HomeMy WebLinkAboutPermit D12-167 - SINGH RESIDENCE - CARPORT ENCLOSURESINGH RESIDENCE
17083 53 AV S
EXPIRED 06-22-13
D12 -167
wq City ofkukwila
sy
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.:
Address:
Suite No:
Project Name:
17083 53 AV S TUKW
SINGH RESIDENCE
DEVELOPMENT PERMIT
Permit Number:
Issue Date:
Permit Expires On:
D12 -167
05/18/2012
11/14/2012
Owner:
Name:
Address:
Contact Person:
Name: HARRY SINGH
Address: 21619 4 AV S , NORMANDY PARK WA 98198
Contractor:
Name: OWNER AFFIDAVIT - HARRY SINGH
Address:
Contractor License No:
Lender:
Name:
Address:
Phone: 206 - 261 -7657
Phone:
Expiration Date:
DESCRIPTION OF WORK:
ENCLOSE THE EXISTING CARPORT
Value of Construction:
Type of Fire Protection:
Type of Construction: V -B
Electrical Service Provided by:
$500.00
Fees Collected:
International Building Code Edition:
Occupancy per IBC:
$130.50
2009
0022
* *continued on next page **
doc: IBC -7/10
D12 -167
Printed: 05 -18 -2012
• •
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant:
Flood Control Zone:
Hauling:
Land Altering:
Landscape Irrigation:
Moving Oversize Load:
N
N
Number: 0 Size (Inches): 0
Start Time:
Volumes: Cut 0 c.y.
Start Time:
End Time:
Fill 0 c.y.
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:
Date: 5-10- I
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume 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.
Signature:
Print Name:
Date:
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: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
6: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
obtained at City Hall in the office of the City Clerk.
doc: IBC -7/10
D12 -167 Printed: 05 -18 -2012
7: Ventilation is required for all new rooms spaces of new or existing buildings and sha in conformance with the
International Building Code and the Washin State Ventilation and Indoor Air Quality Co
8: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances
shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms,
bathrooms, toilet rooms, storage closets, surgical rooms.
9: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE
GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that
the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests.
10: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall
be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum
distance of 4- inches shall be maintained above the controls with the strapping.
11: 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).
12: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
13: 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 -167 Printed: 05 -18 -2012
CITY OF TUTU A
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Building Per. No. b`') (, 7
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
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 **
SITE LOCATION
Site Address:
l' m83 S3 "vc- -
Tenant Name: m ' y </ 1/l/! ,GI
King Co Assessor's Tax No.:
Suite Number:
PROPERTY OWNER
Name: / ./1ek� ei
Name: /I� 4;/.11-
0/60 --F
Address..�js/ 4'0 ello
172_ Z._ "-I
City:.C�1_p,f_e
State: W � ZipgJ /a.
CONTACT PERSON — person receiving all project
communication
Name: / ./1ek� ei
Address:
Address: /9 4 /411/E-
2
City:N,Per Stated
/
gin:
d`
Phone: Fax:
2-40C--2‘ /-705- 7 —
Email:
Phone:
GENERAL CONTRACTOR INFORMATION
Company Name:
Address:
Company Name:
City:
State:
Zip:
Phone:
Fax:
City:
State:
Contr Reg No.:
Phone:
Exp Date:
Tukwila Business License No.:
H:\Applications\Forms- Applications On Line\2012 Applications\Permit Application Revised - 2- 7- 12.docx
Revised: February 2012
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New Tenant:
Floor:
❑ Yes .. No
ARCHITECT OF RECORD
Name:
Address:
Company Name:
Architect Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Name:
Address:
Company Name:
Engineer Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name:
Address:
City: State: Zip:
Page 1 of 4
BUILDING PERMIT INFORMATIO- 206 - 431 -3670
Valuation of Project (contractor's bid price): $
5
•
Existing Building Valuation: $
Describe the scope of work (please provide detailed information):
coy se art C2A or
Will there be new rack storage? ❑ ....Yes
❑ ..No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
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:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify)
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 Safety 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 \2012 Applications\Permit Application Revised - 2- 7- 12.docx
Revised: February 2012
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Page 2 of 4
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1" Floor
2 "d Floor
3rd Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
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:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify)
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 Safety 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 \2012 Applications\Permit Application Revised - 2- 7- 12.docx
Revised: February 2012
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Page 2 of 4
PUBLIC WORKS PERMIT INFOWTION — 206 - 433 -0179
•
Scope of Work (please provide detailed information):
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
❑ ...Valley View
❑ ...Sewer Availability Provided
❑... Highline
❑... Renton
O ... Renton ❑... Seattle
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.
