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HomeMy WebLinkAboutPermit D16-0350 - HENRY DEMOLITION - SINGLE FAMILY RESIDENCE DEMOLITIONHENRY DEMOUTION 16659 53 AVE S D16-0350 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.eov 5379200175 16659 53RD AVE S Project Name: HENRY DEMOLITION DEVELOPMENT PERMIT Permit Number: D16-0350 Issue Date: 2/24/2017 Permit Expires On: 8/23/2017 Owner: Name: HEATH SYLVIA A Address: 16659 53RD AVE S , SEATTLE, WA, 98188 Contact Person: Name: SAN STEVENS Address: PO BOX 46002 , SEATTLE, WA, 98146 Contractor: Name: AMERICAN PRESTIGE HOMES INC Address: PO BOX 46002 , SEATTLE, WA, 98145 License No: AMERIPH864JD Lender: Name: HOMESTREET BANK Address: 16040 CHRISTENSEN RD - SUITE 315 , TUKWILA, WA, 98188 Phone: (206) 853-4525 Phone: (206) 853-4525 Expiration Date: 4/4/2018 DESCRIPTION OF WORK: DEMOLISH HOUSE AND GARAGE PROJECT ON HIGHLINE WATER AND VALLEY VIEW SEWER. Project Valuation: $8,600.00 Type of Fire Protection: Sprinklers: NO Fire Alarm: NO Type of Construction: VA Electrical Service Provided by: TUKWILA Fees Collected: $705.33 Occupancy per IBC: R-3 Water District: HIGHLINE Sewer District: TUKWILA 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: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Public Works Activities: Channelization/Striping: Curb Cut/Access/Sidewalk: Fire Loop Hydrant: Flood Control Zone: Hauling/Oversize Load: Land Altering: Volumes: Cut: 0 Fill: 0 Landscape Irrigation: Sanitary Side Sewer: Number: 0 Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: No Permit Center Authorized Signature: r At 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 egulating construction or the performance of work. I am authorized to sign and obtain this development per` it and agree to the conditions attached to this permit. `1 /140 Signature: Print Name: �, sv,4•114 4tt/61- DateD 7 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: ***PUBLIC WORKS PERMIT CONDITIONS*** 2: Call to schedule mandatory pre -construction meeting with Dave Stuckle, Public Works Inspector, (206) 433- 0179. 3: 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. Sanitary sewer capping shall be per Valley View Sewer Capping permit 7450. Water service capping shall be per Highline Water District Water Capping permit. 4: Prior to construction, all utilities in the vicinity shall be field located. NOTE: For City of Tukwila utility locates, call 811 or 1-800-424-5555. 5: Permit is valid between the weekday hours of 7:00 a.m. and 5:00 p.m. only. Coordinate with the Public Works Inspector for any work after 5:00 p.m. and weekends. 6: No work under this permit during weekend hours without prior approval by Public Works. Coordinate with the Public Works Inspector. 7: Any material spilled onto any street shall be cleaned up immediately. 8: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off-site or into existing drainage facilities. 9: 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. 10: 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. 11: 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. 12: Clearing of any vegetation or any soil disturbance southward of the silt fence is prohibited. 13: ***BUILDING PERMIT CONDITIONS*** 14: 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. 15: 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. 16: 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. 