HomeMy WebLinkAboutPermit M04-096 - CASCADE GLEN - LOT 10CASCADE GLEN - LOT 10
3805 S 132 PL
M04-096
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City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 1422600100
Address: 3805 S 132 PL TUKW
Suite No:
Tenant:
Name: CASCADE GLEN - LOT 10
Address: 3805 S 132 PL, TUKWILA WA
Owner:
Name: DREAMCATCHER HOMES LLC
Address: 13407 51 AV W, EDMONDS WA
Contact Person:
Name: 3AY KEIROUZ
Address: PMB 1150, 13619 MUKILTEO SPEEWAY, #D5
Contractor:
Name: 3 A K DEV & CONST CORP
Address: 13407 51ST AVE WEST, SEATTLE WA
Contractor License No: JAKDECCO23NS
DESCRIPTION OF WORK:
NEW HVAC SYSTEM FOR NEW SINGLE FAMILY RESIDENCE AND ALL ASSOCIATED DUCTWORK
Value of Construction: $4,500.00 Fees Collected: $96.88
Type of Fire Protection: N/A Uniform Mechnical Code Edition: 1997
Permit Center Authorized Signature:
Signature:
doc: Mech
MECHANICAL PERMIT
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Permit Number: M04 -096
Issue Date: 07/21/2004 to 2
Permit Expires On: 01/17/2005 6 v
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Phone:
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Phone: 206 300 -6874 Z O
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Phone: 206 - 300 -6874 o
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Expiration Date:09 /04/2004 H
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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 `e perfor ork. I am authorized to sign and obtain this mechanical permit.
Date: 7/7 1 /a L
Name: L'trt - —
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.
M04 -096
Printed: 07 -21 -2004
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
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Permit Number: M04 -096 z
Status: ISSUED
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Applied Date: 06/09/2004 6
Issue Date: 07/21/2004 - 0 O
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8: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be z
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 ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this
code shall be valid.
Parcel No.: 1422600100
Address: 3805 S 132 PL TUKW
Suite No:
Tenant: CASCADE GLEN - LOT 10
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: Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear
identification showing the fire performance rating thereof.
7: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997
Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition).
9: Manufacturers installation instructions required on site for the building inspectors review.
10: Fuel burning appliances may not be installed in sleeping rooms, U.M.C. 304.5.
11: Appliances which generate flame, spark or glowing ignition, shall be elevated 18 inches above the floor (U.M.C.
303.1.3.).
12: Water heater shall be anchored to resist earthquake (U.P.C. 510.5).
doc: Conditions
* *continued on next page **
M04 -096
Printed: 07 -21 -2004
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.
Signatures
doc: Conditions
of law and ordinances
other work or local laws
Date: 7( 1 (bL1
M04 -096 Printed: 07 -21 -2004
Site Address:
Name: J • f Lai R "7
Mailing Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
'.�-•;.. 11 A. f
Company Name:
Mailing Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
CITY OF TUKWILA
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 **
,RECO11 - eetstaim
Contact Person:
E -Mail Address:
iCisM1V:di:•1`csrifr'+N.; �i��
King Co Assessor's Tax No.: //1 Z Z 6 U _ e l (9—
Suite Number:
y Ar chlteci.cf Xtec _�
fi t,,; 1 , ,5;, `yi �� :{. t ... ...
State
State
Floor:
Tenant Name: Lt t- 1 New Tenant: ❑ .... Yes ❑ ..No
Property Owners Name: D`Z'='f!rl. C. aea.6G___' Its-K S . LL C
Mailing Address: rim B 115 0, 13 cGt) 5 to K t t.Ttb Sp Q.il so- D5 Lye c a 7-
City State Zip
'QNTACT i ERSC
Day Telephone: c e s ‘ii'74
City State Zip
E -Mail Address: �t�I � ( 7 t... • caP Fax Number:47 -V 74 ( 24, 3 L.
,. t �rti -r :i `.
State Zip
City
Day Telephone: 26c) � v elrb £ 8 7 2 1
Fax Number: 2 Z S) 74
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 **
Zip
City
Day Telephone:
Fax Number:
Zip
City
Day Telephone:
Fax Number:
04E'
•
an�,r iu t be wet st�im
Y 4 .. �. �t i %�•
Enin eer;afReco r
Unit Type:
Qty :
Unit Type:..
