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HomeMy WebLinkAboutPermit D11-083 - COMPUTER CARE - TENANT IMPROVEMENT8Oi i Q Ad}EUNLTDllLLf1OS gTTLT 21}IVD }I2IJX1dJAtOD City olPTukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us DEVELOPMENT PERMIT Parcel No.: 2623049069 Address: 17115 SOUTHCENTER PY TUICW Suite No: Project Name: COMPUTER CARE Permit Number: D11 -083 Issue Date: 04/20/2011 Permit Expires On: 10/17/2011 Owner: Name: CENTER PL SHOPPING CTR LLC Address: C/0 THOMSON REUTERS PTS , 2235 FARADAY AVE SUITE 0 92008 Contact Person: Name: MOHAMED LAHLOU Address: 1222 BRONSON WY N, SUITE 100 , RENTON WA 98057 Contractor: Name: OWNDER AFFIDAVIT - MOHAMED LAHLOU Address: , Contractor License No: Phone: 206 - 953 -2311 Phone: Expiration Date: DESCRIPTION OF WORK: BUILD NON - STRUCTURAL DIVIDING WALL. 2 X 6 X 9'9" FROM FLOOR TO TILE CEILING. INCLUDE ONE 3' DOOR. 1/8" CABLE WIRE FROM TOP OF WALL TO RAFTERS ABOVE TILE CEILING, 45 DEGREE ANGLE 8 FT ON CENTER. 2 X 6 24" OC 5/8 SHEET ROCK. ADD ONE FREE STANDING HELP DESK. BUILD WORK BENCH AGAINST WALL IN REPAIR AREA. Value of Construction: $2,500.00 Fees Collected: $243.92 Type of Fire Protection: SPRINKLERS International Building Code Edition: 2009 Type of Construction: Occupancy per IBC: 0019 Electrical Service Provided by: * *continued on next page ** doc: IBC -7/10 D11-083 Printed: 04 -20 -2011 • Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving Oversize Load: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Permit Center Authorized Signature: I hereby certify that I have read an governing this work will be compli N N N • Number: 0 Size (Inches): 0 Start Time: Volumes: Cut 0 c.y. End Time: Fill 0 c.y. Start Time: End Time: Private: Profit: N Private: Date: Public: Non - Profit: N Public: oq7/01(ii "ned this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not construction or the performance of wor to this permit. e to give authority to violate or cancel the provisions of any other state or local laws regulating thorized to sign and obtain this development permit and agree to the conditions attached Signature: Print Name: Rio ADM P c)2,7(SC9-c" 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. PERMIT CONDITIONS: 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: Partition walls that are tied to the ceiling and all partitions greater than 6 feet in height shall be laterally braced to the building structure. 6: 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. doc: IBC -7/10 D11-083 Printed: 04 -20 -2011 7: Remove all demolition rubble and loose cellaneous material from lot or parcel of gro properly cap the sanitary sewer connections, and properly fill or oth e protect all basements, cellars, septic t lls, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 8: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 10: 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. 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. 12: ** *FIRE DEPARTMENT CONDITIONS * ** 13: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 14: The total number of fire extinguishers required for an ordinary hazard occupancy with Class A fire hazards is calculated at one extinguisher for each 1,500 sq. ft. of area. The extinguisher(s) should be of the "All Purpose" (2A, 20B:C) dry chemical type. Travel distance to any fire extinguisher must be 75' or less. (IFC 906.3) (NFPA 10, 3 -2.1) 15: Portable fire extinguishers, not housed in cabinets, shall be installed on the hangers or brackets supplied. Hangers or brackets shall be securely anchored to the mounting surface in accordance with the manufacturer's installation instructions. Portable fire extinguishers having a gross weight not exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 5 feet (1524 mm) above the floor. Hand -held portable fire extinguishers having a gross weight exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 3.5 feet (1067 mm) above the floor. The clearance between the floor and the bottom of the installed hand -held extinguishers shall not be less than 4 inches (102 mm). (IFC 906.7 and IFC 906.9) 16: Fire extinguishers shall not be obstructed or obscured from view. In rooms or areas in which visual obstruction cannot be completely avoided, means shall be provided to indicate the locations of the extinguishers. (IFC 906.6) 17: Extinguishers shall be located in conspicuous locations where they will be readily accessible and immediately available for use. These locations shall be