HomeMy WebLinkAboutPermit M07-060 - RED DOT CORPORATIONRED DOT CORPORATION
495 ANDOVER PK E
M07 -060
Parcel No.: 2623049094
Address:
Suite No:
Tenant:
Name:
Address:
495 ANDOVER PK E TUKW
RED DOT CORPORATION
495 ANDOVER PK E , TUKWILA WA
Owner:
Name: HIGHLAND PARK PROPERTIES L
Address: 495 ANDOVER PARK BLVD , SEATTLE WA
Contact Person:
Name: TERRY HART
Address: PO BOX 58270 , SEATTLE WA
Contractor:
Name: OWNER AFFIDIVIT - NATE ST. CLAIRE
Address: ,
Contractor License No:
DESCRIPTION OF WORK:
REPLACE VEHICLE ( DIESEL) EXHAUST SYSTEM. WILL UTILIZE EXISTING PROTRUSION
THROUGH ROOF. NEW EXHAUST PIPING WILL BE LENGTHENED 40' WEST TO ALLOW HEAT
GENERATED IN PIPE TO COOL BEFORE IT GOES THROUGH NEW VENTILATION.
Value of Mechanical: $9,000.00
Type of Fire Protection: SPRINKLERS
Furnace: <100K BTU
>100K BTU
Floor Furnace
Suspended/Wall/Floor Mounted Heater
Appliance Vent
Repair or Addition to Heat/Refrig /Cooling System....
Air Handling Unit <10,000 CFM
>10,000 CFM
Evaporator Cooler
Ventilation Fan connected to single duct
Ventilation System
Hood and Duct
Incinerator: Domestic
Commercial/Industrial
doc: IMC -10/06
City f Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
MECHANICAL PERMIT
rOUIPMENT TYPE AND OUANTITY
0
0
0
0
0
0
0
0
0
0
1
0
0
0
* *continued on next page **
Permit Number: M07 -060
Issue Date: 04/25/2007
Permit Expires On: 10/22/2007
Expiration Date:
Phone:
Phone: 206 -409 -1113
Phone:
Fees Collected: $258.05
International Mechanical Code Edition: 2003
Boiler Compressor:
0-3 HP /100,000 BTU 0
3-15 HP /500,000 BTU 0
15-30 HP /1,000,000 BTU.. 0
30 -50 HP /1,750,000 BTU.. 0
50+ HP /1,750,000 BTU 0
Fire Damper 0
Diffuser 1
Thermostat 0
Wood/Gas Stove 0
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment 0
M07 -060 Printed: 04 -25 -2007
Permit Center Authorized Signature:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
I hereby certify that I have read and a an fined this permit and know the same to be true and correct. All provisions of law and ordinance:
governing this work will be complied 'th , whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the rformance of w rk. I a au orized to sign and obtain this mechanical permit.
1
Signature: m .cv l &'44 Date: c4.75
Print Name: ,57fek!
Permit Number: M07 -060
Issue Date: 04/25/2007
Permit Expires On: 10/22/2007
Date: (x'(iW'
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspende
or abandoned for a period of 180 days from the last inspection.
doc: IMC - 10/06 M07 -060 Printed: 04 -25 -2007
Parcel No.: 2623049094
Address: 495 ANDOVER PK E TUKW
Suite No:
Tenant: RED DOT CORPORATION
1: ** *BUILDING DEPARTMENT CONDITIONS * **
doc: Cond -10/06
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
PERMIT CONDITIONS
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
M07 -060
ISSUED
03/27/2007
04/25/2007
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431 - 3670).
4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
5: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
6: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building
inspector. No exception.
7: 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.
8: Manufacturers installation instructions shall be available on the job site at the time of inspection.
9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206 - 431 - 3670).
10: Readily accessible access to roof mounted equipment is required.
11: 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.
M07 -060 Printed: 04 -25 -2007
Signature:
Print Name:
doe: Cond -10/06
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
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.
,$ / - lf/Gri°�� Date: Y'r 7
M07 -060 Printed: 04 -25 -2007
Site Address: U 9 S AN dedcv PARK E.
Tenant Name: OCT (err pat'Yl-1 eN
Property Owners Name: 2+.ct n„ T Cfir P .
