HomeMy WebLinkAboutPermit M2000-111 - FOSTERVIEW ESTATES - LOT 34M2000 -111
Fosterview
Lot 34
13722 42 Av S
City of Tukwila
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M2000 -111
Type: B -MECH
Category: RES
Address: 13722 42 AV 5
Location:
Parcel #: 261200-0340
Contractor License No: DUJARD *204L0
TENANT FOSTERVIEW ESTATES - LOT 34
13722 42 AV � t TUKWILA, WA 98188
OWNER DUJARDIN DEVELOPMENT CO
PO BOX 5308 , EVERETT WA 98207
CONTACT JOHN KAPPLER
14311 SE 16 ST, BELLEVUE WA 98007
CONTRACTOR DUJARDIN DEVELOPMENT CO
PO BOX 1059, SNOHOMISH, WA 98291
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Permit Description:
FORCED AIR GAS FOR NEW SINGLE FAMILY RESIDENCE.
UMC Edition: 1997
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Permit Center
Signature:
Print Nantes
MECHANICAL PERMIT
am. ,RIELOMMOAMil.
horiaed Signature Date
I hereby certify that I have read and examined this permit and know the
tame 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 dots not presume to give authority to violate
or cancel the provisions of any other state or local 1aw' regulating
construction or the performance of wore. 1 . %rn authorized to sign for and
obtain this • 1 die' emit.
rte :. r3 (G'
rrt' t 1 e
s s e M w s .......
Valuation:
Total Permit Fee:
Phone:
(206) 431 -3670
Status: ISSUED
Issued: 07/13/2000
Expires: 01/09/2001
Phone: 425 -641 -5320
Phone: 425 -324 -5018
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3,400.00
61.19
This permit shall become null and void if the work is not commenced within
180 day; from the date of issuance, or I f the word, is suspended or
abandoned for a period of 180 days from the last inspection.
CITY OF' TUKWILA
Address: 13722 42 AV S Permit No: M2000-111
SOU::
Tenant: FOSTERVIEW ESTAlES - LO) 34 Status: ISSUED
Type: B-MECH Applied: 05/2/2000
ParC41 1: 261200-0340 Issued: 07/13/2000
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Permit Conditions:
1. Any exposed insulations backing material shall have a Flamm
Spread Rating of 23 or less, and material shall bear identi-
fication showing the fire performance rating thereof.
2. 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).
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).
BTU MAXIMUM ALLOWED PER 1991 WASHINGTON STATE
ENERGY CODE.
5. FUEL BURNING APPLIANCES MAY NO1 RE INS1ALLED IN SLEEPING U
Imams, .M.C. 304.,
. APPLIANCES, WHICH GENERATE A FLAME, SPARK OR GROWING
IGNITION, SHALL RE ELEVATED 18 INCH( ABOVE TUC FLOOR,
U.M.C. 303.1.3.
7, WATER HEATER SHALL RE ANCHORED ro RESIST EA 1HOUAKE, U.P.C.
510.b.
8. No changes will be made to the plans unle.sts approved by the
Engineer and the lukwila Building Uivn.
9. All permits, inspection record an
s, d approved p shall b�
sha be
available at the job site prior to the start of any con-
stu
rction. these documents are to be maintained and avail-
able until final inspection appral ov is granted.
10. All construction to be done in f e oonormanc with approved
plans and requirements of the Uniform Building Code ( 199?,
Edition) 6$ amended, Uniform Mechanical Cole (199/ Edition) ,
and Washington State Energy Code (1997 Edition).
11. Validity of Permit. The issuance of a permit or approval of
plans, specifications, und 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.
12. Manufacturers installation instructions required en site
for the building inspectors review.
Projec ame/Tenant: l !
I'd . �_ 0 cs • 3 T
Value of Mec,�qui
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Site Address :
�{ 2rto!' r�f/e_ c�tc�h,
City State/Zip:
Tax Parcel Nu ber:
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Print name:
Property Owner:
1 -41i11):
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Phone: ( )
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Street Address:
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City State/Zip:
Fax #: ( )
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Co
ractor:
. - ;` �
Phone:
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0 55 16
6302 _.._
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Phon : ( 47,5 — )
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Fax #: (
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Co tact Person:
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Street .. ress:
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City State/Zip:
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BUILDINIOWNER OR AUTHORIZE AGENTi
Signature:
Data:
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Print name:
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Phone: ( )
City/State/Zip:
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Fax 0: (
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Address:
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CITY OF TU. VILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
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.
