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Permit D09-150 - KILPATRICK RESIDENCE
HILPATRICK RESIDENCE 13517 35 AV S D09 -150 Parcel No.: 8864000185 Address: 13517 35 AV S TUKW Suite No: Tenant: Name: KILPATRICK RESIDENCE Address: 13517 35 AV S , TUKWILA WA Owner: Name: SWOPE S C Address: 13517 35TH AVE S , SEATTLE WA 98168 Phone: Contact Person: Name: JONATHAN KILPATRICK Address: 13517 35 AV S , TUKWILA WA 98168 Phone: 425 894 -0138 City * 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 Contractor: Name: OWNER AFFIDAVIT - JONATHAN KILPATRICK Address: Phone: Contractor License No: DEVELOPMENT PERMIT Permit Number: D09 -150 Issue Date: 07/31/2009 Permit Expires On: 01/27/2010 Expiration Date: DESCRIPTION OF WORK: REPAIRING DAMAGED FLOOR JOISTS (3), REPLACING SUBFLOORING, INSTALLING NEW FIRE BLOCK AND INSULATION, REPLACING MISSING WALL STUDS (2), REPLACING SHEETROCK/TILEBACKER IN TUB AREA, AND INSTALLING NEW WINDOWS AND BACKDOOR. Value of Construction: $8,000.00 Fees Collected: $233.70 Type of Fire Protection: International Building Code Edition: 2006 Type of Construction: VB Occupancy per IBC: 0022 doc: IBC -10/06 * * continued on next page ** PIE Stia JECT CIZON D09 -150 Printed: 07 -31 -2009 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: Hauling: N Start Time: End Time: Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: Moving Oversize Load: - t Start Time: End Time: Water Main Extension: Water Meter: Print Name: doc: IBC -10/06 Sanitary Side e Sewe4l Sewer Maixi Eat�ension: Private: Public: Storm Drainage: Street Use: Profit: N Non - Profit: N Permit Center Authorized Signature: City 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 N Private: Public: Permit Number: D09 - 150 Issue Date: 07/31/2009 Permit Expires On: 01/27/2010 Date: DI-- I hereby certify that I have read and ' ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie , 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 permit. Signature: " Date: 7/ � a a. ie./.9 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. D09 -150 Printed: 07 -31 -2009 Parcel No.: 8864000185 Address: Suite No: Tenant: 13517 35 AV S TUKW KILPATRICK RESIDENCE 1: ** *BUILDING DEPARTMENT CONDITIONS * ** PIP City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us PERMIT CONDITIONS • Permit Number: Status: Applied Date: Issue Date: D09 -150 ISSUED 07/31/2009 07/31/2009 2: 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. 3: Insulating materials, where exposed as installed in buildings of any type of construction, shall have a flame spread index of not more than 25 and a smoke development index of not more than 450. Where facings are installed in concealed spaces in buildings of Type III, IV, or V construction, the flame spread and smoke - developed limitations do not apply to facings, that are installed behind and in substantial contact with the unexposed surface of the ceiling, wall or floor finish. 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: Fire retardant treated wood shall have a flame spread of not greater than 25. All materials shall bear identification showing the fire performance rating thereof. Such identification shall be issued by an approved agency having a service for inspection at the factory. 6: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any requirements for special inspection. 7: All wood to remain in placed concrete shall be treated wood. 8: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 13: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 14: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, doc: Cond -10/06 9: 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. 10: 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. 11: 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. 