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Home My WebLink AboutPermit M08-285 - JENSEN ADDITIONJENSEN ADDITION 3705 S 130 ST EXPIRED O1 -06 -10 M08-285 Parcel No.: 7332400005 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: 3705 S 130 ST TUKW JENSEN ADDITION 3705 S 130 ST , TUKWILA WA Contact Person: Name: RANDY JENSEN Address: 10919 SE 186 ST , RENTON WA Contractor: Name: OWNER AFFIDAVIT - RANDY JENSEN Address: Contractor License No: DESCRIPTION OF WORK: RELOCATE FURNACE TO GARAGE AND ADD NEW DUCTWORK Value of Mechanical: $2,800.00 Type of Fire Protection: NONE Cityif Tukwila JENSEN RANDY L 10919 SE 186TH ST , RENTON WA Furnace: <100K BTU 1 >100K BTU 0 Floor Furnace 0 Suspended/Wall/Floor Mounted Heater 0 Appliance Vent 0 Repair or Addition to Heat /Refrig /Cooling System.... 0 Air Handling Unit <10,000 CFM 0 >10,000 CFM 0 Evaporator Cooler 0 Ventilation Fan connected to single duct 0 Ventilation System 0 Hood and Duct 0 Incinerator: Domestic 0 Commercial/Industrial 0 doc: IMC-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 MECHANICAL PERMIT EOUIPMENT TYPE AND QUANTITY * * continued on next page ** M08 -285 Permit Number: M08 -285 Issue Date: 02/25/2009 Permit Expires On: 08/24/2009 Expiration Date: Phone: Phone: 206 412 -4477 Phone: Fees Collected: $163.70 International Mechanical Code Edition: 2006 Boiler Compressor: 0 -3 HP /100,000 BTU 0 3 -15 HP /500,000 BTU 0 15 -30 HP /1,000,000 BTU.. 0 30 -50 HP /1,750,000 BTU.. 0 50+ HP /1,750,000 BTU 0 Fire Damper 0 Diffuser 0 Thermostat 0 Wood/Gas Stove 0 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment Printed: 02 -25 -2009 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie 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 mechanical permit. Signature: doc: IMC -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 Permit Number: M08 -285 Issue Date: 02/25/2009 Permit Expires On: 08/24/2009 Date: o2-1,241 ed this permit and know the same to be true and correct. All provisions of law and ordinances , whether specified herein or not. Print Name: L �• je:">sefiSt 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. M08 -285 Printed: 02 -25 -2009 Parcel No.: 7332400005 Address: 3705 S 130 ST TUKW Suite No: Tenant: JENSEN ADDITION 1: ** *BUILDING DEPARTMENT CONDITIONS * ** r City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us PERMIT CONDITIONS Permit Number: M08 -285 Status: ISSUED Applied Date: 12/23/2008 Issue Date: 02/25/2009 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: Manufacturers installation instructions shall be available on the job site at the time of inspection. 5: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms, bathrooms, toilet rooms, storage closets, surgical rooms. 6: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests. 7: 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. 8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431- 3670). 10: 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. doc: Cond -10/06 * *continued on next page ** M08 -285 Printed: 02 -25 -2009 • • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and 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: doc: Cond -10/06 Date: Z/2 $ 7c r M08 -285 Printed: 02 -25 -2009 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http.../Ywww.ci. tukwila. wa. us : echanical Pemit No, umbin Building Pei�rriit No. . p Pl Pub (For 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 King Co Assessor's Tax No.: 7 33 2 41000Q Sd ( Site Address: 3705 50• X 30 5T To/‹. w19. Tenant Name: Property Owners Name: R4 / .Toe/ Se4.tse4& Mailing Address: /0Q / SE / 96 sr Revtio), Name : i i 7 7 spv∎ Mailing Address: �/ 9 5E / SIG Sr E -Mail Address: Company Name: Contact Person: E -Mail Address: Contractor Registration Number: Company Name: Company Name: Mailing Address: N � - 'fh S vtgvj Contact Person: 'H4444 5 (2 tow\ Contact Person: E -Mail Address: Q:\Applications\Forms- Applications On Line \3 -2006 - Permit Application.doc Revised: 9 -2006 bh Suite Number: City New Tenant: 40 '1. 