HomeMy WebLinkAboutPermit PG09-047 - HOWARD RESIDENCEHOWARD fl2ESIDENCE
13925 56 PL S
PGO9-047
Parcel No.: 0002800025
Address:
Suite No:
Tenant:
Name:
Address:
13925 56 PL S TUKW
Owner:
Name: HOWARD JERRY +CATHIE M
Address: 12307 SE 47TH ST , BELLEVUE WA
Contact Person:
Name: JOSHUA HOWARD
Address: 13917 56 PL S , TUKWILA WA
DESCRIPTION OF WORK:
REPLACE GALVANIZED WATER PIPING
Cityef Tukwila
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
doc: UPC -7/07
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
HOWARD RESIDENCE
13925 56 PL S , TUICWILA WA
Contractor:
Name: OWNER AFFIDAVIT - JERRY HOWARD
Address: 12307 SE 47 , BELLEVUE WA
Contractor License No:
PLUMBING /GAS PIPING PERMIT
Expiration Date:
Uniform Plumbing Code Edition: 2006
Value of Plumbing /Gas Piping: $800.00
Fees Collected: $45.00 International Fuel Gas Code Edition:
FIXTURE TYPE AND QUANTITY
0
* *continued on next page **
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone:
Phone: 425 - 643 -5300
PG09 -047
05/22/2009
11/18/2009
2006
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 1
Medical gas piping (6 +) inlets /outlets 0
Gas Piping
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
PG09 -047 Printed: 05 -22 -2009
Permit Center Authorized Signature:
Print Name:
doc: UPC -7/07
City oPTukwila
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
)�/ J2
Permit Number: PG09 -047
Issue Date: 05/22/2009
Permit Expires On: 11/18/2009
Date:
d _f,J � -.
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 d• - of pr: sume to • �e autho to violate or cancel the provisions of any other state or local laws regulating
construction or the perfo ance of w k. I ahorize to sign and obtain this plumbing /gas piping permit.
Signature: <</ A r.116/11 Date: 547C- �7
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.
PG09 -047 Printed: 05 -22 -2009
Parcel No.: 0002800025
Address:
Suite No:
Tenant:
13925 56 PL S TUKW
HOWARD RESIDENCE
1: ** *PLUMBING AND GAS PIPING * **
•
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
Permit Number:
Status:
Applied Date:
Issue Date:
PG09 -047
ISSUED
05/22/2009
05/22/2009
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.
doc: Cond -10/06
* * continued on next page **
PG09 -047 Printed: 05 -22 -2009
I hereby certify that I have
this work will be complied
The granting of this permit
construction or the perfor
Signature:
Print Name:
doc: Cond -10/06
•
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
read these conditions and will comply with them as outlined. All provisions of law and
with, whether specified herein or not.
does not presume to give authority to violate or cancel the provision of any other work
ork.
PG09 -047
Date: 2 VOc
ordinances governing
or local laws regulating
Printed: 05 -22 -2009
Mailing Address:
E -Mail Address:
S
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Plumbing /Gas Permit No. ?cog OL1
Project No.
(For office use only)
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 LOCATION
King Co Assessor's Tax No.:
Site Address:__ 2 S 67H ft . S Suite Number:
Tenant Name: (J 12 1C.Got/J - f
Property Owners Name: 3C,.J'!' y KCLIJA2L
Mailing Address: / 2 3n7 SP el 7r6 S
Name: 0 - b S t V / / J 41--
Contact Person:
E -Mail Address:
Contractor Registration Number:
H:\Applications \Forms - Applications On Line\2009 Applications \I-2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1.2009
bh
6 - ce- va
City
()Co) 00) -S
New Tenant: ❑ Yes ❑..No
tA44
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
070(0 . `- ( ( 6s2 )
State
Day Telephone:
City
Fax Number:
Company Name:
Mailing Address:
State
City
Day Telephone:
Fax Number:
Expiration Date:
ARCHITECT (*RECORD _ All plans must be wet st by Architect of Record
Company Name:
Mailing Address:
Zip
Contact Person:
E -Mail Address:
State
Floor:
Zip
Zip
City
Day Telephone:
Fax Number:
ENGINEER OF4ECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
Page 1 of 2
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Bathtub or combination
bath/shower
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking fountain or
water cooler (per head)
Lavatory
Food -waste grinder,
commercial
Wash fountain
Floor Drain
Receptor, indirect waste
Shower, single head trap
Sinks
Urinals
Water Closet
Building sewer and each
trailer park sewer
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Medical gas piping
system serving 1 -5
inlets /outlets for a
specific gas
Each lawn sprinkler
system on any one meter
including backflow
protection devices
Rain water system — per
drain (inside building)
Water heater and /or vent
Industrial waste treatment
interceptor, including trap
and vent, except for kitchen
type grease interceptors
Repair or alteration of
drainage or vent piping
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Repair or alteration of
water piping and/or water
treatment equipment
Each additional medical
gas inlets/outlets greater
than 5
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
Backflow protective device
other than atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
PERMIT 'APPLICATION NOTES - . •• ;
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): R t t Cc> i 'tD - ��✓Q PUC
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
Indicate type of plumbing fixtures and /or gas piping outlets being installed arid the quantity below:
BUILDING AGENT:
Signature:
Date Application Accepted:
Date Application Expires:
H:1Applicauons \Forms- Apphcations On 4ne12009 Applications 11-2009 - Plumbing -Gas Piping Permit Application.doc
Revised 1 -2009
bh
Sewer:
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).
