HomeMy WebLinkAboutPermit D99-0349 - Towne & Country Suites - Lobby.37 •
• Towne & Country •
Suites •
= . The "New" MAI (206 246-2323
FAX (208 248 -7906
Extended Stay RES. 1-8 - 545.2323
Towne & Country Suites
Rod Avery
General Manager
14800 INTERURBAN AVE. SO. TUKWILA, WA 98168
City of Tukwila l
Contractor License No:
DEVELOPMENT PERMIT
WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES.
APPLICANT IS PROCEEDING AT THEIR OWN RISK.
Parcel No: 359700 -0005
Address: 14800 INTERURBAN AV 5
Suite No:
Location:
Category: AMOT
Type: DEVPERM
Zoning: RCM
Const Type:
Gas /Elec.:
Units: 001
Setbacks: North: .0 South: .0
Water: N/A Sewer: N/A
Wetlands: Slopes: Y
Permit Center Authorized Signature: (-' 4)
Signature:
Print Name:
Permit No:
Status:
Issued:
Expires:
Streams:
(206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
D99 -0349
ISSUED
10/12/1999
04/09/2000
Occupancy: HOTEL /MOTEL
UBC: 1997
Fire Protection: SMOKE DETECTORS
East: .0 West: .0
OCCUPANT TOWNE & COUNTRY SUITES Phone:
14800 INTERURBAN AV 5, TUKWILA, WA 98168
OWNER SMI INC
C/O SANDMAN MOTEL, 14800 INTERURBAN AVE S. TUKWILA WA 98168
CONTACT ROD AVERY Phone: 206 -246 -2323
14800 INTERURBAN AV S. TUKWILA, WA 98168
***************************************************** * * * * * * * ** * * * * ** * * * * * * * * * * * * * * **
Permit Description:
REMOVE ONE WALL AND TWO DOORS TO ENLARGE LOBBY.
***************************************************** * * * * * * * * * * * * * * * * ** * ** * * ** * * * * **
Construction Valuation: $ 1.500.00
PUBLIC WORKS PERMITS: *(Water Meter Permits Listed Separate) Eng. Appr:
Curb Cut /Access /Sidewalk /CSS: N
Fire Loop Hydrant: N No: Size(in): .00
Flood Control Zone: N
Hauling: N Start Time: End Time:
Land Altering: N Cut: Fill:
Landscape Irrigation: N
Moving Oversized Load: N Start Time: End Time:
Sanitary Side Sewer: N No:
Sewer Main Extension: N Private: N Public: N
Storm Drainage: N
Street Use: N
Water Main Extension: N Private: N Public: N
***************************************************** * * * * * * * * * * * ** * * * * * ** * ** * * * * ** **
TOTAL DEVELOPMENT PERMIT FEES: $ 93.60
****************************************************** * * * ** * * * * * * ** * * ** ** ** * * * * * * * * *
El&C-Ac_ Date IL `D
I hereby certify that I have read and examined tTis 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 provision of any other state or local laws regulating construction
or the performance of work. I am authorized to sign for and obtain this
development perm
Date: P OPt
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.
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r rn i t No: D99 -0349
Status: ISSUED-
ADD
Issued: ' :30/12.;199.?
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Project Name/Tenant: ,--
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V alue of Construction:
'15 Ga
City Stat Zi
Site Address: „ - , .
