Loading...
HomeMy WebLinkAboutPermit D06-157 - Mayton Residence - Garage and AdditionMAYTON RESIDENCE 14231 53 AV S EXPIRED 07 -28 -07 D06 -157 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 7255200240 Address: 1423153 AV S TUKW Suite No: Tenant: Name: MAYTON RESIDENCE Address: 14231 53 AV 5, TUKWILA WA DEVELOPMENT PERMIT Owner: Name: MAYTON BRUCE P +YUBING !SANG Phone: Address: 14231 S 53RD AVE, TUKWILA WA Contact Person: Name: BRUCE MAYTON Phone: 206 778 -0901 Address: PO BOX 58079, TUKWILA WA Contractor: Name: OWNER AFFIDAVIT - BRUCE MAYTON Phone: Address: , Contractor License No: Expiration Date: DESCRIPTION OF WORK: COMPLETION OF WORK ON EXPIRED PERMITS B95 -0245 & D02 -333. SCOPE OF WORK FOR THOSE PERMITS WAS ADDITION OF TWO CAR GARAGE WITH BEDROOM ABOVE AND ADDITION OF SECOND STORY TO EXISTING STRUCTURE. Value of Construction: $10,000.00 Fees Collected: $229.08 Type of Fire Protection: SMOKE DETECTORS Uniform Building Code Edition: Type of Construction: VB Occupancy per UBC: 0022 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS• N 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 doe: Devperm ** Continued Next Page ** Permit Number: D06 -157 Issue Date: 05/09/2006 Permit Expires On: 11/05/2006 D06.157 Printed: 05-09-2006 Signature: doc: Devpenn City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature Date: t j DI I tt I hereby certify that I have read an ex • this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be comp ied 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. Date: S—_ 9 — 0 6 Print Name: y? / C A 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. 006 -157 Printed: 05-09-2006 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 7255200240 Address: 14231 53 AV S TUKW Suite No: Tenant: MAYTON RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 6: All wood to remain in placed concrete shall be treated wood. PERMIT CONDITIONS Permit Number: D06 -157 Status: ISSUED Applied Date: 04/28/2006 Issue Date: 05/09/2006 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. 7: There shall be no occupancy of a building until final Inspection has been completed and approved by Tukwila building inspector. No exception. 8: 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. 9: Manufacturers installation instructions shall be available on the job site at the time of inspection. 10: 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. 11: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the International Building Code and the Washington State Ventilation and Indoor Air Quality Code. 12: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms, bathrooms, toilet rooms, storage closets, surgical rooms. 13: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that the source of Ignition is not less than 18 Inches above the floor surface on which the equipment or appliance rests. 14: 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. doc: Conditions 006 -157 Printed: 05 -09 -2006 tukwila City of Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 15: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 16: 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). 17: 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. doe: Conditions * *continued on next page ** D06 -157 Printed: 05-09 -2006 doe: Conditions City of Tukwila 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: Print Name: Y3%zeie G yin", 1/47. Date: S` — 9— o D06 -157 Printed: 05 -09 -2006 CITY OF TUKWIL4 Community Development Department Public Works Departme`j Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httrx //www. ci. tukwila. wa. us King Co Assessor's Tax No.: 701 SCa1O - 0.24 1 .0 - 0,3 Site Address: /S A3 J S ? - iVv , St %uew, /,4 Suite Number: Floor: New Tenant: 0 .... Yes }a _No Tenant Name: Property Owners Name: /3/1vi e le--4 /y /70- N Mailing Address: Pa SE" t" 7; ,11.1 pi-it, ft."? City Name: /.?/Z tic C yn,go� Day Telephone: 2 OC - 77,9 o iv/ Mailing Address: P fsy T ' TrdLbw, tt q' 7 F" /j ,P City State E -Mail Address: Fax Number. GENERAL CONTRACTOR INFORMATION— (Contractor information for hiethanical (pg 4) for and Gas Piping (pg S))" Company Name: ou,.e. -6 2 Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: ARCIUTECT RECORD , t, All plans must be wet stamped by Architect ofRecord' Company Name: Mailing Address: Contact Person: E-Mail Address: n w.t -6/? Q:UppticatbmWonns•Applictions On LineV -2006 • Permit Application doe Revised: 42006 Mi 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** State State State Zip Zip Zip Zip City Day Telephone: Fax Number: ENGINEER :OF RECORD - All plans must be wet stamped by Engineer Record Company Name: Mailing Address: Zip Contact Person: E -Mail Address: state City Day Telephone: Fax Number: Page I of 6 Valuation of Project (contractor's bid price): $ /Q n n0_ * Existing Building Valuation: $ Scope of Work (please provide detailed information): a'dn aD8t✓�it r` �✓ / it s7/L«ti /i'o•✓� si�L ,c--;9„„ t/. I, L.4.-4 4-1, . 2 in o sr, 77. S /.3F'A /�'rr. t , 3 fl*tni GHQ fc r wwt MC -6 4 1 t292.. - i* 1 ,) Will there be new rack storage? ❑ .. Yes .. No (If yes, a separate permit and plan submittal will be required) Provide _AA SuildIgg Areas in Square Footage;. 1° Floor 3T Floor r Floc Floors . . Accessory Strueture• Attached "Garage Detached Garage Attach Carport Detached Carport Covered Deck Uncovere,d.Deck Existing tenor Cemodel Addition ' Existiag , Stria turo ^ of C k 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 er lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: V Compact: Handicap: Will there be a change in use? ❑ ....Yes ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑..Sprinklers ❑..Automatic Fire Alarm ❑..None je. Other (specify) Cwcaer 4 72 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 indicating quantities and Material a sty 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 Uppliaiions\Fonm- Application, On Line V -2006 - Permit Appliation.doc Revised'. 4-2006 bit 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 mlets/outlets for specific gas Additional medical gas inlets/outlets — six or more PLUMBING AND GAS PIP ING PEIiMIT:INFORMATION - 206 - 431 -367 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: city Day Telephone: Fax Number: Expiration Date: Contact Person: E -Mail Address: Contractor Registration Number: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Q: Applications Pon t- Appliutiom On LineU -2006 - Pam it Appliudon.doc Revised: 4-2006 bh state Zip Valuation of Project (contractor's bid price): S Scope of Work (please provide detailed information): 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. UH DING OWN OR AUTHORIZED AGENT: Signature: r Print Name: �/L U Gti nc.y7? Mailing Address: �o. /3o�Y / S Date Application Expires: tofr -t cfr l Date Application Accepted: v 11 ja IM QMpplicatimuWomn- Applications On Line.3-2006 - Pamit Applicstion.doc Revised: 4-2006 bb Date: y- a.rF-o.6 Day Telephone: y e ti -27(9- o 9o/ !fit State 9# ZAP Page 6 of 6 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 7255200240 Address: 14231 53 AV S TUKW Suite No: Applicant: MAYTON RESIDENCE Receipt No.: R06 -00635 Payment Amount: 229.08 Initials: JEM Payment Date: 05/09/2006 11:15 AM User ID: 1165 Balance: $0.00 Payee: BRUCE PAUL MAYTON TRANSACTION LIST: Type Method Description Amount Payment Check 3364 229.08 ACCOUNT ITEM LIST: Description Current Pmts BUILDING - RES STATE BUILDING SURCHARGE RECEIPT Account Code 000/322.100 224.58 000/386.904 4.50 Permit Number: D06 -157 Status: APPROVED Applied Date: 04/28/2006 Issue Date: Total: 229.08 5264 05/09 9716 TOTAL. 229.06 doc: Receipt Printed: 05-09-2006 Project:A �nJ Type of Inspection: te —' I1 Address: /923 1 c. Date Called: Special Instructions: Date Wanted: 1/-L7-04 4 Requester: Phone No: � — �T,d/ INSPECTION RECORD Retain a copy with permit INSPECT! N NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 IM Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Date: te,4 ,14 1 II "/i7 Q!O ri $58.00 REERSPECT N " E REQUIRED. Prior to inspection, fee must be paid at 6300$otlthcenter Blvd., Suite 100. Call to sechedute reinspection. Receipt No.: Date: 06)431_3 Project/ 1 G7l Type of lnspectio`}}`: ell C ! \ SL/ /ir Address: 7 r 7 ate Called: Sped ia . S: Want?". ate Wante / d. a.m. P.m. Requester: Phone No: INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION ,S. PE -1 RM([ Y0. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (!06)431 -367 OM ENTS: Li $55.00'111r INSPECTION fEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. (Receipt No.: pproved per applicable codes. 0 Corrections required prior to approval. Date: Project: Ty Type of Inspection: yy i Address: Date Called: Special Instructions: MI L (/ j'L 2 3D Date Wanted;, Y / J Su p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERM CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-367 Il/TApproved per applicable codes. Corrections required prior to approval. COMMENTS: $58.00 REINSPE F E'S REQU paid at 6300 Southcenter ON Blvd. Suite IRED. 100 Prior Call to to inspe sec hedu tion le fee reins be on. (Receipt No.: rate: Project: . /141 Type of Inspection: k'/ hirg ediA.,, Addre / ...itc A. , A C Date Called: .7 Speetaltlitions: Date Wanted: ...)-/S Requester: Phone No: Approved per applicable codes. INSPECTION RECORD Retain a copy with permit INSPEtTJON NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PER (206)431-36 COMMENTS: Mk tos , laeo / oacts As. Inspector: ti44n.„1 Date: 5: c2 L Li Corrections required prior to approval. El $58.00 REINSPECTION F E REQUIRED. Prior to Inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: IDate: 06-04 -2007 BRUCE MAYTON PO BOX 58079 TUKWILA WA 98138 RE: Permit No. D06 -157 14231 S3AVSTUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code and/or the International Mechanical 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 fora 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 Building Code does allow the Building Official to approve one or more extensions of time for additional periods not exceeding 90 days each. Extension requests least be in writine 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 07/28/2007 , 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, Ter Marshall, Permit Technician xc: Permit File No. D06 -157 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster; Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 -431 -3665 May 30, 2007 Bruce Mayton PO Box 58079 Tukwila WA 98138 RE: Request for Extension Development Permit No. D06 -157 Mayton Residence — 14231 53 Av S Dear Mr. Mayton: This letter is in response to your written request for an extension to Permit No. D06 -157. The Building Official has reviewed your letter and considered your request to extend the above referenced permit. The City of Tukwila Building Division will be extending the expiration date of your permit an additional 90 days, through July 28, 2007. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, File: Permit No. D06 -157 City of Tukwila Department of Community Development Steve Lancaster, Director me46 arshall chnician P:\Pemdt Center Extension I.etters\Pemetst2006006-157 Pemdt axtemion.doc Page I of I jam Steven M. Mullet, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-431-3670 • Fax: 206- 431 -3665 So/3 fete/14C 0 fl%e o`r/ c 1/9 C.' af' f /-/g .le; ,e>trn.1 fro. Doe —/C7 5L93/ 5 vc. s, Jukes 7-Xi s- v' / /J 90 ay e. - ,, a/� 77-;r7 77-;r7 cs lJ /e / "rte 77/957 /few an.T *S —y I 'im6 4- eNf a /�T Z'0 fie 1`/ Acc EA-s' 4:12 o Al 'ry p/25 v+`reo- 7//er STS - -71 e c ",j.ty 47 /4 a ae s 6 fs'd. S. jMK 2 -n ,pr'; R - 373 _774. n /tea'w .'-i oeJ 1a d KS . x v�. /3c co,' -T.scr :-- G- : Toy ,e_ i c, cast ic/ 'Gr, 7 c,9 s/rt,r /4/E fil Wi g'a -- T/',Ecu6 -4 T4'eev cow 77. Lt. /Iv Jo ."4/ 3 fly fig-?old ci/7. / tea 3 f3 / , fi t. , S. . he . /5 A' ern- +s / G, �CN /� 7A''n. yc'-' /C c ©,v 5 -, ilt! s ca /F .7 ,12 . V L d /'nAy/c/'✓ (eriu G C?TUKWILA MAY 1 f 2007 ;.;. r #'k Pe-7" Cr; A gue (�� G 0-4 '( 0 - D - 4 - OM yo.