HomeMy WebLinkAboutPermit M03-097 - LARSON RESIDENCECARSON RESIDENCE
14244 55 AV S
M0f-097
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Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Signature:
Print Name:
doc: Mech
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 3365900119
Address: 14244 55 AV S TUKW
Suite No:
LARSON RESIDENCE
14244 55 AV S, TUKWILA WA '
LARSON DAVID V
14244 55TH S, TUKWILA WA
DAVE LARSON
14244 55 AV S, TUKWILA, WA
Contractor:
Name: �l�i' ✓�i`l
Address: ,
Contractor License No:
DESCRIPTION OF WORK:
APPLICANCE VENT (POOL HEATER)
Value of Construction: $1,500.00
Type of Fire Protection:
Permit Center Authorized Signature:
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 th mit does not presu
regulating const • ion or the performa
MECHANICAL PERMIT
G C€it —v �iL
M03 -097
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date:
Phone:
Phone: 206 431 -3678
Phone:
M03 -097
06/19/2003
12/16/2003
Fees Collected: $51.75
Uniform Mechnical Code Edition: 1997
Date:
o give authority to violate or cancel the provisions of any other state or local laws
f work. I am authorized to sign and obtain this mechanical permit.
Date: cv"7
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: 06 -19 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 3365900119
Address: 14244 55 AV S TUKW
Suite No:
Tenant: LARSON RESIDENCE
PERMIT CONDITIONS
Permit Number: M03 -097
Status: ISSUED
Applied Date: 06/17/2003
Issue Date: 06/19/2003
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: Plumbing permits shall be obtained through the Seattle -King County Department of Public Health. Plumbing will be
inspected by that agency, including all gas piping (296- 4722).
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 (206- 835 - 1111).
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: Manufacturers installation instructions required on site for the building inspectors review.
9: Ventilation is required for all new rooms and spaces of new or existing buildings in conformance with the Uniform
Building Code and the Washington State Ventilation and Indoor Quality Code, Chapter 51 -13 WAC.
10: Fuel burning appliances may not be installed in sleeping rooms, U.M.C. 304.5.
11: Appliances which generate flame, spark or glowing ignition, shall be elevated 18 inches above the floor (U.M.C.
303.1.3.).
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 cons a ;jyon or the performance of work.
Signature:
doc: Conditions
1
M03 -097
Date: / —(�
Printed: 06 -19 -2003
SIFE 'LOCATIO
Site Address:
Tenant Name: k^c Oki
Property Owners Name: 42 L,e_ s oz-7
Mailing Address: / 4 72, 4 •7 14 / — r5<c 41
Name:
E-Mail Address:
Contact Person:
E-Mail Address:
Contractor Registration Number:
Company Name:
Mailing Address:
Contact Person:
E-Mail Address:
Company Name:
Mailing Address:
Contact Person:
E-Mail Address:
\Applications\ permit application (3.2003)
3/2003
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
1y2p1- SS 4, r-4-)
Page 1
Building
,
Ptiblic Works Permit No
' C!
:ProjectNo
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**
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
(Foi ojflceiise , 6
Floor:
E .... Yes EJ „No
City State Zip
Day Telephone: 2 6 . 1,-3 /7_776: 3
Mailing Address:
City
Fax Number:
State
::GENERAL.C,ONTRACTOR INFORMATIO
: : F .:•', ,
Company Name:
Mailing Address:
Zip
State
City
Day Telephone:
Fax Number:
Expiration Date:
**An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance**
'ARCHITECT.;,0FRECORD tnnst be Wet stantpe& by Aicititict 'of ftecOe.d.'..:*.;
State
Zip
Zip
City
Day Telephone:
Fax Number:
State
Zip
City
Day Telephone:
Fax Number:
. . . .
• ' • • .*.■ s L.L
Valuation of Project (contractor's bid price): $ Existing Building Valuation: $
ScopE.dfftV prdxide detailed information):
Will there be new rack storage? 0 ..Yes 0.. No If "yes ", see Handout No. for requirements.
Provide All Building. Areas in Square Footage Below ,
l Floor.::
2'•'° Floor ; •
3r Floor
Floors ' thru
•Baset:nent'
Accessory Structure!
Attached Garage -
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck -
Existing
Interior
Remodel .
