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Home My WebLink AboutPermit M03-093 - FORT DENT IFORT DENT ONE 6720 FORT DENT WAY M03 -093 Parcel No.: 2954900455 Address: 6720 FORT DENT WY TUKW Suite No: Tenant: Name: FORT DENT ONE Address: 6720 FORT DENT WY, TUKWILA, WA Owner: Name: JOHN C RADOVICH LLC Address: 2000 124TH AVE NE #B 103, BELLEVUE WA Contact Person: Name: KRIS JOHANSON Address: 7707 DETROIT AV SW, SEATTLE, WA Contractor: Name: MACDONALD /MILLER FAC SOL INC Address: PO BOX 47983, SEATTLE, WA Contractor License No: MACDOFS980RU DESCRIPTION OF WORK: COMPLETING WORK FROM MO2 -155 INCLUDING INSTALLATION OF TRANSFER FANS IN ELECTRICAL ROOMS ON FIRST AND SECOND FLORS. SYSTEMS TO INCLUDE TWO EXHAUST FANS, FOUR GRD'S, FOUR FIRE /SMOKE DAPERS, DUCTORK AND TWO LINE VOLTAGE THERMOSTATS. Value of Construction: Type of Fire Protection: City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature: I hereby certify that I have read and examined is 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 constru tion o • e� • •• . • - - of work. I am authorized to sign and obtain this mechanical permit. doc: Mech Signature: Print Name ;r MECHANICAL PERMIT $11,000.00 Fees Collected: Uniform Mechnical Code Edition: M03 -093 Permit Number: M03 -093 Issue Date: 4 --//-0.3 . 4.4 Permit Expires On: /2 - / / —O 3 Phone: Phone: 206 768 -3872 Phone: Expiration Date: 12/31/2004 $44.80 1997 Date: Date: a._ /A-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: 06 -11 -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: FORT DENT ONE 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. 7: Manufacturers installation instructions required on site for the building inspectors review. l 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 per does not presume to give authority to violate or cancel the provision of any other work or local laws rmance of work. Signature: Print Name: doc: Conditions regulating construction PERMIT CONDITIONS M03 -093 Permit Number: M03 -093 Status: PENDING Applied Date: 06/11/2003 Issue Date: Date: // Printed: 06 -11 -2003 Name: • Mailing Address: E-Mail Address: Contact Person: E-Mail Address: Contact Person: "Th CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 FNGINFER-9y1tFcco . „ kapplications pennit application (3.2003) 3/2003 Building Perit • Public Works Permit No Project No . 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** 7 - a— , 7 //V Suite Number: Floor: King Co Assessor's Tax No.: 7,/5 co 455 Site Address: Tenant Name: New Tenant: El .... Yes Property Owners Name: --../(% Mailing Address: 2rx,r) / .Z4 V-i -)(7 t9 ( 7Rt.:04 4 City :.:GENERAL CONTRACTOR INFORMATI E-Mail Address: Day Telephone: City Fax Number: All plaUs:EOUStb,e Wet.stalitited,.bygngineer. of Record „ • Page 1 1 § 1 1; Zip State Zip 37 Company Name: Mailing Address: City Day Telephone: Fax Number: 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** CO. • .1•• r= AI! Nails:must be .w:it stamped: by AivItitect OTReenig Company Name: Mailing Address: City Day Telephone: Fax Number: Zip State Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E-Mail Address: Fax Number: GBUI LDING;PERMIT.I 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 AU Building. Areas in Square Footage Below . 1a Floor 2 "0 Floor 3`" Floor Floors thru Basement Accessory Attached Garage Detached Garage Attached Carport • Detached Carport._ Covered Deck Uncovered Deck- Interior Remodel Addition. to Existing Structure :New Type of Construction per UBC Type of ... Occupancy per UBC 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 11 paper indicating quantities and Material Safety Data Sheets. %applicationapermit application (3.2003) 3/2003 Page 2 ITALIC WORKS : PERMIT . INr RMATION = 206= 433 -017 ❑...Total Cut ❑...Total Fill Scope of Work (please provide detailed information): \applications \permit application (3.2003) 3/2003 lease refer;to +PublicWorks Bulletin #1 for fees and estimate Sheet. . Water District ❑ ...Tukwila 0... Water District #125 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑... ValVue ❑ .. Renton p ...