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HomeMy WebLinkAboutPermit M04-135 - ABYSSINIA RESTAURANTABYSSINIA RESTAURANT 14835 TUKWILA INTERNATIONAL BLVD FEB 1 5 2005 Contact Person: Name: Address: Contractor: Name: Value of Mechanical: $800.00 Type of Fire Protection: N/A Furnace: <100K BTU 0 >100K BTU 0 Floor Furnace 0 Suspended /Wall /Floor Mounted Heater 0 Appliance Vent 0 Repair or Addition to Heat/Refrig /Cooling System.... 0 Air Handling Unit <10,000 CFM 0 >10,000 CFM 0 Evaporator Cooler 0 Ventilation Fan connected to single duct 1 Ventilation System 1 Hood and Duct 0 Incinerator: Domestic 0 Commercial /Industrial 0 doc: IMC- Permit Address: , Contractor License No: 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: ci.tukwila.wa.us LUI LUEY MING 8216 S 120TH ST, SEATTLE WA JAMES MCCLINTON 933 11 AV E, #3, SEATTLE, WA OWNER AFFIDAVIT IN FILE MECHANICAL PERMIT Parcel No.: 0041000330 Address: 14835 TUKWILA INTERNATIONAL BL TUKW Suite No: Tenant: Name: ABYSSINIA RESTAURANT Address: 14835 TUKWILA INTERNATIONAL BL, TUKWILA WA Owner: Name: Address: Permit Number: Issue Date: Permit Expires On: Expiration Date: DESCRIPTION OF WORK: INSTALLING ONE SUPPLY AIR FAN FOR THE RESTAURANT (2013 CFM) AND 25 FEET OF METAL DUCT (26 GA) FOR MAKE -UP AIR FOR EXISTING HOOD. EQUIPMENT TYPE AND QUANTITY * *continued on next page ** M04 -135 Phone: Phone: 206 380 -2366 Phone: Steven M. Mullet, Mayor Steve Lancaster, Director M04 -135 07/22/2004 01/18/2005 Fees Collected: $151.68 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 Thermostat 0 Wood /Gas Stove 0 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment 0 0 Printed: 07 -22 -2004 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: ci.tukwila.wa.us Permit Center Authorized Signature: ...1 , NN<.v Steven M Mullet, Mayor Date: Steve Lancaster, Director Permit Number: M04 -135 Issue Date: 07/22/2004 Permit Expires On: 01/18/2005 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 to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this mechanical permit. e— Signature: Print Name: c -144eS (P,1:11,-)--Dpt Date: /.4.±/h 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: !MC- Permit M04 -135 Printed: 07 -22 -2004 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 1: ** *BUILDING DEPARTMENT CONDITIONS * ** PERMIT CONDITIONS Parcel No.: 0041000330 Permit Number: M04 -135 Address: 14835 TUKWILA INTERNATIONAL BL TUKW Status: ISSUED Suite No: Applied Date: 07/16/2004 Tenant: ABYSSINIA RESTAURANT Issue Date: 07/22/2004 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: Manufacturers installation instructions shall be available on the job site at the time of inspection. 6: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (206/248- 6630). 7: 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. doc: Conditions * *continued on next page ** M04 -135 Printed: 07 -22 -2004 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 I hereby certify that I have read these conditions and will comply with them as outlined. All provisions 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 regulating construction or the performance of work. Signature: Print Name: .\ a_ w e-s = C� i ✓l vL of law and ordinances other work or local laws V.t.q.b- D CITY OF TUKWILA - 7 Th Community Development uepartment 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 Address: Tenant Name: 'd ee. L 1'll c2 Property Owners Name: t Lt l L. U t° }/ /0 Mailing Address: 4 035 Name: )44.ec Me_ e--rIt V1413Y, Mailing Address: 9 �3 ^/ / //?/1 Er E -Mail Address: Company Name: U W VL e- — Mailing Address: J'+935 ?- rt) .44iOh d/ AZ/. Contact Person: /'/ e- le9 e— E-Mail Address: Company Name: Mailing Address: Nr7 Contact Person: E -Mail Address: Company Name: Mailing Address: 1--,1 0 f - Contact Person: E -Mail Address: 1permits plus 'cc changealpermit application (7.2004) Page I Building Perm.. :4o. Mechanical Permit No. Public Works Permit No. Project No. (For office use only) King Co Assessor's Tax No.: flays , el 4 01 iDO -0 y Suite Number: New Tenant: A.... Yes ❑ ..No AO AO' ta vt t. City State Day Telephone: ZD W ,C.?Z) 3 b rSiO„.2._ pity S tate Zip Fax Number: GENERAL: CONTRACTOR INFORMATION - (Mechanical Contractor information on back page) 7t; k..U:10 4r R-sP/46? City State Zip Day Telephone:, D & -65D- O 70 Q 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 State City Day Telephone: Fax Number: ENGINEER OF RECORD An plans must be wet stamped by Engineer of Record State Floor: Zip Zip Zip City Day Telephone: Fax Number: BUILDING PERMIT INFORMATION - 206 - 431 -3670 go Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): Will there be new rack storage? ❑ ..Yes ❑.. No If "yes ", see Handout No. for requirements. Provide AU Building Areas in Square Footage Below PLANNING DIVISION: Single- family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: 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 ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 0.. 