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Home My WebLink AboutPermit D19-0152 - GADD ADU - ADU SAFETY INSPECTIONGADD ADU 14210 56TH AVE S D19-0152 Parcel No: Address: City of Tukwila Department of Community Development 63VoSouthcenterBoulevard, Suite #10O Tukwila, Washington 8Q18V Phone:ZO6'4]1'3670 Inspection Request Line: 206'438'93SO Web site: http://www.Tukwi1avVA.nox DEVELOPMENT PERMIT 3365900300 Permit Number; D19-0152 Project Name: GADDADU Issue Date: 5/9/2019 Permit Expires On: 11/5/2019 Owner: 142lO56THAVE S.TUKYVU\WA, 98168 Contact Person: Name' Address: 14ZlO56THAVE S'TUKVVU\WA, 98168 Contractor: License No: Address; ''' ''' Phone: (206)550-8748 Phone: Expiration Date: DESCRIPTION OF WORK: ADU - AMNESTY SAFETY INSPECTION Project Valuation: g10,000 00 Type nfFire Protection: Sprinklers: Fire Alarm: Type cfConstruction: VB Electrical Service Provided by: TUKVV|LA Fees Collected: 28.33 Occupancy per |g[: R'3 Water District: TUKVV|LA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: |ntemadona|Dui!ding 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: VVACities Electrical Code: VVA[l96-4h13: WA State Energy Code: 2017 20172017 2015 Public Works Activities: Channel izatiom8t/iping: [urbCvt/Access/Sidawa|k: Fire Loop Hydrant: Flood Control Zone: Hau|inB/OversizeLoad: Land Altering: Landscape Irrigation: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Volumes: Cut: O Fill: O Number: O Permit Center Authorized Signature: P4, '10 K�n � I hearby certify that I have read and examined this permit and lkno� 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. Date: 0" c�/; �� Iq ,/ The granting of this pei'mit 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 perrpfPand agree to the c(?4ditions attached to this permit. 5i gn A—VAAI Date: i��r—��—(// Print Name: 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 fora period ofl80days from the last inspection. PERMIT CONDITIONS: <mumE> PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (IV6)u38'9350 1700 au|uo|map/mxL^~ CITY OF TUK ILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Permit No. ot9 - Project No. Date Application Acceptedk Date Application Expires: (For office use °nil.) 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: Tenant Name: PROPERTY OWNER Name: Address: v_o_to 3.-4 aft_ S City: —1.--cc ktA;s; tot._ State:w A_ 8 CONTACT PERSON — person receiving all project communication Name: 1P.N., ( a aZ6CA Address: City: k4A\ i ICA_ Statew Zintisla Phone:iko 550 F5-74,8 Fax: Email: SaNetc,' 4.5.-(Eue_i rotwoos4-, act - GENERAL CONTRACTOR INFORMATION Company Name: Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: King Co Assessor's Tax No.: 36 (.0'5.0 —0 ,100 'EVASSuite Number: Floor: New Tenant: J Yes 0 ..No ARCHITECT OF RECORD Company Name: Architect Name: Address: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD Company Name: Engineer Name: Address: City: State: Zip: Phone: Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: Address: City: State: Zip: HAApplicationffonns-Applications On Lint:12011 ApplicationsWernit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 1 of 4 BUILDING PERMIT INFORMATIO — 206-431-3670 Valuation of Project (contractor's bid price): $ 10/O00 Existing Building Valuation: $ Describe the scope of work (please provide detailed information): Will there be new rack storage? ❑,._.Yes ❑.. No If yes., a separate permit and plan submittal will be required. Provide AB Building Areas in Square Footage Below Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 151 Floor 2"d 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? ❑....... Yes 0 No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ 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 ❑ 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. LL\Applications\Forms-Applications On Line \20I 1 Apptications\Permit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 2 of 4 PUBLIC WORKS PERMIT INFLATION — 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 0 ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate ❑ .. Highline ❑ ...Valley View ❑ .. Renton ❑ ... Sewer Availability Provided ❑ .. 