HomeMy WebLinkAboutPermit D99-0217 - Pedeferri Residence - AdditionMark Pedeferri
d99-0217
12215 48th avenue south
City of Tukwila(
jr
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: 017900 -1310
Address: 12215 48 AV S
Suite No:
Locati ori:
Category: ASFR
Type: DEVPERM
Zoning: LDR
Coast Type:
Gas /Elec.:
Units: 001
Setbacks: North:
Water: TUKWILA
Wetlands:
Contractor License No:
.0 South: .0 East: .0 West: .0
Sewer: SEPTIC
Slopes: N Streams:
DEVELOPMENT PERMIT
OCCUPANT MARK PEDEFERRI Phone:
12215 48 AV S, TUKWILA, WA 98178
OWNER SIGUAW DURLAND J
13215 2ND AVE S, SEATTLE WA 98168
CONTACT MARK PEDEFERRI Phone: 206- 768 -8618
12215 48 AV S, TUKWILA, WA 98178
***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Description:
510' ADDITION OF MASTER BEDROOM, LAUNDRY ROOM AND
BATHROOM. PW ISSUED INCLUDE SANITARY SIDE SEWER
AND STORM DRAINAGE.
***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Construction Valuation: $ 33,075.00
PUBLIC WORKS PERMITS: *(Water Meter Permits Listed Separate) Eng. Appr: LJM
Curb Cut /Access /Sidewalk /CSS: N
Fire Loop Hydrant: N No: Size(in): .00
Flood Control Zone: N
Hauling: N Start Time: End Time:
Land Altering: N Cut: Fill:
Landscape Irrigation: N
Moving Oversized Load: N Start Time: End Time:
Sanitary Side Sewer: Y No:
Sewer Mairi Extension: N Private: N Public: N
Storm Drainage: Y
Street Use: N
Water Main Extension: N Private: N Public: N
***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
TOTAL DEVELOPMENT PERMIT FEES: $ 845.05
************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Center Authorized Signature:
Permit No:
Status:
Issued:
Expires:
Date: /i,
(206) 431 -3670
D99 -0217
ISSUED
11/19/1999
05/17/2000
Occupancy: DWELLING
UBC: 1997
Fire Protection:
Date: iki9.`9q
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 provision of any other state or local laws regulating construction
or the performance of work. I am authorized to sign for and obtain this
development permit.
Signature:_ 4144_,
Print Name: _ db e _et
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 OF TUKWIL.A
Address: 12215 48 AV S Permit No: D99 -;0217
SUite:
Tenant: Status: ISSUED
type :: DEVPCRM Applied: 07/at/1999
Par•ce l It: 017900• -1310 Issued: 11/191,,1999
************ * * * * * * * * * * * *** * * * * * * * * * * * * * ** * * * * ** • * * *• * *** * ** * * * * * * * * * * * * * **
Perm i t Cond i ti ring
No.changes.wi11 be Made to the plans unless approved by the
Engineer and the Tukwila Bu 1 1 ng D i v.'i ion .
All permits, i respect i on rec.orda, and . apprraved pl arts shall: be
available at the job: site prior to the start of .any con-
:structi on. . 'These dorumerits are to • be maintained ;and avai 1
able until r inalr inspec.t7nn approval ,is granted.
;Electrical permits shall .:be °obtained' through the ,Washington
;State ;Division of Labor.- and Industries: and al 1 electrical '
,work wi be" inspected by•that agency'.(248- 6630):
'Plumbing . perm,i'ts shat 1 be obtained , through the Seattle -Ki4ig
County ,Department of Pub l . c . H�:a l th` Plumbing w i l l ' he
inspected b.y that acjency < , i . ric l ud i ng ; al 1 gas piping
(296-47,2'2. Y:t
Al 1 mechanicial work` sha.11 be under separate permit . issued, b
the • City of .Tukli 1a0.
111 :Scoristruction to be.:done in: conformance with approved
13164 and req u i rements of the Uri i form? Build i ng Code (1997 ;
Edit.7 • as.:;amended, Uni form ;Me;chan - i cal; . Code (1997 E :d•it;ion)
•and; •Wcish i ngtori State Energy 'Code ( Edition)
Val a, 1. ty
,of Permit.' The issuance 'of' a permit or approval;, of
;plans; spec'ificat ons, "and computation shall not be con
strued to be a,. permit for, or an approval of, any violat i'on
of
any ,of `the prov•is1 ens ' the bu 1di .ng. code or of -any
other. ordinance ".of the ,jurisdict•i en. No permit presuming to
give author i . ty to violate or cancel the p r o v i s i o n s , of this •
code snail l `:be valid
8.
CONTRACTOR SHALL NOTIFY PUBLIC WORKS 'UTILTIY: INSPECTOR MR
GREG VILLANUEVA @, (206)433-0179 OF COMMENCEMENT AND
COMPLETION OF WORK AT LEAST 24 HOURS IN ADVANCE.
9 . Any septic tanks in, the area 'shall be pumped empty' and .. .
removed or Filled with sand. A copy of documentation :from
the business that:. performed the pumping sha11 be provided
to the City Ut i 1 11,:i es Inspector.'
10. BEFORE instal l at i on of i n f i l trat i on system,. Hipp l i cant sha 1 1
perform and provide results .of.a percolation test to Public
Works Uti 1 i ty Inspector'.
Project Name/Tenant:
tx A l�_.tc R-
� F7 2...R_
Is this site served by: SI Sewer ❑ Septic (King County Health Dept. approval required - 296 -4722)
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Value of Construction:
` oO �se�
��
n by: (initials)
Site Address:
zI:2_1 I
v 49
A•v �
0
it Ste /Zip:
�v� w�
a c
me" r
Phone:
206 7
:
e r:
1 & b
8 'a
1.