17: 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** 5200 EROSION MEASURES 5210 EROSION MEASURES FNL 0101 PRE -CONSTRUCTION 1600 PUBLIC WORKS FINAL 5160 PUBLIC WORKS PRE -CON 5100 STREET USE 7/ CITY OF TUKJ ..A Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gpv Building Permit No. „ - (}�j s Project No. Date Application Accepted: Date Application Expires: (For office use only) CONSTRUCTION PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. **Please Print** SITE LOCATION Site Address: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes .. No Tenant Name: PROPERTY OWNER Name: 0 i /•1....eveis7 f7 ame Name- City: (r j�� State: 1,6_ Zipem to % C� v/ iSp� r l ' 4'v_ei Ziplg kik) Phone 6_A.Fax �-t2 State: Zip: Addres o Tukwila Business License No.: LI 6 062 - City: Phone 57/_2 7 �(/,ii__ Fax: 7c /_ State: cu Zip: 48) CONTACT PERSON — person receiving all project communication Name: 0 i /•1....eveis7 f7 \ Address:11)"' tF 0, X 7 City: (r j�� State: 1,6_ Zipem to % C� v/ iSp� r l Phon Fax: Email: S`„�inn� j)- �� SO Ai GENERAL CONTRACTOR INFORMATION Company Named „_ LIW i ( v cp �� 517 exy\knolff i\---,51y5t 495 Goisv AddresspD f :ex1.t b m 2_ Cit}T' St�at"e:( f li lA rir f a ..6' City:5 / Q State: Ziplg kik) Phone 6_A.Fax �-t2 State: Zip: Contr Reg No.: Exp Date: Fax: Tukwila Business License No.: City: State: H:Wpplications\Forms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh ARCHITECT OF RECORD Company Name: exy\knolff i\---,51y5t 495 Goisv Architect Name: Cit}T' St�at"e:( f li lA rir f a ..6' Address: Engineer Name: City: State: Zip: Phone Fax: Email: • City: State: ENGINEER OF RECORD Name: hovw24c P , Company Name: Cit}T' St�at"e:( f li lA rir f a ..6' ip: 1 a9.! IC(.5 Engineer Name: C_5 Address: City: State: Zip: Phone 57/_2 7 �(/,ii__ Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: hovw24c P , Address.! O i D �,r_ 65) -el 11 # 3 l5- l�J /'r (�{/! Cit}T' St�at"e:( f li lA rir f a ..6' ip: 1 a9.! IC(.5 Page 1 of 4 BUILDING PERMIT INFORMATI - 206-431-3670 Valuation of Project (contractor's bid price): $ a 6C) 0 Describe the scope of work (please provide detailed info 144,04-9erirtAt ef4t t ation): Existing Building Valuation: $ A. teo pV'° t_e 1\pjse Will there be new rack storage? ❑ .... Yes )75..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 a - 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 d lings as his or her primary residence. Number of Parking Stalls Provided: Standard: mpact: Handicap: Will there be a change in use? ❑ Yes ❑ If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers 0 Automatic Fire ! arm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combus ' . e or hazardous materials in the building? ❑ Yes ❑ No If `yes ', attach list of materials and stora r - locations on a separate 8-1/2" x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On-site Septic Sys — 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 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 Existing Interior Remodel Addition to Existing Structure New Type of Construe ' in per : C Type of Occupancy per IBC 1St Floor 2nd Floor 3rd Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage / Attached Carport Detached Carport Z// Covered Deck ZZ Uncovered Deck PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches a - 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 d lings as his or her primary residence. Number of Parking Stalls Provided: Standard: mpact: Handicap: Will there be a change in use? ❑ Yes ❑ If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers 0 Automatic Fire ! arm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combus ' . e or hazardous materials in the building? ❑ Yes ❑ No If `yes ', attach list of materials and stora r - locations on a separate 8-1/2" x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On-site Septic Sys — 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 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 PUBLIC WORKS PERMIT INFO ATION — 206-433-0179 Scope of Work (please provide detailed information): 1::)&14 cZ..