HomeMy WebLinkAboutPermit D07-248 - BERGSMA RESIDENCE - BATHROOMBERGSMA RESIDENCE
4004 S 152 ST
D07 -248
Parcel No.: 0041000630
Address: 4004 S 152 ST TUKW
Suite No:
Tenant:
Name: BERGSMA RESIDENCE
Address: 4004 S 152 ST , TUBWILA WA
Owner:
Name: BERGSMA KENNETH A & ELAINE
Address: 4003 SO 152ND , SEATTLE WA 98188
Phone:
Contact Person:
Name: KENNETH BERGSMA
Address: 4004 S 152 ST , TUKWILA WA 98188
Phone: 206 242 -7168
Cityf 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
Contractor:
Name: OWNER AFFIDAVIT - KENNETH A BERGSMA
Address:
Phone:
Contractor License No:
DEVELOPMENT PERMIT
Permit Number: D07 -248
Issue Date: 07/05/2007
Permit Expires On: 01/01/2008
Expiration Date:
DESCRIPTION OF WORK:
REMODEL BATHROOM: MOVE BATHROOM WALL 24 ", MOVE PLUMBING FROM INSIDE WALL TO OUTSIDE WALL, AND
REMOVE BATHROOM ELECTRICAL OUTLET AND INSTALL GFIC OUTLET (SEE PG07 -184 & EL07 -263).
Value of Construction: $500.00 Fees Collected: $33.50
Type of Fire Protection: International Building Code Edition: 2006
Type of Construction: VB Occupancy per IBC: 0022
doc: IBC-10/06
* *continued on next page **
D07 -248 Printed: 07 -05 -2007
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
City ae'Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Permit Number: D07 -248
Issue Date: 07/05/2007
Permit Expires On: 01/01/2008
Fire Loop Hydrant: N Number: 0 Size (Inches): 0
Flood Control Zone:
Hauling: N Start Time: End Time:
Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation:
Moving Oversize Load: Start Time: End Time:
Sanitary Side Sewer:
Sewer Main Extension: Private: Public:
Storm Drainage:
Street Use: Profit: N Non - Profit: N
Water Main Extension: Private: Public:
Water Meter:
Permit Center Authorized Signatur
I hereby certify that I have read an
governing this work will be compliedw:`th,
The granting
construction
Signs
Print Name: / / 2 7,t°
doc: IBC /06
N
permit does not pres
rformance of
o give authority to violate or cancel the provisions of any other state or local laws regulating
authorized to sign and obtain this development permit.
Date: f9 -;5"--r)
1 ,13?
permit and know the same to be true and correct. All provisions of law and ordinances
er specified herein or not.
7L
Date:
This permit shall become null and void if the work is not co ced 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.
007 -248 Printed: 07 -05 -2007
Parcel No.: 0041000630
Address:
Suite No:
Tenant:
doc: Cond - 10/06
4004 S 152 ST TUKW
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
BERGSMA RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
City of Tukwila
PERMIT 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 mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431 - 3670).
4: 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.
5: 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.
6: All wood to remain in placed concrete shall be treated wood.
7: 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.
8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila
Permit Center.
9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206 - 431 - 3670).
10: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
D07 -248
ISSUED
07/05/2007
07/05/2007
D07 -248 Printed: 07 -05 -2007
doc: Cond -10/06
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
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing
this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating
construction o e performance of work.
