HomeMy WebLinkAboutPermit M2000-209 - FOSTERVIEW ESTATES - LOT 22M2000-209
Fosterview
Lot 22
13710 43 P1 S
City of TIlkvvllcZ (206) 431-3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M2000 -209
Type: B -MECH
Category: RES
Address: 13710 43 PL S
Location:
Parcel #: 261200 -0220
Contractor License No: DUJARD *204L0
TENANT
OWNER
CONTACT
CONTRACTOR
FOSTERVIEW ESTATES - LOT 22
13710 43 PL S, TUKWILA WA 98188
DUJARDIN DEVELOPMENT CO
PO BOX 5308, EVERETT WA 98206
JOHN KAPPLER
14311 SE 16 ST, BELLEVUE WA 98007
DUJARDIN DEVELOPMENT CO
PO BOX 1059, SNOHOMISH WA 98291
*,****************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Description:
FORCED AIR GAS FOR NEW SINGLE FAMILY RESIDENCE.
UMC Edition: 1997 Valuation:
Total Permit Fee:
* * * * * * * * * ** * * * * * * ** **************** *,t ** * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * ***
Permit Center A horized Signature
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 this building permit.
Signature tlaste: :344.,4
Print Name:
MECHANICAL PERMIT
Date
± QJ
Status: ISSUED
Issued: 03/01/2001
Expires: 08/28/2001
Phone:
Phone: 425 - 334 -5018
Phone: 425- 641 -5320
4,000.00
115.56
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.
Signatur
Print Name:
CITY OF TUKWILA
Address: 13710 43 PL S
Suite:
Tenant: FOSTERVIEW ESTATES - LOT 22 Status: ISSUED
Type: 0-MECH Applied: 09/08/2000
Parcel #: 261200 -0220 Issued: 03/01/2001
***• k***.h•k********** k*kk k* kk** ********k k k*** k*** A* *•kk * ** ** ***** **
Permit Conditions:
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,
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). s
Electrical permits Shall be obtained through the Washington
State Division of 'labor and Industries and el1,,electrieel
work will . be' � nspe'cted by that agency (248-6630).
No changes w i l l be made to , the `'plans unless approved by . the
Engineer and the Tukwila Building Division.
All constru to be done in conformance with approved
pletis4and requirements of the ,Uniform Building Code (1997
Edition) as emended, Uniform, Mechanical Code (1997 Edition)
end`,Weshington State Energy Code (1997. Edition),
Validity of Permit. The issuance of a permit or epprove l o
p1efa, specifications, and computations shell not by con-
strued to be a permit for, or an approval of, any violation
of lny 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 shell be valid.
7. Manufacturers installation instructions required on site
for building inspectors review.
I hereby oerl:ify that I have read these conditions and will coTp1y
with them as outlined. All provisions of law :and ` ordinances governing
t h i s work will be complied w i t h , whether s p e c i f i e d heroin or not,
The orar. . ng is permit: does not presume to give authority to
violate ;.r cane ,the provisions .of any other work or local laws
regulating construction or the performance :of work.
1M VP 11.
Permit No: M2000 -209
. RT .Ir���KKM !w 'RRRRIIt—!Ff+r011�R�}!�RH!ReTV—
Date: ./
Project Name/Tenant
* ,.
-...f o a'TORaltew rh'1vrte5 ‘...tb i /4,
Value of Mechanical Equipment:
Site Address : ( '� �3 City State/Zip:
0 ell P,�� r ik ^-
Tax Parcel Number:
141 2.040 --C:2$2.-
Property Owner:
Q `
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Phone: ( )
fir 334 —'a t.)
Street Address:
'p. 0 . h *,o
_ E st
City State/Zip:
uw
Fax #: ( )
4 334— 5041,
y Phone: ( ) thN
Contractor: tr
LJ
t A ,ktr
Street Address:
City State/Zip:
Fax #: ( ) _ ttead
Contact Person:
i
Address:
R ip.
