HomeMy WebLinkAboutPermit PG08-087 - HARDIN RESIDENCEHARDIN RESIDENCE
12507 50 PL S
EXPIRED 09-14-08
PGO8-087
Parcel No.:
Address:
Suite No:
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
0179002845
12507 50 PL S TUKW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG08 -087
03/18/2008
09/14/2008
Tenant:
Name: HARDIN RESIDENCE
Address: 12507 50 PL S , TUKWILA WA
Owner:
Name: HARDIN CHRISTOPHER R
Address: 12507 50TH PL S , TUKWILA WA
Contact Person:
Name:
Address:
CHRISTOPHER HARDIN
12507 50 PL S , TUKWILA WA
Contractor:
Name: OWNER AFFIDAVIT - CHRISTOPHER R HARDIN
Address:
Contractor License No:
Phone:
Phone: 206 229 -0354
Phone:
Expiration Date:
DESCRIPTION OF WORK:
TURN MAIN TRUNK LINE 180 DEGREES TO FRONT OF HOUSE TO HOOK UP TO NEW SIDE SEWER.
Value of Plumbing /Gas Piping: $300.00 Uniform Plumbing Code Edition: 2006
Fees Collected: $114.00 International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND QUANTITY
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
Dishwasher, domestic, with independent drain 0
Drinking fountain or water cooler (per head) 0
Food -waste grinder, commercial 0
Floor drain 0
Shower, single head trap 0
Lavatory 0
Wash fountain
Receptor, indirect waste 0
Sinks 0
Urinals 0
Water Closet 0
0
Plumbing (cont.)
Building sewer and each trailer park sewer 1
Rain water system - per drain (inside bldg) 0
Water heater and/or vent 0
Industrial waste treatment interceptor, including
its trap and vent, except for kitchen type
grease interceptors 0
Repair or alteration of water piping and/or water
treatment equipment 0
Repair or alteration of drainage or vent piping 0
Medical gas piping system serving (1 -5)
inlets /outlets for a specific gas 1
Medical gas piping (6 +) inlets /outlets 0
Gas Piping
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
* *continued on next page **
doc: UPC -10/06
PGO8 -087 Printed: 03 -18 -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: PG08 -087
Issue Date: 03/18/2008
Permit Expires On: 09/14/2008
Permit Center Authorized Signature:
Date: (524
I hereby certify that I have read and eaed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied t 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:
/efr/
Date: `j D
Print Name: (/6 h,'A el/
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 -10/06
PG08 -087 Printed: 03 -18 -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
Parcel No.: 0179002845
Address: 12507 50 PL S TUKW
Suite No:
Tenant: HARDIN RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG08 -087
ISSUED
03/18/2008
03/18/2008
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 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: Cond -10/06
PG08 -087 Printed: 03 -18 -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
this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work
construction or the performance of work.
Signature:
Print Name:
1 4:654 ° 7i
Adris %ler /Q /ak-
Date: 3 - 4 0,k
ordinances governing
or local laws regulating
doc: Cond -10/06 PG08 -087
Printed: 03 -18 -2008
CITY OF TUKWIL
Community DevelopmenWiepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
SITE LOCATION
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**
Site Address: ' )-.561 56 k PL $ b
Tenant Name: G,1t k-ophe 'R .rd c r\
Property Owners Name: 4ry- e (15 A >`.
Mailing Address: I),5(1 5C + h tpL So
King Co Assessor's Tax No.: 0 l' 00 - pb"i c
Suite Number: Floor:
New Tenant: 0 .... Yes
0
CUAWtly4
City
wA
State
CONTACT 'PERSON - Who.'doAwe-contact when your permit fs ready to be issued'
Name: (I-l(Ty her R t ivntfal rl
Mailing Address: _ 1)501_ SO+ \e, P L S p
E -Mail Address:
PLUtMB
Company Name:
Mailing Address:
Day Telephone: '),OA, - )3, - 0354 St o-gi))5S
Tv kW/ IA w4 5 ia7g
City State Zip
Fax Number:
°V..) r-'e-R
Contact Person:
E -Mail Address:
Contractor Registration Number:
Company Name:
City
Day Telephone:
Fax Number:
Expiration Date:
State
Zip
Mailing Address:_
City
Day Telephone:
Fax Number:
Contact Person:
E -Mail Address:
State
Zip
Company Name:
Mailing Address:
Zip
Contact Person:
E -Mail Address:
Q:\Applications'Pornis- Applications On Line\3 -2006 - Plumbing -Gas Piping Permit Application. doc
Revised: 4 -2006
bh
City
Day Telephone:
Fax Number:
State
Page 1 of 2
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): Lu -,J /V\ ,•) Tit..) I-11.)e Sp FfUNJ-
OP house_ -k kC O I -t0 V ) Strip Sew .p.
