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HomeMy WebLinkAboutPermit D05-132 - THOMSON RESIDENCE - DEMOLITIONTHOMSON RESIDENCE 11405 40 AV S EXPIRED DOS -132 z re 2 UO N 0 W= J ~ O 1,L: w0 �< � _ zF o. zi- W ON 0 l- W • W o .:z U =` O ~: z City o.' Tukwila Deparbnent of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: ci.tirkwila.wa.us I Parcel No.: 3351400011 Address: 11405 40 AV S TUKW Suite No: DEVELOPMENT PERMIT Permit Number: Issue Date: Permit Expires On: Stever: M. Mullet, Mayor Steve Lancaster, Director DOS -132 05/26/2005 11/22/2005 Tenant: Name: THOMSON RESIDENCE Address: 11405 40 AV S, TUKWILA W Owner: Name: THOMSON JOEL Address: PO BOX 4214, SEATTLE WA Contact Person: Name: JOEL E THOMSON Address: 3213 E YESLER, SEATTLE WA Contractor: Name: OWNER AFFIDAVIT IN FILE - 30EL E. THOMSON Address: 3213 E YESLER, SEATTLE, WA Phone: Phone: 206 - 323 -5296 Phone: Contractor License No: Expiration Date: DESCRIPTION OF WORK: DEMOLISH EXISTING 240 SQ FT SINGLE FAMILY RESIDENCE AND 240 SQ FT DETACHED SHED. ' Value of Construction: $100.00 Fees Collected: $52.35 Type of Fire Protection: NONE International Building Code Edition: 2003 Type of Construction: Occupancy per IBC: 0022 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: Hauling: Start Time: End Time: Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: Moving Oversize Load: Start Time: End Time: Sanitary Side Sewer: Sewer Main Extension: Private: Public: Storm Drainage: Street Use: Profit: N Non - Profit: N Water Main Extension: Private: Public: Water Meter: N .. D0 00 ...::,:(..::t..o+trti Z = f" '~ w o: g D J U- 00, wF- �LL w O. �_j LL cC to =w t- _ zF- �O ZF_ W U O Co. OH w U' O w Z U= P X z rim City Tukwila Department of Commuitity Developnietit 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: ci. tukwila. wa. its Permit Number: Issue Date: Permit Expires On: Steven M. Mullet, Mayor Steve Lancaster, Directo,- D05 -132 05/26/2005 11/22/2005 Permit Center Authorized Signature: - -d 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 constrt on or performance of work. I am authorized to sign and obtain this development permit. i Print Nak, ����/ / le-o A - z -1 -s � Date: 5 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. doc: IBC - Permit D05 -132 Printed: 05 -26 -2005 Z ~ W JU U NO w =, CO u. WOO - L L co d. =w F- _ Z I-- 1- o. Z i— W5 UO O � O I— LU UJ LL O LLi Z U= 0 ir - H O Z City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS Parcel No.: 3351400011 Permit Number DOS -132 Address: 11405 40"S TUKW Status: ISSUED Suite No: Applied Date: 04/22/2005 Tenant: THOMSON RESIDENCE Issue Date: 05/26/2005 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 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: 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. 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. 6: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** 7: Any material spilled onto any street shall be cleaned up immediately. 8: In accordance with a conversation with the developer on May 16, 2005 there are no utilies on site and no septic system. 9: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off -site or into existing drainage facilities. 10: The site shall have permanent erosion control measures in place as soon as possible after final grading has been completed and prior to the Final Inspection. * *continued on next page ** doc: Conditions D05 -132 Printed: 05 -26 -2005 lil.w;:::e:a ::: k7, 7 1..:.