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HomeMy WebLinkAboutPermit D14-0163 - PEARCE RESIDENCE - EXTERIORPEARCE RESIDENCE 4613 S 125 ST D14-0163 Parcel No: Address: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.Rov DEVELOPMENT PERMIT 0179002715 Permit Number: D14-0163 4613 S 125TH ST Project Name: PEARCE RESIDENCE Issue Date: 6/13/2014 Permit Expires On: 12/10/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: FARMHOUSE/ROSS LLC 22910 38TH AVE SE , BOTHELL, WA, 98021 MEL PEARCE 22910 38 AVE SE , BOTHELL, WA, 98021 OWNER AFFIDAVIT IN FILE I Phone: (425) 402-8794 Phone: Expiration Date: DESCRIPTION OF WORK: SUBJECT TO FIELD INSPECTION: REPLACE SIDING AND WINDOWS AS WELL AS SOME SHEATHING Project Valuation: $250.00 Type of Fire Protection: Sprinklers: NO Fire Alarm: NO Type of Construction: VB Electrical Service Provided by: TUKWILA FIRE SERVICE Fees Collected: $72.75 Occupancy per IBC: R-3 Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Public Works Activities: Channelization/Striping: Curb Cut/Access/Sidewalk: Fire Loop Hydrant: Flood Control Zone: Hauling/Oversize Load: Land Altering: Landscape Irrigation: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Volumes: Cut: 0 Fill: 0 Number: 0 No Permit Center Authorized Signature: Date: I hearby certify that I have read and a ami ed this permit and know the same to be true and correct. All provisions of law and ordinances Bove nin this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this development permit and agr to the conditions attached to this permit. Signature: Print Name: V ► \ L-( ��Ct c Date: c-( 13) ) —[ This permit shall become null and void if the work is not commenced within 180 days for 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 PERMIT CONDITIONS*** 2: Work shall be installed in accordance with the approved construction documents, and any changes made during construction that are not in accordance with the approved construction documents shall be resubmitted for approval. 3: All permits, inspection record card and approved construction documents shall be kept at the site of work and shall be open to inspection by the Building Inspector until final inspection approval is granted. 4: Insulating materials, where exposed as installed in buildings of any type of construction, shall have a flame spread index of not more than 25 and a smoke development index of not more than 450. Where facings are installed in concealed spaces in buildings of Type III, IV, or V construction, the flame spread and smoke - developed limitations do not apply to facings, that are installed behind and in substantial contact with the unexposed surface of the ceiling, wall or floor finish. 5: All construction shall be done in conformance with the Washington State Building Code and the 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 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 construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be obtained at City Hall in the office of the City Clerk. 9: 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). 10: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 11: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 0413 WALL SHEATHING/SHEAR CITY OF TUh /ILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Permit No. 0 [(0; 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** SITE LOCATION Site Address: (,t l3 S 1 0/. Tenant Name: PROPERTY OWNER Name: A e L ?eGt V C C`Z_ Address:0 �v 3 h A,/ St City: L(( State: (A.,4_- Zip:`j roZ( CONTACT PERSON — person receiving all project communication Name: IAA e. l ,{7 r C AddressZZq(U 32,Lh „ek,S� City: ,...c/ /,I State: a Zip:Q s62/ Phone: rlZS - ,oz _gm Fax: Email: � '�C c.� 007 i'cw/op! c! - GENERAL CONTRACTOR INFORMATION Company Name: G W)0 fiC 2_ Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: King Co Assessor's Tax No.: 01166190 2-1 Suite Number: Floor: New Tenant: ❑ Yes ❑ .. No ARCHITECT OF RECORD Company Name: Architect Name: Address: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD 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: H:Wpplications\Forma-Applications On Line\2012 Applications\Permit Application Revised - 2-7-I2.docx Revised: February 2012 bh Page 1 of 4 BUILDING PERMIT INFORMAT. ; — 206-431-3670 Valuation of Project (contractor's bid price): $ aS° ExistingsBuilding Valuation: $ Describe the scope of work (please provide detailed information): g- —1 .