Loading...
HomeMy WebLinkAboutPermit D01-375 - CANYON ESTATES CONDOMINIUMSCANYON ESTATES CONDOS 15200 65T" AVE EXPIRED 6 -20 -02 D01 -375 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 1332500880 Address: 15200 65 AV S TUKW Suite No: Tenant: Name: CANYON ESTATES CONDOMINIUMS Address: 15200 65 AV S, TUKWILA WA Owner: Name: COLLINS FLORDELIZA A Address: 15146 65TH AVE S #510, TUKWILA WA Contractor: Name: Address: Contractor License No: Public Works Activities: doc: Devperm DEVELOPMENT PERMIT Contact Person: Name: MARK RIGGLEMAN Address: 15136 65TH AVENUE SOUTH, TUKWILA, WA DESCRIPTION OF WORK: DECK REPAIR - REMOVING DRY ROT; NEW VENTS; NEW DECK FLOOR; NEW /OLD HANDRAIL. (SEE FILE FOR FULL DESCRIPTION) Value of Construction: $500.00 Fees Collected: $43.28 Type of Fire Protection: NA Uniform Building Code Edition: 1997 Type of Construction: Occupancy per UBC: 0001 Curb Cut/Access /Sidewalk/CSS: N Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: N Hauling: N Start Time: End Time: Land Altering: N Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: N Moving Oversize Load: N Start Time: End Time: Sanitary Side Sewer: N Sewer Main Extension: N Private: Public: Storm Drainage: N Street Use: N Water Main Extension: N Private: Public: Water Meter: Channelization / Striping: ** Continued Next Page ** D01 -375 Permit Number: D01 -375 Issue Date: 12/12/2001 Permit Expires On: 06/10/2002 Expiration Date: Phone: Phone: 206 248 -1243 Phone: Printed: 12 -12 -2001 1..4)tiii City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature: Signature: Print Name: doc: Devperm 11 t 166(rm4,� Gr✓(tUA") V L Date: /) `/ 6/ I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this development permit. Date: A2 /a 'd/ 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. D01 -375 Printed: 12 -12 -2001 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS Parcel No.: 1332500880 Permit Number: D01 -375 Address: 15200 65 AV S TUKW Status: ISSUED Suite No: Applied Date: 11/28/2001 Tenant: CANYON ESTATES CONDOMINIUMS Issue Date: 12/12/2001 1: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 2: 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). 3: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be con- strued 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. 4: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical work will be inspected by that agency (248- 6630). 5: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any con- struction. These documents are to be maintained and avail- able until final inspection approval is granted. I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Signature: !' 7 Date: —42- O Print Name: /6.2 lC ' � -L,./%-1' doe: Conditions D01 -375 Printed: 12 -12 -2001 Project Name /Tenant: (;/9//YeW Ec Cc'�vvin►� f!t4.1s Value of Construction: ,5 ac:), ov Site Address (include suite umber) 1 /d /3 &'r5 ,9v,2 cde,)/ 64 / City /Zip: KJ I/Q 9 C7 / U Tax Parcel Number: Property Owner: �- LAN YO/l E.577 lfS r /f ) e'40/1/ /1.,445 Phone: ..20G - ozz/R - 4 Street Address: / /.573(e, ((16 A Vtt7. S /r;ektu.i! cJ'1 , �) City Sttate /7_i : W14 9 Fl )7 Fax II: t,20 40 '43 -4)-: Phone: Contractor: '0 Street Address: City State /Zip: Fax II: Architect: ^ // � /r Phone: Street Address: City State /Zip: Fax It: Engineer: N/t Phone: Street Address: City State/Zip: Fax #: Contact Person: MA k >5 / /∎/ Phone: C6 - 0 2 (4 — / ? 9.3 Street Address: City State/Zip: MEM /.5736 <n Avt- ,S 7akeoizt4 /ii Fax It a Dh- V- / r3o,39 Description of work to be done (please be specific): & cI c KLpd u; vic A - rr Flc - Existing use: C3 Retail El 11 ��11 Restaurant 9 Multi- family ❑ Warehouse Hospital ❑ Church ❑ Manufacturing ❑ Motel /Hotel ❑ Office ❑ School /College /University ❑ Other Proposed use: El Retail ❑ Restaurant ❑ Multi family ❑ Warehouse ❑ Hospital ❑ Church ❑ Manufacturing ❑ Motel /Hotel ❑ Office ❑ School /College /University ❑ Other Building Square Feet: existing No. of Stories: c3 Area of construction (sq ft): be) S 17 Will there be a change of use? ❑ yes J no If yes, extent of change: (Attach