HomeMy WebLinkAboutPermit M99-0101 - JACKSON VERONICAM99-0101
3805 So. 128th St.
Jackson, Veronica
City of Tukwila �.
(206) 4313670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MECHANICAL PERMIT
Permit No:
Type:
Category:
M99 -0101
B -MECH
RES
Address: 3805 S 128 ST
Location:
Parcel #: 238420 -0008
Contractor License No: OHMSTC *1320N
TENANT
OWNER
CONTACT
CONTRACTOR
JACKSON VERONICA
3805 S 128 ST, TUKWILA WA 98188
JACKSON VERONICA
13730 56 AV S #301, TUKWILA WA 98168
YVONNE GRAVES
15216 SUNWOOD BL.. S, TUKWILA WA 98188
OHMSTEAD CHIMNEY
16635.16. "AV SW, SEATTLE, WA 98166
•
Status: ISSUED
Issued: 05/24/1999
Expires: 11/20/1999.
Phone:
Phone:
Phone:
Phone:
206 242 -9353
206- 910 -7205
206 -244 -9257
* *•**•* ***• k******" kk**k*• k*****k****• k********• k***• k*• k *:k ** * **.**'**k** * * **** *"k ****
Permit
Uescri
p
ti on:
INSTALLATION OF FREESTANDING WOOD BURING STOVE/
CHIMNEY.
UMC Edi- ti.on: 1997
Valuation:
Total Permit Fee:.
,878.00
51.75
* * **** )ik** * * *k* *ter* * *** ** *A** *4 * *k * **A **.* * * * * * **' **Ii * * * ** * **•k` ** (*** *****
q9
Permit ;Center uthorized 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 o,f..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 ani authorized to sign for and
obtain this building permit.
Signature.`C�4h\,_ Date: ���,��
Me�di S. 0.0 ems
Print Name: Title:
This permit shall become null and void if the:wo.rk is not commenced within
180 days from the date of Issuance, o.r .if..the. work is suspended or
abandoned for a period of 180d"ays .from - the last inspection.
CITY OF TUKWILA
Address: 3805 S 128 ST
Suite:
Tenant: JACKSON VERONICA
Type: 6-MECH
Parcel #: 238420-0008
k******A****k**k****h**kk*Ilk***P**********kk**k*****kle**kl(******k**AAk*****
Permit Conditions:
1. No changes will be made to the plans unless approved by the
Engineer and the Tukwila Buildina,Oyjsion.
2. All permits, inspecti,99,0bprosted plans shall be
available at the pb<s,i,eelliq'ar to statt any con-
struction, ThesedMenqE.ae tope maintL40*and avail-
able until fin41 AnspecOonappro is granted
3. All construcaO& to be done An-,conformanotth aPoved
Permit No: M99-0101
Status: ISSUED
Applied: 05/07/1999
Issued: 05/24/1999
plans and,qOirements,df the Meehan fcalCode097„Ed#Aon),
and Washington State Energy. Code (1997 Editioni
4. Validiy,,,of Permit„ The issuanqe! ,01' a permit oiappovalof
plans600ecificaticns, andoOmputations shall"npt,06;,con
struOi/jo,:be a prmitfor','or an approval of, any viOlatiOn
of anyiof:the provisions of the:tuilding code or-,of',any',
otherOinance of the,,JurisdACtion,, No .permit presumInj tO.,
giveauthoritv.'to cnceI provis)onsof,OLis
codeshair'be-vali
, ,. .
, ,,...
S. Manufacturers-installaticin Instructions_required on; .site
,
inspect.ors
CITY OF TUKWILA
Permit Centel
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
F • R STAFF USE ONLY
Miscellaneous Permit Application
Application and plans must be complete In order to be accepted for plan review.
Applications will not be accepted through the mall or facsimile.
