HomeMy WebLinkAboutPermit M03-014 - FOSTERVIEW ESTATES - LOT 11M03-014
FOSTERVIEW
ESTATES LOT 11
4234 So. 137th St.
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2612000110
Address: 4234 S 137 ST TUKW
Suite No:
Tenant:
Name: FOSTERVIEW ESTATES - LOT 11
Address: 4234 SOUTH 137TH STREET, TUKWILA, WA
Owner:
Name: DUJARDIN DEVELOPMENT CO
Address: P 0 BOX 1059, SNOHOMISH WA
Contact Person:
Name: KAPPLER, JOHN
Address: 14311 SE 16 STREET, BELLEVUE, WA
Contractor:
Name: DUJARDIN DEVELOPMENT CO
Address: PO BOX 1059, SNOHOMISH WA
Contractor License No: DUJARD *204L0
Value of Construction:
Type of Fire Protection:
$4,000.00
N/A
Permit Center Authorized Signature:
MECHANICAL PERMIT
Permit Number: M03 -014
Issue Date: 01/27/2003
Permit Expires On: 07/26/2003
Phone:
Phone: 425 641 -5320
Phone:
Expiration Date: 12/16/2003
DESCRIPTION OF WORK:
FORCED AIR GAS FOR NEW SINGLE FAMILY RESIDENCE. RE -ISSUE OF NEW PERMIT FROM OLD
M2000 -205
Fees Collected:
Uniform Mechnical Code Edition:
Date: / — a 7--D -.3
$115.56
1997
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 con iQction or tbf performance of work. �I am authorized to sign and obtain this mechanical permit.
Signature:
Print Name:
doc: Mech
M03 -014
Date: i`e
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: 01 -27 -2003
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Signature: .
Print Name:
doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2612000110
Address: 4234 S 137 ST TUKW
Suite No:
Tenant: FOSTERVIEW ESTATES - LOT 11
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: 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.
5: 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).
6: 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).
7: 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.
8: Water heater shall be anchored to resist earthquake (U.P.C. 510.5).
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws
regulating construction or the performance o
PERMIT CONDITIONS
M03 -014
Permit Number: M03 -014
Status: ISSUED
Applied Date: 01/27/2003
Issue Date: 01/27/2003
Date:
Printed: 01 -27 -2003
Payment Check 5948
ACCOUNT ITEM LIST:
Description
doc: Receipt
MECHANICAL - RES
PLAN CHECK - RES
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Payee: DUJARDIN DEVELOPMENT COMPANY
000/322.100
000/345.830
RECEIPT
Parcel No.: 2612000110 Permit Number: M03 -014
Address: 4234 S 137 ST TUKW Status: PENDING
Suite No: Applied Date: 01/27/2003
Applicant: FOSTERVIEW ESTATES - LOT 11 Issue Date:
Receipt No.: R03 -00084 Payment Amount: 115.56
Initials: SKS Payment Date: 01/27/2003 11:39 AM
User ID: 1165 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
115.56
Account Code Current Pmts
92.45
23.11
Total: 115.56
4777 0i/27 9716 TOTAL 115.56
Printed: 01 -27 -2003
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 **
/SITE::
O L CATION;
i �' y . : J i ~ v �� : 'L� j r 4 K i �• ) � �1
Site Address: I 1 ' 4 2 l ' i2'Gt�
Tenant Name: /� /A •
Property Owners Name:
Mailing Address:
. O, oX j//yam
GENERATJ CONTRACTOR
11��U
Company Name: T Ar 41 lte4/,
II/
jar
Address: -'d am cl Glt lre-
Contact Person- 1 /4 .. )Z
King Co Assessor's Tax No.: ‘al. / /t2
Suite Number: Floor: /�/4
New Tenant: .... Yes [] ..No
City
Day Telephone:
E -Mail Address)//X, f `- % 417 ci!i �I�Di9 //11G, e0/ Fax Number:
UL
State Zip
Name:
Mailing Addre I ' 1/ Id /d 6 / � ,
/ / / City Zip
E -Mail Addres��4/i/ ��ll�� /00p,�lj>,S, Zetv"7 Fax Number: (
♦t
City
Day Telephone: _ .i al•
Expiration Date:
tate
Zip
Contractor Registration Number:
* *An original or notarized copy o urrent Washington State Contractor License must be presented at the time of permit issuance **
'.'ARCHITECT:OF;:RECORD= A11'plans musftie wet'starnped, ti{I'':Architect:o
;:Siy'•. it ' ,' .t:{`:i - FW S � } t;'it �.a !t t a ii -1 . ,y 7 /.t .� v '1 •• •.� .r.'�.; =;':i.t.