IviECHANiCAL PERMIT REVIEW AND APPROVAL REQUESTED: (TO BE FILLED .OUT•RY APPLICANT)
:::
Description of work to be done (please be specific):
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 he 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 roqulrod 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 1 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 ap lication acce ted:
w- 00
11/1'99
sn h pernult.doc
Date appliratjon ex 'r
I �
Applic r en by: (initials)
✓
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). V
Specifications must be provided to show that replacement equipment complies with the efficiency ratings
and other a . .licable re • uirements of the Washington State Nonresidential Ener: 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.
r
Mechanical Permits
COMMERCIAL: Two complete sets of drawings and attachments required with application submittal
RESIDENTIAL: Two complete sets of attachments required with application submittal
installation ILGas Fireplace
Narrative with specification of equipment and chimney typo.
If using existing chimney, provide a letter by a certified chimney sweep stating that the chimney is In safe
condition.
MAP
istirpowipc
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
Now Sin to Famil Residence
Heat Toss calculations or Form H.G.
Equipment specifications.
Chan e-out or re lacomont of °Nitta_„ s mochanic ment
Narrative of work to bo done includln modification to duct work.
NOTE: Water heaters and vents aro included In the Uniform Mechanical Coda — please Include any water
heaters or vents being Installed or replaced.
Thin NtyI$t( t
# * *0 *44 #+.i0R0+1
Account Code
000/272.000
r4S -is tit N' 1 a W • •M 4*. t *4 34
♦ I S N t 1 ♦* •4 J• .r as J• t♦ •r ,4 * ` 1 . i 4 I J* I aat .• S , ; 4 e t •• a n 4J4t J 1 410 .1 •: 4 4* '/ t 1 r x 1 " • a g
i` *4�tli 44i A#44 * * #h *Ads !A**4 alrli4*#* #{A4f X14 *A1 #,0#* ; *4t + # **4***
CITY or 'fUKWILA, WA
�C#t . 4A4 *A4kAilot A4ii. i. 4o$4 A# 4* 4f .A114Fo1F*a1f # *4**4•1dl4*A:' f►44+4,A4414*
TRANSMIT Numbers R98003U0 Amounts 41.00 10 24/00 16 :13
Payment MQthad: CHECK Notation: 001.U»D HtATINti In itt BLH
TRANSMIT
so it r • s • • A • w M . r •.• •• . • . • *. +r n TO • a a • Cm • •* . I t • . • • , c. . • • a ♦• . • .♦ r w a • r s .1 ».. • • • y a ti : • . • • : • 444 :1 • h • . ♦ .41 M ..• , N ••• . • .I 01 •
Permit No: M2000- 111 types {l- -FtCCH MCC'HANI CAL F'LR Mi l"
I'4r04 1 Nat 261,200-0340
A'ldretos 12722 42 AV q
Total N'csngt IOU. t9
47400 , Total ALL Pmt.b s 10 19
flu! itrii►'t • .00
4 * 0A0 **00 *044M4*k410•01►* #*40 0
Ottic:r i pt i nn Amount
DI.IxlOINS TNVCf4TlCIA1'TCIN 47.00
9747 10/251710 TOTAL
47.00
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:I 1 or " TUK ILA. WA 1 F F111SMTT
Fdk #$i k4Ak *•t sk *A* id61A**AA,t T. alb' t Ahdi4;lAAAA k**AAA***a1: *
'r p#1 #I9Mr 1' " Ptuitwtnr t R9800019 Amc."unt: 61..19 07/12/00 100:1
i t Ito thod t l:Nlit;I too t' e i on: DU"111R1)LN DEVELOP t o i t s 'tL11
Iar,R M M 44 Y �: •11 V 11 111 4 fa III N •I 5. : a W v4 /4 •a II PS F .I •'4 • 11 ,• 11 W •Pa •4 r • •I M •' 1 Y'. 1. •. 11 b b - , • 4. Y. •. 1 .. •4 z 11 M �� •I
Iai r i t r" Nut M2000-111, :typo/ I1-lll:t:l4 I4I:C1411Nttpl. PERMIT
Parcel this 2E4200. 0:140
to 'A0doottuc t1711 4,; t1V 0
1`I!i l E . I'uyrnst rtt
Account Cod,
000'322.100
'ro:i1 roust
61,19 hit't?! ALL Nitta
itttltinco:
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Doscr1NGinn
PLAN t'I1CCK PCft
11
MECHANICAL I• REG
J
1/4 IN w 111 Ne a11 b fy ra w e w w it r wM a p w r P w'we 11 1 ' ar.4.
J• s. N Iax IN IN aw M r. • •re •, •1 w
07/14 /717 TOTAL 1 «14
k
PERMIT NO.: IVY teen "
MECHANICAL PERMIT APPLICATIONS
INSPECTIONS
❑ 00002 Pre - construction
❑ 00050 WSEC Residential
00060 WA Ventilation/Indoor AQC
00610 Chimney Installation/All Types
❑ 00700 Framing
❑ 01080 Woodstove
❑ 01090 Smoke Detector Shut Off
01100 Rough -in Mechanical
01101 Mechanical Equipment/Controls
01102 Mechanical Pip/Duct Insul
01 105 Underground Mech Rough -in
01115 Motor Inspection
1400 Fire Final
01800 Final Mechanical
04015 Special -Smoke Control System
CONDITIONS
t
0
0001 No changes to plans unless approved by Bldg
Div
0014 Readily accessible access to roof mounted
equipment
0016 Exposed insulation backing material
0019 All construction to be done in conformance
w /approved plans
0002 Plumbing permits shall be obtained through King
Co
0027 Validity of Permit
0003 Electrical permits obtained through 1, & I
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.,.."
&litl� Ana_i Conditions:
TENANT NAME:
FEES
Plan Reviewer:
Permit Tech:
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 (qty).
Suspended/Wall/Pioor- mounted Heater (qty)
Appliance Vent (qty)
Heating/Refrlg/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 an (qty)
over 10,000 cihi (qty)
Evaporative Cooler (qty)
Ventilation Fan (qty)
Ventilation System (qty)
Ifood (qty)
incinerator a Domestic (qty)
Incinerator — Comm /htd (qty)
Other Mechanical Equipment (qty)
Other Mechanical Fee (enter $S)
Add'I Fees — Work w/o Permit (YIN)
Insp Outside Normal Hours (hrs)
Reinspections (hrs)
Miscellaneous Inspections (hrs)
Add'i Plan Review (hrs)
Date:
Date:
Imoommeneamerame
riecb
P •Jett:
i,4 A
Typ- • nspe lion:
•
� ,
date .N •�!
Of
Special instrucctio
+ 3
/ i'IJrf i.
:
4
/ / ' :-
4
I 41
Date wanted :, 0
/ a
�
Requester:
Phone:
..53- 3
-6047
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
PERMIT NO.
(2062431 -367
" i proved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
H9bO)
1Sg7,00 REINSPECTION FEE REQUIRED, Prior to inspection, fee must be paid
at 6300 Southcenter slvd., Suite 100. Call to schedule reins •ectian.
Receipt No:
Date:
COMMENTS:
UMW
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MEM I
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..
111111MIN
t
Milleania
4 '"
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M
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Address : / r
L Z " ah So
Typ = of Ins . ection:
Date call d:
e i 0
Date : nt • d:
d
Project:
r
Special instructions:
3).!
1
R
ester:
tNt
Phone:
INSPECtION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, X100, Tukwila, WA 98188
Approved per applicable codes,
Receipt No:
INSPECTION RECORD
Retain a copy with permit
Date:
PtRMIt NO.
(206)431 -367
Corrections required prior to approval.
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100, Call to schedule reins'ection.
Project
Ty . e of Inspection.
A dress. t zrtd
Date called
le
0
pedal instructions:
Date wanted:
0
Re, uester:
A
�
1 (-)
Phone:
241
Inspector:
;OM ENTS:
Receipt No:
$47.' REINSPECTIO EE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reins ection.
Date:
Date:
INSPECTION RECORD
Retain a copy with permit
INSPECtION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
Approved per applicable codes.
PERMIT NO.
(206)431-3670
Corrections required prior to approval.
ig
R ' eet:
=s rvte..vt1
.DT`
7 of Inspection:
p
or(h MCC h
Address: nl �
2.
Date called, 2.
Special instructions:
2 0. -00 /OM
Date wanted: a,m
Requester:
P.,2 e
Ej Approved per applicable codes.
