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Permit D18-0186 - CHEVRON STATION - 1-HOUR FIRE WALL
CHEVRON STATION 14415 TUKWILA INTL BLVD EXPIRED 01/08/19 D18-0186 Parcel No: Address: 0 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 0040000136 14415 TUKWILA INTL BLVD Project Name: CHEVRON STATION Permit Number: D18-0186 Issue Date: 7/3/2018 Permit Expires On: 12/30/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: APNA INVESTMENTS GROUP LLC 26220 116TH AVE SE #201, KENT, WA, 98030 DAVID MALIK 26220 116TH AVE SE , KENT, WA, 98030 OWNER AFFIDAVIT ON FILE Lender: Name: N/A - LESS THAN $5,000 Address: Phone: (206) 841-3355 Phone: Expiration Date: DESCRIPTION OF WORK: ADD ONE HOUR FIRE WALL Project Valuation: $2,000.00 Type of Fire Protection: Sprinklers: Fire Alarm: YES Type of Construction: VB Electrical Service Provided' by: TUKWILA Fees Collected: $229.16 Occupancy per IBC: M Water District: 125 Sewer District: VALLEY VIEW 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: Ch annelization/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: c� c Volumes: Cut: 0 Fill: 0 Number: 0 No Permit Center Authorized Signature: Date: 67(n3//k 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 camplied 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 per . •d agree to the conditions attached to this permit. Signature: Print Name: " C r V, PrL Date:7 Sr - 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 plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206-431-3670). 7: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 8: 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. 0 0 9: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431-3670). 26: TO SCHEDULE ALL FIRE INSPECTIONS CALL 206-575-4407. 13: The total number of fire extinguishers required for an ordinary hazard occupancy with Class A fire hazards is calculated at one extinguisher for each 1,500 sq. ft. of area. The extinguisher(s) should be of the "All Purpose" (3A, 40B:C) dry chemical type. Travel distance to any fire extinguisher must be 75' or less. (IFC 906.3) (NFPA 10, 5.4) 10: Portable fire extinguishers, not housed in cabinets, shall be installed on the hangers or brackets supplied. Hangers or brackets shall be securely anchored to the mounting surface in accordance with the manufacturer's installation instructions. Portable fire extinguishers having a gross weight not exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 5 feet (1524 mm) above the floor. Hand- held portable fire extinguishers having a gross weight exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 3.5 feet (1067 mm) above the floor. The clearance between the floor and the bottom of the installed hand-held extinguishers shall not be less than 4 inches (102 mm). (IFC 906.7 and IFC 906.9) 11: Extinguishers shall be located in conspicuous locations where they will be readily accessible and immediately available for use. These locations shall be along normal paths of travel, unless the fire code official determines that the hazard posed indicates the need for placement away from normal paths of travel. (IFC 906.5) 12: Fire extinguishers require monthly and yearly inspections. They must have a tag or label securely attached that indicates the month and year that the inspection was performed and shall identify the company or person performing the service. Every six years stored pressure extinguishers shall be emptied and subjected to the applicable recharge procedures. If the required monthly and yearly inspections of the fire extinguisher(s) are not accomplished or the inspection tag is not completed, a reputable fire extinguisher service company will be required to conduct these required surveys. (NFPA 10, 7.2, 7.3) 14: Maintain fire extinguisher coverage throughout. 