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HomeMy WebLinkAboutPermit D06-328 - Shaffer Residence - DecksSHAFFER RESIDENCE 14404 57 AV S D06 -328 Parcel No.: 3365900580 Address: 14404 57 AV S TUKW Suite No: doc: IBC - PERMIT City &Tukwila Tenant: Name: SHAFFER RESIDENCE Address: 14404 57 AV S, TUKW ILA WA Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: cttukwila.wa.us Owner: Name: HANSON EVERETT Address: 14404 57TH S, SEATTLE WA, 98168 Phone: Contact Person: Name: PAUL A SHAFFER Address' 14404 57 AV S, TUKW ILA WA, 98168 Phone: 206 218 -2248 Contractor: Name: OWNER AFFIDAVIT - PAUL A. SHAFFER Address: , Phone: Contractor License No: DEVELOPMENT PERMIT DESCRIPTION OF WORK: CONSTRUCTION OF 96 SF COVERED AND 192 SF UNCOVERED DECK. "continued on next page** Expiration Date: Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: D06 -328 Issue Date: 09/20/2006 Permit Expires On: 03/19/2007 Value of Construction: $8,000.00 Fees Collected: $317.77 Type of Fire Protection: International Building Code Edition: 2003 Type of Construction: VB Occupancy per IBC: 0022 006 -328 Printed: 09- 20-2006 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N City o'Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: N Hauling: N Start Time: End Time: Land Altering: N Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: N Moving Oversize Load: N Start Time: End Time: Sanitary Side Sewer: N Sewer Main Extension: N Private: Public: Storm Drainage: N Street Use: N Profit: N Non - Profit: N Water Main Extension: N Private: Public: Water Meter: N doc: IBC-PERMIT Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: D06 -328 Issue Date: 09/2012006 Permit Expires On: 03/19/2007 Permit Center Authorized Signature: Mtn 1 JIA0V4/10J1. Date: M 1 WO/ I hereby certify that I have read and a in d is permit and know the same to be true and correct. All provisions of law and ordinances goveming this work will b mp with, whether specified herein or not. The granting of this permit does t presume to give authority to violate or cancel the provisions of any other state or local laws regulating constyycp or rformance of work. I am authorized to sign and obtain this development permit. Signature: / / - Date: 2n ly n 06 Print Name: / fi0/ A. 4 ,✓1- 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. D06 -328 Printed: 09-20 -2006 Parcel No.: 3365900580 Address: 14404 57 AV S TUKW Suite No: Tenant: SHAFFER RESIDENCE City' Tukwila 1: ***BUILDING DEPARTMENT CONDITIONS * ** doc: Conditions Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us PERMIT CONDITIONS * *continued on next page** Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: D06 -328 Status: ISSUED Applied Date: 08/25/2006 Issue Date: 09/20/2006 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All 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. 4: 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. 5: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any requirements for special inspection. 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 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. 10: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (206/248- 6630). 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. D06 -328 Printed: 09 -20 -2006 I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: &J l A • aerie Q doc: Conditions City the Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us Steven M. Mullet, Mayor Steve Lancaster, Director Date: 70 sep 86 D06 -328 Printed: 09 -20 -2006 CITY OF TUKWILA_ Community Developmet. epartment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted hrough the mail or by fax. * *Please Print ** Site Address: i 4- O y 52 Ave 5 . Tenant Name: Property Owners Name: At/ / A . 51,41 Mailing Address: / /O 4 S Ave S Name: 21.11 A . h4FcG2 Mailing Address: N%/1 5 / "-' A 5 E -Mail Address: km, L.