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HomeMy WebLinkAboutPermit D02-246 - CONQUEST CENTER - SHEDConquest Center 4617 S 144 St. D 02 -0246 . - I • 0 , 14 , 1. A. op u,.....,,, ,,o--A. 1 ti .3. N City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 1001 Tukwila, WA 98188 / (206) 431 -3670 DEVELOPMENT PERMIT z _1- Parcel No.: 0040000490 Permit Number: D02 -246 re LLI Address: 4617 S 144 ST TUKW Issue Date: 09/17/2002 ¢ Suite No: Permit Expires On: 03/16/2003 —.I U O p Tenant: , N W ILI �' J = ' � Name: CONQUEST CENTER ,� r.�* ��� . , ;� : F- A ddress: 461 S 144 ST, TUKWILA, WA 41 .,.. -r u_ " r „ ( , - _. - — ., r- , - , '..., . • '� doc• Devperm D02 246 Printed: 09.17 -2002 r _-- s. -- - e — ' - • '.4., , , *W"`w y CITY OF TILKWILA FOR STAFF USE ONLY 1 100'1 Permit Center ► .V�,j � o P�.,lect Number: ''' ? 6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188 �` � is`oe '� (206) 431 -3670 Permit Number: Dogs- age New Commercial / Addition / Multi - Family Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. Project Name/Tenant: Value of onstruction: C c9., .- r..., e 5 <c�Ft . c5 c Site Addr City State /Zip: Tax Parcel Number: 1 , L/ l I .5. ( �/ /4 fk 5 / ,„,(7., w.4 9,(6.5- , Property Owner: Phone: CC'-? , r■ C�.,..� 2 c^ C- ` '/ 5, z4• . Street Address: City State /Zip: Fax #: t-- (& f '-) 5 01 ( I f U 5 ? C i c, 1< 14 Coe- T?:/c9 '2 c c. c o i `r -7 L 5 , Contractor: Phone: . c) -t- 4 '1 - kAGe 2 G C 'Z I-(4 S' 2 c 3 Street Address: City State /Zip: Fax #: ( - 46 / S luLi 9 - A 7 k r•(C Go / 46lcs Architect: Phone: 1 7 o.--' /t-IG,. +Atve c 2- o G- - LI C. 5 a 6 , Street Address: City State /Zip: Fax #: L((.!'7 5 It ..1-- 1 r c , 1 - L # t I. 6v A 6 ) 6S' Engineer: Phone: • Street Address: City State /Zip: Fax #: < ~ w Q Contact Person: Phone: p c t/ ,r1...-t a, 4 Ir e <.,f 0 6 "2-‘ii C S '2 (, ul Street Address: City State /Zip: Fax #: 0 O L( e f 5 ( Gf4 t`' )V` 7 K c,v.'fe, Lu .Q I %I‘-, $ U) W W2 Description of work to be done: i_ — O 57 364 W r Existing use: ❑ Retail ❑ Restaurant ❑ Multi- family ❑ Warehouse Hospital Q ❑ Church ❑ Manufacturing ❑ Motel /Hotel ❑ Office o7 ❑ School /College /University ❑ Other H W Proposed use: ❑ Retail ❑ Restaurant ❑ Multi- family ❑ Warehouse El Hospital Z. F in Church ❑ Manufacturing ❑ Motel /Hotel ❑ Office F- O ❑ School /College /University ❑ Other 5 7-0/- c, c e Ill iii If yes, extent of change: D 0 Will there be a change of use? ❑ yes �no U w Existing fire protection features: ❑ sprinklers El automatic fire alarm © none ❑ other (specify) 0 H WW Square Feet: existing 2 C, new Area of Construction: _ 9 q 9 %,� 4� �L Y� r ��( F - H Building u' Will there be storage of flammable /combustible hazardous material in the building? ❑ yes 73 no Z Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets U O F= _ APPLICANT REQUEST, FOR PUBLIC : SITElCIVIL:PLAN REVIEWrOF THE FOLLOWING 0 (Additional, revl ainmaybe .;determineitbythe<Publlc.Works Department) ,_. . , El Channelization /Striping ❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s): ❑ Flood Control Zone ❑ Hauling ❑ Land Altering 0 Cut cubic yds. 0 Fill cubic yds. El Moving an Oversized Load: Start Time: End Time: ` ❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public ❑ Water Meter /Exempt #: Size(s): 0 Deduct 0 Water Only ❑ Water Meter /Permanent # Size(s): ❑ Water Meter Temp # Size(s): Est. quantity: gal Schedule: ❑ Miscellaneous Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be , �l 't 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 extend the time for action by the applicant for a period not exceeding 180 ,U ii days upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No ' :' ;, application shall be extended more than once. t(,��'' Date application accepted: Date application expires: Application aken by (initials) P1::: 'i :'' , '.. ' - 62 2-00- 03 j'c24— PLEASE SIGN BACK OF APPLICATION FORM i"■-■ r►. NCPERMIT.DOC 1/29/97 trl • �l i. e, Y Au•. i.. +: r- r,.y.. a'. =. 