HomeMy WebLinkAboutPermit M03-058 - MONEY TREEMONEY TREE
6720 FORT DENT
WAY
M03-058
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2954900455
Address: 6720 FORT DENT WY TUKW
Suite No:
Tenant:
Name: MONEY TREE
Address: 6720 FORT DENT WY, TUKWILA, WA
Owner:
Name: JOHN C RADOVICH LLC
Address: 2000 124TH AVE NE #B 103, BELLEVUE WA
Value of Construction:
Type of Fire Protection:
Permit Center Authorized Signature:
$600.00
SPRINKLERS
Signature:
Print Name: C..J A1Z.L\ o ( I
doc: Mech
MECHANICAL PERMIT
Permit Number: M03 -058 w
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Issue Date: 04/25/2003 I
Permit Expires On: 10/22/2003 6 m
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Phone: L
Contact Person: z H
Name: JESSE MONTEZ Phone: 425 768 -4288 t— 0
Address: 7717 DETROIT AV SW, SEATTLE, WA W u j
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Contractor: N
Name: MACDONALD /MILLER FAC SOL INC Phone: 0
Address: PO BOX 47983, SEATTLE, WA
Contractor License No: MACDOFS980RU Expiration Date: 12/31/2004 MI v
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DESCRIPTION OF WORK:
REPLACE 2 LAY IN DIFFUSERS WITH SURFACE MOUNTED SLOT TYPE; REROUTE DUCT WORK
AND VALVES AWAY FROM GWB CEILING; AIR BALANCE
M03 -058
Fees Collected:
Uniform Mechnical Code Edition:
Date:
$46.50
1997
Date: ��` D3
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.
L( - 2-c- 03
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: 04 -25 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2954900455
Address: 6720 FORT DENT WY TUKW
Suite No:
Tenant: MONEY TREE
PERMIT CONDITIONS
7: Manufacturers installation instructions required on site for the building inspectors review.
Permit Number: M03 -058
Status: ISSUED
Applied Date: 04/18/2003
Issue Date: 04/25/2003
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: 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).
4: 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.
5: 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).
6: 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.
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: Date: I I -- 2-Y^ O�
Print Name:
doc: Conditions
M03 -058
Printed: 04 -25 -2003
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Site Address: to 77�
Tenant Name: IM.sa&.
Property Owners Name: jvLa.. ado u t
Mailing Address: ;2000 (2)4 1' - A 0 a 6 —103
Name: E 1440-14. te- z -
Mailing Address: 77/ 7 pe.77-eo r r A.)-e set.,
E -Mail Address:
Company Name: J u 5 6 . , 2 41- - A s so c is
Mailing Address: 32-too 1k8'
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
CITY OF TUKWILA
Community Development Department
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* *
f02r i King Co Assessor's Tax No.:
Jesse -- yttar fc.Z_ 14/1Acvue(Ce --7
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Contact Person:
E -Mail Address:
\appliations\pcnnit application (1-2003)
1/2003
Page 1
Suite Number: Floor: 1
City
Day Telephone:
City
Ce1t- Fax Number:
City
Day Telephone:
Fax Number:
/53571(
New Tenant: fl .... Yes RNo
Sys q90 —o ys
GaJ pa
State
State
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Zip
4 ; - 76e -
L) a QBleD
State Zip
TOG, - 7(0 — �Z��
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Zip
Contractor Registration Number: f jDU 51-4 A (S e 0 t' Expiration Date: (2- 3l — E) 3
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
ACHITECF,RECORD: -All plans must b
R T, O be *et stamped by Architect of Record
City
Day Telephone:
Fax Number:
State
ENGINEER OF :RECORD All;plans must be wet stamped by Engineer'of Record
Company Name:
Mailing Address:
State
City
Day Telephone:
Fax Number:
Zip
Zip
::U: :,.� +, i..:u •rn� z:•S T{.., ... .:v'. <. 4.. }'�rY { A..... r. -L .:�..,n�"'.:3 k.. _. :. ..2 rw' ✓?�.S. .t..�.:r.:,..A:.
oUILDING PERMIT INFL _
206;;431 - 36
>r siXS
Valuation of Project (contractor's bid price): $ Existing Building Valuation: $
Scope of Work (please provide detailed information):
Will there be new rack storage? 0... Yes ❑ .. No If "yes", sec Handout No.
for requirements.
