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Home My WebLink AboutPermit PG07-266 - LOPEZ GARAGELOPEZ GARAGE 3233 S 137 ST PGO 7-266 Parcel No.: 8864000415 Address: Suite No: Tenant: Name: Address: 3233 S 137 ST TUKW City 'f Tukwila Owner: Name: LOPEZ REFUGIO Address: 1715 29TH AVE , SEATTLE WA Contact Person: Name: REFUJIO LOPEZ Address: 1806 20TH , SEATTLE WA Value of Plumbing /Gas Piping: Fees Collected: Plumbing Bathtub or combination bath/shower 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet doc: UPC -10/06 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 LOPEZ GARAGE 3233 S 137 ST , TUKWILA WA Contractor: Name: OWNER AFFIDAVIT - REFUJIO LOPEZ Address: 1806 20TH , SEATTLE WA Contractor License No: DESCRIPTION OF WORK: INSTALL BATHROOM IN EXISTING GARAGE (RENEWAL OF PERMIT PG06 -092) $500.00 $108.00 FIXTURE TYPE AND OUANTITY * *continued on next page ** PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Expiration Date: Phone: Phone: 206 - 329 -8088 Phone: 206 - 329 -8088 PGOZ -266 10/11/2007 04/08/2008 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and/or vent 0 Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors 0 0 Repair or alteration of water piping and/or water 0 treatment equipment 0 1 Repair or alteration of drainage or vent piping 0 1 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 0 0 Gas Piping 0 Gas piping outlets (0 -5) 0 1 Gas piping outlets (6 +) 0 PG07 -266 Printed: 10 -11 -2007 Permit Center Authorized Signature: Signature: doc: UPC-10 /06 Print Name: rEtrjd(vei City oYilukwila 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 R-c4A-4 Permit Number: PGO7 -266 Issue Date: 10/11/2007 Permit Expires On: 04/08/2008 Date: I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Date: / U 1 ` f ' a? E-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. PG07 -266 Printed: 10 -11 -2007 Parcel No.: 8864000415 Address: 3233 S 137 ST TUKW Suite No: Tenant: LOPEZ GARAGE 1: ** *PLUMBING AND GAS PIPING * ** Soo 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 Permit Number: Status: Applied Date: Issue Date: 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. PG07 -266 ISSUED 10/05/2007 10/11/2007 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. doc: Cond -10/06 * *continued on next page ** PG07 -266 Printed: 10 -11 -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: IKFFv)idr r doc: Cond -10/06 PG07 -266 Date: 0 D 7 ordinances governing or local laws regulating Printed: 10 -11 -2007 CITY OF TUKWIL Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://wwwatukwila.wa.us King Co Assessor's Tax No.: 6,1100 0 -t Site Address: ' 5 3 S / 3 7 Spa77/e ;. ix f P1($Suite Number: Floor: Tenant Name: Property Owners Name: (R F'd.)� n 4_9 04 Mailing Address: /$ A ,96 j/, Name: gp frvJi c -r Mailing Address: / $0 .0 „0 74 5 EA: 7/ /� E -Mail Address: GENERAL CONTRACTOR INFORMATION (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping Company Name: 0 £4 Jmelt, T O Mailing Address: City Day Telephone: Fax Number: Expiration Date: Contact Person: E -Mail Address: Contractor Registration Number: Company Name: Mailing Address: Contact Person: E -Mail Address: Company Name: Contact Person: E -Mail Address: /r a Re FvJ,' v Lope Nene. Q:1AppliatiouWomta- Applications On LineO -2006 . Permit Application.doe 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 #• City 4, /4s Co n f c r fr New Tenant: fl .... Yes ❑ ..No `J / ' Stan Day Telephone: City Fax Number: State State State ?per Zip City State Zip Day Telephone: X 66 3 9 — $O S' Fax Number: Mailing Address: City Day Telephone: Fax Number: Zip Page 1 of 6 LLD] Q:\Applicationt\Forms- Applications On Line \3 -2006 - Permit Application.doc Revised: 9 - 2006 bh 'I41 T Z06 ; 31- 6 ' Valuation of Project (contractor's bid price : $ /0 Q GCS Existing riding Valuation: $ Scope of Work (please provide detailed information): A 6 i t t l V 6 eel, a r T n � ,4 / c � / i e - a 3 6 , 4 G 6 . times r Will there be new rack storage? ❑.... Yes (.. No If yes, a separate permit and plan submittal will be required. /K qs� /1746 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 of 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: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm Compact: Handicap: ❑ 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 PUBLIC WORKS PERMIT IN MATION - 206- 433 -0179 irr SW∎ifr iA 1 1 1 erg : 1 • — ^ �+/f•:L� Scope of Work (please provide detail Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila 0... Water District # 125 ❑ ...Water Availability Provided Sewer District ❑ ... Tukwila 0 ...Sewer Use Certificate 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. Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size —22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑...Traffic Impact Analysis ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑...Hold Harmless — (SAO) ❑ ...Hold Harmless — (ROW) 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 Q:\Appliations\Forms- Applications On Linc\3 -2006 - Permit Application.doc Revised: 9 - 2006 bit Call before you Dig: 1- 800 -424 -5555 ❑... ValVue ❑ .. Renton 0... Sewer Availability Provided ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line „ ❑ .. Highline ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ ...Renton ❑ ...Seattle ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Permanent Water Meter Size... 2 9 WO # ❑ ... Temporary Water Meter Size.. WO # ❑...Water Only Meter Size " WO # ❑ ... Deduct Water Meter Size ❑ ...Sewer Main Extension Public _ Private _ ❑ ...Water Main Extension Public Private FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip Page 3 of 6 Unit= p , . Qh'; Unit Type >' ' , ' :Unit Type QW , . OIlee /Cot pret$or Furnace<100K BTU Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Furnace>100K 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 Emergency Generator 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit <10,000 CFM Incinerator — Comm/Ind MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Day Telephone: Fax Number: Expiration Date: Contact Person: E -Mail Address: Contractor Registration Number: Valuation of Mechanical work (contractor's bid price): $ Scope of Work (please provide detailed information): Use: Residential: New .... Replacement .... 0 Commercial: New ....El Replacement .... 0 Fuel Type: Electric ❑ Gas ....❑ Other: Indicate type of mechanical work being installed and the quantity below: Q:WppliationsWonns- Applications On Line3-2006 - Permit Application.doc Revised: 9 -2006 bh Page 4 of 6 Fixture T e• .. yl:� • ! Fitt "ture , t2h' ;:' Fixture Type: ' tgtu re, YPe• Bathtub or combination bath/shower 7 Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory i t Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent 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 - PLUMBING AND GAS FIFING RMIT INFORMATION = 206 -431, PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: 0 to t F r 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): $ 0 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): 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:MpplicationslForms- Applications 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. BUILDING OWNER OR AUTHORIZED AGENT: Signature: Print Name: fig , R e f 03 o Opp Date Application Accepted: Q:\ApplicationslForms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Date: /0/0 7 Day Telephone: 2O 6, 7/ 9- /7t? Mailing Address: City State Staff Initials: Zip Date Application. Expires: Page 6 of 6 Parcel No.: 8864000415 Address: 3233 5 137 ST TUKW Suite No: Applicant: LOPEZ GARAGE Receipt No.: R07 -02188 Payee: REFUJIO LOPEZ ACCOUNT ITEM LIST: Description PLUMBING - 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: 10/05/2007 04:29 PM User ID: 1655 Balance: 80.00 TRANSACTION LIST: Type Method Description Amount Payment Cash 108.00 Account Code Current Pmts 000/322.100 108.00 Total: $108.00 Permit Number: PG07 -266 Status: PENDING Applied Date: 10/05/2007 Issue Date: Payment Amount: 8108.00 doc: Receiot -06 Printed: 10 -05 -2007 COMMENTS: Type of Inspection: - F - 1 YLf Iq- I Address: 3 ?33 5 i3 7 s4 re4 4( f X cps A e c 4 Uc 1 -,( ) 4 �� << >�, ( cl e.._0 c ; 8 17 , i s ; 1 ,a l_, Af' R- io 736 P.t A / -t e - 1 I,L___ '7 c A- k 7 7 6A_ 6-6A_ cIC7?E. / M �" t 1 . Projer --V /� P 7 C Fri` n 11C Type of Inspection: - F - 1 YLf Iq- I Address: 3 ?33 5 i3 7 s4 Date Called: Special Instructions: Date Wanted: L( _71 —QCC34, a.m. Requester: - --� Phone No: 2v6 22 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 9808 P661-2 gc, PERMIT NO. (206)431 - 3670 Approved per applicable codes. El Corrections