HomeMy WebLinkAboutPermit D17-0225 - GLOBAL CAFETERIA AND MINI MART - ROOF REPAIRGLOBAL CAFETERIA AND
MINI MART
14835 TUKWILA INTL BLVD
WITHDRAWN
8/13/18
D17-0225
Parcel No:
Address:
0
City of Tukwila
0
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
DEVELOPMENT PERMIT
0041000330 Permit Number: D17-0225
14835 TUKWILA INTL BLVD Issue Date:
Permit Expires On:
Project Name: GLOBAL CAFETERIA AND MINI MART
8/17/2017
2/13/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
LUI LUEY MING
8216 S 120TH ST, SEATTLE, WA, 98178
BO WEN LIU
8216 S 120TH ST, SEATTLE, WA, 98178
OWNER AFFIDAVIT
Phone: (206) 772-9009
Phone:
Expiration Date:
DESCRIPTION OF WORK:
EXPIRED PERMIT D16-0013
RAIN WATER LEAKING, ROOF REPAIR
Project Valuation: $500.00
Type of Fire Protection: Sprinklers:
Fire Alarm:
Type of Construction:
Electrical Service Provided by: TUKWILA
Fees Collected: $117.22
Occupancy per IBC:
Water District: 125
Sewer District: VALLEY VIEW
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
Public Works Activities:
Channelization/Striping:
Curb Cut/Access/Sidewalk:
Fire Loop Hydrant:
Flood Control Zone:
Hauling/Oversize Load:
Land Altering:
Landscape Irrigation:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
Volumes: Cut: 0 Fill: 0
Number: 0
Permit Center Authorized Signature:. / 1141
Date: / 7
1 hearby 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
development permit and agree to the conditions attached to this permit.
Signature: AI fi�oAC
Print Name: 6 7 VV ein \-
Date: c.
1)7
This permit shall become null and void if the work is not commenced within 180 days for 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 PERMIT CONDITIONS***
2: Work shall be installed in accordance with the approved construction documents, and any changes made
during construction that are not in accordance with the approved construction documents shall be
resubmitted for approval.
3: All construction shall be done in conformance with the Washington State Building Code and the
Washington State Energy Code.
4: Prior to final inspection for this building permit, a copy of the roof membrane manufacturer's warranty
certificate shall be provided to the building inspector.
5: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700 BUILDING FINAL**
0103 PRE-REROOF
CITY OF TUILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Pe`irmit No. l)/frf)22i7? P2-0
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
King Co Assessor's Tax No.:
Site Address: IIFR 35 TTu.kw i la (11+env( +t o'1v I1f C( Suite Number: Floor:
Tenant Name: New Tenant: ❑ Yes ❑.. No
.PROPERTY OWNER
Company Name:
Name: g 0
Name: 6 C% A) e ft
L 1_,,,,t. .
Address: az 16 s j xofh / 1
Address: g t S
(Zo_f_h$4.
City: f'P �/l
State: ) !'T
c�
City: seccI f k
State: \h. A
Zip: i 0 138
CONTACT PERSON — person receiving all project
communication
Company Name:
Name: g 0
Company Name:
Address: az 16 s j xofh / 1
City:
State:
City: f'P �/l
State: ) !'T
c�
Zip: 9 4 QQ 1
1
Phone: ,206_772_9 0 Fax:
City:
State:
Email: Cll1 L;AA C Kof vylai,1 , cowl
Phone:
Exp Date:
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\Forms-Applications On Line\20] 2 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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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
tflo
Valuation of Project (contractor's bid price): $ J (X9
Describe the scope of work (please provide detailed information):
9v\ \ )c\ e.r I POvk►��-
-xe
p&YVYL44- DiV-000
Existing Building Valuation: $
Will there be new rack storage? ❑ ....Yes ..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): 4(0 Floor area of principal dwelling: 4 0 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:
Will there be a change in use?
rt2
Yes
Compact: 4
Handicap: 3
141 No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0 Sprinklers al Automatic Fire Alarm 0 None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes 0 No
If "yes', attach list of materials and storage locations on a separate 8-1/2" x II " paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
0
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 Line \2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 2 of 4
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1st Floor
2"d Floor
3rd Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
1
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 the following:
Lot Area (sq ft): 4(0 Floor area of principal dwelling: 4 0 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:
Will there be a change in use?
rt2
Yes
Compact: 4
Handicap: 3
141 No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0 Sprinklers al Automatic Fire Alarm 0 None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes 0 No
If "yes', attach list of materials and storage locations on a separate 8-1/2" x II " paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
0
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 Line \2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 2 of 4
PUBLIC WORKS PERMIT IN
-7'IMATION — 206-433-0179
Scope of Work (please provide detailed information):
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ .. Tukwila 0 ...Water District # 125
❑ .. Water Availability Provided
Sewer District
❑ .. Tukwila.
