HomeMy WebLinkAboutPermit D16-0300 - WIG PROPERTIES - GENERAL DEMOLITIONWIG PROPERTIES
17250 SOUTHCENTER PKWY
132
D7 6-0300
Parcel No:
Address:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: htto://www.TukwilaWA.gov
DEVELOPMENT PERMIT
7888920020
17250 SOUTHCENTER PKWY 132
Project Name: WIG PROPERTIES
Permit Number: D16-0300
Issue Date: 12/1/2016
Permit Expires On: 5/30/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
WIG PROPERTIES LLC -SS
4811 134TH PL SE , BELLEVUE, WA,
98006
DAVID KRUEGER
4811 134 PL SE , BELLEVUE, WA,
98006
OWNER AFFIDAVIT
/1I
WIG PROPERTIES LLC -SS
4811 134TH PL SE , BELLEVUE, WA,
98006
Phone: (425) 641-2044
Phone:
Expiration Date:
DESCRIPTION OF WORK:
GENERAL DEMO, REMOVAL OF PARTITIAN WALLS, FLOOR COVERINGS AND RESTAURANT EQUIP FROM PREVIOUS
TENANT
Project Valuation: $15,000.00
Type of Fire Protection: Sprinklers:
Fire Alarm:
Type of Construction:
Electrical Service Provided by: TUKWILA
Fees Collected: $657.82
Occupancy per IBC:
Water District: TUKWILA
Sewer District: TUKWILA
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:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
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:
j'(
Date:
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 coni'tions att;.+ to this permit.
Signatur
Print
Date: /2— (—/4
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: 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.
3: 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.
4: 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).
5: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center.
6: 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.
8: Accumulation of combustible waste material is prohibited during the demolition phase of this project.
Remove and properly dispose of all waste material prior to the close of the working day and as often
throughout the day as needed.
9: Maintain coverage and operability of portable fire extinguishers, sprinkler systems and fire alarm systems
during demolition and construction.
7: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances
#2436 and #2437)
10: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply
approval of such condition or violation.
11: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention
Bureau at (206)575-4407.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700 BUILDING FINAL**
1400 FIRE FINAL
0101 PRE -CONSTRUCTION
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Permit No. 1)1Lf'000
Project No.
Date Application Accepted: II
1114 1
ip
1 (4(For office use oily)
Date Application Expires:
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.: 788892-0020-07
Site Address: 17250 Southcenter Parkway, Tukwila, WA 98188 Suite Number: 132
Tenant Name: N/A: Demo of former tenant improvements
PROPERTY OWNER
Name: David Krueger
Name: Wig Properties LLC -SS
City: Bellevue State: WA Zip: 98006
Address: 4811 134th Place SE
Email: dkrueger@wigproperties.com
City: Bellevue State: WA
Zip: 98006
CONTACT PERSON — person receiving all project
communication
Name: David Krueger
Address: 4811 134th Place SE
City: Bellevue State: WA Zip: 98006
Phone: (425) 641-2044 Fax: (425) 865-8648
Email: dkrueger@wigproperties.com
GENERAL CONTRACTOR INFORMATION
Company Name: T.B.D.
FRO? rumv
Company Name: N/A
Address: f, it (
Address:
Architect Name:
City: B
t VUR
State: K Zbp
City:
State:
Zip:
Phone:
Fax:
Phone:
Fax:
Contr Reg No.:
Email:
Exp Date:
Tukwila Business License No.:
H:1Applications\Forrtts-Applications On Line\2011 Applications\Permit Application Revised - 8-9-11.docx
Revised: August 2011
bh
New Tenant:
Floor: 1St
❑ Yes m..No
ARCHITECT OF RECORD
Name: N/A tuft
FRO? rumv
Company Name: N/A
Address: f, it (
!3 ti T ,_ PwTZ - 'i
Architect Name:
City: B
t VUR
State: K Zbp
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Name: N/A tuft
FRO? rumv
Company Name: N/A
Address: f, it (
!3 ti T ,_ PwTZ - 'i
Engineer Name:
City: B
t VUR
State: K Zbp
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name: N/A tuft
FRO? rumv
Address: f, it (
!3 ti T ,_ PwTZ - 'i
City: B
t VUR
State: K Zbp
/
Page 1 of 4
BUILDING PERMIT INFORMATION-- 206-431-3670
Valuation of Project (contractor's bid price): $ 15,000
Existing Building Valuation: $ 5,212,765
Describe the scope of work (please provide detailed information):
General Demolition: Removal of partition walls, floor coverings and restaurant equipment from previous tenant. Areas of
demolition are cross -hatched on the attached drawing. All non -crosshatched areas to remain. All restaurant furniture and
equipment to be removed.
