HomeMy WebLinkAboutPermit M01-100 - BAGBY RESIDENCECity of Tukwila
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M01 -100
Type: B -MECH
Category: RES
Address: 13925 51 AV S
Location:
Parcel #: 152304 -9169
Contractor License No:
TENANT
OWNER
CONTACT
MECHANICAL PERMIT
GRACE BAGBY
13925 51 AV S, TUKWILA WA 98168
BAGBY FRED E
13925 51ST AVE S, SEATTLE WA
JEANIE SCRIBER
(206) 431 -3670
Status: ISSUED
Issued: 05/31/2001
Expires: 11/27/2001
Phone:
Phone: 206 -725 -7555
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Permit Description:
REPLACE OIL FURNACE WITH LIKE OIL FURNACE 72000
UMC Edition: 1997 Valuation:
Total Permit Fee:
2
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Center Autho ized Signatu e Date
ereby certify tha I have read and examined this permit and know the t tuO'
ame to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not. g Q!
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This permit shall. become null and void if the work is not commenced within z
180 days from the date of issuance, or if the work is suspended or 4 .
abandoned for a period of 180 days from the last inspection. v
0
3,400.00
47.88
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 this building permit.
Signatu re: - Date: /
Print Name.:" a � ft 4 Title: /VI/AC TFe-L____
Project Name/Tenant:
Signature: I/�
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name: Q
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Value of Mechanical Equipment:
3 dap U
Fax #: ( ? .46 ) 72.3- 3 NI
Site Address :
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City State/Zip:
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Tax Parcel Number:
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Property Owner: �1
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Phone ( )A � 6 )
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Street Address:
Saw) e
City State/Zip:
Fax #: ( )
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Contractor: p550
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Phone: 6 ) 7 s , 75
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Street Address:
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Fax #: ( )
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Contact Person : ---
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Street Address:
City State/Zip:
Fax #: ( )
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B(JILD%Nal° NER: OR' 4UTHORIZED AGENT ` 1 " '.'
Signature: I/�
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name: Q
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Phone: (�,,� -7
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Fax #: ( ? .46 ) 72.3- 3 NI
Address: p? t 7 ht/) e S
City/State/Zip: �� „Z [ t G - /, A f r / /
Mechanical Permit Application
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rr'.+ ; �a',,. 4.! ��; �fyIEGN/ �I�ICAL' P, ERMITtREVIEWAND- APPROVAL�REQUE5TED ;'(TO!BEFICLED',,OUT�BY.A�PPL /CANT)'
CITY OF 7 'KWILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or facsimile.
Description of work to be done (please be specific):
STAFF USE ONLY
Project Number:
Permit Number:
1
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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 "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:
Date application expires:
Application taken by: (initials)
11/2/99
,neck perudtduc
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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.
Mechanical Permits
COMMERCIAL: Two complete sets of drawings and attachments required with application submittal
NOTE: Water heaters and vents are included in the Uniform Mechanical Code — please include any water
heaters or vents being installed or replaced.
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:
Change - out or replacement of existing mechanical equipment
[ 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.
• inlrci nu.dac '
NOTE: Water..heaters. and .vents are included in the Uniform Mechanical Code - please include any water
heaters or vents being installed or replaced.
riatur:e4
GRACE :BAGBY
E3 -ME CH
152304-9169
***********.*****,**************'********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Per':mlt'- Gorld1ti : .
1 No . rl'idricies wi 1'1 br made to the p1 ari5 ur11 ess approved by the
Eriq irieer. and the '(ukw•i 1a,.Clu1 „dtii.riT ion.
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,A11 perm •its;, 1rlspectlorl,.,.,pec,c:Tdw, an_d= tapp�<bvvd plans ssha11 be
ava flab l e at the j cib <ai to pr f or to the YStar ,t` "Fof ..any cor►--
4
'str I orl :T hese;.� d x 1nnE nits at 61 to be ma 1 nta'l dea eve i 1
able : urlti'l final' 'riac
pet1 on , I4ipprov al ; 'is granted
11 c oriStructi o rb darie? s tn ' c,or f orinarlc 0 itch approved
t aris arid requ7 r!em'erlt,S 'of'
l ,the. Uri i f,orn By i d - i ng , Gbdd e (1 1
E dition):. as me ided,,.. 'Uniform' Mechanical { Gocde ( 1997, ; .
