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HomeMy WebLinkAboutPermit D05-140 - DOMAN RESIDENCE - CARPORTDOMAIN RESIDENCE 13433 48 AV S D05-140 rt LAI 6 0 U) 0 co LIJ j— U) w 0 g • < - CY ▪ LLI ' 0 Z uj • 0 o (,) O - O 1- -r-LU 1- f ■■■ 1 11jZ. (0 • "I‘ City of i ukwila Steven M. Mullet, Mayor o `ti Department of Comniunity Development Steve Lancaster, Director � 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 N = Phone: 206 - 431 -3670 y908 •, * Fax: 206 - 431 -3665 } Web site: ci.tukwila.wa.us DEVELOPMENT PERMIT Parcel No,: 2613200032 Permit Number DOS -140 Address: 13433 48 AV S TUKW Issue Date: 04/27/2005 Suite No: Permit Expires On: 10/24/2005 Tenant: Name: DOMAN RESIDENCE Address: 13433 48 AV S, TUKWILA WA Owner: Name: DOMAN JACQUELINE LAURA Phone: Address: PMB 294, 27013 PACIFIC HY S Contact Person: Name: JACQUELINE DOMAN Phone: 206 354 -0136 Address: 27013 PACIFIC HY S, #294, DES MOINES, WA Contractor: Name: OWNER AFFIDAVIT - JACQUELINE DOMAN Phone: 206 354 -0136 Address: 27013 PACIFC HY S, #294, DES MOINES, WA Contractor License No: Expiration Date: DESCRIPTION OF WORK: ENCLOSING EXISTING CARPORT THAT IS ATTACHED TO EXISTING HOUSE. Value of Construction: $2,000.00 Fees Collected: $145.91 Type of Fire Protection: n/a International Building Code Edition: 2003 Type of Construction: VB Occupancy per IBC: 22 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 doc: IBC- Permit D05 -140 Printed: 04 -27 -2005 •�..... ....�� :.......�..:. ;..:.�,.,�:.�, : >.: �' � �. �.. �;.r..,,�.:::�;�:.�, 1,1, �:, t,1 :,{n '.:n. ;iurvii�.;;�.'.w �� :�: y,.'FV §H,�r: ��F4 `"c. �y'+.FU �• _ire�.�� ° '�4� .. : �w,udt 'n.�r"n± •..;�,.: »'�t.a�e L,v�rrii?r „±'k'� t "Y'"�. �':�';. Z '~ w � D JU UO <n 0 AD CO U. w O. LLQ a =w Z t— O Z t— w M5 U O N 0 1-- W L Z U= O Z y 1,' ��� City of Tukwila Steven M. Mullet, Mayor Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: ci.wkwila.wa.its Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director D05 -140 04/27/2005 10/24/2005 A 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 pe mit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating cons � ctio or the perfo nce o work. I am authorized to sign and obtain this development permit. Signature: Date: j Print Name: 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 -140 Printed: 04 -27 -2005 k;ri.l.. ,:..1... ..k..a.,.l.+.�.x ufi -u. 'C.'.^s:i:: �5(`%Kyb:,jv+k+.'".�'^:.:. ioa:w�+i Mfr' :✓i:t�"`sd'' "1 w i:st .a[5:v6.�.�i..�- +�;:... _ Z = Z � W . W� J U. 00 to 0 wi J �.. GO LL WO U. Cd t=— _ Z �. �- 0 Z~ �5 �p O N . � F- WW LL �- O il Z l co 0 Z /J I� . raao City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS Parcel No.: 2613200032 Permit Number: DOS-140 Address: 13433 48 AV S TUKW Status: ISSUED Suite No: Applied Date: 04/27/2005 Tenant: DOMAN RESIDENCE Issue Date: 04/27/2005 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 Off=icial. 3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 4: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 5: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be obtained at City Hall in the office of the City Clerk. 6: 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. 7: 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). * *continued on next page ** doc: Conditions D05 -140 Printed: 04 -27 -2005 z = Z '~' w UO Lo o In W J !2 U- WO LLQ �d =W F , _ z t ... fi O zr U� O— t] F- WW LLO z U =. O ~ z ,g City of Tukwila tar's Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 f! a+ �3 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 or4he performance of work. Signature: _ Print Name: ' J; 41 �0 u �, 6'-e , /'� 6 � Date: Z 2 �— a�. Z W D UO N 0 CO CO LL WO LL Q a' =W z�. �a Z !