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HomeMy WebLinkAboutPermit D06-382 - SeaTac Tukwila Inn and Suites - DemolitionSEATAC TUKWILA INN & SUITES 14110 TUKWILA INTERNATIONAL BL EXPIRED 04 - 29 - 07 D06 -382 City of Tukwila Tenant: Name: SEATAC TUKWILA INN AND SUITES Address: 14110 TUKWILA INTERNATIONAL BL , TUKWILA WA Owner: Name: L & L MOTELS INC Address: BEN CAROL MOTEL , 14110 PACIFIC HWY S 98168 Phone: Contact Person: Name: RAMESH RABADIA Address: 2930 S 176 ST , SEATAC WA 98188 Phone: 206 246 -9300 Contractor: Name: OWNER AFFIDAVIT - RAMESK RABADIA Address: , Phone: Contractor License No: Value of Construction: Type of Fire Protection: Type of Construction: Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: htto: //www.ct.tukwila.wa.us $25,000.00 DEVELOPMENT PERMIT Parcel No.: 1610000335 Permit Number: D06 -382 Address: 14110 TUKWILA INTERNATIONAL BL TUKW Issue Date: 10/30/2006 Suite No: Permit Expires On: 04/28/2007 Expiration Date: DESCRIPTION OF WORK: DEMOLITION OF 1492 SF LAUNDRY BUILDING AS WELL AS 840 SF OF MOTEL ROOMS AND CARPORTS. * *continued on next page ** Steven M. Mullet, Mayor Steve Lancaster, Director Fees Collected: $804.72 International Building Code Edition: 2003 Occupancy per IBC: doc: IBC -10/06 006-382 Printed: 10 -30 -2006 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS• 24 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 Fire Loop Hydrant: 24 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: Stone Drainage: Street Use: Profit: N Non - Profit: N Water Main Extension: Private: Public: Water Meter: N Permit Center Authorized Signature: I hereby certify that I have read and permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied i , w er 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 s o_f_work. I am authorized to sign and obtain this development pe t. Signature: /ia�c.U� Date: '0 3o / e Print Name: 92-Q.. !'f 1 nom, 4 rf4 Permit Number: D06 -382 Issue Date: 10/30/2006 Permit Expires On: 04/28/2007 Date: 013444 Steven M. Mullet, Mayor Steve Lancaster, Director 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. doe: IBC-10 /06 D06-382 Printed: 10 -30 -2006 Parcel No.: 1610000335 Address: Suite No: Tenant: 1: * * *BUILDING DEPARTMENT CONDmONS * ** 8: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** 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: httn: / /www.ci.tukwila.wa.us 14110 TUB:WILA INTERNATIONAL BL TUKW SEATAC TUKWILA INN AND SUITES PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: D06 -382 ISSUED 10/11/2006 10/30/2006 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: 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. 5: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 6: 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). 7: 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. 9: Temporary erosion control measures slurp be implemented as the first order of business to prevent sedimentation off -site or into existing drainage facilities. 10: From October 1 through April 30, cover any slopes and stockpiles that are 3H: IV or steeper and have a vertical rise of 10 feet or more and will be unworked for greater than 12 hours. During this time period, cover or mulch other disturbed areas, if they will be unworked more than 2 days. Covered material must be stockpiled on site at the beginning of this period. Inspect and maintain this stabilization weekly and immediately before, during and following storms. 