HomeMy WebLinkAboutPermit PG07-258 - BATES RESIDENCEBATES RESIDENCE
12014 44 AV S
PGO7-258
Parcel No.: 3347401066
Address:
Suite No:
12014 44 AV S TVKW
Tenant:
Name: BATES RESIDENCE
Address: 12014 44 AV S , TUKWILA WA
Cityf Tukwila
Owner:
Name: BATES MARJORIE E
Address: 12014 44TH AVE S , SEATTLE WA
Contact Person:
Name: WESLEY BATES
Address: 35400 1ST AV S , FEDERAL WAY
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
Contractor:
Name: OWNER AFFIDAVIT - MARJORIE BATES
Address: 12014 44 AV S , TUKWILA WA
Contractor License No:
Value of Plumbing /Gas Piping: $50.00
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 0
Lavatory 0
Wash fountain
Receptor, indirect waste 0
Sinks 1
Urinals 0
Water Closet 0
doc: UPC -10/06
PLUMBING /GAS PIPING PERMIT
FIXTURE TYPE AND OUANTITY
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date:
DESCRIPTION OF WORK:
ALL WE ARE DOING IS CHANGING THE KITCHEN SINK DRAIN SO IT HOOKS UP TO THE REST
OF THE WASTE SYSTEM. WE WILL EMPTY AND FILL THE GRAY WATER TANK THAT 15 EXISTING
0
* *continued on next page **
Phone:
Phone: 253 -797 -2511
Phone: 206 -763 -9563
PGO7 -258
10/01/2007
03/29/2008
Uniform Plumbing Code Edition: 2006
$98.00 International Fuel Gas Code Edition: 2006
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 1
Medical gas piping system serving (1 -5)
inlets /outlets for a specific gas 0
Medical gas piping (6 +) inlets /outlets 0
Gas Pipina
Gas piping outlets (0-5) 0
Gas piping outlets (6 +) 0
PG07 -258 Printed: 10 -01 -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
constructs performance of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature: / " " 1 ^ o -C� .4� Date: /0 - / -4 7
i eq./
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.
Print Name:
doc: UPC -10/06
City &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 -258
Issue Date: 10/01/2007
Permit Expires On: 03/29/2008
Date: 10 0 7
PG07 -258 Printed: 10 -01 -2007
Parcel No.: 3347401066
Address: 12014 44 AV S TUICW
Suite No:
Tenant: BATES RESIDENCE
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
* *continued on next page **
Permit Number:
Status:
Applied Date:
Issue Date:
PG07 -258
ISSUED
10/01/2007
10/01/2007
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: 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.
PGO7 -258 Printed: 10 -01 -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.
Signature:
Print Name:
doc: Cond -10/06 PG07 -258
Date: /3 - i —0 2
ordinances governing
or local laws regulating
Printed: 10 -01 -2007
CITY OF TUKWILA...J
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Plumbing/Gas Permit No.
Project No,
For office use only)
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 **
1-12-111 /� King Co Assessor's Tax No.: 3 3 � ?0 { 6 `9 A
Site Address: 1 a..0 (2 A v e , SO , Suite Number: NA Floor: WA
Tenant Name: /10._T t i . n r ( Q. 30.fe 5 New Tenant: ❑ .... Yes [ ..No
Property Owners Name: 5 tvx.e 0—c a, .60 it e. go-7r
Mailing Address: 50.... AA 1 2— ft. 5 la c r e. / U k 0;1 I k WAP , t J
City State
Zip
CONTACT PERSON -.Who do we contact when your permit is ready to be issued
Name: (oe ley Bale S
Mailing Address: 3 5'( 0 O 12-t A ue a So _
Day Telephone: Zs 3 75 '7 ' 2 3 //'
ff FFdQ1. y idA. 98003
Cit E -Mail Address: Jo t e. 5 5 eo vnc o s T[ N e. f• Fax Number: 25 3' S S Z GO 2
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name: N /4
Mailing Address: X51 1s A-0 Q- 5c . FectLl c ( Wat y WA pl E063
City
Contact Person: 00 cs 1 L° y B
9 env, ct e-
E- MailAddress: 0( 9 a t1� @ cQs r v e l �
Contractor Registration Number:
N/4-
State Zip
Day Telephone: 25 3- 7 5 7 2 S
Fax Number: 1 .5 3- S S 2- h 0 Z 5
Expiration Date: N /,4
ARCHITECT OF IIECOIZP - All plans must be wet stamped by Architect of: Recor
Company Name:
Mailing Address:
Zip
Contact Person:
E -Mail Address:
State
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Q:\Applicationaorms- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4
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Page 1 of 2
Fixture Type::'
Fixture Type:
; Fixture Types
Qn'
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
Floor drain
Sinks
/
Dental unit, cuspidor
Shower, single head trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
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
Valuation of Project (contractor's bid price): $ SQt 0
Scope of Work (please provide detailed information):
Q L' 1 � d
- fll c06 f e s -Fe wit g (Ot u, i (( eAknp ' rA iA
ilia+ j 5 el (5 itt c
Building Use (per Int'l Building Code): < t n.
