HomeMy WebLinkAboutPermit D13-0370 - FISH RESIDENCE - REMODELFISH RESIDENCE
15144 65 AVE S #4402
EXPIRED 07/02/2014
D13-0370
•
City of Tukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
DEVELOPMENT PERMIT
Parcel No: 1332500620 Permit Number: D13-0370
Address: 15144 65 AVE S 4402 Issue Date: 12/10/2013
Permit Expires On: 6/8/2014
Project Name: FISH RESIDENCE
Owner:
Name:
Address: , , WA,
Contact Person:
Name: DAN FISH Phone: (253) 635-0106
Address: 15144 65 AVE S, UNIT 402 , TUKWILA,
WA, 98188
Contractor:
Name: REMODELERS, INC. Phone: (877) 937-6966
Address: 32741 36 AVE S , FEDERAL WAY, WA,
65023
License No: REMODI*904R7 Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
REMOVE AND REPLACE WATER DAMAGED DRYWALL AT KITCHEN CEILING AND REPLACE KITCHEN CABINETS.
Project Valuation: $4,500.00
Type of Fire Protection: Sprinklers:
Fire Alarm:
Type of Construction:
Electrical Service Provided by:
Fees Collected: $192.80
Occupancy per IBC:
Water District:
Sewer District:
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012 International Fuel Gas Code:
2012 WA Cities Electrical Code:
2012 WA State Energy Code:
2012
2012
2012
2012
Public Works Activities:
Channelization/Striping:
Curb Cut/Access/Sidewalk:
Fire Loop Hydrant:
Flood Control Zone:
Hauling/Oversize Load:
Land Altering:
Landscape Irrigation:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
• •
Volumes: Cut: 0 Fill: 0
Number: 0
No
Permit Center Authorized Signature:
Date: 121 L 0 tr;
I hearby certify that I have read and ned this permit and know the same to be true and correct. All
provisions of law and ordinances gove : 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: 5i [ 7Z%i�"/ALJ i1 AJ
Date:
This permit shall become null and void if the work is not commenced within 180 days for 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 PERMIT CONDITIONS***
2: Work shall be installed in accordance with the approved construction documents, and any changes made
during construction that are not in accordance with the approved construction documents shall be
resubmitted for approval.
3: All permits, inspection record card and approved construction documents shall be kept at the site of work
and shall be open to inspection by the Building Inspector until final inspection approval is granted.
4: 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.
5: All construction shall be done in conformance with the Washington State Building Code and the
Washington State Energy Code.
6: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap
the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks,
wells, and other excavations. Final inspection approval will be determined by the building inspector
based on satisfactory completion of this requirement.
7: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700 BUILDING FINAL**
•
0502 LATH & GYPSUM
CITY OF TUKIA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Pe•t No.
Project No.
Date Application Accepted:
Date Application Expires:
�
k`►titin
(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: 15144 - 65th Ave South
Tenant Name:
PROPERTY OWNER
Name: Dan Fish
Name: Dan Fish
Address: 15144 - 65th Ave South, #402
Address: 15144 - 65th Ave South, #402
City: Tukwila State: WA
City: Tukwila State: WA
Zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: Dan Fish
Address:
Address: 15144 - 65th Ave South, #402
City: Tukwila State: WA
Zip: 98188
Phone: (253) 635-0106 Fax:
Email:
State:
GENERAL CONTRACTOR INFORMATION
Company Name:
Address:
Company Name: rya
Address:
Architect Name:
City:
State:
Zip:
Phone:
Fax:
Phone:
Fax:
Contr Reg No.:
Email:
Exp Date:
Tukwila Business License No.:
H:Wpplicattons'Forms-Applications On Lme12011 Applications\Permit Application Revised - 8-9-11.docx
Revised: August 2011
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King Co Assessor's Tax No.: 133250062006
Suite Number: 402 Floor: 1
New Tenant: ❑ Yes ❑..No
ARCHITECT OF RECORD
Name:
Address:
Company Name: rya
Architect Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Name:
Address:
Company Name: n/a
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
- BUILI1NG PERMIT INFORMATI• 206-431-3670
•
Valuation of Project (contractor's bid price): $ 4,500
Describe the scope of work (please provide detailed information):
Remove & replace water damaged drywall at kitchen ceiling and replace kitchen cabinets.