- * GZ v� S' ' i ✓� Lc, 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 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1' 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 ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ 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\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 PERMIT APPLICATION NOTES ti 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 OW� ORIZED AGENT: Signature: l/.S.GP Print Name: -144 Feecre--12 Date: 6//3/ V Day Telephone: 4ZS— 77i — 7f3�p 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 PUBLIC WORKS PERMIT IN. _AVIATION — 206-433-0179 Scope of Work (please provide detailed information): Ca11 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 0 .. Sewer Use Certificate Septic System: ❑ On -site Septic System — For on-si , septic system, provide 2 copies of a current septic d. gn approved by King County Health Department. ❑... Highline ...Valley View ❑...Renton ...Sewer Availability Provided 0... Rent Seattle Submitted with A ' lication mark boxe which a s 1 ❑ .. Civil Plans (Maximum Paper Size — ° " x 34") ❑ .. Technical Information Report (Storm Dr, : age) ❑... Geotech ' al Report ❑ .. Traffic Impact Analysis ❑ .. Bond ❑... Insurance ■ Easement(s) 0... Mainte ce 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 0 ❑ .. 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 " ❑ .. Sewer Main Extension blic ❑ ❑ .. Water Main Extension ' ublic ❑ ❑.. 'ght-of-way Use - Profit for less than 72 hours .. Right-of-way Use — Potential Disturbance ... Work in Flood Zone .. Storm Drainage 0... Abant Septic Tank ❑... Cur. ut ❑ ...P. mentCut O ... r oped Fire Line FINANCE INFORMATION Fire Line Size at Property Li ❑ .. Water Monthly Service Billin o: Name: .. Sewer ❑...Grease Interceptor ❑... Channelization ❑ ... Trench Excavation 0...Utility Undergrounding WO # (2) " WO (3) WO # (2) " WO # '.• (3) WO # ❑ .. Deduct W. ,r Meter Size Private 0 Private 0 Number of Public Fire Hydrant(s) ❑ .. Sewage Treatment " WO# " WO# 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-I2.docx Revised: February 2012 bh Page 3 of 4 INSPECTION RECORD Retain a copy with permit t-! ors PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., *100, Tukwila. WA 98188 (206) 431-3670 Permit inspection Request Line (206) 436-9350 'Project: ( t Cit �A IA Type of iin pection:� RI R I Andress: fo t (SV ft Date Caliekr special Instructions: pm Date Wanted: Dail , a.m. P.m. Re Phone No: Approved per applicable codes. ©Corrections required prior to approval. OMMENTS: \oo inspector: r T—(S— REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cate to schedule reinspection. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 ' Type Ins a on: ter/ Address: .14 Date led: ,' Spkoo11So.IS ial Instructions: Date Wanted .._ li a.m. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval, COMMENTS:-F1ti____ Pro v e- O t 1 "l i I Y' `tea r't&y,p �c c I �'rT- rt (ftyrk- O6 3 ktctdv-a-r (ft 5{motfw t4Ao s 3�' -3 ill c4tki -1--r,..L O s%ci-Pert 7 F c• PEc-- r D-a( G'Ztr ki r Gt 3 C Aft F.A--, ✓ -- wG( $ 7' t - t f urko1 P-ctr / @ .Pef% , 0r 14f I PT - /� dcn-dA Q2-5-pnf Z Npuft.i--- 11 C a o .d i 4e4 11 r ck_S��G7-l6A Inspector: Data / _Da.._ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cott to schedule reinspection. INSPECTION RECORD Retain a copy with permit 1 ' SPE • V H P RMIT Na CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit inspection Request Line (206) 438-9350 -0c,h0A Poi r `3d Type of in pest t>J �' Add 04 !52_sr Date trailed: i instructions: --Phone Date Wanted: 1' r S i -• p.m. Requester: No: No: ( 4 E 3 S l U Approved per applicable codes. ®Corrections required prior to approval. COMMENTS: Date 2 s - /4 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Rtvd., Suite 100. Cad to schedule reinspection. INSPECTION RECORD Retain a copy with permit PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd„ #100, Tukwila. WA 98188 (206) 4 Permit Inspection Request Line (206) 438-9350 -3670 -Project: i ArOA ADO,-T` ; t A/ Type of inspection: (,. I/z A to, WA {'l y e a9d ik Address: :.t �►� Date Called: AS t p&—ti5L� J5peciel instructions /0;,..'"*...---- Dateait�ed� -1.. 'I -1. f " 1 p•m. Requester. Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Date: 12- 14 REINSPEC 1ON FEE REQUIRED. Prior io next inspection. fee must be. paid at 630 0 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 A �, f t1C�'104 f , a 4:%QrI' i!.NQJ 7"ofIVnstc hon: � f N 1 '/%� A`tY Address: /1l �_ Date called: Specie Instructions: Date wanted: q "I - - 'Reg uester: \Phone No: Approved per apphcabk codes. Corrections required prior to approval. COMMENTS pate:1 �Ct � 1 — REINSPECfION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Cali to schedule reinspection. INSPECTION RECORD Retain a copy with permit 4,0411 Tel 5� [; N I . CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd;, #100, Tukwila. WA 98188 (206) 431-3670 Permit inspection Request Line (208) 438-9350 P RMIT NO. jog. IDb;';,�N 'Type Yip J\( Address: "40 04 1 �2 ST Date Galled: Specdai Instructions: Date Wanted: 12 1-- �a.m Requester: neNo: (f�� �j to‘ar / f - {5 4l ! !1 xr Approved per applicable codes. Corrections required prior to approYal. COMMENTS: lk LAST t c A-reP s5 2 l o e. p Ad �s:TA-h er6.4567eGAPJp_E ,. inl ` v: ST-C - ci T"ri MhPl 5736kS -0/4" e. c_ t r•orre" " or 5 fin,, $ C h /kV P R_n Ji (n to Go J P X. _A k-t A- * s Tn.s ti 14 i k -TA ST M t frti met) 4re A-- -Or 444 e..S.S r or: p Nor Co, J/ FOcrl--D( Date: 2 1 z REINSPECT1Ot E REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431-2451 INSPECTION RECORD Retain a copy with permit 14 (5 401 INS N PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431-3670 Proj t5(k)A A:O,,i`,)Jf Address:11- -4 D 0� S2 Sr - Special Instructions: Type of Inspection: JADP- rfth)& Date iced: ( 11 5tkoar Date Wanted: � r i n 1 J 14 a.m. L 'Requester: Phone No: Approved per applicable codes. tJ Corrections required prior to approval. COMMENTS: (K kiAl ate --vk Uer. f/--- JAXII E),)r F-30 f,OiJ le. Acior J1ii a i,JLerC' more IAA, ,.fit 151,Z`Te 1?,, Avi4y f-tJk-,. € -- kna 4 eki�S 0A p-xl_ "' VA41 )sr p Pr U 4A,,eip) LJ; @2-3 Ins Date: - REINSPECTION 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 INSPE T1B PERMIT NO. / A' CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 1014-(0/404 Project: , r, Type o Inspection: Address: `'0 4 J 5� c t Date Called:Wxti s lA fir. It eciiai instructions: Sp1 bate Wanted: / a.m. Requester: ne4,41.1.,:e0e.14 ' K4s. QApproved per applicable codes. Corrections required prior to approval. COMMENTS: 2 v A LJ I( 0 6 2 NA-,' / A-1 I •K - �` D( o --TS it, ' tf.'j .SeJeJ.L ) Ay U+J- ( kz'e C — tA1A-((7- Alt 11/1k _ S P-uj-_F A- ( r t - (A• �ki , i ,4 f ri cJ 114 � Q � S C' C.r A 60ATPx- A-Dn tlel-T-c-A( ns1-4 real A f,,,» .'n — (-.i)/1" , ( el- ATI r r .� 1' `i ) s- RPA A f S �S , �'► �' zr( �11 � nl ( i •/I 1 to (- t' r ,�1- r t r ,, --r- f2,c Ft-A/Ns . `5 ' -i -S .- -SCtoLAJs'` ' f = -)CJD dV? Do ?Ado Le ODkil.:44 1 - Not' 4yk Inspe Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must b paid at 6300 Southcenter 8lvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit -J'4. VI PERMIT NO. ,. CITY OF TUKWILA BUILDING. DIVISION `� 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: to 6-kN a ADJ q,`Jt I Type of spectio ipo- 3 k eAk Address: v 61 1 ry �� Date Called: Special Instructions: /' "Date Wanted: ( 0 - 3 3 1i Requester: ,64Phone(a°-- 7 54&- F'S48 proved per applicable codes. Corrections required prior to approval. COMMENTS: Ins or: Date, 3 !4 REINSPECTIONitERGIRED. 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 D(4-0 {el PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: jlDI may Type of Inspection: l oAr_r� 5(�-, Add4SSf : � DateCalle1 SflQ ns�ions: /r Date Wanted: a.m. Requester: Phone No: Approved per applicable codes. aCorrections required prior to approval. COMMENTS: Date C 4 REINSPECTIO 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 DIy -vtv-4 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project. Oth VA kdd i ki 0^ T f In pection4 _CUil�f i '_ `A i i +►v Address: £toa4 s jc-j 4 Date Called: 01101 Special Instructions:Date Wanted: q a.m. t�'o Requester: Phone No: 2(10 IN a- gg-i4 5 Approved per applicable codes. Corrections required prior to approval. 'COMMENTS: Life c w.Is ()K D -P ()Xi LAIN e\S-Sej Ins or: !