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HomeMy WebLinkAboutPermit D05-387 - BIVINS RESIDENCE - BEDROOM, KITCHEN AND BATHBIVINS RESIDENCE 14603 35 AV S D05 -387 Z Z 6 0 CO W= CO W O: cn a: W ?�. Z I; 0 0 in O H W W • U- _ W t- -O • • Z. W F ▪ . O H Z J ��1lLA, • {' Of �2 ) 1908 City (`'Tukwila Department of Conintunity Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206- 431 -3670 Fax: 206- 431 -3665 Web site: ci.tirk►vilama.its DEVELOPMENT PERMIT R Steven M. Mullet, Mayor Steve Lancaster, Director Parcel No.: 2044000005 Permit Number: DOS-387 Address: 14603 35 AV S TUKW Issue Date: 11/14/2005 Suite No: Permit Expires On: 05/13/2006 Tenant: $3,000.00 Name: BIVINS RESIDENCE Address: 14603 35 AV S, TUKWILA WA Owner: 2003 Name: BIVINS SONNY LEE Phone: Address: PO BOX 727, GRAHAM WA ! Contact Person: Name: SONNY LEE BIVINS Phone: 253 651 -3095 Address: PO BOX 727, GRAHAM WA Contractor: Name: OWNER AFFIDAVIT ON FILE Phone: Address: , Contractor License No: Expiration Date: DESCRIPTION OF WORK: CONVERT GARAGE INTO BEDROOM. REMODEL KITCHEN AND BATH. NO STRUCTURAL. Value of Construction: $3,000.00 Fees Collected: $174.55 Type of Fire Protection: SMOKE ALARMS International Building Code Edition: 2003 Type of Construction: V -B Occupancy per IBC: 0022 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: Hauling: Start Time: End Time: Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: Moving Oversize Load: Start Time: End Time: Sanitary Side Sewer: Sewer Main Extension: Private: Public: Storm Drainage: Street Use: Profit: N Non - Profit: N Water Main Extension: Private: Public: Water Meter: N Z Z �w 63 0 00 to W J = H S2 LL W U_Q ca D = F. w Z t_ E_ 0 Z �_ W Do U ON o�_ W U' O ..Z w U= O F ' Z doc: IBC- Permit D05 -387 Printed: 11 -14 -2005 w + Cit c�' Tukwil a Steven M. Mullet, Mayor Departmeist of Community Developmetit 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: ci.tuktivilama.us * *continued on next page ** l e doo: IBC- Permit D05 -387 Steve Lancaster, Director Printed: 11 -14 -2005 z = z �2. D JU UO. N O J =, H: CO U W O 2 9a = a. W. z F- t- O z E- Do U O CO), W W. �U LL O —O .. z CO) z City 6 Tukwila Steven M. Mullet, Mayor Departitteitt of Co nuntuuty Developnteitt 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: cOulcwila.wa.us Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director D05 -387 11/14/2005 05/13/2006 I Permit Center Authorized Signature: kA a Date: Hug 1 ll I hereby certify that I have read and x tutee 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. i The granting of this per t does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating constructi the perform of work. I m authorized to sign and obtain this development permit. j Signature: _ Date: Print Name: 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. Z ;t— Z W QQ JU UO Co 0 C0 J F. CO LL WO J L Q = �W Z F- Z O w w U ON ot- WW S L O 111 Z U= 0 F- Z doc: IBC - Permit D05 -387 Printed: 11 -14 -2005 J w�VWA. l� 1 .�� City of Tu wl a race Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS Parcel No.: 2044000005 Permit Number: DOS -387 Address: 14603 35 AV S TUKW Status: ISSUED Suite No: Applied Date: 11/01/2005 Tenant: SIVINS RESIDENCE Issue Date: 11/14/2005 1: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 2: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431- 3670). 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: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 5: All wood to remain in placed concrete shall be treated wood. 6: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 7: 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. 8: Manufacturers installation instructions shall be available on the job site at the time of inspection. 9: 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. 10: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the International Building Code and the Washington State Ventilation and Indoor Air Quality Code. 11: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms, bathrooms, toilet rooms, storage closets, surgical rooms. 12: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests. 13: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum distance of 4- inches shall be maintained above the controls with the strapping. 