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace<100K BTU
1
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace>100K BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
it
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
30 -50 HP /1,750,000 BTU
Appliance Vent
Z
Hood
50+ HP /1,750,000 BTU
Heat/Refrig /Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — CommlInd
MECIIA1 1CAI PERMIT', INFORMATION 20(x431 =3670
Date Application Accepted:
MECHANICAL CONTRACTOR INFORMATION
Company Name: ' A t N C
Mailing Address: ay h
Contact Person:
E -Mail Address:
Contractor Registration Number:
* *An original or notarized copy of current Washington State Contractor
Valuation of Project (contractor's bid price): $ L S�
Scope of Work (please provide detailed information): 1 .s .STs
Indicate type of mechanical work being installed and the quantity below:
City State Zip
Day Telephone:
Fax Number:
Expiration Date:
the time of permit issuance **
License must be presented at
as e~ + N- 's t t 5
Use: Residential: New .... Replacement .... ❑
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas.... Other:
LIGATION NO _
iplicable.to all pei
a
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 O THORIZED A
Signature:
Print Name: tai l 4--E7) Mailing Address: �--t
City
Date: ./ (14 1r
Day Telephone C) a tsa 6 71
State
Zip
Date Application Expires:
/2 -y -oy
Staff Initials:
1
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ill
r4 2
Parcel No.: 1422600100 Permit Number: M04 -096 -J 0
Address: 3805 S 132 PL TUKW Status: APPROVED N 0
Suite No: Applied Date: 06/09/2004 w co w
Applicant: CASCADE GLEN - LOT 10 Issue Date: la t—
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Receipt No.: R04 -00932 Payment Amount: 96.88 u_ 5.
Initials: SKS Payment Date: 07/21/2004 02:53 PM H w,
User ID: 1165 Balance: $0.00 z =
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Type Method Description Amount ~ j—
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Payment Check 2399 96.88 Z
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Payee:
TRANSACTION LIST:
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
DREAMCATCHER HOMES, LLC
MECHANICAL - RES
PLAN CHECK - RES
RECEIPT
Account Code Current Pmts
000/322.100 77.50
000/345.830 19.38
Total: 96.88
2991 07/22 9710 TOTAL 4767.00 a
Printed: 07 -21 -2004
Pro'ect: r
Type of In
ction: ,
Addres •
_36005 LC al. �c.,
Date Called:
Special Instructions:
-
Date Wanted:
� `
Requeste :
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING •DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
COMMENTS:
Approved per applicable codes. El Corrections required prior to approval.
I lnspector: f� r, ,
Date: �� D
El $47. REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
(206)431 -3670
r op t:
ra_gte 119,(4-- lo
Type ofMtion:
( 02 0 .
'Date Called: I
/(04/
-
( ----
Special Instructions:
' -4R3-19: et -75 tke ---Ct
...
Date Wanted:11
/D761Y cft
Requester:
730 ,_ .. c.e...?
El Approved per applicable codes.
INSPECTION RECORD
Retain a ropy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88
20 ) 3 -3670
Corrections required prior to approval.
COMMENTS:
/? .--C le /4 '/r.
(-47
4ector:
1047.00 REINSPFCTION F E REQUIRED. rior to Inspection, fee must be
paid at 6300 Southcenter lvd., Suite 100. Call to schedule reinspection.
'Receipt No.:
Date:
Pr ? ii c61_6 (1 _ )0
T
Type of s N,
2p
.... i
;e
Date C led: ( ) t s
1 0
S eciannstructions:
Date Wanted:
\. 2. 1 ., \ D
Requester:
Phone No: e■
) )
) 2 , n..--
El Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
COMMENTS: i) _
/ ki.2 A.40!
s .P27 Af 1)7
4-z9
p-17-Gt ; ;Rif-7 er/4 fr"
Date: ) L re)
0 S47.00 REINSPECTIOI4$EE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
'Receipt No.:
'Date:
(206)431-3670
Corrections required prior to approval.
s
.4111MIIMMINSIMMENIMINERSOIMIIM1
Cu c , `�(�
(/U l0
T ype of I da - n/� . ~ r \ / '
$h4
Address:
S (3)
P(
Date Called: l((
goy
Special Instructions:
Date Wanted: ,
eirrloo
Requester: t 6
N
Ph (;L 6P) 73e aq(
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PER
06)431 -3670
El Approved per applicable codes.
COMMENTS:
Inspector:
etc 7>t
O N Corrections required prior to approval.
Dater
❑ $47.Ob'4 INSPECTION REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection.
Receipt No.:
Date:
P ject: i - r ,
'4 ' t
Type o pection:
A . • ess: ,p
5 R. Raag
Date C Iled:
i 1
s - 1 nstructions:
c_ vil( _
44/iieAR. &..?b
Date Wanted: 1 i 3
„ .
ct L i
tv
Requester:
p
O&
7?0_-)..e(,_
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
0 Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
PERM
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670
El Corrections required prior to approval.
COMMENTS:
0 .00-e"-t4170
Inspect r:
Date:
)
.0 4 .00 REINSPECTION FEE EQUIRE . Prior to inspection, fee ust be
id at 6300 Southcenter Blv ., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
4
Project Name:
1.
