HomeMy WebLinkAboutPermit M97-0163 - ELLEFSON LAVONNEEI \Esen
\ton e
n(IP ri--D
3
City of Tukwila c�
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MECHANICAL PERMIT
Permit No: M97 -0163
Type: B -MECH
Category: RES
Address: 14408 46 AV S
Location:
Parcel #:
Contractor License No: SUPERH *0770K
TENANT ELLEFSON LAVONNE
14408 46 AV S, TUKWILA WA 98168
OWNER ELLEFSON LAVONNE
14408 46 AV S, TUKWILA WA 98168
CONTACT TODD KENNER
PO BOX 73471, PUYALLUP WA 98373
CONTRACTOR SUPERIOR HEATING
415 2ND ,ST. "S.E., PUYALLUP, WA 98372
r* x****,************************************ * * ** * * * * * * * * * ** * * * * * * * * ** * * * * **
Permit Description:
UMC Edition: 1994
Signature:
H.V.A.C..TO"BE INSTALLED IN 1,700 SQ. FT. SINGLE.
FAMILY RESIDENCE.
Valuation:
Total Permit Fee:
Status: ISSUED
Issued: 10/30/1997
Expires: 04 /28/1998.
Phone: 854 -3620
Phone: 845 -3620
(206) 431 -3670
2,500.00
44.06
* * * ** ** * * * * * *_ ** ************* * * ** * * * * * * * * * * * ** * * * * * * * * * * * * **
Permit 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 "buildinca,��Tmi .
---- �--- -�
Date: 49 —SO 7/
Print Name: _Zad ei/z G" Title:.acetideA_
This permit shall become null and void if the work is not commenced within
180 days from the date of AsSuance, or if the work is suspended or
abandoned for a period of 180 days:'f.rom the last inspection.
Project Namehenant t-- (
I
V ue of truction:
Site Address: City State /Zip:
/ 4 / 908 96' %'L �Ue . $ 17 A./
Tax arcel Number:
��c�i�00 e V
Property Owner: /
Phone:
Street Address: �,
/�
✓,
- ,5- - e, /f { l �
. 4/ Y _ _S :
Alt
City State /Zip:
' %( .1
Fax #:
Contact Person:
0 Water
Phone:
Street Address:
0 Standby
City State /Zip:
Fax #: 2 / 111(
Contractor:
00e rx:» �',
2., i - -47 j id( /inei^
Phone: —L—
� V.5 - -3� . PC
Fax #: r°
-- _:), - / 77 6...
Street Address
0
Cit State /Zip
9 - � / f / f Gv,i - ,.3 7 '
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)
Description of work to be done: / l ]/ ! �y
.
ii May 4
Will there be storage of flammable /combustible hazardous material in the building? ! � yes ❑ no
Attach list of materials and store a location on se •crate 8 1/2 X 11 .a er indicatin u & Material Safety Data Sheets
L ! Above Ground Tanks U Antennas /Satellite Dishes ■ Bulkhead /Docks Commercial Reroof
❑ Demolition ❑ Fence ,-- lechanical ❑ Manufactured Housing - Replacement only
❑ Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection /Exit Systems
❑ Temporary Facilities ❑ Tree Cutting
MONTHLY SERVICE BILLINGS TO:
Name:
Phone:
Address:
City /State /Zip:
0 Water
0 Sewer
0 Metro
0 Standby
Name:
Address:
MISCPMT.DOC 7/11/96
CITY OF TI (WILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
•
WATER METER DEPOSIT /REFUND BILLING:
FO: TAFF USE ONLY
Project Number:
Permit:Number:
Miscellaneous Permit Application
Application and plans must be complete in order to be accepted for plan review.
A 4 will not be accepted through the mall or facsimile.
APPLICANT REQUEST.. FOR MISCELLANEOUS '.PUBLIC 'WORKS PERMITS
❑ Channelization /Striping
❑ Flood Control Zone
❑ Landscape Irrigation
❑ Storm Drainage
❑ Water Meter /Exempt #
❑ Water Meter /Permanent #
❑ Water Meter Temp #
❑ Miscellaneous
❑ 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 #: ❑ Sewer Main Extension 0 Private 0 Public
❑ Street Use ❑ Water Main Extension 0 Private 0 Public
0 Deduct 0 Water Only
Size(s):
Size(s):
Size(s): Est. quantity: gal Schedule:
❑ Moving Oversized Load/Hauling
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.
