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HomeMy WebLinkAboutPermit B96-0034 - ULRICH DAN - PARTITION WALLSCity of Tukwila C. (206) 431-3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 BUILDING PERMIT Permit No: B96 -0034 Type: B -BLDG Category: ACOM Address: 17100 WEST VALLEY HY Location: Parcel #: 252304 -9055 Zoning: Mi Type Const: Gas /Elec: Wetlands: Water: TUKWILA Contractor License No.: Status: ISSUED Issued: 03/11/1996 Expires: 09/07/1996 Type of Occupancy: OFFICE Slopes: N Sewer: TUKWILA TENANT ULRICH DAN 17100 WEST VALLEY HY, TUKWILA, WA 98188 OWNER CELLO BAG PO BOX 58810, SEATTLE WA 981381810.. CONTACT DAN ULRICH Phone: 206 251 -8505 18802 72ND AVENUE SOUTH, KENT, WA 98032 ***************************** k****• k********** kk •k * *k * *k * *k **k * * * *k* *k *k * *k•k* Permit Description: CONSTRUCT PARTITION WALLS TO CREATE OFFICE SPACE. SETBACKS Units: 00:1 Front:. .0 Back': Buildings:'` 001 <` Left: .0 Right: Fire Protection.: SPRINKLERED UBC Edition 1994 Valuation: 250.00 Total Permit Fee: 60.15 *****************.* k**********.********.********* * *:k *k *k * * * * * * ** * * * * * *k * * * *•k* 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 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 for and obtain this•b`ui lding permit. Signature:_ ar. Date: . /it //1 (� Print Name: /J Ui.i icb/ Title: 1/`P 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. DEPARTMENT DAT IN DATE APPROVED: R EQUIREMENTS: / COMMENTS . X BUILDING - Initial review a a co . -z,, ( . (ROUTED) CONSULTANT: Date Sent - Date Approved - FIRE �/ j-p a � c r4 FIRE PROTECTION: �: Sprinklers f]; Detectors • N/A FIRE DEPT. LETTE DATED '2 �� 9� INSPECTOR: S/! INIT: 4-w O PLANNING • ZONING: IBAR/LAND USE CONDITIONS? [ )Yes Li No REFERENCE FILE NOS.: INIT: MINIMUM SETBACKS: N- S- E- W- UTILITY PERMITS REQUIRED? O Yes U No OPUBLIC WORKS PUBLIC WORKS LETTER DATED: INIT: 0 OTHER INIT: BUILDING - final review L -/ Z 9 TYPE OF CONSTRUCTION: CERT. OF OCCUPANCY? DYes 0 No UBC EDITION (year): • INIT: BUILDING OFFICIAL '�,/ f e% INIT: AY AMOUNT OWING: CONTACTED / � I ri ch V DATE NOTIFIED . // BY: �/ j-p 2nd NOTIFICATION BY: (init.) 3RD NOTIFICATION • BY: (init.) PLAN CHECK NUMBER Building Permit Application Tracking INSTRUCTIONS TO STAFF • Contacts with applicants or requests for information should be summarized in writing by staff so that the status of the project may be ascertained at any time. • Plan corrections shall be completed and approved prior to sending to the next department. • Any conditions or requirements for the permit shall be noted in the Sierra system or summarized concisely in the form of a formal letter or memo, which will be attached to the permit. • Please fill out your section of the tracking chart completely. Where information requested is not applicable, so note by using "N /A ", date and initial. DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. REVIEW COMPLETED CITY OF TUKWIL( Department of Commun Development – Permit Center 6300 Southcenter Boulevard - #100, Tukwila, WA 98188 (206) 431 -3670 PROJECT NAME j\tLh 'Dan SITE ADDRESS 1/1 c J \)CO.Cy �J SUITE NO. 0103/93 SITE ADDRESS SUITE # ► C) O LVCrs - r UMi f/w VALUE OF CONSTRUCTION - $ o? s'0, • — PROJECT NAME/TENANT Y UL2►cIA , Nd j ASSESSOR ACCOUNT # 015&50Lt TYPE OF • New Building U Addition uv i enant Improvement (commercial) U Demolition (building) WORK: ❑ Rack Storage ❑ Reroof ❑ Remodel (residential) ❑ Other DESCRIBE WORK TO BE DONE: . OFF 1 CE BUILDING USE (office, warehouse, etc.) © F F t C- E-- '®1 ry d NATURE OF BUSINESS: � / � CAc p , I j WILL THERE BE A CHANGE IN USE? ❑ Yes If Yes, new building requirements may need to be met. Please explain: SQUARE FOOTAGE - Building: Tenant Space: Area of Construction: WIL IITIERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? No ❑ Yes IF YES, EXPLAIN: FIRE PROTECTION FEATURES: prinklers C atic Fire Alarm System PROPERTY OWNER 0 ei 'PHONE d S - / ,_ 4 s-0," ADDRESS / •710 0 ( Ups e,.,, SIGNATURE ZIP ?JO L y ( CONTRACTOR PHONE ADDRESS ZIP WA. ST. CONTRACTOR'S LICENSE # EXP. DATE ARCHITECT PHONE ADDRESS IZIP I . HEREBY CERTIFY THAT I. HAVE READ AND EXAMINED THIS :APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, AND I AM'AUTHORIZEDTO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT SIGNATURE ..