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HomeMy WebLinkAboutPermit D05-168 - HOANG RESIDENCE - DECKHOANG RESIDENCE 13522 43 AV S DOS -168 Z rL 00. CO 0 W: W I, -1 1.- N LL W}O g J. �< --(1) O: F• W. F- O Z t-•. 111 uj, 0 I- ll! W. 0 IL I- _O O Z City i. �' Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: ci.tukivilama.us DEVELOPMENT PERMIT Steven M. Mullet, Mayor Steve Lancaster, Director Parcel No.: 2613200153 Permit Number DOS -168 Address: 13522 43 AV S TUKW Issue Date: 05/27/2005 Suite No: Permit Expires On: 11/23/2005 Tenant: Name: HOANG RESIDENCE Address: 13522 43 AV S, TUKWILA, WA Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: Contractoi HOANG, JERRY 13522 43 AV S, TUKWILA WA JERRY HOANG 13522 43 AV S, TUKWILA WA OWNER AFFIDAVIT IN FILE - JERRY HOANG 13522 43 AV S, TUKWILA WA License No: Phone: Phone: 206 355 -3831 Phone: 206 355 -3831 Expiration Date: DESCRIPTION OF WORK: ADDING APPROXIMATELY 280 SF TO THE EXISTING DECK Value of Construction: $9,220.40 Fees Collected: $375.06 Type of Fire Protection: N/A International Building Code Edition: 2003 Type of Construction: VB Occupancy per IBC: 26 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: N Hauling: N Start Time: End Time: Land Altering: N Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: N Moving Oversize Load: N Start Time End Time: Sanitary Side Sewer: N Sewer Main Extension: N Private: Public: Storm Drainage: N Street Use: N Profit: N Non - Profit: N Water Main Extension: N Private: Public: Water Meter: N doc: IBC - Permit D05 -168 Printed: 05 -27 -2005 Z H ~ w � QQ 2 J U 00 Co W_ H CO U- 0 U. WD = �w Z �. F-- 0 Z F-- LU5 U� O N off w �U �O Z L) O ~. Z J'��111A' Wq OI �2 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: ci.wkwila.wa.us Permit Number: Issue Date: Permit Expires On: Stever: M. Mullet, Mayor Steve Lancaster, Director D05 -168 05/27/2005 11/23/2005 Permit Center Authorized Signature: Date: XF 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. Signature: �L�G ` �°'� �-� Date: Print Name: 7/ °�'�' Ci 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 -168 Printed: 05 -27 -2005 IV Z �-- Z �W UO �o J = CO LL W O 1 LL Q U) M z a. F- W Z F-- f-- O Z f- w �5 U� 0� o t-- W W O. w Z U N O Z i g City of Tukwila f ' Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS Parcel No.: 2613200153 Permit Number: DOS -168 Address: 13522 43"S TUKW Status: ISSUED j Suite No: Applied Date: 05/17/2005 Tenant: HOANG RESIDENCE Issue Date: 05/27/2005 i 1: ** *BUILDING DEPARTMENT CONDITIONS * ** i i 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. i 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. i 4: All construction shall be done in conformance with the approved plans and the requirements of the International y Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 5: All wood to remain in placed concrete shall be treated wood. 1 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 i 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. j * *continued on next page ** doc: Conditions D05 -168 Printed: 05 -27 -2005 z �w .�� JU 00 CO) 93 J = Cf) L w LLQ C �. = �w z F- ZO w U � O� 01-- UJI Lu xU U. O z: U CO) O F- : z r9M Ci of Tukwila 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. i 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. I i Signature: Date: - z y i Print Name: I i i doc: Conditions D05 -168 Printed: 05 -27 -2005 z Z' W u� D UO (1) W J CO W O U- J. CO D = CY HW z� O' z r` Do U :o!2 D rr =U O. W Z L) Z � CITY OF TUKWILA y Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 iv Tukwila, WA 98188 Building Permit 1No. �0 w� 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: 13 S2 2 2 4 1,2 Suite Number: Floor: Tenant Name D .� ��t5 2Z-- Sl0rG_7d 6L New Tenant: ❑ .... Yes ®..No Property Owners Name: _Pr7.� -A14- / Mailing Address: 135 . r Ivy - s • �Gl�� W11,,4 w� 9glu�� City State Zip CONTACT .PERSON Name: Day Telephone: 2_0a Mailing Address: A4 fx ,.�4 --S ;4-/S o y&X'- City State Zip E -Mail Address: Fax Number: GENERAL.CONTRACTOR INFORMATION:- (Mechanical Contractor information on back page) Company Name: % ,8 2) 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 1 Company Name: i Mailing Address: city state zip g 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 1 ., .t.. ..