HomeMy WebLinkAboutPermit D19-0225 - WILLIAMS RESIDENCE - ADD RTECH FOAM BOARD AND CEDAR SIDINGWILLIAMS RESIDENCE
15458 42 AVE S
EXPIRED
01/08/2020
D19-0225
oft
Parcel No:
Address:
�~`�xx ^�� Tukwila
~~U~�x�n vU�x����oa
Department of Community Development
6300 SnuthmmterBoulevard, Suite #10
Tukwila, Washington 9Q1DO
Phone:ZO6'4]1'367V
Inspection Request Line; 2D6'4]g'93SO
Web site: http://www.TukwilaWA.gov
DEVELOPMENT PERMIT
8I08600762 Permit Number: D19-0225
Project Name: WILLIAMS RESIDENCE
Issue Date: 7/12/2019
Permit Expires On: 1/8/2020
Owner:
Name:
Contact Person:
Name:
License No:
Lender:
Name:
l545842NDAVE S,TUKVV|U\WA,
98188
]UVVAN LVV|LUAN1S SR
154584ZNDAVE 5,TUKVV|U\WA,
98188
OWNER AFFIDAVIT 'JUVVANL
WILLIAMS SIR
'''
Expiration Date;
DESCRIPTION OF WORK:
ADD RTECH FOAMBOARD AND CEDAR SIDING.
Project Valuation: $2.500.00
Type nfFire Protection: Sprinklers:
Fire Alarm:
Type ofConstruction:
Electrical Service Provided by: TUKWILA
Fees Collected: g171.17
Occupancy per IBC:
Water District: 125
Sewer District: NONE
Current Codes adopted bythe City ofTukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
as Cocle�
National Electrical Code:
VVACities Electrical Code:
VVA[Z96'468:
vVAState Energy Code:
2017
2017
2017
2015
Public Works Activities:
05 21
05 21
Chan ne|izadon/5hpinQ:
Curb [u |k:
Fire Loop Hydrant:
Flood Control Zone:
Hau|ing/OvprsizeLood:
Land Altering:
Landscape Irrigation:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
Permit Center Authorized Signa
u
Volumes: Cut: O Fill: O
Number: 0
No
����
"'A',^~�4���/� j Date: x ~-, =~ ' �
I hearby certify that I have read and examined this permit and know the same to be true and correct. All
provisions nflaw and ordinances governing this work will becomplied with, whether specified herein ornot.
The granting nfthis permit does not presume *ogive authority toviolate nrcancel the provisions ofany other
state orlocal laws regulating construction or the performance of work. I am authorized to sign and obtain this
development permt��metothe conditions attached tothis permit.
Signature:
Print Name:
—
Date:
This permit shall become null and void ifthe work isnot commenced within l8Odays for the date ofissuance, orif
the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
<mmNE`
PERMIT INSPECTIONS REQUIRED
Permit inspection Line: (3U6)438' 350
1700 UU|LD|NGF|NAL*~
- CITY OF TUKYi4
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd, Suite 100 , r
• 'Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Per No. b (C- 03 as
Project*No.
Date Application Accepted:
`7- Ia-`l
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:
Tenant Name:
i4-55 42`.°-(Alit
1,1,A)41A
PROPERTY OWNER
Vt
Name: JM4AVP
Address.
City: t
State:/
k.
Zip
/
CONTACT PERSON — person receiving all project
communication
Name: AU�. J . 1
� d‘r;
Address: cy4
5 ie , 4
5.
City0.. 1
1 14 Stet • '
1 �
Zi44 ((
Phone: �7 24 —:1,' ��
Email: S Ijl��*�. ��I"GI +1��
44
GENERAL CONTRACTOR INFORMATION _
Company Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.:
cNsHv3s.1
King Co Assessor's aTax No.: o N
Suite Number: Floor:
4pt4 7 5r • New Tenant: ❑ Yes
6/1441-i.coivk
0
ARCHITECT OF RECORD
Company Name:
Architect Name:
Address:
City:
..State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF R1aCORD
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: February 2012
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Page 1 of 4
BUILDING PERMIT INFORMATI9- 206-431-3670
Valuation of Project (contractor's bid price): $ ) 1417° Existing Building Valuation: $
Describe the scope of work (please provide detailed information):
Will there be new rack storage? ❑ ....Yes
rg
).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
N w.
Type of
Construction per
. , IBC ,
Type of
Occupancy per
IBC
lst Floor
4�
., C•{ �/�
2 Floor
i i
,
,
3rd Floor
Floors thru
Basement
-
Accessory Structure*
w .
Attached Garage
�
.
s"
/
I
{
`'
` .
,
Detached Garage
Oy
�
y,
CL 4 •
'
�
'
Attached Carport
Detached Carport
r
•
•
4
Covered Deck
''
�.
F
'
,
f�
Uncovered Deck
o
y�
t;
,
f .
=
i
PLANNING DIVISION:
tl
; .: •.
