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Home My WebLink AboutPermit PG10-010 - WHITLEY ADDITIONWHITLEY ADDITION 11711 40 AV S PG1OO1O Parcel No.: 7340600247 Address: Suite No: Citylkf Tukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us 11711 40 AV S TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG10 -010 03/22/2010 09/18/2010 Tenant: Name: Address: WHITLEY ADDITION 11711 40 AV S , TUKWILA WA Owner: Name: WHITLEY D KIRK Address: 11711 40TH AVE S , SEATTLE WA Contact Person: Name: MICHAEL L TRACY Address: PMB #220 1402 LK TAPPS PY E #104 , AUBURN WA Contractor: Name: OWNER AFFIDAVIT - D KIRK WHITLEY Address: Contractor License No: Phone: Phone: 253 970 -5008 Phone: Expiration Date: DESCRIPTION OF WORK: INSTALL WATER CLOSET AND SINK Value of Plumbing /Gas Piping: Fees Collected: $250.00 $137.81 Plumbing Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 FIXTURE TYPE AND OUANTITY Plumbing (cont.) 0 Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and /or vent 0 Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors 0. 0 Repair or alteration of water piping and/or water 0 treatment equipment 0 0 Repair or alteration of drainage or vent piping 0 0 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 0 1 Gas Piping 0 Gas piping outlets (0 -5) 0 1 Gas piping outlets (6 +) 0 0 0 0 * *continued on next page ** doc: UPC -7/07 PG10 -010 Printed: 03 -22 -2010 i City of Tukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Permit Number: Issue Date: Permit Expires On: PG 10 -010 03/22/2010 09/18/2010 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie The granting of this permit does not pre construction or the perfo1 ce of work. Signature: Print Name: Date: 023 ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this plumbing /gas piping permit. Date: (asAtwo This permit shall become null and void if the work is not c - mmenced 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. doc: UPC -7/07 PG10 -010 Printed: 03 -22 -2010 Parcel No.: 7340600247 Address: Suite No: Tenant: 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 11711 40 AV S TUKW WHITLEY ADDITION PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG 10 -010 ISSUED 01/27/2010 03/22/2010 1: ** *PLUMBING AND GAS PIPING * ** 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R -3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor /ceiling assemblies and fire - resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. 13: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit. * *continued on next page ** doc: Cond -10/06 PG10 -010 Printed: 03 -22 -2010 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 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 construction or the performance of work. Signature: Print Name: 7/2.4--(// Date: ordinances governing or local laws regulating doc: Cond -10/06 PG10 -010 Printed: 03 -22 -2010 CITY OF TUKWILO Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hitp://wwwei.tukwila.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** Site Address: (1 rm LOA 5e,t41-k Tenant Name: Property Owners Name: Ktickz- IAA fzy v■-V 5.6 Mailing Address: Lk; -t"' City State King Co Assessor's Tax No.: —I Og Z T'b 331.. Suite Number: Floor: New Tenant: Yes ..No CONTACT PERSON-,who do wetontact;when,your permit mreadrto b'e issued;.Y. , Name: i-- 152-0, cy Mailing Address: P Melt 22.0 L. Zip Day Telephone: 2-3 310"-- 5000 L (A) 0 City State Zip E-Mail Address: TM (A.) I LAA eovlAtov5r ef Fax Number: 2c43 GENERAL CONTRACTOR INFORMATION (Contractor Information for Mechanical'aig.4yfni Plumbing and Gig Piping (g 5)) : Company Name: Mailing Address: Zip Contact Person: City Day Telephone: E-Mail Address: Fax Number: State Contractor Registration Number: Expiration Date: ARCHITECT OF RECORD be wet,staMped.hyArchltekof iecOrd, Company Name: Mailing Address: City Contact Person: Day Telephone: E-Mail Address: Fax Number: State Zip - ENGINEER OF RECORD All Wad§ must be wet stamped byEngineei.ofRecOrdi, Company Name: Mailing Address: City Contact Person: Day Telephone: E-Mail Address: Fax Number: HAApplicationsWome-Applications On Linet2009 Applications \ 1-2009 - Permit Application.doc Revised: 1-2009 bh State Zip Page 1 of 6 BUILDING PERMIT,INFORM ON - 206 - 431.3670: Valuation of Project (contractor's bid price): $ ' Gia0c52- Existing Building Valuation: $p Scope of Work (please provide detailed information): 0IwA�rt-u e.: C3►, le 'It 1 1�t��-F�o-v� ELK l �vTt IV :. cc+-AAA.t. LM sub -kJ( 16 Al 44)..1?