HomeMy WebLinkAboutPermit M02-033 - POWELL HOME BUILDERS (SHERRILL RESIDENCE)Powell Homes
14434 46t''
Avenue South
M02 -033
Parcel No.: 0040000596
Address: 14434 46 AV S TUKW
I Suite No:
Tenant:
Name: POWELL HOME BUILDERS (SHERRILL RESIDENCE)
Address: 14434 46 AV S, TUKWILA, WA
Owner:
Name: POWELL HOMES Phone:
Address: 22528 MARINE VIEW DR S, TUKWILA, WA
Contact Person:
Name: DONNA JACK Phone: 206 248 -7900
Address: 4601 SOUTH 134TH PLACE, TUKWILA, WA
Contractor:
Name: BRENNAN HEATING CO INC Phone: 206 - 248 -7900
Address: 4601 S 134 PL, TUKWILA, WA
Contractor License No: BRENNHC077NC Expiration Date: 03/01/2002
DESCRIPTION OF WORK:
INSTALLING NEW GAS FURNACE (NEW CONSTRUCTION)
Value of Construction:
Type of Fire Protection:
Permit Center Authorized Signature:
Print Name: c J
doc: Mech
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
$4,000.00
N/A
MECHANICAL PERMIT
MO2 -033
Permit Number:
Issue Date:
Permit Expires On:
Fees Collected:
Uniform Mechnical Code Edition:
MO2 -033
? Date: C %Z 4M /
$61.19
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 construction or the perform ce of work. I am authorized to sign and obtain this mechanical permit.
Signature: aiblW"\ Date: Dica �- t�
L
H)A •. eAti AtLeK ►.
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 -22 -2002
doc: Conditions
City of'I'ukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0040000596 Permit Number: MO2 -033
Address: 14434 46 AV S TUKW Status: APPROVED
Suite No: Applied Date: 02/14/2002
Tenant: POWELL HOME BUILDERS (SHERRILL RESIDENCE) Issue Date:
1: ** *BUILDING DEPARTMENT * **
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
(248- 6630).
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 identi- fication
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).
8: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be con- strued 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.
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).
thereby 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 of work.
Signature:
Print Name: �NfafJ1��A /�Z-1
PERMIT CONDITIONS
Date: 0 ,/ao -/Oc9
MO2 -033 Printed: 02 -22 -2002
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Project Name /Tenant: !� u
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Value of Mechanical Equipment:
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Site Address :
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Tax Parcel Number:
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Property Owner: --1,Ot))
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Phone: (j ) ga.. _� � , I
Street Address: o� c� 1 J a�
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Fax #: (xG ) ,24. ,-71 7 .
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Contractor: �{ef��140, t I m C �
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Phone: ( �) _ ,•�� or)
Street Address: i 0)
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Fax #: ( �Gb ��k 8�• / � 0 -
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Contact Person: Doi,jkl.A J (4c4
Phone: (Da, ) atAc bc7
Street Address:
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Fax #: ( ) 048- `7905
':,IBUILDING: :' MOR:AUTHORI = D ?A'GENT: : :1, ;' :.
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Signature: li al ne
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Date: ,�l 1 4/ 0 9___
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Print name: Si
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Phone: (
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Fax #: ) 4 ••t ��IQj
Address: 1 s iti
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CITY OF T KWILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Project Number.
Permit Number:
Mechanical Permit Application
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or facsimile.
STAF F LJSE ONI Y
ECHANICAL PERMIT REVIEW. AND APPROVAL REQUESTED: (TO BE FILLED OUT BY APPLICANT)
Description of work to be done (please be specific):
- ►�s-r au-I .s. pule ki A C
Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of
application, a copy of this license will be required before the permit is issued OR submit Form H-4, "Affidavit in Lieu of Contractor
Registration ".
Building Owner /Authorized Agent: If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the
State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and obtain the
permit will be required as part of this submittal.
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.
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 114.4 of the Uniform Mechanical Code (current edition). No application shall be
extended more than once.
