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HomeMy WebLinkAboutPermit D02-253 - SOUTHGATE MOBILE HOME PARK #8 - LANDING AND HANDRAILSD02 -253 Southgate Mobile Park #8 14005 42 Av S , I - \.{., . ,.` i 1 i 0 . i ) Cit of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 DEVELOPMENT PERMIT i Z i a • Parcel No.: 1610000076 Permit Number: D02 -253 H W Address: 14005 42 AV S TUKW Issue Date: 09/04/2002 Q � Suite No: Permit Expires On: 03/03/2003 -J U 00 ' Tenant: co C Name: SOUTHGATE MOBILE PARK #8 ui _ Add ress: 14005 42 AV S, TUKWILA, WA � � v w 0 Owner: 2 _ f Name: ANDERSON CARL AUGUST Phone: u_ } Address: 10212 NE 43RD, KIRKLAND WA N =w • Contact Person: Z H Name: CARL A ANDERSON Phone: 206 - 439 -1055 — Address: 14005 42 AV S, TUKWILA WA W O w Contractor: D o Name: OWNER AFFIDAVIT - CARL ANDERSON Phone: 0 CO Address: , C:11— Contractor License No: Expiration Date: = w e • DESCRIPTION OF WORK: Z PROVIDE A LANDING AND HANDRAILS AT EACH EXTERIOR DOOR. SKIRTING WHERE NECESSARY. U to I I z Value of Construction: $100.00 Fees Collected: $28.00 i Type of Fire Protection: Uniform Building Code Edition: 1997 • Type of Construction: Occupancy per UBC: 0007 • Public Works Activities: Curb Cut/Access /Sidewalk/CSS: N Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: N Hauling: N Start Time: End Time: Land Altering: N Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: N Moving Oversize Load: N Start Time: End Time: 1 _ x .- Sanitary Side Sewer: N • , , A xY Sewer Main Extension: N Private: N Public: N r, 41.5 Storm Drainage: N '' ' Street Use: NPM.,; ` .`� ; Water Main Extension: N Private: N Public: N y ' Water Meter: , r .:": 1 Channelization / Striping:. .11011 ** Continued Next Page ** i ft . - A , doc: Devperm 002 -253 Printed: 09 -04 -2002 RYA •, nl '.' »`. i._.�f....— .......... .. -VNIKIN.MSB.1q +a�wwh+w=�ett !Ww ..._..._ u wwv.rw�++w..rN . ....• www> .:..,... r+ r .. nrtYr .,"°•..... . 1 - -- -- � - . \•4.. - * w ''', City o f T k 1 ' - u wila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 ■ i I - . - 'l .0" ■ ,• • , w -'-`\ • (i City of Tukwila r Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 • PERMIT CONDITIONS 1 i` Parcel No.: 1610000076 Permit Number: D02-253 ' w Address: 14005 42 AV S TUKW Status: ISSUED a j Suite No: Applied Date: 08/21/2002 6 V Tenant: SOUTHGATE MOBILE PARK #8 Issue Date: 09/04/2002 U 0 N 0 WI ' F- 1: ** *BUILDING DEPARTMENT * ** N w 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. w O 1 3: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any construction. These 2 I documents are to be LL Q maintained and available until final inspection approval is granted. a d ? 4: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as s w i amended, Uniform Mechanical Code Z i (1997 Edition), and Washington State Energy Code (1997 Edition). 5: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be construed to be a z I— permit for, or an approval g D of, any violation of any of the provisions of the building code or of any other ordinance of the jurisdiction. No permit presuming to U C . give authority to violate Oo H or cancel the provisions of this code shall be valid. — III w H H • LL O I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances v u) governing this work will be complied with, whether specified herein or not. F-, I O The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws ? regulating construction or the performanc-� f work. / 1 /, czaA.c)x • Signature: . d . Date: 7 Print Name: .' al h,,, "r SI. eR:T. ,Y ,, ■ doc: Conditions D02 -253 Printed: 09 -04 -2002 / S -- I , - 4I IY.N. CITY OF TUKWILA „SR STAFF USE ONLY , e V 9 Permit Center -,� � Project Number: �:�a 6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188 O a S3 Ilk • - ill 't (206) 431 -3670 Permit Number: Single - Family Residential 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/Tenar � �!