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HomeMy WebLinkAboutPermit M08-241 - REGENCY CLEANERSREGENCY CLEANERS 950 ANDOVER PK E EXPIRED 03 -31 -09 M08 -241 Parcel No.: 2623049105 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: doc: IMC - 10/06 950 ANDOVER PK E TUKW Value of Mechanical: $5,000.00 Type of Fire Protection: City if 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 REGENCY CLEANERS 950 ANDOVER PK E # 19 , TUKWILA WA Contact Person: Name: WILLIAM LIPSCOMB Address: 950 ANDOVER PK E # 6 , TUKWILA WA Contractor: Name: OWNER AFFIDAVIT - WILLIAM LIP[SCOMB Address: 950 ANDOVERPK E # 6 , TUKWILA WA Contractor License No: Furnace: <100K BTU >100K BTU Floor Furnace Suspended/Wall/Floor Mounted Heater Appliance Vent Repair or Addition to Heat /Refrig /Cooling System.... Air Handling Unit <10,000 CFM >10,000 CFM Evaporator Cooler Ventilation Fan connected to single duct Ventilation System Hood and Duct Incinerator: Domestic Commercial/Industrial MECHANICAL PERMIT NATIONWIDE LIFE INS REAL ESTATE INVESTMANT , ONE NATIONWIDE PLAZA EQUIPMENT TYPE AND OUANTITY 0 0 0 0 5 0 0 0 0 1 0 0 0 0 * *continued on next page ** M08 -241 Permit Number: Issue Date: Permit Expires On: Expiration Date: DESCRIPTION OF WORK: REISSUE OF EXPIRE PERMIT M07 -241, WHICH WAS A REISSUE OF EXPIRED PERMIT M06 -112. CONSTRUCT BOILER ROOM, INSTALL 40 HP BOILER AND ASSOCIATED EQUIPMENT Phone: Phone: 206 - 650 -6933 Phone: 206 - 650 -6933 M08 -241 10/02/2008 03/31/2009 Fees Collected: $226.13 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.. 1 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 Printed: 10 -02 -2008 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: MO8 -241 Issue Date: 10/02/2008 Permit Expires On: 03/31/2009 Date: l 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 ant authorized to sign and obtain this mechanical permit. Signature: i Print Name: , 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: IMC-10/06 M08 -241 Printed: 10 -02 -2008 Parcel No.: 2623049105 Address: Suite No: Tenant: REGENCY CLEANERS 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 950 ANDOVER PK E TUKW PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: 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: Manufacturers installation instructions shall be available on the job site at the time of inspection. M08 -241 ISSUED 10/02/2008 10/02/2008 6: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests. 7: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum distance of 4- inches shall be maintained above the controls with the strapping. 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. 11: ** *FIRE DEPARTMENT CONDITIONS * ** 12: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 13: The total number of fire extinguishers required for an extra hazard occupancy with Class A fire hazards is calculated at one extinguisher for each 1,000 sq. ft. of area. The extinguisher(s) should be of the "all purpose" (4A 40 B:C) dry chemical type. The travel distance to any extinguisher must be 75' or less. (IFC 906.3) (NFPA 10, 3 -2.1) 14: Portable fire extinguishers, not housed in cabinets, shall be installed on the hangers or brackets supplied. Hangers or brackets shall be securely anchored to the mounting surface in accordance with the manufacturer's installation instructions. Portable fire extinguishers having a gross weight not exceeding 40 pounds (18 kg) shall be installed so doc: Cond -10/06 M08 -241 Printed: 10 -02 -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 that its top is not more than 5 feet (1524 mm) above the floor. Hand -held portable fire extinguishers having a gross weight exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 3.5 feet (1067 mm) above the floor. The clearance between the floor and the bottom of the installed hand -held extinguishers shall not be less than 4 inches (102 mm). (IFC 906.7 and IFC 906.9) 15: Fire extinguishers shall not be obstructed or obscured from view. In rooms or areas in which visual obstruction cannot be completely avoided, means shall be provided to indicate the locations of the