HomeMy WebLinkAboutPermit M04-032 - MCDONALD'SMCDONALD'S CORP
15210 TUKWILA
INTERNATIONAL BL
EXPIRED 10-07-04
M04-032
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0043000090 Permit Number: M04-032
Address: 15210 TUKWILA INTERNATIONAL BL TUKW Issue Date: 03/25/2004
Suite No: Permit Expires On: 09/21/2004
Tenant:
Name: MCDONALDS CORPORATION
Address: 15210 TUKWILA INTERNATIONAL BL, TUKWILA WA
Owner:
Name: COMISKEY ROBERT Phone:
Address: C/O MCDONALD'S, 245 SW 193RD PL
Contact Person:
Name: CANDACE GALLAGHER Phone: 206 282 -4700
Address: WASHINGTON ENERGY SERVICES, 2800 THORNDYKE AV W
Contractor:
Name: WASHINGTON ENERGY SERVICES CO
Address: 2800 THORNDYKE AVE W, SEATTLE
Contractor License No: WASHIES990CW
DESCRIPTION OF WORK:
REPLACING, LIKE FOR LIKE, GAS WATER HEATER IN COMMERCIAL SPACE
Value of Construction: $1,000.00
Type of Fire Protection: N/A
Permit Center Authorized Signature:
Print Name:
doc: Mech
MECHANICAL PERMIT
ems
Fees Collected:
Uniform Mechnical Code Edition:
Expiration Date:02 /16/2005
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 const_ F ction the performance •f work. I am authorized to sign and obtain this - mechanical permit.
Signature' v I _ Date: 2-r
Id
Ll N D/+ - cYa IQ(
1 - --
M04 -032
Phone: 206 282 -4700
$59.81
1997
Date:
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.
Printed: 03 -25 -2004
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 0043000090 Permit Number: M04-032
Address: 15210 TUKWILA INTERNATIONAL BL TUKW Status: ISSUED
Suite No: Applied Date: 03/04/2004
Tenant: MCDONALDS CORPORATION Issue Date: 03/25/2004
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: Plumbing permits shall be obtained through the Seattle -King County Department of Public Health. Plumbing will be
inspected by that agency, including all gas piping (296- 4722).
4: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical
work will be inspected by that agency (206- 835 - 1111).
5: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any
construction. These documents are to be maintained and available until final inspection approval is granted.
6: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997
Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition).
7: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations 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 ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this
code shall be valid.
8: Manufacturers installation instructions required on site for the building inspectors review.
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: Conditions
M04 -032
4a /
Date:
Printed: 03 -25 -2004
•
King Co Assessor's Tax No.6C__ t 66 0 C) cW)
Site Address: / 5 2- 10 4-0.(e—C 6 1 Ua Suite Number: Floor:
Tenant Name: ini.... CS2)tri/ New Tenant: 0 .... Yes g
..No
Property Owners Name: Mc_ OI ea4C.14) (...03Yr
P
Mailing Address: r 52,1 D ---t irt 0 t3 LU 0 40sii4eci W cc l
City State Zip
...:CONTACTPERSO
Name: rdLcQ-
Mailing Address: 2-a
E-Mail Address:
Contact Person:
E-Mail Address:
Contact Person:
E-Mail Address:
‘applicationslpermit application (3.2003)
3/2003
CITY OF TUKWILA
Community Development partment
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
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**
tc,g
-7- avytcer, 4-JL CU
Page 1
F AlicIprEcT.:,9FRgcoltp..;;•.;.'oldaniminit be wet stamped by Architect:of:Ricord.:
;`'ENGINEER9F-.RE.CORDAllplani mu be:wet staniped.by.Engitieer of Record .
Da z-P-
azho
f it(
City State Zip
Fax Number:
-GENERAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
State
Zip
Contractor Registration Number: Expiration Date:
**An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance**
Company Name:
Mailing Address:
City State Zip
Day Telephone:
Fax Number:
Company Name:
Mailing Address:
Ciiy
Contact Person: Day Telephone:
E-Mail Address: Fax Number:
State
Zip
4pplicationatpermit application (3.2003)
3/2003
BUILDING PERMIT I� N , 20 431 3670 -
Valuation of Project (contractor's bid price): $ Existing But ing Valuation: $
Scope of Work (please provide detailed information):
Will there be new rack storage? El ..Yes 0-No if "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
Page 2
1" Floor.
2 Floor,
3`° Floor
.• Floors
Basement
thru
Attached Garage
Accessory Structure * ; :..
Detached Garage
Attached carport-:
Detached Carport
Covered Deck
Uncovered Deck
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per UBC
Type of
Occupancy per
UBC
PLANNING DIVISION:
Single- family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? 0 ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0.. Sprinklers ❑..Automatic Fire Alarm [] ..None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? [].. Yes 0 .. No
If "yes", attach list of materials and storage locations on a separate 8-1/2 x 11 paper indicating quantities and Material Safety Data Sheets.
p.UHL:IC.WORKS PERMIT INFORMATION :206 433 -0179.
