HomeMy WebLinkAboutPermit PG15-0148 - CASPIAN BRAND - RANGE/OVEN GAS PIPINGsaw-
1423555
PG15-0148
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
Parcel No: 0761000175
Address: 14235 55TH AVE S
Project Name: CASPIAN BRAND
PLUMBING/GAS PIPING PERMIT
Permit Number: PG15-0148
Issue Date: 1/5/2016
Permit Expires On: 7/3/2016
Owner:
Name:
BRAND CASPIAN
Address:
14235 55TH AVE S , TUKWILA, WA,
98168
Contact Person:
Name:
CASPIAN BRAND
Phone: (206) 310-8537
Address:
14235 55 AVE S , TUKWILA, WA, 98168
Contractor:
Name:
OWNER AFFIDAVIT ON FILE - CASPIAN
Phone:
BRAND
Address:
License No:
Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
INSTALL GAS PLUMBING FROM METER (INCLUDING EARTHQUAKE VALVE) TO 65,000 BTU' RANGE/OVEN PLUS A
TEE AND EXTRA CAPPED RUN FOR FUTURE USE.
Valuation of Work: $600.00 Fees Collected: $126.76
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 296-466:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature: LM*4L,'fe'e K&4 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 tX conditions attached to this permit.
Signatu
Print M
Date: USAIP
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.
S: 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: 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.
8: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2000 GAS PIPING FINAL
9002 ROUGH -IN GAS PIPING
9001 UNDERGROUND
CITY OF TUKW l
Community Developme,,, Department
• Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://www.Tukwi]aWA.aov
SITE LOCATION
Site Address:
Tenant Nam
Plumbing/Gas .eermit No. Vl
Project No.
Date Application Accepted:
Date Application Expires:
For office use onl
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"
PROPERTY OWNER
Name: r
Address:
w
State:
CONTACT :PERSON — person receiving all project
communication
Name:
Address: C ZAyt5,
City: Lkvwi �� State: Zip: 8(0�
Phone:2_,,, _,�� Fax:
Email: OAS 0 1a
King Co Assessor's Tax No.:
Number:
New Tenant:
Floor:
❑..... 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): $ py 4 I
Scope of Work (please provide detailed information) :ill g0.S aku
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code): i via
Utility Purveyor: Water:
Sewer: 9 L(1�
H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-1 l.docx
Revised: August 2011
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Page] of 2
Indicate type of plumbing fixtures and/or piping outlets being installed and the quantit low:
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 0WNE$_Qt_1UTH0WED AGENT:
Signature:
Date: LZ' R - l 5-
.� i; v
Print Name: l GAY17AA11 Day Telephone: 2LIP -3(()-- 853_4
Mailing Address: 1 235 55+k AW S' 1la— IAIl- g81(08
City State Zip
H:Wpplications\Forms-Applications On Line\2011 ApplicationsTlumbing Permit Application Revised 8-9-1 Ldocx
Revised: August2011 Page 2 of 2
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DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$126.76
PG15-0148 Address: 14235 55TH AVE S
Apn: 0761000175
$126.76
GAS
$121.88
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$65.00
PLAN CHECK FEE
R000.322.103.00.00
0.00
$24.38
TECHNOLOGY FEE
$4.88
TECHNOLOGY FEE
• '.•1•
R000.322.900.04.00
0.00
$4.88
Date Paid: Thursday, December 17, 2015
Paid By: BRAND CASPIAN
Pay Method: CREDIT CARD 065717
Printed: Thursday, December 17, 2015 2:58 PM 1 of 1
SYSTEMS
INSPECTION RECORD O�5—
Oitf
Retain a copy with permit
INS CTION 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:
>�d%
pe of Ins ction:
/%��'
Ajd %e�ss: V
Date Called:
Special Instructions:
Date Wanted: a.m
p.m.
Requester:
Phone No:
EJ-Xp�provecl per applicable codes. t.__J Corrections required prior to approval
LJ paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
W
INSPECTION RECORD p�f� O/�,
Retain a copy with permit
;�
INSPECTIM NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (2.06) 431-3670
Permit Inspection Request Line (206) 438-9350
Proje=
Type of Insp Lion:
Address:
Date Ca{led:
Special Instructions:
Date Wanted:
lS �� a.m.
Requester:
Phone No:
Approved per applicable codes. 1-1 Corrections required prior to approval.
Inspector
""; ).Rmmo,
U REINSPFCTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cail to schedule reinspection.
REVISIONS
No changes shrid ha rrade to the scope
of workolitho;,;-- prior approval of
TU' Arita 80ding Division.
NOTE: wi!l require a new plan submittal
and may irx;lude additional plan review fees.
REVIEWED FOR
CODE COMPLIANCE
APPROVED
DEC 3 0 2015
-t/-( � 0
City of Tukwila
BUILDING DIVISION
k: P�iz
F,,' IT
-D FOR:
0,Vachanicall
M-f-i—trics)
6;11,�U-rm bkv
0 Gas Piping
C111 of Tukwila
DIVISli
FILIE COPY
Permit, No, P(S(S--- 01146
is subject ic) errors and omissions.
T0val
-01 ickiun documents does not authorize
i.+Of
eny adopted code or ordinance. Receipt
of approve-J, friold Cop and conditions is acknowledged:
13y:
Date:
City of Tukwila
BUILDING DIVISION
PG1s-oIqS
ISOMETRIC VIEW
N
#
Fitting type
Size
Fixture Served
1
Earthquake Valve
2
90 degree elbow
1 1 /4"
3
Tee
1 1/4" x 1"
To Future
4
Tee
1 1 /4" x 1 "
x 1"
To Future +
Range
5
90 degree elbow
1" x 3/4"
To Range
6
90 degree elbow
3/4"
To Range
7
Coupling
1"
To Future
8
90 degree elbow
1"
To Future
9
shut-off valve
3/4"
To Range
Go ('f'(o" - Zo (Z X F G L 4 d l //(c-
RANGE -54ujofc V;%�t_ b "or q p//(ukce
9 =T
ch
IV
CODE COM ' s N
APPROVED
DEC 3 0 2015
City of Tukwila
BUILDING DIVISION
3/4
%Iti�uIN6
CITY 0I= '� i.� E=; `v�'t L A
e \ DEC 17 2015
PERMIT CENTER
1
PSE Gas_
Meter
Drawing #BRAND -GAS P-02
Revision #1
Date: 12-17-2015
-26'--0"- - — - — -
13'-0" � 1} 12'-0"
GARAGE
1" Cap
Future
CHIMNEY
BASEMENT
IFULL HEIGHT FOUNDATION
3/4" Pipe to
Range 1 1 /4" x 1 "
Upstairs Tee (capped)
1 1/4" Future
r12"
12"
f-
115"
1"
j Pipe
a 98" 01
co
0
C t^
Fc
EVIEWED FOR
DE COMPLIANCE
APPROVED
DEC 3 0 2015
City of Tukwila
I
FULL HI
STEP
w '
m
X
PLAN VIEW %1 .014
97"
Koso EQ
Valve
PSE Gas
Meter
}
z I
W i
� ,ta
O IV
O �-
L a CD
a
n
z i
0
z n YbF TIWKV4"ILA
C 17 2015
.J
U_ ?OR IT CENTER
o�
I
i
Drawing #BRAND -GAS P-01
Revision #1
Date: 12-17-2015
PERMIT C40RD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: PG15-0148 DATE: 12/18/15
PROJECT NAME: CASPIAN BRAND
SITE ADDRESS: 14235 55TH AVE S
X Original Plan Submittal Revision # before Permit Issued
Response to Correction Letter # Revision # after Permit Issued
DEPARTMENTS:
Building Division Fire Prevention ❑ Planning Division ❑
Public Wor s Structural ❑ Permit Coordinator ❑
PRELIMINARY REVIEW: DATE: 12/22/15
Not Applicable ❑ Structural Review Required ❑
(no approval/review required)
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 01/19/15
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
CITY OF TUKWILA Permit Center/Building Division
206 431-3670
• Department of Community Development Public Works Department
• 6300 Southcenter Boulevard, Tukwila, WA 98188 2o6 433-0179
Telephone: (2o6) 431-367o FAX (2o6) 431-3665 Planning Division
2o6 431-3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO: C-7 l ✓ f
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
lam- , jo UN, e - x 3Ya , states as follows:
[please print name]
i. 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.
,
S _ yrb?p�ARr
:o f
er/ wne gent*
Signed and sworn to before me this
5�day of � J7/l�-�� , 20
NOTARY PUBLIC in and for the State of Washington
Residing at\ `/ , County
Name as commissioned: 51,E 1 faAL
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;
to. 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;
ii. 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 1q,28 RCW that employs -a certified
journeyman electrician; a certified residential'specialty
electrician, or an electrical trainee meeting the
requirements of chapter 19.28 RCW to 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.