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Permit PG14-0114 - VU RESIDENCE - GALVANIZED PIPE CHANGEOUT
VU RESIDENCE 12803 34 AVE S EXPIRED 06/27/15 PG14-01 14 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov PLUMBING/GAS PIPING PERMIT Parcel No: 7359600875 Permit Number: PG14-0114 Address: 12803 34TH AVE S Issue Date: 6/30/2014 Permit Expires On: 12/27/2014 Project Name: VU RESIDENCE Owner: Name: ARNOLD JERRY D Address: 12803 34TH AVE S , TUKWILA, WA, 98168 Contact Person: Name: OANH VU Phone: (206) 351-0901 Address: PO BOX 66834, BURIEN, WA, 98166 Contractor: Name: OWNER AFFIDAVIT IN FILE Phone: Address: , , , License No: Lender: Name: Address: Expiration Date: DESCRIPTION OF WORK: CHANGE OUT GALVANIZED PIPE Valuation of Work: $1,000.00 Water District: 125 Sewer District: VALLEY VIEW SEWER SERVICE Fees Collected: $131.78 Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 2012 2012 2012 Permit Center Authorized Signature: I hearby 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 development permit and agree to the conditions attached to this permit. Signature: Print Name: `' -14 Dcnh U,,- Date: 4 This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***PLUMBING/GAS PIPING PERMIT CONDITIONS*** 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. 13: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit. 14: All new plumbing fixtures installed in new construction and all remodeling involving replacement of plumbing fixtures 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 ad Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section 402 of Washington State Amendments PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 8004 GROUNDWORK 1900 PLUMBING FINAL 8005 ROUGH -IN PLUMBING CITY OF TUKT ;A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 littp://www.TukwilaWA.gov Plumbing/Gas Permit No. CG L of _ I 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: f c, KU5 914 Po(. Tenant Name: King Co Assessor's Tax No.: Tabu( lb Suite Number: PROPERTY OWNER Name: C v I4• Address: ,, )O ( 6G8 �J A - City: z netc L State: (0/1 Zip: i EA/0 CONTACT PERSON — person receiving all project communications Name: lh V 'I I.L Address: !1 v�l kV(' E6?).b 4 City: rt Zip: IN 66 fiiejl' State: coA Phone:,C i Fax: 5 i No Email: Roan? vi1 61 u(0vjNo0 Copil Floor: New Tenant: ❑ Yes ❑.. No PLUMBING CONTRACTOR INFORMATION Company Name: N /� / Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): a\fLjV1, ter vt re Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: H:\Applications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 1 of 2 Indicate type of plumbing fixtures ant ,;as piping outlets being installed and the qua below: 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 (1-5) 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 I 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 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 1 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 AUTH IZED AGENT: Signature: Date: 6 !o2C3 Print Name: CX5q-h Vu Day Telephone: Mailing Address: ?o b O' b 6( 4 bb i of (L QU i 6 C City State Zip H:\Applications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS I PermitTRAK ACCOUNT QUANTITY I PAID $254.11 EL14-0629 Address: 12803 34TH AVE S Apn: 7359600875 $122.33 DEVELOPMENT $65.00 PERMIT REINSPECTION FEE R000.322.800.00.00 0.00 $65.00 ELECTRICAL $54.60 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $54.60 TECHNOLOGY FEE $2.73 TECHNOLOGY FEE R000.322.900.04.00 0.00 $2.73 PG14-0114 Address: 12803 34TH AVE S Apn: 7359600875 $131.78 PLUMBING $125.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $93.00 TECHNOLOGY FEE $6.28 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2494 R000.322.900.04.00 0.00 $6.28 $254.11 Date Paid: Monday, June 30, 2014 Paid By: HOANG VU Pay Method: CASH Printed: Monday, June 30, 2014 1:01 PM 1 of 1 YSTEMS ;'614-PII4 INSPECTION NO. PERMIT NO. /\ CITY OF TUKWILA BUILDING DIVISION � 11 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 INSPECTION RECORD Retain a copy with permit Project:t t V'.) r�t"�'Ap Type•of Inspection: 1 kU min 1 , _ ,t NA (---- Address: j - 1 2- '' 3�j AVP Date Called: ______ Special Instructions: Date Wanted: ,a.aa: p.m. Requester: Phone No: ❑ Approved per applicable codes. corrections required prior to approval. } COMMENTS: © /� IV () c- f (- e- c o r)i j�, i ,�'t v _. C r --, ,\ 0 r-a it e L l, a/1 3k t e` or o-tor ,' i n i Ice -scA-c/)Ifs=-- n Inspector: LA A Dam-,j — (' REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INS ` ERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 ProJec : sg`� Typespection: {_" Addres : 11- . Date Called: Special Instructions: Date Wanted: ) ( zm4 p.m. Requester: Phone No:. V'F Approved per applicable codes. Corrections required prior to approval. COMMENTS: ( -c () (-- t r ; . p , : \ t' ±- - / j em) -r Date: REINSPECTION FEE l ttLIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. D 3 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., $100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Ps \I 2 ( P Type.of Inspection. IC‘k9 k — ., ' Address: i 2_ So 3 3' Li 14,-, '-; Date Called: SpeciaInstructions: Date Wanted: 1 I 1 (-/ ;l .: (p.m Requester: Phone No: Approved per applicable codes. El .Corrections required prior to approval. COMMENTS hoc c-0 oicir==' 1/1 Date: / Inspettor Net.i.MA2 lit'et 64-A-LA-Al fl REINSPECTION FEE EQUIRED. Prior to next inspection. fee must be pid at 6300 Southcenter Blvd.. Suite 100. Call toschedule reinspection. City of Tukwila Department of Community Development 5/1/2015 OANH VU PO BOX 66834 BURIEN, WA 98166 RE: Permit No. PG14-0114 VU RESIDENCE 12803 34 AVE S 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 6/27/2015. Based on the above, you are hereby advised to: 1) Ca11 the City of Tukwila Inspection Request Line at 206-438-9350 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 6/27/2015, 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, Bill Rambo Permit Technician File No: PG14-0114 -1„,A 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 City of Tukwila Department of Community Development 11/3/2014 OANH VU PO BOX 66834 BURIEN, WA 98166 RE: Permit No. PG14-0114 VU RESIDENCE 12803 34 AVE S 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 12/30/2014. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 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 12/30/2014, 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, Jenn.fer Marshall er it Technician File ^ o: PG14-0114 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 CITY OF TUKWILA Department of Community Development 63oo Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-367o FAX (206) 431-3665 Permit Center/Building Division 206 431-367o Public Works Department 206 433-0179 Planning Division 206 431-367o AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO: VV 1 - D H 711 STATE OF WASHINGTON) COUNTY OF KING ) ss. ,R1e-tt n11i.. , 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 ! 2, and will therefore not be performed by a registered contractor. 5. ' I understand that the licensing provision of RCW 19.28.161 through 19.28.27i 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 ,201`?-. }} 9 ( NOTARY PUBLIC in and for the State of Washington Residing at Name as commissioned: , County (1 7 .), (' C_ My commission expires: i