HomeMy WebLinkAboutPermit 0170-M - Dejka Residencela
CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
MECHANICAL PERMIT
(POST WITH PLANS IN A CONSPICUOUS LOCATION)
MECHANICAL
PERMIT NO.
DATE ISSUED:
r0 -�,9
DATE EXPIRES:
�}
FEES"
AMOUNT ><
RECEIPT .`#
DATE
Basic Permit Fee
15 ;00
1;3!01%
Unit(s)' Fee
':> <:
Plan Check Fe
Other:
15;50
1.62
TOTAL
Plan Check Reference e
89 -066 -M
ROkI O T1D>w >:
16018 46 Av S
PROJECT NAME/TERANT: Dejka, Mar (a ret VALUE OF WORK: $
TYPE OF WORK: U) New /Addition C ) Modifications ( ) Repair ( Other:
DESCRIPTION OF WORK: Install gas furnance and air conditioner.
SITE ADDRESS:
SUITE NO.
1,500
PROPERTY OWNER: Margaret Deika
IPHONE:
243 -8168
ADDRESS: 16018 46th Ave. So. , Tukwila, WA
DATE
APPROVED
IZIP: 98188
CONTRACTOR: Sunshine Services
(PHONE:
622 -8718
ADDRESS: 1741 1st Ave. So. , Seattle, WA
0 1 - Rough - In/Vents/Ducts
IZIP: 98134
WA. ST. CONTRACTOR'S LICENSE NO, • SUNSHSH133P2
(EXPIRATION DATE: 10 -1 -89
IAN::
UMC EDITION (YEAR): }988
FIRE PROTECTION: (JSprinklers (Detectors (XN /A
CONDITIONS (aiberldae ): Gas piping permit required through 1Zing County.
/(2i/Aci
APPROVED FOR
ISSUANCE BY: Mi �I
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 goveming 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 or work. I am authorized to sign for and obtain this mechanical permit.
BUILDING
OFFICIAL
DATE: •7-- 2 -- 0 Q
SIGNATURE:
PRINT NAME: -744,1
v u64'� /' 7
DATE: ' -'76 _ 9 7
COMPANY: 30frJsA h .SWGS lipai"k
OTHER AGENCIES:
Plumbs • Gas P • • - Ki • Count Health Department (298.4732
E
. rica • , as
Melton State
o a r a �M a 1872- 6.36.91
oaro3O
REQUIRED INSPECTIONS
PHONE NO.
433 -1849
DATE
APPROVED
INSPECTOR
CORRECTION
DATE(S)
NOTICE
ISSUED
0 1 - Rough - In/Vents/Ducts
,D 2 - Fire Final
575
-4404
!i♦ 3 - Planning Final
433
-1849
_
6-
- 7 - Mechanical Final
433 -1849
OTHER AGENCIES:
Plumbs • Gas P • • - Ki • Count Health Department (298.4732
E
. rica • , as
Melton State
o a r a �M a 1872- 6.36.91
oaro3O
DATE
E
COMMENTS
CITY OF TUKWILA
MECHANFAL PERMIT
(POST WITH PLANS IN A CONSPICUOUS LOCATION)
Department of Community Development - Building
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
Division
MECHANICAL
PERMIT NO. O I i c -- (Y)
DATE ISSUED:
c(, ^17-5;9
DATE EXPIRES:
SITE ADDRESS:
FEES
• AMOUNT
RECEIPT 1
DATE:
Basic Permit Fed
Unit(s) Fee
Plan Check Fee
Other:
15.00
15.50
7;62::,;
13L
TOTAL 38.12
Plan Check Reference
89 -066 -M
. • ECT INFORMATION
16018 46 Av S
P:• •. • •- • ar.aret
k Ail •11'.'L•1 MINI!:�i
: ;1 •. •F W•R Install
New /Addition
Modifications
SUITE NO.
VALUE OF WORK: 1,500
as furnance and air conditioner.
