HomeMy WebLinkAboutPermit M2000-205 - FOSTERVIEW ESTATES - LOT 11ZOOZ 9 Z AON
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Parcel No,:
Address:
Suite No:
'tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
•
City of Tukwila
Department of Community Development 1 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
2612000110
4234 S 137 ST TUKW
FOSTERVIEW ESTATES - LOT 11
4234 S 137 ST, TUKWILA, WA
DUJARDIN DEVELOPMENT CO
PO BOX 5308, EVERETT WA
JOHN KAPPLER
Address: 14311 SE 16 ST, BELLEVUE WA
Contractor:
Name: DUJARDIN DEVELOPMENT CO
Address: PO BOX 1059, SNOHOMISH WA
Contractor License No: DUIARD *204L0
MECHANICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone: 425.334 -5018
Phone: 425.641 -5320
Phone:
Expiration Date: 12/16/2003
M2000 -205
05/22/2002
11/18/2002
DESCRIPTION OF WORK:
FORCED AIR GAS FOR NEW SINGLE FAMILY RESIDENCE.
Value of Construction:
Type of Fire Protection:
Signature:
Print Name:
doc: Mach
$4,000.00
Fees Collected:
$115.56
Uniform Mechnical Code Edition: 1997
Permit Center Authorized Signature: _,.� �, •docer - '/ _ , . Date: 5
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 is permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating co ction or the ► = orma CAS-o work. I am authorized to sign and obtain this mechanical permit.
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.
M2000.205
Printed: 05. 22.2002
Parcel No.: 2612000110
Address: 4234 S 137 ST TUKW
Suite No:
Tenant:
Print Name:
doc: Conditions
Signature: r •.
City of Tukwila
FOSTERVIEW ESTATES - LOT 11
PERMIT CONDITIONS
M2000.205
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Permit Number:
Status:
Applied Date:
Issue Date:
Date:
M2000 -205
ISSUED
09/08/2000
05/22/2002
1: 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,
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).
4: WATER HEATER SHALL BE ANCHORED TO RESIST EARTHQUAKE, U.P.C. 510.5,
5: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
6: 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).
7: 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.
8: 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 const uction or the performance of work. _.
Printed: 05.22 -2002
Project Name/Tenant:
ktkhl E e, t5 t - t 11
Value of Mechanical Equipment:
Site Address :
42-S 4
��� � � L City State/Zip:
rt
Tax Parcel Number:
Ato( ;cm •• d t to
Property Owner: 4
Phone: (.Q+Z‘3, .. mat
Fax #: ( 4
s -- 464,t
Street Address:
PLC 2 X,
Cit State/Zip:
t;5 r C> 181,40
Contractor:
C i
Phone: ( ) �.�• -
Street Address:
City State/Zip:
Fax #: ( ) �......
Contact Person:
4
Airai pct, P ' •
Phone: (4ts')
lo l — '5 4 ,14
Street Address:
t tt
. I
f ta i
City
lo'k . � +: ca‘ww S e/Z •
�a -liar
Fax #: `` �' /041 � t eo
BUILDING 'OWNER OR AUTHORIZED AGENT:
INIIIIIIIIIIIIINNIXIIIMP
Signature:
,
1111
Date:
/ .
v
Print name:
4
4
Phone: (
1
Fax I: (
)
Address:
,ti
City/Stat:ip:
CiTY OF TLI ✓ILA
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.
MECHANICAL PERMIT REVIEW AND APPROVAL REQUESTED: (TO RE FILLED OUT BYAPPLICA
Description of work to be done (please be spedfic):
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-1, " A ffidavit 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 t 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.
Pate application accepted:
/ lal99
meth pernadec
Date application expires:
Application taken 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). t
Specifications must be provided to show that replacement equipment complies with the efficiency ratings
and other applicable requirements of the Washin ton 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
Heat loss calculations or Form H.6.
Equipment specifications.
RESIDENTIAL: Two complete sets of 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 Re quire mein t
New Sin le famll Residence
Chan j e-out or re . locomen( of existin
Installation of Caa Fireplac
mechanical e
u!
Narrative of work to be done Includin: modification to duct work.
Narrative with specification of equipment and chimney typo.
