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Home My WebLink AboutPermit D07-331 - BISSON RESIDENCE - REMODELBISSON RESIDENCE 12205 44 AV S D07 -331 Parcel No.: 0179000429 Address: 12205 44 AV S TUKW Suite No: Tenant: Name: BISSON RESIDENCE Address: 12205 44 AV S , TUKWILA WA Cityf Tukwila Owner: Name: BISSON JOSEPH M Address: 12205 44TH AVE S , SEATTLE WA 98178 Phone: Contact Person: Name: JOSEPH BISSON Address: 12205 44 AV S , TUKWILA WA 98178 Phone: 860 - 857 -3760 Contractor: Name: OWNER AFFIDAVIT - JOSEPH BISSON Address: 12205 44 AV S , TUKWILA WA 98178 Phone: 860 - 8574760 Contractor License No: DEVELOPMENT PERMIT 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 DESCRIPTION OF WORK: REMOVE ALL LATH & PLASTER MATERIALS, MOVE BEDROOM AND BATHROOM WALL 19 3/4" TO MAKE ROOMS LARGER. INSTALL (2) POCKET DOOR ACCESS TO BATHROOM. REMOVE WALL STUDS AT KITCHEN/LIVING ROOM TO INSTALL PASS THROUGH AND CABINETS. INSULATE EXTERIOR WALLS AND CEILING INSTALL 5/8" DRYWALL ON INTERIOR WALLS AND CEILINGS Value of Construction: $1,400.00 Fees Collected: $108.48 Type of Fire Protection: International Building Code Edition: 2006 Type of Construction: V -B Occupancy per IBC: 0022 doc: IBC -10/06 * *continued on next page ** Permit Number: D07 -331 Issue Date: 09/14/2007 Permit Expires On: 03/12/2008 Expiration Date: D07 -331 Printed: 09 -14 -2007 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N City a /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 doc: IBC-10 /06 Permit Number: D07 - 331 Issue Date: 09/14/2007 Permit Expires On: 03/12/2008 Permit Center Authorized Signature: JJL ' A._JZ Date: 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. 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 authorized to sign and obtain this development permit Signature: c�G 4 , Dater Print Name: c 2 ei—C -5 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 -331 Printed: 09 -14 -2007 Parcel No.: 0179000429 Address: 12205 44 AV S TUICW Suite No: Tenant: BISSON RESIDENCE 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 PERMIT CONDITIONS Permit Number: D07 -331 Status: ISSUED Applied Date: 09/04/2007 Issue Date: 09/14/2007 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. 5: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 6: All wood to remain in placed concrete shall be treated wood. 7: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 8: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 9: 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. 10: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 11: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206 - 431 -3670). 12: 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 * *continued on next page ** D07 -331 Printed: 09 -14 -2007 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: Print Name: doc: Cond -10/06 ��ff ,�isSao✓ Date: 7/0 o7 D07 -331 Printed: 09 -14 -2007 r CITY OF TUKWIL Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://wwwatukwila.wa.us Site Address: i 2ZtS_ 4,15/r . AYE S - Them4LIf Tenant Name: -5&/,L 6,.s so.d Property Owners Name: f SEP# 6 /sSoi✓ Mailing Address: <22o s' vsoz. 4.e s. Ti,4 l,1/z_ht CONTACT PERSON. - who do we contact when your permit is ready to be issued Name: ..S.56 6sSo•t/ Day Telephone: 700 rS7 37l Mailing Address: WA 44 4 L 4 e cS 1N46.J /Z- .411 98/7f State Zip E -Mail Address: j;:sepfjif5rsso.v 6 ��►*B,9sr, i 4fg - Company Name: .