HomeMy WebLinkAboutPermit M07-077 - MED DATAMED DATA
12101 TUKWILA
INTERNATIONAL BL
M07 -077
Parcel No.: 0923049031
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Value of Mechanical: $2,200.00
Type of Fire Protection: SPRINKLERS
doc: IMC -10/06
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
12101 TUKWILA INTERNATIONAL BL TUKW
MECHANICAL PERMIT
MED DATA
12101 TUKWILA INTERNATIONAL BL , TUKWILA WA
Permit Number:
Issue Date:
Permit Expires On:
INTERNATIONAL GATEWAY WEST LLC Phone:
12201 TUKWILA INTERNATIONAL BLVD 4THFL , SEATTLE WA
Contact Person:
Name: SHANNON BUCKINGHAM
Address: 5108 D ST NW , AUBURN WA
Contractor:
Name: EMERALD AIRE INC
Address: 5108 D ST NW , AUBURN WA
Contractor License No: EMERAAI991KG
Furnace: <100K BTU 0
>100K BTU 0
Floor Furnace 0
Suspended/Wall/Floor Mounted Heater 0
Appliance Vent 0
Repair or Addition to Heat/Refrig /Cooling System.... 0
Air Handling Unit <10,000 CFM 0
>10,000 CFM 0
Evaporator Cooler 0
Ventilation Fan connected to single duct 0
Ventilation System 1
Hood and Duct 0
Incinerator: Domestic 0
Commercial/Industrial 0
EOUIPMENT TYPE AND OUANTITY
* *continued on next page **
Phone: 253 -872 -5665
Phone: 253 -872 -5665
Expiration Date: 05/07/2009
DESCRIPTION OF WORK:
INSTALL NEW DUCTWORK IN CONFERENCE ROOM, INSTALL GRILLES IN CONFERENCE ROOM AND
LUNCHROOM.
M07 -077
04/18/2007
10/15/2007
Fees Collected: $191.18
International Mechanical Code Edition: 2003
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 4
Thermostat 2
Wood/Gas Stove 0
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment 0
M07 -077 Printed: 04 -18 -2007
lid/
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
Permit Center Authorized Signature: I Date:
I hereby certify that I have read and x- ed this permit and know the same to be true and correct. All provisions of law and ordinance:
governing this work will be complied th, whether specified herein or not.
Signature:
doc: IMC -10/06
Permit Number: MO7 -077
Issue Date: 04/18/2007
Permit Expires On: 10/15/2007
The granting of - permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulatinc
construction or e performan = = work. I am authorized to sign and obtain this mechanical permit.
Date: 1 1.U{
Print Name: Jh
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 suspende
or abandoned for a period of 180 days from the last inspection.
M07 -077 Printed: 04 -18 -2007
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
PERMIT CONDITIONS
Parcel No.: 0923049031 Permit Number: M07 -077
Address: 12101 TUKWILA INTERNATIONAL BL TUKW Status: ISSUED
Suite No: Applied Date: 04/13/2007
Tenant: MED DATA Issue Date: 04/18/2007
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: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
8: Manufacturers installation instructions shall be available on the job site at the time of inspection.
9: 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.
10: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206 - 431 - 3670).
* *continued on next page **
doc: Cond -10/06 M07 -077 Printed: 04 -18 -2007
Signature:
Print Name: 9 rA
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
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 o ork.
Date: L 4 6 i D /b77
doc: Cond -10/06 M07 -077 Printed: 04 -18 -2007
Name:
CITY OF TUKWL A
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:/lwww.citukwila.wa.us
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 **
SITE LOCATION
/Ir )011
E -Mail Address:
Company Name: rerlaraAd i 2 e 1 C�
Mailing Address: 51 l 0
Contact Person: ,�1pt r! o>n B k-erl 5`4.0 /ul
E -Mail Address: / ',�,
Contractor Registration Number: - .('r(_ S/
King Co Assessor's Tax No.:
Site Address: hi, WY 611/d
lid
Tenant Name: /d �� T ' - /
Property Owners Name: I n / , t , " olio 1/1/ ] X 537'7 - / 7 ,/p
Mailing Address: 0130 I %l./� &U/ /ls.- eat!, /5 (/mil Sea #6
cit
Suite Number.
