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HomeMy WebLinkAboutPermit D02-258 - SOUTHGATE MOBILE HOME PARK #33 - HANDRAIL, STAIRS AND SKIRTINGSOUTHGATE MHP - #33 14005 42 AV S D02-258 — , • fi t. • �� Ci ty of l � k f u calla Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 DEVELOPMENT PERMIT Z a Parcel No.: 1610000076 Permit Number: D02 -258 H cc w . . -, , •,- � �.r • •. • vavtg A, ;� ; City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Z. Permit Center Authorized Signature: —� ,y � / � Date: F---K:- s 1 � Z �w - • z a • Parcel No.: 1610000076 Permit Number: D02 -258 `w w ' i 1 .. « -i 1 ° 1.} =5'w CITY OF TUB �'WILA --e R STAFF USE ONLY 4 41 `� g Permit Center Project Number: ,' �;a 6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188 ' ie` 0 (206) 431 -3670 Permit Number: __102" 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 Namertenar -- a G j6 �6G�'4 �Q �R; . -- Value of Cq c �J V . r 5 Site Address: — S© aa City State/Zip: O M p Tax Parcel Number: Property Owne Phone: Q ���� � ' /39 /e' Street Address: J! City State /Zip: Fax #: • 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 Q Contact Person: Phone: t'" W CL 6 0 Street Address: QAT"J City State /Zip: Fax #: -, 4 9 _ /353 U 0 ;zOwork to be done: / // /,� .'� .l'�2F.� 57- S� �� �-l�< .s ay °�( 5�� "� u) u- w Type of work: ❑ New Single - Family Residence El } Addition - Single- Family Residence 2 F- ❑ Interior Remodel- Single - Family Residence ❑ Residential Accessory Structure* u_ Q ❑ Remodel /Addition to Accessory Structure ❑ Garage(s) (1) d Deck(s) - Covered & Uncovered El Residential Reroof - = Z1.- Is this site served by: ❑ Sewer ❑ Septic (King County Health Dept. approval required - 296 - 4722) Existing Square Footage for Structure: sq. ft. Dwelling sq. ft. Covered Deck(s) w w sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck U 0 Proposed New Square Footage: sq. ft. Dwelling sq. ft. Covered Deck(s) 00 co sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck w w I Floor Area Ratio: (total floor area of all structures divided by the area of the lot) H H *For an Accessory dwelling, provide the following: El Z Lot area Floor area of principal dwelling Floor area of accessory dwelling 0 1= ' 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 in 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- Y PP 9 1 <' I: viewed 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 ex- 1;i , ; pire by limitation. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon i 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. :.. 1, Date application accepted: Date application expires: Application taken by: (initials) I ,■1111111/ VIM c27 72 2-z / -d3 S, I PLEASE SIGN BACK OF APPLICATION FORM Ip 4 fir SFPERMIT.DOC 2/13/97 "fi �... F2 .. �xeaavn , a x �%��'� n iF ik..t NiVY'Rirn. .... .... .. ...... ....... .. ..... .. ... ..... ,. .... .. r ,.t. �: ,.uSlY�'1 ��� "i:. • ...,.•„ 5f. i -0Y7LS4:13SiwC.3214714S1i\ �'.r. ...... ..�..�:. ....................... ..... _ .. .. .. 1 - -c• •. 1 ALL SINGLE - FAMILY RESIDENT/ a ' • ERMIT APPLICATIONS MUST BE 'MITTED WITH TH FOLLOWING: ➢ DRAWINGS PREPARED BY A rIEGISTERED ARCHITECT OR PROFESSIONAL ENGINEER MAY BE REQUIeEI V t1, r .BUILDING OFFICIAL • ALL DRA1jVI 1GS SWALL 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), z show proposed and existing power, water and sewer lines, existing storm drainage system, . _ • '- downspouts and foundation drains, and where drains tie -in. w 7. Parking plan. 6 8. Lowest building elevation (if in Flood Control Zone). _ 9. Estimated /proposed topography at 2' intervals and proposed elevation of lowest floor level. , o 10. Identify location of sensitive areas slopes 20% or greater, wetlands, watercourses and their buffers. w w 