HomeMy WebLinkAboutPermit D02-069 - CHIN RESIDENCE - BATHROOMGilbert Chin
16660 53'd Avenue S
D02 -069
or a
Parcel No.: 8858800075
Address: 16660 53 AV S TUKW
Suite No:
Contractor:
Name: OWNER AFFIDAVIT
Address:
Contractor License No:
DESCRIPTION OF WORK:
ADDING A BATHROOM
Value of Construction:
Type of Fire Protection:
Type of Construction:
Public Works Activities:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
Channelization / Striping:
doc: Devperm
City of Tukwila
Tenant:
Name: CHIN RESIDENCE
Address: 16660 53 AV S, TUKWILA WA
Owner:
Name: DAVIS LESLIE
Address: 16660 53RD AVE S, SEATTLE WA
Contact Person:
Name: GILBERT CHIN
Address: 16660 53 AV 5, TUKWILA WA
$ 5,000.00
DEVELOPMENT PERMIT
** Continued Next Page **
D02 -069
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Permit Number: D02 -069
Issue Date: 04/02/2002
Permit Expires On: 09/29/2002
Expir Date:
Phone:
Phone: 206 - 387 -0719
Phone:
Fees Collected: $188.06
Uniform Building Code Edition: 1997
Occupancy per UBC: 0007
Curb Cut/Access /Sidewalk/CSS:
Fire Loop Hydrant: Number: 0 Size (Inches): 0
Flood Control Zone:
Hauling: Start Time: End Time:
Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation:
Moving Oversize Load: Start Time: End Time:
Private: Public:
Private: Public:
Printed: 04 -02 -2002
Permit Center Authorized Signature:
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
(f A 7 C Date: L 0
I hereby 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 no esume to give authority to violate or cancel the provisions of any other state or local laws
regulating construction or r(r of�ance of work. I am authorized to sign and obtain this developmer t per t.
Signature:
Print Name: hCee-72 r
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is
suspended or abandoned for a period of 180 days from the last inspection.
doc: Devperm
002 -069
Date:
Printed: 04 -02 -2002
r
w►
I s
City of 'i ukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 8858800075
Address: 16660 53 AV S TUKW
Suite No:
Tenant: CHIN RESIDENCE
1: ** *BUILDING DEPARTMENT * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: Plumbing permits shall be obtained through the Seattle -King County Department of Public Health. Plumbing will be inspected by
that agency, including all gas
piping (296- 4722).
4: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical work will be
inspected by that agency
(206 -835- 1111).
5: All mechanical work shall be under separate permit issued by the City of Tukwila.
6: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any construction. These
documents are to be
maintained and available until final inspection approval is granted.
7: Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear identification
showing the fire performance
rating thereof.
8: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as
amended, Uniform Mechanical Code
(1997 Edition), and Washington State Energy Code (1997 Edition).
9: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be construed to be a
permit for, or an approval
of, any violation of any of the provisions of the building code or of any other ordinance of the jurisdiction. No permit presuming to
give authority to violate
or cancel the provisions of this code shall be valid.
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws
regulating construction or the pe formance of work.
Signature:
Print Name:
doc: Conditions
PERMIT CONDITIONS
002 -069
Permit Number: D02 -069
Status: ISSUED
Applied Date: 03/19/2002
Issue Date: 04/02/2002
Date:
Printed: 04 -02 -2002
Project Name/Tenant:
Type of work:
❑ New Single - Family Residence ❑ Addition - Single - Family Residence
Interior Remodel- Single - Family Residence ❑ Residential Accessory Structure*
Remodel /Addition to Accessory Structure ❑ Garage(s)
❑ Deck(s) - Covered & Uncovered ❑ Residential Reroof
Value of Construction:
Site Address: I
for Structure: < SOU sq. ft. Dwelling sq. ft. Covered Deck(s)
City State /Zip:
Tax Parcel Number:
YiSkY o oU . 7s'
Pone:
(7.vG) 3 b7 .- 0 7 /
Property Owner:
Ci1—t3i - >'2. C (A/
Footage: sq. ft. Dwelling sq. ft. Covered Deck(s)
Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck
Street Address:
166‘76) .s - So.
