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HomeMy WebLinkAboutPermit PG07-086 - HOLLOWAY RESIDENCEHOLLOWAY RESIDENCE 11854 44 AV S PG07 -086 Parcel No.: 3347401030 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: doc: UPC - 10/06 11854 44 AV S TUKW DESCRIPTION OF WORK: Value of Plumbing /Gas Piping: Fees Collected: $88.00 City of Tukwila Contact Person: Name: DAWNA HOLLOWAY Address: 134 S BRANDON ST , SEATTLE WA Plumbing Bathtub or combination bath/shower 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain 0 Drinking fountain or water cooler (per head) 0 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap 0 Lavatory 0 Wash fountain Receptor, indirect waste 0 Sinks 0 Urinals 0 Water Closet 0 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 HOLLOWAY RESIDENCE 1185444AVS,TUKWII,AWA BOWEN ALLISON F E 190 SM1TH COVE WAY , SHELTON WA Contractor: Name: OWNER AFFIDAVIT - DAWNA HOLLOWAY Address: Contractor License No: PLUMBING /GAS PIPING PERMIT 0 Expiration Date: $0.00 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND OUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 8514322 Phone: Steven M Mullet, Mayor Steve Lancaster, Director PG07 -086 04/05/2007 10/02/2007 Plumbing (cont.) 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 its trap and vent, except for kitchen type grease interceptors 0 Repair or alteration of water piping and/or water treatment equipment 0 Repair or alteration of drainage or vent piping 0 Medical gas piping system serving (1 -5) inlets /outlets for a specific gas 0 Medical gas piping (6 +) inlets /outlets 0 Gas Piping Gas piping outlets (0 -5) 2 Gas piping outlets (6 +) 0 PG07 -086 Printed: 04 -05 -2007 I hereby certify that I have read and governing this work will be complied • pPctA , i ,� I�ew Print Name: Signature: doc: UPC -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 Permit Center Authorized Signature: yUl — dvVy Date: 0 I/051 The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the pe ormance o am au orize • to sign A • = - ain this plumbing /gas piping permit. Date: 1 1/ 5 ' 0 Permit Number: PG07 -086 Issue Date: 04/05/2007 Permit Expires On: 10/02/2007 Steven M Mullet, Mayor Steve Lancaster, Director permit and know the same to be true and correct. All provisions of law and ordinances er specified herein or not. This permit shall become null and void if the work is not commenced 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. PG07 -086 Printed: 04 -05 -2007 Parcel No.: 3347401030 Address: Suite No: Tenant: 1185444AVSTUKW HOLLOWAY RESIDENCE 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 m accordance with the requirements of the building code. 11: Piping m 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. 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 PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: PG07 -086 ISSUED 04/05/2007 04/05/2007 PG07 -086 Printed: 04 -05 -2007 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 or the performance of work. Date: Print Name: doc: Cond -10/06 btu, fuPc kNoklobr3 PG07 -086 Printed: 04 -05 -2007 SITE LOCATION Site Address: 11 €59 L L-(t le- S, Tenant Name: NON / D cv fr ttD' O GN NS Property Owners Name: Mailing Address: Name: Mailing Address: E -Mail Address: CITY OF TUKWILA Community Developmel epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us PLUMBING / GAS PIPING PERMIT APPLICATION 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 ** Dyktd Q:1ApplicationslForms- Applications On Line13 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 -2006 bh or office use Plumbing/( Permit Project No. King Co Assessor's Tax No.: 3 7 L(d+ (03 0 Floor: Suite Number: Sew. City New Tenant: ❑ .... Yes ❑ ..No State State State State ITIOr Zip CONTACT PERSON —Iv.. ho do'we contact when your permit is ready to be issued Day Telephone: 2 0 Iv $ 51 3 3 22 /n� City State Zip E -Mail Address: `D t4 e t (I 0t�l V corms'. s ()el- Fax Number: 2 0 7(2332Z PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: city Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Zip ARCHITECT OF RECORD - All plans must be wet stamped by Architect ofRecord Company Name: Mailing Address: Zip Contact Person: City Day Telephone: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: Zip Contact Person: E -Mail Address: City Day Telephone: Fax Number: Page 1 of 2 Valuation of Project (contractor's bid pr $ Scope of Work (please provide detailed information): I HEREBY CERTIFY THAT BUILDING Signa Print Name: Mailing Address: Date Application Accepted: 3'. s Q:\Applicationsworms- Applications On Line \3-2006 - Plumbing -Gas Piping Penni Application.doc Revised: 4 -2006 bh UTHORI ED AGENT: qa c Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: Fixture Type: Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Building sewer or trailer park sewer Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Fixture Type :. Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor drain Shower, single head trap Lavatory Rain water system — per drain (inside building) Repair or alteration of water piping and/or water treating equipment , Fixture.Type: Wash fountain Receptor, indirect waste Sinks Urinals Water Closet Water heater and/or vent Repair or alteration of drainage or vent piping Qty Fixture Type Gas piping outlets Additional medical gas inlets/outlets — six or more Medical gas piping system serving one to five inlets/outlets for specific gas Qty ;RMIT APPLICATION N07 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. The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International Plumbing Code (current edition). EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY : HE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. Date: L j1 I 1 Day Telephone: 7i 8'5 3.3 N 4 DA -- Son We WP,,,.. i i'Se O Zip City state Date Application Expires: Staff Initials: Page 2 of 2 Doc: RECSETS -06 RECEIPT NO: R07 -00517 Initials: JEM User ID: 1165 Payee: BRIAN BECK SET ID: S000000720 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount 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 M07 -066 119.85 PG07 -086 88.00 TOTAL: 207.85 TRANSACTION LIST: Type Method Description ACCOUNT ITEM LIST: Description GAS - RES MECHANICAL - RES SET RECEIPT Payment Date: 04/05/2007 Total Payment: 207.85 Payment Check 3076 207.85 TOTAL: 207.85 Account Code Current Pmts 000/322.100 88.00 000/322.100 119.85 TOTAL: 207.85 Amount Project: / / l7Y / /� /4k1 r Type of Inspection: ' ) �/ Address: Date Called: Special Instructions: "Date Wanted 5 —��� p m � Requester: Phone No: / ? 7 INSPECTION RECORD etain a copy with permit INSPECTIO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 206)431 -3670 Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: £4 7) Ins pect a ' 58 REINSPECTIO FEE REQUIRED. 5 3 El . Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: Prof v /� t / 4'S Type of In ection: Address:,._ g - 9 1 5 Date Called: ge ,f 4 A G Special Instructions: Date Wanted: a.m. -S /-0 p.m. Requester: P oG8s / - 33 Z� INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 //,, i • 1 ( ,L )4S (206)431 -36170 COMMENTS: Approved per applicable codes. El Corrections required prior to approval. •■i - ri $58.00 R SPECTION FEE QUIRED. Prior to inspection, fee must be paid at 6300 Southcenter B d., Suite 100. Call to sechedute reinspection. Receipt No.: Date: CITY OF TUKWIL4 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 STATE OF WASHINGTON) ) ss. COUNTY OF KING ) AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION 1) WNPv 11©(,) [please print] 1. I have made application for a building 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 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 re irement 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 might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. QJ �C 0 toTARk SA ' : U cp- ' ' . • PUBUG :' j N �► � WA S N. \applications\8 - 2004 affidavit in lieu of contractor registration Permit Center /Building Division: 206 -431 -3670 Public Works Department: 206 - 433 -0179 Planning Division: 206 -431 -3670 PERMIT NO.: D , states as follows: Signed and swom to before me this -5 day of i4 pti l , 20�. 1, a. NOTARY PUBLIC in an for State of Washington, Residing at K;kly ��ff , County. Name as commissioned: AJ i Ce /4. DeaG My commission expires: 646-0g 18.27.090 Exemptions. This chapter 3'!!!411 not apply to: 1. 2. An authorized representative of the United States Govemment, 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 A. mounts Tess 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 as his sole compensation; 17. Contractors on highway projects who have been prequalified as required by chapter 13 of the Laws of 1961, RCW 47.28.070 with the department of transportation to perform highway construction, reconstruction, or maintenance work.