HomeMy WebLinkAboutPermit D04-059 - JONE RESIDENCE - GARAGEJONE RESIDENCE
4009 S 148 ST
D04-059
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f City of Tukwila
19
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
DEVELOPMENT PERMIT
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Parcel No.: 0041000164 Permit Number D04 -059
Address: 4009 S 148 ST TUKW Issue Date: 02/20/2004
Suite No: Permit Expires On: 08/18/2004
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Tenant:
i Name: JONE RESIDENCE - GARAGE
Address: 4009 S 148 ST, TUKWILA WA
Owner:
Name: CHANDRAN DANIEL +LANIENA NAI Phone:
Address: 4009 S 148TH ST, TUKWILA WA
Contact Person:
Name: TEIN LE Phone: 206 - 778 -2655
Address: 9420 8 AV SW, SEATTLE WA
Contractor:
Name: OWNER AFFIDAVIT IN FILE - TIEN LE Phone: 206 778 -2655
Address: 9420 8 AV SW, SEATTLE WA
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
DEMOLITION OF EXISTING 14 X 20 GARAGE - EXISTING HOT WATER TANK AND OIL FURNACE TO REMAIN -
APPLICANT WILL BUILD 10 X 8 SHED AROUND THEM.
Value of Construction: $ $1,000.00
Type of Fire Protection: N/A
Type of Construction: VN
Fees Collected: $51.50
Uniform Building Code Edition: 1997
Occupancy per UBC: 0017
Public Works Activities:
Channelization / Striping:
N
Curb Cut / Access / Sidewalk / CSS:
i
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
j 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
doc: Devperm
WOM-1
D04 -059
Printed: 02 -20 -2004
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fg City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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Permit Center Authorized Signature: W'O'-e� Date:
I hereby certify that I have read and examin d 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: Date: Zo &
Print Name:
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 004 -059 Printed: 02 20 -2ot74
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City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 0041000164
Address: 4009 S 148 ST TUKW
Suite No:
Tenant: 30NE RESIDENCE - GARAGE
Permit Number:
Status:
Applied Date:
Issue Date:
D04 -059
ISSUED
02/17/2004
02/20/2004
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: 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.
4: 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).
5: 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.
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: f
Date: Qc;l f ao Zo LJ
doc: Conditions D04 -059 Printed: 02 -20 -2004
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CITY OF TUKWILA - _'1
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
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 Please Print*
S�TE:LOCATION �,
King Co Assessor's Tax No pp `� /OD — 0/(o
Site Address: ¢le2 CT_S f f - Suite Number: Floor:
Tenant Name: <cn., k. New Tenant: ❑ .... Yes r<r..No
Property Owners Name:
Mailing Address: G/ o 1¢1 T.. Li Jil � ( „ y k v k
City Stale Zip
x CONTACT PERSON r
I Name: ! ' fJ Day Telephone: �2p (,) -72 f - 26 F.-
Mailing Address: q l/ 02.E /� ✓�2 S, r J ��./ 1 � w A— of y' /O 6
City State Zip
` E -Mail Address: ( Z,) R 9 /0 b -a yf f y-o C Fax Number o (. ) ::Z 6 (, _ y Q
GENERAL CONTRACTOR INFORMATION
Company Name: ,,A/F 49"f ,2
C Mailing Address: 9 ✓e a f ,�} -,%. S r.J � � /f� ) A �� /0
City State Zip
Contact Person: Day Telephone: „2o6 - 6 r`.f
E -Mail Address: Fax Number: 2c6 - 7 6 6 - P 7 7
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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"
ARCHITECT OF RECORD A1l:plans, must be wet "stamped by Architect of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Day Telephone:
Fax Number:
State Zip
.ENGINEER OF RECORD - All plans must. be.wet stamped by Engineer of,Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
\applications \permit application (3.2003)
3/2003 Page !
City
Day Telephone:
Fax Number:
State Zip
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Valuation of Project (contractor's bid prig$ 1 Doo . Existing Bt g Valuation: $ S , r,,o
Scope of Work (please provide detailed information): C�a
Will there be new rack storage? [:]..Yes (9-- No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Foota g a Below
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
*Provide documentation that shows that the principal_pat
Number of Parking Stalls Provided: Standard:
Will there be a change in use? ❑ ....Yes' [:]..No
llfng: Floor area for accessory dwelling:_
er lives in one of the dwellings as his or her primary residence.
