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Permit D08-519 - GRAY OFFICE BUILDING - REROOF
THE OFFICE/ RAY RESIDENCE 12607 EAST MARGINAL WY S D08 -519 Parcel No.: 7345600675 Address: 12607 EAST MARGINAL WY S TUKW Suite No: Tenant: Name: THE OFFICE /GRAY RESIDENCE - REROOF Address: 12607 EAST MARGINAL WY S , TUKWIILA WA Owner: Name: VALE REGINA A Address: 12607E MARGINAL WAYS , TUKWILA WA 98168 Phone: Contact Person: Name: LEROY GRAY Address: 1760 FERRY AV SW , SEATTLE WA 98116 Phone: 206 660 -8667 Contractor: Name: OWNER AFFIDAVIT - MARCI GRAY Address: 1760 FERRY AVE SW , SEATTLE WA 98116 Phone: 206 -937 -0649 Contractor License No: DESCRIPTION OF WORK: REMOVE SHINGLE AND REPLACE SHEATHING WHERE NEEDED Value of Construction: $5,000.00 Fees Collected: $239.63 Type of Fire Protection: International Building Code Edition: 2006 Type of Construction: VB Occupancy per IBC: 0022 doc: IBC -10/06 CitAf Tukwila r 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 DEVELOPMENT PERMIT * *continued on next page ** Permit Number: D08 -519 Issue Date: 01/08/2009 Permit Expires On: 07/07/2009 Expiration Date: D08 -519 Printed: 01 -08 -2009 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving Oversize Load: City oTukwila • 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 N N Number: 0 Size (Inches): 0 Start Time: Volumes: Cut 0 c.y. Start Time: Permit Number: DO8 - 519 Issue Date: 01/08/2009 Permit Expires On: 07/07/2009 End Time: Fill 0 c.y. End Time: Sanitary Side Sewer: Sewer Main Extension: Private: Public: Storm Drainage: Street Use: Profit: N Non - Profit: N Water Main Extension: Private: Public: Water Meter: N Permit Center Authorized Signature: 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 constructs n Signature: Print Name: doc: IBC -10/06 performante of w • r 1 I am authorized to sign and obtain this development permit. /� Date: ( L J? L )Qa Date: 1-5-09 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. D08 -519 Printed: 01 -08 -2009 Parcel No.: 7345600675 Address: Suite No: Tenant: doc: Cond -10/06 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us 12607 EAST MARGINAL WY S TUKW THE OFFICE /GRAY RESIDENCE - REROOF 1: ** *BUILDING DEPARTMENT CONDTITONS * ** PERMIT CONDITIONS 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 4: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 5: 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. * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: D08 -519 ISSUED 12/26/2008 01/08/2009 D08 -519 Printed: 01 -08 -2009 • • City of Tukwila 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. doc: Cond -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 Date: I 8-0 7 D08 -519 Printed: 01 -08 -2009 Property Owners Name: Mailing Address: Name: C._L'r 6f) / Mailing Address: /7t © i ' — E -Mail Address: GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: Mailing Address: CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hti a. us Li /(CJ y isR l l Contact Person: c 5/5 2- frig - E-Mail Address: Contractor Registration Number: Building Permit No. ` 511 Mechanical Permit No Plumbing /Gas Permit No. Public Words Permit No. Project No. (For office use only) 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 ** SITE LOCATION Site Address: l - , 0 7 6 d'7-__sF ''` // ^'5 £ t di e uite Number: Floor: Tenant Name: ' New Tenant: ❑ Yes ❑ .. No King Co Assessor's Tax No.: CONTACT PERSON - who do we contact when your permit is readyto be issued City Day Telephone: City S tate zo 660 g -C6 R//4 `H /6 State Zip Fax Number: State 1 / �o Zip Zip City Day Telephone: Fax Number: Expiration Date: ARCHITECT OF RECORD- All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Q.\Applications\Porms- Applications On Line \3 -2006 - Permit Application.doc Revised: 9 -2006 bh State Zip Page 1 of 6 BUILDING PERMIT INFORMATION - 206- 431 -3670 Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed i formation): Will there be new rack storage? ❑ Yes ❑.. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below 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: *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: Floor area of accessory dwelling: FIRE PROTECTION /HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If "yes ', attach list of materials and storage locations on a separate 8 -1 /2 "x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q:\Applications\Forms- Applications On Line \3 -2006 - Permit Application.doc Revised. 9 -2006 bh Page 2 of 6 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1 Floor 2n Floor 3 Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck BUILDING PERMIT INFORMATION - 206- 431 -3670 Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed i formation): Will there be new rack storage? ❑ Yes ❑.. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below 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: *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: Floor area of accessory dwelling: FIRE PROTECTION /HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If "yes ', attach list of materials and storage locations on a separate 8 -1 /2 "x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q:\Applications\Forms- Applications On Line \3 -2006 - Permit Application.doc Revised. 9 -2006 bh Page 2 of 6 Date Application Accepted: ���� Date Application Expires: �� 2(t ��� Staff Initials: .A� PERMIT APPLICATION NOTES — Applicable to all permits in this application 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). 1 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. Day Telephony: BUILDING 0 N ii( R AUTHORt AGEN Signature: Print Name: / l Mailing Address:/ 766 V_1 -7 Q:\Applications \Forms- Applications On Line \3 -2006 - Permit Application.doc Revised: 9 -2006 6h Zip Page 6 of 6 RECEIPT NO: R08 -03974 Initials: JEM Payment Date: 12/26/2008 User ID: 1165 Total Payment: 1,638.38 Payee: WAMU SET ID: S000001151 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount D08 -519 239.63 D08 -520 1,398.75 TOTAL: 239.63 ACCOUNT ITEM LIST: Description BUILDING - NONRES BUILDING - RES PLAN CHECK - NONRES PLAN CHECK - RES STATE BUILDING SURCHARGE GO 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 SET RECEIPT TRANSACTION LIST: Type Method Description Amount Payment Check 9002587 1,638.38 TOTAL: 1,638.38 Account Code Current Pmts 000/322.100 142.50 000/322.100 845.00 000/345.830 92.63 000/345.830 549.25 000/386.904 9.00 TOTAL: 1,638.38 0739 12/26 9707 TOTAL 1638.38 P, J ,�^� 6 fr 1 . c Type of nspectio fl , /� Address : - v Y / r '! A , - l9 1 lu i ^4 ate Called: Special Instructions: ^ �� K `� �X \ Date Wante d , — / a.m. p.m. Re Phone No: 4 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 -3670 00 &--5 Approved per applicable codes. Corrections required prior to approval. COMMENTS: periLk £ 7 p(e�t� Date _24 -(3 ❑ $60.00 REINSPECTION FEE REQUIRED. rior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: Project: Type of In / \, Address: /26 a 7 e",,s7 - 47/9 'b/24q/ Date Called: / Special Instructions: Date Wante : 9 /Z 9 /d p.m. Requester: Phone - 66 a-.S'56 7 INSPECTION RECORD Retain a copy with permit INSPE ION NO. PERMI NO. CITY OF TUKWILA BUILDING DIVISION ke- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: ? to P ,er f- 4 7] �, Inspe Date: l 1 _07 ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: COMMENTS: 0 ��- "b 6 -c! Re ,( A-C sl ..0,11-\ ()A pit A i� /U J — f .S; itA LI • 2 kA-ve Aiir j-( L) (r -P .sT t it I Le4 ✓tA y t k` I` .k ( I)t Q. t t n ea ;I) ;AS c/(.X'" ■ n (,i T"J re e ()J / A r; P +, J..t n n gi o t,) ^ Gt (e r e. i f " , ^ , ik i - ' ( 4 Project: /r„/,,ty ! - - OmCe ,?PS; ta- Ty pe of Inspection: ;,,a • )- _s \J n!1 Address: j? 6 k AAJi LA Date Called: / Special Instructions: J (. e- 1 J 9 Da Wanted: - ' ( I� care! p.m. Requester: Phone No: - SS 1 52..5 INSPECTION RECORD Retain a copy with permit poi -sry' INSPECTION NO. PERMIT NO. / CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 6 Approved per applicable codes. Corrections required prior to approval. Inspector: Date: - fZ•01 El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 1 Receipt No.: Date: 4 LEROY GRAY 1760 FERRY AV SW SEATTLE WA 98116 RE: Permit No. D08 -519 12607 EAST MARGINAL WY S TUKW Dear Permit Holder: Thank you for your cooperation in this matter. Sincerely, q 6.4"/ / ‘ -- Bill Rambo Permit Technician File: Permit File No. D08 -519 Jim Haggerton, Mayor Department of Community Development Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 03/28/2010. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and /or receive an extension prior to 03/28/2010, your permit will become null and void and any further work on the project will require a new permit and associated fees. 6300 Southcenter Boulevard, Suite #100 a Tukwila, Washington 98188 o Phone: 206 - 431 -3670 0 Fax: 206 - 431 -3665 June 17, 2009 Marci Gray 1760 Ferry Ave SW Seattle, WA 98116 RE: Request for Extensions Development Permit No. D08 -519 Plumbing /Gas Piping Permit No. PG09 -013 Electrical Permit No. EL09 -0081 Dear Ms. Gray, 4•Y 4' This letter is in response to your written'arequest for extensions to Permit Numbers D08 -519, PG09 -013, and EL09 -0081 for The Office at "12607 East Marginal Way South. The Building Official has reviewed your letter aid`con`s'rdered your request to extend the above referenced permits. The City of Tukwila BuildrngDivision will be extending your permit an additional 180 days from the latest date of expiration, through January 4, 2010. If you should have any questiois, please contact our office at (206) 431 -3670. ti : ., t 'y`,'.... ".R'a `h,``: ' •• h k Sincerely, File: ifer M . rshall it Technician City of Tn 'la Department of Community Development Jack Pace, Director Permit No. D08 -519, PG09 -013, EL09 -0081 WAPermit Center\Extension Letters \Permits\2008\DO8 -519 Permit Extension.doc jem Jim Haggerton, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 June 16, 2009 Marci Gray 1760 Ferry Ave SW Seattle, WA 98116 RE: Request for Extensions Development Permit No. D08 -519 Plumbing /Gas Piping Permit No. PG09 -013 Electrical Permit No. EL09 -0081 Dear Ms. Gray, This letter is in response to your written request for extensions to Permit Numbers D08 -519, PG09 -013, and EL09 -0081 for The Office at 12607 East Marginal Way South. The Building Official has reviewed your letter and considered your request to extend the above referenced permits. The City of Tukwila Building Division will be extending your permit an additional 180 days from the latest date of expiration, through January 4, 2009. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, fer Marshall it Technician City of Tukwi Department of Community Development Jack Pace, Director File: Permit No. D08 -519, PG09 -013, EL09 -0081 W:\Perntit Center\Extension Letters \Permits\2008 \D08 -519 Permit Extension.doc jem Jim Haggerton, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 GJe lr).(2J2zQ / S'0 c00 o ,, oK O O-5I9 cep/ bK ®?0 1)-0/3 c %'/? L 110 - DO / 0%a7/09 S AA,d I c efit-, " ef , .bA4,./07 fdia 0-e-?L 67,01 / MA CRYO'C [A 'JUN 1 t 2009 PRM ►T CENTER CY e � w�e,�r oPm rLkuA(1".. hl /&&7 /2I ( '564- oi/0 to') 6()ay ca0-206660-8667 December 30, 2008 Leroy Gray 1760 Ferry SW Seattle, WA 98116 • CityofTu Department of Community Development Jack Pace, Director RE: Letter of Incomplete Application # 1 Development Permit Application D08 -519 Office /Gray Residence Reroof — 12607 East Marginal Way S Dear Mr. Gray, This letter is to inform you that your permit application received at the City of Tukwila Permit Center on December 26, 2008 is determined to be incomplete. Before your application can continue the plan review process the following items from the following department need to be addressed: Building Department: Allen Johannessen at 206 433 -7163 if you have any questions concerning the following comments. 1. Please identify type and class rating of the new roofing to be installed. 