14: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Department of doc: Conditions D05 -387 Printed: 11 -14 -2005 Z ~w JU UO N to Lu J = H U) LL w LL ¢ �D = F _ w Z F— O Z �- w W U ON oF_ wW H F_ LL .Z w U= O Z i ...� � City of Tul'wlla Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Public Health - Seattle and King County (206/296- 4932). 15: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (206/248- 6630). 16: 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 ** doc: Conditions D05 -387 Printed: 11 -14 -2005 I z �z �w QQ JU UO rn o J = CO LL- w O La ND _CY �W z E- F- O zf- W W U O- o E- w H3 LL — O W z U C0 H O z i �..� City of Tul,wlla 19C8 I Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 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. Signature: zz Date: Print Name: i doc: Conditions D05 -387 Printed: 11 -14 -2005 Z �W QQD JU UO LU H U) L w O �Q co = �w z f- t — O z i-- w W U O N 0 F— WW Z H �. tL O .. Z W CO O ~. Z Project name Application # - 1 r -21 ALTERNATE PLAN SUBMITTAL AUTHORIZATION FOR LIMITED SCOPE. OF WORK U.B.C. Section 106.3.2 exception Address Description of work Related reference number CITY OF .TUKWILA Permit Cente, 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 h - The above project permit applicant, due to the limited scope of work is authorized to submit reduced plan requirements describe as noted below. 1. Complete permit application required: ( Note, all application must include; 1) property assessor number, 2) copy of contractors license or completed owner waiver form. ) Building Mechanical oxr Other 2. Minimum plan and /or specification requirement: i Site plan Floor plan Elevations Foundation Cross sections Roof plan W.S.E.C. compliance Narrative i Structural calculations ( stamped by Washington State licensed engineer ) i Specific required information 1`-�,P4 <%C 1- 4,44161 3. Authorization by, TBD3 /96 -form 12 pgRMIT CE NTER Date o ( Authorization void 30 days afle the date issued. ) Z �z �w QQ JU UO W = H NU- w� LL ¢ C/) :D = �w Z t- t— O w �5 UC3 ON C3 t— w uj 111 Z U= O Z 1 2005 i4 Z �z �w QQ JU UO W = H NU- w� LL ¢ C/) :D = �w Z t- t— O w �5 UC3 ON C3 t— w uj 111 Z U= O Z 1 2005 tu, wtr 0 CITY OF TUKWILA Community Development 5artment Public Works Department" Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Building Perm __ Mechanical Permit No. fin, Public Works Permit No. Project No. (For office use onl Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. "Please Print" SITE LOCATION. �,// _ J C King Co Assessor's Tax No.: �. C����U -U tx) i --��� Site Addres / L C? 3 3 `J �G'e _ . Suite Number: Floor: ' Tenant Name: S621 /bL/ New Tenant: .... es No Property Owners Name: 5 OW�- Mailing Address: /'9M - 3 City Slate Zip KCONTACT PERSON Name: ', // Day Telephone: Q_ 1 5, Z —� Mailing Address: C'. 06 .E GiP 1Y Y1 46 2 3 2 r ��// City State Zip E -Mail Address: S(D/v/L1L//t 1fJ( / CC T^40p!�q_ /Z)ej — Fax Number: ENERAL CONTRACTOR INFORMATION (Mechanical Contractor information on back page) Company Name Mailing Address Contact Person: _ Q: b /��. ZY14 Day Telephone: E -Mail Address: Fax Number: Z g Z Contractor Registration Number: Expiration Date: * *An original or notarized copy current Washington State Contractor License must be presented at the time of permit issuan ARCHITECT OF: RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: ENGINEER OF RECORD. -' All plans must be wet stamped by Engineer of Record y Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: q:\ \permits plus \icc ehanges\permit application (7 -2004) Revised: 6.8.05 Page t bh Z ~ W �U UO W= t-- �LL WO }} �J u- N =W CY F - _ zF_ ZF_ WW U� O- OH W U_ F- U_ O 111 Z CO O Z BUILDING PERMIT _INFORMATION,- 206-431-3670. Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): for requirements. ter � v ' c_ " V-MIZ - 10 M Provide A11 Building Areas in Square Footage Below 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 Wfiing: Lot Area (sq ft): ea of principal dwell' Floor area for accessory dwelling: *Provide docum ntation t shows that the principal owner lives in *heof e dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ ....Yes )KC No If "yes", explain: FIRE PROTECTIONIHAZARDOUS MATERIALS: ❑.. Sprinklers ❑..Automatic Fire Alarm []..None 2J. Other (specify) a miry -�_ Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes Jt.No If "yes ", attach list of materials and storage locations on a separate 8 -112 x 11 paper indicating quantities and Materia Safety Data Sheets. q:Upermits plus%kc cha pslpermh application (7.2004) Revised. ".05 Page 2 bh Z '~ W t a Y � JU UO to 0 C0 W W = CO LL WO La to � = a �W Z H H O Z H W �j U O- 0 F- W F_ LL — 0 W Z U CO 1— _ O Z Will there be new rack storage? [:]..Yes ffg No If "yes ", see Handout No. Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1` Floor 2 nd Floor P Floor Floors thru Basement Accessory Structure* Attached Garage -Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck 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 Wfiing: Lot Area (sq ft): ea of principal dwell' Floor area for accessory dwelling: *Provide docum ntation t shows that the principal owner lives in *heof e dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ ....Yes )KC No If "yes", explain: FIRE PROTECTIONIHAZARDOUS MATERIALS: ❑.. Sprinklers ❑..Automatic Fire Alarm []..None 2J. Other (specify) a miry -�_ Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes Jt.No If "yes ", attach list of materials and storage locations on a separate 8 -112 x 11 paper indicating quantities and Materia Safety Data Sheets. q:Upermits plus%kc cha pslpermh application (7.2004) Revised. ".05 Page 2 bh Z '~ W t a Y � JU UO to 0 C0 W W = CO LL WO La to � = a �W Z H H O Z H W �j U O- 0 F- W F_ LL — 0 W Z U CO 1— _ O Z Will there be new rack storage? [:]..Yes ffg No If "yes ", see Handout No. PUBLIC WORKS, PERMIT INF TION - 206 433-0179 Scope of Work (please provide detailed information Call before you Dig: 1- 800 - 424 -5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ...Tukwila ❑... Water District # 125 El.. Highline ❑ ...Renton ... Water Availability Provided I Sewer District ❑ ...Tukwila 9.. Va1Vue El.. Renton ❑ ...Seattle ❑ ...Sewer Use Certificate ❑... Sewer Availability Provided ❑ .. Approved Septic Plans Provided ';: s ❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department. Submitted with Application (mark boxes which apply): ❑ ... Civil Plans (Maximum Paper Size -22" x 34 ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑ ... Traffic Impact Analysis ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑ ... Hold Harmless Proposed Activities (mark boxes that a !f i I l ❑ ...Right -of -way Use - Nonprofit for less than 72 hours El.. Right -of -way Use - Profit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ .. Right -of -way Use -Potential Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way Non Right -of -way ❑ ...Total Cut cubic yards ❑ ...Total Fill cubic yards ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ ...Sanitary Side Sewer El.. Abandon Septic Tank ❑ ...Cap or Remove Utilities ❑ .. Curb Cut ❑ ...Frontage Improvements ❑ .. Pavement Cut ❑ ...Traffic Control ❑ .. Looped Fire Line ❑ ...Backflow Prevention - Fire Protection " Irrigation " Domestic Water " ❑ ...Permanent Water Meter Size... 11 WO# _ ❑ ...Temporary Water Meter Size.. WO# _ ❑ ... Water Only Meter Size............ WO# ❑ ...Sewer Main Extension ............Public Private ❑ ...Water Main Extension ............. Public Private ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ... Deduct Water Meter Size........ " FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: City State Zip Water Meter Refund/Billing: Name: Day Telephone: Mailing Address: Ci State Zip q:1 \permits plus\icc changes \permit application (7.2004) Revised! 6.8•05 bh Page 3 Z Z W 2 0 0 W = H CO W WO U. N = W F- _ Z I-0 W F- �5 U� ON 0H wW F- u O .. Z U= O Z i IECHANICAL PERMIT INFC42ATION - 206- 431 -3670 MECHANICAI CONTRACTOR INFORMATION Compan Mailing Contact Person: Az./�6A� A.2?:�R Day Telephone: 2 53 `�7 E -Mail Address: Fax Number: Contractor Registration Number: Ab/a'�G,OSD �`oG� .Z- Expiration D ate: � Q * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** Valuation of Project (contractor's bid price): $ & co Scope of Work (please provide detailed information): // G C. e; 1 �. .,�„o�.