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Home My WebLink AboutPermit D18-0352 - NGUYEN RESIDENCE - DOOR AND WINDOW REPLACEMENTSNGUYEN RESIDENCE 3813 S 116T" ST EXPIRED 08/26/2019 018-0352 Parcel No: Address: ss 'y y Department of Community Development �O 6300 Southcenter Boulevard, Suite #100 // Tukwila, Washington 98188 3 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov City of Tukwila DEVELOPMENT PERMIT 0733000205 Permit Number: 3818 S 116TH ST Project Name: NGUYEN RESIDENCE Issue Date: Permit Expires On: D18-0352 2/27/2019 8/26/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: NGUYEN VIVIAN 3818 S 116TH ST, TUKWILA, WA, 98168 QUANG NGUYEN 2120 148TH ST, SHORELINE, WA, 98133 AFFIDAVIT QUANG NGUYEN N/A - LESS THAN $5,000 Phone: (425) 753-0979 Phone: Expiration Date: DESCRIPTION OF WORK: REPLACING 2 NEW DOOR AND 5 NEW WINDOW Project Valuation: $2,000.00 Type of Fire Protection: Sprinklers: Fire Alarm: Type of Construction: VB Electrical Service Provided by: TUKWILA Fees Collected: $238.10 Occupancy per IBC: R-3 Water District: TUKWILA 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: Water Meter: Volumes: Cut: 0 Fill: 0 Number: 0 No Permit Center Authorized Signature: Date: 2 _ ? ! _ J q I hearby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: Print Name: Date: 2 1/f 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: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 6: 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. 7: 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). 8: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 9: 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. 10: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431-3670). PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 0409 FRAMING 0606 GLAZING 0601 WALL INSULATION CITY OF TUh.CLA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov AsM Building Permit No. Project No. Date Application Accepted: 6 I S 7l Date Application Expires: (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 R 11676 �i A,l Ili 1 & W/ ' qg 1 cg ttj King Co Asssso's Tax No.: Site Address: 1 i;7 , 1/ C h fir' 1 t Tij k ! a. '` h) lui e Number: Floor: Tenant Name: VMO+/ J91A Q�4'1 New Tenant: ❑ Yes ..No PROPERTY OWNER Name: j� Lcull rqjvt j em (�l Name: \A k/ c a./I ! v rti , l Phone: ] 4 5_753„ Ul : i/ Address: 3e, b s. l 16 rh G fi City: TL(,k I State: , ' /A Zip: i g 1 a CONTACT PERSON — person receiving all project communication Name: j� Lcull rqjvt j em (�l k7 , Address: City: /" 1 _ _ lr State: w A Zirqg 03 Phone: ] 4 5_753„ Ul : i/ Email: 1l urAd KIM 0 VO.1140 . 6.011 GENERAL CONTRACTOR INFORMATION Company Name: vane_ )ane_ Address: 3e f K c, l j, 6`T% 71- City:Takla__ I a�1(_ State: v, p Zip: ( D 1 [ c /� 0 u Phone: J7 513 5.7 0q fti Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: K HAApplications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh ARCHITECT OF RECORD IRCW Name: N�A- 1--t SS f Company Name: S 00 d Address: Architect Name: 1 Address: State: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD IRCW Name: N�A- 1--t SS f Company Name: S 00 d Address: Engineer Name: 1 Address: State: City: State: Zip: Phone: Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per 19.27.095) IRCW Name: N�A- 1--t SS f 4 S 00 d Address: 1 City: State: Zip: Page 1 of 4 BUILDING PERMIT INFORMATI 206-431-3670 Valuation of Project (contractor's bid price): $ (2 0 0 a t Describe the scope of work (please provide detailed inf rmation): Existing Building Valuation: $ 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): 10, 500 Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers 0 Automatic Fire Alarm d None 0 Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes V No If `yes', attach list of materials and storage locations on a separate 8-1/2" x II" 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:Wpplications\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 151 Floor poor - wi'naatal 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 dwelling, provide the following: Lot Area (sq ft): 10, 500 Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers 0 Automatic Fire Alarm d None 0 Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes V No If `yes', attach list of materials and storage locations on a separate 8-1/2" x II" 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:Wpplications\Forms-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): Re pIck-cJn iJew' Door oil tile, L -Acer ctxtti vtf;Y)1iue / (We v add(.) Call