HomeMy WebLinkAboutPermit D04-381 - STANLEY RESIDENCE - GARAGE DEMOLITIONSTANLEY RESIDENCE
14261 MACADAM RD S
W
6
-J
UO
W Z..
J H'
W O:
=▪ W
F- O
Z�
W W
2
U o.
O N
O I-;
WW
I-
L11
U N
Z
� J �NIILA, N N, q � y
= O
1908
City ox Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tubdIa.wa.its
DEVELOPMENT PERMIT
Parcel No.: 1523049037
Address: 14261 MACADAM RD S TUKW
Suite No:
Permit Number:
Issue Date:
Permit Expires On:
Steven M. Mullet, Mayor
Steve Lancaster, Director
D04 -381
10/21/2004
04/19/2005
Tenant:
Name: STANLEY RESIDENCE
Address: 14261 MACADAM RD S, TUKWILA WA
Owner:
Name:
GEEHAN RICHARD A
Address:
3422 E CORTEZ ST, PHOENIX AZ
Contact Person:
Name:
CHRISTINA D. KING
Address:
4310 164 ST SW, LYNNWOOD, WA
Contractor:
Name:
OWNER AFFIDAVIT IN FILE
Address:
,
Contractor
License No:
Phone:
Phone: 425 743 -3186
Phone:
Expiration Date:
DESCRIPTION OF WORK:
DEMOLITION OF EXISTING 216 SQ FT GARAGE.
Value of Construction: $250.00 Fees Collected: $52.35
Type of Fire Protection: International Building Code Edition: 2003
Type of Construction: Occupancy per IBC: 0026
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
doc: IBC - Permit
Number: 0
Start Time:
Volumes: Cut
Start Time:
Size (Inches): 0
End Time:
Fill 0 c.y.
End Time:
Public:
Non - Profit: N
Public:
Printed: 10 -21 -2004
Z
" w
u� D
JU
UO
N0
J =
H
N O
W �
�a
Co d
= w
Z
�_0
Z t-
w
U
O
co
0 I_
wW
U_
w
U
CO)
O
Z
3
City a.'Tukwila
Departnieiit of Community Developnietit
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
Permit Number:
Issue Date:
Permit Expires On:
Steven M. Mullet, Mayor
Steve Lancaster, Director
DO4 -381
10/21/2004
04/19/2005
Permit Center Authorized Signature: / r G Date: /0
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 presume
regulating con r ctign =or the performance o
Signature:
Print Name:
give authority to violate or cancel the provisions of any other state or local laws
irk. I , , ,authorized to sign and obtain this development permit.
Date; 7 W
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 D04 -381 Printed: 10 -21 -2004
S
Z
7-
D
J U
UO
to O
V)
J �
N W.
W O;
J
co
LL Q
�W
Z
i~
i-O
Z r-
W5
U�
O N
� F—
W LLI'.
LL O .
.Z
w
U=
O F ' -
Z
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 1523049037 Permit Number: D04 -381
Address: 14261 MACADAM RD S TUKW Status: ISSUED
Suite No: Applied Date: 10/14/2004
Tenant: STANLEY RESIDENCE Issue Date: 10/21/2004
1: ** *BUILDING DEPARTMENT CONDITIONS * **
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 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.
4: 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.
5: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
6: 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.
* *continued on next page **
z
�Z
'~ w
00
wi
J
N ti
wo
U.?
�
= w
�O
2�
D0
O �
0 F-
w W
�U
u. O
z
U N.
H
O f-
z
faCB City of Tukwila
I Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
I
r
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:
d Z
Print Name: �7�! /�f z 6
doc: Conditions D04 -381 Printed: 10 -21 -2004
Z
Z.
Q �W
W D;
UO
CO 0.
CO LLI
J H
CO u.
W O
U .
S2 d
�. w
f Z =
�O
z E-
w
U�
O CO
W W
H C.).
�O
ui z
U CO)'
H=
O
z
CITY OF TUKWILA
J ps i Community Development Department
Public Works Department
Permit Center
soe 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Building Perm V it No. X �'
Mechanical Permit No.
Project No.
Ilse
Public Works Permit No.
Applications and plans must be complete in order to be accepted for plan review.
Applications will(n_ot;be accepted through the;mailbr by fax.
