HomeMy WebLinkAboutPermit D18-0337 - KODAVATI RE-ROOF - WATER DAMAGE REPAIRKODAVATI RE -ROOF
3416S146ST3
D18-0337
Parcel No:
Address:
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
0040000072
3416 S 146TH ST 3
Project Name: KODAVATI RE -ROOF
DEVELOPMENT PERMIT
Permit Number: D18-0337
Issue Date: 10/22/2018
Permit Expires On: 4/20/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
VEERA VENKATA S KODAVATI+SA
15402 38TH DR SE , BOTHELL, WA,
98012
VENKATA KODAVATI
3416 S 146TH ST, TUKWILA, WA,
98168
OWNER AFFIDAVIT
!J/
Phone:
Phone:
Expiration Date:
DESCRIPTION OF WORK:
FIX TPO ROOF LEAK AND REMOVE AND REPLACE THE DAMAGED DRYWALL
Project Valuation: $750.00
Type of Fire Protection:
Sprinklers:
Fire Alarm:
Type of Construction:
Electrical Service Provided by: TUKWILA
Fees Collected: $92.64
Occupancy per IBC:
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:
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:
Volumes: Cut: 0 Fill: 0
Number: 0
Water Meter: No
���I�IAi
Permit Center Authorized Signature:" Ilk Ai
A
l
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.
Date:1 Di 12f7/1 1
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:
&r,) krsi8r- )0'D'erir\-cr
Date: 10 I i'*,"' ) "
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 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.
7: Prior to final inspection for this building permit, a copy of the roof membrane manufacturer's warranty
certificate shall be provided to the building inspector.
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
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700 BUILDING FINAL**
0103 PRE-REROOF
CITY OF TUKL(LA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
r
Building Pe mrt No. D\vO71
Project No. �7
Date Application Accepted: O - ' 1,� '
Date Application Expires: 2I " / t
iii
(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
King Co Assessor's Tax No.:
Site Address: (f) 6 - / t"A" sr/Tow/04 Suite Number: Floor:
Tenant Name:
\J\<,49— i< OV) Av � I
PROPERTY ER
// {n� n �--
Name:VEN �1M� Kof &VAT
Address: c� ,(+r Om 151401 ` 9,�` -
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'.,�I�I (��I1S`tlat�e:: �q
w+OWN
Name: 1 V tTT
x3
(o D iW r
Address:
Li 16 -'
ii- r S, T
City: I<ii/ i LAA"
State: vM
Zip:
CONTACT PERSON — person receiving all project
communication
// {n� n �--
Name:VEN �1M� Kof &VAT
Address: c� ,(+r Om 151401 ` 9,�` -
`'l
'.,�I�I (��I1S`tlat�e:: �q
City: g�`i��ii. E. , . ` Zip: , '
Vv "� 4
x:
Phone: q 2.4-_40g.
Email:
C._as-6
Ml�1 I ` 1T'K i ( ) r'''AA PHL COt/
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:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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New Tenant: ❑ Yes 2r -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 INFORMATICS- 206-431-3670
Valuation of Project (contractor's bid price): $ rS10
Describe the scope of work (please provide detailed information
WET NSUI-- T(nN- °
e-
Existing Building Valuation: $
?r—
Will there be new rack storage? ❑ ....Yes
Bio 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: g, Handicap:
Will there be a change in use? D Yes No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers [t]" Automatic Fire Alarm ❑ None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ 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 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:\ApplicationsWorms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 2 of 4
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
151 Floor
2na 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: g, Handicap:
Will there be a change in use? D Yes No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers [t]" Automatic Fire Alarm ❑ None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ 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 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:\ApplicationsWorms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
bh
Page 2 of 4
PUBLIC WORKS PERMIT INF()IATION — 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 0... Renton
❑ ...Valley View 0...Renton
❑ ...Sewer Availability Provided
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")
0 .. Technical Information Report (Storm Drainage) ❑... 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
❑ .. Construction/Excavation/Fill - Right-of-way ❑
Non Right-of-way ❑
❑ .. Total Cut
❑ .. Total Fill
cubic yards
cubic yards
❑ .. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
❑ .. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ .. Permanent Water Meter Size (1)
❑ .. Temporary Water Meter Size (1)
❑ .. Water Only Meter Size
❑ .. Traffic Impact Analysis
❑ .. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
❑... 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...Abandon Septic Tank
❑... Curb Cut
0...Pavement Cut
0...Looped Fire Line
0 .. Sewer Main Extension Public
❑ .. Water Main Extension Public
31
❑ ... Grease Interceptor
❑... Channelization
❑...Trench Excavation
0...Utility Undergrounding
WO # (2) " WO # (3)
WO # (2) " WO # (3)
WO # ❑ .. Deduct Water Meter Size
Private 0
Private 0
" WO#
" WO#
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:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 3 of 4
PERMIT APPLICATION NOTES —
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
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 AUTORIZED AGENT:
Signature: }�---
Print Name:
Mailing Address:
tw 'Dog Sed54c'
On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
bh
Day Telephone:
City
Date: /10
q&)2 ---
Page 4 of 4
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
1 ACCOUNT
QUANTITY
PAID
$92.64
D18-0337 Address: 3416 S 146TH ST 3
Apn:"0040000072
$92.64
Credit Card Fee
$2.70
Credit Card Fee
R000.369.908.00.00
0.00
$2.70
DEVELOPMENT
$85.97
PERMIT FEE
R000.322.100.00.00
0.00
$79.47
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$6.50
TECHNOLOGY FEE
$3.97
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R15674
R000.322.900.04.00
0.00
$3.97
$92.64
Date Paid: Monday, October 22, 2018
Paid By: VENKATA KODAVATI
Pay Method: CREDIT CARD 02276D
Printed: Monday, October 22, 2018 12:44 PM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSP T ON NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
�1g-o337
6300 Southcenter Blvd., #100, Tukwila: WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-3670
Project:Type
C( .Ar a1I Ke — ro,F-
of Ins e tion:
B(A I v6.. NALAddress:
311 lb —N. /96
Date Calle
Special Instructions:
Pe` Pt --)-0.-
Date Wanted:
7 2 49 ✓ 2C/
a.m.