- '7ky, .s{�Ct p,,"!'� AitY�Rt n ` +:eP � isui[ Y+r'4'k4i3�iNC'?Pf? Cep° �Yf+ SnSN. R' 3N4�+ xn5. yia•.:;. aw. s> nw+ v+rw+ewwm ��s.'. Z H '~ w JU UO ND CO LLI W = I— CO)� WO J u- � = W H = 1= 0 Z 1— 25 U ON 0 H WW H� !6O w Z U= O Z BUILDING PERMIT INFORMATION - 206 -431 -3670 Valuation of Project (contractor's bid price): $ �tJ[�(�� Existing Building Valuation: $ Scope of Work (please provide detailed information): 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 PROTECTION/HAZARDOUS MATERIALS: FT. 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 I I paper indicating quantities and Material Safety Data Sheets. %permits pluslicc cfungalpertnit application (7.2004) Page 2 Z _Z �W QQ� 0 ND U) W, �q 3: W LL WO LL N = W H Z !— ZO �5 �0 U ON 0 l— WW F� U_ O .. Z W U= O Z Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 0 Floor 2 Floor 3` d Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered .. 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 PROTECTION/HAZARDOUS MATERIALS: FT. 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 I I paper indicating quantities and Material Safety Data Sheets. %permits pluslicc cfungalpertnit application (7.2004) Page 2 Z _Z �W QQ� 0 ND U) W, �q 3: W LL WO LL N = W H Z !— ZO �5 �0 U ON 0 l— WW F� U_ O .. Z W U= O Z i i MECHANICALPERMIT INFOi(MATION — 206 - 431 -3670 MECHANICAL CONTRACTOR INFORMATION E -Mail Address: Fax Number: Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: 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 Tvae Electric ..... ❑ Gas .... ❑ Indicate type of mechanical work being installed and the quantity below: Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Com pressor: Q Furnace <100K BTU Air Handling Unit >I0,000 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 <10,000 CFM I I I Equipment PERMIT APPLICATION NOTES :- .Applicable to all permits in this. application Replacement..... ❑ Replacement..... ❑ Other: 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: Signature: �� Date: Print Name: Day Telephone: Mailing Address: �1 3 ,S'2 Z— !� 3 K� e ve. — Sv 71 ,,ek,1,*. City State Zip Date Application Accepted: I Date Application Expires: Staff Initials: %permits ptus%icc changes %permit application (7.2004) Page 4 Z �Z �W JU 0 UU J = N O W u - CO = �W Z H Z� W W U ON ❑ H W F_ U O •• Z W U O = ~ Z El i I 1 I �W ►u. w Cit of Tukwila teas J 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 2613200153 Permit Number D05 -168 I Address: 13522 43 AV S TUKW Status: ISSUED Suite No: Applied Date: 05/17/2005 Applicant: HOANG RESIDENCE Issue Date: 05/27/2005 Receipt No.: R05 -00828 Payment Amount: 29.00 Initials: SKS Payment Date: 06/06/2005 04:03 PM j User ID: 1165 Balance: $0.00 I 1 Payee: JERRY HOANG TRANSACTION LIST: F Type Method, Description Amount i ---- - - - - -- -- - - - - -- --------------------- - - - - -- Payment Cash i ------ - - - - -- 29.00 ' ACCOUNT ITEM LIST: Description Account Code Current Pmts ------------------------------ ---------- - - - - -- I BUILDING - RES 000/322.100 } ------ - - - - -- 29.00 r Total: 29.00 Z W �_ J U. UO w= U. W O, 2 . U N Co. =w Z F.. Z H O CO: 0 H: w Lu H tL � ul Z U =. 0 F- Z f City of Tukwila 19DO 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 2613200153 Address: 13522 43 AV S TUKW Suite No: Applicant: HOANG RESIDENCE RECEIPT Permit Number D05 -168 Status: PENDING Applied Date: 05/17/2005 Issue Date: Receipt No.: R05 -00703 Initials:. SKS User ID: 1165 Payment Amount: 375.06 Payment Date: 05/17/2005 10:02 AM Balance: $0.00 Payee: JERRY HOANG TRANSACTION LIST: Type Amount - - - -- Method Description ------ Payment Check 6726 375.06 ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - RES, 000/322.100 224.58 PLAN CHECK - RES 000/345.830 145.98 STATE BUILDING SURCHARGE 000/386.904 4.50 Total: 375.06 z Z � QQ 7! JU 0 Co C0 W J = F-. CO) U W O. u. = CJ �W z f- f- O z C~ W W U� :O SO 0 F- W U � 0 t U U) O z 3,.