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HomeMy WebLinkAboutPermit M09-075 - ROSSO RESIDENCEROSSO RESIDENCE 13044 57 AV S EXPIRED 07 -15 -11 M09 -075 Parcel No.: 2172000340 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: 13044 57 AV S TUKW Value of Mechanical: $10,000.00 Type of Fire Protection: Cityif Tukwila ROSSO RESIDENCE 13044 57 AV S , TUKWILA WA ROSSO GENE II 6404 ELLIS AVE S , SEATTLE WA Contact Person: Name: GENE ROSSO Address: 6404 ELLIS AVE S , SEATTLE WA Contractor: Name: OWNER AFFIDAVIT - GENE ROSSO Address: 6404 ELLIS AVE S , SEATTLE WA Contractor License No: DESCRIPTION OF WORK: REISSUE OF EXPIRED PERMIT M08 -280. HVAC FOR NEW SINGLE FAMILY RESIDENCE. HEAT PUMP, GAS FIREPLACE Furnace: <100K BTU >100K BTU Floor Furnace Suspended/Wall /Floor Mounted Heater Appliance Vent Repair or Addition to Heat/Refrig /Cooling System.... Air Handling Unit <10,000 CFM >10,000 CFM Evaporator Cooler Ventilation Fan connected to single duct Ventilation System Hood and Duct Incinerator: Domestic Commercial/Industrial doc: IMC-10/06 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us MECHANICAL PERMIT EQUIPMENT TYPE AND QUANTITY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * * continued on next page ** M09 -075 Permit Number: M09 -075 Issue Date: 06/17/2009 Permit Expires On: 12/14/2009 Expiration Date: Phone: Phone: 206 - 730 -8631 Phone: 206 - 730 -8631 Fees Collected: $232.97 International Mechanical Code Edition: 2006 Boiler Compressor: 0 -3 HP /100,000 BTU 0 3 -15 HP /500,000 BTU 0 15 -30 HP /1,000,000 BTU.. 0 30 -50 HP/ 1,750,000 BTU.. 0 50+ HP /1,750,000 BTU 0 Fire Damper 0 Diffuser 0 Thermostat 0 Wood /Gas Stove 1 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment Printed: 06 -17 -2009 Permit Center Authorized Signature: Print Name: doc: IMC -10/06 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Permit Number: MO9 -075 Issue Date: 06/17/2009 Permit Expires On: 12/14/2009 Date: (r1 I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this mechanical permit. Signature: Date: l `, - 17 - C', , 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. M09 -075 Printed: 06 -17 -2009 Parcel No.: 2172000340 Address: 13044 5T AV S TUKW Suite No: Tenant: ROSSO RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http://www.ci.tukwila.wa.us PERMIT CONDITIONS Permit Number: M09 -075 Status: ISSUED Applied Date: 06/17/2009 Issue Date: 06/17/2009 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431- 3670). 4: 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. 5: Manufacturers installation instructions shall be available on the job site at the time of inspection. 6: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances shall not be located m, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms, bathrooms, toilet rooms, storage closets, surgical rooms. 7: 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. 8: 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. 9: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 10: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 11: 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. doc: Cond -10/06 * *continued on next page ** M09 -075 Printed: 06 -17 -2009 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work construction or the performance of work. Signature: C 1/ 1-(0 P - E--.. — Print Name: doc: Cond -10/06 / qtr l< ; l)e r'-r M09 -075 Date: 6 `/ 7' 1^' / ordinances governing or local laws regulating Printed: 06 -17 -2009 Name: E -Mail Address: Company Name: Mailing Address: Company Name: Mailing Address: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** ( . � ,, Site Address: 436 ' � 7 Tenant Name: 4 £ cke )eoss Property Owners Name: ).c9 5S' Mailing Address: 6' ( "/C 9 L ✓ �LL /s 1 (tic SO, CONTACT PERSON Wlio do we contact when y our permit is :;r'eady to be iisued' Mailing Address: GYoq ALL is Avc SD g hoY'ossa @Lto74cati,c.a Contact Person: E -Mail Address: H:\Applications\Porms- Applications On Line\2009 Applications \1-2009 - Mechanical Permit Application.doc Revised: 1.2009 bh MECHANICAL PERMIT APPLICATION Mechanical Permit N Project No. titoq,075 (For office use oily) King Co Assessor's Tax No.: a 1 w 0 0 1f. V Suite Number: Floor: New Tenant: ❑ Yes ❑..No City Day Telephone: City AtJA WC- State Zip mss-- 710 - 3 / State Zip Fax Number: State Zip City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: • ARCHITECT.OF.RECORD All.plans must be wet stamped b Architect of Record State Zip City Day Telephone: Fax Number: ENGINEER . 