�. . 2 i e_ -.____ �� BUILDING PERMIT FEE PLAN CHECK FEE If DATE 7) _ / , , PRINT NAME ,..2..,,c) � [,,�.,f_' /cj>< PHONE gr / ' cPS ADDRESS /��(- '7-2 i+-W .:-12..- S O �-' CITY/ZIP 9 j, CONTACT PERSON PHONE o01/V Juumcenrer 13owevara, I uKwna vv/i ed too (206) 431 -3670 DESCRIPTION AMOUNT RCPT # DATE BUILDING PERMIT FEE PLAN CHECK FEE If [PLAN CHECK Gj W NUMBER b I - % APPLICATION MUST BE FILLED OUT COMPLETELY BUILDING SURCHARGE 11∎� r d� . V ) OTHER: TOTAL - (p'h,IS CITY OF TUKWILA Department of Community Development - Building Division BUILDING; PERMIT APPLICATION APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill out the application completely and follow the plan submittal checklist on the reverse side of this form. Handouts are available at the Building counter which provide more detailed information on application and plan submittal requirements. Application and plans must be complete in order to be accepted for plan review. VALUATION OF CONSTRUCTION Valuation for new construction and additions are calculated by the Department of Community Development prior to application submittal. Contact the Permit Coordinator at 431 -3670 prior to submitting application. In all cases, a valuation amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Building Division to comply with current fee schedules. BUILDING OWNER / AUTHORIZED AGENT If the applicant is other than the owner, registered architect/engineer, or contractor Iicens ^.d by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and obtain the permit will be required as part of this submittal. EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of application shall expire by limitations. 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 304(d) of the Uniform Building Code (current edition). No application shall be extended more than once. If you have any questions about our process or plan submittal requirements, please contact the Department of Community Development Building Division at 431 -3670. DATE APPLICATION ACCEPTED 0,-a - DATE APPLICATION EXPIRES 10,2283 COMMERCIAL JEW COMMERCIAL BUILDINGS /ADDITIONS 1 Completed building permit application (one for each structure) Assessor Account Number Two sets (2) of the following: Specifications Structural calculations stamped ey a Washington State licensed - engineer - 3 Soils report stamped by a Washington State licensed engineer Topographical survey Energy calculations stamped by a Washington State licensed engineer or architect • Legal description 1 Working drawings, stamped by a Washington State licensed architect, which include: • • Site plan • Architectural drawings. • Structural drawings • Mechanical drawings • Elevations • Civil drawings • Landscape plan —' Completed utility permit applicT,ti 1n (one for entire project) ri Six (6) sets of civil d: Owings NOTE: See utility permit application and checklist for specific utility submittal requirements. RACK STORAGE Completed building permit application Assessor Account Number Two (2) sets of plans, which include: — 1 Building floor plan showing: • Entire space where racks will be located • Exit doors • Dimensions of all aisles I Tenant space floor plan showing rack storage layout, aisles and exits. NOTE: Include dimensions of racks (height, width and length), aisles and exit ways on plan. ( Structural calculations stamped by a Washington State licensed engineer (racF. storage 8' and over). RESIDENTIAL NEW SINGLE - FAMILY DWELLINGS /ADDITIONS F Completed building permit