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Home My WebLink AboutPermit D18-0216 - COLLINGWOOD RESIDENCE - FINAL INSPECTIONCOLLINGWOOD RESIDENCE 13343 56 AVE S D18-0216 Parcel No: Address: c 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 2172000140 13343 56TH AVE S DEVELOPMENT PERMIT Project Name: COLLINGWOOD RESIDENCE Permit Number: Issue Date: Permit Expires On: D18-0216 7/17/2018 8/17/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: COLLINGWOOD KEITH G 13343 56TH AVE S , TUKWILA, WA, 98178 RICHARD PERDUE 20322 96TH AVE NE , BOTHELL, WA, 98011 PERDUE BUILDERS & SUPPLY INC 20322 96TH AVE NE , BOTHELL, WA, 98011 PERDUBS016JA KEITH COLLINGWOOD 13343 56TH AVE S , TUKWILA, WA, 98178 Phone: (206) 854-3038 Phone: (425) 398-8609 Expiration Date: 9/7/2018 DESCRIPTION OF WORK: FINAL INSPECTION ONLY - SIDING, WALL SHEETING, INSULATION, WINDOWS Project Valuation: $78,718.00 Type of Fire Protection: Sprinklers: NO Fire Alarm: NO Type of Construction: VB Electrical Service Provided by: TUKWILA Fees Collected: $150.53 Occupancy per IBC: R-3 Water District: TUKWILA 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: 2017 2017 2017 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 Permit Center Authorized Signature: 1?4 Date: 10i( I hearby certify that I have read and examined this permit and know the sarr a 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 pe it a d agree to the onditions attached to this permit. Signature: / . CL U ` Date: Print Name: 727 I 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 TULA K Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Permit No. J Project No. Date Application Accepted: 11 A 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 2 2,/ //fr\ King Co Assessor's Tax No.: Site Address: / 33 S_S SU 40z- Suite Number: Floor: Tenant Name: R,j ep % /i /t �,� �a New Tenant: ❑ Yes .. No PROPERTY OWNER Company Name:fir/) 7 eituar j_s y ; c - Address:�O 3ZZ 9'6 ,Li`c._ -U� --__ Phone: �/Z� 3 /6- �(� o % Fax: A— 06 6Y ( 9 Name: / , Address: �0 -zz Ait-c--' _ -A T4s Mr ;. City: o /` Stater, Address:33 3 �(� Li �------ 5 Zip: City: -73 I`io/ et r/6, State: ccm_ Email: Zip: eir� CONTACT PERSON – person receiving all project communication Company Name:fir/) 7 eituar j_s y ; c - Address:�O 3ZZ 9'6 ,Li`c._ -U� --__ Phone: �/Z� 3 /6- �(� o % Fax: A— 06 6Y ( 9 //�� Name: R.1 C.�– �- r GQ_– - ,e,--- u Address: �0 -zz Ait-c--' _ -A T4s Mr ;. City: o /` Stater, Zip: / Phone: 2.0 6 ,S--(1 3 0l &"-\\ Fax: State: Zip: Email: _ 10..esh„ it eS f G r/6, ,,.4,____ GENERAL CONTRACTOR INFORMATION Company Name:fir/) 7 eituar j_s y ; c - Address:�O 3ZZ 9'6 ,Li`c._ -U� City: 71,A ,/7 State: �Lf' Zip: �,0 / Phone: �/Z� 3 /6- �(� o % Fax: A— 06 6Y ( 9 Contr Reg No.:��raro3s6o4_ Exp Date: j 6/2 //l Tukwila Business License No.: n ' _ -A T4s Mr ;. oI/6 OTi- H:\App0cations\Forms- n Line\2012PPlicationsPerm it Application Revised - 2-7-12.docx Revised: February 2012 bh ARCHITECT OF RECORD y Name: I �-cf (D 7/,/i 6,1%(Del____ Address:/ ----3y. 3 S/ /4 --.e5 ((99 Company Name: Architect Name: Address: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD y Name: I �-cf (D 7/,/i 6,1%(Del____ Address:/ ----3y. 3 S/ /4 --.e5 ((99 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) y Name: I �-cf (D 7/,/i 6,1%(Del____ Address:/ ----3y. 3 S/ /4 --.e5 ((99 City: -77)K/l i JQ State: a/di_ Zip:76 ( K Page 1 of 4 BUILDING PERMIT INFORMATIO, )206-431-3670 Valuation of Project (contractor's bid price): $ � Existing Building Valuation: $ Describe the scope of work (please provide detailed information): 1 al-, � �) x..11 5 -- r _ ) L 1 c,_'1-7 (.0- IA 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 ❑ 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 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 Construction per IBC Type of Occupancy per IBC lst Floor 2"d Floor 3`d 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 ❑ 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 