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Home My WebLink AboutPermit PG08-164 - LARSON ADDITIONLARSON ADDITION 5011 S 138 ST PGO8-164 Parcel No.: 0003000013 Address: Suite No: Citylkof 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 5011 S 138 ST TUKW PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG08 -164 07/09/2008 01/05/2009 Tenant: Name: Address: Owner: Name: Address: LARSON ADDITION 5011 S 138 ST , TUKWILA WA LARSON ROBERT J 5011 S 138TH ST , TUKWILA WA Contact Person: Name: ROBERT LARSON Address: 5011 S 138 ST , TUKWILA WA Contractor: Name: OWNER AFFIDAVIT - ROBERT LARSON Address: 5011 S 138 ST , TUKVVILA WA Contractor License No: Phone: Phone: 206 399 -8953 Phone: 206 - 399 -8953 Expiration Date: DESCRIPTION OF WORK: INSTALL WATER AND SEWER FOR MASTER BATH ADDITION TO INCLUDE TUB, SHOWER, SINK, AND TOILET Value of Plumbing /Gas Piping: Fees Collected: $3,000.00 $187.00 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 FIXTURE TYPE AND OUANTITY Plumbing Bathtub or combination bath/shower 1 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 1 Shower, single head trap 1 Lavatory 1 Wash fountain Receptor, indirect waste 0 Sinks 1 Urinals 0 Water Closet 0 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 0 Repair or alteration of drainage or vent piping 0 Medical gas piping system serving (1 -5) inlets /outlets for a specific gas 0 Medical gas piping (6 +) inlets /outlets 1 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -10/06 PG08 -164 Printed: 07 -09 -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 -164 Issue Date: 07/09/2008 Permit Expires On: 01/05/2009 Permit Center Authorized Signature: ustiL -ZJAk Date: �` 9 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 permi - • e not presume to dive authority to violate or cancel the provisions of any other state or local laws regulating construction or the perf• - • ; of wo I . autho -d • sign and obtain this plumbing /gas piping permit. Date: Signature: Print Name: 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 -164 Printed: 07 -09 -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.: 0003000013 Address: 5011 S 138 ST TUKW Suite No: Tenant: LARSON ADDITION PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG08 -164 ISSUED 05/29/2008 07/09/2008 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, cirtderfill, 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 -164 Printed: 07 -09 -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 perform..:, a of work. Signature: Print Name: Date: -7-AAD F. doc: Cond -10/06 PG08 -164 Printed: 07 -09 -2008 CITY OF TUKWILA Arnik Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Building Perri . T si c Mechanical. Permit No. Plumbing /Gas. Permit M04 - icS" /GIL( Public Works 'ect No. Pro) ermit No. (For oficeuse only) 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 LOCH TION Site Address: 5o /3 N �Y King Co Assessor's Tax No.: c, co 13 o g Tenant Name: Suite Number: Property Owners Name: 14 ;67 /, Mailing Address: 43// CS® %38 S ''%�Crtft %e9 t,09 98168 State Zip Floor: New Tenant: fl .... Yes ..No CONTA o do we contact wlien,your City errant is ready to be issu Name: (1066k-r- LRsON Day Telephone: 006, —c..?? 4e%S3 Mailing Address:.. // U 139• • / .-..)14,‘ /tdig 1,1,14 989/G8 E -Mail Address: ekknleill�� ? oAi fG %i / Number: 0,4/7,47— s02L -- 76 3 GENERAL C (Contractor Inibrs ion ech'i OR.. IATI� 4) for Purim b ing and Gay Company Name: °Tie &L/ e Mailing Address: � ,,{(' City State Zip Contact Person: <JA/int✓ As A600 Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: ARCIE Company Name: Mailing Address: Contact Person: E -Mail Address: must be rvet stamped '16a7 J 4ST 6LL) l` State 9e,oe7 C Zip pm, L K� !�� Day Telephone: 'lias- - ez33 Fax Number: Company Name: 14 N en, Mailing Address: Embi� . Egl ,lu Contact Person: i1 M- )1/ /7('i) E -Mail Address: Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh City �/ Day Telephone: ,7 D5— 02<ca? Q Fax Number: State Zip Page 1 of 6 Valuation of Project (contractor's bid pri, $ %5 OoC Scope of Work (please provide detailed information): 6 _AAP AP Existing _ .lding Valuation: $ 7 000 gx • - L Q ricit2 Levu b1/44--14 Will there be new rack storage? ❑.... Yes .. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below 1" Floor Interior Remodel Addition t Existing tructure. Type of Occupancy per IBC inn Floor ci& gab Floor's'1- U �? %5& \ilQ7 k ;over Sec o ok 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)ip )C *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 igL Automatic Fire Alarm ❑ None 0 Other (specify) 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 Safety 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 Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 2 of 6 PUBLIC WORKS PERMIT IN ' RMATION — 206 - 433 -0179 Scope of Work (please provide detailed information): gpe roti,NIDAFT-%!c; Call before you Dig: 1- 800 - 424 -5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila 14... Water District #125 ❑ ...Water Availability Provided Sewer District Tukwila ..