— U �. O C Z V; H O aj Z ' O N, H H O z aJ� W►►A' w 4s N 2 rsots CITY OF TUKWILA Community Development Do rtment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 or office use only) Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION Site Address: 13 - Tenan Name: Property Owners N; Mailing Address: Building Permit TTY. 65 I q Mechanical Permit No. Public.Works Permit No. Project No. King Co Assessor's Tax No.: ,264 3_2 —60 1 Suite Number: Floor: New Tenant: ❑ .... Yes [X.No C� �l r;Lfs1 j • �O� � C� ,Ui '°S' �d/ /rte' �''�' � �' ���' City State Zip CONTACT .PERSON Name: v �' C t< 14 6 1117 cps— Day Telephone: Mailing Address: City Statc Zip E -Mail Address: �kekt e ® 7 - L� �� �/� poi 1yI fi C ©� ^ 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: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: \permits plus \icc changes \permit application (7.2004) Page t '�� � ... .1......i._ ,.:i��a�,�,ty ti7.r:._., tyl =lisvv t.; �e ��i �. •. ro.; �; 1' �� ih br° �`�`�' ^e' � w' �,;. ..;.v.. a,: •.a �-�. �+..�;1: :i4at:fh'�.rl,cy`;��' �.. `c "�.' St�f • kh s4+ � ^tt,. °'� Z ~ W Q � Q g 5 L) UO w= to LL W } O } �J L co d = w ZF- ZO w �5 U� O� C3 F-- wW F_F �—` O W Z U= O Z BUILDING PERMIT INFORMATION - 206 - 431 -3670 _ xValuation of Project (contractor's bid pi ice): $ t;"� UCXC) Existing tuilding Valuation: $ Scope of Work (please provide detailed information): eM0 05; IId�1�1 � "1 H n, dAk Po 12 � A A�1�! ,�C� fo "�X 1 � Yvt Will there be new rack storage? ❑ ..Yes Fl.. No If "yes ", see Handout No. for requirements. Provide All Building Areas in Square Footage Below wy 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: El.. Sprinklers []..Automatic Fire Alarm ❑..None ❑ . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. 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 pluskicc changes \pertnit application (7 -2004) Page 2 Z '~ W JU UO CO J = CO IL WO 9_J LL Q CIO ❑ = �W Z H H O Z l-- W 2j 0 11 U O� ❑ 1— W H �. LL O W Z 0 0 P _ O F- Z Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC V' Floor 2 Id Floor 3 Id Floor Floors thru .Basement Accessory Structure* Attached Garage Detached Garage Attached Carport y { o 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): 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: El.. Sprinklers []..Automatic Fire Alarm ❑..None ❑ . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. 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 pluskicc changes \pertnit application (7 -2004) Page 2 Z '~ W JU UO CO J = CO IL WO 9_J LL Q CIO ❑ = �W Z H H O Z l-- W 2j 0 11 U O� ❑ 1— W H �. LL O W Z 0 0 P _ O F- Z MECHANICAL PERMIT IND tMATION -- 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 .... ❑ Replacement..... ❑ Commercial: New .... ❑ Replacement..... ❑ Fuel Type Electric ..... ❑ Gas .... ❑ Other: Indicate type of mechanical work being installed and the quantity below: Unit Type: Qty Unit Type: Qty Unit Type: Boiler/Compres Q Furnace <IOOK BTU Air Handling Unit >I0,000 Fire Damper __ gty 0 -3 HP /100,000 BTU CFM Furnace>IOOK 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 0 'E, JURY BY THE LAWSW THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OtVNE]k OR AUTHORIZED AGEN'q': Signature: - Date: ��� Print Na e: Q/V� Day Telephone: .0 6 Mailing Address: r �' � try State Zip Date Application Accepted: Date Application Expires: I Staff Initials: \permits plus \ice changes \permit application (7.:004) Page 4 Z Z W JU 0 Cl) U W J = t— !� LL WO LLQ U� = F- W Z H HO Z F- W 5 U� O- OH WW L H� —0 - - Z W UN F- _ O Z City of Tul�wlla 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 2613200032 Permit Number D05 -140 Address: 13433 48 AV S TUKW Status: PENDING Suite No: Applied Date: 04/27/2005 Applicant: DOMAN RESIDENCE Issue Date: Receipt No.: Initials: User ID: R05 -00588 SKS 1684 Payment Amount: Payment Date: Balance: 145.91 04/27/2005 11:08 AM $0.00 Payee: JACKIE DOMAN ! TRANSACTION LIST: Type Method Description Amount ---- - - - - -- -- - - - - -- --------------------- - - - - -- ------ - - - - -- Payment Check 4180 145.91 ACCOUNT ITEM LIST: i Description Account Code Current Pmts ------------------------ - - - - -- ---------- - - - - -- ------ - - - - -- BUILDING - RES 000/322.100 85.70 PLAN CHECK - RES 000/345.830 55.71 STATE BUILDING SURCHARGE 000/386.904 4.50 Total: 145.91 z .