HomeMy WebLinkAboutPermit D17-0109 - BANO H - DRYWALL REPAIRBANG H
3123 S 150 ST
UNIT A
D17-0109
Parcel No:
Address:
0
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
DEVELOPMENT PERMIT -
0041000540 Permit Number: D17-0109
3723 S 150TH ST A Issue Date: 4/24/2017
Permit Expires On: 10/21/2017
Project Name: BANO H
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
HABTU BAINOSAY T+MIHRET T D
1719 NE 150TH ST, SHORELINE, WA,
98155
BANDSAY HABTU
1719 NE 150TH ST, SHORELINE, WA,
98155
OWNER AFFIDAVIT
Lender:
Name: N/A - UNDER $5000
Address:
Phone: (206) 669-8663
Phone:
Expiration Date:
DESCRIPTION OF WORK:
DRYWALL REPAIR FOR POSSIBLE WATER LEAKS
Project Valuation: $1,000.00
Type of Fire Protection: Sprinklers:
Fire Alarm:
Type of Construction: VB
Electrical Service Provided by: TUKWILA
Fees Collected: $159.16
Occupancy per IBC: R-3
Water District: 125
Sewer District: VALLEY VIEW
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:
Landscape Irrigation:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
Volumes: Cut: 0 Fill: 0
Number: 0
No
Permit Center Authorized Signature:
Date:
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: Date: t-(-2 4-ZOI`7
Print Name j6 inaZA-rc-
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:
<NONE>
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700 BUILDING FINAL**
0409 FRAMING
r
CITY OF TUXQILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Permit No. f_g
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
cSite Address:'
King Co Assessor's Tax No.:
guite Number: utiifi A Floor:
New Tenant: ❑ Yes
T�Name:-�
fes
PROPERTY OWNER
Name:
aAu. a Sc.,/ t-&b4c.t '
.
Name:
j -
City: S e M State: w�
�
Address:
Phone: Fax:
tab- 66i-8663
Zlp 17'1 St
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name:
aAu. a Sc.,/ t-&b4c.t '
.
Address:
1-11,1 Alt fS0t• sl •
j -
City: S e M State: w�
�
Zip:
fglrf
Phone: Fax:
tab- 66i-8663
Zlp 17'1 St
Email:
Fax:
GENERAL CONTRACTOR INFORMATION
Company ame:
ci-a...asc,t Htaii-%4
.
j
Address:
11. 11 ,UE (Sb
j -
City: 94 G-11vi:t
State: c v�
Zlp 17'1 St
Phone:
Fax:
Contr Reg No.:
Exp Date:
Zip:
Phone:
Tukwila Business License No.:
Email:
•f H: \Applications\Forms-Applications. On Line\2012 Applications\Permit Application Revised - 2-7,12.docx
`'Revised: February 2012
0
ARCHITECT OF RECORD
Name:
At 1):\ iwJ $j S 0
.
Company Name:
Architect Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Name:
At 1):\ iwJ $j S 0
1o0
Address:
Company Name:
Engineer Name:
Address:
City:
State:
Zip:
Phone: ,
Fax:
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name:
At 1):\ iwJ $j S 0
1o0
Address:
City: State: Zip:
Page 1 of 4
BUILDING PERMIT INFORMATIIL,,- 206-431-3670
----,
Valuation of Project (contractor's bid price): $ 5i cer9. VIli b 0°
Existing Building Valuation: $
Describe the scope of work (please provide detailed information):
41044g, #'/gt f' t...1 -*11
Will there be new rack storage? ❑ ....Yes
❑ ..No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? 0 Yes 0 No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0 Sprinklers 0 Automatic Fire Alarm ❑ None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes 0 No
If `yes', attach list of materials and storage locations on a separate 8-1/2"x 11" paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:Wpplications\Forms-Applications On Line \2012 ApplicationsTermit Application Revised - 2-7-12.docx
Revised: .Febn,ary 2O],2 •
Page 2 of4
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1st Floor
2° Floor
3rd Floor
Floors thru
-
Basement
Accessory Structure*
.
