The URL can be used to link to this page

Home My WebLink AboutPermit M08-136 - ANGRY SQUID INKANGRY SQUID INK 5219 S 144 ST M08 -136 Parcel No.: 7999600066 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: 5219 S 144 ST TUKW ANGRY SQUID INK 5219 S 144 ST , TUKWILA WA Contact Person: Name: ETHAN KRULISH Address: 5219 S 144 ST , TUKWILA WA Contractor: Name: OWNER AFFIDAVIT - ETHAN KRULISH Address: Contractor License No: DESCRIPTION OF WORK: INSTALLATION OF M&R SILK SCREENING DRYER (SEE EXPIRED PERMIT M04 -048). JEM Value of Mechanical: $3,700.00 Type of Fire Protection: Citc:d Tukwila KISSINGER R & T TRUST U/A KISSINGER R & T TRUSTEES , 14415 53RD AVE S Furnace: <100K BTU 0 >100K BTU 0 Floor Furnace 0 Suspended/Wall/Floor Mounted Heater 0 Appliance Vent 0 Repair or Addition to Heat/Refrig /Cooling System.... 0 Air Handling Unit <10,000 CFM 0 >10,000 CFM 0 Evaporator Cooler 0 Ventilation Fan connected to single duct 0 Ventilation System 0 Hood and Duct 0 Incinerator: Domestic 0 Commercial/Industrial 0 doc: IMC -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.ci.tukwila.wa.us MECHANICAL PERMIT EQUIPMENT TYPE AND OUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Expiration Date: Phone: Phone: 206 762 -8461 Phone: M08 -136 05/27/2008 11/23/2008 Fees Collected: $215.38 International Mechanical Code Edition: 2006 Boiler Compressor: 0 -3 HP /100,000 BTU 0 3 -15 HP /500,000 BTU 0 15 -30 HP /1,000,000 BTU.. 0 30 -50 HP/1,750,000 BTU.. 0 50+ HP /1,750,000 BTU 0 Fire Damper 0 Diffuser 0 Thermostat 0 Wood /Gas Stove 0 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment M08 -136 Printed: 05 -27 -2008 Permit Center Authorized Signature: Signature: Print Name: doc: I MC -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 I hereby certify that I have read and e ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied 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 e • erformance of work. I am authorized to sign and obtain this mechanical permit. Permit Number: M08 -136 Issue Date: 05/27/2008 Permit Expires On: 11/23/2008 Date: Date: E/ L77 V 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. M08 -136 Printed: 05-27 -2008 Parcel No.: 7999600066 Address: 5219 S 144 ST TUKW Suite No: Tenant: ANGRY SQUID INK 1: ** *BUILDING DEPARTMENT CONDPI'fONS * ** • 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: M08 -136 Status: ISSUED Applied Date: 05/06/2008 Issue Date: 05/27/2008 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 mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431- 3670). 4: 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. 5: 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. 6: Manufacturers installation instructions shall be available on the job site at the time of inspection. 7: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the International Building Code and the Washington State Ventilation and Indoor Air Quality Code. 8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431- 3670). 10: 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 ** M08 -136 Printed: 05-27 -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 of law and 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 construction or the performance of work. Signature: Print Name: A K,� i Sh doc: Cond -10/06 M08 -136 Date:OS / 7/0 ordinances governing or local laws regulating Printed: 05-27 -2008 Site Address: CITY OF TUKWIL4 Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us King Co Assessor's Tax No.: Tenant Name: Property Owners Name: �„�� Q� t ��e,� r‘ Mailing Address: 1 L L C r4 A/G C J Name: V\ru\iS\- Mailing Address: b 21 S 1 4.i( s‘\-- Contact Person: E -Mail Address: Contact Person: E -Mail Address: Q:Wpplications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fai. * *Please