Submitted with Application (mark boxes which apply):
❑ .. Civil Plans (Maximum Paper Size — 22" x 34 ")
❑ .. Technical Information Report (Storm Drainage)
❑ .. Bond 0... Insurance ❑... Easement(s)
Proposed Activities (mark boxes that apply):
❑ .. Right -of -way Use - Nonprofit for less than 72 hours
❑ .. Right -of -way Use - No Disturbance
❑ .. Construction/Excavation /Fill - Right -of -way ❑
Non Right -of -way ❑
❑ .. Total Cut
❑ .. Total Fill
cubic yards
cubic yards
❑...Geotechnical Report
O ... Maintenance Agreement(s)
❑ .. Traffic Impact Analysis
❑ .. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
0... Right-of-way Use - Profit for less than 72 hours
O ... Right-of-way Use — Potential Disturbance
0... Work in Flood Zone
0... Storm Drainage
❑ .. Sanitary Side Sewer 0... Abandon Septic Tank 0... Grease Interceptor
❑ .. Cap or Remove Utilities 0... Curb Cut ❑... Channelization
CI.. Frontage Improvements 0... Pavement Cut 0... Trench Excavation
❑ .. Traffic Control 0... Looped Fire Line ❑... Utility Undergrounding
❑ .. Backflow Prevention - Fire Protection If
Irrigation "
Domestic Water "
❑ .. Permanent Water Meter Size (1)
❑ .. Temporary Water Meter Size (1)
❑ .. Water Only Meter Size
❑ .. Sewer Main Extension Public
❑ .. Water Main Extension Public
WO # (2) " WO # (3) " WO #
WO # (2) " WO # (3) " WO #
WO # ❑ .. Deduct Water Meter Size "
Private ❑
Private ❑
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ .. Water CI.. Sewer CI.. Sewage Treatment
Monthly Service Billing to:
Name: Day Telephone:
Mailing Address:
City State Zip
Water Meter Refund/Billing:
Name:
Mailing Address:
Day Telephone:
City
State Zip
H:Wpplications\Forms- Applications On Line \2012 Applications\Permit Application Revised - 2- 7- 12.docx
Revised: February 2012
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Page 3 of 4
•
PERMIT APPLICATION NOTES —
•
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 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 A��I�T:
Print Name:
Mailing Address:
7':
Y
i■+
Date:
Day Telephone: 2-c 76"r- 70.7-
2-4 ,j � «I / %t/2 -- ?X%-
City State Zip
H:\Applications\Forms- Applications On Line \2012 Applications\Permit Application Revised - 2- 7- 12.docx
Revised: February 2012
bh
Page 4 of 4
City. Tukwila
Permit Center
6300 Southcenter Boulevard, Suite, 100
Tukwila, WA 98188
(206 431 -3670)
•
Application # 10)-_1(p7
7
ALTERNATE PLAN SUBMITTAL AUTHORIZATION
FOR LIMITED SCOPE OF WORK
I.B.C.& I.R.C. Section 104.1
Project name ',rte Lib 1 E) I A. rAra,..` e 4.4 t.4
Address 17 0 Fir V a
Description of work Coi47t 2uc 3/0 I OF 2 Xdo ii 113,0 couu -ro eiiose ti4 eleisr 4
c ewer' st cA 1,44 l Q Tt NIC1 0100 1.4 I 4,l w E 4 41,:efrAer
Related reference number Vz FA 12 141
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 pectxt `;" a, try rE`
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: L{-i ' M- TCI¢,!' a 17.44,4 :t NC.I, .60 F- ll+INN� ' t�
Authorization by, lq"
TBD36/96 -form 12
Date d%�-,C
(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 -43 1 -3670