Provide All Building Areas in Square Footage Below
1 Floor
2 " Floor
3' Floor
Floors thru
Basement
Accessory Structure!
Attached Garage ..
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per UBC
Type of
Occupancy per
UBC
PLANNING DIVISION:
Single family building footprint (area oldie 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:
❑ ..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 11 paper indicating quantities and Material Safety Data Sheets.
UTILITY DISTRICTS:
Note: If the utility district is not City of Tukwila, you must provide written verification and approval from that utility district at the time of permit
application.
Water
❑ .. City of Tukwila Water District ❑.. Water District i/125 ❑... Highline Water District ❑...City of Renton Water District
Sewer
❑ .. City of Tukwila Sewer District 0.. Val Vue Sewer District ❑...City of Renton Sewer District ❑...City of Seattle Sewer District
❑ .. Septic System (If property is served by a septic system, 2 copies of approved septic design from King County Health Department must be
submitted at the time of permit application)
1applications%permit application (1 -2003)
1/2003
Page 2
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?,�:,)1Up.•+ �pti ��S� ;k'M - Y. }�� 1.. .e °�19 .e:; ,��k:,;,
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Scope of Work (please provide detailed information):
Street Use:
0.. Street Use
Land Altering and /or Hauling:
❑ .. Land Altering: ❑...Cut
Storm Drainage:
0.. Storm Drainage
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
1appliationalpnmit application (1.2003)
1!2 003
❑...Channelization /Striping
❑...Flood Control Zone
Water ... 0 Sewer ...
Call before you Dig: 1-800-424-5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
cubic yards ❑...Fill
❑...Curb cut/Access/Sidewalk
Sewer Information:
.. City of Tukwila Sewer District 0.. Val Vue Sewer District ❑...City of Renton Sewer District 0 ..City of Seattle Sewer District
❑ .. Sanitary Side Sewer 0.. Sewer Main Extension 0 .. Private 0.. Public
Water Information:
0.. City of Tukwila Water District ❑ .. Water District # 125 0... Highline Water District 0... City of Renton Water District
.. Water Main Extension ❑ .. Private 0... Public
❑ .. Water Meter/Exempt: Size(s): ❑ .. Deduct ❑ ... Water Only
❑ .. Water Meter Permanent #: Size(s):
0.. Water Meter Temporary #: Size(s): 0 .. Est. Quantity: gallons
0.. Fire Loop/Hydrant (main to vault) #: Size(s): ❑ .. Landscaping Irrigation
❑ .. Miscellaneous:
Page 3
City
Sewage Treatment 0
cubic yards ❑ .. Hauling
Day Telephone:
State
Fire Line ....0
Zip
Day Telephone:
City State Zip
Unit Type:
Qty
Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <I00K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace >100K 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
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm/Ind
AECHANICAL PERMITI;INFORMATION:
6=431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
De01-04- flit c CCe -,r-
- 771 7 De /re-o e T 4 SccJ
Contact Person: J sse-
E -Mail Address: j e c s e 144.4C114 c L&-V . (-0 Number:
Contractor Registration Number: flidcpnr.: 930 gu Expiration Date: 12 -31 -o
* *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): $ 600
Scope of Work (please provide detailed information): inept! 4 /w c h 4 CJ
c Le 1- • -r Re. eou.7CfL 8 o —ie- c d (1.44 s 4 -e0A -t
tv 3 C.erta u9 - ftt. AA- G c ta:
Use: Residential: New .... ❑ Replacement .... ❑
Commercial: New .... ❑ Replacement .... [E
Fuel Type: Electric ❑ Gas ....0 Other: /N k
Indicate type of mechanical work being installed and the quantity below:
PERMITAPPLICATION 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.
1 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 0 UTHORIZED ENT:
Signature:
Print Name: e epe. H/f_s 4 Fo Z
Mailing Address: '77 / 7
Date Application Accepted:
tapplicationalpennit application (1.2003)
1/2003
w -r
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Date Application Expires:
Page 4
City State Zip
Day Telephone: AD 2 -76 e -
Day Telephone:
City
Lob — 761/ -5
Date: c g 3
2eG -76 -S<zkFs
CcJA- 1 c-6-/66
State Zip
Staff Initials:
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City of Tukwila
RECEIPT 1)-:
Parcel No.: 2954900455 Permit Number: M03 -058 -' U
Address: 6720 FORT DENT WY TUKW Status: APPROVED t» o
Suite No: Applied Date: 04/18/2003 u) to
Applicant: MONEY TREE Issue Date: N LLO
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Receipt No.: R03 -00510 Payment Amount: 46.50 u. Q .
