HomeMy WebLinkAboutPermit D13-042 - MORGAN RESIDENCE - REMODELMORGAN RESIDENCE
13214 MILITARY RD S
D13-042
City alhukwila
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.: 7346600275
Address: 13214 MILITARY RD S TUKW
Suite No:
Project Name: MORGAN RESIDENCE
DEVELOPMENT PERMIT
Permit Number: D13-042
Issue Date: 03/05/2013
Permit Expires On: 09/01/2013
Owner:
Name: MORGAN RONI R
Address: 14424 NE 30TH PL #C , BELLEVUE WA 98007
Contact Person:
Name: RONI MORGAN
Address: 14424 NE 30 PL #C , BELLEVUE WA 98007
Phone: 425 765-2422
Contractor:
Name: OWNER AFFIDAVIT - RONNIE MORGAN Phone:
Address: ,
Contractor License No: Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
CUT FIVE FOOT DOORWAY BETWEEN TWO ROOMS, STORAGE AND BEDROOM, TO CREATE ONE ROOM.
Value of Construction: $50.00 Fees Collected: $108.45
Type of Fire Protection: International Building Code Edition: 2009
Type of Construction: VB Occupancy per IBC: 0021
Electrical Service Provided by: SEATTLE CITY LIGHT
**continued on next page**
doc: IBC -7/10
D13-042 Printed: 03-05-2013
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant:
Flood Control Zone:
Hauling:
Land Altering:
Landscape Irrigation:
Moving Oversize Load:
Sanitary Side Sewer:
Sewer Main Extension:
Storni Drainage:
Street Use:
Water Main Extension:
Water Meter:
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
The granting of this
construction or the
to this permit.
Signature:
Print Name:
This permit
or abandon
N
N
N
Number: 0
Start Time:
Volumes: Cut 0 c.y.
Size (Inches): 0
End Time:
Fill 0 c.y.
Start Time: End Time:
Private:
Profit: N
Private:
xam
wit
rmit does not pres
erformance of work.
Public:
Non -Profit: N
Public:
Date:
i ed this permit and know the same to be true and correct. All provisions of law and ordinances
h, whether specified herein or not.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this development permit and agree to the conditions attached
1�1
Date:
hall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
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 wood to remain in placed concrete shall be treated wood.
7: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
doc: IBC -7/10
D13-042 Printed: 03-05-2013
sewer connections, and properly fill or oth se protect all basements, cellars, septic tanlitells, and other
excavations. Final inspection approval wil�etermined by the building inspector base atisfactory 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.
doc: IBC -7/10
D13-042 Printed: 03-05-2013
CITY OF TUK" LA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Pe. _. zit No.
OH2
Project No.rs
Date Application Accepted: t.121 it3
Date Application Expires: d D t }
(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**
SITE LOCATION
Site Address: 134I 1i41 Cit5-0 -0 EA 0 �. t -c JA
Tenant Name: `7LL (4t"v� C.... --C
King Co Assessor's Tax No.: 1U'(YQ
Suite Number: Floor: f'2S12. 1't /
PROPERTY OWNER
Name: 1(..)11,:,
111,1.0f
Name: g
,tivAb
(9
-ti-
l' Jr
l ��
Address:'i4
1
n 6 3a Pi
1
L'�
City:n
��
State: Gort
Zip: ?8-002
CONTACT PERSON — person receiving all project
communication
Name: 1(..)11,:,
111,1.0f
Company Name:
Address: r2.9
-ti-
l' Jr
l ��
..—c-__ .
City:
Jo-4_State
q
Phone:
qas- 745.
Fax:
—Fax:
2-2
Phone:
Fax:
Contr Reg No.:
Email:
Exp Date:
GENERAL CONTRACTOR INFORMATION
Company Name: sL_t_ +C
Address:
Company Name:
Address:
Architect Name:
City:
State:
Zip:
Phone:
Fax:
Phone:
Fax:
Contr Reg No.:
Email:
Exp Date:
Tukwila Business License No.:
H'Wpplications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12. docx
Revised: February 2012
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New Tenant: ❑ Yes Q�. No
ARCHITECT OF RECORD
Name:
Address:
Company Name:
Architect Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Name:
Address:
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
Valuation of Project (contractor's bid price): $
Existing Building Valuation: $
Describe the scope of work (please provide detailed information):
Cur- .5 ' emu () r � . ems.
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? 0 Yes 0 No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers 0 Automatic Fire Alarm 0 None 0 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 Safe 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:\Apphcations\Forms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 2 of 4
Existing
,,.
