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Home My WebLink AboutPermit D10-236 - LANCE RESIDENCE - IMPROVEMENTLANCE RESIDENCE 12257 51 PL S EXPIRED 05 -02 -11 D1O-236 City diPTukwila } Z 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.: 0179001850 Address: 12257 51 PL S TUKW Suite No: Project Name: LANCE RESIDENCE DEVELOPMENT PERMIT Permit Number: D10 -236 Issue Date: 09/09/2010 Permit Expires On: 03/08/2011 Owner: Name: LANCE RANDAL D Address: 12257 51ST PL S , SEATTLE WA 98178 Contact Person: Name: JASON TOSSEY Address: 113 ST ST SW , PUYALLUP WA 98371 Phone: 206 - 852 -3593 Contractor: Name: OWNER AFFIDAVIT - PETRINA LANCE Phone: Address: Contractor License No: Expiration Date: DESCRIPTION OF WORK: REPLACE EXISTING STRUCTURE INCLUDING ONE INTERIOR AND TWO EXTERIOR WALLS AND ALL SUB - STRUCTURE, RIM JOIST, SILL PLATE, SUB FLOOR AND FLOOR. SHEET ROCK, MUD & TAPE AND PAINT. Value of Construction: $6,000.00 Fees Collected: $338.46 Type of Fire Protection: NONE International Building Code Edition: 2009 Type of Construction: V -B Occupancy per IBC: 0022 * *continued on next page ** doc: IBC -10/06 D10 -236 Printed: 09 -09 -2010 City o*I'ukwila • 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: D10-236 Issue Date: 09/09/2010 Permit Expires On: 03/08/2011 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: Date: els f 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 pe o ance of work. I am authorized to sign and obtain this development permit. Signature: ��ii'� Date: � 0/� �, Print Name: /�% Za/77/ t/ 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 -236 Printed: 09 -09 -2010 • City of Tukwila De P artment 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.: 0179001850 Address: 12257 51 PL S TUKW Suite No: Tenant: LANCE RESIDENCE PERMIT CONDITIONS Permit Number: D 10 -236 Status: ISSUED Applied Date: 08/30/2010 Issue Date: 09/09/2010 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: All wood to remain in placed concrete shall be treated wood. 7: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 8: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 9: 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). 10: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 11: 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 -236 Printed: 09 -09 -2010 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite 4100 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 local laws regulating construction or the performance of work. Signature: Zi71/; Print Name: Q l / ,,, /%�� • Date: ! , D /D doc: Cond -10/06 D10 -236 Printed: 09 -09 -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. t t)- /a i' 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 LOCATION Site Address: � 2 -5-7" S /S'f p Tenant Name: �l�M. k4, i Property Owners Name: lL. 14f /74-7A:44 t---! Gei Mailing Address: /202S-7 57s1 � f King Co Assessor's Tax No.: 16 I (i0‘6 1 fi.S Suite Number: Floor: New Tenant: ❑ Yes )gr.. No cit 77e/e.-.%i /4 State 14.4. Zip pel CONTACT PERSON - who do we contact when your permit is ready to be issued Name: JeS&i C.a -TaSS- a/ ,�e-sm , 1 SS6j Day Telephone: .:=2d 6' Mailing Address: 113 12 t S+ L-t x-111"° (ilb4- ? #35/ Ci ,� U State Zip E -Mail Address: LD.S -Creek (-err S Ll-v i ( x --1 Fax Number: GENERAL CONTRACTOR INFORMATION - .(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: - 77 r // Mailing Address: ,'Z?