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Home My WebLink AboutPermit PG06-243 - FOUNTAIN ESPRESSOWOLDE PLUMBING 14628 MILITARY RD CANCELLED PG06 -243 Parcel No.: 0040000825 Address: Suite No: Tenant: Name: Address: 14628 MILITARY RD S TUKW WOLDE PLUMBING 14628 MILITARY RD S , TURWILA WA Owner: Name: GRANT EARL & DARLENE E Address: 13783 34TH S , SEATTLE 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 Contact Person: Name: MR. ELIAS WOLDE Address: 11400 MILITARY RD S , SEATTLE WA City of Tukwila Contractor: Name: OWNER AFFIDAVIT - ELIAS YIRGA WOLDE Address: Contractor License No: DESCRIPTION OF WORK: REMOVE EXLSTING SINK, INSTALL NEW 3- COMPARTMENT SINK Value of Plumbing /Gas Piping: $700.00 Fees Collected: Elmnlzing Bathtub or combination bath/shower Bide 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 Permit Number: Issue Date: Permit Expires On: Uniform Plumbing Code Edition: 2003 $88.00 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND QUANTITY 0 0 Gas Piping Gas piping outlets (0-5) Gas piping outlets (6 +) * *continued on next page ** Expiration Date: Phone: Phone: 206 7904136 Phone: Steven M. Mullet, Mayor Steve Lancaster, Director PG06 -243 12/26/2006 06/24/2007 Plumbina (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and/or vent 0 Industrial waste treatment interceptor, including its trap and vent, except for kitchen type grease interceptors 0 Repair or alteration of water piping and/or water treatment equipment 0 Medical gas piping system serving one to five inlets /outlets for a specific gas 0 • doc: UPC -10/06 PG06 -243 Printed: 12 -26 -2006 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 Permit Number: PGO6 -243 Issue Date: 12/26/2006 Permit Expires On: 06/24/2007 Steven M. Mullet, Mayor Steve Lancaster, Director Date: • li_A2'e o I hereby certify that I have read an permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be compli - • 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 of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature:F fa $ y,tf- lq/0ISP Date: AP- — a -6 -Q'4 Print Name: G s Y Ott (A WO #' e 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: UPC -10/06 PGO6.243 Printed: 12- 26.2006 Parcel No.: 0040000825 Address: 19628 MILITARY RD S TUKW Suite No: Tenant: WOLDE PLUMBING 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: PG06 -243 ISSUED 12/26/2006 12/26/2006 1: ** *PLUMBING AND GAS PIPING * ** 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 plumb inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. g 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 bacicfilled 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. doc: Cond - 10/06 * *continued on next page ** • • • 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. • PG06 -243 Printed: 12 -26 -2006 Signature: City of Tukwila Print Name: E l rats YTry -a t.trp M a doc: Cond -10/06 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.cttukwila.wa.us FIr IT/'ta &vc 1 d e Date: /9 — -(7t • • 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. • • • PGO6 -243 I 12 -26 -2006 [ SIFF •-- . Site Address: 1 q t Air47.4 Tenant Name: Ate 7./44.1 Property Owners Name: Mailing Address: hypes AtAlfz Name:ar— Mailing Address: 1/ cy it4/144, W449 E-Mail Address: Company Name: gi4h(PC/7 - Mailing Address: aend ge) lehiP Contact Person: 474 kik E-Mail Address: 6 Contractor Registration Number: 445 vic– Company Name: Mailing Address: 5 Company Name: Mailing Address: Contact Person: E-Mail Address: CITY OF TUKWILA Community Developmenricepartment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 • Tukwila, WA 98188 htto://www.atukwila.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" .6 !pt. ■..,..Dar Pd.)