HomeMy WebLinkAboutPermit D03-244 - OSMAN SAID - TENANT IMPROVEMENTSAID OSMAN
14818 TUKWILA
INTERNATIONAL
BOULEVARD
D03 -244
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Parcel No.: 0041000143
Address: 14818 TUKWILA INTERNATIONAL BL TUKW
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Address: ,
Contractor License No:
STEINBERG DOUGLAS J +SUSAN
P 0 BOX 68340, SEATTLE WA
SAID OSMAN
P.O. BOX 68651, SEATTLE WA
OWNER AFFIDAVIT IN FILE
DESCRIPTION OF WORK:
NON- STRUCTURAL TENANT IMPROVEMENT TO EXISTING RETAIL SPACE.
Value of Construction: $ $3,750.00
Type of Fire Protection: NONE
Type of Construction: V
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant:
Flood Control Zone:
Hauling:
Land Altering:
Landscape Irrigation:
Moving Oversize Load:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
doc: Devperm
SAID A. OSMAN
14818 TUKWILA INTERNATIONAL BL, TUKWILA WA
N
N
N
N
N
N
N
N
N
N
N
N
DEVELOPMENT PERMIT
Number: 0
Start Time:
Volumes: Cut
Start Time:
Private: N
Profit: N
Private: N
D03 -244
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date:
Phone:
Phone: 206 372 -5543
Phone:
Size (Inches): 0
End Time:
0 c.y. Fill 0 c.y.
End Time:
Public:
Non - Profit:
Public:
D03 -244
09/02/2003
02/29/2004
Fees Collected: $164.96
Uniform Building Code Edition: 1997
Occupancy per UBC: 0023
N
N
N
Printed: 09 -02 -2003
. s++! t�eeivar4�7l+ Je.•{ yaay.` a�" i% ZuWnlvSiti� 1: n'LWu'ba.•on....,.r....�...,: .•••,._. ..
Print Name: \ G
doc: Devperm
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Permit Center Authorized Signature:
�i�Glat�
D03 -244
Date:
I hereby certify that I have read and examine: 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 r I am � horized to sign and obtain this development permit.
Date:
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.
Printed: 09 -02 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 0041000143 Permit Number: D03 -244
Address: 14818 TUKWILA INTERNATIONAL BL TUKW Status: ISSUED
Suite No: Applied Date: 08/08/2003
Tenant: SAID A. OSMAN Issue Date: 09/02/2003
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical
work will be inspected by that agency (206- 835 - 1111).
4: All mechanical work shall be under separate permit issued by the City of Tukwila.
5: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any
construction. These documents are to be maintained and available until final inspection approval is granted.
6: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997
Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition).
7: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations 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 ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this
code shall be valid.
8: There shall be no occupancy of the building(s) until the final inspection has been completed by the Tukwila Building
Inspector.
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.
doc: Conditions
D03 -244
Date:
Printed: 09 -02 -2003
CITY OF TUKWILA --
Community Development L , .artment
Public Works Department - •
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Building Permi.
Mechanical Permit No
Public. Works Permit No.
Project No
(For. Oice use only)
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
SITE LOCATION
Site Address:
Tenant Name:L.5 f) ds
Property Owners Name: ID e) Cd j 1• 7 s- re e r
Mailing Address: 22 , P., cc
a
1\%A :3AMp, CON s - my cTi
Company Name:
Mailing Address: P • 0 BOX a8 3O
Contact Person: " T � H A t-i A NI
E -Mail Address:, KNSnAC 7 ctot 1 LA. _
Company Name:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
\applications'permit application (3•:003)
3 /:003
l)
MA le-d7 N S
Page I
King Co Assessor's Tax No.: £ / /OD Q /�f
RC ( rcr
Suite Number: tr-,
City
New Tenant:
0.1 rl-
State
Floor: gaSr'r31t:)14'll/GY
Yes D ..No
Zip
Name: 5 (5/J7aq Al (o
/ Day Telephone: 2 �1 37e -,j S' t
Mailing Address: f - • O () X (g / I 5�cr f f ie
City
E -Mail Address: cf.) (`: '/Y1 t?I-1'7J Hz:4mct; ` . C m Fax Number:
State Zip
GENERAL CONTRACTOR INFORMATION
WA gSt18
Sl=r TILL-
City• - . State Zip
Day.Telep�3one: l ob) `T`lo
Fax Number: (AD(:,) 24.8 - 7O 7
Contractor Registration Number: Expiration Date: (t -- 03—
* *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
Mailing Address: +z(� S. R O1l tfN � �f� wit- 'pang
City State Zip
Day Telephone: 2f 7 31 �
Fax Number: '24:. ( 7 —
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
State
Zip
City
Day Telephone:
Fax Number:
. *.,.. , ... .,....r +•a•.r..h'= .,,wrw:�wiyx, +;+n�trii?'xt:•snxa�•usv+rr;;; n.te:�.vn.•-t•n.Y..Mr u,v •••il .;;� ,q ?� @ <ktivit,m it#i -" .
