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HomeMy WebLinkAboutPermit PG08-079 - CAMPBELL AND TAYLOR RESIDENCE - ADDITIONCAMPBELL & TAYLOR ADDITION 4417 S 136 ST PGO8-079 Parcel No.: 7347600075 Address: Suite No: CityOf 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 4417 S 136 ST TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG08 -079 03/26/2008 09/22/2008 Tenant: Name: CAMPBELL & TAYLOR ADDITION Address: 4417 S 136 ST , TUKWII,A WA Owner: Name: CAMPBELL LESLIE W Address: TAYLOR PETER , 4417 S 136TH Contact Person: Name: PETER TAYLOR Address: 4417 S 136 ST , TUKWILA WA Contractor: Name: OWNER AFFIDAVIT - PETER TAYLOR Address: 4417 S 136 ST , TUKWILA WA Contractor License No: Phone: Phone: 206 937 -2155 Phone: 206 - 937 -2155 Expiration Date: DESCRIPTION OF WORK: RENEWAL OF PERMIT PG06 -088: PLUMBING FOR 913 SF 2 -STORY ADDITION Value of Plumbing /Gas Piping: Fees Collected: $5,000.00 $128.00 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 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 FIXTURE TYPE AND OUANTITY Plumbing (cont.) 1 Building sewer and each trailer park sewer 0 0 Rain water system - per drain (inside bldg) 0 1 Water heater and/or vent 0 O Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors 0 O Repair or alteration of water piping and/or water 0 treatment equipment 0 O Repair or alteration of drainage or vent piping 0 2 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) 0 0 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -10/06 PG08 -079 Printed: 03 -26 -2008 City ofTukwila 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: PGO8 -079 Issue Date: 03/26/2008 Permit Expires On: 09/22/2008 Permit Center Authorized Signature: tAan,1 Date: ?�L 00 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 th performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Q Signature: `�'`�/ Date: 3 ` 2.‘ z (96g Print Name: / `e / `f P / J. / 4 -- ommenced within 180 days from the date of issuance, or if the work is suspended This permit shall become null and void if the work is not commenced y p or abandoned for a period of 180 days from the last inspection. doc: UPC -10/06 PG08 -079 Printed: 03 -26 -2008 • • 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 Parcel No.: 7347600075 Address: Suite No: Tenant: 4417 S 136 ST TUKW CAMPBELL & TAYLOR ADDITION Permit Number: Status: Applied Date: Issue Date: PG08 -079 ISSUED 03/13/2008 03/26/2008 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 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. * *continued on next page ** doc: Cond -10/06 PG08 -079 Printed: 03 -26 -2008 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. 3`Z, Signature: Date: s�G� Print Name: _ P-e `Q 7-4---t7 doc: Cond -10/06 PG08 -079 Printed: 03 -26 -2008 CITY OF TUKWII. Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://wwwatulcwilawa.us 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 ** Li- Site Address: / 7 5, /3 g i 5 1 Tenant Name: Property Owners Name: Z £5 L., E Caen Mailing Address: '-`f %_ 7 5. 13e. )1 King Co Assessor's Tax No.: 73 ©o 0� Suite Number: Floor: New Tenant: 0 .... Yes [] ..No 4"6// �e ,3 T� Ay40 T ivk 1Vl/t!'4A VI/ /69 Zip o!we, contactiwhenyourr pe m tsvrea Name: 141E - /,A 7.L 0%i - Mailing Address: 4/11. /7 S, /3 P. S r City . State I E -Mail Address: Day Telephone: /z -O ‘ 737 2 1 5-5 City Fax Number: '`/Y' VV /'4 State Zip Contractor Information�for Mecchanicali(p Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: City Day Telephone :. Fax Number: State Zip Expiration Date: Company Name: / 1 / '_ • .1 v %« 0 DE.s i N / �7 ii 1 4 ,O Mailing Address: _/_7/ a_ 37 _ /i(/E 77—' 4 E WA Z City State Contact Person: / i. / V G t \ .5 94/ Day Telephone: 0.6 / ► t 77 ,� Cj O E -Mail Address: Fax Number: ;2. 