99zbSS Floor: '— ❑ Yes State ❑ ..No Zip CONTACT PERSON who do we contact hen your permit is ready be issued Day Telephone: 2-06 - L/ /2, • Liz/ 7 7 Rem foil (A) 4 9Sc 5' City State Fax Number: +'25 22$t 6 6Q9 Zip GENERAL CONTRACTOR'INFORMATION (Contractor'Tuformation for Mectiapieal.(pg 4) for Plumbing and Gas Pipin (pg 5 )) Mailing Address: City Day Telephone: Fax Number: Expiration Date: State Zip ARCHITECT OF RECORD - Alt plans,ntust be wet stamped by A hiteet of Record Mailing Address: City State Zip Day Telephone: Z040^33 0992- E -Mail Address: Fax Number: ENGINEER OF RECORD -All plans 1,. City Day Telephone: Fax Number: Page 1 of 6 State Zip BUILDING PERMIT INFORMATION 206-431-3670 ao Valuation of Project (contractor's bid price): $ 3 Q- �0Q Existing Building Valuation: $ Scope of Work (please provide detailed information): QIL2 5 /or y Bout $ G 4 ' f1 q , Q . a rc e 0, Will there be ne rack storage? ❑ Yes. No If yes, a separate permit and plan sub al will be required. Uncovered Deck Provide All Building Areas in Square Footage Below Accessory Structure* 1S Floor 2n° Floor aid Floor Floors Basement Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck FIRE PROTECTION/H: ARDOUS MATERIALS: Addition to Existing Structure 72 L/ 3"52.. Type of Occupancy per IBC PLANNING DIVISION: Single family building footprint (area of the f- ndation of all structures, plus any decks ov. 18 inches and overhangs greater than 18 inches). 1 7 *For an Accessory dwelling, provide the f. owing: p� rn Lot Area (sq ft): I 1 O ov Floor area of principal dwelling: Q 7 V Floor area of accessory dwelling: / 2.7 • *Provide documentation that s ows that the principal owner lives in one of the dwellings as is or her primary residence. Number of Parking Stalls Provided. Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: ❑ Sprinklers ❑ Automatic Fire Alarm kr None ❑ Other (specify) Will there be storage or . e of flammable, combustible or hazardous materials in the building? ❑ Yes No If `yes', attach list .f materials and storage locations on a separate 8 -1 /2 "x 11 " paper including quantities and Material Safdty ata 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 o r b+ 56("0(&. Department. Q:\Applications \Forms- Applications On Line \3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 2 of 6 Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace <100K BTU I 1 Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Furnace >100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood/Gas Stove 30 -50 HP /1,750,000 BTU Appliance Vent Hood and Duct Emergency Generator 50+ HP/1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit <10,000 CFM Incinerator — Comm/Ind MECHANICAL PERMIT INFORMATION 206- 431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: q Valuation of Mechanical work (contractor's bid price): $ (/ 0 0 Scope of Work (please provide detailed information): Re 10 -Po r** 4,12 64INte. akta 01 Fuel Type: Electric ❑ Gas... Other: C 'i3OY e—I'3 - r e-c4/ rtmce-3 Use: Residential: New .... ❑ Replacement ....X Commercial: New .... ❑ Replacement .... ❑ Mailing Address: 109/1 SE 1 $6 sir Iec t +col cc) 4 78 '-- RaA/4.404/ City State Zip Contact Person: 5 e44c Day Telephone: 206 L/ 2 gig 7 E -Mail Address: Fax Number: C/ 2 5 — 2 :2-9 4 . , 6 6 C? 4 ) Contractor Registration Number: Expiration Date: Indicate type of mechanical work being installed and the quantity below: e vt Leh E o am e tr- 5 )1 Q:\Applications \Forms - Applications On Line \3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 4 of 6 Water District ❑ ...Tukwila ❑ ...Water Availability Pr ided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate FINANCE INFORMAT Fire Line Size at Prop Line ❑ ...Water Monthl Service '. thin to: Name: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: ❑ ...Sewer PUBLIC WORKS PERMIT INFORMATION -206- 433 -017 Scope of Work (please provide detailed