HomeMy WebLinkAboutPermit D08-442 - DELAY RESIDENCE - STAIRSDELAY RESIDENCE
6420 S 153 ST
EXPIRED
03-21-10
DOS -442
Parcel No.: 3597000345
Address: 6420 S 153 ST TUKW
Suite No:
Tenant:
Name: DELAY RESIDENCE
Address: 6420 S 153 ST , TUKWILA WA
Contact Person:
Name: BOB DELAY
Address: 2326 12 AV E , SEATTLE WA 98102
Phone: 206 - 328 -3899
Citylif Tukwila
Owner:
Name: DELAY ROBERT M +CHRISTI J
Address: 2326 12TH AVE E , SEATTLE WA 98102
Phone:
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
DEVELOPMENT PERMIT
Contractor:
Name: BOB DELAY
Address: 2326 12 AV E , SEATTLE WA 98102
Phone: 206 - 328 -3899
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
REPLACE EXISTING STAIRWAY TO FRONT DOOR EXACTLY AS THE ORIGINAL STAIRWAY EXCEPT USING PRESSURE
TREATED LUMBER
Value of Construction:
Type of Fire Protection:
Type of Construction:
doc: IBC -10/06
V -B
$500.00
Fees Collected: $54.00
International Building Code Edition: 2006
Occupancy per IBC: 0022
* * continued on next page **
Permit Number: D08 -442
Issue Date: 09/23/2008
Permit Expires On: 03/22/2009
008 -442 Printed: 09 -23 -2008
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant:
Flood Control Zone:
Hauling:
Land Altering:
Landscape Irrigation:
Moving Oversize Load:
Permit Center Authorized Signature:
City 1Tukwila •
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.tulcwila.wa.us
N
N
Number: 0 Size (Inches): 0
Start Time:
Volumes: Cut 0 c.y.
End Time:
Fill 0 c.y.
Start Time: End Time:
Sanitary Side Sewer:
Sewer Main Extension: Private: Public:
Storm Drainage:
Street Use: Profit: N Non - Profit: N
Water Main Extension: Private: Public:
Water Meter: N
Permit Number: D08 -442
Issue Date: 09/23/2008
Permit Expires On: 03/22/2009
JV� Date: ° N) --— ° g
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this development pe • 't
Signature:
Print Name:
This permit shall become null and void if the work is not commen ed 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: IBC -10/06
D08 -442
Date:
Printed: 09 -23 -2008
Parcel No.: 3597000345
Address: 6420 S 153 ST TUICW
Suite No:
Tenant: DELAY RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
• •
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: D08 - 442
Status: ISSUED
Applied Date: 09/23/2008
Issue Date: 09/23/2008
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
5: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
obtained at City Hall in the office of the City Clerk.
6: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
doc: Cond -10/06
* *continued on next page **
D08 -442 Printed: 09 -23 -2008
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
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions
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
construction or the performance of work.
Signature:
Print Name:
doc: Cond - 10/06 D08 - 442
Date:
of law and ordinances governing
other work or local laws regulating
Printed: 09 -23 -2008
Site Address: /, L/ 2 J /
Tenant Name: / X94. /AT
Property Owners Name: C/(-'7 l yy�c
Mailing Address:
?°7
SITE LOCATION
Name:
Mailing Address:
E -Mail Address:
CITY OF TUKWIL
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Contact Person:
E -Mail Address:
Contractor Registration Number:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
Q:\Applications\Forms- Applications On Line \3 -2006 - Permit Apptication.doc
Revised: 9 -2006
bh
Building Pemut No. —, H9 I..,
Mechanical Permit No.
Plumbing /Gas Permit No.
Public Works Permit No.
Project No.
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.: 3,5 0345
Suite Number:
City
CONTACT PERSON — who do
e contact whe
your permit is ready to be issued
Day Telephone:
Ci
Fax Number:
(For office use only)
New Tenant: ❑ .... Yes
State
State
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas', Piping (pg 5))
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Expiration Date:
State
ARCHITECT OF RECORD All
Tamped by Architect of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
ENGINEER OF RECORD — All plans
ust
be wet stamped by Engineer of
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
Floor:
..No
Zip
Zip
Zip
Zip
Zip
Page 1 of 6
BUILDING PERMIT INFORITION - 206 - 431 -3670
Valuation of Project (contractor's bid price): $ -j )
b -
:
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑.... Yes
Provide All Building Areas in Square Footage Below
1�t Floor
2` Floor
3 ra
oor
Floors
Basement
Accessory Struetur
Attached Garage
Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
Interior Remodel
Addition to
Existing
Structure
Type of
Construction per
IBC
Type of
Occupancy per
IBC
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:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm
Existing Building Valuation: $
Q:\Applications\Forms- Applications On Line \3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
[1.. No If yes, a separate permit and plan submittal will be required.
