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Home My WebLink AboutPermit D09-066 - WOODSIDE APARTMENTS - BUILDING 2WOODSIDE APTS, BLDG 2 3721 S 152 ST, UNIT 13 D09 -066 Parcel No.: 0043000115 Address: 3721 S 152 ST TUKW Suite No: Tenant: Name: WOODSIDE APTS BLDG 2 - UNITS 9 & 13 Address: 3721 S 152 ST , TUKWILA WA Owner: Name: KIM CHUE Address: 13327 279TH ST SE , KENT WA 98042 Phone: Contact Person: Name: CHUL KIM Address: PO BOX 69517 , SEATTLE WA 98168 Phone: 206 - 835 -6300 Contractor: Name: OWNER AFFIDAVIT - CHUL KIM Address: PO BOX 69517 , SEATTLE WA 98168 Phone: 206 - 835 -6300 Contractor License No: DESCRIPTION OF WORK: REPLACE DRYWALL AND FIREBLOCKING AT ACCESS TO PLUMBING WALLS TO RUN PLUMBING VENT FROM DOWNSTAIRS REVISION #1 IS TO ADD UNIT #9 TO SCOPE OF WORK. Value of Construction: Type of Fire Protection: Type of Construction: doc: IBC -10/06 V -B Cit; f 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 $110.00 DEVELOPMENT PERMIT * *continued on next page ** Permit Number: D09 -066 Issue Date: 04/23/2009 Permit Expires On: 11/24/2009 Expiration Date: Fees Collected: $124.50 International Building Code Edition: 2006 Occupancy per IBC: 0021 D09 -066 Printed: 06 -19 -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: 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 e Signature: Print Name: doc: IBC -10/06 City lb Tukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /wtitiw.ci.tukwila.wa.us N N Number: 0 Size (Inches): 0 Start Time: Volumes: Cut 0 c.y. Start Time: governing this work will be complied ' 't , whether specified herein or not. Ics Permit Number: D09 -066 Issue Date: 04/23/2009 Permit Expires On: 11/24/2009 Date: End Time: Fill 0 c.y. End Time: Date: I/lg (II V 1 ned t s permit and know the same to be true and correct. All provisions of law and ordinances The granting of this •ermi does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or t e • e • • , ance of work. I am authorized to sign and obtain this development permit. 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. D09 -066 Printed: 06 -19 -2009 Parcel No.: 0043000115 Address: 3721 S 152 ST TUKW Suite No: Tenant: Name: WOODSIDE APTS BLDG 2 - UNIT 13 Address: 3721 S 152 ST , TUKWILA WA Owner: Name: KIM CHUE Address: 13327 279TH ST SE , KENT WA 98042 Phone: Contact Person: Name: CHUL KIM Address: PO BOX 69517 , SEATTLE WA 98168 Phone: 206 - 835 -6300 Contractor: Name: OWNER AFFIDAVIT - CHUL KIM Address: PO BOX 69517 , SEATTLE WA 98168 Phone: 206- 835 -6300 Contractor License No: DESCRIPTION OF WORK: REPLACE DRYWALL AND FIREBLOCKING AT ACCESS TO PLUMBING WALLS TO RUN PLUMBING VENT FROM DOWNSTAIRS Value of Construction: Type of Fire Protection: Type of Construction: doc: IBC -10/06 V -B Cityilf 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 $50.00 DEVELOPMENT PERMIT * *continued on next page ** Permit Number: D09 -066 Issue Date: 04/23/2009 Permit Expires On: 10/20/2009 Expiration Date: Fees Collected: $64.50 International Building Code Edition: 2006 Occupancy per IBC: 0021 D09 -066 Printed: 04 -23 -2009 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N 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: D09 - 066 Issue Date: 04/23/2009 Permit Expires On: 10/20/2009 Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: Hauling: N Start Time: End Time: Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: Moving Oversize Load: Start Time: 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: doc: IBC -10/06 W r Date: 1- \ — aS O9 1 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 p mance of work. I am authorized to sign and obtain this development permit. Signature: l � � 1 / Date: Print Name: L.