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HomeMy WebLinkAboutPermit D06-452 - Lin Residence - Insulation, Floor, Wall and SidingLIN RESIDENCE 4044 S 128 ST D06 -452 Parcel No.: 7340600686 Address: 4044 S 128 ST TUKW Suite No: Tenant: Name: LIN RESIDENCE Address: 4044 S 128 ST, TUKWILA WA Owner: Name: STEIN DAVID L Address: 4054 S 128TH ST , TUI WILA WA 98168 Phone: Contact Person: Name: DAVID LIN Address: 12010 76 AV S , SEATTLE WA 98178 Phone: 206 772 -8809 Contractor: Name: OWNER AFFIDAVIT - DAVID LIN Address: , Phone: Contractor License No: doc: IBC -10/06 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 - 3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us DEVELOPMENT PERMIT DESCRIPTION OF WORK: PERMIT TO COMPLETE WORK UNDER D05 -391: INSULATION, FLOOR, EXTERIOR WALL AND SIDING. * *continued on next page ** Permit Number: D06 -452 Issue Date: 12/12/2006 Permit Expires On: 06/10/2007 Expiration Date: Steven M. Mullet, Mayor Steve Lancast2r, Director Value of Construction: $12,800.00 Fees Collected: $460.99 Type of Fire Protection: International Building Code Edition: 2003 Type of Construction: VB Occupancy per IBC: 0022 • D06 -452 Printed: 12 -12 -2006 Public Works Activities: Channelization / Striping: Curb Cut / Access / Sidewalk / CSS: N City of Tukwila Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: httn: //www.ci.tukwila.wa.us Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: Hauling: N Start Rime: End Rime: 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: I hereby certify that I have read and governing this work will be complie s permit and know the same to be true and correct. All provisions of law and ordinances er 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 - ormance of work. I am authorized to sign and obtain this development permit. Permit Number: 1)06 -452 Issue Date: 12/12/2006 Permit Expires On: 06/10/2007 Date: 2 k ( Date: Steven M. Mullet, Mayor Signature ((/ / / Print Name: P. 1/� f� �C, 14/ 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 front the last inspection. doc: IBC-10 /O6 DO6.452 Printed: 12 -12 -2006 Parcel No.: 7340600686 Address: 4044 5 128 ST TURIN' Suite No: Tenant: LIN RESIDENCE 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: D06 -452 Status: ISSUED Applied Date: 11/22/2006 Issue Date: 12/12/2006 2: No changes shall be made to the approved plans unless approved by the design professional in responsible chargeand 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. 8: 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: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any requirements for special inspection. 7: All wood to remain in placed concrete shall be treated wood. 8: There shall be no occupancy of a building until final inspection has been completed and approved by 7lrkwila building inspector. No exception. 9: 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. 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: 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. 13: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 14: 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). 15: 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 doc: Cond -10/06 006.452 Printed: 12-12-2006 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Fax: 206 -431 -3665 Web site: hump: / /www.ci.tukwila.wa.us presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Thkwila 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: Cond - 10 /06 * *continued on next page ** 006 -452 Pjinted: 12 -12 -2006 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 lobal laws regulating construction or the performance of work. doc: Cond•10 /06 g44r Signature: Print Name: M Date: / 2 /2406 006-452 Printed: 12 -12 -2006 CITY OF TUKWILA Community Developmen artment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www. ci. tukwila. wa. us 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 Address: � D y' T 5 ` - / 5 j Tenant Name: J Property Owners Name: IPG& yid 4/ Mailing Address: L. 0 0 7,44 Ue S CONTACT - who do we contact when your permit is ready to be issued `GENERAL CONTRACTOR INFORMATIO (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 'S)) Contact Person: E -Mail Address: Contact Person: E -Mail Address: Contact Person: E -Mail Address: Q:WppliationsWotms- Applications On Line33-2006 - Permit Appliatioadoc Revised: 9 -21306 bh King Co Assessor's Tax No.: tv —art(p Suite Number: Floor: New Tenant: ❑ .... Yes ❑ ..No ym A/ D u y 47v g - Ci State State State State ,9a'22,eT Zip Name: y 4 vi p L /v Day Telephone: l- 0 h L "vac Mailing Address: / / 0 76 ,(4", "C p S s w ?ay >cp J / City State Zip E -Mail Address: W 0 r/ (l f i n k /o 0 0 yq%ot, Cam+ Fax Number: Company Name: OV y�- Mailing Address: Zip City Day Telephone: Fax Number: Contractor Registration Number: Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Zip ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Zip Page 1 of 6 r / /t S� f Will there be new rack storage? ❑.... Yes RMATION 206 -431 =: o )(Valuation of Project (contractor's bid price): $ w� Sa Existing Building Valuation: $ "Scope of Work (please provide detailed information): ide Alf Building Areas In 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: ❑ .. No If yes, a separate permit and plan submittal will be required. 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 1 , 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. Q:UpplicationsWonns- Applications On Line\3 -2006 - Permit Application doe Revised: 9-2006 bh 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 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 Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas PLTJMBING AND GAS PIPING »ERMIT INFORMATION - 206431' PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: lAr Mailing Address: State Zip City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Plumbing work (contractor's bid price): $ If © ev Valuation of Gas Piping work (contractor's bid price): $ lc Scope of Work (plea e provide detailed information): Building Use (per Int'1 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: Q Applicatimu\Forms.Appliatiom On Limy -3006 - Permit Applicationdoc Rcvitad: 9-2006 bh Page 5 of 6 Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT: Signature: Print Name: PA VI !/ 'c i y V Mailing Address: ( 2 -0 / 0 7 [ 4U.Q S I Date Application Accepted: \ I�ZZ�OEP Q: Applications\ Forms- Applications On LincU -2006 - Permit Application doe Revised: 9 -2006 bh • Date: Day Telephone: Z06 77e a4 -1 SPA Cit A State 7 Zip " Date Application Expires: �f l Staff Initials: ( Page 6 of 6 Parcel No.: 7340600686 Address: 4094 S 128 ST TUICW Suite No: Applicant: LIN RESIDENCE Payee: DAVID LIN ACCOUNT ITEM LIST: Description PLAN CHECK - RES City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.cttukwila.wa.us RECEIPT Receipt No.: R07.02529 Payment Amount: $58.00 Initials: WER Payment Date: 11/15/2007 02:15 PM User ID: 1655 Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Check 1143 58.00 Account Code Current Pmts 000/345.830 58.00 Total: $58.00 Permit Number: D06 -452 Status: ISSUED Applied Date: 11/22/2006 Issue Date: 12/12/2006 5017 11/15 9710 TOTAL 58.00 doc: Receiot -06 Printed: 11 -15 -2007 Dom RECSETS -OR RECEIPT NO: R06 -01871 Initials: JEM User ID: 1165 Payee: DAVID J. LIN SET ID: 5000000628 SET TRANSACTIONS: Set Member Amount 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: /AVMv.ci.tukwila.wa.us :1.4 A 460.99 PG06 -230 128.00 TOTAL: 460.99 TRANSACTION LIST: Type Method Description Payment Check 0851 ACCOUNT ITEM LIST: Description BUILDING - RES PLAN CHECK - RES PLUMBING - RES STATE BUILDING SURCHARGE SET RECEIPT 588.99 TOTAL: 588.99 Account Code Current Pmts 000/322.100 276.66 000/345.830 179.83 000/322.100 128.00 000/386.904 4.50 TOTAL: 588.89 Payment Date: 11/22/2006 Total Payment: 588.99 SET NAME: Tmp set/Initialized Activities Amount 2023 11/22 9716 TOTAL. 538.99 Project: / :/1 if 1:0G rc_ Type of,Inspegion:, HA•4 15u , ' el- Address: th -10.4 foXii Date Called: 7 Special Instructions: Date Wanted: 3-z z 8 , _ /a.m. 1/4 0% - : Requester: Phone No _. Me / — 13.57 INSPECTION h10. INSPECTION RECORD Retain a copy with permit DoL 4ST PERMIT NO. CITY OF TUKWILA BUILDING DIVISION K 6300 Southcenter Blvd., #100, Tukwila, WA 981 88 (206)431-3670 COMMENTS: M ( r ,1 0_5 IA Aril-- eI k,4 Co eitC, Inspect AU I Dater3 Approved per applicable codes. : It .. 0 S58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: " COMMENTS: 67 (.4 R J A v,44 RF i,� .' re) P.. b r 7 I !