HomeMy WebLinkAboutPermit PG15-0009 - VIETNAMESE MARTYRS PARISH - GAS PIPINGCHURCH OF THE
VIETNAMESE MARTYRS
6841 S 180 ST
EXPIRED
08117115
PG15-0009
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.Rov
PLUMBING/GAS PIPING PERMIT
Parcel No: 3623049087 Permit Number: PG15-0009
Address: 6841 S 180TH ST Issue Date: 2/18/2015
Permit Expires On: 8/17/2015
Project Name: CHURCH OF THE VIETNAMESE MARTY
Owner:
Name:
ARCHDIOCESE OF SEATTLE
Address:
710 9TH AVE C/O LAURA TOEPFER,
SEATTLE, WA, 98104
Contact Person:
Name:
KEVIN BRODERICK
Phone: (206) 682-7525
Address:
55 S ATLANTIC ST, SUITE 301,
SEATTLE, WA, 98134
Contractor:
Name:
OWNER AFFIDAVIT - KIEN NGUYEN
Phone:
Address:
License No:
Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
CONNECT GAS PIPING TO PREMANUFACTUREED CARGO CONTAINER
Valuation of Work: $15,000.00 Fees Collected: $217.76
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-46B:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature:
Date:
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.
Signatur
Print Na
- V.441; wm , 6
�i
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: 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.
8: 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.
9: 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.
10: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this
permit.
11: 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
2000 GAS PIPING FINAL
9002 ROUGH -IN GAS PIPING
9001 UNDERGROUND
CITY OF TUKV - -A
Community Developh—tt Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.Tukwi]aWA.aRov
Plumbing/G..& Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
use
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 22 �7
j King Co Assessor's Tax No.: t Vo J 0- 01 G I
Site Address: & 0r o I S• l� V/� * S t� f ul I Suite Number: Floor:
Tenant Name: V 16 rN -AM E51E t" ART 1 Fes. S New Tenant: ❑ ..... Yes 1J.. No
PROPERTY OWNER
Name: CO
ORA-flON -AR N 1 d 5t5-CATIE
Address: i f� PN-n
City: S �a `� State: vVA Zip: g 1
CONTACT PERSON - person receiving all project
communication
Name: Ov v �I
r G
Address: At I
�' L D
City: S ea -H-1 -e-
State: 'WA Zip: J 12
I-�
Phone: 7-00 - &S a "-7
Kmail: km
Valuation of Project (contractor's bid price): $ 15 i ODV
of Work (please provide detailed information):
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
PLUMBING CONTRACTOR INFORMATION
Company Name: g
Address: 9
"v v-6 ::1�07D
City:Mr+ hakeZip
A AA
Phone:
b t��F�x:
/
Contr Reg No.:
Exp Date:
Tukwila Business License No.:
Sewer:
H:Wpplications\Forms-Applications On Line\2011 ApplicationsTlumbing Permit Application Revised 8-9-1 Ldocx
Revised: August 2011
bh
Page I of 2
Indicate type of plumbing fixtures ar gas piping outlets being installed and the qu y 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
PERMIT APPLICATION NOTES -
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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature:
Date: 1-3-1
Print Name: K)�M �--It =— Day Telephone: ' 7S
Mailing Address: $5b S, 15: t n_ L'7- If a I d..
City State Zip
H:\Applications\Forms-Applications On Line12011 Applications\Plumbing Permit Application Revised 8-9-1 l.docx
Revised: August 2011 Page 2 of 2
bh
DESCRIPTIONS ACCOUNT QUANTITY PAID
PermitTRAK $793.06
D15-0028 Address: 6841 S 180TH ST Apn: 3623049087 $408.02
DEVELOPMENT $388.80
PERMIT FEE
R000.322.100.00.00
0.00
$384.30
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE $19.22
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$19.22
M15-0014 Address: 6841 S 180TH ST Apn: 3623049087 $209.16
MECHANICAL $199.20
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$166.70
TECHNOLOGY FEE $9.96
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$9.96
PG15-0009 Address: 6841 S 180TH ST Apn: 3623049087 $175.88
GAS $167.50
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$135.00
TECHNOLOGY FEE $8.38
TECHNOLOGY FEE R000.322.900.04.00 0.00 $8.38
TOTALR4563 1.