• .Sewer Use Certificate ❑ .. Highline ❑... ValVue ❑ .. Renton ❑ ... Sewer Availability Provided ❑ ...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. Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance X...Construction/Excavation/Fill - Right -of -way Non Right -of -way X 'g ...Total Cut le, cubic yards ❑ ...Total Fill 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 _ ❑ .. 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 WO # WO # WO # Private Private ❑ .. Grease Interceptor ❑ .. Channelization .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip Q: Wpplications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 3 of 6 iv1Ll,nAlv1l.AL Y LK1Y111 Intl UKJVIA 1 ION — 2U6- 431 -3670 MECHANICAL CONTRAC T OR INFt,YtMATION o Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Regis ation Number: Onf XiJt igeTu 6T `5) City State Zip Day Telephone:] eCISS Fax Number:— Expiration Date: Valuation of Mechanical work (contractor's bid price): $ cr GY% Scope of Work (please provide detailed information): L) E fen. i2c)ckfv.. P103 chfAlo Use: Residential: New .... Replacement ....� Commercial: New .... Replacement .... E Fuel Type: Electric fl 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 Furnace <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 15 -30 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\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 4 of 6 PLUMBING AND GAS PIPINf,ERMIT INFORMATION - 206- 43?'"' 70 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION HDw\ E ,56/1 .i® /3071-t 'rt'c iktiuu ti tdcitl 9631,e) City State Zip Day Telephone: +►2 '-O — E -Mail Address: - ,12&_A01S /∎3, &Aft Fax Number: ,20Cp - - (Rfij_ -76-73 Contractor Regist`ation Number: Expiration Date: Company Name: Mailing Address: Contact Person: 1206 iARs oc) Valuation of Plumbing work (contractor's bid price): $ 000 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): a-Ai (_j._ ti'T. 4tb 1J €2 R -76 n1 . `Ku.: wQ Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): jF Utility Purveyor: Water: 1) 1);,.4-1-9..;,0__7- Sewer: 1Z)k1).-) f ( 66.A.-) Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type Qty Fixture Type: Qty Fixture Type: yP • ty �Fixture Type ; >QtY Bathtub or combination bath/shower y 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 I Sinks Dental unit, cuspidor Shower, single head trap 4 Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and /or vent Additional medical gas inlets /outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and /or water treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets /outlets for specific gas Q:\Applications\Forms- Applications On Lined -2006 - Permit Application.doc Revised: 9 -2006 bh Page 5 of 6 PERMIT APPLICATION NOTE — Applicable to all permits in this PoNlication 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 OWNER j* 110 • ED Signature: Print Name: EST ki1 0/Q Mailing Address: // 00 /331 Date: Day Telephone: 620..) -351- e `75-3 kr vil f9 4 9a/G3 City State Zip Date Application Accepted: Date Application Expires: Staff Initials: Q:Wpplications\Forms- Applications On Line\3 -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 Parcel No.: 0003000013 Address: 5011 S 138 ST TUB:W Suite No: Applicant: LARSON ADDITION RECEIPT Permit Number: PG08 -164 Status: APPROVED Applied Date: 05/29/2008 Issue Date: Receipt No.: R08 -02469 Payment Amount: $152.00 Initials: WER Payment Date: 07/09/2008 08:42 AM User ID: 1655 Balance: $0.00 Payee: ROBERT LARSON TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1013 152.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - RES 000.322.103.00.0 152.00 Total: $152.00 4626 07/09 97.11 TOTAL 1614.60 doc: Receiot -06 Printed: 07 -09 -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 SET RECEIPT RECEIPT NO: R08 -01845 Initials: JEM Payment Date: 05/29/2008 User ID: 1165 Payee: ROBERT J. LARSON Total Payment: 910.41 SET ID: S000001037 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount D08 -305 830.18 M08 -155 45.23 PG9'6 1 =6-,43 35.00 TOTAL: 910.41 TRANSACTION LIST: Type Method Description Amount Payment Check 1012 910.41 TOTAL: 910.41 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - RES 000/345.830 TOTAL: 910.41 910.41 2974 05/29 9711 TOTAL 910.41 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 1? 