Scope of Work (please provide detailed information):
Please refer to Public 'Works Bulletin #1 for fees and estimate sheet.
Water District
❑ ...Tukwila 0... Water District #125
❑...Water Availability Provided
Sewer District
❑...Tukwila ❑... ValVue ❑ .. Renton ❑ ...Seattle
❑ ...Sewer Use Certificate 0... Sewer Availability Provided ❑ .. Approved Septic Plans Provided
❑...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department.
Submitted with Application (mark boxes which apply):
❑...Civil Plans (Maximum Paper Size — 22" x 34 ")
❑...Technical Information Report (Storm Drainage)
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s)
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for Tess than 72 hours
❑ ...Right- of-way Use - No Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way
Non Right -of -way
❑ ...Total Cut
❑ ...Total Fill
cubic yards
cubic yards
❑ ...Sanitary Side Sewer
ti ❑ ...Cap or Remove Utilities
❑...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑...Permanent Water Meter Size...
❑...Temporary Water Meter Size..
❑ ...Water Only Meter Size
❑...Sewer Main Extension Public
❑ ...Water Main Extension Public _
tapplicationatpermit application (3.2003)
3/2003
1f
)f
0.
❑ .
❑ •
❑ .
. Abandon Septic Tank
. Curb Cut
. Pavement Cut
. Looped Fire Line
•
Call before you Dig: 1- 800 - 424 -5555
I
WO#
WOO
WO#
Private
Private
❑ .. Highline
❑ .. Work in Flood Zone
❑ .. Storm Drainage
Page 3
❑ ...Renton
❑ .. Geotechnical Report ❑ ... Traffic Impact Analysis
❑ .. Maintenance Agreement(s) ❑...Hold Harmless
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ...Deduct Water Meter Size "
t
FINANCE INFORMATION
Fire Line Size at Property Line
❑...Water ❑...Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
❑ ...Sewage Treatment
Day Telephone:
City State Zip
Day Telephone:
City
State
Zip
Unit Type:
Qty.
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace >lOOK BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
15 -30 HP /1,000,000 BTU
Suspended /Wall /Floor
Mounted Heater
Ventilation System
Li - k
/
(
30 -50 HP /1,750.000 BTU
Appliance Vent
Hood
504- 1-IP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm /Ind
MECHANICAL PERMIT�INFOfATION = 206- 431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: W 0cS�] I EI CJ y 4-44/(
City State Zip
Contact Person: ea rid ice 94 /f'c91 / e Day Telephone: CO
E -Mail Address:
Mailing Address: 2)6 nd
Contractor Registration Number: f 1-1 tL_S 97 L. Expiration Date: L
* *An original or notarized copy of current Washington State Contractor License must be presented at the of permit issuance **
Valuation of Project (contractor's bid price): $ t( e
Scope of Work (please provide detailed information):
0.S
9 �T
Use: Residential: New ....0 Replacement ....0
Commercial: New .... ❑ Replacement ...A
Fuel Type: Electric 0 Gas.... Other:
Indicate type of mechanical work being installed and the quantity below:
PERMIT APPLICATION NOTES , - :Applicable to all permits in this application
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 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 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once.
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 OWN) ' OR .0 IORIZED AGENT:
Signature: /L! ( / I Led til '.
Print Name: L 1 VOA. OY7l
Mailing Address: 2RX)
lappliations \permit application (3.2003)
32003
qS' Wa
-290
ulr►
A
Page 4
Fax Number:
rit
o
Date: s` ((.
Day Telephone: 776 3l
CY s�I1T` —r
'Ld't
City State Zip
Date Application Accepted:
-go
1 Date Application Expires: Staff Initials:
1
RECEIPT
ix 2
Parcel No.: 0043000090 Permit Number: M04-032 6
Address: 15210 TUKWILA INTERNATIONAL BL TUKW Status: APPROVED co 0
Suite No: Applied Date: 03/04/2004
Applicant: MCDONALDS CORPORATION Issue Date: H
WO
2:
Receipt No.: R04 -00363 Payment Amount: 59.81 g 5
rn D .
Initials: SKS Payment Date: 03/25/2004 02:54 PM 0
User ID: 1165 Balance: $0.00 Z i `
O
Ill uj
Payee: WASHINGTON ENERGY SERVICES INC v 0
O N
0 1—
W W
I D
Type Method Description Amount H
IL O
Payment Check 3580 59.81 t..
O I-
z
TRANSACTION LIST:
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
MECHANICAL - NONRES
PLAN CHECK - .NONRES
Account Code Current Pmts
000/322.100 47.85
000/345.830 11.96
Total: 59.81
. °205 03/26 9716 TOTAL 59.81.
