HomeMy WebLinkAboutPermit M04-019 - MULTANI RESIDENCEMULTANI RESIDENCE
12246 44TH AVENUE SOUTH
M04-0119
Parcel No.: 0179000530
Address: 12246 44 AV S TUKW
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Print Name: er k,(
doc: Mech
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
MULTANI RESIDENCE
12246 44 AV S, TUKWILA WA
MULTANI, PALWINDER
24017 113 PL SE, KENT WA
PAUL MULTANI
24017 113 PL SE, KENT WA
Contractor:
Name: MULTANI CONSTRUCTION INC
Address: 24017 113TH PL SE, KENT WA
Contractor License No: MULTACI981MQ
DESCRIPTION OF WORK:
INSTALLATION OF NEW GAS FURNACE, GAS FIREPLACE WITH ASSOCIATED GAS PIPING AND
DUCT WORK.
Value of Construction: $3,000.00
Type of Fire Protection: N/A
Permit Center Authorized Signature:
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 and obtain this mechanical permit.
Signature: P Date:
MECHANICAL PERMIT
M04 -019
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 501 -6467
Phone:
Expiration Date: 07/18/2004
M04 -019
06/08/2004
11/09/2004
Fees Collected: $83.56
Uniform Mechnical Code Edition: 1997
Date: 06/014 c/
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: 06 -08 -2004
•
doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0179000530
Address: 12246 44 AV S TUKW
Suite No:
Tenant: MULTANI RESIDENCE
PERMIT CONDITIONS
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: Plumbing permits shall be obtained through the Seattle -King County Department of Public Health. Plumbing will be
inspected by that agency, including all gas piping (296- 4722).
4: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical
work will be inspected by that agency (206- 835 - 1111).
5: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any
construction. These documents are to be maintained and available until final inspection approval is granted.
6: Water heater shall be anchored to resist earthquake (U.P.C. 510.5).
* *continued on next page **
Permit Number: M04 -019
Status: ISSUED
Applied Date: 02/09/2004
Issue Date: 06/08/2004
M04 -019 Printed: 06 -08 -2004
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.
Signature: C \ '
Print Name: VOA n n M M
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
doc: Conditions
M04 -019
of law and ordinances
other work or local laws
Date: 6 -os 1 D�
Printed: 06 -08 -2004
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Building'P No.
Perri it No.
Public Works Permit No.
Project No.
(For office use only)
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 **
Yro
;SYTEIO
/ King Co Assessor's Tax No.: 0/ 900 —C2S3v- -O el
Site Address: 4 i 4� // ���Z . Suite Number:
Tenant Name: °°°
Property Owners Name: R4* /.44.)1/4,0._-/- / 1 N t7,4 i
Mailing Address: Address: c9 t / //7' PL. Sn
Name: 0/ u L UL1,4. Vl 1 t p
Mailing Address: % 1 '! O) . / / T `
Contact Person: ' p,4 f;A L
E -Mail Address:
Contractor Registration Number:
Contact Person:
E -Mail Address:
Company Name: P4/ N-C v� / �'I,Q.e.'�' IV?
Mailing Address:. e a 16 e/4. bAvt,
Contact Person: M 1 0 I a (• -e- � t
E -Mail Address:
\applicationi\permit application (3.2003)
3/-003
Page I
l ei
City
New Tenant:
Day Telephone: •. 4 ..cD
?<•.e.v► Vv -
r'� City State
E -Mail Address :/�,�1 i.f t /nil t 'TA PI a 6 /-(C7 M,4 / • 6r^ /1i • Fax Number: S (7 --? <
Floor:
.... Yes ❑ ..No
State
Zip
—6 k
Yo3 ��
Zip
GENERAL "CON
INFORMATIO
Company Name: l,i F. ('T PA e f r tt C eT,L/7t421- f_a'f/?j1, a e-•
Mailing Address:
City State Zip
Day Telephone: 0 - 3/0 02-/ 90
Fax Number:
Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
ARCHITECT OF REi
r At jj
�ORD _All plans must bewet stamped by Architectof Record
Company Name: 4f G ;sr
Mailing Address ) 6 91' /LiIQ'. G ( , ice "• /YE L1 azde iv/ C I ----" 2v A 6 )&0 '% vco
.