Property Owner:
G A- m
9 ¥'/ F-V
Street Address:
City State /Zip:
Fax #:
Contractor:
Phone:
Street Address:
City State /Zip:
Fax #:
Architect:
Phone:
Street Address:
City State /Zip:
Fax #:
Engineer:
0 \_'
Phone:
Street Address:
City State /Zip:
Fax #:
Contact Person:
Phone:
Street Address:
City State /Zip:
Fax #:
Description of work to be done: - 1112.00 > k
,C-
510 E i 1 ‘ 1 . 0 1 . ) ( - I ' 6 1 ' . 4 ,rn A cz i 1 - -
f it cJ v'✓ b it- l-k. a. 4 t1 ��'t1 !'..) P { !'- {• .
Type of work: ❑ New Single - Family Residence Pi Addition - Single - Family Residence i u 1
❑ Interior Remodel- Single - Family Residence ❑ Residential Accessory Structure'
❑ Remodel /Addition to Accessory Structure ❑ Garage(s) 3 --
❑ Deck(s) - Covered a Uncovered ❑ Residential Reroof
Is this site served by: SI Sewer ❑ Septic (King County Health Dept. approval required - 296 -4722)
;� O
4 sting Square Footage for Structure: =�sq. ft. Dwelling �` sq. ft. Covered Deck(s)
sq. ft. Garage /Carport it sq. ft. Accessory Structure(s) .4 .0 sq. ft. Uncovered Deck
n by: (initials)
Proposed New Square Footage: 3(03() sq. ft. Dwelling --Pr' sq. ft. Covered Deck(s)
i 5 0 sq. ft. Garage /Carport 4. - sq. ft. Accessory Structure(s) -C sq. ft. Uncovered Deck
Floor Area Ratio: (total floor area of all structures divided by the area of the lot) " -) /n
For an Accessory dwelling, provide the following: N 14—
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.
Date alion
rcep:
Date application expires
;� O
Applica
to
n by: (initials)
CITY OF TI WWILA
Permit Center
6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188
(206) 431 -3670
OR STAFF USE ONLY
Project Number: Permit Number: tIY%'
! C_Dn
Single - Family Residential Permit Application
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or facsimile.
APPLICANT REQUEST FOR PUBLIC WORKS SITE/CIVIL PLAN REVIEW OF THE FOLLOWING:
(Additional reviews shall be determined by the Public Works Department)
❑ Channelization /Striping ❑ Curb cut /Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s):
❑ Flood Control Zone ❑ Hauling ❑ Land Altering: 0 Cut cubic yds. 0 Fill cubic yds.
❑� Moving an Oversized Load: Start Time:
N / Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public
❑ Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public
❑ Water Meter /Permanent # '- ize sue' L t'5' — 1 vs- L.-
❑ Water Meter Temp # Size(s): Est. quantity: gal Schedule:
❑ Miscellaneous
End Time:
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
SF1'EIZMI7'.DOC 2/13/97
BUILDING OWNER OR AUTHQRIZED AGENT:
Signature: _..
'
- J
Date:
Print name:,,, ,, `,
, ,
r_ r r
_
/
Phone: JI .,
I Fax #:
Address:
7; '/ s;
t--,''
r4 1-/r°
<
City /State /Zip:
Tl /A'r. ✓/t_ 4 l,, //a `1r`/ Tt:
1
ALL SINGLE- FAMILY RESIDENTIA PERMIT APPLICATIONS MUST BE SUBMITTED WITH THE FOLLOWING.
➢ DRAWINGS PREPARED BY ( ARCHITECT OR PRO' ' 1SIONAL ENGINEER MAY BE
REQUIRED BY THE BUILDING OFFICIAL
➢ ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
• BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
N/A
ED
Copy of recorded Legal Description from King County
Certificate of water /fire flow availability (Form H -11 a). 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)
County Health Department approval for septic - 296 -4722
❑ ❑
ets 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 o
Building elevations (all views)
Building height
Building cross - section
Structural framing plans and details necessary to completely describe construction S" ,
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 ".
SI'I'Lf'MIT.L)OC 2/13/97
- iv tc.w 1 L
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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
l'';' 11 •/'11
g t'
I
* * * * * * ** * * * * * * * * * ** * * * ** * * * * * * ** *fir * * * * * * * * * * * * * * * * * * * * * * * * * * **
CITY OF . TUKWILA ", WA .
9- 77
( Qa) 1 TRANSMIT
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
TRANSMIT Number: R9800192 Amount: 531.65 11/19/99 16:53
Payment Method: CHECK Notation: MARK PEDEFERRI Init: WER
Permit No: D99 -021.7 Type :.DEVPERM DEVELOPMENT PERMIT
Parcel No: 017900 -1310
Site Address: 12215 48 AV S
Payment Total Fees: 845.05
This Pa
y 531.65 Total ALL Pmts: 845.05
Balance: .00
*******.************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Account Code Description Amount
000/345.830 PLAN CHECK - NONRES - 313.40
000/322.100 •BUILDING - RES 482.15
000/345.830 PLAN CHECK - RES 313.40
000 /345.830 PLAN CHECK - UTILITY 10.00
000/386.904 STATE BUILDING SURCHARGE
412/342.400 INSP FEE - STORM DRAIN 4.50
402/342.400 INSP FEE - SME /SSS 20.00
20.00
.1990 11./22 7110 TOTAL 531.65
* ** ** * * * * *Ak * * * * ** ***d*** ***** d* A* kA *44 ***kA4 * ** * *Ai *W.A.***
CITY OF TUKWILA, WA 231, DID` TRANSMIT
* * * *tk * * *ak
k * * * * * *�l * * * **.A• R***** *. k**** *A *.*A,1 * **A * *.: *k.* * *A•** * **
TitNi SM;1f Number:, R'1800095 Amoun•t,a. .i, r 313.40 07/01./99 12 :11
Payment_. Method: .CHECK : Not'at�i•or�': MA$ PEDEFERRI In it: TLB
Permit Flo: 099°-0217. Type: DEVPERM, DEVELOPMENT PERMIT
Parcel No: 0.17900• -13.10
Site Address- 12215 48 AV 5
This Payment 313.40
***' S**i'* A*'*****************. 1 .. .d•***: 1*4. 1, 1. * * *• **.A * *.k * * +• *i * * *k *•y1**4 **
Account Code Description
'.000/345.830 PLAN CHECK - MONRE5
NOwAleAmi
Total Fees: 800405
Total ALL Pmts: 313.40
Balance: 486.65
Amount
313.40
4606 07/02 9717 TOTAL 313.40
%: ✓n:�<. ,' „liar � N,...n.,..,,.t•.r
4:
Project : Pede -rri Res id
.