* *Please Print **
SITE LOCATION
King Co Assessor's Tax No.: K Z 3 6 - f�Q L ��
Site Address: S Suite Number: Floor:
Tenant Name: New Tenant: El ...... Yes No
Property Owners Name:
Mailing Address: A
City State Zip
CONTACT PERSON
Name: f t-d : V Day Telephone:
Mailing Address: iI/ L !d�()
icy
E -Mail Address: �� Fax Number:_
GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information 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:
Mailing Address.
City
Contact Person: Day Telephone:
state Zip
E -Mail Address: Fax Number:
\applications\pennit application (7.2004)
Paue 1
:.:.;_,mot,..:.:... ;.�..:...w_ .._..:..e .. �.,; ......
Z
}_— Z
W
QQ
JU
UO
N
CO W
�_
H
U) U_
WO
9-1
LL
co
=
�. W_
Z
l - O
Z H
W
U�
ON
0 H
W W
HL)
L
—0
-- Z
U=
O
Z
BUILDING PERMIT INFORMATION — 206431 -3670
as
Valuation of Project (contractor's bid price): $ Existing B ilding Valuation: $
Scope of Work (please provide detailed information): U -Vi c
Will there be new rack storage? ❑ .. Yes ❑ ...No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single 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? E) ..... Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION /HAZARDOUS MATERIALS:
❑ ... Sprinklers ❑ ... Automatic Fire Alarm ... None ... Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ ... Yes ... No
If 'yes ", attach list of materials and storage locations on a separate 8 -112 x 11 paper indicating quantities and Material Safety Data Sheets.
lapplicaliona\pennit. application (7.2004)
Pace 2
Z
�Z
� W
UO.
Cl)
CO W
J =
H
CO W
WO
9�
WQ
co )
=
�W
Z
F—
I— O
Z H
W
W
U�
CO)
W W
U
- O'
.. Z
W
CO)
U=
O
Z
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
I" Floor
2° Floor
3 Id Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
co.
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
PLANNING DIVISION:
Single 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? E) ..... Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION /HAZARDOUS MATERIALS:
❑ ... Sprinklers ❑ ... Automatic Fire Alarm ... None ... Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ ... Yes ... No
If 'yes ", attach list of materials and storage locations on a separate 8 -112 x 11 paper indicating quantities and Material Safety Data Sheets.
lapplicaliona\pennit. application (7.2004)
Pace 2
Z
�Z
� W
UO.
Cl)
CO W
J =
H
CO W
WO
9�
WQ
co )
=
�W
Z
F—
I— O
Z H
W
W
U�
CO)
W W
U
- O'
.. Z
W
CO)
U=
O
Z
MECHANICAL PERMIT INFORMATION — 206431 -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 ..... El
Commercial: New ..... ❑
Fuel Tyne 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/Compressor:
Qt
Furnace <100K BTU
Air Handling Unit >I0,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Fumace>100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
Thermostat
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood /Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood
Water Heater
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
Other Mechanical
I E ui ment
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 HELAW§ THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING O E OR AU HORIZ AG N ,{
Signature: Date: / 4 4R/
Print Name: 1 Day Telephone:
L
Mailing Address 4 1 1 W ID
City State Zip
Date Application Accepted: Date Application Expires: Staff Initials:
�applicatianstpetmh application (7 -2004)
Paue 4
ZZ
S�
i~ W
JU
UO
to 0
J �
(1) LL
WO
L Q
C
=
�W
Z�
H O
W
�5
U
O CO
0 1•—
WW
H L).
O
.Z
CO
O
Z
..,Hsu:'s. ,:M:r. : cit4x, 4u::. i,:: i.»..: t,;. r•.% i:: ta.: :li.'u..sr.+y.:::�u..,i..:s':,r .uiw:a::ci a.�..,r3.aai;:'lw�r s:.t: i� ,
—"D;,
i
N City of Tukwila
` U Q
�
ac
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 1523049037 Permit Number: D04-381
Address: 14261 MACADAM RD S TUKW Status: PENDING
Suite No: Applied Date: 10/14/2004
Applicant: STANLEY RESIDENCE Issue Date:
Receipt No.: R04 -01408
Initials: SKS
User ID: 1165
Payment Amount:
Payment Date:
Balance:
52.35
10/14/2004 01:39 PM
$0.00
Payee: CHRISTINA D. KING
TRANSACTION LIST:
Type Method Description Amount
---- - - - - -- -- - - - - -- --------------------- - - - - -- ------ - - - - --
Payment Check 1018 52.35
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
BUILDING - NONRES 000/322.100 29.00
PLAN CHECK - NONRES 000/345.830 18.85
STATE BUILDING SURCHARGE 000/386.904 4.50
Total: 52.35
doc: Receipt Printed: 10 -14 -2004
Z
�Z
w
WV
UO
CO
cn w
J H'
C0 L
w O`
L?