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type "of. '
Occupancy per
IBC
15f Floor
d
2nd Floor
3rd: Floor
Floors thru
Basement
?41
74)
513
r�
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? 0 Yes 0 No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers 0 Automatic Fire Alarm 0 None 0 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 Safe 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:\Apphcations\Forms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 2 of 4
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 j—gE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR eiUTHORIZED AGENT:
Signature:
Print Name:
z ;�.�
Mailing Address: 1117.4 r n I& El/ 1 p
i
H:\Applications\Forms-Applications On Lrne'2012 ApplrcatronsWerma Application Revised - 2-7-12.docx
Revised: February 2012
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Date: -2111/
Day Telephone: 74. 5 4 Z�
4(1) vu -e_ , W4-- pct 7
City State Zip
Page 4 of 4
PUBLIC WORKS PERMIT•INF
ATION —206=433-0179
Scope of Work (please provide detailed information):
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ .. Tukwila 0 ...Water District # 125
❑ .. Water Availability Provided
Sewer District
❑ .. Tukwila
❑ .. Sewer Use Certificate
Septic System:
❑ On-site Septic System — For on-site .tic system, provide 2 copies of a current septic desig pproved by King County Health Department.
❑... Highline
❑ ...Valley View ❑ ... Renton
❑ ...Sewer Availability Provided
0... Renton
S r'tle
Submitted with Application (mark boxes ich apply):
❑ .. Civil Plans (Maximum Paper Size — 22 34")
❑ .. Technical Information Report (Storm Drain :t e) ❑... Geotechnicalyreport 0 .. Traffic Impact Analysis
❑ .. Bond ❑... Insurance ❑.. �, asement(s) 0... Maintena "Agreement(s) ❑ .. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
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 0
Non Right-of-way ❑
❑ .. Total Cut
❑ .. Total Fill
0...R. t -of -way Use - Profit for less than 72 hours
0.. fight -of -way Use — Potential Disturbance
cubic yards
cubic yards
❑ .. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
❑ .. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑
Aband. ," Septic Tan
...Curb ut
... Pa ent Cut
oped Fire Line
0 .. Permanent Water Meter Size (1)
❑ .. Temporary Water Meter Size (1)
❑ .. Water Only Meter Size
❑ .. Sewer Main Extension ublic
❑ .. Water Main Extension Public
SI
If
... Work in Flood Zone
...Storm Drainage
❑...Grease Interceptor
❑... Channelization
❑...Trench Excavation
0... Utility Undergrounding
WO# (2) O# (3) " WO#
WO # (2) " r 4� # (3) " WO #
WO # ❑ .. De et Water Meter Size "
Private 0
Private 0
FINANCE INFORMATION
Fire Line Size at Property a Number of Public Fire Hydrant(s)
0 .. Water ■ .. Sewer 0 .. Sewage Treatment
Monthl Service Bill' 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\2012 Applications\Permit Application Revised - 2-7-12.docx
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Page 3 of 4
1
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.: 7346600275
Address: 13214 MILITARY RD S TUKW
Suite No:
Applicant: MORGAN RESIDENCE
RECEIPT
Permit Number: D13-042
Status: PENDING
Applied Date: 02/05/2013
Issue Date:
Receipt No.: R13-00723
Initials: JEM
User ID: 1165
Payment Amount: $108.45
Payment Date: 02/05/2013 12:43 PM
Balance: $0.00
Payee: RONI R MORGAN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 00105C
ACCOUNT ITEM LIST:
Description
108.45
Account Code Current Pmts
BUILDING - RES
PLAN CHECK - RES
STATE BUILDING SURCHARGE
000.322.100
000.345.830
640.237.114
Total: $108.45
63.00
40.95
4.50
Drin+nrl• nl_Ac._7A1
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
(3 --012-
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 C{, (206) 431-3670
Permit Inspection Request Line (206) 431-2451,
Proje t:
AJ\ Df 4 A l �-S:L A €
Type of'I-nspect'on:`
- A --M. ' A�
Addres.s: _ll4 y ` { k ;,, ..
r
Date Cal(ed:` - I Al
Special Instructions:
�'
.
1 S J
-,
Date,Wan�t'e !,, ffj j a.m.
$— f 2_ -13 .p� m.
Requester:
Pho NNo: 5 ......7 ( s. r 2_41 7.2....
JApproved per applicable codes.
ElCorrections required prior to approval.