Type of Inspectican 1
=�- I
�
Address:
l2 a iS yg Av. Lo .
Date called:
/0 10- D I
Special instructions: :
at `f eiV a p m P Cccv -'
no 6 n home beM
Z;1rn
`''
Date wanted: 0-45
IO - I/ O/
a.m.
' .
ester: c Ped eferr i
Ti
phone:
g\oh-70?
INSPECTION NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
1gL Approved per applicable codes. Correction s required prior to approval.
COMMENTS:
In speclor
47
pt No:
0 REINSPECTION
INSPECTION RECORD
Retain a copy with permit
Date:
p qq -0 /
PERMIT NO.
(206)431 -3670
Date:
//:-, f " /
FEE REQUIRE to inspection, fee must be paid
a •300 Southcenter BI d., Suite 100. 'Call to schedule reinspection.
i _ Nf;. k4ur: �i�r�4h :�i� ,r. fd�G.. kRsTtiix. sw�7�. i.: k1':: A1�4+.`: �..`,$' .;.`.t.�tta�v.•.ir..,..��a�,... •..,�;
COMMENTS:
Type of Inspection:
S control
Address: � 226 , ` th Ave
Date called: ! _"r D1
Special instructions
Date wanted: a n 'Ot a.m.
a Q,
ti5id/ . ,at /t4/ t c.A244GJ e
,x/7 - 7
,Sap o4e (4s k(_
) 6i(
7D /itzk�/ l/�
/
, rew n
rf� 0
w srr
ti) 4,7,-2//,
(J
Project: ..
Mark Pe jef errs
Type of Inspection:
S control
Address: � 226 , ` th Ave
Date called: ! _"r D1
Special instructions
Date wanted: a n 'Ot a.m.
a Q,
Requester: Mark Peck-Perri
Phone: 2(x-763-.81313
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
Approved per applicable codes. 0 Corrections required prior to approval:
Inspector:
f ;.
Cl'[�
Date: /c-/
0 $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
.at 6300 Southcenter Blvd„ Suite 1004. Call to schedule reinspection.
Receipt No:
Date: \.
INSPECTION RECOR
Retain a copy with permit
Ng 02.17
PERMIT NO.
(206)431 -3670
: :..,., it, x4.4 ... a+......./ :1
Project:
1fYOVV . �Pk Q,y1.>\1
Type of Inspection: ,
VJAIIT7'tAl F 1'1_ 4 r1 i N.
Date cal
I 0 0 __ _
Address: r -,
122 �y
Special Ins ructions:
90(0-455•--6,382.
Date wanted:
a.m.
Requester:
Phone:
2 0l0 . - 7L0:' � - St 0 k
Inspecto
1'
INSPECTION RECOR
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
. ti ....e.,r..clig.df6uh_1.4Wb314441At .t.t . 1M,. •,..,_.. _..... _._. ,... - -- ...a..... _ALA..
(206)431 -3670
Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
T '0 Date: I , I &
0 $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
P o'ect:
t r K P.ccef -etrrt
AA •
1' pe QQf In��pe``c_t_i .�
t� UX�i FCt. r►Ir
Address:
D t call d:
special instructions: oirourtA 111.00
c- � ti 11 c).06- 1 3c - 099 b
&A11 l/d hr chig -PGA
Date wanledi
R equester:
a r K
_ p,
Ph (p -1(G ,-ca(0' C.�
Approved per applicable codes.
r
INSPE LION RECOR
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 9818
COMMENTS:
Date: 1 1r6
$47,00 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.
Project•
P ecve4 rr �
Type of pectionj
.ns v10 10,E
Ad . ress: `
Date called:
Special instructions:
Date wanted: /
V7 — 0a
P.m.
Requester: � V\
Phone:
INSPECTION NO.
INSPECTION. RECOR
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 9818
1)9q ooR -
PERMIT NO.
(206)431 -3670
pproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
"PU.4' re( CYA
\OPCc4U(P C)f sIC1E'
SC6 1V 4 O. 1rSuAaAtoh
Inspector. I Date: I \ i 00
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
Project--. \
-e•icl,r.■
Type of
kThrei Yr% lil
Address:reck
1_\5 i-AS A s
Date called:
1
Special instructions:
Date wanted:
1 k ---)
4101
'• •
Requester: 1
-
I
Phone:
INSPECTION NO.
• CITY OFTUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 981
Approved er applicable codes;
INSPECTION RECOR
Retain a copy with permit
COMMENTS:
c
. TV*Ci on h
Ue4
a Pr
Ctaw SeCIC — A ro ved
PERMIT NO.
(206)431-3670
0 Corrections required prior to approval.
Inspect9a9
Date: 11 —7_
1 00
1:1 $47.00 REINSPECTION HE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
- - .
COMMENTS:
g' Ce ,f -- O s - • J c •
at Sri.
00 (444,,2,.z)— TV , I f ,;;,, (2J( , 574.6
(!" AA' 4 ta ;,, . kk\ { . 1 it 7 ...,
7
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Po4i,fe2. -. i S r(4 TO -►.A. (61 itszi'A,
qh/ c4) r' jj (4'-a-l—k
555
55)
Project. /
Address:
Special instructions./
Approved per applicable codes.
INSPECTION RECORDS
Retain a copy'with permit
S+:1NSPECTION NO..
CITY OE TUKWILA BUILDING DIVISION
6300 Southienter BIyd, #100, TukwJJ 8188
/ t yj
.Type of lnspecti
Date called: /
Date wanted:
d
D99 -oz /
PERMIT NO.
(206)431 -3670
on:
a.m.
d
/ ��dv p.m.
Requester: 1 r i Y
Phone/ Pd/&'
Ei Corrections required prior to approval.