Effective: 711102
tappliulionalh.ating and ventilation system — form h413 (7.2002)
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) ,
MECHANICAL PERMIT APPLICATION NO.: ar
House Square Footage (heated space):
❑ Heating System Installed, (check system type below):
1. ❑ Electric Resistance
2. ❑ Electric (forced air)
3. f' Other Fuels (gas, heat pump)
11. WASHINGTON STATE VE TILATION AND INDOOR AIR
2. House Number of Bedrooms:
Permit Center /Building Division:
206 - 431 -3670
Public Works Department:
206 -433 -0179
Planning Division:
206 - 431 -3670
BUILDING PERMIT APPLICATION NO.: 411
Site Address: 0 S'
1. WASHINGTON STATE ENERGY CODE HEATING DESIGN METHOD (select A, B or C below):
A. ❑ System Analysis — W.S.E.C. Chapter 4 (submit documentation)
B. ❑ 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):
X 20 BTU/h
t ►' '� "2
House Square Footage: Z' 53
R IEWED
91�(PL B ed e
APPROVED
JUL 0 1 2004 JUN 0 9 2004
City Of Tukwila
3. Required Outdoor Air Table 3 -2: Minimum - /ft> C cfm
Maximum - /5 cfm
ing System Output
elow):
rRE¢EI,V,ED
If ijly E,1F iT,WkWll
lag WIT CENTER
A. ❑ Ventilation by Performance or Design Method - W.S.V.I.A.Q. Section 302 (submit documentation).
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.)
❑ Exception for outdoor air inlets — Forced air heating system w /interior doors undercut W'
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).
Floor-
' Area, ft2
Bedrooms
• :1 , '
s'r• 2 or'Iess\
3
4
5
6
7
8
'' `'' ' ''''
'Min
'Ma,
Min
Max
Min
Max
Min
Max
Min
Max
Min
Max
Min
Max
'. 5001 !
• 50
;` 75,
65
98
80
120
95
143
110
165
125
188
140
210
50.140011 ii,
?;55'.'•`
t9f3ti
;;' 70P
•'105'R
'4585;..%;;31-21:0
;,'128:'
'i 100i
;:1:50'+
:',445.i
373
:130.
;195 i
':145:'`.=
'4�•21:8ei:
1001 -1500
60
90
75
113
90
135
105
158
120
180
135
203
150
225
z 's< .
��:: ?':150:1�2000,Jtii
' :r;:FiS:+.�
.
;'� ? ;g8?•
.
:: °;�'80':t,
..
<,;:120:`
:'�95�
t
',.:143^
y
MO
0654
125:: :
;4.1 8 tY%
'4.464
':1 *21013.
;
0;283i:.
2001 - 2500
70
105
85
128
100
150
115
173
130
195
145
218
160
240
qt 2501' - 8000: 14.k
:r „75g
•i�'1l3;
i.g 0
.10'5:
405s
`;156;.
020:
Aft
�.71:r3S
1r2bV:
.,n1'Saks
7:.165
0iitt.
255
3001 -3500
80
120
95
143
110
165
125
188
140
210
155
233
170
.:ii1501 -0000:1",:q
•A35
:4280
� =1.001 >;' li15Ui.;
:;`1::1
173r•
fi3Qg
�{
:19
:i.y45
11:84
iAtb�•',
440h
;415t
' �261i
4001 - 5000
95
143
110
165
125
188
140
210
155
233
170
255
185
278
o- 5001 =6000 ir::
r?`105
':'
i
f4tet t
;:.1°35 ;
'" 203:
1.(150:;
=465;:
` 24B
:��180;1~_
§17e6
W
205
O'9
308
• 6001 -7000
115
173
130
195
145
218
160
240
175
263
190
285
:.^7001= 8000P7;,
*125
r.1:40A
:'"e21
i;O5't;'!'
n334:
07 0:'
.r25k
'.V1'$V
4 XB
ws2i00
,3011*i
:ViiV
4,0234
8001 -9000
135
203
150
225
165
248
180
270
195
293
210
315
225
338
1 " ' ;9000' 1
. ,
;*1. 45.:`
s'
k218 s
Vi t . -
�.:,1til7:" , ''2� {•0'_
' ; >
_,175':.
?t263'�:
'�190'.r'
p t r_" 0 205`'
28.5�� . ,.
.'ti3O8`;'
7220;
� •
1: :33.0"
x` 223 :'
.
a353tt
Fan Tested CFM
0 0.25" W.G.
' Minimum Flex •
Diameter
Maximum Length
Feet
Minimum Smooth
Diameter
Maximum Length
Feet
Maximum
Elbows'
50 • •
4 inch
25
4 inch
70
3
. +:� r a : 4. 1:
s '. F ^
,.,..t.Jt:;a` "!50.. ";,.:;
. : ' e
'�w ?�- �"`
%:}i
r " i�
i:� y°
.. :4; .: 'Z!.' «.'+:;.
