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HomeMy WebLinkAboutPermit PG07-183 - HANKIC RESIDENCEHANKIC RESIDENCE 4407 S 146 ST PG07-183 Parcel No.: 0040000730 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: 4407 S 146 ST TUKW DESCRIPTION OF WORK: PLUMBING AND GAS PIPING FOR NEW SFR Value of Plumbing /Gas Piping: Fees Collected: doc: UPC-10 /06 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us HANKIC RESIDENCE 4407 S 146 ST , TUIKWILA WA HANKIC MIRZA+EMA 4633 S 168TH ST , SEATAC WA MIRZA HANCIK 4633 S 168 ST SE , SEATAC WA Contractor: Name: OWNER AFFIDAVIT - MIRZA HANKIC Address: Contractor License No: $11,000.00 $459.75 Plumbing Bathtub or combination bath/shower 3 Bidet 0 Clothes washer, domestic 1 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain 1 Drinking fountain or water cooler (per head) 0 Food -waste grinder, commercial 1 Floor drain 0 Shower, single head trap 1 Lavatory 5 Wash fountain Receptor, indirect waste 0 Sinks 2 Urinals 0 Water Closet 3 PLUMBING /GAS PIPING PERMIT FIXTURE TYPE AND OUANTITY 0 * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Expiration Date: Phone: Phone: 206- 920 -0185 Phone: Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 Steven M Mullet, Mayor Steve Lancaster, Director PG07 -183 09/20/2007 03/18/2008 Plumbing (cont.) Building sewer and each trailer park sewer 1 Rain water system - per drain (inside bldg) 0 Water heater and/or vent 1 Industrial waste treatment interceptor, including its trap and vent, except for kitchen type grease interceptors 0 Repair or alteration of water piping and/or water treatment equipment 0 Repair or alteration of drainage or vent piping 0 Medical gas piping system serving (1 -5) inlets /outlets for a specific gas 0 Medical gas piping (6 +) inlets /outlets 0 Gas Pipin Gas piping outlets (0 -5) 5 Gas piping outlets (6 +) 1 PG07 -183 Printed: 09 -20 -2007 Permit Center Authorized Signature: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us Permit Number: PG07 -183 Issue Date: 09/20/2007 Permit Expires On: 03/18/2008 Steven M Mullet, Mayor Steve Lancaster, Director Date: V t 1 14) W 1 I hereby certify that I have read and x. ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied , 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 e performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. p / 74- 714 Signature: tee- A ' / Date: - f /-2_0 7 Print Name: i 2-4 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: UPC -10/06 PG07 -183 Printed: 09-20 -2007 Parcel No.: 0040000730 Address: 4407 S 146 ST TUKW Suite No: Tenant: HANKIC RESIDENCE 1: ** *PLUMBING AND GAS PIPING * ** doc: Cond -10/06 s City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: PG07 -183 ISSUED 06/29/2007 09/20/2007 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R-3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor /ceiling assemblies and fire- resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. PG07 -183 Printed: 09-20 -2007 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and 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 construction or the performance of work. Signature: Print Name: doc: Cond -10/06 PG07 -183 Date: ordinances governing or local laws regulating Printed: 09-20 -2007 Contact Person: E -Mail Address: Company Name: Mailing Address: Contact Person: E -Mail Address: CITY OF TUKWILA Community DevelopmenFepartment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 . http://www.citukwila.wa.us QAAppliations'Ponns- Applications On Line V-2006 -Permit Application.doc Revised: 9 -2006 bh 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 ** I �( King Co Assessor's Tax No.: rU' O 4000 '— 6725? Site Address: i I o' S 1 '- b S' r ru or 1(q X16 Pr ' i6�Suite Number: Floor: Tenant Name: HA N I C eel), 0 elJ C C New Tenant: ❑ .... Yes [ ..No Property Owners Name: M1 12....