extinguishers. (IFC 906.6) 16: Extinguishers shall be located in conspicuous locations where they will be readily accessible and immediately available for use. These locations shall be along normal paths of travel, unless the fire code official determines that the hazard posed indicates the need for placement away from normal paths of travel. (IFC 906.5) 17: Fire extinguishers require monthly and yearly inspections. They must have a tag or label securely attached that indicates the month and year that the inspection was performed and shall identify the company or person performing the service. Every six years stored pressure extinguishers shall be emptied and subjected to the applicable recharge procedures. If the required monthly and yearly inspections of the fire extinguisher(s) are not accomplished or the inspection tag is not completed, a reputable fire extinguisher service company will be required to conduct these required surveys. (NFPA 10, 4 -3, 4 -4) 18: Maintain sprinkler coverage per N.F.P.A. 13. Addition/relocation of walls, closets or partitions may require relocating and/or adding sprinkler heads. (IFC 901.4) 19: Sprinklers shall be installed under fixed obstructions over 4 feet (1.2 m) wide such as ducts, decks, open grate flooring, cutting tables, shelves and overhead doors. (NFPA 13- 8.6.5.3.3) 20: All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department review and approval of drawings prior to installation or modification. New sprinkler systems and all modifications to sprinkler systems involving more than 50 heads shall have the written approval of the W.S.R.B., Factory Mutual, Industrial Risk Insurers Kemper or any other representative designated and /or recognized by the City of Tukwila, prior to submittal to the Tukwila Fire Prevention Bureau. No sprinkler work shall commence without approved drawings. (City Ordinance #2050) 21: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2050 and #2051) 22: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 23: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575 -4407. doc: Cond -10/06 * * continued on next page ** M08 -241 Printed: 10 -02 -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 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. Signature: Print Name: doc: Cond -10/06 Date: /0--26'j M08 -241 Printed: 10 -02 -2008 CITY OF TUKWILVw Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://wwwatukwila.wa.us MECHANICAL PERMIT APPLICATION For office use only) Mechanical 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 ** SITE LOCATION Site Address: Tenant Name: / L C Property Owners Name: )E? 77 //y —peel Mailing Address: 7 A-e, ' /CJ E Contact Person: E -Mail Address: Contractor Registration Number: Contact Person: E -Mail Address: Contact Person: E -Mail Address: Q:Wpplications\Forms- Applications On Linel3 -2006 - Mechanical Permit Application.doc Revised: 4 -2006 bh King Co Assessor's Tax No.: .(p .1309— Oj (OS' Suite Number: / ( Floor: / New Tenant: 1i.... Yes ❑ ..No City hen your „permit is ready to be issued CONTACT PERSON we contact Name: x471 L / Day Telephone: 6 'T 6 ? L Mailing Address: "..� o P O(.9c) //C € 1 , ---eoz-t,,, ( 0A- w City State Zip E -Mail Address: 6 /L /�cx 3/ je 7` � 1 (7 Fax NumberN,C6 7 .6 c/' u State Zip MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City Day Telephone: Fax Number: Expiration Date: State State State Zip CORD = - All paztstmlust be stamped by ARCHITECT OF relutect of t Company Name: Mailing Address: City Day Telephone: Fax Number: Zip ENGINEER OF REC All plans must b wet ed by Enlgine Company Name: Mailing Address: City Day Telephone: Fax Number: Zip Page 1 of 2 Unit Type: Qty Unit Type: Qty Unit Type: Qty ;Boil'er /.