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Home My WebLink AboutPermit D06-008 - Fountain Espresso - Espresso StandFOUNTAIN ESPRESSO 14628 MILITARY RD S D06 -008 Parcel No.: 0040000825 Address: 14628 MILITARY RD S TUKW Suite No: Tenant: Name: FOUNTAIN ESPRESSO Address: 14628 MILITARY RD S, TUKWILA WA Owner: Name: GRANT EARL & DARLENE E Address: 13783 34TH S, SEATTLE WA 98168 Phone: Contact Person: Name: RAHEL YIRGA Address' 11032 1 AV SW #5, SEATTLE WA 98146 Phone: 206 7904136 Contractor: Name: OWNER AFFIDAVIT - RAHEL YIRGA Address: , Phone: Contractor License No: DESCRIPTION OF WORK: CONSTRUCT 160 SF ESPRESSO STAND doc: IBC- PERMIT City oldTukwila 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 DEVELOPMENT PERMIT "continued on next page" Permit Number: D06 -008 Issue Date: 07/13/2006 Permit Expires On: 01/09/2007 Expiration Date: Steven M. Mullet, Mayor Steve Lancaster, Director Value of Construction: $10,758.40 Fees Collected: $403.70 Type of Fire Protection: NONE International Building Code Edition: 2003 Type of Construction: V -B Occupancy per IBC: 19 006 -008 Printed: 07 -13 -2006 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N City ' 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 Permit Number: 006 -008 Issue Date: 07/13/2006 Permit Expires On: 01/09/2007 Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: N Hauling: N Start Time: End Time: Land Altering: N Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: N Moving Oversize Load: N Start Time: End Time: Sanitary Side Sewer: N Sewer Main Extension: N Private: Public: Storm Drainage: N Street Use: N Profit: N Non - Profit: N Water Main Extension: N Private: Public: Water Meter: N Permit Center Authorized Signature: doc: BC-PERMIT Steven M. Mullet, Mayor Steve Lancaster, Director Date: " �' 1 b 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 development permit. Signature:, ' tie/ v,',k9 a Date: 7- -! ? (7 C Print Name: rC O r„ e f y,' r rY 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. 006 -008 Printed: 07 -13 -2006 1: ***BUILDING DEPARTMENT CONDITIONS "' PERMIT CONDITIONS Parcel No.: 0040000825 Permit Number: D06 -008 Address: 14628 MILITARY RD S TUKW Status: ISSUED Suite No: Applied Date: 01/09/2006 Tenant: FOUNTAIN ESPRESSO Issue Date: 07/13/2006 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 mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431- 3670). 4: 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. 5: 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. 6: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any requirements for special inspection. 7: All wood to remain in placed concrete shall be treated wood. 8: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 9: Manufacturers installation instructions shall be available on the job site at the time of inspection. 10: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be obtained at City Hall in the office of the City Clerk. 11: 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. 12: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 13: 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). 14: 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. 15: ** *PLANNING DEPARTMENT CONDITIONS "' doc: Conditions 006-008 Printed: 07 -13 -2006 16: Applicant shall provide plantings in containers with evergreen plant materials around the proposed espresso stand building. 17: A separate sign permit is required to install any sign and the proposed sign shall meet all sign code requirements and shall be consistent with the architecture of the building. **continued on next page" doc: Conditions 006 -008 Printed: 07 -13 -2006 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: 12 0\ 0 I Y,` r 0 a Print Name: R o J v i il`r t o Date: — 7- // doc: Conditions D06-008 Printed: 07 -13 -2006 Company Name: Mailing Address: Company Name: Mailing Address: CITY OF TUKWILA Community Developmenttapartment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 / King Co Assessor's Tax No.: no y b 00 I) Site Address: /4621 /h i I 1 4- a r Y kip $ Suite Number: Floor: Tenant Name: New Tenant: ❑ .... Yes ❑ ..No Property Owners Name: /get in e/ yo- 9- a Mailing Address: I /Q3 2 154- Ave f rl/ #C 5 r44 -4 /P Co OWPN' E -Mail Address: y:\pambc plrsc dears \permit application (74004) Inked' 61-05 bit 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** Page I W0 CONTACT PERSON Name: R o in P l yi I-y- a Day Telephone: a 6 7 q!"