HomeMy WebLinkAboutPermit M03-011 - MCCARTHY RESIDENCEMCCARTHY
RESIDENCE
1422756 AV S
M03 -011
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 3365900185
Address: 14227 56 AV S TUKW
Suite No:
Tenant:
Name: MCCARTHY RESIDENCE
Address: 14227 56 AV S, TUKWILA WA
Owner:
Name: MCCARTHY JOHN + PEGGY IVES
Address: 14227 56TH AVE S, TUKWILA WA
Contact Person:
Name: JOHN MCCARTHY
Address: 14227 56 AV S, TUKWILA, WA
Contractor:
Name: OWNER AFFIDAVIT IN FILE
Address:
Contractor License No:
DESCRIPTION OF WORK:
INSTALLATION OF WOOD STOVE.
Value of Construction:
Type of Fire Protection:
$1,000.00
N/A
Permit Center Authorized Signature: c?, ' �w e- Date:
hereby certify that I have read and examined th '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.
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Signature: hv---
Print Name:
doc: Mech
MECHANICAL PERMIT
M03 -011
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Permit Number: M03 -011 aa
Issue Date: 02/06/2003 W U
Permit Expires On: 08/05/2003 0 0
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Phone:
Phone: 206 244 -6265
Phone:
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Expiration Date: 1
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Fees Collected: $42.69 z
Uniform Mechnical Code Edition: 1997
Date:
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: 02 -06 -2003
doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 3365900185
Address: 14227 56 AV S TUKW
Suite No:
Tenant:
MCCARTHY RESIDENCE
I hereby certify that I have read these conditions and
governing this work will be complied with, whether
The granting of this permit does not presume to give
regulating construction or the performance of work.
Signature: \ ►J r \C-C
Print Name: d\. V C %.?�
PERMIT CONDITIONS
will comply with them as outlined. All provisions of law and ordinances
specified herein or not.
authority to violate or cancel the provision of any other work or local laws
Permit Number:
Status:
Applied Date:
Issue Date:
M03 -011
ISSUED
01/24/2003
02/06/2003
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: 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.
4: 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).
5: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations 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 ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this
code shall be valid.
6: Manufacturers installation instructions required on site for the building inspectors review.
M03 -011
Date: 2 (-- 0
Printed: 02 -06 -2003
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Tenant Name: j,i r Y \ C- CCA-V
Property Owners Name: inn.
Site Address:
Mailing Address: e
Name: , S 0 ke■ 1 C
Mailing Address: 2.1. 1 -s1
E-Mail Address:
Contact Person:
E-Mail Address:
Contractor Registration Number:
Contact Person:
E-Mail Address:
Contact Person:
E-Mail Address:
kapplicationskpennit application (1.2003)
1/2003
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Page 1
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"
King Co Assessor's Tax No.: 356
Suite Number: Floor:
New Tenant: .... Yes ..No
City
Day Telephone:
k
City
Fax Number:
City
Day Telephone:
NqNgEgvE:gEco inist.bewet sbithped by •
State
2A) b 2_ C —
1. 8
State Zip
Company Name:
Mailing Address:
State
Zip
Zip
Fax Number:
Expiration Date:
**An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance"
ARCHITECT0FiREcoRDAll plans must be wofsteingiaci. by Architect of ReCard
Company Name:
Mailing Address:
Zip
City
Day Telephone:
Fax Number:
State
Company Name:
Mailing Address:
City State Zip
Day Telephone:
Fax Number:
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.BUILDING PERMIT -INFORMA .0N4
Valuationof Prge,ct (confOctor's bid price): $ Existing Building Valuation: $
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑...Yes ❑ .. No If "yes ", sec Handout No.
lsppliationslpennit application (1 -2003)
1!2003
Page 2
for requirements.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
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 0.. No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ .. Sprinklers ❑...Automatic Fire Alarm ❑...None 0.. 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 a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets.
UTILITY DISTRICTS:
Note: If the utility district is not City of Tukwila, you must provide written verification and approval from that utility district at the time of permit
application.
