HomeMy WebLinkAboutPermit M04-108 - WGW CONSTRUCTION - LOT 6WGW CONSTRUCTION
LOT 6
4216 S 116 ST
MOt-108
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City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 3347400025
Address: 4216 S 116 ST TUKW
Suite No:
Tenant:
Name: WGW CONSTRUCTION - LOT 6
Address: 4216 S 116 ST, TUKWILA WA
MECHANICAL PERMIT
Owner:
Name: WGW CONSTRUCTION Phone:
Address: 329 NW 2 PL, RENTON WA
Permit Number: M04 -108
Issue Date: 10/07/2004
Permit Expires On: 04/05/2005
Contact Person:
Name: KEITH MENGES Phone: 425 - 246 -0740
Address: 329 NW 2 PL, RENTON WA
Contractor:
Name: W G W CONSTRUCTION Phone: 425 246 -0740
Address: 329 NW SECOND PL, RENTON WA
Contractor License No: WGWCOGW962JR Expiration Date:04 /19/2006
DESCRIPTION OF WORK:
INSTALL FURNACE, WATER HEATER, AND ASSOCIATED DUCT WORK FOR NEW SINGLE FAMILY
RESIDENCE.
Value of Construction: $0.00
Type of Fire Protection:
Permit Center Authorized Signature:
Signature:
Fees Collected:
Uniform Mechnical Code Edition:
$83.56
1997
it �` Date: ror1
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 th' permit d s not pr sume to give authority to violate or cancel the provisions of any other state or local laws
regulating cons r ction or th pft9gf ance of work. I am authorized to sign and obtain this mechanical permit.
Date: (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.
Print Name:
doc: Mech
M04 -108
Printed: 10 -07 -2004
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 3347400025
Address: 4216 S 116 ST TUKW
Suite No:
Tenant: WGW CONSTRUCTION - LOT 6
1: ** *BUILDING DEPARTMENT CONDITIONS * **
PERMIT CONDITIONS
Permit Number: M04 -108
Status: ISSUED
Applied Date: 06/22/2004
Issue Date: 10/07/2004
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 less 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 Department of
Public Health - Seattle and King County (206/296- 4932).
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 **
M04 -108
Printed: 10 -07 -2004
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doc: Conditions
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
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
regulating construction or the performance of work.
Signature:
Print Name: /7/?
< /L'9 C5
M04 -108
as outlined. All provisions of law and ordinances
cancel the provision of any other work or local laws
Date:/
Printed: 10 -07 -2004
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SITE:LOCATI
Site Address:
Tenant Name:
Property Owners Name: ^iA\f‘J 6ay9T,
Mailing Address: ?L—
Name:
Mailing Address:
E -Mail Address:
GENERAL. CONTRACTOR INFORMATION':
Company Name: u) ( Al _ CAS -a
Mailing Address: ,' 7ict
Contact Person:
E -Mail Address:
CITY OF TUKWILA .l
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 **
414 1N2.5
M
King Co Assessor's Tax No.: ..3 " 00 Z -r d z_
Suite Number:
New Tenant:
City
/..(^ Day wy Te \ lephone:
�
City
Fax Number:
Floor:
❑ ... Yes
State
State
❑ ..No
Zip
City State Zip
Day Telephone: •c, z4 . -' 074-0
Fax Number:
Contractor Registration Number: ' VJ G� �p � FIlition Date:
* *An original or notarized copy of current Was ington tate Contr ctor License must be presented at the time of permit issuance **
ARCHItTECT OF RECORD ;All plans must . be wet.stamped by Architect •of Record
Company Name:
Mailing Address:
Contact Person:.__1ON
E- Mail Address:_]wS iri I Co- - ) C'csyvtci r, y�2- -1
ENGINEER - OF RECORD -' All plans must be wet stamped by Engineer Record
Company Name: tlAC 1)2.&( y'
Mailing Address:
Contact Person:
E -Mail Address:
tapplicationstpermit application (3.2003)
3/2003
Page I
City State Zip
Day Telephont Arc) tz,4, - �Sb
Fax Number: � Z . s ) 7Z
City Slat 2q Zip
Day Telephone: �4z;) 3✓ 1 ' 04-�3
Fax Number:
JILD t ' " "1.= rr206 =43 =3670 •`
��R it ?" � ._ .. W ....., � :'':a +..
a',
br's bid price): $ I rj�j i Existing Building Valuation:
•
Scope of Work tplease provide detailed information): )'i(iu /(170 /7 q/6
/ • C111-0 a b
Will there be new rack storage? ❑ ..Yes
■applications\permit application (3.2003)
1/2003
No If "yes ", see Handout No. for requirements.
rovide All Building Areas in_Square, Footage Below;'
Page 2
1 ":Floor,: ;
•
"Basement
Accessory . Structure *..
