HomeMy WebLinkAboutPermit D14-0241 - KAPETANOVIC RESIDENCE - ADDITIONKAPETANOVICH
ADDITION
14035 33 AVE S
D14-0241
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.gov
DEVELOPMENT PERMIT
5537200005 Permit Number:
14035 33RD AVE S Issue Date:
Permit Expires On:
Project Name: KAPETANOVIC ADDITION
D14-0241
8/19/2014
2/15/2015
Owner:
Name:
Address:
KAPETANOVIC REUF+AZRA
14035 33RD AVE S, TUKWILA, WA,
98168
Contact Person:
Name: REUF KAPETANOVIC Phone: (206) 243-2335
Address: 14035 33RD AVE S , TUKWILA, WA,
98168
Contractor:
Name: OWNER AFFIDAVIT ON FILE Phone:
Address:
License No: Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
ENCLOSE EXISTING PATIO AND CREATE NEW ENTRY HALLWAY. REQUIRES NEW ENTRY DOOR, NEW WINDOW,
NEW ENCLOSURE WALLS AND EXPANDING EXISTING ROOF TO COVER NEW HALLWAY AREA. SIDING IS GOING TO
MATCH EXISTING STONE FRONT AND BRICK SOUTH SIDE.
Project Valuation: $11,768.04
Type of Fire Protection: Sprinklers: NO
Fire Alarm: YES
Type of Construction: VB
Fees Collected: $557.86
Occupancy per IBC: R-3
Electrical Service Provided by: TUKWILA FIRE SERVICE Water District: 125
Sewer District: VALLEY VIEW 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:
(/(.)-A Date: CA //! //7
hearby certify that I have read and examined this permit and know the same to be true and correct. All
provisions of law and ordinances governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other
state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this
development permit and agree to the conditions attached to this permit.
Signature:
Print Name: ` / lll�lf't l(/lC_
Date: 39/V?e7iln
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: Truss shop drawings shall be provided with the shipment of trusses delivered to the job site. Truss shop
drawings shall bear the seal and signature of a Washington State Professional Engineer. Shop drawings
shall be maintained on the site and available to the building inspector for inspection purposes.
5: All construction shall be done in conformance with the Washington State Building Code and the
Washington State Energy Code.
6: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to
any requirements for special inspection.
7: All wood to remain in placed concrete shall be treated wood.
8: 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.
9: 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.
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**
0201 FOOTING
0409 FRAMING
0606 GLAZING
0401 ROOF SHEATHING
0603 ROOF/CEILING INSUL
0601 WALL INSULATION
0413 WALL SHEATHING/SHEAR
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http:i%www.Tukwi IaWA.gov
Date Application Expires:
Building Permit No. -Dig-0)—q
Project No.
Date Application Accepted:. 07/95//
p //a-5/i0
(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**
King Co Assessor's Tax No.: 553720000502
Site Address: 14035 33rd Ave S
Tenant Name: Reuf Kapetanovic
Suite Number:
PROPERTY OWNER
Name:
Reuf Kapetanovic
Address:
14035 33rd Ave S
City:
Tukwila State:
WA
Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name:
Reuf Kapetanovic
Address:
14035 33rd Ave S
City:
Tukwila State: WA
Zip: 98168
Phone:
206-243-2335 Fax:
Email:
zagradr@msn.com
GENERAL CONTRACTOR INFORMATION
Company Name: Owner
Address:
City: State:
Zip:
Phone: Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.:
New Tenant:
Floor:
❑ Yes ❑..No
ARCHITECT OF RECORD
Company Name:
Suvad
Architect Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Company Name: suvad
Engineer Name:
Address:
City:
State:
Zip:
Phone: 425-387-1332
Fax:
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name:
Address:
City: State: Zip:
N:\Applications\Forms-Applications 0n Line\2011 Applications\Permit Application Revised - 8-9-11.docx
Revised: August 2011
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Page I of 4
BUILDING PERMIT INFORMATION — 206-431-3670
Valuation of Project (contractor's bid price): $ 1800.00 Existing Building Valuation: $
Describe the scope of work (please provide detailed information):
Enclose existing patio and create new entry hallway. Requires new entry door, new window, new enclosure
walls and expanding existing roof to cover new hallway area. Siding is going to match existing stone front
and brick south side. Work will be completed by owner.