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Company Name: , ,�/�✓� /� L4
Mailing Address: ��.
� - v Y�
Contact Person: he
E -Mail Address: - j4.ze
ENGINEER OF RECO
All plans must be.wet stamped by of - Record::
Company Name: ePe ��7.G' i
Mailing Address:
Contact Person: /G 7//1.,/i
E -Mail Address:
Vpplicationslpermit application (1.2003)
1/2003
0
Page 1
City State Zip
Day Telephone: 41/,/,--,60. Gt €
Fax Number: '/
State Zip
171
City
Day Telephone:
Fax Number:
,xaa�ayxatts�za +
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•BUILDIjG�PE CIO 206 = 431 =36
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A* X14. 1).% _.�YU.r.5 ?; , bs• ^. „ 'JMh :fl i �.} � ,.: .' ;h? {tM., :^+ • �•,:* : - : , x ": `::
Valuation of Project (contractor's bid price): S
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑...Yes V.. No If "yes ", see Handout No.
rovide All Building :Areas in Square •Footage Below;
•••l "•Floor
'2 Floor ;
37 Floor
Floors
Basement
Acc Stricture'
•
Attached.Garage
Detached; Garage
Attached,Carport
Detached Carport
'.Covered
- UncoveredDec
Addition to;:; =:;
Existing
Structure
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'714
1
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Type of
Construction
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.Type of
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PLANNING DIVISION: / /
Single family building footprint (area of the foundation of all structu s, plus any decks over 18 inches and overhangs greater than 18 inches) ! f *6! l4 .
*For an Accessory dwelling, provide the following: d
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: 2 Compact: Handicap:
Will there be a change in use? ❑...Yes g. No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ .. Sprinklers ❑...Automatic Fire Alarm 1rX.None ❑ .. Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes ❑...No
If "yes", attach list of materials and storage locations on 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 X. Water District /1125 , ❑... 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
❑ .. 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)
lapplicationstpermit application (1.2003)
1/2003
Page 2
xistin Building Val ation: $
for requirements.
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:PUBLIC ORKs PERMIT INFORNXATIUN . :::''206= 433= 017,9
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f..s�l�:�`a:'. sy'. .'t,..�x'.• fir �t.si�'vaw'.� -1 .7'c i r..;
Scope of Work (please provide detailed information):
Street Use:
❑ .. Street Use
Land Altering and /or Hauling:
❑ .. Land Altering: ❑...Cut
ease refer to Public Works Bulletin #1 for fees' and estimate; sheet.
❑...Channelization/Striping X.. Curb cut/Access/Sidewalk
St rrn Drainage:
,. Storm Drainage ❑...Flood Control Zone
Sewer Information:
❑ .. City of Tukwila Sewer District X.. 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 S. Water District #125 0... Highline Water District ❑...City of Renton Water District
❑ .. Water Main Extension )g[.. Private 0... Public
❑ .. Water Meter/Exempt: Size(s): ❑ .. Deduct 0... Water Only
❑ .. Water Meter Permanent #: Size(s): . /e5 x 31 u
❑ .. Water Meter Temporary #: Size(s): ❑ .. Est. Quantity: gallons
❑ .. Fire Loop/Hydrant (main to vault) #: Size(s): ❑ .. Landscaping Irrigation
❑ .. Miscellaneous:
Monthl 42h Bio: /
Name: A,Gl� l/ eia
Mailing Address:
Water ... 0
Water Meter tndBil 'n
Name: J�h /h a effilAS [�
Mailing Address: ��`f,?/i C1 ' a P
Vpplications\permit application (1.2003)
1/2003
Call before you Dig: 1 -500- 424 -5565
cubic yards 0... Fill cubic yards ❑ .. Hauling
City
Sewer ... ❑ Sewage Treatment
Page 3
Day Telephone: ,fit! /— /16 4.-~/ 4046'
City
State
Fire Line ....
