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HomeMy WebLinkAboutPermit MI02-151 - MARSH RESIDENCE - DEMOLITIONMARSH HOUSE - DEMO 4724 S 164TH STREET M1O2 -151 Parcel No,: Address: Suite No: City ofTukwila Department of Community Development / 6300 Southcenter SL, Suite 100 / Tukwila, WA 98188 / (206) 431.3670 5379800472 4724 5164 ST TUKW MISCELLANEOUS PERMIT Permit Number: Issue Date: Permit Expires On: MI02 -151 11/13/2002 05/12/2003 Tenant: Name: Address: Owner: Name: Address: Contact Persons Name: Address: MARSH DEMO HOUSE 4724 S 164 ST, TUKWiLA, WA HORNER JUNE 12020 SE 215TH S, KENT WA JAMES MARSH 15849 47 AV 5, TUKWILA, WA Contractors Name: okmAdve Actor D6W f /A) 4/4.Et Address: , Contractor License No: Phone: Phone: 206. 246 =0075 Phone: Expiration Date: DESCRIPTION OF WORK: DEMOLITION OF HOUSE, EXISTING HOUSE ON VAL•VUE SEWER AND WATER DIST, 125, FIRE DEPARTMENT MAY BURN DOWN THE EXISTING HOUSE AS A TRAINING EXERCISE, Value of Construction: Type of Fire Protection: Type of Construction: $ 5,000,00 Fees Collected: Uniform Building Code Edition: Occupancy per UBC: $51.50 1997 Public Works Activities: Curb Cut/Access/Sldewaik/CSS: 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: Channelization / Striping: N N N N N N N N N N N N Number: 0 Start Timo: Volumes: Cut 0 c.y. Start Time: Private: Private: *3 Continued Next Page Size (Inches): 0 End Time: Fill 0 c,y. End Time: Public: Public: doe: Miscperm M102.151 Printed: 11.13.2002 1 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 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 mechanical permit. Print Name: .J iq S cJ = ►'V 1 X51 Date:ji J3 t 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. doc: Mlscperm M102-151 Printed: 11-13-2002 City ofiukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No,: 5379800472 Address: 4724 S 164 ST TUKW Suite No: Tenant: MARSH DEMO HOUSE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: MI02 -151 ISSUED 09/13/2002 11/13/2002 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 3: All permits, inspection records, and approved plans shall be available at the Job site prior to the start of any construction. These documents are to be maintained and available until final inspection approval is granted. 4: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (199/ Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). 5: Validity of Permit. The Issuance of a permit or approval of plans, specifications, and computations 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 ordinance of the Jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this code shall be valid. 6: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** 7: Contractor shall notify Public Works Utility Inspector Mr. Greg Villanueva at (206)433.0179 of commencement and completion of work at least 24 hours In advance. 8: Work affecting traffic flows shall bo closely coordinated with the City Utilities Inspector, 9: Permit Is valid between the weekday hours of 7 :00 a.m. and 3 :30 p.m. only. 10: Any material spilled onto any street shall be cleaned up immediately. 11: Hauling over 50 cubic yards shall require application for a Hauling Permit prior to any associated activity. 12: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation offsite or Into existing drainage facilities. 