15: Egress doors shall be readily openable from the egress side without the use of a key or special knowledge or effort. (IFC 1010.1.9) 16: Dead`bolts are not allowed on auxiliary exit doors unless the dead bolt is automatically retracted when the door handle is engaged from inside the tenant space. (IFC Chapter 10) 17: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10) 18: Door handles, pulls, latches, locks and other operating devices on doors required to be accessible by Chapter 11 of the International Building Code shall not require tight grasping, tight pinching or twisting of the wrist to operate. (IFC 1010.1.9.1) 20: Maintain square foot coverage of detectors per manufacturer's specifications in all areas including: closets, elevator shafts, top of stairwells, etc. (NFPA 72-17.5.3.1) 22: Maintain fire alarm system audible/visual notification. Addition/relocation of walls or partitions may require relocation and/or addition of audible/visual notification devices. (City Ordinance #2437) 21: All new fire alarm systems or modifications to existing systems shall have the written approval of The Tukwila Fire Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #2437) (IFC 901.2) 23: The maximum flame spread class of finish materials used on interior walls and ceilings shall not exceed that set forth in Table No. 803.11 of the International Building Code. 19: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2436 and #2437) 24: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 25: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575-4407. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 1400 FIRE FINAL 0409 FRAMING 0502 LATH/GYPSUM BOARD 0406 SUSPENDED CEILING 0601 WALL INSULATION CITY OF TUKWI Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Perm i 4o. j me& Project No. Date Application Accepted: (P ''( (For office use only) Date Application Expires: CONSTRUCTION PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. **Please Print** SITE LOCATION Site Address: Tenant Name: r ,,� �t King Co Assessor's Tax No.: -11-K101 L P TNT 1;1v/0 . Suite Number: Floor: PROPERTY OWNER Name: 7)p,tiD M*L 1K 17/) r -1 Name: N. gms_, t ^� 'DIV' I9 J l� City: J"\ TNT— State: y t l p Zip ij ! j` Address: "j /° A 01 ° t 16 J_ 1IOJ Ito Email: A- L D (" a 4411-11- ' (Q I I t City: KtJ�Ki^' fo� r Td %`V 1 CONTACT PERSON — person receiving all project communication Name: 7)p,tiD M*L 1K 17/) r -1 Address: 024, g q ,.,, / f, f' C _ City: J"\ TNT— State: y t l p Zip ij ! j` Phone: 94,4 - 'FA ,� 3F T�-�lM Email: A- L D (" a 4411-11- ' (Q I I t GENERAL CONTRACTOR INFORMATION Company Name: Company Name: ow N Address: 1 Address: City: State: City: Zip: Phone: Fax: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: H:\Applications\Forms-Applications On Line \2012 Applications\Pennit Application Revised - 2-7-12.docx Revised: February 2012 bh New Tenant: ❑ Yes ❑..No ARCHITECT OF RECORD Name: Company Name: ow N Architect Name: Address: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD Name: Company Name: ®p A p' Ti1 �1l AI RI 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 INFORMATI0e206-431-3670 Valuation of Project (contractor's bid price): $ ,boa= Existing Building Valuation: $ cb Oct00 Describe the scope of work (please provide detailed information): / lJ OJ Z 114 6te frf WALL. Will there be new rack storage? ❑ ....Yes 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 dwelli g, provid,v1t5 following: Lot Area (sq ft): © Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the princigaj owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Will there be a change in use? ❑ Yes Compact: Handicap: No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers j2- 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 No If `yes', attach list of materials and storage locations on a separate 8-1/2" x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM 0 On-site Septic System - For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Applications\Forms-Applications On Line \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 1st Floor 17 OD (7 OD I-7 ?iv- ,e 2nd 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 dwelli g, provid,v1t5 following: Lot Area (sq ft): © Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the princigaj owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Will there be a change in use? ❑ Yes Compact: Handicap: No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers j2- 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 No If `yes', attach list of materials and storage locations on a separate 8-1/2" x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM 0 On-site Septic System - For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Applications\Forms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 PUBLIC WORKS PERMIT INFORf J`TION — 206-433-0179 Scope of Work (please provide detailed information): Call before you Dig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ .. Tukwila ❑ ...Water District #125 ❑ .. Water Availability Provided Sewer District ❑ .. Tukwila ❑ .. Sewer Use Certificate ❑ ... Highline ❑ ...Valley View 0...Renton ❑ ...Sewer Availability Provided ❑... Renton ❑... Seattle Septic System: ❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. Submitted with Application (mark boxes which apply): ❑ .. Civil Plans (Maximum Paper Size — 22" x 34") ❑ .. Technical Information Report (Storm Drainage) ❑... Geotechnical Report 0 .. Traffic Impact Analysis ❑ .. Bond ❑...Insurance ... Easement(s) ...Maintenance Agreement(s) 0 .. Hold Harmless — (SAO) El.. Hold Harmless — (ROW) Proposed Activities (mark boxes that apply): ❑ .. Right-of-way Use - Nonprofit for less than 72 hours ❑ .. Right-of-way Use - No Disturbance ❑ .. Construction/Excavation/Fill - Right-of-way ❑ Non Right-of-way ❑ ❑ .. Total Cut ❑ .. Total Fill cubic yards cubic yards El...Right-of-way Use - Profit for less than 72 hours 0...Right-of-way Use — Potential Disturbance ❑ ... Work in Flood Zone El...Storm Drainage ❑ .. Sanitary Side Sewer 0...Abandon Septic Tank 0... Grease Interceptor ❑ .. Cap or Remove Utilities 0...Curb Cut ❑... Channelization ❑ .. Frontage Improvements 0... Pavement Cut 0...Trench Excavation ❑ .. Traffic Control 0...Looped Fire Line El...Utility Undergrounding ❑ .. Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. Permanent Water Meter Size (1) " WO # (2) " WO # (3) ❑ .. Temporary Water Meter Size (1) " WO # (2) . " WO # (3) ❑ .. Water Only Meter Size If WO # El.. Deduct Water Meter Size ❑ .. Sewer Main Extension Public 0 Private ❑ ❑ .. Water Main Extension Public 0 Private 0 " WO# " WO# FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ .. Water 0 .. Sewer ❑ .. Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: City State Zip Water Meter Refund/Billing: Name: Day Telephone: Mailing Address: City State Zip H:\Applications\Forms-Applications On Line\2012 ApplicationsWermit 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 OWNE Signature: Print Name: UTITED AGENT: b19r✓ID M14-1-1 lc Date: t2 Or I?) Day Telephone:,10 6 9 4/ - 3 3S Mailing Address: 'J [ (1,0 010 J/ 7n7 i'N _seri fav( H:\ Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh City State k) A Zip ieep.3D Page 4 of 4 Cash Register Receipt City of Tukwila Receipt Number DESCRIPTIONS ACCOUNT I QUANTITY j PAID PermitTRAK $229.16 D18-0186 Address: 14415 TUKWILA INTL BLVD . Apn: 0040000136 $229.16 DEVELOPMENT $222.55 • PERMIT FEE R000.322.100.00.00 0.00 $132.15 PLAN CHECK FEE R000.345.830.00.00 0.00 $85.90 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $6.61 TECHNOLOGY FEE R000.322.900.04.00 0.00 TOTAL FEES PAID BY RECEIPT: R14755 $6.61 ., $229.16 Date Paid: Wednesday, June 20, 2018 Paid By: PARAS INC Pay Method: CHECK 101 Printed: Wednesday, June 20, 2018 10:00 AM 1 of 1 CPSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION b[9-01%, 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Pro'ec : �- �/ Irea", 'TLan Type f Inspection: 7 L ry Address: ,_ i tY 14/S u Kw jc, IAA —':, D:ea: .kLv.) 29 P / 0140.s / - a AA/u.. 60,==1/4X Special Instructions: Date Wanted: 7-6, -Zo/ a.m. p.m. Requester: Phone No: Lam ye - ElApproved per applicable codes. IK1 Corrections required prior to approval. COMMENTS: frvoiv l e J f)/A ivri►1 ? 29 P / 0140.s / - a AA/u.. 60,==1/4X 3 Nee,} k Nis Ce - -- 11e1411- 710/2-041C t 14- anz�.c Ill 1 dAl 7%I( LJ, Vi he �:P�7. -4 Lam ye - InspectoiK069::__, 6 Dater/ —2 r � 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 p18ojg, Pro'ej �ct: \f CO/0 Si -404 Typeg Inspection: h rAtliffile Address: �. s 14,1-1K 146., Date Called: Special Instructions: Date Wanted: GG����DD 7 _ to - 20r r a.m. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: - Inspector: j9( Date: 7 /e2 "Zed"' REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. C2) 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 D -OI? , Project/e' ` t/ �V Type of Inspect I taD�� l�` 1,11 1 °rte, Address: 1 a8z- e} V --� 1'��l it5 �ukwi GA- Special Instructions: Date Wanted: 7-12-2,0til p.m. Requester: Phone No: p:ci Approved per applicable codes. jJ Corrections required prior to approval. COMMENTS: su.5P4va Cfj/ifr,/(ZY- , Inspector: d2o Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D18-0186 DATE: 06/20/18 PROJECT NAME: CHEVRON STATION SITE ADDRESS: 14415 TUKWILA INTERNATIONAL BLVD X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: pr\ SWC nor Building Division aM t4� U / Public Works A-tA Ac ) - Fire Prevention111 Structural NAS Planning Division ❑ Permit Coordinator IIII PRELIMINARY REVIEW: Not Applicable pi (no approval/review required) DATE: 06/21/18 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 07/19/18 Approved Corrections Required Approved with Conditions?(I ❑ Denied (corrections entered in Reviews) (ie: Zoning Issues) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 12/2/2018 City of Tukwila Department of Community Development DAVID MALIK 26220 116TH AVE SE KENT, WA 98030 RE: Permit No. D18-0186 CHEVRON STATION 14415 TUKWILA INTERNATIONAL BLVD Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 1/8/2019. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 1/8/2019, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, achene Ripley Permit Technician File No: D18-0186 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 0 CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-3670 FAX (206) 431-3665 E-mail: tukplanPci.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: I) �— d 18- 6 STATE OF WASHINGTON) COUNTY OF KING ss. vliN!V 14- L i I C , 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 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 constructi9n-work. N\‘‘\‘\\1111{tl J�t1E A I� ,4" ig -• • ,. i �'I- iiO IWAsµ`� .. Signed end sworn to before me this r/ day of �J UJ 4 , 20 / d i) 0 NOTARY PUBLIC in and for the State of Washington Residing at /4i 1 , County Name as commissioned: My commission expires: �77 e -ems Os/al/d,a 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 sole compensation or as an employee with wages as his or her sole compensation; i6. Contractors on highway projects who have been prequalified as required by RCW 47.28.070, 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, ortrepairof the mobile/manufactured homes that weremanufactured or sold by the mobile/manufactured home dealef.or manufacturer; '44 .' ; i8. An entity who holds a valid electricalc'ontractor's license under chapter 19.28 RCW that employs a;certified journeyman electrician, a ctrtifiedresidential-sp&cialty electrician, or an electricaltrainee meeting the requirements of chapter*t9.28,RCW to perforin plumbing work that is incidentally, directJy,''and irnmediately 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. • ,s< Vicinity Map Project Information PROJECT LOCATION IP N LOCATION: 14415 PACIFIC HWY. S. TULWILA, WASHINGTON CONTACT PERSON: Dale Curtis @ dzcurtis@comcas:.com' ZONING; BUILDING CODE: OCCUPANCY CLASSIFICATIONS CONVENIENCE STORE: SERVICE STATION: CONSTRUCTION TYPES CONVENIENCE STORE GAS CANOPY: SEISMIC ZONE: BUILDING AREAS: CONVENIENCE STORE GAS CANOPY: TOTAL SITE AREA IMPERVIOUS AREA LANDSCAPE AREA: PARKING SPACES FULL SIZE STRIPED: HC VAN ACCESSIBLE: NCC 2016 M 5-3 3 1,736 SQ FT N/A 27,155 SO FT NET ' 18,901 50 FT NET 8,254 SO FT NET 7 -1 TOTAL SPACES n TOTAL REQUIRED (1/300) 6 • • 1 •. .Tukwila Chevron'AIteration: SERVICE STATION :REN NATION 14415 PACIFIC HIGHWAY SOUTH TUKWILA, WASHINGTON - • sr; ..:rigs . LegalDescription ADAMS HOME TRS PORTION OF LOTS 118 12 - BEGIN INTERSECTION OF WLY MARGIN OF PACIFIC HIGHWAY SOUTH. STAT FIGHWAYNO AND NONE OF BLOCK TH S 20-10.17W 197.41 FT TO S LINE OF N 188 FT, OF BLOCK 2 TH N874633 W 30 FT m N 53-2743 W 12125 FT TH N 01-05-15 E 120 FT TON LME OF BLOCK 2;71 8 874543 E 113.36 FT TO POB -AKA PARCEL A OF CRV OF TUKWILA BOUNDARY LME ADJUSTMENT 14090- . 