HomeMy WebLinkAboutPermit D10-218 - MAYTON RESIDENCE - ADDITIONMAYTON ADDITION
1423153 AV S
EXPIRED
08-24-11
D10 -218
City al/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.: 7255200240
Address: 14231 53 AV S TUKW
Suite No:
Project Name: MAYTON ADDITION
DEVELOPMENT PERMIT
Permit Number: D10 -218
Issue Date: 08/31/2010
Permit Expires On: 02/27/2011
Owner:
Name: MAYTON BRUCE & YU BING
Address: PO BOX 58079 , TUKWILA WA 98138
Contact Person:
Name: BRUCE MAYTON
Address: PO BOX 58079 , TUKWILA WA 98138
Phone: 206 405 -0312
Contractor:
Name: OWNER AFFIDAVIT - BRUCE MAYTON Phone:
Address:
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
COMPLETION OF EXPIRED PERMITS. ORIGINAL WORK WAS TO CONSTRUCT AN ADDITION OF A TWO CAR GARAGE WITH
BEDROOM ABOVE AND ADDITION OF SECOND STORY TO EXISTING STRUCTURE. (B95 -0245, D02 -333, AND D06 -157)
Value of Construction: $2,000.00 Fees Collected: $212.40
Type of Fire Protection: International Building Code Edition: 2009
Type of Construction: VB Occupancy per IBC: 0022
* *continued on next page **
doc: IBC -10/06
D10-218 Printed: 08 -31 -2010
City ATukwila •
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Permit Number: D10 -218
Issue Date: 08/31/2010
Permit Expires On: 02/27/2011
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
Permit Center Authorized Signature:
DA,
Date: CJ - '" D
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this development permit.
Signature:
Print Name:
./c?/2 v L i55/ Al
Date:
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 -218 Printed: 08 -31 -2010
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.: 7255200240
Address: 14231 53 AV S TUKW
Suite No:
Tenant: MAYTON ADDITION
PERMIT CONDITIONS
Permit Number: D10 -218
Status: ISSUED
Applied Date: 08/19/2010
Issue Date: 08/31/2010
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431- 3670).
4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
5: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
6: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building
inspector. No exception.
7: 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.
8: 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.
9: 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.
10: 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.
11: 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.
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 City of Tukwila
Building Department (206- 431 - 3670).
14: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
doc: Cond -10/06
D10 -218 Printed: 08 -31 -2010
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
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
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 -218 Printed: 08 -31 -2010
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: ../?/?" U G c J.")/fSz 1/2; Al
Date: 1 O
ordinances governing
or local laws regulating
doc: Cond -10/06
D10-218
Printed: 08 -31 -2010
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Building Permit No.
Mechanical Permit No.
Plumbing/Gas Permit No.
Public Works Permit No.
Project No.
(For office use only)
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
Site Address: /, 3/ 5
Tenant Name: --�
Property Owners Name: ..1 -: it ci j y� r/
Mailing Address: /'' /-30,4"
,r8 a i 7
King Co Assessor's Tax No.: h6.- --0240
Suite Number: Floor:
New Tenant: ❑ Yes ❑ .. No
City
mot..
State
Zip
CONTACT PERSON who do we contact when your permit is ready
o be issued
Name:
Day Telephone: 'a 6 - O 3'
Mailing Address:
City
E -Mail Address:
State
Zip
Fax Number:
GENERAL CONTRACTOR INFORMATION -
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name: rvA'f1 ` —
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
State
Zip
ARCHITECT OF RECORD -All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax,Number:
State
Zip
ENGINEER OF RECORD - All plan* must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
H.\Applications\Forms- Applications On Line\2009 Applications \1 -2009 - Permit Application. doc
Revised: 1-2009
bh
State
Zip
Page 1 of 6
100°11,,
BUILDING PERMIT INFORM' TION — 206 -431 -3670
Valuation of Project (contractor's bid price): $ fe T Oct - Existing Building Valuation: $
Scope of Work (please provide detailed information): CAL.9vv t ,rf�/�G,- �t- y ;,r 697/,;,✓` � �� "
y)aS- 024c, VD V-9)) -7\ Dvlo
Will there be new rack storage? ❑ Yes. 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 ❑ No If "yes ", explain:
FIRE PROTECTION /HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None
Other (specify) e7ienPV". Vt CAV`t >
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 ata 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\Forms- Applications On Line\2009 Applications \1 -2009 - Permit Application.doc
Revised: 1 -2009
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Page 2 of 6
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1St Floor
_ �..