before you Dig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. W ter District [. Tukwila ❑ ...Water District #125 ❑ .. Water Availability Provided Sewer District ❑ .. Tukwila ❑ .. Sewer Use Certificate Valley View ❑ ...Sewer Availability Provided ❑ ... Highline 0... Renton ❑...Renton 0... Seattle Septic System: 0 On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. Submitted with Application (mark boxes which apply): ❑ .. Civil Plans (Maximum Paper Size — 22" x 34") 0 .. Technical Information Report (Storm Drainage) ❑ .. Bond 0...Insurance ❑... Easement(s) Proposed Activities (mark boxes that apply): ❑ .. Right-of-way Use - Nonprofit for less than 72 hours ❑ .. Right-of-way Use - No Disturbance 0 .. Construction/Excavation/Fill - Right-of-way ❑ Non Right-of-way 0 ❑ .. Total Cut ❑ .. Total Fill cubic yards cubic yards 0 .. Sanitary Side Sewer ❑ .. Cap or Remove Utilities ❑ .. Frontage Improvements ❑ .. Traffic Control 0 .. Backflow Prevention - Fire Protection Irrigation 0... Geotechnical Report 0...Maintenance Agreement(s) ❑ .. Traffic Impact Analysis 0 .. Hold Harmless — (SAO) ❑ .. Hold Harmless — (ROW) 0...Right-of-way Use - Profit for less than 72 hours 0...Right-of-way Use — Potential Disturbance ❑... Work in Flood Zone 0... Storm Drainage 0...Abandon Septic Tank ❑... Curb Cut ❑... Pavement Cut 0...Looped Fire Line Domestic Water ❑... Grease Interceptor 0... Channelization 0... Trench Excavation 0...Utility Undergrounding ❑ .. Permanent Water Meter Size (1) " WO # (2) " WO # (3) " WO # 0 .. Temporary Water Meter Size (1) " WO # (2) " WO # (3) " WO # ❑ .. Water Only Meter Size WO # 0 .. Deduct Water Meter Size " 0 .. Sewer Main Extension Public ❑ Private 0 0 .. Water Main Extension Public ❑ Private 0 FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) 0 .. 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 bh Page 3 of 4 PERMIT APPLICATION NOTES C 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 AUTHORIZED AG Signature: NT: Print Name: I . m6- W it Yfr lr Mailing Address: 5 cS g ' . 11671' H:Wpplications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Day Telephone: —FAA-ila_ city Date: 1/ -5 -ie 425 —75-3-071 WA geel‘0 State Zip Page 4 of 4 Cash Register Receipt City of Tukwila Receipt Number DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $149.62 D18-0352 Address: 3818 S 116TH ST Apn: 0733000205 $149.62 Credit Card Fee $4.36 Credit Card Fee R000.369.908.00.00 0.00 $4.36 DEVELOPMENT $138.65 PERMIT FEE R000.322.100.00.00 0.00 $132.15 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $6.50 TECHNOLOGY FEE $6.61 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R17013 R000.322.900.04.00 0.00 $6.61 $149.62 Date Paid: Wednesday, February 27, 2019 Paid By: QUANG NGUYEN Pay Method: CREDIT CARD 017693 Printed: Wednesday, February 27, 2019 12:49 PM 1 of 1 m - SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY I PAID $88.48 D18-0352 Address: 3818 5 116TH ST Apn: 0733000205 $88.48 Credit Card Fee $2.58 Credit Card Fee R000.369.908.00.00 0.00 $2.58 DEVELOPMENT $85.90 PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R15764 8000.345.830.00.00 0.00 $85.90 $88.48 Date Paid: Monday, November 05, 2018 Paid By: QUANG NGUYEN Pay Method: CREDIT CARD 049505 Printed: Monday, November 05, 2018 1:42 PM 1 of 1 SYSTEMS CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 02/27/2019 12:49:12 PM CREDIT CARD SALE VISA CARD NUMBER: **********2269 K TRAN AMOUNT: $149.62 APPROVAL CD: 017693 RECORD #: 000 CLERK ID: jazzel 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 cl CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 02/27/2019 12:49:12 PM CREDIT CARD SALE VISA CARD NUMBER: **********2269 K TRAN AMOUNT: $149.62 APPROVAL CD: 017693 RECORD #: 000 CLERK ID: jazzel Thank you! Customer Copy CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 11/05/2018 01:42:07 PM CREDIT CARD SALE VISA CARD NUMBER: **********2269 K TRAN AMOUNT: $88.48 APPROVAL CD: 049505 RECORD #: 000 CLERK ID: Bill Thank you! Customer Copy Page 2 of 2 https://classic.convergepay. com/V irtualMerchant/transaction.do?dispatchMethod=printTra... 