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Home My WebLink AboutPermit PG07-169 - SYMONDS ADDITIONSYMONDS ADDITION 12250 42 AV S PGO7-1 69 Parcel No.: 0179000090 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: 12250 42 AV S TUKW SYMONDS ADDITION 12250 42 AV S , TUKWILA WA SYMONDS KELLE S 12250 42ND AVE S , TUKWILA WA Contact Person: Name: KELLE SYMONDS Address: 12250 42 AV S , TUKWILA WA Contractor: Name: OWNER AFFIDAVIT - KELLE SYMONDS Address: Contractor License No: DESCRIPTION OF WORK: PLUMBING FOR BATHROOM ADDITION Value of Plumbing /Gas Piping: Fees Collected: 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 1 Lavatory 1 Wash fountain Receptor, indirect waste 0 Sinks 0 Urinals 0 Water Closet 1 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 $4,500.00 $145.00 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: 206 679 -3344 Phone: Steven M Mullet, Mayor Steve Lancaster, Director PG07 -169 09/04/2007 03/02/2008 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and/or vent 1 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 -169 Printed: 09 -04 -2007 Permit Center Authorized Signature: Signatur' Print Name: 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 Number: PG07 -169 Issue Date: 09/04/2007 Permit Expires On: 03/02/2008 Steven M Mullet, Mayor Steve Lancaster, Director Date: oll ito I hereby certify that I have read and�ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie , 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 e performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. �f Date: / 0 7 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 -169 Printed: 09-04 -2007 Parcel No.: 0179000090 Address: Suite No: Tenant: 12250 42 AV S TUKW SYMONDS ADDITION 1: ** *PLUMBING AND GAS PIPING * ** 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 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 -169 ISSUED 06/18/2007 09/04/2007 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 backfllled 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 -169 Printed: 09 -04 -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 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. doc: Cond -10/06 PG07 -169 Date: 9 Y .;-0 7 ordinances governing or local laws regulating Printed: 09 -04 -2007 King Co Assessor's Tax No.: d I ciao O6 C - Site Address: f2 25 O 9 1 tp4? .• S . 1 J k k4.., Suite Number: Floor: Tenant Name: Property Owners Name: a le- S ruls Mailing Address: 1j2r•00 l 7.t S Company Name: Mailing Address: CITY OF TUKWILA Community Developme.lepartment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.citukwila.wa.us Contact Person: E -Mail Address: Contractor Registration Number: 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 ** Q:\ Applications \Forms- Applications On Line'3 -2006 - Permit Application.doc Revised: 9-2006 bh Tu kwt la.,. Cit,t Name: f-Z I1 5 m C r+i cQ S Day Telephone: Mailing Address: 1 2-7-50 s , —ro s ta.. City Day Telephone: Fax Number: Expiration Date: New Tenant: El .... Yes E ..No A State State 9tf1tt Zip 206 - 0'9 3 3Y-4 Lo /4 A' City State Zip E -Mail Address: 1 �C..S U e.r ( 5 >f,0�1 I. CO m Fax Number: Zip Company Name: 4 + 6es ( f Mailing Address: C b 2.1(0 S � 2 s t 4 , t - S -t 39 9 / - W p A ! 8'66 Contact Person: -01� F3(44 . E -Mail Address: boas haul Q e `. lid' Fax Number: City State Zip Day Telephone: 253 - 146 - (o( Company Name: 6 CO CO r1 S U 144 7 i neer I n C., Mailing Address: 22.00 Y' le.rrMAti. b..1µ�.1 CJ GO A 9 g nn •J City State Zip Contact Person: k k a k �Q y, (4... Day Telephone: i Fi5- 3 38 - rt)3`E-2. E -Mail Address: kE ro. 62 t or1� net . , 4. -. nt+ Fax Number: Page 1 of 6 I y& -,,,. S �^ �yi" f�3~4.- i..v'✓�i S SF'ngN - -y { y s j„ '�. "�°AFsx• 's n ,-.. ...au_a r, x x ::4� A ,b� ,,M�'! 9 .. n e -or w• t elp d� 3 � 'k�• ..0 di f ® .,,.: t .. ��. §., ?'�...:'. "fi �, �.r+ S ^ c io z per .. n^L�3' �:�n.�....��<T �"�'�s. b 9 � C e ( i ... r ��.Za�•aa QQ � 3 �� ,,��r�i"'. i-,. ,.�" .. et ach 1 o. 9 t7y �`•�gp x Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): Canes, -° N h o u +0 t be r Q,s a" h 12 �`. ! otf'1i" 1 . R '' K.% 4 p - er rn f- '/ '{i. Z5 IN • - l yl GL 12_10- vt ' r*. ntre 4.