The URL can be used to link to this page

Home My WebLink AboutPermit M06-018 - CLAUSEN RESIDENCECLAUSEN RESIDENCE 4402 S 164 ST M06 -018 Parcel No.: Address: Suite No: Tenant: Name: Address: City t Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us 5379800600 4402 S 164 ST TUKW CLAUSEN RESIDENCE 4402 S 164 ST, TUKWILA WA Owner: Name: TIEMANN PETER B +TAMI R Phone: Address: 4402 S 164TH ST, TUKWILA WA Contact Person: Name: DIANA CLAUSEN Address: 4402 S 164 ST, TUKWILA WA Contractor: Name: OWNER AFFIDAVITON FILE - DIANA CLAUSEN Phone: Address: , Contractor License No: Expiration Date: DESCRIPTION OF WORK: RENEWAL OF PERMIT M03-213 TO COMPLETE INSTALLTION OF HYDRONIC IN FLOOR HEAT IN BASEMENT AND MAIN FLOOR AS WELL AS ELECTRIC FORCED AIR HEATERS IN WALL FOR UPSTAIRS BEDROOMS. NEED TO CONNECT HOSES TO A MANIFOLD FOR BASEMENT AND CONNECT HEATERS UPSTAIRS (HOSES ALREADY IN PLACE UNDER CONCRETE IN BASEMENT). Value of Mechanical: $2,000.00 Fees Collected: $180.79 Type of Fire Protection: AUTO FIRE ALARM International Mechanical Code Edition: 2003 Furnace: <100K BTU 0 >100K BTU 0 Floor Furnace 0 Suspended /Wall /Floor Mounted Heater 0 Appliance Vent 0 Repair or Addition to Heat/Refrig /Cooling System Air Handling Unit <10,000 CFM 0 >10,000 CFM 0 Evaporator Cooler 0 Ventilation Fan connected to single duct 1 Ventilation System 0 Hood and Duct 0 Incinerator: Domestic 0 Commercial /Industrial 0 doe: IMC- Permit MECHANICAL PERMIT Permit Number: Issue Date: Permit Expires On: EQUIPMENT TYPE AND QUANTITY Itee Phone: 206 248 -1024 Steven M. Mullet, Mayor Steve Lancaster, Director M06 -018 02/15/2006 08/14/2006 Boiler Compressor: 0-3 HP /100,000 BTU 0 3 -15 HP /500,000 BTU 0 15 -30 HP /1,000,000 BTU.. 0 30 -50 HP /1,750,000 BTU.. 0 50+ HP /1,750,000 BTU 0 Fire Damper 0 Diffuser 0 Thermostat 2 Wood /Gas Stove 0 Water Heater 2 Emergency Generator 0 Other Mechanical Equipment... 3 M06 -018 Printed: 02 -15 -2006 City b& Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us * *continued on next page ** Steven M. Mullet, Mayor Steve Lancaster, Director doe: IMC- Permit M06 -016 Printed: 02 -15 -2006 City Cm' Tukwila Permit Center Authorized Signature: M Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Fax: 206- 431 -3665 Web site: ci.tukwila.wa.us Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: M06 -018 Issue Date: 02/15/2006 Permit Expires On: 08/14/2006 Date: 02-.1 l)Ip I hereby certify that I have read and ekahiine s 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 mechanical permit. Date: a (S . 0 6 Signature: Print Name: P1 AW4 C L/} US E 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. doc: IMC- Permit M06 -018 Printed: 02 -15 -2006 Parcel No.: 5379800600 Address: 4402 S 164 ST TUKW Suite No: Tenant: CLAUSEN RESIDENCE City of Tukwila Nre Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 1: ** *BUILDING DEPARTMENT CONDITIONS * ** PERMIT CONDITIONS * *continued on next page ** Permit Number: M06 -018 Status: ISSUED Applied Date: 02/01/2006 Issue Date: 02/15/2006 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: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the International Building Code and the Washington State Ventilation and Indoor Air Quality Code. 7: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms, bathrooms, toilet rooms, storage closets, surgical rooms. 8: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests. 9: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum distance of 4- Inches shall be maintained above the controls with the strapping. 10: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Department of Public Health - Seattle and King County (206/296- 4932). 11: 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). 