HomeMy WebLinkAboutPermit S11-124 - GOLDEN HORSESHOE - BUILDING MOUNTED SIGNGOLDEN HORSESHOE
13985 INTERURBAN AVE S
S11-124
1 BLDG MOUNTED SIGN
City of r _ ikwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-431-2451
Web site: http:/./www.TukwilaWA.gov
Parcel No.: 3365900230
Address:
Suite No:
Business:
PERMANENT SIGN PERMIT
Wall or Awning Face Sign
13985 INTERURBAN AV S TUKW
GOLDEN HORSESHOE
Permit Number:
Issue Date:
Permit Expires On:
S11-124
Property Owner:
Name: DAO TRANG T H
Address: 3840 33RD AVE SW , SEATTLE WA 98126
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
ROMAN BROYZER
13985 INTERURBAN AV S , TUKVVILA WA 98178
Phone: 206-229-1970
Phone:
DESCRIPTION OF WORK:
ONE FLUSH -MOUNTED WALL SIGN FOR GOLDEN HORSESHOE CASH FOR GOLD.
Fees Collected: $212.00 Zoning: RCM
WALL SIGN:
Total exposed building face:
Permitted sign area:
Area of sign:
AWNING FACE SIGN:
Area of awning:
Sign area:
Type of lighting:
Type of material of awning:
Type of material of sign:
INCENTIVE WALL SIGNAGE:
Location of Entrance:
Total Exposed Building Face:
Area of Wall:
Method of Lighting:
Wall Sign #1
198 square feet
20 square feet
15 square feet
Awning Sign #1
0 square feet
0 square feet
Sign Type:
Wall Sign #2
0 square feet
0 square feet
0 square feet
Awning Sign #2
0 square feet
Electricity Provided by: ??
Awning Sign #3
0 square feet
An.. %MAI 1 A\AIKl
cap IOA o.;..,..a• n•7 no '1114n
Planning Division Authorized Signature:
� J
Date: ��-�°�
I hereby certify that I have read and ex
governing this work will be complied-v
fnined this permit and know the same to be true and correct. All provisions of law and ordinances
Eth, whether specified herein or not.
Signature: Date:
Print Name: 1/t^ e(1N
THIS PERMIT SHALL BECOME NULL AND VOID IF THE WORK IS NOT COMMENCED WITHIN 180 DAYS FROM THE DATE OF
ISSUANCE, OR IF THE WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS FROM THE LAST INSPECTION.
.1..n , Al AI 1 A1AIkI
C41 17A D.i..1...1. 117 R7 nr1.1
City of tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206-431-3665
Web site: http://www.TukwilaWA.gov
Parcel No.: 3365900230
Address: 13985 INTERURBAN AV S TUKW
Suite No:
Tenant: GOLDEN HORSESHOE
PERMIT CONDITIONS
Permit Number: S11-124
Status: PENDING
Applied Date: 11/29/2011
Issue Date:
1: Applicant must sign the permit application form before the permit will be issued. A4 it
2: The approved sign is the sign reading "Golden Horseshoe" that is flush -mounted to the building. The section of the sign
reading "we buy gold & diamonds" that ha�gsibe pw the main sign is not approved. Permit S11-124 will not be finaled
until this section of the sign is removed. 1f
i a sepa-rate-per tz-P-er-a71-1-1-24-will-net-iae-fiReleel-tutt'
either-r-emoved&or-approVarflnder-a nparat8 perrni1 4 lvc
ent-siCjnage-per—mi't—Pcmit S i 1 1-24>
anaill nQtb ina e i the pelutaarts=are reLnovedr W q y e
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating
construction or the •-rformance oLwork.
Signature:
Print Name:
(4-5) "^ Pr-
2.—
Date:
doc:Cond-10/06
S11-124 Printed: 01-06-2012
File No.
Name of Tenant:
Sign Address:
Date Photo Taken:
SITE INSPECTION (PLANNING)
S11-124
Golden Horseshoe (Cash For Gold)
13985 Interurban Ave S
7/17/2012
x Sign appears to conform to permit application
Sign appears different from permit application
Sign not installed as of XX/XX/200X
Make new site visit and take photo by XX/XX/200X
Comments: Sign inspected and final approval granted. JMW 07-17-2012. Wall sign finaled. Window signs still
require permits (address through code enforcement if no permits applications filed).
