HomeMy WebLinkAboutPermit D02-315 - BOYD RESIDENCE - BATHROOMI!
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BOYD RESIDENCE
14246 57 AV S
D02-315
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Department of Community Development 16300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
DEVELOPMENT PERMIT Z
Parcel No.: 3365900670 Permit Number: D02 -315 ~ w
Address: 14246 57 AV S, TUKWILA WA U) U.
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Owner: g 5
Name: BOYD RANDALL L + JILL M Phone: ti
Address: 14246 57TH AVE S, TUKWILA WA N d
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Contact Person: I ,
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Name: RANDY BOYD Phone: 206 - 242 -4564 I - 0
Address: 14246 57 AV S, TUKWILA WA W ~
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Contractor: 0 co co
Name: OWNER AFFIDAVIT - BOYD, RANDALL Phone: 206 242 -4564 0 i
Address: 14246 57 AV S, TUKWILA, WA w u
Contractor License No: Expiration Date: H
DESCRIPTION OF WORK: Z
REMODEL EXISTING BATH. CHANGE OUT FIXTURE, REPLACE DDRYWALL & FLOOR. REPLACE & RELOCATE EXTERIOR 0 N
WINDOW IN SOUTH WALL. NO CHANGES TO ELECTRICAL OR PLUMBING. O H -
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Value of Construction: $1,200.00 Fees Collected: $78.50 .1
Type of Fire Protection: Uniform Building Code Edition: 1997 \
Type of Construction: Occupancy per UBC: 0007 .
Public Works Activities:
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Curb Cut/Access /Sidewalk/CSS: N
Fire Loop Hydrant: N Number: 0 Size (Inches): 0 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 4 54 :,
Moving Oversize Load: N Start Time End Time: ` v a ?
Sanitary Side Sewer: N - .,
Sewer Main Extension: N Private: N Public: N • y
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Storm Drainage: N ' � °''
Street Use: N
Water Main Extension: N Private: N Public: N s ` , , •� ` s ,
Water Meter:
Channelization / Striping: ft.?, `
** Continued Next Page ** °`. 3=
doc: Devperm D02 -315 Printed: 10- 14- 2002t:r
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( City of Tukwila
Department of Community Development 1 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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Permit Center Authorized Signature: 6 . 6'ke-« k t Date: ld "4 ' _ E
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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 6
ordinances governing this work will be complied with, whether specified herein or not. U O
The granting of this permit does not presume to give a hority to violate or cancel the provisions of any other state or local laws w =
regulating construction or the mance of w. . authorized to sign and obtain this development permit. J F
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Signature: Date: ID " \' _ OD—
Print Name: � - - � �`-f 2 d
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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 Z
suspended or abandoned for a period of 180 days from the last inspection. Z O
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doc: Devperm D02 -315 Printed: 10-14-2002
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� City of Tukwila
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Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
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Parcel No.: 3365900670 z
06 0 Permit Number: D02-315 w
Address: 14246 57 AV S TUKW Status: ISSUED ¢
1: ** *BUILDING DEPARTMENT CONDITIONS * ** 0 LL.
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. w 0
3: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any construction. These
documents are to be U <
maintained and available until final inspection approval is granted. co CI
4: Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear identification H w
showing the fire performance z F „
rating thereof. i — 0
5: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as w I--
amended, Uniform Mechanical Code 2 D
(1997 Edition), and Washington State Energy Code (1997 Edition). U O
6: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be construed to be a N
permit for, or an approval O F= 11.1 u j
of, any violation of any of the provisions of the building code or of any other ordinance of the jurisdiction. No permit presuming to H U '
give authority to violate u_ ~ O
' ; or cancel the provisions of this code shall be valid. — Z
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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
governing this work will be complied with, whether specified herein or not. S S
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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 I
regulating construction or the •erformance of w rk.
Signature: . . . 0 1 ! Date ! D 1 9 --02
Print Name: �' pr.,.p,`{ DD? rm
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doc: Conditions 002 -315 Printed: 10 -14 -2002 p 4,, ti
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.0 .CITY OF TW WILA • R STAFF USE ONLY
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ti; � ,� 9, Permit Center
,. -� Project Number:
a 4 6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188 DM 315
18A 0 (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/Tenant: V lue of Const uction:
E D O`) F> ► ;Fa rE-a )
Site Address:
� City State /Zip: Tax Parcel Number:
- .`1.( -F (o - .� - � � - - R) {',.,) i,, c, I L,` x 7> ?_ r ` ct c - C.„, -- )c) 1
Property Owner Phone:; ()■d • :�..•i .7. Lis' U4 „i e c '
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Street Address: City State /Zip: Fax #:
Contractor: Phone:
O\.,J tJ C: _Q_ . .