- Z' �W �U UO (0 o. V) J � N U W O . U CO) = F- W z F- 0 z �- w � 5 , O -- � F- W Lu H U- O :z W CO O Z INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERM C CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206 431 -3670 Project;_ Type of Inspection: Address: Date Called: Special Instructions: Date Wanted: a; P.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: (�/ 1 Date: $58.00 REINSPECTI N FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: r z �W QQ� JU UO CO 0 C0 W J = S2 LL W O 9_5 LL c = a �. W H O W F_ W U ,O N. 0 F_ W LL1 2 LL O z W U O z INSPECTION RECORD ; `7 Retain a copy with permit INSPECTI N NO. PER I CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: r i l Type of Inspection: Addre �� � Date Called: Special Inst ctions: Date Wanted: a.m. Requester: Phone No: Receipt No.: Date: 0 1 Z � W JU UO to 0 co W J = co u W O. u_ co = W H Z� H O W F— UJ �p U :O co 0 1,— H� U. O W Z to O Z u paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. INSPECTION RECORD�� Retain a copy with permit I INSPECTION NO. PER 0 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project:— Type of In ction G Addr s: Date Calle - Specia Instruc ons: Date Wanted: a Requester: Phone No: proved per applicable codes. r-1 Corrections required prior to approval. Inspector:] /� (/ Date: Lam/' $58.00 REINSPECTIO,N EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection, Receipt No.: Date: a Z ~ W J U, UO wF Cl) LL, WO 9 - U. ¢ CO = W �_ Z F- F- O W 1- U O N 0 1.-- W W FU IL W Z N 1= H O Z INSPECTION RECORD i Retain a copy with permit /, � INSPECTION NO. W2) CITY`OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 -3670 H Approved per applicable codes. Project:. --- rg f -� , '�� - j Type of In�ecti_ Address: Date Called: Special Instructions: Date Wanted: a.m. Requeste . Phone No: Receipt No.: Date: 11 Corrections required prior to approval. COMMENTS: Inspect Date: $58 00 REINSPECTION 146 REQUIRED. Prior to inspection, fee must be paiKt 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. i Z te Z W W� V O CO O CO : J � LL W O 2 �: u - = �W H O UJ Z E-. �5 U� O N. W 2 U u" O — Z tll UN O ~. Z r INSPECTION RECORD Retain a copy with permit INSPECTION NO. PE IT N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 6)431 -3670 { I Project: Type of Ins ecti n: "J'- Address: Date Called: Sp cia Instruc ions: Date Wanted a.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. C MMENTS: Receipt No.: 7[ 77 7 Inspector: Date: $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. w� Z J- Z ~ W IX U0 C0 J N, C0 � WO 9- LL Q co d = W F- _ ? l.- H O. W ~ W U� O N. o F- WW LL —0 z W U= O E- Z �'' CITY OF.7KWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 Application # ALTERNATE PLAN SUBMITTAL AUTHORIZATION FOR LIMITED SCOPE OF WORK U.B.C. Section 106.3.2 exception F Project name \ f u c JX A/0 !2 ig in - Address / d jet A0 Description of work ,y Related reference number 0- 00 3 2 C> The above project permit applicant, due to the limited scope of work is authorized to submit reduced plan requirements describe as noted below. 1. Complete permit application required: ( Note, all application must include; 1) property assessor q number, 2) copy of contractors license or completed owner waiver form. ) Building Mechanical Other 2. Minimum plan and /or specification requirement: Site plan Floor plan Elevations Foundation Cross sections Roof plan W.S.E.C. compliance Narrative Structural calculations ( stamped by Washington State licensed engineer ) i Specific required information /i12 412 621u Z ' L::�2 cb s . I i 3. Other special instructions: t Authorization by, TBD3 /96 -form 12 r�=� f 1 Date d 30 days after the dale issued. Z F- D .J U UO ND W_ t-- N U. .w O U- d =w t- _ ? HO w ~ LL] U� O � o�- w F- LL O w z U= O z t' 1 JACKIE DOMAN PERMIT NARRATIVE 13433-48 TH AVENUE SO. TUKWILA, WA 98168 OUR PROJECT IS TO ENCLOSE THE EXISTING CAR PORT THAT IS ATTACHED TO EXISTING HOUSE LOCATED AT ADDRESS GIVEN ABOVE. z � W JU 00, cn p W= N LL; WO J. u- Q co D F— 2 Z F. �... O z !