HomeMy WebLinkAboutPermit PG11-008 - MITIN RESIDENCEMITIN RESIDENCE
15857 42 AV S
PG1 1 -008
City oikukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Inspection Request Line: 206- 431 -2451
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 8108600682
Address: 15857 42 AV S TUKW
Project Name: MITIN RESIDENCE
PLUMBING /GAS PIPING PERMIT
Permit Number: PG11 -008
Issue Date: 07/13/2011
Permit Expires On: 01/09/2012
Owner:
Name: MITIN BORIS
Address: 15857 42ND AVE S , SEATTLE WA 98188
Contact Person:
Name: BORIS MITIN
Address: 15857 42 AV S , TUKWILA WA 98188
Email: NOT PROVIDED
Phone: 206 - 793 -8956
Contractor:
Name: OWNER AFFIDAVIT - BORIS MITIN Phone:
Address:
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
PLUMBING FOR NEW BATHROOM
Value of Plumbing /Gas Piping: $2,000.00 Uniform Plumbing Code Edition: 2009
Fees Collected: $189.00 International Fuel Gas Code Edition: 2009
Electrical Service Provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
ik-R_I-. Date: - ' v_ ` I
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 does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
on the back of this permit.
Signature:
Print Name:
.",._:,
l/
Date: 7 44 '-2c7(/
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 -4/10
PG 11 -008 Printed: 07 -13 -2011
• •
PERMIT CONDITIONS
Permit No. PG 11 -008
1: ** *PLUMBING AND GAS PIPING * **
2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila
Building Division.
3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing
inspector.
4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas
Code.
5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved.
6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code.
Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to
make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection.
7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless,
adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the
conditioned space shall be insulated to minimum R -3.
8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be
protected by steel nail plates not less than 18 guage.
9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing
piping shall be directly embedded in concrete or masonry.
10: All pipes penetrating floor /ceiling assemblies and fire - resistance rated walls or partitions shall be protected in
accordance with the requirements of the building code.
11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to
twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill,
frozen earth, or construction debris.
12: All new plumbing fixtures installed in new construction and all remodeling involving replacement of plumbing fixtures
and fittings in all residential, hotel, motel, school, industrial, commercial use or other occupancies that use
significant quantities of water shall comply with Washington States Water Efficiency and Conservation Standards in
accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section 402 of Washington State Amendments.
13: 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: UPC -4/10
PG 11 -008 Printed: 07 -13 -2011
CITY OF TUKWI
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hitp.//Www.ci.tukwila.wa.us
Building Permit No. -0t0 l
Mechanical Permit No. tit t,'-�
plumbing /Gas Permit No. G L, k,-Q b
Public Works Permit No.
Project No.
(For office use 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 LOCATION
King Co Assessor's Tax No.:
Site Address: 15 ZS 4, Li 2 /Vc • S, Ma Suite Number: Floor:
Tenant Name: Ai/A • New Tenant: ❑ Yes
// ❑..No
rn
Property Owners Name: /, r , T/h gp Q 7 S
Mailing Address: /5$.. 4' - ,4L2', S
0/OS'60 -4/e82.
d'/ i
City
State Zip
CONTACT PERSON who do we contact when your permit is ready to be issued
Name: / 4 J c (.r C / ' / yI/ 6 ' JA/ • ,/� �j Day Telephone: 2' S 3 - 2-0 8 -8 U
Mailing Address: 4 // /26 �G�- -- �fT(/�. 1'GL y g liv/4 qg 3? '
U City State ip
E -Mail Address: CA ¶. Fax Number:
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing, and Gas Piping (pg 5))
Company Name: L a
Mailing Address: R O i p O>( - 2 oS 2 �, �� �'7l
I nN�Y State Zip
Contact Person: Pa k/c.e• L cJk.Q�Q lJ t l Vt/ Day Telephone: 2 S3 -2 da 8 O c�
E -Mail Address: d.4.Qp4 It O , %li Fax Number: Al A.