Attached Garage
:Detached Garage
Attached Carport
Detached Carport: ?;,
Covered Deck
Uncovered Deck
Existing
Interior
Remodel
Addition to ::
'
Existing
Structure
0
10
0
'Type of
Construction
; per UBC: ..`
• Type of:
Occupancy. per •
UBC.
3
PLANNING DIVISION: .�i
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): Floor area of principal dwelling: 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: Compact: Handicap:
Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ .. Sprinklers ❑ ..Automatic Fire Alarm .None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or haza ous materials in the building? ❑..Yes ❑..No
If "yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets.
PUBII��;yVO1tKS PEit1�IIT�IN" �` R1VYA�TZON ��2Q6;�433: -pfT ;, ;, n�
7 V•f?Sf
vxa45 Y r . fi r. �r •
Scope of Work (please provide detailed information): 611) 670 „I/ S I4 r/� ' / l ASl CP,
Water District
❑ ...Tukwila 0... Water District #125
❑...Water Availability Provided
Sewer District
❑ ...Tukwila ❑... ValVue ❑ .. Renton ❑ . ...Seattle
❑ ...Sewer Use Certificate ❑... 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 ")
❑ ...Technical Information Report (Storm Drainage)
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s)
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 hours
❑ ...Right -of -way Use - No Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way
Non Right -of -way
❑...Total Cut
❑...Total Fill
\applications\permit application (3.2003)
3/2003
Please refer. to Public Works Bulletin #1 for fees and estimate sheet
cubic yards
cubic yards
❑...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑ ...Frontage Improvements
❑ ...Traffic Control
❑ ...Backtlow 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 _
0.
❑.
❑.
❑.
Call before you Dig: 1- 800 - 424 -5555
. Abandon Septic Tank
. Curb Cut
. Pavement Cut
. Looped Fire Line
I
WO#
WO#
WO#
Private
Private
❑ .. Highline
❑ ...Renton
❑ .. Geotechnical Report ❑...Traffic Impact Analysis
❑ .. Maintenance Agreement(s) ❑...Hold Harmless
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
Page 3
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ . Water Meter Size
FINANCE INFORMATION
Fire Line Size at Property Line
❑ ...Water ❑ ... Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
❑ ...Sewage Treatment
Day Telephone:
City
State
Zip
Day Telephone:
City
State
Zip
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
15 -30 HP /1,000,000 BTU
Suspended /Wall /Floor
Mounted Heater
Ventilation System
30 -50 HP /1,750,000 BTU
Appliance Vent
L
Hood
Incinerator - Domestic
50+ HP/1,750,000 BTU
Heat/Refrig /Cooling
System
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm/1nd
' 1 J
I T �INFOL RA 206= 431 3670
CHANICAL PE
MECHANICAL CONTRACTOR INFORMATION
Company Name: 1 T4 4- ,
Mailing Address: `
City State Zip
Contact Person: Day Telephone:
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): $
Scope of Work (please provide detailed information):
,,/ /I�/L /24iI ( /,lzrti
Use: Residential: New ... Replacement .... ❑
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas... Other:
indicate type of mechanical work being installed and the quantity below:
APPLICATION NOTE S. � :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 THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF ' ERJURY : Y THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING 0 I ER O HORIZED AGENT:
Signature'
Print Name: 0A
Mailing Address:
I Date Application Accepted:
\applications\permit application (3.2003)
3/2003
elm- (4 kr
Lift Cits- it,
Date Application Expires:
Page 4
Date: q7/8(01k
Day Telephone: 'j`LS t i(o 51-0
City Stata� Zip
StaC ts;
Parcel No.: 3347400025 Permit Number: M04 -108
Address: 4216 S 116 ST TUKW Status: APPROVED
Suite No: Applied Date: 06/22/2004
Applicant: WGW CONSTRUCTION - LOT 6 Issue Date:
Receipt No.: R04 -01381
Initials: SKS
User ID: 1165
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Payee: EDMONDS PLAT LLC
RECEIPT
TRANSACTION LIST:
Type Method Description Amount
doc: Receipt
Payment Check 5217
ACCOUNT ITEM LIST:
Description
MECHANICAL - RES
PLAN CHECK - RES
Payment Amount: 83.56
Payment Date: 10/07/2004 03:28 PM
Balance: $0.00
83.56
Account Code Current Pmts
000/322.100 66.85
000/345.830 16.71
Total: 83.56
Printed: 10 -07 -2004
Project:
W Gll) 41 1
Type of Inspection:
� rra
.i
U
Address:
1- 0-11t7 S 1110 Si-
Date Called:
Special Instructions:
Date Wanted: 21— < —OS-
a.m.
p.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
VI 0- 1- 1 Ups
(206)431 -3670
ipproved per applicable codes. ED Corrections required prior to approval.
COMMENTS:
Pr �/h i t pmel -2
Inspector: i/'
Date:
Lf P- ci s
$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: \Q�',1 G 1 / l
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Date Wanted: O / .