-11 %A M , k--- 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. D09 -066 Printed: 04 -23 -2009 Parcel No.: 0043000115 Address: 3721 S 152 ST TUKW Suite No: Tenant: WOODSIDE APTS BLDG 2 - UNIT 13 1: ** *BUILDING DEPARTMENT CONDITIONS * ** • 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: D09 -066 Status: ISSUED Applied Date: 04/23/2009 Issue Date: 04/23/2009 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 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: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be obtained at City Hall in the office of the City Clerk. 7: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 8: 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 ** D09 -066 Printed: 04 -23 -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 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 construction or the performance of work. Signature: i , iz-) Print Name: G V' ) M • fG 11. doc: Cond -10/06 D09 -066 Date: ordinances governing or local laws regulating Printed: 04 -23 -2009 Site Address: 't7 L 1 SS Tenant Name: Property Owners Name: / /L t 01-1 Mailing Address: Name: Mailing Address: E -Mail Address: CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Mechanical Permit No. Plumbing /GaswPermit N Building Permit Public Works Permit 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 <11 9 f util 4.t1Ct d WApplications\Forms- Applications On Line\2009 Applications \1 -2009 - Permit Application.doc Revised' 1 -2009 bh King Co Assessor's Tax No.: 00 — G 115 Suite Number: / 3 Floor: "` 2 f id °•-- New Tenant: ❑ Yes ❑ .. No ctoi GENERAL CONTRACTOR INFORMATION (Contractor Information for Mechanical (pg 4)! for Plumbing and Gas Piiping.(pg 5)) City City City ° I' Fax Number: `)-° l6 7' State CONTACT ,PERSON - who do we contact when your permit is readyto be Day Telephone: State Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: State ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Zip Contact Person: Day Telephone: E -Mail Address: FaxNumber: State 'Z. Zip Zip Zip ENGINEER OF RECORD. I pla must be wet' stamped bY,Engtueet o qi Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Page 1 of 6 BUILDING PERMIT INFORMATION 206- 431 -3670 Valuation of Project (contractor's bid price): $ - .___ -- Scope of Work (please provide detailed information): AZT( c.e-- dr Vert / ' -r0 3- a b /tic kJ, i A i c e-e s 10 p /tips 6r, • tt ) A. I,, L 'L s Lip, p l hi', ✓ y ,r 1- f i1/4- 0 cl r ,,.r el S' .f.* 1) J Will there be new rack storage? ❑ Yes Existing Building Valuation: $ 0.. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below l' Floor 2 Floor 3 Floor Floors Basement Accessory Structure* Attached Garage Detached Garage Attached Carp■rt Detached Carport Deck Uncovered Deck Interior Remodel Addition. to Existing Structure `Type of ; ° Construction per IBC Type of Occupancy per IBC 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 of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION /HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ 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. H:Wpplications\Forms- Applications On Line\2009 Applications \1 -2009 - Permit Application.doc Revised: 1.2009 bh Page 2 of 6 , =PUBLIC WORKS. PERMIT -INFORMATION 206=433=0179 Scope of Work (please provide detailed information): Water District ❑ ...Tukwila 0... Water District #125 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate Please refer to Public Works Bulletin #1 for fees and estimate sheet. ❑ ...Valley View ❑ .. Renton 0... Sewer Availability Provided 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. Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ ...Ri -of -wa Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way ❑ Non Right -of -way ❑ ❑ ...Total Cut ❑...Total Fill ❑...Sanitar Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water cubic yards cubic yards ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line It H:Upplications\Forms- Applications On Line\2009 Applicationskl -2009 - Permit Application. don Revised; 1 -2009 bh Call before you Dig: 1 -800- 424 -5555 ❑ .. Highline ❑ .. Geotechnical Report ❑ .. Maintenance Agreement(s) ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Renton ❑ .. Seattle ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ ...Permanent Water Meter Size... WO # ❑ ...Temporar Water Meter Size .. WO # ❑ ...Water Only Meter Size II WO # . ...Deduct Water Meter Size ❑ ...Sewer Main Extension Public ❑ Private ❑ ❑ ...Water Main Extension Public ❑ Private ❑ El ...Traffic Impact Analysis ❑ ...Hold Harmless — (SAO) ❑ ...Hold Harmless — (ROW) ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ft FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City Day Telephone: City State State Zip Zip Page 3 of 6 Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace <100K BTU 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 Use: Residential: New .... ❑ Commercial: New .... ❑ MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Mechanical work (contractor's bid price): $ Scope of Work (please provide detailed information): Replacement .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas ....0 Other: Indicate type of mechanical work being installed and the quantity below: H'..Npplications\Forms- Applications On Line12009 Applications11.2009 - Permit Appiicationdoc Revised: 1.2009 bh Page 4 of 6 Fixture Type: Qty Fizture.Type: Qty . •Fixture:Type: Qty •Fixture,type:. , '''Qty 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 Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment Repair or alteration of drainage or vent piping Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets :PLUMBING AND . PIPING`'PE - ..._ ... PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Building Use (per Int'l Building Code): Occupancy (per Int'I Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below: H:\Applications\Forms- Applications On- Line\2009 Applications U-2009 Permit Application.doc Revised: 1.2009 bh Page 5 of 6 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). 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 O�A HORIZED AGENT: /`- Cti 1 (-t., --- Signature: 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). Print Name: Mailing Address: Date Application Expires: Date Application Accepted: (36x ( "�S H:Upplications\Forms- Applications On Line\2009 Applications \I-2009 - Permit Application.doc Revised: 1.2009 bh Date: Day Telephone: ., g` [AF '1 t' City State Staff Initials: Zip Page 6 of 6 i Related reference number S City Of Tukwila Permit Center 6300 Southcenter Boulevard, Suite, 100 Tukwila, WA 98188 (206 431 -3670) ALTERNATE PLAN SUBMITTAL AUTHORIZATION FOR LIMITED SCOPE OF WORK I.B.C.& I.R.C. Section 104.1 Project name Address 1 6, Description of work 3. Other special instructions: LA-(L ti-161 CakitItt 4 /gyp Authorization by, TBD36/96 -form 12 Application # The above project permit applicant, due to the limited scope of work is authorized to submit reduced plan requirements described below. 1. Complete permit application required: (Note, all application must include; 1) property assessor number, 2) copy of contractors license or completed owner waiver form.) Building v Mechanical Other 2. Minimum plan and /or specification requirement: Site plan Floor plan Elevations Foundation / Cross sections Roof plan W.S.E.C. Compliance Narrative V Structural calculations (stamped by Washington State licensed engineer ) Specific required information Date (Authorization void 30 days aft e issued.) Parcel No.: 0043000115 Permit Number: D09 -066 Address: 3721 S 152 ST TUKW Status: ISSUED Suite No: Applied Date: 04/23/2009 Applicant: WOODSIDE APTS BLDG 2 - UNITS 9 & 13 Issue Date: 04/23/2009 Receipt No.: R09 -01114 Initials: User ID: JEM 1165 Payee: CHUL KIM TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC - Authorization No. 38050Z ACCOUNT ITEM LIST: Description PLAN CHECK - NONRES 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 60.00 Account Code Current Pmts 000/345.830 60.00 Total: $60.00 Payment Amount: $60.00 Payment Date: 07/16/2009 01:54 PM Balance: $0.