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HomeMy WebLinkAboutPermit PG07-155 - TRAN RESIDENCETRAN RESIDENCE 12218 48 AV S PGO7-155 Parcel No.: 0179001370 Address: Suite No: Tenant: Name: Address: Owner: Name: HUGHES MALENE A Address: 19800 PACIFIC HWY S E104 , SEATAC WA Contact Person: Name: DUC H. TRAM Address: 4903 N BEST RD , SPOKANE WA Contractor: Name: OWNER AFFIDAVIT - DUC HOANG TRAN Address: , Contractor License No: DESCRIPTION OF WORK: PLUMBING AND GAS PIPING FOR NEW 2708 SF SFR Value of Plumbing /Gas Piping: Fees Collected: doc: UPC /06 12218 48 AV S TUKW 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 TRAN RESIDENCE 1221848 AV S, TUKWILAWA $10,000.00 $451.00 Plumbing Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet PLUMBING /GAS PIPING PERMIT * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Expiration Date: FIXTURE TYPE AND OUANTITY Phone: Phone: 206 218 -7756 Phone: Steven M Mullet, Mayor Steve Lancaster, Director PG07 -155 08/07/2007 02/03/2008 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 Plumbing (cont.) 3 Building sewer and each trailer park sewer 1 0 Rain water system - per drain (inside bldg) 0 1 Water heater and/or vent 1 0 Industrial waste treatment interceptor, including 1 its trap and vent, except for kitchen type 0 grease interceptors 0 1 Repair or alteration of water piping and/or water 1 treatment equipment 0 1 Repair or alteration of drainage or vent piping 0 4 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 0 2 Gas Piping 0 Gas piping outlets (0 -5) 5 3 Gas piping outlets (6 +) 0 PG07 -155 Printed: 08 -07 -2007 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie Signature: Print Name: doc: UPC -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 cbVC_ 7 6P Permit Number: PGO7 -155 Issue Date: 08/07/2007 Permit Expires On: 02/03/2008 Steven M Mullet, Mayor Steve Lancaster, Director Date: Oill)14 permit and know the same to be true and correct. All provisions of law and ordinances er 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 o I am authorized to sign and obtain this plumbing /gas piping permit. Date cs›,0 7— (7 7 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. PG07 -155 Printed: 08-07 -2007 Parcel No.: 0179001370 Address: 12218 48 AV S TUKW Suite No: Tenant: TRAN RESIDENCE 1: ** *PLUMBING AND GAS PIPING * ** doc: Cond -10/06 Nto 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 Permit Number: Status: Applied Date: Issue Date: 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. * *continued on next page ** PGO7 -155 ISSUED 06/05/2007 08/07/2007 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R-3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor /ceiling assemblies and fire- resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be bacld"illed in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. PG07 - 155 Printed: 08-07 -2007 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. 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 Date0 ,3" d 7 � © 7 PG07 -155 Printed: 08 -07 -2007 CITY OF TUKWILA Community DevelopmeL)epartment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 . http://wwwatukwila.wa.us 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: 4 t it 45 ' AVt. « S . Tenant Name: Property Owners Name: O U C H. 4 V' Pr N N. - TrtA Mailing Address: 4-Q 0 3 N. l Es 1 rq7 . S OKA 1. E Name: p l 1 c H. 1 izeriv Day .Telephone: Mailing Address: 4-C1 0 3 . R fS T as. S Po Iq-r( E kAJA q q)-1 b n cit State Zip CI TO Address: Of lA G O V1 7 q �d� qJm cM C- . (D Wl Fax Number: (GEN i (C tiforma Company Name: 0 VIM ER. Mailing Address: 0 3 W. P F S 1" 2t Q. S Pn l A N E U/Pt q Q, -16 Cit state Zip Day Telephoner %) r_ 7 7 Sf Fax Number: Expiration Date: Contact Person: .t1 C H . T(Z (V E - Mail Address: Cd ( c 1 (n1 79 g tJ vyt C{/1 L . (0 vi,1 Contractor Registration Number: wet stamped`I �19€p W T KoME pESjGNS Company Name: Mailing Address: I 0 F f P ci F( C- p f . .S POI4 NE tAJ ) a Q d-O,- City State Zip Day Telephone: ( ` 9) 4-, - 7 y e F(tR I'(l Contact Person: L E -Mail Address: C 4 r ✓ 1 S c Ci IJJ2S l - VI et Fax Number: ( 6 4-5 0173 'WEEP eco 'lans must bie wet EtIG