additional sheet if necessary) — Will there be rack storage? ❑ yes ® no Existing fire protection features: ❑ sprinklers ❑ automatic fire alarm 21 none ❑ other (specify) Will there be storage of flammable /combustible hazardous material in the building? ❑ yes M no Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets ,00 CITY OF T UI DWI LA Permit Center 6300 Southcellter Blvd,, Suite 100 Tukwila, WA 98188 (206) 431 -3670 Commercial / Multi - Family Tenant Improvement / Alteration Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. APPLICANT REQUEST FOR PUBLIC WORKS SITE /CIVIL PLAN REVIEW OF THE FOLLOWING: (Additional reviews may be determined by the Public Works Department) ❑ Channelization /Striping El Curb El Fire Loop /Hydrant (main to vault)II: ❑ Land Altering 0 Cut cubic yds. ❑ Sanitary Side Sewer #: ❑ ❑ Storm Drainage ❑ Street Use ❑ ❑ Water Meter /Exempt II: Size(s): El Water Meter /Permanent It Size(s): ❑ Water Meter Temp # Size(s): Est. quantity: gal El Miscellaneous cut/Access /Sidewalk Size(s): 0 Fill ❑ Flood Control Zone ❑ Hauling cubic yds. El Landscape Irrigation Sewer Main Extension 0 Private 0 Public Water Main Extension 0 Private 0 Public 0 Deduct 0 Water Only Schedule: Value of Construction - In all cases, a value of construction amount should be entered by the applicant. 1 his 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 1130 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. Date application . accepted: j / / �v / I I /30/110 opermil. (l((. Date application expires: Project N►.,uber: Permit Numbert 57 is. Application taken by: (initials) ■ PLEASL SIGN BACK OF APPLICATION FORM BUILDING OWNER OR AUTHORIZED AGENT: Signature- dam? � _ Date: //_ 9 - o r Print name: 41//x, J, /� 1:,-;7 2 . c' .. `ticvj ( Phone: c;;206 ` ���� i Fax #: Address City /State /Zip ❑ ❑ Complete Legal Description 11 /30 /00 ciperudr.doc ffikifit -0)(9/4 ❑ ❑ SEPA Checklist - if intensification of use (check with Planning Department for thresholds). ❑ ❑ land use or SEPA decisions. AtPLICATI • 'S MUST BE SUBMITTED WITH THE ' • LLOWING: » ALL DRAWINGS TO BE STAMPED BY WASHINGTON STATE LICENSED ARCHITECT, STRUCTURAL ENG�NER'OR`CIV`L ENGINEER • ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN • BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED N/A SUBMITTED ❑ ❑ Metro: Non - Residential Sewer Use Certification if there is a change in the amount of plumbing fixtures (Form H -13). Business Declaration required (Form H -10). Four (4) sets o f worang drawings 'five(5) sets for structural work), whic incl : � Site Plan (including existing fire hydran 1. North arrow and scale 2. Property lines, dimensions, setba s, names of adjacent roads, any proposed or existing easements 3. Parking Analysis of existing . proposed capacity; proposed stalls with dimensions 4. Location of driveways, p. ing, loading & service areas 5. Recycle collection lo• tion and area calculations (change of use only) 6. Location and scr ping of outdoor storage (change of use only) 7. Limits of cleaji g/grading with existing and proposed topography at 2' intervals extending 5' beyond property's boundarie 8. Identif ocation of sensitive area slopes 20% or greater, wetlands, watercourses and their buffers (change of use only 9. Id Citify location and size of existing trees that are located in sensitive areas and buffer (TIM 18.45.040), of those, 'dentify by size and species which are to be removed and saved = H . Landscape plan with irrigation and existing trees to be saved by size and species (exterior changes or change of use W only) a 11. Location and gross floor area of existing structure with dimensions and setback J U 12. Lowest finished floor elevation (if in flood control zone) U O 13. See Public Works Checklist for detailed civil /site plan information required for Public Works Review (Form H -9). W MI ❑ Floor plan: show location of tenant space with proposed use of each room labeled J U w ❑ ❑ Overall building floor plan with adjacent tenant use; identify tenant space use and location of storage of w0 ai 0 any hazardous materials; dimensions of proposed tenant space. g - w Q ❑ ❑ Vicinity Map showing location of site rn d w Z F.. F- O Z W ❑ ❑ Indicate proposed construction of tenant space or addition and walls being demolished 0 U ❑ ❑ Construction details 0 t-- w w ❑ Cl Sprinkler details - details of sprinkler hangers, specifically penetrations in structure, i.e., roof; size of water H H supply to sprinkler vault with documentation from contractor stating supply line will meet or exceed �!