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HomeMy WebLinkAboutPermit D19-0185 - LEWIN RESIDENCE - ADU AMNESTYLEWIN ADU 12840 33RD PL S D19-0185 Parcel No: ' Address: �� �� City of Tukwila Deportment ofCommunity Development 630USouthcenterBoulevard, Suite #1OU Tukwila, Washington 98180 Phone: 206-431'3670 Inspection Request Line: 2D6'438'935V Web site; http;//www,TukwilaWA.gov 7359600345 1284033RDPIL S Project Name: iBm|NADU DEVELOPMENT PERMIT Permit Number: O19'0185 Issue Date: 6/11/2019 Permit Expires On: 12/8/2019 Contact Person: Name: Address: Contractor: Address: License No: Lender: Name: Address; 1284033RDPL5'TUKVV|k\WA, 98168 ''' Phone: (206)999'1512 Phone: Expiration Date: DESCRIPTION OFWORK: ATTACHED ADU AMNESTY Project Valuation: $0.00 Type nfFire Protection: Sprinklers: Fire Alarm: Type ofConstruction: V'B Electrical Service Provided by: TUKVV|LA Fees Collected: $2833 Occupancy per IBC: R'3 Water District: 125 5ewerDisthct: VALLEYNEW Current Codes adopted bythe City pfTukwila: 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: VVACities Electrical Code: VYA[Z984O8: y Code: Public Works Activities: [hanndization/St/ipin8: 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: 500 Fill: 500 Number: 0 Yes Permit Center Authorized Signature: (aTh 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: Date: d r-/%// y 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 TUKWD Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Perm9No. Project No. Date Application Accepted: Date Application Expires: (For officeue 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 King Co Assessor's Tax No.: Site Address: igs-Lio 3-5RD Pis 5_ Suite Number: Floor: Tenant Name: New Tenant: Lil Yes D..No PROPERTY OWNER Name: ayr.da 0 )QWC Address: ) 3, s,.. Lie —53 R 0 pA c City: I ti kivim State: IN/ Zip:9gie?c, CONTACT PERSON — person receiving all project communication Name: Address: t .).5cLio -5-5 RD p .1,... City: 1--u tivi /AA State: Zip:9, Phone: zb_?qq_ 5/ Fax: Email: 5 to oai I , foul GENERAL CONTRACTOR INFORMATION Company Name: Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License 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 Line \2012 Applications \Pennit Application Revised - 2-7-I2.docx Revised: February 2012 bh Page 1 of 4 BUILDING PERMIT INFORMATIOI 06-431 3670 Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Describe the scope of work (please provide detailed information): i Si i l7 A o CJ - ?b 10�' U �, - i �3 S $ FIN 1 i2 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 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC I' 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? ❑ Yes ❑.......No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ 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. H:Wpplications\Fonns-Applications On Line12012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 Page 2 of 4 PUBLIC WORKS PERMIT INFORIJTION — 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 o .. Tukwila ...Water District #125 .. • Water Availability Provided Sewer District El .. Tukwila EJ .. Sewer Use Certificate El ...Valley View CI ...Sewer Availability Provided O ...Highline 0... Renton 0... Renton D... Seattle Septic System: 11 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 apPlv): o .. Civil Plans (Maximum Paper Size — 22" x 34") o .. Technical Information Report (Storm Drainage) o .. Bond 0... Insurance 0...Easement(s) Proposed Activities (mark boxes that apply): o .. Right-of-way Use - Nonprofit for less than 72 hours o .. Right-of-way Use - No Disturbance .. • Construction/Excavation/Fill - Right-of-way 11 Non Right-of-way D O .. Total Cut o .. Total Fill cubic yards cubic yards o .. Sanitary Side Sewer .. • Cap or Remove Utilities .. • Frontage Improvements o .. Traffic Control Cl Backflow Prevention - Fire Protection Irrigation Domestic Water D... Geotechnical Report O ... Maintenance Agreement(s) .. Traffic Impact Analysis El .. Hold Harmless — (SAO) .. Hold Harmless — (ROW) 0... Right-of-way Use - Profit for less than 72 hours 0... Right-of-way Use — Potential Disturbance El... Work in Flood Zone 0... Storm Drainage 0... Abandon Septic Tank 11... Curb Cut 11... Pavement Cut 0... Looped Fire Line >I 0...Grease Interceptor Channelization 0...Trench Excavation Utility Undergrounding 0 .. Permanent Water Meter Size (1) " WO # (2) " WO # (3) " WO # El .. Temporary Water Meter Size (1) " WO # (2) " WO # (3) " WO # El .. Water Only Meter Size ,, WO # CI .. Deduct Water Meter El .. Sewer Main Extension Public El Private El El .. Water Main Extension Public 0 Private El FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) .. • Water 0 .. Sewer 0 .. 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: \ Applications \FormsApplications On Line\2012 Applications\Pernat Application Revised 2-7-I2.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 OWNER OR AUT JORIZED AGENT: Signature: Date: Print Name: . LcJL..j Day Telephone: (L06) ?99 -/ f* Mailing Address: 56 a ill e i coki :al- 906 5/ State Zip City HAApplications \ Forms -Applications On Line \20I 2 ApplicationsTerrnit Application Revised - 2-7-I2.docx Revised: February 2012 Page 4 of 4 Cash Register Receipt City of Tukwila Receipt Number DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $28.33 D19-0185 Address: 12840 33RD PL 5 Apn: 7359600345 $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: R17861 R000.322.900.04.00 0.00 $1.00 $28.33 Date Paid: Tuesday, June 11, 2019 Paid By: MARCELA LEWIN Pay Method: CREDIT CARD 011758 Printed: Tuesday, June 11, 2019 11:00 AM 1 of 1 SYSTEMS CO TUmWILA ETnAnTT 8200 50UTH[ENTEK BLVD TUKWIL4' W4 98188 206'4]]'1870 CITY OF TVKWILA 0017340000802374464500 Date: 00/11/2819 1I:00:17 AM ` CREDIT CARD SALE VISA [xRO NUMBER: **********8203 K TRAN AMOUNT: $28.33 APPROVAL [D: 0I1758 eE[U8D #: 088' CLERK ID: Dill 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 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431- 6 Project: Type f Insp c on: Vi Address: 90 tate Called: _i_if_211 Special lnstruc ns: Date Wanted: a.rn. p.m. Requester: Phone No: 2C) 9 Approved per applicable codes. Corrections required prior to approval. COMMENT Inspector Date: 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: LE IJf AJ Ii o v Type of inspection: o f L.Lti.*A. Address: y�..�. Date Called: Special Instructions: 'Date War ted: lc? Ito_ i 'Requester: Phone No: ezota 91f /r, Approved per applicable codes. COMMENTS rections required prior to approval. nspecto Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Btvd., Suite 100. Call to schedule reinspection. ME IIMMEMMEM MMEMMEM ■ ■ MILIMMEMEM ■■■u■■■ ■■■■i■■■ ■■■■_■■u■i■■■■■■■■■■■■■■■o■■■ mnrellm© ■ IMMEEmEmmmmEMMUMMIMMEMM mmumm ■■■i■m■■■ ■■� ImmommoSAMMEMEM ■■■MMIMMEOMM NW ■■■ ni■■■ ■■■■■ ■■■■i■i■■■■■■IL • MI MI MMEMEMO MEM MI MOMMEMMEM MEMMIIMMEM MMEINIMMOM OMMIIMMEM MMEMMIMMO EMMEMEMMO MEM ■®. 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