Street Address: City State /Zip: Fax #:
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Architect: Phone:
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Street Address: City State /Zip: Fax #:
Engineer: Phone:
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Street Address: City State /Zip: Fax #: Q
Contact Person: Phone: �_ OL, al.1 -. LI 5 - 6 Li 1lr.�,-.,� 1— w
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Street Address: City State /Zip: Fax #: 9 0
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Description of work to be done: M . v _ E ;S- - I — i,,,7 1 73 - - L�:, \,■:4,1 �� r;
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�� ,p�a�- Vi WIND- k FLDoa . � ,.A 1 � 2ELCO T J .g5- (Uo-p..- 1, i v .% Dti ; So c ., ps 0 0) 0
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Type of work: ❑ New Single - Family Residence ❑ Addition - Single - Family Residence c
® Interior Remodel- Single - Family Residence ❑ Residential Accessory Structure* )' Q
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❑ Remodel /Addition to Accessory Structure ❑ Garage(s) E U d
❑ Deck(s) - Covered & Uncovered 71 Residential Reroof h = - _
Is this site served by: Cl Sewer r3 Septic (King County Health Dept. approval required - 296 -4722)
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Existing Square Footage for Structure: �OC)C) sq. ft. Dwelling sq. ft. Covered Decks) 0 H W w
sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck U o co
Proposed New Square Footage: -OL:5O sq. ft. Dwelling sq. ft. Covered Deck(s) 0
sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck tu W
Floor Area Ratio: (total floor area of all structures divided by the area of the lot) • , I N
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*For an Accessory dwelling, provide the following: Z
Lot area Floor area of principal dwelling Floor area of accessory dwelling f` U
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* Provide documentation that shows the principal owner lives in one of the dwellings as his or her primary residence. C) 0 1-
i:=: ::: -.. , ` APPLICANT,REQUEST FOR PUBLIC WORKS SITE/CIVIL PLAN REVIEW OF THE FOLLOWING:
(Additionat reviews #hall be determined by the Public Works Department)
❑ Channelization /Striping ❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s): 3
❑ Flood Control Zone ❑ Hauling ❑ Land Altering: 0 Cut cubic yds. 0 Fill cubic yds.
El Moving an Oversized Load: Start Time: End Time:
❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public
El 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-
subject to possible revision by the Permit Center to comply with current fee schedules. t
viewed and is sub
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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- r , r.'
pire by limitation. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon ! - .
written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall
be extended more than once. II rill
Date application accepted: Date application expirqs: Application taken by: (initials) i ?env Ism
PLEASE SIGN BACK OF APPLICATION FORM [ ”"
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SFPERMIT.DOC 2/13/97
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ALL SINGLE - FAMILY RESIDENT! PERMIT APPLICATIONS MUST BE - - MITTED WITH THE FOLLOWING:
➢ DRAWINGS PREPARED BY r, REGISTERED ARCHITECT OR PROI-...SSIONAL ENGINEER MAY BE
RG9UI ED py .T, iEIBUILDING OFFICIAL
➢ A t 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.
❑ in 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:
❑ i!4 X 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.
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 -J F-
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
high water mark. g 5
13. See Public Works Checklist for detailed site plan information required for Public Works Review (Form
H -9). = w
❑ ❑ * plan and details z
C:1 r A Floor plan z
❑ ❑ Roof plan 2 o
❑ ❑ Building elevations (all views) 0 w
CI Building height 0 -
❑ ❑ Building cross - section S� Ek 1 2 uj
❑ r � uctural framing plans and details necessary to completely describe construction LI 0
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❑ ❑ Washington State Energy Code Data (Gas /Electric /Oil /Propane /Heat Pump) Form H -15 available v
at Permit Center OR Prescriptive Heating System Sizing Chap 9 Form H -6. i
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❑ ❑ 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
Building Owner /Authorized Agent If the applicant is other than the owner, registered architect/engineer, or contractor licensed t ' , ; 1 `
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. .Ni •
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF
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PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. : '
BUILDING OWNER OR AUTHORIZED AGENT: r ear Ina
Signature: - /� Date:
Print name: ne: Pho Fax #:
Address: City /State /Zip: , IL I
SFPERMIT.DOC 2/13/97
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1 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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RECEIPT ,_ W .
1 1 Parcel No.: 3365900670 Permit Number: D02 -315 0 0
i Address: 14246 57 AV S TUKW Status: PENDING
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Suite No: Applied Date: 10/01/2002
Applicant: BOYD RANDALL L + JILL M Issue Date: a u
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Receipt No.: R020001437 Payment Amount: 78.50 g Q .