Applications'Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 PUBLIC WORKS PERMIT INF TION — 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 0 ...Water District #125 ❑ .. Water Availability Provided Sewer District ❑ .. Tukwila ❑ .. Sewer Use Certificate ❑... Highline ❑...Valley View ❑... Renton ❑ ...Sewer Availability Provided 0... Renton 0... Seattle 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. Submitted with Application (mark boxes which apply): ❑ .. Civil Plans (Maximum Paper Size -22" x 34") ❑ .. Technical Information Report (Storm Drainage) ❑ .. Bond 0...Insurance 0... Easement(s) 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 ❑ .. Total Fill cubic yards cubic yards ❑ .. Sanitary Side Sewer ❑ .. Cap or Remove Utilities 0 .. Frontage Improvements ❑ .. Traffic Control ❑ .. Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. O .. 0.. ❑.. 0... Geotechnical Report 0...Maintenance Agreement(s) ❑ .. Traffic Impact Analysis ❑ .. Hold Harmless — (SAO) ❑ .. Hold Harmless — (ROW) 0...Right-of-way Use - Profit for less than 72 hours 0...Right-of-way Use — Potential Disturbance 0...Work in Flood Zone 0... Storm Drainage . Abandon Septic Tank . Curb Cut . Pavement Cut . Looped Fire Line ❑ .. Permanent Water Meter Size (1) ❑ .. Temporary Water Meter Size (I) ❑ .. Water Only Meter Size ❑ .. Sewer Main Extension Public 0 ❑ .. Water Main Extension Public 0 WO # WO # WO # Private 0 Private 0 0... Grease Interceptor ❑... Channelization ❑...Trench Excavation 0...Utility Undergrounding (2) " WO # (3) (2) " WO # (3) 0 .. Deduct Water Meter Size " WO# " WO# FINANCE INFORMATION Fire Line Size at Property Line 0 .. Water 0 .. Sewer ❑ .. Sewage Treatment Monthly Service Billing to: Name: Number of Public Fire Hydrant(s) Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip H:Wpplications\Fonns-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 3 of 4 F1 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 OWR�GAUT,yO�1�/EDv� Print Name: / l / CkCgd /"� /��/ f/ �l✓� Signature: Mailing Address: �� z �� Ate— H:\Applications\Forms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Day Telephone: Date: ) 619 ,0 (O City State Zip Page 4 of 4 4 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 07/17/2018 11:35:26 AM CREDIT CARD SALE VISA CARD NUMBER: **********3524 K TRAN AMOUNT: $150.53 APPROVAL CD: 017387 RECORD #: 000 CLERK ID: Rachelle X {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy Page 1 of 2 https://classic.convergepay. com/VirtualMerchant/transaction.do?dispatchMethod=printTra... 7/17/2018 F1 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 07/17/2018 11:35:26 AM CREDIT CARD SALE VISA CARD NUMBER: **********3524 K TRAN AMOUNT: $150.53 APPROVAL CD: 017387 RECORD #: 000 CLERK ID: Rachelle Thank you! Customer Copy Page 2 of 2 https: //classic. convergepay. com/V irtualMerchant/transaction. do?dispatchMethod=printTra... 7/17/2018 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY =; PAID $150.53 D18-0216 Address: 13343 56TH AVE S Apn: 2172000140 $150.53 Credit Card Fee $4.38 Credit Card Fee R000.369.908.00.00 0.00 $4.38 DEVELOPMENT $139.50 PERMIT FEE R000.322.100.00.00 0.00 $133.00 WASHINGTON STATE SURCHARGE 6640.237.114 0.00 $6.50 TECHNOLOGY FEE $6.65 TECHNOLOGY FEE 1 R000.322.900.04.00 0.00 $6.65 TOTAL FEES PAID BY RECEIPT: R14965 $150.53 Date Paid: Tuesday, July 17, 2018 Paid By: RICHARD PERDUE Pay Method: CREDIT CARD 017387 Printed: Tuesday, July 17, 2018 11:35 AM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION N0. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 b18 -t21 b (206) 431-3670 Project: t � Type of Inspection: u 1 L d�FirstALd .,01112y14)01:44 ressyt /3314356 -�• Date Called: V Special Instructions: elee /�- 033 J Piti_t Date Wanted• a.m. 7- 30-20 P.ni' Requ er: Phone No: WC, —g5'1 -3o38' (�1 Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: Inspector: �s Date: 73a—/8 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.