-1-C/-1-11 6-A <-4-e-;€ (l / OSE 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 `...Valley View 0 ...Sewer Availability Provided ... Highline ❑ ...Renton ❑... Renton ❑... Seattle Septic System: ❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by Submitted with Application (mark boxes which apply): ❑ .. Civil Plans (Maximum Paper Size — 22" x 34") ❑ .. Technical Information Report (Storm Drainage) 0...Geotechnical Repo ❑ .. Bond ❑... Insurance ❑... Easement(s) 0...Maintenance A 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 0 ❑ .. Total Cut 0 .. Total Fill ❑ .. Sanitary Side Sewer ❑ .. Cap or Remove Utilities ❑ .. Frontage Improvements ❑ .. Traffic Control ❑ .. Backflow Prevention - Fire Prot- tion Irriga in Do estic Water cubic yards cubic yards ❑. ement(s) ng County Health Department. ❑ .. Traffic Impact Analysis ❑ .. Hold Harmless — (SAO) ❑ .. Hold Harmless — (ROW) ht -of -way Use - Profit for less than 72 hours Right-of-way Use — Potential Disturbance 0... Work in Flood Zone ❑... Storm Drainage • . Abandon Septic Tank ... Curb Cut ..Pavement Cut .. Looped Fire Line ❑• ❑ . 79 ❑ .. Permanent Water = er Size (1) ❑ .. Temporary Wate eter Size (1) ❑ .. Water Only -ter Size ❑ .. Sewer Ma' Extension Public ❑ ❑ .. Water Main Extension Public 79 77 WO # WO # WO # Private ❑ Private ❑ O ...Grease Interceptor ❑ ... Channelization 0... Trench Excavation 0...Utility Undergrounding (2) " WO # (3) (2) " WO # (3) 0 .. Deduct Water Meter Size " WO# " WO# 97 FINANCE INFORMATION 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 Refund/Billing: Name: Mailing Address: Day Telephone: City State Zip H:Wpplications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh 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 Signature: 1� Dater F/2_11/4° 76\v\ ATPAM19 Mailing Address: i)Es f 77( Lf- 00 C e [A) - c g ( , \ "1 City State Zip THORIZED AGENT: Print Name: Day Telephone: H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx ' Revised: February 2012 bh Page 4 of 4 1 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT PermitTRAK QUANTITY PAID $505.33 D16-0350 Address: 16659 53RD AVE S Apn: 5379200175 $505.33 DEVELOPMENT $212.22 PERMIT FEE R000.322.100.00.00 0.00 $207.72 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 PUBLIC WORKS $280.00 BASE APPLICATION FEE R000.322.100.00.00 0.00 $250.00 PERMIT ISSUANCE/INSPECTION FEE R000.342.400.00.00 0.00 $15.00 CONSTRUCTION PLAN REVIEW R000.345.830.00.00 0.00 $15.00 TECHNOLOGY FEE $13.11 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R10913 R000.322.900.04.00 0.00 $13.11 $505.33 Date Paid: Friday, February 24, 2017 Paid By: AMERICAN PRESTIGE HOMES INC Pay Method: CASH Printed: Friday, February 24, 2017 2:17 PM 1 of 1 CRSYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT I QUANTITY PAID $200.00 D16-0350 Address: 16659 53RD AVE S Apn: 5379200175 $200.00 DEVELOPMENT $200.00 PERMIT FEE PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R10120 R000.322.100.00.00 R000.345.830.00.00 0.00 0.00 $39.38 $160.62 $200.00 Date Paid: Friday, December 23, 2016 Paid By: SAN STEVENS Pay Method: CASH Printed: Friday, December 23, 2016 10:03 AM 1 of 1 SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit D1le-0356 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: Y ,0001611T701 Type of Inspection: /1-01A16-- /ilif' & � Ad ress: /(eb57 53RD /11,1% Date Called: Special Instructions: Date Wanted: g-29-/7 p m. Requester: $¢iflf Phone No: 26 r 3 9.525 Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: 3 2q -f 7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSCTION NO INSPECTION RECORD Retain a copy with permit o �s� pile _zp. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd.., #100, Tukwila: WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 1. /Levy< Project: /' "/ ,Px NO L/17-001 Type of Inspection: /Ci Address: /4 45-9 53RD Air, 5 Date Called: Special Instructions: Date Wanted: 'F-,27 -/ 7 a.m• p.m. Requester: Phone No: I. . Approved per applicable codes. E Corrections required prior to approval. COMMENTS: Inspector: 2/5 Date: 2 9 `%7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit 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: lM bL 4 O Type of InsRection: 1'l2 - a✓ 1 tz-r-`d Address: /a Cq S3 e' AW -. Date Called: Special Instructions: Date Wante Request : Phone No: 6/j Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: ,/ 1.' Date:3 `7/1 7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. pscIeanair.org Puget Sound Clean Ail Agency Notification Case #: 201700402 This page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available for inspection at all times at the asbestos project or demolition site (Reg III, 4.03(a)(6)). Fee Amount Paid $65.00 Credit Card Transaction # ASOFF1B920E5 Transaction Date 01/27/17 Owner's Name Henry Doan (C/0 American Prestige Homes) Project Street Address 16659 53rd Ave S City Tukwila Contact Person Bob Guiley(Thermatech) Mailing Address PO Box 46002 Seattle, WA 98146 Phone (206) 877-2366 Zip 98188 Phone (253) 984-1818 This project includes asbestos removal. Project Size linear feet / 50 square feet Project Start Date 02/06/17 Completion Date 03/31/17 Asbestos will be removed by a licensed asbestos abatement contractor Contractor Thermatech Northwest Inc. Contractor Job # 17-0115 Contact Debi Franklin Phone (253) 984-1818 Mailing Address 10312 Sales Road South Lakewood, WA 98499 (1) I certify that the information I have provided is to the best of my knowledge true and accurate. (2) I understand that I must file an Amendment to this Notification if: • The type of project has changed. The project types are asbestos and demolition. • The quantity of friable asbestos to be removed meets a larger project category. • The project's start or completion date has changed. (3) I understand one Notification must be filed for each structure. The only exception is for a single-family residence that includes multiple ancillary structures, such as a detached garage or other outbuildings having the same street address. If there is no street address, I have used a building number. (4) I understand the fees for this Notification are nonrefundable. Create Another Notification View History Log Ou If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058. CORRE TION LTR# D(6- �3SO RECEIVED CITY OF TUKWILA JAN 30 2017 PERMIT CENTER City of Tukwila Department of Community Development January 4, 2017 San Stevens PO Box 46002 Seattle, WA 98146 Dear Ms. Stevens, Allan Ekberg, Mayor Jack Pace, Director Regarding the property at 16659 53rd Ave. S., a demolition permit (D16-0350) has been applied for. It has gone through the plan review process and a correction letter has been mailed to the contact person (San Stevens). A new building permit for a single family residence (D16-0330) has also been applied for. It has gone through the plan review process and has been approved by all departments and is ready to issue. Per the current City of Tukwila Zoning.Code and Department of Community Development policy we will not issue a building permit for construction of a new building (commercial or residential) on a parcel of land -that has an existing building on it until the existing building demolition permit has been issued, inspected and finaled. Sincerely, ----?