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Permit D07-133 - WALKER RESIDENCE - SHED AND GARAGE DEMOLITION
WALKER DEMOLITION 4208 S 124 ST EXPIRED 05 -12 -07 D07 -133 Parcel No.: 0179000105 Address: 4208 S 124 ST TUKW Suite No: Tenant: Name: WALKER RESIDENCE Address: 4208 S 124 ST , TUKWILA WA City of Tukwila Owner: Name: WALKER FREDERICK E Address: 4208 S 124TH ST , SEATTLE WA 98168 Phone: Contact Person: Name: FREDERICK WALKER Address: 4208 S 124 ST , TUKWILA WA 98188 Phone: 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 Contractor: Name: OWNER AFFIDAVIT - FREDERICK WALKER Address: Phone: Contractor License No: DESCRIPTION OF WORK: DEMOLISH 500 SQ FT SHED /GARAGE. doc: IBC-10/06 DEVELOPMENT PERMIT * *continued on next page ** Permit Number: D07 -133 Issue Date: 04/12/2007 Permit Expires On: 05/12/2007 Expiration Date: Steven M. Mullet, Mayor Steve Lancaster, Director Value of Construction: $100.00 Fees Collected: $52.35 Type of Fire Protection: International Building Code Edition: 2003 Type of Construction: VB Occupancy per IBC: 0026 D07 -133 Printed: 04 -12 -2007 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N 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 Permit Number: D07 - 133 Issue Date: 04/12/2007 Permit Expires On: 05/12/2007 Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: Hauling: N Start Thee: 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 Signature: doc: IBC-10/06 Print Name: 1 Q I � ,% 42f ez- LJ4 4I<i ' _ Date: 4-" IT -0 1 Steven M. Mullet, Mayor Steve Lancaster, Director 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 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. I1 am authorized to sign and obtain this development permit. Signature: e . ct Date: �— - — a 7 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. D07 - 133 Printed: 04 -12 -2007 Parcel No.: 0179000105 Address: Suite No: Tenant: doc: Cond -10/06 4208 S 124 ST TUKW WALKER RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 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 PERMIT CONDITIONS 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 construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be obtained at City Hall in the office of the City Clerk. 6: 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 ** Permit Number: Status: Applied Date: Issue Date: D07 -133 ISSUED 04/12/2007 04/12/2007 D07 -133 Printed: 04 -12 -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 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 construction or the performance of work. Signature: Print Name: Pair b /Ede.' doc: Cond -10/06 D07 -133 Date: 1—/2 —0 7 ordinances governing or local laws regulating Printed: 04 -12 -2007 CITY OF TUKWILA Community Developmelepartment 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 ** King Co Assessor's Tax No.: Site Address: 4Z 0 S0 /a 7W ST Suite Number: Floor: Tenant Name: New Tenant: 0 .... Yes 0 ..No Property Owners Name: / I i/Z !c t Mailing Address: 5 8 07 S 69 S7' 39C40/14.51 City Day Telephone: city Fax Number: Name: i ie X- (1J4- I tZ - c 44 5� / State Zip I CONTACT PERS o do we contact when your permit is ready to be issue Mailing Address: 5430 7 SO (.9A-f/_4£.5 S7 E -Mail Address: -.Ike 4femng Yi4 1./ O0 2,0 x,6 State Zip GENERAL CONTRACTOR INFORMATION - (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: State Zip City Day Telephone: Fax Number: Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Recor Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: Zip Contact Person: E -Mail Address: Q:\Applications\Fonns- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh State State Zip City Day Telephone: Fax Number: Page 1 of 6 Valuation of Project (contractor's bid pi $ Existingding Valuation: $ Scope of Work (please provide detailed information): )j opt p Q W SNP It 471/4 . Will there be new rack storage? ❑ .... Yes .. No If yes, a separate permit and plan submittal will be required. -ea s tnl uare 9.s All Building "Mtingtnh 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 ofmaterials 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:1Applications\Forms- Applications On Line \3-2036 - Permit Application.doc Revised: 9 -2006 bh Page 2 of 6 Fixture Type Qty ;Fixture Type: , Yp Qh' - Fixture Type: yPe Qh' 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 PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 -431 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 Int'l Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Q: Applicuions\Forms- Applications On Line n -2006 - Permit Appliation.