Phone: )
Street
dress:
L CA.. ((I } li.
c,$"
City State/Zip:
ltARA.Q , (Ai t _ q
Fax #: ( )
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*BUILDING OWNER OR AUTHORIZED AGENT:
AIM,
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Date:
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Signature:
Print name: 4 09eMMt ULL.22L
Phone: (
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Fax N: (
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Address:
R ip.
City /State/Zip:
CiTY OF TUI /ILA
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.
MgCHAN(CAL PERMIT REVIEW AND APPROVAL RtQUESTED: (r0 BE FILLED OUT BYAPPLICA
Description of work to be done (please be specific):
FO AFF USE ONLY
Project Number:
Permit Number:
Pz000 - 101
M2aoo
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, n 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 MO days upon written
request by the applicant as defined In Section 1 14.4 of the Uniform Mechanical Code (current edition), No application shall be
extended more than once.
Date application accepted:
11/1/9P
auch pernadoc
9 j . a0
Date application expires:
15 0
Appiicati
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 .
4
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 . .Ilcable re• uirements of the Washin :ton State Nonresidential Ener: Code.
Structural engineer's analysis is required for new and the replacement 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.
Heat loss calculations or Form 11-6.
echanical Permits
COMMERCIAL: Two complete sets of drawings and attachments required with application submittal
RESIDENTIAL: Two complete sets of attachments required with application submittal
Narrative of work to be done Inciudln i. modification to duct work,
installation of Gass Flace
.^R
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 Sin le Famil Residence
Chan: e•out or re.lacoment of exlstin: mechanical equipment
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.
NOTE: Water heaters and vents are Included In the Uniform Mechanical Coda — please Include any water
heaters or vents being installed or replaced.
4*** * * * * *** **IF *** *k *****k** * *h **
CITY Off' `TUKWILA. WA M, tr V
* * * * * * * * * * * ** * * * * * * * ** ** * * * **
TRANSMIT
* *k * * * * * *4*k * *4* * * * * * * *14*
TRANSMIT Number's R0100278 Amounts 115.56 03/01/01 32s37
Payment Methods CHECK Notations DU3ARDIN DEVELOP 1nft: TL13
Permit Na: M2000 -200 Typos fl -MI:CH
Parcel Nos 261200 -02:0
Site Address! 13710 43 PL 8
Total Fees:
This Pavmsrnt /15.56 Total ALL Pints:
Reliance*
*4*fir *** * *A** *** * * * A * ***** *** *irk * * * * * ** * ** * ****
Account Coda Description
000/3 PLAN CHECK .: RES
' 0 MECHANICAL RED
MECHANICAL PERMIT
115.56
115.56
.00
* * * * ** * ** * **
Amount
23.11
92.45
-S1
3/06 911,0 TOTAL 1238
PERMIT NO.: M .2.000 - 20 9
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
01105 Underground Mech Rough -in
01115 Motor Inspection
1400 Fire Final
01800 Final Mechanical
04015 Special -Smoke Control System
0
CONDITION&
l�
8
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 L & 1
0036 Manufacturers Installation instructions required
on alto
"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...."
Aildiftuniggatialu
TENANT NAME: FOtherv`m ,u f s+ct`k 1-4+ 2 2
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/WaIVFloor- mounted Heater (qty)
Appliance Vent (qty)
Heating/Retirig/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'! Fees — Work w/o Permit (Y/N)
tnsp Outside Normal Hours (hrs)
Roinspections (hrs)
Miscellaneous Inspections (hrs)
Add'I Plan Review (hrs)
Plan Reviewer:
Permit Tech:
Date: +G-'
Date: -1
0•117•___.
P • ct:
L
o inspect • :
a
ate - or" .
Addres :
,1 .
ii
Special instructions:
Dat 7 . s = :
,�►
l
►
Reques
Phone.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southc'enter Blvd, #100, Tukwila, WA 98188
PERMIT NO,
(206)431 -3670
g Approved per applicable codes, E3 Corrections required prior to approval.
COMMENTS:
Inspector:
' I! -415111411111 !Date; 1
ED $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter 8Ivd, Suite 100. Call to schedule reins ► ectinn.