12: 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 M06 -018 Printed: 02 -15 -2006 City of Tukwila bts 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 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: .4 Date: Print Name: AnAwA 0-40$E4/ doc: Conditions M06 -018 Printed: 02-15-2006 CITY OF TUKWILA Community Development hasiartment 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** SITELOCATIO Company Name: Mailing Address: terrain plasticc theties3pamil ericetioe (7-2004) Reeled: 4-435 be LI 5 16 Site Address: Tenant Name: Property Owners Name: t‘MOirkft ete t DIANA CLAIM I Q Mailing Address: 60011e lig-W ILA CkY CONT Name: WrNA CLA Se-00 114 DE SI &NJ Contact Person: S £,PODY- S E-Mail Address: Contact Person: E-Mail Address: Page 1 King Co Assessor's Tax No.: c 3/1i° b00 Suite Number Floor: New Tenant: 0.... Yes a..No WA at5l€C State • 1 Day Telephone: Jar ;1 5-394.R vti 24-- fags' -102_14 kvv% chy State Zip Mailing Address: 5C‘rne. E-Mail Address: I VCAel Mid(\ Vt (MA s-b . ne GENEItAL:CONTRACTOR INFORMATION ar (M ethariimil Contractor information on back pate) Fax Number: Company Name: Mailing Address: car Contact Person: 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** State Zip . . . ARCHITECT Plat moat be wet stamped by 4rebiteetantei ati Day Telephone: 424 2w * 31 — I Pi 0 Fax Number. Li 2C — 14 3 '7 — 12-1 ENGINEER OF RECORD --Ail plans must be wet stamped by Engineer of Record ' = Company Name: Mailing Address: State Cay Day Telephone. Fax Number Valuation of Project (contractor's bid price): $ 15 Existing Building Valuation: $ o t4iVin' ketrOo ms 2 Scope of Work (please provide detailed information): 2. Icvt Y formation): �,w &-c rp vnode ore @ 4k ' ktatroov++ -b ore ode- mm44E -t- .6 Min ark ciocc- DO -3: u 03 - 2 Will there be new rack storage? ❑..Yes No q:licermits *Alpe diumesIpmnit &pptition(7-2004) Revile: su§ If "yes ', see Handout No. Page 2 for requirements. Provide All Banding Areas i i Sgaare Footage 14elow I° Floor 2 Fluor r Floor Fl Basement A ccessory _Stmcture * . :.. Attached Garage Detached Garage - Attached Carport Detached .Carport Covered Deck Uncovered Deck S6 clap interior Remodel Addition tti Struc 201 Type of Conshvction per -IBC Type of Occupancy Per PLANNING DIVISION: Single- family building footprint (area of the foundation of as structures, plus my decks ova 18 Inches and overhangs greater than 18 inches) For an Accessory dwelling, provide the following: Lot Area (sq ft): Fluor 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: F RE PROTECTION/HAZARDOUS MATERIALS: 0.. Sprinklers % ...Automatic Fire Alarm ❑..None ❑ . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0.. Yes ❑..No If "yes", attach list of materials and storage locations on a separate 8-W x 11 paper indicating quantities and Material Safety Data Sheets. Scope of Work (please provide detailed information): Please refer to Public Works Bulletin $1 for fees and estimate sheet. Water District ET—Tukwila ❑... Water District N125 ❑ ...Water Availability Provided • wer District . ..Tukwila ❑...ValVue ❑..Renton ❑...Seattle ...Sewer Use Certificate 0.. -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, ubmitted with Application (mark boxes which aaalvl: ...Civil Plans (Maximum Paper Size — 22" x34 ") ❑...Technical Information Report (Stone Drainage) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) Deposed Activities (mark boxes that aaalvl; ❑ —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 S ❑ ...Sanitary Side Sewer ❑ .. Abandon Septic Tank ❑ Cap or Remove Utilities ❑ -. Curb Cut El ...Frontage Improvements ❑ .. Pavement Cut ❑ ... Traffic Control ❑ .. Looped Fire Line ❑...Backflow Prevention - Fire Protection If _ Irrigation Domestic Water " ...Total Fill cubic yards cubic yards ❑...Permanent Water Meter Size... ❑...Temporary Water Meter Size.. ❑...Water Only Meter Size ❑...Sewer Main Extension Public ❑ ...Water Main Extension Public — ry:Vyvmb plutix duoyaipormit application (7-2004) Inlet 411-05 br IP Call before you Dig: 1400- 424-5555 WON WON WON Private Private Page 3 ❑ .. Bighting ❑ .. Geotechnical Report ❑ .. Maintenance Agreement(s) ❑...Renton ❑ .. Right-of-way Use - Profit for less than 72 hours ❑ _ Right-of-way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Stone Drainage ❑...Traffic Impact Analysis ❑...Hold Harmless ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑...Water ❑...Sewer ❑ —Sewage Treatment Monthly Service Billine to: Name: Day Telephone: Mailing Address: City State Water Meter Refund/Billine: Name: Day Telephone: Mailing Address: City Slate Unit TYPE' QtY 'Unit Type: Q Unit Type:: ' Qty Boiler /COmpressort Qty Fumacc<100K BTU Air Handling Unit >10,000 CFM Fire Damper 0-3 HP /I00,000 BTU FumacvtQOK BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood/Gas Stove 30-50 HP /1,750,000 BTU Appliance Vent Hood and Duct Water Heater 50+ HP/1,750 000 BTU Repair or Addition to Heat/Refit/Cooling System Incinerator - Domestic Emergency Generator Air Handling Unit <10,000 CFM Incinerator — Comm/Ind Other Mechanical Equipment MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City State Tip 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" Valuation of Project (contractor's bid price): S 01000. 