Compact: Handicap:
If "yes ", explain:
FIRE PROTECTIONIHAZARDOUS MATERIALS:
❑.. Sprinklers ❑ ..Automatic Fire Alarm EJ.. N E]. Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? n.. Yes n .. No
If "yes", attach list of materials and storage locations a separate 8-112 x I 1 paper indicating quantities and Material Safety Data Streets.
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\applications \permit application (3.2003)
3n003 Page 2
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Addition t o
TYpe:of
Type of..:'`::
An t erior ,` `
Existing:
Construction
per
Occupancy
Existing
Remodel
Structure
New
'per.:UBC...
UBC :`
1'. Floor :
3` Floor
floors • °'thru
::Basement ; : 2
Accessory`Structure' -';,'
Attached
Detached, Garage'.-' .
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Attached Carport:.:
Detached Carport
Covered Deck !.
:Uncovered. Deck,:'
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
*Provide documentation that shows that the principal_pat
Number of Parking Stalls Provided: Standard:
Will there be a change in use? ❑ ....Yes' [:]..No
llfng: Floor area for accessory dwelling:_
er lives in one of the dwellings as his or her primary residence.
Compact: Handicap:
If "yes ", explain:
FIRE PROTECTIONIHAZARDOUS MATERIALS:
❑.. Sprinklers ❑ ..Automatic Fire Alarm EJ.. N E]. Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? n.. Yes n .. No
If "yes", attach list of materials and storage locations a separate 8-112 x I 1 paper indicating quantities and Material Safety Data Streets.
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\applications \permit application (3.2003)
3n003 Page 2
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Scope of Work (please provide detailed in'ation):
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Call before you Dig: 1 -800- 424 -5555
Please refer to Public Works Bulletin #1 "for, fees and 'estimate sheet
Water District
❑ ...Tukwila C] ... Water District # 125 ❑ .. Highline ❑ ...Renton
❑ ... Water Availability Provided
Sewer 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 Application (mark boxes which as
❑ ...Civil Plans (Maximum Paper Size — 22" x 34"
❑ ...Technical Information Report (Storm Drainage)
❑ ... Bond ❑ .. Insurance ❑ .. Easement(s)
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 hours
❑ ...Right -of -way Use - No 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
❑ .. Geotechnic Report ❑ ... Traffic Impact Analysis
❑ .. Mainte ice Agreement(s) ❑ ... Hold Harmless
❑ . ight -of -way Use - Profit for less than 72 hours
Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
Abandon Septic Tank
Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
ff
Water "
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❑ ... Permanent Water I
❑ ...Temporary Water
❑ ... Water Only Meter
❑ ... Sewer Main Exten
❑ ... Water Main Exten
ize... WO#
r Size.. WO#
............ WO#
............Public Private
............Public Private
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
C].. Utility Undergrounding
❑'...Deduct Water Meter Size........
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment
Monthly Service Billing to:
Name: Day Telephone:
Mailing Address: city
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State Zip
Water Meter Refund/Billing:
Name: Day Telephone:
Mailing Address:
City State Zip
Upplications\pertnit application (3.2003)
3/2003 Page 3
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HANICAL,:P RMIT INFORMATION.- 206- 431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
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 **
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential: New ....
Commercial: New ....
Fuel Type Electric ..... ❑ Gas .... ❑
Replacement .... M
Replacement .... M
Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty
: Unit Type:
Qty,.
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <IOOK BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace >IOOK 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
Ap pliance Vent
Hood
50+ HP /1,750,000 BTU
I- Ieat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm /Ind
PERMIT APPLICATION.NOTE5. Applicable to`a11 perma<ts. >ta 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.
