HomeMy WebLinkAboutPermit D05-342 - FIKRE WARE RESIDENCE - ENTRYFIKRE WARE RESIDENCE
5103 S 163 PL
D05 -342
0 �i
�O
1908.
City 0A `Tukwila '
Steven M. Millet, Mayor
Department of Conine ntity Development
6300 Southeenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206- 431 -3665
Web site: ci.tuktivila.wa.its
DEVELOPMENT PERMIT
Parcel No.: 8700500120
Address: 5103 S 163 PL TUKW
Suite No:
Permit Number:
Issue Date:
Permit Expires On:
Steve Lancaster, Director
DOS -342
09/28/2005
03/27/2006
Tenant:
Name: FIKRE WARE RESIDENCE
Address: 5103 S 163 PL, TUKWILA WA
Owner:
Name: AGEBO FIKRESLASSIE +ZINASH A Phone:
Address: 5103 S 163RD PL, TUKWILA WA
Contact Person:
Name: PAT MAGNUSOHN Phone: 206 - 325 -5815
Address: 523 30 AV E, SEATTLE WA
Contractor:
Name: OWNER AFFIDAVIT ON FILE Phone:
Address: ,
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
CONSTRUCT 6 X 7' (42 SF) ROOFED ENTRY FEATURE
Value of Construction: $1,420.02 Fees Collected: $114.72
Type of Fire Protection: 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
Flood Control Zone:
N
Hauling:
N
Start Time:
Land Altering:
N
Volumes: Cut
Landscape Irrigation:
N
Moving Oversize Load:
N
Start Time:
Sanitary Side Sewer: N
Sewer Main Extension: N Private:
Storm Drainage: N
Street Use: N Profit:
Water Main Extension: N Private:
Water Meter: N
Size (Inches): 0
End Time:
0 c.y. Fill 0 c.y.
End Time:
Public:
N Non- Profit: N
Public:
Z
J- Z
�w
JU
UO
N
J �
C0 U_
w
J.
U. Q
CO
=
�.. w
Z
t-
!- O
Z E-
w
W
U
ON
0 E-
wW
LL. O
tie Z
CO
O
Z
doc: IBC - Permit D05 -342 Printed: 09 -28 -2005
City o. 'Tukwila
Steven M. Mullet, Mayar-
Departaieitt of Canuaunity Developniew
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: ci.tuktivila.wa.rrs
Permit Number:
Issue Date:
Permit Expires On:
Steve Lancaster-, Director
D05 -342
09/28/2005
03/27/2006
Permit Center Authorized Signature: Date: 0S 2 (c _
I hereby certify that I have read and eUriinUhis 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: Date: Q 2 gl l o�
Print Name: F: v- K C tA) 4 I2G—
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 -342 Printed: 09 -28 -2005
Z
Z
UJI
�D
00
to 0
U)
J F.
C0 tl
w 0.
2�
LL
co
=
F w
Z
F-
ZO
w
W
D
ON
.0 I--
wW
F- �.
U- O
w Z
p x
O
Z
City of Tukwila
196
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 8700500120 Permit Number: DOS -342
Address: 5103 S 163 PL TUKW Status: ISSUED
Suite No: Applied Date: 09/14/2005
Tenant: FIKRE WARE RESIDENCE Issue Date: 09/28/2005
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: 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: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any
requirements for special inspection.
6: All wood to remain in placed concrete shall be treated wood.
7: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building
inspector. No exception.
8: 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.
9: 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.
10: 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).
11: 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 -342 Printed: 09 -28 -2005
z
Z
�W
�U
U
UU
Uw
J H
N LL
w
�J
LL Q
UD
=
�. w
z
r`-
t— 0
z t-
w
U
0�
OH
WW
F-F-
u' O
w z
U=
O
z
City of Tukwila
19pB
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.
Signature: Date: vS
Print Name: _ F1
i
z
�z
�w
QQ
JU
UO
0
CO
H
CO W
wO
LL ¢
C/) :D
=
�. w
z
f-
t— O.
z F-
W LLJ
�p
U
O�
� I-
WW
HF-
u. O
z
L11
l- _
O F-
z
(u. w CITY OF TUKWILA
i Community Development Department
g Public Works Department
t Permit Center
1905 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Building Permit No.
Mechanical Permit No.
Public Works Permit No.
Project No.
