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Permit D19-0098 - BOB'S MARKET - REPAIR ROT DAMAGED OF FLOOR AND NEW PIER FOR POST
BOB'S MARKET 10359 51ST AVE S D19-0098 �"^�xv � Tukwila °�8~� ��n u K�nx���va '— De*",tx/evLvx +v',"nw,o^y Development Tukwila, Washington 9O188 Phnne:206-431,367V Inspection Request Line: ZV8'43O'9]SO Web site: httv://www.Tuhwi|axV4.mov Parcel No: Address: Project Name: 547G&OOl8l BOB'S MARKET DEVELOPMENT PERMIT Permit Number: D19'0098 Issue Date: 4/19/2019 Permit Expires On: 10/16/2019 Contact Person: Name: Contractor: Name: Address: License No: Lender: Name: Address: NABHKANVVALINC 4243S172NDST'SEATAC VVA,98I88 DANT[PALMAFFY 1292547TMDKSE'EVERETT WA, 98208 '^~ Phone: Expiration Date: DESCRIPTION OF WORK: REPAIR ROT DAMAGED PORTION OF FLOOR AND INSTALL NEW PIER FOR POST. Project Valuation: $I0,000.00 Type ofFire Protection: Sprinklers: Fire Alarm: Type nfConstruction: Y8 Electrical Service Provided by: TUKVV|LA Fees Collected: $531.37 Occupancy per IBC: B Water District: TUKVV|LA Sewer District: NONE 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 20152015 2015 2015 National Electrical Code: WA Cities Electrical Code: YVA[29646U: YVAState Energy Code: 2017 20172017 2015 Public Works Activities: Chan ne|izadon/Stripin8: [urbCut/Access/3idewm|k: Fire Loop Hydrant: Flood Control Zone: HauUnQ/OversbeLoad: Land Altering: Landscape Irrigation: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Permit Center Authorized Signatu Volumes: Cut: 0 Fill: O Number O No |hearbycertify that | have read and examined this permit and know the same tobetrue 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 nrlocal laws regulating construction orthe performance ofwork. |amauthorized tosign and obtain this development permit.an� agree to the-ftdjtions attached to this permit. ]� Sign at m��r _�> Date:`_� This permit shall become null and void if the work isnot commenced within l8Odays for the date ofissuance, orif the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: 'BUILDING PERMIT [OND0ONS' 2: Work shall beinstalled inaccordance withtheappuovedconstructiondocvments'andanychangesmade 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 bokept atthe site ofwork and shall be open to inspection by the Building Inspector until final inspection approval is granted. 4: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 5: Notify the City ofTukwila Building Division prior toplacing any concrete, This procedure isinaddition to any requirements for special inspection, 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 nnsatisfactory completion of this requirement. 7: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City ofTukwila Building Department (Z06431-367O). 8: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 9: Preparation before concrete placement: Water shall beremoved from place ofdeposit before concrete is placed unless a tremie is to be used or unless otherwise permitted by the building official. All debris and ice shall beremoved from spaces tobeoccupied byconcrete. 10: 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. 11: 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** 0201 FOOTING 0409 FRAMING 4046 SI-EPDXY/EXP CONC 0412 UNDERFLOOR FRAMING CITY OF TUKICA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Per t No. Dici_ cog is Project No. Date Application Accepted: Date Application Expires: 9 - 2.44 - For o ice use onl 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 7l 5.1 c-r- 4v6' Site Address: 1 ‘73 Tenant Name: 1,e7F-vi I AtAfe- s PROPERTY OWNER Name: 145 14. vAi1/41 /4114..L 1 /4 c..... Address: I sf?S'ef 5t61— AVe- .5 City:k.4/4 /LA_ State: 14 k zip% ne CONTACT PERSON - person receiving all project communication Name: Address: tt2S_ DZ. City: eVeeieji State: 1JA.. Zip. Phone+is- 345-2,W.2: Email: 0 pAL,,141,4 .1__d...c) e_ thtz)L ,ce) poN GENERAL CONTRACTOR INFORMATION Company Name: -FE it Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: King Co Assessor's Tax No.: `-'› /ea C) 1 ---4 Suite Number: New Tenant: Floor: Yes 0 ARCHITECT OF RECORD Company Name: z) \....1.1,41sFp.e6k...4.1 Architect Name: pe-rea.. N1M L)Se::IS Address: i iqz_s— I-1i City: evtar2t7r- State: 14A_ Zipf:?e324 Phone:44s— aeg-7-033O,Fax: Email: \--"' FArLjseris (o) AZ)t,„6,411 ENGINEER OF RECORD Company Name: Engineer Name: Name: Address: City: State: Zip: Phone: Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: AjA5 A. Ko.