Date appl n accepted:
Date plicatlon expires:
Application taken by: (Initials)
C,�J A
BUILDING OWNER OR AGENT:
AUTHORIZED
Signature: ... -'` ' : " �"'__,.,_ ---___ —_ __
Date: /O-- ? 7_
Print name: / • /-1---( /,' /� �J
Phone: �. ;>
Fax # • C _
Address: � • , 1 /> L ` , -7
City/State/Zip: r; .. --
El
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
'
Antennas /Satellite Dishes
Submit checklist No: M -1
Awnings /Canopies - No signage
Commercial Tenant Improvement
Permit
El
Bulkhead /Dock
Submit checklist No: M -10
0
Commercial Reroof
Submit checklist No: M -6
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
El
Loading Docks
Commercial Tenant Improvement
Permit. Submit checklist No: H -17
Mechanical (Residential & Commercial)
Submit checklist No. M -8,
Residential only - H -6, H -16
0
Miscellaneous Public Works Permits
Submit checklist No: H -9
El
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
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
El
Temporary Facilities
Submit checklist No: M -7
0
Temporary Pedestrian Protection/Exit Systems
Submit checklist No: M -4
Ell
Tree Cutting
Submit checklist No: M -2
ALL MISCELLANEOUS P ( 'IT APPLICATIONS MUST BE SUB ED WITH THE FOLLOWING:
➢ ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
, r !R � 7
➢ " � UIL DING SITE PL. N AND UTILITY PLANS ARE TO BE COMBINED
D. 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.)
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 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 / 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 / AM AUTHORIZED TO APPLY FOR THIS
PERMIT.
MISCPMT.DOC 7/11/96
AV: S
CITY OF ;'TU1,WILA
Address: 1440!3
Suite
Tenant:, ELLEFSOM LAVONNE
Tvp B -MECH
Parcel; # Issued: .10/30/'1997,
. kk• kA** k-k***` Ac:kh*kAk * *. **•k *•k' * *-i•k*•k ** *.4*4k'k'k *- 4A`AA *.kik.•k'•k* qtr /vk•k*•k•k*A•kk*•k* k• AA• k• k*• k. k:k *...
Pe ::.Conditions
I 1i. No •`changes' wi 1.1 be made' to the' p.l ans •• unless ass :approved by the • Architect: or Eng 1 neer irtg Division.
A1.1 p'er�inits, inspe.ction- e o �i , `and appr oved plans shall .be.
available at the lob: si,.te 'prior to the star t - anv• :con -:
struction. 'Thee *cumen,ts or'+e: to ;fie ma.intaine i :and avai 1 -
able until final t°r spe ion' approval • is. granted 4
. .All constr uc ion tube done: Vin "con ormance with approved • pi,ans •'and requirements -of the Uniform .Bulid i-rig Code
E:dit,ion)� as: am.ended 'Unifor`in'Mechan1Oat Code '(1�994.•.Ed'it"i'on) • Wand •Washingtan',Sta;te Ene (1994 Edi't��ion) • . 1
d i t' ; , �,of Per'gti t' The issuance of a permi or`'approva 1 :v;
• .,plan , - specificatio'ns,• and 'computat:i,:ons shall .not beacon
strue,i 'to tie`' a per.'mi t ,for, `or; an ap'prova 1 of, any violation
of` a i ,`of the= provisions of the- • :building code or of any
• other' dinance;of. the urisdi'ction No permit presuming, t4�, •
give' uthor ty viola,te :cancel•.the.. pro vi_,ions af. this
•cod,e;1sha11 be •val i.d
• MANUFACTURERS ; .'IN,STALLATI:ON'. INSTRUCTI REQUIRED ON SITE,
FORD THE BUILDING IN'SPECTOR ;,REVIEW
P :lumb;ing pe :rml shall be obtained through the Seattle 71s.
County. 'Department ` Public Hea 1 th "Plumbing will be
rys� `ected `b'y t.hat';agenc ,'` including 11 +9a.s piping
t:298 4722.
• E1ect1;1 ca.R.. p'erni is sha 1 1 •be obtained through the Wash i ngt n
State 'l7ivi :pion of Labor and Industries `and•• electr"ical
work ,Wi_.,11 be by that agency {248- 6fi301`.