Inspector:
Date:
El $47.00 REINSPECTION FEE REQUIRED. Prior to inspectioq�, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
fj
COMMENTS:
I Usc. .447 _ve.414.4,.A_r(7 5 7784-Q Ar-
JU FAA, to E x t s 7 J( eac,4 r C'v.c. Afe Cby
Add ess:
1�- 1 S ' P Ati.e 5
g-C 001 rte_ 71t1 M r4- _S+TY-4... 666 40v __
4I0 1 i ?C .ri H cc.
C Bi4 p7 e2f P .✓Eiee -> g— Zad,,efi6 . At
n-16 . M9 -✓sE)
Date wanted:
1 t) ,c re:, rC S ,elr "IA 7 1A-1
5/4-641L fpu�. -. 3- (Cole ,6,
x /- - >•5Ius r c,�rtC /,J L 44/�1DP�! ,��en. ,
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56,4:44,47 44 P4CAd•rr
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- 7- - AitIk,- .
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G►r� �n( �
Type of1nspectioq..
t rew+r
Add ess:
1�- 1 S ' P Ati.e 5
Date called:
�� 5
Special instructions:
Date wanted:
a.m.
Requester:
� (... 1 t1
h
Phone:
__- 411:4:04=4 4.^.::+ ra .r.4':?4rrak 7'hoc.t 1. �Yf'X.;'�-"•fi"8'Ww.l�t
AD 4
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
INSPECTION RECOR
Retain a copy with permit
PERMIT NO.
6300 Southcenter Blvd, #100, Tukwila, WA 98188 (206)431 - 3670
proved per applicable codes. Corrections required prior to approval.
at, 3/0 ; � r
$47.00 REINSPECTION FEE REQUIRED. Prior to i ns p ect i on, fee m be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule et, 4��cti6r 'ns
n.
Receipt No: Date: AVvv-
COMMENTS:
L/ AD D 4 tre ,gi, 3O S 14,177, /"
of , JDs / .2- " . rr,46
LA- `A 1A S -1--c_12.S ►PLO tl 0-
•5HIM to "4 6
_ , CA-2u t e-12.--
g PPotr roE f. N Cc.e •ebe. ,4-r
,u 47 ro ( IO f7 .
1',:li .. 4£ fflli ivISF P - re
9 Do uucc.,. (isci_T PoST/& 4yLk.
,L( '70,L(S 2x o.2 PLyw
Phone:
Phone:
C /3 - l D /gar/ 6 C
,4r X SS (A- tr&c )
&to t4
{� / G',
To ''-
1'rnt0L -e (A;(4
Type of ( Inspection:
rv'G►v4tY1
Address I , t / r e
{ i `fir '�t ?S v
Date called:
9n -- J
Special instructions:
Date wanted: l� s -
a.m.
Requester: 1
0
Phone:
Phone:
bl:: 7FUr .:;grr�.... >.�:� . vxuins .a,mac�++zanxremruaa�:wsrrn^sw<
•
0 Approved per applicable codes.
2l4A bWt'.:lPNI
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION 2
6300 Southcenter Blvd, #100, Tukwila, WA 98188
Date1
El $47.00 REINSPECTION FEE REQUIRED. Prior to inspecti
at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
PERMIT NO.
(206)431 -3670
Corrections required prior to approval.
5 00
, fee must be paid
Receipt No:
Date:
Y- ...L......_'% I ,•ir" t..'et10 rt... .
T
Project:
Is--1 et ✓ Project: , T c1 i y. r t
Type of Inspection:
(y r Gt r m nf
Address:
(.,-4-,),1
D to called:
pecial instructions:
Date wanted: CAD
9 — L -- Lc p.m.
Requester:
xACt.r K- /3 - 0h f1
Phone:
C: tc. -- ~ I 4 CC - E Cc l''..
INSPECTION RECO()
I ° Retain a copy with permit
INSPECTION NO. --
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
Tjcj -C219-
PERMIT NO. n
(206)431-3670
ri Approved per applicable codes. jorrections required prior to approval.
COMMENTS:
PL.L.451, cam.' ,46/,
1
Inspe r:
0 $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
Prof
�l
Type of Inspection:
gCT Lt/4 -Ce_
Add a
/Zz r �- -
93 /VS
Date called:
Special instructions:
Date want 9b:
/1"Z,2) qcr
Cam
p.m.
Requester:
6-
Phone:
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
P •
Its -02'7
PERMIT NO.
(206)431 -3670
Corrections required prior to approval.
COMMENTS:
Insp ��
Day0 `1
L1 $47 .00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
sect:
' (�{���c 1 � 9 c ,c r
Type o pection:
N C c 1 MAJ..
d ress:
� c l '-Ii 4 o S
Date called
1 g" - t — qq
I cial instructions:
!!
Date wanted: �� ^^
/ l..
a.m.
Re
fl1 a k j
%,36.0 - mos coo1R
.. + ..arrewrk..tti.meawaro wa nIMI RMIKVATak ..,
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 9818
PERMIT NO.
(206)431 -3670
A pproved per applicable codes. Corrections required prior to approval.
COMMENTS:
0 $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
NO
MANUFACTURER
FRAME MATERIAL
MODEL #
SIZE
U -VALUE
AREA S.F.
(
A L_P . h.
'P(4\ ' c.
42 4
• GS
! n 5'F -
RECEIVED
CrY
II
OF TUK
9 1 'nhn
NILA
PERMIT
- th
CEN
TOTAL GLAZING AREA 4-,
• (add entire column)
__
t � S `
CITY OF TUKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100,
Tukwila, WA 98188
Telephone: (206) 431 -3670
WASHINGTON STATE ENERGY CODE
RESIDENTIAL COMPLIANCE FORM
PRESCRIPTIVE APPROACH
1. HEAT SOURCE: (gas, oil, propane, heat pump, electric)
2. WINDOW SCHEDULE: FiII in the window schedule based upon the proposed residential design and
calculate the glazing area as % of the conditioned floor area.