Floor Area Ratio: (total
, J City State/Zip: :
• iuk�utLo, wn.,MM
Fa #:
oC '7 - o7q-i
Contractor: i
67 I (,6 - c-K, --- r - L �
1
* Provide documentation that shows the principal owner lives in one of the dwellings as his or her primary residence.
Phone:
Street Address:
7 7%
City State /Zip:
Fax #:
Architect:
Phone:
Street Address:
City State /Zip:
Fax #:
Engineer:
Phone:
Street Address:
City State /Zip:
Fax #:
Contact Person:
Phone:
Street Address:
City State /Zip:
Fax #:
Description of work to be done:
, #VP /n4 A BATS- /
Type of work:
❑ New Single - Family Residence ❑ Addition - Single - Family Residence
Interior Remodel- Single - Family Residence ❑ Residential Accessory Structure*
Remodel /Addition to Accessory Structure ❑ Garage(s)
❑ Deck(s) - Covered & Uncovered ❑ Residential Reroof
Is this site served by: 9 Sewer ❑ Septic (King County Health Dept. approval required - 296 -4722)
Existing Square Footage
sq. ft.
for Structure: < SOU sq. ft. Dwelling sq. ft. Covered Deck(s)
Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck
Proposed New Square
sq. ft.
Footage: sq. ft. Dwelling sq. ft. Covered Deck(s)
Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck
Floor Area Ratio: (total
floor area of all structures divided by the area of the lot)
*For an Accessory dwelling, provide the following:
Lot area Floor area of principal dwelling Floor area of accessory dwelling
* Provide documentation that shows the principal owner lives in one of the dwellings as his or her primary residence.
J
CITY OF TU "WILA
Permit Center
6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188
(206) 431 -3670
Project Number:
Permit Number: Do a - o4 e t
S R STAFF USE ONLY
Single- Family Residential Permit Application
SFPERMIT.DOC 2/13/97
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or facsimile.
APPLICANT REQUEST FOR PUBLIC ;WORKS SITE/CIVIL PLAN REVIEW OF THE FOLLOWING:
(Additional reviews shall be determined by the Public Works Department)
❑ Channelization /Striping ❑ Curb cut /Access /Sidewalk in Fire Loop /Hydrant (main to vault) #: Size(s):
❑ Flood Control Zone ❑ Hauling ❑ Land Altering: 0 Cut cubic yds. 0 Fill cubic yds.
❑ Moving an Oversized Load: Start Time: End Time:
❑ Sanitary Side Sewer #: El Sewer Main Extension 0 Private 0 Public
❑ Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public
❑ Water Meter /Permanent # Size(s):
❑ Water Meter Temp # Size(s): Est. quantity: gal Schedule:
❑ Miscellaneous
Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be re-
viewed 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 ex-
pire by limitation. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon
written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall
be extended more than once.
Date application ac tIs
lc o
Date application expires:
91I �1
0
?.. F ^d'NiYt'*` r.•.m, a,, ., Me: P!tntt•
d\
Application taken by: (initials)
G•(J
, .PLEASESIGN BACK OF APPLICATION FORM
BUILDING OWNER
AUTHORIZED AGENT:
Signature:
_
Date: 3 c
O •
Print name:
/"
P i l o 07
F #
Address:
iciL
0,
City /State /Zip:,
tuki,vd4 tiA, 9&
ALL SINGLE- FAMILY RESIDENTI ,PERMIT APPLICATIONS MUST BE BMITTED WITH THE FOLLOWING:
DRAWINGS PREPARED BY EGISTERED ARCHITECT OR PRO, _3SIONAL ENGINEER MAY BE
REQUIRED BY THE BUILDING OFFICIAL
ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
N/A SUBMITTED
❑ ❑ Copy of recorded Legal Description from King County
❑ ❑ Certificate of water /fire flow availability (Form H -11 a). Contact the Public Works Department
(206) 433 -0179 for servicing district.
❑ ❑ Certificate of sewer availability (Form H -11). Contact the Public Works Department (206) 433-
0179 for servicing district.