• SNu fsCRe 5 M A )1. corn Contact Person: PA U 1 /a Sha ?rec. E -Mail Address: Contractor Registration Number: Contact Person: E -Mail Address: Contact Person: E -Mail Address: Q:'ApplicationsWonoe- Application. On LineU -2006 - Permit Appliation.doc Revised: 0 -2006 bh Building Per No. Triter 39-Er Mechanical PezmitNo, Plumbing/Gas Permit No Public Works Permit No Project No. (ForoQice use only) King Co Assessor's Tax No.: Suite Number: ebt/W4 City Floor: New Tenant: 0 .... Yes 0 ..No State Zip Day Telephone: 204 1R 221 - 7frew; IA (A1A City Fax Number: (Contractor lntbrmatinn torMephanical (pg, bit Plumbing and Gas in (pg Company Name: OA) /46e— Mailing Address: City Day Telephone: Fax Number: Expiration Date: State State Company Name: OW i`J € Mailing Address: State State Zip Zip City Day Telephone: Fax Number: Company Name: Mailing Address: Zip City Day Telephone: Fax Number: Page 1 of 6 Valuation of Project (contractor's bid price): $ 0) 000 Scope of Work (please provide detailed information): Existing Building Valuation: S Will there be new rack storage? ❑ .. Yes ❑.. No (If yes, a separate permit and plan submittal will be required) rovide All Building Areas in Square Footage 2°° Floor Floor Floors Basement Accessory Attached Garage Detached Garage Attached Caspoeug Detached Carport Covered Deck Uncovered Deck Existing 16 192 Interior Remodel Addition to Existing ' Structure New Type of£ Construction per IBC ' PLANNING DIVISION: Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling: *Provide documentation that shows that the principal 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 PROTECTIONIHAZARDOUS MATERIALS: 0.. 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 indicating quantities and Material Safety Data Sheets. SEPTIC SYSTEM: 0 On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q Upplicntioas\Potnu- Applications On Line'3 -2006 - Permit A.pliation.doc Revised: 4-2006 bh Page 2 of 6 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and/or water treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas Additional medical gas inlets/outlets — six or more PLUMPINNG AND GAS PIPING "EMT INFORMATION -206431-'470 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Day Telephone: Fax Number: Expiration Date: Contact Person: E -Mail Address: Contractor Registration Number: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Q: ApplicationsWattne- Application On Lint \3 -2106 - Permit Application.doc Revised: 42006 bb Page 5 of 6 Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING O ti EcO A HjdRJL AGENT: Signature: A J / V� � � � / � / / Print Name: 14'J A4 `) i ' ? ' -c FTP,A• Mailing Address: (Cfc jpy 67 Tin Ave C. I Date Application Accepted: OF A Q:'ApplicationetFotmsApplications On Lin,V -2006 -Permit Application doc Revised. 42006 bh Date: ?/2- j /`Jcnse Day Telephone:2O6 21g - 295-ig City State Zip Date Application E7cpires: a ss Staff Initials: tei Page 6 of 6 1 ACCOUNT ITEM LIST: Description Current Pmts doc: Receipt Tukwila City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 3365900580 Address: 14404 57 AV S TUKW Suite No: Applicant: SHAFFER RESIDENCE Payee: PAUL A. SHAFFER TRANSACTION LIST: Type Method Description Amount BUILDING - RES PLAN CHECK - NONRES PLAN CHECK - RES STATE BUILDING SURCHARGE 000/322.100 000/345.830 000/345.830 000/386.904 RECEIPT Account Code Permit Number: D06 -328 Status: APPROVED Applied Date: 08/25/2006 Issue Date: Receipt No.: R06 -01478 Payment Amount: 194.36 Initials: JEM Payment Date: 09/20/2006 04:48 PM User ID: 1632 Balance: $0.00 Payment Check 116 194.36 RD Pmts Re -Dist .00 189.86 - 123.41 123.41 4.50 Total: 194.36 9972 09/21 9716 TOTAL 194.36 Printed: 09 -20 -2006 ACCOUNT ITEM LIST: Description Current Pmts City of t'ukwila Receipt No.: R06 -01347 Payment Amount: 123.41 Initials: LAW Payment Date: 08/25/2006 02:17 PM User ID: 1632 Balance: $194.36 Payee: PAUL SHAFFER 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 3365900580 Permit Number: D06-328 Address: 14404 57 AV S TUKW Status: PENDING Suite No: Applied Date: 08/25/2006 Applicant: SCAFFER RESIDENCE Issue Date: TRANSACTION LIST: Type Method Description Amount Payment Check 115 123.41 PLAN CHECK - NONRES RECEIPT Account Code 000/345.830 123.41 Total: 123.41 9043 08/25 9710 TOTAL 123.41 doc: Receipt Printed: 06-25 -2006 Project: 