/5c2 8
/ 7`.,"(7
2nd Floor
/2._ob
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 ❑ No If "yes ", explain:
FIRE PROTECTION /HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None
Other (specify) e7ienPV". Vt CAV`t >
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 ata 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\Forms- Applications On Line\2009 Applications \1 -2009 - Permit Application.doc
Revised: 1 -2009
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Page 2 of 6
PERMIT APPLICATION NOTES +- Applicable to all permits in this application
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
Building and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
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:
Mailing Address:
Date: C� .
j _ 0
� "/
Day Telephone: .% C — :5— —
frl-% 7:R/ j .Y'
State Zip
City
Date Application Accepted:
Date Application Expires:
Staff Initials:
V\ lit)
b2-
ill (�t
�--�
H: \Applications\Forms - Applications On Line\2009 Applications \1-2009 - Permit Application.doc
Revised. 1 -2009
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Page 6 of 6
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Project (c.'* ractor's bid price): $
Scope of Work (please pr.r, ide detailed information):
Building Use (per Int'l Building Cod
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
Sewer:
Indicate type of plumbing fixtures and /or gas pip : outlets being '. stalled and the quantity below:
Fixture Type:.
Qty
Fixture Type:
Q
Fixture•Type:. • •
Qty
Fixture Type: .
. Qty -
Bathtub or combination
bath/shower
Bidet
/
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking fountain or
water cooler (per head , ',
Food -waste grinder,
commercial
Floor Drain
Shower, single head trap
Lavatory
,1.
N
Wash fountain
Receptor, indirect waste
Sinks
Urinals
�.
Water Closet
Building sewer and each
trailer park sewer
Rain water system —per
drain (inside building)
Water heats f' d /or vent
/
atdustrial waste treatment
i terceptor, including trap
an. vent, except for kitchen
type' tease interceptors
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Rep: or alteration of
w. r piping and /or water
I .tment equipment
Repai'o alteration of
drainag r vent piping
Medical gas piping
system serving 1 -5
inlets /outlets for a
specific gas
Each additional medical
gas inlets /outlets greater
than 5
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
Backflow proid five device
other than atmo eric -type
vacuum breakers er 2
inch (51 mm) diamet
`t
Each lawn sprinkler
system on any one meter
including backflow
protection devices
Atmospheric -type vacuu .'
breakers not included in .
lawn sprinkler backflo ,
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
w,
H:Wpplications\ Forms - Applications On- Line&2009 Applications\1.2009 Permit Apptication.doc
Revised: 1.2009
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Page 5 of 6
1
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.: 7255200240
Address: 14231 53 AV S TUKW
Suite No:
Applicant: MAYTON ADDITION
RECEIPT
Permit Number: D10 -218
Status: PENDING
Applied Date: 08/19/2010
Issue Date:
Receipt No.: R10 -01624
Payment Amount: $212.40
Initials: JEM Payment Date: 08/19/2010 12:32 PM
User ID: 1165 Balance: $0.00
Payee: BRUCE PAUL MAYTON
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3570 212.40
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - RES
PLAN CHECK - RES
STATE BUILDING SURCHARGE
000.322.100
000.345.830
640.237.114
Total: $212.40
126.00
81.90
4.50
P YMENT
{RE(.9EIVED
doc: Receiot -06 Printed: 08 -19 -2010
6.
tY'
INSPECTION RECORD
Retain a copy with permit
• INSPECTION NO. . PERMIT NO.
• CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 . (206) 431 -3670
• Permit Inspection Request Line (206) 431 -2451 {�-•
Project: :
: T
Type of Inspection:
Addti -ess: D
-7AtaS
Date Called: •
Special Instructions:: D
Date Wanted:
a2. —.2 Z'-- / 1 %
%-p'm.
Requester:
Phone No:
Q ,3/z
Approved•per applicable codes.- • 0 Corrections required prior to approval.
COMMENTS: is'
t
441/ ettd4r4
4
1
INSPECTION FEE R UIRED. Pri r to next inspection. fee must be
id at 6300 Southcente Blvd.. Suie 100. Call to schedule reinspection. •
p waa. :— , . „ . ....» .gam,,. - a.mrae.mc
1
..... ravtu •]a1FiM, 2 V. *• r.'P"�7�P
06 -30 -2011
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
BRUCE MAYTON
PO BOX 58079
TUKWILA WA 98138
RE: Permit No. D10 -218
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, 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 08/24/2011.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, , provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 08/24/2011, 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,
ziu
Bill Rambo
Permit Technician
File: Permit File No. D10 -218
---0,_
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
01 -03 -2011
so y cif � o
f �g po 1
epartment of Com ;1 unity Develo
Jim Haggerton, Mayor
BRUCE MAYTON
PO BOX 58079
TUKWILA WA 98138
RE: Permit No. D10 -218
14231 53 AV S TUKW
Dear Permit Holder:
iI
mere Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 02/27/2011.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, , provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 02/27/2011, 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,
-J-Q4
Bill Rambo
Permit Technician
File: Permit File No. D10 -218
6300.Southcenter Boulevard, Suite #100 o Tukwila, Washington 98188 o Phone: 206 - 431 -3670 0 Fax: 206 - 431 -3665
OPE , ITMORD COPN aff
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D10 -218
PROJECT NAME: MAYTON ADDITION
DATE: 08/19/10
SITE ADDRESS: 14231 53 AV S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # after Permit Issued
DEPARTMENTS:
BtaTding ivD ision
Public Works
gie-(
Fire Prevention
Planning Division
n
❑ Structural ❑ Permit Coordinator ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete ,r1
Comments:
Incomplete P1
DUE DATE: 08/24/10
Not Applicable
Permit Center Use Only
INCOMPLETE LETTER MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
LETTER OF COMPLETENESS MAILED:
TUES /THURS ROUTING:
Building
Please Route 41 Structural Review Required
REVIEWER'S INITIALS:
No further Review Required
DATE:
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE: 09/21/10
Not Approved (attach comments) ❑
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections:
Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents/routing sl ip.doc
2 -28 -02
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -367o 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 -367o
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
/712, 1-}1,9y7;;/ , states as follows:
[please prini name]
PERMIT NO: 1) t U
ELI ~ 0-703
1. 1 have made application for a permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW 18.27.090.
3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the
City of Tukwila must verify either that the contractor is registered by the State of Washington, or that
one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number /2. , and will therefore
not be performed by a registered contractor.
understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to
5. o
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.
