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HomeMy WebLinkAboutPermit D02-332 - GARCIA / GUTIERREZ RESIDENCE - SHEET ROCKD02 -332 GARCIA /GUTIERREZ RESIDENCE 3826 So. 130th St. EXPIRED DESCRIPTION OF WORK: u- 0 REMOVING AND REPLACING SHEET ROCK IN LIVING ROOM, KITCHEN, AND TWO BEDROOMS AND CEILINGS. REMOVING iii AND NOT REPLACING FACADE IN KITCHEN. U c . O I- z Value of Construction: $500.00 Fees Collected: $43.28 Type of Fire Protection: N/A Uniform Building Code Edition: 1997 Type of Construction: Occupancy per UBC: 0007 1 i Public Works Activities: I ► Curb Cut/Access /Sidewalk/CSS: Fire Loop Hydrant: Number: 0 Size (Inches): 0 ' Flood Control Zone: Hauling: Start Time: End Time: Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y. . -_ _ Landscape Irrigation: ' ak >." Moving Oversize Load: Start Time: End Time: t ` i '. Sanitary Side Sewer: M t f' Sewer Main Extension: Private: Public: Vt nx 4' Storm Drainage: %t Street Use: Water Main Extension: Private: Public: :00,14,4 Water Meter: i =. i' ri .. , Channelization / Striping: 1 N44 . y . ** Continued Next Page ** ' s doc: Devperm D02 -332 Printed: 11 -07 -2002 i- " � ' d' ' . ra,, . vtln it • tt. kto Ci ) ty of I 1 k 1 a ism y Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature: /, ri1�j,{�1'U Date: � C( /1 - 7 'DI , !� Z �w 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. -J 0 c am . The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws w ILI regulating construction or the performance of work. I am authorized to sign and obtain this development permit. H Signature: ( v� � � �� �, Date: 1 —� - G o. g J Print Name: C v, -�-c,, C - - z ��� C:( d Hw . 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. f_ o z E--. LIJ w : p U 0 I— w t- w z U } z L doc: Devperm D02 -332 Printed: 11 -07 -2002 { Ipj r � City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS z Parcel No.: 7345600985 Permit Number: D02 -332 �I- z Address: 3826 S 130 ST TUKW Status: ISSUED iv W Suite No: Applied Date: 10/31/2002 Tenant: GARCIA/GUTIERREZ RESIDENCE Issue Date: 11/07/2002 0 CO 1: ** *BUILDING DEPARTMENT CONDITIONS * ** v� LL 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. . LU 0 3: Plumbing permits shall be obtained through the Seattle -King County Department of Public Health. Plumbing will be inspected by that agency, including all gas piping (296- 4722). 5 4: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical co work will be inspected by that agency (206- 835 - 1111). = w 5: All mechanical work shall be under separate permit issued by the City of Tukwila. z 6: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any O construction. These documents are to be maintained and available until final inspection approval is granted. Z I- 7: Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear g identification showing the fire performance rating thereof. 0 8: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 O CO Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). 0 H 9: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be 2 W construed to be a 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 give authority to violate or cancel the provisions of this O code shall be valid. il.i z I z 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. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. • r Signature: C � Date: l- — 2 - Print Name: C 1 ` ;µ yy ;I doc: Conditions D02 -332 Printed: 11 -07 -2002 3 9m I..+t.��1��11M 11 I I�rII�I - �, 411 'A''•`` s CITY OF T'-'KWILA FOR STAFF USE ONLY -�;,� v a ft Permit Cente Project Number: i3 6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188 ~-}., 2 � l e" X (206) 431 -3670 Permit Number: � J .J 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 ame/Tenant: Value of Construction: _' l CIA i, i i c1 1 c t o . CC) • C) Site Addresses C �` City State /Zip: , Tax Parcel Number: `? � „ 7 L `� t o 1 (_� �� 1 L \ <V 1 I C1 \4,0 r(.