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Permit D05-130 - MCCARTHY RESIDENCE - ENTRY ADDITION
McCARTHY RESIDENCE 14209 56 AV S DOS -130 City G. Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: d tukwila. wa. us DEVELOPMENT PERMIT Steven M. Mullet, Mayor Steve Lancaster, Director Parcel No.: 3365900130 Permit Number: DOS -130 Address: 14209 56 AV S TUKW Issue Date: 05/13/2005 Suite No: Permit Expires On: 11/09/2005 Tenant: Name: MCCARTHY RESIDENCE Address: 14209 56 AV S, TUKWILA WA Owner: Name: MCCARTHY, JOHN Address: 14209 56 AV S, TUKWILA WA Contact Person: Name: JOHN MCCARTHY Address: 14209 56 AV S, TUKWILA WA Contractor: Name: OWNER AFFIDAVIT IN FILE - JOHN MCCARTHY Address: 14209 56 AV S, TUKWILA WA Contractor License No: Phone: Phone: 206 898 -3484 Phone: 206 898 -3484 Expiration Date: DESCRIPTION OF WORK: ADDITION OF NEW 64 SF ENTRY AND 48 SF COVERED DECK. ALSO, MAKING BASEMENT STAIRS LONGER. Value of Construction: $7,002.08 Type of Fire Protection: SMOKE DETECTOR Type of Construction: VB Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving Oversize Load: N N N N N N Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: N N N N N N Fees Collected: $317.77 International Building Code Edition: 2003 Occupancy per IBC: 22 Number: 0 Start Time: Volumes: Cut 0 c.y. Start Time: Private: Profit: N Private: Size (Inches): 0 End Time: Fill 0 c.y. End Time: Public: Non - Profit: N Public: .. D0 00 ,_:..�- c....... Z = Z �2 U UO U) Cl J FF-- N LL wO J LL Q fA d ��. w z F- 0 Z R w �5 U� O� W F- U. O ui Z U= O ~` Z City G. Tukwila Steven M. Mullet, Mayor Department of Commut:ity Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director D05 -130 05/13/2005 11/09/2005 Permit Center Authorized Signature: Date: 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 development permit. n_ n Signature: Print Name. .1a � � f) - �cCC� '- *� Date: " I - ^ U � } 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. I i 1. doc: IBC- Permit D05 -130 Printed: 05 -13 -2005 '.L.. L.l.a.'+1J �. %."!«sw -S i`4'.: ..is i17'KT�"a : 5.; �: 5:' e:" .. t; s. 4. nw.:: lwn., iY .is.m.:.r.2�:d3:.:i:ui+A:+3:a� i};;t1:u4421:iw1a`: ..si +�nY:.�4+•`.ti::w:� r:�3t:lu: 4 Z iF Z Q W WD JU UO U U) N LL' W O. J LL S2 a =w Z o' 25 L) O N WW H U. LL O .. Z W U =. 0 f. Z City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS Parcel No.: 3365900130 Permit Number DOS -130 Address: 14209 56 AV S TUKW Status: ISSUED Suite No: Applied Date: 04/21/2005 Tenant: MCCARTHY RESIDENCE Issue Date: 05/13/2005 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 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: 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. 6: All wood to remain in placed concrete shall be treated wood. 7: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 8: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (206/248- 6630). 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. * *continued on next page ** doc: Conditions D05 -130 Printed: 05 -13 -2005 �A.. 1.... ..... .. .. .... �� ,,, :.+.vC� � •�.'r!s r..�.,: t r,✓- •.....t ,a...ts'rlGi.ui�ix�r.�fa 'S %JO 'A ���.dti::., ti� 3A:i�.4F'Yiia fine ,�.: . aui; �:. a� �. t.. iv �LGslhe ..,Ea.:i.��F...,..c..a.'r:.e z Z 00 V 0 J = F— �w w LLQ �D = �w z� �0 w ~ w U� ON o t- wW LL O w z U= O~ z i Cit y of Tukwila 1906 i Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 f } I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. �c 1) , h, Q- C -, Date: 'S — V—( -- d.s z :d- Z D vo U) o. CO LU J = CO L_ Z O, J IL ?. to Cy:, H =; Z� �O: Z 1-: 2D U 0, O CO O H. —O .. Z UCO O Z ILA, w CITY OF T UKWI LA Community Development `` -)artment i Public Works Department Permit Center 1909 '� 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Building Permi� -No. Mechanical Permit No. Public Works Permit No. Project No. I (r or 90ce use owy) l 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 �-7 King Co Assessor's Tax No.: Site Address: �v J `� Suite Number: Floor: Tenant Name: J O Ca- i - New Tenant: ❑ .... Yes ❑ ..No Property Owners Name: c> r ��.