Will there be new rack storage? ❑ Yes
m.. No if yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
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 II): 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: 924 Compact: 0 Handicap: O C Loy
Will there be a change in use? 0 Yes m No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
Sprinklers Automatic Fire Alarm 0 None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No
If `yes', attach list of materials and storage locations on a separate 8-1/2"x 11 " paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
0 On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:\Applications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9.11.docx
Revised: August 2011
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Page 2 of 4
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1s` Floor
3,001
0
0
0
5A
N/A
2"d Floor
1,368
0
0
0
5A
N/A
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 II): 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: 924 Compact: 0 Handicap: O C Loy
Will there be a change in use? 0 Yes m No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
Sprinklers Automatic Fire Alarm 0 None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No
If `yes', attach list of materials and storage locations on a separate 8-1/2"x 11 " paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
0 On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:\Applications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9.11.docx
Revised: August 2011
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Page 2 of 4
PUBLIC WORKS PERMIT INFORMATION — 206-433-0179
Scope of Work (please provide detailed information):
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ ...Tukwila ❑ ...Water District #125
❑ ...Water Availability Provided
Sewer District
❑ ...Tukwila
❑ ...Sewer Use Certificate
❑ .. Highline
❑...Valley View ❑ .. Renton
❑...Sewer Availability Provided
❑ .. Renton
❑ .. Seattle
Septic System:
❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department.
Submitted with Application (mark boxes which apply):
❑ ...Civil Plans (Maximum Paper Size — 22" x 34")
❑ ...Technical Information Report (Storm Drainage)
❑ ...Bond ❑ .. Insurance 0 .. Easement(s)
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
❑ ...Total Cut
❑ ...Total Fill
cubic yards
cubic yards
❑ ...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑ ...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ .
❑ .
❑-
❑.
❑ .. Geotechnical Report
❑ .. Maintenance Agreement(s)
❑ ...Traffic Impact Analysis
❑ ... Hold Harmless — (SAO)
❑ ... Hold Harmless — (ROW)
❑ .. Right-of-way Use - Profit for less than 72 hours
❑ .. Right-of-way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
. Abandon Septic Tank
. Curb Cut
. Pavement Cut
. Looped Fire Line
❑ ...Permanent Water Meter Size...
❑ ...Temporary Water Meter Size ..
❑ ...Water Only Meter Size
❑ ...Sewer Main Extension Public 0
❑ ...Water Main Extension Public ❑
)1
11
11
11
❑ .. Grease Interceptor
❑ .. Channelization
0 .. Trench Excavation
❑ .. Utility Undergrounding
WO #
WO #
WO # ❑ ... Deduct Water Meter Size
Private 0
Private 0
11
FINANCE INFORMATION
Fire Line Size at Property Line
❑ ...Water 0 ...Sewer
Monthly Service Billing to:
Name:
Number of Public Fire Hydrant(s)
0 ...Sewage Treatment
Day Telephone:
Mailing Address:
City State Zip
Water Meter Refund/Billing:
Name:
Mailing Address:
Day Telephone:
City
State
Zip
H:\Applications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-11.docx
Revised: August 2011
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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).
