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HomeMy WebLinkAboutPermit D13-109 - SHAWGO RESIDENCE - REMODELSHAWGO RESIDENCE 14437 46 AV S D13-109 City okukwila • 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.Tukwila WA .gov Parcel No.: 0040000405 Address: 14437 46 AV S TUKW Suite No: Project Name: SHAWGO RESIDENCE DEVELOPMENT PERMIT Permit Number: D13-109 Issue Date: 04/15/2013 Permit Expires On: 10/12/2013 Owner: Name: BURNHAM MARY Address: C/O RICHTER LINDA , 51 E GLAMIS CT 98584 Contact Person: Name: MIKE SHAWGO Address: 655 W TWO RIVERS DR , BOISE ID 83616 Phone: Contractor: Name: OWNER AFFIDAVIT - MIKE SHAWGO Phone: Address: Contractor License No: Expiration Date: Lender: Name: SELF FUNDED - OWNER Address: DESCRIPTION OF WORK: REPLACE EXISTING WINDOWS, INSULATION, DRYWALL, PLUMBING, ELECTRICAL. RESTORATION. (PLUMBING AND ELECTRICAL TO BE UNDER SEPARATE PERMITS) Value of Construction: $26,100.00 Fees Collected: $1,018.34 Type of Fire Protection: NONE International Building Code Edition: 2009 Type of Construction: V -B Occupancy per IBC: 0022 Electrical Service Provided by: SEATTLE CITY LIGHT **continued on next page** doc: IBC -7/10 D13-109 Printed: 04-15-2013 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: 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: N Number: 0 Size (Inches): 0 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: 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 rk. I . % authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: , Date: l lS 20/S f Print Name: M6-446)--‘ 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: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms, bathrooms, toilet rooms, storage closets, surgical rooms. doc: IBC -7/10 013-109 Printed: 04-15-2013 7: Water heaters shall be anchored or strapAlto resist horizontal displacement due to earliOake motion. Strapping shall be at points within the upper one-third and lower one-third of the water heater's vertical dimension. A minimum distance of 4 -inches shall be maintained above the controls with the strapping. 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 D13-109 Printed: 04-15-2013 CITY OF TUKiA Community Developn«,,t Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Pette; No. [)/3-- /C) Project No. Date Application Accepted: 0 WO h S Date Application Expires: Jo / 0 fS 1/ 3 (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: Tenant Name: he.'i3 .7161(/90Q,5, SAi3 O PROPERTY OWNER Name: ; , ,.� j / 4h�5 0 I /'j_ , Address: s -s-- l , r,0„q,-,, „,./,0,-. City: 7: 0 17ni4 (?tate: y dc, 4� n Zip: VA 14 CONTACT PERSON — person receiving all project communication Name: ) 0 /4)77 j .2j,—,(�. t(, ,5 ` 4)5.0 Address: Tukwila Business License No.: City: State: Zip: Phone: Zip: Fax: Fax: Email: Email: GENERAL CONTRACTOR INFORMATION Company Name: d i n £r \ j` �t m/ e g4.10) Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: H:\Applications\Forms-Applications On Line\2012 Applications\Fermit Application Revised - 2-7-I2.docx Revised: February 2012 bh King Co Assessor's Tax No.: 0 0 Y 00 0 / OS` Suite Number: Floor: New Tenant: IR Yes .. 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 BUILDING: PERMIT INFORMATIO - 206 431-3670 Valuation of Project (contractor's bid price): $ :l- 6 I /an Describe the scope of work (please provide detailed information): /ifu(aJton2 I rkG✓4//7 0luir,.4is7/ ) p--1 4 a f) f (oft b4 wor� >> Existing Building Valuation: $ fLa" R. .12,4 icbrif wfk)c) M") s % c fr, cam / -R,e s 0/-4 '1 A x'1 7 S -ex' Will there be new rack storage? ❑ ....Yes If yes, a separate permit and plan submittal will be required. Provide Alt 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: Will there be a change in use? 0 Yes 0 No FIRE PROTECTION/HAZARDOUS MATERIALS: 0 Sprinklers 0 Automatic Fire Alarm Compact: Handicap: If "yes", explain: 0 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 I I " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM 0 On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Appltcattons\Forms-Applications