#6(peztad 649 062-6 co dot o%�7 04 -05 -2007 BRUCE MAYTON PO BOX 58079 TUICWILA WA 98138 RE: Permit No. D06 -157 14231 53 AV S TUKW Dear Permit Holder: Thank you for your cooperation in this matter. Sincerely, c Ter Marshall, Permit Technician xc: Permit File No. D06 -157 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, 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 and/or the International Mechanical 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 206431 -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 Building Code does allow the Building Official to approve one or more extensions of time for additional periods not exceeding 90 days each. Extension requests must be in writing 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 05/26/2007 , your permit will become null and void and any further work on the project will require a new permit and associated fees. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 11 -01 -2006 BRUCE MAYTON PO BOX 58079 TUKWILA WA 98138 RE: Permit No. D06 -157 14231 53 AV S TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code and/or the International Mechanical 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 ahote, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206431 -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 Building Code does allow the Building Official to approve one or more extensions of time for additional periods not exceeding 90 days each. Extension requests must be in writing 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 12/27/2006, 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, J6ttdifeEM rshall, Permit Technician xc: Permit File No. D06 -157 City of Tukwila ila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-431-3670 • Fax: 206 -431 -3665 ACTIVITY NUMBER: D06 -157 PROJECT NAME: MAYTON RESIDENCE SITE ADDRESS: 14231 53 AV S DATE: 04 -28 -06 X Original Plan Submittal Response to Incomplete Letter #_ Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: rn AWV ' 63 Bull ing Division 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 ROUT NG: Please Route Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Notation: REVIEWER'S INITIALS: Documentshouting slip.doc 2 -28-02 sr/PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP Fire Prevention Structural Incomplete ❑ Approved ❑ Approved with Conditions Planning Division ❑ Permit Coordinator DUE DATE: 05 -02-06 Not Applicable ❑ ❑ No further Review Required DATE: DUE DATE: 055-30-06 Not Approved (attach comments) ❑ DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: CITY OF TUKWILA ‘"' Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 STATE OF WASHINGTON) COUNTY OF KING AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION s s. /3/0vi. e' "7-7.491/4.1 (please print) 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 require nt of RCW 18.27.090, 1 consider the work authorized under this building permit to be exempt under No. require 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. \applications\8.2004 affidavit in lieu of contractor registration APPLICANT ~/ / states as follows: atia a. Au,- NOTARY PUBLIC in and for State of Washington, Residing at M j Name as commissioned: Permit Center /Building Division: 206431 -3670 Public Works Department: 206 - 433 -0179 Planning Division: 206-431-3670 PERMIT NO.: fa tS1' Signed and sworn to before me this day of May 20Q& , County. Alice A. Deacy My commission expires: 6-16-0S 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. Any 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 furnished 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 \appiications%8.7004 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. 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 then any of the above work is performed by a registered contractor; 12. An owner who contracts for a project with a registered owner, Any 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. Contractocs;oo highway projects who have been prequalifieti.as required by chapter 13 of the Laws of 1961, RCW 47:28.070 with the department of transportation to perform highway construction, reconstruction; or. maintenance work. x x x x x x x x x x x x x x