HomeMy WebLinkAboutPermit D10-055 - LU RESIDENCE - WALL AND CEILING SUPPORTSLU RESIDENCE
13212 31 AV S
D1O-O55
City* Tukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http://www.c tu Icw a.wa. us
DEVELOPMENT PERMIT
Parcel No.: 7346600308 Permit Number: D10 -055
Address: 13212 31 AV S TUKW Issue Date: 02/25/2010
Suite No: Permit Expires On: 08/24/2010
Tenant:
Name: LU RESIDENCE
Address: 13212 31 AV S , TUKWILA WA
Owner:
Name: LU SHARON
Address: 13212 31ST AVE S , TUKWILA WA 98168
Phone:
Contact Person:
Name: SHARON LU
Address: 13212 31 AV S , TUKWILA WA 98168
Phone: 206 335 -6703
Contractor:
Name: OWNER AFFIDAVIT - SHARON LU
Address:
Phone:
Contractor License No:
Expiration Date:
DESCRIPTION OF WORK:
REMOVAL OF LOAD BEARING WALL AND BUILDING OF SUPPORTS FOR CEILING.
Value of Construction: $650.00 Fees Collected: $75.90
Type of Fire Protection: SMOKE DETECTORS International Building Code Edition: 2006
Type of Construction: VB Occupancy per IBC: 0022
* *continued on next page **
doc: IBC -10/06
D10 -055 Printed: 02 -25 -2010
City oPI'ukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /wwwci.tukwila.wa.us
Permit Number: D10-055
Issue Date: 02/25/2010
Permit Expires On: 08/24/2010
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:
N
N
Number: 0 Size (Inches): 0
Start Time:
Volumes: Cut 0 c.y.
End Time:
Fill 0 c.y.
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
Date: 02-
ed s permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this development permit.
Signature:
Print Name:
51/La vl
Date: Z- 2 / 0
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
doc: IBC -10/06
D10 -055 Printed: 02 -25 -2010
• 111
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Parcel No.: 7346600308
Address: 13212 31 AV S TUKW
Suite No:
Tenant: LU RESIDENCE
PERMIT CONDITIONS
Permit Number: D10 -055
Status: ISSUED
Applied Date: 02/25/2010
Issue Date: 02/25/2010
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431- 3670).
3: 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.
4: 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.
5: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila
Permit Center.
6: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
7: 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.
* *continued on next page **
doc: Cond -10/06
D10 -055 Printed: 02 -25 -2010
• 4111
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:
Print Name:
11.0.17Y1
Date: ' l6
ordinances governing
or local laws regulating
doc: Cond -10/06 D10 -055
Printed: 02 -25 -2010
CITY OF TUKWIUlik
Community DevelopmaIDepartment
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tulcwila.wa.us
Building Per1o.
Mechanical Permit No.
Plumbing/Gas Permit No.
Public Works Permit No.
Project No.
(For office use only)
1)10-06
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
�
C King Co Assessor's Tax No.:
Site Address: 1` 2 3 Q iei J Suite Number:
Tenant Name: I1 Ot'Lt,
Property Owners Name: StLbi
Mailing Address: Set 14A-6
Lam.
—211-1 io(000 310
New Tenant:
Floor:
❑ Yes ❑..No
City
State
Zip
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name: 5kO rO h Li&
Mailing Address: .S'
E -Mail Address: eps f ✓1/lu. 1- c i/l a te. C CtV 7
Day Telephone: 7,0 6, 3 e9-2 0 3
City
State
Zip
Fax Number:
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name: li 0 h {.