along normal paths of travel, unless the fire code official determines that the hazard posed indicates the need for placement away from normal paths of travel. (IFC 906.5) 18: Fire extinguishers require monthly and yearly inspections. They must have a tag or label securely attached that indicates the month and year that the inspection was performed and shall identify the company or person performing the service. Every six years stored pressure extinguishers shall be emptied and subjected to the applicable recharge procedures. If the required monthly and yearly inspections of the fire extinguisher(s) are not accomplished or the inspection tag is not completed, a reputable fire extinguisher service company will be required to conduct these required surveys. (NFPA 10, 4 -3, 4 -4) 19: Egress doors shall be readily openable from the egress side without the use of a key or special knowledge or effort. (IFC 1008.1.8.3 subsection 2.2) 20: Dead bolts are not allowed on auxiliary exit doors unless the dead bolt is automatically retracted when the door handle is engaged from inside the tenant space. (IFC Chapter 10) 21: Door handles, pulls, latches, locks and other operating devices on doors required to be accessible by Chapter 11 of the International Building Code shall not require tight grasping, tight pinching or twisting of the wrist to operate. (IFC 1008.1.8.1) 22: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10) 23: Aisles leading to required exits shall be provided from all portions of the building and the required width of the aisles shall be unobstructed. (IFC 1013.4) 24: Maintain sprinkler coverage per N.F.P.A. 13. Addition/relocation of walls, closets or partitions may require relocating and/or adding sprinlder heads. (IFC 901.4) 25: Sprinklers shall be installed under fixed obstructions over 4 feet (1.2 m) wide such as ducts, decks, open grate doc: IBC -7/10 D11 -083 Printed: 04 -20 -2011 flooring, cutting tables, shelves and overhe ors. (NFPA 13- 8.6.5.3.3) 26: All new sprinkler systems and all modifications to existing sprinkler systems shall have fi department review and approval of drawings prior to installation or modification. New sprinkler systems and all modifications to sprinkler systems involving more than 50 heads shall have the written approval of Factory Mutual or any fire protection engineer licensed by the State of Washington and approved by the Fire Marshal prior to submittal to the Tukwila Fire Prevention Bureau. No sprinter work shall commence without approved drawings. (City Ordinance No. 2050). 27: An approved manual fire alarm system including audible /visual devices and manual pull stations is required for this project. The fire alarm system shall meet the requirements of Americans With Disabilities' Act (I.B.C.), N.F.P.A. 72 and the City of Tukwila Ordinance #2051. 28: Maintain fire alarm system audible /visual notification. Addition/relocation of walls or partitions may require relocation and/or addition of audible /visual notification devices. (City Ordinance #2051) 29: All new fire alarm systems or modifications to existing systems shall have the written approval of The Tukwila Fire Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #2051) (IFC 104.2) 30: An electrical permit from the City of Tukwila Building Department Permit Center (206- 431 -3670) is required for this project. 31: The maximum flame spread class of finish materials used on interior walls and ceilings shall not exceed that set forth in Table No. 803.5 of the International Building Code. 32: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2050 and #2051) 33: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 34: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575 -4407. doc: IBC -7/10 D11 -083 Printed: 04 -20 -2011 CITY OF TUKVA Community Devel ent Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Building PerlipNo. S3 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 /� n King Co Assessor's Tax No.: 2,21044 -'" 'LO (P 9 Site Address: I �- 1 1 c S Ci/l'" t/`ev 1' ao%{4 t ' J gd Suite Number: Floor: Tenant Name: l� ►1, ri ..e( CaA P - 1 New Tenant: 'Yes ❑ .. No V Property Owners Name: C nfs-p 1 ' Peal ,e • Mailing Address: 0.115 564—CFA Ge'v1'Py- 9 City State Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Name: M ©'KONA � d,GL RE )64..k Day Telephone: 106 — .,' x,2,3 � Mailing Address: /�! �2 1 S vU «� V n /op • Re A,i-x vi w A- '1 tz 0''7 City i 1p State E-Mail Address: (rWpayyle4e9 CO e jeraney „G,IAA Fax Number: I4 < £Q) L (Oict GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name:��0. Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: State Zip Expiration Date: ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Contact Person: E -Mail Address: State Zip ENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Contact Person: E -Mail Address: H:\Applications \Forms - Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: 7 -2010 bh State Zip Page 1 of 6 BUILDING PERMIT INFORMATION — 206 -431 -3670 Valuation of Project (contractor's bid pr., $ 25'66") Existing lding Valuation: $ Scope of Work (please provide detailed information): 1. 16//IDhe 5-f '4/a / fi✓tc.li LJa l / (, . 4 j . 7 -gay., -Poor- 4a lilt egt (r rj ' ru de o ttt_ .? a d0O :1 r66,4 wilt -Prof.i 4p Lt, 61(s /We is 4 !we__ 4& c�e�jjtlUn /-C°111,56/-C°111,56_ 01) 0/( 4r-. 2; 27 11 (i ' s rock. A one. re SwS - L k iR 6c.) l,AOrk 6..incin tj4 f 5 - ln.ht I slt.& re_prti r 4 . 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 dwellin *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) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No No If 'yes', attach list of materials and storage locations on a separate 8-1/2" x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H: 1Application5'Forms- Applications On Line12010 Applications17.2010 - Permit Application.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 1' Floor /f ��j - Ahl /' , hi4ri r wait 2"d Floor , ^� /�/ 3rd Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwellin *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) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No No If 'yes', attach list of materials and storage locations on a separate 8-1/2" x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H: 1Application5'Forms- Applications On Line12010 Applications17.2010 - Permit Application.doc Revised: 7 -2010 bh Page 2 of 6 1 PERMIT APPLICATION NOTES - illicable to all permits in this application I 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 AUT Signature: Print Name: ENT: I 4, „., Iravo..0 Mailing Address: Lts.2) t & Day Telephone: 14 U e 3 CtA City Date: ©Li -O► — I1 0X-as3 -L M+ Iv of.g u 6 State Zip Date Application Accepted: Date Application Expires: to— (19-4 I Staff Initials: L'14:! H:\ Applications Worms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: 7 -2010 bh Page 6 of 6 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 RECEIPT Parcel No.: 2623049069 Permit Number: D11 -083 Address: 17115 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 04/06/2011 Applicant: COMPUTER CARE Issue Date: Receipt No.: R11 -00653 Initials: User ID: WER 1655 Payment Amount: $243.92 Payment Date: 04/06/2011 08:58 AM Balance: $0.00 Payee: LANCE DUNSMOOR TRANSACTION LIST: Type Method Descriptio Amount Payment Check 4727 243.92 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - NONRES PLAN CHECK - NONRES STATE BUILDING SURCHARGE 000.322.100 000.345.830 640.237.114 Total: $243.92 145.10 94.32 4.50 doc: Receiot -06 Printed: 04 -06 -2011 • Z, -L. • `..". .''%"7` • INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. ( CITY OF TUKWILA BUILDING DIVISION • 6300 Southcenter Blvd., #100, Tukwila. WA 98188 IP— (206) 431.:3670 Permit Inspection Request Line (206) 431-2451 PrAect: Type ofspectA i cefp: k j Address: 1 1 k 1 > n Date Called 1.:.Y3A l a Special Instructions: ",- Z / V Date Wanted:' — 5 cl..L.M... Requester: Phone No ErApproved per applicable codes. Corrections required prior to approval. G-- COMMENTS: P fr- Kpkg-e okA....c> Ins per: A.,...9 n REINSPECTION FEE RE IRED. Prior to next inspection. RE fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Date:5 2S- 1( I; 4 • • • INSPECTION RECORD Retain a copy with permit ‘• 4• / -?; INSPECTION NO. PERMIT NO. C.: CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 43 AA 1-3670 Permit Inspection Request Line (206) 431-2451 Project: ( (...-, A-■ (LTC,/ I C-Af f Type of Inspection: \ fy A-uuk . A 6, Address: r1 k3 .5 _5 -(... pAr frotki Date Called: Special Instructions: -. I C„.... / Date Wanted: _:...... .31:1- a.m. i ?.. )(-1"17 Requester: 0/1 f2-27-(( Phone No: 1/0 G - S3 -2,31f pproved per applicable codes. Corrections required prior to approval. COMMENTS: K 4garcs) L-00v- tit-i A--M kJ/ cb, 0.eir n r PC.. . R , A \-, N‘, . - ........—.. t 1 1 Inspect r: •••••••.... Date: —(g REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. ^1Allitmligtngsdeb—nse. INSPECTION RECORD Retain a copy with permit INSPECTIO NO. PERMIT NO. 114.