HomeMy WebLinkAboutPermit PG09-083 - BOX RESIDENCEBOX RESIDENCE
16445 51 AV 5
PGO9-083
Parcel No.: 5379802730
Address:
Suite No:
Tenant:
Name:
Address:
16445 51 AV S TUKW
Cit3ef 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
BOX RESIDENCE
16445 51 AV S , TUKWILA WA
Owner:
Name: BOX MICHAEL
Address: 16445 51ST AVE S , TUKWILA WA
Contact Person:
Name: RYO CHEA
Address: 16445 51 AV S , TUKWILA WA
Contractor:
Name: OWNER AFFIDAVIT - PAU RYO CHEA
Address:
Contractor License No:
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date:
Phone:
Phone: 206 214 -7637
Phone:
DESCRIPTION OF WORK:
REPLACEMENT OF EXPIRED KING COUNTY PUBLIC HEALTH PLUMBING PERMIT. SCOPE OF WORK
TO PLUMB REMODEL. ONLY FINAL REMAINING - SEE ATTACHED DOCUMENTATION.
Value of Plumbing /Gas Piping: $5,000.00 Uniform Plumbing Code Edition: 2006
Fees Collected: $147.50 International Fuel Gas Code Edition: 2006
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 dram 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
FIXTURE TYPE AND QUANTITY
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 1
Medical gas piping (6 +) inlets /outlets 1
Gas Piping
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
* *continued on next page **
PG09 -083
07/23/2009
01/19/2010
PG09 -083 Printed: 07 -23 -2009
Permit Center Authorized Signature:
I hereby certify that I have read and ex. : d this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied wi ether specified herein or not.
The granting of this pe t do =- not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction the p: ormance •f work. I am authorized to sign and obtain this plumbing /gas piping permit.
doc: UPC -7/07
City otTukwila
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: PG09 - 083
Issue Date: 07/23/2009
Permit Expires On: 01/19/2010
Date: V '[
Date:
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 -083 Printed: 07 -23 -2009
Parcel No.:
Address:
Suite No:
Tenant:
5379802730
16445 51 AV S TUKW
BOX RESIDENCE
1: ** *PLUMBING AND GAS PIPING * **
1111
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 -083
ISSUED
07/16/2009
07/23/2009
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 -083 Printed: 07 -23 -2009
Signature:
Print Name:
•
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 o ork.
doc: Cond-10/06 PG09 -083
Date:
ordinances governing
or local laws regulating
Printed: 07 -23 -2009
Tenant Name:
Property Owners Name:
Mailing Address:
Name:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.eLtukwila.wa.us
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: ! ' S / S7 % 4-4 S.
7 () 6/7/,
Mailing Address: /4/ ' 75T'
E -Mail Address:
• o
H:\Applitetions\ronns- Applications On 11ne \2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application.doc
Revised: 1 -2009
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King Co Assessor's Tax No.: C- , 1 7"I - l CV�0
Suite Number:
Floor:
Ne T ❑ Yes p
City
State
gif i�
Zip
CONTA - Who d'o' we contact; when. your permit`is,read'yt'o.be`issued
Day Telephone: (n c ,2/. 1 -/- 7t
City State Zip
,67 f/ / 4 Fax Number:
r PLUMBTN:G. % AS PTPII G CO CilWe ,T®T2'
>!.
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number:
Expiration Date:
ARCHI'Y'ECT'OF RECORD - All plans musibe•.wet:stam;pedby Architect ` of Record. •
Company Name:
Mailing Address:
city
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
ENGINEER .OF:REORD — Alt plans i st 'be wet sta' i e Y
State
Zip
Zip
Page 1 of 2
Fixtu a Type;
`Qty..Viztutfaype
r
:Qty ;
S..
