HomeMy WebLinkAboutPermit M99-0146 - MICHAELSON RESIDENCEM99 -0146
3214 So. 130t" St.
Michaelson Residence
City of Tukwila {-
(206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MECHANICAL .PERMIT
Permit No: M99 -0146
Type:..B -MECH
Category: RES
Address: 3214 S 130 ST
Location:
Parcel #: 735960 -0405
Contractor License No: ROSSOES1420P
Status: ISSUED
Issued: 08/06/1999
Expires: 02/02/2000
TENANT MICHAELSON RESIDENCE Phone:
3214 S 130 ST, TUKWILA, WA 98168
OWNER MICHAELSON G J Phone: (206)000 -0000
3214 5 130TH, SEATTLE WA 98168
CONTACT JEANIE SCRIBNER Phone: 206 725 -7555
9367 RAINIER AV S, SEATTLE WA 98118
CONTRACTOR ROSSOE ENERGY SYSTEMS INC. Phone: 206 725 -7555
9367 RAINIER AV S, SEATTLE, WA 98118
******************************************** * * * * *** * * * * * * * * * * * * * * * * * * * * * * **
Permit Description:
REPLACE OIL FURNACE WITH OIL FURNACE 56,000 BTU.
UMC Edition: 1997
Valuation:
Total Permit Fee:
3,200.00
47.88
******************************************* * * * * * * * * * * * * * * * * * * ** * * * * * * * * * **
Permit Center T thorized 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:_ _ (: Date: t_. -6~ L9
Print Name:__ c/_Lf1J �' Title:
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.
Addr:ess: 3214 S 130 ST
Suite:
l'ent: MICHAELSON RESIDENCE
Tvrhe: B-MECH
Parcel :4.: 735960-0405 •
*4,0,•k*4**.A4.**1, 44-1,*****444,
Permit Conditions: •
OF IlAWILA
i7,ermit ko: M99-0146
Status: ISSUED
Applied: 08/C2/1999
Issued: 06/06/1999
4 k*A****4*-41,4'4 *****4.4 4 1, ,4****4-4 0,4 4******4'4 4 4 *4**4-4'4 4
1. ,Plumbina permits shall be obtained through the Seattle-Ktha
,CountylDepartment of Pubil.c..1-lealth-..,1“umbina_will be
Inspected 'by that a9eno.:HOloludInd al 1 aas..pipino
.(296-4722).
2. Electrical perm,it Sballbei;obtained throuoh:theyashinaton
State Division:Of LaborYand jndustOes
Work will beirispected'bv that 'aaenttv
chanoeswill be made to ,th eHolans unlessapprovedbv the
Enoineer.-and the TbkWila.BUiAdina Division.
4'. All perMits,''instiection records„,.and apbrOved plansshal1,be
available at the lob site prier:to the start.of'anvCon-..
struction, These documents are to he maintained and .avail,
ablefunttl tnspection aboroVal is aranted., :
All..construction to be done in conformance with approved .
plans and reouirementS ,of the UniforM Buildina Code (1997.
Edition) as amended, Uniform Mechanical Code (1997Edition-
and:IVashinaton State Enerav:Codej1997: Edition).
6, Validitv of Permit.. The issuance; of a..permit or aporcivai'0
spetifications, and'.coMputatiOns shall not be
strued to be a Permit:for. Or an apprOval Of any violatiOn
of anv the oroOstoris of the bulidinacode or of..any
, other ordinance of .the. iurisdiction„ NO permit Presumina
atv.e:.authoritv to Violate or cancei tht orovisions'Ofthis
code shallibe valid.
ilanufacturers tnstallation instructioneduired on site'
for the buildina tnspectors review, -
•
CITY OF''UKWILA
Permit Cente•
6300 Southcenter Boulevard, Sulto 100
Tukwila, WA 98188
(206) 431 -3670
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.
Pro'ect Na e/Te ant:
1(/)4(.1K011) `S.. r. R ,
D-scription of work to be done:
1- 6. f� /I M - _ RA d-.6-• OIL -4 e.A1 5 6 0 471-i
Value of Construction:
1 3 :zoo
S to Address: �j
3 z / 4f S. /30 sr` 5
Cit State/Zip:
tti4 gg, z
Tax Parcel Number:
7 a qG a O ��
,
Property Owner:
K /,eg A/ /C/ 1,q i n,.l
City State /Zip:
Phone:
zv 4 -.2y). - /64z.it
Fax #:
Street Address: s4/77/:
Contact Person: --r�
VZ✓ml✓ /G t._14/ 13ti/u ,Q.:
Phone:
10l- 7.:2-s"7.e.; 's
Street Address:
City State /Zip:
Fax #:
Contr tor:
0SS0 . a/�k4G1 5 'S
0 Standby
Phon
oo:- 75-75"S‘---
z
Street6ddress
�� 36 '7 �l1 / 4), 1e }V� .
