HomeMy WebLinkAboutPermit M98-0214 - JACKSON TONY AND EVELYNJ6ud(15001
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M°?•-•02A__I
City of Tukwila ( (206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M98 -0214
Type: B -MECH
Category: RES
Address: 3803 S 128 ST
Location:
Parcel #: 238420 -0005
Contractor License No: ADAIRH *262RZ
TENANT JACKSON TONY & EVELYN
3803 S 128 ST, TUKWILA WA 98188
OWNER JACKSON TONY & EVELYN
1707 BOYLSTON AV #307, SEATTLE WA 98122
CONTACT CAROL SCHMIDT
2303 93 AV SW, OLYMPIA WA 98512
CONTRACTOR ADAIR HOMES INC
1111 SW 170, BEAVERTON OR 97005
******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Description:
FURNACE, WATER HEATER AND ASSOCIATED DUCT WORK
FOR NEW SINGLE FAMILY RESIDENCE.
UMC Edition: 1997
******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Cent
MECHANICAL PERMIT
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:_ �C2''L't °�- _�� Date: fG
Print Name:__&11,A 1L sS 0A -, Title: 7/2
Status: ISSUED
Issued: 07/26/1999
Expires: 11/10/1999
Phone: 206325 -9588
Phone: 360 - 352 -7641
Phone: 360 -352 -7641
Valuation: .00
Total Permit Fee: 78.94
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.
PMI N meffenant:
, l��(1�l.f,, .l ", 1 n' LA..,
,� =� )1 �tSO n
Value of Construction:
• Above Ground Tanks ■ Antennas /Satellite Dishes ■ Bulkhead /Docks ■ Commercial Reroof
El Demolition ❑ Fence g Mechanical ❑ Manufactured Housing- Replacement only
El Parking Lots ❑ Retaining Walls Temporary Pedestrian Protection /Exit Systems
El Temporary Facilities El Tree Cutting
Site A dress:
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Ci y $t at i ip: .
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Ta Par el Number:
a a i•
Phone: c)W
Property Owner:
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Addres . }1 _ (� i
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tf t, ddre�ss:
44
L
it S ate /Zip:
Fax #:
Contact erson:
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0 Metro 0 Standby
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Street_Ad re
ty S i • =
ax #:
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Architect:
Phone:
Street Address:
City State /Zip:
Fax #:
Engineer:
Phone:
Street Address:
City State /Zip:
Fax 41:
MISCELLANEOUS PERMIT REVIEW AND. APPROVAL REQUESTED: (TO BE,FILLED OUT BY: APPLICANT
,:
Description of work tq be done:
rv�� VI AV c' � V-
)/ aoku �
Will there be storage of flammable /combustible hazardous material In the building? ❑ yes J . no
Attach list of materials and stora a location on se.arate 8 1/2 X 11 •a•er indicatin• • uantities & Material Safes Data Sheets
• Above Ground Tanks ■ Antennas /Satellite Dishes ■ Bulkhead /Docks ■ Commercial Reroof
El Demolition ❑ Fence g Mechanical ❑ Manufactured Housing- Replacement only
El Parking Lots ❑ Retaining Walls Temporary Pedestrian Protection /Exit Systems
El Temporary Facilities El Tree Cutting
MONTHLY SERVICE BILLINGS TO.
Phone: c)W
'
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Addres . }1 _ (� i
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,
City /State '
J
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1
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- ater
'Sewer
0 Metro 0 Standby
Miscellaneous Permit Application
❑ Channelization /Striping
El Flood Control Zone
❑ Landscape Irrigation
El Storm Drainage
El Water Meter /Exempt #
❑ Water Meter /Permanent # Size(s):
❑ Water Meter Temp # Size(s): Est. quantity:
❑ Miscellaneous ❑ Moving Oversized Load /Hauling
WATER METER DEPOSIT /REFUND BILLING:
Name: ky\kir\1 vu
Address:
CITY OF rUKWILA
Permit Centel'
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.