✓ — /JY "' Mailing Address: ,54701C HS ripseva Contact Person: E -Mail Address: Contractor Registration Number: Contact Person: E -Mail Address: Contact Person: E -Mail Address: Q:\ApplicationsTorms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh 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 ** King Co Assessor's Tax No.: D/7900 - o ya y'- 07 Suite Number: &#t 93'/ 7?P City New Tenant: .... Yes ❑ ..No City Fax Number: i✓l • State GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) City Day Telephone: Fax Number: State Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: State City Day Telephone: Fax Number: ENGINEER. OF RECORD All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Day Telephone: Fax Number: State Floor: Zip Zip Zip Zip Page 1 of 6 Valuation of Project (contractor's bid price): $ /46D-co Existing Building Valuation: $ fr Bay Scope of Work (please provide detailed information): &nave 4. 1t,/ e4,7 T jygG.s d�rok�O41 taxt.- /9 /4 i 5 T #74 4pms bi,e415e. Z+P$1 L. 7 6?) at 6r LOCK R,ccgSS Td tSis goaA - 1 JpvE k 1�iL Saps /f7 Kifc#Ei/ Liatv6 £ooM rt. 7✓srq -L - Ass - T eou4'iti a "✓'67s Gxree/ 1 4)A 1 -5 $ e6/2.04. 1.rst c diet my'•su_ 0,1 Snr aiC -8 4;VD G6r t�'6 Will there be new rack storage? ❑.... Yes X .. No If yes, a separate permit and plan submittal will be required. rov de All Build b quareFootage Belo' 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 Lineu -2006 - Permit Application.doc Revised: 9 -2006 bh Page 2 of 6 APPLICATION NOT s Applicable to all permits in this application 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 OWNER OR AUTHORIZED AGENT: Signature: ��0% Print Name: Mailing Address: /22VS i/iV r SeaurN Date Application Accepted: Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh ▪ kc ✓�cA- City Date: 3/ 46&5r c o07 Day Telephone: Op 8 7 3 ' 1 Ab9- 9s/7e State Zip Date Application Expires: Staff Initials: Page 6 of 6 ,ix, a Type: : , Qty : Fixt ■ e Type; Qty' ture Types "Qty ;Fix tur: Type: Qty Ba b or combination ba shower / D . ing foun . •, or water • • oler (per he i' h fountain Gas p' • ing outlets Bidet Food -waste _ 'nder, commerc' •3 Rec • 'r, indirect waste Clothes washer, domestic Floor • + Sinks Dental unit, cuspidor Sho r, single head trap, Urinals Dishwasher, domestic, with independent drain L :. ', tory Closet Building sewer or tra' r park sewer Rain water system — p - drain (inside buildin • Water heater and/o vent / Additional medical gas inlets/outlets — six or more Industrial waste pretreatment in rceptor, including its • ap and v except for chen type grease in rceptors Repair or alteratio • f water piping and/or wa r treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas Contractor Registra ' . n N ber: E -Mail Address: J Contact Person: A�Afls4' Z007 Building Use (per t 1 Building Code): Occupancy (per t'l Building Code): Utility Purvey : Water: Indicate 'AS P.1PINI e of plumbing fixtures and/or Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Appliation.doc Revised: 9 -2006 bh ERMa FOl PLUMBING AND GAS PIPING CON CTOR INFORMATION Company Name: By Oo- eK Mailing Address: /Z205 / AZ Sot ss/ Valuation Plumbing work (con ct • 's bid price): $ $OD • Do Valuat . n of Gas Piping work (con .. or's bid price): $ q/'`R.• Sc.. e of Work (please provide • - tailed . • formation): , c/6 Aioale 4✓bc d'1 4/ • .LY S/AXL iforri .taAlkt.A'S5 &/e. birrk.• 5.,✓K. IiL City : tate Zip Day Telephone: ' ' `l 3760 Fax Number: Expiration er: 6 -4 piping o . ` -ts bein stall • and the quantity below: /L6r ,S/.dX / 4) #6( 44r sfrSC Page 5 of 6 Parcel No.: 0179000429 Permit Number: D07 -331 Address: 12205 44 AV S TUKW Status: PENDING Suite No: Applied Date: 09/04/2007 Applicant: BISSON RESIDENCE Issue Date: Receipt No.: R07 -01865 Payment Amount: $108.48 Initials: WER Payment Date: 09/04/2007 08:55 AM User ID: 1655 Balance: $0.00 Payee: JOSEPH BISSON TRANSACTION LIST: Type Method Description Amount Payment Cash 108.48 ACCOUNT ITEM LIST: Description BUILDING - NONRES PLAN CHECK - NONRES 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 Account Code Current Pmts 000/322.100 000/345.830 000/386.904 RECEIPT 63.02 40.96 4.50 Total: $108.48 2345 09/04 0710 TOTAL 102.48 doc: Receipt -06 Printed: 09 -04 -2007 Project: f "N 15 c : n ` Type of In ;Re( f 4 4 v Address: (r._ . Date Called: Special Instructions: / Date Wanted: 7— j a.m,. m. Requester: Phone No: - 4t 6 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431- Approved per applicable codes. El Corrections required prior to approval. COMMENTS: ref M`, 4 p Inspector: Date: -- ' , ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. (Receipt No.: 'Date: Project: U SJb � i? (J : ' FA CE Type of Inspection: �,fl C. e- � (47 it Address: — a, / 2-2 U C -4-1 i Aver_ c . Date Calle Special Instructions: US /2 S 0V.