Will there be new rack storage? ❑ Yes
r].. No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
Addition to
Fxisting__
Type of
Construction per_ ._Occupancy
IBC
Type of
per
IBC
Existing
Interior Remodel
Structure,
New
1st Floor
1670 sq ft
97 sq ft
VB
R3
2n 1 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:
*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:
Floor area of accessory dwelling:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ® Automatic Fire Alarm 0 None ❑ 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-I/2"x I1 " 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:\Applications\Forms-Applications On Line\201 1 Applications\Permit Application Revised - 8-9-1 I.docx
Revised: August 2011
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Page 2 of 4
PERMIT APPLICATION NOTES
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 OR AUTHORIZED AGENT:
Signature:
Print Name:
Reuf Kapetanovic
1Vfaitiisg Address:_, 14035 3-3rd-Ave S
H:\Applications\Forms-Applications On Line\201 I Applications\Permit Application Revised - 8-9-1 I.docx
Revised: August 2011
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Day Telephone:
Tukwila
City
Date:
206-859-1047
WA 98168_
State Zip
Page 4 of 4
PUBLIC WORKS PERMIT INFORMATION — 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
0 ...Water Availability Provided
Sewer District
❑ ...Tukwila
❑ ...Sewer Use Certificate
❑ .. Highline
❑ ...Valley View ❑ .. Renton
0... Sewer Availability Provided
❑ .. Renton
❑ .. Seattle
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.
Submitted with Application (mark boxes which apply):
❑ ...Civil Plans (Maximum Paper Size — 22" x 34")
❑ ...Technical Information Report (Storm Drainage)
❑ ...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
0 ...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
0 ...Frontage Improvements
❑ ...Traffic Control
❑ ...Backllow Prevention - Fire Protection
Irrigation
Domestic Water
❑•
❑•
❑•
❑•
❑ .. Geotechnical Report
❑ .. Maintenance Agreement(s)
❑ ... Traffic Impact Analysis
❑ ...Hold Harmless — (SAO)
❑ ...Hold Harmless — (ROW)
❑ .. Right-of-way Use - Profit for less than 72 hours
❑ .. Right-of-way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
. Abandon Septic Tank
. Curb Cut
. Pavement Cut
. Looped Fire Line
❑ ...Permanent Water Meter Size...
❑ ...Temporary Water Meter Size ..
❑ ... Water Only Meter Size
❑ ...Sewer Main Extension Public ❑
❑ ...Water Main Extension Public ❑
11
>t
11
11
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
WO #
WO #
WO # ❑...Deduct Water Meter Size
Private ❑
Private ❑
FINANCE INFORMATION
Fire Line Size at Property Line
Number of Public Fire Hydrant(s)
❑ ...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_\Applications \Forms -Applications 0n Line \2011 Applications\Permit Application Revised - 8-9-1 l.doca
Revised: August 2011
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Page 3 of 4
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
I ACCOUNT I QUANTITY I
PAID
$557.86
D14-0241 Address: 14035 33RD AVE S
Apn: 5537200005
$557.86
DEVELOPMENT
$541.58
PERMIT FEE
R000.322.100.00.00
0.00
$325.50
PLAN CHECK FEE
R000.345.830.00.00
0.00
$211.58
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE
$16.28
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R2686
R000.322.900.04.00
0.00
$16.28
$557.86
Date Paid: Friday, July 25, 2014
Paid By: REUF KAPETANOVIC
Pay Method: CREDIT CARD 596696
Printed: Friday, July 25, 2014 1:51 PM 1 of 1
CRWSYSTEMS
qtS
NO.
INSPECTION RECORD
Retain a copy with permit 0 4
PERMIT NO. icA
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-361
Permit Inspection Request Line (206) 436-9350
Project: ..._ 'Type
Ka peAANOU; 6 Att..).b :T:,)Al
of inspection: tl
vi to', (16 F:',) AL
Address: (A
VW '55 3 AVe.,
Date' ailed:
( -
Special instructions:
‘ k
i V
'4
Date Wanted:
..a.An.-
Requester:
Phone No:
9 '
CI
4947
2rApproved per applicable codes.
OCorrections required prior to approval.
COMMENTS:
frk‘-;, cot-10(a°
t
inspector:
E
atel ' 10 -14-
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
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
3; 4
D(4-O741
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431-3670
Project:
De f A'/atl,G. 1164:- "i1(o,)c-(_
Type of Inspection;
Ak.A L. -t'AS.
Addres§:
' -
4, 635 AV?
Date Called: %
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Special Instructions:
/
Date Wanted: _ Vim:
t _ p.m.
j
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspect(
T
Date: .4
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD Nil
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
Project:
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Type of Inspection:
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Address: (y (� 3
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Date Called:
Date Wanted:
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Special Instructions:
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Requester:
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Phone No:
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pprove > applicable codes. L.� J Corrections required prior to approval.