0F . RECORD - All plans must be'wetstamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip Page 1 of 2 Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace <100K BTU Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Furnace >100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood /Gas Stove / 30 -50 HP /1,750,000 BTU Appliance Vent Hood and Duct Emergency Generator 50+ HP /1,750,000 BTU Repair or addition to Heat/Refrig /Cooling System Incinerator — Domestic Other Mechanical Equipment Air Handling Unit <10,000 CFM Incinerator — Comm/Ind H p el ( 7 J1�1 1 / Valuation of Project (contractor's bid price): $ r(r) r 6-:°1° n J Scope of Work (please provide detailed information): /'/�'eA �' 1 ' O r 't� Z� 1 ''v 4.14 Use: Residential: New Commercial: New Fuel Type: Electric Er Replacement Replacement Indicate type of mechanical work being installed and the quantity below: Gas ❑ Other: PERMIT APPLICATION NOTES - 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 extension of time for additional periods not to exceed 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 OWNER OR AUTHORIZED AGENT: Signature: Date: 6 — (` 07 Print Name: /'lot. r k Day Telephone: Mailing Address: b (2.9 caie‘ City Date Application Accepted: H:Wpplications\Forms- Applications On Line \2009 Applications \1.2009 - Mechanical Permit Application.doc Revised: 1 -2009 bh State Date Application Expires: Staff Initials: ° Z 91er Zip Page 2 of 2 Payee: GENE ROSSO ACCOUNT ITEM LIST: Description MECHANICAL - RES 0 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http://www.ci.tukwila.wa.us TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5964 116.48 Authorization No. RECEIPT Account Code Current Pmts 000.322.102.00.0 116.48 Total: $116.48 Parcel No.: 2172000340 Permit Number: M09 -075 Address: 13044 57 AV S TUKW Status: PENDING Suite No: Applied Date: 06/17/2009 Applicant: ROSSO RESIDENCE Issue Date: Receipt No.: R09 -00905 Payment Amount: $116.48 Initials: WER Payment Date: 06/17/2009 10:04 AM User ID: 1655 Balance: $0.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 06 -17 -2009 Project: K(oSSO L-e J . e�c T Inspection: 0L, k 't l Address: Y•+ c=" � r 3 - � 4 4 3 1 /Jut, 5. Date Calle • -(! W S-roVE `'� Special Instructions: Z . Date Wanted: / �� p m Requester: Phone , Q G4 n / / INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION % - 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431- Approved per applicable codes. Ei Corrections required prior to approval. COMMENTS: e Ll Inspec ' or: Date: ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 06 -01 -2011 GENE ROSSO PO BOX 80543 SEATTLE WA 98108 RE: Permit No. M09 -075 13044 57 AV S TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 07/15/2011. Based on the above, you are hereby advised to: Sincerely, 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, , provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 07/15/2011, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Bill Rambo Permit Technician File: Permit File No. M09 -075 City of Tukwila Department of Community Development Jack Pace, Director Jim Haggerton, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 December 7, 2010 Geno J. Rosso PO Box 80543 Seattle, WA 98108 epartme t of Cows; ; u nit/ Develo RE: Request for Extensions #3 Permit Numbers: D08 -378, D09 -034, EL08 -1492, EL09 -0432, M09 -075, and PG08 -289 Dear Mr. Rosso, This letter is in response to your written request for an extension to Permit Numbers D08 -378, D09 -034, EL08 -1492, EL09 -0432, M09 -075, and PG08 -289. The Building Official has reviewed your letter and considered your request to extend the above referenced permit. The City of Tukwila Building Division will be extending your permits an additional 180 days from the latest date of expiration, through July 15, 2011. Please note that per the Building Official this is to be the last extension granted for any of these permits. In order to keep these permits as active progress must be made and inspections conducted. Each inspection automatically extends the permit an additional 180 days. Please note that each permit is on its own timeline and will require a separate inspection. Notices will continue to be sent that are identical to those you have been receiving. The option for a written request will still be on your letter, but will no longer be applicable in your situation. As stated above, the only way to extend your permits will be by scheduling and having inspections. If a permit does expire, a new application, plans, specifications, and fees will be required. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, A&7 fer Marshall it Technician File: Permit No. D08 -378, D09 -034, EL08 -1492, EL09 -0432 WAPermit Center\Extension Letters \Perrnits'2008\D08 -378 Permit Extension #3.doc 1 Jim Haggerton, Mayor ment Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 ® Tukwila, Washington 98188 o Phone: 206 - 431 -3670 0 Fax: 206 - 431 -3665 r November 22, 2010 City of Tukwila Attn: Bob Benedicto 6300Southcenter Boulevard, Suite 100 Tukwila, WA 98188 Dear Mr. Benedicto; ROSSO GARDENS, L.L.C. 6404 ELLIS AVENUE SOUTH PO BOX 80543 SEATTLE, WASHINGTON 98018 -0543 206 - 763 -1888 — FAX 206 -762 -2544 Re: Permits #PG08 -2 89, M09-075, D08- I�l%�la Nov 2 4 2O1 ` CSR 78, EL08 -1492, EL09 -0432, D09 -034 In regards to the above permits, I need to request and extension, I have been working hard to finish my house, but with the current economic recession it has been a real struggle just to pay my monthly mortgage, bills and yearly taxes. I have only been able to put a small portion aside to finish my house. During this time I have been working continuously, weekly and I am getting very close to having this project finished at 13044 — 57 Ave. S., Tukwila, WA 98178 0, , (JD .cam igodc&eei 120 2 400 ) ,/ J 1 11 -01 -2010 GENE ROSSO PO BOX 80543 SEATTLE WA 98108 RE: Permit No. M09 -075 13044 57 AV S TUKW Dear Permit Holder: File: -or- fer Marshall it Technician Permit File No. M09 -075 ity � � Ix TU 1 : `� :% Jim Haggerton, Mayor Department of Community evelo Based on the above, you are hereby advised to: meat Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 12/10/2010. 