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Property Owner:
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Phone r -
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Street Address: �, ,� J , i City Statelip -
67 3
Fax #: 2 U _ 2,416 9 Y
- 7
Contractor: P sl 'e v iSYV-�(' I
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes ® no
Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets
P hone:
aocb - 7z 2 - �o ; c c,
Street Address: ,� i
y l
City ate ip:
c: St
Fax #: �, r _ --,
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Architect:
Phone:
Street Address:
City State /Zip:
Fax #:
Engineer:
Phone:
Street Address:
City State /Zip:
Fax #:
Contact Person:
Phone:
City State/Zip: Address , ' (e , i
3
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Fax #: , , ��
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Description of work to be done: -��.a fv, p). p/' u-'d H 0/i c1 -G ✓c) (3t or, '" E in °/q:) %, (3 C'
Existing use: ❑ Retail ❑ Restaurant Cl Multi- family ❑ Warehouse Hospital
❑ Church ❑ Manufacturing 0 Motel /Hotel ❑ Office
❑ School /College /University El Other
Proposed use: ❑ Retail 71 Restaurant Multi- family ❑ Warehouse El Hospital
❑ Church ❑ Manufacturing Motel /Hotel ❑ Office
❑ School /College /University ❑ Other
Will there be a change of use? ❑ yes ® no
If yes, extent of change: (Attach additional sheet if necessary)
Will there be rack storage? ❑ yes ® no
Existing fire protection features: ❑ sprinklers ❑ automatic fire alarm ❑ none ® other (specify) c % Y : (;) J1
Building Square Feet: 2 `4 0 C) existing
Area of Construction: (sq. ft.) (L(
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes ® no
Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets
CITY OF TI! "WILA
Permit Center
6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188
(206) 431 -3670
Commercial / Multi - Family Tenant Improvement / Alteration Permit Application
❑ Channelization /Striping ❑ Curb cut/Access /Sidewalk
❑ Fire Loop /Hydrant (main to vault) #: Size(s):
❑ Land Altering 0 Cut cubic yds. 0 Fill cubic yds.
❑ Sanitary Sid Sewer #: ❑ Sewer Main Extension
❑ Storm Drainage ❑ Street Use ❑ Water Main Extension
❑ Water Meter /Exempt #: Size(s): 0 Deduct
❑ Water Meter /Permanent # Size(s):
❑ Water Meter Temp # Size(s): Est. quantity:
❑ Miscellaneous
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. 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.
Dateliiation �cceptgjt;�
Dat pli ,Tplro
ODD
App'\at aken by: (Initials)
PLEASE SIGN BACK OF APPLICATION FORM
CTPE MIT.DOC 1/29/97
Application and plans must be complete In order to be accepted for plan review.
Applications will not be accepted through the mail or facsimile.
APPLICANT REQUEST FOR PUBLIC WORKS SITE/CIVIL PLAN REVIEW OF THE FOLLOWING:
(Additional reviews may be determined by the Public Works Department)
El Flood Control Zone
❑ Hauling
❑ Landscape Irrigation
O Private 0 Public
O Private 0 Public
0 Water Only
gal Schedule:
BUILDING OWNER p 1 AU,THbRIZ AGENT
Signature: t,L.,,l ' ,_.___
Date: 2(_ - r_. (=i
Print name: l
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Citatat /Ztp r ! (ki cf 16) -
ALL COMMERCIAUMULTI -FA TENANT IMPROVEMENT /ALTS' TION PERMIT APPLICATIONS
MUST BE SUBMITTED WITH THE FOLLOWING:
➢ ALL DRAWINGS TO BE STAMPED BY WASHINGTON STATE LICENSED ARCHITECT,
STRUCTURAL ENGINEER OR CIVIL ENGINEER
D ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
➢ BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
N/A SUBMITTED
❑ ❑ Complete Legal Description
❑ ❑ Metro: Non - Residential Sewer Use Certification if there is a change in the amount of plumbing fixtures
(Form H -13). Business Declaration required (Form H -10).
Four (4) sets of working drawings (five(5) sets for structural work), which include :
❑ ❑ Site Plan (including existing fire hydrant location(s)
1. North arrow and scale
2. Property lines, dimensions, setbacks, names of adjacent roads, any proposed or existing easements
3. Parking Analysis of existing and proposed capacity; proposed stalls with dimensions
4. Location of driveways, parking, loading & service areas
5. Recycle collection location and area calculations (change of use only)
6. Location and screening of outdoor storage (change of use only)
7. Limits of clearing /grading with existing and proposed topography at 2' intervals extending 5' beyond property's
boundaries
8. Identify location of sensitive area slopes 20% or greater, wetlands, watercourses and their buffers (change of
use only)
9. Identify location and size of existing trees that are located in sensitive areas and buffer (TMC 18.45.040), of
those, identify by size and species which are to be removed and saved
10. Landscape plan with irrigation and existing trees to be saved by size and species (exterior changes or change
of use only)
11. Location and gross floor area of existing structure with dimensions and setback
12. Lowest finished floor elevation (if in flood control zone)
13. See Public Works Checklist for detailed civil /site plan information required for Public Works Review (Form H-
9).
