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HomeMy WebLinkAboutPermit D11-396 - SWEET BONES BBQ - DECKSWEET BONES BBQ 13310 INTF.RiJRBAN AV S Dl 1 -396 City N Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Inspection Request Line: 206 -431 -2451 Web site: http: / /www.TukwilaWA.gov DEVELOPMENT PERMIT Parcel No.: 0003000113 Address: 13310 INTERURBAN AV S TUKW Suite No: Project Name: SWEET BONES BBQ Permit Number: D 11 -396 Issue Date: 12/22/2011 Permit Expires On: 06/19/2012 Owner: Name: PETERSON STANLEY +REBECCA Address: 13310 INTERURBAN AVE S , TUKWILA WA 98168 Contact Person: Name: MICHAEL SISNEROS Address: 108 19 AV SE, SUITE 23 , PUYALLUP WA 98372 Contractor: Name: OWNER AFFIDAVIT - MICHAEL G SISNEROS Address: Contractor License No: Phone: 253 - 230 -1031 Phone: Expiration Date: DESCRIPTION OF WORK: CONSTRUCT A 320 SQ FT DECK TO PRESENT A NICE APPEARANCE FOR BBQ MOBILE BUSINESS FOOD TRAILER. Value of Construction: $1,300.00 Fees Collected: $640.11 Type of Fire Protection: NONE International Building Code Edition: 2009 Type of Construction: V -B Occupancy per IBC: 0008 Electrical Service Provided by: SEATTLE CITY LIGHT * *continued on next page ** doc: IBC -7/10 D11 -396 Printed: 12 -22 -2011 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: Hauling: N Start Time: End Time: Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: Moving Oversize Load: Start Time: End Time: Sanitary Side Sewer: Sewer Main Extension: Private: Storm Drainage: Street Use: Profit: N Water Main Extension: Private: Water Meter: N y I Permit Center Authorized Signature: 1 i i h 1L1 ..J.i / Date: I hereby certify that I have read and e a ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied hether specified herein or not. The granting of this permit does not pre s• a to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performap of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Public: Non - Profit: N Public: Signature: Print Name: rrC S Date: / .Z ' Z 2--11 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 m 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: All food preparation establishments must have Seattle /King County Department of Public Health sign -off prior to opening or doing any food processing. Arrangements for final Health Department inspection shall be made by calling Seattle /King County Department of Public Health, (206/296- 4928), at least three working days prior to desired inspection date. On work requiring Health Department approval, it is the contractor's responsibility to have a set of plans approved by the agency on the job site. doc: IBC -7/10 D11 -396 Printed: 12 -22 -2011 6: All wood to remain in placed concrete sire treated wood. 7: 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). 8: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 9: 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 D11-396 Printed: 12 -22 -2011 CITY OF TUKTWA Community Develop W1 Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov CONSTRUCTION PERMIT APPLICATION 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 ** King Co Assessor's Tax No.: Site Address: /33 ru.-/, o� ,/44 TA. ;/a Suite Number: Tenant Name: Ski e 14 Rem ,. s Ba ! . /ta c / S New Tenant: I Yes Floor: �.. .�+ �.. .ar, . -., ���r_ � ar�� .kr }: #- ��t`�,��`."icis w � ;sq¢3 ik*OPERTY �WNER.1 . a ,,ice . � Name: ( p .1 tall ICTCr i0.., Address: / 3 3 1 o --Z11 /y -{rur ice A ../4'e City: 7— ,� State:, Zip9�1/4 <".'i& IE.�.