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HomeMy WebLinkAboutPermit D06-120 - Mujdza Residence - AdditionMUSTAFA MUJDZA RESIDENCE 4456 S 164 ST D06 -120 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 5379800545 Address: 4456 S 164 ST TUKW Suite No: Tenant: Name: MUSTAFA MUJDZA RESIDENCE Address: 4456 S 164 ST, TUKWILA WA Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: Contractor License No: Public Works Activities: Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving Oversize Load: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: doc: Devperm GATH NELLIE P 4456 S 164TH, SEATTLE WA MUJDZA MIRZA 4456 S 164 ST, TUKWILA WA Value of Construction: $0.00 Type of Fire Protection: NONE Type of Construction: V -B Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N OWNER AFFIDAVIT - MIRZA MUJDZA DESCRIPTION OF WORK: ADDITION COMPLETED UNDER EXPIRED PERMIT D02 -157. N N N N N N N N N N N N DEVELOPMENT PERMIT Number: 0 Start Time: Volumes: Cut Start Time: Private: Profit: N Private: Continued Next Page ** 006 -120 Permit Number: Issue Date: Permit Expires On: Expiration Date: Phone: Phone: 206 384 -3857 Phone: FINAL INSPECTION NEEDED. D06 -120 04/12/2006 10/09/2006 Fees Collected: $120.50 Uniform Building Code Edition: Occupancy per UBC: 0022 Size (Inches): 0 End Time: 0 c.y. Fill 0 c.y. End Time: Public: Non - Profit: N Public: Printed: 04-12 -2006 doe: Devpenn City ofu.kwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature Date: (74 0v24010 I hereby certify that I have read and x- i ed is permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be comp d with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this development permit. Signature: C.UL`dZ.a Date: 04/ a'X0(, Print Name: Natio, 1 V 01)'Z4 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. D06 -120 Printed: 04 -12 -2006 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 5379800545 Address: 4456 S 164 ST TUKW Suite No: Tenant: MUSTAFA MUJDZA RESIDENCE 1: ***BUILDING DEPARTMENT CONDITIONS*** PERMIT CONDITIONS Permit Number: D06 -120 Status: ISSUED Applied Date: 04/06/2006 Issue Date: 04/12/2006 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: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 7: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 8: Manufacturers installation instructions shall be available on the job site at the time of inspection. 9: 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. 10: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 11: 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). 12: 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: Conditions "continued on next page** D06 -120 Printed: 04 -12 -2006 City of Thkwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 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: 11■12L1 at.t.1�ue -`?M t Print Name: MOMUJD2.q doc: Conditions Date: 091121 2n0 G DO6 -120 Printed: 04 -12 -2006 King Co Assessor's Tax No.: e,21- crib Site Address: 11 5 4.9 /A 4 e tri/ Al. WA 714. kaill-71- Suite Number: Floor: Tenant Name: FHA eir 4Feg frt mal)2_ 44- Property Owners Name: Mailing Address: t4 (-) 4 To9 sfr Name: i U1/43 5 eit 1R. Mailing Address: ti Et t \S ic i7,9 her. E-Mail Address: Contact Person: E-Mail Address: Contact Person: E-Mail Address: CITY OF TUICIVILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Q:UpplimtionsWorms-Applieetions On Lirte13.2006 - Permit Application.doe Rewind: 42006 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** 7 cc, k / IA - City New Tenant: 0 .... Yes W 13 / fire State Zip „N Day Telephone: 7 IL kt I-4 City Fax Number: 57 u - ,f /cf 6 Ste,. Zip Company Name: I.- 1 4-7 ' 0 OS TR i4 Cr l 0,./ Mailing Address: QS oil - 76 - 71/ Jlilt C I) 1 1 0 At 7) .4-C 1 IA/ r+ ... taty State Zip Contact Person: A26-6 o v / e r ,414-ter Day Telephone: c} 3 4 . 