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HomeMy WebLinkAboutPermit D17-0331 - SAMARAEV RESIDENCE - WINDOW REPLACEMENTSALEXEY SAMARAEV RESIDENCE 4620 S 122ND ST 017-0331' Parcel No: Address: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov 3347401420 4620 S 122ND ST DEVELOPMENT PERMIT Project Name: ALEXEY SAMARAEV RESIDENCE Permit Number: D17-0331 Issue Date: 1/10/2018 Permit Expires On: 7/9/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: ERSKINE PAMELA+JACK 4620 S 122ND ST , TUKWILA, WA, 98178 ALEXEY SAMARAEV 15100 6TH AVE SW UNIT 628 , BURIEN, WA, 98166 AFFIDAVIT - ALEXEY SAMARAEV Phone: (206) 714-0596 Phone: Expiration Date: DESCRIPTION OF WORK: REPLACING 4 WINDOWS Project Valuation: $750.00 Type of Fire Protection: Sprinklers: Fire Alarm: Type of Construction: VB Electrical Service Provided by: TUKWILA Fees Collected: $139.60 Occupancy per IBC: R-3 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: 2017 2017 2017 2015 Public Works Activities: Channelization/Striping: Curb Cut/Access/Sidewalk: Fire Loop Hydrant: Flood Control Zone: Hauling/Oversize Load: Land Altering: Landscape Irrigation: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Volumes: Cut: 0 Fill: 0 Number: 0 No Permit Center Authorized Signature: Date: (1 (9-1 64 1 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. G .r Signature: � Date: //40//7 Print Name: fig�}/eit— 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** 0606 GLAZING CITY OF TUKT»II.A Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Permit No. Project No. Date Application Accepted: Date Application Expires: For o 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 Site Address: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant;; ❑ Yes .. No Tenant Name: PROPERTY OWNER Name: / s 6/ '41m KLv Name: 4 L,5,40447vt Address: B�j (00 + �' �1ap , CO j ��, Address: City: State: Y* City: State: Zip: CONTACT PERSON — person receiving all project communication Name: / s 6/ '41m KLv Address: Address: B�j (00 + �' �1ap , CO j ��, ' ( /� City: State: Y* Zip: " 1yik °��Y Phone: /1 e7t(.1 it.f' •09IVax. `f Phone: Email: GENERAL CONTRACTOR INFORMATION Company Name: Address: il, Address: b City: tate: Zip: Phone: Fax: Contr Reg No.: Exp Date: Zip: Tukwila Business License No.: Fax: H:\Applications\Forms-Applications On Line \2012 Applications\Fermit Application Revised - 2-7-12.docx Revised: February 2012 bh ARCHITECT OF RECORD Name: Company Name: Address: b Architect Name: City: tate: Address: 1\f4 0 City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD Name: Company Name: Address: b Engineer Name:. City: tate: Address: IQ 74._ City: State: Zip: Phone: Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: Address: b v ' City: tate: Zip: Page 1 of 4 BUILDING PERMIT INFORMATIC 206-431-3670 Valuation of Project (contractor's bid price): $ S'O Describe the scope of work (please provide detailed information 0 Existing Building Valuatio Will there be new rack storage? ❑ ....Yes ❑ ..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 ft): 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: Compact: Handicap: Will there be a change in use? 0 Yes 0 No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers 0 Automatic Fire Alarm 0 None 0 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 ❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:Wpplications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-I2.docx Revised: February 2012 bh Page 2 of 4 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1st Floor 2"d Floor 3rd Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: 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: Compact: Handicap: Will there be a change in use? 0 Yes 0 No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers 0 Automatic Fire Alarm 0 None 0 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 ❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:Wpplications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-I2.docx Revised: February 2012 bh Page 2 of 4 PUBLIC WORKS PERMIT INFG: ATION — 206-433-0179 Scope of Work (please provide detailed information): Call before you Dig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ .. Tukwila 0 ...Water District #125 ❑ .. Water Availability Provided Sewer District ❑ .. Tukwila ❑ .. Sewer Use Certificate 0... Highline ❑ ...Valley View ❑ ... Renton ❑ ...Sewer Availability Provided 0... Renton 0... Seattle 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. Submitted with Application (mark boxes which apply): ❑ .. Civil Plans (Maximum Paper Size — 22" x 34") ❑ .. Technical Information Report (Storm Drainage) ❑ .. Bond 0...Insurance 0... Easement(s) Proposed Activities (mark boxes that apply): 0 .. Right-of-way Use - Nonprofit for less than 72 hours ❑ .. Right-of-way Use - No Disturbance ❑ .. Construction/Excavation/Fill - Right-of-way 0 Non Right-of-way 0 ❑ .. Total Cut ❑ .. Total Fill cubic yards cubic yards ❑ .. Sanitary Side Sewer ❑ .. Cap or Remove Utilities 0 .. Frontage Improvements ❑ .. Traffic Control ❑ .. Backflow Prevention - Fire Protection Irrigation Domestic Water ❑...Geotechnical Report 0...Maintenance Agreement(s) ❑ .. Traffic Impact Analysis ❑ .. Hold Harmless — (SAO) ❑ .. Hold Harmless — (ROW) El...Right-of-way Use - Profit for less than 72 hours 0...Right-of-way Use — Potential Disturbance 0... Work in Flood Zone 0...Storm Drainage 0...Abandon Septic Tank ❑...Curb Cut 0...Pavement Cut 0...Looped Fire Line 0...Grease Interceptor 0... Channelization ❑...Trench Excavation 0...utility Undergrounding ❑ .. Permanent Water Meter Size (1) " WO # (2) " WO # (3) " WO # ❑ .. Temporary Water Meter Size (1) " WO # (2) " WO # (3) " WO # ❑ .. Water Only Meter Size WO # ❑ .. Deduct Water Meter Size " 0 .. Sewer Main Extension Public 0 Private 0 ❑ .. Water Main Extension Public 0 Private 0 FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ .. Water ❑ .. Sewer ❑ .. Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip H:Wpplications\Forms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-I2.docx Revised: February2012 bh Page 3 of 4 PERMIT APPLICATION NOTES Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR Signature: Print Name: 01)/0/ Mailing Address: /57re '91/e SIP(/,ir,J 2 /J ca -le: ) Lil/ f7 .91W- .0" 1W- Date: /2 % ( / Day Telephone: e":‘ 7741 ` L3V. H:\Applications\Forms-Applications On Line\2012 ApplicationsWermit Application Revised - 2-7-12.docx Revised: February2012 bh State Zip Page 4 of 4 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $69.87 D17-0331 Address: 4620 S 122ND ST Apn: 3347401420 $69.87 Credit Card Fee $2.04 Credit Card Fee R000.369.908.00.00 0.00 $2.04 DEVELOPMENT $67.83 ADDITIONAL PLAN REVIEW TOTAL FEES PAID BY RECEIPT: R14176 R000.345.830.00.00 1.00 $67.83 $69.87 Date Paid: Friday, April 06, 2018 Paid By: ALEXEY SAMARAEV Pay Method: CREDIT CARD 154965 Printed: Friday, April 06, 2018 12:46 PM 1 of 1 CRWSYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY . PAID $139.60 D17-0331 Address: 4620 S 122ND ST Apn: 3347401420 $139.60 DEVELOPMENT j $135.63 PERMIT FEE R000.322.100.00.00 0.00 $79.47 PLAN CHECK FEE R000.345.830.00.00 0.00 $51.66 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $3.97 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R13031 R000.322.900.04.00 0.00 $3.97 $139.60 Date Paid: Thursday, December 14, 2017 Paid By: ALEXEY SAMARAEV Pay Method: CHECK 3686 Printed: Thursday, December 14, 2017 12:47 PM 1 of 1 CWSYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit Po -®33% PERMIT NO.0/ CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: /IWO' 500411 Type of Inspection: ; edn_p * i -Di t - Address: Date Called: 420 S. /Z.240 Sr Special Instructions: Date Wanted: �/8 .m. Requester: - 7` V- 65' Ko Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: p30-IL.DdrG- ft 'L Inspector: 4-5 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 "Dn -O33 I INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: L �� sawna rc��\f Ty f Inspectio v�‘ k c T 1 Address: 41(2.06. Date Called: Special Instructions: Date Wanted: 1— � �i a:m Requester: Phone No: Approved per applicable codes. E Corrections required prior to approval. COMMENTS: NSD gi/eA) Jgro RSD w ,st,u.6 & 7T0 /44 ,IJWD/ 1V &- Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit Dl� -aa31 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: ALeXe $Pp411 kr-A �-N0 T e of Insp ction: u.