HomeMy WebLinkAboutPermit D04-057 - DO RESIDENCE - FAMILY ROOMDO RESIDENCE
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j Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
DEVELOPMENT PERMIT
Parcel No,: 0179000835 Permit Number: X04-057
Address: 12235 46 AV S TUKW Issue Date: 03/12/2004
Suite No: Permit Expires On: 09/08/2004
Tenant:
Name: DO RESIDENCE
Address: 12235 46 AV S, TUKWILA WA
Owner:
Name:
DO QUAN MINH
# Address:
i
12235 46TH AVE S, SEATTLE WA
j Contact Person:
! Name:
QUAN M DO
Address:
12235 46 AV S, TUKWILA WA
f Contractor:
Name:
OWNER AFFIDAVITIN FILE - QUAN M. DO
Address:
12235 46 AV S, TUKWILA WA
Contractor
License No:
Phone:
Phone: 206- 767 -4351
Phone: 206 767 -4351
Expiration Date:
DESCRIPTION OF WORK:
REMOVAL OF EXISTING SECOND FLOOR DECK; REPLACING WITH 220 SF FAMILY ROOM WITH ROOF TOP DECK FOR
SECOND FLOOR
Value of Construction: $ $20,328.00
Type of Fire Protection: NONE
Type of Construction: VN
Fees Collected: $557.66
Uniform Building Code Edition: 1997
Occupancy per UBC: - 7
Public Works Activities:
Channelization / Striping:
N
Curb Cut / Access / Sidewalk / CSS:
N
Fire Loop Hydrant:
N
Number:
0
Size (Inches): 0
Flood Control Zone:
N
Hauling:
N
Start Time:
End Time:
Land Altering:
N
Volumes:
Cut 0 c.y.
Fill 0 c.y,
Landscape Irrigation:
N
Moving Oversize Load:
N
Start Time:
End Time:
Sanitary Side Sewer:
N
Sewer Main Extension:
N
Private:
N
Public: N
Storm Drainage:
N
Street Use:
N
Profit:
N
Non - Profit: N
Water Main Extension:
N
Private:
N
Public: N
Water Meter:
N
.. Devperm •fa. Mi
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Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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I Permit Center Authorized Signature: 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
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ordinances governing this work will be complied with, whether specified herein or not.
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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: Date:-3- / Z Z 0
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Print Name:
i
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.
doc: Devperm D04 -057 Printed: 03 -12 -2004
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Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 0179000835
Address: 12235 46 AV S TUiICW
Suite No:
Tenant: DO RESIDENCE
Permit Number:
Status:
Applied Date:
Issue Date:
D04 -057
ISSUED
02/13/2004
03/12/2004
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
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).
4: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical
work will be inspected by that agency (206- 835 - 1111).
5: All mechanical work shall be under separate permit issued by the City of Tukwila.
6: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any
construction. These documents are to be maintained and available until final inspection approval is granted.
7: Engineered truss drawings and calculations shall be on site and available to the building inspector for inspection
purposes. Documents shall bear the seal and signature of a Washington State Professional Engineer.
8: Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear
identification showing the fire performance rating thereof.
9: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997
Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition).
10: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any
requirements for special inspection.
11: All wood to remain in placed concrete shall be treated wood.
12: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations 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 ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this
code shall be valid.
13: Ventilation is required for all new rooms and spaces of new or existing buildings in conformance with the Uniform
Building Code and the Washington State Ventilation and Indoor Quality Code, Chapter 51 -13 WAC.
14: Fuel burning appliances may not be installed in sleeping rooms, U.M.C. 304.5.
15: Appliances which generate flame, spark or glowing ignition, shall be elevated 18 inches above the floor (U.M.C.
303.1.3.).
16: Water heater shall be anchored to resist earthquake (U.P.C. 510.5).
doc: Conditions D04 -057 Printed: 03 -12 -2004
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City o w INS
3 Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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:
Date: 311zz o
Print Name: Q U A N — /L — .p o
doc: Conditions D04 -057 Printed: 03 -12 -2004
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46
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.: 0l •� 9 013 - 0 9 3 S - 0 6
Site Address I I 46 4VE I VA e _ f Suite Number: Floor:
Tenant Name: New Tenant: .... Yes E] ..No
Property Owners Name: ti - M 0
Mailing Address: 12 2 3 TO >1 !,i)IL /1 (,tJ H �" / 3 Cy
City State Zip
CITY OF TUKWIL4
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100 .