-1C4/1"4 Bill Rambo Permit Technician 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 January 04, 2017 City of Tukwila Department of Community Development SAN STEVENS PO BOX 46002 SEATTLE, WA 98146 RE: Correction Letter # 1 DEVELOPMENT Permit Application Number D16-0350 HENRY DEMOLITION - 16659 53 AVE S Dear SAN STEVENS, Allan Ekberg, 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: KC ELLIS at 206-4631-3677 if you have questions regarding these comments. • Provide asbestos report and/or mitigation approval for house prior to deconstruction. Please address the comments above in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that two (2) 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, Bill Rambo Permit Technician File No. D16-0350 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Valley.VeTT-- 7 OUTSIDE + . PERMIT 4 50 INSIDE PHONE: 206-242-3236 EASEMENT No. REPAIRS SIDE SEWER PERMIT RECEIPT No. S5I ?eR 1 DEPOSIT $ 7) --- VALLEY VIEW SEWER DISTRICT DATE I . J I ) ' I l-, 3460 South 148th Street, Suite 100 • Seattle, Washington I OWNER'' HOUSE ADDRESS 11 ' I Y 1 NAME SUB -DIVISION t t , a Permit has been granted Approved by CONTRACTOR: • . ,/ BASEMENT: YES NO LOT No. BLK. No. 3 (e Expiration Date /01/401 `? Permits not valid unles igned by district representative. Inspector's Report FILE COPY RECEIVED R 0 Test Report WATER 0 ut.L_2 7 2016 TUKWILA PUBLIC WORKS Roof, Downspouts, Building Footing Drains, any Ground Water Drains, etc., are not allowed to be hooked into the sewer under this permit. ALL PLUMBING OUTLETS WILL BE CONNECTED TO THE SEWER. This permit is granted subject to the conditions set forth on the District's Application For Permit and is subject to all stipulations of the District's Side Sewer Resolution as amended and which are by this reference incorporated herein as though set forth in full. Inspector "CAUTION" NO BUILDING ON SEWER EASEMENTS CALL FOR INSPECTION AT 242-3236 • DEWATER DITCH BEFORE INSPECTION • DISTRICT INSPECTION BEFORE BACKFILL • TEST SIDE SEWER BEFORE AND DURING INSPECTION D I�- o3s'� SEPTIC TANK The King County Health Department Uniform Plumbing Code requires septic tanks to be completely pumped and filled with earth, sand, gravel, concrete or other approved material. SAFETY The Contractor shall comply with the Washington Industrial Safety and Health Act (RAW 49.17) and Safety and Health Standards such as Safety Standards for Construction Work (Chapter 296-155 WAC), General Safety and Health Standards (Chapter 296-24 WAC), General Occupational Health Standards (Chapter 296-22 WAC) and any other appropriate safety and health codes. OUTSIDE._...._....._.... INSIDE ................__.._ _ REPAIRS ....... __..... _--._.. _.._. DEPOSIT S..12 _'-,�� e4 VAL VUE SEWER DISTRICT APPLICATION FOR SIDE SEWER PERMIT 1i-Pr5'3i 20 Oi 75 OWNER- C/ HOUSE ADDRESS. /. 66" 1—-�4' - L — NAME SUB -DIVISION .v-'� CONTRACTOR BASEMENT: YES PERMIT N2 EASEMENT Na CARD No. DATE. %-"%9' 7tk 2210 NO LOT No. • _�✓ ILL No. SCALE DISTRICT APPROVAL BY.._.Q C.L DATE TEST RESULTS 0- t -p5 % / .i..„U ?xi :::✓ I HEREBY CERTIFY THAT THE ABOVE CONNECTION HAS BEEN MADE AS SHOWN, PRIOR TO BACKFILL • BY DATE ZS- PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D16-0350 PROJECT NAME: HENRY DEMOLITION SITE ADDRESS: 16659 53 AVE S Original Plan Submittal X Response to Correction Letter # 1 DATE: 01/30/17 Revision # Revision # before Permit Issued after Permit Issued DEPARTMENTS: Awc Building Division Public Works ❑ Fire Prevention Structural Planning Division ❑ Permit Coordinator PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 01/31/17 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 02/28/17 Approved Corrections Required ❑ Approved with Conditions ❑ Denied ❑ (corrections entered in Reviews) (ie: Zoning