11: From May 1 through September 30, inspect and maintain temporary erosion prevention and sediment at least monthly. All disturbed areas of the site shall be permanently stabilized prior to final construction approval. 12: The site shall have permanent erosion control measures in place as soon as possible after final grading has been completed and prior to the Final Inspection. 13: Any material spilled onto any street shall be cleaned up immediately. * *continued on next page ** doc: Cond -10/06 D06 -382 Printed: 10 -30 -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: f4 m eJ z 7266 a .-ko doc: Cond -10/06 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 /3 y lo � Date: D06 -382 Printed: 10 -30 -2006 Company Name: Mailing Address: Company Name: Mailing Address: Contact Person: E-Mail Address: Contact Person: E-Mail Address: CITY OF TUKWILA Community Develop' .t Department Public Works Depa Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://wwwcItukwila.wa.us King Co Assessor's Tax No.: ail/ 0 it/tbliVI tik 1444±, ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record O:VilitilicatiensTannhapplications On tine - Permit Application.doc Revised: 94006 bh 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 1111tow5e5< Site Address: 'Suite Number: Tenant Name: SE /Ye _ ed . : 1 4. re 4/ lie New Tenant: NI . . . Y e s El -No Property Owners Name: SFR DI 7///rtvii14 )mw t Su; tp old RE we d 0 Rig I - Mem & Se/i7FS Mailing Address: UM° P6efFic Norm w Av Stieult WA - 9 816 r ? City State Floor: 1 Zip 7CONTACT PERSON— 'sine do Ivetontaet when Year perMit is _reedit() Name: i2Asic-7. H PAC ;IVA/ H AR; err/ A P A Day Telephone: 2°6 2 46: 930 Kri Mailing Address: 2130 - So- /1C tut fit c-r- 564 TA-c e-6 s erki et City State Zip E-Mail Address: 9Z 93 1 17'444 0/44 .22 € HaTiot el; I . tOMFax Number: °CPO 2 4 / 6 " - - 93 GENERAL CONTRACTOR INFOR1VIATION — (Contractor Information for Mechanical (pg 4)for Plumbing and Gas Piping (pg c. 7 971 k ?Wei itt f4'//o tr- I r Hwy sron” City State Zip ra fr‘th /4 —4 0 mee Contact Person: `PO PI k 2 0 9 3 46c Day Telephone: 2 ag a V E-Mail Address: Fax Number: 0.2,P6 2114 930 o Contractor Registration Number: Expiration Date: ARCHITECT OF RECORD —All plans must be wet stamped by Aichitect of Record CO /Ye% Pr ,44miygcrz,ge C 73°4 - MP? Sr -Sr SVOr /at, 6 en-- - City ?fres- No if )1 Day Telephone: 112 5:1? 9 - 15 Zip Fax Number: Company Name: Mailing Address: State Zip City Day Telephone: Fax Number: Page 1 of 6 4 . £ R`sp S q , ,5 T Cti y 3 �` +• r i f3 ,< h �t� • 111LGIQr 11G1�IVYCl. Ad §} i _ ng - :+. �.... vl.dss... '..:. i ' 6 `€;;v; ( ,: :. '1T.er�S".E .... �` rion per � Y.+ tlyf.r� ,.. ... ccupancy F-. ,. r! L+:t'x "`::.I F,2 Floor k-iS 4 R:`.' 'F eo. Y f Ala Acce F Sv Attaehed Garage x Detached e YF Attached ort , I}�acjtetffi � `3� 4 3 Covered De c ' n Uncovered 5 Valuation of Project (contractor's bid price): $ 2.57 b ® D • Existing Building Valuation: $ 32 � O 8. Scope of Work (please provide detailed information): tt ob r1 tee° S net // Will there be new rack storage? 0.... Yes X. No If yes, a separate permit and plan submittal will be required. 