application (one for each structure) { .1 Legal description Assessor Account Number Two sets (2) of working drawings, which include:. Washington State Energy Code data SUBMITTAL CHECKLIST • Site plan - -11. (On plan, show closest hydrant location. • Foundation plan Include access to building, showing • Floor plan width and length of access.) • Roof plan • Building elevations (all views) • Building cross - section • Structural framing plans 1 Completed utility permit application j] Six (6) sets of site plans showing utilities NOTE: Building site plan and utility site plan may be combined. See utility permit application and checklist for specific submitt-:' requirements. Additional topographical and soils information may be required if unique site conditions. COMMERCIAL TENANT IMPROVEMENTS Completed building permit application (one tor eac:k structure or tenant) Assessor Account Number Two (2) sets of construction plans, which include. Site plan • Location of tenant space • Existing and proposed parking • Landscape plan (if applicable, i.e , change of use). ri Overall building plan • Tenant location • Use of adjacent (common wall) tenant • Overall dimensions of building or square footage (__l Floor plan of proposed tenant space •. Tenant space plan with use of each room labelled. • Exit doors, egress patterns. • New walls, existing wall, and walls to be demolished. Construction details • Cross sections showing wall construction and method of attachment for floor and ceiling. . in Structural ,calculations stamped by a Washington State l engineer may be required if structural wo-k it to be done (2 sets) NOTE: .11 any utility work is to be done, submit separate utility permit application and plans. REROOF it Completer; building permit application (o;.e for each structure) Assessor Account Number Narrative describing existing roof, material being removed, and material being installed. NOTE: A certific.::ion letter is required prior to final inspection and sign - off of the permit. ANTENNA/SATELLITE DISHES Completed building permit application Assessor Account Number Two (2) sets of plans, which include: . Site Plan (showing building and location of antenna/satellite dish) n D • etails antenna/satellite dish and method of attachment n S • tructural calculations stamped by a Washington State licensed engineer may be required . RESIDENTIAL REMODELS Completed building permit application (one for each structure) Assessor Account Number Two (2) sets of working drawings, which include: • Site plan • Foundation play. • Floor plan Roof plan • Building elevations (all views) • Building cross - section • Structural framing plans NOTE: if any utility work is to be done provide utility permit application and plans must be submitted. REROOFS I I Completed building permit application (one for each structure) n Assessor Account Number 1 1 Narrative describing existing root, material being removed, and material being installed NOTE: A certification letter is required prior to final inspection and sign - off of the permit. Address: 17100 WEST VALLEY HY Suite: Tenant: ULRICH DAN Type: B-BLDG Parcel If: 252304-9055 ***k*****************k*kk*Ak*****Ork*A**IcAk***********41(P***kkkk*k*khlAAk*k* Permit Conditions: 1. No changes will be made to the plans unless approved by the Architect or Engineer andthe Division. 2. Electrical permits 7...halibt*fi1e&%ttiugh the Washington State Division of,,gabalid Industrie and all electrical work will be inspected by01 agency (248-6630 3. All mechanicarkshaWbe ;undfr.4separate permit , issued by ,the City of:44kwilia 4. All permits, inSO4ion records,,and approVed-Olans'Shall be availabl* lob site prior to the start of any con-.7 structf Ahese be maintained and avail- able a6,01 final inSpection4Pe6val is granted.,.' 5. Par attacheoceiling grid must be late brace&ifoVer eight (8) In. length. 