7
COMMENTS:
perm c M r d
Inspector:
Date3 fl2 (3
(1
I I REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Proposed change to floor plan for 13214 Military Road South Tukwila
RIVERTON ACRE TRS LOT 1 OF CITY OF TUKWILA SHORT PLAT NO L95-0071
RECORDING NO 9606240927 SAID SHORT PLAT DAF - S 70 FT OF LOT 2 OF BLOCK 6
MEASURED ALONG EAST LINE LESS CO ROAD
PARCEL NUMBER: 734660-0275
Contents:
Drawing 1 Current floor plan
Drawing 2 Proposed change to floor plan, change area marked in red
Proposed change consists of constructing a simple 5 foot wide opening in the wall
between bedroom and storage room, creating one large room. Project will be done by
homeowner. Plans include drywall repair, repainting and installation of header if
necessary.
FILE COPY
Permit No. D 1-;
Ilan review approval is subject to errors and omit;pans.
Apr;! of construction documents does nci ap{ . ;,9
the $,oiation of :.•opted code or ordinanc6 R3cE t
of approved F -Id .y and conditions is acknowledg d:
City Of TL,rkwlla
BUILDING DIVISION
_ SEPARATE E PEl t'i"a;IIT
RE-QUIR D FOR.
Mechanical
Electrical
Plumbing
Gas Piping
City of Tukwila
BUll_DING DIVISION
PLANNING APPROVED •
No changes can be made. to these
plans without approval from the
Planning Division of DCD
App By:
bkkiDate: i9, iOt,
rock -planter
RECEIVED
CITY OF TUKWILA
FEB 0 5 2013
PERMIT CENTER
OM 9, -
REVISIONS
No changes shall be made to the scope
of work without prior approval of
T u'.wi !a Building Division.
r ev;sio 3 will require a new plan submittal
crd may include additional plan review fees.
5.
u
bedroom
27ft
?ro3/4..)o5€_ 9p4'-.cn I
storage
1 oft.
{ 0
fumace rooni
s1oft
T
2i�
C 1 ft9ft
xt label
living room
entry
-
ICO bath I
••
••
27ft.
Proposed 5 foot opening
Oft
bed room
REVIEWED FOR
CODE COMPLIANCE
APPROVED
MAR 01 2013
City of Tukwila
BUILDING DIVISION
744
living room
MAIN FLOOR
RECEIVE
CITY OF TUKWILA
FEB 2 6 2013
PERMIT CENTER
•
INCOMPLETE ij3O42
LTR# �
February 7; 2013
City of Tukwila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
Roni Morgan
14424 NE 40 Place #C
Bellevue, WA 98007
RE: Incomplete Letter #1
Development Permit Application Number D13-042
Morgan Residence —13214 Military Rd S
Dear Ms. Morgan,
This letter is to inform you that your permit application received at the City of Tukwila Permit Center on
February 5, 2013 is determined to be incomplete. Before your application can continue the plan review
process the attached/following items from the following department(s) need(s) to be addressed:
Building Department: Allen Johannessen at 206 433-7163 if you have any questions regarding the
attached comments.
Please address the comments above in an itemized format with applicable revised plans, specifications, and/or
other documentation. The City requires that four (4) sets of revised plans, specifications and/or other
documentation be resubmitted with the appropriate revision block. Plea -se .note.tfiat_plans niust be.provided
on 11 x 17" paper. I have included a copy of the previously submitted plans for your reference.
In order to better expedite your resubmittal a `Revision Submittal Sheet' must accompany every resubmittal. I
have enclosed one for your convenience. Revisions must be madein person and will not be accepted
through the mail or by a messenger service.
If you have any questions, please contact me at the Permit Center at (206) 431-3670.
File No. D13-042
»WjJ4Q
11
an
W (Permit Centerllncomplete Letters120131D13-042 Incomplete Letter #I.docx
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
Tukwila Building Division
Allen Johannessen, Plan Examiner
Determination of Completeness Memo
Date: February 7, 2013
Project Name: Morgan Residence
Permit #: D13-042
Plan Review: Allen Johannessen, Plans Examiner
The Building Division has deemed the subject permit application incomplete. To assist the applicant in expediting
the Department plan review process, please forward the following comments.
(GENERAL NOTE)
PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size. New
revised plan sheets shall be the same size sheets as those previously submitted.)
(If applicable) Structural Drawings and structural calculations sheets by a registered engineer shall have a current
signed stamp -seal. Architectural design sheets and documents by a registered architect shall also have a current
signed stamp -seal.
1. The plan provided does not provide sufficient information about the wall affected for the new opening. Specify
if that wall is a bearing wall or non-bearing wall. If a bearing wall, a header shall be required and the size of the
header shall be identified. Depending on the way the building was constructed that could possibly be a bearing
wall. In either case identify the header and size.