$ -? ;.7 /S , Z2 -Sy �i✓>/Q Gcjii %'- City State Zip Contact Person: /- , . _�'�•1 - Day Telephone: .G� 6 8J- -3,./-2 3 E -Mail Address: L05-+ GirQ.P k---CernC-4 -re (, C5,'Y1-', Fax Number: Contractor Registration Number: ?»e l ?MPi/ -�Qe !' IK 24.- -Y/c.0 Expiration Date: ARCHITECT OF RECORD - All plans must be stamped by Architect of Record Company Name: / it T%/\-61 Mailing Address: Contact Person: E -Mail Address:27 T4-41 e �qy.A P, Lam, City State Zip Day Telephone: 7.-P 2.14 - 6tpl D Fax Number: ENGINEER OF RECORD - All plans must be stamped by Engineer of Record Company Name: OA- Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip H:\Applications \Forms - Applications On Line \2010 Applications \7.2010 - Permit Application.doc Revised: 7 -2010 bb Page 1 of 6 BUILDING PERMIT INFORMATION - 206 - 431 -3670 Valuation of Project (contractor's bid price): $ 6, 00 0 Scope of Work (please provide detailed information): Existing Building Valuation: $ arNd ft.a.t Pict -ter-. w- wwit if a—c 4 l4 %In. tb — 51,,.,,A c. I-r . rL - Su. �cti r �ldar _ St.se-o_k rock - rod -(ulot 3,2A - c.11 r IQft Will there be new rack storage? ❑ Yes 1)c 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 ^K No If "yes ", explain: FIRE PROTECTION /HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No If "yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Sa ty 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 Vs Department. H:\Applications\Forns- Applications On Line\2010 Applications \7 -2010 - Permit Apptication.doc Revised: 7 -2010 bh Page 2 of 6 Existing Interior Remodel Addition to • Existing Structure New Type of Construction per IBC Type of Occupancy per IBC lst Floor . 2nd Floor , 3'd 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 ^K No If "yes ", explain: FIRE PROTECTION /HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No If "yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Sa ty 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 Vs Department. H:\Applications\Forns- Applications On Line\2010 Applications \7 -2010 - Permit Apptication.doc Revised: 7 -2010 bh 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: 6 1 — # 7 Print Name: Mailing Address: Day Telephone: 7-41- 'Cm)/ lit City Date: .o& 2 "' 2/4' Zr:46-2 - 4t9/,pi vlfr! 9ie/ state Zip Date Application Accepted: ,30__ ( d I Date Application Expires: 3 -� -I 1 Staff Initials: OK H:\Applications\Fotns- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: 7 -2010 bh Page 6 of 6 wq� 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.: 0179001850 Address: 12257 51 PL S TUKW Suite No: Applicant: LANCE RESIDENCE RECEIPT Permit Number: D10-236 Status: APPROVED Applied Date: 08/30/2010 Issue Date: Receipt No.: R10 -01783 Initials: User ID: Payee: WER 1655 Payment Amount: $206.90 Payment Date: 09/09/2010 10:24 AM Balance: $0.00 PETRINA LANCE TRANSACTION LIST: Type Method Descriptio Amount Payment Check 6118 RD Pmts Re -Dist OP Authorization No. ACCOUNT ITEM LIST: Description 206.90 .00 Account Code Current Pmts BUILDING - RES PLAN CHECK - NONRES PLAN CHECK - RES STATE BUILDING SURCHARGE 000.322.100 000.345.830 000.345.830 640.237.114 Total: $206.90 202.40 - 131.56 131.56 4.50 PAY ENT RECEIVED doc: Receiot -06 Printed: 09 -09 -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: hto://www.ci.tukwila.wa.us Parcel