'.;Fixtui reType: . ; �•; �
-Qty :
.�.,,
'Fixture Type: r
Qty
Bathtub or combination
bath/shower
'
Bidet
Clothes washer, domestic
'
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
1
Drinking fountain or
water cooler (per head)
Food -waste grinder,
commercial
Floor Drain
Shower, single head trap
i
Lavatory
3
Wash fountain
Receptor, indirect waste
Sinks
et'
Urinals
Water Closet
`mil
Building sewer and each
trailer park sewer
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
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Grease interceptor for
commercial kitchen (>750
gallon capacity)
Repair or alteration of
water piping and/or water
treatment equipment
1
Repair or alteration of
drainage or vent piping
,
Medical gas piping
system serving 1 -5
inlets /outlets for a
specific gas
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
Each lawn sprinkler
system on any one meter
including backflow
protection devices
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
• •
Valuation of Project (contractor's bid price): $
Scope •f Work (please provide
/fir
r
ailed information):
Building Use (per Int'1 Building Code):
Occupancy (per Int'l Building C • d ; ):
Utility Purveyor: Water: // •■i Sewer:
1
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
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 ' A OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNE'
',BUILDING GENT:
Signature: Date:
Print Name:
Mailing Address:
7/'4?
gar
Date Application Accepted:
0R1 I 0°1
Day Telephon
State
Zip
Date Application Expires:
HrlAppl icationsTom s- Applications On Line2009 Appl i ationsr 13009 - Plumbing -Gas Piping Permit Appli cation.doc
Revised 1-1009
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Staff Initials:
ge2of2
1
Parcel No.: 5379802730
Address: 16445 51 AV S TUKW
Suite No:
Applicant: BOX RESIDENCE
Receipt No.: R09 -01115
Initials:
User ID:
JEM
1165
Payee: PAU RYO CHEA
Payment Credit Crd VISA -
Authorization No. 154643
ACCOUNT ITEM LIST:
Description
PLAN CHECK - RES
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
147.50
Account Code Current Pmts
000/345.830 29.50
000.322.103.00.0 118.00
Total: $147.50
Permit Number: PG09 -083
Status: PENDING
Applied Date: 07/16/2009
Issue Date:
Payment Amcunt: $147.50
Payment Date: 07/16/2009 03:48 PM
Balance: $0.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 07 -16 -2009
Project; 0)( ; -e L t d
Type of Inspection: ,f -C pl---,64 '
Address:
i (AI5
sr
51 - Ave s,
Date Called:
Special Instructions:
7
_
Date Wanted: a.r
( ~3/ p.m.
Requester:
Phone No:
1...0(e 2 14- r)(3'�
4
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
?Go 1,08
PERMIT NO.
(206)431 -3670
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
1
Inspectopr
Date: I ? `;31-
- -
❑ $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:
Project:/ /a �� G �� eiA''
Type of Ins ec
Adyl Address
fri
Date Called:
Special Instructions:
q,ce9
'
p.fR,. a.m.
Date Wanted: ���
R equeste . �. .4 _
� af D
Phone No ��77 -2.11/-7637
/
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
Approved per applicable codes. Corrections required prior to approval.
II $60.0 i INSPECTIO FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
Proje
Type 7specUq:
Q! /_
Address: �r
Date Called:
Special Instructions:
(L t c) ----. L °
S h A- .
r �
1)
t ,
(
Date Wanted:
J
d a •
Requester:
Phone,'"
—
r4 -7-)63
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
P6 d
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
COMMENTS:
- 4 � 4e1 -�-
A 110 c.0 q
El Approved per applicable codes. 4 Corrections required prior to approval.
$60.00 REINSPECTIOi1 FEE R'QUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
,Date:
By
Date:
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees.
0)
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t
W30368
LL_
518DWB
L W _
01 0
it 73
FILE COPY
Permit No.. 1 +91
Plan review approval is subject to errors and omissions.
Approval of construction documents does not authorize
the violation of any adopted code or ordinance. Receipt
of approved Field Copy = • . --!.4 ditions is acknowledged:
City Of TUkwIIa
BUILDING DIVISION
s
S W3036B WF336
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0
0
4
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REVIEWED OR
ODE COMPLIANC1
APPROVED
JUL 2 1 2009
AT OfT . �
City Tukwila
IWING DIVISION
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O R te )
RECEIVED
CITY OF TUKWILA
JUL 16 2009
PERMIT CENTER
Q
By
Date:
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees.