Jon Morrison Winters
From: Jon Morrison Winters
Sent: Friday, January 06, 2012 2:17 PM
To: Roman Broyzer (romanbroyzer@gmail.com)
Cc: 'broyzer@gmail.com'
Subject: Sign Permit Application # S11-124 for Golden Horseshoe
Dear Sign Permit Applicant,
The City of Tukwila Department of Community Development has completed our review of your sign permit
application. This will serve as an official notice of decision.
Your application has been approved with conditions. Your permit is available for you to pick up at our office, 6300
Southcenter Blvd, Ste 100.
The permit is valid for 180 days from the date of issuance. You are required to request a final inspection prior to the
permit expiration date or the permit will expire. To request an inspection, please call our inspection line at 206-431-
2451. You may be granted one extension of not more than 30 days if you submit a request for extension prior to permit
expiration.
Additional Information:
Your permit is approved with the following conditions:
1. Applicant must sign the permit application form before the permit will be issued.
2. The approved sign is the sign reading "Golden Horseshoe" that is flush -mounted to the building. The section of
the sign reading "we buy gold & diamonds" that hangs below the main sign is not approved. Permit S11-124 will
not be finaled until this section of the sign is removed.
3. The permanent window signs require a separate permit. Permit S11-124 will not be finaled until the window
signs are either removed or approved under a separate permit.
4. Strings of pennants are only allowed for 30 days every 24 months under a special event signage permit. Permit
S11-124 will not be finaled until the pennants are removed.
If you have any additional questions, please call 206-431-2164 and reference the permit number listed above.
Sincerely,
Jon Morrison Winters
Department of Community Development
City of Tukwila
Jonathon.winters@tukwilawa.gov
206-431-2164
My office hours for the Winter quarter are 12:00 PM — 5:00 PM Tuesday and 8:00 AM — 4:00
PM Friday. Thank you for your patience.
1
From: Jon Morrison Winters Sent: Wednesday, November 30, 2011 11:30 AM To:
Roman Broyzer (romanbroyzer@gmail.eom) Subject: Sign Permit Application #S11-124
for Golden Horseshoe
Dear Sign Permit Applicant,
The City of Tukwila Department of Community Development has received your application for a
sign permit. This will serve as an official notice of incompleteness. In order to make the
application complete, you must provide the following within 90 days:
Three copies of a dimensioned and scaled site plan showing property lines, streets, buildings and
parking areas, and the location of all existing building mounted signs on the same building as the
proposed sign
Three copies of scaled and dimensioned drawings or plans of the proposed sign with area
calculations
Three copies of a scaled elevation of the building wall where the sign will be located indicating
the location and dimensions of the exposed building face used to calculate maximum
allowable sign area.
A copy of your valid Washington State Contractor's license or a notarized copy of the enclosed
affidavit
If we have not received the requested information within 90 days, your application will be
cancelled. You may be granted an extension of up to 120 additional days if we receive a written
request for extension.
Additional Information:
Please refer to my e-mail to you dated November 16, 2011 for more details.
If you require assistance or if you have any questions about the permitting process, please call
206-431-2164 and reference the permit number listed above.
Sincerely,
Jon Morrison Winters
Department of Community Development
City of Tukwila
}onathon.winters@tukwilawa.gov
206-431-2164
My office hours for the Fall quarter are 8:00 AM — 4:00 PM, Wednesday and Friday. Thank you
for your patience.
I i57)D-
Jon Morrison Winters
From: Jon Morrison Winters
Sent: Wednesday, November 30, 2011 11:30 AM
To: Roman Broyzer (romanbroyzer@gmail.com)
Subject: Sign Permit Application #S11-124 for Golden Horseshoe
Attachments: Owner Affidavit.pdf
Dear Sign Permit Applicant,
The City of Tukwila Department of Community Development has received your application for a sign permit. This will
serve as an official notice of incompleteness. In order to make the application complete, you must provide the following
within 90 days:
Three copies of a dimensioned and scaled site plan showing property lines, streets, buildings and parking areas, and the
location of all existing building mounted signs on the same building as the proposed sign
Three copies of scaled and dimensioned drawings or plans of the proposed sign with area calculations
Three copies of a scaled elevation of the building wall where the sign will be located indicating the location and
dimensions of the exposed building face used to calculate maximum allowable sign area.
A copy of your valid Washington State Contractor's license or a notarized copy of the enclosed affidavit
If we have not received the requested information within 90 days, your application will be cancelled. You may be
granted an extension of up to 120 additional days if we receive a written request for extension.
Additional Information:
Please refer to my e-mail to you dated November 16, 2011 for more details.
If you require assistance or if you have any questions about the permitting process, please call 206-431-2164 and
reference the permit number listed above.
