HomeMy WebLinkAboutPermit M04-131 - IKONIKON
12606 INTERURBAN
AVENUE SOUTH
Parcel No.:
Address:
Suite No:
Owner:
Name:
Address:
0004800003
12606 INTERURBAN AV S TUKW
Tenant:
Name: IKON
Address: 12606 INTERURBAN AV S, TUKWILA WA
Contact Person:
Name: TOM MCCLOSKEY
Address: BOX 1268, CARNATION WA
Contractor:
Name: HEATTRANSFER CO
Address: PO BOX 1268, CARNATION, WA
Contractor License No: HEATT* *206Q0
DESCRIPTION OF WORK:
CONNECT SUPPLY AIR DIFFUSER AND RETURN AIR GRILLS TO NEW SUSPENDED CEILING.
Value of Mechanical: $1,500.00
Type of Fire Protection: N/A
doe: IMC- Permit
City oi 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
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 1
Air Handling Unit <10,000 CFM 0
>10,000 CFM 0
Evaporator Cooler 0
Ventilation Fan connected to single duct 0
Ventilation System 0
Hood and Duct 0
Incinerator: Domestic 0
Commercial /Industrial 0
MECHANICAL PERMIT
GATEWAY OLYMPIA INC Phone:
C/O MCELROY GEORGE & ASSOC, 3131 S VAUGHN WAY #301
Fees Collected: $180.79
International Mechanical Code Edition: 2003
EQUIPMENT TYPE AND QUANTITY
* *continued on next page **
M04 -131
Permit Number:
Issue Date:
Permit Expires On:
Phone: 425 885 -3247
Phone: 425 - 885 -3247
Expiration Date :09 /11/2005
Steven M. Mullet, Mayor
Steve Lancaster, Director
M04 -131
07/29/2004
01/25/2005
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
Thermostat 0
Wood /Gas Stove 0
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment 0
0
Printed: 07 -29 -2004
Permit Center Authorized Signature:
Signature:
Print Name:
doe: IMC- Permit
City o 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
Date:
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M04 -131
Issue Date: 07/29/2004
Permit Expires On: 01/25/2005
Date: 7-0
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 performance of work. I am authorized to sign and obtain this mechanical permit.
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.
M04 -131 Printed: 07 -29 -2004
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0004800003
Address: 12606 INTERURBAN AV S TUKW
Suite No:
Tenant: IKON
1: ** *BUILDING DEPARTMENT CONDITIONS * **
doc: Conditions
PERMIT CONDITIONS
* *continued on next page **
M04 -131
Permit Number: M04 -131
Status: ISSUED
Applied Date: 07/12/2004
Issue Date: 07/29/2004
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: Manufacturers installation instructions shall be available on the job site at the time of inspection.
6: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the
International Building Code and the Washington State Ventilation and Indoor Air Quality Code.
7: 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).
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.
Printed: 07 -29 -2004
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 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.
CITY OF TUKWILA ,'
Community Development apartment
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 **
King Co Assessor's Tax No.: Cc r Oc
Site Address: `2 6c54, e 4'A/ Afve. S Suite Number: Floor: /
Tenant Name: ..Zko /J
Property Owners Name: K F
Mailing Address:
CONTACT. PERSON
wt /vj 1
Mailing Address: )C f Zoo g
Name:
Building Perm. �o
Mechanical Permit No Q 7,3(
Public. Works Permit No
Project No
(For office use only)
City
New Tenant:
❑ ...Yes
State
)2!.No
Zip
Day Telephone: Lam— e 32-547.
City State Zip
E -Mail Address: Fax Number: 3'33
GENERAL CONTRACTOR INFORMATION - Mechanical Contractor information on back page)
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
%permits ptus%icc changes%pennit application (7.2004)
Page 1
City
Day Telephone:
Fax Number:
State
State
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 **
ARCHITECT OF, RECORD= All plans must be wet stamped by Architect •
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Zip
EN GINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Zip
City
Day Telephone:
Fax Number:
•
BUILDING PERMIT INFORMA ION - 206- 431 -3670
Valuation of Project (contractor's bid price): $
Existing Building Valuation: $
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑ ..Yes ❑.. No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
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? ❑ ....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 ❑ ..No
If 'yes ", attach list of materials and storage locations on a separate 8 -1 /2 x l l paper indicating quantities and Material Safety Data Sheets.