Water
❑ .. City of Tukwila Water District 0.. Water District #125 D... Highline Water District ❑...City of Renton Water District
Sewer
❑ City of Tukwila Sewer District ❑ .. Val Vue Sewer District ❑...City of Renton Sewer District ❑...City of Seattle Sewer District
0 .. Septic System (If property is served by a septic system, 2 copies of approved septic design from King County Health Department must be
submitted at the time of permit application)
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per UBC
Type of
Occupancy per
UBC
1't Floor
2" Floor
3
Floors thru
Basement
Accessory Structure'.
Attached. Garage
Detached Garage
Attached, Carport
Detached Carport
Covered Deck ..:.. .
Uncovered Deck
.BUILDING PERMIT -INFORMA .0N4
Valuationof Prge,ct (confOctor's bid price): $ Existing Building Valuation: $
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑...Yes ❑ .. No If "yes ", sec Handout No.
lsppliationslpennit application (1 -2003)
1!2003
Page 2
for requirements.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
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 0.. No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ .. Sprinklers ❑...Automatic Fire Alarm ❑...None 0.. 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 a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets.
UTILITY DISTRICTS:
Note: If the utility district is not City of Tukwila, you must provide written verification and approval from that utility district at the time of permit
application.
Water
❑ .. City of Tukwila Water District 0.. Water District #125 D... Highline Water District ❑...City of Renton Water District
Sewer
❑ City of Tukwila Sewer District ❑ .. Val Vue Sewer District ❑...City of Renton Sewer District ❑...City of Seattle Sewer District
0 .. Septic System (If property is served by a septic system, 2 copies of approved septic design from King County Health Department must be
submitted at the time of permit application)
PLIBUIC; WORKS PERMIT I P p AIMATION = 206 433.017 r �?
t� �A'y lg, Y_ =v a�:+7f "; ice, £1; .2•. ^ , 1
Scope of Work (please provide detailed information):
Street Use:
❑ .. Street Use
Land Altering and /or Hauling:
0.. Land Altering: ❑...Cut
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund /Billing:
Name:
Mailing Address:
lapplications'permit application (1 -2003)
1/2003
Call before you Dig: 1-800-424-5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
❑... Channelization /Striping
Storm Drainage:
❑.. Storm Drainage ❑...Flood Control Zone
Water ... ❑
cubic yards ❑...Fill
0... Curb cut/Access /Sidewalk
City
Sewer ... ❑ Sewage Treatment ❑
Page 3
cubic yards ❑ .. Hauling
State
Fire Line .... ❑
Zip
Sewer Information:
❑ .. City of Tukwila Sewer District 0.. Val Vue Sewer District ❑...City of Renton Sewer District ❑ .. City of Seattle Sewer District
❑ .. Sanitary Side Sewer ❑.. Sewer Main Extension ❑ ..Private ❑.. Public
Water Information:
❑ .. City of Tukwila Water District ❑ .. Water District # 125 0... Highline Water District ❑...City of Renton Water District
❑ .. Water Main Extension ❑.. Private ❑...Public
❑ .. Water Meter/Exempt: Size(s): ❑ .. Deduct ❑... Water Only
❑ .. Water Meter Permanent #: Size(s):
❑ .. Water Meter Temporary #: Size(s): ❑ .. Est. Quantity: gallons
❑ .. Fire Loop/Hydrant (main to vault) #: Size(s): ❑ .. Landscaping Irrigation
❑ .. Miscellaneous:
Day Telephone:
Day Telephone:
City
State Zip
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Unit Type: ..
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
I
0 -3 HP /100,000 BTU
Fumace >100K BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
Floor Fumace
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
MECHANICAL ;PERMIT:INEORMATION. ='
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City Stale 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): $ I 0 0
Scope of Work (please provide detailed information): 'Tr 5 Qka t-t� v Q 1J O 3 c: C 4 e
Use: Residential: New .... Replacement ....0
Commercial: New .... Replacement ....0
Fuel Type: Electric 0 Gas ....0 Other: Goo p
Indicate type of mechanical work being installed and the quantity below:
PERMITAPPLICATION -NOTES :Applicable to all pe000 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.