New Tenant:
State
❑ Yes
CONTACT PERSON — who do we contact vs %Len your permit is ready be issued
Day Telephone: OW3 rc" 7r K(e, [o T
Mailin Address: 5) O S T L 3 eu k aon Cam_ o(?l'd O I
City State Zip
Fax Number. aS 470 "S7 9
GENERAL CONTRACTORINFORMATION—
(Contractor Information for Mechanical (pg 4) for Plumbing'. and Gas Piping (pg 5))
We) TilocY
City State Zip
\
Day Telephone: ).S3 707 SZ0CA
Fax Number. S 3 8 7a
Expiration Date: 4 / ( / 9
ARCHITECT OF RECORD All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number.
State
Floor:
Zip
Zip
ENGINEER OF RECORD =- All plans m us t b e wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number.
Q: Applcations\Fotmt-Applications On Lme\3 -2006 - Permit Application.doe
Revises 9-2006
bb
State
Zip
Page 1 of 6
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
Fumace>100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
30 - HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Emergency
Generator
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Other Mechanical
Equipment
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
MECHANICAL PERMIT!H F'
MECHANICAL C 'TRACTOR O TION
Company Name:
Mailing Address:
Contact Person:
Use: Residential: New .... ❑
Commercial: New .... ❑
Q:\Applications\Forms- Applications On r ine\3 -2006 - Permit Application.doc
Revised: 9 -2006
bit
TION +7206-431-367
,VVS' ' Pe/rot/I 0
E -Mail Address: --y� n . Q
Contractor Registration Number: [9L� /Lf774 U& - 1.7L—
Valuation of Mechanical work (contractor's bid price): $ c92wV
Scope of Work (please p .vide detailed information):
haw
city
Day Telephone: 3
Fax Number. c - mm
Expiration Date: CO
a 4' ex
State Zip
5765
6
Lip o
Replacement .... ❑
Replacement
es /4 Co41Q r?n-J b - l�l✓1 f Ai'I div�—
Fuel Type: Electric ❑ Gas ....0 Other:
Indicate type of mechanical work being installed and the quantity below:
Page 4 of 6
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.
Signature:
Print Name:
)3uilding and Mechanical Permit
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).
Plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). I
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 0 R OR A
Date Application Accepted:
ORIZED AGENT:
Ty,fpi/V_12-n-)
Mailing Address: 570 57 4)
- 07
Q:\Applications\Fonns- Applications On t.inel3 -2006 - Pemit Applieation.doc
Revised: 9 -2006
bh
Date: % 1/3/67
Day Telephone:
theh ff 0 ) y
City
Sine
State Zip
Date Application Expires:
/O
Staff Initials:
Page 6 of 6
Fixture Type:
Qty
Fixture Type: °
Qty ` :
Fixture Type::
Qty :
Fixture "Type:
Qty
Bathtub or combination
bath/shower
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
Bidet
Food -waste grinder,
commercial
Receptor, indirect
waste
Clothes washer, domestic
Floor drain
Sinks
Dental unit, cuspidor
Shower, single head trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
ater Closet
Building sewer or trailer
park sewer
Rain water system — per
drain (inside building)
Wa r heater and/or
vent
Additional medical gas
inlets/outlets — six or more
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of water
piping and/or water treating
equipment
Repair alteration
of drains or vent
piping
Medical gas piping system
serving one to five
inlets /outlets for specific gas
PL 1N GAS P_IPJN
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
Q:\ Applications \Forms- Applications On Lme\3 -2006 - Permit Application.doc
Revised: 9 -2006
bh
RMIT: NFORMATION- 206-4
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number
Contractor Registration Number Expiration Date:
Valuation of Plumbing work ontractor's bid price): $
Valuation of Gas Piping work ( tractor's bid price): $
Scope of Work (please provide de . - led information):
Indicate type of plumbing fixtures and/or gas piping ou - is being installed and the quantity below:
Sewer:
Page 5 of 6
RECEIPT NO: R07 -00604
Initials: BLH
User ID: ADMEN
Payee: EMERALD AIRE INC.