3. CHECK PRESCRIPTIVE OPTION: Glazing percentage will determine which option to choose. Mark
option at top of column. (See back of this sheet)
WINDOW SCHEDULE GLAZING /SKYLIGHTS BY TYPE
TOTAL GLAZING AREA
ENRCYCOD.DOC 2/13/97
S.F. -
TOTAL CONDITIONED
FLOOR AREA
S.F. x 100 =
PROPOSED GLAZING
PERCENTAGE
043
H -15
The proposed glazing percentage must be less than or equal to the glazing percentage listed under the
prescriptive option that is selected.
NOTE: Carefully review the requirements of each of the options in the charts below. From the table that
refers to your heat source, choose the option that best suits your dwelling design. Glazing percentage
determines which option to choose. Your building design must match the selected option requirements
without exceptions or substitution. Design drawings must indicate all applicable requirements from table.
HVACt:AFU
Glazing max
%.of floor
U value z,.,
Doo'r;.0 -value
(R- value)
Ceilings: >•
with attics
vaulted:. •
Walls::
above'grade
• belowgrade: "''.
:interior:
O R
exterior
Floor
Slab,,on grade; '.
HEAT SOURCE: OTHER (gas, oil, propane, heat pumps)
OPT 1
40
10%
0 :70
0:40. :::
. (R -2.5)
OPT II OPT III OPT IV OPT V OPT VI* OPT VII*
O 0 0 0 0 0
>_ .78.
R -19
R -10
> :88
21 %,;
0.75.';
0:40
(R -25)
> .78
21%
0.65
0:40
(R -2.5)
>.74.
21
0.60
0.40
(R -2.5)
R -30.
R -30
R -19 ":
R -19
R -10
R -19
R -10
>,.78
30%
0.45
0:40
(R -2.5)
R =30
:,R. -30
R =19
R -10
R -25
R -10
* < two stories
' The " >" symbol means more than or equal to; " <" means less than or equal to.
2 Glazing trade -offs may be made if the Option U -value requirement is not exceeded.
PLAN REVIEW (for official use only)
Selected Option is appropriate for this dwelling design. ❑ YES ❑ NO Option may be a better
choice.
Notes:
Approved by: Date:
ENRGYCOD.DOC 2/13/97
CHAPTER 6, PRESCRIPTIVE OPTIONS
FOR ALL "R" OCCUPANCIES, CLIMATE ZONE I
CHAPTER 6, PRESCRIPTIVE OPTIONS
FOR ALL "R" OCCUPANCIES, CLIMATE ZONE I
Glazing rriax F
of"flo"or-'.
•
=value
Ceilings'c ;Y
above`gra�
below gra
rriterio
Floo
31ab on ;grac
HEAT SOURCE: ELECTRIC (except heat pumps)
OPT I OPT II . OPT III OPT IV OPT V OPT VI OPT VII* OPT VIII*
O 0 0 0 0 0 0 0
.
;,(Ft-5)..• •
-3
R -21
•
R =21
R -30
-.10.
21 %': `' .,
0.36
0.20.:.:
(R -5):;
R-21
R -30.
* < two stories
' R5 foam sheeting required in addition to R19 cavity insulation.
2 Glazing trade -offs may be made if the Option U -value requirement is not exceeded.
PLAN REVIEW (for official use only)
Selected Option is appropriate for this dwelling design. ❑ YES ❑ NO Option may be a better
choice.
Notes:
Approved by: Date:
ENRGYCOD.DOC 2/13/97
fiJ
❑ Exhaust ventilation shall be provided for each dwelling unit as follows (S. 302):
LOCATION
MINIMUM AT .25 W.G.
MFR. /MODEL
FAN LABEL CFM (.1 W.G.)
KITCHEN FAN
100 CFM
BATHROOM FAN
50 CFM
BATHROOM FAN
50 CFM
BATHROOM FAN
50 CFM
LAUNDRY FAN
50 CFM
❑ WHOLE HOUSE FAN* 0 50 CFM (1 -2 BEDROOMS)
(CHOOSE ONE) 0 80 CFM (3 BEDROOMS)
0 100 CFM (4 BEDROOMS)
❑ *Whole house fan also serves as a kitchen or bath spot fan: YES 0 NO
If a spot fan is designated as a whole house fan, the capacity shall be the larger CFM requirement.
❑ Whole house fan: Location
attic fan is closer than 4' to
Q Whole house fan is listed
O Whole house fan wiring
O Whole house fan shall
Sone rating (< 1.5 if
ceiling)
/labeled "for Continuous use."
for control routed to central location.
run continuously: Kitchen rate 25CFM, bath & laundry rate 20CFM.
❑ Integrated forced -air furnace ventilation (IAC Code S. 303.1.2(b)) shall be used instead of a
whole house fan and fresh air inlets in the bedrooms: 0 YES ® NO
O If yes, a 6" outside air inlet duct with damper limiting the ventilation rate to .35 -.5 ACH, shall run
from the building exterior to the furnace return plenum.
❑ Mechanical ventilation fan ducts shall be > 4" and properly sized using IAQC, Table 3 -3.
❑ Fresh air shall be provided for each unit as follows: (IAQ Code, S. 302.6.1):
O Each bedroom: Tested, screened, controllable, through -wall port ( >_ 4 sq. in.) to the exterior.
' Overall living area: One wall port as specified for bedrooms.
OR:
❑ Central forced air furnace which delivers outside makeup air through the ducting system.
ENRGYCOD.DOC 2/13/97
CITY OF TUKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100,
Tukwila, WA 98188
Telephone: (206) 431 -3670
H -15
ACTIVITY #:
MINIMUM VENTILATION REQUIREMENTS
FOR RESIDENTIAL OCCUPANCIES FOUR STORIES AND LESS
Chapter 51 -13 W.A.C.
Source specific and whole house ventilation systems are required for residential occupancies. In addition,
exhaust ventilation fans must provide specific performance ratings and (in the case of the whole house fan)
specific "Sone" ratings.
