HomeMy WebLinkAboutPermit 0191-M - Universal Hospital ServicesCITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
MECHANftAL PERMIT
(POST WITH PLANS IN A CONSPICUOUS LOCATION)
MECHANICAL
PERMIT NO.
0) 9 I- r"
DATE ISSUED:
(v- (( -8.5
'>< :::SAM . Ai :` ::: • E •..ice <': ' tE
Plan Check Reforms M 89 -096 -M
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SITE A DQRESS: 12870 Interurban Av S
SUITE NO.
ADDRESS; 915 ll8th S. E . , Bel l evue- Wq
(PHONE:
:I;•, L.„ I N:. • i ' - . .. e* - • -
VALUE OF WORK: 2
.81 1
1
TYPE OF WORK: X New /Addition Modifications Repair
Other:
IEXPIRATION DATE: 1 -01 -90
DESCRIPTION OF WORK: Install gas pac and ductwork.
PROPERTY OWNER: Spieker Partners
!PHONE:
453 -1600
ADDRESS; 915 ll8th S. E . , Bel l evue- Wq
(PHONE:
ZIP: 98004
395 -4Q04
CONTRACTOR: Pac -Aire Inc.
ADDRESS: 1702 Pikp StrQPt N.W., Auhurn, WA
(ZIP: 98001
WA. ST. CONTRACTOR'S LICENSE NO. PAUT T *11 L112
IEXPIRATION DATE: 1 -01 -90
111;:1:4:.: is {::;:;. s:,. } } }i:<• }:•i:i {�:•:: ::• }'. }:: :' ry{•,:}:• '. {:•�.•:<:i:j�:' }�r:•:G<f+.;:; �: >i::i:i:j
' )g7�y�fg�9 `, N
A .Aw .4.AO. .I:.... A�t'A
UMC EDITION (YEAR): 1988
FIRE PROTECTION: ,Sprinklers ( )Detectors (X) N/A
•,11•. • 1. 1. 1 1.• f. •1 • 11 1.. 1111 ,
APPROVED FOR
ISSUANCE BY:
BUILDING
OFFICIAL
DATE: /0 —10 — Sq
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 co = ' ion or the performance or work. I am authorized to sign for and obtain this mechanical permit.
DATE: OA' /1 —g
COMPANY: 1 -c
• i
DATE
APPROVED INSPECTOR
REQUIRED INSPECTIONS PHONE NO.
1 - Rough- InNents/Ducts
2 - Fire Final
3 - Planning Final
4-
5 - Mechanical
433 -1849
575 -4404
433 -1849
433 -1849
DATE(S)
CORRECTION NOTICE ISSUED
OTHER AGENCIES: Plumbing/Gas Piping - King County Health Department (296-4732)
Electrical - Washington State Department of Labor and Industries
MI (t berme n 11 ariid Yotd id work Is i t caa►rinrri� rso r v. thin i' O.diirs
Itrs�ihn�d�O'bAl►4�d >bf;��i
CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188 NENEJ4--
(206) 433 -1849
MECHANLAL PERMIT)
(POST WITH PLANS IN A CONSPICUOUS LOCATION)
MECHANICAL
PERMIT NO
DATE ISSUED:
0) 5r 1-,'\
' AMOUNT >.
(v-
INEMMEMMEMWITalli
Plan Chock Reference #t 89 -096 -M
SITE ADDRESS;
PROJECT NAME/T
M
L9 TI
12870 Interurban Av S
N'NT: Universa .,spin) Service
New /Addition Modifications
SUITE NO.
VALUE OF WORK: $ 2,680.00
Re air Other:
DESCRIPTION OF
WORK: Install gas pac and ductwork,
PROPERTY OWNER: Spieker Partners
PHONE:
ADDRESS; 915 118th S.E., Bellevue, WA
ZIP: 98004
CONTRACTOR; Pac -Aire Inc.
~]PHONE: 395 -4Q04
ADDRESS; 170? Pike Street N.W_ Auhtirn, WA
ZIP: 98001
EXPIRATION DATE: 1 -01 -90
,
WA.SL CONTRACTOR'S LICENSE JO. PACAT r *1 tiaR2
UMC EDITION (YEAR): 1988
FIRE PROTECTION: (Jprtnkiers ODetectors (x) N/A
CONRJTIONS (other than noted on or attached toalt /n/ensl:
BUILDING
IAPPROVED SSUANCE BY: .4 _ ���'t> OFFICIAL
DATE: /a —/O — D
I hereby certify that I have read and examined this permit and know the same to be true and correct. Ali 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 consction or the performance or work. I am authorized to sign for and obtain this mechanical permit.
SIGNATURE: r�C� ttnjAfNT
��
DATE: C.J '
._ r
PRINT NAME I 4 • - I- I U./ •8.
