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Permit D14-0254 - DOAK HOMES - LOT 2 NEW SINGLE FAMILY RESIDENCE
This record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. D14-0254 DOAK HOMES – LOT 2 nd 5020 South 122 Lane DIGITAL RECORDS (DR) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # Code Exemption Brief Explanatory Description Statute/Rule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals’ social security Personal Information – numbers are redacted to protect those Social Security Numbers individuals’ privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW DR1 Generally – 5 U.S.C. sec. under section 42.56.070(1) of the Washington 42.56.070(1) 552(a); RCW State Public Records Act, which exempts under 42.56.070(1) the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information – expiration dates, or bank or other financial RCW account numbers, which are exempt from 59 DR2 Financial Information – 42.56.230(5) disclosure pursuant to RCW 42.56.230(5), RCW 42.56.230(4 5) except when disclosure is expressly required by or governed by other law. Personal Information – Redactions contain information used to prove RCW Driver’s License. – RCW identity, age, residential address, social security 42.56.230 (7a DR3 number or other personal information required to 42.56.230 & c) apply for a driver’s license or identicard. (7a & c) Redacted content contains a communication between client and attorney for the purpose of obtaining or providing legal advice exempt from RCW Attorney-Client Privilege – disclosure pursuant to RCW 5.60.060(2)(a), 5.60.060(2)(a); RCW 5.60.060(2)(a); RCW which protects attorney-client privileged DR4 RCW 42.56.070(1) communications, and RCW 42.56.070(1), which 42.56.070(1) protects, under the PRA, information exempt or prohibited from disclosure under another statute. DOAK HOMES - LOT 2 5020 S 122' LN D14-0254 Parcel No: Address: 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.Rov COMBOSFR PERMIT 0179001856 Permit Number: D14-0254 5020 S 122ND LN Issue Date: Permit Expires On: Project Name: DOAK HOMES - LOT 2 2/12/2015 8/11/2015 Owner: Name: Address: DOAK HOMES INC 11812 26TH AVE SW , BURIEN, WA, 98146 Contact Person: Name: DARRYL DOAK Address: 11812 26 AVE SW , BURIEN, WA, 98146 Contractor: Name: DOAK HOMES INC. Address: 11812 26 AV SW , SEATTLE, WA, 98146 License No: DOAKHI*092NZ Lender: Name: DOAK HOMES INC. Address: 11812 26 AV SW , BURIEN, WA, 98146 Phone: (206) 372-2280 Phone: (206) 246-6587 Expiration Date: 8/13/2015 DESCRIPTION OF WORK: CONSTRUCTION OF A NEW 1500 SQ FT SINGLE FAMILY RESIDENCE WITH A 240 SQ FT ATTACHED GARAGE AND A 63 SQ FY COVERED DECK Project Valuation: $195,616.66 Type of Fire Protection: Sprinklers: Fire Alarm: Type of Construction: V-B Electrical Service Provided by: TUKWILA FIRE SERVICE Fees Collected: $44,511.91 Occupancy per IBC: R-3 Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2012 2012 2012 2012 2012 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2012 Public Works Activities: Channelization/Striping: Curb Cut/Access/Sidewalk: 1 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: Yes Volumes: Cut: 10 Fill: 10 Number: 1 1 Permit Center Authorized Signature: Date: 2 j _ I hearby 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 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: 4: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 1: An approved automatic fire sprinkler extinguishing system is required for this project. (City Ordinance #2436) 2: All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department review and approval of drawings prior to installation or modification. New sprinkler systems and all modifications to sprinkler systems involving more than 50 heads shall have the written approval of Factory Mutual or any fire protection engineer licensed by the State of Washington and approved by the Fire Marshal prior to submittal to the Tukwila Fire Prevention Bureau. No sprinkler work shall commence without approved drawings. (City Ordinance No. 2436). 5: New and existing buildings shall have approved address numbers, building numbers or approved building identification placed in a position that is plainly legible and visible from the street or road fronting the property. These numbers shall contrast with their background. Address numbers shall be Arabic numbers or alphabet letters. Numbers shall be a minimum of 4 inches (102mm) high with a minimum stroke width of 0.5 inch (12.7mm). (IFC 505.1) 6: Adequate ground ladder access to rescue windows shall be provided. Landscape a flat, 12' deep by 4' wide area below each required rescue window. (City Ordinance #2435) 7: Maximum grade for all projects is 15% with a cross slope no greater than 5%. (City Ordinance #2435) 3: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2436 and #2437) 8: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 9: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575-4407. 10: ***PUBLIC WORKS PERMIT CONDITIONS*** 11: The applicant or contractor must notify the Public Works Inspector at (206) 433-0179 upon commencement and completion of work at least 24 hours in advance. All inspection requests for utility work must also be made 24 hours in advance. 12: Permit is valid between the weekday hours of 7:00 a.m. and 10:00 p.m. only. Coordinate with the Public Works Inspector for any work after 5:00 p.m. and weekends. 13: Any material spilled onto any street shall be cleaned up immediately. 14: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off -site or into existing drainage facilities. 15: The site shall have permanent erosion control measures in place as soon as possible after final grading has been completed and prior to the Final Inspection. 16: The Land Altering Permit Fee is based upon an estimated 10 cubic yards of cut and 10 cubic yards of fill. If the final quantity exceeds this amount, the developer shall be required to recalculate the final quantity and pay the difference in permit fee prior to the Final Inspection. 17: From October 1 through April 30, cover any slopes and stockpiles that are 3H:1V or steeper and have a vertical rise of 10 feet or more and will be unworked for greater than 12 hours. During this time period, cover or mulch other disturbed areas, if they will be unworked more than 2 days. Covered material must be stockpiled on site at the beginning of this period. Inspect and maintain this stabilization weekly and immediately before, during and following storms. 18: From May 1 through September 30, inspect and maintain temporary erosion prevention and sediment at least monthly. All disturbed areas of the site shall be permanently stabilized prior to final construction approval. 19: ***BUILDING PERMIT CONDITIONS*** 20: 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. 21: 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. 22: Truss shop drawings shall be provided with the shipment of trusses delivered to the job site. Truss shop drawings shall bear the seal and signature of a Washington State Professional Engineer. Shop drawings shall be maintained on the site and available to the building inspector for inspection purposes. 23: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 24: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any requirements for special inspection. 25: All wood to remain in placed concrete shall be treated wood. 26: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 27: 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. 28: Every occupied space other than enclosed parking garages and buildings used for repair of automobiles shall be ventilated in accordance with the applicable provisions of the International Mechanical Code. 29: 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. 