+ .'i# CON CT PERSQN oa t wc e e u 1_1 .. t4,, i 4cpmmumcattnn g� } ^:`�'G�L@ 3 Rta� �Y u Name: /,far / 5' r r o 5 Contr Reg No.: Exp Date: Tukwila Business License No.: 3O5 -09930 15 Architect Name: Address /fi/9/4,/i.e 5F 2 5 City: / / /yam State: ,f ✓`s State: ZiP`?,3 7z Phone.2 5 3 - #2 3 0 -/0,3 % Fax: Email: Email: Email: H: \Applications\Forms- Applications On Line\2011 ApplicationsWermit Application Revised - 8- 9- 11.docx Revised: August 2011 bh ❑.. No Company Name: &J w e e f t 8.p'1 8 a cone r 6 b ck ,5"1 s s Address: /O f4 SI "2- 3 4 vc City !/ mate: Zip983 ?Z ura `tl Phone: / Fax: 0253156--AV31 Contr Reg No.: Exp Date: Tukwila Business License No.: 3O5 -09930 15 H: \Applications\Forms- Applications On Line\2011 ApplicationsWermit Application Revised - 8- 9- 11.docx Revised: August 2011 bh ❑.. No ������AZ%i +.�.• "� �.Rr� /��i�;l. 44 Y& 4..ro_!w^rw aei 1H�. .s F_ .r6 Pil rr t�s ,i.st "5A .� �R ;:TOFRCUit Company Name: Address: Engineer Name: Architect Name: City: Address: Address: City: City: State: Zip: Phone: Fax: Email: Email: ������AZ%i +.�.• "� �.Rr� /��i�;l. 44 Y& 4..ro_!w^rw aei 1H�. .s ffor ro 5 0 . `S �i�� #s�'^.^5��� 1��� ���. �} � � tb" dd f�... �iiJ fi�t'„y..w.4�N. ��3�+.w��a"kdi'dY�,d.•. �,' -i� Company Name: Address: Engineer Name: City: Address: Zip: City: State: Zip: Phone: Fax: Email: ������AZ%i +.�.• "� �.Rr� /��i�;l. 44 Y& 4..ro_!w^rw aei 1H�. .s ffor ro 5 0 . `S �i�� #s�'^.^5��� 1��� ���. �} � � tb" dd f�... �iiJ fi�t'„y..w.4�N. ��3�+.w��a"kdi'dY�,d.•. Name: Address: City: State: Zip: Page 1 of 4 A�� a.�fi HnY Valuation of Project (contractor's bid pri $ / 3 00 Existing ding Valuation: $ /900 O Describe the scope of work (please provide detailed information): Uu�"/d.'n el a de e le '7� o ,O r-e- eK r a ft,C fe re. ver �O, 13%3Q lag/ 5 OLcde (.4.) [11-(1c1 ZOe o rals .314 sr Will there be new rack storage? ❑ .... Yes If yes, a separate permit and plan submittal will be required. S yM y ry y <"yz .e,e°`a :rte" - �,K4�•'- �`�*:9�' q �� ... itaa�i�;� � f. �}+"^ , M1 Ex>sang ;. ` " x ��ln},�.^4 �j4'tu`'c �.., as � ,� ��i; r ryr, Tnt nor.R . . ... .. .. Aiid on to S: S, "2��'.�+j` P�mt��.� . "i5:ti , ,.:5w'�. Extstin g�` a �, .. cEure� .. "ry � F' i -C. i r 'F x(t � ...� }� 'r '�" "' -CS ti ''�+ i � A � r ,' v> *�NEVY ; w�, T flf � 4` S J+� , . #" wst tii�.+�{ 3a. `e - onstructtont r� { .:�� Pe x.u� � . � I#3 Ta c„ f r �%' K! 'yp J� -F -� >sru;.lncy Qccu an per P W cXP If#a. t 1aFloor •2"` - Floor • rd . tttrrr6 +t: vg t r� Floors thrti ltd. asem � x Actes� or , SttructCti •s, g.3'` `' '''?`yY; ' s e toRiA .-,, arage' s `�eex Detached o r 4 Yep � Y3� Covered �}C : F q 0 0 - No Yes 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: / 5© 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:1Applications\Forms- Applications On Line12011 Applications\Permit Application Revised - 8- 9- 11.docx Revised: August 2011 bh Page 2 of 4 Scope of Work (please provide detailed information): 8u r cl n3 a 3 y ;45.1-4- 11 % re cos t J.1x12 P•rr P4Js 77—e6 ,2x( Tr« ftj 3ro�3 1-s ct .2x4, Dec,,: Call before you Dig: 811 Please refer 46 Public Works Bulletin #1 for fees'and estimate sheet. Water District ❑ .. Tukwila ❑ ...Water District #125 ❑ .. Water Availability Provided Sewer District ❑ .. Tukwila ❑ .. Sewer Use Certificate 0... Highline ❑ ...Valley View 0... Renton ❑ ...Sewer Availability Provided ❑ .. Renton ❑ .. Seattle 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. Submitted with Application (mark boxes which apply): ❑ .. Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ .. Technical Information Report (Storm Drainage) ❑ .. Bond 0... Insurance 0... Easement(s) Proposed Activities (mark boxes that apply): ❑ .. Right -of -way Use - Nonprofit for less than 72 hours ❑ .. Right -of -way Use - No Disturbance ❑ .. Construction/Excavation /Fill - Right -of -way ❑ Non Right -of -way ❑ .. Total Cut ❑ .. Total Fill ❑ .. Sanitary Side Sewer ❑ .. Cap or Remove Utilities ❑ .. Frontage Improvements ❑ .. Traffic Control ❑ .. Backflow Prevention - Fire Protection Irrigation Domestic Water cubic yards cubic yards ❑ .. ❑ .. ❑.. ❑.. 0... Geotechnical Report 0... Maintenance Agreement(s) ❑ ...Traffic Impact Analysis ❑ ...Hold Harmless — (SAO) ❑ ...Hold Harmless — (ROW) 0... Right -of -way Use - Profit for less than 72 hours 0... Right-of-way Use — Potential Disturbance 0... Work in Flood Zone 0... Storm Drainage . Abandon Septic Tank . Curb Cut . Pavement Cut . Looped Fire Line ❑ .. Permanent Water Meter Size... ❑ .. Temporary Water Meter Size .. ❑ .. Water Only Meter Size ❑ .. Sewer Main Extension Public ❑ .. Water Main Extension Public 0 WO # WO # WO # Private ❑ Private ❑ 0... Grease Interceptor 0... Channelization ❑...Trench Excavation 0... Utility Undergrounding ❑ ...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ .. Water ❑ .. Sewer ❑ .. Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip H:Wpplications\Forms- Applications On Line \2011 Applications\permit Application Revised - 8- 9- 1I.docx Revised: August 2011 bh Page 3 of 4 Value of Construction — In all cases, a value 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. 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 105.12 International Building 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 OW, /ORIZED AGENT: Signature: c d�ih Date: /02 -/3 Print Name: /'i h t ! S,' S H c ro a, Day Telephone: .2 53- 2 3 (- /4 3 ) Mailing Address: /C Y >9 "4 H:1Applications\Forms- Applications On Line \2011 Applications\Permit Application Revised - 8- 9- 11.docx Revised: August 2011 bh P c y i�U A �1 9a'3 72 City / State Zip Page 4 of 4 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.TukwilaWA.gov RECEIPT Parcel No.: 0003000113 Permit Number: D11-396 Address: 13310 INTERURBAN AV S TUKW Status: APPROVED Suite No: Applied Date: 12/14/2011 Applicant: SWEET BONES BBQ Issue Date: Receipt No.: R11 -02773 Payment Amount: $476.22 Initials: JEM Payment Date: 12/22/2011 10:11 AM User ID: 1165 Balance: $0.00 Payee: MICHAEL G SISNEROS TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 011113 ACCOUNT ITEM LIST: Description 476.22 Account Code Current Pmts BUILDING - NONRES FIRE IMPACT FEES PARK IMPACT FEES 000.322.100 90830402.5000.5304.XXXXX 90330109 . 5000. 5301.XXXXX Total: $476.22 96.60 220.40 159.22 doc: Receiot -06 Printed: 12 -22 -2011 of Tukwila, • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 9 8188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: //www. ci. tukwila. wa. us SET RECEIPT RECEIPT NO: R11 -02724 Initials: WER Payment Date: 12/14/2011 User ID: 1655 Total Payment: 226.89 Payee: MICHAEL SISNEROS SET ID: 121411 SET NAME: SWWEET BONES SET TRANSACTIONS: Set Member Amount D11 -396 EL11 -1118 TOTAL: 163.89 63.00 163.89 TRANSACTION LIST: Type Method Description Amount Payment Credit C MC 226.89 TOTAL: 226.89 ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - NONRES ELECTRICAL PERMIT - NONR PLAN CHECK - NONRES STATE BUILDING SURCHARGE 000.322.100 000.322.101.00.0 000.345.830 640.237.114 96.60 63.00 62.79 4.50 TOTAL: 226.89 . r rl++ +r INSPECTION RECORD Retain a copy with permit PECTION NO. PERMIT NO. „ )/ / -35' C CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 le. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 N. Project: Type of Inspection: ) Address: /.33/U ....r,✓f ieWg'"t, Date Called: - �J.GU_, Special Instructions: - Date Wanted.: . /42 9% / p.m. Requester: 23 Phone No: c.25X- 130 —/031 154Approved per applicable codes. Corrections required prior to approval. / COMMENTS: r %.'.A� ) (1) 1-R4$0r1\l(c, _ App,„/„°t - �J.GU_, 1Dat/ 'Date:. l ( 23 Cdpf/IA 'ii 00'1''L) Ie {CP / "spec r %.'.A� ) � \ - �J.GU_, 1Dat/ 'Date:. l SPECTION FEE REQUIRED. Prior o next inspection, fee must be ytf at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Dit -3;C� Project: S tAJ N-r (3 Or,.1 S f3 6 Type of Inspection: O v-:...- .1N.s ra r_. Address: 13. t0 £6'J :■_) .� +t l p A cry Date Called: a to le k M nJJ� Special Instructions: • • 1 Date Wante : 12- . 12_0 l / 1 Ca:5tt. p.m. Requester: Phone No: d2 5 3 -23 0 —10 3 QApproved per applicable codes. •Corrections required prior to approval. COMMENTS: :■_) .� +t l p A cry / V % a to le k M nJJ� F�.4. 1 ' 611 L C..at1. 44 • p^.•ti,t j '3 —S Date: Date: / /// ri RE ECTION FEE REQUIRE . Prior to (ext inspection. fee must be pal -t 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECT` ONI NO. INSPECTION RECORD Retain a copy with permit P RMIT NO. (206)431 -3670 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Pr �c�Tt a J%c-, 1Jf2Q Type of Inspection: spW A o v., p wGiti Address: ' ,n r` Date Called: 12 2n Special Instructions: `. L COYIMlA fil(M"'- OW( Art \I(‘)kO Date Wanted: nnl/ 11111.•-• a.m. p.m. Requester: Phone No: pproved per`dpplicable codes. Corrections required prior to approval. COMMENTS: t? Aw+ "J c° _ p p P An/ ' Inspector. %AMM 1 "IA Date: Z.1 Z 2 /// ri $6 .00 REINSPECTION FE REQUIRED. P for to inspection, fee must be p -id 6300 Southcenter Bl d., Suite 10 . Call to schedule reinspection. Rec Date: 015-v/. (.3- P--- _ SR CAPPED 1 .-1 , -' "'/-;� T.4 TE H! s ✓q y .vUMBER (s TA TE N, ROB TE 5) S2» W 203 75, TEwspopPAINA ONE STORY BRICK BUILDING 7l0 5Ta't7o,1 P EN GUAM, MISS LL1 N 0) d - V 1 L to [$E -- DO U NE,. Mat .•N RAN.. •1 '"E• MO —r - 4 • 1- ....par ..020 C 0 ALLM ',POP ,NLE.Ea N 40' 36' E 200.00' Pi_ a� ip G .00O onENDED - PDX.: 1n0..lo. Ear •OC Num �i 4ah•. --Ai 10 17' ASENALP PAINNErt i 3.9x1 WIN SO CD Q N 0) Z CONK a VICINITY MAP .• • 31 RE* v,N.CS1FAL• ...N.: Tr':.,.:, ..E.. SITE :;REVIEWED FOR E COMPLIANCE APPROVED ps. aND ..S. ,o. MOE.A. AL rFEONOL,. M DEC 2 1 SE4. EOSM..O • • E•.: PORN NMI, r v..L.•r.E.4i• OF .MIS MV Mfr'. NON.. WMI.r M De •� aM.E O. 2011 AMMONATESP I... MET o0PN Or FEET EEO OF .•saw: •. ECid. EON. OE TAM SW it .En a . a`NEST .eat OF- u: mom OF NON. • PP ACM... -E.. - •iC• .•. C.YELEE ....vv. CO.. NO N of PIPE _ .nsTEbTiv MEM p Tukwila M`.5, ��" 'EJIL.DING DIVISION NE Pooh.'• IENN.. OE NnEF AI. Co r C.O. :>a•J 'cc,. .0 ■ .S ...SAO. AMC L • a- sErsa sire 0 �— ow' IMF .05OF ECE6 SIMVOOS SS[•ru — SE... IVEN ..anus rt ®EO 48TH AVENUE SOUTH Par k•i�1C� 14 SFtGGj /+ i- gancbCcep 11/4ict +0 ID I ropo5eA 38Q Res°aurani -Mob.I i44Strt. 5. x� J Ex e s1'; ny co-I''-Pee 5144c / 70 sert. 1-1 . P /a+ 8 F+ 1 Sfiory u 8th 0O g� POET COMM. KM OECD DESOMPIN ` CWT.. Or SOCC .on CO" ..r ` j MO84 NO. 10 -1E32 GRAPHIC SCALE \ � CAS* rr ESONMn. FNM um 1ENE SM.. +.wY▪ • : 4. NE E% ; PE in • PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D11 -396 PROJECT NAME: SWEET BONES BBQ SITE ADDRESS: 13310 INTERURBAN AV S X