Receipt No:
Date:
41
ig
P • ject:
z
Type of Inspe : ion:
e :
L4
a/
Date calie.
Special instructions:
Date wanted:
Requ
.4,A
IMF • ir''WEII
$47,0O REINSPECTION RE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd. Suite 100, Call to schedule reins action.
e gipt No:` Date:
Date:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY Or TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
PERMIT NO.
(206)431 -3670
4 .��• ^ '
Corrections required prior to approval.
ig
Project:
Type of inspection.
Address: 1 10
Date called:
` �
Special nstructions:
Date wanted:
Requester:
•I
Phone:
eceipt No:
Approved per applicable codes,
COMMENTS:
INSPECTION RECORD
Retain a copy with permit
•lNSPEC?iON NO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
h10a- a coo
PERMtt NO
(206)431.3670
Corrections required prior to approval.
(4 7,00 REINSPECTION FIE REQUIRED, Prior to inspection, fee must be paid
at 6300 Southcenter Blvd. Suite 100. Cali to schedule reins i ection,
Date:
COMMENTS:
type i inspection:
r.,
ddress:
Date called;
Special instructions:
2
.r
..
.
P •' e:
- ,_....:.t..4._` - '/ ? /A/O" -
1
l / P . f / /t
.C.
"id r,-,
/ r"
J
(7
y
e,
.1 r,
Pre ect:
type i inspection:
r.,
ddress:
Date called;
Special instructions:
Date wanted.
Reg :ter.
P •' e:
INSPtCtION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 9616$
PERMIT NO..
(206)431.3670
0 Approved per applicable codes. DK Corrections required prior to approval,
7.00 REINSPECTION E REQUIRED, or to inspection, fee must be paid
at 6300 Southcenter tii • ., Suite 100. Call to schedule reinspcction,
Receipt Nu: Data:
3
COMMENTS:
/� yr
Type of Inspec Ion:
tt
. -
ii di i .. 44 as
/ 1= VI�
■
•b '. r
a
*J - I
• 4
5p • cial I ' s ructions.
r. ,► !.
Date wante•:_
• A v A
. a a
t
L 1
!
�' a
r 4�UIrh'
\ {
r jt.
o+t rt \4 5t' '9
• k • r.
! Cri 4 1...
►•
111211111MIIIMEM
or
,
�•: 1R
..
r■ ra r
__,
. •
/� yr
Type of Inspec Ion:
Address: ,
t t
Date tailed:
I
5p • cial I ' s ructions.
Date wante•:_
a.m.
Requ • era
t'ho :
Inspector:
i t , , 01.41
Receipt No;
Data;
Date:
$47.00 REINSPECTION LE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd. Suite 100. Call to schedule reins ►action.
INSPECTION RECO
Retain a copy with permit
IN5IVCtION NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 9818
PEItMIt NO,
(206)431.3670
Approved per applicable Codes. .Corrections required prior to approval.
•
Project Name: , _ _ T _ _
Leo r.
Address:
l_ 1 t r k Ply - z..`4 .�
Residential Building Permit Number:
1. Prescriptive Option W.S.E.C. Chapter 6, (check building permit option used):
C3 1. 0 ii ❑III. 1p iv. ❑V. ❑VI. ❑VII.
c3 VIII,
2. House Square Footage (HSqFt)
2.0(o0 f r
3. Heating System Installed, (check system type below): ir
❑ a, Electric Resistance /21 BTU/h per sq, ft.
❑ b. Electric (forced air) /24 BTU /h per sq. ft, I. FILE C C)
PY
iii c. Other Fuels (gas, heat pump) /27 BTU /h per sq, ft. ,
4. Equipment:
a. Make CA 1196 C
s_��.��.w�� wwA____ _ww____
b. Model btf ��'�'S
_,
%•
c, Size In BTU's t /i/ ?
