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HomeMy WebLinkAboutPermit D19-0210 - HERNDON RESIDENCE - ADU AMNESTYHERNDON ADU 4414 S 164TH ST D19-0210 Parcel No: Address: Project Name: �°^�xx m�� Tukwila ~.U~� v�n v 0�m^���xa Department of Community Development 63VVSouthcenterBoulevard, Suite #10O Tukwila, Washington BQ188 Phone:3V6'431'3G7O Inspection Request Line: 206'438'9350 Web site: http://www.TukwilaWA.gov DEVELOPMENT PERMIT 5379800582 Permit Number: D19-0210 4414S 164THST HERNDONAQU Issue Date: 6/26/2019 Permit Expires On: 12/23/2019 Contact Person: Name: Address: Contractor: Name: License No: Lender: Address: 44lGIl64THST'TUKVV|U\WA, 98188 ''' .,, Phone: Phone: Expiration Date: DESCRIPTION OF WORK: ADU AMNESTY Project Valuation: $10,000.00 Type nfFire Protection: Sprinklers: Fire Alarm: Type of Construction: V-B Electrical Service Provided by: TUKVV|LA Fees Collected: $28.33 Occupancy per IBC: R-3 Water District: M|GML|NE Current Codes adopted bythe City ofTukwila: 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: VVAC296-468: Code: ublic Works Activities: Channe|ization/Striping: Fire Loop Hydrant: Flood Control Zone: Mau|ing/DveoiosLoad: Land Altering: Landscape Irrigation: Sanitary Side Sewer: Sewer Main Extension: 5mnnDrainage: Street Use: Water Main Extension: Water Meter: Volumes: Cut: U Fill: O Number: 0 No Permit Center Authorized Signature: I hearby certify that I have read and examined this permit and know the same to be true and correct. fJ| 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 �jlreetothe conditions attached tothis permit. Date:�� �~ ,�'�/-//* 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 for a period of 180 days from the last inspection. PERMIT CONDITIONS: ^NDN[* PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (ZU6)438fBSV 1700 8U|LD|NGF|NAL" CITY OF TUKW Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Permit No. 'NI9 0)4 o 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 King Co Assessor's Tax No.: Site Address: 17/10 1./ /6 .7` 4 17( rci r (cei 429•5/84uite Number: Floor: Tenant Name: Rob e,-/- :Pr-4 /7 New Tenant: D Yes Ell.. No PROPERTY OWNER Name: Ao ber 4_ pier,,, do 4 Address: (11-8 y 5-. /‘ y i..4 City: 774.4 kw: i q State: /474 Zip:987 yr CONTACT PERSON - person receiving all project communication Name: A 0 bo, J._ Address: (../ y / 9/ — /6 y City: I w ki..-: t c State: 14'4 Zip: y V 7e Phone: 50_3 68 _ow Fax: Email: . e r,ii-rileArict 9/1194; t , ever 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: H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February2012 bh Page 1 of 4 DING PERMIT INFORMATIO N..„206-431-3670 4 Valuation of Project (contractor's bid price): $ /0( CO' Existing Building Valuation: $ Describe the scope of work (please provide detailed information): A 0 Cf CM /I j 4-Y re, /4:47 17 Will there be new rack storage? El ....Yes LJ ..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 IFloor 2w 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 El No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: Sprinklers D Automatic Fire Alarm 0 None 1:1 Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? LI 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. HAApplications \Forms -Applications On Line \ 2012 ApplicationsTermit Application Revised - 24-124ocx Revised: February 2012 Page 2 of 4 PUBLIC WORKS PERMIT INFORTION — 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 0... 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... Geotechnical Report ❑ .. Bond 0...Insurance ❑... Easement(s) 0... Maintenance Agreement(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 ❑ ❑ .. Total Cut ❑ .. Total Fill cubic yards cubic yards ❑ .. Traffic Impact Analysis ❑ .. Hold Harmless — (SAO) ❑ .. Hold Harmless — (ROW) 0...Right-of-way Use - Profit for less than 72 hours ❑... Right -of way Use — Potential Disturbance ❑... Work in Flood Zone 0...Storm Drainage ❑ .. Sanitary Side Sewer 0...Abandon Septic Tank 0...Grease Interceptor ❑ .. Cap or Remove Utilities 0...Curb Cut 0... Channelization ❑ .. Frontage Improvements 0... Pavement Cut 0...Trench Excavation ❑ .. Traffic Control 0...Looped Fire Line 0... Utility Undergrounding ❑ .. Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. Permanent Water Meter Size (1) 31 WO # (2) " WO # (3) " WO # ❑ .. Temporary Water Meter Size (1) " WO # (2) " WO # (3) " WO # ❑ .. Water Only Meter Size f f WO # 0 .. Deduct Water Meter Size " ❑ .. Sewer Main Extension Public 0 Private 0 ❑ .. Water Main Extension Public 0 Private 0 FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ .. Water ❑ .. Sewer ❑ .. 