information): Please refer to Public Works Bulletin #1 for fees and estimate sheet. ❑ ... Water District #125 ... Va1Vue ❑ .. Renton ...Sewer Availability Provided Septic System: ❑ On -site Septic System — For on -sit: -ptic system, provide 2 copies of a current se c design approved by King County Health Department. Submitted with Application (mark boxes hich apply): ❑ ...Civil Plans (Maximum Paper Size — 2 x 34 ") ❑ ...Technical Information Report (Storm Drai age) ❑ .. Gee chnical Report ❑ ...Bond ❑ .. Insurance ❑ . Easement(s) ❑ .. . intenance Agreement(s) Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way Non Right -of -way ❑ ...Total Cut cubic yards ❑ ...Total Fill cubic yards ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protectio Irrigation Domestic ater ❑ ...Permanent Water Meter Size.. ❑ ...Temporary Water Meter Siz ❑ ...Water Only Meter Size ❑ ...Sewer Main Extension.... Public ❑ ...Water Main Extension. Public Q:\Applications \Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Call before you Dig: 1- 800 - 424 -5555 bandon Septic Tank . Curb Cut •• Pavement Cut •• Looped Fire Line ❑ .. Highline .. Work in Flood Zone .. Storm Drainage Number of Public Fire Hydrant(s) ❑ ...Sewage Treatment City C 0 R n .. Seattle ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding WO # WO # WO # ❑ ...Deduct W. -r Meter Size Private Private ❑ ...Traffic Impact Analysis ❑ ...Hold Harmless — (SAO) ❑ ...Hold Harmless — (ROW) Day Telephone: State Zip Day Telephone: State Zip Page 3 of 6 PERMIT APPLICATION NOTES Applicable to . II perlalit iI>! ti applicato 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. Signature: 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 exigension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OW OR THO AGENT: Date: 121i6/08 Print Name: n_ Day Telephone: 206" `7 f Z wq 7 Mailing Address: ( P9 9 y' 4! 1 r6 S T /C�K 7 L.04 7 Parr Date Application Expires: IJu „ , I Date Application Accepted: v Q:\Applications \Forms- Applications On Line\3.2006 - Permit Application.doc Revised: 9 -2006 hh City State Zip Staff Initials: Page 6 of 6 Fixture Type: Qty Fixture Type: •ty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower i t Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets 3 Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic 1 Floor drain Sinks ar t Dental unit, cuspidor Shower, sing- ead tra. rinals Dishwasher, domestic, with independent drain Lavatory • er Closet Building sewer or trailer sewer Rain w .-r system — per drain nside building) Water - ater and/or vent i Additional medical gas inlets /outlets — six or more _park Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Re- lir or alteration of water ..ing and/or water treating equipment Repair or a .-ration of drainage o ent piping ` Medical gas piping system serving one to five inlets /outlets for specific gas PLUMBING AND GAS PIPING PERMIT Ili O . TION - 206-431-367 PLUMBING AND GAS PIPINGG CONTRACTOR INFORMATION Company Name: RONACi2ti i 5 5724Ase4"-.. ' Mailing Address: / DqI q S( IS. 6 $ r uO4 98cass �-' City State Zip Contact Person: 1 + M s- .,_ Day Telephone: y /'Z" go 7 a 7 E -Mail Address: Fax Number: 7 Zg Z Z.� - 6 6 9 9. Contractor Registration Number: Valuation of Plumbing wor (contractor's bid price): $ 7 p• oQ OD Valuation of Gas Piping wor contractor's bid price): $ .�! It H � w Scope of Work (please provide -tailed information): Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: V 4L V Indicate type of plumbing fixtures and/or gas piping . tlets bein stalled and the quantity below: Expiration Date: Q:\Applications\Forms- Applications On Linel3 -2006 - Permit Application.doc Revised: 9 -2006 bh ft)2.066 75 c4 co4kr Nhe No 644s RocAqe 6 s Baru Page 5 of 6 RECEIPT NO: R09 -00319 Initials: JEM User ID: 1165 Payee: ALEXANDER'S MECHANICAL, INC. SET ID: 0224 SET NAME: JENSEN ADDITION SET TRANSACTIONS: Set Member Amount D08 -522 1,237.90 EL09 -0152 145.60 VM 0 8„2.8:5;17 163.70 