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Permit M01-018 - ERSKINE RESIDENCE
City of Tukwila Address: 4620 S 122 ST Location: Parcel #: 334740 -1420 Contractor License No: KLINGAI003DG Permit No: M01 -018 Type: B -MECH Category: RES Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 MECHANICAL PERMIT TENANT JACK ERSKINE 4620 S 122 ST, TUKWILA, WA 98178 OWNER BUI DAC DONG 10619 16TH SW, SEATTLE WA 98146 CONTACT DUANE KLINGE 20517 SE 241 PL, MAPLE VALLEY, WA 98038 CONTRACTOR KLINGE & ASSOCIATES INC Phone: 206 -793 -2394 20517 SE 241ST ST PLACE, MAPLE VALLEY, WA 98038 ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Description: INSTALL STATE OF WASH. CERTIFIED "OSBORNE 2200 BAY WINDOW FREE STANDING WOOD STOVE" W /PRE FAB CHIMNEY PIPE THROUGH ROOF TO BE. INSTALLED BY CERTIFIED INSTALLER (ALL AMERICAN CHIMNEY) UMC Edition: 1997 Valuation: Total Permit Fee: (206) 431 -3670 Status: ISSUED Issued: 02/27/2001 Expires: 08/26/2001 Phone: Phone: (206)433 -9056 Phone: 206 - 793 -2394 1,400.00 51.75 ******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit : Center Aut ri zed ^ Signature Date I hereby certify that I have read and examined this permit and.know the same. to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or . cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign for and . obtain building permit Signature: Print Name: jU , J[ (L �( 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. Title: w: Nom: rnw L3?s,, w� H z ILI mi .D O V3'. O H; . w w . • W Z 0- z . ACTIVITY NUMBER: M01 -018 DATE: 01 -30 -01 ' ROJECT NAME: JACK ERSKI N E SITE ADDRESS: 4620 S 122 ST SUITE NO: Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Is Issued DEPARTMENTS: Build ni g' ©ivision F PriAkt 9419 ( n Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete TUES /THURS ROUTING: Please Route rEf;MIT COORD COPY PLAN REVIEW /ROUTING SLIP Incomplete Comments: Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: (ten days) Approved (n Approved with Conditions rwrouILDOC WI hcl �- Fire Prevention Structural Planning Division Permit Coordinator DUE DATE: 02- 30-2001 Not Applicable n No further Review Required n DATE: DUE DATE 3-1 -2001 Not Approved (attach comments) ri REVIEWER'S INITIALS: DATE: CORRECTION DETERMINATION: DUE DATE Approved ri Approved with Conditions n Not Approved (attach comments) n REVIEWER'S INITIALS: DATE: Ct U O; 0 w o. g J; c -W 3 F; w 2 m! Uo 0 H` w W F V LL o , ti .Z z ACTIVITY NUMBER: M01 - 018 PROJECT NAME: JACK ERSKINE SITE ADDRESS: 4620 S 122 ST Original Plan Submittal DATE: 01 -30 -01 SUITE NO: _ • Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued DEPARTMENTS: Building Division Public Works Complete DETERMINATION OF COMPLETENESS: (Tues., Thurs.) TUES /THURS ROUTING: Please Route Approved I'RROUIIDOC PLAN REVIEW /ROUTING SLIP n REVIEWER'S INITIALS: CORRECTION DETERMINATION: Fire Prevention Structural Incomplete APPROVALS OR CORRECTIONS: (ten days) Approved Approved with r • di ,ions REVIEWER'S INITIALS: Approved with Conditions Structural Revi e•uired n No further Review Required DATE: . Z.-• I— Zoo t REVIEWER'S INITIALS: Planning Division n Permit Coordinator Not Applicable Not Approved (attach comments) DATE: 2- 1.