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: El Sprinklers ❑ Automatic Fire Alarm ❑ None lgt Other (specify) K AP }GtWYS 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" 11 " paper including quantities and Material Sae ' ata Sheets. SEPTIC SYSTEM On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q: Applications \Forms-Applications On Line '3.2006 - Pem,it Application.doc tevised: 9 -2006 bb Page of Fixture Type: Qty Fixture T t e: Qty " Fixture Type: s Qty . Fixture Type: Qty Bathtub or combination bath/shower Drinkin � ountain or water cooler . er head) ash fountain Gas piping outlets Bidet Fo aste grinder, co . ercial Rec tor, indirect waste Clothes washer, domestic F oor drain Sinks t Dental unit, cuspidor hower, single head trap Urinals t Dishwasher, domestic, with independent drain Lavatory Water Close ( Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater an or vent Additional medical gas inlets/outlets — six or more Industrial waste pretreatment interceptor including its trap and v t, except for kitchen 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 PLUMBING AND GAS PIPING PERMIT INFORMATION 2Ub- 431 -307U r: PLUMBING AND GAS PIPING CONTitiseCTOR INFORMATION 'fin/ Company Name: rSe4TAc 7WXL li /A iinei sr M E MT tl e Mailing Address: /4/ /o - rFf pi c levy $7Z/I/i - Pant/11 td /� J g��� 12-0/WI g q City State / lip Contact Person: &J I\ I2QI irts1 Day Telephone: C 2 455 Ooa E-Mail Addr • Fax Number: ef tt/f— 9300 Contractor Regis tion Number: Expiratio t a ate: Valuation of Plumbing wo (contractor's bid price): $ TO 0 7T / 20 Valuation of Gas Piping work ontractor's bid price): $ 3 Scope of Wor (please provide de e: 'led information): S - i r /on ' i /4 9 .X.OUl` !-9 fur p nsen i - a a r/ Building Use (per Intl Building Code): Mo7 1 Occupancy (per Intl Building Code): ` '' d 1 / Utility Purveyor: Water: ( 1 Q J rt- ZS Sewer: 1/ rune Indicate type of plumbing fixtures and/or gas p • ing outlets be _ installed and the quantity below: Q:AAppliadonsTonne- Applications On Line\ -2006 • Penult Appliation.doc Revised: 9 -2006 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. Print Name: 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 (currant 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 A THORIZED AGENT: ,ice / €64 Signature: P-RrV 9 2 0 nApia Mailing Address: 0211 So " Date Application Expires: I Date Application Accepted: id Mai Q:UpplicationsWo'ms- Applications On Line t3- 2006 - Permit Appliation.doe Revised: 9 -2006 bh ST S"EagT$G City p /� /a6 Date: Day Telephone: `2041 - 26/4 State Staff Initial • Zip Page 6 of 6 1 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 No.: R06 -01735 City of Tukwila Parcel No.: 1610000335 Permit Number: D06 -382 .Address: 19110 TUKWILA INTERNATIONAL BL TUKW Status: APPROVED Suite No: Applied Date: 10/11/2006 Applicant: SEATAC TUKWILA INN AND SUITES Issue Date: Initials: JEM Payment Date: 10/30/2006 11 :23 AM User ID: 1165 Balance: 50.00 Payee: SEATAC TUKWILA INVESTMENT, LLC BUILDING - NONRES STATE BUILDING SURCHARGE doc: Receipt -O6 ACCOUNT ITEM LIST: Description RECEIPT TRANSACTION LIST: Type Method Description Amount Payment Check 1008 489.48 Account Code Current Pmts 000/322.100 484.98 000/386.904 4.50 Total: $489.48 Payment Amount: 5489.48 1249 10/30 9716 TOTAL 48? d: 10 -30 -2006 Project: Seer 72� T✓.,,. 