-- 4'/ T 6 Mailing Address: 111972 15 * Ave Sty #c S PrA (--,t /e um 95 I/ 4 ` City State Zip E -Mail Address: 5 Y (A/ I r0(9 (Y h br ✓Y) t It' . r Owr Fax Number: GENERAL, CONTRACTOR INFORMATION = (Mechanical Contractor i atio o o k page) State Fax Number., 4 -7 S -S g/ S . State Zip City 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* ARCHITECT OF = RECORD -An plans must be wet stamped by Architect of Record Company Name: Pqj ki C K L /3'1 a Er /I/ C oP n/ SR A- R l' l 4 Er 1- m y 7 A /A Zip Mailing Address: 5 3 3 m a u P F S Pa 4 -le wig cur Contact Person: Day Telephone: ENGINEER OF RECORD All plans must be wet stamped by Engineer of Record City Contact Person: Day Telephone: E -Mail Address: Fax Number. Zip Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): 2 0 )( f F S'S P1 S S o fret d P Will there be new rack storage? ❑ .. Yes ❑.. No If "yes ", see Handout No. for requirements. Provide All Building Areas in Square Footage Below 11 Floor 2 Floor r Floor Floors Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck Existing Interior Remodel Addition to Existing Structure New run Tweof Construction per IBC M Type of Occupancy per IBC V--92 PLANNING DIVISION: Single - family building footprint (area of the foundation of all structures, plus any decks ova 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): 19, Nora r0 �3)FI or a 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 Alarm fl<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. gMpennitr pkn*c chwr+bamd application (7 -2004) Revised' 64-0S bh Page 2 PUBLIC'WORKS PERMIT INFOst4ATION 440,6433401a Scope of Work (please provide detailed information): Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ...Tukwila R... Water District #125 0 ...Water Availability Provided Sewer District - ❑...Tukwila R t. ValVue ❑..Renton ❑...Seattle ❑ ...Sewer Use Certificate ...Sewer Availability Provided ❑ .. Approved Septic Plans Provided ❑...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department. Submitted with Application (mark boxes which applv): ❑...Civil Plans (Maximum Paper Size -22" x 34 ") ❑...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑...Hold Harmless Ptoposed Activities (mark boxes that apply): ❑ ...Rightof -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 ❑ .. Work in Flood Zone ❑ ...Total Fill ❑ .. Storm Drainage cubic yards cubic yards ID ...Sanitary Side Sewer ❑...Cap or Remove Utilities ❑...Frontage Improvements ❑...Traffic Control ❑...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑...Permanent Water Meter Size... ❑...Temporary Water Meter Size.. ❑...Water Only Meter Size ID -.Sewer Main Extension Public 0... Water Main Extension Public q:tye,mi s pintkc elmWbaneit application (7400 Revised: 6445 bit It Call before you Dig: 1400- 424-5555 ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line It I t WO# WO# WO# Private Private Page 3 ❑ .. Highline ❑ ...Renton ❑ .. Geotechnical Report ❑...Traffic Impact Analysis ❑ .. Right-of-way Use - Profit for less than 72 hours ❑ .. Right-of-way Use - Potential Disturbance ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line ❑...Water ❑ ...Sewer ❑...Sewage Treatment Monthly Service Billing tj• Name: Number of Public Fire Hydrant(s) Day Telephone: Mailing Address: City State Zip Water Meter Refund/Billine: Name: Day Telephone: Mailing Address:. City state Ztp Unit Type: Qty Unit Type: - , Qty Unit Type: Qty ' Boiler /Compressor: Qty Furnace <IOOK BTU Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Furnace>10OK 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/Refrig/Cooling System Incinerator - Domestic Emergency Generator Air Handling Unit <10,000 CFM Incinerator - Comm/Ind Other Mechanical Equipment IIANTPAL PERMIT INN TION -20684 1 MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City State Lp 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** Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Use: Residential: New ....El Replacement Commercial: New .... 0 Replacement Fuel Tvpe: Electric ❑ Gas ....0 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). 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: /A? A in el Yi r a Print Name: /Q (A II e1 I r Y (a cw('J Id e Mailing Address: //(7 7a /s-f- 01 V P S r„i I Date ApplicationAccepted: 010 4:Wpcmits *Ake dangs‘pennit application (7-2004) Revved: 64-03 bh Page 4 Date: / — q— 0 Day Telephone: 204- 7 90^4/76 Se ci l4/e ego QV 6'k- city State Lp Date Application Expires: 01y -StaffInitials: ACCOUNT ITEM LIST: Description Current Pmts doc: Receipt City of Tukwila Parcel No.: 0040000825 Permit Number: D06 -008 Address: 14628 MILITARY RD S TUKW Status: APPROVED Suite No: Applied Date: 01/09/2006 Applicant: FOUNTAIN ESPRESSO Issue Date: Receipt No.: R06 -01025 Payment Amount: 246.44 Initials: BLH Payment Date: 07/13/2006 12:50 PM User ID: ADMIN Balance: 50.00 Payee: RAHEL YIRGA 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 TRANSACTION LIST: Type Method Description Amount Payment Cash BUILDING - NONRES STATE BUILDING SURCHARGE RECEIPT Account Code 246.44 000/322.100 241.94 000/386.904 4.50 Total: 246.44 7354 07/13 9716 TOTF_. 