��G�' 4. a �7 0 Val of Con truction: Site Address: S to /Zip: Tax Parcel Number: ` /goon • «2 — ( ff . S©. rfaig (/ip Property Owne • Phone; , • � Phone i X06_ 939 —/c --. — Street Address: 5g. City State /Zip: Fax #: • Oirk Contractor: Phone: Street Address: City State /Zip: Fax #: Architect: Phone: Street Address: City State /Zip: Fax #: Engineer: Phone: Street Address: City State /Zip: Fax #: Z = Z Contact Person: Pho _ ~ w at • �� - 206 y. � /035- ct 2 Street Address: a/eCV4,J City State /Zip: Fax #: co • 0 u) III Description of work to be done: 5�� I 0 I- Type of work: ❑ New Single - Family Residence ❑ Addition - Single - Family Residence 2 ❑ Interior Remodel- Single - Family Residence ❑ Residential Accessory Structure* u_ El Remodel /Addition to Accessory Structure ❑ Garage(s) N CI I Deck(s) - Covered & Uncovered ❑ Residential Reroof I— _ ZI._ Is this site served by: ❑ Sewer ❑ Septic (King County Health Dept. approval required - 296 -4722) I- O Z I- Existing Square Footage for Structure: sq. ft. Dwelling sq. ft. Covered Deck(s) sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck U p Proposed New Square Footage: sq. ft. Dwelling sq. ft. Covered Deck(s) 0 F- sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck W W . Floor Area Ratio: (total floor area of all structures divided by the area of the lot) 1-- H - "For an Accessory dwelling, provide the following: W Z Lot area Floor area of principal dwelling Floor area of accessory dwelling U O~ Provide documentation that shows the principal owner lives in one of the dwellings as his or her primary residence. Z APPLICANT REQUEST FOR PUBLIC WORKS SITE/CIVIL PLAN REVIEW OF THE FOLLOWING: (Additional reviews shall be determined by the Public Works Department) ❑ 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. ❑ 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 /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 re- ;. r'';� ; viewed and is subject to possible revision by the Permit Center to comply with current fee schedules. f :- Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall ex- 4 .� pire by limitation. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon , fi t ' written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall y Iwo be extended more than once. t - . ,1 Date application accepted: Date application expires: Application taken by: (Initials) i "II 'ova n 0 t.... PLEASE SIGN BACK OF APPLICATION FORM I:, „a SFPERMIT.DOC 2/13/97 rr1 , ;, :. . . (�ty(�yry�y�(�.iY'S$^iL,' o n x7°�i[44i�yi +'YS'h°r�q".tkn}" . { ,.1' nY, R',, Y4v.":MaY"`tN.+D?t mt:&+wr$,w;t t,qi yy"n.RkT�X`..�.,t,, " t �K^,nik,k< .rAY ,vr;��;i'�ii;N;::t.o:,t + ; \ x� " t�a�'7:i.'��wr,: ":F%r:<,t •r�;,: "<,,�.rr,-, - ;, ,, N41: s^r. vu a ,.� ; , I ,:,,,,„„,,,.,„. 4 „..,.- .n. r'.YYNfiV 1 � � � �., , 1.:.1SL•:L 1 :1,rrC ."u w..',v4 -'w ,4,,,,,, ._ . . ALL SINGLE- FAMILY RESIDENTIA - • ERMIT APPLICATIONS MUST BE S .EMITTED WITH THE FOLLOWING: ➢ DRAWINGS PREPARED BY A ..EGISTERED ARCHITECT OR PROFL...SIONAL ENGINEER MAY BE REQUIRED BY THE BUILDING OFFICIAL ➢ 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. ❑ ❑ Metro: Residential Sewer Certification (if Tukwila Sewer District) (Form H -12) ❑ ❑ King County Health Department approval for septic - 296 -4722 Four (4) sets of working drawings, which include: ❑ ❑ Site Plan (see example Form H -16) 1. Existing fire hydrant location(s). 2. Proposed access road. 3. Driveway location- driveway shall be 10' wide minimum and 20' wide maximum. If driveway is over 150' long, driveway shall be 20' wide and have an approved turnaround (City Ordinance 1741). 4. North arrow and scale. 