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367 Project: 4"se J /4.0,0 old A) Type of Inspection: /" . rt l.— �/j144 Address: :"vi / s /',9 51 Date Called: Special Instructions: Date Wanted: _ // .-- 2 .� d T.19' p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: .1f rr L-4,-, e.kt ti Inspec r: � {� � r ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 1 Receipt No.: Date: _ sue et a - -t'.ty �5: tkit e — .. ”;:.. ,mv •mar, 'emu INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION ILA 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 0 INSPECTION NO. Project: �� S f R7) v ` -N 5l Type of Inspection: e r�,,., A fed: t 1 J Address: r /.. 5DI( -S- I3&" Date Cal ., Special Instructions: Date Wanted: 6' Z ` d a k m p Requester: a Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: !!l Al-A ( k r f1 ( .i, c i I Li f P! j O LJ f(L4/ A t..3 A6 . P 7. fk Inspec r: Date: r t J ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 CITY OF TUKWILA BUILDING DIVISION Project: AJS 6 •'t A i � % 1 Type of •1t✓pecd, -. . i.a 4 A `, Address: Date Called: �-,) pef ►� 9/dUe� Special Instructions: / Date Wanted:, 2 2 j > ,ay a.m; C P.m. Requester: o�� Phone No: ..Jr. Approved per applicable codes. Corrections required prior to approval. COMMENTS: D 11,)1 �-,) pef ►� 9/dUe� (--1)1 --nil - Su io 3t — ,.. ` '' z L F o�� /\. , ( ..Jr. --- A 1 k . Inspector: Date: 1 Z Z 3 d t ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: ,Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit R'A -Ibtf PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Pro t:i_ ,sv_ Type of nspection: Address: . e.)1l I ^ 6 Date Called: 6 d: ".„- r-- Special Instructions: Wanted: Date d: II ® V Requester: Phone No- 2M - 311 -855 Approved per applicable codes. Corrections required prior to approval. COMMENTS: 6 toiA r ; a 6 d: ".„- r-- S P -- S( e P — i�S �P, f )r L)AS t n (y r M P ct . -I--O S t(kn v -r tuitis, 1 7 . 1 I, f Inspector( (�\ 1 ❑ $60.00 REINSPECTION FEE REa IRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: Receipt No.: Date: City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director ROBERT LARSON 5011 S 138 ST TUKWILA WA 98168 RE: Permit No. PG08 -164 5011 S 138 ST 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 International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 11/29/2009. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and /or receive an extension prior to 11/29/2009, 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, Bill Rambo Permit Technician File: Permit File No. PG08 -164 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 05 -04 -2009 ROBERT LARSON 5011 S 138 ST TUKWILA WA 98168 City of Tukwila Jim Haggerton, Mayor Department of Community Development RE: Permit No. PG08 -164 5011 S 138 ST TUKW Dear Permit Holder: Jack Pace, Director 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 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 06/21/2009 , 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, Bill Rambo Permit Technician xc: Permit File No. PG08 -164 6300 Southcenter Boulevard, Suite #100 • Tukwila. Washington 98188 • Phone: 206-411-1670 • Fay. MA- e11 -2AA 12 -03 -2008 ROBERT LARSON 5011 S 138 ST TUKWILA WA 98168 city of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Permit No. PG08 -164 5011 S 138 ST TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a fmal 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 writinM 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 01/05/2009 , 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, Pe -. t Technician xc: Permit File No. PGO8 -164 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 o Phone: 206 - 431 -3670 o Fax: 206 - 431 -3665 PERMIT COORD COPY • PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG08 -164 DATE: 05 -29 -08 PROJECT NAME: LARSON ADDITION SITE ADDRESS: 5011 S 138 ST X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # after Permit Issued DEPARTMENTS: Btlik�jng 'vision Public Works n Fire Prevention Structural Planning Division ❑ Permit Coordinator n DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete Comments: n DUE DATE: 06-03-08 Not Applicable n Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES/THURS ROUTING: Please Route Structural Review Required REVIEWER'S INITIALS: No further Review Required DATE: n APPROVALS OR CORRECTIONS: DUE DATE: 07-01-08 Approved Approved with Conditions 11 Not Approved (attach comments) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents routing slip.doc 2 -28 -02 • CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -367o FAX (206) 431 -3665 E -mail: tukplanPci.