HomeMy WebLinkAboutPermit D05-416 - QUINSAY RESIDENCE - BASEMENTQUINSAY RESIDENCE
4222 S 137 ST
D05 -416
City Tukwila S teven M. Mullet, Mayor
Department of Cann :unity Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tulnvila.wa.us
DEVELOPMENT PERMIT
Parcel No.: 2612000080 Permit Number DOS -416
Address: 4222 S 137 ST TUKW Issue Date: 12/0912005
Suite No: Permit Expires On: 06/07/2006
Tenant:
Name: QUINSAY RESIDENCE
Address: 4222 S 137 ST, TUKWILA WA
Owner:
Name:
DU7ARDIN DEVELOPMENT CO Phone:
Address:
P 0 BOX 1059, SNOHOMISH WA
Contact Person:
Name:
SANTIAGO QUINSAY Phone: 206 248 -8330
Address:
4226 S 137 ST, TUKWILA WA
Contractor:
Name:
OWNER AFFIDAVIT ON FILE - SANTIAGO QUINSAY Phone:
Address:
,
Contractor
License No: Expiration Date:
DESCRIPTION OF WORK:
FINISH BASEMENT INTO A 2- BEDROOM, 1 FULL BATH, FAMILY ROOM, UTILITY AREA, AND A KITCHEN (TO BE
REMOVED).
Value of Construction: $10,000.00 Fees Collected: $599.64
Type of Fire Protection: SMOKE ALARMS International Building Code Edition: 2003
Type of Construction: V -B 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
.. D05-416 Printed: 12-09-200
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City o Tukwila
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01 2 Department of Commimity Development
-' ) 6300 Soutlicenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
" 1908 Fax: 206 - 431 -3665
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Web site: ci.tukwila.wa.us
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* *continued on next page **
Steve Lancaster, Director
doc: IBC - Permit D05 - 416 Printed: 12 - 09 - 2005
Steven M. Mullet, Mayor
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City G. Tukwila
Steven M. Mullet, Mayor
Departs :ent of Con :n:ttidty Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: cOukwila.wa.us
Permit Number:
Issue Date:
Permit Expires On:
Steve Lancaster, Director
DOS -416
12/09/2005
06/07/2006
Permit Center Authorized Signature: Date: 124 D 1 f)'
I hereby certify that I have read and x mi� d his 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 constructio or a performance of work. I am authorized to sign and obtain this development permit.
Signature: c Date:
Print Name: CS A
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 -416 Printed: 12 -09 -2005
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Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
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: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the
International Building Code and the Washington State Ventilation and Indoor Air Quality Code.
10: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances
shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms,
bathrooms, toilet rooms, storage closets, surgical rooms.
11: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall
be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum
distance of 4- inches shall be maintained above the controls with the strapping.
12: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Department of
Public Health - Seattle and King County (206/296- 4932).
13: 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).
14: 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
doc: Conditions D05 -416 Printed: 12 -09 -2005
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Parcel No.: 2612000080 Permit Number DOS-416
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Address: 4222 S 137 ST TUKW Status: ISSUED
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No: Applied Date: 11/21/2005
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Tenant: QUINSAY RESIDENCE Issue Date: 12/09/2005
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1: ** *BUILDING DEPARTMENT CONDITIONS * **
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2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
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(206/431- 3670).
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4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
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start of any construction. These documents shall be maintained and made available until final inspection approval is
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granted.
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5: All construction shall be done in conformance with the approved plans and the requirements of the International
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Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
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6: All wood to remain in placed concrete shall be treated wood.
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7: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building
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inspector. No exception.
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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: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the
International Building Code and the Washington State Ventilation and Indoor Air Quality Code.
10: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances
shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms,
bathrooms, toilet rooms, storage closets, surgical rooms.
11: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall
be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum
distance of 4- inches shall be maintained above the controls with the strapping.
12: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Department of
Public Health - Seattle and King County (206/296- 4932).
13: 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).
14: 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
doc: Conditions D05 -416 Printed: 12 -09 -2005
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City of Tul,wila
1906
Department of Community Development 1 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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.
f * *continued on next page **
doc: Conditions 005 -416 Printed: 12 -09 -2005
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.. City of Tukwila
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Department of Community Development / 6300 Southcenter BL, Suite 100 Tukwila, WA 98188 I (206) 431 -3670
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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.
