HomeMy WebLinkAboutPermit M03-087 - GRAF RESIDENCEGRAF RESIDENCE
14153 37 AV S
EXPIRED 02-28-06
M03-087
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 1523049114
Address: 14153 37 AV S TUKW
Suite No:
Tenant:
Name: GRAF RESIDENCE
Address: 14153 37 AV S, TUKWILA WA
Owner:
Name: GRAF MERLEN W +KATHLEEN M
Address: 14153 37TH S, SEATTLE WA
Contact Person:
Name: MERLEN GRAF
Address: 14153 37 AV S, TUKWILA WA
Contractor:
Name: OWNER AFFIDAVIT IN FILE
Address:
Contractor License No:
Value of Construction:
Type of Fire Protection:
The granting of this permi
regulating construction
Signature:
Print Na
doc: Mech
$1,000.00
N/A
MECHANICAL PERMIT
DESCRIPTION OF WORK:
INSTALL NEW GAS UNIT HEATER IN 2ND STORY ADDITION TO DETACHED GARAGE.
Permit Center Authorized Signature: '7'���G,�L (J-4_ -(e
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.
oe • prey
perform �i
e authority
M03 -087
Permit Number: MO3 -087
Issue Date: 09/03/2004
Permit Expires On: 03/02/2005
Expiration Date:
Phone:
Phone: 206 - 551 -5265
Phone:
Fees Collected:
Uniform Mechnical Code Edition:
Date: ( /U3
olate or can h p ovisions of any other state or local laws
nd obtain this mechanical pe/'mit.
Date: /
v;4-&---
$47.88
1997
This permit shall become null and void if the work is not commenced ithin 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 -03 -2004
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 1523049114
Address: 14153 37 AV S TUKW
Suite No:
Tenant: GRAF RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: M03 -087
Status: ISSUED
Applied Date: 06/02/2003
Issue Date: 09/03/2004
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: All construction shall be done in conformance with the approved plans and the requirements of the international
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
5: Manufacturers installation instructions shall be available on the job site at the time of inspection.
6: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department
of Labor and Industries (206/248 - 6630).
7: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
doc: Conditions
* *continued on next page **
M03 -087 Printed: 09 -03 -2004
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does of pres
regulating constructi • or t • erfor
Signature:
Print Name:
doc: Conditions
to give authority to violate or cancel the provision of any other work or local laws
ork.
A ■
NAff)littf
M03 -087
Gl' � 3 •f� C�
Date:
Printed: 09 -03 -2004
Site Address: ! 53 - 31 CL c�C�
Tenant Name:
)
Property Owners Name: M 2c M ES a r - ,e
Mailing Address:
;CONTACTTERSO
Name: ( { P /f-
Mailing Address:
E -Mail Address:
:::GENE ItAI CONTRACTOR INFORMATION -',
Company Name:
Mailing Address:
city
Day Telephone:
E -Mail Address: Fax Number:
Contact Person:
Contractor Registration Number: Expiration Date:
**An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance**
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
appticatiowtpermit appliaiion (34003)
32003
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print**
Page 1
King Co Assessor's Tax No.: l o 2 3O y r'/ / )
Suite Number:
City
Floor:
New Tenant: [] .... Yes
State
Day Telephone:
1 • (LA - C I S1
City State Zip
Fax Number: 2.0 t z...4 Z - 334
State
❑ ..No
Zip
Zip
City
Day Telephone:
Fax Number:
State
Zip
ENGINEER OrRECO,RD —,411 plums must be w amp
et spa by E cord
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
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Valuation of Qlecttcpntractogybid price): t _ Existing Valuation: S
Scop� 014 plojTdf etailed infori on): ( A-1A. 2-4X1 ° t - () 1tC
* I'te'!‘" ) - drd
Will there be new rack storage? ❑ ..Yes ❑ .. No If "yes ", see Handout No. for requirements.