Signature: Date:
D07 -248 Printed: 07 -05 -2007
SITE LOCATIO
Site Address:
Tenant Name:
Property Owners Name:
Mailing Address:
CONTACT PERSON who do we contact when your permit is ready to be issue
Name:
Mailing Address:
E -Mail Address:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
CITY OF TUKW/L
Community Developm epartment
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://wwwcitukwila.wa.us
(/
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 **
v King Co Assessor's Tax No.: / M '- C)7
0� 7 (f 1 Suite Number: Floor:
New Tenant: ❑ .... Yes 0 ..No
/r
Day Telephone2 ' 7/0 2 /174
City
Fax Number:
State
Zip
a
GENERAL ;CONTRACTORINFORMATION
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
Q:Wpplications\Forms- Applications On Line\3 -2006 - Permit Application.doc
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City
Day Telephone:
Fax Number:
Expiration Date:
State
ARCHITECT OF RECORD — All plans must be wet stamped .by Architect of Recor
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
ENGINEER OF. RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
Zip
Zip
Zip
Page 1 of 6
Iii L,Li1�1tY Y LKM1 i .1t1Y1� U KMAJI 1 331 367
Valuation of Project (contractor's bid price : $ (a �t>'F - r Existing Building Valuation: $
Scope of Work (please provide detailed information): Hp VG- � - t - {-E� � rV\ i t
1-l .JE r PL c ��� i G-- R-o 1 \ S 1 c> E t- Ta t S t 044-4—
(NA , v ` , 1a-Y -?..2) o t'ff - ) I Li -LL ( / C_
Will there be new rack storage? ❑. ... Yes
rov de All:Buildirig 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:
❑ .. No If yes, a separate permit and plan submittal will be required.
Compact: Handicap:
Will there be a change in use? ❑ Yes ❑ No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No
If' yes', attach list of materials and storage locations on a separate 8 -1/2" x 11 " paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System -For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
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Revised: 9 -2006
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Page 2 of 6
'UBLIC WORKS PERMIT INI $MATION - 206- 433 -0179
Scope of Work (please provide detailed information):
Water District
❑ ...Tukwila 0... Water District #125
❑ ...Water Availability Provided
Sewer District
❑ ...Tukwila
❑ ...Sewer Use Certificate
Call before you Dig: 1- 800 -424 -5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
❑ ...Total Cut cubic yards
❑ ...Total Fill cubic yards
❑ ...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑ ...Frontage Improvements
❑ ... Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
Q:\Applicatiom\Forn s- Applications On Line \3-2006 - Permit Application.doc
Revised: 9 -2006
bit
❑ .. Highline
❑... ValVue ❑ .. Renton
❑... Sewer Availability Provided
Septic System:
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department.
Submitted with Application (mark boxes which apply):
❑ ...Civil Plans (Maximum Paper Size —22" x 34")
❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑...Traffic Impact Analysis
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑ ...Hold Harmless — (SAO)
❑...Hold Harmless — (ROW)
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
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
It
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ ...Renton
❑ ...Seattle
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ...Permanent Water Meter Size... WO #
❑ ...Temporary Water Meter Size .. " WO #
❑ ...Water Only Meter Size tf WO # ❑ ...Deduct Water Meter Size
❑ ...Sewer Main Extension Public Private
❑ ...Water Main Extension Public _ Private _
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment
Monthly Service Billing to:
Name: Day Telephone:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State Zip
Day Telephone:
City
State Zip
Page 3 of 6
Unit Type:
Qty :
- Unit,Ty'pe
Qty :
, Unit Type : : `°
Qty
Boiler' /Compressor: . ' :
Qty
Furnace<100K BTU
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Furnace>100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Emergency
Generator
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Other Mechanical
Equipment
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
MECHANICAL CONTRACTOR INFORMATION
Company Name: 67 111-e'v
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Mechanical work (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential: New .... ❑ Replacement .... ❑
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas ....❑ Other:
Indicate type of mechanical work being installed and the quantity below:
Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
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Page 4 of 6
Fixture Type: " .
Qty
Fixture Type;
Qty -
Fixture Type:
Qty ..