30: 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). 31: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 32: Preparation before concrete placement: Water shall be removed from place of deposit before concrete is placed unless a tremie is to be used or unless otherwise permitted by the building official. All debris and ice shall be removed from spaces to be occupied by concrete. 33: 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. 34: ***MECHANICAL PERMIT CONDITIONS*** 35: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431-3670). 36: 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. 37: Manufacturers installation instructions shall be available on the job site at the time of inspection. 38: 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. 39: ***PLUMBING/GAS PIPING PERMIT CONDITIONS*** 40: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 41: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 42: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 43: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 44: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 45: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R-3. 46: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 47: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 48: All pipes penetrating floor/ceiling assemblies and fire -resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 49: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 50: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. 51: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit. 52: All new plumbing fixtures installed in new construction and all remodeling involving replacement of plumbing fixtures in all residential, hotel, motel, school, industrial, commercial use or other occupancies that use significant quantities of water shall comply with Washington States Water Efficiency ad Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section 402 of Washington State Amendments 53: Front porch may only extend five feet into the front setback. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 0301 CONCRETE SLAB 0610 ENERGY EFF CERT 5210 EROSION MEASURES FNL 1400 FIRE FINAL 0201 FOOTING 0202 FOOTING DRAINS 0200 FOUNDATION WALL 0409 FRAMING 0708 GAS FIREPLACE INSERT 2000 GAS PIPING FINAL 0606 GLAZING 8004 GROUNDWORK 5040 LAND ALTERING 0502 LATH & GYPSUM 0703 MECH EQUIP EFF 1800 MECHANICAL FINAL 0608 PIPE INSULATION 0609 PIPE/DUCT INSULATION 1900 PLUMBING FINAL 1600 PUBLIC WORKS FINAL 0401 ROOF SHEATHING 0603 ROOF/CEILING INSUL 9002 ROUGH -IN GAS PIPING 0701 ROUGH -IN MECHANICAL 8005 ROUGH -IN PLUMBING 5070 SANITARY SIDE SEWER 0602 SLAB/FLOOR INSUL 5090 STORM DRAINAGE 0412 UNDERFLOOR FRAMING 9001 UNDERGROUND 0601 WALL INSULATION 0413 WALL SHEATHING/SHEAR 5130 WATER METER - PERM CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Combination Permit No. D 114--- 66)--S"If Project No.: Date Application Accepted: Date Application Expires: (For office use only) COMBINATION PERMIT APPLICATION - NEW SINGLE FAMILY 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 King Co Assessor's Tax No.: 0179001856 Site Address: 5020 S 122nd Lane Tukwila, WA 98178 PROPERTY OWNER Name: Doak Homes INC Address: 11812 26th Ave SW City: Burien State: WA Zip: 98146 CONTACT PERSON — person receiving all project communication Name: Darryl Doak . Address: 11812 26th Ave SW City: Burien State: WA Zip: 98146 Phone: 7_063-72_2_200 Fax: (206) 246-5991 Email: doakhomes@gmail.com GENERAL CONTRACTOR INFORMATION Company Name: Doak Homes INC Address: 11812 26th Ave SW City: Burien State: WA Zip: 98146 Phone: (206) 246-6587 Fax: (206) 246-5991 Contr Reg No.: DOAKHI*092NZ Exp Date: 08/13/2015 Tukwila Business License No.: BUS-099 4'f ZZ ARCHITECT OF RECORD Company Name: James Anderson Design Architect Name: Cathy Anderson Address: 19626 76th Ave W. Ste. A City: Lynnwood State: WA Zip: 98036 Phone: (425) 776-6766 Fax: Email: archimama@msn.com ENGINEER OF RECORD Company Name: Land Development Consultants Engineer Name: Tim Schriever Address: 14525 148th Ave NE City: Woodinville State: WA Zip: 98072 Phone: (206) 669-5218 Fax: Email: t@civilsiteplan.com LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: N/A - Self funded by Doak Homes INC Address: City: State: Zip: H:\ApplicationsTorms-Applications On Line\2011 Applications\Combination Permit Application Revised 8-9-I I.docx Revised: August 2011 bh Page 1 of 4 PROJECT INFORMATION — Valuation of project (contractor's bid price): $ 170,000.00 Scope of work (please provide detailed information): Construction of a 1500 SF single family home with 240 SF garage. DETAILED BUILDING INFORAMTION — PROJECT FLOOR AREAS PROPOSED SQUARE FOOTAGE Basement 1' floor 635 2nd floor 865 Garage I4 carport ■ 240 Deck — covered N uncovered ■ 63 Total square footage 1,803 Per City of Tukwila Ordinance No. 2327, all new single family homes are required to have an automatic fire sprinkler system installed in the home. Please contact the Tukwila Fire Department for more information at 206-575-4407. EQUIPMENT AND FIXTURES — INDICATE NUMBER OF EACH TYPE OF FIXTURE TO BE INSTALLED AS PART OF YOUR PROJECT. MECHANICAL: Value of mechanical work $ 4,000.00 1 1 furnace <100k btu thermostat emergency generator fuel type: ❑ electric ® gas 1 appliance vent 3 ventilation fan connected to single duct 1 wood/gas stove water heater (electric) other mechanical equipment PLUMBING: Value of plumbing/gas piping work $ 7,000.00 2 bathtub (or bath/shower combo) 1 dishwasher 4 5 lavatory (bathroom sink) 1 water heater (gas) bidet floor drain sink lawn sprinkler system 1 1 3 4 clothes washer shower water closet gas piping outlets H:\Applications\Forms-Applications 0n Line \201 I Applications \Combination Permit Application Revised 8-9-I I.docx Revised: August 201 I bh Page 2 of 4 PUBLIC WORKS PERMIT INFORMATION — Scope of work (please provide detailed infortnation): Provide land altering, hookup of water service, sewer & storm drainage to a new signal family home. Ca11 before you Dig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. WATER DISTRICT m ...Tukwila ❑ ...Water District #125 ❑ ...Letter of water availability provided SEWER DISTRICT VI ...Tukwila ❑ ...Sewer use certificate ❑ .. Highline ❑...Valley View ❑ .. Renton ❑ ... Letter of sewer availability provided El .. 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) ❑ .. Geotechnical Report ❑ ...Hold Harmless — (SAO) ❑ ...Bond ❑ .. Insurance 0 .. Easement(s) ❑ .. Maintenance Agreement(s) ❑ ...Hold Harmless — (ROW) PROPOSED ACTIVITIES (MARK BOXES THAT APPLY): O ...Right -Of -Way Use - Potential disturbance m .. Construction/Excavation/Fill - Right -of -Way... ❑ -or- Non Right -of -Way.. m m ...Total Cut 40 Cubic Yards 0 .. Work In Flood Zone m ...Total Fill 20 Cubic Yards m .. Storm Drainage m ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities O ...Frontage Improvements 0 ...Traffic Control ❑ .. Abandon Septic Tank .. Trench Excavation ❑ .. Curb Cut .. Utility Undergrounding ❑ .. Pavement Cut ❑ .. Backflow Prevention - Fire Protection ❑ .. Looped Fire Line Irrigation Domestic Water m ...Permanent Water Meter Size 3/4 " WO # ❑ ...Residential Fire Meter Size " WO # ❑ ...Deduct Water Meter Size ❑ ...Temporary Water Meter Size " WO # 0 ...Sewer Main Extension Public 0 - or - Private ❑ ❑ ...Water Main Extension Public 0 - or - Private 0 FINANCE INFORMATION — THIS INFORMATION IS REOUIRED TO BE FILLED OUT WHEN REOUESTING WATER OR SEWER SERVICE Fire line size at property line number of public fire hydrant(s) ❑ ...water ❑ ...sewer ❑ ...sewage treatment MONTHLY SERVICE BILLING TO: Name: Day Telephone: Mailing Address: City State Zip WATER METER REFUNDBILLING: Name: Day Telephone: Mailing Address: City State Zip H:\Applications\Forms-Applications On Line\2011 Applications\Combination Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 3 of 4 PERMIT APPLICATION NOTES — APPLICABLE TO ALL PERMITS IN THIS APPLICATION — 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. 