5. Building setback from property lines. Any proposed or existing easements must be shown on plan. 6. Public Works review requires the following on site plan: driveway location (10' min., 20' max. width), show proposed and existing power, water and sewer lines, existing storm drainage system, i . downspouts and foundation drains, and where drains tie -in. Z 7. Parking plan. cC 2 8. Lowest building elevation (if in Flood Control Zone). i 9. Estimated /proposed topography at 2' intervals and proposed elevation of lowest floor level. v o 10. Identify location of sensitive areas slopes 20% or greater, wetlands, watercourses and their buffers. W 11. Identify location and size of significant trees that are located in sensitive areas and buffers or the shoreline zone. Of those, identify which are to be removed (Title 18, City of Tukwila Zoning Code). W 12. Identify location of high water mark of the Green /Duwamish River if site is located within 200' of the 2 O high water mark. g 13. See Public Works Checklist for detailed site plan information required for Public Works Review (Form u_ H -9). - a ❑ ❑ Foundation plan and details Z I ❑ ❑ Floor plan z o ❑ ❑ Roof plan z ❑ ❑ Building elevations (all views) a ❑ ❑ Building height o — ❑ ❑ Building cross - section _ w ❑ ❑ Structural framing plans and details necessary to completely describe construction f — O ❑ ❑ Washington State Energy Code Data (Gas /Electric /Oil /Propane /Heat Pump) Form H -15 available w Z at Permit Center OR Prescriptive Heating System Sizing Chap 9 Form H -6. o ❑ ❑ Complete Land Use Applications if not previously submitted (i.e., Reasonable Use Exception, 0 Variance, Shoreline or Tree Permit). ❑ ❑ Attach plans, reports or other documentation required to comply with Sensitive Area Ordinance and other land use or SEPA decisions. ❑ ❑ If dwelling has a septic tank, and a bedroom or bathroom are added, provide written approval from the King County Health Department or the Tukwila Public Works Department prior to submittal of permit application. ❑ ❑ Copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit is issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ". Building. Owner /Authorized Agent If the applicant is other than the owner, registered architecbengineer, or contractor licensed I i by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and obtain the permit will be required as part of this submittal. 4 i � 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. to BUILDING OW R UTH / IZ AGENT: :::::e Date: • . ' Phone: Fax #: 4WD 'am Address: City /State /Zip: s 411a 1111 SFPERMIT.DOC 2/13/97 4 Nor ; :'.:..: 0 1 1 • • , IN r ' r x. vev C it of i i 1 a me j 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 • RECEIPT , _ Parcel No.: 1610000076 Permit Number: D02 -253 U O Address: 14005 42 AV S TUKW Status: APPROVED co 0 .. Suite No: Applied Date: 08/21/2002 W W Applicant: SOUTHGATE MOBILE PARK #8 Issue Date: N I- W '; Receipt No.: R020001284 Payment Amount: 28.00 QQ u. Initials: KAS Payment Date: 09/04/2002 09:13 AM N d User ID: 1684 Balance: $0.00 H Ui I- O Payee: CARL ANDERSON W W' ?o TRANSACTION LIST: 0 H . Type Method Description W W Amount H li- �U• Payment Check 2411 28.00 W Z O /- ACCOUNT ITEM LIST: Z Description Account Code Current Pmts BUILDING - RES 000/322.100 23.50 \. STATE BUILDING SURCHARGE 000/386.904 4.50 Total: 28.00 gg • v Y cT fi t., doc: Receipt Printed: 09 -04 -2002 f .J.: ; . i . ..'. .. . ...:.. .. ' • , ..' ' .. ', '. '1 .. .., 3) ` r •. .. ;i..f `vy. .'i.:. •. v,. 1' ... 111 t+.. .,,. ... ... .. . . ...v. .v...riw_.rr..ruK dr - .�, ... Yw.. au...•r. - . } . " , • _ • . t Z . H Z ili re ec J U 00 INSPECTION RECC � ) CO W • =' Retain a copy with permit t . - . J ± J 1 INSPECT N NO. PERMII ! W O CITY OF TUKWILA BUILDING DIVISION • f S f Pi Ins ector: 11 Date: ,/] fA • 547.0 REINSPECTION F EQUI ED. Prior to inspection, fee must be f ,•. paid at $300 Southcenter Blvd., Suite 100. Call to schedule reinspection. `:. Receipt No.: Date: .'� Me 1 ; ■ i �`'" J . . - . ba �Md 'a f p:r �ktt fH'r s n � slkklf k �' ,i . - • • I I - �: Cr - -1 e. I J • • h ' ` S A CIT INSPECTION REPORT L U G 2 6 ` . D'� City of Tukwila Building Division { t �J y Li . • Project: Southgate Mobile Home Park `� it_�� g Address: 14005 — 42n Avenue South Tukwila, WA 98168 z 11- 2.7- N' UPQIl` S : F- z Date: July 5, 2002 k: : , :_; ":' 37' SHALL BE MADE TO Trailer # 8 ::_:;, i WORK I �IT9°$ ®U'9' PRO U O . .,:,;;: ;;; OF TUKWILA BUILDING DIVISION. co o 1 ::., '"::: 7 :M :.:,1 S WILL name A NEW PLAN SUBMITTAL J ILI ~ = ia. V.,:, it's•;,'.i.E" r' IB JY"6'33"A'!. PLAN REVIEW FEES. Findings: co u_ w0 Primary and secondary entries do not meet the egress requirements of the Washington 2 State Building Code, U.B.C. Section 1003.3.3. Foundation skirting is missing along the u perimeter of the Northeast quadrant WAC 296 -150M -0610. cn ~w z� Corrections required for compliance: w � Lu Provide a landing at both exterior doors. The landing shall not be more than 1" lower o w than the threshold of the doorway. Stair landing shall have a dimension measured in the o '- j direction of travel not less than the width of the stairway. Such dimension need not = w . exceed 36 inches where the stair has a straight run. ~ i= LL O i z Provide at least one handrail at each stairs. Top of handrail shall be placed not less than v w 34 inches or more than 38 inches above landings and nosing of stair tread. o I z Provide a guardrail for landings greater than 30 inches above grade level. Top of guardrail shall be not less than 36 inches. Open guardrails shall have intermediate rails or an ornamental pattern such that a sphere 4 inches in diameter cannot pass through. . Provide foundation skirting where missing. Skirting must be made of materials suitable for ground contact. Metal fasteners must be made of galvanized, stainless steel or other ( corrosion resistant material. Ferrous metal members in contact with the earth (unless galvanized or stainless steel) must be coated with an asphalt emulsion. All skirting must be recessed behind the siding or trim so as to not trap water between the skirting and siding or trim. _ f i L. f t,.; t r CITY OF TUK:V'JILA t "f i I understand that the Plan Cl Leo : apnrovals are AU 21 2002 subject to errors and omissions and approval :roval of nyt r it plans does not authorize the violation of any ��I_hr,m CENTER . , , ■ adopted code or ordinance. Receipt of con - tractor's co of appro -f1 r`' - s acknowledged. f Maw ! a/VOO - ekhOA -- By q''.°17:-- c r ;„,:,:,,,z, Date,: '. Permit No. D . : , : : ` t . I r \ PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D02 -253 DATE: 08 -21 -02 PROJECT NAME: SOUTHGATE MHP - SPACE #8 z SITE ADDRESS: 14005 42 AVENUE SOUTH , OUTH W X Original Plan Submittal Response to Incomplete Letter # -J 0 0 Response to Correction Letter # Revision # _ After Permit Is Issued w w J i.— (0 11., —. w 0 DEPARTMENTS: 8 _ V -' 0z L Building Division 0 Fire Prevention ❑ Planning Division ❑ w 2 a Public Works ❑ Structural ❑ Permit Coordinator Z i w HO Z I— LL! DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 08-22 -02 2 Q Complete E Incomplete ❑ Not Applicable ❑ 0 co a'- Comments: w w" 2 I— U LL O Permit Center Use Only Li j Z INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: 0 N ~ O ~ Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Z TUES /THURS ROUTING: �,/ 1 . Please Route [71 Structural Review Required ❑ No further Review Required ❑ . REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 09-19-02 Approved ❑ Approved with Conditions [' Not Approved (attach comments) ❑ Notation: , REVIEWER'S INITIALS: DATE: '` Permit Center Use. Only �' `w '. CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ' M ilii PLANT COORD COP�� . ; r 5 Documents/routing slip.doc I yF # �, t .- 2- 28.02 •' r ,•, . . .q ,. ,. •J.'.q u .. n...; ^. , .... a,.'; . "•'/.i.:.:.li'p;,6.tp;6ri:' Yii.ay.•41•ieL;vii: :'1 9JM1RJbfWtQ<YVW.}V Veen. a.r +.n.wmew.•... r.w..r..... -.. .. .. -+... . ••• •. ... .. ... r+..rJ++a+. + +r V•wx•.MiFM1Mn4+(Nap, . ■ i r f - I W , PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D02 -253 DATE: 08 -21 -02 i PROJECT NAME: SOUTHGATE MHP — SPACE #8 z • SITE ADDRESS: 14005 42 AVENUE SOUTH , ~ w ce D I X Original Plan Submittal Response to Incomplete Letter # i; 0 0 coo Response to Correction Letter # Revision # _ After Permit Is Issued w = J f- N u N w 0 r 2 QQ DEPARTMENTS: LL Q Building Division X Fire Prevention ❑ Planning Division ❑ = a Public Works ❑ Structural ❑ Permit Coordinator El 1-w Z = H Z O w DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 08-22 -02 2 Q Complete A Incomplete ❑ Not Applicable ❑ O Comments: w w u- p Permit Center Use Only . Z 11.1 u INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: H H Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 0 Z • TUES /THURS ROUTING: Please Route ❑ Structural Review Required ❑ No further Review Required X • REVIEWER'S INITIALS: DATE: r I . APPROVALS OR CORRECTIONS: DUE DATE: 09 -19-02 Approved ❑ Approved with Conditions it Not Approved (attach comments) ❑ Notation: £ •.:r,. REVIEWER'S INITIALS: \ 1__ DATE: S 4,, 11 , , y1 ` Y.➢'..' f. .li Sf. F Permit Center Use Only Vi,,,s e CORRECTION LETTER MAILED: , s' .,, . Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: p g l ; � x�� ,!'''.it;', .sV� . n i Documents/routingslip.doc * � '• f` 2 -28.02 •4 . S i�.'; •'J t,S' t.;':..• .. ,r r'. {.ye;.ua•..ki «:i t,r:3:..: ➢�... , fadn »t _ . .!ria a is as ,"ea.nnftw.w...+.ew...+ .... { t • PERMIT NO.: 001 &S= TENANT NAME:S__ o t I AMP 0 $ . BUILDING PERMITS INSPECTIONS CONDITIONS ❑ 1 Progress Inspection Status 0 10001 No changes will be made to the plans unless approved ❑ 2 Pre- construction by the Engineer and the Tukwila Building Division 0 3 Investigation ❑ 10002 Plumbing permits shall be obtained through King Co B 4 OK to Occupy ❑ 10003 Electrical permits obtained through L & I • 5 Reme Stop Work Order 10004 All mechanical work shall be under separate permit Z • ❑ 6 Follow -up 10005 All permits, insp records & approved plans available Q 0 7 Pre -Move Inspection 10006 All structural concrete shall be special inspected 1-- W 10007 All structural welding shall be done by certified CL W 50 WSEC Residential ❑ g Y WABO certi ' , I --- - � . 1 1 I w . 0 sy CITY OFTUKWILA H.4 4';8--'=1". � 1 , �, Permit Center = 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 '`�',� Telephone: (206) 431 -3670 1906 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION z . STATE OF WASHINGTON ) , x Z w COUNTY OF KING ) ss. 6 • JU 00 W L "' " I" , IV D ' IZ S'ON , states as follows: = I- I Nu. ii i 1. I have made application for a building permit from the City of Tukwila, Washington. 0 } 2. I understand that state law requires that all building construction contractors be registered with the LL. a State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the = d Revised Code Washington, a copy of which is printed on the reverse side of this Affidavit. I have Z x read or am familiar with RCW 18.27.090. 1- o z I- 3. I understand that prior to issuance of a building permit for work which is to be done by any 2 o 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. al- =w . 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby t �- o I attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I z consider the work authorized under this building permit to be exempt under No. , and iii 0 will therefore not be performed by a registered contractor. 1-: 1 z 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 constructio w• . . 1 ' / ` � �dimay . PLICANT ti,, A►Dq Signed and sworn to before me this v ` � ; day of - Lt' f/ , 20 OZ . • i4 oYA r; rp I N J pvD��G N i . fj2 q ^ V aii . , , 4 �„ ; A • NOTARY PUBLIC in and for the State of Washington, o e� ' , ,-- ? r . ,. LT :XI residing at ' V� y. E" ,, " # 1 Coun � ; I ,, t , .x.4,`,1 Name as commissioned: O v1C ( fli\ ---N , -c,, . w My commission expires: " l -0 l tfR.R N AFFCONT 1/13/00 g ; s •. •...:..' . .. �u...v..aa...n vvn•.. v., h.. a1v* naMlvwww. rYrEp'+' !'.b4V5`'Y- Y'Yl}�.(9'�IXVi}� "n: a ,. .. .... .i ..... .•. ✓A...i., v..a....a..,.e.w..a vr. ... ........ .x ..... r..,a .... .. ,a,,........ .. .... .._ .._. ..,. i