HomeMy WebLinkAboutPermit 0321-M - Hoffman ResidenceCITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433-1849
MECHANrAL PERMIT
(POST WITH PLANS IN A CONSPICUOUS LOCATION)
MECHANICAL
PERMIT NO. CD3- 1-in
DATE ISSUED:
AMO NT: RE Pt,/ ,:,DAT
1:7171:1MTOPIMilinniinNIMMENligt-it Env:v.1mm
MTIMIIIIIMINIIINEVECIMI MI MEM=
;o71•1 717 3 eVERVISIMMINEME MEWS MN
MrITTNIMIESSIMMENEMENIMIN MOON Ea
TOTAL 30.00
Plan Check Reference # 90-089-U
PROPERTY OWNER:
Darrell_ Roffman
!PHONE: 767-4813
FIRE PROTECTION: Sprinklers ( )Detectors Q) N/A
ADDRESS:
11685 44th Avenue South, Tukwila, WA
IZIP:
SITE-ADDRESS:
11685 44 Av S
Clark Mechanical
1PHONE: 246-8585
SUITE NO.
PROJECT k ,,
N . k • Hoffman_ e . •
98168
2-02-91
WA. ST. CONTRACTOR'S
VALUE OF WORK: $ 4,365
h • e A • ;
, •
New/Addition
• Modifications
Re.air
ID Other: Re•lace old furnace
, ; - •
•
,•;,„ , •
1-, .• 1. - ,
.
.9
• - •1. eturn air.
PROPERTY OWNER:
Darrell_ Roffman
!PHONE: 767-4813
FIRE PROTECTION: Sprinklers ( )Detectors Q) N/A
ADDRESS:
11685 44th Avenue South, Tukwila, WA
IZIP:
98168
CONTRACTOR:
Clark Mechanical
1PHONE: 246-8585
ADDRESS:
13130 44th Avenue South, Tukwila, WA
LLCENSE NO. CLARKM*116CF
IZIP:
[EXPIRATION DATE:
98168
2-02-91
WA. ST. CONTRACTOR'S
::::.,:::::::,y,::„,y,::::::„:„;:::::::::::::',::::::::::::::::::::::::::!:!:::::::;::::::::::.::::::::::::::::;!::::::;::.:,:::::;:.:::::::;:;;;;:::::::::::::;:::::::::;,:::::::::::::::::::::,;::,::::::::::::::: A . ..-. . • ,, •
,;,., -,::::::::::::::::::::::::m::::::::*::::::::::::::::::;:i1:::::;:::;:::::::::::::::::::::.;!::;:v.q::,:ii::::::::::::.::;:iii:::::::m:;:1:::;:;:im::::.::::.!::y::::!::::::::i::
UMC EDITION (YEARj, 1988
FIRE PROTECTION: Sprinklers ( )Detectors Q) N/A
COMMONS (other than noted on or attached to permWptans);
IAPPROVED FOR BUILDING
ISSUANCE BY: ),,Ako ),-)Ai_ ...;,..., OFFICIAL
_ DATE: (e - )7 - (10
I hereby certify that I have read and examined this permN 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 constiuction or a performance of work. I am authorized to sign for and obtain this mechanical permit.
....-
SIGNATURE:
DATE: g/2 // '9 (1
PRINT NAME: 414 /--A-•_ e I.e
COMPANY: X,- 4 A -1 r/ 14/v i • ( e/(
REQUIRED INSPECTIONS PHONE NO.
1 Rough-InNents/Ducts
2 • Fire Final
ID 3- Planning Final
4 -
X 5- Mechanical Final
433-1849
575-4404
433-1849
433-1849
DATE DATE(S)
APPROVED INSPECTOR CORRECTION NQTICE ISSUED
OTHER AGENCIES: Plumbing/Gas Piping - King County Health Department (2964732)
Electrical- Washington State Department of Labor and Industries (872-6363)
This p.m* shell become null and void 11 the work ot common cod Within 180 days from the date of
is$uaflC, rlf th work is cuoPortdod Qr. abandonect fQra POdoci 0110804aYs from the lost M5P
061171•11
A
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„:4s, 4i1„ak
CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
MECHANLAL PERMIT
(POST WITH PLANS IN A CONSPICUOUS LOCATION)
MECHANICAL
PERMIT NO.