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. PROPERTY') NE ;i�4'TH,�ORIZE� ENT: /' Signature: , c Date: Print Name: Darryl Doak6r Day Telephone: Z06 3% Z 22L30 Mailing Address: 11812 26th Ave SW Burien WA 98146 City State Zip H:\Applicalions\Porms-Applications On Line\2011 Applications\Combination Permit Application Revised 8-9-1 l.docx Revised: August 2011 bh Page 4 of 4 BULLETIN A2 TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees PROJECT NAME30A-46/0/04i /wC' ° t PERMIT # 5oZc SE ) If you do not provide contractor bids or an engineer's estimate with your permit application, Public Works will review the cost estimates for reasonableness and may adjust estimates. 1. APPLICATION BASE FEE 2. Enter total construction cost for each improvement category: Mobilization Erosion prevention 2.0 G . Water/Sewer/Surface Water Road/Parking/Access A. Total Improvements 3. Calculate improvement -based fees: B. 2.5% of first $100,000 of A. C. 2.0% of amount over $100,000, but less than $200,000 of A. D. 1.5% of amount over $200,000 of A. 4. TOTAL PLAN REVIEW FEE (B+C+D) 10&0e `.0 1450 2S $250 (1) 5. Enter total excavation volume / b cubic yards Enter total fill volume / 0 cubic yards $ Use the following table to estimate the grading plan review fee. Use the greater of the excavation and fill volumes. QUANTITY IN CUBIC YARDS RATE Up to 50 CY Free 51-100 $23.50 101 — 1,000 $37.00 1,001 — 10,000 $49.25 10,001 — 100,000 $49.25 for 1s' 10,000, PLUS $24.50 for each additional 10,000 or fraction thereof. 100,001 — 200,000 $269.75 for ls' 100,000, PLUS $13.25 for each additional 10,000 or fraction thereof. 200,001 or more $402.25 for 1ST 200,000, PLUS $7.25 for each additional 10,000 or fraction thereof. GRADING Plan Review Fees $ TOTAL PLAN REVIEW FEE DUE WITH PERMIT APPLICATION 2_5" (1+4+5) $ Z$G, (4) (5) The Plan Review and Approval fees cover TWO reviews: 1) the first review associated with the submission of the application/plan and 2) a follow-up review associated with a correction letter. Each additional review, which is attributable to the Applicant's action or inaction shall be charged 25% of the Total Plan Review Fee. Approved 09.25.02 Last Revised 01/01/14 bLI 025L11 RECEIVED CITY OF TUKWILA AUG 0 5 2014 (JERMIT CENTER ♦ BULLETIN A2 TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees 6. Peinit Issuance/Inspection Fee (B+C+D) $ (6) 7. Pave nt Mitigation Fee $ The pavemen mitigation fee compensates the City for the reduced life span due to removal of roadway surfac . The fee is based on the total square feet of impacted pavement per lane an on the condition the existing pavement. Use the following table and Bulletin 1B to esti te the pavement mitig Lion fee. Approx. Remaining Ye s Pavement Overlay and Repair Rate (per SF of lane width) 20-15 (100%) $10.00 15-10 (75%) $7.50 10-7 (50%) $5.00 7-5 (33%) $3.30 5-2 (25%) $2.50 2-1 (10%) $1.00 0-1 $0.00 8. GRADING Permit Issuance/Insp ction Fee Grading Permit Fees are calculated us g the followi : table. Use the greater of the excavation and fill vo mes from , em 5. QUANTITY IN CUBIC YARDS RATE 50 or less $23.50 51 —100 $37.00 101 — 1,000 $37. 10 for et 100 CY plus $17.50 fo each additional 100 or fracti g thereof. 1,001 — 10,000 $194.50 for st 1000 CY plus $14.50 for each . dditional 1,000 or fraction th- eof. 10,001 — 100,110 $325.00 for the lst /,000 CY plus $66.00 for each additio I al 10,000 or fraction thereof 100,01 or more $919.00 for 1st 100,000 plus $36.50 for each additional 10,110 or fraction thereof. 9. Tec ology Fee (5% of 6+8) Approved 09.25.02 Last Revised 01/01/14 (ss C6 it\ (8) (9) BULLETIN A2 TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees 6. Permit Issuance/Inspection Fee (B+C+D) $ 3 % i 0-69 (6) 7. Pavement Mitigation Fee $ (7) The pavement mitigation fee compensates the City for the reduced life span due to removal of roadway surfaces. The fee is based on the total square feet of impacted pavement per lane and on the condition of the existing pavement. Use the following table and Bulletin 1B to estimate the pavement mitigation fee. Approx. Remaining Years Pavement Overlay and Repair Rate (per SF of lane width) 20-15 (100%) $10.00 15-10 (75%) $7.50 10-7 (50%) $5.00 7-5 (33%) $3.30 5-2 (25%) $2.50 2-1 (10%) $1.00 0-1 $0.00 8. GRADING Permit Review Fee Grading Permit Fees are calculated using the following table. Use the greater of the excavation and fill volumes from Item 5. QUANTITY IN CUBIC YARDS RATE 50 or less $23.50 51 —100 $37.00 101 —1,000 $37.00 for 1st 100 CY plus $17.50 for each additional 100 or fraction thereof. 1,001 —10,000 $194.50 for 1st 1000 CY plus $14.50 for each additional 1,000 or fraction thereof. 10,001 — 100,000 $325.00 for the 1st 10,000 CY plus $66.00 for each additional 10,000 or fraction thereof 100,001 or more $919.00 for 1st 100,000 CY plus $36.50 for each additional 10,000 or fraction thereof. Approved 09.25.02 Last Revised 01.01.11 2 (8) BULLETIN A2 TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees 9. TOTAL OTHER PERMITS A. Water Meter - Deduct ($25) B. Flood Control Zone ($50) C. Water Meter - Permanent* D. E. Water Meter - Water only* Water Meter - Temporary* * Refer to the Water Meter Fees in Bulletin Al Total A through E 10. ADDITIONAL FEES A. Allentown Water (Ordinance 1777) B. Allentown Sewer (Ordinance 1777) C. D. E. F. G. H. I. Ryan Hill Water (Ordinance 1777) Allentown/Foster Pt Water (Ord 2177) Allentown/Foster Pt Sewer (Ord 2177) Special Connection (TMC Title 14) Duwamish Transportation Mitigation Other Fees $ cz 2. C�ScPrpfc__ (1)J4q_ ✓4-LLI jJ Total A through % 7, 4-3 (2-- -GOO (9) $ DUE WHEN PERMIT IS ISSUED (6+7+8+9+10) $ ESTIMATED TOTAL PERMIT ISSUANCE AND INSPECTION FEE This fee includes two inspection visits per required inspection. Additional inspections (visits) attributable to the Permittee's action or inaction shall be charged $60.00 per inspection. WATER METER FEE Permanent and Water Only Meters Size (inches) Installation Cascade Water Alliance RCFC 01.01.2011-12.31.2011 Total Fee -./ 0.75 $625 :./ $6005 $6630 1 $1125 $15,012.50 $16,137.50 1.5 $2425 $30,025 $32,450 2 $2825 $48,040 $50,865 3 $4425 $96,080 $100,505 4 $7825 $150,125 $157,950 6 $12525 $300,250 $312,775 Approved 09.25.02 Last Revised 01.01.11 Temporary Meter 0.75" $300 2.5" $1,500 3 Cash Register Receipt City of Tukwila DESCRIPTIONS I ACCOUNT I QUANTITY PermitTRAK PAID $42,754.49 D14-0254 Address: 5020 S 122ND LN Apn: 0179001856 $42,754.49 0.75 INCH $6,630.00 CONNECTION CHARGE R401.379.002.00.00 0.00 $60.00 METER/INSTALL DEPOSIT B401.245.100 0.00 $490.00 WATER METER PLAN REVIEW R000.345.830.00.00 0.00 $10.00 WATER METER INSPECTION R401.342.400.00.00 0.00 $15.00 WATER TURN -ON FEE R401.343.405.00.00 0.00 $50.00 CASCADE WATER ALLIANCE B640.237.500 0.00 $6,005.00 DEVELOPMENT $2,328.10 PERMIT FEE R000.322.100.00.00 0.00 $2,323.60 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 IMPACT FEE $2,348.00 FIRE R304.345.852.00.00 0.00 $922.00 PARK R104.345.851.00.00 0.00 $1,426.00 MECHANICAL $189.00 PERMIT FEE COMBOSFR R000.322.100.00.00 0.00 $189.00 PLUMBING $252.00 PERMIT FEE COMBOSFR R000.322.100.00.00 0.00 $252.00 PUBLIC WORKS $1,109.88 PERMIT ISSUANCE/INSPECTION