1 HEREBY CERTIFY THAT 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNSZED AGENT:
Signature: Date: IN/ t;
Print Name: Dikt, f -c( Klve�tr
Mailing Address: 7 n / 3c%lA Nee .SE
Day Telephone: L/25—tit/— ZDyt/ ext /O
H:\Applications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-1 I.docx
Revised: August 2011
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City State Zip
Page 4 of 4
Cash Register Receipt
City of Tukwila
DESCRIPTIONS I ACCOUNT I QUANTITY
PermitTRAK
I PAID
$408.02
D16-0300 Address: 17250 SOUTHCENTER PKWY 132 Apn: 7888920020
$408.02
DEVELOPMENT
$388.80
PERMIT FEE
R000.322.100.00.00
0.00
$384.30
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE
$19.22
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R9953
R000.322.900.04.00 0.00
$19.22
$408.02
Date Paid: Thursday, December 01, 2016
Paid By: WIG PROPERTIES
Pay Method: CREDIT CARD 07618G
Printed: Thursday, December 01, 2016 12:37 PM 1 of 1
SYSTEMS
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
I ACCOUNT 1 QUANTITY I PAID
PermitTRAK
$249.80
D16-0300 Address: 17250 SOUTHCENTER PKWY 132 Apn: 7888920020
$249.80
DEVELOPMENT
$249.80
PLAN CHECK FEE
TOTAL FEES PAID BY RECEIPT: R9810
R000.345.830.00.00
0.00
$249.80
$249.80
Date Paid: Friday, November 04, 2016
Paid By: DAVID JOHN KRUGER
Pay Method: CREDIT CARD 05112D
Printed: Friday, November 04, 2016 3:11 PM 1 of 1
PWSYSTEMS
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
))ict - Q 3 0-0
Project: n
LL) J 6- O , ,
c. e
Tyyae, of Inspection:
1 ' I tai%, d6
.s'
i --i,•41_
Address:
72522
(
i
Date Called:
Special Instructions:
Date Wanted:
.1.m
Requester.
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
Inspector: / /T,
Aim
Date. ////z////
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
INSP TION NO. PERMIT NO.
1)16-o
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
WI& PROPerencs
Type of inspection: �
t3;.1C i,1"6- -/AJL
Address:
)7ZW Sznio5iThre ea,y4
Date Called:
Special Instructions:
,
Date Wanted:
y % % '7
a.m`
p.m.
Requester:
Phone No:
2S-. 6tb 6277
pproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
"1 6426 'e-rxr APPardiatt /26-,e2tmed
-5 ALL- _07140C „Ikr5.-PC-Ifririurc MVS,5r-fie
Pove Cyt -h7444—
/
✓ ..
Inspector:A
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NUMBER PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project:
s 7L., 731 D-e---m,6,-z
Sprinklers: `%-e
Type of Inspection: __--
; (rJ 1fr-/-
Address:/
_5(i /1��
tfr
4
Contact Person:
Suite #: 2
-fl -52
Special Instructions:
Pre -Fire:
'
Phone No.:
`Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
%
Needs Shift Inspection: Ye?
Sprinklers: `%-e
`-
Fire Alarm:
Ve 5
Hood & Duct:
Monitor:
Pre -Fire:
0,
Permits:
Occupancy Type:
Inspector: -7,11 sp kr
Date: 11(3//..---
Hrs.:
i
$100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from
the City of Tukwila Finance Department. Call to schedule a reinspection.
Billing Address
Attn:
Company Name:
Address:
City:
State:
Zip:
Word/Inspection Record Form.Doc
3/14/14
T.F.D. Form F.P. 113
EQUIPMENT LIST
DESCM►T10N
Orr.
DEPTH F4EIDHT POSER
MAKE
MODEL
1 PONT 01 SALE SYSIEN CASHIER
4
DELL
2 DRA51B0ARD
2
24'
24' 35'
;LAS TENDER
DBA -24
3
MOLE -BOWL SOUK
3
15'
24' 37'
CLAS 1ENDER
4
Cuss WAs1ER
11'
24 36-1/2' 120v/35AMP
CNA
a -x
5
ICE BINS W/ COC CTRL 1RAY BOTH SIDES
2
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24' 37'
CBA -41
EURO 2000 5
S
pIO►-N HAND MK
10'
7
WALL -MOUNT HOMED MAI
2
,
17'
14' 5'
ADVANCE TABOO
0-1-5
15.6'
RESTAURANT-
SERMCES.COM
sANDWICH PREP TARE
72-3/5"
30-1/5' 36-3/4' 1dr
TRUE
15911-72-6
REAM -1/4 OOOLER
54-1/5'
2.-1/2' 76-1/4' ;rip/
TRUE
121-52
10
11
12
3700* POT
5
1r
4 -BURNER RANCE
24'
21' 24'
24
60.000 BTU
AMERICAN RANCE
MSP -16
IMPERIAL
11-4
HEAVY DUTY NOK RANGE
2
1B'
2r 35' 90.000 BTU
AMERICAN RANGE
MMR -36
13
14
15
11
17
16
11
20
DEEP FRIER
15-1/2'
30"
1D;000 BTU
IMPERIAL
*72-40
HEAVY DUTY RADIANT CHAR ORME!