Fixture Type: ''" .:
'Qty
Bathtub or combination
bath/shower
I
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
Bidet
Food -waste grinder,
commercial
Receptor, indirect
waste
Clothes washer, domestic
Floor drain
Sinks
Dental unit, cuspidor
Shower, single head trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
Water Closet
Building sewer or trailer
park sewer
Rain water system — per
drain (inside building)
Water heater and/or
vent
Additional medical gas
inlets/outlets — six or more
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of water
piping and/or water treating
equipment
I
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to five
inlets/outlets for specific gas
t j)LUA AND GAS PIPINCI, INFORMATION — 206 -43
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
Valuation of Plumbing work (contractor's bid price): $ Ui.i p E l- SOO ' Q
Valuation of Gas Piping work (contractor's bid price): $
S ope of Work (please provide detailed information): p \--V c i -�-- C F-t&o
C "- 3 w _`
�1st3 ttt+Ai �� t �T S ► Ca a _ L ' t' Li
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Q:\Applications\Fonns- Applications On Line3-2006 - Permit Application.doc
Revised: 9 -2006
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City State Zip
Day Telephone:
Fax Number:
Expiration Date:
Page 5 of 6
RMIT APPLICATION 1 I
BUILDING" ER OR AUT , ORIZED
Signa
Print Name: e i J l J P
Mailing Address:
Date Application Accepted:
Q:\Applications'Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 9 -2006
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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.
n
Day Telephon
City
Date:
State
Staff Initials:
Page 6 of 6
Date Application Expires:
i
Project name
Address
Description of work
Related reference number
The above project permit applicant, due to the limited scope of work is authorized to submit reduced plan
requirements describe as noted below.
1. Complete permit application required: ( Note, all application must include; 1) property assessor
number, 2) copy of contractors license or completed owner waiver form. )
Building ) Mechanical Other ite/ -76E F2e
2. Minimum plan and /or specification requirement:
TBD3 /96 -f3
Site plan Floor plan Elevations Foundation
Cross sections
A-0 7-- z& 2_
Roof plan
Application #
ALTERNATE PLAN SUBMITTAL AUTHORIZATION
FOR LIMITED SCOPE OF WORK
U.B.C. Section 106.3.2 exception
W.S.E.C. compliance Narrative
Structural calculations ( stamped by Washington State licensed engineer )
Specific required information .� , G -/v/
3. Other special instructions: /c2frriy ; T°'2 5. 4e34
C ,"2!/1 / ?:Z . ip■(.
Tukwila Building Division
(206)431 -3670
CYOF
Tu./WitA
/JUL - 5 10071
P ERMIT CENTER
Authorization by,
Date 7 -, �-07
( Authorization void 30 days after the date issued. )
RECEIPT NO: R07 -01294
Initials: JEM Payment Date: 07/05/2007
User ID: 1165
Payee: KENNETH A BERGSMA
SET ID: S000000806 SET NAME: BERGSMA RESIDENCE
SET TRANSACTIONS:
Set Member Amount
D07 -248 33.50
PG07 -184 98.00
TOTAL: 131.50
TRANSACTION LIST:
Type Method Description
Payment Check 6187 131.50
TOTAL: 131.50
ACCOUNT ITEM LIST:
Description
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
BUILDING - RES
PLUMBING - RES
STATE BUILDING SURCHARGE
SET RECEIPT
Total Payment: 131.50
Amount
Account Code Current Pmts
000/322.100 29.00
000/322.100 98.00
000/386.904 4.50
TOTAL: 131.50
0t? 0 =7/05 9716 TOTAL 13150
Project:
Type of Ins
Addres : �
K/
t •
Date Called:
Special Instructions:
Date Wanted:
,4___,...-e7
. • m.
4
Re
i! h h4&
Phone No:
PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (243 y -3 70
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Approved per applicable codes. n Corrections required prior to approval.
C MMENTS l
r t..42,4,7 5
‘P,7
ti
El $58.00 REINSPECTIOI!FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
12 -11 -2007
KENNETH BERGSMA
4004 S 152 ST
TUKWILA WA 98188
RE: Permit No. D07 -248
4004 S 152 ST 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 and/or the International Mechanical Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or fmal inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Building Code does allow the Building Official to approve one or more extensions of time for
additional periods not exceeding 90 days each. Extension requests must be in writinL and provide satisfactory reasons why
circumstances beyond the applicants control have prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 01/01/2008, 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,
xc:
er Marshall,
't Technician
Permit File No. D07 -248
City of Tukwila
Steven M Mullet, Mayor
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665
COUNTY OF KING
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Permit Center /Building Division:
206 - 431 -3670
Public Works Department:
206 - 433 -0179
Planning Division:
206 -431 -3670
STATE OF WASHINGTON)
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
ss.