00 BUILDING OWNER OR AUTHORIZED AGENT: Signature: Print Name: Q I ANPc riLAUC, Mailing Address: 440 2- S. t teote Sf 1 Date Apptication.Accepted..' 02 sttwees &Micedlauanyesh gpseetoa(7-2004) . eh o01r w IA) till twit electric. wt a( r Scope of Work (please provide detailed information): ant WA Ui - Floo r v? 2c. bad. . t a A L 4 I j '1 le 1 a ' C II Q ark 1 It / U y 1 1 1'_. It /A/MillarrEPIRMWAMMIntr - cry J l t h b osehle t Use: Residential: New ....■ Replacement Commercial: New .... ❑ Replacement ❑ Fuel Tvpe: 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 grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE TINDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. .Date: o —06 m' zb6- 24g Day Telephone: 206- 5 3%b * )D2-Lt - rww I LA WA 18 - state Date Application Expires; Copy Reprinted on 02 -01 -2006 at 12:25:25 02/01/2006 RECEIPT NO: R06 -00142 Initials: ]EM Payment Date: 02/01/2006 User ID: 1165 Total Payment:694.57 Payee: DIANA CLAUSEN SET ID: 020106 SET NAME: CLAUSEN SET TRANSACTIONS: Set Member Amount D06 -032 513.78 M06 -018 180.79 TOTAL: 694.57 TRANSACTION LIST: Type Method Description Amount Payment Cash 694.57 TOTAL: 694.57 ACCOUNT ITEM LIST: Description BUILDING - RES MECHANICAL - RES PLAN CHECK - RES city of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 SET RECEIPT Account Code current Pmts 000/322.100 311.38 000/322.100 150.63 000/345.830 232.56 TOTAL: 694.57 1912 02/01 9716 TOTAL 694.57 Steven M. Mullet, Mayor Steve Lancaster, Director Pr t: (` 4 )jf #U 4 s T y pe o f In ctio .t, q / et �` c Address: s , ' 6 tier-- Date Called: Special instructions: ifier /) !! 4 /[// LJ/r /W/ / Date Wanted: 1 -.5 - a5 a. a Requester: Phone No: 2GC-2VS -/a2 y INS'ECTION O. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., *100, Tukwila, WA 98188 (206)431- Approved per applicable codes. Corrections required prior to approval. COMMENTS: �r I A /,4 „0( r Inspector: ) I Date: 2 _S v l 1 pi $60.00 REINSPECTION FEE RE UIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. (Receipt No.: (Date: 4 Project C LA )tcf N 12-CC Type At Inspection: 1 1 1 -41MC, 1 LA AddresC: Ci Y 1)Z. $ i iffi• I- I C1,4 Date Called: Special Instructions: Date Want*, _ 7-Z1 oP (..., P.m. Requester: Phone No: 2-C 2 1. /Pi - / O2-L/ INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 0.- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit Pl PERMIT NO. El Corrections required prior to approval. COMMENTi S: N Inspector: 'Date: 17 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be ' paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'Receipt No.: 'Date: F *5., h ," ... .t. ?).; COMMENTS: 1l „ fn r it l/d 4 Type of Inspection: Address: - - � / li) ZS. 4(7 l Y Sp is Instructions: -r_ ,, k1( ft c e e� -4 f ee r J 5 Phone No: --hi(, 74r— /0 Z t pr O -PJS 1 2C-S-1 k4k- IS Projec : /� r Type of Inspection: Address: - - � / li) ZS. 4(7 ii, Date Called: 7 Sp is Instructions: Date Wanted: V C �m (1-2S-- VO P.m. Requester: Phone No: --hi(, 74r— /0 Z ..; - c ) INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 YOGI J1 PERMIT NO. (206)431 -3 *7 El Approved per applicable codes. El Corrections required prior to approval. 'inspectt Date: $60.0WEINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'Receipt No.: (Date: r - • Type of Appliance Operation Exhaust system Rinnai model number Minimum/Maximum gas rate (Input Btub) Electrical Electrical consumption Hot water capacity Temperature range (with remote) Temperature (without remote) Approved gas types Installation Dimensions Weight Energy Factor Thermal Efficiency Service Connccti oh Rinnai Continuum Ilene Ire 01.1 Of I•1 W.N, Ap.i. 13 -3/4' o 0 0 0 .REVIEWED FOit_ CODE PLIf N ue; RODO MIm FEB - 7 2006 ja BUILD N nWISTON Temperature controlled, continuous flow, gas hot water system!' With or without remote controls, mounted in kitchen, bathroom, etc. Direct vent, forced combustion REU- 2532W -US 15,000 BTU's - 199,000 Btuh Natural Gas or Prca t Appliance - AC 120 Volts - 60Hz. Remote control - DC 12 Volts Normal Standby Anti -frost protection 0.5 to 6.5 GPM (50°F rise); 0.7 to 8.5 GPM (in rise) MC controller. 