No.: 0179001850 Address: 12257 51 PL S TUKW Suite No: Applicant: LANCE RESIDENCE RECEIPT Permit Number: D10-236 Status: PENDING Applied Date: 08/30/2010 Issue Date: Receipt No.: R10 -01716 Initials: User ID: Payee: WER 1655 Payment Amount: $131.56 Payment Date: 08/30/2010 02:24 PM Balance: $206.90 LOST CREEK CONSTRUCTION TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 142356 ACCOUNT ITEM LIST: Description 131.56 Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 131.56 Total: $131.56 PAY MNT a�r�su�D doc: Receipt -06 Printed: 08 -30 -2010 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. . CITY OF TUKWILA BUILDING DIVISION i` 6300 Southcenter. Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line x206) 431 -2451 • 6 Ot( -2-3(► Pet T et f ns ectio _. Address: 51-1 I i+- Date Call . p, Special Instructions: dr Date Wanted: a.m. Requester: Pho a No '.-) G9 ---ILC- Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: 4- REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. . 1 ' , err .oirprassr-Naauter y or ' Alawrawitilladc. a.. . -• A- r. •6..3.. .r lar.cat INSPECTION RECORD Retain a copy with permit INSPEC1 ON 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 Otv -23,x_ Project: t/Q L�.-rt t.�...— Type of-Inspection: ) 1 Jt. c A Address: r� � r � t . Date Called: Special Instructions: e1 . __ Date Wanted i i --) 'f' /(� �.» p.m. Requester: s .' Phone No: Approved per applicable codes. Corrections. required prior to approval. • OMM NTS: 1 SPECTION FEE RE !RED. Prior t. next inspection. fee must be id at•6300 Southcenter Blvd.. Suite 100. Call to•schedule reinspection. -d % ,v..7 ..7.147 -5fi ,v+r..7 "'v = tr k:• vet • • V � ' INSPECTION RECORD Retain a copy with permit INSPECT4 N N0. PERMIT NO. of -2.3 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #10p, Tukwila. WA 98188 (206) 431 =3670 Permit Inspection Requ, est Lyle (20 ) 431 =2451 ProjfccA,A rj� * 1 1 Type �oof�In/spion: c Ad k s Ar 117.5' S ( A Date Called: Special Instructions: Date Wanted: [ 0 •:).—/ " m (<9 p.m. Requester: Phone No: / 1 , v (65-v Approved per applicable codes. Corrections required prior to approval. . CO MENTS: l SPECTION FEE RE UIRED. Prior to .ext inspection, fee must be d at 6300 Southcente Blvd., Suite 100 Call to schedule reinspection. k. • C. • INSPECTION -RECORD Retain a. copy with permit INSPECTION N0. ` PERMIT liO1 • CITY OF TU.KWI:LA BUILDING DIVISIO 6300 Southcenter Blvd.,. #100; Tukwila. WA 98 188. •_ - (206) 431• -3670 Permit Inspection Request Line (206) 431 -2451 - • • Project: ! �% 1,,c '��LC.i Qe4 Type of Inspection: (iaPe�.k.- 5 e & Address: • r A trLS _5 ( Pi.- - Date Called• - i_ pc-Pk. i Special. Instruc ions: Date Wanted: a.m. Requester: Phone No: -2,6C9 _ r� [ �' i `o t - ADS-0 ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: -2.3 -�0 pik.,DA.to c,\ re, c/iLei-4-e 6-6 b.\ . e Inspe tor: U Date: ❑ REINSPECTION FEE REQURE. Pnor to-next inspection.lee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. r. `• t. - '+ers a� -- eesar$•1.p.s& 1ey!L .. , :: �.w . [—INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION -.6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit aio -2,J PERMIT NO. (206)431 -3670 Prooiect: f� ,,� Q 4,4e1.1( e i 40d!