HomeMy WebLinkAboutPermit D19-0217 - FETZER RESIDENCE - ADU AMNESTYFETZER ADU
13820 37 AVE S
EXPIRED
12/25/19
019-0217
Parcel No:
Addeo:
City of Tukwila
Department of Community Development
630VSosuhcenterBoulevard, Suite#1VV
Tukwila, Washington 98188
Phone; 206'431'3670
Inspection Request Line: 20G'43g'9350
Web site: http://www.TukwilaWA.gov
8864000755
B82037TMAVE 5
Project Name ,5ETZERADU
DEVELOPMENT PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Dl9'02l7
5/Z8/2O19
l2/Z5/ZO19
Owner:
Address 1382D]7TMAVE 5'TUKVV|UA,WA,
98168
Contact Person:
Name:
Address: 1]82O37TMAVE S'TUKVV|U\WA,
98168
Contractor:
Name:
License No:
Lender:
"I
"I
Phone: (206) 518-5235
Phone:
Expiration Date:
DESCRIPTION DFWORK:
ADU AMNESTY PROGRAM
Project Valuation: $lOO
Type o/Fire Protection:
Sprinklers:
Fire Alarm:
Type ofConstruction:
Electrical Service Provided by: TUKVV|U\
Fees Collected: $2833
Occupancy per IBC:
Water District: 125
Current Codes adopted bythe City nfTukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
National Electrical Code:
YVACities Electrical Code:
VVA[Z96-uO13:
Code:
ublic Works Activities:
[hanne|ioation/Sthping:
CurbCut/Aooess/S|dewa|k:
Fire Loop Hydrant:
Flood Control Zone:
Hpu|ing/OveoizeLoad:
Land Altering:
Landscape Irrigation:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
Volumes: Cut: O Fill: 0
Number O
No
Permit Center Authorized Signature:
^�^'
"x��d" .^� � �
�
��
Date: ��— x
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 tuthe conditions attached tothis permit.
Signature:
Print Name:
Date:6-2 \
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: (2V6)438-9B5U
1700 8U|LD|NGF|NAL~~
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.Rov
Building Permit No. 61C1 -OD 1
Project No.
Date Application Accepted: lt - et
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
Site Address: 13820 37th Ave S
Tenant Name: 13\ c1/41V.2.- F-e-1-2-edr
PROPERTY OWNER
Name: Blake Fetzer
Address: 13820 37th Ave S
City: Tukwila State: WA
Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: Blake Fetzer
Address: 13820 37th Ave S
City: Tukwila State: WA Zip: 98168
Phone: (206) 518-8235 Fax:
Email: Blake.Fetzer@hotmail.com
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.: 886400-0755
Suite Number:
New Tenant:
Floor:
.....Yes I..No
ARCH11ECT 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:
HAApplications \forms -Applications On Line \2011 Applications1Perma Application Revised - 13-9-11.docac
Revised: August 2011
bh
Page 1 of 4
UILDING PERMIT INFORMATIC— 2 06-431-3670
Valuation of Project (contractor's bid price): $ /0 0 9 e
Describe the scope of work (please provide detailed information):
Existing Building Valuation: $
r MUnrh ti.e54-y P
Will there be new rack storage? D Yes O.. 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
Isi Floor
2nd Floor
--i7
3 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): 6,000 Floor area of principal dwelling: 790 Floor area of accessory dwelling: 590
*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 LZI No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
El Sprinklers 0 Automatic Fire Alarm El None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? El Yes ljEl 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
0 On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
KAApplications \Forms -Applications On Lisse1201 I ApplicationsWerrnit Application Revised - 8-9-11.docis
Revised: August 2011
bh
Page 2 of 4
PUBLIC WORKS PERMIT IN TION — 206-433-0179
Scope of Work (please provide detailed information):
Call before you Dig: 811
Water District
0 ...Tukwila 0 ...Water District #125
0 ...Water Availability Provided
