HomeMy WebLinkAboutPermit M03-149 - SEATTLE LIGHTINGSEATTLE LIGHTING
300 ANDOVER PARK
WEST
M03 -149
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City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2623049119
Address: 300 ANDOVER PK W TUKW
Suite No:
Tenant:
Name: SEATTLE LIGHTING
Address: 300 ANDOVER PK W, TUKWILA WA
MECHANICAL PERMIT
Owner:
Name: SEGALE M A INC Phone:
Address: PO BOX 88028, TUKWILA WA
Permit Number: M03 -149
Issue Date: 09/25/2003
Permit Expires On: 03/23/2004
Contact Person:
Name: MIKE TEMPLIN Phone: 509 674 -8973
Address: P.O. BOX 444, REDMOND, WA
Contractor:
Name: TRI MECHANICAL INC Phone: 425 391 -6016
Address: P.O. BOX 444, REDMOND WA
Contractor License No: TRIMEI *044KB Expiration Date:05 /02/2005
DESCRIPTION OF WORK:
REMOVE AND REPLACE 11 EXISTING DIFFUSERS WITH NEW SHOMAKER DIFFUSERS ATTACHED
WITH FLEX DUCT IN A T -BAR CEILING
Value of Construction: $2,400.00
Type of Fire Protection:
Print Name:
doc: Mech
M03 -149
Fees Collected: $46.50
Uniform Mechnical Code Edition: 1997
Permit Center Authorized Signature: /�yLc <<� �,C"` Date: -- 2 `S` �/3
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 o the performance of work. I am authorized to sign and obtain this mechanical permit.
Signature -- Qom--, Date: q' a v
!/ l 'Ic s , 1.2 j o 1, 1,-
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: 09 -25 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2623049119
Address: 300 ANDOVER PK W TUKW
Suite No:
Tenant: SEATTLE LIGHTING
PERMIT CONDITIONS
6: Manufacturers installation instructions required on site for the building inspectors review.
Permit Number: M03 -149
Status: ISSUED
Applied Date: 09/16/2003
Issue Date: 09/25/2003
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
3: 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.
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.
- � I— 2— c)3
Signature: °-- Date:
Print Name:
doc: Conditions
M03 -149
Printed: 09 -25 -2003
SITE IOCA
Name:
Mailing Address:
GENERAL:C
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
\applicationi'permit application (3.2003)
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Site Address: 30 b 4'ivC!b U
Tenant Name: S /e. �
Property Owners Name: 59 0./ /11 4 1i"C.
Mailing Address: po /301S S 0 o?
'CT :PERS
e
E -Mail Addre--- Gr 67-
TRACTOR INFORMATIOK
Company
Mailing Address: P ' y 4 6 1 / —1 °I'''Cf 5-o9- (4) � �o 7 3 0 sfee y
Contact Person: /L/� (0. e.1 ....p s .� Day Telephone: 6 7e /- Sc 73
t City State Zip
Fax Number: 9 a 06% 6
CCvI -- /,
Contractor Registration Number: 1 1Z 1 {'1 E 0 yyK [3 Expiration Date: s a !TC' S
* *An original or notarized copy of current Washington State Contractor License must be presented a the time of permit issuance **
"
Il p laos must b wet sta by Architect:of Recor
ENGINEER �OF ,RECORD ;,All plans mu be wet'st by Engmeer,of R ecord
/ V 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 **
King Co Assessor's Tax No.: ° 6 3 o'7 ? l
Suite Number:
New Tenant:
City
Day Telephone: 0 0 6 qyq q /
State Zip
City
F Number:
Floor:
,S:.. Yes
State
City
Day Telephone:
Fax Number:
State
State
..No
Zip
Zip.
Zip
City
Day Telephone:
Fax Number:
v v ti� is n ` � u i:riV
{ I i BV IL DING: FERMI T. INFORMATION :A206 -431=367
.N���i'tH�t�M� � 7. �. � `�` .'. .' . s.« ,i.:;; j:�s' ---. ��iTri.' r � N L�. :L •
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
ew -
Will there be new rack storage? ❑ ..Yes gr.. No If "yes ", see Handout No. for requirements.
,Provide All Building Areas in Square Footage Below
1 "..'Floor
2 Floor
• 3`,° Floor
•
Floors ":
Basemen
Accessory Structure'
:Attached Garage,
Detached. Garage
Attached Carport
Detached. Carport
Covered'Deck
Uncovered Deck
Addition to
Existing
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 0.. 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 I 1 paper indicating quantities and Material Safety Data Sheets.