Existing Building Valuation: $
Will there be new rack storage? ❑ Yes
m.. 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 0 No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers 0 Automatic Fire Alarm 0 None 0 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:Wpphcanons\Forms-Applications On Line\2011 Applications\Permit Application Revised - 8-9-I Ldocx
Revised: August 2011
bh
Page 2 of 4
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1St Floor
76
2nd 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 0 No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers 0 Automatic Fire Alarm 0 None 0 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:Wpphcanons\Forms-Applications On Line\2011 Applications\Permit Application Revised - 8-9-I Ldocx
Revised: August 2011
bh
Page 2 of 4
PUBI 1C- WORKS PERMIT INF '[ATION — 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 0... Water District # 125
❑ ...Water Availability Provided
Sewer District
❑ ...Tukwila
❑ ...Sewer Use Certificate
0 .. Highline
❑ ...Val ley View ❑ .. Renton
❑...Sewer Availability Provided
❑ .. Renton
❑ .. Seattle
Septic System:
0 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)
0 ...Bond 0 .. Insurance 0 .. 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 0
Non Right-of-way
❑ ...Total Cut
❑ ...Total Fill
cubic yards
cubic yards
❑ ...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
0 ...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
❑ .. Geotechnical Report
0 .. Maintenance Agreement(s)
❑...Traffic Impact Analysis
❑ ... Hold Harmless — (SAO)
❑ ...Hold Harmless — (ROW)
❑ .. Right-of-way Use - Profit for less than 72 hours
0 .. Right-of-way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
Domestic Water
0 ...Permanent Water Meter Size...
❑ ...Temporary Water Meter Size ..
❑ ...Water Only Meter Size
❑ ...Sewer Main Extension Public
❑ ...Water Main Extension Public
ff
0 .. Grease Interceptor
❑ .. Channelization
0 .. Trench Excavation
❑ .. Utility Undergrounding
WO #
WO #
WO # ❑ ...Deduct Water Meter Size
Private 0
Private 0
FINANCE INFORMATION
Fire Line Size at Property Line
❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment
Monthly Service Billing to:
Name:
Number of Public Fire Hydrant(s)
Day Telephone:
Mailing Address:
City State Zip
Water Meter Refund/Billing:
Name:
Mailing Address:
Day Telephone:
City
State
Zip
H:\Applications\Forms-Applications On Line\2011 Applications\Permit Application Revised - 8-9-1I.docx
Revised: August 2011
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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 OR AUTHOR
ED AGENT:
Signature:
Print Name: 113 1 L.L
Mailing Address: PO 60x. 117
H:\Apphcations\Forms-Applications On Line\20I 1 Applicattons\Permit Application Revised - 8-9-11.docx
Revised: August 2011
bh
Day Telephone:
g /J
City
Date: (Zl ! C2k0 / 3
Z71 -c2
State Zip
Page 4 of 4
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY PAID
D13-0370
Address: 15144 65 AVE S 4402 Apn: 1332500620
$192.80
DEVELOPMENT
$192.80
PERMIT FEE
WASHINGTON STATE SURCHARGE
TOTAL FEES PAID BY RECEIPT: R308
R000.322.100.00.00
B640.237.114
$188.30
$4.50
$192.80
Date Paid: Tuesday, December 10, 2013
Paid By: REMODLERS INC.
Pay Method: CHECK 3845
Printed: Tuesday, December 10, 2013 1:02 PM 1 of 1
CiriPWSYSTEMS
• •
AUTHORIZATION FOR ALTERNATE PLAN
SUBMITTAL (LIMITED SCOPE OF WORK)
IBC & IRC Section 104.1
Date: 1 4 o 1)
Address: t r' U
Description of Work:
Permit/Application Number: Dt2- v
Tukwila, WA 981 U b
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(s):
Building ❑ Mechanical ❑ Plumbing/Gas Piping ❑ Electrical ❑ Other
2. Plan and/or Specification (minimum):
O Site Plan 111 Floor Plan
❑ Cross Sections 0 Roof Plan
❑ Elevations
O Narrative
❑ Foundation ❑ Structural Calcs
0 Narrative WSEC Compliance
3. Required Inspections (only completed when to be issued over the counter):
O Framing 0 Glazing 21 Final 0 Other: C`
W 1L
4. Other Special Instructions:
Authorized By: (i1i(/tf Date: / —1(/ 3
(Authorization void 30 days after date)
Printed Name: S dJ
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 431-3670 • Fax: 206 431-3665
W:\Permit Center\Templates\Forms\Auth for Reduced Plan submittal.docx
DI3-o7*
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
Projerl— h n e4.,Type
Qf ins c ion:
Address: ! H, t
1
5 4 U S
`s
Date Called:
Special Instructions:
Z„f v
{
Date W ted:
/#6(
a.m ,
p.m.
Re uester ti
4 1ZC)!A
Phone 23(D I - 75s
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Dat
r: 3._to
INSPECTION FEE/REQUIRED.'Prior to next inspection. fee must be
aid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
V )
DrS-cx'la
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: •
Type of Inspegion:
Address: •Date
1lu� GS �1%
Called:
Special Instructions:
WIej€e DitMi
Date Wanted: .,�
12__2.7-- I
IQ 1Li,J U. Ail go b.s
Requester: e
i
Phone No:
pin 147.
Approved per applicable
codes. TE1Zrections required prior to approval.
COMMENTS:
7.' @2O& B f /L 7 b 3 AJr' P 0/."-
'f—/00R..,41orM -1-62 •✓l='k1 E &4
IQ 1Li,J U. Ail go b.s
poVC_
/vol 8
O6v72ci dk/
pin 147.
----1(
1sp ctor Date
j,J Z7-/
n ' SPECTION FEE REQUI ED. Prior t next inspection, fee must be
d at 6300 Southcenter Bl d.. Suite 10 . Call to schedule reinspection.
6/2/2014
City of Tukwila
Department of Community Development
DAN FISH
15144 65 AVE S, UNIT 402
TUKWILA, WA 98188
RE: Permit No. D13-0370
FISH RESIDENCE
15144 65 AVE S, UNIT 402
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, Director
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 7/2/2014.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 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 7/2/2014, 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,
Marshall
echnician
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
Remodelers Inc
Washington State Department of
kjLabor & Industries
Page 1 of 2
Remodelers Inc
Owner or tradesperson
PITZER, MARIE A
Principals
PITZER, MARIE A
Doing business as
Remodelers Inc
WA UBI No.
603 071 689
32741 36TH Ave SW
FEDERAL WAY, WA98023
877-937-6966
KING, County
Business type
Corporation
Governing persons
MARIEPITZER
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor
License specialties
GENERAL
License no.
REMODI*904R7
Effective — expiration
12/28/2010 —12/28/2014
Bond
WESTERN SURETY CO
Bond account no.
24840689
Received by L&I
12/02/2010
Insurance
Nevada Capital Ins Co
Policy no.
77 -NPP -4-010610
Received by L&I
02/27/2013
Savings
No savings accounts during the previous 6 year period.
Active.
Meets current requirements.
$12,000.00
Effective date
11/08/2010
$1,000,000.00
Effective date
02/20/2013
Expiration date
02/20/2014
httns://secure.lni.wa.gov/verify/Detail.aspx?UBI=603071689&LIC=REMODI *904R7&S... 12/10/2013