Tukwila, WA 98188
Name: aU A A) - M - �00 Day Telephone:
Mailing Address: 1 2 7()V W 1 L A -
City ' Slate Zip
E -Mail Address:
Fax Number:
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
= �4:RCHITECT> OF;RECORD = All tans= mustae'wet stain ed
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Mailing Address:
Contact Person:
E -Mail Address:
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Day Telephone:
Fax Number:
State Zip
Company Name:
Mailing Address:
State Zip
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Contact Person: Day Telephone:
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E -Mail Address: Fax Number:
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tappliationatperTnit application (3.2003)
3/2003 Page I
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Valuation of Project (contractor's bid price D/ CU U • Existing Bu g Valuation: $ '
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Scope of Work (please provide detailed information);
ADD ARPRDY . oV F 5 ec o rer,,oi I
Will there be new rack storage? 0 ..Yes a.. No
If "yes ", see Handout No. for requirements.
rb .,; i ` y i5:� - Provide All Butidm Area : `i1h Square Footage Below
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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 for 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 0 ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
O.. Sprinklers D..Automatic Fire Alarm O..None . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? O .. Yes O ..No
If 'yes ", attach list of materials and storage locations on a separate 8 -112 x I1 paper indicating quantities and Material Safety Data Sheets.
%applicationatpermit application (3.2003)
312003 Page 2
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Accessory, Structure *�;
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Attached Garage `
Detached Garage
, ,
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Attached Galiport
'!Detached G
Covered Deck, ,
; Uncovered
rr
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 for 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 0 ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
O.. Sprinklers D..Automatic Fire Alarm O..None . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? O .. Yes O ..No
If 'yes ", attach list of materials and storage locations on a separate 8 -112 x I1 paper indicating quantities and Material Safety Data Sheets.
%applicationatpermit application (3.2003)
312003 Page 2
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Scope of Work (please provide detailed i om a tion):
).
Call before you Dig: 1- 800 - 424 -5555
4 `';r; rP,lease referto'Pubhc Works Bu11eEm #l,for fee's and es�Eimatesheet`�� �»
vl • .�Ah� .l T !.Y I. R. .1'L. 7; ✓ \1Ct.� �(••
cater District
...Tukwila ❑... Water District # 125 ❑ .. Highline ❑ ...Renton
❑ ... Water Availability Provided
Sew District
'.Tukwila ❑... ValVue ❑ .. Renton ❑ ...Seattle
[]...Sewer Use Certificate ... Sewer Availability Provided ❑ .. Approved Septic Plans Provided
[]...Septic System- For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department.
Submitted with Applitation (mark boxes which apply):
❑...Civil Plans (Maximum Paper Size -22" x 34
❑ ... Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑ ... Traffic Impact Analysis
[ ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑ ... Hold Harmless
Proposed Activities (mark boxes that a
❑ ...Right -of- -way Use - Nonprofit for less than 72 hours ❑ .. Right -of -way Use - Profit for less than 72 hours
❑ ...Right -of -way Use - No Disturbance ❑ .. Right -of -way Use - Potential Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way
Non Right -of -way
❑ ...Total Cut cubic yards
❑ ...Total Fill cubic yards
❑ ..:Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑ ...Frontage Improvements
❑ ...Traffic Control
❑...Backflow Prevention - Fire Protection _
Irrigation
Domestic Water
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
0—Permanent Water Meter Size... WO#
❑ ... Temporary Water Meter Size.. WO#
j ❑ ...Water Only Meter Size............ WO#
❑ ... Sewer Main Extension ............ Public Private
❑ ... Water Main Extension .............Public Private
❑ ... Deduct Water Meter Size........ "
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
FINANCE INFORMATION
Fire Line Size at Property Line _
❑ ... Water ❑ ...Sewer
Monthly Service Billing to:
Number of Public Fire Hydrant(s)
❑ ...Sewage Treatment
Name: Day Telephone:
Mailing Address: city state zip
Water Meter Refund/Billing.
Name: Day Telephone:
Mailing Address: City state tip
Vpplicatiomlpennit application (3.2003)
3/2003
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MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
City state Zip
Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential: New .... ❑
Commercial: New .... ❑
Fuel Type Electric ..... ❑ Gas....❑
Replacement .... ❑
Replacement .... ❑
Other:
Indicate type of mechanical work being installed and the quantity below:
Unit T e:
YP
t
Q.Y'
Unit.T e , =
. YP ` =.
Qty.
Unit'.T e: .
.: YP
Qty
:Boiler /.Cordpressor: ,~ .:.;
ry;
Furnace <100K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace>100K BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
15 -30 HP /1,000,000 BTU
Suspended /Wall/Floor
Mounted Heater
Ventilation System
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
I
Incinerator— Comm /Ind
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ERIVIIT APFI,'ICATION NOTES `:�A ' licable =to': all: _ `
P.. r.,mits in'aliw aPP p p lication
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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.
