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. THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT.
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Cit of Tukwila
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Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
DEVELOPMENT PERMIT Z
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Parcel No.: 7340600961 Permit Number: D02 -118 re 2
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/ !!) City o f Tukw i l a
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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Permit Center Authorized Signature: Date: 9 —DMZ �- ;1 Z
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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 6 m
ordinances governing this work will be complied with, whether specified herein or not. 0 0
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CITY OFTUf "/ILA IZ STAFF USE ONLY .
� ,. g Permit Center 6300 Southcenter Blvd. Suite 100, Tukwila WA 98188 r , •t ,' ;t , ; ;� a � ; ' .
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Single- Family Residential Permit Application ,
Application and plans must be complete In order to be accepted for plan review.
Applications will not be accepted through the mall or facsimile.
Project Name/Tenant: „. of Construction:
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Site Address: ft Tax PaNum r: Au 6 So. r R (1,70 Number: - OcI6,1 1
Property Owner: Phone:
Street Address: City State/Zip: Fax #:
Contractor: Phone:
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Street Address: City State/Zip: Fax #: '
Architect: Phone:
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Street Address: City State/Zip: Fax #:
Engineer: Phone:
Street Address: City State/Zip: Fax #: Q
~w re Contact Person: � n s+ • 0 � Phone: - 3 .. 75 y
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Street Address: City State/Zip: Fax #:
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Description of work to be done: C , _ in
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Type of work: Q New Single- Family Residence ❑ Addition - Single - Family Residence 2
❑ Interior Remodel- Single - Family Residence . ❑ Residential Accessory Structure u_
❑ RemodelAddition to Accessory Structure ❑ Garage(s) - d
Deck(s) - Covered & Uncovered ❑ Residential Reroof _
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Is this site served by: L 1 Sewer ❑ Septic (King County Health Dept. approval required - 296 -4722) z 0
Existing Square Footage for Structure: sq. ft. Dwelling sq. ft. Covered Deck(s) w w
sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck U 0 to
Proposed New Square Footage: sq. ft. Dwelling sq. ft. Covered Deck(s) Q 1.-.
sq. ft. Garage/Carport sq. ft. Accessory Structure(s) 3 A / sq. ft. Uncovered Deck w w
Floor Area Ratio: (total floor area of all structures divided by the area of the lot) . 0
'For an Accessory dwelling, provide the,following: iii Z
Lot area Floor area of principal dwelling Floor area of accessory dwelling U 2 17- o f-
* Provide documentation that shows the principal owner lives in one of the dwellings as his or her primary residence.
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❑ Channelization/Striping ❑ Curb cut/Access/Sidewalk ❑ Fire Loop/Hydrant (main to vaulty*: 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 #: ❑ 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- 1 � : "`' ''`` �.,'
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- , • ....1
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 gamin”
be extended more than once. ;. ` y' -
il Date application accepted: Date application expires: Appllcatlo en b : (initials) � : mumi
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PLEASE SIGN BACK OF APPLICATION FORM l'.''.,;
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SFPERMIT.DOC 2/13/97 A
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ALL SINGLE - FAMILY RESIDENT! ,, PERMIT APPLICATIONS MUST BE S BMITTED WITH THE FOLLOWING: •
DRAWINGS PREPARED BY'. .REGISTERED ARCHITECT OR PRO 3SIONAL ENGINEER MAY BE
REQUIRED BY THE BUILDING OFFICIAL
AL1. 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-118). 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); z
show proposed and existing power, water and sewer lines, existing storm drainage system,
downspouts and foundation drains, and where drains tie -in. 1-- w
7. Parking plan. 2
8. Lowest building elevation (if in Flood Control Zone). _J 0
9. Estimated /proposed topography at 2' intervals and proposed elevation of lowest floor level. u) o
10. Identify location of sensitive areas slopes 20% or greater, wetlands, watercourses and their buffers. w =
11. Identify location and size of significant trees that are located in sensitive areas and buffers or the -I 1--
shoreline zone. Of those, identify which are to be removed (Title 18, City of Tukwila Zoning Code). L o
1 Identify location of high watermark of the Green /Duwamish River if site is located within 200' of the 2
high water mark.
13. See Public Works Checklist for detailed site plan information required for Public Works Review (Form U- a
H -9). = d
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❑ ❑ Foundation plan and details z
❑ ❑ Floor plan • . z o
❑ ❑ Roof plan W Li
❑ ❑ Building elevations (all views) o N
❑ ' ❑ Building height o f_
CI ❑ Building cross - section 1 0
❑ ❑ Structural framing plans and details necessary to completely describe construction u-
❑ ❑ Washington State Energy Code Data (Gas/Electric/Oil/Propane/Heat Pump) Form H -15 available. Lii c
at Permit Center OR Prescriptive Heating System Sizing Chap 9 Form H -6. o 1-
❑ ❑ Complete Land Use Applications If not previousiy submitted (i.e., Reasonable Use Exception, z
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 orthe 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 ". �" =a
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Building:Owner /AUthorized A ant Yi applica t k rith�r ., t kn :tt l e, ow, h e r, registered ert;hlteceng 'eel;: t contractor licensed t ;
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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.