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) ❑ .. Geotechnical Report ❑...Traffic Impact Analysis ❑...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑...Hold Harmless 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 cubic yards cubic yards ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ ...Permanent Water Meter Size... ❑...Temporary Water Meter Size.. ❑...Water Only Meter Size ❑...Sewer Main Extension Public _ ❑ ...Water Main Extension Public _ ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line WO# WO# WO# Private Private Page 3 ❑ .. Highlinc Call before you Dig: 1- 800 - 424 -5555 ❑ ...Renton ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line ❑...Water ❑...Sewer Monthly Service Billing to: Name: Number of Public Fire Hydrant(s) ❑ ...Sewage Treatment Day Telephone: Mailing Address: Zip Water Meter Refund/Billing: Name: Mailing Address: City State Day Telephone: City State Zip Unit Type: Qty Unit Type: Qty Unit Type:. Qty , Boiler /Compressor: Qty Furnace <100K BTU Air Handling Unit >= 10,000 CFM Other Mechanical Equipment tc 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 `MECHANICAL; •PERMIT;INFOR3.iATION 2O6- 431' =3670 MECHANICAL CONTRACTOR INFORMATION 7 0" i>.ro / - r" Contact Person. S ` �Ja H Company Name: Mailing Address: E -Mail Address: Contractor Registration Number: M G l>) F5 **An original or notarized copy of current Washington State Contractor Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): ei -1 r4 C. P2rei vi S 7L-) S �L Use: Residential: New .... Commercial: New .... Fuel Type: Electric Indicate type of mechanical work being installed and the quantity below: ;PERMIT APPLICATIO.N 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 THEWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. Signature: Print Name: BUILDING tr . : R O HORIZED AG T: Mailing Address: X77 (j7 Replacement .... ❑ Replacement ....❑ Gas ....0 Other: rr7 F (4_1es /c7 City 1 State Zip Day Telephone: CZe \ '768 - c-3 7 Z Fax Number: (704 '7 -`3 '7 3 Expiration Date: / Z — Z, I — 0 License must be presented at the time of permit issuance ** ) ,v s7-74.0 ( - 7 N 5 ;CU Z S / G Z (2) �a' ( G/LD l5 0) 'Fret iror.S Date: —/ / — 0 3 Day Telephone: t7C — rPE5/ 9J'e t%�4T7Z, •qc- /CDC, City / State Zip Date Application Accepted: Date Application Expires: Staff Initials: i \applications\ permit application (3.2003) 3/2003 Page 4 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 2954900455 Permit Number: M03 -093 Address: 6720 FORT DENT WY TUKW Status: PENDING Suite No: Applied Date: 06/11/2003 Applicant: FORT DENT ONE Issue Date: Receipt No.: R03 -00722 Initials: SKS User ID: 1165 Payee: MACDONALD- MILLER FACILITY SOLUTIONS TRANSACTION LIST: Type Method Description ACCOUNT ITEM LIST: Description doc: Receipt Payment Check 958687 MECHANICAL - NONRES RECEIPT Amount 44.80 Account Code Current Pmts 000/322.100 44.80 Payment Amount: 44.80 Payment Date: 06/11/2003 02:06 PM Balance: $0.00 Total: 44.80 9539 06/12 971 TOTAL 444.80 Printed: 06 -11 -2003 ti- it ViS : JU UO N W N �. W O ': g J co Z O : Z 1.- 1-O Z 1 LU 2 p. a H W O Z ' W (.4 = : O ~ z Project: i / Type of Inspection: /)--" Addre : Date Cal Special nstructions: „ )ate Wanted a . Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISIO 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. COMMENTS: Inspector (206)431-3670 orrections required prior to approval. Date: a eirV*0 , 3 El $47.bO REINSPECT! FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date:- • • Prrielyt s e /1. '� i One ` 014'1— G ate Type of Inspe Called: 'Pn: /? /05 Adce _ n Special Instructions: d ; oO 7) - ric E t ' . ! . t 142 Date Wanted: Z / /a 3 11. RequestQt r OrejleA 2 ? , . . . COMMENTS: / Approved per applicable codes. n 17,4 Inspecto INSPECTION RECORD Retain a copy with permit INSPECYION NO. PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 1 6)431 -3670 0 _ Corrections required prior to approval. rte / zr 4? (4.0 5 /6.7 L., /�� • a\_ • : El ;47.00 REINSPECT ,s N FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 1