/t., I✓itt cC Rit:1444 A Date Called: Special Instructions: e i_ u A -f1 /AoVcs1 o" (cc( it:4/ Phone No: 206- &Sq -/351 Project: n Type of Insp do Address 4th Soak its- Sr- Date Called: Special Instructions: Date Wanted: 3 - 7-0- or 7- --ayrr. p.m. Requester: Phone No: 206- &Sq -/351 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 1t- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 El Approved per applicable codes. Inspectop^ 30' - fl- orrections required prior to approval. Date: 3 r fl $58.00 REINSPECTION FEE REQUIRED. Prior o inspection. tee must be paid at 6300 Southeenter Btvd., Suite 100. Call the schedule reinspection. Receipt No.: Date: Project: Z- /A/ 0 rPC - Type of Inspection: r /4.7o A- n , N- 4- /tq s / 2-6 Date Called: Special Instructions: Date Wanted:, , / / 7/i? Requester: 1 .2 — re s_5......., / . INSPECT N NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION Do -Li52— 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3 7 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: Date: / Zi 7/0 $ .00 REINSPECTION tEE REQCJIRED. Prior o inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. !Receipt No.: I Date: Proje : , J- /-? e5 . Type of Inspection: 414 — /..Aj. Address: ' y C / � Date Called: Special Instructions: , Date Wanted: 1 ,ate � rf Requester: Ph e N o u5" S 7 1 pproved per applicable codes. Corrections required prior to approval. COMMENTS: a g/4/ s I-/47 — Aft, ter/,C Pair frac 17i o s- q5 - Ai/ nspect I / 2.4 7 An INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ❑s PERMIT NO. IZ- (206)431 -3 0 0 REINSPECTION FEE REQUIRED. Prior o inspection, fee must be d at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. {Receipt No.: (Date: Project: 1- Type of Inspection: / i' /./vh , Address: d Y 5 / Date Called: d Special Instructio s: Date Wante . /9 - Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431 -3670 COMMENTS: F A7.9. Les, h ,h6' ,ms s,, Approved per applicable codes El Corrections required prior to approval. $58.00 REINSPECTION FEE REQUIRED. Prior o inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. I Recelpt No.: 'Date: COMMENTS: 1 j / g, , j, r,/!/'c/n/ hi ?rim.", aria- ! 2,) %tee n S 9d 5 7,_0d h;3f4 Get id P", d 7dc' c 4 ISA , -I-- �./ - q _ l('7 r (9 Li r/' KQ'n' Date Called: 0)r%°-v G>h,v An, 54' Special Instructions: Date Wantgd: / �m. 1 0 1 ( 0 ! ri P.m. Requester: h i,1iw1 shy-, h6� N oel-- ra�6 ,..,0,,L_ 4�,�,, c n i Slid,`t- t_ 3 Project: Li,...) Zed. . Type o� 1— to e t AJ C. Address: 1-/0 S 12,0st Date Called: Special Instructions: Date Wantgd: / �m. 1 0 1 ( 0 ! ri P.m. Requester: Phone No Z O(o - 784 -35 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 1Z ,1K\ 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (200431 - 67 INSPECTION NO. Approved per applicable codes. INSPECTION RECORD Retain a copy with permit 1' Inspecto Date>,) _/0 • Corrections required prior to approval. El $58.00 REINSPE ON FEE REQUIRED. Prior o inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: !Date: OMMENTS: [/ d /;/G ST�j H+ �co �4 oat 6-v @� as / .T� %l :c7 i�4te al/ Ord 6/ < /,6.} C.-5 7 % ' J av n-e a r L c f�f�X ' i q'4 M oir Cp/7+ x 7 �/ . i rri,9 ' el 0 a ncIOr/ +t f //) ( of -)eitCf 11(16:;- Al •e 7 7 o 74 n /'/Jui/CA i tinic,w,a,���1/�i pvv ?s4.5 /;- ,POr't P-# ( m . P.m. Requester: Proje t: A /N � PSr p p , rco Type of Inspection woq 1-- ro10- A 1 dd 1 5 /. 5-74- / 5-74- Date Called: Special Instructions: Dateei ( /e-677 ( m . P.m. Requester: Phone No: —$s ill -7 6 INSPECTION NO. Approved per applicable codes. Inspecto INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION A 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Or rections required prior to approval. ( Date ? —/ 7? El $58.00 REINS' €CTION FEE REQUIRED. Prior o inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Project: Z. /. fiPS Type of Inspection: , V (/Z Al l/N 6 Address: yvyy c /z 8 s-f Date Called: Special Instructions: Date Wanted: .e -3o -0-7 (Ara- .. Requester: Phone No ao - 796-35 7C INSPECTION NO. Approved per applicable codes. INSPECTION RECORD Retain a copy with permit -- 4/s7 PERMIT NO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431- 6' Corrections required prior to approval. COMMENTS: r / ,7 yN /& ‘f7 / /I -CSI( . i L4. all lir 0 558.00 REI SPECTION FE. - EQUIRED. Prior o inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Project: L/w / -s • Type of Inspection: / /2,7,».:✓� Address: VD5/V S /2 / s Y Date Called: Special Instructions: rt� "S- /1A 1 . _ / Date Wanted: ,Cm: (/- 2 J - 07 Requester: P- z 3570 Is),e Inspector: (Receipt No.: 1-7 INSPECTION RECORD Retain a copy with. permit SPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. Corrections required prior to approval. n UAS /-G' /'LS/ N1( 4 /,.Gyp // //7 y ."7/ (s .7 f /d O ./ _ L �v 7 � '� /.a/ `� /'C $58.00 REINSPECTION FEE REQt)IRED. Pri paid at 6300 Southcenter Blvd.. Suite 100. ate: P Date: PERMIT NO. (206)431 -36 o inspection, fee must be 1 the schedule reinspection. Project; /n/ / ?r5 • Type of Inspection: - r)247),,,,./ Address: 4 ' 0 YS' .S /Z,° s-1 Date Called: Special Instructions: z9 �/f 1 ads 7 484'" 70.4741 /ef /r r CR/ .. 70 ifi 3 t , „,-„Ao4 r / .4 %'554Ef Date Wanted: �- a 0 — 7 Requester: Phone No: :.'0 6 - 766-3570 1- INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION It 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 7 0 Approved per applicable codes. Corrections required prigr to approval. COMMENTS: - `,.,. -: Cite c a t (-77 �:. cc- t-in, `( n 1 'Rf � -- c1 ! / Y � }W _�✓ ' Iwo 'l i lf 008.00 REINSPECT(ON FEE RE Prior o inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Project: Type of Inspection: V Address: L 772 I VY (20 ate Called: Special Instructions: Date Wanted : . x/3 Requester: Phone No Zap 7.a 3 5 77 0 1 INSPECTION RECORD Retain a copy with permit INSPECT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20 p per applicable codes. n Corrections required prior to approval. COMMENTS: $58.00 REINSPECTION E REQUIRED. Prior o inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: Project:. �) L /it/ /t ,5. Type of jspectioq / Gb /!vc7 /'J n/ Gt/A (/ Addr ss: 00 � S /2 SS1 Date Called: Special Instructions: Date Wanted: - � �� ''77 Ca.r�. v 7 p.m. Requester: • Phgr& -- 7c06- 3570 INSPECT ON NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit 206)431 -3 Approved per applicable codes. Corrections required prior to approval. COMMENTS: fit � 1r $58.00 REINSPECTION REQUIRED. Prior o inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cal the schedule reinspection. Receipt No.: 'Date: Pr / K 0c Type of Inspection: - (Arie/l e t Addr s: �Og /2,°Sl Date Called: Special Instructions: - Date W�wted (a.m„ P.m. c 1 - 40 7 Requester: Phone No: , Qd4 - -,9G- s 570 Approved per applicable codes. 'Receipt No.: INSPECTION RECORD Retain a copy with permit INSPECTION N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 7 0 Corrections required prior to approval. COMMENTS: Ad/ 6n./ 4464 2' 'Sr c 49(1i rfl Inspector: I Datees v El $58.00 REINSPECTION FEE REQUIRED. Prior o inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Date: Project: n L —�rJ �SIC � JN Type of I pection: LuAt1 Sk nfl11tiS Address: y6uL{ S- i2 °s -4 Date Called: Special instructions: Date Wanted: (c — 5 -07 sum. P.m. Requester: Phone No 2 7 86, - 3S 75 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 I X iApproved per applicable codes. Corrections required prior to approval. COMMENTS: AI-.41d 0 $58.00 REINSPECTION REQUIRED. Prior o inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cal the schedule reinspection. (Receipt No.: 'Date: COMMENTS: Type of Ins ection: N i'2' - 6fh7 Address: 1 /0 4 7 4 1 c /2f "< Date Called: Special Instructions: (4.e C7 TJ- 9 . al Date Wanted: 1 /-40— m. Requester: Phone N _ b -7 ,Zw 99 . Ji 7 . it / /_ . rLrtr7 4 ) 74, /,.rye <7,4..' i� Nit, /,,,-7,, ,-:.., tn-z, • 7L frhe g/ t a g(e , s /i."; Avelayi f, A i /J /An, ,� /el /bei >� Project: Z/ 3 ? �� Type of Ins ection: N i'2' - 6fh7 Address: 1 /0 4 7 4 1 c /2f "< Date Called: Special Instructions: (4.e C7 TJ- 9 . al Date Wanted: 1 /-40— m. Requester: Phone N _ b -7 ,Zw 99 VOCi INSPECTION RECORD Retain, a copy with permit INSPECT] 6N NO. r CITY OF TUKWILA`BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. Inspect r: ri $58.00 REINSPECTION F`EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. (Receipt No.: I ixl Corrections required prior to approval. Date:L/4 02 COMMENTS: ghee/ /, 4 " 4g j Inn CA/1 cril - / /i1-r- AD — /A/s fr4fl )'/ 4 , ,,,454-72 n- 9 // f /7 A,977<- h/¢ So &, /7l/ //e ,Lv - 7:4,,c ,-, /dr, -/r, de,4'- >n .