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Home My WebLink AboutPermit EL18-1112 - BUCKLEY RESIDENCE - MOVE MAST, REPLACE METER BASE AND PANEL, INCREASE CAPACITY AND REWIREBUCKLEY RESIDENCE 3425 S 128T" ST 1 FINALED 11/10/2020 ELI8-1112 Parcel No: Address: Project Name: 0 City of Tukwila O Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.eov 7359600285 3425 S 128TH ST 1 BUCKLEY RESIDENCE ELECTRICAL OTC PERMIT Permit Number: EL18-1112 Issue Date: 12/31/2018 Permit Expires On: 6/29/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: LARSEN LARS PO BOX 68085 , SEATTLE, WA, 98168 RICHARD BUCKLEY 3425 5 128TH ST , TUKWILA, WA, 98168 AFFIDAVIT- ROBERT BUCKLEY I 1/f Phone: (206) 412-3360 Phone: Expiration Date: DESCRIPTION OF WORK: MOVE MAST AND METER REPLACE METER BASE , REPLACE PANEL, INCREASE CAPACITY TO 200A SERVICE. REVISION #1: REWIRE ENTIRE UPSTAIRS (21 CIRCUITS) Valuation of single family: $2,000.00 Valuation of mf/comm: $0.00 Type of Work: SERV CHNG Fees Collected: $194.67 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 Date:�(40 '17 f / I hearby 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: Print Name:A Date: 2-- - ci This permit shall become null and void if the work is not commenced within 180 days for 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: ***ELECTRICAL PERMIT CONDITIONS*** 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296-46B WAC and the Washington Cities Electrical Code. 5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the building, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector. 6: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that presumes to grant this authority are therefore not valid. 7: Any change in the scope of work described by the electrical work permit shall require additional work permits. Where approved plans have been issued, revisions to the plans and additional review may be required. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB Parcel No: Address: City of Tukwila 0 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov 7359600285 3425 S 128TH ST 1 Project Name: BUCKLEU RESIDENCE ELECTRICAL OTC PERMIT Permit Number: Issue Date: Permit Expires On: EL18-1112 12/31/2018 6/29/2019 Owner: Name: Address: LARSEN LARS PO BOX 68085 , SEATTLE, WA, 98168 Contact Person: Name: RICHARD BUCKLEY Address: 3425 S 128TH ST, TUKWILA, WA, 98168 Contractor: Name: AFFIDAVIT- ROBERT BUCKLEY Address: License No: Lender: Name: Address: Phone: (206) 412-3360 Phone: Expiration Date: DESCRIPTION OF WORK: MOVE MAST AND METER REPLACE METER BASE , REPLACE PANEL, INCREASE CAPACITY TO 200A SERVICE. Valuation of single family: $2,000.00 Valuation of mf/comm: $0.00 Type of Work: SERV CHNG Fees Collected: $90.35 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 Permit Center Authorized Signature: Date: \ ' y ` 49 I hearby 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: 11A ) �/` Date Print Name: 1�+ clic( £ cam _ This permit shall become null and void if the work is not commenced within 180 days for 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: ***ELECTRICAL PERMIT CONDITIONS*** 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296-46B WAC and the Washington Cities Electrical Code. 5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the building, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector. 6: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that presumes to grant this authority are therefore not valid. 7: Any change in the scope of work described by the electrical work permit shall require additional work permits. Where approved plans have been issued, revisions to the plans and additional review may be required. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. EC U 11 12— Project Z Project No. Date Application Accepted: ' 3 i 1— 113 Date. Application Expires: (For office use only) ELECTRICAL 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 Site Address: 3425 S 128th Street King Co Assessor's Tax No.: 735960-028505 Suite Number: Floor: Tenant Name: Richard Buckley PROPERTY OWNER Name: Richard Buckley Address: 3425 S 128th Street Name: Richard Buckley Phone: (206) 412-3360 Fax: Email: richardebuckley@gmail.com Address: 3425 S 128th Street City: Tukwila State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: Richard Buckley Address: 3425 S 128th Street City: Tukwila State: WA Zip: 98168 Phone: (206) 412-3360 Fax: Email: richardebuckley@gmail.com New Tenant: ® Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: OWNER WILL PERFORM WORK Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 2,000 Scope of Work (please provide detailed information): Move Mast and Meterst Replace meter base$. Replace beth- panes. Increase capacity to 200A service. Will service be altered? m Yes ❑ No Adding more than 50 amps? m Yes ❑ No Type of use: Standard Residential use. Want to create additional space for future upgrades. Type of worlc ❑ New 0 Addition j Service Change m Remodel 0 Tenant Improvement ❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: 0 Puget Sound Energy ® Seattle City Light W:'Permit Center Applications -Handouts \Pernit Applications \PDF's\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuilding ❑ Low voltage systems (alarm, furnace thermostat) $155.91 $83.54 ea $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ✓ Service change or alteration $83.54 (no added/altered circuits) ❑ Service change with added/altered circuits $83.54 number of added circuits $12.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) El Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea ✓ Meter/mast repair $69.62 ❑ Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $66.30 ❑ Temporary service (generator) $82.52 ❑ Manufactured/mobile home service $87.98 (excluding garage or outbuilding) O Carnivals $82.21 Number of concessions $11.02 ca Each ride and generator truck $11.02 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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 extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. 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 OR ELECTRICAL CONTRACTOR: Signature: Date: 12/31/2018 Print Name: Richard Buckley Day Telephone: (206) 412-3360 Mailing Address: 3425 S 128th Street Tukwila WA 98168 City W:Nemtit Center\Applicatims-Ha detasJermil ApplicationsWDFslEleurical Permit Application Revised 1.1-17.docc Revised: January 2017 bh State Zip Page 2 of 2 f1 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $104.32 EL18-1112 Address: 3425 S 128TH ST 1 Apn: 7359600285 $104.32 Credit Card Fee $3.04 Credit Card Fee R000.369.908.00.00 0.00 $3.04 ELECTRICAL $96.46 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $96.46 TECHNOLOGY FEE $4.82 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R16991 R000.322.900.04.00 0.00 $4.82 $104.32 Date Paid: Tuesday, February 26, 2019 Paid By: RICHARD BUCKLEY Pay Method: CREDIT CARD 59870D Printed: Tuesday, February 26, 2019 2:21 PM 1of1 SYSTEMS CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 02/26/2019 02:20:21 PM CREDIT CARD SALE VISA CARD NUMBER: **********3962 K TRAN AMOUNT: $104.32 APPROVAL CD: 59870D RECORD #: 000 CLERK ID: Bill X {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy Receipt Number DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $180.70 EL18-1112 Address: 3425 5 128TH ST 1 Apn: 7359600285 $90.35 Credit Card Fee $2.63 Credit Card Fee R000.369.908.00.00 0,00 $2.63 ELECTRICAL $83.54 PERMIT FEE SINGLE FAMILY _ R000.322.101.00.00 0.00 $83.54 TECHNOLOGY FEE TECHNOLOGY FEE R000.322.900.04.00 0.00 EL18-1113 Address: 3425 S 128TH ST 2 Apn: 7359600285 $90.35 Credit Card Fee $2.63 Credit Card Fee R000.369.908.00.00 0.00 $2.63 ELECTRICAL $83.54 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $83.54 TECHNOLOGY FEE $4,18 TECHNOLOGY FEE R000.322.900.04.00 0.00 TOT4L. FEES PAID BY RECEIPT: R16299 $180.70 Date Paid: Monday, December 31, 2018 Paid By: RICHARD BUCKLEY Pay Method: CREDIT CARD 33261D Printed: Monday, December 31, 2018 8:36 AM 1 of 1 Oil MA 1 Van v1.5 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 12/31/2018 08:36:32 AM CREDIT CARD SALE VISA CARD NUMBER: **********3962 K TRAN AMOUNT: $180.70 APPROVAL CD: 33261D RECORD #: 000 CLERK ID: jazzel X {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy Page 1 of2 haps ://classi c .convergepay .com/VirtualMerchant/transaction.do?dispatchMethod=printTr... 