HomeMy WebLinkAboutPermit M05-166 - GEM CONSTRUCTIONGEM CONSTRUCTION
11834 44 PL S
M05-166
Parcel No.:
Address:
Suite No:
Tenant:
Name: GEM CONSTRUCTION
Address: 11834 44 PL S, TUKWILA WA
Value of Mechanical: $4,200.00
Type of Fire Protection:
doc: IMC- Permit
City GA Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukivila.wa.us
3347400755
11834 44 PL S TUKW
Owner:
Name: SAXTON SHIRLEY A
Address: 16167 122ND AVE SE, RENTON WA
Contractor:
Name: PITZER HOMES INC
Address: 46533 84 AV SE, ENUMCLAW WA
Contractor License No: PITZEHI978Q4
DESCRIPTION OF WORK:
SUPPLY AND INSTALL AN 80% EFF FURNACE AND DUCT WORK
Furnace: <100K BTU 1
>100K BTU 0
Floor Furnace 0
Suspended /Wall /Floor Mounted Heater 0
Appliance Vent 0
Repair or Addition to Heat/Refrig /Cooling System.... 0
Air Handling Unit <10,000 CFM 0
>10,000 CFM 0
Evaporator Cooler 0
Ventilation Fan connected to single duct 4
Ventilation System 0
Hood and Duct 1
Incinerator: Domestic 0
Commercial /Industrial 0
MECHANICAL PERMIT
Contact Person:
Name: JOHN TAMBURELLI
Address: 1201 MONSTER RD SW, STE 320, RENTON WA
Fees Collected: $211.95
International Mechanical Code Edition: 2003
EQUIPMENT TYPE AND QUANTITY
* *continued on next page **
M05 -166
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 920 -2220
Phone: 253 - 632 -9159
Expiration Date:11 /24/2007
Steven M. Mullet, Mayor
Steve Lancaster, Director
M05 -166
04/07/2006
10/04/2006
Boiler Compressor:
0 -3 HP /100,000 BTU 0
3 -15 HP /500,000 BTU 0
15 -30 HP /1,000,000 BTU.. 0
30 -50 HP /1,750,000 BTU.. 0
50+ HP/1,750,000 BTU 0
Fire Damper 0
Diffuser 0
Thermostat 1
Wood /Gas Stove 1
Water Heater 1
Emergency Generator 0
Other Mechanical Equipment
Printed: 04 -07 -2006
Signature:
doe: IMC- Permit
City Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 - 431 -3665
Web site: ci. tu/avila. wa. us
Permit Center Authorized Signature: ,n lM
4pg
M05 -166
•
C Date:
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M05 -166
Issue Date: 04/07/2006
Permit Expires On: 10/04/2006
Date: 04
I hereby certify that I have read and ee mi ed his 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 th}s permit not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating cons ction o he p rformanse- ef- work,._I am authorized to sign and obtain this mechanical permit.
7— a C
Print Name. S SiC_'L
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is
suspended or abandoned for a period of 180 days from the last inspection.
Printed: 04 -07 -2006
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 3347400755
Address: 11834 44 PL S TUKW
Suite No:
Tenant: GEM CONSTRUCTION
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: M05 -166
Status: ISSUED
Applied Date: 10/28/2005
Issue Date: 04/07/2006
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
5: Manufacturers installation instructions shall be available on the job site at the time of inspection.
6: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the
International Building Code and the Washington State Ventilation and Indoor Air Quality Code.
7: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances
shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms,
bathrooms, toilet rooms, storage closets, surgical rooms.
8: Equipment and appliances.having an ignition source and located in hazardous locations and public garages, PRIVATE
GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that
the source of ignition is not Tess than 18 inches above the floor surface on which the equipment or appliance rests.
9: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall
be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum
distance of 4- inches shall be maintained above the controls with the strapping.
10: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila
Permit Center.
11: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department
of Labor and Industries (206/248- 6630).