FEE R000.342.400.00.00 0.00 $36.25 CONSTRUCTION PLAN REVIEW R000.345.830.00.00 0.00 $36.25 GRADING PERMIT ISSUANCE R000.342.400.00.00 0.00 $23.50 TRAFFIC IMPACT FEE R104.345.840.00.00 0.00 $1,013.88 SEWER SERVICE FEE $19,200.00 SEWER ALLENTWN/RYAN/FOSTER PT R402.379.004.00.00 0.00 $19,200.00 TECHNOLOGY FEE $141.22 TECHNOLOGY FEE R000.322.900.04.00 0.00 $141.22 WATER SERVICE FEE $10,556.29 WATER ALLENTWN/RYAN/FOSTER PT TOTAL FEES PAID BY RECEIPT: R4528 R401.379.004.00.00 0.00 $10,556.29 $42,754.49 Date Paid: Thursday, February 12, 2015 Paid By: DOAK HOMES INC Pay Method: CHECK 6868 Printed: Thursday, February 12, 2015 11:00 AM 1 of 1 CRWSYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT QUANTITY PAID $1,757.42 D14-0254 Address: 5020 S 122ND LN Apn: 0179001856 $1,757.42 DEVELOPMENT $1,507.42 PLAN CHECK FEE R000.345.830.00.00 0.00 $1,507.42 PUBLIC WORKS $250.00 BASE APPLICATION FEE TOTAL FEES PAID BY RECEIPT: R2783 R000.322.100.00.00 0.00 $250.00 $1,757.42 Date Paid: Tuesday, August 05, 2014 Paid By: DOAK HOMES INC Pay Method: CHECK 6827 Printed: Tuesday, August 0S, 2014 2:28 PM 1 of 1 CiISYSTEMS IN N NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 INSPECTION RECORD Retain a copy with permit Pr F-- lisF� TYPe�I (, f Inspection:r. A ii ! Address: GL �� I Gr f�Z f C '11.. Date CaI Special Instructions: P" Date Wanted; 7'' 7 ✓ / J/� a.m. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. OMMENTS: ST( F c r,dfePs po-ctyte__ e‘ce c.eft Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. rc INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: Type of Inspection: Address: - ^J e�ssAddress:p� - , / �iZK' ` �:1e—` Date C ecr ,o Special Instructions: p," 1 Date W d: -- 7- ir a.m. p.m. Requester: Phone No: proved per applicable codes. L, Corrections required prior to approval. Inspector: DateI r REINSPEC1ION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD etain a copy with permit PERMIT NO. Fc CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 9,6) 4131-3670 Permit Inspection Request Line (206) 438-9350 6, "CS Project: tcaC Type Inspectiop: 4 u (��u 11 i(k�1 Address: �U�ca,(z r/ ee Date Called: Special Instructions: �/% Date Wanted:a.m. `7 ,16,....... f p.m. Requester: Phone No: Approved per applicable codes. L Corrections required prior to approval. OMMENTS: cccs c <e fr r/<( ( Inspector: Date:��� — REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit �I 1-1 KSP NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 PrOka:-pr//'' del Type Al of Inspection: , AVI`d r I Address: Date Called: Special Instructions: 'Date ' 1 � Wanted: — �� a.m. p.m. Requesie✓� Phone No: pproved per applicable codes. LJ Corrections required prior to approval. COMMENTS: Inspector: Jr-E- Date? _— — L5 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. re INSPECTION RECORD Retain a copy with permit ECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project a TypR Inspection;^ oar f Address: s® 1� / ! W� t �� Date Called: Special Instructions: � A- " 1 Date W ted �� ' a.m. p.m. Requester: Phone No: Approved per applicable codes. ['Corrections required prior to approval. COMMENTS: Inspector: �i/' C 'ate-7 — — 1,5— REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORDb Retain a copy with permit NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 206) 431 367{i Permit Inspection Request Line (206) 438-9350 Proje � �5F 1% Ty•e of Inspection: ',� [ / Address: `` St 2� ` 1 �ZI^ lAtc,e Da e Called - Special Instructions: Date nted: 2-3 ` l a.m. p.m. Requester: Phone No: pproved per applicable codes. LJ Corrections required prior to approval. OMMENTS: Inspector: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit ION NO. PERMIT NO. p (y-6z'' CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Proj 14 /t 571,2, TypeAf Insp lion: 4 Address: 5-0 76 f, (L2- f � 1-/!A/ Date Called: Special Instructions: OA Date Wanted:: & — 7 a.m. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: r--- /'vasbC(CCL (6 i1 i4O(--. 6 t rb• v/ 4 0 ( (fie U� Lsl qv �.. Vq uti feo Cam(( c (( o vkifft,s 0h Inspector: Datejr REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit _1)111_02-s-if PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 436-9350 Prsject: l/ VOOL , Typeemstion: ddress: 5-0149 A (M.-K-g( ‘etkt Date Called: special Instructions; 4-At Date a ted: 8 - r a.m. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: InspeCtor: t' s a REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit PERMIT NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd,, #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Pro'ect: r„. (--. Type tf;tpct42n:6 A dress: . j t i (72r-`11.4 ke, Date Called: Special Instrations: f/14 Date Wanted: a.m. p.m. Requester: Own e No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: GW.S vtok( v-cyt cowv9(,,e-1--Q. ert kYrje., r ( (crreus- ck b ty akd g(-J6 -Vs (7`yrtA q Atc--75- 114 pa( ad( ..br re-( keclIGtx inspector: LI REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100, Call to schedule reinspection 110111 INSPECTION RECORD Retain a copy with permit INS O. PERMIT NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd,, #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 436-9350 Project: PtMC Type of Ins ection: 1-6(1,5-ke,ti Date Called: Address: 3-0 70 c0 , / 7-74 Special Instructions: riVt ed Date wy. ...... _ a.m. P.m. Requester: 'Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: ce 47/ CoctJ .er Inspector: r Dat REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection, INSPECTION RECORD Retain a copy with permit N NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit inspection Request Line (206) 438-9350 Project: PO /11( Type of Inspection: illial :471/CCI4 / 'A ress: —0 2A) 3D . c›.--2.—VIA t-WQ Date Called: Special Instructions: Date Wanted: a.rn. Requester: Phone No: 4pproved per applicable codes. Corrections required prior to approval, OMMENTS: Inspector: r Datf(r3_ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100, Call to schedule reinspection. 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) 438-9350 Pill -02511 Project: Poti-g- Type of I soection: (ir .v,fv,.( 'Address: 5-0 ZO 50 r z2.64 ( Date Called: Special Instructions: i fiveit Date anted: —30 ' (I- . :..nirn: Requ ster: Phone No: Approved per applicable codes. EJCorrections required prior to approval. COMMENTS: inspector: r Dat : 30 REINSP CTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit CT1ON NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 09-Oaf-Li Prt.: Type of Inspection: Ad 54: _ -Uf0 .12.2-k4CRkei Date Called: special Instructions: AM Date Wanted: a.m.. 'Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. OMMENTS: ins r Da S REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. re INSPECTION RECORD Retain a copy with permit - INS TION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: P Oa K Type of I pection: t dress: 50749 , /Z-7/ /"( itqkte Date lied: Special Instructions: If.,4 Date Wanted: 7 -2,, - fr a.m. P.111, Requester: Phone No: LJApproved per applicable codes. COMMENTS: ktof_o rtu((eee, r .51-kAct LtrApt.se• fructir tA (4:sc_(c_ r(pci 6r3-7"--25ticea. G?c_ p50rt5 re Corrections required prior to approval. efnL Ct r 0 of( (.(- clef/. b f-10 Inspector: Da e:y,27 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 1151011 INSPECTION RECORD Retain a copy with permit PECTIC) NO. ERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit inspection Request Line (206) 436-9350 F Project: TType D 0A-K of hispection: Address: 5-0 2-0 fa ,(22)/-41/ l'ifke Date Called: Special Instructions: , if -41 Date Warted: a.m. P.m. Requester: Phone No: Approved per applicable codes. EJCorrections required prior to approval. COMMENTS: .