Mailing Address: 7 ( IC A rvcfGv i Pali( E •
Name: `�rr 1 -T
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
CITY OF TUKWIL.4 )
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.citukwila.wa.us
-1 a -a . f kw-a 4
Q:\Applications\Porns- Applications On Lined -2006 - Mechanical Pennit Application.doc
Revised: 4 -2006
bh
MECHANICAL PERMIT APPLICATION
P4c 6riCe R P- cows
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.: 1-023o44- 1044
Suite Number: Floor:
New Tenant: ❑ .... Yes ❑ ..No
5c.4 -rr L
City
Day Telephone:
w 4
State
CONTACT PERM
who do we contact when your permit is ready to be issue
Mailing Address: 12 0. 6of SSs2 -7 Se4ri Lt WA
City State
E -Mail Address: - kc.-ry hka E Q. c. el cL4 cote P. Q .-. Fax Number: ?.do" $ '1
Zip
c r81rFf
Zip
Mailing Address: P. 0. R o1 6 CeA T t L E rnJa t S' 1 f- y
City State Zip
Day Telephone: 2 aG ` (/OQ 41/3
Fax Number: Z0' 39 't' 3 6 - 7 2-
Contractor Registration Number: Expiration Date:
CHI T OF RECORD All plans mull be wet stamped by Architect of Recor
State
Zip
City
Day Telephone:
Fax Number:
State
Zip
City
Day Telephone:
Fax Number:
Page 1 of 2
Unit Type:
Qty
Unit Type;
Qty `
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Furnace>100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
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 and Duct
Water Heater
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
Other Mechanical
Equipment
I
10 k a eVkaos 7
Li o , ter-4440f ,
Valuation of Project (contractor's bid price): $ t 000 •"
Sow
Scope of Work (please provide detailed information): QcI, lc VI.L rck (v ese I) PAC6-0l " tvs rem-- - w e ( t
t•,rt Px,sst.,,, pcerivbcv.a (kr..,,, co'4' . Mew eff4.424 eioL u6 �; 1pa iv 1 be
�e►vbll�r,.e)
qv' wrr,1 4-o Allow IN#AT 94 ..erxrc4 Yu p, pr 1 - e e,nrrl bJure i 1" Goes
1,,r,,t, nnw V to I. 4u Ie..,4 .
Use: Residential: New .... ❑ Replacement .... ❑
Commercial: New .... ❑ Replacement ....
Fuel Type: Electric ❑ Gas Other:
Indicate type of mechanical work being installed and the quantity below:
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested
in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWE OR AUT3IORIZED AGENT:
Signature: �
Print Name:
/ �t-r'p W
Mailing Address: P. U. (3 0,6 S`9, 7 0
Date Application Accepted:
3 /./ •a7
Q:'Applications\Fonns- Applications On Line\3 -2006 - Mechanical Permit Application.doc
Revised: 4 -2006
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. eAr'rlf.i w,p
7t E'
City
Date: g iu /07
Day Telephone: Z O G- c/c Q - /113
State
Date Application Expires:
9- - -CI
Staff Initial :
Zip
Page 2 of 2
Parcel No.: 2623049094
Address: 495 ANDOVER PK E TUKW
Suite No:
Applicant: RED DOT CORPORATION
Receipt No.: R07 -00680
Initials: JEM Payment Date: 04/25/2007 03:13 PM
User ID: 1661 Balance: $0.00
Payee: RED DOT CORPORATION
TRANSACTION LIST:
Type Method Description Amount
Payment Check 157490 212.44
ACCOUNT ITEM LIST:
Description
MECHANICAL - NONRES
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
RECEIPT
Account Code Current Pmts
000/322.100 212.44
Total: $212.44
Permit Number: M07 - 060
Status: APPROVED
Applied Date: 03/27/2007
Issue Date:
Payment Amount: $212.44
7525 04/25 9716 TOTAL 212.44
doc: Receipt -06 Printed: 04 -25 -2007
Payee: RED DOT CORPORATION
ACCOUNT ITEM LIST:
Description
PLAN CHECK - NONRES
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
RECEIPT
Parcel No.: 2623049094 Permit Number: M07 -060
Address: 495 ANDOVER PK E TUKW Status: PENDING
Suite No: Applied Date: 03/27/2007
Applicant: RED DOT CORPORATION Issue Date:
Receipt No.: R07 -00442 Payment Amount: $45.61
Initials: BLS Payment Date: 03/27/2007 01:16 PM
User ID: ADMIN Balance: $212.44
TRANSACTION LIST:
Type Method Description Amount
Payment Check 156915 45.61
Account Code Current Pmts
000/345.830 45.61
Total: $45.61
doc: Receiot -06 Printed: 03 -27 -2007
Pro' ct:
l c w—I
T of Inspection:
r= i 6..; va I
Address:
0 G i t i ,v(06Vr , e I D !L
Date Called:
Special Instructions:
Date Wanted:
-- 13 - 0
( a. m.
