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HomeMy WebLinkAboutPermit D02-277 - SOUTHGATE MOBILE HOME PARK #32 - HANDRAIL AND SKIRTINGSOUTHGATE MHP - #32 14005 42 AV S D02-277 . elf11111144* r `' I ■ • ti 1 r ' t; -t City of Tukwila - i Me • Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 1 DEVELOPMENT PERMIT z Parcel No.: 1610000076 Permit Number: D02 -277 .1.— I . Address: 14005 42 AV S TUKW Issue Date: 09/04/2002 Suite No: Permit Expires On: 03/03/2003 U 0 ' i Tenant: N w I Name: SOUTHGATE MOBILE PARK #32 -I E - Address: 14005 42 AV S, TUKWILA WA N u- w 1 Owner: g 5 Name: ANDERSON CARL AUGUST Phone: IL Address: 10212 NE 43RD, KIRKLAND WA co 0 i w Contact Person: Z H . Name: CARL A ANDERSON Phone: 206 - 439 -1055 H- O I Address: 14005 42 AV S, TUKWILA WA 111 al Contractor: 0 Name: Phone: 0 H Address: , w w Contractor License No: Expiration Date: H U• w0 DESCRIPTION OF WORK: Z PROVIDE HANDRAIL ONE SIDE OF RAMP & STAIRS, LANDING RAIL AT 2ND ENTRANCE. PROVIDE SKIRTING WHERE U N MISSING. 0 Fz- z Value of Construction: $100.00 Fees Collected: $28.00 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 a C j Moving Oversize Load: N Start Time: End Time: ;' ' s: Sanitary Side Sewer: N y Sewer Main Extension: N Private: N Public: N ''r o..74 Storm Drainage: N i"`f >j'i Street Use: N 11 • • Water Main Extension: N Private: N Public: N : F - ' Water Meter: )), e 7 � Channelization / Striping: ; it, , ** Continued Next Page ** k "' F : :_ ; ' . � doc: Devperm D02 -277 Printed: 09 -04 -2002 �. 5i • , ,. .: , . . .. .., ., a : r .'•; . :: A, . •e ''o , . , ,., J ^'.... , ...... , z..zh.SdUSaa , +YY}ay.a 6 . _ . .. .. .. . i. .AT. 81 1 n�. ^�?�' " . s tc . s+w.Y7..av`.tta+ts um+s:. t . . O F' 1 z _ 1 , t :TM�.,; ::tai �. t ,•,. } • e y t�� t • :rr r , e r cl : ' , n `pi doc: Devperm D02 -277 Printed: 09 -04- 2002, -.... „ i ! _ . ,4L& ~ r I a . 7 7��, C it of Tukwila T y Department of Community Development / 6300 Southcenter BL, Suite 1001 Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS z 1 I - . Cr ' CITY OF TUKWILA ��W!u _SR STAFF USE ONLY 8. CITY +�Z; i Permit Center Project Number: kw • ' 6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188 n •a: • i eoe X (206) 431 -3670 Permit Number: IJQ - a / 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/Tena -,_., Value of Construction: Site Address: 1 �rY� City S to /Zip: Tax Parcel Number: . / - L a - 7, � ,U. TO. V 9- / ,ep 7 Property Owne Phon & • Cii,Yf�:f .40x. 0 939 . 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 • = F- C Person: � : ~ W �, Q . , o7z P honeX06 g /03-5._. � 2 Street Address: C G� rV City State /Zip: Fax #: W = A AMM 5s'>rG /n Tl /��- 0 i Description of work to be done: f'' w i pae Ag 6 c74_,1 ie64 ope2,u 5 lout,444 v 1 , I e j e 0 I 09-1/0/-ei&t. u Type of work: ❑ New Single- Family Residence ❑ Addition - Single - Family Residence 2 El Interior Remodel- Single- Family Residence ❑ Residential Accessory Structure* u.. Q ❑ Remodel /Addition to Accessory Structure ❑ Garage(s) to d ,v Deck(s) - Covered & Uncovered ❑ Residential Reroof - = Z'_ 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) sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck D p U Proposed New Square Footage: sq. ft. Dwelling sq. ft. Covered Deck(s) a H sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck w W Z Floor Area Ratio: (total floor area of all structures divided by the area of the lot) F'• LL P - 0 *For an Accessory dwelling, provide the following: Z ui Lot area Floor area of principal dwelling Floor area of accessory dwelling U 2 H � 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 El 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- {', , U , viewed and is subject to possible revision by the Permit Center to comply with current fee schedules. h :. Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall ex- C I 1 ` pire by limitation. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon r 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 1 4 - Date application acce ted: Date a lication ex ires: A lication taken b :initials ' 2 o a o ,ACC/4--- 1 , 1 4 ►.-. PLEASE SIGN BACK OF APPLICATION FORM I r•..4 r SFPERMIT,DOC 2/13/97 !-:,1 T ) '. M4.4 V ' :' 3.1 .• k J t+ . rU e ., • 4, "' ". � Ft i 1W.1 aY.+'{Kr M J \,:'tex'Y. �� _ Sw , ;t• r Y h, re. �C :.: ;.noRy ... . } 'r`h . 1.,r; a , V.. , . x'*. ■ ______ , . . _ .. ._ ■ ALL SINGLE- FAMILY RESIDENTIAL PERMIT APPLICATIONS MUST BE S 'MUTED WITH THE FOLLOWING: ➢ DRAWINGS PREPARED BY 1 ..EGISTERED ARCHITECT OR PROFLAIONAL 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 -11a). 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, z downspouts and foundation drains, and where drains tie -in. re w 7. Parking plan. 6 8. Lowest building elevation (if in Flood Control Zone). —J U 0 9. Estimated /proposed topography at 2' intervals and proposed elevation of lowest floor level. (0 0 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 LL shoreline zone. Of those, identify which are to be removed (Title 18, City of Tukwila Zoning Code). w 0 12. Identify location of high water mark of the Green /Duwamish River if site is located within 200' of the 2 high water mark. 5 13. See Public Works Checklist for detailed site plan i; ,Nation required for Public Works Review (Form u_ H -9). = w I— ❑ ❑ Foundation plan and details z I ❑ ❑ Floor plan z o ❑ ❑ Roof plan ? o ❑ ❑ Building elevations (all views) o ❑ ❑ Building height 0 ❑ ❑ Building cross - section ❑ ❑ Structural framing plans and details necessary to completely describe construction u- p ❑ ❑ Washington State Energy Code Data (Gas/Electric /Oil /Propane/Heat Pump) Form H -15 available z v cn at Permit Center OR Prescriptive Heating System Sizing Chap 9 Form H -6. ❑ ❑ Complete Land Use Applications if not previously submitted (i.e., Reasonable Use Exception, z 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 ". 57 Building Owner /Authorized Agent If the applicant is other than the owner, registered architect/engineer, or contractor licensed : - " - ' _ ; 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. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF 1 PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. 4.I ' , Ij BUILDING OWNER R AUTHOR ENT: 0 7r Signature: Date: ,a/tr Print name: Phone: Fax # : � - Address: City /State /Zip: iva∎ ! SFPERMIT.DOC 2/13/97 p �6Di4} promocovi PnTG"±?k r rr =mtew ;s".S�9R f'f?4ow,A t ltl 3 _ _ , - / - fit, • Cit of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Z b RECEIPT 6 Parcel No.: 1610000076 Permit Number: D02-277 U O o Address: 14005 42 AV S TUKW Status: APPROVED N Suite No: Applied Date: 08/21/2002 Ill w Applicant: SOUTHGATE MOBILE PARK #32 Issue Date: to cu 2a J - - - • z T i z 6 J U I.. N Ca INSPECTION RECORD Q oo . a 77 Lu - Retain a copy with permit -J 1 INSPECTION NO. ' / % RMIT NO W � , O 1 CITY OF TUKWILA BUILDING DIVISION , AO . r 6300 Southcenter Blvd, #100, Tukwila, WA 98188 (206)431 -3670 :: ; t j.� Type of Inspect' , N =� W • do r-ss: / Date called: ~ _ , did D ?