HomeMy WebLinkAboutPermit D16-0158 - HARTUNG GLASS - TENANT IMPROVEMENTHARTUNG GLASS
17750 �'VEST VALLEY
D 16-015 8
�. � 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: htta://www.TukwilaWA.gov
DEVELOPMENT PERMIT
Parcel No: 3623049097
Address: 17750 WEST VALLEY HWY
Project Name: HARTUNG GLASS
Owner:
Name: SCIOLA FAMILY PROPERTIES LL
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
17830 W VALLEY HWY, TUKWILA, WA,
98188
DAVID KEHLE
1913 BONAIR DR SW , SEATTLE, WA,
98116
OWNERAFFIDAVIT
,n,
lender:
Name: SELF FUNDED
Address: , , ,
DESCRIPTION OF WORK:
Permit Number:
Issue Date:
Permit Expires On
D16-0158
9/14/2016
3/13/2017
Phone:(206)433-8997
Phone:
Expiration Date:
TENANT IMPROVEMENT - INCREASE EXISTING 10' X 10' OPENING TO 10' X 14' IN EXISTING CONCRETE TILT-UP
INTERIOR PANEL.
Project Valuation: $5,000.00 Fees Collected: $324.62
Type of Fire Protection: Sprinklers: YES
Fire Alarm: YES
Type of Construction: IIIB Occupancy per IBC: F-1
Electrical Service Provided by: TUKWILA Water District: RENTON
Sewer District: RENTON
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition;
International Mechanical Code Edition
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Public Works Activities:
Channelization/Striping:
2015 National Electrical Code:
2015 WA Cities Electrical Code:
2015 WAC 296-46B:
2015 WA State Energy Code:
2015
2014
2014
2014
2015
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: � Date: "` �
J
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:�0��n�4� �,� w�— Date:
PrintName: F���UvU�–'� (/V1�n.go►n
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 electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center.
7: 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**
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter B/vd., Suite 100
Ti�kx�ila, WA 98188
Ilttn: _t+s<<<, t ui:�� ilatl_1.��c��
SITE LOCATION
Site
Ten;
Building Permit No. � % �(� �
Project No. �
Date Application Accepted: • •
Date Appiication Expires: '�. � � • � 0
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**
KinQ r� a��P�sor's Tax No.:
; Number: � Floor:�_
New Tenant: ❑ ..... Yes � .. No
H:1Applicalio�lForrts-Appliwtions On Line1201 l Applications\Permit Application Revised - R-9-] I.doa
Recised: August 2011
bn Page I of 4
BUILDING PERMIT INFORMATION — 206-431-3670
Valuation of Project (contractor's bid price):
���
Existing Building Valuation: $ �� '1 ��wb'�.�
Describe the scope of work (please provide detailed informatio �
j�tiC�tr�L �IU.S �� � 1,p' (�2►�ih �` ��� i13
` �� �
��1�- � 1�,��� �,�t
����tn � �+��-e
�
Will there be new rack storage? ❑.....Yes �'!No If yes, a separate permit and plan submittal will be required.
Provide Ait Buiiding Areas in Square Footage Below
Addition to Type of Type of
Existing Construction per Occupancy per
Existin Interior Remodel Structure Ne�v IBC LBC
151 Floor �� � � ) � `�1 ` 1� �j
�r { f/ � r
2° Floor
3` Floor
Floors t}uu
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 ali structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following: .
Lot Area (sq ft): � l�� Floor area of principal dwelling: � Floor area of accessory dwelling: �'
•Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: 1`� �i�Y4E Compact: Handicap:
Will there be a change in use? ❑....... Yes �...... No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
�....... Sprinklers �.......Automatic Fire Alarm ❑ .......None ❑ .......Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑....... Yes .. .. No
If "yes', attach list of maierials and storage locaiions on a separate 8-I/2"x 11 " paper including guantities and Material Safety 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:lApplicalions\Fomts-Applications On Line\201 I Applicatior�s\Perrttit Application Revised - 8-9-I l.docc
xe���sed: a��s, zol � Page 2 of 4
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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 ?HIS PERMIT.