Fax: 206-431-3665
Web site: http: / /www.Tukwila WA.tov
Parcel No.:
Address: 17083 53 AV S TUKW
Suite No:
Applicant: SINGH RESIDENCE
RECEIPT
Permit Number: D12 -167
Status: ISSUED
Applied Date: 05/18/2012
Issue Date: 05/18/2012
Receipt No.: R12 -02187
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $75.60
Payment Date: 07/24/2012 12:17 PM
Balance: $0.00
HARDEEP SINGH, H S CONSTRUCITON AND
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 41427G
ACCOUNT ITEM LIST:
Description
75.60
Account Code Current Pmts
BUILDING - RES
000.322.100 75.60
Total: $75.60
doc: Receiot -06 Printed: 07 -24 -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.gov
Parcel No.:
Address: 17083 53 AV S TUKW
Suite No:
Applicant: SINGH RESIDENCE
RECEIPT
Permit Number: D12 -167
Status: PENDING
Applied Date: 05/18/2012
Issue Date:
Receipt No.: R12 -01619
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $130.50
Payment Date: 05/18/2012 08:42 AM
Balance: $0.00
H S CONSTRUCTION
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 174724
ACCOUNT ITEM LIST:
Description
130.50
Account Code Current Pmts
BUILDING - RES
STATE BUILDING SURCHARGE
000.322.100 126.00
640.237.114 4.50
Total: $130.50
doc: Receiot -06 Printed: 05 -18 -2012
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO..
CITY OF TUKWILA BUILDING DIVISION-
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3670 .
Permit Inspection Request Line (206) 431 -2451 :
:Oa 10
Project: t A' � � �.
M Rs 4
Type of Inspection: - .
i ow 5
'
Add ss:
I'-1 O�
c'YJ
■ S_
Date Called:
Specie Instructions:
f p1r
Pf /( -C1 �%9
Date Wanted:.
i z --2
"---: a.m.
i ? pm.
Requester:
:
Phone No:
'2,6(9-761
_'?(5
ElApproved per applicable codes.
0 Corrections required prior to approval.`'
COMMENTS:
Ins pectol;:
V
-7
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee .must'be_:,
paid at 6300 Southcenter Blvd., Suite 100. Callao schedule reinspection.t'
Date:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300' Southcenter .Blvd., #100, Tukwila. WA 98188 1e., (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
INSPECTION RECORD
Retain a copy with permit
,012,-/(07
PERMIT NO.
Project 's :
St G{
'Ty
1teJ1 (T
of Inspection:
titPVP'..
1
..6p
Address. _ .
y CL
Date Called:
Special instructions:
Date Wanted: •
l9 ' -2 C
/ a.m..
/`-- p.m.
Requester:
Phone No
0 Approved' per applicable codes. a Corrections required prior to approval.
COMMENTS:
1,1)4441
x.11 J�&Lr
37\ 1NTA-A4P
•
Inspector:
Date: Z 11.
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
PILE COPY
INMPLETE
TRCON -�
TV
REVISION N0.1
D
REVIEWED FOR
CODE COMPLIANCE
APPROVED
-JUN, 2 8 2012
City of Tukwila
BUILDING DIVISION.
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20504 Sq Ft
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05 -01 -2013
City of Tukwila Jim Haggerton, Mayor
Department of Community Deveopment Jack Pace; Director
HARRY SINGH
21619 4 AV S
NORMANDY PARK WA 98198
RE: Permit No. D12 -167
SINGH RESIDENCE
17083 53 AV S 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 06/22/2013.