96 - I40°F; BC and BSC controllers, 96 - 120°F 120°F (Factory Default) Natural or Propane - Ensure unit matches gas type it's being installed on. External Only 8.718" - 48 Lbs. Natural Gas: 0.82 Natural Gas: 84% G supply 3/4" MNPT of water inlet 3/4" MNPT Ho water outlet 3/4" MNPT fear Permit No. 72 watts 5.5 watts 84 watts 3/4' - - 1- _ - 3-1/2' 4 -3/8" Propane: Propane: RECEIVED CITY - OFTUKWILA FEB 01 2006 85% M O& -i O PERMIT CENTEM 2532W l7 N RECEIVED CITY OF TIIKWB 0.84 FEB 2 3 2004 PERMIT CENTER 2532 1 - Ignition system Water temperature control Water flow control Continuum Oe,e1 tin Out Of II41 flit, &lilt Water Flow Capacity Curves (For 1 to 5 units manifolded in parallel) 45.0 40.0 5s.o ■ I 90.0 25D 20° t 15.0 I 10.0 5.0 1 " O 25 50 75 100 125 150 ST- imperials NM r►1 www.rinnai.us Direct electronic ignition Simulation feed forward and feedback Water flow sensor, electronic water control device, and electronic by -pass control device Minimum/maximum water supply pressure 20 -150 PSI (50 or above is recommended for maximum flow) Safety Devices • Flame failure - Flame rod • Remaining flame (OHS) • Boiling protection - 203 °F • Thermal fuse 264 °F • Combustion fm rpm check • Automatic frost protection • Over current - Glass fuse (3 amp) Remote Controls MC-45-4 US (96-140 °F range) BC -45-4 US or BSC-45-4 (96 -120 °F range) Remote control cable Non - polarized two -core cable Clearances from combustibles • Top of heater 12" • Back of heater 0" • Front of heater 24" • Bottom of Heater 12" • Sides of heater 6" Clearances from non-combustibles • Top of beater 2" • Back of heater 0" • Front of heater............24" • Bottom of beater 2" • Sides of heater 1/2" • Installations within ROB -25 Recess Box: Cl earances from combustibles to recess box top, bottom, back and sides = 0" Clearances from Eaves, Porches, Overhangs Top of heater 36" Clearances from Opening, Window, Door, etc. From Vent Discharge 12" Min. and Max. gas supply pressure Natural Gas: Min. 6" W.C. Propane Gas: Min. 10" W.C. (NAT) Max. 103" W.C. (LPG) Max. 14" W.C. Manifold Gas Pressure Natural Gas: 3.4" W.C. high fire 0.56" W.C. low fire (Inches W.C.) Propane Gas: 5.1" W.C. high fire 0.88" W.C. low fire Warranty Residential: Ten years beat exchanger / five years pans Commercial or Space heating: No Warranty — Use 2532W -C RinIl nai Technical Support: 1- 800 - 621 -9419 r ° r. Type of Appliance Operation Exhaust system Rinnai model number Minimum/Maximum gas rate (Input Stub) Electrical Electrical consumption Hot water capacity Temperature range (with remote) Temperature (without remote) Approved gas types Installation Dimensions Weight Energy Factor Thermal Efficiency 13 -3/4' 0 0 0 R I T Y eas 2532W -C -No. Tempergpure controlled, continuous flow, gas hot water system. r • With or/without remote controls, mounted in kitchen, bathroom, etc! Direct vent, forced combustion REU- 2532W -C -US 15,000 BTU's - 199,000 Ruh Natural Gas and Propane Appliance - AC 120 Volts - 60Hz. Remote control - DC 12 Volts Normal Standby And -frost protection 72 watts 5.5 watts 84 watts 0.5 to 6.5 GPM (50°F rise); 0.7 to 8.5 GPM (35 °F MOW I UU MCC controller 96 - 180°F 140°F (Factory Default) Natural or Propane - Ensure unit matches gas type it's being Stalled on. External Only 8.719' 48 Lbs. Natural Gas: 0.82 Natural Gas: 84% Gas supply 3/4" MNPT Cold water inlet 3/4" MNPT Hot water outlet 3/4" MNPT - 3-1/2" 4 -3/8" Propane: 0.84 Propane: 85% RECEIVED CITY OF TUKWILA FEB 01 2006 PERMIT CENTEh MO(ot 2532W -C SP -i 18 I 1 141 r ° r. Type of Appliance Operation Exhaust system Rinnai model number Minimum/Maximum gas rate (Input Stub) Electrical Electrical consumption Hot water capacity Temperature range (with remote) Temperature (without remote) Approved gas types Installation Dimensions Weight Energy Factor Thermal Efficiency 13 -3/4' 0 0 0 R I T Y eas 2532W -C -No. Tempergpure controlled, continuous flow, gas hot water system. r • With or/without remote controls, mounted in kitchen, bathroom, etc! Direct vent, forced combustion REU- 2532W -C -US 15,000 BTU's - 199,000 Ruh Natural Gas and Propane Appliance - AC 120 Volts - 60Hz. Remote control - DC 12 Volts Normal Standby And -frost protection 72 watts 5.5 watts 84 watts 0.5 to 6.5 GPM (50°F rise); 0.7 to 8.5 GPM (35 °F MOW I UU MCC controller 96 - 180°F 140°F (Factory Default) Natural or Propane - Ensure unit matches gas type it's being Stalled on. External Only 8.719' 48 Lbs. Natural Gas: 0.82 Natural Gas: 84% Gas supply 3/4" MNPT Cold water inlet 3/4" MNPT Hot water outlet 3/4" MNPT - 3-1/2" 4 -3/8" Propane: 0.84 Propane: 85% RECEIVED CITY OF TUKWILA FEB 01 2006 PERMIT CENTEh MO(ot 2532W -C SP -i 18 Ignition system Water temperature control Water flow control Minimum/maximum water supply pressure Water Flow Capacity Curves (For 1 to 5 units manifolded in parallel) Safety Devices Remote Control Remote control cable Clearances from combustibles Clearances from non - combustibles Clearances from Eaves, Porches, Overhangs Clearances from Opening, Window, Door, etc. Min. and Max. gas supply pressure Manifold Gas Pressure (Inches W.C.) Warranty Rinnai Direct electronic ignition Simulation feed forward and feedback Water flow sensor, electronic water control device, and electronic by -pass control device 20 —150 PSI (50 or above is recommended for maximum flow) 45.0 .0a I $.0 j 70.0 250 20.0 15.0 10.0 5.0 0 25 —1 Un• 2 Units 3 1.hb 4 Units 50 75 100 125 150 AT- Tb"p.n.1n R1 rF) Natural Gas: 3.4" W.C. high fire Propane Gas: 5.1" W.C. high fire Five years heat exchanger / five years parts www.rinnai.us • Flame failure - Flame rod • Remaining flame (OHS) • Boiling protection - 203 °F • Thermal fuse 264 °F • Combustion fan rpm check • Automatic frost protection • Over current - Glass fuse (3 amp) MCC -45-4 US Main Control (96 -180 °F range) Non - polarized two-core cable • Top of heater 12" • Back of beater 0" • Front of heater 24" • Bottom of Heater 12" • Sides of heater 6" • Top of beater 2" • Back of beater 0" • Front of heater ....... _...24" • Bottom of heater 2" • Sides of heater ...........1/2" • Installations within RGB -25 Recess Box: Clearances from combustibles to recess box top, bottom, back and aides = 0" Top of heater 36" From Vent Discharge 12" Natural Gas: Min. 6" W.C. Propane Gas: Min. 10" W.C. (NAT) Max. 10.5" W.C. (LPG) Max. 14" W.C. 0.56" W.C. low fire 0.88" W.C. low fire Technical Support: 1- 800 -621 -9419 January 12, 2009 Diana Clausen 4402 S 164 St Tukwila, WA 98188 RE: Request for Extension #5 Development Permit No. D06 -032 Mechanical Permit No. M06 -018 Clausen Residence — 4402 S 164 St Dear Ms. Clausen: This letter is in response to your written request for an additional extension to Permit Numbers D06 -032 and M06 -018. The Building Official has reviewed your letter and considered your request to extend the above referenced permit. In Extension Letter #4 the Building Official had determined that no further extensions would be granted. Due to extenuating circumstances, he is granting an additional 30 days in order for you to call for an inspection. Therefore the expiration date of your permits is now February 11, 2009. Please note that per the Building Official this is to be the last extension grated on these permits regardless of the extenuating circumstances. In order to keep these permits active, you will need to plan ahead and call in an inspection for each permit prior to the above listed expiration date. Any inspection completed will automatically extend the permit 180 days. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, File: fer arshall it Technician Permit No. D06 -032 Permit No. M06-018 City of Tukwila Department of Community Development Jack Pace, Director P:\Pemdt CenteAExtension Letters\ Permits \ 2006006-032 & M06 -018 Pertmt Extension it5.doc Xm Jim Haggerton, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665 From: My iMac <luckyandjinx @comcast.net Subject: remodel Date: January 3, 200912:15:17 PM PST To: di&mikeclausen <luckyandjinx @comcast.net> (e.: 2 Attachments, 183 KB To Whom it may concern: My name is Diana Clausen, and my husband Mike and I have been renovating our property at 4402 S. 164th St. for about four years now. In all that time, we have made significant, yet slow progress at getting our house back together after a catastrophic start, with a contractor who took us to the cleaners. In the last month, we have put our kitchen back together, after