IU .Floor
2"O
3'°: Floor
Floors
Basement
Accessory Strti
Attached:Gant e:
Detached G
Attached C
Detached 'C
Covered'Dec
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.Uncovered Dec
xisting
rov de Ali Bdilding,Areas'id Square Footage Belo
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emodet
Addition•to
1"sx
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ew:
� oiistruction
:7per UBC
citpaney, per
UBC
PLANNING DIVISION:
Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling:
'Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ .... Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑.. Sprinklers 0-Automatic Fire Alarm ❑..None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes ❑ ..No
If "yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets.
bpplicatiou'*permit application (3.7003)
3/2003
Page 2
Scope of Work (please provide detailed inglation);
AD iv� , j\ ' added
'-O S7 9 . er • ,. II ,p
Please refer. td Pubiic'Work Bulletin' #1 foe t es;and estiit ate;sheet. :;
Water District
0...Tukwila `iO(" Water District #125
0...Water Availability Provided
Sewer District �,(
0...Tukwila ValVue 0.. Renton 0...Seattle
0...Sewer Use Certificate 0... Sewer Availability Provided 0 .. Approved Septic Plans Provided
❑...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department.
Submitted with Application (mark boxes which apply):
0...Civil Plans (Maximum Paper Size -22" x 34 ")
❑...Technical Information Report (Storm Drainage)
0...Bond 0 .. Insurance 0.. Easement(s)
Proposed Activities (mark boxes that apply):
❑ ...Right-of-way Use - Nonprofit for less than 72 hours
0 ...Right -of -way Use - No Disturbance
0 ...Construction/Excavation/Fill - Right -of -way
Non Right -of -way
❑...Total Cut
❑...Total Fill
cubic yards
cubic yards
❑...Sanitary Side Sewer
❑...Cap or Remove Utilities
0 ...Frontage Improvements
0 ...Traffic Control
0 ...Backflow Prevention - Fire Protection -
Irrigation
Domestic Water
❑...Permanent Water Meter Size...
0...Temporary Water Meter Size..
0... Water Only Meter Size
0 ...Sewer Main Extension Public _
0... Water Main Extension Public
FINANCE INFORMATION
Fire Line Size at Property Line
❑ ...Water 0 ...Sewer
Monthly Service Billing to:
Name:
Water Meter Refund/Billing:
Name:
Mailing Address:
tappliationepa t%it application (7.2003)
7/2(107
H
.
Call before you Dig: 1-800-424-5555
/IC 'e--
0 .. Abandon Septic Tank
❑ .. Curb Cut
0 .. Pavement Cut
0 .. Looped Fire Line
. .
WO#
WON
WO#
Private
Private
Page 3
❑ .. Highline
0 .. Work in Flood Zone
0 .. Storm Drainage
Number of Public Fire Hydrant(s)
0 ...Sewage Treatment
City
0 ...Renton
❑ .. Geotechnical Report ❑...Traffic Impact Analysis
0.. Maintenance Agreement(s) 0... Hold Harmless
[] .. Right -of -way Use - Profit for less than 72 hours
.. Right -of -way Use — Potential Disturbance
0 .. Grease Interceptor
0 .. Channelization
0 .. Trench Excavation
0 .. Utility Undergrounding
❑...Deduct Water Meter Size
A s1-41\ 0:x•0,3
e we R
Day Telephone:
Mailing Address:
City State Zip
Day Telephone:
State
Zip
Unit Type: " _
Qty
Unit Type:
Qty
Unit Type: .:
Qty
Boiler /Compressor: .
Qty
Furnace <100K BTU
Air Handling Unit
> =10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace>100K BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mountcd Heater
Ventilation System
30 -50 HP/I,750,000 BTU
Appliance Vent
Hood
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm/1nd
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: ,•77r/'. ( i<-- 3 Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
**An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): / � 1 r ' uJ . L e . / J < / ? 6 ,4 '
Use: Residential: New ...X Replacement ....❑
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas ... . Other:
Indicate type of mechanical work being installed and the quantity below:
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 QF P • RJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Signature: � R O AUTHO' 1 D AG • NT:
nature: . i .QGt( - e2
Print Name: (1.k< k (F6V
Mailing Address:
■applicatiau\prmit application (12003)
3200)
Page 4
Date: 67) — o 2 _ 0 �%
Q ' Qly Telephone: 7,C)(0 - SS 1 � 9 - 6C �.
)l 1 �.
