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HomeMy WebLinkAboutPermit D19-0216 - LANGER RESIDENCE - ADU AMNESTYLANGER ADU 14116 57TH AVE S D19-0216 0 Parcel No: Address: ~^ xx ^ Tukwila v~ ~ uvn nU o m Uoa Department of Community Development G30OSovthcenterBoulevard, Suite #10O Tukwila, Washington g818D Phone: 206'431'3670 Inspection Request Line: 2O6'438'93SO Web site: h1up://xvwwJukwi|aVVA.wpx DEVELOPMENT PERMIT 3365900770 Permit Number: Project Name: LANGER ADU Issue Date: Permit Expires On: DI9'O2l6 G/28/019 1Z/B/ZO19 Owner: Contact Person: Name: LANGER]OMNF+RUXANNE 14116S7THAVS,TUKYV|LA,WA, 98168 ROXANNELANGER Address: I411657THAVE S,TUKVV|LA,WA, 98168 Contractor: Name: Address: License No: Lender: Name: ''' ''' Phone: (206)271-8408 Expiration Date; DESCRIPTION OF WORK: ADU AMNESTY /REG|STRATON. Project Valuation: $lUO Type ofFire Protection: Sprinklers: Fire Alarm: Type ofConstruction: Electrical Service Provided by: TUKWILA Fees Collected: $27.50 Occupancy per IBC: Water District: TUKW|LA Sewer District: TUKVV|LA 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: 015 2015 2015 2015 2015 National Electrical Code: WACities Electrical Code: VVA[29640B: VVAState Energy Code: 2017 2017 2017 2015 Public Works Activities: Chan ne|izatun/5triping: Curb[ut/Access/S|dewa|h: Fire Loop Hydrant: Flood Control Zone: Hau|inQ/OveoizeLoad: Land Altering: Landscape Irrigation: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Permit Center Authorized Signotur Volumes: Cut O Fill: U Number O No 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 orlocal laws regulating construction orthe performance ofwork. |amauthorized tosign and obtain this development permit and agree tothe conditions attached tnthis permit. Signature: 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: ^NON[* PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (2V6)438-935U I700 BU|LD|NGF|NAL~* CITY OF TUK Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TulavilaWA.gov Building Pe No. (c) Project No. Date Application Accepted: q Date Application Expires: e use onb) 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: 1 4- Tenant Name: oXktJE PROPERTY OWNER NauleiNkNi A r P-OYANWr tAl &CA - Ad :1 '—i S • City:TuAcuui LA State: vo h_ Zip:C)gi cog CONTACT PERSON — person receiving all project communication Na..30 XAki /Ue IA t)G-e-re-- Ad s: t I (P . s. City:i-- I State: v j p zip-1u) s/ Phonec-aoc, _)-i 1 8, : N1-A Email:rb >Can n e. \ a-nole4--13e fa h OD . Calm GENERAL CONTRACTOR INFORMATTON Company Name: Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: King Co Assessor's Tax No.: A Suite Number: Floor: New Tenant: 1 1 .....Yes 0 ARCHITECT OF RlECORD 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: s. City: State: Zip: HAApplirarionsWorrns-Applications On Linc12011 ApplicationsWconit Application Rcvisal - 8-9-11.docx RLwiMd: Aut,nnt 200 bh Page 1 of 4 BUILDING PERMIT LNFORMAT 31-3670 Valuation of Project (contractor's bid price): $ 5 000 Existing Building Valuation: $ Describe the scope of work (please provide detailed information): IA_ awkr\e,s 4( •1-,17Gt. Will there be new rack storage? 0 Yes 0,. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas e Footage Below Existing Intenor Addition to Existing Structure New Type of - Construction per IBC Type of Occupancy per IBC 1Floor rd Floor- 3a Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Atiachcd Carport Dctached 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 Safely Data Sheets. SEPTIC SYSTEM 0 .......0n-site Septic System - For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. 