12: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
doc: Conditions
* *continued on next page **
M05 -166
Printed: 04 -07 -2006
•
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions
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 provision of any
regulating construction or the performance of work.
doc: Conditions M05 -166
Date: -(
of law and ordinances
other work or local laws
Printed: 04 -07 -2006
W es _ LII t yr I UAYVILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
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: 11� ` ` j Kiing Co Assessor's Tax No.: 33�79O �7 5'
� /QC� c /L# I �^ Suite Number: Floor:
Tenant Name: P' / N • •• New Tenant: ❑ .... Yes ❑ ..No
Property Owners Name: 1,11q a$•t ` t/ch Vi
Mailing Address: 1J5 CO/!yM ed/5' / tie Ai /3 ucithy //V I � 9 (TB Z J
/ State Zip
Name: SO (Mek 6 1F-e, I (: Day Telephone(2O6 ) 990
Mailing Address: 1 2 Wlprisk . R d 51 She 310. /ea?l✓1 W/} 9Sa-Ss"
\ - State State Zip
E -Mail Address: J 01A ClaV ∎5 f'G ►M Fax NumberCi 12.6-9z2-7
GENERAL;CONTRACTOR INFORMATION, (Mechanical Contractor information on:back page)
Company Name: 6 6M alNS �Ioh
Mailing Address 2./ 50 7 nrn l/S �.rQ/6 Rd hg (fGk IP y (4./4- . Z/
try State Zip
Contact Person: No /4- 6 IZ t - 1-9 H9
E -Mail Address: Fax Number:
Contractor Registration Number: (de/h car *co sfriC.
Expiration Date: .S //o 0.6
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
ARCHITECT OF RECORD`= All plans must be�wet stamped by Architect of Record •
Company Name: IJ t $ ?/I1$ p d 1%H1t. d 1, 7 7 J
Mailing Address: in, 3 gio kee, v �'�+ 5ire. t /) 4 - we 7 ero
City State Zip
Contact Person: --// -- AC/4" . / 1 / / / ` h l9 0 6/ Day Telephon ZS$ 87i Z D S O
E -Mail Address: de) h 2 de-sit 4 Uri /is iv* i k • Co"i Fax Number( s3) 17 Z ` 3 4
:: ENGINEEWPF RECORD ' All plans must .be wet stamped by Engineer of.Record.•
Company Name: eS i9 t) /1411 t ) €d
Mailing Address:
,Building Permit No. — 382
-Mechanical Pen..., No. ,:: G ILA"
Public Works Permit No:
Project No
(For o/ ice use onl
City
Day Telephon(246) 731- 72.
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
\permits plus \icc changcs■permit application (7.2004)
Page 1
pool 3` 1
i BUILDING PERMIT INFORMATION - 206- 431 -3670
Valuation of Project (contractor's bid price): $ �-�j o Existinn Building Valuation: $
Scope of Work (please provide detailed information): a, /7e4t/ 5 Co? df ply ees
es / dee/. val /,
Si✓ N'Jr-rlogt- q4 ,1 9 mss) / )ro■ 0 (. j rt'
WA Owl d CvlV ekk //„A'' l
Will there be new rack storage? ❑ .. Yes If "yes ", see Handout No.
PLANNING DIVISION:
%permits plusUcc cheniu%permit application (7.2004)
Page 2
for requirements.
X10
Provide All Building Areas in Square Footage Below
Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft):/4 6 Floor area of principal dwelling: Z-0/0 Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: 7/ Compact: . Handicap:
Will there be a change in use? ❑ ....Yes ❑ ..No if "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑..Sprinklers D..Automatic Fire Alarm None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? . ❑ .. Yes ❑ ..No
If' yes ", attach list of materials and storage locations on o separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets.
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC .
Type of
Occupancy per
IBC
1" Floor
6eV
V b
4- -5
2" Floor
n/
i1 8 6
3rd Floor
Floors / thru Ze
00/0
Basement
Accessory Structure'
Attached Garage
e// !/
Detached Garage
Attached Carport
Detached Carport .
Covered Deck • -
Uncovered Deck
i BUILDING PERMIT INFORMATION - 206- 431 -3670
Valuation of Project (contractor's bid price): $ �-�j o Existinn Building Valuation: $
Scope of Work (please provide detailed information): a, /7e4t/ 5 Co? df ply ees
es / dee/. val /,
Si✓ N'Jr-rlogt- q4 ,1 9 mss) / )ro■ 0 (. j rt'
WA Owl d CvlV ekk //„A'' l
Will there be new rack storage? ❑ .. Yes If "yes ", see Handout No.
PLANNING DIVISION:
%permits plusUcc cheniu%permit application (7.2004)
Page 2
for requirements.
