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HomeMy WebLinkAboutPermit D97-0287 - WOODALL RESIDENCE - BATHROOMCity of Tukwila Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES, APPLICANT IS PROCEEDING AT THEIR OWN RISK. Parcel No: 334740 -0245 Address: 11838 42 AV S Suite No: Location: Category: ASFR Type: DEVPERM Zoning: LDR KR315E 102304 Const Type: V -N Gas /Elec.: Units: 001 Setbacks: North: .0 South: Water: TUKWILA Sewer: Wetlands: Slopes: Contractor License No: Permit Center Authorized Signature The granting of this permit cancel the provision of any or the performance of work. development per Signature:_ DEVELOPMENT PERMIT Occupancy: UBC: Fire Protection: .0 East: .0 West: SEPTIC N.,. 2,000.00 Permit No: Status: Issued: Expires: Time: No: Private: Streams: OCCUPANT WOODALL PRESTON 1183 AV S, TUKWILA WA 98168 OWNER SMITH MARIA T 11838 42ND AVE S, TUKWILA WA 98168 CONTACT PRESTON WOODALL 17 SYLVESTER RD SW, BURIEN:WA 98166 ********* 9r***9c*• k it*9t4c ** * *** ** * **ik** ******* *****• k** *** **** *** *tk** * ***ik*** *fir **** ** ***** Permit Description: ENCLOSE, STAIRWAY AND ADD TOILET AND SHOWER IN EXISTING LAUNDRY ROOM.. ********************************************************* * * * * * *•k * * * * * * ** * * * * * * * * *•k•k* Construction Valuation: $ PUBLIC WORKS PERMITS:. *(Water Meter Permits Listed Separate) Eng. Appr: Curb Cut %Access /Sidewalk /CSS: ; Fire Loop Hydrant: No: Size(in) : .00 Flood Control Zone: Hauling: Start Time: Land Altering: Cut: Landscape Irrigation: Moving Oversized Load: Start Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main: Extension: Private: Public: ********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** TOTAL DEVELOPMENT PERMIT FEES: $ 169.46 ***************************************************** ** * * * * * * * ** * * * * * * * * * * ** * * * * * * ** )?,h t 206)762 -4475 Phone: 2O6631-0294 Time: Fill: End 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. does not presume to give authority to violate or other state or local laws regulating construction am -authorized to sign for and obtain this Date: End Time Public: (206) 4313670 D97 -0287 ISSUED 09/17/1997 03/16/1998 DWELLING 1994 N/A .0 Date: Q_'1r_1 ^q__1_ Print Name -E . -- 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. CITY CE TUK41ILA' Address 11838 > ;4 erm i t No; D97 0287 : 5.t e; Te nan t": Status: ISSUED Type DEVPERM Applied" 09/02/1997 Parcel # , 334740. -0245 ° Issued: 09/17/1997 ** k:**** k*******'**' k*** k****' k,*******"**'**' k*** k***' k**• k* * *** * *•k *b•k **•k *k *"•k * * Permit.Condi:tions No change :will, . be: made to " the Plans unless ; approved" by the Archite .or En and I : Division. Plumbi permits shat 1.,....-.;b, 5ob` t `thr,tiugh: t Seatt "le - King County` Department pf Rub l'i c Health P l umb ing ,w i 1 l b e. inspected .b tht= agency in all as p pi ing (296 472 2) .::.,:-.!::::,'-',..;`,':.,'!:1',"'''''' Ele`ctrical pri "'ts s f al l�' "b`e obtained. ; thr o ugh the Wa Late .Div li n o f L or,, .`' S �' ` S a�uu s.