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. Jim Haggerton, Mayor 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 through the mail or by a messenger service. If you have any questions, please contact me at the Permit Center at (206) 431 -3670. Sincerely, <lai? Bill Rambo Permit Technician Enclosures File: D08 -519 P:\Permit Center\Incomplete Letters \2008\D08 -519 Incomplete Ltr #1.DOC wer 6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 a Phone: 206 - 431 -3670 o Fax: 206 - 431 -3665 ACTIVITY NUMBER: D08 -519 ;DATE: 01 -05 -09 PROJECT NAME: OFFICE /GRAY RESIDENCE REROOF 1 SITE ADDRESS: 12607 EAST MARGINAL WAY S Original Plan Submittal X Response to Incomplete Letter # 1 Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: pc. 1-4 Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Please Route TUES/THURS ROUTING: REVIEWER'S INITIALS: Documents/routing slip.doc 2 -28 -02 PLAN REVIEW /ROUTING SLIP Fire Prevention Structural Incomplete n Planning Division Permit Coordinator DUE DATE: 01-06-09 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Structural Review Required n No further Review Required ❑ DATE: DUE DATE: 02 -03 -09 011 u APPROVALS OR CORRECTIONS: Approved n Approved with Conditions / Not Approved (attach comments) H Notation: REVIEWER'S INITIALS: DATE: Permit Center Use. Only; CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DEPARTMENTS: tIciircil Public Works Comments: • PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D08 -519 DATE: 12 -26 -08 PROJECT NAME: THE OFFICE /GRAY RESIDENCE REROOF SITE ADDRESS: 12607 EAST MARGINAL WY S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued CU (24,a_O Fire Prevention Structural n Planning Division Permit Coordinator n DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 12-30-08 Complete 1 Incomplete Not Applicable ❑ Permit Center Use Only �( INCOMPLETE LETTER MAILED: 0 U LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg Fire ❑ Ping ❑ PW ❑ Staff Initials: Luz TUES /THURS ROUTING: Please Route ❑ Structural Review Required n REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28 -02 No further Review Required n DATE: DUE DATE: 01-27-09 Approved ❑ Approved with Conditions n Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: • City of Tukwila Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: r Plan Check/Permit Number: D08 -519 • Response 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: OFFICE /GRAY RESIDENCE REROOF Project Address: 12607 East Marginal Way S Contact Person: DA (/ 5'1 7 Phone Number: 2 55 / - Summary of Revision: 1et7! l^! 444 eat/ (/14. _57 ,Pefie() A X3.5 T8A D 0 - fiAttA , 4 P- ' 451e1) �L 3b Ems. ES1Z - 138 z 1$1911.4/1 $k i9Le cW �o eA vbv; Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: e ntered in Permits Plus on l--E-0 \applications\forms- applications on Iine\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.ci.tukwila.wa.us Steven M. Mullet, Mayor Steve Lancaster, Director 2 ; /e RECEIVED CITY a►- TuKwu.A JAN 0 5 2009 PERMIT CENTEP • CITY OF TUKWILA Department of Community Development 630o Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -367o FAX (206) 431-3665 E -mail: tukplanPci.tukwila.wa.us AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON) ) ss. COUNTY OF KING ) 11\1 \kki, apt [please print 1. I have made application for a 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 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 permit to be exempt under No. ! IN , and will therefore not be performed by a registered contractor. 5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. 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 perf • construction w�. k. , states as follows: • Permit Center /Building Division 206 431 -3670 Public Works Department 206 433 - 0179 Planning Division 206 431 -3670 PERMIT NO: bo S- S I q . e /Owner's Ag nt Signed and sworn to before me this day of „, Residing at F- ( Name as commissioned: My commission expires: , 2. NOTARY PUBLIC in and for the State of Washington , County Arock- 17Pot 18.27.090 Exemptions. The registration provisions of this chapter do not apply to: 1. 