/�'�Ac. 0 Type of Inspection: 1.4A-4.,,,,,, ,, , "Cf"d''' /J-09 Address: /2267 5/ P/ $ 1 Date Called: (0V Special Instructions: Date Wanted: p.m. Requester: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: .. paint E `• AN-). a 0F43TC.... 1 gati siOc-, (0V piry Inspec Date: l CAI) 60.0 REINSPECTION REQUIRED. Prior to inspection, fee must be paid 6300 Southcenter = vd., Suite 10Y. Call to schedule reinspection. Date: • 4•. k .. PTI REC ` RetaINSin a. EC copy ON with permit {o INSPECTION O. PERMIT N - CITY OF TUKWILA BUILDING DIVISION' . 6300 Southcenter Blvd., #100, Tukwila. WA 98188 . (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Prod ct: Type of�I%spe-cti�on':: Address: rr^^�� -.,. `�. Date Called: Special Instructions: ? Date Wanted: M ha r f �a.mr4 f Requester: Pho7..,o(e - r / i/ 6 1 — ! Las o Approved. per applicable codes. El Corrections required prior to approval, COMMENTS: 3 >C3 4- 'Mae, Inspector: 0/-114 12! Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be.. . paid at 6300 Southcenter Blvd:. Suite 100: Call to schedule reinspection. • 04 -01 -2011 city of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director JASON TOSSEY 113 ST ST SW PUYALLUP WA 98371 RE: Permit No. D10 -236 12257 51 PL 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 05/02/2011. 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 05/02/2011, 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, `1)kP ql- Bill Rambo Permit Technician File: Permit File No. D10 -236 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 ,ER ARO Pi PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D10 -236 PROJECT NAME: LANCE RESIDENCE SITE ADDRESS: 12257 51 PL S X Original Plan Submittal Response to Incomplete Letter # DATE: 08 -30 -10 Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Bu ding Division Pu lic Works slil ■\k Fire Prevention Structural Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: [11 Incomplete n DUE DATE: 08-31 -10 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUTING: Please Route V Structural Review Required ❑ No further Review Required n REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved n Approved with Conditions Notation: REVIEWER'S INITIALS: DATE: DUE DATE: 09 -28-10 Not Approved (attach comments) n Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431367o FAX (2o6) 431 -3665 E -mail: tukplant ci.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 RING ) 2 ?67/7 . , LQflC:z , states as follows: [please print name] PERMIT NO: L/ � 934 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 . 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. Signecj and sworn to before me day of 7%< ,201 e)AD NOTARY PUBLIC in and for the State of Washington Residing at , County Name as commissioned: &(A,ScLr M y commission expires: ) 0 — ( 9 18.27.090 Exemptions. The region provisions of this chapter do not apply tip 1. An authorized representative of the United States government, the state of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district, or other municipal or political corporation or subdivision of this state; 2. Officers of a court when they are acting within the scope of their office; 3. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 4. Any construction, repair, or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, or other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 5. The sale of any finished products, materials, or articles of merchandise that are not fabricated into and do not become a part of a structure under the common law of fixtures; 6. Any construction, alteration, improvement, or repair of personal property performed by the registered or legal owner, or by a mobile /manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW who shall warranty service and repairs under chapter 46.7o RCW; 7. Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 8. Any person who only furnished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor; 9. Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials and all other items is less than five hundred dollars, such work or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into contracts of amounts less than five hundred dollars for the purpose of evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he or she is a contractor, or that he or she is qualified to engage in the business of contractor, 10. Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry raising; or to clearing or other work upon land in rural districts for fire prevention purposes; except when any of the above work is performed by a registered contractor; 11. An owner* who contracts for a project with a registered contractor, except that this exemption shall not deprive the owner of the protections of this chapter against registered and unregistered contractors. The exemption prescribed in this subsection does not apply to a person who performs the activities of a contractor for the purpose of leasing or selling improved property he or she has owned for less than twelve months; 12.* Any person working on his or her own property, whether occupied by him or her or not, and any person working on his or her personal residence, whether owned by him or her or not but this exemption shall not apply to any person who performs the activities of a contractor on his or her own property for the purpose of selling, demolishing, or leasing the property; 13. An owner* who performs maintenance, repair, and alteration work in or upon his or her own properties, or who uses his or her own employees to do such work; 14. A licensed architect or civil or professional engineer acting solely in his or her professional capacity, an electrician certified under the laws of the state of Washington, or a plumber certified under the laws of the state of Washington or licensed by a political subdivision of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the person certified is operating within the scope of his or her certification; 15. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his or her sole compensation or as an employee with wages as his or her sole compensation; 16. Contractors on highway projects who have been prequalified as required by RCW 47.28.070, with the department of transportation to perform highway construction, reconstruction, or maintenance work; 17. A mobile /manufactured home dealer or manufacturer who subcontracts the installation, set -up, or repair work to actively registered contractors. This exemption only applies to the installation, set -up, or repair of the mobile /manufactured homes that were manufactured or sold by the mobile /manufactured home dealer or manufacturer; 18. An entity who holds a valid electrical contractor's license under chapter 19.28 RCW that employs a certified journeyman electrician, a certified residential specialty electrician, or an electrical trainee' meeting