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 AU AGENT:
Signature: Date: f 0
Print Name: f r, Day Telephone: �2v6 - 7 7
Mailing Address: !2 /h/s- S. •, J �ec./Ale cAj A- c1,�/ /, y
City State Zip
Date Application Accepted: ( Date Application Expires: Staff Initials: �-
v�
lapplicationslpcimit application (3.2003)
312003 Page 4
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�g Cit of Tukwila
1906 y
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
a
RECEIPT
Parcel No.:
0041000164
Permit Number
D04 -059
Address:
4009 S 148 ST TUKW
Status:
PENDING
Suite No:
Applied Date:
02/1712004
Applicant:
DONE RESIDENCE - GARAGE
Issue Date:
Receipt No.:
R04 -00182
Payment Amount:
51.50
Initials:
SKS
Payment Date:
02/17/2004 02:45 PM
User ID:
1165
Balance:
$0.00
Payee: TIEN LE
TRANSACTION LIST:
Type Amount
- - - - -- Method Description - - - - --
Payment Cash 51.50
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
BUILDING - NONRES 000/322.100 47.00
STATE BUILDING SURCHARGE 000/386.904 4.50
Total: 51.50
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INSPECTION RECORD d
Retain a copy with permit -Po"i 05 �
INSPITTION NO. PER T NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 20 1 -3670
Project:
Type of I ection:
A� s�s�
U
ate Called:
d
Special Instructions:
Date Wanted: �. �M
m.
Requester:
Phone No:- �j
-:Z & 471 ~ S
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)4Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Receipt No.: Date:
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`'—' paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD �b
Retain a copy with permit (] t C
IN ON NO. P I N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20 )4 -3670
Pra ect:
Type of lns
p "
A dres /
V �f
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Date Called:'
G ;
(J
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Spe al Instructions:
'
Date Wanted: ,
a.m.
Requester,-- -
Phone No:
t �
■ Approved per applicable codes Corrections required prior to appro
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$47.00 REINSPECTIOWFEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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INSPECTION RECORD
Retain a copy with permit I _CUs S�
INSPECTION NO. PERMI N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter gjyd., #100, Tukwila, WA 98188 (206)431 -3670
Proje
--P r o�
Type of I spection:
-
P
r
Address
Date Called:
O k
Special Instructions:
Date Wanted: I
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11 . 30 q W}
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Requester:
Le
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Phone No:
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Approved per applicable codes. 11 Corrections required prior to approval.
COMMENTS:
--P r o�
,V 0,
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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PEf?MIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER D04 -059 DATE: 2 -17 -04
PROJECT NAME _ )ONE RESIDENCE
SITE ADDRESS 4009 S 148 ST
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Is Issued
DEPARTMENTS
R4 I���
Building Divisio
g
Public Wo
I V IL -- 9%-0
Fire Prevention
Structural ❑
t
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DETERMINATION OF COMPLETENESS (Tues., Thurs.)
Complete d Incomplete ❑
Comments:
�Q 2,t .o
Planning Division
Permit Coordinator 49
DUE DATE: 2 -19-04
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 Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS DUE DATE: 3-18 -04
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:
Documents/routing slip.doc
2 -2g -02
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qs CITY OF T. �WILA
Oi Permit Center
6300 Southcenter Boulevard, Suite 100,
' Telephone: (206) 431 -3670
Tukwila, WA 98188
STATE OF WASHINGTON )
ss.
COUNTY OF KING )
^J ��- , states as follows:
1. 1 have made application for a building permit from the City of Tukwila, Washington.
H -4
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. l , 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. _
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AFFCONT 1113100
APPLICANT
Signed and sworn to before me this
204A day of �,brc�ar - y , 20 69,)
a I
&C-0, a. AZ
NOTARY PUBLIC in anal for the State of Washington,
residing at K/na County.
Name as commissioned: Al %ee A. Dea.c-v
My commission expires:
6 —A -D/�
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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
AFFCONT 1/13/00
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.
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Sewer MH A -1
r;m a 296.1
j v (W >E &N) = 2 9 0.
LEG OE SCR;PTI ON
FIR IT ADC TIOrr TO , DAMS h0t,1c TRACT
LO , 121 BLOCS 2. IN VOLUME 12 OF
ACCORDING TO THE PLAT THE
R_CORDED
ACCO T KING COUNTY, �,�a�HINGTON
PLATS, �PA�E 50. RECORDS OF
. ELEvATiON DAT�1ti PER Va1Vue SEWER D!$TRICTV % NHGLE A-14
ELEVATiON a 296.1 FEET.
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tractor's COPY ° v e.
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xis ting Concrete Ni r in Ccse
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I , $ I ,� . 9 -a ' ` Monument
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�, S EPARATE PERMIT
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REQUIRED FQ
Jill 296.8
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r 1 �- (D) I PERMIT CEN•TEN s torm a r c h a
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teness. Fe ore
TNT OF
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* , call a tot... a t-ng ser v,ce or
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o ✓ ' -840- 424 - 5555 for ur der groom ^a u � , t y tote tons
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