- p sprinkler system design criteria as identified by the Fire Department. LLj Z UW 9 O ~ Rack Storage: If adding new racks or altering existing rack storage, provide a floor plan identifying rack layout and all exit doors. Show dimensions of aisles, include dimensions of height, length, and width of rack. Structural calculations are required for rack storage eight feet and over. Washington State Non - Residential Energy Code Data shall be noted on the construction drawings. Attach plans, reports or other documentation required to comply with Sensitive Area Ordinance or other ❑ ❑ Food service establishments require two (2) sets of stamped approved plans by the Seattle -King County Department of Public Health prior to submitting for building permit application. The Department of Public Health is located at 999 Third Avenue, Suite 700, Seattle, WA or call (206) 296 -4787. (Form H -5) ❑ ❑ Copy of Washington State Department of Labor and Industries Valid Contractor's License. If no contractor has been selected at time of application a copy of this license will be required before the permit is issued OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ". Building Owner /Authorized Agent If the applicant is other than the owner, registered architect /engineer, or contractor licensed 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 1 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. Z i t *- 0,.* ** * * *A• ** '***************.****** * * * *• **A- * * * * ** * *•k0.4 •4r**** CITY .OF TUKWILA, WA Reprinted: 13/28/01 10:12 TRANSMIT TRANSMIT: Number : R0101496 Amount: 43.28 11/28/01 10:10 Payment Method : CHECK Notation : CANYON ESTATES. In i t : SKS Permit No: D01 -375 Type :.DEVPERM DEVELOPMENT PERMIT..'` Parcel No: 133250 0880 :.: Address: 15200. 65 AV S Total Fees: 43.28 his Payment 43.28. Total ALL Pmts: 43.28 y Balance: 00 **** * °* * * * * * *• * * * *. * * * * * * * *• * * * * * ** * *. * *A• * * **• * * * * * * * ** * * * *• * * * * * * * *** Account Code De cri pti on Amount 000/322.100 BUILDING - RES 23.50 000/345.830 PLAN CHECK - RES 15.28 000/386.904 STATE. BUILDING SURCHARGE 4.50 11/3.0 30 971.6 TOTAL. 4 , 2 8 �'.. 1f ♦ 1 .�• U 1 P ect• T .e oUnspect'on: Address: ls /p 0a ` S' ,v c / ed: / �2o U r Special instructions: . . Date w e : C1 " a.m. Requester: / x K i . f H,/ Phi e ! / ..:. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 COMMENTS: Qc-/ 5 'A- r � c// ,L ■ I E Approved per applicable codes. Date:/2 E $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: INSPECTION RECORD Retain a copy with permit Corrections required prior to approval.. . C Ac:, :6i �txGU >cs,' PERMIT NO. (206)431 -3670 W OC 2 00 cn . • W w i s J 1 N LL W O c -J to 1w -- _ Z F- Z O UJ W U D 0 H W W H LI til 0 O I-- 71 :%+"?;,'iiirr:A:i + >; t { «,iis: f, 4 • By te / ,2,7- 602- ,..... Z( 0 . s.- ermit No. 6 -- ' ------ E — i . 14 P(X.GW (151) AM t ar ot c, 0 blc 6 ?aloe ) ,..7... , ..._ .......,.......r...r.....,.......m............... . ,A^ 4\..41c-t) girt-v-1(.11A: Atc,%-(c-ptc. -,pt\WeAt - re — re 13t ( 1150 Alhax) 360.6 S 63 - 2. cf 2— At' — - 2_i 4*- t F. ) ()N z z Nvr vimani JO A1.10 03/113038 . a 2-) 0 CITY OF TUKWILA APPROVED su pia ado tract 4 JAN 2 4 Z002 ( ) I 7 tkediAs NOIED i . ef\tc. (6 6‘ 0 . 4 iSyy NG D1v?MDN i FILE COPY V c '. smosonamogromossal • • - C , /9.LNB3 .1.11 ••••••••••••■••••••••••••••••••■••••■■••11.1 tand that the Plan Check approvals are -at to errors and omissions and approval of s does not authorize the violation of any ted code or ordinance. Receipt of con- r's copy of approved plans acknowledged. ■•••••,,..