HomeMy WebLinkAboutPermit D14-0264 - WU REMODEL - REMODELWU REMODEL
14209 58TH AVE S
D14-0264
Parcel No:
Address:
Project Name:
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
3365900720
14209 58TH AVE S
WU REMODEL
DEVELOPMENT PERMIT
Permit Number: D14-0264
Issue Date: 8/19/2014
Permit Expires On: 2/15/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
„ WA,
BRUCE MAYTON
PO BOX 58079 , TUKWILA, WA, 98138
OWNER AFFIDAVIT - BRUCE MAYTON
N/A - LESS THAN $5,000.00
Phone: (206) 405-0312
Phone:
Expiration Date:
DESCRIPTION OF WORK:
REMODEL: REPAIR FLOOR, EXISTING BATH, AND DECK. ADD 1/2 BATH ON THE SECOND FLOOR AND REMODEL
KITCHEN.
Project Valuation: $1,400.00
Type of Fire Protection:
Sprinklers: NO
Fire Alarm: NO
Type of Construction: VB
Electrical Service Provided by: TUKWILA FIRE SERVICE
Fees Collected: $180.80
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: Volumes: Cut: 0 Fill: 0
Landscape Irrigation:
Sanitary Side Sewer: Number: 0
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter: No
Permit Center Authorized Signature: Ujit Date: qN-
I 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:
Date:
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: All construction shall be done in conformance with the Washington State Building Code and the
Washington State Energy Code.
5: 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.
6: 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.
7: Every occupied space other than enclosed parking garages and buildings used for repair of automobiles
shall be ventilated in accordance with the applicable provisions of the International Mechanical Code.
8: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake 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.
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.
12: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center (206/431-3670).
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700 BUILDING FINAL**
0409 FRAMING
0608 PIPE INSULATION
0603 ROOF/CEILING INSUL
0601 WALL INSULATION
CITY OF TUk. ILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
For office use onl
1e6. ,D/3- /5 X <<�r/�R�D�
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
King Co Assessor's Tax No.: 3 36 s 900 7,20
Site Address: / A O 5":9 1e ne: . S". 7ukweIZA> v►9. Suite Number: / Floor:
Tenant Name:
PROPERTY OWNER
Name: xu6,,,01 / . i.✓!,c
Address: ,o', 4' oX Spo 7 ?
City:77KWe.G ir State: wig.
Zip:9,9/3e9
CONTACT PERSON — person receiving all project
communication
Name: /3, VG-4- l'11/9/7 /✓
Address: Po. /'aX 5% 0 79
City: ,i/v/elii9 State: w/2. Zip:9g/3cp.
Phone: ?o6..... 44c 03i ax:.►a4... 673... a.R445
Email: R4--,0p y1 't11 o-efrrWi'Z , Cow^
GENERAL CONTRACTOR INFORMATION
Company Name:
Address:
//el
City: r "
State:
Zip:
Phone:
Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.:
New Tenant: ❑ Yes ❑ .. No
ARCHITECT OF RECORD
Company Name:
Architect Name:
Address:
N //A
f / '
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Company Name:
Engineer Name:
Address:
/�%
/
City:
>t
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:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-I2.docx
Revised: February 2012
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Page 1 of 4
BUILDING PERMIT INFORMA" 1— 206-431-3670
Valuation of Project (contractor's bid price): $ / 4' 00 , Existing Building Valuation: $
Describe the scope of work (please provide detailed information): A /'ipi j "Cab/Z J G Xi S);i‘- 6' /3107/6
,V'ec/<, ,vim w ya. ./3p 02i'=/ GooR) '7G/Lr,4,e6 0P L «/3.,►.GTs
Will there be new rack storage? ❑ ....Yes
)e..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
1st Floor
7 Losq,`j.
2nd Floor
690
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): Age, 97 Sf Floor area of principal dwelling: / 3 12-O S¢. /' / 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: c,9/2
Will there be a change in use?
