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HomeMy WebLinkAboutPermit PG06-092 - LOPEZ GARAGELOPEZ GARAGE 3233 S 137 ST EXPIRED 04 -03 -07 PG06 -092 City to Tukwila Steven M. Mullet, Mayor 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 Parcel No.: 8864000415 Address' 3233 S 137 ST TUKW Suite No: PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director PG06 -092 10/05/2006 04/03/2007 Tenant: Name: LOPEZ GARAGE Address' 3233 S 137 ST, TUKW ILA WA Owner: Name: LOPEZ REFUGIO Address: 1715 29TH AVE, SEATTLE WA Contact Person: Name: PAT MAGNUSOHN SR. Address' 523 30 AV E, SEATTLE WA Contractor: Name: OWNER AFFIDAVIT ON FILE • REFUGIO LOPEZ Address' Contractor License No: Phone: Phone: 206 325 -5815 Phone: Expiration Date: DESCRIPTION OF WORK: INSTALL BATHROOM Value of Plumbing /Gas Piping: $0.00 Fees Collected: $118.00 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND QUANTITY Plumbing Bathtub or combination bath /shower Bidet Clothes washer, domestic Dental unit, cuspidor 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 0 Sinks 1 Urinals 0 Water Closet 1 Plumbing (cont.) 1 Building sewer and each trailer park sewer 0 0 Rain water system - per drain (inside bldg) 0 0 Water heater and /or vent 0 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 Medical gas piping system serving one to five 0 inlets /outlets for a specific gas 0 0 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC - Permit PG06 -092 Printed: 10 -05 -2006 City a Tukwila Steven M. Mullet, Mayor 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 Steve Lancaster, Director Permit Number: PG06 -092 Issue Date: 10/05/2006 Permit Expires On: 04/03/2007 Permit Center Authorized Signature: / Aft I hereby certify that I have read and J s Date: lei DC A, his permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be omplte'd 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. Signature: Aittio Print Name: Date: 01P t/r6 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- Permit PG06 -092 Printed: 10-05-2006 City or Tukwila Steven M. Mullet, Mayor 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 Parcel No.: 8864000415 Address' 3233 S 137 ST TUKW Suite No: Tenant: LOPEZ GARAGE PERMIT CONDITIONS Steve Lancaster, Director Permit Number: PG06 -092 Status: ISSUED Applied Date: 07/19/2006 Issue Date: 10/05/2006 1: ** *PLUMBING AND GAS PIPING * ** 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. * *continued on next page ** doc: Conditions PGO6 -092 Printed: 10-05-2006 City are Tukwila Steven M. Mullet, Mayor 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 Steve Lancaster, Director 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: Print Name: Date: 1,(2 doc: Conditions PGO6 -092 Printed: 10 -05 -2006 Community Devetopmenwepartment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. **Please Print** King Co Assessor's Tax No.: gge, b 6 (t& 44 c Site Address: 3 2 33 S. 137' ST Suite Number: Floor: Tenant Name: A'lR . P t,c( 0 SeZ New Tenant: ❑ .... Yes ZI..No Property Owners Name: SAM ir A 5 Arayt- Mailing Address: 176 ^6 (3 kit& WA State Name: Mailing Address: 6r,--30-74/ ,4ygiyv E -Mail Address. kr--Thr— Day Telephone: -sic"(Trip 4/44 44 Fax Number: Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: Contractor Registration Number: Expiration Date: State Zip Company Name: t-ItJc vdc F Mailing Address: T-i73 -3/D� ��' Contact Person: g �/pa/ oA/xi r E -Mail Address: Company Name: Mailing Address: Contact Person: E -Mail Address: City I kAsute % gfr Day Telephone:: ) Fax Number: • r A {}r) j '/1 &r�(�K (t rr 477ppfs Q:■pplintionaotme- Applicntionn On Linty -3006 • Petmit Appliution.doc Revised: 4-3006 be City State Zip Telephone: � /)6 l 39 Fax Number. \ \ \ Page 1 of 6 Valuation of Project (contractor's bid price): $ /0 6 CYO' Existing Building Valuation: $ Scope of Work (please provide detailed informationj: G. .� Will there be new rack storage? ❑ .. Yes 191.. No (If yes, a separate permit and plan submittal will be required) l" PLANNING DIVISION Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ ....Yes ❑ ..No If `yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑.. Sprinklers ❑..Automatic Fire Alann ❑..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 s 11 paper indicating 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. Q: Applications \FonwApplic ibm Dn Line1/43-2006. Permit Appliation.doc Revised: 4-2006 .. bb Page 2 of 6 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E -Mail Address: City State Zip Day Telephone: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Project (contractor's bid price): $ SZO ff Scope of Work (please provide detailed information): 11'1`\ I tAc 3c i LYE - Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quan ity below: Fixture Type: Q niizture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower 1 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 I Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet l Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interce tors 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 Additional medical gas inlets/outlets — six or more QMApplienionsWorme- Applications On Line\ -1006 - Permit Application doe Revised: 4-2006 bit Page 5 of 6 1 Date Application Accepted: MA VI iCte 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 SHAVE 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT: Signature: Print Name: ✓S s - Mailing Address: /7 i ♦ ,2,1)77/ gyp- Day Telephone City Date: (A4 1 Date Application Expires: Staff Initials: Q Mppliwdoos\rmm'- Appliuliau On Lina3-2006 - Permit Application doe Revised. 