� )F �'{ 7-- ii (:6 '” (,) fS':3 Property Ovqr: Phone: Street Address: City State /Zip: Fax #: Contractor: i Phone: A/4 h < .ti' J l i CVCa \f c'`` Street Address: L City State /Zip: Fax #: ?7 7 1.,m � -?) (p Architect: Phone: Street Address: City State /Zip: Fax #: Engineer: Phone: ' Street Address: City State /Zip: Fax #: Q • 1-Z Contact rson: Phone: Ce W , , ye_ 7 ?5`.3 Street Ad5fresss: ` C 1 v �� City State /Zip: Fax #:.-7 (., 4, 5 •- c S cog 5j V Q �% to u) W ■ Description of work to be done: uJ i U) U_ .7;i I r-\ c ( ip s6 -� K v`(et ( k w Type of work: ❑ New Single-Fam4 Residence ❑ Addition - Single - Family Residence 2 Interior Remodel- Single - Family Residence ❑ Residential Accessory Structure* IL ❑ Remodel /Addition to Accessory Structure ❑ Garage(s) - cr ❑ Deck(s) - Covered & Uncovered ❑ Residential Reroof I— i ZI.-- Is this site served by: ❑ Sewer ❑ Septic (King County Health Dept. approval required - 296 -4722) Z O Existing Square Footage for Structure: 7M sq. ft. Dwelling sq. ft. Covered Deck(s) UJ ui sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck U p Proposed New Square Footage: sq. ft. Dwelling sq. ft. Covered Deck(s) 0 E- . sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck = U Floor Area Ratio: (total floor area of all structures divided by the area of the lot) ,— O *For an Accessory dwelling, provide the following: iil Z c.---- Lot area -Y — Floor area of principal dwelling Floor area of accessory dwelling 2 0 I- * 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) Cl 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. El Moving an Oversized Load: Start Time: End Time: ❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public • ❑ Water Meter /Permanent # Size(s): ❑ Water Meter Temp # Size(s): _ Est. quantity: gal Schedule: ❑ Miscellaneous r t FN✓f1 �'Vt Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be re- s' t I viewed and is subject to possible revision by the Permit Center to comply with current fee schedules. WI Num Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall ex- 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 taw Ina be extended more than once. Date application !' — Gf accepted: C! � : t Date application a A ires: Application taken by: (initials) j r. /or : ©5 _ � c i I I PLEASE SIGN BACK OF APPLICATION FORM ;MI i . SFPERMIT.DOC 2/13/97 Ir Ill "' Tela la ..,p.kY.: .it F' tMN!'# 1M': J:t f{„ M« 1W". !.4.t{Ii'i.YaC.e.w......n..r. ry++r•.... •....':...- .:o.... .. .. . .. -. ALL SINGLE- FAMILY RESIDENTIAL ;. RMIT APPLICATIONS MUST BE SU- ITTED WITH THE FOLLOWING: ➢ DRAWINGS PREPARED BY A I . GISTERED ARCHITECT OR PROFESSIONAL ENGINEER MAY BE REQUIRED BY THE BUILDING OFFICIAL ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN D BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED N/A SUBMITTED ❑ ❑ Copy of recorded Legal Description from King County ❑ ❑ Certificate of water /fire flow availability (Form H -11 a). Contact the Public Works Department (206) 433 -0179 for servicing district. ~ ❑ ❑ Certificate of sewer availability (Form H -11). Contact the Public Works Department (206) 433- 0179 for servicing district. ❑ ❑ Metro: Residential Sewer Certification (if Tukwila Sewer District) (Form H -12) ❑ ❑ King County Health Department approval for septic - 296 -4722 Four (4) sets of working drawings, which include: ❑ ❑ Site Plan (see example Form H -16) 1. Existing fire hydrant location(s). 2. Proposed access road. 3. Driveway location- driveway shall be 10' wide minimum and 20' wide maximum. If driveway is over 150' long, driveway shall be 20' wide and have an approved turnaround (City Ordinance 1741). 4. North arrow and scale. 