6. All/, to .b0.tionein. Conformance with approved pins and of the Uniform Building Code (1994 EdttIon)as' amended, Uniform Mechanical Code (19)4Edition),,' al*Washifigton StatelE Edition). 7. Validity of Permit. The'ASsuance, a-permit or approval of plans, ,specifiCations, anctcomputations shall not be con= s4Ttied to,„-beaperMit. for, or an ap0 'of, any violation of4any,yof the prgvisions,df 'building code or of any ordinance of the jurisdiction., No permit presuming to,' giCjeauthoritv to violate or cancel the provisions of this co;;IeAsh#WbezNalid. CITY OF TUKWILA Permit No: B96-0034 Status: ISSUED Applied: 02/02/1996 Issued: 03/11/1996 . Pr • m a� -- � / • GENERA 42.00 GENERA 13.65 +++A**^*+*+A**++A4*++A++%:*++++***A+++A++++++++*++++*«*A*^*^° GENERA u �o ITY OF TUKNILA NA l,^. TRANSMIT =^^°` `^~^ ' � �+1 �� TOTAL 60.15 �+++*�*+*+a��*+��+*++�+:+ »�/�+�7�+��*�+*�+++�+*A*+*++�+*�+***A* ucr, 60.15 TRANSMIT Number: 96003564 Amount: 60.15 02/O2/96 12:54 --- CHANCE 0.00 Payment Method: CHECK Notation: WESTERN yACKAG1 123 2279A000 16:53 Permit No: 096-0034 Type: 0-BLDG BUILDING PE8MI/ Parcel No: 252304-9055 Site Addrs$s: 17100 WEST VALLEY HY Total Fees: 60.15 This Payment 60°15 Total ALL Pmts: 60.15 Balance: .00 * °*++*.A*^* +a *^*+)k.Wk ^* +/^+a*Ik** ++ u***+**,\+ +* a*A+**^ki *I\ * 4 *+++* Account Code Description Amount 000/322.100 BUILDING - NONkES 42.00 000/345.830 PLAN CHECK - QONU[S 13.65 000/386.904 SlATE BUILDING SURCHARGE 4.50 " • , •• ■-• • ,•• • • • " • 4V*1%( • •• ; w ?e ■"; " " , Project Name Address City of Tukwila Fire Department 1 Needs shift inspection Sprinklers: Fire Alarm: A Hood & Duct: J Halon: Monitor: A Pre-Fire: Permits: FL 4i) wp Authorized Sigriature FINALAPP.FRM TUKWILA FIRE DEPARTMENT FINAL APPROVAL FORM lc - ,t Uw. 1 /Retain current inspection schedule L/Approved without correction notice Approved with correction notice issued U I 1 h T.F.D. Form F.P. 85 John W. Rants, Mayor Thomas P. Keefe, Fire Chief Permit No. P2 4Le Suite # Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone: (206) 575-4404 • Fax (206) 575-449 / Date Projec Type of i ecti r : A d.rIL ,, t t I Date called: _ IL `' `91 Special instructions: Date wanted: 1 a.m. p.m. Requester: W-Qtol Phone No.: yG ` _ 9„ 4 1 p 4<pproved per applicable codes. Corrections required prior to approval. IIIIIIMII. -._ 4. Agez # A '.. •• . .L ..,h" . .. ' J i • Inspecto I rte' 4=1: 11211.' '4 .x �RSUa.,rGrS'' V.."L :£IVI INSPECTION RECORD Date: I , Y ..__ ♦4'.Y...w: aY.. tf !iw.f. K ZawTroS .ai�Ig %Xd'.P.A.lfY.rede/LrcaY Oe.�W. '..!!.t Retain a copy with permit IN ION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 206) 1 -36 0 PERMIT NO. $42.00 REINSPECTION E REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Proje t: `�/v� - a "• 1 "1 42, _.,./ . _i Type .f inspectio i71 f .� _. . _.1; Address: ' • j cJ . Va " "`� �1 Date called: Va Special instructions: '' 6114, a Zat 8 Date wanted: �JJ /an a P.m. Requester:^^ `k J Phone No.: a 57. 8s0.<" Inspector: I Approved per applicable codes. .r'— INSPECTION RECORD Retain a copy with permit INSPEC ION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 )396 -66.3 PERMIT NO. (206) 431 -3670 COMMENTS: 4Z?7 L\ 27A o ` G 3 Corrections required prior to approval. Date: (r ^ % $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Project: V ` r t ch Dan Ty t \ OV- 0-3kOQ WCM is Address: I - 1)oo v ct _ � Date called: 5 _ 1 l r R r ctions: Special instructions: l _p� \Q 6 5 1 6(45 Date wanted: c o a m 3 _ 10 � i � p Requester: D cvn Phone No.: 'S I S ��J Oo5 i:.raxsxr;:; INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 9818 I Receipt No.: (tA ( 6' . M5 PERMIT NO. (206) 431 -3670 COMMENTS: Approved per applicable codes. n Corrections required prior to approval. $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: Project Type of lospedion: 647° Zfje-,"1( Address: , ( a4 /6 Dde Celled: special ins pz ?le - ruct : / , Dale Wanted: 2- -/ -qC P.m