Zip
Day Telephone: 4 CLl�l�i
State Zip
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• :Qty
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: ;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>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
Hood
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm/Ind
MECHANICAL .,PERMITINFURMATION.:
Contact Person:
E -Mail Address:
Indicate type of mechanical work being installed and the quantity below:
BUILDIN . • l: �i� iliTHORIZED AGENT:
I'
Signature: IPS
Print Name:, )04
Mailing Address: �h
\applicationa\permit application (1.2003)
1/2003
06='
ad
Page 4
1` =36
Sat
MECHANICAL CO STOR FOytMATION
Company Name:
Mailing Address: da( � l��i /1�L1?J
City S ta l e Zi
Day Telephone: < 6) 3W- 4/�/
/ Fax Number: l2
Contractor Registration Number: / '1 Z ' 4Zd Expiration Date: 1/ 1)*
* *An original or notarized cop of etfrrent 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): 'Pe d ✓ CLJ - � ✓I7G!•c) �J /✓J /J7/
Use: Residential: New ...X Replacement .... ❑
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas... Other:
'>FER1YiITt APPLICATIO T OTES:- Ai`nlicatile all; ` 'ern><its in`.aliis Appl;ca
;%. "�•'• 'S( .+ ��� .�i. ,„ �
.�,��.�.a�G ;: ..e'`k�A,,:i", .��n..ti eL �.. ....- ^ w^w�:!:•N , - ; :;^. t^'-'` l? �^ '? t� 's.r.. >''�'r'- �'x`.t...:, ;�.... •. •i. r�1.,tr�: �:.. ,. ...�:� -.. �.� -, ;:.. _� ,:5...�. _..
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 BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Date:
Day Telephone: (7ko'•/1/ Ll -.0
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City
State
Zip
Date Application Accepted: .
/ 7—D.3
Date Application Expires:
7 - c3
Staff Initials:
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S pecial Instructions:
Date Wa ed :1 -02 m;
(.t7
Re er:
16000
PhEe 33n-- ` (c od'
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
CO ENTS:
Approved per applicable codes.
Corrections required prior to approval.
$47.00'REII ECTION F REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Ivd., Suite 100. Call to schedule reinspection.
Receipt No.:
`Date:
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COMMENTS:
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Type of Inspv-tion:
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Date Calledn9:
Special Instructions:
Date Wanted:
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Requester:
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Phone No
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Inspector.
L Date: 0
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INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431-3670
E Corrections required prior to approval.
El $47.00 REINSPECTION FEE REQUI ED. 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:
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Special Instructions:
.
Date Wanted:
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INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88
12 - Approved per applicable codes.
PER
( 0.)431-3
D Corrections required prior to approval.
COMMENTS:
Inspector('
Date: 0
Ei
$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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Site Address:
Effective: 7/1/02
CITY OF TUKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
Residential Heating and Ventilation Compliance Form
(Complete Sections I and II for Group R Occupancies 4 Stories or Less)
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 prescr'pti e, complete the following calculation):
House Square Footage (heated space):
X 20 BTU /h
Heating System Installed, (check system type below):
1. ❑ Electric Resistance
2. ❑ Electric (forced air)
3. 1 Other Fuels (gas, heat pump)
II. WASHINGTON STATE VENTILATION AND INDOOR AIR QUALITY CODE (select A or B below):
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 %"
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.)
0 Prescriptive Minimum /Maximum Outdoor Air . alculation specified in Table 3 -2 (see reverse side of form).
1. House Square Footage:
MECHANICAL PERMIT APPLICATION NO.:
BUILDING PERMIT APPLICATION NO.:
= '4 2 7 Maximum BTU of Heating System Output
2. House Number of Bedrooms:
3. Required Outdoor Air Table 3 -2: Minimum - cfm
Maximum - iii, cfm
RECFIV
CITY OF TOO/VILA
JAN 2 7 1003
PERMIT r ;ENTER
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3
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70
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Max
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Max
Min
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Min
Max
Min
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Min
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50
75
65
98
80
120
95
143
110
165
125
188
140
210
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75
113
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158
120
180
135
203
150
225
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110
165
125
188
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155
233
170
255
185
278
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6001 -7000
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173
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195
145
218
160
240
175
263
190
285
205
308
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8001 -9000
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203
150
225
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248
180
270
195
293
210
315
225
338
ll. > :9000"# :
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$308
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1353::
Fan Tested CFM
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
: 5:S, � ; 50. V. � � ,.ga4: :J.;.:•:f/4+5
.:T90'-.'1,':. .- .k;;:.,
,r.
