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HomeMy WebLinkAboutPermit D07-010 - GOBRIGHT RESIDENCE - DECKGOBRIGHT RESIDENCE 14440 58 AV S D07 -010 Parcel No.: 3365901205 Address: 14440 58 AV S TUKW Suite No: Tenant: Name: GOBRIGHT RESIDENCE Address: 14440 58 AV S , TUKWILA WA City of Tukwila Contact Person: Name: JACK GOBRIGHT Address: 14440 58 AV S , TUKWILA WA 98168 Phone: 206 778 -4225 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: httn: //www.ci.tukwila.wa.us Owner: Name: KAY OPAL L Address: 14440 58TH AVE S , TUKWILA WA 98168 Phone: Contractor: Name: OWNER AFFIDAVIT - JACK GOBRIGHT Address: Phone: Contractor License No: DEVELOPMENT PERMIT DESCRIPTION OF WORK: CONSTRUCTION OF REAR COVERED PORCH AND STORAGE AREA UNDER PORCH doc: IBC -10/06 * *continued on next page ** Permit Number: D07 -010 Issue Date: 01/09/2007 Permit Expires On: 07/08/2007 Expiration Date: Steven M. Mullet, Mayor Steve Lancaster, Director SUBJEcr To Value of Construction: $1,870.00 Fees Collected: $86.42 Type of Fire Protection: International Building Code Edition: 2003 Type of Construction: VB Occupancy per IBC: 0022 D07 -010 Printed: 01 -09 -2007 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Permit Center Authorized Signatur = . .. ILL Ai, I hereby certify that I have read an • ex � r • governing this work will be compli fh� ' Print Name: doc: IBC -10/06 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: Hauling: N Start Time: End Time: Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: Moving Oversize Load: Start Time: End Time: Sanitary Side Sewer: Sewer Main Extension: Private: Public: Storm Drainage: Street Use: Profit: N Non - Profit: N Water Main Extension: Private: Public: Water Meter: N this permit and know the same to be true and correct. All provisions of law and ordinances ether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am autho • ed t ign and obtain this development permit. Signature: Date: // ',6 D4 ek 6i931?/6/v7 Permit Number: D07 -010 Issue Date: 01/09/2007 Permit Expires On: 07/08/2007 Date: Ol Ig 1/0 Steven M Mullet, Mayor Steve Lancaster, Director 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 suspended or abandoned for a period of 180 days from the last inspection. D07 - 010 Printed: 01 -09 -2007 � Parcel No.: 3365901205 Address: Suite No: Tenant: 14440 58 AV S TUKW 1: ** *BUILDING DEPARTMENT CONDITIONS * ** City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us GOBRIGHT RESIDENCE PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: „waxer To raw pECTION D07 -010 ISSUED 01/09/2007 01/09/2007 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431 - 3670). 4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 6: All wood to remain in placed concrete shall be treated wood. 6: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be obtained at City Hall in the office of the City Clerk. 7: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 8: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (206/248 - 6630). 9: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be 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 ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. doc: Cond -10/06 007 -010 Printed: 01 -09 -2007 `tr City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us 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. 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. Signature: Cl Print Name: 7 v I CI 1 C? d /? , 6 lV T doc: Cond -10/06 Date: r° 7 D07 -010 Printed: 01 -09 -2007 CITY OF TUKWILA Community Developmerrepartment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www. ci. tukwila. wa. us Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION [� King Co Assessor's Tax No.: _4 f ff1 t -O Site Address: / ! I / !J SO "5 SO Suite Number: Flbor: Tenant Name: J rick & a z /� i 6 H T New Tenant: ❑ .... Yes ❑ ..No Property Owners Name DI3ch Go 3 /? / c H% Mailing Address: / Y Y ti 0 68 1 5 /9 vE. S O. (CONTACT PERSON who do we contact when your permit is ready to be issue l Name: ) f c / f G e /? G H T Mailing Address: / Y %' V 0 s 8 t4 /9- S e7 E -Mail Address: Ow ,v-7? /L/4c,0 Sys' - A vt_ S . Contact Person: fie k fj o ,/3 /? / 6/17 E -Mail Address: � Company Name: Mailing Address: Contractor Registration Number: Company Name: Mailing Address: Contact Person: E -Mail Address: Company Name: Mailing Address: Contact Person: E -Mail Address: QAApplications\Fonns- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh TG1Ilwi L,Q City State %(5 Zip Day Telephone: 2.40 7 7 8 Y L 2 5 7W if 4,/Z. Li/14 9 A/ 108 State Zip City Fax Number: GENERAL CONTRACTOR INFORMATION ( Contractor Information for Mechanical (pg 4) for Pluinbing Gas Piping (pg 7ilkrw/4,Q log Fe /68 City / State Zip Day Telephone: 10 77 S/ L 2. S Fax Number: • Expiration Date: ARCIIITECT OF RECORD - All plans must be wet stamped by Architect of Recor State State Zip City Day Telephone: Fax Number: t INEER OF RECORD All plans must be wet stamped by Engineer of Record Zip City Day Telephone: Fax Number: Page 1 of 6 cv Valuation of Project (contractor's bid p : $ / 8 7 . _ Existing ilding Valuation: $ 3 c9 D D D. — Scope of Work (please provide detailed information): 2? F B u / t 1) EX / 5 T % N 6 D , CD7i/7u 6*/97 F b /9 C 0 ill ci76 rc_ uti /7 I tW, Li i AJyz SaiV i ov Will there be new rack storage? 0.... Yes �.. No If yes, a separate permit and plan submittal will be required. ard re Fotota PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If "yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 2 of 6 PERMIT APPLICATION NO Applicable to all permits in this' �I1cat Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). ,! 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 OW R " OR AUTHORIZED AGENT: Signature: co A • 71 - 9,-/.7V7 S✓i4.� Print Name: ,P C it 6 O /1 T Mailing Address: / / 4 V O 5' IJ /� 1,4= _ S . Date: //9/ Day Telephone: 2 DG — 7 7 d- yZ S ri-41W j - ' " 9 crl City State Zip Date Application Accepted: Ot 1 0 I Date Application Expires: O_1O j bl Staff Initials: Q:WpplicationsWorms- Applications On Line U-2006 - Permit Application.doc Revised: 9-2006 bh Page 6 of 6 Contact Person: E -Mail Address: Contractor Registration Number: Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Building sewer or trailer park sewer Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: Valuation of Plumbing work - entractor's bid price): $ Valuation of Gas Piping work (c c tractor's bid price): $ Scope of Work (please provide detai d information): Building Use (per Intl Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water: ixtu re Typ Fixture Type. Drinking fountain or cooler (per head) Food -waste grin r, commercial Floor drain Shower, gle head trap Lavato Indicate type of plumbing fixtures and/or gas piping outle ter water system — per n (inside building) epair or alteration of water piping and/or water treating equipment Sewer: eing installed and the quantity below: Wash fountain Receptor, indirect waste W Closet Water ater and/or vent Repair or :!, eration of drainage c', vent piping City Day Telephone: Fax Number: Expiration Date: State Gas piping outlets Additional medical gas inlets/outlets — six or more Medical gas piping system serving one to five inlets/outlets for specific gas Zip 0 Page 5 of 6 Project name eke, 16 ( ,e bd' i c ti -1- Address 1 I 1- 1 ' ( ' a o ' ' o - Description of work R,e. Per-- C' oJa v/ e d6 p C° t cc. f a 1/ n r ► rit -4 Nd1 e v PW N k Related reference number R- - e O t - z-I 7 ' The above project permit applicant, due to the limited scope of work is authorized to submit reduced plan requirements described below. 1. Complete permit application required: (Note, all application must include; 1) property assessor number, 2) copy of contractors license or completed owner waiver form.) RECEIVE - 9 Zuu1 2. Minimum plan and /or specification requirement: PERMIT CENTEh Building Site plan - Floor plan Elevations Foundation Cross sections Roof plan W.S.E.C. Compliance Narrative Structural calculations (stamped by Washington State licensed engineer ) Specific required information ? bOA o k W tt * h ({), se rip -4-i bv3 t3? f r A►vi t ■l < 1� r 9 v t l I i 6.0 ; S t Qf t t1.77'( 1 4 SS` b l C !t, r special instructions: 1ss 4 i e s 4-0 1& e 1 'i� A-►� i'v 3. Othe p .l— Q e � G j I c ktAti kC r r chto A4- i'n) 1 Pcv3 Cvs;rJ Authorization by, TBD36 /96 -form 12 City Of Tukwila Permit Center 6300 Southcenter Boulevard, Suite, 100 Tukwila, WA 98188 (206 431 -3670) Application # D 4 v i;s ( i0 r�+ -� Ye t . i p ,� n r N) vvi-vt 3-4- v- v" o S S -r . -e ok, KJ 7 -e r 'e(w► ALTERNATE PLAN SUBMITTAL AUTHORI FOR LIMITED SCOPE OF WORK I.B.C.