BUILDING OWNER/bR AUT$�bj�17)ED AGENT:
Signature:
Print
Date: �?I���D�,�(,Q
Day Telephon�4 �� ' � � �
MailingAddress:�a�� G�1�� � ,If�F{�1� � ��`(Q
City State Zip
H:\Applications\Forms-Applicatiorts On Line12011 Applicaiiom\perrttit Application Revised - 8-9-I l.doc�
Rerised: August 201 I ,
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Page 4 of 4
PermitTRAK
D16-0158 Address: 17750 WEST VALLEY HWY
DEVELOPMENT
PERMIT FEE
WASHINGTON STATE SURCHARGE
TECHNOLOGY FEE
TECHNOLOGY FEE
D16-0186 Address: 17750 W VALLEY HWY
DEVELOPMENT
PERMIT FEE
WASHINGTON STATE SURCHARGE
TECHNOLOGY FEE
TECHNOLOGY FEE
D16-0241 Address: 17750 WEST VALLEY HWY
DEVELOPMENT
PERMIT FEE
WASHINGTON STATE SURCHARGE
TECHNOLOGY FEE
TECHNOLOGY FEE
Apn: 3623049097
R000.322.100.00.00
8640.237.114
R000.322.900.04.00
Apn: 3623049097
R000.322.100.00.00
B640.237.114
R000.322.900.04.00
Apn: 3623049097
R000.322.100.00.00
6640.237.114
R000.322.900.04.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
$1,273.30
$202.22
$192.80
$188.30
$4.50
$9.42
$9.42
$827.70
S�aB.so
$784.00
$4.50
$39.20
$39.20
$243.38
$232.00
$227.50
$4.50
$11.38
$11.38
Date Paid: Wednesday, September 14, 2016
Paid By: HARTUNG GLASS
Pay Method: CREDIT CARD 077409
Printed: Wednesday, September 14, 2016 2:44 1 of 1 ���
SYS7EM5
PM
Date Paid: Thursday,lune 16, 2016
Paid By: DAVID KEHLE
Pay Method: CREDIT CARD 05175D
Printed: Thursday, June 16, 2016 12:27 PM 1 of 1 ���
SYS7EM5
INSPECTION RECORD PJ/
Retain a copy with permit ��� ���
INSPECTION N0. PERMIT N0.
CITY C)F TUKWII.A BUILDING DIVISION �
6300 SouthCenter Blvd., #100, Tukwila. WA 98788 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
�Approved per applicabte codes. � Corrections required prior to approval.
COMMENTS:
n5pector: � (Date:
, a-7-/
� REI(VSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at b300 Southcenter Btvd.. Suite 100. Calt to schedule reinspec#ion.
R2 R3
_,, . _ .. __.....,._.. ----- -� - �, — — - - •
Project Info Project Address �� �~ ^ ,e Date (�i �
y�s For Building Department Use
Applicant Name: � � E � ��� �, � ; ��
ApplicantAddress: � �� a ��,
.
Applicant Phone: /� ,
Project Description r��iew Buiiding � Addition � Afteration � Change of OccupancylConditioning
Compliance Path �.; �'escriptive � Gomponent Perfarmance '� Tota! Building Performance
Occupancy Group «' Commercial i, Group R(R-1 &> 3 5#ory R-2 and R-3)
Ci1TYld�e ZOrie V Glimate Zane �� �� Climate Zone �4�( See WSEC 301.1 for county list)
Vertical Fenestration and Totai Vertical Gross Exterior
Sk li ht Area Calculation Fenestration Abave Grade % Verticai
y g (rough opening} divided by Wail Area times 100 equals Fenestration
If complying via the Prescnptive path, i` l X� Q� -
provide values far vertrcal fenestration. ��� A -'
skylights, gross wafls and roof. If -
complying vra the Component
Performance path, these values are auto- Tota{ Sk light di ed t�.�V�� A��� ' es 100 equals % Skylight
filled by the ENV-UA form and cannot be �QD
edited here. � X � OO =
Maximum Prescri tive vert�ca� ,J�N 2 4 2016 ���'� �� T U K W I A
p Fenestration ��
• JUN 1 2016
Fenestration Area Skyfi9hts �a
50% Floor Area in DLZ � More than 50°/n of th fl����{�r� s.�.�
;�; Project has semi-heated areas as defined per C402.1.4
�,Applying wali exception to semi-heated areas
1. To be deemed semi-heated the area is heafed but nof cooled, end has a max. heating system
output capacity beiween 3.4 — 8 Btuhltt2. Refer fo C402.1.4 for requirements.