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 A / GENT:
Signature: 1 Date: )
Print Name: a IJ A 1U jul — '/�y Day Telephone L ZO 4
Mailing Address: 12 2 G G4 /l t) e S To k wl L-A k/ A
City state Zip
Date Application Accepted: I Date Application Expires: Staff I ' ' Is:
2 -�3 -0�4 8 -�3-- h�
%applications%iwntit application (3.2003)
3/2003 Page 4
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, City of Tukwi .
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 0179000835
Permit Number
D04-057
Address: 12235 46 AV S TUKW
Status:
APPROVED
Suite No:
Applied Date:
02/13/2004
Applicant: DO RESIDENCE
Issue Date:
Receipt No.: R04 -00294
Payment Amount:
339.75
Initials: SKS
Payment Date:
03/12/200410:59 AM
User ID: 1165
Balance:
$0.00
Payee: QUAN MINH DO
i
s
TRANSACTION LIST:
Type - - - - -- Method Description
-- - - - - -- ---------------------------
- - - - -- Amount
Payment Check 2462
339.75
ACCOUNT ITEM LIST:
Description Account Code
Current Pmts
------------------------ - - - - -- ---------- - - - - --
BUILDING - RES 000/322.100
------ - - - - --
335.25
STATE BUILDING SURCHARGE 000/386.904
4.50
Total: 339.75
(5/12 1 71 'I01W. 339.75
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fg City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 (206) 431-3670
Payee: QUAN MINH DO
TRANSACTION LIST:
Type Method Description Amount
---------- -------- --------------------------- ------ - - - - --
Payment Check 2442 217.91
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------------ ---------------- ------ - - - - --
PLAN CHECK RES 000/345.830 217.91
Total: 217.91
72/J.7 9 116 TOTAL 217-9i
doc: Receipt Printed:. 02-13-2004
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RECEIPT
Parcel No.:
0179000835
Permit Number:
D04-057
Address:
12235 46 AV S TUKW
Status:
PENDING
Suite No:
Applied Date:
02/13/2004
Applicant:
DO RESIDENCE
Issue Date:
Receipt No.:
R04-00173
Payment Amount:
217.91
Initials:
BLH
Payment Date:
02/13/200412:54 PM
User ID:
ADMIN
Balance:
$339.75
Payee: QUAN MINH DO
TRANSACTION LIST:
Type Method Description Amount
---------- -------- --------------------------- ------ - - - - --
Payment Check 2442 217.91
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------------ ---------------- ------ - - - - --
PLAN CHECK RES 000/345.830 217.91
Total: 217.91
72/J.7 9 116 TOTAL 217-9i
doc: Receipt Printed:. 02-13-2004
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6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670
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INSPECTION NO. PERMI
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RMIT COORD COPY
PLA P REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D04 -057 DATE: 02 -13 -04
PROJECT NAME: DO RESIDENCE
SITE ADDRESS: 1223546 TH AVENUE SOUTH
X ,Original Plan Submittal
_Response to Incomplete Letter #
_Response to Correction Letter # Revision # after /before permit is issued
' DEP ARTM�TS
Buision Fire Pre vention 0
Public Structural ❑
' DETERMINATION OF COMPLETENESS (Tues., Thurs.)
Complete 10 Incomplete ❑
i Comments:
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Permit Coordinator
DUE DATE: 02 -17 -04
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROUTING:
Please Route M Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS
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Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing sllp.doc PERMIT COORD COPY
2 -28.02
DUE DATE: 03 -16 -04
Not Approved (attach comments) ❑
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CITY OF ... KWI LA
Permit Center
6300 Southcenter Boulevard, Suite 100,
Telephone: (206) 431 -3670
STATE OF WASHINGTON )
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COUNTY OF KING )
Tukwila, WA 98188
Q UA 10 — M - go , states as follows:
1. 1 have made application for a building permit from the City of Tukwila, Washington.
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2. 1 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. 1 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, 1
consider the work authorized under this building permit to be exempt under No. ' 12 , 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.
s , S � TO ti i �l
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AFFCONT 1113100
APPLICANT
Signed and �h ' to before me this
)Z� day of "\a` C , 20 0 4
NOTARY PUBLIC in ano f,6r the Stat6 of Washington,
residing at County.
Name as commissioned:
My commission expires:
f3 �.,r - ba r es 5",
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18.27.090 Exemptions. This chapter shall not apply to:
1. 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;
2. Officers of a court when they are acting within the
scope of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
4. 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;
5. 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;
6. 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;
7. 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;
8. 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;
9. 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
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. ny 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.
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