HomeMy WebLinkAboutPermit PG07-208 - STEPPING STONE VENTURES #46SOUTHGATE MOBILE HOME
PARK # 46
14005 42 AV S
PGO 7-208
Parcel No.: 1523049008
Address:
Suite No:
14005 42 AV S TUKW
Cityf Tukwila
Contact Person:
Name: ERIN O'LEARY
Address: 20303 10 AV W , LYNNWOOD WA
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
Tenant:
Name: SOUTHGATE MOBILE HOME PARK #46
Address: 14005 42 AV S , TUKVVILA WA
Owner:
Name: STEPPING STONE VENTURES L L
Address: 20303 10TH AVE W , LYNNWOOD WA
Contractor:
Name: OWNER AFFIDAVIT - ERIN O'LEARY
Address: 20303 10 AV W , LYNNWOOD WA
Contractor License No:
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date:
Phone:
Phone: 206 - 484 -3848
Phone: 206 - 484 -3848
DESCRIPTION OF WORK:
HOOKING UP MOBILE HOME TO PROPANE TANK AND EXISTING WATER AND SEWER ON PROPERTY
Value of Plumbing /Gas Piping:
Fees Collected:
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
doc: UPC -10/06
$200.00
$197.00
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND OUANTITY
Plumbing (cont.)
O Building sewer and each trailer park sewer 1
O Rain water system - per drain (inside bldg) 0
0 Water heater and/or vent 0
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
O treatment equipment 1
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
0 Gas Pining
O Gas piping outlets (0-5) 1
0 Gas piping outlets (6 +) 0
* *continued on next page **
PG07 -208
08/09/2007
02/05/2008
PG07 -208 Printed: 08-09 -2007
Permit Center Authorized Signature:
I hereby certify that I have read and examined this permit and know the same to be true and correct. 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 provisions of any other state or local laws regulating
construction or the • erforman •A work. I authorized to sign and obtain this plumbing /gas piping permit.
•_'
dip
Signature:
Print Name:
This permit shall become null and void if the work is not co enced 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 inspec
doc: UPC -10/06
City o4/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 - 208
Issue Date: 08/09/2007
Permit Expires On: 02/05/2008
Date: e-0,-.0-
Date:
PG07 -208 Printed: 08 -09 -2007
Parcel No.: 1523049008
Address:
Suite No:
Tenant:
14005 42 AV S TUKW
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
SOUTHGATE MOBILE HOME PARK #46
PERMIT CONDITIONS
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
PG07 -208
ISSUED
08/09/2007
08/09/2007
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.
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.
PG07 -208 Printed: 08 -09 -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:
Print Name:
doc: Cond -10/06
PG07 -208 Printed: 08 -09 -2007
Site Address:
Tenant Name: Sov-HA Owners Name: S
Mailing Address:
Name:
Mailing Address:
E -Mail Address:
Contact Person:
E -Mail Address:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
OO
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 **
6^i r\ ._- 01-06L
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State
City
CONTACT P
ntact when your permit is read
QAAppliationsTonns- Applications On Lined -2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4 -2006
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King Co Assessor's Tax No.: 1 5 c) 3C 1 500 ti
Suite Number: 4/6, Floor:
New Tenant: A.... Yes J ..No
Zip
Day Telephone: fj 9 Pi/ 3 QI,Li
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Fax Number:
MBIN.G / GAS PIPING INFORMA
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
11 `plans must be
Company Name:
Mailing Address:
State
city
Day Telephone:
Fax Number:
Company Name:
Mailing Address:
Zip
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
Valuation of Project (contractor's bid price): $ Oo
cope of Work (ple a provide detailed information): O.* 1 N. •
r1 W Y7i , �1► Y rr.�
Building Use (per Int'1 Building Code):
Occupancy (per Intl Building Code):
Utility Purveyor: Water: 4+ /
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Fixt4re Typ
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
i
xture 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
t-4
ixture t ype. -
Gas piping outlets
Additional medical gas
inlets/outlets — six or more
Medical gas piping system
serving one to five
inlets/outlets for specific gas
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
Signature:
Date: 8, 9- 0 -)
Date Application Accepted:
O# I H
Print Name:
Mailing Address: 30
NT:
Q:\ Applications\Fomu- Applications On Line\3 -2006 - Plumbing -Gas Piping Penni Application.doc
Revised: 4-2006
bb
Sewer: V".) v(14 J
Day Telephone. tit
! W
City
Zip
Date Application Expires:
Staff Initials:
Page 2 oft
1
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
RECEIPT
Parcel No.: 1523049008 Permit Number: PG07 -208
Address: 14005 42 AV S TUKW Status: PENDING
Suite No: Applied Date: 08/09/2007
Applicant: SOUTHGATE MOBILE HOME PARK #46 Issue Date:
Receipt No.: R07 -01642
Initials: WER Payment Date: 08/09/2007 11:53 AM
User ID: 1655 Balance: $0.00
Payee: STEPPING STONES
TRANSACTION LIST:
Type Method Description Amount
Payment Check 6551 197.00
ACCOUNT ITEM LIST:
Description
GAS - RES
PLUMBING - RES
Account Code Current Pmts
000/322.100 88.00
000/322.100 109.00
Total: $197.00
Payment Amount: $197.00
doc: Receipt -06 Printed: 08 -09 -2007
Projtst:
4 6
Type of Inspection:
— ,
D000 G n
-
I
Address: ' ' 1
■
1 L A 0 a
Date Called: ;i
Special Instructions:
Date Wanted:
7
a.m.