0)
•
t
W30368
LL_
518DWB
L W _
01 0
it 73
FILE COPY
Permit No.. 1 +91
Plan review approval is subject to errors and omissions.
Approval of construction documents does not authorize
the violation of any adopted code or ordinance. Receipt
of approved Field Copy = • . --!.4 ditions is acknowledged:
City Of TUkwIIa
BUILDING DIVISION
s
S W3036B WF336
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0
0
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REVIEWED OR
ODE COMPLIANC1
APPROVED
JUL 2 1 2009
AT OfT . �
City Tukwila
IWING DIVISION
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RECEIVED
CITY OF TUKWILA
JUL 16 2009
PERMIT CENTER
CO
n
4
M mC
�nm
""" tee O
C3 = < Cm p
c , � m -m
B � ®nom
m
Deluxe back
panel
Wall Filler
•
Huh wan cabinC 3
from wall.
24TDW36188
Tall refer
panel
Attach 1/4" panel
to end wall with corner
molding. Deluxe Finished End
extended side 3"
n
Ch
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r
N
i W
Deluxe Finished End
extended side 3"
0."
3D838
W4836
Panelled Filler
SSC
14
DW2436 -L
flush finished -nd
-flush
Deluxe Fin End
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9 E E! oliED- OR ... _
CODE COMPLIANCE
APPROVED -
JUL _2..1 2009 -
ply of Tukwila . - - -.
BUILDING DIVISION
Ceitei 0 ra o gi'Pvk
3i 3 4 11 ° ��� l � o f ■ 1
eSta y eatior tu er 5 c, p-P1 f L )4 e e2.24
t S � 1
(
d
REVIEWED FOR
CODE COMPLIANCE
APPROVED -
JUL 2 1 2
City of Tukwila
BUILDING-DIV1C,nM
•
IF
!mss' bsved
Owner Name : MIKE BOX & RYO CHEAT
Job Location : 16448 61ST AV S
inap. Cede : Inspection Area 8
I Idg. 'i* Single Family
CONTRACTOR: HOMED AIER
MIKE BOX & RYO CHM
18445 51ST AV S
TUB Wet 08188
LtesussNo : CHEM
Area : East - 2121215
Public Health
Seattle & King County
Environmental Health Division
Unlawful to Alter or Deface this Permit— POST ON JOB SITE
PERMIT IS NON - TRANSFERABLE
PLUMBING PERMIT
Permit No :
Date paced :
Dom:
Expires :
NM: ADD TO SR1113042
$81118930
3/30/2008
12/0/2008
Palle :1 of 1
Peel; 5370802730
Bus Ph : (208) 285 -4837
Val. By : EE0100004
NOITCE TO C� AND CONTRAC
PfwrbIng approval DOES NOT cover side sewer or septic tank Inspection. Do NOT accept work without HEALTH DEPARTMENT a pproval.
Work must NOT be covered until inspected and koproved by Inspector. Moo* mast conform to requeenterts of the KING CO. and SEATTLE
CITY Ordinance, Permits expired lees than a year from expkalion date troy be renewed for one heft of permits cost or $50.00 whichever Is less
Rough In OK lie AY-7—
� Data
Final OK
" Required Corrections REVERSE SIDE FOR DETAILS)
Hot Water Tank
Tote4 Number of Fixtures
3/3017008
3/3012000
— nog.% bI rap,
FILE COPY
1
9
Ins.