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and /or receive an extension prior to 12/10/2010, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, 6300 Southcenter Boulevard, Suite #100 o Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 May 24, 2010 Geno J. Rosso PO Box 80543 Seattle, WA 98108 RE: Request for Permit Extensions #2 Mechanical Permit Number M09 -075 Plumbing/Gas Piping Permit Number PG08 -289 Rosso Residence —13044 57 Av S Dear Mr. Rosso, This letter is in response to your written request for an extension to Permit Numbers M09 -075 and PG08 -289. The Building Official has reviewed your letter and considered your request to extend the above referenced permits. The City of Tukwila Building will be extending your permits an additional 180 days from the date of expiration, through December 10, 2010. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, File: ifer Marshall it Technician City of Tu ila Department of Community Development M09 -075 & PG08 -289 W:\Permit Center\Extension Letters\Permits\2008\PG08 -289 Permit Extension #2.doc jem Jim Haggerton, Mayor Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 Sir: Thank you. ROSSO GARDENS, LLC 6404 ELLIS AVE SOUTH, PO BOX 80543 SEATTLE, WA 98108 PHONE 206 -763 -1888; FAX 206- 762 -2544 City of Tukwila Att: Bob Benedicto 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 Re: Permits # PGO8 -289 & M09 -075 Vt09 D7S - e'i' May 21, 2010 In regards to the above permits, I need to request an extension on these permits because of the current economic situation, with my business and other items, I am going to have to get the necessary financing to finish the project for the above permits, location is 13044 57 Ave So, Tukwila, WA 98178. co - 3 - 10 (9` (H — Ld V-1la1bo RECEIVED MN 21 2010 PERMf CENTER b Orifice/ dace %a GENE ROSSO 6404 ELLIS AVE S SEATTLE WA 98108 RE: Permit No. M09 -075 13044 57 AV S TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 06/14/2010. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 06/14/2010, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, ei:),, x Bill Rambo Permit Technician File: Permit File No. M09 -075 City o Tukwila Jim Haggerton, Mayor epartment of Community Development Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 November 19, 2009 Geno J. Rosso PO Box 80543 Seattle, WA 98108 RE: Request for Permit Extensions Mechanical Permit Numbers M09 -075 Rosso Residence —13044 57 Av S Dear Ms. Doll, This letter is in response to your written request for an extension to Permit Number M09 -044. The Building Official has reviewed your letter and considered your request to extend the above referenced permit. The City of Tukwila Building Department will be extending the permit an additional 180 days from the date of expiration, through June 14, 2010. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, fer Marshall it Technician File: M09 -075 Department of Community Development W:\Permit Center\Extension Letters\Permits\2009\M09 -075 Permit Extension.doc Jim Haggerton, Mayor Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 o Tukwila, Washington 98188 0 Phone: 206 - 431 -3670 ® Fax: 206 - 431 -3665 City of Tukwila Att: Bob Benedicto Re: Permit # M09 -75 Sir: Thank you. Sincerely, ROSSO GARDENS, LLC 6404 ELLIS AVE SOUTH, PO BOX 80543 SEATTLE, WA 98108 PHONE 206 - 763 -1888; FAX 206- 762 -2544 November 14, 2009 Geno J. Rosso • In regards to the above permit, I need to request an extension as I had a financial hardship and now have just received my needed financing to finish my house portion of the project for this permit, # M09 -75, location is 13044 57 Ave So, Tukwila, WA 98178. 10)- - is - 01 bck(AA oic ll� RECEIVED NOV 16 2009 ODMMIMITY DEVELOPMENT GENE ROSSO 6404 ELLIS AVE S SEATTLE WA 98108 RE: Permit No. M09 -075 13044 57 AV S TUKW Dear Permit Holder: -or- Bill Rambo Permit Technician File: Permit File No. M09 -075 City of Tukwila Department of Community Development Jim Haggerton, Mayor In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 12/15/2009. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period. 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 12/15/2009, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, clA,C c ceAtiedt Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 STATE OF WASHINGTON) COUNTY OF KING ) CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (2o6) 431 -3670 FAX (206) 431 -3665 E - mail: tukplan(ci.tukwila.wa.us AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION ss. 6 _ P & S U , states as follows: [please print] Permit Center /Building Division 206 431 -3670 Public Works Department 206 433 -01 79 Planning Division 206 431 -3670 PERMIT NO: M0 0 75 1. I have made application for a permit from the City of Tukwila, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized under this permit to be exempt under No.) ?, and will therefore not be performed by a registered contractor. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. I understand that I may be waiving certain rights that nl: ht otherwise have under state law in any decision to engage an unregistered contractor to pe '• r c;. ction work. er /Owner's Age Signed and sworn to before me this 7'c — day of D -e , 20 )g(CO - C-j L NOTARY PUBLIC in and for the State of Washington Residing at r Name as commissioned: My commission expires: , County JC � oc 18.27,090 Exemptions, The registration provisions of thi 1. An authorized representative of the United States government, the state of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district, or other municipal or political corporation or subdivision of this state; 2. Officers of a court when they are acting within the scope of their office; 3. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 4. Any construction, repair, or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, or other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 5. The sale of any finished products, materials, or articles of merchandise that are not fabricated into and do not become a part of a structure under the common law of fixtures; 6. Any construction, alteration, improvement, or repair of personal property performed by the registered or legal owner, or by a mobile /manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW who shall warranty service and repairs under chapter 46.70 RCW; 7. 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; 8. 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; 9. Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials and all other items is less than five hundred dollars, such work or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any 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 contracts of amounts less than five hundred dollars for the purpose of evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he or she is a contractor, or that he or she is qualified to engage in the business of contractor, 10. Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry s chapter do not apply to: raising; or to clearing or other work upon land in rural districts for fire prevention purposes; except when any of the above work is performed by a registered contractor; 11. An owner who contracts for a project with a registered contractor, except that this exemption shall not deprive the owner of the protections of this chapter against registered and unregistered contractors. The exemption prescribed in this subsection does not apply to a person who performs the activities of a contractor for the purpose of leasing or selling improved property he or she has owned for less than twelve months; y person working on his or her own property, whether occupied by him or her or not, and any person working on his or her personal residence, whether owned by him or her or not but this exemption shall not apply to any person who performs the activities of a contractor on his or her own property for the purpose of selling, demolishing, or leasing the property; 13. An owner who performs maintenance, repair, and alteration work in or upon his or her own properties, or who uses his or her own employees to do such work 14. A licensed architect or civil or professional engineer acting solely in his or her professional capacity, an electrician certified under the laws of the state of Washington, or a plumber certified under the laws of the state of Washington or licensed by a political subdivision 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 person certified is operating within the scope of his or her certification; 15. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his or her sole compensation or as an employee with wages as his or her sole compensation; 16. Contractors on highway projects who have been prequalified as required by RCW 47.28.070, with the department of transportation to perform highway construction, reconstruction, or maintenance work; 17. A mobile /manufactured home dealer or manufacturer who subcontracts the installation, set -up, or repair work to actively registered contractors. This exemption only applies to the installation, set -up, or repair of the mobile /manufactured homes that were manufactured or sold by the mobile /manufactured home dealer or manufacturer; 18. An entity who holds a valid electrical contractor's license under chapter 19.28 RCW that employs a certified journeyman electrician, a certified residential specialty electrician, or an electrical trainee meeting the requirements of chapter 19.28 RCW to perform plumbing work that is incidentally, directly, and immediately appropriate to the like -in -kind replacement of a household appliance or other small household utilization equipment that requires limited electric power and limited waste and /or water connections. An electrical trainee must be supervised by a certified electrician while performing plumbing work.