5M/9i; 7 le ?P .. Type of Inspection: ciwa/ Address: /'/vy5 /"qv 5 Date Called: Special Instructions: Date Wanted: Ca'.m., //— A/ P.m. Requester: Phone No: a o6 - 2 /8 -22tP INSPECTION RECORD Retain a copy with permit INSPE N NO. PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431.367 1�(l Approved per applicable codes. COMMENTS: El Corrections required prior to approval. I nspec . . n f $ .NSPECTION EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Project : .4040424 . Type of Inspection: 2-0/ /�'Y� Address: /y y© ` 1 ;S7 •i S. Date Called: Special Instructions: Date Want �/� iP i Requester: Phone No c- ?- zahrt3 INSPECTION RECORD Retain a copy with permit INSP ION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 El Approved per applicable codes. "•••�.' ��''! Corrections required prior to approval. COMMENTS: ( /vi a Liz ,4) vet ,'( co,Ab , '�-- -I cc, 7 i"; . fi grid M% m hone 2-04- 26 4' 246 -,*974-603f3 7 016 l,s % /. Inspector: 'l L /f eh'► IDate:/n_ w o ri $58.00 REINSPECTIONfEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: Projectc // (7/444 rC Type of In,sp coon: '1 C?�ln�h Date Called: Address: / g7 A S Special Instructions: Date Wanted: a.m. Requester: Phone No: y INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PE MIT NO. 2Q6)431 -3670 v p proved per applicable codes. n Corrections required prior to approval. COMMENTS: GMAII ,/� yr l./le, .4 11, r✓tie/ �Ll /A/� O/J -7�� 9�• // /.4 s'e, j ri $58.00 REINSPECTION FEE R(QUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Project: ICZ. Type of Inspection: trot • Address: iyya ",A, 4� Date Called: Special Instruction . Date Wanted: .� �/ �m. Requester: Phone No: Approved per applicable codes. ' yl Corrections required prior to app COMMENTS: / /o " d, r /2n A ��i.> r-r 5 - cr t-h.e. 6 Ail u, /t»- y c . A r e __ a i./r4, / 7 " j)-, t S ". ,r "4 " ' a >� 3, CflAt ,in cr °r �r/,61�i1 en, ah` Slob ire sAu :" INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 .11 PERMIT NO. 06)431-3670 El roval. /i /_ $58.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Project: / tSh q ��+,, Type of Inspection: 2-O / ,Can 7 � Address: PAWL/-S7 Al So Date Called: J Special Instructions: Date Wanted:: ' ^ ��/ (V' 2z2-a; a.m. P.m. Requester: Phone No: INSPECTION NO. INSPECTION RECORD Retain a copy with permit PER CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 431 -3670 D Approved per applicable codes. COMMENTS: M c c, co/ rikreAt Corrections required prior to approval. E $58.00 REINSPECTION( EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: �.... Pro'esct: /� hik�t�� Rees • Type of Inspection: o S/- sq - li'vy Address: /yyo 9 57 gv e S Date Called: / Special Instructions: Date Wanted: a m. 9 -2 G —d G (p.m.. Requester: Phone No: 076 6 — .2/R - -224/ INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PER (206)431 - 36$0 I1QApproved per applicable c odes. ❑ Corrections required prior to approval. COMMENTS: D na-z L -dG .00 REINSPECTION EE REQUIR . Prior to inspection, fee must be id at 6300 Southcenter Blvd., S 100. Call to sechedute reinspection. eceipt No.: (Date: August 30, 2006 Paul A. Shaffer 14404 57 Av S Tukwila WA 98168 RE: Letter of Incomplete Application # 1 Development Permit Application D06 -328 Shaffer Residence — 14404 57 Av S Dear Mr. Shaffer: This letter is to inform you that your permit application received at the City of Tukwila Permit Center on August 25, 2006 is determined to be incomplete. Before your application can continue the plan review process the attached items from the following department needs to be addressed: Planning Department: Brandon Miles, at 206 431-3684, if you have any questions concerning the attached comments. Please address the comment above in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that four (4) sets of revised plans, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal a `Revision Submittal Sheet' must accompany every resubmittal.. I have enclosed one for your convenience. Revisions must be made in person and will not be accented through the mail or by a messenger service. If you have any questions, please contact me at the Permit Center at (206) 433 -7165. Sincerely Enclosures File: D06 -328 AtAdAgY rshal ictan P:Uennifer\lncomplete Letters\2006\D06 -328 incomplete LO 81.DOC jem City of Tukwila YY 6la Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 DATE: CONTACT: RE: ADDRESS: ZONING: August 29, 2006 Paul Shaffer D06 -328 14404 57 Ave S. LDR PLANNING DIVISION COMMENTS The Planning Division of DCD has reviewed the above permit application. The application is incomplete. 