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; 2. Officers of a court when they are acting within the scope of their office; 3. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 4. 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; 5. The sale of any finished products, materials, or articles of merchandise that are not fabricated into and do not become a part of a structure under the common law of fixtures; 6. Any construction, alteration, improvement, or repair of personal property performed by the registered or legal owner, or by a mobile /manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW who shall warranty service and repairs under chapter 46.70 RCW; 7. 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; 8. 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 9. Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials and all other items is less than five hundred dollars, such work or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any 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 contracts of amounts less than five hundred dollars for the purpose of 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 or she is a contractor, or that he or she is qualified to engage in the business of contractor 10. 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 when any of the above work is performed by a registered contractor; 11. An owner who contracts for a project with a registered contractor, except that this exemption shall not deprive the owner of the protections of this chapter against registered and unregistered contractors. The exemption prescribed in this subsection does not apply to a person who performs the activities of a contractor for the purpose of leasing or selling improved property he or she has owned for less than twelve months; 12. Any person working on his or her own property, whether occupied by him or her or not, and any person working on his or her personal residence, whether owned by him or her or not but this exemption shall not apply to any person who performs the activities of a contractor on his or her own property for the purpose of selling, demolishing, or leasing the property; 13. An owner who performs maintenance, repair, and alteration work in or upon his or her own properties, or who uses his or her own employees to do such work; 14. A licensed architect or civil or professional engineer acting solely in his or her professional capacity, an electrician certified under the laws of the state of Washington, or a plumber certified under the laws of the state of Washington or licensed by a political subdivision 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 person certified is operating within the scope of his or her certification; 15. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his or her sole compensation or as an employee with wages as his or her sole compensation; 16. Contractors on highway projects who have been prequalified as required by RCW 47.28.070, with the department of transportation to perform highway construction, reconstruction, or maintenance work; 17. A mobile /manufactured home dealer or manufacturer who subcontracts the installation, set -up, or repair work to actively registered contractors. This exemption only applies to the installation, set -up, or repair of the mobile /manufactured homes that were manufactured or sold by the mobile /manufactured home dealer or manufacturer, 18. An entity who holds a valid electrical contractor's license under chapter 19.28 RCW that employs a certified journeyman electrician, a certified residential specialty electrician, or an electrical trainee meeting the requirements of chapter 19.28 RCW to perform plumbing work that is incidentally, directly, and immediately appropriate to the like -in -kind replacement of a household appliance or other small household utilization equipment that