tw +arww ,
UILpoic>i rIltcivirt: Ilrr uxlna,t,liurr - pub- gsl-sb to
Valuation of Project (contractor's bid prier ; Existing B; ng Valuation: $
Scope of Work (please provide detailed information): •' 1-* - 9TP1'G�'IS) }E.- t N�
tq-r tzEz}l -f L sp,4CE
Will there be new rack storage? ..Yes No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
*For an Accessory dwelling, provide the following:
Wo P < LUt L4 Aciv.4U -j Be tt ± . ( Soo 5P- oF-
PE 1 tT 1 ) 5r4c .
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) rv/
pfL
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
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 8-1/2 x 1I paper indicating quantities and Material Safety Data Sheets.
Vpplications■permit application (3.2003)
312003
..None ❑ . Other (specify) .
Page 2
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Existing
Interior
Remodel
Addition to
Existing
Structure
. New
Type of .:
Construction
per UBC
Type of
Occupancy per
UBC
Is' Floor
576. d
_
-
"'
2"° Floor
3 " Floor
Floors thru
Basement .
.5 4 0
1 4'
-
—
Accessory Structure*
Attached Garage
Detached Garage
—
Attached Carport
—
•
Detached Carport
Covered Deck
Uncovered Deck
UILpoic>i rIltcivirt: Ilrr uxlna,t,liurr - pub- gsl-sb to
Valuation of Project (contractor's bid prier ; Existing B; ng Valuation: $
Scope of Work (please provide detailed information): •' 1-* - 9TP1'G�'IS) }E.- t N�
tq-r tzEz}l -f L sp,4CE
Will there be new rack storage? ..Yes No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
*For an Accessory dwelling, provide the following:
Wo P < LUt L4 Aciv.4U -j Be tt ± . ( Soo 5P- oF-
PE 1 tT 1 ) 5r4c .
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) rv/
pfL
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
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 8-1/2 x 1I paper indicating quantities and Material Safety Data Sheets.
Vpplications■permit application (3.2003)
312003
..None ❑ . Other (specify) .
Page 2
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PUBLIC WORKS PERMIT INFORMATION - 206- 433 -0179
cope of Work (please provide detailed info. ition):
Water District
❑ ...Tukwila
❑ ... Water Availability Pro 'ded
Sewer District
❑ ...Tukwila
❑ ...Sewer Use Certificate ❑...
❑ ...Septic System - For onsite septic s
Submitted with Application (mark boxes ich apply):
❑ ...Civil Plans (Maximum Paper Size — 22' 34 ")
❑ ...Technical Information Report (Storm Drainage)
❑ ...Bond ❑ .. Insurance
❑ ...Total Cut
❑ ...Total Fill
❑...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑ ...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑...Permanent Water Meter Size...
❑ ...Temporary Water Meter Size..
❑ ...Water Only Meter Size
❑ ...Sewer Main Extension Public _
❑ ... Water Main Extension Public _
FINANCE INFORMATION
Fire Line Size at Property Line
❑ ...Water ❑ ...Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
lapplicationslpc:mit application (3.
312001
Call before you Dig: 1- 800 -424 -5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
0... Water District #125
... ValVue ❑ .. Renton ❑ ...Seattle
ewer Availability Provided ❑ .. Approved Septic Plans Provided
stem, provide 2 copies of a current septic design approval by King County Health Department.