City
Day Telephone:
Fax Number:
State Zip
NGINEER OF. RECORD All plansmust be wet stamped by Engineer of Record
State Zip
City
Day Telephone:
Fax Number:
c•taiiwl«a.':
itLa'ismte..1.4 arts; rau ,•
Unit Type:
Qty
: Unit Type: :
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace>IOOK BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
15 -30 HP /1,000,000 BTU
Suspended /Wall/Floor
Mounted Heater
Ventilation System
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood
50 +HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator —Comm/Ind
MECH ANICALTERMIT.IN 'RMATION 206-431 -3670
MECHANICAL CONTRACTOR INFORMATION - ) / / ,
Company Name: pig 0 • - 7 e >' ec.r// - y;
Mailing Address:
City State L Zip
Contact Person: /20) C W i - tvi � ".€1 - Day Telephone:0 0 ,- 06t7 06t7 , -- �- J
E -Mail Address: 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 **
Valuation of Project (contractor's bid price): $ 36
Scope of Work (please provide detailed information):
.fir 9.2 c f i r pA 1:1-V2. /(47,, - . 2 _ M I, t • /2I z 7/7C )'/ E!
Use: Residential: New .... ❑ Replacement ....
Commercial: New .... Replacement ....
Fuel Type: Electric [] Gas ....0 Other:
Indicate type of mechanical work being installed and the quantity below:
EE RI
x���PPLIc IO
Y54 a•A + 13 , .- r g.;; t
ro'
plieable`,'io al
er iitsYin this a pplicat o
t�< �I 4'4;01" ,
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 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 OWNER OR AUTHORIZED AGENT:
Signature:
Print Name: PALAt /.rOf� M Z'fit�Ran'
Mailing Address, 'LI a / ?' /1 7L
1'.'a:.4,s::. ..xoi.;.4.0.�" ' �c.... s» iv::zc.a.;,s,r.::ut;.i:ti�a.^s ,v artsxn'ec�',,r Saar➢ Ei: �a:,�laake.:s4:staa.ar:v;�:;.x oeu di: 4.1oc.:c44razaact. .a:>:si. �,a ni^"ci�i�..u:ts Le v.L u:.�:s
Vpptications\permit application (3.2003)
3/2003
Page 4
a-� -off
Day Telephone: J-6) 6 - o
t!�
City
Date:
ate
Zip
Date Application Accepted:
Date Application Expires:
Staff tnitj, S
i
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
z
RECEIPT ; 4 W '.
re Parcel No.: 0179000530 Permit Number: M04-019 v 8
Address: 12246 44 AV S TUKW Status: APPROVED N a
Suite No: Applied Date: 02/09/2004 co W
Applicant: MULTANI RESIDENCE Issue Date:
W } O,
*5
Receipt No.: R04 -00687 Payment Amount: 83.56 u- a '
u)
CJ :
Initials: LAW Payment Date: 06/08/2004 04:02 PM w
User ID: 1630 Balance: $0.00 ? z
■
Payee: MULTANI CONSTRUCTION INC s c.) y .
'O —
O H-
TRANSACTION LIST: H a
Type Method Description Amount r&
Payment Check 1610 83.56 cu.
�_
t'= ='
0 1—.
z
MECHANICAL - RES
PLAN CHECK - RES
Account Code Current Pmts
000/322.100 66.85
000/345.830 16.71
Total: 83.56
;-,-4649 06/09 9716 TOTAL 23187.07,N,
Printed: 06 =08 =2004
Z O;
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Project: *,y �'
Type of Inspection:
Address:
Date Called:
Special nstructions:
Date Wanted:
a.m.
—31-0S'' P.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMI
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
a i■Pproved per applicable codes. Corrections required prior to approval.
COMMENTS:
'(' J vv\ 1 014 t.-QA
Inspector: (
Date 1 -2) �� o
ri $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: 11 1i l i
I.) t \ rl i r •Pi/11,vtn
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D ate Called:
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Special Instructi
Date Wanted: r
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Requester:
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
❑ Approved per applicable codes.
PERM
(206)431 -3670
orrections required prior to approval.
(Date: 7. , 0 5 _
(Inspectors `.x.X 7\2,
$58.00 REINSPECTION FEE REQU RED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
(Receipt No.:
(Date:
COMMENTS:
1. ` Wci -L -- 2r- S t r\'PvyVta\ Ay /4
Address:
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Special Instructions:
Date Wanted:
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a.m.
p.m.
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Phone No:
Project: '_l(
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Type of Inspection:
Address:
I2 - 1 l e 4- Lk Au 5
Date Called:
I6- i -024
Special Instructions:
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
PERM�
• � o All
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
El Approved per applicable codes. Corrections required prior to approval.
Inspectors 1 -
Date:
ot
Io- . L
ri S47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
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Address:
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Date Called:
lo -0
Special Instructions:
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PE
(206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
rY (* c" r r) ,.r' ithe
r 0 INAet -d-t
Inspecto
Date:
Et $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:
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Dat Called:
1 4- I 0 i
Special Instructions:
C
t
Date Wanted: � / cyi a;„
Requester: ���
P LY 5 [ - t ixic.Y 7
Approved per applicable codes.
InspectcG
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PER
It required prior to approval.