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? 0 Yes 0 No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0 Sprinklers 0 Automatic Fire Alarm ❑ None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes 0 No
If `yes', attach list of materials and storage locations on a separate 8-1/2"x 11" paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:Wpplications\Forms-Applications On Line \2012 ApplicationsTermit Application Revised - 2-7-12.docx
Revised: .Febn,ary 2O],2 •
Page 2 of4
PUBLIC WORKS PERMIT IN1OMATION — 206-433-0179
Scope of Work (please provide detailed information):
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ .. Tukwila ❑ ...Water District #125
❑ .. Water Availability Provided
Sewer District
❑ .. Tukwila
❑ .. Sewer Use Certificate
❑...Valley View
❑ ...Sewer Availability Provided
❑... Highline
❑... Renton
❑... Renton
❑... Seattle
Septic System:
❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department.
Submitted with Application (mark boxes which apply):
❑ .. Civil Plans (Maximum Paper Size — 22" x 34")
❑ .. Technical Information Report (Storm Drainage)
❑ .. Bond ❑... Insurance ❑... Easement(s)
Proposed Activities (mark boxes that apply):
❑ .. Right-of-way Use - Nonprofit for less than 72 hours
0 .. Right-of-way Use - No Disturbance
❑ .. Construction/Excavation/Fill - Right-of-way ❑
Non Right-of-way ❑
❑ .. Total Cut
❑ .. Total Fill
cubic yards
cubic yards
❑ .. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
❑ .. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ .. Permanent Water Meter Size (1)
0 .. Temporary Water Meter Size (1)
❑ :. Water Only Meter Size
❑•
❑•
❑.
❑•
❑... Geotechnical. Report
0...Maintenance Agreement(s)
❑ Traffic Impact Analysis
❑ .. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
❑... Right-of-way Use - Profit for less than 72 hours
0...Right-of-way Use — Potential Disturbance
❑... Work in Flood Zone
❑... Storm Drainage
.. Abandon Septic Tank
.. Curb Cut
.. Pavement Cut
.. Looped Fire Line
❑ .. Sewer Main Extension Public
❑ .. Water Main Extension Public
CI
CI
13
WO #
WO #
WO #
Private ❑
Private ❑
❑ ... Grease Interceptor
❑... Channelization
❑... Trench Excavation
❑ ... Utility Undergrounding
(2) " _ WO # (3) " WO #
(2) " WO # (3) " WO #
❑ .. Deduct Water Meter Size
FINANCE INFORMATION
Fire Line Size at Property Line
0 .. Water ❑ .. Sewer ❑ .. Sewage Treatment
Monthly Service Billing to:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
Day Telephone:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State
Zip
Day Telephone:
City
State
Zip
H \Apptications\Forms-Applications On Line \2012 Applications\Permit Application Revised 2-7-12. docx•
Revised:. Febniary 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 AUTHORIZED AGENT:
Signature:
Print Name:. g, m 0 s 14a & -(A
Mailing Address:
1%1c! or- 1 Svgs'
Day Telephone:
Date: 9SZ/ •
HAApplications\Forms-Applications On Line\2012 Applications\permit Application Revised - 2-7-12 docx
Revised:: February 2012
bh `'
City
State Zip
Page 4 of 4
•
Cash Register Receipt
City of Tukwila
DESCRIPTIONS I ACCOUNT I QUANTITY PAID
PermitTRAK $282.16
D17-0109 Address: 3723 S 150TH ST A Apn: 0041000540. $159.16
Credit Card Fee $4.64
Credit Card Fee
R000.369.908.00.00
0.00
$4.64
DEVELOPMENT $150.11
PERMIT FEE
R000.322.100.00.00
0.00
$88.25
PLAN CHECK FEE
R000.345.830.00.00
0.00
$57.36
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE $4.41
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$4.41
PG17-0055 Address: 3723 S 150TH ST A Apn: 0041000540 $123.00
Credit Card Fee $3.58
Credit Card FeeR000.369.908.00.00
0.00
$3.58
PLUMBING $113.73
PERMIT FEE
R000.322.100.00.00
0.00
$80.58
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$33.15
TECHNOLOGY FEE $5.69
TECHNOLOGY FEE R000.322.900.04.00
TOTAL FEES PAID BY RECEIPT: R11342
0.00 $5.69
$282.16
Date Paid: Monday, April 24, 2017
Paid By: JONASTIC B TESFAMARIAM
Pay Method: CREDIT CARD 012719
Printed: Monday, April 24, 2017 4:30 PM 1 of 1
RMYSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSP CTION 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
1l7soj
Project:
i
Tsze of Inspection:.1e.;At--
,�i' r",���,rgr1ICC��H- l G--
Address:
Address:
37z1 s j 0�r
Date Called:
Special Instructions: A
Date Want
C
%7
am.