& I.R.C. Section 104.1 Ca.i MMO-- Mechanical Other f € c c:t cs Date 1- 8 -- o 7 (Authorization void 30 days after the date issued.) Parcel No.: 3365901205 Address: 14440 58 AV S TUKW Suite No: Applicant: GOBRIGHT RESIDENCE Payee: JACK GOBRIGHT ACCOUNT ITEM LIST: Description BUILDING - RES STATE BUILDING SURCHARGE City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http://www.ci.tukwila.wa.us RECEIPT Receipt No.: R07 -00036 Payment Amount: 586.42 Initials: JEM Payment Date: 01/09/2007 09:35 AM User ID: 1165 Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Cash 86.42 Account Code Current Pmts 000/322.100 81.92 000/386.904 4.50 Total: $86.42 Permit Number: D07 -010 Status: APPROVED Applied Date: 01/09/2007 Issue Date: 3602 01/09 9716 TOTAL 86.42 doc: Receiot -06 Printed: 01 -09 -2007 Project: 6Di 6 Oft P's - Type of spectign: PiAlPf ) . Address /V 4 NC s8 Av S Date Called: , cial Instructions: Sp( Date Wanted: _ /g —Dg �a: rrp p.m. Requester: .. o: 776-`/'L 7 INSPECTION RECORD Retain a copy with permit 1)61 -O /131 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION "- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431- Approved per applicable codes. Corrections required prior to approval. COMMENTS: P ete 7; IDat - l8 - dam a $ x , 00 REINSPECT N FEE REIIUIRED. Prior to inspection, fee must be p . d at 6300 Southce iter Blvd., Suite 100. Call to schedule reinspection. Pro ct: a6R�f` �. l Type of tnspection: m F / �' Addr ss: Date Called: Special Instructions: Date Wantedi c9 .m. Requester: Phone No: co 6 . 72 - INSPECTION RECORD 0 .. 7 _, 11 Retain a copy with permit INSPECTION NO. PERMIT NO. 1 / CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 proved per applicable codes. Corrections required prior to approval. COMMENTS: it I P 1.0I r ec I • No.: D REINSPECTION FEE CI RED. Prior to inspection, fee must be t 6300 Southcenter B d., Suite 100. Call to schedule reinspection. 'Date: COMMENTS: Type of Inspection: (04/ S4e4 fAit ='t/ c Address: /y _5 84uS Date Called: 1\._)6rf. TD a ) rn , . ;1e s o c. f : A Requester: \i A(,k . >r '--14 . Ae . 1 s /D e <{ ■ A/ P (k - 0 i k :J u (} p ex (_) / ,JAI . Pc-t nKk }-t`✓ tr ': k. ( p )J A,I I?.} , 1 it ,i Project: 6,0.0P16117- .a 0DQ 1047" Rec . Type of Inspection: (04/ S4e4 fAit ='t/ c Address: /y _5 84uS Date Called: Special Instructions: Date Wanted: ar- Requester: Pho'ne No: .2-0 77e; - .�3 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. I f7N. it/Ur k $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. I Recelpt No.: 'Date: INSPECTION RECORD Retain a copy with permit El Corrections required prior to approval. A ( Date: , - J ( be PERMIT NO: (206)431 -3670 Project i ( -0 elk 1 -Pis Type of Inspection: 249/ 21::17es.>/4)7 Add ress: 1 /w/4c g A c D/e Special Instructions: . Date Wanted: /OZ-7-77-7 Requester: Phone No: INSPECTION RECORD Retain a cop with permit • • to I / ( ) • INSPECTION NO. PER13 NO. CITY OF TUKWILA BUILDING DIVISION I 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 K pproved per applicable codes. 0 Corrections required prior to approval. A COMMENTS: 0 $58.00 REINSPECTIO ( FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. r eceipt No.: 'Date: Ft r•• — • .„ • = t. Project: an6i/ ( 41— Type of Inspection: /7/t /".i,re" Address: Date Called: Special Instructions: Date Wanted: �� m'. p.m. Requester: Phone No: W Approved pgr applicable codes. mkte _ ** , 1-4+ '; INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 COMMENTS: /t /spy-700 7c ,4 ---e /ter 7.t ;► O/yi i /4 s /Jx r lk � 7 • $58.00 REI l ON FEE REQUIRED. Prior to inspection. fee must be paid at 63' + outhcenter Blvd.. Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: (206)431 -3670 rrections required prior to approval. site plan side view window opening ventilation roof framing roof framing span joists exit door upstairs deck openings upstairs framing foundation view foundation wall foot high footing rebar anker bolts galvanized sill plates treated framing lumber sheeting floor joists decking dimension August 12, 2008 Jack Gobright 14440 58 Av S Tukwila WA 98168 RE: Request for Extension #2 Development Permit No. D07 -010 Gobright Residence —14440 58 Av S Dear Mr. Gobright, This letter is in response to your written request for an extension to Permit No. D07 -010. The Building Official has reviewed your letter and considered your request to extend the above referenced permit. The City of Tukwila Building Division will be extending the expiration date of your permit an additional 30 days from the date of the Building Official's determination, through September 10, 2008. Please note that no further extensions will be grated and consequently to keep this permit active inspections must be completed in a timely manner. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, ifer Marshall it Technician File: Permit No. D07 -010 City of Tukwila Department of Community Development Jack Pace, Director P :\Permit CenterlExtension Letters\Permits\2007007 -010 Permit Extension #2.doc Page I of 1 Jem Jim Haggerton, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 reinstate permit extend permit RECEIVED CRY OFF TUKWILA AUG 012 PERMIT CENTER 06 -05 -2008 JACK GOBRIGHT 14440 58 AV S TUKWILA WA 98168 RE: Permit No. D07 -010 14440 58 AV S TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division under the provisions of this code shall expire by limitation and become null and void if the 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 commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or fmal inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Building Code does allow the Building Official to approve one or more extensions of time for additional periods not exceeding 90 days each. Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 07/29/2008 , 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, fer Marshall, Permit Technician xc: Permit File No. D07 -010 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 June 19, 2007 Jack Gobright 1444058AvS Tukwila WA 98168 RE: Request for Extension Development Permit No. D07 -010 Gobright Residence —14440 58 Av S Dear Mr. Gobright, This letter is in response to your written request for an extension to Permit No. D07 -010. The Building Official has reviewed your letter and considered your request to extend the above referenced permit. The City of Tukwila Building Division will be extending the expiration date of your permit an additional 180 days, through January 4, 2008. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, r cj t4e4 er ars�hall chnician File: Permit No. D07 -010 P:\Permit Centei'1Extension Letters \Penmts\2007007 -010 Pemrit Extension.doc Page 1 of 1 jem City of Tukwila Steven M Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 letter 06 -04 -2007 JACK GOBRIGHT 14440 58 AV S TUKWILA WA 98168 RE: Permit No. D07 -010 14440 58 AV S TUKW Dear Permit Holder: Thank you for your cooperation in this matter. Sincerely, 'fer Marshall, Permit Technician xc: Permit File No. D07 -010 Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division under the provisions of this code shall expire by limitation and become null and void if the 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 commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Building Code does allow the Building Official to approve one or more extensions of time for additional periods not exceeding 90 days each. Extension requests trust be in wittinz and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 07/08/2007 , your permit will become null and void and any further work on the project will require a new permit and associated fees. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Permit Center /Building Division: 206 - 431 -3670 Public Works Department: 206 - 433 -0179 Planning Division: 206 -431 -3670 STATE OF WASHINGTON) COUNTY OF KING AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION . fc% 6 , ,G // [please print] 1. I have made application for a building permit from the City of Tukwila, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 1 8.27.090. 