Building Use (per Int'l Building Code):
Occupancy (per Int'1 Building Code):
Utility Purveyor: Water:
Sewer:
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
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
Bidet
Food -waste grinder,
commercial
Receptor, indirect
waste
Clothes washer, domestic
Floor drain
Sinks
Dental unit, cuspidor
Shower, single head trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
Water Closet
Building sewer or trailer
park sewer
1
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
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 OW R OR AUTHORIZED
Signature:
Print Name: c_.Yl NS-4 I- 2 I ra 1 "A
Mailing Address: 1250 S`pd- k pc_ so
Date: 3 —1e -oe
Day Telephone:206 -229.— 63Sy %j )
furwllr4 WA- �1 ?�
City State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
Q:1 Applications\Forms- Applications On Line13 -2006 - Plumbing -Gas Piping Permi Application.doc
Revised: 4 -2006
bh
Page 2 of 2
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:/lwww.ci.tukwila.wa.us
SET RECEIPT
RECEIPT NO: R08 -00809
Initials: LAW
User ID: 1165
Payee: CHRISTOPHER R HARDIN
Payment Date: 03/18/2008
Total Payment: 120.00
SET ID: 0318 SET NAME: HARDIN RESIDENCE
SET TRANSACTIONS:
Set Member Amount
PGO'$ 08'7 114.00
PW08 -043 6.00
TOTAL: 120.00
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 120.00
TOTAL: 120.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - RES
PW PERMIT /INSPECTION FEE
000.322.103.00.0 114.00
000/342.400 6.00
TOTAL: 120.00
0139 03/.18 "7.10 TOTAL 120.00
Doc: RECSETS -06
07 -29 -2008
City of Tu , . lla
Jim Haggerton, Mayor
CHRISTOPHER HARDIN
12507 50 PL S
TUKWILA WA 98178
Department of Community Development Jack Pace, Director
RE: Permit No. PG08 -087
12507 50 PL S TUKW
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 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 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 writinf 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 09/14/2008 , 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,
fer Marshall,
Pe 't Technician
xc:
Permit File No. PG08 -087
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
CITY OF TUKWILA
Public Works Department
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
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON)
COUNTY OF KING )
ss.
[please print]
PERMIT NO.: (PC00 ��a
, states as follows:
1. I have made application for a Public Works 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 Public Works 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 Public Works permit to be exempt under No. t3 , 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.
affidavit in lieu of contractor registration
PLIC
Signed and sworn to before me this
/6 day of
Oaf( k , 20 CF
N AR PUBLIC in and for the State of Washington,
Residing at
Name as commissioned:
My commission expires:
, County.
o5 a9 -o e
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
affidavit in lieu of contractor registration
contracts of amounts less than $500.00 for the
purpose of the evasion of this chapter or
otherwise. The exemption prescribed in this
subsection does not apply to a person who
advertises or puts out any sign or card or other
device which might indicate to the public that he is
a contractor, or that he is qualified to engage in
the business of contractor;
11. Any construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts
or reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or
poultry raising; or to clearing or other work upon
land in rural districts for fire prevention purposes;
except then any of the above work is performed
by a registered contractor;
12. An owner who contracts for a project with a
registered owner;
13. Any person working on his own property, whether
occupied by him or not, and any person working
on his residence, whether owned by him or not but
his exemption shall not apply to any person
otherwise covered by this chapter who constructs
an improvement on his own property with the
intention and for the purpose of selling the
improved property;
14. Owners of commercial properties who use their
own employees to do maintenance, repair, and
alteration work in or upon their own properties;
15. A licensed architect or civil or professional
engineer acting solely in his professional capacity,
an electrician licensed under the laws of the state
of Washington, or a plumber licensed under the
laws of the state of Washington while operating
within the boundaries of such political subdivision.
The exemption provided in this subsection is
applicable only when the licensee is operating
within the scope of his license;
16. Any person who engages in the activities herein
regulated as an employee of a registered
contractor with wages as his sole compensation;
17. Contractors on highway projects who have been
prequalified as required by chapter 13 of the Laws
of 1961, RCW 47.28.070 with the department of
transportation to perform highway construction,
reconstruction, or maintenance work.