DATE ISSUED:
ln�aq -qo
FEES
AMOUNT RECEIPT # :: DATE
Basic Permit! Fe0
Unit.
TOTAL >::<:
Plan Check Reference # 90 -089 -M
- ; • • - a • I ,
SITE ADDRESS: 11685 44 Av S SUITE NO.
• ; • .■„ I N1.1. . • u . • O. - 1 VALUE OF WORK: $ 4,365
TYPE OF WORK: go New /Addition Modifications Repair X Other: Repl ace old furnace
DESCRIPTION OF WORK: Install new gas furnace with 11 supply aire and 2 return air.
11685 44th Avenue South, Tukwila, WA
- ; • • - a • I ,
; D. - ■ • u. •
PHONE: 767-4813
ADDRESS:
11685 44th Avenue South, Tukwila, WA
ZIP:
98168
CONTRACTOR:
Clark Mechanical
'PHONE: 246 -8585
ADDRESS;
13130 44th Avenue South, Tukwila, WA
(ZIP:
(EXPIRATION DATE:
98168
2 -02 -91
WA. ST. CONTRACTOR'S LICENSE NO. CLARKM *116CF
UMC EDITION (YEAR): 1988
FIRE PROTECTION: Sprinklers ( )Detectors DO N/A
CONDITIONS (other than noted on or attached to permit/plane):
APPROVED FOR
ISSUANCE BY:
07)1k:L
BUILDING
OFFICIAL 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 a performance of work. I am authorized to sign for and obtain this mechanical permit.
SIGNATURE: 11.414, ,5
PRINT NAME: 4Q
DATE: C/2--
COMPANY:
/1/9 -i `'4A' /•!
.tA.: .,al . T-4:17.71x+vA.o .c <! rr, 7. .11. ..r(, .1. .3[ 1.A..,BPi�'t
DATI
REQUIRED INSPECTIONS PHONE NO. - - . ; •.
DATE(S)
INSPECTOR CORRECTION NOTICE ISSUED
Op
1 - Rou e h- inNents /Ducts
3 - Planni • Final
433 -1849
575 -4404
433 -1849
OTHER AGENCIES: Plumbing/Gas Piping - King County Health Department (296 -4732)
Electrical - Washington State Department of Labor and Industries (872 -6363)
+vorno'ntrli it rtat:void;laf tii :wnric 1a. not c I. monca�d vdth�n.t G d��a. from tt
06117/60
MECHANICAL PERMIT APPLICATION TRACKING
PLAN CHECK
NUMBER
qo CfaTh
PROJECT NAME ho-K —nr w1 , borr\
SITE ADDRESS
11 tAS L14 Iry
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 ".
DEPARTMENTAL REVIEW
"X" In box Indicates which departments need to review the project.
BUILDING - O_ rq-
initial review
... .. .:...::.:..:.... .:: •::r: ::: •: i }: i :': •ii: iiii:'::...::: f'< }: i::::; {•. i:: ;• }:?.:: i s ir.Y: :: i:•:: :::: ::::.'.ti ?•:..::•.
...:... i:: :•..:.:. �.. ,:. ......I..: : ?: ?.:::: :.,.:::v : :.:. :..: ij:•ii'ii:if:? ?:i.::......!: .ir • : :.xi:::.:w:: ??v:•? :v ::.:::::::::. : ::::.:: :.:::::.. :.: n•.•: :.:::: :..:::: i.::..