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 07 -16 -2009 Receipt No.: R09 - 00926 Payee: CHUL KIM Payment Credit Crd MC - Authorization No. 22458Z ACCOUNT ITEM LIST: Description PLAN CHECK - NONRES • 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.: 0043000115 Permit Number: D09 -066 Address: 3721 S 152 ST TUKW Status: ISSUED Suite No: Applied Date: 04/23/2009 Applicant: WOODSIDE APTS BLDG 2 - UNITS 9 & 13 Issue Date: 04/23/2009 Initials: JEM Payment Date: 06/19/2009 12:31 PM User ID: 1165 Balance: $0.00 TRANSACTION LIST: Type Method Descriptio Amount 60.00 Account Code Current Pmts 000/345.830 60.00 Total: $60.00 1 Payment Amount: $60.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 06 -19 -2009 Receipt No.: R09 -00622 Initials: User ID: WER 1655 Payee: EVERGREEN DEVELOPMENT TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3229 64.50 Authorization No. ACCOUNT ITEM LIST: Description BUILDING - NONRES STATE BUILDING SURCHARGE • 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.: 0043000115 Permit Number: D09 -066 Address: 3721 S 152 ST TUICW Status: PENDING Suite No: Applied Date: 04/23/2009 Applicant: WOODSIDE APTS BLDG 2 - UNIT 13 Issue Date: Account Code Current Pmts 000/322.100 60.00 640.237.114 4.50 Total: $64.50 Payment Amount: $64.50 Payment Date: 04/23/2009 03:37 PM Balance: $0.00 PAY 'ENT RE doc: Receiot -06 Printed: 04 -23 -2009 Project:, . , bark& /(e . Type pflaspection: I ,.,, / 4-- . A/ / ! 14 Address: 5 Date Called: Special Instructions: 8 4 2 9 9 / • , . 3 Date Wanted: / — . / — / Requester: Phone No: • INSPECTIOVR5 RD Retain a copy with p rmil .INSJCIIDWN0. HUT NO, • • - • --t et= ' CITY OF TUKWILA BUILDING DIVISION e 6300' SOuthcenter Blvd., #100; Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 \ Approved per applicable codes. COMMENTS: and at 6300 Southcenter Blvd.. Suite 1 • Corrections required prionto approval. Inspector Date: I SPECTION FE REQUIRE'. Prior to ext inspection. f e must.be - Call to schedule reinspection. COMMENTS: y e Type of Inspection: F/ A�/4 2/.v.'7 & 9 & K Te , ,7 12 Date Called: .....3 .ra .' e i, io../ ,i..✓.S'�A / 4 .. P.cl ,/h /.w/spick?" 27A 1 r/i Date Wanted: // — .2 11 °p1i es .4/667 / ...Lis00,v daZ/ ■ a.m. Requester: L.4./ 4 ' .: .... -6.3 a & N Project: JJ ,4n � GaXt, -/e .S, Type of Inspection: F/ A�/4 / - 3;!if , Address: 37 .2/ / si Date Called: Special Instructions: ..214/;15 yv/3 Date Wanted: // — .2 Oq a.m. Requester: Phone No: ,P,a - -6.3 a & INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 El Approved per applicable codes. D Corrections required prior to approval. Inspector: $ •. TO REINSPECTION FEE RE d UIRED. P for to inspection, fee must be d at 6300 Southcenter Blvd. ' uite 10 ' Call to schedule reinspection. 'Receipt No.: • INSPECTION RECORD Retain a copy, with permit Date: . IDatte: bo -06G PERMIT NO. ..a ...... _ . • CQNIMENTS: 1 / , ,, . /� , i.) C t -e :(t- ' (.I /t4fdJ� i t� /j- \ (-& u , / s�aie �/3e :re c) - 11/ s A ,f to() t ft--: —7 -- . (..) ) i-31" .0.4 Date Wanted: '.?) -1_ , Loi ,A-t( 6 a . / : , ‘S 1 PcYt'u 1,-3 Ads J (3.‘e (( ter. OD iv J ) am" D( c-Jpe--) _ .. 2 e- A Pro f 1, Type of Inspecti . 1 f� i \ Address: 3921 S . 1.5Z Sr Date Called: l/ Special Instr ctions: G11 ;' 19—‘A 1 Y UA c a (� ait • Date Wanted: mo�(j p m . ( " o] p.. Requeste Phone No: 2 kg — k3s - 63 dd INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION Approved per applicable codes. 1 Receipt No.: 001-040 PERMIT NO. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -370 Corrections required prior to approval. Date: J ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: R Project: Gr/� s.c% 41- Type of Inspection: . / .