5. Building setback from property lines. Any proposed or existing easements must be shown on plan. " 6. Public Works review requires the following on site plan: driveway location (10' min., 20' max. width), show proposed and existing power, water and sewer lines, existing storm drainage system, H z downspouts and foundation drains, and where drains tie -in. re w i 7. Parking plan. 5 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. co W 10. Identify location of sensitive areas slopes 20% or greater, wetlands, watercourses and their buffers. ill i 11. Identify location and size of significant trees that are located in sensitive areas and buffers or the N o 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. LL., J 13. See Public Works Checklist for detailed site plan information required for Public Works Review (Form c d H -9). 1•- _ ❑ ❑ Foundation plan and details z I- ❑ GI Floor plan w o w ❑ ❑ Roof plan 2 o ❑ ❑ Building elevations (all views) o In r3 Building height w w ❑ ❑ Building cross - section i 0 O CI ❑ Structural framing plans and details necessary to completely describe construction u" z ❑ CI Washington 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. o I ❑ in 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 ". 1` > Ana Ala Building Owner /Authorized Agent If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the State of Washington, a notgrized.letter from the property owner authorizing the agent to submit this permit application and t ' '.' , 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 € , IN: PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. i . BUILDING OWNER OR AUTHORIZED AGENT: i 4/N/ MINI) Signature: Date: E 'I � Print name: Phone: Fax #: l gam AM ; Address: City /State /Zip: 1� ice SFPERMIT.DOC 2/13/97 ` ` ,. .\ . ti. ii • x. �� Cit of Zkl roe 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 ( z RECEIPT ,,_ W i ■ Payment Cash 43.28 Z U N. p.,- � O ACCOUNT ITEM LIST: Z Description Account Code Current Pmts , , BUILDING - NONRES 000/322.100 23.50 PLAN CHECK - NONRES 000/345.830 15.28 ' STATE BUILDING SURCHARGE 000/386.904 4.50 • I Total: 43.28 , A - ma y ,. j ,4 S`t .r d -,: P: •5 L,, i }. 4 , ,kk+''- ,R!Yy,,7 }.iyUt n ay. I(' < ' r., • 2155 11/01 ' 716 TOTAL 43.28 { tZcVii 1s doc• Receipt Printed: 10 -31 -2002 r °,,.,. )' ■�.«�.. ., ,.�_.w. �... ,. ,.. ...,....................._.. -..... ......� ,. -... .. i p PERMIT NO.: 361 - 33S TENANT NAME: ��i¢/'`• �� ' t, erre, /1 esd ore .0 • BUILDING PERMITS INSPECTIONS CONDITIONS ❑ 1 Progress Inspection Status 4 10001 No changes will be made to the plans unless approved ❑ 2 Pre - construction by the Engineer and the Tukwila Building Division ❑ 3 Investigation I 10002 Plumbing permits shall be obtained through King Co ❑ 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 ❑ 6 Follow -up 10005 All permits, insp records & approved plans available , 1 F . ' ❑ 7 Pre -Move Inspection ❑ 10006 All structural concrete shall be special inspected ,1 Z ❑ 50 WSEC Residential ❑ 10007 All structural welding shall be done by WABO certified W ❑ 60 WA Ventilation /Indoor AQC inspector 6 Ce ❑ 70 NLEA Inspection /Modular Struct ❑ 10008 All high- strength bolting shall be special inspected U O ❑ 71 Mobile Home Tie Down Insp ❑ 10009 Bolts installed in concrete shall be special inspected CO p ❑ 72 Marriage Lines ❑ 10010 When special inspection is required...notify Tukwila CO w ' ❑ 90 Resteel Building Division J H ❑ 95 Footing Drains ❑ 10011 The special inspector shall submit a final signed report ❑ 100 Foundation Footings ❑ 10012 Any new ceiling grid and light fixture installation w O ❑ 200 Foundation Walls ❑ 10013 Partition walls attached to ceiling grid g ❑ 250 Foundation Insulation ❑ 10014 Readily accessible access to roof mounted equipment g - - ❑ 300 Concrete Slab /Slab Insulation 10015 Engineered truss drawings & calcs shall be on site u_ Q ❑ 350 Crawl Space a 10016 Any exposed insulation backing material shall have N d ❑ 400 Shear Wall Nailing ❑ 10017 Subgrade preparation including drainage, excavation H w ❑ 450 Plywood Wall Sheathing ❑ 