1 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 compiled 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: Date: 1 t — 'Z,._ doc: Conditions M102.151 Printed: 11.13.2002 I§ CITY OF T►KWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 Miscellaneous Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. Project Name/Tenant: tv Ar2 S 1 h.vvi O House_ Val a of Construction: eve Site Address : q"1 2.4 1(.04T+4. City State/Zip: 'TUKwI►t_A r tie Tax Parcel Number: S ,19 Sa -041 2 - c Property Owner: JAMES rkeS H Phone: (1.0(s) 2e4 lo - 01231S Street Address: 1 s,64...9 •n} 4`1 r .06. S • City State/Zi loew,,. to si 13l Fax #: () trot, 'Z-1 "7 $ 7.3 Contractor: EL_r Phone: ( ) Street Address: City State/Zip: Fax #: ( ) Architect: Phone: ( ) Street Address: City State/Zip: Fax #: ( ) Engineer: Phone: ( ) Street Address: City State/Zip: Fax #: ( 1 Contact Person: JOAC5 MA42 N Phone: ( 1 2.46- 7S`... Street Address: City State/Zip: Fax #: ( MISCELLANEOUS PERMIT REVIEW AND APPROVAL RE + UESWED: (TO BE FILLED OUT BY APPLICANT) Description of work to be done (please be specific:): l s Q) t v&t i Cr (-) s bs-mo (i) StAm.1/4 $ 4&V) Will there be storage of flammable/combustible hazardous material in the building? ❑ yes ❑ no Attach list of materials and story a location on se Mate 8 1/2 X 11 in er indicatitt unntitie +s & Material Snlet Data Sheets ;Argo Ground Tanks Antennas /Satellite Dishes Bulkheatl /Docks Commercial Reroof Demolition ❑ Fence ❑ Manufactured Housin •Re cement only ❑ Parkin Lots ❑ Rutalnin Walls ❑Tent lore €ncllllles Tree CulIIn t Tit e ls APPLICANT RE . UEST FOR MISCELLANEOUS PUBLIC WORKS PERMITS ❑ Channellzation/Striping LJ Curb cul/Access/SIdewalk L.1 Fire Loop/Hydrant (main to vnulllN: Sizets): ❑ Flood Control Zone ❑ Land Altering: 0 Cut cubic yards 0 Fill cubit' yards 0 sq. ft,grading/clearing ❑ Landscape irrigation ❑ Sanitary Sitio Sower N: ❑ Sewer Main Extension 5 Private 0 Public ❑ Storm Drainage ❑ Street Use ❑ Water Mal) Extension 0 Private 0 Public ❑ Water Meter /Exempt N Wets): 0 Deduct 0 Water Only ❑ Water Meter /Permanent N_ Size(s): ❑ Water Meter Temp N Sizots): Est, quantity: gal Schedule: CS:Miscellaneous ► F. ,� , Moving Ovorsii cd Load/Hauling MONTHLY SERVICE BILLINGS TO: Name: Phone: Address: City / State/Zip: 0 Water 0 Sower 0 Metro 0 Standby WATER METER DEPOSIT/REFUND BILLING: Name: Nllxt4 LICE WtA'T : %STeic r Address: Phone: City /State/Zip: 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. The building official may extend the time for action by the applicant for a pe.iod not exceeding 180 days upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. Pate application accepted: 3 -02 9/9/99 nuscpnirdoc Date application expires: 3-13-63 AV Application taken by: (initials) ALL MISCELLANEOUS P T APPLICATIONS MUST BE SUBMITT WITH THE FOLLOWING: ) ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN e VIVANSSITg,,,MISAND UTILITY PLANS ARE TO BE COMBINED > ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT D STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED STRUCTURAL ENGINEER • CIVIUSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.) ❑ Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit k issued, unless the homeowner will be the builder OR submit Form H-4, "Affidavit in Lieu of Contractor Registration ". Building Owner /Authorized Agent If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the State of Washington, a notarized letter from the, property owner authorizing the agent to submit this • ermit a. ' Ilcatlon and obtain the ermit will be re ulred as • art of this submittal. 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT; SUBMIT APPI I( ATION ANT) RF(lUIRFt) ( III( KIM'S FOR Above Ground Tanks/Water Tanks - Supported directly upon grade exceeding 5,000 gallons and a ratio of height to diameter or width which exceeds 2:1 PERMIT RFVIFW Submit checklist No: M -9 Print nae. �J ' M Ares 1a 0 Antennas /Satellite Dishes Submit checklist No: M -1 ❑ Bulkhead /Dock Submit checklist No: M -10 ❑ Commercial Reroof Submit checklist No: M -6 Demolition Submit checklist No: M -3 ❑ Fences - Over 6 feet in Height Submit checklist No: M -9 ❑ Land Altering/Grading/Preloads Submit checklist No: M -2 ❑ Miscellaneous Public Works Permits Submit checklist