„,,,,da). "....„..._. Address: I City: / IA- State:,, Zip: \ Applications \Forms -Applications On Line \2012 ApplicationsTermit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 1 of 4 UILDING PERMIT INFORMATK. 206-431-3670 Valuation of Project (contractor's bid price): $- (� Ca) Describe the scope of work (please provide detailed information): 170f4 ZO/ .CX,e— ,Att-1 D c tws Existing Building Valuation A-1.2 IzT © A f FCe'e Foe- P' sr Will there be new rack storage? ❑ ....Yes 1 ..No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC Is' Floor Ote 6 / 2 .7 2nd Floor 3"d 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: `ecCompact: Handicap: Will there be a change in use? ❑ Yes ..No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm 0 None ❑....... Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ 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 ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:Mpplicalions\Forms-Applications On Line12012 ApplicationsTennit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 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 EJ .. Tukwila 0 ...Water District #125 .. • Water Availability Provided Sewer District 0 .. Tukwila 0 .. Sewer Use Certificate Highline 0 ...Valley View ... Renton 0 ...Sewer Availability Provided 0... 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: tj .. Civil Plans (Maximum Paper Size — 22" x 34") .. • Technical Information Report (Storm Drainage) El .. Bond Insurance 0... 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 0 Non Right-of-way 0 O .. Total Cut o .. Total Fill cubic yards cubic yards 0...Geotechnical Report Maintenance Agreement(s) .. Traffic Impact Analysis .. Hold Harmless — (SAO) O .. Hold Harmless — (ROW) 0... Right-of-way Use - Profit for less than 72 hours 0... Right-of-way Use — Potential Disturbance Ej ... Work in Flood Zone 0... Storm Drainage 0 .. Sanitary Side Sewer 0... Abandon Septic Tank 0...Grease Interceptor 0 .. Cap or Remove Utilities 0... Curb Cut 0... Channelization 0 .. Frontage Improvements 0... Pavement Cut 0... Trench Excavation 0 .. Traffic Control 0... Looped Fire Line 0... Utility Undergrounding El .. Backflow Prevention - Fire Protection Irrigation Domestic Water 0 .. Permanent Water Meter Size (1) " WO # (2) " WO # (3) " WO # 0 .. Temporary Water Meter Size (1) " WO # (2).._" WO # (3) " WO # 0 .. Water Only Meter Size " WO # 0 .. Deduct Water Meter Size ,, 0 .. Sewer Main Extension Public 0 Private 0 El .. Water Main Extension Public 0 Private 0 FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) 0 .. Water 0 .. Sewer 0 .. Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: City State Zip Water Meter Refund/Billing: Name: Mailing Address: Day Telephone: State Zip City HAApplicationsTomis-Applicalions On Line \2012 ApplicationsWermit Application Revised - 2-7-12..doca 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 l80 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 I READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERDU' `.Y TH. OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING 0 Signature: Date: Print Name: tISE' "'="tDay Telephone: Mailing Address: 1.7-4 -& l 4 q City State Zip H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February2012 bh Page 4 of 4 Cash Register Receipt City of Tukwila DESCRIPTIONS 1 ACCOUNT 1 QUANTITY PAID PermitTRAK $341.56 D19-0098 Address: 10359 51ST AVE S Apn: 5476800181 $341.56 Credit Card Fee $9.95 Credit Card Fee R000.369.908.00.00 0.00 $9.95 DEVELOPMENT $317.01 PERMIT FEE R000.322.100.00.00 0.00 $292.01 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $25.00 TECHNOLOGY FEE $14.60 TECHNOLOGY FEE R000.322.900.04.00 0.00 $14.60 TOTAL FEES PAID BY RECEIPT: R17454 I $341.56 Date Paid: Friday, April 19, 2019 Paid By: OWNER AFFIDAVIT - DAUINDER SI Pay Method: CREDIT CARD 07629D Printed: Friday, April 19, 2019 3:04 PM 1 of 1 CO TUKWILA [TRAKIT 6200 SOUTMCENTER 8LVD TUKWILA^ WA 98188 I06'433'1870 CITY OF TUKWIL4 Date: 04/19/2819 03:02:54 PM CREDIT [4xo SALE VISA CARD NUMBER: *********1487 x TRxm AMOUNT: $341.55 APPROVAL [o: 07529D RECORD #: 000 CLERK ID: kandacp Thank you! Customer Copy Cash Register Receipt City of Tukwila Receipt Number DESCRIPTIONS I ACCOUNT I QUANTITY PAID PermitTRAK $189.81 D19-0098 Address: 10359 51ST AVE S Apn: 5476800181 189.81 DEVELOPMENT PLAN CHECK FEE 189.81 R000,345.830.00.00 0.00 $189.81 TOTAL FEES PAID BY RECEIPT: R17278 $189.81 Date Paid: Thursday, March 28, 2019 Paid By: DANTE PALMAFFY Pay Method: CHECK 8166 Printed: Thursday, March 28, 2019 2:46 PM 1 of 1 SYSTEMS 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 Project: hn Type of Inspection: Address: a Special nstructions: Date Wanted: .m. Requester: Phone No: proved per ap iicable codes. Corrections required prior to approval. nsl' ectc REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspec#ion. 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 Project: SZtX5‘,5 ---r Address: Specia nstructions: proved per applicable codes. Type of Inspection: Date Called: Date Wanted: Corrections required prior to approval. REINSPECTIDN FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Project: Misc. beam calc. Location: Bob's Market Flioor Joists Floor Joist [2015 International Building Code(2015 NDS)] 1.5 IN x 7.25 IN x 7.0 FT @ 16 O.C. #2 - Hem -Fir - Dry Use Section Adequate By: 36.8% Controlling Factor: Moment DEFLECTIONS Center Live Load 0.06 IN U1515 Dead Load 0.01 in Total Load 0.06 IN U1317 Live Load Deflection Criteria: U480 Total Load Deflection Criteria: L/360 REACTIONS Live Load Dead Load Total Load Bearing Length A 467 Ib 467 lb 70 lb 70 lb 537 Ib 537 Ib 0.88 in 0.88 in SUPPORT LOADS A Live Load 350 plf 350 pif Dead Load 53 plf 53 plf Total Load 403 pif 403 plf MATERIAL PROPERTIES #2 - Hem -Fir Bending Stress: Shear Stress: Modulus of Elasticity: Comp. -- to Grain: Base Values Adiusted Fb = 850 psi Fb' = 1173 psi Cd=1.00 CF=1.20 Cr=1.15 Fv = 150 psi Fv' = 150 psi Cd= /. 00 E = 1300 ksi E' = 1300 ksi Fc - = 405 psi Fc - = 405 psi Controlling Moment: 939 ft-lb 3.5 Ft from left support of span 2 (Center Span) Created by combining all dead loads and live loads on span(s) 2 Controlling Shear: -537 Ib At right support of span 2 (Center Span) Created by combining all dead loads and live loads on span(s) 2 Comparisons with required sections: Section Modulus: Area (Shear): Moment of Inertia (deflection): Moment: Shear: Rea'd Provided 9.61 in3 13.14 in3 5.37 in2 10.88 in2 31.66 in4 99.89 in4 939 ft-lb 1284 ft-Ib -537 lb 1088 lb Decking Information Plywood Thickness: T = 1 1/8 in Plywood Is Glued: Moment of Inertia Calculations For Glued Floor: Joist Area: A -joist = 10.88 IN2 Plywood Area: A -ply = 4,11 IN2 Section Centroid: C = 5 IN ABOVE BASE Moment of Inertia (deflection): I -comb = 100 IN4 StruCalc Version 10.0.1.6 4/4/2019 10:37:00 AM page of JOIST DATA Center Span Length 7 ft Unbraced Length -Top 0 ft Unbraced Length -Bottom 0 ft Floor sheathing applied to top of joists -top of joists fully braced. Floor Duration Factor 1.00 JOIST LOADING Uniform Floor Loading Center Live Load LL = 100 psf Dead Load DL = 15 psf Total Load TL = 115 psf TL Adj. For Joist Spacing wT = 153.3 plf CORRECT LTR# ON crrynE0VINUE LA APR 04 2019 PERMIT CENTER BUILDING DIVISION .frd APR 1 9 2019 City of Tulcw la REVIEWED FOR CODE COMPLIANCE APPROVED g8 REGISTERED ARCHITECT