a tremendous amount of work. Our permits are set to expire for both the mechanical, and the building. While I will be taking care of some of the work myself, my husband is in charge of the more advanced renovations. He is a commercial fisherman, who works in Alaska, and spends a majority of the year out of state. When he is home, we try and do what we can but the progress is slow. We have every intention of making this house fully functional, as we have sunk more into it , . n we care to admit, both in monetary value, and most definitely in sweat equity. Please extend out permits numbere Sincerely, Diana Clausen 206-248-1024 6 of (12 o71 it �� March 11, 2008 Diana Clausen 4402 S 164 St Tukwila, WA 98188 RE: Request for Extension #4 Development Permit No. D06 -032 Mechanical Permit No. M06 -018 Clausen Residence — 4402 S 164 St Dear Ms. Clausen: This letter is in response to your written request for an extension to Permit Nos. D06 -032 and M06 -018. The Building Official has reviewed your letter and considered your request to extend the above referenced permit. The City of Tukwila Building Division will be extending the expiration date of your permits for an additional 180 days (through August 4, 2008). Please note that per the Building Official this is to be the last extension grated on these permits. In order to keep these permits active, you will need to call in an inspection for each permit prior to the above listed expiration date. Any inspection completed will automatically extend the permit 180 days. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, File: 'fer Marshall it Technician Permit No. D06 -032 Permit No. M06 -018 City of Tukwila Department of Community Development Jack Pace, Director P :Permit CentettExtension Letters\Pemits\20060D06 -032 & M06 -018 Permit Extension #4.doc Page of l jam Jim Haggerton, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 20081 7taif crrro, RE 1111 1 We- 01/1.1. �T�(18 / CENT netnAlo MALt 6A411. kt &Am. 44- sum Attlnvom , lid+ /frann4 u,G Jac Q kit slird,; vvnlc omit_ (ium,SC t1/4 c W ,k.w,, vvnAz- &v.-tut_ v4+4.44 ,1,9wven twn PLAkAit Jw,.m am,2 `flu c,(4:11E pi.wc miter to*. LKAk_ sisi, vit. &AL kin;aL ktir - `Th/o &At ( �2k OVVvOittik ?J 4JVWt p WIDf0-Ol$i Ova M INC 012AA re!n Cr J, l W✓✓I_ - ,s Anktn c ). ;.D(a -age lo- 1s POG -. Cmk /140t �, 02 -12 -2008 DIANA CLAUSEN 4402 S 164 ST TUKWILA WA 98188 RE: Permit No. M06 -018 4402 S 164 ^ ST TUKW Dear Pe rnuf iLY ` " 1 ` A City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, 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 Inspection Request Line at 206431 -2451 to schedule 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 one or more extensions of time for additional periods not exceeding 90 days each. 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 03/12/2008, 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, fer Marshall, Permit Technician xc: Permit File No. M06 -0l8 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 12 -03 -2008 DIANA CLAUSEN 4402 S 164 ST TUKWILA WA 98188 RE: Permit No. M06 -018 4402 S 164 ST TUKW Dear Permit Holder: Thank you for your cooperation in this matter. Sincere y, YV\ e fe r Marshall, 't Technician xc: Permit File No. M06 -018 Jim Haggerton, Mayor Department of Community Development Jack Pace, 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 Inspection Request Line at 206-431-2451 to schedule 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 one or more extensions of time for additional periods not exceeding 90 days each. Extension requests must be In wriline 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 01/25/2009 , 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 August 13, 2007 Diana Clausen 4402 S 164 St Tukwila, WA 98188 City of Tukwila RE: Request for Extension #3 Development Permit No. D06 -032 Mechanical Permit No. M06 -018 Clausen Residence — 4402 S 164 St Dear Ms. Clausen: Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director This letter is in response to your written request for an extension to Permit Nos. D06 -032 and M06 -018. The Building Official has reviewed your letter and considered your request to extend the above referenced permit. The City of Tukwila Building Division will be extending the expiration date of your permits for an