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HomeMy WebLinkAboutPermit PG16-0185 - PARK AVENUE APARTMENTS - FIRE DAMAGE REPAIRPARK AVENUE APARTMENTS 3440 S 146T" ST BLDG B PG1 6=01 85 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: 0040000327 Permit Number: PG16-0185 Address: 3440 S 146TH ST BLDG B Issue Date: 12/23/2016 Permit Expires On: 6/21/2017 Project Name: PARK AVENUE APARTMENTS Owner: 2015 National Electrical Code: Name: PARK AVE APARTMENTS LLC 2015 Address: 20400 92ND AVE 5, KENT, WA, 98031 International Mechanical Code Edition: Contact Person: WAC 296-46B: 2014 Name: JAGENDAR SINGH Phone: (206) 391-7274 Address: 20400 92ND AVE S, KENT, WA, 98031 2015 Contractor: Name: OWNER AFFIDAVIT Phone: Address: License No: Expiration Date: Lender: Name: Address: , DESCRIPTION OF WORK: CHANGE SOME ABS AND WATER PIPES FOR FIRE DAMAGE Valuation of Work: $2,500.00 Fees Collected: $234.68 Water District: 125 Sewer District: VALLEY VIEW Current Codes adopted by the City of Tukwila: International Building Code Edition: 2015 National Electrical Code: 2014 International Residential Code Edition: 2015 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2015 WAC 296-46B: 2014 Uniform Plumbing Code Edition: 2015 WA State Energy Code: 2015 International Fuel Gas Code: 2015 Permit Center Authorized Signature: Date: 1/ 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: Date: Print Nam 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 2000 GAS PIPING FINAL 8004 GROUNDWORK 1900 PLUMBING FINAL 9002 ROUGH -IN GAS PIPING 8005 ROUGH -IN PLUMBING 9001 UNDERGROUND CITY OF TUKW t Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.Tuk\AJlaWA.,go_v SITE LOCATION IPlumbing/Gas Permit No. Project No. Date Application Accepted: Date Application Expires: _ We 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 Address: —3y- -� D � 5 Tenant Name: PROPERTY OWNER / Name: `Tr S (�2f Address:2 C)(� C:><D -1— City: I't t State: Zip: CONTACT PERSON — person receiving all project communication Name: � �� � ✓ � / �� Address:Z� City: lL e /q _L State: 106 /Zip: �v3 Phone:%2� Fax: Email: r King Co Assessor's Tax No.: Suite 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.: D© Valuation of Project (contractor's bid price): $ Scope onf Work (please provide detailed information): 9 Building Use (per Int'1 Building Code): Occupancy (per Int'1 Building Code): Utility Purveyor: Water: Sewer: H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8.9-1 l.docx Revised: August 2011 Page 1 of bh Indicate type of plumbing fixtures and/or piping outlets being installed and the quantit. ow: Fixture Type Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain 2, 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 2, Urinal Water heater and/@t=oast Industrial waste 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 MWVZV�"�"Em 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 Pease 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 OWNVR OR A Print Name: r 1 C: e YL Y Mailing Address: On 2 '1�e H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-1 I.doex Revised: August 2011 bh Day City Date: /Z Z_�Z0l6 '20L_1 0L- ?1- 7­121�_ State Zip Page 2 of 2 DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $234.68 P616-0185 Address: 3440 S 146TH ST BLDG B Apn: 0040000327 $234.68 PLUMBING $223.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $191.00 TECHNOLOGY FEE $11.18 TECHNOLOGY FEE TOTAL''ID BY RECEIPT: R10122 R000.322.900.04.00 0.00 $11.18 $234.68 Date Paid: Friday, December 23, 2016 Paid By: JAGENDAR SINGH Pay Method: CREDIT CARD 22086G Printed: Friday, December 23, 2016 12:37 PM 1 of 1 r-pWSYS7EM5 INSPECTION RECORD Retain a copy with permit pm �d�qs INSPECTION NO. PERMIT NO. J CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 09 Approved per applicable codes. 1-1 Corrections required prior to approval. 0i<1fP" LIOMf ING— -f—MA-1 Inspector: f Date: 7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION 6RECORD Retain a copy with permit INSP ION 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 Pr9jef r � Te of Inspection: - �I LJr1'►t3�Fa�� Address: Oate Called: Special Instructions: /31/7 m. rRequate Wante a.m. i estet'. Phone No: Corrections required prior to approval. M Approved per applicable codes. (Inspector: /I (Date:/ JI //7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECOIr RD Retain a copy with permit�� _01C INSPECTION N0. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Approved per applicable codes. Corrections required prior to approval. COMMENTS: (1' ' 71 Inspector: Date:�h zb El 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�� 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 ct: P'aa-,&y T e of Inspection: n --Jr Address: 30e S M10 57 - Date Called: Special Instructions: y 1 Iii-OCy 1� Date Wanted: P-- f2 � � p.m. Requester. Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: I r z Inspector: Date: r REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. �J�.plILA, k,9sS Permit Center/Building Division CITY OF TUKWILA 206 431-3670 o'j Z Department of Community Development Public Works Department a! 1 63oo Southcenter Boulevard, Tukwila, WA 98188 2o6 433-0179 ' '?2Telephone: (2o6) 431-367o FAX (2o6) 4,31-366,5 Planning Division k` 1908 ' E-mail: tukplan(&ci.tukwila.wa.us 2o6 431-3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO:'P�4 t l.0 0 ft�_ STATE OF WASHINGTON) ) ss. COUNTY OF KING ) 2-q Y\ J'Q '-- S 1 r4 T � , 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 18.2.7.090. 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 I -S., 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. O ne /,Ow er's Agent* LA Signed and sworn to before me this 0r 2-5day of , 20L. ,. NOTARY PUBLIC in and fo the State of Washington Residing at , County Name as commissioned: C--XA�l l ls% GL✓LA ��" My commission expires: l 18.27.ogo Exemptions. The registration provisions of this chapter do not apply to: I. 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 46.70 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 material's, 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; 10. 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 19.28 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 utilisation 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. PARK AVENUE APARTMENTS 3440 S 146T" ST BLDG B PG1 6=01 85 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: 0040000327 Permit Number: PG16-0185 Address: 3440 S 146TH ST BLDG B Issue Date: 12/23/2016 Permit Expires On: 6/21/2017 Project Name: PARK AVENUE APARTMENTS Owner: 2015 National Electrical Code: Name: PARK AVE APARTMENTS LLC 2015 Address: 20400 92ND AVE 5, KENT, WA, 98031 International Mechanical Code Edition: Contact Person: WAC 296-46B: 2014 Name: JAGENDAR SINGH Phone: (206) 391-7274 Address: 20400 92ND AVE S, KENT, WA, 98031 2015 Contractor: Name: OWNER AFFIDAVIT Phone: Address: License No: Expiration Date: Lender: Name: Address: , DESCRIPTION OF WORK: CHANGE SOME ABS AND WATER PIPES FOR FIRE DAMAGE Valuation of Work: $2,500.00 Fees Collected: $234.68 Water District: 125 Sewer District: VALLEY VIEW Current Codes adopted by the City of Tukwila: International Building Code Edition: 2015 National Electrical Code: 2014 International Residential Code Edition: 2015 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2015 WAC 296-46B: 2014 Uniform Plumbing Code Edition: 2015 WA State Energy Code: 2015 International Fuel Gas Code: 2015 Permit Center Authorized Signature: Date: 1/ 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: Date: Print Nam 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 2000 GAS PIPING FINAL 8004 GROUNDWORK 1900 PLUMBING FINAL 9002 ROUGH -IN GAS PIPING 8005 ROUGH -IN PLUMBING 9001 UNDERGROUND CITY OF TUKW t Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.Tuk\AJlaWA.,go_v SITE LOCATION IPlumbing/Gas Permit No. Project No. Date Application Accepted: Date Application Expires: _ We 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 Address: —3y- -� D � 5 Tenant Name: PROPERTY OWNER / Name: `Tr S (�2f Address:2 C)(� C:><D -1— City: I't t State: Zip: CONTACT PERSON — person receiving all project communication Name: � �� � ✓ � / �� Address:Z� City: lL e /q _L State: 106 /Zip: �v3 Phone:%2� Fax: Email: r King Co Assessor's Tax No.: Suite 