ESOVININ
Numbing Perim -Addftional Fixtures
MEN
10.00
PAYMENT 10.00
CITY OF TUKWILA
JUL 16 ?OH
PERMIT CENTER
•
ip
Unlawful to Alter or Deface this Permit— POST ON JOB SITE
PERMIT IS NON - TRANSFERABLE
` Issued
owner Heine
Job Location
imp. Code
Bldg. Type :
License No
Area Phone
Public Health
Seattle & King County
Environmental Health Division
PLUMBING PERMIT
MIKE BOX & RYO CHEA
: 18445 51ST AV S
EASTOATE SERVICE CENTER
Single Family
CONtRACIOR: HOWOWNEFI
MEM BOX & RV° CHEA
10445 51STAV S
1U1ONIIA 1 081188
CHEAR
: East - 2 2Q8-4928
Nets :
Pewit No :
Dab) issued :
Date Refired :
Expires :
$81113042
12/8/20
1210/2090
Page :1of 1
Parcel : 5370802730
Bue Ph : {248} 285 -7837
Vat. By : EE0100004
NOTICE TO OWNER AND CONTRACTOR :
Pig approval DOES NOT cover olds sew or septic tank Inspection. Do NOT accept work vathou t HEALTH DEPARTMENT approval.
Work must NOT be covered fmR approved by , AN %Mnk met conform
CITY Off . PerMts expired
less t a year from e� date requiremerds of the
1 $50 0 whichever , and SEATTLE
ray bm rid for � t oP panrAs c or88Q.1>b Is less
Rough in OI(
Final OK
" RPqubred Correction. (SEE REVERSE SIDE von DETAIL1
i..Eteg+E
#er:ClOsat
Bah Tub/Shower
Wash Basin
LWasherlTray
Tidal Number of Fixtures
Dite
12005
12/0/2805
Erdal' Mint
2
Date
Fse oy■adidign
P Family
PAYMENT
e - i/94 7 e 4 1
4°s%t)
Map.
Insp.
Mber„Ii
2
3
4
1
10
185.00
186.00
k in s.n 4M4.r.
Unlawful to Alter or Deface this Permit— POST ON JOB SITE
PERMIT IS NON TRANSFERABLE
Status : Issued
Owner Name : MIKE BOX & RYO CHEA
Job Location : 16445 51ST AV S
Insp. Code :
Bldg. Type :
•
CONTRACTOR :
License No : CHEAR
• • Public Health
Seattle & King County
Environmental Health Division
Inspection Area 6
Single Family
HOMEOWNER
MIKE BOX & RYO CHEA
16445 51 ST AV S
TUKWILA, WA 98188
Area Phone : East - 206 - 296 -4928
P L U M B I N G P E R M I T
NOTICE TO OWNER AND CONTRACTOR :
Plumbing approval DOES NOT cover side sewer or septic tank inspection. Do NOT accept work without HEALTH DEPARTMENT approval.
Work must NOT be covered until Inspected and approved by Inspector. All work must conform to requirements of the KING CO. and SEATTLE
CITY Ordinance. Permits expired less than a year from expiration date may be renewed for one half of permits cost or $50.00 whichever Is less
Rough In OK
Final OK
List of Fixtures
Hot Water Tank
Total Number of Fixtures
3/30/2006
3/30/2006
Date
Date
** Required Corrections (SEE REVERSE SIDE FOR DETAILS)
1
Fee Description,
Plumbing Permit - Additional Fixtures
PAYMENT
Note : ADD TO SR 1113042
Insp.
Insp.
Number of Fixtures
1
Permit No :
Date Issued :
Date Renewed :
Expires :
S R 1118930
3/30/2006
12/0/2006
Page :1 of 1
Parcel : 5379802730
Bus Ph : (206) 265 -7637
Val. By : EE0100094
Total Fee
10.00
10.00
Unlawful to Alter or Deface this Permit — POST ON JOB SITE
PERMIT IS NON- TRANSFERABLE
Status : Mod
Owner Name : RYO CHEA
Job Location : 1644B 61ST AV _S
Insp. Code .
BIOS TyI
Ucenso No
Area Phone
1+101ICE TO MINER AID CONTRACTOR
Do Not accept work without Heath Depailwant approval, Vliork mist NOT be covered WO Inspected
on
pewees will be given ant, when In the Judgment of fice Inspector eonditionspadify their ism, Penns
ex dote may be renewed for one her of pertras coot or$50.00 widchever Is less.