-- A " fN K 1 L Mailing Address: 4(o 3 3 S I b 9 14 f r $ ew7-4-c_ City State Name: Mailing Address: al33 c ( 03 S r E -Mail Address: rn t r- .a 20byd Co (vIc AA 1 n e -1 Contact Person: E -Mail Address: Contractor Registration Number: Day Telephone: 2a ' 2 ° _ v k SQA- (g& Zip , j Fax Number: /J . — 3 U T City State Company Name: giI e. 7 42 W'E Mailing Address: City Day Telephone: Fax Number: Expiration Date: State Zip Company Name: Mailing Address: State Zip City Day Telephone: Fax Number: State City Day Telephone: Fax Number: Zip Page 1 of 6 Valuation of Projevt (contractor's bid p: $ �� 00.0.240 ExistinCilding Valuation: $ Scope of Work (pleate provide detailed information): P&' ...t; y1-e. t 1Aitr & Will there be new rack storage? ❑.... Yes _A45 226 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) b Z Lot Area (sq ft): / u ° Floor area of principal dwelling Floor area of accessory dwelling:' *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. *For an Accessory dwelling, provide the following: Number of Parking Stalls Provided: Standard: Q :\Applications\Fonns-Appliations On Linel3 -2006 - Permit Application.doc Revised: 9 -2006 bh .. No If yes, a separate permit and plan submittal will be required. Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ 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 including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Page 2 of 6 Fixture Type:::' ;Qty Fix #are Type .Qty -' Future Type 2tY F Bathtub or combination bath/shower h ` •'� Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets /+ k� Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic I Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory 5 4.- Water Closet •',- (.! Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent 1 Additional medical gas inlets/outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and/or water treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas D GAS PIPIN :RMIT INFORMATION =2.. 431 PLiJMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Plumbing work (contractor's bid price): $ e s" Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): FL 4 g S ..1--e-A4 " �E 'ems SF' Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Q:1ApplieationiForms- Application On Line13 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 5 of 6 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. Building and Mechanical Permit 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). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). 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. Signature: BUILDING. AUTHORIZED AGENT: yj/e - 2-42 /-7/1-A1 Print Name: Hie Z 4 /4rN l L Mailing Address: fit 3 3 5 1 1 8 1 Date Application Expires: Date Application Accepted: Q:Wppliationaonns- Applications On Linel3-2006 - Permit Application.doc Revised: 9 -2006 bh A Date: 2.9/C Day Telephone: 206 Z d - 0 f'Th \ A-- 9y city State Zip Staff Initials: Page 6 of 6 Doc: RECSETS -06 RECEIPT NO: R07 -02046 Initials: WER User ID: 1655 Payee: MIRZA HANKIC City of Tukwila SET TRANSACTIONS: Set Member Amount Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us SET ID: 0920 SET NAME: HANKIC RESIDENCE D07 -242 5,982.84 M07 -147 167.25 PG07 -183 376.50 TOTAL: 6,526.59 TRANSACTION LIST: Type Method Description Amount Payment Check 899 ACCOUNT ITEM LIST: Description BUILDING - RES GAS - RES MECHANICAL - RES PLAN CHECK - RES PLUMBING - RES PW LAND ALT PERMIT FEE PW PERMIT /INSPECTION FEE PW PLAN REVIEW STATE BUILDING SURCHARGE TRAFFIC CONCURRENCY TRAFFIC MITIGATION FEES SET RECEIPT TOTAL: Payment Date: 09/20/2007 Total Payment: 6,526.59 6,526.59 6,526.59 Account Code Current Pmts 000/322.100 4,490.96 000/322.100 95.00 000/322.100 167.25 000/345.830 2.50 000/322.100 279.00 000/342.400 23.50 000/342.400 200.00 000/345.830 -50.00 000/386.904 4.50 104.367.121.00 300.00 104.367.120 1,013.88 TOTAL: 6,526.59 3017 )9/20 n7 TOTAL 5 i ( 59 . Li ':T r (�l. tt)Ih7... D.fi.