.. f- ;5'inch-,.:::;:,
:,�K ;;: f, �,
..100; �
Ise.,.. i•.3:..r:a�'u, ,r:
��,: >: ..`f:.
50
6 inch
No Limit
6 inch
No Limit
3
i ' . 1 :., r ' MiW Vi i:
,..�
,,�,; . V .~}80.; �,.r1•:.�'X
1(41; .
�;.: x 4`iiic �z �
� '� ,. h�.•=
, 't ilkl:.i
� � .: Cad' ^.'(Y:4 42.
.;;, .�.. �1':fJA. >.•
• j :^}: l •, 9.... '. ' t. ::
..{-� l•,;s.ii:.;a, r• � :,•�
, . tncli ,.
!.i64.ne,,, f {! k%: . :.:�
,.;.,. s f
1,: . -,�
. (: ..�� { �'e'. f..x,, . i ���j 1
.,.o
'i. }i' °' ;3;'t' i.=,r..
80
5 inch
15
5 inch
100
3
_
.;. 80�t. 3. t' �i�� ~.�..�u�:6:'inch':n:.:�h
•1�r1:,. iii^::
- :.
! �'::i- ;'' 'T-y.'.CA.
= ,:�: :�...:9
0:r.,�,.�,�n.�r�
•.f.:F: .� •.
..�.� :.�, 6'`irich':
':1:_�
. .. ,.. No! Litnit�:; f�,: �;.._.=
.'.�"•'. ' 1•:
.4 :
�;:�_..�3.�.: '.:�;�:
,:;
100
5 inch'
NA
5 inch
50
3
• • : : ?,.i ll,: 1 ti ';R�
. .. - �1U0; ��� ,��s�>��,
. k 1� t, :41 i
�
.� +-- „-
��:, ;%�x:��45..!-�� -:
15
i'J• {. :4n1
• :r.,::;:6�iricfi ..�
6 inch
•'. :• �.:5 h ;*,
._ ,..�:,No' ...
No Limit
'. ; 'Y'a frt ;, ^i ":lo A ,
':�, t ;i.3;p:.� t.��- .. - .
3
125
6 inch
.� i r .
�L•� : ; ,,;1.. rY�:�
: t1.151..,,f`.�,. �
i'. '3 ? ?:
,a�� rr'•
...:�...,Tinch,.- ...�...
• "st :f
=•, • •� ;�'•�a; •,
�`Fw.t..r,,70 .� ���..rr
; gin:' .� .§.V:..
:;Y ., {- : •� ; .'.,.•-•ti °:�:�
, ,., r: 7incti'•
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.';i.�:4�'No:lim'it'= ..- ��::�:.
.
i.r • S
,.: .,.^ '<<3`••<r,.. t'
•
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 fo a 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.
Effective: 7/1/02
TABLE 3 -3
PRESCRIPTIVE EXHAUST DUCT SIZING
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z
TYPE
SHEET
COPIES
D •
JOB/PHASE
DESCRIPTION
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R/NR
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PROJECT NAME:
COMPANY:
ATTN:
TYPE OF DELIVERABLE:
AP - ARCH PACKAGE
BS -BANK SET
DS - DISCOUNT PLAN
EP - ELECTRICAL PACKAGE
GP - GRAPHICS PACKAGE
IR - INHOUSE REIMBURSABLE
LP - LATERAL PACKAGE
PPLER 'ARCHITECTS P,S.
Your complete home planning resource
?
MP - MECHANICAL PACKAGE
MS - MARKETING SET
PP - PERMIT PACKAGE
R - REIMBURSABLE
RP - RENDERING PACKAGE
RS - RESTOCK PLOTS
SE - STOCK ELECTRICAL PACKAGE
14311 South East 16' Street
Bellevue, WA 98007
Tel: (425) 641 -5320 / 1- 800 - 888 -4517
Fax: (425) 641 -5318
www. kapplerhomeplans. corn
PROJECT NO: 1 0 1 0/0
DATE:
SG -STOCK GRAPHICS PACKAGE
SL - STOCK LATERAL PACKAGE
SM - STOCK MECHANICAL PACKAGE
SP - SITE PLAN PACKAGE
W - WATTSUN PACKAGE
WO - WRITE OFF
If enclosures are not as noted,
please inform us immediately
RECEIVFn
REMARKS:
CITY OF TUF WILA
IAN 2 7 urn
PERMIT C.I NTER
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W
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