❑ .. Sewer Use Certificate
❑... Highline
❑ ...Valley View 0...Renton
❑ ...Sewer Availability Provided
0... Renton
0... Seattle
Septic System:
❑ 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)
0 .. Bond 0... Insurance 0... 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 0
Non Right-of-way ❑
❑ .. Total Cut
0 .. Total Fill
cubic yards
cubic yards
0 .. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
0 .. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
❑.
❑ .
❑.
❑ .
0... Geotechnical Report
0... Maintenance Agreement(s)
0 .. 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
0...Work in Flood Zone
0... Storm Drainage
.. Abandon Septic Tank
.. Curb Cut
.. Pavement Cut
.. Looped Fire Line
Domestic Water
❑ .. Permanent Water Meter Size (1)
0 ..Temporary Water Meter Size (I)
❑ .. Water Only Meter Size
❑ .. Sewer Main Extension Public
❑ .. Water Main Extension Public
WO #
WO #
WO #
Private 0
Private 0
0... Grease Interceptor
0... Channelization
0... Trench Excavation
0...Utility Undergrounding
(2) " WO # (3) " WO #
(2) " WO # (3) " WO #
0 .. Deduct Water Meter Size
FINANCE INFORMATION
Fire Line Size at Property Line
0 .. Water ❑ .. Sewer 0 .. Sewage Treatment
Monthly Service Billing to:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
Day Telephone:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State
Zip
Day Telephone:
City
State
Zip
H:Wpplications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 3 of 4
PERMIT APPLICATION NOTES -0
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 OWNER OR AUTHORIZED AGENT: �l
Signature: �( j. _ Date: 0 / 1 / 1 7
0/06 cilZ —31SF
Print Name:
go AA) -€.1A 1,__TAJ\
Mailing Address: 2 1 b S 2 0� S`F
H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Day Telephone:
See/, -Ie
City
9.z178-
State ip
Page 4 of 4
Cash Register Receipt
City of Tukwila
Receipt Number
R12168
DESCRIPTIONS ACCOUNT
QUANTITY
PAID
PermitTRAK
$117.22
D17-0225 Address: 14835 TUKWILA INTL BLVD Apn: 0041000330
$117.22
DEVELOPMENT
$113.90
PERMIT FEE
R000.322.100.00.00
0.00
$66.30
PLAN CHECK FEE
R000.345.830.00.00
0.00
$43.10
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE
$3.32
TECHNOLOGY FEE
R000.322.900.04.00 I
0.00
I
$3.32
TOTAL FEES PAID BY RECEIPT: R12168
$117.22
Date Paid: Thursday, August 17, 2017
Paid By: BO WEN LIU
Pay Method: CASH
Printed: Thursday, August 17, 2017 2:41 PM 1 of 1
CSYSTEMS
MAYES TESTING ENGINEERS, INC.
May 4, 2018
City of Tukwila
Building Department
6200 South Center Blvd
Tukwila, WA 98188-8188
Attention: Building Official
Re: Boeing Tukwila Building 14-14
Cooling Tower Replacement
Tukwila, WA
Project No. M7181254
Gentlemen,
A irOrraCOn COMPANY
Final Letter
Permit No. D17-0255
SeameOffice
20225 Cedar Valey Rced
Si 110
Lynnwood, WA98036
ph 425.742.9360
W425.745.1737
Tacoma office
10029 S. Tacoma way
Site E2
Tacoma, WA98499
ph 253.584.3720
W253.584.3707
Portland Office
7911 NE 33rd Drive
Suite 190
Poland CR 97211
01 503281.7515
far 503281.7579
This is to inform you that registered special inspections have been completed for this project as per
our reports, copies of which have been sent to you.
Special inspection was provided for:
• Structural Steel Erection: Welding
• Structural Steel Erection: Bolting
To the best of our knowledge, all work inspected was either performed in accordance with, or
corrected to conform to, the city approved drawings, or engineer approved changes.
We trust this provides you with the information that you require. Should you have any questions
please call us at 425-742-9360.
Sincerely,
Mayes Testing Engineers, Inc.
Timothy G. Beckerle, P.E.
Principal
WELDING OBSERVATION REPORT
Report Number: M7181254.0001
Service Date: 04/16/18 20225 Cedar Valley Rd Ste 110
Report Date: 05/02/18 Lynnwood, WA 98036-6365
425-742-9360
MAYES TESTING ENGINEERS
Client Project
The Boeing Company Boeing Tukwila Bldg 14-14 Cooling Tower Replacement
Attn: Mark Garrido Boeing Tukwila Bldg 14-14
PO BOX 3707 Tukwila, WA
Seattle, WA 98124-2207
Project No.: M7181254
Permit No.: D17-0255 Weather: Clouds
Samples: N/A
Welding inspection cancelled due to unfinished work. Contractor to re -schedule inspection upon completion.
Services: Special Inspections / Materials Testing
Mayes/Terracon Rep.: Carl Reynolds
Reported to: Boeing Company
Contractor: Boeing Company
Report Distribution:
(1) The Boeing Company, Mark (1) City of Tukwila, Building Official
Garrido
(1) Mayes Testing Engineers, Inc, Tim
Beckerle
Reviewed By: /-7
Timothy G. Beckerle, PE
Principal
The tests were performed in general accordance with applicable ASTM, AASHTO, or DOT test methods. This report is exclusively for the use of the client
indicated above and shall not be reproduced except in full without the written consent of our company. Test results transmitted herein are only applicable to
the actual samples tested at the location(s) referenced and are not necessarily indicative of the properties of other apparently similar or identical materials.
CT0001, 10-16-13, Rev.10 Page 1 of 1
WELDING OBSERVATION REPORT
Report Number: M7181254.0002
Service Date: 04/23/18 20225 Cedar Valley Rd Ste 110
Report Date: 05/02/18 Lynnwood, WA 98036-6365
425-742-9360
MAYES TESTING ENGINEERS
Client
The Boeing Company
Attn: Mark Garrido
PO BOX 3707
Seattle, WA 98124-2207
Project
Boeing Tukwila Bldg 14-14 Cooling Tower Replacement
Boeing Tukwila Bldg 14-14
Tukwila, WA
Project No.: M7181254
Permit No.: D17-0255 Weather: Clear
Samples: N/A
Visually inspected weldments on north and south goal post frames and cooling Tower,1 and 2 corner connections
to frames. Welding performed by WABO certified welders and conformed to AWS D1.1 visual acceptance criteria
and contract documents.
To the best of our knowledge, the items inspected today are in conformance with approved plans and
specifications.
Services: Special Inspections / Materials Testing
Mayes/Terracon Rep.: Carl Reynolds
Reported to: Boeing Company
Contractor: Boeing Company
Report Distribution:
(1) The Boeing Company, Mark (1) City of Tukwila, Building Official
Garrido
(1) Mayes Testing Engineers, Inc, Tim
Beckerle
Reviewed By: 1
Timothy G. Beckerle, PE
Principal
The tests were performed in general accordance with applicable ASTM, AASHTO, or DOT test methods. This report is exclusively for the use of the client
indicated above and shall not be reproduced except in full without the written consent of our company. Test results transmitted herein are only applicable to
the actual samples tested at the location(s) referenced and are not necessarily indicative of the properties of other apparently similar or identical materials.
CT0001, 10-16-13, Rev.10 Page 1 of 1
GENERAL OBSERVATION REPORT
Report Number:
Service Date:
Report Date:
M7181254.0003
04/27/18
05/02/18
MAYES TESTING ENGINEERS
.1r oma...
20225 Cedar Valley Rd Ste 110
Lynnwood, WA 98036-6365
425-742-9360
Client
The Boeing Company
Attn: Mark Garrido
PO BOX 3707
Seattle, WA 98124-2207
Project
Boeing Tukwila Bldg 14-14 Cooling Tower Replacement
Boeing Tukwila. Bldg 14-14
Tukwila, WA
Project No.: M7181254
Permit No.: D17-0255
Samples: N/A
Weather: Cloudy
Performed bolting inspection for (2) steel frames for new cooling towers on roof. Noted the A325 LeJeune
tension -control (TC) bolts were installed and fully tensioned. This completes the required inspections.
To the best of our knowledge, the items inspected today are in conformance with approved plans and
specifications.