CONSULIANt: Data dent - Date Approved -
(ROUTED)
O FIRE
INIT:
FIRE PROTECTION: [ ] Sprinklers [) Detectors Ni ®,
FIRE DEPT. LETTER DATED: INSPECTOR: 7\
O PLANNING
INIT:
ZONING: IBARILAND USE CONDITIONS? [ )Yes J, Plo
SCREENING REQUIRED? (7Yes
REFERENCE FILE NOS.:
O OTHER
INIT:
BUILDING - ,�ia
final review
INIT:(
UMC EDITION (year):
clbe
REVIEW COMPLETED
PERMIT NO.
CONTACTED
In
DATE READY
DATE NOTIFIED
(cr o..� Q ,
_ (
(Bi(init.) .)
PERMIT EXPIRES
2nd NOTIFICATION
BY:
Init.)
AMOUNT OWING
. Do
3RD NOTIFICATION
BY:
(init.)
031301S•
CITY OF TUKWILA
MECHAk :AL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be lilled out
and attached to this application.
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
�0 - (N1 �� -')'l
NUMBER I
u
APPLICATION MUST BE FILLED OUT COMPLETELY
FEES (for staff use only)
SITE ADDRESS SUITE #
r.
VALUE OF CONSTRUCTION -
/
$�/ / ? ‘ l
HONE �� c f /
PROJECT NAME/TENANT
D v_ rr e, // A/c) f 7-L-,. (i,v ( Ce,,,,,, -/d f(a ,-, J. /. /►'' if:/ )
'Ircliau-i7iii: , ii FITRIMINE1=
TYPE OF WORK: 0 New /Addition 0 Modifications 0 Repair 0 Other:
ZIPS/ ?' /^�/
DESCRIBE WORK TO BE DONE: 7 c. k, v ., 7- /a /c/ ---FA k 4- r -a- �j
�z, / t ;. /I /V (0... ` e f G ✓ N C C !- [.,.; , ' 7{/+ / TL / r {. 1 4 L /. / r!!-
(PHONE
>' : > ;d. ....... ... .. ........ ;i M E : '.>V7":i u IT. ;i:i: :7i;ij
e
- ,--„4,-1- ? 7 G C .? e.7 7 Fa is G c.f k/VA e c, /
a
7
WA. ST. CONTRACTOR'S LICENSE #f C1 4_' /r-- yy/ 4//E; C r-
EXP. DATE � t a,
/9,
SITE ADDRESS SUITE #
r.
VALUE OF CONSTRUCTION -
/
$�/ / ? ‘ l
HONE �� c f /
PROJECT NAME/TENANT
D v_ rr e, // A/c) f 7-L-,. (i,v ( Ce,,,,,, -/d f(a ,-, J. /. /►'' if:/ )
ADDRESS'1L,IN— ,I�� Aa•e � ,
TYPE OF WORK: 0 New /Addition 0 Modifications 0 Repair 0 Other:
ZIPS/ ?' /^�/
DESCRIBE WORK TO BE DONE: 7 c. k, v ., 7- /a /c/ ---FA k 4- r -a- �j
�z, / t ;. /I /V (0... ` e f G ✓ N C C !- [.,.; , ' 7{/+ / TL / r {. 1 4 L /. / r!!-
(PHONE
>' : > ;d. ....... ... .. ........ ;i M E : '.>V7":i u IT. ;i:i: :7i;ij
?:+ :
- ,--„4,-1- ? 7 G C .? e.7 7 Fa is G c.f k/VA e c, /
47- /L3* u rd. 4,•-v- A / c 7- floc f' /
7
WA. ST. CONTRACTOR'S LICENSE #f C1 4_' /r-- yy/ 4//E; C r-
EXP. DATE � t a,
/9,
BUILDING USE (office, warehouse, etc.)
