HomeMy WebLinkAboutPermit M98-0211 - ROBERTS BERNARD AND MENDIbert5
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City of Tukwila 1
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M98 -0211
Type: B -MECH
Category: RES
Address: 3807 S 128 ST
Location:
Parcel #: 238420 -0006
Contractor License No: ADAIRH *262RZ
TENANT ROBERTS BERNARD & MENDI
3807 S 128 ST, TUKWILA WA 98188
OWNER ROBERTS BERNARD & MENDI
1707 BOYLSTON AV #301, SEATTLE WA 98122
CONTRACTOR ADAIR HOMES INC.
1111 SW 170, BEAVERTON OR 97005
CONTACT CAROL SCHMIDT
2303 93 AV SW, OLYMPIA WA 98512
** k************* k** k** k* k ** * ** ** *** **** ** ** ** * * *k ** **
Permit Description:
INSTALLATION.OF A,FURNACE, WATER HEATER AND
ASSOCIATED DUCTWORK FOR.: NEW SINGLE FAMILY.
RESIDENCE.
UMC Edition: 1997
*****• k* r ****************' k**** * * * * * * * * * * * * * * ** * * * * * * * * * * * *. ** k * * * * * * * * * * * * **
Perms Center Authorized Signature Date.
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:
Print Name:_ . 4 eF ?�
MECHANICAL PERMIT
(206) 431 -3670
Date: Z
Title:
Status: ISSUED
Issued: 01/13/1999
Expires: 07/12/1999
Phone: 206 324 -4727
Phone: 360 - 352 -7641
Phone: 360- 352 -7641
Valuation:. .00
Total Permit Fee: 61.19
This permit shall become'nuji an.d.,vo;i.d: if; ;the. work is not commenced within
180 days from the date of issuance., or i"f the work is suspended or
abandoned for a period of 180 days from the last inspection.
in (Ptg i na t I od kit)
APPROVAL REQUESTED: (TO 'BE'FILLED OUT. BY APPLICANT)
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Architect:
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Street Address:
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Fax #:
Engineer:
Phone:
Street Address:
City State /Zip:
Fax #:
MISCELLANEOUS PERMIT REVI=W'AND
APPROVAL REQUESTED: (TO 'BE'FILLED OUT. BY APPLICANT)
Description of work to be done: (
Phone:
a -.. �—
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes Pi no
Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets
❑ Above Ground Tanks ❑ Antennas /Satellite Dishes ❑ Bulkhead /Docks ❑ Commercial Reroof
❑ Demolition ❑ Fence MMechanical ❑ Manufactured Housing - Replacement only
❑ Parking Lots ❑ Retaining Walls n Temporary Pedestrian Protection /Exit Systems
El Temporary Facilities ❑ Tree Cutting
MONTHLY SERVICE BILLINGS
TO: J[ j)
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Phone:
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Name: . }��'�,V c
Address:
City /State /Zip:
p Water
6, Sewer
0 Metro
0 Standby
Miscellaneous Permit Application
Na ki i\L, C DEPOSIT/REFUND 1 t't V BILLING'
to
Address:
Date application accepted:
MISCPMT.DOC 7/11/96
CITY OF('JKWILA
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.
APPLICANT REQUEST:FOR MISCELLANEOUS PUBLIC WORKS PERMITS
❑ Channelization /Striping
❑ Flood Control Zone
❑ Landscape Irrigation
❑ Storm Drainage
❑ Water Meter /Exempt #t
❑ Curb cut /Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s):
❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq ft grading /clearing
❑ Sanitary Side Sewer #t: El Sewer Main Extension 0 Private 0 Public
❑ Street Use ❑ Water Main Extension 0 Private 0 Public
Size(s):
❑ Water Meter /Permanent It Size(s):
❑ Water Meter Temp # Size(s): Est. quantity:
El Miscellaneous ❑ Moving Oversized Load /Hauling
0 Deduct 0 Water Only
gal Schedule:
OCA
Phone:
City /State /Zip:
Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be
reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules.
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 107.4 of the Uniform Building Code (current edition). No application
shall be extended more than once.
0 5
Date application expires:
Appllc IIr taken by: (Initials)
3-qc.