Issues) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire 0 Ping 0 PW ❑ Staff Initials: 12/18/2013 PERMIT COORD COPY. PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D16-0350 DATE: 12/23/16 PROJECT NAME: HENRY DEMOLITION SITE ADDRESS: 16659 53 AVE S X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: IL(. Cov�Z 1-4-11 Building Division �w c -uf Public Works PM lAVIimi Fire Prevention Planning Division kc Structural Permit Coordinator M PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 12/27/16 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 01/24/17 Approved Corrections Required ❑ Approved with Conditions Denied (corrections entered in Reviews) (ie: Zoning Issues) n n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: I_'1-4-11 Departments issued corrections: Bldg._ Fire I=1Ping ❑ PW ❑ Staff Initials: Ole 12/18/2013 City of Tukwila REVISION SUBMITTAL Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 0/ ( ;Di'7 Plan Check/Permit Number: D l -o3 5 73 ❑ Response to Incomplete Letter # Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner ❑ Deferred Submittal # Project Name: tEe/n rf/JJ ► 9 P try , Project Address: 1 b 6 5"1��rd 1% _s, 1-- k fa Ld ft g g i Contact Person: v\ G42' t// Phone Number: %i6j — g53-1--(5-2.5 Summary of Revision: P(a J 'Cb -�(A&— C 4 CIv 4r i( Ay 11 Cy POPA.4* 7n &Pi cd -for RECEIVED CIM V OF TUKWILz. JAN 302017 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including e of rev' i Received at the City of Tukwila Permit Center by: _Entered in TRAKiT on 10-1 W:\Fermit Center \Templates\Forms\Revision Submittal Form.doc Revised: August 2015 ngs\DEMO\R16920—PS—SITE Dec 23, 2016 — 9:22am —EX. HOUSE TO BE DEMOLISHED 3V -Y2 ROW ►T N88°03'56"W 162.02' F;727-77177277722,2777 /77/2 77777" L 17777771777/7717j POINT OF ACCESS FOR DEMOjITION HOUSE J• s~ CJ CO 0 1~ 1-+ .Zi QJ ril • .REMOVE WATER METER & CAP SER/ICE LINE COORDI ATE:,WITH N HIGHLIN WATER DISTRIG11� a c, >� U 0 co I p nzi : • 30;.-Y2 ROW :. 130'4/2 ROW • N86°03'56"W 162.02' EXISTING AS?HALT DRIVEWAY AS CONSTRLCTION ENTRANCEI TEMPORARY STOCKPILE , COVER WITH PLASTIC (TYP) INSTALL SILT FENCE PER DETAIL THIS SHEET (te!?) S. 168TH STREET O ce b XPi No c tra plans PI F f ovl Date: _. JOINTS IN FILTER FABRIC SHALL BE SPLICED AT POSTS. USE STAPLES, WIRE RINGS, OR EQUIVALENT TO ATTACH FABRIC TO POSTS. .ANN!f �,1G APPROVED nges "can be made. to these without approval from the anning Division of DCD By: L- r w h POST TO 8 GRADING AND EROSION CONTROL NOTES: 1. THE EROSION PREVENTION AND SEDIMENT (ESC) MEASURES ON THE APPROVED PLANS ARE MINIMUM REQUIREMENTS. 2. BEFORE BEGINNING ANY CONSTRUCTION ACTIVITIES, ESTABLISH THE CLEARING LIMITS AND INSTALL CONSTRUCTION ENTRANCE. 3. BEFORE ANY GROUND DISTURBANCE OCCURS, ALL DOWNSTREAM EROSION PREVENTION AND SEDIMENT CONTROL MEASURES (ESC) MUST BE CONSTRUCTED AND IN OPERATING. INSTALL AND MAINTAIN ALL ESC MEASURES ACCORDING TO THE ESC PLAN. 4. ESC MEASURES, INCLUDING ALL PERIMETER CONTROLS, SHALL REMAIN IN PLACE UNTIL FINAL SITE CONSTRUCTION IS COMPLETED AND PERMANENT STABILIZATION IS ESTABLISHED. 5. FROM MAY 1 THROUGH SEPTEMBER 30, PROVIDE TEMPORARY AND PERMANENT COVER MEASURES TO PROTECT DISTURBED AREAS THAT WILL REMAIN UNWORKDED FOR SEVEN DAYS OR MORE. 6. FROM OCTOBER 1 THROUGH APRIL 30, PROVIDE TEMPORARY AND PERMANENT COVER MEASURES TO PROTECT DISTURBED AREAS THAT WILL REMAIN UNWORKED FOR TWO DAYS OR MORE. IN ADDITION TO COVER MEASURES, THE CONTRACTOR SHALL: A. PROTECT STOCKPILES AND STEEP CUT AND FILL SLOPES IF UNWORKED FOR MORE THAN 12 HOURS. B. STOCKPILE, ON SITE, ENOUGH COVER MATERIALS TO COVER ALL DISTURBED AREAS. REVISIONS No changes shaft he of workwithoutrmade to the scope prior approval of Tukwila