❑ ❑ Metro: Residential Sewer Certification (if Tukwila Sewer District) (Form H -12)
❑ ❑ King County Health Department approval for septic - 296 -4722
Four (4) sets of working drawings, which include:
❑ ❑ Site Plan (see example Form H -16)
1. Existing fire hydrant location(s).
2. Proposed access road.
3. Driveway location- driveway shall be 10' wide minimum and 20' wide maximum. If driveway is over
150' long, driveway shall be 20' wide and have an approved turnaround (City Ordinance 1741).
4. North arrow and scale.
5. Building setback from property lines. Any proposed or existing easements must be shown on plan.
6. Public Works review requires the following on site plan: driveway location (10' min., 20' max. width),
show proposed and existing power, water and sewer lines, existing storm drainage system,
downspouts and foundation drains, and where drains tie -in.
7. Parking plan.
8. Lowest building elevation (if in Flood Control Zone).
9. Estimated /proposed topography at 2' intervals and proposed elevation of lowest floor level.
10. Identify location of sensitive areas slopes 20% or greater, wetlands, watercourses and their buffers.
11. Identify location and size of significant trees that are located in sensitive areas and buffers or the
shoreline zone. Of those, identify which are to be removed (Title 18, City of Tukwila Zoning Code).
12. Identify location of high water mark of the Green /Duwamish River if site is located within 200' of the
high water mark.
13. See Public Works Checklist for detailed site plan information required for Public Works Review (Form
H -9).
❑ ❑ Foundation plan and details
❑ ❑ Floor plan
❑ ❑ Roof plan
❑ ❑ Building elevations (all views)
❑ ❑ Building height
❑ ❑ Building cross - section
❑ ❑ Structural framing plans and details necessary to completely describe construction
❑ ❑ Washington State Energy Code Data (Gas /Electric /Oil /Propane /Heat Pump) Form H -15 available
at Permit Center OR Prescriptive Heating System Sizing Chap 9 Form H -6.
❑ ❑ Complete Land Use Applications if not previously submitted (i.e., Reasonable Use Exception,
Variance, Shoreline or Tree Permit).
❑ ❑ Attach plans, reports or other documentation required to comply with Sensitive Area Ordinance
and other land use or SEPA decisions.
❑ ❑ If dwelling has a septic tank, and a bedroom or bathroom are added, provide written approval
from the King County Health Department or the Tukwila Public Works Department prior to
submittal of permit application.
❑ ❑ Copy of Washington State Department of Labor and Industries Valid Contractor's License. If
not available at the time of application, a copy of this license will be required before the permit
is issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit in Lieu of
Contractor Registration ".
Building Owner /Authorized Agent. If the applicant is other than the owner, registered architect/engineer, or contractor licensed
by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and
obtain the permit will be required as part of this submittal.
1 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.
SFPERMIT.DOC 2/13/97
1111041MMAth ioltei Y*�7.SmM'v'Fi."C:!c_Y ;1 (.T3'!o .a�,'7Y?a!= .±R¢?Y�r; ?*G=a / n 'n i'4fiM.VCC�t,•n+7r;..r.� ..,, } .
doc: Receipt
Payee:
TRANSACTION LIST:
ACCOUNT ITEM LIST:
GILBERT CHIN
Current Pmts
Amount
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
BUILDING - RES 000/322.100
STATE BUILDING SURCHARGE 000/386.904
111.25
4.50
Z
RECEIPT Z
re p
Parcel No.: 8858800075 Permit Number: D02 -069 v p
Address: 16660 53 AV S TUKW Status: APPROVED : co O
Suite No: Applied Date: 03/19/2002 W I
Appl icant: CHIN RESIDENCE Issue Date: w
W0
1 Receipt No.: R020000434 Payment Amount: 115.75 g 5 .
LL Q
co �
Initials: KAS Payment Date: 04/02/2002 11:11 AM _
User ID: 1684 Balance: $0.00 H =
Z1-
1- 0
Z I-
LL' Ili
2 _
C
0 N .
Type Method Description W W
H V
u. 0
Payment Cash 115.75 l. . z
U = ..