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 .QF KING ) Bar //1A0ti PERMIT NO: �t/7 , Jt ` 1`77, , states as follows: --ilPW1-ice [please print] 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. 1 2 , 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 o e have under state la any decision to engage an unregistered contractor to perform co wor ```�.•\��ttttiii, Owner /Owner's Agent r :CO �g }'�, Signed and sworn to before me this :c) wy Z 3 i N9 VHV�� O2S A��, 5 -29- � s� day of 0(,. -/ t!j , 20 Q. 7 f7 a(-) NQLYARY PUBLIC in and for the State of Washington Residing at » l Vl Name as commissioned: , County /Lines u/ea1_ My commission expires: 18.27.090 Exemptions. The registration provisions of this chapter do not apply to: 1. 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; 2. Officers of a court when they are acting within the scope of their office; 3. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 4. 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; 5. The sale of any finished products, materials, or articles of merchandise that are not fabricated into and do not become a part of a structure under the common law of fixtures; 6. Any construction, alteration, improvement, or repair of personal property performed by the registered or legal owner, or by a mobile /manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW who shall warranty service and repairs under chapter 46.70 RCW; 7. 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; 8. 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; 9. Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials and all other items is less than five hundred dollars, such work or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any 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 contracts of amounts less than five hundred dollars for the purpose of 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 or she is a contractor, or that he or she is qualified to engage in the business of contractor; 10. 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 when any of the above work is performed by a registered contractor; 11. An owner who contracts for a project with a registered contractor, except that this exemption shall not deprive the owner of the protections of this chapter against registered and unregistered contractors. The exemption prescribed in this subsection does not apply to a person who performs the activities of a contractor for the purpose of leasing or selling improved property he or she has owned for less than twelve months; 12. Any person working on his or her own property, whether occupied by him or her or not, and any person working on his or her personal residence, whether owned by him or her or not but this exemption shall not apply to any person who performs the activities of a contractor on his or her own property for the purpose of selling, demolishing, or leasing the property; 13. An owner who performs maintenance, repair, and alteration work in or upon his or her own properties, or who uses his or her own employees to do such work; 14. A licensed architect or civil or professional engineer acting solely in his or her professional capacity, an electrician certified under the laws of the state of Washington, or a plumber certified under the laws of the state of Washington or licensed by a political subdivision 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 person certified is operating within the scope of his or her certification; 15. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his or her sole compensation or as an employee with wages as his or her sole compensation; 16. Contractors on highway projects who have been prequalified as required by RCW 47.28.070, with the department of transportation to perform highway construction, reconstruction, or maintenance work; 17. A mobile /manufactured home dealer or manufacturer who subcontracts the installation, set -up, or repair work to actively registered contractors. This exemption only applies to the installation, set -up, or repair of the mobile /manufactured homes that were manufactured or sold by the mobile /manufactured home dealer or manufacturer, 18. An entity who holds a valid electrical contractor's license under chapter 19.28 RCW that employs a certified journeyman electrician, a certified residential specialty electrician, or an electrical trainee meeting the requirements of chapter 19.28 RCW to perform plumbing work that is incidentally, directly, and immediately appropriate to the like -in -kind replacement of a household appliance or other small household utilization equipment that requires limited electric power and limited waste and /or water connections. An electrical trainee must be supervised by a certified electrician while performing plumbing work.