1-1:1ApplicationsWorms-Applications On Linen! I ApplicationsWeemit Application Revised - 8-9-11.doca Rcviied: August 2011 bh Page 2 of 4 PUBLIC WORKS PERMIT ON - 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 0 ...Water District #125 0 ...Water Availability Provided Sewer District 0 ...Tukwila 0 ...Sewer Use Certificate 0...Valley View 0...Sewer Availability Provided 0 Highline 0 .. Renton 0 .. Renton 0.. Seattle Se 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 amdv): 0 ...Civil Plans (Maximum Paper Size — 22" x 34") 0 ...Technical information Report (Storm Drainage) o ...Bond .. Insurance 0 Easement(s) Proposed Activities (mark boxes that apply): 0 ...Right-of-way Use - Nonprofit for less than 72 hours 0 ...Right-of-way Use - No Disturbance 0 ...Construetion/Excavation/Fill - Right-of-way 0 Non Right-of-way 0 ...Total Cut 0 ...Total Fill cubic yards cubic yards 0 Geotechnical Report 0 Maintenance Agreement(s) o . _Traffic Impact Analysis 0 ...Hold Harmless — (SAO) 0 ..Hold Harmless — (ROW) 0 .. Right-of-way Use - Profit for less than 72 hours o .. Right-of-way Use — Potential Disturbance Work in Flood Zone o .. Storm Drainage o ...Sanitary Side Sewer 0 .. Abandon Septic Tank 0 ...Cap or Remove Utilities 0 .. Curb Cut 0 ...Frontage Improvements 0 .. Pavement Cut Ej ...Traffic Control 0.. Looped Fire Line 0 ...Backflow Prevention - Fire Protection Irrigation Domestic Water 0 ...Permanent Water Meter Size... ,, WO # 0 ...Temporary Water Meter Size .. >7 WO # 0 ...Water Only Meter Size WO # 0 ...Sewer Main Extension Public 0 Private 0 [3 ...Water Main Extension... ....... Public 0 Private 0 o .. Grease Interceptor [3 Channelization El .. Trench Excavation o .. Utility Undo -grounding 0 ...Deduct Water Meter Size CE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) 0 ...Water 0 ...Sewer 0 ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Zip City State Water Meter Refund/Billing: Name: Day Telephone: Mailing Address: City State Zip 11:lApplicationsWortrts-Applications 0» Line‘20 I I ApplicationAPerrnit Application Revised - 8-9-1 I.docv Revised: August 2011 bb Page 3 of 4 PERMIT APPLICATION I' OTES — ' 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 passible 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 O R�OR AUTHOR! E AGENT: Signature: `,(/ X-a,�G Date: 6 2 7'/9 Print Name: ,Qd x-R-Am c Day Telephone: c % c 7 i — tq - p0 Mailing Address: Nig- 5 7-Th /hi , S u WILA 14)R 9f /6Q' City stare zip H:\Applicarions\Fomo-Applicdtiom On Line\2011 Application1Pormrt Application Revised- 8-9-11.docz Rcviscd: August 2011 hh Page 4 of 4 RECEIVED CITY OF TUKWILA JUN 2 8 2019 PERMIT CENTER 6/27/2019 14116 57th Ave S - Google Map '. Gog e Maps 14116 57th Ave S Imagery ©2019 Google, Map data ©2019 20 ft https://www.google.com/maps/place/14116+57th+Ave+S,+Tukwila,+WA+98168/@47.4763377,-122.2620851,60m/data=!3m1 ! 1 e3!4m5!3m4! 1 s0x5490... 1/1 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY t :k PAID 27.50 D19-0216 Address: 14116 57TH AVE S Apn 3365900770 27.50 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 R000,322.900.04.00 0.00 $1.00 TOTAL FEES PAID BY RECEIPT: R18023 .,, :-. $27.50 Date Paid: Friday, June 28, 2019 Paid By: ROXANNE LANGER Pay Method: CASH Printed: Friday, June 28, 2019 10:53 AM 1 of 1 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 Pro ect: ���//w► A j■�■1���) AA/ 'Ty lnspecti 1 • . I 1;10'4 ' Address: Date Called: 14 t 7 /41\--S Special Instructions: A b Date Wanted: " ... I 9 — (9 a.m. p.m. Requester: Ph ne No: Approved per applicable codes. Corrections required prior to approval. 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 fine (206) 438-9350 bI9-O242 Project. Type of Inspection:` Address: Hate Called: Speciaf Instructions: 'Date Wanted: a.rr Requester: Phone a Approved per applicable codes. Corrections required prior to approval. CO MENTS: Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection. Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection. INSPECTION RECORD Retain a copy with permit PERMITNO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd,, #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Pro y �e o Ins action: Address: Date Called: Special instructions: Date 'Wanted: a,rrt_ Requester: Phone No: Z &7( & . proved per applicable codes. Corrections required prior to approval. COMMENTS 4 >c Inspec ate: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Catl to schedule reinspection.