Signed and sworn to before me this
day of A-964c --
1
Y PUBLIC in and for the State of Washington
Residing at I j /J7 1 , County /
Name as commissioned:(/ w ,y
% a ,yule
My commission expires: L251-d9"/y
18.27.090 Exemptions. The region provisions of this chapter do not apply t40
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,
ether occupied by him or her or not, and any person
working on his or her personal residence, whether owned
by him or her or not but this exemption shall not apply to
any person who performs the activities of a contractor on
his or her own property for the purpose of selling,
demolishing, or leasing the property;
13. An owner* who performs maintenance, repair, and
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
14. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of the
state of Washington or licensed by a political subdivision of
the state of Washington while operating within the
boundaries of such political subdivision. The exemption
provided in this subsection is applicable only when the
person certified is operating within the scope of his or her
certification;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. A mobile /manufactured home dealer or manufacturer
who subcontracts the installation, set -up, or repair work to
actively registered contractors. This exemption only applies
to the installation, set -up, or repair of the
mobile /manufactured homes that were manufactured or
sold by the mobile /manufactured home dealer or
manufacturer;
18. An entity who holds'a valid electrical contractor's
license under chapter.19.28 RCW that employs a certified
journeyman electrician;'a.certified residential specialty
electrician, or an electrical trainee meetingthe
requirements of chapter 19.28 RCW to perform plumbing
work that is incidentally, directly, and immediately
appropriate to the=like -in -kind replacement of a household
appliance or other small household utilization equipment
that requires limited electric power and limited waste
and /or water connections. Azi electrical trainee must be
supervised by a certified electrician while performing
plumbing work.
• Per Washington State Department of Labor and Industries, lessee has been
Interpreted to be equivalent to owner for the purpose of these exemptions.
1,511,;'
REVISIONS
wiessommarsa.....■.~
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees.
SEPARATE PERMIT
REQUIRED FOR:
ErMschanical
Electrical
&Plumbing
as Piping
City of Tukwila
BUILDING DIVISION
FILE COPY
Permft No. 'IP
'010 AIS
Plan review approval is subject to errors and omissions.
Approval of construction documents does not authorize
the violation of any adopted code or ordinance. Receipt
of approved Field Copy and conditions is acknowledged:
By "3,-,
Date: /
City Of "Tlikwila
BUILDING DIVI
VIEWED FOR
CODE COMPLIANCE
PPPOVED
13
27 2010
tit4
of Tukwila
NG DIVISION
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AUG 1 9 2010
PERMIT CENTER
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BUILDNGDIVISION REQUIREMEN'
OF PROPOSED CONSTRUCTION.
Bldg Permit # B95 -0245, .
• 1:' Exterior and interior braced wall lines shall be provided. Spacing shall not
exceed 34 feet on center in both the longitudinal and transverse directions in each
story.
2. Braced wall panels shall be of the proposed 1/2" O.S.B. , at least 48 inches in
length, covering three stud spaces (where studs are 16 inches apart)..':
story 3. Alternate braced wall panels @ one areas shall have a length of not less
ry
than 2-feet 8 inches and a height of not more than 10 feet • Each Panel shall be .
sheathed on one face with the plywood sheathing and nailed with. 8d common. or
galvanized box nails @ 6 inches on center at edges, 12 inches on center at
intermediate. supports. All :edges ::of x
.,, panels to blocked. � Two anchor bolts shall be
provided in each panel. Each anel end stud'
P shall have atie -down device fastened
to the foundation , capable of providing an approved uplift capacity of not less than
1800 pounds.
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1.. Alternate braced wall pan
both faces at the first story, @ two story areas shall plywood sheathing on
ry,:'three anchor bolts: -shall ' be installed per panel, and end .
stud tie down device shall be ca able of rovidm an a roved uplift :ca
P P g . Ap. p capacity of not
less than 3000 pounds. Na' lin ,a aqu�{retnent of sheathing Shall be as noted in #3.
5. Girders supporting: loads fromca Single oor sha
I?,,, R 11 not be less than 4 `inches by 6
inches for spans 6 feet': or less, provided that girders are spaced
on center. Girder end joints shall not more than $feet
j a .occur"over suppo its and when spliced over a
support , an adequate;tie shall b provided. NOTE:
� p Subject to field inspection,
additional isolated footings or reduced spacing of girders may be r
code requirements. .:.` Y squired to meet
AUQ 4 NQ11
C+QDE IEWED FOR
COMPLIANCE
...:-_APPROVED —:
AUG 2 7 2010
City of Tukwila
L BUILDING DIVI iOiV
RECEIVED
CITY OF TUKVVILA
AUG 19 2010
PERMIT CENTER
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ILDING DIVISION
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