� aj� and "In�iustr an•o al l al work W , ' i " peo t' ed ; by e t h a •t 'age ny (248 h'- 663"D.) . . 11 mech i j i c a r l. work e Ti be y under separate, pertim�i tj. i ss�ied ` by he C t.y.-of T ukw"i l a �� � . �:- .A1 1; pehni ts ins ion pect records and, approved ; 'p la n s sh all ti 'be ava,il.ab }le,i�at the; job; sit;e _or to the. start of co .any n. struction `?J documents are to be maintai "n ed. and avail ab1`e. un tzifl'fin a:J i nspection appro•val? is granted Any a posed' insulations "'baa material sh a11 "havena Flame � Spread Rating of 25 °or `:Less, ' and material• be -shall ar i' denti- k, :O.; di,qi showingftha, f.ire'11e;rformance thereof:••.. All ii o"n t o . dornki corifor•,niance, with approved p a s and" r,equ i i ements of tip, Un iAaii m'.B l.d. >i ng Code ( 1 ,p,4 , 4�c : Edition) oa'i a• fended, : -Un l:f or i"� Mechanical Co (1994 Edi tion) , t ; q4 andi{ Stat Ene C ode '()199 "4 Edition) . ',;. { Val �, t ofi # �Per�mit. . T :heuf-issuancef F of -fa per nii-t or , appr ova1 :Jof ' p sp e cif ications, and compi.' ationsjshallt; be con- strued to p p permit f or ari ap �idiri odps oval of ` , stir any ci f v any. " iol at ion ,s�r oi: ar yofi t;h e� rovision of . the bui f'` other ,o of : the j ur i sd i ct� i`on`: r No p ek'r �t „presumin'g .,, .give a l t,hority . to " " v =iolate. or cancel �the t .ons' of this r �, code sh tl:be valid; 1 . a l rt r Project Name/Tenant: U V o a dC/ 1 Res -( Value of Con c D Site Aid -" , (� Cit Sta)eZip: / 4� I/ 5� J r f ,3 Tax Parcel Number: ',D f74- o . ` i 4 Property Ownef: p , ,,„ f R r_ X7 «f / D>if, y /(o �f ��4 -�'D/t I- �- Phone: A 0 404 r Street Address: rti / Floor Area Ratio: (total floor area of all structures divided by the area of the lot) r 7 t.. Fax #: � s , City State ip: Contractor: / s; �/�G ' ,t I L _ 8S ity e 4/ U CX/J vL 9F// Phone: Fax #: Street Address: V 'Z c { Architect: / 0 Phone: / . ,,l c/ Street Add a s: ity St: te/Zip: Fax #: Engineer: .74414-1/L-/ fan- Phone:,/ / a 0.9_ Street Address: City State /Zip: Fax #: Contact Person: Phone: (74 , j ., Street Address� , / r 3 , , / Cit e2iga Fax #: Description of work t � DS G ��� / I fr p �(L.. I-1 - f" S do V�I R - t & Type of work: ❑ New Single - Family Residence LI 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: ❑ Sewer Septic (King County Health Dept. approval.required - 296 - 4722) , Existing Square Footage for Structure: L ' 7 sq. ft. Dwelling tn sq. ft. Covered Deck(s) sq. ft. Garage /Carport f — '1'0 sq. ft. Accessory Structure(s) 6 sq. ft. Uncovered Deck Proposed New Square Footage: j4, s ft. Dwelling sq. ft. Covered Deck(s) sq. ft. Garage /Carport sq. ft. Accessory Structure(s) 0 sq. ft. Uncovered Deck Floor Area Ratio: (total floor area of all structures divided by the area of the lot) r 7 t.. *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. CITY OF TUKWILA Permit Center C 6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188 (206) 431 -3670 FOR STAFF USE ONLY Single- Family Residential Permit Application e, Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mall or facsimile. Date