Contractor Registration Number: PtA rz. t W1-: 31 JrC) R • Expiration Date: ' 0/ 240 ,20/1
ARCHITECT OF RECORD - All plans must be wet stamped by, Architect of Record
Company Name: Fit
Mailing Address: Ft 0 ,ac:)„..
Contact Person: Pe,,,t,if cI e.. p►f i� ► j1]
E -Mail Address: &'I;t;.pv (-I NA cgvtAco..51. f- r Nee
At va if t4/9 'u1 qg3 43
City State Zip
Day Telephone: °' 2 a $ —g O� •I-O
Fax Number:
ENGINEER OF RECORD - All Pis ..t4 must be wet stamped by Engineer oI'>
ecor
Company Name: G . 01 R,1 S .1--i' cue ■ Fui n bb's . Pt.
Mailing Address: 12/s/ G . ST . S. J/ 7.-a..CDM a.
/� City
Contact Person: C JQ 1 .S • Day Telephon
E -Mail Address: � Fax Number:
HA\ApplicationsWorms- Applications On Line\2009 Applications \I -2009 - Permit Application.doc
Revised: 1 -2009
bh
State Lip
S31_"')2.ZS
Page 1 of 6
BUILDING PERMIT INFORITION - 206 - 431 -3670
Valuation of Project (contractor's bid price): $ ,g O, 000 Existing Building Valuation: $ ,p
Scope of Work (please provide detailed information): ke vv OV.Q Q jC, i l'ne:\ • --
Z -e . LA-90.11S S - ;10..S4-04 g r e_
Will there be new rack storage? ❑ Yes
If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
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)
*For an Accessory dwelling, provide the following: // Q
Lot Area (so ft): 1632.' Floor area of principal dwelling: 2, 1 b G) 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: A/ A
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ 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 Data Sheets.
SEPTIC SYSTEM /(/
❑ On -site Septi ystem — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:\Applications\Forms- Applications On Line\2009 Applications 1-2009 - Permit Application. doc
Revised: 1 -2009
bh
�St 151'tei --
Page 2 of 6
Existing
Interior Remodel
Addition to
Existing
Structure . '
Type of
Construction per
IBC
Type of
Occupancy per
IBC
15` Floor
C V
g'}'New
l J i
j
t Q�MJ
� I �
/1Q_5+I
2nd Floor
3 S. O
+
Hs-0
rtai-on' tq1
3rd Floor
,l
Floors thru
Basement
Accessory Structure*
Attached Garage
6/0
Detached Garage
Attached Carport
Detached Carport
Covered Deck',
3 Q
Uncovered Deck
L o
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)
*For an Accessory dwelling, provide the following: // Q
Lot Area (so ft): 1632.' Floor area of principal dwelling: 2, 1 b G) 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: A/ A
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ 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 Data Sheets.
SEPTIC SYSTEM /(/
❑ On -site Septi ystem — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:\Applications\Forms- Applications On Line\2009 Applications 1-2009 - Permit Application. doc
Revised: 1 -2009
bh
�St 151'tei --
Page 2 of 6
PUBLIC WORKS PERMIT IN
ATION — 206 - 433 -0179
Scope of Work (please provide detailed information): RQ yvt o R x " t's4 ;Y'/y Roo T
4131%k i 1 cJ N -e �� ' c)- �l •
Call before you Dig: 1- 800 - 424 -5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet
Water District
❑ ...Tukwila ❑ ...Water District #125
❑ ...Water Availability Provided
Highline
Sewer District
❑ ...Tukwila ... Valley View ❑ .. Renton
❑...SewerUse Certificate ❑...Sewer Availability Provided
Septic System: pi
❑ On -site SepticLystem — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department.