3 Printed: 07 -13 -2006 Payee: RAHEL YIRGA ACCOUNT ITEM LIST: Description City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PLAN CHECK - NONRES RECEIPT Parcel No.: 0040000825 Permit Number: D06 -008 Address: 14628 MILITARY RD S TUKW Status: PENDING Suite No: Applied Date: 01/09/2006 Applicant: FOUNTAIN ESPRESSO Issue Date: Receipt No.: R06 -00024 Payment Amount: 157.26 Initials: 3EM Payment Date: 01/09/2006 09:44 AM User ID: 1165 Balance: $246.44 TRANSACTION LIST: Type Method Description Amount Payment Cash 157.26 Account Code Current Pmts 000/345.830 157.26 Total: 157.26 1084 01/09 9716 TOTAL 157.26 doc: Receipt - - Printed: 01 -09 -2006 Pro' ct: Mb/kV QJ fr55 & Type of Inspection: P.Fi/ V ddress: / 4/428 ft i.irite y R a s Date Called: Special Instructions: Date Wanted: / //— 6 7-0 .ii P.m. Requester: Phone No: 2N - 7 , -+'/3C INSPECTION NO. CITY OF TUKWILA BUILDING DIVISI 6300 Southcenter Blvd., #100, Tukwila, WA 98188 *proved per applicable codes. INSPECTION RECORD Retain a copy with permit PER NO. ON I 206)431 -3 Corrections required prior to approval. COMMENTS: /bra int ni ip /07/ / Date: 8.00 REINSPECTION E REQUIRF[D. Prior to inspection, fee must be paid at 6300 Southcente Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Project: 11 F(J);!n/�'A CsQ��SSCr Type of Inspection: , ` ) 4104/7J Address: /y628 Nl,'G:)4 ,2r/S Date Called: Special Instructions: /�� 175e (fA i( Date Wanted: /0- ?5 p.m. Requester: Phone No: a0d-750 -y/363 / N O INSPECTION RECORD Retain a copy with permit INSPECTIO . CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 It Approved per applicable codes. COMMENTS: /1 M r; nS ss ri $58.10 REINSPECTIONEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: !Date: 1Ja6 PERMIT NO. (206)431 -3 El Corrections required prior to approval. Project: l d t1 N fl +J x pi,. >s c„. Type of Inspection: . e < AWL/ Address: ,.., 4 ( 1 , L MS LI rant, Q c( Called: Special Instructions: Date Wanted: cI — Z g- O C. �m p.m. Requester: Phone o Np 7 9 U — Li rs L. INSPECTION NO. COMMENTS: Itly a 1 tbta He C cam- - cat fro INSPECTION RECORD Retain a copy with permit (a- PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-36 A pproved per applicable codes. El Corrections required prior to approval. Ins pe or: (Date: et (2t,0 $58.00 REINSPECTION FEE REQUIRED. Prior to Inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cal to sechedule reinspection. (Receipt No.: 'Date: COMMENTS: / 0 l M // Jws 1, /,9 J4 aI - 4,i yr 1� pe / 107, � �� ) QodiT,Sw /1tC v , - /2 dl /tor? Special Instructions: Date Wanted: <a.r1 r-7Oo2 /0 /1/ 4 i ,,is u — Phone No: D7 ,t. ' /,,C/ es .f/on : ft,s v/.4 /,$,rr nu i/,i/N / ?efi9/tii Project: ,CovlA•,t/eC-51/e'', S Type of Inspection: ' &i4' /_271/52LC4r/ Address: /I/62ff Phillip- � ye( Date Called: Special Instructions: Date Wanted: <a.r1 B 0 O G P Requester: Phone No: D7 /Z> INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43r-367 Ca, Approved per applicable codes. 0 Corrections required prior to approval. fa D Ca 3 -66 $58.00 REINSPEC1ION FEE RE ED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. (Receipt No.: (Date: 1 Project: Type of Inspection: Addres • r ate Called: Special Instructions: Date Wanted I, p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367 proved p a pplicable codes. 0 Corrections required prior to approval. COMMENTS: ri $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: Project: zrni /A�: /-ov 4s�7e55a Type of Inspection: Petim Address: yaa8 n7 4 Date Called: Special Instructions: Date Wanted: / . 1. /O IO C' Requester: o Na a 7 50 — via D INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 El Approved per applicable codes. (206)431 - 367 `fJ I Corrections required prior to approval. COMMENTS: k rir . t4. 7 -4W f efe•/ uric, 4,A400. /0 4-- � 2-y ci %o S rr" t, a 49e! t're/ 7 �. cote Cf alt/ T) ,4 (,./ ?_ -- th / 9 6 frt eteAl et Ins pec VII rte: &-/ $58.7 REINSPEttION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. (Receipt No.: Date: Projec � Type of Inspection: 1 7 41 4'3 all /,544 Address: / 94x24 Ai •r� Date Called: m �ti Special Instructions: / !! Date Wanted: 7- �7 / A� V6 C it P.m. Requester. Phone No: _ INSPEOtION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit PERM (206)431 -3670 A pproved per applicable codes. 