HomeMy WebLinkAboutPermit D07-352 - NGUYEN RESIDENCE - GARAGE DEMOLITIONNGUYEN RESIDENCE
12055 44 AV S
D07.352
Parcel No.: 3347400420
Address: 12055 44 AV S TUKW
Suite No:
Tenant:
Name: NGUYEN RESIDENCE
Address: 12055 44 AV S , TUKWILA WA
Owner:
Name: NGUYEN THANH D
Address: 12055 44TH AVE S , SEATTLE WA 98178
Phone:
Contact Person:
Name: THANH NGUYEN
Address: 12055 44 AV S , TUKWILA WA 98178
Phone: 206 551 -7463
Contractor:
Name: OWNER AFFIDAVIT - THANH NGUYEN DAT
Address:
Phone:
Contractor License No:
doc: IBC-10/06
Citysf 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
DEVELOPMENT PERMIT
Permit Number: D07 -352
Issue Date: 09/14/2007
Permit Expires On: 03/12/2008
DESCRIPTION OF WORK:
DEMOLITION OF 1020 SF DETACHED GARAGE (REFERENCE EXPIRED PERMIT D06 -187)
Value of Construction: $1,500.00 Fees Collected: $37.90
Type of Fire Protection: International Building Code Edition: 2006
Type of Construction: VB Occupancy per IBC: 0026
* *continued on next page **
Expiration Date:
D07 -352 Printed: 09 -14 -2007
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
City c 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
Fire Loop Hydrant: N Number: 0 Size (Inches): 0
Flood Control Zone:
Hauling: N Start 'rime: 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:
Permit Center Authorized Signatur
I hereby certify that I have read an
governing this work will be complie
doc: IBC -10/06
N
Permit Number: D07 - 352
Issue Date: 09/14/2007
Permit Expires On: 03/12/2008
Date:
ut. I
ed this permit and know the same to be true and correct. All provisions of law and ordinances
, 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. I am authorized to sign and obtain this development permit.
! 7 '
Signature: 4 A1 4/ 9 479 7 --- Date: 9 / 4 a 7
Print Name:
-ow, An-/ t/ C `J N J /
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 -352 Printed: 09 -14 -2007
Parcel No.: 3347400420
Address:
Suite No:
Tenant:
12055 44 AV S TUKW
NGUYEN RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
doc: Cond -10/06
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
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
D07 -352
ISSUED
09/12/2007
09/14/2007
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 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: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila
Permit Center.
7: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206 - 431 - 3670).
8: 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 -352 Printed: 09-14 -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.
Si
Print Name: T €-/
doc: Cond -10/06
�i /c 'yam✓ )
Date: 9i C. 7
D07 -352 Printed: 09-14 -2007
SITE LOCATIO
Site Address: / .? 0 h S
Tenant Name:
Property Owners Name: /,<7 /./ t -' t(/ C -' ✓ e
Mailing Address: (2 o 6 6 4- 4 /4 ✓ S
o do we contact when your permit is ready to be issue
Name: 77-64tc/ (,J 6/ a c/
Mailing Address: t 2-0 S LI'
E -Mail Address:
GENERAL CONTRACTOR INFORMATION
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
ARCHITECT OF RECORD — Ml plans must be wet stamped by Architect of Recor
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
�T GINEER'OF RECORD All plans must be wet stamped by Engineer of. Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
CITY OF TUKWIL4
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.cLtukwila.wa.us
Q:Mpplications\Fottns- Applications On Line\3 -2006 - Permit Application.doe
Revised: 9 -2006
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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**
P , /E
44\ k
TtrktAt - v u - \N
T V .L 5 J(-cc o 04 �5
Gf t t3 2 � ` tri 5
TA U
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: El .... Yes El ..No
City
Day Telephone:
City
Fax Number:
City
Day Telephone:
Fax Number:
Expiration Date:
- l
State p
w,� t 7�
State
P) SS/ 43
kAi A IS 1ob
City State Zip
Day Telephone:
Fax Number:
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 6
Valuation of Project (contractor's bid price): $ 69
Scope of Work (please provide detailed information): 31- (h.Q L-rT ii Ai Ti4- F = p
YAkT A)14--
30 y-
rtoU tuc i vc.4 ?Pe
Will there be new rack storage? ❑.... Yes
Existing Building Valuation: $ IPTD. v D
❑ .. No If yes, a separate permit and plan submittal will be required.