1 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 AG T:
Signature: iD Y C- C . • 'ir
\applicationApermit application (1.2003)
1/2003
Print Name: .J p . r1 0. Y�
C-
Mailing Address: ( 'f ZZ 7'V
06 =431: =3670 > ,
Page 4
Day Telephone: 2_0 6 Z P t f (o 2--
S . rwk,,t);(a_ We, c l 'bP
City
Date: l — Z 3 — o 3
State Zip
I Date Application Accepted:
z$ -Q3
Date Application Expires:
?--ze/-ee
Staff Initials:
.sl�S
Payee:
ACCOUNT ITEM LIST:
Description
doc: Receipt
PEGGY IVES MCCARTHY
Payment Check 5824
MECHANICAL - RES
PLAN CHECK - RES
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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RECEIPT F z
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Parcel No.: 3365900185 Permit Number: M03 -011 0 0
Address: 14227 56 AV S TUKW Status: APPROVED N ill
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Suite No: Applied Date: 01/24/2003 H
Applicant: MCCARTHY RESIDENCE Issue Date: w u '
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Receipt No.: R03 -00128 Payment Amount: 42.69 E Q
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Initials: SKS Payment Date: 02/06/2003 09:52 AM W
User ID: 1165 Balance: $0.00 z H ;
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TRANSACTION LIST: W
Type Method Description Amount = U
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Account Code Current Pmts
000/322.100 34.15
000/345.830 8.54
Total: 42.69
7295 02/07 9 710 TOTAL 42.69
Printed: 02 -06 -2003
COMMENTS:
-
Ty of Inspection:
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0117 ppm/
Special Ins ructions:
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Date ..anted:
a.
Requestpr:
In 1
Phom No:
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Date Call .
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Special Ins ructions:
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Date ..anted:
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Requestpr:
In 1
Phom No:
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INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 •
proved per applicable codes.
p ctor:
INSPECTION RECORD
Retain a copy with permit
PERMIT
(206)431-3670
El Corrections required prior to approval.
'Date:
A , . .1 r
$4T.00 RE1NSPECTION fE REQUIRED. Pr r to inspection, fee must be
n ti at 6300 Southcenter Blvd., Suite 100. ) Call to schedule reinspection.
Receipt No.:
'Date:
A
,
INSTALLATION AND OPERATING INSTRUCTIONS
COUNTRY COMFORT
Part No. CC 160124
Rev. — 1/02
® ORRVILLE PRODUCTS
MODEL CC160FT & CC160ST
NONCATALYTIC WOOD HEATER
FILE COPY
(1 inderstand that the Plan Check approvals are
'•sibject to errors and omissions and apizir =- ;l o
pions does not authorize the violation of T. /
adopted code or ordinance. Receipt of .�.
t ctor's copy of approved plans acknow •
By
Date
Permit. No. AA03-0 II
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,,c, em^,,N ;ES SHALL BE MADE TO
OF WORK WITHOUT MDR
g:1 DIVt`"��f].
REVISIONS WILL REQUIRE A NEW
ANI1 MAY INCLUDE ADDmo1 AL r'1.AN REVIEW FEES.
READ ALL SECTIONS OF THIS MANUAL BEFORE STARTING YOUR INSTALLATION.
SAVE THESE INSTRUCTIONS FOR FUTURE REFERENCE.
THIS APPLIANCE IS APPROVED FOR USE IN MOBLE HOMES (U.S. ONLY)
This manual describes the installation and operation of the Country Comfort Model
CC160 noncatalytic wood heater. This heater meets the U.S. Environmental Protection
Agency's emission limits for wood heaters sold on or after July 1, 1992. Under
specific test conditions this heater has been shown to deliver heat rates ranging from
'11,900 to 47,800 BTU /hr.