c4911-4-4— PETER mtwiuSOS STATE OF WASHINGTON 4 - City of Tukwila Department of Community Development April 12, 2019 DANTE PALMAFFY 12925 47TH DR SE EVERETT, WA 98208 RE: Correction Letter # 1 DEVELOPMENT Permit Application Number D19-0098 BOB'S MARKET - 10359 51ST AVE S Dear DANTE PALMAFFY, Allan Ekberg, Mayor Jack Prce, 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 5omments. • (GENERAL INFORMATION NOTE) PLAN SUBMITTALS: (Min. size 11 x17 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.) "STAMP AND SIGNATURES" (If applicable) For Engineers: "Every page of a plan set must contain the seal/stamp, signature of the licensee(s) who prepared or who had direct supervision over the preparation of the work, and date of signature. Specifications that are prepared by or under the direct supervision of a licensee shall contain the seal/stamp, signature of the licensee and the date of signature. If the "specifications" prepared by a licensee are a portion of a bound specification document that contains specifications other than that of an engineering or land surveying nature, the licensee need only seal/stamp that portion or portions of the ,locuments for which the licensee is responsible." It shall not be required to have each page of "specifications" (c:- culations) to be stamped and signed; Front page only will be sufficient (WAC 196-23-010 & 196-23-020). Ara itects: "date" only not required (WAC 308-12-081), (BUILDING REVIEW NOTES) 1. All plan sheets and documents produced by the architect shall include stamp and signature by the architect. See general note above. 2. Where wood is placed on concrete or next to concrete, shall be protected or shall be pressure treated. Mark on the plans pressure treated lumber where required or show wood on membrane for protection from moisture. 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. 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. A ZIM R,17110,m-rl EMI) • ThIrwOrt Wrichincrino QS 1 RR • Phrmy 706-43 1-?670 • F/7Y NM-4f 31- 3A-6 Sincerely, Jazzel Salazar Permit Technician File No. D19-0098 F?nn 11111 • Tul-1.4illn W, 0.,21RR • Phniao 21M-471-767n . Fnv 7I1K-d71A665 PERMIT COORD COPY!) PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D19-0098 PROJECT NAME: BOB'S MARKET SITE ADDRESS: 10359 51 AVE S Original Plan Submittal X Response to Correction Letter # DATE: 04/04/19 Revision # Revision # before Permit Issued after Permit Issued DEPARTMENTS: fra MA Building Division Public Works Fire Prevention Structural Planning Division Permit Coordinator 7 PRELIMINARY REVIEW: Not Applicable (no approval/review required) DATE: 04/16/19 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Approved with Conditions Corrections Required Denied (corrections entered in Reviews) (ie: Zoning Issues) DUE DATE: 05/14/19 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg El Fire El Ping PW LJ Staff Initials: 12/18/2013 CPERMIT COORD COPY (I PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D19-0098 DATE: 03/28/19 PROJECT NAME: BOB'S MARKET SITE ADDRESS: 10359 51ST AVE S X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: Building Division Ty\ 0//4-- Public Works ti\ 4114 LC u/A- Fire Prevention Planning Division • Structural P Permit Coordinator 1 PRELIMINARY REVIEW: Not Applicable (no approval/review required) REVIEWER'S INITIALS: DATE: 04/02/19 Structural Review Required DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required (corrections entered in Reviews Approved with Conditions Denied (ie: Zoning Issues DUE DATE: 04/30/19 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED; Departments issued corrections: Ping PW EJ 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.TukiaWAgov Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: j:FA 2e7161 Plan Check/Permit Number: pit? ooqb El Response to Incomplete Letter # Response to Correction Letter # 111 Revision # after Peiinit is Issued E Revision requested by a City