HomeMy WebLinkAboutPermit M05-058 - GROUP HEALTH COOPERATIVEGROUP HEALTH
12501 EAST
MARGINAL WAY S
EXPIRED
M05058
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Parcel No.:
Address:
Suite No:
Owner:
Name:
Address:
Value of Mechanical: $4,575.00
Type of Fire Protection: SPRINKLERS
doc: IMC- Permit
City c, Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.t►kwila.wa.us
7345600385
12501 EAST MARGINAL WY S TUKW
Tenant:
Name: GROUP HEALTH
Address: 12501 EAST MARGINAL WY S, TUKWILA WA
INTERNATIONAL GATEWAY EAST LLC
12201 TUKWILA INTRNTNL BL 4TH FL, SEATTLE WA
Contact Person:
Name: STEVE HARGROVE
Address: 835 N CENTRAL AV, STE 132, KENT, WA
Contractor:
Name: ACCO ENGINEERED SYSTEMSINC
Address: 6265 SAN FERNANDO RD, GLENDALE CA
Contractor License No: ACCOESI971DU
DESCRIPTION OF WORK:
REPLACING THREE (3) TRANSFER FANS, LIKE FOR LIKE.
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 3
Hood and Duct 0
Incinerator: Domestic 0
Commercial /Industrial 0
MECHANICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Fees Collected: $211.95
International Mechanical Code Edition: 2003
EQUIPMENT TYPE AND QUANTITY
* *continued on next page **
M05 -058
Phone:
Phone: 253 854 -8444
Phone:
Expiration Date:10 /13/2005
Steven M. Mullet, Mayor
Steve Lancaster, Director
M05 -058
06/22/2005
12/19/2005
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 0
Thermostat 0
Wood /Gas Stove 0
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment
Printed: 06 -22 -2005
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions
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
regulating construction or the performance of work.
Signature:
Print Name: S TF EN) 1
doc: Conditions
M05 -058
Date: 6/7? /QS
of law and ordinances
other work or local laws
Printed: 06 -22 -2005
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 7345600385 Permit Number: M05 -058
Address: 12501 EAST MARGINAL WY S TUKW Status: ISSUED
Suite No: Applied Date: 04/19/2005
Tenant: GROUP HEALTH Issue Date: 06/22/2005
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 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.
4: 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.
5: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department
of Labor and Industries (206/248- 6630).
6: 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.
doc: Conditions
* *continued on next page **
M05 -058
Printed: 06 -22 -2005
Permit Center Authorized Signature:
doc: IMC- Permit
City Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
deed
I hereby certify that I have read and examine 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 of work. I am authorized to sign and obtain this mechanical permit.
Signature: ar � � � � �9r� -- Date: - 7. -05
Print Name: ) - (AR goo
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.
M05 -058
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M05 -058
Issue Date: 06/22/2005
Permit Expires On: 12/19/2005
Date:
Printed: 06 -22 -2005
•
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a
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**
tilts Address._
(2.50 l EAST Cl.AR.GItJAL Es kY S
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Soutlicenter Blvd., Suite 100
Tukwila, WA 98188
: _.th,,,t , ;:tmv.
Property Owners Name :Lt �f�i�Rtld►.1Ar1. C�RT� - EAST
Mailing Address:
Name: STh 14A R6,Rr)JF
Mailing Address:
kw
E -Mail Address: 41421'6r0\Ne.�QLCO2 S. COM
■applicatioa'ponnit application (7.2001)
Pave I
King Co Assess() '. T. x No.: 7 .. - ; ( 156)00..3a_5
ti
City
r �EJ Floor
ruattt' !_i lid ,
t.) A
Stale
Day Telephone: (z.5 X54 ` 4 1 '1
WAS -
Cit} State Zip
Fax Number: ( 2. 3) Fs Z?C)
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
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 **
State
n.4mla :. >Y rz •`i■svfau afar o. Gi Y 4'C.'.,rtfl' {.. r+si•;..`t n..✓>+5 "gi;. Pit
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
Zip
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address Fax Number:
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
0 -3 HP /100,000 BTU
Qty
Furnace<100K BTU
Air Handling Unit >10,000
CFM
Fire Damper
Furnace>lOOK BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
(p
Thermostat
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
Water Heater
50+ HP /1,750,000 BTU
Heat/Refrig /Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
Other Mechanical
Equipment
CI ANICAL: 'fi N # i. ,=,116 41;x3610
MECHANICAL CONTRACTOR INFORMATION
Company Name _A c l gs e 5YS t= tM
Mailing Address: 256 t CElJ TR AL AVE StIrte. 132_
Contact Person: S1silE 4AR(0A04�
E -Mail Address: Gil`
Contractor Registration Number: ACCOEST'il I DO Expiration Date: 1CVIA /05
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Valuation of Project (contractor's bid price): $_ y 5 7 5 v0
Scope of Work (please provide detailed information):_'F P S. 3 1$6ASFE(�_ —t'A ,_LUSrC- FOR- L I 1 <E.