If using existing chimney, provide a letter by a certified chlmn y sweep stating that the chimney Is in safe
condition.
mont
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.: 2612000110
Address:
Suite No:
Applicant:
4234 S 137 ST TUKW
Receipt No,: R020000680
Initials: SKS
User ID: 1165
Payee: DUJARDIN DEVELOPMENT
TRANSACTION LIST:
ACCOUNT ITEM LIST:
doe: Receipt
el)
City of Tukwila
6300 Southcenter BL., Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
FOSTERVIEW ESTATES LOT 11
Payment Chock 5178 115.56
Current Pmte
Amount
MECHANICAL - RES
PLAN CHECK - RES
RECEIPT
Typo Method Description
Description
000/322.100 92.45
000/345.830 23.11
Permit Number: M2000 -205
Status: APPROVED
Applied Date: 09/08/2000
Issue Date:
Payment Amount: 115.56
Payment Date: OS/22/2002 10:19 AM
Balance: $0.00
Account Code
Total: 115.56
7)1,2.! )5/24 ,1 7.1.6 TOTA L. 10636
Printed: 05. 22.2002
PERMIT NO.: '420D0',2-05
MECHANICAL PERMIT APPLICATIONS
INSPECTIONS
0 00002 Pre- construction
❑ 00050 WSEC Residential
0 00060 WA Ventilation/Indoor AQC
❑ 00610 Chimney Installation/All Types
0 00700 Framing
❑ 01080 Woodstove
01090 Smoke Detector Shut Off
01100 Rough -in Mechanical
01101 Mechanical Equipment/Controls
01102 Mechanical Pip/Duct insul
01105 Underground Mech Rough -in
01115 Motor inspection
1400 Fire Final
01800 Final Mechanical
0 04015 Special -Smoke Control System
C.ONDIT
0001 No changes to plans unless approved by Bldg
Div
❑ 0014 Readily accessible access to roof mounted
equipment
0016 Exposed Insulation backing malarial
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 L & 1
0036 Manufacturers installation instructions required
on she
8 "BTU maximum allowed per 1997 WA State Energy Coda"
0041 Ventilation is required for all new rooms &
spaces
"Fuel burning appliances
"Appliances, which generate...."
"Water heater shall bo anchored..,,"
Qdrral Conditions:
TENANT NAME:
FEES
Add'l Fees — Work w/o Permit (Y/N)
lnsp Outside Normal Hours (hrs)
Reinspections (hrs)
Miscellaneous inspections (hrs)
Add'I Plan Review (hrs)
Basic Fee (Y/N)
Supplemental Fee (Y/N)
Plan Check Fee (Y/N)
Furnace/Burner
to 100,000 B'I'U (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 S0 HP /1,750,000 BTU (qty)
over 50 HP /1,730,000 BTU (qty)
Mr Handling Unit
to 10,000 cfm (qty)
over 10,000 cfm (qty)
Evaporative Cooler (qty)
Ventilation Fon (qty)
Ventilation System (qty)
Hood (qty)
incinerator — Domestic (qty)
incinerator — Comm/Ind (qty)
Other Mechanical Equipment (qty)
Other Mechanical Fee (enter SS)
Plan Reviewer:
Permit Tech:
Date:
Date:
-e
COMMENTS:
Type of pection:
► .Ih...%0641
Address:
..
Date Ca le . :
Sp - cia Instructions:
Date Wante . :
I
, .
p.m.
equester:
• s
.« P 1
•
«.
,,
•A
t e
r.
11.
S
r
`
\
t
r
•..
I
...
40 +a •4'
v ..
I Ps, _ Vr i A
/C aa ..
it
iii OtJj
1, -Li R1
Project:
w.. .. ` ,lea
Type of pection:
► .Ih...%0641
Address:
..
Date Ca le . :
Sp - cia Instructions:
Date Wante . :
0..3
, .
p.m.
equester:
o e o:
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
F
Ill OW
PERM!
ri $47.00 REINSPECTION FEE REQUIRED. Prior W Inspection, fee must be
paid at 6300 Southcenter Blvd„ Suite 100, Call to schedule reinspection,
(206)431.3670
Corrections required prior to approval.