Print ** Suite Number: City Floor: .... Yes 1(.No 04 18 State Zip City New Tenant: Day Telephone: 1Co 1 LAC...4l4k 6 2'06 e State Zip E -Mail Address: E- 1 —.44-A g yp f S C40, — Fax Number: 2 - `-) 6(7_-- Z4 - ion for ech ical (pg dj fo Company Name: Mailing Address: City Day Telephone: Fax Number: Contractor Registration Number: Expiration Date: State Company Name: Mailing Address: City Day Telephone: Fax Number: City Day Telephone: Fax Number: State Company Name: Mailing Address: Zip Contact Person: E -Mail Address: State Zip Zip Page 1 of 6 BUILDING PERMIT INFO RA ION - 206 -431 -3670 Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): Will there be new rack storage? ❑.... Yes de All Butl uin Areas in Squar PLANNING DIVISION: Single family building footprint . ea of the foundation of all structures, plus any decks over 18 inches and o erhangs greater than 18 inches) *For an Accessory dwelling, ovide 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, a separate permit and plan submittal will be required. Compact: Q:\Applications\Fonns- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Handicap: ❑ No If "yes ", explain: 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 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 Unit Type: 'Qty Unit Qty ‘, Unit Type : ' Qty Boiler /Compressor Qty Furnace <100K BTU Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Furnace >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 HeatlRefrig /Cooling System Incinerator - Domestic Other Mechanical Equipment I Air Handling Unit <10,000 CFM Incinerator - Comm/Ind MECHANICAL PERMIT: INFATION _ 20.6 - 43173670 Use: Residential: New .... Replacement .... ❑ Commercial: New .... Replacement .... ❑ Fuel Type: Electric ❑ Gas .... ❑ Other: Pt,p pc kAt Indicate type of mechanical work being installed and the quantity below: Q:\Applications\Forms- Applications On LineU -2006 - Permit Application.doc Revised: 9 -2006 bh 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): $ 7 00, 7O 1 _ Scope of Work (please provide detailed information): Z en S A\U o^ r"1 k S I ■ `� LfC� -�1 i e .tavi(k -0 1-11) Page 4 of 6 PUBLIC WORKS PERMIT IN TION -- 206-433-0179 Scope of Work (please provide detailed information): Water District ❑ ...Tukwila ❑ ...Water Availability Pr s ided Sewer District ❑ ...Tukwila ❑ ... Sewer Use Certificate Please refer to Public Works Bulletin #1 for fees and estimate sheet. Septic System: ❑ On - site Septic System — For on - site - ptic system, provide 2 copies of a current septic de .n approved by King County Health Department. Submitted with A r r lication mark boxes ❑ ...Civil Plans (Maximum Paper Size - 22 34 ") ❑ ...Technical Information Report (Storm Drain.. e) ❑ .. Geotec cal Report ❑ ...Bond ❑ .. Insurance ❑ . asement(s) ❑ .. Mai ante Agreement(s) Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑...Ri -of -wa Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way Non Right -of -way ❑ ...Total Cut ❑ ...Total Fill ❑...Water District #125 ValVue ❑ .. Renton .. Sewer Availability Provided cubic yards cubic yards ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Fronta Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protecti. Irrigation Domesti • ater ❑ ...Permanent Water Meter Siz ❑...Temporar Water Meter e.. ❑ ...Water Only Meter Size ❑ ... Sewer Main Extensi • Public ❑ ...Water Main Exte. • en Public >> ich a Q:WpplicationsWorms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Call before you Dig: 1- 800 - 424 -5555 ❑ . Abandon Septic Tank .. Curb Cut .. Pavement Cut ❑ .. Looped Fire Line WO # WO # WO # Private Private ❑ .. Highline ❑ ...Renton ❑ ...Seattle .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance .. Work in Flood Zone . Storm Drainage ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑...Deduct Wat= Meter Size ❑...Traffic Impact Analysis ❑ ... Hold Harmless — (SAO) ❑ ... Hold Harmless — (ROW) FINANCE INFORMATION Fire Line Size at Property Line ❑ ...Water ❑ ... Sewer ❑ ... Sewage Treatment Monthly Service Billing to: Name: Water Meter Refund/Billing: Name: Mailing Address: Number of Public Fire Hydrant(s) Day Telephone: Mailing Address: City State Zip Day Telephone: City State Zip Page 3 of 6 PERMIT APPLICATION NO — Applicable to all permits in thiS'application • 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 A NT: Signature: Print Name: 6�`' 1 K4'v \iSL Mailing Address: SZI' S I - 4 S Date Application Accepted: Di tit bk Q:\ApplicationsWorms- Applications On Linell -2006 - Permit Application.doc Revised: 9 -2006 bh Date: oS(CC(0 Day Telephone: 1,04 - Llt_t .)A4 q8 ( 6 City State Zip Date Application Expires: ( tan) Staff Initials: C Page 6 of 6 i Fixture Type. Qty Fixture Type: 9 , Fixture Type: ' Qty Future 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 aste Clothes washer, domestic Floor drain • r ks Dental unit, cuspidor Shower, single hea. ap Uri :Is Dishwasher, domestic, with independent drain Lavatory Wate loset Building sewer or trailer park sewer Rain water s . em — per drain (insi I building) Water hea. 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 o :Iteration of water piping 1 d /or water treating equi ent Repair or alter. 'on of drainage or v piping Medical gas piping system serving one to five inlets /outlets for specific gas PLUMBING AND GAS PIPINRMIT INFORMATION — 206-43 2. e• Contact Person: E -Mail Address: Contractor Registration Number: PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City Day Telephone: Fax Number: Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work ( ntractor's bid price): $ Scope of Work (please provide de 'led information): Building Use (per Intl Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outl being 1 . alled and the quantity below: Q:Npplications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Expiration Date: State Zip Page 5 of 6 Parcel No.: 7999600066 Address: 5219 S 144 ST TUKW Suite No: Applicant: ANGRY SQUID INK Receipt No.: R08 -01816 Initials: JEM User ID: 1165 Payee: ANGRY SQUID INK ACCOUNT ITEM LIST: Description City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us TRANSACTION LIST: Type Method Descriptio Amount Payment Check 0001 172.30 MECHANICAL - NONRES RECEIPT Account Code Current Pmts 000.322.102.00.0 172.30 Total: $172.30 Permit Number: M08 -136 Status: APPROVED Applied Date: 05/06/2008 Issue Date: Payment Amount: $172.30 Payment Date: 05/27/2008 01:44 PM Balance: $0.00 2885 05/27 9710 TOTAL 172.30 doc: Receiot -06 Printed: 05-27 -2008 Parcel No.: 7999600066 Address: 5219 S 144 ST TUKW Suite No: Applicant: ANGRY SQUID INK Receipt No.: R08 -01505 Payee: ETHAN J. KRULISH • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tulcwila, 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 161 43.08 ACCOUNT ITEM LIST: Description PLAN CHECK - NONRES RECEIPT Account Code Current Pmts 000/345.830 43.08 Total: $43.08 Permit Number: M08 -136 Status: PENDING Applied Date: 05/06/2008 Issue Date: Payment Amount: $43.08 Initials: JEM Payment Date: 05/06/2008 04:22 PM User ID: 1165 Balance: $172.30 2111 05/07 9711 TDTAL 43.08 doc: Receiot -06 Printed: 05 -06 -2008 COMMENTS: Type of Inspection: \ U CI 4(A 2 01/41 Al VOCE i Date Called: Date Special Instructions: 79 Paii44 ;10 /r;km I Requester: Phone 2-0(,- gip,' 1J 4. J� .) use av 69e-errs r ef C) \ v C L 9-7 S p Pe C.. POT itiMaA4-8 1-E i I , r ‘ Projejjt�t: 1 (r Type of Inspection: \ Address: i S ' 1 , q -5 x `t 1 Date Called: Date Special Instructions: Date Wanted: - reiOn Requester: Phone 2-0(,- gip,' p Receipt No.: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 <proved per applicable codes. Corrections required prior to approval. 