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Date Wanted: O / .
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INSPECTION NO. PERMI % .
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Inspecto
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Corrections required prior to approval.
!Date: 5` 3
0 5
El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
(Receipt No.:
IDate:
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Date Called:
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Special Instructions:
Date Wanted:
L.
Requester: X44
Phone No:
- 79
INSPECTI?N NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
Inspector:
INSPECTION RECORD
Retain a copy with permit
PER
(20.)431 -3670
Corrections required prior to approval.
!Date: 7
r
El $58.00 REINSPECTION FE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
'Receipt No.:
!Date:
Project: .4 ' b Type
W 4 i� 0 rvs zic� ri o-
of In ection:
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Date Wanted:
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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
and # - 101
PERMIT NO.
(206)431 -3670
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
REQUI�
Date: Y 5
47.00 REINSPECTION'F EE D. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
(Receipt No.:
Date:
COMMENTS: ` \ c l n `
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INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
Rcy.Q I -1
INSPECTION RECORD
Retain a copy with permit
\ —
(206)431 -36
Corrections required prior to approval.
Inspector: 7_ 99
Date: �'
1
❑ $47.06 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
COMMENTS: i i
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Type of InspeZ
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Address:
1 - \ to .5
1b lv SI--
Date Called:
Special Instructions:
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
INSPE RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
M0 108
(206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
Inspector( \ 2 ) :a9
Date: ill_ U s _
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:
COMMENTS:
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-LINSPECTION RECORD
46.7-_ Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
DI Approved per applicable codes.
ipt No.:
/1104- oF
tq Corrections required prior to approval.
Date:
5' — 5
00 REINSPECTIOI FEE REQUIRED rior to inspection, fee must be
d at 6300 Southceticer Blvd., Suit 00. Call to schedule reinspection.
Date:
Type o Inspectiqn:
0 1 1 - /4
Adgress: - 1 i five
y Zi LD II V
Date Called:
I .6
Special Instructions:
Date Wanted: X 01 / 65 a.m,
ytm.
Requester:
D005
Phone No:
— 75 - 5C21
-LINSPECTION RECORD
46.7-_ Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
DI Approved per applicable codes.
ipt No.:
/1104- oF
tq Corrections required prior to approval.
Date:
5' — 5
00 REINSPECTIOI FEE REQUIRED rior to inspection, fee must be
d at 6300 Southceticer Blvd., Suit 00. Call to schedule reinspection.
Date:
Project Name:
Site Address :
• B.
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)
-sag
MECHANICAL PERMIT APPLICATION NO.:
BUILDING PERMIT APPLICATION NO::
❑ Heating System Installed, (check system type below):
• 1. ❑ Electric Resistance '
2. ❑ Electric (forced air)
3. M Other Fuels (gas, heat pump)
Permit Center /Building Division:
206 -431 -3670
Public Works Department:
206 - 433 -0179
Planning Division:
206 -431 -3670
1n) /f ' (p ctiop
I.
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):
House Square Footage (heated space): , (.076
X 20 BTU/h
REVIEWED FOR
= 3. Maximum BTU of Heati i ng 52mEC tlympLIANCE
xt•k'.Y't•r 1-v76
I1. WASHINGTON STATE VENTILATION AND INDOOR AIR QUALITY CODE (select A or B b
✓J
2
P R N M7rc d 1 I
City Of T to cl`wila
143dILDING DIVISION
SEP 2 3 2004
❑ Ventilation by Performance or Design Method - W.S.V.I.A.Q. Section 302 (submit documentation).
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 Y4"
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: t (0
2. House Number of Bedrooms: 3
3. Required Outdoor Air Table 3 -2: Minimum -
Effective: 771/02
tapplicationslheetinp and ventilation system — form h4 (7.2002)
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cfm
cfm
A 4'2a8
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1. For each additional elbow subtract 10 feet from length.
2. Flex ducts of this diameter are not permitted with fans of this size.
Effective: 711102
tapplieationaeatinp and ventilation system - tom h-6 (7.2002)
TABLE 3 -3
PRESCRIPTIVE EXHAUST DUCT SIZING
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.
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•
ACTIVITY NUMBER: M04 -108
PROJECT NAME: WGW CONSTRUCTION - LOT 6
SITE ADDRESS: SOUTH 116 STREET
X Original Plan Submittal
DATE: 06 -22 -04
Response to Incomplete Letter #
Response to Correction Letter # Revision # after /before permit is issued
DEPART3N
Building Division
❑ o l n W ❑
Public Works
Documents /routing slip,doc
2 -28 -02
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Structural
0
PERMIT COORD COPY
Planning Division
Permit Coordinator
REVIEWER'S INITIALS:
`x
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 06-20-04
Complete ] Incomplete ❑
Comments:
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping 0 PW ❑ Staff Initials:
TUES /THURS ROUTING:
Please Route [0 Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 07-22,04
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
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