October 7, 2002
Mr. John Keppler
Dujardin Development
14311 SE 18 St
Bellevue, WA 98007
RE: Permit Application No M2000.205
Location: Fosierview Lot 11
4234 S 137 St
Dear Permit Holder:
City of Tukwila
Department of Community Development Steve Lancaster, Director
In reviewing our current records tho 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 k 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:
*Cali the City Of Tukwila Permit Center at (208) 431.3870 to arrange for the next
scheduled Inspection
This Inspection Is intended to determine if substantial work hes 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•tlme extension uA to 180 diva.
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 November
18, 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.
. ) 4W?
Kathryn A. Stetson
Permit Technician
Xc: Permit File No.M2000.205
Bob Benedicto, Building Official
Steven M. Mullet, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206.431 -3670 • Fax: 206.431.3665
Project Name:
n ILVL - L (1
Address:
� 2, 4 ay.& 1t.4 4 24 -
Residential Building Permit Number:
1. Prescriptive Option W.S.E.C. Chapter 6, (check building permit option used):
I. t:3 II CI III. Ill iv. CI v. 0 vi. ❑vii.
CI vol.
2. House Square Footage (HSqFt)
IA 3o ok
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.
II c. Other Fuels (gas, heat pump) /27 BTU /h per sq. ft.
4. Equipment:
a. Make ' Gam.
b. Model A . '_ • 1 . ` ' / 1ps
c. Size in BTU's
5. Calculation/(HSgFt) 30t4 (see line 2 above)
.�..
BTU /h X '�' (see line 3 a, b, or a above)
_
BTU Equipment Maximum Size
,,_.
A pplicant's Signature:
7/9/96
CITY C 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 Cha • ter 9 Climate Zone 1
FILE COPY
[ERMIT APPLICATION #:
MZOa.ZOg
Date:
H -6
( •'2.• -Ltd?
CITY OF TUKWILA
PERMIT CENTER
ACTIVITY NUMBER: M2000 -205 DATE: 9 -8 -2000
PROJECT NAME: FOSTERVIEW ESTATES LOT 11
SITE ADDRESS: 4234 S 137 ST
XX Original Plan Submittal Response to Incomplete Letter # .
Response to Correction Letter # It — After Permit Is Issued
DEPARTMENTS:
Build Di ision
Public Works ❑
TUES /THURS ROUTING:
Please Route
REVIEWER'S INITIALS:
PERMIT B��yNG SLIP
PLAN REVIE?5
F ire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete Incomplete
Comments:
Structural Review Required
APPROVALS OR CQRRECTIONS: (ten days)
Approved ❑ Approved with Conditions
REVIEWER'S INITIALS:
O O ON:
Approved IJ Approved with Conditions El
REVIEWER'S INITIALS:
1PRROUTF.DOC
5/99
Planning Division ❑
Permit Coordinator II
DUE DATE: 9- 12-ZIIOO
Not Applicable El
No further Review Required
DATE:
DATE:
DUE DATE: ' � Q-1 0.2
Not Approved (attach comments) ❑
DUE DATE
Not Approved (attach comments) LJ
DATE:
•
I F625.O524®1sN71
.
e---- Detach And Display Cettifirate ------ ---� -,
t•- - -- Detnah And Display Certificate
./Ip1./.IMI WIM.MII." .••••••••••w.••••"'' .. .:.. •• .r•rw.....
t....OETACH TO OISPLAY CEP' , CATE._..t
PLEASE DETACH AND SIGN
CERTIFICATE BEFORE PLACING
IN BILLFOLD
APA.•4•01P1.4. AAAIRSP/, MO I jIII 46*1f.
REGISTERED AS PROVIDED BY LAW
CONST CONT GENERAL
REGIST. #. EXP. DATE
CCO1 DUJARD *204L0 12/16/2000
E$FECTIVE'DATE. • 06/20/1980
DUJARDIN• DEVELOPt4 1T CO
PO BOX
SNOHOMISH WA. 98291 -1059
1 Signature
Issued by DEPARTMENT OP LABOR AND INDUSTRIES
Please Remove
And Sign
Identification
Card Before
Placing In
Billfold
F626452.44413•92)
• a
rus•)!24)O '
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
4 ,.0 DDI ARD *z04# 22" z:6r/240
• O'G104�A98..