BUILDING OWNE - OR
D AGENT:
Above Ground Tanks/Water Tanks - Supported directly upon grade
exceeding 5,000 gallons and a ratio of height to diameter or width
which exceeds 2:1
` AUTHOR!
Signature ( y ; , 'l
e.
I. , .
Submit checklist No M -1 - `
Date: //
/ (/ • O r/
M>
Print name: ��
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City /St ta/Zip: /1
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MIT APPLICATIONS MUST BE SU: TED WITH THE FOLLOWING:
➢t ALL DRAW N ,NALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
• BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
• ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT
Y STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON
LICENSED STRUCTURAL ENGINEER
• CIVIUSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER
(P.E.)
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, unless the homeowner will be the builder 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 contractorlicensed
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 IIFRFR V (FRTIFY TI-/AT 1 iiA'v'E 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 / AM AUTHORIZED TO APPLY FOR THIS
PERMIT.
MISCPMT.DOC 7/11/96
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR PERMIT REVIEW
0
Above Ground Tanks/Water Tanks - Supported directly upon grade
exceeding 5,000 gallons and a ratio of height to diameter or width
which exceeds 2:1
Submit checklist No :. M -9
0
Antennas /Satellite Dishes
Submit checklist No M -1 - `
0
Awnings /Canopies - No signage
Commercial Tenant Improvement
Permit .. .
0
Bulkhead /Dock
Submit checklist No : WO'
O
Commercial Reroof
Submit checklist No M -6
0
Demolition
Submit checklist:' No .M -3,': M -3a
0
Fences - Over 6 feet in Height
Submit checklist No: M -9
0
Land Altering/Grading /Preloads
Submit checklist No: M
0
Loading Docks
Commercial Tenant' Improvement
Permit. Submit checklist No: H -17
7
Mechanical (Residential & Commercial)
Submit checklist .' No M =8
Residential'only -1+6, H -16 ': . .
Submit checklist No; H -9
d
Miscellaneous Public Works Permits
o
Manufactured Housing (RED INSIGNIA ONLY)
Submit checklist No: M -5<
0
Moving Oversized Load /Hauling
Submit checklist' , No M - 5:`
0
Parking Lots
Submit checklist. . No: M -4
i n
Residential Reroof - Exempt with following exception: If roof structure
to be repaired or replaced
Residential Building Permit
Submit checklist' No: M -6
O
Retaining Walls - Over 4 feet in height
Submit checklist No:, M: 'r1
0
Temporary Facilities
Submit checklist ,No M -7
0
Temporary Pedestrian Protection/Exit Systems
Submit checklist : No ' M -4
I n
Tree Cutting
.Submit checklist : No: M 72' .::.:
4
MIT APPLICATIONS MUST BE SU: TED WITH THE FOLLOWING:
➢t ALL DRAW N ,NALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
• BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
• ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT
Y STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON
LICENSED STRUCTURAL ENGINEER
• CIVIUSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER
(P.E.)
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, unless the homeowner will be the builder 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 contractorlicensed
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 IIFRFR V (FRTIFY TI-/AT 1 iiA'v'E 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 / AM AUTHORIZED TO APPLY FOR THIS
PERMIT.
MISCPMT.DOC 7/11/96
Address: 3807 S 128 ST
Suite:
Tenant: ROBERTS BERNARD & MENDI
Type B-MECH
Parcel #: 238420-0006
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Permit Conditions:
• No changes will be made to the plans unless approved by the
Architect or Engineer and t.,ileTukwija Building Division.
2. All permits, records plans shall be
available at the j . p . . 5 4 * e - p f ‘ T i 5 r E6 any con-
struction. These to be maintaTneXand a v a i l -
a b l e until f ipg1;;P s p e, ei, 0 ii -, ppro!:ea9 is 9hanted. !;
3. All constructjOn to he dune :In, ctinfor.mance approved
plans and,rOluirements Of the UniforM BuildifIg.