O
Z
Description Account Code
Total: 115.75
Printed: 04 -02 -2002
Payee:
f
Parcel No.:
Address:
Suite No:
Applicant:
Receipt No.:
Initials:
User ID:
doc: Receipt
Payment
@PJL EOJ NAME-
Cit of Tukwila
TRANSACTION LIST:
ACCOUNT ITEM LIST:
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 - 3670
8858800075
16660 53 AV S TUKW
CHIN, GILBERT
R020000381
LAW
1630
GILBERT CHIN
Current Pmts
Amount
Cash
PLAN CHECK - RES
Type
Description
RECEIPT
Method Description
000/345.830
Permit Number:
Status:
Applied Date:
Issue Date:
Payment Amount: 72.31
Payment Date: 03/19/2002 12:04 PM
Balance: $115.75
72.31.
Account Code
72.31.
Total: 72.31
/4994 03;'19 97:1.6 TOTAL
D02 -069
PENDING
03/19/2002
'71 . -I
Printed: 03 -19 -2002
•
1
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
COMMENTS:
Approved per applicable codes.
— 54
(206)431 -3670
rrections required prior to approval.
$47.00 REINSPECTION EEE EQUIRED. Prior to in pection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to scl� dule reinspection.
Receipt No:
Date:
Approved per applicable codes.
Corrections required prior to approval.
COM ENTS:
/
Inspector:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
Datq
$47 . 00'F INSPECTION REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Projec t:
Type of Inspection:
Address.
Date called:
Specie! instructions:
/A et°
Date wanted:
44210
p.m.
Requester:
Phone: • , ,
• ."10f4i; mt4.00t.':
INSPECTIO NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
PERMIT NO.
(206)431-3670
COMMENTS:
•
Inspector:
Approved per applicable codes. ri Corrections required prior to approval.
Date: ( .7 ( .._
Li $47.00 EINSPECTION 6 REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
Date called:
Special instructions:
INSPECTION NO,
pproved per applicable codes.
INSPECTION RECORD
Retain a copy with permit •
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188 (206)431- 670
Corrections required prior to approval..
COMMENTS:
ri $47.00 REINSPECTI FEE REQUIRED. Prior to inspection, fee must be paid •
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Type cif - Inspection:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
(206)431 -3670
Approved per applicable codes. k] Corrections required prior to approval.
Date: / 7/7 4 ....o z .....
$47.00 REINSPECTIO 4 FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date;
•
Special instructions: //
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
(206)431 -3670
Corrections required prior to approval.
COMMENTS:
Approved'per applicable codes.
Q. $47.00 REINSPECTION REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
floor plan
Permit No.
I understand that the Plan Check approvals are
subject to errors and omissions and apps oval of
plans does not authorize the violation of any
adopted code or ordinance. Receipt of Con -
tr "°4or's copy of approv= a plans acknovt !edged.
Bak DertrIlk
CITY OF TUKWILA
MAR 19 2002
PERMIT CENTER
CITY OF TUKWILA
APPROVED •
MAR 2 9 2002'
I LD cliVrmeig
SEPARATE PERMIT
�RE UIRED FOR:
D MECHP.FIICAL
CTRIC,4L
PLUMBING
0 GAS PIPING
CITY OF TUKWILA
BUILDING DIVlSf@N
MCS
MICRO COM
SYSTEMS LTD.
ATTENTION
The next image may be a duplicate of the previous image.
Please disregard previous image.
floor plan
FILE COPY
I understand that the Plan Check appro\'
subject to errors and omissions and app
plans does not authorize the violation of
adopted code or ordinance. Receipt of
tr +or's copy of appro p plans ackno
Date
Permit No.
gevei
als are
oval of
BAck 'Dam
CIT OF
MAR 19 2002
PERMIT CENTER
CITY OF TUKIVIU
APPROVED
MAR 2 9 2002•
AS WILD jaul
PERMIT
RpiUIRED FOR:
MECHANICAL
EK
B1
IAS PIPING
CITY OF TUKWILA
BUILDING DIVISION
floor plan
MAR 19 2002
PERMIT CENTER
GPRra4Z-
N Ew WALL
CITY OF TUKWU A
APPROVED
MAR 2 9 2002
As Nora)
investigation
COMMENTS:
Type of Inspection: ,
Date called:
Special instructions:
Date wanted:
Phone:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
0 Approved per applicable codes.
Go02 --mo
PERMIT NO.
(206)431 -3670
Corrections required prior to approval.
