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Permit M98-0213 - JACKSON VERONICA
G�� Aso � Vero kei\ i‘c.cL Mo?-02,13 City of Tukwila c (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Permit No: M98 -0213 Type: B -MECH Category: RES Address: 3805 S 128 ST Location: Parcel #: 238420 -0008 Contractor License No: ADAIRH *262RZ TENANT OWNER CONTRACTOR CONTACT UMC Edition: Print Name:_ MECHANICAL PERMIT JACKSON VERONICA 3805 S 128 ST, TUKWILA WA 98188 JACKSON VERONICA 13730 56 AV S #301, TUKWILA WA 98168 ADAIR HOMES INC 1111 SW 170, BEAVERTON OR 97005 CAROL SCHMIDT 2303 93 AV SW, OLYMPIA WA 98512 Status: ISSUED Issued: 01/13/1999 Expires: 07/12/1999 *** ****** k**** * *** * * ** ** * * ** * * * * * ** * * * ** * * * * * * * *** * * ***'k * * * * * *** ** *etc * **** Permit Description: NEW FURNACE, WATER HEATER AND ASSOCIATED DUCT WORK FOR NEW SINGLE FAMILY RESIDENCE. 1997 Valuation: 00 Total Permit Fee:,' "` 61.19 * * * ** *************** k**' k* k*****&***********' A* k * * * *•k *'k *•k *'k *k* * ** * * * * **•kk* Phone: 206 242 -9353 Phone: 360 -352 -7641 Phone: 360- 352 -7641 Permit enter Au horized Signature Date I hereby 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 for and obtain this building permit Signature : _ Date: _ 12Z=21r Title: This permit shall become null_, and void if the "Work is not commenced within 180 days from the date of issuance, :or :i;f:the work is suspended, or abandoned for a period of 180 'day§ from - this last inspection. Pr �ojP t N rn /T .enact: i c/ �l/� V�� �� �� �� C ' � �4 1 Val e o struction: �h j d. Site Address' . _ � . it S at:/Zip;. 2,,,,G--` :1 - ' — I 61 7J1 k . t 1 �� , (.�% ,' . / 1r9 r t O ner: ` / T -x Par e Awl e NCmber•- rl `i i. . 1;i Street Addre C State/ ip: J 7 - — L� �i [ 7 � ' `x L'a . 2 )1, i - 1, 4 1 Ctti�i 0 (111) Ci f t 1 ' 7 V Fax #: f G t)P,r \ \.6/( ) /7)/1/6i ( � -7 f Sir of Addr SS Ci y tat © /Z'. • Fax ik Water C72--r- cto _ gt : c :i y ` _ �VY0,) In(. : / t S ee Addre te/ J i .. 12b . , ��,�� l 0 Y- W F x #: ( . t 1L 6 Z) / Architect: ✓ Phone: Street Address: City State /Zip: Fax #: Engineer: Phone: Street Address: City State /Zip: Fax #: MISCELLANEOUS. PERMIT REVIEW AND APPROVAL REQUESTED: (TO BE FILLED OUT BY APPLICANT) ,.. D cripti n •" wor to e done.; �- -- -) 3)• `� k k) , A (A� --( Will there be storage of flammable /combustible hazardous mate lal in the building? ❑ yes El no Attach list of materials and storage location on so.arate 8 1/2 X 11 •a• orindicatin. •uantities & Material Safet Data Sheets ■ Above Ground Tanks Antennas /Satellite Dishes ■ Bulkhead /Docks ■ Commercial Reroof ❑ Demolition ❑ Fence - �Mectianical ❑Manufactured Housing - Replacement only El Parking Lots Cl Retaining Walls El Temporary Pedestrian Protection /Exit Systems ❑ Temporary Facilities El Tree Cutting MONTHLY SERVICE BILLINGS TO: ` Name: v( vtYv,ii i c_iN - 3-_ ., ,, . 1;i Phone: Address: City /State /Zip: Water PrSewer 0 Metro 0 Standby CITY OF('UKWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 Miscellaneous Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. APPLICANT REQUEST FOR MISCELLANEOUS PUBLIC WORKS PERMITS ❑ Channelization /Striping ❑ El Flood Control Zone ❑ El Landscape Irrigation El El Storm Drainage ❑ El Water Meter /Exempt # El Water Meter /Permanent # ❑ Water Meter Temp # El Miscellaneous Curb cut /Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s): Land Altering: 0 Cut cubic yards 0 Fill _cubic yards 0 sq. ft.grading /clearing Sanitary Side Sewer #: El Sewer Main Extension 0 Private 0 Public Street Use ❑ Water Main Extension 0 Private 0 Public Size(s): 0 Deduct 0 Water Only Size(s): Size(s): Est. quantity: gal Schedule: ❑ Moving Oversized Load /Hauling WATER' METER DEPOSIT /REFUND BILLING: N ame: ` j �� .vci1, Address: 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 extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. Date application accepted: Date application expires: Mir MISCPMT.DOC 7/11/96 Phone: City /State /Zip: Appllca n _taken by: (initials) o 7 BUILDING OWNER OR AUTHORIZED AGENT: SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR Above Ground Tanks/Water Tanks - Supported directly upon grade exceeding 5,000 gallons and a ratio of height to diameter or width which exceeds 2 :1 Signature' t C _ - I� A tV� , I Date: • Print name: �c�, f 1� l � 0 Bulkhead /Dock \ - C q t -ie� ip. ���� � & J 1 Address: r ' )0 ' _. , _ ' `�.