HomeMy WebLinkAboutPermit 0180-M - Teigen ResidenceCITY OF TUKWILA
MECHANICAL 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. 0 ) 0-n
DATE ISSUED:
— 177 -1)cl
Basic Permit Fee
Unit(s) Fee • ..• ••••:•.,
Plan Check Fee
.•
.AMOUNT:
RECEIPT
DATE
TOTAL
15.00
Plan Check Reference 1 89-082-M
::::::::::11::::i:1:i::::.:::;N:iilliM:1:::::i ................................................................................................................................................................................................................................................................................................................................................................................................................................................
DATE: ("/"" 0-67
ADDRESS: 13009 56th Avenue South, Tukwila, WA IZIP:
SITE ADDRESS; 13009 56 Av S
CONTRACTOR: Self [PHONE:
SUITE NO.
PROJECT NAME/T N . NT: 1. E. Tel Gen
SIGNATURE: --.1 "C °
VALUE OF WORK: $ 760.00
I - • A•:. • New/Addition Modifications
Re.air
6 Other:
DESCRIPTION OF WORK: Install wood stove air tight .
PROPERTY OWNER: I . E. Teigen IPHONE: 248-1340
DATE: ("/"" 0-67
ADDRESS: 13009 56th Avenue South, Tukwila, WA IZIP:
98178
CONTRACTOR: Self [PHONE:
this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
ADDRESS: ZIP:
SIGNATURE: --.1 "C °
WA. ST. CONTRACTOR'S LICENSE NO. (EXPIRATION DATE:
PRINT NAME: /. _P-- . T E ( (,-. f_-_-.
UMC EDITION (YEAR): 1988
FIRE PROTECTION: ( )Sprinklers )Detectors (X) N/A
CONDITIONS (Whir than noted on or attached to permit/plans):
APPROVED FOR /-f BUILDING
ISSUANCE BY. ' i .0 OFFICIAL
Imo
DATE: ("/"" 0-67
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 pr the performance or work. I am authorized to sign for and obtain this mechanical permit.
SIGNATURE: --.1 "C °
DATE: 9 .._.
PRINT NAME: /. _P-- . T E ( (,-. f_-_-.
.
COMPANY:
:14(
REWIRED INSPECTIONS
1 - Rouoh-inNents/Ducts
2 - Fire Final
3 - Planning Final
4 -
5 - Mechanical
PHONE NO.
.1. . . t . A
DATE
DATE(E)
APPROVED INSPECTOR CORRECTION NOTICE ISSUED
433-1849
575-4404
433-1849
431-1849
OTHER AGENCIES: Plumbing/Gas Piping - King C o u ty Health Department (296-4732)
Electrical - Washington State Department of Labor and Industries'
.* "This permit shall become. .nullargl vold 11 the;:woit is...noogontrei!geOlviih0.: c100..days, from the dateoOnf:::.!....:
•
issuance, or if the *9#(.*syspop080.PrOPE1.019 . P .100 days . .
`CODE COMP
LANCE
UMC EDITION (YEAR
FIR PR • TI
CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
FEES AMOUNT
MECHAK.CAL PERMIT
(POST WITH PLANS IN A CONSPICUOUS LOCATION)
(206) 433 -1849
MECHANICAL
PERMIT NO. 0) =n
DATE ISSUED:
Basic Permit Fee
Units) Fee
Plan Check Fee
Other:
TOTAL
15.00 ,
RECEIPT * :DATE'»
191f> ..9.O69
Plan Check Reference # 89 -082 -M
. ; PR l ECT INFORM A / O N
.%:::::::.< :.::;:<: .:•:: : ,<:<<:. , ;::.:i.:o ::i.
SITE ADDRESS: 13009 56 Av S
SUITE NO.