� ! c % is riat�A L Address Date Called: Special Instructions: 46. Rp.m.` 1�1�� � �� (Z r S Date Wanted: a.m: Requester Phone No: Approved per applicable codes. 11 Corrections required prior to approval. COMMENTS: LA 1 vidth-Of fq're p kjit% ercto t (4)e F-(. Inspector: 0 a Ca- ("*-,i Date: Li_ 2.14( REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit 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 D17-033/ Project: 4-24(41 S/ niV Ails, Type of Inspection: k'Z /s ` Address: Si /2-2/V1) 5i - Date Called: Special Instructions: Date Wanted: Ca.m,. -j-/,8 p.m. Requester: 200-7/'.C570 Phone No: ElApproved per applicable codes. J Corrections required prior to approval. COMMENTS: Ok,— g-atN6-- M t' P.877)-94/ PORO?/ l" '/; Cf 6yer- PSR L, )Ci ir-00/ I /L L/4/6- /lY 6.4f,c 9uos,, viriplivu et s-ze:5', „ Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. REVIEWED FOR CODE COMPLIANCE APPROVED APR 0 . _2018. FILE City of Tukwil BUILDING DIVIS .klti D.41 PLANNING APPROVED No changes carf be made. tothesti . plans without approval from the Planning Division of DCD e� pprpvf�d By: 3,hitivIYA [7.0: D1d REVISION NQL.` 1 0331 SPIreev IVED 1` IBCA MAR 19 2018 PERMIT CENTER REVISIONS No changes shall he made to thQ 3cODF of work witholit prior approval cif • Tukwila Building Division NOTE::Revisions and may includ vill require a rw'v p.snj ggsum Ii,7Yii 13 tiC'8. J i ? . `\ FILE COPY `` >, Permit No, e Plan review' i god to errors and omissions. e Approval of con:'uctic, documents doss not authorize - the violation ofany ad? d coda or ordinance. Receipt of approvod Field opy uf d ndition is acknowledged: By: Date: r ' (//p / City Of :Tukwila .. BUILD NG DIVISION" 1 / • / � Mccbanical Electrical � lumbing lef Gas Piping ty of Tukwila 01NG DIVISION fJG J c l9 ED 201i` r�tiLa, EIVED . ►KWILA !City. of TukwiPa . . BUILDING DIVISION DEC 1 4 2017 PERMIT CENTER March 30, 2018 From: ALEXEY SAMARAEV RE: Correction Letter #1 to Revision #1 DEVELOPMENT Permit Application Number D17-0331 ALEXEY SAMARAEV RESIDENCE - 4620 S 122nd St. To: Whom it may concern, I inform you that I would like to cancel Revision # 1 due to the lack of fmancing. Alexey Samaraev ba 1 of 1 REVISION NO. I CORRECT LTR# RECEIVED CITY OF TUKWILA MAR 3 0 2018 PERMIT CENTER 3/30/2018, 9:04 AM City of Tukwila Department of Community Development February 26, 2018 ALEXEY SAMARAEV 15100 6TH AVE SW UNIT 628 BURIEN, WA 98166 RE: Correction Letter # 1 to Revision #1 DEVELOPMENT Permit Application Number D17-0331 ALEXEY SAMARAEV RESIDENCE - 4620 S 122ND ST Dear ALEXEY SAMARAEV, Allan Ekberg, Mayor Jack Pace, Director This letter is to inform you of corrections that must be addressed before your development permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the following departments: BUILDING DEPARTMENT: Allen Johannessen at 206-433-7163 if you have questions regarding these comments. • (GENERAL INFORMATION NOTE) PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size. New revised plan sheets shall be the same size sheets as those previously submitted.) (BUILDING REVIEW NOTES) 1. With this revision the scope of work has changed to where additional information and plans shall be required. The new plans shall be drawn on a minimum size sheet of 11 X 17. All drawings and details shall be drawn neatly to scale typically 1/4" = 1' scale. Floor plan shall basically identify rooms and name the rooms. New bedroom windows shall be sized for egress and meet egress for the installation. Show the window dimensions, type of windows and U -values. 2. The new decks shall have full details with dimensions and specify all proposed materials, hardware and fasteners for exterior exposure. Deck details shall show floor plan framing specifying spacing, joist sizes, ledger and indicate if any stairs off the decks with complete stair details with landings shown. Details shall include an elevation cut view showing ledger connections, flashing, dimensions from finish grade, guardrail height with guardrail details. Show post and beams and show deck post attached to a footing, pier block shall not be allowed. 