COMMENTS:
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Inspector:_
Date: 4 - - 4
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 7)/`1 "0Z.11
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
Project:
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Type of Inspection:
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Address:
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Date Called: '''
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Approved per applicable codes.
QCorrections required prior to approval.
COMMENTS:
Inspector:
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Date: E L 4
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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
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION G
6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: _ ,
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Type o€1nspectdon:
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Date Called:
Special Instructions:
_
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Date Wanted:
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p.m.
Requester:
Phone No:
® pproved per applicable codes.
ll Corrections required prior to approval.
COMMENTS:
/ S i
Inspe(tor: a _10 1
Date: 5 2- - f4
REINSPECTION FEE REQUIRED. irior to next inspection' fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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REVIEWED F'ON
BODE CO pLJAC w
AUG 15 2014
Cis + o a tr.+ilc
3Uik®aNG DIVISION
RacaivE
CITY OF l�Walft�3'i',La
pa'R'a'irc CiEgL' t F
City of Tukwila
Department of Community Development
August 04, 2014
REUF KAPETANOVIC
14035 33RD AVE S
TUKWILA, WA 98168
RE: Correction Letter # 1
DEVELOPMENT Permit Application Number D 14-0241
KAPETANOVIC ADDITION - 14035 33RD AVE S
Dear REUF KAPETANOVIC,
Jim Haggerton, Mayor
Jack Pace, Director
This letter is to inform you of corrections that must be addressed before your development permit can be approved. All
correction requests from each department must be addressed at the same time and reflected on your drawings. I have
enclosed comments from the following departments:
BUILDING DEPARTMENT: Allen Johannessen at 206-433-7163 if you have questions regarding these 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.
(BUILDING REVIEW NOTES)
1. The roof framing shown does not show sufficient detail to meet prescriptive structural design methods for roof
framing. Unless the design can show it meets code for prescriptive methods of a stick frame roof, the roof framing
shall be done by an engineered design or truss system. Roof and ceiling construction shall be capable of
accommodating all loads imposed and transmitting the resulting loads to the supporting structural elements. Revise
plan to show additional details or alternative methods that meet code requirements for all roof framing where the
supporting elements of the roof shall transfer down to the foundation.. (IRC R301.1.3 & R801.2)
2. In addition to the roof framing, show methods for attic ventilation with insulation baffles provided at the
perimeter. Show provisions for attic access. If possible, access may be through the existing roofs attic.
3. The covered porch addition is shown to be insulated indicating it may possibly be a heated space. However the
existing exterior walls show rock facing. The rock facing presents two issues; one is for sealing for drafts to meet
energy code requirements, and second most importantly a method for positively attaching the new construction
framing directly to the existing framing. The rockery shall be removed enough to allow a positive attachment to the
existing framing. This may have been the intent but was not indicated. If the space is to be unheated with the
existing exterior doors to remain, indicate on the plan "UNHEATED SPACE". However the framing shall still be
required to be positively connected. Provide clarification with details for the above mentioned wall framing, corner
connection and space conditioning.
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 plan pages, specifications and/or other documentation be
resubmitted with the appropriate revision block.
In order to better expedite your resubmittal, a 'Revision Submittal Sheet' must accompany every resubmittal. I have
enclosed one for your convenience. Corrections/revisions must be made in person and will not be accepted through the mail
or by a messenger service.
6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
If you have any questions, I can be reached at 206-431-3655.
Sincerely,
"--1;11:0"-V
Bill Rambo
Permit Technician
File No. D14-0241
6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
PERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: D14-0241
DATE: 08/08/2014
PROJECT NAME: KAPETANOVIC ADDITION
SITE ADDRESS: 14035 33 AVE S
Original Plan Submittal
X Response to Correction Letter # 1
Revision # before Permit Issued
Revision # after Permit Issued
DEPARTMENTS:
ft /JCi Dtr 1'H
Building Division
Public Works ❑
Fire Prevention
Structural
n
Planning Division
Permit Coordinator
PRELIMINARY REVIEW:
Not Applicable n
(no approval/review required)
DATE: 08/14/14
Structural Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved
Corrections Required
n
(corrections entered in Reviews)
Approved with Conditions
Denied
(ie: Zoning Issues)
DUE DATE: 09/11/14
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
12/18/2013
PLAN%
/Ki9UTING SLIP
PERMIT NUMBER: D14-0241
DATE: 07/25/2014
PROJECT NAME: KAPETANOVIC ADDITION
SITE ADDRESS: 14035 33 AVE S
X Original Plan Submittal
Response to Correction Letter #
Revision # before Permit Issued
Revision # after Permit Issued
DEPARTMENTS:
Caw?,
Blinding Division
Public Works
Ito
AK /WA k\
Fire Prevention
Structural
PRELIMINARY REVIEW:
Not Applicable ❑
(no approval/review required)
C p L. f1`'
Planning Division
Permit Coordinator
DATE: 07/29/14
Structural Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 08/26/14
Approved Approved with Conditions ❑
Corrections Required
(corrections entered in Reviews
Denied
(ie: Zoning Issues)
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only (f,j [�
CORRECTION LETTER MAILED: l 1" -4
Departments issued corrections: Bldg k Fire ❑ Ping ❑ PW ❑ Staff Initials:
u4
12/18/2013
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.ci.tukwila.wa.us
REVISION SUBMITTAL
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: 0 O�� 2 V\ Plan Check/Permit Number: D 14-0241
❑ Response to Incomplete Letter #
• Response to Correction Letter # 1
❑ Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Project Name: Kapetanovic Addition
Project Address: 14035 33 Ave S
CITY OF TV ED
KWILA
AUG 082014
PERMIT CENTER
Contact Person: �� Kip y//m.)0 V Phone Number: `" gs9 10'F7
Summary of Revision:
90\L— c OC.,)
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
Entered in TRAKiT on
\applications\forms-applications on Iine\revision submittal
Created: 8-13-2004
Revised:
CITY OF TUKWILA
Department of Community Development
630o Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-367o FAX (206) 431-3665
Permit Center/Building Division
206 43i-367o
Public Works Department
206 433-0179
Planning Division
206 431-367o
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO: D / V - d d 7
STATE OF WASHINGTON)
COUNTY OF KING )
ss.
( C — RE-0 , 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 requirement of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number t2--; 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
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Owner/Ofrn/ s Agent*
Signed and sworn to before me this
d of
,20/�'/•
Y PUBLIC in and for the State of Washington
Residing at King
Name as commissioned:
, County
Laurie A Werle
My commission expires: 05/29/18
18.27.090 Exemptions. The registration provisions of this chapter do not apply to:
1. An authorized representative of the United States
government, the state of Washington, or any incorporated
city, town, county, township, irrigation district, reclamation
district, or other municipal or political corporation or
subdivision of this state;
2. Officers of a court when they are acting within the scope
of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their own
business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground mine
or mineral deposit when performed by an owner or lessee;
5. The sale of any finished products, materials, or articles of
merchandise that are not fabricated into and do not become
a part of a structure under the common law of fixtures;
6. Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile/manufactured home retail dealer or
manufacturer licensed under chapter 46.7o RCW who shall
warranty service and repairs under chapter 46.7o 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;
io. Any construction or operation incidental to the
construction and repair of irrigation and drainage ditches
of regularly constituted irrigation districts or reclamation
districts; or to farming, dairying, agriculture, viticulture,
horticulture, or stock or poultry raising; or to clearing or
other work upon land in rural districts for fire prevention
purposes; except when any of the above work is performed
by a registered contractor;
11. An owner* who contracts for a project with a registered
contractor, except that this exemption shall not deprive the
owner of the protections of this chapter against registered
and unregistered contractors. The exemption prescribed in
this subsection does not apply to a person who performs
the activities of a contractor for the purpose of leasing or
selling improved property he or she has owned for less than
twelve months;
12.* Any person working on his or her own property,
whether occupied by him or her or not, and any person
working on his or her personal residence, whether owned
by him or her or not but this exemption shall not apply to
any person who performs the activities of a contractor on
his or her own property for the purpose of selling,
demolishing, or leasing the property;
13. An owner* who performs maintenance, repair, and
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
14. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of the
state of Washington or licensed by a political subdivision of
the state of Washington while operating within the
boundaries of such political subdivision. The exemption
provided in this subsection is applicable only when the
person certified is operating within the scope of his or her
certification;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. A mobile/manufactured home dealer or manufacturer
who subcontracts the installation, set-up, or repair work to
actively registered contractors. This exemption only applies
to the installation, set-up, or repair of the
mobile/manufactured homes that were manufactured or
sold by the mobile/manufactured home dealer or
manufacturer;
18. An entity who holds a valid electrical contractor's
license under chapter 19.28 RCW that employs a certified
journeyman electrician, a certified residential specialty
electrician, or an electrical trainee meeting the
requirements of chapter 19.28 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 water connections. An electrical 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.