Pekr t fates as follows:
[please print]
1. I have made application for a building permit from the C'ty of Tukwila, Washington.
\applications\8 - 2004 affidavit in lieu of contractor registration
Signed and sworn to before me this
day of
PERMIT NO.: Yl J'C - 2 4- rb 4,
ON-
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 building 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 building permit to be exempt under No. , and will therefore not be performed by a registered
contractor.
I understand that I may be waiving certain rights that I ht otherwise have under state law in any decision to engage an
unregistered contractor to perform construction work.
NOTARY P BLIC in and for the State of Washington,
Residing at
Name as commissioned: t < L-4) kr
My commission expires: S' - I D
, 206
, County.
18.27.090 Exemptions. This chapter shall not apply to:
1.
2. 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;
3. Officers of the court when they are acting within
the scope of their office;
4. Public utilities operating under the regulations of
the utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
5. 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;
6. The sale or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into and do not become a
permanent fixed part of the structure;
7. Any construction, alteration, improvement or
repair of personal property, except this chapter
shall apply to all mobile, manufactured housing. A
mobile /manufactured home may be installed, set
up, or repaired by the registered or legal owner,
by a contractor licensed under this chapter, or by
a mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW;
8. 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;
9. 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;
10. Any work or operation on one undertaking or
project by one or more contractors, the aggregate
contract price of which for labor and materials and
all other items is less than $500.00, such work, or
operations being considered as of a casual, minor,
or inconsequential nature. The exemption
prescribed in this subsection does not apply in all
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
\applications\8 -2004 affidavit in lieu of contractor registration
contracts of amounts less than $500.00 for the
purpose of the 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 is
a contractor, or that he is qualified to engage in
the business of contractor;
11. 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 then any of the above work is performed
by a registered contractor;
12. An owner who contracts for a project with a
registered owner;
13. Any person working on his own property, whether
occupied by him or not, and any person working
on his residence, whether owned by him or not but
his exemption shall not apply to any person
otherwise covered by this chapter who constructs
an improvement on his own property with the
intention and for the purpose of selling the
improved property;
14. Owners of commercial properties who use their
own employees to do maintenance, repair, and
alteration work in or upon their own properties;
15. A licensed architect or civil or professional
engineer acting solely in his professional capacity,
an electrician licensed under the laws of the state
of Washington, or a plumber licensed under the
laws 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 licensee is operating
within the scope of his license;
16. Any person who engages in the activities herein
regulated as an employee,„of,,,,a registered
contractor with wages aste�e d, ipgnsation;
17. Contractors on hig _ j Ject8 �, is hale been
prequalified as req u44- 4haptgr bfJtre Laws
of 1961, RCW 47.18.0 ?Q witttliedet4titent of
transportation to ptrfortn'' Ri y?ogtispruction,
reconstruction, or marnter fin6e "w&k
Date: 7
1
1
FILE COPY
Permit Na , VA11-
Plan review approval Is subject to mots and omissions.
Approval of construction dccurnerds does not authortze
the violatioA any accepted code or ordinance. Rea*
of app • '1 C.opy
•• Is admit/lodged:
: „A, , f■PIAS,_
•
City of lbkwila
BUILDING DIVISION
0
5,
1
...1•14711.,444.1.4.W44..=4....4.1.^1 .." . •■■•...
F
SEPAIIATE PERMIT
E. FOR:
O Mechanical
O Electrical
O Plumbing
o Ga Piping
City of Tukwila
BUILDING DIVISION
4,C*
0
0
CODE CO"4'
AC a rt.) "A ift
JUL - 2007
suancr TO
FIELD INSPECTION City Cr
5