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HomeMy WebLinkAboutPermit D05-046 - TUKWILA PANTRY - WALK-IN FREEZERTUKWILA PANTRY 3118 S 140 ST W, J U.; J CO 2 g -I- LL a D. a =W. Z �.. HO Z F- W UJ U� N: W W` S cy lL 111 Z, UN Z O �2 I� N 0 A 1 H.M 1908 City of Tukwi DEVELOPMENT PERMIT i Parcel No.: 1623049159 Address: 3118 S 140 ST TUKW Suite No: Tenant: + Name: TUKWILA PANTRY Address: 3118 S 140 ST, TUKWILA WA Owner: Name: RIVERTON PK UNITED METH CH Address: 3118 S 140TH ST, SEATTLE WA Contact Person: Name: 30E TICE Address: 3118 S 140 ST, TUKWILA WA Contractor: .Type of Construction: I Name: OWNER AFFIDAVIT IN FILE Address: 3118 S 140 ST, TUKWILA WA Contractor License No: Phone: Steven M. Mullet, Mayor Steve Lancaster, Director D05 -046 03/01/2005 08/28/2005 Phone: 206 431 -8293 Phone: Expiration Date: DESCRIPTION OF WORK: SET A 9'X 20' WALK -IN REFRIGERATOR /FREEZER ON A GRAVEL PAD NEXT TO THE EXISTING CHURCH BUILDING. f Value of Construction: $17,800.00 Fees Collected: $604.21 Type of Fire Protection: N/A International Building Code Edition: 2003 .Type of Construction: Occupancy per IBC: 0026 Public Works Activities: i 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 j Sewer Main Extension: N Private: Public: Storm Drainage: N Street Use: N Profit: N Non - Profit: N Water Main Extension: N Private: Public: Water Meter: i N doc: 113C-Permit D05 -046 Printed: 03 -01 -2005 Permit Number: Issue Date: Permit Expires On: Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206- 431 -3670 Fax: 206 - 431 -3665 Web site: cOukwilama.us Z �Z oc � D. LY UO. Cl) J X CO LL W O: � 4 Nd =w Z Z O. 25 U cl. O N o f- w LL 0 ui Z. U CO. O F", Z City f Tukwila Y Steven M. Mullet, Mayor o f y Departmer :t of Coin :muitity Development Steve Lancaster Director 6300 Southcenter Boulevard, Suite #100 N }2 Tukwila, Washington 98188 / Phone: 206 -431 -3670 1908 Fax: 206 - 431 -3665 Web site: cOukwila.wa.us Permit Number D05 -046 Issue Date: 03/01/2005 Permit Expires On: 08/28/2005 i Permit Center Authorized Signature: Date: 1' I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not regulating construction or the perfdf Signatu ,le to give authority to violate or cancel the provisions of any other state or local laws of work. I am authorized to sign and obtain this development permit. Date: a Print Nam 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: IBC- Permit D05 -046 Printed: 03 -01 -2005 r Z Z W; 00 , N w =, J F. co LL; W 0. LL = d` Z �.. O. z �- w LU D 0; ,O tn° ;o H w w. H U. F- LL Z U.N'. 0 �. O Z City of Tukwila 1908 Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS ° z = Z Parcel No.: 1623049159 Permit Number: D05-046 W Address: 3118 S 140 ST TUKW Status: ISSUED -; 2 Suite No: Applied Date: 02/08/2005 C. Tenant: TUKWIILA PANTRY Issue Date: 03/01/2005 v O, NO: co X.. 1: ** *BUILDING DEPARTMENT CONDITIONS * ** CO) o W 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 9 Q 3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to = w start of any construction. These documents shall be maintained and made available until final inspection approval is Z granted. — ~ HO: 4: All construction shall be done in conformance with the approved plans and the requirements of the International zt- D' Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. =).a, O co 5: Manufacturers installation instructions shall be available on the job site at the time of inspection. 11.- W W; 6: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department o of Labor and Industries (206/248- 6630). z: 7: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, w CO , _ any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits z ~ 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. * *continued on next page ** doc: Conditions D05 -046 Printed: 03 -01 -2005 �IA A f9� Ci of Tukwila 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: l ei c Print Nam , doc: Conditions D05 -046 Printed: 03 -01 -2005 Z i z: J U ' L) 0; N °. W =; S2 LL. W O LLQ CO) d H W z� O' z� W 2 w; 5 L) O U' ,W w — 0 w Z� U O Z ti { 1 i Y N � tsoe f CITY OF TUKWILA Community Develop) 1 t Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Building F. nit No. Mechanical Permit No. Public Works Permit No. Project No. For o tce use onl 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" SITE. LOCATION G23oy King Co Assessor's Tax No.: 1�L3{�itoL- Site Address: t l 9 5 . M Suite Number: Floor: Tenant Name: * " T iAcKw - ja ?a-h r tA New Tenant: El .... Yes D Property Owners Name: _� � % l ' -_,r � Pecy' V_ L. A u-v e_ �j Mailing Address: 311`( . 