No: H -9 ❑ Manufactured Housing (RED INSIGNIA ONLY) Submit checklist No: M -5 ❑ Moving Oversized Load /Hauling _ Submit checklist No: M -5 ❑ Parking Lots ',•1 Submit checklist No: M4 ❑ Retaining Walls - Over 4 feet in height Submit checklist No: M -1 ❑ Temporary Facilities Submit checklist No: M -7 r Tree Cutting Submit checklist No: M -2 ❑ Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit k issued, unless the homeowner will be the builder OR submit Form H-4, "Affidavit in Lieu of Contractor Registration ". Building Owner /Authorized Agent If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the State of Washington, a notarized letter from the, property owner authorizing the agent to submit this • ermit a. ' Ilcatlon and obtain the ermit will be re ulred as • art of this submittal. 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT; Slgnatur T/ . , • Data: cj ...�►� ,_ j.e Print nae. �J ' M Ares 1a Phano: ( tote ) 244a•007 S Fax 11: t Address: is tagi 9 41 "' Ave S City /stateallLtat, IN q i3 1 E38 9/9/99 narcpnn.doc City of rfukil a 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 5379800472 Address: 4724 5 164 ST TUKW Suite No: Applicant: MARSH DEMO HOUSE RECEIPT Permit Number: M102 -151 Status: PENDING Applied Date: 09/13/2002 Issue Date: Receipt No.: R020001354 Initials: KAS User ID: 1684 Payee: JAMES MARSH TRANSACTION LIST: Amount Payment Amount: 51.50 Payment Date: 09/13/2002 03 :25 PM Balance: $0.00 Type Method Description Payment Check 5645 ACCOUNT ITEM LIST: Description Current Pmts 51.50 Account Code BUILDING - RES 000/322.100 STATE BUILDING SURCHARGE 000/386.904 47.00 4.50 Total: 51.50 doe: Racelpt Printed: 09.13.2002 it INSPECTIO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (200431.3670 INSPECTION RECORD Retain a copy with permit ro ect: .e o nspectlo, . .....- Ami pate Ca e , : pec a nstruct on : p •• • equestar: • one • o: Approved per applicable codes, ❑ Corrections required prior to approval, COMMENTS: AMP $47.00 SPECTION FE 1 EQUIRED. Prior to inspection, fee must be vd,, Suite 100, Call to schedule reinspection, paid at 6300 Southcenter B 1§ et F61 INSPECTION NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit Projdct.� , I �+`�' // /4/-'76 S' Type ofns ecti n: Address. Date called: Specla Inst uctlons: Date want • , : a ,y be- Wa Z Requestz. Phone; ez .414 ., 0,, Z ►in4 Approved per applicable codes. Corrections required prior to approval. COMMENTS: Jp. All, ,' air/..:��, / . pate: ✓ /�j $47.1 ' `REINSPECTIONf REQUI ED, Prior to inspection, fee must be paid at 6300 Southcenter BI ., Suite 100. Cast to schedule reins ' ection. Date: Inspec Receipt No: et "` INSPECTION RECORD Retain a copy with permit INSPECTION NO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, 1100, Tukwila, WA 98188 PERMIT NO, (206)431.3670 Prof : • U .! Type o Inspection: Data ca • : Spec a tnstru Ions: Date want , • : t 3 a.m. Requester: 1 ♦ M n k' 4 "l1 11 � . Phan*: 214 to 7 ❑ Approved per applicable codes. COMMENTS! 0 Corractlons raqulrad prior to approval. Inspector -bate;-z-a $47,00 REINSPECTION Ft( REQUIRLD. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100, Call to schedule reins ' ection. 4 City of Tukwila Department of Community Development October 9, 2002 To Whom It May Concern: Steven M. Mullet, Mayor Steve Lancaster, Director Mr. James Marsh has applied for and received approval from Tukwila Building Division for the following permits: !172Mbemolition of existing residence @ 4724 S.164th Street- Tukwila. MI02 -152, Demolition of existing shed 47224 S. 164th Street — Tukwila D02 -191, Construction of new 2400 SF single family residence & attached garage D02 -143, Mechanical equipment installation, including furnace & ductwork. The demolition permits are available to be issued and the demolition work may begin. The Construction permits are ready to be issued and will be available upon final inspection approval of the demolition permits. If you have any questions or need further clarification regarding our process you may call me at 206/431 -3675. Sin Ro rt Benedicto, Building Official cc; James Marsh, tile. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206.431.3665 .$wwr �-aaC tau. 200201148 PUGET SOUND CLEAN AIR AGENCY 110 Union Street, Suite 500 Seattle, WA 98101 -2038 www.pscleanair.org '1"q -edy NOTICE OF INTENT /1' 344.3 - g (v2) 43.4 -2 *4 RECEIVED AUG 28 2002 A. Project Type: 1. ❑ Asbestos Removal 2. ❑ Asbestos Removal & Demolition 3. ' Demolition, No Asbestos Removal Property Owner: JAMES ` S SPAAIJiE. MASH Phone: M Address: 151549 411* AVE S. Ci . 111et.,g trA 'Lob) 24l0- 0rGi5 State WA D. Address: 4124 St). 1641-° Site Manager: .1 Antes 'ANEW Local Phone: Lt )2gtc -ceis B. r. Asbestos Survey or ❑ Mat'I Presumed No. of Date Asbestos Survey Structures: I was Conducted: 1-10 — •, Wu Friable Asbestos identified? • Yes r- Was NontHablo Asbestos Identified? ❑Yes r' ' o Attach a copy of tho survey, if nonfHabic asbestos is Identified or if no asbestos is identified on survey. . • wwy rot r-:' ."7 , r n vmu on pro seer " AHERA Building Inspector: MARK WALKER. ER. Certification No.: i Z) 2 to E'4 Bs . Date: 1-11-L003 State: WA F. Demolition Start Infbrnuttions Date: arm dlm illion corms*, it mai Uer SELF Demolition Contractor. 0. of Structures: 1. r- Training Fir° (List Piro 0(Tt.) 401,4 2. ❑ Ordered Demolition attach co of bar Will nonfriablo ubestos be left in place during demo? sr Yes if yes, list typo and qty. G... ..Asbestos Project n: Start Date: Com . lotion Date: Work Days: M T W Th P Sa Su Hours: Total r . to bo Removed: Linear Ft. S.oar's Ft. Will all triable asbestos • Yes ,,: • r : :... „, • , Thermal S stem Insulation: I• ifir ririrr,1111811i, : r"""'s**t� PI . • ins. other » Surfitein ; Mat' I: ■ F • , • fin , Paints • Plaster • Tax -, err, •_ Miao, Mat'I • Cement Dd. • Cement Pi • • Friable Flooring or Roofing Mst't Mar, 11. Asbestos/ DetaoliUon Project Categories: 1. Single- Family Residence: (Check box A & 13 for asbestos removal & demolition) A. glabostoa Removal Project B. W7 Demolition Pro set &,Ovation Period mot Fee Schedulg A. Prior Notice B. to Da • S 25 Non•Raflundable Fee Covers Asbestos Removal & Demolition ��• • r a I•tik W thNo _ • a .a . va WO vet IODa : S150 3. • 2 10.259 linear feet or 2 48.159 • tare feet of asbestos see back 10 Da s $ 150 4. • 260 - 999 linear feet or 160.4 999 ' uare feet of asbestos 10 Da a S300 5. • 1 000.9 999 linear feet or 5 000 - 49 999 • tiara feet of asbestos 10 Da s S750 6. • > 10 000 linear feet or > 50 000 • ' oar's feet of asbestos 10 Da a S2 000 7. • Erne - cnc Asbestos Pro ect or ■ Emer : cnc Demolition Pro ect Prior Notice Twice Pro ect Fee • Ida hereby certify that the information contained in this notification & aupplemcnul data described heroin is, to the bat of my knowledge, accurate & complete. Si nature cy Form No. 66.160 (Revised 9!7/00) AM Agency Use Only MIO) Fitter Fabric k.iterial 60' wide rolls. Use staples or wire rinds to attach fabric to wire 2' by 2' by 14Ga.Vire f abrIC cr equiv. • IN • r IN 4 r I 2' -6' Filter Fabric Material Synthetic 401 Industries • wafi 140N - Amoco 2187 - Lxxon GTF 110 11 11 1 14— 2' by 4' wood posts, standard er better or 1 U Jury bottom of filter material In 8' by 1E' trench 1 6' Max. -- 1-4rrrr• 1 1 u equal alternate, Steel fence posts !'byQ'by14Ga.Wire Fabric or equiv. • t'-0' Provide washed Gravel backftl in trench and on both sides of 'titer fence fabric on the surface 2' by 4' wood post Alts Steel Pence posts -- 8'MIN -- City of Tukwila FILTER FABRIC FENCE DETAIL DATE: 11/21/96 DS -24 two Mitaromompolass PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: M102 -151 DATE: 9 -13 -02 PROJECT NAME: Marsh Demo - House SITE ADDRESS: 4724. S 164. St ,_ t.,,Originai Plan Submittal Response to Incomplete Letter # Response to Correction Letter # .