4 T of Inspection: ./0 / Ala %,y,,..a. Addresss / T" //� �" Date Called: Date Wanted: //0-91--72 . Sp r le- ( 1/0 stods: Requester: ,/ Phone No: —,37 /7 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (60 )431 -3670 pproved per applicable codes. Corrections required prior to approval. COMMENTS: i •t1(Ale./17 ,,, ' /1 AD 710 er, (9 o? 4 /?1,., /02 Aft d ,f XS. /1 4/ a L- h 445 /4///0-4777) f aw . CI,p✓ r/l H.I(i /,NJ Inspector: E $58.00 REIN paid at 6300' INSPECTION RECORD Retain a copy with permit CTION FEE REQUIRED. Prior to inspection, fee must be Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: PER IT NO Date: /,_ 7/-? t\ T FROJECT LOCATION 14110 TUKKLA INT'L. BLVD. � N � 5 41ST 5T. ro O z 7 5 1445T ST. VICINITY MAP � NO SCALE SEPARATE PERMIT REQUIRED FOR: 0 Mechanical I I Electrical DEMOLITION NOTES FILE 1• SITE INFORMATION PROVIDED BY OWNER, VERIFY ALL EXISTING CONDITIONS. /�.,.,.. 2. LOCATE ALL UTILITIES PRIOR TO COMMENCING I'C.I i l lit NOS 43� ALL UTILITIES AFFECTED BY DEMOLITION SHALL BE RELOCATED OR ABANDONED. 4, ALL DEMOLITION AND DISPOSAL OPERATIONS BE Plan review approval Is subject to errors and omiSdom SHALL O CONDUCTED PER ALL APPLICABLE CODES AND REQUIREMENTS. Approval of construction documents does not authorla! 5' RECONSTRUCTION OF AREAS REMAINING AREAS AFFECTED BY DEMOLITION SHALL BE UNDER the violation of any accep�ed code or ordinance. PA%Wl! SEPARATE PERMIT, of approved Field Copy r-:-,d conditions Is acknowle:1906 BY Date; 1 1.30 / One' 11 Plumbing I L NIE, TYP.R 17 Gass Piping City of Tukwila BUILDING. DMSION m Q O Q � REVIEWED FORE CODE COMPLANC - _ 3v 00, 2.6 2006 1 Of Tukwila '�uTILDING I -ION City of ■lilkwiia BUILDING DIVISION i 8.19' I I 1 I 1 � I N gm 1 L4 i zn $Ev3rsEo1N►s No ch. -noes shall be made to the scope e ::7% without prior appr©•,scl cf NOTE: R0v1Z1,c;,:; vv ;;l rewire a nerl r;an submittal and may include additional Flan review fees. SOUTH 1415T STREET SITE INFORMATION OWNER STIS ADDRESS 14110 TUKWILA INT'L BLVD. TUKWILA, WA APN / TAX ID 1610000335 LEGAL DE5G. . SW} SEC. 15, TOWN. 23, RANGE 4. LOT AREA 39.622 SF (0.91 AG) BUILDING AREA EXISTING 10212 SF TO BE REMOVED 2552 SF TOTAL BUILDING ZONING NTG - MDR BUILDING OCG. R -I BUILDING TYPE TYPE VB CODE USED 2003 IBC, WA AMENDMENTS DESCRIPTION Or- WOM DEMOLISH TWO PORTIONS OF EXISTING MOTEL BUILDING. L EXIST. O/H POWER SERVICE n EXIST. WATER -- __ - - - - -_ LINE, TYP• _.. .. .. .. .. .. .. '.. .. , ' IBS , 1 , I. 4 EXIST. EXIST. KATE MOTEL ROOMS' i LINES, TYP- EXI5TIN6 BLDG. 1 TO REMAIN, TYP, 1 1 V EXISTING BLDG. I i SECTION TO BE REMOVED I EXIST, EXIST, ' EXIST, PARKING MELH. / LNDRY M R 5 \ 1492 SP 1 1 ' EXIST. BUILDING EXISTING BLDG, TO REMAIN i ' SECTION TO BE I REMOVED p 1 H 1 1 ' I EXISTING METERS TO BE RELOCATED 1 II TO EXIST, PORTION I ' I OF BLDG. UNDER f I SEP. PERMIT , 1 EX15T.. MOTEL ROOMS' EXIST, OM POWER SERVIGE- I ' ---- - - - -'1 I CITY Of TUKWU N J9'W 20u6 sO6-50so' � EXIST GAS LINE - .-- _-- -- --- --- --- --- -- ---�_ O C � � � U .4q I DEMOLITION PLAN 7, �1� ( ) I 1I I I I I I I.I _1_.i 3 _I ._ I T i_. _- - - - _. , I I � H Inch 1 /16 ,2 51 I 6� t• '� r c ti..ja.r .«7ri.: L 5L' 9 9 b6 b, E Z I 4 w0 ' IIIJ. III�IIIIIIIII�IIIIIIIII�IIIII. IIII�III�IIIIII�I. Iillllll�lIUIJIII�lllllllll�llll�lll1�lllllllll�lllllllll�lllllllll�lllllllll�fllllllllllllllllll�III .II I PERMIT CENTER v K V n w z g m O 0 O` ■1 0 � V ■1 J :I J 31 1 W kl Q 61 F- u o, (L UJ L3 L) Z Q 0 : f � Ui r N J a W W i 3 H(3: a i J 7 � 3 IA W j Y Q 7 OJI� Z LU ap Z 2 Z a 3 Ji IS Y z i J U ? YI F i F^i a °I �fWf r W i r o I= Oi Oi U; O 1 03 -01 -2007 RAMESH RABADLI 2930 S 176 ST SEATAC WA 98188 RE: Permit No. D06 -382 