Sincerely,
Jon Morrison Winters
Department of Community Development
City of Tukwila
ionathon.winters@tukwilawa.gov
206-431-2164
My office hours for the Fall quarter are 8:00 AM — 4:00 PM, Wednesday and Friday. Thank
you for your patience.
cc: file
i
Jon Morrison Winters
From: Jon Morrison Winters
Sent: Wednesday, November 16, 2011 2:09 PM
To: 'Roman Broyzer'
Subject: RE: Cash for Gold/Golden Horseshoe
Sam,
Thanks for checking with me on this. This gives me good idea of what your sign looks like. Unfortunately, I can't really
tell whether your sign will be allowed or not by these pictures. At a minimum, I will need to know the size of the wall
where the sign will be placed and the size of the sign. This information will help me determine whether or not your sign
will be allowed, but you will also need to submit additional information when you are ready to apply for a permit. You
will need to fill out a permit application form and provide a site plan, drawings or plans for the sign, a building elevation
(with all signage and building entrances clearly marked), and the application fee, which is currently $212 per sign. If
there are other signs on the building, such as the neon signs shown in the picture, as well as the pennants and any other
signs or banners, they must be shown on the plans and may need to be either permitted or removed.
If you have any difficulty coming up with all of these items, I will work with you to make sure I get everything that I need
in order to approve your permit. If you have any additional questions or need any help with your permit application,
you are welcome to give me a call or an e-mail. My contact information is below.
Sincerely,
Jon Morrison Winters
Department of Community Development
City of Tukwila
Ionathon.winters@tukwilawa.gov
206-431-2164
My office hours for the Fall quarter are 8:00 AM — 4:00 PM, Wednesday and Friday. Thank
you for your patience.
From: Roman Broyzer [mailto:romanbroyzer@gmail.comj
Sent: Friday, November 11, 2011 5:52 PM
To: Jon Morrison Winters
Subject: FW:
Hi Jon,
Here's the pictures of the proposed sign for Cash for Gold store for application purposes.
Thanks,
Sam
1
From: Artem Arzumanyan jmailto:artem.arzumanyan@yahoo.comj
Sent: 11/11/2011 5:22 PM
To: romanbroyzer@gmail.com
Subject:
Sent from Yahoo! Mail on Android
2
•
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-3670 FAX (206) 431-3665
E-mail: tukplan@,ci.tukwila.wa.us
PERMANENT
BUILDING
MOUNTED SIGNS
PERMANENT SIGN PERMIT APPLICATION
FOR STAFF USE ONLY Permits Plus Type: P-SIBLDG
Planner:
File Number: l I .._
C Q
Needs Electrical: Yes/No
Associated File Numbers:
111
�o�Cl eat ¥NOrge,Shoe, 13,i <15 h-tQsv, Ave 3 - 9 40
Business Name Address of Sign Phone
Bcoy. \ al S 5 �� LlACLir) AVE S ,��—�2_ a o
Applicant/Contact Address, City, State, Zip Phone
In/Pc Conactor Address, City, State, Zip
Phone
I HEREBY CERTIFY that the information contained in this application and the materials furnished to the City by me are true. I
understand that if 1 provide incorrect information on this application or submit plans that are not correct, it could delay issuance
of a permit or, if the permit has bee iss ed, b au e for the City to revoke the sign permit.
Date:
gnature of Owner or or Authorized gent
Email
The City will send any official notices, letters, and other official notices via email. If you wish to receive all official
communications from the City via US Postal Mail, check here: ❑
Completed and signed application (this form).
Three copies of a dimensioned and scaled site plan
showing property lines, streets, buildings and
parking areas; the location of all existing building
mounted signs on the same building as the
/proposed signs.
k5 Three copies of scaled and dimensioned drawings
of the proposed sign or signs with area
calculations.
Three copies of a scaled elevation of the building
walls where the signs will be located indicating the
location and dimensions of the exposed building
face used to calculate the sign area.
Ak
iv
Three copies of a scaled and dimensioned building
profile, if projecting signs are proposed.
Method of illumination, if proposed.
-cr.,.-Method of support and attachment for building -
mounted signs.
Structural calculations if the sign weighs over 400
pounds.
Application fee listed in Current fee schedule.