�` 1. Spe ial instructions. Date wanted: . r • I :' I 0 E , . , p.m. , � f. w W Reque'ter: C ,Q 0;� r « 1L r • U N . � , i P one: _ O 0 rr �� H ..7� P—& s WW proved per applicable codes. n orrections required prior to approval." - LL 1 COMMEN r—' dot. -JL'-w -- i1\I 0 .. z U = 9 ,0 , o z , . Cif- • -- c' J •t. I i �'�: -‘',;: , el . _ ' Cr\ Insp or: Date: , y' ~ 7 .0 0 RE REINSPECTION FEE UIRED. Prior to in pection, fee m us t .171 must at 300 Southcenter Blvd., Suite 100. Call to schedu reinspection. Re eipSt D te: ;C 7 r .It , ... wt. a r.xt u4 , w vt r x . ..i,Si.4 �4 rW 5 3 n . }�s:t.JV:I .5,,: iF- ict. .� ,<+i� �tM' 64 1 1 I I r - 1•.r J ` � INSPECTION REPORT I understand that the Plan Check approvals are City of Tukwila Building Division subject to errors and omissions and approval of plans does not authorize the violation of any Project: Southgate Mobile Home Park adopted code or ordinance. Receipt of con - Address: 14005 - 42 Avenu South tractor's co py of a pprove d p ac T: Tukwila, WA 98168 Z „.... ,; , Z i Date: July 5, 2002 By d'r O ' Z- q— J U Trailer # 32 Date N o I pat • 271 ww Permit .N w = I . F indings: . ._._ _s_..�..— .,...— .�,,,... CO 9 The primary entrance to this trailer does not meet the egress requirements of the State w o I Building Code, U.B.C. 1003.3.4.4 and 1003.4.5. The secondary entrance is lacking a 2 i stair, landing, handrail and guardrail. Therefore it does not meet egress requirements of u_ Q .f the State Building Code. The foundation skirting is not complete at the perinketoj of N a ` f foundation per WAC 296- 150 -0610. CITY OF TUKWILA _ Z I _ � --u 2 002 AUG 21 ►-o on a ,) Corrections required for compliance: z F- .S t..� F : Provide a ramp with landing at top and bottom. Landing shall have a dim �r►�igr r C ENT R g tu '1 oirV 0 El ° Q measured in the direction of ramp run of not less than 5 -feet. t O 0 ” CO r a Provide a handrail on at least one side of ramp. Top of handrail shall be not less than 34 w w , °° «c, inches nor more than 38 inches above the ramp level. At least one handrail shall extend v a!! I. < ; P 6 12 inches beyond the top and bottom of the ramp run. z a w • €�i 0 11 S 6 P rovi d e stairs to gra at secondary exit door. Stair shall not be less than 36 inches wide. P. Z z w t�, £ Maximum rise shall be 8 inches; minimum run shall be 9 inches z 1— gip 08, . 0 _ ° : s : Provide at least one handrail at stair. Top of handrail shall be placed not less than 34 . 2 „, f 6 inches or more than 38 inches above landings and nosing of stair tread. c.: y Provide a landing secondary exit door. The landing shall not be more than 1 lower than the threshold of the doorway. Stair landing shall have a dimension measured in the direction of travel not less than the width of the stairway. Such dimension need not exceed 36 inches where the stair has a straight run. 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. IV kb , µ `ii ; Provide foundation skirting where missing. Skirting must be made of materials suitable Artl, I for ground contact. Metal fasteners must be made of galvanized, stainless steel or other ,,, 1;u corrosion resistant material. Ferrous metal members in contact with the earth (unless ' unless r • $ galvanized or stainless steel must be coated with an as halt emulsion. All skirtin must ' be recessed behind the siding or trim so as tc€iibt ffalibiditeakbetween the skirting and Ate, �R siding or trim. APPROVED Aft . J;+ AUG 2 6 2 )2 . �t , _ . P.5 �; J i c 11 Doama77 ��r Jai , - ....,...... .... .....F. • •• - �T t_riNG . . . ■ • f PERMIT NO : LI 11 1 TENANT NAME:1001441111 0 It BUILDING PERMITS INSPECTIONS CONDITIONS ❑ 1 Progress Inspection Status i 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 in Co 4 OK to Occupy 0 10003 Electrical permits obtained t I. & I 3 Remove Stop Work Order ❑ 10004 All mechanical work shall