Date: q ' ssUl 1
El $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
5
(206)431 -3670
Receipt No.:
Date:
--- COMMENTS: '
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Address :
•
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Date Wanted:
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Requester}
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INSPECTION NO.
El Approved per applicable codes.
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INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISIO
6300 Southcenter Blvd., #100, Tukwila, WA 98188
O.
(206)431 - 3670
Corrections required prior to approval.
Inspector•
Date:
Q:- -0L-1
•
El $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:
a:.:,{.:;`... J;:.?:.: a:. i.' :�tCri % »s:s.:.•a tWfl fw.et o!S PLi
Project: ``1 I
Type of Ins
ion: 1 ,
Address:
WA 6 1- 0 — \ A u S .-,
Date Called:
Special Instructions:
Date Wanted: •
a.m.
p.m.
Requester:
Phone No:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
Receipt No.:
INSPECTION RECORD
Retain a copy with permit
O (
(206)431 -3670
Corrections required prior to approval.
COMMENTS:
( I�
to (Ai 0 W►-P z°s' , 1 V o .1 I rue 1/ .01t �\ hSAYcK`\ favlS ;lf
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Date:
1- S - - c�-
El $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
c I Date:
\re.k.;s con. rP P`{Q-
Project Name:
Site Address:
I. WASHINGTON STATE ENERGY CODE HEATING DESIGN METHOD (select A, B or C below):
A. ❑
B. ❑
C. ❑
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
RESIDENTIAL HEATING AND VENTILATION COMPLIANCE FORM
(Complete Sections I and II for Group R Occupancies 4 Stories or Less)
Effective: 711102
lapplicationstheatinp and ventilation system — form h-6 (7-2002)
MECHANICAL PERMIT APPLICATION NO.:
BUILDING PERMIT APPLICATION NO.:
0. %' 'M 14(
inL8( zit" I/s FILE COPY
System Analysis — W.S.E.C. Chapter 4 (submit documentation)
Component Performance Approach — W.S.E.C. Chapter 5 (submit documentation)
Prescriptive Option — W.S.E.C. Chapter 6 (for rescriptive, complete the following calculation):
House Square Footage (heated space): ? C�
X 20 BTU /h
]Heating System Installed, (check system type below):
1. ❑ Electric Resistance
2. ❑ Electric (forced air)
3. I &her Fuels (gas, heat pump)
APR - 6 2004
(yJ ll:.'
BJ,1t�gC f3}
Permit Center /Building Division:
206 -431 -3670
Public Works Department:
206 - 433 -0179
Planning Division:
206 - 431 -3670
gD --o/ 9
Doi/-off'/
Maximum BTU of Heating System Output
CITY OF TUMI A
APPROVED
II. WASHINGTON STATE VENTILATION AND INDOOR AIR QUALITY CODE (select A or B below):
rlr R ')FE vh Wryq
F if: 7
9 2004
PERMIT c=Nr6,
A. ❑ Ventilation by Performance or Design Method - W.S.V.I.A.Q. Section 302 (submit documentation).
B. ta 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.)
❑ Exception for outdoor air inlets — Forced air heating system w /interior doors undercut %"
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).
1. House Square Footage:
2. House Number of Bedrooms:
3. Required Outdoor Air Table 3 -2: Minimum - cfm
Maximum - cfm
I
-b04-
Floor
Area, ft2
Bedrooms
Maximum Length
Feet
2 or less
3
4
5
6
7
8
70
Min
Max
Min
Max
Min
Max
Min
Max
Min
Max
Min
Max
Min
Max
<500
50
75
65
98
80
120
95
143
110
165
125
188
140
210
x't? - 50.14000'W1
A55.;
i:411
5u70:4<
-' 105?
:::85 '
128?`
`Af00'
^ 5,15'0::
: =1s1:5
.
i- :130"
•x'195:^
';145;'c'
21.8'c
1001 -1500
60
90
75
113
90
135
105
158
120
180
135
203
150
225
f" u150:1�20001t:
: :`q
'rti98v
: s'`80? ?'
:'i120
e.;',9V.i
. V143 !•i
'f1.40.:
';; 65.`t
'1:2S.
' 188�
?1:40'-
:;210;::
233
2001 - 2500
70
105
. 85
128
100
150
115
173
130
195
145
218
160
240
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Fan Tested CFM
a 0.25" W.G.
Minimum Flex
Diameter
Maximum Length
Feet
Minimum Smooth
Diameter
Maximum Length
Feet
Maximum
Elbows'
50
4 inch
25
4 irich
70
3
yr :001 - ; >O
s, j?�r� ,a�h.�'
fii,:- . ?, ; ..fAl i ch .� '
�.ur:'o .. �l:Stitl(.I I rZ� . '� r
i s { ,, .ta
; ,;..i4r
i�{'•� if r , 9 Q-:�,1,"'
5: ;• ,:�:'vrr•�
:..,.n ,, S.�rtt�Ch;i .