1 HEREBY CERT - I HAVE REA r/ ND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF ' - ' URY BY HE • WS I STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Date: 5h (.(31
Print Name: 7 , t /91ftO / Day Telephone: 1- (2-5 -6, — S EO0
C7 6-/
Mailing Address: 1 2 g 7 5e 7�1 letee/ 1414 Q 6
City State Zip
Staff Initials:
Page 2 of 2
Parcel No.: 0002800025
Address: 13925 56 PL S TUKW
Suite No:
Applicant: HOWARD RESIDENCE
Receipt No.: R09 -00765
Initials:
User ID:
Payee:
doc: Receiot - 06
WER
1655
JERRY HOWARD
Payment Credit Crd VISA -
Authorization No. 00545C
ACCOUNT ITEM LIST:
Description
PLUMBING - RES
•
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
TRANSACTION LIST:
Type Method Descriptio Amount
RECEIPT
45.00
Account Code Current Pmts
000.322.103.00.0 45.00
Total: $45.00
Permit Number: 1PG09 -047
Status: PENDING
Applied Date: 05/22/2009
Issue Date:
Payment Amount: $45.00
Payment Date: 05/22/2009 12:06 PM
Balance: $0.00
Printed: 05 -22 -2009
Project:
1 u JAr 2e f , eA c6-
Type of Inspe ion:
f ; A p tiA. A `.
Address n-
i 31ZS s6 A S.
Date Called: j... i L., Z-�
Special Instructions:
/
Date Wanted 1( a, 6 p.m.
Requester:
Phone _NZ (zt j j 5 0 d
INSPECTION RECORD
INSPE IO oG
N PERMIT NO.
?NO. ' Retain a copy with permit i
CITY OF TUKWILA BUILDING DIVISION .--
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
COMMENTS:
e&
Inspector
Date: 3 - ! 6
❑ $60.00 REINSPECTION FEE REQUhRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
Approved per applicable codes. Corrections required prior to approval.
Project:
/�dLd4 /2/S •
Type of Inspection: ^� L v
�II /y — it/ Pht --wt" )
Address:
/3 . -g t`
Date Called:
Special Instructions:
Date Wanted:
sa,„
Requester:
Phon No:
', { —34.57- 0, S `'/
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 17—
p�
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 3
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
;.s.. • AMES t. *ate.
s 7
❑ Approved per applicable codes. El Corrections required prior to approval.
co,
MENTS: b � `
P/7,r.01 / - i /I /owe/ �. �I1C
-L _s
L6
0.00 REINSPECTION FEE REDUIRFO7 Prior to inspectiorp, fee must be
aid at 6300 Southcenter lvd., Sunk 100. Call to schedule reinspection.
Re eipt No.: / [Date:
I
JOSHUA HOWARD
13917 56 PL S
TUKWILA WA 981968
RE: Permit No. PG09 -047
13925 56 PL S TUKW
Dear Permit Holder:
0
City of Tukwila
0
Jim Haggerton, Mayor
Department of Community Development
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 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 12/23/2009.
Based on the above, you are hereby advised to:
Sincerely,
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 12/23/2009, 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.
Bill Rambo
Permit Technician
..L0 R,,,,,,,,t,
File: Permit File No. PG09 -047
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 0 Fax: 206 - 431 -3665
CITY OF TUKWILA
Department of Community Development
630o Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -3670 FAX (206) 431 -3665
E -mail: tukplan@ ci.tukwila.wa.us
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
/442,6 , states as follows:
[please print name]
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 number i a-, and will therefore
not be performed by a registered contractor.
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 u
to engage an unregistered contractor to perform constr
Signed an sworn to before me this
c %_ day of
NOTARY PUBLIC in and for the State of Washington
Residing at
tc .r
PERMIT NO:
, County
Name as commissioned: / G(,G� I G
My commission expires:
Permit Center /Building Division
206 431 -3670
Public Works Department
206 433 -01 79
Planning Division
206 431 -3670
pook
9 - O)C
" c c,_ 0_ 1 1
er state law in any decision
, 204.
' '1
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 46.7o 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;
ii. 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.
• Per Washington State Department of Labor and Industries, lessee has been
interpreted to be equivalent to owner for the purpose of these exemptions.