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HomeMy WebLinkAboutPermit PG06-088 - CAMPBELL / TAYLOR RESIDENCECAMPBELL/TAYLOR ADDITION 4417 S 136 ST EXPIRED 07 -16 -07 PG06 -088 City or Tukwila Steven M Mullet, Mayor 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 Parcel No.: 7347600075 Address: 4417 S 136 ST TUKW Suite No: PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Steve Lancaster, Director PG06 -088 08/18/2006 02/14/2007 Tenant: Name: CAMPBELL & TAYLOR RESIDENCE Address: 4417 S 136 ST, TUKWILA WA Owner: Name: CAMPBELL LESLIE Address: 1023 CALIF LN SW, SEATTLE WA Contact Person: Name: MIKE IVERSON - DESIGN /BUILD Address: 1710 37 AV, SEATTLE WA Contractor: Name: Address Contractor License No: Phone: Phone: 206 726 -9800 Phone: Expiration Date: DESCRIPTION OF WORK: PLUMBING FOR 913 SF 2 -STORY ADDITION Value of Plumbing /Gas Piping: $0.00 Fees Collected: $230.00 Uniform Plumbing Code Edition: 2003 International Fuel Gas Code Edition: 2003 FIXTURE TYPE AND QUANTITY Plumbing Bathtub or combination bath /shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain... Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet 1 0 1 0 0 0 0 1 2 2 0 0 0 2 0 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and /or vent 0 Industrial waste treatment interceptor, including its trap and vent, except for kitchen type grease interceptors 0 Repair or alteration of water piping and /or water treatment equipment 1 Medical gas piping system serving one to five inlets /outlets for a specific gas 1 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC- Permit PG06 -088 Printed: 08- 18.2006 City ov Tukwila Steven M. Mullet, Mayor Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us Steve Lancaster, Director Permit Number: PGO6 -088 Issue Date: 08/18/2006 Permit Expires On: 02/14/2007 Permit Center Authorized Signature: (` M`"" t" DIA %• M – ' Date: tezi r$ t 5IO I hereby certify that I have read and $xartliin is permit and know the same to be true and correct. All provisions of law and ordinances governing this work will b pli 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 performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: Print Name: Re /t^ 0 4. (6,.- Date: 1— /8 – Xa, 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. doc: UPC - Permit PGO6 -088 Printed: 08 -18 -2006 City Oe Tukwila Steven M. Mullet, Mayor 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 PERMIT CONDITIONS Parcel No.: 7347600075 Address: 4417 S 136 ST TUKW Suite No: Tenant: CAMPBELL & TAYLOR RESIDENCE Steve Lancaster, Director Permit Number f G06 -088 Status: ISSUED Applied Date: 07/13/2006 Issue Date: 08/18/2006 1: ** *PLUMBING AND GAS PIPING * ** 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. * *continued on next page ** doc: Conditions PG06 -088 Printed: 08 -18 -2006 City ar Tukwila Steven M Mullet, Mayor 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 Steve Lancaster, Director 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: /4:e2 /�/ ( 7-�� Date: & — /1 -2t2 44,- D Print Name: doc: Conditions PG06 -088 Printed: 08 -18 -2006 CITY OF TUKWILt Community DevelopmbDepartment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://Www.citulcwila.wa.us Building PertwrNo. t-12-1/1 Mechanical Permit No. 4`O— IC) P1umbng/Gas Permit No. fag - Public Works Permit No. Project No. ro -t of OP 0 rue 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 ** SITE LOCATION Site Address: A-I-t Cl 5 , t -34TH 5r. Suite Number: Floor. Tenant Name: �+ New Tenant: ❑ Yes Property Owners Name: t s.t..1E. CQw%yt a L, 4 !tv �Ayt o - Mailing Address: 41-111 S, I3(e ET tau'JILAi City King Co Assessor's Tax No.: 73 `� D'o 7S ` �� 2 i l u_ ❑..No is-IA '18 ity s State Zip Name: R ticYLO12.. Day Telephone: ZD6 9'31 XI -s Mailing Address: Al4 I7 S . ( 4'" S,' T -tuILA LJa C M State Zip City E -Mail Address: lles t t t aim? bell ZediAteaSf • nel- Fax Number: its GENERAL CONTRACTOR INFORMATION - (Contractor Information for Mechanical (pg 4)for Plumbing and Gas Piping (pg S) ) Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: City Day Telephone: Fax Number: Expiration Date: State Zip ARCHITECT OF RECORD —Ali plans must be wet stamped by Architect of Record I Company Name: (Y%tVt. LVeRSITh r) ES /6tJ /Mt /Lb Mailing Address: 111© 3`7Tt` AUE SSA Ft t City Contact Person: ()NAIVE I t1$RSO Day Telephone: E-Mail Address: RPeini At" GQ6Z, nee Fax Number: WA 98122 x-726 -9$00 aoo&— 7e2,6— / 0001 ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Q1AppliatimdPmms- Application On Iineli- 2006 -Permit Appliatia.doe Raised: 4-2006 U. State Zip Page 1 of 6 BUILDING PERMIT INFORJ4 ION -206-431-3670 I Valuation of Project (contractor's bid price): $ 100 /00O.00 Existing Building Valuation: $ I l O t 00p0`oo Tp'k Scope of Work (please provide detailed information):kIMAM I �'f k-k' FhAawt A,aT O?IJ k) Wi Aj . OF East. ( Y WD. FRAME S/tler fy/1)1„Y 1as ,IcE. BUILD fl I *tie? Wb lZa rat Artrriou Ova ri .a.vt- ST;hcv Ar Rjaxz- CP Exsr: ilousr fxra,.� Ewsz: kb cx- ALoNG. War* Sin Silts DEIvrtATtom Riaw'Ecoe. Will there be new rack storage? ❑ .. Yes 4o (If yes, a separate permit and plan submittal will be required) Provide All Building Areas in Square Footage Below PLANNING DIVISION: L� Single- family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) 2.. *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for 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: 1 Compact: Handicap: Will there be a change in use? ❑....Yes tic.No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 0.. Sprinklers ❑..Automatic Fire Alarm D..None ..Other (specify) —5^0 4 1-c4)590/4_ Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑.. Yes No If "yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data 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. Q:1Applic SFc.mr- Application On LiaM3.2006- Permit MNisadon.dec Revised: 4-2006 bb Page 2 of 6 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC Is Floor / / �oaC LI, H 1480 t i.- 2MFloor 0 H3311,1 3'" Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage 3x15` .e7 Attached Carport Detached Carport Covered Deck Mt 5 Uncovered Deck 31, 7 381 PLANNING DIVISION: L� Single- family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) 2.. *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for 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: 1 Compact: Handicap: Will there be a change in use? ❑....Yes tic.No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 0.. Sprinklers ❑..Automatic Fire Alarm D..None ..Other (specify) —5^0 4 1-c4)590/4_ Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑.. Yes No If "yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data 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. Q:1Applic SFc.mr- Application On LiaM3.2006- Permit MNisadon.dec Revised: 4-2006 bb Page 2 of 6 IYUSLlt. WUiCimbMAIM1 Mr /1tInA11UPt— hUo- 43r01i7 Now Scope of Work (please provide detailed fom nnation):aa r .fir. t STVLY WDresi is 6143ezLE f A1itue WsIt 4cE, &ire.. f4e341 I gmete kTh, mw- ikrrrrrof-.1 CnkL 4r4 k-r 1&tt OF Ex, ST: l- hiau5t . tKosca W D.1: cbL Awiab (ASi' 4- Spam S cAttnotgi .. Call before you Dig: 1400- 424 -5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet Enter District ,�/ .Tukwila yJ... Water District #125 ❑...Water Availability Provided LJ ...Tukwila O...ValVue ❑...Sewer Use Certificate ❑...Sewer Availability Provided Omitted with Application (mark boles which avail): 3...Civil Plans (Maximum Paper Size - 22" x34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) trammed Activities (mark boxes that anolv): ❑ ...Right -of -way Use • Nonprofit for less than 72 hours ❑ ...Rightof -way Use - No Disturbance ❑ ...Construction/Excavation/Fi11- Right-of-way Non Right-of-way ❑...Total Cut cubic yards ❑ ...Total Fill cubic yards ❑...Sanitary Side Sewer ❑...Cap or Remove Utilities ❑ ...Frontage Improvements ❑... Traffrc Control ❑...