1
NATURE OF BUSINESS: /
- o'c/yee
WILL THERE BE A CHANGE IN USE? • No 0 Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE
BUILDING? 0 No 0 Yes IF YES, EXPLAIN:
PROPERTY OWNED Jm. urre i �� r�cl
HONE �� c f /
ADDRESS'1L,IN— ,I�� Aa•e � ,
ZIPS/ ?' /^�/
CONTRACTOR �. /l` ,- /he :. l«<y/ (ed
(PHONE
2 �iC ` 7$ �5
ZIP .
ADDRESS i/4/ ''.._.7:4 L_t 5-,
WA. ST. CONTRACTOR'S LICENSE #f C1 4_' /r-- yy/ 4//E; C r-
EXP. DATE � t a,
/9,
BUILDING OWNER
OR
AUTHORIZED
AGENT
CONTACT PERSON
PRINT NAM
ADDRESS
DATE Z :/ /q`
PHONE
CITY/zIP /,,k1� jq 9y //
PHONE f /„.,,e_.
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
clans 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 pad 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 AP LICATIO ACC PTED
DATE APPLICATION EXPIRES
OMN I*
SiiMrrrAL CHECIkILIIST
MECHANICAL
Completed mechanical permit application (one for each structure or tenant)
Two (2) sets of mechanical plans, which include:
• Floor plan
• System layout
• Elevations (for roof mounted equipment)
Ej Structural calculations stamped by a Washington State licensed engineer may be
required if structural work is to bo done (2 sets)
Note: Hood and duct systems require a buikling permit for the duct shaft.
CITY OF TUKWILA
MECHANLAL PERMIT
FEE WORKSHEET
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
THIS WORKSHEET MUST ACCOMPANY
YOUR MECHANICAL PERMIT APPLICATION.
DESCRIPTION
UNIT COST
NO OF
UNITS
X
TOTAL
COST
BASIC FEE
$15.00
$4.50
00
l�
SUPPLEMENT PERMIT FEE
1
Installation or relocation of each forced -air gravity -type furnace or
bumer, 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
bumer, 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.
$5.00
X
4
Installation or relocation of each suspended heater, recessed wall heater
or floor - mounted unit heater.
$9.00
X
S
Installation, relocation or replacement of each appliance vent installed and
not included in an appliance permit.
$4.50
x
8
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 dud.
$4.50
X
18
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
at-1.0O
maw
SUBTOTAL
PLAN CHICK FIFA Ms of
(0.00
$0. 06
GRAND TOTAL
CITY OF TUKWILA
6200 SOUTIICENTER BOULEVARD, TUKWILA, 11'x1 SHINCTON MINN
PHONE fr (2061,133.1800 Cure L. 1 aNDuseu, Mayor
Plan Check #90-089-Ms Hoffman, Darrell
11685 44 Av S
THE FOLLOWING COMMENTS APPLY TO AND BECOME PART OF THE APPROVED
PLANS UNDER TUKWILA MECHANICAL PERMIT NUMBER 07_);06)1-in •
1. No changes will be made to the plans unless approved by
the Architect and the Tukwila Building Division.
2. Plumbing permit shall be obtained through the King
County Health Department and plumbing will be inspected
by that agency, including _all gas piping (296- 4732).
3. Electrical permit shall be obtained through the
Washington State Division of Labor and Industries and
all electrical work will be inspected by that agency
(872- 6363).
4. All permits, inspection records, and approved plane
shall be posted at the job site prior to the start of
any construction.
5. All construction to be done in conformance with
approved plans and requirements of the Uniform Building'
Code (1988 Edition), Uniform Mechanical Code (1988
Edition), Washinnton State Energy Code (1989 Edition),
and Washington State Regulations for Barrier Free
Facility (1989 Edition).
6. Requires manufacturers installation instructions
available to inspector on site.
7. Validity of Permit. The issuance of a permit or
approval of plans, specifications and computations
shall not be construed to be a permit for , or an
approval of, any violation of any of the provisions of
this code or of any other ordinance of the
jurisdiction. No permit presuming to give authority or
violate or cancel the provisions of this code shall be
valid.