Building Division. NOT;I: r ,✓visions will require a flew) . and may include additional plan review ew submittal FILE COPY Permit No. '01(0- 03s-0 7. BY OCTOBER 8, SEED ALL AREAS THAT WILL REMAIN UNWORKDED DURING THE WET SEASON Plan review approval is subject to errors and omisSionn. (OCTOBER 1 THROUGH APRIL 30). MULCH ALL SEEDED AREAS. Approval of c onsirL ciion documents does not e uthclLe the violation of any adopted code or ordinance. Rcc&rit of approved Field /opy and conditions is acknowledged: HORIZONTAL GRAPHIC SCALE 20 10 0 10 20 1 inch = 20 ft. Know what's below. Call before you dig. By: Date: 071'9,y/I-7 City of Tukwila BUILDING DIVISION II I I I I II II 6' MAX. 2" X 2" X 14 GA. WIRE OR EQUIVALENT, IF STANDARD STRENGTH FABRIC USED. 'ACING MAY BE INCREASED F WIRE BACKING IS USED 4" WOOD POSTS. STEEL FENCE POSTS, REBAR, OR EQUIVALENT I I 2 2 FILTER FABRIC UNDISTURBED GROUND z 2 4" MIN BACKFILL TRENCH WITH NATIVE SOIL OR 3/4" - 1.5" WASHED GRAVEL S: FABRIC FENCES SHALL BE INSTALLED ALONG CONTOUR WHENEVER POSSIBLE. SILT FENCE DETAIL 1111=1 I-'? TOE IN SHEETING IN MINIMUM 4"X4" TRENCH PER 2009 KCSWDM FIGURE C.3.6.A SCALE: NONE 10.0MAX SANDBAGS, OR EQUIVALENT MAY BE USED TO WEIGHT PLASTIC SEAMS BETWEEN SHEETS MUST OVERLAP A MINIMUM OF 12" AND BE WEIGHTED OR TAPED ME I.I.I111._1; :: v U U Ilf,, iti --Nor PROVIDE ENERGY DISSIPATION AT TOE WHEN NEEDED These plans have been reviewed by thcPER STIC pOVERING DETAIL 20091( Works Department for conformance wirEAUTItnt City standards. Acceptance is subject to errors and omissions which do not authorize violations of adopted standards or ordinances. The responsibility for the adequac: of the design rests totally with the designer. Additions, deletions or revisions to these drawings after this date will void this acceptance and will require a resubmittal of revised drawings for subsequent approval. Final acceptance is subject to field inspection by the Public Works utilities inspector. Date: By: 119'1 2-1 lco RECEIVED CITY OF TUKWILA DEC 23 2016 PERMIT CENTER REVIEWED FOR CODE COMPLIANCE APPROVED FEB 01 2017 City of Tukwila BUILDING DIVISION tLo3sv REFERENCE SHEET NO. EC1 SHEET 1 OF 2 SHEETS U) W o ao = u) °O W W ao c�> W Q' co <- 1:1_ Q J_ Q CO O CO w 2 TESC PLAN AND DETAILS w w co 0 ti 0 d V/ Cr-') 1- DESIGNED BY 1- 6 o. S CHECKED BY: H. H. PHAN PROJ. MNGR: REVISION DESCRIPTION CO 0 z American Prestige Homes Inc Home Espanol Contact . Safety & Health Claims & Insurance Washington State Department of Labor & Industries Search L&I Page 1 of 2 1-Z Index Help My M Workplace Rights Trades & Licensing American Prestige Homes Inc Owner or tradesperson Stevens, San Y Principals Stevens, San Y, PRESIDENT WA UBI No. 603 377 564 PO Box 46002 SEATTLE, WA 98145 206-853-4525 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. AMERIPH864JD Effective — expiration 04/04/2014— 04/04/2018 Bond .._............ American Contractors Indem CO Bond account no. 100243404 $12,000.00 Received by L&I Effective date 04/04/2014 03/14/2014 Expiration date Until Canceled Insurance ............................... Western Pacific Mutual Ins Co Policy no. WPGL4600055716 $2,000,000.00 Received by L&I Effective date 03/01/2016 03/24/2016 Expiration date 03/24/2017 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations ...................................................... No license violations during the previous 6 year period. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603377564&LIC=AMERIPH864JD&SAW= 2/24/2017 American Prestige Homes Inc Page 2 of 2 I Workers' comp No active workers' comp accounts during the previous 6 year period. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603377564&LIC=AMERIPH864JD&SAW= 2/24/2017