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HomeMy WebLinkAboutPermit D10-131 - BOLLYWOOD VIDEO & GROCERY - CAR DAMAGE REPAIRBOLLYWOOD VIDEO 14818 TLTKWILA INTERNATIONAL BL D1O-131 Cityef Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206- 431 -2451 Web site: http: / /www.ci.tukwila.wa.us DEVELOPMENT PERMIT Parcel No.: 0041000143 Permit Number: D10-131 Address: 14818 TUKWILA INTERNATIONAL BL TUKW Issue Date: 05/17/2010 Suite No: Permit Expires On: 11/13/2010 Tenant: Name: BOLLYWOOD VIDEO & GROCERY Address: 14818 TUKVVILA INTERNATIONAL BL , TUKVVILA WA Owner: Name: STEINBERG DOUG Address: 26519 CAMBRIDGE DR , KENT WA 98032 Phone: Contact Person: Name: DOUG STEINBERG Address: 26413 MILITARY RD S , KENT WA 98032 Phone: 206 - 841 -7501 Contractor: Name: OWNER AFFIDAVIT - DOUG STEINBERG Address: Phone: Contractor License No: SUBJECT TO FIELD INSPECTION Expiration Date: DESCRIPTION OF WORK: TEMPORARY BUILDOUT OF STOREFRONT. REPAIRS TO STRUCTURE WALLS AND GLASS STOREFRONT ALL DUE TO CAR DAMAGE Value of Construction: Type of Fire Protection: Type of Construction: $4,500.00 V -B Fees Collected: $306.95 International Building Code Edition: 2006 Occupancy per IBC: 0019 * *continued on next page ** doc: IBC -10/06 D10 -131 Printed: 05 -17 -2010 City ofkTukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www. ci.tukwila.wa.us SUBJECT TO MELD INSPECTION Permit Number: D10 -131 Issue Date: 05/17/2010 Permit Expires On: 11/13/2010 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: 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 Center Authorized Signature: e g I 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. autho ' ed to sign and obtain this development permit. Signature:! � Date: ,--57-)Z& 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: IBC -10/06 D10 -131 Printed: 05 -17 -2010 Parcel No.: 0041000143 Address: Suite No: Tenant: 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 14818 TUKWILA INTERNATIONAL BL TUKW BOLLYWOOD VIDEO & GROCERY r8UBJECT TO �1A�, t:r sNSPEr ON � Permit Number: Status: Applied Date: Issue Date: D10 -131 ISSUED 05/17/2010 05/17/2010 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 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 noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be obtained at City Hall m the office of the City Clerk. 5: 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. * *continued on next page ** doc: Cond -10/06 D10 -131 Printed: 05 -17 -2010 • 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 SUBJECT TO FIELD INSPECTION 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 D10 -131 Printed: 05 -17 -2010 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 Building Permit No. ko ( 6 C Mechanical Permit No. Plumbing /Gas Permit No. Public Works Permit No. Project No. (For office use only) 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: iqX/ el King Co Assessor's Tax No.: Ot (00 0 t 4 zj Suite Number: Floor: New Tenant: ❑ Yes ❑..No Tenant Name: Property Owners Name; 04 /4--C Mailing Address: /14/7//r4,--1 // City State Zip CONTACT PERSON - who do we contact when your permit is ready to be issued Name o t& ai .S -e b ,f r / Mailing Address o� (o v/5 41;1 T —, E -Mail Address: / 0 e4 g ,:51g /1 Day Telephone: City Fax Number: e Zip GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: / Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: State Zip ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: - Mailing Address: City Contact Person: Day Telephone: Fax .Number: State Zip E -Mail Address: ENGINEER OF RECORD All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: H \Applications\Forms- Applications On Line\2009 Applications \I -2009 - Permit Application.doc Revised 1 -2009 bh State Zip Page 1 of 6 BUILDING PERMIT INEOR11'ION 206 =431 3670'. 7 Z c 'c Valuation of Project (contractor's bid price): $ • S� /, Exirsttin uilding Valuation:: I$ Scope of Work (please provide detailed information): ✓-em er-y �a�1 0� o•7 cS "o,-'' 4A• Rra II—f .74° is it c<_c lu. "--P / ''t/ ��4 s. S (5-7C/rA /r Will there be new rack storage? ❑ Yes ❑.. No If yes, a separate permit and plan submittal will be required. Provide All. Building, Areas in Square�Footage;Below. • 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 ❑ 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. H: 1ApplicationsTorms- Applications On Line \2009 Applications11.2009 - Permit Application.doc Revised: 1 -2009 bh Page 2 of 6 . . • Existing ` Interior Remodel , Additionto: ',:: : Existing • Stricture .. , :New . "" " ..-'.. • '. ,::- iType;of ,, Construction -pert' , . ":'IBC ,`... Type• -of':- Occupancy per . IBC_ -. 1s Floor. 2 "d Floor•: ° . :3`4 Floor, Basement .Accesseory• ;Structure' . 'Attached'Garage'- ' - . Detached :Garage•. 1- Attaclied:Carport• :DetachedGaipoit Covered Deck ' Uncovered Deck 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 ❑ 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. H: 1ApplicationsTorms- Applications On Line \2009 Applications11.2009 - Permit Application.doc Revised: 1 -2009 bh Page 2 of 6 '.PUBLIC WORKS PERMIT INI 2MATION — 206 - 433-0179 Scope of Work (please provide detailed information): Call before you Dig: 1- 800 - 424 -5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate 0... Water District #125 ❑ .. Highline ❑...Valley View ❑ .. Renton ❑...Sewer Availability Provided ❑ .. Renton ❑ .. Seattle 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. Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way ❑ Non Right -of -way ❑ ❑ ...Total Cut cubic yards ❑ ...Total Fill cubic yards ❑...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ ...Traffic Impact Analysis ❑ ...Hold Harmless — (SAO) ❑ ...Hold Harmless — (ROW) ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Permanent Water Meter Size... WO # ❑...Temporary Water Meter Size.. 11 WO # ❑ ...Water Only Meter Size 11 WO 4 0... Deduct Water Meter Size ❑ ...Sewer Main Extension Public ❑ Private ❑ ❑ ...Water Main Extension Public ❑ Private ❑ FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) 0... Water ❑ ...Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip H:\Applications \Forms - Applications On Line \2009 Applications \I -2009 - Permit Application.doc Revised: 1 -2009 bh Page 3 of 6 MECHANICAL PERMIT INFOMATION. _ 206 - 431 -.3670 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): $ Scope of Work (please provide detailed information): Use: Residential: New .... ❑ Replacement .... ❑ Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas ....0 Other: Indicate type of mechanical work being installed and the quantity below: Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace <I00K 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 Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit <10,000 CFM Incinerator — Comm/Ind H:1Applications \Forms - Applications On Line12009 Applications 11 -2009 - Permit Application.doc Revised: 1 -2009 bh Page 4 of 6 PLUMBING AND GAS PIPINIERMIT INFORMATI PLUMBING AND GAS PIPING 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 Project (contractor's bid price): $ Scope of Work (please provide detailed information): Building Use (per Int'1 Building Code): Occupancy (per Int'I Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty 'Fixture Type: Qty Bathtub or combination bath/shower Bidet Clothes 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 Wash fountain Receptor, indirect waste Sinks Urinals Water Closet Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment Repair or alteration of drainage or vent piping Medical gas piping system serving 1 -5 inlets/outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric -type 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 H:'ApplicationsWorms- Applications On- Line\2009 Applications \1-2009 Permit Application.doc Revised: 1 -2009 bh Page 5 of 6 PERMIT APPLICATION NOTE'S_ Applicable to "allrotirgt(ih= his_ ap. 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. BUI Sig . ure: WNER OR AU HO • IZ i GEN % //�...��✓ Date: _ // n fc, Print Name Mailing Address: Day Telephone: �� ( /- %SQ City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:1Applications\Forms- Applications On L ine12009 Applications \\ -2009 - Permit Application.doc Revised: 1 -2009 bh Page 6 of 6 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 RECEIPT Parcel No.: 0041000143 Permit Number: D10-131 Address: 14818 TUKWILA INTERNATIONAL BL TUKW Status: PENDING Suite No: Applied Date: 05/17/2010 Applicant: BOLLYWOOD VIDEO & GROCERY Issue Date: Receipt No.: R10 -00852 Initials: User ID: Payee: WER 1655 Payment Amount: $306.95 Payment Date: 05/17/2010 11:59 AM Balance: $0.00 DOUG STEIN BERG TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. B82505 ACCOUNT ITEM LIST: Description 306.95 Account Code Current Pmts BUILDING - NONRES PLAN CHECK - NONRES STATE BUILDING SURCHARGE 000.322.100 000.345.830 640.237.114 Total: $306.95 183.30 119.15 4.50 =AYME' . T R doc: Receiot -06 Printed: 05 -17 -2010 INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION g- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: / ado Type of n: / Address: / N4/4 7-7— Q Date Called: Special Instructions: &(,( I 1 ilvc, -" / Q (�y�y Date Wanted: a.m. Requester: Phone No: 7_11/0 " ',0757%1 Approved per applicable codes. Corrections required prior to approval. COMMENTS: SP2(y (6-14A I ie qrispec 6r: A ,AMA... Date: 5 -5 - -/0 $60.00 REINSPECTION F REQUIRED. Prior to inspection, fee must be p id at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. eJpt No.: Date: INSPECTION RECORD INSPCTION NO. �- Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 b10- 13 1 PERMIT NO Project: (oi1q WOob Type of Inspection: 1I *..(- Address: ILEA S T'-`- Date Called: (d./e, 4 . Special Instructions: Date Wanted: (o -13— 1 O a,m- p.m Requester: I v�1 A 1,._ Phone No: ❑ Approved per applicable codes. ElCorrections required prior to approval. 7 COMMENTS: F.A. (^ >2,, SUS fc►.D�D c1{._(&) 6 U`1fiplQVkY✓ 4) _l.. lJ a - Ap.P (d./e, 4 . 3) to LAZi "J( — hype. ) FIZA AA, &J E, — Pt- PPEZ•4•10017 P..\ eri F -- LF? R 1[9 14 I I v�1 A 1,._ c-1- tJ A-- t— 4Inspe• tor: \`., ....AAA. 1 . 1.00 REINSPECT! . FEE REQ RED. Prior to inspection, fee must be id at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: Z 5- / 0 Rec. pt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 are INSPECTION RECORD Retain a copy with permit 010—/3/ PERMIT NO. I? (206)431 -3670 P(3j t� �0� �`� � Type of�nspection:, Address: t - 1 g T_; Date Called: Speciallnstructions: Date Wanted: 6-((�`iD —�an , P.m. Requester: Phone No: 4 i' - 7.n�` t 2 S ,31 ❑ Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: r Ak ►uJ 4, i i►. W :.) 9 A 9i'o.f2 ° s ❑ F or: r 1 Date: 1(®– 10 .00 REINSPECTION FEE R QUIRE . Prior to inspection, fee must be d at 6300 Southcenter Blvd., uite 00. Call to schedule reinvection. Recei•t No.: 'Date: CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -367o FAX (206) 431 -3665 E -mail: tukplan@ ci.tukwila.wa.us Permit Center /Building Division 206 431 -3670 Public Works Department 206 433 -0179 Planning Division 206 431 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON) COUNTY OF KING ) ss. t zs J ,Steci► d e -- [please print name] J 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 J3 , 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. , states as follows: PERMIT NO: it - 1 1 0 - .5-9 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. 4- Owner /O Signed and sworn to before me this 1 day of Y‘fCi- 20 VO NOTARY PUBLIC in and for the State of Washington Residing at , County Name as commissioned: My commission expires: S- l't - �� il 18.27.090 Exemptions. The regition provisions of this chapter do not apply 0 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; owner* who performs maintenance, repair, and ation work in or upon his or her own properties, or 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 elect ieaitoontractor's license under chapter 19.28 RCW '`4641 ''i,.ertified journeyman electrician, a certi wide tt% 1ty electrician, or an electrical tr4i �ai?�tYtin ••, requirements of chapter 19.a f‘6,4 ?,plitieen,ftsluntping work that is incidentally, directli, Wylie ;iateay, appropriate to the like -in -kind r i'ac�. pub a hq s" hold appliance or other small hous,'el u : • . .� ` s 'rptzlent that requires limited electric power an n dedzyv'. e and /or water connections. An electriQ>l} piIne' 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.