Project Oa�m�erre�n!ant: �) /
6.7,6 YL'.� �/7.4%./ Il. ' /7/0.4--,e''.5.1
Value of Construction:
c� 28 7g -/3
Tax Parcel Number:
. .. '9.c - c 2 ' 2
Site Address:
- - . ;'0 ✓.-
_ Statp /Zi :
c' / d,z' : j .. % L / / e _ c t J i G , L C : , 98/6"e"
Property Owner:
1i,E.20.4.,ic/9' Z7. - , //,c4le.:15 o.✓
Phone:
X206 .z 1/Z - 9 ..-5
Street Address: _ State /Zip:
/ ' 730 J 6 7// /A-z---.3",. 7#. ---/e/ /UA: ui ,9 /6/ .96/6S
Fax #:
Contact Person:
Yve.a,t)
i �,
e. (. .Cdied/YY., a.,,9 4.
Phone:
(,2oC,) 9/0 -7z
Street Address:
16Z/
City State /Zip:
c << /ao 9 - vz2 c!� ru e /e). /zi/ Lt'- g/gZ
Fax #:
r..ce7 ,6,), yr- 6' 7.9_
Contractor:
6/ // J r-5r-zw /,//i w6Y
Phone:
(2o4.) 2 % - 9-25-7
Street Address:
City State /Zip:
Fax #:
Architect:
Phone:
Street Address:
City State /Zip:
Fax #:
Engineer:
Phone:
Street Address:
City State /Zip:
Fax #:
MISCELLANEOUS PERMIT REVIEW AND APPROVAL 'REQUESTED: (TQ $E FII LEP 00,,T.H)'APIFOOANT);,
Description of work to be done: ..22zJ .9..«- 'z.'t ) df9,' .GEC/. f�r/�..ti.?�i.,, ivee.e%' .. e/K7 ' <2g
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes ❑ 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 ❑ Mechanical ❑ Manufactured Housing - Replacement only
❑ Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection /Exit Systems
❑ Temporary Facilities ❑ Tree Cutting
• APPLICANT REQUEST FOR MISCELLANEOUSPUBLIC°.WORKS PERMITS':' ::.
❑ Channelization /Striping
❑ Flood Control Zone
❑ Landscape Irrigation
❑ Storm Drainage
❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (nialn to vault) #: Size(s):
❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq ft.grading /clearing
❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public
❑ Street Use ❑ Water Main Extension 0 Private 0 Public
❑ Water Meter /Exempt # Size(s):
❑ Water Meter /Permanent # Size(s):
❑ Water Meter Temp # Size(s): Est. quantity:
❑ Miscellaneous ❑ Moving Oversized Load/Hauling
0 Deduct 0 Water Only
ga( Schedule:
MONTHLY SERVICE:BILLINGS T0: ","
Name:
Phone:
Address:
City /State /Zip:
0 Water
0 Sewer
0 Metro
0 Standby
WATER METER DEPOSIT /REFUND BILLING:
Name:
Phone:
Address:
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.
Date application accepted:
- -7-
Date application expires:
Appllc` tion taken by: (Initials)
/i
MISCPMT.DOC 7/11/96
ALL MISCELLANEOUS PE' IT APPLICATIONS MUST BE SUBM D WITH THE FOLLOWING:
A ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
A BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
A ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT
A STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON
LICENSED STRUCTURAL ENGINEER
A CIVIUSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER
(P.E.)
0 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 11-4, "Affidavit
in Lieu of Contractor Registration ".
Building Owner /Authorized Agent If the applicant is other than the owner, registered arcltitect/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 1 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.
BUILDING.OWNER OR AUTHORIZED AGENT: .
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR PERMIT riEVIEW
0
Above Ground Tanks/Water Tanks - Supported directly upoh 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
El
Awnings /Canopies - No signage
Commercial Tenant Improvement
Permit
0
Bulkhead /Dock
Submit checklist No: M -10
ri
Commercial Reroof
Submit checklist No: M -6
El
Demolition
Submit checklist No: M-3 . M -3a
El
Fences - Over 6 feet in Height
Submit checklist No: M -9
Land Altering /Grading /Preloads.
Submit checklist No: M -2
J
Loading Docks
Commercial Tenant Improvement
Permit. Submit checklist No: H =1.7
Mechanical'(fesidential &Commercial)
Submit checklist No. M -8,
Residential only - H -6, H -16
0
Miscellaneous Public Works. Permits
Submit checklist No H -9
Manufactured Housing (RED INSIGNIA ONLY).