1. Show the rear property line on the site map. Provide the distance from the proposed deck to the rear property line. PERMIT COORD COPY REVIEW /ROUTING SLIP ACTIVITY NUMBER: D06 -328 DATE: 09 -05 -06 PROJECT NAME: SHAFFER RESIDENCE SITE ADDRESS: 14404 57 AV S Original Plan Submittal X Response to Incomplete Letter # 1 Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Build :i Division Public Works 1 c Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete ❑ 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 Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved ❑ Notation: REVIEWER'S INITIALS: Documents/routing slip.doc 2 -2802 DATE: DATE: glA � 1 -1) -ob Pinning Division LA Permit Coordinator ❑ DUE DATE: 09-07 -06 Not Applicable ❑ No further Review Required DUE DATE: 10-05-06 Approved with Conditions Not Approved (attach comments) ❑ Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ACTIVITY NUMBER: D06 -328 DATE: 08 -25 -06 PROJECT NAME: SHAFFER RESIDENCE SITE ADDRESS: 14404 57 AV S X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: Building Division Fire Prevention jJ Public Works Structural 0 ! lu, �- rlltl DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: TUES/THURS ROUTING: Please Route ❑ Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -29-02 �.: PERMIT COORu WRY �. PLAN REVIEW /ROUTING SLIP Incomplete os(AIcut 611 NA. e 1e LETTER OF COMPLETENESS MAILED: No further Review Required DATE: DATE: Permit Coordinator &Fat 0-24-ate Planning Division 71 Not Applicable DUE DATE: 08-29-06 Departments determined incomplete: Bldg ❑ Fire ❑ Ping" PW ❑ Staff Initials: DUE DATE: 09-26-06 Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Project Name: Shaffer Residence Project Address: 14404 57 Av S Contact Person: avi RQ Received at the City of Tukwila Permit Center by: Entered in Permits Plus on lI� tA \applicationsV'otms- applications on line\revision submittal Created: 8 -13 -2004 Revised: 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.tulcwila.wa.us Steven M Mullet, Mayor Steve Lancaster, Director 1 REVISION SUBMITTAL 1 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 5 Sep 0 Plan Check/Permit Number: DO6-328 ® Response to Incomplete Letter # 1 ❑ Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner CITY TUOF � SEP 0 5 2006 PERMIT CENTER Phone Number: 206 - 21/ ' 22y7 Summary of Revision: 4[ Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 STATE OF WASHINGTON) COUNTY OF KING ) AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION S S. [please print] 1. I have made application for a building permit from the City of Tukwila, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. I understand that prior to issuance of a building permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, l hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized under this building permit to be exempt under No. 13 and will therefore not be performed by a registered contractor. I understand that I may be waiving certain rights that I might otherw e =v / nder state law in any decision to engage an unregistered contractor to perform construction work. tapplications\B -2004 affidavit in lieu of contractor registration APPLICANT Soir PERMIT NO.: , states as follows: Permit Center /Building Division: 206 -431 -3670 Public Works Department: 206 -433 -0179 Planning Division: 206 -431 -3670 Signed and sworn to before me this ZOth day of Spie , 2(06. (.G • 4F.4t.t NOTARY PUBLIC in and for theState of Washington, Residing at hinni ^ l�, County. A Name as commissioned: Alice A. .Deacy My commission expires: 6 16-03 18.27.090 Exemptions. This chapter shall not apply to: 1. 