Rapider: Phone Na: CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 0 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit (206) 431-3670 0 Corrections required prior to approval. COMMENTS: / v k (0 iv i a 2 • -e/( C 4 0 $30.00 ReNSPECTION FE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. I RecejA I Dale: CITY OF TUKWILA BUILDING DIVISION — 6300 SOUTHCENTER BLVD. TU_KWILA, WASHINGTON 98188 TELEPHONE (206) 431-3670 ALL PERSONS ARE HEREBY ORDERED TO AT ONCE StOp Work-# STOP WORK PERTAINING TO CONSTRUCTION, ALTERATIONS OR REPAIRS ON THESE PREMISES AT / 7/ (90 hi /1 / / THIS ORDER ,IS ISSUED BECAUSE 6.0-" . i-- / ' Li/ fr rfr I--) ;---, 1— e)i- ("47/ (i,,--ri, - 1 i r -A v 6 r - , ) ,' ." - /Jo / - , — / / 19 "7.6 BY Name'/ Title /3 2 -- WARNING: _ -\ The failure to stop work, the resuming of work vilthlust r permission from the Building Division, or the removal, mutilation or concealment of this notice Is punishable by fine and Imprisonment. t..'' a� r 1' zz Y ' I/NJV. X 2 Oc R.2• RECEIVED CITY OF TUKWIIA FEB 021996 PERMIT CENTER �ev;✓�xe r4 MAIN MCE /yams I , 2 w4 - - Z2(4 WOOD /L "CEN 6 - 2 , Elecit 114L — ,N im-i- C '/) Duos Off-Z1 - 511t,1e 6,? -- Y w E s - m r ' 1 . 4 r - 4 1 A 1 M a i l - - 17110 w• V9u.5Y : . DFF /G9 /4GY /r /0 / So . UPPEZ. Z -Z -% .711 SEPARATE PERMIT REQUIRED FOR: MECHANICAL dELECTRICAL 0 PLUMBING D GAS . PIPING CITY OF TUKWILA . BUILDING DIVISION = I understandthat :th . a,bjeet.to�r.re�r:' ... • Flans rioc:s' rz:• 'icpted .,- _ f . • t c!or,s, ;:. 1 g }, %/i/ %' 0031 FELE COPY _ .any . con- °:dged. City of Tukwila Fire Department Fire Department Review Control #B96 -0034 (511) Re: Dan Ulrich - 17100 West Valley Highway Dear Sir: February 7, 1996 The attached set of building plans have been reviewed by The Fire Prevention Bureau and are acceptable with the following concerns: Maintain fire extinguisher coverage throughout. 2. Maintain sprinkler coverage per N.F.P.A. 13. Addition /relocation of walls, closets or partitions may require relocating and /or adding sprinkler heads. Sprinkler protection shall be extended to all areas where required, including all enclosed areas, below obstructions and under overhangs greater than four feet wide. (NFPA 13 -4- 4.1.3.2.1) 1. The total number of fire extinguishers required for your establishment is calculated at one extinguisher for each 3000 sq. ft. of area. The extinguisher(s) should be of the "All Purpose" (2A, 10B:C) dry chemical type. Travel distance to any fire extinguisher must be 75' or less. (NFPA 10, 3 -1.1) 3. All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department review and approval of drawings prior to installation or modification. New sprinkler systems and all modifications to sprinkler systems involving more than 50 heads shall have the written approval of the W.S.R.B., Factory Mutual, Industrial Risk Insurers, Kemper or any other representative designated and /or recognized by The City of Tukwila, prior to submittal to the Tukwila Fire Prevention Bureau. No sprinkler work shall commence without approved John W. Rants, Mayor Thomas P. Keefe, Fire Chief Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone: (206) 575.4404 • Fax (206) 575.4439 till ».., .. ...,t � _... ,. .Jt �;v::'fiy .., ,.x ... : +d .v : i ":`. �� ... r�° .. c ....ny i,. ,��:::J i'i4�::�'L...,e� .iwbLE x:'.. q�'b.: ..a .. �! �. �rr M,�.,- ,ate ^Tars`?;;•�cR"fM7a* City of Tukwila Fire Department Page number 2 drawings. (City Ordinance #1742) All sprinkler system plans, calculations and the contractors Materials and Test Certificates submitted to The Tukwila Fire Prevention Bureau must be stamped with the appropriate level of competency seal. (WAC 212 -80) 4. Maintain automatic fire detector coverage per N.F.P.A. 72. Addition /relocation of walls, closets or partitions may require relocating and /or adding automatic fire detectors. All new fire alarm systems or