HomeMy WebLinkAboutPermit D04-062 - CANYON ESTATES MOBILE PARK - COVERCANYON ESTATES MOBILE
PARK
13500 TUKWILA
INTERNATIONAL BL
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D04 -062
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City of Tukwila
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Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
DEVELOPMENT PERMIT
Parcel No.: 7340601027 Permit Number D04 -062
Address: 13500 TUKWILA INTERNATIONAL BL TUKW Issue Date: 02/18/2004
Suite No: Permit Expires On: 08/16/2004
Name: CANYON ESTATES MOBILE PARK
Address: 13500 TUKWILA INTERNATIONAL BL, TUKWILA WA
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
Contractoi
KIRKLAND WILLIAM H
PO BOX 69167, SEATTLE WA
ROD ROBBINS
818 SW 142 ST, SEATTLE WA
OWNER AFFIDAVIT - ROD ROBBINS
- License No:
Phone:
Phone: 206 - 244 -1023
Phone:
Expiration Date:
DESCRIPTION OF WORK:
REPAIR AND MODIFICATIONS TO MOBILE HOME COVER (10'X 50'). RENEWAL OF EXPIRED PERMIT D03 -247.
Value of Construction: $ $500.00
Type of Fire Protection:
Type of Construction: V -N
Public Works Activities:
Channelization / Striping:
N
Curb Cut / Access / Sidewalk / CSS:
N
Fire Loop Hydrant:
N
Flood Control Zone:
N
Hauling:
N
Land Altering:
N
Landscape Irrigation:
N
Moving Oversize Load:
N
Sanitary Side Sewer:
N
Sewer Main Extension:
N
Storm Drainage:
N
Street Use:
N
Water Main Extension: N
Water Meter: N
Fees Collected: $16.25
Uniform Building Code Edition: 1997
Occupancy per UBC: 0007
Number:
0
Size (Inches)
0
Start Time:
End Time:
Volumes:
Cut 0 C.Y.
Fill 0 c.y.
Start Time:
End Time:
Private:
N
Public:
N
Profit:
N
Non - Profit:
N
Private:
N
Public:
N
doc: Devperm D04 -062 Printed: 02 -18 -2004
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�g City of Tukwila
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Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
doc: Devperm D04 -062 Printed: 02 -18 -2004
Permit Center Authorized Date: 2 `
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I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and
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ordinances governing this work will be complied with, whether specified herein or not.
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The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
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regulating construction or the performance of w rk. I am authorized to sign and obtain this development permit.
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Signature: ��- Date: 2'/
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Print Name: 1vS
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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
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suspended or abandoned for a period of 180 days from the last inspection.
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doc: Devperm D04 -062 Printed: 02 -18 -2004
, f g City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 7340601027
Address: 13500 TUKWILA INTERNATIONAL BL TUKW
Suite No:
Tenant: CANYON ESTATES MOBILE PARK
Permit Number:
Status:
Applied Date:
Issue Date:
D04 -062
ISSUED
02/18/2004
02/18/2004
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.
Signatu
Print Name:
bolo r�
Date: — z ' - u C �
doc: Conditions D04 -062 Printed: 02 -18 -2004
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CITY OF TUKWILA`
j o Community Development Department
g Public Works Department
Permit Center
' 90B 6300 Southcenter Blvd., Suite 100
i 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* *
,
King Co Assessor's Tax No.:
Site Address: /` 3 S`00 T- ec 1 0
Suite Number: Floor:
Tenant Name: r 6 L' „ c -rte, PAS 6Z47
/l New Tenant: E] .... Yes
[-] ..No
Property Owners Name: ���1 v )
Mailing Address: 6P16F cS'W
City State
Zip
;CONTACT PERSON
r
Name: oC� �j�l a S
Day Telephone:
Mailing Address: `y G -e ✓-�
City State
Zip
}
E -Mail Address: 0$4Gl el , C a .Z,
, Fax Number: 06
GENERAL CONTRA;GTOR INFORMATION
-
to
Company Name: K-D b bi W-1 /�
Mailing Address: 4k"��
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 OERECORD All plans must be wet stamped by Arch>Itect of Record
;.
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Fax Number:
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer. of.Record
Company Name:
Mailing Address:
Contact Person:
i E -Mail Address:
City State Zip
Day Telephone:
Fax Number:
\applications \permit application (3 -2003)
I 3/2003 Page i
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City State
Day Telephone:
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Valuation of Project (contractor's bid pricer� �� eq Existing Buj1W Valuation: $ J ��
Scope of Work. (please provide,detailed information): Qom_/ c:u of Ge !a c> to r -e / O ',� s'
Will there be new rack storage? n ..Yes [R No If "yes ", see Handout No. for requirements.
Provide All Building Areas m S'uare Footage Helow
PLANNING DIVISION:
Single- family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling:_
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? [:] ....Yes E] ..No If "yes ", explain:
FIRE PROTECTIONMAZARDOUS MATERIALS:
❑.. Sprinklers ..Automatic Fire Alarm [J..None E]. Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? [] .. Yes No
If "yes ", attach list ofmaterials and storage locations on a separate 8 -112 x 11 paper indicating quantities and Material Safety Data Sheets.
