HomeMy WebLinkAboutPermit D12-403 - SPRUCE MOTEL - WATER DAMAGE REPAIRSPRUCE MOTEL
14442 T1JKWILA
INTERNATIONAL BL
D12 -403
City (cqukwila
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
DEVELOPMENT PERMIT
Parcel No.: 0040000252 Permit Number: D12-403
Address: 14442 TUKWILA INTERNATIONAL BL TUKW Issue Date: 01/11/2013
Suite No: Permit Expires On: 07/10/2013
Project Name: SPRUCE MOTEL
Owner:
Name: SHIVA ENTERPRISES INC
Address: 14442 PACIFIC HWY S , TUKWILA WA 98168
Contact Person:
Name: HARJINDER SHARMA
Address: 14442 TUKWILA INTERNATIONAL BL , TUKWILA WA 98168
Phone: 253 - 709 -5068
Contractor:
Name: OWNER AFFIDAVIT ON FILE - HARJINDER SHARMA Phone:
Address:
Contractor License No: Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
REMOVE, REPAIR AND REPLACE INSULATION, DRYWALL, SIDING AND CAULK 4' X 8' AREA THAT WAS REMOVED TO
ACCESS PLUMBING LEAK.
Value of Construction: $200.00 Fees Collected: $108.45
Type of Fire Protection: International Building Code Edition: 2009
Type of Construction: V -B Occupancy per IBC: 0020
Electrical Service Provided by: SEATTLE CITY LIGHT
* *continued on next page **
doc: IBC -7/10 012 -403 Printed: 01 -11 -2013
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:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
N
N
Water Main Extension:
Water Meter: N
Permit Center Authorized Signature:
I hereby certify that I have read an
governing this work will be compli
Number: 0 Size (Inches): 0
Start Time:
Volumes: Cut 0 c.y.
End Time:
Fill 0 c.y.
Start Time: End Time:
Private:
Profit: N
Private:
Public:
Non - Profit: N
Public:
Date: 01 t27
ned this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not pr
construction or the performance of work.
to this permit.
Signature:
Print Name:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this development permit and agree to the conditions attached
t- 1-72 -0 ( W D
Date: / /// 1
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: AU 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: All wood to remain in placed concrete shall be treated wood.
6: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building
inspector. No exception.
7: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
doc: IBC -7/10 D12-403 Printed: 01 -11 -2013
sewer connections, and properly fill or othe --, protect all basements, cellars, septic tank lls, and other
excavations. Final inspection approval will ermined by the building inspector based dePatisfactory completion of
this requirement.
8: 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.
9: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila
Building Department (206- 431 - 3670).
10: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
11: 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 D12 -403 Printed: 01 -11 -2013
CITY OF TUKN'r,A
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Pet No. 1).04(Th
Project No,
Date Application Accepted:
Date Application Expires:
(For office use only)
CONSTRUCTION PERMIT APPLICATION
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
Y I ' �j King Co Assessor's Tax No.: t^ O 4t ODD c9 4;2.6" a • o=7.-
Site Address: P i �I t1 a Po- / k)
Tenant Name:
PROPERTY OWNER
Name: l,%i"a_ u f Iv /2: vs' /,.fvf it 0i 0
Name: 1.. 72 a / n,D l /2_ \
/ /•Z. al 4
Address: r ti ti ,,f a yo (, ki yS
City: [(.f/( tAy l t A State: Zip: q.-1 6p
CONTACT PERSON — person receiving all project
communication
Name: l,%i"a_ u f Iv /2: vs' /,.fvf it 0i 0
Address: i Li Li 1-- pet c ' H s
City: 7C l C „,l 1 IF State: km Zip:(If,
Phone: o2S3 q- J.66 p Fax: o6_ (139_oso7}
Email: C' Th-iC F. 1�% %
V'i�t2S Ai•,� i3 a
GENERAL CONTRACTOR INFORMATION
Company Name:
Address:
Company Name:
City:
State:
Zip:
Phone:
Fax:
City:
State:
Contr Reg No.:
Phone:
Exp Date:
Tukwila Business License No.:
H \ApplicationsWorms- Applications On Line \2012 Applications\Permit Application Revised - 2- 7- 12.docx
Revised: February 2012
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Suite Number: I 1 Floor: 412 0 t4 WI)
New Tenant: ❑ Yes O.. No
ARCHITECT OF RECORD
Name:
Address:
Company Name:
Architect Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Name:
Address:
Company Name:
Engineer Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name:
Address:
City: State: Zip:
Page 1 of 4
BUILDING PERMIT INFORMATIOk 206 -431 -3670
ANN
Valuation of Project (contractor's bid price): $ Z,�f 1) �'
J ( p ) Existing Building Valuation: $
Describe the scope of work (please provide detailed information): / E/i-i (,ii --- f / ' E 7 Z'i -1 P` / e ,�'
%St J 1.4.72 0YL1/ 1')1` t o> p9-�t- ( S 1 S il' G e, z . L.fl _ ,L"'Y ( /xE &-74--
o &-----6 l L
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:
[A Sprinklers d 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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Revised: February 2012
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Page 2 of 4
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
tat Floor
X
f u St--(L r )�
2nd Floor
3rd 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:
FIRE PROTECTION/HAZARDOUS MATERIALS:
[A Sprinklers d 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 4
PERMIT APPLICATION NOTES —
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER 0 AUTHORIZED AG T:
Signature: (- Date: / .3-/..)--/ , / Z..