._,:��'��::•90.,....�.: �.`7;�
; .,t - •` a� "::ti•• -r,
;:fir., ,i .. }i''',..
... >it1Ci1 :..
cif: t�
: ^�I:�,y �,lA
n� ..,.. , y. _ .._.,,...
� 01.00'..
;.�j'....k+ r ;. . 11 �, !
..."Y.0 1 ' .. "� °S .''�1i f�H
- �,•�,1.,•.�1! n.
...... '�"'1
50
6 inch
No Limit
6 inch
No Limit
3
.D IT 1 1: ", T : :e.
.:ir ' ?F�' ��,�;
...: 1.sr•,.'BU =;,,r . � ;,.:
r °,�? i?' .� >.y
a'• . t . .
- :r1F�+: +4'friEli .�!��' •..
� �'t ' "Nl�'?•.,;:► �•'•`
.0) a` f . 'iA :U
>:3>r•.Y',c <'.. ..,tr'..
�r:s ch .... ,:H :.1
. , .. .. t.
`` %'t��1:,�.,:.;4'!Iri
: • .:4'!'4; :4 1.:§. :.t �
�' ,..�
: � [ :,.:.20.: �'�'u:.?�'�;
L1: K"„`Y.:44
t �, 7..
r N:r::�.. 4+- .- 3?��;��"r
3
80
5 inch
15
5 inch
100
Y: ',{Hu . +, x
;i yv.4•.y..),s'��8.09't5 t+37'
',V., ' t r . • r.W •=l
,:�'t'�:t;^�_`InY.. <._*.a7i
el. :I ':^� :.w17 �j iy,: ••;,
�;.:i.e• '70. ^r i?:
y ! T ,l {S'JC•: ' ch t i,:.
% `J•,fS:tt <; •,O'.inCfl.t %.};tJf.t
J r ' ' � Ail
YC.7;�. f� ;> .��:f. , :
'! tiG444:�y
c�:'iti; ••1'e`.HRw';cFt
100
5 inch
NA
5 inch
50
3
.! .(.:
�';`_ .� - .'.1:00:..
Y��'
.�'x .
_ tj .i r't'
ist4: % "s.>� 45 � . ;�� -.it
.'.a 'k iti:1 "i,`
. - '6�inth •
:' `•g...:S i•1
'G m f��
.. � Ya
' : :.: v::i ,.; .� a ± .
..� l X3:.1..
125
6 inch
15
6 inch
No Limit
3
. sr_'' \� it e S. ' :. 4 :; y r.a : "::ii' `:
1. �.�' ��7r�int:h.L.
e) <:4}rytAY,�Si'27i�'i)1!• }r . „�.3�' r '�,t'..�4i �
. -' fir
: � , v. yb n
� "70� "s;�#:f�fn3,;
.'Y'f'.�4(Y.. ^ Y:1'•:
.. .: f
�:' �x�.F7riitch'�•... , �
:! Y7.$�
' No"iliiiif.,.
_ �...�.. n ..,
y���
.; ;A1�12i i rn J4� #J
'},,. _ .>ar...,:'3.,s. i�^
A. J •. .
1. For each additional elbow subtract 10 feet from length.
2. Flex ducts of this diameter are not permitted with fans of this size.
Effect's;•7!1`'Q2. ° .
1appla4As fstinp aryl
h
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 listed for 8 bedrooms by an additional 15 CFM per
bedroom. The maximum CFM is equal to 1.5 times the minimum.
'
tlon' syslIm Corm h•6 (7.2002)
TABLE 3 -3
PRESCRIPTIVE EXHAUST DUCT SIZING
T.::,s,uar::it . u
Se'.ti si. d3+; t . ..,:«,77'.'�;:C::.,r:�..3.w!,t, u; iQe..a.E.ism.ire.i•NZ:•,'.a:s,; woes <•k,.o'.}:_w.:,,.;uati:cu...t, • .ar,.,...,r.,
PERMIT COORD COP
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M04 -096
PROJECT NAME: CASCADE GLEN - LOT 10
SITE ADDRESS: 3805 SOUTH 132 PLACE
X Original Plan Submittal
DATE: 06 -09 -04
Response to Incomplete Letter #
Response to Correction Letter # Revision # permit is issued
DEPA��R��TMENTS:
Building iv►s Yr '
Public Works ❑
BIZ- 44: 640-0
Fire Prevention •
Structural ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete [I Incomplete ❑
Planning Division
Permit Coordinator
DUE DATE: 06 -10 -04
Not Applicable ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS R9UTING:
Please Route Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 07 -08 -04
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
REVIEWER'S INTTIALS:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing slip.doc
2 -28.02
PERMIT COORD COPY
DATE: