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HomeMy WebLinkAboutPermit PG07-271 - LAPINE RESIDENCELAPINE RESIDENCE 14443 58 AV S PGO7-271 Parcel No.: 3365900620 Address: Suite No: Tenant: Name: Address: 1444358AVSTUKW LAPINE RESIDENCE 14443 58 AV S , TUKWILA WA Owner: Name: LAPINE GARY +DIANA Address: 14443 58TH AVE S , TUKWILA WA Contact Person: Name: GARY LAPINE Address: 14443 58 AV S , TUKVVILA WA Contractor: Name: OWNER AFFIDAVIT - GARY LAPINE Address: 14443 58 AV S , TUKWILA WA Contractor License No: DESCRIPTION OF WORK: I N S T A L L GAS PIPING FROM Mk, rt it TO GENERATOR Value of Plumbing /Gas Piping: $200.00 Fees Collected: Plumbing Bathtub or combination bath/shower 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain 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 Cityrf 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 PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Expiration Date: Phone: Phone: 206 - 617 -1303 Phone: 206 -617 -1303 Uniform Plumbing Code Edition: 2006 $88.00 International Fuel Gas Code Edition: FIXTURE TYPE AND OUANTITY 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 0 its trap and vent, except for kitchen type 0 grease interceptors 0 0 Repair or alteration of water piping and/or water 0 treatment equipment 0 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 Piping 0 Gas piping outlets (0 -5) 1 0 Gas piping outlets (6 +) 0 * *continued on next page ** PG07 -271 10/11/2007 04/08/2008 2006 PG07 -271 Printed: 10 -11 -2007 Permit Center Authorized Signature: City o`rTukwila 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 (JAPL Permit Number: PG07 -271 Issue Date: 10/11/2007 Permit Expires On: 04/08/2008 Date: t < 1 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 perfo ce of work. I , au ed to sign and obtain this plumbing /gas piping permit. Signature: Print Name: This permit shall become 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 Date:/k//P PG07 -271 Printed: 10 -11 -2007 Parcel No.: 3365900620 Address: 14443 58 AV S TUKW Suite No: Tenant: LAPINE RESIDENCE 1: ** *PLUMBING AND GAS PIPING * ** doc: Cond -10/06 sie 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: PGO7 -271 ISSUED 10/11/2007 10/11/2007 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. T: 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 bacldilled 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 -271 Printed: 10 -11 -2007 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 Da te:, # f J 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 PG07 -271 Printed: 10 -11 -2007 /VAcq7 6E40.5 Tenant Name: *4 fry 1 A / Property Owners Name: J Mailing Address: Site Address: CONTACT PERSON Who do we contact when your permit is ready to be issued Name: 4Q f i 41SY j ,�,,,,,� Day Telephone: 20 1393 Mailing Address: V / t W4 ; 3' "� 15',. 1 j - ''1 b 3 City State Zip Fax Number: E -Mail Address: PLUMBING / GAS 1IPING CONTRACTOR INFORMATION Company Name: Mailing Address: 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 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 ** 0E-tnhzr 4 F , 1-.4• r f -e Contractor Registration Number: Expiration Date: ARCIIITECT.OF RECORD — All plans must be wet stamped by Architect o ecor Company Name: Mailing Address: Contact Person: E -Mail Address: Company Name: Mailing Address: Q:1Applications\Porms- Applications On Line U-2006 - Plumbing -Gas Piping Permit Application.doc Revised: 4-2006 bh For office use o Plumbing /Gas Permit No. Project No. King Co Assessor's Tax No.: (C ©4a Suite Number: New Tenant: Floor: ❑ ...Yes State State City State Zip Day Telephone: 1 3P 7 Fax Number: City Day Telephone: Fax Number: Zip ENGINEER OF RECORD - All plans must be wet stamped by Engineer of record City Day Telephone: Fax Number: Zip Contact Person: E -Mail Address: Page 1 of 2 Fixture Type: Qty .. Fixture Type. ;Qty Fixture Type:: t fy. Fixture Type. '4n' 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 i'e ✓ 1 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): $ Scope of Work (please providepdetailed information): P'e Building Use (per Intl Building Code): Occupancy (per