the requirements of chapter 19,28'RCW %-perferm plumbing work that is incidentally :dil�ect1 anc nrnediately appropriate to the like- ih -kifld eplacem "lent of a.household appliance or other small household utilizationi,equipment that requires limited electric piny and,limited waste and /or water connections. qn electrical`.trairieB must be supervised by a certified electrician while.performing plumbing work. - - - , =y ' • Per Washing on State Department of Labor and Industries. lessee has been Interpreted to be equivalent to owner for the purpose of these exemptions. VICINITY AF NOT TO SCALE SOURCE: KING COUNTY IMAP 2010 AI Nip s SEPARATE PERMIT REQUIRED FOR: tiI Mechanical 0 Electrical I Plumbing h Gas Piping City of Tukwila BUILDING DIVISION ALL CONSTRUCTION SHALL CONFORM TO THE CODES USED BY THE CITY OF TUKWILA BUILDING CODE, AND BE IN COMPLIANCE WITH WASHINGTON STATE LAWS AND REGULATIONS AND ALL CODES IMPOSED 5Y LOCAL AUTHORITIES. DO NOT SCALE THESE DRAWINGS FOR CRITICAL DIMENSIONS. CONTRACTOR TO VERIFY ALL DIMENSIONS BEFORE COMMENCING WORK AND SHALL BE RESPONSIBLE FOR THEIR ACCURACY. DIMENSIONS SHOWN ARE TYPICALLY TO FACE OF FRAMING, EXCEPT AT PLOT PLAN ,4ND UNLESS NOTED OTHERWISE. 1 PARCEL NO. 01900 -1S50 REVISIONS 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. PARCEL NO. 0I1900 -185 9 100' PARCEL NO. 011900 -1505 .185.91' PARCEL NO. 011900 -185S scoFE or ,JoIRK 1 -10USE imm EVIEWED FORS"` CO COMPLIANCE A PPDVED SEP\ 7 2010 Cityo SIC BUILDING R PARCEL NO. 01 '1900 -1857 100' 1 PARCEL NO. i PARCEL NO. 1 01-1900 -1856 011900-1855 FILE COPY s 1 Permit No. VV Plan review approval is subject to errors and omissions. Approval of construction documents does not authorize SOURCE: KING COUNTY DEPARTMENT OP ASSESSMENTS QuAKTERthe violation of any adopted code or ordinance. Receipt SECTION 8E102304, JUNE 112009 4 KING COUNTY IMAP 2010 of approve Fie` , and «' ions is acknowledged: SCALE: 1" = 20' -0" NOTE: ALL LOCATIONS CONTAINED ON THIS SITE PLAN ARE APPROXIMATE AND 1-IAVE NOT BEEN SURVEYED. BEDROOM REMODEL: PEST DAMAGE CAUSED UNSAFE LIVING CONDITIONS. PREVIOUS WORK NOT TO CODE, RECONSTRUCT AND UPDATE BEDROOM NO. 3 TO MEET WASHINGTON STATE BUILDING CODE. PRO 1 \I O ATf CN F OWNER: ADDRESS: RANDAL D. LANCE 12251 51 ST PLACE SOUTH. TUKWILA, WASHINGTON 98118 PARCEL NUMBER: 0119001850 D'R,ALUI By. Date:.�� City Of Tukwila BUILDING DIVISION I \D x 51-IEET TITLE IIAY Q. Z 2011. LEGAL DESCRIPTION: ALLENTOWN ADD 4 FOR VAC ST ADJ ttO23(O 1 SITE PLAN AND 2 FLOOR FLAN 3 ELEVATIONS 4 ELEVATIONS 5 SECTIONS AND DETAILS VICINITY MAP RECEIVED AUG 3 0 2010 PERMIT CENTER LANCE RESIDENCE BEDROOM REMODEL SCALE DATE. AS SHOWN DRAWN BY. BLT AUG 2010 SITE PLAN AND VICINITY MAP ALLENTOWN ADD & POR VAC ST ADJ 12257 51ST PL S TUKWILA, WASHINGTON 98178 DR N AWQ NUS 1 of 5 SEPTIC . TANK C/o pRoposED 5EDROOM REMODEL N d) 51' -32" REAR ENTRY OUTLET n ACCESS TO CRAWLSP KITCHEN BATHROOM FIRE ALARM D INING ROOM WATER HEATER CLOSET BEDROOM *2 1 FIRE ALARM SMOKE DETECTOR (BATTERY- OPERATED) m • N FURNACE CLOSET C REVIEWED FOR 4DECOMpLIgNCE SEP o 7 2010 City of Tukwila - BUILDING DIVI.SI nni PANEL L I VING ROOM CAN' GARAGE 1- 0 U BEDROOM *4 CLOSET ENTRY SPIGOT PORCH OVERHEAD i°OUJERL NE CONCRETE WALKWAY ,y. 511-3Y2" / NOTE: ALL LOCATIONS CONTAINED ON THIS SITE PLAN ARE APPROXIMATE AND NAVE NOT BEEN SURVEYED. +-I OOH FLAN SCALE: 1/4" = 1' -0" WATER