One copy of a vali
license or owner'
Valid Tukwila busm
hington State Contractor's
affrdav)
rcense number for the
sign contractor, if applicable:
TOTAL NUMBER OF SIGNS
Total number of signs included in this application:
Section 1 Section 2
Section 3
Section 4
4/c�s
Ccso_d 740
Q:\Department Folders\DCD\DCD Common \Applications -Handouts, Land Use\Building Mounted Sign-May2011.doc
Building Mounted Signage Worksheet
The City's sign code permits a variety of building mounted signs, including wall signs, signs on awnings, canopy signs and
projecting signs. This sign permit application can be used to determine the total number of building mounted signs permitted
for your business. The application also provides the specific code standards for the common types of building mounted signs,
see TMC 19 Sign Code for details. Please note that you may not qualify for all signage types outlined in this application.
Section 1- Wall or Awning Face Sign
Each public entrance is eligible for either a flush mounted wall sign or an awning face sign. In some cases an additional wall
sign maybe permitted on walls that do not have entrances, see Section 2 of this application.
Use the table below to determine the maximum permitted size' of your wall sign:
Maximum Sign Area
AREA (LxH) of Exposed Building
Face (EBF) in square feet
Permitted Sign Area
0-500
EBF x.05 or 20 square feet, whichever is larger
501-1,500
(EBF-500) x .04 + 25 square feet
1501-3,000
(EBF-1,500) x .03+ 65 square feet
3,001-5,000
(EBF-3,000) x .02+ 110 square feet
Over 5,000
150 square feet maximum
Wa I Sign Worksheet
Sign L
Sign
Reserved for
City se
For more detail see the Sign Code Language,
TMC 19.20.050 A.
Wall Area
' 14,'S S f' -
7
G ((("'(((
The size of the sign is based on the area of the
wall fronting the tenant space where the sign
will be located, see 19.08.110.
Maximum
Sign Area
gq Sang—
cl
Calculate the maximum sign area allowed for
the wall from the table above.
Proposed
Area of Sign
ft611
°
/
Calculate the area by drawing one box around
the entire sign face or copy using 90 degree
angles.
Sign Copy
Iepe
't X-CINse,,
d
List what the sign will say (for example name
of business).
Awning Face Sign Worksheet
Sign
Sign
Reserved for
City Use
For more detail see the Sign Code Language,
TMC 19.20.050 B.
Wall Area
The size of the sign is based on the area of the
wall fronting the tenant space where the sign
will be located, see TMC 19.08.110.
Maximum
Sign Area
Calculate the maximum sign area allowed for
the wall from the table above.
Area of
Awning Face
The size of an awning face sign is limited to
the area from the table above or 30% of the
area of the face of the awning, whichever is
smaller.
Proposed
Area of Sign
Calculate the area by drawing one box around
the entire sign copy using 90 degree angles.
Lighting
Type
Only indirect lighting maybe used for awning
face signs.
Awning
Material
In commercial zones awnings may only be
made of canvas or nylon fabric.
Sign Material
Signs may only be vinyl or paint applied
directly to the awning.
Sign Copy
List what the sign will say (for example name
of business).
This table is inapplicable if your site is covered under an approved Master Sign Program and an increase in sign area was granted.
Q:\Department Folders\DCD\DCD Common\Applications-Handouts, Land Use\Building Mounted Sign-May2011.doc
Section 2- Incentive Signage
Wall signs may also be installed on walls that do not have public entrances if the wall where the sign will be located meets
at least one of the following design criteria:
1. At least 50 percent of the wall area between the height of 2 and 7 feet must be transparent with either an
unobstructed view into the business or use or a display window with a depth of at least three feet.
2. Architectural detailing consistent with the building design using changes in color, materials, texture, and
variations in the wall plane.
3. Artwork such as mosaic, mural or sculptural relief covers at least 50 percent of the wall surface. If the artwork
uses words or images related to the business on site they will be considered part of the sign area.
4. One or more trellises covering at least 50 percent of the wall area between the height of two and seven feet,
planted with climbing vines and other plant materials in a planting bed at least two feet in width and provided
with permanent irrigation.
Signs permitted under this Section may be up to 50 percent of the area calculated in the Table in Section 1.
Sign
Sign
Reserved for
City Use
For more detail see the Sign Code Language,
TMC 19.20.050 F 4.
Wall Area
The size of the sign is based on the area of the
wall fronting the tenant space where the sign
will be located, see 19.08.110.
Maximum
Sign Area
Calculate the maximum sign area allowed for
the wall from the Table in Section 1 and
reduce by half.
Proposed
Area of Sign
Calculate the area by drawing one box around
the entire sign face or copy using 90 degree
angles.
Sign Copy
List what the sign will say (for example name
of business).