12: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. D09 -150 Printed: 07 -31 -2009 doc: Cond -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 eb site: http: / /www.ci.tukwila.wa.us 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. * *continued on next page ** D09 -150 Printed: 07 -31 -2009 Signature: Print Name: doc: Cond -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://wwwci.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. Date: - / /`D 7 D09 -150 Printed: 07 -31 -2009 Site Address: Tenant Name: Property Owners Name: --To # e. Mailing Mailing Address: / 3 5 /7 Sc.-Q Sp rAtc* e.it A �0cj/ r'c k Mailing Address: 3 J/ 7 r Sid' ® 3 Tee K�ef�a�u , sot�s . � Name: E -Mail Address: CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http.::'www. ci. tnlnrilu. \va. uc / 57 7 5 .4 /),,_ e _ Company Name: d o Contact Person: E -Mail Address: Contractor Registration Number: City Building Permit No. Mechanical Permit No. Plumbing/Gas Permit No. Public Works Permit No. Project No. (For office use only) LT 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.: Suite Number: Floor: New Tenant: ❑ Yes CONTACT PERSON - who do we contact when your permit is ready to be issued Day Telephone: City Fax Number: c State ❑ ..No Zip (v1! 9$/G 6 - Sa3 -c9.9B5- GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Mailing Address: City Day Telephone: Fax Number: Expiration Date: State Zip ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: Company Name: Mailing Address: Contact Person: E -Mail Address: H:Wpplications\Porms- Applications On Line\2009 Applications \I -2009 - Permit Application.doc Revised: 1 -2009 bh City State Zip City Day Telephone: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer. ofRecord State Zip Day Telephone: Fax Number: Page I of 6 S INFORIV`IATION — 206 - 431 -3670 Valuation of Project (contractor's bid price): $ V O(C7 Existing Buildi g Valuation: $ 4,0) Sc e of Work (please provide detailed information) J R e I r �'� d ate Qc !' /0O t, ;, l ( e ��, 5 A Poo r, ti j '. /Ue /� b/mc_ll r i R Pae, ;.. SL.„ Q fir /7 l Je r , rob a ••ea ,�t• �t Q [ ,9 t9 ���' da a t Will there be new rack storage? ❑ Yes P'rbvide:�' A Rrea;in_' y Squ a re. {oo • 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): 6 Q ©tD *Provide documentation that shows that the principal owner lives in one of the dwelling as his or her primary residence. Number of Parking Stalls Provided: Standard: Will there be a change in use? ❑ Yes Floor area of principal dwelling: ��LJ FIRE PROTECTION/HAZARDOUS MATERIALS: ❑....Sprinklers 0... Automatic Fire Alarm ❑ None H:\Applications\Forms - Applications On Line\2009 Applicanons\l -2009 - Permit Application. doc Revised: 1 -2009 bh X . No If yes, a separate permit and plan submittal will be required. Floor area of accessory dwelling: Compact: Handicap: No If "yes ", explain: Other (specify) S 04e.c'eLL› 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 -I /2 "x I I " 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 Existing '' ''! InteriorBemodel. Addition to Existing Structure New Type-Of Construction`; per ABC Type of Occupancy per IBC r 1'g Voor : .3 30 / f902 -- ._— 2 11 00r Y Floor Floors ihru Basement Accessory Structure* Attached Garage Detached Garage Attached. Carport Detached:Catpott T Covered D.eclf • l Ungverel•r eck • . ' S INFORIV`IATION — 206 - 431 -3670 Valuation of Project (contractor's bid price): $ V O(C7 Existing Buildi g Valuation: $ 4,0) Sc e of Work (please provide detailed information) J R e I r �'� d ate Qc !' /0O t, ;, l ( e ��, 5 A Poo r, ti j '. /Ue /� b/mc_ll r i R Pae, ;.. SL.