HomeMy WebLinkAboutPermit 0129-M - Hartong ResidenceCITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 - igfet BUILDING PERMIT
Work to be done HVAC (WOOD STOVE)
Site Address 5715 S. 147TH
Building Use RESIDENTIAL
Property Owner LLOYD E. HARTONG
Address 5715 S. 147TH TUKWILA, WA
Contractor (SELF) LLOYD E. HARTONG
Address 5715 S. 147TH TUKWILA, WA
APPROVED FOR ISSUANCE BY:
FOR BUILDING PERMIT ONLY
PERMIT #
Control #
4/29 -,-1
89- 031 -M
Suite # Tenant HMt(TONG,
Assessors Account # N/A
Phone #
LtOYu
Z44 -4899
Zip 98168
Phone i 244 -4889
Zip 98168
DAIS:
Sq. Ft.
Office
Storage/
Warehouse
Retail
Other
Occ.
Load
1st Fl.
2nd FT.
3rd F1.
1 !F4
Total
Fire Protection: ❑ Sprinklers [] Detectors
Zoning P-1 Type of Construction
Special Conditions
Fees
sq. ft. @ 1st F`i. 3
sq. ft. @ 2nd F1. $
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of Construction $ 1.200.00
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
Receipt #� 7,1e/ $ 15.O
Receipt #�`7 ?(/ $ 6.50
Receipt # S
Receipt # E
Receipt # E
Receipt # E
$ 21.50
FOR SIGN PERMIT ONLY
0 Permanent ❑ Temporary
0 Single Face ❑ Double Face [] Wall Mounted
Building face Setbacks: Front
❑ Free Standing ❑ Other
Side Side
Rear
Square Footage of each sign face Total square footage of sign
Special Conditions
THIS PERMI! BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK 1S SUSPENDED OR
ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK l5 COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAM! 'THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND
GOVERNING THIS jfPE 7 WORK WILL C' /ITH CIFIED HEREIN 01 NOT. THE GRAN NGTp VIOLATE UR THE PR ON � STATE OR LOCAL LAW REOULAT ING
1 "// = Date
—�`—'
Signed c-
OR
T.
ERNIT
L PROVISIONS Of LAWS AND ORDINANCES
$ NOT PRESUME TO GIVE AUTHORITY TO
PERFORMANCE OF CONSTRUCTION.
LICENSED CONTRACTORS DECLARATION
1 hereby affirm that 1 am licensed under provisions of the Business and Professions Code, and my license is in full force and effect.
Contractor (signature) Date
( ) 1, as owner of th
offered for sal
( ) I, as owner
4 Owner (signature
OWNER- BUILDER DECLARATION
property, or my employees, with rages as their sole compensation, will do the work, and the structure is not intended or
us ting with licensed contractor's to construct ,the
Date
t
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 - '84J9 BUILDING PERMIT
Work to be done HVAC (WOOD STOVE)
Site Address 5715 S. 147TH
Building Use RESIDENTIAL
Property Owner LLOYD E. HARTONG
Address 5715 S. 147TH
Contractor (SELF) LLOYD E. HARTONG
Address 5715 S. 147TH
APPROVED FOR
FOR BUILDING PERMIT ONLY
PERMIT # O /29 -M
Control • 89-031-m
Suite # Tenant HAKIUIVG, LLOYD
Assessors Account # NIA
TUKWILA, -JA
TUKWILA, WA
ISSUANCE BY:
Phone # 244 -4899'
Zip 98168
Phone f 144 -$9�
Zip 98168
ZAA I E :
Sq. Ft.
Ist F F.
Office
warehous.
Retail
OtherlOcc.
Load
.
Znd F1.
_
3rd FT:
ota
Fire Protection: ❑.Sprinklers ❑ Detectors
Zoning P-1 Type of Construction
Special Conditions
Fees
sq. ft. @ 1st FT. I
sq. ft. @ 2nd F1. S
sq. ft. @ other S
sq. ft. @ other S
Total Valuation of Construction $ 1,200.00
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
Receipt #•r7 3 , $ 1 .50
Receipt t S
Receipt # $
Receipt # S
r Receipt # S�
$ 91.50
FOR SIGN PERMIT ONLY
❑ Permanent (] Temporary
0 Single Face [] Double Face 0 Wall Mounted ❑ Free Standing ❑ Other
Building face Setbacks: Front Side Side Rear
Square Footage of each sign face Total square footage of sign
Special Conditions
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED 15 NOT COMMENCED WITHIN 180 GAYS, 04 IF CONSTRUCTION 00 WORK IS SUSPENDED OR
ABANDONED FUR A PERIOD OF 180 DAYS Al ANY TIME AFTER WORK IS COMMENCED.
1 HERESY CERTIFY 'THIS APPLICATION AND KNOW THE SAME TO 111 TRUE AND OR T. PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TN CIFIED HEREIN OR NOT. THE GRAN MG ERMIT S NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR C THE PR ON , STATE OR LOCAL LAW REGULATING •1R is PERFORMANCE OF CONSTRUCTION.
f Signed ��� __ —��� Date
LICENSED CONTRACTORS DECLARATION
1 hereby affirm that 1 am licensed under provisions of the liminess and Professions Code, and my license is In full Force and effect.
Date
Contractor ( signature )_______________________.
OWNER- BUILDER DECLARATION
property. or .y employees, with wages as their sole compensation, will do the work. and the structure is not Intended or
lu$.I 1Y.sat*aCting with licensed contractor's to eonstruct�the/r )ct /` fi�C`
r n,.. Cy/ ` js j /�
( 1 1. as owner of th
offered for sal
t
A 0430/
I I, as owner
-CITY OF TUKWILA
Building Division
Tukwila,,tWashingtonu198188
(206) 433 -1849
............ �..,.....«.... �...,,..,...,. w,..........-. �.... xo� .•+r.,w..rv.�44,iat:ivAt�i.�:.' S^ Bel'!: H': 4f: 1`. L' �." Y, t{ f.^.: �' f�Y.!; �' 9? .hS.V':>^'si':Vri�.4`.x�t4F'�+ lit !rrs";kUt2:Mth�YtIAiL'C1�1'•:.. ..
Type of Inspection (Jc)bct -.I.Q;
Site Address S (5 F ) )1-U1 b
Requestor ROCtOIC5
Special Instructions
c i nfk:
INSPECTTN RECORD
PERMIT # • 01A-in
Date Wanted ro - jp -9
Project LI cattict tiQr c'hq
Phone # l.L (Kq q
1
Date
io'. � O
•
Inspection Results /Comments:
Date /,% /?'
CITY' OF TUKWILA
Department of Community Development
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
MECHA -;:.AL PERMIT
APP !CATION
Mechanical Fee Worksheet must also be filled out and attached to this application.'
- Building Division
FLAN CHECK
NUMBER V5- CJ 3
APPLICATION MUST BE FILLED OUT COMPLETELY
ASIC PERMIT FEE
FEES (for staff use only)
SITE ADDRESS SUITE #
51/,`.5' 50 . /97/1(.1.- 7-Gil't /Lf1) r,,J4(
PROJECT NAME/TENANT
VALUE OF CONSTRUCTION - $
.16o y
TYPE OF WORK: ew /Addition ❑ Modifications ❑ Repair ❑ Other:
DESCRIBE WORK TO BE DONE:
/A Jo cst h tor ri S401.1
N
N
UM
OPUNCC5: <.:
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? ❑ No ❑ Yes IF YES, EXPLAIN:
WILL THERE BJSTORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE
BUILDING? No 0 Yes IF YES, EXPLAIN:
PROPERTY OWNER L_CU yi7 4:7-0 /1
ADDRESS
CONTRACTOR
ADDRESS
PHONE 2VV__y 2
WA. ST. CONTRACTOR'S LICENSE #
EXP. DATE
ARCHITECT
PHONE
ADDRESS
ZIP
CONTACT PERSON
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 accented for plan review.
BUILDING OWNER / AUTHORIZED AGENT If the applicant Is other than the owner, registered architectengineer, 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.
11 you have any questions about our process or plan submittal requirements,
please contact the Department of Community Development at 433 -1849.
DATE APPLICATION ACCEPTED DATE APPLICATION EXPIRES
4& ��7 �0y
03/2Wii
MECHANICAL
O 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)
• Structural calculations stamped by a Washington State licensed engineer may be
required if structural work is to be done (2 sets)
Note: Hood and duct systems require a bulking permit for the duct shaft. .
mEcHmr;AL PERMIT
FEE WORKSHEET
kil I I yr I URVIVILA
Department oCo
f mmunity Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433-1849
THIS WORKSHEET MUST ACCOMPANY
YOUR MECHANICAL PERMIT APPLICATION.
:..:INSTRUCT10■484..: :'..:::;::::::::;:::: Complete the worksheet's::: i.
''.ndloittingthetkilittfrOfuniti beIng-Mstalled.::::-.
.
<:In'i•MiOti categoryiloutt011ed by:.the unit cost.".:::!:.:.
Thektallyhte:OubtOteltOlumtt#0140hted.et:::..'::.:‘
hebOttOMOfthei::Workeheet.,:At..t1M0 Of.:..•':::::":.::::...•
. tubMIttel,:itelf•WiltsOalOUtete the'ietnatMit-fees...:
.. . .. . : . : .
DESCRIPTION
UNIT COST
NO. OF
UNITS
X
TOTAL
COST
BASIC FEE
$15.00
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.
$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 unft, 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.
$58.00
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.
511.00
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.
511.00
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
SUBTOTAL (unit fee)
PLAN CHECK FEE lauttil
GRAND TOTAL
$