Date application accepted:
.s(44 L
Date application expires: II))
Application ken (initials)
11/2/99
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Submittal Requirements
Floor plan and system layout
Roof plan required to identify individual equipment and the location of each installation (Uniform
Mechanical Code 504 (e))
Details and elevations (for roof mounted equipment) and proposed screening
Heat Loss Calculations or Washington State Energy Code Form #H -7
H,V.A,C. over 2,000 CFM (approximately 5 ton and larger) must be provided with smoke detection shut-
off and will be routed to the Fire Prevention division for additional comments (Uniform Mechanical
Code 1009).
Specifications must be provided to show that replacement equipment complies with the efficiency ratings
and other applicable requirements of the Washington State Nonresidential Energy Code.
Structural engineer's analysis is required for new and the replacement of existing roof equipment
weighing 400 pounds and greater (Uniform Building Code 1632.1). Structural documentation shall be
stamped by a Washington State licensed Structural Engineer.
COMMERCIAL: Two complete sets of drawings and attachments required with application submittal
Mechanical Permits
NOTE: Water heaters and vents are included in the Uniform Mechanical Code — please include any water
heaters or vents being installed or replaced.
RESIDENTIAL: Two complete sets of attachments required with application submittal
Submittal Requirements
New Single Family Residence
Heat loss calculations or Form H -6.
Equipment specifications.
Narrative with specification of equipment and chimney type.
If using existing chimney, provide a letter by a certified chimney sweep stating that the chimney is in safe
condition.
11/2/99
miscpmfdoc
Change -out or replacement of existing mechanical equipment
I Narrative of work to be done, including modification to duct work.
Installation of Gas Fireplace
NOTE: Water heaters and vents are included in the Uniform Mechanical Code — please include any water .
heaters or vents being installed or replaced.
Parcel No.:
Address:
Suite No:
Applicant:
Receipt No.:
Initials:
User ID:
Payee:
TRANSACTION LIST:
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
0040000596
14434 46 AV S TUKW
POWELL HOME BUILDERS (SHERRILL RESIDENCE)
R020000253
LAW
1630
BRENNAN HEATING COMPANY INC
Amount
Type
Payment Check 17260
ACCOUNT ITEM LIST:
Current Pmts
MECHANICAL - RES
PLAN CHECK - RES
Description
RECEIPT
Method Description
000/322.100
000/345.830
Permit Number:
Status:
Applied Date:
Issue Date:
Payment Amount: 61.19
Payment Date: 02/22/2002 10:00 AM
Balance: $0.00
61.19
Account Code
48.95
12.24
Total: 61.19
MO2 -033
APPROVED
02/14/2002
4142 02/22 9716 TOTAL 61.19
Printed: 02 -22 -2002
Project: , i
h-e-ry■ 11 Rzes
Type of Inspection: ....., . 1
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Address:
ti-v--1 3 LI 1 4 6 AS
Date called: -V
,,,
Special instructions:
Date wanted: t•!..'• • :, .
rR •.)-
Requester:
Phone:
,,.:-.. .
3 INSPECTION RECORD,'
Retain a copy with permit
INSPECTION NO. : / PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION ,.' 4 •
6300 Southcenter Blvd, #100, Tukwila, WA 98188 . , , (206)431-3670
. X .. Approved per applicable codes.
0 Corrections Irequired prior to approval.
COMMENTS:
A tr. Co
OIL
•
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• -• • • •
• •
• '
•
Inspectorr
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:
•
03
t3.
4
•
'a , Lf - tt•14 , ' ^:rt 41 I
.41
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f, • ta,:b ■•st?st V{4,0..4 WCPWA,
.Pro e
' .. NI - err. \\ • 1-es
Type of Ins p
YP P _
.
A dress:.
11 �
14 w 3 � A
Date called: '
•
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41 :
�: 0a,
..Special. instructions:
Date wanted:: `:
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• a.m.