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ ...Permanent Water Meter Size... ❑...Temporary Water Meter Size.. ❑...Water Only Meter Size $.Sewer Main Extension Public ...Water Main Extension Public ❑ .. Highline ❑ .. Renton ❑ .. Renton ❑ .. Seattle ❑ .. Approved Septic Plans Provided ❑ .. Geotechnical Report ❑ .. Maintenance Agreement(s) ❑...Traffic Impact Analysis ❑ ...Hold Harmless - (SAO) ❑...Hold Harmless - (ROW) ❑ .. Right-of-way Use • Profit for less than 72 hours ❑ .. Right-of-way Use - Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line VI Private Private ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑...Deduct Water Meter Size It EINANSallif.411Mtinni Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑...Water ❑...Sewer ❑...Sewage Treatment Monthly Service Billingto: Name: Day Telephone: Mailing Address: Water Meter RetbndlBillinai Name: Mailing Address: City State Zip Day Telephone: City State Zip Q: tApplicatio.Wns-Apptiestiona On rinal- 2006 -Permit Application doe Rained. 42006 Mi Page 3 of 6 MECHANICAL PERMIT INFORMATION - 206-431-3670 MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Project (contractor's bid price): $ Ott Scope of Work (please provide detailed information) #oX. rAo2�d 1�7P4H�1'c QS�Dt-i70t i FR6M I.KAfZ_ a: EXI c f 4m' WD'Rou,5 S� I- amII.Y RgsiIZMC.E. Euiw Illy 2_ 570R'' 1,1-11x Rzt a 41:C1 -riot4 SCE AT Wait W 64Er 1-h 13e. E�cl�r. W�. cx_ Al.einG Wr-sr 4 Scum .izts 4rm►uou 16Y -t Um; Residential: New ....al Replacement .... ❑ Commercial: New Replacement....❑ fuel Type: Electric Ed Gas....❑ Other: Indicate type of mechanical work being installed and the quantity below: Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Fumace<100K BTU Air Handling Unit >10,000 CFM Fire Damper 0-3 HP /100,000 BTU Furnace>100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct :/ , Thermostat 5 15 -30 HP /1,000,000 BTU Suspended/WaWFloor Mounted Heater Ventilation System Wood/Gas Stove Water Heater _ 7 30-50 HP /1,750,000 BTU 50+ HP /1,750,000 BTU Appliance Vent Hood and Duct Repair or Addition to Heat/Refrig/Cooling System Incinerator • Domestic Emergency Generator Air Handling Unit <10,000 CFM Incinerator — Comm/Ind Other Mechanical Equipment Q:Mpplicadcas Fonns- Applicatiant On [ineU -2006 -Permit Applicadoo doe Revised: 42006 bb Page 4 of 6 PLUMBING AND GAS PIPNNt ERMIT INFORMATION - 206- 43670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number. Contractor Registration Number. Expiration Date: Valuation of Project (contractor's bid price): $ 5, 470 ''�LL �-_• q� Scope of Work (please provide detailed information) Wit I tMtIt1' WD !h°MM AMATO .i II 1��1PL Or 3wsr I State WD, Rave Sir Lt $AruLY asiv .ince • BuitA_►�Elr� Stay Avve Attrrraa tXn Cna., 9LCW AT Rea_ OF East i • EKPAVA .> xtget 144 axe. Atzo& kk9T #- 50 .111-4 Sin , Cr Artima.i /‘t" tL Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower t Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic i Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory z Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent 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 Additional medical gas inlets/outlets — six or more Q: AppliraawPam,-Appliatiom On Unto -2006- Penoil Appiicatiotdoe Revised: 4-2006 bb Age S of PERMIT APPLICATION 'MOI — Applicable to all permits in this of plication 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. )Iuildine 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 1033.2 International Building Code (current edition). Plumbine 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 O OR AUTHO[ZED AGENT: Signature: p r t- �—� Print Name: I eteM Q. / aly/or Mailing Address: A4417 4 134 Si Date: 7- 13 2006 Day Telephone: 246 93 2/55 � wti-f. UJA, g81(As City state Zip I Date Application Accepted: tr#41'2 ! `Lt (a Y ^ Date Application Expires: A i t to U i Staff Initials: J I QAAppamtiooelpmmsAppiieaone