04 7Z 6 / 00 Company Name: Mailing Address: Contact Person: E -Mail Address: Q:\Applications\Forms- Applications On Linel3 -2006 - Permit Application.doc Revised: 9 -2006 bh City Day Telephone: Fax Number: State Zip Page 1 of 6 li U1L1)1f; :G :PERMIT INFORMATION — 206- 431 -3.670 Valuation of Project (contractor's bid p ): $ /069i 0690/ vU Existing ding Valuation: $ / / 0 000 a Scope of Work (please provide detailed information): R' E /I70V'e / 5 5 Wig f 4,r7 ,40o l •T'a4' FRom f 0 r 6L E r4M I4 1 . i c- /YEW 2 S TOR r WO FRAME ,ADD/ 'T10/Y d K C RA WI, 5PA c F A T ' . OF 117- ©�� EjPA -Affil ex4 - V1/10 ,OLICk ,4LON6 WE5r- So ,T# f /D5 Pr Meth «Pt 1l0i ) Will there be new rack storage? E.... Yes dNo If yes, a separate permit and plan submittal will be required. ,� Frov`ide'�y��4'AQqJF ilding:rA�rXea�s,;in Squar�'IFootage Below „ *° iy o °D ea- '� L -,C ' ,.. t _ a l}xs : * x off` s� ""A4.,....4.-• 'Y' • 1S ha f *,, cExistmg ., 'A a bra; fi c ti° '.! ,Iriterior, Reinodei; tin `Addition topc/.�, '„, t°Existing.' R r °j ' Structiiie. �g� i F� .� .! tr[RV a k - Nf = New a Type of '.�b�. , . �slv ' Construction:per ; iBcaig 4',t u, Type of'” , R ... , .q.' Occupancy per ,u', JBC.: m° st Floors '=. a V v '2°a Floor° ' :: ° Ai 046 ..�' �' m.P..,� , «. 1 �/�t' '°34° Floor. }} ofrt tea: MFloors •' < .. thru,:• AK.. 74 Basement' '. `Accessoy Structure *, h V. • Attached Garage:- .. y • Detached Garage "w L4 � . .., u ' • Attached. Carport '•. : - s' Detached Carport . !. Covered Deck - ate ':�, Uncovered:Deck .; •,Y ° 'A.'-.);-.:,`-' 4•.a �7 PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) .Z�• *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of 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: / Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None Other (specify)` / e, 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 including quantities and Material Safe ata 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:\Applications\Forms- Applications On Line13-2006 - Permit Application.doc Revised: 9 -2006 bh Page 2 of 6 I PUBLIC, WORKS PERMIT ORMATION -206-43'141179 Scope of Work (please provide detailed information): 4 /)1 UN* / 5 T If r W f A/AZ /4D i rolY l?{arn v � 5's l $ Th' y ivVO. FRAM SINGLE FA/11'1Y R, 3; i9E /re6 g,, LD 11 /kw 57 ?A'Y \#D FRA AM0 M - ivy _ Orly? CRAM_ s PAcc AT OA d P' 4s r MaiE AE .4/1/,0 -6 i5 r`" t42' i2 c, - litLzvv Y'E5 r.Az r/ 5/ OF &ri T'e y //L Call before you Dig: 1- 800 - 424 -5555 Please refer to Public Works Bulletin #1 for fees and;estimate =sheet. Water District ❑ ...Tukwila t�... Water District 11125 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ( ValVue ❑ ...Sewer Use Certificate 0... Sewer Availability Provided ❑ .. Highline ❑ .. Renton ❑ ...Renton ❑ ...Seattle 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. Su¢tttitted with Application (mark boxes which apply): ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way Non Right -of -way ❑ ...Total Cut ❑ ...Total Fill /P Q cubic yards cubic yards ❑...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic 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 ❑ ... 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 1> WO # WO # WO # Private Private ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line ❑...Water ❑...Sewer Monthly Service Billing to: Name: Mailing Address: Number of Public Fire Hydrant(s) ❑ ... Sewage Treatment Day Telephone: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip Q:\ApplicationsWorms- Applications On Line\3 -2006 - Permit Application.doe Revised: 9 -2006 bh Page 3 of 6 MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: City State Zip Day Telephone: Fax Number: Expiration Date: Valuation of Mechanical work (contractor's bid price): $ 6e) Scope of Work (please provide detailed information): Use: Residential: New .... Replacement .... Commercial: New .... E Replacement .... Fuel Type: Electric 24 Gas ....fl Other: Indicate type of mechanical work being installed and the quantity below: Unit IrYPe: Qty ; ITnittTYP.e Qty :w Untf'1 pe: -9ty,,,.. ; Boiler/Co. m.P,ta sor.: Qty Fumace<100K BTU Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Fumace>100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct 3 Thermostat HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood /Gas Stove 30 -50 HP /1,750,000 BTU Appliance Vent Hood and Duct Emergency Generator 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit <10,000 CFM Incinerator — Comm/Ind Q: Wpplications\Fonns- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bb Page 4 of 6 PLUMBING AND GAS PIPI PERMIT INFORMATION -206=4 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name:_ Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: City State Zip Day Telephone: Fax Number: Expiration Date: Valuation of Plumbing work (contractor's bid price): $ () 9OO Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): Building Use (per Int'I Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water: Ql 5 'i7 /(7i' 441 /2,5 Sewer:- V4 ("OE Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: ixtre' e yP..,.ri 3 .. Pinta e,e,T a _..,. T3'P._... ::,,Qty Flixture.TL a �,au YP Qf7.' Fixture TyPe.: Qty. Bathtub or combination bath/shower 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 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 Q:\Applicationsworms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 5 of 6 PERMIT APPLICATIONA1)11)i Appluable to -all permits In this >a t: 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. Building 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 105.3.2 International Building Code (current edition). Plumbing 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 OWNS OR AUT ORIZED AGENT: Signature: ✓G�-. �� -� Date: Z ;/3_7 o Print Name: PE / D. / 4 kt�k Day Telephone: �� 3 7� hi kW; lel City State Zip Mailing Address: 9 (/ 1 5, / 3 6 Ylt 5 T Date Application Accepted: �� � Date Application Expires: �� r Staff Initials Q: 1Applications'Fonns- Applications On Line13 -2006 - Permit Application.doc Revised: 9-2006 bh Page 6 of 6 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 SET RECEIPT RECEIPT NO: R08 -00744 Initials: JEM Payment Date: 03/13/2008 User ID: 1165 Total Payment: 723.80 Payee: PETER D TAYLOR SET ID: 5000000979 SET TRANSACTIONS: Set Member Amount D08 -134 M08 -078 aqtr iPG08`PO'79g n.: rew. _ti.,..5,y, TOTAL: 582.25 77.55 64.00 723.80 SET NAME: Tmp set/Initialized Activities TRANSACTION LIST: Type Method Description Amount Payment Check 2348 723.80 TOTAL: 723.80 ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - RES 000/322.100 577.75 MAPS /PUBLIC /MAILING 000/341.500 77.55 PLUMBING - RES 000.322.103.00.0 64.00 STATE BUILDING SURCHARGE 000/386.904 4.50 TOTAL: 723.80 I INSPECTION RECORD Retain a copy with permit etioe-criq INSPECTION NO. ERMIT NO. CITY OF TUKWILA BUILDING DIVISION g 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Pr sect: Type f Inspection 6 Aildrg i I. e • .v fi Date Called: Special Instructions: Date Wanted: a.m. p.m. Requester: Phone No: • Approved per applicable codes. 0 Corrections required prior to approval. 1 COMMENTS: Inspector: o Dater E] $58.00 REINSPECTION FEE REQUIRED. Prior o inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: • CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -367o FAX (206) 431 -3665 E -mail: tukplana ci.tukwila. wa. us Permit Center /Building Division 206 431 -3670 Public Works Department 206 433 -0179 Planning Division 206 431 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON) ) ss. COUNTY OF KING please ri nt] P PERMIT NO: 120i , M,01- O T" - or , states as follows: 1. I have made application for a 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 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 permit to be exempt under No. , and will therefore not be performed by a registered contractor. 5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. 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 onstruction work. Owner /Owner's Agent Signed and sworn to before me this day of Residing at K--11/9 Name as commissioned: My commission expires: e State of Washington , County C S u..s.1 -Pr o ID) lq I ?60