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Permit M07-096 - MARSH RESIDENCE
MARSH RESIDENCE 15815 47 AV S M07 -096 Parcel No.: 2386600015 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: 1581547AVS MARSH RESIDENCE 15815 47 AV S , TUKWILA WA Contact Person: Name: JAMES MARSH Address: 15849 47 AV S , TUKWILA WA Contractor: Name: OWNER AFFIDAVIT - JAMES J MARSH Address: Contractor License No: DESCRIPTION OF WORK: INSTALL (2) GAS FURNACES, (3) GAS FIREPLACES, VARIOUS VENTS, DRYER, FRESH AIR, EXHAUST FOR NEW SFR Value of Mechanical: $10,000.00 Type of Fire Protection: City _df 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 MARSH JAMES J +STEPHANIE L 15815 47TH AV S , TUKWILA WA 98188 Furnace: <100K BTU 0 >100K BTU 2 Floor Furnace 0 Suspended/Wall/Floor Mounted Heater 0 Appliance Vent 0 Repair or Addition to Heat/Refrig /Cooling System.... 0 Air Handling Unit <10,000 CFM 0 >10,000 CFM 0 Evaporator Cooler 0 Ventilation Fan connected to single duct 6 Ventilation System 1 Hood and Duct 1 Incinerator: Domestic 0 Commercial/Industrial 0 MECHANICAL PERMIT EOUIPMENT TYPE AND OUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Expiration Date: Phone: Phone: 206 999 -7103 Phone: M07 -096 05/03/2007 10/30/2007 Fees Collected: $269.58 International Mechanical Code Edition: 2003 Boiler Compressor: 0-3 HP /100,000 BTU 0 3-15 HP /500,000 BTU 0 15-30 HP /1,000,000 BTU.. 0 30 -50 HP /1,750,000 BTU.. 0 50+ HP /1,750,000 BTU 0 Fire Damper 0 Diffuser 0 Thermostat 2 Wood/Gas Stove 3 Water Heater 1 Emergency Generator 0 Other Mechanical Equipment 0 doc: I MC-10 /06 M07 -096 Printed: 05-03 -2007 Permit Center Authorized Signature I hereby certify that I have read and 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 governing this work will be complie • er 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 regulatinc construction or e perfo ce of wor I am authorized to sign and obtain this mechanical permit. Signature: Print Name: Permit Number: M07 -096 Issue Date: 05/03/2007 Permit Expires On: 10/30/2007 Date: ? j 1 permit and know the same to be true and correct. All provisions of law and ordinance: E- J. M 145 d- Date: 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 suspende or abandoned for a period of 180 days from the last inspection. doc: I MC -10/06 M07 -096 Printed: 05-03 -2007 Parcel No.: 2386600015 Address: 15815 47 AV S TURW Suite No: Tenant: MARSH 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: M07 -096 Status: ISSUED Applied Date: 04/30/2007 Issue Date: 05/03/2007 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: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 7: Manufacturers installation instructions shall be available on the job site at the time of inspection. 8: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the International Building Code and the Washington State Ventilation and Indoor Air Quality Code. 9: Except for direct - vent appliances that obtain all combustion air directly from the outdoors; fuel - fired appliances shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms, bathrooms, toilet rooms, storage closets, surgical rooms. 10: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests. 11: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum distance of 4- inches shall be maintained above the controls with the strapping. 12: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 13: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206 - 431 - 3670). 14: 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 M07 -096 Printed: 05-03 -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 * *continued on next page ** doc: Cond -10/06 M07 -096 Printed: 05-03 -2007 vto City of Tukwila 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 -10106 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 J. M1142144- Date: M07 -096 Printed: 05-03 -2007 (.11 Y Ui1` 1 UK WILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www. ci. tukwila. wa. us SITE LOCATION Site Address: 1 ` � IS 41 T It A-v it c Tenant Name: J A-vhE S AYC -+!- Property Owners Name: 5e Mailing Address: 15 b4 9 41 T` 114M (7,-`3 hAt S I- Mailing Address: I 'BQ- 4'1 t E -Mail Address: J I M eS . N1411_Si!- °v M E7120 KC .C4-011 Name: Company Name: Mailing Address: Contact Person: E -Mail Address: Company Name: Mailing Address: Company Name: Mailing Address: Contact Person: E -Mail Address: MECHANICAL PERMIT APPLICATION 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 ** Contact Person: E -Mail Address: Q: Applications\Porms- Applications On Line'3- 2006 - Mechanical Permit Application.doc Revised: 4 -2006 bh King Co Assessor's Tax No.: 2 ��' ` " 00tc Suite Number: Floor: New Tenant: D.... Yes J ..No - MCWILft. City City (For office, use only) WI's `b1113 State Zip CONTACT PERSON :- who do we contact when your permit is ready to be issued Day Telephone:(to 6) Q'?9 — " 1 l 07 71V—ip 1 L 44 WA '01 VZ State Zip Fax Number: (VA, 277 - &Z 9 MECHANICAL CONTRACTOR INFORMATION State City Day Telephone: Fax Number: Contractor Registration Number: Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record State City Day Telephone: Fax Number: ENGINEER OF RECORD = All plans must be wet stamped by Engineer of Record State Zip Zip Zip City Day Telephone: Fax Number: Page 1 of 2 Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace<100K BTU Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Furnace>100K BTU 2. Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct pf,�, W Thermostat 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System a Wood/Gas Stove /j, 30 -50 HP /1,750,000 BTU Appliance Vent Hood and Duct 1 Water Heater � 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Emergency Generator Air Handling Unit <10,000 CFM Incinerator — Comm/Ind Other Mechanical Equipment Date Application Accepted: . Date Application Expires: Staff Initials: Valuation of Project (contractor's bid price): $ 1 O t '© Scope of Work (please provide detailed information): TWO (,rPr f) 4_ C — ►N ST — Pc( — T 112._&E, ST &A-% EPCa4C & 5 VA -410J5 , S e+2 M Use: Residential: New. Replacement .... ❑ Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas... Other: Indicate type of mechanical work being installed and the quantity below: 'n its ;111 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 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). 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 AUTH�D AGENT: Signature : 1 ; ,,A A , 4 0 Print Na Mailing Address: (cpj4.J l A✓G- Q:\Applications\Fonns- Applications On Line3-2006 - Mechanical Permit Application.doc Revised: 4 - 2006 bh Date: 440 - Y) Day Telephone 2J3c } Qq —'7 1 '(WAAJI A- wA- 981f City State Zip Page 2 of 2 Receipt No.: R07 -00711 Payee: JAMES J. MARSH TRANSACTION LIST: Type Method Description ACCOUNT ITEM LIST: Description doc: Receiot -06 MECHANICAL - NONRES PLAN CHECK - NONRES City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us RECEIPT Parcel No.: 2386600015 Permit Number: M07 -096 Address: 15815 47 AV S TUKW Status: PENDING Suite No: Applied Date: 04/30/2007 Applicant: MARSH RESIDENCE Issue Date: Initials: JEM Payment Date: 04/30/2007 03:54 PM User ID: 1165 Balance: 80.00 Amount Payment Check 6302 269.58 Account Code Current Pmts 000/322.100 221.66 000/345.830 47.92 Total: $269.58 Payment Amount: 8269.58 7668 05/01 9716 TOTAL 269.58 Printed: 04 -30 -2007 Pro t: Type of In ection / Address Called: Special Instructions: Date � 47 � Requester: Phone No ,o - '/2 -7ZZ2 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISI ON 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 PERMIT NO. N Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: n 2 / /i://ti4 I Dal/ z/g._7 .00 REINSPECTION FE REQUIRE . Prior to inspection. a must be id at 6300 Southcenter B vd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Pro ehc ' /2 /i9/ /1 Type o Inspection: 6> /i) - /ft) Address: /519 y 7, /S Date Called. Special Instructions: Date Wanted: — / / - U - 2 a.m. p.m. Requester: Phone No: . - 9 . '--- 7/D IN CTION NO. 1► SPECTION RECORD Retain a copy with permit PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 3671;0 COMMENTS: Inspect ' 'Date_ 00 REINSPECTION E REQUIRED Prior to inspection. fee must be d at 6300 Southcenter lvd.. Suite 1 0. Call the schedule reinspection. ipt No.: 'Date: Approved per applicable codes. Corrections required prior to approval. COMMENTS:1) - ,z s, // c„ .y.,, Type of Inspection: ze / //, ( r,:2--eyel 4, . Ge.ex,..e1.- A ..., 24.5,...0 r ere,2e4 47 /./lls2 e , -..,..._ 6 6 4 ff 1 1 1■4.,/el , 41 7 -'''-- C 1' 4 7 .--/.,,'/ ,,, h Date Wanted: .5 ji2 5 - i_ /,--, c e. c .,-,), 5. fr. ,6 .L. t.,---A-1,. e r ' Z 1 4 2 , , fi ,,,, ,-_, e -/c.9 /0'-, 4" (Q./7 Phone No: _,‘ /7 10 ge_ i 4, c aw 11/ 6 67( - 1 b 3 /3— /41. .L1 4 ,2— 1 ..e /%, / c.,/, ‘, 6 e r./.1.4. e---L*,. er cee6i 7.5 1 ti"-/ (4 `c p)iz. ( e LI ) / / g-s -rpi ../. O „i _Cleo& I— /et/4 ted117, (v-7e" 74. Project: A Type of Inspection: ze / //, Address: X 5:- 47 A, Date Called: Special Instructions: --- - Date Wanted: .5 a. . Requester: Phone No: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISIO 6300 Southcenter Blvd., #100, Tukwila, WA 981 88 ID Approved per applicable codes. l Inspector INSPECTION RECORD Retain a copy with permit NO. (206)431-3670 Corrections required prior to approval. 'Date: CA.t.P J-7 4cf7.-) I 5 — 7 '7 El $58.tJO REINSPECTIOttFEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. !Receipt No.: 'Date: v•• • V• ■ •%•• • a.•• Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 ' — REVI CODE APPROV D M A Y -1 20 7 Proe .. c . � 2C— S I 1 GE � �1 l11�1 ! Z 'R x!4 Site Address: ISb I5 `}� ' ma y Ck't l4W(LA, WA- , 9 1BP, WASHINGTON STATE ENERGY CODE HEATING DESIGN METHOD (select A, B or C below): A. ❑ System Analysis - W.S.E.C. Chapter 4 (submit documentation) B. ❑ Component Performance Approach - W.S.E.C. Chapter 5 (submit documentation) C. Pry cnpf ve Option - W.S.E.C. Chapter 6 (for prescriptive, complete the following calculation): House Square Footage (heated space): 52 )i ) X 20 BTU/h Heating System Installed, (check system type below): 1. ❑ Electric Resistance 2. ❑ Electric (forced air) 3. S Other Fuels (gas, heat pump) P(_, 1 I1. WASHINGTON STATE VENTILATION AND INDOOR Alft OUALITY CODE (select A or B below): A. ❑ Ventilation by Performance or Design Method - W.S.V.I.A.Q. Section 302 (submit documentation). B. 4 07firescriptive Ventilation Options - W.S.V.I.A.Q. Section 303 (select one of the following): 1. Ventilation using Exhaust Fans (Section 303.4.1.) ❑ Exception for outdoor air inlets — Forced air heating system w/interior doors undercut Si" 2. ❑ Ventilation integrated with Forced Air System (Section 303.4.2.) 3. � Ventilation using Supply Fan (Section 303.4.3.) 4. ❑ Ventilation using Heat Recovery System (Section 303.4.4.) ❑ Prescriptive Minimum/Maximum Outdoor Air Calculation specified in Table 3 -2 (see reverse side of form). 