0 Corrections required prior to approval. O MENTS: 0 $58.00 REINSPECTION ' EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: Project:�� applicable codes. i Type of Ins asctionn: �t required prior to approval. :::&sns: / / //vj Td2t: 7-3/-66 . . parr Requester: Phone No: Ap per applicable codes. i Correctidns required prior to approval. COMMENTS:_ F I J P f t t Inspectoj.� rate: 7` ..,` ; /'1h INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit PE NO (206)431 -3670 $56.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: (Date: Project: r /a &' Zip /esso Type of Inspection: . Ftznr /A/6 Address: iyGz3 712;17et d Date Called: Special Instructions: Date Wanted: am. 2,i --UG Requeste P r a ° L} 790 —9126 Approved per applicable codes. Corrections required prior to approval. COMMENTS: / /} J%/!'r 'e't/ Ant, 4 -' , - 4/4-¢ e ij 6 i /tr ,rt6; > , 2 aI 9 h -pit. — tiwe.h nspec / IDate: 7 _7S' -4 C INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 58.00 REINSPECTIQN FEE REQUIRFD' to inspection, fee must be (206)431-3670 paid at 6300 Southcenter Blvd., Sui a 100. Call to sechedule reinspection. eceipt No.: rate: Prole �{ i)1( N - E 1)�yV C tIJ�CSS'l7 Type of Inspection: faVel ri .5/t-e,.y 4• ii- Address; / VLz a r4; L L-. Date Called: Special Instructions: Date Wanted: 7_ Z °— d1 p Requester: Phone No: CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. f CCorrections required prior to approval. COMMENTS: 'tin //sheer 1h. nspect INSP�RION NO. INSPECTION RECORD Retain a copy with permit At/ -47 6 "a" .0,5 r / 2 ii, Date: -2 v 0 5 (206)431 -3670 8.00 REINSPECTION FEE EQUIRE r . 'or to inspection, fee must be aid at 6300 Southcenter Blvd., Suite 100. Calt \to sechedule reinspection. ceipt No.: (Date: Project nni ,A4AI 257,e44 Type f Inspe on: / 3nest i4•ws Addr s: iYL - g y✓►i Date Called: Special Instructions: // Date Wanted: m. Requester: Phone No: Z — "4/2'Appf6red.pef applicable codes. INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431.3670 or rections required prior to approval. COMMENTS: (J f M,35 r i -') / / l 2 N %v e /(9 — G a t1iu fc it Inspector: Date: $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedute reinspection. 'Receipt No.: 'Date: , - Project: F/ ?/ i Srpe%Set Type of Inspectio : ..... orat Address: i /'/ (,28 r-hz/f 4n, 2 crc Date Called: Special Instructions: r Date Wanted: 7 79- 6 - C? p.m. Requester: Te ri: 2 5 o _ q/ s 6 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 9818B Receipt No.: (206)431-3 Approved per applicable codes. Corrections required prior to approval. COMMENTS: RehAx. A t 1-0 4 m c, M ?AA/ A-re 'Date: I --f 5 -of .8.00 NEINSPE N FEE R Q D Prior o inspection, fee must be d at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Date: Rosiness Name: Operator: Page of r e) W n Address City ZIP Seats / Checkouts Phone: l yb 9- - r Vrhtlr} ate c Ttcwt\a `t816& / ( ) General Health Record ID /E Date Time In Office Time Activity Time : 3o m Points Travel Time : (sm Service PR •U�i7► g it SE 1_b t7 c J O IIIE 7 121 a'ss m 10 m hem Number OBSERVATIONS and CORRECTION ACTIONS Violations cited in this area must be corrected with the time frame specified. 128 I• Scheduled Ntr\ .-1 Ritk, rr. VCa`± dtscwa s L.ow e , is-5, Ir ace 126 126 � Fld PI Rvw • Fid PI �vy-e u.teJ -It, Jaloot�4,ip 130 ❑Complaint 1340 lorefo ` ( � R1 - 1S n lrrv� i s �. SYVU� \l b rra PCP 134 ❑PemitInv. , ' 1\04 ' Ss a.— " �' = `a' 136 • Field Rise. 1270 Pre - Operat. ►_ - ♦ - - - ev. C...._ - -`.. I . .- — 106•HACCP • r 1 .,.B — M a - It lee- ,k au:, wan, 110 Results 01 ❑ Satisfact J \n ae,P, Ot\ t.\ ,t - - ,P.,. t -si nra� O. Co vnre_rci ae t,., mt r 02 • Unsatistact. 03 omplete 0 ❑Incomplete ❑ O_' - .... yea -_ 0 -_u - .. is • - • c ._._a - AS. i � da bn Kota o..�.,? u.oh�ry �e .4 AP i ' , an Action 04 • Suspend 07 ❑Approved 10 ❑Dlsapprv'd 26 • Fol/up Rq'd • E'rtt1\!'s1 liens Fat 7130 • May 2008 ,, 9 193 ��``R 71401 Feb 2009 71500 Documnts Nutrition Labeling t ,„ x , Ytr,ic1 O`- / E.LU 72001 Applies 7220 ❑ Menu 7230 ❑ Menu Bd 7240 ❑ Pt of Order 72501 Statement 7260 ❑ Review ed Critical Points Comments Blue Poi s Based on an inspection this day, the above items are violations, which must be corrected in the time specified by the health officer. A food establishment permit may be suspended without warning, notice or hearing if the requirements of the food code and/or drectives of the health officer are not met or If violations are not corrected in the time stated in this report. The permit will be suspended if an imminent hazard exists or there are 90 or more red critical points or if there are 120 or more total points The health officer will provide an opportunity for an appeal on