4 •. •4r :.'.s.lfn „ k.N+2.rn k!.4'Ae. ?>,: &'+f *'rt.cw hh ..eeyf�; t.,e,tx�. : . ,...,..... .. .. _.... .. rn ,... :., , ... . ... ... .. .. ..... .. .. ... . .. . . __i ' — - -- , .- , ALL NEW COMMERCIAL/ADDITION /M, - TI- FAMILY PERMIT APPLICATIONS MU :E SUBMITTED WITH THE FOLLOWING: • *A11. BAW TO BE STAMPED BY WASHINGTON STATE LICENSED ARCHITECT, STRUCTURAL ENGINEER OR CIVIL I0E st.,;t A ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN » BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED N/A SUBMITTED ❑ ❑ Copy of recorded Legal Description from King County ❑ ❑ Certificate of water /fire flow availability (Form H -11 a). Contact the Public Works Department (206) 433- 0179 for servicing district. ❑ ❑ Certificate of sewer availability (Form H -11). Contact the Public Works Department (206) 433 -0179 for servicing district. 1 ❑ ❑ Metro: Non - Residential Sewer Use Certification if there is a change in the amount of plumbing fixtures (Form H -13). Business Declaration required (Form H -10). Five (5) sets of working drawings, which include : ❑ ❑ Site Plan 1. North arrow and scale. 2. Existing and proposed utilities and existing hydrant location(s). 3. Property lines, dimensions, setbacks, names of adjacent roads, any proposed or existing easements. 4. Parking Analysis of existing and proposed capacity; proposed stalls with dimensions. 5. Location of driveways, parking, loading & service areas, with parking calculations & location & type of dump - ster recycling screening. 6. Location and screening of outdoor storage. 7. Limits of clearing /grading with existing & proposed topography at 2' intervals extending 5' beyond property's boundaries, erosion control measures & three buffer protection measures. z 8. Identify location of sensitive areas 20% or greater, wetlands, watercourses and their buffers (TMC Q 18.45.040). H w 9. Identify location and size of existing trees, note by size and species those to be maintained and those to be ce 2 removed. - U 10. Landscape plan with irrigation: Existing trees to be saved by size and species. Proposed: Include size, v o species, location and spacing. Location of service areas and vault with proposed screening. co w 11. Location of high water mark of the Green /Duwamish River if site is located within 200' of the high water mark. -J I 12. Lowest finished floor elevation (if flood control zone permit required). N w O 13. Civil plans to include size of water supply to sprinkler vault with documentation from contractor stating supply 2 line will meet or exceed sprinkler system design criteria as identified by the Fire Department. J 1 4. See Public Works Checklist for detailed civil /site plan information required for Public Works Review (Form H -9). u- . u) C3 Vicinity Map showing location of site = a �w ❑ ❑ Building Elevations (Include dimensions of all building facades and major architectural elements) z, Wm ❑ ❑ Mechanical Drawings zF- ❑ ❑ Structural Drawings (detail of sprinkler hangers, pipe, duct & vent penetrations in structure) w w ❑ ❑ Architectural drawings v CI ❑ ❑ Specifications (if separate document) Q f .... ❑ ❑ Structural Calculations tu v • I ❑ ❑ Sprinkler structural calculations indicating load of water - filled sprinkler piping LL 0 ❑ ❑ Height Analysis uj z ❑ ❑ Soils Report stamped by Washington State licensed Geotechnical Engineer U ❑ ❑ Topographical and Boundary Survey O z ❑ ❑ Tree Coverage Analysis (Multifamily only ) ❑ ❑ Washington State Energy Code Data and Non - Residential Energy Code Compliance Form H -7 ❑ ❑ Completed Land Use Applications if not previously submitted (i.e. SEPA, BAR, Variance, Shoreline or ■ Tree permit) ❑ ❑ Attach plans, reports or other documentation required to comply with Sensitive Area Ordinance or other land use or SEPA decisions ❑ ❑ Food service establishments require two (2) sets of stamped approved plans by