-&27 DUE DATE: 02- 30-2001 Comments: DUE DATE 3-1-2001 DUE DATE Not Approved (attach comments) n DATE: PERMIT NO.: MD 1 D MECHANICAL PERMIT APPLICATIONS INSPECTIONS ❑ 00002 ❑ 00050 ❑ 00060 sr 00610 ❑ 00700 Q' 01080 ❑ 01090 ❑ 01100 ❑ 01101 ❑ 01102 ❑ 01105 ❑ 01115 ❑ 1400 ❑ 0 ❑ 04015 CONDITIONS 2 0001 No changes to plans unless approve&by Bldg Div ❑ 0014 Readily accessible access to roof mounted equipment ❑ 0016 Exposed insulation backing material icr 0019 All construction to be done in conformance w /approved plans ❑ 000 Plumbing permits shall be obtained through King. Co 2" 0027 Validity of Permit �[],/ 0003 Electrical permits obtained through L & I l 0036 Manufacturers installation instructions required on site ❑ "BTU maximum allowed per 1997 WA State Energy Code" ❑ 0041 Ventilation is required for all new rooms & spaces ❑ "Fuel burning appliances ❑ "Appliances, which generate...." ❑ "Water heater shall be anchored...." Additional Conditions: Pre - construction WSEC Residential WA Ventilation/Indoor AQC • Chimney Installation/All 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 Final Mechanical Special -Smoke Control System TENANT NAME: K E RSK I tiI FEES Basic Fee (Y/N) Supplemental Fee (YIN) Plan Check Fee (Y/N) Furnace/Burner to 100,000 BTU (qty) Over 100,000 BTU (qty) Floor Furnace (qry) Suspended/Wall/Floor - mounted Heater (qty) Appliance Vent (qty) Heating/Refrig/Cooling Unit/System (qry) Boiler /Compressor to 3 HP /100,000 BTU (qry) 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 (qry) Air Handling Unit to 10,000 cfrn (qty) over 10,000 cfm (qty) Evaporative Cooler (qry) Ventilation Fan (qry) Ventilation System (qty) Hood (qty) Incinerator — Domestic (qty) Incinerator — Comm/Ind (qty) Other Mechanical Equipment (qty) Other Mechanical Fee (enter SS) Add'! Fees — Work w/o Permit (Y/N) Insp Outside Normal Hours (hrs) Reinspections (hrs) Miscellaneous Inspections (hrs) Add' l Plan Review (hrs) Plan Reviewer. Date: FL' 200 Permit Tech: Date: 1 ACTIVITY NUMBER: M01 -018 PROJECT NAME: JACK ERSKINE SITE ADDRESS: 4620 S 122 ST Original Plan Submittal Response to Correction Letter # DATE: 01 -30 -01 SUITE NO: Response to Incomplete Letter # Revision # After Permit Is Issued DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: TUES /THURS ROUTING: Please Route n REVIEWER'S INITIALS: PLAN REVIEW /ROUTING SLIP Fire Prevention Planning Division Structural Incomplete Structural Review Required APPROVALS OR CORRECTIONS: (ten days) Approved ❑ Approved with Conditions n Permit Coordinator DUE DATE: 02- 30-2001 Not Applicable n No further Review Required DATE: 1— 0 � DUE DATE 3-1-2001 Not Approved (attach comments) n REVIEWER'S INITIALS: DATE: CORRECTION DETERMINATION: Approved REVIEWER'S INITIALS: Approved with Conditions DUE DATE Not Approved (attach comments) DATE: Project me ten t: is 1 _ Y ) �of�M�chanical Equipment: Signature: t � Site Address : '' ll i £ S 7 L i a e/ i '7(P 11 C r l tj Tax iParcel b r: 33 pp0 • /val Ad dress: �D . 21, pi. Property OwneC: ` / / e Phone: 'w 7 `•V .