COMPANY: •
REQUIRED INSPECTIONS
1 - Rough- inNents /Ducts
2 - Fire Final
DATE
PHONE NO. APPRQVED
433 -1849
jpasf :24 :hours in
DATE(S)
INSPECTOR CORRECTION NOTICE ISSUED
575 -4404
3 - Planning Final
433 -1849
4-
5 - Mechanical
OTHER AGENCIES: Plumbing/Gas Piping - King County Health Department (296 -4732)
Electrical - Washington State Department of Labor and Industries • This permrt.shall:become null and void if the work is not cOmm'enced within 180 days Pram the date
issuanoo, Qr if the work is suspended or abandoned fora period of 180 days from the; last lnnpection;
asirsamo
CITY Of TUKWILA
Building 0ivision
Tukwila,�tWashinotonu19018e
(206) 433 -1849
Type of Inspect on
Site Address
Requestor 3O.r1
Special Instructions
........ u .a+a...W ..rx.+.uweaver«44WVOW W:mtAl' FaNMu` IMASS,
INSPECTION RECORD
PERMIT # O1 --fr)
Date I o— la-. o Enrty
Date Wanted .10- 13-1En p.m.
Project OflVkir O�1 Fio5pi l
Phone # 1-14,_ q1.5°) ;Serui4
0 tenter jr n
Inspection Results /Comments:
Inspector
Date, /0'
CITY OF TUKWILA
Building Division
6200 Southuntor Boulevard
Tukwila, Wsshineton 98188
(206) 433 -1849
INSPECT l RECORD
PERMIT # Qta l
1 0 — I - - ` 6 9
Date
Type of Inspection I'ri
Site Address I;7iE-1(a j 5
Requestor Dad)
Special Instructions
3.55
Date Wanted 10-- -19 a.m.
Project jfl . rSa1 I�oS4>i-ta1 arvi�
Phone # a44 9I 39
Inspection Results /Comments:
ry• S &44_44 Z
nspector
Date
CITY OF TUKWILA
Building Division.
6200 Southcenter Blvd..
Tukwila, WA 98188
433.1845
fate
4//#2./V Job Address / �S' %fib
CORRECTION NOTICE
The following items are found to be in violation of Ordinance
11_./'
%f•
and shall be corrected.
(Y 47%x'1( /.t''i r14/1.43 ,/ 4311
/ )P -' • 5t c e /00 V0i,
q
(19
2,Z.e fie
1
1%. 'Gib -1�'1 f P id-A') /' ,>? I
Signed il,.c /4W
Building O(Iicial /Inspector
Tukwila
��i���� ����� ��������i���
6200 Southcenter Boulevard
Tukwila Washington 98188
(206) 433-1800
Gary L. VanDusen, Mayor
Plan Check #89-096-M: Universal • Hospital Services
12870 Interurban Av S
THE FOLLOWING COMMENTS APPLY TO AND BECOME PART PROVE[)
PLANS UNDER TUKWILA MECHANICAL PERMIT NUMBER
1. No changes will be made to the plans unless approved by
the Tukwila Building Division.
2°
Electrical permit shall be obtained through the
Washington State Division of Labor and Industries and
all electrical work will be inspected by that agency
(872-6363).
All permits, inspection recordsv and approved plans
shall be posted at the job site prior to the start of
any construction.
4. Any exposed insulations backing material to have Flame
Spread Rating of 25 or less, and material shall bear
.identification showing the fire performance rating
thereof.
All construction to be done in conformance with
approved plans and requirements of the Uniform Building
Code (1988 Edition)v Uniform Mechanical Code (1988
Edition), Washignton State Energy Code (1989 Edition)"
6. Validity of Permit. The issuance or granting of this
permit or approval of plans, specifications and
computations shall not be construed to be a permit for,
or an approval ofv any violation of any of the
provisions of this code or of any other regulation or
ordinance of this jurisdiction. No permit presuming to
give authority to violate or cancel the provisiqns of
this code shall be valid.
. RICHARD HUDSON & ASV :SATES, INC.
CONSULTING RNG iERS
1605 12TH AVENUE • SUITE 18
SEATTLE, WASHINGTON 98122
206.324.6160
•
i
AM , UWYNoAr4 E}Vspre:l., . 442_044//G6.•-
LNLIT N0, 45 1 or. , If
R . o so!� '2, i 6 �_-
CALGULATLO sY �. OA'►L � -_T -
CM /CKLD Sy +' YYt O .1 OM a. 11.110 ..
SCALE N T•S'
. i •
CITY Of tUKWIIA
! .x:"fr. APPROVED
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SEP 29mo Is
SEP -29 -89 FRI 7:53
c t
MECHANICAL PERMIT APPLICATION TRACKING
PLAN CHECK
NUMBER
PROJECT NAME
� nae 50k1 ‘- o050 -h 5er v i c
SUITE NO.
SITE ADDRESS
I e "1 0 Tokiu(tab Av 3
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.
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BUILDING -
initial review
1- .�
(ROUTED)
ISULT% beta gant - Date Approved -
AMOUNT OWING
O FIRE
BY:
(init.)