/ S - .3W 11 L Contact Person: a, Ad E-Mail Address: Hhor ONApplientioneWorms-Applications On Line3-2006 - Permit Application.doc Revised: 9-2006 bh S King Co Assessor's Tax No.: COr-00e1 —4 8z5 CONTACT PERSON - who do we contact when your permit is ready to be issued Suite Number: Floor: New Tenant: 0 .... Yes Day Telephone City Fax Number: state -0- GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg City k kt; 7 1. S 9 Day Telephone/ZI MO .9 qch Fax Number: Expiration Date:___40— ARCHITECT OF RECORD plans must be wet stamped by Architect of Record - - state 4 A..No dt eat City State eWir Day Telephone(*e) 32c..AV,/, Fax Number. [ENGINEER OF RECORD —All plans must be wet stamped by Engineer of Record Zip City Day Telephone: Fax Number: Page I of 6 Valuation of Project (contractor's bid price): $ /L Scope of Work (please provide detailed information): ,t r tao¢ Sc'a '6 Will there be new rack storage? 0.... Yes Existing Building Valuation: $ �t5, ffj� 7 0 .. No If yes, a separate permit and plan submittal will be required. Vevver ND NORr tt/o,/c Cow,.yy / M 7 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: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: Compact: Handicap: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If yes', attach list of materials and storage locations on a separate 8 -1/2 "x II "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. Q: ApplicationsWmns-Applicadon, On Line 3 -2006 - Pmnit Appliation.doc Revised: 9 -2006 bb Page 2 of 6 Scope of Work (please provide detailed information): A/QA je Water District ❑...Tukwila ❑...Water District #125 ❑ ...Water Availability Provided Sewer District ❑...Tukwila ❑ ... ValVue ❑ ...Sewer Use Certifica 0... Sewer Availability Provided Septic System: ❑ On -site Septic System — For o site septic system, provide 2 copies of a cu Submitted with Application (mark bo ❑...Civil Plans (Maximum Paper Size — ❑ ...Technical Information Report (Storm Drain ❑ ...Bond ❑.. Insurance 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 ❑...Total Cut ❑...Total Fill ❑ ...Sanitary Side Sewer ❑...Cap or Remove Utilities ❑...Frontage Improvements ❑...Traffic Control ❑ ...Backflow Prevention - Fire Prote ion Irrigati. Dom t ic Water ❑...Permanent Water Met ❑ ...Temporary Water ❑ ...Water Only Mete ize ❑ ...Sewer Main E ension 0... Water Main xtension FINANCE INFORMATION Please refer to Public Works Bulletin #1 for fees and estimate sheet. which a x 34 ") Call before you Dig: 1 -800- 424 -5555 ment(s) ❑ .. Highline ❑ .. Renton cubic yards ❑ .. Work in cubic yards ❑ .. Storm Drain r Size.. Public Public ❑- ❑- ❑• •. Abandon Septic Tank . Curb Cut . Pavement Cut . Looped Fire Line WO # WO # WO# Private Private . Geotechnical Report . Maintenance Agreement(s) .. Right-of-way Use - Profit for less than 72 hours . Right-of-way Use — Potential Disturbance Zone ( 5 77^!6 Fire Line Size at Property Line umber of Public Fire Hydrant(s) Water Sewer Monthly Service Billing to: Name: d d Mailing A• dress:a Water Meter Refund/Billing: Name: / / "T Mailing Addre s: Q:UpplicatiomWmme- Application On Line V -2006 - Permit Application.doc Revised' 93006 bb C ewage Treatment 4 .S• nt septic design approved by King County Health Department. ❑...Deduct Water Meter Size Day Telephone: City City 7 3 ...Renton ❑ ...Seattle ❑...Traffic Impact Analysis 0... Hold Harmless — (SAO) ❑...Hold Harmless — (ROW) .. Grease Interceptor . Channelization ❑ .. ' rench Excavation ❑ .. Uti 'ty Undergrounding Day Telephone: State Zip Page 3 of 6 Unit Type: Qty Unit Type: ' Qty Unit Type: - ;: Qty Boiler /Compressor: Furnace<10OK 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 /I,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 INFORMATION Company Name: Mailing Address: City State Zip 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 .... ❑ Commercial: New ... Replacement ... Fuel Type: Electric Gas ....0 Other: Indicate type of mechanical work being installed and the quantity below: Q:tApplicationsWorms- Applications On Line 3 -2006 - Permit Application.doc Revised: 9 -2006 eh A I F Y Page 4 of 6 Fixture Type: Qty Fixture Type: Qty Fixture Type: - Qty Fixture Type: Qty Bathtub or combination bath/shower 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 ('2, C& ff ' Dental unit, cuspidor Shower, single head trap Urinal 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 Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas I, PLUMBING, AND GAS PIPING `7,RMIT INFORMATION - 206431 "7 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: --A /6 tAbrjaR Mailing Address: f l'-! 