Submit checklist No: M -5
Moving Oversized.Load /Hauling
Submit checklist No: M -5
Parking Lots
Submit checklist No: M -4
O
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
rwl
Temporary Facilities
Submit checklist No: M -7
J
Temporary Pedestrian Protection/Exit Systems
Submit checklist No: M -4
Tree Cutting
Submit checklist No: M -2
0 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 11-4, "Affidavit
in Lieu of Contractor Registration ".
Building Owner /Authorized Agent If the applicant is other than the owner, registered arcltitect/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 1 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.
BUILDING.OWNER OR AUTHORIZED AGENT: .
Signature:
( Date: ,/l .1j,' y 5 ,i999
Print name: YVd et)s d .
4 j..6�e9i.e, 'Y
,E'!' 1/6-
CL
, � 7.-w) 5/O -I ?CL,'
pQ6 >aw-
9, ,91e
Address: 7- � &. /JU,X :i
/'y
City/State/Zip: 9ge
MISCPMT,DOC 7/11/96
+A***A***+**4+a*+*^.+4* A**.*a++A +w+*+*a+AA*+***++N*4'+A
01 CITY OF TUKNILAI NA \ � � TRANSMIT
*+****+A**+*+*++*++A**A+***A*+****+«4i*A*+4:++^+'+lt*A****A+A**A`+**
TRANSMIT Number: RB800OG8 Amount: .51.75 05/19/99 15:
payment Method: CHECK Notation: YVONN[ GALLOWAY '%nih: T�O
-~~-~~-------�~_�-----~-^-~-~---~�,-'�^�_---~---�--'_^-�~--''---r
Permit No: M99^0101 Type: 8-MECH MECHANICAL PEUMIl `
Parcel No 23G42O-8008
- Site Addro5a: 3805 S 128 ST
Total Fees: �� 51.75 � �..�
This Payment 51.75 Total ALL 9mtsx� 51".75
� .
Balance: ' �.0O
^«�*++*a^^*++�a+**�*+*+**++^*+^�+++A*A++*�^����**��aA*t�+i^*^+*
` .
Account Code ` 0mecription Amount
000/345"830 PLAN CHECK - RES ` 10.35
000/322.100 , MECHANICAL - RES 41.40
•
INSPECTION NO..
• • ■•••,;;,,;,24.•; •.: •
INSPECTION RECOr
Retain a copy with pehttit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
itA90-o/0
PERMIT NO.
(206)431-3670
Proteet' 1- Ackse-a
Typf I spection:
Addr
02)
,.....)
Dd
-----
Special instructions:
Date wante el,
or/4 •
a.m.
Requpte
WA:97LO <-
Phone:
Pre4
pproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
-ro
Inspec
$47.0 1 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No: Date:
INSPECTION NO,
'1"."%wf."7.1.7.7,474r.T.'","Mrtrrt1 ,
INSPECTION RECORD ( 11CRO DI
Retain a copy with permit-
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
PERMIT NO. fri,
(206)431-3670
10evct:
Type of Inspection:
AActs65 s
\ „
,o4a),4.
Date called:1_
Special instructions:
Date wanted
'
)
Requester:,
-Lt 1 ..... co)a3
,Ap
proved per applicable codes. iections required prior to approval.
COMMENTS:
po, ,..f p6ung--
I CO-7'1/1 P' 1i I)&/,,
rt
AJA,4_66,
Date:
ri $47.00 REINSPECTION FEE REQUIRED. Prior to inspect n, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No: Date:
6r1.1....lit4iale.4.14,444...);.2407a1;44421}Atjc;6%, „,,,_
••
S310 & S260 Features:
• All critical parts inside the firebox
made of stainless steel for longer
service life
• Singular draft control technology
offers ease of operation
• Mobile home approved for
freestanding applications,
both legs and pedestal
1 Sialel hP6 °'' 380. _ Y 2 s7a (# &So. f
N 'CE: Specifications are for reference only and shalt"rt -•°be used for actual installation.
U stallation manual for actual Installation.