4 — 3rer7 E-Mail Address: Fax Number: Contractor Registration Number: 4 / /- cynic' 09 a Er .2 , Expiration Date: 7 ARCHITECT OF RECORD -All plans must be wet stamped by Architect of Record Company Name: Mailing Address: city Day Telephone: Fax Number: State Zip [ENOINEERO# RECORD - Mi plans must be wet stamped by Engineer of Record Company Name: Mailing Address: city Day Telephone: Fax Number: State Zip Page I of 6 ;G PERMt Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ • Scope of Work (please provide detailed information): ( T N© :Dot — �I fi 1D TI ON FO•C( SKS Umb e- A� 1•CS Cif Ca ► t-5 Will there be new rack storage? ❑..Yes ❑.. No (If yes, a separate permit and plan submittal will be required) Provide All Building Area in Square Footage Below I" Floor 2m Floor 3 °F loor Floo Basement :Accessory Structure" Attached Garage Garage Attached Carport Detached Csiport Coveted Deck Uncovered Deck Existing Interior Remodel Addi4iitu to Existing . r S1TUetnre ? Constriction per IBC Type of Occupancy per BBC PLANNING DIVISION: Single- family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain: zFIRE PROTECTION/HAZARDOUS MATERIALS: ❑.. Sprinklers 1:3 „Automatic Fire Alarm %.None ❑ . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes it... No If "yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets. SEPTIC SYSTEM: On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q ;Applic4ioa.Wns- Applications On Line\) -2006 -Permit Applicalion.doc Revised: 4-2006 bA Page 2 of 6 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and/or water treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas Additional medical gas inlets/outlets — six or more PLUMBING AND GAS PIPING PERMIT INFORMATION - 206- 431 -367Q' PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Day Telephone: Fax Number: Expiration Date: Contact Person: E -Mail Address: Contractor Registration Number: s Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Q:UppliadoaWomu- Alplicaioas On Lin6Y2006 - Permit Appliation.doc aeviad: 4-2006 6h Page 5 of 6 Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT Date: / • (/ /O r D 4 Signature: M r211-e V j aci ✓ � Print Name: U S % t /4'4 i f /� t4 4p2,9— Day Telephone: Mailing Address: - (y sc> f 7 4*. Th,ee/I a �4 ?tP /IP� City State /zit 's° Date Application Accepted: � � Staff Initials: — V /l, RE 6 l/Lf' Date Application Expires: IO.tllfaM9 Q:Mpplicatimu\Fmme- Applications On Line\3 -2006 - Permit Application doc Revised: 4-2006 bb Page 6 of 6 ACCOUNT ITEM UST: Description City of Tukwila Payee: MIRZA MUJDZA 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 5379800545 Permit Number: D06-120 Address: 4456 S 164 ST TUKW Status: ISSUED Suite No: Applied Date: 04/06/2006 Applicant: MUSTAFA MUJDZA RESIDENCE Issue Date: 04/12/2006 Receipt No.: R06 -00937 Payment Amount: 58.00 Initials: 7EM Payment Date: 06/27/2006 03:33 PM User ID: 1165 Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Cash 58.00 PLAN CHECK - RES RECEIPT Account Code Current Pmts 000/345.830 58.00 Total: 58.00 6852 06/27 9716 TOTAL 53.00 doc: Receipt Printed: 06 -27 -2006 ACCOUNT ITEM LIST: Description Current Pmts City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 5379800545 Address: 4456 S 164 ST TUKW Suite No: Applicant: MUSTAFA RESIDENCE Receipt No.: R06 -00461 Payment Amount: 120.50 Initials: JEM Payment Date: 04/06/2006 08:59 AM User ID: 1165 Balance: 60.00 Payee: MUSTAFA MUJDZA TRANSACTION LIST: Type Method Description Amount Payment Cash 120.50 BUILDING INVESTIGATION STATE BUILDING SURCHARGE RECEIPT Account Code 000/322.800 116.00 000/386.904 4.50 Permit Number: D06 -120 Status: PENDING Applied Date: 04/06/2006 Issue Date: Total: 120.50 4268 04/06 9716 TOTAL 120.50 doc: Receipt Printed: 04 -06 -2006 Pect: ro' n"his- J7Zr/ZZA Type of Inspection: f /4/4 V Address: 4 75 c /G 'S] Date Called: Special Instructions: Date Wanted: Yb -.. a ., - U C. (m. P.m. Requester: Phone No: 3 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 I Kl Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: 04 T F ii rl $58. SPECTION F ! REQUIRED. Prior to inspection, fee must be T lir paid at 6300 Southcente Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Projec5t: / ! Mte!