HomeMy WebLinkAboutPermit D17-0116 - CASTRO / ROMERO RESIDENCE - REROOFCASTRO/ROM ERO
RESIDENCE
4514 S 140 ST
D17-0116
Parcel No:
Address:
a
City of Tukwila
a
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
7347600541 Permit Number: D17-0116
4514 S 140TH ST
Project Name: CASTRO/ROMERO RESIDENCE
Issue Date: 4/26/2017
Permit Expires On: 10/23/2017
Owner:
Name: MALDONADO ADRIAN C
Address: 4514 S 140TH PL, TUKWILA, WA,
98168
Contact Person:
Name: MARIA DEL ROCIA ROMERO
Address: 4514 S 140TH ST, TUKWILA, WA,
98168
Contractor:
Name: OWNER AFFIDAVIT
Address:
License No:
Lender:
Name: N/A - UNDER $5000
Address:
Phone: (206) 650-4395
Phone:
Expiration Date:
DESCRIPTION OF WORK:
CHANGE ROOFING AND SIDING
Project Valuation: $2,800.00
Type of Fire Protection: Sprinklers:
Fire Alarm:
Type of Construction:
Electrical Service Provided by: TUKWILA
Fees Collected: $169.11
Occupancy per IBC:
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:
0 0
Volumes: Cut: 0 Fill: 0
Number: 0
Nol,,u/h/(//
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:
Print Name: ff / dp>I Oc:t 0 (ROir7.er0
Date: 6
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**
CITY OF TUDILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gciv
Building Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
Q
(For office use onl
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
Kiting Co Assessor's Tax No.:
Site Address: 4/571-/ 6 / Lf 0 5tw
7t M 1 / AW ) � 1Suitf Number: Floor:
Tenant Name: pd #'i It 1 � 5 Tr r; A pie / f u 0 130/7 E'ry New Tenant: ❑ Yes [11I.. No
PROPERTY OWNER
Name: Act r' e--- o e I Po c/ D RD/29 € t 0
Name: / -g- ( {�
C/l e-%Qh Ca s7;17- Warr;Ade/ 1?oc o fSo
Address:Li J y 3 /y 0 Cyr
City:.�J�
lei i 1....State:
v Au.;/
I /
iv Zip:9 ,1
//
8
CONTACT PERSON — person receiving all project
communication -
Name: Act r' e--- o e I Po c/ D RD/29 € t 0
Address: Li 3/ y S I tiv
City: - iL w, t^ -State: , J il Zip: cj-1 D
- a
Phone:
a 06- 6s0-,1313_Fax:
Email: 1" a c %a t'`D ori a ry 3 9 0_ Ll a-A0/J- L0'77
GENERAL CONTRACTOR INFORMATION
Company Name:
Company Name:
Company Name:
Address:
Architect Name:
Engineer Name:
City:
State:.
Zip:
Phone: - Fax:
Zip:
Phone:
Contr Reg No.:
Exp Date:
Email:
Tukwila Business License No.:
li \Applications\F,orms-Applications On Line\2012 Applications\Permit'Application Revised,- 2-7-12.doc
,Revised: February. 2012
ery
ARCHITECT OF RECORD
Name:
Company Name:
Company Name:
Architect Name:
Engineer Name:
Address:
/4
City:
State:
Zip:
Phone:
Fax:
Fax:
Email:
Email:
ENGINEER OF RECORD
Name:
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:
Address:
City: State: Zip:
Page 1 of 4
BUILDING PERMIT INFORMATIC 206-431-3670
G
Valuation of Project (contractor's bid price): $ 2/ OC `�
d I Existing Building Valuation: $
Describe the scope of work (please provide detailed information): CA ex _y _e foo , ;-t It J -7d
std n3 0 2
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 ❑ No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers 0 Automatic Fire Alarm 0 None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? 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
0 On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H Vlpplicatidns*.orms-Applications On Line\2012.Applications\Permit Application Revised`- 2-7-12 docx-"
Revised.�.�Febivary 2012'
. Page 2.of4
Existing
Interior Remodel
Addition to
Existing
Structure
New,
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1St Floor
2nd Floor
3rd Floor
—
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? 0 Yes ❑ No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers 0 Automatic Fire Alarm 0 None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? 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
0 On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H Vlpplicatidns*.orms-Applications On Line\2012.Applications\Permit Application Revised`- 2-7-12 docx-"
Revised.�.�Febivary 2012'
. Page 2.of4
PERMIT APPLICATION NOTES —C
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: ,/'a r-, c. d4 R D c i Day Telephone:
Mailing Address: 2'/S/Y S / yl
H \F.pplications\Fornis-Applications On Line\2012 Applications-.2-7-12.docx;
Revised'. February" 2012.
bh
City
Date: 4-/-,,U--.)00
6.5(31-4/393-
WA
J _:/393
WA1 • 9'Ne
State Zip
Page 4 of 4
PUBLIC WORKS PERMIT INIQMATION — 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
El .. Tukwila
❑ .. Water Availability Provided
Sewer District
❑ .. Tukwila
❑ ...Sewer Use Certificate
...Water District #125
l ...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 King County Health Department.