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ .. Right -of -way Use - Profit for less than 72 hours
❑ ...Right -of -way Use - No Disturbance ❑ .. Right -of -way Use — Potential Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way
Non Right -of -way
cubic yards
cubic yards
❑ .. Geotechnical Report ❑...Traffic Impact Analysis
❑ .. i .sement(s) ❑ .. Maintenance Agreement(s) 0... Hold Harmless
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
W O#
WO#
WO#
Private
Private
❑ .. Highline ❑ ...Renton
Page 3
Work in Flood Zone
❑ torm Drainage
Number of Public Fire Hydrant(s)
❑ ...Sewage Treatment
❑ ...Deduct Water Meter ize
Day Telephone:
City
Day Telephone:
City
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
State
State
Zip
Zip
„�;c..:sucS� °�r•� `ail�,i+ -sus �+ctiF:.
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Barer /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 1 100,000 BTU
Furnace >lOOK BTU
Evaporator Cooler
3 -15 HP/500, Q0 BTU
Floor Furnace
Ventilation Fan
15 -30 HP /1,000,b 0 BTU
Suspended /Wall /Floor
Mounted Heater
Ventilation System
30 -50 HP/1,750,000 TU
Appliance Vent
Hood
50+ HP /1,750,000 BTU
Heat/Refrig /Cooling
System
Incinerator - Domestic
_
Air Handling Unit
<= 10,000 CFM
Incinerator— Comm /Ind
•
MECHANICAL PERMIT INFO.' 'ATION - 206 - 431 -3670
MEC ICAL CONTRACTOR INFORMATION
Company Na e:
Mailing Address:
City State Zi
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of cu •nt 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 ....E Replacement ....fl
Commercial: New ....0 Replacement ....❑
Fuel Type: Electric 0 Gas....D Other:
Indicate type of mechanical work being installed and the quantity below:
PERMIT APPLICATION NOTES - Applicable to all permits in this application
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as
defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING ( Ir' :R Ot A \ • iHORIZED AGENT:
Signature: 1`
Print Name:
Mailing Address
Date Application Accepted:
Date Application Expires:
Staff Ini • als:
■applicationslpermit appliaaon 0.:00))
3(2003
Page 4
Date: 7f 3 O 1 C,
Day Telephone:lP/3-e) — �3
City
Slate
Zip
• twca �.s�+rwraoc
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
Payee: MARTIN KOENIGS
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431-3670
Parcel No.: 0041000143 Permit Number: D03-244
Address: 14818 TUKWILA INTERNATIONAL BL TUKW Status: PENDING
Suite No: Applied Date: 08/08/2003
Applicant: SAID A. OSMAN Issue Date:
Receipt No.: R03-00981 Payment Amount: 63.21
Initials: SKS Payment Date: 08/11/2003 11:11 AM
User ID: 1165 Balance: $101.75
TRANSACTION LIST:
Type Method Description Amount
Payment Check 3130 63.21
PLAN CHECK - NONRES
RECEIPT
Account Code Current Pmts
000/345.830 63.21
Total: 63.21
4 40 03/1• 911.6 TO
oon c
Printed: 08-11-2003
City of Tukwila
Payee: SAID A OSMAN
ACCOUNT ITEM LIST:
Description
doc: Receipt
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431-3670
Parcel No.: 0041000143 Permit Number: D03-244
Address: 14818 TUKWILA INTERNATIONAL BL TUKW Status: APPROVED
Suite No: Applied Date: 08/08/2003
Applicant: SAID A. OSMAN Issue Date:
Receipt No.: R03-01069 Payment Amount: 101.75
Initials: LAW Payment Date: 08/29/2003 12:53 PM
User ID: 1630 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 3236
BUILDING - NONRES
STATE BUILDING SURCHARGE
RECEIPT
101.75
Account Code Current Pmts
000/322.100 97.25
000/386.904 4.50
Total: 101.75
;)3/29 Ti16 TOTAL 101.7
Printed: 08-29-2003
Projgc�t� ,n .
Type of Ins ctiqE •
li
A dress' L fg
I
/ R r
Date Calle ( ?