❑ None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No
If `yes', attach list of materials and storage locations on a separate 8 -1/2" x 11 " paper 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
PERMIT APPLICATION NO
Applicable to all .permits in the plication
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. T13! 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 0 AUTHORIZE D AGENT
Signature:
Print Name:
Mailing Address: 02
Date Application Accepted:
Q:Wpplications\Fonns- Applications On Line\3 -2006 - Permit Application.doe
Revised: 9 -2006
bh
7
Day Telephone: ( „
City
f ,.
Date: q/2 3
State
Date Application Expires:
Staff Initials:
Zip
Page 6 of 6
Fixture Type:
Qty
Fixture Type:
Qty
F ure Type:
Qty
Fixture Type:
Qty
Bathtub or combination
bath /shower
Drinking fountain or w.
cooler (per head)
Was ountain
Gas piping outlets
Bidet
Food -waste grinde
commercial
Receptor, direct
waste
Clothes washer, domestic
Floor drain
Sinks
Dental unit, cuspidor
Shower, si e head trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
Water Closet
Building sewer or trailer
park sewer
Rai ater system — per
dr (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
' - pair or alteration of water
piping and /or water treating
equipment
Repair or alteration
of drainage or vent
piping
edical gas piping system
se ing one to five
inle outlets for specific gas
PLUMBING AND GAS PIPINC ERMIT INFORMATION - 206 - 431170
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration r umber:
Valuation of Plumbing work (c s 'tractor's bid price): $
Valuation of Gas Piping work (con, . ctor's bid price): $
Scope of Work (please provide detaile. information):
Building Use (per Intl Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
Indicate type of plumbing fixtures and /or gas piping outlets b
Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
Sewer:
City State Zip
Day Telephone:
Fax Number:
Expiration Date:
ailed and the quantity below:
Page 5 of 6
Receipt No.: R08 -03332
Initials: WER
User ID: 1655
Payee: CHRISTI DELAY
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
Parcel No.: 3597000345 Permit Number: D08 -442
Address: 6420 S 153 ST TUKW Status: PENDING
Suite No: Applied Date: 09/23/2008
Applicant: DELAY RESIDENCE Issue Date:
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash 54.00
ACCOUNT ITEM LIST:
Description
BUILDING - NONRES
PLAN CHECK - NONRES
STATE BUILDING SURCHARGE
Account Code Current Pmts
000/322.100
000/345.830
000/386.904
RECEIPT
Payment Amount: $54.00
Payment Date: 09/23/2008 02:08 PM
Balance: $0.00
30.00
19.50
4.50
Total: $54.00
7715 JS:i?r . 7707 TOTAL. 54.00
doc: Receiot -06 Printed: 09 -23 -2008
Project ` J2? S` Q
A.ki
Type of In pection;
;) Al
Address: 1 rc
Date Called:
Special Instructions:
Date Wanted:
q -22-
m7
.m.
Requester:
Phone No:
7 (0- 2 ' 7 ( - 5
o 3
I INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION ' 1?-42-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Da
Z
0.00 REINSPECTION E REQOIRED. Prior to inspection, fee must be
aid at 6300 Southcenter :ly,d Suite 100. Call to schedule reinspection.
ceipt No.:
'Date:
COMMENTS:
Type of Inspection:
Fa 77i►/6
i
A k7
57
Date Called:
Special Instructions:
Date Wanted:
("
/Cc - S , A PikJ
r
Al to Sic
t .S
A J.A\ (-file
'L..1 p L ' - - c am , ) A C_iv &
1
Project:
ilfZ4 6 J /?' 5
Type of Inspection:
Fa 77i►/6
Address:
G . ,‘2) S x53
57
Date Called:
Special Instructions:
Date Wanted:
a.m.
Requester:
r
Phone No:
ao‘-2 76- sSG
INSPE ION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
El Approved per applicable codes.
nspecyor:
INSPECTION RECORD
Retain a copy with permit
�4 _.ry
3
PERMIT NO. ,
(206)431(206)431 -361 70
orrections required prior to approval.
Date:
❑ $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:
Project name
Address (3 zo
Description of work
Related reference number
Building
Authorization by,
TBD36/96 -form 12
0
City Of Tukwila
Permit Center
6300 Southcenter Boulevard, Suite, 100
Tukwila, WA 98188
(206 431 -3670)
ALTERNATE PLAN SUBMITTAL AUTHORIZATION
FOR LIMITED SCOPE OF WORK
I.B.C.& I.R.C. Section 104.1
/ i" _
115):)(141-- i f
Application #
The above project permit applicant, due to the limited scope of work is authorized to submit reduced
plan requirements described 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.)