applica SFPERMIT.DOC 2/13/97 APPLICANT REQUEST. FOR :P,UBLIC WORKS SIT,E/CIV(4:PLAN THE.FOLLOWIN (Additional reviews shall be determined by:the:Publlc Works Department) ❑ Channelization /Striping ❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: ❑ 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- 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. PLEASE SIGN BACK OF APPLICATION FORM Date application expires: .L..J Size(s): BUILDING OW • OR AUTHOR ' ED , G 1/ li Signature:.. I Date: Print name: 7 r- 5 r 4 ^ 1 ®o QA- L L Phone, ` ,A0 0 D(f'I h 0 J Fax #: Address: / ,O J City /S�at i • wo gie! 6(.. ALL SINGLE- FAMILY RESIDENT 4 L PERMIT APPLICATIONS MUST BE SUBMITTED WITH THE FOLLOWING: • DRAWINGS PREPARED B .4 REGISTERED ARCHITECT OR PR ESSIONAL ENGINEER MAY BE REQUIRED BY THE BUILDIING 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 -11a). 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. 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. SFPERMIT.DOC 2 /13/97 * *:'kk ** * * **k,kkkhk *k *kk * * * ** * *kkt * * * * * *k * *k*4 * * * ***. * "k'�k4 * k ** Lr.1 Y QF TUKYIII A`;, WA 1 RANI,MI • h'k**kk.k*** **k*•* ********* * * * ** * ** E * * * * ** . * **F*k . * *•* TRANSMIT Number:. R970.0636 Amount: ' 169.46 09/02/97 17:19 Payment Method: CHECK .` Notation LEAST LI;fE .INC Init. KJP` Permit No D9?- 0287:.'" Type: <DEVPERM DEVELOPMENT .PERt4IT Parcel No: "' 334740- •0245. Site %Address :. 11838 42 AV 8 • Total Fees: : 169..46 169.46: Total ALL Pmts :. 1.69.46 8al:ance: .00 * * ** * * * * * * *A * * * * * *1 * * *4 #c i• *4; * *A " , * * *i *1 ** **'.* * * ** * * * * * * * * * * *1* ** Account Code Description Amount 000/322.100 BUILDING - RES. 1:4.50 000/345,830 PLAN CHECI( -- RES 40.46: 000/386.9.04 STATE BUILDING SURCHARGE 4.50 :37 09/04 9717 TOTAL RECEIVED SEP 0 "5 1997 OPMENT INSPECTION RECORD Retain a copy with permit INSPECTION NO CITY. OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188A Approved per applicable. codes. COMMENTS: PERMIT NO. Project: Date called: 1 -3670 Corrections required prior to approval. Inspector: Date: 1 1 $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Project z-- _ .4.- i ‘ 1 • 1 • r A-°"" 1)--K- Type of inspeglion: i . Address. 38 9 i.. $3 — al Av-e- S. Date called: LA . I _cg Special instructions: • Date wanted: LA - a0-93 .m. 9 Requester? Phone No.: ■ • • INSPECTION NO," ' CITY OF TUKWILA BUILDING DIVISION 6300:Soutticeriter Blvd., #100; Tukwila, WA 98188 Approved per applicable codes. ergrzmwrg INSPECTION RECORD Retain a copy with permit ;no' • * • v* „ PERMIT NO. (206) 431-3670 Corrections required prior to approval. eN.1-011.