(....c Inspector: Date: ( - REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit P (/—C° if PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blycl,, #100, Tukwila. WA 9 (206) 431-3670 Permit Inspection Request Line (206) 438-935 — ' - repg ko , Typ of Insp ctioy_tot Address: 3310 $01 f -7V q‘te- Date Cal cl: Special Instructions: Date Ir( _ 0..... a.m. P.m. Requester: Phone No: 111P Approved per applicable codes. Corrections required prior to approval. COMMENTS: cy_._ in ct r: c r Date:L.( tr REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Ala IrwiION NO. n INSPECTION RECORD Retain a copy with permit IN PIV--65-1-1 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd,, #100, Tukwila, WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Fr re (ate Prolect: "yip' Type of Inspection: K.t.tmt. *Adtre • ss. 6 2-0 JO , (22-1'ctli-Afkk.e Date CalletV Special Instructions: 4/1/1 Date 4 Wanted: a.m . P.m. — ( -S--- Request r: Phone No: 1.2pproved per applicable codes. EJCorrections required prior to approval, COMMENTS: E REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedute reinspection INSPECTION RECORD Retain a copy with permit INSFEN NO. PERMIT NO. (LlJL( CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 PrOj eStVi , riz. /) r Type of Inspection: _4, Ao Itr-k r( kAJAA-1/ Address: 370 2.0 ei , (7,4}14 C'grk..e Date Special Instructions: kA/1 Date Wanted: 1 — ( T.- (3 a.m. P.m. Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: jr.....e._ Inspector: Date: 15, REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. RDINSPECTION RECORD A Retain a copy with permit IN P ON NO. POI-023-y PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: 1./5 Type of Inspectioni: Address: c0 Ze SU . 0-1," tgke. Date Called: Special Instructions: ' Date Wanted: a,m. P.m. Requeyer: Phone No: Approved per applicable e Corrections required prior to approval. OMMENTS: Inspector Date: ii( REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. IMORetain a copy with permit INSPECTION RECORD IN N NO, PERMIT NO. Di ii-02--rti CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431,3670 Permit Inspection Request Line (206) 438-9350 Project /t15' fiti Type pofilrispgctiop: L'Wq ( Ike/1k fei\_ i ,. Address: 5-0 2.0 co , (2-1Ace (#01•L_-• CrateDatt Called: J Special Instructions: /141( Date Wanted: -3 ( -pm a,rn. Requeser. „ P4( t Le -it Phone No: PC -lir -9.--q# 5 k Approved per applicable codes. Corrections required prior to approval. OMMENTS: )1(‘.c./ Inspector: ' Date: r s-- 7 REINSPECT' N FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Fc 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 aft. MNINSPECTION RECORD Retain a copy with permit INSPECTI"NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431-3670 Project .i)j, Type of Inspection: . I ikectfiv Address: 5-0 2-49 fxdf Date Called: $pecial Instructions; /Hi Date,Waritsd: a.m. Requester: Ph r I & Phone No: 216-`715--g-T 0,6 Approved per applicable codes. LJCorrections required prior to approval. COMMENTS: Inspector: -Date) - 5_. REINSPECTION FEE REQUIRED, Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit - 02S-1( PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: 1)0 e-A itifF t& Type of Inspection: (414d6C7C(c)Ps Date Called: Adtress: 5 0 z-io ja, (-2,t4c (Ai< Special Instructions: Aem Datelant4 ..... rs_ a.m. P.m. Requester. Phone No; (Xt.-Approved per applicable codes. COMMENTS: Corrections required prior to approval. inspector; Date5_ ( REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. tcc I 111M1 INSPECTION RECORD Retain a copy with permit NSPECT O. PERMIT NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431- 3670 Permit Inspection Request Line (206) 438-9350 Project: c &196(LiF( t ,,us-rg r ctn: Type of speio - kvikmd gc{---C AOress: . 50Z.0)o) f r7;2--"4 take Date Called; Special Instructions: PIA Date Wanted: a.rn. 3-3- f 5- P.m. Requester: PaV0( Dore Phone No: 7-4c6- —3 7 z -:2--o Approved per applicable codes. OCorrections required prior to approval. COMMENTS: c jp/4 64_Ck CQ-V— Inspector: Date42) REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ice 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) 438-9350 02-V1 ef) Project: t) oct k No 14-ke-5) Type of Inspectioh: '1-41 Prat le•--S 5 A w5t Address: 5'0 2-0 40 , (27;44&4 ke Date Called: Special Instructions: Date Wanted: a.m. Requester: Phone No: LJApproved per applicable codes. LJCorrections required prior to approval. COMMENTS: inspector: er- Date: -2, - 2-0 -'S REINSPECTION FEE REQUIRED, Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. (3) INSPECTION NO. CITY OF TUKWILA BUILDING 6300 Southcenterlvd,, #100, Tukwila. WA 9818 Permit Inspection Request Line (206) 438-9350 INSPECTION RECORD Retain a copy with permit PI - 5-t., (.2 0214 PERMIT 0. Project: D Oa_ V-- /40i/.A..42--si Type efi cu n. cul ( K , Address: 5-0 0 it , /Z-2444 1-41/ke, Date Called: J Special Instructions: ifia Date Wanted: a.m. P.m. 'Requester: Phone No: 1SApproved per applicable codes. Corrections required prior to approval. COMMENTS: r ro re 2E*f c la; fie v ftv-erce_fr- Inspector: Date. f F REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100, Call to schedule reinspection. L INSPECTION RECORD Retain a copy with permit INSPECTIO N0. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 436-9350 pftf-02-5-ti Project: be -A i- Wei Type of Inspection: f .. tot4 t,tdc( tx 001 Lag // Address: (4 Lake - Date Called: Special Instructions: Date Wanted: 2-- — a.m. p.m. Requester: Phone No: rjApproved per applicable codes. COMMENTS.: Corrections required prior to approval, inspectorp.. REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Eltvd., Suite 100. Call to schedule reinspection. Date: 7•—'1 INSPECTION RECORD Retain a copy with permit INSPECTION" PERMIT NO. prif-025-ti CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd,, #100, Tukvvila, WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: VOa 1".-5 Type of Inspestior: t-00i—( ie3 Address: cOt-O Co, 17-2."44 buke Date Called: Special Instructions: Date Wanted: a.m. P.m. Requester: Phone No: t5rApproved per applicable codes. '0. Corrections required prior to approval. COMMENTS: (fe IJ(Q. u FkotA Inspector: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NUMBER t`1-C3'7VI. PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 Project: --ko Pc IC. .\--VV11C Pl. Nik Type of Inspection: / Address: Suite #: 5ec) I Z 2 L >J Contact Person: Special Instructions: Phone No.: (Approved per applicable codes. Corrections required prior to approval. COMMENTS: ( 7)/1.. 4-fc• ki r iws �A (a. `` bi',e A w .n d i i A)! .1 ,(_y1111A/l/e7A'9) f 1 rr %)//w41' h- r Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector:- Ji g,N('—? Date: VhgA Hrs.: /, v $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. Billing Address Attn: Company Name: Address: City: State: Zip: Word/Inspection Record Form.Doc 3/14/14 T.F.D. Form F.P. 113 Jan. 8. 2015 3:13PM CG ENGINEERING No.0290 P. 1 N ui S 122TH ST < •Z f u) us c S 124TH ST a N o 14. SITE PORTION OF NE 1/4, SE 1 /4, SECTION 10, T23N, R4E, W.M. CITY OF TUKWILA, KING COUNTY, WASHINGTON VICINITY MAP NOT TO SCALE E 'd OEZO '°N 9NI833NI9N3 99 1NdEE:E SIOZ '8 'opE 0 771: ill Es: °,1Aoz wN-.c, Q / i III 25' 1 J • 7 z ' L.