Fill in the exhaust fan schedule below with the fan manufacturer's name, model number and performance
rating. Secondly, check the criteria that applies to your design.
site plan
revision #1
legal description
storm drainage
correction letter #1
CONCRETE
SLopE
NOV 1 2 1999
PERMIT CENTER
sanitary side sewer
legal description tax parcel #
0179001310
plans
downspout control
Thesc plans have been reviewed by the Public
Works Department for conformance with current
City standards. Acceptance is subject to errors and
omissions which do not authorize violations of
►
adopted standards or ordinances. The reKponsibility— 19
for the adequacy of the design rests totsilyyiit§ ilia" - - 'b- • • o • a 4 • A
designer. Additions, deletions or revisions' to
drawings after this date will void this ' ' ° b . s a � : - e.
•••• _ •
and will require a resubmittal of revised drinvIriti for subsequent approval,
Final acceptance is subject to field inspection by
the Public. Works utilities inspector. I eke
Date: By P.EQF .F PI PE
'399-0; 17
RECE'VED
CITY cif' IL oc:+ p
JUN 01. 'RC
PERMIT CENTER
room
FILE COPY
downspout control
LOI5 's�1
ALter4 Tow
x ` PAR -te -L No
01`tgoo 1ZIo 08
12.215 1 48 4k Ave s
SEATTLE, i A 98 178
OwpCZ
MAP-I( Pet E FI✓R. R
NHS
DE'T'AILS P Low r - TY
5
EXSIS7/N4 SEPTIC
AgANOoNG�O ' No
S rt.NO
ALL PIPE Le To siAm
35
ge b"
'-I
�E
1-111 PVC- S I - It0 to l,6
ALL DRA IN PIPE
P 1 b R►a-r ex 1 61_
5. Roof R 7b 13t L€ S S
7,0 00 SAL ►9 (L� eec
N,a :r wad s
-f
dmosusimmes
CITY OF TIUKWILA
NOV 12 1999
PERMIT CENTER
-rrt N IC I 15
Ft LLEY) ITH
EL- 0'
a to ucw •, I;pectiph�
or.
lime wane have been mimed by the
Works epartment for co Wormance with �e
City standards. Acceptance is subject to error
omissions • 40 not authoriz(
adopt:' _ . 3 ordinances ''atlona
� .. I
Ce y' - nsibi�
for th �
deal° 3.: design r� jl the
deletions l egs
drat '...• date will • iT -
d ■• . resubmitte . �, to °
sn
approval. I s • n • 1 . .. 6 ° ▪ .. . • _ D.. , D.
61E
PEQFDR• TE-D PI PE
1ST • O • Q b
e
� EV EI_
- r• -• - -.-
e •
_ 4 - e ••I
• • 'd
•
• • ••I
la°
-- ire — .- ..-- . - . – fr. . - • - o .T • I• I _ – — e • – • L ' – �- �. •– • �- ° _ –�_ –'
� 'I1- 3/N
w+15HE11 RocK
10 '
FIL1t FABP-1
DVEf. LL
TREricHES
C oil tJeCr iD
To bovJn/ -
S PoHT
(LI I% ?VC_ )
o'E*Tow
A LAS N,
Lott
FIDE rvtsN C1, SUMP w'
sc.f N SOLo LID
�I J 1
c/%- 0 •Z / 7 C0rr,4ion • 6%4'2
downspout control
August 18, 1999 .
Mark Pedeferri
12215 — 48th Avenue S
Tukwila, WA 98178
dear Mr. Pedeferri:
Sincerely,
Brenda Holt
Permit Coordinator
encl
xc: File No. D99 -0217
City of Tukwila
Department of Community Development Steve Lancaster, Director
RE: CORRECTION LETTER #2 •
Development Permit Application Number D99 -0217
Pedeferri Residence
12215 — 48th Avenue S
This letter is to inform you of corrections that must be addressed before your development permit can be
approved. All correction requests from each department must be addressed at the same time and
reflected on your drawings. I have enclosed comments from the Public Works Department. At this time,
the Building Division, Fire Department and Planning Division have no comments regarding your
application for permit.
The City requires that four (4) complete sets of revised plans be resubmitted with the appropriate
revision block. If your revision does not require revised plans but requires additional reports or
other documentation, please submit four (4) copies of each document.
In order to better expedite your resubmittal, a `revision sheet' must accompany every resubmittal. I have
enclosed one for your convenience. Corrections /revisions must be made in person and will not be
accepted through the mail or by a messenger service.
If you have any questions, please contact me at (206)431 -3672.
John W Rants, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431.3665
PUBLIC WORKS PROJECT REVIEW COMMENTS
Pedeferri Residence
D99 -0217
8/17/1999
The City Of Tukwila Public Works Department needs the following information
before it can complete the plan review for this permit. Enclosed you will find
pertinent City Of Tukwila standards for the sewer line and King County standards
for the storm drain Please contact Jill Mosqueda at (206) 433 -0179, if you have
any questions regarding the following comments.
■ Please show cleanouts on the sewer line and a test tee at the property
line.
• Please show the storm drain connections. Include elevations, pipe
material, pipe diameters and slopes.
• Please provide a copy of your plumbing permit from King County for
the plumbing modifications under the house.
July 20, 1999
Mark Pedeferri
12215 — 48th Avenue S
Tukwila, WA 98178
Dear Mr. Pedeferri:
Cw
City of Tukwila
John W. Rants, Mayor
Department of Community Development Steve Lancaster, Director
RE: CORRECTION LETTER #1
Development Permit Application Number D99 -0217
Pedeferri Residence
12215 — 48th Avenue S
This letter is to inform you of corrections that must be addressed before your development permit can be
approved. All correction requests from each department must be addressed at the same time and
reflected on your drawings. I have enclosed comments from the Public Works Department. At this time,
the Building Division, Fire Department and Planning Division have no comments regarding your
application for permit.
The City requires that four (4) complete sets of revised plans be resubmitted with the appropriate
revision block. If your revision does not require revised plans but requires additional reports or
other documentation, please submit four (4) copies of each document.
In order to better expedite your resubmittal, a `revision sheet' must accompany every resubmittal. I have
enclosed one for your convenience. Corrections /revisions must be made in person and will not be
accepted through the mail or by a messenger service.
If you have any questions, please contact me at (206)431 -3672.