3. I understand that prior to issuance of a building permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized under this building permit to be exempt under No. / 3 , and will therefore not be performed by a registered contractor. 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. ss. ■w \applications\8 -2004 affidavit in lieu of contractor registration Residing at 7 tict Name as commissioned: My commission expires: PERMIT NO.: , states as follows: Signed and sworn to before me this day of .l CITY ct Y , 20 07 " NOTAT Y I UBLIC in and for the State of Washington, j< , County. 6& 0 tip 18.27.090 Exemptions. This chapter shall not apply to: 1. 2. An authorized representative of the United States Government, the State of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district or other municipal or political corporation or subdivision of this state; 3. Officers of the court when they are acting within the scope of their office; 4. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 5. Any construction, repair or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, or other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 6. The sale or installation of any finished products, materials, or articles of merchandise which are not actually fabricated into and do not become a permanent fixed part of the structure; 7. Any construction, alteration, improvement or repair of personal property, except this chapter shall apply to all mobile, manufactured housing. A mobile /manufactured home may be installed, set up, or repaired by the registered or legal owner, by a contractor licensed under this chapter, or by a mobile /manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW; 8. Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 9. Any person who only furnished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor; 10. Any work or operation on one undertaking or project by one or more contractors, the aggregate contract price of which for labor and materials and all other items is less than $500.00, such work, or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in. this subsection does not apply in all instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into \appiications\8 -2004 affidavit in lieu of contractor registration contracts of amounts less than $500.00 for the purpose of the evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he is a contractor, or that he is qualified to engage in the business of contractor; 11. Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry raising; or to clearing or other w ork upon land in rural districts for fire prevention purposes; except then any of the above work is performed by a registered contractor; 12. An owner who contracts for a project with a registered owner; Any person working on his own property, whether occupied by him or not, and any person working on his residence, whether owned by him or not but his exemption shall not apply to any person otherwise covered by this chapter who constructs an improvement on his own property with the intention and for the purpose of selling the improved property; 14. Owners of commercial properties who use their own employees to do maintenance, repair, and alteration work in or upon their own properties; 15. A licensed architect or civil or professional engineer acting solely in his professional capacity, an electrician licensed under the laws of the state of Washington, or a plumber licensed under the laws of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the licensee is operating within the scope of his license; 16. Any person who engages in the activities herein regulated :Las an 'employee of a registered contractor iivith wages as his sole compensation; 17. Contraptort on highway projects who have been prequalifled;as required by,chapter 13 of the Laws of 1961, RCW 47.28.070' with the department of transportation to perform highway construction, reconstruction, or maintenance work.