be under separate it Z 6 Follow -up . it 10005 All permits, insp records & approved plans available < H 7 Pre -Move Inspection ❑ 10006 All structural concrete shall be special inspected F- W 10007 All structural welding shall be done WABO certified QW 30 WSEC Residential B by CL 60 WA Ventilation/Indoor AQC inspector J 0 a 70 NLEA Inspeetion/Modular Struct ❑ 10008 All high - strength bolting shall be Special inspected — O 71 Mobile a Home Tie Down [rasp ❑ 10009 Bolts installed in concrete shall be special inspected p 72 Marri Lines ❑ 10010 When special inspection is required...notify Tukwila W = 90 Reste Building Division W 95 F ooting Drains ❑ 10011 The special inspector shall submit a final signed report 0 ❑ 100 Foundation Footings ❑ 10012 Any new ceiling grid and light fixture installation W O ❑ 200 Foundation Walls ❑ 10013 Partition walls attached to ceiling grid 2 0 250 Foundation Insulation ❑ 10014 Readily accessible to roof mounted equipment < -- ❑ 300 Concrete Slab/Slab Insulation • ❑ . 1 Engineered truss drawings & ohs shall be on site u. Q [] 350 Crawl Space ❑ 10016 Any exposed insulation backing material shall have u) d ❑ 400 ' Sh ear Wal Nailing ❑ 10017 Subgrade preparation including drainage, excavation I W 450 Plywood Wall Sheathing ❑ 10018 A statement from the roofing contractor verifying fire z � 300 Roof Shathing Nailing retardant class of roof 0 323 Ply Dade Nailing 10019 All construction to be done in conformance wlapproved Z 1- 0 550 Exterior Wall Sheathing Ply u.1 j • 600 Masonry Chimney - 2 ❑ 610 Chimney Installation/All Types ❑ 10020 Structural observation shall be provided for this project t = j N a 700 Framing ❑ 10021 All food preparation establishments must have King Co 0 F- 750 Roof/Ceiling Insulation ❑ 10022 Fire reunion treated wood shall have flame spread of w 800 Floor Insulation ❑ 10023 Notify Building Division prior to placing any concrete = W $01 Will Insulation . 0 10024 All spray applied fireproofing wall be special inspected f— H $02 Exterior Roof Insulation ❑ 10025 All wood to remain in placed concrete shall be treated t!- O ❑ $03 Glazing Inspection ❑ 10026 All structural masonry shall be special inspected ail Z ❑ 815 Lighting and Controls M 11°°2 7 Validity of Permit U N ❑ 900 Suspended Ceiling 0028 Rack storage requires separate permit O H ❑ 1000 Interior Wallboard Fastening Z 1001 Exter Wallboard Fastening ❑ 10030 No occupancy of building until final insp by Bldg Div . 1110 Pre -Move Inspection ❑ 100 Comply with requirements of TMC 16.04 l I l5 M otor Inspec ❑ 10032 Remove all weeds, concrete, stone foundations, flat 1120 Prs - 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 Contract PW Div to obtain insp for water /sewer connect 1900 Final- Reroof ❑ 10036 Manufacturers installation instructions required on site 31® Site Visit 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 Spacial- High - Strength Bolting ' ❑ 4006 Special- Structural Masonry ❑ 10042 Fuel burning appliances v t r rx 4007 Special -Reinf G Concrete 0 10043 Appliances, which generate ; ' � i' .3, 4008 Special- Insulating Conc Fill ❑ 10044 Water heater shall be anchored .p <, z ❑ 4009 Special -Spray Fireproofing ❑ 10045 ..Reroof '; ❑ 4010 Special-Piling, Pi Caissons ❑ "Anchoring — All new construct and substantial L ii o ' cr ete P �' im rovement shall be anchored to prevent flotation" K" ❑ 40l 1 Special- Shot 4012 Special- Grading, Excav/Fill Date: ❑ 1H 4013 Special- Retaining Walt S 1 4014 Special - Panels Plan Reviewer ' ~� ;�:� ❑ 4015 Special-Smoke Control System T . 