HomeMy WebLinkAboutPermit M03-103 - PLATO'S CLOSETPLATO'S CLOSET
17095
SOUTHCENTER
PARKWAY
M03 -103
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Parcel No.: 2623049069
Address: 17095 SOUTHCENTER PY TUKW
Suite No:
Tenant:
Name: PLATO'S CLOSET
Address: 17095 SOUTHCENTER PY, TUKWILA WA
Contact Person:
Name: DAVE EVANS
Address: 2791 152 AV NE, REDMOND WA
Contractor:
Name: ELECTROMATIC SALES /SERVICE INC.
Address: 800 MERCER STREET, SEATTLE, WA
Contractor License No: ELECTI *233NE
Value of Construction: $1,500.00
Type of Fire Protection:
Signature:
Print Name: <�ecedtwu/ i■ketaS
doc: Mech
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
MECHANICAL PERMIT
Owner:
Name: MIKAMI MASAO
Address: C/O PINNACLE R/E MGMT CO, 401 2ND AVE S STE 110
DESCRIPTION OF WORK:
DIRECT CHANGE OUT OF 11 CEILING DIFFUSERS TO MATCH NEW COLOR CEILING
M03 -103
Permit Number: MO3 -103
Issue Date: 06/24/2003
Permit Expires On: 12/21/2003
Phone:
Phone: 206 624 -3370
Phone: 206 624 -3370
Expiration Date:08 /23/2004
Fees Collected:
Uniform Mechnical Code Edition:
$46.50
1997
Permit Center Authorized Signature: Jtd - J1� j=c"zi Date: 6 ' . ; - `•' ?
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 constryption or the performance of work. I am authorized to sign and obtain this mechanical permit.
Date: 6 '��
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 -24 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2623049069
Address: 17095 SOUTHCENTER PY TUKW
Suite No:
Tenant: PLATO'S CLOSET
PERMIT CONDITIONS
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: 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.
4: 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).
5: 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.
6: Manufacturers installation instructions required on site for the building inspectors review.
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: „ ag A Ll Date: 6-2-1-1 'O'
Print Name: (75 i10e\ i
doc: Conditions
M03 -103
Permit Number: M03 -103
Status: ISSUED
Applied Date: 06/23/2003
Issue Date: 06/24/2003
Printed: 06 -24 -2003
• SITE L'OCATIO
Site Address:
Tenant Name:
r -
Name: Dave c S
Mailing Address: - /77I 160 Auk A la
E -Mail Address:
Company Name:
Mailing Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
CITY OF TUKWILA
Community Development _ partment
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Company Name: ►V I k
Mailing Address:
\applicationslpermit application (34003)
3/2003
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**
t7o c5 ` c.,71- Lcoler
C6&e_,A'
tp\
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
Floor:
O ..... Yes El ..No
Property Owners Name:
Mailing Address:
City
■ 91TA t�a�' r L& 7 Uir t
Contact Person:
E -Mail Address:
Contractor Registration Number: OQ\.1\)C6 COb(A)
ENGINEERt.. F RD =All plansmust be wet sta by Engineer of Record :
Page 1
State
Zip
Day Telephone: Zob - 62.g 337Q
City State Zip
Fax Number: q?i"S - ZI b -1 Erb
G INFORMATION
City
Day Telephone:
Fax Number:
W - y 81%
State Zip
20 361 -2
7.0(o - 3(a2 - 3r,(0
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 Alt ` plans must be wet stamped by Architect of Record
State
Zip
City
Day Telephone:
Fax Number:
City Slate Zip
Day Telephone:
Fax Number:
Valuation of Project (contractor's bid price): $ 12e1) Existing Building Valuation: $
Scope of Work (please provide detailed information):
, m ANA !mow Can( C'e. ; i n5
Number of Parking Stalls Provided: Standard: Compact:
\applicationa\permit application (3.2003)
3/2003
Provide All Building Areas in Square Footage Below
Page 2
ll
Will there be new rack storage? 0 ..Yes No if "yes ", see Handout No. for requirements.
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.
Handicap:
Will there be a change in use? 0 ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0.. Sprinklers ❑..Automatic Fire Alarm D..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.