p.m.
Requeste .
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspector:
47/14
Date: e
REINSPECTION FEE REQUIRED. Prior to next inspection, f e must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
X17-0/09
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 4,t0 14
Tyj.ef'Inspection:
-tAtwilit+�--
Address:
Date Called:
Special Instructions:
Date Wante.d•/
!�
!
`
_a;!
p.m.
Requester
Phone No:
Approved per applicable codes. E Corrections required prior to approval.
COMMENTS:
Inspector:4
Daterf
1
7
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
O
0
AUTHORIZATION FOR ALTERNATE PLAN
SU : MITTAL (LIMITED SCOPE OF WORK)
IBC & IRC Section 104.1
Date: i
Address: 3723 S. /5 f % .e `T
Description of Work:
Permit/Application Number:///
Tukwila, WA 981
I I' -----
The
The above project permit applicant, due to the limited scope of work, is authorized to submit reduced plan
requirements described below:
1. Complete permit application(s):
Building
Mechanical
2. Plan and/or Specification (minimum):
II
Site Plan
Floor Plan
Cross Sections (l Roof Plan
�I
Elevations
II
Electrical
Foundation
I I
Other
Structural Calcs
Narrative H Narrative WSEC Compliance
3. Required Inspections (only completed when to be issued over the counter):
151 Framing
Glazing g Final
Other:ty(s-/6i° i/Y6/0:0d/9-L-i
4. Other Special Instructions:
kr04-CLANG— DR/W/tiL — clfir-GK F..)r2 0 r2- , gatoL4e
D 4G0/1 -1,.L 4' R te- & V\4 -lx 7 i $'
Authorized By: Date:
(Authorization void 30 days after date)
Printed Name:
6300 Southcenter Boulevard, Suite #100 ® Tukwila, Washington 98188 ® Phone: 206 431-3670 e Fax: 206 431-3665
W:\Permit Center\Templates\Forms\Auth for Reduced Plan Submittal.docx
0
CITY cllF TURWI
'i
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-3670 FAX (206) 431-3665
E-mail: tukplan@ci.tukwilama.us
Permit Center/Building Division
206 431-367o
Public Works Department
206 433-0179
Planning Division
206 431-367o
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO: phi-- 001
STATE OF WASHINGTON)
) ss.
COUNTY OF KING
U�.� G:" i c-- \ i a; �,, -.r �` c;: , states as follows:
[please print name]
G' / —
1. I have made application for a permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW 18.27.090.
g I understand that prior to issuance of a permit for work which is to be done by any contractor, the
City of Tukwila must verify either that the contractor is registered by the State of Washington, or that
one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number \, and will therefore
not be performed by a registered contractor.
5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to
persons making electrical installations on their own property or to regularly employed employees
working on the premises of their employer. The proposed electrical work is not for the construction
of a new building for rent, sale or lease.
I understand that I may be waiving certain rights that I might otherwise have under state law in any decision
to engage an unregistered contractor to perform construction work.
Owner/Owner's Agent*
Signed and sworn to before me this
day of , 2011 .