11 /5/2018 1 IECEIM..) OF Ai liWiLii NO3 2019 Yin' CENTER f"' 'IV=5., CITY' OF 3J1ti, iL k JAN 0 3 2019 PERMIT CENTER 4/ - 13 inS�tc %on 6/28/2019 City of Tukwila Department of Community Development QUANG NGUYEN 2120 148TH ST SHORELINE, WA 98133 RE: Permit No. D18-0352 NGUYEN RESIDENCE 3818S116ST 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 8/26/2019. Based on the above, you are hereby advised to: I) 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 8/26/2019, 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. Since} ely, Ka dace Nichols Permit Technician File No: D18-0352 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 City of Tukwila Department of Community Development November 16, 2018 QUANG NGUYEN 2120 148TH ST SHORELINE, WA 98133 RE: Correction Letter # 1 DEVELOPMENT Permit Application Number D18-0352 NGUYEN RESIDENCE - 3818 S 116 ST Dear QUANG NGUYEN, 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. Provide exterior dimensions for the location of the new windows, door to include location of old windows to be replaced and verify headers for all openings with the size of headers, type of lumber with lumber size for those new openings. Indicate location of any new added window openings in addition to those being replaced. 2. Provide specifications for insulation and building wrap for the protection of exterior elements and moisture where the old openings are framed in. Include details for sealing and exterior repairs around all new openings. 3. Show door size and show a landing with stairs. If new landing with stairs, provide complete details with dimensions. Include guardrail details with dimensions. 4. Specify R -values for the windows. Show type of window i.e. opening slider or picture window or both. 5. Specify type of door for compliance with exterior use. Show door swing. 6. Clearly cloud each door and window to be replaced or relocated separate from other doors and windows not included in this permit. Elevations drawings may be necessary for clarification of all openings to be new or altered. 7. Provide notes to clarify no second -floor openings shall be altered (if applicable). 8. All plans and details shall be neatly drawn to an architectural scale. Number all sheets and indicate drawing scale. Provide north arrow on site plan. Note: Contingent on response to these corrections, further plan review may request for additional corrections. Please address the comments above in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that two (2) sets of revised plan pages, specifications and/or other documentation be resubmitted with the appropriate revision block. 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 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 Rachelle ' 'pley Permit Technician File No. D18-0352 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D18-0352 DATE: 01/03/19 PROJECT NAME: NGUYEN RESIDENCE SITE ADDRESS: 3818 S 116 ST Original Plan Submittal Revision # before Permit Issued X Response to Correction Letter # 1 Revision # after Permit Issued DEPARTMENTS: k -S 010 ]til Building Divisio Public Works Fire Prevention Structural Planning Division Permit Coordinator 1 PRELIMINARY REVIEW: Not Applicable ri (no approval/review required) DATE: 01/08/19 Structural Review Required REVIEWER'S INITIALS: DATE: n APPROVALS OR CORRECTIONS: Approved Corrections Required n DUE DATE: 02/05/19 Approved with Conditions n Denied (corrections entered in Reviews) (ie: Zoning Issues) 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 PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D18-0352 DATE: 11/05/18 PROJECT NAME: NGUYEN RESIDENCE SITE ADDRESS: 3818 S 116TH ST X Original Plan Submittal Revision # before Permit Issued Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: N2-12- tA1\11_, Building Division Public Works Fire Prevention Structural Planning Division Permit Coordinator ig PRELIMINARY REVIEW: Not Applicable n (no approval/review required) DATE: 11/06/18 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved nApproved with Conditions Corrections Required Denied (corrections entered in Reviews) (ie: Zoning Issues) DUE DATE: 12/04/18 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only �� tl CORRECTION LETTER MAILED: `6 Departments issued corrections: Bldg 01 Fire 0 Ping 0 PW ❑ Staff Initials: 12/18/2013 City of Tukwila REVISION SUBMITTAL Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: I/310 Plan Check/Permit Number: i le 03 5 2 - • Response Response to Incomplete Letter # Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner ❑ Deferred Submittal # Project Name: Project Address: Contact Person: N €)i re 5I'd e c 110 s-7-�-kwdo w/, cr(g &)-1.1y.