- &"3 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Proielt: C.<0 kpUfef CA 11'. Type of Inspection: 3u$ - W /.....:-‘ 6. Address: ' ( 1 r ( S- Sc. p Date di p ---r\--) ,\,5 P :71------ it) r ill r-e &fork/7 Special Instructions: Date Wanted4_ / a.m. P.m. c., Requester: IP Phone No 7,t.0 a 1 -53 -1311 EjApproved per applicable codes. Corrections required prior to approval. COMMENTS: • .--N\-te--e ski Cr 1E0 cic d-ii--- a "k OA e s) di e -ND i‘ i•ts _IP 71 el.. p ---r\--) ,\,5 P :71------ it) r ill r-e &fork/7 e R) ice -5 cike-L i e _ -7-0 .'/w)e_,..14- c., ris*' sr-7, Si LJ 4-y IP o J os cseA41,4 ce---: 1 ,\q 8,e ciLc-J-e A- Ar_e_Ar m _Ge p-ef-duin— Lce.4 (A.1/ ,-/--e t-.-?3) po lLe.--.43-e_diAxte I 6 /k :Cern 5110 r ; A4ctex_f il.ppit Ins ector: Date:4 F-7 REINSPECTION FEE REQUIRED Prior to next inspe paid at 6300 Southcenter Blvd.. S ite 100. Call t tor OarigrAtetteivaer.._ _ J INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit c, 3 PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206 - 575 -440 Project: Type of Inspection: Address: Suite #: /7 /)3— S - P4accs -/ Contact Person: /�o 1%4 1•1 Nfte411 Special Instructions: / Phone No.: Approved per applicable codes. Corrections required prior to approval. COMMENTS: F 4 ©k /A) SSV/< 4 cl d C, ►- ve- I of Needs Shift Inspection: ( Sprinklers: y Fire Alarm: N Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: Date: S -3� i 1 Hrs.: / $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. Billing Address Attn: Company Name: Address: City: State: Word /Inspection Record Form.Doc 6/11/10 Zip: T.F.D. Form F.P. 113 • PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D11 -083 DATE: 04 -06 -11 PROJECT NAME: COMPUTER CARE SITE ADDRESS: 17115 SOUTHCENTER PY X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: 45. uildng AttICj vision VI Public Works 1 I ' Fire Prevention Structural ��— A)/4 Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete ❑ DUE DATE: 04-07-11 Not Applicable Comments: 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: No further Review Required DATE: APPROVALS OR CORRECTIONS: Approved Notation: n Approved with Conditions DUE DATE: 05 -05 -11 Not Approved (attach comments) ❑ REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents /routing slip.doc 2 -28 -02 i CITY OF T UKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 4.31 -3670 FAX (206) 431 -3665 E -mail: tukplan(a ci.tukwila.wa.u4 Permit Center /Building Division 206 431 -3670 Public Works Department 206 433-0179 Planning Division 206 431 -367o AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON) ) ss. [please print name] COUNTY OF KING d�a , states as follows: PERMIT NO: 1) 1, I -083 1. I have made application for a permit from the City of Tukwila, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. I understand that prior to issuance of a permit for work which is to be 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 u fiez1tate law in any decision to engage an unregistered contractor to perform construction work. jp. .4661047141V- :70 ,4° 7A< 'y s :11 114 -„141.48,04 Owner /O is Agent* Signed and sworn to before me this //' 62 day of .20/ (. PUBLIC in and for the State of Washington Residing at , County Name as commissioned: v% t° 19-1//C° My commission expires: 05-019 18,27.090 Exemptions, The regi.ion provisions of this chapter do not apply by a registered contractor; 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 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 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. An 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 exemption& FILE COPY Permit NO. Pi?r+ review approval is subject to errors and omissions. 1,: c oral of construction documents does not authorize ti;'.: _ fon of any adopted • e or • ndinance. Receipt n' approved Field Copy -ai .. , ,41' . ,weed: BY Date, to Z— - 11 City Ofl)ikwita BUILDING DIVISION Center Place Shopping Center Pinnacle Realty Management Co. Oil 1 i Pk'Dt e,1c Suite 1711.5 Computer Care j\h.w vulotu, REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. WOTZ: Revisions Will require a new plan submittal and may include additional plan review fees. wi .5 ) r si%s-t-It As (Q / NEW LL. rioar- Capes E- 4(00 spv SEPARATE PERMIT REQUIRED FOR: l3 Mechanicai (electrical (Plumbing i_ as Piping City of Tukwila El • • '" DIVISION 07-QAv\Y REVIEWED FOR CODE COMPLIAiC' APR lc) 2u11 4 s- `A' City of Tukwila RUILDItP nnimInm ..sU 6wNY