HomeMy WebLinkAboutPermit M96-0166 - DEHLBOM ERNEST(7
1• '
City of Tukwila (_
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M96 -0166
Type: B -MECH
Category: RES
Address: 14108 53 AV S
Location:
Parcel #: 167040 -0175
Contractor License No: NORTHI *110BN
TENANT
OWNER
CONTRACTOR
CONTACT
Signature: ,,
DEHLBOM ERNEST
14108 53 AV S, TUKWILA WA 98168
DEHLBOM ERNEST
13820 37TH S, SEATTLE WA 98168
NORTHOMES INC.
4503 20TH STREET F, TACOMA, . WA 98424
SCOTT WALDEN
4503 20 AV S, TACOMA WA 98424
************************* * * * * * * ** * * ** * * * * * * * * * ***
Permit Description:
INSTALL.HOT WATER HEATER AND. GAS FURNANCE.
UMC Edition: 1994 Valuation:
Total Permit Fee:
******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Cent Center Authorized Signature
MECHANICAL PERMIT
-t_(0
Date
(206) 431-3670
Status: ISSUED
Issued: 12/04/1996
Expires: 06/02/1997
Phone: 206 439 -7453
Phone: 206 922 -2791
Phone: 922 -2791
7,000.00
50.94
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 thei provisions of any other state, or local laws regulating
construction or the performance of work. I am authorized to sign for and
obtain this buildi
Date: -�,.
Print Name: ___x 77_6 . Title: Capst,45v2„.
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.
Address:. 14108 53 AV S
Suite:
Tenant: DEHLBOM ERNEST
Type::B -MECH
Parcel #:.•1670400175
CITY OF TUKWILA
Permit No: M96 -0166
Status: ISSUED
Applied: 11/26/1996
Issued: 12/04/1.99.6
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Permit Conditions:
1. No changes will be made to the plans unless approved by the
Architect, or Engineer and the..Tukwiia Building Division.
?. All. permits, inspection records, and approved plans shall be
available at the job site' prior to the start of any con-
struction. These'.;,documents:'are to be maintained and avail-
able until final'•1'nspection approval is granted.:,
3. All construction to be done in conformance'With approved
plans and r .;e�qu i rements of the Uniform B u i l d i n g _.Code (1994
Edition) ,'as :amended, Uniform Mechanical, Code (1994. Edition),
and Washington State Energy Code, (1994 Edition).
Validity;of`Permit. The issuance' of a permit or approval of
plans:1;,s0ecif ications, and computations shall not be con " -;
strued a permit for,` or an approval of, any violation• :
of any of the prov i s t ons of the building code or ,of ' any`
other^;'or,dinance` of the jurisdiction. No permit presuming to
give authority to violate orN cancel the provisions of this
code shall " be. va 1 i d:
5.
MANUFACTURERS' INSTALLATION INSTRUCTIONS REQUIRED ON SITE
FOR "THE, BUILDING INSPECTORS REVIEW. ,
6 'Plumbing permits shall.° be obtained ':through' the Seattle -King
'County Department of Public Health ' Plumbing will be
inspecteebv that ' agency,, including all ga piping
'(296' -4722)
7 Electrical:: permits shall be obtained through' Washington
StatDivisian` ".of Labor and Industries and all electrical
work, wi l l' be 'inspected by that agency'. (248- 6630) ."
P rej_ec fe q t: J r R
/V) !
Description of work to be done: /n14P`t4)17 /1/EtJ Ni .J /7` t &it, fi ti
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
Value�Sf_.opstrt�ctkO
`
Ai
Site Address:
/y /OR s3 ,qS/� '.
City State /Zip:
Tax Parcel NtSmbber:
/ (D7nvo ,tJ7
Property Owner:
z-3'7 725Vi z'o'dl
Phone:
4'W- 7 /
Street Address:
JW2I9_ 53 4t s .
0 Sewer
City State /Zip:
Fax #:
_
Contact Person:
. ."0 7` 14-te tl
Phone:
6 702 -Z79/
Street Address:
4'.X 20 sr 6
7i2Pny /./4
City State /Zip:
gels
Fax #:
''' 2Z- 725'
,
Contractor:
//O,eT7 `f6_s /4)e
Phone:
qZZ 2? F/
Street Address:
1 /.5 1 )Y Zo' - r E-
'r., a y , G✓4
City State /Zip:
9812y
Fax #:
qZ2- / 3z5
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: /n14P`t4)17 /1/EtJ Ni .J /7` t &it, fi ti
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 P Mechanical ❑ 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
CITY OF TUIKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
FOR 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 mail or facsimile.
APPLICANIREQUEST _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
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.