City State/Zip:
sER y 98/� 8
Fax #• .
z o47 - 7,;33- .3' 9'
Architect:
Phone:
Street Address:
City State /Zip:
Fax #:
Engineer:
Phone:
Street Address:
City State /Zip:
Fax #:
MISCELLANEOUS; PERMIT. REVIEW AND 'APPROVAL . REQUESTED :'(TO BE FILLED' OUT' BY APPLICANT) ..
D-scription of work to be done:
1- 6. f� /I M - _ RA d-.6-• OIL -4 e.A1 5 6 0 471-i
_
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes 71 no
-Attachhllist of materials and stoma a location on se arate 8 1/2 X 11 paper indicatin uantities & Material Safety Data Sheets
t_1 Above Ground Tanks LJ 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 MISCELLANEOUS PUBLIC WORKS PERMITS'
❑ Channelization /Striping ❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s):
❑ Flood Control Zone ❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq. ft.grading /clearing
❑ Landscape Irrigation ❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public
❑ Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public
❑ Water Meter /Exempt # Size(s): 0 Deduct 0 Water Only
❑ Water Meter /Permanent # Size(s):
❑ Water Meter Temp If Size(s : Est. quantity gal Schedule:
❑ Miscellaneous DI Moving Oversized Load /Hauling
MONTHLY SERVICE BILLINGS TO: •
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:
—
Date a
MISCPMT.DOC 7/11/96
llcation expires:
Appll tion taken b : (initials)
ALL MISCELLANEOUS PEP T APPLICATIONS MUST BE SUBM
D WITH THE FOLLOWING:
• ALL DRAWINGS SHALL - E AT A LEGIBLE SCALE AND NEATLY DRAWN
t y► "t ir; , ,r-.
>10 ,v Ji�DING SIj ` ►Nt TN 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
• CIVIUSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER
(P.E.)
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR PERMIT REVIEW
❑ 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 tcheoklist No:
Antennas /Satellite: Dishes.
';:Submit checklist: :
Awnings /Canopies No signage•
Commercial•Tenant Improvement
Permits '
Bulkhead/Dock
Submit'checkIiist ; No :;:
Commercial Reroof
Submit checklist ; ;; N6: .
Demolition
'Submitchecklist-
Fences - Over 6 feet in Height
;Submit checklist: No:
Land Altering/Grading/Preloads
Submit checklist ; No:
Loading Docks
,Coinmercial.Tenantamprovement ;:,,
Permit : Subrriif checklist No :H 17
Mechanical(Residential & Commercial):
❑
Miscellaneous Public WorksPermits.
Subrnitchecklist:. No::M -8;:';
Residential only H6 H -16 '
Submit, checklist :x No, 1-1 9
Manufactured Housing (RED INSIGNIA ONLY
Submit;checklisf; ,
P:
❑
Moving Oversized: Load /Hauling
Submit.checkiist'.': No
❑
Parking Lots
Submit,Criecklist
M -4
Residential Reroof Exernpt•with following exception: If roof:structure;
to be repaired,or replaced
Residentiai;Building Permit.;:
Submit.checkllst No: :; M 6f:
❑
Retaining Walls -Over 4 feet in height
;,Siubmitchecklist
❑
Temporary Facilities
'Submit cheoklist N0:
Temporary Pedestrian Protection/Exit'Systems
:Sub.rnit • cieokiists: No
Tree Cutting:
Submit:checklist 'No:
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/englneer, ;o'r contractor licensed :.,
by the State of Washington, a notarized letter from the proporty: ;wrier 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.
BUILDING OWNER OR AUTHORIZED GENT:
Signature:
�f7'
X 4%
x�>(r
-,L .
ry1
Date:
7/..>_ ? /97
Print name: ✓ C
b
Phone: .z 5 „
Fax #:723 - 3 :4a 7e
Address: 9 . ', 7 4� y )/
` <
91/C c5
City /State /Zip:
m, n /4 1 ,tr•y,
MISCPMT.DOC 7/11/96
rq."-tell”Wyr77-,.-....1.0,41,-rtyr7r4--TFOrrzt7r7MinMr.r.4771r;r4ISIVIrrinprIMAMINMAVirr,17,757.r.virnfl.RprffirgqinInfirilrivrrg::40.e0m777717
4
TIV OF It.).KWY.LA. HP CDl L4L TPAOH1:"- •
humbs:r: 119tt00120• Amount: 08:0.6/9'.?
llavnent Method, CHECK NotationrADINOE. :Ors t • T
P er Nor. 1199..0,J. /4 TV901 -MECH hECHA•ICAL PELT
Parcel No: 7-35960-04ot) ,
tc Addr0.49r a214 3 1.10 ST
TotaUFew“ $0,88 .