Semi-Heated Path 2. Semi-i�eated spaces sha11 be documented separately from other conditioned spaces — provide
separate compliance fonns for each conditioned ama type.
3. Semi-heated spaces may comply under the Prescriptive or Gomponent Performance compliance
path.
4.Envefope elements separating semi-heated from ofher conditioned spaces shafl comply with
fhermal envelope re�quirements for an exterior wall.
i.�. Vvalk-in cooier �_, 'J�'aik-in freezer
C Refrigerated Warehouse Cooler �: Ghange of Occupancy/Conditioning
Refrigerated Spaces
Refrigerated spaces shal! comp�y under fhe Prescriptive Path only. Compliance documenfation for
these areas may be combined wrth non-retrrgerated areas in the ENV-PRESCRIPTlVE form. Refer
Project includes more than one occupancy type andlor leve( of space conditioning. Multiple
Mixed Oecupancy and/or compliance forms may be required. Select ail that apply to scope of project:
Space Conditioning .� Commercial � Group R1 or >3 story R2/R3 L Refrigerated Space
� Futly Conditioned `- Semi-Heated �=_ Low Energy`
=; Group R2/R3 < 3 story
'Low energy areas are exempt fir�m alt thermal envelope provisions and compliance forms tor
these ersas a� not required. Refer to C�0'J.5.2 for exempfion.
�b C�aFl� 'C'o �►hl►�t,� ������ �- 0 ��
���
2012 Washington State Energy Code Compliance Forms for Commercial, Group R1, a
- � • • .
2012 Washington State Energy Code Compiiance Forms for Commercial, Group R1, and > 3 story R2 and R3
Project Info Project Address �'u __ , Dat�
t"Id�7 d �.. .�. i 1 �! For
Name:
�
Project Description ,❑ New Building ❑ Addition � Atteration ❑ Plans Included
use
June 2013
Lighting Compliance � Lighting Power Density Ca�ulations O Totaf Building Performance
Path (If Tofal Buikiir+g Performance then only LGT-CHK is required.j
Interior Lighting � 8uilding Area Method QQ Space-by-space Method
Compliance Option
Interior Lighting System
Description
Briefty descrrbe lighting
system type and features.
Additions and Chan e of Space Use (C101.4.3 & C101.4.4)
❑ Additian area or Change of Space Use area complies with all applicable provisions as stand alone project
� Addition area or Change of Space Use area is combined with existing building lighting systems to demonstrate
compliance with all applicable provisions
Provide Building Area Meri�od (LTG-INT-B!D) or Space-By-Space Method (LTG-INT-SPACE) Compliance Form. Document maximum
altowed and proposed (including existing if applicable) lighting wattage ofAddition or Change of Use scope. Provide applicabie lighting
controls per C405.2 and commissioning of lighting controls per C405.13.