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
SET ID: 0418 SET NAME: EMERALD AIRE
SET TRANSACTIONS:
Set Member Amount
EL07 -034 58.00
M07 -077 158.94
TOTAL: 216.94
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
MECHANICAL - NONRES
SET RECEIPT
Payment Date: 04/18/2007
Total Payment: 216.94
Amount
Payment Check 7189 216.94
TOTAL: 216.94
Account Code Current Pmts
000.322.101.00.0 58.00
000/322.100 158.94
TOTAL: 216.94
7248 04/18 9716 TOTAL 216.94
Receipt No.: R07 -00569
Payee: EMERALD AIRE INC
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.ci.tukwila.wa.us
RECEIPT
Parcel No.: 0923049031 Permit Number: M07 -077
Address: 12101 TUKWILA INTERNATIONAL BL TUKW Status: PENDING
Suite No: Applied Date: 04/13/2007
Applicant: MED DATA Issue Date:
Initials: BLH Payment Date: 04/13/2007 08:43 AM
User ID: ADMIN Balance: $158.94
TRANSACTION LIST:
Type Method Description Amount
Payment Check 7185 32.24
Account Code Current Pmts
000/345.830 32.24
Total: $32.24
Payment Amount: 532.24
7090 04/13 9716 TOTAL 231.71
doc: Receiot -06 Printed: 04 -13 -2007
Project:
/ 2 / 2 ) , /),
/- )
Type o nspection: r 670/
414-A) /boa
Address:
/ . 7 / n / - 1 - . /
/ —
Date Called!
Special Instructions:
7 2
/ (
Date Wante : D ��
7
a.m
Requester:
?)(- a/ -/3/
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
NO
PER
(206)431 -3670
COMMENTS:
(Inspector;
pproved per applicable codes. Corrections required prior to approval.
Date: 5—,/d.„�/
$58.00 REINSPEt; FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
ref
DEPARTMENTS:
Paw 4 '
Bui " ng Division
Public Works ❑
Comments:
APPROVALS OR CORRECTIONS:
Approved ❑
Notation:
REVIEWER'S INITIALS:
Documents/routing slip.doc
2 -28 -02
,,� PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M07 -077 DATE: 04 -13 -07
PROJECT NAME: MED DATA
SITE ADDRESS: 12101 TUKWILA INTERNATIONAL BL
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
Fire Prevention fyl
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete El Incomplete ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUESITHURS ROUTING:
Please Route F Structural Review Required
REVIEWER'S INITIALS:
Approved with Conditions
511 ''tL&4-4
Planning Division
❑ Permit Coordinator
DUE DATE: 04 -1 7-07
Not Applicable ❑
No further Review Required
DATE:
n
C
DUE DATE: 05-15-07
Not Approved (attach comments) ❑
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Business Owner Information
Name
Role
Effective Date
Expiration Date
DENT, CHARLES
AGENT
05/07/2001
HAPPE, DOUGLAS, A
PRESIDENT
05/07/2001
RIDGE, JOHN P
VICE PRESIDENT
05/07/2001
Washington State Department of Labor and Industries
Electrical Contractor
A business licensed by L &I to contract electrical work within the scope of
its specialty. Electrical Contractors must maintain a surety bond or
assignment of savings account. They also must have a designated
Electrical Administrator or Master Electrician who is a member of the
firm or a full -time supervisory employee.
License Information
License
Licensee Name
Licensee Type
UBI
Ind. Ins. Account Id
Business Type
Address 1
Address 2
City
County
State
Zip
Phone
Status
Specialty 1
Specialty 2
Effective Date
Expiration Date
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
EMERAAI991KG
EMERALD AIRE INC
ELECTRICAL CONTRACTOR
600591552
CORPORATION
5108 D ST NW
AUBURN
KING
WA
98001
2538725665
ACTIVE
GENERAL
UNUSED
5/7/2001
5/7/2009
EMERAAI012OT
REINHJS956RK
Electrical Administrator Information
License
Name
Status
REINHJS956RK
REINHARDT, JEFFREY S
ACTIVE
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= EMERAAI991KG 04/18/2007
i
INTERGATE WEST
BUILDING C
12101 TUKWILA INTERNATIONAL BLVD.
TUKWILA, WASHINGTON 98168
Marvin Ste' Q, :o ;,sociates, LLC
tannin design
g n S
2221 Fifth Avenue. Scatty Washington 98121 (206) 441 -1449
DRAWN 8Y: XH,NG JOB 140.: 07000.000
CHECKED BY: VMS • DATE 03/09/07
PERMIT SET
SCALE AS NOTED
RE MONS/ISSUANCE
Na
REIASIONS INDICATED THUS A
DATE
TENANT:
MED DATA
SHEET BRE:
THIRD FLOOR
REFLECTED CEILING PLAN
REGENED
APR 13 nor
FERMITGENISR
DI.... 014-
FR ILfE1b11i0I1 OR tolCAA i OF INS
MAIM, T111NOUi DABS MESON 8Y &A, 6 A
VetATgi OF MOM MOW WI. OOPMaUff BY
VS&A 2007
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SCALE: 118"l-O'
•
0 5' 10'
REFLECTED CEILING PLAN
20'
•
• s
NORTH
30'
• w
-- -I AREAS OF WORK 1--
CEILING NOTES:
1_ RE- CIRCUIT SW1TCHN ' OF EXISTING LIGHTING AS NECESSARY TO
COIPLYWITHH NEWLIGMNG LAYOUT.
2 REUSE ENT SIGNS AS POSSIBLE_
•
ELLA
• a� rsswn s eswe
CEILING KEYNOTES:
/C
at 41xl#Icq
fis
mow• • w
0 me BSS ACOUSTICAL CEiNG GRID AM TIE Q t T -10' AFT.
O REMOVE EXIST. BIS ACOUSTICAL COMIC GRDAW TIE N THIS
AREA
® PRONDE NEW HEADER e t 8'-4• AFC.
O FEXIST.WALLUGHR SWITCHES PRE ONTHEPORTIONOFTHiEWALL
SCHEDULED TO BE REMOVED RELOCATE SWITCHES TORE
LOCATION.
O RROCATE EXIST. 81 S ear SIGHT AS NEEDED
O F NOT ALREPD1f MST, CONTRACTOR TO PROVIDE AND MINI
NEW BLS EMT SIGH
O COMPACTOR TO PROVVE SEPARATE PRICING FOR CONSTRUCTION
OF VIDEO COtsT ENCE8004.
•
-
•
•
• .•w•• •
LIGHTING CALCULATIONS:
E)OSTNG UGIUM IS TO I EM RI !ISIS TIE OM.Y OW1GE N LIGIITNG
OCCURS N ROOM CDC
AREA OF ROOM 9304 = 343 SF
ALLONYABLE W ATTk3
343SFx 1AWATTSFERSF =3343WATIS
PROPOSED WATTAGE
(3) 2XT FLUORESCENT FIXTURES 96WPARMIRE =288 WATTS
PROPOSED WATTAGE IS LESS DUN THAT OF WATTAGE NIOfAIED!
•
w a • •
• • •
Permit 1o.
Clan review approval is subject to errors and wisdom
A of construction doornails does not authartae
the violation cf cny accepted code or Crdineric . R cdpt
Off apps . 3 Ce;y . ooncetiol8 Ts adaxaviedgat
BY 11111►
Date
Oty of lidavila
BUILDING DMSION
be made to the scope
changes ShIlia C�
No r; ceit without ptiapproval!
Du :ding
ay ira a ai plan review ices.
}S f EWED FOR j
CODE COMPLIANCE
APPROVED
APR 1 7 2001
z
0