1. House Square Footage: 5 2(.0 2. House Number of Bedrooms: 3. Required Outdoor Air Table 3 -2: Minimum - f 'v cfm Maximum - 213 cfm Effective: 7/1/02 applications .atinp and ventilation system - form h-6 (7-2002) = (0 fa MECHANICAL PERMIT APPLICATION NO.: 206 -431 -3670 Public Works Department: 206433 -0179 Planning Division: 206 -431 -3670 HEATING AND VENTILATION COMPLIANCE FORM Aims I and II for Group R Occupancies 4 Stories or Less) MOlr O' BUILDING PERMIT APPLICATION NO.: 0 0 (o 2 S 3 Maximum BTU of Heating System Output FILE COPY Perri::* No. .1: crnr RECEIVED TT(UKWILA APR 3 0 2007 PERMFTGENTER N1 (71- ol lO TABLE 3 -2 VENTILATION RATES FOR ALL GROUP R OCCUPANCIES FOUR STORIES OR LESS Minimum and Maximum Ventilation Rates: Cubic Feet Per Minute (CFM) 2001 - 2500 3001 -3500 80 120 4001 -5000 95 143 6001 -7000 115 173 8001 - 9000 135 203 ...s' -'� ms � 's ms, increase the min ual to 1.5 times the 143 110 165 125 Bedrooms 2 or Tess Min Max Min ' Max Min Max Min Max . Min Max Min Max Min Max •For residences that exceed 8 bed bedroom. The maximum CFM is 1. For each additional elbow subtract 10 feet from length. 2. Flex ducts of this diameter are not permitted with fans of this size. Effective: 7/1102 rceti a Me>,aetion jC TABLE 3 -3 1RESCRIPTIVE EXHAUST DUCT SIZING um requirement listed for 8 bedrooms by an additional 15 CFM per nimum. Fan Tested CFM i„ 0.25 " W.G. Minimum Flex Diameter Maximum Length Feet Minimum Smooth Diameter Maximum Length Feet Maximum Elbows' ,: Y b: 50 R..... 50 80 � I 1 00 1 . 2 . 5 5t . �. $". Y.ci'tgs'yT} 4 inch t 6 inch r �/Xc. x 5 inch i �b �.y 5 inch'_ Y $+ 6 inch %wv.. a �"°, 25 ,a No Limit _Im isa 15 i y {'°s � w1. - .}S• N#Af y P -' * Y �.. � 1 / 5 y k5{F�i 4 , .`1.:' 7 � ST. 4 inch ate 6 inch .2 l ii 5 inch : "Y"a'C '3:"i' 7' 'S 1R ' � � �cy; 5 inch �� '7� f � N.�� �[�t� 6 inch )' - K �Lf4"6 , 70 No Limit w:t yyv�,. 7 100 5Tiu' � : 1+? B a • " c.+t rah -ea�d � Y + �s R� ryg 5 s�f a �i' V 1 y �A'��..� ^ - No Limit v_ 3 rE6°wsaY�s: °x1a 3 ; y' :— r , y °"' . ,d' 3 � ;` 6 3 g :t TABLE 3 -2 VENTILATION RATES FOR ALL GROUP R OCCUPANCIES FOUR STORIES OR LESS Minimum and Maximum Ventilation Rates: Cubic Feet Per Minute (CFM) 2001 - 2500 3001 -3500 80 120 4001 -5000 95 143 6001 -7000 115 173 8001 - 9000 135 203 ...s' -'� ms � 's ms, increase the min ual to 1.5 times the 143 110 165 125 Bedrooms 2 or Tess Min Max Min ' Max Min Max Min Max . Min Max Min Max Min Max •For residences that exceed 8 bed bedroom. The maximum CFM is 1. For each additional elbow subtract 10 feet from length. 2. Flex ducts of this diameter are not permitted with fans of this size. Effective: 7/1102 rceti a Me>,aetion jC TABLE 3 -3 1RESCRIPTIVE EXHAUST DUCT SIZING um requirement listed for 8 bedrooms by an additional 15 CFM per nimum. 10 -02 -2007 JAMES MARSH 15849 47 AV S TUKWILA WA 98188 RE: Permit No. M07 -096 1581547AVSTUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or 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 writinz 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 11/07/2007 , 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, X c: el' Marshall, ermit Technician Permit File No. M07 -096 City of Tukwila Steven M Mullet, Mayor Department of Community Development Steve Lancaster, Director b 21111 (`....s0....... a.... D....1........A 0.41•.. a1nn a 71•L..•11.. idl ..0.1....f.... n01 D0 - D0........ )i1 A?1 ? A•711 - r..... ?n!. A ?1 ?AAC ACTIVITY NUMBER: M07 - 096 DATE: 04 -30 -07 PROJECT NAME: MARSH RESIDENCE SITE ADDRESS: 15815 47 AV S X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: J Bui n ivision `` e Public Works Complete Comments: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: Documents/routing slip.doc 2 -28 -02 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP tr Fire Prev n ion r% Structural ❑ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete ❑ TUESJTHURS ROU ING: Please Route Structural Review Required REVIEWER'S INITIALS: DATE: DATE: Planning Division Permit Coordinator No further Review Required DUE DATE: 05-01 -07 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DUE DATE: 05-29-07 Not Approved (attach comments) ❑ Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: sloe CITY OF TUKWIL4 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 ) AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION JMcs J . MAre-%4+- PERMIT NO.: ! Cif , states as follows: [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. 