;Addition to
Existing
Structure
New
Type of
Construction
per UBC
Type of
Occupancy 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? 0 ....Yes ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
D..Sprinklers ❑..Automatic Fire Alarm ❑..None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑..Yes 0..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.
tappticationatpermit application (3.2003)
3/2003
Page 2
pUBLICNVORKS` llsrr`IRMA'TION .206 433=017
Scope of Work (please provide detailed information):
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ ...Tukwila 0... Water District #I25
❑ ...Water Availability Provided
Sewer District
❑ ...Tukwila ❑ ... ValVue 0 .. Renton ❑ ...Seattle
❑...Sewer Use Certificate ❑...Sewer Availability Provided ❑ .. Approved Septic Plans Provided
❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department.
Submitted with Application (mark boxes which apply):
❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ")
❑ ...Technical Information Report (Storm Drainage)
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s)
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 hours
❑ ...Right -of -way Use - No Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way
Non Right -of -way
❑ ...Total Cut
❑ ...Total Fill
cubic yards
cubic yards
❑...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 _
lapplicationslpermit application (3.2003)
3/2003
11
ll
If
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
11
11
Call before you Dig: 1- 800 - 424 -5555
WO#
WO#
WO#
Private
Private
❑ .. Highline
❑ .. Work in Flood Zone
❑ .. Storm Drainage
Page 3
❑ ...Renton
❑ .. Geotechnical Report ❑...Traffic Impact Analysis
❑ .. Maintenance Agreement(s) 0... Hold Harmless
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ...Deduct Water Meter Size
ff
FINANCE INFORMATION
Fire Line Size at Property Line
❑ ... Water ❑ ... Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
❑ ... Sewage Treatment
Day Telephone:
City State Zip
Day Telephone:
City 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
Mounted Heater
Ventilation System
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood
50+ HP /I ,750,000 BTU
Heat/Refrig /Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator - Comm /Ind
ME■AAMGALTERMIT: L. :206.= 431 = 3670
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:_ M— / J 7
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential: New ....4 Replacement ....❑
Commercial: New ....❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas ...14 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 OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNE
Signature:
Print Name:
S 0'—)
Mailing Address: J'- 17i/4-7- c sS "A & SO
C iacI 4sef
Day Telephone:
Tom 1/5"
City
Date: b
2 C /3/ - 3 . 6 . ;;
State Zip
Date Application Accepted:
7- r
Date Application Expires:
/2 /7 - d3
i Staff Initials: c
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lapplicationslpermit application (3.2003)
3!2003
Page 4
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; pity of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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Permit Number: M03 -097 o'
Status: APPROVED co 0 ,
Applied Date: 06/17/2003
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Issue Date: N }
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Receipt No.: R03 -00745 Payment Amount: 51.75 u.. a .
Initials: SKS Payment Date: 06/19/2003 04:08 PM w
User ID: 1165 Balance: $0.00 ? `,
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Payment Check 5671 51.75 W N ,
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Parcel No.: 3365900119
Address: 14244 55 AV S TUKW
Suite No:
Applicant: LARSON RESIDENCE
Payee: DAVE LARSON
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
PLAN CHECK - RES
RECEIPT
Amount
Account Code Current Pmts
000/322.100 41.40
000/345.830 10.35
Total: 51.75
9765 06/23 9710 TOTAL 51.75
doc: Receipt Printed: 06 -19 -2003
COMMENTS:
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Date Called:
,
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p.m.
Requester:
Phone No:
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Project:
Type of Inspection:
Address:
/
Date Called:
Special Instructions:
Date Wanted:
.J `� Q
p.m.
Requester:
Phone No:
3
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
MC
PE: MIT O.
(206)431 -3670
N Approved per applicable codes. 0Corrections required prior to approval.
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.00 REINSPECTION FEE
aid at 6300 Southcenter B
A rA, r'•..
vd., Suite 1
'Date:
_ _ �--
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REQUIRED. F$or to inspection, fee must be
Call to sechedule reinspection.
'Receipt No.:
'Date:
COMMENTS:
Type of Inspection:
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Date Wanted:
a.m.
p.m•
Requester: --
Phone No:
Project: )
Y'SOY\ -P3
Type of Inspection:
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Address: 1 1 4 2- 1 SS Au
Date Called: 11-6-0)1
Special Instructions:
Date Wanted:
a.m.
p.m•
Requester: --
Phone No:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
1vt03 -09
PERMIT O.
(20.)431 -3670
El Approved per applicable codes. O Corrections required prior to approval.
