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HomeMy WebLinkAboutPermit D12-062 - SWEET BONES BBQ - TRAILER AND DECKSWEET BONES BBQ 13310 INTERURBAN AV S D12-062 City of/Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Inspection Request Line: 206- 431 -2451 Web site: http: / /www.TukwilaWA.gov DEVELOPMENT PERMIT Parcel No.: 0003000113 Address: 13310 INTERURBAN AV S TUKW Suite No: Project Name: SWEET BONES BBQ Permit Number: D12-062 Issue Date: 03/09/2012 Permit Expires On: 09/05/2012 Owner: Name: PETERSON STANLEY +REBECCA Address: 13310 INTERURBAN AVE S , TUKWILA WA 98168 Contact Person: Name: MICHAEL SISNEROS Address: 108 19 AV SE, SUITE 23 , PUYALLUP WA 98372 Phone: 253 - 230 -1031 Contractor: Name: OWNER AFFIDAVIT - MICHAEL SISNEROS Phone: Address: , Contractor License No: Expiration Date: Lender: Name: Address: DESCRIPTION OF WORK: RELOCATE EXISTING KITCHEN TRAILER 40 FT TO THE EAST AND ADD 360 SQ FT OF DECKING Value of Construction: $1,600.00 Fees Collected: $184.68 Type of Fire Protection: NONE International Building Code Edition: 2009 Type of Construction: V -B Occupancy per IBC: 0008 Electrical Service Provided by: SEATTLE CITY LIGHT * *continued on next page ** doc: IBC -7/10 D12 -062 Printed: 03 -09 -2012 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: N 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: Storm Drainage: Street Use: Profit: N Water Main Extension: Private: Water Meter: N Public: Non - Profit: N Public: Permit Center Authorized Signature. _ Date: _ 74 I hereby certify that I have read and examined %• s permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, wh-ther 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 performancA f work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. r Signature: ���' �_ ___ Print Name: Date: 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. PERMIT CONDITIONS: 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 4: 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: 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. 6: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building doc: IBC -7/10 D12 -062 Printed: 03 -09 -2012 inspector. No exception. 7: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 8: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 9: 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: IBC -7/10 D12 -062 Printed: 03 -09 -2012 CITY OF TUKTVIA Community Develop IDepartment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Building Peilt No. 0=0 Q 2. Project No. Date Application Accepted: Date Application Expires: (For office use only) CONSTRUCTION PERMIT APPLICATION 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 Site Address: 71743746 7tz- P- 5 King Co Assessor's Tax No.: Suite Number: Floor: Tenant Name: S.�Q,�- -Thes New Tenant: ❑ Yes .. No PROPERTY OWNER Name: /c//..9.e / ) /SP t --d—S Name: 5.. arl Alter,9e1,..t Address :/6 2 /9. ,14 , �� Address /3/61 _.-2-21 sire'ew-� M s City: /1 State City: -7-1� , / State:4 /f Zip: CONTACT PERSON — person receiving all project communication Name: /c//..9.e / ) /SP t --d—S Address: Address :/6 2 /9. ,14 , �� . 