4arid Wash .rig r1� S1 rte4 F r }er.gy Gocde� { ( 1997 h di` 1 lor1): 1 ; f'
V a l i ,o Pe rin i . , issurnice�.y permit ::or appr of
pl ans, a s p (..:- f : l catiori`s§, arlCi t
puta shall ` •riofi .bC' (.0)1
It') s tue d;t.d be pa`rmit. fo '' an appr.. ova 1 ' o f , arly� v 11
o arty ,� �, •th ti lsiar of l i thej, bui 1d ir,g code or f,••
o' driy'�'
ti
'ot h er # o d l thrice 4 t he , 1 u r• i s d i c or) - No p ermit pr•d u in i fly to,,A
c i ve, th
u t'y to, vi . o o l di ii c'rlc.
d 1 ,,L he pr ov l s `i ons - of 1 h 1, ,,
_rod,e e• !,h c111 be va :01S 1'1d , 1", .k:
'l ariLi n ittu rer >s s , t it 1 l. i o rl 1 r►cstr tic °t) i p ris I r egi red on s l t e
fo'71 Or-, -0
e .pui ld1ric iYIS.pPCtors r6 v aW. fi f,
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hc- eby it.I i thdi havE r ead ,�:hF$..E' c
otta 11 1 is arid w•i 1r�1 c omp : I y r ft,.1
i t h t.hema d out13irleed iA 1 -1 `f p,roVjt 1'oris, • off: ,1'aw, Ord i ndnbies,, cdo er ri-i (iy
h i sa `wor kV 1 I bet cciin 1 r ea d' �w1 th, wheth`er {` pe7
Sc'i f =i;e d here i ri 6 r+ riots .
he grdnt:.i ricj of ,1 1 • h"1 a perm i t doers riot pf i 1 o-_ y l ve:k author 1 t y,>>tc
•
'1 • 0 1 a te or ),(. r∎ce, I Athe ' ' prov-i 5.1oris o f ariy,, o t�h€ r w ork , or - 1 o 1 � a we
c:sgu1at,1 174 c , arI ti "uct.i ; i or . the ,perforw ricer ofa work. ft ,.
Status: PENDING
App1 ie:d: 05/31/2001
Issued:
•
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UF: rIJKwILA 'WA 1 } Repr nted: 05/31/C)1 1i:' TRANS111
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R ANSM] r..Number: W0100 3.6 : 4 /:88 05/39 14:73
Paym nt Met l = :ad: . CHECK, Not4t..i on: Ftt)SSUf.. • ] ni L: J'f n :.
� 'erm it. r :No: • Wi01- 100 : 't ype: MECHANICAL. PERMIT
Parcel.; No: 152304 916,9
Si i,F• :' Addreas.: 13925 51, AV S
Total —F ees : 47 88
1'h i s Payment 47:88 : Total •:ALL Penis 47:88
Balance: : .00
*** *'Sk**gck * * * ** * *k **k *k * * ** * * * ** ►C ** * * * * * * * *** *;k ** * * ****il * * ** C
Account; Code Descr I pt, ion Amount
000/345`. 830 'PLAN . CHECK : - RES 2 9. :58
1 000/322 .100 MECHANICAL. - .RE S 38.30
•
..:INSPECTION RECORD
Retain a cop
opy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION .:.
6300 Southcenter Blvd, #100, Tukwila WA 98188
P ject:
r(ir 1,1J
Tess:
Special instructions:
e a e of Insp cti
o
-,Date nt
t f tDI
Re ester:
Phone:
—71,)
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:; —
Lcz, KkkL,
Dater
j $47.00 EINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
' ye?`. tta.. 2!.^ a.• 'i�3.�L.+_"�.x. °a��T��•`�,�is3' ,L'.1 'hr."��"'nr't'�5:�:`.t
• :' PERMIT NO.
(206)431 -3
isr i ac ¢f
Project Name:
6 oa ce W.= g y
Address:
1 35 2 5- s / s A-) e- 5
Residential Building Permit Number:
1. Prescriptive Option W.S.E.C. Chapter 6, (check building permit option used):
❑ I. ❑ ii ❑ ill. ❑ iv.. ❑ v. ❑ vi. ❑ vii.
❑ VIII.
2. House Square Footage (HSqFt)
3. Heating System installed, (check system type below):
❑ a. Electric Resistance /21 BTU /h per sq. ft.
❑ b. Electric (forced air) /24 BTU /h per sq. ft.
-cli- c. Other Fuels (gas, heat pump) /27 BTU /h per sq. ft. 0 g--
4. Equipment:
a. Make "nerwO p CI Q
b. Model CD 1 L - 72- b
c. Size in BTU's - Z - 000
5. Calculation /(HSqFt) 1900 (see line 2 above)
BTU /h X x (see line 3 a, b, or c above)
'f$, (000 BTU Equipment Maximum Size
.
7/9/96
CIT " TUKWILA -
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
Prescriptive Heating System Sizing for
Single Family Homes - New Construction
Washington State Energy Code Chapter 9, Climate Zone 1
PERMIT APPLICATION #:
H -6
Applicant's Signature:
Date: alti / c1/
DEPARTMENT OF LABOR AND INDUSTRIES
LICENSED AS PROVIDED BY LAW AS
ELEC CONTR GENERAL
EXP. DATE
• ECO,i-ROSSOESi42QP,1147/2002
'EFFEtTIVE
9367 RAINIER'AVE'S •
a a t,, SEATTLE WA 98118.
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Detach And Display Certificate
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