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Home My WebLink AboutPermit PG07-184 - BERGSMA RESIDENCEBERGSMA RESIDENCE 4004 S 152 ST PGO7-184 Parcel No.: 0041000630 Address: Suite No: Tenant: Name: Address: 4004 S 1S2 ST TUKW Citf Tukwila Owner: Name: BERGSMA KENNETH A & ELAINE Address: 4003 SO 152ND , SEATTLE WA Contact Person: Name: KENNETH BERGSMA Address: 4004 S 152 ST , TUKWILA WA 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 BERGSMA RESIDENCE 4004 S 152 ST , TUKWILA WA Contractor: Name: OWNER AFFIDAVIT - KENNETH A BERGSMA Address: Contractor License No: PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Expiration Date: Phone: Phone: 206 242 -7168 Phone: DESCRIPTION OF WORK: MOVE HOT AND COLD WATER FROM INSIDE WALL TO OUTISDE WALL WITH DILECTRIC UNIONS FROM GALVANIZED TO COPPER. REMOVE OLD GALVANIZED DRAIN AND REPLACE WITH ASB PIPE FOR BATHTUB ONLY. Value of Plumbing /Gas Piping: $200.00 Uniform Plumbing Code Edition: Fees Collected: $98.00 International Fuel Gas Code Edition: plumbing Bathtub or combination bath/shower 1 Bidet 0 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 doc: UPC -10/06 FIXTURE TYPE AND OUANTITY * *continued on next page ** PG07 -184 07/05/2007 01/01/2008 2006 2006 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 O Water heater and/or vent 0 O Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors 0 0 Repair or alteration of water piping and/or water 0 treatment equipment 1 O Repair or alteration of drainage or vent piping 0 0 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 O Medical gas piping (6 +) inlets /outlets 0 O Gas Piping 0 Gas piping outlets (0-5) 0 0 Gas piping outlets (6 +) 0 PG07 -184 Printed: 07 -05 -2007 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie doc: UPC-10 /06 City ol' 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 x ai wi Permit Number: Issue Date: Permit Expires On: The granting of < permit does not pres constructio or • e performance of wor PGO7 -184 07/05/2007 01/01/2008 Date: 1. Die n ed this permit and know the same to be true and correct. All provisions of law and ordinances , whether specified herein or not. ve authority to violate or cancel the provisions of any other state or local laws regulating orized to sign and obtain this plumbing /gas piping permit. Date: ,-, - U °7 This permit shall become mill and void if the work is not co d 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 -184 Printed: 07 -05 -2007 Parcel No.: 0041000630 Address: Suite No: Tenant: doc: Cond - 10/06 4004 S 152 ST TUKW BERGSMA RESIDENCE 1: ** *PLUMBING AND GAS PIPING * ** 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 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. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 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 backfilled 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. * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: PG07 -184 ISSUED 07/05/2007 07/05/2007 PG07 -184 Printed: 07 -05 -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 Date: 7 --_....s d 7 PG07 - 184 Printed: 07 -05 -2007 Site Address: Tenant Name: Property Owners Name:/ 7Jf Mailing Address: /T kV /, g Name: Mailing Address: E -Mail Address: Contact Person: E -Mail Address: Contact Person: CITY OF TUKWI Community Developmen epartment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.atulavila.wa.us (1 I r 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.:06 41 / 7)6 �a ' n- 07 oho( fl Suite Number: Floor: New Tenant: ❑ .... Yes ..No City cc) City Fax Number: Day Telephone :44 1/ /( 7" _State State State State Zip Company Name: Mailing Address: City Day Telephone: Fax Number: Contractor Registration Number: Expiration Date: Zip ect 0 Company Name: Mailing Address: City Day Telephone: E-Mail Address: Fax Number: Zip Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Q:\Appliations Forms-Applications On Line 3 -2006 - Permit Application.doe Revised: 9-2006 bh Zip Page 1 of 6 Valuation of Project (contractor's bid pr . $ Li LACIER- t Existing Valuation: $ Scope of Work (please provide detailed information): R 0 VG. )- to VE Rt �M5 v-- tz o n \ \ 61 t> E VD r} z - - TO FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm Q:\Applications'ronns- Applications On LinM3 -2006 - Permit Application.doe Revised: 9 -2006 bh ❑ None G t S De l $,) rs r 7 - ct■q -. c ri C-- ► -t p L~ L T ) • 1 +1 s fl - r - s - F / Q— Will there be new rack storage? ❑.... Yes ❑.. No If yes, a separate permit and plan submittal will be required. 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 of 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: ❑ 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 including quantities and Material Safety Data 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. Page 2 of 6 PUULIC FORKS 'PERMIT INI 2MATION 206 -433 -0179 Scope of Work (please provide detailed information): Water District ❑ ...Tukwila ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate 0... Water District #125 ❑... ValVue ❑... Sewer Availability Provided Proposed Activities (mark boxes that apply): ❑ ...