`.34 01-17 9 716 TOTAL 3 7 - 0 ;S' doc: Receipt Printed: 05 -17 -2005 INSPECTION RECORD Retain a copy with permit X4 r INSPECTION NO. P F R A N O CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 431 -3670 Pr 'ect: - Type of Inspect M n� 7v Ad r ss: Date Called: Special I struction Date Wanted: r a, �- Requester: P one No: S t� X J � " Approved per applicable codes. 'Corrections required prior to approval. CC MENTS: l P4r"r �� illspecto : uat �.._- 0 r 1 cr f $ 0 REINSPECYION FE REQUIRED. P ' r to inspection, fee must be id t 6300 Southcenter lvd., Suite 100. Call to sechedule reinspection. Rece pt o.: Date: ME r- r i Z i�- Z �W Q� 10 U 0 (0 J � �LL WO u_ Q N d = W H ZF H O W �p LU U O - 0 F_- W H L). UO W Z; P M. O Z INSPECTION RECORD .� V Retain a copy with permit 5 j INSPECTION NO. PER O CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206 431 -3670 P ect: Type of Inspecti k LA t rr 1 Address. � Date Called: jf/ALD5 - Special Instructions: I Date Wanted: �� xh. m. li ( vt, Requester: r7✓' Qk Ph e No: "Approved per applicable codes. Corrections required prior to approval. COMMENTS: k LA t rr 1 Ir e G1. li ( vt, r7✓' Qk f. i. i I . 1 H558.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be nairi at &Ann cnilthrnntnr RitiA Ga te 4nn !'�11 F....,.d...d..1 .. ....... ..... �.... Receipt No.: Date: Z W U cf) 0 co W J = N lL W O La C/)a _� �W Z P F- O W ~ W U� O -. 0 F_ WW HL) LL O tL Z Co O Z Pr t: O P 9z). - Type of Ins - tion* r a,- Ad'ress* 1 35 Date Called: Special Instructions: y 5� - � Date Wanted: p.m. Requester: Phone No: /* INSPECTION RECORD Retain a copy with permi DI INSPECTION NO. PE CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 F] Approved per applicable codes. 15 C orrections required prior to approval. 1 COMMENTS: 0 \)P 4%e I In ci e-) LA CA it $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Z Z� W 00 (00 co W W:c J S2 LL LLI O. LL V Cy I.- z 0 Z H W W: U 0 C0 0 H' W X u 0, Z. C0 C.) — 0 Z INSPECTION RECORD Retain a copy with permit I� INSPECTION NO. PER O. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Pr J Pr Type of Inspection: A I SpeEial Date Called: Instructions: �•��/ � � � Date Wanted: m. P.m. Requester. P 'n No• �t 11 1 Approved per applicable codes. Corrections required prior to approval. COMMENTS: $58.00 REINSPECTIONL'EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: +r t Z 1Z �W UO ND CO) UJI J � CO) O. W LL �d = W H = ? I— E- O W ~ W U� O H- W ltJ Z U =. O Z go] Ir • "r ft J O CI1 O d0 HERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER D05 -168 DATE: 6 -1 -05 PROJECT NAME HOANC RESIDENCE SITE ADDRESS 13522 43 AV S Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # X Revision # 1 After Permit Issued DEPARTMENTS: S Bui irYg eif1sio s Fire Prevention Public Works ❑ Structural ❑ Plakh, Dr ivlsion Iff ❑ Permit Coordinator A DETERMINATION OF COMPLETENESS (Tues., Thurs.) Complete ❑ Incomplete ❑ 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: IN] APPROVALS OR CORRECTIONS Approved d Approved with Conditions ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents /routing shp.doc 2 -28.02 DUE DATE: 6-2-05 Not Applicable ❑ ❑ No further Review Required DATE: DUE DATE: 6 Not Approved (attach comments) ❑ z �w QQ J0 00 W= J �. D LL w Ua v �w z Wo �5 U ON 01-- Uj Uj �O z CO O z PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D05 -168 DATE: 05 -17 -05 PROJECT NAME: HOANG RESIDENCE - DECK SITE ADDRESS: 1352243 RD AVENUE SOUTH x Original Plan Submittal Response to Incomplete' Letter # Response to Correction Letter # Revision # after /before permit is issued DEP ARTMENTS : ,� Bn Division �2D Fire 5' (© � Pl��r nih 9 Division f 05 Public Works -o Structural El Permit Coordinator Sci x ,� n •s - DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 05 -19 -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: Rot Ro Structural Review Required REVIEWER'S INITIALS: 0 APPROVALS OR CORRECTIONS DUE DATE: 06 -16 -05 Approved ❑ Approved with Conditions Not Approved attach comments) El P P pP � Notation: s REVIEWER'S INITIALS: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DATE: PERMIT COORD COPY Documents/routing sllp.doc 2.28.02 ❑ No