—S Date: 2 4)2 .6 1% $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd„ Suite 100. Call to schedule reinspection. Receipt No.: Date: , • . INSPECTION RECORD' .' Retain a copy with permit' INSPECT I i N NO. CITY.OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd:, #100, Tukwila, WA 9818 Project:: \11 _ Address: '4Z ., Special instructions: Approved per applicable codes., Type of inspection:i^ Date called: Date wanted: Requester: .. Phone No.: Corrections required prior to approval. COMMENTS f Inspecto (206) 431 -3670 Date: 41 i $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection; Receipt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION - 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit L,A0 D i'� P ►°a Lr J of. Tn„Z S yn t;\. Project: pp Type of inspection: Address: Date called: Special instructions: Date wanted: . a. Requester: ,i Phone No.: Corrections required prior to approv COMMENTS :. Inspector: CC'S Date: $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must . be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300. Southcenter Blvd., #100, Tukwila, WA 98188 Project: (/ / tj�'.` ^p ,e f in ` spec ton: � (/��.. ��- li �i''1/L„ � � 41.1 'late �1� � ��vll lnl. { Address: ate c Ilg3� �a AV $ 6a )CPy`1 Special instructions: Date wanted: q a.m J�:3 - �/ p.m. Requester: /� / , ter , ` Phone No. T Approved per applicable. codes. I Corrections required prior to approval. COMMENTS: Inspector: INSPECTION RECORD Retain a copy with permit Date: i7-c0E7 PERMIT NO. (206) 431 -3670 F% $42.b0,.$2INSPECTION EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Project. ..i.-\ \.9.1 . - ' Type of inspector 9: p Address i s. 3 n Av LS . , :_� Dae called: t d Date 07`3---i Special instructions: ' 'Date wanted: f 2 a:m. 04'01-> 1 Ck: p.m. Requester: 4--- ):2117)9 wlA- Phone Q (N� 3I 0--3,87 COMMENTS: Co INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., 1100, Tukwila, WA 98188 r . [] Approved per. applicable codes. 21-Corrections required prior to approval. 12c5 v l Cf 42Ali rr� 0 / ?,. /5'0 $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd„ Suite 100. Callao schedule reinspection, Receipt No.: Date: 97 -OPR7 PERMIT NO. (206) 431 -3670 Date: / 1 INSPECTION NO. CITY. OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 9818 COMMENTS: Inspecto Approved per applicable codes. Project: (�1fSQ fil (f Type of inspectior,L , ��VN( Addr � , 4 2 Date called: (Z 1:1:2—/1 q Special instructions: Date wanted: ( a.m. ` ( 1 .m. Requester: � V Q c,. L'') Phone No.: ... - 24( 4 9 / 2 Corrections required prior to approval. Date: '" il�i l'I f 7, 2e3 -- �f / J $42.00 REINSPECT! FEE REQUIRED. Prior to Inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: PERMIT NO. (206) 431 -3670 Project. _Q jJ U yes o� (,YJC Type of insprii ` Add Date called: Special instructions: Date wanted: I C p, u t I t .. Requester tio no t iiin Phone No.: ? 4(p cji ,„ � I INSPECTION RECORD Retain a copy with permit INSPECTION NO. .. CITY OPTUKWILA BUILDING DIVISION 6300. Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable; codes. Receipt No.: COMMENTS: NO. (206) 431 -3670 Corrections required prior to approval. $42.00 REINSPECTION FEE ''REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 1 COMMENTS: /� � e G( / . A o j ` i -e-a 0, et ,,, /-1.1 1 g., /o,4 Apee. /S____ 61 e x 4_e? `•-1* 6/at-Jr r 7 -- ha4,44. 4041 1,...e.4 11 5 ce..41,p, 4a-rms, /1 wanted: 11) ,pP 01 x P Taal., *4 i ,t A (0 /-0 yx.0,,h-fr, vxmo j-0,-s e___ etAL, coue-L.4-, 0 A-4 ed 2 ..