11. Identify location and size of significant trees that are located in sensitive areas and buffers or the N 1- shoreline zone. Of those, identify which are to be removed (Title 18, City of Tukwila Zoning Code). w o 12. Identify location of high water mark of the Green /Duwamish River if site is located within 200' of the 2 high water mark. g D 13. See Public Works Checklist for detailed site plan information required for Public Works Review (Form w H -9). = w I— ❑ ❑ Foundation plan and details ? ❑ ❑ Floor plan W o ❑ :I Roof plan w o El CI Building elevations (all views) o ❑ :. ❑ Building height W ❑ ❑ Building cross - section 1 0 • ❑ ❑ Structural framing plans and details necessary to completely describe construction p ❑ ❑ Washington State Energy Code Data (Gas/Electric /Oil /Propane /Heat Pump) Form H -15 available z at Permit Center OR Prescriptive Heating System Sizing Chap 9 Form H -6. I= i = ❑ ❑ Complete Land Use Applications if not previously submitted (i.e., Reasonable Use Exception, 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 ". 1.4-.00; Building Owner /Authorized Agent If the applicant is other than the owner, registered architectengineer, or contractor licensed by: the State -of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and ororge obtain the permit will be required as part of this submittal. - 14.1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF o' PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER AUT IZ AGENT: L - - Signature: ,, 1/C Date: q _ 3 _ Print name: Phone: 1 Fax #: I Nom Ilem Address: City /State /Zip: ase SFPERMIT. DOC 2/13/97 �, _ ..... ,�ta:t ',:..r...:f✓ -,.. ... .:....•... �ta:; ::' - .+.i i ' 4TFfF .a,�YT9kM' . +cr- roxen+.+rn wwuewsl,+rsnw.vo. .. .. , - ♦ \.4./ i �- I • "' '^'‘.. ,....'''. kk 4 . }4 Cit of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 ' z RECEIPT , , z re w • s. ! IL 6 0 0 INSPECTION RECORD CO w • Retain a copy with permit 1.- INSPECT NO. , 1 PERMIT NO. C LL • CITY OF TUKWILA BUILDING DIVISION W O 6300 Southcenter Blvd, #100, Tukwila, WA 98188 (206)431 -3670 g P ject: � Type of Inspec i .f1: 1 (0 Ai : Date called: t-- _ Ili S pec a instructions: Date wanted: m. Z O 11 /1 .(.c W Requester- ? Q 5 4c p l'1& ( _ V e e• O CO Q) G] o H = W 'pproved per applicable codes. n C erections required prior to approval. I-- � , COMMENTS: • , Z 1111, i U -'ACL v AC. S T R. F =- o J _. Z • ' ,..?. C e l f.a.A.,e., c \ z-- • '' a , . • - S c\ _e-f `?. YS ~t r , ' ,T "� ! 3' t , Ins. tor �� Date: 1 `ry iii ;. 0 '•47 00 REINSPECTION FE REQUIRED. Prior to ins ection fee must be paid ��,,.' `" at • 00 Southcenter Blvd. S ite 100. Call to schedu a reins ection. p! �a� p ` Rec • pt No: ate: f', ° ' ti 5 %. , °'' il i V1•. 1 , .. a ... i r. &orw,liA rJ..i4,:' , r,',", i :;1'..444.P.,i0) .,,,i', SNit'r. c' T ✓st +.M.K4 { 1 — Z no . L1.11 6 U } / 0 1 INSPECTION RECORD ja i co o Retain a copy with permit �v ° � � w = INSPECTION NO. PERMIT NO/ J H . 7 CITY OF TUKWILA BUILDING DIVISION i ' ' W o 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367 2 oje t: Type o pecti n: t _' u- Q 50t thQ Pt,�! te -*3.3 ha CO A h S' g Date Caled�� jO n = W r''r�1 / v V i" _ Special Instructions: Date W ed C f 0,. ? F �� ! tta ,....0 'Y Requester �y pp W H- uj a ' ` Phone N . tti Approved per applicable codes. Corrections required prior to approval. = V COMM ENTS: I- - H Y; tlZ ;. ' / ) i3D-/-i,-;-=-, 6-1 S kb f �.� �cf� el', 6,,' 1g 313 Z ,-:: I • / r_ ze u J IYLp,�/ . :. ' -- .. 4 -1 (.3/r.,eta.,4--z,k-nefi / 5 — ) r,4 l--1.41— . . z, ty // y 1-7,4,, 6.,ii,s-7 i-,607 is t<7- 4 ., 5 i i i:. • � � ; " y' Ys,v • i 4; , t • � r Inspector: / V Date: a 1; ' , $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must bef paid at 1300 Southcenter Blvd., Suite 100. CaII to schedule reinspection. p '., -{ Receipt No Date: v YCJ , � � Y . , , ic7 ; ,,„ ; ,r, i , `•:4 41/4", ;:Vn e,' q ;.