IrnspectQr:
Date:
7 147.00 REINSPECTION FEE REQUIRED. Prior_ o inspection, fee must be paid
6300 Southcenter Blvd., Suit 100. Call to schedule reinspection.
Receipt No:
Date:
ACTIVITY NUMBER: D02 - 069
PROJECT NAME: Gilbert Chin
SITE ADDRESS: 15550 53 Av S
X
DATE: 03 -19 -02
Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Is Issued
DEPARTMENTS:
Bu„ildmg Division 7
&
Public Works
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
APPROVALS OR CORRECTIONS:
TUES /THURS ROUTI
Please Route
REVIEWER'S INITIALS:
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
LETTER OF COMPLETENESS MAILED:
Approved
Notation:
4
PLAN 17RfG
Structural
Incomplete n
Structural Review Required
Approved with Conditions
na C53 3",
Fire Prevention 1 -1
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing slip.doc
2 -28 -02
PERMIT COORD COPY
Pla Division
Permit Coordinator
DUE DATE: 03-21-02
Not Applicable n
No further Review Required
DATE:
DUE DATE: 04-18 -02
Not Approved (attach comments) n
ACTIVITY NUMBER: D02 - 069
Original Plan Submittal
DATE: 03 -19 -02
PROJECT NAME: Gilbert Chin
SITE ADDRESS: 15550 53 Av S
x
Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Is Issued
DEPARTMENTS:
Building Division
Public Works
Complete
Comments:
Please Route
TUES /THURS ROUTING:
REVIEWER'S INITIALS:
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete n
Permit Center Use Only
INCOMPLETE LETTER MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
LETTER OF COMPLETENESS MAILED:
Structural Review Required
n
n
Planning Division
Permit Coordinator
n
DUE DATE: 03-21-02
Not Applicable n
1
n No further Review Required
DATE: 312,510Z
DUE DATE: 04 -18-02
APPROVALS OR CORRECTIONS:
Approved n Approved with Conditions
Notation: 40(PGet•4 i C.4- r vt Pet A"}�
REVIEWER'S INITIALS:
Not Approved (attach comments) n
1 _
DATE: 3 (
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents/routing sl ip.doc
PERMIT NO.: Do • o`,
BUILDING PERMITS
INSPECTIONS
❑ , 1 Progress Inspection Status
2 Pre- construction
❑ 3 Investigation
❑ 4 OK to Occupy
❑ 5 Remove Stop Work Order
❑ 6 Follow -up
❑ 7 Pre -Move Inspection
❑ 50 WSEC Residential
❑ 60 WA Ventilation/Indoor AQC
❑ 70 NLEA Inspection/Modular Struct
❑ 71 Mobile Home Tie Down Insp
❑ 72 Marriage Lines
❑ 90 Resteel
❑ 95 Footing Drains
❑ 100 Foundation Footings
❑ 200 Foundation Walls
❑ 250 Foundation Insulation
❑ 300 Concrete Slab /Slab Insulation
❑ 350 Crawl Space
❑ 400 Shear Wall Nailing
❑ 450 Plywood Wall Sheathing
❑ 500 Roof Sheathing Nailing
❑ 525 Plywood Deck Nailing
❑ 550 Exterior Wall Sheathing
❑ 600 Masonry Chimney
❑ 610 Chimney Installation/All Types
700 Framing
750 Roof /Ceiling Insulation
800 Floor Insulation
801 Wall Insulation
802 Exterior Roof Insulation
❑ 803 Glazing Inspection
❑ 815 Lighting and Controls
❑ 900 Suspended Ceiling
1000 Interior Wallboard Fastening
❑ 1001 Exterior Wallboard Fastening
❑ 1110 Pre -Move Inspection
❑ 1 115 Motor Inspection
❑ 1120 Pre -Demo
❑ 1140 Pre- reroof
❑ 1400 Final -Fire
1700 Final- Building
1900 Final - Reroof
❑ 3100 Site Visit
❑ 4000 Special- Concrete
❑ 4001 Special -Bolts in Concrete
❑ 4001 Special- Mom/Resist Conc Frame
❑ 4003 Special -Reinf Steel Prestress
❑ 4004 Special - Welding
❑ 4005 Special -High- Strength Bolting
❑ 4006 Special - Structural Masonry
❑ 4007 Special -Reinf Gypsum Concrete
❑ 4008 Special - Insulating Conc Fill
❑ 4009 Special -Spray Fireproofing
❑ 4010 Special - Piling, Piers, Caissons
❑ 4011 Special - Shotcrete
❑ 4012 Special - Grading, Excav /Fill
❑ 4013 Special- Retaining Wall
❑ 4014 Special - Panels
