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Permit D11-215 - POOL RESIDENCE - WALL
POOL RESIDENCE 16018 42 AV S Dl 1 -215 Parcel No.: Address: Suite No: Project Name: City oilkukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Inspection Request Line: 206- 431 -2451 Web site: http: / /www.TukwilaWA.gov 5379800007 16018 42 AV S TUKW POOL RESIDENCE DEVELOPMENT PERMIT Permit Number: Issue Date: Permit Expires On: D11 -215 07/22/2011 01/18/2012 Owner: Name: POOL JOHN P Address: 16018 42ND S , SEATTLE WA 98188 Contact Person: Name: BARBARA POOL Address: PO BOX 68385 , SEATTLE WA 98188 Phone: 206 - 243 -9614 Contractor: Name: OWNER AFFIDAVIT - BARBARA POOL Phone: Address: Contractor License No: Expiration Date: DESCRIPTION OF WORK: BUILD WALL SEPARATING LAUNDRY ROOM FROM THE SHOWER. Value of Construction: $3,500.00 Type of Fire Protection: Type of Construction: V -B Electrical Service Provided by: PUGET SOUND ENERGY Fees Collected: International Building Code Edition: Occupancy per IBC: $275.43 2009 0022 * *continued on next page ** doc: IBC -7/10 D11 -215 Printed: 07 -22 -2011 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: 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: N Number: 0 Size (Inches): 0 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: %` I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: Print Name: Date: 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 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 mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431- 3670). 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: 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 doc: IBC -7/10 D11-215 Printed: 07 -22 -2011 this requirement. ill7: Ventilation is required for all new rooms and spaces of new or existing buildings and shall in conformance with the International Building Code and the Washington State Ventilation and Indoor Air Quality Code. 8: 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). 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: 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. doc: IBC -7/10 D11 -215 Printed: 07 -22 -2011 CITY OF TUK Community Devel 8ment Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Building Pea No. b I t' 44 S Mechanical Permit No. Plumbing/Gas Permit No. G l Q q ! 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 r King Co Assessor's Tax No.. Site Address:I / - 9/f 9"( C� � o Tenant Nnm..._ / 4. Property Owners Name: Mailing Address: Suite Number:_ Floor: New Tenant: 1=1 Yes —B No (2 p H P®oz_ keJ%r State Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Name: ,� r Mailing Address: i a E -Mail Address: d�L Day Telephone: 5-*0 ieJ. Zip City State Fax Number: GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanica) (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: lo ovt Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: City Day Telephone: Fax Number: Expiration Date: State Zip ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E -Mail Address: H:\Applications\For ms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: May 2011 bh City Day Telephone: Fax Number: State Zip Page 1 of 6 BUILDING PERMIT INFORMATION — 206 - 431 -3670 Valuation of Project (contractor's bid price): $ L���Uv Existing Building Valuation: $ 2 S, B�> Scopetof.Work (please provide detailed information): , a / / r✓ cf 1. 1 iQ a, 1 Q F >, 771-14 5'776 Will there be new rack storage? ❑ ....Yes ❑ ..No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If' yes', attach list of materials and storage locations on a separate 8 -1/2 "x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:1Application&Forms- Applications On Line12010 Applications17 -2010 - Permit Application. doc Revised: May 2011 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 2nd Floor 3rd Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ 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 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:1Application&Forms- Applications On Line12010 Applications17 -2010 - Permit Application. doc Revised: May 2011 bh Page 2 of 6 PERMIT APPLICATION NOTES — . icable to all permits in this application • IDate Application Accepted: 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 : L"Signature: P N' P P©o �._ Print Name: Mailing Address: ! ✓ AlVe- Day Telep Date: 2/7,e 1% / one: all 6j4g93 -4-'6,/ 4 City State Zip lam, a /12 d X $T5#9-T7Z. LUf9 4.P Staff Initials: tie Date Application Expires: l I 'd., H:\ Applications\Forms - Applications On Line \2010 Applications \7 -2010 - Permit Application.doc Revised: May 2011 bh Page 6 of 6 1 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 5379800007 Address: 16018 42 AV S TUKW Suite No: Applicant: POOL RESIDENCE RECEIPT Permit Number: D11 -215 Status: APPROVED Applied Date: 07/12/2011 Issue Date: Receipt No.: R11 -01551 Initials: User ID: Payee: WER 1655 Payment Amount: $168.70 Payment Date: 07/22/2011 11:38 AM Balance: $0.00 B H POOL TRANSACTION LIST: Type Method Descriptio Amount Payment Check 7735 168.70 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - RES STATE BUILDING SURCHARGE 000.322.100 164.20 640.237.114 4.50 Total: $168.70 doc: Receiot -06 Printed: 07 -22 -2011 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 SET RECEIPT RECEIPT NO: R11 -01439 Initials: WER Payment Date: 07/12/2011 User ID: 1655 Total Payment: 144.53 Payee: B H POOL SET ID: 071211 SET NAME: POOL SET TRANSACTIONS: Set Member Amount D11 -215 106.73 PG11 -099 37.80 TOTAL: 106.73 TRANSACTION LIST: Type Method Description Amount Payment Check 7731 144.53 TOTAL: 144.53 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - RES 000.345.830 TOTAL: 144.53 144.53 3 INSPECTION NO. INSPECTION RECORD Retain a copy with permit fiL NE1,6 D / / - .7/ 5' PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: POOL dt=S . Type of Inspection: F /N /94 h.??