HomeMy WebLinkAboutPermit M01-241 - YOUSUFI RESIDENCEMO1-241
Yousuf i
Residence
4804 S 164 St.
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
City of 'i ukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 5379800420
Address: 4804 S 164 ST TUKW
Suite No:
Address: ,
Contractor License No:
DESCRIPTION OF WORK:
INSTALL RANGE HOOD AND FAN
YOUSUFI RESIDENCE
4804 S 164 ST, TUKWILA, WA
YOUSUFI ASIF & MARUF
4804 S 164TH ST, TUKWILA WA
MARUF YOUSUFI
4804 S 164 ST, TUKWILA WA
OWNER AFFIDAVIT IN FILE
MECHANICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date:
Phone:
Phone: 206 431 -8956
Phone:
Value of. Construction: $35.00 Fees Collected:
Type of Fire Protection: Uniform Mechnical Code Edition:
Permit Center Authorized Signature: �c et.-octet—
M01-241
01/28/2002
07/27/2002
Date: /—'6a
$ 38.44
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 performance of work. I am authorized to sign and obtain this mechanical permit.
Signature: Yr71,1.5 1 yYjc p rYj Date: /
Print Name:
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.
doc: Mech
M01 -241 Printed: 01 -28 -2002
ACTIVITY NUMBER: M01 -241
PROJECT NAME: YOUSUFI RESIDENCE
SITE ADDRESS:. 4804 SOUTH 164 STREET
_Original Plan Submittal
Response to Correction Letter #_
DATE: 12 -31 -01
Response to Incomplete Letter #
_Revision # After Permit Is Issued
DEPARTMENTS:
Buildin" Division Er
1-72.
Public Works n
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete Incomplete n Not Applicable
Comments:
TUES /THURS ROUTING:
Please Route
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS: (ten days)
Approved n Approved with Conditions
REVIEWER'S INITIALS: DATE:
CORRECTION DETERMINATION:
Approved
\PRROUTE.DOC
5/99
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
Structural
Structural Review Required
Approved with Conditions
Fire Prevention Planning Division
Permit Coordinator
DUE DATE: 01-03-02
n No further Review Required
DUE DATE 01 -31 -02
DATE:
Not Approved (attach comments) n
DUE DATE
Not Approved (attach comments)
REVIEWER'S INITIALS: DATE:
fl
ACTIVITY NUMBER: M01 -241 DATE: 12 -31 -01
PROJECT NAME YOUSUFI RESIDENCE
SITE ADDRESS: 4804 SOUTH 164 STREET
X Original Plan Submittal
Response to Correction Letter #_ Revision # After Permit Is Issued
DEPARTMENTS:
Building Division
Public Works
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete Incomplete
Comments:
TUES /THURS ROUTING:
Please Route
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS: (ten days)
Approved
\PRROUTE.DOC
5/99
n
REVIEWER'S INITIALS:
PLAN REVIEW /ROUTING SLIP
Structural Re
CORRECTION DETERMINATION:
Fire Prevention
Structural
Approved _ Approved with Condition
Approved with Conditions
Response to Incomplete Letter #
Planning Division
Permit Coordinator
DUE DATE: 01 -03-02
Not Applicable
Required n No further Review Required n
DATE: I — (33-
DUE DATE 01 -31 -02
n
Not Approved (atta h com ents) n
DATE:
DUE DATE
Not Approved (attach comments)
REVIEWER'S INITIALS: DATE:
PERMIT NO.: MOI-24i
MECHANICAL PERMIT APPLICATIONS
INSPECTIONS
❑ 2 Pre- construction
❑ 50 WSEC Residential
❑ 60 WA Ventilation /Indoor AQC
❑ 610 Chimney Installation/All Types
❑ 700 Framing
❑ 1080 Woodstove
❑ 1090 Smoke Detector Shut Off
O 1100 Rough -in Mechanical
❑ 1101 Mechanical Equipment/Controls
O 1102 Mechanical Pip /Duct Insul
I: 1105 Underground Mech Rough -in
❑ 1115 Motor Inspection
1400 Fire - Final
1800 Mechanical - Final
4015 Special -Smoke Control System
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: qiitte-- Jl ? eW P_
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 $$)
Add'1 Fees — Work w/o Permit (Y/N)
Insp Outside Normal Hours (hrs)
Reinspections (hrs)
Miscellaneous Inspections (hrs)
Add'l Plan Review (hrs)
Plan Reviewer:
Permit Tech:
Date:
Date: 1.- i.4- • 01./
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Project Name/Tenant:
Value of M chanical Equipment:
Site Address : � r` s' 76 j ,
City State/Zinn
Tax Parcel Number:
Property Owner: /ur1,q you 5L{
Date: / _ J? /
Phone: (a06) 2/31 - 8ci 56
Street Address:
L/Soy SO /64fth Sfr
City State/Zip:
TU kit, aliWA
Fax #: ( )
Contractor:
Dl'cJ/(
Fax #: ( )
Phone: ( )
Street Address:
City State/Zip:
Fax #: ( )
Contact Person: yJ�9ear— xer‘t .see/
Phone: O6 ) y .3 / cF2 G
Street Addrel7rvy /6 5/ P'
CiO��t p:
Fax #: ( )
BU/ LD1NG; OWNER!OR'AUTHORIZEDAGENT::r ..:<. ; . , ,; :.;.