$ Street Address: pa , 44 -- // ' City al. Fax #: j Contractor: Age �C •4srSoc • / P ho ne: (� O �1 Qi t ` �t '�93 Z s Street Address , SG / i/• /66 ' t j it tat ip• Fax #: (v 416 , //,, Contact Perpumm AoIVoper ?goat Phone: ( , [ Street Addresss qj1 se, a v/ // , / Stalt°/E� Fax #: ( ) ;BUILDI AUTHORIZED GENT: ate: Vr Fax #: f// Signature: t � Print name: ��/��/� Phone: (' / f eel� +0 Aar Ad dress: �D . 21, pi. ��yy ?YSGZ1l. Wiwi a) 9gO • S CITY OF 7 KWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 413/ 3!, G C R STAFF USE ONI Y Project Number. Permit Number. Y'' 0 — C k 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. ,a2,04 6 mbArdQaw eft. 0%10'1 • wod Descrip on of work to be done (please be specific n � w �/��. oder/paw frjd te/ 4r D $4.7.44. 71•051 MECHANICAL PERMIT REVIEW AND APPROVAL REQUESTED: (TO BE FILLED. OUT BY APPLICANT) de.► fda u ric. -- sue- W $ r #1,010y) 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. Date application accepted: i0 0 11/2/99 meth pemdr.doc Date application expires: 7/e0 /� / RECEIVE.° CITY OE TI JAN 3 0 2.001 PERMIT CENTER 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. Applicationn taken by: (initials) / JJ 6 ✓ 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. Mechanical Permits COMMERCIAL: Two complete sets of drawings and attachments required with application submittal ESIDENTIAL: Two complete sets of attachments required with application submittal Submittal Requirements New Single Family Residence Heat loss calculations or Form H -6. Equipment specifications. 11/2/99 miscpml.doc Change -out or replacement of existing mechanical equipment I Narrative of work to be done, including modification to duct work. Installation of Gas Fireplace 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. NOTE: Water heaters and vents are included in the Uniform Mechanical Code - please include any water heaters or vents being installed or replaced. NOTE: Water heaters and vents are included in the Uniform Mechanical Code — please include any water heaters or vents being installed or replaced. J ACK RS{CI�VE "�i � 4 F �, , r i .,,,, '` St a t us: SS 5UED ... B M ECti ' ; .;'� App1 i 01%30/2001 3 .34 '.40 1'420 ' +,' a I 02/27/200,1 '' * * *4k :kk4Ic'� *44,* k .. *�c *�c � c- l *k �4,4.. ..im*•kkMc„ *k4141kk* •k*-0 * *k**k *4 di ti : c ��wi`.l libe ,madefs to the plans , unless .approve'd by the ngi'neerandS':the:. Building Di vision = l l •vonstr action to be done;.in conformance with aopr oved , l a°ns nds r aequi rements t of. he Unif i.dOde (1'997 dition) as _amended "Un4 fbr.m Mechanical Code: C1997 ',Ed ition) riN,Wash ingtc,n State' •Energv;.Cdde (1”7{ Edition) r »i M01. -018 :3 V alli „dit =oi_: Permit , r °The,,i's.s_uance, permi or apprava plans, p,ec i f °i cations; ar d computa ons �h:a 1 1 not be con ' O e .std to be p :1^mit' for, or an approval of any violation of i'a�ny poi' the , pr&O s ions . ° of the bu-1 l d : i ng .-code or of,: any ott\f6 ord i r ance _of the_ j uri sd i ct i on No °perm i t pr -i presuming t give .a uthbri,i"y y to violate or cance°1, A the, of this code'`jha 1;1 h valid. 4 Manufasturers installation instruc,tions required on site rs: . for th building -inspectors review ' t, N t i + ti �y+ t hereby certit,ify that have read these conditions ith them :a s : o`u All ; p'rovisions of daw - 'and o his work wi i l`..be compi�ied .with whether specified N ermi;t does not pre to gi v QVisi of anygotFe work or n`t... performance and wi 11 :2,, :comply rdinances ,governing: herein, oV .not. e authori t� ar local ` law 1 * * **** * * *k ** *** * *.