Other:
PROPERTY OWNER: 1 Margaret Del ka
[PHONE: Z43 -8168
ZIP: ':: s
ADDRESS: 16018 46th Ave. So., Tukwila, WA
CONTRACTOR: Sunshine Services
PHONE: 622 -8 18
Z112--:7-13-371
ADDRESS: 1741 1st Ave. So., Seattle, WA
WA. ST. CONTRACTOR'S LICENSE NO. SUNSHSH133P2
(EXPIRATION DATE: 10 -1 -89
CODS
UMC EDITION (YEAR): 1988
FIRE PROTECTION: C )Sprinklers ( )Detectors DO N/A
CONDITIONS pptldnn- planaj.:_ Gas piping permit required through King County.
-420 L41
'Ji
APPROVED FOR BUILDING
ISSUANCE BY: i1 �_ -�, OFFICIAL
DATE: 7- - 20 - D v Q
I hereby certify that I have read and examin this permit and'know the same to be true and correct. All provisions of law
and ordinances goveming 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 or work. I am authorized to sign for and obtain this mechanical permit.
SIGNATURE: '� A-C /'. 01-p--- (1.'2—_
DATE: `a -(6 ` 9 9
l
PRINT NAME: 11 c /146 ?t/
COMPANY: Sal p4sA , vv,_Oc S i e Jr—,dry .)cootwti
.A�OQRL1 (Gulf. t. n :p�rctlont of �lsf .74.E ![i.�C�r . .
DATE DATE(S)
APPROVED INSPECTOR CORRECTION NOTICE ISSUED
REQUIRED INSPECTIONS
1 - Rough- INVents/Ducts
2 - Fire Final
3 - Planning Final
4-
5-
PHONE NO.
433 -1849
575 -4404
433 -1849
6-
7 - Mechanical Final
433 -1849
OTHER AGENCIES: Iumbing/Gas Piping - KIn_County Health Department (298.4732
Electrical - Waehindton State D o a r and Induarrk,s 1872 -6331
•
06103/a9
Type of Inspection
CITY OF TUKWILA •
Building Oe�?.ment
6300 "Southc r Boulevard
Tukwila, WA" 08188
(206) 431 -3670
/14,•( -y .
Site Address �l �j /Y 1.70 ", 5AI Project Aleopyler•,- 4007.4.
Requestor 7;44,4, / S' ✓,,, 4_, y„C st.awa, Phone #
Special Instructions 7:00
INSPECTI N RECORD
PERMIT # 04 70 ..AA
Date 7- f 4 - fe
Date Wanted 7-- 710.-- to C9 p.m.
Inspection Results /Comments:
Inspector /G*t.�, s. Date
MECHAW ";AL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be filled out and attached to this application.
CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
PLAN CHECK
NUMBER gq- 066 171-
APPLICATION MUST BE FILLED OUT COMPLETELY
FEES (for staff use only)
:> . DESCRIPTION.:::.
':AMOUNT >
RCPT: #
DATE
BASIC PERMIT FEE
I '► :(J
,:,; .. :.:.::..:...::.. IZ UM • .. CIF: UNITS .:..:.;; ....
■-v■ckva_G" 3 °r96rA-owizf q 3 id° 5? 1
UNIT(S) FEE
k 2 c olAck, ktvt d:►) , coo LA..,, ,k-- 0_`1,),
PLAN CHECK FEE
: 7, LtZ
WILL THERE BE A CHANGE IN USE? 0 No ❑ Yes IF YES, EXPLAIN: A
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE
BUILDING? t(No ❑` Yes IF YES, EXPLAIN:
- L
OTHER:..'::::::::
.;TOTAL •
39. /
SITE ADDRESS SUITE #,
I % O (P6 4'i S r) t • . —vl Lu i , c,.
VALUE OF CONSTRUCTION - $
41 /I ry 0
PROJECT NAME/TENANT
Q'ther:
TYPE OF WORK. ❑ New /Addition ❑ Modifications ❑ Repair
DESCRIBE WORK TO BE DONE:
NIS-��.U.�. LA ► . t:2c>i V cxutc.U" 3 96- ,,Ja9-5-- f'Znld(u.Lt.t%c o` kw AIt1. (01c(L wCI
,:,; .. :.:.::..:...::.. IZ UM • .. CIF: UNITS .:..:.;; ....
■-v■ckva_G" 3 °r96rA-owizf q 3 id° 5? 1
k 2 c olAck, ktvt d:►) , coo LA..,, ,k-- 0_`1,),
BUILDING USE (office, warehouse, etc.) fA
�`llr-
NATURE OF BUSINESS: I fr
WILL THERE BE A CHANGE IN USE? 0 No ❑ Yes IF YES, EXPLAIN: A
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE
BUILDING? t(No ❑` Yes IF YES, EXPLAIN:
- L
PROPERTY OWNER
Vv►t,c.
ADDRESS
liooI,$" 40- p‘s s�
PHONE2,,r3- f316 $
ZIPq )g
CONTRACTOR uviA At)
ADDRESS 1/7 l , sTis.oS ° Sec- TS_1„E-
WA. ST. CONTRACTOR'S LICENSE # S�� kA.
PHONE (oz.z c')44 g
�ZIP�8l34
EXP. DATE p ._6/1
ARCHITECT
ADDRESS
PHONE
ZIP
BUILDING OWNER
OR
AUTHORIZED
AGENT
SIGNATURE
CONTACT PERSON
PRINT NAME TE:i A1 pep
ADDRESS (14( (`3T- rid S • Se
091A-C--
DATE
PHONE 4, 2z —g -i g
CITY /ZIP
PHONE 6 l 2 —E°f /8
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 Budding 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 433 -1849.
DATE APPLICATION ACCEPTED
DATE APPLICATION EXPIRES
03/29/99
ibBMITTAL CHEC . L.I.
•
MECHANICAL
Completed mechanical permit application (one for each structure or tenant)
0 Two (2) sets of mechanical plans, which include:
• Floor plan
• System layout
• Elevations (for roof•mounted equipment)
0 Structural calculations stamped by a Washington State licensed engineer maybe
required if structural work is to be done (2 sets)
Note: Hood and duct systems require a building permit for the duct shaft.
MECHANAL PERMIT
FEE WORKSHEET
VI I T Lir v UliVIIILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433-1849
THIS WORKSHEET MUST ACCOMPANY
YOUR MECHANICAL PERMIT APPLICATION.
:i'::: ,:•.:':,,,,i. Complete 6,:wo s ,,::::
::::::.,1k)„ ..O.,.ied :0.,0.:'::.:...:.:..O..:::•'.::::7t.ii6:iii. h*:::::!','::::::
:::::::::!::::lrielidStingthe:ntirriberofunirsbelogynstallecr ..................
:i'In'i'0)00h categOiKOUVIedlikrtieunIttoSi::::::i: . .
ii::!,:;i1:.:1:Then.:tally:rhs:: subtotal column
t he bottom Of.';t*iwo"- tit' theek,, .:1.:.:* ::tirrie.': of.::::',:::,.:::::'
i].:]:::.:lititiritiltill:Viiff iiill:thibilitte:the:ieMalhing, feet:
::.,....,..:.:.:..:.::..., .. ... ..:. :... .. .. ... .. . ..
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
co
9.,--
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.
311.00
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 sh411 not apply to an
air-handling unit which is a portion of a factory-assembled appliance,
cooling unk, 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.
$8.50
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.
311.00
x
19
Installatbn 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
/5,00
SUBTOTAL (unit foe)
y 6. 50
PLAN CHECK FEE lautti
-I.& Z-
$,38 ■12—
GRAND TOTAL