-42l✓ 4 /le f s 7 v 6t il -e /fi 04-"te -o Z ✓/ved,- ,- Ml / - kg ,07/ • / DG - 3G 7S a vi q31 - 3 ( -7y iny RAC-- Date Wanted: m Project: 224./ /PS • Type of Inspection /- - ao>v- 5-40ir7 Address: yo'/`/ 5 /2S s -" Date Called: Special Instructions: Date Wanted: m Requester: Ph i ° G , 7 72 f e' 9 Approved per applicable codes. ,..... INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PER (206)431 -3 Corrections required prior to approval. lnspe r: Dater, V _ 9 „58.00 REINSPECT N FEE RE RED. Prior to inspettion, fee must be r paid at 6300 South enter Blvd., Suite 100. Cal( to sediedule reinspection. Receipt No.: (Date: tecinstruct LLC 983O NE BSia Way - Buta C PUS 18I, Mama., WA 98028 Tsphar Q09) 5539078 Fax 529 MOB ENGINEERING CLIENT David Yang L l4/ SHEET JOB SITE 40445128th St Tukwila WA 98188 S 1 ENGINEER: Roland Heimisch, P. E. DATEI09/17/07SCALE: NTS Concrete Block 1 Close openings in concrete block below with grout before pouring concrete 10. 2,e 5/8" dia. Anchor Bolt at 48" o.c. max. w/ washer 3 x 3 x 0.229" distance from end of sill plate 12" min. 2 bolts per sill plate min. embedment 7" 7 11 _ exist. CMU Block + - -- 4 New concrete Block NAI et_ t/ David 4044 S 128th Street Tukwila, WA 98168 Re: Inspection at 4044 S 128th Street, Tukwila, WA 98168 Dear David: A limited inspection of the above property was performed on 09/15/2007. The purpose of the inspection was the investigation of the connection of the sill plate to the CMU basement wall. This inspection was performed by Roland Heimisch, P.E. DESCRIPTION The concrete blocks of the basement walls are not filled with grout. Therefore, anchor bolts can not be epoxied into the wall. RECOMMENDATIONS We recommend to remove the upper CMU block at the anchor bolt location. The voids to the blocks below can then be closed with grout. To replace the removed CMU block, pour new concrete between the remaining CMU blocks, with a minimum concrete strength of f = 2,500 psi. The new anchor bolts should be poured into the concrete. It is not adequate to push tem into the fresh concrete, as this would decrease the connection strength. The requirements for the bolt locations are: For installation, also see attached sketches. This report is the complete response to the inspection and should be read discussions during the inspection. We encourage you to call with any que tecinstruct LLC, 206 553 9076. Thank you for the opportunity to be of assistance. 1 Roland Heimisch, P.E. tecinstruct LLC 0 �Z max. distance between bolts 48" min. 2 bolts per sill plate max. distance of bolt from end of sill plate 12" RECEIVED SEP 18 2007 DEPARTMENT tecinstruct LLC 6830 NE Bothell Way Suite C, PMB 181 Kenmore, WA 98028 Phone: (206) 553 -9076 FAX: (206) 529 -4408 rheimisch@yahoo.com www.tecinstruct.com Engineering 09/17/2007 ea no c EXPIRES:, / f� November 09, 2007 David Lin 12010 76 Av S Seattle WA 98178 RE: Correction Letter #1 to Revision #1 Development Permit Application Number D06 -452 Lin Residence — 4044 S 128 St Dear Mr. Lin, This letter is to inform you of corrections that must be addressed before your development permit(s) can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Planning Department. At this time the Building, Fire, and Public Works Departments have no comments. Planning Department: Brandon Miles, at 206 431 -3684, if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that four (4) complete sets of revised plans, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a 'Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Correctionshevisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at (206) 433 -7165. Si cerely, fer M-. shall t Technician en File No. D06 -452 City of Tukwila P:1Pemtit CenteAConection Letters \2006006-452 Cotr IA #1 to Rev MI .DOC Jan 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 DATE: CONTACT: RE: ADDRESS: ZONING: November 8, 2007 David Lin D06 -452 4044 S. 128 Street LDR PLANNING DIVISION COMMENTS The Planning Division of DCD has reviewed the above permit application. The application as submitted cannot be approved. 