the validity of a suspension or the findings of an inspection report if a written request is filed with the health officer within ten (10) days of the suspension or inspection.The filing of an appeal does not stay the effectiveness of a suspension.The completed inspection form is a public document that must be made available to any person who requests it under the provision of the Public Disclosure Act (42.17.260 RCW). Total Points Person inaherge ,�/ (Signature) �� O (Printed Name) a. , / %" L ./ f -- r , / I . , 7 A A/Ls!AI Regulatory Author i (Signature (Printed Name) sh c/' 3. /Q-- �. • ul 1L.J - � 'o" Food Establishment Inspection Report [Nm[R[D > Form C sw PH- 0o78 -3 (Rev. 11 /08( 5C— poU - Pa Public Health Hi Seattle & King County aS July 6, 2006 Rahel Yirga 11032 Av SW #5 Seattle, WA 98146 City of Tukwila Department of Community Development Steve Lancaster, Director RE: CORRECTION LETTER #1 Development Permit Application Number D06 -008 Fountain Espresso — 14628 Military Rd S Dear Mr. Yirga: If you have any questions, please contact me at (206) 433 -7165. Sincerely, encl File No. D06 -008 hal /0 elA-7I hnician P:Uennifer\Correction Leners \2006\D06 -008 Correction Ltr #1.DOC jem In order to better expedite your resubmittal, a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections /revisions must be made in person and will not be accepted through the mail or by a messenger service. Steven M. Mullet, Mayor This letter is to inform you of corrections that must be addressed before your development permit(s) can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Building Department. At this time the Fire, Planning, and Public Works Departments have no comments. Building Department: Allen Johannessen, at 206 433 -7163, if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that four (4) complete sets of revised plans, specifications and/or other documentation be resubmitted with the appropriate revision block. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 -431 -3005 Building Division Review Memo Date: June 23, 2006 Project Name: Fountain Espresso Permit #: D06-008 Plan Review: Allen Johannessen, Plans Examiner Tukwila Building Division ;'Allen' Johannessen, Plan Examiner 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. PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size). 1 Insulation indicated for the slab on grade construction does not comply with the energy code. Slab - On -Grade insulation installed inside the foundation wall, shall extend downward from the top of the slab for a minimum distance of 24 inches or downward then horizontally beneath the slab for a minimum combined distance of 24 inches. Insulation installed outside the foundation shall extend downward to a minimum of 24 inches or to the frost line. Above grade insulation shall be protected. In addition the insulation shall extend up to • the bottom of the mudsill. Revise drawings to where floor insulation shall meet code. (2004 WSEC 502.1.4.8) 2 Revise plan to show attic (ceiling) insulation as R -38. (2004 WSEC Table 6 -1) 3 Provide information that indicates type of heating and show location on the plan. 4 Identify source of potable water and identify location for the sewer connection. 5 Identify location of water heater. 6 The footing drains shown are not necessary unless the ground presents a ground moisture hazard to the building or the building has a basement or crawlspace. (For your information only) 7 On the site plan show a dimension for building separation between the residence and espresso stand that meets code for building separations. Should there be questions concerning the above requirements, contact the Building Division at 206 -431- 3670. No further comments at this time. January 10, 2006 Rahel Yirga 11032 1 Av SW #5 Seattle, WA 98146 City of L ukvvila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director RE: Letter of Incomplete Application # 1 Development Permit Application D06 -008 Fountain Espresso — 335 Strander Bl Dear Mr. Yirga:. This letter is to inform you that your application received at the City of Tukwila Permit Center on January 9, 2006 is determined to be incomplete. Before your application can continue the plan review process the attached items from the following department(s) need to be addressed: Planning Department: Brandon Miles, at 206 431 -3684, If you have any questions concerning the attached memo. Please address the above comments in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that four (4) complete sets of revised plans, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal a 'Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Revisions must be made In person and will not be accepted throupb the mail or by a messenser service. If you have any questions, please contact me at the Permit Center at (206) 433 -7165. Sincerely, Enclosures File: Permit D06 -008 arshall chnician P:VenniterUncomplete Letters \2006 \D06 -008 Incomplete Ltr #I.DOC 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 -431 -3665 DATE: CONTACT: RE: ADDRESS: ZONING: January 10, 2006 Rahel Yirga D06 -008 14628 Military Rd S RC PLANNING DIVISION COMMENTS Planning Division of DCD has reviewed the application submitted. The following comments are provided. 