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 AUTHORIZED AGE �� Signature: re.4 �:i`—� —� Date Application. Accepted: /2 —o 7 Q: Applications \Forns- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh City Date: 1 /Z — 7 Print Name: eeici d JL LAM L IC /e....._ Day Telephone: 2 O k G26 �/ •2.3 (3 Mailing Address: 58 ©7 Sa O re..4E 5 S - 71 eo4.4..4 . 1.41,4 Frilo ' State Zip Date Application Expires: /e)—/Z -O2 Staff Initials: Page 6 of 6 Project name ' :4? # / alakex Address 420 5i / 4' Description of work - a 64046g Related reference number The above project permit applicant, due to the limited scope of work is authorized to submit reduced plan requirements described below. 1. Complete permit application required: (Note, all application must include; 1) property assessor number, 2) copy of contractors license or completed owner waiver form.) Building / Mechanical Other 2. Minimum plan and /or specification requirement: Site plan Floor plan Elevations Foundation Cross sections Roof plan W.S.E.C. Compliance Narrative Structural calculations (stamped by Washington State licensed engineer ) Specific required information •(k.�' , l .. Z.--- 3. Other special instructions: iCAL /) $ Authorization by, TBD36 /96 -form 12 Citysf Tukwila Permit Center 6300 Southcenter Boulevard, Suite, 100 Tukwila, WA 98188 (206 431 -3670) ALTERNATE PLAN SUBMITTAL AUTHORIZATION FOR LIMITED SCOPE OF WORK I.B.C.& I.R.C. Section 104.1 Application # D cl-P?3 .sl ,y�� Date 4 `"1" (Authorization void 30 days after the date issued.) Parcel No.: 0179000105 Permit Number: DO7 -133 Address: 4208 5 124 ST TUKW Status: APPROVED Suite No: Applied Date: 04/12/2007 Applicant: WALKER RESIDENCE Issue Date: Receipt No.: R07 -00558 Initials: BLH Payment Date: 04/12/2007 01:12 PM User ID: ADMIN Balance: $0.00 Payee: FREDERICK WALKER TRANSACTION LIST: Type Method Description ACCOUNT ITEM LIST: Description Payment Cash 52.35 BUILDING - NONRES PLAN CHECK - NONRES 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 Account Code Current Pmts 000/322.100 000/345.830 000/386.904 RECEIPT Payment Amount: $52.35 Amount 29.00 18.85 4.50 Total: $52.35 7049 04/12 9716 TOTAL 52.35 doc: Receipt -06 Printed: 04 -12 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 STATE OF WASHINGTON) ) ss. COUNTY OF KING ) \applications\8 -2004 affidavit in lieu of contractor registration Residing at KIP j Name as commissioned: My commission expires: AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION Fggb 041 E . UM- c- / , states as follows: [please print] 1. I have made application for a building permit from the City of Tukwila, Washington. PERMIT NO.: P 01— I53 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. 1 , 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. AP LICANT Signed and swom to before me this day of 4/ 3 2/L NOTARY PUBLIC in and for theState of Washington, Permit Center /Building Division: 206 -431 -3670 Public Works Department: 206 - 433 -0179 Planning Division: 206 -431 -3670 , County. Alice 4. J. ea 6 -/6 -08 cr , 20 t>7 . top 18.27.090 Exemptions. This chapter shall not apply to: 1. 2. An authorized representative of the United States Govemment, 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 by chapter 13 of the Laws of 1961, RCW 47.28.070 with the department of transportation to ,, highway construction, reconstruction, or maintenance work.