the Seattle -King County Department of Public Health prior to submitting for building permit application. The Department of Pub - :: lic Health is located at 201 Smith Tower, Seattle, WA or call (206) 296 -4787. (Form H -5) ❑ ❑ Copy of Washington State Department of Labor and Industries valid Contractor's License. If no contractor has been selected at time of application a copy of this license will be required before the • permit is issued OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ". nr {44 =.c. � Buildin Owner /Authorized ent If licant is other than "the owner, re " istered architect%h ineer,: contractor licensed b Y the:Stateof Washington, a ; r '. : Agent the a p PP 9, 9 notarized letter from the property owner. authorizing -the. agent. to submit' this permit application and ;obtain'the permit: will be required as pan` of this submittal), • ; . ' 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 AGENT: Si r tur , 22/6. - e 2- 4... - - I Date: 9 _ 2 ��/ —� G - 0, r. I Print name: Phone: Fax #: n _. v mo Z / t- 1 -1414 ct C.■ 1 `T, .0 4, 'zc-/E 5 z w Addr�ss: c, City /State /Zip: i /W Ga / 1 / / 1/ L, *4 rU /G4.,' /... - r,,x✓. kG G...,..4 C9 !S IL NCPERMIT. 1/29/97 � I _ rl . l .Y: j14 �: U:: "'.('.. y:Zilp+.k #ti fif;'i , t r s' .Yf k, f »'7r e..r.. ., ...... .. •..... ti . +r . .n »...v: ._.<r. _ ,-,., ...J:.v .. ..v...... -- r- - - , s.. - 0-1 w } � t City of l ukwila , me ti u _ .,, , .,. . i- ' i ' ... i ' ^ i' t ' — 5 �c;� . t.iat l... . „4 1” C1 doc: Receipt Printed: 08 -21 -2002 `'.. •. i... 5 _ ^ :. ..t... .,_ -i .. , . , .. ✓, M+eMYMIMO.urwrrw . w.....wa.....++.w. .. - .wrw.Yl41MP414'.YtMN ' I • - .. • ( ! %. x City of Tukwila . {I 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT ; 1 Z' 1 te W I Parcel No.: 0040000490 Permit Number: D02 -246 V U O ': i Address: 4617 S 144 ST TUKW Status: APPROVED , u) o '' Suite No: Applied Date: 08/20/2002 W ul Applicant: CONQUEST CENTER Issue Date: J I W { Receipt No.: R020001369 Payment Amount: 148.65 g J I Initials: SKS Payment Date: 09/17/2002 11:47 AM co 0 User ID: 1165 Balance: $0.00 t-- _ Z.)— Payee: CONQUEST CENTER, INC. w w D CI TRANSACTION LIST: 0 Type Method Description = w , Amount I- U L I H Payment Cash .05 o Payment Check 29167 148.60 lii H I O � .. Z ACCOUNT ITEM LIST: Description Account Code • Current Pmts BUILDING - RES 000/322.100 144.15 • STATE BUILDING SURCHARGE 000/386.904 4.50 Total: 148.65 1 kp I i T14 etimlillik i k v j' . y'Ntq, s doc: Receipt Printed: 09 -17 -2002 e1 l , . _ ' ■ ■ • x --.., „ t , , I ( 1 Ni. . . _ FILE COPY • � l understand th the Pl Check approvals are ...... Z subject to errors and omissions and approval of plans does not authorize the violation of any z . 2 p adopted code or ordinance. Receipt of con- a C � tractor's copy of approved plans acknowledged. ,` '� w Q 2 W U , \I, r y r ,i'b'..^,,., .. ; g i; ! .„,....,S «,.._,...w...o _.....w. ...,.c... ,.. ow...+,.r,�> w..-sr ..sn•.w, ..<...,.........., ' .:, :'.. .. :. - r >,, ,.:,A`•. ,..+.. .n :4rtrvi4'�J ,�, .V4'N' ^ s ,� r. .•. ...t.,uau - ..yrxvt..r.pnrrrw+. .. ..... ...� .. , c , storage building proposed new shed storage shed gazebo activity building main house front wall door header cross brace • 1 ' CONQUEST CENTER 1 4617 S. 144 St. TUKWILA, WA z I (206) 246 -5263 ; 1z W . W m :. t JU . Proposed storage shed will be 11 feet from back w o . t p line and over 40 feet from both side I property lines. ° g D u..a co Inside of this packet you will find sketches of shed I-W I and lumber to be used. Z 0 Z� 1 W Lu U in 3 Thank -you O w i DE- l W W . IU L _ O D on Mat thews N I �, , RECEIVED O C ITY OF TUKWI�A Z i I ERMI 210ENTER 2002 4 Girl Of 7UUi•EW i APPRO\i, D ,� .. .1 r t % *+ r 1 t i' ! i.. , T'c ; ; �Tt} )1±( , --.1 1 w75:kli I 110, I r s.w t t , ��Yy,Fik i 1.71,,„1„, t...1.7,...,..:.y.„,,,L, .