— Will there be new rack storage? ❑ Yes X.. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage?Below, Interior 'Remodel '; Addition:to Existing,' Structure -„ ;T e.'of ow u uction per,` Iat Floor Floor:.- re. Floois • Basement ],t.. Aft-3 ;Aceesso . Structure• �-Atfac}ied' Garage`. ::Detached. :Garage: . Attached Carport DetachedCarpo ..`Co•ered Deck`_.T Uncovered;Deck ;: rt • Occupancyper •IBC PLANNING DIVISION: Single family building footprint (area of a foundation of all structures, plus any decks o 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide �d` a following: Lot Area (sq ft): / Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation at shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Prs.. ded: Standard: Compact: Handicap: Will there be a change in : -? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTI . N /HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm 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. None ❑ Other (specify) H:\Applications\Forms- Applications On Line \2009 Applications \I -2009 - Permit Applicetion.doc Revised: 1 -2009 bh Page 2 of 6 PLUMBING;A■D,GAS PIPINWERMIT INFORMATION --='206;4 1 • PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: � '-� Valuation of Project (contractor's bid price): $ z �d -� Scope of Work (please provide detailed information): I k3-� A- tk. -EV` Building Use (per Int'I 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: Fixture Type: Qty Fixture Type:. :: -. ; Qty.. Fixture Type: '_ . ` . Qty Fixture Type:, Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor Drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks 1 Urinals Water Closet E I Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste treatment interceptor, including trap and vent, except for kitchen . type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and /or water treatment equipment Repair or alteration of drainage or vent piping Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets/outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets H:\Applicattons\Forms- Applications On- Ltne\2009 Applications \I -2009 Permit Application.doc Revised: 1 -2009 bh Page 5 of 6 PERMIT APPLICATION NOTE Applicable to,all permlts i vthlsa ation4. 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. BUILDING OWN .. ' OR AU ' N: ZED AGENT: Signature: 41‘, ? Date: 041 Z'1 I la / Pcjincel, -vyi-pa,N( Print Name: Day Telephone: Mailing Address: City State Zip Date Application Accepted: 1 Ia �� Date Application Expires: N,_ %1 I i J (d1 Staff Initials: `� �V H:Upplicanons\Fonns- Apphcanons On Line\2009 Applications \I-2009 - Permit Application.doc Revised: 1 -2009 bh Page 6 of 6 City tf Tukwila 10055U1-1 0;:q 101 .. i rer`II'-i•. j'iii,_ - G-nera1. F'Lr;6 MIKE TRACY P _ 719 $1.1025 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 Parcel No.: 7340600247 Address: 11711 40 AV S TUKW Suite No: Applicant: WHITLEY ADDITION RECEIPT Permit Number: PG10 -010 Status: APPROVED Applied Date: 01/27/2010 Issue Date: Receipt No.: R10 -00319 Payment Amount: $110.25 Initials: WER Payment Date: 02/24/2010 11:05 AM User ID: 1655 Balance: $0.00 Payee: MIKE TRACY TRANSACTION LIST: Type Method Descriptio Amount Payment Cash Authorization No. ACCOUNT ITEM LIST: Description 110.25 Account Code Current Pmts PLUMBING - RES 000.322.103.00.00 110.25 Total: $110.25 doc: Receipt-06 Printed: 02 -24 -2010 CM 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: /Awww. ci. tukwila. wa. us SET RECEIPT RECEIPT NO: R10 -00134 Initials: JEM Payment Date: 01/27/2010 User ID: 1165 Total Payment: 183.00 Payee: MICHAEL L TRACY SET ID: S000001337 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member D10 -024 M10 -013 PG10 -010 TOTAL: Amount 132.19 23.25 27.56 132.19 TRANSACTION LIST: Type Method Description Amount Payment Cash 183.00 TOTAL: 183.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - RES PLAN CHECK - RES 000.322.100 .63 000.345.830 182.37 TOTAL: 183.00 PAYMENT RECEIVED 3 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 10 -o►O CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431 -3670 Project: Type of Inspection: Address: 1 1 -7 1 1 y 6 I J/ Date Called: ., *(\rse -.4) t4 {.0 Special Instructions: Date Wanted: 5 - to - to a.