Zip
City
State
Date Application Accepted:
07 -- 0.3
1 Date Application Expires:
Staff Initials:
1
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 1523049114
Address: 14153 37 AV S TUKW
Suite No:
Applicant: GRAF RESIDENCE
Receipt No.: R04 -01186 Payment Amount: 47.88
Initials: LAW Payment Date: 09/03/2004 11:20 AM
User ID: 1630 Balance: $0.00
Payee: MERLEN & KATHLEEN GRAF
Payment Check 5216
ACCOUNT ITEM LIST:
Description
doc: Receipt
MECHANICAL - RES
PLAN CHECK - RES
RECEIPT
TRANSACTION LIST:
Type Method Description Amount
Permit Number: MO3 -087
Status: APPROVED
Applied Date: 06/02/2003
Issue Date:
47.88
Account Code Current Pmts
000/322.100 38.30
000/345.830 9.58
Total: 47.88
46(41 09/03 9716 TOTAL 47.813
Printed: 09 -03 -2004
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Type�f nspection:
Address:
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D a te C alled: J k5-
Sp
cial Instructions:
Date Wanted: 9 (t) a .
p.m.
Requester: /
lit. 2�
PMt o:
) �� .R +3,3 g0
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
(20 • )431 -3670
Qections_requ re prior to approval.
COMMENTS:
NWT r'<i 3 (`
(lam 44 e
8.00 REINSPECTION
paid at 6300 Southcen
I ecelpt No.:
DateL
v�
EE REQUIRED. Pri)to inspection, fee must be
r Blvd., Suite 10i(Call to sechedule reinspection.
!Date:
Project Name:
Site Address:
A.
B.
C.
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
RESIDENTIAL HEATING AND VENTILATION COMPLIANCE FORM
(Complete Sections I and II for Group R Occupancies 4 Stories or Less)
1.
2.
3.
Effective: 7/1/02
tapplicationstheatinp and ventilation system - form h-6 (7.2102)
MECHANICAL PERMIT APPLICATION NO.:
BUILDING PERMIT APPLICATION NO.: D --/0
3 7 _
I. WASHINGTON STATE ENERGY CODE HEATING DESIGN METHOD (select A, B or C below):
❑ System Analysis — W.S.E.C. Chapter 4 (submit documentation)
❑ Component Performance Approach — W.S.E.C. Chapter 5 (submit documentation)
❑ Prescriptive Option — W.S.E.C. Chapter 6 (for prescriptive, complete the following calculation):
House Square Footage (heated space): 5/:
7
X 20 BTU /h
r ri m ���� LIq
A.PpRov
AUG 2 3 2004
City Of Tukwila
''��` aj ursIOiv
A. ❑ Ventilation by Performance or Design Method - W.S.V.I.A.Q. Section 302 (submit documentation).
B. ❑ Prescriptive Ventilation Options - W.S.V.I.A.Q. Section 303 (select one of the following):
1. ❑ Ventilation using Exhaust Fans (Section 303.4.1.)
❑ Exception for outdoor air inlets — Forced air heating system w /interior doors undercut''/:"
2. ❑ Ventilation integrated with Forced Air System (Section 303.4.2.)
3. ❑ Ventilation using Supply Fan (Section 303.4.3.)
4. ❑ Ventilation using Heat Recovery System (Section 303.4.4.)
❑ Prescriptive Minimum /Maximum Outdoor Air Calculation specified in Table 3 -2 (see reverse side of form).
= /0 Maximum BTU
❑ Heating System Installed, (check system type below):
1. ❑ Electric Resistance
2. ❑ Electric (forced air)
3. 1 Other Fuels (gas, heat pump)
11. WASHINGTON STATE VENTILATION AND INDOOR AIR QUALITY CODE (selec
House Square Footage:
House Number of Bedrooms:
Required Outdoor Air Table 3 -2: Minimum - cfm
Maximum - cfm
Pe, nit Center /Building Division:
206 - 431 -3670
Public Works Department:
206 - 433 -0179
Planning Division:
206 - 431 -3670
A/W3 ---0g 7
Floor
Area, ft2
Bedrooms
Maximum Length
Feet
2 or less
3
4
5
6
7
8
70
Min
Max
Min
Max
Min
Max
Min
Max
Min
Max
Min
Max
Min
Max
<500
50
75
65
98
80
120
95
143
110
165
125
188
140
210
1.1, •Pit
4 .:5Chf- 1
-�
ry55
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=•83:.
;',i�7b: =..
:
4 ,
rti105•
,-, y
: 85�:"
r.128�;�
1
.r f s1f�0?r
.� :'
, 150 -;
:`;:14V
�47.3't
.:.:1:30' *`
',1955:
' 3... < .... .
. :.'r.2113: a:
1001 - 1500
60
90
75
113
90
135
105
158
120
180
135
203
150
225
1.2!
