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HomeMy WebLinkAboutPermit D13-001 - FRESH AND GREEN PRODUCE - TENANT IMPROVEMENTFRESH AND GREEN PRODUCE 15006 MILITARY RD S D13-001 Ci 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 Parcel No.: 0041000514 Address: 15006 MILITARY RD S TUKW Suite No: Project Name: FRESH AND GREEN PRODUCE DEVELOPMENT PERMIT Permit Number: D13-001 Issue Date: 01/30/2013 Permit Expires On: 07/29/2013 Owner: Name: KERN GERARD J+CAROL A Address: 2402 80TH AVE NE , MEDINA WA 98039 Contact Person: Name: ADEN ADEN Address: PO BOX 18193 , KENT WA 98030 Contractor: Name: OWNER AFFIDAVIT - ABDIYIZAK ADEN Address: , Contractor License No: Lender: Name: Address: Phone: 206 859-0307 Phone: Expiration Date: DESCRIPTION OF WORK: REMOVE WALL - PREVIOUSLY PERMITTED UNDER D12-146 WITH NO INSPECTIONS COMPLETED. Value of Construction: $500.00 Fees Collected: $63.00 Type of Fire Protection: International Building Code Edition: 2009 Type of Construction: Occupancy per IBC: 0019 Electrical Service Provided by: SEATTLE CITY LIGHT **continued on next page** doc: IBC -7/10 D13-001 Printed: 01-30-2013 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: Public: Storm Drainage: Street Use: Profit: N Non -Profit: N Water Main Extension: Private: Public: Water Meter: N Permit Center Authorized Signature / / l i `Uv\ Date: D09,oll1 I hereby certify that I have read an exami ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be compled with, whether specified herein or not. The granting of this permit does not r su e 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: Date: — 30- i Print Name: al6C3, W1`7 -=''t,(1— jiry Q.., This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***BUILDING DEPARTMENT CONDITIONS*** 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431-3670). 4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 5: 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: All rack storage requires a separate permit issued through the City of Tukwila Permit Center. Rack storage over 8 -feet in height shall be anchored or braced to prevent overturning or displacement during seismic events. The design and calculations for the anchorage or bracing shall be prepared by a registered professional engineer licensed in the State doc: IBC -7/10 D13-001 Printed: 01-30-2013 of Washington. 7: 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. 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. 11: ***FIRE DEPARTMENT CONDITIONS*** 12: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 13: Maintain automatic fire detector coverage per N.F.P.A. 72. Addition/relocation of walls, closets or partitions may require relocating and/or adding automatic fire detectors. 14: Maintain fire alarm system audible/visual notification. Addition/relocation of walls or partitions may require relocation and/or addition of audible/visual notification devices. (City Ordinance #2328) 15: All new fire alarm systems or modifications to existing systems shall have the written approval of The Tukwila Fire Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #2328) (IFC 104.2) 16: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2327 and #2328) 17: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 18: These plans were reviewed by Inspector 511 (under Permit D 12-146). If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575-4407. doc: IBC -7/10 D13-001 Printed: 01-30-2013 CITY OF TUKOLA Community Develop ent Department Public Works Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Pit No. Project No: Date Application Accepted Date Application Expires: (For office use only) ( 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** btAG 011W SITE LOCATION King Co Assessor's Tax No.: Site Address: ( 5006 Ll' 444 Urn S' TEAKw/l}- Suite Number: Floor: New Tenant: ❑ Yes 111.. No 0o4', Tenant Name: erala204111c , tc--- PROPERTY OWNER \ , Name: �l (� 0 0ZD6 Address: ?L o2 ezoitl Mc NA ' M AV W. Zip: �' JFRI City: vh1v I t' State: wf ` 7, J� CONTACT PERSON - 7.Person receiving all project communication , Name: 60 f ftelj Address: /Seo ' 4t X1'„1 01 S 16 State:Jrtivo Ziplrfi City: i(�/�l(, / e- i'6 b Fax: Phone: 70b, -1 ...6367, Email: GENERAL CONTRACTOR INFORMATION Company Name: Address: Company Name: City: State: Zip: Phone: Fax: City: State: Contr Reg No.: Phone: Exp Date: Tukwila