NOTARY PUBLIC in and for he State of Washington
Residing at
Name as comm*I9 ed:
My commission expires:
, County
0
18.27.090 Exemptions. The registration provisions of this chapter do not apply to:
1. An authorized representative of the United States
government, the state of Washington, or any incorporated
city, town, county, township, irrigation district, reclamation
district, or other municipal or political corporation or
subdivision of this state;
2. Officers of a court when they are acting within the scope
of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their own
business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground mine
or mineral deposit when performed by an owner or lessee;
5. The sale of any finished products, materials, or articles of
merchandise that are not fabricated into and do not become
a part of a structure under the common law of fixtures;
6. Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile/manufactured home retail dealer or
manufacturer licensed under chapter 46.7o RCW who shall
warranty service and repairs under chapter 46.70 RCW;
7. Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site or
reservation under the legal jurisdiction of the federal
government;
8. Any person who only furnished materials, supplies, or
equipment without fabricating them into, or consuming
them in the performance of, the work of the contractor;
9. Any work or operation on one undertaking or project by
one or more contracts, the aggregate contract price of
which for labor and materials and all other items is less
than five hundred dollars, such work or operations being
considered as of a casual, minor, or inconsequential nature.
The exemption prescribed in this subsection does not apply
in any instance wherein the work or construction is only a
part of a larger or major operation, whether undertaken by
the same or a different contractor, or in which a division of
the operation is made into contracts of amounts less than
five hundred dollars for the purpose of evasion of this
chapter or otherwise. The exemption prescribed in this
subsection does not apply to a person who advertises or
puts out any sign or card or other device which might
indicate to the public that he or she is a contractor, or that
he or she is qualified to engage in the business of
contractor;
io. Any construction or operation incidental to the
construction and repair of irrigation and drainage ditches
of regularly constituted irrigation districts or reclamation
districts; or to farming, dairying, agriculture, viticulture,
horticulture, or stock or poultry raising; or to clearing or
other work upon land in rural districts for fire prevention
purposes; except when any of the above work is performed
by a registered contractor;
11. An owner* who contracts for a project with a registered
contractor, except that this exemption shall not deprive the
owner of the protections of this chapter against registered
and unregistered contractors. The exemption prescribed in
this subsection does not apply to a person who performs
the activities of a contractor for the purpose of leasing or
selling improved property he or she has owned for less than
twelve months;
, 12 * Any person working on his or her own property,
whether occupied by him or her or not, and any person
working on his or her personal residence, whether owned
by him or her or not but this exemption shall not apply to
any person who performs the activities of a contractor on
his or her own property for the purpose of selling,
demolishing, or leasing the property;
13. An owner* who performs maintenance, repair, and
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
14. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of the
state of Washington or licensed by a political subdivision of
the state of Washington while operating within the
boundaries of such political subdivision. The exemption
provided in this subsection is applicable only when the
person certified is operating within the scope of his or her
certification;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. A mobile/manufactured home dealer or manufacturer
who subcontracts the installation, set-up, or repair work to
actively registered contractors. This exemption only applies
to the installation, set-up, or repair of the
mobile/manufactured homes that were manufactured or
sold by the mobile/manufactured home dealer or
manufacturer;
18. An entity who holdsla valid electrical contractor's
license under chapte ,. x`'942'8 RC}V that employs a certified
journeyman electric rt;,a certified residential specialty
1. +� ; r_.: F.; � R
electrician, or an electrical .trainee meefing the
requirements of chapter f9.28 RCW to perforip plumbing
work that is incidentally, direc1137, and immediately
appropriate to theahke ;in kin'd'xeplacement of a household
appliance or other small_houusehold utilization equipment
that requires limited.elec°tric power andlimited waste
and/or water connectio;ns,'An electrical�trinee must be
supervised by a certified ele'C'trician4While performing
plumbing work.
* Per Washington State Department of Labor and Industries lessee has
been interpreted to be equivalent to owner for purposes of exemptions.