* JaL .n:WL�..:S..n,.ViLi..:w'+a.... z i� '~ w u� D 00 (0 o C0 W J = f -- D LL wO �-J LL ¢ = �w Z i~ I— O Z F- U� O � 0 H. W F-F- u' O W z U =, O~ z }� City of Tukwila rave i f Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Date: S doc: Conditions D05 -132 Printed: 05 -26 -2005 MM i. Z �Z W u� D UO Cl) 0 W = J F- N W I Q Ca F- W. z F-. i~ O z t- UJI 5 �o o �'' W w . LL O' w z U = O~ z 1J� WtLA, � 1908 CITY OF TUKWILA . Community Development partment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Building Pem. Jo. "> - Mechanical Permit No. Public Works Permit No. Project No. use 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 �G:� A/, �, Suite Number: Floor: Tenant Name: New Tenant: ❑ .... Yes ❑ ..No Property Owners Name: Mailing Address: t / il�'�• ��.r - ��, %. 9 z /Z City Slate Zip : CONTACT PERSON Name: e % r?Y.f cohrn Day Telephone: S �? S Z�Z if Mailing Address: ?Z•! 3 /--= le .61 Z1! �Z < E -Mail Address: City State Zip Fax Number: GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page) Company Name: `7/t 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: City Stale Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: \permits plus\icc changes \pttmit application (7 -2004) Page I Z Z W 2 0 UO NO CO W J = I— S2 LL WO LLQ co D = �W K I— O Z W U ON 0 F_ WW N� u. O W Z co O Z j BUILDING PERMIT INFORMATION - 206- 431 -3670 Valuation of Project (contractor's bid price): $ Existing Building Valuation: .M Scope of Work (please provide detailed information): )o 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) 2 _ 4 � O *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 PROTECTIONMAZARDOUS MATERIALS: ❑.. Sprinklers ❑..Automatic Fire Alarm None ❑ . Other (specify) Will there be storage or use of flammable, combustible or ha rdous materials in the building? ❑ .. Yes V..No If "yes ', attach list of materials and storage locations on a separate 8 -I 12 x I I paper indicating quantities and Material Safety Data Sheets. %permits plus\icc changes\permit application (7.2004) Page 2 Z ~ Z �W JU UO W = I— WLL WO 9-1 u- Q h. W Z H F— O Z 1-- W U ON 0H WW 2 u. O Z. W L) O Z Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1" Floor 2 "d Floor 3" Floor Floors thru Basement Accessory Structure* y0 Attached Garage Detached Garage Attached Carport Detached Carport - Covered Deck Uncovered.Deck PLANNING DIVISION: Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) 2 _ 4 � O *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 PROTECTIONMAZARDOUS MATERIALS: ❑.. Sprinklers ❑..Automatic Fire Alarm None ❑ . Other (specify) Will there be storage or use of flammable, combustible or ha rdous materials in the building? ❑ .. Yes V..No If "yes ', attach list of materials and storage locations on a separate 8 -I 12 x I I paper indicating quantities and Material Safety Data Sheets. %permits plus\icc changes\permit application (7.2004) Page 2 Z ~ Z �W JU UO W = I— WLL WO 9-1 u- Q h. W Z H F— O Z 1-- W U ON 0H WW 2 u. O Z. W L) O Z PUBLIC WORKS PERMITINfA"ATION - 206 -433 -0179 Scope of Work (please provide detailed information) Call before you Dig: 1- 800 - 424 -5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila ❑ ... Water District # 125 ❑ .. Highline ❑ ...Renton ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila El ... ValVue ❑ .. Renton ❑ ...Seattle ❑ ...Sewer Use Certificate ❑ ... Sewer Availability Provided ❑ .. Approved Septic Plans Provided ❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department. Submitted with Application (mark boxes which apply.): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ... Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑ ... Traffic Impact Analysis ❑ ... Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreements) ❑ ... Hold Harmless Proposed Activities (mark boxes that a ❑ ...