(.ie Parcel No.: 0040000729 Address: 4405 S 146 ST TUKW Suite No: Applicant: HANKIC RESIDENCE Receipt No.: R07 -01271 Payee: MIZRA HANKIC ACCOUNT ITEM LIST: Description 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 Web site: http: / /www.ci.tukwila.wa.us RECEIPT Initials. WER Payment Date: 06/29/2007 04:01 PM User ID: 1655 Balance: $343.00 TRANSACTION LIST: Type Method Description Amount Payment Check 567 83.25 Account Code Current Pmts 000/345.830 83.25 Total: $83.25 Permit Number: PGO7 -183 Status: PENDING Applied Date: 06/29/2007 Issue Date: Payment Amount: $83.25 9898 07/02 9716 TOTAL 3536.68 doc: Receiot -06 Printed: 06-29 -2007 4d) I P60)/ I INSPECTI.N NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION T- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 INSPECTION RECORD Retain a copy with permit projek ( fi Address: ,4 of) f Special Instructions: Type Inspecpon: 6,As pp.A, Date Called: Date Wanted: a.m. - Requester: Phone No: AO 9 4 0 ( Approved per per applicable codes. El Corrections required prior to approval. COMMENTS: l Inspectr: ) I Date: fi f El $60.00 REINSPECTION FEE REQUI ED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'Receipt No.: 'Date: Proj c : Pn j c RCS: A� Type o Inspection: I A / _1 P(, � ./. Addres6 � -11, Date Called: Special Instructions: / Date Wanted: ' %,_:.:11,. Requester: Phone No: 20CP —1 - v(E.s P(o? - r'J l INSPECTION RECORD Retain a copy with permit INSPECTIO NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION g 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: It ? r C. A Pej kit ( I 1 Inspec: 'Date: El $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: COMMENTS: r Acell To �P A I` efs l L( e , - sp ' SGfLJec r o, ( .11 ".4 ( D,'/ XQ-r-S) C4 (As nJ(J 11 A IU fi f /_`l'J ,6ILAfk lvIY 0K , e4cre.. , !)/1.._ (4S 6 t,.-Na , i i4 ( -e_ ` > � . . �_ .,I c� k 6, (e_ j � �� 1 .).2_J .� /.mot /1�� Proje t: ( Qn Type of 1 spe�jton: Address: Date Called: 44o ` 5 i �. /1-.( _-- r Special Instructions: Date Wanted: , a GI 7/() ' J/ p.m. Requester: Phone N q /A) 6 ( l A l Approved per applicable codes. 1 Inspec6r: r, P60r7 -183 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION t - 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Ei Corrections required prior to approval. ) 11 it Z Lf - El $60.00 REINSPECTION Ff'E REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. (Receipt No.: 'Date: Approved per applicable codes. 1 Inspec6r: r, P60r7 -183 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION t - 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Ei Corrections required prior to approval. ) 11 it Z Lf - El $60.00 REINSPECTION Ff'E REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. (Receipt No.: 'Date: Pro ett: /% 4 N, /( /0... Typef}f Inspection: - I r LT)lC f7-' V C' S Ad r 4/0 7 S /VC 3-1 Date Called: Special Instructions: Da�any���� �/ p m„ m. Requester: Phone No : 2 - sza- 0 1f s INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION RECORD Retain a copy with permit COMMENTS: �I • ector. . 0 REINSPECTION FEE EQUIRED at 6300 Southcenter Bl d.. Suite Date /,, f rior to inspection. fee must be 0. Call the schedule reinspection. 'Date: Approved per applicable codes. Corrections required prior to approval. Project: /C Type o nspectiorK j Address: L -/L / 7- S / Date Called: Special Instructions: Dat nted: /,/ /e/ c./ { -a:+'. p.m. Requester: Phone No: 2 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 6 COMMENTS: Approved per applicable codes. El Corrections required prior to approval. El $58.00 REINSP ON FEE REQUIRED. Prior to inspection. fee must be paid at 6300 o5 uthcenter Blvd.. Suite 100. Call the schedule reinspection. 1 Receipt No.: IDate: Pro'e t: / � , HA afP /G f li %A.�c� f nspecti9n: / Type o o1 -G> 1N Kra S U Addres z /a7 r /` / If_ Date Called. Special lnstructions: Date 4---7 13-In. p. Requester: Phone � .r20 — 01 Sly p6,0-7 -43 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PEIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 1 -3 COMMENTS: 17`411 & 1 1 . rrv7J u f Date: 2 Approved per applicable codes. , Corrections required prior to approval. IJ 58.00 REIN S�ECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: PrgjgC � K G?� �: Type 1 6>k h - 1 TO J?(L(2. :1- Ad1fdrefs � T7 S NIL. 5; Date Called: Special Instructions: Dal Want d: a Requester. Phone No: — O [ 8s INSPECTION NO. INSPECTION RECORD Retain a copy with permit 1p60-7 -ig PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 1 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 (pCorrections required prior to approval. COMMENTS: I.IJ(/ Aor 2/rkr(P ✓ T0.57 Inspecto Date' .00 REINSPECTION FEE REQUIRED. Prigf to inspection. fee must be aid at 6300 Southcenter Blvd.. Suite 100. CCaall the schedule reinspection. 