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HomeMy WebLinkAboutPermit PG08-208 - PINZARI RESIDENCEPINZARI RESIDENCE 6410 S 153 ST PGO8.-208 Parcel No.: Address: Suite No: Citylif 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 3597000343 6410 S 153 ST TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG08 -208 07/31/2008 01/27/2009 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: PINZARI RESIDENCE 6410 S 153 ST , TUI{WILA WA PINZARI ALEXEI +LUDMILA 6410 S 153RD ST , TUKWILA WA LUDMILA PINZARI 6410 S 153 ST , TUKWILA WA OWNER AFFIDAVIT - LUDMILA PINZARI Address: Contractor License No: Phone: Phone: 206 - 291 -3197 Phone: Expiration Date: DESCRIPTION OF WORK: PLUMBING FOR NEW BATHROOM Value of Plumbing /Gas Piping: Fees Collected: $1,500.00 $169.00 Plumbing Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 FIXTURE TYPE AND OUANTITY Plumbing (cont.) 1 Building sewer and each trailer park sewer 0 0 Rain water system - per drain (inside bldg) 0 0 Water heater and /or vent 0 0 Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors 0 0 Repair or alteration of water piping and/or water 0 treatment equipment 0 0 Repair or alteration of drainage or vent piping 0 1 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 1 0 Medical gas piping (6 +) inlets /outlets 1 0 Gas Piping 0 Gas piping outlets (0 -5) 0 1 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -10/06 PG08 -208 Printed: 07 -31 -2008 City ofTukwila 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: PG08 -208 Issue Date: 07/31/2008 Permit Expires On: 01/27/2009 Permit Center Authorized Signature: Date: -7-3i i -0 U I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the erfgnriance otwrork. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: Print Name: 1-17‘ Date: 0T . 3( • This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: UPC -10/06 PG08 -208 Printed: 07 -31 -2008 Parcel No.: 3597000343 Address: Suite No: Tenant: • 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 6410 S 153 ST TUKW PINZARI RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG08 -208 ISSUED 07/17/2008 07/31/2008 1: ** *PLUMBING AND GAS PIPING * ** 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R -3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor /ceiling assemblies and fire- resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. * *continued on next page ** doc: Cond -10/06 PG08 -208 Printed: 07 -31 -2008 • 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: YuL I/Q i h Date: t° (, 0) doc: Cond -10/06 PG08 -208 Printed: 07 -31 -2008 CITY OF TUKWILI Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Gas Permit No. Project No. For ice use only, PLUMBING / GAS PIPING PERMIT APPLICATION 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: Tenant Name: //O- 3 54- P/`n gar/ , Lurk rnil�. Property Owners Name: Mailing Address: 6 9/0 ._S~ /' King Co Assessor's Tax No.: Suite Number: New Tenant: ❑ .... Yes EI ..No 100 - ©aMt3 Floor: City State Zip 'CONTACT "PERSON =Who. do we contact when your,permit is ready to be issued Name: >n r /a— Mailing Address: 6 G //0 S i'5 3 rd E -Mail Address: Day Telephone: ,Z 0 6 _ - 3 /g 7r City State Zip Fax Number: PLUMBING / GAS PIPING CONTRACTORINFORMATIOr Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: ARCDITECT OF RECORD All;plans must be, wet City Day Telephone: Fax Number: State Zip Expiration Date: Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER: OF RECOO ans must.be wet', stamped by Engineer of R cord Company Name: Mailing Address: Contact Person: E -Mail Address: Q:\Applications\Porms- Applications On Line \3 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 -2006 bh City Day Telephone: Fax Number: State Zip Page 1 of 2 Valuation of Project (contractor's bid price): Cf x�7a SCI Scope of Work (please ' rovide detailed information): �'0 • n e �7 • a7 r � x Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath /shower I 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 Additional medical gas inlets /outlets — six or more 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 l Repair or alteration of drainage or vent piping I Medical gas piping system serving one to five inlets/outlets for specific gas PERMIT APPLICATION NOTES r Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International 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 AUTHO ' i ED AGENT: Signature: Print Name: Mailing Address: !rl / G ti( n/tr /0 S -Ls rS s¢ Date: 6,11 - / / - c' Day Telephone: -206— 231- 3 /9 1 kw tt 1g ELLA l Pb' State Zip City Date Application Accepted: 1 - DO Date Application Expires: �_�� p l Staff Initials: �Q VUv� VAC Q:\ Applications \Forins- Applications On Linea -2006 - Plumbing -Gas Piping Permi Application doc Revised: 4-2006 bh Page 2 of 2 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 Parcel No.: 3597000343 Address: 6410 S 153 ST TUKW Suite No: Applicant: PINZARI RESIDENCE RECEIPT Permit Number: PG08 -208 Status: APPROVED Applied Date: 07/17/2008 Issue Date: Receipt No.: R08 -02807 Payment Amount: $140.00 Initials: WER Payment Date: 07/31/2008 02:22 PM User ID: 1655 Balance: $0.00 Payee: LUDMILA PINZARI TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1282 140.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - RES 000.322.103.00.0 140.00 Total: $140.00 doc: Receiot -06 Printed: 07 -31 -2008 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 RECEIPT Parcel No.: 3597000343 Permit Number: PG08 -208 Address: 6410 S 153 ST TUKW Status: PENDING Suite No: Applied Date: 07/17/2008 Applicant: PINZARI RESIDENCE Issue Date: Receipt No.: R08 -02623 Initials: WER User ID: 1655 Payment Amount: $29.00 Payment Date: 07/17/2008 10:44 AM Balance: $140.00 Payee: LUDMILA PINZARI TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1278 29.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - RES 000/345.830 29.00 Total: $29.00 4972 07/17 9710 TOTAL 29.00 doc: Receiot -06 Printed: 07 -17 -2008 INSPECTION RECORD Retain a copy with permit INSPECTIO NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 IJL erooC1 © o6 P ect: Type of Inspection: t-iNI AL- PI104 b Itil RCS• Address: GI-110 S k_3 s-i- Date Called: Special Instructions: f / Date Wand: /� 1 D 19 1 `,' t a.m' p.m. Requester: Phone No &.C)(0 —c7n 1 -31 7 Approved per applicable codes. Corrections required prior to approval. COMMENTS: 1)(2j- \',i C O f-- r)\ off- t, kiV,A), Date: rJ ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspect° : Receipt No.: Date: .� b �.�,.� �� _... ,,...,.•, _. ,_ . _� ....�_ �.. �....y INSPECTI(JNTNO. INSPECTION RECORD Retain a copy with permit P64-203) -2a3' PERMIT NO. CITY OF TUKWILA BUILDING DIVISION '12- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 Proje . �� n lZP3• ( P1t Type of Inspectio : A 4 ,{ If-4 - �'1G� 1 Addres : rl� Date Called: Special Instructions: Date Wanted: a.m. Requester: Phone No: Approved per applicable codes. orrections required prior to approval. COMMENTS: Ni ay eA-t<„ ‘ocV-- tc_t3rt re, k&-5‘) Insdector: Date:3 II $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: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO, CITY OF TUKWILA BUILDING DIVISION :V-- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 0e -206 Project: Pt NZA2 A CZPS Tyge of Inspection: rT�i1 —I� 1�1�►� --G1c Address: C,LIIo S IS3 �- Date Called: " ` f ,,� V Special Instructions: Date Wanted: a.m. Requester: Nap( J j• Phone No: nor& — 251 -31q -7 5D Approved per applicable codes. 'Corrections required prior to approval. COMMENTS: DON./ { ps 64 1 l)' Ln /. ? ef S u',( Nap( J j• ' 5D t) t . 1 Y Y k1 Inspector: i\J Date: $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must b paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit 196 Or 4 PERMIT NO. I" (206)431 -3670 Projeu, ii-% tiz Af 4" S Type of Inspection: _ � / n /2 �� dI - , /�H� Address: C. z-//o s /53s—/- Date Called: ppf z- i esT • r u p C S 1 A, 34 Special Instructions: Date Wanted: 2.- Wanted: Requester: Phone No: �o6 - ?' /' /7 ,'/5 / Approved per applicable codes. Corrections required prior to approval. 6 COMMENTS: ) S\ e k-,-) art C 3") i. 1 " 1A-GS L '. 4 p, A.., Lr-/ —111(v-,a (A A 0 e 1 , 1 �, )U(-_.9 •J ., As v, A-t� J n 9_,_ -13._c ppf z- i esT • r u p C S 1 A, 34 ^4 ()t h -i-P ( Tll. l k It -)r AJ\i:a. fr (I) I)/MA (7.1^ b ` \ 61uE. , (M ■ E.6f---- D H gi- b t 1 Inch - ,- i )�1.) r e r u i «�1 Lk ;.- ,-- c,4 k' -- ∎ 11 —v .L 3 i r- �-,i-r� re �v�c � �� Pig %��,�'I Inspectrr: Date:2 LJ $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: INSPECTJON NO. CIp( OF TUKWILA BUILDING DIVISION 63Q0:Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit pJ� 6,03-2g PERMIT -2 PERMIT NO. U (206)431 -3` Pro ect: iK1Arr `Ct"S Typ f Inspection: W. ntch A dress. LI 10 s 1S 3 s,-1 Date Called: M.0 4.... [) 1," a`Ai P`f'1 �-D :-A-- /,..1r fey Special Instructions: Date Wanted: a.m Requester: 3.) r.QAe JAW C tit, `; Z. i .S ,.n 6.4rre r Phon N .2s1 --3)5i Approved per applicable codes. Corrections required prior to approval. COMMgNTS: r <. P AT f rv,i t S� -,)per roc- i re t..A,..r.1 E- ski-- , < 1,, CJ T • APi. (n IAN. (re.T6.:1C.C. ( -.,“r 3,)" :'\ , M.0 4.... [) 1," a`Ai P`f'1 �-D :-A-- /,..1r fey i 61) ufA t N [k,\ ; So1&e: r'( 1v ;{ (-v r Ci kt. C IA-C.-NI- A. 1 D .' a ^ n .1-- 0m ku- 3.) r.QAe JAW C tit, `; Z. i .S ,.n 6.4rre r 1'2r ■ S tt Sup Qu M r_L.e Au .i $ zl P- p LkPI" -ef u ire Pie.. /A .u.ntu E S e4-: Z i V � : ) n3 w :7k D oi&e f. 4 . Inspect Date: ,q .roef El $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: itat- zor INSPECTION NO. cce0._ Z 62 INSPECTION RECORD Retain a copy with permit PERMIT NO. rL. CITY OF TUKWILA BUILDING DIVISION l� 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: i''-,4, Type of Inspec 9� Addr ss: /r Date Called:" Special Instructions: Date Wanted: Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. 7 Cod../ COMMENTS: / / t-�'�rr7 -� /2 • &>c/, `S4 v G 6sr, 5) 04,5 4. 4 !-f - eh 44€ ek. J o r , h 4 . h.(of Mote A. A7,r5., 4/ P L _ ci 4/ 4640 ./1,04- • f ,4 77 4' je7411440 !sir is /0031 tedole A9 �.cJr.� ✓�Zp�i1 dam. i� S zin-2267 Inspec r: Date: El $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: ssa.,+ s rte . . -_...Jrn.-. / 65 2._ 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 P608-206 Pr ct: V., N Z � Type o nspecti n: That - No Addres : (L� tv ts3 ' Date Called: Special Instructions: Date Wanted: 1 -Z1 — Oe{ m. Requester: Phone No 2.0G -Zci NT ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: .0 To, c 070/ A, cro /Z,► . 0 1 7 . 0 . A / O A A l L 9 L,Di / / 4 ail • . Laba 71,e- £. 5 �� i,s/ 2) Y�I2 1•,i,71-- • 1-2,e,z, -6) s -9 /(PSG 7\5° 1-0 ❑$60.00 REI SPECTION FEE REQUIRED. P for to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: PROPOSED FLOOR PLAN PROPOSED FLOOR PLAN . . City of Tukwila Department of Community Development LUDMILA PINZARI 6410 S 153 ST TUKWILA WA 98188 RE: Permit No. PGO8 -208 6410 S 153 ST TUKW Dear Permit Holder: Jim Haggerton, Mayor 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 09/22/2009. 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- 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 09/22/2009, 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, ifer M. shall it Technician File: Permit File No. PG08 -208 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 12 -03 -2008 LUDMILA PINZARI 6410 S 153 ST TUKWILA WA 98188 Citj' of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Permit No. PG08 -208 6410 S 153 ST TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a fmal inspection by the City of Tukwila Building Division. Per the Uniform Plumbing Code and/or International Fuel Gas Code, every permit issued by the Building Division under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Plumbing and/or Gas Code does allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests must be in writinff and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 01/27/2009 , 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, er Marshall, Pe t Technician xc: Permit File No. PG08 -208 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 ,3ERMar COORD COPY • PLAN REVIEW/ROUTING SLIP ACTIVITY NUMBER: PG08 -208 PROJECT NAME: PINZARI RESIDENCE SITE ADDRESS: 6410 S 153 ST X Original Plan Submittal Response to Correction Letter # DATE: 07 -17 -08 Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: BI in Ivision P blic Works 5 AT 1 "'i °� Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete n Planning Division n Permit Coordinator ry, DUE DATE: 07 -22 -08 Not Applicable Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUESITHURS R TING: Please Route Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: d DUE DATE: 08 -19 -08 Not Approved (attach comments) ❑ DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28-02 CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-3670 FAX (206) 431 -3665 E -mail: tukplanOci.tukwila.wa.us Permit Center /Building Division 206 431 -3670 Public Works Department 206 433 -0179 Planning Division 206 431 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON) ) ss. COUNTY OF KING ) PERMIT NO: -VG° a — v ELOS- 1010 lo' / / n Eon , states as follows: [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. J.._, and will therefore not be performed by a registered contractor. 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 cons • - - • • n work. - Owner /Owner's Agent Signed and sworn to before me this 3 l d. of -(i-(L , 20 OY. eA ez OT Y PUBLIC in and for the State of Washington Residing at I'll Name as commissioned: ,M County ,teyeA7-C, %7 w4 4-(' My commission expires: 05 a 9 -/ 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 th 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; 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; 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 y person working on his or her own property, ether 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 cliapter 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.