1. The project is located in the Tukwila International Blvd Corridor. TMC 18.24.070 requires design review for any development within the TIB Corridor. The applicant must first have the project approved through design review before getting a building permit issued. JERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D06 - 008 DATE: 07 - - PROJECT NAME: FOUNTAIN ESPRESSO SITE ADDRESS: 14628 MILITARY RD S Original Plan Submittal X Response to Correction Letter # Response to Incomplete Letter # Revision # _ After Permit Issued DEPARTMENTS: pp t, B v w Jifc ig Division Fire Prevention ❑ Public Works ❑ Structural ❑ Permit Coordinator ❑ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Approved ❑ Notation: DocumenWrouting slip.doc 2.2&g2 Incomplete ❑ Planning Division El DUE DATE: 07 -11 -06 Not Applicable ❑ Comments Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined Incomplete: Bldg ❑ Are ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROJITING: Please Route , L , 1 ( Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: DUE DATE: 08 -8 -06 APPROVALS OR CORRECTIONS: Approved with Conditions d Not Approved (attach comments) ❑ REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ACTIVITY NUMBER: D06 -008 PROJECT NAME: SITE ADDRESS: Original Plan Submittal Response to Correction Letter # FOUNTAIN ESPRESSO 14628 MILITARY RD S DATE: 06 -13 -06 X Response to Incomplete Letter # 1 Revision # After Permit Issued DEPARTMENTS: te-v : � BuitNin � Division PSI lic Works, A DETERMINATION OF COMPLETENESS: (Tues., Thurs.) COMPLETENESS: (Tues., Thurs.) Complete Comments: TUES/THURS ROUTING: Please Route Documents/routing slip.doc 2 -26-02 REVIEWER'S INITIALS: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP 6w k Fire Prevention Structural Incomplete ❑ APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ LETTER OF COMPLETENESS MAILED: Fire ❑ Ping ❑ PW ❑ Staff Initials: Structural Review Required Plinn n g Division � Permit Coordinator ❑ DUE DATE: 06-1506 Not Applicable ❑ No further Review Required DATE: DATE: n DUE DATE: 07 -13 -06 Not Approved (attach comments) Ping ❑ PW ❑ Staff Initials: /�`� ACTIVITY NUMBER: D06 -008 DATE: 01 -09 -06 PROJECT NAME: FOUNTAIN ESPRESSO SITE ADDRESS: 14628 MILITARY RD S X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete ❑ Comments: EL TUES/THURS ROUTING: Please Route l ❑ Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved ❑ Notation: REVIEWER'S INITIALS: Documents/routing slip.doc 2 -28 -02 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP Fire Prevention Structural Incomplete ❑ Planning Division Permit Coordinator DUE DATE: 01-10-06 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: al ' ID ' O(47 LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ PingX PW ❑ Staff Initials: No further Review Required DATE: DUE DATE: 02 -07-06 Approved with Conditions ❑ Not Approved (attach comments) ❑ DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: I REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through / the mail, fax, etc. Date: 07/ C, Plan Check/Permit Number: D06 -OO8 ❑ Response to Incomplete Letter # ® Response to Correction Letter # 1 ❑ Revision # _ after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Fountain Espresso Project Address: 14628 Military Rd S Contact Person: Rahel Yiiga Summary of Revision: City of Tukwila Ardor F. a - a t: . 3 +2 r t Jbv)E+0 GOA pet fagrne At Bear 7C' 47 *A'S, _room r pispjtitr-r 6/.,tr..SestiLrew Sheet Number(s): / "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: At) K Entered in Permits Plus on o 71a -7/o C \applications \forms- applications on line\revision submittal Created: 8-13-2004 Revised: 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 Phone Number: Steven M. Mullet, Mayor Steve Lancaster, Director OCfY� JUL 0 7 2006 PERMIT CENTER In . City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Fax: 206431 -3665 Web site: http: / /www.ci,tukwila.wa.its Revision submittals must be submitted In person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: Colt*,) TAO Plan ChecWPermit Number: iPa 0 — n� Response to Incomplete Letter # ❑ Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner MY JUN 1 3 2006 • 'eRAAIT canE Project Name: � Q vtv� 7Lt I/1 PCfj'D Project Address: IL 1 /4 Mt &Ot Ci Contact Person: j Q (n i-' PI yi r" 0 Phone Number: t B{ ^ ' f o 5!