Services: Special Inspections / Materials Testing
Mayes/Terracon Rep.: Michael Mattox
Reported to: Boeing Company
Contractor: Boeing Company
Report Distribution:
(1) The Boeing Company, Mark
Garrido
(1) Mayes Testing Engineers, Inc, Tim
Beckerle
(1) City of Tukwila, Building Official
Reviewed By:
Timothy G. Beckerle, PE
Principal
The tests were performed in general accordance with applicable ASTM, AASHTO, or DOT test methods. This report is exclusively for the use of the client
indicated above and shall not be reproduced except in full without the written consent of our company. Test results transmitted herein are only applicable to
the actual samples tested at the location(s) referenced and are not necessarily indicative of the properties of other apparently similar or identical materials.
CTo001, 10-16-13, Rev.10 Page 1 of 1
7/2/2018
City of Tukwila
Department of Community Development
BO WEN LIU
8216 S 120TH ST 2
SEATTLE, WA 98178
RE: Permit No. D17-0225
GLOBAL CAFETERIA AND MINI MART
14835 TUKWILA INT'L BLVD
Dear Permit Holder:
Allan Ekberg, Mayor
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 8/13/2018.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for thennext 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 8/13/2018, 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,
Bill Rambo
Permit Technician
File No: D17-0225
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
0
City of Tukwila
Allan Ekberg, Mayor
Department of Community Development - Jack Pace, Director
January 26, 2018
Bo Wen Liu
8216 S 120th St
Seattle, WA 98178
RE: Request for Extension #1
Permit Number D17-0225
Dear Bo Wen Liu,
This letter is in response to your written request for an extension to Permit D 17-0225. The Building
Official, Jerry Hight, has reviewed your letter and considered your request to extend the above
referenced permit. It has been determined that the City of Tukwila Building Division will be granting an
extension to the permit through August 13, 2018.
If you should have any questions, please contact our office at (206) 431-3670.
Sincerely,
Bill Rambo
Permit Technician
c -td
File: Permit No. D17-0225
Tukwila City Hall • 6200 Southcenter Boulevard • Tukwila, WA 98188 • 206-433-1800 • Website: TukwilaWA.gov
January 16, 2018
Re: Permit No. D17-0225
GLOBAL CAFETERIA AND MINI MART
14835 TUKWILA BLVD
Dear Bill:
CEf fED
JAN 22 2018
Community
Development
My name is Bowen Liu. I am writing to you to request an extension for the permit #D17-0225. I
am asking for an extension because of the weather condition. The weather condition doe's not
permit me to work on it at this time. I would really appreciate it if you are able to help me and
grant the extension. Thank you for your understanding. Thank you!
Sincerely
12,43 (1J -cm
Bowen Liu
! / Request for Extension #
Current Expiration Date: )--k-J 1
Extension Request:
yl Approved for ____ days
_ Denied (provide explanation)
Signature/Initials
1/2/2018
0
City of Tukwila
Department of Community Development
BO WEN LIU
8216 S 120TH ST
SEATTLE, WA 98178
RE: Permit No. D17-0225
GLOBAL CAFETERIA AND MINI MART
14835 TUKWILA INT'L BLVD
Dear Permit Holder:
Allan Ekberg, Mayor
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 2/13/2018.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 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 2/13/2018, 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,
Bill Rambo
Permit Technician
File No: D17-0225
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
CITY F TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-3670 FAX (206) 431-3665
E-mail: tukplan@ci.tukwila.wa.us
AFFIDAVIT IN LIEU OF CONTRACT
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
ED VV 2N I- t-\)
[please print name]
, states as follows:
Permit Center/Building Division
206 431-3670
Public Works Department
206 433-0179
Planning Division
206-•431-3670
R REGISTRATION
PERMIT NO:
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 number ;Z, 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.
Owner/Owner's Agent*
Signed and sworn to before me this
day of , 2011 .
NOTARY ' UBLIC in nd fort e State of Washington
Residing at ! , County
Name as commiss ed:
My commission expires:
18.27.090 Exemptions. Thee,i}stration provisions of this chapter do not apph
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;
it
18. An entity who holds9a vald electrical'�confractor's
license under chapter i9,8 RCW that employs a certified
journeyman electrician, a certified rresfdential"specialty
electrician, or an electrical trainee meeting,the
requirements of chapterji9 28 RCW toperfdrm plumbing
work that is incidentally,,"=direc jy, and immediately
appropriate to the like-in-kind;replacerhent of aahousehold
appliance or other small household utilization°equipment
that requires limited electric.power and liited waste
and/or water connections. Ali electrical'mtrainee 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 purposes of exemptions.