2. An authorized representative of the United States Government, the State of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district or other municipal or political corporation or subdivision of this state; 3. Officers of the court when they are acting within the scope of their office; 4. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 5. Any construction, repair or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, or other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 6. The sale or installation of any finished products, materials, or articles of merchandise which are not actually fabricated into and do not become a permanent fused part of the structure; 7. Any construction, alteration, improvement or repair of personal property, except this chapter shall apply to all mobile, manufactured housing. A mobile/manufactured home may be installed, set up, or repaired by the registered or legal owner, by a contractor licensed under this chapter, or by a mobile/manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW; 8. Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 9. Any person who only furnished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor, 10. Any work or operation on one undertaking or project by one or more contractors, the aggregate contract price of which for labor and materials and all other items is Tess than $500.00, such work, or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in all instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into ■applicationd8 -2004 affidavit in lieu of contractor registration contracts of amounts less than $500.00 for the purpose of the evasion of this chapter or otherwise. The exemption prescribed in . this subsection does not apply to a person who advertises or puts out any sign or card or other device which might Indicate to the public that he is a contractor, or that he is qualified to engage In the business of contractor, 11. Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, . agriculture, viticulture, horticulture, or stock or poultry raising; or to clearing or other work upon land in rural districts for fire prevention purposes; except then any of the above work Is performed by a registered contractor; 12. An owner who contracts for a project with a registered owner; 13. Any person working on his own property, whether occupied by him or not, and any person working . on his residence, whether owned by him or not but his . exemption shall not apply to any . person otherwise covered by this chapter who constructs an improvement on his own property with the intention and for the purpose of selling the improved property; 14. Owners of commercial properties who use their own employees to do maintenance, repair, and alteration work In upon their own properties; 15. A licensed architect or civil or professional engineer acting solely in his professional capacity, an electrician licensed under the laws of the state of Washington; or a plumber licensed under the laws of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the licensee is operating within the scope of his license; 16. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his sole compensation; 17. Contractors ,fin ; highway :projects who have been prequalified`as;required by chapter 13 of the Laws of 1961, RCW with the department of transportation to .perform ;highway construction, reconstruction, or maintenance work. File: D06- 3z8 35mm Drawing #1 --7 FIE Permit No. MC40 • jj Plan review approval Is subject to errors and omissions, Approval of construction d• . , does not authortm the violation of any a Id • p %.. Z. ordinance• of approved F p y, ••ndituons is adaxrwledgedt BY Date: Za $& city of l%ticwila BUILDING DIVISION SEPARATE PERMIT REQUIRED FOR: G Mediankal i a Plumbing G Gas Piping y of Tukwila BUILDING DIVISION changes shall made to the scope No of wont without prior ip! Tukwila Building NOTE: Revisions will require a new plan submittal and may include additional plan review fees. 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