For o ice 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
King Co Assessor's Tax No.: O 1_ U1Z0
Site Address: ��7 J (0-3 S . Suite Number: Floor:
Tenant Name: 1dCZI-?�? New Tenant: ❑ .... Yes ❑ ..No
Property Owners Name:
Mailing Address : -5/ 0 '-) s / 9 7Z�14 /"a
City stat Zip
CONTACTPERSON
Name Day Telephone: 2 6/_ 2� Z
E -Mail Address:
City / - -
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:
Contact Person:
E -Mail Address:
City State Zip
Day Telephone:
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:
ctAkpermits ptuslicc chanseslpermit applica ion (7 -2004)
Revised: 6 -8-05 Page 1
bh
..: rrrwN:�vu F6twElH a }'•ysJA1+7F�1'lr%:. ` tw' rG? h• u�r( xt�tal. Y?.: Nlr' 1t7Z: 41;• r. �Mi;:! argrG; Nr' RLME', .�A:•,z!'P;C'X?x��4�i„Lt:�... 1.��Y a'��i
s+wvnsmc7�.
f'
Z
d Z
�W
aa
JU
UO
N
J =
F-
U) U_
WO
LLQ
N�
=
�W
Z
zF-
WW
U�
O�
0 1--
WW
H-
4z
U
0 H
O
Z
I
�UILDING:PERMIT,INFORMA t'ION.- 206 - 431 -3670
Valuation of Project (contractor's bid price): $ 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): I 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 hazardous materials in the building? ❑ ..Yes [:]..No
If' yes ", attach list of materials and storage locations on a separate 8 -112-x II paper indicating quantities and Material Safety Data Sheets.
gAkpermits plus\icc changeslperinit application (7.2004)
Revised 6.8.05 Page 2
bh
I
Z
tH W
JU
0
to 0
CO W
J �
CO W
WO
LLQ
to
2
�W
Z
F-
1-- O
Z
W
U�
O N
OH
W
_ F
LL O
W Z
UN
H
O
Z
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
I` Floor
2 nd Floor
3` d Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
1
, /
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): I 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 hazardous materials in the building? ❑ ..Yes [:]..No
If' yes ", attach list of materials and storage locations on a separate 8 -112-x II paper indicating quantities and Material Safety Data Sheets.
gAkpermits plus\icc changeslperinit application (7.2004)
Revised 6.8.05 Page 2
bh
I
Z
tH W
JU
0
to 0
CO W
J �
CO W
WO
LLQ
to
2
�W
Z
F-
1-- O
Z
W
U�
O N
OH
W
_ F
LL O
W Z
UN
H
O
Z
MECHANICAL PERMIT INFORMATION— 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:
Qty
Boiler /Com pressor:
Q
Furnace <IOOK BTU
Air Handling Unit >10,000
Fire Damper
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
P:.ERMIT 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 grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested
in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING O ER OR AUTHORIZED AGENT:
Signature: Date: 0 , 1
Print Name: �t K- ye— l� Day'Telephone: 2 - 'l — � ��
Mailing Address: �J ( 3 �� ��K tr � Z 4 /-� 4 'Fee -
City State Zip
Date Application Accepted: Date Application Expires: Staff Initials:
cq - I q - C) I &2L
q:\ \permits plus\iec chanitcApermit application (7 -2004)
A. 40 Pnnn d
bh
9 'T" $,I Y A -.,4 TJ
q �seet�r�r �� h .;� r>?�K� e :�;�•
i
Z
Z
W
J
UO
U
co W
J =
I—
CO LL
WO
La
U�
=
F. W
Z
F-
HO
W ~
W
U
O�
01—
W
H(.5
L
-0
.
W Z
0 C
P _
O
Z
l ..
f l
C ity o f Tukwl l a
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 8700500120
Address: 5103 S 163 PL TUKW
Suite No:
Applicant: FIKRE WARE
RECEIPT
Permit Number: D05
Status: PENDING
Applied Date: 09/14/2005
Issue Date:
Receipt No.: ROS -01367
Initials: JEM
User ID: 1165
Payment Amount: 114.72
Payment Date: 09/14/2005 11:41 AM
Balance: $0.00
Payee: FIKRE SILASSIE AGEBO
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1022 114.72
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
BUILDING - RES 000/322.100 66.80
..PLAN CHECK - RES 000/345.830 43.42
STATE BUILDING SURCHARGE 000/386.904 4.50
Total: 114.72
7182 09/14 9716 TOTAL 114.72
doc: Receipt Printed: 09 -14 -2005
z
W
QQ
3
UO
N
J �
�LL
W�
LLQ
=d
F- W
z
Z !—
W
2 5
U�
O N
t7 F-
W
LL Z
Ill
U=
O~
z
INSPECTION RECORD - 34 2
Retain a copy with permit "T
INSPECTION NO. PER NO
CITY OF TUKWILA BUILDING DIVISION '
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
f
f
I
Project: � �/ y
r Kre Wa e. &
Type of Inspection:
I
Final
Address: 3 S /b3r�
Date Called: U-7-05
Special Instructions:
}l eQ� ca ll ahead
Date Wanted: � ..- O 4
p.m.
