HomeMy WebLinkAboutPermit M07-189 - FITNESS OUTLETFITNESS OUTLET
17250 SOUTHCENTER PY
M07.189
Parcel No.: 2623049117
Address:
Suite No:
Owner:
Name: WIG PROPERTIES LLC -SS
Address: 4811 134TH PL SE , BELLEVUE WA
Value of Mechanical: $5,000.00
Type of Fire Protection:
Furnace: <100K BTU
>100K BTU
Floor Furnace
Suspended/Wall/Floor Mounted Heater
Appliance Vent
Repair or Addition to Heat/Refrig /Cooling System....
Air Handling Unit <10,000 CFM
>10,000 CFM
Evaporator Cooler
Ventilation Fan connected to single duct
Ventilation System
Hood and Duct
Incinerator: Domestic
Commercial/Industrial
doc: IMC-1 O/06
Cityf Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
17250 SOUTHCENTER PY TUKW
Contact Person:
Name: BRENT ADKISSON
Address: 2020 S 320 ST #C -90 , FEDERAL WAY WA
Contractor:
Name: D15 MECHANICAL
Address: 2020 S 320 ST #C -90 , FEDERAL WAY WA
Contractor License No: D 15MEM *930BT
DESCRIPTION OF WORK:
INSTALL DUCT AND DIFFUSERS FROM 2 EXISTING HVAC UNITS.
INSTALL 1 BATHROOM EXHAUST FAN
MECHANICAL PERMIT
Tenant:
Name: FITNESS OUTLET
Address: 17250 SOUTHCENTER PY STE 100 , TUKWILA WA
Fees Collected: $211.95
International Mechanical Code Edition: 2006
EOUIPMENT TYPE AND QUANTITY
0
0
0
0
0
0
0
0
0
1
0
0
0
0
* *continued on next page **
M07 -189
Permit Number: M07 -189
Issue Date: 09/26/2007
Permit Expires On: 03/24/2008
Phone:
Phone: 360 -888 -5433
Phone: 360 888 -5433
Expiration Date: 01/30/2009
Boiler Compressor:
0-3 HP/ 100,000 BTU 0
3 -15 HP /500,000 BTU 0
15-30 HP /1,000,000 BTU.. 0
30-50 HP /1,750,000 BTU.. 0
50+ HP /1,750,000 BTU 0
Fire Damper 0
Diffuser 14
Thermostat 2
Wood/Gas Stove 0
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment 0
Printed: 09-26 -2007
Permit Center Authorized Signature:
Signature:
Print Name:
doc: IMC -10/06
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
g(r„,7- 4 ,,e/6-5-fakk
Permit Number: M07 -189
Issue Date: 09/26/2007
Permit Expires On: 03/24/2008
Date: q` -CD - 01
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 perfo - t ce of wor , . I am authorized to sign and obtain this mechanical permit. C�
Date: / 2
This permit shall become mill and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspender
or abandoned for a period of 180 days from the last inspection.
M07 -189 Printed: 09 -26 -2007
Parcel No.: 2623049117
Address:
Suite No:
Tenant:
doc: Cond - 10/06
FITNESS OUTLET
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
17250 SOUTHCENTER PT TUKW
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
M07 -189
ISSUED
08/31/2007
09/26/2007
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431- 3670).
4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
5: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
6: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building
inspector. No exception.
7: Manufacturers installation instructions shall be available on the job site at the time of inspection.
8: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
9: ** *FIRE DEPARTMENT CONDITIONS * **
10: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the
following concerns:
11: H.V.A.C. units rated at greater than 2,000 cfm require auto - shutdown devices. These devices shall be separately zoned
in the alarm panel and local U.L. central station supervision is required. (City Ordinance #2051)
12: H.V.A.C. systems supplying air in excess of 2,000 cubic feet per minute to enclosed spaces within buildings shall be
equipped with an automatic shutoff. Automatic shutoff shall be accomplished by interrupting the power source of the
air- moving equipment upon detection of smoke in the main return-air duct served by such equipment. Smoke detectors
shall be labeled by an approved agency for air -duct installation and shall be installed in accordance with the
manufacturer's installation instructions. (IMC 606.1, 606.2.1)
13: Local U.L. central station supervision is required. (City Ordinance #2051)
14: Duct detectors shall send a supervisory signal only upon activation. (City Ordinance #2051)
15: Remote indicator lights are required on all above ceiling smoke detectors. (City Ordinance #2051)
M07 -189 Printed: 09 -26 -2007
doc: Cond -10/06
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
16: Duct smoke detectors shall be capable of being reset from a single point near the alarm panel. (City Ordinance #2051)
17: Maintain coverage and operability of portable fire extinguishers, sprinkler systems and fire alarm systems during
demolition and construction.
18: Fire assemblies shall not be obstructed or otherwise impaired from their proper operation at any time. (IBC 715.1)
(NFPA 80)
19: All electrical work and equipment shall conform strictly to the standards of the National Electrical Code. (NFPA T0)
20: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2050 and
#2051)
21: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of
such condition or violation.