Alterations, Renovations and Repairs (C101.4.3.1)
❑ 60°� or more of luminaires in space replaced
Provide Building Area Method (LTG-lNT-BLD) or Space-By-Space Methad (LTG-INT-SPACE) Compliance Form. Document maximum
a/lowed and proposed (including exis6ng) ligh6rrg wattage of project scope
� Less than 64% of luminaires in space replaced
Provide Space-by-space Mefhod (LTG-INT-SPACE) Compliance Form. Document existing total wattage in space and proposed
(including exisfing) tighting wattage of project scope
❑ Lamp and/ar ballast replacement within existing luminaires onty — existing totat interior building wattage not increased
� Nevv wiring instatled to serve added fixtures and/or fixtures reloca2ed to new circui4
Provide applicable manuat ligh6»g controls (C405.2.1), occupancy sensors (C4052.2.2), dayJight zone conbols (C4052.2.3), specifrc
applica6on contro/s (C405.2.3), and commissioning of lightrng conhols per C405.13
� New or moved lighting panel
Provide aU applicable lighting controls as noted fnr New Wiring, aulnmatic time switch conbnfs (C4052.2. 9), and commissioning of
ligh6ng contrnts per C405.13.
� Space is reconfigured - luminaires unchanged or moved onty
Provide all appticeble lighting contro/s as noted for New �ring and commissionirrg of ligi►d'ng conhofs per C405.13.
�' No changes are being made to the intenor lighting and space use not changed.
� � � SHUTLER
_ � - CONSULTING
� � - ENGINEERS, Inc.
125U3 Bel-Red Road, Suite 100
Bellewe, Washington 98005
tazs> aso-ao�s Fnx �a2s� aso-�o�6
STRUCTURAL CALCULATIONS FOR:
REVIEW OF EXISTING SHEAR WALL --
HARTUNG GLASS
17830 W. VALLEY HWY
TUKWILA, WASHINGTON
PROPOSED BY:
HARTUNG GLASS
ARCHITECT:
DAVID KEHLE ARCHITECT
1916 BONAIR DRIVE S.W.
SEATTLE, WA 98116
(206) 433-8997
DESIGN CRITERIA:
GODE ..................................
ROOF LIVE LOAD .................
WIND LOAD .........................
SEISMIC ZONE .....................
JOB Hartuna Glass
SHEE7 NO. GOVER OF
CALCULATED BY jch DATE 6116/2016
CHECKED SY DATE
JOB NUMBER 16-01.48
L1
� HE
:�' �°� �'�'��y
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.�+,��,,31757 ��' �
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EXISTING INTL. BUILDING CODE, 2012 EDITION
25 PSF' SNQW LOAD, Is=1.0
110 MPH ZONE, EXPOSURE'B`, Iw=1.0
SITE CLASS'D', Sds=0.950, Sd1=0.531,
DESIGN CATEOGRY'D', R=4.0, Ie=1.0
RECEIVED
CITY OF TUKWILA
JUN1�2016
PERMIT CENTER
��� SHUTLER
� � � CONSULTING
ENGINEERS, INC. 12503 Bei-Red Road, Suite 100, Bellewe, WA 98005' (425) 450-4d75' FAX (425) 450-4076
6-16-16
David Kehle, Architect
1916 Bonair Drive S.W.
Seattle, WA 98116
Re: Hartung Glass
17830 W. Valley Hwy
Tukwila, WA
Dave,
I have reviewed the existing conditions at the shear wall in this building that the tenant wants to modify.
The shear wall near the center of the building is composed of two tilt-up wall panels that are each 24'-6"
long, 28'-6" tall, and 6.5" thick. One of the panels has an existing opening that is 10'-0" long and 10'-0"
tali, and the other panel is solid. There were no existing structural drawings to review.
The tenant wants to increase the height of the existing opening to 14'-0". No other changes will be made
to the shear wall panels.
The change in height of the opening will reduce that panel's rigidity in relation to the adjacent solid panel.
This has the effect of redistributing some of the seismic load to the solid panel. The increase in seismic
load in the solid panel is about 17.5%. I have reviewed the existing structural capacity of the panel and
found that it remains adequate to resist this increase of in-plane seismic forces.
The height of the existing opening may be raised from 10'-0" to 14'-0". No additional structural
reinforcement is required.
If you have any questions or need additional information, please give me a call.
Sincerely,
�
J Headland, P.E.