N
= w
Z
f- O.
Z 11--
w LLI
U�
O N,
C) H .
w W.
~ L L
U'
—0
tll Z
U�
H =.
O ~.
2
MM
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. j CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 3
Proj"tq
Type of Inspec
ion:
A
acla i i�
Date Called: -7 G
1
Special Instructions: p�}
1 .os
Date W ted: �, M.
Reque ter:
Z
Z
� Z
M W
JU
UO
CO
W i.--
S2 LL
WO
9 5
U. 'ra,
a
= W
? I--
t- O
W ~
W
U�
o �
W W
HU
u . Z
W
co
O
,Z
' v r'� e
�pproved p� ap ica I co es. rrections required prior to approval.
INSPECTION RECORD
Retain a copy with permit D0 y 3cy
INSPECTION NO. PERMIT NO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 206)431 -3670
Project: {
a� #'Gc✓1 iPCr S c
Typ f Inspection:
+' C' - (
Address:
Date Called:
0 ':� . & l 5'
Special Instructions:
C{ J 1 hUL+ r
. Pf JO( 0 S P •
Date Wanted: a.m.
Requester:
I le
Phone No:
Approved per applicable codes
x517'/3 47" i
FI Corrections required prior to approval.
COMMENTS:
e 1 A
1 �� 2 `f r
Q,UIRED. Prior to inspection, fee must be
, Suite 100. Call to sechedule reinspection.
Z
�Z
JU
UO
W=
9 L
WO
9_j
LL
co
=d
�W
' Z
li— O
W ~
W
U
O
co
0 I—
W W'
U_
W Z'
U =.
O ~.
Z
INSPECTION RECORD
Retain a copy with permit D)y ze I
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: -
Type of Ins ection
Address: � //
Date Called:
Special Instructions:
�
I
Date Wanted: O
.m.
Reques er:
hiYt
Phone No:
t � -?e/3- 3 /,f
;R04" - cio- 05 (5 / C Cef�')
Corrections required prior to approval.
1) - Approved per applicable codes.
$47.00 REINSPECfION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule,reinspection.
2
W
U
Cl)
J =
CO LL
W O.
u_ ac
cl)
=
Z F-
I— O
Z f—
W
U�
ON
0 H-
w w
L O
6i CO :
U�
O
Z
REVIEWED FOR
CODE COMPLIANCE
0V%" ar♦ ^r,+T)
OCT 2 0 2
City Of kijviia
IL1..[�'�' i?T VTSTO N
PUS Cow
l� on N0. � wr
16 Xw mview approval is 966 tD errors and pnbft
Approval of construction dm meifs does not all Mft
the vkbbon of any adopted amb or gjdkW Irp
of approved Field Copy and cOnbrM id
BY -
Date: JZ
QV Of Tuba
BUILDING D nrnS10N
S Peek (or
-S1QNS
No changes shall be made to Sce"
Of t"fovIl vilthout prior app al of
Building Divisi
� euisians' ". - Ian submittal
and may include additional plan review fees,
Ab
11110*� I
Xoqwo* ao F/
RECE
CITY OP TU A
OCT 1 4 2004
PERMIT CENTER
z
�w
�U
UO
Cl) 13
J =
F-
�LL
WO
LLQ
U�
=a
�W
Z
�-O
z F--
w
w
U
ON
OH
W W
U
LLO
.• z
W
CO)
O
z
is - +.. w.eu +. .: u+..n. w :.,.. ... - mv .�aax�rwo .w.+ >rn rssnz> i« ��.. wv±. v:• .+. ^�wr.w�grnGO'° .!
