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Owner AffidavitDevelopment Services Division 1055 S. Grady Way Renton, WA 98057 (425) 430-7200 www.rentonwa.gov OWNER AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION We would like to advise you of the State of Washington’s requirement for acting as your own contractor. As the owner of a structure, whether Residential or Commercial/ Multi- Family, you are allowed to act as your own general contractor. If you choose to go this route, you will need to complete this form. If you are the authorized agent of the property owner, you will need to include written permission from the property owner. If the work is electrical, we have a separate form that we require. Please inquire. Owner name: ______________________________________________________ Date: _____________________________ I am the owner or authorized agent of the owner of the property located at: __________________________________ __________________________________________________________________________________________________ I am aware of the State Contractors Registration Act requires all persons doing any work as contractor to obtain a certificate of registration from the Washington State Department of Labor and Industries. I am aware that it is unlawful to do any work as a contractor without a certificate of registration from the Washington State Department of Labor and Industries I acknowledge that all construction work done pursuant to the proposed building permit for the property described above will be done by the owner or owners of the property or by a licensed contractor acting as the owners agent. Owner Affidavit in Lieu of Contractor Registration: Required for property owner doing all of the work under this permit themselves. I certify under penalty of perjury that I am the property owner and I am exempt from the requirements of Contractor Registration Laws. RCW 18.27 (Definitions, RCW 18.27.010 and Exemptions, RCW 18.27.090 I will do all my own work. OWNER SIGNATURE_____________________________________________________________________________________ PRINT OWNER NAME_____________________________________________________________________________________ H:\CED\Data\Forms-Templates\Self-Help Handouts\Building\Owner Affidavit.pdf 2/5/19