6 /.f /� /L / }i . 74540 �7 e crit "- • 7 9 f -' 7 / City state / zI Contact Person: tC /,t. c W ititx- Day Telephoner 776 -y/ S E - Mail Address: e Fax Number: Expiration Date: .r—. Contractor Registration Number: 'YLS'C!r Valuation of Plumbing work (contractor's bid price): $ 766 Valuation of Gas Piping work (contractor's bid price): $ / r Scope of Work (please p vide detailed information): ytr� /�/c j(�sy p S/x4k /4�L /A[EAJ �y an V a dt. p pittSwy C 9Ar Building Use (per Int'l Building Code): \�M p Occupancy (per Int'l Building Code): �UL AAf t Utility Purveyor: Water: Y}� 4 t Q :lAppIicetionstForms- Appliulione On Linelr -2006 - Pernik Application.doe Revised: 9-2006 bh Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: 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 OWNER OR AUTHORIZED AGENT: Signature: f i Gt S Y C'G fel P' Print Name:4 L 4 '— Mailing Address: J1gg /0)147417 Rik • s_ Date Application Expires: at (z{ 4 o-- Date Application Accepted: till r r _ Q :ApplicationdFams- Applications On LineU -2006 - Permit Application doc Revised: 9-2006 bh ermits in this , cat' Date: / 74"6 Day Telephone: 7 77/ _1747 / city / / � / S� *: Zip Staff Initials: I c Page 6 of 6 Receipt No.: R06 -02015 Payee: ELIAS Y. WOLDE ACCOUNT ITEM LIST: Description PLUMBING - 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.: 0040000825 Permit Number: PG06 -243 , Address: 14628 MILITARY RD S TUI{W Status: APPROVED Suite No: Applied Date: 12/26/2006 Applicant: WOLDE PLUMBING Issue Date: Initials: JEM Payment Date: 12/26/2006 12:25 PM User ID: 1165 Balance: 50.00 TRANSACTION LIST: Type Method Description Amount Payment Check 239 88.00 Account Code Current Pmte 000/322.100 88.00 Total: $88.00 Payment Amount: 588.00 • • 3109 12/26 9716 TOTAL 88 doe: Receiot -06 Printed: 12 -26 -2006 • Project: (,Jv l �t nr ILL yvlaPus Type of Inspection: \f =t,v / Address: . I C, I 47e rt&1_ � 4-aft 1 R Date Called: Special Instructions: Date Wanted: 3 2 B- 07 Requester: Phone No: wee- - lei o_yl3 C. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 0 Approved per applicable codes. COMMENTS: nspector 2 INSPECTION RECORD Retain a copy with permit Date: (206)431 -3 O N required prior to approval. H 7-44 17 $58.00 REINSPECTIO EE REQU ED. Prior to inspection, fee must be paid at 6300 Southce. er Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: COMMENTS: (2) / FAA) slier 5 h /ti lfkinv c/f417/kt4 /d1171/47 -'d/, /r9 Address: / 2 /621: In //OA/ / Z_7 5hnr`kn/ Snn/ /i✓ P e D?/ -1.9. A-Al %f S.,, 47 ' /r ho ¶ — A.e Al r a / i n /iu.IO PI -i/! /r A i al Requester: Phone No: ,Q(76 - 7/0 - yii(-, Project: A AD e i 3 Pi7/ni INJ Type of Inspection: / f /NH Address: / 2 /621: In //OA/ Date Called: Special Instructions: P /s,15r / ('4 / l Date Wanted: ^� a.m. , q -2/ 6 / P.m. Requester: Phone No: ,Q(76 - 7/0 - yii(-, 4-- INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ❑ Approved per applicable codes. spec r: / o Receipt No.: INSPECTION RECORD Retain a copy with permit 5 8.00 REINSPECTIdN FEE REQUIrD. Prior to inspection, fee must be aid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Date: (206)431 -3f 7 Corrections required prior to approval. • l ir Public Health Seattle & King County HEALTHY PEOPLE. HEALTHY COMMUNITIES. David Fleming, MD, Director and Health Officer March 5, 2007 Elias Yirga Wolde 11400 Military Rd S #12 Seattle, WA 98168 RE: PLANS AND SPECIFICATIONS FOR: Support Kitchen/Bakery for Fountain Espresso Fountain Enjera at 14628 Military Rd S, Tukwila, WA (98168) SR1135748 PIE 6702 Dear Mr. Wolde: fk 07 REC EIVED MAR 48 2007 The plans and specifications for the above new project have been reviewed and, in accordance with the provisions of Title 5, the Code of the King County Board of Health (The Food Code) are hereby APPROVED and subject to the following conditions: • Fountain Espresso restroom must be easily accessible during all hours Fountain Enjera is in operation. If the building to Fountain Espresso is not open, a key must be provided for all food service workers. • Restroom must be maintained regularly; kept