�, � cri. _ � ,� /.�PJv �f �E°Jr✓4�2 - � t 7�- c� lt! /�`�lt� Use: Residential: New.. Commercial: New.. Fuel Tyne Electric ..... ❑ h U Replacement .....X ❑ Replacement..... ❑ Gas ... Other: Indicate type of mechanical work being installed and the quantity below: Unit Type Unit T e: Qty Unit Type: Qty Boiler /Com pressor: Q Furnace<IOOK BTU tea Air Handling Unit >10,000 Fire Damper 0 -3 HP /100,000 BTU CFM Furnace >IOOK BTU I Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected Thermostat 15 -30 HP /1,000,000 BTU to Single Duct Suspended /Wall /Floor Ventilation System Wood /Gas Stove 30 -50 HP /1,750,000 BTU i Mounted Heater Appliance Vent Hood and Duct Water Heater 50+ HP /1,750,00 BTU Repair or Addition to Incinerator - Domestic Emergency Heat/Refrig/Cooling Generator System Air Handling Unit Incinerator — Comm/Ind Other Mechanical <I0,000 CFM I I Equipment 1 PERMIT APPLICATION NOTES - Applicable to all permits in this application 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. 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). 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 OWN - R AUTHORIZE ENT Signature: Date 30 ' Print Name:�c Mailing Address: Day Telephone: ,� G 3 — ; City state Zip Date Application Accepted: Date Application Expires: Staff Initials: � col q:1 \permits plus \icc changes \permit application (7 -2004) Revised: 6.8.05 Page 4 bh Z Z W JU UO � W J = F— �LL WO J L? � = W Z� F— O w �5 U O - 0 F— W S F— FF-- LL O Z W U= O F— Z �. � rans City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 2044000005 Address: 14603 35 AV S TUKW Suite No: Applicant: BIVINS RESIDENCE Permit Number: Status: Applied Date: Issue Date: DOS -387 PENDING 11/01/2005 Receipt No.: R05 -01645 Initials: 3EM User ID: 1165 Payment Amount: Payment Date: Balance: 107.56 11/14/2005 10:18 AM $0.00 Payee: SONNY LEE BIVINS TRANSACTION LIST: Type Method Description Amount Payment Check 4996 107.56 ACCOUNT ITEM LIST: Description Account Code Current Pmts ------------------------ - - - - -- ---------- - - - - -- ------ - - - - -- BUILDING - RES 000/322.100 103.06 STATE BUILDING SURCHARGE 000/386.904 4.50 Total: 107.56 9263 11/1- P16 TOTAL 10 = L doc: Receipt Printed: 11 -14 -2005 z Iz W UO Cl) H cn U- w O 9-j wQ co = F - w z i— F- O w LU �p O -. o �- wW LL O W z N F- H O . Z I, City of Tul -wila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT i Parcel No.: 2044000005 Permit Number: Address: 14603 35 AV S TUKW Status: Suite No: Applied Date: Applicant: BIVINS RESIDENCE Issue Date: Receipt No.: R05 -01587 Payment Amount: Initials: 7EM Payment Date: User ID: 1165 Balance: DOS -387 PENDING 11/01/2005 66.99 11/01/2005 12:53 PM $107.56 Payee: SONNY LEE BIVINS TRANSACTION LIST: Type Method Description Amount ---- - - - - -- -- - - - - -- --------------------- - - - - -- ------ - - - - -- Payment Check 4992 66.99 ACCOUNT ITEM LIST: Description Account Code Current Pmts ------------------------ - - - - -- ---------- - - - - -- ------ - - - - -- PLAN CHECK - RES 000/345.830 66.99 Total: 66.99 ot: `522 1:1/ 9716 TOTAL 66.90 doc: Receipt Printed: 11 -01 -2005 z ;F Z W W JU U CO H S2 LL WO LLQ Z O �W z F- HO w ~ W U� ON OH W W LL —0 .. Z. W U� H O z INSPECTION RECORD Retain a copy with permit 1057 INSPECTION NO. PER 0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 431 -3670 Pro' ct: V I N Type of Inspection: Add ess: I �.� 0 3 a v S Date Called: a - +W- oL Special Instructions: Date Wanted: -- I j -- b Requester: Phone Oct pproved per applicable codes. Corrections required prior to approval. COMMENTS: r , rti! . f tor: Date: $ 8.00 REINSPECTION F REQUIRED. Print to inspection, fee must be id at 6300 Southcenter B1 d., Suite 100. Call to sechedule reinspection. eipt No.: Date: Z = Z JU UO N co W J F u WO U. � = F- W _ ZF- Z° W U� ON 0 F- LU W F=- H LLI z U= O F- . Z --�, INSPECTION RECORD _l Retain a copy with permit "' INSPECTION NO. PE CITY OF TUKWILA BUILDING DIVISION 6 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 Project: Type of Inspection: Address: Date Called: Special Instructions: Date Wanted: a. .� p.m. Requester: Phone No: Receipt No.: Date: Z Z W JU UO U U) L w O. Ua = �W Z F— O Z !