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 06/22/2013, 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,
frOf
fer Marshall
it Technician
File: Permit File No. DI2 -167
6300 Soisthceiiter Boulevard 'Suite #100 Tukwila, Washington 98188 • Phone 206 -431 -3670. Frrx 2Q6 -431 -360
11 -01 -2012
City of Tukwila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
HARRY SINGH
21619 4 AV S
NORMANDY PARK WA 98198
RE: Permit No. D12 -167
SINGH RESIDENCE
17083 53 AV S 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 12/25/2012.
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 12/25/2012, 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,
Bill Rambo
Permit Technician
File: Permit File No. D12 -167
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 - 431 -3670 • Fax 206-431-3665
June 19, 2012
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
Harry Singh
21619 4th Av S
Normandy Park, WA 98198
RE: Incomplete Letter #1 to Revision #1
Development Permit Application D12 -167
Singh Residence —17083 53 Av S
Dear Mr. Singh,
This letter is to inform you that your permit revision received at the City of Tukwila Permit Center on
June 15, 2012 is determined to be incomplete. Before your application can continue the plan review
process the attached /following items from the following department(s) need(s) to be addressed:
Planning Department: Jaimie Reavis at 206 431 -3659 if you have any questions concerning
the following comment.
1) Please provide a site plan showing the setbacks. The front porch must
be 15 feet from the property line.
Please address the comment above in an itemized format with applicable revised plans, specifications,
and /or other documentation. The City requires that four (4) sets of revised plans, specifications and /or
other documentation be resubmitted with the appropriate revision block.
In order to better expedite your resubmittal a `Revision Submittal Sheet' must accompany every
resubmittal. I have enclosed one for your convenience. Revisions must be made in person and will not
be accepted through the mail or by a messenger service.
If you have any questions, please contact me at the Permit Center at (206) 431 -3670.
Sincerely, q):4
Bill Rambo
Permit Technician
Enclosures
File: D12 -167
W: \Permit Center \Incomplete Letters \2012\D12-167 Inc Ltr #1 to Rev #1.doc
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
•
PERMiff COON COP)
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D12 -167 DATE: 06 -20 -12
PROJECT NAME: SINGH RESIDENCE
SITE ADDRESS: 17083 53 AV S
Original Plan Submittal X Response to Incomplete Letter # 1
Response to Correction Letter # X Revision # 1 After Permit Issued
DEPART TS:
ilding i i ion
Public Works
Fire Prevention
Structural
Sly
Planning Division
Permit Coordinator lI
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete
DUE DATE: 06-21 -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 Structural Review Required
REVIEWER'S INITIALS:
No further Review Required
DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 07-19 -12
Approved 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
2 -28 -02
HERMIT COORD COM/
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER:
PROJECT NAME:
SITE ADDRESS:
D12 -167
SINGH RESIDENCE
17083 53 AV S
DATE: 06/15/12
Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
X Revision # 1 after Permit Issued
DEPARTMENTS:
Building Division •
JJS N /A- lo�C1 (d—
Public Works
re Prevention
Structural
(9` G" V- `ey1 d N( f2
Planning .vision
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
DUE DATE: 06/19/12
Incomplete Not Applicable ❑
Comments:
Permit Center Use Only G
INCOMPLETE LETTER MAILED: --I I'1
Departments determined incomplete: Bldg ❑
LETTER OF COMPLETENESS MAILED:
Fire ❑ Ping PW El Staff Initial
TUES /THURS ROUTING:
Please Route
Structural Review Required n
REVIEWER'S INITIALS:
No further Review Required n
DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 07/17/12
Approved n Approved with Conditions n Not Approved (attach comments) ❑.
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments determined incomplete:
Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing slip.doc
02/29/12
PROJECT NAME: beet
SITE ADDRESS:
PERMIT NO:I P -i a
ORIGINAL ISSUE DATE: MI pj 'G
REVISION LOG
REVISION
NO.