\applications \permit application (3.2003)
3/7003 Page 2
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Scope of Work (please provide detailed intation):
,
+
$,n. � 71
Call before you Dig: 1- 800 - 424 -5555
:Please refer, to Public Works Bulletin' #1 : for fees wind estimate_ sheet
Water District
...Tukwila �... Water District # 125 (] .. Highline ❑ ...Renton
... Water Availability Provided
Sewer District
...Tukwila E] ... Va1Vue [] ,. Renton 0 ... 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 apply):
0 ... Civil Plans (Maximum Paper Size — 22" x 34 ")
...Technical Information Report (Storm Drainage) 0 .. Geotechnical Report 0 ... Traffic Impact Analysis
❑ ... Bond ❑ .. Insurance ❑ .. Easement(s) 0 .. Maintenance Agreements) ❑ ... Hold Harmless
Proposed 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 _
...Total Cut cubic yards
0 ...Total Fill cubic yards
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
.. Work in Flood Zone
❑ .. Storm Drainage
C] ...Sanitary Side Sewer C].. Abandon Septic Tank ❑ .. Grease Interceptor
...Cap or Remove Utilities ❑ .. Curb Cut ❑ .. Channelization
❑ ...Frontage Improvements ❑ .. 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# '...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: Day Telephone:
Mailing Address: City state zip
Water Meter RefundfBilling:
Name: Day Telephone:
Mailing Address: City State zip
lapplicatioWpeanit application (3 -2003) '
3/2003 Page 3
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MECHANICAL:PERN�iT INFOkivIATION'.- '206 =43i -3670
MECHANICAL CONTRACTOR INFORMATION
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 **
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential: New .... [] Replacement .... ❑
Commercial: New .... [J Replacement .... R
Fuel Type Electric.....❑ Gas....(] 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 <100K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace >100K BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
15 -30 HP/1,000,000 BTU
Suspended /Wall /Floor
Mounted Heater
Ventilation System
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm /Ind
PERMITAPPLICATION NOTES Applicable to all permits in thisapplication
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 AUTHORIZ D A N .
Signature: /L' t� �i /'�� Date:
Print Name: _ J 6 UCt✓t Q/ K y kD 10 1 lrt) Day Telephone:
Mailing Address: � /c- sC ,-,J /I/
? /)6 - - , - ?Cr Gi -fn - 2 _?
City State Zip
Date Application Accepted: I Date Application Expires: Staff I '
D I -b
\applications \permit application (3.2003)
312003 Page 4
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�g City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188./ (206) 431 -3670
RECEIPT
Parcel No.:
7340601027
Permit Number
D04 -062
fi Address:
13500 TUKWILA INTERNATIONAL BL TUKW
Status:
APPROVED
? Suite No:
Applied Date:
02/18/2004
j Applicant:
f
CANYON ESTATES MOBILE PARK
Issue Date:
'
Receipt No.:
R04 -00187
Payment Amount:
16.25
Initials:
BLH
Payment Date:
02/18/200412:10 PM
j User ID:
ADMIN
Balance:
$0.00
Payee: ROBBINS PROPERTIES LLC
i TRANSACTION LIST:
Type Method Description Amount
Payment Check 1049 16.25
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ACCOUNT ITEM LIST:
i Description, Account Code Current Pmts
i ------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
BUILDING - NONRES 000/322.100 16.25
Total: 16.25
75F 02/9.8 9716 TOTAL 16 .2 5 .
doc: Receipt :w Printed: 02 -18 -2004
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INSPECTION RECORD
---- Retain a copy with permit
INSPECTION NO. PER NO
CITY OF TUKWILA BUILDING DIVISION •
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
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COMMENTS:
/
Inspe or: Date:
�wa LM
0 47 REINSPE ION FEE REQ RED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., uite 100. Call to schedule reinspection.
eceipt No.: Date:
Pro'et: 2� 7 /
T ype o In spection:
/ vj'11IL�
Address: I
Date Called:
Special Instructions:
Date Wanted: an_
. — b p:m.
Requester:
�9 ,THA
Phone No:
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1908
12 -06 -2004
ROD ROBBINS
818 SW 142 ST
SEATTLE WA 98101
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
RE: Permit No. D04 -062
13500 TUKWILA INTERNATIONAL BL TUKW
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 Permit Center at 206 - 431 -3670 to arrange 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 a one -time extension up to 180 days,
Extension requests must be in writing 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 01/17/2005, 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,
Stefania Spencer,
Permit Technician
xc: Permit File No. D04 -062
Bob Benedicto, Building Official
6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
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July 7, 2004
City of Tukwila Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
Rod Robbins
818 Southwest 142nd Street
Seattle, WA 98101
RE: Permit Application No. D04 -062
13500 Tukwila International Boulevard
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, International Residential Code and /or the International
Mechanical Code, every permit issued by the Building Official 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:
1 Call the City Of Tukwila Permit Center at (206) 431 -3670 to arrange 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 a one -time
! extension up to 180 days Extension requests must be in writing 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 or request and receive an extension prior to August 16,
2004, 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,
Stefania S J
Permit Technician
Xc: Permit File No. D04 -062
Bob Benedicto, Building Official
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 * Fax. 206 - 431 -3665
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CITY OF 7_ MILA
Permit Center
6300 Southcenter Boulevard, Suite 100,
Telephone: (206) 431 -3670
STATE OF WASHINGTON )
ss.
COUNTY OF KING )
le
Tukwila, WA 98188
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 work.
PLICANT.
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i ' ° NOTAR M
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PUBLIC i
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WASkV
AFFCONT 1113100
Signed and sworn to before me this
day of kebruury , 20 d
NOTARY PUBLIC in and for State of Washington,
residing at kllq County.
Name as commissioned: Am A. leac,y
My commission expires: 6 " 16 - 0
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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
orlessee;
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- r @quired 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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