❑ Yes No
Compact:
Handicap:
If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None
gi.Qo— tA, Rr1)
Other (specify) /, 6 AC/9/404 S'
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No
If `yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Sa ety ata 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 0n Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 2 of 4
PUBLIC WORKS PERMIT INT 1MATION — 206-433-0179
Scope of Work (please provide • etailed information):
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
W ter District
.. Tukwila 0 ...Water District #125 ❑... Highline
❑ .. Water Availability Provided
er District
.. Tukwila 0 ...Valley View ❑... Renton
❑ .. Sewer Use Certificate ❑ ...Sewer Availability Provided
0... 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) 0... Geotechnical Report 0 .. Traffic Impact Analysis
❑ .. Bond 0...Insurance 0... Easement(s) ❑... Maintenance Agreement(s) 0 .. 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 ❑
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
0...Right-of-way Use - Profit for less than 72 hours
❑ ... Right-of-way Use — Potential Disturbance
0... Work in Flood Zone
0... Storm Drainage
0...Abandon Septic Tank
0... Curb Cut
❑... Pavement Cut
0...Looped Fire Line
Domestic Water
0...Grease Interceptor
❑ ... Channel ization
0...Trench Excavation
❑ ... Utility Undergrounding
❑ .. Permanent Water Meter Size (1) " WO # (2) " WO # (3) " WO #
❑ .. Temporary Water Meter Size (1) " WO # (2) " WO # (3) " WO #
❑ .. Water Only Meter Size WO # ❑ .. Deduct Water Meter Size "
❑ .. Sewer Main Extension Public ❑ Private 0
❑ .. Water Main Extension Public 0 Private 0
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
0 .. Water ❑ .. Sewer ❑ .. 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:Wpplications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 3 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(UTHORIZED AGENT.
Signature: l3
Print Name: ./3/2 e./GC yi/iy7 ✓
Mailing Address: Jo, j?a v ��S o 79
Date: P - //-
Day Telephone: ?.0c, — 4409 = o 3/oZ
y;; IS w.i'4/9
City
W/9 •
State
9P/3
Zip
H:Wpplications\Forms-Applications On Line\2012 Applications\permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 4 of 4
Cash Register Receipt
City of Tukwila
DESCRIPTIONS I ACCOUNT I QUANTITY I PAID
PermitTRAK $669.36
D14-0264 Address: 14209 58TH AVE S Apn: 3365900720 $180.80
DEVELOPMENT $175.61
PERMIT FEE
R000.322.100.00.00
0.00
$103.70
PLAN CHECK FEE
R000.345.830.00.00
0.00
$67.41
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE $5.19
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$5.19
EL14-0783 Address: 14209 58TH AVE S Apn: 3365900720 $153.72
ELECTRICAL $146.40
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$146.40
TECHNOLOGY FEE $7.32
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$7.32
M14-0163 Address: 14209 58TH AVE S Apn: 3365900720 $102.38
MECHANICAL $97.50
PERMIT FEE
R000.322.100.00.00
0.00
$65.00
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
TECHNOLOGY FEE $4.88
TECHNOLOGY FEE
1 R000.322.900.04.00
0.00
$4.88
PG14-0136 Address: 14209 58TH AVE S Apn: 3365900720 $232.46
PLUMBING $223.38
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$135.00
PLAN CHECK FEE
R000.322.103.00.00
0.00
$41.88
WATER HEATER FIXTURE FEE
R000.322.103.00.00
0.00
$14.00
TECHNOLOGY FEE $9.08
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R2848
R000.322.900.04.00 0.00 $9.08
$669.36
Date Paid: Tuesday, August 12, 2014
Paid By: BRUCE PAUL MAYTON
Pay Method: CHECK 3882
Printed: Tuesday, August 12, 2014 4:14 PM 1 of 1
CPWSYSTEMS
INSPECTION RECORD Retain a copy with permit _T.‘ I -
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project, t
wLi Rem JO
Typelof InspetiOn.,
i
Address:D)
/el 2-C
IL
Date Called:
Special Instructions:
Date Wanted:
i — 2-
Requester:
Phone No:
Approved per applicable codes.