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 ❑ ... Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water f! Q Mppliation Worms-Applications On Line\3 -2006 -Permit Application.doc Revised. 9-2006 bh Call before you Dig: 1400 -424 -5555 Please refer to,Public.Works Bulletin #1 for fees and estimate sheet. ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line SP ❑ .. Highline ❑ ...Permanent Water Meter Size... If WO # ❑ ...Temporary Water Meter Size.. WO # ❑ ...Water Only Meter Size WO # ❑ ...Sewer Main Extension Public Private _ ❑ ...Water Main Extension Public _ Private _ ❑ ...Renton ❑ .. Renton ❑ ...Seattle 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. Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x34") ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report 0... Traffic Impact Analysis ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑...Hold Harmless — (SAO) 0.-. Hold Harmless — (ROW) ❑ ...Total Cut cubic yards ❑ .. Work in Flood Zone ❑ ...Total Fill cubic yards ❑ .. Storm Drainage ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: City State Zip Water Meter Refund/Billing: Name: Mailing Address: Day Telephone: City State Zip Page 3 of 6 . 7nit Type `,:Qty Unit Type Tn> .±.; Pe• 41y . Boilier/Com SO= Q ' Furnace<100K BTU Air Handling Unit >10,000 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 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 Emergency Generator 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit <10,000 CFM Incinerator — Comm/Ind MECHANICAL CONTRACTOR INF TION Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: _ Fax Number: Contractor Registration Number: Expiration Date: Valuation of Mechanical work (contractor's bid price): $ Scope of Work (please provide detailed information): Use: Residential: New .... Replacement .... 0 Commercial: New ....El Replacement .... 0 State Zip Fuel Type: Electric Gas Other: Indicate type of mechanical work being installed and the quantity below: Q:\ Applicstions\Pomn- Applications On Linc'O -2006 - Permit Application.doc Revised: 9 - 2006 bh Page 4 of 6 r Fixture Type Y °RFixture Typg. ' Qty -; Fixture Type Qh' , F,i1:t1;r Bathtub or combination bath/shower 1 Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory . 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 i ) 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: City Day Telephone: Fax Number: Expiration Date: Contact Person: E -Mail Address: Contractor Registration Number: Valuation of Plumbing work (contractor's bid price): $ U1.10 E R— Soo ' CC Valuation of Gas Piping work (contractor's bid price): $ S ope of Work (please provide detailed information): 1-k p V— ij ► -41 e mot) t LJ C a- Building Use (per Intl Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water: Sewer: Q:1AppiicationsTonns- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: State t 1 1L<- 1-1 c___✓, _ • 1 U t■-1■.) Zip 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 R OR AUT . ORIZED Signs (X�Z Print Name: L Mailing Address: 4C> Date Application Accepted: Q: Applications\Por s- Applications On LinM3 -2006 -Permit Appliation.doe Revised: 9 -2006 bh Day Telephon City Date: State Date Application Expires: Staff Initials: Page 6 of 6 Doc: RECSETS-06 RECEIPT NO: R07 -01294 Initials: JEM User ID: 1165 Payee: KENNETH A BERGSMA SET ID: 5000000806 SET NAME: BERGSMA RESIDENCE SET TRANSACTIONS: Set Member Amount D07 -248 33.50 PG07 -184 98.00 TOTAL: 131.50 TRANSACTION LIST: Type Method Description Payment Check 6187 131.50 TOTAL: 131.50 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: //wwv. ci. tukwila. wa. us BUILDING - RES PLUMBING - RES STATE BUILDING SURCHARGE SET RECEIPT Payment Date: 07/05/2007 Total Payment: 131.50 Amount Account Code Current Pmts 000/322.100 29.00 000/322.100 98.00 000/386.904 4.50 TOTAL: 131.50 0019 07/05 9716 TOTAL 131 =50 Project: � . 5/.4... r� Type of ction: t / /7( : ' Addr�- s. / � ` Date Sped I I st cY ns: i1ia et Wanted: .m. Requester: f Phone No: INSPECTION RECORD Retain a copy with permit INSPECTI N NO. PERI!'�R CITY OF TUKWILA BUILDING DIVISION A 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 Approved per applicable codes. 0 Corrections required prior to approval. Z C OMMENTS: e �L Date: n �J ❑ $58.00 REINSPECTION E REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. (Receipt No.: (Date: Probe d_' e. /^ (' 5 sr?a � 1 ( - S - Type of Inspection: /2 cn ! 112 — / %V Address: y'oo S /S2 sf Date Called: Special Instructions: Date Waned: C°} _. / c/.. p 7 p.m. Requester: Phone No: ;7 -3 5 � - / °7 V ? � El 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 P6 PERMIT NO. (206)431 -3670 Corrections required prior to approval. COMMENTS: ( rA J ,./cr 7 b 7 7 bz-F4 / $58.00 RINSPECTION FEE REQUIRED. Prior f inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: _� --�- _ =fir = ,.''