«w . w.». vnmvarweak�wt +xil�iQEk�F"47�t1�R1 t , _ storage shed walls studs cement pier blocks beam floor plan _ ( _ 411* C ity of Tukwila ' Steven M. Mullet, Ma • ,a • Department of Community Development Steve Lancaster Director RB /sks File: Permit No. D02 -246 ,) rr 1 M av, , eV? �,• r �pplv h{ Y`` .1,4 A 1r 4.'' 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206. 431 -3670 • Fax: 206- 431 -3665 132.,p .. :.., .,...- . :.. ...... .... ..... ....•': .::.,..r. •r,..,;.:,cwa•..d.. •:.:)u.&i gnu:.. 2i.. a°.° 5: we':- re_... R., r.l,.ti ttya a-r;. .... 1 ....n....,..t ur•'t,.,waSdJ <.4 ..`. St �i, u.i1'Xei:!iaitdLT<3: +'S:beanr ..r;e= .S; %13.71 . . March 6, 2003 City of Tukwila Department of Community Development 6300 Southcenter Blvd., Suite #100 Tukwila, Washington 98188 RE: Permit #D02 -246 RECEIVED iAR 06 2003 COMMUNITY IEVELOPMENT The Conquest Center desires and requests to be granted a 180 days extension of the permit number above that expires 3- 16 -03. This project is located at 4617 S. 144th St., Tukwila, Washington. Should this request be granted we would be eternally grateful. Sincerely, erard Sanders Executive Director M A I L I N G ADDRESS: P.O. BOX 667' ED M O N DS, WA. 98020 (206) 0 0 1 - 9 7 4 8 ( 4 1 2 5 ) 7 4 2 - 6 4 8 1 F A C I L I T Y A D D R F. 13 S i 4617. 1 4 4 T ST. 1. T U K W I L A WA. 98168 4)#,Aolliert Mociar. orio4f,k:4. We003 4 - z . Z' CL J O 0' CO 0 W =, CD u_ w o g• � u.a COD I- ▪ W Z. Z I- w 0 in O I— W • W 0 z o 0 z . -7 l , • ice' ` $\LA, �z City o Tukwila ; Steven - of M. Mullet, Mayor • i 1Jl /\ V t0 ', �ea' : Department of Community Development Steve Lancaster, Director • 1 '' 1908 • i qz 1 $ : H W February 6, 2003 W P j J U ` Don Matthews 0 0 4617 South 144th Street ; W w Tukwila, WA 98168 W ..),........, . Stefania Spencer Permit Technician °5. Xc: Permit File No. D02 -246 1. i Bob Benedicto, Building Official ; ," `4 y� 1 f , s; ark, WO f - �y. :f. ^1,. . tyro s 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 - 431 -3665 E .y... • • s • _ 1, - �J� , � q 1s 0 �' • ' ` vim 1 Z '' City o Tukwila Stev , : i of en M. Mullet, Mayor N ; ;011 Department of Community Development Steve Lancaster, Director y 9O8 - 1 July 3, 2003 .1- W J U : Don Matthews 4617 South 144th Street co p Tukwila, WA 98168 . W w H RE: Permit Application No. D02 -246 N a. i 4617 South 144th Street W 0 2 Dear Permit Holder: g 5 u. Q In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila to Building Division. Per the Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the = W Building Official under the provisions of this code shall expire by limitation and become null and void if the H Z building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if Z F" the building or work authorized by such permit is suspended or abandoned at any time after the work is Z O commenced for a period of 180 days. W W 2 D Based on the above, you are hereby advised to: U u) i 0 — • Call the City Of Tukwila Permit Center at (206) 431 -3670 to arrange for the next or final t3 N i inspection. I W • V This inspection is intended to determine if substantial work has been accomplished since issuance of the permit u- p or last inspection; or if the project should be considered abandoned. W Z If such determination is made, the Building Code does allow the Building Official to approve a one -time 1 _ extension up to 180 days. Extension requests must be in writing and provide satisfactory reasons why Z F. circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection or request and receive an extension prior to August 21, 2003, your permit will become null and void and any further work on the project will require a new permit and associated fees. . 