t•
Use: Residential: New ❑ Replacement ❑
Commercial: New ❑ Replacement
Fuel Type: Electric ® Gas ❑ Other:
Indicate type of mechanical work being installed and the quantity below:
%appticationepennit application (7.2004)
Pale 4
kE
City State Zip
Day Telephone: (25 $.Sy y
Fax Number: (2M) R&l SZZa
, � �`r ) 1 7•� }'� l � l l l�
+ Lit =On
0 i sY .7 1 .40, ii .r °_`+{ . `t y,� } , •ivit•
�L•�f!,1.��a „f.y.,nii'r.�+.+�.: +L..�', +' Yr '»'�'srr
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 OWNER OR AUTHO IZED AGENT:
Signature: Date: t{l(p,m _s
Print Name: ZSTat/CJJ k Met, ACV fr
Mailing Address: 635 ?1 CE0R4 t AtJE
Day Telephone:
1 <L tt. ,r
City
C,zs) .F5y Sleyct
w 94 7.
c,J geCi 2_
State Zip
I Date Application Accepted:
Date Application Expires:
Staff Staff Initials:
F
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Payee: ACCO ENGINEERED SYSTEMS
Payment Check 5938
• ACCOUNT ITEM LIST:
. • Description
MECHANICAL - NONRES
PLAN CHECK - NONRES
RECEIPT
Parcel No.: 7345600385 Permit Number: M05 -058
Address: 12501 EAST MARGINAL WY S TUKW Status: PENDING
Suite No: Applied Date: 04/19/2005
Applicant: GROUP HEALTH Issue Date:
Receipt No.: R05 -00547 Payment Amount: 211.95
Initials: SKS Payment Date: 04/19/2005 10:15 AM
User ID: 1165 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
211.95
Account Code Current Pmts
000/322.100 175.56
000/345.830 36.39
Total: 211.95
2309 04/19 9716 TOTAL 423.90
Printed: 04 -19 -2005
11 -01 -2005
STEVE HARGROVE
835 N CENTRAL AV, STE 132
KENT, WA 98032
RE: Permit No. M05 -058
12501 EAST MARGINAL WY S 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 or 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 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 12/19/2005, 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,
iferr M rshall,
Permit Technician
v),Act,t4,04
xc: Permit File No. M05 -058
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: M05 -058 DATE: 04 -19 -05
PROJECT NAME: GROUP HEALTH - BLDG B
SITE ADDRESS: 12501 EAST MARGINAL WY S
X Original Plan Submittal
Response to Incomplete Letter #
Response to Correction Letter # _Revision #_after /before permit is issued
DEPAgTMENTS:
Building Division
Public Works ❑
Complete
Documenls/rouling sllp.doc
2.28.02
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
Fie yrevention
Structural ❑
DETERMINA ON OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 04 -21 -05
Incomplete ❑
Planning Division
Permit Coordinator
[1(
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:
APPROVALS OR CORRECTIONS: DUE DATE: 05 -19 -05
Approved Approved with Conditions Not Approved attach comments) ❑
PP ❑ PP PP (
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
PERMIT COORD COPY
11/26/03 12:02 FAX 818 545 00P- ACCO
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