12 3 City: /1 State Zipg83 7;... Phone: Fax. s'3 - 2 3 a .1403 i Email: Phone: GENERAL CONTRACTOR INFORMATION Company Name: Address: Company Name: City: State: Zip: Phone: Fax: City: State: Contr Reg No.: Phone: Exp Date: Tukwila Business License No.: H:Wpplications\Fomm- Applications On Line \2012 Applications\Permit Application Revised - 2- 7- 12.docx Revised: February 2012 bh ARCHITECT OF RECORD Name: Address: Company Name: Architect Name: Address: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD Name: Address: Company Name: Engineer Name: Address: City: State: Zip: Phone: Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: Address: City: State: Zip: Page 1 of 4 BUILDING PERMIT INFORMATION — 206 - 431 -3670 Valuation of Project (contractor's bid pr $ Describe the scope of work (please al/ere detailed information): _T, // e/r ' 74 , Gt» 7L / al/er t 711.4/'1 w r / _� GJi /( U Existing ilding Valuation: $aQ Dc / rr' t5 7 /J t e c et y ;b 6r — 1�c���' /( 6 5,4 Will there be new rack storage? ❑ ....Yes J No If yes, a separate permit and plan submittal will be required. Provide All 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 the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm EIV. None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes Er—No If `yes', attach list of materials and storage locations on a separate 8 -1/2" x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ,fl ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H :\Applications\Forms •Applications On Line12012 Applications\Permit Application Revised - 2- 7- 12.docx Revised Febniary 2012 bh Page 2 of 4 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1' Floor 346. -Pt 2nd Floor 3`d Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck 3to// 4v �71- PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm EIV. None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes Er—No If `yes', attach list of materials and storage locations on a separate 8 -1/2" x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ,fl ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H :\Applications\Forms •Applications On Line12012 Applications\Permit Application Revised - 2- 7- 12.docx Revised Febniary 2012 bh Page 2 of 4 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 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 OV/E}t OjR AUHORIZED AGENT: Signature: �,c.�•_ Print Name: Afd r( f 5 A Date: .2 - 2 7- /2 /9514/X- 44,xyZe Day Telephone: -253 /12/3 '-76® 3 Mailing Address: Mt? S 2 3 /l/ 3 Gf/ 17` /a-5 %Z / State Zip H: Applications\Forms- Applications On Line \2012 Applications\Permit Application Revised - 2- 7- 12.docx Revised: February 2012 bh Page 4 of 4 PUBLIC WORKS PERMIT INFOOTION — 206-433-0179 • Scope of Work (please provide detailed information): �/� eta c /7, a s'.i' ex/. 7c fir ca. g 7t- `f%�trc / 3 r, �' ��b c , ' �h a�!? et n e .� l J ✓ 16 roi rr G ij app a � �a / 4/ "lr 'I dt,cA- d/ e is .> Ave) r r° Call before you Dig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ .. Tukwila ❑ ...Water District #125 Water Availability Provided Sewer District ❑ .. Tukwila Pk- ❑ .. Sewer Use Certificate ❑ ...Valley View ❑ ...Sewer Availability Provided ❑... Highline 0... Renton 0... Renton 0... Seattle Septic System: /,4- ❑ On -site Septic System - For on -site septic system, provide 2 copies of a current septic design approved 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) ❑ -. Bond 0... Insurance ❑... Easement(s) Proposed Activities (mark boxes that apply): ❑ .. Right -of -way Use - Nonprofit for less than 72 hours ❑ .. Right -of -way Use - No Disturbance ❑ .. Construction/Excavation /Fill - Right -of -way ❑ Non Right -of -way ❑ ❑ .. Total Cut ❑ .. Total Fill cubic yards cubic yards H 0... Geotechnical Report 0... Maintenance Agreement(s) ❑ .. Traffic Impact Analysis ❑ .. Hold Harmless - (SAO) ❑ .. Hold Harmless - (ROW) 0... Right-of-way Use - Profit for less than 72 hours 0... Right-of-way Use - Potential Disturbance ❑... Work in Flood Zone O... Storm