-- -1) l'(- Date Wanted: ` /- 06" P.M. Requester: Phone No: INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. 1 CITY OF TUKWILA BUILDING DIVISION 'g 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 "0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: 'Inspects 'Date: _ El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. (Receipt No.: 'Date: • COMMENTS: Type of Inspection: Address: 44 'd._, j 7 7 A-vi 5.,_ilt : ( I '. -, ?\, ( ■ ) A ( rc I-I ,,/n. : ;'' e 11 1,):11A:/‘ 3 iv 3Ajlt 1 I . 11 , _..m.- p.m. . 1 ( jk-1 6A ( 1 r: 1 v 1 C.- ■ ..-1- r c>:..1 /N. Project: 8, aS 0 /■ A e.s ; J e_A ci7 Type of Inspection: Address: 44 'd._, j 7 7 A-vi 5.,_ilt Date Called: Special Instructions: Date Wanted: 3 -1'1-or , _..m.- p.m. Requester: Phone No: ■ 6 - 8C7 ,no a INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION It 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 Approved per applicable codes. Corrections required prior to approval. Date: — or ci $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: 'Date: Project S5 1- Type of Inspection: L 7W �l / Date Called: Address: / yd--e S s Special Instructions: ..ccam� Date Wanted: < ( / `z97 a. p.m. Requester: Phone No: /,,, / �, INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION IZ - 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. COMMENTS: El Corrections required prior to approval. $58.0d' EfNSPECTION FE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: ProjAt: 7 ' /3 ‘)4./ 'Ke'S - Type of Inspection: 4//9 1/ .....Z,V-57.— Address: /Z 20 5 V c/ /lif 5 Date Called: Special Instructions: Date Wanted: — ? _7 0 .-- a.m. rirrT17 Requester: Phon No: „ G INSP '.N NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 981 88 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit Dr - 2-33 / PERMIT NO. (206)431-3670 COMMENTS: Ins () Date $ REINSPECTION FEE REQ IRED. Prio to inspection, fee must be p at 6300 Southcenter Blvd., Suite 100. atL the schedule reinspection. 'Receipt No.: 'Date: El Corrections required prior to approval. L COMMENTS: /-- ...c S Date Called: ? Cr re -- ` -- ke) iv-P(1 6/Air , ...., E lr (i' -7 , /4 / j) f/v/ Phone No: F3(90 -4 3 __ 7- 3760 qA 7 h ctile/k. ,e-ri fj-7/i/ er-!) (r 4t97 - - ) 47 --, Proj5ct: 5i /1,-.5 Type of Inspection: / 5' Address: Date Called: Special Instructions: Date lAgited: ? 5 ...._ 67 Requester: Phone No: F3(90 -4 3 __ 7- 3760 Retain a copy with permit INSPECTION NO. p Approved per applicable codes. SPECTION RECORD CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 s s•Q Corrections required prior to approval. 'Receipt No.: ACe D07-35/ PERMIT NO. REINSPECTION FEE RE UIRED. Pi 6r to inspection, fee must be at 6300 Southcenter Blvd.. uite 10 . Call the schedule reinspection. Date: Project:. / s� /V /2,-5". Type of Inspection: /4A/e' 7 __, ). a, Address: 4 / r y#4 a 5 Date Called: Special Instructions: Date Wanted: a m Requester: Phone No: 060 - e5 ().0 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 Approved per applicable codes. El Corrections required prior to approval. COMENTS: nspector: $ REINSPECTION FEE REdqIRED. Prior t at 6300 Southcenter Blvd., S "te 100. Ca t No.: INSPECTION RECORD Retain a copy with permit 17,t Date: 'Date: 5/ 4,41,/e 7?,c40 inspection, fee must be the schedule reinspection. 