1 Thank you for your cooperation in this matter. Sincerely, �sc.C�j Stefania pencer Permit Technician k t Xc: Permit File No D02 -246 y ,,. t Bob Benedicto, Building Official ,�J. ,' •�;r° t J 1, .4 } i j �', j ,� F; rp n; �� . tt ; Jo..d.t . ti A .t< r atli3rA" ' i y i 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 a . r' : s:: , i -- I - -- - t -r - NT --"\ / , °'1 ' _ ' .",, 441LA, ■ o j :si City of l u/�,YY l S teven M. Mullet, Mayor : I • 0\ 1 � �� : ./-• ; Department of Community Development Steve Lancaster, Director 1908 --- z 1 September 10, 2002 1 z ce w Mr. Dan Matthews 6 v 4617 South 144th Street U O Tukwila, WA 98168 0 • WII RE: Letter of Incomplete Application #1 w u_ Development Permit Application Number D02 -246 w 0 1 Conquest Center — 4617 South 144th Street 2 u_ Dear Mr. Matthews: = d H= This letter is to inform you that your application received at the City of Tukwila Permit Center on z. i... August 20, 2002, is determined to be incomplete. Before your application can begin the plan review . z i— . process the following items need to be addressed: w Lu D p i. Building Department: Ken Nelson, at (206) 431 -3670, if you have questions concerning the O co attached. w H = v. Please address the above comments in an itemized format with applicable revised plans, specifications, iii z • and/or other documentation. The City requires that four (4) complete sets of revised plans, specifications o w and/or other documentation be resubmitted with the appropriate revision block. ~ O H } z In order to better expedite your resubmittal a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Revisions must be made in person and will not " be accepted through the mail or by a messenger service. If you have any questions, please contact me at the Permit Center at (206) 433 -7165. Sincerely, I A Stefania Spencer - - , Permit Technician ii--4 encl 0 • . , File: Permit File No D02 -246 r A'-r, °�:: " "* 4 .,,��. }k,�411 • .�l.. a ;1 . 04,41 4; ; ... i: 1 ,...4 : di., * .,„:„ 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-431-3670 • Fax: 206. 431 -36b5 t . tz ,.. : „.. 2., , , • \ -s.. I I Tukwila Building Division Ken Nelsen Plan Examiner • Ext. 1677 z } Determination of Completeness Memo z To: Permit Center - o 0 From: Ken Nelsen, Sr. Plans Examiner . w i Date: 08/22/02 u' F. w Re: Conquest Center - Storage Building permit application number D02 -246 d The Building Division has deemed the subject permit application incomplete. To assist the r - _ applicant in expediting the Department plan review process, please forward the following ?` comments. F- 0 Z 111 1 . A complete site plan is required showing the following information. v a) Show the location of the proposed new shed on the property. o � ! and any other near by buildings. LL o c) Show all exiting buildings on the property and label each building for it's use, U N such as storage building, office building, assembly building, etc. 0 ~ Z 2. Show any doors and /or windows on the shed plans. . 3. Any wood framing lumber on the shed that is closer then 12 inches from the ground must be noted on the plans to be pressure treated or naturally resist decay. t • No further comments at this time. r 1 161: fit • Page 1 NO 1 Lea sro ^•n �r ..,. ,. ..... .....,.., i.i.. ..,.....:.1.•...i.. _. nw.re.,w+a+wvs ... « .. . . •�:: __.. .... .., ._ .. aevaNntCerr+nN^N7WUR4A �,." "•,Z itL fi.''.�:Li:}n''X45f �S'�.5'a : , l • yW. PERMIT COORD CC PY . PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D02 -246 DATE: 08 -16 -02 PROJECT NAME: Conquest Center — Storage Shed a _w SITE ADDRESS: 4617 S 144 St . C 2 X Original. Plan Submittal Response to Incomplete Letter # 0 0 cn w -,) . f.- . ...., ffRMIT COORD, J : Con PLAN REVIEW /ROUTI I SLIP ACTIVITY NUMBER: D02 -246 DATE: 09 -04 -02 PROJECT NAME: CONQUEST CENTER - STORAGE SHED a SITE ADDRESS: 4617 SOUTH 144 STREET w I - - : -- te r - _ - • . I I \ 1 fi.114% 0114$ .4W ��' .w s' , City of Tukwila o 1► f r . Department of Community Development - Permit Center ..J .� �, �f RECEIVED N .ili k ey o : 630 Southcenter Blvd, Suite 100 CITY OF TUKWILA \ ' i 2. Tukwila, WA 98188 * i ! � `* (206)431 -3670 SEP 0 ii 2002 1908 - ,_ ' PERMIT CENTER z ' i{�x��� L�L�Cti'`q fs)a "��� tv?'6s lwi'n �n � �k � .' r t �...,,_. .., f i J.