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 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets. \permits plu,Ucc changes\pennit application (7.2004) Page 2 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC t" Floor 2" Floor S Floor Floors thru Basement Accessory Structure* Attached Garage ' Detached Garage ' Attached Carport Detached Carport Covered Deck Uncovered. Deck BUILDING PERMIT INFORMATION - 206 - 431 -3670 go Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): Will there be new rack storage? ❑ ..Yes ❑.. No If "yes ", see Handout No. for requirements. Provide AU Building Areas in Square Footage Below PLANNING DIVISION: Single- family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: 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 ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 0.. 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 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets. \permits plu,Ucc changes\pennit application (7.2004) Page 2 PUBL' IC WORKS PERMIT INFORMATION -- 206 -433 0179 Scope of Work (please provide detailed information): Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila ❑... Water District #I25 ❑...Water Availability Provided Sewer District t] ...Tukwila ❑... ValVue ❑ .. Renton ❑ ...Seattle ❑ ...Sewer Use Certificate 0... 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): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) Proposed Activities (mark boxes that apply): 0...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 ❑ ...Total Fill cubic yards cubic yards ❑...Sanitary Side Sewer ❑ . ❑' ...Cap or Remove Utilities 0 . ❑ ...Frontage Improvements ❑ . ❑ ...Traffic Control ❑ . ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ ...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size .. ❑ ...Water Only Meter Size ❑...Sewer Main Extension Public _ ❑ :..Water Main Extension Public _ ‘permits plusticc changegpermit application (7.2004) 11 11 11 I, Call before you Dig: 1 -800- 424 -5555 . Abandon Septic Tank . Curb Cut . Pavement Cut . Looped Fire Line WO# WO# WO# Private Private ❑ .. Highline ❑...Traffic Impact Analysis ❑ .. Maintenance Agreement(s) ❑...Hold Harmless ❑ .. Geotechnical Report ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage FINANCE INFORMATION Fire Line Size at Property Line ❑ ...Water ❑ ...Sewer • ❑ ...Sewage Treatment Monthly Service Billing to: Name: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: Number of Public Fire Hydrant(s) Day Telephone: City State Zip Day Telephone: City State Zip Page 3 ❑ ...Renton ❑ .. Grease Interceptor 0 .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Deduct Water Meter Size " 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 n , S%�0 Y H Iv' 1 MECHANICAL PERMIT INFOIiATION — 206 -431 -3670 MECHANICAL CONTRACTOR INFORMATION Get�p�ame: � " Mailing Address: /' Y' Contact Person: �cZvtti�S l eh ✓17Lo`'( City State Zip Day Telephone: V 3 ? 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): $ ? Ob, D 0 t Scope of Work (please provide detailed information): �L �164a2 1 'S r y /4 1 )Y" --P4 7 -)1_ i . , r ` (�° -- / Use Residential: New ....❑ Replacement Commercial: New .... ❑ Replacement Fuel Type: Electric El Gas Other: Indicate type of mechanical work being installed and the quantity below: BUILDING OWNER OR AUTHORIZED AGENT: Signature: Print Name: a iv S Mailing Address: 9 ,4 E \permits plus \icc changes \permit application (7.2004) Page 4 PERMIT APPLICATION NOTES - Applicable to all permits in this application Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. Date: 745/ I Day TelephonejA � 7fle_ /e4,7) City S tat Zip Date Application Accepted: 7 / — 6 ' ( Date Application Expires: Staff Initials: Parcel No.: 0041000330 Address: Suite No: Applicant: ABYSSINIA RESTAURANT Receipt No.: R04 -00890 User ID: 1165 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Payee: JAMES MCCLINTON TRANSACTION LIST: Type Method Description Payment Check 2621 ACCOUNT ITEM LIST: Description doc: Receipt MECHANICAL - NONRES PLAN CHECK - NONRES RECEIPT 14835 TUKWILA INTERNATIONAL BL TUKW Initials: SKS Payment Date: Balance: Account Code Current Pmts 000/322.100 127.34 000/345.830 24.34 Permit Number: M04 -135 Status: PENDING Applied Date: 07/16/2004 Issue Date: Payment Amount: 151.68 Amount 151.68 07/16/2004 09:21 AM $0.00 Total: 151.68 J02 07/16 9716 TOTAL .151.68. Printed: 07 -16 -2004 C 4 2; U 0, w , lU OC , co 3 C, Z ` 0, 0' 'O N; O F w 1L O IiJ Z, V � . 0 Pr j t: E kt A ! X ' 4 Q IvN Ty e of Ins Von: I'1 Ad re c 4 T4 1 • Date Called: a jo 17..t. V Specia Instructions: Date Wanted: a.m P. Pt be Pho r ,, n !