further Review Required DATE: z Z J0 0 CO J = H N LL w 9-1 LL = w z t— O Z I_ w w UC3 O � C] I- w H� M: O: LU Z. U= 0 1-- z r PROJECT NAME: ' �MI PERIti1!T NO% L06 &8 Site Address: lt�3AZ Original Issue Date: REVISION LOG Revision Date I Staff I Date ( S:aff No. ` Received Initials Issued ! In Summary of Revision: Received Bv: cXg tplease print) . Revision No. Date Staff I Received i Initials Date Staff I Issued I Initials I Date I Issued Summary of Revision: I I I I Received By: (please print) Revision No. Date Received Staff Initials I Date I Issued Staff I Initials I I I I Summary of Revision: I Issued I = Staff Received By: (please print) Revision Date Staff Date I Received I Initials I Issued I = Staff I I I I Summary of Revision: Received By: (please print) Revision Date Staff Date =-;Initials Staff No. I Received Initials Issued I I Summary of Revision: Received By: (please print) z z �w QQ JU UO 0 U) H CO LL WO Li- CO D = w �_ F- 0 z w w U� O N 0H WW E- H LL —0 .. z W U= O F- , z City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /Www.ci.tukwila.wa.us REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: J a Al 01- Le-s�'' ' .9 Plan Check/Permit Number: D06— I t.8 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: /Lh A1, ;FeS PC,066 Project Address: t S 5 �Z— 4J 3 RD �l�'7tlGCe ,--- Contact Person: .J e R9y 7 Gi Phone Number �2 46 Summary of Revision: — TOS i � �dc- i c-� T1� 1T 5 d K e s Y +tLb -P10 e- RECEIM CITY OF TUKWILII PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: b U Entered in Permits Plus on \appl icat ionsWorms-appi ications on lme\revision submittal Created: 8 -13 -2004 Revised: A C t''X. lMe IY 1(1W j `t I� z Z �w ¢D J U' U U 0 J = F-- CO lL, w �5 UD = F. w z H H O z i-- w U ON 0 I-- wW UO ui Z L) O z �J�YIILA k' , J G� 1906 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 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO.: t0540 STATE OF WASHINGTON) ) COUNTY OF KING ) �� - ) Q N ss. O0¢ A/ [please print] , 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. 1 , 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. Z APP S• NA,9 _ r � �c (>l ,4i .' V, „OTARk gy m 1 :U o. N: p • O . . ... ... . \c��, 4 WA Signed and sworn to before me this day of , 20 0-6 NOTARY P BLIC in and for the State of Residing at Name as commissioned: My commission expires: \applications\8 -2004 affidavit in lieu of contractor registration County. rr)G ' u�.i.».+. ''4 ':1,. ,is,a.y.: �.,,»Y.�aiurWSzu:: ws r.:.• �. w`, 4 ...tr,ps::y+St' S�nA ,�7�+' '4`i%:a:w: at «h7 #,2uruw) '.(a`x✓,rit1¢'k -,,”' � AnR faei��l'oS` '�.l'fie:x.lhvs.::alae:::. hington, Z '~ w o! � UO C/) C3 J = H Nw w O U- 0 �w Z = r` F- O Z� w w U� O N o f- ww LL O w Z co O Z 110 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 so 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. ":l+baatcn.�mnrcwwM.•n.w,.m.r.w l�. Z _� '~ w UO to o J = C� w LLQ co D = �w Z H H O Z w U� O� o� wW lt•- �' O w Z U= O Z • via • QZ M ' IP •• E • • '• •. .i�.r Yom_ 4: V S • 1 i ► I M e { i� i r � 4 }. 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IIIIIII�IIIIIIILI� lIlt�ll_LLLII � b11 11 111_ I_ IJJII�LLI /' k 8 550 Permit No. pkm approval is subject to errors and omis~s , Appr*Al of construction documents does not auttxxft ft violation of any adopted code or ordinance. R Of aPpvvW Field Copy and Ullum is acknawiedged: A r ICI ICI I�I_I_I�I I�III�I ++ ICI . 1 I_III �IILI�ILIIIIIII� "IIIIIIIII�IIIIIIIII�IIIII _ s J. ��� vrEw�o FOR �QMPUANCE M AY 2 5 2005 /CI Of Tukwila BUIL ING DTVIS10 0 o f Q No Ch aa'ag C �hal 1 EDO meads to tg,.® SCOT '0 Wo Ez prior apprcv �°�bo ,A,3a Building Div s a j. e�� NOTE: Revlsion5 will require a nevi plan su bmittal and tray include additional plan revie Cc , . DOS00169 a ,I 1 W 2. CM r WO ~ CL r te.. %-• _ s J. ��� vrEw�o FOR �QMPUANCE M AY 2 5 2005 /CI Of Tukwila BUIL ING DTVIS10 0 o f Q No Ch aa'ag C �hal 1 EDO meads to tg,.® SCOT '0 Wo Ez prior apprcv �°�bo ,A,3a Building Div s a j. e�� NOTE: Revlsion5 will require a nevi plan su bmittal and tray include additional plan revie Cc , . 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