—. W 5 �p ,O p I—: W W. H �. u. O W Z; CO o� z c. r 6 m� � J 3 3 - 3 Ale S� . Fo ul;ltdq f MAX. SPACING 6' O.C. 1 & 2 STORY ANCHOR BOLTS 4' O.C. MAX. FOR 3 STORY ANCHOR BOLT 1/2" DIAMETER WITH 1 �� 7" EMBEDMENT 00 3� If$� MIN. (2) BOLTS PER PLATE SECTION 1/4 "X3 "X3 _ W/ ONE BOLT LOCATED # 12" OR 4 GALVANIZED WASHER 7 BOLT DIA. FROM EACH END OF P.T. PLATE SECTION -, SILLPLATE; .: GRADE AWAY FROM , a FOUNDATION MIN. 6" I I a �- (1) #4 CONTINUOUS WITHIN TOP 12" OF WALL WITHIN THE FIRST 10 FEET — I I - _ W �1 .itt HN •`�.� .�1 .4P" •IN �Qrq .)1 .� •IN�� "�. x9400 00 lbv0 pc�" OcM"= D • D ` "��� Z �v� .Urd ° ^ltd Z oi4 "6.d, "1.• �, ° � .a-1 DRAWING # DCD H008 APPROVED REVISION # I DATE 01/2112005 1 z . -z �w QQ JU UO (n o J = F- DLL' WO m LL d co :. _ Cy �W Z I- 1- O W 5 U ON 0 H W LU F- uO W z co O z 00 3� _ ¢ W x W W tp 0 �5 .. v cn #(4) Q, 48" O.C. FOR 50 O° CONSTRUCTION JOINT _D 4 UNDISTURBED to _T, ;1 Q NATURAL SOIL p c c p c 3" CLEAR °PU gq 1 ,. � ., n�9Y��o. Pub` �Y��c °ku fo "° " (1) #4 CONTINUOUS "�- A. MIN. WIDTH 1500 PSF. PRESUMITIVE SOIL 1- STORY 12" LOAD - BEARING VALUE 2- STORY 15" 3- STORY 23" DRAWING # DCD H008 APPROVED REVISION # I DATE 01/2112005 1 z . -z �w QQ JU UO (n o J = F- DLL' WO m LL d co :. _ Cy �W Z I- 1- O W 5 U ON 0 H W LU F- uO W z co O z art ncvtMat ,lUt 'ROPERTY TAX RP10 4CCOUNT NUMBER 261320 - 0032 -03 30035D 3RING ALL PARTS WHEN PAYING IN PERSON DOMAN JACQUELINE LAURA PMB 294 27013 PACIFIC HWY S DES MOINES WA GUU0 KINtj UU -'!1 I Y, WA, HtAL tSTATE TAX RM 600 - 50(' IRTH AVE, SEATTLE WA 98104 -2387 SEEP THIS PORTION 9DO962 98198 FOSTORIA GARDEN TRS SWLY 68 FT OF NELY 408 FT LESS SELY 1 FT & NWLY 15 FT OF SD TR SWLY OF NELY 408 FT PROPERTY ADDRESS 13433 48TH AV S PROPERTY:t, MFACCOUN _ 32— - ((+Second� :must; t?e.pad �_ot��po�tila or'IT.- BECOMES' RELINQUENT `ANQ <.; INTEREST ;AND P,ENAI.TY , Y y . CU RRENT .:. State ............................... TM 4.52 Local School Support....... 852 - 6 7 County .. ............................... 233 • 61 Cit ........ ............................... 526-79 Unincorporated /Road .,..... 2 , 2 4 7 Pert ....... ............................... 42 - 7 9 Fire ........ ............................... Sewer Wor Water ............. Library ... ............................... 90 - 0 0 Other ..... ............................... 7 • 87 Emergency Med Svc ........ 39 - 18 ' Other Charges ............... 6 • 50 TOTAL CURRENT BILLING `5 2 112, 3':;`1:x: �;',•:; *OTHER CHARGES NOX WEED First half must be paid or postmarked by April 30, or FULL AMOUNT BECOMES DELINQUENT and accrues interest and penalty as prescribed by law. If first half paid by April 30 second half must be paid by October 31 or it becomes delinquent and accrues interest and penalty. FULL AMOUNT MAY BE PAID APRIL 301h TAX TYPE M IY AIRI O INT EREST Current 0 5 Omitted r s i Delin- quent DOMAN JACQUELINE LAURA PMB 294 27013 PACIFIC HWY S DES MOINES WA 9DO962 945• 98198 Land Value ........................... 60,0 Improvements 1 09-10 Less: Exempt Value .......... TAXABLE VALUE ............. 169,0 Levy Rate ............................ 13-298 General Tax ......................... 2 , 2 4 7 'Other Charges ................. TOTAL CURRENT BILLING Omitted Taxes .................... TOTAL CURRENT BILLING INCLUDING OMITS. ......... VOTER APPROVED 1.50 SOIL CON ELI QU NT TOTAL 5• PRINCIPAL 2,253•' PENALTY PRINCIPAL AMOUNT r HALF AMOL :E REVERSE) 1-.126. DUE OCTOBER 31 1,126•` 0000000000000000000000000000000000000000000000000000000026132000320300011269600 Z W . UO 0 w= J H N U_ W O J U_ j co V, =W I— _ z� zF_ LIJ W U O N oIr- WW LL H �z W CO O Z :,; �: ...., ! ..! i : ur.a + s�5`uh 'Y 'fi:.�'�',e.. �;,. ��r�6� , A"_ M�T. I LA, {� 1906 f Signed kn lsworn to before me this AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION Z J w 73 v PERMIT NO.: 00 STATE OF WASHINGTON) w SS. —J F— COUNTY OF KING ) CO LL W U— states as follows: to [please print] = CY �w z 1. I have made application for a building permit from the City of Tukwila, Washington. F F— O Z F- 2. 1 understand that state law requires that all building construction contractors be registered with the State of w w Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of 0 Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW co 18.27.090. 0 F — 3. 