On Lne l -2006- Permit Application. doe Revised: 4-2006 bh Page 6of6 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206- 431 -3670 Fax: 206 - 431 -3665 SET RECEIPT Steven M Mullet, Mayor Steve Lancaster, Director Copy Reprinted on 08 -18 -2006 at 15:49:55 08/18/2006 RECEIPT NO: R06 -01303 Initials: JEM Payment Date: 08/18/2006 User ID: 1165 Total Payment: 1,571.39 Payee: PETER D. TAYLOR SET ID: 0818 SET NAME: CAMPBELL & TAYLOR SET TRANSACTIONS: Set Member Amount D06 -269 M06 -150 PG06 -088 4 TOTAL: 1,225.26 150.63 195.50 1,571.39 TRANSACTION LIST: Type Method Description Amount Payment Check 1663 1,571.39 TOTAL: 1,571.39 ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - RES MECHANICAL - RES PLAN CHECK - RES PLUMBING - RES PW LAND ALT PERMIT FEE STATE BUILDING SURCHARGE 000/322.100 1,197.26 000/322.100 150.63 000/345.830 7.50 000/322.100 188.00 000/342.400 23.50 000/386.904 4.50 TOTAL: 1,571.39 8351 08/21 9716 TOTAL 1571.39 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 SET RECEIPT Steven M. Mullet, Mayor Steve Lancaster, Director RECEIPT NO: R06 -01024 Initials: JEM Payment Date: 07/13/2006 User ID: 1165 Total Payment: 842.88 Payee: PETER D. TAYLOR SET ID: S000000523 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount D06 -269 M06 -150 PG06 -088 TOTAL: 778.22 30.16 34.50 842.88 TRANSACTION LIST: Type Method Description Amount Payment Check 1645 842.88 TOTAL: 842.88 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - RES 000/345.830 TOTAL: 842.88 842.88 7359 07/13 =716 TOTAL 842.88 I INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit PERMIT Pt0. 433.36 Proje C Typ Inspection: p j j( A �1rej�/7 /l/ fi F� Date Called Special Instructions: Date Wanted: /—/7 -07 Casa; P.m. Requester; Phone No: pproved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Date: /1--/7" 7 ❑`$58.00 REIN CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 206)431.367 Pro' t: Type of Inspection:, Address: • Y'/' 7 S %76 rt Date Called: Special Instructions: Date Wanted: /-17--e7 Can;! p.m. Requester: Phone No: pproved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Date:/__/ 7-v7 $58.00 REfISPECtION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: (Date: I INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit t'6 -o6° 06)431.3 Pro ect (I )51- n,-) P /Mw 0 7kr Type of Inspection: pro v N_, Address: .y yr 7 s z2 - Date Called: Special Instructions: Date Wanted: / —/ 7 —p '7 Requester: Phone N : HOC -9' 3 7 -2 1 STs -- epproved per applicable codes. Corrections required prior to approval. COMMENTS: A Inspector: Date: / —/7_07 $58.00 REINSPEr ON FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: 06-04 -2007 Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director MIKE IVERSON - DESIGNBUILD 1710 37 AV SEATTLE WA 98122 RE: Permit No. PG06 -088 4417S136STTUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the Uniform Plumbing Code and/or International Fuel Gas Code, every permit issued by the Building Division under the provisions of this 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, 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 final 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 Plumbing and/or Gas 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 wrltn, 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 07/16/2007 , your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, er Marshall, Permit Technician xc: Permit File No. PG06 -088 6300 .Sonthrenter Boulevard_ .Spite #100 • Tukwila. Wa.chlnutnn ORIRR • Phnne• 206 -d'1- ?670 • Far. 206- d 71 -766S City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director • 01-02 -2007 MIKE IVERSON - DESIGNBUILD 1710 37 AV SEATTLE WA 98122 • RE: Permit No. PG06-088 4417S136STTUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the Uniform Plumbing Code and/or International Fuel Gas Code, every permit issued by the Building Division under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such