4, .. _
Single family building footprint (area of the foundation of all structures, plus any del ks ovtr 18 inches hd overhangsgreater 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 YesPli
No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0 Sprinklers ❑ Automatic Fire Alarm 0 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 + . r
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved; by King Couritq I1altJi •
Department. • .
H:\Applications\Forms-Applications On Line\2012 A,plications\Permit Application Revised - 2-7-I2.docx
Revised: February 2012
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Page 2 of 4
PUBLIC WORKS PERMIT INFOCATION — 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 Availabilitj, Provided
ater District #I25 0...Highline
r • ,
. • "
Sewer District 4
O . Tukwila • Li ...Valley View ' ... Renton
Sewer Use Certificate , 0 ...Sewer Availability*Proitided. •
Septic System:
O On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department.
0... Renton
Submitted with Application (mark boxes which aPP1v):
0 .. Civil Plans (Maximum Paper Size — 22" x 34")
• Technical Information Report (Storm Drainage)
Ej .. Bond ... Insurance 0... Easement(s)
Proposed Activities (mark boxes apply):
.. • Right-of-way Use - Nonprofit for less than 72 hours
.. • Right-of-way Use - No Disturbance
EJ .. Construction/Excavation/Fill - Right-of-way 0
Non Right-of-way 0
.. Total Cut
0 .. Total Fill
cubic yards
cubic yards
,0... Seattle
0... Geotechnical Report
0... Maintenance Agreement(s)
4
• Traffic Impact Analysis
O .. Hold Harmless — (SAO)
• Hold Harmless— (ROW)
0...Right-of-way Use - Profit for less than 72 hours
0... Right-of-way Use — Potential Disturbance
O... Work in Flood Zone
0... Storm Drainage
O .. Sanitary Side Sewer 0... Abandon Septic Tank ... Grease Interceptor
0 .. Cap or Remove Utilities 0... Curb Cut Channelization
Frontage Improvements 0... Pavement Cut 0... Trench Excavation
LJ .. Traffic Control 0... Looped Fire Line 0... Utility Undergrounding
Backflow Prevention - Fire Protection
Irrigation
Domestic Water
0 .. Permanent Water Meter Size (1) ,, WO # (2) " WO # (3)
0 .. Temporary Water Meter Size (1) " WO # (2) " WO # (3)
0 .. Water Only Meter Size 1, WO # El. Deduct Water Meter Size
EI .. Sewer Main Extension Public 0 Private 0
0 .. Water Main Extension Public 0 Private ri
".
" WO #
" WO #
>3,
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: Day Telephone:
Mailing Address:
City
State Zip
HAApplicationsTorms-Applications On Line \2012 ApplicationsWerrnit Application Revised - 2-7-12slocx
Revised: February 2012
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Page 3 of 4
PERMIT APPLICATION NOTES 2
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 HOIUZED AGENT:
Signature:
Print Name:
Mailing Address:
J00411
161451- A_ve,
Date:
r•
Day T ephone: e ze4
. 4
-7-iz lc/
254-616z
City State Zip
HAApplicationaorms-Applications On Line \20I2 ApplicationsWermit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 4 of 4
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$171.17
D19-0225 Address: 15458 42ND AVE 5 Apn: 8108600762
$171.17
Credit Card Fee
$4.99
Credit Card Fee
R000.369,908.00.00
0,00
$4.99
DEVELOPMENT
$158.58
PERMIT FEE
R000.322.100.00.00
0.00
$152.08
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$6.50
TECHNOLOGY FEE
$7.60
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R18104
R000.322.900.04.00
0.00
$7.60
$171.17
Date Paid: Friday, July 12, 2019
Paid By: JUWAN L WILLIAMS SR
Pay Method: CREDIT CARD 023011
Printed: Friday, July 12, 2019 10:52 AM 1 of 1
YSTEM5
CO TUKWzLA ETRoKIT
6200 S0UTH[ENT[R 8LYD
TUKWILA, W4 98188
206'433'1870
CITY OF TUxWzLA
0017348000802374464500
Date: 07/12/2019 10:52:08 AM
CREDIT CARD SALE
VISA
CARD NUMBER: ****w**+*0084 K
TKAW AMOUNT: $171.17
4ppKOV4L [D: 023011
RECORD #: 000
CLERK ID: kandace
X
f[ARD*ULDER'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
2 rAcE17
IA A e
I
ra,A.
tur , Ao)
fekr,•,3-
9
City of Tukwila
Department of Community Development
12/3/2019
JUWAN L WILLIAMS SR
15458 42ND AVE S
TUKWILA, WA 98188
RE: Permit No. D19-0225
WILLIAMS RESIDENCE
15458 42ND 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 1/8/2020.
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 pei mit 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 1/8/2020, 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: D19-0225
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665'
CITY F UKWILA
Department of Community Development
630o Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-367o FAX (206) 431-3665
E-mail: tukplanPci.tukwila.wa.us
Permit Center/Building Division
206 431-367o
Public Works Department
206 433-0179
Planning Division
206 431-367o
AFFIDAVIT IN LIEU OF CONTRACTOR REGITRATION
STATE OF WASHINGTON)
) ss.