12/31/2018 Permit Number: E118-1112 Permit Inspections City of Tukwila Description: BUCKLEY RESIDENCE Applied: 12/31/2018 Approved: 12/31/2018 Site Address: 3425 5 128TH ST 1 Issued: 12/31/2018 Finaled: 11/10/2020 City, State Zip Code:TUKWILA, WA 98168 Status: FINALED Parent Permit: Parent Project: Applicant: BUCKLEY RESIDENCE Owner: LARSEN LARS Contractor: AFFIDAVIT- ROBERT BUCKLEY Details: MOVE MAST AND METER REPLACE METER BASE , REPLACE PANEL, INCREASE CAPACITY TO 200A SERVICE. REVISION #1: REWIRE ENTIRE UPSTAIRS (21 CIRCUITS) IlStf ai 1 SP 0 S SCHEDULED DATE COMPLETED DATE TYPE INSPECTOR RESULT REMARKS UNDERGROUND SLAB Jim Benner Notes: 6/25/2019 AM 6/25/2019 SERVICE Jim Benner APPROVED eTRAKiT Inspection Request Notes: 6/23/2019 8:50 PM Richard Buckley Contact Name: Richard Buckley Site Address: 3425 S 128TH ST 1 Phone: 2064123360 e -Mail: Richardebuckley@gmail.com APPROVED/ #1 O.K. -SERVICE ROUGH -1N 6/25/2019 AM 6/25/2019 ELECTRICAL Jim Benner NOT APPROVED eTRAKiT Inspection Request Notes: 6/23/2019 8:49 PM Richard Buckley If you can let me know when you will be by, that would be great. Contact Name: Richard Buckley Site Address: 3425 S 128TH ST 1 Phone: 2064123360 e -Mail: Richardebuckley@gmail.com CORRECTIONS/ #1 -ADDITIONAL ROMEX SUPPORT/STAPLES -REPLACE ROMEX DAMAGED S.W. -GROUND METAL BOXES WITH SPLICES -OUTLET REQUIRED IN HALL -SMOKES REQUIRED CORRECTIONS/ #1 Printed: Wednesday, 24 November, 2021 1 of 3 -ADDFITONAL ROMEX SUPPORT/STAPLES -REPLACE ROMEX DAMAGED S.W. -GROUND METAL BOXES WITH SPLICES -OUTLET REQUIRED IN HALL -SMOKES REQUIRED ROUGH -IN PARTIAL 7/5/2019 AM 7/5/2019 ELECTRICAL Jim Benner APPROVAL eTRAKiT Inspection Request Notes; 7/2/2019 6:41 PM Richard Buckley Contact Name: Richard Buckley Site Address: 3425 S 128TH ST 1 Phone: 2064123360 e -Mail: Richardebuckley@gmail.com INSPECTION PERFORMED BY ROGER CHICK WITH BHC CONSULTANTS PARTIAL APPROVAL OK SHEET ROCK COVER MAKE UP GROUNDS & RECALL FOR INSPECTION BEFORE TRIM OUT ROUGH -IN 9/16/2019 Any 9/16/2019 ELECTRICAL Jim Benner APPROVED eTRAKiT Inspection Request Notes: 9/14/2019 10:08 AM Richard Buckley Contact Name: Richard Buckley Site Address: 3425 S 128TH ST 1 Phone: 2064123360 e -Mail: Richardebuckley@gmail.com 9/15/2019 7:26 PM Richard Buckley Contact Name: Richard Buckley Site Address: 3425 S 128TH ST 1 Phone: 2064123360 e -Mail: Richardebuckley@gmail.com APPROVED/ 43 O.K. -ROUGH IN COMPLETE APPROVED/ 43 O.K. -ROUGH IN COMPLETE 2/5/2020 Any 2/5/2020 ELECTRICAL FINAL Jim Benner NOT APPROVED eTRAKiT Inspection Request Notes: 1/16/2020 11:37 AM Richard Buckley Contact Name: Richard Buckley Site Address: 3425 S 128TH ST 1 Phone: 2064123360 e -Mail: Richardebuckley@gmail.com 1/16/2020 11:59 AM Richard Buckley Please give me a call and let me know what time you will be there so I can get back from work to meet you at the house. Contact Name: Richard Buckley Site Address: 3425 5 128TH ST 1 Printed: Wednesday, 24 November, 2021 2 of 3 Permit Inspections City of Tukwila Phone: 2064123360 e -Mail: Richardebuckley@gmail.com 2/3/2020 12:04 PM Richard Buckley AM would be preferable Contact Name: Richard Buckley Site Address: 3425 S 128TH ST 1 Phone: 2064123360 e -Mail: Richardebuckley@gmail.com 2/3/2020 7:09 PM Richard Buckley AM would be best Contact Name: Richard Buckley Site Address: 3425 5 128TH ST 1 Phone: 2064123360 e -Mail: Richardebuckley@gmail.com CORRECTIONS/ #4 -COMPLETE ISLAND -GFCI FOR DISH/DISP 11/10/2020 AM 11/10/2020 ELECTRICAL FINAL Unassigned APPROVED Inspection by Roger Chick Notes: Printed: Wednesday, 24 November, 2021 3 of 3 rk City of Tukwila Allan Ekberg, Mayor Department of Community Development - Jack Pace, Director June 20, 2019 Richard Buckley 3425 S 128th St Tukwila, WA 98168 RE: Request for Extension #1 Permit Number EL18-1112 Dear Mr. Buckley, This letter is in response to your written request for an extension to Permit EL18-1112. The Building Official, Jerry Hight, has reviewed your letter and considered your request to extend the above referenced permit. It has been determined that the City of Tukwila Building Division will be granting an extension to the permit through December 29, 