ORRVILLE
le PRODUCTS _,
MANUFACTURED BY
ORRVILLE PRODUCTS
375 EAST ORR STREET
P.O. BOX 902
ORRVILLE, OHIO 44667 -0902
SEPARATE PERMIT
REQUIRED FOR:
0 MECHANICAL
j'ELECTRICAL
[te arGAS PIPING
CITY OF TUKWILA
BUILDING DIVISION
RECEIVED
CITY OF TUKWILA
FEB - 3 2003
PERMIT CENTER
Warnock Hersey
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MIS ;UM CLEARANCES TO COMBUSTIBLE " - ')NSTRUCTION
Residential Parallel, Single Wall Connector
Unit to Sidewall
Unit To Backwall
Connector to Backwall
Residential and Mobile Home Parallel Double Wall
or Shielded Single Wall
Unit to Sidewall
Unit to Backwall
Connector to Backwall
Residential Corner, Single Wall Connector
Unit Corner to Wall
Connector to Wall
Residential and Mobile Home Corner, Double Wall
or Shielded Single Wall Connector
Unit Corner to Wall
Connector to Wall
Alcove Double or Shielded Single Wall Connector
Unit to Sidewall
Unit to Backwall
Connector to Backwall
Floor to Ceiling Minimum
NOTE: Listed double wall connector pipe is required for mobile home
installations.
6"
(152 mm)
2" (51 mm)
1 , 1
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L _ J
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18" (457 mm)
LOOR PROTECTOR
13" (330 mm)(A)
15" (381 mm)(B)
18" (457 mm)(C)
10" (254 mm)(A)
6" (152 mm)(B)
8" (203 mm)(C)
11" (279 mm)(D)
21" (533 mm)(E)
7" (178 mm)(D)
17" (432 mm)(E)
10" (254 mm)(A)
6" (152 mm)(B)
8" (203 mm)(C)
72" (153 cm)
CORNER
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V
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2" (51 mm) l� t - ' • . /18 (457 mm) MIN PERMI
CITYOFETUKWILA
FEB- -32003
CENTER
i HIS BUILD NG IS NO3, TO BE
OCCUPIED UNTIL. AF 'i FINAL
INSPECTION AISPROV L BY THE
TUKWILA • BUiLIJNG DIVISION
• DEPARTMENT OF COMT 1NITwDEVELOPMENT
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for the aaequacy ui
designer. Additions,
drawings i this d
and will require a re
for subsequent appro
Final acceptance is s
the Public Works ut
Date:
sX(r y 1 56
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d Tu.
Iu ° ETUKWILA
J- 3 2003
PERM+ CENTER
1
v
eletions or revisions to these
to will void this acceptance
ubmittal of revised drawings
al.
bject to field inspection by
ities inspector.
By:
Jolla *- Pt
m c C r+
y
JUL 16 2002
CITY OF TUNLA,, r. ,.�.
APPROVED •
FEB -
wiLU
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JUL 2 2 2002
TUKWILA
PUBLIC WORKS
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INCOMPLETE
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JUL 2 2 2002
TUKWILA
PUBLIC WORKS
JUL 1 6 2002
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GOor a_59 ` CT Y OF TUKWIA
0 abi
APPROVED
F 0 lit-Y\ t he\ P I 04-0-\
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n .1 RECEIV8D Gr
CITY OF TUKWILA
FEB -32003
- PER4v1TDENTER_
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SID.
January 28, 2003
Mr. John McCarthy
14227 56 Avenue South
Tukwila, WA 98168
RE: Letter of Incomplete Application #1
Development Permit Application Number M03 -011
McCarthy Residence — Wood Stove —14227 56 Avenue South
Dear Royal:
City of Tukwila
Department of Community Development Steve Lancaster, Director
This letter is to inform you that your application received at the City of Tukwila Permit Center on
January 24, 2003, is determined to be incomplete. Before your application can begin the plan review
process the following items need to be addressed:
Building Department: Ken Nelsen at (206) 431 -3670, if you have questions concerning the
following:
1. Please provide floor plan with location of proposed wood stove.
2. Detail how outside air will be provided to stove.
Please address the above comments in an itemized format with applicable revised plans, specifications,
and/or other documentation. The City requires that four (4) complete sets of revised plans, specifications
and/or other documentation be resubmitted with the appropriate revision block.
In order to better expedite your resubmittal a `Revision Submittal Sheet' must accompany every
resubmittal. I have enclosed one for your convenience. Revisions must be made in person and will not
be accepted through the mail or by a messenger service.
If you have any questions, please contact me at the Permit Center at (206) 433 -7165.