3. Tip sheets are available either here at the Permit Center or available on City of Tukwila website http://www.tukwilawa.gov/. Under "Residents" tab and below "Residence Resources", click on "Permit Center". Scroll down to "Building Department Application Forms" tab. Scroll down to "Tip Sheets" The most helpful for this project are "Deck Construction and Details" and "Plan Set Examples" in pdf. These are only samples, but the format is what is required specifically to your project. Do not copy the tip sheets for submitting drawings. Note: Contingent on response to these corrections, further plan review may request for additional corrections. Please address the comments above in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that two (2) sets of revised plan pages, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a 'Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections/revisions must be made in person and will not be accepted through the mail or by a messenger service. 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Sincerely, Bill Rambo Permit Technician File No. D17-0331 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D17-0331 DATE: 04/02/18 PROJECT NAME: ALEXEY SAMARAEV RESIDENCE SITE ADDRESS: 4620 S 122ND ST Original Plan Submittal X Response to Correction Letter # 1- REV #1 . Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: Building Division Public Works Fire Prevention Structural El Planning Division Permit Coordinator El PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 04/03/18 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required DUE DATE: 05/01/18 ❑ Approved with Conditions ❑ ❑ Denied (corrections entered in Reviews) (ie: Zoning Issues) r ` f Notation: -e V 1 C C'(i e -e 61-4 G[ `/ e '(ottA-. REVIEWER'S INITIALS: DATE: !Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire 0 Ping 0 PW ❑ Staff Initials: 12/18/2013 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D17-0331 DATE: 03/19/18 PROJECT NAME: ALEXEY SAMARAEV RESIDENCE SITE ADDRESS: 4620 S 122 ST Original Plan Submittal Revision # before Permit Issued Response to Correction Letter # X Revision # 2 after Permit Issued DEPARTMENTS: jP '0-?-oNf Building Division I btu 1%/r Public Works �4 M ihP Fire Prevention1 Structural Planning Division 3-30-(8 j ❑ Permit Coordinator 111 PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 03/20/18 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 04/17/18 Approved Corrections Required Approved with Conditions ❑ ❑ Denied ❑ (corrections entered in Reviews) (ie: Zoning Issues) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials: 12/18/2013 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D17-0331 DATE: 02/16/18 PROJECT NAME: ALEXEY SAMARAEV RESIDENCE SITE ADDRESS: 4620 S 122 ST Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued X Revision # 1 after Permit Issued DEPARTMENTS: P(.1 cow l'\1/ 11) Building Division A t\lvto �� Public Works Ain Pm2- 1•1'1 Fire Prevention Fire Prevention Structural LP /Ire -)Hb Planning Division ix Permit Coordinator L II PRELIMINARY REVIEW: Not Applicable n (no approval/review required) REVIEWER'S INITIALS: DATE: 02/20/18 Structural Review Required DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required (corrections entered in Reviews Approved with Conditions Denied (ie: Zoning Issues) DUE DATE: 03/20/18 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only 1 rn l CORRECTION LETTER MAILED: ? �"� r 0 Departments issued corrections: Bldg Elf Fire 0 Ping 0 PW ❑ Staff Initials: 12/18/2013 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D17-0331 DATE: 12/15/17 PROJECT NAME: ALEXEY SAMARAEV RESIDENCE SITE ADDRESS: 4620 S 122ND ST X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: 1l I'1\11 11 uilding Division Public Works Fire Prevention ❑ Planning Division ❑ Structural ❑ Permit Coordinator ❑ PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 12/21/17 Structural Review Required REVIEWERcS INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 01/16/18 Approved ❑ Approved with Conditions ❑ Corrections Required ❑ Denied ❑ (corrections entered in Reviews) (ie: Zoning Issues) Notation: REVIEWERQS INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 PROJECT NAME: xca _s of Y' Q L) Li PERMIT NO: 'b l'— 0 33 SITE ADDRESS: 11,(0? -0 ORIGINAL ISSUE DATE: 1—( 0^( REVISION LOG REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS l a'' ° .d. IMS I. Summar of Revision: Summar of Revision: i M ;; �1 .r , L. . T 1 a Ab _kW- pp Re - ived by: REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF I ITIALS ( 8 .d. � a , I. Summar of Revision: {f Received by:C �--1 (please pri REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: _ (please print City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov REVISION SUBMITTAL: Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through themail, fax, etc. Date: P3, 3O, / Plan Check/Permit Number: ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # Revision # l after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner ❑ Deferred Submittal # Project Name: 0/-�33/ /e7 Project Address: Contact Person: q za 5 /22 c� /`r iL Summary of Revision: r pc��� / 'fie �© (p,aP U81/0' /4 #/ Jte a % /a 6t2Z //> /7 033/ /6)(3 $,6e4✓K Phone Number: RFCEIVED CITY OF TUKWILA MAR 3 0 2018 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including, ate of revision Received at the City of Tukwila Permit Center by: Ef Entered in TRAKiT on IA t< W:\Permit Center (Brenda)'Forms\Permit Center Documents (Word)acvision Submittal Form.doc ,tevised: August 2015 J City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: P '� , / Plan Check/Permit Number: C1)/7 -d53/ ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # Revision # 1 after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner ❑ Deferred Submittal # AIy 'ma -r �s(dein Project Name: / k e e-Gt o,f^/ e o7,021-- p i ©n 16 20 5 /2z Aae$,eS, 7 4w'/— Contact Person: /V&A' S fl' ' ot-2 Phone Number: Summary of Revisio��n: Can ( door /OCz7'\ Project Address: RECEIVED CITY OF TUKWILA MAR 19 2018 PERMIT CENTER 9d9/7, 206 7/ 9 _.a Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: Entered in TRAKiT on O3//9�/e. W:\Permit Center (Brenda)\Forms\Permit Center Documents (Word)\Revision Submittal Form.doc Revised: August 2015 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: PZ r Ib, /U Plan Check/Permit Number: 2) / 7 3 3 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # ▪ Revision # ! after Permit is Issued O Revision requested' by a City Building Inspector or Plans Examiner ❑ Deferred Submittal # Project Name: I/eX/Sa ac ror e5, Wei4 ee Project Address: 9:6 z.d 5, /� Ali/ ee? a4196/7f 7 Contact Person: AZeif ZP Phone Number: e. —ASrZ Summary of Revision: ,4p/o3 k,' a ' z1; 0/4 / I am e RECEIVED CITY OF TUKWILA 6 2018 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date_of revisio Received at the City of Tukwila Permit Center by: Entered in TRAKiT on 2'16 1 a WAPermit ermit Center (Brendafforms\Pcrmit Center Documents (Word»Revision Subminal Form.doc Revised: August 2015 CITY OF TUB LA 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 206 431-3670 Public Works Department 206 433-0179 Planning Division 206 431-3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO: bQ33/ C-7 STATE OF WASHINGTON) COUNTY OF KING ss. ky6i 6a/14AI-a &v lease print name] , states as follows: 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 requireme 2t of RCW 18.27.090, I consider the work authorized under this permit to be exempt under number 3 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 havy under ate law in any decision to engage an unregistered contractor to perform construction work. /J ...\\\\11111„1 ���0•MSRR/us, S t6yi y i ,g=�` O56 SI'Ir` Mi y iV • w i. . _sZ =0 �i, Avs��4 s i to •,- ty IIFOF �```� Owner/Owner's Agent* Signed and sworn before me this day of 6142.1/1411-1.&-e_D , 20. NOTARY PUBLIC in and for the State of Washington Residing at (, Name as commissioned: {oaf eM My commission expires: I, t1 )1. ' / 19 , County 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 46.70 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 then 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 -elle requirements of chapter'9.28 RGWto'perforin`plumbing work that is incidentally, directly, and'immediately appropriate to the like -in-kind replacement of a household appliance or other small householdutilization equipment that requires limited electric power and liiiiited•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.