- Mailing Address: 1 4 2-D 9 25� `'� ��.� � � Lj C, City State Zip CONTACT PERSON Name: a `^ C u' Day Telephone: Y 7 -v Mailing Address: l 7�(� R �� w City State Zip E -Mail Address: Fax Number: GENERAL: CONTRACTOR INFORMATION - (Mechanical Contractor information on back page) Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance" ARCHITECT OF. RECORD'— All plans must be wet stamped by Architect.of Record Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: .ENGINEER.•OF RECORD = All plans must be wet stamped by Engineer of Record Company Name:. Mailing Address: Contact Person: - E -Mail Address: \permits plus\ice changes \permit application (7.2004) Page l City State Zip Day Telephone: Fax Number: Z ;= Z �w PE D JU UO W = I— �w W LLQ N = = �W Z H Z0 W W U O� o f- wW 0 Z W U= OF Z BUILDING PERMIT INFORMATION 206- 431 -3670 Valuation of Project (contractor's bid pric'. $ 0 Scope of Work (please provide detailed information): 0. (L P'r P - +t\ r _5 �� V Existing l.. eUl'l`� , : 0 1r Valuation: $ n(_11 C 61)fJ'P ( � A 'o 'r -'"% �-� R bas < V" r ,, 1, L� h I P V_ Will there be new rack storage? ❑ ..Yes ❑.. No If "yes ", see Handout No. for requirements. 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 for 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 PROTECTIONIHAZARDOUS MATERIALS- n.. Sprinklers []..Automatic Fire Alarm ❑..None K5. Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? El.. Yes ❑ .. No If "yes ", attach list of materials and storage locations on a separate 8 -112 x 11 paper indicating quantities and Material Safety Data Sheets. %permits plus%ice changes %permit application (7.20W) Page 2 Existin Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1 .Floor �` � 4 F S r T 2 "d Floor 3 Id Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck, y�5r 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): Floor area of principal dwelling: Floor area for 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 PROTECTIONIHAZARDOUS MATERIALS- n.. Sprinklers []..Automatic Fire Alarm ❑..None K5. Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? El.. Yes ❑ .. No If "yes ", attach list of materials and storage locations on a separate 8 -112 x 11 paper indicating quantities and Material Safety Data Sheets. %permits plus%ice changes %permit application (7.20W) Page 2 Z Z �W UO U CO W J FF- Co LL WO 22 IL S F_ W Z I-- F- O Z t- �5 U� O co � F- W W H� tL O Z W to O Z ,+ �x..'4 '�4£n S.SriAT� •.k 'r.:i. ,.t: ,k �J� ..7:. ..e {. YL..... ..tl.' .i. ..l eY•ij: ''HttHF �1,'•�:k:i�i�re�YnKt .Rthl'✓ Y4•+ �. �� rVr' TK�Y. AV yC'+ .L Z Z �W UO U CO W J FF- Co LL WO 22 IL S F_ W Z I-- F- O Z t- �5 U� O co � F- W W H� tL O Z W to O Z MECHANICAL PERMIT INFOP- '`NATION — 206 -431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance" Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Use: Residential: New .... ❑ Commercial: New .... ❑ Fuel Type Electric ..... ❑ Gas .... ❑ Replacement..... ❑ Replacement..... ❑ Other: Indicate type of mechanical work being installed and the quantity below: Unit T e: Qty Unit Type: Qty Unit Type: Qty Boiler/Compressor: Qty . Furnace <100K BTU Air Handling Unit >10,000 Fire Damper 0 -3 HP /100,000 BTU CFM Furnace> 100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected Thermostat 15 -30 HP /1,000,000 BTU to Single Duct Suspended /Wall/Floor Ventilation System Wood /Gas Stove 30 -50 HP /1,750,000 BTU Mounted Heater Appliance Vent Hood and Duct Water Heater 50+ HP /1,750,000 BTU Repair or Addition to Incinerator - Domestic Emergency Heat/Refrig/Cooling Generator System Air Handling Unit Incinerator - Comm/Ind Other Mechanical <I0,000 CFM Equipment PERMIT APPLICATION NOTES - Applicable. to all permits in this application Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. 