EJCorrections required prior to approval.
COMMENTS:
1
Instiector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
1)(4 6 -1-(4
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
J geikk J AS-,k
Typeof s ection:
6„) , i().... A
..-N
c—• A..1 A L.,
Address: /A^ '
147-6(1 5 is A02
Date Called:
1
Speciat Instructions:
AA : A..-
Date Wanted:
2,,
a.m.
Requester:
rbone No:
- 6
.1
UJApproved per applicable codes.
Corrections required prior to approval.
COMMENTS.:
M
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,
Inspecxbr:
Date: I2 ---
f-- REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedute reinspection
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) 438-9350
(4- 02(4
Projectki j
11
II
qt Inspection:,
r')i> • 1 Type il_ej
'Address:
•I 4 2-0
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Date Called: t
Special Instructions:
‘
—
Date Wanted: , z , —
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.m.
(p.m.
'Requester:
Phone No:
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ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS/ 1 -NI A ft0;e6 /41:14 fr ss, toll 130 : (d.:/)4
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Date:
14
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Catt to schedute reinspection.
t;, ZINSPECTION 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
Project:
10,0 LI Repo
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Type of Inspection:
A 1 I i_NS tf (et -I 1 a
Address:
"—lZOC) 5(5
{4'
ii u 5
Date.Called:
Ho,/ 7--As p;pp r-io
Instructions:
/
Date Wanted: / (am,
I 0 Zb /(3 p.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
z
Inspe Etor:
I
Dat1:0 ' 2 0 i "'1'
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
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
hi'-/ 1264
Project:
(L)Z/ K I64>E' L_
Type of Ins iion:' r
r<O(t I h) i6 Wit./
Al s :,k ,, C1 5 �+ -1 J , Os
Date Called:
Special Instructions:
Date`Wanted:
1a.m
Requester:
1
Phone No:
Approved per applicable codes. 0Corrections required prior to approval.
COMMENTS:
AM 19 ( s S A/L CCAJ dA)
if�
Date:
o—�7�/
Iris pet1/t-(7—' j<4��c�t�
FIREINSPECTION FEE REQUIRD. Prior to next inspection, fee ust be
-.‘aid 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 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
IA L) /2P1 3 PQ
Type of Inspection:,
-1-r-A-A4,nd.
Date Called:
Address:'
t.7)I)4
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(k`,4\IP
Special`IFrstructions:
VPhone
Date Wanted:
/ //��
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m`
1 4. p.m.
Requester: /
No:
IZApproved per applicable codes. t�J Corrections required prior to approval.
COMMENTS:
k
Inspector:
jk-7
Date:
l0
-i4
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
�I
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
Project:
Type of I,ns'section:
Address:
i* ILOU9 .aA//c;
Date Called:
�/iLl
-,
Special Instructions: 5
r, ���t�y el
(a/f
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Date Wanted:
' ' '
fl
a.m.-
Requester:
i%rd.
Phone No: _
- e/05, 0313
Approved per applicable codes. L Corrections required prior to approval.
COMMENTS:
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I Spector:
Date(4
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
7
4
PERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: D14-0264 DATE: 08/12/14
PROJECT NAME: WU REMODEL
SITE ADDRESS: 14209 58 AVE S
X Original Plan Submittal
Revision #
before Permit Issued
Response to Correction Letter # Revision # after Permit Issued
DEPARTMENTS:
Building Division
-17/17
Public Works
iontA
1i t` U L4
Fire Prevention
Structural
it�-i�
Planning Division
Permit Coordinator
ai
PRELIMINARY REVIEW:
Not Applicable ❑
(no approval/review required)
DATE: 08/14/14
Structural Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved
Corrections Required
Approved with Conditions
Denied
(corrections entered in Reviews) (ie: Zoning Issues)
DUE DATE: 09/11/14
n
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
12/18/2013
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-3670 FAX (206) 431-3665
Permit Center/Building Division
206 431-367o
Public Works Department
206 433-0179
Planning Division
206 431-367o
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON)
) ss.