Existing .
Interior
Remodel
Addition to •
Existing
Structure
New
• Type of
Construction '
per UBC
Type of
Occupancy per
• UBC
I" Floor
2 °0 Floor
3 Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport .
Covered Deck
Uncovered Deck
Valuation of Project (contractor's bid price): $ 12e1) Existing Building Valuation: $
Scope of Work (please provide detailed information):
, m ANA !mow Can( C'e. ; i n5
Number of Parking Stalls Provided: Standard: Compact:
\applicationa\permit application (3.2003)
3/2003
Provide All Building Areas in Square Footage Below
Page 2
ll
Will there be new rack storage? 0 ..Yes No if "yes ", see Handout No. for requirements.
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.
Handicap:
Will there be a change in use? 0 ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0.. Sprinklers ❑..Automatic Fire Alarm D..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.
:PUBLICWORKS;PERMIT INF"RMATION _ :206 - 433 - 0179
Scope of Work (please provide detailed information):
Water District
❑ ...Tukwila ❑... Water District #I25
❑ ...Water Availability Provided
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
cubic yards
cubic yards
❑...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑ ...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
.t
❑ ...Permanent Water Meter Size... WO#
❑...Temporary Water Meter Size.. WO#
❑ ...Water Only Meter Size WO#
❑ ...Sewer Main Extension Public _ Private
❑ ...Water Main Extension Public _ Private
'applicationatpermii application (3.2003)
3/2003
Call before you Dig: 1- 800 - 424 -5555
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
❑ .. Work in Flood Zone
❑ .. Storm Drainage
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
11
❑ .. Highlinc
Page 3
•
❑ ...Renton
Sewer District
❑...Tukwila ❑... ValVue ❑ .. Renton ❑ ...Seattle
❑...Sewer Use Certificate ❑...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.
p .. Geotechnical Report ❑...Traffic Impact Analysis
❑ .. Maintenance Agreement(s) 0... Hold Harmless
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑...Deduct Water Meter Size
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑...Water ❑...Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
❑ ...Sewage Treatment
Day Telephone:
City
State Zip
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
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 INFOr - \ATION 206=431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: c ov,-tIL 3 y , k c VflACe --
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number: E1_.E (,' ink g
Expiration Date: C n'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): $
Scopee of Work ( provide detailed information): r )
`
Use: Residential: New .... ❑
Commercial: New ....El
Fuel Type: Electric
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 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWN OR AUTHO����
Signature:
Print Name:
Mailing Address:
Date Application Accepted:
073 -e3
lapplicauonslpermit application (3.2003)
31203
k61)^- Arm. AJE-
na\K Evarkst
Gas ...❑
". _.�
KbeAlk
co, 610
Replacement .... []
Replacement ....
Other: Ni
Date Application Expires:
-;3
Page 4
��7tClr,�
City
Day Telephone:
Fax Number:
Day Telephone:
?2►U
City
LuA
State
2-06 - (02-K
6 175 . 2
Date: 6 -2)3'
ooh (f Z f -337 0
State
Staff Initials:
sus
Zip
331
Zip
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2623049069 Permit Number: M03 -103
Address: 17095 SOUTHCENTER PY TUKW Status: APPROVED
Suite No: Applied Date: 06/23/2003
Applicant: PLATO'S CLOSET Issue Date:
Receipt No.: R03 -00764 Payment Amount: 46.50
Initials: SKS Payment Date: 06/24/2003 03:39 PM
User ID: 1165 Balance: $0.00
Payee: ELECTROMATIC SALES AND SERVICE
TRANSACTION LIST:
Type Method Description Amount
Payment Check 65694
ACCOUNT ITEM LIST:
Description
MECHANICAL - NONRES
PLAN CHECK - NONRES
RECEIPT
46.50
Account Code Current Pmts
000/322.100 37.20
000/345.830 9.30
Total: 46.50
91373 06/24 9716 TOTAL 46.50
Printed: 06 -24 -2003
Projec . / (
f - 0 S l.. 1 CiSf4
Type of Inspection: r
1 --- l nGl i
Address:
1` 09S 5c � �
Date Called:
7 -10- °3
Specia Instructions:
Date Wanted:
— 7 10 0.3
a.m.
p.m.