Section 3- Projecting and Canopy Edge Signs
One Projecting or Canopy Edge Sign may be permitted per business in addition to those signs permitted in Section 1 and
Section 2. In order to qualify for a sign under this section the business utilizing the projecting or canopy edge sign must
have a direct ground floor public entrance and the sign must overhang a sidewalk or walkway. The sign is not permitted
to overhang parking areas, service areas or other non -pedestrian oriented areas. Not all buildings will qualify for a
projecting or canopy edge sign.
Projecting Sign
Sign
Reserved for
City Use
For more detail see the Sign Code Language,
TMC 19.20.050 C.
Proposed
Area of Sign
Maximum area permitted is 20 square feet per
face and 40 square feet total for all faces.
Distance Sign
Extends from
Building
The sign may not stick out more than four feet
from the building wall. Also, the sign can't
extend further than the sidewalk it overhangs.
Height above
ground
The bottom edge of the sign must be at least
eight feet above the sidewalk or walkway that
it overhangs.
Rotating
Display
Proposed
Mechanical rotating displays are permitted.
Sign Copy
List what the sign will say (for example name
of business).
Canopy Edge Sign
Canopy edge signs are limited to a single row of individual letters which are not permitted to extend beyond the edge of
the canopy on which the sign is located. The canopy must be located over a public entrance.
Sign
Reserved for
City Use
For more detail see the Sign Code Language,
TMC 19.20.050 E.
Height of
letters
Maximum height allowed is 12 inches
Q:\Department Folders\DCD\DCD Common\Applications-Handouts, Land Use\Building Mounted Sign-May2011.doc
Length of
Canopy
The sign length is limited to 2/3 of the length of
the canopy.
Length of Sign
Proposed
Lighting
The letters may be lit, specify whether and how
this is proposed.
Sign Copy
List what the sign will say (for example name of
business).
Section 4- Pedestrian Oriented Building Mounted Signage
In order to encourage a more pedestrian oriented environment, the City allows the following signs in addition to those
listed in sections 1, 2 and 3 of this application. Permits are only required for signs listed under this section if the signs
will be discernable from any public right of way, a neighboring site or an off -site business. Not all businesses will qualify
for signage under this section.
Under-Awning/Canopy Signs
In order to qualify for under-awning/canopy signs an entrance to a business must be provided from a public or private sidewalk.
Applicant's
Response
Reserved for Use
by City Staff.
Applicable Code Language, TMC 19.20.050 (F)(1).
Number of signs?
If located on
multiple walls,
list wall location.
Only one permitted per business per wall.
Area of sign?
No sign shall exceed three square feet in area.
Depth of awning
or canopy?
No sign may project farther from the building than
its associated awning or canopy.
Distance of sign
from wall?
Distance from
ground to bottom
of sign?
The lowest edge of the sign must be at least eight
feet above the ground.
Awning/Canopy Side Sign
In order to qualify for an awning/canopy side sign, the awning or canopy must be located above a public entrance. Also, the
sign is not permitted to project beyond the edge of the awning or canopy in which the sign is located on.
Applicant's
Response
Reserved for Use
by City Staff.
Applicable Code Language, TMC 19.20.050 (F)(2).
Number of signs?
If located on
multiple walls,
list wall location.
Only one sign permitted per business per wall.
Area of awning or
canopy side?
Area of sign?
Sign may not exceed 40 square feet of awning or
canopy side area (Row @).
Height of text
and/or graphics?
May not exceed a height of 12 inches.
Distance from
ground to bottom
of sign?
The lowest edge of the sign must be at least eight
feet above the ground.
If an awning is
being used,
material of
awning?
Awning signs may only be made of vinyl or paint
applied directly to the awning.
Permanent Window Signs
Permanent window signs are only permitted if the following conditions are met:
-1. The signs will be placed in a ground floor window that provides direct line of sight into the public area of the
business. Note: Permanent window signs are not permitted in windows located along private offices, storage
space, display windows or windows that are opaque or otherwise do not allow viewing into the business.
e2. The placement of the permanent window signs is on the same wall as the public entrance for the business.
Permanent
Window Signs
Applicant's
Response
Reserved for Use
by City Staff.
Applicable Code Language, TMC 19.20.050 (F)(3).
Area of window?
Q:\Department Folders\DCD\DCD Common\Applications-Handouts, Land Use\Building Mounted Sign-May2011.doc
•
Total Area of
signs?
a 5(6Cl
(4 X ' 616-
—
fDx__
/d S
No more than ten percent of the total ground floor
transparent window area along the exposed building
face of a business may be occupied by permanent
window signs. Spandrel, opaque and mirrored glass
do not qualify for window signage.