Steven M. Mullet, Mayor
Stefania Spencer
Permit Technician
encl
File: Permit File No. M03 -011
6300 Southcenter Boulevard, Suite 11100 • Tukwila, Washington 98/88 • Phone: 206-431-3670 • Fax: 206 - 431 -3665
ACTIVITY NUMBER: M03 -011 DATE: 02 -03 -03
PROJECT NAME: McCarthy Residence
SITE ADDRESS: 14227 56 Av S
Original Plan Submittal Response to Incomplete Letter # j__
Response to Correction Letter # Revision # After Permit Is Issued
DEPARTMENTS:
Building Division i
Public Works
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete Incomplete ❑
Planning Division
Permit Coordinator
DUE DATE: 02-04-03
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 ROUTING:
Please Route
Structural Review Required ❑ No further Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved ❑
Notation:
Documents/routing slip.doc
2.2&02
Approved with Conditions
DUE DATE: 03 -04 -03
Not Approved (attach comments) ❑
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
ACTIVITY NUMBER: M03 -011
PROJECT NAME: MCCARTHY RESIDENCE
SITE ADDRESS: 14227 56 AV S
X Original Plan Submittal
Response to Correction Letter #
DATE: 01 -24 -03
Response to Incomplete Letter #
Revision # After Permit Is Issued
DEPARTMENTS:
�Q�(
Building Division
Public Works ❑
Complete ❑
Comments:
APPROVALS OR CORRECTIONS:
Documentthouling slip.doc
2-28-02
PERMIT COORD COP'(
PLAN REVIEW /ROUTING SLIP
5 K6_ 1.1„5-0
Fire Prevention
Structural ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
1
Incomplete
Planning Division
Permit Coordinator
DUE DATE: 01-28-03
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: l'� LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg Fire ❑ Ping ❑ PW ❑ Staff Initials: , SCS
TUES/THURS ROUTING:
Please Route ❑ Structural Review Required ❑ No further Review Required
REVIEWER'S INITIALS: DATE:
REVIEWER'S INITIALS:
PERMIT COORD COP`(
DATE:
DUE DATE: 02 -25-03
Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) 0
Notation:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
ACTIVITY NUMBER: M03 -011
DATE: 02 -03 -03
PROJECT NAME: McCarthy Residence
SITE ADDRESS: 14227 56 Av S
Original Plan Submittal ► Response to Incomplete Letter #�
Response to Correction Letter # Revision # After Permit Is Issued
DEPARTMENTS:
Building Division
Public Works
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete if]
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route
Approved ❑
Notation:
Documents/routing slip.doc
2-28-02
APPROVALS OR CORRECTIONS:
REVIEWER'S INITIALS:
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Structural
Incomplete ❑
Structural Review Required
REVIEWER'S INITIALS: Ct-1 DATE:
Approved with Conditions
Planning Division
❑ Permit Coordinator ❑
DUE DATE: 02-04-03
Not Applicable ❑
No further Review Required
{of
DUE DATE: 03-04 -03
Not Approved (attach comments) ❑
DATE: Z /
03
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
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PERMIT NO.: IA03"01,
MECHANICAL PERMIT APPLICATIONS
INSPECTIONS
❑ 2
❑ 50
❑ 60
610610
❑ 700
❑ 1080
1090
1100
1101
1102
1105
1115
1400
1800
4015
CONDITIONS
dig 10001 No changes to plans unless approved by Bldg
Div
❑ 10002 Plumbing permits shall be obtained through King
Co
10003 Electrical permits, obtained through L & 1
10005 All permits, insp records & approved plans
available
❑ 10014 Readily accessible access to roof mounted
equipment
10016 Exposed insulation backing material
10019 All construction to be done in conformance
w /approved plans
10027 Validity of Permit
10036 Manufacturers installation instructions required
on site
❑ 10041 Ventilation is required for all new rooms &
spaces
❑ 10042 Fuel burning appliances
❑ 10043 Appliances, which generate..
• 10044 Water heater shall be anchored....
Pre - construction
WSEC Residential
WA Ventilation/Indoor AQC
Chimney Installation/A11 Types
Framing
Woodstove
Smoke Detector Shut Off
Rough -in Mechanical
Mechanical Equipment/Controls
Mechanical Pip/Duct Insul
Underground Mech Rough -in
Motor Inspection
Fire - Final
Mechanical - Final
Special -Smoke Control System
Additional Conditions:
TENANT NAME: L Car4 r i evicP,
y
FEES
Basic Fee (Y/N)
Supplemental Fee (Y/N)
Plan Check Fee (Y/N)
Furnace/Burner
to 100,000 BTU (qty)
Over 100,000 BTU (qty)
Floor Furnace (qty)
Suspended/Wall/Floor - mounted Heater (qty)
Appliance Vent (qty)
Heating/Refrig/Cooling Unit/System (qty)
Boiler /Compressor
to 3 HP /100,000 BTU (qty)
to 15 HP /500,000 BTU (qty)
to 30 HP /1,000,000 BTU (qty)
to 50 HP /1,750,000 BTU (qty)
over 50 HP /1,750,000 BTU (qty)
Air Handling Unit
to 10,000 cfin (qty)
over 10,000 cfm (qty)
Evaporative Cooler (qty)
Ventilation Fan (qty)
Ventilation System (qty)
Hood (qty)
Incinerator — Domestic (qty)
Incinerator — Comm /Ind (qty)
Other Mechanical Equipment (qty)
Other Mechanical Fee (enter $$)
-p ?-ss
Permit Tech:
Plan Reviewer: Date:
Date: 2
Add'l Fees — Work w/o Permit (Y/N)
lnsp Outside Normal Hours (hrs)
Reinspections (hrs)
Miscellaneous Inspections (hrs)
Add'l Plan Review (hrs)
03
ACTIVITY NUMBER: M03 -011
PROJECT NAME: MCCARTHY RESIDENCE
SITE ADDRESS: 14227 56 AV S
X Original Plan Submittal
Response to Correction Letter #
DATE: 01 -24 -03
Response to Incomplete Letter # _
Revision # After Permit Is Issued
DEPARTMENTS:
Building Division
Public Works
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete ❑ Incomplete
Comments: C t401',) cam'
TUES/THURS ROUTING:
Please Route ❑ Structural Review Re ❑ No further Review Required
REVIEWER'S INITIALS:
0
APPROVALS OR CORRECTIONS:
PLAN REVIEW /ROUTING SLIP
REVIEWER'S INITIALS:
Documents/routing slip.doc
2-28-02
Fire Prevention ❑ Planning Division ❑
Structural ❑ Permit Coordinator ❑
DUE DATE: 01 -28-03
tioor 1 cove 'R )64l IInoI,s Q -sfdi v c U( be provicd
5.
DATE:
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
DUE DATE: 02 -25-03
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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ACTIVITY NUMBER: M03 -011
PROJECT NAME: MCCARTHY RESIDENCE
SITE ADDRESS: 14227 56 AV S
X Original Plan Submittal
Response to Correction Letter #
DATE: 01 -24 -03
Response to Incomplete Letter
Revision # After Permit Is Issued
DEPARTMENTS:
Building Division
Public Works
Complete ❑
Comments:
Documentshouting slip.doc
2-28-02
❑
APPROVALS OR CORRECTIONS:
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete
TUES/THURS ROUTING:
Please Route ❑ Structural Review R quired ❑ No further Review Required
REVIEWER'S INITIALS: �' DATE:
REVIEWER'S INITIALS:
Planning Division
Permit Coordinator
DUE DATE: 01 -28 -03
DUE DATE: 02 -25-03
DATE:
%3
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Approved p Approved with Conditions ❑ Not Approved (attach comments) ❑
Notation:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire 0 Ping ❑ PW 0 Staff Initials:
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted
through the mail, fax, etc.
Date:
® Response to Incomplete Letter # 1
• Response to Correction Letter # _
[] Revision # after Permit is Issued
CO ., r \ e t'wn vy .