X10
Provide All Building Areas in Square Footage Below
Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft):/4 6 Floor area of principal dwelling: Z-0/0 Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: 7/ Compact: . Handicap:
Will there be a change in use? ❑ ....Yes ❑ ..No if "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑..Sprinklers D..Automatic Fire Alarm None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? . ❑ .. Yes ❑ ..No
If' yes ", attach list of materials and storage locations on o separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets.
PUBLIC WORKS PERMIT INF(
Scope of Work (please provide detailed information): u /MIA) 5, le �f rf �,' /t./ // __ Gt/t iI4i
N Dirt'; - /GS CN'rr • da % i / �l � "e. i9 f
- -cA % / /
1Oe .-v / HC / y� cif % � -II VDI � +t/ % I /Gryr.
01- Wade. 1 , a //ewe,: es4-ezq sk
Call before you Dig: 1- 800 - 424 -5555
Water District
Tukwila ❑... Water District #I25
0...Water Availability Provided
Sewer District
' Tukwila ❑... Va1Vue ❑ .. Renton ❑ ...Seattle
❑...Sewer Use Certificate 0... Sewer Availability Provided ❑ .. Approved Septic Plans Provided
❑...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health. Department.
Submitted with Application (mark boxes which apply):
Civil Plans (Maximum Paper Size — 22" x 34 ") � ,� hto / 6
...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report .Traffic 1 —p^rt Mf[).,..
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) Hold Harmless
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 hours
❑ .,.Right -of -way Use - No Disturbance
a...Construction/Excavation/Fill - Right -of -way
Non Right -of -way
12 .Total Cut
.Total Fill
/
lig...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑..Frontage Improvements
..Traffic Control
❑ :..Backflow Prevention - Fire Protection
Irrigation
Domestic Water
Permanent Water Meter Size...
❑ ...Temporary Water Meter Size ..
❑ ...Water Only Meter Size
❑ ...Sewer Main Extension Public
❑ ...Water Main Extension Public
1parrniu plusl chan$eApermit application (7 -2001)
is cubic yards ❑ .. Work in Flood Zone
cubic yards ❑ .. Storm Drainage
VMATION 206433 -0179
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
❑ .. Abandon Septic Tank
❑ .. Curb Cut
It. Pavement Cut
Looped Fire Line
WON
WON
WO#
Private
Private
❑ .. Highline
❑ ...Renton
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
Page 3
❑ .. Grease Interceptor
❑ .. Channelization
®.. Trench Excavation
p.. Utility Undergrounding
❑.. .Deduct Water Meter Size
It
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
( .Water .Sewer ❑ ...Sewage Treatment
Monthly Service Billing to:
Name: �y5i ;PO
Mailing Address: Z/S Co m ..m..// Raw, d
Water Meter Refund/Billing:
g e °14°?
Mailing Address:
Name:
gid
Zvoleity
C iqf
Day Telephone( , 73/, 7& 7 y
Grp- fit3
State, Zip
Day Telephone:
City
State Zip
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
/
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU •
Furnace>100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
30 -50 HP /1,750,000 BTU
Appliance VenteNye )
l
Hood and Duct
/
Water Heater
/
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
Other Mechanical
Equipment
MECHANICAL PERMIT INFO' IATION — 206 - 431 -3670
Contact Person:
E -Mail Address:
Valuation of Project (contractor's bid price): $
Scope off Work lease rovide detailed information):
i f'' / cJJGK Q pi e,,.g- A
BUILDING O HORIZ
Signature:
Print Na
Mailing
D ate Application Accepted:
ooh 7 4'u l,'
%permiu plus\icc changes%permit application (7 -2004)
l0(2� -los
Indicate type of mechanical work being installed and the quantity below:
Date Application Expires:
Page 4
City
MECHANICAL CONTRACTOR INFORMATION
Company Name: / 6/) •
Mailing Address:
State Zip
City,
Day Telephone:
Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
H 3
u/o rLl�
Use: Residential: New ....res. Replacement ❑
Commercial: New .... ❑ Replacement ❑
Fuel Type: Electric ❑ Gas ... Other:
PERMIT APPLICATION NOTES — Applicable to all permits in this application
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.