22: These plans were reviewed by Inspector 512. If you have any questions, please call Tukwila Fire Prevention Bureau at
(206)575 -4407.
* *continued on next page **
M07 -189 Printed: 09-26 -2007
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating
construction or the performance of work.
Signature:
Print Name:
doc: Cond -10/06
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
R ati fx/ 7 -- 4,piki‘sf
Date: / 2 6 0 7
M07 -189 Printed: 09 -26 -2007
%Al1 tor 1unrr rs.n
Community Developmentpartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
MECHANICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
"Please Print**
ice use only)
�/
�J King Co Assessor's Tax No.: Zip - 0 1 I Site Site Address: / 7 25 5oivr$/Ce &*/ / 'X r Suite Number: /06 Floor:
Tenant Name: >C fNe $$ 0(4. 1 /-
Property Owners Name: f J l') ero f eS L 1C — $s
Mailing Address: 9g / 3 4I 7 h e /1'e- U e_
City
CONTACT PERSO
who do we contact when your permit is ready to be issued
Name: ,��f2 �.cJ 7 - ie 1 SS
Mailing Address:
E -Mail Address:
MECHANICAL CONTRACTOR INFORMATION
Company Name: j)/ "I ecku .A i C� I
Mailing Address: 2°D 5't Tk 5_f #C 20 Fec er way c j, Yeb °3
City l State Zip
R e (<JT /14kvay. Day Telephone: 360 -'8 5 933
Fax Number:
Expiration Date:
Contact Person:
E -Mail Address: ,�^
Contractor Registration Number: 771 iVE/"' ,3) r
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Q:%ApplicationsWorms- Applications On Line\3 -2006 - Mechanical Permit Application.doc
Revised: 4-2006
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City
Fax Number:
New Tenant: .... Yes 0 ..No
W A-
State
State
/ /30p 007
Zip
Day Telephone: , 566 88Y 5- V33
Zip
ARCHITECT OF RECORD All plans must be wet stamped by Architect of Record
State
Zip
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record
City
State
Zip
Day Telephone:
Fax Number:
Page I of 2
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace<100K BTU
Air Handling Unit >10,000
CFM
Fire Damper
0-3 HP /100,000 BTU
Furnace>100K BTU
Evaporator Cooler
Diffuser
/
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
1
Thermostat
/1
pL
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Water Heater
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
Other Mechanical
Equipment
i
Valuation of Project (contractor's bid price): $ ao
Scope of Work (please provide detailed information):
X'// V i c t f-- PIFFt&Se-{S
cry 2. Eft- Ex, St kj ffu4C •,
X4-1 5 I / EA /Pccw. &kakSt FA-/
Use: Residential: New .... ❑ Replacement .... ❑
Commercial: New ....54 Replacement .... ❑
Fuel Type: Electric ❑ Gas ....0 Other:
Indicate type of mechanical work being installed and the quantity below:
PE T APPLICATION_ NOTES App Ica
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
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 grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested
in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNS Gam=
Signature: /
Print Name: 2 � £�T / /4! / {J
Day Telephone:
Mailing Address: ...2°A r-) S• 320 $ t # C -9 2 Fora( t
City
I Date Application Accepted: U
Q:\ Applications\Forms- Applications On Line'3 -2006 - Mechanical Permit Application.doc
Revised: 4 -2006
bh
Date: - V -0 7
' 5
9g -UrJ3
State Zip
Date Application Expires:
Staff Initials: tii4
Page 2 of 2
Receipt No.: R07 -01854
Payee: BRENT ADKISSON
ACCOUNT ITEM LIST:
Description
PLAN CHECK - NONRES
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.cl.tukwila.wa.us
RECEIPT
Parcel No.: 2623049117 Permit Number: M07 -189
Address: 17250 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 08/31/2007
Applicant: FITNESS OUTLET Issue Date:
Initials: WER Payment Date: 08/31/2007 03:16 PM
User ID: 1165 Balance: $175.56
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 36.39
Account Code Current Pmts
000/345.830 36.39
Total: $36.39
Payment Amount: $36.39
doc: Receiot -06 Printed: 08-31 -2007
Parcel No.: 2623049117 Permit Number: M07 -189
Address: 17250 SOUTHCENTER PY TUKW Status: APPROVED
Suite No: Applied Date: 08/31/2007
Applicant: FITNESS OUTLET Issue Date:
Receipt No.: R07 -02099
Initials: WER
User ID: 1655
Payee: BRENT ADKISSON
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
doc: Receiot - 06
Payment Cash 175.56
MECHANICAL - NONRES
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
RECEIPT
Amount
Account Code Current Pmts
000/322.100 175.56
Total: $175.56
Payment Amount: $175.56
Payment Date: 09/26/2007 11:47 AM
Balance: $0.00
3263 09/26 9710 TOTAL 289.01
Printed: 09 -26 -2007
Project /
1
T e of ns ection:
_
Ad / 5a s
/
p
Date Called:
Special Instructions:
Date Wanted:
/67 0—C17
a.�
p.m.
