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HomeMy WebLinkAboutPermit D18-0156 - ALTAMIRA RESIDENCE - COVERED DECKALTAMIRA COVERED DECK 14734 59 AVE S D18-0156 Parcel No: Address: r 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 DEVELOPMENT PERMIT 3597000083 Permit Number: D18-0156 14734 59TH AVE S Project Name: ALTAMIRA COVERED DECK Issue Date: 7/17/2018 Permit Expires On: 1/13/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: ALTAMIRA DENNIS+MA LOURDES+ 14734 59TH AVE SO , TUKWILA, WA, 98168 DENNIS ALTAMIRA 14734 59 AVE S , TUKWILA, WA, 98168 OWNER AFFIDAVIT Lender: Name: N/A - LESS THAN $5,000 Address: Phone: (206) 427-3834 Phone: Expiration Date: DESCRIPTION OF WORK: CONSTRUCT A 100 SQ FT DOVERED PATIO/DECK Project Valuation: $1,736.00 Type of Fire Protection: Sprinklers: Fire Alarm: Type of Construction: VB Electrical Service Provided by: TUKWILA Fees Collected: $220.66 Occupancy per IBC: U 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 296-468: 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 Permit Center Authorized Signature: tbAl Dateq 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 t pnditions attached to this permit. Signature: w/ f -r.— `- Date: \77/i- /7, 2-0/c' Print Name: 9 /u/S,4- -? - � f0t) 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: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any requirements for special inspection. 6: All wood to remain in placed concrete shall be treated wood. 7: 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. 8: 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. 9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 10: Preparation before concrete placement: Water shall be removed from place of deposit before concrete is placed unless a tremie is to be used or unless otherwise permitted by the building official. All debris and ice shall be removed from spaces to be occupied by concrete. r 1 `.i 11: 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** 0301 CONCRETE SLAB 0201 FOOTING 0409 FRAMING 0401 ROOF SHEATHING f 1 CITY OF TUKi . A Cojmmutity Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov (�1 Building Permit No. bi S -- ots-ca Project No. Date Application Accepted: 5 " c e'( S Date Application Expires: ` 0-1 (For office use only) 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 1�/ 73 j � J!'7 AVC S o` 7[4 K�/L 1 ai A 1 f(�o � ?' King Co Assessor's Tax No.: 56-1 (000 g3 Site Address: Suite Number: Floor: Tenant Name: PROPERTY OWNER Name: a 0 t5 vh . As l .Avvt t 0,1\ Name: 17DE-t-t xl t$ rn . A 0"-/a v1n t CL P. Address: 1 424.3 4 5 %� Awe... szd City: , W ico,State: City: (Ni\ Zip: cm 68 CONTACT PERSON — person receiving all project communication Name: a 0 t5 vh . As l .Avvt t 0,1\ Address: 141_3 'T 59 Tb1 'sita+n . l City: `j U(K uJ 1 LA State: WA Zip:c /t G c(Phone: �) 4,213� 34 Fax: Email:a Raw. %ra r, a2NJ1t5 G. SSD L) . Corr GENERAL CONTRACTOR INFORMATION Company Name: Address: Company Name: Address: Architect Name: City: State: Zip: Phone: Fax: Phone: Fax: Contr Reg No.: Email: Exp Date: Tukwila Business License No.: H:Wpplications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh New Tenant: ❑ Yes O.. 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 INFORMATION \206-431-3670 f '\ 9 1 Valuation of Project (contractor's bid price): $ ( QOM. 0 0 Existing Building Valuation: $ 0O)_ �D Describe the scope of work (please provide detailed information): COPT,Lt.t t%T A 100 Q •} -�5>; 'Te co ✓e (2f p PQr L 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): 7 3N Z Floor area of principal dwelling: 2 O v v 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: t Compact: Handicap: Will there be a change in use? 0 Yes i No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 0 Sprinklers 0 Automatic Fire Alarm None Lit Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes rt No If 'yes', attach list of materials and storage locations on a separate 8-1/2".r 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:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.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 IS` Floor r 2nd Floor 3rd Floor Floors thru Basement Accessory Structure* Attached Garage fob Detached Garage Attached Carport Detached Carport Covered Deck tbD5r (0'D 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): 7 3N Z Floor area of principal dwelling: 2 O v v 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: t Compact: Handicap: Will there be a change in use? 0 Yes i No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 0 Sprinklers 0 Automatic Fire Alarm None Lit Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes rt No If 'yes', attach list of materials and storage locations on a separate 8-1/2".r 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:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 PYJBLIC WORKS PERMIT INFORD,TION — 206-433-0179 Scope of Work (please provide detailed information): j#)5 ' AA C A / sQuotlifez FEET CV ED PArT(C) Call before you Dig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District 0 .. Tukwila ❑ ...Water District #125 ❑ .. Water Availability Provided Sewer District ❑ .. Tukwila ❑ .. Sewer Use Certificate ❑... Highline ❑ ...Valley View 0... Renton ❑ ...Sewer Availability Provided 0... Renton 0... 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) 0...Geotechnical Report ❑ .. Bond 0... Insurance 0... Easement(s) 0...Maintenance Agreement(s) Proposed Activities (mark boxes that apply): 0 .. Right-of-way Use - Nonprofit for less than 72 hours ❑ .. Right-of-way Use - No Disturbance 0 .. Construction/Excavation/Fill - Right-of-way 0 Non Right-of-way 0 ❑ .. Total Cut cubic yards ❑ .. Total Fill d cubic yards ❑ .. Traffic Impact Analysis ❑ .. Hold Harmless — (SAO) ❑ .. Hold Harmless — (ROW) 0...Right-of-way Use - Profit for less than 72 hours 0...Right-of-way Use — Potential Disturbance 0... Work in Flood Zone ❑... Storm Drainage 0 .. Sanitary Side Sewer 0... Abandon Septic Tank ❑ .. Cap or Remove Utilities 0...Curb Cut ❑ .. Frontage Improvements 0...Pavement Cut ❑ .. Traffic Control 0...Looped Fire Line ❑ .. Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. Permanent Water Meter Size (1) 0 .. Temporary Water Meter Size (I) ❑ .. Water Only Meter Size ❑ .. Sewer Main Extension Public 0 .. Water Main Extension Public 71 WO # (2) " WO # WO # (2) " WO # WO # ❑ .. Deduct Water Meter Size ❑ Private 0 ❑ Private 0 ❑...Grease Interceptor ❑... Channelization ❑...Trench Excavation 0...Utility Undergrounding (3) (3) " WO# " WO# FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) 0 .. Water ❑ .. Sewer 0 .. Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter RefundBilling_ Name: Mailing Address: City State Zip Day Telephone: City State Zip H:\Applications\Forms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 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 OWN ' ORf�fi. . a� l, Signature: ED AGENT: Print Name: pets Ivy . } A m t''2P Mailing Address: / 7.3 6140 % ft • Date: 5 g " l Day Telephone: C (p) (2 1- -33 3 `TU O i )tA `1e/6 g H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh City State Zip Page 4 of 4 Register Receip City of Tukwila DESCRIPTIONS ACCOUNT eceipt Number R14523 PermitTRAK $220.66 D18-0156 Address: 14734 59TH AVE S Apn: 3597000083 $220.66 Credit Card Fee $6.43 Credit Card Fee R000.369.908.00.00 0.00 $6.43 DEVELOPMENT $208.06 PERMIT FEE R000.322.100.00.00 0.00 $123.37 PLAN CHECK FEE R000.345.830.00.00 0.00 $80.19 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $6.17 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R14523 R000.322.900.04.00 0.00 $6.17 $220.66 Date Paid: Friday, May 18, 2018 Paid By: DENNIS ALTAMIRA Pay Method: CREDIT CARD 01842B Printed: Friday, May 18, 2018 10:05 AM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Lie-ozsv Pro'ect:• T of Ins esti (2o� �}�,7 1'r►2Lf2 Address: /y73 y 59r --1 Date Called: ,--.. Special Instructions: Date Wantedc/'� p.m. `Requester: Phone No: vciApproved per applicable codes. El Corrections required prior to approval.. COMMENTS: --x6-04,11 rt CAPPY7A7 •-f- lc( ► ' f;A — Inspector: `g Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: j-LTr'ni1 it4 Type of Inspection: f +�T744- Address: ! 4734 54n+ A • Si Date Called: Special Instructions: efs14 2CD DseK Date Wanted:m. g— 11-1$ p.m. Requester: P Phone No: 2042— 4 27 - 383 Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: 4)-f Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. June 13, 2018 r-� City of Tukwila Department of Community Development DENNIS ALTAMIRA 14734 59 AVE S TUKWILA, WA 98168 RE: Correction Letter # 1 DEVELOPMENT Permit Application Number D18-0156 ALTAMIRA COVERED DECK - 14734 59 AVE S Dear DENNIS ALTAMIRA, 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 a preferably maximum size of 24x36; all sheets shall be the same size; larger sizes may be negotiable. "New revised" plan sheets shall be the same size sheets as those previously submitted.) (BUILDING REVIEW NOTES) 1. Concrete over 2500 psi. requires special inspections. Concrete notes specify 3000 psi. Provide clarification or revise notes. 2. Section A -A shows the new porch roof over the existing house. Provide a clear detail (1/2 -inch scale) that shows fastening, flashing to prevent water damage to existing roof. Clearly show how the new roof is attached to the roof at the wall line. 3. Provide a clear detail for the post to beam and rafters specifying mechanical fasteners, rafter ties etc. at those connections. Show how the post are attached to the overhang in section A -A. 4. Verify the footings are sized to resist uplift and shall be placed on undisturbed ground. Specify reinforcing bar. 5. Floor plan shows 4x4 post set on footings 4 places, 5 are shown. Please clarify. 6. Provide details for the covered patio specifying new and existing with elevation dimensions. Include elevation dimensions to the new roof structure. 7. The plan shows a patio door slider. However, there is no step down shown. Please clarify or provide step details. Note: Contingent on response to these corrections PLANNING DEPARTMENT: Lindsay Brown at (206)-433-7166 if you have questions regarding these comments. • 1. TMC 18.10.060 regulated the minimum setbacks for development on low-density residential lots. A 10' rear yard setback must be maintained; it appears the proposed deck encroaches into this setback 2'. Please revise the deck shape or location and resubmit. 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 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 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. If you have any questions, I can be reached at (206)433-7165. Sincerely, / M Rachelle Ripley Permit Technician File No. D18-0156 6300 Southcenter Boulevard Suite 1#100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 r i \ I -PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D18-0156 DATE: 06/29/18 PROJECT NAME: ALTAMIRA COVERED DECK SITE ADDRESS: 14734 59 AVE S Original Plan Submittal Revision # before Permit Issued X Response to Correction Letter # 1 Revision # after Permit Issued DEPARTMENTS: Alkic Building Division IN Public Works Fire Prevention Structural n we) PkT Planning Division nPermit Coordinator n PRELIMINARY REVIEW: DATE: 07/03/18 Not Applicable ❑ Structural Review Required (no approval/review required) REVIEWER'S INITIALS: DATE: n APPROVALS OR CORRECTIONS: Approved Corrections Required Approved with Conditions Denied (corrections entered in Reviews) (ie: Zoning Issues) DUE DATE: 07/31/18 U Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg D Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D18-0156 DATE: 05/18/18 PROJECT NAME: ALTAMIRA COVERED DECK SITE ADDRESS: 14734 59 AVE S X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: kS Coo 1-)-s-ig Building Division — Ti7,0-10 Public WA ok�/J 1416 Fire Prevention Planning iviston Structural ❑ Permit Coordinator PRELIMINARY REVIEW: Not Applicable n (no approval/review required) DATE: 05/22/18 Structural Review Required REVIEWER'S INITIALS: DATE: n APPROVALS OR CORRECTIONS: DUE DATE: 06/19/18 Approved n Approved with Conditions Corrections Required Denied (corrections entered in Reviews) (ie: Zoning Issues) n n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only B CORRECTION LETTER MAILED: K/ Departments issued corrections: B dg Fire ❑ Ping PW 0 Staff Initials: !9 1" 12/18/2013 r 1 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: Co —2G`! Plan Check/Permit Number: D18-0156 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # 1 ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner ❑ Deferred Submittal # Project Name: ALTAMIRE COVERED DECK Project Address: 14734 59 AVE S Contact Person: DE/VN I S 4L. TA rn t g_(.4 Summary of Revisio S rge.7 -H 1. e„,o,JC -TE4 cffA J ED Ta 2-59Q PSr, 2 . '771E Pa PLcH RDDF /5 ,<i o LD YL A-iTA-cl-f'&D 771-t-- /14 )0 5 6- . 