HomeMy WebLinkAboutPermit PG06-003 - METZGER RESIDENCEMETZGER RESIDENCE
4901 S 161 ST
PG06 -003
Parcel No.:
Address:
Suite No:
Tenant
Name:
Address:
City ei Tukwila
5379800225
4901 S 161 ST TUKW
METZGER RESIDENCE
4901 S 161 ST, TUKWILA WA
Owner:
Name: METZGER WALLACE
Address: 4901 S 161ST ST, TUKWILA WA
Contact Person:
Name: WALLACE METZGER
Address 4901 S 161 ST, TUKWILA WA
Contractor:
Name: OWNER AFFIDAVIT - WALLACE METZGER
Address: ,
Contractor License No:
DESCRIPTION OF WORK:
MOVE SINK, DISHWASHER, AND OUTSIDE SPICKET
Value of Plumbing /Gas Piping: $0.00
Fees Collected: $98.00
Plumbing
Bathtub or combination bath /shower
sewer 0
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
Dishwasher, domestic, with independent drain
Drinking fountain or water cooler (per head)
0
Food -waste grinder, commercial 0
Floor drain 0
Shower, single head trap
Lavatory 0
Wash fountain
Receptor, indirect waste 0
Sinks 1
Urinals 0
Water Closet 0
doc: UPC - Permit
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
PLUMBING /GAS PIPING PERMIT
Expiration Date:
Uniform Plumbing Code Edition: 2003
International Fuel Gas Code Edition: 2003
FIXTURE TYPE AND QUANTITY
0
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 244 -3485
Phone:
Steven M. Mullet, Mayor
Steve Lancaster, Director
PG06 -003
04/12/2006
10/09/2006
Plumbing (cont.l
0 Building sewer and each trailer park
Rain water system - per drain (inside bldg) 0
Water heater and /or vent 0
Industrial waste treatment interceptor, including
1 its trap and vent, except for kitchen type
0 grease interceptors
Repair or alteration of water piping and /or water
treatment equipment 0
0 Medical gas piping system serving one to five
inlets /outlets for a specific gas 0
Gas Piping
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
PGO6 -003 Printed: 04 -12 -2006
Permit Center Authorized Signature.
I hereby certify that I have read an. amine
ordinances governing this work will b comp
City OA Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 -431 -3665
Web site: ct.tukwila.wa.us
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 work. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature: 1, ii 4.14.. 1/n
Print Name: L)il4t. (,14 (. r 1/Iner drex_
Steven Al Mullet, Mayor
Steve Lancaster, Director
Permit Number: PG06 -003
Issue Date: 04/12/2006
Permit Expires On: 10/09/2006
Date: I`-l �l�J�to
this permit and know the same to be true and correct. All provisions of law and
with, whether specified herein or not.
Date: L i— l fP
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.
doe: UPC - Permit PGO6 -003 Printed: 04-12-2006
Parcel No.: 5379800225
Address* 4901 S 161 ST TUKW
Suite No:
Tenant: METZGER RESIDENCE
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431- 3670).
4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
PERMIT CONDITIONS
5: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
6: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department
of Labor and Industries (206/248- 6630).
7: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
doe: Conditions
* *continued on next page **
Permit Number: PGO6 -003
Status: ISSUED
Applied Date: 04/12/2006
Issue Date: 04/12/2006
PG06 -003 Printed: 04 -12 -2006
City of Tukwila
r.r
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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: (41,0 Date: q 12— rO
Print Name: !fine- 1 OA P . /i F?
doe: Conditions
PG06 -003 Printed: 04 -12 -2006
CITY OF TUKWILA
Community Development "enactment
Permit Center 1/410
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Site Address: 4t( Sc.// Cr
Tenant Name: UMW-Mc C nn67Ztic
Property Owners Name: 1.04/.2.44t. C errta err—
Mailing Address: clqpi 6o, ail
Name: ytri Cr/1.46k_
Mailing Address: 1 -/Q0 / so /
Company Name:
Mailing Address:
Company Name:
Mailing Address:
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*
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
k/ 6 2- / 9 itlde- t
Contact Person:
E-Mail Address:
Contractor Registration Number:
QAApplicationsWorms-Appliestions On Lina3-2606 - Plumbing-Gas Piping Permit Application.doc
Revised: 4-2006
bit
King Co Assessor's Tax No.:
Suite Number: Number: Floor:
New Tenant: .... Yes o ..No
I I-Skirl; 141.