42006 bb Page 6 of 6 1 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 8864000415 Address: 3233 S 137 ST TUKW Suite No: Applicant: LOPEZ GARAGE Permit Number: PGO6 -092 Status: APPROVED Applied Date: 07/19/2006 Issue Date: Receipt No.: R06 -01573 Payment Amount: 10.00 Initials: JEM Payment Date: 10/05/2006 01:26 PM User ID: 1165 Balance: 50.00 Payee: REFUJIO LOPEZ TRANSACTION LIST: Type Method Description Amount Payment Cash 10.00 ACCOUNT ITEM LIST: Description Current Pmts Account Code PLUMBING - RES 000/322.100 10.00 Total: 10.00 0439 10/05 9716 TOTAL 10.00 doc: Receipt Printed: 10 -05 -2006 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 Steven M. Mullet, Mavor Steve Lancaster, Director Copy Reprinted on 07-19-2006 at 11:42:51 07/19/2006 RECEIPT NO: R06-01068 Initials: JEM Payment Date: 07/19/2006 User ID: 1165 Total Payment: 511.70 Payee: REFUJIO P LOPEZ SET ID: S000000525 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount D06 -278 11ifl-G92 TOTAL: 403.70 108.00 511.70 TRANSACTION LIST: Type Method Description Amount Payment Check 6436 511.70 TOTAL: 511.70 ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - RES PLAN CHECK - RES PLUMBING - RES STATE BUILDING SURCHARGE 000/322.100 241.94 000/345.830 157.26 000/322.100 108.00 000/386.904 4.50 TOTAL: 511.70 7544 07/20 9710 TOTAL. 511.70 03 -01 -2007 PAT MAGNUSOHN SR. 523 30 AV E SEATTLE WA 98112 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director RE: Permit No. PG06 -092 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 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 fmal 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 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 04/03/2007 , 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, AveM hall, PermitTeeetiniitan xc: Permit File No. PG06-092 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-431-3670 • Fax: 206-431-3665 Tukwila Building Division Allen Johannessen, Plan Examiner Building Division Review Memo et 0 63I/ Date: July 19, 2006 4-04t 41L141 2 / Project Name: Name atcrittri _ Permit #: D06 -278 & PGO6 -098 _Lava OA( aiella Plan Review: Alien Johannessen, Plans Examiner tgal 4 /,c[ A Building Division conducted a plan review on the subject permit application. Please address the following comments in an itemized format with revised plans, specifications and/or other applicable documentation. (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 11)(17 to maximum size of 24x36; all sheets shall be the same size). (If applicable) Structural Drawings and structural calculations sheets shall be original signed wet stamped not copied.) 1. After investigation of the proposed site by Dave Larson and Alien Johannessen we discovered some inconsistencies with the plans submitted with the description for the scope of work. A review of recent history of the property uncovered several RFA's the latest one RFA05-046 dated 06 -29-06 "City attomey received signed land use agreement from Rufugio Lopez. By signing he agrees to remove the trailer and the city agrees to recognize the main house as a duplex. He agrees to inspection by the city and also may retain or re- install the structure over the trailer for use as a carport (unendosed). Will need to finalize the execution." 2. The plans show an existing garage where there is an existing mobile home with a pitched roof built over it. The plans shall not be accepted for the proposed bathroom or any other work proposed on the plans. Applicant shall comply with the Land Use Agreement (see item 3.). 3. Per the Land Use Agreement signed by Refugio Lopez and Kathryn Stetson Lopez "may utilize the carport covering the mobile trailer for storage of automobiles provided the structure remains OPEN (not enclosed) and all necessary permits are obtained from the City, Including but not limited to all building permits required to repair the cover of the carport should removal be necessary to move or demolish the Mobil Trailer as required by Section 4 of the agreement? (Land Use Agreement enclosed with letter) 4. The permit to build the garage and bathroom shall be denied. Provide a letter request to City of Tukwila DCD to terminate this permit. Apply for a demolition permit for removal of the mobile home. An additional permit shall be required to make repairs to the carport. 5. The City of Tukwila DCD will allow the construction of an unheated garage that meets all set backs, building clearance and sized for the allowed lot coverage. No bathroom construction or plumbing shall be allowed for the garage. A new building permit- application complete with site plan and structural drawings shall be required. Should there be questions concerning the above requirements, contact the Building Division at 206-431 -3670. No further comments at this time. • Page 1 Tukwila Building Division Allen Johannessen, Plan Examiner Determination of Completeness Memo Date: July 20, 2006 Project Name: Lopez Garage Permit #: D06 -278 & PG06 -094 a Plan Review: Allen Johannessen, Plans Examiner A Building Division has deemed the subject permit application incomplete. To assist the applicant in expediting the Department plan review process, please forward the following comments. PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size). (If applicable) Structural Drawings and structural calculations sheets shall be original signed wet stamped, not copied.) 