HomeMy WebLinkAboutPermit D02-279 - SOUTHGATE MOBILE HOME PARK #58 - LANDING AND HANDRAILSOUTHGATE MHP
SPACE 58
14005 42 AV S
D02 -279
( 4 ) � City o f Tukw i l a
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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DEVELOPMENT PERMIT z
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Parcel No.: 1610000076 Permit Number: D02 -279 4.- w
Address: 14005 42 AV S TUKW Issue Date: 09/04/2002 re 2
Suite No: Permit Expires On: 03/03/2003 U O
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Tenant: W =
Na SOUTHGATE MOBILE PARK #58
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Address: 14005 42 AV S, TUKWILA, WA co
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Owner: 2
Name: ANDERSON CARL AUGUST Phone: g Q
Address: 10212 NE 43RD, KIRKLAND WA N D
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Contact Person: ~ w
Name: CARL A ANDERSON Phone: 206 439 -1055 Z
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Address: 14005 42 AV S, TUKWILA, WA W I-
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Contractor: U 0
Name: OWNER AFFIDAVIT - CARL ANDERSON Phone: 0 co
Address: ,
Contractor License No: Expiration Date: Z w .
DESCRIPTION OF WORK: t L 0 0
PROVIDE A LANDING AT PRIMARY ENTRYA ND HANDRAIL; SECURE 2ND ENTRY STAIRS AND LANDING tii co
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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 t
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: (L
Sanitary Side Sewer: N ,,, , ,. <
Sewer Main Extension: N Private: N Public: N Tr,
Storm Drainage: N 4
Street Use N + § � .,
Water Main Extension: N Private: N Public: N 1. i7r V
Water Meter:
Channelization / Striping: i , }�%
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doc: Devperm 002 -279 Printed: 09 -04 -2002
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L?ft) City of Tukwil a
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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Permit Center Authorized Signature: ' / - � r2e7�Clii Date: 9 y oz • W
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6 I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and
ordinances governing this work will be complied with, whether specified herein or not. 0 O
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co The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws H
regulating construction r the perfor nce o f ork. I am authorized to sign and obtain this development permit. co
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Signature: _,/,, D 9-0r - }}
Print Name: = Cl
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This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is
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suspended or abandoned for a period of 180 days from the last inspection. z i --
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4 Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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PERMIT CONDITIONS a
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Parcel No.: 1610000076 Permit Number: D02-279 Q g .
Address: 14005 42 AV S TUKW Status: ISSUED ul =
Suite No: Applied Date: 08/21/2002 U 0
Tenant: SOUTHGATE MOBILE PARK #58 Issue Date: 09/04/2002 co 0
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1: ** *BUILDING DEPARTMENT * ** W O
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 2 �.
3: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any construction. These 4
documents are to be N D
I maintained and available until final inspection approval is granted. z w
4: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as ~ z
amended, Uniform Mechanical Code z }- 1 (1997 Edition), and Washington State Energy Code (1997 Edition). Z 0
I 5: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be construed to be a 2 n ui
permit for, or an approval
of, any violation of any of the provisions of the building code or of any other ordinance of the jurisdiction. No permit presuming to o
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give authority to violate
or cancel the provisions of this code shall be valid. = v '
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I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances U = :,
governing this work will be complied with, whether specified herein or not. F.: ~
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The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws V
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Signature: / • / I Date: 9 L-C r L-C
Print Name:
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doc: Conditions D02 -279 Printed: 09 -04 -2002 -° t}
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'"'' CITY OF TU'WILA 1
a J �.�.w,, i f . FOR STAFF USE ONLY
. ��' �2 Pe rm it Center
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• % ;� 6300 Southcente Blvd., Suite 100, Tukwila, WA 98188 flt �' reoe (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/Tenarar a G � / "cam NIL/ ; Value of Construction -4. Site Address: Cit S to /Zip: Tax Parcel Number: ■
/ - la :-:•''' ..g .___ Tcp„Trij a d Property Owne ' Phone:
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Street Address: 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
Contact Person: P hone: F" W
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Street Address: ( GG'CP City State /Zip: Fax #: w =
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Description of work to be done: / , f, p w H
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Type of work: ❑ New Single - Family Residence ❑ Addition - Single - Family Residence 2 h-
❑ Interior Remodel- Single - Family Residence • El Residential Accessory Structure' u_ Q
El Remodel /Addition to Accessory Structure El Garage(s) c d
A I Deck(s) - Covered & Uncovered ❑ Residential Reroof 1- i
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Is this site served by: ❑ Sewer ❑ Septic (King County Health Dept. approval required - 296 - 4722) O
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 o
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Proposed New Square Footage: sq. ft. Dwelling sq. ft. Covered Deck(s) 0 H
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) t-
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*For an Accessory dwelling, provide the following: iii Z
Lot area Floor area of principal dwelling Floor area of accessory dwelling 0
' Provide documentation that shows the principal owner lives in one of the dwellings as his or her primary residence. Z I-
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):
El 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- :e, 1
viewed and is subject to possible revision by the Permit Center to comply with current fee schedules.