1
Signature: " `'1 Date:
Print Name:
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doc: Conditions D05 -416 Printed: 12 -09 -2005
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tLA CITY OF TUKWILA , -,,
Community Development. partment
Public Works Department
Permit Center
? rsoe 6300 Southcenter Blvd., Suite 100
I
Tukwila, WA 98188
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"
ONTACT PERSON
§ITE LOCATION
King Co Assessor's Tax No.: 2W 200 - oO O 9
Site Address: 4 1222 S 4 3 IT11 57" TUAINU tt)A !7jk Suite Number: Floor:
Tenant Name JOYAl 61-A, -K i uV FLYy 1_10010 New Tenant: ❑ .... Yes ❑..No
Property Owners Name 5AA/TlA GD AAJQ T OMAS!7A /
QU IVSA Y
Mailing Address: 41w S /_� 7T/� 57' Tb11<W1 L-A yV A 9gl�g
City State Zip
Mailing
GENERAL CONTRACTORINFORMATION = (Mechanical Contractor information on back page)
Day Telephone: — .7 �O
ARCHITECT . 09 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:
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"
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Company Name: -
Mailing Address:
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:
q:\\permits plus \icc changes\perrnit application (7 -2004)
Revised: 64.05 Page I
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City State Zip
E -Mail Address 5aU/ A15A Y (0 QMCASE , ri/t-=T Fax Number:
tADINGPERMIT.INFORMA t ON-206-431-3670
Valuation of Project (contractor's bid price): $ /0, 0 00, U U Existing Building Valuation: $ — /-7 20 f , Ova
Scope of Work (please provide detailed information): rG F //VI 5W THU UAILI A 415HEZ) 9AS5MLA
07 AL AM) A 14 - 1 TcHEM 610 2E LEMO
Will there be new rack storage? ❑ ..Yes S.. 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:
❑.. Sprinklers []..Automatic Fire Alarm []..None ❑ . Other (specify) � 5N64E ALARVY5
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 Streets.
q:\\pennits plus \icc changes \permit application (7.2004)
Revised 6.8.05 Page 2
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Existing
Interior
Remodel.
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
I Floor.
2Id Floor
0000
3` c Floor
Floors thru
Basement
'J
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
1 t7 0 d b
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:
❑.. Sprinklers []..Automatic Fire Alarm []..None ❑ . Other (specify) � 5N64E ALARVY5
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 Streets.
q:\\pennits plus \icc changes \permit application (7.2004)
Revised 6.8.05 Page 2
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PUBLIC WORKS PERMIT INP
ATION - 206 -433 Of 79
Scope of Work (please provide detailed information):
Call before you Dig: 1 -500- 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 C1 ... ValVue ❑ .. Renton ❑ ...Seattle
❑ ...Sewer Use Certificate El ... 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) El.. Geotechnical Report ❑...Traffic Impact Analysis
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) [:1.. Maintenance Agreement(s) 0—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
❑ ...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑ ...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection _
Irrigation
Domestic Water
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
it
X
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ...Permanent Water Meter Size... 11 WO#
❑ ...Temporary Water Meter Size.. It WO#
❑ ... Water Only Meter Size............ it 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:
Day Telephone:
Mailing Address: city State Zip
clA%permits plus \ice changes \permit application (7 -2004)
Revised: 6.8.05
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; MECHANICAL PERMIT INFO, ATION -- 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:
0 -3 HP /100,000 BTU
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Q
Boiler/Compressor:
Q
Furnace <100K BTU
Air Handling Unit >10,000
Fire Damper
0 -3 HP /100,000 BTU
CFM
Furnace >100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
Thermostat
15 -30 HP /1,000,000 BTU
to Single Duct
Suspended /Wall /Floor
Ventilation System
Wood /Gas Stove
30 -50 HP /1,750,000 BTU
Mounted Heater
Appliance Vent
Hood and Duct
Water Heater
50+ HP /1,750,000 BTU
Repair or Addition to
Incinerator - Domestic
Emergency
Heat/Refrig/Cool ing
Generator
System
Air Handling Unit
I
Incinerator — Comm/Ind
I
Other Mechanical
<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 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 OWNER OR AUTVORIZED AGENT:
Signature: Date: 1 �� 0 ri
I
Print Name: C J - A/✓`r /Ar (-) i9U A Y Day Telephoner
Mailing Address: 22-(0 a 7T /� �i7 ��� �LU /L�
City State Zip