'Receipt No.: 'Date: Approved per applicable codes. June 19, 2008 Mirza Hankic 4633 S 168 St SE Seatac WA 98188 Dear Mr. Hankic, City of Tukwila Jim Haggerton, Mayor Department of Communit,/ Development Jack Pace, Director RE: Request for Extension Mechanical Permit No. M07 -147 Plumbing/Gas Piping Permit No. PG07 -183 Electrical Permit No. EL07 -765 Hankic Residence - 4407 S 146 St This letter is in response to your written request for an extension to Permit Numbers M07 -147, PG07 -183, and EL07 -765. The Building Official has reviewed your letter and considered your request to extend the above referenced permits. The City of Tukwila Building Division will be extending your permits an additional 180 days from the date of expiration (through December 04, 2008) as requested. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, fifer Marshall it Technician File: Permit No. M07 -147, PG07 -183, EL07 -765 P:1Pemdt Center1Extension Letters \Permits\200TM07 -147+ Permit Extensiondoc Page 1 of 1 jem 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 f N0 Li Lt,o � - 7/4 ix, I P God [e)3 s 1 L--{ '." 1 �� Pee 6 A . 0 7 - pe Fox / _ Z ) ptj e etc lGv 00B iarf tye HEce,hED CITY OF ¶i1KWI A JUN 13 2008 05 -08 -2008 MIRZA HANCIK 4633 S 168 ST SE SEATAC WA 98188 RE: Permit No. PG07 -183 4407 S 146 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 Uniform Plumbing Code and/or International Fuel Gas 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 Plumbing and/or Gas Code does allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests must be in writinz 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 06/15/2008 , 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, Je • ' r Marshall, Permit Technician xc: Permit File No. PG07 -183 Jim Haggerton, Mayor Department of Community Development Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG07 - 183 DATE: 06 - - PROJECT NAME: HANKIC RESIDENCE SITE ADDRESS: 101 S 146 ST X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPART ENTS: e3 Bui g ' W Public Work X DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Please Route Documents/routinp slip.doc 2 -28.02 TUES/THURS ROUTING: s or , 6`LIvii � GOORD COPY` Fire Prevention Structural Incomplete Structural Review Required Planning Division Not Applicable Comments: ❑ No further Review Required REVIEWER'S INITIALS: DATE: Permit Coordinator IX DUE DATE: 07 -3 -07 Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: APPROVALS OR CORRECTIONS: DUE DATE: 07 -31 -07 Approved ❑ Approved with Conditions Not Approved (attach comments) E Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: STATE OF WASHINGTON) COUNTY OF KING S S. CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Permit Center /Building Division: 206 -431 -3670 Public Works Department: 206 - 433 -0179 Planning Division: 206 - 431 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION A41 pz4 [please print] \applications\8 -2004 affidavit in lieu of contractor registration //L Z4- APPLICANT PERMIT NO.: WA- , 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 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. 11-2 , and will therefore not be performed by a registered contractor. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. Pt /C Signed and swom to before me this oC O''' day of 3e, - Mot r , 20 c3� . al1 -rte NOTARY PUBLIC in and for the State of Washing Residing at —1-11"---/(-1,3' f* ( v S� , County. Name as commissioned: CA.,lr i ti A . 4 (rn be .3 My commission expires: ),-2 ' 1' ' 0 .. J IP 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 \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; 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 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 47.28.070 with the department of transportation to perform highway construction, reconstruction, or maintenance work.