• •••• 4 (6( 3 E.E J P CI 2. . F 6tovut,ti ' .N CY ILI o ` f .2 ILct .17 UI _. • Z 1.- F- o w ~' • o '3v • �r . 27 • ce S5� 0 • ill' a .� w Z '•: Z ' :_ Ca ) l/ 4 los X 17 V — =7 3 $r ' 11 4- PA , 46i r'D 5 ,ZSte,.: o• , C1 N P p R \1 hp S M (�,�i 2, 11 11 � \'" �bi °t'�„ C3 ) t -` i? ( ?24- fr acyrt2f oe2o0F5F 1c a v FLU ivr C� iI) 14 ��. .: rro tt.i sr I Cam. -- r2.4-1.-15.. =N ? i f)4 > TP-A FE r ors.. (..../7‘) To " N 0-rMeit 4c-1"'_ LL Ct WI- , fle_ 1, t' 0,04- A TV i) S L.-Q) ....... t „ ' .., F =._ (A, `�;,..,, 11 tp k 0.74 1 /z "i AE:ruaL f V1. 30 2 4 "%1 "rovi.fru/ lo' a 3 0,5 I c: Os ry Z `, � W 0 0 0. to 0 W Jam. N u. W O . g J LL Q H W. H Z 1- 11.1 uj O I- w • w o . iii z O tA'. H am :: Z z->(41 L.62 NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. _ ! 1 1 77(2 GON. t pir - ?_ at4 aq- / • Zel" - r - r4 _ 141. -2 6' 5 )(4 G2 k117 • 15 • -- r0 • _ -1 / 11 dPX L-Ae-rg, • g% VI Ok <I iT . . 1 11. Z- 1Co. 1 1-41-14 "T`rP 2)t I i411-a;7 7r2 G - r - ri•e6.4-3zeo. ef A 3Z 12 LrJ/ - eprr, 4 s-k•--, 4- t3 r it NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. I 11 SCc'44 Ut 1`1 TERED - i - CT• IS; f.:1!NGTON1 rs-1 0 t•- • - r •••••. t 400 STATE 0 • ARCUI tri - 5 I rf--11"0---ve2 I.Fctl • 41,1 -- Zoki4 14- x 5..fri 1‘ 4 •.e201.. - Vtaefir'or NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. May 6, 2002 Mark Riggleman 15136 65th Avenue South Tukwila, Wa 98188 RE: Permit Application No. D01 -376 15200 65th Avenue South Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the Building Official under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: A progress inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Building Code does allow the Building Official to approve a one -time extension up to 180 days. Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection or request and receive an extension prior to June 29, 2002, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Stefania Spencer Permit Technician City of Tukwila Department of Community Development Steve Lancaster, Director Xc: Permit File No, D01 -376 Bob Benedicto, Building Official • Call the City Of Tukwila Permit Center at (206) 431 -3670 to schedule a progress / final inspection Steven M. Mullet, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 - 3665 DESCRIPTION OF WORK CUT OUT DRY ROT ABOUT 3 ft. OF THE FIRST FOUR 2X12'S AND THE NEXT FOUR ABOUT ift. THAN MARRY UP NEW 2X12'S TO THE EXISTING ONES PUTTING THE NEW 2X12'S PASSED THE HEADER 3ft. (under floor) AND 18" (inches) FOR NEXT FOUR. BOLT THE NEW 2X12'S TO THE EXISTING ONES FOUR %2 "(inch) BOLTS AND FLAT WASHERS PASSED THE HEADER AT 18 "(inches) UNDER FLOOR. TWO ' /2" BOLTS AND FLAT WASHERS AT THE CUT OFF END AND PUT WOOD SCREWS AT 2ft. ONE AT TOP & ONE AT BOTTOM IN BETWEEN THE BOLTS. PUT 2X4'S AT THE BOTTOM OF THE 2X12'S WITH WOOD SCREWS FOR NEW DRY WALL AND PLY WOOD. PUT IN NEW VENTS AND PUT NEW FLOOR ON DECK WITH 3/4" (inch) PLYWOOD. PUT NEW AND OLD PICKETS WITH NEW AND OLD HANDRAIL AT 4ft. AND PICKETS AT 4 "(inch) APART. (-1c_t.. �F� - �-� cs3c5ot>. ACTIVITY NUMBER: D01 -375 DATE: 01 -22 -02 PROJECT NAME: CANYON ESTATES CONDOMINIUMS SITE ADDRESS: 15136 65 AVENUE SOUTH Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # X Revision # 1 After Permit Is Issued DEPARTMENTS: Building Division ( - Z 2 Public Works PERMIT COORD CUrY PLAN REVIEW /ROUTING SLIP Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete 1 Incomplete Comments: TUES /THURS ROUTING: Please Route Fr Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: (ten days) V Approved I I Approved with Conditions CORRECTION DETERMINATION: Approved \PRROUTE.DOC 5/99 Approved with Conditions REVIEWER'S INITIALS: I I Planning Division I I Permit Coordinator DUE DATE: 01-24-02 Not Applicable ri I I No further Review Required I i DATE: DUE DATE 02 -21 -02 Not Approved (attach comments) DATE: DUE DATE Not Approved (attach comments) REVIEWER'S INITIALS: DATE: ACTIVITY NUMBER: D01 -375 DATE: 11 -28 -01 PROJECT NAME: CANYON ESTATES CONDOMINIUMS SITE ADDRESS: 15200 65 AVENUE SOUTH X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Is