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 tmark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34") ❑ ...Technical Information Report (Storm Drainage) 0 .. Geotechnical Report ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) 0 .. Maintenance Agreement(s) Proposed Activities (mark boxes that apply): ❑ ...Right-of-way Use - Nonprofit for Tess than 72 hours ❑ ...Right-of-way Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right-of-way 0 Non Right-of-way ❑ ...Total Cut cubic yards ❑ ...Total Fill cubic yards ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection !irrigation Domestic Water ❑• ❑• ❑• ❑• ❑ ...Traffic Impact Analysis ❑ ...Hold Harmless — (SAO) ❑ ...Hold Harmless — (ROW) ❑ .. Right-of-way Use - Profit for less than 72 hours ❑ .. Right-of-way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage . Abandon Septic Tank . Curb Cut . Pavement Cut . Looped Fire Line O ...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size .. O ...Water Only Meter Size ❑ ...Sewer Main Extension...... Public ❑ ...Water Main Extension... Public 11 ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding WO # WO # WO # 0 ...Deduct Water Meter Size Private ❑ Private 0 If FINANCE INFORMATION Fire Line Size at Property Line ❑ ...Water ❑ ....Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Number of Public Fire Hydrant(s) Day Telephone: Mailing Address: City State Zip Water Meter Refund/Billing: Name: Mailing Address: Day Telephone: City State Zip H: Applications\Forme-Applications On Linn \2011 Applications\Pennit Application Revised - 8-9-11.docx Revised: August 2011 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 permitis 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). 1 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 0 E OR TH GAW: Signature: t A Print Name: Mailing Address: 1401-10 *baLm_ Date: Day Telephone: City State ei'kuoe? Zip H: \ApplicationsWorms-Applicat ions On Line \ 20 1 1 ApplicationsTerrnit Application Revised - 8-9-11.docx Revised: August 2011 Page 4 of 4 C CO TUKwIL4 ETn4KIT 6200 SVVT*CENTFK 8LvO TUKWILA, WA 98188 206'433'1870 CITY OF TUKWILA 0017340008802374404500 Date: 05/09/2019 83:53:17 PM CREDIT CARD SALE VISA CARD NUMBER: *****+**+°9423 K TK4N AMOUNT: $28.33 ApPn0v«L [D: 9484ID RECORD #: 000 CLERK ID: nachclle X ({AnoHOLDE:K'S SIGNATURE) I AGREE TO PAY THE: ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thanik you! Merchant Copy CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1.870 CITY OF TUKWILA Date: 05/09/2019 03:53:17 PM CREDIT CARD SALE VISA CARD NUMBER: **********9423 K TRAN AMOUNT: $28.33 APPROVAL CD: 04842D RECORD #: 000 CLERK ID: Rochelle Thank you! Customer Copy Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $28.33 D19-0152 Address: 14210 56TH AVE S Apn: 3365900300 $28.33 Credit Card Fee $0.83 Credit Card Fee R000.369.908.00.00 0.00 $0.83 DEVELOPMENT $26.50 PERMIT FEE R000.322.100.00.00 0.00 $20.00 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $6.50 TECHNOLOGY FEE $1.00 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R17622 R000.322.900.04.00 0.00 $1.00 $28.33 Date Paid: Thursday, May 09, 2019 Paid By: SANDRA GADD Pay Method: CREDIT CARD 04842D Printed: Thursday, May 09, 2019 3:53 PM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit ;� 1 = o/S 7 INSPECTION NO. PERMIT NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 43 Permit Inspection Request Line (206) 438-9350 pro' 1+ Type of Irisp tr `on. "[ Ad res: Date Called: Special Instructions: ° Date tVanted: equester: Phone No: ve • r applicable codes. Corrections required prior to approval. COMMENTS. nspecto Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.