Mailing Address:
City
Day Telephone:
Fax Number:
Expiration Date:
Contact Person:
E -Mail Address:
Contractor Registration Number:
State
Zip
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name: ✓I D rl -6
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name: 1 I c�h P i. ( �✓l� i of ! i r i vt
Mailing Address: --)102 1 1 Avg ` ve N' , j2, yyl ovt d i W 11
Contact Person: M 1 I' pY L 't -k -C I
E -Mail Address: 04 I fc..Gue, « rig(' h eL ri � ti C. 0
HWpplicationsPorms- Applications On Line\2009 Applicaiionst-2009 - Permit Appli oadoc
RnvioM • 1 -7(10
City
Day Telephone:
CvYn C-4 ' Fax Number:
.nit
State Zip
7<r7 - ISO
Pave 1 of
BUILDING PERMIT INFORVION - 206 -431 -3670
Valuation of Project (contractor's bid price): $ 1957)
Scope of Work (please provide detailed information): re 44 o Ua
St-cPpDri5 for rgeio C(-I /(
Existing Building Valuation: $
o-F u)a I I + &K i / c1; o�
Will there be new rack storage? ❑ Yes
0.. No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
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 011 No If `yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None Other (specify) CAP �
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:\Applications\Fonns- Applications On Line\2009 Applications \I -2009 - Permit Application.doc
R'viwi. I.,/NW
Pave of 6
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
I g Floor
11.70
S -(,
0
0
11119
11--S
2nd Floor
3rd Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
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 011 No If `yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None Other (specify) CAP �
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:\Applications\Fonns- Applications On Line\2009 Applications \I -2009 - Permit Application.doc
R'viwi. I.,/NW
Pave of 6
PERMIT APPLICATION NOT, Applicable to all permits in this aSication
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 OWN R OR AUT 5 ED AGEN
Signature:
Print Name: 54 a ron
Mailing Address: / 3 Z i 2- 3 / >s f- a
Date: Z ` zS /d
Day Telephone: 70b 3 3 S- ry 7 0 3
fc w, la_ 6074 1874%1
City
State Zip
Date Application Accepted:
fl
Date Application Expires:
Staff Initials:
t ®
i
H:\Applications\Forms- Applications On Line\2009 Applications \1.2009 - Permit Apptication.doc
RrviaeA 1.7M0
PAPP. 6 of 6
•
City Of Tukwila
Permit Center
6300 Southcenter Boulevard, Suite, 100
Tukwila, WA 98188
(206 431 -3670)
•
Application # Div
ALTERNATE PLAN SUBMITTAL AUTHORIZATION
FOR LIMITED SCOPE OF WORK
I.B.C.& I.R.C. Section 104.1
Project name 42( Re S, %aM?
Address / ,32 I Z 3/ U - 5
Description of work 1R- ridtfe(e / k,-1nek
2019 etrPeteities
F413 25
ften
Related reference number P6/ a - 02_4, EL /0 --- O // y PE mace
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 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
Structural calculations (stamped by Washington State licensed engineer )
Specific required information �i�/ — //r;! ��4 4<t' E-;•/ j • / A/C 7/ i% ') is 7l
44d 47' Jyv 724/r,: // A r9 G�. �9Wii ✓l!S �L�t/ /��� / — �t/6r��11/
GO4 -// %/SU /hcm / �u' 6T & O /-1414( 8_221 l 11 /' -
3. Other special instructions: (S.)/ 4e �-o r�rfDi /4��6AI ciu 1p /2Z7 //
c /1fe1 /
Authorization by,
TBD36/96 -form 12
Date o2 /23/0
(Authorization void 30 days after the te issued.)
•
City of Tukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Parcel No.: 7346600308
Address: 13212 31 AV S TUKW
Suite No:
Applicant: LU RESIDENCE
RECEIPT
Permit Number: D10 -055
Status: APPROVED
Applied Date: 02/25/2010
Issue Date:
Receipt No.: R10 -00335
Payment Amount: $75.90
Initials: JEM Payment Date: 02/25/2010 04:07 PM
User ID: 1165 Balance: $0.00
Payee: SHARON LU
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC -
Authorization No. 00577B
ACCOUNT ITEM LIST:
Description
75.90
Account Code Current Pmts
BUILDING - RES
STATE BUILDING SURCHARGE
000.322.100 71.40
640.237.114 4.50
Total: $75.90
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 02 -25 -2010
INSPECTION RECORD
Retain a copy with permit
INSPE ION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION -
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
0«-ds
Project:
1, S��P/L -�/L
Type of Inspection:
Q !!
1�'�c1 • lI /tr
Address:
Date Called: 1
Special Instructions:
Date Wanted: _
a.m.
r
Requester:
Phone No:
2x9 (o -33
Co -- 70,3
Approved per applicable codes. Correction's required prior to approval.
COMMENTS:
- �.
nspect
f
' I - PECTION FEE UIRED. Prio /to next inspection. fee must be
ai • at 6300 Southcenter lvd.. Suite 00. Call to schedule reinspection.
'Date:
9- -k9
tatkly
�3
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION IL--
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
Pi__ lI kej; en
jj e_Otr-
(D
TYPert °�1
nA ct u 1,0 'i
Address: ,ST
x3212 31`�Av,�-
Date Called:
Special Instructions:
V
&I � �s ,^
7-5 S -
.
18
Date Wanted:
b -(o p.m.
Requester:
Phone No: .
7, -33 5 - C? o3
ElApproved per applicable codes.
Corrections required prior to approval.
//
COMMENTS:
jj e_Otr-
(D
e 4 e a , ) 31" -,Lir
Inspecto c„..,,
Date: - (P ( .