Pavrmnt A1?Ci.1 Total ALL Pmtti:
InOance: - .00:
***4*A*,1,44A4 7' 4*,..A*A*k*h*4 **4 7' 47' A.**“..4***.h.w.A7' 7' *k7' *.A.7' *Ai7' 7' **.w
•ccount Code
000/a45.830•
000/.222100
Deucriution
PLAN. CHECK.- 1::U;
MECHANICAL - RES ..
AmomIt
9..58
• „.
INSPECTION NO.
INSPECTION RECORD „
( 19'—O I tj j
Retain a copy with permit �`
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
PERMIT N07.0"1"-"----
(206)431 -3670
Proje
g�i i'l'�� '�D�i
Type of nspecti
' , �' tech
Ad es :/6/ 43A s
Date called: 8 NI
Special instructions:
Date wanted: /.�� / 'a.m.
(pS ( p.m.
Requester: %
Phone: e, /A ,/ /_ 4.1
Approved per applicable co r--- LICorrt=ctions- requited prior to approval.
COMMENTS:
Q $4 .' ' EINSPECTION FE QUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule relnspection.
Receipt No:
Date:
0
AU
111 sc 2-66
32/ s, /3c1-
int Le- X/s-1/ ifQc 0/
LL) / N v.') 0
e, Vv\O -RAILoNE.
hnbcle, Li/1i s-z)--75-13E3
okL Pr,/
EOEIVED
OF TUKWILA
-21999
•
PE MIT CENTER
,
IvL c utast-cei
SEPARATE PERMIT
REQUIRED FOP:
0 MECHANICAL
NR/ELECTRICAL
o PLUMBING
\j2t/GAS PIPS,SC)
C Of' T
JILDING
CITY OF TUKWILA
APPROVED
AS 4 1999
DIVISION
Mq9 e-i0 106
THE TEMPSTAR°'
The Ternpstar
LMO Series oil
furnace has the
versatility to
deliver everything
you need: comfort,
energy savings, .
and safety.
•A,'"!.: -'Fit:
0, 5!year, limited :warronfy
on, all , other functional ; ; ;;V
C ai•;. {:•D,; 1 ,J. c j`*:'�
. . ,".�• .Z.. • i .;:, tww :L: r�'t.' 1�f'.l�i 5t{.�;1
J • parts.,forextra'peace .,* ; �•, ;;
6-K4ot' min
•
A'i�t 4`�T''t}�i. `t R p �vtik• y}- ,'�'rr i�(.t n.
Y, i' f 4
yeSafety controlsprt5
a toomat c, power, c4
L M O S E R I E S
leOgIVED
arY OF TUKWILA
AUG - 2 1999
PERMIT CENTER
O I L F U R N A C E
Reliability You
Can Count On
Oil furnaces have a great reputation
for reliability —and you'll understand
why when you
see the design
innovations built
into our IMO Series
furnaces. They're
proven performers
that can handle
winter's worst...
and all functional
parts are backed
by a 5 year
limited warranty.
Downs ow with %.esnbule
Comfort At
Your Command
Your family's comfort is the driving
force in our furnace design. That's why
we use heat activated controls to start
and stop the furnace blowers. When
the air around the heat exchanger
is warm enough, the control activates
the blower, providing the warmest air
possible. You automatically get the
highest level of comfort and efficiency.
Durable Heat
Exchanger
The heat exchanger is the heart of
every furnace. That's why we put only
hand- welded, durable, 14 gauge steel
in every IMO Series
oil furnace. And each
heat exchanger is
backed by a limited
lifetime warranty.
Upllow without vestibule
TE M PSTA!II
1- Ieating and Cooling Products
ITEM
Heating and Cooling Products
650 Heil Quaker Ave.
Lewisburg, TN 37091
www.tempstaccom/lempstar
Lett horizontal with vestibule
Designed For
Fuel Savings
Our NO Series features Beckett'
burners, the most trusted name in oil
furnace burners. These flame retention
burners produce a hotter, more
consistent flame that burns more
completely. You not only get more heat
from less fuel, you get quieter starts
and less emissions.
Special
Safety Controls
All IMO furnaces
feature integrated
safety controls that
shut off power to
the burner if the
flame goes out
during operation.
Other controls
prevent the furnace
from overheating.