Inspector.
Date: "- S .OLI
El $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:
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Type of Inspecti n: 1
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Date Wanted:
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Address:
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Date Called:
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Special Instructions:
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
El Approved per applicable codes.
(inspector:
INSPECTION RECORD
Retain a copy with permit
PERMIT
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O.
1 -3670
EZ Corrections required prior to approval.
(Date: 5 u
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ri $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd.,ESuite 100. Call to schedule reinspection.
Receipt No.:
IDate:
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Project:
Type of Insp5cttiiin:
,
Address:
Date Called:
Specia Instructions:
Date Wanted:
/2. "-• as-03
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
0 Corrections required prior to approval.
COMMENTS:
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ectoor:
Date:
47.00 REINSPECTION REQUI D. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Calf to schedule reirispection.
Receipt No.:
Date:
PER
(206)431 -3670
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I understand that the Plan Check approvals are
subject to errors an omissions and appr•val of
plans does not auth• - e vio a •n o .:ny
adopted code or ord nance. Receipt of c•n-
tractor's copy of ap.roved plans acknowl dged.
By
FILE COPY
/
Date
i I ra-2 - Trixv-ai ermit No
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SEPARAT PERMIT
REQUIRED FOR:
❑ MECHANICAL
ELECTRICAL
(F LUMBING
IIITGAS PIPING
CITY OF TUKWILA
BUILDING DIVISION
CITY OF TUKWILA
APPROVED
JUN 18 2003
. 4 4(3 !„.'s Ft{i
C:ITYOF
JUN 1 7 2003
PERMIT CENTER
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DEPARTMENTS: 640
Building Dlrisilo
Public Works ❑
Documents /routing slIp.doc
2-28-02
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M03 -097
PROJECT NAME: LARSON RESIDENCE
SITE ADDRESS: 14244 55 AV S
DATE: 06 -17 -03
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Is Issued
REVIEWER'S INITIALS:
Fire Prevention
Structural ❑ Permit Coordinator
PERMIT COORD COPY
Planning Division
K
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 06 -17 -03
Complete 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 RO9TING:
Please Route B Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 07 -15 -03
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:
03 -31 -2005
DAVE LARSON
14244 55 AV S
TUKWILA, WA 98168
RE: Permit No. M03 -097
14244 55 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:
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 05/07/2005, 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 -097
Bob Benedicto, Building Official
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
•+.aJ«n..i... -s a.'.l�S!w:iSN+i::.J.Li.wu ` a4w. t� _11�:.i.:.�..iY<i�u.+..- ...yc. «........+Y.+..11i�.
10 -01 -2004
DAVE LARSON
14244 55 AV S
TUKWILA, WA 98168
RE: Permit No. M03 -097
14244 55 AV S TUKW
Dear Permit Holder:
Thank you for your cooperation in this matter.
Sincerely,
Stefania Spencer,
Permit Technician
xc: Permit File No. M03 -097
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 extension up to 180 dates.
Extension requests must be in writink 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 11/17/2004, 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
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May 5, 2004
Dave Larson
14244 55th Avenue South
Tukwila, WA 98168
Dear Permit Holder:
Sincerely,
City of Tukwila
Department of Community Development Steve Lancaster, Director
RE: Permit Application No. M03 -097
14244 55th Avenue South
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:
• 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 or request and receive an extension prior to June 2, 2004,
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.
Stefanie Sp ncer
Permit Technician
Xc: Permit File No. M03 -097
Bob Benedicto, Building Official
Steven M. Mullet, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 - 431 -3665
November 4, 2003
Dave Larson
14244 55th Avenue South
Tukwila, WA 98168
Dear Permit Holder:
Sincerely,
Stefania Spencer
Permit Technician
Xc: Permit File No. M03 -097
Bob Benedicto, Building Official
City of Tukwila Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
RE: Permit Application No. M03 -097
14244 55th Avenue South
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:
• 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 or request and receive an extension prior to December 16,
2003, 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.
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
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STATE OF WASHINGTON
COUNTY OF KING
AFFCONT 1/13/00
CITY OF . JKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
a , 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. / Z , 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}c:"�
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APPLICANT
day of
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Signed and sworn to before me this
NOTARY PUBLIC in and for the State of Washington,
residing at County.
Name as commissione : Alice., A. De Q cy
My commission expires: 6 - A- 0 4
H -4
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 Tess 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.