HomeMy WebLinkAboutPermit D19-0235 - WILLIAMS RESIDENCE - WINDOW REPLACEMENTWILLIAMS RESIDENCE
13615 52ND AVE S
D19-0235
Parcel No:
Address:
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Department of Community Development
6300SouthcenterBoulevard, Suite #1OO
Tukwila, Washington 981D0
Phone:2O6'431']G7O
Inspection Request Line: 2U6'43O'935U
Web site: http://www.TukwilaWA.pov
DEVELOPMENT PERMIT
0003000102 Permit Number: D19'0235
Project Name: WILLIAMS RESIDENCE
Issue Date: 7/22/2019
Permit Expires On: 1/18/2020
Address 22Z1SLAKE SO[KNEYDR'
Contact Person:
BILL FOREMAN
Address: 27316NE143RDCT, DUVAiL,WA,
98019
Contractor:
Name: OWNER AFFIDAVIT VV|LUAM
FOREMAN
Address:
License No:
Lender:
Name:
Address:
"I
''^
Phone:
Expiration Date:
DESCRIPTION OF WORK:
REPLACE ONE WINDOW.
Project Valuation: $200.00
Type ofFire Protection: Sprinklers:
Fire Alarm:
Type ofConstruction:
Electrical Service Provided by: TUKWILA
Fees Collected: $78.40
Occupancy per IBC:
Water District: TUKVV|LA
Sewer District: TUKWILA
Current Codes adopted bythe City ofTukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
015
2015
20152015
2015
National Electrical Code:
VVACities Electrical Code:
VVA[Z96-4OD:
y Code:
Public Works Activities:
Channe|izndon/Strip|ng:
k,cni
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:
Permit Center Authorized Signatu
Volumes: Cut: 0 Fill: 0
Number: 0
No
adli>vl ( Date: 2-? -i9
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:
L _ F oREHAM kt
Date:
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:
<NONE>
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700 BUILDING FINAL**
0409 FRAMING
0606 GLAZING
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Permit No. ,IIq t
Project /40.
Date Application Accepted: C t t
Date Application Expires:
CONSTRUCTION PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail.
**Please Print**
ON
King Co Assessor's Tax No.:
Site Address: (3 (7 (5 S 2 kD "tn. S , TV Kw1- Pr Suite Number: N//} Floor: gA4E E)t
igt68
Tenant Name: (ZO(StRt- W It.L 1AP4 New Tenant: ❑ . Yes Lg.. No
PROPERTY OWNER
Name: Vm.t...014.
R1.ES5C
Address: 7G 3 3
32 NA RrJE Ug
City:
State: W p
Zip: 16 ( I Ca
,s i^C" 1.
CONTACT PERSON -:person receiving all project communication
Name: 131 LL 'F a tZ.E A Au
Address: 1.731 6 )i 1431c1) C r
City: 1),o v%k 4L State: LAJ lid Zipri solo(
Phone: (-2 0 6 ) 8 ( 8- (I2 6
Email: sIIA,, FORsMPN 9 cizowritz. CbM
DESIGN PROFESSIONAL
PONSTELE CHARGE
Name:
Address:
�.�■
Igall1.1M
Zip:
Phone:
Email:
GENERAL CONTRACTOR INFORMATION
Company Name: Acn 0)4 RL%ri)'( (Pt$ 09..
Address:
273rt NF itk W cT .
City: V o v State: wq Zip:4 $Otg
Phone: C qz 5) B 7 7_ 01 S 6Z
St Contr Reg No.: Act-mgt. $ 2,1 La Exp Date:
Business License No.: Goci 2$ 6 y/ 3
ARCHYTECT OF RECORD
Company Name:
Address:
City:
Phone:
Email:
Zip:
LENDER'- 'WHO IS ;FUNDING •THE 'PROJECT
(required for projccrs $5,000 or greater pe r RCW 19.27.095)
Name:
Address:
City: State: Zip:
MONTHLY SERVICE: BI
REFUND/BILLING
Name:
Address:
City:
State:
Zip:
Phone:
W:\Permit. Center IRaehelle)\ Applications \ Word \Construction Permit Application Revised 6-2U19.docx
Revised: June 2019
Page 1 of 3
BUILDING DIVISION 1NFORMATION — 206-431-3670
Valuation of Project (contractor's bid price): $ ZOO • c/o Existing Building Valuation: $
Describe the scope of work (please provide detailed information): F .1:"1-Pre-t_ xvs_ t.,01 Ow
Will there be new rack storage? Yes No If yes, a separate permit and plan submittal will be required.
I' Floor
2na Floor
3'13 Floor • •
. • , •
C Basthien(
Aceessary Strticture
Provide MI Building Areas in Sipare Footage Below
Existing
Interior Remodel
ekliw&es
Addition to
• Existing
• Structure
ItcAl.