Job #16-01.48
��� SHUTLER
�- CONSULTING
ENGLNEERS, INC
125Q3 Bel-Red Rd., Suite 100
Bellevue, WA 98005
(425) 450-4075
JOB ��� �'�l tMuM `��/V+'��f
SHEET N0, t/ �! OF
CALCUI.ATEQ BY
DATE
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Design Maps Summary Report
http://ehp 1-earthquake.cr.usgs.gov/designmaps/us/summary.php?temp...
��
�(�� Design Maps Summary Report
User—Specified Input
Building Code Reference Document 2012 International Building Code
(whtch utiiFzes USGS hazard data available (n 2008)
Site Coordinates 47.44°N, 122.25°W
Site Soil Classification Site Class D-"Stiff Sofl"
Risk Category I/II/III
USGS—Provided Output
SS = 1.426 g S,,� = 1.426 g Sos = 0.950 g
S, = 0.531 g SM, = 0.797 q Sti1 = 0.531 g
For fnformatfon on how the SS and 51 values above have been calculated from probabilist+c (risk-targeted) and
deterministic ground motions in the direction of maxfmum horizontal response, please return to the applicatfon and
select the "2009 NEHRP" bufiding code reference document.
MCEA Response Spectrum
1.65
1.50
1.35
1.20
i.os
� 0.9U
y 0.75
0.60
0.45
0.30
0.15
0.00
a.00 o.�o
0.60 QBO 1.06 I.20 1.10 I.60 1.80 2.00
Parlod. T (�ac)
iao
1.00
0.90
0.80
o. �o
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y 0.50
0. t0
0.30
0.20
0.3 0
0.�0
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Design aesponse spedrum
Pertod. T (secj
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ARhough this hformatfon Is a product of the U.S. Geoto9kai Survey, we provtde no warranty, expressed or ImplRed, as ta the aaurecy of
the data contain� thereln. Thls tool is not a substitute for technfcal subject-matter Imowledge.
1 of 1 6I1512016 3:49 PM �
��� SHUTLER
— �— CONSUITING
ENGINEERS, INC
t 2503 Bel-Red Rd., Suite 100
Bellevue, WA 98005
JOB �1���(LY K.f�{!q � ��I�f�i
SHEET NO. � OF
CALCULATED BY GVFJ
DATE [��I(/'�IV'
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10.00 24.50 0.408 c 6.68
10.00 7.50 1.333 c 0.74
10.00 7.00 1.429 c 0.63
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Total Rigidity 0.64
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14.00 7.00 2.000 c 0.26
0.00 0.00 f
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Deflection 2.458 in
Total Rigidity 0.41
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2/1/2017
City of Tukwila Allan Ekberg, Mayor
Department of Community Development Jack Pace, Director
DAVID KEHLE
1913 BONAIR DR SW
SEATTLE, WA 98116
RE: Permit No. D16-0158
HARTUNG GLASS
17800 W VALLEY HWY
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 3/13/2017. . •
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new l 80 day period, provided the inspection shows progress.
Q��
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 3/13/2017, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
��������(,�� � �!I'�1;�'I,°''���
� ' l . � P �'
Rachelle Ripley C �
Permit Technician
File No: D16-0158 J
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 � Phone 206-431-3670 • Fax 206-431-3665
PER�IT C40RD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: D 16-0158
PROJECT NAME: HARTUNG GLASS
SITE ADDRESS: 17800 W VALLEY HWY
X Original Plan Submittal Revision #
Response to Correction Letter #
DATE: 06/16/16
before Permit Issued
Revision # after Permit Issued
DEPARTMENTS:
�41�t)� (�-tiZ' lcv n'( Arp � � ��� �° M-� � ��'�3 ��
Bui�nDivision Fire Prevention Plannin Division
g � g �
�d5 I�t%,,, (�,2�.