�..� D WITH THE FOLLOWING: ALL MISCELLANEOUS M q LANEOUS PE T APPLICATIONS MUST BE SUB f �. ✓/ N Y � ... ➢ 1E.'C1'RNII� LL BE AT A LEGIBLE SCALE AND NEATLY DRAWN ➢ .BUILDING STTE P LNS AND UTILITY PLANS ARE TO BE COMBINED ➢ ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT ➢ STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED STRUCTURAL ENGINEER ➢ CIVIL/SITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.) El Copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit is issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ". Building Owner /Authorized Agent if the applicant is other than the owner, registered architect/engineer, ,or contractor.licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit: this permit application and obtain the permit will be required as part of this submittal. 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. MISCPMT.DOC 7/11/96 SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR Above Ground Tanks/Water Tanks - Supported directly upon grade exceeding 5,000 gallons and a ratio of height to diameter or width which exceeds 2 :1 PERMIT REVIEW Submit checklist No: M -9 • Antennas /Satellite Dishes Submit checklist No :. M -1" . `• Awnings /Canopies - No signage Commercial Tenant Improvement Permit 0 Bulkhead /Dock Submit. checklist' No M- 10' ". Commercial Reroof Submit checklist : No: M -6 0 Demolition Submit checklist No M- 3;:,W3a Fences - Over 6 feet in Height Submit checklist No: M -9 Land Altering/Grading/Preloads Submit checklist No: M -2 ® Loading Docks Commercial Tenant Improvement Permit.. Submit.checklistNo:'H -17 Mechanical (Residential & Commercial) Submit checklist . No. ' M -8; '. Residential only - H -6,: H -16 . . Miscellaneous Public Works Permits Submit checklist No : H-9 • 0 Manufactured Housing (RED INSIGNIA ONLY) 0 Submit checklist No: M -5 El Moving Oversized Load /Hauling Submit checklist No: M -5'" Parking Lots Submit. checklist No: M -4 11 Residential Reroof - Exempt with following exception: If roof structure to be repaired or replaced Residential ;Bullding Permit•.. Submit checklist " No:.. M -6; 0 Retaining Walls - Over 4 feet in height Submit checklist No , M -1 0 Temporary Facilities Submit checklist . :No: M 77 Temporary Pedestrian Protection/Exit Systems Submit checklist No • M-4.. ® Tree Cutting Submit checklist No M -2 D WITH THE FOLLOWING: ALL MISCELLANEOUS M q LANEOUS PE T APPLICATIONS MUST BE SUB f �. ✓/ N Y � ... ➢ 1E.'C1'RNII� LL BE AT A LEGIBLE SCALE AND NEATLY DRAWN ➢ .BUILDING STTE P LNS AND UTILITY PLANS ARE TO BE COMBINED ➢ ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT ➢ STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED STRUCTURAL ENGINEER ➢ CIVIL/SITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.) El Copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit is issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ". Building Owner /Authorized Agent if the applicant is other than the owner, registered architect/engineer, ,or contractor.licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit: this permit application and obtain the permit will be required as part of this submittal. 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. MISCPMT.DOC 7/11/96 CITY OF TUKWILA Address: 3305 S 123 ST Permit No: M98-0213 Suite: Tenant: JACKSON VERONICA Status: ISSUED Type: B-MECH Applied: 10/29/1998 Parcel 4: 238420-0008 , Issued: 01/13/1999 *******A***h**k*AAk***M4kk*W*AkkAkkklick*kkAAkk*kkkA******11(k**Ockkl(kAltk*** Permit Conditions: 1. No changes will be made to the plans unless approved by the. Architect or Engineer and the Tukwila Building Division. 2. All permits, inspectionrecor4 plans shall be available at the job.: any con- struction. ThespAi6eUMents,are to be m6 and avail- , • 4 . able until finaTjnSpectlon is granted ,.