� : '.+•,. �: }.;�
Est,:•':( ter ? ?. 7 =
.::`:z: � . ,
{?f ✓,5', "�"3i 1 T" e3q:
` lf.,•r.:: �i,:..; �s
50
6 inch
No Limit
6 inch
No Limit
3
'.. . .;��.r! i 80 C1'�( 2.1'i.i
`T `y.�4'nt�BQ :�i,)!Y� -7Yr!
_..�
.::S:?:: ''3.011'• ;
i �. r . } iK
�. ,.. 4:;inch: ,.�. �.-
'' ' •4'k - "riif
., n- .. >�.`"..
= >�...r:.n�N�1 -Y. x.:�...:�-
*; '•+ ,
y <. ` � ; } './� �
,.:,,�, %3iricFi��..; ;�
:l.';Ni ''1 'r
�S. 4 "' '^ qi
'; 3�,, :4..•�, ='.,.20''�:�P'.:�.;;z:
iA". r' .4: � q 1
3 17� 4jk�»
�:,a.t'��•a:�. 3:_. c`t`;; ;�i�.
80
5 inch
15
5 inch
100
3
n : •. , .. . � I
�� ,�,....a1°'.IBOt''r- <<- _..
1i•,1Y ?' 7d� ° hi } �l".c?tCr
,.t s
e t. x ' ifiJ,:. ':
.�.,�.�ti..w90. ,.r<,,.
T .} . ' Sc.; >
:� �;; 6iiichl��:� # <;;di�:;
i .'. - ;� t;�tN
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' '1 s .' %i; '"
100
5 inch
NA
5 inch
50
3
o , ,
1' ..1ry4 �.*t �:
._��rE.�,t- ...1A0t :�'�:,
r,! �'.`
_ .%•'
xr.,�ti:irith ;�
f� , , ; ;
::'!P: ::-4:± :A4 t: �'
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_ i } �`a. : ::•
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' {h' "V r�i
r,: ).
: : ,•... , ...., s. r y{ i s r. tr' r
Y•+ -J' X`2'.. .}
, ,... , f.�,�,. , 3e,,.:.n:s : tr. ,
125
6 inch
15
6 inch
No Limit
3
.y :, �: : �'tT.l{ 11 i in ViilfM'
?�:r�:��;� 125, i�ii�a�: 2 .�;: :���ri�'f�7iiichs� „•..�:.t�
y
. >� t1 Yi�l%`.'Q'.aFr.i.' i :<,
::; �< r,,,, �4- �: �' 70 �t-. ��3�; i�: t::�.�:_.rx„`.7�irich��..:`� -:•�
.. •...�.. f. �
��:���.r��No:;liiiiif?�r,�r;:
j : 7,Ij
'f;;v»r �3',3��;�st��cf.
TABLE 3 -2
VENTILATION RATES FOR ALL GROUP R OCCUPANCIES FOUR STORIES OR LESS
Minimum and Maximum Ventilation Rates: Cubic Feet Per Minute (CFM)
For residences that exceed 8 bedrooms, increase the minimum requirement isted for 8 bedrooms by an additional 15 CFM per
bedroom. The maximum CFM is equal to 1.5 times the minimum.
1. For each additional elbow subtract 10 feet from length.
2. Flex ducts of this diameter are not permitted with fans of this size.
O ' P 3 i4
Effective: NW* 3 ,10 ='T+a►
tapplicationstheaU' a rmt: n` strA ( n h. 17.2002)
)
NN 1.4
TABLE 3 -3
PRESCRIPTIVE EXHAUST DUCT SIZING
ps;,u 7St.o1.1.w.%,1t4c. L,k=z u:,i , +.tLU.d::.::uite*.L':.:. sit' u, r- *,.e::.,:e.C++'+:+chw•�. k.: ac:• L, t :i.lessa:,ar...:viu':ti+w:.e`::.
DEPAR MENTS: /#
�
E '
Building ivisio
Public Works • ❑
Documents /routing slip.doc
2-28-02
PERMIT COORD COP >w
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M04 -019
PROJECT NAME: MULTANI RESIDENCE
SITE ADDRESS: 12244 44 AVENUE SOUTH
DATE: 02 -09 -04
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # after /before permit is issued
Fire Pre Prevention
Structural
DETERMINATI N OF COMPLETENESS: (Tues., Thurs.)
Complete Incomplete
❑
P P
Planning Division ❑
Permit Coordinator
DUE DATE: 02 -12 -04
Not Applicable El
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS RO JTING:
Please Route Eli Structural Review Required El No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 03 -11 -04
Approved El Approved with Conditions No t Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments Issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
PERMIT COORD COPY