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 I 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 Water Heater 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Emergency Generator Air Handling Unit <10,000 CFM Incinerator — Comm/Ind Other Mechanical Equipment Valuation of Project (contractor's bid price): $ 5000,400 Sco.e of Work (please provide detailed information): le ISSN O � p r l VVVI I ss, e 0 _ �� I T C1 )4O (a l 1 Cov\ S' - vv tik" b° illy Lt, 4 c1 p 6o ikt r SSOCio -4.j c L..v u Toow <k5,40 4t Use: Residential: New .... ❑ Replacement .... ❑ Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas Other: Indicate type of mechanical work being installed and the quantity below: F.PER APPLICATION NOTES Q plica Apble to all permits in this application .r . .tr 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. 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). 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: Print Name: Day Telephone: Mailing Address: 9 e' wzO r3 city Date Application Expires: Date Application Accepted: d r? G L Q: Applications\Forms- Applications On Line13-2006 - Mechanical Permit Application.doc Revised: 4 -2006 bh Date: / og � tale Zip Staff Initials: Page 2 of 2 City of Tukwila Parcel No.: 2623049105 Permit Number: M08 -241 Address: 950 ANDOVER PK E TUKW Status: PENDING Suite No: Applied Date: 10/02/2008 Applicant: REGENCY CLEANERS Issue Date: Receipt No.: R08 -03431 Initials: WER User ID: 1655 Payee: FAMILY TRUST INVESTMENTS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 6734 90.45 ACCOUNT ITEM LIST: Description MECHANICAL - NONRES 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 Account Code Current Pmts 000.322.102.00.0 90.45 Total: $90.45 Payment Amount: $90.45 Payment Date: 10/02/2008 03:07 PM Balance: $0.00 doc: Receiot - 06 Printed: 10 -02 -2008 CHECKING EQUIPMENT RECEIVED Upon receipt, check the boiler and accessories to make certain all material fins been" received in good condition. If any damage is evident, notify freight carrier at once. IMPORTANT - Where Toss or damage appears, call on the Carrier agent to inspect before unloading the shipment and make a notation of the condition of the contents on the freight bill. A claim for "Loss or Damage" should be presented to the Carrier without delay and should be supported by a statement of facts regarding the damage. LOCAL CODES The following is the factory recommended procedure for installation of this boiler. In addition, local codes should be observed. LOCATION Select an area that will provide at least two (2) feet of clearance around the entire boiler for service, maintenance and inspection of the unit. FOUNDATION A firm, level, non - combustible foundation, (preferably concrete) must be provided for the boiler. VENTILATION AND COMBUSTION AIR Furnish air openings into the boiler room (of equal size at the floor and at the ceiling) as follows: • • ♦ , r a • .•.. For further information contact: (909) 595 -7919 INSTALLATION PROCEDURE FG -9.5 FG -10 FG -15 FG -20 FG -25 FG -30 FG -40 FG -60 FG -90 2 SQ. FT. 2 SQ. FT. 3 SQ. FT. 5 SQ. FT. 5 SQ. FT. 6 SQ. FT. 7 SQ. FT. 12 SQ. FT. 18 SQ. FT. 2 SQ. FT. 2 SQ. FT. 3 SQ. FT. 5 SQ. FT. 5 SQ. FT. 6 SQ. FT. 7 SQ. FT. 12 SQ. FT. 18 SQ. FT. BOILER VENT Place the factory furnished barometric damper on top of the boiler vent opening utilizing the collar provided. This will allow for the removal of the boiler cover for inspection & maintenance without requiring the removal of the boiler stack. The crimped sheet metal end of the barometric stack should be in the up position. CITY OF TuRINtA • • • PERMIl CEfr1 ) MODEL A AN AS B BN C D F G H J FG-25 88 60 96 57 54 70 1 1/2 2 - 1 1 1/2 26 2-10 FG40 88 60 96 57 80 90 2 3 - 1 2 26 3-10 FG-60 92 72 109 84 79 93 2 1/2 2 - 1 2 1/2 39 2-14 FG-90 92 72 109 84 118 132 4 3 - 1 3 39 3-14 DIMENSIONS - MULTI COIL STACK TEE WITH BAROMETRIC DAMPER. H D STEAM (SHIP LOOSE) OUTLET • _ A A AN STACK TEE WITH BAROMETRIC DAMPER (SHIP LOOSE) -- AN G 3 GAS LINE , ‘ G It:Du GAS LINE 10 r--- C BN r--- BN OILERS MC-200A MAR. 9, 2001 REV. DRUM • 2" FNPT VENT & 1 CONDENSATE RETURN i I 1FG-25 & -60 1 STEAM OUTLET FG-40 & 90 r) o B Vol II ii r STEAM I 1 - DRUM . 