HomeMy WebLinkAboutPermit EL09-0168 - MATEVOSOV RESIDENCEMATEVOSOV RESIDENCE
12091 44 PL S
ELO9-0 168
Parcel No.: 3347401475
Address: 12091 44 PL S TUKW
Suite No:
Tenant:
Name: MATEVOSOV RESIDENCE
Address: 12091 44 PL S , TUKWILA WA
Cityef 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
Owner:
Name: MATEVOSOV ARAM Phone:
Address: 12091 44TH PL S , TUKWILA WA
Contact Person:
Name: ARAM MATEVOSOV Phone: 206 - 794 -3532
Address: 12091 44 PL S , TUKWILA WA
Contractor:
Name: OWNER AFFIDAVIT - ARAM MATEVOSOV Phone: 206 -794 -3532
Address: 12091 44 PL S , TUKWILA WA
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
MOVE SERVICE TO OTHER SIDE OF HOUSE AND ADD 10 CIRCUITS FOR NEW ADDITION
Value of Electrical: NRES: $1,000.00 Fees Collected: $188.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I h.ve read and examined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work �•e complied with, whether specified herein or not.
The granting of t
construction or th
Signature:
Print Name:
doc: EL -4/07
does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
ance of work. I am authorized to sign and obtain this electrical permit. �7
Date: (9 1/0s -- /c9 9
2/ ATE vo . ov
ELECTRICAL PERMIT
Permit Number: EL09 -0168
Issue Date: 03/05/2009
Permit Expires On: 09/01/2009
Date:
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.
EL09 -0168 Printed: 03 -05 -2009
Parcel No.: 3347401475
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
12091 44 PL 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
MATEVOSOV RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0168
ISSUED
03/05/2009
03/05/2009
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector
at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter
296 -46B WAC.
5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the
building, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector.
6: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation
of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that
presumes to grant this authority are therefore not valid.
7: Any change in the scope of work described by the electrical work permit shall require additional work permits. Where
approved plans have been issued, revisions to the plans and additional review may be required.
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 oft •errnit does not presume to give authority to violate or cancel the provision of any other work or local
laws regulating • ons ction or the performance of work.
Signature: Date: 3 /0C /
Print Name: 1 Vl4Oe
doc: Cond -Elec
EL09 -0168 Printed: 03 -05 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
• •
Electrical Permit No. ;1-05 0 1 ( g
Project No.
(For office use only)
ELECTRICAL PERMIT APPLICATION
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 LOCATION
,/ /� / King Co Assessor's Tax No.: 1141 40 -- 14,1 S
Site Address: 12 0%-2 "/ �/ L � ' P/. SO . � / k� `". �a ) `? ' 7i Suite Number: Floor:
Tenant Name: / t Avn &4VOSO
Property Owners Name: A /2/ * R'-V ® a S pV
Mailing Address: �ltbt tti.�t t4 62� OV e
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: A 1 R 1 144 6 PS 0 V ,, f�
Mailing Address: 5 — tap v
E -Mail Address: AR AI vs4 • Pk evos QV y-144 tx ts eel*,
City
Day Telephone: 'AA F7 11 '
City State Zip
Fax Number: Tao kD $ 1
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
li' \Appl.cations\Forms•Applcations On Line \I -2009 - Electrical Pe}mn Application doc
hh
City
F
New Tenant: ❑ Yes O No
er:
State
State
Zip
Zip
ay Telephone:
Expiration Date:
Valuation of Project (contractor's bid price): $ L al
Scope of Work (please provide detailed information):
Will service be altered ? 'Yes ❑ No Adding more than 50 amps? J 7 Yes ❑ No
Type of Use:
Type of work:
❑ New Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator 0 Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
® Seattle City Light
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings .. ..
(including an attached garage)
❑ Garages, pools, spas and outbuildings..
❑ Low voltage systems
(alarm, furnace thermostat) ........
I Date Application Accepted:
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $78.00
(no added/altered circuits)
Serviceclyange with added/aaltered circuits $78.00
'
(u number of added circuits .$11.00 ea
❑ Circuits added/altered without service change $52.00
(up to 5 circuits)
❑ Circuits added/altered without service change $52.00
(6 or more circuits) $7.30 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $57.00
(alarm, furnace thermostat)
PERMIT APPLICATION NOTES -
BUILDING OWN WOR ELECTRICAL CONTRACTOR:
Signature:
Print Name: 0 S Q 'u
Mailing Address: i' .2& 91 7 P(. so
H Applications\Forms- Applications On Lme \1 -2009 - Electrical Permit A ppl icanon.doc
bh
... $145.60
$78.00 ea
$57.00 ea
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) ...... .......... .. $60.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service ... $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
Value of Construction — In all cases, a value tTconstruction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
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:__ 3 O3/ 0 7
Day Telephone: c� ' 9y' 3 3 2
7144404-,7 q2 1 ` 8
City State Zip
Date Application Expires:
Staff Initials:
Page 2 of 2
ity ®f Tu3 £_ A o�lla
Aram Matevosov
12091 44 Place S
Tukwila, WA 98178
Dear Mr. Matevosov,
¥v.; ?