`putt
Requester:
Phone N :
20(0 -u0c7 -1))
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
INS CTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERM
(206)431 -3670
El Corrections required prior to approval.
COMMENTS:
/2- (3/J2 % 6At
)
P/,.r'. , u�
J �
$58.00 REINSPECTION T E REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
(Receipt No.:
'Date:
RED DOT CORPORATION:
495 ANDOVER PARK E.
SEATTLE, WA. 98138
CITY OF TUKWILA/ 4 L r _ cte,sTnes
REVIEWED FOR
CODE COMPLIANCE
APPROVED
APR 13 2007
ty Of Tukwila
BUILDING DIVISION
Mechanical Permits – roof weight calculations for new TEV- 745-60
Ventilator and exhaust piping.
Electrical Permit – extending existing wiring and power disconnect for
new ventilator.
SCOPE OF WORK:
FILE COPY
Per►Yft I
Replacement of vehicle (diesel) extpust system for vehicle est—
chamber.
1. Replace existing system with larger vehicle exhaust suction
system.
2. New vehicle exhaust system will utilize existing protrusion
through roof. New exhaust piping will be lengthened 40' West
(see attached Roof Framing plan and drawing of test room
booth) to allow heat generated in pipe to cool before it goes to
through new ventilator. (See brochure for new TEV 745
Ventilator).
3. Ten inch (10 ") internal diameter double walled pipe will be
used.
4. Extend existing electrical wiring to new disconnect to ventilator.
As noted in Red pencil on the building drawing, the current ventilation
system exists the vehicle test chamber through a protrusion on the
roof and goes approximately 6' west of the penetration.
RECEIVE
The new ventilator system will use the existing protrusion thru the CITYOFTU
roof and will be lengthened 40" feet west of the original penetration. MAR 7 20 0
PERMITCEN7
MO
The new ventilator will be placed on a new curb with the ventilation
pipe attached and anchored by the supplier.
Current power disconnect to existing ventilator will be lengthened to
the new disconnect to the new ventilator. This will be done by Red
Dot Corp. maintenance.
Speed
Pressure
in wg
63 Hz
125 Hz
250 Hz
Octave
500 Hz
Band (H4
1000 Hz
2000 Hz
4000 Hz
8000 Hz
LwA
3500
0
106.5 dB
106.4 dB
103.7 dB
100.2 dB
95.0 dB
94.1 dB
93.0 dB
88.9 dB
102.9 dB
3500
2
107.0 dB
106.3 dB
103.2 dB
99.4 dB
93.9 dB
93.0 dB
91.7 dB
87.7 dB
102.0 dB
3500
4
107.5 dB
106.2 dB
102.7 dB
98.7 dB
92.9 dB
92.0 dB
90.2 dB
86.4 dB
101.2 dB
3500
6
107.5 dB
105.7 dB
101.9 dB
98.3 dB
92.5 dB
90.8 dB
87.8 dB
84.9 dB
100.5 dB
3500
8
107.0 dB
105.0 dB
101.2 dB
97.41dB
92.4 dB
90.4 dB
86.8 dB
83.9 dB
100.0 dB
Model: TFV- 745 -60
Fan specifications
Construction: AMCA Type - B
Drive type: Direct drive
Impeller type: Backward incline
Impeller material: Aluminum
PLYMOVENTAn
INTEUtGENT PROCESS VENTILATION'
DIMENSIONAL DATA
Impeller diameter:
Impeller width:
Hub size:
Discharge style:
TECHNICAL DATA
Pa
4500
4000
3500
3000
2500
I 2000
1500
1000
500
inch
w.9.
18
16
14
12
10
8
6
4
2
0
0
2000
3400
Airflow
4000
6800
6000 OEM
10200 m /h
Data based on AMCA testing in accordance with AMCA Standard 210.