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: 1 2_I Zo D Signature: Date: Y` l Print Name: CC V Day Telephone: c� C (X 7 L( Mailing Address: City State Zip Date Application Accepted: _ I Date Application Expires: Staff Initials: permits plus\icc changeslpermit application (7.2004) Page 4 �... Y J Z ILI- QQ� JU UO N o CO Lti J = F- 0 LL WO LL Q U� CY :C �W Z F- O Z F- W Uj U ON o l- WW HF �O Z W U= O~ Z !VILA, k• r�ae Cit y of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: Address: Suite No: Applicant: 3365900130 14209 56 AV S TUKW MCCARTHY RESIDENCE Permit Number DOS -130 Status: PENDING Applied Date: 04/21/2005 Issue Date: .Receipt No.: R05 -00564 Initials: LAW User ID: 1630 Payee: JOHN MCCARTHY Payment Amount: 317.77 Payment Date: 04/21/2005 10:06 AM Balance: $0.00 TRANSACTION LIST: Type - - - - _ - Method Description - - - - -- Amount -- - - - - -- --------------------------- j Payment Check 1001 317.77 ` I 1 1 .I ACCOUNT ITEM LIST: Description Account Code Current Pmts ------------------------ - - - - -- ---------- - - - - -- ------ - - - - -- BUILDING - RES 000/322.100 189.86 PLAN CHECK - RES 000/345.830 123.41 STATE BUILDING SURCHARGE 000/386.904 4.50 Total: 317.77 1- 66 04'21. 9 TOTPI. 317-77 doc: Receipt Printed: 04 -21 -2005 Z °~ W U O CO ) D J 1— N LL. W O LL r� a =w H z �; ZO U N. 0 F- w �U ti Z ,. LLI co I O Z T1:. J1• i f-' e' iY•. .. }'I�:.11- �:.�:.-.t.y.. >C'. +: �.. .. r < -; .r�x...... ..�; .�..�.. .. .� .. .. ... INSPECTION RECORD Retain a copy with permit S �" INSPEgr[OP NO. I N0. CITY OF TUKWILA BUILDING DIVISION P 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Pr 'ect: Type of Ins ection: Address: J Date Ca d: -^ S ecial Instru tions: Date Wanted: Requester: P one No: r K Receipt No.: Date: Z ' W W� �U UO N 0: LU_ LL w O 2 LQ N� 2 F- W Z 2 F- 0 ZH W W �p O CO 3 F- W i U . O W Z U= O ~' Z u paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. INSPECTION RECORD Retain a copy with permit r r INSPECTION NO. P *06-3610' CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ( Pro'ect: Z6AjM 'X Typer Inspectio�� l Dat;fCalled: Address. 1 JJZL �� r I -- L.-/__7 S eci I Instructions: Date Wanted: a.m. �VS Requester: 1 1p L P one No: � 2S Receipt No.: Date: Z Z. UO 0 w= �U W O �E LL Q co �. = C% �W ? F. ' F- O Z F- 5 U o '. O N. o I_- W U 6 O. .Z W UN b H O Z '—' paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. INSPECTION RECORD F D C S Re tain a copy with permit /3L INSPECTION NO. PE I N CITY OF TUKWILA BUILDING DIVISION. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Pr 'ect: Ty f In spectio Y I A dAL� Aoj ( b Ad ress: 4 (X Da Called: _ 7 I Q R 16 .� Special Instructions: Date Wanted: ti fJ C a:m. J p.m. Requester: Phone NO: Q r� t 1 Sc'J Receipt No.: Date: i 1; Z ;i-- Z � W� UO CO Q. w= J H S2 u_ W O UQ C0 d = W z� F- O Z 4_ LLJ W �p U CO a H WW HU f- 4. O . • Z' U N. 0 F O Z $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. f t INSPECTION RECORD Retain a copy with permit �5 INSPECTION NO. PER O CITY OF TUKWILA BUILDING DIVISION I�w 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Pr ct: hle T yp�f Insp�tioill J Address: j Date Called: "' Special instructions: ti Date Wan . -- r Requester: PR ne o: . r Approved per applicable codes. Corrections required prior to approval. COMMENTS: 10 Af Inspector: Date: M S58.00 REINSPECT ON FEE REQUIRED. Prior to inspection, fee must be Receipt No.: Date: Z W . UQ W =. LL WO 2� u - co = �W ' Z H ! O. W H- W U� ON 0 H W F=- U . 