No individual sign may be larger than six square
feet.
In no case shall the total sign area in the window,
including both permanent window signs and
temporary window signs, exceed 25 percent of the
window area.
Height of Letters
and text?
/;11
'O
No window sign shall have a height greater than
ht inches.
Proposed
Materials?
����1 c
Gems
The signs may be made of gold or silver leaf, vinyl
or paint, applied directly to the glass; etched into the
glass, neon mounted or suspended behind the glass;
or framed and mounted paper signs.
Method of
illumination?
Le IDS
Signs may only utilize neon tubing.
INSPECTIONS
A final inspection of the sign is required for all signs when installation is complete. The applicant or installer is required to
schedule the final Sign inspection through the City's Inspection line at (206)431-2451. The 4-digit inspection code needed for
scheduling the final Sign inspection is 1510. The applicant or installer does not need to be present for the final Sign inspection
It is the responsibility of the installer to obtain the electrical permit and inspections from the City of Tukwila Permit Center at
(206) 431-3670. The electrical inspector will need access to complete the Electrical portion of the inspection.
GENERAL
The issuance of some signage within the City may require a permit from the Washington State Department of Transportation
(WSDOT). It is the applicant's responsibility to obtain all required permits from the appropriate government agency. For
information on permits that may be required from WSDOT call (360) 705-7296.
The issuance of a sign permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions
of this code or of any other ordinance of the City. Permits presuming to give authority to violate or cancel the provisions of this
code or other ordinances of the City shall not be valid. The issuance of a permit based on construction documents and other
data shall not prevent the Director from requiring correction of errors in the construction documents and other data (TMC
19.12.020 (C))..
Pursuant to TMC 19.12.0150, sign permits shall be valid for 180 days from the date of issuance of the sign permit. The
Director may approve one extension of up to 30 days if a written request is submitted to the City BEFORE expiration of the
180 day period.
Q:\Department Folders\DCD\DCD Common \Applications -Handouts, Land Use\Building Mounted Sign-May2011.doc
CITY OF TUKWILA
Department of Community Development
630o Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-367o FAX (206) 431-3665
E-mail: tukplan@ci.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
STATE OF WASHINGTON)
COUNTY OF KING )
ss.
Rcwa,tj 812oY2e�'
[please print name]
, states as follows:
PERMIT NO:'S —
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 _, 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.
lac."
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NOTARY _
If,�0 PUBUC I2' . O.
%;14)444Ntal.10.-t0,104O WASH' .%
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Signed and sworn to before me this
\-j day of `1 ie r , 20 1 1 .
NOTARY PUBLIC in and for the State of Washington
Residing at 11 \ lc\Cl,
, County
Name as commissioned: t3)�; s +vl . i% t)C V) S
My commission expires: 0 1 19 / 20 1
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;
10. Any construction or operation incidental to the
construction and repair of irrigation and drainage ditches
of regularly constituted irrigation districts or reclamation
districts; or to farming, dairying, agriculture, viticulture,
horticulture, or stock or poultry raising; or to clearing or
other work upon land in rural districts for fire prevention
purposes; except when any of the above work is performed
by a registered contractor;
11. An owner* who contracts for a project with a registered
contractor, except that this exemption shall not deprive the
owner of the protections of this chapter against registered
and unregistered contractors. The exemption prescribed in
this subsection does not apply to a person who performs
the activities of a contractor for the purpose of leasing or
selling improved property he or she has owned for less than
twelve months;
12.* Any person working on his or her own property,
whether occupied by him or her or not, and any person
working on his or her personal residence, whether owned
by him or her or not but this exemption shall not apply to
any person who performs the activities of a contractor on
his or her own property for the purpose of selling,
demolishing, or leasing the property;
13. An owner* who performs maintenance, repair, and
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
14. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of the
state of Washington or licensed by a political subdivision of
the state of Washington while operating within the
boundaries of such political subdivision. The exemption
provided in this subsection is applicable only when the
person certified is operating within the scope of his or her
certification;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. A mobile/manufactured home dealer or manufacturer
who subcontracts the installation, set-up, or repair work to
actively registered contractors. This exemption only applies
to the installation, set-up, or repair of the
mobile/manufactured homes that were manufactured or
sold by the mobile/manufactured home dealer or
manufacturer;
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.
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SITE PLAN — 13985 Interurban Ave S
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