:.'.65.1
''=
_:80;J
:4120 =
. 95' ,
.'::143 i
110r
: ;'165
, 125 1 .
;"t88•
140.3.
;
';,233::
2001 - 2500,
''105
85
128
100
150
115
173
130
195
145
218
160
240
'"2501 =30 ,.'. ,
..r'y5';4
;1`.13'.
h890 ;gin°•
Z435c
;1'05'c
;Mel
i' 120'.
`G`1'80=:
x:135
;i1031, "
450
1'125A
�a16V.
. 42481,
3001 - 3500
80
120
95
143
110
165
125
188
140
210
155
233
170
255
3501 -- 40011:7 ,;
135 5;
;128'
100.:
;150 ?:
:6'1:1.5
173'
':130'a
. 195?
'145
=218':
1.60
:'240:
;;1°75
':263^»
4001 - 5000
95
143
110
165
125
188
140
210
155
233
170
255
185
278
':.` ":5.001 - 6000*;'
::7.05
158`'.
`'•120 :"
'MAW.;
:'4135':;
`403':
450 =`
':2257;
465'
'24£0.
;180 "1.
=270'
= `195<
:'1293`0
6001 - 7000
115
173
130
195
145
218
160
240
175
263
190
285
205
308
• ;100141000 ;`.
';125''
<';188':'•.
'140 ^x;
1210k1,A55'
i'233t
`:110 .
;'
.i1.85
" ;278'
;200
-1300
421.5 :•
: »32P
8001 -9000
135
203
150
225
165
248
180
270
195
293
210
315
225
338
; :x.9000 :i ' -
0145 r'r 218;:
: <160 1:'
'i240. ==
:41 :75':
' °263 :!
, ;190"::.
'285 :r
205:'
x308
7'!2208.
= ;3305:
'235:
; 353
Fan Tested CFM
0 0.25" W.G.
Minimum Flex
Diameter
Maximum Length
Feet
Minimum Smooth
Diameter
Maximum Length
Feet
Maximum
Elbows'
50
4 inch
25
4 inch
70
3
. „' ,, "v':.v
_ ..� r : :,.• :•r : :.,.... _
^.fu ° '.: ...` , 1:;'
.a�,i., :.Sincii..r: ,.
>. .. :;�,90 � -?; - ..,'-;;;=.7. , ..
:�'1.Tti`' ���5 "'•;; , ` :.-.
_ ..)
:100:..... ..
:Yli: - :1: RV.,;i. _
� •. :3�x� :,..� {,.,,..
50
6 inch
No Limit
6 inch
No Limit
3
,��
; ,r�,., :,-.,�
'•e ' ;��'�.BiD ✓d! :r,,,, •.�, +',
St •' Ii -.2•+'
;..'! °- .r...' t"
'Sy.� +.t:. i
�;�
,... ~:.. ..
:ic -.n . - -
� += 14.'4`1.
..... - . .. . .
`y.:. : ' . V i 7 t ...
~`��... r .i; :•...;�;
.�i20'r,.... .
.i1'W.�\ i.': �..
_- ... �r.3..,.�., �...�
� +`''. . .. r: ,
80
5 inch
15
5 inch
100
3
' - !.. �. t
T;:•VA 1:'
; c.•_ ; .i 5? +
v c -M,- c .),i
:i <.i i19'•c1 ;5ilnr.y. -..
. �:..,;�- ..3sf”' :. : :, •� ::�:
100
5 inch'
NA
5 inch
50
3
:',',1101:P:',;:::::"''.
r c.;6.inch , , ..,,
45 .
6'inck `,
'No.Lirriit '
' 3... < .... .
125
6 inch
15
6 inch
No Limit
3
.:125'; - •,? :'?'
�;
F r'.. .:7. mCh 7 .
„ X70: S. .
r .. ✓ " i -
pinch = -
-"::;:.:-;%':: , a
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. , . . ' :';f-
3 '
TABLE 3 -2
VENTILATION RATES FOR ALL GROUP R OCCUPANCIES FOUR STORIES OR LESS
Minimum and Maximum Ventilation Rates: Cubic Feet Per Minute (CFM)
For residences that exceed 8 bedrooms, increase the minimum requirement listed for 8 bedrooms by an additional 15 CFM per
bedroom. The maximum CFM is equal to 1.5 times the minimum.