17e ) -r GEA vr1 AsN D f?" -F TEMS 1 Be-. cj iJ A-/ -e S' go cv, ft ©Act 5�t.- of /2 PE/z fool . 4• TI- fooT/J6 s /5 /4 %a /6 `X/6 `k/i" 7� `qtf f2�6JA }2 S oni S Lu at-) Dc 5T026ED sD/ t j=-037-0-)0 p t S PLAces f S sti J i f Imo' r C-01 I. Dirneiu5/d4i S >kE Sffvai DLJ S ci /v,-) 7• TEP 51-1 Di/J 4 Doc SHck,i/- D5E'GTzoe,-) P 1-Ar/J /J (/ Cr ; 1-1 6/6sy 127Lot0 3 REV tEW O BA -G K tie U( `4 -We Sheet Number(s): Z oP 2- e FT 5E- C NoiC?li S (DE (S pK "Cloud" or highlight all areas of revision including date of revi ion RECEIVED CITY OF TUKWILA JUN 292018 PERMIT CENTER Phone Number:C2° 6) 4/ a2 7— 3 g 3 c/ Received at the City of Tukwila Permit Center by: NI-- Entered in TRAKiT on W:\Permit Center (Brenda)\Forms\Permit Center Documents (Word)\Revision Submittal Form.doc Revised: August 2015 f ', `.J CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-3670 FAX (206) 431-3665 E-mail: tukplan@ ci.tukwila.wa.us 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: Pi J O Y STATE OF WASHINGTON) ) ss. COUNTY OF KING ) DP. 0 3 I S yy1 , (/T 1 (2-A , 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 /a , 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. er er's Agent* Signed and sworn to before me this 1 day of Jul ,201 NOTARY PUBLIC ill an Residing at for the S 'a to of Washington SIA_ '111�►�1 Name as commissioned: My commission expires: , Cou . ty 01 /0 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 ofthe 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 bya 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; PS: 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. 13104#s 0,05 C\1 CthN 0105 v0 7;3 0 0 HO 13104#s 0110 808730 0115 • 13104dr15 a cocD 13104#s 0120 11256#s 0150 868780 0 A 50 .44i c? er) 04 C4 6147 11-1 308780 0147 29 1,2 I 7912#s 10146 --T 7 A 1146 P--'11 I / / -7 7) na' • 147.74 di If) oo iv ILL4Off rill '1,617 I TUSP L15-0009 0061 ro i c) 'sto• CI 2 S89 -01-29E LrlIN 133 1 ILI) LOT 3 ' , CDx---1 ,(-00 HI I LA) 20150612900005 '0(0'6°5° z i 3(; CD: '- 8645#' •I Pim lot BLf): 7744# co; 0065 Lol 1 . 0063 . • 133 S89 -01 -29E .i... .. .62 dep MS S....1▪ LN. OF LOT 1,.mon1.1. SIISMWWOMIMMUM.OS 379.24 •2..90 E.)prb ,-' • , 147.24 ,,C083 7 3 6 # ai* r;14' 0083 85 150.33 20'Rd/Util IEsm 3507-00 ,s 00 • c) Lot f\,04; \)sC) 8500# 0076 J 11r. 17:4;46E - MX) . \'° 37.-4 • L:15: c i; ft:14 (5 poor OVEg=-V-,t, S.C. # 129565 Wtr Esmt. T2 . elr " I " Lot 2 I" 359700 : cy\ 0078 Lot 3 , 6518# 0078 0„3. 125 4 OF INTERC •D 3-5-19 137.66 11211 359700 0077 7620# 0077 to rm Esmt 115 -.1. 011iuMm”...IMMII“ ••• 359700 0092 14339# 0092 359700 0091 6533# 0091 11311 45 145 ,V.J9/00 0000 7830# 0090 REVISIONS ,. No changes shall hn made to the scope of work without prior approval of Tukwila Building Dvision NOTE: NOTE: Revisions will requiro a nE.:,, plan submV,? and may include additional plan review fee; 1 - Y'L Tti to 0 14-7,24! F;faniotsi 17--(n 1 - 501 4\/•617 -EP 1"2-----"T• r,kg-6E-i-- IQ° 000c) Lt-Dtr----5e42( P-110 1,01 ,9f6T -'L-T - 077 7-00(.0 07 ( 000) 01-14.---1741 DD -Li -11$ 44,t_7 MA -1-6/J07. 1C -k 14,-( -274 594k . 5.. -11.114.1)911-&- vJA.. 1,616 g Toms -r? cf»/-izEa) t ----4719 3.60 Jf R=65 flE 37.81 r IN 12.31 2( 5 FILE COPY Permit No. [21(4-60 •.• Plan review approval is subject to errors and omissions. Approvalofconstruction documents docs not authorize the violatoIn of any adopted Codor ordinance. Receipt of approved Field Copy a • enditions is acknowledged: Hi3.1,1-1 Li -r By: Date: •di-tt >' 25 • City of Tukwila BUILDING DIVISION SEPARATE PERMIT REQUIRED FOR: EiMoshanical EA/ lectrical fiumbing IEUGas Piping Ci?.y of Tukwila BLiII,NNG DIVISION REVIEWED FOR CODE COMPLIANCE . APPROVED JUL 1 3 2018 City of Tukwila BUILDING DIVISION RECEIVE') CITY OF TUKVALA MAY 18 2018 PERMIT CENTER 1 84-. 0 IS 17,4CT cise (.JAI 4Y4 V°TS 112=1.1011 2-X `` .P- PTS__ '? D, G_ s'Vef tg"s 244 , r it r 14aT65 1- G 7--1-f if4 r l - t -k E51 IlOIJ _a ' •1 �- E � ' wad_ps Nle ? PAY G -c} OiessiLmi `l 511 44. PGd4 5X stw►pa M1 .55u TrVirtV ljckP PLAd T. M44- IV igittcse (UN FT 1'45.14r) () to ELS CORRECTION LTR# Pi 1411.16 ?-oa 1411 O1 REVIEWED FOR CODE COMPLIANCE APPROVED JUL 13 2018 City of Tukwila ILDING_DI_VI:SION RECEIVED ITY OF TUKWILA JUN 2 9 2018 PERMIT CENTER rtfszo 1/41::1