1. The application is to add a 2 dwelling unit in the basement of the existing home. The proposed ADU does not meet the requirements found in TMC 18.10.030. An ADU cannot occupy more than 33 percent of the square footage of the principle structure. The proposed ADU is well over the 33 percent limit. Please revise the plans and remove the proposed kitchen in the basement. June 12, 2007 David Lin 4044 S 128 St Tukwila WA 98168 RE: Request for Extension Development Permit No. D06 -452 Plumbing/Gas Piping Permit No. PG06 -230 Lin Residence- 4044 S 128 St Dear Mr. Lin: This letter is in response to your written request for an extension to Permit Nos. D06 -452 and PG06 -230. 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 180 days, through December 7, 2007. If you should have any questions, please contact our office at (206) 431 -3670. File: Permit No. D06 -452 & PG06.230 City of Tukwila Department of Community Development Steve Lancaster, Director P: CemcVExtcnsion Lettcrs\Pcmiitst2006 306452 & P006 -230 Pemdt Extemion.doc Page 1 of 1 jeni Steven M. Mullet, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665 Dept.of Community Development City Of Tukwila David Lin and Xian Ouyang 4044 S 128 St.Tukwila,Wa 98168 Dear Sir/Madam: We request to extend the above permits based upon the following reason: The previous contractor we hired was not a licensed one and took our money and went away without doing correct jobs on the remodeling. We have filed a complaint against him to the L & I of Washington State and possibly file a lawsuit against him later. Please see attached complaint letter to L & I for your reference. We'd appreciate your kindness to allow us to extend the permits so that we can complete the jobs on time. Your cooperation is truly appreciated. Yours, David Lin 2-0( 772-- ttoc Re: Request of extension of permits PG06 -230 and D06 -452 June 1,2007 dr ltokgv fitt v2-1 on- Ob - 07 -Z RECEIVED COY OF IIRMILA MJuN 0 1 20071 PERMIT CENTER April 3, 2007 Dennis R. Sampson Construction Compliance Inspector Dept. of Labor and Industries 616 120`" Ave NE, Suite C201 Bellevue, WA 98005 -3037 Dear Mr. Sampson: David Lin and Xian Ouyang 12010 76 Ave S. Seattle, WA 98178 Worldlink100 @vahoo.com Re: Complaint against John Washburn for Remodeling Work on 4044128` Street, Tukwila, WA 98168 We purchased the above property in November 2006 and John Washburn was the loan officer for our previous house. The property was a "fixer- upper" and we applied for a permit for remodeling from the city of Tukwila. John Washburn knew that we bought this house and told us he could help us to do the remodeling job and pass all the inspections required on the remodeling permit. We took him to see the house in December 2006 and he asked us if we had any bids from other contractors. We told him that we had two bids from two contractors who gave us the price from $20,000.00 - $25,000.00 in order to complete all necessary jobs according to the permit required. According to the permt, the work should include the following: Electrical wiring Plumbing Framing Foundation improvement Drainage improvement Flooring throughout the house Furnace, ducts and pipes Porch floors The jobs done so far by John Washburn are: Furnace (done incorrectly) Stairway to Porch (partially done only and left in dangerous condition) Sheetrock (done incorrectly) Until now we have paid Mr. Washburn $35,000.00 in cash plus $5,000.00 worth of materials from Home Depot by using the Home Depot Card with his name on it under my account. We keep asking him for the inspection verification when he calls and he will never give us a positive response. To date, no inspection verification has been provided to us by Mr. Washburn. We also asked him why he installed all the sheetrock before the inspector came to take a look at the wiring and plumbing, because to our understanding from two other contractors, the walls should be left open in order to expose electrical wiring and plumbing to let the inspector see them. His then told us the purpose of putting the sheetrock on before the inspector came was to expedite the work. He also asked us to cooperate with him by telling the inspector that it was the previous owner who did the sheetrock work and he said to us that if we corroborated this story, the inspector will not ask us to tear down the walls again to see the wiring behind it. We later found out from the sub - contractor John Washburn hired to work on the house that Washbum only paid only $1,000.00 to the electrician and he still owned the electrician $5,000.00 in