• 3. All construction to be !:' p,l&fOrmantlelattnWOrved plans and re'quireMents of the Uniform Building Code (1997 Edition),as'amended', Uniform Mechanical Code (1997 Edition) and Washington 'State Ener.gy Code (1997 tdition).,:': 4, ValiditY Permit. The issOance'of a permit or approsial:, plans,specificattons, and ,computations shall not ,b,econ struedhio,:be a permit for, or an approval of any'Vioiatii* of any of the provisions of the building code or of any othei't" of the jurisdiction. No permit presuming to alve to violate or cancel the provisions of .6his codeshall.be . ,,... • 'f '''''' 1 ;'.ii , 5. MANUFACTURERS'INSTALLATION!INSTRUCTIONS REOUIRED ON:SI:TE'' FOR THE BOLDINGjNSPEtTORS;REVIEP; ',.., * ° >, „ 7 •• I . • , o • • ■ t , 1 f ' '' t,,li' 6. Plumbing permits shall be obtained through the Seattle-Kin , County Department of ,public,-1ealth2,:PlOmOng will be inSPectedby:t.hat,'agencY, Including all ,gas piping - (29644722).i A J 7. Electricalpermits shall be obtainedi Washtng on State:.DtviSion Labor and Induies_anda1) electrical work will be inspected by that atiencY'A2486630),, 4:''''''' ?emit &Vitt C PLAN REVIEW/ROUTING SLIP ACTIVITY NUMBER: M98 -0213 DATE: 10 -29 -98 PROJECT NAME: JACKSON RESIDENCE xx . Original Plan Submittal Response to Incomplete Letter Revision # After Permit Is Issued Response to Correction Letter # DIPARTMENTS: BM Division Public Works ❑ Fire Prevgntion Structural,,, DETERMINATION OF COMPLETENESS: (Tues, Thurs) Complete E Incomplete ❑ Comments: TUES /THURS ROUTING: \PR•ROUTE,DOC 6/98 Routed by Staff E (if routed by staff, make copy to master file and enter into Sierra) Planning Dion Permit Coordinator DUE DATE: 11 - - 98 Not Applicable ❑ Please Route ❑ No further Review Required ❑ REVIEWERS INITIALS: DATE: APPROVALS OR CORRECTIONS: (ten days) DUE DATE: 12 - - 98 Approved E Approved with Conditions E Not Approved (attach comments) ❑ REVIEWERS INITIALS: DATE: CORRECTION DETERMINATION: DUE DATE. Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) ❑ REVIEWERS INITIALS: DATE: .P,reiect: - A/C(0n \Cct 3kC_Lc-r._A—N Type of Inspe : --Al, -- Cd c Date called:-- -----1 - I Special instructions: ... Date . wanted I Requester:\ / N /V 01" Co insp INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 981 COMMENTS: INSPECTION RECOIT VACe-DD Retain a copy with pelt, ef-hcycfr,- PERMIT NO, 119 140 - Ar0 Doc3T.--e) (206)431-3670 wo r„ -pproved per applicable codes. Li Corrections required prior to approval. tve Date: J $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: COMMENTS: Typ ofIns3. dri" Address: �° t Sr pe 'trial , in�st `� f Date : • instructions: Date, -w t .� �'� �1 a.m. p.m. R questeri, Phone: -r Gt-)o o,c) s, ,19 0P6 r . 'ti C , gC7Z- ' r /7 I Pro'ect^ C n ( !' 1�—a v 1 �s V Typ ofIns3. dri" Address: �° t Sr pe 'trial , in�st `� f Date : • instructions: Date, -w t .� �'� �1 a.m. p.m. R questeri, Phone: $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: INSPECTION NO. INSPECTION RECOR Retain a copy with per u 1 PERMIT NO CITY OF TUKWILA BUILDING DIVISION yg - e);? /3 6300 Southcenter Blvd, #100, Tukwila, WA 98188 i (206)431 -3670 Approved per applicable cgdes. Corrections required prior to ajroval. * h******* ** *kk:4 *iA ***k* * *hii *.4* *?r CITY OF TUKWILA. WA TRANSMIT h * * * *kk * * ** *A * * * * * *h 4AA *A **** **A* **k:th* ** * ** *k *A. k* A *kk4** ** ** TRANSMI1 Number: It980000i Amount: 61.19 01/13/99 13: Payment Method: CHECK Notation: AlAIR HOMES Initu13LH • 1'errni1 311: M913- 0213.. Typed 13-MECH MECHANICAL PERMIT Parcel No: 23E3420 -0008 Site Address: 31305 13 128 13T Total leas . 61.19 This Payment. 