24
26-1/2' 10-1/2' 14000 BTU
MERMAN WOE
ARM -24
5/3 WORK TAME
2
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24' 35-1/r
AMANCE TARO)
213-245
2 -COMPARTMENT AA* r/ 2 DRA1f60ARD5
72'
27' 37'
ADVANCE TABC0
64-2-31-1ML
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32'
32-3/4' 115-1/2'
CONSERVER XL
3-COMPARINENT SMC W/ 2 951411602605
11'
sr 37'
ADVANCE TOSCO
14-3-54-1M1
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Gas Piping
.. ,/ of Tukwila
Areas to be removed are
cross -hatched in red.
FILE COPY
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tpprnrnrnl is subject to errors and orrIssio71.
;Oristru(tion documents doer, not author:
liolation of any adopted code or ordinance. Rea ;`.i
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REVISIONS
No changes sh3"I n, m -'de to the scope
of work witho -r or approva of
Tu'clrila
Bui:ding Division
NOTE: Revisions will require a !Isl./plan submittal
and may include additional plan revie v fees
DOOR SCHEDULE
CD
MTh
HEIGHT
THIO*
T7PE MAT./FPIGN
101
3-0'
1-3/4'
ALUWNUM/
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CLASS
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A
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103
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104
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B
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DOOR*
1) ALL DOORS REQUIRED FOR ADA
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HARDWARE
2) MAX. 1/2' THRESHOLD AF!.
A
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MAIN FLOOR
CC)
AREA
WALL
CEILING
FLOORING
101
ENTRY
CAS PAM
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STAINED CONCRETE
W/ r RORER
BASE (COVED
SEALED)
102
DINING
GM PANT
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105 STORAGE
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ACOUSDC r/ r ROBER
CELINC 111E BASE (COVED 5
16 REST-
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STAKED COMMIE
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SEA
ROOM FINISH SCHEDULE
MEZZANINE
( REVIEWED FOR
CODE COMPLIANCE
APPROVED
NOV 2 2 2016
M
City of Tukwila
BUILDING DIVISION
m
AREA
WALL
COMM
FLOORING
203 STAIRS
GM PANT EXPOSED
`MPEETT M!LYi°
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203 OFFICE
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OF TUKWILA
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MIT CENTER
4/3/2017
City of Tukwila
Department of Community Development
DAVID KRUEGER
4811 134 PL SE
BELLEVUE, WA 98006
RE: Permit No. D16-0300
WIG PROPERTIES
Dear Permit Holder:
Allan Ekberg, Mayor
Jack Pace, Director
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 5/30/2017. .
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 180 day period, provided the inspection shows progress.
-or-
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 5/30/2017, 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,
Rache le Ripley
Permit Technician
File No: D16-0300
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
',EMT CO4RD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: D16-0300 DATE: 11/10/16
PROJECT NAME: WIG PROPERTIES
SITE ADDRESS: 17250 SOUTHCENTER PKWY
X Original Plan Submittal
Response to Correction Letter #
Revision #
before Permit Issued
Revision # after Permit Issued
DEPARTMENTS:
Al- AU) C 15-1
Building a
Building Division RE
Mr1 N/A i HO [ fr
Public Works
PQM MO tl
Fire Prevention
Structural
161
14-49144e 11/4)//t
Planning Division
❑ Permit Coordinator
1,14t--10
PRELIMINARY REVIEW:
Not Applicable ❑
(no approval/review required)
DATE: 11/10/16
Structural Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved
Corrections Required ❑ Denied
(ie: Zoning Issues)
Approved with Conditions
(corrections entered in Reviews)
DUE DATE: 12/08/16
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) 431-367o 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
PERMIT NO: fIfr'Of2OO
STATE OF WASHINGTON)
) ss.
COUNTY OF KING
c -Q z1G CZDLJ i1146,-/ . , states as follows:
[please print name]
1. I have made application for a permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW 18.27.090.
3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the
City of Tukwila must verify either that the contractor is registered by the State of Washington, or that
one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number IS , 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 - ision
to engage an unregistered contractor to perform construction work.
Signed and swn to before me this
fr
day of
NOTARY PUBLIC in and for the State of Washington
Residing at , County
Name as commissioned:
My commission expires:1 c)2-0 9
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 46.70 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.