7 T iulCw3 c{ 1,04 `glb& City State Zip CONTACT .PERSON . CcGt? Name: .S-be T Day Telephone: o?VG Mailing Address: �it� S � � t�C 5 � TU_kw1l9k_ LEA 1$1 _ City State Zip E -Mail Address: Fax Number: GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor i on back page) 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 ** ARCHITECT.OF RECORD — All plans must be wet stamped by Architect of Record Company Name Mailing Address: City State Zip Contact Person:_ Day Telephone: E -Mail Address: Fax Number: ENGINEER OF RECORD All plans must be wet stamped by Engineer of Record. Company Name: �`l Mailing Address: Contact Person: E -Mail Address: \permits plus \icc changes\permit application (7 -2004) Page 1 City Day Telephone: Fax Number: State Zip Z �Z '~ W � D UO W= CO LL W O LL¢ CO a F W Z F- w� W U 0 - 0 F- WW U _ O Z CO) ~ O� Z BUILDING PERMIT INFORMATI _ . - 206= 431 -3670 Valuation of Project (contractor's bid price): $ l7 Scope of Work (please provide detailed information) Existing Building Valuation: $ Provide All Building Areas in Square Footage 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: I Lot Area (sq it): 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. f Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain: I FIRE PROTECTION/HAZARDOUS MATERIALS: ❑.. Sprinklers ❑..Automatic Fire Alarm [I..None ❑ . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes K. 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. i i ! % permitsplusXiccchanga \pennit application (7.2004) Page 2 Z �Z W t � JU 00 CO 0 . co W J H CO W WO u- N� = F. W Z Z O W5 U O N 0H WW �U u. O W Z 0- O Z Will there be new rack storage? ❑ ..Yes ❑.. No If "yes ", see Handout No. for requirements. Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1" Floor 2 Floor . 3" 1 Floor Floors thru. Basement Accessory. Structure* Attached Garage Detached Garage 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: I Lot Area (sq it): 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. f Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain: I FIRE PROTECTION/HAZARDOUS MATERIALS: ❑.. Sprinklers ❑..Automatic Fire Alarm [I..None ❑ . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes K. 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. i i ! % permitsplusXiccchanga \pennit application (7.2004) Page 2 Z �Z W t � JU 00 CO 0 . co W J H CO W WO u- N� = F. W Z Z O W5 U O N 0H WW �U u. O W Z 0- O Z Will there be new rack storage? ❑ ..Yes ❑.. No If "yes ", see Handout No. for requirements. B PUBLIC VORKS PERMIT , k. ,,�ORMATION - 206 = 433 -0179 Scope of Work (please provide detailed information): Call before you Dig: 1- 800 - 424 -5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District [- ❑... Water District # 125 [1.. 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_aw) ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ .. Insurance El.. 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 ❑ .. Geotechnical Report ❑ ... Traffic Impact Analysis ❑ .. Maintenance Agreement(s) ❑ ... Hold Harmless ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ ...Total Cut cubic yards ❑ .. Work in Flood Zone ❑ ...Total Fill cubic yards ❑ .. Storm Drainage ❑ ...Sanitary Side Sewer ❑ .. Abandon Septic Tank ❑ .. Grease Interceptor ❑ ...Cap or Remove Utilities El.. Curb Cut ❑ .. Channelization []...Frontage Improvements ❑ .. Pavement Cut ❑ .. Trench Excavation ❑ ...Traffic Control El.. Looped Fire Line ❑ .. Utility Undergrounding ❑ ...Backflow Prevention - Fire Protection " Irrigation " Domestic Water " ❑ ...Permanent Water Meter Size... is WO# ❑ ...Temporary Water Meter Size.. WO# ❑ ... Water Only Meter Size............ WO# ❑ ...Deduct Water Meter Size ........ " ❑ ...Sewer Main Extension ............ Public Private ❑ ...Water Main Extension .............Public Private FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) 0—Water ❑ ... Sewer ❑ ... Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: City State Zip Water Meter RefundBilliu Name: Day Telephone: Mailing Address: City state Zip \permits plus%ice changeApermit application (7.2004) Page 3 ZZ W UO to O: J = CO LL W O. LL Q. N D = W Z 1.... H- O Z i-- fy U� O c, 0 1-- WW H 0. LL O, llJ Z 0 =. ~O F- Z MECHANICAL PERMIT INFORM. PION — 206 - 431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City. State Zip Contact Person: E -Mail Address: Day Telephone: 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): $ a c� f7t�p� Scope of Work (please provide detailed information): t:?— Use: Residential: New .... ❑ Commercial: New .... a Fuel Type Electric ..... ❑ Gas....❑ Replacement..... ❑ Replacement..... ❑ Other: Indicate type of mechanical work being installed and the quantity below: Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler/Corn pressor: Q Furnace <1 OOK BTU Air Handling Unit >I0,000 Fire Damper 0 -3 HP /100,000 BTU CFM Furnace >IOOK BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected Thermostat 15 -30 HP /1,000,000 BTU to Single Duct Suspended /Wall /Floor Ventilation System Wood/Gas Stove 30 -50 HP /1,750,000 BTU Mounted Heater Appliance Vent Hood and Duct Water Heater 50+ HP /1,750,000 BTU Repair or Addition to Incinerator - Domestic Emergency Heat/Refrig/Cooling Generator System Air Handling Unit Incinerator — Comm/Ind , �= Other Mechanical k l (,O IUK.i'h m ; AJVf ` <10,000 CFM Equipment d_ PERMIT APPLICATION NOTES Applicable to all permits. in this application Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. 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 OWNE OR AUT RIZED GENT: Signatur C Date: 2 & GS Print Na u Day Telephone: c,:;?U6 Mailing Address: // 8 &i6 -4 �S/U'���� e � _ [mac ✓ �f� � �� 1 6 �' ) City State Zip Date Application Accepted: Date Application Expires: Staff Initials: ,.2 oc 05 e -e - 0 3 \permits plus \icc changes \permit application (7.2004) Page 4 'Tt�;: {+S:a iK Z IZ '~ W UO C l) C3 W = COO U. WO L L N� = F. W Z H H O Z 1— LLJ5 U� O - C1 H WW H u. O !11 Z U= O ~' Z 1 �g City of Tukwila r 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 W° J U U O' Co w =. -J �. co W. Q'. z �- W 5: U� :O NE W W Z Lu U O Z RECEIPT Parcel No.: 1623049159 Address: 3118 S 140 ST TUKW Suite No: Applicant: TUKWILA PANTRY Permit Number: Status: Applied Date: Issue Date: DOS -046 APPROVED 02/08/2005 Receipt No.: R05 -00299 Initials: SKS User ID: 1165 Payment Amount: Payment Date: Balance: 367.96 03/01/2005 11:50 AM $0.00 Payee: TUKWILA PANTRY TRANSACTION LIST: Type Method Description Amount Payment Check 1180 367.96 ACCOUNT ITEM LIST:. Description Account Code Current Pmts ------------------------ - - - - -- ---------- - - - - -- ------ - - - - -- BUILDING - NONRES 000/322.100 363.46 STATE BUILDING SURCHARGE 000/386.904 4.50 Total: 367.96 0,382 03/01 9716 TOTAL 367.96 doc: Receipt Printed: 03- 01.2005 { T � City of Tukwila 1908 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 f i Parcel No.:. 1623049159 j Address: 3118 S 140 ST TUKW Suite No: , Applicant: TUKWILA PANTRY RECEIPT Permit Number D05 -046 Status: PENDING Applied Date: 02/08/2005 Issue Date: ! Receipt No.: R05 -00160 Payment Amount: _ Initials: SKS Payment Date: j User ID: 1165 Balance: 1 Payee: TUKWILA PANTRY TRANSACTION LIST: Type Method Description Amount j ---- - - - - -- -- - - - - -- ------- -------------- -- - - -- ------ - - - - -- 1 Payment Check 1178 236.25 ACCOUNT ITEM LIST: Description Account Code Current Pmts ------------------------ - - - - -- ---------- - - - - -- ------ - - - - -- �. PLAN CHECK - NONRES 000/345.830 236.25 Total: 236.25 236.25 02/08/2005 03:30 PM $367.96 Z W' It �. UO y0: U) J� LL, W O: = C1 H- _ z F O. w ~' U 0. O N: Wu F=- V LL O" Z: U CO Z 9711 02/08 9716 TOTAL 236.25 doc: Receipt Printed: 02 -08 -2005 y INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMI CITY OF TUKWILA BUILDING DIVISION, 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ( -3670 ct: U)( Type of I etion: Address: � � � � I Date Calle : Speci I Instructions: Date Wante a. . Requester: J P(bne No. -'-1. -. Approved per applicable codes. Corrections required prior to approval 6�y- (Y� ► c3'°w1 Sp l 1: 4 7 Ya- ect � ' , - I t Date: p2�0 C�w � Z � 58.00 EINSPECTION FEE REQ RED. Prior inspection, fee must be paid o 6300 Southcente Blvd., Site 100. C 11 to sechedu reinspection. , ipL�lo.: I Date: i i f I I } z H W J U. U O �O UJ J� W O. �: LL ?. CO) F=-- _ Z l.. H O' W �j , N. O t-- WW =U — ~O Z' W O~ z INSPECTION RECORD ,� -— Retain a copy with permit L.t' -3 '0 INSPECTION NO. PER IT 0 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 a Approved per applicable codes. Proje Type of Inspection Address: Date Called: Special Instructions: Date Wanted: a.m. .. — Q�" . t_.m - Requester: 7 - D /2C12 JtJ Ph ne No: 7 aa� n- Corrections required prior to approval. COMMENTS: 7 - D /2C12 JtJ ter �'7�'C' �.a/��� l� �- • � _. Inspect : //-' / /- 2-441-� / � �/ Date: 1 4;`��`8 $5,8.00 REINSPECTION FEJ REQUIRED or to inspection, fee must be p id at 6300 Southcenter Blvd., Suite Call to sechedule reinspection. Z �Z W U O CO) 0 CO) ILI N O W� L L c �. H =' Z �... H O Z I-- O N 0 I.-: W LL!'. L L W Z; CO) O ~ . Z *t .p W CI1 d A7 r.. �Q v Ir • ommd ft i n 0 0 0 NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEARTHAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT..__ P'ez 11 C-00RD Copy PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D05 -046 DATE: 02 -08 -05 PROJECT NAME: TUKWILA PANTRY SITE ADDRESS: 3118 SOUTH 140 STREET X Original Plan Submittal _Response to Incomplete Letter # Response to Correction Letter # Revision # after /before permit is issued DEPARTMENTS f i BuildinA isio'rT' - G 21 per Fire Prevention �'� ©� Public Worl © Structural ❑ DETERMINATION OF COMPLETENESS (Tues., Thurs.) i j Complete [� Incomplete ❑ Comments: Planning Division ' o -L IE Permit Coordinator DUE DATE: 02 -10 -05 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TOES /THURS RO NG: Please Route Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 03 -10 -05 Not Approved (attach comments) ❑ DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 1 1.1" COORD COPY Documents/routing sllp.doc 2 -28 -02 ❑ No further Review Required DATE: z W � 2 JU UQ N W= J F.. NLL w O ga_j LL Cj)d =w z� �O w ~ W U� O N. o �_ W U LL —O z W U CO. O ~. z IU. wir k � 1906 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Permit Center /Building Division: 206 - 431 -3670 Public Works Department: 206 - 433 -0179 Planning Division: 206 -431 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO.: STATE OF WASHINGTON) ) ss. COUNTY OF KING ) states as follows: I have made application for a building permit from the City of Tukwila, Washington. 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 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. 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._, 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. p and sworn to before me this J GE A. v N ��,•? s % �N�'• p UBL C, :2 s �irl/y� .•6 16.0$ ., ,G A ' 4110 WAS AN ,. \applications\8 -2004 affidavit in lieu of contractor registration day of IV61 rch .20 a. A NOTARY PUBLIC in and for thg State of Washington, Residing at 1011 a , County. Name as commissioned: My commission expires: 6- Z �w QQ JU UO 00 ca W J = t-- N U. W LL Q co) d =w F- O Z t` W Dp U O— off ww �U U' O w Z U= O~ Z s � 18.27.090 Exemptions. This chapter shall not apply to: contracts of amounts less than $500.00 for the purpose of the evasion of this chapter or 1. otherwise. The exemption prescribed in this 2. An authorized representative of the United States subsection does not apply to a person who Government, the State of Washington, or any advertises or puts out any sign or card or other incorporated city, town, county, township, device which might indicate to the public that he is irrigation district, reclamation district or other a contractor, or that he is qualified to engage in Z Q municipal or political corporation or subdivision of the business of contractor; z this state; w 11. Any construction or operation incidental to the j 3. Officers of the court when they are acting within construction and repair of irrigation and drainage 0 the scope of their office; ditches of regularly constituted irrigation districts (0 o or reclamation districts; or to farming, dairying, 4. Public utilities operating under the regulations of agriculture, viticulture, horticulture, or stock or �_ the utilities and transportation commission in poultry raising; or to clearing or other work upon CO u- O. construction, maintenance, or development work land in rural districts for fire prevention purposes; is w incidental to their own business; except then any of the above work performed by a registered contractor; U- 5. Any construction, repair or operation incidental to for N the discovering or producing of petroleum or gas, 12. An owner who contracts a project with a w or the drilling, testing, abandoning, or other registered owner; Z Z operation of any petroleum or gas well or any — 0 surface or underground mine or mineral deposit 13. Any person working on his own property, whether Z � when performed by an owner or lessee; occupied by him or not, and any person working w w on his residence, whether owned by him or not but � p 6. The sale or installation of any finished products, his exemption shall not apply to any person 0 N. materials, or articles of merchandise which are not otherwise covered by this chapter who constructs o ♦-- actually fabricated into and do not become a an improvement on his own property with the w W permanent fixed part of the structure; intention and for the purpose of selling the improved property; p 7. Any construction, alteration, improvement or Z repair of personal property, except this chapter 14 Owners of commercial properties who use their Col L) — shall apply to all mobile, manufactured housing. A own employees to do maintenance, repair, and mobile /manufactured home may be installed, set alteration work in or upon their own properties; Z up, or repaired by the registered or legal owner, by a contractor licensed under this chapter, or by 15. A licensed architect or civil or professional a mobile /manufactured home retail dealer or engineer acting solely in his professional capacity, manufacturer licensed under chapter 46.70 RCW; an electrician licensed under the laws of the state of Washington, or a plumber licensed under the 8. Any construction, alteration, improvement, or laws of the state of Washington while operating repair carried on within the limits and boundaries within the boundaries of such political subdivision. of any site or reservation under the legal The exemption provided in this subsection is jurisdiction of the federal government; applicable only when the licensee is operating 9. 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; 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 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`�righway_ projects who have been prequalified as.required.by chapter 13 of the Laws of 1961, RCW,4 ,7,.2.8.070 "with the department of transportation to, perform : highway construction, reconstruction, or maintenance work. y - �a File: D05 -0046 35mm Drawing #1 -4 F I -7 c NNW C,4 7 M -7 4, . ...... . . D '�� King County Home Im"Ill'argag Search .-.. --my ww'O" Wvu*, you exPFe=W 39F3O to be bound by berms and condifions of the site. The details. 1LA.L-- mP:Ilwww5-metrokc-gov/servlet/comesri.esrimap-Esrimap?ServiceName=overview&Client 1/18/05 - n m m 777 Om q ® -n 0 0 Oc CM rn 0 c z q m D '�� King County Home Im"Ill'argag Search .-.. --my ww'O" Wvu*, you exPFe=W 39F3O to be bound by berms and condifions of the site. 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