Date Application Accepted: I Date Application Expires: Staff Initials:
� � - ZA - V 0� �l • D(y
q.\ \permits plus \icc changes \permit application (7.2004)
Revised 6.8 -05 Page 4
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City of Tukwila
tone
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 2612000080
i Address: 4222 S 137 ST TUKW
Suite No:
Applicant: QUINSAY RESIDENCE
i
Permit Number
Status:
Applied Date:
Issue Date:
D05 -416
APPROVED
11/21/2005
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Receipt No.: R05 -01764
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Payment Amount:
453.66
Initials: JEM
Payment Date:
12/09/2005 08:57 AM
( User ID: 1165
Balance:
$0.00
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Payee: SANTIAGO L. QUINSAY
s
I TRANSACTION LIST:
Type Method Description
---- - - - - -- -- - - - - -- ---------------------
Amount
- - - - -- ------ - - - - --
Payment Check 4310
453.66
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
BUILDING - RES 000/322.100 449.16
STATE BUILDING SURCHARGE 000/386.904 4.50
Total: 453.66
doc: Receipt Printed: 12 -09 -2005
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... h City of Tullcwila
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6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2612000080
Address: 4222 S 137 ST TUKW
s Suite No:
Applicant: CLARK & PELICAIANO RESIDENCE
Receipt No.: R05 -01685
Initials: JEM
User ID: 1165
D05 -416
PENDING
11/21/2005
Payment Amount: 145.98
Payment Date: 11/21/2005 10:02 AM
Balance: $229.08
{
Payee: TOMASITA B. QUINSAY
1
I TRANSACTION LIST:
Type Method Description Amount
Payment Check 4304 145.98
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ACCOUNT ITEM LIST:
Description Account Code Current Pmts
E------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
PLAN CHECK - RES 000/345.830 145.98
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Total: 145.98
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RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
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PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D05 -416
DATE: 11 -21 -05
PROJECT NAME QUINSAY RESIDENCE
SITE ADDRESS: 4222 S 137 ST
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
b I I - 'tY
Bu�ill 5i ng' Division
Public Wor
p n/ ji-zi, -a
Fire Prevention
Structural ❑
7
D ETERMINATI ON 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:
g I �' �& -off
P15nning Division ❑'�
Permit Coordinator ❑
DUE DATE: 1
Not Applicable ❑
TUES(THURS ROU ING:
Please Route Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS DUE DATE: 12-20-05
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
DATE:
Documents/rouling slip.doc
2.28-02
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CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO.: LI 4
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
�'/k'k� '�` 1 /� Q• 1 �� , 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. 1 -7 9 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.
APPLICANT
LAdA,�'''
nT
rn
�' ._
Signed and sworn to before me this
t day of
Permit Center /Building Division:
206 -431 -3670
Public Works Department:
206 - 433 -0179
Planning Division:
206 -431 -3670
20 -�
NOTARY PUBLIC in and for the State of Washington,
1/ .
Residing at County.
Name as commissioned:
My commission expires:
\applications\8 -2004 affidavit in lieu of contractor registration
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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.
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 highway construction,
operations being considered as of a casual, minor,
reconstruction, or maintenance work.
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
lapplications\8
-2004 affidavit in lieu of contractor registration
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File: D05 -0416
35mm Drawing
#1 -5
COVER SHEET
INDEX TO DRAWINGS
1. Existing Basement Improvement (Without Permit)
2. Unfinished Basement
3. Existing Building, All Levels (With Permit secured by
developer/builder)
4. Site Plan SEPARA17 PERaIaT
a2uZ Fox:
SITE ADDRESS
4222 S. 137TH ST.
TUKWILA, WA. 98168
13 Mechanical
V Ica'
4 Numbing
® GaS Piping
L {tY O' Tu •,
'�Y �C1lii'iice
BU I LD ING DIO/ISION
PROJECT DESCRIPTION
To secure permit to the existing improved basement.
Scope of work includes addition of 2 bedrooms, 1 full bath
family room, utility area and a kitchen ( to be removed).
BUILDING AREA
3,501.41 sq ft.
Basement (Work Area)
773.22 sq. ft.
VICINITY MAP
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CITY OF TUKWILA
NOV 2 12005
PERMIT CENTER