RF()FJYF
Data application a OITY OF TU ILh
MISCPMT.DOC 7/11/96
N.EWAT CENTER
Date application expires:
-
2- 1
Application en by: (1 lals)
BUILDING OWNER
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
D AGENT:
❑
Antennas /Satellite Dishes
Signature:
Commercial Tenant Improvement
Permit
Date: //.......?6,
Bulkhead/Dock
Submit checklist No: M -10
Print name:
Commercial Reroof
. �G
!/
Phone:�2 z
/
❑
Fax #,1 2?... cos
.c
. E
Address: g.SZ)�
F 077./
'7--
Loading Docks
City /State /Zip:
❑
Z
❑
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
❑
Bulkhead/Dock
Submit checklist No: M -10
❑
Commercial Reroof
Submit checklist No: M -6
❑
Demolition
Submit checklist No: M -3, .M-3a
❑
Fences - Over 6 feet in Height
Submit checklist No: M -9
❑
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 -8,
Residential only - H -6, H -16
❑
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
❑
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
❑
Temporary Facilities
Submit checklist No: M -7
❑
Temporary Pedestrian Protection/Exit Systems
Submit checklist No: M -4
❑
Tree Cutting
Submit checklist No: M -2
ALL MISCELLANEOUS PE - 'IT APPLICATIONS MUST BE SUBMI - D WITH THE FOLLOWING:
ALL DRAWINGS SHALLbE AT A LEGIBLE SCALE AND NEATLY DRAWN
BUILDING SITE PLANS 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
D 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 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.
MISCPMT.DOC 7/11/96
* * * * * * ** . * *** * **** k*** k*** * * *** *** **,A.** *•* * * *** * * ***•k* k* * ** ** * ***
m a - nit() CITY OF TUKWILA, WA i TRANSMIT T *•k * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * ** * * * * * * ** * **
TRANSMIT Number: 89600517 Amount: 50.94 12/04/96 13:55
Payment Method: CHECK Notation: NORTHOMES INC. Init: SLE3
Permit No: M9E; -0166 Type: B-MECH MECHANICAL PERMIT
Parcel No: ,167040-0175
Site Address: 14108 53 AV S
...'1:. Total Fees: 50.94
This Payment 50.94. Total ALL Pmts: 50.94
Balance: .00
************************************ ** * *•k * * * ** * * * * * * * * ***. * *•k ** **
Account Code
000 /345.830
000 /322.100
Description
PLAN CHECK - RES
MECHANICAL - RES
4
R.ein6p2-c----K �Y \
7747 12/04 9617 TOTAL 74.94
*****************h*** < * ** * ** •k ** * *�, * *A * * * * * * * * * * * *A * * * * **
CITY OF TUKWILAt 31,A C, t -- I f
* * * * * *�l * * * ** * * * * * * * * * * * * * *•h * ** * * *•k k`5F * *
TRANSM IT Number: 89600521 Amount: '`42.00 12/16/96 15:26
Payment'Method: •CHECK Notation: NORTHOMES INC Ini't: SMC
Permit Ho: M96-0166 Type: B-MECH MECHANICAL PERMIT
Parcel No: 167040 -0175
Site Address: 14108 53 AV S
Total Fee s 92.94
This Payment 42.0'0 Total ALL Pmts: 92.94
Balance: .00
*• k*****• k*******• R****** * * *•k * *dc * * * * * * * * * * * ** ** * * ** * ** *fir* * * ** *4* * **
Account Code Description Amount
000/322.100 MECHANICAL - RES 42.00
owl
Amount
10.1.9
40.75
5657 12/17 1611 TOTAL
42.00
Project: 1) I `
Type of Inspec
Address:
Date called:
Special instructions:
Date wanted:
7 d47
Requester:
Phone No.:
I I
C�
1 INSPECTION RECORD
R etain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 9818
Approved per applicable codes.
COMMENTS:
Inspector:
f
Date:
f
a {� 01 (p(t
PERMIT NO,
(206) 431 -3670
Corrections required prior to approval.
7-743/q
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
COMMENTS:
Type of inspection: r-
1---1
) P-v■ 0 1 HO/ VAi-VE TO s rIA-1. - 0 van Oi
, P- CA:DZ: .
TA-1..w..... 0.0A,... se-)
0 ,s-v...4A4.1-- t-1/ (1.1
0 1 .3 e 0 Celill'ZI3T
- .
3) GA-a P‘P,AC,
2 / 7 fi-1
a.m.
Requester:
Phone No.:
Project: e f kia ",,
Type of inspection: r-
1---1
Address:
Date called:
Special instructions:
Date wanted:
2 / 7 fi-1
a.m.
Requester:
Phone No.:
INSPECTION RECORD
Retain a copy with permit
INSPECTIOW NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
(206) 431-3670
Approved per applicable codes, LCorrectlons required prior to approval.
Inspector:
Date:
(‘‘?
$42.00 REINSPECTION FEE REQUIRED, Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
•
Prof ,
iz.
Type of insp jpP :, p s i �
Date called: \ 2 _ 1 , r _ _ ..
)U
i � t.N A q
l /y
c
�
Speoia
l instructions:
-
-
Date wanted:
�
G
. - i l (' p.m.
--�-`
0 C
---
Requester
P hone No :
., 9 2z. 7-79 1
E3119
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
I
V IApproved per applicable codes.
Inspector:
INSPECTION RORD
Retain a copy with permit Alto `0f 10
PERMIT NO.
I
Corrections required prior to approval.