Downtlow without vestibule
Get Year -Round
Comfort
Every NO Series furnace is ready
to meet your summer air flow needs.
Air conditioning relays are standard—
and the blower motor has four seeds
so your installer can tailor the system
for both heating and cooling at
installation. You don't have to wait for
parts change -outs to get relief from
summer swelter. The IMO Series
automatically adjusts to your
comfort requirements.
Right horizontal with vestibule
Get The
Perfect Match
Looking for a complete home
comfort system? Ask your dealer about
the Tempstar air conditioner that would
best match this furnace. Available
in a variety of sizes, capacities, and
efficiencies to suit virtually any home,
a Tempstar air conditioner is designed
to efficiently complement your Tempstar
oil furnace. Ask also about air
cleaners, set -back thermostats, or a
humidifier — additions that can make
a real difference to your comfort and
the air glialiy in your home.
Illustrations and photographs In This brochure are repesenlati . Some product models may wry
Purl No. 445.22.100500 Printed 7/07 0 1007 International Comfort Products
IMO Carlos
OIL FURNACE
TEMPSTA!iI'
Heating and Cooling Products
n -1o•11r
Representative only, some models may vary in appearance.
Vestibule cover optional. Burner ordered separately.
NOTE: These furnaces are not designed
for installation in a corrosive atmosphere,
containing Chlorine, Fluorine, or any other
damaging chemicals.
WARNING
This furnace is not designed for use
inside mobile homes, trailers, or
recreational vehicles. Such use could
result in property damage, bodily
injury, and/or death.
LMO5 MULTIPOSITION OIL FURNACE
57,000 - 128,000 BTUh Inputs
VERSATILE
• Furnace can be installed in four positions:
• Upflow
• Downflow
• Horizontal Right
• Horizontal Left
• Three base models with eight total capacity options with nozzle change.
• Four speed direct drive motors for airflow flexibility.
• Double wall cabinet insulation surrounding heating area minimizes
heat Toss and increases efficiency.
• Air conditioning relay standard.
EFFICIENT
• Flame retention BeckettTM burner (ordered separately).
• 80% AFUE.
DURABLE
• Heavy duty 14 gauge steel heat exchanger.
• Limited lifetime warranty on heat exchanger.
• 5 year limited warranty on all parts.
• Baked -on enamel finished cabinet.
SIVED
O OF TUKW ILA
AUG - 2 1999
PERMIT CENTER
445 21 1005 02
FURNACE SPECFFICATIONS
'
Model
Number
Inpput
MBTUIhr.
Output
MBTUIhr.
AFUE
Temp.
Rise °F
Volts)
Hz/Ph
FLA
Translormer
VA
Flue
Size
In.
Cooling
Cap .5'
WC
Filter
Qty. & Size
In. (mm)
Shp/
Weight
Lbs. (kg.)
Nozzle'
GPH
Air Delivery
in CFM @
Varying External
Static Pressure
In Inches of
Water Column .
70
57
4
4
4
.10
Lo
750
1030
1
Md Lo
0.50
LM05075BEB
84
68
80%
1480
115/60/1
9,8
40
5
1.5 - 2.5
16 x 20 x 1
162
0.60
1010
91
74
960
1200
1750
Md HI
1030
1960
1940
(406x510x25)
1080
0.65
2080
105
85
700
990
1440
Md Lo
920
1200
1720
1
990
0.75
LM05100BGB
80%
60 -80
115/60/1
11.7
40
6
2.5 - 3.5
20 x 24 x 1
217
118
96
0.85
1700
Md HI
930
1410
1850
HI
1000
1410
(508x610x25)
.50
Lo
125
104
1440
Md Lo
850
1170
1660
Md HI
900
1
1800
0.90
LM051256KB
139
115
80%
115/60/1
14.7
40
6
3.5 - 5
20 x 25 x 1
262
1.00
153
126
(508x635x25)
1.10
Nozzle shipped with burners.
ACCESSOREIS
Model
Number
Accessories
Burner
Subbase
Vestibule
LM05075BEB
AHL0070BA
AHLOOISBA
AHLOO2VCA
LM05100BGB
LM05125BKB
AHL0080BA
AHLOO2SBA
AHL003VCA
AHL003SBA
AHLOO4VCA
BLOWER PERFORMANCE DATA
Model No.
LM05075BEB
LM05100BGB
LM05125BKB
Blower Data Type & Size
DD 10 -8T
DD 11 -7T
DD 12 -9T
Motor Data
HP Type
1/3 PSC
1/2 PSC
3/4 PSC
Air Delivery
in CFM @
Varying External
Static Pressure
In Inches of
Water Column .