Edition) amended Uniform'Mechanical,,Code.-11997 Edltion),
and Was,10ngton State Energy Code (1997 Edition).,,'!';
4. ValiditY,Of Permit. The Issitance of a perait, or,approvelpf
plans: specifications, and,computations shall notbe,o017)
strued , t0A)e a permit fOr',. or an approval of, Soy vioratfO:11:%
,.
of any of the Rrovisiohs of the building code or
otherordihance, of thejurisdiction. No permit bres4m1h§ t� ",,
give,authority violate ,or cancel the provisions of 00s
code;shal1'be. valid:
5. MANUFACTURERS;INSTALLATIONIN$TRUCT16NS REOUIRED ON SIT
, , , ■■■ 7 ' l
.. i
( .1.1
FOR THE BUILDING INSPECTORS ;REVIEW.
6. Plumbing permits shall'be'Obtained through -the Seattle-Kiqg
.,.
Colinty,Department pf.‘Public 'Health. '. Mumbling will be '-'"---
in v
spected b,that,agency, including ail. piping
, .
.
(2.964722). , ..„ , , ,
7. Ele:Aribal,permits shall be obeelnpd!tht W#shYng.tOnpt.p
State, Labor and IndUtOeSsand,all electrToa,.1
workw.illbeinspected by that agencY\(248-600).: c f
, ., f , , • T ?
CITY OF TUKWILA
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Permit No: M98-0211
Status: ISSUED
Applied: 10/29/1998
Tssued: 01/13/4999
ACTIVITY NUMBER: M98 -0211 DATE: 10 -29 -98
PROJECT NAME: ROBERTS RESIDENCE
XX Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter
Revision # After Permit Is Issued
DEPARTMENTS:
B ding Division
G
Public Works
PL�E OUTTL SLIP
DETERMINATION OF COMPLETENESS: (Tues, Thurs)
Complete ❑ Incomplete ❑
Comments:
TUES /THURS ROUTING: Please Route ❑ No further Review Required ❑
Routed by Staff (if routed by staff, make copy to master file and enter into Sierra)
\PR- ROUTE.DOC
6/98
Fire Prevention
Structural
Approved Approved with Conditions ❑
Plannip Division ❑
Permit Coordinator
DUE DATE: 11 - - 98
Not Applicable ❑
REVIEWERS INITIALS: DATE.
APPROVALS OR CORRECTIONS: (ten days) DUE DATE: 12 - - 98
Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) E
REVIEWERS INITIALS: DATE.
CORRECTION DETERMINATION: DUE DATE.
Not Approved (attach comments) ❑
REVIEWERS INITIALS: DATE:
•
V r ct: rnairo t
. 0 1 1ceic t .5
Type of Inspe ion:
Y" 0
Date called.
Special instructions:
Date wantedI I _6 ( arm
.m.)
Requester:
/t/Onn
5 130 _ Dui 1 -3
•
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
pproved per applicable codes. 'Corrections required prior to approval.
COMMENTS:
INSPECTION RECOR 19-
Retain a copy with per
0.4 rOf
V\cla-CD\I
PERMIT NO.
0
ED $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
Proje 6j
Type o
sp ecti tA 71
. /�y
Address: /2/74i..3 r „ S T
Date called:
Special instructions:
Date w
/ ey
a.m.
p.m.
Regy
r:
Phone:
. ,. "' ' ,
INSPECTION NO, .
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
Approved per applicable codes.
INSPECTION RECOR�
Retain a copy with permlr'
4498
PERMIT NO.
(206)431 -3670
Corrections required prior to approval.
COMMENTS:
D pieag-L AWcT" /C!o 7` //24t
itole-E•fti /7
•
ea ( AIX
Inspe l
Date,
54 !
El $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No: Date:
*+***+*+*A+*N+a**k***+A*A****a***A*Ak*+**********h*+++***++****+
CITY OF TUKNILA. NA TRANSMIT
+****+******+****A+**+**+h**++*k*+**+*a*++A**k*+k**A+***********
TRANSMIT Number: R9800005 mount: 61.19 01/13/99 13:44
Payment Method: CHECK Notation: ADAIR HOMES Init: BLH
-
Permit N� x g8~O%11 Type: B-N CH MECHANICAL PERMIT
Parcel No: 238420-0006
Site Addrmeo: 3807 S 12B ST
Total Faewc 61.19
Thia . payment 61.19 Total ALL Pmts: 51.19
M 8alance: .00
4.*++****+******A+*+**+******+*+******+**********+*************
• Account Code
000/345"830
000/323.100
Demcriptinn Amount
PLAN, CHECK - REQ 12^24
MECHANICAL - RES '44°15
^��+
9406 1 r/�' TOTAL 4329.56 ' ���
Project Name: S
. iir\ - c I' vvcl. � -a t )e.��:� 3
Address: ,
Residential Building Permit Number:
tali i i LOA.