U
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:
k, ∎U t4OWIi ti'
INSPECTION RECORD
Retain a copy with permit
or o- as5
PE ON NO. ERMIT NO.
CITY OF TUKWILA BUILDING DIVISION �r
6300 Southcenter Blvd., #100, Tukwila, WA 98188
:t
(206)431 -340
Project:
1 Li ,ees. of eAce
Type of Inspection:
ialk 1 Al
/S- 4*1 i,1G -. ap ®Pet%
Address: S�
I 3 ?_ 1 ?_ 3 ( A4--s;
Date Called:
Special Instructions:
3 3 3 —0
2......?(VN
Date Wanted •
_
r
a.m.
Requester:0i
,
Phone No:
20(0- 33"5--41-7a3
pproved per applicable codes.
Corrections required prior to approval.
COMME TS:
/S- 4*1 i,1G -. ap ®Pet%
`
(iti4 I i NS)! 1.. A ; �o.0%) — 49 -0pr3A/-
_ ,
,
Inspect
Date:_ .-
361- /C1
X1.00 REINSPECTION I E REQUIRE�!f�rior to inspection, fee must be
id at 6300 Southcente Blvd., Suite 10 Call to schedule reinspection.
Receipt No.:
Date:
D/Z- L �-
7_
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
(206)431 -3670
Project: % / !Q
Type of Inspection:
Address.
Date Called:
Special Instructions:
%-° D
Date Wanted: �e��
..m.
Requester:
Phone No:
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
4
711,
2-) Deo le
�. ��► o . Lj
alp 1
-e-eev
'7)
Inspector: �/ / Date
LI $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
b.4
INSPECTION RECORD 1\
Retain a copy with permit
INSPECP ON NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila,'WA 98188 (206)431 -3670
tr
Pro .-os$
Project` ' nom; (A
V /� C�
Type of ectjon: `
01.4 i AI
Address: �
/3212 - 3( AV�_S,
:
Date Called: /
Special Instructions:
2,E.;(4. -d (AM c
Bet--r.. 1
1,),4-4
LW /i
9
Date Wanted:3 _ l / J a.m.
Requester:
Phone Noy -330 -4 r�
so 63
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
2 LS )tvcis f1 eize 4.1 z./Y,
(_'1 (- - k'
1
Mo... befit i9-a
,rrd J
s cre.,,471
T.
0.41 1.. -
4434;/ 7c) kom.7
.41.M a4DDL)
Inspect
Date:
.❑ $60.00 REINSPECT! i FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD ( Q —OS`�-
Retain a copy with permit
INSPECTIO NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Proje t: '
Type of Inspection: Ni Ael
Address.
(45Q .. -eror1AY\
Date Cal ed:
Special Instructions:
Dea,a 3 ef4N'ce1
�, % � — 2 4 e� OrrZ
Date Wanted: �.m.
3 � -IJ p
quester:
Phong,No:c —s410 J 0 7 .. J
EiApproved per applicable codes. 136-rrections required prior to approval.
COMMENTS: p x mot- ■ Ak I6 f AP,
0K_- -i-
S14 e � 1 r 0(4,c- -
&16,(2-^4) ,1 frM( e:A WC, W -CJe-r —
S C--r et, )S O
- -6 L Q` C A (-,,f.
?‘,./ke
ax us ,t i f-. s ems ( 0
t\ r >c—r---- ; ^s p e (-24--m b Ai
Inspector:
Date:3, —f ( )
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:
• 7821 - 168th Ave. N.E.
MITCHELL ENG ERING INC • Redmond, WA 98052
(425) 747-1500
[1541./ II 77r'' A,5s2/47 / Pthrilk./Ad9 A/4-L4
410144- , i2A 73. f AL /P-41 5/&14 a^/ 5/7/4147"
0-4-01/ - /c)7 "1
k1/211- z /13,5/14 42, lb=
-49' 2-2717/4".
4 9 ' 2 . 2 f / l " a / 9 = 1.34 ,/2 21cao /•/5"= /Z/ 3
pittputer
RECEIVED
art OP TUKWILA
FEB 2 5' 2010
PERMIT CENTER
PROJECT 4/lath4 SHEET NO. _/ OF 4.
SUBJECT �� - ` � JOB NO. c /o -A�5.
MITCHELL ENG ERING INC.
t
•
7821 - 168th Ave. N.E.