On Line \2012 Apphcations\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 Interior Remodel Addition to Existing Structure New Type of Construction per, IBC Type of: • Occupancy per IBC 1St Floor /Existing f �00 R2 f4 OP -P 2"d Floor /A4 '+ 6 -.7i 3,r`' Floor Floors thru' Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck UncoveredDeck 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: Will there be a change in use? 0 Yes 0 No FIRE PROTECTION/HAZARDOUS MATERIALS: 0 Sprinklers 0 Automatic Fire Alarm Compact: Handicap: If "yes", explain: 0 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 I I " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM 0 On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Appltcattons\Forms-Applications On Line \2012 Apphcations\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 7, :PUBL'IC WORKS PERIVIIT:,INFOR Scope of Work (please provide detailed information): fk0,1I 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 ❑ ...Valley View ❑ ...Sewer Availability Provided ❑... Highline 0...Renton 0...Renton 0...Seattle Septic System: O On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. Submitted with Application (mark boxes which apply): ❑ .. Civil Plans (Maximum Paper Size — 22" x 34") ❑ .. Technical Information Report (Storm Drainage) 0 .. Bond ❑... Insurance ❑... Easement(s) Proposed Activities (mark boxes that apply): ❑ .. Right-of-way Use - Nonprofit for less than 72 hours ❑ .. Right-of-way Use - No Disturbance ❑ .. Construction/Excavation/Fill - Right-of-way 0 Non Right-of-way ❑ ❑ .. Total Cut ❑ .. Total Fill cubic yards cubic yards ❑ .. Sanitary Side Sewer ❑ .. Cap or Remove Utilities ❑ .. Frontage Improvements ❑ .. Traffic Control ❑ .. Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. Permanent Water Meter Size (1) ❑ .. Temporary Water Meter Size (1) ❑ .. Water Only Meter Size ❑...Geotechnical Report 0...Maintenance Agreement(s) ❑ .. Traffic Impact Analysis ❑ .. Hold Harmless — (SAO) ❑ .. Hold Harmless — (ROW) 0... Right-of-way Use - Profit for less than 72 hours 0...Right-of-way Use — Potential Disturbance 0...Work in Flood Zone 0...Storm Drainage 0...Abandon Septic Tank ❑...Curb Cut 0...Pavement Cut 0...Looped Fire Line ❑ .. Sewer Main Extension Public ❑ .. Water Main Extension Public 11 11 11 ❑...Grease Interceptor ❑... Channelization ❑...Trench Excavation ❑ ... Utility Undergrounding WO# (2) " WO# (3) " WO# WO # (2) " WO # (3) " WO # WO # ❑ .. Deduct Water Meter Size Private 0 Private 0 FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) O .. Water 0 .. Sewer 0 .. Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip H:WpplicationsWorms-Applications On Line\2012 ApplicationsWermit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 3 of 4 PERMIT APPLICATION NOTES —0 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 OWNER, ' AUTHORIZED AGENT: L` Signature: _Mt/1it,-.7 < Date: 9// /3 Print Name: Mailing Address: frv-oh✓S Or. On Line \20I2 Applications\Permit Application Revised - 2-7-I2.docx Revised: February 2012 bh Day Telephone: (.5'3) 2JV 9 �fl/ �4. WWVo7 City State IC V°7 Page 4 of 4 • City of Tukwila ti Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-43 1-3670 Fax: 206-431-3665 Web site: http://www.TukwilaWA.gov RECEIPT Parcel No.: 0040000405 Permit Number: D13-109 Address: 14437 46 AV S TUKW Status: PENDING Suite No: Applied Date: 04/08/2013 Applicant: SHAWGO RESIDENCE Issue Date: Receipt No.: R13-01250 Initials: User ID: LAW 1632 Payment Amount: $1,018.34 Payment Date: 04/08/2013 04:37 PM Balance: $0.00 Payee: MICHAEL D SHAWGO TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1205 1,018.34 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - RES PLAN CHECK - RES STATE BUILDING SURCHARGE 000.322.100 000.345.830 640.237.114 Total: $1,018.34 614.45 399.39 4.50 rtnr• Raraint_fl Printed: 04-08-2013 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-43 1-3670 Fax: 206-431-3665 Web site: http://www.Tukwila WA.gov