Int'I Building Code): -r ki �a Utility Purveyor: Water: 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 OWNER 1 ' AUTH • ' E 1 Signature: Print Name: Mailing Address: Date Application Accepted: Q:\Applications\Fonns- Applications On Linen -2006 - Plumbing -Gas Piping Penni Application.doc Revised: 4 -2006 bh ay T - lephon City Staff Initials: Zip Date Application Expires: Page 2 of 2 Parcel No.: 3365900620 Address: 14443 58 AV S TUKW Suite No: Applicant: LAPINE RESIDENCE Receipt No.: R07 -02224 Payee: GARY LAPINE ACCOUNT ITEM LIST: Description GAS - 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: 10/11/2007 02:26 PM User ID: 1655 Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Check 2527 88.00 Account Code Current Pmts 000/322.100 88.00 Total: $88.00 Permit Number: PG07 -271 Status: PENDING Applied Date: 10/11/2007 Issue Date: Payment Amount: $88.00 dnnr RAraint -nA Printact 10 -11 -7007 Prort:_ Type of Inspection: Address: I (- 04 LI 3 0 iertiS Date Called: Special Instructions: ' Date Wanted: 1-1 ,-- i 1 —/ — CDC? p.m. Requester: Phone No: 4=V3 INSPECTION NO. INSPECTION RECORD Retain a copy with permit P667-2_7/ PERMIT NO. CITY OF TUKWILA BUILDING DIVISION te• 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 pproved per applicable codes. El Corrections required prior to approval. COMMENTS: l/trf ) 1 5 Pt (Petr Ak7T ttp l inspectr! 'Date: 4 , LI $58.00 REINSPECTION FEE R QUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: -- - - - Project: . I 41 —e Type of lospection: `7 I i el 0 / A'S * . ■ Address: / c Ay° S Date Called: Special Instructions: Date Wanted: a.m. Requester: Ill . Phone . 26 /705 Approved per applicable codes. J3're3 rrect i ons required prior to approval. COMMENTS: 2 .../ CC7.4-7-yir i Ill . 1 Ins P60 7- ,2 7 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Sout hcenter Blvd. #100, Tukwila, WA 98188 (206)431-3 Date./ //— ? $58.00 REI z ECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: IDate: Project ield, i ",----- Type nspectin: I Address; / t/e/if ? Cr Ai-, c Date Called: Special Instructions: Date Wanted: /7" 2-0 a. • Requester: Phone No: gr pproved per applicable codes. 27- 2 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION F- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3 El Corrections required prior to approval. COMMENTS: lint Date: El $58.00 REIN CTION FEE REQUIRED. Prior to inspection. fee must be paid at 6OO Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: i : 7 - • ," 4 st - RECEIVED env OF TIJKWILA OCT 112001 PERMIT CENTER 1" i\/01-4 Pew yeneyerkY Optve14,1)/ 04 -04 -2008 GARY LAPINE 14443 58 AV S TUKWILA WA 98168 RE: Permit No. PG07 -271 14443 58 AV S TUKW Dear Permit Holder: City of Tukwila Zl 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 conunenced 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 05/18/2008 , your permit will become null and void and any further work on the project will require a new permit application and associated fees. Thank you for your cooperation in this matter. Sincerely, xc: er Marshall t Technician Permit File No. PG07 -271 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. 7.3/ f 6 [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. 1 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 requi rnent of RCW 18.27.090, I consider the work authorized under this building permit to be exempt under No. / 2 , and will therefore not be performed by a registered contractor. I understand that 1 may be waiving certain rights that 1 might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. \applications\a -2004 affidavit in lieu of contractor registration APPLICANT PERMIT NO.: 4 0 7 —. 75 , states as follows: Signed / and swom to before me this / ! day of ( 6 er , 20 0 7. N ./,te,t_ _A-6( PUBLIC in and for the State of Washington, Residing at Name as commissioned: My commission expires: , County. U 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; 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 \applicationsl8 -2004 affidavit in lieu of contractor registration contracts of amounts 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.