2520 100TH ST SE 2024-11-07 - Laserfiche WebLink

• LVL F2 ;T T al!Dim t"Of# OWNf U'UfT ACTING AS THE CONTRACTOR IH LIEU OF A CONTItM,ToP; I tr;Fti F ABOUT CONTACTOR LICENSING EXEMPTION nun,to provide prolnrhon to the put'lir-Irnm unrr+hilt irn frnurininnt,firtwrontly irrr> fw,rt,4it>rrr,ter ire ,rr{sr+qnr r�,�,va�,tr,r; previdns the definition of n i(lrltrnl/Of I'nlnlit' rice iccuud to a!wonted etintrnrtor unless iscnnd to n Itrtryrnrty nwnnr in nrrrrrrlatit,h Yniti f '` tfI(rrpittrrrR rtit pert tM*ir'I's affidavit is to document contormnnce to the ante requirements. am applying for the property owner exemption under the following conditions: Must comply with all horns below: I swear under penally of perjury that • I understand that slate law requires construction to be done by a licensed contractor unless I qualify for an ezerr ezi • I am not acting as a contractor on the property that I have owned for less than 12 months,for the purpose of seeing,r.,eme. :rar✓, !easing. • The proposed construction work Is not being done with the intention or for the purpose of selling the improved propeIrty wittrn 12 months CJ completion of said work. • City of Everett employees will not design,make recommendations,list out all code requirements,or perform work to meet code complliar.re • I agree to schedule the applicable inspections for my project so that the required inspections can be performed.I also understand I ar7 responsible for resolving any failure to meet code requirements that may be found through inspections. • I agree as the property owner I will make sure I have the skills to act as my own generahcontractor,and the expertise required to co+r r- to the work of both rough-in and finish trades, • I agree that I am legally and financially responsible for proposed construction activity. • I will comply with all applicable laws,ordinances,building codes,and zoning regulations. • I am responsible for verifying whether the contractor is properly licensed with the State of Washington and has a City of Everett busmes.s license and obtains all required'work"permits for all disciplines. • I agree as the property owner that I may be waiving certain rights that I might otherwise have under state law with Labor and Industries in ary decision to engage an unregistered contractor to perform construction work. • I agree that I may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person or their employees while working on my property. I am willfully acting as an owner-contractor and am aware that my homeowner's insurance may not provide coverage for those injuries. • I understand that a building permit obtained by the property owner who falsifies information to obtain an exemption provided under RCW 18.27.090 will be forfeited and I may be subject to civil and criminal penalties. ACKNOWLEDGEMENT: I HAVE READ THE ENTIRETY OF THIS DOCUMENT AND CERTIFY THAT I UNDERSTAND, AGREE TO THE CONDITIONS, AND WISH TO PURCHASE A BUILDING PERMIT UNDER THE CONDITIONS DESCRIBED ABOVE. -a do vl, L t w Owner Name(Print) Owner re Date PERMIT# 2 J ( - Oil 7