modifications to existing systems shall have the written approval of The Tukwila Fire Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #1742) (UFC 1001.3) 5. All electrical work and equipment shall conform strictly to the standards of The National Electrical Code. (NFPA 70) Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (UFC 10.503) (City Ordinance #1742) Thomas P. Keefe, Fire Chief Call the Tukwila Fire Department at 575 -4407 for approval of any system shut down. Have job site address, name and the Tukwila Fire Department Job Number available to confirm shut down approval. (City Ordinance #1742) Any overlooked hazardous condition and /or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. John W. Rants, Mayor Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone: (206) 575 • Fax (206) 5754439 City of Tukwila Fire Department Page number 3 Yours truly, The Tukwila Fire Prevention Bureau cc: TFD file ncd 414/1 John W. Rants, Mayor Thomas P. Keefe, Rye Chief Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone (206) 5754404 • Fax (206) 5754439 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON ) COUNTY OF KING ) ss. 1. I have made application for a building permit from the City of Tukwila, Washington. 2. I 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. I 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, I consider the work authorized under this building permit to be exempt under No. 13 , 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. , , 0 q,uunrr��� i ♦ ♦. ' R HA , *, et 4 E S s . NOTARY "' _*— ' PUBLIC S 4 4y r i c•• (Jry -8 8811 its" , states as follows: APPLICANT Signed and sworn to before me this /1 day of , 19 9 C NOT Y PUBLIC in and for the State of Washi on, residing at Ch County. U My commission / expires: 6/.711 6 Na i Az- Lei,- inweat h,: 7 / 6c.k 5eG7 18.27.090 Exemptions. This chapte: shah not apply to: 1. 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; 2. Officers of a court when they are acting within the scope of their office; 3. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 4. 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; 5. 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 a structure; 6. 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; 7. 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; 8. 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; 9. Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials and all other items is less than $500, such work, or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any 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 contracts of amounts less than $500 for the purpose of 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; 10. 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 when any of the above work is performed by a registered contractor; 11. An owner who contracts for a project with a registered contractor; 12. Any person working on his ow'n property, whether occupied by him or not, and any person working on his residence, whether owned by him or not but this 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; Owners of commercial properties who use their own employees to do maintenance, repair, and alteration work in or upon their own properties; 14. 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 slate of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only, wheti the licensee is operating within the scope ts, f his license; 15. Any person who engages in'the activities herein regulated as an employee of a registered contractor with wages as his sole compensation; . • 16. Contractors on highway projects who have been prequalified as required by chapter 13 of the Laws of 1961, RCW 47.28.070 with iii: department of transportation to perform highway construction, reconstruction, or maintenance work. t7 5cloi:auv.! <;.r.n� zpctgaiMaVag357.;Y.:Vf%k"IRS`5 %:MAF4ry,•;sr"kl:•., yyyc:q,. March 