additional 180 days (through March 12, 2008). If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, File: Permit No. D06 -032 Permit No. M06 -018 P: Pent Center Extension Letters \Pemtits\2006\D06-032 & M06 -018 Pent Extension #3.doc Page I of I 1em 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 -431 -3665 Sip 11171 - 0*-1D7 a k.190; af expaAnanw AUG 09 2007 40dS- PERMIT CENTER Gt o f rt vw vice- t tc VIn thy, vti. �vn J l o U_ f L bl S 40 't2VIn s MO 6- 01 ow-el DOG -03z Jhoy liti 2 S- (!, 1 4 - rk $t - Sit oinA, 122 OvrevnumA t G�v'w , Gw L 6444, I,+ -eiCcbt ti we- p rr- &&'w Stnq._ ,k 40 A AWAL _ . .. " A `a P4111 P "4A 41")) +' nn,�, / Gird- Lowe. -WAN. 2 ors. ()Ana o vvk tiv Pke ana, -en -e,( Cove, ,6 aa_ it eicwistas Ue l -�oi vw' � et Cto aita ( . 5 ?5 ,„, r nww A- yifl4w, ` s go mat l evo, vitifarmn") -ride 1 40 tnewtik Aka -Q/ 4 44 4411 c rkanrvit- kilvvIZS -- rer kat! ear e ftiewvz/crene 3, aoo g` CITY RECEIVED TU KKWILA 07 -31 -2007 DIANA CLAUSEN 4402 S 164 ST TUKWILA WA 98188 RE: Permit No. M06 -018 4402 S 164 ST 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 Inspection Request Line at 206- 431 -2451 to schedule 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 one or more extensions of time for additional periods not exceeding 90 days each. 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 /21/2007 , 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, �Q� Akj fer Marshall, Permit Technician xc: Permit File No. M06-018 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 07 -15 -2008 DIANA CLAUSEN 4402 S 164 ST TUKWILA WA 98188 RE: Permit No. M06 -018 4402 S 164 ST TUKW Dear Permit Holder: Thank you for your cooperation in this matter. Sincerely, xc: er Marshall, it Technician Permit File No. M06-018 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, 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 Inspection Request Line at 206 -431 -2451 to schedule 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 one or more extensions of time for additional periods not exceeding 90 days each. 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 08/04/2008 , 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 March 2, 2007 Diana Clausen 4402 S 164 St Tukwila, WA 98188 City of Tukwila Department of Community Development Steve Lancaster, Director RE: Request for Extension #2 Development Permit No. Mechanical Permit Clausen Residence — 4402 S 164 St Dear Ms. Clausen: This letter is in response to your written request for an extension to Permit Nos. D06 -032 and M06 -018. The Building Official has reviewed your letter and considered your request to extend the above referenced permit. The City of Tukwila Building Division will be extending the expiration date of your permits for an additional 180 days (through September 21, 2007). If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, File: Permit No. 1)06 -032 Permit No. ■06 -018 P:Vennifer\Extension LettersWenmts\2006\D06 -032 & M06-018 Permit Extension #2.doc Page I of I * Steven M. Mullet, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 "eeterikA/Hby: T 6vYvk �4 i A mg- pai 11-14-m. 0444-zo- pt9nt. r eovvt, e Amdiv ktr „1/4 `tkD 244. o icAm, tr cYvt mit / 744enc - tb mui4-c cL a 0</-4.0 Ff-e-A,K eall, if L Ary€ anrvi8 tw2/0-419m (et cart ao6.?gg- lop_ ti I 2007 - P icEIVED cyP 67- IZsin- 6/1- OiI41n aS 02 -02 -2007 DIANA CLAUSEN 4402 S 164 ST TUKWILA WA 98188 RE: Permit No. M06 -018 4402 S 164 ST TUKW Dear Penn+ut i der A 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 Inspection Request Line at 206 - 431 -2451 to schedule 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 one or more extensions of time for additional periods not exceeding 90 days each. 