-- -�'r - - ppr Will there be new rack storage? ❑... Yes %. No If yes, a separate permit and plan submittal will be required. PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: 4j Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None Other (specify 4. ef��y Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes phi No If 'yes ', attach list of materials and storage locations on a separate 8 x I 1" paper including quantities and Material Safety I , t o 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. I1da—i r 4'0 a €A4Y GxS coon to t ckv Q:'ApplicationsWotms- Applicati On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 2 of 6 ,F.. , T Type' . .:34tY'l - 171# re Typ '> , � �g Ibtature y Bathtub or cohbination 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 Floor drain Sinks Dental unit, cuspidor Shower, single head trap )i( Urinals Dishwasher, domestic, with independent drain Lavatory . v !4 Water Closet Building sewer or trailer park sewer 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 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: 11\5411641. l ACC.-10) r I u m 61 & c am Mailing Address: 14 31 f `I E' - 75k `.. A, C9 8 t IS cit State Zip ��yy Day Telephone: 2d' - 335 -332,0 E -Mail Address: P turn ri . b I . Q, 5 W1 p f ' , awn ry Fax Number Contractor Registration Number: ! MST/4-P 4 9 43 al Expiration Date: Contact Person: Valuation of Plumbing work (contractor's bid price): $ 4 Soo . 00 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): rc.. hit -hr n ea-Asti 1-;rus o; - tit i ( c.$', c -holder ; s i n L tie lard erg is odor hose, bt 6 Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Q:Mppliationee\Forms- Appliations On Line\3 -2006 -Permit Applicetion.doc Revised: 9 -2006 bh Page 5 of 6 Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT: Signature: '/ Print Name: )&LIC. mon Mailing Address: 177.50 42J ,,.$ Date: 4- I t ad "1 Day Telephone: X15 lel 334/4./ 9e14,8 City State Zip Date Application. Accepted: (0 F Q:Wpplications\Forms- Applications On LinA9 -2006 - Permit Application.doc Revised: 9 -2006 bh . Staff Initials: (10 Page 6 of 6 i Tnn• DLY•CL•r n RECEIPT NO: R07 -01867 Initials: User ID: JEM 1165 Payee: KELLE SUE SYMONDS 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 SET RECEIPT SET ID: 0904 SET NAME: SYMONDS ADDITION D07 -216 1,095.20 PG07 -169' 118.00 TOTAL: 1,213.20 TRANSACTION LIST: Type Method Description Amount Payment Check 5340 1,213.20 TOTAL: 1,213.20 ACCOUNT ITEM LIST: Description BUILDING - RES PLUMBING - RES PW BASE APPLICATION FEE PW PERMIT /INSPECTION FEE PW PLAN REVIEW STATE BUILDING SURCHARGE Account Code Current Pmts 000/322.100 622.70 000/322.100 118.00 000/322.100 250.00 000/342.400 109.00 000/345.830 109.00 000/386.904 4.50 TOTAL: 1,213.20 Payment Date: 09/04/2007 Total Payment: 1,213.20 if 7 i ;L 1217, ill Project: // /// + ` C �(! /'J E i� Type of pectin : k 17 e Address: /2'J/, ' Ti r e d ' ate Called: 1 Spe l Instructions: Date Wanted: /�m� � -� Requester: " Phone No: 7- INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION g 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: Cpl %o /C Inspector; (Date: 2 El $58.00 REINSPECTIOI( FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: Proje t: Type of Inspect' n: // V tAccl S r--t 5 Acte • i Addr ss: M .5a ‘-12. A4 S Date Called: Special Instructions: Date Wanted: %a( 3`0l t i ;py p.m. Requester: Phone No: INSPEctION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 1 4 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: I lnsPect0r: Je .l #.Date: I /2131 01 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: ACTIVITY NUMBER: PG07 - 169 DATE: 06 -18 - PROJECT NAME: SYMONDS ADDITION SITE ADDRESS: 12250 42 AV S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Bu l ; ing Division k Pub lc Works Complete Comments: Documents/routing stip.doc 2 -28-02 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUT NG: Please Route Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: ❑ Permit Coordinator ❑ DUE DATE: 06-19-07 No further Review Required DATE: DATE: Planning Division Not Applicable ❑ DUE DATE: 07-17-07 Not Approved (attach comments) ❑ Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: CITY OF TUKWIL4 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 STATE OF WASHINGTON) ) ss. COUNTY OF KING ) AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO.: Wk2 (j J [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 r uirement 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. \applications\8 -2004 affidavit in lieu of contractor registration , states as follows: Alp CANT Signed and sworn to before me this g day of Se 64't - 6-e r , 20 7 OTA Y PUBLIC in and for the State of Washington, Residing at tri , County. Name as commissioned: )IZUrI e A My commission expires: 0/9 -/ 18.27.090 Exemptions. This chapter shall not apply to: 1. 2. An authorized representative of the United States Government, 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\B -2004 affidavit in lieu of contractor registration w contracts of 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 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.