Eermit is not commenced within 180 days from the date of such permit, 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 final 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 Plumbing and/or Gas 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 02/14/2007 , your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Permit Technician xc: Permit File No. P006 -088 • • 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-431-3670 • Fax: 206 - 431 -3665 .?ERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG06 -088 DATE: 07 -14 -06 PROJECT NAME: CAMPBELL & TAYLOR ADDITION SITE ADDRESS: 4417 S 136 ST X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: Btnn Public Works Fire Prevention Structural C Planning Division Permit Coordinator u DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete ❑ DUE DATE: 07-18-06 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: rd Structural Review Required Please Route REVIEWER'S INITIALS: No further Review Required DATE: n APPROVALS OR CORRECTIONS: Approved C Notation: DUE DATE: 08-15-06 Approved with Conditions Not Approved (attach comments) ❑ REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/rouling slip.dac 2 -28 -02 CITY OF TUKWILA Community Development Department Permit Center , 6300 Southcenter Blvd., Suite 100 Tukwila, WA. 98188 Permit Center/Building Division: vow- 206 -431 -3670 Public Works Department: 206 - 433 -0179 Planning Division: 206 -431 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION t-yA� PERMIT NO.: 170t0 "e2-01 *Us —bisl STATE OF WASHINGTON) COUNTY OF KING ) ss. Pete 0 77ty �o [please print] states as follows: 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 exeeptlons 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 td be done by any contractor, the. City of Tukwila must verify either that the contractor Is registered try State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In:order to provide verificatlon 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. I'D and will therefore not be performed bya 'registered contractor. f 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. \applicationsM8-2004 affidavit in lieu of contractor registration PUCANT Signed and sworn to before me this /SA day of Auquct ,2006. NOTARY PUBLIC in and for of Washington, County. Residing at 16h q Name as commissioned: My commission expires: Alice A. Deacy 6 - /6 -0E 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. My 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 48.70 ROW; 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. My 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 $500.00rfor 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. My 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. M owner who contracts for a project with a registered owner; 13. My 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,.highwayaprojects who have been prequalifteas'required by#iapter 13 of the Laws of 1961; ROW 47.28.070 with the department of transpoitatioo, to perform highway construction, reconstruction;, ofmaintenance work. City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 SET RECEIPT Steven M. Mullet, Mayor Steve Lancaster, Director Copy Reprinted on 08 -18 -2006 at 15:49:55 08/18/2006 RECEIPT NO: R06 -01303 Initials: JEM Payment Date: 08/18/2006 User ID: 1165 Total Payment: 1,571.39 Payee: PETER D. TAYLOR SET ID: 0818 SET NAME: CAMPBELL & TAYLOR SET TRANSACTIONS: Set Member Amount D06 -269 M06 -150 PG06 -088 TOTAL: 1,225.26 150.63 195.50 1,571.39 TRANSACTION LIST: Type Method Description Amount Payment Check 1663 1,571.39 TOTAL: 1,571.39 ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - RES MECHANICAL - RES PLAN CHECK - RES PLUMBING - RES PW LAND ALT PERMIT FEE STATE BUILDING SURCHARGE 000/322.100 1,197.26 000/322.100 150.63 000/345.830 7.50 000/322.100 188.00 000/342.400 23.50 000/386.904 4.50 TOTAL: 1,571.39 51 06/21 9716 TOTAL 1571.39