Date application accepted:
MISCPMT.DOC 7/11/96
APPLICANT: REQUEST FOR MISCELLANEOUS PUBLIC WORKS PERMITS
El 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 it: El Sewer Main Extension 0 Private 0 Public
❑ Street Use ❑ Water Main Extension 0 Private 0 Public
Size(s): 0 Deduct 0 Water Only
Date application expires:
F• R STAFF USE ONLY
Project Number: 4P
OW
O
Permit Number:
City /State /Zip:
gal Schedule:
Phone:
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.
Applicgtlon taken by: (initials)
BUILDING OWNER OR AUTHORIZED ' AGENT:
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR
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
Signature'
A ' '
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--
Date: fl /WV
Print name:
i/) p/J �9
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7(--
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f :axe 0 )„� // /�
Cs=- '� 7�c��v l/
Address: Fl
1
�� 1
Demolition
c Phonc�!�/l�l / .4 �
imo -PA
MI ®
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR
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
PERMIT REVIEW
Submit checklist .No:.. M -9
0
Antennas /Satellite Dishes
Submit checklist . No: M -1
El
Awnings /Canopies - No signage
Commercial Tenant Improvement
Permit '•
El
Bulkhead/Dock
Submit checklist No M-10 .
in
Commercial Reroof
Submit checklist No: M -6 , -`
0
Demolition
Submit checklist No M-3; M-3a
El
Fences - Over 6 feet in Height
Submit checklist No: M -9
El
Land Altering/Grading /Preloads .
Submit checklist : No: M -2 ,
Loading Docks
Commercial .Tenant Improvement -. ,
Permit. Submit checklist No : :H -17
Mechanical (Residential & Commercial)
Submit checklist No. M=9;.,
Residential only - H -6, H -
®
Miscellaneous Public Works Permits
Submit checklist No;',H 9
0
Manufactured Housing (RED INSIGNIA ONLY)
Submit checklist No M 5`
0
Moving Oversized Load/Hauling
Submit checklist No: 'M -5'>
El
Parking Lots
Submit checklist : No; • M -4
0
Residential Reroof - Exempt with following exception: If roof structure
to be repaired or replaced
Residential Building Permit ;
Submit checklist ;_No :. M -6:
_
®
Retaining Walls - Over 4 feet in height
Submit checklist No M-1 ,'
0
Temporary Facilities
Submit checklist ;' No: . M-7 . -.
i n
Temporary Pedestrian Protection/Exit Systems
Submit checklist No; M 4'
0
Tree Cutting
Submit checklist' No M -2
ALL MISCELLANEOUS PE, T APPLICATIONS MUST BE SUB
ED WITH THE FOLLOWING:
> 'A A a H BE AT A LEGIBLE SCALE AND NEATLY DRAWN
A BUI,i:DINGPL AND UTILITY PLANS ARE TO BE COMBINED
> ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT
> STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON
LICENSED STRUCTURAL ENGINEER
> CIVIL/SITE 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 arc hitect/engineer,,or contractor.licehsed .
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 A NO 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.
MISCPMT.DOC 7/11/96
•
P..0d:,-,ess. 3603 S 126 Si Pe- No= M96-4..214
S e :
ienanr: jACKSON TONY EvEL'?N u' : ISSUE C
Abblied: 1029/1996
#:'wrcel At: 236426-0005 issued: 6.7i26i1999
.4.444 49 44449.4**4 **4,44(4**554095 *44 4, 0(4 4,14 ( 5 44' 4' A 5 5 5
Perm!t Conditions:
I, No changes will be made to the an unless approved by the
Engineer and the ful:,w(la
I I permits, inspectionirecords, and:approyed plans shaltbe
avaitable at the :lop siteprior totheStat, con-
C r tif :.*:t on 4?.. C do'.umenr are to be me 7 re Cain ed and ava ; I -
abI e until final inspeCtiofl approval is granted:
3. Ali construction to ,De done An conformance*.itha0proved
I. lans and .requIrmit'S 01 the ' auildingHcode-:.q997
Edition) amended: Unifor'M MechaniCal Codei.1,992.-„ETqlon),
and Washington State Energy, Code A1992 Edition):
Valid Permit. Theissuance• of a permit or.,..appr.oval:of
p/ansspecificatfans, and: shall not be
strued: to De a permit for, or an approval of, any vicilac-iOri
el any of .the provisions of the:A:wilding code or'ot mv
other:ordinance of the lurisdictiOn. No permit ti' et to
gtve,aurnority to violate::orcancel the provlsions:dfjnis
code:shall toe , :valid:
ManutacturerS installation instrOctions on site
jor building inspector's yevieW. ,
6, Plumbingpermits shall be Obtained '
Comnty.Department,of Pdbyic-Health. PlUmbing will be
inspected ht that agency„ including a II Od.