Print Name: %� &J t V J oS`' ilf1 -12 1 Day Telephone: 02 .5-3 - -3'0 9 ` —Sb 6 8
Mailing Address: % I(ti C/®Z "Q c • /i wx, S. /c w/ L4 904)
City State Zip
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Page 4 of 4
PUBLIC WORKS PERMIT INFO A'1ATION — 206 -433 -0179
Scope of Work (please provide detailed information):
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ .. Tukwila ❑ ...Water District #125
❑ .. Water Availability Provided
Sewer District
❑ .. Tukwila
❑ .. Sewer Use Certificate
❑... Highline
❑...Valley View ❑...Renton
❑ ...Sewer Availability Provided
0... Renton
0... 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)
❑ .. Bond 0... Insurance 0... Easement(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
❑ .. Total Fill
cubic yards
cubic yards
❑ .. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
❑ .. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
❑.
❑.
Geotechnical Report
.. Maintenance Agreement(s)
❑ .. Traffic Impact Analysis
❑ .. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
0... Right-of-way Use - Profit for less than 72 hours
0... Right-of-way Use — Potential Disturbance
0... Work in Flood Zone
0... Storm Drainage
❑... Abandon Septic Tank
❑...Curb Cut
0... Pavement Cut
0... Looped Fire Line
Domestic Water
❑ .. Permanent Water Meter Size (1)
❑ .. Temporary Water Meter Size (1)
❑ .. Water Only Meter Size
❑...Grease Interceptor
❑ ... Channelization
❑ ... Trench Excavation
0... utility Undergrounding
WO # (2) " WO # (3)
WO # (2) " WO # (3)
WO # ❑ .. Deduct Water Meter Size
❑ .. Sewer Main Extension Public ❑ Private ❑
❑ .. Water Main Extension Public ❑ Private ❑
" WO#
" WO#
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ .. Water ❑ .. Sewer ❑ .. Sewage Treatment
Monthly Service Billing to:
Name:
Mailing Address:
Day Telephone:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State Zip
Day Telephone:
City
State Zip
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Page 3 of 4
• •
City of Tukwila
Department of Communi Development
6300 Southcenter Boulevard, Suite p
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.TukwilaWA.gov
RECEIPT
Parcel No.: 0040000252 Permit Number: D12-403
Address: 14442 TUKWILA INTERNATIONAL BL TUKW Status: PENDING
Suite No: Applied Date: 12/31/2012
Applicant: SPRUCE MOTEL Issue Date:
Receipt No.: R12 -03401
Payment Amount: $108.45
Initials: WER Payment Date: 12/31/2012 10:37 AM
User ID: 1655 Balance: $0.00
Payee: SHIVA ENTERPRISES
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5493 108.45
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - NONRES
PLAN CHECK - NONRES
STATE BUILDING SURCHARGE
000.322.100
000.345.830
640.237.114
Total: $108.45
63.00
40.95
4.50
rinr.• RAr. Ant -nR
Printed. 17- 31 -7n19
INSPECTION RECORD r Z 0
Retain a copy with permit
INSP TION NO. PERMIT NO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
‘Proiect: �!u f
Albs r A
Typrf,In yec p. g (4:4C.