— LU �5 U� O� OH WW H� LL O LLI Z, U= Z u paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PER I CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367 Project: t A t yf Ty pe,° f Inspection: t .&14e'g4)�19LSV Address: Date Called ' Ct Ca Special I ,;�.. Date Wanted: a. Requester: Phone No: �eh N Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 1 Date: $58.0 REINSPECTION FE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. .eceipt No.: Date: r i Z ;H Z W Q � JU UO CO J = S2 LL WO LLQ UD = �W Z I-- t— O W F- W U O N oI-- W lU S I•- u- Z Lll U= O Z ,•!.� . ��� ,u. .., , 's• ^,..+s - �"�r 'f+�'t �t"oR,?? ^;^T*an ;0�5;•;mt - f ?�+•'�? � INSPECTION RECORD � Retain a co with permit :17 S INSPECTION NO. PER TAO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: Type of I spection: Adair ss:� , Date Call d: I `- Speci I Instructions: Date Wanted: / Q OD ap.tn. Requesteg Phone No: a -- -� Approved per applicable codes COMMENTS: Corrections required prior to approval. . Inspector $58.00 REIN paid at 6300 Receipt No.: Date: Date: 1 /1 /��_._,,. 1 ;E REQUIRED. Prior to inspection, fee must be Blvd., Suite 100. Call to sechedule reinspection k] t� Z i� Z � W 3 UO J TLL w W c = W Z� Z0 W U� N D F- W W F- u_ F- Z. U =. ~O _ Z i ,ti 3SQ� ALE., *A. qglt --ft r ^IS If �L:vt�.� ! ---------- - AO� - E, 4 o , fo &wle-06011 a# 0 -n =1 Ev. 0 CL go CL or Grail MECEMM Cf TUKWILA NOV - 1 2005 P !i Lp I R v- CA c �3 � F9 NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEARIHAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. PERMIT CENTER CITY OF TUKWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 Application # i15 -- p ALTERNATE PLAN SUBMITTAL AUTHORIZATION FOR LIMITED SCOPE OF WORK U.B.C. Section 106.3.2 exception Project name C: - )©i7 h i Address Description . of work Related reference number The above project permit applicant, due to the limited scope of work is authorized to submit reduced plan requirements describe as noted below. 1. Complete permit application required: (Note, all application must include; 1) ,propefty assessor number, 2) copy of contractors license or completed owner waiver form.) Ke UA ' 1 LI�Of wr.. Building Mechanical Other � 2. Minimum plan Nov and /or specification requirement: ?no,5 Site plan Floor plan Elevations Foundation Ci Cross sections Roof plan W.S.E.C. compliance Narrative` Structural calculations ( stamped by Washington State licensed engineer) 3. Specific required information Authorization by, TBD3 /96 -form 12 pgRMIT CENTER Date 0 �' ( Authorization void 30 days aftW the date issued. ) f� Z '~ w Q � Q 2 JU UO CO o W Lu J = t'- D U.. W LLQ D D = �W z t— H- O Zt- �p U OH W W t— u O W Z U= O Z i 2005 Z ~Z Q _U UO (I)o Uw w = F" LL w LL Q U = = �W Z = F- I- O z I- w W U� O� OH W W F- u' O .. z w U= p O z 'PERMIT COORD COPT( PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D05 -387 DATE: PROJECT NAME BIVINS RESI DENCE 11 -01 -05 SITE ADDRESS: 14603 35 AV S X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS k is � II � � Bui i ng ion Public Works MAMA N A- l I X,( P k I �o -o r Planning Division Permit Coordinator ❑ Fire Prevention d Structural ❑ DETERMINATION OF COMPLETENESS (Tues., Thurs.) Complete Incomplete Comments: DUE DATE: 1 1-03-05 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route d Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2.28.02 DUE DATE: 1 2-01-05 Not Approved (attach comments) ❑ DATE: z �w 0 JU 00 CO W = F- Nw w 5_ � =w ZO W U� ON o� WW F� LL O z W co 0 O� z t g 1905 f CITY OF TUKWILA Permit Center /Building Division Community Development Department 206- 431 -3670 Permit Center Public Works Department: 6300 Southcenter Blvd., Suite 100 206 - 433 -0179 Tukwila, WA 98188 Planning Division: 206 -431 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO.: _ ? i'-- STATE OF WASHINGTON) ) ss. COUNTY OF KING ) [please print] day of I have made application for a building permit from the City of Tukwila, Washington. 2. 1 understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. 1 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, 1 consider the work authorized under this building permit to be exempt under No. 13 and will therefore not be performed by a registered contractor. 