Drainage ❑ .. Sanitary Side Sewer 0... Abandon Septic Tank ❑ .. Cap or Remove Utilities iu`4 0... Curb Cut ❑ .. Frontage Improvements T 0... Pavement Cut ❑ .. Traffic Control 0... Looped Fire Line ❑ .. Backflow Prevention - Fire Protection Irrigation " Domestic Water ❑ .. Permanent Water Meter Size (1) ❑ .. Temporary Water Meter Size (1) ❑ .. Water Only Meter Size ❑ .. Sewer Main Extension Public ❑ .. Water Main Extension Public 0... Grease Interceptor ❑... Channelization ❑ ... Trench Excavation 0... Utility Undergrounding WO # (2) " WO # (3) WO # (2) " WO # (3) WO # ❑ .. Deduct Water Meter Size Private ❑ Private ❑ " WO# " WO# FINANCE INFORMATION Fire Line Size at Property Line ❑ .. Water ❑ .. Sewer ❑ .. Sewage Treatment Monthly Service Billing to: Number of Public Fire Hydrant(s) Name: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip H:1Applications\Forms- Applications On Line \2012 Applicationslpermit Application Revised - 2- 7- 12.docx Revised: February 2012 bh Page 3 of 4 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.TukwilaWA.aov RECEIPT Parcel No.: 0003000113 Permit Number: D12-062 Address: 13310 INTERURBAN AV S TURIN Status: PENDING Suite No: Applied Date: 02/27/2012 Applicant: SWEET BONES BBQ Issue Date: Receipt No.: R12 -00807 Initials: User ID: WER 1655 Payment Amount: $184.68 Payment Date: 02/27/2012 10:04 AM Balance: $0.00 Payee: MICHAEL SISNEROS TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 060313 ACCOUNT ITEM LIST: Description 184.68 Account Code Current Pmts BUILDING - NONRES PLAN CHECK - NONRES STATE BUILDING SURCHARGE 000.322.100 000.345.830 640.237.114 Total: $184.68 109.20 70.98 4.50 doc: Receiot -06 Printed: 02 -27 -2012 INSPECTTCEN NO. INSPECTION RECORD Retain a copy with permit b 2 -C►( 2 PERMIT NO. f • CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 ke, (206) 431-3670 Permit Inspection Request Line (206) 431 -2451 Project: 51.0k° �-y � �Opa-C. (113c) Type of Inspection: C.-A-4,1 A L. Address: 1 1. i v :Le n r 1, -)r4..., Date Called: Special Instructions: Date Wanted ; ;. ``21 i 13 t a.m Requester: Phone No: ,,?` - i(5 c `Y-S -7 ,% ifilApproved per applicable codes. El Corrections required prior to approval. . COMMENTS: inspect Date: ) • 2.^.4"-t7 ! 1i c"—A. le-4. 9i "3 1" REIN - PECTION FEE REQUITED. Prior to n xt inspection, fee must.be pal s -t 6300 Southcenter Blvd. Suite 100. Call to schedule reinspection. • • t. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. ' A • CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 PL2-wiz Project: 61frit . pdI ,3tS W Type of Inspection: ' 1100 "h13 kU Address: - ' 1 -t 1717 %Q j lA Date Called: Special Instructions: iN C . ' Date Wanted:. 102.1 ri, a.m: Requester: Phone 7 S 2_2,0-102-,i Approved per applicable codes. Corrections required prior to approval. COMMENTS: 11) l NA:fi f — (,AAA SIT. IAA-Lie Ar' 93 r '11^ A-1-‘ %.2: .1 P' r. ( R- 5 « -- . M,1sr. A —rr IAA S i J A SAM: A A1r •e. 'S iN-ea f t b ..Ir/1/22, 1 MtiS( (eYJrn 6A-r i I\ SP , ) 1-11 & &Maki r V Inspect r l r: aK4) Date: i(— ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit ' i Z _Q ( PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: StAJeeJ & »t 'S &Q Typg-pf Inspection: f-', AJA- 1L (0 , '16 Afdrees 4 f 0 1 _ 1�tCfoti i% pate Called: Special Instructions: Date Wanted: — �O - ( } a P.m. Requester: Phone No: 53 5 3 ,`JO (031 ElApproved per applicable codes. Corrections required prior to approval. /4% COMMENTS: z ❑ REINSPECTION FEE REQUIRE ! = rior o.ziext inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. • • • • • • 1-.. r • INSPECTION RECORD Retain a copy with permit INSPECTION N0. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION '6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project:: Type of Inspection: Address:. 5/O.....1A/701/284V Date Called: ' Special Instructions: Date Wanted:. .3 - 20— 1Z a.m Requester: Phone No: ®2.33 230-- 103! Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS:. R ('NSPECTION FEE REQU RED. Prior next inspection. fee must be aid at 6300 Southcenter = vd.. Suite 1140. Call to schedule reinspection. S5 FEL C ©E Y {red / ft No • � Tc 'y'CyI/I/ Y NUMBER 7 s �e P 52» W 203 76, ' 5 rT E (STA, TE RouTE 5) 110.1672116 MOT T- ONE STORY BRICK BUILDING �w 5tat o.i MASS yetjCA :tp TOWIR 10.000 GALL. :OR..wLV.ET 6 0260 POSTS CMICSE7 OAS i Tumsmc 6 SLAB 63100 6672. .aENID J� •'Et4 6`- ROM ..c, VE qh O' 0 - OC 6 6[lt yes SUS 2.E. 9, N 40° 36' E 200.00' CATO0 6,6 I •67- 9p SET 607 L5 - r CORMEEn —J -.. MX PCI. OF 602/706 92E. . 02 DES SSRAY _• ' DEED Ira — — -r 48TH AVENUE SOUTH 1 C X,.,16 E.._ . _....66.7.1`. a..E ::. 1.m .< Gear 72 VICINITY •M:i7 ~ 2176' -4•a :E "J a.+M 6.'y, R. :a62 W 6< 7x76. 666 T. • 0601 .16 "21[66 MSTM .p- E.ieE_l 77 •:n 60.76 +.9,909 23 NOMIS. 6.0 • : EAST. Ism- 60 6 z9 • • M... iCr'2w. 2�662wEST MAC 21 ME E. 6•6<�WI Ga ME s SO m 6716 70116 C.066 SEMI. MC 00167.117• ASSIT-7-66 6,61. Of 676 144900111,141 WM 141.41., SUKROIP'COVIr ME w6e�. Y.O..-0,- .., 661 'X 767 1110.6 tt6Mi2F ME a.6.. 174•..w4 097 wont 0a REVIEWED FO CODE, COMPLIANCE APPROVED) MAR 0 8 2012: L62a7.t ' [;s* .I G6-66777 CE711106E''E 1.066 R FEMME 6651 .6-.t m. FEMMES r.CCall, GMERS 0661 062C, ME 12x106!671.77' .[MM' 0. ...SC s6-.. I6- K .t <6.6 CsArMsa; uwMEw, - City of Tukwila EUILD NG' DIVISI MM 6.7.66 1•6•027 o- '.E WATaG31 ST Sx.676, TRANS76 T2MM -6-627 67•70•3 S66M1 . COT a MRS iAMIS11.,7 116•66•63,016 7111E0 AC MC.]E 91.7, ..O 106676,6127 mar 02.106.M —T uuo a E swoon. 6662 R. .66'76,617 S 6x. o 70 LOCO 66 .., .. IRGO 667.92 6aSE 6a. sa. 116 TO E71E7 M. MS mAST 1,12T .MME 9.612 Co ME N66I 6761.60. •00161IC Os aTMACSM sr MR 66 CRC me 7777771673 6 A OASS 93.17, AS EW731 6676E fIECEIVED c flVOFTUKWIIIA FEB 2 7. 20121 SEGISMATIO MO. NM :. ..1.; ,E E 66 ° :E2MAC �AMIT'CENTER 076 .676.1'. OeE9I ERSESS D 6 SOLED: CONT-632•1110 SO tee°' \, KR DEED 0712666 r- \ • MOBIL N. 10 -M32 PQr kite /4 5pece -571 t lanrltc40 •f ropd5eci 38Q Res -tiv1r -T`Mob:( i' ' at Pt. L. X Cc ('4'de 5T4nj y� �j G 1! Om. Story �d)-IC.[� •IJIC��EE i`oa,t,�t � c. x' -1 26617 Ie,. - -� 11 GRAPHIC SCALE' 1 bi2=-0102 67 OF TIOSSEA, JAN 014 1951 R6AT C67611 1110614 r 08 -01 -2012 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director MICHAEL SISNEROS 108 19 AV SE, SUITE 23 PUYALLUP WA 98372 RE: Permit No. D12 -062 SWEET BONES BBQ 13310 INTERURBAN 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 09/29/2012. 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 fmal 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 09/29/2012, 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, 1VN kApsj4W er Marsh % ll t Technic File: Permit File No. D12 -062 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 -431 -3665 • PERINI CO PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D12 -062 PROJECT NAME: SWEET BONES BBQ SITE ADDRESS: 13310 INTERURBAN AV S X Original Plan Submittal Response to Correction Letter # DATE: 02 -27 -12 Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: 't�` C o9-, :11 11V -ding ivision laic /�J //�— Works PtIAA Fire Prevention Planning Division Structural Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete n DUE