14 BLA RECORDING NO 9101 60627 - LESS ST LESS RD PER SUP COURT 1104-2-22944-8 PLBlack:2 IatPlat Let 11-12 l' de to tho cr•rru an'1r?+;nl;:t .j 'Divisirrn new plan syt.rnlrta, ., plan reViar, lees. Scope of Work #1 Add one-hour metal framed wall details around hood and,deep fry station 1 53'-3 174' &.-e 3/4' 141-4' 36'-6 I/4• HB•! 24. YMLL 29'-3 1/4 ///////////////////////////47 ,e5/ ..f" ///////////O//////4•••////////////////49:97////X�////////////////////////////////////////////////aX///U//////////////////////////////7/////7///4//7///////////%/ RM 11 104 NEN STOCKING AREA 1050 5E. © \ EXIST. •� 3 • RM,405 EXt5T OFF7r.= ND SF • d4T. \\ a2AIT IWTi Sine( 1y 3064 ESQT. r i I- ON RUce12 HANFiER— SATED CDC. 2195E EXIST. COOLER RELOCATED TO THIS LOCATION Na4 bx6 HP •2 6M. EXIST. \\ RM 1101 55 1 550 5F !EH 6x10 HF.N DI. E)06TINB HOT NATER TANK 20'-7• M34 6x10 HF.N BM. RH 1110C )=X187 2N1.EE 1242.0 •iF CCLUMNS NF34 6x10 HP.41 BM. swisekrin7AEH PONT OF GONTEC NEH 3'4 satR L 7 • Area.of work for alteration SfCl2S Courf)"ER• 1Lel' . 13 ARTMENT 'NEW CLEAN OUT iL►✓lid e, retie flotc-) u/d i ftbff ? D?dlu j1r• t RM 11106 WH PREP AREA 55.0 51' Li C 3'eVENT V* HASTE I V2•e HASTE H 1/2'9 vENT 3'e VENT 2'e AIR INTAKE VENT 2'O VENTED WASTE re HASTE 1'-9' 10'-0' 46•-q. 15'-3' 62-0 El ° (Untitled] ? :Chevron 0 ' Pacific76 ATM Tukwila htl Blvd & S 144th St. • Aerial site view L. .'.;. 4. r' SOUTH 144TH STREET •r 1 r. Plarl rc.L.- L. th ,. .. Gra:, j.._. By: Date: FILE C777 tto-oleic subsct to errors and n deeurncnts does nc: :..plod coda or ordinance. i C. 'J and conditions is acknoviia r ? la; City of Tukwila BUILDING DIVISION - EXPI. Ali GS TM • • rq't "ate F 0 *.TEF:__:.-s.T- •di,3FOR: • ir 3 _ieftxiacai V ss Plp r;; v LI a APPROVEL: ;UILDLNG nIV!SfON 5: r N 873533" W R+' - of Tuk. ;. '1 GIVIS;C r{ RECEIVED CITY OF TUKWILA .UN 20 2018 PERMIT CENTER 18-0186 o 1d Contractor: Owner F' LA - 4 -4 A4"4 0 c CO 0- 4-1 4—+ c E tn c c 2- Y 0 Ln -m m co 0 0 m 0 Q 3 v Y 0 0 N H N a Lo g-4 tO A=1 .!s rig • .2 • • • 8" MAX +-10° 3/4" MIN. 2" MIN -o Wall Molding Fixed SCALE: NTS F PERIMETER HANGER WIRE DATE: TEE t.... 4t wr+}i::Lls;. ::.aL .. Y ",.. --�'.- .:: aeon• ofOr error Of parlanedentae � (we Neal it W aitt. •treadn to Ur 'Mallon n Nen• Ores It Amp Ortaniuto nf-vreananent dose - cowl e. Mn mow (• Dora a ee't artition s fi WO, WOW ane a1•_y Ono .,n mt.nwn 3 tient taeN 1.2./r ocali OVIOnnO ,--- r Own) hint Mario vane amwe.Non Mit and as now N.Y. as•o.+N• coot •N, ria cooler Iron Moo. °Oe_natn *. t twat tilt IOW wife atoomd to mein runoff with 2 - •t t shoot mail sem* and to finance• 2 - •1:.vwa woad ot U4. ran. e1Wbn tooter N Snob". Std d Wm t•YedNt •• Mann plover Mi "° t trot IOWIOWeOCMM"0"ueM�to •O).o to 17 dada a•.h, tin be aced ter tN Y6 1 I W X S -W Nin•ioadbarl+9 • 5B' StEETPIXX Foam Core opsun panels, a 5/6' Safe= UedJ9ttt rycmoe X panels or 5B" F1030X panels — 3.12' 25 gage steel semis 24' o.c - Ylstkdon — optional RC•1charnel 14;c4 (`Jt S 1lJG UNITED STATES GYPSUM COMPANY RAO.** Deals at not bet wed %Owlscompielo ewsnlkn by armee s dsetpt pldewonol b verify the9y dew deelprl for a (Aron Mauro. // / / / / ttructure 45°or greater vertical han wire adjac'-nt to post splay wire Interior view towards hood area ...l. • :A horizonta axis cross tee main tee sloped vertical axis Front View Hanger WireLVertical Axis Front View ETAIL SCALE: NTS DATE: UNITED STATES GYPSUM COMPANY tYl tN :?.1r NR a «•=4°V0:0aolor andli "eldndt HEEy NOTE: See Attachments for details of ATC and lights types • Exterior photo of Area of work Ex, ,al.. „..-, JAN 08 2019 • REVIEV`/E:D >=OR CODE COMPLIANCE I APPROVED E • JUL O ter": City of Tukwila BUILDING DIVIsl-oN j UL Des U4/9 Existing ADA bath room- -4 LJ IHOOD AREA Revisions: Reuse exhaust Change this area for new suspended ceiling deta'Is er Keep existing ATC system 1 , Existing infi d window SS. clLe Wall Details& ATC Plan RECEIVED CITY OFTUKWILA VI !Le Note: This permit is only for 1- hour wait details and ATC .PERMIT CENTER Mechanical, Elec. and cooking equipment layout on different permit - ;UN 20 2016 b19L o1•86 W 0 • • 0 co 4J 0 V T 75Q a• 2 m WA 98030 (206)841-3355 26220 116th Ave. STE 201 Kent A-2