clean and stocked with soap, paper towels and toilet paper. • The handwash water in the restroom must be at least 100 °F at all times. • A new restroom availability letter will be required if there is a change of ownership for Fountain Espresso. • Producing and selling enjera for purposes other than supporting the business of Fountain Espresso may require an additional wholesale distribution permit. Please contact Bob Armstrong with the Washington State Department of Agriculture (253- 529 -0102) for more information. • No changes shall be made without Health Department approval. Your establishment has been assigned the following plan review service number (SR1135748). Please use this SR# in all future contact with us. As required in The Food Code, upon completion of the construction and before opening for business, the food service establishment operator /owner shall: 1. Complete the enclosed application for the annual operations permit if you don't have a current permit. Include a copy of this letter when applying for the annual permit. Please call me prior to paying for your permit to verify the correct fee. Be advised that the penalty for commencing operation of a food service establishment without the required permit is 50% of the applicable permit fee. Alder Square Environmental Health Services 1404 Central Avenue South, Suite 101 • Kent, WA 98032 T 206 - 296.4708 F 206- 296 -0163 17? 711 • www.metrokc.gov /health S City of Seattle Gregory J. Nickels, Mayor King County Ron Sims, Executive t 1 :'Iu4r4 Elias Yirga Wolde — Fountain Enjera Page 2 March 5, 2007 2. Obtain a preoperational inspection approval. Contact me at 206 -205 -1903 at least one week in advance to schedule a preoperational inspection. Be sure all other inspections (plumbing, building, etc.) are done before you call the Health Department for an inspection. Your application for a food service establishment permit from Public Health Seattle & King County may be approved during this inspection, however it is the responsibility of the food service establishment operator /owner to obtain all necessary permits and approvals from other agencies. Operating the establishment without these required permits or approvals may subject the operator /owner to legal action by the appropriate agencies. If the establishment is opened without the Health Department preoperational inspection, it may be subject to closure. Failed preoperational inspections will require a $100.00 fee for a repeat inspection. If you have any questions, please don't hesitate to contact me. Thank you for your compliance in this matter and I look forward to seeing you soon. Sincerely, 2` Diane Agasid Bondoc, R.S. Plans Examiner Alder Square Office DAB Enclosures Cc: Bob Armstrong, Washington State Department of Agriculture E(( y'r- a wo Id e life -8m; / +arr R95 Icc,Kw; (gig 91 r 1ij'Ke -to CG&nCel Mow plain ;'ne. Perm el For Perm ,=E E 1 r ot * q '- i t/vo lcI e oit-m-- 2007 cam_ dted4 t4 2r 40b04‘4 Gam' / � �, J � • j � � { �a --- A dee-440( ean ‘0 • stia,Sp itert ttri t 4J et .tt 5tesie ICI-at-07 o APR 0 4 2007 *tam F utN1eF rode p J-e STATE OF WASHINGTON) ) ss. 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 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION F (r Yt $ ;/' fa (A/C lei P states 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 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. /If 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. \applicationst8.2004 affidavit in lieu of contractor registration r`R S /fit-a fNo �NP' APPLICANT Signed and sworn to before me this 26tH day of December 20 06 . NOTARY PUBLIC in and for t tate of Washington, Residing at K//19 Name as commissioned: My commission expires: PERMIT NO.: f rIJ(O , County. Alice A. Deacy 6 -16 -0 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 tapplications\&2004 affidavit in lieu of contractor registration ‘uf 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. My 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 as his sole compensation; 17. Contractors on highway projects 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.