DATE: 02-28 -12 Not Applicable n Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES /THURS ROUTING: Please Route Structural Review Required REVIEWER'S INITIALS: No further Review Required DATE: APPROVALS OR CORRECTIONS: Approved n Approved with Conditions Notation: REVIEWER'S INITIALS: DATE: DUE DATE: 03-27 -12 Not Approved (attach comments) Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents /routing slip.doc 2 -28 -02 CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 FAX (206) 431 -3665 E -mail: tukplanaci.tukwila.wa.us Permit Center /Building Division 206 431 -3670 Public Works Department 206 433 -0179 Planning Division 206 431 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON) ) ss. COUNTY OF KING ) l C (-7? l .5 / -nkicr,s,S [please print name] 1. 1 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 number and will therefore not be performed by a registered contractor. 5. 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 I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. , states as follows: PERMIT NO: ^ Owner /Owner's Agent Signed and sworn to before me this 9 day of / %qi"e / , 20/2. NOT Y PUBLIC in and for the State of Washington Residing at , County Name as commissioned: / (!i E 4'0.16 l / My commission expires: () - j' —/ ( / 18.27.090 Exemptions. The reStion provisions of this chapter do not apply 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 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; 12.* Any 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; ,i�,..,. 18. An entity who ittoIds a valid elegtrical contractor's license under ckiitit.pb:28404ktrfat employs a certified journeyman el t?i4 }i'il c rt~itifigresidential specialty electrician, organ a trical trainee ;Meeting the requirementsbf c�ter 19.28 RC N_to perform plumbing work that is r crdentally, directly, and immediately appropriate tart ie ike-in -kind repiacenient of a household appliance or o he�,m�eal hopsehgid.ut ization equipment that requires lin iSeff�eZectr'_j power''atid limited waste and /or water comfectlhAVArVelettiical trainee must be supervised by a certified'electrician while performing plumbing work. • Per Washington State Department of Labor and Industries, lessee has been interpreted to be equivalent to owner for the purpose of these exemption& 51 S*roctur . S'poc -to not alloo SEPARATE PERMIT L' ., Y Gas Pip1n City of Tukwila UILDING DIVISI Fr :f7 V eed O4li ae, a-r -fitai e:65 Curreii %C atlo/) od out`ifie. 0t filth ander rern a 1C deck.ins rune). Rer2avv(il c \n5 cor ect. 1� r cx oaf. c�c ce5. Y ,.* X , - r fRa.di 113 Plf Permit Wo.,,., :-C� (0 Pt,^ !rview app is suit bettors and o sloe , of construction docum does not authorize ." t :fin :1 any adopted code or ordnance. Receipt of L.4rovea Fed Copy and isacknow ed: By Date: -47 - City Oflbkwils BUILDING DIVISION C-ruord ray oe- 33" H► ,h XG 1a a)(c C1useF: eiX R5-1- ;.Ke4 Co- fil 2 Trea PLIANNNO APPROVED No changes ca n be nab loss plans Wed approval tom the Planner Division at Dom► APProved Rrait `a.... Date:, ,Z nh�. •� f - ...s. 7►7`c1 y 1 4 5eae9 Pre -cast- ere 1 REVIEWED FOR CODE COMPLIANCE APPROVED MAR 0 8 2012 City of Tukwila BUILDING DIVISION Sea l.: '4 \\ tLXOt2 °"I an: 4" tFEB 2 7 20121 PERMIT C.NZ ER SCALE: DATE: APPROVED BY: DRAWN BY REVISED DRAWING NUMBER .e_10 a- 3'screws r to ash( ' C n(eof. for easy . Deck; goo ocs REVIEWED FOR CODE COMPLIANCE : APPROVED MAR 0 8 2012 • City of Tukwila BUILDING DIVISION RECEIVED CITY Of TutovRA 1FEB 27 20121 PERMIT CENTER SCALE: DATE: APPROVED BY: DRAWN;By REVISED DRAWING NUMBER aaI