Parcel No.: 0040000405 Address: 14437 46 AV S TUKW Suite No: Applicant: SHAWGO RESIDENCE RECEIPT Permit Number: D13-109 Status: PENDING Applied Date: 04/08/2013 Issue Date: Receipt No.: R13-01245 Initials: User ID: LAW 1632 Payment Amount: $-399.39 Payment Date: 04/08/2013 04:36 PM Balance: $0.00 Payee: APPLICANT PAID FULL PERMIT FEE TRANSACTION LIST: Type Method Descriptio Amount Payment Void 1205 -399.39 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 -399.39 Total: $-399.39 rinr Raraint_OR Printed: 04-09-2013 • 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.: 0040000405 Address: 14437 46 AV S TUKW Suite No: Applicant: SHAWGO RESIDENCE RECEIPT Permit Number: D13-109 Status: PENDING Applied Date: 04/08/2013 Issue Date: Receipt No.: R13-01245 Payment Amount: $399.39 Initials: LAW Payment Date: 04/08/2013 12:48 PM User ID: 1632 Balance: $618.95 Payee: MICHAEL D SHAWGO TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1205 399.39 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 399.39 Total: $399.39 rinn• Dcnnin+_AR O.in+n.+• AA no )l l 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.: 0040000405 Address: 14437 46 AV S TUKW Suite No: Applicant: SHAWGO RESIDENCE RECEIPT Permit Number: D13-109 Status: PENDING Applied Date: 04/08/2013 Issue Date: Receipt No.: R13-01245 Initials: User ID: LAW 1632 Payment Amount: $399.39 Payment Date: 04/08/2013 12:48 PM Balance: $618.95 Payee: MICHAEL D SHAWGO TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1205 399.39 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 399.39 Total: $399.39 AC O.On1e.'1• AA AO'9/N9 X2.4 -5,,(, . . INSPECTION RECORD Retain a copy with permit INSPECT! N NO. PERMIT NO. • CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 X1.3 -tog Project: NAu..ir ) C.c Type of Inspection: 1`+IQ AI Address: 1'—N 37 '-1(U S Date Called: Special Instructions: Date Wanted: 1 E-3--( iii:7_ Requester: Phone No: ��- r253 —�3dr pproved per applicable codes. Corrections required prior to approval. COMMENTS: --?Q 1 -*4- (*MAX. /1— WA / r Date: 13 SPECTION FEE REQUIpED. Prior to rrxt inspection. fee must be at 6300 Southcenter 811.)d., Suite 100. Call to schedule reinspection. 3 INSPECTION RECORD '" ' Retain a copy with permit INSPECTION NO. PERMIT NO. • CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 -� (206) 431-3670 Permit Inspection Request Line (206) 431-2451 ..)/3- /O� Project: ..-5/e/ 44d6C) /1)F..S Type of Inspection: CJ9LL ...2:41.5&t. /, 7-72Aell ;1‘./ ‘ -/2ppe'e✓ L-- Address: • /4/11j 7 6' Aa Dat Called New 6ili4 y- z�/. Special Instructions: '� _ /aZ z�/ 4� Date Wanted:. 5--22 - /3 a.m. p.m. Requester: "' "-- Phone No: a53-.2306-cic/(/ Approved per applicable codes. Corrections required prior to approval. COMMENTS: /, 7-72Aell ;1‘./ ‘ -/2ppe'e✓ L-- "Wi ! I i NSii 4 /dam) --49,0 ot/ - . T /i fi At* ./>/e) gv-/ Ow r , e - - ec-f< o o s. ,4-1.) G,.JI,?F ?Nie h &// '1 • Date:,_ S -2'- ' EINSPECTION FEE REQUIRED. Prior to next 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 9— (206) 431-3670 Permit Inspection Request Line (206) 431-2451 _b/3 —/ ©et Project:.V Res , Type �T 4A3 -7A Address: 1•-t. 14443'7 4C- --Auk_ Date Called: / ! /3 4i, 4 V Special Instructions: , Date Wanted:. a 7 "������. Requester: Phone No: 953_t30—%4I( 6k7U_L---,,usvL797 Approved per applicable codes. Corrections required prior to approval. COMMENTS: 6)T1K'IghTr- 44i>/ JL S -,--)T /e- �/-se -7A Iwo 6 - (/ A / / ! /3 4i, 4 V f"kV)',(ier-4)7--"7 o ,/ / i2 6k7U_L---,,usvL797 ) _ , .-.) (7),tez / r\, Inspector n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date:.. 2 REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila •Building Division.. NOTE: revisions will require a new plan submittal and may include additional plan review fees. 1 fit 1. �'r•l rr 73 ik-z ioi- I I,n;,A 512- tA (0 ,/ CI 0;ft.1 TZ -00 A•A- la' a i y 44I'/ 50 REVIEWED FOR -CO - PLIANCE 9 APP OVE S APR 10 2013 City of iiit BUILDING VI ION 0- TaeonA411\4 g•1" Lsi ✓ u ke.