CITY OF TUKWILA
Bu0l0 12 .am eno
' Tukwi l e A 98188
(206) 431 -3670 B
ulevard
��w�• kt9f! 2htkt9lCk8': F.' �. WSYJ3! ittNi' Y..• �ll �! ".#t- YU:�(f� +1'Aiifitl�+d�''QIL. � ,
INSPECTION RECORD
PERMIT # efc32-/
•
Date
Type of Inspection 4? c_ s Date Wanted 9.— a.m'. p.m.
Site Address Project /441t64,_
_�
Requestor
Special Instructions
Phone #
Inspection Results /Comments:
MYSwwnY. YY^. Y' dYti.. Y tW.'IKMWft?iWYM:i11tMWfCVAMw�m+ haw:... M�..+ n. net�vwrrvYetNtY�`.. H4: 2Y4E': M1kt'l xtA4MtYMYfCMd4tlriAtHlMee1». wswwrl. P:: cerwm... w. nrW. w.... wucr fw�. r�. r. raiea. �.—. wwi. n�. waiaww ........w.w+u:+Mw+MrYMW�1)4nIW WMy+rw
CITY OF TUKWILA
Building Og(`'`^tment
6300 SouthalLar Boulevard
Tukwila, WA 98188
(206) 431 -3670
Type of Inspection r'cul
Site Address 1 (Y (,
Requestor (Ayr ale
Special Instructions
INSPECTI N RECORD
PERMIT # 1 / r 1
Date � -- 2-.2- -- J 0
Date Wante�"—
Project
Phone #
Inspection Results /Comments:
no �P0 C, Ic �
Inspector
Date
CITY TUKWILA
Buil °:,.Department
6300 chcenter Boulevard
Tukwila, WA 98188
(206) 431 -3670
Type of Inspection y�
Site Address l (i) c15
Requestor // v 11J4
Special Instructions
Vt Mk
san
N. #t'its4r,Wt:4M,144
3'ERtfl6Y "7erts�100WM,AN4YiWPi,, ':
INSPECTION RECORD
PERMIT # 6 e1?.,'
Date v
Date Wanted 10
Project 1� :2AA {-f04'b c
Phone z4 (D 511!'i 5
.m
, 0(3
Inspection Results /Comments: / XOp"`ifrg ,.4 ,'mss
-Ca14441aim---
Inspector
Date g"���
wrytia,nwa,,t:ft o.commIstihttattitite.40.Wr rrlftwttzmmo. mrarraumvor ... nip,.... +rarc+:nax,fae,Y:tet.M 414.. xn` a;^- w. r:,4 0,d'rnrrhs4+ei:YS.rrrxi.69Pa kk- W191,1,
CITY OF T KWILA
Buildin ?'artment
6300'So enter Boulevard
Tukwila, A 98188
(206) 431 -3670
Type of Inspection Fl n,Qi
1 R(A)5 Nv
Lar, r, tlipP V I l-C? lr
Special Instructions
Site Address
Requestor
' fkdr4" P,: Khcs' k. �5',£'.: Yki4 ,.,i/n!f�ii"`f,Y.,23^,aiLfk J,'V�`'.'. ,
INSPECT ON RECORD
PERMIT #
Date
Date Wanted -1-.—
Project
Phone # DLI to- %546.5
Inspection Results /Comments:
Inspector
Date %-'2�
mv..:w!e�nn:mc :.- 7n, r[r,.xar.r:�',.x!mw.rte.ev -s+i
CITY OF TUKWILA
Building Division
6200 Southcentor Blvd.
Tukwila, WA 98188
433-1845
VitCi1!'lm }s YtiCTNYIf
Permit No. "LMDate 2-" f) Job Address %1 ' 5
CORRECTION NOTICE
The following items are found to be in violation of Ordinance &scrG" and shall be corrected.
7
s
7 at- k' a.-s— c..--u ihS
Signed
uildin
Offic aI In pect
r