/`� ift c � ©7oo f.r INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PER 206)431'-3670 COMMENTS: ' pG IAA VI t rt1 rUV�- t h or 'per olio I rri , i P V t (CA I VW Ofppro 'aI Approved per applicable codes. nspector: Corrections required prior to approval. Date: - 7 , 3 El $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: Pro a t: t trka A & Type . I Inspection r. -• -In ress: . f •�e D ate ailed ^7 Sp c ijlnstructtons: p t, 0 v ' Date Wanted: E{;m\ 7 �3j C � - Request er• Phone No: 11 -�ry� AND ' C9 `(l 00 • Inspector: `, r , Q ( j Approved per applicable codes. INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Corrections required prior to approval. COMMENTS:\ 4 rno- eta y1nU m et/ IA )6,‘A cif) P ro►./A.I k)-cy1 • ( GI I ri,.. !1 �l nilcA( r Y Pr; �1 ' 1! • (tir ✓'CA -. l.0 i -) +n t ec 4-4 1 6 /1 i r - Triin • C 4 w\ ( • Sloct + c\vc* a rc)u J X10 rr c GA/vivLr e011V1iC. tr, Date: El $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: I rl: Z *.. - • - - iiiiiNo. I •• -Is -- 1 - AT- 411111 - reilew approval to z xr z A- ----e- -Appovarof-construction documents does-not aulitoisi violation of any_adopted_code_or ordinance. ROW . _. I A - col approved Held Copy and =dinars is admoviiedged: _ di , '' rtic„ _ ---*--, . tl • - i-- A - Li 1 -- " 4 4 -- -1 3 ----*_-- -- &I' :.q 44421a0P 41./ : L.-A Aok Die: • 1111111111111-- - - - • lb_driges of work Mame prior approval at Tukwila &Wing "- — - _____MMELEctisionsidllsequ new ire a plan Clitill'afal and may indude additional plan review fees. bra Wavle BUILDING ' '1 83.6 1• REVIEWED FOR CODE COMPLIANCE APPRQVgD - -- JUL - 2 1 2004 City Of Tukwila BUILDING DIVISION •\ rtJ _1 — • • 1-6 _ 200i .1 rree NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN _ THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. _ `7••••• •■•••i \.) My �i ' n * o _ Re_6+d i.�.7 ,... H. _5-6 -}erna cvtgt) . A v 144wi l a it/a bS zq/ / /% / AO 1 y'd) /A504=/ air _ Z ia,461 - -J `k 200 -PER - - - - -- -- REVIEWED FOR _CODE COMPLIANCE APPROVED JUL 212004 . City. BUILDING DIVISION _ _.. /1ff- iV r- �ID 1 /43S ;NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR 'THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. 7 12 -06 -2004 JAMES MCCLINTON 933 11 AV E, #3 SEATTLE, WA 98102 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director RE: Permit No. M04 -135 14835 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 01/19/2005, 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, Stefania Spencer, Permit Technician xc: Permit File No. M04 -135 Bob Benedicto, Building Official 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 ARTMENT : uildi ng si ol dy �] Public Works ❑ PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: M04 -135 DATE: 07 -16 -04 PROJECT NAME: ABYSSINIA RESTAURANT SITE ADDRESS: 14835 TUKWILA INTERNATIONAL BOULEVARD X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after/ permit is issued t Nt ,-1 /,/q Fire Prevention ID Structural ❑ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 07 -20 -04 Complete [ Incomplete ❑ 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 ❑ No further Review Required ❑ REVIEWER'S INmALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions NJ Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slIp.doc 2-28-02 PERMIT COORD COPY Planning Division Permit Coordinator Not Applicable ❑ DUE DATE: 08 -17 -04 DATE: AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON COUNTY OF KING ' PM d- -i1 14 , states as follows: I have made application for a building permit from the City of Tukwila, Washington. . 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 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. /.3 , 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 engage an unregistered contractor to perform construction work. AFFCONT 1/13/00 * 0114 Y s CITY OF ► KWILA Permit Center 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 Telephone: (206) 431 -3670 ss. Signed and sworn to before me this 2 2' NOTA ' PUBLIC in and for the State of Washington, residing at F Name as commissioned: 6tl C1 ' G,4i'1J , My commission expires: H -4 County. i 18.27.090 Exemptions. This chapter shr 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 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 1/13/00 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; 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; o wners 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,opt01 n within the scope : \j" of his license; .lr l r r ` , o , �> 15. Any person who enga herein regulated as an employeCooa°registered contractor with wages as his sol��.ompetisation; - 16. Contractors on highway Objects 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.