1
e -P02 <(y 6 1M e
Occupancy (per Int'1 Building Code): To S Mc w'
Utility Purveyor: Water: Ti) k it; I A a ? Sewer: no_ Trn
- Pree Stove (a6oe"
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 OWNER 0 AUT RIZ AGENT:
Signature: (A 9 u • . .,/k
Print Name: (..( l y Q , B04 5
/4-0. I Day Telephone:
Mailing Address: � S «)O ) S o , F ee ( tk) ' l e a . O b3
State Zip
Date Application Accepted:
Q:\Applications\Fonns- Applications On Line\3 -2006 - Plumbing -Gas Piping Permi Application.doc
Revised: 4 -2006
bh
City
e y hoz y (max - K
Date: 9-- ( - - 7
Zs
Date Application Expires:
Staff Initials:
Page 2 of 2
Parcel No.: 3347401066
Address: 12014 44 AV S TUKW
Suite No:
Applicant: BATES RESIDENCE
Receipt No.: R07 -02147
Payee: MARJORIE BATES
ACCOUNT ITEM LIST:
Description
PLUMBING - RES
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
Initials: WER Payment Date: 10/01/2007 03:55 PM
User ID: 1655 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 5804 98.00
Account Code Current Pmts
000/322.100 98.00
Total: $88.00
Permit Number: PG07 - 258
Status: PENDING
Applied Date: 10/01/2007
Issue Date:
Payment Amount: $98.00
3-Y24 10/02 9710 TOTAL 92.00
doc: Receiot -06 Printed: 10 -01 -2007
COMMENTS:
Type of Inspection:
F/ /17 / — f /7 / 6
/
Date Called:
/ 1144/(/ /In74t/ /6 le r/ 4 p lit/
Date Wanttd:
////7/0
7
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Requester: _
/
%t/ 4 4 � 0L4A/
Phone No:
c 2 763
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/3
1
p/ y 4, ; --7 (jam 2 lc. - -
/
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\
,
Project:,
I/� /7 e s A'
Type of Inspection:
F/ /17 / — f /7 / 6
Address:
/.7D / Z/e/ d7v
Date Called:
Special Instructions:
Date Wanttd:
////7/0
7
`
Requester: _
Phone No:
c 2 763
— S
G 3
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 're-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. El Corrections required prior to approval.
nspect r
. //.
:.00 RE ' SPE ON E REQU Prior to inspection. fee must be
r ff
• aid at 6300 Southcente Blvd.. Su' 100. Call the schedule reinspection.
) .
eceipt No.:
!Date: / / r�
'Date:
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.
Vn T�
�1 [please print]
1. I have made application for a budding 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. (.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 requirement of RCW 18.27.090, I consider the work authorized
under this building permit to be exempt under No. /3 , and will therefore not be performed by a registered
contractor.
1 understand that 1 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. �1
\applications\8 -2004 affidavit in lieu of contractor registration
APPLICANT
' St
Residing at f
Name as commissioned:
Signed and sworn to before me this
PERMIT NO.: PC 0-
, states as follows:
day of C °
NOTARY P BLIC in and for the State of Washington,
My commission expires: (�� - aj - /v
20 0 7.
County.
f� �, (Awr l,�
top
18.27.090 Exemptions. This chapter shall 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;
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\8 -2004 affidavit in lieu of contractor registration
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.