Requester:
Phone. No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PER T 1
4
)431 -3670
Z Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
P V v►ni \ p
Inspector:
Date:
«) - O
0 $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection.
'Receipt No.:
Date:
Pro'ect: 1 ,
/l( / L? .�
1
Or r 7
Type of nspection: 1,
v e
/ / k ' 4 ` CA- },r) C
Ac�dx /C.9 S 0 I
Y
Date Callyili 30 0 3
Special Ins (ructions:
Of / / T
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C/
/ [/
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Date Vt_eil:
0
p.m.
Requester
\ e. ifi y
Phone No:
OTC* 5 36
;t
•1
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
R Approved per applicable codes.
Inspector:
IA 0 3 0
(206)431 -3670
1JCorrectioo_s prior to approval.
COMMENTS:
Date:
- H03
0 $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:
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A re s:
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Date Called:
LP 7ia3
Specia Instructions:
'
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Date Wanted:
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P.m.
Requester
Ph neyou
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a Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Corrections required prior to approval.
COMMENTS:
r'd7• c, � ..�
. k I / \
/f ~17 /(4/.
uc. 4/ SC.1 e7
❑ $47.00 REINSPECTION FEE REQUIRED. Prior to Inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
notice and order
PERMI Wu-a) ,WHY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M03 -103
PROJECT NAME: PLATO'S CLOSET
SITE ADDRESS: 17095 SOUTHCENTER PY
DATE: 06 -23 -03
X Original Plan Submittal _Response to Incomplete Letter #
Response to Correction Letter # Revision # . After Permit Is Issued
DEPARTMENATS: M5
Buil�vi$ Fire Prevention 1 Planning Division
Public Works ❑ Structural ❑ Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 06 -24 -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 RO9TING:
Please Route 'L Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 07 -22 -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
I)LHM T
K.; i..,.ii Y•� r
�Op
Not Applicable ❑
DATE:
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL ...-
REGIST. # EXP. DATE
CCO1' . ..ELECTI *233NE 08/23/2004
EFFECTIVE DATE 08/05/1977
ELECTROMATIC SALES /SERVICE INC
2791 152ND AVE NE
REDMOND WA 98052
Signature �x-/f�
Issued by DEPART,M NT OF LABOR AND INDUSTRIES
This is an un ltt.joj Nt original certificate
ELECTROMA irES & S ' • `1 NC.
G
By: t.
cribed I 4
1
telkiao6e :thi day of
02 .� 0
t/cCe
Su•
as...., r
Notary
ublict
My Commission E
(n_11 r ;ice �r•
#80108
Plato's Closet #80108
1709 South Center Parkway
Tukwila, WA 98188
70
designed environments, inc.
421 benson ave SE
willmar mn 56201
320.235.0852
320.235.3321 fax
Y
Designer: Willis
FILE COPY
I understand that the Plan Check approvals are
subiect to errors a id omissions and approval of
plans does not a .thcrize the vivation of any
adopted code of ordinance. Receipt of con-
tractor's copy c.t apprevec plans acknowledged.
j /?4i /
By 7 A 7// .
Date
Perm N
Date: 5 -21 -03
2'x 4' TROFFER
W/3 -F -32 T- 8,5P35
8' STRIP LITE W/ 2 T -8
5P35 TUBES
8' WHITE TRACK W/4
MR16 SPOT i_I T ES
4' BLACK TRACK SUSPEP DED
W/ DROP LITES
4 FLEX OUTLET BOX -
MOUNTED ABOVE WINDOW
V2FCESSED CAN W /150 W
FLOOD
SEPARATE PERMIT
REQUIRED FOR:
;..-, _CHANICAL
ELECTRICAL
❑ PLUMBING
❑ GAS PIPING
CITY OF TUKWILA
BUILDING DIVISION
RECEIVED
etTY OF TUKWILA
.IIIN 7 3 1003
c r!►. Gt.NTEP
HD 3
C.11 *.'►
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