5. Calculation/(HSgFt) 2-u (see line 2 above) A r ` 4 • `'
'-"i
, 4 ,
/'
BTU /h X I (see line 3 a, b, or c above)
?D BTU Equipment Maximum Size
PERMIT APPLICATION #:
Applicant'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 Chapter 9 , Climate 1
Date: 6
M z 000- zo 9
Ci
H -6
RECEIVED
CITY OF TUKWILA
PERMIT CENTER
SS
DEPARTMENTi:
BuiI li g Division U
Public Works ❑
Complete
Comments:
itROUTE.DOC
5/99
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M2000 -209 DATE: 911-2000
PROJECT NAME: FOSTERVIEW ESTATES LOT 22
SITE ADDRESS: .13710 43rd PL
XX Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #� _ tevision # After Permit Is Issued
TUES/THURS ROUT C:
Please Route Structural Review Required
REVIEWER'S INITIALS:
APPROVALS OR CORRECTION: (ten days)
C ON E N ON:
Fire Prevention
Structural
(Tues., Thurs.)
Incomplete ❑
CI
Planning Division
Permit Coordinator
DUE DATE: 9 -12 -2000
Not Applicable El
No further Review Required
DATE:
■
DUE DATE: _11E1 Q'U �911Q
Approved ❑ Approved with Conditions ❑� Not Approved (attach comments) ❑
REVIEWER'S INITIALS: DATE: ,
11■■..
DUE DATE,
Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) El
REVIEWER'S INITIALS: DATE:
LICENSE DETAIL INFORM TION Forni
STATE OF WASHINGTON
DEPARTMENT OF LABOR AND INDUSTRIES
Specialty Compliance Services Division
P. O. Box 44000 Olympia, WA 98504 -4000
THE RESULT OF YOUR INQUIRY FOR LICENSE NUMBER SELECTED IS:
LICENSE DETAIL INFORMATION
Current Filter: None
Registration# or License DUJARD *204L0
Name DUJARDIN DEVELOPMENT CO
Address PO BOX 1059
Address
City SNOHOMISH
State WA
Zip 982911059
Phone Number 4253345018
Effective Date 8/20/80
Expiration Date 12/18/01
Registration Status ACTIVE
Typo CONSTRUCTION CONTRACTOR
Entity CORPORATION
Specialty Coda GENERAL
Othor Specialties
U81 Number 600351287
* * *yI,EwPRINCIPAL, _ R S F R IRENEE # **
* ** �►T'= s: = 0�s 1 * **
* * *,CHECK INf UIRY FOR_SUMMON AND COM * *
* * * I C TRAC R NSURANCE INFOR A 10
http:// www .lni.wa.gov /contractors/TF2Form .asp ?License = DUJARD *204L0
Page 1 of' 1
New inquiry by CITY, NAME, PRINCIPAL OWNER NAME, NUMBER, UUI NUMBER or
return to the L &I Constr Compliance Page
3/1/2001
1§
,t1
1 t
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
My ': _REC#IS..•.;.....w DATE: "
,cC DUJARD *Ztr4LO4.1:2 /1Ze /2a0
DA . ; O6;4x04/298
"DUJARDIN DEVELOPMENT CO
PO BOX 1059
SNOHOMISH WA 98291 -1059
■
I F625M5:4)OO (8N71
ru1w+w•0MMw•w1wwr.+ •
AMMAPOM Y w ',ammo.'" $'I1 iIU I/` U.
r-- - Detach And Display Cenircate
Detach And Diiipiny Quotients
REGISTERED AS PROVIDED BY LAW
CONST CONT GENERAL
REGIST. # EXP, DATE •
CCO1 DUJARD *204L0 12/16/2000
E$'FECTIVE`DATE 06/20/1980
•
DUJARDZN. DEVELORtaa T CO •
PO BOXY 1059
SNOHOMISH WA. 98291 -1059
1 Signature
I Issued by DEPARTMENT OF LABOR AND INDUSTRIES
t;_ QETACH TO DISPLAY CEP' .CATE._,..t
PLEASE DETACH AND SIGN
CERTIFICATE BEFORE PLACING
IN BILLFOLD
Please Remove
And Sign
Identification
Card Before
Placing In
Billfold
F025
•