HomeMy WebLinkAboutPermit PG13-075 - RABOIN RESIDENCE - ALTERATIONRABOIN RESIDENCE
13849 37 AV S
PG1 3-075
City alikTukwila
•
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.: 8864000660
Address: 13849 37 AV S TIIKW
Project Name: RASION RESIDENCE
PLUMBING/GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG13-075
05/10/2013
11/06/2013
Owner:
Name: RABOIN MARCIA
Address: 13849 37TH AVE S , SEATAC WA 98168
Contact Person:
Name: RICHARD TORRANCE
Address: 13523 35 AVS , TUKWII,A WA 98168
Email:
Phone: 206 772-7214
Contractor:
Name: N/A PER RSB Phone:
Address:
Contractor License No:
Expiration Date:
DESCRIPTION OF WORK:
RENEWAL OF PERMIT PG 12-128: FINAL INSPECTION ONLY. (ORIGINAL SCOPE OF WORK:
INSTALL NEW WATER SERVICE PIPE AND MAIN SHUT OFF VALVE AND REPLUMB HOUSE)
Value of Plumbing/Gas Piping:
Fees Collected:
Electrical Service Provided by:
$5,700.00
$0.00
Permit Center Authorized Signature:.
I hereby certify that I have read an
governing this work will be compli
with
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
Date:
s
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 pre 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 Nam
/0 rt.QA(6.1,----
Date:
,6^
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.
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PERMIT CONDITIONS
Permit No. PG 13-075
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
PG13-075 Printed: 05-10-2013
CITY OF TUKWi
Community Developmt. - _ Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:/www.TukwilaWA.aov
PLUMBING / GAS PIPING PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
**Please Print**
SITE :LOCATION
Site Address: 17.b 3 i I Li 5 --
Tenant Name:
King Co Assessor's Tax No.: $ V j r- ` 10
Suite Number:
PROPERTY OWNER
Name:
Address:
�al-C Rhain
e co
City:5State:
J`t/ - j,
Zip:q/7
CONTACT PERSON person r ceiving alt project
t
tion r�
communication
Company Name:
Name: I c(� N! 1 +. ,/'-' -lom ,�/c�_ ...
Address: 13S 2 3/ 3 ac _t
State: 1 _ Zip:
City: U N ((a
/i/
Phone: 2 27 7 2/9 Fax:
7 L
Zip:
Email:
Fax:
Floor:
New Tenant: ❑ Yes ❑.. No
PLUMBING CONTRACTOR INFORMATION ,=
Company Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 5 70 6
Scope of Work (please provide detailed information): 1J rc,/ V--ep
Building Use (per Int'1 Building Code):
Occupancy (per Int'I Building C ipde): �(
Utility Purveyor: Water: s�T (� 2- 3 Sewer: U. V
H.\Applications\Forms-Applications On Line \.2011 Applications\Plumbing Permit Application Revised 8-9-11. docx
Revised August 2011
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Page 1 of 2
Indicate type of plumbing fixtures and/o
Fixture Type
Qty
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
Shower, single head trap
Sinks
Rain water system — per
drain (inside building)
Grease interceptor for
commercial kitchen (>750
gallon capacity)
Each additional medical
gas inlets/outlets greater
than 5
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (I-5)
piping outlets being installed and the quantit,'ow:
Fixture Type
Qty
Bidet
Drinking fountain or water
cooler (per head)
Lavatory
Urinal
Water heater and/or vent
Repair or alteration of
water piping and/or water
treatment equipment
Backflow protective device
other than atmospheric -
type vacuum breakers 2
inch (51 mm) diameter or
smaller
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections over 5
Fixture Type ;
Qty
Clothes washer,
domestic
Food -waste grinder,
commercial
Wash fountain
Water closet
Industrial waste
treatment interceptor,
including trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of
drainage or vent piping
Backflow protective
device other than
atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Gas piping outlets
Fixture Type
Qty
Dental unit, cuspidor
Floor drain
Receptor, indirect waste
Building sewer and each
trailer park sewer
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity
Medical gas piping
system serving 1-5
inlets/outlets for a specific
gas
Each lawn sprinkler
system on any one meter
including backflow
protection devices
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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING 0 ER OR L TI,IRTZTh AGENT:
4d G V�
Signature:
Print Name:
Mailing Address:
1-1 Wpplications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-1 l.docx
Revised. August 2011
bh
Date: 19
Day Teleph ne: 7 1 / '
641 1 6L;
State
City
Zip
Page 2 of 2
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
SET RECEIPT
RECEIPT NO: R13-01588
Initials: JEM
Payment Date: 05/10/2013
User ID: 1165 Total Payment: 256.50
Payee: RICHARD TORRANCE
SET ID: S000001986 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member Amount
D13-164
PG13-075
TOTAL:
193.50
63.00
193.50
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1134 256.50
TOTAL: 256.50
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING INVESTIGATION 000.322.800
MAPS/PUBLIC/MAILING 000.341.500
STATE BUILDING SURCHARGE 640.237.114
63.00
189.00
4.50
TOTAL: 256.50
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 g. (206):431-367
Permit Inspection Request Line (206) 431-2451
Proj t:
Type f Vnspecti n:
I-- , ith4-1... ,p(,)
g.
Address:
:..k
Date Called:
Special Instructions:
/
Date Wanted:. 7
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