1, 1996 C Dan Ulrech c/o George Rockwell Andover Company Inc. 415 Baker Boulevard, Suite 200 Tukwilla Washington 98188 Dear Dan: .Ba�YdUtt.SU"'Allyfcl pLiYdC'1i• OIVY AWIllex(Wi` `SY.df_'SO As owner of the Cello Bag building on west valley highway, I authorize you to make what ever improvements to said building that you choose to make in ce with the city of Tukwillas' zoning laws ely N. Jack Alhadeff NJA West Valley Assoc. STATE OF WASHINGTON ) COUNTY OF KING Ss. Washington, residing at On this 6th day of March 1996, before me, the undersigned, a Notary Public in and for the State of Washington duly commissioned and sworn, personally appeared N. Jack Alhadeff, by one known to be the Managing Partner of NJA West Valley Assoc. Ltd. Partnership, the partnership that executed the foregoing instrument and acknowledged the said instrument to be the free and voluntary act and deed of said partnership, for the uses and purposes therein mentioned and on oath stated that he is authorized to execute the said instrument and that the seal affixed in the seal of said partnership witness my hand and official seal hereto affixed the day and year first above written. NOTARY PUBLIC in and fob the Sf5 e f My coimnission expires - -- -- -- - — �-7-- STATE OF WASHINGTON ) ) ss. COUNTY OF KING ) ,� .. L.�ic " v /1 " , states as follows: AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION 1. I have made applization for a building permit from the City of Tukwila, Washington. 2. I 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. I 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, I consider the work authorized under this building permit to be exempt under No. , 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. APPLICANT Signed aad sworn to before me this ay of t . , 19 NOTARY PUBLIC in and r the State of Washington, residing a County. My commission expires: 5 — 19 RECEIVED CITY OF TUKWILA FEB 021996 PERMIT CENTER 18.27.090 Exemptions. This chapter shall not apply to: 1. 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; 2. Officers of a court when they are acting within the scope of their office; 3. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 4. 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; 5. 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 a structure; 6. 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; 7. 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; 8. 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; 9. Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials and all other items is less than $501;, such work, or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any 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 contracts of amounts less than $500 for the purpose of evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to :i 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; 10. 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 when any of the above work is performed by a registered contractor; 11. An owner who contracts for a project with a registered contractor; 12. Any person working on his own property, whether occupied by him or not, and any person working on his residence, whether owned by hini or not but this 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; 13. Owners of commercial properties who use their own employees to do maintenance, repair, and alteration work in or upon their own properties; 14. 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 licensee is operating witlhhi the scope of hi ik ` 0 15. Any person who engages in the regulated as an employee ofla retie e,41,,, wh wages as his sole compensatiow't •1J ; ro 16. Contractors on highway projects cat avt prequalified as required by chapter 13 of lhcl.,aNVs of 1961, RCW 47.28.070 with the department of transportation to perform highway construction, reconstruction, or maintenance work.