"DUJARDIN" DEVELOPMENT` CO.
PO BOX 1059
SNOHOMISH WA 98291 -1059
1 g
1
FOSTERVIEW
ESTATES LOT 12
4238 S 137 STREET
M2000 -206
Parcel No.: 2612000120
Address:
Suite No:
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
4238 S 137 ST TUKW
Tenant:
Name: FOSTERVIEW ESTATES - LOT 12
Address: 4238 5 137 ST, TUKWILA, WA
Owner:
Name: DUJARDIN DEVELOPMENT CO
Address: PO BOX 5308, EVERETT WA
Contact Person:
Name: JOHN KAPPLER
Address: 14311 SE 16 ST, BELLEVUE WA
Contractor:
Name: DUJARDIN DEVELOPMENT CO
Address: PO BOX 1059, SNOHOMISH WA
Contractor License No: DUJARD *20410
DESCRIPTION OF WORK:
FORCED AIR GAS FOR NEW SINGLE FAMILY RESIDENCE.
Value of Construction:
Type of Fire Protection:
Permit Center Authorized Signature:
Signature:
Print Name:
doc: Mech
$4,000.00
MECHANICAL PERMIT
Fees Collected:
Uniform Mechnical Code Edition:
M2000.206
Permit Number:
Issue Date:
Permit Expires On:
Phone: 425-334-5018
Phone: 425.641 -5320
Phone:
Expiration Date: 12/16/2003
Date: 0 - 122 4 2
M2000 -206
0S/22/2002
11/18/2002
$115.56
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 co t� ction or t • form • nce • work, I am authorized to sign and obtain this mechanical permit.
Date:
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; 05. 22.2002
Signature:
Print Name:
doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2612000120
Address: 4238 S 137 ST TUKW
Suite No:
Tenant:
FOSTERVIEW ESTATES - LOT 12
PERMIT CONDITIONS
M2000-206
Permit Number: M2000 -206
Status: ISSUED
Applied Date: 09/08/2000
issue Date: 05/22/2002
1: 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.
2: Plumbing permits shall be obtained through the Seattle -King County Department of Public Wealth, Plumbing will be inspected by
that agency, including all gas
piping (2964722).
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: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division,
5: All permits, inspection records, and approved plans shall be available at the Job site prior to the start of any con- struction. These
documents are to be
maintained and avail- able until final Inspection approval Is granted.
6: 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).
7: 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.
8: 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 compiled 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,
Date:
Printed: 05.22.2002
it
Project Name/Tenant:
'rob TCI1-J tEW 6`2114415 L.i La-
GENT: ;,;_'
Value of Mechanical Equipment:
Site Address :
tly 4 24-
City State/Zip:
Tax Parcel Number:
Vol a.00 014
Property Owner
tJ �µ,�,
y�L1�
_
�lN•IAJC
Phone: (4 ,� 34 Sb 6
Street Address:
rpo at2L 0 e X
Contractor: ,
EVea.E't�,.
City State/Zip:
a s _.o to
Fax #: (4,
i— 5o 41
1
Phone: ( ) MpatA.
Street Address:
I
City State/Zip:
Fax #: ( )
Contact Person:
— Ld ! I .
i1
t 1� 1
V■.. r.►1t
City State/Zip:
Phone: (y ) t'
Street Address:
Fax #: (z6.1 s i
BUILDING OWNER:ORAUTHORIZED
GENT: ;,;_'
Signature:
Date:
Print name:
�.
_„ t,
Phone: (
)
Fax 0: (
Address:
City / State/Zip:
CITY OF TU 'NILA
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.
MECHANICAL PERMIT REVIEW AND APPROVAL RE
Description of work to be done (please be specific):
ONINYINO
Date application accepted:
e,400
1/1/99
starch perndtdoc
UESTED: (TO BE FILLED OUP' B'V APPLlCA
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 k Issued OR submit Form 144, "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 expires:
Applica '• aken 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).
Specifications must be provided to show that replacement equipment complies with the efficiency ratings
and other a licable re uirements of the Washin ton 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,
Mechanical Permits
1
COMMERCIAL: Two complete sets of drawings and attachments required with application submittal
RESIDENTIAL: Two complete sets of attachments required with application submittal
Heat loss calculations or Form 11•6.