PG08 -299 326.00 TOTAL: 1,237.90 TRANSACTION LIST: Type Method Payment Check ACCOUNT ITEM LIST: Description BUILDING - RES ELECTRICAL PERMIT - RES GAS - RES MECHANICAL - RES PLAN CHECK - RES PLUMBING - RES STATE BUILDING SURCHARGE City of Tukwila, Department of Community Developm IAN t 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: htp. //www.ci.tukwila.wa.us SET RECEIPT Description 1859 TOTAL: Account Code 000/322.100 000.322.101.00.0 000.322.103.00.0 000.322.102.00.0 000/345.830 000.322.103.00.0 640.237.114 TOTAL: 0905601-1 n081 02/25/2009 001 101 DCD Permit_ Plu_ - General Fund $1,868.70 City of Tukwila 6200 Southcenter Blvd, Tukwila, WA 1 Finance Department 0905601 -1 02/25/2009 BR1 T101 Wed Feb25,2009 04:59PM Trans #81 -82 81 $1868.70 DCDGEN - DCD Permits Plu - General Fund 82 $4,50 DCDOTH - DCD Permits Plus - Other Funds 2 ITEM(S): TOTAL: $1873.20 Check (001859) PAID $1873.20 Paym www.ci.tukwila.wa 206- 433 -1835 Total Amount 1,873.20 1,873.20 Current Pmts 1,196.00 145.60 92.00 163.70 95.40 176.00 4.50 1,873.20 r c' �, •,�, , c , , _n 0 - I tr, ,S, - 1Y, VI CD r:. 0 CM r,- a ▪ 0 - T7 L 0 a µ �_n COM MENTS: i � N�6 W�STU� AI. Type of Inspec 'on: �a ��n 0 D." .A� ,ft 6,�-'- f �s/ �/7 , k_ f �Y.I l.. Q /- / 6 V AlJ ® 1 C r1 r..4 i- 1, ; 1 Z IrP t ,st1 L JP 14 ) ,..c J)C _ Uc ( 4 i M U nfrSJ pi/1^S . Jr Special Instructions: 3 &)(14r r--0.- A- r 4 r--: - 4 1 l J /d ' p .m. Phone No: k U . `^ ! u -A • Jul J e. r y. a i . � J, � � C_ Cam+ `�� --.! n 4 /y 7 l-'- r A - w 1 Project.. �� tsAJ Type of Inspec 'on: �a ��n Address: ' OS 5. ' Date Called: r ----- /3 u Jr Special Instructions: Date Wanted a.m. l J /d ' p .m. Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. Inspect • r: ,/: Date: — / a d7 El $60.00 REINSPECTION FEE RE UIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: ,Date: _. _., . ,� . ____ —.all RANDY JENSEN 10919 SE 186 ST RENTON WA 98055 RE: Permit No. M08 -285 3705 S 130 ST TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International 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 01/06/2010. 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. 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 01/06/2010, 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, -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. Bill Rambo Permit Technician c R,c,„k File: Permit File No. M08 -285 Jim Haggerton, Mayor epartment of Community! Development Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 RANDY JENSEN 10919 SE 186 ST RENTON WA 98055 RE: Permit No. M08 - 285 3705 S 130 ST TUKW Dear Permit Holder: City of Tukwila 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 08/24/2009. 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 08/24/2009, 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, Bill Rambo Permit Technician File: Permit File No. M08 -285 h ?nn .cnnthrenter Boulevard. Suite #100 • Tukwila. Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 STATE OF WASHINGTON) COUNTY OF KING • CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 FAX (206) 43 E -mail: tukplanPci.tukwila.wa.us AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION ss. ?olitAcit L Ts4o, please print name] 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 number 1'3, 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 perform construction work. , states as follows: Residing at (II Name as commissioned: My commission expires: PERMIT NO: p( Permit Center /Building Division 206 431 -3670 Public Works Department 206 433 - 0179 Planning Division 206 431 -3670 Signed and sworn to before me this 5 day of t e-lo ri-t( .1il -. , 200c) . ( `NO ARY PUBLIC in and for the State of Washington , County 9 / ;2 , AAD WI _211 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 46.7o 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. • Per Washington State Department of Labor and Industries, lessee has been interpreted to be equivalent to owner for the purpose of these exemptions.