3 ,r Permit Tech: Date: :�.;k�;��. a, . t I I , - - �. -fir COPY COORD COP Y PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D02 -277 DATE: 08 -21 -02 . PROJECT NAME: SOUTHGATE MHP — SPACE #32 z . SITE ADDRESS: 14005 42 AVENUE SOUTH ,i- w re 2 X Original Plan Submittal Response to Incomplete Letter # v v 0 CI Response to Correction Letter # Revision # _ After Permit Is Issued w = J I- 1 _ N u 0 2 i DEPARTMENTS: g F- Q i Kim 4 ) 0.22 u) Building Division Q Fire Prevention ❑ Planning Division ❑ = d Public Works ❑ Structural ❑ Permit Coordinator Z H I— O Z I— uJ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 08-22-02 2 M Complete L� Incomplete ❑ Not Applicable ❑ D- Comments: IA W . I— I u. Permit Center Use Only j Z li cn INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: U H O Departments determined incomplete: Bldg El Fire ❑ Ping ❑ PW ❑ Staff Initials: Z TUES /THURS ROUTING: Please Route Structural Review Required ❑ No further Review Required ❑ . 1 , REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 09-19-02 Approved ❑ Approved with Conditions R Not Approved (attach comments) ❑ Notation: il REVIEWER'S INITIALS: DATE: t" �ixi Permit Center Use Only CORRECTION LETTER MAILED: 4 ,txs Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW E] Staff Initials: » . . - . Documents routing sllp.doc PERMIT At 2-28-02 . , . , I A l i ::: , : .,. t,, . ..:..... .... .gic.::r; ti .: . &. waw::rs«+ .w.n«e.....,..M•.......,., %.. ..... .. .. ,.. .... ... ,. f i i . • Th ; ,u•A..,, PLAN REVIEW /ROUTING SLIP a , ACTIVITY NUMBER: D02 -277 DATE: 08 -21 -02 PROJECT NAME: SOUTHGATE MHP — SPACE #32 z SITE ADDRESS: 14005 42 AVENUE SOUTH w cc n X Original Plan Submittal Response to Incomplete Letter # v 0 — NO Response to Correction Letter # Revision # _ After Permit Is Issued J = I— Wu_ W O 2 � DEPARTMENTS: g a Building Division Fire Prevention ❑ Planning Division ❑ = a Public Works Structural W ❑ Permit Coordinator = I I — O Z I— WW DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 08-22 -02 U n Complete T Incomplete ❑ Not Applicable ❑ 0 H Comments: W W I- U U. O . Permit Center Use Only tll Z N INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: � I Departments determined incomplete: Bldg ❑ Fire ❑ Ping 1:1 PW ID Staff Initials: Z TUES /THURS ROUTING: Please Route ❑ Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: REVIEWER'S INITIALS: ■C,.e . DATE: , ; : ' .; f ,. . Permit Center Use Only t . CORRECTION LETTER MAILED: " •,t, Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: : ti { , 5 �: i iliPlt: .3 Documents/rouling slIp.doc 2.28.02 ' ?'r ti, j ow. • Ww ---- . - .. .,,'' w 1Pl . CITY OF TUKWILA i . Permit Center H _4 0 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 k '±, _ Telephone: (206) 431 -3670 190 8 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION z . STATE OF WASHINGTON ) z ,1-- attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I - 2 consider the work authorized under this building permit to be exempt under No. ,and o i will therefore not be performed by a registered contractor o �- i z • 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 constructio w• . 1 / ._ . 6r/E(),1") .7 1/6‘114a??---- PLICANT LADA Signed and sworn to before me this :. l e . , - .. 004 0 ' '. ... kfi'` 3/ day of p Ljt 4 / ., 20 OZ % in % ' t./01..‘ ,'. e. () I: . '7� • J rO f J ' : ! '" P .. A _ \ �' NOTARY PUBLIC in and for the State of Washington, , = V V/1, [ 4 CCV4 • County. , y , residing at ;yc, ��_5 ? i .74' AIf' Name as commissioned: �Rt(_ ( JP -P tx ` Q My commission expires: > 'C -0 to AFFCONT 1/13/00 —4 .,.....,..".,..<.,,. ,.i„- ,..,.,.. ., v ,:.,, .,..w »...:.,.r.r:nr. +arnu;•r: Mitt. arratrt K'E':i:;`.9NPfi §.t. i