❑ 4015 Special -Smoke Control System
TENANT NAME:
CONDITIONS
3‘ 10001 No changes will be made to the plans unless approved
by the Engineer and the Tukwila Building Division
PA 10002 Plumbing permits shall be obtained through King Co
10003 Electrical permits obtained through L & I
10004 All mechanical work shall be under separate permit
10005 All permits, insp records & approved plans available
10006 All structural concrete shall be special inspected
❑ 10007 All structural welding shall be done by WABO certified
inspector
❑ 10008 All high- strength bolting shall be special inspected
❑ 10009 Bolts installed in concrete shall be special inspected
❑ 10010 When special inspection is required...notify Tukwila
Building Division
❑ 10011 The special inspector shall submit a final signed report
❑ 10012 Any new ceiling grid and light fixture installation
❑ 10013 Partition walls attached to ceiling grid
❑ 10014 Readily accessible access to roof mounted equipment
❑ 10015 Engineered truss drawings & calcs shall be on site
10016 Any exposed insulation backing material shall have
10017 Subgrade preparation including drainage, excavation
❑ 10018 A statement from the roofing contractor verifying fire
retardant class of roof
10019 All construction to be done in conformance w /approved
plans
ohm
10020 Structural observation shall be provided for this project
10021 All food preparation establishments must have King Co
10022 Fire retardant treated wood shall have flame spread of
10023 Notify Building Division prior to placing any concrete
10024 All spray applied fireproofing shall be special inspected
10025 All wood to remain in placed concrete shall be treated
10026 All structural masonry shall be special inspected
10027 Validity of Permit
10028 Rack storage requires separate permit
❑ 10030 No occupancy of building until final insp by Bldg Div
❑ 10031 Comply with requirements of TMC 16.04
❑ 10032 Remove all weeds, concrete, stone foundations, flat
concrete
❑ 10034 Removal of septic tanks require approval and
compliance with King Co Health Dept.
❑ 10035 Contact PW Div to obtain insp for water /sewer connect
❑ 10036 Manufacturers installation instructions required on site
❑ 10038 A C of 0 will be required for this permit
❑ 10039 Final approval for all TI w /in the limits of the SC Mall
10040 All construction noise to be in compliance with 8.2 TMC
10041 Ventilation is required for all new rooms & spaces
10042 Fuel burning appliances
10043 Appliances, which generate
10044 Water heater shall be anchored
10045 Reroof
"Anchoring — All new construct and substantial
improvement shall be anchored to prevent flotation"
Plan Reviewer: Date:
Permit Tech: ` bk
Date: 3
amn a,ea n+rt•�v +3Yti r.;KSNJ`i?W�6 =Fi_
Z
~ W
re 2
U
U
co 0
J H
N W
W O
2
lL Q
N
I
1. W
Z =
1—
W
W
U
O �
t] 1—
W
F H
O
lli Z '
U =
O~
Z
i
ACTIVITY NUMBER: D02 - 069
PROJECT NAME: Gilbert Chin
SITE ADDRESS: 15550 53 Av S
DATE: 03 -19 -02
Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Is Issued
DEPARTMENTS:
•
Building Division
Public Works
Complete n
Documents /routing slip.doc
2 -28.02
n
n
APPROVALS OR CORRECTIONS:
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete
Approved n Approved with Conditions n
Notation:
REVIEWER'S INITIALS:
Planning Division
n Permit Coordinator
DUE DATE: 03-21 -02
Not Applicable n
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
LETTER OF COMPLETENESS MAILED:
TUES /THURS ROUTING:
Please Route n Structural Review Required n No further Review Required
REVIEWER'S INITIALS: 3 DATE: 3( 2,1 \0?_.