Requester:
Phone:
wi
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? !1 •:D'A's: ..,...e.4:k ai.% }'2'.1!i7t3�i�L`•f:. �.v..'.4•i:�.'
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
Approved per applicable codes.
INSPECTION RECORD ,
Retain a copy with permit
COMMENTS:
FclYv+nc� 4 cioe 1.;•.
*0 c 11-e C Ic, -- Je
s \, .S4 '
*(1)a(r
Inspecto
Date:_ ` f - 02
$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:
MO? Q? - . 033
PERMIT NO.
(206)431 =367
aCorrections,required prior to approval.
Pro}�'e,,cit ::: >
;:Type of Inspectiot .
`
Address:
1 LAH3
I 6 A„ s
Date called:
3 1 3 - 0.z
Special instructions:
Date wanted: a`�
Requester� V1
Phone:
•
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING:. DIVISION
6300 Southcenter Blvd, #100, Tuk■ila,'. WA 98188
fH.
PERMIT NO.
(206)431 -3670
IR Approved per applicable codes. fl Corrections required prior to approval.
COMMENT
Inspector: - n ?
Date: 18 o2.
3
0 $47.00 REINSPECTION FEE REQUIRED. Prior to, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
qi
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BY
Date
hll ' i ." � J1Hf•1 'ruK Th.H DiJD /P14
rstand that the Plan Check approvals are
ct to errors and omissions and approval of
s does not authorize the violation of any
pted code or ordinance. Receipt of con -
tor's copy of approved plans acknowledged.
Permit No.
�0 - /Oa- Washington Ste
Project Name
Address
Residential Building Permit Number
I. II. Ill, IV. V. VI.
2, House Square Footage (HSqFt) 23
3. Heating System installed, (check system type below).
a) Electric Resistance / 21 BTU /h per sq.ft. _
b) Electric (forced air) / 24 BTU /h per sq.ft. _
Applicant's Signature
_Yog 50
4BE MADE TO
• ' ....,....
P. 3
. 1 t. ,c A ?. W FLAN SUE .'.. 7 irl.
ki.e7 MAY IN;.LLIDE 1.0D17131\AL PLAN REVI
Mechanical Application # 033
PRESCRIPTIVE HEATING SYSTEM SIZING
ILY HOMES - NEW CONSTRUCTION
e Energy Code Chapter 9, Climate Zone 1. -
1. Prescriptive Option W.S.E.0 Chapter 6, (check building permit op
CITY OF TUKWILA
I yG DIVISION
VII. VIII.
• '. 1''` kL
[1 E _Ef..
&GAS PIPU\ G
ii�l�
< OM)
RECEIVED
CITY OF TUKWILA
c) Other Fuels (gas, heat pump) / 27 BTU /h per sq.ft. X
4. Equipment:
a) Make Pv7v,q..
b) Model PG 710,4 -3C, ?M
c) Size in BTU's 43 Q
5. Calculation / (HSqFt) 235( _ (see line 2 above)
BTU /h X • ? (see line 3 a, b, or c above)
FEB 1 4 2002
BTU Equipment Maximum Size
PERMIT CENTER
Date 244
MOZ o33
MECHANICAL VENTILATION
INTEGRATED FORCED -AIR VENTILATION REQUIREMENTS
PROJECT:
ADDRESS: , wag gm, tI fi r_ S.
! uk,,iy. Lk,
1. INTERMITTENTLY OPERATED WHOLE•HOUSE VENTILATION•SYSTEMS
�� n ��c\tiALL BE CONSTRUCTED TO HAVE THE CAPABILITY FOR CONTINUOUS
, 2'" OPERATION, AND SHALL HAVE A MANUAL CONTROL AND AN AUTOMATIC
>> c i ll ~'' c"; CONTROL, SUCH AS A CLOCK TIMER.
mo
•
nl (, 2. INTEGRATED FORCED -AIR VENTILATION SYSTEMS SHALL HAVE A
6 INCH DIAMETER OR EQUIVALENT OUTDOOR AIR INLET DUCT
0 E"'
} NNECTING A TERMINAL ELEMENT ON TH17UTSIDE OF THE BUILDING
q4 34 TO THE RETURN PLENUM OF THE-FORCED-AIR SYSTEM.