0. W Z U N O Z IVY INSPECTION RECORD 3 Retain a copy with permit % PE RMO. INSPECTI N NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 -3670 Project Type q � e a� ct i ion: ,---- Address: y Date Called: Special Instructions: Date Wanted: �� --� � a p.m. Requeste : Phone No: teceipt No.: Date: Z Z. �W UO to C3 W= CO LL W O. LQ U � �W Z f- H O W ~ W U� O C. OH WW LL O W Z co O F- Z I-- paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. INSPECTION RECORD Retain a copy with permit �! INSPECTION NO. P T NO CITY OF TUKWILA BUILDING DIVISION4w . 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: Type of Inspe�c . n: Address: Date Called: Special nstructions: Date Wang • / V C/ Requester: Phone No: teceipt No.: Date: Z W UO O W J Cl) LL W O LL Q. N� = �W Z H i- O W ~ W U� O � 0 F- W F- LL O. Z W Cl) O~ Z u paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. INSPECTION RECORD ff� Retain a copy with permit S INSPECTION NO. PER I CITY OF TUKWILA BUILDING DIVISION { 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ( 06)4 1 -3670 roved per applicable codes. Corrections required prior to approval. COMMENTS: In pector Date: / i Y a 5 .00 REINSPECTION FEE R QUIRED. Prior /(o inspection, fee must be j td at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: I Date: I Z i}" Z �W QQ� JU UO N a C0 W �_ F- U) LL'. W O: LQ Cl) = F. W Z F- F- O Z F- w w U� . 0 F- W F- �. ILL O .. Z W U C0 O F- Z Type of Inspection: Ad qs: Date Call : Special Instruc ions: Date Wanted: a, p -\ Requ ster* Pho roved per applicable codes. Corrections required prior to approval. COMMENTS: In pector Date: / i Y a 5 .00 REINSPECTION FEE R QUIRED. Prior /(o inspection, fee must be j td at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: I Date: I Z i}" Z �W QQ� JU UO N a C0 W �_ F- U) LL'. W O: LQ Cl) = F. W Z F- F- O Z F- w w U� . 0 F- W F- �. ILL O .. Z W U C0 O F- Z INSPECTION RECORD 66 /-ila Retain a copy with permit INSPECTION NO. P IT O CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 206) 1-3670 Projeq: Type of lnspectidm—�f Address: - p f� r Date Called: Special Instructions: Date Wanted: a.rnw- (P.M, 4 Requester: Phone No: 6 L--j paid at 6300 Southcenter Blvd., Suite 100. Call to sechedute reinspection, I Receipt No.: I Date: Z F- W 00 (/)a CO LLI UJ J S2 LL 0 -j LL a W z M F- 0 W 1--, W C0 0 — 0 F- W W 3: C F- LL O. Ili z C.) C0 O M . 0 Z %pproved per applicable codes. F1 Corrections required prior to approval. nwYp l' Y!..+ r^. ryMYai.! n+.. r�«.... r�•.;' �'! vr�v.• r. �. r.- r.. r. �: �.......«. w... r......... .:.�..«:........... «..�. «..: c. :... rte... ....�., -....� ... .... .. ..... ...1 - 1 INSPECTION RECORD !'7 3 Retain a copy with permit Z)05� INSPECTION NO. PE MI CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Proj t: Type of ec ((,, (S V 4 (ACA S, V— 0 � t "f I Address: � � 1 V Date Called; ) M (0-17—) Special Instructio s: Date Wante a.m. J C 1 U 7 p.m. Requester: Phone o. U _ ' i loap s■ Z �_- Z W QQ � JU UO 0 U) J WO � UQ N� CY ~ i Z F_ H O Z H W W . U� ON OH =U W Z ll l U= O F_ . Z I tg4p —proved per applicable codes. Corrections required prior to approval. INSPECTION RECORD D Retain a copy with permit S � INSPECTION NO. PER CITY OF TUKWILA BUILDING DIVISIO 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 P ject:� Type •Inspection:, vl/ i Q vl/ dress: Date Called: (4 5(0 J� � I I Special Instructions: Date Wanted• a. m. .m. �2 Requester. jj l� t Phone 'Approved per applicable codes. Corrections required prior to approval. 4 5�.00 REINSPECTIO FEE RE MIRED. Prior t inspection, fee must be i at 6300 Southcenter Blvd., Suite 100. Call o sechedule reinspection. ReceidtlNo.: IDate: a Z iF— Z W Q � J U UO CO 0 W� CO u_ W O LL c o Z CY I.