___.Revision # After Permit Is Issued T ;ic Building Division Ls j Pub II Wor s �Q_ . Structural IO�' 51z igt, Fire Prevention ID .) C! �Gt,. q't7.ov Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete l_J Comments: Incomplete ot DUE DATE: 09-17-®2 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined Incomplete: Bldg ❑ FIro ❑ Ping 0 PW ❑ Staff Initials:, TUES/THURS ROUTING: Please Route Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROV_ ALS O,K CO,R,RECT ONS: Approved ❑ Approved with Conditions [Zr Notation: REVIEWER'S INITIALS: DUE DATE: Not Approved (attach comments) ❑ DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping 0 PW ❑ Staff Initials: Documentshouting siip.doc 2.28-02 PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: . MI0,2 -151. PROJECT NAME: SITE ADDRESS: it_Original Plan Submittal ,Response to Correction Letter # Marsh Demo - House DATE: 9- 1.3 -02 _47'24 5.164_St_____ Response to Incomplete Letter #_,__�� ,,,_Revision # After Permit Is Issued PEPARTMB(TS: Building Division I, Public Works ❑ Fire Prevention ❑ Structural Planning Division ❑ Permit Coordinator ❑ DETERMINATION OF COMP,LETENEES_S; (Tues., Thurs.) Complete it Comments: Incomplete ❑ DUE DATE: 09.17" Q2 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED!_ LETTER OF COMPLETENESS MAILED:, Department; determined Incomplete; Bldg ❑ Flre ❑ P1n8 ❑ PW 0 Staff Initials:,. TUES/THURS ROUTING: Please Route ❑ Structural Reviiew Required L.�tfi4r REVIEWER'S INITIALS: ❑ No further Review Required DATE: APPROVA,S OQCTIONS; Approved ❑ Notation: REVIEWER'S INITIALS: Approved with Conditions DUE DATE: ZO-15 02 Not Approved (attach comments) ❑ DATE: Permit Center Use Only CORRECTION LETTER MAILED; Departments issued corrections; Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Po4uments/couting slip.doc 2.28-02 PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: , MI02 -1.51 PROJECT NAME: Marsh Demo_- House SITE ADDRESS: 4724S_1.64._St.�_d.__ ,� _Original Plan Submittal Response to Correction Letter # Revision # After Permit Is Issued DATE: 9- 13-02 _Response to Incomplete Letter #__ DEPARTMENTS: Building Division ❑ Public Works ❑ Fire Prevention Structural ❑ Planning Division ❑ Permit Coordinator DETERMINATION OF C ETL _ENESS: (Tues., Thurs.) DUE DATE:AltrAZ Complete ❑ Incomplete ❑ Not Applicable ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILEDt LETTER OF COMPLETENESS MAILED! Departments determined incomplete; Rldg 0 Fire 0 Ping 0 PW ❑ Staff Initials; TUES/THURS ROUTING: Please Route ❑ Structural Review Required REVIEWER'S INITIALS: ❑ No further Review Required "IV' DATE: ( APPROVALS OK CQ RECTI N,S: DUE DATE :JO -15 -Q ,.,,,,.. Approved ❑ Approved with Conditions❑ Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED; Departments issued corrections: Bldg 0 Fire 0 Ping ❑ PW ❑ Staff Initials: Pocuments/routing slip.doc 248 -02 PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: MI02 -151 PROJECT NAME: Marsh . Demo -_ House DATE: 9 -13 -02 SITE ADDRESS: 4724 S 164 St „Original Plan Submittal Response to Correction Letter # Revision # After Permit Is Issued .,._ response to Incomplete Letter_____. _. . DEPARTMENTS,: Building Division ❑ Public Works ❑ Fire Prevention ❑ Structural Planning Division JPIL Permit Coordinator ❑ ..