Company Name: Mailing Address: Contact Person: &-E-NE Pi S N E({ E -Mail Address: Q AAppliptions\Forms-Applications On t.inel3 -2006 - Permit Applicetion.doo Revised: 9 -2006 bb 31 W. I NWE' (L-9 . King Co Assessor's Tax No.: V 1 7 C (o ; 70 Suite Number: Floor: New Tenant: 0 .... Yes 0 ..No City tiJ A State c79 l tip on S o tic )-t Prv- O S ui P1 Cf 0)- 7 city State Zip Day Telephone: ('-09) a-, 7 - fool Fax Number: Page 1 of 6 Will there be new rack storage? ❑.... Yes Q: Applications\Pmms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Valuation of Project (contractor's bid p{: $ Existinilding Valuation: $ S i QOp Scope of Work (please provide detailed information): NE B cor SrLUcTi on1 DP t - sro rtfE-'s uni- i AJ- (� S/) o If yes, a separate permit and plan submittal will be required. dicap: hangs greater than 18 inches),;Z of accessory dwelling: residence. PLANNING DIVISION: Single family building footprint (area of th oundation of all structures, plus any decks over 18 inches - ov *For an Accessory dwelling, provide th ollowing: Lot Area (sq ft): / 0 Floor area of principal dwelling: c Floor *Provide documen • on shows that the principal owner lives in one of the dwellings as his or her p Number of Parking Stalls Prov' • ed: Standard: 3 Compact: Will there be a change in u ❑ Yes No If "yes ", explain: FIRE PROTECTIO , . /HAZARDOUS MATERIALS: ❑ Sp • ' ers ❑ Automatic Fire Alarm O'l None Will there be sto _e or use of flammable, combustible or hazardous materials in the building? ❑ Yes ® No If "yes', ' • ch list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safefy ata Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. ❑ Other (specify) Page 2 of 6 IE!..04, Type 'Qt}' I'igtnre Type, Qty ,Future Tyke EJ ut ,. Bathtub or combination bath/shower 3 Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial , Receptor, indirect waste Clothes washer, domestic i Floor drain ( Sinks ,i. Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, . with independent drain 1 Lavatory . 3 Water Closet . Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent � Additional medical gas inlets/outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and/or water treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: 4-Ct 0 3 fl , d e s T Contact Person: D O C - r - (44-44 /� E -Mail Address: CI to C t r� 1/) 6 ®ge cu Q - re, ti I Contractor Registration Number: (f s QOICPrnI F NI Valuation of Plumbing work (contractor's bid price): $ N 1 4 o Valuation of Gas Piping work (contractor's bid price): $ A1 1( <,A / QD (' C3 Scope of Work (please provide detailed information): 2 LV M P' I ('k f Ci e (' (AI Cr F f T }-t- IvFtAJ H DM F Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: i tif qqp-4 City State Zip Day Telephone: (2i)6 ))_ I A p - 7 7S7 Fax Number: Expiration Date: Q:Mpplicationz\Pones- Applications On Line 3 -2006 - Permit Application.doc Revived: 9 -2006 bh Page 5 of 6 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. Building and Mechanical Permit 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). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing 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 OW Signature: Print Name: Y U c - 11214-1v Mailing Address: 41103 (4. f5 es T Date Application Expires: t?-ksk- Date Application Accepted: � l � I g+ Q:ApplicationsWonns- Applications On Line\3 -2006 - Permit Appiication.doe Revised: 9 -2006 bh Date: 6/3(0 Day Telephone: (,G ) .2- I p 77 s State Zip S Po 1 1J E City Staff Initials: Page 6 of 6 Doc: RECSETS -06 RECEIPT NO: R07 -01618 Payee: DUC H TRAN SET TRANSACTIONS: Set Member Amount ACCOUNT ITEM LIST: Description 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 SET RECEIPT Initials: JEM Payment Date: 08/07/2007 User ID: 1165 D07 -196 2,812.74 M07 -124 197.45 PG07 -155 379.50 TOTAL: 3,389.69 BUILDING - RES GAS - RES MECHANICAL - RES PLAN CHECK - RES PLAN CHECK - WATER METER PLUMBING - RES PW LAND ALT PERMIT FEE PW PERMIT /INSPECTION FEE PW PLAN REVIEW STATE BUILDING SURCHARGE WATER INSPECTION FEE WATER TURN -ON FEE Total Payment: 3,389.69 SET ID: 0806 SET NAME: TRAN RESIDENCE TRANSACTION LIST: Type Method Description Amount