'Date: tor: ?Mt""7 J 7,ta ti $ .00 REINSPECTION FEE RQUIRED. Prior to inspection, fee must be pJ d at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'Date: tea, -13 L. ZD PERMIT NO. /2z- (206)431-36 70 FlEV1S the scope �_--- made to t changes s hall be m r approval o So wor out Fri wino an Sab ; a1 of wow Tukwila Buildi C �" Tukon X11 re4oice a n review lan s fees an may i include dd�tiona p lan and may include a l ~ m n.oFFicE ResifoOMM PRIVATE OFfICE f lU 15' DOOR 12x12 DOOR d C ovt.ste6 d2' FILE COPY Permft No. 40 Afar review approval Is subject to errors and omissions. Approval of construction cbcuments does not authorize the violation of any adopted code or ordinance. Receipt of approved Field Copy and conditions is acknowledged: By City of Tukwila BUILDING DIVISION r Os 14' COVERED STORAGE REVIEWED FOR CODE COMPLIANCE 1 6' APPROVED Of Tukwila BUILDING DIVISION MAY 2 2 2008 RECEIVED CITY OF TUKWILA MAY 0 6 2008 PERMIT CENTER A ,ase- S 1 ( 1' e'CIAel. I ale_ pcvok-or 8014_4),,, r -■, 5 coo (go c'Vk —REVIEWED FOR-- CODE COMPLIANCE APPROVED MAY 2 2 2008 City Of Tul BUILDING DIVISI N 10 -01 -2008 ETHAN KRULISH 5219 S 144 ST TUKWILA WA 98168 RE: Permit No. M08 -136 5219 S 144 ST TUKW Dear Permit Holder: City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director 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 11/23/2008 , 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, J: f Marshall, Pe ''t echnician xc: Permit File No. M08 -136 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 ACTIVITY NUMBER: M08 - 136 DATE: 05 - - PROJECT NAME: ANGRY SQUID INK SITE ADDRESS: 5219 S 144 ST X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS, yl , 1 Builtin Ivision Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28 -02 HERMIT COORD COPY a PLAN REVIEW /ROUTING SLIP ' t "' ' Og Ire Prevention LE.] Structural Incomplete TUES/THURS ROU ING: Please Route Structural Review Required REVIEWER'S INITIALS: Planning Division Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: n Permit Coordinator DUE DATE: 05-08 -08 Not Applicable n No further Review Required DATE: DUE DATE: 06-05-08 Approved n Approved with Conditions Not Approved (attach comments) Notation: REVIEWER'S INITIALS: DATE: n Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: • CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-3670 FAX (206) 431-3665 E -mail: tukplanP ci.tukwila.wa.us AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON) COUNTY OF KING ) E . 'Ki- ,i0\ [please print] ss. , states as follows: Permit Center /Building Division 206 431 -3670 Public Works Department 206 433 Planning Division 206 431 -3670 PERMIT NO: ✓ v l 01 I 2 -40 , 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 No. , 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. Owner /Owner's Agent Signed and sworn to before me this cay of Residing at Name as commissioned: My commission expires: o NOTARY PUBLIC in and for the State of Washington , County 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; 11. 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 /manufactur01'tibthes that were manufactured or sold by the_' mo''Bile%m�ugactured home dealer or manufactures; !.. .. 18. An entity who holds a ' &l electrical ebptractor's license under chapter119.28 RCW-that employs a' certified journeyman electrician, a certified iesidential specialty electrician, or ap.electrical traineq:tneeting the requirements of chapter 19;28.RCW to pet' orm plumbing work that is incideihtally directly, aind immediately appropriate to the like -1n 7 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.