;, r o;' Department of Community Development
:.1._:1.:;90B
ovember 1 2009
RE: Request for Extensions
Matevosov Addition —12091 44 P1 S
This letter is in response to your written request for an extension to Permit Numbers D08 -338,
EL09 -0168, M09 -028, and PG09 -026. The Building Official has reviewed your letter and
considered your request to extend the above referenced permits. The determinations have been
made as follows:
Jim Haggerton, Mayor
Jack Pace, Director
D08 -338: The City of Tukwila Building Division will not be extending this permit due to the fact
that an inspection occurred on September 9, 2009, which automatically pushed the expiration
date out to March 8, 2010.
EL09 -0168: The City of Tukwila Building Division will be extending this permit an additional
180 days, through June 17, 2010, per the Building Official.
M09 -028: The City of Tukwila Building Division will be extending this permit an additional 180
days, through May 29, 2010, per the Building Official.
PG09 -026: The City of Tukwila Building Division will be extending this permit an additional
180 days, through May 31, 2010, per the Building Official.
If you should have any questions, please contact our office at (206) 431 -3670.
Sincerely,
fer Marshall
it Technician
File: Permit No. D08 -338, EL09 -0168, M09 -028, PG09 -026
W: \Permit Center\Extension Letters \Permits\2008\DO8 -382 Permit Extension.doc
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 - 431 -3665
r'CEP/FD
ovEttll Rambo,
I would like to request permit extension as I am afraid we may not complete all the work
by December, though I hope we will. Please extend deadlines for the following permits:
Thank you for your assistance!
Respectfully,
Aram Matevosov
12091 44 Place South
Tukwila, WA 98178
206 - 768 -8569
PAd1 - VIA
EL09 -0168
PG09 -026
D08 -338
-et
PG
at
rtc, It - ocIp i k
®1e._ 1 3- 8-10 v;
NibLI
ISA 17 all «II,0
ARAM MATEVOSOV
12091 44 PL S
TUKWILA WA 98178
RE: Permit No. EL09 -0168
12091 44 PL S 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, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 12/19/2009.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period.
-or-
City of 7'u -:
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
In the event you do not call for an inspection and /or receive an extension prior to 12/19/2009, 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,
Bill Rambo
Permit Technician
File: Permit File No. EL09 -0168
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Parcel No.: 3347401475
Address: 12091 44 PL S TUKW
Suite No:
Applicant: MATEVOSOV RESIDENCE
Receipt No.: R09 -00361
Initials: WER
User ID: 1655
Payee: ARAM MATEVOSOV
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - RES
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
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1067 145.60
RECEIPT
Account Code Current Pmts
000.322.101.00.0 145.60
Total: $145.60
Permit Number: EL09 -0168
Status: PENDING
Applied Date: 03/05/2009
Issue Date:
Payment Amount: $145.60
Payment Date: 03/05/2009 09:35 AM
Balance: $0.00
doc: Receiot -06 Printed: 03 -05 -2009
Projepc : 066050 J K . .
Type of Inspection: f �
\j
Addre §s:
Date Called:
Special Instruction
Date Wanted:
2j//0
p.m.
Requester:
Phone No:
-
INSPECTION RECORD
Retain a copy with permit
0,87_ 6)
INSPECTION NO. P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -
C K Approved per applicable codes. Corrections required prior to approval.
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
(Cl
COMMENTS:
fARR6ifror.15 rY)
Inspector: e
Date: D2//d //
Receipt No.:
Date:
Project: A
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Type of Inspection:
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Address:
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Date Called:
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Date Wanted:
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Requester:
Phone No:
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P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION R
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION NO.
COMMENTS:
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Inspector:
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Date:
El Approved per applicable codes.
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ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspect on, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
Corrections required prior to approval. 7
Receipt No.:
Date:
COMMENTS:
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Date Cal
Special Instructions:
Date Wanted:
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Requester:
Phone No:
6007
INSPE ION NO. PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION 1-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -316
El Approved per applicable codes.
ri $60.00 REINSP CTION FEE REQU RED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Date: 01/24/10
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
Corrections required prior to approval.