Mechanical Other
2. Minimum plan and /or specification requirement:
Site plan Floor plan Elevations Foundation
Cross sections Roof plan W.S.E.C. Compliance Narrative
Structural calculations (stamped by Washington State licensed engineer )
Specific required information -- h r- -e- 11- di l " r 7 'f
Ste .,,,teiocils sir 04 -C\1\1a,Va — 64./ d(f� //
v 34 I ��- y� / ,�-, (-44-7X
3. Other special instructions:
Date / �Z3 ads
(Authorization void 30 days after the date issued.)
BOB DELAY
2326 12 AV E
SEATTLE WA 98102
RE: Permit No. D08 -442
6420 S 153 ST TUKW
Dear Permit Holder:
-or-
Sincerely,
C
R
Bill Rambo
Permit Technician
File: Permit File No. D08 -442
City of f Tukwila
Department of Community Development
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 03/21/2010.
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.
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.
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.
In the event you do not call for an inspection and /or receive an extension prior to 03/21/2010, 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.
Jim Haggerton, Mayor
Jack Pace, Director
6300 Southcenter Boulevard, Suite #100 o Tukwila, Washington 98188 0 Phone: 206 - 431 -3670 o Fax: 206 - 431 -3665
BOB DELAY
2326 12 AV E
SEATTLE WA 98102
RE: Permit No. D08 - 442
6420 S 153 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 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 09/19/2009.
Based on the above, you are hereby advised to:
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.
In the event you do not call for an inspection and /or receive an extension prior to 09/19/2009, 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,
-or-
er Marshall
t Technician
File: Permit File No. D08 -442
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
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.
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.
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
March 31, 2009
Julia DeLay
2326 12 Ave E
Seattle, WA 98102
City of Tukwila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Request for Extensions
Development Permit No D08 -442
DeLay Residence — 6420 S 153 St
Dear Ms. DeLay,
This letter is in response to your written request for an extension to Permit Number D08 -442.
The Building Official has reviewed your letter and considered your request to extend the above
referenced permit. The City of Tukwila Building Division will be extending your permit an
additional 180 days from the date of expiration, through September 19, 2009.
If you should have any questions, please contact our office at (206) 431 -3670.
41/ "
ifer Marshall
it Technician
File: Permit No. D08 -442
P:\Pemtit Center\Extension Letters \Pemuts\2008\D08 -442 Permit Extension.doc
jem
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Bill Rambo - Permit Extension Request (D08 -442)
From: Julia DeLay
To:
Date: 03/20/2009 1:46 PM
Subject: Permit Extension Request (D08 -442)
Mr Rambo,
Page 1 of 1
In our phone conversation yesterday, you instructed me to present a written request for an extension on
permit D08 -442. The switchboard seemed to think you are the person who handles these requests since
they provided your email address to me. Yesterday I got the impression that someone else approved
these requests so I apologize if I am directing this request to you in error. I would ask that you please
forward this request to whomever grants the extension requests.
The permit was issued to Bob DeLay for the property at 6420 S 153rd St. I believe my Father
completed all the work since the purpose was to prepare for a new tenant to move in during November.
Anyway, my father is traveling out of state and will not return until April 7th. So I am requesting an
extention on his behalf. Since he is returning in a few weeks, an extension of 30 days is all we need.
Please let me know if you need any further information to process this extension request. I realize time
is of essence since the permit is set to expire on Sunday. Thank you for your help on this matter.
Sincerely,
Julia DeLay
aq0 OAP
/PrroN
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(4 bk '1.1
RECEIVED
cliv OF TUKWI A
MAR 2 0 2009
p €PMT cEnTEP
file: / /C:\ temp\ XPGrpWise\ 49C39E2Btuk- mail6300 -po 1001367538117941 \GW } 00001.H... 03/20/2009
02 -02 -2009
BOB DELAY
2326 12 AV E
SEATTLE WA 98102
RE: Permit No. D08 -442
6420 S 153 ST TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a fmal inspection by the City of Tukwila Building Division.
Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or fmal inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Building Code does allow the Building Official to approve one or more extensions of time for
additional periods not exceeding 90 days each. 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 03/22/2009 , 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,
R•C"-
c
Bill Rambo
Permit Technician
xc: Permit File No. D08 -442
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
6300 Southcenter Boulevard. Suite #100 • Tukwila, WashinEton 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
•
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
PERMIT NO: //Y/ — i 9 Z
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
[please print]
states as follows:
1. I have made application for a permit ' om 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 No.1 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 maybe waiving certain rights that I might otherwise have under state law in any
decision to engage an unregistered contractor to perfo o truction work.
Owner /Owner's Agent
Signed and sworn to before me this
d y of c-o rfiri/2
ClaGa.
OTARY PUBLIC in and for the State of Washington
, County
Vl , ( f!
Residing at f 1
Name as commissioned:
My commission expires:
Permit Center /Building Division
206 431 -367o
Public Works Department
206 433 -0179
Planning Division
206 431 -3670
,200
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 undertaldng 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;
u. 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 entitylpho holds a valid electrical contractor's
license under daptef 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