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6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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RECEIPT , ;� z
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Parcel No.: 7340600961 Permit Number: D02 -118 U o
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Address: 13258 40 AV S TUKW Status: PENDING W =
, Suite No: Applied Date: 05/02/2002
Applicant: JOHN B. STETSON Issue Date: . to u
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doc: Receipt Printed: 05 -03 -2002 [
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INSPE ION NO. PER A N a . - F-
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CITY OF TUKWILA BUILDING DIVISION '''' A • •, u j 0
6300 Southcenter Blvd., #100, Tukwila, WA 981 88 (206)431-3670 .
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El $47.0 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be , i*, A
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. P:44 nqi-0, .
Receipt No Date:
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INSPE ON NO PE' T NO LU
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6300 Southcenter Blvd., #100, Tukwila, WA 98188 '(206)431 -3670 I
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Inspect • Date: A. Y l2f.l P e97-, 1 7 1 --0 - C3
El $47.00 REINSPE ION FEE REQUIRED. Prior to inspection, fee must be . _ Y -
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INSPECTION NO. PERM" , .. N �. CO u
CITY OF TUKWILA BUILDING DIVISION a c's, •* 1N f. uj
6300 Southcenter Blvd., #100 Tukwila, WA 98188 ( 06)431 -367
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'. 4 ' r ' INSPECTION NO 9 / PERMIT NO. •
CITY. OF TUKWILA BUILDING DIVISION QQ 5
'6300 Southcenter Blvd, #100, Tukwila, WA 98188 (206)431 -3670 , LL j
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THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT
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1 .- i'' ' 1... '...-- _'-.. • ' `....; [ ; fr ...-'L , f NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEARMAN
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° City of Tukivil a Steven M. Mullet, Mayor
a: 2 Department of Community Development Steve Lancaster Director '
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1908
September 3, 2003 \
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Kathy Stetson V o
13258 40th Avenue South
Tukwila, WA 98168
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RE: Permit Application No. 002 -118 u_
13258 40th Avenue South W O
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila u
Building Division. Per the Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the = W
Building Official under the provisions of this code shall expire by limitation and become null and void if the Z =:
building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if _
the building or work authorized by such permit is suspended or abandoned at any time after the work is I— O
commenced for a period of 180 days. W
Based on the above, you are hereby advised to: U
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• Call the City Of Tukwila Permit Center at (206) 431 -3670 to arrange for the next or final CI I—
inspection. = w
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This inspection is intended to determine if substantial work has been accomplished since issuance of the permit u- O
or last inspection; or if the project should be considered abandoned. Z
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If such determination is made, the Building Code does allow the Building Official to approve a one -time =.
extension up to 180 days. Extension requests must be in writing and provide satisfactory reasons why 0 t"
circumstances beyond the applicants control have prevented action from being taken. Z
In the event you do not call for the above inspection or request and receive an extension prior to October 5,
2003, 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, •
{ Stefania pencer .
Permit Technician
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Xc: Permit File No D02 -118 1 t.- 1.
Bob Benedicto, Building Official
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6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206. 431 -3665
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' ''I City o Tukwila ' ' ; Steven M. Mullet, Mayor
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:-� 10 N�.. �` o;��'` 2 - Department of Community Development Steve Lancaster, Director
1908 _ - --
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i ERMIT COORD COPY
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PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D02 -118 DATE: 5 -02 -02
PROJECT NAME: STETSON RESIDENCE z
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SITE ADDRESS: 13258 40 AVENUE SOUTH �° re 6
XX Original Plan Submittal Response to Incomplete Letter # 0 p
to 0
{ Response to Correction Letter # Revision # After Permit Is Issued w =
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TUES /THURS ROUTING:
Please Route Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE: .
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APPROVALS OR CORRECTIONS: DUE DATE: 6 -04-02 '
Approved ❑ Approved with Conditions (V( Not Approved (attach comments) ❑
Notation: I
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REVIEWER'S INITIALS: DATE: %? s`
Permit Center Use Only ,,
CORRECTION LETTER MAILED: ; 3} •- ,�:,, ,.
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: -,li` r`' <' .
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PERMIT COORr r "
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RECEIVED
CITY OF TUKWILA
MAY 0 2 2002
PERMIT CENTER
. FRI COPY
I understand that the Plan Check approvals are
subject to errors and omissions and approval of
plans does not authorize the violation of any
adopted code or c rd nancE . Receipt of con -
3 8 / tractor's copy of approved plans acknowledged.
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