METER (APPROX.) RECEIVED AUG 30 2010 PERMIT CENTER LANCE RESIDENCE BEDROOM REMODEL SCALD AS SHOWN DATE' AUG 2010 FLOOR PLAN ALLENTOWN ADD & POR VAC ST ADJ DRAWN BY' BLT 12257 51ST PL S TUKWILA, WASHINGTON 98178 DRAVVNQ N 2 of 5 CC POS I TE ROOF, TYF. WWWWWW w wire 111WW1111. WW1. > > 1 . I1 001110* * e1 a 0 0000 � �> > �� > ie1 .ag60111 X111 1 >J 1�1i1> 0006 Sm -80 GARAGE DOOR 30 ENTRY cAb \c Q S ID INCA, TYF OUTLET IIIIIIII EAST I re I J CONC. FOOT INCA, TYF) PION I El E VAT f ON SCALE: 1/4" = 1' -0" REVIEWED FOR CODE COMPLIANCE SEP 0 7 2010 City of Tukwila BUILDING DIWISinni CQ� \ 4 SIDING, TYF CONC. FOOTING, TYF NORTH LANCE RESIDENCE BEDROOM REMODEL SCALE AS SHOWN DATE AUG 2010 ELEVATIONS DRAWN BY' ` BLT SIP L VATIO N ALLENTOWN ADD & POR VAC ST ADJ SCALE: 1/4" = 1' -0 12257 51ST PL S TUKWILA, WASHINGTON 98178 DRAWING 3 of 5 ROOF VENT, TYP COMPOSITE ROOF, TYP. i\i *#iR __ w►►R►'-# #@ wsaPi1- i1 .\iiMiR iAi ► i1i lw i i iw iw :l i W ir i r i ii *wW ii i i #i� MWi�ii � \RMi i Aii i W R iiiir►�iiiiii � i iiri! i iiM MM se * w *f*sou mof o i Wks i � iloommMsa *solos � Iii 000i so* sow o so w *sou M l 0001 i �ii�ii NMI ii>M>i1iii iMMiM>iiiMiMiiiiiiiiii iiiiiiiiiiiMii iii0i 1 1000 00i00i i 0000000 p000000 MM 0000 i 000 i� Mi i Ii i i i i i � i i i i i ********iii�M ii �M Ow*iii *i *i i W i�i*i>i* iiiiiiiiii�ii i ii ii iiiii*iieii*iiiiiiii *ii �iii� *i *iii0ii * * * ** *iii *ii0000000000ii00ii *ii* *iii * *i * *ii ** *iii *iii *ii* *iii * *ii0i *i *iii *i * * * *ii *iiia *i * *iiii* SIDING, T1'P 3m -16 SLIDER WEST n II t V4110\ SCALE: 1/4" = 11 -0" PROPOSED I5EDROOM REMODEL. COMPOSITE ROOF, TYP. PROPOSED 5EDRDOH REMODEL. SIDING, TYP CONC. FOOTING TYP vAT I CN REVIEVVED FOR CODE COMPLIANCE SEP 0 7 20110 City of Tukwila BUILDING DIVIRinm faxr.tftelo.: 11AY 0122011 LANCE RESIDENCE - BEDROOM REMODEL =ALE. AS SHOWN DATE AUG 2010 DRAWN BYF BLT ALLENTOWN ADD & POR VAC ST ADJ DRAWING NUMBER 12257 51ST PL S TUKWILA, WASHINGTON 98178 4 of 5 NEW 2XS VERTICAL LEDGER, MATCH EXISTING (TREATED) 2X6 RAFTERS 16" O.C. (TO REMAIN) NEW 2X4 FLOOR LEDGER (TREATED), ANCHORED 6 4 " O:C., TYP. CON(. FOOTING NEW 4X6 HEADER 36" X 48" WINDOW OPENING NEW 2X4 STUD FRAMING (MATC1 -4 EXIST), TYP NEW 1/2" SHEATHING 4 SIDING, TYP ceps \ci9 NEW 2XS VERTICAL LEDGER, MATCH EXISTING (TREATED) NEW 2X4 FLOOR LEDGER (TREATED), 'a ANCHORED / •.(l V /At ��Iy . 4" O.C., T1'P. " NEW 2XS FLOOR JOISTS 6 16 " O.G., TYP 7— NEW (2) a /e." PLYWOOD NEW 6 MIL. VAPOR HARRIER, TYP SECTION A =A 1 EXISTING FOOTING =1 1 SCALE: 1/2" = GARAGE 2X6 RAFTERS 6 16" O.C. (TO REMAIN) REVIEWED FOR CODE COMPLIANCE APPRIlVFD SP 0 7 201u I\G F1 4\ 2X6 5LOCKING INSTALLED TO ALLOW FOR PROPER FACIA VENTING NEW 4 - ADER NEW 2X4 STUD FRAMING (MATCH EXIST), TYP NEW 2X4 FLOOR LEDGER (TREATED), ANCHORED 6 4" O.G., TYP. NEW 1/2" SHEATHING 4 SIDING, TYP NEW 2XS VERTICAL LEDGER, MATCH EXISTING (TREATED) ALL ELECTRICAL WIRING AND OUTLETS TO BE REPLACED AND SHALL MEET OR EXCEED WASHINGTON STATE ELECTRICAL CODE. NEW 6 MIL. VAPOR BARRIER, TYP s ALL STRUCTURAL CONNECTIONS TO SE OF SIMPSON ENGINEERED QUALITY W/ 'ROPER FASTENERS EXISTING FOOTING 1 1 I L 1 _1 1 L _L CTIO\ 5= SCALE: 1/2" = 1' -0" 1 1 I 1 1 1 1 1 1 1 1 1 1 LANCE RESIDENCE - BEDROOM REMODEL scws. AS SHOWN DATE AUG 2010 SECTIONS AND DETAILS DRAWN em BLT ALLENTOWN ADD & POR VAC ST ADJ 12257 51ST PL S TUKWILA, WASHINGTON 98178 DRAWNO NUMBER 5 of 5