1 understand that prior to issuance of a building permit for work which is to be done by any contractor, the City of w v Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions LL ~O stated under RCW 18.27.090 applies. Z W U ( 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that o after reading the exemptions from the registration requirement of RCW 18.27.090, 1 consider the work authorized Z under this building permit to be exempt under No. 13 and will therefore not be performed by a registered contractor. 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. /f - -� 6101► v� NOTAN S (P A UB0 0 4 '' 0 = 6 0Z y���F WASN����~ \applications \8 -2004 affidavit in lieu of contractor registration CITY OF TUKWIL4 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 day of A rd 20 62&� a &e' NOTARY PUBLIC in and for thEgState of Washington, Residing at Kin , County. Ili Name as commissioned: 11 Ce, A. Dea cU My commission expires: 6-16 . t. ,.> a. .s•i:.��;:.,. _ ajai ;.�:a;:_.i!.,tinj.�v:ciiw:✓rii t%t'n;,`M;.73k%t );�;� &.:.� L '•tiei:+w,b ; 'em'a`:ya.ra k:: iv+:nd'x t w.. la». .::f..�'S.'..:,�;'wa:.. {,�n,i�� . . t, 1;' : '- :.3i"r.".a.'.:.. ar.t�::'= ul.i�i .', 18.27.090 Exemptions. This chapter shall not apply to: 1. 2. 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; 3. Officers of the court when they are acting within the scope of their office; 4. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 5. 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; 6. The sale or installation of any finished products, materials, or articles of merchandise which are not actually fabricated into and do not become a permanent fixed part of the structure; 7. Any construction, alteration, improvement or repair of personal property, except this chapter shall apply to all mobile, manufactured housing. A mobile /manufactured home may be installed, set up, or repaired by the registered or legal owner, by a contractor licensed under this chapter, or by a mobile /manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW; 8. 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; 9. 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; 10. Any work or operation on one undertaking or project by one or more contractors, the aggregate contract price of which for labor and materials and all other items is less than $500.00, such work, or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in all 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 \applications \8 -2004 affidavit in lieu of contractor registration contracts of amounts less than $500.00 for the purpose of the 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 is a contractor, or that he is qualified to engage in the business of contractor; 11. 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 then any of the above work is performed by a registered contractor; 12. An owner who contracts for a project with a registered owner; 13. Any person working on his own property, whether occupied by him or not, and any person working on his residence, whether owned by him or not but his exemption shall not apply to any person otherwise covered by this chapter who constructs an improvement on his own property with the intention and for the purpose of selling the improved property; 14. Owners of commercial properties who use their own employees to do maintenance, repair, and alteration work in or upon their own properties; 15. A licensed architect or civil or professional engineer acting solely in his professional capacity, an electrician licensed under the laws of the state of Washington, or a plumber licensed under the laws 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 licensee is operating within the scope of his license; 16. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his sole compensation; 17. Contractors on highway projects who have been prequalified.,as required by chapter 13 of the Laws of 1961, RCW 47.28.070 with the department of transportation to perform highway construction, reconstruction, or maintenance work. 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