1. Prescriptive Option W.S.E.C. Chapter 6, (check building permit option used):
❑ 1. ❑ II ❑ III. ❑ IV. ❑ V. ❑ VI. ❑ VII.
❑ VIII.
2. House Square Footage ( HSgFt)
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.
❑ c. Other Fuels (gas, heat pump) /27 BTU /h per sq. ft.
4. Equipment:
3 r- a C
c. Size in BTU's - ,r l -� l� �P • 4 /74
5. Calculation /(HSqFt) (see line 2 above)
BTU /h X (see line 3 a, b, or c above)
BTU Equipment Maximum Size
7/9/96
CITY Or 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 #: M •
H -6
Applicant's Si nature:
2 .PPL-11\AitC- 1 4 ---
Date:
✓
Working Drawings
Floor plan ,
System layout
Elevations (for roof ounted equipment) and proposed screening
Heat Loss Calculation
Roof plan required to ide fy individual equipment and the I•- ation of each installation (Uniform
Mechanical Code 504(e))
H.V.A.C. over 2,000 CFM (alp. oximately 5 ton and Iarg-. ' must be provided with smoke detection
shut -off and will be routed to the ire Prevention divisio - for additional comments, code section
Uniform Mechanical code 1009.
Provide sets of manufacturer's installation instructions
✓
Document Requirements
Documentation or specifications must be pro ,: .' ed to show that replacement equipment complies with
the efficiency ratings and other applicable r: ents of the Washington State Nonresidential
Energy Code. .
Structural engineer's analysis is require. o replace e ' ting roof equipment weighing 400 pounds and
greater (Uniform Mechanical Code Sec • on 2336(a))
Water heaters and vents are include. n the UMC - please 'gclude any water heaters or vents being
installed or replaced. `'N
Structural calculations stamped by. Washington State licensed tructural Engineer shall be required
if structural work is to be done
• Numbe of units
Provide sets of manufacturer's installation instructions
✓
Working Drawings
On 8 1/2 x 11 sheet ' f paper include the following:
Narrative of work t. •e done (i.e., changeout, replace existing equipment, modifications, -tc.)
• Type of unit '.eing installed
• Rating /Si
• Numbe of units
Provide sets of manufacturer's installation instructions
Note: Water heaters and vents are included in the Uniform Mechanical Code - please include any
water heaters or vents being installed or replaced
CITY OF1 'UICWILA
P
!P
ermit Center m-8 6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670 Submittal Chec . list
Miscellaneous Permits
2/97
MECHANICAL PERMIT
COMMERCIAL: " Rpur complete sets of drawings and attachments required with a
lication submittal
RESIDENTIAL: Four complete sgts of drawings and attachments required with a ilication submittal
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGISTRATION NUMBER
CC01 ADAIRH *262RZ 12/15/1998
EFFECTIVE DATE 12/09/1974
ADAIR HOMES INC
1111 S W 170TH
BEAVERTON OR 97005 -4299
Sig nature
Issued by DEPARTMENT OF LABOR AND INDUSTRIES
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGISTRATION NUMBER
CCO1 ADAIRH *262RZ 12/15/1998
EFFECTIVE DATE 12/09/1974
ADAIR HOMES INC
1111 S W 170TH
BEAVERTON OR 97005 -4299
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. # EXP. DATE,
CCO1 ADAIRH *262RZ`:12/15/1999.
EFFECTIVE DATE 12/09/1974
:-ADAIR HOMES INC =!
1111 S W 170TH
BEAVERTON OR 97005 -4299
Detach And Display Certificate
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. # EXP. DATE
CCO1 ADAIRH *262RZ:12/15/1999$
EFFECTIVE. DATE 12/09/1974
'ADAIR =% HOMES =:INC -,"-
1111 S W 170TH
BEAVERTON OR 97005 -4299
Signature
Issued by DEPARTMENT OF LABOR AND INDUSTRIES
Please Remove
And Sign
Identification
Card Before
Placing In
Billfold