-- 30(// Q ‘.51.) Plat).- G I-- /`r:' 46 1-2.010 � io' AIM rt.�a7 17-0 Project:p /� � e G( / . A Type of inspection r.. ° j ` Address: �� 58_ Date Date called: /2 7 �.�J Special Instructio wanted: Requester: , Phone No.: INSPECT I.' NO. II INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. ] Corrections required prior to approval. Inspector: $42.00 REINSPECT'EON FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection, Receipt No.: Date: (206) 431 -3670 Date: , J7 1 Project: �,,:..U� a h1 � c a}' Type of inspec ion: 1i crJ7w0v' Address: N73� (0 A Date called: Date wanted: / ( ( !.7_c / (a m�. Special instructions: 1 o (.,J ; v.A.„, - 7 i v5 ..,��; Requester: . j i' 1---v Phone No.: 1 —ti 'aLg INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 n Approved per applicable codes. INSPECTION RECORD Retain a copy with }permit PERMIT NO. (206) 431 -3670 COMMENTS: / ' • h - -g , led /( )•^49.L 4 CA 7 t G //S 5) Loci 64 s /1 r r7-r 0 t., t r /fir r� rs 4 e>'77 r - ce.c %) e,( 7 . }1 Inspector: Date: /l . $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection. Receipt No.: Date: } Corrections required prior to approval. { i . S . , , PECTION RECORD 0 in a with INSPE • • • • . CITY OF TUKW Reta BUILDING copy DIVISION ? 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ; PERMIT NO. Project: , Type of inspection: • 1 1. , �� g $j t Address: �. Date called: Ili a r m Special instructions: Date wanted: Requester: di 116 Phone No.: Approved per applicable codes. 1 Corrections requiretl prior to approval. COMMENTS: Inspector: Date: C r y e� / L j $42.0 EIN SPECTIO FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectlon. Date: Project: W ood Ca1 RQ Typ f insp idn: �_ Worms l a.. Address: i r , ^ Date called: Special instructions: Date wanted: 9 Requester: -rf� 7tOn '. Phone No.: QL4 (fy ,INSPECTION RECORD Retain a copy with permit , INSPECTION' NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ( PERMIT NO. f/ (206) 431 -3670 COMMENTS: Approved per applicable codes. Receipt No.: Corrections required prior to approval. Date: v '7 $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100, CaII to schedule reinspection. Date: CITY OF TUKWILA. Building Division 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 Telephone: (206) 431 -3670 ALL PERSONS ARE HEREBY ORDERED TO IMMEDIATELY STOP WORK PERTAINING TO CONSTRUCTION, ALTERATIONS OR REPAIRS ON THESE PREMISES AT I 1 2 • 7) t) j THIS ORDER IS ISSUED BECAUSE ��-- if:r' .C' - �{:_. r`{ .�C c ?r /":' /1 ,?:� 7L;( -1` 4 ` 34— ' AM / PMT 19 7 BY POSTED / c .1-e Name/Title WARNING: Failure to comply with this Notice and Order shall subject the offender to a civil penalty of up to $100.00 for each of the first five days that the violation exists and up to $500.00 for each subsequent day that the violation exists. P2fm‘,14 ACTIVITY NUMBER MA - Da(n PROJECT NAME D PARTMENT: B ICING DIVISION PUBLIC wt4.s ❑ k\ P,- CvL -cn DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE ❑ NOT COMPLETE ❑ COMMENTS REVIEWERS INITIAL APPROVALS OR CORRECTIONS: (ten