.(W
THE OUTDOOR AIR INLET DUCT SHALL BE EQUIPPED WITH A DAMPER,
OR OTHER DEVICE THAT REGULATES AIR FLOW TO A MINIMUM OF 0.35
AIR CHANGES PER HOUR BUT NOT GREATER THAN 0.50 AIR CHANGES
PER HOUR UNDER NORMAL OPERATING CONDITIONS.
THE OUTDOOR AIR CONNECTION TO-TEE RETURN AIR STREAM SHALL BE
LOCATED TO .PREVENT THERMAL SHOCK TO THE HEAT EXCHANGER.
3. THE FOLLOWING CALCULATIONS DESCRIBES THE RANGE FOR
MINIMUM AND MAXIMUM AIR'.CHANGES PER HOUR UNDER'NORMAL
OPERATING CONDITIONS.
AREA OF HOUSE X CEILING HT. X 0.35 / 60 = MIN. CFM REQD.
AREA OF HOUSE X CEILING HT. X 0,50 / 60 = MAX. CFM REQD.
COMPANY: G Ne_th eovh - r i ;
THIS HOUSE: MINIMUM CFM =
MAXIMUM CFM = "MAW)
THE DUCT DAMPER HAS BEEN SET & TESTED /� ^^
( TO R THE' AIR IN DUCT FLOW TO (2C.) CFM
AND IS THEREFORE IN ACCORDANCE WITH THE WASHINGTON STATE
INDOOR AIR QUALITY CODE REQUIREMENTS.
MECHANICAL CONTRA TOR (please print)
NAME : 1 JIDv► ✓ 41
ADDRESS : 1 (600, &o L 1391Y1 '
.t nkfin
SIGNED:
RECEIVED FROM 2064313665
LOT#
PERMIT # •
DATE : 2 j 1-002,
5.24.1996 E: F. 2
CITY OF TUKWILA
FEB .1 4 2002
SHf• VI k.
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KIIMMISIENEMEMMEMEMansuct
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41'
August 13, 2002
Ms. Donna Jack
Brennan Heating
4601 S 134 PI
Tukwila, WA 98168
RE: Permit Application No. MO2 -033
Location: Sherrill Residence
14434 46 Av S
Dear Permit Holder:
City of Tukwila
Department of Community Development Steve Lancaster, Director
In reviewing our current records the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the Uniform Building Code and /or Uniform Mechanical Code, every permit
issued by the Building Official under the provisions of this code shall expire by limitation and become null
and void if the building or work authorized by such permit is not commenced within 180 days from the date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time
after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
•Call the City Of Tukwila Permit Center at (206) 431 -3670 to arrange for the next
scheduled inspection
This inspection is intended to determine if substantial work has been accomplished since issuance of the
permit or last inspection; or if the project should be considered abandoned.
The Building Code does allow the Building Official to approve a one -time extension up to 180 days.
Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the
applicant's control have prevented action from being taken.