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 03/25/2007 , your permit will become null and void and any fluffier work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, M 'shall, Permit Technician fk4sa xc: Permit File No. M06 -018 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 July 28, 2006 Diana Clausen 4402 S 164 St Tukwila, WA 98188 RE: Request for Extension Development Permit No. D06 -032 Mechanical Permit No. M06 -018 Clausen Residence — 4402 S 164 St Dear Ms Clausen: City of Tukwila a Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director This letter is in response to your written request for an extension to Permit Nos. D06 -032 and M06 -018. The City of Tukwila Building Division will be extending the expiration date of your permits for an additional 180 days (through March 25, 2007). If you should have any questions, please contact our office at (206) 431 -3670. Sincerely arshall Permit Tb hnician l v 4 File: Permit No. D06 -032 Permit No. M06 -018 P:Vennife?Extension Letters\Permils\D06 -032 & M06-018 Permit Exteosion.doc Page 1 of I • jem 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 -431 -3665 II From: di8mikeclausen <luckyandjinx@comcast.neb Subject: Date: July 13, 2006 52016 PM PDT Dear Jennifer; Hello from the house on 164th that is still In need of a lot of workl As you may have guessed, we are writing In the hopes of getting another extension. My husband is gone fishing, and I have been doing what I can, but the process is slow going. We had to let our contractors go for a while, in the hopes that Mike will make enough this summer to bring them back to do some more work. On the plus side, I have learned a bit about sheet - rocking, mudding, and taping! Please give me a call and advise me how to proceed. Yours sincerely, and in the hopes of one day never having to ask for any more extensions, Diana Clausen 96,-0072._ Permit MO6 -018 206- 2q • foxy wk_ 1%- 5/5' 3 96 5 a/S,4 ,e � /soda Ag CITYO TTUKWILA MI 2 5 2006 PERMITCENTER oilvdar 5401 etel— 07 -03 -2006 DIANA CLAUSEN 4402 S 164 ST TUKWILA WA 98188 RE: Permit No. M06 -018 4402 5'164 ST TUK\V Dear Permit Holder: In reviewing our current records the above noted permit has not received a fmal 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 Inspection Request Line at 206 -431 -2451 to schedule 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 one or more extensions of time for additional periods not exceeding 90 days each. 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 08/14/2006, 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, xc: rshall, milt Technician fk Permit File No. M06 -0IS 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 ACTIVITY NUMBER: M06 -018 DATE: 02 -01 -06 PROJECT NAME: CLAUSEN RESIDENCE SITE ADDRESS: 4402 S 164 ST X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision It After Permit Issued DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: `I' PERMIT COORD COPY " PLAN REVIEW /ROUTING SLIP o t F ire Prevention Structural Incomplete ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROU ING: Please Route Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28-02 ❑ Permit Coordinator ❑ DUE DATE: 02-02-06 Not Applicable ❑ No further Review Required DATE: DATE: Planning Division DUE DATE: 03-02-06 Approved ❑ Approved with Conditions Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: CITY OF TUKWILA ' Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 STATE OF WASHINGTON) COUNTY OF KING ) AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION S c. DIRr'IR C,AUSr_rd [please print] _ 4 - . 4 "I 14.4. ' i -'r,, I 58 NO TARY 's � N '; PUBL%G • t %% O WASN \applications\8 -2004 affidavit in lieu of contractor registration APPLICANT PERMIT NO.: 1701e — 0&2– states as follows: Permit Center/Building Division: 206 -431 -3670 Public Works Department: 206 - 433 -0179 Planning Division: 206 -431 -3670 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. j3 and will therefore not be performed by a registered contractor. I understand that 1 may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. Signed and sworn to before ,]rte this (; day of Q. in a NOTARY PUBLIC in and for a State of Washington, Residing at Kln3 Name as commissioned: Alice. A. Pea ty My commission expires: 6--/6-08 I 20 0 , County. 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 less 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 \applications\8-2004 affidavit in lieu of contractor registration contracts of amounts less 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; 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 with wages as his sole compensation; 17. Contractors. on highway 'projects who have been prequalified as required by chapter 13 of the Laws of 1961, RCW 4/.28.070, with the department of transportation to perform - highway construction, reconstruction, or maintenance work.