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HomeMy WebLinkAboutPermit D07-019 - NGUYEN RESIDENCE - RESIDENCE DEMOLITIONNGUYEN DEMOLITION 16227 51 AV S EXPIRED 10 -10 -07 D07 -019 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Phone: Contact Person: Name: Address: Phone: DESCRIPTION OF WORK: DEMOLITION OF 1500 SF SFR Value of Construction: Type of Fire Protection: Type of Construction: doc: IBC - 10/06 5379800340 16227 51 AV S TUKW smor City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: htty: / /www.ci.tukwila.wa.us NGUYEN DEMOLITION 16227 51 AV S , TUKWII,A WA ALBRECHT LOUIS RICHARD 16227 51ST AVE S , TUKWILA WA 98168 THI N NGUYEN 125 SW 148 ST, STE F , BURIEN WA 98166 206 241 -9984 Contractor: Name: OWNER AFFIDAVIT - THI NGUYEN Address: Phone: Contractor License No: $3,000.00 DEVELOPMENT PERMIT * *continued on next page ** D07 -019 Permit Number: Issue Date: Permit Expires On: Expiration Date: Fees Collected: International Building Code Edition: Occupancy per IBC: Steven M. Mullet, Mayor Steve Lancaster, Director D07 -019 03/07/2007 09/03/2007 $174.55 2003 0022 Printed: 03 -07 -2007 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N �Ir1i City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: httn: / /www.ci.tukwila.wa.us Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: Hauling: N Start Time: End Time: Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: Moving Oversize Load: Start Time: End Time: Sanitary Side Sewer: Sewer Main Extension: Private: Public: Storm Drainage: Street Use: Profit: N Non - Profit: N Water Main Extension: Private: Public: Water Meter: N Permit Center Authorized Signatur I hereby certify that I have read an governing this work will be oomph Print Name: Permit Number: D07 -019 Issue Date: 03/07/2007 Permit Expires On: 09/03/2007 Date: 0101 - 1 ` Steven M. Mullet, Mayor Steve Lancaster, Director permit and know the same to be true and correct. All provisions of law and ordinances er 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 or local laws regulating construction or the performance of work. am authorized to sign and obtain this development permit. Signature: Date: / 7/ - 7 jtJ 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: IBC-10/06 D07 -019 Printed: 03 -07 -2007 Parcel No.: 5379800340 Address: Suite No: Tenant: doc: Cond - 10/06 16227 51 AV S TUKW Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us NGUYEN DEMOLITION 1: ** *BUILDING DEPARTMENT CONDITIONS * ** City of Tukwila PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: D07 -019 ISSUED 01/22/2007 03/07/2007 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 4: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 5: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 6: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (206/248 - 6630). 7: VALIDITY OF PERMIT: The issuance or granting of a permit 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 ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. * *continued on next page ** D07 -019 Printed: 03 -07 -2007 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us 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 performance of work. P277/1j A) Print Name: �' I •i J6 J4 y Signature: doc: Cond -10/06 Date: 3/7/a D07 -019 Printed: 03 -07 -2007 D61/G0k-ham CITY OF TUKWILA Community DevelopmL)epartment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.ci. tukwila. wa. us 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 Address: /6 22 7 Company Name: 4407uc-- ©11J ex% Mailing Address: Company Name: Mailing Address: (:Uppiicatioro\Forms- Applications On Line\3 -2006 - Permit Apphcation.doc Revised: 9 -2006 bh 0 5t i .5D,77 K1.4Yefl el$[SC8" Suite Number: Floor: Tenant Name: New Tenant: ❑ .... Yes [ ..No Property Owners Name: /4 (/U fr 1). 'ha 1 7 • /u��L1�/� Mailing Address: !' SGJ 14T 4 T. STE. F f311.12i TAJ Wfl 9F$J State CONTACT PERSON - Who do we contact when your permit is ready to be issue Name: "7" ( t /11 • Al 4 V Mailing Address: / S"'W 1415' r 5 r 7 Contractor Registration Number: Contact Person: E -Mail Address: City City Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: King Co Assessor's Tax No.: 5 e 654 c0 Day Telephone: !Z6 -241 - iv84 State State State State Zip Zip E -Mail Address: Fax Number: GENERAL CONTRACTOR INFORMATION,- r. (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Zip City Contact Person: Day Telephone: E -Mail Address: Fax Number: Expiration Date: ARCHITECT OF RECORD All plans must be wet stamped ^by Architect of Record Zip City Day Telephone: Fax Number: ENGINEER;OF :RECORD All p lane trust be'wet stamped by Engineer of Record Zip Page 1 of 6 Valuation of Project (contractor's bid price): $� Existing Bing Valuation: $ 1i Scope of Work (please provide detailed information): e,,, a Will there be new rack storage? ❑ .... Yes 1 1 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? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ 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 ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q:Wpplications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh S; 5 4:x4.6.4. 2— s c .3 ❑ .. No If yes, a separate permit and plan submittal will be required. Page 2 of 6 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Additional medical gas inlets/outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and/or water treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas PLU i AND GAS PIPING :PERMIT INFORMATION - 206- 431467 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): Building Use (per Intl Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Q:\Appliations\Fonns- Application On Line \3-2006 - Permit Application.doc Revised: 9 -2006 bh Page 5 of 6 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. Building and Mechanical Permit 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). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing 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 AUTHORIZ /GENT: Signature: 99S Print Name: 1Jc)�- /7 y(1YeA Mailing Address: J225- 14 $ 9T 5T6 . f 9iaRi6A1 ,wt)9- '7 ,C City State Date Application Expires: Date Application. Accepted: ot 112 0.4- Q:1Applications\Forms- Applications On Line\3-2006 - Permit Application.doc Revised: 9 -2006 bh Date: V Day Telephone: - eZ4/ -99$9 Zip Staff Initials: f -11/11 Page 6 of 6 Payee: THI NGUYEN ACCOUNT ITEM LIST: Description BUILDING - RES STATE BUILDING SURCHARGE City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us RECEIPT Parcel No.: 5379800340 Permit Number: D07 -019 Address: 16227 51 AV S TUKW Status: APPROVED Suite No: Applied Date: 01/22/2007 Applicant: NGUYEN DEMOLITION Issue Date: Receipt No.: R07 -00329 Payment Amount: $ 107.56 Initials: JEM Payment Date: 03/07/2007 02:29 PM User ID: 1165 Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Check 3661 107.56 Account Code Current Pmts 000/322.100 103.06 000/386.904 4.50 Total: $107.56 doc: Receipt -06 Printed: 03 -07 -2007 Parcel No.: 5379800340 Address: 16227 51 AV S TUKW Suite No: Applicant: NGUYEN DEMOLITION Receipt No.: R07 -00081 Payee: THI NGUYEN doc: Receipt -06 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us RECEIPT Initials: BLH Payment Date: 01/22/2007 10:22 AM User ID: ADMIN Balance: $107.56 TRANSACTION LIST: Type Method Description Amount Payment Check 3631 66.99 ACCOUNT ITEM LIST: Description PLAN CHECK - RES Account Code Current Pmts 000/345.830 66.99 Total: $66.99 Permit Number: D07 -019 Status: PENDING Applied Date: 01/22/2007 Issue Date: Payment Amount: $66.99 331 01/2? 9716 V .7 k L. 367.7j Printed: 01 -22 -2007 Project l t r,1 � rl 1 JI° � T f In ection: / � r Ad lire 1 / 1 a, 5 ,e/.e S Date fled: 0 y //3 to 7 Special Instructions: Date Wanted: /) v//510 ? a.m. p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT CITY OF TUKWILA BUILDING DIVISION '•� 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 0 6) El Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: / / 7 JJ $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. 'Receipt No.: 'Date: Project: T % "dm 4, 9,.d / Type of Inspection: Date Called: S Special Instructions: D Date Wanted: a.m. ��.� INSPE• ION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit /( PER (206)43 ri rR $58.07EINSPECTION FF REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. -36 COMMENTS: Approved per applicable codes. Corrections required prior to approval. Receipt No.: 'Date: No changes shall be made to the sco o of work without prior appro oral cf Tukwila Building Bavis:3a. NOTE: Revisions will require a now plan su!imi I and may Include additional ply review fees. BUILDING DIVISION REVitWED PR CODE COMPLIANCE FEB 2 6 200! review a ... . Is subject to errors and ornIssi I of •. nstrudion documents does not authors the violation f any accepted axle or online,. Receipt RECEIVED JAN 2 2 Z007 PERMIT CENTER REVISIONS SITE PLAN 08 -30 -2007 THI N NGUYEN 125 SW 148 ST, STE F BURIEN WA 98166 RE: Permit No. D07 -019 16227 51 AV S TUKW Dear Permit Holder: 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 and/or the International Mechanical Code, every permit issued by the Building Division under the provisions of this code shall expire by limitation and become null and void if the 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 commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Building Code does allow the Building Official to approve one or more extensions of time for additional periods not exceeding 90 days each. Extension requests must be in wriinf and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 10/10/2007 , 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, Ter Marshall, Permit Technician xc: Permit File No. D07 -019 Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 ACTIVITY NUMBER: D07 -019 DATE: 01 -22 -07 PROJECT NAME: NGUYEN DEMOLITION SITE ADDRESS: 16227 51 AV S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: el l � x'01 Bui • i t g Division Pu lic Works 14 WW1 &f 0i. 2..7.(<• dl DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28 -02 '"PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP 512, -2 -R-01 Fire Prevention NI Structural Incomplete ❑ DUE DATE: 01-23-07 Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route Structural Review Required REVIEWER'S INITIALS: Li No further Review Required DATE: DATE: PlarK Division Permit Coordinator ❑ Not Applicable ❑ DUE DATE: 02-20-07 Approved ❑ Approved with Conditions Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: STATE OF WASHINGTON) COUNTY OF KING ss. \applications\8 -2004 affidavit in lieu of contractor registration CITY OF TUKWIL4 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Permit Center /Building Division: 206 - 431 -3670 Public Works Department: 206 - 433 -0179 Planning Division: 206 -431 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO.: 1 12 NOTARY PUBLIC in and fof the State of Washington, Residing at /( /ni Name as commissioned: H /(.' . A)0 14Y , states as follows: [please print] 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 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 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. IS , 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. APPLICAN Signed and sworn to before me this 71 day of AIWA , 2007 . , County. Alice A. Deac My commission expires: 6-16-OX 18.27.090 Exemptions. This chapter shall not apply to: 1. 2. 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; 3. Officers of the court when they are acting within the scope of their office; 4. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 5. 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; 6. 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 the structure; 7. 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; 8. 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; 9. 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; 10. Any work or operation on one undertaking or project by one or more contractors, the aggregate contract price of which for labor and materials and all other items is less than $500.00, such work, or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in all 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 \applications\8 -2004 affidavit in lieu of contractor registration contracts of amounts less than $500.00 for the purpose of the 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; 11. 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 then any of the above work is performed by a registered contractor; 12. An owner who contracts for a project with a registered owner; 13. 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 his 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; 14. Owners of commercial properties who use their own employees to do maintenance, repair, and alteration work in or upon their own properties; 15. 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; 16. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his sole compensation; 17. 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.