/Zet Type of Inspection: f 7G>'J >Dte Address: - yysy -, c, /4 Date Called: Special Instructions: Date Wanted: SSA ejj/0 Requester: .. ,74 /A--7 / / 1 Phone No: won/ 4/11 1, ,, ,./A" €. // Approved per applicable codes. { Corrections required prior to approval. ) COMM�EN' /x t/e,ftz75)tn tin i :I G % ( 7C/ ' a) n✓ i/ 9a twy AZ14 Vr! » "a 4 Ga0_ vio .., 07 oft 7 ._ K7e4, /`` , oz. 3) o c A ,sou K 4..r ia-n.e _ 4 e ra r n4-4, lo !A ►. eaCje r' .. ,74 /A--7 / / 1 ��� 1 / 1:2 i 5l-- U f t, A. /./ 'J #Z'/i te• won/ 4/11 1, ,, ,./A" €. // C A, _ ILO o , 72, ' -'- y47. �K �.-t e/_ ai--- t� ,.n, -/.- � ,i< inn . 3 v A, 3 e /Afekit uhsr ,!fn INSPECTION RECOR Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 kikir2n 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: T Project: , I ^ I lwe.44(7er 'Type of Ir en:• "20 COMMENTS:? / I l m .� 0� y, � j � /AA 44 0 I/1- 1 " - 7 Address: ri tpath Cr 11 Special Instructions: Date Wanted: I v _ .4- t / r JMidAen 4-fi( 1 «,44 f.1...7,rw Requester 27) , 5pn e e. .4.4.a ,1 ,2, eyt-/ htqj � -. ,4'rny rv�....e'.m e. ....t.,4 Pleas. /O „Ain.- i , / Phone No Approved per applicable codes. Corrections required prior to,approval. COMMENTS:? / I l m .� 0� y, � j � /AA 44 0 I/1- 1 " - 7 ! n� 44 ( fi. 4) MO «c .47.0 , , .f' ."2v., -,aim d - -- .. /ti, k- .e..edc eel Into./ /h tire•y - i i4 i I v _ .4- t .4„191441 and Aflri - / 4 4 MI Atti JMidAen 4-fi( 1 «,44 f.1...7,rw 27) , 5pn e e. .4.4.a ,1 ,2, eyt-/ htqj � -. ,4'rny rv�....e'.m e. ....t.,4 Pleas. /O „Ain.- i , / INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Inspector: INSPECN RECORD Retain a copy with permit 'Date: $58.00 REINSPECT' (i 4 FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. (Receipt No.: 'Date: Z INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431.367 ID Approved per applicable codes. INSPECT ORECORD Retain a copy with permit PER, 4 ril Corrections required prior to approval. COMMENTS: /3, /.1,..1,: � leo Oct 6 4 S Ct.' C.i{ freoi/ / ri . esa � L4-s3 G,7. io Q -3 $58.00 REINSPECTION FE'S REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Special Instructions: Date Wanted: . m. a if Requester: P one No: Z INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431.367 ID Approved per applicable codes. INSPECT ORECORD Retain a copy with permit PER, 4 ril Corrections required prior to approval. COMMENTS: /3, /.1,..1,: � leo Oct 6 4 S Ct.' C.i{ freoi/ / ri . esa � L4-s3 G,7. io Q -3 $58.00 REINSPECTION FE'S REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Project:, I J J el Ty Inspection. /,e " Addre ;s:_ c �! /49 4DateCalled: COMMENTS: Special Instructions: Date Wanted: SS Clay p.m. Requester: Phone No: 3g Approved per applicable codes. R Correttions required prior to approval. COMMENTS: // J i) . 2--c-7y, / t,, ( dte -td' a ,.4.rrv.." 'n fti ui sa / Av./ f/n �l ' I/1M Si " r l v + /e /20 G/-/ ,4, i4..i4 Slur A- - # 4:e4-1-de v`l119 lr3/4 JO-1e 4 n/l e ✓ !i � ' y5 �: -y Z � ' j , , ad./ 4i-740 Inspector:/ /) l'' Date 6vf0 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 El $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: DEPARTM1E,,/�NT/IS__: y� /, Buil g Division Y Public Works C APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28 -02 PERMIT COORD COPY' PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D06 -120 DATE: 06 -23-06 PROJECT NAME: MUSTAFA MUJDZA RESIDENCE SITE ADDRESS: 4456 S 164 ST Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # X Revision # 1 After Permit Issued Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete Comments: ❑ Permit Coordinator ❑ Planning Division DUE DATE: 06-27-06 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUT NG: Please Route Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: DUE DATE: 07 -25 -06 Approved Approved with Conditions El Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ACTIVITY