ublic Works Structural ❑ Permit Coordinator ❑
PRELIMINARY REVIEW: DaTE: 06/21/16
Not Applicable ❑
(no approval/review required)
REVIEWER'S INITIALS:
Structural Review Required �
DATE:
APPROVALS OR CORRECTIONS: DUE DATE: O'%�19�IC)
Approved
� Approved with Conditions �
Corrections Required �
(corrections entered in Reviews)
Notation:
REVIEWER'S INITIALS:
Denied ❑
(ie: Zoning Issues)
DATE:
Permit Center Use Only
CORRECTION LETTER MAiLED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
�vianois
�""`�' w CITY OF TUKWILA
�J. . ...............9s
o: J ' 2 Department of Communiiy Deuelopment
Q; ;-�,
630o Southcenter Boulevard, Tukwila, WA 98188
�'�'•: r'r2 Telephone: (206) 431-36�o FAX (206) 43i-3665
� ��"'1908'� � E-mail: tukplanC�ci.tuk�vila.wa.us
Permit Center/Building Division
206 43i-36�o
Public Works Department
206 433-0179
Planning Division
206 43i-36�o
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION� ���
��� � r,�
PERMIT NO: �IU�Q'��Y�
- - • �
STATE OF WASHINGTON) {� ��
) ss. �����
COUNTY OF KING )
��_ II� YJ 2,1,-�' \ 11 V� G�,.S �� , states as follows:
[please print name]
i. 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 i8.2�.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 i8.2�.090.
3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the
Ciry of Tukwila must verify either that the contractor is registered by the State of Washington, or that
one of the exemptions stated under RCW i8.2�.090 applies.
4. In order to provide verification to the Ciiy of Tukwila of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW i8.2�.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 i9.28.i6i through i9.28.2�i 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.
````\`������\1111111l1
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//���1 ��� WAS�'`\��•`+..
111\�\\���
Gt.A-c.�-L
Owner/Owner's Agent*
Signed and sworn to before me this
r
—day of , 20�.
�
NOTARY
. � , .", .. _ �,
in and for the State of Washington
Residing at Y-�} �' [�1 , County
Name as commissioned: �f /�� � � � ���
� j �
My commission expires: ��� I� � ��
18.27.Q90 Exemptions. The ref 3tion provisions of this chapter do not apply t�
i. 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 retai] dealer or
manufacturer licensed under chapter 46.7o RCW who shall
warranty service and repairs under chapter 46.�o RCW;
�. 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;
ii. 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;
i2.* 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;
i3. 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;
i4. 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;
i5. 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;
i6. Contractors on highway projects who have been
prequalified as required by RCW 47.28.0�0, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
i�. 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;
i8. An entity who holds a valid electrical contractor's
license under chapter i9.28 RCyV thai: employs a certified
journeyman electrician,�a c�rti�ed.resid�ntaal`specialty
�,, :
electrician, or an electFica�'frai.n�e�' meeting the -
requirements of chapter i9:28 R�W xo perform plumbing
work that is incidentally, di�ecdy, and imr�iediate�y
appropriate to the hk.e-in-kind replacement of a household
appliance or other srFaal�hbusetiold'utilizatiori�equipment
that requires limited �lecf:t�ic powerRandlim4ted�ivaste
and/or water connectid-n�: An ele`ctrical trainee must be
supervised by a certified "e`lectriciafirvhile per`forming
plumbing work. � � � ° . �
' Per Washington State Department of Iabor and Industries lessee has
been interpreted to be equivalent to owner for purposes ot exemptions.
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tOTAI.: 19,8� SF.
IUA�I�K�t1SE: 54jd?i0 SF.
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t��� ��i�l�►i�n �� ��� ���,���� ��d� �r �rc�in��c�. R�:c ,i�t
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A�QU�f;��J FOR:
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L� Ga� Pip(ng
City of Tukwi(a
B1-���.�r�vtsroN
REVISfONS
�o chang�s shail be madP to the scope
of ���o�;< without prior a�proval of
� iu!;��o-i?a Bui�Qing Divis�on.
' f'�'� i �: �'-�ti���i;;ns ��.i�l reg;�ire a ne�:v pfan submitta!
; a,zd m::�y inc`�de ad�itionai plan review fees. �
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RECEIVED
CiTY 4F TUKWILA
JUN 1 6 2016
��RMIT CENTER
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