&E , W ^;.. /.7:44 "n'".e)+'n''.',#7 ,441,44*,... ^a L +, E. "aHt,y4,„i, ;S fri.'n i + ..41 :Y::• t,^IcIP.' %r"vkA;;fJitac ■ , 4 1 el w 1 r____ , I - \-.., ' ` I M N ) ' IWl INSPECTION REPORT City of Tukwila Building Division ,; Project: Southgate Mobile Home Park Address: 14005 — 42 Avenue South il Tukwila, WA 98168 1 ,� . , :: z 1. tu Date: July 5, 2002 KO �u`9r�S,t-,..-..,.....c,.. : .. ce n- r ' Cc' OJ ( � 1 : * ` �. L : r 4 1 i Trailer # 33 �n ,� '7 .., . t , :: .. 1, , _ 0 0 L11 i i F indings: 1 (/)o 1 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 g n perimeter of the foundation.WAC 296 -150M -0610. U) a = w Corrections required for compliance: Z = ►- I- O Provide at least one handrail at each stairs. Top of handrail shall be placed not less than w w 34 inches or more than 38 inches above landings and nosing of stair tread. D o U O - Provide stairs to grade at deck provided for secondary exit door. Stair shall not be less o 1- than 36 inches wide. Maximum rise shall be 8 inches; minimum run shall be 9 inches. = v LL ' Provide a guardrail for landings greater than 30 inches above grade level. Top of w z guardrail shall be not less than 36 inches. Open guardrails shall have intermediate rails or v an ornamental pattern such that a sphere 4 inches in diameter cannot pass through. p F.. z 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 i corrosion resistant material. Ferrous metal members in contact with the earth (unless ■ j 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. RECEIVED CITY OF TUKWILA FILE COPY AUG 21 2002 understand that the Plan Check ap are PERMIT CENTER subject to errors and omissions and app roval of plans does not authorize the violation of an : f # 4 adopted code or ordinance, f �eceipt of con- ,;;,: tractor' 1 opy of app ov- plans acknowled ed. APP CITY (�f 1IK Tt;'�+f�iU� r, Date �� Z 4 ieUIL i F) ` Permit No. I zae, 'bozo zsii -,,,,,,i?tis:,,,,„c,:ii us 1 ..'.t.:.., 1a ...•. :.•... ... ., .. .. rw.i.... - e:.iz' .. xn,An.a.s vmvrv..e.n. .yam.«... ..an • .., w..., w„ v , r...a,•. , ...- ....,...n........ .......... -n.•: a. .x. .. ...., ...... ... .. . .. . .. .... ....•. -., v• tt, • r • • 1 rtRMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D02 -258 DATE: 08 -21 -02 PROJECT NAME: SOUTHGATE MHP — SPACE #33 z SITE ADDRESS: 14005 42 AVENUE SOUTH z X Original Plan Submittal Response to Incomplete Letter # v 0 1 Response to Correction Letter # Revision # _ After Permit Is Issued w = • -J I— U„ W I DEPARTMENTS: g J �{,� c, t.2.2.-07 u.< Bui df ing Division ! Fire Prevention ❑ Planning Division ❑ = d Public Works ❑ Structural Z H ❑ Permit Coordinator F- O Z I— LL' DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 08-22-02 2 D D 0 Complete L' Incomplete ❑ Not Applicable El 0 - ! Comments: = W • I— II. ■ Permit Center Use Only lij Z INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: H H D e artments determined incomplete: Bldg ❑ Fire Ping O p p g ❑ g❑ PW ❑ Staff Initials: Z i • TUES /THURS ROUTING: Please Route [Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 09-19 -02 I Approved ❑ Approved with Conditions ET Not Approved (attach comments) ❑ i Notation: -' `' REVIEWER'S INITIALS: DATE %s <� ' t Permit Center Use Only i, , i CORRECTION LETTER MAILED:te De Departments issued corrections: Bldg ❑ Fire Ping p g ❑ g ❑ PW ❑ Staff Initials: VSPet P Ai Documents/routingslip.doc PERMIT COORD COPY wig 2.28 -02 ` ` `` '��)' ''' `: +}` • /. • • • 4W404 '24644•N PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: • D02 -258 DATE: 08 -21 -02 PROJECT NAME: SOUTHGATE MHP - SPACE #33 a SITE ADDRESS: 14005 42 AVENUE SOUTH re w W V