Payment Check 5663 3,389.69 TOTAL: 3,389.69 Account Code Current Pmts 000/322.100 2,647.74 000/322.100 88.00 000/322.100 175.56 000/345.830 34.39 000/345.830 10.00 000/322.100 279.00 000/342.400 23.50 000/342.400 87.50 000/345.830 -.50 000/386.904 4.50 401/342.400 15.00 401/343.405 25.00 TOTAL: 3,389.69 f '1`.'iC TOJAL 33359 65 RECEIPT NO: R07 -01025 Payee: DUC H. TRAN Payment ACCOUNT ITEM LIST: Description SET TRANSACTIONS: Set Member Amount 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.citukwi/a.wa.us Initials: JEM Payment Date: 06/05/2007 User ID: 1165 SET ID: 060507 SET NAME: TRAN RESIDENCE D07 -195 120.42 D07 -196 2,059.03 EL07 -177 198.00 M07 -124 14.50 PG07 -155 71.50 TOTAL: 2,463.45 TRANSACTION LIST: Type Method Description Check 5655 BUILDING - NONRES ELECTRICAL PERMIT - RES PLAN CHECK - RES PW BASE APPLICATION FEE PW PLAN REVIEW SET RECEIPT TOTAL: Account Code 000/322.100 000.322.101.00.0 000/345.830 000/322.100 000/345.830 TOTAL: Total Payment: 2,463.45 Amount 2,463.45 2,463.45 Current Pmts 120.42 198.00 1,807.03 250.00 88.00 2,463.45 9971 . 06/05 9710 TOTAL 2463.45 Project: 7 /2/Iv /? P5. Type of Inspect On: E7A-41 -/ r'hes4 -G5 A / re 02/ Lr � - , 6 /77J Date Called: r Special Instructions: / Date Wanted: 6. — /G -ce Requester: Phone No: 26C Ze - 775G- INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION R 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: n v)k (a \PP I lnspecto ' me t , _ 0 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. (Receipt No.: 'Date: Approved per applicable codes. COMMENTS: iljAcorq 3R AA Ai 6. 1(A A i lInspecpr: _ Date: r 12 pke IA »)-e b = ' .( 4 kQ.r - AJf ei1 INSPECTION RECORD .�,� S o with permit I Retain a copy PG 0 p PERMIT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Type of Inspection: e- A - 707 - 1 Z91.4 7 Date Called: 4 1•f G Special Instructions: Date ?llted: Requester: Phone No: Corrections required prior to approval. 1 paid at 6300 Sou hc E REQUIRED. nterBl d., Suitte 100. to schedule reinspection. (Receipt No.: 'Date: Project: �+(a,/1 1 2 el � C/�C Type of Inspection: Q r�a ✓qk fA t 1 / ,D.4 / Address: 2- 11 4 �L_ S . k e l Date Called: / Special Instructions: Date Wanted: a.m. 2 — Z7 — O� --= Requester: Phone No: ? (0 '' kg r- 1 rl slo INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION P607 - )S.5 PERMIT NO. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: n roLJ? U I lnspect 6A Date: 2 2 2 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: 'Date: tz Project: Type of Inspection: T / ?6I/v / & S ' K 0�,� 4 -,,- i i ? / At Address: Date Called: /2 2/ V8 41 So Special Instructions: Date Wanted: a a - // — dam Requester: Phone No: _ 2O C - 2/8 -? 7J _ INSPECTION RECORD _ - Retain a copy with permit / O / — I INSPECTI • NO. PERMIT NO. r CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 - 7 Approved per applicable codes. El Corrections required prior to approval. 6 COMMENTS: i / 7( ( (`/-///,5 - '5 - ..t/5 A/i v, /p /b-, )0/e- Y. w v 1) f /12 ti s r - e-9A spector: !Date: v $58.00 ' ` NSPECTION FEE REQ► !RED. Pr'• r to inspection. fee must be paid •300 Southcenter Blvd.. S ite 101 Call the schedule reinspection. 'Receipt No.: t INSPECTION RECORD _ - Retain a copy with permit / O / — I INSPECTI • NO. PERMIT NO. r CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 - 7 Approved per applicable codes. El Corrections required prior to approval. 6 COMMENTS: i / 7( ( (`/-///,5 - '5 - ..t/5 A/i v, /p /b-, )0/e- Y. w v 1) f /12 ti s r - e-9A spector: !Date: v $58.00 ' ` NSPECTION FEE REQ► !RED. Pr'• r to inspection. fee must be paid •300 Southcenter Blvd.. S ite 101 Call the schedule reinspection. 'Receipt No.: Project: XX Y _ I ( �� Y� � � TY o Date Called: oectio ��W�ly I ur /�ti ,, 9I4 II 10- Address: li t V Special Instructions: Date Wanted: Id (2 Requester: f-21 U, Phone No: ' 2- d g _ 2.3.1.._ INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 CO 114ENTS: Inspec r' 8.00 REINSPECTION F aid at 6300 Southcente : E REQUIRED. Blvd., Suite 41 R ceipt No.: Da fv / D' nor to inspection, fee must be 0. Call to sechedule reinspection. Date: Approved per applicable codes. El Corrections required prior to approval. I CC PERMIT NO. V� (206)431 -3670 CC / ,GENTS: [..