HomeMy WebLinkAboutPermit PG19-0039 - WHITE RESIDENCE - PLUMBING TO SPA TUBWHITE RESIDENCE
13562 37TH AVE S 34
PGI 9-0039
Parcel No:
Address:
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
1701000310 Permit Number: PG19-0039
13562 37TH AVE S 34
Project Name: WHITE RESIDENCE
Issue Date: 3/7/2019
Permit Expires On: 9/3/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
MELONSON RYAN W
13562 37TH AVE 5 #31, TUKWILA, CA,
98168
LISA WHITE
1150 SAN ANTONIO CREEK RD , SANTA
BARBARA, CA, 93111
Contractor:
Name: AFFIDAVIT - KARL RANDOLPH
Address:
License No:
Lender:
Name:
Address:
III
Phone: (425) 894-2774
Phone:
Expiration Date:
DESCRIPTION OF WORK:
VERIFY SAFETY OF PLUMBING TO SPA TUB
Valuation of Work: $0.00
Water District:
Sewer District:
Fees Collected: $108.15
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
�\
| hearbYcertUy that | have read and examined this permit and know the same tu 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 nrlocal laws e8ul�adnQcostrucdu rtheperformanoeofwork.|amauthohzedtusignandobtainthis
development permit and ree�othecd»�idnnsa�achedtothisperm|t.
/""
Signature:
�^
Phnt'Vame: 4
Date:
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: ***PLU[NB|NG/GASPIPING PERMIT OONDODON5***
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: Nnportion ofany plumbing system orgas piping shall bpconcealed 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 isready 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 ismade tuprotect such pipe from freezing. All hot and cold water pipes
installed outside the conditioned space shall beinsulated tominimum R'l
8: Plastic and copper piping running through framing members towithin one (1)inch ofthe exposed framing
shall bpprotected bystee|nai|p|atesnot|euthon18gauOe.
9: Piping through concrete ormasonry walls shall not bosubject toany load from building construction. No
plumbing piping shall bedirectly embedded inconcrete or masonry.
10: All pipes penetrating floor/ceiling assemblies andMre'resimonce rated walls orpartitions shall be protected
inaccordance with the requirements ufthe building code.
11: Piping inthe ground shall belaid onafirm bed for its entire length, Tenches shall hebackMUedinthin
layers to twelve inches above the top of the piping with clean earth, which shall not contain stones,
boulders, dnderOU,frozen earth, orconstruction 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 ofthe jurisdiction.
l]: The applicant agrees that heorshe will hire alicensed plumber toperform the work outlined inthis 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
402nfWashington 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 TU
Com:unity' Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Plumbing/Gas Permit No.
-00 3
Project No.
Date Application Accepted:
Date Application Expires:
(For office use o y)
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
115-0
Site Address: (1-3557T 59-1.11\
Tenant Name: Mali< Rae-)
PROPERTY OWNER
Name: Whki
Address: i
City:stht ethaate: elq
Zip:111
CONTACT PERSON - person receiving all project
communication
Name-
• Seinet.e.-
Address:
City: State:
Zip:
Phone: :
5-- ep3q 537-4-
Email: zAset evein 02 ernaie 07,7„1.
King Co Assessor's Tax No.: 1:319
o00 340
41. WA Suite Number %.3 Floor:
t 14,0
New Tenant: .....Yes
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): $
Scope of Work (pleasprovide detailed information):
54te-141 plu444.61;& othh
Building Use (per Intl Building Code).
Occupancy (per Int'l Building Code):
Utility Purveyor Water: Sewer:
HAApplications1Forms-Applications On Linek2011 ApplicationetP1umbing Permit Application Revised 8-9-11.docx
Revised: August 2011
Page 1 of 2
Indicate type of plumbing fixtures and/or gas piping outlets g installed and the quantity 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
Aimospheric-type vacuum
breakers not included in
lawn sprinkler backflow
protections (1-5)
Fixture Type
Bidet
Drinking fountain or water
Cooler (per head)
Lavatory
Urinal
heater and/or vent
IIWater
Repair or alteration of
water piping and/or water
treatment equipment
Ba.ckflow protective devioe
other than atmospheric -
type vacuum breakers 2
inch (51 mm) diameter or
smaller
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
_protections over 5
Fixture Type
Qty
Clothes washer,
domestic
Food -waste grinder,
commercial
Wash fountain
Water closet
Industrial waste
treatment interceptor,
including trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of
drainage or vent piping
Backflow protective
device other than
atmospheric -type
vacuum breakers over 2
inch (51 nun) 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
PERMJT 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 tirne 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 CER 111.Y 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 PERMTT.
BUILDING OWNER OR AUTHORIZED *GENT:
Signature:
Date: 3/51
Print Name:1La Whi± Day Telephone: 442,5 Ecyl
Mailing Address: 1 (-S-0 BaAlort2/1a CA 13 if
City stair Zip
HAApplications1Fonns-Applications On Line\ 2011 Applications\Plumbg Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY
, PAID
PermitTRAK
171.15
E119-0207 Address 13562 37TH AVE S 34
Apn: 1701000 0
63.00
ELECTRICAL
60.00
PERMIT FEE SINGLE FAMILY
R000. 22, 0 .00.00
0.00
$60.0O
TECHNOLOGY FEE
.00
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$3.00
PG19-0039 Address: 13562 37TH AVE S 34
Apn: 1701000310
1 8.15
PLUMBING
03.00
PERMIT FEE
R000.322.100.00.00
0.00
68,00
PERMIT ISSUANCE BASE FEE
R000.322.100,00.00
0.00
$35.00
TECHNOLOGY FEE
$5.15
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R17106
R000.322.900.04.00
0.00
$5.15
$171.15
Date Paid: Thursday, March 07, 2019
Paid By: KARL RANDOLPH
Pay Method: CHECK 144
Printed: Thursday, March 07, 2019 1:47 PM 1 of 1
CRWSYSTEM5
INSPECTION RECORD
Retain a copy with permit
NSPECTION 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
F6i
Pro c :
Typs nsp c ion:
tot,vs.m., t
Address:
/...F.,5-4 Z
71
7
Date Called:
Special Instructions:
,
i ," 0
Date Wanted:
3 '"AS---2-0 F)
4..M.
p.m..
Requester:
ivirtok
4-- 4-3 q
Phone No:
,
/9
727
Appr p r applicable codes.
Date:
d prior to approval.
I 1 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Bivd.. Suite 100. Call to schedute reinspection.
CITY OF TUKVVILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431367o FAX (206) 431-3665
E-mail: tukplanOci.tukwila.wa.us
Permit Center/Building Division
206 43i-367o
Public Works Department
206 433-0179
Planning Division
206 431-367o
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
, states as follows:
PERMIT NO: E LI \ - O) 0 I
VC,l'- 00361
1. I have made application for a permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW 18.27.090.
3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the
City of Tukwila must verify either that the contractor is registered by the State of Washington, or that
one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number / 3 , 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. 7/
4.0
40
i
fGANWltttt+l
U�..�y
• + 4
11.0
/,tt!F„WAS`
er
er's
ent4
Signed and sworn to before this
*I day of ,/rn-r r , 20 / 9 .
NO AR PUBLIC in and for the State of Washington
Residing at , County
Name as commission
My commission exp
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 46.70 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 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;
it. 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;
i,5. 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 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 lndustriet lessee has
been interpreted to be equivalent to owner for purposes of exemptions.