City of Tukwila
Department of Community Development - Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
(206)431 -3670
Plan Check/Permit Number: M03-011
MCCARTHY RESIDENCE
Project Name:
Project Address: 14227 56 AV S
Contact Person: John McCarthy
Summary of Revision: a ( LA U.) D t) d-
e Jk e
oat C_oc-e re. tA. i7rd
s i
Phone Number
RECEIVED
CITY OF TUKWILA
FEB - 3 2003
PERMIT CENTER
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Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by: hhgtfr'
[ ] Entered in Sierra on j - 3-0=5
01/28/03
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STATE OF WASHINGTON
COUNTY OF KING
AFFCONT 1/13/00
CITY OF Ti,KWILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
ss.
1. I have made application for a building permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code Washington, a copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW 18.27.090.
, states as follows:
3. I understand that prior to issuance of a building permit for work which is to be done by any
contractor, the City of Tukwila must verify either that the contractor is registered by the State of
Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby
attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I
consider the work authorized under this building permit to be exempt under No. / 2 - , and
will therefore not be performed by a registered contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to
engage an unregistered contractor to perform construction work.
APPIrt;CANT
Signed and sworn to before me this
day of
residing at
H -4
,20
NOTA PUBLIC in and or the State of Washington,
,Z- County.
Name as commissioned:
My commission expires: 6 - i •
18.27.090 Exemptions. This chapter shall not apply to:
1. An authorized representative of the United States
Government, the State of Washington, or any
incorporated city, town, county, township, irrigation
district, reclamation district, or other municipal or
political corporation or subdivision of this state;
2. Officers of a court when they are acting within the
scope of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground
mine or mineral deposit when performed by an owner
or lessee;
5. The sale or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into and do not become a
permanent fixed part of a structure;
6. Any construction, alteration, improvement, or repair
of personal property, except this chapter shall apply
to all mobile /manufactured housing. A
mobile /manufactured home may be installed, set up,
or repaired by the registered or legal owner, by a
contractor licensed under this chapter, or by a
mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW;
7. Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site
or reservation under the legal jurisdiction of the
federal government;
8. Any person who only furnished materials, supplies, or
equipment without fabricating them into, or
consuming them in the performance of, the work of
the contractor;
9. Any work or operation on one undertaking or project
by one or more contracts, the aggregate contract
price of which for labor and materials and all other
items is Tess than $500, such work, or operations
being considered as of a casual, minor, or
inconsequential nature. The exemption prescribed in
this subsection does not apply in any instance
wherein the work or construction is only a part of a
larger or major operation, whether undertaken by the
same or a different contractor, or in which a division
AFFCONT 1/13/00
of the operation is made into contracts of amounts
less than $500 for the purpose of evasion of this
chapter or otherwise. The exemption prescribed in
this subsection does not apply to a person who
advertises or puts out any sign or card or other
device which might indicate to the public that he is a
contractor, or that he is qualified to engage in the
business of contractor;
10. Any construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts or
reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or poultry
raising; or to clearing or other work upon land in rural
districts for fire prevention purposes; except when
any of the above work is performed by a registered
contractor;
11. An owner who contracts for a project with a
registered contractor;
12. Any person working on his own property, whether
occupied by him or not, and any person working on
his residence, whether owned by him or not but this
exemption shall not apply to any person otherwise
covered by this chapter who constructs an
improvement on his own property with the intention
and for the purpose of selling the improved property;
13. Owners of commercial properties who use their own
employees to do maintenance, repair, and alteration
work in or upon their own properties;
14. A licensed architect or civil or professional engineer
acting solely in his professional capacity, an
electrician licensed under the laws of the state of
Washington, or a plumber licensed under the laws of
the state of Washington while operating within the
boundaries of such political subdivision. The
exemption provided in this subsection is applicable
only when the licensee is operating within the scope
of his license;
15. Any person who engages,in the activities herein
regulated as an employee a registered contractor
with wages as his sole compensation;.
16. Contractors on highway:projeets =who have been
prequalified as required chapter 13,of "the Laws of
1961, RCW 47.28.070 with.the department of
transportation to perform highway construction,
reconstruction, or maintenance work.
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Balance Due: $ 4a.
Need Current Contractor Registration Card: D No
Need to Enter Contractor Information in Sierra: E91es No