COUNTY OF KING
2.2 tJ :-L jam✓
[please prin name]
, states as follows:
PERMIT NO:
blL\-0)_19)-1
1L� o1193
ELWL' (7S3
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 /n 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 Age
Signed and sworn to before me this
, d4y oftit & /9 , 20
OTARY PUBLIC in and for the State of Washington
Residing at , County
Name as commissioned:(( j] (f!/l e J7�(J2✓1 �'
My commission expires:
18.27.090 Exemptions. The registration provisions of this chapter do not apply to:
1. An authorized representative of the United States
government, the state of Washington, or any incorporated
city, town, county, township, irrigation district, reclamation
district, or other municipal or political corporation or
subdivision of this state;
2. Officers of a court when they are acting within the scope
of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their own
business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground mine
or mineral deposit when performed by an owner or lessee;
5. The sale of any finished products, materials, or articles of
merchandise that are not fabricated into and do not become
a part of a structure under the common law of fixtures;
6. Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile/manufactured home retail dealer or
manufacturer licensed under chapter 46.7o RCW who shall
warranty service and repairs under chapter 46.7o 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;
to. 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,
ether 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.
GENERAL NOTS;
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FL ►t'Z� /x t# TAG SoprwooD.
SE -.1R PERMIT
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Ki AMM dPDROVED—
No changes can be made to then
plans without approvatirom_ffie
-Planning Division-o(DCD
APProved-BP---C "
Date: - %-)q-r --
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8 ELEcrerc
Permit No. bMb 0144
Plan review approval is subject to errors and omissions.
Approval of constriction documents does not authorize
the violation of any adopted code or ordinance. Receipt
of approved Field Copy and conditions is
By: �--
Date: e-/7—/7'
-City of Tukwila
S HAG /Ai&' )
//e/tPRoor- h'6/64/ % S
REVIEWED FOR
CODE COMPLIANCE
APPROVED
AUG 19 2014
A---5-- .t4' l
City of Tukwila
BUILDING DIVISION
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RECEIVED
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f"--REVISIONS
No changes shall be made to the scope
1 of work without prior approval of
s uki,rila Building Division.
1 l O c Z: + -svisions will require a new plan submittal
and may include additional plan review fees.
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REVIEWED FOR
CODE COMPLIANCE
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AUG 19 2014
City of Tukwila
BUILDING DIVISION
RECEIVED
CITY OF TUKWILA
AUG 1 2 2014
PERMIT CENTER
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REVIEWED FOR
CODE COMPLIANCE
APPROVED
AUG 19 2014
City of Tukwila
BUILDING DIVISION
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RECEIVED
CITY OF TUKWILA
AUG 1 2 2014
PERMIT CENTER
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REVIEWED FOR
CODE COMPLIANCE
APPROVED
AUG 19 2014
City of Tukwila
BUILDING DIVISION
Li- 09-44
RECEIVED
CITY OF TUKWILA
AUG 1 2 2014
PERMIT CENTER
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REVIEWED FOR
CODE COMPLIANCE
APPROVED
AUG. 19. 2014
RECEIVED
CITY OF TUKWILA
AUG 1 2 2014
PERMIT CENTER.
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IREVIEWED FOR
tODE COMPLIANCE
APPROVED
AUG 19 2014
City of Tukwila
BUILDING DIVISION
YLooR 8ATHRooM.
3°
+ RECEIVED
L-6 i CITY OF TUKWILA i-t"--7.
AUG 1 2 2014
ik7tvoTh' CE,L►,sJC.Nrr(,NTs PERMIT CENTER
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REVIEWED FOR
CODE COMPLIANCE
APPROVED
AUG 19 2014
City of Tukwila
BUILDING DIVISION
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RECEIVED
CITY OF TUKWILA
AUG 1 2 2014
PERMIT CENTER
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