LI
Furnace
Water Neater
Total Plumber of
11/23/2006
11123!2005
EMI crawl
•
efp
EASTGATE. SERVICE CENTER
Single Family
; ROSSOONERGY SYSTEMS INC
PO 00418250 N
AT LE, Vim► 081180250
ROSSOESitol t
1! - 2
Public Health
Seattle & King County
Environmental Health Division
GAS PIPING PERMIT
Eig ssik n
Gas Pipe - Single Fondly
PAYMENT
Note : ALT/NG
Permit No
Date issued :
Date Rend
Ems:
Mankaatalibla
t
1
2
SR11 #2192
11/23/2005
11/2312008
P :1 of 1
Parcel : 5370802730
Yd. Ep : EE.0100089
ad by Inspector. special
less than a year from
MIMS
105.00
10500
WIN vs 10111.13
Seattle & King County
° HEALTHY PEOPLE. HEALTHY COMMUNITIES.
PH -0004 Front (10/04)
Public Health
Seattle
700 Fifth Avenue, 21st Floor
Seattle, WA 98104
206 - 233 -2621
Eastside
14350 S.E. Eastgate Way
Bellevue, WA 98007 -6458
206 - 296 -4928
SRLl
Plumbing
Gas Piping
District
Contractor / Owner Name
( 6
Job Site Address
Special Instructions / Correction Notification
3105J/1 Plumbing Single Family
3115 ❑ ' lumbing Multi Family
3120 ❑ Plumbing Commercial
3205 ❑ Gas Single Family
3210 ❑ Gas Multi Family
3215 ❑ Gas Commercial
3220 ❑ Medical Gas
3130 ❑ Backflow Single Family
ode r b r r- c e� f ,,J131 El Backflow Multi Family
132 El Backflow Commercial
d2 93 , c).-1. 4
Inspection Passed
D Inspection Failed
einspection Fee Required
❑ No Entry. ❑ Correction(s) Not Made
❑ Not Ready for Requested Inspection
❑ Other
Notes
Seattle Gas Installers
License Number
Program Element
070 ❑ Reinspection
073 ❑ Groundwork
074 4ik Rough In
075 ❑ Final
076 ❑ Pre -Glue
080 ❑ Pressure Test
09 Passed
10 Failed
15 El Not Applicable
19 El Not Ready
20 ❑ No Permit
21 El Not Tested
22 El Not Accessible
Vim
e de
00 El Not Applicable
01 ❑ Consultation
05 El Referred to Other
07 MApproved
08 ❑ Approved with Conditions
10 El Disapproved
11 ❑ Stop Work Order
Inspection
Travel
d
/6
25 a
1 Public Health
Seattle & King County
HEALTHY PEOPLE. HEALTHY COMMUNITIES.
Notes
—
Job Site Address
4L-r
Special Instructions / Correction Notification
4'J Inspection Passed
PH -0004 Front {10/04)
1 D Nrc
❑ Inspection Failed
Reinspection Fee Required
❑ No Entry ❑ Correction(s) Not Made
❑ Not Ready for Requested Inspection
❑ Other
hd Plumbing
t r
N-rA3
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vl >cPaAnC(.3%-‘,1- t #tor
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es - 1 - 0 i4
Ge,,, I ore_
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/0 5 a r t,
w- ,
Date: 3h
6
Inspected By:
eattle
700 Fifth Avenue, 21st Floor
Seattle, WA 98104
206 -233 -2621
Gas Piping
I nspection
Travel
Program Element
Ct ion
:.
Eastside
14350 S.E. Eastgate Way
Bellevue, WA 98007 -6458
206- 296 -4928
District
Seattle Gas Installers
License Number
n
31051'Plumbing Single Family
3115 ❑ Plumbing Multi Family
3120 ❑ Plumbing Commercial
3205 ❑ Gas Single Family
3210 ❑ Gas Multi Family
3215 ❑ Gas Commercial
3220 Cl Medical Gas
3130 El Backflow Single Family
3131 ❑ Backflow Multi Family
3132 ❑ Backflow Commercial
070 ❑ Reinspection
073 Cl Groundwork
074 Rough In
075 ❑ Final
076 O Pre -Glue
080 ❑ Pressure Test
09 assed
10 ❑ Failed
15 ❑ Not Applicable
19 ❑ Not Ready
20 ❑ No Permit
21 ❑ Not Tested
22 ❑ Not Accessible
—❑
00 ❑ Not Applicable
01 ❑ Consultation
05 ❑ Referred to Other
07 cpproved
08 ❑ Approved with Conditions
10 ❑ Disapproved
11 ❑ Stop Work Order
_❑
•
Public Health
Seattle & King County
PH -0004 Front (10/04)
HEALTHY PEOPLE. HEALTHY COMMUNITIES.
