HomeMy WebLinkAboutPermit D11-309 - VASQUEZ RESIDENCE - PORCHVASQUEZ RESIDENCE
16216 47 AV S
Di 1-309
Parcel No.:
Address:
Suite No:
Project Name:
City olkukwila •
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.TukwilaWA.gov
5379800482
16216 47 AV S TUKW
VASQUEZ RESIDENCE
DEVELOPMENT PERMIT
Permit Number:
Issue Date:
Permit Expires On:
D11 -309
11/16/2011
05/14/2012
Owner:
Name: VASQUEZ FIDENCIO +ALICIA MOR
Address: 16216 47TH AVE S , TUKWILA WA 98188
Contact Person:
Name: RODRIGO VASQUEZ
Address: 16216 47 AV S , TUKWILA WA 98188
Phone: 206 - 371 -0933
Contractor:
Name: OWNER AFFIDAVIT - FIDENCIO VASQUEZ Phone:
Address:
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
CONSTRUCT PORCH
Value of Construction: $1,500.00
Type of Fire Protection:
Type of Construction: V -B
Electrical Service Provided by: PUGET SOUND ENERGY
Fees Collected:
International Building Code Edition:
Occupancy per IBC:
$177.75
2009
0022
* *continued on next page **
doc: IBC -7/10
D11 -309
Printed: 11 -16 -2011
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant:
Flood Control Zone:
Hauling:
Land Altering:
Landscape Irrigation:
Moving Oversize Load:
N Number: 0
N
Start Time:
Volumes: Cut 0 c.y.
Size (Inches): 0
End Time:
Fill 0 c.y.
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:
Date: 11' 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 am authorized to sign and obtain this development permit and agree to the conditions attached
to this permit.
Signature: /11 `�� � Date: //
Print Name: � /t°/J 5/D
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.
PERMIT CONDITIONS:
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 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: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to any
requirements for special inspection.
6: 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
doc: IBC -7/10
D11 -309 Printed: 11 -16 -2011
this requirement.
•
7: All construction noise to be m compliance 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.
8: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
9: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
doc: IBC -7/10
D11 -309 Printed: 11 -16 -2011
CITY OF TUKV'W.A
Community DevelaWent Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Pe. No. ? ` ?01
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
/ King Co Assessor's Tax No.:
Site Address: /621CO C/7 t'i4 hitt S 1 oh t-114ez non Suite Number: Floor:
New Tenant: ❑ Yes
Tenant Name:
v_Iw
Property Owners Name: r / Cl vQ,6 a,(,i'e.2,
Mailing Address: /��. / (p q/ T 14 tie IS
-z.
tlJ1cli t
City
State
❑..No
Zip
CONTACT PERSON — who do we contact when your permit is ready to be issued
r
Name:
Mailing Address:,/ % f) 4 Pi c oe
E -Mail Address:
Day Telephone: ,t2. 0 �O J .371- 0 ?53
City State Zip
Fax Number:
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Expiration Date:
Contact Person:
E -Mail Address:
Contractor Registration Number:
State
Zip
ARCHITECT OF RECORD — All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
Fax Number:
E -Mail Address:
State
Zip
ENGINEER OF RECORD — All plans must be stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
H: \Applications\FortnsApplications On Line\2010 Applications \7-2010 - Permit Application.doc
Revised: May 2011
bh
State
Zip
Page 1 of 6
BUILDING PERMIT INFORMATION — 206 - 431 -3670
blMaluation of Project (contractor's bid pW: $ S-00
',Awe of W i ork,(please provide detailed information): �Q t`GGI
Existingiilding Valuation: $
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:
fiFIRE 1 ROTECTION/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:1Applications\Forms- Applications On Line12010 Applications17 -2010 - Permit Application.doc
Revised: May 2011
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Page 2 of 6
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1" Floor
2°d Floor
rd Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
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:
fiFIRE 1 ROTECTION/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:1Applications\Forms- Applications On Line12010 Applications17 -2010 - Permit Application.doc
Revised: May 2011
bh
Page 2 of 6
PERMIT APPLICATION NOTES — Aleicable to all permits in this application •
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
Building and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
Plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition).