Requester: � ----�
�r�
Phone No:
14 Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
K - ro F?
Date:
$5$ 00 REINSPECTION FEE REQUIRE d. Prior to inspection, fee must be
p4fd at 6300 Southcen er Blvd., Suite 100. Cali to sechedule reinspection.
:rpt No.: IDate:
Z
�Z
W
Q � Q �
JU
UO
J �
�L
W O
9
U.
=a
�W
" Z
F-
H O
W ~
W
U�
O
0 H-
W
H L).
U
.
W Z.
U N
P =
O
Z
4 , INSPECTION RECORD
Retain a copy with permit
INSPECTfON NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 36710
Pro' r
I
Ty f Inspec '
i
A dyes :
V
wS' .
Date Calle
o
\3 -�)
Special Instructions:
Date Wanted: a.m.
p.m.
Requester:
r
� f
Pho� p�
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspect r• 2 &�M uate:
$58. R SPECTIO FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southc nter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.: Date:
Ip
Z
Z
�W
UQ
to wW
N LL
W
2}}
9J
LL Q
to �y
_ V
�W
Z=
Z O
�j
co
U�
0 I--
W
r U .
r 0.
.• Z
W
U =:
O
Z
INSPECTION RECORD 1 ,/
Retain a copy with permit oS7
I PECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 0
Pro' rX
K�� 61 r� Re5
Type of In
roo
ctio
�4p a '
Address: � ��� /
l
Date Called:
,0 // —
Special Instruct ions:
Date Wanted: �1 a.m.
Requester:
: Phone No
6; -
I'
per applicable codes. Corrections required prior to approval.
I
„
1
I
1
f
I
f
i
f
j
spe r: Date:
1
58.00 REINSPECTION EE REQUIRED. Poror to inspection, fee must be
paid at 6300 Southcente Blvd. Suite 100. Call to sechedule reins Pe ction.
eceit)t No.: IDate:
Z
AZ
�W
�U
UO
CO
J
S2 LL
WO
LL Q
V)
�W
Z
F-
W
W
U�
0-
'
W W
L
—0
W
Z
U2
O
Z
f % INSPECTION RECORD
Retain a copy with permit V '7
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
Pro•ett:
Type of I s'pection:
Address:
�i
Date Called:
o/� cs _
Special Instructions:
Date Wanted: a.m.
Requester: .-.
lZ
Phone No: /t
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
IU 70 A
,W 0 i X1 y
Date: / ',:2;
✓, ,.-
/a 1.
h / $58.00 REINSPECTION FEE . EQUIRED. or to inspection, fee must be
paid at 6300 Southcenter Btvd., Suite 100. Call to sechedute reinspection.
Receipt No.: Date: ::1
i?
z
W
UO
CO 0
W =
I- -
co U-
WO
u_ Q
co :)
=d
�W
1-- O
W ~ UJ
U�
O -
OH
W W.
H
W Z
UI
U=
O
z
INSPECTION RECORD
Retain a copy with permit -�
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
'ERM
o
(206)43 670
Pr
Pr ject: t, �
Type of Inspection:
Address:
Date Called:
) .(:g /
45
Special Instructions:
Date Want d: I
Requester.
�i
Phone No:
.lace
. �v5"
R Date:
z
�Z
a W
UO
ND
J I="
to L
W O
2
LLQ
Cj)
= W
H =.
z F
!-- O
z I—
W uJ
U�
ON
o�
W
LL o
..z
U=
O
z
'-'—' paid at 6300 Southcenter Blvd., Suite 100. Call, to sechedul,e reinspection.
PLANNING DIVISION COMMENTS
DATE: September 15, 2005
CONTACT: PAT MAGNUSOHN
RE: D05 -342
ADDRESS: 5103 S. 163` St.
ZONING: Low Density Residential (LDR)
y The Planning Division of DCD has reviewed the above permits that were submitted on
September 14, 2005. The proposed work includes the construction of a new entrance
feature on the existing house. Based on a review of the items submitted the application
cannot be approved.
1. The property is zoned LDR and the required front setback is 20 feet. The site
4 map provided indicates that the entrance feature will only be site back
f approximately 19 feet. The new construction must meet the 20 foot setback
requirement.