-- 'i?q, - )",in/. Address: .37c2/ S /52 5. Date Called: Special Instructions: /7- Date Wanted: C 1. ir 43= 69 p.m. Requester: Phone N : 0 ?46 -C 'DG +ha INSPECTION NO. INSPECTION RECORD Retain a copy with permit 2--W 66 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 1 6300 Souticenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: lnspe tor: JDate: ri $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: COM M ENTS: I c...AAA 11 3S / -ems. pAN/ 6 M _ ee- r r kaL. r ( / 4 cj\--,J1 ( -611 A f te._ _ & ...,..1 * Date Wanted: - - 1 Z Q I pm. , Phone -'3S _ 63)v • e--Mt 1 v r / e -- . Q ` 3Q-, i p A n wcm . i. Project: Type of nspection:. Address: V17 I cdt DO 15 2 1r Date Called: y Special Instructions: Date Wanted: - - 1 Z Q I pm. Requester: Phone -'3S _ 63)v 0 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit INSPECTI • NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431 -36 ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. orrections required prior to approval. Inspkctor: 3 el Receipt No.: Late: COMMENTS: i !� �{ ( k) ( .& e� ; (3 0 /-1/ JM ' 1 pi JO, k r 0,t 1 G , _�z A , C J , p 1 1) S n.,p ST u i pb JAJUr 6 ei f y;St 1v ..)1 S'C '.- J AA - r - A- , AP-c-ikt (1)o CIO p.m. Requester: Phone No: .z0C-- -0735- -63 °6 . i A ;_ • Project: ( ads a..0 +is 9 fi'3 Type of Inspection: /- ./24m'4JC \ ' Address: 377/ .S / Sr Date Called: Special Instructions: Date Wanted: 7 - J /-- D 5, CIO p.m. Requester: Phone No: .z0C-- -0735- -63 °6 INSPECTION NO. Approved per applicable codes. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION i .ID_ 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 6 0 orrections required prior to approval. El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: COMMENTS: Type of Inspection: / Address: 2/ 372/.r /z 9 3 sr Date Called: Special Instructions: A AA A t nn dz -<) F -461 1 '^ 7 LJ A -' .Q ,.$ L -61 J --e < A s NA c , S , - 2:‘ 1 Ft A414 . t3 36" _ l - A l+ ( A-''(( NT' re- , Sp -er_.•Q .1A - 1 Project: z, s e/� 4 a 2 Type of Inspection: / Address: 2/ 372/.r /z 9 3 sr Date Called: Special Instructions: Date Wanted: 7 — .Z /— D Requester: Phone No: tea'.- 8S5 630 6 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISI ON 6300 Southcenter Blvd., #100, Tukwila, WA 98188 0 Approved per applicable codes. Inspec>jor: INSPECTION RECORD Retain a copy with permit z:09-66 D PERMIT NO. (206)431 -367 Corrections required prior to approval. Date: ❑ $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: CCOM0 M ENTS: Typ f Inspection: / ,�'9�1i� 4 \ 1 �J ,7.f - I..,i1i oe� 3A (0 (A)p Special Instructions: 2,7r/ .,2 24»,'5 00 /3 Date Wanted: 7 - .2 O - (a`T p-an. Requester: . > ' S lel mfr_ Ai G _ ,N Ir -t-1 % n 07 1 C . ` f-k - 4, DJh -- , ./\S pL (_,e)/ Y 1 1)( Project; Ja 'j ' 497 Typ f Inspection: / ,�'9�1i� 4 \ 1 �J Address: J 3 70Z / 5 45 s Date Called: Special Instructions: 2,7r/ .,2 24»,'5 00 /3 Date Wanted: 7 - .2 O - (a`T p-an. Requester: Phone No: e),e X35 - 66 6 6 tko INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. / J CITY OF TUKWILA BUILDING DIVISION ry. " 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 El Approved per applicable codes. Corrections required prior to approval. Inspect Date: 7 3 v7 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: COMMENTS: / '11:- r /"-� ! /v? r., t //et -,' 2. H.f / S'Kr / / ¢ r �`' !� � 3' l e, t r 4 f-e /P 4 ,,H �ome L4.1, r-P dq A-04 . v /7 bo— g' Pro ti. o' 6�r r. / f.v� -.0. -.0. L ,f « 7� vu / i 7 k 1 :: I / / ■ — .1/ H - C ,YI / Y��0f / IA ® 6: ' 7 :lPYrmii - i / An r /14 Ate r6+lryr . 2vJ /� < / f 1 a i.,h f 2 „ Special Instructions: /(!` 2 c14 (3 Date Wanted: s ? 7 Project i r,. Type gfspection: ,.s.,;,. _ , Address: .372 / .S' /52 / Date Called: Special Instructions: /(!` 2 c14 (3 Date Wanted: s ? 