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Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall ex- I
pire by limitation. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon f�
written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall :r .
be extended more than once.
Date application accepted: - Date appli expires: Application taken by: (initials) i
t'•Z /•oi 2•2/•03 SA'S 1 1 1 1 1
PLEASE SIGN BACK OF APPLICATION FORM f� -..... ai l
SFPERMIT.DOC 2/13/97 ( I vo "
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ALL SINGLE- FAMILY RESIDENTIAi_,PERMIT APPLICATIONS MUST BE SI-, MITTED WITH THE FOLLOWING:
➢ DRAWINGS PREPARED BY EGISTERED ARCHITECT OR PROF`.,SIONAL ENGINEER MAY BE
REQUI f EgB�1�3 I i E.BIILDING OFFICIAL
ALL adRXV{�ING' HAtL 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-
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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. w
7. Parking plan.
8. Lowest building elevation (if in Flood Control Zone). v o
9. Estimated /proposed topography at 2' intervals and proposed elevation of lowest floor level. c o
10. Identify location of sensitive areas slopes 20% or greater, wetlands, watercourses and their buffers. 111 =
11. Identify location and size of significant trees that are located in sensitive areas and buffers or the u _
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
high water mark. g ,_,
13. See Public Works Checklist for detailed site plan information required for Public Works Review (Form
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H -9) .
❑ ❑ Foundation plan and details z I-
❑
in Floor plan z O
❑ ❑ Roof plan g uj
❑ ❑ Building elevations (all views) r
❑ ❑ Building height o I-
❑ CI Building cross - section 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
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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 ". � .i'�.,,;,
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
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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
PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHOR ED GENT:
Signature: "fie .,, }� Date: ' �' '.
Print name: 6i - G�� Phone: Fax #: ■
Address: City /State /Zip: �+i►,
SFPERMIT.DOC 2/13/97
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6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 '
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RECEIPT : ,_ Z '.
j Parcel No.: 1610000076 Permit Number: D02 -279 U O
Address: 14005 42 AV S TUKW Status: APPROVED u) 0
Suite No: Applied Date: 08/21/2002 al _
Applicant: SOUTHGATE MOBILE PARK #58 Issue Date: N
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Receipt No.: R020001308 Payment Amount: 28.00 g -
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Initials: SKS Payment Date: 09/04/2002 09:38 AM = Z d
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User ID: 1165 Balance: $0.00 . H _
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! Payee: CARL ANDERSON
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TRANSACTION LIST: a H
Type Method Description w W
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Amount I
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1 Payment Check 2411 28.00 W 0 Z
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Description Account Code
I . • Current Pmts
BUILDING - RES 000/322.100 23.50
STATE BUILDING SURCHARGE 000/386.904 4.50
Total: 28.00
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INSPECTION RECORD
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INSPECTION NO. i )
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CITY OF TUKWILA BUILDING DIVISIO I t'd° "
6300 Southcenter Blvd., #100, Tukwila, WA 981 88 (206)431-3670 ' 2
l'oject: Type of Ins ection: g 5
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Address: 4agal 5 , Date ailed: - I
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Special Instructions: Date'Wanted: .m.a )
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A pproved per applicable codes. E:i Corrections required prior to approval. , I-•
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$47.00 RE1NSPE ON FEE REQUIR(D. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ft, ,, A i ty t
Receipt No Date:
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INSPECTION NO. IT •. U) u.
CITY OF TUKWILA BUILDING DIVISION �'
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6300 Southcenter Blvd, #100, Tukwila, WA 98188 (206)431 -3670 J
: Sr-5x Type of Inspec d eV Date called: F- _
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Speci instructions: Date wanted: ,m Z O
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D f k . R equester Y / /A� /��(/ O c D 1 ?5 ---1b o � WW 'I L Approved per applicable codes. • required prior to approval. . H ..