ESP (" W.C.)
Speeds
4
4
4
.10
Lo
750
1030
1440
Md Lo
1000
1230
1800
Md HI
1070
1480
2000
HI
1130
1520
2130
.20
Lo
730
1010
1440
Md Lo
960
1200
1750
Md HI
1030
1960
1940
HI
1080
1500
2080
30
Lo
700
990
1440
Md Lo
920
1200
1720
Md Hi
990
1430
1900
HI
1010
1460
2060
.40
Lo
690
960
1440
Md Lo
860
1180
1700
Md HI
930
1410
1850
HI
1000
1410
2000
.50
Lo
670
950
1440
Md Lo
850
1170
1660
Md HI
900
1390
1800
HI
950
1420
1940
SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE
MODEL NUMBER IDENTIFICATION GUIDE
MODEL NUMBER
PRODUCT FAMILY
L
PRODUCT GROUP
U = Upf low
H = horizontal
D = Downflow
F = Floor Furnace
T = Upflow/Horizontal
C = Downflow/ Horizontal
L = Lowboy
M = Multiposition
M
FUEL
C = Natural Gas California NOx
E = Electric
G = Natural Gas
L = L.P. Gas
0 = Oil
0
SERIES
5
075
B
E
B
MARKETING REVISION
NOMINAL AIR FLOW (Tons)
A = Heat Only G = 3.5
B =1 H =4
C = 1.5 J = 4.5
D =2 K =5
E =2.5 L= 5.5 -7.0
F =3 M =7.5 -10.0
B = Beckett'" burner
NOMINAL OUTPUT MBTUH
DIMENSIONS
D
E
Representative only, some models may vary in
appearance. Vestibule cover optional, field Installed.
RECEIVED
UKWILA
AUG - 2 1999
PERMIT CENTER
27- 10 -65a
ALL DIMENSIONS IN INCHES
OITV
Model
A
B
C
D
E
F
G
H
I
J
LM05075
19
421/2
20
18
17
10
5
181/2.
241/2
2
LM05100
22
461/2
24
20
22
10
6
173/ie
2113/16
2
LM05125
24
49
26
20
22
10
6
183/4
271/2
2
SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE
SUBBASE DIMENSIONS
Model Number
Use With
A
B
C
D
E
F
G
AHLOO1SBA
LM050758E8
30
3
171/4
21
13/8
181/4
4
AHLOO2SBA
LM05100868
34
2
211/4
24
17/8
201/4
4
AHL003SBA
LM051258K8
36
4
221/4
26
27/8
201/4
4
TEMPSTAI®
Heating and Cooling Products
INTERNATIONAL COMFORT PRODUCTS CORPORATION (USA)
650 HEIL - QUAKER AVE.
LEWISBURG, TENNESSEE 37091
RESIDENTIAL AND COMMERCIAL SYSTEMS • SPLIT SYSTEMS • PACKAGED AIR CONDITIONERS
COMBINATION GAS/ ELECTRIC UNITS • HEAT PUMPS • AIR HANDLERS • MANUFACTURED HOME AIF,
CONDITIONERS • GAS, OIL AND ELECTRIC FURNACES
PART NO. 445 21 1005 02 (0/08)
Printed In U.S.A. SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE Replaces 445 21 1005 01 (11/07)
;GL
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M99 -0146 DATE: 8 -2 -99
PROJECT NAME: MICHAELSON SFR
X Original Plan Submittal Response to Incomplete Letter
Response to Correction Letter # Revision # _ After Permit Is Issued
DEPARTMENTS:
Building Division
AVb 41-1/
Public Works
Fire Prevention
Structural ,
Planning Division
Permit Coordinator ill
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
DUE DATE: 8 -3 -99
Complete Incomplete Not Applicable
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)
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: (ten days) DUE DATE: 8 -31 -99
Approved n Approved with Conditions
Not Approved (attach comments)
REVIEWER'S INITIALS: DATE:
CORRECTION DETERMINATION:
Approved
DUE DATE:
Approved with Conditions n Not Approved (attach comments)
REVIEWER'S INITIALS: DATE:
‘PR•ROUTE.DOC
6198
DEPARTMENT OF LABOR AND INDUSTRIES
LICENSED AS PROVIDED BY LAW AS
ELEC CONTR GENERAL
LICENSE # EXP. DATE
ECO1 ROSSOES142QP 11/17/2000
EFFECTIVE DATE 11/17/1986
ROSSOE ENERGY SYSTEMS INC
9367 RAINIER AVE S
SEATTLE WA 98118
F625.052.000 (8/97)
. . .
. . . . ,
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. .
Detach And Display Certificate