Redmond, WA 98052
(425) 747-1500
re i'1A A 64t4 1/4
As6ir /5 ; /4.55,- 1,�-1�►i,
,4di-lb-44-
t. �i4 / ��� 5 ,i c /`/-;447 ode 47,-5,
110)-/
PREPARED BY ' ' PROJECT L� �� z' SHEET NO.4- 2 OF
DATE G! i A/L C2 SUBJECT /1/4 4d%'4L.• JOB NO. C:)`0 "1405
MITCHELL ENGI ERING INC. •
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274 Ca
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Ait5
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\/16.4i r-r �,� ►�I
d� laAel
Az Afril
C�.At,
7821 - 168th Ave. N.E.
Redmond, WA 98052
(4251747 -1500
ope. 1.../A
C Lfl�{J 6A5 �
L
PREPARED BY P/A-14 PROJECT gitWaJkl SHEET NO. 1.3 OF
DATE SUBJECT JOB NO. C /�--" /605'
�ERING
MITCHELL ENG
•
7821 - 168th Ave. N.E.
Redmond, WA 98052
(425) 747-1500
•
27i CL,L/;Jy
�5T
PROJECT �'+ ! SHEET NO /14 OF �7
PREPARED BY //
DATE //a /0 SUBJECT JOB NO. O/) 4605-
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
SHARON LU
1321231AVS
TUKWILA WA 98168
RE: Permit No. D10 -055
1321231 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, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 09/26/2010.
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 09/26/2010, 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. D10 -055
6300 Southcenter Boulevard, Suite #100. Tukwila, Washington 98188 0 Phone: 206 - 431 -3670 0 Fax: 206 - 431 -3665
•
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -3670 FAX (206) 431 -3665
E -mail: tukplanaci.tukwila.wa.us
•
Permit Center /Building Division
206 431 -367o
Public Works Department
206 433 -0179
Planning Division
206 431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
640(01/1 b-
[please print name]
, states as follows:
PERMIT NO: V V U�
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 clone 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 / 3 , 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 work.
Owner /Owner's Agent*
Signed and sworn to be ore me this
c2 day of F
/,,
,20
NOTARY PUBLIC in and for the State of Washington
Residing at
Name as commissioned:
My commission expires:
, County
C14$CL 71 V ^C-
\
) Ic(—c:De)1l
40
18.27.090 Exemptions. The registration provisions of this chapter do not apply to:
1. An authorized representative of the United States
government, the state of Washington, or any incorporated
city, town, county, township, irrigation district, reclamation
district, or other municipal or political corporation or
subdivision of this state;
2. Officers of a court when they are acting within the scope
of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their own
business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or 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 46.70 RCW;
7. Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site or
reservation under the legal jurisdiction of the federal
government;
8. Any person who only furnished materials, supplies, or
equipment without fabricating them into, or consuming
them in the performance of, the work of the contractor;
9. Any work or operation on one undertaking or project by
one or more contracts, the aggregate contract price of
which for labor and materials and all other items is less
than five hundred dollars, such work or operations being
considered as of a casual, minor, or inconsequential nature.
The exemption prescribed in this subsection does not apply
in any instance wherein the work or construction is only a
part of a larger or major operation, whether undertaken by
the same or a different contractor, or in which a division of
the operation is made into contracts of amounts less than
five hundred dollars for the purpose of evasion of this
chapter or otherwise. The exemption prescribed in this
subsection does not apply to a person who advertises or
puts out any sign or card or other device which might
indicate to the public that he or she is a contractor, or that
he or she is qualified to engage in the business of
contractor;
10. Any construction or operation incidental to the
construction and repair of irrigation and drainage ditches
of regularly constituted irrigation districts or reclamation
districts; or to farming, dairying, agriculture, viticulture,
horticulture, or stock or poultry raising; or to clearing or
other work upon land in rural districts for fire prevention
purposes; except when any of the above work is performed
by a registered contractor;
11. An owner* who contracts for a project with a registered
contractor, except that this exemption shall not deprive the
owner of the protections of this chapter against registered
and unregistered contractors. The exemption prescribed in
this subsection does not apply to a person who performs
the activities of a contractor for the purpose of leasing or
selling improved property he or she has owned for less than
twelve months;
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;
i6. 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;
i8. An entity who holds a.valid';electitrical contractor's
license under chapter 194 RR , that.employs a certified
journeyman electrician, a ;Otti$ed:re. idlential specialty
electrician, or an eleCtricaltthainee meet4ng the
requirements of chapter19.28 RCW to pe'fform plumbing
work that is incidentally, directly, and im iediately
appropriate to the likkin -kind replacement of a household
appliance or other smliij.)household utilization equipment
that requires limited electric power and limited waste
and /or water connections, AnieJectrit:al 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.