2" FNPT ----- - - : 7 - - -i--', ° I -- 1/2" FNPT VENT & 1 WATER MAKE-UP [ 1 - I 1 AS CONDENSATE RETURN I i 0 4 SLOWDOWN 1 ..I I I - S ---i RETURN TANK, FEED PUMP AND WATER MAKE UP VALVE ARE INTEGRAL WITH BOILER ALL DIMENSIONS ARE GIVEN IN INCHES PHONE 909-595-7919 FAX 909-595-748 STEAM ---- 112" FNPT I WATER MAKE-UP 1 AS /F SLOWDOWN 1 THERMOSTEAM RESERVES THE RIGHT TO CHANGE SPECIFICATIONS VV FOR CODE COMPLIANCE THERMOSTEAM SYSTEMS, IN APPROVED 20521 EARLGATE ST. DIAMOND BAR CA 91789 OCI 02 008 City Of Tukwila ' BUILDING DIVISION MODEL BHP Steam Del. LB. /HR F & A 212 °F Input BTU /HR Output BTU /HR Heating Surface Sq. Ft Water Volume Gallons Pump Motor Ship Weight LBS Approx. Boiler Jacket HP FG -25 25 860 1,050,000 1,008,000 150 37 79 3/4 2450 FG-40 40 1380 1,680,000 1,344,000 225 55 129 1 1/2 3300 FG -60 60 2070 2,520,000 2,016,000 352 125 156 2 5200 FG -90 90 3105 3,780,000 3,024,000 528 168 240 3 8100 MODELS AND CAPACITIES MULTI-COIL B O I L E R S Models FG -25` and FG -60 are designed with a dual water tube assembly. Models FG-40 and FG -90 have a triple water tube assembly. All the above models use an external steam drum. Boiler input is based on natural gas, 1000 Btu /cu. ft. at sea level and 80% efficiency. Operation at elevations above 2000 feet requires an input/output derate of 4% per 1000 ft. ThermoSteam boilers are built and stamped to ASME Power Boiler Code, Section I, and equipped with 125 psig safety relief valve(s). Boilers designed for higher operating pressures (through 300 psig) are available at additional cost. National Board registration is standard Heating surface is 5.6 square feet per boiler horsepower minimum. THERMOSTEAM RESERVES THE RIGHT TO CHANGE SPECIFICATIONS WIT THERMOSTEAM SYSTEMS, INC. 20521 EARLGATE ST, DIAMOND BAR CA 91789 PHONE: (909) 595 -7919 FAX: (909) 595 -7408 MC -200 AUG. 21, 2000 REV. RI VIEWED CODE COMP APPROV OCT 0 2 20 OR NCE D 8 aty Of Tu ila B I 'INGDui I • 17 17 LAUNDRY PRODUCTION AREA BOILER ROOM FG-40 10 18 SHOWER irt , 11* -) Toilets existing) Sink :. fisting) ka 9 EQUIPMEN 1. 60# DRYCLEANING MACHINE, 208/60/3, 60A (2) 2. DC UTILITY PRESS (2) 3. TRIPLE PUFF IRON, DUAL PEDAL 4. DC LEGGER PRESS 115VAC (2) 5. SINGLE PUFF DUAL PEDAL 6. FIMAS TENSIONING FORM FINISHER, 208/60/3 7. FORM FINISHER, 115VAC 8. DC MUSHROOM TOPPER RIFW OfllURI F KIN NEW BOILER ROOM 11 DOQR TO AD,:ARENT WARFH[f11RE DRYCLEANING PRODUCTION AREA 0 0 • 9. 80 VACUUM 208/60/3 10. 40 HP BOILER, 115VAC 168 MBTU 11. LAUNDRY LEGGER PRESS (2) 12. LAUNDRY MUSHROOM TOPPER (2) 13. TOUCH -UP BOARDS (2) 14. DOUBLE BUCK SHIRT UNIT, 208/60/3 15. SPOTTING BOARD 16. PANT TOPPER, 115VAC 17. 75# DRYERS, 208/3/60, 15.2 MBTU (2) 18. LAUNDRY WASHERS (2) 6 .3 WHITE DISPATCH -U -VEYOR 2 10' ROLLUP(exi ing) PAGE 2 of 4 0 1 0 0 Mb ( 8• SP RISER 3400 SQ FT �Q�� QQ��_ OCCUPANT LOAD (PR \��f� COD COMPLIANCE APPROVED OCT 0 2 2008 "ity Of Tukwila D N DIVI I N N08 NEW EXIT DO NKLER OUTED TO a PRODUCTION 8R MY OCT 02 • .,i1,; ENTER 02 -02 -2009 WILLIAM LIPSCOMB 950 ANDOVER PK E # 6 TUKWILA WA 98188 RE: Permit No. M08 -241 950 ANDOVER PK E 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 final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the 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 03/31/2009 , 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, P CPAA/ 1 Bill Rambo Permit Technician xc: Permit File No. M08 -241 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 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: tukplanaci:tukwila.wa.us AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON) COUNTY OF KING ) ss. itii14frel P L (d ‘' 01 -6 , states as follows: [please print] Owner i i e 's Agent Residing at PERMIT NO: Permit Center /Building Division 206 431 -3670 Public Works Department 206 433 - 0179 Planning Division 206 431 -3670 t 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. 13 , and will therefore not be performed by a registered contractor. 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 cons . tion work. Signed and sworn to before me this 1 day of OCin , 20e* Lee OTARY PUBLIC in and for the State of Washington K1 in Name as commissioned: My commission expires: 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; 18.27,090 Exemptions. The registration provisions of this chapter do not apply to: 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 /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.