required prior to approval. Inspect r: Date: —v� $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. Receipt No.: Date: COMMENTS: Type of Inspection: r I'v A L-- PI u-A-44. Address: 3233 137 ' - E ,, I .P4A /� ,, r� 1 CJ vv 1i__ (//3 r Special Instructions: j 0 61 fL _A7 1 - (,J ,‘ I I re - 6-A-{ n..l z-c9 A ► r 1--1, r- i L-J r r) w , Project: Lo P Z- 64 2rt Type of Inspection: r I'v A L-- PI u-A-44. Address: 3233 137 ' - E Date Called: Special Instructions: Date Wanted: y — Z 6- Ob 4 Requester: - Phone Ng: 7 - ...3 2._.5 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ID Approved per applicable codes. El Corrections required prior to approval. $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspecfion. 'Receipt No.: 'Date: INSPECTION RECORD Retain a copy with permit PERMIT NO. (206)431 -3670 Date: / 4 0(5, Pro.21*.fz. Type of ection; N H65 i/U AAVress: Date Called: Date4NyttMe, . . Special Instructions: Reques er: 3-r i■---r .: ' -- INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. Corrections required prior to approval. COMMENTS: Oru p4ri-e9 44 ,ICJ:Ji.j ;.1.5 f L)!(4 ; IOJ A4itbf I lnspe tor: I Date4 , 4),( $58.00 REINSPECTION FEE FIGURED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: 1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 3 7 e y t Type o nspection: ' ✓fie .t Date Called: Address: 2 33 X3 . 23 Special Instructions: Date Wanted: Requester: Phon No: 2 2 - 22:7 -3229 tSl Approved per applicable codes. Corrections required prior to approval. COMMENTS: ( iett /� /?477cT f )(..) / lam, / ,T 4 ) . 7,1A,C - •.uy.e&I � / /3a (i) .00 REINSPECTION)EE REl; Prior to inspection, fee must be aid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: 03 -05 -2008 REFUJIO LOPEZ 1806 20TH SEATTLE WA 98122 RE: Permit No. PG07 -266 3233 S 137 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 Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the Building Division under the provisions of the 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 issuance, 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 International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical 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 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 04/27/2008 , your permit will become null and void and any further work on the project will require a new permit application and associated fees. Thank you for your cooperation in this matter. Sincerely, Xc: fer Marshall t Technician Permit File No. PG07 -266 City of Tukwila 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 ACTIVITY NUMBER: PG07 -266 DATE: 10 -05 -07 PROJECT NAME: LOPEZ GARAGE SITE ADDRESS: 3233 S 137 ST X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Public Works ❑ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions ❑ "J Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2.28 -02 4✓ PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP Structural ❑ Permit Coordinator Fire Prevention Incomplete Structural Review Required Planning Division DUE DATE: 10-09-07 Not Applicable ❑ No further Review Required DUE DATE: 11 -06 -07 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 STATE OF WASHINGTON) COUNTY OF KING ) AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION ss. [please print] 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 1 8.27.090. 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 reqykpment of RCW 18.27.090, I consider the work authorized under this building permit to be exempt under No. IV and will therefore not be performed by a registered contractor. 1 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. \apprications\8 -2004 affidavit in lieu of contractor registration APPLICANT PERMIT NO.: U7 - � , states as follows: "ttivit'd Signed and swom to before me this day of ()CFO � r'` , 20 G 7. 1 N AR PUBLIC in and for the State of Washington, Residing at j<itr1 , County. Name as commissioned: A- Wer lc My commission expires: OS- 020 -I L 18.27.090 Exemptions. This chapter shall not apply to: 1. 2. An authorized representative of the United States Govemment, 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 fumished 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 i 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 en 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.