10018 A statement from the roofing contractor verifying fire = , ❑ 500 Roof Sheathing Nailing retardant class of roof Z I ❑ 525 Plywood Deck Nailing * 10019 All construction to be done in conformance w /approved z 0 ❑ 550 Exterior Wall Sheathing plans L1J uj ❑ 600 Masonry Chimney M D 610 Chimney Installation /All Types ❑ 10020 Structural observation shall be provided for this project U O 700 Framing ❑ 10021 All food preparation establishments must have King Co O N 750 Roof /Ceiling Insulation ❑ 10022 Fire retardant treated wood shall have flame spread of 0 H 0 800 Floor Insulation ❑ 10023 Notify Building Division prior to placing any concrete W W • ❑ 801 Wall Insulation ❑ 10024 All spray applied fireproofing shall be special inspected H U ❑ 802 Exterior Roof Insulation ❑ 10025 All wood to remain in placed concrete shall be treated tL ~O ❑ 803 Glazing Inspection 10026 All structural masonry shall be special inspected Z , ❑ 815 Lighting and Controls 10027 Validity of Permit U W ■ 900 Suspended Ceiling 10028 Rack storage requires separate permit 0 H 1000 Interior Wallboard Fastening 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 Remove all weeds, concrete, stone foundations, flat ❑ 1115 Motor Inspectio 10032 emove a wees, concree, sone ounaons, a ❑ 1120 Pre -Demo concrete 1 ❑ 1140 Pre - reroof ❑ 10034 Removal of septic tanks require approval and 1 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 ❑ 4000 Special- Concrete ❑ 10038 A C of O will be required for this permit I ❑ 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 , , t + 4007 S ecial -Reinf G sum Concrete ❑ 10043 Appliances, which generate , ❑ p yp 10044 .Water heater shall be anchored ,; � ,. ❑ 4008 Special - Insulating Conc Fill ❑ 10 0 4 N s� • �c•r ❑ 4009 Special -Spray Fireproofing ❑ 10045 Reroof '°" :. . � ?r'• ��� • 4010 Special-Piling, Piers, Caissons "Anchoring All new construct and substantial i: ❑ 4011 Special- Shotcrete improvement shall be anchored to prevent flotation" -?' ' : ❑ 4012 Special- Grading, Excav /Fill i�.k:' ❑ 4013 Special - Retaining Wall it351 A' `' " ' 4 '" ❑ 4014 Special- Panels Plan Reviewer: Date: ; f ❑ 4015 Special -Smoke Control System i ° ° " Permit Tech: 1115 Date: 5 Z ( 1, :i , i' , ,. 0 , , ,,LJ "l ii ", :.'": :i • n n,.. o ,.n ..an.t.,. t+t'MNk.W M N].vn.L ^ • li1LA, � l ' 0 , , i '? 0 ; City of Tukw Steven M. Mullet, Mayor � , -voi �• v 17+ ; vi'- cO ' , 411:: 2 ; Department of Community Development Steve Lancaster, Director 1908 - - -- - z H Z ,t April 7, 2003 W � 2 . 1 Serafin Gutierrez ..., 0 3826 South 130th Street N O Tukwila, WA 98168 W = J 1.— I RE: Permit Application No. 002 -332 U) u_ 3826 South 130th Street W 0 Dear Permit Holder: g 15 W Q In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila u d { Building Division. Per the Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the I W 'i Building Official under the provisions of this code shall expire by limitation and become null and void if the Z H building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if' the building or work authorized by such permit is suspended or abandoned at any time after the work is Z 0 0 commenced for a period of 180 days. W w 11 � Based on the above, you are hereby advised to: U N • Call the City Of Tukwila Permit Center at (206) 431 -3670 to arrange for the next or final 0 H inspection. Z w H� This inspection is intended to determine if substantial work has been accomplished since issuance of the permit t!- O or last inspection; or if the project should be considered abandoned. Z W If such determination is made, the Building Code does allow the Building Official to approve a one -time P 0 (1) I 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 06, 2003, your permit will become null and void and any further work on the project will require a new permit and . ez..