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Permit D18-0069 - GOBRIGHT RESIDENCE - DECK REPAIR FINAL INSPECTION
GOBRIGHT RESIDENCE 14440 58 AVE S D18-0069 Parcel No: Address: 0 City of Tukwila 0 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 3365901205 14440 58TH AVE S Project Name: GOBRIGHT RESIDENCE DEVELOPMENT PERMIT Permit Number: 018-0069 Issue Date: 3/13/2018 Permit Expires On: 9/9/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: GOBRIGHT JACK H 14440 58TH AV S , TUKWILA, WA, 98168 MANITA GOBRIGHT 14440 58 AVE S , TUKWILA, WA, 98168 AFFIDAVIT - MANITA GOBRIGHT 14440 58 AVE S , TUKWILA, WA, 98168 AEC2655 N/A - LESS THAN $5,000 Phone: Phone: Expiration Date: DESCRIPTION OF WORK: REISSUANCE OF EXPIRED PERMITS D10-212 AND D16-0214 DECK REPAIR FINAL INSPECTION ONLY Project Valuation: $1,200.00 Type of Fire Protection: Sprinklers: NO Fire Alarm: NO Type of Construction: VB Electrical Service Provided by: TUKWILA Fees Collected: $145.00 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 Lai j‘., (-4 • Permit Center Authorized Signature: Date: All I hearby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: Print Name: ate, 0•CI6-41,41 Date: This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***BUILDING PERMIT CONDITIONS*** 2: Work shall be installed in accordance with the approved construction documents, and any changes made during construction that are not in accordance with the approved construction documents shalt 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: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be obtained at City Hall in the office of the City Clerk. 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** CITY OF TUKTICA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Permit No. ( 0Q (07 Project No. Date Application Accepted: Date Application Expires: (For office use on& 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.: Tenant Name: 0- Gl o )tif k,1 Suite Number: PROPERTY OWNER Name: rnav -6‘ aflkni,L / / 9 Name: m�� k © . C l�t'7v-� lea Address: C (44,0 51 4L a, 4- ED City: Cuvi: IA State: WR Zip: 9 V CONTACT PERSON - person receiving all project communication Name: rnav -6‘ aflkni,L / Address: C ctut46 S l 004,.e S D City, , / _ , ; t Of State: um Zip: q�168 Phone:.2.0^' ,s-G6C -G `csax: Email: r iA , (� i ,41 rn41'c l ,ca t, v GENERAL CONTRACTOR INFORMATION Company Name: Address: Company Name: City: State: Zip: Phone: Fax: City: State: Contr Reg No.: Phone: Exp Date: Tukwila Business License No.: H: Applications\Forms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 Floor: New Tenant: ❑ Yes El.. No ARCHITECT OF RECORD Name: Address: Company Name: Architect Name: Address: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD Name: Address: Company Name: Engineer Name: Address: City: State: Zip: Phone: Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: Address: City: State: Zip: Page 1 of 4 BUILDING PERMIT INFORMATRS 206-4314690 } Valuation of Project (contractor's bid price): S t 1 Lam" Describe the • of work (please provide detailed information): uc e -E ;' verati- ay' ItshemcAtro WI -4th tuddmi thy, �u J, Existing Building Valuation: $ r -- Will Will there be new rack storage? 0 ....Yes ❑ ..No If yes, a separate permit and plan submittal will be required. Provide All Bulkding 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 due following: Lot Area (sq it): 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 ❑ No Hum", explain: FIRE PROTECTION/HAZARDOUS MATEJUALS; O Sprinklers ❑ Automatic Fire Alarm 0 None 0 Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes 0 No If "yes; attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material St e y Data Sheets SEPTIC SYSTEM O On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H: ApplirnioedFinas-Apgicutic s On Li 2012 ApplicationsWeenit Application Revised - 2-7-12.doa Revised: Fel nrry 2012 bh Page 2ef4 Existing Interior Remodel Addition to Existing Structure New Type of Constmct onper IBC Type of Occupancy per IBC 1" Floor 2" Floor 3" 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 due following: Lot Area (sq it): 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 ❑ No Hum", explain: FIRE PROTECTION/HAZARDOUS MATEJUALS; O Sprinklers ❑ Automatic Fire Alarm 0 None 0 Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes 0 No If "yes; attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material St e y Data Sheets SEPTIC SYSTEM O On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H: ApplirnioedFinas-Apgicutic s On Li 2012 ApplicationsWeenit Application Revised - 2-7-12.doa Revised: Fel nrry 2012 bh Page 2ef4 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 0 NER OR AUTHORIZED AGENT: Signature: /�-� Print Name: ((L&-4 v )t' 646/0 Mailing Address: (A,Lic� o `� o'w s© Day Telephone: �CA re, Date: .5/1-01- , (5- -U () 3&q2 1A/a ggl6 s_ City H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh State Zip Page 4 of 4 PUBLIC WORKS PERMIT INFO 'TION - 206433-0179 Scope.of Wort (please pnavide detailed infortoion): Call before you Dig: 811 Please refer to Public Works Bulletin 411 for fees and estimate sheet. ErTtkawtilaki0 ...Water District #125 0... Highline ❑ .. Water Availability Provided . Tukwila ❑ .. Sewer Use Certificate ❑ ...Valley View ❑... Rentoa ❑ ...Sewer Availability Provided ❑.. Renton D... Seattle Rode System: On-site site S ❑ Septic System — For on-site septic system, provide 2 copies of a currant septic design approved by King County Health Department bmitted with Annlicatioo jmark boxes which epolvl: .. • Civil Plans (Maximum Paper Size — 22" x34") ❑ .. Technical Information Report (Storm Drainage) ❑.. ❑ .. Bond 0... Insurance ❑... Easement(s) ❑.. nosed Activities (mark boxes that aoolvl; . 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 o .. Total ❑ .. Sanitary Side Sewer ❑ .. Cap or Remove Utilities ❑ .. Frontage Improvements ❑ .. Traffic Control ❑ Backflow Prevention - Fire Protection Irrigation Domestic Water cubic yards cubic yards . 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 -0f -way Use — Potential Disturbance 0... Work m Flood Zone 0... Storm Drainage 0... Abandon Septic Tank ❑.. Curb Cut 0... Pavement Cut ❑... Looped Fire Line ❑ .. Permanent Water Meter Size (1) ❑ .. Temporary Water Meter Size (1) ❑ .. Water Only Meter Size ❑ .. Sewer Main Extension Public 0 ❑ .. Water Main Extension Public 0 0... Grease Interceptor ❑..Channelization 0...Trench Excavation ❑... Utility Undergrounding WO # (2) " WO # (3) " WO # WO # (2) _____" WO # (3) " WO # WO # ❑ .. Deduct Water Meter Size Private D Private 0 FINANCE INFORMATION Fire Line Size at Property Line ❑ .. Water ❑ .. Sewer ❑ .. Sewage Treatment Monthly Service Billing to; Name: Mailing Address: Number of Public Fire Hydrant(s) Water Meter Refund/Billing. Name: Mailing Address: Day Telephone: City State Day Telephone: City State tip H:UppliestioseWe me-AppKatians On Liee12012 Applies iorPPenek Applialk a Revised - 2-7-12.doa Revised: Fthnrty 2912 bh Page 3 of 4 l Cash Register 'Receip City of Tukwila / DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY ` PAID $145.00 D18-0069 Address: 14440 58TH AVE S Apn: 3365901205 $145.00 DEVELOPMENT $138.31 PERMIT FEE R000.322.100.00.00 0.00 $133.00 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 PERMIT FEE R000.322.100.00.00 0.00 $0.81 TECHNOLOGY FEE $6.69 TECHNOLOGY FEE R000.322.900.04.00 0.00 $6.69 TOTAL FEES PAID BY RECEIPT: R13979 $145.00 Date Paid: Tuesday, March 13, 2018 Paid By: MANITA GOBRIGHT Pay Method: CASH Printed: Tuesday, March 13, 2018 9:21 AM 1 of 1 . ' SYSTEMS \AL 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 D18 -6b(0(' Pro ect: I (�t� b n �,t S cera-nCr Type Ins eftion: e LA-6‘� d ; rn �t r c..L Address: T{{ /4/440 Sg f1Vt._ S , Date Called: Special Instructions: Date Wanted: a.m. 3-N -zoe p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: D. cv. F'- Date: ok.e..) - v 3 /y n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 0 CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-3670 FAX (206) 431-3665 E-mail: tukplanoci.tukwila.wa.us 0 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: bIS 00(.1 STATE OF WASHINGTON) ss. COUNTY OF KING Movtct 0" a k: 7 [please 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 requirement of RCW 18.27.090, I consider the work authorized under this permit to be exempt under number 1 `>-, and will therefore not be performed by a registered contractor. 5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. LAURIE A. WERLE NOTARY PUBLIC STATE OF WASHINGTON COMMISSION EXPIRES MAY 29, 2018 Owner/Owner's A Signed and sworn to before /me this /3dayof J & , 20 / N TA Y PUBLIC in and for the State of Washington Residing at Name as commissioned: My commission expires: , County OS (1-0 0 i7 ema.) .rpt, 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 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 sok 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 appropf fate 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.