DATE
RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INI IALS
n
I I2
tilfSi
MI
Summary of Revision: . i i V G• ► x(10
(-)
Received by: 49 ,rAi s y
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)
Citytf 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: 474/
Plan ChecWPermit Number:
P
Response to Incomplete Letter # 1
[Response to Correction Letter # I
Revision # I after Permit is Issued
0 Revision requested by a City Building Inspector or Plans Examiner
Project Name: //1,1 4
Project Address: /7Dg,-? (5'3 A-U• . ,
Contact Person: k/ Q7 fn-t,� j Phone Number: r 2‘r- 7ST 7-
Summary of Revision: hfro
f
RECEIVED
CITY OF TUKW1LA
I JUN 2 0 2012i
PERMIT CENTER
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
lEr Entered in Permits Plus on (o (L.
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Revision Submittal.doc
Revised: May 2011
c
CityItf Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Web site: http: / /www.TukwilaWA.gov
REVISION
SUBMITTAL
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: [) 12-1(21
❑ 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:j I L pcidtoce_
Project Address: / 7 /
Contact Person: �/��j � ` 2b -? 52 Phone Number: 266'26 / M.5-7
Summary of Revision:
ptv
a6C
CITY LA
JUN 15 2012
PERMIT CENTER
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
X1 Entered in Permits Plus on I �� 112
H:\ Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Revision Submittal.doc
Revised: May 2011
1
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -367o FAX (206) 431-3665
E -mail: tukplan Pei .tukwila.wa.us
Permit Center /Building Division
206 431 -3670
Public Works Department
206 433 -0179
Planning Division
206 431 -367o
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO: `)--- 1 11/ 7
STATE OF WASHINGTON)
COUNTY OF KING )
ss.
'At 'VF;9 Fg-I/t/7// , states as follows:
[please print name]
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. 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 / 2- , 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 constructi, work.
Agent*
Signed and sworn to before me this
day of v
,20 /..
NOTARY PUBLIC in and for the State of Washington
Residing at
/71 , /C,o /unty/
Name as commissioned: a"' ' �I/L' %(`e
7
My commission expires: 5��
18.27.090 Exemptions. The retion provisions of this chapter do not apply ti
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 hold�sta ;Yalicl electrical contractor's
license under chapters; =i�9:`g8�R4 xl}kipmploys a certified
journeyman electriei`�Aegetti iedi esitigntial specialty
electrician, or an 4ctr al t>;ainee :meeting tale
requirements of cliaptge9.28 RCW top'erforin plumbing
work that is incidentally; directly, and irrimediately
appropriate to thelilen -kind replacement of a household
appliance or other • gmall.household,utili ati n equipment
that requires limited:electr-ic.power,ati i`li iited waste
and /or water connections. An ,eiectrieaIf ainee must be
supervised by a certified eketr=ieian'while performing
plumbing work.
• Per Washington State Department of Labor and Industries lessee has
been interpreted to be equivalent to owner for purposes of exemptions.
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PLANNING APPROVED
No changes can be made to these
plans without approval from the
Planning Division of DCD
Approved By:, S 1.1,4c 6 t-e (,o ,-
Date w_ )-(o -(2.
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.
FILE COPY
Penult Na�=
SEPARATE PERMIT
REQUIRED FOR
L"t
Llumbing
E7�as Ping
City of Tukwila
BUILDING DIVISION
PIPS review approval is st6ject to erors and om sions.
& "3roval of awodniction dot:innards does not authorize
tdii ' a p: p.oroved on Feki at any adopted c ode or order. Receipt
acknowledged;
By
Oa Ala
BUILDING DIVISION.
44lIF7pP : T .-
_ 11 ,i
I •:pr-.
REVISION NO1
•
• • a
•
a
• e a._
-4 • 6.
•
a •
•
REVIEWED FOR
--ODE COMPLIANCE
t APPROVED
ri
1JUN 2 8 2012
• L
City of Tukwila
BUILDING DIVISION
CITY OF TURwIL .
JUN 15 2012
PERMIT CENTER
a•
•