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. Initials: KAS Payment Date: 10/01/2002 04:11 PM = a
User ID: 1684 Balance: $0.00 Z =
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I{ Payee: RANDY BOYD W Lu
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1 TRANSACTION LIST: 0 H
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1 Amount I- �
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I Payment Check 2743 78.50 W Z
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I ACCOUNT ITEM LIST: z
1 Description Account Code -
j Current Pmts
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BUILDING - RES 000/322.100 44.85
1 PLAN CHECK - RES 000/345.830 29.15
1 STATE BUILDING SURCHARGE 000/386.904 4.50
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Total: 78.50
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doc: Receipt Printed: 10 -01 -2002
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INSPECTION RECORD
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INSPECTION NO. PERMov 0
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CITY OF TUKWILA BUILDING DIVISION "*".
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6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 u. <
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Address: Date Called:
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D $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 1, 4 1,? 7 1
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INSPECTIO NO. PERM. i U) O
CITY OF TUKWILA BUILDING DIVISION . 'l r'a 2
6300 Southcenter Blvd., #100, Tukwila, WA 98188 ( 06 431 -3670
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1 Ei $47 REINSPECTIO EE REQUIRED Prior to ins fee must be $`ji �'°
I paid at 6300 Southce ter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.: Date: "�.
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4 INSPECTION NO. PERMI ') 1 '— 0
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6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 g Q
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El $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be r.� fi >, nf; ,
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. rfia
Receipt No.: Date:;
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CTION NO. P E R ' T N• W
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CITY OF TUKWILA BUILDING DIVISION All - n LL
6300 Southcenter Blvd., #100, Tukwila, WA 98188 20:)431 -3670 W 0
Pro j,ee.ct: Type of Inspe tion:.
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INSPE ION NO. PER, . O/ w
CITY OF TUKWILA BUILDING DIVISION • l �' < 5
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 u_ <
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$47.00 REINSPECT! F R Pr to inspection, fee must be ■
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` `� INSPECTION NO. P T O. ' W 0
', CITY OF TUKWILA BUILDING DIVISION ' -'4
Special Instructions: Date Wanted:l / �y :d�resil f Z g
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Approved per applicable codes. El Corrections required prior to approval. I IL — ~O
COMMENTS: W Z
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ig $47 10 REINSPECTION FEE R - • UIRED. Prior to in . • ction, fee must be ;,.- ,,��
pa'. at 6300 Southcenter Blvd., Suite 100. Call t schedule reinspection. . '.
Re eipt No Date: ;,,, ,, ,
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, Ei $47.00 REINSPECT' • FEE REQUIRED. Prior to inspection, fee must be
paid at b300 Southcenter Blvd., Suite 100. Call to schedule reinspection. , Ila ,
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r_.• • .\ ' f City of Tukwila
,, :- _. _ .� o, � e 4 0 Steven M. Mullet, Mayor
s . -II,) !al ; Department of Commnity Development Steve Lancaster Director :
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■ July 3, 2003 = W
Xc: Permit File No. D02 -315 S ,
Bob Benedicto, Building Official ; rg; ' ;' °'"
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6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 -431 -3665 LP; ti
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PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D02 - 315 DATE: 10 -01 -02
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PROJECT NAME: Boyd Residence Z •
SITE ADDRESS: 14246 57 Ay S � w
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DEPARTMENTS: 2 —
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Building Division Fire Prevention • Planning Division I = Cl
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Public ks 10131 A Structural n Permit Coordinator pr z E-
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DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 10-03-02 v a
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Complete Incomplete I I Not Applicable u w w ,
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Comments: H o
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Permit Center Use Only O F = - --
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Z .
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROUTING:
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Please Route 7 Structural Review Required Ti No further Review Required I I ■
REVIEWER'S INITIALS: DATE:
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APPROVALS OR CORRECTIONS: DUE DATE: 10
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Approved I I Approved with Conditions Not Approved (attach comments) , , i ° :i
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Notation: U3
REVIEWER'S INITIALS: DATE: ' ssy'
Permit Center Use Only {l „, 1 # r.
CORRECTION LETTER MAILED: 1,4:6;2
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Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: AIWA
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�J'.'`W : CITY OF T' "'�WILA I -- 4
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I " ' 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
'`�' Tele hone: 206 431 -3670
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AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
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STATE OF WASHINGTON ~ Z
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COUNTY OF KING ) -1 o
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1. I have made application for a building permit from the City of Tukwila, Washington. 2
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I 2. I understand that state law requires that all building construction contractors be registered with the N d
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the i
Revised Code Washington, a copy of which is printed on the reverse side of this Affidavit. I have ? t-
read or am familiar with RCW 18.27.090. z 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 m o
c the City of Tukwila must verify either that the contractor is registered by the State of o
Washington, or that one of the exemptions stated under RCW 18.27.090 applies. w w
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4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby L- r:
attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I w z
consider the work authorized under this building permit to be exempt under No. I , and S
will therefore not be performed by a registered contractor. z E-
I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to
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engage an unregistered contractor to perform construction work.