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 cubic yards ❑ ... Total Fill cubic yards ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ ...Sanitary Side Sewer El.. Abandon Septic Tank ❑ .. Grease Interceptor ❑ ...Cap or Remove Utilities ❑ .. Curb Cut ❑ .. Channelization ❑ ...Frontage Improvements ❑ .. Pavement Cut ❑ .. Trench Excavation ❑ — Traffic Control ❑ .. Looped Fire Line ❑ .. Utility Undergrounding ❑ ...Backflow Prevention - Fire Protection " Irrigation " Domestic Water " ❑ ...Permanent Water Meter Size... Is WO# ❑ ...Temporary Water Meter Size.. it WO# ❑ ...Water Only Meter Size............ 9 2 WO# ❑ ...Deduct Water Meter Size " ❑ ...Sewer Main Extension ............ Public Private ❑ ...Water Main Extension ............. Public Private FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: !� Day Telephone: Mailing Address: City State Zip Water Meter Refund/Billing: Name: 1/ Day Telephone: Mailing Address: City State Zip %permits pluslicc changes %permit application (7.2004) Page 3 Z =H '~ W JU U O W N W W O 5 U. Q N� = �W Z 1— O Z I— W �p U ON � t— W H r �- O Z W U= O Z MECHANICAL PERMIT INFOl ATION — 206- 431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City, Statc 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 .... ❑ Replacement..... ❑ Commercial: New .... ❑ Replacement..... ❑ Fuel Type Electric ..... ❑ Gas .... ❑ Other: Indicate type of mechanical work being installed and the quantity below: Unit T ype: Q ty Unit Type: Qty Unit Type: Qty Boiler/Compressor: Q Furnace <I OOK BTU Air Handling Unit >I0,000 Fire Damper 0 -3 HP /100,000 BTU CFM Furnace >100K BTU Eva orator 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 I <10,000 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 OWAUTNORIZED AGENT: Print Name: `/ Jc -1� �� ��i �liL��/�l'rS D Day Te Mailing Address: city Date: Zip Date Application Accepted: Date Application Expires: _ Staff r 41-20 -off f� - �•--�� \permits plus \icc changes \pertnil application (7.2004) Page 4 Z Q� {� W QQ JU UO N o CO W W_ I— Nu WO LLQ �d = F_ W _ Z� 1-- O Z F- W ULa ON o�_ WW H� LL l W z U =. O Z x �g City of Tukwila T9ae i 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 3351400011 Permit Number: D05 -132 Address: 11405 40 AV S TUKW Status: APPROVED Suite No: Applied Date: 04/22/2005 Applicant: THOMSON RESIDENCE Issue Date: Receipt No.: R05 -00782 Payment Amount: 33.50 Initials: SKS Payment Date: 05/26/2005 04:36 PM User ID: 1165 Balance: $0.00 Payee: JOEL E. THOMSON i TRANSACTION LIST: Type Method Description - - - - -- Amount ---- - - - - -- -- - - - - -- --------------------------- j Payment Check 3932 33.50 ACCOUNT ITEM LIST: Description Account Code Current Pmts ------------------------ - - - - -- ---------- - - - - -- ------ - - - - -- BUILDING - NONRES 000/322.100 29.00 STATE BUILDING SURCHARGE 000/386.904 4.50 Total: 33.50 z = z W. UO CO o' J = H DLL W 0. LL � = W z H O ZI- �O 0� .0 1--. . W uj � U' I-- !L 0 .. Z- W N H H. 0 z 1 T t L �1 doc: Receipt Printed: 05 -26 -2005 z = z W. UO CO o' J = H DLL W 0. LL � = W z H O ZI- �O 0� .0 1--. . W uj � U' I-- !L 0 .. Z- W N H H. 0 z City of Tukwila 1906 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 G Z RECEIPTZ w. Parcel No.: 3351400011 Permit Number D05-132 -j L) Address: 11405 40 AV S TUKW Status: PENDING N o n Suite No: Applied Date: 04/22/2005 w w = Applicant: THOMSON RESIDENCE Issue Date: N f— u- w 0 Receipt No.: R05 -00569 Payment Amount: 18.85 w N CY: Initials: BLH Payment Date: 04/22/2005 12:23 PM H w User ID: ADMIN Balance: $33.50 ? I O0 Z W Uj s Payee: JOEL E. THOMSON t v SO w .TRANSACTION LIST: � v Type Method Description Amount — O ---- - - - - -- -- - - - - -- --------------------- } Payment Check 3925 - - - - -- ------ - - - - -- 18.85 L11 Z 0 0 i i O i Z ACCOUNT ITEM LIST: Description Account Code Current Pmts ------------------------ - - - - -- ---------- - - - - -- ------ - - - - -- PLAN CHECK - NONRES 000/345.830 18.85 Total: 18.85 *t olli W d NEW 0 �Q C00 7 � Mr r MIEN fD 00 O O W N NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. W 1908 10 -03 -2005 JOEL E THOMSON 3213 E YESLER SEATTLE WA 98122 C ity of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director RE: Permit No. D05 -132 11405 40 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 and/or the International Mechanical Code, every permit issued by the Building Division under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Permit Center at 206 - 431 -3670 to arrange for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Building Code does allow the Building Official to approve a one -tine extension tip to 180 days. Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 11/22/2005, 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, J" if - arshall, Permit Technician xe: Permit File No. D05 -132 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 a Fax. 206 - 431 -3665 1% Z �Z �W a D JU UO CO co W J = S2 U. W F Zi LLQ = F. W Z� I— O W E- �5 U O� .0 H W 2 tL O --Z W U N. O Z �i tLA City of Tukwila Steven M. Mullet, Mayor W� O °. Department of Community Development Steve Lancaster, Director 1908 May 3, 2005 Mr. Joel E. Thomson 3213 East Yesler Seattle, WA 98122 RE: Letter of Incomplete Application # 1 Development Permit Application D05 -132 Thomson Residence — Demo — 11405 40` Avenue South Dear Joel: 0 This letter is to inform you that your application received at the City of Tukwila Permit Center on April 22, 2005, is determined to be incomplete. Before your application can continue the plan review process the following items need to be addressed: Public Works Department: Joanna Spencer, at 206 431 -2440, if you have questions concerning the following: 1. Show location of utilities that will be capped off as a result of this demo. . 2. If property is on septic, show location of septic system 3. Submit a cost estimate for capping utility lines. Please address the above comments in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that four (4) complete sets of revised plans, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Revisions must be made in person and will not be accepted through the mail or by a messemker service. If you have any questions, please contact me at the Permit Center at (206) 433 -7165. Sincerely, Stefania Spencer Permit Technician Enclosures File: Permit File No. D05 -132 sks Page 1 0510312005 TALinks\DocsID05.i32005.132 - Incomplete Letter #t.DOC Z '~ W . W U: U O Cl) 0 CO W W = CO LL W J LL Q ND = �W Z� F— O Z 1-- w LU �o U O CO 0 F— W 2 F- U- 0 W Z U= O Z 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D05 -132 DATE: 05 -16 -05 PROJECT NAME: Thomson Residence — Demo SITE ADDRESS: 1140540 Avenue South Original Plan Submittal X Response to Incomplete Letter # 1 Response to Correction Letter # Revision # after /before permit is issued Building Division ❑ Fire Prevention ❑ Planning Division [ Put#(i� Wo�� y [� n �- Structural ❑ Permit Coordinator - y5 DETERMIN&TIQ OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 05 -17 -05 Complete Incomplete ❑ Not Applicable ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS R TING: Please Route Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS DUE DATE: 06 -14 -05 Approved ❑ Approved roved with Conditions [1� Not Approved (attach comments) ❑ PP Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: PERMIT COORD COPY Docunwnls/routing sllp.doc 2.28 -02 ❑ No further Review Required DATE: 7 z Z a� �U UO J = H W w O. LL a 0a =w t- _ z = �o z t- w L U U O 10 0H_ w H U. z CO O z y .�. .� c• �r� a�a r' :�r.::17i. ry..r'a '''17. °,er. '+� �;:tii+n '14 ?. 