Address
Date Calte
tt ,�G4 4
�,13
Special Instructions:
Date Wanted:
(4, (a - (3 p.m.
requester:
Phone No
i_,10t49 -2.4 9930
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
P
An°ro ATIOP
• `
Date: _ _r 3 —
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. tall 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 122 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Lo 2,
Project:
Type of Inspection:
Address:
Iyyy7 T T
C2
Date Called:
r
Special Instructions:
.
1
Date Wanted:.
1- i lam- t 3.m:.
ra.m.
Requester:
•
Phone No:
,IOG -C10} -578
•
Approved per applicable codes. El Corrections required prior.to approval. c
COMMEN`FS:,``
£VA&7 % 144
Date:
REI PECTION FEE REQUIRED. Prior to /next inspection. fee mist be.
pai¢/at 6300 Southcenter 131‘4, y. Suite 100. Call to schedule .reinspection.
EOht1Q
831NR3 1114183d
ZiOZ t £ 330
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3Ao11/3?I
SOLD TO ACCOUNT 0873288153
SHIVA ENTERPRISES INC
14442 PACIFIC HWY S
TUKWILA WA 98168 -4325
PURCHASE ORDER NUMBER
VERBAL
DELIVERY DATE AND TIM
12/27/2012 14:30
DEPARTMENT NUMBER
DBT /CRD CODEJ
Z001
SALES 0
1 1171976
CALLER
HARJINDER SHARMA
REQUISITIONER
BRANCH ADDRESS
6725 Todd Blvd
Tukwila
(425) 251-5030
TELEPHONE NUMBER
2062449930
PROJECT NUMBER
SHIP TO
SHIVA ENTERPRISES INC
14442 PACIFIC HWY S
TUKWILA WA 98168 -4325
ATTENTION
PO RELEASE NUMBER r
CHECK #
CHECK AP
AP. EO .L INL T MGITIW,. :, ",
' =i1 . : ;«s
SALES TEI
THAI
CARRIER NAME
COUNTER
l I PIECES
I FRI
ITEM DESCRIPTION ITEM
NUMBER SHIP QTY BACKORDER MESSAGE
Elbow 90 Deg Close Rough 1.25 In C
Coupling C Wrot Cu 1 1/4 In 1 3/8
Union 1 -1/4 In NPT Malleable Iron
Adapter CxMNPT Cu 1 1/4 In 1 3/8 I
Type M Hard length Water 1 1/4 In.
5P055
1VLH8
5P961
1VLW6
3ZA97
2
2
1
3
1
Uronl IMf rotom for pMll and or replacement of the above listed Grainger
Iirxhrtisl. customer warrants and represents that no {Popery damage or personal
iryury has omitted from Ion of returned products) and conker r huther styes
that it wyl not assert any claim against W.W.Gla(nger. Inc. Its subsidiaries and
■wngrn or Its suppliers in any sue involving the above listed product(e1.
These Items are sold for domestic consumption In the United States. If
exported. purchaser essume0 full responsibility for compliance with US
vapors crosr5M1.
!017 THE ONES WHO GET IT DONE
f
SAP DELIVERY
216087275
111 11111111
11
111
1 certify that It 1 am purchasing 1110 maters
trade' as defined in the Hazardous Mater
49 of the Code W Federal Reputations I
material(s) M diced support Of my princlp
not transportation). and I do not Intend to
transport I*em n a ve*Wie m110r Iitan my
06 -03 -2013
City of'Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
HARJINDER SHARMA
14442 TUKWILA INTERNATIONAL BL
TUKWILA WA 98168
RE: Permit No. D12 -403
SPRUCE MOTEL
14442 TUKWILA INTERNATIONAL BL TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 07/15/2013.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 07/15/2013, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
cii(-}11)
Bill Rambo
Permit Technician
File: Permit File No. D12 -403
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 - 431 -3670 • Fax 206 - 431 -3665
•
PE T CO COPY
PLAN REVIEW/ OUTING SLIP
ACTIVITY NUMBER: D12 -403 DATE: 12-31-12
PROJECT NAME: SPRUCE MOTEL
SITE ADDRESS: 14442 TUKWILA INTERNATIONAL BL
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Issued
DEPAR�(T�MiENT � � ` � 1 lb
i g' uivis
B I In Ivlslon
5 Inc or
Awe ASP 1-1-13
Pw1NIpDI-o2
Fire Prevention toi Planning Division
Structural n Permit Coordinator nj
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Incomplete
n
DUE DATE: 01 -01 -13
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 N Structural Review Required n No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved
Notation:
Approved with Conditions
tit/
DUE DATE: 01 -29 -13
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
1
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -3670 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
PERMIT NO: )11:.--40.2.x5
STATE OF WASHINGTON)
COUNTY OF KING
ss.