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\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.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 -IID ZED AGENT: Signature`s Date: Print Name: Rober /4/1G/0'7 Day Telephone: 507- 61'0 /3f Mailing Address: Try/ y f /6 L71-4 5 f City State Zip H:Wpplicntions\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: Fcbruarv2012 Page 4 of 4 Cash Register Rece City of Tukwila Receipt Nu DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $28.33 D19-0210 Address: 44145 164TH ST Apn: 5379800582 $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: R17993 R000.322.900.04.00 0.00 $1.00 $28.33 Date Paid: Wednesday, June 26, 2019 Paid By: ROBERT HERNDON Pay Method: CREDIT CARD 041893 Printed: Wednesday, June 26, 2019 11:39 AM 1 of 1 YS c CO TUKWZLA ETKAKIT 6208 SDUTH[ENTER BLVD TUKWILA^ WA 98188 206'4}]-I870 CITY OF TVKWILA Date: 06/26/2019 I1:38:2I AM CREDIT [AxO SALE MASTERCARD C4Kn NUMBER: ++*+*+*+**7105 K TRxN AMOUNT: $28.33 APPROVAL [D: 841893 RECORD #: 000 CLERK ID: Bill Thank you! Customer Copy INSPECTION RECORD Retain a copy with permit INSPECTION 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 Dfi 210 'Project " J ,1 �,�v Type Inspection: 0rLD/h riN& Address: ``// /�/� 6; /65' 57 Date ailed: Special Instructions: '©C)/ 2.47/1N/4` 14)/h/ ,j/- /,,A'1 Prii 110/1---4/Iig- )C/I0-C_ 1C Date Wanted: L" - ` --, Z a.m. p.m. Requester: - +41.r Phone No: >< d4' ,'Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: Inspector: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION 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 Project: atcrit\kor j t j Type of Inspection: Address: �j p i 1(1 s..to Date Called: $ Special Instructions: + Date Wanted: a.m. p.m. Requester: Phone No: proved per applicable codes. Corrections required prior to approval. Date: t9 REINSPECT1at4 FEE REQUIRED. Prior to next inspection. tee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedute reinspectiori. i INSPECTION RECORD Retain a copy with permit INSPECTION 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 ts 61--- 0)-10 Projec Address: L) Type of Inspection: Date Called: Special instruction Approved per applicable codes. Date Wanted: `Requeste Corrections required prior to approval. COMMENTS: ns r ecto Date: REINSPEI~ 1N FEE REQUIRED. Prior to next inspection. tee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectiot. INSPECTION RECORD Retain a copy with permit INSPECTION 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 Project: Address: WI/ �f�y574 Special Instructions: Approved per applicable codes. Type ol" Inspection: Date Called: �131 .Qt41 'bate Wanted Requester: Jbe,1-6eil� �-- Phone No: a.m. p.m. Corrections required prior to approval. COMMENTS. l i7i- \ le AL4e_evr) i 1.-- 19 . le 0, (7,0i- i/Hner*,/ /11 err. , n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. RECEIVED CITY OF TUKWILA JUN 2 6 MS r CENTEP Parcel No: Address: 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.eov 5379800582 4414 S 164TH ST Project Name: HERNDON ADU DEVELOPMENT PERMIT Permit Number: D19-02 10 Issue Date: 6/26/2019 Permit Expires On: 12/23/2019 Owner: Name: ESTELL SHAWN+HERNDON ROBERT Address: 4416 S 164TH ST , TUKWILA, WA, 98188 Contact Person: Name: ROBERT HERNDON Phone: Address: 4414 5 164 ST, TUKWILA, WA, 98188 Contractor: Name: Address: License No: Lender: Name: Address: N/A 110 N/A Phone: Expiration Date: DESCRIPTION OF WORK: ADU AMNESTY Project Valuation: $10,000.00 Type of Fire Protection: Sprinklers: Fire Alarm: Type of Construction: V-B Electrical Service Provided by: TUKWILA Fees Collected: $28.33 Occupancy per IBC: R-3 Water District: HIGHLINE 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 National Electrical Code: 2015 WA Cities Electrical Code: 2015 WAC 296-46B: 2015 WA State Energy Code: 2015 2017 2017 2017 2015 Public Works Activities: Channelization/Striping: Curb Cut/Access/Sidewalk: 31.5 " L. 0 0 0 ad CO C x Window 62"W x 38"H Living Room Bedroom Door 32"W x 80"H Bedroom Door 32"W x BO"H Window 22"VV x 34"H Bathroom Bathroom Door 36"W x 80"H Master Bedroom Window 45"W x 38"H Closet Closet Bedroom/Office Window 451I x 38"H Kitchen X * Deck Door 30"W x 73"H