Equipment specifications.
Narrative of work to be done includin: modification to duct work.
ttr0a
tntscpmtdec
NOTE: Water heaters and vents are included in the Uniform Mechanical Code — please include any water
heaters or vents being installed or replaced.
Submittal Require►►te►ttc
New Sin
le Fain!' Residence
Chan e-out or re lacement of exist!n: mechanical i, • 111 men(
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.
itui
00
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Receipt No,: R020000682
Initials:
User ID: 1165
Payee:
TRANSACTION LIST:
ACCOUNT ITEM LIST:
doc: Receipt
-01
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No,: 2612000120
Address: 4238 S 137 ST TUKW
Suite No:
Applicant: FOSTERVIEW ESTATES - LOT 12
SKS
Current Pmts
DUJARDIN DEVELOPMENT
Amount
MECHANICAL - RES
PLAN CHECK - RES
RECEIPT
Type Method Description
Payment Check 5178 115.56
Description Account Code
000/322.100 92.45
000/345.830 23.11
Permit Number: M2000 -206
Status: APPROVED
Applied Date: 09/08/2000
issue Date:
Payment Amount: 115.56
Payment Date: 05/22/200210120 AM
Balance: $0.00
Total: 115.56
7012 05/24 971 TOTAL Al. 10636 e 7
Printed: 05.22.2002
PERMIT NO.: 2() (o
MECHANICAL PERMIT APPLICATIONS
INSPECTIONS
0 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 EqulpmenVControls
01102 Mechanical Pip/Duct insul
01105 Underground Mech Rough -in
01115 Motor Inspection
1400 Fire Final
01800 Final Mechanical
04015 Special -Smoke Control System
r,QNDITIONS
l 4 0001 No changes to plans unless approved by Bldg
Div
0 0014 Readily accessible access to roof mounted
equipment
0016 Exposed insulation backing material
0019 All construction to be done In conformance
w /approved plans
z. 0002 Plumbing permits shall be obtained through King
Co
0027 Validity of Penmit
0003 Electrical permits obtained through L & I
0036 Manufacturers installation instructions required
on site
❑ "BTU maximum allowed per 1997 WA State Energy Code"
[� 0041,,..,,,,, Ventilation is required for MI now rooms &
spaces
"Fuel burning appliances
"Appliances, which generate,,,,"
"Water heater shall be anchored,..,"
Additional Conditions;
TENANT NAME: Foie, L S"}cti-GS Lief 12
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 din (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 SS)
Add'l Fees — Work w/o Permit (Y/N)
Insp Outside Normal Hours (hrs)
Reinspections (hrs)
Miscellaneous Inspections (hrs)
Add'I Plan Review (hrs)
Plan Reviewer;
Permit Tech:
Date:
Date; 7-2-2-
-6l
Prof ct:
ec tGY..e ec) • ; • (.7 /02,.
Type of Inspection: "
-
-- �..
Address:
Date Called:
5pecia In
Date Wante
a.m.
equester:
„, ,.
Phone No:
5) To h'I AM
47,00 REINSPECTI N FEE R + UIRED. Prior to inspection, fee must be
pie paid at 6300 Southcenter Blvd , Suite 100, Call to schedule relnspection.
Receipt No,:
Date:
INSPECTION REORD
Retain a copy with permit
INSPECTION NO. PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20.)431.3670
0
Approved per applicable codes. OCorrections required prior to approval
a Aw'.:":. I+ t. w. w3:. � :s+.�..:s:iv -:�. .� 7GN. .�'ri►m�.'»ms+ ir,t...u.:.' {.:'. -`i
COMMENT :
1• WM
r
J3 75 ri
, e
v'a .;
Date Want' ed: j
, � q1 p .m,
Mi ' i V■ • v‘ 1,112._ ..1
P o o; J
"�. 330 -9140
C. .P C v. P • ,. •
Pr. =ct: /1 J Type
•Gt ' e Lot -)
of Inspe
�, e:
r
J3 75 ri
Date Called:
Special Instructions;
- /
� / t ( hoot-
4-1
Date Want' ed: j
, � q1 p .m,
Requester(
67-
P o o; J
"�. 330 -9140
01
INSPECTION NO.
INSPiCTION RECORD
Retain a copy with permit
inzao
PERMIT NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 • 6 0
p Approved per applIcable codes. Eg Corrections required prior to approval.
17$4 7.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100, Call to schedule relnspection,
Receipt No.: Date:
Project:
. C " ' 1,44".G.1
-" /i r fa
Type of I specti•r:
,Ciz!
Address: ,
7
*
'ate a e..
z
Special instructions:
e
Date Wante . :
/2 -
/ / -0Z
p.m
equesst
‘
,!
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431.3670
Approved per applicable codes. Corrections required prior to approval.
O ME T :
Y r `" 440Yt
Ye) w. rear -*
ri $47.00 REINSPECTION FEE REQUIRED. Prior to Inspection, fee must be
paid at $300 Southcenter Blvd., Suite 100, Call to schedule reinspection.
Pr • - _ t;
type of spection:
Address;
e-
f 5 •
A
Date call d:
,., 7 -vim`
Specia nstructions:
Date anted;
,, • ~ �'P `e
a.m
%. m.
eque to ;
a Ai 57t b
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431.3670
0 Approved per applicable codes. Corrections required prior to approval,
COMMENTS:
nspector
ate:
. C2
$47.00 REINSPECTION FEE REQUIRED. Prior to Inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No,: IDate:
October 7, 2002
Mr. John Kappler
Dujardin Development
14311 SE 18 St
Bellevue, WA 98007
City of Tukwila
Department of Community Development
RE: Permit Application No. M2000.208
Location; Fosterview Lot 12
4238 S 137 St
Dear Permit Holder:
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 (208) 431.3670 to arrange for the next
scheduled inspection
This inspection is Intended to determine if substantial work has boon 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 9.pe /me extension up to 180 degg,
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 November
18, 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,
a ..otaz-hs.)
Kathryn A, Stetson
Permit Technician
Xc: Permit File No,M2000.206.•
Bob Benedicto, Building Official
Steven M. Mullet, Mayor
Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 * Phone: 206.431.3670 • Fax: 206.431.3665
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M2000 -206 DATE: 9:A10OQ__ _ __ .__..._._
PROJECT NAME: FOSTERVIEW ESTATES LOT 12
SITE ADDRESS: 42ag .S 1 ! "
XX Original Plan Submittal
Response to Correction Letter # # ,p After Permit Is Issued
DEPARTMENTS:
Building Division •
Pu lic Works ❑
Complete
Comments:
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete ❑
TUES /THURS ROUTING:
Please Route Structural Review Required
REVIEWER'S INITIALS:
APPROVALS OR CORK : (ten days)
Approved L__. Approved with Conditions
REVIEWER'S INITIALS:
WRROUTE.DOC
5/99
O O ON:
Approved ❑ Approved with Conditions ❑
REVIEWER'S INITIALS;
Response to Incomplete Letter #
❑ Permit Coordinator
DUE DATE: 9 "12.2000
Not Applicable ❑
No further Review Required
DATE:
Planning Division
DUE DATE:
Not Approved (attach comments) ❑
DATE:
DUE DATE
Not Approved (attach comments)
DATE:
p625 111/911
r---- �--- -� Detach And Display Cenificate
Mulch And Display Willem
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. # EXP. DATE
EFF C IVE 06/20/1980
DUJARD IN. DEVELOPMENT CO
PO BOX '1059
SNOHOMISH WA. 98291 -1059
k.,. DETACH TO DISPLAY CSR' CATS.._.!'
PLEASE DETACH AND SIGN
CERTIFICATE BEFORE PLACING
IN BILLFOLD
. AA /WAY A PA IA AAA/IIAP,I A1/ 11lS h• ... • ".
AS. arab
1 Signature
Issued by DEPARTMENT OF LABOR AND INDUSTRIES
Please Remove
And Sign
Identification
Card Before
Placing In
Billfold
P03254524=13
•
'62s45iMoo
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
DAM
4* .DUJARD- *104t04;,I `/ r6V 4240 -
"DUJARDz r DEVELOPMENT" CO -
P0' BOX 5059
SNOHOMISH WA 98291 -1059
1 '