�y_D FORCCi COD:: CO;.iPLIANCB FEB 0 3 2015 Cit y of Tukwila BUILDING DIVISION 'APPROVED JAN 16 2015 City of Tukwila PUBLIC Works ctifin tO in" dg• it a RECAVE CITY . T 4 ILA VELE ©FIT D OAK VILLAGE GREEN Ian foWow approval Is sub; Approval of Construction doc MO WEAN of any adopted Of OPPrOved FI3Id Copy and VICINITY MAP n S 122TH ST qa." s 124TH ST Qty Of LSZELMS VICINITY MAP SITE NOT iTO SCALE ct to errors and omissions. ments does not authorize de or ordinance. Receipt nditions is acknowledged: z ultwila DIVISION PLANNING APPROVED • No changes -can be madeto then plans without approval from the Planning Division of DCD Approved By:, baAto Date:._ #1-1,4‹ These plans have been reviewed by the Public Department for conformance with current vtrq ds. Acce ct to errors and 'ch do n9 �*-f r._ ;tolations of -is or orc"1iinances'. The responsibility Hof the design ;rests totally with the deletions or revisions to these daze will void this acceptance ittal of revised drawings 124th- aeatntance is sub'i� the Public Wcrks t'tili ;es Date: to field inspection by nspector. By: PORTION OF NE 1 /4. SE 1 /4. SECTION 10. T23N. R4E. W.M. CITY OF TUKWILA, KING COUNTY. WASHINGTON TAX PARCEL NO. 0179001855 L 'd 06/0 '°N acOsti 9NIS33NION3 99 WdtiE:,li StE REVISIONS No chances 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. i CORt ECT= 8 'd 06/0 '°N LTR& 0 to ■ ■ • ■ I RECEIVED CITY OF TUMULI./ JAN 0 9.2015 PERMIT CENTS, pv4.0 9NI2133NION3 99 Wdti� � SIOZ '8 'upf • T.L.SCIIRIEVER, PE, PLS, CESCL LAND DEVELOPMENTENOINEERINO 14505 • 141th Avenue NE (!into 132) Woodinville, WA 91072 (206) 6694210 off (123) 469.4161(u teilvlltItoplen.tom • November 18, !2013 Doak Homes, Inc. 11812 2611' Avenue SW Burien, WA 98146 RE: GEOTECIIINICAL EVALUATION REPORT FOR RESIDENTIAL BUILDING FOUNDATION Lots 2 through 10, Doak BLA L08-0404 (51m Place S,) INTRODUCTION This report presents the results of our research and investigation of the above desciribed site. The purpose of this study was to investigate subsurface soils to provide recommendations for the design of residential budding foundations. PROJECT DESCRIPTION The subject project includes nine single family residential building lots that vary in size from 2500 sq. ft. to 4386 sq. ft. The site is located between 51e1 Place S. and 5Oul Avenue S. just north of South 124th Street. See Figure 1 for a Vicinity Map and Figure 2 for Soil Test Hole Looations and lot layout. SITE RECONNAISSANCE The project site has been recently cleared and a now access roadway constructed. Excavated soils may have recently been placed on some of the lots to depths of approximately 2 feet. The easterly half of the site appears to have been covered with 2-4 feet of Imported fill material more than l0 Years ago. The site generally slopes to the northwest on an average grade of approximately 2%. No surface water was observed on the site. SUBSURFACE EXPLORATION The soils on the site were explored by excavation of test holes with a backhoe at the locations shown on the attached Figure 2. The soil survey was performed on January 17, 2008. The soil stratification encountered was as follows: TP 1: 0-3' Brown/grey silt loam 3-9' Grey Coarse sand, loose, dry TP 2: 0-3' Brown/grey silt loam 3-6' Grey/brown fine sand 6-9' Grey/brown medium sand Page 1 of 3 clmi ltkiinto hi iNdEE:E SO/ '8 '°pr T.L.SCHRIEVER, PE, PLS, CESCL LAND DEVELOPMENT ENOINEERINO USES • 140111Avooue NE (Suite 132) Woodinville, WA 91077 (206) 669.5211 oil (42S) 419.1161 lox tecivIdtopien,tom TP 3: 0-3' Brown/grey silt loam 3-5' GreylBrown fine sand, loose, roots 5'-9' Brown medium sand, loose TP 4: TPS: TP 6: 0-3' Brown/grey silt loam 3-8' Brown fine -medium sand with silt lenses 0-5' Fill 5'-9' Grey silty sand with roots 0-4' Brown/grey silt loam (fill) 4'-6' Grey Silty fine sand 6'-9' Grey/Brown Fine Sand TP 7: 0-5' Brown/grey silt loam 5-9' Brown medium sand, loose 9'+ Wet REV:.�i• COD: „C..'P' „;t?CE _ J --- FEB 0 3 23' 5 City of Tu (viju 1 'DiV!S'Div j "RECEIVED CITY OF TUKWIL A JAAN092015 PERMIT CENTER In our subsurface exploration we determined that the soils on the site are generally alluvial soils consisting of fine -medium sand with silt lenses to depths greater than 8 feet. The depth toithe winter season water table or restrictive layer is estimated to be greater than 8 feet below the ground surface. CONCLUSIONS AND RECOMMENDATIONS The new residences on the site may be supported on conventional continuous and spread footings bearing on the native soils or structural fill. Exterior footings should be bottomed at a minimum depth of twelve inches below the lowest adjacent outside finish grade. Interior footings may bent a depth of six inches below the top of the floor slab. Footings founded on competent native soils may be designed for an allowable bearing capacity of fifteen hundred (1500) pounds per square foot. The foundation walls should be designed to resist the lateral earth pressure imposed by an equivalent fluid with a unit weight of thirty-five (40)1pounds per cubic foot, Lateral loads due to wind or seismic forces may be resisted by friction between the foundations and the supporting subgrade. A coefficient of friction of 0.40 may be used between the structural foundation concrete and the supporting subgrade. The passive resistance of the undisturbed natural soils may be taken as equal to the pressure of the fluid having a density of three hundred fifty (350) pounds per cubic foot. The wall pressures apply only for a maximum wall height of ten fat. It is assumed that no hydrostatic pressures act behind the wall and that no surcharge slopes or loads will be placed above the walls. If surcharges are to be applied they should be added to the above lateral pressures. Heavy construction equipment should not be operated behind retaining and foundation walls within a distance equal to the height of a wall, unless the walls are designed for the additional lateral pressures resulting from the equipment. The wall design criteria assume that the backfill Will be well - compacted in lifts no thicker than 12 inches. The compaction of backfill near the walls should be accomplished with hand -operated equipment to prevent the walls from being overloaded by the higher soil forces that occur during compaction. 'd 06/0 '°N Page 2 of 3 • 0NIS33N10N3 00 INdEE:E SIOZ '8 '°pf • 0 1 T.L.SCRRIEVER, PE, PLS, CESCL SAND DEVELOPMENT ENOINEERINO 14545.148th Arenw NL (Bulls )32) Woodinville, WA 91072 (206)119.5418 off (423) 489.4166 fax t@elrlblfdpian.c.m Based on the above design criteria, it is anticipated that the total settlements of the footings founded on the native sandy soils will be less than I inch, with differential settlements of one-half inch or less. Slab on -grade floors may be supported on the native soil subgrade or on structural Mill. Excavation slopes should not exceed the limits specified in local, state, and national government safety regulations. Temporary cuts to a depth of about 4 feet may be attempted vertically inn unsaturated soil, if there are no indications of slope instability. However, vertical cuts should not be made along property boundaries, or existing utilities and structures. Based upon Washington Administrative Code (WAC) 296, Part N, the soil at the subject site would generally be classified as Type B. Therefore, temporary cut slopes greater than 4 feet in height cannot be excavated at an inclination steeper than (:1 (H:V), extending continuously between the top and the bottom of a cut. Groundwater exiting cut faces can result in rapid destabilization of the cut. If groundwater is encountered in any of the cuts, we recommend consulting with the geotechnical engineer prior to proceeding. Drains, rebuilding the cut with quarry rock, or temporary shoring could be required to maintain the stability of temporary cuts that encounter groundwater. DRAINAGE CONSIDERATIONS When the residence foundation bottom is less than 36 inches below the original and finished