c29t4222,),
L I eCt i Ca I ' Perm, ts, ;.4 I i be at ta i heti:. t hrough the Was hi rii? ton.:,:-
, 1 , , , , .
::-..tate:Olvision Labor and industriesyand.ati evectrlcal .,:.:.
workwill be inspected b ag
v that enctrA2
... . „.. , .
. . . -
. .
. ,
• .
DEPARTMENTS:
rwC.
Built+ng Division
Public Works
TUES /THURS ROUTING:
Routed by Staff
REVIEWERS INITIALS.
1Mi Cc�vd.
PLAN RE IEW /ROUT
I SLIP
ACTIVITY NUMBER: M98 -0214 DATE: 10 -29 -98
PROJECT NAME: JACKSON RESIDENCE
_XL_ Original Plan Submittal Response to Incomplete Letter
Response to Correction Letter # Revision # After Permit Is Issued
DETERMINATION OF COMPLETENESS: (Tues, Thurs) DUE DATE: 11 - - 98
Complete ❑ Incomplete n Not Applicable E
Comments:
Please Route
APPROVALS OR CORRECTIONS: (ten days)
Approved E
REVIEWERS INITIALS:
Fire Pre ey, ration
Structural
Approved with Conditions
CORRECTION DETERMINATION:
(if routed by staff, make copy to master file and enter into Sierra)
Planning Div:si_ ion ❑
Permit Coordinator
No further Review Required
DATE. t - 1 S-9,6
DUE DATE: 12 - - 98
Not Approved (attach comments) LI
DATE' (I
DUE DATE:
Approved ❑ Approved with Conditions LI Not Approved (attach comments) ❑
REVIEWERS INITIALS: DATE:
\PR•ROUTE.DOC
6/98
Ai' Project
A7 0 - F - 1or 1_ `�..�dG�
Type of Ins cti n:
Yp Q j)
1
Address:
.� ' 3 .___ )
Date called
i_ is
Special instructions:
A
Date wanted _ ) � 9 a.m.
Requester:
11I Gr -‘Ac
Pr9J(2to--Lii.--&-
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
pproved per applicable codes. I Corrections required prior to approval.
COMMENTS:
PERMIT NO.
( - 0@ 1-_, aA--a4 m
• c_:rg. cc_ 4' IA)/ IL(O
t HA Al A - ne. -e_.
206)431 -3670
r] $47.00 REINSPECTION FEE REQUIRED. Prior to inspect on, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
COMMENTS: `'
Type f nsption:
mc..c v
'p elie, 22e/c- . 44-f A7
Address:
3fo" -S
.!J / 4f J ‘6 ?7v C/ / . L/ ;/ /
44'();T C? E.. $ o 6- / ,/c/1(0077/
/ti le, � e/ 777 ! G /jQz ti/ S _' .
-- -- A- (0 S G. ,ems. .) S -- Eaebtt. tr .
7 ( ,2 /
�
a.m.
p.m.
Requ ter:
pp,,
.�., . A
Pro' ct:
-- ACto.a (
Type f nsption:
mc..c v
Address:
3fo" -S
Date called:
Special instructions:
Date w /
�
a.m.
p.m.
Requ ter:
pp,,
Phone:
Ins ,■4a4
� INS PECTION RECORD Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
Ej Approved per applicable codes.
PERMIT NO _ /
V . (206)431 -3670
���Corrections required prior to approval.
D f
0 $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:
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rt R980011F.i Anustirtt 711.94 O?/4199 I6v2ti •
CHCCK Notation: VENONICA jOCKS(M Initt•JUI
PcIrerf tJQ 98-0214._ riper 8-MECH MECHONICAL OERMIT.
jiwcel Not 238420-00Vi
S'ite ddii 3� 12B Sr
1YTIht
•
4,94
TcJal ALL Pmtvt q4 '
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Oa I an c a t • • i •00 •
,‘ * * 4 lc 4t * it *,* * * i■ * * 4 * it A 4 * iv A. 4t. * A- A A * *A * it + * it * * * * * * it it * A * 4 it A ir * * t * 11 tPt *4 *
..' 4
Occoint Coda " . DcriptOon
000/2.8:10 PLPA CHECK - liE..i . ' l':i..."Pil
000/322,100 MECHMNICOL - RES .
1
Pro'ect Name: i �
Address:
Residential Building Permit Number:
1 . Prescriptive Option W.S.E.C. Chapter 6, (check building permit option used):
❑I. 0 I CI Hi. ❑Iv. CI v. CI vi. CI vii.
❑ VIII.
2. House Square Footage (HSqFt)
l moo.
3. Heating System installed, (check system type below):
1"' •. a. Electric Resistance /21 BTU /h per sq. ft.
Itt b. Electric (forced air) /24 BTU /h per sq. ft.
❑ c. Other Fuels (gas, heat pump) /27 BTU /h per sq. ft.
4. Equipment:
a. Make P
/ (/) ( 1 ` -, I G b. Model - 15). sc)
c. Size in BTU's OC'S f irl. 10 — 19 �l•" 5 I Co h,v- 9;6
kw /50
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 OF 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 #: p mietwozof
H -6
Applicant's Signature:
Date:
b3T\A•rU00
Cavlsi
i
Airr tu-t,t
✓
Working Drawings
Floor plan
System layout
Elevations (for roof mounted equipment) and proposed scree ng
Heat Loss Calculations
Roof plan required to identify in• idual equipment and t ,- location of each installation (Uniform
Mechanical Code 504(e))
H.V.A.C. over 2,000 CFM (approxi ': tely 5 ton and I -, :er) must be provided with smoke detection
shut -off and will be routed to the Fire'':,evention div' =ion for additional comments, code section
Uniform Mechanical code 1009.
Provide 2 •ts of manufacturer's installation instructions
✓
Documot: it Requirements
Documentation or specifications must be p :vid-' . to show that replacement equipment complies with
the efficiency ratings and other applicabl :, equire nts of the Washington State Nonresidential
Energy Code.
Structural engineer's analysis is requir; • to replace e ting roof equipment weighing 400 pounds and
greater (Uniform Mechanical Code S .ction 2336(a))
Water heaters and vents are include d in the UMC - pleas - include any water heaters or vents being
installed or replaced.
Structural calculations stamped • a Washington State licen d Structural Engineer shall be required
if structural work is to be done
• Number f units
Provide 2 •ts of manufacturer's installation instructions
✓
Working Drawings
On 8 1/2 x 11 shee ;:f paper include the following:
Narrative of work ,, be done (i.e., changeout, replace existing equipment, mo• 'cations, etc.)
• Type of unit eing installed
• Rating /Si
• Number f units
Provide 2 •ts of manufacturer's installation instructions
Note: er heaters and vents are included in the Uniform Mechanical Code - please incl •e any
water paters or vents being installed or replaced
CITY OF (JKW/LA
Permit Center
L91
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670 Submittal Checklist
MECHANICAL PERMIT
COMMERCIAL: Four co •lete sets of drawings and attachments required w application submittal
RESIDENTIAL: Four complete Pets of drawings and attachments require ith application submittal
2/97