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APPLICANT
s �GE A. D � - 7 " I
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Signed and sworn to before me this
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i �� �? 1 ��i / day of OC.fo he r' , 20 02 - .
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NOTARY PUBLIC id f r th S tate o f WAS - ,.,. •-.
residing at A 1 h3 County. .
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• Name as commissioned: A1•ice Y L,"►''
My commission expires: 6 "I 6
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18.27.090 Exemptions. This chapter s,111 not apply to:
1. An authorized representative of the United States of the operation is made into contracts of amounts
Government, the State of Washington, or any less than $500 for the purpose of evasion of this
incorporated city, town, county, township, irrigation chapter or otherwise. The exemption prescribed in
district, reclamation district, or other municipal or this subsection does not apply to a person who
political corporation or subdivision of this state; advertises or puts out any sign or card or other
device which might indicate to the public that he is a
2. Officers of a court when they are acting within the contractor, or that he is qualified to engage in the
scope of their office; business of contractor;
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3. Public utilities operating under the regulations of the 10. Any construction or operation incidental to the i z
utilities and transportation commission in construction and repair of irrigation and drainage w
construction, maintenance, or development work ditches of regularly constituted irrigation districts or 6 D
incidental to their own business; reclamation districts; or to farming, dairying, v 0
agriculture, viticulture, horticulture, or stock or poultry co 0
4. Any construction, repair, or operation incidental to the raising; or to clearing or other work upon land in rural w z
d iscovering or producing of petroleum or gas, or the districts for fire prevention purposes; except when CD
drilling, testing, abandoning, or other operation of any any of the above work is performed by a registered w 0
p etroleum or gas well or any surface or underground contractor;
mine or mineral deposit when performed by an owner g
or lessee; 11. An owner who contracts for a project with a w
registered contractor; =d F- W
5. The sale or installation of any finished products, z s
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materials, or articles of merchandise which are not 12. Any person working on his own property, whether i— p
actually fabricated into and do not become a occupied by him or not, and any person working on z I "
permanent fixed part of a structure; his residence, whether owned by him or not but this 2 D
exemption shall not apply to any person otherwise v N
6. Any construction, alteration, improvement, or repair covered by this chapter who constructs an o j
of personal property, except this chapter shall apply improvement on his own property with the intention uL u
to all mobile /manufactured housing. A and for the purpose of selling the improved property; i v
mobile /manufactured home may be installed, set up, u- 0
or repaired by the registered or legal owner, by a 13. Owners of commercial properties who use their own ui z
contractor licensed under this chapter, or by a employees to do maintenance, repair, and alteration v
mobile /manufactured home retail dealer or work in or upon their own properties; 0 i—
manufacturer licensed under chapter 46.70 RCW; z
14. A licensed architect or civil or professional engineer
7. Any construction, alteration, improvement, or repair acting solely in his professional capacity, an
carried on within the limits and boundaries of any site electrician licensed under the laws of the state of
or reservation under the legal jurisdiction of the Washington, or a plumber licensed under the laws of '
federal government; the state of Washington while operating within the . .
boundaries of such political subdivision. The
8. Any person who only furnished materials, supplies, or exemption provided in this subsection is applicable
equipment without fabricating them into, or only when the licensee is operating within the scope
consuming them in the performance of, the work of of his license;
the contractor;
15. Any person who engages in the activities herein
9. Any work or operation on one undertaking or project regulated as an employee of a registered contractor • `;, .'
by one or more contracts, the aggregate contract with wages as his sole compensation; - ; , V r°, , l
price of which for labor and materials and all other �'.��!,, t
items is less than $500, such work, or operations 16. Contractors on highway projects who have been r
being considered as of a casual, minor, or prequalified as required by chapter 13 of the Laws of ` : ,
inconsequential nature. The exemption prescribed in 1961, RCW 47.28.070 with the department of r.', ``""
this subsection does not apply in any instance transportation to perform highway construction, „.
onstruction, wit ':, ,t
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wherein the work or construction is only a part of a reconstruction, or maintenance work. 'cw.� %- �;4 ';' e
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larger or major operation, whether undertaken by the '.
same or a different contractor, or in which a division 1.., `'` 'J'
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