p.m.
Requester:
PhoneNo:_'1Ce _aOy
Approved per applicable codes.
ElCorrections required prior to approval.
Inspector:
Date 27,4_ W J2c,
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
d
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
DO -0337
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:
1:bv b -r1 Re- �
Te of I
��
n ection: f
tery
Address:Date
314 6 194. Ser -
Cal
ed:
Special Instructions:
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5k4,q
DateiW,/ant/ed:
L 1/Al/ 54 Atcy I i- Gt,L)✓ _
z,n �/
Requester.
Phone No:
- 2CS--by.
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
jeto)
31t41 it h,�r ! ` /V
J� I i
L 1/Al/ 54 Atcy I i- Gt,L)✓ _
e i /i _.54i -urs;/• roof
2; A le)ei Abu d-uveS /o/
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"jhe-hvdc le-ee '— OK
4/a4 r cca_ ls:��`,
,
lnspettoF: nJ�
Date/k?- 762/Y1
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
E i8 -0337
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: ®
KU1),`TI pc- Rt of
Type of Insp c n:
B(A.� lay /iiu,L-
Address:
Date Called:
Special Instructions:
gi,-eib. tr3
Date Wanted:a.
m!
i0-2.9 —ZO/S1
p.m.
Requester:
PhLo%n�7e No: C� /�!
❑ Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
A ---„,,a c_
,(-1/1*)( Z;3c# i -e ve_L
Alo
cek-
Inspg�to
Date:
REINSPECTION FEE REQUIRED„ Prior to next inspection. fie must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
DK -0337
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:I
K0c 141/4 /_ r/R
T
e of Inspection:
I` - a''' i�e.rb D 1=
Address:
D
to Called:
Special Instructions:
C J 1„c_ # 3
�'
Date
Wanted: (—A .m.
t 0 -za` p.m.
Requester:
Phone No:
'h %codes/,�"ysc�l�
���per applicable codes.
"COMMENT
�Il��i i� Iil Ai
Z,
p
Corrections required prior to approval.
gie i3O(a,cm C i I vzs
rL.,'/C!✓��
f
3 e4 ms &,'GL
P Oe;a7
1nspector: 3,0_ 0
Date0106/V
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
rTE A -111-
l
FILE COPY
Permit No.
Plan review approval is subject to errors ani omissions.