Business License No.: H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh ARCHITECT OF RECORD Name: 1 ;. - Company Name: Architect Name: Address: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD Name: 1 ;. - Company Name: Engineer Name: Address: City: State: Zip: Phone: Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: Address: City: State: Zip: Page 1 of 4 IBUILDING PERMIT INFORMATIO206-431-3670 "sok Valuation of Project (contractor's bid price): $ Describe the scope of work (please provide detailed information): Existing Building Valuation: $ car- otri (p l c l s 2illl et tekli %) i � " ,` w(?y p'/vti T42-1 t (/ 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 0 Automatic Fire Alarm ❑ None 0 Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes 0 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:Wpplications\Forms-Applications On Line t2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC lSt 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 0 Automatic Fire Alarm ❑ None 0 Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes 0 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:Wpplications\Forms-Applications On Line t2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 PERMIT APPLICATION NOTES — o". 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 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). 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 0 OR AUTHORIZED AGENT: Signature: Date: /Aa 1n z - Print Name: V ' C-' - - Day Telephone: Mailing Address: City State Zip H\Applications\Forms-Applications On Line \2012 Applications'Permit Application Revised - 2-7-12 docx Revised: February 2012 bh 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 Parcel No.: 0041000514 Address: 15006 MILITARY RD S TUKW Suite No: Applicant: FRESH AND GREEN PRODUCE RECEIPT Permit Number: D13-001 Status: PENDING Applied Date: 01/02/2013 Issue Date: Receipt No.: R13-00020 Initials: JEM User ID: 1165 Payment Amount: $63.00 Payment Date: 01/02/2013 03:02 PM Balance: $0.00 Payee: FRESH AND GREEN PRODUCE TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5689 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - NONRES 000.322.100 63.00 Total: $63.00 INSPECTION RECORD amain a copy with permit. INSTETTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 431-2451 Project: I— /2 ci.5/-/ 4 Apc.k) Type of -Inspection: ►--1 til ft i✓ Add/.3o o 6 ty) i z r T ti- l� y Date Called : . Special Instructions: 4,1 Date Wanted:Z�, �y /�Sm Requester: Phone No: Approved per applicable codes. E 1 Corrections required prior to approval. COMMENTS: e 4Ari c'eriviolee / (NInspeet Dae: 3 (REJNSPECTION FEE REQUIRED. Prior to next inspection. fee must be &a at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD. Retaina copy with. permit INSPECTIONENO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 431-2451 Project: �.5� 8r4)koL:( Type of nspection: hrA , A Add #e5 0 0 coM, (`v _ _ 1 1V Date Called: Special Instructions: • Date Wanted:_ a.m. Requester: . Phone s FS -i 030 7 Approved per applicable codas. • Corrections required prior to approval. COMMENTS: Insp ctor: r Date: 0 REINSPECTION FEE REQUIRED. Prior to,nex inspection, fee must be paid 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 .. p- (206) 431-3670 Permit Inspection Request Line (206) 431-2451 ,b13-0©( Project: FRESH. 6.R€e 4 -t?Rtht.�' .. Type of Inspection: FRA /K ) C Address: S co( SvCtiirFi R y ik Date Called: Special Instructions: Date Waned: Requester: Phone No: O(v- `SSG -0367 LiApproved per applicable codes. Corrections required prior to approval. COMMENTS: Q N: o 0,4E. o/.! 517 6. - Na 4Ns w(e 4 k 9..30 Aryl -OAIT 4 c-7 n/2/ 1'3 f t\ /?fps '& -hdE �____AAl er-ra /1/4./ d f/A 4 1 Date; _ S _ 3 n REf SPECTION FEE REQUIRD. Priorro next inspection. fee must be pad at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit D)3- (A\ PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 2Q665'75-4407 Project: Fc¢sV''("o L C.A. Type of Inspection: FcAF‘v\cL Fire Alarm: - " • Address: Suite #: SO() (.9 e\A-c,r3 kc Contact Person: ;�` �, / Special Instructions: Phone No.: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Needs Shift Inspection: @-�,v Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: §mss \ Date: \\ (A\ IA Hrs.: \ . $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. Billing Address Attn: Company Name: Address: City: State: Zip: Word/Inspection Record Form.Doc 6/11/10 T.F.D. Form F.P. 113 3/3/2014 City of Tukwila Department of Community Development ADEN ADEN PO BOX 18193 KENT, WA 98030 RE: Permit No. D13-001 FRESH AND GREEN PRODUCE 15006 MILITARY RD S Dear Permit Holder: Jim Haggerton, Mayor Jack Pace, Director New Inspection Request Line 206 438-9350 0 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, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 4/28/2014. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-431-2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 4/28/2014, 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, File No: D13-001 kC4P\J11 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 January 31, 2014 Aden Aden 15006 Military Rd S Tukwila, WA 98188 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Request for Extension Permit Number D13-001 Fresh & Green Produce —15006 Military Rd S Dear Mr. Aden, This letter is in response to your written request for an extension to Permit D13-001. The Interim Building Official has reviewed your letter and considered your request to extend the above referenced permit. It has been determined that the City of Tukwila Building Division will be granting an extension to the permit through April 28, 2014. If you should have any questions, please contact our office at (206) 431-3670. Sincerely, ifer Marshall it Technician File: Permit No. D13-001 W:\Permit Center\Extension Letters\Permits\2013\D13-001 Permit Extension.docx 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 V9-1 /LF )11 rviv MGA) h-cIAL ofee- ros-mlf b13- oo - - � 11�zv✓ TY.� why aZo'S«Yo_v44 ,so J iL 13 F1 t‘, T e ,bO1, 4g coo 6 rAt(ti-y- Pi) (-i-tkLI/u LtA-- qtra geLD1,, nti�l H VA -1—' J1 L 4/za)I „ s.C7.2:1/2_ 1/22 12/2/2013 City of Tukwila Department of Community Development ADEN ADEN PO BOX 18193 KENT, WA 98030 RE: Permit No. D13-001 FRESH AND GREEN PRODUCE 15006 MILITARY RD S Dear Permit Holder: Jim Haggerton, Mayor Jack Pace, Director 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, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 1/28/2014. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-431-2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 1/28/2014, 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, r Marshall Technician File 'N /D13-001 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 06-03-2013 City of Tukwila Jirn Maggerton, Mayor y Department of Community Development Jack Pace, Director ADEN ADEN PO BOX 18193 KENT WA 98030 RE: Permit No. D13-001 FRESH AND GREEN PRODUCE 15006 MILITARY RD S 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, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 07/29/2013. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-431-2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 07/29/2013, 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, Bill Rambo Permit Technician File: Pennit File No. D13-001 6300 Southcenter Boulevard, Suite # 100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 IPERMII CUM GON�. PLAN REVIEW/ROUTING SLIP ACTIVITY NUMBER: D13-001 DATE: 01/02/12 PROJECT NAME: FRESH AND GREEN PRODUCE SITE ADDRESS: 15006 MILITARY RD S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: Building Division Public Works Fire Prevention Structural Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 01/03/13 Complete X 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 Staff Initials: TUES/THURS ROUTING: Please Route REVIEWER'S INITIALS: DATE: Structural Review Required ❑ No further Review Required ❑ APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions ❑ Notation: REVIEWER'S INITIALS: DUE DATE: 01/31/13 Not Approved (attach comments) ❑ DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials: CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-3670 FAX (206) 431-3665 E-mail: tukplan@ 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 STATE OF WASHINGTON) ) ss. COUNTY OF KING ) [please print name] , states as follows: PERMIT NO: t3OO 1 1. I have made application for a permit from the City of Tukwila, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized under this permit to be exempt under number M 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. Owner/Owner's Agent* Signed and sworn to before me this owl