HomeMy WebLinkAboutPermit PG13-129 - YOST RESIDENCE - ALTERATIONYOST RESIDENCE
4429 S 146 ST
PG13-129
City oftukwila •
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.: 0040000736
Address: 4429 S 146 ST TUKW
Project Name: YOST RESIDENCE
PLUMBING/GAS PIPING PERMIT
Permit Number: PG13-129
Issue Date: 09/17/2013
Permit Expires On: 03/16/2014
Owner:
Name: YOST MARTIN JONAS
Address: YOST KIMBERLY , 4429 S 146TH ST 98168
Contact Person:
Name: MARTIN YOST
Address: 4429 S 142 ST , TUKWILA WA 98168
Email: MARTINYOST@COMCAST.NET
Phone: 253-653-0776
Contractor:
Name: OWNER AFFIDAVIT - MARTIN YOST Phone:
Address:
Contractor License No:
Expiration Date:
DESCRIPTION OF WORK:
REISSUANCE OF EXPIRED PERMIT PG12-151:
NEW GAS LINE ADDED TO EXISTING FOR NEW FIRE PLACE. ADD HOSE BIB TO TIE INTO
EXISTING 3/4" PIPE, CAP EXISTING HOSE BIB, INSTALL NEW SHUT OFF FOR EXISTING
MAIN WATER LINE.
Value of Plumbing/Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$200.00
$158.00
Uniform Plumbing Code Edition: 2009
International Fuel Gas Code Edition: 2009
Date:
q -r7\. 1 '5
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: -Pi)
)1ri,fiS-
Print Name: -- ►v-' 71)1, -/P'S
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.
Date: ` c t , l�
oni Prr,tpr• na-17-9n11
• •
PERMIT CONDITIONS
Permit No. PG13-129.
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
PG13-129 Printed: 09-17-2013
CITY OF TUKWIdll
Community Developme epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
blip://www.TukwilaWA.gov
Plumbing/Gaff/Permit No. G k3-1)-ci
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
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: C` 4140
King Co Assessor's Tax No.:
Tenant Name:
Suite Number:
PROPERTY OWNER
Name:�,.� N
\`o -c- �
jI4{,(.
Name: i , _ „ _ t� .__,501,3(4...., \(US
Address: 4 4 .bLANZc
5, .7," a,.\._
Address: 4.60.1
S° Rc,, tti 5�
Zip:9� ) 6
City: .1L.
f-kki`
State: �,
Zip:
(s,
CONTACT PERSON — person receiving all project
communication
Name:�,.� N
\`o -c- �
jI4{,(.
Address: 4 4 .bLANZc
5, .7," a,.\._
City: (� ,,State:
Zip:9� ) 6
Phone:
Fax.
2.01„,
05
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): SlD ."A
Scope of Work (please provide detailed information): 2_5`
µEGe rut3 o— o{-43 0S tc—
oc Cr' U TO CN \ Ft2619(. r c i)
Building Use (per Int'1 Building Code):
Occupancy (per Int'1 Building Code):
Utility Purveyor: Water:
1-I:\Applications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-1 I.docx
Revised: August 2011
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Sewer:
Page 1 of 2
Indicate type of plumbing fixtures and as piping outlets being installed and the quan.elow:
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)
I
Each additional medical
gas inlets/outlets greater
than 5
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1-5)
j
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
I
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
j
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
j
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
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 Intemational 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 IQiNER OR AUTHORIZED AGENT:
Signature: `fU I Date: Is I7' 13
Print Name: (1`k/4 -a -" N--1 .1051—
Mailing
1OSiMailing Address: 4&01 S- (4o n S
Day Telephone: 7153 53 • d?? $.
"1-1) , - i ,1-It1 6f,
City State Zip
H:Wpplications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9.11.docx
Revised: August 2011
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Page 2 of 2
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.TukwilaWA.gov
Parcel No.: 0040000736
Address: 4429 S 146 ST TUKW
Suite No:
Applicant: YOST RESIDENCE
RECEIPT
Permit Number: PG13-129
Status: PENDING
Applied Date: 09/17/2013
Issue Date:
Receipt No.: R13-02646
Initials:
User ID:
WER
1655
Payment Amount: $158.00
Payment Date: 09/17/2013 09:48 AM
Balance: $0.00
Payee: MARTIN YOST
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5989 158.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
GAS - RES
PLUMBING - RES
000.322.103.00.00 97.50
000.322.103.00.00 60.50
Total: $188.00
.1....• Denein4 llR
Printed. 09-17-2013
2.- .
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 431-2451
Project:
Type of Inspection:
Address:
H1-12:.°) ,''1
14 -)CD
1
Date Called:
Special Instructions:
Date Wanted: .m
7-- IZ-/(--/
p:m:
Requester:
Phone No:
Approved per applicable codes. E Corrections required prior to approval.
COMMENTS:
"u`,.c:.,�— i,\) f��NIA/re� �.
rt
C.o st s ; p„� _ n 1),.//.3‘...1c7( /1(vl
P Imo('
x
Date:
2—i-"- iy
REINSPECTION FEE REQIJIRED. Prior next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
2/3/2014
City of Tukwila
Department of Community Development
MARTIN YOST
4429 S 142 ST
TUKWILA, WA 98168
RE: Permit No. PG13-129
YOST RESIDENCE
4429 S 142 ST
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 3/16/2014.
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 3/16/2014, 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,
ifer Marshall
it Technician
File No: PG 13-129
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
•
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-367o 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: A) \ — A14
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 l3 , 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.
/11/16,—
Owner/0
•
is Agen
Signed and sworn to before me this
..y of ,203.
OTARY PUBLIC in and for the State of Washington
, County
Name as commissioned: 1-22,( C 0
My commission expires: 057)-9 /
Residing at