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWN R OR AUTHORIZED AGENT: ^�
G
Signature: f/ den �. t o V Ct ,) e . C
Print Name: JC/ de14C C 0 V a 5 de 2. t3
Mailing Address:
Date: 9 - ` 1 1 (
Day Telephone. (2 a 6) {p y
City
IDate Application Accepted: G . (
Date Application Expires:
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc
Revised: May 2011
bh
Staff Initials) ,(
1
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.TukwilaWA.00v
Parcel No.: 5379800482
Address: 16216 47 AV S TUKW
Suite No:
Applicant: VASQUEZ RESIDENCE
RECEIPT
Permit Number: D11 -309
Status: PENDING
Applied Date: 09/12/2011
Issue Date:
Receipt No.: R11 -01993
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $177.75
Payment Date: 09/12/2011 04:00 PM
Balance: $0.00
FIDENCIO VASQUEZ
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 155914
ACCOUNT ITEM LIST:
Description
177.75
Account Code Current Pmts
BUILDING - NONRES
PLAN CHECK - NONRES
STATE BUILDING SURCHARGE
000.322.100
000.345.830
640.237.114
Total: $177.75
105.00
68.25
4.50
doc: Receipt -06 Printed: 09 -12 -2011
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
DtL 3
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Proj ct:
AS q Jf----2 --
£ J c>
Type Inspecti n:
- !kJ /M,� .g.1.
I,�
\ �0 A G
Address:
rc21Co
111‘ A-ai,
Date Called:
Special Instructions:
Date Wanted:. — — i
m.t
p.m
Requester:
Phone No:
21, 0 -3'7(—
(31 13
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
� M r Ltpt eb
1mn5PeZ:
Date: I L _
T7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
•
2
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
Permit Inspection Request Line (206) 431 -2451
X11 -3v� -�
Project:
VASoof-7. �rS .
Type of Inspection:
F- (I eAl' J C.
Address: • '
1-I -7 A t 1
1 i� I l.4. S
Date Called: '
�' - 19 '
Special Instructions:
.
r) St. 5L8 -r)(
_etwI.
Date Wa ted:.
I ' 2 _ - 2 3 - / i
rfr.
p.m.
Requester:
Phone No:
_220-6,37 - /c'�
Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
fr
IDate:/ z
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
•
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
Permit Inspection Request Line (206) 431 -2451
31t.-301
Pro t� {
Ins ec
Type o '
Address. ` V'11
Date Called:
i
Special Instructions:
0 5g---ti -0( A
Date Wanted:.
I.
I a.m.
_Z1 (1
Requester:
(_'r_
Phone (
--
39 J' IOG.
Approved per applicable codes. Corrections required prior to approval.
COMMENTS: .
D1(--
(Inspector:
Date:
REIN SPECT�ON FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
•
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o PLANNING APPROVED
fp changes can be made. to these
> plans without approval from the
t Planning Division of DCD
roved By:,g;_
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REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
rs,vlslcns will require a new plan submittal
and may include additional plan review fees.
-31111 • 3
�F. ,P,`VIE PERMIT
fL.'QU RED FOR:
i_ echanical
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C rpiumbing
Las Piping
of Tukwila
L Z.JI► `MNO DIVISION
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ee
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PILE COPY
is O.DLt -,Vq
P ; approval is subject to errors and =Wire.
1-:; 'g3f construction documents does not authOrils
_t any 'dopted code or ordinance. Receipt
ro Field Copy and conditions is acknowledg d:
Crftrift•
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City Of 1Uk�aita
BUILDING DIVISION
REVIEWED FOR
CODE COMPLIANCE
APPROVED
NOV 15 2011
City of Tukwila
BUILDING DIVISION
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RECEIVED
OCT 212011
CE
•
Gity of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
Rodrigo Vasquez
16216 47 Av S
Tukwila, WA 98168
RE: Correction Letter #1
Development Permit Application Number D11 -309
Vasquez Residence —16216 47 Av S
Dear Mr Vasquez,
This letter is to inform you of corrections that must be addressed before your development permit can be
approved. All correction requests from each department must be addressed at the same time and
reflected on your drawings. I have enclosed comments from the Building and Planning Departments. At
this time the Fire and Public Works Departments have no comments.
Building Department: Allen Johannessen at 206 433 -7163 if you have questions
regarding the attached comments.
Planning Department: Jaimie Reavis at 206 - 431 -3659 if you have questions regarding
the attached comments.
Please address the attached comments in an itemized format with applicable revised plans, specifications,
and /or other documentation. The City requires that four (4) sets of revised plans, specifications and/or
other documentation be resubmitted with the appropriate revision block.
In order to better expedite your resubmittal, a `Revision Submittal Sheet' must accompany every
resubmittal. I have enclosed one for your convenience. Corrections /revisions must be made in person
and will not be accepted through the mail or by a messenger service.
If you have any questions, please contact me at (206) 431 -3670.
Sincerely,
Bill Rambo
Permit Technician
encl
File No. D11 -309
W:\Permit Center \Correction Letters \2011\D11 -309 Correction Letter #1.doc
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Tukwila Building Division
Allen Johannessen, Plan Examiner
Building Division Review Memo
Date: September 16, 2011
Project Name: Vasquez Residence
Permit #: D11 -309
Plan Review: Allen Johannessen, Plans Examiner
The Building Division conducted a plan review on the subject permit application. Please address the
following comments in an itemized format with revised plans, specifications and/or other applicable
documentation.
(GENERAL NOTE)
PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size).
(If applicable) Structural Drawings and structural calculations sheets shall be original signed wet
stamped, not copied.)
1. Plan shows notching the outside rafters for the outlook boards. Code specifies "Notches in solid
lumber joists, rafters, blocking and beams shall not exceed one -sixth of the depth of the member,
shall not be longer than one -third of the depth of the member and shall not be located in the middle
one -third of the span." Therefore the method proposed shall not meet code. Propose another method
of supporting the outer rafter. On method would be to extend the beam out to the overhang. Provide
dimensions for the overhang width. (2009 RC R802.7.1)
2. Provide a method of lateral bracing of the front of the porch at the beam and post. Typically one way
would be to provide diagonal cross bracing of a minimum 24 inches with a minimum size 2x4 or a
4x4 from post to beam. Provide details for lateral bracing.
3. Show slope of roof and specify type of roofing. Shingle roofing shall not meet code for roof slopping
less than a 2/12 pitch.
4. Provide dimensions for the elevation of the porch roof to the concrete pad below to show head room
meets minimum clearance.
5. Where the rafters extend into the existing roof, the 2x8 rafter will set higher than the roof truss top
cord. Provide a detail for that section and show blocking provided with attic ventilation holes drilled
in each block. Bird blocks shall be provided with bird screening over the drilled holes. Typically
three holes at 2 inches are drilled in each block.
Should there be questions concerning the above requirements, contact the Building Division at 206-
431 -3670. No further comments at this time.
• •
PLANNING DIVISION COMMENTS
DATE: October 3, 2011
APPLICANT: Rodrigo Vasquez
RE: D11-309
ADDRESS: 16216 47th Ave S (parcel #537980 -0482)
Please review the following comments listed below and submit your revisions accordingly.
1) The required side yard setback from the north property line is 5 feet, and the proposed
porch addition is set back from the north property line 4 feet 3 inches (4'3 "). Please
revise the plans and design of the porch addition to either (1) set back the porch the
required 5 feet from the north property line, or (2) reduce the length of the porch from 15
feet to a maximum of 14 feet and 1 inch (14'1"), per Tukwila Municipal Code section
18.70.050 (6) Nonconforming Structures:
Single family structures in single-family zoning districts, which have legally
nonconforming building setbacks, shall be allowed to expand the ground floor
only along the existing building line, so long as the existing distance from the
nearest point of the structure to the property line is not reduced, and the square
footage of the new intrusion into the setback does not exceed 50% of the square
footage of the current intrusion.