7 a.m. p.m. Requester: Phone No: 5 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. ear.orrections required prior to approval. Inspector: /Vf. ..._ _ _t . - Date: )(— PERMIT NO. 7 -7'--7 E] $60.00 RE SPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: Project /.moo �� 4,0 Type of Inspection: //219'/n /A/4 Address: 3 2.2/s A3 – Date Called: , Special Instructions: uctions: l Date / � - Alant & '1 Requester: Phone 2 o ;- 63 5- gdc ID Approved per applicable codes. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION r 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 3f 7 14 Corrections required prior to approval. f COMMENTS: / } 09 JJ ) � A 6 i � ) , 9444 YeAttele.4.0-- 'zit/ ?_ . A /.sc.,e 5 ,, S/ el+v 4' eIer r , to a wee, p 4e - modk '-'J- 3 P ogle r ot., MA I ..O Like a °, Gam► c Ag .4?rJ 4J pdpsv,91--, 47V, d , 5 Inspector: Date: • PERMIT NO. r ri $60.00 REINSPECTI c FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection: --- - Receipt No.: IDate: COMMENTS: ( k: <0 Of 1 N l i - i 3 , s 014--- `1 ...St- .-T Q 6 LAL -- nS 5"i - -± '9 397/ ,r0 rs , Y. (..„-irt Ev re - :r ipe e_`-r "im) A c./lJh Date Wanted: s `� ( e? c c . ,_, f----f- 3„ 2 P- - :--r i ..e..):a (,) JA - t Phone o — s — L3 ^ a 4 it Project: WOO �.1 At_.-- Type of Inspection; ' -M' "1 Address: Date Called: 397/ ,r0 rs Special Instructions: q \t u /1 t r ' 3 —r_ Date Wanted: s `� / p.m. Requester: Phone o — s — L3 ^ 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 Approved per applicable codes. 42 D6q -d(n4O Corrections required prior to approval. 6 Inspector Date: ` - - 0 1 ri $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: -7") , _T--S TA Ic' It c , e' )v. �t. i I �/ w ( t 1 .� VJ4 �j r" � 1 1 r,�.. A. I C ...)'P S. L.i,72 Address ( 3r72\ 5o4 t 1 Z k f :- s P kR (},PI AA - C - S ,1 JA i 'S PrA) t k t_ g 1- .) 1`l ,S p e 3Th l ()A Date Wanted: - 2 1 p.m. Requester: Phone ?,.4;)(R - .4/3-5--- 1 Project: � D O ` 0 TYpe of�ns 4c . . Address ( 3r72\ 5o4 t 1 Z I� Date t Called: Special Instructions: JA .,� • 3 ()A Date Wanted: - 2 1 p.m. Requester: Phone ?,.4;)(R - .4/3-5--- Jjc Approved per applicable codes. 66/ di.° INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION Iz 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Corrections required prior to approval. Inspector: Date: � � 2 ,7 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: 1� Proj IA t )JU,` j A e. A-1<<47. Type j(e (3 de s1 Ild. Address: A 0 3 1, ( S S. 15-2 — fr 7 Date Called: ___-. Special Instructions: vA''r 13 Date Wanted: 4 �� Qom( '�.m,, p.m. Requester: Phone No: r 3 L3O0 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 OT -Q( PERMIT NO. (206)431 -36 Approved per applicable codes. Corrections required prior to approval. • COMMENTS: I LJ Inspe to Date: . 4 , 24 _ v q ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Dade: SEPA 0 0 0 c BUIL REVISIONS anges shall be made to the scop work without prior approval of Tukwila Building Division. evisions will require a new plan subm' ayay ice tional plan review fees TE PERMIT RED FORE Tukwila G DIVISION Z o n 5 Of TU ING DIVISION to'1 0&6 nze eoeipt RECEIVED JUL 1 ' Z009 TUKWILA PUBLIC WORKS REVIEWED ODE COMPLIANCE APPROVED JUL 15 2009 REVISION N II /!Pint 2 RECEIVE. JUL ,10 2009 PERMIT CENTEt FILE COPY SEPARATE PERMIT REQUIRED FOR as PION) City of Tukwila BUILDING DIVISION 1 REVIEWED FOR CODE COMPLIANCE APPROVED JUN 11 2009 kT- City of Tukwila BUILDING DIVISION cm OF � IA JUN 08 2009 PERMIT CENTER REVISION 901 CA/co 10 -01 -2010 CHUL KIM PO BOX 69517 SEATTLE WA 98168 RE: Permit No. D09 -066 3721 S 152 ST TUKW Dear Permit Holder: Jim Haggerton, Mayor epartment 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 11/19/2010. 