X Original Plan Submittal Response to Incomplete Letter # U o W =. Response to Correction Letter # Revision # _After Permit Is Issued Building Division X Fire Prevention ❑ Planning Division ❑ = d H W = Public Works El Structural ❑ Permit Coordinator El ? I— HO Z I— W DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 08-22 -02 U p Complete Incomplete ❑ Not Applicable ❑ — Comments: = w 0 tL O Permit Center Use Only W N V — , INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: O Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Z TUES/THURS ROUTING: Please Route ❑ 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: }• r r Permit Center Use Only YA CORRECTION LETTER MAILED: Departments issued corrections: Bld ❑ Fire ❑ Ping ❑ P ❑ Staff Initials: tai p g g � a.: ; { {��Jy��H �YU i�J1 !a' Documentslrouling slip.doc ,�4'�`��tiri . ; 2.28 -02 +>' ' f yi, I ' -. PERMIT NO.: D02.• 16•11 , TENANT NAME:5OVIM G ATE MNP 40 3 3 BUILDING PERMITS INSPECTIONS CONDITIONS ❑ 1 Progress Inspection Status • 10001 No changes will be made to the plans unless approved ❑ 2 Pre- construction by the Engineer and the Tukwila Building Division ❑ 3 Investigation ❑ 10002 Plumbing permits shall be obtained through King Co 0 4 OK to Occupy ❑ 10003 Electrical permits obtained through L & I ❑ 5 Remove Stop Work Order ❑ 10004 All mechanical work shall be under separate permit z 0 6 Follow -up • 10005 All permits, insp records & approved plans available ❑ 7 Pre -Move Inspection ❑ 10006 All structural concrete shall be special inspected [� 50 WSEC Residential ❑ 10007 All structural welding shall be done by WABO certified 1 W ❑ 60 WA Ventilation/Indoor AQC inspector QQ ❑ 70 NLEA Inspection/Modular Struct ❑ 10008 All high - strength bolting shall be special inspected J V ❑ 71 Mobile Home Tie Down Insp ❑ 10009 Bolts installed in concrete shall be special inspected U 0 72 Marriage Lines ❑ 10010 When special inspection is required...notify Tukwila 0 g cn 90 Restcel Building Division to W • ❑ 95 Footing Drains ❑ 10011 The special inspector shall submit a final signed report _ Ii_ { ❑ 100 Foundation Footings ❑ 10012 Any new ceiling grid and light fixture installation u- ❑ 200 Foundation Walls • ❑ 10013 Partition walls attached to ceiling grid W ❑ 250 Foundation Insulation ❑ 10014 Readily accessible access to roof mounted equipment 2 ❑ 300 Concrete Slab/Slab Insulation ❑ 10015 Engineered truss drawings & calcs shall be on site Q (0 350 Crawl Space ❑ 10016 Any exposed insulation backing material shall have D 400 Shear Wall Nailing ❑ 10017 Subgrade preparation including drainage, excavation = C5 ❑ 450 Plywood Wall Sheathing ❑ 10018 A statement from the roofing contractor verifying fire I— _ ❑ 500 Roof Sheathing Nailing retardant class of roof Z I— ❑ 525 Plywood Deck Nailing II 10019 All construction to be done in conformance w /approved p j ❑ 550 Exterior Will Sheathing plans Z I— ❑ 600 Masonry Chimney - W W ❑ 610 Chimney Installation/All Types ❑ 10020 Structural observation shall be provided for this project U p • ▪ 700 � Framing ❑ 10021 All food preparation establishments must have King Co w 0 — ❑ 750 Roof/Ceiling Insulation ❑ 10022 Fire retardant treated wood shall have flame spread of p I — ❑ 800 Floor Insulation ❑ 10023 Notify Building Division prior to placing any concrete W 0 801 Wall Insulation . . ❑ 10024 All spray applied fireproofing shall be special inspected M V ❑ 802 Exterior Roof Insulation ❑ 10025 All wood to remain in placed concrete shall be treated W '— ❑ 803 Glazing Inspection 10026 All structural masonry shall be special inspected — 0 Z ❑ 815 Lighting and Controls 10027 Validity of Permit t j j ❑ 900 Suspended Ceiling 10028 Rack storage requires separate permit U ❑ 1000 Interior Wallboard Fastening 0 1-- 0 1001 