ground surface, foundation drains may not be necessary because the normal groundwater table appears to be greater than 48 inches deep. When the foundation is greater than 36 inches below the ground surface, we recommend that foundation drains be placed at the base of all foundation/earth-retaining walls. These drains should be surrounded by at least 6 inches of 1 inch -minus, washed rock and then wrapped in non- woven, gcotextile filter fabric (Mirafi 140N, Supac 4NP, or similar material). At its highest point, a perforated pipe invert should be at least 6 inches below the bottom of any slab or crawlspacc floor, and it should be sloped for drainage, Whcn foundation drains arc not installed, we recommend a geotechnical engineer inspect the foundation excavation to verify the soil/water table conditions. USE OF THIS REPORT AND WARRANTY This report was prepared for the Doak Homes, Inc. for use in planning and design of this project. Our report is based on observations of the soils exposed in the test holes and by visually observing the surrounding area. This report should be considered a limited evaluation of existing conditions, and our report conclusions and interpretations should not be construed as a warranty of subgrade conditions. Within the limitations of scope, schedule and budget for our services, we have striven to take care that out work has been done in accordance with generally accepted practices followed; in this area at the time this report was prepared No other conditions, expressed or implied, should be understood. Sincerely, Timothy L. Schriever, PE Enclosures: 1. Assessor Map showing site vicinity 2, Soil Log Location Map. RECEIVED CITY OF TUKWILA JAN 0 9.2015 PERMIT CENTER Page 3 of 3 l 'd 0610 '°N ONI1133NI0N3 03 INd4 sr SIOl '8 'UPI 9 'd 0E0 '°N 0NIS33N10N3 03 WdtiB:E SIOZ '8 'Usf City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director February 10, 2015 Darryl Doak Sr. Doak Homes Inc. 1181226AvSW Burien, WA 98146 RE: Request for Extension #1 Development Application No. D14-0254 Doak Homes, Lot 2 — 5020 S 122 Ln Dear Mr. Doak, This letter is in response to your written request for an extension to Application Number D14-0254. The Building Official, Jerry Hight, has reviewed your letter and considered your request. It has been determined that the City of Tukwila Building Division will be extending your permit application an additional six months from the date of expiration, through August 7, 2015. If you should have any questions, please contact our office at (206) 431-3670. Sincerely, Bill Rambo Permit Technician File: Permit No. D14-0254 W:\Permit CenteAExtension Letters\Applications\2014\D14-0254 App Extension Letter #1.docx 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 January 20, 2015 City of Tukwila Department of Community Development 6300 Southcenter Blvd, Suite #100 Tukwila, WA 98188 Re: Application No. D14-0254 Doak Homes — Lot 2- 5020 S. 122"d LN. To whom it may concern: We would like to request extension of permit application number D14-0254 for the work proposed by Doak Homes, which is due to expire on 02/05/2015. We had shortage of funding for this project. This is also to inform you that the required Comments on our permit application have been submitted to your department for review. We were advised that the review may take a couple more weeks. Please check with your review department for the status of our application. Thank you for your consideration in extending our permit application. If you have any questions, please call me at the phone number below. Sincerely, Darryl E. Doak, SR President Doak Homes Inc. Cell # 206-372-2280 Fax # 206-246-5991 Request for Extension # 1 Current Expiration Date: Extension Request: g Approved for / es// d days ❑ Denied (provide explanation) av op,UK' Cl.4z ram 20 2015 PERMIT CENTEP Signature/Initials / %v City of Tukwila Department of Community Development August 21, 2014 DARRYL DOAK 1181226AVE SW BURIEN, WA 98146 RE: Correction Letter # 1 COMBOSFR Permit Application Number D14-0254 DOAK HOMES - LOT 2 - 5020 S 122 LN Dear DARRYL DOAK, Jim Haggerton, Mayor Jack Pace, Director This letter is to inform you of corrections that must be addressed before your development permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the following departments: BUILDING DEPARTMENT: Allen Johannessen at 206-433-7163 if you have questions regarding these comments. • (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size. New revised plan sheets shall be the same size sheets as those previously submitted.) (BUILDING REVIEW NOTES) 1. Provide a site plan that indicates finish grade slopes for the lot. Also provide a vicinity map showing where this site development is located and show streets or any other related right of way information. Provide benchmark elevation points for the site and show main floor elevation in relation to benchmark elevations. This is to verify height of house and crawlspace elevated to provide sufficient sloping grade from the house exterior. This information may be provided from previous civil engineering or geotechnical engineers' maps. 2. Please provide a Geotechnical evaluation of this site soils by a registered geotechnical engineer. Evaluation shall include the determined load -bearing values of the site soils for footing design requirements and shall specify recommended method for footing drainage/disbursement and/or discharge system sizing. Make sure the footing bearing design is consistent with the structural engineering. 3. Provide a site plan detail design for a footing drain or a crawl space water discharge system. Show roof drainage system or downspouts. The footing discharge system will generally be separate from the roof drain system. Refer to the geotechnical engineers report provided for any recommendations. Coordinate any combined discharge systems with the Tukwila Public Works Department. The intent is that groundwater will not accumulate in the basement or crawl space. (IRC R405.1, R408.6) 4. Attic insulation is shown to be R-38. Current 2012 WSEC requires R-49 unless the roof trusses are advanced framing where R-38 would be allowed. Revise plan to show R-49 insulation. 5. The garage notes specify two layers of Type X which is ok. Each layer shall require a separate nailing inspection. Code only requires the garage ceiling be no less than 5/8" GWB from all habitable rooms above the garage, from the residence side and supporting members or elements 1/2" GWB. The garage door to house shall be solid or honeycomb -core steel doors not less than 1-3/8 inches thick, or 20-minute fire -rated doors, equipped with a self -closing device. Most of the notes are sufficient; however provide additional notes for the garage door type equipped with self -closing device. (IRC TABLE R302.6) 6. Bathroom windows A & E shall be required to be safety glazing where glazing is within 60 inches vertically and horizontally from the bathtub. Revise window schedule notes to specify the window with safety glazing. (R308.4.5) 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 7. The second floor floor -plan indicates two dimensions each to be 3' 5" for two different type walls that affect the hallway width. The exterior wall is 2x6 studs and the assumed interior wall is 2x4 studs. Verify and revise dimensions where the hallway shall be no less than 3 feet. PLANNING DEPARTMENT: Carol Lumb at 206-431-3661 if you have questions regarding these comments. • No site plan submitted with building plans. Please submit a site plan with setbacks noted. PW DEPARTMENT: Dave McPherson at 206-431-2448 if you have questions regarding these comments. • Provide