„ Q fir /7 l Je r , rob a ••ea ,�t• �t Q [ ,9 t9 ���' da a t Will there be new rack storage? ❑ Yes P'rbvide:�' A Rrea;in_' y Squ a re. {oo • 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): 6 Q ©tD *Provide documentation that shows that the principal owner lives in one of the dwelling as his or her primary residence. Number of Parking Stalls Provided: Standard: Will there be a change in use? ❑ Yes Floor area of principal dwelling: ��LJ FIRE PROTECTION/HAZARDOUS MATERIALS: ❑....Sprinklers 0... Automatic Fire Alarm ❑ None H:\Applications\Forms - Applications On Line\2009 Applicanons\l -2009 - Permit Application. doc Revised: 1 -2009 bh X . No If yes, a separate permit and plan submittal will be required. Floor area of accessory dwelling: Compact: Handicap: No If "yes ", explain: Other (specify) S 04e.c'eLL› 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 -I /2 "x I I " 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 NOTES — 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. Signature: Print Name: Mailing Address: • 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 e)ctension 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 I Date Application Accepted: UTI7IZED AGENT: /35/7 35" �u,s olliA H:Wpphcations\Forms- Applications On Line \2009 Applications \1-2009 - Permit Application.doc Revised: 1 -2009 bh Day Telephone: /11L hic City Date: 7A //6 4 42z -- - gyp / - c/? State Date Application Expires: Staff Initials: Zip Page 6 of 6 Fixture Type: Qty Fixture Type: • • Qty F'_ture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower l 1 Bidet lothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor Drain Shower, single head trap Lavatory ash fountain Receptor, indirect waste Sinks Urinals W •:: r Closet Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater an .r vent I Indus . :1 waste treatment intercep , , including trap and vent, - . cept for kitchen type grease ':terceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair o • .iteration of water sing and/or water treat ent equipment Repair or alte ion of drainage or ven iping Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 ::ckflow protective evice other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective a' vice other than atmospheric \ pe vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: E d.6 Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Project (contra • .r's bid price): $ // 56 Scope of Work (please provide 'etailed information): /'(90J) > L to /— 11 - L t,.¢ r o on:49 0 ,r Building Use (per Int'l Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water: D th N - - 20 :6:= 43=•0 Indicate type of plumbing fixtures and /or gas piping o lets being instal and the quantity below: H: 1Applicaaons\Forms•Applications On- Line12009 Applications 11 -2009 Permit Application. doc Revised. 1 -2009 bh Page 5 of 6 Copy Reprinted on 07 -31 -2009 at 12:09:36 07/31/2009 RECEIPT NO: R09 -01200 Payment Date: 07/31/2009 User ID: 1165 Total Payment: 369.70 Initials: JEM Payee: JONATHAN S KILPATRICK SET ID: S000001272 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount D09 -150 PG09 -088 TOTAL: 233.70 136.00 233.70 TRANSACTION LIST: Type Method Description Amount Payment Credit C VISA - - - 369.70 TOTAL: 369.70 ACCOUNT ITEM LIST: Description BUILDING - RES PLUMBING - RES STATE BUILDING SURCHARGE Cif, 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. lukwila. wa. us SET RECEIPT Account Code Current Pmts 000/322.100 000.322.103.00.0 640.237.114 229.20 136.00 4.50 TOTAL: 369.70 PAYMENT RECEIVED Projec/t9�( /// } ^/4 _ ) ie Type of Ion: M Add : 3 .-' co Date Called: Special Instructions: Date Wanted: /.a //n / s / d aTn m. Requester. // Phone No: INSPE ION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 tra (206)431 -3670 COMMENTS: Ppfiri;t( Approved per applicable codes. ❑ Corrections required prior to approval. x.00 REINSPECTIO FEE REQU ' ED. Prior to insp-ction, fe- must be d at 6300 Southcenter Blvd., S ite 100. Call to schedule retnspection. Receipt No.: 'Date: 1z COMMENTS: T of Insp n: 6- 6+. : ( L../ Address: - t 1 3 51 r1 3 5� 5 . Date Called: ( j� 1 C J .../ /� I I *,-- • 1 - - I ^ 4 4 Phone No: _ -42 -5- f?q4 —ar3s) 1 is el L i - 0 (1)u t (C ' A r � 1-i'.