HomeMy WebLinkAboutPermit D04-058 - HADZIHASANOVIC RESIDENCE - REROOFHADZIHASANOVIC
RESIDENCE
4240 SOUTH 1487"
STREET
D04 -058
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
DEVELOPMENT PERMIT
Parcel No.: 0040000795
Address: 4240 S 148 ST TUKW
Suite No:
Permit Number D04 -058
Issue Date: 02/13/2004
Permit Expires On: 08/11/2004
Tenant:
Name: HADZIHASANOVIC RESIDENCE
Address: 4240 S 148 ST, TUKWILA WA
Owner:
Name: HADZIHASANOVIC NEDZAD & SEJDEFA
Address: 4240 S 148 ST, TUKWILA WA
Contact Person:
Name: NEDZAD HADZIHASONOVIC
Address: 4240 S 148 ST, TUKWILA WA
Contractor:
Name: OWNER AFFIDAVIT IN FILE
Address: 4240 S 148 ST, TUKWILA WA
Contractor License No:
i r
Phone: 206 248 -1689 �
f / V
Phone: 206 248 -1689
Phone: 206 248 -1689
Expiration Date:
DESCRIPTION OF WORK:
RESHEETING ROOF AND REFRAMING FLAT ROOF AREA DUE TO LEAKING. NOTE: APPLICANT MUST NOT COVER
PLYWOOD
SHEETING OR FRAMING UNTIL INSPECTED
i Value of Construction: $ $1,000.00 Fees Collected: $68.44
Type of Fire Protection: N/A Uniform Building Code Edition: 1997
Type of Construction: VN Occupancy per UBC: 0017
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant:
Flood Control Zone:
Hauling:
Land Altering:
Landscape Irrigation:
Moving Oversize Load:
N Number: 0
Start Time:
Volumes: Cut 0 c.y.
Start Time:
Size (Inches): 0
End Time:
Fill 0 c.y.
End Time:
Sanitary Side Sewer:
Sewer Main Extension: Private: Public:
Storm Drainage:
Street Use: Profit: Non- Profit:
Water Main Extension: Private: Public:
Water Meter: N
doc: Devperm D04 -058 Printed: 02 -13 -2004
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City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
7
Permit Center Authorized Signature: �'����« �� Date: %� D y
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1 hereby certify that I have read and examine 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 per (t does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating constructio r the p_etfor ance of work. I am authorized to sign and obtain this development permit.
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Signature: Date: —�✓� ,v G/
Print Name: C.&
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 -058 Printed: 02 -13 -2004
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�...g City of Tukwila
Igoe
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 0040000795
Address: 4240 S 148 ST TUKW
Suite No:
Tenant: HADZIHASANOVIC RESIDENCE
1: 'BUILDING DEPARTMENT CONDITIONS'
Permit Number:
Status:
Applied Date:
Issue Date:
D04 -058
ISSUED
02/13/2004
02/13/2004
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 obs not presume to give authority to violate or cancel the provision of any other work or local laws
regulating construction or, a performance of work.
Signature:
Print Name:
'L-
Date: (22 - / 3 --v �
doc: Conditions D04 -058 Printed: 02 -13 -2004
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CITY OF TUKWIL.A.
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 Print **
SITE LOCATION<
King Co Assessor's Tax No.: t eq� w
Site Address: Z i Z Z, y J /4( 57 SuiteNtu fber:
Tenant Name: CC O / /tr f )'2t j1 cr / �i'10 �� /C New Tenant: � .... Yes 0'
No
Property Owners Name: k'4"n /2 C, 17t Ai 0,0LeAn_nyrC
Mailing Address: ZC 2 PQ ¢� S ?u cc w /GJ� !rt/ q )60
City state Zip
CT. PERSON I
Y �s i
Name:
Day Telephone: 2 0,0 2 4,F / C
Mailing Address: 2 L-C _5' /L; spfh S a l t tW )Ll2 _ Wi
City State Zip
E -Mail Address: Fax Number:
GENERAL CONTRACTORJNFORMATION f "
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 **
ARCMTECT.OV RECORD;-;'' 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'0 f Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
\applications \permit application (3 -2003)
3/2003
Pape 1
City Stale
Day Telephone:
Fax Number:
Zip
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BUILDING PERMIT INFO Psvi ION..= 206- 431 - 3670 . .