■ D_ETERMINA ION OF COMPLETENESS: (Tues., Thurs.) Complete te Comments: Incomplete DUE DATE: 09 -17-02 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED; LETTER OF COMPLETENESS MAILED; Departments determined Incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TOES /THURS ROUTING: Please Route ❑ Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: p'i DATE: APPRQVMIOR CORRECTIONS: Approved ❑ Approved with Conditions ❑ Notation: REVIEWER'S INITIALS: DUE DATE 10- 15- 0.,,,, Not Approved (attach comments) DATE: Permit Center Use Only CORRECTION LETTER MAILED; Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Oocwnent hoittng slip.doc 248-02 It PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: MI02 -1 S 1 DATE: ....9 -13 -02 PROJECT NAME: Marsh ”Demo House._ SITE ADDRESS: _4724 S 164 St _SLOriginal Plan Submittal ____.Response to Incomplete Letter #_�_..__._ __,,,_Response to Correction Letter # Revision # After Permit Is Issued DEPARTMENTS: Building Division ❑ Public Works It Fire Prevention Structural E Planning Division ❑ Permit Coordinator ❑ DETERMINATION OF COMPLETENESS; (Tues., Thurs.) DUE DATE: 09.17 OZ Complete ❑ Incomplete ❑ Not Applicable ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED! LETTER OF COMPLETENESS MAILED► Departments determined incomplete: Bldg 0 Fire 0 Ping 0 PW 0 Stitff Initials :. TUES/THURS ROUTING: Please Route 'CJ Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: to APPROVALS OR CORRECTIONS; Approved © Approved with Conditions; Notation: REVIEWER'S INITIALS: DUE DATE: - 15 -02__. Not Approved (attach comments) ❑ DATE: ar P.ermlt Center Use Only CORRECTION LETTER MAILED :. Departments issued corrections: Bldg ❑ Fire ( Ping 0 PW EJ Staff Initials: poq mentshouting siip.dQc 2.14.0? Og CITY OF T`'KWILA Permit Center ,Mk 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 Telephone: (206) 431 -3670 H -4 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON COUNTY OF KING ) ss. ) a* , states as follows: 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 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 requirement of RCW 18.27.090, I consider the work authorized under this building permit to be exempt under No. ,, and will therefore not be performed by a registered contractor. 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. 44�..�. \NAB G6 A•Oe 111 i 0 NOTARY ' i�% / :V• , ' PUBLIC • i ■ AFFCONT 1/13/00 Signed and sworn to before me this day of ER- 20 f athCe Q. /9' NOTARY PUBLIC in and for the State of Washington, residing at kin_ Name as commissioned: County. /4)itice A.Deac y z.. My commission expires: 6-16-01/ 1§ et 11 !I 18.27.090 Exemptions. This chapter shall not apply to: 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 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 a structure; 6. Any construction, alteration, Improvement, or repair of personal property, except this chapter shall apply to all mobile /manufactured housing. A mobile /manufactured home may bo 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; 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 $500, 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 AFFCONT 1/13/00 of the operation is made into contracts of amounts Tess than $500 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 is a contractor, or that he 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 by a registered contractor; 11. An owner who contracts for a project with a registered contractor; 12. 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 this exemption shall not apply to any person otherwise covered by this chapter who constructs an Improvement on his own property with the Intention and for the purpose of selling the Improved property; 13, Owners of commercial properties who use their own employees to do maintenance, repair, and alteration work In or upon their own properties; 14. 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; 15. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his sole compensation; 16. 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. ;8