14110 TUKWILA INTERNATIONAL BL 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 and/or the International Mechanical Code, every permit issued by the Building Division under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Building Code does allow the Building Official to approve one or more extensions of time for additional periods not exceeding 90 days each. Extension requests must be In writinz and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 04 /29/2007 , 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, shall, Permit Technician xc: Permit File No. D06-382 City of Tukwila Steven M. Mullet, Mayor Department of Communliy Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite 1/100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206- 431 -3665 ACTIVITY NUMBER: D06 -382 DATE: 10 -11 -06 PROJECT NAME: SEATAC TUKWILA INN & SUITES SITE ADDRESS: 14110 ' ,( {i,(,{�I �/t IMA1 . X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Buil i Ditagon NT� Vt0(1 AW P blic Wo s r4 L 10- 11 4, Complete IA Comments: Documents/routing slip.doc 2 -28 -02 APPROVALS OR CORRECTIONS: PERMIT COORD COPfl PLAN REVIEW /ROUTING SLIP 511 ni 101 Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete ❑ TUES/THURS ROUTING: Please Route u Structural Review Required REVIEWER'S INITIALS: Plkng Division Laj ❑ Permit Coordinator n DUE DATE: 10-12-06 ❑ No further Review Required DATE: DATE: Not Applicable n Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DUE DATE: 11-09-06 Approved ❑ Approved with Conditions IA Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 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 ss. G e-S 6e t Cl (Se4rat � xHf/ r/I!/ rte- tic) states as follows: [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, I hereby attest that after reading the exemptions from the registration r uirement of RCW 18.27.090, consider the work authorized under this building permit to be exempt under No. e , and will therefore not be performed by a registered contractor. 1 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. lapplications18 -2004 affidavit in lieu of contractor registration Permit Center /Building Division: 206 - 431 - 3670 Public Works Department: 206 -433 -0179 Planning Division: 206 -431 -3670 PERMIT NO.: M7tS1S 2— tic b 9 APPLICAN9' Signed and swom to before me this SOM day of October 2006. C NOTARY PUBLIC in and for the tate of Washington, � Dao Residing at Renton County. Name as commissioned: Alice A. Deo(i/ My commission expires: 616-02 18.27.090 Exemptions. This chapter shall not apply to: 1. 2. An authorized representative of the United States Govemment, 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 fixed 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 fumished 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 less 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 \applications\g - 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, 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 setting the improved property; 14. Owners of commercial properties who use their own employees to do maintenance, repair, and alteration work in or 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 on highway projects who have been prequalified as required by chapter 13 of the Laws of 1961, RCW 47.28.070 with the department of transportation to 'perform highway construction, reconstruction; or maintenance work.