61.19 Tetal ALL Pmts: 61.19 palance: 4.0V 14;k4r*4t* *f:4 * * * * * * * *k*• * **** * * * * ** * * ;k*li,• * * * **** ***24* * *4rs *k• • Account Code Descr i pt i on (amaunt' 000/345.830 PLAN CHECK - RES ` A2..24 ' 000/322.100 MECHANICAL -- 'RES $3..95. Project Name: '.1 P,y nl t G ��Ac Address: (.50- takth tL,. , l L , , GO Q . uJ c j Residential Building Permit Number: 1 . Prescriptive Option W.S.E.C. Chapter 6, (check building permit option used): CI I. El II CI III. 10 iv. CI v. ❑vi. ❑VII. ❑ VIII. 2. House Square F otage (HSqFt) 3. Heating System installed, (check system type below): ❑ a. Electric Resistance /21 BTU /h per sq. ft. 7 1, b. Electric (forced air) /24 BTU /h per sq. ft. ❑ c. Other Fuels (gas, heat pump) /27 BTU /h per sq. ft. 4. Equipment: n a. Make C•4i)0 b. Model 7AAL a--�1' �' t . J c. Size in BTU's coy 1 Z(2C% c l ci evu. r qc. t�41b 5. Calculation /(HSqFt) (see line 2 above) BTU /h X (see line 3 a, b, or c above) BTU Equipment Maximum Size PERMIT APPLICATION #: b O 7/9/96 CITY or TUKWILA Permit Center 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 Telephone: (206) 431 -3670 Prescriptive Heating System Sizing for Single Family Homes - New Construction Washington State Energy Code Chapter 9, Climate Zone 1 H -6 Appli aV/MT, Owl/Mt Date: Vn C bo; V\OAt> 5�2 ive d 1 - vp5t �Y h Cam ICAJUQA Crrnq u-h 1 A ct,-Vc14)n 4re) LLMA \02_ ibyccin or mit" WAe-A/r ✓ Working Drawings . Floor plan . System layout Narrative of work to be done (i.- , changeout, replace existing equipment, mo• 'cations, etc.) Elevations (for roof mounter equipment) and proposed screening • Type of unit being installe• Heat Loss Calculations Roof plan required to identify indi%'•ual equipment and the lo . =tion of each installation (Uniform Mechanical Code 504(e)) H.V.A.C. over 2,000 CFM (approxim-tely 5 ton and larger) ust be provided with smoke detection shut -off and will be routed to the Fire F vention division f additional comments, code section Uniform Mechanical code 1009. ✓ Document Requirements Documentation or specifications must be provide• show that replacement equipment complies with the efficiency ratings and other applicable require •• -nts of the Washington State Nonresidential Energy Code. Structural engineer's analysis is required to rep ce e " ting roof equipment weighing 400 pounds and greater (Uniform Mechanical Code Section 23 Narrative of work to be done (i.- , changeout, replace existing equipment, mo• 'cations, etc.) Water heaters and vents are included in the C - pleas: include any water heaters or vents being installed or replaced. • Type of unit being installe• Structural calculations stamped by a Wash' gton State licen• -d Structural Engineer shall be required if structural work is to be done • Rating /Size ✓ Working Drawings On 8 1/2 x 11 sheet of paper incl de the following: Narrative of work to be done (i.- , changeout, replace existing equipment, mo• 'cations, etc.) • Type of unit being installe• • Rating /Size • Number of units Provide 2 sets of manufa rer's installation instructions Note: Water heaters an vents are included in the Uniform Mechanical Code - please incl water heaters or vents , eing installed or replaced - any 2/97 Miscellaneous Permits COMMERCIAL: Four co CITY OF UKWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 MECHANICAL PERMIT lete sets of drawings and attachments required wit application submittal ► M -8 Submittal Checklist RESIDENTIAL: Four complete sets of dra ngs and attachments required%rith application submittal F625- 052 -000 (8/97) W54152-010 t\Pt7t DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST. # EXP._DATE CCO1 ADAIRH *262RZ.12/15/1999 EFFECTIVE DATE 12/09/1974 ADAIR HOMES INC'; 1111 S W 170TH BEAVERTON OR 97005 -4299 Detach And Display Cenificate REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST. # EXP. DATE CCO1 "ADAIRH *262RZ 12/15/1999 EFFECTIVE DATE 12/09/1974 ADAIR HOMES INC 1111 S W 170TH BEAVERTON OR 97005 -4299 Signature Issued by DEPARTMENT OF LABOR AND INDUSTRIES Please Remove And Sian Identification Card Before Placing In Billfold ;•(( '_f k; • 0'• REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGISTRATION NUMBER CCO1 ADAIRH *262RZ 12/15/1998 EFFECTIVE DATE 12/09/1974 ADAIR HOMES INC . 1111 S W 170TH BEAVERTON OR 97005 -4299 Sb•nature Issued by DEPARTMENT OF LABOR AND INDUSTRIES DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGISTRATION NUMBER CCO1 ADAIRH *262RZ 12/15/1998 EFFECTIVE DATE 12/09/1974 ADAIR HOMES INC 1111 S W 170TH BEAVERTON OR 97005 -4299