lY714
❑ .. Renton
❑ .. Seattle
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 hou s
❑ ...Right -of -way Use - No Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way ❑
Non Right -of -way ❑
❑ ...Total Cut
❑ ...Total Fill
❑ ...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑ ...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
cubic yards
cubic yards
❑ .. 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
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ...Permanent Water Meter Size... WO #
❑ ...Temporary Water Meter Size .. WO #
❑...Water Only Meter Size WO # ❑...Deduct Water Meter Size
❑ ...Sewer Main Extension Public ❑ Private ❑
❑ ...Water Main Extension Public ❑ Private ❑
If
FINANCE INFORMATION ^^ I t
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
f '..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
H: Applications\Farms- Applications On Line\2009 Applications \1 -2009 - Permit Application.doc
Revised: 1 -2009
bh
Page 3 of 6
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:.
Po, City State Zip
Contact Person: Pp i Z t/€ / 4 11 �����,,// Day Telephone: •''z 2� $ 12
E -Mail Address: det.e. Psi' WVV �_SV dye/. Fax Number:
Contractor Registration Number: 17thlR 1 �x�3Q,R(Z. Expiration Date: 0://2/0/2 0//
Valuation of Mechanical work (contractor's bid price): $ '7 W 0 �f p ad Scope of Work (please provide detailed information): En r id //Q1:� ( J ADA-e ' L 1
ar a o, d FM g Jv€is 242. l c.Q. Q , ' 11,0- --
Use: Residential: New .... ❑ Replacement ....�
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ 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
i
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
H:\Applications\Forns- Applications On Line\2009 Applications \I -2009 - Permit Application.doc
Revised: 1 -2009
Oh
Page 4 of 6
PLUMBING AND GAS PIPIN ERMIT IN01214ATI01- 206 =43]
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name: 6 4 141AiQ .
Mailing Address: 4.1
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Project (contractor's bid price): $0700 ��
Scope of Work (please provide detailed information): P t4M. b h t t Cft0- jt Ah2.L41
Building Use (per Int'1 Building Code):
Occupancy (per Intl Building Code): -1dd7
11;1 k 1;t,,� Wo►t 144.
Utility Purveyor: Water:
Sewer:
VO.11-el Vag. 5e,,,L.E.4D14
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
. Fixture Type:.
- Qty ...
Fixture Ty tie:
Qty
F
Fixture Type:
Qty •
. ,Fiztuke Type:
:Qty
Bathtub or combination
bath/shower
1
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
1
Lavatory
2
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet
I
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
Repair or alteration of
drainage or vent piping
I
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
H:\Applications\Porrns- Applications On- Line\2009 Applications \I -2009 Permit Applicetion.doc
Revised: 1 -2009
bh
Page 5 of 6
PERMIT APPLICATION NO T Ap,pltcable to all permits ntthis,a cat>!on c
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 0
Signature:
Print Name:
Mailing Address:
AGENT:
Pa Lea 0)
/ 4/1 I2A kilt A.
Date:_ 01/ /
Day Telephone: 2 5 3 -z-e9 R -40
7s 39
State Zip
Date Application Accepted:
Date Application Expires:
—1
Staff Initials:
—le-11
—(3— !J
H; \Applications\Forns- Applications On Line \2009 Applications \1.2009 • Permit Application. doc
Revised: 1 -2009
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.: 8108600682
Address: 15857 42 AV S TUKW
Suite No:
Applicant: MITIN RESIDENCE
RECEIPT
Permit Number: PG11 -008
Status: PENDING
Applied Date: 01/13/2011
Issue Date:
Receipt No.: R11 -00065
Initials: WER
User ID: 1655
Payment Amount: $37.80
Payment Date: 01/13/2011 10:21 AM
Balance: $151.20
Payee: PAVEL MITIN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1656 37.80
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLAN CHECK - RES
000.345.830 37.80
Total: $37.80
doc: Receiot -06 Printed: 01 -13 -2011
03 -05 -2013
City of Tukwila
Department of Community Development
BORIS MITIN
15857 42 AV S
TUKWILA WA 98188
RE: Permit No. PG11 -008
MITIN RESIDENCE
15857 42 AV S TUKW
Dear Permit Holder:
Jim Haggerton, Mayor
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 04/03/2013.
