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HomeMy WebLinkAboutPermit PG11-101 - MCCARTHY RESIDENCEMCCARTHY RESIDENCE 14249 56 AV S PG1 1 -101 Parcel No.: Address: City o*Tukwila 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 3365900200 14249 56 AV S TUKW Project Name: MCCARTHY RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: PG11 -101 07/12/2011 01/08/2012 Owner: Name: Address: Contact Person: Name: Address: Email: MCCARTHY PEGGY I +JOHN D 14227 56TH AVE S , TUKWILA WA 98168 JOHN MCCARTHY 14227 56 AV S , TUKWILA WA 98168 john.mccarthy@msn.com Contractor: Name: OWNER AFFIDAVIT - JOHN MCCARTHY Address: Contractor License No: Phone: 206 898 -3484 Phone: Expiration Date: DESCRIPTION OF WORK: GAS PIPING TO FURNACE (CHANGED OUT FROM OIL TO GAS - SEE M11 -097) Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie $0.00 Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 $63.00 Date: 01 11/..- 11 ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not p construction or the performance of work on the back of this permit. Signature: Print Name: _j CAA A ' V n lC(1 ■f e to give authority to violate or cancel the provisions of any other state or local laws regulating • am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions kcec-L- This permit shall become null and void if the work is not comme or abandoned for a period of 180 days from the last inspection. Date: A 1 �- 2 ced within 180 days from the date of issuance, or if the work is suspended doc: UPC -4/10 PG 11 -101 Printed: 07 -12 -2011 • • PERMIT CONDITIONS Permit No. PG 11 -101 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: 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 -101 Printed: 07 -12 -2011 CITY OF TUKWW Community Develop ent Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov lwAi it N, MO tr11 Project No. (For office use only) G PERMIT APPLICATION t etrA I 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 Site Address: /4/2' j S' ' AA Tenant Name: Property Owners Name: i T 2"a7 ‘14 4 Mailing Address: „ "King Co Assessor's Tax No.: „a' I % 9 C — 0 ›..0 u es al Le Suite Number: Floor: New Tenant: ❑ Yes la. No —Tpailjt. ic... 1.0k 9 / 4 --n .A..-, t R,: i tic. f x, `. t, City State CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: _ 30 I," t,. .v'' € Day Telephone: 2.04 4-1 . i 8 , Mailing Address: 14 51, �+ �, a City State Zip E -Mail Address: Ji a V',,{�,t�"' N4- `�1 s �r 7'v^. Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Expiration Date: State Zip Contractor Registration Number: ARCHITECT OF RECORD —All plans must be stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip H:\ Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: May 2011 bh Page 1 of 2 Valuation of Project (contractor's bid pri $ ?v `.5' 0 • Scope of Work (please provide detailed in' formation): (.. t " ..Ju _ g. t. 0-'4, .A —v.,, q...7.14 "fry i s % v ., r. .;0 (: " E +.+L tti• %, Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor Drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet 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 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 PERMIT APPLICATION NOTES - 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 AUTHORIZED AGENT: Signature: ; h°11 C C Print Name: J D h tr\ L- ( 13° k ill Mailing Address: I `.4.' ,. ` -44* A-J 4 Date Application Accepted: O I 11 1,11 Date: Day Telephone: T1 ...L City JL,k 1 t L-061 '! ittP State Zip Date Application Expires: Staff Initial, H:1Applications\Fomn- Applications On Line\2010 Applications\7 -2010 - Plumbing -Gas Piping Permit Application. doc Revised: May 2011 bh W Page 2 of 2 1 Cif! 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. tukw ila. wa. us SET RECEIPT Copy Reprinted on 07 -12 -2011 at 16:28:05 07/12/2011 RECEIPT NO: R11 -01442 Initials: JEM Payment Date: 07/12/2011 User ID: 1165 Total Payment: 240.10 Payee: JOHN MCCARTHY SET ID: 0712 SET NAME: Temporary Set SET TRANSACTIONS: Set Member M11 -097 PG11 -101 TOTAL: Amount 177.10 63.00 177.10 TRANSACTION LIST: Type Method Description Amount Payment Credit C VISA 240.10 TOTAL: 240.10 ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - RES 000.322.103.00.0 MECHANICAL - RES 000.322.102.00.0 63.00 177.10 TOTAL: 240.10 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PE IT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431 -3670 Project: 1 A Type of Inspection- Address: ,,iiL�%%� ��AS Ca d'"'' /1 ' �/ SpecialMstfuctions - Date WanteW-15 _ m. Requester: Phone No: • Approved per applicable codes. CorrectiQ s equired prior to approval. OM ENTS: Sve�Cr 7� S�— REINOECTION FEE R ` QUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectioh. • CITY OF TUKWILA Department o f Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 FAX (206) 431 -3665 E -mail: tukplan(ci.tukwila.wa.us Permit Center /Building Division 206 431 -3670 Public Works Department 206 433-0179 Planning Division 206 431 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO: STATE OF WASHINGTON) ) ss. COUNTY OF KING ) �J ©� "v\ VAC( �`�. �`` ( , states as follows: [please print name] d Veil -o9-2 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 �t., and will therefore not be performed by a registered contractor. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. 5. O r /Owner's Agent* Signed and sworn to before me this Jcdayof `•f cam- I U , 20 j L C [ NOTARY PUBLIC in and for the State of Washington Residing at /'</1 , County Name as commissioned: kzoki IL /t'(f My commission expires: 05 ,99 -/ 18.27.090 Exemptions. The regis tion provisions of this chapter do not apply om. 1. An authorized representative of nited States government, the state of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district, or other municipal or political corporation or subdivision of this state; 2. Officers of a court when they are acting within the scope of their office; 3. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 4. Any construction, repair, or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, or other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 5. The sale of any finished products, materials, or articles of merchandise that are not fabricated into and do not become a part of a structure under the common law of fixtures; 6. Any construction, alteration, improvement, or repair of personal property performed by the registered or legal owner, or by a mobile /manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW who shall warranty service and repairs under chapter 46.70 RCW; 7. Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 8. Any person who only furnished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor; 9. Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials and all other items is less than five hundred dollars, such work or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into contracts of amounts less than five hundred dollars for the purpose of evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he or she is a contractor, or that he or she is qualified to engage in the business of contractor, 10. Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry raising; or to clearing or other work upon land in rural districts for fire prevention purposes; except when any of the above work is performed by a registered col!!actor; 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 leas 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; 1,5. 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 s9 28:RCW that employs a certified journeyman electrician;.:$ certified. residential specialty electrician, or an'elec rical trainee meeting the requirements of;chapter 19.28 RCW to perform plumbing work that is incidentally, directly, and imnpediately appropriate to the like -in -kind replacement of a household appliance or othesfnaii household utilization equipment that requires limited.eleetric.power and limited waste and /or water connections. An electrical trainee must be supervised by a certified electrician while performing plumbing work. • Per W on State Department of labor and industries, lease has been intam. to be equivalent to owner for the purpose of these exemptions.