I HEREBY CERTIFY TH T I HAVE READ AN I EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY THE LAW OF H • TATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Date: /0/24/0
Day Telepphon/, O ) 72
ddress: / ZOJ /'?owikc ed 519 Si 3 20 r o r
State . Zip
Staff Initials:
Z
W
UO
co 0
W F-
W
2
u- j
.(L)d
I— III
Z �
1- O
Z ILI
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Parcel No.: 3347400755 Permit Number: M05 -166
Address: 11834 44 PL S TUKW Status: APPROVED
Suite No: Applied Date: 10/28/2005
Applicant: GEM CONSTRUCTION Issue Date:
Receipt No.: R06 -00472 Payment Amount: 211.95
Initials: JEM Payment Date: 04/07/2006 12:46 PM
User ID: 1165 Balance: $0.00
Payee: PITZER HOMES, INC.
TRANSACTION LIST:
Type Method Description Amount
Payment Check 2097
ACCOUNT ITEM LIST:
Description
doc: Receipt
MECHANICAL - RES
PLAN CHECK - RES
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
211.95
Account Code Current Pmts
000/322.100 175.56
000/345.830 36.39
Total: 211.95
Printed: 04 -07 -2006
Project: •
61- ( '7 )4 j
Type of inspection:
/V� /
Address:
//`6 3 V 4/
/
5
Date Called:
Special Instructions:
Date Wanted:
//- 2o°- D
a.m.
Requester:
Phone No:
° 7 -
7
02 5 3- =-z.SJ - o
{Receipt No.:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3
pproved per applicable codes. DCorrections required prior to approval.
COMMENTS:
Date:
/e)
.00 .00 REINSPECTION FEE REUIRED.' P or to jnspection, fee must be
aid at 6300 Southcenter Blvd., Suite 10 . Call''to sechedule reinspection.
'Date:
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COMMENTS:
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C'�crr' /:
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Address:
/ /�.� YV
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Special Instructions:
Cod E
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Date Wanted:
//- -D G
(a.m.,
p.m.
Requester:
Phone No:
A53-255— U S 7V
Project:
6E47 anti -s'T /oN
Type of Inspection:
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Address:
/ /�.� YV
Date Called:
�--�
Special Instructions:
Cod E
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Date Wanted:
//- -D G
(a.m.,
p.m.
Requester:
Phone No:
A53-255— U S 7V
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., # Tukwila, WA 98188
El Approved per applicable codes.
431 - 36
N Corrections required prior to approval.
El 8.00 REINSPECTION PEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
(Receipt No.:
'Date:
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Project:
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Type of Inspection:
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Address:
i/g3 9q)/ (:
Date Called:
Special Instructions:
•
Date Wanted:
a.m.
Requester:
Phone No:
2-67
3 - 2k S'
pproved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #1 00, Tukwila, WA 98188
Corrections required prior to approval.
0 $58.8OIEINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcen er Blvd., Suite 100. Call to sechedule reinspection.
OMMENTS:
Inspector
IDate:q / J D/
'Receipt No.:
'Date:
2
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Type of Inspection:
r
■.)
Address:
Date Called:
Spec al Instructions:
Date %lilted:
a.m.
Requester:
PlIng.N_q:
09 7
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #1 0 0, Tukwila, WA 9 81 8 8
LJ Approved per applicable codes.
(206)431-36
Corrections required prior to approval.
COMMENTS:
,Reoftleve "
nspec
-
!Oak 2/
8.00 REINSPECTIOI1 FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
'Receipt No.:
1Date:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Permit Center /Building Division:
206 -431 -3670
Public Works Department:
206 -433 -0179
Planning Division:
206 -431 -3670
RESIDENTIAL HEATING AND VENTILATION COMPLIANCE FORM
CITY OF T I UK WIcomplete Sections I and II for Group R Occupancies 4 Stories or Less)
OCT 2 / 2005 MECHANICAL PERMIT APPLICATION NO.: M��OC" !VP
PERMIT CENTER BUILDING PERMIT APPLICATION NO.: t?5O %
Project Name: (' /�— 0/ 6 VeJ/ . a14
Site Address:
/ `7 V� >.. (,t/'rn
WASHINGTON STATE ENERGY CODE HEATING DESIGN M FEH O D (select A, B or C below] /1/ ^~■"'..' Pr"! ^misSibfil
System Analysis — W.S.E.C. Chapter 4 (submit documentation)
Component Performance Approach — W.S.E.C. Chapter 5 (submit documentation)
C. Prescriptive Option — W.S.E.C. Chapter 6 (for prescriptive, complete the following calculation):
A. . ❑
B. ❑
House Square Footage (heated space): 2490
X 20 BTU/h
ge) Zva
❑ Heating System Installed, (check system type below):
Effective! 711102
tapplicationsthaatlnp and ventilation system — form h.6 (7.2002)
Electric Resistance
Electric (forced air)
Other Fuels (gas, heat pump)
1. House Square Footage:
2. House Number of Bedrooms:
3. Required Outdoor Air Table 3 -2:
atftgg!F
Minimum - 160 cfm
cfm
Maximum -
Maximum BTU of Heating System, Outp -._.