1 The garage addition indicates the installation of a bathroom. This shall require the space to be a heated space to protect pipes and fixtures from freezing. As a result the heated space shall be required to meet Washington State Energy Code for floor, wall and ceiling insulation requirements. Revise plans to indicate type of heat source and to show energy code requirements are met. (2003 IRC P2603.6 & 2004 WSEC). 2 In addition to item (1), show the source location where water supply and waste lines shall connect. (IRC Chapter 26) Should there be questions conceming the above requirements, contact the Building Division at 206-431 -3670. No further comments at this time. July 25, 2006 Pat Maguusohn Sr. 523 30 Av E Seattle WA 98112 NW" City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director RE: Letter of Incomplete Application # 1 Development Permit Application D06 -278 Plumbing/Gas Piping Permit Application PG06 -092 Lopez Garage — 3233 S 137 St Dear Mr. Lopez: This letter is to inform you that your permit applications received at the City of Tukwila Permit Center on July 19, 2006 are determined to be incomplete. Before your applications can continue the plan review process the following items from the following department needs to be addressed: Building Department: Allen Johannessen, at 206 433 -7163, if you have any questions concerning the attached comments. Please address the comment above in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that four (4) sets of revised plans, specifications and/or other documentation be resubmitted with the appropriate revision block for the building permit and two (2) sets of revised plans, specifications and/or other documentation be resubmitted for the plumbing/gas piping permit. In order to better expedite your resubmittal a 'Revision Submittal Sheet' must accompany every resubmittal. For your convenience, I have enclosed one for each permit. Revisions must be made in person and will not be accepted throuxh the mail or by a messenzer service. If you have any questions, please contact me at the Permit Center at (206) 433 -7165. Sincerely, arshall hnician Enclosures File: Permit D06 -278 & PG06 -092 P:Vennifer Incomplete Letters \2006 \D06 -278 & PG06 -092 Incomplete Ltr #1.DOC jem 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665 SJERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG06 -092 DATE: 07 -28 -06 PROJECT NAME: LOPEZ GARAGE SITE ADDRESS: 3233 S 137 ST Original Plan Submittal X Response to Incomplete Letter # 1 Response to Correction Letter # Revision # After Permit Issued vvD E PA RTM E N TS►�p��w'� Bui ivision Public Works Fire Prevention Structural Planning Division L_J Permit Coordinator ❑ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete ❑ DUE DATE: 08-01-06 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUJING: Please Route u Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Notation: Approved with Conditions DUE DATE: 08-29-06 Not Approved (attach comments) U 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 ',is/PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG06 -098 DATE: 07 -19 -06 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: BuilhEP�in Public Works Fire Prevention Structural Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete C Incomplete Comments: DUE DATE: 07-20-06 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: (X[dy Departments determined incomplete: Bldg% LETTER OF COMPLETENESS MAILED: Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route ❑ Structural Review Required REVIEWER'S INITIALS: No further Review Required DATE: APPROVALS OR CORRECTIONS: DUE DATE: 08-1 7-06 Approved ❑ Approved with Conditions ❑ 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/outing slip.doc 2 -28 -02 City of Tukwila Steven M. Mullet, Mayor Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http : / /www.cttukwila.wa.us Steve Lancaster, Director REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 20 Plan Check/Permit Number: PG06 -092 ® Resp se to Incomplete Letter # 1 ❑ Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: CITY OF YUICWILA JUL 2 8 2006 PERMIT CENTER Lopez Garage Project Address: 3233 S 137 St Phone Number: � � -" 2 -5--g) 6 Tibx/ Q x- is77t46f,,4c AILS )24,1vv Zacs.. Siyna1 )40..L P W44.. a reeve/test lsdogreoty� sr - l> h ekvclr ,474/ w"SM'�Z Contact Person: Summary of Revision: Stya t o 44 7 f Fj�1 ti 6' ' 57 54,4561 Mvpt5 Cr rA@� zy,E F s�ao d Sheet Number(s): "Cloud" or highlight all dreas f revision including date of revision Received at the City of Tukwila Permit Center by: Entered in Permits Plus onf(b(o sI li/i Al. I ' \applications\forms - applications on Iinexevision submittal Created: 8 -13 -2004 Revised: 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 a AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON) ) ss. COUNTY OF KING ) gpron't "i6 (EL- PERMIT NO.: , states as follows: —21-1 Pfrde-cf2- [please pant] 1. I have made application for a building permit from the City of Tukwila, Washington. 2. 1 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. 1 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 reqyirement of RCW 18.27.090, I consider the work authorized under this building permit to be exempt under No. 1P 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. \applicationA6 -2004 affidavit in lieu of contractor registration APPLICANT /?4r kfrif *t- - Signed and swom to before me this 51i, day of October 2006 . &eta, Q•,o- NOTARY PUBLIC in and for State of Washington, Residing at king Name as commissioned: My commission expires: County. Alice A. Deacy 6-16-68 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 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 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.