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, provided the inspection shows progress.
-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 04/03/2013, 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,
440
er Marshall
Technician
File: Permit File No. PGI1 -008
6300 Southceiriter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 -431 -3665
10 -01 -2012
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
BORIS MITIN
15857 42 AV S
TUKWILA WA 98188
RE: Permit No. PG11 -008
MITIN RESIDENCE
15857 42 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 11/26/2012.
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, provided the inspection shows progress.
-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 11/26/2012, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
fer Marshall
t Technician
File: Permit File No. PG11 -008
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431 -3670 • Fax 206-431-3665
May 3, 2012
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
Boris Mitin
15857 42 Av S
Tukwila, WA 98188
RE: Request for Extensions #2
Permit Numbers EL11 -0261, M11 -005, & PG11 -008
Dear Mr. Mitin,
This letter is in response to your written request for an extension to Permit Numbers EL 11-0261,
M11-005, and PG 11 -008. The Building Official has reviewed your letter and considered your
request to extend the above referenced permits. The City of Tukwila Building Division will be
extending your permits an additional 180 days from the date of expiration, through November 26,
2012.
If you should have any questions, please contact our office at (206) 431 -3670.
Sincerely,
File: Permit No. EL11 -0261, M11 -005, PG11 -008
W: \Pennil Cente,\Extension Letters\Permits \2011\PG11 -008 Permit Extension #2.doc
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Application For Permit Extension
Boris Mitin
15857 42nd Ave S.
Tukwila, WA 98188
To whom it may concern:
We are unable to complete our few aspects of construction on time.
So we need an extension on our mechanical (PG11 -008 ) permit,
please.
Thank you.
Sincerely
Boris Mitin, the owner
4/16/2012
CM OF 1UKINIIA
APR 3020121
PERMIT CENTER
04 -02 -2012
Department of Community Development
BORIS MITIN
15857 42 AV S
TUKWILA WA 98188
RE: Permit No. PG11 -008
MITIN RESIDENCE
15857 42 AV S TUKW
Dear Permit Holder:
Jim Haggerton, Mayor
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 05/16/2012.
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, provided the inspection shows progress.
-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 05/16/2012, 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,
n
if
fifer Marshall
it Technician
File: Permit File No. PG11 -008
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431 -3670 • Fax 206-431 -3665
06 -01 -2011
•
City of Tukwila
•
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
BORIS MITIN
15857 42 AV S
TUKWILA WA 98188
RE: Permit Application No. PG11 -008
15857 42 AV S TUKW
Dear Permit Applicant:
In reviewing our current application files, it appears that your permit applied for on 01/13/2011, has not been
issued by the City of Tukwila Permit Center. Per the International Building Code, International Mechanical Code,
Uniform Plumbing Code and /or National Electrical Code every permit application not issued within 180 days
from the date of application shall expire and become null and void. Your permit application will expire on
07/12/2011.
If you still plan to pursue your project, a written request for extension of your application must be submitted 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 application. If it is determined that an
extension is granted, your application will be extended for an addtional 90 days from the expiration date and you
will be notified by mail.
In the event that we do not receive your written request for extension or request was denied, your permit
application will expire, become null and void and your project will require a new permit application, plans and
specifications, and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. PG11 -008
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
INSPECTION RECORD
Retain a copy with permit
INSPECT ON NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451 �' .
P&(( . 0g
Proj �' ° re _
_
Type of I, f t Ord: pt /1�
Addre s
a�
Date Called:
Special Instructions:
Date Wanted _ '(3 ----exile p.m.
Requester:
alt) 6 ....-7 q 3 --- s-4
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Qf
In .pector:
akif
REINSPECTION FEE REQUIRED.`prior 10 next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 10 . Call to 'schedule reinspection.
Date 24 / 3
i
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION le-
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 .
Permit Inspection Request Line (206) 431 -2451
Project:
IN 11 T..1- /43 RCS
--
Type of Inspection:
1= ti-JA (
Address:
1 �5-7
W2
AOC-,
Date Called:
Special Instructions:
Date Wanted:.
(0/=;
j t z•
(4-..m.
P.m.
Requester:
Phone No:
JApproved per applicable codes.
Corrections required prior to approval:
COMMENTS: p A ,
.1J IL. G --AII PewnAc4.9W% (re #( ,A.1LL "'1
A OAk' - --, 1`IN.A4' .
Inspe . • ,
etaif
Date:
El SPECTION FEE REQUIRED. Prior to1rSext inspection. fee must be
anti at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
•
y ..•_ -- - _ -- .-4 - .1
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF' TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 st— (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
/71zT.CA/ !?f5
Type of Inspection:
%l d> /l,/- _r-A/
Address:
/587 '/-Z Av S
Date Called:
Special Instructions:
Date Wanted: .
// /i."
7//
6%.'
Requester:
Phone No:
M.Approved per applicable codes. Ej Corrections required prior to approval.
COMMENTS:
especto j
1017)4 45 /4"
PECTION FEE REQU RED. Prior to next inspection. fee dust be
aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
411E COPY
•
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG11 -008 DATE: 06 -24 -11
PROJECT NAME: MITIN RESIDENCE
SITE ADDRESS: 15857 42 AV S
X Original Plan Submittal Response to Incomplete Letter # _
Response to Correction Letter # Revision # After Permit Issued
DEPARTMENT •
/is
Bui ing" Division
Public Works ❑
Fire Prevention
Structural
n
n
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
141 Incomplete n
DUE DATE: 06-28 -11
Not Applicable
n
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route j Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 07-26-11
Approved ❑ Approved with Conditions n Not Approved (attach comments) n
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
%k Ciri •
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG11 -008 DATE: 01 -13 -11
PROJECT NAME: MITIN RESIDENCE
SITE ADDRESS: 15857 42 AV S
X Original Plan Submittal
Response to Correction Letter # Revision # After Permit Issued
Response to Incomplete Letter #
DEPARTMENTS:'f
�l
6uifding ivision
ub is o s
ll
Fire Prevention
Structural
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Incomplete
DUE DATE: 01-18-11
Not Applicable
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROUTING:
Please Route Structural Review Required n No further Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved n Approved with Conditions Not Approved (attach comments) ❑ N(
Notation:
REVIEWER'S INITIALS: DATE:
DUE DATE: 02 -15-11
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: tukplan(a)ci,Yukwila.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
PERMIT NO: 1 L 1 I~ 00 g
STATE OF WASHINGTON)
) ss.
COUNTY OF KING
[please print name]
, states as follows:
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 s . to law in any decision
to engage an unregistered contractor to perform construction work.
„,"'t, A. vs,
zipoN
s p of mik
v
N4 +,,Op`W *N.`°`'
Owner /Owner's Agent*
Signed and sworn to before me this
/ day of , 2d /
NOT e • Y ' UBLIC in and for the State of Washington
Residing at () /fl , County
Name as commissioned: Alan E' (4-
0/0/°//4I
My commission expires:
).8,27_,D90 Exemptions, The retion 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;
ro. 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 Bearing or
other work upon land in rural districts for fire prevention
purposes; except when any of the above work is performed
chapter do not applill
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;
i6. 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 >l,valid electiical contractor's
license under chapter 9`. l th employs a certified
journeyman electricc�'aliiAcd i e4ittssid ntial specialty
electrician, or an el&ViciA.ahAee theitilk the
requirements of chapte9.28.RCW:tolieffotrn plumbing
work that is inside italryy; directly, and #mrneOiately
appropriate to thetke:in -kind replacement of a household
appliance or other spnalikousehol`d utili%ti n equipment
that requires limitedkl igkpaiwer an jiniited waste
and /or water connection��':`° i"'ele4t ical,tiainee must be
supervised by a certified electriA0 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.