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Home My WebLink AboutPermit PG19-0129 - SOUTHCENTER COMMUNITY BAPTIST CHURCH - REPLACE KITCHEN SINK & DISHWASHER AND MOVE WASHING MACHINE CONNECTIONSOUTHCENTER COMMUNITY BAPTIST CHURCH 14742 MACADAM RD S EXPIRED 03/07/21 PGI 9-0129 (0 Parcel No: Address: Project Name' ��^�vx "�� Tukwila v�U~� x�o o 8�o�wmUoa Department of Community Development 69VOSouthcenterBoulevard, Suite #1UU Tukwila, Washington S81OA Phone:%06'431'3670 Inspection Request Line: 206'43Q'9350 Web site; http://www.TukwilaWA,Rov PLUMBING/GAS PIPING PERMIT 7661600211 Permit Number: Issue Date: Permit Expires On: SOUTHCENTER COMMUNITY BAPTIST CHURCH PGl9'Ol39 9/l7/2O19 3/l5/20U TUKWILA BAPTIST CHURCH 1474ZMACADAM RDS,TUKVV|UA, WA, 98188 Contact Person: Name: JEKEMYSMORT Address: 5422lhTHAVE SW, SE47TLE,WA, 98106 Contractor: Name: OWNER AFFIDAVIT - JEREMY SHORT 4ddeex License No: Lender: Address: ''' Phone: (206)618-6075 Phone: Expiration Date: DESCRIPTION OFWORK: REPLACE KITCHEN SINK, MOVE WASHING MACHINE CONNECTION, REPLACE DISHWASHER. Valuation of Work: $1,500.00 WaterBbt,kct: TUKVV|LA Sewer District: TUKVV|LA Fees Collected: $279.30 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 Signatu 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: VYACZ96-4b@: WA State Energy Code: Date: 2017 2017 2017 2015 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 nrlocal laws |atin0construction orthe pe�urmanceofwork. |amauthorized tqsign and obtain this deve(opnnentppr�0��nda; ^etothe conditions attached to this permit. Signature: Print Na 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 orabandoned for aperiod of180days from the last inspection. PERMIT CONDITIONS: I: ***PLUK48|NG/GASPIPING PERMIT ODND0ONS*** 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 beinstalled incompliance with the Uniform Plumbing Code and the Fuel Gas Code, 6: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall betested and approved asrequired bythe Plumbing Code and Fuel Gas Code. Tests shall beconducted inthe presence ufthe Plumbing Inspector. |tshall bethe 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 toprotect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall beinsulated tominimum o'l 8: Plastic and copper piping running through framing members towithin one (1) inch cdthe exposed framing shall beprotected bysteel nail plates not less than l8gauge. 9: Piping through concrete ormasonry walls shall not bosubject m any load from building construction. No plumbing piping shall bedirectly embedded in concrete or masonry. 10t All pipes penetrating floor/ceiling assemblies and fire -resistance rated walls or partitions shall beprotected inaccordance with the requirements ofthe building code. ll: Piping inthe ground shall belaid nnafirm bed for its entire length. Trenches shall bebackfiUedinthin layers to twelve 'inches above the top of the piping with clean earth, which shall not contain stones, boulders, dnderUU'frozen earth,orconstruobondebris. lZ: The issuance ofopermit orapproval ofplans and specifications shall not beconstrued tobeapermit for, or anapproval of, any violation ofany ofthe provisions nfthe Plumbing Code orFuel Gas Code orany other ordinance ofthe 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 reddpnda|, hotel, mmp|' school, industrial, commercial use orother 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 4O2ofWashington 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 Community Developarrebepartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 littp://www.TukwilaWA.0ov PlumbinglGasPermit:No. Date:APPleatiortlAcCepteCat::.'' Date ,Application Expires ' 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: King Co Assessor's Tax No.: N792 P2iere.14047n Suite Number: Floor: Tenant Name: Surat/ ceacie. aminim icy 80/P7/S1 611JR41 New Tenant: II1 Yes I.. No PROPERTY OWNER Nam114 S00CEPITEk aninugirr BAPricr& klia Address: //#74z Ale 00601 g 0 City: State: -11-ii lath IA State: CONTACT PER receiving all project communication Name: %Taal Y S i-t e r Address: 54/ Z Z lc City: covr.rtz... AVE- ,t/ti State: Z i p /6 Phone: c206,....eds...6075Fax: Email:ivwctimicsesur co rimL.corn PLUMBING CONTRACTOR INFORMATION Company Namtark ce_ora.LnaLuNzry igerissrei Address: N71/2 pm c down Ki) E City: .--filx tau La State: " 6 Zip: 98./6/ Phone: 206 _242 . /33iax: Contr Reg No.: Exp Date: Tukwila Business License No.: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): fREPLACC" / HEA) C/ AI K ,IV1oVE W ASH PVICH,AIE Co AIN-Fe.71 on RC:PLACE- I S NW A SHER Building Use (per Mel Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: It.11244 HAApplications\Forms-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 1 of 2 Indicate type of plumbing fixtures an / s piping outlets being installed and the quantit o : 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 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 2 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 CERTI Y THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PE Y BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWN AGENT: Signature: Date: Print Name: TErZErA y Si -roar Mailing Address: sy 2 2 W Day Telephone: 204 - /i- 06 7.S City [AO 98 /06 State Zip HAApplicatiortsWorms-Applications On Line1201 1 Applications\Plumbing Permit Application Revised 13-9-11.docx Revised: August 2011 bh Page 2 of 2 DESCRIPTIONS I ACCOUNT QUANTITY PAID PermitTRAK $843.79 D19-0288 Address: 14742 MACADAM RD S Apn: 7661600211 $397.07 DEVELOPMENT $378.47 PERMIT FEE R000.322.100.00.00 0.00 $371,97 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $6.50 TECHNOLOGY FEE $18.60 TECHNOLOGY FEE R000.322.900.04.00 0.00 $18.60 EL19-0759 Address: 14742 MACADAM RD S Apn: 7661600211 $63.00 ELECTRICAL $60.00 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $60.00 ' TECHNOLOGY FEE $3.00 TECHNOLOGY FEE R000.322.900.04.00 0.00 . $3.00 M19-0156 Address: 14742 MACADAM RD S Apn: 7661600211 $104.42 MECHANICAL $99.45 PERMIT FEE R000.322.100.00.00 0.00 $66.30 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 TECHNOLOGY FEE $4.97 TECHNOLOGY FEE R000.322.900.04,00 0.00 $4.97 PG19-0129 Address: 14742 MACADAM RD S Apn: 7661600211 j $279.30 GAS $103.00 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $35.00 PERMIT FEE R000,322.100.00.00 0.00 $68.00 PLUMBING $163.00 PERMIT FEE R000.322.100.00.00 0.00 $128.00 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $35.00 TECHNOLOGY FEE $13.30 TECHNOLOGY FEE R000.322.900.04.00 0.00 $13.30 TOTAL FEES PAID BY RECEIPT: R18597 .. $843.79 4. Date Paid: Wednesday, September 18, 2019 Paid By: SOUTHCENTER COMMUNITY BAPTIST Pay Method: CHECK 3001 Printed: Tuesday, September 17, 2019 4:46 PM 1 of 1 c CITY OF TUKWILA, Department of Community Development 630o Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-367o FAX (206) 431-3665 E-mail: tukplao ci.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 STATE OF WASHINGTON) ) ss. COUNTY OF KING ) `Jere please print name] states as follows: PERMIT NO: 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 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 • + rwise have under state law in any decision to engage an unregistered contractor to perform constructio PCE"1111111, KAi " N\\N11111N. OT Signed and sworn to before me this c� day of ,20 Residing at Name as commissioned: Gupitfix My commission expires: Z