%permits plus'ice chanya'permit application (7 -2004)
Page 2
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
lu Floor
2' Floor
3r Floor
Floors thru
Basement
Accessory . Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
BUILDING PERMIT INFORMA ION - 206- 431 -3670
Valuation of Project (contractor's bid price): $
Existing Building Valuation: $
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑ ..Yes ❑.. No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
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? ❑ ....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 ❑ ..No
If 'yes ", attach list of materials and storage locations on a separate 8 -1 /2 x l l paper indicating quantities and Material Safety Data Sheets.
%permits plus'ice chanya'permit application (7 -2004)
Page 2
PUBLIC WORKS: PERMIT. INF ATION — 206 - 433 -0179
Scope of Work (please provide detailed information):
Water District
❑ ...Tukwila 0... Water District #125
❑...Water Availability Provided
Sewer District
❑ ...Tukwila ❑... ValVue ❑ .. Renton 0 ...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 less than 72 hours
❑ ...Right -of -way Use - No Disturbance
❑ ...Construction/Excavation/Fill - Right-of-way
Non Right -of -way
❑ ...Total Cut
❑...Total Fill
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
cubic yards
cubic yards
❑ ...Sanitary Side Sewer ❑ .. Abandon Septic Tank
❑ ...Cap or Remove Utilities ❑ .. Curb Cut
❑ ...Frontage Improvements ❑ .. Pavement Cut
0 ...Traffic Control ❑ .. Looped Fire Line
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ Water Meter Size...
❑ ...Temporary Water Meter Size ..
❑ ...Water Only Meter Size
❑...Sewer Main Extension Public _
Q ...Water Main Extension Public _
\permiu plus\icc changes \permit application (7 -2004)
1f
Call before you Dig: 1- 800 - 424 -5555
N
WO#
WO#
WO#
Private
Private
❑ .. Highline ❑ ...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
❑ .. Work in Flood Zone
❑ .. Storm Drainage
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
Stale
Zip
Day Telephone:
City
State
Zip
Page 3
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑...Deduct Water Meter Size
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 -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
MECHANICAL PERMIT INFOrt. _ATION -- 206 - 431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: CDe "H S /.-. G3 44
Mailing Address: )C i 2 G, 13 1x.•(/i8� •) 9g0/
City State Zip
in C C(O 5 ge e5 Day Telephone: . " /. 2..5 -- -- 03 - 3 zy z
E -Mail Address: �1 Fax Number: V2-5 333 —6 5V-5— Contractor Registration Number: //e/f T T Z0,6Q a Expiration Date: // "d f
* *An original or notarized copy of current Washington State Contractor License must be presented at a time of permit issuance **
Contact Person: !y►
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Car
Use: Residential: New .... ❑ Replacement ❑
Commercial: New Replacement ❑
Fuel Type: Electric ❑ Gas —.0 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 OWNER OR AUTHORIZED AGENT:
Signature:
Print Name:
permits plus\lee changes \permit application (7.2004)
Mailing Address: / /,,' a g
Date Application Accepted:
7'7.2 rd `/
/
Date Application Expires:
Page 4
Day Telephone:
Date: 7/Z--
033 z�
?.4∎ t •L) 4 ,10 ��1
City State Zi
Staff Initials:
Parcel No.:
Address:
Suite No:
Applicant:
Receipt No.: R04 -00971
Initials: SKS
User ID: 1165
Payee :
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
0004800003
12606 INTERURBAN AV S TUKW
IKON
HEATTRANSFER CO
TRANSACTION LIST:
Type Method Description
Payment Check 39757
MECHANICAL - NONRES
RECEIPT
Account Code
000/322.100
Permit Number:
Status:
Applied Date:
Issue Date:
Payment Amount:
Payment Date:
Balance:
Amount
150.63
Current Pmts
150.63
Total: 150.63
M04 -131
APPROVED
07/12/2004
150.63
07/29/2004 03:26 PM
$0.00
3284 07/30 9716 TOTAL. 335.41
Printed: 07 -29 -2004
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Parcel No.:
Address:
Suite No:
Applicant:
Receipt No.:
Initials:
User ID:
Payee:
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
0004800003
12606 INTERURBAN AV S TUKW
IKON
R04 -00858
SKS
1165
TRANSACTION LIST:
Type Method Description
Payment Check 39620
ACCOUNT ITEM LIST:
Description
HEATTRANSFER CO.