COMMENTS:
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Date Called:
Special Instructs n :
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Type of Inspection: 7002...
Address:
Date Called:
Special Instructs n :
Date Wanted: Q�
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Requester:
Phone No:
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INSPECTION RECORD
Retain a copy with permit
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INSPECTION NO. P MIT NO.
CITY OF TUKWILA BUILDING DIVISION IZ
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
Date: % y I
n 60.00 REI SPECTION FEE $ EQUIRED. Prior to inspection, fee mutt be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector: s
Receipt No.:
Date:
COMMENTS:
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Date Wanted:
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Requester:
Project: 1 j1
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T of Inspection:
Address: t � o � I S
Date Called
Special Instructions:
Date Wanted:
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Requester:
Phone No:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
(1.497 -o(0 7
PERMIT NO.
1?^
(206)431 -3
IX 1 Corrections required prior to approval. y(
Nic.3/
ri $60.00 REINSP FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
COMMENTS:
Type of Inspection: 700
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Date Called:
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Special Instructions:
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Type of Inspection: 700
Address
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Date Called:
Special Instructions:
Date Wanted:
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Phone No:
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6,07 — DIU
MIT NO.
INSPECTION NO. PE
CITY OF TUKWILA BUILDING DIVISION R
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION RECORD
Retain a copy with permit
Approved per applicable codes. Corrections required prior to approval.
Inspector:
66,1461,
Date:03 (i'i 9
n $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspkction.
(Receipt No.:
Date:
•
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -367o FAX (206) 431 -3665
E - mail: tukplanpci.tukwila.wa.us
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON)
) ss.
COUNTY OF KING
y
1 Qp1M 1 l EVO.s0V , states as follows:
[please print name]
1. I have made application for a 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 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 permit to be exempt under number 2., and will therefore
not be performed by a registered contractor.
5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to
persons making electrical installations on their own property or to regularly employed employees
working on the premises of their employer. The proposed electrical work is not for the construction
of a new building for rent, sale or lease.
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.
4VAyvt *4 kVOIO /
Owner /Owner's Agent*
Signed and sworn to before me this
day of
PERMIT NO: / P60 — 0,;
,liLLL.C��Q�
Permit Center /Building Division
206 431 -367o
Public Works Department
206 433 -01 79
Planning Division
206 431 -367o
Y PUBLIC in and for the State of Washington
Residing at , County
Name as commissioned: 11C 'C!? 6 ,4
My commission expires: 05 - 1 C
18.27,090 Exemptions. The registration provisions of this chapter do 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 of any finished products, materials, or articles of
merchandise that are not fabricated into and do not become
a part of a structure under the common law of fixtures;
6. Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW who shall
warranty service and repairs 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 five hundred dollars, 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 of
the operation is made into contracts of amounts less than
five hundred dollars 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 or she is a contractor, or that
he or she is qualified to engage in the business of
contractor;
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;
ii. An owner* who contracts for a project with a registered
contractor, except that this exemption shall not deprive the
owner of the protections of this chapter against registered
and unregistered contractors. The exemption prescribed in
this subsection does not apply to a person who performs
the activities of a contractor for the purpose of leasing or
selling improved property he or she has owned for less than
twelve months;
12.* Any person working on his or her own property,
whether occupied by him or her or not, and any person
working on his or her personal residence, whether owned
by him or her or not but this exemption shall not apply to
any person who performs the activities of a contractor on
his or her own property for the purpose of selling,
demolishing, or leasing the property;
13. An owner* who performs maintenance, repair, and
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
14. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of the
state of Washington or licensed by a political subdivision 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
person certified is operating within the scope of his or her
certification;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. A mobile /manufactured home dealer or manufacturer
who subcontracts the installation, set -up, or repair work to
actively registered contractors. This exemption only applies
to the installation, set -up, or repair of the
mobile /manufactured homes that were manufactured or
sold by the mobile /manufactured home dealer or
manufacturer;
18. An entity who holds a valid electrical contractor's
license under chapter 19.28 RCW that employs a certified
journeyman electrician, a certified residential specialty
electrician, or an electrical trainee meeting the
requirements of chapter 19.28 RCW to perform plumbing
work that is incidentally, directly, and immediately
appropriate to the like -in -kind replacement of a household
appliance or other small household utilization equipment
that requires limited electric power and limited waste
and /or water connections. An electrical trainee must be
supervised by a certified electrician while performing
plumbing work.
• Per Washington State Department of Labor and Industries, lessee has been
interpreted to be equivalent to owner for the purpose of these exemptions.