Building Inspector or Plans Examiner El Deferred Submittal # Project Name: Project Address: I (7,-7Sr--61 "r" /kit - Contact Person: \DPW-4U \4-441MT4r Phone Number: Summary of Revision: c1-7(31> IVCFAse_CekT6r--7— s RECEIVED CITY OF TUKWILA 0 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: LI Entered in TRAKiT on W:Wermit Centerifemplates \ Forms1Revision Submittal Form doc Revised: August 2015 CITY OF TUKINHA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 43.1-367o FAX (206) 431-3665 E-mail: tukplanOci.tukwila.wa.us Permit Center/Building Division 206 431-3670 Public Works Department 206 433-0179 Planning Division 206 431-367o AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO: STATE OF WASHINGTON) ) ss. COUNTY OF KING 41)141-/PDEve cc; 04 11 , 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 pei mit 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 1 , and will therefore not be performed by a registered contractor. 5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. -29- WAS 10,w0000S' caner 1 er's Agent* Signed and sworn to before me this day of , 20 / 9 . Y PUBLIC in and for the State of Washington Residing at /1K) , County 3 / Name as commissioned: razo e 7f/th7le My commission expires: c5/9-0-p- 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 46.7o 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; t'`' 18. An entity who holds a valid electrical contractor's license under chapter.19.28.RCW that employ a certified journeyman electrician, a c rtified residential specialty electrician, or an electrical trainee Meeting the requirements of chapter .19.28 RCW to perfdrih plumbing work that is incidentally, directly; and.itnediately appropriate to the like -in -kind replacethent of a household appliance or other small household iltilizatio' i 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. t,s r2Ate-L,1oz, I 44N4 o4tow- it).91 15 ‘1-04/5 cYteltS> Permit No. Plan review approval is subject to errors ano omissions. Approval of construction aocuments does nOt authqrtze the violation of any mooted code or ordinance. Rece pt of =roved Field Copy and n, t ns 1/go filwiedgeg: By( Date: Mpg/ I City of Tukwila BUILDING DIVISION REVISIONS No changes snail be made t.D the scow Of work witnout prior approval of the Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may include additional plan review. ce" cLizm 1 t1:-- le?-c>" 444.7,4,11Witd Jjf ,c31.171-1 2c>fr Z.ei ivtETZ17-1C2-6 TP-46 0 IV. - t I SEPARATE PERMIT REWIRED FOR: E111 Mechanical Electrical Plumbing Gas Piping City of Tukwila BUILDING DIVISION CORRECTION LTR# REVIEWED FOR CODE COMPLIANCE APPROVED APR I 9 20 9 A--\1 City of Tukwila BUILDING DIVISION /7, 6584 REGISTERED ARCHITECT Pht0VX.004-- \PETER MANUSOS STATE OF WASHINGTON - 19 nEc:FilvEn CITY OF TUKWILA APR 04 2019 REVISIONS BY II AL A al dif 10 ll W 110 i Villa Date Scale Drawn Job Shoot Of Shoots tots St CLEARPFONTo I 1.0124 I tti "r' i , d+)(te, 4t2, Fize34-4 1556tH lz> flea) AIc-140rt - 17> M P>cMIZ-1 DO- tA,IALI, 0,1,1Kit-4.41C:4J (17014- i• '-rolcif (2.) 4 4_ COP:eV 4-1i A4 ONY es- Itswww.' ••°"4.. &17-46.M E)(1411F-110°P • R205 or- (,,tFt-4t:tve- 14KWA4 Ea. re2e- Dtreeve, Rtgr-EL6 RA.14>As-rol,-1 0E14 14/ Voll of,tpails,*143.1T' FLIX.,la I 1Jti fra.14:441c4 AVEA. oF- • gelw pc -Le -ID F49r T. ot,t-r LA tie oF -p(friKl(p 30.1e7re? •1-1 OM, Vm17 11,14r-m-pgr7 1'liw#12? EfrJ Z)0 /r7 ftbT5 WIL42-ar aitar- %<.t6rILIe.;0 ZPEO 1411,1 Ca \/146?1,11,JE 4E- IK‘b1W.-• t7iFerl4 1 LI +-JIMI,e)frj f1t:12_ It? IX-C-41062 REVIEWED FOR CODE COMPLIANCE APPROVED APR 1 9 2019 City of Tukwila BUILDING DIVISION 5584 Oci) REGISTERED AROH1TECT . PETER MA11OSOS STATE OF WASHINGTON 5-20-17 MCI-M./ED CITY OF TUKWILA APR 04 2019 PERMIT CENTER REVISIONS BY wissionsw- EN Eli NINIV011 ME Mil MN UM NEWha Ili lin IMEGUSW' Naggir Wr 111 Mil MI • la, WA 12925 47th Dr SE , EverettWA 98208 • . AIIMAIL : III. IN \ Date Seale Drawn Job Sheet zo. Of Sheets