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Home My WebLink AboutPermit PG09-093 - FREEMAN RESIDENCEFREEMAN RESIDENCE 14247 55 AV 3 PGO9-093 Parcel No.: 0761000185 Address: Suite No: Tenant: Name: Address: 14247 55 AV S TUKW Contact Person: Name: DAVID FREEMAN Address: 14247 55 AV S , TUKWILA WA DESCRIPTION OF WORK: ADD SHOWER, SINK & TOILET Value of Plumbing /Gas Piping: Fees Collected: 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 1 Lavatory 1 Wash fountain Receptor, indirect waste 0 Sinks 1 Urinals 0 Water Closet 1 doc: UPC -7/07 CitAf 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 FREEMAN RESIDENCE 14247 55 AV S , TUKWILA WA Owner: Name: FREEMAN DAVID W +MECHELLE A Address: 14247 55TH AVE S , TUKWILA WA Contractor: Name: OWNER AFFIDAVIT - DAVID W FREEMAN Address: Contractor License No: $1,500.00 $212.50 PLUMBING /GAS PIPING PERMIT 0 * * continued on next page ** Permit Number: Issue Date: Permit Expires On: Expiration Date: Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 FIXTURE TYPE AND QUANTITY Phone: Phone: 206 - 244 -4451 Phone: PG09 -093 08/20/2009 02/16/2010 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and /or vent 1 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 PG09 -093 Printed: 08 -20 -2009 Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied Signature: doc: UPC -7/07 City Aukwila 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 -093 Issue Date: 08/20/2009 Permit Expires On: 02/16/2010 Date: n19-01.0c ed this permit and know the same to be true and correct. All provisions of law and ordinances w hether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the rmance of , Wyk. I am a orized to sign and obtain this plumbing /gas piping permit. Date: e --2_a_0/ Print Name: n-0 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 -093 Printed: 08 -20 -2009 Parcel No.: 0761000185 Address: Suite No: Tenant: 14247 55 AV S TUKW FREEMAN RESIDENCE 1: ** *PLUMBING AND GAS PIPING * ** • 1 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 -093 ISSUED 08/11/2009 08/20/2009 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 -093 Printed: 08 -20 -2009 Signature: Print Name: doc: Cond -10/06 1 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206- 431 -3665 Web site: http: / /www.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Date: 6 -.26,07 PG09 -093 Printed: 08 -20 -2009 Tenant Name: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.citukwila.wa.us Property Owners Name: �r Mailing Address: /7,i-Y7 Aue, tea' Name: Mailing Address: S n.e- E -Mail Address: , - , 4 L 9 , . 1 • CO n't Company Name: c n H:\Applications\Porms- Applications On Line \2009 Applications \I-2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh 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 ** King Co Assessor's Tax No.: o7 /00 -0/8,S 06 Site Address: _ /YW 7 J� A / S, Suite Number : — Floor: City CONTACT PERSON - Who do we contact when:your permit; is;rgady to be issi �d: Day Telephone: City Fax Number: New Tenant: ❑ Yes ,i,.No 'R /6 8 State Zip State ' -�.• �a Y om.., .b,,�• p .•. -,. .i.ttIVIBT '% GASt''I'IPT1�T CON TT2AC Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: State Zip Zip Company Name: Mailing Address: Zip Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Company Name: Mailing Address: City State Zip Contact Person: - Day Telephone: E -Mail Address: - __ - - Fax Number: Page 1 of 2 ;Fix WI' e&TYPe: :, . • , - 1 , •Yligiltia7.Y kei; " 'Oi"y:':= ..> •ix lii•e'TA , ... . =Qty .1Eixtu_re °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) Food -waste grinder, commercial Floor Drain Shower, single head trap ' Lavatory Wash fountain Receptor, indirect waste Sinks r ` I Urinals Water Closet F ` Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent r 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 l 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): $ / 5C) Scope of Work (please provide detailed information): 4,4.e9, S we, s"i �. {< 1-- J— ,) v fi Building Use (per Int'1 Building Code): Occupancy (per Int'I Building Code): Utility Purveyor: Water: -' j m c J • oq ciao OIL Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: I�i e1� 47u 5 Wei— 'Alrine r 7 Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International Plumbing Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR THORIZED AGENT: Signature: Date: LJ :3' O Print Name: D 1 60 7Ce-eog,GV1 Mailing Address: /V Date Application Accepted: 8 _ 1 _ 09 H: Applicatiorts\Forms- Applications On Line12009 Applicationsll -2009 - Plumbing -Gas Piping Permit Application. doe Revised: 1 -2009 bh Day Telephone: City (2(50 y -t/Ysi 444- - 9 / 6 8 state zip Date Application Expires: Staff Initials: IX I Page 2 of 2 Parcel No.: 0761000185 Address: 14247 55 AV S TUTOR Suite No: Applicant: FREEMAN RESIDENCE Receipt No.: R09 -01252 Initials: WER User ID: 1655 Payee: DAVID FREEMAN • 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 Payment Credit