—W Z F— H O W F- W U .O co 0H W H� LL O Z co O H. Z INSPECTION RECORD Retain a copy with permit INSPECTION NO. PER O i CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20.6)431 -3670 P j c j * Type oftn�sp�ecti on: , ,+°� tJ Date Called: Speci I Instruction . Date Wanted! 10 5 a.m. Requester: Phone No: V A proved per applicable codes. Corrections required prior to approval. COMMENTS: i f Vid Date: 0 REIN SPECTION FE REQUIRED. P or to inspection, fee must be t 6300 Southcenter Blvd., Suite 10 . Call to sechedule reinspection. l Welpt No.: Date: Z H i� W JU UO (I) wW C0 LL w O �a N �. = Cf. �W Z H ' WO W U� 0— . D h WW H� LL. Z LLl U =. O Z W � �D N d O O � W �Q � NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS cLEARYHAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE, D PERMIT COORD COPY" PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D05 -130 DATE: 04 -21 -05 PROJECT NAME: MCCARTHY RESIDENCE SITE ADDRESS: 1420956 TH AVENUE SOUTH X Original Plan Submittal Response to Correction Letter # ` Response to Incomplete Letter # Revision # after /before permit is issued DEPARTMENT Build Division © Fire Prevention Public Works, �,,❑i ,, Structural ❑ N [r tV Planning Division Permit Coordinator Af DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete 4 Incomplete ❑ Comments: DUE DATE: 04 -26 -05 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS 7Structural TING: Please Route Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: APPROVAL OR CORRECTIONS Approved Notation: ❑ Approved with Conditions E� REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DATE: DUE DATE: 05 -24 -05 Not Approved (attach comments) ❑ PERMIT COORD COPY Documents /routing slip.doc 2.28.02 u. �.�,. .*:a;;. �S ...�.r . �+t+r. "'L" k'rU car +� ��r �'� ::?•k'� *' n �� ., -�'. . � '.�c.n4ai >.3a.��L. � %.$� eo• z z �W �U UO (D n CO LLj J = D W W O. U . CO D = �W z T_ F_ �-- O z I— U� O- 0H WW F� LL O .. z W CO O z ILA, w+Er i i 1908 CITY OF TUKWILA Permit Center /Building Division: Community Development Department 206 - 431 -3670 Permit Center Public Works Department: 6300 Southcenter Blvd., Suite 100 206 - 433 -0179 Tukwila, WA 98188 Planning Division: 206 - 431 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO.: Do5 30 STATE OF WASHINGTON) COUNTY OF KING ) b h.,n ss. [please print] states as follows: 1. 1 have made application for a building permit from the City of Tukwila, Washington. 2. 1 understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. 1 understand that prior to issuance of a building permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, 1 consider the work authorized under this building permit to be exempt under No. -3 , and will therefore not be performed by a registered contractor. 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. vvk-- APP 94 : t� OTA P IOU 0 LAC : Ze J F O� , ti v • �> > 0 \appiications\8 -2004 affidavit in lieu of contractor registration Signed and sworn to before me 3 day of Y 1L/ 20 . NOTARY PUBLIC in and for t}'tb State of Washington, Residing at �� – L ` , County. Name as commissioned: 6i�fic My commission expires: 1 4 4 Z z �w 6D 00 CO W ND W_ u, w 0 �Q to ° = a �w Z F- O Z H 5 v O� 0 H- ww F- F- U- O w Z U= O Z 18.27.090 Exemptions. This chapter shall not apply to: contracts of amounts less than $500.00 for the purpose of the evasion of this chapter or 1 • otherwise. The exemption prescribed in this 2. An authorized representative of the United States subsection does not apply to a person who Government, the State of Washington, or any advertises or puts out any sign or card or other incorporated city, town, county, township, device which might indicate to the public that he is ' irrigation