COUNTY OF KING
/1kjalA 11
[please print name]
1/14
n states as follows:
PERMIT NO:
i. I have made application for a permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW 18.27.090.
3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the
City of Tukwila must verify either that the contractor is registered by the State of Washington, or that
one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requiremer4 of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number Li— , and will therefore
not be performed by a registered contractor.
5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to
persons making electrical installations on their own property or to regularly employed employees
working on the premises of their employer. The proposed electrical work is not for the construction
of a new building for rent, sale or lease.
I understand that I may be waiving certain rights that I might othp iehave under state law in any decision
to engage an unregistered contractor to perform construction
12i
:_-
-4..
op WAS
Ao
ill, •
•11111,04‘w.s,,,o.
%ft
Owner/GnsAgent*
Signed and sworn to before me this
day of 1 , 20 q.
,P)
TARY PUBLIC in and for tbe State of Washington
Residing at 3$73 5 soe-P) Wa°/
/
Name as commissioned: K ila-ce_ K/a6:-h
My commission expires: 5- 2 - 2 3
18.27.090 Exemptions. Tl-t'-gistration provisions of this
1. An authorized representative of the United States
government, the state of Washington, or any incorporated
city, town, county, township, irrigation district, reclamation
district, or other municipal or political corporation or
subdivision of this state;
2. Officers of a court when they are acting within the scope
of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their own
business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground mine
or mineral deposit when performed by an owner or lessee;
5. The sale of any finished products, materials, or articles of
merchandise that are not fabricated into and do not become
a part of a structure under the common law of fixtures;
6. Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile/manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW who shall
warranty service and repairs under chapter 46.7o RCW;
7. Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site or
reservation under the legal jurisdiction of the federal
government;
8. Any person who only furnished materials, supplies, or
equipment without fabricating them into, or consuming
them in the performance of, the work of the contractor;
9. Any work or operation on one undertaking or project by
one or more contracts, the aggregate contract price of
which for labor and materials and all other items is less
than five hundred dollars, such work or operations being
considered as of a casual, minor, or inconsequential nature.
The exemption prescribed in this subsection does not apply
in any instance wherein the work or construction is only a
part of a larger or major operation, whether undertaken by
the same or a different contractor, or in which a division of
the operation is made into contracts of amounts less than
five hundred dollars for the purpose of evasion of this
chapter or otherwise. Th exemption prescribed in this
subsection does not apply to a person who advertises or
puts out any sign or card or other device which might
indicate to the public that he or she is a contractor, or that
he or she is qualified to engage in the business of
contractor;
io. Any construction or operation incidental to the
construction and repair of irrigation and drainage ditches
of regularly constituted irrigation districts or reclamation
districts; or to farming, dairying, agriculture, viticulture,
horticulture, or stock or poultry raising; or to clearing or
other work upon land in rural districts for fire prevention
purposes; except when any of the above work is performed
chapter do not apo.
by a registered contractor;
11. An owner* who contracts for a project with a registered
contractor, except that this exemption shall not deprive the
owner of the protections of this chapter against registered
and unregistered contractors. The exemption prescribed in
this subsection does not apply to a person who performs
the activities of a contractor for the purpose of leasing or
selling improved property he or she has owned for less than
twelve months;
12.'' Any person working on his or her own property,
whether occupied by him or her or not, and any person
working on his or her personal residence, whether owned
by him or her or not but this exemption shall not apply to
any person who performs the activities of a contractor on
his or her own property for the purpose of selling,
demolishing, or leasing the property;
13. An owner* who performs maintenance, repair, arid
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
14. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of the
state of Washington or licensed by a political subdivision of
the state of Washington while operating within the
boundaries of such political subdivision. The exemption
provided in this subsection is applicable only when the
person certified is operating within the scope of his or her
certification;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. A mobile/manufactured home dealer or manufacturer
who subcontracts the installation, set-up, or repair work to
actively registered contractors. This exemption only applies
to the installation, set-up, or repair of the
mobile/manufactured homes that were manufactured or
sold by the mobile/manufactured.horne dealer or
••
manufacturer;
.„;
' 18. An entity who bads a valid electrel'ountractor's
license under chapter 19Z81RCWthat ertilpF0s7a certified
journeyman electrician, a'certified rsidentia1 specialty
electrician, or an electrical traiirt fleeting the
requirements of chapter 19,28ACW.to pefform.plumbing
work that is incidentally,'dire6tly;and jrnTediately
appropriate to the likeLizi-kind'replacerdnt cif a household
appliance or other small household utilization equipment
that requires limited electri4ower and limited waste
and/or water connections. An electrical trainee must be
supervised by a certified electrician while performing
plumbing work.
• Per Washington State Department of Labor and Industries lessee has
been interpreted to be equivalent to owner for purposes of exemptions.