Crd VISA - Authorization No. 081827 ACCOUNT ITEM LIST: Description PLAN CHECK - RES PLUMBING - RES RECEIPT 212.50 Account Code Current Pmts 000/345.830 42.50 000.322.103.00.0 170.00 Total: $212.50 Permit Number: PG09 -093 Status: PENDING Applied Date: 08/11/2009 Issue Date: Payment Amount: $212.50 Payment Date: 08/11/2009 09:21 AM Balance: $0.00 PAYMENT RECEIVED doc: Receipt -06 Printed: 08 -11 -2009 Project: r RE4 rvt a o Re S. Type of Inspection: -f- I N A Address: S 1142 3 Date Called: Special Instructions: Date Wanted: Q 9- 2 1- 5 sp.rtn. Requester: Phone No: c ,2 o ? - INSPECTON NO. INSPECTION RECORD Retain a copy with permit Re -053 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 41 " 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3(7 pproved per applicable codes. El Corrections required prior to approval. COMMENTS: Inspector: $6 0� paid 00 REINSPECTION FE ' EQUIRED. ' rior to inspection, fee must be at 6300 Southcenter Blv . , Suite 1 O. Call to schedule reinspection. Receiuf No.: Date: Project: ��e e k/1 -1/1 /2-e j: je c Typ of Inspection: r �, ] t : c_.. t A-, A , -- Ad r -t (1 11 C5-- AJ - f, Date Called: f Special Instru tions: ./------- _ Date Wanted: '''' Fr` Z4 . (y p.m. Requester: Phone No: ��j 9,61e-244 ---14C1 .# 3 INSPECTION NO. 3i � - rrip PERMIT NO. CITY OF TUKWILA BUILDING DIVISION ‘ 42- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION RECORD Retain a copy with permit Approved per applicable codes. COMMENTS: Inspector: 1 _ p Date: -Li el fl $60.00 REINSPECTION FEE EQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: O Corrections required prior to approval.C) dolri- otY��.� COMMENTS: Type of Inspectiop:1 ( , rk . .-) . • .7 ( ..A - . 1 6- 1 a g a lled: Address: !I.. / 11? ('' 5 S n.,/ 5. Date ¢ - d...)s r Special Instructions: Date Wanted: O Z f • -a.m.. p.m. Requester: Phone No: 7...02-44 -c5�, (e^ — 4 6 �II 14—;1 — A ;Th L ((? . f - Li / 3,4 5 .S . -- Li_ 7.-‘." ' TV 5 144 LI� (- }o(✓ /r �\ A I Project: „_c_C Type of Inspectiop:1 ( , rk . .-) . • .7 ( ..A - . 1 6- 1 a g a lled: Address: !I.. / 11? ('' 5 S n.,/ 5. Date ¢ l --- Special Instructions: Date Wanted: O Z f • -a.m.. p.m. Requester: Phone No: 7...02-44 ---44-57 INSPECTION NO. Approved per applicable codes. INSPECTION RECORD Retain a copy with permit PA -3 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION P 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 Corrections required prior to approval. Dater • / 1 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: !Date: 9 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. FILE COPY Permit No,V &oq oq 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 (lc approved F t � r 0 ,116 I " acknowledged: B Date: City Of Tlukwila BUILDING DIVISION • ry byyk _ Cpoc -) e wlee-r cwt ,IAjf r - — o-w -eY- -- -- REVIEWED FOR CODE COMPLIANCE A PPROVED A UG 17 2009 b L . Q City of Tukwila BUILDING DIVISION is7 b rr7?1 PGO 093 RECEIVED AUG 1 1 2009 PERMIT CENT& 2xrIZ riZ 3x 3 C_orn(,0 REVIEWED FOR CODE COMPLIANCE APPROVED AUG 17 2009 City of Tukwila BUILDING DIVISION RECEIVE AUG 11 2009 PERMIT.CENTEP ACTIVITY NUMBER: PG09 -093 PROJECT NAME: FREEMAN RESIDENCE SITE ADDRESS: 14247 55 AV S X Original Plan Submittal Response to Correction Letter # DATE: 08 -11 -09 Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: AUK/ S building Divi ion .his N ,g- Public Wor s Complete Comments: DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Please Route Approved Notation: Documents /routing slip.doc 2 -28 -02 PLAN REVIEW /ROUTING SLIP TUES /THURS ROUTING: APPROVALS OR CORRECTIONS: it MAU Y Fire Prevention Structural Incomplete Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: Structural Review Required n Planning Division Permit Coordinator DUE DATE: 08-13-09 Not Applicable n No further Review Required REVIEWER'S INITIALS: DATE: DUE DATE: 09-10-09 REVIEWER'S INITIALS: DATE: n n Approved with Conditions n Not Approved (attach comments) n 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 -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 ) D A.) /00 c,J re_e" rP ar-k , 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 _ , and will therefore not be performed by a registered contractor. 5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. Owner Owner's Agent* Signed and sworn to before me this day of Permit Center /Building Division 206 431 -3670 Public Works Department 206 433 - 0179 Planning Division 206 431 -367o PERMIT NO: P6 09-093 1/196.6.S t , 20� N ft a PUBLIC in and for the State of Washington Residing at H �' /l0� , County Name as commissioned: UU kte_t f 4 I "d 9 -/ My commission expires: 0 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 46.7o 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; g. 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. • Per Washington State Department of Labor and Industries, lessee has been interpreted to be equivalent to owner for the purpose of these exemptions.