- W Y nY` t j �4S t c 4sil S f it Y i! } }E<•ir ,f tt 7 t? f s t �ji t ti LL '..9 r f' -b x �' �i r i t i2 s n t z°s , n ; !, ; (" �, " , ', :, , 1 h, c. i IGlt 4 0• ? p"n, 0.r 47 , A Gl 1 44p i A' .. t.ci' ( (it IC-Y ....s ' to re1 ..i v4 •y.. 1 (c..n. (� or -1 - G, . ca.4, C�o 0.P . r< ✓ v ... A.. (.0 t••t1 .k.4-,,,,- t / I . f) f t' 4k-= f- 5 4.4,../ Ss c i (a.. is Y p-.0 c') .1.l i.t�J .dc--1 Lv.``�,..• .A t Z v r- P-e� ci t i'r�. � 6 -- kels 4 ,......,,A . r ' Sheet Number(s): '> ` ,c, : 'y, "Cloud" or highlight all areas of revision including date of revision `` - 'i Received at the City of Tukwila Permit Center by: I` yy S . -F , . ( , ; 4 Entered in Sierra on - y -0 � W x v ;° ist . 08/23/02 "n ', 4 •;p ter 4 = , I .- . _ -'- - - � A ` 1 A L% CITY OF IL 'WILA �` _.�� �� Permit Center H..4 `' %�� �� 0 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 r slik , . � ' �'." � Telephone: (206) 431 -3670 1908 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION Z STATE OF WASHINGTON ) w ) ss. 6 COUNTY OF KING ) o w 0 WI DC d:go( /._ /4 c. H -1, e c, s J ✓ , states as follows: j w i t 1. I have made application for a building permit from the City of Tukwila, Washington. 2 � a } 2. I understand that state law requires that all building construction contractors be registered with the a State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the h- _ Revised Code Washington, a copy of which is printed on the reverse side of this Affidavit. I have ?• E- 1 read or am familiar with RCW 18.27.090. w o in 3. I understand that prior to issuance of a building permit for work which is to be done by any n a contractor, the City of Tukwila must verify either that the contractor is registered by the State of o Washington, or that one of the exemptions stated under RCW 18.27.090 applies. w w ' I— U 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby w o I attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I w z consider the work authorized under this building permit to be exempt under No. , and o will therefore not be performed by a registered contractor. o i- I understand that I may by waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. i "v .---- APPLICANT ....---\G- A. DFg01%1 -�/ \ �). ►, Signed and sworn to before me this o • N OTAR Y • i 7 th day of - ep? emb er , 20 0 2 - . .- 1 1 •• 6 6 -O •. • S a . - : , ;, ',.1 ‘‘‘PFWAS W , � = NOTARY PUBL in and for the State of Washington, '1 �r _;° re siding at k� h�' Coun ty. s ,,, rip Name as commissioned: Ali C 2 4. Deacr . I , i` !!, eivigg My commission expires: al AFFCONT 1/13/00 C Mitg /. ff'% '. • 1 •..• .1 •, •.' ':, {.". %:.^ s M /'k.f.v:lald:]I.ift::li'�L4 w$J' YY' .nt +a i.i •"-n .x'wM "- Xll4YiMM \..,,. - •+t!..'4Yen.it.r tv1 +N":YIIt%f.•n Y4Lx4trCrwU':RW r-lr -V . )t.?a. oaf + v- i. .aWrW.n.w > ........... ,u 1 r : 1 18.27.090 Exemptions. This chapter shall not apply to: ' 1. An authorized representative of th,, Jnited States of the operation is made into contracts of amounts Government, the State of Washington, or any less than $500 for the purpose of evasion of this incorporated city, town, county, township, irrigation chapter or otherwise. The exemption prescribed in district, reclamation district, or other municipal or this subsection does not apply to a person who political corporation or subdivision of this state; advertises or puts out any sign or card or other device which might indicate to the public that he is a 2. Officers of a court when they are acting within the contractor, or that he is qualified to engage in the scope of their office; business of contractor; ' z . 