-- sfirr i 1/, ''e' at- //f302 ,' is h /414 i.,e4 , ,5"dHe___ > 31 tido o ' 5 /-5 v s -e J 4/3" clout- ljev 4'/ e /`av 404" v4( ddd ► V) /NON w,90i5 -1141,900 P1;5C'-f ad►,inf ; 2-1900 1111W Qr&jA/ // ; 4r Z oC? ti Ili 1, i,t S g i 77 U ch- 1 GCS ; S4 Jae) 1-„ fv/z-E/'o4 s 3, log 4' 726, roc-- ,4// j7-1,1,2 IG.tis AAR-T_e,s,sLe-D� 56 It' •7" RECEIVED CITY OF T S t4 rE PERMIT APR 0 8 oUIRED:IFOR: 0;kJ 54 ai) 5 o oi4 (rojc/ -e o / 9 g 3 7 2.l 71! /I,e.' l ins (7,1)),B (VSs` /i✓. 1 /c7 R,' 0 -J Or- �a�S� Z-Jal U 093/4 - 7/g 2- .7.-c.kw,./q, M- c onhac-7L d ( ot) r i (Li3 4 1#/G•e/ A7 /41 l 1/ p ©-C Work % Aeir)7;” i •7� r'R pp/4 (-Q all .e1;5 i /7 1V/11)0411J I /, -i- A g V'hy%LJihda4✓f, au5, 0 voe/, - 30 /11-9ar So06/s2 ze /4I-S,2s� ttLA tti4 ie.4%5 12,4 I Mc')%5 f'a �s� Z /1 (3 )(5i ; (f -74y; l�� -Ma 71- �I G/7 l h y�� r�; n )0i2/,x /ifc /- b- ' 1f Wl� �o�s irk �'jr�dvoo f .2'S,., X 4 C a' y .1.).22-1-f fide.,) ,� S�� 'mss s Q J ,C �'' � ea_0.7 ok �� he -weG� 1� neteae1 J01l-,)ii-'m C//. -,,f i G -L -.L ♦�, S L4,-'40-12 PERMIT GEN a• ehanicai ectrical Plumbing Gas Piping City of Tukwila BUILDING DIVISION, RECEIVED CITY OF TUKWILA APR 0 8 2013 PERMIT CENTER 6('/16)4, gtee-/ r - cc / 4 6 cpf very, 010D/1 /19ov.Qd oo (l7 a1 v7 66)-4r') ,q// J/67pi/ a// r2rh ovQ 4�'-�uamoaaRa. /9/I ou/q/1.�+y o� ro�q (s4 ch f1 } (I7 .iyf.r4..��f'4el h! J+ 7 / • L/1957/G;e' GI �7` i C �',:,//..' 2� �C: S' 'y7 4`' �;j :4 17 loo -Wv 6-C FG -F7l rZ,� - s r447z/c 4/41 9 ? f'4 1 f'� py�'` P','1 '' (4.1/ 14/45// s!b i.�l Ct /'4 O J/ 9/7 r- ' , �t° o y f /'JP/<i CPC). 0' 9.P o r!5 M a , f'1 / /7 P _12 )4 s 401 11/15, ." /0-e, c r 1C. /Op,- /►i i ) r R to I a c ; 115 ti f( o/ ' k,7 04 7' -r. ->D, /t, J, 'i'� S .;',%,�. '7.F Zoo A(,1 taus / a //// 4A iAl .�ri b _A _�_ .i L - !iw -• h • �. PE: COe COY PLAN REVIEW/ROUTING SLIP ACTIVITY NUMBER: D13-109 DATE: 04-08-13 PROJECT NAME: SHAWGO RESIDENCE SITE ADDRESS: 14437 46 AV S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: inision iF re Pr P� .itsubllc Works Structural ❑ Permit Coordinator \k-Ot. s(, evention Planning Division p DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete DUE DATE: 04-09-13 Not Applicable Comments: Permit Center Use Only , INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping 0 PW 0 Staff Initials: i TUES/THURS ROUTING: Please Route - / Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 05-07-13 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: Documents/routing slip.doc 2-28-02 • CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-3670 FAX (206) 431-3665 E-mail: tukplan cr 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) COUNTY OF KING ss. WCLekei St1-(-033 [please print name] , states as follows: PERMIT NO: 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 I2., 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 L/ 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. elks v.eR .... AA_N it 14) AtioNfr 1 OF wAS Iq Owner Owner's Agent* Signed and sworn to before me this \ 5 . _day of J. , 2013 . 3-(As6y9-4/(( NOTARY PUBLIC in and for the State of Washington Residing at , County Name as commissioned: 1/�S�-1�1 . gocl \D — 1I' 2015 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 commissionin 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; ptu:��rrrrrr,,�, 18. An entity who holds a valid eledtrical contractor s license under chapter 19.28' RCWeghat,ellocy�SYa certified journeyman electrician, acertff'edir`esidenfialOpecialty electrician, or an electrical t inee�m'betitp requirements of chapter 19.28iRCW to perforfi plumbing work that is incidentally, directly, and immeaitely appropriate to the like -in-kind replacement of•Ka household appliance or other smalkhousehald'u`tilizatipn., piipment that requires limited eleettjel b`7veif'and'laiiAte'd waste and/or water connections.An elecXncal, rainee' must be supervised by a certified elect ician, chilerperforming plumbing work. • Per Washington State Department of Labor and Industries lessee has been interpreted to be equivalent to owner for purposes of exemptions.