10733 20TH PL W 2026-05-06 - Laserfiche WebLink

L E V E R E T T AFFIDAVIT FOR OWNERS ACTING AS THE CONTRACTOR IN LIEU OF A CONTRACTOR'S LICENSE ABOUT CONTRACTOR LICENSING EXEMPTION aims to provide protection to the public from unreliable,fraudulent,financielty irresponsible,of incompetent contradors. provides the definition of a contractor. Permits arc Issued to a licensed contractor unless Issued to a property owner In accordance with exemptions The purpose of the affidavIt Is to document conformance to the state requirements. I am applying for the property owner exemption under the following conditions: Must comply with all Items below: I swear undor penalty of perjury that: • 1 understand that state faw requires construction to be done by a licensed contractor unless I qualify for an exemption. 0 1 am not acting as a contractor on the property that I have owned for less than 12 months,for the purpose of selling,demolishing,or loaslnil The proposed u>nstn�tlon work Is not being done with the Intention a for the purpose of selling the Improved property wtthin 12 months of e complotion of said work. e City of t vruott omployees will not design,make recommendations,list out all code requirements,or perform work to meet credo comp'Inn(0 1 agree to schedule the applicable inspections for my project so that the required inspections can be performed I also underst'vid I an. responsitAo for resolving any failure to meet code requirements that may be found through inspections. 1 agree as the property owner I will make sure I have the skills to act as my own general contractor,and the oxportiso required to Coordinate the work of both rough-In and finish trades. • 1 agree that I am legally and financially responslblo for proposed construction activity. I • 1 will comply with all applicable laws,ordinances,building codes,and zoning regulations. i 1 am responsible for verifying whether the contractor Is properly licensed with the State of Washington and has a City of Evwoll twsines. license and obtains all required'work'permits for all disciplines. 1 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 ei.y' decision to engage an unregistered contractor to perform construction work. e 1 agree that I may be held liable and subject to sonous financial risk for arty injuries sustained by an unlicensed person or their employees wimifo working on my property. I am willfully acing as an owner-contractor and am aware that my homeowner's insurance may not provide coverage for those injuries. 1 understand that a building pemvl obtained by the property owner who falsifies information to obtain an exemption provided under RG W 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 1+11MIT UNDER THE CONDITIONS DESCRIBED ABOVE. L� I)I'lmC, f7o it� V omw Name prkd) OWW S#wb" Dab �13 I