�
Valuation of Project (contractor's bid price): $--4 Q
Scope of Work (please provide detailed information): IZ&t-
/1P, n1' D. [IC Ot . /IC r0r_tSP
Existing Building Valuation: $
Will there be new rack storage? .. Yes El.. No If "yes ", see Handout No. for requirements.
Provide All Building=Aretlis 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:
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? EJ ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑.. Sprinklers []..Automatic Fire Alarm E]..None . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes n .. No
If "yes ", attach list of materials and storage locations on a separate 8 -112 x I I paper indicating quantities and Material Safety Data Sheets
\applications \permit application (3.2003)
3/2003 page 2
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PUBLIC WORKS PERMIT 206 433 40179
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
...Tukwila ❑... Water District # 125 n.. Highline ❑ ...Renton
Fj ...Water Availability Provided
Sewer District
n ...Tukwila E] ... ValVue ❑ .. Renton [] ...Seattle
❑ ...Sewer Use Certificate n... Sewer Availability Provided E] - 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 apply):
...Civil Plans (Maximum Paper Size — 22" x 34 ")
E] ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report [']...Traffic Impact Analysis
0 ...Bond ❑ -Insurance ❑ .. Easement(s) [] .. Maintenance Agreement(s) ❑ ... Hold Harmless
Pronosed Activities (mark boxes that a
...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 _
.. 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
Fj ..:Sanitary Side Sewer ❑ .. Abandon Septic Tank ❑ .. Grease Interceptor
...Cap or Remove Utilities ❑ .. Curb Cut ❑ .. Channelization
...Frontage Improvements 0 .. Pavement Cut ❑ .. Trench Excavation
❑ ...Traffic Control ❑ .. Looped Fire Line ❑ .. Utility Undergrounding
❑ ...Backflow Prevention - Fire Protection "
Irrigation "
Domestic Water "
...Permanent Water Meter Size... WO#
❑ ...Temporary Water Meter Size.. WO#
' ❑ ...Water Only Meter Size............ WO# F1 ...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)
❑ ... Water [:) ... Sewer ❑ ... Sewage Treatment
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
Day Telephone:
City State Zip
Day Telephone:
City State
\applications \permit application (3.2003)
312003
Page 3
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1IECHANICAL PERMIT INFG _ AATION_= 206- 431'73670, .
MECHANICAL CONTRACTOR INFORMATION
;
Company Name:
Mailing Address:
i
7
Contact Person:
i E -Mail Address:
City State Zip
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): $
Scope of Work (please provide detailed information):
Use: Residential:
Commercial:
Fuel Type Electric.
New .... E]
New .... M
.❑ Gas
INK
Replacement .... R
Replacement .... R
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 <I OOK 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
Appliance Vent
Hood
50+ HP /1,750,000 BTU
Heat/Refrig /Cooling
System
Incinerator - Domestic
_
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm /Ind
PERMIT APPLICATION NOTES — Applicable,.to all permits in.tb 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 T AT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURYY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
,Signature:
Print Nam
Mailing Address:
(10V /t
Date: 02.
Day Telephone: re D i d 2
City State
Date Application Accepted: Date Application Expires: Staff Initials:
\applications \permit application (3 -2003)
3/2003 Page 4
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Cit y of
Tukwila
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6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.:
0040000795
Permit Number D04 -058
Address:
4240 S 148 ST TUKW
Status: PENDING
Suite No:
Applied Date: 02/13/2004
Applicant:
HADZIHASANOVIC RESIDENCE Issue Date:
x
Receipt No.: R04-00176 Payment Amount: 68.44
i
Initials: SKS Payment Date: 0211312004 03:17 PM
User ID: 1165 Balance: $0.00
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Payee: NEDZAD HADZIHASONOVIC
TRANSACTION LIST:
Type Method Description Amount
---- - - - - -- -- - - - - -- --------------------- - - - - -- ------ - - - - --
Payment Check 1324 68.44
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
BUILDING - RES 000/322.100 38.75
PLAN CHECK - RES 000/345.830 25.19
STATE BUILDING SURCHARGE 000/3 86.904 4.50
Total: 68.44
doc: Receipt
177 02/17 97J.6 TOTAL 60 -44.
Printed: 02 -13 -2004
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INSPECTION RECORD'
Retain a cop with p ermit �DV
INSPECTION NO. y p PE T N
CITY OF TUKWILA BUILDING DIVISION �.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 20 )431 -3670
20 6z
Approved per applicable codes.
O Corrections required prior to approval.
COMMENTS:
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Inspector: Date:
❑ $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.: Date:
r ject•
Type of Inspe ign:
Add s Q z) n
Date Called -- /(e O
Spe ial Instructions:
Date Wanted / '
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INSPECTION RECORD WPE
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INSPECT N NO. O
'? CITY OF TUKWILA BUILDING DIVISION
'i 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
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Type of Inspection:
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Special Instructions:
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Date Wanted:
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Requester;,
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— paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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INSPECTION RECORD
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Retain a copy with permit INSPECTION N0. CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (231- 3670
Project:
Type of Inspection:
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Address: /
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Date Called:
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Special Instructions:
Date Wanted*
Requester
Phone o:
("�O6 ) .,
N Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
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Inspecto , � Date:
I T-0 Iq
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.: Date:
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INSPECTION NO.
PER
CITY OF TUKWILA BUILDING DIVISION
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6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Pro' ct:
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Type of Inspection:
Address:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
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Inspector: Date:
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$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must bi
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectior
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Special Instructions:
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Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
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Inspector: Date:
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$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must bi
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectior
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P ER INSPECTION NO. R
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (j206-3670
Projert
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Type of lr!,s�ctlo
Address:
Date Called:
Special Instructions:
Date Wanted: a. m.
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
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Inspector: ate:
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$47.00 REINSPECTION FEE REQUIRED. Prior to Inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
I Receipt No.: I Date: I
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CITY OF "'IMWILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Application # L (! 058
ALTERNATE PLAN SUBMITTAL AUTHORIZATION
FOR LIMITED SCOPE OF WORK
U.B.C. Section 106.3.2 exception
Project nam _ t G� G� i y \Gt ��v� j \J 1 C
Address
Description of work �P - 5�1 C e4 rco a.vtJ
Related reference number
The above project permit applicant, due to the limited scope of work is authorized to submit reduced plan
requirements describe as noted below.
1. Complete permit application required: ( Note, all application must include; 1) property assessor
number, 2) copy of contractors license or completed owner waiver form. )
Building Mechanical Other
2: Minimum plan and /or specification requirement:
Site plan Floor plan Elevations Foundation
Cross sections Roof plan W.S.E.C. compliance Narrative '
Structural calculations ( stamped by Washington State licensed engineer )
Specific required information por vvjl- — 4zx:��"� C- ,�,40VIV
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3. Other special instructions: hn oSA V, J: C Oy ��CT
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Authorization by, Date 2 3
( Authorization void 30 days after Ithe dab Issue 1l. )
TBD3 /96 -form 12
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CITY OF T' 'YWILA
Permit Center
6300 Southcenter Boulevard, Suite 100,
Telephone: (206) 431 -3670
STATE OF WASHINGTON )
ss.
COUNTY OF KING )
Tukwila, WA 98188
A rI� �a j //Z." C9� 1 A ce A n o yr G , states as follows:
1. I 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. 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 wory.
S, APPL / 11 NT
�; �5 �,�•, Signed and sworn to before me this u
m O� pRY \
` N ~ day of �� �� �� �'� �r 20
t1�s�q7Z�OFWN 1, _
NOTARY PUBLIC in ar d or the Sta of Washington,
residing at � 4 �' County.
Name as commissioned: boy e�A
My commission expires:
AFFCONT 1113100
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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;
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;
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 1113100
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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