district, reclamation district or other a contractor, or that he is qualified to engage in municipal or political corporation or subdivision of the business of contractor; this state; 11. Any construction or operation incidental to the 3. Officers of the court when they are acting within construction and repair of irrigation and drainage the scope of their office; ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying,• 4. Public utilities operating under the regulations of agriculture, viticulture, horticulture, or stock or the utilities and transportation commission in poultry raising; or to clearing or other work upon construction, maintenance, or development work land in rural districts for fire prevention purposes; incidental to their own business; except then any of the above work is performed by a registered contractor; 5. Any construction, repair or operation incidental to the discovering or producing of petroleum or gas, 12. An owner who contracts for a project with a or the drilling, testing, abandoning, or other registered owner; operation of any petroleum or gas well or any surface or underground mine or mineral deposit 13. Any person working on his own property, whether when performed by an owner or lessee; occupied by him or not, and any person working on his residence, whether owned by him or not but 6. The sale or installation of any finished products, his exemption shall not apply to any person materials, or articles of merchandise which are not otherwise covered by this chapter who constructs actually fabricated into and do not become a an improvement on his own property with the permanent fixed part of the structure; intention and for the purpose of selling the improved property; 7. Any construction, alteration, improvement or repair of personal property, except this chapter 14. Owners of commercial properties who use their shall apply to all mobile, manufactured housing. A own employees to do maintenance, repair, and mobile /manufactured home may be installed, set alteration work in or upon their own properties; up, or repaired by the registered or legal owner, by a contractor licensed under this chapter, or by 15. A licensed architect or civil or professional a mobile /manufactured home retail dealer or engineer acting solely in his professional capacity, manufacturer licensed under chapter 46.70 RCW; an electrician licensed under the laws of the state of Washington, or a plumber licensed under the 8. Any construction, alteration, improvement, or laws of the state of Washington while operating repair carried on within the limits and boundaries within the boundaries of such political subdivision. of any site or reservation under the legal The exemption provided in this subsection is jurisdiction of the federal government; applicable only when the licensee is operating within the scope of his license; 9. Any person who only furnished materials, supplies, or equipment without fabricating them 16. Any person who engages dth6 'activities herein into, or consuming them in the performance of, the ,in regulated as an employee oi registered work of the contractor; contractor with wages as'his solercompgnsation; 10. Any work or operation on one undertaking or 17. Contractors on highway projects who have been project by one or more contractors, the aggregate prequalified as required, by 6 apter 13 of the Laws contract price of which for labor and materials and of 1961, RCW 47.28.070 wi!h_the department of all other items is less than $500.00, such work, or transportation to perform highway construction, operations being considered as of a casual, minor, reconstruction, or maintenance work. or inconsequential nature. 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