13 , 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. G A. DF , �c�Sio .0J- 9s,. �OTAg 1. ; - • N;. G \applications\8 -2004 affidavit in lieu of contractor registration d and sworn to before me this .3he day of Ma a. NOTARY PUBLIC in and for thrState of Washington, Residing at Name as commissioned: Alice A. React/ My commission expires: 6-M-Og ,20 , County. wit 18.27.090 Exemptions. This chapter shall not apply to: 1. 2. An authorized representative of the United States Govemment, the State of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district or other municipal or political corporation or subdivision of this state; 3. Officers of the court when they are acting within the scope of their office; 4. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 5. Any construction, repair or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, or other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 6. The sale or installation of any finished products, materials, or articles of merchandise which are not actually fabricated into and do not become a permanent fixed part of the structure; 7. Any construction, alteration, improvement or repair of personal property, except this chapter shall apply to all mobile, manufactured housing. A mobile/manufactured home may be installed, set up, or repaired by the registered or legal owner, by a contractor licensed under this chapter, or by a mobile /manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW; 8. Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 9. Any person who only fumished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor, 10. Any work or operation on one undertaking or project by one or more contractors, the aggregate contract price of which for labor and materials and all other items is less than $500.00, such work, or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in all instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into \applications\8 -2004 affidavit in lieu of contractor registration contracts of amounts Tess than $500.00 for the purpose of the evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he is a contractor, or that he is qualified to engage in the business of contractor; 11. Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry raising; or to clearing or other work upon land in rural districts for fire prevention purposes; except then any of the above work is performed by a registered contractor; 12. An owner who contracts for a project with a registered owner, 13. Any person working on his own property, whether occupied by him or not, and any person working on his residence, whether owned by him or not but his exemption shall not apply to any person otherwise covered by this chapter who constructs an improvement on his own property with the intention and for the purpose of selling the improved property; 14. Owners of commercial properties who use their own employees to do maintenance, repair, and alteration work in or upon their own properties; 15. A licensed architect or civil or professional engineer acting solely in his professional capacity, an electrician licensed under the laws of the state of Washington, or a plumber licensed under the laws of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the licensee is operating within the scope of his license; 16. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his sole compensation; 17. 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.