REVIEWED M FOR
CODE
11. WASHINGTON STATE VENTILATION AND INDOOR AIR QUALITY CODE (select A r Rim (OWL 44
City sf 1 ukwila
A. Ventilation by Performance or Design Method - W.S.V.I.A.Q. Section 302 (s lsirittq titi1k1)[cTf111) 1
B. Prescriptive Ventilation Options - W.S.V.I.A.Q. Section 303 (select one of the following):
1. ❑ Ventilation using Exhaust Fans (Section 303.4.1.)
54, Exception for outdoor air inlets — Forced air heating system w /interior doors undercut 1/2"
2. ❑ Ventilation integrated with Forced Air System (Section 303.4.2.)
3. ❑ Ventilation using Supply Fan (Section 303.4.3.)
4. ❑ Ventilation using Heat Recovery System (Section 303.4.4.)
Prescriptive Minimum /Maximum Outdoor Air Calculation specified in Table 3 -2 (see reverse side of form).
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03 -03 -2006
JOHN TAMBURELLI
1201 MONSTER RD SW, STE 320
RENTON WA 98055
RE: Permit Application No. M05 -166
11834 44 PL S TUKW
Dear Permit Applicant:
In reviewing our current permit application files, it appears that your permit application applied for on 10/28/2005, has not been
issued by the City of Tukwila Permit Center. Per the International Building Code and/or the International Mechanical Code, every
permit application not issued within 180 days from the date of application shall expire by limitation and become null and void. Your
permit application expires on 04/26/2006.
If you choose to pursue your project, a written request for extension of your application addressed to the Building Official,
demonstrating justifiable cause, will need to be received at the Permit Center prior to your expiration date of 04/26/2006. If it is
determined that an extension is granted, your application will be extended for an additional 90 days from the expiration date.
In the event you do not receive your written request for extension, your permit application will become null and void and your project .
will require a new permit application, plans and specifications, and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
xc:
arshall
ennit '1 echnician
Permit File No. M05 -166
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
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ACTIVITY NUMBER: M05 -166 DATE: 10 -27 -05
PROJECT NAME: GEM CONSTRUCTION
SITE ADDRESS: 11834 44 PL S
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Issued
D PARTMENTS:
API kV/ 11/
Bu ding Division
Public Works
Comments:
Documents/routing slip.doc
2-28-02
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Structural
DETERMINATIQN OF COMPLETENESS: (Tues., Thurs.)
L /
Complete
Incomplete n
TUES/THURS ROU ING:
Please Route Structural Review Required
REVIEWER'S INITIALS:
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Fvf
Planning Division
❑ Permit Coordinator
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DUE DATE: 11-01-05
Not Applicable n
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
No further Review Required
DATE:
DUE DATE: 11-29-05
APPROVALS OR CORRECTIONS:
Approved n Approved with Conditions Not Approved (attach comments) n
Notation:
REVIEWER'S INITIALS:
DATE:
n
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
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License Information
License
PITZEHI978Q4
Licensee Name
PITZER HOMES INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602313880
Ind. Ins. Account Id
#2
Business Type
CORPORATION
Address 1
46533 284TH AVE SE
Address 2
City
ENUMCLAW
County
KING
State
WA
Zip
98022
Phone
2536329159
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
11/24/2003
Expiration Date
11/24/2007
Suspend Date
Separation Date
Parent Company
Previous License
PITZECC993R6
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
PITZER, JAMES M
PRESIDENT
11/24/2003
Bond
Amount
Bond Information
Bond
Bond Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#2
DEVELOPERS
SURETY &
INDEM CO
544074C
11/05/2004
Until
Cancelled
$12,000.00
10/20/2004
CUMBERLAND
Look Up a Contractor, Electrir or Plumber License Detail Page 1 of 2
Washington State Department of Labor and Industries
General /Specialty Contractor
A business registered as a construction contractor with L &I to perform
construction work within the scope of its specialty. A General or Specialty
construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
https: // fortress .wa.gov /lni/bbip /printer. aspx ?License= PITZEHI978Q4
04/07/2006