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 •••��'� A 24 :.•'. pYAr? N� b t.\ Z 0p 4'/ A r \applications\8 -2004 affidavit in lieu of contractor registration states as follows: 20, NOTARY PUBLIC in and for the of Washington, Residing at , County. Name as commissioned: Gfh (_ L4 My commission expires: S /S UX Z �z w .t U UO w= �w w� UQ rn D = �w z F- O Z H w 25 U O� 0 E- w W U- 0 ..Z w co O Z Signed and sworn to before me this 18.27.090 Exemptions. This chapter shall not apply to: contracts of amounts less than $500.00 for the purpose of the evasion of this chapter or 1 otherwise. The exemption prescribed in this 2. An authorized representative of the United States subsection does not apply to a person who Government, the State of Washington, or any advertises or puts out any sign or card or other incorporated city, town, county, township, device which might indicate to the public that he is irrigation district, reclamation district or other a contractor, or that he is qualified to engage in municipal or political corporation or subdivision of the business of contractor; this state; 11. Any construction or operation incidental to the 3. Officers of the court when they are acting within construction and repair of irrigation and drainage the scope of their office; ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, 4. Public utilities operating under the regulations of agriculture, viticulture, horticulture, or stock or the utilities and transportation commission in poultry raising; or to clearing or other work upon construction, maintenance, or development work land in rural districts for fire prevention purposes; incidental to their own business; except then any of the above work is performed by a registered contractor; 5. Any construction, repair or operation incidental to the discovering or producing of petroleum or gas, 12. An owner who contracts for a project with a or the drilling, testing, abandoning, or other registered owner; operation of any petroleum or gas well or any surface or underground mine or mineral deposit U13. Any person working on his own property, whether when performed by an owner or lessee; occupied by him or not, and any person working on his residence, whether owned by him or not but 6. The sale or installation of any finished products, his exemption shall not apply to any person materials, or articles of merchandise which are not otherwise covered by this chapter who constructs actually fabricated into and do not become a an improvement on his own property with the permanent fixed part of the structure; intention and for the purpose of selling the improved property; 7. Any construction, alteration, improvement or repair of personal property, except this chapter shall apply to all mobile, manufactured housing. A mobile /manufactured home may be installed, set up, or repaired by the registered or legal owner, by a contractor licensed under this chapter, or by a mobile /manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW; 8. Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 9. Any person who only furnished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor; 10. Any work or operation on one undertaking or project by one or more contractors, the aggregate contract price of which for labor and materials and all other items is less than $500.00, such work, or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in all instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into \applications\8 -2004 affidavit in lieu of contractor registration 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'.�ii the'bcti.vities herein regulated as an employee• of a registered contractor with wages as his so le 17. Contractors on highwray pr (5jgcts who have been prequalified as required;by etapter' 13 of the Laws of 1961, RCW 47.28:070• with the department of transportation to perform `highway construction, reconstruction, or maintenance work. ..._ :: x+'. x.. is�a n. ci. a: i .:.•5:;;.s %ialai:i.c:�s:uJ;a • >••a w:se',u.cia.1.:.Ea,.:;Wi'` - + dai;z�tJu.:ti'az,' y am' , 1;14wat`r`iYtL z Z �z �w QQ JU 00 N J = t-- �L W J LL � =w F- _ z� w w U� ON o� wW LL —0 Z w co O Z