PROJECT NAME/T4NNNT: I. E. Tei en
VALUE OF WORK: $ 760.00
TYPE OF WORK: U New /Addition ( ) Modifications ( ) Re air X
Other:
DESCRIPTION OF WORK: Install wood stove (air tight)
(EXPIRATION DATE:
PROPERTY OWNER: I. E. Teigen
IPHONE: 248 -1340
ADDRESS: 13009 56th Avenue South, Tukwila, WA
IZIP: 98178
CONTRACTOR: Self
!PHONE:
ADDRESS:
ZIP:
CONTRACTOR'S LICENSE NO.
(EXPIRATION DATE:
1988
S • rinklers Detectors N/A
CONDITIONS (other than noted on or attached to permit /plans):
APPROVED FOR ,49 J�. ;,,,,,,e12,7i- BUILDING
ISSUANCE BYr ( OFFICIAL
Q
DATE: 9- IZ"87
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 the performance or work. I am authorized to sign for and obtain this mechanical permit.
SIGNATURE: _ _
DATE: G- _
PRINT NAME: 1. ..r , 1' L <e. r_-
COMPANY:
REQUIRED INSPECTIONS PHONE NO.
1 - Rough-in/Vents/Ducts 433 -1849
2 - Fire Final 575 -4404
3 - Planning Final 433 -1849
)4-
DATE DATE(S)
APPROVED INSPECTOR CORRECTION NOTICE ISSUED
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 permit shall become null and void if the work is not commenced within 180 days from the date of
issuance, or if the work Is suspended or abandoned for a period of 180; days from the last inspection.
05/04/11)
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington '98188
(206) 433 -1849
INSPECTIPN RECORD
PERMIT # 0/ FO -nl
citz9/y7
Date Wanted 9 1 /8Fq
Project Ja,/..l
Phone # o'�� -f $ /34/0
Date
Type of Inspection 7iJovc
Site Address 13004? ETev Q.d/ t3-
Requestor
Special Instructions
Inspection Results /Comments:
Inspector
Date
Cit jf Tukwila
6200 Southcenter Boulevard
Tukwila Washington 98188
(206) 433-1800
Gary L. VanDusen, Mayor
Plan Check #89-082-M: I. E. Teigen
13009 56 Av
.THE FOLLOWING COMMENTS APPLY TO AND BECOME PART,pF THE APPROVED
-PLANS UNDER TUKWILA MECHANICAL PERMIT NUMBER
1. All permits, inspection records, and approved plans
shall be posted at the job site prior to the start of
installation.
2. Appliance installation shall conform with W.A.B.O.
standards 'for Anstalltaion of solid. fuel burning
appliances, and conditions of listing as specified by
manufacturer.
- ,
C
City of Tukwila
6200 Southcenter Boulevard
Tukwila Washington 98188
(201) 433 -1800
Gary L. VanDusen, Mayor
TO:
FROM:
DATE:
SUBJECT:
MEMORANDUM
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Cite if Tukwila
PLANNING DEPARTMENT
6200 Southcenter Boulevard
- -Tukwila, Washington 98188
(206) 433 -1849
ORDINANCE COMPLIANCE
PLAN CHECK
PAGE
NO
cri
UNIFORM BUILDING CODE, 19 Edition
i
PilVPAHEL) UV
t fX�SL
(z4e-1)
W2A 9- 6Z--M. 1%130 &M1 —
MECHANICAL PERMIT APPLICATION TRACKING
PLAN CHECK
NUMBER
`VI D&-(n
PROJECT NAME
CONTACTED
. C:, .
SITE ADDRESS
SUITE NO.
DATE READY
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.
IX BUILDING -
initial review
O FIRE
- /I -51
(ROUTED)
CO1I31JLtANT:
R.
Date Sant - EVENTS.: ..::.:.. ................:::.:::;.,bate Approved -
INIT:
FIRE PROTECTION: O Sprinklers [) Detectors ® N/A
FIRE DEPT. LETTER DATED:
INSPECTOR:
O PLANNING
INIT:
O OTHER
ZONING: f -. j IBARILAND USE CONDITIONS? fl Yes ( No
SCREENING REQUIRED? QYes f No
REFERENCE FILE NOS.:
INIT:
BUILDING -
final review
REVIEW COMPLETED
`IJMC EDITION (year):
PERMIT NO.
CONTACTED
. C:, .
1.�
p n
DATE READY
DATE NOTIFIED
9 -L
� Q q
O l
(init.�.P.��
PERMIT EXPIRES
2nd NOTIFICATION
BY:
(init.)
AMOUNT OWING
3RD NOTIFICATION
BY:
(init.)
WRENN
ROME
CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
MECHA ITCAL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be filled out and attached to this application.
PLAN CHECK %cl, � t,�' M NUMBER ���
APPLICATION MUST BE FILLED OUT COMPLETELY
FEES (for staff use only)
SITE ADDRESS
rit
PF OJEC 'NAME/TENA T
SUITE #
VALUE OF CONS TION - $
l•�• 7�/ CEi/
TYPE OF WORK: ❑ New /Addition ❑ Modifications ❑ Repair
DESCRIBE WORK TO BE DONE:
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
/lectE
WILL THERE BE A CHANGE IN USE? ❑ No ❑ Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE
BUILDING? ❑ No ❑ Yes IF YES, EXPLAIN:
PROPERTY OWNER
ADDRESS
CONTRACTO
ADDRESS
(PHONE P� r3 ((d
Z
PHONE
ZIP
WA. ST. CONTRACTOR'S LICENSE #
EXP. DATE
ARCHITECT
PHONE
ADDRESS
ZIP
BUILDING OWNER
OR
AUTHORIZED
AGENT
CONTACT PERSON
SIGNATURE / Sf
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 appiicalion and plan submittal requirements. ApplIcaticn' and
clans must be complete In order to be accepted for clan 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 433 -1849.
DATE APPLICATION ACCEPTED
DATE APPLICATION EXPIRES
S i MITTAL CHEC
MECHANICAL
El 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)
El 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 shaft.
-
MECHANN AAL 'PERMIT
FEE WORKSHEET
CITY vF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
THIS WORKSHEET MUST ACCOMPANY
YOUR MECHANICAL PERMIT APPLICATION.
INBTRUCtrO►NS - Ca►r plate the t'verkslieet,
nu the r u r of units loamy lnsto st
In each category, m�utrviedo the unit cost
tThen botelly the subtotal cumn hhlighda
tom of e wokheet f :time o.,..
aubmlttal, staN will calculate: the ihilinir leee.
.,
DESCRIPTION
UNIT COST
NO. OF
UNITS
X
TOTAL
COST
BASIC FEE
$15.00
1
Installat • n or relocation of each forced -air gravity -type furnace or
burner, I luding ducts and vents attached to such appliance, up to and
including 10,000 Btu/h.
$9.00
x
2
Installation or = location of each forced -air or gravity -type furnace or
burner, includi • • ucts and vents attached to such appliance over
100,000 Btu /h.
$11.00
x
3
Installation or relocat • 1 of each floor fumace, including vent.
$9.00
x
4
Installation or relocation o - ach suspended heater, recessed wall heater
or floor- mounted unit heate .
$9.00
X
5
Installation, relocation or replace = nt of each appliance vent installed and
not included in an appliance permit.
$4.50
x
8
Repair of, alteration of, or addition to e-- h heating appliance,
refrigeration unit, cooling unit, absorption nit, or each heating, cooling,
absorption, or evaporative cooling system, • luding installation of
controls regulated by this code.
$9.00
X
7
installation or relocation of each boiler or compre sor to and including
three horsepower, or each absorption system to a • including 100,000
Btu /h.
$9.00
x
8
installation or relocation of each boiler or compressor o, =r three
horsepower to and including 15 horsepower, or each abs, rption 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 absorptio 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.)
; .50
13
Each air - handling unit over 10,000 ctm.
$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
.
18
Each ventilation system which is not a portion of any heating or
air - conditioning system authorized by a permt.
$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
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 foe)
PLAN CHECK PEE Pi"
GRAND TOTAL
$