tz2 l /r_o l z s-PH 4-/2- te's s follows:
[please print name]
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 1 ,, 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.
E A.
T44
I so
A!/eL�G
#44Its '219
IttrasTope
Owner /Owner's A
Signed and sworn to before me this
1 day of
64 Qa1/6"(
PUBLIC in and for the State of Washington
, 20 13.
Residing at
/rf O_ , County
Name as commissioned:
My commission expires: 0.2 (%'/ L7
•
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 46.70 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
chapter do not apply to:40
by a registered contractor;
11. An owner* who contracts for a project with a registered
contractor, except that this exemption shall not deprive the
owner of the protections of this chapter against registered
and unregistered contractors. The exemption prescribed in
this subsection does not apply to a person who performs
the activities of a contractor for the purpose of leasing or
selling improved property he or she has owned for less than
twelve months;
12.* Any person working on his or her own property,
whether occupied by him or her or not, and any person
working on his or her personal residence, whether owned
by him or her or not but this exemption shall not apply to
any person who performs the activities of a contractor on
his or her own property for the purpose of selling,
demolishing, or leasing the property;
13. An owner* who performs maintenance, repair, and
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
14. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of the
state of Washington or licensed by a political subdivision of
the state of Washington while operating within the
boundaries of such political subdivision. The exemption
provided in this subsection is applicable only when the
person certified is operating within the scope of his or her
certification;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. A mobile /manufactured home dealer or manufacturer
who subcontracts the installation, set -up, or repair work to
actively registered contractors. This exemption only applies
to the installation, set -up, or repair of the
mobile /manufactured homes that were manufactured or
sold by the mobile /manufactured home dealer or
manufacturer;
18. An entity who rol s a valid+' elkc$ritral contractor's
license under chat,�...r1g'.28 RCW;tl at er;gploys a certified
journeyman elec • i ; a certified%i'esidehtial specialty
electrician, or an ele frical trainee m4ptingthe
requirements of chapter 19.28 RCW tctpe orm plumbing
rni c
work that is incjdennally, directly; and i ediately
appropriate to theOg -in -kit- replacement of a household
appliance or other=, sri�a� `il.4iousehpld``utiljzation equipment
that requires limited 7 �ic�powe'r and limited waste
and /or water connecti6ns.,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 purposes of exemptions.
z�z
b
FE COPY
Perm!' hio.
p, r^• t,e NN! approval is subject to err° : C i omission&
it,+ s, c E ttiuction documents d• .« not authelte
Lily adopted code or or . i ance. Receipt.
a�s;vVvi Cop and conditions is acknowledged:
By
Date:
1 o �
\ °I
City • 1Ukwila
BUIIDIN DIVISION
No changes s
r :1work wi
u ail
any may irrc ud
ol
REVISIONS
all be made to the scope
out prior approval of
Building Divis on.
10 require a new plan submittal
additional plan review fees.
AP.AT E PERMIT
I .QUIRED FOR
Mechanical
CI Electrical
I'Iumbing
(3011asPipIng
City of Tukwila
P -ILDING DIVISION
D 403
1
REVIEWED FOR
CODE COMPLIANCE
APPROVED
JAN 0 8 'nil
City of Tukwila
BUILDING DIVISION
RECEIVED
CITY OF TUKWIL..A
DEC 3 1 2012
PERMIT CENTER
REVIEWED FOR
ooiA�R aVEDNCE
JAN 0 'n1'
City of l ukwila
BUILDING DIVISIQN
RECEIVED
CITY OFTUKWILA
DEC 3 1 2012
,'PERMIT; CENTER