Status: ISSUED
Applied:, 10/27/4997
M97 -Oi`63
Project: ,
Type of Inspectiggpp:
Address: / y"f O c
` �6 P
Date called:
Special instructions:
Date wanted:
t
iz /it' S
A
Requester:
Phone No.:
INS ECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
Inspector
11
Receipt No.:
INSPECTION RECORD
Retain a copy with permit
1 I
Date
Date:
(206) 431 -3670
Corrections required prior to approval.
44 Zi
542.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
COMMENTS:
W ti4 t.E hhlv ` ror*) - (11w rTa+..-- ao tli
t;-U, r ccla 4 N fOl'. .
z) c 6A, r Fit Al 2.-DvC r w t w a v4-u ,
D r, S1 T--0 eti v% o4-- . c...' - II) , ,so 40- c t+trsrvic
p s " L ( - U L .
3) A.4) 0 11 rI. 51..c" 1 16 , V JT AT` C FAA Gs' cEI t-* r!
ii rY ^n 4 ' Gvc'Y+eJ -• OF (4 I ' V% I 1.4 .3 tl t-A-t 0 Bl►R!tI t .
9 ) 11- 3 u (.,M 14 UT - CAL. t..4 fr r t_ p, P .
/l ) t a s� s1 - 1 - v , v - OF- H-WT
I( Slag
f C CFSS (4'7G - l fL Q r'. ,hp 11 c- -. c'; +- s fAc , Fa N—
ti s f-- ts- ,aNiS, r -wu)iU AA( - 1 Ac, .ot,J .
Phone No.:
Project: a1/4....t43`F's-dti
,
Type of inspectlo,: - i NAB
I
I
Address: i `l ��
_�l , ,
Date called:
Special instructions:
Date wanted:
I( Slag
Requestdr:
Phone No.:
•
•
INSPECTION RECORD
Retain a copy with permit' __gill - 0 (13
PERMIT NO.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206) 431 -3670
Approved per applicable codes. Corrections required prior to approval.
Inspector: f-^
C ""S
Date:
ri $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
I Receipt No.:
Date:
Project: G I (e C _
Type of inspection:
i
Address: 1 440Y q , Ali ,
Date called: (— ( 3 — q
Sp ciarmistrructions:_
Date wanted:
-14
a . n
V
/O �` V
Q
Reque;;ter: Gyve-el
Phone No.:
c
Approved per applicable codes.
COMMENTS:
Inspector:
I
INSPECTION RECORD
Retain a copy with permit'
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Corrections required prior to approval.
f- ¢ortl Dada— . LAcfo -O-
(L- f2z rise Tt-Jts •
Date:
I fc
PERMIT NO.
(206) 431 -3670
$42.00 REINSPECTION FEE REQUIRED. Prior to in p ec t on, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
r eceipt No.:
Date:
Project:
la c �tJ
inspection:
Type of ,inspection:
t AS U k.A .T t4)
Address:
iy`kd Ok S.
Date called:
Special instructions:
Date wanted:
I , i t (1147
a.m.
ij.
Requester:
Phone No.:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
COMMENTS:
INSPECTION RECORD
Retain a copy with permit
{ KVI" -A c c- r,.1 .0 VA IS tLc't) - km,t.c - P TO !<c
I }J'S 1. r1) j1 - - pc'�z� w A . s,
el-$‘‘.G1 Coal •
Inspector:
f Receipt No.:
PERMIT NO.
(206) 431 -3670
Approved per applicable codes. {,Corrections required prior to approval.
Date:
/1//447
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
Project: c
Type of inspects
Address /
46 C'
Date called:
Special instructions:
Date wanted:
( j
i
a.m.
Requester:
Phone No.:
.
INSPECTION NO,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
A pproved per applicable codes.
COMMENTS:
Receipt No.:
INSPECTION RECORD
Retain a copy with permit
Corrections required prior to approval.
1 1/01
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection,
•
Date:
PERMIT NO.
(206) 431 -3670
Date:
P
Acd
e•s:
or I1.
1_ avonntpiTYP
K'3 spe
Oat: _ c- :d:
— I
(Y 1 � ! " ;r-
i ►�
� — +�
Special
instructions:
Date wggted:
- m.
Re
I / en re
C I
}4. &a� °Tt"c.t}iF.Y7Y+f u9'F1sel4H}.nle •••Wr +•��`«� X
INSPECTION O.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
COMMENTS:
Inspector:
INSPECTION RECORD
Retain a copy with permit q1- --of(
r ele7 c r.* k. ( 5/4 4 1-__'
Date:
PERMIT NO.