NUMBER: D06 -120 DATE: 04 -06 -06 PROJECT NAME: MUJDZA RESIDENCE SITE ADDRESS: 4456 S 164 ST X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: a wC cfrj Buil ing Division Lbl Public Works ❑ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route d 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 ❑ Approved with Conditions No further Review Required DATE: DATE: Planning Division Permit Coordinator DUE DATE: 04 -11-06 Not Applicable ❑ n DUE DATE: 05 -09 -06 Not Approved (attach comments) ❑ Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Revision No. I Date Received I Staff Initials I Date I Staff - Issued I Initials I Summary of Revision: Summary of Revision: Received By: Revision No. Date Received I Staff Initials I Date Issued Staff Initials I I Summary of Revision: rg i ,.. , Received By: Revision No. Date I Received Staff Initials Date I Issued I . ' Staff Initials Summary of Revision: Summary of Revision: 0 ALA I t.. , u . .s, rAt rg i ,.. , MINIIIMEMITIMPLAW Received By: M ittP MUnZ Revision i Date No.. I Received I Staff Initials I Date Issued I Staff Initials I I I I Summary of Revision: Received By: Revision Date No. Received I Staff Initials I Date Issued I Staff Initials I _... I I I Summary of Revision: Received By: PROJECT NAME: u'2 " - AIIla PERM' NO:. tXti— 12 Site Address: 'iH4 S , lM Gk - — Origins Issue Date: REVISION LOG (please print) (please print) (please prinu (please print) pt ease prin Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: OG / 2-3l20DG ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # ❑ Revision # _ after Permit is Issued CS, Revision requested by a City Building Inspector or Plans Examiner Project Name: Project Address: 14156 S. 10. I JIi Sectit.ie Wi'} miss Contact Person: H l r C1 M UiCh f Phone Number: (2 93 4 ^ 391E3 Summary of Revision: DecK Layout, 05 - ✓Q±fI 1 KJ S out ctfl j c es wader heck recd -('vrn c -t .fl Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: Entered in Permits Plus on IV (i-4110 \apphcauons\fonns- applications on line revision submittal Created: 8 -13 -2004 Revised: 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.cttukwila.waus Plan Check/Permit Number: t 06- rio Steven M Mullet, Mayor Steve Lancaster, Director RECEmaj JUN 23 2006 PERMIT CENTER CITY OF TUKWILA "' Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 STATE OF WASHINGTON) ss. COUNTY OF KING ) AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION r7 I V-71-1A M 03Dza [please print] , states as follows: Permit Center /Building Division: 206 -431 -3670 Public Works Department: 206 -433 -0179 Planning Division: 206 -431 -3670 PERMIT NO.: PRY -1 20 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. (3 , and will therefore not be performed by a registered contractor. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. APPLICANT Signed and sworn to before me this 12 th day of April 20 , 5si0N . I- 4, •c- toTAR • one y UBUG t p U P N i O 2 % t ' 9•' ' �� . t O Ntt t 4 � t, F `WA S , % a applications\&2004 affidavit In lieu of contractor registration NOTARY PUBLIC in and for Mt State of Washington, Residing at /` /h9 A4 , County. Name as commissioned: Alice A. Deaa My commission expires: 6-1b-OS 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. My 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. My person who only fumished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor, 10. 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 ■ipplications\1 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. My 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. M 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. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his sole compensation; 17. Contracto n-Aighway ' rs projects who have been prequafified-as'required 'by' chapter 13 of the Laws of 1961, ROW 47.28.070 with the department of transportation to- perform: highway construction, reconstnuction,'ormtaintenance work. x x x x x