HomeMy WebLinkAboutPermit 0614-M - RIEDL RESIDENCE117 L.1 -C).
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PROPERTY OWNER;
_UMC EDITION CYEAR_L ::
98188
FIRE PROTECTION: OPEMIEMODetectors x N/A
CONDITIONS (other than noted on or attached to permit/plans):
4653 South 150th Street, Tukwila, WA ZIP:
Provide installation instructions to
inspector at final inspection.
i
APPROVED FOR A / BUILDING
ISSUANCE BY: "'• ea tAAA ,., , o f at OFFICIAL
DATE: 0 • /7 /dl
WA. ST. CONTRACT
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 const 6 on or t e performance of work. I am authorized to sign for and obtain this mechanical permit.
, ,
SIGNATURE: "._
(
DATE: / --/ 7 1/
PRINT NAME: /it& s Geg. must ,e--
COMPANY:
PROPERTY OWNER;
Lance Riedl and Lyern Riedl PHONE: 439-7365
98188
ADDRESS:
4653 South 150th Street, Tukwila, WA ZIP:
S'ariTBALjaIR:
Owner PHONE:
ADDRESS:
ZIP:
WA. ST. CONTRACT
R"LICENSE 1\ Q--.1---.--i2--.----LEXPIRATION DATE:
CITY OF TUKWILA
Department of Community Development - Building
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431-3670
MECHANICAL
PERMIT NO. OV0 I L en
DATE ISSUED:
MECHANICAL PERMIT
(POST WITH PLANS IN A CONSPICUOUS LOCATION)
Division
AMOUNT RECEIPT# DA
Basic Permit Fee 15.00 . ott..:mt•
Unit Fee 6.50
OWN
• P Ian Check Fe 5. 38 1103".
Plan Check No.:
91-196-M
SITE ADDRESS:
P
4653 S 150 St
Riedl Lance & L ern
TYPE OF WORK: New/Addition Modifications
DESCRIPTION OF WORK: Install pellet stove.
Repair Other:
SUITE NO.
VALUE OF WORK:
NspE
DATE DATE(S)
APPROVED INSPECTOR CORRECTION NOTICE ISSUED
REQUIRED INSPECTIONS
1 - Rough-in/Vents/Ducts
2 - Fire Final
3 - Planning Final
4 -
X 5 - Mechanical Final
PHONE NO.
431-3670
575-4407
431-3680
431-3670
OTHER AGENCIES: Plumbing/Gas Piping - King County Health Department (296-4732)
Electrical - Washington State Department of Labor and Industries (277-7272)
This permit shall become null and void if the work is not commenced within 180days fr�rn thedr
issuance, or if the work is susp�nded or abandoned for a period of 180 days fr�m the last inspe�tion.
PERMIT NO.
CONTACTED
DATE READY
DATE NOTIFIED
2nd NOTIFICATION
BY:
(init.)
BY:
(snit.)
"-PERMIT EXPIRES
AMOUNT OWING
3RD NOTIFICATION
BY:
(snit.)
PLAN CHECK
NUMBER
C( — AO - M
REVIEW COMPLETED
PROJECT NAME
SITE ADDRESS
MECHANICAL PERMIT
APPLICATION TRACKING
Lone
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to review the project.
SUITE NO.
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in writing by staff so that
any time the status of the project may be ascertained.
• Plan corrections shall be completed and approved prior to sending on to the next department.
• Any conditions or requirements for the permit shall be noted on the plans or summarized concisely
in the form of a formal letter or memo, which will be attached to the permit.
• Please fill out your section of the tracking chart completely. Where information requested is not
applicable, so note by using "N /A ".
O FIRE
O PLANNING
O OTHER
Date Approved -
BUILDING -
initial review
1b - 1�2 -Gc t
ROUTED
INIT:
INIT:
INIT:
BUILDING - Io_i�?
final ray
CONSULTANT: Date Sent -
UIREM
PROTECTION: Sprinklers Detectors N/A
FIRE DEPT. LETTER DATED:
INSPECTOR:
ZONING:
PAR/LAND USE CONDITIONS? FJYes (l No
SCREENING REQUIRED? fYes (l No
REFERENCE FILE NOS.:
UMC EDITION (year):
qed
oem /90
PROPERTY OWNER L4 ' - c e -�--p 7� t r i e : fit , 2
PHONE 6 7 3 6 ,,--
ADDRESS z/6. 5-3 S, /S D .S ° 7 J' , -'l6 A- x,_2,4 .
PHONE --
Z I P �D� /o��
CONTRACTOR -----
;
ADDRESS ._._"
ZIP --
WA. ST. CONTRACTOR'S LICENSE #
EXP. DATE
P<
L AN:CHECK.FEE
::DESCRIPTION
AMOUNT ':
RCPT #.:
DATE ::.
BASIC::: PERMIT:: FEE : :
, !:$15.00:
;
UNITS) FEE
P<
L AN:CHECK.FEE
..:.,�'.�.' "
OTHER
.
CITY OF TUKWILA
Department of Community Development - Building
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
NUMBER
cH-1 ci(0-/Y)
APPLICATION MUST BE FILLED OUT COMPLETELY
SITE ADDRESS
S. /SO
PR JECT NAME/TENANT
TYPE OF WORK: 0 New /Addition 0 Modifications
DESCRIBE WORK TO BE DONE:
/A(sT4 ,,. ON O/c.
/4/4-G0Av Tov fx. 3 75 Uo
ERE BY< CERTIFYT
UE AND ;CORRECT.
BUILDING OWNER SIGNATURE
OR
AUTHORIZED
AGENT
SUITE #
v u lr 7Us'
MECHAI. CAL PERMIT
APPLICATION
Division
Mechanical Fee Worksheet must also be filled out
and attached to this application.