2. Also Cloud on the proposed plan the location of the work. Specify with dimensions, the size of the opening
3. Please note: electrical may be in the opening proposed. Therefore an electrical permit shall be required to
relocate any electrical.
Should there be questions concerning the above requirements, contact the Building Division at 206-431-3670. No
further comments at this time.
•ERMIT COORD COF"
PLAN REVIEW/ROUTING SLIP
ACTIVITY NUMBER: D13-042 DATE: 02/26/13
PROJECT NAME: MORGAN RESIDENCE
SITE ADDRESS: 13214 MILITARY RD S
Original Plan Submittal
Response to Correction Letter #
X Response to Incomplete Letter #
Revision # after Permit Issued
DEPARTMENTS:
rff 02.eir
Building Division
Public Works
Fire Prevention
Structural
Planning Division
❑ Permit Coordinator ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete TI
Incomplete ❑
DUE DATE: 02/28/13
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:
TUESITHURS ROUTING:
Please Route ❑ Structural Review Required ❑ No further Review Required ILSI,
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 03/28/13
Approved ❑ Approved with Conditions k- Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center" Use Only
CORRECTION LETTER MAILED:
Departments issued corrections:
Bldg 0 Fire 0 Ping 0 PW ❑ Staff Initials:
111,
PLAN REVIEW/ROUTING SLIP
ACTIVITY NUMBER: D13-042 DATE: 02/05/13
PROJECT NAME: MORGAN RESIDENCE
SITE ADDRESS: 13214 MILITARY RD S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #_
Revision # after Permit Issued
DEPARTMENTS:
itO �
tin Division
Op( 09AI. n
Public Works
'Vf
Fire Prevention
Structural
iNtY1 /CC Y2'O1't3
Planning Division
❑ Permit Coordinator ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete ❑
Incomplete
DUE DATE: 02/07/13
Not Applicable ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: O1 l'' 7 LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg Fire 0 Ping ❑ PW 0 Staff Initials:
TUES/THURS ROUTING:
Please Route ❑
REVIEWER'S INITIALS:
Structural Review Required ❑
No further Review Required ❑
DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 03/07/13
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 0 PW 0 Staff Initials:
Citlibf Tukwila �
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Web site: http://www.TukwilaWA.gov
REVISION
SUBMITTAL
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date:
Plan Check/Permit Number:
.1)I - 09
Response to Incomplete Letter # �
❑ Response to Correction Letter #
❑ Revision # after Permit is Issued
O Revision requested by a City Building Inspector or Plans Examiner
Project Name: (vi D 2 i..Se..,t e e
Project Address: �.� �/�/�,
J t.et
t S- ‘A-tCti i_-ry
f�
Contact Person: (20l-\ R t YVi OCE3/4\ Phone Number: 1.2s — 7 rP s z Z,
Summary of Revision:
RECEIVED
CITY OF TUKWILA
FEB 2 6 2;':3
MIT CENTER
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by: i ("5"
Entered in Permits Plus on
H:\Applications\Forms-Applications On Line\2010 Applications \7-2010 - Revision Submittal.doc
Revised: May 2011
•
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-367o FAX (206) 431-3665
E-mail: tukplanPci.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
41,
Yk1o(e-,
[please print name]
, states as follows:
PERMIT NO: 1/ v 1
EU3- oia�
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 Id- , 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 right at I migl� otherwise have under state law in any decision
to engage an unregistered contractor to perform constructipn work.
•42.4. 0„,,‘,.B‘R„„. .
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OwAer Own: 's Agent*
Signed and sworn to before me this
day of k--- 1/ AA , 20 1..S .
NOTARY PUBLIC in and for the State of Washington
Residing at y 1
Name as commissioned:
My commission expires:
County ll;
\ik)S0,41 34'
\0— pct- cD-o)S
18.27.090 Exemptions. The registrn 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 46.70 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;
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;
i a"�'1 dIIII:.�
18. An entity who holds saValiadteecricall co
ntractor's
license under chapter 19.28rGWtliat,emsloysa
certified
journeyman electrician, a certified residential=specialty
electrician, or an electrical trainee meetingthe
requirements of chapter,i9.28 RCW to perform plumbing
work that is incidentally' directly, and immediately
appropriate to the like;inkind,replacementiof Oiousehold
appliance or other small'lioiisehold utilizationequipment
that requires limited electric;poweraridiliinited waste
and/or water connections. An.el'ectrical,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 purposes of exemptions.