Date Paid: Wednesday, February 18, 2015
Paid By: KIEN NGUYEN
Pay Method: CREDIT CARD 87977Z
Printed: Wednesday, February 18, 2015 8:37 AM 1 of 1
RWSYS7EMS
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$341.48
D15-0028 Address: 6841 S 180TH ST
Apn: 3623049087
$249.80
DEVELOPMENT
$249.80
PLAN CHECK FEE
R000.345.830.00.00
0.00
$249.80
M15-0014 Address: 6841 S 180TH ST
Apn: 3623049087
$49.80
MECHANICAL
$49.80
PLAN CHECK FEE
R000.322.102.00.00
0.00
$49.80
PG15-0009 Address: 6841 S 180TH ST
Apn: 3623049087
$41.88
GAS
$41.88
PLAN CHECK FEE
TOTAL FEES PAID .
R000.322.103.00.00 0.00
$41.88
i i ;
Date Paid: Wednesday, February 04, 2015
Paid By: BRODERICK ARCHITECTS PLLC
Pay Method: CHECK 17035
Printed: Wednesday, February 04, 201S 2:2S PM 1 of 1
RWSYSTEMS
City of Tukwila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
7/1/2015
KEVIN BRODERICK
55 S ATLANTIC ST, SUITE 301
SEATTLE, WA 98134
RE: Permit No. PG15-0009
CHURCH OF THE VIETNAMESE MARTY
6841 S 180 ST
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 8/17/2015.
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.
a"
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 8/17/2015, 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: PG15-0009
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
PERMI I C�� D COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: PG15-0009 DATE: 02/04/15
PROJECT NAME: CHURCH OF THE VIETNAMESE MARTYRS
SITE ADDRESS: 6841 S 180 ST
X Original Plan Submittal Revision # before Permit Issued
Response to Correction Letter # Revision # after Permit Issued
DEPARTMENTS:
Bujding Division
6i
Public Works ❑
Fire Prevention ❑
Structural ❑
Planning Division
Permit Coordinator
❑
PRELIMINARY REVIEW:
DATE: 02/05/15
Not Applicable ❑
Structural
Review Required
❑
(no approval/review required)
REEVIEWER'S INITIALS:
DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 03/05/15
Approved ❑
Approved with Conditions
Corrections Required ❑
Denied
❑
(corrections entered in Reviews)
(ie: Zoning Issues)
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
12/18/2013
Permit Center/Building Division
CITY OF TUKWILA
Department of Community Development Public Works Department
t ; 0 63oo Southcenter Boulevard, Tukwila, WA 98188 2o6 433-0179
Telephone: (2o6) 431-367o FAX (2o6) 431-3665 Planning Division
isoe� * E-mail: tukplanPci.tukwila.wa.us 2o6 431-3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO:
STATE OF WASHINGTON) PA `. +'5v V N q
) ss.
COUNTY OF KING
IqaV rf--�— l states as follows:
[please print name]
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.ogo 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 state law in any decision
to engage an unregistered contractor to perform construction work.
ner/Owner's151nt*
i Gys;,a N *Z!1k. ��' Signed and sworn to before me this
G�s{ d� AR} '�pi
_ - �' day of�U , 20 �.
v
=2 i
$y 'bus h =moo
0- -7
+411,OFewPS� NO ARY PUBLIC in and for the State of Washington
Residing at County j
Name as commissioned:
My commission expires:
18.27.ogo Exemptions. The registration provisions of this chapter do not apply to:
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 46.7o RCW who shall
warranty service and repairs under chapter 46.7o 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;
lo. 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 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;
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 19.28 RCW that employs a certified
journeyman electrician,'a certified residential specialty
electrician, or an electrical trainee meeting the
requirements of chapter i9.28 RCWto perform plumbing
work that is incidentally, directly, and immediately
appropriate to the like -in -kind replacement of a household
appliance or other small household utilization equipment
that requires limited electric power and limited waste
and/or water connections. An electrical trainee must be
supervised by a certified electrician while performing
plumbing work.
* Per Washington State Department of Labor and Industries lessee has
been interpreted to be equivalent to owner for purposes of exemptions.