Z
�W
QQ�
J
U O
CO
W=
�W
W O.
9 -.
E
= W
z �..
O.
Z �-
25
U
oN
W Lu
u' O:
iii Z;
U=
O
Z
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D05 - 342
PROJECT NAME FIKRE WARE RESIDENCE
Response to Incomplete Letter #
SITE ADDRESS 5103 S 163 PL
Original Plan Submittal
X Response to Correction Letter #
Revision # After Permit Issued
DEPARTMENTS:
Building Division ❑ Fire Prevention
Public Works ❑ Structural
Planning Division
❑ Permit Coordinator ❑
DETERMINATION OF COMPLETENESS (Tues., Thurs.) DUE DATE: 09-22 -05
Complete M
Comments:
Incomplete ❑
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route 4 Structural Review Required
REVIEWER'S INITIALS:
❑ No further Review Required ❑
DATE: 09 -21 -05
DATE:
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:
DUE DATE: 10-20-05
Not Approved (attach comments) ❑
z
�z
L w
QQ
JU
00
(j)
C0 III
J =
H
T LL
w
UQ
(j)
=
�w
z
zO
w
U�
O�
o1--
ww
�1-
L O
.z
w
U=
O
z
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D05 -342
PROJECT NAME FIKRE WA R
DATE: 09 -14 -05
SITE ADDRESS 5103 S 163 PL
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
A09co dm�qs
Building Division Fire Prevention Planning Division
Public Wor s Structural F Permit Coordinator ❑
.1
DETERMINATION OF COMPLETENESS (Tues., Thurs.) DUE DATE: - 09-1 5-05
Complete d 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 ROUT NG:
Please Route Structural Review Required ❑ No further Review Required F]
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS
i
i
Approved ❑ Approved with Conditions ❑
Notation:
i
REVIEWER'S INITIALS:
DUE DATE: 10-1 3-05
Not Approved (attach comments)
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping f PW ❑ Staff Initials:
Documenist s tp. oc
t -2"2
�kY•� A1ry�MJk 'd�'A)dn+PSh )r.;bt.G!��i�'ii .a1'#iaJri.+W.'f 4.�L:f " is3
z
a�
" w
�0
UO
ND
CO) III
J �
�LL
w
LL.d
co 0
= 0
�-w
z
F-
H O
z I--
w
U�
O N.
a t-
W W
u O
.z
w
U=
O
z
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 : / /www.ci.tukwila.wa.us
Steven M. Mullet, Mayor
Steve Lancaster, Director
1EVYSION SUBMITTAL'
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: °� Plan Check/Permit Number: DS— 417—
❑ Response to Incomplete Letter #
Response to Correction Letter # �_ CITY OF TUKWILA
❑ Revision # after Permit is Issued S EP 2 1 2005
❑ Revision requested by a City Building Inspector or Plans Examiner
Project
Project
PERMIT CENTER
Contact Person: -t-- �r l A�.i.t C1 se tl Phone Number: U/6 T25- -G
Summary of Revision: Q - AA/Al, aE 26 14
L
IF
Sheet Number(s):
"Cloud" or highlight all
including date of revision
Received at the City of Tukwila Permit Center by:
Entered in Permits Plus on
pp ications orms- applications on lineVevision submittal
Created: 8 -13 -2004
Revised:
s
I
�E
i�.
Z
�Z
'~ w
D
JU
UO
N
O
J =
CO LL
w
U.
�D
= a
�. w
z
H
w�
w
U�
O CO
0H
w W.
LL O
LLI Z
CO
z
IL
d�
1906 f
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.: _ 1r�� ` X42
STATE OF WASHINGTON)
ss.
COUNTY OF KING )
I- rZC bo A s2 e
states as follows:
[please print]
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. : , 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.
FLAq--'�j
APPLICANT
Signed and sworn to before me this
28-4 day of 601e -tuber , 20D
pF'�����
r
SION
00 :'� taOTARy N •-
%N� ;• P UBLIC O= ;
y�FOF WAS \\ \�1�.:
\applications\8 -2004 affidavit in lieu of contractor registration
NOTARY PUBLIC in and for tWe State of Washington,
Residing at Kin a County.
Name as commissioned: Alica, A D eacv
My commission expires: f'b " 09
Z
F Z
�w
UQ
W=
�w
w O
U -
CO D
=
�-w
Z
z�
w
w
U
O-
o �-
wW
L O
W Z
U=
O~
Z
W
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 a registered
work of the contractor;
contractor with wages as his sole compensation;
10.