Printed: 03 -25 -2004
COMMMENTS:
/J
51 a ) ,Z' S-�/ A�-/)° 2., /r c!J
G J /'4 P A 2t)M/(� Ef /wefhey f' a 6-biti
n - l
A/, eetiP 8- UE / / z,N,,r'- -'
E / 7 4AAA -APP -��",- 6 –t AH -i a
d� b?1sf4.61' -c
/--,
'l • - / /
7) oc J7. / gA./ 3 /(' V) /A �V 7c) A;/)2gUI/eZ
/
b ) R— (Jg v-f /-7r95 tic/ Al S 7l 5�4 I' ,✓'fie
0e / k ,L r J
Phone- o:
re .,). W
— / 37
71121)
Type of Inspection:
Address:
/5 -4 �4 /A 11-
Date Ca e
.- ‘ — D
Special Instructions: �
�C�C I
Date W red:
_.
a. m.
p.m.
Requ ster:
Phone- o:
re .,). W
— / 37
:.a111+1,is u.M.i.... ..:.u�:.......w.., «.. xis::. .w....rro_..�._....._.......... i.......,...,, ............... _.. ,....w...,..�.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
nspecto :
u ., l� ► , .c.�fir.
goy
PER
(206)431 -3670
❑ Approved per applicable codes.
eipt No.:
Corrections required prior to appro
Date:
REINSPECTION \FEE REQUIRE Prior to inspection, fee must be
d at 6300 Southcenter Blvd., Suit 00. CaII to schedule reinspection.
'Date:
NOISIA1 omaiine
trimAN AO A113
01%/1 Icl SV1 1
o vunicf
1V31 133131
1V3i VH331A10
:UOA s amintea
11110.13d 3.1YelVd3S
a
.9N 1 +103 S
JO
c7iv.7 Ae/a/
i�/t Via ?.Cifiril GNV
711.1ileieriS NYId KIN V BYIncsu TTIM Sczw
— : VIY:3',:713. 2 . •
0.1 Ea's711 11VHS
s *IQ
ciA -
pepoure sueid penoidde Jo Moo s
-uoo o Tdpoezd •eoueu!pio JO woo peidope
Aue 40 uogeloin eq ezpoinne Tou seop sueid
noidde pue suops!wo pue 8101 04 pehns
slenoxide )foeuo ueld NT ley; pue4sJepun
AdOO 311A gelfg6
4,4 /2 tv'Afo7 60-7/4/19.1 G'/
.1 s a -FT di‘foCI phi
NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR
THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT.
. 3
09 -07 -2004
CANDACE GALLAGHER
2800 THORNDYKE AV W
SEATTLE WA 98199
RE: Permit Application No. M04 -032
15210 TUKWILA INTERNATIONAL BL TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Permit Center at 206 - 431 -3670 to arrange for the next final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Building Code does allow the Building Official to approve a one -time extension up to 180 days.
Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have
prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 10/04/2004, your permit will become null and
void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Stefania Spencer,
Permit Technician
xc: Permit File No. M04 -032
Bob Benedicto, Building Official
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-431-3670 • Fax: 206 - 431 -3665
ACTIVITY NUMBER: M04 -032 DATE: 03 -04 -04
PROJECT NAME: MCDONALD'S CORPORATION
SITE ADDRESS: 15210 TUKWILA INTERNATIONAL BL
X Original Plan Submittal
Response to Incomplete Letter #
Response to Correction Letter # Revision # after /before permit is issued
DEPARTMENTS:
JAW6, -
Buildin vision T1
Public Works ❑
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
MS /& 5 -4
Fire Prev
Structural ❑
DETERMINA ON OF COMPLETENESS: (Tues., Thurs.)
Complete Incomplete ❑
P P
APPROVALS OR CORRECTIONS:
REVIEWER'S INITIALS:
Documents /routing slIp.doc
2-28-02
Planning Division
Permit Coordinator
DUE DATE: 03 -09 -04
Not Applicable ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS �TING:
Please Route Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
DUE DATE: 04 -06 -04
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
PERMIT COORD COPY
DATE:
1.
3.
•
4
/
1
1
F625-052-000 (8/97)
. ■1
'r
.r,
si
-EFFETIVE — --- 09/ 2
04203
WASHINGTON• ENERGY 'ERVICtS
2800-THORNDYKE AVE W
SEATTLE WA .98199
r
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONSj• coNT GENERAL
4.#L.0.1(A2IPA;;4 ‘
/ 4
P:30 , :: :wik§Higs 9 7.4„o 2 op 5
State of Washington
County of Snohomish
Date:
1? raV".
Title
My Appointment Expires on ID/G/10_3
4C-i
ITV or rEDEPAL %tole'
Detach And Display Certificate
I certify that this is a true and correct copy of said document as of this date