order to finish the wiring job. The above information can be also verified by calling Jorge, who is the sub - contractor Washburn hired to work on the house. Sincerely, /(e Jorge's contact: 425- 971 -1771 cc: Jill J. Smith encl. (2) Enclosed are the two permits issued by the City of Tukwila, which specify the work that should be done in order to comply with all inspections. Please let us know if you need additional supporting information. You may also contact our attorney, Jill J. Smith, (206) 227 -9800. David Lin and Xian Ouyang I . Your name MHO t2;e 2XfAA 0 1 4yA•vr Home phone X06 772 no 9 Business phone .2.o /e9 /3t7 Home address l-oj'o 7( /{ve. 5 Business address City 4 f� S1 Z19 i'zz p City State ZIP 2. Contractor's name (Own r / individual) Mo o / No Contractor's business name Mailing address , 2320 136 Ae& NE # / phone 52-5'2Jrojcd?0 City 'kitty u e State (.I) iS ZIP 96 Business phone #S 652 2 "7 9 4. Da enter d contract ,l 2Z3f � o6 Location you entered into contract or agreement l�DN v ia/1A sT 7tilcw� /4 Date w gan 0 LUO J . Did the contractor at any time represent that he or she was a registered contractor? Yes No Return to: advertisements you may have. Department of Labor and Industries Dennis SAMPSON Const Compliance Inspector 616 — 120 Av NE Suite C -201 Bellevue, WA 98005 -3037 Please resubmit these questions with a copy of your contract, copies of canceled checks, advertising, and any documentation which pertains to this case. 3. How did you first learn of this contractor? E.g., newspaper advertisement, friend, door - to-door solicitations, etc. Please "send copies of any HP &as hiy /Pan 'r CONTRACTOR COMPLAINT FORM 6. Please provide any other pertinent information that may be helpful to us? F625 -033 -000 contractor complaint form 05 -04 ON THIS PAGE, PLEASE EXPLAIN, IN DETAIL, YOUR ENTIRE COMP' 4INT REG 1RDING YOUR TRANSACTIQN WITH E, CONTRACTOR. THIS WILL BE THE■ OF FACT.. - nilLEASE BE AS SPECIFIC AS PASSIBLE.: Contractor's name Complainant's name 044/ tdcid A �,,,p�i OMP oef,v . k(4 v 1947/1ti Please explain the complaint in detail: STATEMENT OF FACT 7 e 49af.e LSE i At 4 59 s /2/ ds j , s/7o6' -4ks2 if 606 3230 ,l ©l,✓ W'544 clrti C ■ K roar 2 elk 4 / u How many employees were noted and what type of work did they do? F625- 033 -000 contractor complaint form 05 -04 der x cram j Oa holy *tiny °Of/207 -% /tog cc dirtied cvh 7, 1-1- 72s„ 66 -14;e Signature ACTIVITY NUMBER: D06 -452 PROJECT NAME: LIN RESIDENCE SITE ADDRESS: 4404 S 128 ST DATE: 11 -13 -07 Original Plan Submittal Response to Incomplete Letter # X Response to Correction Letter # 1 X Revision # 1 After Permit Issued DEPARTMENTS: Building Division Public Works Complete Comments: Please Route Approved Notation: TUES/THURS ROUTING: Documents/routing slip.doc 2 -28 -02 REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: REVIEWER'S INITIALS: PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete ❑ Structural Review Required EI PP Divisiol `1 Permit Coordinator ❑ DUE DATE: 11-15-07 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: No further Review Required DATE: DUE DATE: 12-13-07 Approved with Conditions ❑ Not Approved (attach comments) ❑ DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DEPARTMENTS: Bul ng ision Public Works Complete TUES/THURS RQUTING: Please Route Documents/routing slip.00c 2 -28-02 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D06 -452 DATE: 10 -26 -07 PROJECT NAME: LIN RESIDENCE SITE ADDRESS: 4044 S 128 ST Original Plan Submittal _ Response to Incomplete Letter # Response to Correction Letter #_ X Revision # 1 After Permit Issued APPROVALS OR CORRECTIONS: Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Structural Review Required PlKf LIDIvision Permit Coordinator K DUE DATE: 10 -30 -07 Not Applicable ❑ No further Review Required REVIEWER'S INITIALS: DATE: DUE DATE: 11 -27 -07 Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: ((( Departments issued corrections: Bldg ❑ Fire ❑ PIng y1 PW ❑ Staff Initials: ACTIVITY NUMBER: D06 -452 DATE: 11 -22 -06 PROJECT NAME: LIN RESIDENCE SITE ADDRESS: 4044 S 128 ST X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Buiikling Divi Complete Comments: Approved ❑ Notation: Documents/routing 'Blida 2 -28-02 PERMIT COORD COPY �. PLAN REVIEW /ROUTING SLIP Public Works