Any work or operation on one undertaking or
17.
Contractorp , 'o nt .high"wdy;,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 department of
all other items is less than $500.00, such work, or
transportation to `perf orm , ' ; highway construction,
operations being considered as of a casual, minor,
reconstruction, or�mathtena6ce work.
or inconsequential nature. The exemption
L
prescribed in this subsection does not apply in all
instance wherein the work or construction is only a
110
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
�iy t '1'.:.:.A 'd �'.'. 5 �:...: iw. �y+ it 4ia` a1i. �:'' sviuti t' nF.:. Yi.. k� :a'7.1-0.4'�.h3�tifriilii.iSiA � •A', rw.'.'f�vf:7 .�{: •. S' ••y .�+i?�6R/�.{� . , y
.� .
Z
i�
~ w
o �
JU
00
C0
E-
Co w
w
LLQ
C/) D
7
�w
z
t—
z�
W
w
U�
O�
C t--
wW
F U
LL O
Z
W
U=
O
Z
w
r
!V 1•±
Is
_.......... _�_ �...... _ ... ..........
..._.,..__............_...... ..._,.............._......._.._ _..,.................... _...: S. o-- L z.....,..,:, .._..,.....,....._.:c�:.'t:�'t ......,.......... _.... ,.........,......... _..._..... .., ........, .. ..._., .....:l-c..�.::C
1�1� �.. �.•�.--
' t1 01. •..' 1 ' ;
Is
i V Q Ig
I v ' C.
Is
y 1 iii tr+ r n C a.
i I 'S7 i 0 061 �i r) �j Lu 0 i I 1 ' ._ ._._ .. ,..........w_Y..,..... .
G� c'' ` W Q "q
III. -v .�.
I 1
ILI
' i � 1 ! �: 1' I j :: ! i KJ T I! I i 1 � !� r I I � I I
Oil I
-. I :. � i t . ; I ! ' • l � � , i !III � � !1 ; . � • • ,. I � I I'• � • ....,... = ..�.�.;.;�......
Wv-
' �' ?� { I : 4t •�(; i ,h� : ; i 1 1 � I I ' �' ,• 1 (; i � , ,yhi�. •:, .., _
Q � l � �} ; � I I � I I ! 1V t .14LJ. 1 � � � ~ ! � � {`�' 1 � � � I I r'• + �rL . � '
• r(} i ! ' , ' r II Il i. I LI
Pin
; • r I � r I , i �N i I f j i ;' i 1 ' �••^ -��' ww 1
1 ".� 1 � � • I ` . � �� � 1Z1 I
i
I�
to rt vta
Alm,"
r ,,,r'7r• ti;;.,• '
— I
I
N
�1
N
N)
1 � 1! �A ,w• Y ` .y t 11' 74. , � � 1 �J� ' '' t i � 1 � r II �' wr.r, •� 1 , + ,
Ld
M � r � 1 1 •� ... 1 M . I i• wY4
f 1
l ..
I
i I
;f
r
i N 1
1 1
1� ~
, ' 1
1 ;
1
(
1
S �) !
'I
I i'I
17
+,
•i
1)
`� , I i j •,� ' f 1 � 1 I I I I
I ,
Q.V .
. T.G
1
i i 1
.� ,rj '7 ~ 1 ! I
�..3� �!� -•�`�, � I '' • is I
Ok
VA dw
! ; • 1 • ; ; . �' o , •gam
I .
I ! • �4 i --
771 UL
•
14
• V'
LLI I ; 1 ( i ; i I i; ' 1 I ;` ' 1 I i ;; 'v `• i 1 I
its ; ' ' W � = 1, 1 ' } 1 .y.,.. ._..•_... • _..r.w_,_.._ Ibwr ir _ � I \ I 1 ' .� �• I I •
� �� ! I , �I 1 I ;V 1'r `�.. ' ; i 1 .' ' � � l ' , ' � `I�.( + I ! ,' / I � 7 I � � I ' ` •w '
• 1 ' ,� 1 ' �,, '� t i •� ti.. ?'� � ± ` fM r �`I i i � I ' 1' ' � .. `' 1 I ' i ' fy '
1. , � I t rl N .. , r r- (1..T••..���._ , , ! I i'�M .I 1 r
I i i I i !k
�I! I ! I 1 I ' ,{ X 1 I , ��ww.r•Irw.,_ .--jaw �• '
= i
_.__.. ..• ' �h r �••
I'
1
i
I
L:J
IT rx;
.
40
J
\ kf T
ro
III
to
•
Lf