Original Plan Submittal Response to Correction Letter # DATE: 12 -14 -11 Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: TS D� �i Lic ion �2 YV t Work li 1•6- 041 ire Prevention Structural Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 12 -15-11 Complete Comments: Incomplete Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: • TUES /THUR$ ROUTING: Please Route Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 01 -12 -12 Approved ❑ Approved with Conditions g Not Approved (attach comments) ❑ Notation: 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 CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -367o FAX (206) 431 -3665 E -mail: tukplanc ci.tukwila.wa.us Permit Center /Building Division 206 431 -3670 Public Works Department 206 433 -0179 Planning Division 206 431 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO: Li STATE OF WASHINGTON) )ss. COUNTY OF KING ) - 414x1 3 i_ 514 e -3 , 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.o90 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 / 3 , and will therefore not be performed by a registered contractor. 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. Owner /Owner's Agent* Signed and sworn to before me this 7 ay of CO 4e r- , 20!/ OTARY PUBLIC in anci for the State of Washington , County e Os- . q Residing at Name as commissioned: My commission expires: 1.8,27.09.0 Exemptions. The registration provisions of this chapter do not apply to: L . An authorized representative of th nited 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; a. 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 46.70 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, to. 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 coitctor; n. 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; i6. 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, i8. An entity who holds,arvalidele&trical contractor's license under chapter,44, ;28' RCW tliat,employs a certified journeyman electricEian;?r, certified`resiaextial specialty electrician, or an elecGItal traineeti eetirij;he requirements of chapte09.28 RCW to;ierform plumbing work that is incideitaliy, directly, and immediately appropriate to the ,like =`in -kind replacementof a household appliance or other small• household utilization equipment that requires limited'ele M' c,power and `limited waste ' and /or water connectons�rAit 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 exemptions. Tr 1440 13eat 5 N r Rxis J "xId" beams i pre : as e;er- ,9_ x6 144\ Ic Iii c .. - rife) 3 3k‘ 3.4.0i 44/5105.2f-r4 l't 4)/ 3't I v1 , PLANNING APPROVED No changes can be made to these plans without approval from the Planning Division of DCD Approved By: Date: FILE COPY Permit No., Dl�' Plan review approval is eject to erron4 And mom, t4 proval of cons ion dock d os n a; tfr :3 the elation of any adopted cam or s>l'+t ins.am.: of approved Field Co y conditions is mo seg,1: BY afeegio-d-i Date j2- ,z z -/f qty Of Tltkwita BUILDING DIVISION REIhSSIONS No dates shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE Revisions will require a new plan submittal and may include additional plan review fees. Ra e urn -to spec. `7" ; ''` ly .141-4 a s a 3s. k P -akst Pier Cis SEPARATE PERMIT REQUIRED FOR; II mechanical gBeaded 0Gas city of Tukwila BufwiNG DIVISION V REVIEWED FOR CODE COMPLIANCE APPROVED DEC 21 201 City of BUILDING bW3Th SCALE DATE ef 3.Q D APPROVED BY: ►ila VISION RECEIVED DEC 14 2011 PERMIT CENTER 'DRAWN,BY REVISED DRAWING NUMBER