Approval of consruction documents dans, •,;
th violation of any adopted coda or or' ;oo.of
Quad -Field G y �n�cnriiiQ� s f3 -:c_3-,;-;_
By:
Date:
Mechanical
f Elcctrical
P u nbing
Cas Piping
7.1
pity of Tukwila
BUILDING DIV}SIQ
J
--4
u. _... REVISIONS
No changes shall be m=ade to the Scope
of work withcl.:i prior r approval CIL ______
NOTZ1:: i ev;3n` t'.'i!i ,. ,.,
:.�i�"'� 1 . ! is �;n 5f,1".irR!t''<3'
16 c
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BTS
SALAZAR ROOFING
11611 227' PL SE
KENT, WA98004
2406 — gLiI
QUOTATION
DATE: 10-19-18
TO: Venkata Kodavati FOR: ROOF REPAIR
3416 S 146 Matmack9@gmail.com
TUKWILA, WA 98168
425-408-2504
WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR:
TPO ROOF LEAK FIX, OUR PROPOSAL TO ATTEMPT WATER TIGHT CONDITION AS FOLLOWS:
1] We will fix existing TPO roof leaks
2] We will check all seams, vents, and flashings and make sure there are no leaks
3] We will use the standard TPO welder to weld the teaks
4] We will make sure the roof is water tight
"To accept this quotation, sign here and return:
69 I/ ---
Date here:
TOTAL
$750.00 + Tax
REVIEWED FOR
CODE COMPLIANCE
APPROVED
OCT 22 2018
City of Tukwila
BUILDING DIVISION
WEATH E RB 0 N 0
LIMITED LIFETIME MEMBRANE MATERIAL WARRANTY
Subject to the following terms and conditions, WeatherBond`" warrants to the Buyer that the WeatherBond membrane material,
(MEMBRANE) 60 mils in thickness or greater and utilized in residential applications, will not prematurely deteriorate to the
point of failure because of weathering for as long as the Buyer shall own or occupy the building upon which the Membrane
was applied, or for a term of fifteen (15) years for membrane less than 60 mils thick, if in both cases, the Membrane has been
properly installed, maintained, and used for the purpose for which WeatherBond intended. For all non-residential applications
the term of the warranty will be fifteen (15) years for membrane less than 60 mils thick and twenty (20) years for all other
thicknesses.
If upon inspection by WeatherBond, the Membrane shows premature deterioration because of weathering within the designated
warranty period stated herein, WeatherBond's liability and Buyer's remedies are limited at WeatherBond's option to the
providing of repair material for the original Membrane or the granting of credit to be applied towards the purchase of a new
Membrane. The value of these remedies shall not exceed the original Membrane purchase price.
To validate this warranty, the registration information must be completed by the Buyer and mailed to WeatherBond within
thirty (30) days after the date of sale. Buyer shall give WeatherBond notice of a claim under this warranty within thirty (30)
days of discovering any premature deterioration of the membrane. Any claim under this warranty must be made in writing and
must include a sample of the membrane for evaluation and response at the Buyer's expense.
This warranty refers to the deck membrane material only. Flashings, adhesives and any other accessories contained in
a membrane system are not covered by this or any other warranty, express or implied.
WeatherBond shall not be responsible for the cleanliness or discoloration of the membrane material caused by environmental
conditions including, but not limited to, dirt, pollutants or biological agents.
WeatherBond shall have no liability under any theory of law for any claims, repairs, restoration, or other damages including,
but not limited to, consequential or incidental damages, relating directly or indirectly, to the presence of any irritants,
contaminants, vapors, fumes, molds, fungi, bacteria, spores, mycotoxins, or the like in the building or in the air, land or
water serving the building.
This warranty will not cover any premature deterioration or failure of the membrane where it comes in
contact with adhesives, sealants, tapes or other accessories manufactured or marketed by companies other
than WeatherBond.
This warranty shall not be applicable if the roofing system is damaged by any natural disasters, including but not limited to,
lightning, fire, insect infestation, earthquake, tornado, hail, hurricanes, and wind; intentional or negligent acts, accidents, misuse,
abuse, vandalism, civil disobedience, or the like; deterioration or failure of building components, including, but not limited to,
the roof substrate, walls, mortar, metal work and penetrations; acids, oils, harmful chemicals and the like; foot traffic.
NO REPRESENTATIVE OF WEATHERBOND HAS AUTHORITY TO MAKE ANY REPRESENTATIONS OR PROMISES
EXCEPT AS STATED HEREIN.
WEATHERBOND DOES NOT WARRANT PRODUCTS UTILIZED IN AN INSTALLATION, WHICH IT HAS NOT
FURNISHED; AND SPECIFICALLY DISCLAIMS LIABILITY, UNDER ANY THEORY OF LAW ARISING OUT OF
THE INSTALLATION AND PERFORMANCE OF, OR DAMAGES SUSTAINED BY OR CAUSED BY, PRODUCTS NOT
FURNISHED BY WEATHERBOND.
THERE ARE NO WARRANTIES EITHER EXPRESSED OR IMPLIED, INCLUDING THE IMPLIED WARRANTIES
OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE, WHICH EXTEND BEYOND THE
WARRANTIES CONTAINED IN THIS DOCUMENT. WEATHERBOND SHALL NOT BE LIABLE FOR ANY
INCIDENTAL, CONSEQUENTIAL OR OTHER DAMAGE, INCLUDING BUT NOT LIMITED TO,
LOSS OF PROFITS OR DAMAGES TO A STRUCTURE OR ITS CONTENTS UNDER ANY THEORY
OF LAW. THIS WARRANTY IS NOT TRANSFERRABLE OR ASSIGNABLE.
WEATHERBOND
P.O. Box 251 • Plainfield, PA 17081 • 1-866-471-5125
41434
WEATHERBOND EPDM, TPO AND PVC MEMBRANE MATERIAL WARRANTY
Retain the top portion of this form for your records. Complete the bottom portion, detach and send along with a copy of the bill of sale or
invoice to: WeatherBond .O. B x 251, Iainfield, PA 17081 Attn: Warrant Services Dept.