t
DUE DATE: 04 -18-02
Not Approved (attach comments) n
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
ACTIVITY NUMBER: D02 - 069
PROJECT NAME: Gilbert Chin
SITE ADDRESS: 15550 53 Av S
DATE: 03 -19 -02
1\. Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Is Issued
DEPARTMENTS:
Building Division
Public Works
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
n
n
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
LETTER OF COMPLETENESS MAILED:
TUES /THURS ROUTING:
Please Route
REVIEWER'S INITIALS:
Documents/routing slip.doc
2.28.02
APPROVALS OR CORRECTIONS:
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Structural
Incomplete
Structural Review Required
\t94
n
n
n
Planning Division
Permit Coordinator
n
DUE DATE: 03-2 1 -02
Not Applicable
No further Review Required
DATE: 3- L 1
DUE DATE: 04-18-02
Approved n Approved with Conditions [1 Not Approved (attach comments)
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
z
w
ce
—J
00
J
w
2
Q
= • a
�
z �
1- 0
Z I-
O 0 .
O -
ci
w • w
I O
.• Z
W
O H
Z
ACTIVITY NUMBER: D02 - 069
DATE: 03 -19 -02
PROJECT NAME: Gilbert Chin
SITE ADDRESS: 15550 53 Av S
k Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Is Issued
DEPARTMENTS:
Building Division
Public Works
Complete U
Comments:
Documents/routing slip.doc
2 -28.02
n
TUES /THURS ROUTING:
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete
n
n
REVIEWER'S INITIALS:Q��
Planning Division
Permit Coordinator
Not Applicable
DATE: 3 -2`'
n
DUE DATE: 03-21 -02
1
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Please Route n Structural Review Required n No further Review Required .F
APPROVALS OR CORRECTIONS: DUE DATE: 04 -18-02
Approved n Approved with Conditions
Notation:
REVIEWER'S INITIALS:
Not Approved (attach comments) n
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
z
~ w
re
w
00
to
J
w 0
2
LQ
to
= d
I- _
z �
I- 0
Z 1-
U �
O 5
O I-
ul uj
• U
- r
- ▪ O
.. z
w
U=
O ~
z
STATE OF WASHINGTON )
COUNTY OF KING )
AFFCONT 1/13/00
CITY OF ►KWILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
states as follows:
1. I have made application for a building 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 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 building 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 requirement of RCW 18.27.090, I
consider the work authorized under this building permit to be exempt under No. / , and
will therefore not be performed by a registered contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to
engage an unregistered contractor to perform construction work.
" NOTARY PUBLIC in andtfor the State of Washington,
residing at
Name as commissioned:
My commission expires:
Signed and sworn to before me this
M
18.27.090 Exemptions. This chapter shall not apply to:
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 or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into and do not become a
permanent fixed part of a structure;
6. Any construction, alteration, improvement, or repair
of personal property, except this chapter shall apply
to all mobile /manufactured housing. A
mobile /manufactured home may be installed, set up,
or repaired by the registered or legal owner, by a
contractor licensed under this chapter, or by a
mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 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 $500, 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
AFFCONT 1/13/00
of the operation is made into contracts of amounts
less than $500 for the purpose of evasion of this
chapter or otherwise. The 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 is a
contractor, or that he is qualified to engage in the
business of contractor;
10. 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 by a registered
contractor;
11. An owner who contracts for a project with a
registered contractor;
12. Any person working on his own property, whether
occupied by him or not, and any person working on
his residence, whether owned by him or not but this
exemption shall not apply to any person otherwise
covered by this chapter who constructs an
improvement on his own property with the intention
and for the purpose of selling the improved property;
13. Owners of commercial properties who use their own
employees to do maintenance, repair, and alteration
work in or upon their own properties;
14. A licensed architect or civil or professional engineer
acting solely in his professional capacity, an
electrician licensed under the laws of the state of
Washington, or a plumber licensed under the laws 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 licensee is operating within the scope
of his license;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor
with wages as his sole compensation;
16. Contractors on highway projects who have been
prequalified as required by chapter 13 of the Laws of
1961, RCW 47.28.070 with the department of
transportation to perform highway construction,
reconstruction, or maintenance work.
MCS
MICRO COM
SYSTEMS LTD.
II
ATTENTION
The next image may be a duplicate of the previous image.
Please disregard previous image.