� � Date 1 ,9 ) 4 REINSPE ON FEE REQUIReD. Prior to next -inspection, fee must be paid at 6300 nter Blvd., Suite 100 Cali to schedule reinspection. INSPECTION RECORD Retain a copy with permit 1 10 . PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., R100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 )4-e)(43 1 p `Type oKinspectinn: , . , 1°4 Adp_A-It_ce-- y C Date Called:" (� � Z� � I t I41nstructions: I- Date Wanted: .. tdf25-1 a.m. Requester 49no:o...._77 D `71.3 roved per applicable codes. D Corrections required prior to approval. COMMENTS: er r rnsi€: REINSPECTION FEE paid at 6300 Southce Date: !RED. Prior to next inspection. tee must be r Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD / {� Retain a copy with permit � t PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 431-2451 Projerek.rLi ,4,j,, A{,t, Type o 1 (,.... � e J Addre /i h 3 26 ''jam Date Called: Special Instructions: Date Wanted - ,n G/�/ ` ( a..p., V-n�� Requester: Phone No: Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: ctor: Date s_ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. AUTHORIZATION FOR ALTERNATE PLAN SUBMITTAL (LIMITED SCOPE OF WORK) IBC & IRC Section 104.1 Date: ( Permit/Application Number: DI. (1' DI (a3 Address: L.//o r 3 /,2,5 r11 Tukwila, WA 981 Description of Work: P t°p.1-ee-- c l%, n/�i C�Ui •t/ �� hP. t/ /'c// The above project permit applicant, due to the limited scope of work, is authorized to submit reduced plan requirements described below: 1. Complete permit application(s): tRL Building ❑ Mechanical ❑ Plumbing/Gas Piping ❑ Electrical ❑ Other 2. Plan and/or Specification (minimum): ❑ Site Plan ❑ Floor Plan ❑, Elevations ❑ Foundation ❑ Structural Calcs ❑ Cross Sections ❑ Roof Plan Narrative ❑ Narrative WSEC Compliance 3. Required Inspections (only completed when to be issued over the counter): ❑ Framing a Glazing ❑ Final ❑ Other: c---5-heig ;C �1—'(/`%ZL 4. Other Special Instructions: ,524 ee % 77) ,tee/ / yi 6 Authorized By:! Printed Name: 7 SlffiErki Date: 6 / (Authorization void 30 days after date) 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 431-3670 • Fax: 206 431-3665 W:\Permit Center\Templates\Forms\Auth for Reduced Plan Submittal.docx (iEI(-I—C»J� Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $72.75 ire 4613$ H ST Apn: 0179002715 $72,75 DEVELOPMENT $69.50 PERMIT FEE WASHINGTON STATE SURCHARGE R000.322.100.00.00 6640.237.114 0.00 0.00 $65.00 $4.50 TE�CI LOGY ' FEE $3 25 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2372 R000.322.900.04.00 0.00 $3.25 $72.75 Date Paid: Friday, June 13, 2014 Paid By: MELVYN E PEARCE Pay Method: CHECK 2687 Printed: Friday, June 13, 2014 3:02 PM 1 of 1 CRWSYSTEMS CITY OF TUKWILA Department of Community Development 630o Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-367o FAX (206) 431-3665 E-mail: tukplanPci.tukwila.wa.us Permit Center/Building Division 206 431-367o Public Works Department 206 433-0179 Planning Division 206 431-367o AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION 4c)/ PERMIT NO: 11-4--- OLLP STATE OF WASHINGTON) ) ss. COUNTY OF KING 1' 1' t e ` ea rL'e--- , states as follows: [please print name] 1. I have made application for a permit from the City of Tukwila, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 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 requirem nt of RCW 18.27.090, I consider the work authorized under this permit to be exempt under number 11,, 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. LAURIE A. WERLE NOTARY PUBLIC STATE OF WASHINGTON COMMISSION EXPIRES MAY 29, 2018 Owner/Owner's Agent* Signed and sworn to before me this ) %daylof. , 20 / V. Y PUBLIC in and for the State of Washington Residing at Name as commissioned: My commission expires: , County - /V%P/((e. 0s'- 18.27.090 Exemptions. The re ation provisions of this 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 46.7o 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; lo. 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 chapter do not apply t 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 holds a valid electrical contractor's license under chapter 19.28 RCW that employs a certified journeymanAlectriciense eertified residetitia1 specialty electrician, ;Dr an electrical trainee meetingthe requiremertis of chapter 19,2$ RCW to perform plumbing work that is incidentally, directly, and immediately appropriate'to the like -in -kind replacement of a household appliance or other small household utilization equipment that requires. limited electric power and limited waste and/or watertesrttteettttiS Aii A1eC'lriial traifee 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.