days) APPROVED ❑ APPROVED W/ CONDITIONS REVIEWERS INITIAL CORRECTION DETERMINATION: APPROVED ❑ APPROVED W/ CONDITIONS ❑ C:ROUTE -F DATE DATE PLAN REV I�VV T T G SLIP br REVIEWERS INITIAL DATE DATE Q- a - FIRE PREVENTION ❑ PLANNINGG D��SION §_ T RU� ❑ PE 1 RMIT COORDINATOR Vl) a DUE DATE G- t-1- 011 NOT APPLICABLE ❑ 4 TUES /THURS ROUTING: PLEASE ROUTE ❑ NO FURTHER REVIEW REQUIRED 0 ROUTED BY STAFF n (If routed by staff, make copy to master file & enter Sierra.) DUE DATE Q1 NOT APPROVED (attach comments) ❑ i DUE DATE NOT APPROVED (attach comments) ❑ (Certification of occupancy required. ) itni:A-VaSifilk;:itiiiA_MCW;VgiXafan2. A.17,."AyettV4104.7.,tmr,m,rmatramniting PUBLIC WORKS DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE COMMENTS' r d le • " (;r7 .54fOka REVIEWERS INITIAL APPROVED 17 REVIEWERS INITIAL REVIEWERS INITIAL C:ROUTE-F L \ C el. FIRE PREVENTION STRUCTURAL E NOT COMPLETE El -•• t APPROVALS OR CORRECTIONS: (ten days) APPROVED W/ CONDITIONS CORRECTION. DETERMINATION: APPROVED PI APPROVED W/ CONDITIONS es , DATE 7 DATE PLAN REVIEW / ROUTING SLIP ACTIVITY NUMBER fl Dacan DATE--a4n PROJECT NAME DEPARTMENT: BUILDING DIVISION si TUES/THURS ROUTING: ROUTED BY STAFF El (If routed by staff, make copy to master file & enter Sierra.) DATE lAA.? PLANNING DIVISION PERMIT COORDINATOR 4 DUE DATE q-Li-cArj NOT APPLICABLE CC:c PLEASE ROUTE NO FURTHER REVIEW REQUIRED El 3 DUE DATE NOT APPROVED (attach comments) • DUE DATE NOT APPROVED (attach comments) 0 (Certificadon of occupancy required. REVIEWERS INITIAL REVIEWERS INITIAL REVIEWERS INITIAL C:ROUTE -F PLAN REVIEW / ROUTING SLIP ACTIVITY NUMBER M oa(23 DATE Q -- —(V1 PROJECT NAME DEPARTMENT: BUILDING DIVISION PUBLIC WORKS L 1 DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE n NOT COMPLETE COMMENTS TUES /TKURS ROUTING: PLEASE ROUTE n NO FURTHER REVIEW REQUIRED ROUTED BY STAFF n (If routed by staff, make copy to master file & enter Sierra.) 6-# FIRE PREVENTION • STRUCTURAL 1 3 APPROVALS OR CORRECTIONS: (ten days) APPROVED n APPROVED W/ CONDITIONS E NOT APPROVED (attach comments) El CORRECTION, DETERMINATION: APPROVED Ej APPROVED W/ CONDITIONS DATE DATE DATE 71/(q PLANNING DIVISION El PERMIT COORDINATOR Q DUE DATE G Li- cn] NOT APPLICABLE (Certification of occupancy required. DUE DATE Q -- `2) -cArl DUE DATE NOT APPROVED (attach comments) ❑ PLAN REVIEW / ROUTING SLIP ACTIVITY NUMBER M Oa 6 PROJECT NAME 0,)("T'60,_\\ DATE■.-- a W1 DEPARTMENT: BUILDING DIVISION L FIRE PREVENTION ❑ PLANNING DIVISION PUBLIC WORKS ❑ STRUCTURAL ❑ 4 DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE NOT COMPLETE ❑ COMMENTS • TUES /THURS ROUTING: PLEASE ROUTE fl NO FURTHER REVIEW REQUIRED 1>q ROUTED BY STAFF ❑ (If routed by staff, make copy to master file & enter Sierra.) REVIEWERS INITIAL Ik0 DATE ` � / CI 1 PERMIT COORDINATOR ❑ DUE DATE q- U' D l r ] NOT APPLICABLE ❑ APPROVALS OR CORRECTIONS: (ten days) APPROVED n APPROVED W/ CONDITIONS NOT NOT APPROVED (attach comments) ❑ REVIEWERS INITIAL CORRECTION DETERMINATION: APPROVED ❑ APPROVED W/ CONDITIONS C:ROUTE -F DATE REVIEWERS INITIAL DATE