HomeMy WebLinkAboutPermit D15-0200 - LE RESIDENCE - SAFETY INSPECTIONLE RESIDENCE
4053 S 144 ST
D15-0200
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
Parcel No: 0040000210
Address: 4053 S 144TH ST
Project Name: LE RESIDENCE
DEVELOPMENT PERMIT
Permit Number: D15-0200
Issue Date: 8/6/2015
Permit Expires On: 2/2/2016
Owner:
Name:
QUANG T LE
Address:
19005 37TH AVE S , SEATAC, WA,
98188
Contact Person:
Name:
QUANG T LE Phone: (206) 501-0011
Address:
19005 37 AVE S , SEATAC, WA, 98188
Contractor:
Name:
N/A - SAFETY INSPECTION Phone:
Address:
License No:
Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
CE15-0209
SAFETY INSPECTION FOR RESIDENCE CURRENTLY LISTED AS "UNFIT FOT HUMAN OCCUPANCY"
THIS PERMIT IS FOR ONE (1) INSPECTION WITH TWO (2) INSPECTORS TO DETERMINE WHAT SCOPE OF WORK IS
NEEDED FOR WHICH PERMITS ON THIS PROPERTY. THE RESIDENCE WAS DECLARED UNFIT DUE TO LACK OF
WATER SERVICE AND LACK OF ELECTRICAL SERVICE. INSPECTION TO INCLUDE ELECTRICAL SYSTEMS, MECHANICAL
SYSTEMS, PLUMBING SYSTEMS AND STRUCTURAL COMPONENTS. THE RESIDENCE WAS COMPLEYELY REMODELED
WITHOUT BENEFIT OF PERMITS AND INSPECTIONS. THE BASEMENT HAS PREVIOUSLY FLOODED AND MOLD WAS
PREVELANT THROUGHOUT HOUSE.
Project Valuation: $250.00 Fees Collected: $72.75
Type of Fire Protection: Sprinklers: NO
Fire Alarm: NO
Type of Construction: VB Occupancy per IBC: R-3
Electrical Service Provided by: TUKWILA FIRE SERVICE Water District: 125
Sewer District: VALLEY VIEW 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:
Public Works Activities:
Chan nelization/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:
2012
National Electrical Code:
2014
2012
WA Cities Electrical Code:
2014
2012
WAC 296-46B:
2014
2012
WA State Energy Code:
2012
2012
Volumes: Cut: 0 Fill: 0
Number: 0
Water Meter: No
Permit Center Authorized Signature: )��L Date:
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: c� Date:
Print Name: 1� �A/� V i AJ L
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:
'BUILDING PERMIT CONDITIONS'
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.
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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700 BUILDING FINAL"
m
CITY OF TMr.,LA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hn://www.TukwilaWA.gov
SITE LOCATION
Site Address:
Tenant Nam
Building Permit No. L�:7 o"
Project No.
Date Application Accepted:
Date Application Expires:
use
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"
PROPERTY OWNER
Name:Ou t Aj
--
Address:
City:
State: a ,Ids Zip:
CONTACT PERSON — person receiving all project
communication
Name:
Address: S
t
City: E j��ate: Zip•
ki
Phone: Fax:
GENERAL CONTRACTOR INFORMATION
Company Name:
u
Address: v S(�—
City: - u< l State. WG� Zip:
Phone: /2Q� ( _ 0 0 , Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.:
King Co Assessor's Tax No.:
Number: Floor:
New Tenant: ❑ ..... Yes /7] .. No
ARCHITECT OF RECORD
Company Name:
Architect Name:
Address:
City: State: Zip:
Phone: Fax:
Email:
ENGINEER OF RECORD
Company Name:
Engineer Name:
Address:
City: State: Zip:
Phone: Fax:
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27,095)
Name:
Address:
City: State: Zip:
H:Wpplications\Forms-Applications On Line\2012 ApplicationsWermit Application Revised - 2-7-12.docx
Revised: February 2012
Page 1 of 4
BUILDING PERMIT INFORMATI — 206-431-3670
Valuation of Project (contractor's bid price):
Describe the scope of work (please provide detailed information):
ETV 7lA coqzc
Existing Building Valuation: $ XD,ya
Will there be new rack storage? ❑ .... Yes [g".No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1' Floor
2 nd Floor
P 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 8): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ ....... Yes ❑ ....... No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ ....... Sprinklers ❑ .......Automatic Fire Alarm ❑....... None El ....... 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 8-112" 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:\Applications\Forms-Applications On Line\2012 ApplicationsTermit Application Revised - 2-7-12.docx
Revised: February 2012 - Page 2 of 4