site plan showing storm, water, sanitary side sewer, contours & spot elevations, finish floor elevations, driveway, and utilities including power. Provide a completed Residential Sewer Use Certification. (See enclosed) Please address the comments above in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that four (4) sets of revised plan pages, 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. Corrections/revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, I can be reached at 206-431-3655. Sincerely, 12;i0 Bill Rambo Permit Technician File No. D14-0254 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 PEMJT COOED COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D14-0254 PROJECT NAME: DOAK HOMES - LOT 2 DATE: 01/09/15 SITE ADDRESS: 5020 S 122 LN Original Plan Submittal X Response to Correction Letter # 1 Revision # Revision # before Permit Issued after Permit Issued DEPARTMENTS: Building Division nom Atiu e j / -/S Public Works Fire Prevention Structural Planning Division Permit Coordinator n PRELIMINARY REVIEW: Not Applicable (no approval/review required) REVIEWER'S INITIALS: DATE: 01/13/15 Structural Review Required DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required (corrections entered in Reviews) Approved with Conditions Denied (ie: Zoning Issues) DUE DATE: 02/10/15 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D14-0254 DATE: 08/05/14 PROJECT NAME: DOAK HOMES - LOT 2 SITE ADDRESS: 5020 S 122 LN X Original Plan Submittal Revision # before Permit Issued Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: COvV.��'� Building Division Public Works MIN 41" /tuic 9 949-19 Fire Prevention Structural C pL Cow' R Planning Division Permit Coordinator II PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 08/07/14 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required Approved with Conditions Denied (corrections entered in Reviews) (ie: Zoning Issues) DUE DATE: 09/04/14 n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: (;` ` t (AW Departments issued corrections: BldgV Fire ❑ Ping. P Staff Initials: 12/18/2013 City of 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: ) / 5' - C7.55' ❑ Response to Incomplete Letter # Response to Correction Letter # l ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: p/4/ - A/044e$" ,' ' c Project Address: L07(. 411 2 S` 0 ,2 c? s Contact Person: )ive,ey7 Dvvik Phone Number: 2 26-2 5' - f, 7' Summary of Revision: S';`/e p//,v se&At,% l 2, o� 3 Ai e ®t4,' co "" t^ e c�ivr5- t- e /14 >¢ ,e/AC 4 fi J4 I s 5 N' eocarl'Cr ✓ ReCEIVEND 0 2015 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Ce ter by: Entered in TRAKiT on 0 0 r Department of Natural Resources and Parks Wastewater Treatment Division King County Residential Sewer Use Certification .Lon Sewage Treatment Capacity Chartle • To be completed forailnew sewer connections, re connections, or change of use of existing connection,. • This form does not apply to repairs or replacements of existing sewer connections within five years of disconnect Please Print or Type a. S /2 2 , Property Street Address r 1 r /u,', ./!/ 414 City State ZIP A r/ c Owner's Name Owner's Mailing Address • City State ZIP' Owner's Phone Number (with Area Code) Property Contact Phone Number (with Area Code) Party to be Billed (if different than Owner): Name Street Address For King County Use Only Account # No. of RCEs Monthly RF, e Sewer District / Agency Contact & Phone Number Date of Sewer Connection Side Sewer Perrnit Number Required: Property Tax Parcel Number Subdivision Name Subdivision Number T1f- .y2 Lot Number Block Number City State ZIP Residential Customer Please check appropriate box: Equivalent (RCE) tom' Single-family (free standing, detached only) 1.0 Multi -Family (any shared walls): Duplex (0.8 RCE per unit) 1.6 ❑ 3-Plex (0.8 RCE per unit) 2.4 ❑ 4-Plex (0.8 RCE per unit) 3.2 5 or more (0.64 RCE per unit) No. of Units x 0.64 = ❑ Mobile home space (1.0 RCE per space) No. of Spaces x 1.0 = If Multi -family, will units be sold individually? ❑ Yes ❑ No If yes, will this property have a Homeowner's Association? ❑ Yes ❑ No Pursuant to King County Code 28.84, all sewer customers who establish a new service which uses metropolitan sewage facilities shall be subject to a capacity charge. The amount of the charge is established annually by the Metropolitan King County Council as a rate per month per residential customer or residential customer equivalent for a period of fifteen years. The purpose of the charge is to recover costs of providing sewage treatment capacity for new sewer customers. All future billings can be prepaid at a discounted amount. Questions regarding the capacity charge or this form should be referred to King County Wastewater Treatment Division at 206-684-1740. I certify that the information given is correct. I understand that the capacity charge levied will be based on this information and any deviation will require resubmission of rrected data for determination of a revised capacity charge. Signature of Owner/Representative cetX (2 Building Name PM--09,9-1 Please report any demolitions of pre-existing building on this property. Credit for a demolition may be given under some circumstances. Demolition of pre-existing building? ❑ Yes ❑ No Was building on Sanitary Sewer? ❑ Yes ❑ No Was Sewer connected before 2/1/90? ❑ Yes ❑ No Sewer disconnect date: Type of building demolished? Request to apply demolition credit to multiple buildings? ❑Yes ❑No Date /-" c . f 5— Print Name of Owner/Reoresentative 114, /.>cr /f._= /J. oa 4- City of Tukwila Department of Public Works /�v 6300 Southcenter Boulevard, Suite #100 / Tukwila, Washington 98188 Phone: 206-433-0179 Fax: 206-431-3665 Web site: http://www.TukwilaWA.eov Parcel No: 0179001856 Address: 5020 S 122ND LN Applicant: DOAK HOMES - LOT 2 WATER METER INFORMATION Permit Number: D14-0254 Issue Date: 2/12/2015 Permit Expires On: 8/11/2015 DESCRIPTION OF WORK: CONSTRUCTION OF A NEW 1500 SQ FT SINGLE FAMILY RESIDENCE WITH A 240 SQ FT ATTACHED GARAGE AND A 63 SQ FY COVERED DECK METER #1 METER #2 METER #3 Water Meter Size: .75" Water Meter Type: PERM Work Order Number: 21440125 Connection Charge: $60.00 $0.00 $0.00 Installation: $490.00 $0.00 $0.00 Plan Check Fee: $10.00 $0.00 $0.00 Inspection Fee: $15.00 $0.00 $0.00 Turn on Fees: $50.00 $0.00 $0.00 Subtotal: $625.00 $0.00 $0.00 Cascade Water Alliance (RCFC): $6,005.00 $0.00 $0.00 TOTAL WATER FEES: $6,630.00 DOAK HOMES INC Page 1 of 2 HOW lhir:io eai Espanol Contact Search L&I A-Z Index Help My Secure. I,&i Safety Claims & Insurance Workplace Rights Trades & Licensing DOAK HOMES INC Owner or tradesperson DOAK, DARRYL E SR Principals DOAK, DARRYL E SR, PRESIDENT DOAK, ESTRELLA M, VICE PRESIDENT Doing business as DOAK HOMES INC WA UBI No. 601 329 337 11812 26TH AVE SW SEATTLE, WA98146 206-246-6587 KING County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. ........................................................................... Meets current requirements. License specialties GENERAL License no. DOAKHI*092NZ Effective — expiration 08/09/1991— 08/13/2015 Bond CBIC Bond account no. SC9910 $12,000.00 Received by L&I Effective date 08/01/2001 08/01/2001 Expiration date Until Canceled Insurance .......................... Nevada Capital Ins Co $1,000,000.00 Policy no. 77-NPP-4-014639 Received by L&I Effective date 08/15/2014 08/26/2011 Expiration date 08/26/2015 Insurance history Savings .................. (in lieu of bond) $12,000.00 Received by L&I 07/07/2003 Savings account ID Effective date 07/07/2003 Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601329337&LIC=DOAKHI*092NZ&SAW= 02/12/2015