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Initials: SKS Payment Date: 04/25/2003 02:24 PM H w
User ID: 1165 Balance: $0.00 Z
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Payment Check 953433 46.50 Li•Z
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Payee:
TRANSACTION LIST:
Type Method
ACCOUNT ITEM LIST:
Description
doc: Receipt
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
MACDONALD- MILLER FACILITY
MECHANICAL - NONRES
PLAN CHECK - NONRES
Description
Amount
Account Code Current Pmts
000/322.100 37.20
000/345.830 9.30
Total: 46.50
0039 04/28 9716 TOTAL 46.50
Printed: 04 -25 -2003
Project: / I
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Type of Inspection:
ra
Address: f
In - 1,4. r) y af
v
Date Called:
(` )-5 -03
Special Instructions:
Date Wanted:
1 - 0 ?
(
.m.
Requester:
Phone No:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
r1D3 -Q 8
PE
T NO.
(206)431 -3670
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
R w i i C r) wA p I1-1 e
DV_ F �,
I Date: to 3
El $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
'Receipt. No.:
'Date:
Project:w
1 oONV \
- *v - e'.
Type of Inspect' n:
,\ �� _ ,11
A
dress:
Date Called:
Special Instructions:
Date Wanted:
1- \- eS -U3
a.m.
Requester:
Phone No:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
COMMENTS:
Inspector:
e) )(1,
DIL 1/4-k-
he �CAtr r cik (-�-
INSPECTION RECORD
Retain a copy with permit
M03
(206)431 -3670
Approved per applicable codes. 0 Corrections required prior to approval.
Date: L
1-�
El $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
Receipt No.:
'Date:
ACTIVITY NUMBER: M03 -058
PROJECT NAME: MONEY TREE
SITE ADDRESS: 6720 FORT DENT WAY
DATE: 04 -21 -03
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Is Issued
DEPARTMENT :
Buil i ivs, n
Public Works
PERMIT COORD COPY
PLAN REVIEW /ROUTI SLIP
tizz-0
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e Prevention
DETERMINATIION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 04 -22 -03
Complete El Incomplete ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROyTING:
Please Route , L Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 05 -20 -03
Approved ❑ Approved with Conditions [ Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents/routing slip.doc
2-28-02
Fir Planning Division
Structural ❑ Permit Coordinator
PERMIT COORD DOPY
0
x
Not Applicable ❑
DATE:
DEPARTMENT OF LABOR AND INDUSTRIES
M5.05241D OM)
F$2Mk.i2- 3 !8137)
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
;cCO .. ' : ilil bOFS9'opRv_ 1 -.
'EFFECTIV,W'PA'T.E • ' 1-?/?
'
jyACDONALU %MITAER. FAC . S INC:
PO
SEATTLE WA .98106
Detach And Displ Cettificate
REGISTERED''AS .PROVIDED BY LAW AS •
, CONSTc.:CONT• GENERAL . • :•... _ . � �• .��.
ft ::.EXP.. DA
MACDQFS98QRU ;1.2/31/260.21.1i:'
E�k�F`ECTIV.E :DATE ;. :.. , .1.2/ 0
MACDONALD %MILLER. sot *1-14C
PO BOX .479!3. :
SEATTLE
Signature
issued by DEPARTMENT OR LABOR AND INDUSTRIES
Please Remove
And Sign
Identification
Card Before
Placing In
Billfold
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I derstand that Inc Fian Check approvals are
subtect to er.t and erns s■drs and approval of
plans does not auihortze the vtdiattan of any
adopted :Thde or ordnance Pecetpt of con-
tractor's copy of aperoyed plans acknoWedged.
By
Date '1 ;
Permtt No I LI
IRE1/
CPk'' SHALL Pc TO
F OF IAOS,K
• AL OF TUKWII.A 8uiir Div's;
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SEPARATE PERMIT
REQUIRED FOR:
kie .ECTRICAL
[ UNIBIN3
/ ' AS PIPING
CITY OF TUKWILA
BUILDING DIVISION
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