/ ? Summary of Revision: Ct, /An -/-h v lrrrn Ut'on 4-Inv hie Id i fy Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision X; Received at the City of Tukwila Permit Center by: Entered in Permits Plus on \applications\ t'orms- applications on Ime\revision submittal ' Created: 8 -13 -2004 Revised: Steven M. Mullet, Mayor Steve Lancaster, Director Part A: (To Be Completed by Applicant) Purpose of Certificate: Ca Building Permit ❑ Preliminary Plat or PUD ❑ Other ❑ Short Subdivision ❑ Rezone Proposed Use:: r srerlo -ChM" ❑ Residential Single Family ❑ Residential Multi-Family ❑ Commercial Ca Other Applicants Name: RQ h c i V i re, 9 Phone: 206 - 790 - 9 / 3 6 Properly Address or Approximate Location: Tax Lot Number. Pi6.I2 Me li4. Rai I ooy000 ot RECEIVED Legal Description(Attach Map and Legal Description if necessary): CITYOFTwomift JAN 0 g 2n116 PERMITCENTER Part B: (To Be Completed by Sewer Agency) 1. Ca a. Sewer Service will be provided by side sewer connection only to an existing 6 II size sewer F) feet from the site and the sewer system has the capacity to serve the proposed use. OR ❑ b. Sewer service will require an improvement to the sewer system of: ❑ (1) feet of sewer trunk or lateral to reach the site; and/or ❑ (2) the construction of a collection system on the site; and/or ❑ (3) other (describe): 2. (Must be completed if 1.b above is checked) ❑ a. The sewer system improvement Is in conformance with a County approved sewer comprehensive plan, OR ❑ b. The sewer system Improvement will require a sewer comprehensive plan amendment 3. Ca a. The proposed project is within the corporate limits of the District, or has been granted Boundary Review Board approval for extension of service outside the District, OR ❑ b. Annexation or BRB approval will be necessary to provide service. 4. Service Is subject to the following: PERMIT: $ 00— a. District Connection Charges due prior to connection: GFC: $ P Si7 g SFC: $ / 900 19— UNIT: $ TOTAL: $ (Subject to Change on January 1st) IGng County/METRO Capacity Charge: Currently, $4250.70 /residential equivalent, will be billed directly by King County after connection to the sewer system. (Subject to change by IGng Co/Metro without notice.) b. Easements: ❑ Required ❑ May be Required c. Other. ORKING TOWARD A 8 R ENVIRONMENT" !. SEWER DISTRICT CERTIFICATE OF SEWER AVAILABILITY /NON - AVAILABILITY ® Certificate of Sewer Availability I hereby certify that the above sewer agency information is true. This certification shall be valid for one year fronpttT date of signature. 14816 Military Road South P.O. Bo 9550 Tukwila, WA 98168 Phone: (206) 242 -3236 Fax: (206) 242 -1527 OR ❑ Certificate of Sewer Non - Availability 1-14 am' l 3 /o 4 Title Date ATTACHMENT TO VAL VUE SEWER DISTRICT CERTIFICATE OF SEWER AVAILABILITY/NON- AVAILABILITY The following terms and conditions apply to the attached Val Vue Sewer District ( "District ") Certificate of Sewer Availability/Non- Availability ( "Certificate "). " 1. This Certificate is valid only for the real property referenced herein ( "Property"), which is in the District's service area, for sole purpose of submission to the King County Department of Development and Environmental Services, King County Department of Public Health, City of Seattle, City of Tukwila, City of Burien and/or City of SeaTac. This Certificate is between the District and the applicant only, and no third person or party shall have any rights hereunder whether by agency, third -party beneficiary principles or otherwise. 2. This Certificate creates no contractual relationship between the District and the applicant and its successors and assigns, and does not constitute and may not be relied upon as the District's guarantee that sewer service will be available at the time the applicant may apply to the District for such service. 3. As of the date of the District's signature on this Certificate, the District represents that sewer service is available to the Property through sewer systems that exist or that may be extended by the applicant. The District makes no other representations, express or implied, including without limitation that the applicant will be able to obtain the necessary permits, approvals and authorizations from King County, City of Seattle, City of Tukwila, City of Burien, City of SeaTac or any other governmental agency before the applicant can utilize the sewerservice which is the subject of this Certificate. 