Date:
Receipt No.:
'Date:
(206) 431 -3670
$42,00 REINSPECTION- FEE REQUIRED. Prior, to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call 3,o schedule reinspection.
COMMENTS:
N 0 E op ist (Z P-iL X e$L •
PO - 1 n •. *,= pt.t --
s .- .Dcvcx— —S #r -,C..A .1■0 O
_____i)
1Q T 12-r3 44 yi __ FL . .D tic a — - ,.r'3
-PLsNv,m.S.
o N ne
cy� .. a�9i _
Pfri ltr e_ nstt �=_s.
e
Pro t
'; , kiha
T of in action:
y r e i
Date c,ll51: i )9(07
7f'73 �3 4v S .
./
Special instructions:
Date wanted r l // / .m.,,,
4v �.
11,esq,n4 I li c
o N ne
cy� .. a�9i _
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 9818
Approved per applicable codes. Karrections required prior to approval.
Inspector: i
INSPECTION RE,4ORD
Retain a copy with permit FLITO"0 S �o
PERMIT NO.
1
(206) 431 -3670
Date: I 2-ill (9V,
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
5(1)51
ate: i c l J (p l q (r
Pr ec�t:, n �
Type of inspectlYY1"'v"
,
A res
,Date called:
Special instructions:
3 0--
677.)
Date wanted:
Z '� tp
m.
Requester:
Phone No.: 0
. z... - 79 I
INSPECTIO
NO.
Approved per applicable codes.
INSPECTION REPORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
(206) 431 -3670
orrections required prior to approval.
COMMENTS:
2)1 ? -Gh 4 l _ i� 0d ' 11 / ii . ;mop
/vim • l; - " ',. er 4 Se? . ,
t/l • > L
4 .4.1.4 / 200 7 1 - -
/ 1/r0 � �� f f7 :4. 2
&Sao/ e Pb/'. 4 M � , - #6 v (//1 d
Inspector t4.4
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
• ' f
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
f.._ DETACH TO DISPLAY CERTIFICATE —I
STATE OF WASHINGTON
F625. 052. 00013.92)
`uu • qua `^`�: `^^'^^ � lru.zuu..u i'LTatx
Project Name:
tfOtI PEW 36
Address:
/%9DE 5 �t✓E s gel__ 4 , `✓,4 5/S�3
Residential Building Permit Number:
We- oZgZ
_
i. Prescriptive Option W.S.E.C. Chapter 6, (check building permit option used):
El I. f21 ii ❑Ill. ❑IV. ❑v. CI vi. El vii.
❑ VIII.
2. House Square Footage (HSqFt)
/Z97
3. Heating System installed, (check system type below):
❑ a. Electric Resistance /21 BTU /h per sq. ft.
❑ b. Electric (forced air) /24 BTU /h per sq. ft.
c. Other Fuels gas h eat pump) /27 BTU /h per sq. ft.
4. Equipment:
a. Make YOieK
b. Model PE. DfFD Jfl,4l0y8
c. Size in BTU's y$ (260
5. Calculation /(HSqFt) 057 (see line 2 above)
BTU /h X Z7 (see line 3 a, b, or c above)
"3.5; BTU Equipment Maximum Size
CITY OF TUKWILA
Permit Lnter
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 #: - 0 Q(o
H -6
7/9/96
MECHANICAL
Name:
CONTRACTOR (please print)
1
' % P0/L73
Company:
N
Address: 'SD3 70
5r
-
Signed: A���
Date: //-e6-%
CITY OF TUKWILA
Permit Ceni ..
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
H -16
Submittal Checklist
MECHANICAL VENTILATION
INTEGRATED FORCED -AIR VENTILATION REQUIREMENTS
Project: EP/(1E4T DEt/L5dAri
Address:
/WO 6 53
e� ,etki S
7Ukfr/)L4, 114 9E9 HP
c4e1 6 7 0 7 0 - 7 . 5
Permit #: - ZyZ
Intermittently operated whole house ventilation systems shall be constructed to have the
ability for continuous operation, and shall have a manual control and an automatic control, such
as a clock timer. w/ /Pow' I?CXzTs
2. Integrated forced -air ventilation systems shall have a 6 -inch diameter or equivalent outdoor
air inlet duct connecting a terminal element on the outside of the building to the return plenum of
the forced -air system.
The outdoor air inlet duct shall be equipped with a damper or other device that regulates air
flow to a minimum of 0.35 air changes per hour but not greater than 0.50 air changes per hour
under normal operating conditions.
The outdoor air connection to the return air stream shall be located to prevent thermal shock
to the heat exchanger.
3. The following calculations describe the range for minimum and maximum air changes per
hour under normal operating conditions.
Area of house X Ceiling height X 0.35/60 = min. CFM required
Area of house X Ceiling height X 0.50/60 = max. CFM required
This house: Minimum CFM = t'V. SZ
MECVENT.DOC 7/9/96
Maximum CFM = E3). (3Z
The duct damper has been set and tested to regulate the air inlet duct flow to CFM and is
therefore in accordance with the Washington State Indoor Air Quality Code requirements.