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. 1\ COMMENTS: ?P ., *(\rse -.4) t4 {.0 / I1 Date: S — 4'' I (- TO REINSPECTION FEE REQUIRD. Prior to inspection, fee must be at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: h..x..Si. .^- ..,.- `:i�F: `1:iYh..l^.Ce'• -:n e+1c�.�IX1�: .fi.�. �_.a ,._...>..�f✓..... w<w.a.. -. ew. rf.ok .�._c...l _._.. -_... INSPECT-ION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit 1)6(o -o/o PERMIT NO. (206)431 -3670 Project: codes. Corrections required Type Inspection: PL Address: `+ ill 114O /1-t---.1- Date Called: Special Instructions: (1' Date Wanted: a.m. d -24.- Id , P.m Requester: Phone No: 25`3 -3'7 o — 500e- 14 Approved per applicable codes. Corrections required prior to approval. cam M ENTS: (1' 6r 6"k .` (0 ohr (L — -4. 'V (rAJ Z� iay..e.K - Li — AOU,CottC� ._ + I p ct r Dei ?-4(--/C.) r>, $6t.00 REINSPEC ON FEE RE BRED. Prior to inspection, fee must be id at 6300 South enter Blvd Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit LA. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION JR- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: (- Utjit I (--e.: `7- 4-157dEx‘( r b.i Type f Inspection: _ / p Address: t � / A--�S Date Called: (� 6, 3- (;,J ,)��, Special Instructions: l D ,� / I I.,-A : Date Wanted: _/ ---,L /,L P.m. Requester: Phone No 23"3;.3 170 -Sod ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: Date: 3 _Z2 _(D (� A--�S 6 (,..) d -- Ad ( '7M) -7--{ re 1 T, --) l D ,� / I I.,-A : � !�"► 6--J Gj cv S - cr - e 141 5 ' N 1 A'-) f--- r )/ S Li t , i 1 0 d I. I I 1-0f r-cr% Lie 'opt r Inspect6r: )l Date: 3 _Z2 _(D LI $60.00 REINSPECTION FEE RE'QUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: .... ._.ti..t.Mn.r..n \ To t ; o 1 LT-P.E COPY Peet No., [Q- 0I Q Plan review approval is subject to errors and omissions. Approval roval of construction documents does not authorize talc violation of any 7dopted code or ordinance. Receipt r„ approved Field 1 • I:14... Ins is acknowledged: By Date: City Of 1Ukwila BUILDING DIVISION .t: REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOT' =: Revisions will require a new plan submittal ani may include additional plan review fees. Q REVIEWED FOR OODEf�MPLIANCE APPROVED MAR 17 2010 thfL Tukwila BUILDING DIViSIf1N RECEIVED MAR 12 2010 PERMIT CENTER iOOIO m0—,8 ,s0—,0fr 4,9 X dr,e 6 fly.t._1 NA— Lit NC"-- P C7) cv-'9 — - co • (-) 0) REVIEWED FOR CODE COMPUANCE APPROVED RECEIVED MAR i 7 2010 MAR 12 2010 City of Tukwila PERMIT CENTER BUILDING nIvIonto ".. 264432., 'PERU TS .:f:y PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG10 -010 PROJECT NAME: WHITLEY ADDITION SITE ADDRESS: 11711 40 AV S X Original Plan Submittal Response to Incomplete Letter # DATE: 03 -12 -10 Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: ° S. &ilding Division Public Works Fire Prevention Structural n Planning Division ❑ Permit Coordinator I DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 03-16 -10 Complete Incomplete n Not Applicable Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route Structural Review Required ❑ No further Review Required n REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 04 -13 -10 Approved ❑ Approved with Conditions gl Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use, Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents /routing slip.doc 2 -28 -02 CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (2o6) 431-3670 FAX (206) 431 -3665 E -mail: tukplanc ci.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 PERMIT NO: 1 1, Go STATE OF WASHINGTON) ) ss. COUNTY OF KING ) Q � < < Gt)N (Y C ' [please print name] , states as follows: 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'] ;';and will therefore not be performed by a registered contractor. 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 to engage an unregistered contractor to perform construction work. CAMEAAN D. KLEVEN NOTARY PUBLIC STATE OF WASHINGTON MY COMMISSION EXPIRES 08 °05 -12 /210P1<4- Owner /Owner's Agent* Signed and sworn to before me this %G- —day of/1/WhI ,20 /o. irk /i`_ /d NOT `° . PUBLIC in and ,for the State of Washington Residing at /1414 Name as commissioned: Cameran D. Kievan My commission expires: County Cameran D. Kleven