-0-4-e‘c../ . Stefania ' pencer Permit Technician Xc: Permit File No D02 -332 f Bob Benedicto, Building Official ' A °` • h ' 3f� 1 1 2:7 , • 1,. ■ s'es : 4 , r , 1 ■ ■ ,i µ 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 -431 -3665 WI= i ii 1.7 +:::: 1 : , .: . "; . .. .... :.. ..'.v.::'1' f t'.: n':': ri'.. vi`l a:: iY? t; M, . t 1,... t`+ S .e..v...wl.:l.:i.l.Oi+.i,vlLL iYtlf*.M11!ftNF'f4M Y•4tM -M`. wJlv'Mftl.»a..+rw•. n .... .. .......... ...... ... ...... .. ... .. .. .. 1 rj , J 1=1 • IMMO et) • • 41 * t 111 • c44e cJ4 cra t\.) a • - 5;4 NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. • , - r. - _ - ".-Cr - :\ t ~�\ „" PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D02 -332 DATE: 10 -31 -02 PROJECT NAME: GARCIA /GUTIERREZ RESIDENCE z • a • SITE ADDRESS: 3826 SOUTH 130 STREET W i 6 ' X Original Plan Submittal Response to Incomplete Letter # v 0 0 (0o Response to Correction Letter # Revision # _ After Permit Is Issued w = ( J H -. . W O 2 DEPARTMENTS: g J Qt.., �t - ;-o,L B i ciin Divi ❑ F're Prevention CI Planning Division Q = g /" I t S RV it -b w Public Works Q Structural ❑ Permit Coordinator % z zI- w DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 1 1 -05-02 2 m 0 co Complete ❑ Incomplete ❑ Not Applicable ❑ O 0 1— Comments: w W W . I 1--H L-1-1 0 Permit Center Use Only 111 Z N INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: H I De Departments determined incomplete: Bldg ❑ Fire Ping O p p g ❑ g❑ PW ❑ St Initials: Z ' TUES /THURS ROUTING: • Please Route ❑ Structural Review Required ❑ No further Review Required ❑ • REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 12-03-02 Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) ❑ Notation: t ¢ 4 REVIEWER'S INITIALS: DATE: '*fi k t? lh 4 Permit Center Use Only • n ,i ; w`' S' le CORRECTION LETTER MAILED: ' Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ;;?� s'•3� tel 3 i, M i � 1 y,k PERMIT COORD COPS �. ki 4 Documenlshouling slip.doc /a 2-28.02 R.,4* w*,wswnw m ». urea+ v..., ex. y.. w......., v....... .,....., »:...,- .:,..........,. _ . ... ,. 1 1 r ... . - - -- -- - .: \ � =" e ji . CITY OF TUV' H . 4 � ft Permit Center ��' „,:. d 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 . ' ..-- = Telephone: (206) 431 -3670 X9 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION , Z F_Z STATE OF WASHINGTON ) Ce COUNTY OF KING ) ss -I U . U 0 co n J H Jera i Gaf i e r rez -Tre vi zo , states as follows: cn u. w 1. I have made application for a building permit from the City of Tukwila, Washington. L.L.¢ 2. I understand that state law requires that all building construction contractors be registered with the = d State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the 1- _ , Revised Code Washington, a copy of which is printed on the reverse side of this Affidavit. I have Z 1- read or am familiar with RCW 18.27.090. z o w w 3. I understand that prior to issuance of a building permit for work which is to be done by any o N contractor, the City of Tukwila must verify either that the contractor is registered by the State of o �„ Washington, or that one of the exemptions stated under RCW 18.27.090 applies. w w , I H 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby II z attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I w 0 , • consider the work authorized under this building permit to be exempt under No. , and z will therefore not be performed by a registered contractor. z F- 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 work. APPLI' ANT ; ` ro A 9E Signed and sworn to before me this SQ •�) - K ; � o �NOTA �. 1i �j 31st day of October , 20 02 . i : 0 R v i i : i >, E Y i '• PUBLIC , cz&e a. i . f ,,. ,.. qc NOTARY PUBLIC in and or the State of Washington, , A .a �, wAS _ res iding at k) n3 C ount y. , Vin i ]�,� .�4T Name as commissioned: Ai i c e ce f eu cy �, My commission expires: c „, AFFCONT 1/13/00 �` . ., . ..,. .. .. ,.. ., ,ti.r;.n.. ,. tiy:ei:i,+ .:.0 i.Yiu.i xd.vlbtn^d, ..w`.uNt d'..!):dsY15IC .L+'i•:}: A..t.,# + :`t.+;.t. r MlAa ;tir .... •... Na ra,4rk.4:.a 4�i `5tt' >G :.:...t '. a. `il'{TF ^.f: t,C- `'- i.:!!t ,�,„rin',`1�¢ c. -i -, :` 18.27.090 Exemptions. This chapter shall not apply to: 5 1. An authorized representative of tile 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; z 3. Public utilities operating under the regulations of the 10. Any construction or operation incidental to the . = z utilities and transportation commission in construction and repair of irrigation and drainage ce w construction, maintenance, or development work ditches of regularly constituted irrigation districts or 6 v incidental to their own business; reclamation districts; or to farming, dairying, o 0 agriculture, viticulture, horticulture, or stock or poultry 4. Any construction, repair, or operation incidental to the raising; or to clearing or other work upon land in rural W I discovering or producing of petroleum or gas, or the districts for fire prevention purposes; except when co a. drilling, testing, abandoning, or other operation of any any of the above work is performed by a registered w 0 , petroleum or gas well or any surface or underground contractor; mine or mineral deposit when performed by an owner J Il Q or lessee; 11. An owner who contracts for a project with a co a registered contractor; H W 5. The sale or installation of any finished products, . z = materials, or articles of merchandise which are not 12. A person working on his own property, whether z p actually fabricated into and do not become a _ ccupied by him or not, and any person working on w 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 o N 6. Any construction, alteration, improvement, or repair covered by this chapter who constructs an o i- of personal property, except this chapter shall apply improvement on his own property with the intention = w to all mobile /manufactured housing. A and for the purpose of selling the improved property; F.. H mobile /manufactured home may be installed, set up, u_ p or repaired by the registered or legal owner, by a 13. Owners of commercial properties who use their own iii z contractor licensed under this chapter, or by a employees to do maintenance, repair, and alteration U m obile /manufactured home retail dealer or work in or upon their own properties; p '— 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 ',censee 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 Any work or operation An regulated , `` ''"' p eration on one undertaking or project 9 ulated as an employee ee p Y of a registered g� stered contractor " � by one or more contracts, the aggregate contract with wages as his sole compensation; rI price of which for labor and materials and all other '; .~Z.r., x :: 4 : items is less than $500, such work, or operations 16. Contractors on highway projects who have been r c:.t.I. being considered as of a casual, minor, or prequalified as required by chapter 13 of the Laws of r' s1.:,:Z inconsequential nature. The exemption prescribed in 1961, RCW 47.28.070 with the department of this subsection does not apply in any instance transportation to perform highway construction, ;X ,' , ,,, I Y ? . „, wherein the work or construction is only a part of a reconstruction, or maintenance work. er larger or major operation, whether undertaken by the !If., � , • alb same or a different contractor, or in which a division = € ° ,.1! C T .� .�: F AFFCONT 1/13/00 '�!►`s Oa s :l`F:;.•k.' zY,"e .. 'h. +., I,. ,.+::,. :,_ ;,'.:. & ' ow awA.'ih. ,,,,c;r :, vn 7 1x4J 'tine.” • , *#: • :4 4 „ . NI rn "i 14 xgn r7S??;?s,N.s,e7rir',fTW14h ix '"'' tItI t .R 7?..'^^. µ N1 y y.r.w2i,.y . ,+w.i•,p"'.:'/ S}"f'r,*. .. pr r+ r I r ____, . ., F • 1 , D 02_0332 35mm Draw • #1 . . i 1 � I I o•II I \ 3I I 1 I I ., . 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