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.: D© Valuation of Project (contractor's bid price): $ Scope onf Work (please provide detailed information): 9 Building Use (per Int'1 Building Code): Occupancy (per Int'1 Building Code): Utility Purveyor: Water: Sewer: H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8.9-1 l.docx Revised: August 2011 Page 1 of bh Indicate type of plumbing fixtures and/or piping outlets being installed and the quantit. ow: Fixture Type Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain 2, 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 2, Urinal Water heater and/@t=oast Industrial waste 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 MWVZV�"�"Em 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 Pease 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 OWNVR OR A Print Name: r 1 C: e YL Y Mailing Address: On 2 '1�e H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-1 I.doex Revised: August 2011 bh Day City Date: /Z Z_�Z0l6 '20L_1 0L- ?1- 7­121�_ State Zip Page 2 of 2 DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $234.68 P616-0185 Address: 3440 S 146TH ST BLDG B Apn: 0040000327 $234.68 PLUMBING $223.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $191.00 TECHNOLOGY FEE $11.18 TECHNOLOGY FEE TOTAL''ID BY RECEIPT: R10122 R000.322.900.04.00 0.00 $11.18 $234.68 Date Paid: Friday, December 23, 2016 Paid By: JAGENDAR SINGH Pay Method: CREDIT CARD 22086G Printed: Friday, December 23, 2016 12:37 PM 1 of 1 r-pWSYS7EM5 INSPECTION RECORD Retain a copy with permit pm �d�qs INSPECTION NO. PERMIT NO. J CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 09 Approved per applicable codes. 1-1 Corrections required prior to approval. 0i<1fP" LIOMf ING— -f—MA-1 Inspector: f Date: 7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION 6RECORD Retain a copy with permit INSP ION 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 Pr9jef r � Te of Inspection: - �I LJr1'►t3�Fa�� Address: Oate Called: Special Instructions: /31/7 m. rRequate Wante a.m. i estet'. Phone No: Corrections required prior to approval. M Approved per applicable codes. (Inspector: /I (Date:/ JI //7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECOIr RD Retain a copy with permit�� _01C INSPECTION N0. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Approved per applicable codes. Corrections required prior to approval. COMMENTS: (1' ' 71 Inspector: Date:�h zb El 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�� 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 ct: P'aa-,&y T e of Inspection: n --Jr Address: 30e S M10 57 - Date Called: Special Instructions: y 1 Iii-OCy 1� Date Wanted: P-- f2 � � p.m. Requester. Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: I r z Inspector: Date: r REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. �J�.plILA, k,9sS Permit Center/Building Division CITY OF TUKWILA 206 431-3670 o'j Z Department of Community Development Public Works Department a! 1 63oo Southcenter Boulevard, Tukwila, WA 98188 2o6 433-0179 ' '?2Telephone: (2o6) 431-367o FAX (2o6) 4,31-366,5 Planning Division k` 1908 ' E-mail: tukplan(&ci.tukwila.wa.us 2o6 431-3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO:'P�4 t l.0 0 ft�_ STATE OF WASHINGTON) ) ss. COUNTY OF KING ) 2-q Y\ J'Q '-- S 1 r4 T � , 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 18.2.7.090. 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 I -S., 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. O ne /,Ow er's Agent* LA Signed and sworn to before me this 0r 2-5day of , 20L. ,. NOTARY PUBLIC in and fo the State of Washington Residing at , County Name as commissioned: C--XA�l l ls% GL✓LA ��" My commission expires: l 18.27.ogo Exemptions. The registration provisions of this chapter do not apply to: I. 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 46.70 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 material's, 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; 10. 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 19.28 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 utilisation 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.