day of nua� ti Q//'moi �T •�' Y PUBLIC in end for the State of Washington , 2013 . Residing at Name as commissioned: My commission expires: 18.27.090 Exemptions. The registration provisions of this chapter do 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 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 46.7o 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; 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, except that this exemption shall not deprive the owner of the protections of this chapter against registered and unregistered contractors. The exemption prescribed in this subsection does not apply to a person who performs the activities of a contractor for the purpose of leasing or selling improved property he or she has owned for less than twelve months; 12.* Any person working on his or her own property, whether occupied by him or her or not, and any person working on his or her personal residence, whether owned by him or her or not but this exemption shall not apply to any person who performs the activities of a contractor on his or her own property for the purpose of selling, demolishing, or leasing the property; 13. An owner* who performs maintenance, repair, and alteration work in or upon his or her own properties, or who uses his or her own employees to do such work; 14. A licensed architect or civil or professional engineer acting solely in his or her professional capacity, an electrician certified under the laws of the state of Washington, or a plumber certified under the laws of the state of Washington or licensed by a political subdivision of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the person certified is operating within the scope of his or her certification; 15. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his or her sole compensation or as an employee with wages as his or her sole compensation; 16. Contractors on highway projects who have been prequalified as required by RCW 47.28.070, with the department of transportation to perform highway construction, reconstruction, or maintenance work; 17. A mobile/manufactured home dealer or manufacturer who subcontracts the installation, set-up, or repair work to actively registered contractors. This exemption only applies to the installation, set-up, or repair of the mobile/manufactured homes that were manufactured or sold by the mobile/manufactured home dealer or manufacturer; 18. An entity who holdptvali'd'electrical contractor's license under chapt09'.28 RGWtht'employs a certified journeyman elect .ieiani s'icertifigd!Jr Oiltial specialty electrician, or an;eetrical'trainee'mtsetinkthe requirements of thap*: 19:28 RCW to; perfgrm plumbing work that is inci4entixlly, directly, and.i pmediately appropriate to the like -in -k ,nd replacer{ientof a household appliance or other mall hous'dh'old ut likatton equipment that requires limitkd'khecVit pbwejtiand;it ri ited waste and/or water conneZt t 'el'eGtr c2l.trainee must be supervised by a certif edseat, i4prw�fiile performing plumbing work. • Per Washington State Department of Labor and Industries lessee has been interpreted to be equivalent to owner for purposes of exemptions. fl1 1<p59-11°1 12V4laraj IL* liber 1X-1 -94°414, ‘41(-614-3 446F ?-?-1f(}1g/-?-1f(}1s 11.411, r(noi,64/ 141 FREEZER ENCLOSURE IA'?CONDENSATE LINES TO NEW ROOF -MOUNTED /"FREEZER CONDENSER 5'-8" FREEZER UNIT RAMP DOWN. . •REVISIONS No changes shall he,rnape to the scope of work without Prior approval of TUkwila Building Divisionr, [40172: Rwisiorts will require a titer plan submittal criti may include additional plan review fees. FLOOR PLAN 1/4'1=1'4' SEPARATE PERMIT REQUIRED FOR: Entebbe** fintectdast GiPlblumbing Oseis Png City of Tukwila BLKOING DIVISION 5'-6" 15'-4 1/2"• 6-0" RAMP FILE COPY Permft No. Pf*' review approval it subject to errors And omissiong. • of construction/documents doe' not authe.:zs lit' .3.:f.ion of any adopted code or ordinance. Receipt cri Lpproveo Fieia Copy and conditiOns is acknowledged: By City Of Tukwila BUILDING DIVISION 'REVIEVVED FOR CODE COMPLIANCE APPROVED JAN. Q4 2013 City of Tukwila BUILDING DIVISION RECEIVED CITY OF TUKWILA JAN 0 2 2013 PERMIT CENTER 001 WTORAGE\Data\2012\12017\Structural\S1.dwg 1 Drafter Name: K TERRELL 1 Plot Date: MAR 14 2012 14:51:04 1 Last Modified Date: MAR 14 2012 12:14:12 1 Submittal: PROGRESS PRINT