� ..( . V ' � 2 /+J Li_/) A 4 A -e s n sre,0 1 lc_ 10 a 1 R L-)&4 l e 4 ^S /P ( 1 , s^ 1 Pro'ect i T of Insp n: 6- 6+. : ( L../ Address: - t 1 3 51 r1 3 5� 5 . Date Called: Special Instructions: /Z , • r 60.4r y for rl. s , 1 ` A e LA..) ��•re gI a Gk APB t'')2"J "L'jS '' 6A d' n.1 r, it— Date Wanted: a.m. r2 - 4 -v1 . Requester: Phone No: _ -42 -5- f?q4 —ar3s) INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION '-- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 3670 El Approved per applicable codes. Ins ector: Dater /- 4 J ' 0 $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: .► bO' - isv Corrections required prior to approval. Project: 1.4 ��. a� R� Type of nspectior� < <S. Ad die i t3i `1 3 S AU 5 Date Called: Special Instructions: Date ted: � —(/'� a in P.m. Requester: Phone No: L I 2 - aof 4 -0 13 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION P" 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 r71AP proved per applicable codes. Corrections required prior to approval. COMMENTS: 4 Inspect Datet — .00 REINSPECTION FEE REUIRED rior to inspection, fee must be id at 6300 Southcenter Blvd., Suit 00. Call to schedule reinspection. ceipt No.: (Date: Project: ,e �.& 1 '( 's. T of Inspection: /- ,c2,1,-71„,./ � Address: /25/ 7 ,35 5 Date Called: Special Instructions: Date Wanted: cg_ /4.9_ J CD p.m. Requester: Phone No: y - 3'5 a/-fcn INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 11.- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 Approved per applicable codes. Corrections required prior to approval. COMMENTS: 6 - 1 7 +VI (-5 app /dthic, D X i D S y 6,6Z .00 REINSPECTION FE: REQUIRED. ior to inspection, fee must be aid at 6300 Southcenter Blvd., Suite 1Qi Call to schedule reinspection. eceipt No.: Date: Building 2. Minimum plan Site plan Cross sections Authorization by, TBD36/96 -form 12 S 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 Project name ( -0c1 A v J ' t ` `�- Address V -2 ) 51 3 Av $G Description of work '(n — (` p -N ese ecr s ��r \ S Z Related reference number Pi 2 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 and/or specification Floor plan Roof plan Structural calculations (stamped by Washington State licensed engineer ) Specific required information nn z. ■ ∎ 1c S A bLv■ \ - PCD d rn , c ,C -e dJ -1 ✓ e O - r Pt0 2cs S Cbcc)k- 2 << bzrct'l rck e ( 1,0Q-1-i c,vU 3. Other special instructions: - 1 - - - Y` lotuv• ��6 r MS(A■A Co L.ii\zt v tivS -611 t>vn _oe 4 , e 6YJ � 1,cA,,,Lb PE,{ U Other t 111 v requirement: Elevations Foundation W.S.E.C. Compliance Narrative Application # ti V REC arm or ruj ' JUL 3 1 2009 PEWIT c artEil Date - 7- 3 Oc (Authorization void 30 days after the date issued.) STATE OF WASHINGTON) COUNTY OF KING ) • CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 FAX (206) 431 -3665 E -mail: tukplancaaci.tukwila.wa.us AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION ss. [please print name] , states as follows: 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 G , 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. ` .•‘‘‘��llt11j1 1 Owner /O�Gner's Agent* \ � g10Nlt it o 3z201AR` r ✓ iQ • 'so - • J � 'i ,� A VB � \V p ig 1 1 %%% %% ��� Signed and sworn to before me this 3 i day of \--I (.k. j(j_, Residing at PERMIT NO: (41 -vfl 74, q e-d-9 'l OT ° ' Y PUBLIC in and for the State of Washington /K Name as commissioned: My commission expires: ()-5"e' —/ 6 Permit Center /Building Division 206 431 -3670 Public Works Department 206 433 -01 79 Planning Division 206 431 -3670 ,20 , County %tile 18.27.090 Exemptions. The registration provisions of this 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 46.7o 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 • chapter do not apply to: 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.