PLAN CHECK - NONRES
RECEIPT
Account Code
000/345.830
Permit Number:
Status:
Applied Date:
Issue Date:
Payment Amount: 30.16
Payment Date: 07/12/2004 02:42 PM
Balance: $150.63
Amount
30.16
Current Pmts
30.16
Total: 30.16
M04 -131
PENDING
07/12/2004
- O7 /1 .9716 TOTAL 68,86::. •
Printed: 07 -12 -2004
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Date Called: en
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Special Instructions:
Date Wanted
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Requester:
.,
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Phone No:
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INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
COMMENTS:
Inspe
proved per applicable codes. Corrections required prior to approval.
e ,• -t- cc-v.„ p t �,r�
Old i o . 1 ,ci-
Date:
00 REINSPECTION F4E REQUIRED. Pr or to inspection, fee must be
at 6300 Southcenter Ivd., Suite 10 . CaII to schedule reinspection.
t No.: 'Date:
Pr *e4 el
Type of Ins
b.
ction:
.....- I
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Cal:
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Special nstructions:
- ,
Date Wanted:
C if
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Requeste
Phoneetio:
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
.A pproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
•
, .r1 c.......
47.00 REINSPECT! N FEE REQUIR . Prior to inspection, fee 6,ust be
paid at 6300 Southc nter Blvd., Sul 100. Call to schedule reinspection.
Receipt No.: 'Date:
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tor:
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Typ f IInspectio ..
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Date Called: C�
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S ecial Instructions:
Date Wanted: /)L( a.m.
Request u w. cw
Pha No:
. 12 2 > 1 7
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INSPECTION NO.
INSPECTION RECORD
Retain a copy, with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PE
(206)431 -3670
C required prior to app?o
COMMENTS:
G/' Y.f. t 4" IA C) - C e 1 7
1
(Rece
'Date:
-- —30 — C9
EINSPECTION FEE I QUIRED. Prior td inspection, fee must he
300 Southcenter Blvd. Suite 100. Call o schedule reinspection.
Date:
proved per applicable codes.
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P RT%SA MENTS:
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Public Works
Approved ❑
Notation:
Documents/routing s8p.doc
2-28-02
APPROVALS OR CORRECTIONS:
PERMIT COORD COPY'
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M04 -131 DATE: 07 -12 -04
PROJECT NAME: IKON
SITE ADDRESS: 12606 INTERURBAN AVENUE SOUTH
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # after/before permit is issued
1 f3 �
Fire Prevention (� Planning Division
Structural ❑ Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 07 -13 -04
Complete [t
Comments:
Incomplete ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire 0 Ping ❑ PW ❑ Staff Initials:
TUES /THURS R�TING:
Please Route Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
Approved with Conditions
REVIEWER'S INITIALS:
PERMIT COORD COPY
Not Applicable ❑
DUE DATE: 08 -10 -04
Not Approved (attach comments) ❑
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
ISTERED 7 AS PROVIDED.. BY-...LAW AS
ST COW SPECIAL St
REGIST -. # . XP. 'DATE
CCAAAB HEATT * *2O6Q0 09/11/20'05
INVIMIVE RATS 11/20/1980
*N °!`i msFER CO '
PO BOX 1268
'CARNATION WA 98014
,1d''/, a
ER7'IFIED AS PROVIDED BY LAW AS
ELECTRICN HVAC /RFRG.
CERT.. # EX . DATE'
MCCLOT *0092A 12/04/2005
EFFECTIVE DATE 03/28/2003
mCCLOSKEY, THOMAS
PO BOX 1268
CARNATION WA 98014
G
M04-131
IKON 12606 INTERURBAN AVENUE SOUTH