In the event you do not call for the above inspection or request and receive an extension prior to September
14, 2002, your permit will become null and void and any further work on the project will require a new permit
and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Kathryn A. Stetson
Permit Technician
Xc: File No.MO2 -033
Bob Benedicto, Building Official
Steven M. Mullet, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 - 431 - 3665
ACTIVITY NUMBER: MO2 -033 DATE: 02 - -
PROJECT NAME: POWELL HOMES (SHERRILL RESIDENCE)
SITE ADDRESS: 14434 46 AVENUE SOUTH
XX Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Is Issued
DEPARTMENTS:
Building Division
AUX/ le
Public Works Lj
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete 11 Incomplete
TUES /THURS ROUTING:
Please Route
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS: (ten days)
Approved n Approved with Conditions
CORRECTION DETERMINATION:
Approved n Approved with Conditions n
REVIEWER'S INITIALS:
\PRROUTE.DOC
5/99
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
r�
Fire Prevention
Na, 2. 14•ot —
Structural
Structural Review Required
REVIEWER'S INITIALS:
PERMIT COORD COR
1
Planning Division
Permit Coordinator
DUE DATE: 02-19-02
Not Applicable
Comments:
No further Review Required
DUE DATE 03 -19 -02
Not Approved (attach comments)
n
DATE:
DATE:
DUE DATE
Not Approved (attach comments)
DATE:
DEPARTMENTS:
Building Division ›It
Public Works
Complete
\PRROUTE.000
5/99
TUES /THURS ROUTING:
REVIEWER'S INITIALS:
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: MO2 -033 DATE: 02 -14 -02
PROJECT NAME: POWELL HOMES (SHERRILL RESIDENCE)
SITE - ADDRESS: 14434 46 AVENUE SOUTH
XX Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Is Issued
C
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
APPROVALS OR CORRECTIONS: (ten days)
Approved El Approved s it Conditions
Fire Prevention n Planning Division
Structural
Incomplete
Please Route Structur I Review Required
REVIEWER'S INITIALS: �^--
DUE DATE: 02-19-02
Not Approved (attac
DATE: Z
Permit Coordinator
Not Applicable
Comments:
No further Review Required
DATE:
DUE DATE 03 -19 -02
comm .nts) n
CORRECTION DETERMINATION:
Approved n Approved with Conditions n Not Approved (attach comments)
n
I
DUE DATE
REVIEWER'S INITIALS: DATE:
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❑ 2 Pre - construction
❑ 50 WSEC Residential
4 ❑ 60 WA Ventilation/Indoor AQC
❑ 610 Chimney Installation/All Types
❑ 700 Framing
❑ 1080 Woodstove
❑ 1090 Smoke Detector Shut Off
lEr 1100 Rough -in Mechanical
1101 Mechanical Equipment/Controls
1102 Mechanical Pip/Duct Insul
❑ 1105 Underground Mech Rough -in
1115 Motor Inspection
1400 Fire - Final
❑ 1800 Mechanical - Final
❑ 4015 Special -Smoke Control System
PERMIT NO.: /770,2?
MECHANICAL PERMIT APPLICATIONS
INSPECTIONS
CONDITIONS
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 & I
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....
Additional Conditions:
TENANT NAME: /C; °(( 2/
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 cfm (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 $5)
Plan Reviewer:
Permit Tech:
fiL
Add'I Fees — Work w/o Permit (Y/N)
Insp Outside Normal Hours (hrs)
Reinspections (hrs)
Miscellaneous Inspections (hrs)
Add'l Plan Review (hrs)
Date: 1 t 101—
Date:
ACTIVITY NUMBER: MO2 - 033 DATE: 02 -14 -02
PROJECT NAME: POWELL HOMES (SHERRILL RESIDENCE)
SITE ADDRESS: 14434 46 AVENUE SOUTH
XX Original Plan Submittal
DEPARTMENTS:
Building Division
Public Works
TUES /THURS ROUTING:
Please Route
REVIEWER'S INITIALS:
PLAN REVIEW /ROUTING SLIP
Response to Correction Letter #
n
n
n
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete n Incomplete
Comments:
uct r- Review Required
APPROVALS OR CORRECTIONS: (ten days)
Approved n(
REVIEWER'S INITIALS:
CORRECTION DETERMINATION:
\PRROUTE.DOC
5/99
Response to Incomplete Letter #
Revision # After Permit Is Issued
Fire Prevention Planning Division
Permit Coordinator
DUE DATE: 02-19-02
Not Applicable Ti
No further Review Required
DATE: I'a ',
DUE DATE 03 -19 -02
Approved with Conditions n Not Approved (attach comments)
DATE:
DUE DATE
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I certify this is a true and correct copy of the original
document as presented to me on Oda by 14 501 ' 1 of II6t*J
Signature of Notary Public
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Printed notate of Notary Public
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My commision expires