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, , provided the inspection shows progress. -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 11/19/2010, 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, - Bill Rambo Permit Technician File: Permit File No. D09 -066 6300 Southcenter Boulevard, Suite #100 a Tukwila, Washington 98188 0 Phone: 206 - 431 -3670 o Fax: 206 - 431 -3665 May 24, 2010 Chul M. Kim PO Box 69517 Seattle, WA 98168 Dear Mr. Kim, Sincerely, er Marshall Technician City qf Tukwila Jim Haggerton, Mayor Department of Community Development RE: Request for Extensions Development Permit No. D09 -066 Mechanical Permit No. M09 -027 Plumbing/Gas Piping Permit No. PG09 -030 Woodside Apartments — 3721 S 152 St This letter is in response to your written request for an extension to Permit Numbers D09 -066, M09 -027, and PG09 -030. 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 permits an additional 180 days from the date of expiration, through November 19, 2010. If you should have any questions, please contact our office at (206) 431 -3670. File: Permit No. D09 -066, M09 -027, & PG09 -030 W:\Permit Center\Extension Letters \Permits\2009\D09 -066 Permit Extension.doc Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 May 19, 2010 Bill Rambo, Permit Technician Dept. of Community Development City of Tukwila, Tukwila, Wash 98188 Re: Request for extension of permits Dear Mr. Rambo Please extend the following permits to allow more -[ ime to complete works under those permits. o , t ic Permit nos. D09066, M 027, PG09030, M0 a d M08233. OPt[ lo z ito 7 I believe city has passed final inspection under p - it nos. M08232 and M08233. If that is the case further extensions may not be required under those permits. Sincerely ours, Chul M. Kim P O Box 69517 Seattle, Wash 98168 206 -835 -6300 cell .44.V s �� V S 5 /Z4- Z or ri IJA'i -- oqm- 0 -01. u I Afro cAvv\A RECEIVED MAY 19 2010 PERMIT CENTER CHUL KIM PO BOX 69517 SEATTLE WA 98168 RE: Permit No. D09 -066 3721 S 152 ST TUKW Dear Permit Holder: City of Tukwila 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 05/24/2010. 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 05/24/2010, 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, Bill Rambo Permit Technician File: Permit File No. D09 -066 Jim Haggerton, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 December 4, 2009 City of Tukwila 6300 Southcenter Boulevard Tukwila, Washington 98188 -8548 Mr. Bob Benedicto Building Official Dear Mr. Benedicto, Thank you for your courtesy to me this morning, and for your willingness to work with us as we seek to improve our property and satisfactorily comply with the City of Tukwila's code requirements. Please be advised that I have designated Brian Derdowski to act as my representative in working with the City on all permit related issues, subject to my approval and until further notice. I will continue to sign all legal documents and be responsible for all applicable fees. I'm sure that you will enjoy working with Mr. Derdowski as much as I have over the last couple of weeks. Sincerely, A4,._ Chul Kim ,;r 1 � � c, a 2D RECEIVED DEC 0 4 2009 PERMIT CENTS!- ACTIVITY NUMBER: D09 -066 DATE: 07 -10 -09 PROJECT NAME: WOODSIDE APTS #9 & #13 SITE ADDRESS: 3721 S 152 ST Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # _ X Revision # 2 After Permit Issued DEPART ENTS: 1 -14.01 Building ivision 14 JJS Public W DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: TUES/THURS RO Please Route n Documents /routing slip.doc 2 -28-02 ° PENT GUAM/ COPY • PLAN REVIEW /ROUTING SLIP -01 TING: REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved Notation: REVIEWER'S INITIALS: CH Fire Prevention Structural Incomplete Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ LETTER OF COMPLETENESS MAILED: Ping ❑ PW ❑ Staff Initials: Structural Review Required Approved with Conditions n P anning Division Permit Coordinator DUE DATE: 07 -14 -09 No further Review Required DATE: Not Applicable DUE DATE: 08 -11 -09 Not Approved (attach comments) DATE: n Permit Center Use Only • • CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ACTIVITY NUMBER: D09 -066 DATE: 06 -08 -09 PROJECT NAME: WOODSIDE APTS BLDG 2, UNIT 13 