COMMENTS: — Z
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Inspe .r: Date. . .
E • 7.00 ' EINSPECTION FEE R ' UIRED. Prior to inspec ion, fee must be paid '
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at 6300 .outhcenter Blvd., Suite 00. Call to schedule r:'nspection. . t Pe 4e ' . ,,
Re,-i.t NO. Date: . �
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4 1! •� .1', City o Tukwila y j GI ; of Steven M. Mullet, Mayor
t b�dt. , . - Department of Community Development Steve Lancaster, Director ,
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April 7, 2003 ' f Z
Carl Anderson J U
14005 42 Avenue South. cn 0 0
Tukwila, WA 98168 N W
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RE: Permit Application No. D02 -279 to LL
14005 42 Avenue South - Space 58 W 0 .
i Dear Permit Holder: g ,,
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In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila cD d
j Building Division. Per the Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the = W
I Building Official under the provisions of this code shall expire by limitation and become null and void if the I I.
building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if Z !—
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
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Based on the above, you are hereby advised to: U 0
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• Call the City Of Tukwila Permit Center at (206) 431 -3670 to arrange for the next or final
inspection. = W
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This inspection is intended to determine if substantial work has been accomplished since issuance of the permit 0
or last inspection; or if the project should be considered abandoned.
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If such determination is made, the Building Code does allow the Building Official to approve a one -time H t .
extension up to 180 days. Extension requests must be in writing and provide satisfactory reasons why Z ~
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 May 25, 2003, .
your permit will become null and void and any further work on the project will require a new permit and ,
associated fees. .
Thank you for your cooperation in this matter.
Sincerely,
..........32-a-e—ea:-----Vilaert-c:e.--4.. .
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Stefania Spencer
Permit Technician .
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Xc: Permit File No. D02 -279 k
Bob Benedicto, Building Official ..:,: ,�i'�. Y
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6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax 206 - 431 -3665 L ' <<
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PLAN REV iti ' f LI
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ACTIVITY NUMBER: D02 -279 DATE: 08 -21 -02
. PROJECT NAME: SOUTHGATE MHP - SPACE #58 z .
SITE ADDRESS: 14005 42 AVENUE SOUTH w
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X Original Plan Submittal Response to Incomplete Letter # v 0 0
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Response to Correction Letter # Revision # _ After Permit Is Issued w H
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DEPARTM N4: G 8.'2:2
Building DI Ision ❑ Fire Prevention
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Public Works ❑ Structural Z III
❑ Permit Coordinator
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I DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 08-22 -02 2 Q
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Complete Er Incomplete Not Applicable 1: O co
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Comments: tit W
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Permit Center Use Only ti• Z
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: V =
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Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW E] Staff Initials: Z
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TUES /THURS ROUTING:
Please Route 2 Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 09-19 -02
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Approved 121 Approved with Conditions 11Y( Not Approved (attach comments) ❑
Notation: pi < n
REVIEWER'S INITIALS: DATE: ',.
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Permit Center Use Only ;
CORRECTION LETTER MAILED: -
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: f;.
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PERMIT OO OP p :
Documents/routing sllp.doc
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4)'.W hi CITY OF TUKWILA 1 .
R ,. s Permit Cente,
6 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
'` ' Telephone: (206) 431 -3670
1908
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
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STATE OF WASHINGTON ) ' a •
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COUNTY OF KING ) 6 m
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• -'�� 4 4 4 /I/D IZ N S , states as follows: w i
i 1. I have made application for a building permit from the City of Tukwila, Washington.
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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 = a
j Revised Code Washington, a copy of which is printed on the reverse side of this Affidavit. I have f- z
read or am familiar with RCW 18.27.090. 1- o
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3. I understand that prior to issuance of a building permit for work which is to be done by any 2 D
contractor, the City of Tukwila must verify either that the contractor is registered by the State of o N
( Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 0 f-
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4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby I
I attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I LL O
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I consider the work authorized under this building permit to be exempt under No. , and lb w
will therefore not be performed by a registered contractor. o 1
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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 construction w. . •
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PLICANT
y,D4...41. r Signed and sworn to before me this
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; ,;,� 4 NOTARY PUBLIC in and for the State of Washington, CO
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residing at [
Name as commissioned: ( r).At.l A ' 't %
My commission expires: > ^� r ,; ' ' AN. {
AFFCONT 1/13/00 W.
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