' rovide All Buildm
quareFootage Belo
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:\Applications\Fonns- Applications On Line\3 -2006 - Pennit Application.doc
Revised: 9 -2006
bh
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
PLUMBING AND "GAS" PIPI INFORMATION = 206 -4
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Day Telephone:
Fax Number:
Expiration Date:
Contact Person:
E -Mail Address:
Contractor Registration Number:
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:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Page 5 of 6
P RMTT APPLIIGAT'lON N+
rmits in this
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.
Signature:
Print Name:
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 AGENT:
Mailing Address: l7,0 5 L( 9 ( s
Date: f , q a -7
Day Telephone: CQ,IG SS 7 Y
` C..
t/- s
City State Zip
Date Application Expires: 0 ,,A (2 +
Date Application Accepted:
Q:\ApplicationsWorms- Applications On Linel3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Staff Initials:
Page 6 of 6
Project:
j 'v AZ A)
Type of Inspection:
/-- 4 l \ )
Address:
_1z V4
Date Called:
Special Instructions:
Date Wanted:
y — ,� —o�
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION g
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
f . Approved per applicable codes. JJ Corrections required prior to approval.
1 COMMENT2) »( r si f. A i/ 4
P T M; / 4,-)1410/ 71;;;t1
l)o7-3SZ
spec ; r: Date:
4i44S, / .t,,hf
1 / — / _ve
.00 REINSPECTION FE REQ ED. Prior to inspection, fee must be
aid at 6300 Southcenter Blv uite 100. Call the schedule reinspection.
'Date:
f
March 11, 2008
Thanh D Nguyen
12055 44 Av S
Tukwila WA 98078
RE: Permit Extension
Development Permit No. D07 -297
Development Permit No. D07 -352
Plumbing/Gas Piping Permit No. PG07 -241
Nguyen Residence —12055 44 AV S
Dear Mr. Nguyen,
This letter is in response to your written request for an extension to Permit Nos. D07 -297, D07 -352, and
PG07 -241. The Building Official has reviewed your letter and considered your request to extend the
above referenced permits. The City of Tukwila Building Division will be extending the expiration date
of your permits an additional 180 days, through September 31, 2008.
If you should have any questions, please contact our office at (206) 431 -3670.
Sincerely,
J ni er Marshall
e t Technician
File: Permit No. D07 -297, D07 -352, PG07 -241
P:\Permit Center \Extension Letters \Permits\2007\D07 -297+ Permit Extension.doc
Page 1 of 1
jem
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
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02 -12 -2008
THANH NGUYEN
12055 44 AV S
TUKWILA WA 98178
RE: Permit No. D07 -352
12055 44 AV S TUKW
Dear Permit Holder:
City of Tukwila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the
Building Division under the provisions of the 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 issuance, 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 fmal 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 International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does
allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests
must be in writing 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 03/12/2008 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
fer Marshall
Pet Technician
xc: Permit File No. D07 -352
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
DE'ARTM NTS: 0,o1
B ilt;1ng Division 44
Public Works ❑
PERMIT COORD COPY`
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D07 - 352 DATE: 09 -12 -07
PROJECT NAME: NGUYEN RESIDENCE
SITE ADDRESS: 12055 44 AV S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Issued
DETERMINATIQN OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROU ING:
Please Route Structural Review Required
REVIEWER'S INITIALS:
Documents/routing slip.doc
2 -28-02
APPROVALS OR CORRECTIONS:
Fire Prevention
Structural
Incomplete
n
Planning Division
❑ Permit Coordinator
n
n
DUE DATE: 09-1 3-07
No further Review Required
DATE:
DATE:
Not Applicable n
DUE DATE: 10-11-07
Approved n Approved with Conditions Not Approved (attach comments) r7
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
fl fQA/ 1 —/
ss.
\applications\8 -2004 affidavit in lieu of contractor registration
APPLICANT
Residing at
CITY OF TUKWILA
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.: VIA 51--
N G s/ e r')
[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
1 8.27.090.
states as follows:
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.
77=2 '
Signed and swom to before me this
y Sei* rnbe r
day of , 200 7.
N •' AR PUBLIC in and for the State of Washington,
C
/v7V , County.
Name as commissioned: ze / aJe /t°
My commission expires: 05--a. 0
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;
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 fumished 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.
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Permit No.
F an review approval is subject to errors and omisSio
i ci =1:1-ruction documents does not authoring
the c; c % `ccepted code or ordinance. Receipt
of apprc.ci : : :� C� - c -d conditions is ecknolvledged:
By I 2/
Date: q 14
a 7
City of Tukwila
BUILDING DIVISION
Z
SEP 13 2007
Of Tukwila •
BUILDING DIVISION
Ci
RE�iTEWED FOR
r
tal
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees.
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