Special Instructions:
Date Wanted:
1 21 (0 1 a 3 (5 "'
�n
Requester: —
I j�
Phone No
�, i 0 -e 3 7 — 55
6
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PER
0•)431 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
C Off frA 1 t'wvt
I( W\ \'V. CO W1
Inspector
•
Date:
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Project: , / � /
e-_- l? r e/ / -
�--
G / 4� /5//rGi-- -
Type of Ins)? ction:' 71
-4-2e <c.I' ,
•
Address: /
�'
Date Call d:
Special Instructions:
Date Wanted:
/2 6
3
• ell_
Requesters --
�-�lc rG
,
G -
"r / jiv
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPE ON NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
COMMENTS:
I) /1--c ed .ice !^44,'1
6.),,1-(
defr (i )1..e.e.
1,11/t-
v
V
Date: 1 1 o 3
a Approved per applicable codes. Corrections required prior to approval.
$47.0d FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
av,„.%<' d; Ciw
' • '•••••• " • -77 t ' !ir'•
City of Tukwila
Fire Department Thomas P. Keefe, Fire Chief
TUKWILA FIRE DEPARTMENT
FINAL APPROVAL FORM
Project Name E01 Artie:cm /z a ctr
Address
Retain current inspection schedule,
Needs shift inspection
/Approved without correction notice
Approved with correction notice issued
Sprinklers:
Fire Alarm:
Hood & Duct:
Halon:
Monitor:
Pre-Fire:
Permits:
l 'Aut orized Signature
FINALAPP.FRM Rev. 2/19/98
Steven M. Mullet, Mayor
Permit No. 603
Suite # /00
Date
T.F.D. Form F.P. 85
Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone: 206-575-4404 • Fax: 206-575-4439
• • • - " ' ' • :" ' • ".; '• • •.• • ••••• "•••• ••• ••, 1' ••“•• •%•■•'• ■•••'••• ,:••••••:• • '•:
Pr e�ct:
Type of Insp ction:
Address:
J 14 � g T ( e;
Date Called: '
�v /cjb 3
ecia.l instructions. ,,
am'a -Lbl I `'
a la/x<42,&. P / 2 ?
�',dz-C•P Cz�i�P,
Date Wanted: j
1I (/6-3 p.m.
Requ ter:
.5�d O(tJ1c1'L
Phone No:
Z- /(0 — 310?-55'0
INSPECTION RECORD
Retain a copy with permit D D 2 —
INSPECTION NO. PE
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
COM1V1 ENTS:
Inspector:
Date:
i/342 3
Approved per applicable codes. U Corrections required prior to approval.
El $47.00 REINSPECTIOf6L' E REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Pr t: % _!
acrpro
Type of Inspecti n: , •
A re
�
Date Called: , t
Spec I Instructions:
f
Date Wanted: ) 2 4
[R)
Reque ;ter:
G (� M a.--(71
;,,/
Phone 7 - P — 55 1 7 1 3
INSPECTIO N0.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
2 1 6)431 -3670
TA N Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
J
$47.bO REINSPECTIOIJEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INS ON NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Pro
h
Addres
Special Instructions:
B.
Type of Ipec,tion:
Date Called:
tO 41 (c 3
Date Wanted: /1.n1
n1
Req 5sterc, 0s1140,,,i
Phone o:
Inspecto
pproved perapplicable codes.
COMMENTS:
INSPECTION RECORD'
Retain a copy with permit
Date: , 0 >
$47.00 REINSPE ON FEE REQUIRED. Prior to inspection, fee must be
paid at b300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
3a (1 f
PE IT N
►: 4,1 A
(206)431 -3670
U Corrections required prior to approval.
COMMENTS:
\
1l l ) 5 (9 7. 5S Q .n,/J)) /e,-1 -7 c J; ^ 7,4
0 J
0 / Nir, ( vl / Gk //e /c on) pn,,. ,�: -k-
u i/1 // s i,U r-e /e2 1, 0 h, -/(.7
/> r9 )1�s 4 g ) S ?/ /.1 /. �,,,,, -.-
(c9,9 /e e9-1 / </I/ / " /, P,e /5 W»
A ,pie -1 ) 6e- , fl A/& a)
Date Wanted:
a.m.