1. For each additional elbow subtract 10 feet from length.
2. Flex ducts of this diameter are not permitted with fans of this size.
Effective: 771102
tapplicationstheallnp and ventilation system — form h-6 (7.2002)
TABLE 3 -3
PRESCRIPTIVE EXHAUST DUCT SIZING
08 -03 -2005
MERLEN GRAF
14153 37 AV S
TUKWILA WA 98168
RE: Permit No. M03 -087
14153 37 Ar
Dear Permit Holder:
Thank you for your cooperation in this matter.
Sincerely,
Brenda Holt,
Permit Coordinator
xc: Permit File No. M03 -087
Bob Benedicto, Building Official
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Building Code and /or the International Mechanical Code, every permit issued by the Building Division 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:
Call the City of Tukwila Permit Center at 206- 431 -3670 to arrange for the next or final inspection.
This 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 and receive an extension prior to 09/02/2005, your permit will become null and
void and any further work on the project will require a new permit and associated fees.
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
1
02 -07 -2005
MERLEN GRAF
14153 37 AV S
TUKWILA WA 98168
RE: Permit No. M03 -087
14153 37 AV S TUKW
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 International Building Code and/or the International Mechanical Code, every permit issued by the Building Division 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:
This 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 -tine extension up to 180 days.
Extension requests must be in writine 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 and receive an extension prior to 03/02/2005, 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
xc: Permit File No. M03 -087
Bob Benedicto, Building Official
City of Tukwila
Department of Community Development Steve Lancaster, Director
Call the City of Tukwila Permit Center at 206 - 431 -3670 to arrange for the next or final inspection.
Steven M. Mullet, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206-431-3665
PERMIT COORD '�.•�� ,,
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M03 -087 DATE: 06 -02 -03
PROJECT NAME: GRAF RESIDENCE - GARAGE ADD'N
SITE ADDRESS: 14153 37 AV S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Is Issued
DEPARRTMEN
Buildi�fg'bivision
Public Works ❑
Documents/routIng slip.doc
2 -28.02
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Fire Prevention
Structural
REVIEWER'S INITIALS:
PERMIT COORD COPY
Planning Division
❑ Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 06 -03 -03
Complete El Incomplete ❑
Comments:
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS R�TING:
Please Route Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
DUE DATE: 07 -01 -03
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions ( Not Approved (attach comments) ❑
Notation:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
STATE OF WASHINGTON)
) ss.
COUNTY 0 KING )
d 'fri/1 I ee iltakettA v AC states as follows:
[please print] r
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO.: 0103 -087
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. jg , and will therefore not be performed by a registered
contractor.
I understand that I may be waiving certain rights that I might of rwise
unregistered contractor to perform construction work.
\applications\8 -2004 affidavit in lieu of contractor registration
AP ICA
igned and sworn to before me this
state law in any decision to engage an
3 rcl day of --Cep hi her
NOTARY PUBLIC in and forate of Washington,
Residing at k 1 h 3
Name as commissioned:
My commission expires:
Permit Center /Building Division:
206 - 431 -3670
Public Works Department:
206 -433 -0179
Planning Division:
206 -431 -3670
, 207
, County.
A I l C A. Deacy
6-16-08
18.27.090 Exemptions. This chapter shall not apply to:
1.
2. 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;
3. Officers of the court when they are acting within
the scope of their office;
4. Public utilities operating under the regulations of
the utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
5. 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;
6. 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 the structure;
7. 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;
8. 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;
9. 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;
10. Any work or operation on one undertaking or
project by one or more contractors, the aggregate
contract price of which for labor and materials and
all other items is Tess than $500.00, such work, or
operations being considered as of a casual, minor,
or inconsequential nature. The exemption
prescribed in this subsection does not apply in all
instance wherein the work or construction is only a
part of a larger or major operation, whether
undertaken by the same or a different contractor,
or in which a division of the operation is made into
contracts of amounts Tess than $500.00 for the
purpose of the 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;
11. 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 then any of the above work is performed
by a registered contractor;
12. An owner who contracts for a project with a
registered owner;
13. 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
his 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;
14. Owners of commercial properties who use their
own employees to do maintenance, repair, and
alteration work in or upon their own properties;
15. 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;
16. Any person who engages in the activities herein
regulated as an, . employee of a registered
contractor as his sole compensation;
17. 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 pgjfornm highway construction,
reconstruction, or maintenance work.
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\applications\8 -2004 affidavit in lieu of contractor registration