2019. If you should have any questions, please contact our office at (206) 431-3670. Sincerely, glietivettel-/6,1ci Kandace Nichols Permit Technician File: Permit No. E118-1112 Tukwila City Hall • 6200 Southcenter Boulevard • Tukwila, WA 98188 • 206-433-1800 • Website: TukwilaWA.gov, Richard Buckley 3425 South 128th Street Tukwila WA 98168 306-413'3360 richardebuck|ey@grnaiicorn June 11, 2019 Building Official G3OUSouthoenterBoulevard, Suite #1OO Tukwila WA 98188 RE: Permit # EL 18 To Whom It May Concern, I would like to request an extension on the permit listed above for an additional 180 days. The process of reptacing the electric system in the house has taken Ionger than expected. This is due in part to discovering other issues that had to be addressed in the home which slowed me down as well as to conflicts that have arisen in my personal life. I am almost done finishing the upstairs unit and will be calling for an inspection of it in the next two to three weeks. As|annliving inthe downstairs unit, | have not started, inany significant vvay the upgrade of that electrical system. Thank you in advance for your consideration in the matter. Richard Buckley Request for Extensior # Current Expiration Dae: /»' -/C/ Extension Request: Denied (provide cqlomhon) Signature _ 1 "*".17O�� ~... ~`- `�� in/U� 1� �� ^� �� 5/2/2019 City of Tukwila Department of Community Development RICHARD BUCKLEY 3425 S 128TH ST TUKWILA, WA 98168 RE: Permit No. EL18-1112 BUCKLEY RESIDENCE 3425 S 128TH ST Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director 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 6/29/2019. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 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 6/29/2019, 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, Q CU/ WC(/v! C&A Kandace Nichols Permit Technician File No: EL18-1112 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 0 City of Tukwila REVISION SUBMITTAL Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: h ttp://w ww .Tuk wi I a \A A .gov Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: -611 Plan Check/Permit Number: I 11 I Response to Incomplete Letter # 0 Response to Correction Letter # Revision # 1 after Permit is Issued 0 Revision requested by a City Building Inspector or Plans Examiner LI Deferred Submittal # Project Name: 44 13,./cAL.U-kA 41 Lvcc& Project Address: q 9--c- 6 ;46-3c"-- 1,./VAA.: Contact Person: III! Phone Number: 90C,--111(9-----5 36, 0 Summary of Revision: 0,11 Sheet Number(s): "Cloud" or highlight all areas of revision including date ofrevision Received at the City of Tukwila Permit Center by: Entered in TRAKiT "( C7 WAPermit Center‘Templates1FormstRevision Submittal Fornadoe Revised: August 2015 CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-3670 FAX (206) 431-3665 E-mail: tukplanPci.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. G -LA ,n Z .r6, states as follows: [please print name] 0 PERMIT NO: Z�/—/v /0 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 Id. , 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 ion work. to engage an unregistered contractor to perform c `\, `0Rs o"NF 4"�F,t t 2.7 P�t/, ,�ir o a- nt % 5 CD if, 7A 5 4lig�G i //VP0WA SN," •z"� 111111\\\‘\‘‘‘ Owner/Owner s Agent Signed and sworn to before me this 315 day of ecerrJ e f NOT ' Y PUBLIC in and for the State of Washington Residing at /1i , County Name as commissioned: My commission expires: /1 mer% 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: 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; tltiitr,••,. 18. An entity who holds a,valid electrical contractor's license under chapter x9.28 RCW,thats'em`floys;a certified journeyman electrician,-a'ceitified resideiitial specialty electrician, or an electrics trainee meeting -the .w requirements of chaster 19,28 RCW to perform plumbing work that is incidentally, d"irectly, and:immediatejy appropriate to the likean!kind replacement gf a'household appliance or other smailyhousehold ltilization.equipment that requires limited elecfric power and limit �d waste and/or water connections. Ai'•electrical'tcainee 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.