500 mm / 19.7 inch
45 mm / 1.8 inch
35 mm / 1 3/8 inch
Rotational 90°
v
Data based on AMCA testing in accordance with AMCA Standard 300.
PlymoVent reserves the right to make
design and technical changes.
Shaft seal:
Housing material:
Housing finish:
Total fan weight:
3.4o S t l4
Motor specifications
Frame size: 215TC
Shaft size: 1 3/8 inch
Motor: 10 HP
Motor RPM: 3510 rpm
Service factor: 1.15
Thermal protection: No
CSA: Yes
CE- listed: Yes
Electrical power is available for all
international electrical power sources.
Rubber
Galvanized steel
Epoxy pow • - oat
132 kg/
Pacific Air Consultants, Inc.
P.O. Box 426 - 33100 NE Ivy Avenue
La Center, Washington 98629 USA
Ph. (800) 252-3993 - Fax (360) 263 -9772
web- PacAir.net - Email- Sales@PacAir.net
1
E
E
0
N
0
0
mm
inches
A
980
38 19/32
B
980
38 19/32
C
290
5 11/16
D
315
12 13/32
E
220
8 21/32
F
402
15 13/16
G
661
26
H
603
23 3/4
I
377
14 27/32
Model: TFV- 745 -60
Fan specifications
Construction: AMCA Type - B
Drive type: Direct drive
Impeller type: Backward incline
Impeller material: Aluminum
PLYMOVENTAn
INTEUtGENT PROCESS VENTILATION'
DIMENSIONAL DATA
Impeller diameter:
Impeller width:
Hub size:
Discharge style:
TECHNICAL DATA
Pa
4500
4000
3500
3000
2500
I 2000
1500
1000
500
inch
w.9.
18
16
14
12
10
8
6
4
2
0
0
2000
3400
Airflow
4000
6800
6000 OEM
10200 m /h
Data based on AMCA testing in accordance with AMCA Standard 210.
500 mm / 19.7 inch
45 mm / 1.8 inch
35 mm / 1 3/8 inch
Rotational 90°
v
Data based on AMCA testing in accordance with AMCA Standard 300.
PlymoVent reserves the right to make
design and technical changes.
Shaft seal:
Housing material:
Housing finish:
Total fan weight:
3.4o S t l4
Motor specifications
Frame size: 215TC
Shaft size: 1 3/8 inch
Motor: 10 HP
Motor RPM: 3510 rpm
Service factor: 1.15
Thermal protection: No
CSA: Yes
CE- listed: Yes
Electrical power is available for all
international electrical power sources.
Rubber
Galvanized steel
Epoxy pow • - oat
132 kg/
Pacific Air Consultants, Inc.
P.O. Box 426 - 33100 NE Ivy Avenue
La Center, Washington 98629 USA
Ph. (800) 252-3993 - Fax (360) 263 -9772
web- PacAir.net - Email- Sales@PacAir.net
1
E
E
0
N
0
0
mm
inches
J
583
22 15/16
K
397
15 5/8
L
140
5 1/2
M
377
14 27/32
N
603
23 3/4
0 '
41
1 5/8
P
145
5 11/16
Q
297
11 23/32
R
304
12
Model: TFV- 745 -60
Fan specifications
Construction: AMCA Type - B
Drive type: Direct drive
Impeller type: Backward incline
Impeller material: Aluminum
PLYMOVENTAn
INTEUtGENT PROCESS VENTILATION'
DIMENSIONAL DATA
Impeller diameter:
Impeller width:
Hub size:
Discharge style:
TECHNICAL DATA
Pa
4500
4000
3500
3000
2500
I 2000
1500
1000
500
inch
w.9.
18
16
14
12
10
8
6
4
2
0
0
2000
3400
Airflow
4000
6800
6000 OEM
10200 m /h
Data based on AMCA testing in accordance with AMCA Standard 210.
500 mm / 19.7 inch
45 mm / 1.8 inch
35 mm / 1 3/8 inch
Rotational 90°
v
Data based on AMCA testing in accordance with AMCA Standard 300.
PlymoVent reserves the right to make
design and technical changes.
Shaft seal:
Housing material:
Housing finish:
Total fan weight:
3.4o S t l4
Motor specifications
Frame size: 215TC
Shaft size: 1 3/8 inch
Motor: 10 HP
Motor RPM: 3510 rpm
Service factor: 1.15
Thermal protection: No
CSA: Yes
CE- listed: Yes
Electrical power is available for all
international electrical power sources.