Submitted with Application (mark boxes which apply):
❑ .. Civil Plans (Maximum Paper Size — 22" x 34")
❑ .. Technical Information Report (Storm Drainage)
0 .. Bond El... Insurance ❑...Easement(s)
Proposed Activities (mark boxes that apply):
0 .. Right-of-way Use - Nonprofit for less than 72 hours
El .. Right-of-way Use - No Disturbance
El .. Construction/Excavation/Fill - Right-of-way ❑
Non Right-of-way
❑ .. Total Cut
❑ .. Total Fill
cubic yards
cubic yards
❑ .. Sanitary Side Sewer
El .. Cap or Remove Utilities
❑ .. Frontage Improvements
0 .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
0 .. Permanent Water Meter Size (1)
0 .. Temporary Water Meter Size (1)
❑ l .. Water Only Meter Size
0
❑... Geotechnical Report
❑ ... Maintenance Agreement(s)
❑ .. Traffic Impact Analysis
❑ .. Hold Harmless — (SAO)
0 .. Hold Harmless — (ROW)
El ... Right-of-way Use - Profit for less than 72 hours
El ... 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
El .. Water Main Extension Public
WO #
WO #
WO #
Private 0
Private ❑
El... 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 El .. Sewage Treatment
Monthly Service Billing to:
Name:
Number of Public Fire Hydrant(s)
Day Telephone:
Mailing Address:
City
Water Meter Refund/Billing:
Name:
Mailing Address:
State
Zip
Day Telephone:
City
State
Zip
•H: \Applications)F'orms-Applications On Line \2012Applications\Permitr Application.Revised - 2-7-12 (look
Page 3 of 4
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
I ACCOUNT
I QUANTITY
PAID
$169.11
D17-0116 Address: 4514 S 140TH ST
. Apn:.7347600541
$169.11
Credit Card Fee
$4.93
Credit Card Fee
R000.369.908.00.00
0.00
$4.93
DEVELOPMENT
$156.58
PERMIT FEE
R000.322.100.00.00
0.00
$152.08
WASHINGTON STATE SURCHARGE
8640.237.114
0.00
$4.50
TECHNOLOGY FEE
$7.60
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R11362$169.11
R000.322.900.04.00
0.00 $7.60
Date Paid: Wednesday, April 26, 2017
Paid By: MARIA DEL ROCIA ROMERO
Pay Method: CREDIT CARD 768247
Printed: Wednesday, April 26, 2017 11:53 AM 1 of 1
CSYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd.., #100, Tukwila: WA 98188 (206) 431-36
Permit Inspection Request Line (206) 438-9350
Pr ect:
il5 '.:),J )4,6,eo RCS
Address:
11,511/ S J4bTh Sl.
Special Instructions:
Type of Inspection: o�-
Date Called:
Date Wanted: 2
9
Requester:
7
Phone No:
206- - 5�' 4/ 'NC
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
Inspector:
Date:/,j17
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-367o FAX (206) 431-3665
E-mail: tukplan@ci.tukwila.wa.us
Permit Center/Building Division
206 431-3670
Public Works Department
206 433-0179
Planning Division
206 431-3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
�r r uti e'
&c;, , states as follows:
[please print name]
PERMIT NO: Pt7 i2 C
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.
3. 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 /7— Aid will therefore
not be performed by a registered contractor. /1
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.
Own r Owner's
Ow / gent*
Signed and sworn to before me this
day of ATP; , 20 I /I
-1.
ATP;
N I TARY P
Residing at
LIC in a for the .t
e of Washington
, County
Name as commissioned:
My commission expires:
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;
10. 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 holds a valid electrical contractor's
license under chapter 19.28 RCW that employs.a certified
journeyman electrician, a certified residential specialty
electrician, or an electrical trainee meeting the
requirements of chapter 19.28 RCW to perform plumbing
work that is incidentally; directly, and immediately
appropriate to the like -in-kind replacement of a household
appliance or other small household utilization equipment
that requires limited electricpower and limited waste
and/or water connections. An electrical trainee must be
supervised by a certified electrician while performing
plumbing work.
Per Washington State Department of Labor and Industries lessee has
been interpreted to be equivalent to owner for purposes of exemptions.