(206) 431 -3670
Li Approved per applicable codes. E] Corrections required prior to approval.
f / " Cierm. J€ e L-
c i. e is
.6 ail
.L /.J
',,,
1.4
--$.I � � 4"."" 411 d
$42.00 RE NSPECTION FEE RE. IRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
kk**** **1 k *4*t* *A*4** JrkN* A** kk' * *kA*:4A4•* *k*** *.*— A•'Ak***:1**
[TY OF `T'UI(WILA'. WA TRANSMIT
kAA * ** ** *A * * *A *k•A* ** A* +t•kA -it* * k *•hA*Ak *** * *A* * *•kA•AtiF **
(RANSMIT: Number: 8970.0670 Amount: 44.06 10/30/97 14:1.3
Payment Methodp CHICK . Notation. SUPERIOR HEATING 'nit: WAR
This Payment
1,,k4.,0,4** * *A kA*4
Account Code
000/045.430
000/322.100
Permit NO M97- 011,3. Type: H• -MECH MECHANICAL PERMIT
Parcel 'No a. 004000-0484
Site Address„ 14408 46 AV S
Total Feesr. 4 .06
44 „06 Total ALL Pmts; 44.06
• • H it l eat' ce .00
* * **k *4 * **•Ak*o4*14*4* *A * *•k A• *k ** ***•,A *a * *A** *A * *A **
. Description 'Amount
PLAN CHECK - RES • B.£31
• MECHANICAL •- RE'S ' 35 „2
.
ACTIVITY NUMBER M97 -0163
PROJECT NAME ELLEFSON, LAVONNE
DEPARTMENT:
BUILDING DIVISION III FIRE PREVENTION n PLANNING DIVISION
PUBLIC WORKS STRUCTURAL C PERMIT COORDINATOR Q
DETERMINATION OF COMPLETENESS: (T,Th)
• COMPLETE NOT COMPLETE
COMMENTS
TUES /THURS ROUTING: PLEASE ROUTE n NO FURTHER REVIEW REQUIRED Er
ROUTED BY STAFF
REVIEWERS INITIAL.
APPROVALS OR CORRECTIONS: (ten days)
APPROVED n APPROVED WI CONDITIONS
14 REVIEWERS INITIAL
CORRECTION DETERMINATION:
APPROVED n APPROVED WI CONDITIONS
REVIEWERS INITIAL
C:ROUTE -F
PLAN REV I H.W / ROUTING SLIP
::J:Kcn.•!yar'rvr,�. >w.a'a• ct:>L:d.40.4
(If routed by staff, make copy to master file & enter Sierra.)
DATE IC) /7i /e;
NOT APPROVED (attach comments) E
DATE ((fir 4)
DATE
sy u NZ T,`+'. a :. i ;a <e;d•,pi.ryV ^5.+`�iir:Y'rr. vUS'nY <t':;.'�tt.`: rSR. :'�`t"'A'.iX,YT 7 {Y7%'1;�7 "i.!]T° - ".',.
DATE 10/27/97
DUE DATE --14V-494—
NOT APPLICABLE n
DUE DATE
11/11/97
DUE DATE
NOT APPROVED (attach comments) Q
(Certification of occupancy required. )
Project Name: a
��/�190/ Z/fe//b/77C::
Address: / G
Residential Building Permit Number:
1 . Prescriptive Option W.S.E.C. Chapter 6, (check building permit option used):
El 1. Ell II ❑Ill. ❑IV. CI v. ❑VI. ❑VII.
❑ VIII.
2. House Square Footage (HSqFt)
/.7
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:
a. Make /,-? e, Gic.�i,'l 5r d
b. Model , . 'dOr�o )
c. Size in BTU's 6 9 6 /2R)7
5. Calculation /(HSqFt) 7 7d 0 (see line 2 above)
.
BTU /h X 2 (see line 3 a, b, or c above)
`�/.5; 7CPr) Cli ;?' % BTU Equipment Maximum Size
Applicant's Signature:
7/9/96
CITY C ' TUKWIL.A
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 #: \ --1/ \ 0 — 01 (a3
H -6
Date:
RECEIVED
CITY OF TUKWILA
0 I 2 t 1997
PERMIT CENTER
' ,;J ,SIGNATURg +h r
ISSUED BY DEPART NT OF LABOR AND INDUSTRIES
`;;;;; REGTSTRAT�ON'MUMBER