City
IA 2.6 W1
State
CONTACT PERSON -who do we contact
Day Telephone: £64' at act I /tier
e ke ACV 1 1 kt WAVote fe€ R 8
Tip
City State
E-Mail Address: Fax Number:
State
City
Day Telephone:
Fax Number:
Expiration Date:
ARCHITECT oritgeettL-„'All Plana mitet 4,0rArobitectonteCotit -
State
City
Contact Person: Day Telephone:
E-Mail Address: Fax Number:
All plans must be wet stamped by Enginoenflecor
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E-Mail Address: Fax Number:
state
9fteft,s3
Zip
Zip
Zip
Zip
Page I. of 2
Fixture Type:
Qty'
. Fixture Type:
Qty
fixture 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
Floor drain
Sinks
I
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
I
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to five
inlets/outlets for specific gas
e- Ce
Valuation of Project (contractor's bid price): $ 2- &0
Co
Scope of Work (please provide detailed information): PIO Vt.. 514 k a- n cX 0)t-1-4 Le- 6 / war a }tea
A t o o y 'f
• Fvo» K r c r) i.,. , A n, b ti �E- e 3 /J d u is i e) a. ts h e ek
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:
:PERMIT: A WATION NOTES
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 t �t OR AUTHORIZED AGENT:
Signature: L ).2 IWo_e2, rn di
I Date Application Accepted:
DlIZIG,
Print Name: U. Xi) (Q t. sat__
Mailing Address: 77 O I /
Q: Applicnima\Fonns- Applications On Line 4i- 2006 - Plumbing-On Piping Pami Application doe
Revised - . 4-2006
bh
Date: L Z Z r D to
Day Telephone:ZO6 2 cf c/ S4ac
7uAw&/1&A M)4g fa /c9
City State Zip
Date Application Expires:
Staff Initials:
Page 2 oft
ACCOUNT tTEM'tIST:
Description
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 5379800225
Address: 4901 S 161 ST TUKW
Suite No:
Applicant: METZGER RESIDENCE
Payee: WALLACE METZGER
PLUMBING - RES
RECEIPT
Permit Number: PGO6 -003
Status: PENDING
Applied Date: 04/12/2006
Issue Date:
Receipt No.: R06 -00493 Payment Amount: 98.00
Initials: ]EM Payment Date: 04/12/2006 08:59 AM
User ID: 1165 Balance: $0.00
TRAM Atflb Nt1S'Tt
Type Method Description Amount
Payment Check 9766 98.00
Account Code Current Pmts
000/322.100 98.00
Total: 98.00
4491 04/13 9710 TOTAL 98.00
doc: Receipt Printed: 04-12-2006
Project:
�2
Type of Inspection:
\
`
Address: �
St--
Date Called:
Special Instructions:
Date Wanted:
/
C
�
Y�
P .6.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
C OMMENTS:
ta p5 P.)74
❑ Corrections required prior to approval.
1 4 Pir Date:
ri $58.00 REINSPECTION FE t REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
Projec ' /
Wei i /Li /
A
n: ' �
Type of Inspection:
2..— P C L ( - 4QJ2
Address: / /‘ /
Dat Called:
Special Instructions:
Date Wanted: '7 �g /'
j2 -"f / -o
�.m.
p m
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PER
(206)431 -3670
I Jcl i proved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Ae -1 /(A, ,s /1/4-
7 - On,. 14 s4 ; x
T) 'J ,w'—i ,\ 4/4
Date: / ?-04
7 $58.00 REINSPECTIOq FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
Revision submittals must be submitted In person at the Permit Center. Revisions will not be accepted through
the mall, fax, etc
Date:
0
0
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: /hvww.ci.tukwila.wa.u.
Plan Chech/Permit Number:
Response to Incomplete Letter #
Response to Correction Letter #
Revision # after Permit is Issued
Revision requested by a City Building Inspector or Plans Examiner
Project Name: 1, 00,1744. t .r.1 4 a
Project Address: ea e9 f S o . ( :( sr—
Contact Person: ,%) Ai t. Phone Number: c td a' 0 q £`ess'
Summary of Revision:
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by
Entered in Permits Plus on
\applreationsVonns- applications on line\sevn'on submittal
Created: 8 -13 -2004
Revised:
Steven Al. Mullet, Mayor
Steve Lancaster, Director
o-e03
CITY OF TUKWILA v
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
fth //4 states as follows:
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 requirement 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.
lapplications\8 -2004 affidavit in lieu of contractor registration
(2 h..D.ficat m ,-,
APPLICANT
Signed and sworn to before me this
day of /7 l..
NOTARY PUBLIC in and for the State of Washington,
��r , County.
Name as commissioned: 6 , 1-4 f7i
S--- ,f'9- /p
Residing at
My commission expires:
New
`/ 1
Permit Center/Building Division:
206 - 431 - 3670
Public Works Department:
206 -433 -0179
Planning Division:
206 -431 -3670
PERMIT NO.: V &ay
,20(')C, .
i'
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\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 engases `in th & ttivities herein
regulated as an employee. qf a - rttgistered
contractor with wages is his sole romp6nsation;
17. Contractors on highway pro1eptkwtlo have been
prequalified as require 1 by chapter 13 of the Laws
of 1961, RCW 47.28.074 with the department of
transportation to perform highway construction,
reconstruction, or maintenance work.