02 -12 -2008 JOSEPH BISSON 12205 44 AV S TUKWILA WA 98178 RE: Permit No. D07 -331 12205 44 AV S TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a fmal 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 must be in writinf 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 03/29/2008, 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, M XC: fer Marshall, it Technician Permit File No. D07 -331 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 Joanna Spencer - Re: SFR @ 12205 40' ' ve S From: Richard Takechi To: Joanna Spencer Date: 09/05/2007 3:10 pm Subject: Re: SFR @ 12205 44th Ave S They are connected to City sewer and they have paid the Allentown conn charge in full. We show Joseph Bisson as the owner. »> Joanna Spencer 09/05/2007 10:54 am »> Richard, Are they on sewer or still on septic ? Thanks, Joanna DEPARTMENTS: 1 u 1. in • Ivision Public Works n, (A Complete TUES/THURS ROUTING: Please Route Documents/routing slip.doc 2 -28-02 PERMIT COORD COPY `� PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D07 -331 DATE: 09 -04 -07 PROJECT NAME: BISSON RESIDENCE SITE ADDRESS: 12205 44 AVE S X Original Plan Submittal _ Response to Correction Letter #_ _ Response to Incomplete Letter # Revision # After Permit Issued a- tI 1 APPROVALS OR CORRECTIONS: Fire Prev `' Structural Incomplete Structural Review Required DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Planning Division Permit Coordinator DUE DATE: 09 -06 -07 Not Applicable Comments: ❑ No further Review Required REVIEWER'S INITIALS: DATE: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DUE DATE: 10 -04 -07 Approved ❑ Approved with Conditions Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 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) ) ss. COUNTY OF KING ) �.S�;P B &SSA✓ AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION [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 18.27.090. 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. � 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. \applications\8 -2004 affidavit in lieu of contractor registration AP Residing at /'l I ►ref Name as commissioned: P Z-!,t 1 1 My commission expires: 4 S - (29 -1 C PERMIT NO.: ?6 D 7- , states as follows: Signed and sworn to before me this 1 51' day of /`IZI9 //LS t 20 , { c� a w TA Y PUBLIC in and for the State of Washington, , County. 4 e / (e 4 a Pent* :, 001 3 Plan review approval is subject to errors and omissions. Approval of construction documents does not authorize the violation cf any accepted code or ordinance. Receipt of apprc 1 Cc;./ end cc d;ttons Is ccimo riedged: By � Dais _/5 _ov 7 City of Tukwila BUILDING DIVISION ,oa' 0 4 No of w 9es sh a �'tSlp�►S de to the s Dom. Tukwila without pn and Revisi Building Divi of maYision will r equire w la de additional �n review l � su bmits fees aJ a Oo 3 0 • SEPARATE PERMIT REQUIRED FOR: • Mathan ical Eleetricot (if umbing • [,J Gas Piping City of Tukwila B UILDING DIVISION X0'1 -33 I RECEIVE' SEP 74 2007 PERMIT CENTEF vi REVIEWED FOR CODE COMPLIANCE I SEP 12 p07 1 Ci Of Tukwila BUIL INO DIVISIQN 2 i- 0 v1 Ui I- II Ui v g V Q 4� cu d 0 L ot 2 V 3 - u - 0 1- --i 0 0 w Ui 6 C. 27"5k W ? 4. 7 ' vcv) *rmirmr)...i_ viv 1117 50221 - Wri od -LCvel+ woiropil:va , -To z 1' n h. Nca..9 , Jng ..17i7od If ha- Vr O 0 44•••••.•••••••••••• • 0 cNi 4 i „ oa • Er, 0 VtC tOr.) telt REVIEWED CODE COMPLIANCE APPROV7.7 SEP 1 2 2001 City Of TUktivill;',1 m c nit v atoll o O s 0 wc,"6 do. 2 1 •• ..tzcrq to SEP, -4 'au/ PERMIT CEN I E. 4J.J_ Z')C I rt ogri- aJ rn 7:7-1 ' ra z � ' m irt N 4 4 "X 7.76-° &f') --r- IV I" 24" Poctcar llaoQ. gouaq I•4 2Ky x 7, 75" (3 1a BBri4 p2rorn - k i mi f-1J (2) 2K Ic a. a I " Pockar boa4 Sd'X 144" Rou.44 J rcHrAl -- L, v J (\IW 9-o o rt1 l � ca flx7 (Lt Pt,� 1 4 Botmli gam — Liu, i CIsQo m l o rn l • rn •