-1\/ Phone Number: i 2 5j — 7 5 3 - O q 7- et r Summary of Revision: 1 Q V t'G(eh � to pi'c h t,r-- 66 i ww r 1 RECEWED CITY OF TUKWILA, JAN 0 3 2019 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: IFg---Entered in TRAKiT on W:\Permit Center \ Templates \ Forms \Revision Submittal Form.doc Revised: August 2015 CITY OF TUIWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-367o FAX (206) 431-3665 E-mail: tukplan@ci.tukwila.wa.us Permit Center/Building Division 206 431-3670 Public Works Department 206 433-0179 Planning Division 206 431-3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON) COUNTY OF KING ) ss. aLM1M.[pease print name] , states as follows: PERMIT NO: p - 0 3 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 3, and will therefore not be performed by a registered contractor. 5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. wner's Agent* Signed and sworn to before me this day of NOTARY PUBLIC ir� and fe State of Washington ,20iq. Residing at Name as commissioned: My commission expires: 17 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; 11. An owner* who contracts for a project with a registered contractor, except that this exemption shall not deprive the owner of the protections of this chapter against registered and unregistered contractors. The exemption prescribed in this subsection does not apply to a person who performs the activities of a contractor for the purpose of leasing or selling improved property he or she has owned for less than twelve months; 12.* Any person working on his or her own property, whether occupied by him or her or not, and any person working on his or her personal residence, whether owned by him or her or not but this exemption shall not apply to any person who performs the activities of a contractor on his or her own property for the purpose of selling, demolishing, or leasing the property; 13. An owner* who performs maintenance, repair, and alteration work in or upon his or her own properties, or who uses his or her own employees to do such work; 14. A licensed architect or civil or professional engineer acting solely in his or her professional capacity, an electrician certified under the laws of the state of Washington, or a plumber certified under the laws of the state of Washington or licensed by a political subdivision of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the person certified is operating within the scope of his or her certification; 15. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his or her sole compensation or as an employee with wages as his or her sole compensation; 16. Contractors on highway projects who have been prequalified as required by RCW 47.28.070, with the department of transportation to perform highway construction, reconstruction, or maintenance work; 17. A mobile/manufactured home dealer or manufacturer who subcontracts the installation, set-up, or repair work to actively registered contractors. This exemption only applies to the installation, set-up, or repair of the mobile/manufactured homes that were manufactured or sold by the mobile/manufactured home dealer or manufacturer; 18. An entity who holds a valid electrical contractor's license under chapter 19.28 RCW that employs a certified journeyman electrician, a certified residential specialty electrician, or an electrical trainee meeting 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. n —4 73 1.2-t c • 4-r) ) Z' AUS.2 G REVISIONS No changes shall be made to the scope of work without prior approval of the Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may include additional plan review. 1.L GNe FIL Permit No. Plan review approval is subject to err rs ana omissions Approval of construction docu ants does not autr:•rIze the violation of any adopted code or ordinance Receipt of aper. Field 1 opv and Condition By. Date: SEPARATE PERMIT RE UIRE), FOR: ( Mechanical (, Electrical IP/Plumbing M Gas Piping City of Tukwila BUILDING DIVISION City of Tukwna BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE APPROVED JAN 0 72019 Ci " of Tukwila BUILDING DIVISION 52 RECEIVED CITY OF TUKWILA NOV 0 5 2018. PERMIT CENTER ff -4, jos 2, E eit'a tL. 11. .%* 4 -4d , 01 D AUS 2 0 2,013„ . • . * a.4405116.46.4 REVIEWEDFOR CODE COMPLIANCE APPROVED JAN 07 2019 City of Tukwila BUILDING DIVISION RECEIVED CITY OF TUKWILA NOV 05 2018 PERMIT CENTER v\ 2. gig _LA kfcil 4 4Z3:: titf141 • 4 • 044.. 4 "r P)rov:h. 4/4t AU 3 2 62g ", • -...- • - Iptsftd-ot!-FtiJ tit4y U-1)41vt,t, - 101f,hown twod-jtior viotiS i9/Shov•it t)-I\".v tioli frti ity NO4t. ! 411 W ;(Aibtl..5 git le iv‘s71-41141 pec ottetkvt;i1d4ft5 114m/14441, 4/ rut n I 1-1 (12.e vt j‘.4 ;-se 41E,— REVIEVVEUTOR CODE COMPLIANCE . APPROVED JAM 07 2019 City of Tukwila BUILDING DIVISION ‘Tto 452.