� .., , �r�_ -._.•� _° Project: 1 .2 Type o Ins ectii `- Address: V • ,...5 j J 2 -- ( Date Called: J f' %L. Special Instruc ions: Date Wanted: �_- �-� -" a.m. p.m. Requester: ✓ Phone No: INSPECTION RECORD Retain a copy with permit INSPECTI • NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA; 98188 Approved per applicable codes. COMMENTS: M`15-f /./p e, 7 '- •_ _ -n, 7 .L- c< 4 / � 'Inspector: El $58.00 REINSPECTION FE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: 0 Corrections required prior to approval. Proje 0/6Sen Pps, Type of Inspection: / 2 zn fe? h - "l) Address: 4 /0 6 4/ - /.. 2 s --/ Date Called: Special Instructions: Date Wanted,: / g — P 7 P.m. Requester: Phone No: INSPECTION RECORD 1607 Px Kriz e) 6 67- led Retain a copy with permit INSPECTION !O. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 COMMENTS: t i/(074K5 gettfra1;g4t) nspector: I Date --- - d EINSPECTION FEE RE IRED. Pr' r to inspection, fee must be at 6300 Southcenter Blvd.. Suite 100 Call the schedule reinspection. ipt No.: IDate: Approved per applicable codes. Corrections required prior to approval. Project name Address Description of work Related reference number Authorization by, TBD3 /96 -f3 • Tukwila Building Division (206)431 -3670 Application # ALTERNATE PLAN SUBMITTAL AUTHORIZATION FOR LIMITED SCOPE OF WORK U.B.C. Section 106.3.2 exception e,, crr O F WM/LA PERMIT CENTER The above project permit applicant, due to the limited scope of work is authorized to submit reduced plan requirements describe as noted below. 1. Complete permit application required: ( Note, all application must include; 1) property assessor number, 2) copy of contractors license or completed owner waiver form. ) Building )4_ Mechanical Other J 2. Minimum plan and /or specification requirement: Site plan Floor plan Elevations Foundation Cross sections Roof plan W.S.E.C. compliance Narrative _X_ Structural calculations ( stamped by Washington State licensed engineers ) Specific required information SL • st4 . C - L b - 7 7 C ` 3. Other special instructions: `"�- 2!4,A / y - 4 J e " lC-;7,4/ &_ Date 7 ( Authorization void 30 days after the date issued. ) 01 -08 -2008 KENNETH BERGSMA 4004 S 152 ST TUKWILA WA 98188 RE: Permit No. PG07 -184 4004 S 152 ST 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 Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the Building Division under the provisions of the 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 issuance, 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 Inspection Request Line at 206 -431 -2451 to schedule 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 International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does allow the Building Official to approve one extension of time for an additional period not exceeding 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 02/10/2008 , your permit will become null and void and any further work on the project will require a new permit application and associated fees. Thank you for your cooperation in this matter. Sincerely, Je ni er Marshall Permit Technician xc: Permit File No. PG07 -184 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director �C '1 11 11111/1 7'.. 1....J l.. TI .. i. 1....s.... 1)0100 - D1..... 7 /1A A11 0(7/1 L'..... 7/1,4 A 1 ?IG.Gr 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) COUNTY OF KING AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION Mates as follows: [please print] 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 1 8.27.090. 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. . and will therefore not be performed by a registered contractor. I understand that I may be waiving certain rights that I ;;� ht otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. ss. \applications\B -2004 affidavit in lieu of contractor registration Signed and swom to before me this day of PERMIT NO.: -4 i 2 0 / 1 - 24 NOTARY P 1 BLIC in and for tie State of Washington, Residing at 1 Name as commissioned: t \0 f z sI — My commission expires: - R - t D ?fro- iff 2061'. , County. 18.27.090 Exemptions. This chapter shall not apply to: 1. 2. An authorized representative of the United States Govemment, 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, 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; 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 engages in the activities herein regulated as an employee ,, of.,,, a registered contractor with wages astis lime pensation; 17. Contractors on high_ pie I• have been prequalified as require by- ghagptsr 1t gfjhe Laws of 1961, RCW 47.28.070 wiflT tb epe7rtriient of transportation to perform t iirkray'cof struction, reconstruction, or maintenance work.,,,,