Seattle
700 Fifth Avenue, 21st Floor
Seattle, WA 98104
206- 233 -2621
Eastside
14350 S.E. Eastgate Way
Bellevue, WA 98007 -6458 .
206- 296 -4928 . iv*
SR
L/
i t
LI_ Plumbing
Gas Piping
District Li
Contractor / Owner Name
Job Site Address
Special Instructions / Correction Notification
r' e
1/
if
1
Cl/
Inspection Passed I ❑ Inspection Failed
Reinspection Fee Required
❑ No Entry ❑ Correction(s) Not Made
❑ Not Ready for Requested Inspection
"0 Other
t
D
ate f� /
Inspeyed Byib
Notes
Seattle Gas Installers
License Number
Program Element
3105 it Plumbing Single Family
3115a Plumbing Multi Family
3120 ❑ Plumbing Commercial
3205 ❑ Gas Single Family
3210 ❑ Gas Multi Family
3215 ❑ Gas Commercial
3220 ❑ Medical Gas
3130 ❑ Backflow Single Family
3131 ❑ Backflow Multi Family
3132 ❑ Backflow Commercial
e'r'a Cde
070 ❑ Reinspection
073 L Groundwork
074 IN, Rough In
075 ❑ Final
076 ❑ Pre -Glue
080 El Pressure Test
fittu
09 J Passed
10 (] Failed
15 ❑ Not Applicable
19 ❑ Not Ready
20 ❑ No Permit
21 ❑ Not Tested
22 ❑ Not Accessible
CD
00 ❑ Not Applicable
01 ❑ Consultation
05 ❑: Referred to Other
07 r2 'Approved
08 - ". Approved with Conditions
10 • Disapproved
11 ❑ Stop Work Order
CI
31 ; ,Ta
Inspection
Travel
Public Health
Seattle & King County
PH -0004 Front (10/04)
HEALTHY PEOPLE. HEALTHY COMMUNITIES.
o .
Seattle
700 Fifth Avenue, 21st Floor
Seattle, WA 98104
206 - 233 -2621
Eastside
14350 S.E. Eastgate Way
Bellevue, WA 98007 -6458
206- 296 -4928
SR
Ai 1_
Contractor / Owner Name
Job Site Address
Special instructions / Correction Notification
p/ib ; T
1R Q t 4 p T ge,t A)ce. 0
cc, ti el utfa /2T b4 Qi 17
❑ Inspection Passed ❑ Inspection Failed
Notes
fi
❑ Reinspection Fee Required
❑ No Entry ❑ Correction(s) Not Made
❑ Not Ready for Requested Inspection
❑ Other
Date:
Inspected By:
Gas Piping District
Seattle Gas Installers
License Number
Program Element
3105 ❑ Plumbing Single Family
3115 ❑ Plumbing Multi Family
3120 ❑ Plumbing Commercial
3205 ❑ Gas Single Family
3210 ❑ Gas Multi Family
3215 ❑ Gas Commercial
3220 ❑ Medical Gas
3130 El Backflow Single Family
3131 ❑ Backflow Multi Family
3132 ❑ Backflow Commercial
iS ', C e
;v)ce
070 ❑
073 ❑
074 ❑
075 ❑
076 ❑
080 ❑
Reinspection
Groundwork
Rough In
Final
Pre -Glue
Pressure Test
relikt A' wit
09 ❑ Passed
10 ❑ Failed
15 ❑ Not Applicable
19 ❑ Not Ready
20 ❑ No Permit
21 ❑ Not Tested
22 ❑ Not Accessible
00 ❑ Not Applicable
01 ❑ Consultation
05 ❑ Referred to Other
07 ❑ Approved
08 ❑ Approved with Conditions
10 ❑ Disapproved
1 ❑ Stop Work Order
Inspection
Travel
•
PH -0004 Front (10/04)
Seattle & King County
I !'
r CI •„1
Public Health
HEALTHY PEOPLE. HEALTHY COMMUNITIES.