/V —22 03'
p.m.
Requester:
Project:
.5, /Y1
Typeslf- s c
r g ection:
't40 /A/.
A/ rgs
Date Ca /0 _ Z z— a 3
Special Instructions:
Date Wanted:
a.m.
/V —22 03'
p.m.
Requester:
' .
S /r( 0 S / x► /t.)
P ne No:
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
El Approved per applicable codes.
Inspe
393 -2,0(
INSPECTION RECORD
Retain a copy with permit
IN ECTION NO. PERMIT NO.
'Corrections required prior to approval.
Date:
�.� �.�/ts /U_. ZZ -Q y
47.00 REINSPE ION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
COMMENTS:
Type of Ispection: •
j -- ra.../1"LI n Gi
CA OS 640 A /LQQ..
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Project:
Type of Ispection: •
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CA OS 640 A /LQQ..
Address:
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Date Called: (/
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Special Instructions:
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Date Wanted: a.m.
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Requestet„
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CITY OF TUKWILA BUILDING DIVISION
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El Approved per applicable codes.
Inspector:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670
51 Corrections required prior to approval.
Date:
El $47.00 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
COMMENTS:
Type of Inspect rramI n r.
. 1, (jam �1. l iGl'
D ate Called:
I — I8 03
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Date Wanted / t O trn
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Phone No: 20t7 - 3! 2 '56q3
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Type of Inspect rramI n r.
Address: o
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D ate Called:
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Special Instructions: 1/z
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Date Wanted / t O trn
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Phone No: 20t7 - 3! 2 '56q3
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
INSPECTIQN NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Date:
(206)431 -3670
Corrections required prior to approval.
El $47.00 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D03 -244
PROJECT NAME: OSMAN REStrtEistCE
SITE ADDRESS: 14818 TUKWILA INTERNATIONAL BL
X Original Plan Submittal
Response to Correction Letter #
DATE: 08 -11 -03
Response to Incomplete Letter #
Revision # After permit Is Issued
DEPARTMENTS:
6 - 49
Buildi ivision �J
Publ'c orks
b" Vl N� /a -
TUES /THURS ROTTING:
Please Route! Structural Review Required
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions
Documents /routing slip.doc
2 -28.02
51 N/ 5-Z-O-O3
Fire Prevention
Structural
LI
REVIEWER'S INITIALS:
❑ No further Review Required
PERMIT COORD COPY
Plannin Division
6- 1 2 -k
Permit Coordinator
DUE DATE: 08 -12 -03
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete d Incomplete ❑
Comments:
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED:
Departments determined incomplete: Bldg ❑
LETTER OF COMPLETENESS MAILED:
Fire ❑ Ping ❑ PW ❑ Staff Initials:
DATE:
DUE DATE: 09 -09 -03
Not Approved (attach comments) ❑
Notation:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections:
Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
., �i. Fa.:' s S'.' afea, G. Zi{ 3' i:: ti+;. �i',iY:'�
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON
COUNTY OF KING
1 • Lc l 4e-140
1. I have made application for a building permit from the City of Tukwila, Washington.
AFFCONT 1/13/00
CITY OF 7 YWILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
s s.
r
, states as follows:
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 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. i , 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.
A. Dc � j; +-- APPLICANT
P`5si //
t•10TA f• m•, :
, PUBUC
•
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Signed and sworn to before me this
H -4
grid day of gep /ember , 20 D3 .
NOTARY PUBLIC in and Vor the State of Washington,
residing at A/nq County.
Name as commissioned: Alice A. De cz cly
My commission expires: 6 -04
18.27.090 Exemptions. This chapter shall not apply to:
1. An authorized representative of the .,nited 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
AFFCONT 1/13/00
of the operation is made into contracts of amounts
Tess 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 own 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;
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 when the licensee is operating within the scope
of 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 the department of
transportation to perform highway construction,
reconstruction, or maintenance work.
•
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I understand that the F'lan Check approvals are
subject to errors and omissions and approval of
plans does not authc: ize the violation of any
adopted code or ordnance. Receipt of con-
tractor's copy of approved plans acknowledged.
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