// /r /,.-✓ Z Address: /bb /13 '11 4 V 5 Date Called: Special Inst ctions: Date Wanted:. /D -'c.2 V —// a.m p.m. Requester: Phone No: 0)0 6 -.2 y3 -96/y VIAppr.oved per applicable codes. Corrections required prior to approval. COMMENTS: tb7,41 "7' 6-mp Date: dal Ao y/% ❑ El PECTION FEE REQUIRED. Prior to nTit inspection. fee must be p at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Vt. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Pro' ct: f a ZG / ,, Type of Inspection: r /2 tzA/6 Address: /6.DiR 442 /4v 5 Date Called: Special Instructions: Date Wanted:. ' `v-Z C� _ 1/ p.m. Requester: Phone No: b6,-4,1 4/.3_5-6/4. / Approved per applicable codes. a Corrections required prior to approval. COMMENTS: Inspecto qie REI PECTION FEE REQUIRED. Pri to next inspection, fee must be • p•' at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • Dat INSPECTION NO. INSPECTION RECORD Retain a copy with permit Oft --2-15- PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 to Pro' ct: POUt_. A.e.i t e..c, Type of spectiori: - r6. (A6 Address: itAvIFe dfZ • 44..-- Date Called: . Special- Instructions: Date Wanted, �.Z J tit Requester: Phone No 7.6 6 -, 43 --el (o (4 Approved per applicable codes. orrections required prior to approval. COMMENTS: pIL) .4--‘ A 5 Inspecto te-k-Ael Date: 7 2 r ti. n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection: / 60 -3„,, REVIEWED FOR CODE COMPLIANCE APPROVED JUL 2 0 2011 City of T ila BUILDING r 1. ISION FILE COPY/ Permit No. p\` Plan review approval is subject to errors and omissions. Approval of construction documents does not autlhrr he ;violation of any adopted code or ordinance. Receipt of approved ield Copy and cond T ns i KnowledgtA By Date' /2/2 i City Of Tukwila BUILDING DIVISION 14 SEPARATE PERMIT REQUIRED FOR: Mechanical Electrical Plumbing Gas Piping City of Tukwila BUILDING DIVISION REVISIONS No changes shall be made to the cope of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may include additional plan review fees. RECEIVED JUL 12 2011 PERMIT CENTER P7 PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D11 -215 DATE: 07 -12 -11 PROJECT NAME: POOL RESIDENCE SITE ADDRESS: 16018 42 AV S X Original Plan Submittal _ Response to Correction Letter # Revision # After Permit Issued Response to Incomplete Letter # DEPARTMENTS: Bui ing ���uS bl ic Division ' , r/— -3 4 I A-11A i'ijA (I Fire Prevention Structural cY A)YA Planning Ivislon Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete DUE DATE: 07 -14 -11 Not Applicable n 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 n DATE: APPROVALS OR CORRECTIONS: Approved Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 08 -11 -11 Not Approved (attach comments) DATE: 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) 431 -367o FAX (206) 431 -3665 E -mail: tukplanaci.tukwila.wa.us Permit Center /Building Division 206 431 -3670 Public Works Department 206 433 -0179 Planning Division 206 431 -367o AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO: STATE OF WASHINGTON) ) ss. COUNTY OF KING ) -VG 1 I - Ogg J t3P Qi-41 Fe Do , states as follows: [please print name] 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 requireme 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. %%%%%%%%%%%%%%%% vp %um Owner /Owner's Agent* 6-)7 (,o) - . - Signed and sworn to before me this .o 0 (c.7 day of ■ i , 20 1 1 . 110, Op '.tiu �WP NOTARY PUBLIC in and for the State of Washington Residing at di Oa Name as commissioned: My commission expires: I421I/1 , County e AU//k 18.27.090 Exemptions. The regetion provisions of this chapter do not apply. 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; io. 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; .s 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 et`raiid�electrical contractor's license under chapter i9.28r.RCW j,h '.employs a certified journeyman electrician;tp*Alficd're,i*itial specialty electrician, or an elegtrical trainee meetin t &e requirements of chaptegi9.28 RCW to perform plumbing work that is incidentally, directly, and immediately appropriate to the likezin- kind'.replacemeiit of a household appliance or other sn3all41qusehold:ptilizatio equipment that requires limited electrib•pq'wer,and,,limiled waste and /or water connections.,��A' Velectricaltr'ainee must be supervised by a certified electrician while performing plumbing work. • Per Washington State Department of Labor and Industries, lessee has been interpreted to be equivalent to owner for the purpose of these exemptions.