' 1•t
Seattle
700 Fifth Avenue, 21st Floor
Seattle, WA 98104
206- 233 -2621
Eastside
14350 S.E. Eastgate Way
Bellevue, WA 98007 -6458
206 - 296 -4928
SR
Il!i II 14�I
Plumbing
Contractor / Owner Name
Job Site' Address
Special Instructions / Correction Notification
<55 rUitia-045;&-0
a nspection Passed
O Inspection Failed
Reinspection Fee Required
O No Entry O Correction(s) Not Made
❑ Not Ready for Requested Inspection
O Other
Date:
Inspected By:
Notes
Gas Piping
District
Seattle Gas Installers
License Number
Program Element
3105 ❑ Plumbing Single Family
3115 ❑ Plumbing Multi Family
3120 ❑ Plumbing Commercial
3205 _. Gas Single Family
3210 • Gas Multi Family
3215 ❑ Gas Commercial
3220 ❑ Medical Gas
3130 ❑ Backflow Single Family
3131 ❑ Backflow Multi Family
3132 ❑ Backflow Commercial
y
070 Reinspection
073 ❑ Groundwork
074 1' • ough In
075 le inal
076 • Pre -Glue
080 Pressure Test
kRe
09 C `Passed
10 ❑ Failed
15 O Not Applicable
19 ❑ Not Ready
20 ❑ No Permit
21 ❑ NotTested
22 ❑ Not Accessible
❑
00 ❑ Not Applicable
01 ❑ Consultation
05 ❑ Referred to Other
07 -Approved
08 ❑ Approved with Conditions
10 ❑ Disapproved
11 ❑ Stop Work Order
Inspection
Travel
RYO CHEA
1644551AVS
TUKWILA WA 98188
RE: Permit No. PG09 -083
16445 51 AV 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 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 01/26/2010.
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-
Bill Rambo
Permit Technician
File: Permit File No. PG09 -083
Jim Haggerton, Mayor
epartment of Community Development Jack Pace, Director
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 01/26/2010, 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.
Rc.4
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
DEPART ENTS:
4'0/
uilding Division
Public Works
Complete n
Comments:
TUES /THURS ROUTING:
Please Route ❑
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Documents/routing slip.doc
2 -28 -02
• PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG09 - 083 DATE: 07 -16 -09
PROJECT NAME: BOX RESIDENCE
SITE ADDRESS: 16445 51 AV S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Issued
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Structural Review Required n No further Review Required
Approved n Approved with Conditions I Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS:
n
DATE:
DATE:
Planning Division
Not Applicable
DUE DATE: 07-21-09
n Permit Coordinator ❑
DUE DATE: 08-18-09
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
•
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -367o FAX (206) 431 -3665
E -mail: tukplan(a>ci.tukwila.wa.us
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
/( e / ( /7i�, states as follows:
[please print n me]
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 , 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
to engage an unregistered contractor to perform constructi► work.
Signed and sworn to`efore me this
day of
Permit Center /Building Division
206 431 -3670
Public Works Department
206 433 - 0 1 79
Planning Division
206 431 -3670
PERMIT NO: ?(0 — D
e have under state law in any decision
9
4-
OT ' Y PUBLIC in and for the State of Washington
Residing at t 1 , 1 C' , County
Werk
My commission expires: 66 -?9`/
Name as commissioned:
18.27.090 Exemptions. The registration provisions of this
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
chapter do not apply to:
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.
' Per Washington State Department of Labor and Industries, lessee has been
interpreted to be equivalent to owner for the purpose of these exemptions.