DATE OF SALE: ' uilding Owner's Name• 1/ N )<A-' — ) D v -
U �f }� ems- v ` , , Ar -ca
Property Address. 3 1'C. C 1 % 6 ' " , S {, '7'K 01 �A t W (\ 6•,
City�`1K� 1 L State: t ip:q � Pho : (� 1 Lies -9- b1
Date Purchased / Date Installed- CR \�,r�-1 1� 1 Orta) , 2Dl "f /
Purchased From• 5"T6 N E U..) A\-1 oD l l . S J?7
Address VO
City: `- YU KLA 1 L --f %�r St ite• _ Zip• 91.9,1R)-
Thickness of Membrane: ❑ .045 ❑-060 ❑ Other
Type of Membrane: ❑ EPDM Q'TPO ❑ PVC
Type of Building: residential ❑ Commercial (Specify Type) ❑ Other
(If Residential) ❑ Porch ❑ Garage ❑ Shed/Storage aBtiillding ❑ Sunroom ❑ Carport ❑ Main Roof ❑ Other
of House
Surface WeatherBond Rubber Roofing was applied to:
❑ Smooth Built-up ❑ Metal ❑ Insulation ❑ Elastomcric coating ❑ Rolled Roofing ❑ Plywood ❑ Concrete
❑ Other
41434
603115 07.02.13
f'
CITY F TUI LA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-367o FAX (206) 431-3665
E-mail: tukplanaci.tukwila.wa.us
Permit Center/Building Division
206 431-367o
Public Works Department
206 433-0179
Planning Division
206 431-3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO: P\ 0929,1
STATE OF WASHINGTON)
) ss.
COUNTY OF KING
V,K A f o Av A-1
, 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 , 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.
FN KA -`r A 1CoD A�UA�i
Owner/Owner's Agent*
Signed and sworn to before me this
e day of ___C011/27f____,
WiteN fA
NOTARY PUBLIC inland for he State of Washington
Residing at
Name as commissioned:
My commission expires:
, Co my
firr f14
18.27.090 Exemptions. Th;istration provisions of this chapter do not app ):
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 46.7o 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;
An owner* who contracts for a project with a registered
ontractor, except that this exemption shall not deprive the
owner of the protections of this chapter against registered
and unregistered contractors. The exemption prescribed in
this subsection does not apply to a person who performs
the activities of a contractor for the purpose of leasing or
selling improved property he or she has owned for less than
twelve months;
12.* Any person working on his or her own property,
whether occupied by him or her or not, and any person
working on his or her personal residence, whether owned
by him or her or not but this exemption shall not apply to
any person who performs the activities of a contractor on
his or her own property for the purpose of selling,
demolishing, or leasing the property;
13. An owner* who performs maintenance, repair, and
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
14. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of the
state of Washington or licensed by a political subdivision of
the state of Washington while operating within the
boundaries of such political subdivision. The exemption
provided in this subsection is applicable only when the
person certified is operating within the scope of his or her
certification;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. A mobile/manufactured home dealer or manufacturer
who subcontracts the installation, set-up, or repair work to
actively registered contractors. This exemption only applies
to the installation, set-up, or repair of the
mobile/manufactured homes that were manufactured or
sold by the mobile/manufactured home dealer or
manufacturer;
18. An entity who holds a valid electrical contractor's
license under chapter 19.28 RCW that employs a certified
journeyman electrician, a certified residential specialty
electrician, or an electrical trainee meeting the
requirements of chapter 19.28 RCW to perform plumbing
work that is incidentally, directly, and immediately
appropriate to the like -in-kind replacement of a household
appliance or other small household utilization equipment
that requires limited electric power and limited waste
and/or water connections. An electrical trainee must be
supervised by a certified electrician while performing
plumbing work.
• Per Washington State Department of Labor and Industries lessee has
been interpreted to be equivalent to owner for purposes of exemptions.
•
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 10/22/2018 12:43:47 PM
CREDIT CARD SALE
VISA
CARD NUMBER: **********0871 K
TRAN AMOUNT: $92.64
APPROVAL CD: 02276D
RECORD #: 000
CLERK ID: Rachelle
X
{CARDHOLDER'S SIGNATURE}
I AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
(MERCHANT AGREEMENT IF CREDIT VOUCHER)
Thank you!
Merchant Copy
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CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
Date: 10/22/2018 12:43:47 PM
CREDIT CARD SALE
VISA
CARD NUMBER:
TRAN AMOUNT:
APPROVAL CD:
RECORD #:
CLERK ID:
**********0871
$92.64
02276D
000
Rachelle
Thank you!
Customer Copy
K
O
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