Rubber
Galvanized steel
Epoxy pow • - oat
132 kg/
Pacific Air Consultants, Inc.
P.O. Box 426 - 33100 NE Ivy Avenue
La Center, Washington 98629 USA
Ph. (800) 252-3993 - Fax (360) 263 -9772
web- PacAir.net - Email- Sales@PacAir.net
1
E
E
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N
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• PERMIT COORD COPY`
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M07 -060 DATE: 03 - -
PROJECT NAME: RED DOT CORPORATION
SITE ADDRESS: 495 ANDOVER PK E
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Issued
DEPARTMENTS:
f
Bui .B g t9lvision
Public Works
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROU ING:
Please Route Structural Review Required
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Approved n Approved with Conditions
Notation:
REVIEWER'S INITIALS:
Documents routing slip.doc
2 -28 -02
3'x
Fire Prevention
C
❑ Permit Coordinator
DUE DATE: 03-29-07
Not Applicable ❑
No further Review Required
DATE:
DUE DATE: 04-26-07
Not Approved (attach comments) n
DATE:
Planning Division
C
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
COUNTY OF KING
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
STATE OF WASHINGTON)
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
ss.
1. I have made application for a building permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the State of
Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of
Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW
18.27.090.
3. I understand that prior to issuance of a building permit for work which is to be done by any contractor, the City of
Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions
stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that
after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized
under this building permit to be exempt under No. /q , 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.
[please print]
\applications\8 -2004 affidavit in lieu of contractor registration
APPLICANT
Residing at /6
Name as commissioned:
My commission expires:
PERMIT NO.: l ` D -dL o
, states as follows:
Signed and sworn to before me this
25th day of rl�Ori/ , 20 4 7 .
.�.�
a. ,C9hiau
NOTARY PUBLIC in and for thi 'State of Washington,
, County.
Alice 1Jeac y
6 -/6 -08
18.27.090 Exemptions. This chapter shall not apply to:
1.
2. 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;
3. Officers of the court when they are acting within
the scope of their office;
4. Public utilities operating under the regulations of
the utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
5. Any construction, repair or operation incidental to
the discovering or producing of petroleum or gas,
or the drilling, testing, abandoning, or other
operation of any petroleum or gas well or any
surface or underground mine or mineral deposit
when performed by an owner or lessee;
6. The sale or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into and do not become a
permanent fixed part of the structure;
7. Any construction, alteration, improvement or
repair of personal property, except this chapter
shall apply to all mobile, manufactured housing. A
mobile /manufactured home may be installed, set
up, or repaired by the registered or legal owner,
by a contractor licensed under this chapter, or by
a mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW;
8. Any construction, alteration, improvement, or
repair carried on within the limits and boundaries
of any site or reservation under the legal
jurisdiction of the federal government;
9. Any person who only 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
tot
contracts of amounts less than $500.00 for the
purpose of the evasion of this chapter or
otherwise. The exemption prescribed in this
subsection does not apply to a person who
advertises or puts out any sign or card or other
device which might indicate to the public that he is
a contractor, or that he is qualified to engage in
the business of contractor;
11. Any construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts
or reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or
poultry raising; or to clearing or other work upon
land in rural districts for fire prevention purposes;
except then any of the above work is performed
by a registered contractor;
12. An owner who contracts for a project with a
registered owner,
13. Any person working on his own property, whether
occupied by him or not, and any person working
on his residence, whether owned by him or not but
his exemption shall not apply to any person
otherwise covered by this chapter who constructs
an improvement on his own property with the
intention and for the purpose of selling the
improved property;
Owners of commercial properties who use their
own employees to do maintenance, repair, and
alteration work in or upon their own properties;
15. A licensed architect or civil or professional
engineer acting solely in his professional capacity,
an electrician licensed under the laws of the state
of Washington, or a plumber licensed under the
laws of the state of Washington while operating
within the boundaries of such political subdivision.
The exemption provided in this subsection is
applicable only when the licensee is operating
within the scope of his license;
16. Any person who engages in the activities herein
regulated as an employee of a registered
contractor with wages as his sole compensation;
17. Contractors on highway projects who have been
prequalified as required by chapter 13 of the Laws
of 1961, RCW 4728.070 with the department of
transportation to perform highway construction,
reconstruction, or maintenance work.
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