Sewer District
...Tukwila
0 ...Sewer Use Certificate
_Valley View
0—Sewer Availability Provided
0 Highline
.. Renton
0 .. Renton D.. Seattle
Septic System:
El 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):
D ...Civil Plans (Maximum Paper Size — 22" x 34")
O ...Technical Information Report (Storm Drainage) 0.. Geotechnical Report 0 _Traffic Impact Analysis
0 ...Bond 0.. Insurance 0 Easement(s) El .. Maintenance Agreement(s) 0 ...Hold Harmless — (SAO)
...Hold Harmless — (ROW)
Proposed Activities (mark boxes that apply):
El ...Right-of-way Use - Nonprofit for less than 72 hours
Ej _Right-of-way Use - No Disturbance
0 ..Construction/Excavation/Fill - Right-of-way 0
Non Right-of-way 0
0 —Total Cut
...Total Fill
cubic yards
cubic yards
o .. Right-of-way Use - Profit for less than 72 hours
.. Right-of-way Use — Potential Disturbance
0 .. Work in Flood Zone
El .. Storm Drainage
D ...Sanitary Side Sewer 0 .. Abandon Septic Tank 0.. Grease Interceptor
0 ...Cap or Remove Utilities 0.. Curb Cut Channelization
0 ...Frontage Improvements Ej .. Pavement Cut Ej .. Trench Excavation
0 ...Traffic Control 0.. Looped Fire Line 0.. Utility Undergrounding
...Backflow Prevention - Fire Protection 39
Irrigation
Domestic Water
0 ...Permanent Water Meter Size... ,, WO #
0 ...Temporary Water Meter Size .. ,, WO #
0 ...Water Only Meter Size ,, WO # 0 ...Deduct Water Meter Size
0...Sewer Main Extension Public El Private 0
0 ...Water Main Extension Public 0 Private 0
FJNA10E INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
0 ...Water 0 ...Sewer 0 ...Sewage Treatment
Monthly Service Billing to:
Narne: Day Telephone:
Mailing Address:
City State Zip
Water Meter Refund/Billing:
Name:
Mailing Address:
Day Telephone:
City
State Zip
1-1: \Applications \Forms -Applications On Lina201 I Applications \Permit Application Revised - 8-9-11.doct
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 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
Signature:
Print Name: Blake Fetzer
RgrENT:
Mailing Address: 13820 37th Ave S
Date:
06/28/2019
Day Telephone: (206) 518-8235
Tukwila WA 98168
City State Zip
H: \ Applications \Forms -Applications On Line \2011 Applications\Permit Application Revised - 8-9-11.docx
Revised: August 2011
bh
Page 4 of 4
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY
' PAID
PermitTRAK
28.33
D19-0217 Address: 13820 37TH AVE S Apn: 8864000755
$28.33
Credit Card Fee
$0.83
Credit Card Fee
R000.369.908.00.00
0.00
$O.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: R18025
R000.322.900.04.00
,
0.00
$1.00
$28.33
Date Paid: Friday, June 28, 2019
Paid By: BLAKE FETZER
Pay Method: CREDIT CARD H44048
Printed: Friday, June 28, 2019 12:12 PM 1 of 1
SYSTEMS
CO TUKWIU\ ETRAKIT
6200 5DUTH[ENTER BLVD
TUKWILA' WA 98188
206'433'1870
CITY OF TUKWILA
Date: 88/28/2019 12:11:44 PM
CREDIT CARD SALE
MASTERCARD
CARD NUMBER: ++********2503 K
TKAN AMOUNT: $28.33
APPROVAL [D: H44848
RECORD #: 000
CLERK ID: kandace
Thank you!
Customer Copy
RECEIVED
ITY OF TUKWILA
JUN 28 2019
'PERMIT CENTER
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CITY OF TUKWILA
JUN 2 8 2019
PERMIT CENTER
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FILE
pole-
City of Tukwila
Department of Community Development
1 I/1/2019
BLAKE FETZER
13820 37TH AVE S
TUKWILA, WA 98168
RE: Permit No. D19-0217
FETZER ADU
13820 37TH AVE S
Dear Permit Holder:
Allan Ekberg, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 12/25/2019.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 12/25/2019, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File No: D19-0217
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665