• Type of
Construction per
IBC
he-t.- f—
Type of
• Occupan.cy per
IBC
0
Garage
0 Attached
Detached
Carriort
0 Attached El •Detached
Covered Deck
Uncovered Deck
PLANNING DIVISION INFORMATION — 206-431-3670
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:
Will there be a change in use? 0 Yes
Handicap:
No If "yes", explain:
FIRE PROTECTIONMAZARDOUS MATERIALS — 206-575-4407
0 Sprinklers Automatic Fire Alarm --None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? .......Yes No
If "yes', attach list ofmaterials and storage locations on a separate 8-1/2" x 11" paper including quantities andMaterial S Data Sheets.
1 PUBLIC WORKS INFORMATION — 206-433-0179
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 0...Water Main Extension Public 0 Private 0
Parnit Ccatta iltAcItelIcYAgplications \ Word \ Construction Prennit Application Reviucd 6-2U I Halucx
Revisal: June 2019
Page 2 of 3
PERMIT APPLICATION NOTES —
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This tigure 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 ISO days following the date of application shall expire by limitation.
The Building Official may grant onc 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER 0 AU HO I El AGENT:
Signature: _ Date: Tut.'? 22 1 2-011
Print Name: Lii (LLIAm L., F 0 gr-fri 4V4 L. Day Telephone: (2 0 L,) t. 8- 1 ( 2 6
Mailing Address: 7 7 3 1 G. N E I LI 1 RD Cr , 1 k) VA Lt. wilt geolg
City State Zip
W: \Prima Center (RachellePApplications \ Word \ Constmetiim Permit Application Revised 6-2019.docx
Revised: June 2019
Page 3 of 3
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$78.40
D19-0235 Address: 13615 52ND AVE S Apn: 0003000102
$78.40
Credit Card Fee
$2.28
Credit Card Fee
R000.369.908.00.00
0.00
$2.28
DEVELOPMENT
$72.80
PERMIT FEE
R000.322.100.00,00
0.00
$66.30
WASHINGTON STATE SURCHARGE
6640.237.114
0.00
$6.50
TECHNOLOGY FEE
$3.32
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R18167
R000.322.900.04.00
0.00
$3.32
$78.40
Date Paid: Monday, July 22, 2019
Paid By: BILL FOREMAN
Pay Method: CREDIT CARD H78732
Printed: Monday, July 22, 2019 3:08 PM 1 of 1
Y
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
Date: 07/22/2019 03:88:22 PM
CREDIT CARD SALE
MASTERCARD
CARD NUMBER: **********4306 K
TRAN AMOUNT: $78.40
APPROVAL CD: H78732
RECORD #: 000
CLERK ID: kandace
Thank you!
Customer Copy
INSPECTION RECORD
Retain a copy with permit
NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-
Permit Inspection Request Line (206) 438-9350
Project:
T) tpof Inspf cog:
Address:
Date Called:
'Special Ins uctipns:
Wi 0‘/V
Date Wanted: a.m.
..- P.m.
Requester:
Phone No:
proved per applicable codes.
COMMENTS:
Corrections required prior to approval.
Inspectoiji
Date:y_ / 2, 2
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
o ‘Cof tiq , -vroligorN•witi.ifivw
r
3E-PrOc44 8
gE.PROA
1)m-oa51
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REVIEWED FOR
CODE COMPLIANCE
APPROVED
-JUL 22 2019 s
City of Tukwila
BUILDING DIVISION
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RECE1
CITY OF TU
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PERMIT C
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ElectrIcil
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4-1 ,Gas piping
oi Tukwila
OltY visION
BUILDING UI
110 WM
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Permit No.
F
COPY
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Plan review approval is subject to errors and
issions Approval of construction aocumentS does
aufncirize the violation of any adopted cole'or
ordinance Rcp ot aporovea Feld Copy and
onthiu s a ledge
By
Date
Cy oi TuKmla
DIV; ONISION
1.
Fog- s Po‘i
REVISIONS
No ct:ai.,;es sa O tne scoDe
of work witflOu p o 3rov,-31 of tle
Tukwila Budding avision.
NOTE: Revisions will require a new Dlan
submittal an may include a0ditional plan review.
4.11111111/811111issiffb
CITY OF TUKWILA
Department of Community Development
630o Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-367o FAX (206) 431-3665
E-mail: tukplanpci.tukwila.wa.us
Permit Center/Building Division
206 431-367o
Public Works Department
206 433-0179
Planning Division
206 431-367o
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO:
Vie- ba
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
1011.1..,' AM L _ FOR-F r' f' 1L , 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 13 , 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 constructioivork.
OF WASOr��
Owner/Owner's Agent*
Signed and sworn to before me this
2 2- day of "c.)'.`I' , zo 1 `i
ARY PUBLIC in and for the St/ante of Washington
Residing at 33/3 S 3 ; Lsi ry County E6)/
Name as commissioned: c . oda () -Q hot
My commission expires:
5-d 0-3
1.8.27.090 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;
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;
IL 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.