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HomeMy WebLinkAboutPermit PG07-137 - SOUTHGATE MOBILE HOME PARK #7STEPPING STONE VENTURES 14005 42 AV S UNIT7 PG06 -137 Parcel No.: 1523049008 Address: Suite No: Tenant: Name: Address: doc: UPC - 10/06 14005 42 AV S TUKW Owner: Name: ANDERSON CARL AUGUST Address: 10212 NE 43RD , K RKLAND WA Contact Person: Name: ERIN O'LEARY Address: 20303 10 AV W , LYNNWOOD WA DESCRIPTION OF WORK: HOOK UP TO WATER AND SEWER Value of Plumbing /Gas Piping: Fees Collected: t✓ City of Tukwila Plumbing Bathtub or combination bath/shower 1 Bidet 0 Clothes washer, domestic 1 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 2 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 STEPPING STONE VENTURES 1.1/I1) 14005 42 AV S , TUKWILA WA Contractor: Name: OWNER AFFIDAVIT - ERIN O'LEARY Address: , Contractor License No: $200.00 $139.00 PLUMBING /GAS PIPING PERMIT 0 Expiration Date: 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: 206 484 -3840 Phone: Steven M Mullet, Mayor Steve Lancaster, Director PG07 -137 05/15/2007 11/11/2007 Plumbing (cont.) Building sewer and each trailer park sewer 1 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) 0 Gas piping outlets (6 +) 0 PG07 -137 Printed: 05-15 -2007 Permit Center Authorized Signature: 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 and t xakruned this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie w th, whether specified herein or not. 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 performance of "t • rk. I am authorized to sign and obtain this plumbing /gas piping permit. 5 / I (0 Date: Permit Number: PG07 -137 Issue Date: 05/15/2007 Permit Expires On: 11/11/2007 Steven M Mullet, Mayor Steve Lancaster, Director Il DateA to a Signature: Print Name: ( l 41,`i 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. doc: UPC-10 /06 PG07 -137 Printed: 05-15 -2007 Parcel No.: 1523049008 Address: Suite No: Tenant: 14005 42 AV S TUKW STEPPING STONE VENTURES 1: ** *PLUMBING AND GAS PIPING * ** 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 doc: Cond -10/06 PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. * *continued on next page ** PG07 -137 ISSUED 05/15/2007 05/15/2007 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. 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. PG07 -137 Printed: 05-15 -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. Signature: �l O Print Name: doc: Cond -10/06 Date:5 (IS 1 O PG07 -137 Printed: 05-15 -2007 Name: Contact Person: E -Mail Address: Site Address: ) Lc a ko Tenant Name: Contact Person: E -Mail Address: CITY OF TUKWIL) Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us v Property Owners Name: pllnt. Mailing Address: VAN Q:\Applications\Forms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 -2006 bh use only Plambing/GAI•Permit Project No. 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** SITE LOCATION King Co Assessor's Tax No.: l sa30L1 00 ti Suite Number: "7 Floor: New Tenant:.. Yes 1■./ rl � wwQ 64k ( 1803 �. City State Zip CONTACT PERSON -Who do we contact when, your permit is ready to be issued Day Telephone 4 Mailing Address: yy�� /' City State Zip E -Mail Address: €X ■ � Y\ Z 1" • CJ) h(\. Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATION `. Company Name: Mailing Address: City _ State Zi Day Telephone: O� l )/ O I/ Q tJ? 4 O Fax Number: Contractor Registration Number: Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Day Telephone: Fax Number: State Zip Contact Person: E -Mail Address: ENGINEER OF RECORD - Alt plans must be wet stamped by Engineer of Recor Company Name: Mailing Address: city Day Telephone: Fax Number: State ..No Zip Page 1 of 2 Fixture Type: Qty : Fixture Type: Qty Fixt Type. Qty < ;Fixture Type: 'Qty Bathtub or combination bath/shower ' Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic 1 Floor drain Sinks oZ Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet Building sewer or trailer park sewer I Rain water system — per drain (inside building) Water heater and/or vent Additional medical gas inlets/outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and/or water treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas tor Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Building Use (per Intl Building Code): Occupancy (per Int'l Buildin Code): 1 Utility Purveyor: Water: ; j , Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: 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). 