City) - If DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROU ING: Please Route Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: REVIEWER'S INITIALS: Approved with Conditions Gil it 1141 ' Fire Prevention Structural ❑ DUE DATE: 11-28-06 Not Applicable ❑ ❑ No further Review Required DATE: DUE DATE: 12-26-06 Not Approved (attach comments) ❑ DATE: per ►I4,,, 1144 Planning Division tid Permit Coordinator Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS l (ll la- (t -1S -07 U4( n Summary of Revision: Mew 261 TM lace vyr2vJ9— Received by: Received by 17AV I D 1. / A / 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: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: PROJECT NAME: LI ns1evlct, SITE ADDRESS: 1-140 -I & [,}-e gt- PERMIT NO: % " bO(o- 45 )- ORIGINAL ISSUE DATE: REVISION LOG (please print) (please print) (please print) (please print) (please print) Date: City of Tukwila 1 REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Project Name: Lin Residence Project Address: 4404 S 128 St Contact Person: David 4 I N / akitit 4%t2- i ',' // fie 410 Entered in Permits Plus on t' 1131 , \applications\Torms- applications on line\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 Plan Check/Permit Number: D06 -452 ❑ Response to Incomplete Letter # ® Response to Correction Letter # 1 ® Revision # 1 after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Summary of Revision: 2 i Arent u`' -'l/ 40-7 -At Phone Number: !,? , 6 t/ ft fir,7 Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center byf n Steven M. Mullet, Mayor Steve Lancaster, Director c Sfuk ttq NOV 3 ?007 tjetima CENTER 4,04 i e, 4r/ J 1 Date: t Entered in Permits Plus on City of Tukwila Revision submittals must be submitted In person at the Permit Center. Revisions will not be accepted through the mail, fax, eta ID /01 6 02607 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # ❑ . Revision # after Permit is Issued Revision requested by a City Building Inspector or Plans Examiner Project Name: 621 aGt t Project Address: C/ 0 ( � f . � j f / 2 / - //- 1 I - �/� (1 Contact Person: �F r�C / A- Phone Number: .2 0 / " 2 i Summary of Revision: Sheet Number(s): "Cloud" or highlight all areas of revision including date env' Received at the City of Tukwila Permit Center by: l applications \fams- applications on lmc 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,ctrukwilawa.us l(kJ-xP -07 Plan Check/Permit Number: RI h r 5 Z n CITY OF TUKVim A OCT 26 2007( 'ER6.11TCENTFt-t CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 STATE OF WASHINGTON) ) ss. COUNTY OF KING ) 9 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION 1� oG-;ao PERMIT NO.: D ^ yS [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 requirement of RCW 18 27 090 I consider the work authorized under this building permit to be exempt under No. / ? 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 saw in any decision to engage an unregistered contractor to perform construction work. \applicationst8 -2004 affidavit in lieu of contractor registration states as follows: APPLIC Signed and swom to before me this 9. day of Not.on6er p ,� e n l�/.he State NOTA Y PUBLIC in and for the State of Washington, Residing at 17_-t Xu..) �Lc Name as commissioned: kis `e. My commission expires: 05 Permit Center /Building Division: 206 -431 -3670 Public Works Department: 206433 -0179 Planning Division: 206 -431 -3670 200 (0 . County. met f< 18.27.090 Exemptions. This chapter shall not apply to: 1. 2. An authorized representative of the United States Govemment, 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. 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; 9. Any person who only fumished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of the work of the contractor; 10. Any 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 tapplications\8 -2004 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 , eng 9 5es in the activities herein regulated an employee of a registered contractor;with wages as his sole compensation; 17. Contractors ,on iiigf)uvay.�projects who have been prequalified as required; by' chapter 13 of the Laws of 1961, RoW `47.28.070 with the department of transportation to perform highway construction, reconstruction, or maintenance work. x x x x x x x