DUE DATE C\ — CT - 7 DUE DATE NOT APPROVED (attach comments) ❑ (Certification of occupancy requited. ) r: 1 PUBLIC WORKS DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE E COMMENTS REVIEWERS INITIAL APPROVED 17 APPROVED W/ CONDITIONS �. REVIEWERS INITIAL C :ROUTE -F CORRECTION, DETERMINATION: APPROVED n APPROVED W/ CONDITIONS REVIEWERS INITIAL DATE DATE PLAN REVIEW / ROUTING SLIP NOT COMPLETE NOT NOT APPLICABLE El mac-` DATE " 0 L t ACTIVITY NUMBER NCI — Da 1 DATE Q-- a PROJECT NAME ))CT A\ DEPARTMENT: BUILDING DIVISION El FIRE PREVENTION PLANNING DMSION 0 STRUCTURAL El PERMIT COORDINATOR Q 4 DUE DATE Q- Li- CV] TUES /THURS ROUTING: PLEASE ROUTE fl NO FURTHER REVIEW REQUIRED IN ROUTED BY STAFF n (If routed by staff, make copy to master file & enter Sierra.) APPROVALS OR CORRECTIONS: (ten days) DUE DATE C — ���'� NOT APPROVED (attach comments) DUE DATE NOT APPROVED (attach comments) (Certification of occupancy required. ) DATE: REVISION SUMMARY: , Npi? , .....iK1'Tu 1': Y5.'tt'.'sL +•� ,tvai.tLZ �ti^: K'. +att +,cw`: �;- e4:e.rtvo' ^� v:i:"::'rx f'.'Z:',7!'! ?:.: CITY OF TUKWILA Department of Community Development Building Division - Permit Center 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 REVISION SUBMITTAL 1 P / LAN CHECK/PERMIT NUMBER: PROJECT NAME: fr ?cJl��l �/ v- i 1 ( PROJECT ADDRESS: 1 `, AV S CONTACT PERSON: PRCz 577/ / / j©D1)/-1.4 4 PHONE: q( 0 1,6 P /7-- '7 RECEIVED CITY OF TUKWILA NOV 241997 PERMIT CENTER SUBMITTED TO ,c:o a.. x g 136/k-t•A *60 !/ or* 7'f/E /71!S RE ca h't / p /o J5 A-Re I P !N!< 6 N I/ ! M �L o 4 {� ?LAN, LA N, () 1 0 t3 0,10t31 ( © o n'u+ -7 M SHEET NUMBER(S) "Cloud" or highlight all areas of revisions and date revisions. L ; L_ Bldg. %'r! • Planning N ip) e' 4 CITY USE ONLY Fire Public Works cwru7 cue e,( eve = `& fr(/141 S 1-.5045 tip= ‘Ft OL-r t NS rE -c77 3/19/96 Y .•`.• ...fit .:i? Total Fee: $1 5.00 Submit application, route map, building..permit plot plans, and other required documents in "triplicate.• The following must be completed and the fee must accompany this application: Note: if the property is located in unincorporated King County, make direct application to the King County Building and Land Development Division (B.A.L.D.). Propertied in incorporated cities apply to local building • departments. PROPERTY INFORMATION W Applicant's name / 1+ CC/ );),LL New square footage after construction SEWAGE SYSTEM INFORMATION Other information which wo covenants, etc.): WATER SUPPLY INFORMATION Public system ( 2 or more connec APPROVED DISAPPROVED • Comments /Conditions SEATTLE -KING COUNTY DEPARTMENT OF PUBLIC HEALTH /7/yI %5z ENVIRONMENTAL HEALTH SERV10Ea Activity Number tions) Applicant's mailing address i 7 2 i; -: Owner's name_( R..c,7%. A t ,rL / : Age of House q) Number :bffexisting_ bedrooms y- - -- " Are' :being - constructed' or created? . _/\/0 G APPLICATION FOR HEALTH DEPARTMENT APPROVAL OF BUILDING PERMIT House /structure is served by an on -site sewage .(septic) sy (//4,,d4- , Distance to the nearest public sewer 'MCI i "'k( l'�t(l.'c D Address of property ! / ;C - g 9 44 -7 ..''