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
407-11,
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION ;f
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
COMMENTS:
0/2 1; ri v11,
I
Date: // 2o-07
pproved per applicable codes. El Corrections required prior to approval.
$58.00 REIN ECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 SouthcenterBlvd.. Suite 100. Call the schedule reinspection.
(Receipt No.:
'Date:
Pro t: O.,/,/,74-
rti p
Type of Insp i ecctii9n: ��
/,‘,0 /,‘,0 /'" -,"cr / /`7O ri .
Address:
/72 5
7 — �
✓ y
Date Called:
Special Instructions:
f
Date Wanted: a.m.
/ 2 - 7 --
Requester:
Phone No:
Zs7 7Z /w 4 j7/�
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. ' Corrections required prior to approval.
COMMENTS:
Inspect
INSPECTION RECORD
Retain a copy with permit
Ate/ /L/ :- .'
(Receipt No.: 'Date:
PERMIT NO.
Date:
.00 REINSPECTION FEE R QUIR . Prior to inspection, fee must be
id at 6300 Southcenter Blvd.. Su't 100. Call the schedule reinspection.
Project.-: /
1- / v�SS ��'N e
Type n pecti n:
j 11 / A ✓
Address:
Date Called:
Special Instructions:
Date Wanted: /
ld /j/
l&
a.m.
(
Requester:
Phone No:
SPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
N ,
A pproved per applicable codes. 0 Corrections required prior to approval.
CO RENTS:
nspector:
$ ' 0 REINSPECTION FE REQUIRED. P or to inspection. fee must be
d at 6300 Southcenter lvd.. Suite 10 . Call the schedule iin5pection,
(Rec - ipt No.:
e:
17
'Date:
Project: . NhJ /
Type of I�ISpection:
Address: f/ �
/ `5--c) S� /� / ��Pvt,tf'/
D Called:
'_/
Special Instructions:
Date W ted:
a.m.
L pail.
Requester:
Phgge„ 3 - 826
s1/3 3
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
paid at 6300 Southcenter B
PERMIT NO.
(206)431 -3670
Ei Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
0 ,7 > 42 / s L /��
$58.00 REINSPECTION FEE QUIRED. Prior to inspection, fee must be
d.. Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
DEPARTM Frire. 7 �
BUlh��
Public Works
Complete
TUESJTHURS ROUTING:
Please Route
Documents/routing slip.doc
2 -28-02
s
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M07 -189
PROJECT NAME: FITNESS OUTLET
SITE ADDRESS: 17250 SOUTHCENTER PY
X Original Plan Submittal
_ Response to Correction Letter #
DATE: 08 -31 -07
Response to Incomplete Letter #
Revision # After Permit Issued
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 09-06-07
Incomplete
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg Fire ❑ Ping ❑ PW ❑ Staff Initials:
Structural Review Required
Fire Prevention. D"
Structural ❑
Planning Division
Permit Coordinator
Not Applicable
❑ No further Review Required
REVIEWER'S INITIALS: DATE:
�a
APPROVALS OR CORRECTIONS: DUE DATE: 10 -04 -07
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
License Information
License
D15MEM *930BT
Licensee Name
D15 MECHANICAL
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601841514
Ind. Ins. Account Id
Business Type
INDIVIDUAL
Address 1
2020 S 320TH ST #C -
Address 2
City
FEDERAL WAY
County
KING
State
WA
Zip
98003
Phone
3608885433
Status
ACTIVE
Specialty 1
AIR HEAT,VENTILATION,EVAPORAT
Specialty 2
SHEET METAL
Effective Date
1/30/2007
Expiration Date
1/30/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
ADKISSON, BRENT
OWNER
01/30/2007
Washington State Department of Labor and Industries
General/Specialty Contractor
A business registered as a construction contractor with L &I to perform
construction work within the scope of its specialty. A General or Specialty
construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Bond Information
No Matching Information
Savings Information
Savings
Bank
Name
Bank
Branch
Location
Assignment
of Savings
Number
Effective
Date
Release
Date
Assignment
Type
Impaired
Date
Amount
Received
Date
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License =D 15MEM *930BT 09/26/2007
BY
REVISION
No changes shall be made ithout approval of
to the scope
ot work W prior
Tukwila Building Division. ,
NOTE: ReViS a
iOnS Will require a new plan subrnitfal
and may Nude addirl plan review tees.
Date:
Perm
Plan review epprovgis
Approval cf con:hi:than d
the vidatien cf eny accepted code
Of approved C- end con
9
City of Tukwila
BUILDING DIVISION
I OrtliSSiOREL
net auth
inar. Receipt
edged
E --- CI\TE D—f011.
CODE COMPLIPACE
APPRO
zoi
SY 2 ' k
riff" S Over Le,1
r
L jlectnca
Frilumbing
('Gas Piping
City of Tukwila
BUILDING DIVISION
Fitness Outlet
Suite 100
earserr
I.M."r "
V
Prdeiredi
HVAC
Ducting Plan
I
RECEIVED
AUG 3 1 2007
PERMIT CENTEf