HomeMy WebLinkAboutPermit PG18-0134 - BUCKLEY/KUNTZ RESIDENCE - INDOOR PLUMBING TO SEWER STUBBUCKLEY/KN UTZ
RESIDENCE
15849 47 AVE S
PGI 8-0134
Parcel No:
Address:
Project Name:
/
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
2223049085 Permit Number: PG18-0134
15849 47TH AVE S
KNUTZ RESIDENCE
Issue Date: 11/13/2018
Permit Expires On: 5/12/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
KUNTZ STEVEN R+BUCKLEY MARK
15849 47TH AVE S, TUKWILA, WA,
98188
MARK BUCKELY
15849 47 AVE 5 , TUKWILA, WA, 98188
AFFIDAVIT - MARK BUCKLEY
1
!f/
Phone: (206) 588-1945
Phone:
Expiration Date:
DESCRIPTION OF WORK:
CONNECT INDOOR PLUMBING TO NEW SEWER STUB PER VALLEY VIEW.
Valuation of Work: $10,750.00
Water District: HIGHLINE
Sewer District: NONE
Fees Collected: $119.42
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
Date: I)
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
developme. . • it and agree to the condi 'ons attached to this permit.
Signature:
Print Name:
`(cw`z..._ e
This permit shall become null and void if the works 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:
<NONE>
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 TUKN' '4
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Plumbing/Gab fermit No. 1 ' D 131/
Project No.
Date Application Accepted: 11-- —18
c 1a -1 ct
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
' / King Co A�lor' xx
Site Address: G -/� 1 q `7� ko -e c U 4C.,t t1) Floor:
New Tenant: ❑ Yes ❑.. No
Tenant Name:
PROPERTY OWNER
Name: v le
Name: AN 64,(c127.4-,,,i?
L ( 1 /�7�/
City�� i State:l, / q Zip 2;
11"" y et• u n W �Cj 7
Address: jse,L(L q� kris, f j
98ysg
V'
City: 1 State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: v le
SZ
City�� i State:l, / q Zip 2;
11"" y et• u n W �Cj 7
Address./6846
/R / S/
Tukwila Business License No.:
City:17Akw; 1c_
/
State: ( W
'jD
Zip:�j gg
/ l
Phone `
Fax:
Email: VL�.1 %ict
/PC0 Mr 64--",- U1.P.1"
PLUMBING CONTRACTOR INFORMATION
Company Name:fie /' _ A) (S
Address -F6 6..er
�3 57
City�� i State:l, / q Zip 2;
11"" y et• u n W �Cj 7
n
Phone 4- , 6 iT�3i (i r 3 7 i Fax`x2 _ ETR, 23,'.
//
Contr Reg No.: Exp//Datee:�
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ (D 7 56 /.
Scope of Work (please provide detaile• information): , om✓
11.) ani V(eid'r�.6lpr;
Building Use (per Int'l Building Code):
Occupancy (per Int'1 Building Code):
Utility Purveyor: Water:
H:\Applications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
bb
--.?66,2— 32,F�
Sewer:
Page 1 of 2
I~ 1
Indicate type of plumbing fixtures an o,„ , piping outlets being installed and the quantity.. ,io
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
r,
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
lawn
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
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
f .
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
r,
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 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
Signature:��/rr2'/ '' / Date: /'
Print Name: Day Telephone: ��ljj j
Ali � ity �a State l (9p
Mailing Address:
H: Applications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-I I.docx
Revised: August 2011
bh
Page 2 of 2
0
J
*ILA
eceipt Number
R15823
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$119.42
PG18-0134 Address: 15849 47TH AVE 5 Apn: 2223049085
$119.42
PLUMBING
$113.73
PERMIT FEE
R000.322.100.00.00
0.00
$80.58
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$33.15
TECHNOLOGY FEE
$5.69
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R15823
R000.322.900.04.00 0.00
$5.69
$119.42
Date Paid: Tuesday, November 13, 2018
Paid By: MARK BUCKLEY
Pay Method: CHECK 7909
Printed: Tuesday, November 13, 2018 11:34 AM 1 of 1
i ! SYSTEMS
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
?GiO-Ot34
Project:
Vi4012— ?-'e.41 IVY" 't,
Type of Inspection:
‘1‘,Noi/i
Lath57,--4" 4_//YA9k./4-5- e6 14(..RAGP 2304/PA/5.
iM ParGTAsA) -11. RJ/,L WY
Address:
ISS J -t 9 ii 7 At) S
Date Called: 10,21-1 9
AppeRs -7c5 3 t4 100A1.61,k6,--
,
Special Instructions:
cid tit 14-
ilD C 1-e A len-P_,
Date Wanted:
10-11-19
a.m.
P.m.
Requester: Ki
t-teftek,
Phone No: 00
1
Approved per applicable codes. OCorrections required prior to approval.
COIIMENTS:
Lath57,--4" 4_//YA9k./4-5- e6 14(..RAGP 2304/PA/5.
iM ParGTAsA) -11. RJ/,L WY
AppeRs -7c5 3 t4 100A1.61,k6,--
to/ Li_
611/41-L___ Pirwv/7
Inspector:
Date:
-/1--/
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
-0116 c:, 131
Project: i
V•1..) 4-1 ( 7....
Type of Inspection:
‘...1/4.91/11, gm' i4c. ...
Address:
/C041 47174 140)— S'
Date Date Called:
Special Instructions:
; CC) sc,eci
Date Wanted:
a.m.
Requester:
Phone No:
-zao 568
)9 ifS
LJApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Od 44A -
&T1400 klAbi •
lAalilttfrA3
Ijc) k"eotif 14-i* -arsJ6
Inspector:
Date: L,
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
9/3/2019
l 1,
City of Tukwila
Department of Community Development
MARK BUCKELY
1584947AVE S
TUKWILA, WA 98188
RE: Permit No. PG18-0134
KNUTZ RESIDENCE
15849 47 AVE S
Dear Permit Holder:
Allan Ekberg, 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 10/16/2019.
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 10/16/2019, 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,
-&011
Bill Rambo
Permit Technician
File No: PG18-0134
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
4/1/2019
City of Tukwila
Department of Community Development
MARK BUCKELY
15849 47 AVE S
TUKWILA, WA 98188
RE: Permit No. PG 18-0134
KNUTZ RESIDENCE
1584947AVE S
Dear Permit Holder:
Allan Ekberg, 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 5/12/2019.
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 5/12/2019, 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,
Kandace Nichols
Permit Technician
File No: PGI8-0134
n
6300 Southcenter Boulevard Suite 11100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-3670 FAX (206) 431-3665
E-mail: tukplanOci.tukwila.wa.us
Permit Center/Building Division
206 431-367o
Public Works Department
206 433-0179
Planning Division
206 431-3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO: 1)G l ?J.-0 13
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
, 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 requiremenof RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number , ,L, 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 th t might otherwise have under state law in any decision
to engage an unregistered contractor to perform po'nst Y ction work.
,...
se j
Nom► ' 4Cie Oo
'1111 _AO
"ftt ��WASN\�.�``,
wner/Owner's
Signed and sworn to before me this
13 day of .fitvz'li16er , 20
NOTAR PUBLIC in and for the State of Washington
Residing at , 'SI"IC' j/1 , County
Name as commissioned:
My commission expires:
05(aa'aA
18.27.090 Exemptions. The registration provisions of this
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 46.70 RCW who shall
warranty service and repairs under chapter 46.70 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;
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
chapter do not apply to:
by a registered contractor;
owner* who contracts for a project with a registered
tractor, 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-kindreplacement 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.