,.:. •.. :::� ;
Signature:
vicAl
Date: / _ J? /
.. -0/
Print name: / / arab \Ioasuic%
Phone: (6146 )
4 gcl'5
Fax #: ( )
Address:
.. eagol! So /61/M St
g /State/Zip:
/u,eA)/ /u
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98 /a2
Mechanical Permit Application
MECHANICAL, PERMIT 'REVIEWANY.APPROVAL`IREQUESTED: (TO BEFILLED BYAPPLICANT)
Description of work to be done (please be specific):
1 t lS 1"4.1.4.0 TA6446 G: - , ► 1 A14
MO d -/ /do 4 fo o - t/
'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 PER JURY 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:
42 3 /
Date application expires:
Application taken by: (initials)
Ste'
1!/2/99
nwch j r,nl.duc
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.
✓
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.
Submittal Requirements
New Single Family Residence
Heat Toss 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.
NOTE :. Water heaters and vents are included in the Uniform Mechanical Code — please include any water
heaters or vents being installed or replaced.
11/2/99
.u.iecp,U.doc .
complete sets of attachments required with application submittal
doc: Conditions
City frrkila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 5379800420
Address: 4804 S 164 ST TUKW
Suite No:
Tenant: YOUSUFI RESIDENCE
PERMIT CONDITIONS
Permit Number: M01 -241
Status: ISSUED
Applied Date: 12/31/2001
Issue Date: 01/28/2002
1: ** *BUILDING DEPARTMENT * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: 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).
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 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.
6: Manufacturers installation instructions required on site for the building inspectors review.
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 of work.
Signature: •t 014 $1A rYION tAF rho
Print Name:
Date: /-269- z
M01 -241 Printed: 01 -28 -2002
v
. City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 5379800420 Permit Number: M01-241 o'
mo
N 8
Address: 4804 S 164 ST TUKW Status: APPROVED
Wi
Suite No: Applied Date: 12/31/2001 9 .
Applicant: YOUSUFI RESIDENCE Issue Date: N
W 0 ;.
Receipt No.: R020000107 Payment Amount: 38.44 g a
irlitiaiS: SKS Payment Date: 01/28/2002 02:14 PM O;
W.
User ID: 1165 Balance: $0.00 Z
w ui
Do
ON
o I--•
TRANSACTION LIST: W W
Type
Payee:
doc: Receipt
MARUF YOUSUFI
Method Description U;
Amount u- H'.
O
Payment Cash 38.44 Z,
O
. Z
ACCOUNT ITEM LIST:
Current Pmts
MECHANICAL - RES
PLAN CHECK - RES
Description Account Code
000/322.100 30.75
000/345.830 7.69
Total: 38.44
3066 01/29 9716 TOTAL 106.09
Printed: 01 -28 -2002
:Proje - : •.
- OIA lj - -P - i
Type of Inspectir:
IA ex ‘
Address:
4 eio4
Date called:
----,
Special instructions:
-Date wantiiii:
2... /
(... p.m...."
Requester:
■•
Phone:
. s..!NRECTION, RECOldi
,`.itetarn Copy with permit
INSPECTION NO.
:OF TUKWILA BUILDING DIVISION
399. Southcenter Blvd, #100, Tukwila, WA 981,88
1 1 1 0?#ciof:
Approved per applicable codes.
(206)431-3670
Corrections required prior to approval.
Date: 2, ( az_
i0.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
Southcenter Blvd., Suite 100. Call to schedule reinspection.
RecelOt NO:
Date:
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON
COUNTY OF KING
/ v .:{. " e /VI Y;;1I
AFFCONT 1/13/00
CITY OF TUKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
ss.
, states as follows:
residing at
Name as commissioned:
County.
H -4
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.
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. , 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.
— AGE A. D % % 1 , APPLICANT
P \ ; . • �ss ioN F ' C � " �
; �a � 1 OTAgy '�• ' �0 i Signed and sworn to before me this
i
PlJBUC i ' S -." A day of •. ia Le ci r 1„f , 20 -- -
II'1N'x'.. ., 6:16 -061.
NOTARY PUBLIC in and for the State of Washington,
My commission expires:
���I: ,?: l;. .b't`a.ea`,d::l �i.ST.- ::`,.i.2t`rs', 4rr�i:: 41'+. vb,' i.1N ^u.n..,+d%l:��n,,.�Sf�'i�.. ...,.''r'lJ,,��i:,txr(.�`• „.ttr(;
APP
Need Current Contractor Registration Card: %Yes ❑ No
eed to Enter Contractor Information in Sierra: ❑ Yes 0 No
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