If you have any questions related to the comments above, Jaimie Reavis is the planner assigned to the file
and can be reached at 206 - 431 -3659.
• •
PLANE! EVIEW /ROUTING SLIP
ACTIVITY NUMBER: D11 -309 DATE: 10 -21 -11
PROJECT NAME: VASQUEZ RESIDENCE
SITE ADDRESS: 16216 47 AV S
Original Plan Submittal Response to Incomplete Letter #
X Response to Correction Letter # 1 Revision # After Permit Issued
DEPARTMENTS: "
ulding Division
Public Works ❑
Fire Prevention
Structural
n
Planning Division
Permit Coordinator
It -ts -t(
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 10 -25-11
Complete
Incomplete
n
Not Applicable
Comments:
Permit Center Use Only . . •
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROUTING:
Please Route M Structural Review Required
REVIEWER'S INITIALS:
No further Review Required
DATE:
APPROVALS OR CORRECTIONS:
Approved
Notation:
Approved with Conditions 1\i
DUE DATE: 11-22-11
Not Approved (attach comments)
REVIEWER'S INITIALS: DATE:
Permit Center. Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents/routing slip.doc
2 -28 -02
PE
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: 011 -309
PROJECT NAME: VASQUEZ RESIDENCE
SITE ADDRESS: 16216 47 AV S
X Original Plan Submittal
Response to Correction Letter #
DATE: 09 -12 -11
Response to Incomplete Letter #
Revision # After Permit Issued
EPAR MEN S:
Building ivision
�ublic rks
61-43'4
ire Prevention IN
Structural
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete
DUE DATE: 09-13-11
Not Applicable
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROUTING:
Please Route Structural Review Required
REVIEWER'S INITIALS:
No further Review Required
DATE:
APPROVALS OR CORRECTIONS:
Approved Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE: 10-11-11
Not Approved (attach comments) ;g,
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED: 10-8— t
Departments issued corrections: Bldg Fire EJ Ping PW ❑ Staff Initials:
Documents /routing slip.doc
2 -28 -02
i�
•
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
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: 1 C3 -2 1 i
❑ Response to Incomplete Letter #
Plan Check/Permit Number: D11-309
• Response to Correction Letter # 1
❑ Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Project Name: Vasquez Residence
Project Address: 16216 47 Av S
Contact Person: ZICket y Phone Numb :
Summary of Revision: ec� S1 �P p\�.n o c\s\r caC enc\ Qk
AECENED
PERMIT CENTER
Sheet Number(s): 2
"Cloud" or highlight all areas of revision including date of revi. ' n
Received at the City of Tukwila Permit Center by:
Entered in Permits Plus on to
\applications \forms- applications on line\revision submittal
Created: 8 -13 -2004
Revised:
CITY OF TUKWILA
Department qf Community Development
630o Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -3670 FAX (206) 931 -3665
E -mail: tukplanCa)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)
) ss.
COUNTY OF KING
, states as follows:
PERMIT NO: l t I
1. 1 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 Tulcwila 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 /Z , 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.
owlr /Owneei "Agent*
Signed and sworn to before me this
to day of
,20 \\
NOTARY PUBLIC in and for the State of Washington
C , County
Name as commissioned: \ &Ck,f
My commission expires: c\ 1 LI
Residing at
18.27.090 Exemptions. The registration provisions of this
i. An authorized representative of nited 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;
g. 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 applo
rector;
by a registered
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;
i2.* 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;
i8. 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 meetini the `
requirements of chapter 19.28 RCW to pt£p plumbing
work that is incidentally, directly; spa , ;mugediately
appropriate to the like -in -kind rbplkrktnenj,of Chousehold
appliance or other small household 1pll atj`ar1equipment
that requires limited electric power old limited waste
and /or water connections. An elftirical trainee must be
supervised by a certified electricia114ile 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 exemption&