Striker
00� S160
Log Length:
Maxlmum/ Recommended
Stove Pipe Diameter
Height: Legs
Pedestal
Width
Depth (Door opening to rear shield)
Approx. Weight: On Legs
On Pedestal
18"/I6"
6"
27'/2"
31"
23"
18"
316 lbs.
310 lbs.
20 " /18"
6"
27'/2"
31"
25'/4"
22'/2"
406 lbs.
400 lbs.
22'/2 " /20"
'6" or 8"
33"
36'/2"
28"
21'/4"
446 lbs.
440 lbs.
• Consult your Dealer or professional installer for recommended chimney sizes for your application.
' ®
Combustion System
Heating Capacity In Sq. Ft.• •
Oregon DEQEfficiency
EPA Grams Per Hour
Heat Output " BTU/Hour
EPA Test Fuel Range
Maximum Output/ Cord Wood 68,000
Maximum Burn Times ••
Cord Wood 6 - 8 hrs.
Non - Catalytic
700 - 1,400
70.2%
1.6
10,000 - 42,000
Non - Catalytic
1,200 - 2,000
67.1%
4.2
Non - Catalytic
1,600 - 2,500
68.296
4.1
9,000 50,000 10,000 - 60,000
76,000 79,000
7 - 9 hrs. 7 - 11 hrs.
T -Top 5310 '
22'/2 " /20"
•6" or 8"
33"
36'/2"
28"
24"
525 lbs.
519 lbs.
Non - Catalytic
2,000 - 3,500
68.6%
3.2
12,000 - 70,000
84,500
7 - 12 hrs.
Heating Capacities based on 70° 3 ft. above the floor with 8 ft. ceilings. Cubic Feet = Sq. Ft. x 8'
"Heat output, heating capacities and bum times will vary depending on fuel type and moisture content, climate conditions,
burning habits, Installation, chlmney performance and home characteristics /Insulation values.
•
Ctai
S160
S210
, , .AYrt:Al(.tt7Ya •ete'n's'e ^ .�
!1n ut o o r'NFPI:21j,p qtr
'a 1'. •,rt.f': r'. ?.•,• :;z'iiln ='tir1 :l:ti. "wj'..i'
A
B
c
D
on*
Ft
G
Ho)
1" '
Km
L'
M
ro
"
o-0
u?
tro
Cr
5260.6' pipe
O
l
8�
-
✓ t
to
ra
5260.8" pipe
cr
Q N
(ft
co
ro
5310•6" or 8" pipe
N,
r9
16"
14"
21"
121/2'
8"
93/4
18"
40"
36"
16"
8"
N/A
l '.i �:.,`
t ;:S'�:
N/A
10"
8"
18"
9'4"
8"
51/2"
131/2"
40"
36"
16"
8"
N/A
;iii; 1;) t�1,
N/A
10"
8"
18"
91/2"
8"
514" "
131/2'
40"
36"
16"
8"
72"
...Y•�M',.i
;,4...:'�',t.
44"
16"
133/4"
24"
141/2'
8"
9"
18"
44'4"
36"
16"
8"
N/A
) ",•..
�
N/A
10"
73/4"
24"
14'/2"
8"
9"
18"
44'/2"
36"
16"
8"
N/A
,c; „f!"
: ?rf:'. #t
N/A
10"
73/4"
18"
8'/1"
8"
6"
15"
44'/2'
36"
16"
8"
72"
..
1.1,!..,!I
48" I
18"
163/4,
26"
16"
8"
11"
211/2"
44"
38"
16"
8"
N/A
'�rSA
�1T.�
N/A j
13"
1134"
23"
13"
8"
11"
21'4"
44"
38"
16"
8"
84"
a'r•n•H
AT.C.1.
54"
23"
213/8,
28"
18"
8"
13"
231/2'
44"
38"
16"
8u
N/A
4.K1 «,:
N/A
16"
143/4,
25"
15"
8"
12"
2214'
44"
38"
16"
8"
84("
,11, . ..
z;:':,,.f,i,i;011$:4:1�i;t:
64"
18"
153/4"
24"
13"
8"
101/2'
21"
50"
38"
20"
8"
N/A
'.:.1�,�
N/A
12"
93/4"
24"
13"
8"
101/2'
21"
50"
38"
20"
8" .
N/A
-5'.: `J.Ih1'�y��i
s':-;
N/A
12"
93/4,
24"
13"
8"
73/4'
18"
50"
38"
20"
8"
72"
J.,'ts
56"
Ft= Measured from corner of stove heat shield.
In mobile homes Double Wall connector pipe must be used
and an Outside Air KR (OAK) Is required.
WV) = 6" to the rear of the stove heat shield or 8" to the rear of the firebox.
(2) For each 2" the hearth is raised above flooring, hearth requirement may be
reduced by 2 ", 16" Minimum all installations.
t I
B A
.—D
Atli i1
1." A lei
r
'Measured from door opening
Fig. 1
(3) H = Er" + depth of stove + K.
(4)1 = Door opening width + L' each side
(5) All Alcove installations must use Double Wall,f
Note: Country Stoves, Inc. reserves the rig t to Improve
or alter its products at any time TT:L:.:' .... 1' n-
.. 99
*t` ,1 i I'. .
• ''Tit” Mire
�— 48" Maximum Depth —�
1 3 �. '..,.
110 f L) L L)
Jt..'Ii_v „1�CJ ...,1�lriI' •t,- 00
Fig. 2
(J - -to-
'Measured !rom door opening
Ft. Measured from corner
Country freestanding stoves are tested to U.L. 1482. of stove heat shield.
CLEARANCES TO FLUE ARE FROM THE STOVES FLUE COLLOMBUSTIBLES
ER
Fig. 3
7
1:133.1430
66g 1. /NW
viimmnI4o AJ.10
C131W031:1
NOJCUAICI 0.1i1011110
ORION SV
6661 C t AVW
03A0NdEiV
V110111 JO Ain
uJ
c:3
z
a_
n
Lj
LLi
C)
E --I tk
U Z <I
<E (/) < < (kJ
1/8` =1, -0'
60
SQ. FT. TOTAL
SCHEDULE
•
N(
•1
E co
0
J•�
{ � • J N � •
o. 113 EJ
CZ �
C
-1
Q W
-;7 Pa M 3
fel
■
El 1=1
SSVd -IB .9
— �9S
■
L
aft
.
w
W
Z
;t
624 SQ. FT.
LLI
-J
D.
s
U
ce
A
0?5 6
36
5
z
DD
N
N
O.
H
fq
i
z
w -
•+I N
N
494
?RA, mAt Cocv _01)
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M99-0101 DATE: 5-7-99
PROJECT NAME:: GRAVES FAMILY HOMES
Original. Plan Submittal
Response to Correction Letter #
Response. to: Incomplete Letter
Revision # • After Permit: Is: Issued
DEPARTMENTS:
Bu Division t]
ublic<� IIII
Woks
Fire Prevention
Structural 44_
Planning Division
Permit Coordinator •
DETERMINATION OF COMPLETENESS: (Tues, Thurs)
Complete
Incomplete
DUE DATE: 5'0 -99
Not Applicable
Comments:
TUES /THURS ROUTING: Please Route
No further Review Required E
Routed by Staff U (if routed by staff, make copy to master file and enter into Sierra)
REVIEWERS INITIALS: DATE:
APPROVALS OR CORRECTIONS: (ten days)
Approved
Approved with Conditions
REVIEWERS INITIALS:
DUE DATE: 6 -8 -99
Not Approved (attach comments) Li
DATE:
CORRECTION DETERMINATION:
Approved E
DUE DATE:
Approved with Conditions Not Approved (attach comments)
REVIEWERS INITIALS: DATE:
\PR•ROUTE.DOC
6/98
1:(,254n:2•(xw Ui/97)
?ARTMENT OF LABOR AND INDUS'S ':ES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
RFGIST; # : ; .. EXP;':° DATIVE '
CC01;. OHMSTC *1.320N;: O.TO9r'�1':999.:;:
EFFECTIVE DATE 0.9/15'/ 19.8' Ts
• OHMSTEAD CHIMNEY
16635 16TH AVE S W
SEATTLE WA 98166