4. If the District or the applicant must extend the District's sewer system to provide sewer service to the Property, the District or applicant may be required to obtain from the appropriate governmental agency the necessary ; permits, approvals and authorizations.: In addition, the governmental agency may establish requirements that must be satisfied as a condition of granting any such permits, approvals or authorizations, which may make impractical or impossible the provision of sewer services to the Property. 5. Application for and possible provision of sewer service to the Property shall be subject to and conditioned upon availability of sewer service to the Property at the time of such application, and compliance with federal, state, local and District laws, ordinances, policies, and/or regulations in effect at the time of such application. I acknowledge that I have received the Certificate of Sewer Availability/Non-Availability and this Attachment, and fully understand the terms and conditions herein. l� h e l y r �a Applicant's Signature ¶ .0 Date CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter 81vd., Suite 100 Tukwila, WA 98188 Permit Center /Build Division: Iof4J1. 379 Public Works Department 206 - 433 -0179 Planning Division: 206 -431 -3670 Site address (attach map and legal description showing hydrant location and size of main); ( ,n4 j s • Phone: a 0 _ l el 0—qt This certificate Is for the purposes of: ❑ Residential Building Permit ❑ Commercial/Industrial Building Permit ❑ Rezone Estimated number of service connections and water meter size(s): Vehicular distance from nearest hydrant td the closest point of structure is ft. Area is served by (Water Utility District): R abet Yo-y- a Owner /Agent Signature 1. The proposed project Is within 2. 0 No improvements required. 3. The Improvements required to upgrade the water system to bring It Into compliance with the utilities' comprehensive plan or to meet the minimum flow' requirements of the project before connection and to meet the State cross connection control requirements: (Use separate sheet if more mom is needed) I hereby certify that the above Information Is true and correct. kirret co, it c2 csT Agen y one 2.1i(0. 2-4- z- 9'Stei CERTIFICATE OF WATER AVAILABILITY Required only If outside City of Tukwila water district ❑ Preliminary Piet 1 i, k k.t.r.. tat k-1 Y. 7 11 A l A -t By PERMIT NO.: ° n Short Subdivision Other MN 0 y 2006 I -3--p' Date 4. Based upon the improvements listed above, water can be provl ed and will be available at the site with a flow of 51 98 gpm at 20 psi residual for duration of 2 hours eta velocity of tps as documented by the attached calculations. 5. Water availability: Acceptable service can be provided to this project Ej Acceptable service cannot be provided to this project unless the improvements In Item B -2 are met. - 0 _System Is not capable of providing service to this project. _ This certificate is not valid without Water District No. 125's attachment entitled "Attachment to Certificate of Water Availability." � W ILA (City /County) Date > fpi oy CITY OF TUKWILA ' Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 STATE OF WASHINGTON) ) COUNTY OF KING ) SS. Hatay Public ! of Washington WEE 0.101I MION *Appointment Expires Apr11.2009 lappiications\8-2004 affidavit in lieu of contractor registration Signed and sworn to before me this 1? day of AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION 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. PERMIT NO.: ' DO 6 008 r (P6 04 9' A 3, rl i (1 I (1 , states as follows: (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 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. 13 and will therefore not be performed by a registered contractor. RAtAct . Yigf; APPLICANT Permit Center/Building Division: 206 -431 -3670 Public Works Department: 206 -433 -0179 Planning Division: 206 -431 -3670 20 NOTARY PUBLIC Y.-‘10S for the State of Washington, / Residing at 1— l -i s , County. Name as commissioned: ?WI) \s . ` )Awl ll( / My commission expires: t pf 1 .- -01), 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. My 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. My 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\13-2004 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. My 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. My person who engages in the activities herein regula red contra 17. Contra prequa of 196 transp reconstruction, or maintenance work. een aws t of tion, x