requires limited electric power and limited waste and /or water connections. An electrical trainee must be supervised by a certified electrician while performing plumbing work. • END . MED SIZE PK `® EAST SIDE OF SANITARY SEWER MANHOLE SET :5 /8" R &C • 360.0' PLAT 359.5 PROPORTI NNNNNN NED w M • a LEGEND 1 -J 0 • FND OLD 1 1/2" LEANING IRON . PIPE : ®` 0.8' NORTHEASTERLY •.RECORDER'S.0 TIFICATE Flied for record this da � of 20 at Y _.M . • in book of • at page • at the request of ROBERT W. BOYD Rec. No Manager Superintendent of Records E �1/4 SOUTH 126th STREET 554.54' REC 5b4 . MEAS .. y SET 5/8" R&C � X" SET BRASS TACK &.LS.TAG IN LEAD'. 0 SET 5/8" .REBAR. & CAP 0 FOUND 1/2 REBAR & .CAP: • E FOUND " .MONUMENT IN CASE FENCE LINE BUILDING LINE N89'18'57 "W 162.51' PLAT 162.29' PROPORTIONED CHAIN : LINK : FENCE N89'18'57 "W 179.42' LOT TOE OF F� sir • u) cN1 (NJ 0 Z V) Li- J W 1/4, SECTION 14, TOWNSHIP (23 NORTH, RANGE 4 KING COUNTY, WASHINGTON • N89'18'57 "W X7. ABBREVIATIONS: CONC CONCRETE CO. COUNTY FND :.' FOUND MEAS ` MEASURED MED MEDIUM MON MONUMENT R &C REBAR AND CAP REC RECORDED SURVEYOR'S CERTIFICATE This map correctly represents a survey made by me Or under my direction in conformance with the requiremelits of the:•SURVEY RECORDING ACT at the request of REGINA VALE in MAY, ,' 2002.. • Signature Robert W. Boyd, LS. . #17659 FND CONC FILLED CASE WITH 3" KING CO. BRASS DISK :(TYPICAL) 0 OLD 2 STORY WOOD BUILDING #12601 (SMALL EAVES : NOT SHOWN \ N TWO STORY WOOD HOUSE #12607 • 207.61' %4L • 1 4' U L i i///////////////// A\ ••••••w, ' EXPIRES: 11 /13/2003 • F 10' 9.29 �: u) N a �M Y < 0. N N f < "CI v) z "rn z vi --� V-; -] Li.. J REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may include additional plan review fees. BOYD & ASSOCIAT INCORPORATED 828 INDEX COURT NE RENTON, WA 98056 425-204-0840 EAST, W. (∎. 0' r..pprvJC By Date: LEGAL DESCRIPTION: LOT 2, BLOCK 9, RIVERTO TRACTS, ACCORDING TO T OF PLATS. PAGES . 36, RE EXCEPT THE 'EASTERLY 1 SITUATE IN THE COUNTY SUBJECT TO EASEMENT F COUNTY RECORDING . NUMB \Permit No. t =i: - r,... ievt! <pprcval 1.1 su c c . . c. _ ; epns'itructon docu 4^.1 its.. om.(.:•••• .... Feld "''.py is tJ con 'ti -•i. P 3:. c. ac _ - . l.!' r 114-twit J I :: ( - is -( 1 "f ci Tukviab SE 1/4, SW1 /4,S Drawn Checked c7 JKB RWB Date J , . A REPLAT OF RIVERSIDE INTERURBAN I E PLAT THEREOF RECORDED IN VOLUME 13 ORDS OF KING COUNTY. WASHINGTON; FEET THEREOF FOR WIDENING HIGHWAY; F KING, STATE OF WASHINGTON; R SLOPES, CUTS AND FILLS AT KING . R 7111290128. SURVEYOR'S NOTES 1. EASEMENTS, ROADS, RES RIC11ONS, RESERVATIONS, HAZARDOUS WASTE DEPOSITS, MOLD INFEST ON, CONSTRUCTION DEFECTS, AND MINING ACTIVITIES, IF ANY, ARE NOT SHOWN EXCEPT AS INDICATED. 2 . UNPATENTED MINING CLA MS, RESERVATIONS OR EXCEPTIONS IN PATENTS OR IN ACTS AUTHORIZIN THE ISSUANCE THEREOF, WATER RIGHTS, CLAIMS OR TITLE TO WATER IF Y, ARE NOT SHOWN EXCEPT AS INDICATED. 3 . INDIAN TRIBAL CODES 0 REGULATIONS, INDIAN TREATY OR ABORIGINAL RIGHTS, INCLUDING EASE ENTS OR EQUITABLE SERVITUDES IF ANY, ARE NOT SHOWN EXCEP AS INDICATED. BASIS OF BEARING — SEE DRAWING 5 • EQUIPMENT AND PROCED RES USED: ` TOPCON GTS 225 TOTAL STATION AND CLOSED FIELD TRAVLRSE. ` LAST CALIBRATION NOVEMBER, 2001. 6. ALL MONUMENTS VISITED ;DURING MAY, 2002. 7 . THIS SURVEY WAS PREPARED FOR THE EXCLUSIVE USE OF REGINA ` VALE AND DOES NOT EXTEND 10 ANY UNAMED PERSON OR PERSONS WITHOUT, EXPRESS RECERTIFICATIO BY SURVEYOR NAMING SAID PARTY. 8 . CRITICAL AREAS TO BE ELD VERIFIED BEFORE FINAL DESIGN. 9. ALL LOCATIONS SHOWN EREON ARE THOSE OBTAINABLE BY SURFACE EVIDENCE ONLY, UNLESS OTHERWISE NOTED. 10. LEGAL DESCRIPTIONS • SUP LIED BY OWNER(S) OR THEIR AGENTS. 11. THE SURVEYOR IS NOT 8ESP0NSiBLE FOR THE REAGGREGA OF ANY ,UNDERLYING !Olt, IF ANY, BY THIS SURVEY. 0 , 10 0 SCALE': IN FEET CTION 10, TOWNSHIP 23 NORTH, RANGE 4 EAST, W.M. ECORD OF SURVEY FOR REGINA VALE "Scale 05 --30 -0 2 • CODE CAMPIJANCE APPROVED JAN 0 7 2002 Etln -- DEC 2 6 2008 R Job -No. Sheet 1387 -2