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:
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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.
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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.
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'.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
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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
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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
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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:
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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.