3. Public utilities operating under the regulations of the 10. Any construction or operation incidental to the , i z utilities and transportation commission in construction and repair of irrigation and drainage w construction, maintenance, or development work ditches of regularly constituted irrigation districts or 0 incidental to their own business; reclamation districts; or to farming, dairying, v 0 agriculture, viticulture, horticulture, or stock or poultry cn o 4. Any construction, repair, or operation incidental to the raising; or to clearing or other work upon land in rural J = d iscovering or producing of petroleum or gas, or the districts for fire prevention purposes; except when ~ drilling, testing, abandoning, or other operation of any any of the above work is performed by a registered w 0 petroleum or gas well or any surface or underground contractor; mine or mineral deposit when performed by an owner g 5 or lessee; 11. An owner who contracts for a project with a W M registered contractor; = w 5. The sale or installation of any finished products, Z H materials, or articles of merchandise which are not 12. Any person working on his own property, whether H O actually fabricated into and do not become a occupied by him or not, and any person working on w I- permanent fixed part of a structure; his residence, whether owned by him or not but this 2 D exemption shall not apply to any person otherwise v o 6. Any construction, alteration, improvement, or repair covered by this chapter who constructs an - ol— of personal property, except this chapter shall apply improvement on his own property with the intention w w to all mobile /manufactured housing. A and for the purpose of selling the improved property; z v mobile /manufactured home may be installed, set up, u. or repaired by the registered or legal owner, by a 13. Owners of commercial properties who use their own iii z contractor licensed under this chapter, or by a employees to do maintenance, repair, and alteration o mobile /manufactured home retail dealer or work in or upon their own properties; 0 '— manufacturer licensed under chapter 46.70 RCW; z 14. A licensed architect or civil or professional engineer 7. Any construction, alteration, improvement, or repair acting solely in his professional capacity, an carried on within the limits and boundaries of any site electrician licensed under the laws of the state of ■ or reservation under the legal jurisdiction of the Washington, or a plumber licensed under the laws of federal government; the state of Washington while operating within the boundaries of such political subdivision. The 8. Any person who only furnished materials, supplies, or exemption provided in this subsection is applicable equipment without fabricating them into, or only when the licensee is operating within the scope consuming them in the performance of, the work of of his license; . the contractor; 15. Any person who engages in the activities herein 9. Any work or operation on one undertaking or project regulated as an employee of a registered contractor .‘ by one or more contracts, the aggregate compensation; 0 K ∎ 99 9 ate contract with wages g as his sole p ensation, tig,. ; price of which for labor and materials and all other ,. */ - ,,yp :, items is less than $500, such work, or operations 16. Contractors on highway projects who have been �°" being considered as of a casual, minor, or prequalified as required by chapter 13 of the Laws of A {' , , inconsequential nature. The exemption prescribed in 1961, RCW 47.28.070 with the department of ��.. this subsection does not apply in any instance transportation to perform highway construction, ',, : �,, wherein the work or construction is only a part of a reconstruction, or maintenance work. t,°'ri. <,,,,h, ., ; t . larger or major operation, whether undertaken by the same or a different contractor, or in which a division -..', ?Si ?a `;, AFFCONT 1/13/00 Y,`o'li`: LZ4 loc. .0,4„,„,,„,4, ,t,„.... . + . :,,, ;„„,tr'. ,., 'k!'s',` -1; C:",C „are -.,,,: .a'i+.r'`+'.s.=, ^,,,,, I+ [K 1"':M;Igr . ,•.. .. ....,7 w..., ". .1;:;+5. ''•',V �.”3.,:,, &MS1,!,??2^YR: r1::Iralfd rcr': ldn,a;. . AM,"r, .. 1