SITE ADDRESS: 3721 S 152 ST Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # X Revision # 1 After Permit Issued DEPARTMENTS: Bu'1'Iding Division Public Works Complete Comments: PLAN REVIEW /ROUTING SLIP n PERMIT COORD COPY • Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete TUES /THURS ROUTING: Please Route n Structural Review Required REVIEWER'S INITIALS: n Planning Division U Permit Coordinator U DUE DATE: 06 -09 -09 Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: DATE: Not Applicable No further Review Required DUE DATE: 07-07-09 APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 DATE: u REVISION NO. DATE RECEIVED STAFF INITIALS STAFF INITIALS ISSUED DATE STAFF INITIALS STAFF INITIALS (043,- (� fit) .\ E /`il sc." t d,f (0 -1 c - o / w e rtL (SE �1 Summary of Revision: ol t fi A r A- 1 ,�. Summ of Revision: , • �� Received by: �� j L C wte f IPiA 1 COO r r Set 40 tt REVISION NO. DATE RECEIVED STAFF INITIALS STAFF INITIALS ISSUED DATE STAFF INITIALS -\O -0' Summary of Revision: Received by: , ,�. Summ of Revision: , • �� 0 C wte f IPiA 1 COO r r Set 40 tt 'eta C i & €+ Received by: 7,rGv1 REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: PROJECT NAME: NG' t)617L G l 1,� SITE ADDRESS: MIA I� c REVISION LOG PERMIT NO: LX? j 1 ORIGINAL ISSUE DATE: 4 74191 (please print) (please print) (please print) (please print) (nlease nrintl • 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 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 7 4 e to 7 Plan Check/Permit Number: Do 1- '. 6 1 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # Revision # 2_ after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: 5--Q c, f o� f / C•) 0_0 Project Address: r I S (C.), k � $ 4 � � j , ( 3 , � � r c_t,✓ n � Contact Person: .11/.41 Phone Number: 106 — 83 610 Summary of Revision: $ 1 at.+/` c.l.� a � Q 4.0 D Of w, Ary, p(41." -E - ,, a d . n (d -� �� 1 cr^G c �. ; q 49e, ,E?h AA 6- to ,f4) -f - 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 0 \applications\forms- applications on line\revision submittal Created: 8 -13 -2004 Revised: CIYY OF 1UKWH AIL 10 2009 PERMIT Cf "'' Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: ‘/ e / / Plan Check/Permit Number: ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # p i . (1 Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Project Address: Contact Person: Summary of Revision: -c u,4 .' -4— 1 +-a f 1A,79 Sheet Number(s): City of Tukwila 5 2 5jv 5 3r(2 5 , 4 44 • ILI "Cloud" or highlight all areas of revision including date of evision Received at the City of Tukwila Permit Center by: M, Entered in Permits Plus on (;(Q I t \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 =et‘") 1 1 Phone Number: • `-jrY OF Ttilow JUN 0 8 2009 PERMIT CENTh tt STATE OF WASHINGTON) COUNTY OF KING G-Lut )L4 . (/L 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 t 7 i , 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 wor. • 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 PERMIT NO: b D °-D fp s boq-oc*0 ss. [please print name] , states as follows: Owner /Owner's Agent* Residing at r Signed 4aof Y d sworn to before me this A Permit Center /Building Division 206 431 -3670 Public Works Department 206 433 Planning Division 206 431 -3670 , 20a. NOTARY PUBLIC in and for the State of Washington , Coun Name as commissioned: S / My commission expires: 11) 4 18.27.090 Exemptions, The registration provisions of this 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 chapter do not apply to: 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 ceitified,residentalAfgcialty • electrician, or an electrical trainee meeting tilt... 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 kou}sehold appliance or other small household utilization equipment that requires limited electric power and lilniteS1 iydste 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.