* r * ** *74 �k ***di *ir *** * ** * * * **, *** * * * *** * * * * * * * O 1 1Y , F: TU{CWILA Y!A I" TRANSMIT 0 1 C� � , ***** **** * * ****I** * ** * * **t* * * * * * * * * *. ** * * * * *dr * **** *fir **i4 * * * * * * * * *,** T.�_f��lSM i . i► mbe ;r° RO 1O00259', ..Hrrr q�.iri ' t; w ..' 51.75 '0.'/27/01 1E 34 .. • °Ba�me'nt Method ;;G. NECK; Natation: MICHELLE - MANGE :[rhit TLB Pe rini t spit 1401:-.018 8-MECH MECHHNIC(L PERMIT" PZrc.e1 No: 3,347.40 1420 4620 $ . ST;; Total; `Fes: 51.75 i._M9 P>a�mer t 51.'•75 Total : " : ALL Pmts 51 7 R.a1ence• O0 �r * *'* * *: **ir #. * *; *, * ** ski.*** c c'****,****, itit * * ** ** * * * * * * * ** * *'*4dr!1 * *is ** .: ( cou: t ;Cad Descr k pt i+ an Amr�ui�t 000 /540 P CHECK RE" ;. 35 5:::433 10 .. 000/,322.100 • MECHHNI.C1 L -. IZES 41440 Project �—�3� Type of Insppn: Addre Date called: Special instructions: Date wanted. . ,... 4 Requester: Phone: • INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 Approved per applicable codes. COMMENTS: Inspector: INSPECTION RECORD Retain a copy with permit a• Corrections required prior to approval. PERMIT NO. (206)431 -36 Date: /4,..2 t v/ El $47.00 REINSPECTION REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: E.dM a i :.to14 3611y:.1' 4 ":Sa}SlineS ; Pr •ject: = G 1 . ;, b .:c(...5 :;; ' " �i sT',:, of Irispection: A 14 rI ,... 4A-.4J 21 'Address ";iv' ' y: Dat 'c Iled: Special instructions: Date w nted 1 4 13 01 e Re ster: Phone: 2ntn -- 2.3 SPECTION RECORD `' a copy with permit INSPECTION NO. • CITY OF TUKWILA BUILDING DIVISION;.;: 6300 Southcenter Blvd, #1 Tukwila; Wp 188: *Approved per applicable codes. Corrections required prior to approval. COMMENTS: , 7 — s 4/4 A- f4 '< Date $47.00 REINSPECTION FE EQUIRED. Prior to inspection, fee must be paid .at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: LICENSE DETAIL INFORMATION Form F.: STATE OF WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES Specialty Compliance Services Division P. 0. Box 44000 Olympia, WA 98504 - 4000 Current Filter: None Registration# or License KLINGAI003DG Name KLINGE & ASSOCIATES INC Address 20517 SE 241ST ST PLACE Address City MAPLE VALLEY State WA Zip 98038 Phone Number 4254132520 Effective Date 3/7/00 Expiration Date 3/2/01 Registration Status ACTIVE Type CONSTRUCTION CONTRACTOR Entity CORPORATION Specialty Code GENERAL Other Specialties UBI Number 601978203 * * *VIEW PRINCIPAL OWNER(S) FOR THIS LICENSE* * * • * *CHECK INQUIRY FOR SUMMONS AND COMPLAINTS* * * * VIEW CONTRACTOR INSURANCE INFORMATION * * * THE RESULT OF YOUR INQUIRY FOR LICENSE NUMBER SELECTED IS: LICENSE DETAIL INFORMATION * * *VIEW CONTRACTOR BOND /SAVINGS INFORMATION * * * Page 1 of 1 New inquiry by CITY, NAME, PRINCIPAL OWNER NAME, NUMBER, UBI NUMBER or return to the L &I Construction Compliance Home Page http: / /www.lni.wa.gov/ contractors /TF2Form .asp ?License= KLINGAI003DG 2/21/01 D , W. W 0 ' N g. CJ; ~~ O; V 0 I WW ui Z, ; :Z NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT.