HomeMy WebLinkAboutPermit 0177-M - Iverson ResidenceCITY 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)
MP RM IT NO. 0111 -
Ii 1
DATE ISSUED:
_4
-:,,�� _.
Unit(s) Fe
Other:>
Plan Check Reference # 89 -080 -M
AMOUNT:
RECEIPT !4
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SITE ADDRESS: 16226 51 Av S
SUITE NO.
PROJECT NAME/T N NT: Eugene Ivgj'on
,...D;
VALUE OF WORK: $ 2,618.00
TYPE OF WORK: ( )New /Addition (X) Modifications
O Repair
Other:
DESCRIPTION OF WORK:_ Install new furnace.
Clark Mechanical
PHONE: 246 -85 5
PROPERTY OWNER:
Eugene Iverson
'PHONE: 242 -01 3
,...D;
1. -, - .
„
ZIP:
981::
CONTRACTOR:
Clark Mechanical
PHONE: 246 -85 5
ADDRESS:
13130 44th Avenue South. Tukwila, WA
ZIP:
8168
WA. ST. CONTRACTORS LICENSE NO. CLARKM *116CF
(EXPIRATION DATE:
2
2-02-90
UMC EDITION (YEAR):
FIRE PROTECTION: l )Sprinklers ( )Detectors (XD N/A
CONDITIONS (other than noted on or attached to p#nn /t /plans):
Gas Piping permit regr.irpd thro
. 9 i 1'
. -.
1 6 - 1 .
11 •
296 -4
732
•
APPROVED FOR '/ •-
ISSUANCE BY: l,Q -�4
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 constryill ;+n or the performance or work. I am authorized to sign for and obtain this mechanical permit.
SIGNATURE:
BUILDING
OFFICIAL
DATE: ( -/—
PRINT NAME:
DATE: 674
D!l vz' !-A R
COMPANY: CL /4 R /c /r%G'Ci(q,v 1 c. 44
-..R A. gr.t A. l 11:14'.4,; (9
REQUIRED INSPECTIONS
1 - Rough- inNents /Ducts
2 - Fire Final
3 - Planning Final
4-
X 5 - Mechanical
l." : t ``': r. >r. ,'.4 L .iI.
DATE
DATE(S)
PHONE NO. APPROVED INSPECTOR CORRECTION NOTICE ISSUED
433 -1849
575 -4404
433 -1849
433 -1849
OTHER AGENCIES: Plumbing/Gas Piping - King County Health Department (296 -4732)
Electrical - Washington State Department of Labor and Industries'
me null alnd Vold if the work is not vommen within:
$ su ndedor tndoned for a: p, -
This permit shall
Issuance,: or it the yr
CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
MECHAFICAL PERMIT
(POST WITH PLANS IN A CONSPICUOUS LOCATION)
MECHANICAL
PERMIT NO. 01i-1 -
DATE ISSUED:
AMOUNT':
64
Unit(s) . Fee
Other:
RECEIPT ,M
-1FEWIERV
TOTAL 30..00., >:
Plan Check Reference tf 89 -080 -M
.::: ..;:..; ....:....:;..;.: ;..:... 4444. :...:...:; ::;..:�:
4:444 u MOJEC
1`OR ATIUN
::.:: >:::;;:::::::�:�:�:: � � ;::<:::::;::::>
::.; .: ,..:.:.::.::.:....:::.;.:.. ;
SITE ADDRESS: 16226 51 Av S
CONTRACTOR: Clark Mechanical
SUITE NO.
PROJECT NAME/TF NT: Eugene Iv on
VALUE OF WORK: $ 2,618.00
TYPE OF WORK: (� New /Addition rs Modifications
O Repair
Other:
DESCRIPTION OF WORK: Install new furnace.
PROPERTY OWNER: tugene Iverson
IPHONE: 242 -0173
!ZIP:
IPHONE: 246 -8585
EXPIRATION DATE :P
98188
F� 8
2 -02 -90
ADDRESS: 16226 51st Avenue South, Tukwila, WA
CONTRACTOR: Clark Mechanical
ACLARKM
WA. ST. CONTRACTOR'S LICENSE NO.h *116CF
44:44 W........0.. .:..: :.:.. 4444...
:..: :CQQ6 COMPS
UMC EDITION (YEAR . 88
FIRE PROTECTION: C )Sprinklers ( )Detectors (X) N/A
CONDITIONS (other than noted on or attached to Rm mlt1R1ane)
Gas Piping permit required thrQ
e1 . 10
0 1 . • . . 1 .. 11 - .
296 -4732 .
APPROVED FOR
ISSUANCE BY:
�//
vim• , .„
I hereby certify that I have read and examined this
y 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 constgar hn or the performance or work. I am authorized to sign for and obtain this mechanical permit.
BUILDING
OFFICIAL
DATE: 7—i— 1C?
SIGNATURE:
DATE: ' /s ^/ 21
PRINT NAME: D4 I/L' F■ R 2 G"G.
COMPANY: CG 4 /74 ,(# e- 44.
:: .` IN�TPR�Tt4N RECORQ � {dsll> far ►nspectlone �t �:f 'Z.4.' hott�>In dt►ineael
DATE DATE(S)
REQUIRED INSPECTIONS PHONE NO. APPROVED INSPECTOR CORRECTION NOTICE ISSUED
433 -1849
1 - Rough- inNents/Ducts
2 - Fire Final
575 -4404
3 - Planning Final
433 -1849
4-
X) 5 - Mechanical
433-1849
OTHER AGENCIES: Plumbing/Gas Piping - King County Health Department (296-4732)
Electrical - Washington State Department of Labor and Industries'
This perm it shall become null and void if the work is not comn7nced within 180 days from the date of
issuance, or it the work Is suspended or abandoned for a period of 180 days from the last inspection.
06/04/49
a�W�1fAi¢ �trtaarnMwira�w�. x..,............ ..�.....,............__:._..__.
CITY OF TUKWILA
Juilding Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849.
INSPECTION RECORD 1
PERMIT # ()O/77-4
Date
Type of Inspection / /I /4e_ Date Wanted 7 9- 7• t?
Site Address /G ,z .2-G 57 5 ' r £ Project �.a_... !/e,c -ac h ,.,
Requestor i') , i dud . Phone # ,,5/a PS- SS'
Special Instructions
Inspection Results /Comments.: - ---
&flCBIQI
t$1'1 3^iib ffw^5:i s7 tN' iJ.' k, 1tt:.» �1TL1{ lff{ ��yjyyy�l,' WpLyµlp�yWxt `Ylwfr✓h++flvKnvN+4+n.I�Srlr t34,k:wYFHXYi'h,I: Fkirl9tl:" hilyLrMllT82lCaiA 'lN3x'R{r.:.t3L'Y1'U lA1YS.,f,•mfnNM.W'/rNl . t. +r,.,Mi \xHx,tt!h i`1VYCYdllYgl.N : tH '+iYrt`n'N�� R'R'aYW T1 agsttifeirIAA'f.'
CD I. 5C)
CITY OF TUKWILA
building Division
Tukwila tWashingtonu1981601
(206) 433 -1849
INSPECT ON RECORD
PERMIT # r
Date
c1- 5-S°l
Type of Inspection yn2_thosAico:\ Date Wanted 9 - '69' a.m.
Site Address ) (p 5Ift f\\)Q . with Project Fo .2rvQ, "TV.QY i'1
Requestor T)icK 6 i t1 't R kon Phone # cy. - %5%5 Special Instructions '"
Inspection Results /Comments: / / A,r:.
of
AO. Afi
Inspector
Date
MECHANICAL PERMIT APPLICATION TRACKING
PLAN CHECK
NUMBER
PROJECT NAME Eu
SITE ADDRESS
Maa(6 51 -\v
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 -
initial review %9-- ( -cti
(ROUTED)
O FIRE
CONSULtA t: Date Sint -
Date Approved -
TIRE PROTECTION: [ ) Sprinklers [) Detectors N/A
INIT:
FIRE DEPT. LETTER DATED:
INSPECTOR:
O PLANNING
INIT:
ZONING: t I jBARILAND USE CONDITIONS? []Yes cV No
SCREENING REQUIRED? Cayssip No
REFERENCE FILE NOS.:
O OTHER
INIT:
00 BUILDING -
final review
INIT:
UMC EDITION (year):
REVIEW COMPLETED
PERMIT NO.
CONTACTED bad- M K
DATE READY
DATE NOTIFIED
9 �
' cJ - cl��
BY:
(init.)Sab
PERMIT EXPIRES
2nd NOTIFICATION
BY:
(init.)
AMOUNT OWING
3RD NOTIFICATION
BY:
(init.)
14 • t • b
CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
MECHA SAL PERMIT
APP !CATION
Mechanical Fee Worksheet must also be filled out and attached to this application.
PLAN CHECK r7-b9 ono
NUMBER
APPLICATION MUST BE FILLED OUT COMPLETELY
SITE ADDRESS SUITE #
FEES (for staff use only)
EriligEMMAIME
PLAN CHECK
THER.
FEE Chi
TOTAL - 3 . r
VAL E OF CONSTRUCTION - $
NX ;? F °�'
PROJECT NAME/TENANT
a N•L 1/6 Q So N
TYPE OF WORK: 0 New /Addition t Modifications 0 Repair 0 Other:
DESCRIBE WORK TO BE DONE:
..51 s r'1 . ,4"/ ' r'u;z.Av n�
iceTING/BIZ
.- -
•rte
r
BUILDIN //G USE (office, warehouse, etc.)
"14:-
NATURE NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? 0 No 0 Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE
BUILDING? 2) No 0 Yes IF YES, EXPLAIN:
PROPERTY OWNER Eu c;lV J v�
ADDRESS /‘ 22 _ ` -/ A/6
CONTRACTOR
AR It 11 Gf/,t4N/
ADDRESS / 3 / 3 U 44/ 4v
'PHONE 2 92-e), 73
ZIP 9 %1
PHONE290
ZIP X0p
WA. ST. CONTRACTOR'S LICENSE # CL 4 / /< fl .4. /16 t
EXP. DATE 2 - Z - G%c.)
ARCHITECT
PHONE
ADDRESS
ZIP
BUILDING OWNER
OR
AUTHORIZED
AGENT
SIGNATURE
PRINT NAME CL 2 /( ��.��4z-
ADDRESS /313 v 4,4 Tb 14,,,„
CONTACT PERSON RA R r C 1-4 21C,
DATE
PHONE
CITY /ZIP
PHONE 2 /4., s' cps
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 arid plan submittal requirements. Application and
oians 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.
11 you have any questions about our process or plan submittal requirements,
please contact the Department of Community Development at 433-1849.
DATE APPLICATION N ACCEPTED
DATE APPLICATION EXPIRES
3-1-90
03/29/0
MECHANICAL
[J 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 building permit for the duct shall.
MECHANCSAL PERMIT
FEE WORKSHEET
6r/ I r Vr I UR IIILinI
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206)
206 433 -1849
THIS WORKSHEET MUST ACCOMPANY
YOUR MECHANICAL PERMIT APPLICATION.
lNBTRtJCriON3 • Complete the worksheet.
the member:. of unha being Installed
each category, multiplied bythe uMt • cost
7ri!sn tally the subtotal column Wphllghted;at •
the bottom of the woricaiieet. alt time of
arrb aeJ, ataN wllfCaku10(009:00010 ing lees. : •
DESCRIPTION
UNIT COST
NO. OF
UNITS
X
TOTAL
COST
BASIC FEE
$15.00
1
Installation or relocation of each forced -air gravity -type fumace or
burner, including ducts and vents attached to such appliance, up to and
including 100,000 Btu/h.
$9.00
/
X
t,
+d q.. 66
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
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 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
SUBTOTAL (unit fee)
31-i. CO
PLAN CHECK FEE 122:1,
iO , 00
GRAND TOTAL
$30.(o