Sincerely,
62W&L
Brenda Holt
Permit Coordinator
encl
xc: File No. D99 -0217
6300 Southcenter Boulevard, Suite 11100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431-3665
PUBLIC WORKS PROJECT REVIEW COMMENTS
Project Name: Mark Pedeferri
File #: D99 -0217
Date:. 07.13.99
L. Jill Mosqueda, P.E.
The City Of Tukwila Public Works Department needs the following information
before it can complete the plan review for this permit. Please contact Jill
Mosqueda at (206) 433 -0179, if you have any questions regarding the following
comments.
1) On plan drawings:
a) Show driveway length, slope, direction of runoff and paving limits.
b) Show driveway cross section and description of materials.
c) Give ground floor final elevation
d) Locations, sizes, distances, invert elevations, points of connection for:
1. sanitary sewer
2. storm drainage
2) In addition to pumping the existing septic tank and then filling it with sand,
Public Works recommends, but does not require, bleaching the bottom of the
tank and then knocking a hole in it to provide drainage.
.e.r., arMS: r. �x. eu` ny ]tA�r:Y.'- .= :CeVYIp'�%12::i -Tii }:v %ds- v:AftcSt.W;;7Sn) tit- Prf�• r., nv1�;+} ry;! rG. s' rb'> �: N: t .'9ir.;f +.`:'t
(
DEPARTMENTS:
Building Division
Public_ Works ,
iltn it -
Complete
Comments:
TUES /THURS ROUTXNG:
Please Route
APPROVALS OR CORRECTIONS: (ten days)
Approved
\PRROUTE.DOC
5/99
Structural
Incomplete
Approved with Conditions
Fire Prevention
Structural Review Required
"PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
CTIVIT:Y .NUMBER: D99 -0217 DATE: 11 -12 -99
PROJECT NAME: PEDEFERRI RESIDENCE
Original Plan Submittal
XX '. Response to Correction: Letter• # 2
Response to Incomplete Letter #
Revision # _After Permit Is Issued
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
n
n
T47 / 3. vtF. SY. w. i11' YL xr+.owewn Yrtv[
Planning Division
Permit Coordinator
DUE DATE: 11 -16 -99
Not Applicable
n
■
No further Review Required n
REVIEWER'S INITIALS: DATE:
DUE DATE 12 -14-99
Not Approved (attach comments) I
REVIEWER'S INITIALS: DATE:
CORRECTION DETERMINATION: DUE DATE
Approved n Approved with Conditions Not Approved (attach comments) n
REVIEWER'S INITIALS: DATE:
• cru:. u: m:✓ a,:....,. vnS��w2l u.. c. kv. 5xz:,`.' fi' E, 4„ hn6�r :•� S�cs7- yea..=. •ra3�u:dtn ?!?i'b•'
DEPARTMENTS:
Building Division n
W o r k s ig
Complete kl
Comments:
WRROUTC.DOC
5/99
CORRECTION DETERMINATION:
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete
APPROVALS OR CORRECTIONS: (ten days)
vkettuni adecP 8r- 1P - ff
REVIEWER'S INITIALS:
seaxnr 4V,
Perrn\+ Copra C5p
PLAN REVIEW /ROUTING SLIP
Fire Prevention n Planning Division
Permit Coordinator
DUE DATE: 8 -5 -99
TUES /THURS ROUTING:
Please Route Structural Review Required n No further Review Required
ACTIVITY NUMBER: D99 -0217 DATE: 8 -3 -99
PROJECT: NAME: PEDEFERRI RESIDENCE
Original Plan Submittal Response to Incomplete Letter.#
XX . Response to Correction Letter # 1 Revision # _ After Permit Is Issued
Not Applicable
DUE DATE 9 -2 -99
n
REVIEWER'S INITIALS: DATE:
Approved n Approved with Conditions I I Not Approved (attach comments) LE PO
DATE:
DUE DATE
Approved n Approved with Conditions n Not Approved (attach comments) n
REVIEWER'S INITIALS: DATE:
.;Vir h 4"a.45.Y.StVgir 41,,
iA�a::9;;xiit.. ..;Jb;3 _,..r. •t \;i�� °ui'i'IuF%'s'<w ..oi::h:...:;'Fii „.� ., i.,.n "t75.... ':iaa
DEPARTMENTS:
A rf
Bui din Division
1,dC -t
Public W rk�
Please Route
TUES /THURS ROUTING:
Approved I 1 Approved with Conditions
\PRROU1f.000
5/99
V'srorit Co
PLAN REVIEW /ROUTING alP
r.. si rr.. a»:*. tc rtq•s 4 $,. eVlne7, r.. o sr vrysarr v : «
ACTIVITY :NUMBER: D99 -0217
DATE: 7-1-99
PROJECT NAME: MARK PEDEFERRIRESIDENCE
XX. Original Plan Submittal.. Response to Incomplete Letter
Response to Correction Letter # Revision # After Permit Is Issued
Fire
NO
Prevention I Planning Division X1
1I6. / -1 - -'11 '& - 1-- —77
Structural n Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 7 -6-99
Complete Incomplete n Not Applicable ri
Comments:
Structural Review Required ri No further Review Required
n
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: (ten days) DUE DATE 8 -3 -99
offwezto4 ✓ , ( Dbc
REVIEWER'S INITIALS: DATE:
Not Approved (attach comments)
CORRECTION DETERMINATION: DUE DATE
Approved ri Approved with Conditions Not Approved (attach comments) n
REVIEWER'S INITIALS: DATE:
T1 PA)
Revision .
No.
Date
Received
Staff
Initials
Date
Issued
' •Staff
Initials
Staff
Initials
Summary of Revision:
1
• • Received By:
Summary of Revision: 17 7 1 j l� DA-0 S
Received By: Ill L EdE FE-
Revision
No.
Date
Received
Staff
Initials
Date
Issued
Staff
I Initials
Staff
Initials
Summary of Revision:
I I I
• • Received By:
Revision
No.
I Date
Received
Staff I Date Staff
Initials 1 Issued Initials
I Staff
Initials
Date
Issued
Staff
Initials
1
... -_... •
I I I
Summary of Revision:
Revision
No.