Issued DEPARTMENTS: Bed Building Division Tor I I t- 2�t-ol Public Works p4.g5 [ 1-29-0f PLA?R9TING SLIP Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: TUES /THURS ROUTING: Please Route REVIEWER'S INITIALS: Incomplete Structural Review Required APPROVALS OR CORRECTIONS: (ten days) Approved REVIEWER'S INITIALS: CORRECTION DETERMINATION: Approved \PRROUTE.DOC 5/99 Approved with Conditions Approved with Conditions REVIEWER'S INITIALS: Fire Prevention Agi i l(2R -o Planning Division Permit Coordinator DUE DATE: 11-29-01 Not Applicable No further Review Required DUE DATE 12 -27 -01 Not Approved (attach comments) DATE: I DATE: DUE DATE Not Approved (attach comments) DATE: w re 6 0 0 ' w= J CO w 0, 2 g Q = z � Z O U0 'O N .0I- w W. = H U lL 0 . 1 0 g ( O . z Revision I No. I Date Received Staff Initials Date ' . ''Stag I issued ! Initials ' I i-»'Qaa JCl f 1 Summary of Revision: / , diC (., J14 tt 11.1 11 _. 1 0 Summary of Revision: 41A_44L4d Received By: /4,C /z !L , ?lr+«i?t7/,✓ Revision No. Date Staff I Received ; Initials Date i Staff I Issued Initials I Summary of Revision: I Received By: • Revision No. . 1 Date Received Staff I Date I Staff Initials I Issued ` Initials Staff I Initials ; - Summary of Revision: I Received By: Revision No. Date Received j y Staff I Initials ; - Date Issued I Staff Initials 1 Summary of Revision: Received By: 1 Revision No. Summary of Revision: PROJ ECT NAME:l:tt/ 4 f,0/Zt, 1 > Letc Site Address: /5/3(o 6,5 lam_ . - Date Received REVISION LOG Staff Initials PERMC JO:. DO / Original Issue Date: /a 0-O/ Received By: Date Issued (please print) (please print) (please print) (please print) (please print Staff Initials pr Z n, QQ 2 J U O 0 CO U) J H, N u. w 0 } J co 2 W t~ _ Z � I- o Z I- VO O N . 0 I- W W • U u" O .. Z Lb U= P. I- Z Date: a a ' Project Name: / — 0 7 07 —0? City of Tukwila Department of Community Development - Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 (206)431 -3670 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Response to Incomplete Letter # Response to Correction Letter # Revision # / after Permit is Issued ta=ctim . Plan Check/Permit Number: 3 7 S � �bT� Dl3�IL Project Address: ,� x Contact Person: `� j ��1' I,L1[4 Phone Number: - "W .0 Summary of Revision: w _�' 2 GI mail c m 0 , 94 1 4 1 '4 1 AO 2 4 10. . CITRECEIVED , ,k , ._ , n f d. PERMIT CENTER Sheet Number(s): CO' "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: E " Entered in Sierra on 08/30/00 Date: /' "'? '(7,2 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # Revision # L after Permit is Issued Plan Check/Permit Number: City af Tukwila Department of Community Development - Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 (206)431 -3670 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Project Name: e Project Address: A1 Contact Person: J4M 1 � !� Phone Number: 7I rW 0 r7 Summary of Revision: :awiJk)a. env OF TUKWILA JAN 2 r? ?i107. PERMIT C.Z:W i Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: in Sierra on .d am 08/30/00 ko ;bAW7d ;MOO:- AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON COUNTY OF KING CITY OF Tr'cWILA Permit Center 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 Telephone: (206) 431 -3670 s s. fIt)QS g N{4Ier , Con v „4 Eslet(CS , states , as follows: 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 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. /3" , 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 wor. AFFCONT 1/13/00 • APP IC L NT Sign - and sworn to before me this 10 day of ;: H -4 ,2011 . NOTARY PUBLI n and for the State of Washington, residing at � J County. Name as commissioned: 'dab S�)d2Y My commission expires: 6 18.27.090 Exemptions. This chapter shalLQot apply to: 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; 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; 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; 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 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 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.