'_ 1 1
1
' � 1
1
A'
03 -01 -2005
City of Tukwila Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
CHRISTINA D. KING
4310 164 ST SW
LYNNWOOD, WA 98037
RE: Permit No. D04 -381
14261 MACADAM RD S 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 04/19/2005, 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,
WAV
Stefania Spencer,
Permit Technician
xe: Permit File No. D04 -381
Bob Benedicto, Building Official
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 o Phone: 206 - 431 -3670 • Fax. 206 - 431 -3665
Z
#_- Z
�W
QQ �
JU
U
CO
W =
H
LL
WO
wa
CO)
=
F. W
' Z
F—
Z O:
W
Dp
O co):
O E—
W W
H
-O
.. Z
w
O
Z
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D04 -381 DATE: 10 -14 -04
PROJECT NAME: STANLEY RESIDENCE
SITE ADDRESS: 14261 MACADAM ROAD SOUTH
X Original Plan Submittal _Response to Incomplete Letter #
Response to Correction Letter # Revision # afteribefore permit is issued
DEPARTMENTS
Building Division Fire Prevention ICJ Planning Division
Public Wor ,
Structural ❑ Permit Coordinator
�
DETERMINATION OF COMPLETENESS (Tues., Thurs.) DUE DATE: 10 -19 -04
Complete [� Incomplete ❑ Not Applicable ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROUTING:
Please Route [Structural Review Required
REVIEWER'S INITIALS:
❑ No further Review Required
DATE:
APPROVALS OR CORRECTIONS
Approved ❑ Approved with Conditions E�
Notation:
REVIEWER'S INITIALS:
C
DUE DATE: 11 -16 -04
Not Approved (attach comments) ❑
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing sllp.doc
2 -28.02
PERMIT COORD COPY
z
S~ W
U
00
Cl)
CO LU
J =
F-
N u..
w
LLQ
Cl) D
=
�w
T.
z°
W
U�
O N
o�_
w
H�
LL O .
Iii
U=
O�
z
69
� Q
�N 2
1
CITY OF TUKWILA Permit Center /Building Division
Community Development Department 206 - 431 - 3670
Permit Center Public Works Department:
6300 Southcenter Blvd., Suite 100 206 -433 -0179
Tukwila, WA 98188 Planning Division:
206 -431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO.: — Zo q -59,A DoCf
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
D I i
[please p
states as follows:
1. 1 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 re uirement 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.
APPLICANT
-JGE A.
(P P UB0 0
' �0
h� pp INA3t►� ��,
\applications\8 -2004 affidavit in lieu of contractor registration
Signed and sworn to before me this ,
21 sf day of OG7 Obe y- 20 04 / .
NOTARY PUBLIC in and for the
of Washington,
Residing at 16h , County.
Name as commissioned Al ice A. De v
My commission expires: 6
Z
~ W
�U
UO
O
W
NLL
w
9-1
LL
cf)d
= uJI
Z �.
F- O
Z H
�5
U�
ON
0E-
wW
F�
LL Z
U=
O
Z
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
z
irrigation district, reclamation district or other
a contractor, or that he is qualified to engage in
municipal or political corporation or subdivision of
the business of contractor;
F- z
this state;
11.
Any construction or operation incidental to the
D
3.
Officers of the court when they are acting within
construction and repair of irrigation and drainage
v U
the scope of their office;
ditches of regularly constituted irrigation districts
C O O
or reclamation districts; or to farming, dairying,
w =
4.
Public utilities operating under the regulations of
agriculture, viticulture, horticulture, or stock or
J f
the utilities and transportation commission in
poultry raising; or to clearing or other work upon
CO p
w
construction, maintenance, or development work
land in rural districts for fire prevention purposes;
incidental to their own business;
except then any of the above work is performed
by a registered contractor;
U- j
5.
Any construction, repair or operation incidental to
d
the discovering or producing of petroleum or gas,
12.
An owner who contracts for a project with a
w
or the drilling, testing, abandoning, or other
registered owner;
z =
operation of any petroleum or gas well or any
p
surface or underground mine or mineral deposit
13.
Any person working on his own property, whether
w f-
when performed by an owner or lessee;
occupied by him or not, and any person working
2 j
on his residence, whether owned by him or not but
D o
6.
The sale or installation of any finished products,
his exemption shall not apply to any person
0—
materials, or articles of merchandise which are not
otherwise covered by this chapter who constructs
actually fabricated into and do not become a
an improvement on his own property with the
= v
permanent fixed part of the structure;
intention and for the purpose of selling the
improved property;
O
7.
Any construction, alteration, improvement or
LLi N
repair of personal property, except this chapter
14.
Owners of commercial properties who use their
v =
shall apply to all mobile, manufactured housing. A
own employees to do maintenance, repair, and
F-
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
within the scope of his license;
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
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 asrequired.by'chapter 13 of the Laws
of 1961, RCW * 47:28.070 with the department of
transportation to .perform highway construction,
reconstructibo or maintenance work.
:�v