*V • 4 . • 1 (•, l i,ii /. 4- `ti - . z-?0 4c Parcel Number (Tax Lot Account #) '-, .2 1- / 7 4/- 0 r i1 a. 4_., r i , Day Phone 4 ti V)af Day Phoned "" ['C Existing square footage of house 1 '? 4;14- .17 Description of proposed changes /remodeling (attach plot plans, showing existing structure, remodeling and septic system): r • g c. � � IAl A OPTS l Di ;�7 4 I K (°,Ag n4 j n REF Pz. n i s N ec A- Do r P (M/ A -roll— of 1770 l� Approximate dates septic tank was pumped (attached receipts) i / / 6 % Additions or major landscape changes since house was constructed (eScamples: add family room, bedrooms. .garage -, patio, deck, pool, et . major- fills excavations done in• landscaping).:- ••• r .,� • ,• * ~•� 1'! 'YLl ir. a t ' PJ . ,/ Additions op repairs to sewage � age system (give date and describe briefly)•.2!1.GY .4".41.. . �• f.2 f- ( C�l LSCO c✓�W eD e //�Illf� 'j�y7`. N� ic/ - l.da be helpful jn evaluating the sewage system (ex. drainfi ,i easements S M i N »T1 .c poFnl I>yfi• pAllq • •1-• - yre K d�7 0 V R 5 r /t rmt 5'oi�. / • J�RRy t Civ- • ` Private (well, spring, etc.) Attach copies of w e I I log, well covenants, chemical /bacteriological sample reports. Any person aggrieved by any decision or final order of the Health Officer may make written application for appeal to • the King County Board of Sewage Review if done so within 60 days of the above decision. . J' W SEPTIC TANK SERVICE 14007 6th South • Seattle, WA 98168 • Phone 248 -1264 L_oca,Tc u, d- , ucvv C c- see 72 .. c . // u• 46ct 3-Gt+ec4 Qf'4 /;u4hI C !ck N s cyor TT. S o-o - /uexr yoa 11. 5. CP Z 3 I a� 9 $ J PAYMENT DUE UPON RECEIPT OF THIS BILL Ph% per month 18% per year Finance charge will be added to unpaid balance at the next billing date. In case suit or action is instituted to collect this bill I/we promise to pay such additional sum as the Court may judge reasonable Attorney's fees in such suit or action. •.RECEIVED ;. • OF TUKWILA', EP 0 • MIT CENTER,. rs __... r ,. / i ••• 1 ■ ti inAfrv �I>•li_T st1 hN�= rim 0k wiicogoom -, Ul Ofke71 Hey loo �4 bt 1 swoke ci 1c 7 revireci CDr'' ur c '1by% 44/ 4Voi S CO, $e o'F welAt OA, 4 EM I rdnelr 11 10 r� 3a S of' i 1 1 9 -11 a4 Ra 4 F 13 sv 271\A?[Aer r u Ii'f `NNE. - oN GP FOON TIpN Why 1211 Cale-, _ ,� l�� � 4'ic� 12` 4'G 11 w( R�Ia I ca tiAatl F� � e Y1 Loo LeprsIo ; - Tc Ft ELp iNSA ize►.r I LI We, s . -a 1 U .r'r •s py A-F+P- l - 9 13 Co TQ �ol�a j SEPARATE PERMIT RECU c E'_ aJILL NU DiviSIQN - r / -Dot _ '`,:irt , , :,r"e; - ) t , BUILDERS PERMIT NO. D - `' F� PL ::I t THIS SET OF A ROVED UST BE O► .r1: JOB AT " 1 COMSTRUC _ r, THIS ILDU" G IS NOT TO�!AL O PIED UNTIL AFTE SPECTION APPROVAL BY THE TUK N LA BUILDING DIVISION DEPARTMENT OF COMMUNITY DEVELOPMENT ;' - t Z Piw=E COPY n and ssions the violat;_i alesipt of cc 6. REIVED CITY CE OF TUKWILA NOV 2 4 1997 PERMIT CENTER rtGer9 :7 -,rl aul NCR Mr2-, PPes ► ZNJLZ2 IN Pi-et N5' , '¢+' ,KPDR _ , Ig 1 Me. Ll L- pEscp &WL a, I }}I Irl.M,kNLs A42 % '74Q -0245 - o� 4141 — Z ) =/7 :s RECEIVED CRY of TUKWILA SEP 0 21997 PERMr CENTER