FETE PROTECTION: [) Sprinklers [ ] Detectors XN/A
FIRE DEPT. LETTER DATED: INSPECTOR:
INIT:
O PLANNING
ZONING: " 1 IBARA-AND USE COADIT ONS? noes ®No
SCREENING REQUIRED? fYes No �C
INIT:
REFERENCE FILE NOS.:
O OTHER
INIT:
BUILDING -
final review
�(i
- - Al) .
uMC E6iTION (year):
19
INI .: 1/!
REVIEW COMPLETED
PERMIT NO.
CONTACTED
DATE NOTIFIED
Sob vi t-en
^
1 O - li i, - %9 'init J dJ3
DATE READY
PERMIT EXPIRES
2nd NOTIFICATION
BY:
(Init.)
AMOUNT OWING
3RD NOTIFICATION
BY:
(init.)
CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
MECHAM:IAL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be filled out and attached to this aplication.
PLAN CHECK
NUMBER
APPLICATION MUST BE FILLED OUT COMPLETELY
FEES (for staff use only)
AMOUNT:
RCPT;N
DATE.
BASIC: PERMIT FEE '_'
PLAN > :CHECK ! FEE >'
QTHERt
SITE ADDRESS la
10 `r'n ev bah
SITE #
PROJECT NAME/TENANT
VALUE OF CONSTRUCTION - $
4-1/tJ/ 1/64.5 3 L /fC /771
TYPE OF WORK: [9/New /Addition ❑ Modifications ❑ Repair ❑ Other:
DESCRIBE WORK TO BE DONE: //us7,944- �s Lie-1 bL ,O0CTZUO
PA C_-
M
/
BUILDING USE (office, warehouse, etc.)
O�c /GG'
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? U No 0 Yes IF YES, EXPLAIN:
WILL THERE BEE ySTORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE
BUILDING? "No ❑ Yes IF YES, EXPLAIN:
PROPERTY OWNER 6/7/�� ,e_
PHONE
X53 /� o
ADDRESS
9/6" //637- fr‘40-
ZIP yeoo9
CONTRACTOR
th c - 4 /C__E
PHONE 35s - )1OG1
ADDRESS
/1c0 cc),
(..ix5 , Gary .
ZIP /e00/
WA. ST. CONTRACTOR'S LICENSE #
/, ICi //- /-54e
EXP. DATE /hive)
ARCHITECT ,ec �,e_ e &/c /. -1i»S
PHONE .3 $13 _ 7%j�
ADDRESS /2.c'i t 9 4'4 ,
ZIP c?g /pcj
rAarcrri
SIGNATURE
BUILDING OWNER
OR
AUTHORIZED
AGENT
�E?I<Ai1A:#
PRINT NAM
/27 t.,,Z-L- A.1
DATE
PHONE S9s - *)01(
ADDRESS /7p f /,- �7-, ,t1,GV.
CITY /ZIP,904,vie ,, Woo/
CONTACT PERSON
rr/v/ / ,J
PHONE 9 - Tacit
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
oians must be comuieln iii (Adds io 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.
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
9-VI -. %1 .-aq -�a
03/2Wjj
S MITTAL CHECIi13T
MECHANICAL
• Completed mechanical permit application (one for,each structure or tenant).
O Two (2) sets of mechanical plans, which include:
• Floor plan
'System layout
• Elevations (for roof mounted equipment)
Ei 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.
MECHAN, JAL PERMIT
FEE WORKSHEET
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433-1849
THIS WORKSHEET MUST ACCOMPANY
YOUR MECHANICAL PERMIT APPLICATION.
..:04 STRUCT1ON . . .. . Complete the wodaMeet, .
...:..indloatfttgthenumber of unite being installed ..:.. •
:': .in each ceiteg• Mult011ed the unft cost.. , : .
...:. en:taft ny
y.theieubfotill column by hiOhlighted' at '.....::.
;....::.:.':,.' orn. of the • wadatheiet.
. . ..,... ,..
:..:::::: Itfil,1 staff Will calculate' the'reMeIningleeit.,
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
Installation or relocation of each forced-air or gravity-type fumace 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
Installation, relocation or replacement of each appliance vent installed and
not included in an appliance permit.
$4.50
X
Repair of, alteration of, or addition to each heating appliance,
refrigeratbn unit, cooling unit, absorption unit, or each heating, cooling,
absorptbn, or evaporative cooling system, including installation of
controls regulated by this code.
$9.00
X
ev
1 '60
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 foe)
c, it 0 0
PLAN CHECK FEE 211:61
610
GRAND TOTAL
$36.00
.46R,A ivcrE
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SEPARATE
PERMIT AND
APPROVAL
REQUIRED :CUsT;c c:.c -0ot
FILE 6.64'`t
I v,derstand that the Plan Check approvals are
•
i to .errors and orniSSiails and approval of
ptans.does not authorize the violationrof any :.
adopted code or ordinance Receipt of contractor's
copy of approved plans ackfOW edged.
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