PUBLIC WORKS PERMIT INFG__4ATION — 206-433-0179
Scope of Work (please provide detailed information):
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ .. Tukwila ❑ ... Water District # 125 ❑... Highline ❑... Renton
❑ .. Water Availability Provided
Sewer District
El.. Tukwila ❑ ...Valley View El ... Renton El ... Seattle
❑ .. Sewer Use Certificate ❑ ... Sewer Availability Provided
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 am
❑ .. Civil Plans (Maximum Paper Size — 22" x 3V)
❑ .. Technical Information Report (Storm Drainage) El ... Geotechnical Report El.. Traffic Impact Analysis
❑ .. Bond ❑... Insurance ❑... Easement(s) ❑... Maintenance Agreement(s) ❑ .. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
Proposed Activities (mark boxes that apply):
❑ .. Right-of-way Use - Nonprofit for less than 72 hours ❑ ... Right-of-way Use - Profit for less than 72 hours
❑ .. Right-of-way Use - No Disturbance El ... Right-of-way Use — Potential Disturbance
❑ .. Construction/Excavation/Fill - Right-of-way ❑
Non Right-of-way ❑
❑ .. Total Cut cubic yards
❑ .. Total Fill cubic yards
El.. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
❑ .. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑... Work in Flood Zone
El ... Storm Drainage
El ... Abandon Septic Tank
El ... Curb Cut
El ... Pavement Cut
El ... Looped Fire Line
❑ .. Permanent Water Meter Size (1) "
❑ .. Temporary Water Meter Size (1) "
❑ .. Water Only Meter Size ........... "
❑ .. Sewer Main Extension............ Public ❑
❑ .. Water Main Extension............ Public ❑
FINANCE INFORMATION
Fire Line Size at Property Line
❑ .. Water ❑ .. Sewer
Monthly Service Billing to:
Mailing Address:
Water Meter Refund/Billine:
Name:
Mailing
WO#
WO#
WO#
Private ❑
Private ❑
(2)
(2)
❑ ... Grease Interceptor
El ... Channelization
❑ ... Trench Excavation
❑ ... Utility Undergrounding
WO # (3) WO #
WO # (3) WO #.
❑ .. Deduct Water Meter Size "
Number of Public Fire Hydrant(s)
❑ .. Sewage Treatment
Day Telephone:
city
Day Telephone:
State Zip
City
State Zip
H:Wpplications\Forms-Applications On Linet2012 ApplicationsTermit Application Revised - 2-7-12.docx
Revised: February 2012 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 A THORIZED AGENT: /} f
Signature: Date:
Print Name: AM= ( C Day Telephone:- o 200 Q 1
Mailing Address: t y n 5 �� A' S C,(Fa h C i ,U A-
City State Zip
H:Wpplications\Forms-Applications On Line\2012 ApplicationsTermit Application Revised - 2-7-12.docx
Revised: February 2012 Page 4 of 4
DESCRIPTIONS
PermitTRAK
PAID
$72.75
D15-0200 Address: 4053 S 144TH ST
Apn: 0040000210
$72.75
DEVELOPMENT
$69.50
PERMIT FEE
R000.322.100.00.00
0.00
$65.00
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE
$3.25
TECHNOLOGY FEE
TOTAL FEES .l ••1
R000.322.900.04.00 0.00
$3.25
Date Paid: Thursday, August 06, 2015
Paid By: QUANG T LE
Pay Method: CREDIT CARD 084017
Printed: Thursday, August 06, 2015 2:40 PM 1 of 1 ''
�9SYS7EMS
I�
l INSPECTION RECORD
Retain a copy with permit
«
IW&ATION 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
Le, ��b��
TypefInsgction c p
C1( 1/
A , ess: / _ #� f
Date Calle
Special Instructions:
d slit
Date anted: a.m.
— , p.m.
Requester:
Phone No:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Z Retain a copy with permit DES 4� r
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-935 100 t'
Project: rr
Type of Ins a do :
Address:
2i2-Q GC(k%J'S D('-
Date Called-'
Special Instructions:
Date W ted• a.m.
q—f`(-r p.m.
Req ester:
(P
Phone o:
2-J 75Z3
❑ Approved per applicable codes. E Corrections required prior to approval.
COMMENTS:
lV
f� a
Inspector: Oate:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD -�w
Retain a copy with permit L a
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
Project: /✓/ , 6
wi
Type of Inspection:
Address:
Date Called:
Special Instructions:
Date Wanted: a.pZ.
9197 p.m.
Requester:
Phone No:
❑ Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
c� 1+0c-� t
'kZ
6
C0PJI)I-n0(\15\1
W
6-74
M J Iiofu
2oTec,13
f A-L- ✓�
►v� F"�V o �e-�
L
(ADT6C, E�J ►�:
Inspector: In- (� Date: 9/(3-7
C'y�
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.