Date
I Received
Staff I Date Staff
Initials 1 Issued Initials
1
Summary of Revision:
Received By: .
PROJECT NAME: 0' A R k PDT F=� R- PERMS. NO:.. Dq.. —mil . "7
Site Address: 1221 Original Issue Date: _ S H7) a
REVISION LOG
Received By:
(please print)
(please print)
(please print)
Revision I
No.
Date
Received
Staff
Initials
Date
Issued
Staff
Initials
Summary of Revision:
Received By:
1
(please print)
please pn
Date: (I-/ - 01
a r -o w1 S .
O Response to Incomplete Letter #
O Response to Correction Letter #
• Revision # I after Permit is Issued
Project Name: I PE,oc- FE- R-(! -+
Project Address: / Z2 / S L1Wf - 4 /6 S
Contact Person: / PE- Fe i
Sheet Number(s): /
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
Entered in Sierra on /.
City of Tukwila
Department of Community Development - Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
(206)431 -3670
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted
through the mail, fax, etc.
Plan Check/Permit Number: D °I 9 - 0 21
Zo 6
• 76 tS - u I t
Phone Number: 4 is- M - TM
Summary of Revision:
aeofri i Ait40 ►I;GyG of cot'i 's Tb
08/30/00
City of Tukwila
❑ Response to Incomplete Letter #
X I Response to Correction Letter #
❑ Revision # after Permit is Issued
Project Name:
Project Address:
Contact Person:
Vd4e4 P efj41.4 ucd
e
Received . t the City of Tukwila Permit Center by:
Entered in Sierra on ` 1" 1)- ;
Department of Community Development Steve Lancaster, Director
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted
through the mail, fax, etc.
Date: / 1 112 ,6 9 Plan Check/Permit Number: 1,44 • QZI'7
Phone Number:
Summary of Revision: A66E1) S/fr:E`i Lfi f (Leo SAS / tf2-1
i
St -w�fL ) 4 /J E Sr/ ° 7 Lr9 fit_ E-4 Obi,/ Pb r.4 7
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P1-14 w9 R r A/ r, Pf-I1 /f
NOV 1 2 1999
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
0
John W. Rants, Mayor
RCI.CI V CU
CITY OF TUKWILA
ENTEk
06/29/99
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431-3665
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted
through the mail, fax, etc.
Date: V
Response to Incomplete Letter #
X Response to Correction Letter # '
Revision # after Permit is Issued
Project Name:
Project Address:
Contact Person:
c
City of Tukwila
Department of Community Development Steve Lancaster, Director
Palettes'
Malt-
Summary of Revision: ( 1:72.1‘.)v, 4 t
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Plan Check/Permit Number:
114 114 PERMIT CENTER
` f ok Phone Number: --4 1 4` " l
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RECEIVED
CITY OF TUKWILA
AUG - 3 1999
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rl-1oa fvl) o ;LA VBt --AA ,\
f4S xh' 1; r�reNmnC: S' Ex�Y16�IeMS!nm:Mn��FrUewY:wKxr; : ';:,
John W. Rants, Mayor
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t
0 t-.1 Al c i i O ' ` O �J v r=. e S tO , 1i T4 O t om.. .fL t
. • S fLvr fZ ea- / A u S w A L -
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by: �16
Entered in Sierra on E3-3.-q9
06/29/99
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 4313670 • Fax (206) 431.3665
Re. .._ Jential Sewer Use Certific&.. ion
(To be completed for all new sewer connections, reconnections, or change of use of existing connections.
This form does not apply to repairs or replacements of existing sewer connections.)
Pursuant to King County Ordinance No. 11034, all sewer customers who establish a new service which uses metropolitan sewage
facilities after February 1, 1990 shall be subject to a capacity charge. The King County Council has established the amount of the charge
at seven dollars ($7.00) per month per residential customer or residential customer equivalent for a period of fifteen years.
The purpose of the charge is to recover costs of providing sewage treatment capacity for new sewer customers. The charge is collected
semi-annually. All future billings can be prepaid at a discounted amount.
Questions regarding the capacity charge on this form should be referred to King County Water Pollution Control Division at 684 -1740.
(Please print or type)
Owner's Name P I RR l Wl 1 -i.vc,
(Last, First, Middle Initial)
Property Tax I.D. Number O L74-9 f0 — 0 8
Property Legal Address:
Subdivision Name AA.Lvv':ou. N Ab ibdiv. #
Lot # 3°1 4 40 Block # 6
Building Name
(if applicable)
Property
Street Address (2.2. S 4 iscU C 5o .
City, State, Zip `TV k, < r-" W 9'4
Owner's Mailing
Address StA w i
(If different from
above)
KING COUNTY
Owne#'s Phone Number ( ) /GE 84.1.8
Property Contact Phone Number ( )
Party
to be Billed
(if different from owner)
Party's Mailing
Address
(if different from
above)
Cit9 or Sewer District t.w L. L.- IN
Date of Connection:
Side Sewer Permit #
Residential Customer
Please check appropriate box: Equivalent (RCE)
1057(Fev 2/96)
Signature of Owner /Representative
Print Name of Owner /Representative
ngle- family
❑ Duplex (0.8 RCE per unit)
C 3 -Plex (0.8 RCE per unit)
❑ 4 -Plex (0.8 RCE per unit)
❑ 5 or more (0.64 RCE per unit)
No. of Units x 0.64 =
❑ Mobile home space (1.0 RCE per space)
No. of Spaces x 1.0 =
For condominiums, please fill out Supplemental Form A in addition to this form.
I certify that the information given is correct. I understand that the capacity charge levied will be based on thi information
and any deviation will require resubmis n of cQrrrected data or determination of a revised capacity charge.
Date
1.0
1.6
2.4
3.2
White - King County Yellow - Local Sewer Agency Pink - Sewer Customer
CITY OF TUKWILA
JU L 0 1 1999
PERMIT CENTER
cross section
floor plan
foundation
pedeferri addition
elevations
storage addition
elevations