0 Repair
VALUE OF 9ONSTRUCTION - $
( S D I , 1 ) 9 0 0
Other:
FEES (for staff use only)
BUILDING USE (office, warehouse, etc.)
T /.11_
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? pi No O Yes IF YES, EXPLAIN:
PRiNT NAME C H R (5 �� /zM JJ / /_
On nst on ir6 f.
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE
BUILDING? � No O Yes IF YES, EXPLAIN:
DATE
/C) .3 ?./
PHONE Li3 7
CITY /ZIP vK
�/ 37 73 ��`
ADDRESS 6 /6„ ..5 - 3 v 4_
CONTACT PERSON G 1 L" jai 5 i 1� �� `T'E /� e / ��� PHONE
APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill
out the application completely and follow the plan submittal checklist on the reverse side of this form. A completed
"Mechanical Permit Fee Worksheet" must accompany this permit application. Handouts are available at the Building
counter which provide more detailed information on application and plan submittal requirements. Application and
Plans must be complete in order to be accepted for plan review.
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.
VALUATION OF CONSTRUCTION The valuation is for the work covered by this permit and must be filled in by the
applicant. This figure is used for budget reporting purposes only and not to calculate your fees.
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 304(d) of the Uniform
Mechanical Code (current edition). No application shall be extended more than once.
If you have any questions about our process or plan submittal requirements,
please contact the Department of Community Development at 431 -3670.
DATE APPLICATION ACCEPTED
DATE APPLICATION EXPIRES
08/18/90
DESCRIPTION
UNIT COST
NO OF
UNITS
x
TOTAL
COST
BASIC FEE
$15.00
SUPPLEMENT PERMIT FEE
$4.50
1
Installation or relocation of each forced -air gravity -type furnace or
burner, including ducts and vents attached to such appliance, up to and
including 100,000 Btu /h.
$9.00
X
2
Installation or relocation of each forced -air or gravity -type furnace or
burner, including ducts and vents attached to such appliance over
100,000 Btu /h.
$11.00
x
3
Installation or relocation of each floor furnace, including vent.
$9.00
X
4
Installation or relocation of each suspended heater, recessed wall heater
or floor - mounted unit heater.
$9.00
X
5
Installation, relocation or replacement of each appliance vent installed and
not included in an appliance permit.
$4.50
x
6
Repair of, alteration of, or addition to each heating appliance,
refrigeration unit, cooling unit, absorption unit, or each heating, cooling,
absorption, or evaporative cooling system, including installation of
controls regulated by this code.
$9.00
X
7
Installation or relocation of each boiler or compressor to and including
three horsepower, or each absorption system to and including 100,000
Btu /h.
$9.00
X
8
Installation or relocation of each boiler or compressor over three
horsepower to and including 15 horsepower, or each absorption system
over 100,000 Btu /h and including 500,000 Btu /h.
$16.50
X
9
Installation or relocation of each boiler or compressor over 15
horsepower to and including 30 horsepower, or each absorption system
over 500,000 Btu /h to and including 1,750,000 Btu /h.
$22.50
X
10
Installation or relocation of each boiler or compressor over 30
horsepower to and including 50 horsepower, or for each absorption
system over 1,000,000 Btu /h to and including 1,750,000 Btu /h.
$33.50
x
11
Installation or relocation of each boiler or refrigeration compressor over
50 horsepower, or each absorption system over 1,750,000 Btu /h.
$56.00
X
12
Each air - handling unit to and including 10,000 cubic feet per minute,
including ducts attached thereto. (NOTE: This fee shall not apply to an
air - handling unit which is a portion of a factory- assembled appliance,
cooling unit, evaporative cooler or absorption unit for which a permit is
required elsewhere in this code.)
$6.50
X
13
Each air - handling unit over 10,000 cfm.
$11.00
X
14
Each evaporative cooler other than a portable type.
$6.50
X
15
Each ventilation fan connected to a single duct.
$4.50
X
16
Each ventilation system which is not a portion of any heating or
air - conditioning system authorized by a permit.
$6.50
X
17
Installation of each hood which Is served by mechanical exhaust, including
the ducts for such hood.
$6.50
X
18
Installation or relocation of each commercial or industrial -type incinerator.
$11.00
X
19
Installation or relocation of each commercial or industrial -type incinerator.
$45.00
X
20
Each appliance or piece of equipment regulated by the code but not
classed in other appliance categories, or for which no other fee is listed in
this code.
$6.50
X
(0 • 6o
oe/1 Bloo
SUBTOTAL
a 15.4
PLAN CHECK FEE (28% of
subtotal)
6 ■ 3'
GRAND TOTAL
$161 1q
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
THIS WORKSHEET MUST ACCOMPANY
YOUR MECHANICAL PERMIT APPLICATION.
MECHAiV SAL PERMIT
FEE WORKSHEET
INSTRUCTIO Compl the work
_Ming the number: of units b ei ng
fell i ea ch„ c tegory. At tame of
i mittal st a ff will calculate t
ro - e/YX)
ypeo ns to�‘, 1'. 1i
p ress; S M
� :t eCa es: ' a r q 5 /
Special nstructions:
Date Wanted:
I 0 - 3U' ' l
am, •.m.
Requester: / , A D
Phone No,: 4a r
40
o.
X Approved per applicable codes.
I Inspector:
Receipt No.:
INSPECTION RECORD
Retain a copy with permit
'CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Date: /
Dale:
0 Corrections required prior to approval.
0 $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
0(o l - M
PERMR No.
(206) 431 -3670
COMMENTS:
'..3
•