COMMENTS:
Receipt No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
Date:
PERMIT NO.
(206)431.3670
Corrections required prior to approval.
$47.00 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reins ection.
lI: �,
ig
Project:
6J
' 1
y OP 13 —L v 7 5
Type of Inspec to
� ilk .. r' tt l(
a
Address:
572
LIZ.. Ai
Date calledt
` • �" (,fit
Special instructions:
Date wanted:
� " CO
5,m.
..m.
q ester:
P one:
�.I
s
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
PERMIT NO.
(206)431 -36
COMMENTS:
Inspector: Date:
40 Las
$47.00 REINSPECTION ` REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd, Suite 100, Call to schedule reins action.
Date:
Corrections required prior to approval.
COMMENTS:
y . e of Inspection:
t R 4 v■ , a
0. A A i 0 a I ._ I ip
NMI 00 4 LA\ ri v 4+ VI e vt+ 4 a
‘cf.Atik % A ,c.-Ie r ba43N
• • . 4114 V tek A
.
•4 ` 111. AP ° '
A k a•
41111,
GO
4. '
re a 1191.46.1i - At
mErgoriaps IA'
1).9- Ac 4 Ni k
aa....AilittLer le qc J�gs
fir
te vor.
....
P oject: y
y . e of Inspection:
Receipt No:
INSPECTION RECORD
Retain a copy with permit
INSMCTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
PERMIT NO.
j
(206)431467
0 $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd.. Suite 100. Call to schedule reins ection.
Date:
0 Approved per applicable codes. 12gorrections required prior to approval,
Project :
y �Jte■ .. L o'
T, a of inspection:
► { — t veN
fr C.
dress: , ,
t cal ec) - * l3
Special instructions:
Date wanted:
r- .� 2 i— C.0
a.nt,
Requester:
A l
Phone:
a pproved per applicable codes.
COMMENTS:
t
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 South enter Blvd, #100, Tukwila, WA 98188
(206)431 -3670
Corrections required prior to approval.
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd. Suite 100. Call to schedule ruins ection.
Receipt No: Date:
June 26, 2000
John Kappler
Kappler Architects
14311 SE 16th Street
Bellevue, WA 98007
RE: CORRECTION LETTER #1
Development Permit Application Number 1VI2000 -111
Fosterview Estates — Lot 34
13722 — 42nd Avenue S
Dear Mr. Kappler:
This letter is to inform you of corrections that must be addressed before your development permit can be
approved. All correction requests from each department must be addressed nt the eu►ne tlnw and
reflected on your drawings, 1 have enclosed comments from the Building Division, At this time, the
Fire Department, Planning Division and Public Works Department have no comments at this time.
The City requires that two (2) ccom lets e_ of revised plans be resubmitted with the appropriate
revision block. If your revision does not require revised plans but requires additional reports or
other documentation, please submit two (2) copies of each document.
In order to better expedite your resubmittal, a `revision sheet' must accompany every resubmittal. I have
enclosed one for your convenience.
cg_copted through the mail or by a m_essoug„or service,
If you have any questions, please contact me at (206)431.3672.
Sincerely,
Brenda Holt
Permit Coordinator
end
xc: File No. M2000• I I
City of Tukwila
Department of Community Development
!
! 1.
!
It .
� u.." 1 !k
!! H.
,
Steven M. Mullet, Mayor
Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206.431.3670 • Fax: 206.431.3665
Project Name'
It UL
e .w C itt, Lni 3
Address:
13701?s 4and e &4
Residential Building Permit Number:
1, Prescriptive Option W.S.E.C. Chapter 6, (check building permit option used):
❑I. 0 I ID iv. 0 v. CO vi. ❑VII.
CI VIII.
2. House Square Footage (HSqFt)
/0t(`
1 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.
J c. Other Fuels (gas, heat pump) /27 BTU /h per sq, ft. 1
4, Equipment:
a, Make
b. Model
c. Size In
1 )C.O('C
E L4
__U6 ...........,..�.�, ,�
BTU's SO 0c4
5. Calculation/(HSgFt)
'L•1 lot (see line 2 above)
BTU /h X _It__ _ (see line 3 a, b, or c above)
SA BTU Equipment Maximum Size
_,_._
Applicant's Signature:
7/9/96
CITY Of — TUKWI LA
Permit Center
6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188
Telephone: (206) 431 -3670
H -6
Prescriptive Heating System Sizing for
Single Family Homes - New Construction
Washington State Energy Code Chapter 9, Climate Zone A. '. ,°„LA
PERMIT APPLICATION #:
Date:
J
Vwco-
,
‘‘■
;
'EpMT CENTER
FIRE DEPARTMENT REVIEW COMMENTS
Project Name: FOSTERVIEW ESTATES — LOT 34
1 3722 — 42n Avenue S
Permit File No.: M2000 -111
Date: June 22, 1999
Reviewer: Ken Nelsen, Plans Examiner
(206)431 -3670
1. Heating equipment is too large.
2. Wattson program is not applicable.
ACTIVITY NUMBER: M2000 -111 DATE: 7 -3- 200
PROJECT NAME: FOSTERVIEW -- LOT 34
SITE ADDRESS: -__1.3._7_.22-- 42AV S
Original Plan Submittal _Response to Incomplete Letter
AL Response to Correction Letter # 1 Revision # After Permit is issued
DEPARTMENTS:
Rui n Division Av.,
g s
Public Works ❑
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete Er Incomplete ❑
Comments:
TUES /THURS ROUTING:
Please Route Structural Review Required No further Review Required
REVIEWER'S INITIALS:
E ROVALS OR CORRECTIC t1 : (ten days)
Approved Approved with Conditions
REVIEWER'S INITIALS:
CO EC I ON DETE IN ION:
Approved [1 Approved with Conditions
REVIEWER'S INITIALS:
y'ito'Ju DOC
DUE DATE:61000,
Not Applicable ❑
DATE:
Planning Division
Permit Coordinator
DUE DATE 4 OQ
Not Approved (attach comments)
DATE:...._.
DUE DATE
Not Approved (attach comments) E
DATE:
1
a
a
PEPARTMENTS:
Building Division
Public Works
Complete
Comments: _______
REVIEWER'S INITIALS:
VA
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M2000 -111 DATE: 5 -25 -2000
PROJECT NAME: FOSTERVIEW ESTATES -- LOT 34
SITE ADDRESS: 42 . AV.S .m
XX Original Plan Submittal
Response to Correction Letter # Revision # After Permit Is Issued
moor
DETERMINATI OF COMPLETENESS: (Tues., Thurs.)
2 71
ASP KOVALS OR CORRCTIONS: (ten days)
COltRECRON DETERMINATION:
Approved E Approved with Conditions
REVIEWER'S INITIALS:
Firention
Structural
Incomplete
TUES /THURS ROUT G:
Please Route Structural Review Required El No further Review Required
REVIEWER'S INITIALS:
Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) 4 1
Response to Incomplete Letter #
Planning Division
Permit Coordinator
E i
■
DUE DATE, 5.302000
Not Applicable ❑
DATE:
DUE DATE _ -27- _0_
ATE:
DUE DATE,
Not Approved (attach comments) E
DATE:
I Fe 403440 11/97)
MOIMMInrn IA N/N41M+ON M/, 6W *t'gia
-- - - Detach And Display Cenificate
NUJ -O,2 000 (11
DEPARTMENT OP LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST'.• _. #{: ,EXP DATE;:
44 DUJARDA!209L0 i2' /16/200
is► DA'T .h < 06f420 3 .1 8 '4
4
' DUJARDIN' DEVELOPMENT CO..
PO BOX 1059
SNOHOMISH WA 98291 -1059
4 — Deiach And Display Certificate
REGISTERED AS PROVIDED BY LAW
CONST CONT GENERAL
REGIST. # EXP. DATE
EFFECTIVE'D TEZ04L0 06/20/1980
DUJARDIN• DEVELOPME IT Co
PO BOX'2089
SNOHOMISH WA 98291.41059
Signature
Issued by DEPARTMENT OP LABOR AND INDUSTRIES
_.• x.. V.. .■,- ,r.... 4. •aNW «••.• •f
-et w .v. •. t ri••1�trvtt+_ AF - •
k_ DETACH TO QISPLAY CEP' CATE_J
PLEASE DETACH AND SIGN
CERTIFICATE BEFORE PLACING
IN BILLFOLD
Please Remove
And Sign
Identification
Card Before
Placing In
Billfold
FQYb4U- 000I3.8Z)