❑ ❑ Floor plan: show location of tenant space with proposed use of each room labeled
❑ ❑ Overall building floor plan with adjacent tenant use; identify tenant space use and location of storage of
any hazardous materials; dimensions of proposed tenant space.
❑ ❑ Vicinity Map showing location of site
❑ ❑ Rack Storage: If adding new racks or altering existing rack storage, provide a floor plan identifying rack
layout and all exit doors. Show dimensions of aisles, include dimensions of height, length, and width of
rack. Structural calculations are required for rack storage eight feet and over.
❑ ❑ Indicate proposed construction of tenant space or addition and walls being demolished
❑ ❑ Construction details
❑ ❑ Sprinkler details - details of sprinkler hangers, specifically penetrations in structure, i.e., roof; size of
water supply to sprinkler vault with documentation from contractor stating supply line will meet or
exceed sprinkler system design criteria as identified by the Fire Department.
❑ ❑ Washington State Non - Residential Energy Code Data shall be noted on the construction drawings.
❑ ❑ SEPA Checklist - if intensification of use (check with Planning Department for thresholds).
❑ ❑ Attach plans, reports or other documentation required to comply with Sensitive Area Ordinance or other
land use or SEPA decisions.
❑ in Food service establishments require two (2) sets of stamped approved plans by the Seattle -King County
Department of Public Health prior to submitting for building permit application. The Department of
Public Health is located at 201 Smith Tower, Seattle, WA or call (206) 296 -4787. (Form H -5)
❑ ❑ Copy of Washington State Department of Labor and Industries Valid Contractor's License. If no
contractor has been selected at time of application a copy of this license will be required before the
permit is issued 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
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
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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
CTPLRMIT.I.)OC 1/29/97
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:Pe .m i t, f�� :- 1)99-034 x:.:, i n EVPE M n oPI Er�T ,PERMIT f'. a r C` E' . I :, i`I fJ :45'9700-'00W ..
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000 /345„Eti :f0 PLAN CHECK M0NRLS'
Atl0Ufl`•
7290 09/27 /71O TOTAL, 35.10
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Special instructions:
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Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
PERMIT NO.
(206)431 -3670
El Corrections required prior to approva jC
CD/z/,ot 4'
UJC.. "4 -A -4 fi
Datg;, 7V
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
t:
)�t?Cl
k. l Sty,
Type of ins ti o + :_ ` � re
( �Y
Address:
14$0 gin ` “NibCIAt s
called:
Date a_ n .Q. ocj
Special instructions:
Date wanted: a.m.
a - 03 - CO P.m.
Requester:
Phone:
ACAD e* 4 tr 4,A?)
INSPECTION RECORD
Retain a copy with permit
6 :.: • INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila WA 98188
wn ,,.�daJ�...15... +''££�'' ..5.'`' ' • :4�' �;� ..
Approved per applicable codes.
PERMIT NO.
(206)431 -3670
COMMENTS:
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Corrections required prior to approval.
E] $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
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INSPECTION NO.
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INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
ownw..* IrtiVIPPAr751,1,1f
PERMIT NO.
(206)431-3670
21 Corrections required prior to approval.
COMMENTS:
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El $47.00 REINSPECTION FEE REQUIRED. Prior to insp ction, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
.14
r
Permit No.
FILE COPY
I understand that the Plan Check approvals are
subject to errors and omissions and approval of
plans does not authorize the violation of any
adopted code or ordinance. Receipt of con-
tractor's copy of appr :ed plans acknowledged.
By
Date /C 1 Z- Qc
LOBBY REMODEL
—D3 1 4 6 1
The All-Suite Motel
. MG °�vtis10�S
1. Wall and door to be removed, replaced with a header consisting of
2- 2x12's , supported on either end by a 4x4 post, resting on the concrete
floor, and secured to the existing walls. Please note that the wall being
removed is a nonbearing wall, and does not even support the wall above
it. We will install a header in order to try to dampen transmitted noise
from the unit above
2. Door and sidelight to be removed, and the resulting void framed in and
Covered to match existing interior treatment.
3. Door to be removed, and the resulting void framed in and covered to
Match existing interior treatment.
Ceiling joists run parallel to wall to be removed. There is one electrical
outlet on each side of wall to be removed, which will be eliminated.'
G i°pj,�, PERMIT
�r �fi
REQUIRED FOR
❑ MECHANICAL
!ELECTRICAL
❑ PLDMUI
❑ GAS PIPIO'
CI` Y OF `tt* ,. :ILA
tUILDIt'8G DlVlkIO l
RECEIVED
CITY OF TUKWILA
SEP 2 4 1999
PERMIT CENTER
UBC ch. 23, div. I1, sec. 2308, wallframing; sec. 2309, floor framing; sec. 2314, post -beam
connections.
div. IV, conventional ligkt frame, sec. 2320.11.6, headers; sec. 2320.8.4, frame around openings.
14800 INTERURBAN AVENUE SOUTH • TUKWILA, WASHINGTON 98168 • (206) 246 -2323 • Reservations Only 1- 800 - 545.2323 • FAX: (206) 246 -7906
RECEIVED
CITY OF TUKWILA
2 SEP 2 4 1999
PERMIT CENTER
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PARCEL A:
A.L.T.A. COMMITMENT
SCHEDULE A.
Page 2
(legal description, continued)
Order No. 348582
The.land referred to in this commitment is situated in the county of
King, state of Washington, and described as follows:
That portion of Tract 1, Interurban Addition to Seattle, according
to the plat thereof recorded in Volume 10 of Plats, page 55, in King
County, Washington, lying northerly of a line which extends
northeasterly, perpendicular with the westerly line of said Tract,
from a point on said westerly line which is 685 feet southeasterly
from the northwest corner of said Tract.
PARCEL B:
That portion of the following described parcel of land lying
southerly of the south line of South 147th Street, as conveyed by
Puget Sound Power and Light Company to the City of Tukwila, by Deed
dated October 25, 1965, recorded August 28, 1969, under Recording
Number 6557639, and northerly of the north line of South 149th
Street, as conveyed by said Deed:
That certain piece of land 100 feet wide, being 50 feet in width on
each side of the centerline of definite location on the
Seattle- Tacoma Interurban Railway (now Puget Sound Electric Railway)
across that portion of the William H. Gilliam Donation Claim No. 40
lying within the northeast quarter of Section 23, Township 23 North,
Range 4 East, W.M., in King County, Washington, the centerline of
said strip of land being more particularly described as follows:
Beginning at a point on the north boundary line of the William H.
Gilliam Donation Claim No. 40 in Section 23, Township 23 North,
Range 4 East, W.M., in King County, Washington, 230.7 feet from the
northeast corner of said Donation Claim;
thence south 22 °37' east 1,497.5 feet to a point;
thence curving to the left with a spiral having 9 chords 21 feet
long, a distance of 189 feet, through 7 °30' of curvature to a point;
thence continuing to the left with an eight degree curve through
23 °08' of curvature a distance of 289.2 feet;
thence continuing curving to the left with a spiral having 9 chords
21 feet long, a distance of 189 feet through 7 °30' of curvature to a
point;
RECEIVED
CITY OF TUKWILA
SEP 2 1999
PERMIT CENTER
A.L.T.A. COMMITMENT
SCHEDULE A
Page 3
2.•
LEGAL DESCRIPTION, continued:
thence south 600451 east 509.5 feet to &point on left bank'of.
,White Rivet, which bears south 29°58' east from the northeast corner
of 'said William H. Gilliam Donation Claim No. 40 a distance of
2,443.2 feet, said:strip of land-in King County, Washington;,
EXCEPT that portion conveyed to the State of Washington for highway
purposes, recorded under Recording Number 7212140434.
_ .
NOTE FOR INFORMATIONAL PURPOSES ONLY
The following may be used as an abbreviated legal description on the
documents to be recorded, per amended RCW 65.04. Said abbreviated legal
description is not a substitute for a complete legal description within
the body of the document.
Tract 1, Interurban Addition to Seattle, Vol. 10, pg. 55
AND
NE 23-23-04
DEPARTMENTS:
TUES /THURS ROUTING:
Please Route
Approved
\PRROUTE.DOC
5/99
efr
PLAN REV
r,
v
EW /ROUTI
ROJECT
X Original Plan Submittal
:NUMBER: •
•. D99-0349 • DATE :9 24 -99•
esponse to Correction Letter #
TOWN. &COUNTRY SUITES
Respons'eto Incomplete Letter #
Revision #`.;__after Permit Is Issued
1 tyi2�5X�YR !"3�a�K'. %.:551�.1
n Di i 'o - Fire Prevention
I�/ " Au, 10
n uic W q a S-6l�'l —' Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete n Incomplete I I
Structural Review Required
APPROVALS OR CORRECTIONS: (ten days)
Approved with Conditions
' :*52115 M 't f` F if�r1'?? 'IVIVOR ��Sf,:'i Rt 7`� M1 5 e4X�}}*% y { �J( Pa x:}• $ 14 „ ry �y n 4v
x� �h:.F ." ,•n`• •�•1r +';74ya•. E.
`A
Comments:
Ca—
Pl
r e l ing Division
Permit Coordinato
DUE DATE: 9 -28 -99
Not Applicable I
No further Review Required [7
REVIEWER'S INITIALS: DATE:
DUE DATE 10 -26 -99
Not Approved (attach comments)
REVIEWER'S INITIALS: DATE:
CORRECTION DETERMINATION: DUE DATE
Approved f l Approved with Conditions Not Approved (attach comments)
REVIEWER'S INITIALS: DATE:
Dear Sir:
City of Tukwila
Fire Department
Fire Department Review
Control #D99 -0349
(512)
October 5, 1999
Re: Town and Country Suites - 14800 Interurban Avenue
South
Thomas P. Keefe, Fire Chief
The attached set of building plans have been reviewed by
The Fire Prevention Bureau and are acceptable with the
following concerns:
1 Maintain fire extinguisher coverage throughout.
Portable fire extinguishers shall be securely
installed on the hanger or in the bracket supplied,
placed in cabinets or wall recesses. The hanger or
bracket shall be securely and properly anchored to the
mounting surface in accordance with the manufacturer's
instructions. The extinguisher shall be installed so
that the top of the extinguisher is not more than 5
feet above the floor and the clearance between the
bottom of the extinguisher and the floor shall not be
less than 4 inches.
Extinguishers shall be located so as to be in plain
view (if at all possible), or if not in plain view,
they shall be identified with a sign stating, "Fire
Extinguisher ", with an arrow pointing to the unit.
(NFPA 10, 1 -6.3) (UFC Standard 10 -1)
Clear access to fire extinguishers is required at all
times. They may not be hidden or obstructed. (NFPA
10, 1 -6.5)
2. Exit doors shall be openable from the inside without
the use of a key or any special knowledge or effort. Exit
doors shall not be locked, chained, bolted, barred, latched
or otherwise rendered unusable. All locking devices shall
John W. Rants, Mayor
cwrynpavdc
Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone: (206) 5754404 • Fax (206) 57$4439
Page number 2
City of Tukwila
be of an approved type. (UFC 1207.3)
Dead bolts are not allowed on auxiliary exit doors
unless the dead bolt is automatically retracted when
the door handle is engaged from inside the tenant
space. (UFC 1207.3)
Exit hardware and marking shall meet the requirements
of the Uniform Fire Code. (UFC 1207 -1212)
Aisles leading to required exits shall be provided
from all portions of buildings. Aisles located within
an accessible route of travel shall also comply with
the Building Code requirements for accessibility.
(UFC 1204.1)
3. Maintain automatic fire detector coverage per N.F.P.A.
72. Addition /relocation of walls, closets or partitions
may require relocating and /or adding automatic fire
detectors.
All new fire alarm systems or modifications to
existing systems shall have the written approval of
The Tukwila Fire Prevention Bureau. No work shall
commence until a fire department permit has been
obtained. (City Ordinance #1742) (UFC 1001.3)
Call the Tukwila Fire Department at 575 -4407 for
approval of any system shut down. Have job site
address, name and the Tukwila Fire Department Job
Number available to confirm shut down approval. (City
Ordinance #1742)
Contact The Tukwila Fire Prevention Bureau to witness
all required inspections and tests. (UFC 10.503)
(City Ordinance #1742)
4. All electrical work and equipment shall conform
strictly to the standards of The National Electrical Code.
(NFPA 70)
John W Rants, Mayor
Fire Department Thomas P. Keefe, Fie chief
Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone: (206) 5754404 • Fax (206) 575.4439
5. Required fire resistive construction, including
occupancy separations, area separation walls, exterior
walls due to location on property, fire resistive
requirements based on type of construction, draft stop
partitions and roof coverings shall be maintained as
specified in the Building Code and Fire Code and shall be
properly repaired, restored or replaced when damaged,
altered, breached, penetrated, removed or improperly
installed. (UFC 1111.1)
This review limited to speculative tenant space only -
special fire permits may be necessary depending on
detailed description of intended use.
Any overlooked hazardous condition and /or violation of the
adopted Fire or Building Codes does not imply approval of
such condition or violation.
Yours truly,
City of Tukwila
Fire Department
YZ
The Tukwila Fire Prevention Bureau
cc: TFD file
ncd
John W Rants, Mayor
Thomas P. Keefe, Fine Chief
Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone: (206) 5754404 • Fax (206) 5754439
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON
COUNTY OF KING
K B o r JC u s � , states as follows:
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 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. / 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.
AFFCONT.DOC 5/29/96
CITY OF TUrVILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
) ss.
es`c$ DED :_•., i
.` `''ioN" . `Ps'. .
18 NOTARY 1 ` ; ' " '
s PU . ` • •% . !L 19. ° • LCD `:.
* *; 0F'W ASN ,■••.
RECEIVED
CITY OF TUKWILA
SEP 2
PERMIT CENTER
APPLICANT
fi /p c_
Signed and sworn to before me this
c� day of ,Q'1,4,
NOTARY PUB JC in an
residing at
Name as commissioned:
H -4
,1 l c.
or the State of Washington,
C ur�y OVI
My commission expires: \C\ . ( O
.27.090 Exemptions. This chapter shall not apply to:
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;
Officers of a court when they are acting within the
scope of their office; , .
Public utilities operatirg under the regulations of the
utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
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;
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 a structure;
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;
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;
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;
Any work or operation on one undertaking or project
by one or more contracts, the aggregate contract
price of which for labor and materials and all other
items is less than $500, such work, or operations
being considered as of a casual, minor, or
inconsequential nature. The exemption prescribed in
this subsection does not apply in any 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
FFCONT,DOC 5/29/96
of the operation is made into contracts of amounts
less than $500 for the purpose of 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;
10. 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 work upon land in rural
districts for fire prevention purposes; except when
any of the above work is performed by a registered
contractor;
11. An owner who contracts for a project with a
registered contractor;
12. 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 this
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;
13. Owners of commercial properties who use their own
employees to do maintenance, repair, and alteration
work in or upon their own properties;
14. 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;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor
with wages as his sole compensation;
16. Contractors on highway projects who have been
prequalified 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.