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 OWN11 A . Q ' 1 % D AGE T: Signature: � Print Name: Y' , ' ilL� Mailing Address: O/ I K) Date Application Expires: Date Application Accepted: Q:\Applications\Fonns- Applications On Linel3 -2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4 -2006 bh Date: 5 f Day Telephone: O- k-Y Inn to 1{1 (n ° I r03ko ity State Page 2 of 2 RECEIPT NO: R07 -00833 Initials: JEM User M: 1165 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.citukwila.wa.us Payee: STEPPING STONE VENTURES, LLC. SET ID: 5000000761 SET NAME: STEPPING STONE SET TRALNSACTIONS: Set Member Amount PG07 -135 139.00 PG07 -136 129.00 PG07 -137 fi 139.00 PG07 -138 129.00 TOTAL: 536.00 TRANSACTION LIST: Type Method Description ACCOUNT ITEM LIST: Description PLUMBING - RES SET RECEIPT 000/322.100 TOTAL: Payment Date: 05/15/2007 Total Payment: 536.00 Amount Payment Check 6429 536.00 TOTAL: 536.00 Account Code Current Pmts 536.00 536.00 8216 05/15 9716 TOTAL 536.00 Pro t:/ / �'7i) //V) O, F Type of Ins ec V /1--- "7 Address: Ni'. z72/VSZ, Date Called: /-- Special Instructions: Date Want d a.m. 5 — 2-3- 0 Requester: Phone No: INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 �v 7 -i3 7 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: der � o / I 0 7 :.11 REINSPECTION E REQUIREo. Prior to inspection. fee must be ■ .aid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Project: 7 /, Type of spection: r Address.. / O y ?ei s Date Called : / Special Instructions: Date Wanted: 5 ", / 6 -Q 7 a.m. p.m. Requester: Phone No: / 7 - g7 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: Inspector: I Date: — 4 -a r �0 REINSPECTION E REQUIR . Prior to inspection, fee must be d at 6300 Southcenter hid.. Suit 100. Call the schedule reinspection. t No.: P 1Date: • Project: - S /( /),i, i <l S -Dn/f 7 Type of Inspection: � mi e, zAid) -t - Addr s : ( / O S z/24 Date Called: Special Instructions: Date Wanted: ,— / 7 Cr? eV illr Requester: Phone No INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 proved per applicable codes. El Corrections required prior to approval. COMMENTS: Inspec or Date: .00 REINSPECTION F E REQUIRED. Fnor to inspection, fee must be — V- id at 6300 Southcenter lvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: STATE OF WASHINGTON) COUNTY OF KING s s. CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Permit Center /Building Division: 206 -431 -3670 Public Works Department: 206 - 433 -0179 Planning Division: 206 -431 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION Q 1( , 0' Lea [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, 1 hereby attest that after reading the exemptions from the registration r u ment of RCW 18.27.090, 1 consider the work authorized under this building permit to be exempt under No. E, and will therefore not be performed by a registered contractor. \applications\8-2004 affidavit in lieu of contractor registration 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. APPLICANT Signed and swom to before day of ./ 01 N AR PUBLIC in and for the State of Washington, PERMIT NO.: PG/D1--1 (vt , states as follows: IS My commission expires: O 5 -, - /0 0 ,20© , County. Residing at J A �1 1 Name as commissioned: latim`� / 1'L)e 18.27.090 Exemptions. This chapter sha 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 fumished 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\B -2004 affidavit in lieu of contractor registration contracts amounts less 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 prequatified as required by chapter 13 of the Laws of 1961, RCW 4728.070 with the department of transportation to perform highway construction, reconstruction, or maintenance work.