
• Per Washington State Department of Labor and Industries, learn has been
interpreted to be equivalent to owner for the purpose of these exemption.