Exterior Wallboard Fastening ❑ 10030 No occupancy of building until final insp by Bldg Div Z ❑ 1110 Pre -Move Inspection ❑ 10031 Comply with requirements of TMC 16.04 : ❑ 1115 Motor Inspection ❑ 10032 Remove all weeds, concrete, stone foundations, flat 0 1120 Pre -Demo concrete ❑ 1140 Pre - reroof ❑ 10034 Removal of septic tanks require approval and 1400 Final-Fire compliance with King Co Health Dept. 1700 Final - Building ❑ 10035 Contact PW Div to obtain insp for water /sewer connect 1900 Final-Reroof ❑ 10036 Manufacturers installation instructions required on site ❑ 3100 Site Visit 0 4000 Special- Concrete ❑ 10038 A C of O will be required for this permit ❑ 4001 Special-Bolts in Concrete ❑ 10039 Final approval for all TI w /in the limits of the SC Mall ❑ 4001 Special- Mom/Resist Conc Frame ❑ 4003 Special-Reinf Steel Prestress • ' ❑ 10040 All construction noise to be in compliance with 8.2 TMC ❑ 4004 Special Welding ❑ 10041 Ventilation is required for all new rooms & spaces ❑ 4005 Special - High - Strength Bolting ❑ 4006 Special- Structural Masonry ❑ 10042 Fuel burning appliances ❑ 4007 Special- Reinf Gypsum Concrete ❑ 10043 Appliances, which generate # i 0 4008 Special-Lnsulating Conc Fill ❑ 10044 .Water heater shall be anchored ❑ 4009 Special-Spray Fireproofing ❑ 10045 Reroof C ? lillik ❑ 4010 Special- Piling, Piers, Caissons ❑ "Anchorin g — All new construct and substantial ` ❑ 4011 Special- Shotcrcte improvement shall be anchored to prevent flotation" ❑ 4012 Special- Grading, Excav/Fill ! n ' ❑ 4013 Special- Retaining Wall rr rr // �.'; ❑ 4014 Special- Panels Plan Reviewer`— Date 7/v ;r❑ 4015 Special-Smoke Control System L ' ,i1 1 - zz - � z Permit Tech: Date: }.�< . . +: tz r fga . .. .y +... ,. .s.. ...tAt:s N':..tviat. ...ut...,.t •.. wr ..... . w..ni.iwww. » .. ...... ..... ..:. ....Y n n......y -,t _ _ .,.., ... . i , • i t+s s CITY OF TUKWILA Si 4 Z Permit Cente► ' H _4 l %f/ 1.;',..- 0 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 r '`� * ,i = Telephone: (206) 431 -3670 lik- 1906 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION z . STATE OF WASHINGTON ) , i z ss. cc w COUNTY OF KING ) 6 D 0 0 = L ''' ' l - 4, 4 41V D re Soul , states as follows: w w i U) u. 1. 1 have made application for a building permit from the City of Tukwila, Washington. w o 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 Lo.. a Revised Code Washington, a copy of which is printed on the reverse side of this Affidavit. I have Z read or am familiar with RCW 18.27.090. Zo 3. I understand that prior to issuance of a building permit for work which is to be done by any 2 0 contractor, the City of Tukwila must verify either that the contractor is registered by the State of o N co Washington, or that one of the exemptions stated under RCW 18.27.090 applies. o E- w W . 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby ~ P p Y Y p q Y o � attest that after reading the exemptions from the registration requirement of RCW 18.27.090, 1 z consider the work authorized under this building permit to be exempt under No. , and o co will therefore not be performed by a registered contractor. o I 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 7 ._ ;# 4ide,(4a-e---------- PLICANT ti Signed and sworn to before me this ,P ` � � � day of � , 20 OZ-- , . s a o pr „, y _ . „ l i p '' J • c i■- ‘' 611) 1.----, L. , Wci ' `' NOTARY PUBLIC in and for the State of Washington, c , ,:?igiWi ,?. ,,,,,„ .,.. residing at V4 l'- L CV<' County. 1 Name as commissioned: AIL— I' - A/�- -ti1,A ti-,►'� f: �� My commission expires: > - . 1 - Q r ;', 't t AFFCONT 1/13/00 t ^rt r, tz , 1 y , ' , r .'.' .:'t 1 '::. , '..: > ",'..Y. e4 „1 U f t 1 .. ...., ......, .. ,w+.t•r avw. ` AyFANCf. tktut.KMN:Y4`4^.'i.t .. . �.. is .. , 1 j ,