ii
Requester: T--
t r ■ r1
Phone No:
-C) 6 - L i 5) - 32)-10
INSPECT NO.
COMMENTS:
Inspector
INSPECTION RECORD
Retain a copy with permit
, NO.
CITY OF TUKWILA BUILDING DIVISION 17--
6300 Southcenter. Blvd., #100, Tukwila, WA 98188 - (206)431-367
Approved per applicable codes.
Approved 0 Corrections required prior to approval.
Date:
- \ ) 6o)`-_,,)00
El $58.00 REINSPECTION FEE EQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
; 4 •
Project:
41 4 {
v k � � � 6
Type of Inspection: `
1900 l ik
, k
P'
Address 1
MOO s )- 0- At) s
Date Called:
Special Instructions:
Date Wanted:
I0 U
a.m.
Requester:
r∎ IN.
Phone No: nn 2 (� y � /�
�)(r, '-1 SB 1(/
0 )O8
IrrSPECTION RECORD
Retain a copy with permit PERMIT NO.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Sout hcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
COMMENTS:
/)W
Approved per applicable codes. El Corrections required prior to approval.
El $58.00 REINSPECTION ' E REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
(Receipt No.:
'Date:
Project: ,t 1 1 i , r->
t1 1( e f\tlubilf L.
Type of t n: Inspectio
id-ttc ) ,v
Apirlsb 05 ' Z Au 9
Date Called:
-------
Special Instructions: if, j , L..1 (
Date Y./Intel: 77
P.m.
Requester:
Phcle3o6
I 9 4 _ _ _ _ ..; oti 0
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
"i per applicable codes.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
(206)431-3670
Corrections required prior to approval.
COMMENTS:
ctor:
r eceipt No.: 'Date:
Date:
00 REINSPECTION FE EQUIRE D, Prior to inspection, fee must be
id at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
Project: ' '1
`..�(1 ` ■.( '1c ,' ■ 1 V VII � --
Type of Inspection: t 1-1L Lt . ) ( ■
' ` `_t ►_J . , Y\s;
A i d L i U LIZ 4 V
Date Called:
Special Instructions:
Wanted:
Date Wanted:
G -
( a.m.
! z - (�7
Requester:
Phone
J eL /, 38/ /C
I
7 (V; 1- L`
I INSPECTION RECORD p7_ �,
Retain a copy with permit
INSPECTION NO. PE MI NO.
CITY OF TUKWILA BUILDING DIVISION
630 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes.
Corrections required prior to approval.
$ p . at 6300 South e it
nter Blvd.. Suite D100 Prior
Call the schedule f
hedulereinspection.
COMMENTS:
l�vo .a 5 7e,.5
/ /c> r i `'•- A , y 0-4
0 /1JLt✓Fil.r {4 v1I6- 1414c
rtAL t✓ > 13 eoc 1
Date:
- 1 2
Receipt No.:
(Date:
02 -12 -2008
ERIN O'LEARY
20303 10 AV W
LYNNWOOD WA 98036
RE: Permit No. PG07 -208
14005 42 AV S TUKW
Dear Permit Holder:
Thank you for your cooperation in this matter.
Sincerely,
ifer Marshall
Permit Technician
xc: Permit File No. PG07 -208
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
In reviewing our current records the above noted permit has not received a fmal inspection by the City of Tukwila Building Division.
Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the
Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or fmal inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does
allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests
must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from
being taken.
In the event you do not call for the above inspection and receive an extension prior to 03/10/2008 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
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
STATE OF WASHINGTON)
COUNTY OF KING
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
ss.
C , g. 1 0' , states as follows:
[please pr• t]
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 req ment of RCW 18.27.090, I consider the work authorized
under this building permit to be exempt under No. Z, 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
PERMIT NO.:/'O737-
Signed and sworn to before me this
9"
day of
us
T A Y PUBLIC in and for the State of Washington,
I�'1 . , County.
ktu_
A
My commission expires: 05-9
Residing at
Name as commissioned:
, 200