1 . }fit. PERMIT COORD COP` PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D05 -132 DATE: 04 -22 -05 PROJECT NAME: THOMSON RESIDENCE - DEMO SITE ADDRESS: 1140540 AVENUE SOUTH X Original Plan Submittal _Response to Incomplete Letter # Response to Correction Letter # Revision #after /before permit is issued DEPARTMENT * LIA -51 rLI& S �j FNi L{,2 Co-OS� Bull i Divi ion © Fire Prevention © Planning Division Publi Works .l Q © r -K Structural ❑ Permit Coordinator DETERMINATION OF COMPLETENESS (Tues., Thu .) DUE DATE: 04 -26 -05 Complete ❑ Incomplete Not Applicable ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: �'% LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑' Fire ❑ Ping ❑ PW9 Staff Initials: TUES /THURS ROUTING: Please Route ❑ Structural Review Required REVIEWER'S INITIALS: W APPROVALS OR CORRECTIONS Approved ❑ Approved with Conditions ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: PERMIT COORD COPY Documents /routing sllp.doc 2.28.02 ❑ No further Review Required DATE: DUE DATE: 05 -24 -05 Not Approved (attach comments) ❑ z _� '~ w D UO J �LL w 0 L? � = w Z� t_ 0 z F_ w w U� ON o�_ wW LLF- LL 0 ..z U U. H= z •`� r ! N ' -1908 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:r/tivtivw.ci.tulnvila.wa.trs Steven M. Mullet, Mayor Steve Lancaster, Director* REVISION SUBMITTAL Revision submittals Hurst be submitted in person at the Permit Center. Revisions will not be accepted through the nail, fax, etc. Date: Plan Check/Permit Number: ® Response to Incomplete Letter # 1 D05 -132 ❑ Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name THOMSON RESIDENCE - DEMO Project Address 1140540 AVENUE SOUTH Contact Person Joel E. Thomson Phone Number: Summary of Revision: Qb trl 69 (-.-o 0 "f- F U �' �A 1 FA RECEIM PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision I N C OMPLETE Received at the City of Tukwila Permit Center by: Created: 8 -13 -2004 Revised: 32 z �-. Z �W 2 3U UO ND J = C~ N 11.. WO 9-J LL Q �D =d �W Z= r`- F— O z }-. UC3 O - off WW X F . LL O .. Z. W co O z N ? 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: 206431 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO.: O.: t j � S, — 13 2— STATE OF WASHINGTON) COUNTY OF KING ) ss. [please print] H states as follows: 1. I have made application for a building permit from the City of Tukwila, Washington. 2. 1 understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. 1 understand that prior to issuance of a building permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, 1 consider the work authorized under this building permit to be exempt under No. L 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. ? T^ n 'V.4 N 0p SASH,```• Sbiied and sworn to before /mJ,e, this t�L day of G 20 NOTARY PUBLIC in and for the State of Washington, �i d Residing at Name as commissioned: County. My commission expires: S / - 6L6 1 _ \applications \8 -2004 affidavit in lieu of contractor registration Z `3: Z . �w 2 1U UO LU J I=- CO W w O U - d =w r— _ Z F- �O Z �— w �5 U� ON off wW O .Z w U= h O Z 1 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 in the activities herein into, or consuming them in the performance of, the regulated as an employee of �: registered work of the contractor; contractor with wages as his sole;cQmensation; 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 chapter, 13 of the Laws contract price of which for labor and materials and of 1961, RCW 47.28.070 with the department of all other items is less than $500.00, such work, or transportation to perform l lbgh a' y construction, operations being considered as of a casual, minor, reconstruction, or maintenance work: or inconsequential nature. 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