-/)/ -- Add ss: 7 9' - 4. Date ailed: Spe is Instructions: ' I ( O/ Z 4 - / / L - O / // powr 1,2iri- 7L��� -- 7 J '7 l'',-, 14 - �� e !^ /el■t(v� X Requester: `'4='iyJ6/in /.-r ,- .9 / / i2-o /1��� /.c.- SA', /,; ,?; ;- ` / 4b(7 prin� f o /.- "rf-7 /�- - 'h Project_ ref v7 Type of Inspection: \, 3 6 orrti /, er l,� Add ss: 7 9' - 4. Date ailed: Spe is Instructions: ' I ( O/ Z 4 - / / L - O / Date Wanted: / ! 0 7 P.m. Requester: Phone No: 2 C6- 7ZS = Z3S ; INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 7 El Approved per applicable codes. ❑ Corrections required prior to approval. paid at 6300 PERMIT NO. e. 1 lnspectc*: IDate�� J $ .00 REINSP ON FEE REQUIRED. Prior to inspection, fee must be outhcenter Blvd.. Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: ACTIVITY NUMBER: PG07 -155 DATE: 06 -05 -07 PROJECT NAME: TRAN RESIDENCE SITE ADDRESS: 12218 48 AV S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: g ivlsion Bui Public Works t- A.1"01 Complete Comments: Documents/routing slip.doc 2 -28-02 PERMIT COORS; PLAN REVIEW /ROUTING SLIP Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete ❑ TUES/THURS ROUT NG: Please Route Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved n Approved with Conditions Notation: REVIEWER'S INITIALS: ❑ Permit Coordinator ❑ DUE DATE: 06-07-07 Not Applicable ❑ Permit Center'Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: No further Review Required DATE: DUE DATE: 07 -05-07 Not Approved (attach comments) ❑ DATE: Planning Division Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 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) ) ss. COUNTY OF KING ) — 1 - 12)N c_ 40P.A.) , states as follows: [please pant] 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. 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, I consider the work authorized under this building permit to be exempt under No. 1 , 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. AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION \applications\8 -2004 affidavit in lieu of contractor registration 0 APPLICAN Signed and swom to before me this C9S day of u h7 ' , 20x27 NOTAR • UBLIC in an for the State of Washington, , County. Name as commissioned: gm L- i' k(z)fl JARR- S t -10 Residing at My commission expires: PERMIT NO.: PA-- 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 fumished 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 contracts of amounts less than $500.00 for the purpose of the evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he is a contractor, or that he is qualified to engage in the business of contractor, 11. Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry raising; or to clearing or other work upon land in rural districts for fire prevention purposes; except then any of the above work is performed by a registered contractor, 12. An owner who contracts for a project with a registered owner, Any person working on his own property, whether occupied by him or not, and any person working on his residence, whether owned by him or not but his exemption shall not apply to any person otherwise covered by this chapter who constructs an improvement on his own property with the intention and for the purpose of selling the improved property; 14. Owners of commercial properties who use their own employees to do maintenance, repair, and alteration work in or upon their own properties; 15. A licensed architect or civil or professional engineer acting solely in his professional capacity, an electrician licensed under the laws of the state of Washington, or a plumber licensed under the laws of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the licensee is operating within the scope of his license; 16. Any person who engage ,$tivjiies herein regulated as an emo •ye 'ior. ' j'trygistered contractor with wages s 1oen3ption; . q,►. N : 17. Contractors on highway. vrojedtreho Illt4 been prequalified as requireaby cf r b3 otl a Laws of 1961, RCW 47.28.07,0 v.411-0.1 1"- ent of transportation to perform -, L;ipli}y'► «• struction, reconstruction, or maintenance V ork:."