Vpplicationi\permit application (3.2003)
3/2003
Existing Building Valuation: $
P Mil/
•
Page 2
-::PUBLIC PERMIT•INFO
Scope of Work (please provide detailed information);
Water District
❑ ...Tukwila ❑ ... Water District #I25
❑ ...Water Availability Provided
Sewer District
❑ ... Tukwila ❑ ... ValVue ❑ .. Renton ❑ ...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 (Stone 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
❑...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
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ ...Water ❑ ... Sewer ❑ ...Sewage Treatment
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
Day Telephone:
City
Day Telephone:
City
State
State
Zip
Zip
tappIcationatpermit application (3.2003)
3/2003
Call before you Dig: 1- 800 - 424 -5555
Please refer to Public:: Works •Bulletin, #1 for:fees and estimate; sheet.
cubic yards
cubic yards
❑ .. Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
WO#
WO#
WO#
Private
Private
Page 3
❑ .. Highline
❑ ...Renton
❑ .. Geotechnical Report ❑...Traffic Impact Analysis
❑ .. Maintenance Agreement(s) ❑...Hold Harmless
❑ .. Right -of -way Use - Profit for Tess 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 "
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
.Boiler /Compressor:
Qty
Fumace <100K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Fumace >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/I,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
< =10,000 CFM
Incinerator — Comm/Ind
MECHANICAL,• PERMIT.INFORMATION := 206=431 3670
MECHANICAL CONTRACTS INFORMATION
a 70 / l Sa 4ve_ ,•}e.
Company Name:
Mailing Address:
Contact Person: / V42 - be--%- I t ,-
E -Mail Address:
G
Contractor Registration Number: `T/2 ' Dyy 1< 13 Expiration Date: 5/0 2 °
* *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): $
Scope of Work (please provide detailed information):
T c6 II
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ac �
Indicate type of mechanical work being installed and the quantity below:
,Mat l�'.,`✓ CJ�
0 / -x y yy
City Stale Zip
Day Telephone: 5CA 6 24' ' Gl 7
Fax Number:
`�'s 3c7 c
/1 o)d - 0 , e r S ,(r� 1•
Use: Residential: New .... ❑ Replacement ....El
Commercial: New ....El Replacement .....
Fuel Type: Electric El Gas ....0 Other:
rPERMI =APPLICATION'NOTE
plicz�,ble:>}o� all" permits
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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER -OR AUTHORIZ T;
Signature'�i C � G � �
\applicationa■permit application (1.2003)
Print Name: i L 1 c I -t•^ p 't
Mailing Address: / DO -60K yvey
Date: q— (b - .?O 6- ?
Day Telephone: 5M - 679 - ? 7 3
040 ..../ q o73 -y
City State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
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City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
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Receipt No.: R03 -01171 Payment Amount: 46.50 g Q
Initials: SKS Payment Date: 09/25/2003 09:52 AM = W
User ID: 1165 Balance: $0.00 Z
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Parcel No.: 2623049119 Permit Number: M03 -149
Address: 300 ANDOVER PK W TUKW Status: APPROVED
Suite No: Applied Date: 09/16/2003
Applicant: SEATTLE LIGHTING Issue Date:
Payee:
ACCOUNT ITEM LIST:
Description
doc: Receipt
TRI MECHANICAL INC
TRANSACTION LIST:
Type Method Description Amount
MECHANICAL - NONRES
PLAN CHECK - NONRES
Account Code Current Pmts
000/322.100 37.20
000/345.830 9.30
Total: 46.50
3040 09/25 9716 TOTAL 46.50
Printed: 09 -25 -2003
P ject:
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Type of Inspection:
1-= I
Address: . , ■../
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t I k . i-
Date Called:
, 9 I 21/1 C);
Special Instructions:
, -
Date Wanted: ci i .., i
1 .5 (... I 0 . .
Requester:
(2)(Afc
b (-
Phone No:
20 - 214 'g — 34L9 9
kl;
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
, -CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Inspec
Approved per applicable codes. Corrections required prior to approval.
OMMENTS:
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mcP) ILIci
Date:
t.4.4
FA 4 .00 REINSPECTION FEE EQUIRED. P to Inspection, fee must be
d at t300 Southcenter BI d., Suite 100. Call to schedule reinspection.
Receipt No.: •
•
Date:
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Type of Iiisp ection:
1
Address:
3o0 /1/410(1`e'< Plc . Le)
Date Called: , i
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Special Instructifts:
:.—
Date Wanted: , „ tf
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RElu
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Phone N :
(ell
:Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
• INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88
PERMIT
•
(206)431-3670
17 . 1 , Corrections required prior tO approval. 4 .
1
COMMENTS:
-
r:
FA S. .00 REINSPECTION FEE EQUIRED. Pri
.aid at 6300 Southcenter Blvd., Suite 100.
Receipt No.:
Date:
r to inspection, fee must be
all to schedule reinspection.
Date:
i mttie i . , ,
1.— PriVio
T pe Igspectio
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AcIckess: , 1
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Date Called: / 0 ( 03 ..
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Special Instructions.
ren
Date Wanted:
/C)3
R e q Dter6 c a l z e th,64/1
Pope No:
17/041) 1 q — 000?
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
•
CITY OF TUkWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88
•
PERMIT
(206)431-3670
El Approved per applicable codes. - ...Corrections required prior to approval.
COMMENTS:
tj) }s3 (A..) - R 4 - 0 2 0 Sea—cz- A- A-4-1-"ek-c7)
tor:
Dat
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$47.00 REINSPECT! N FEE REQUIRED Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
SEPARATE PERMIT
REQUIRED FOR:
[❑ ECHANICAL
E LECTRICAL
❑ PLUMBING
❑ GAS PIPING
CITY OF TUKWILA
BUILDING DIVISION
NO C ANGES SHALL BE MADE TO �.
THE SC PE OF WORK WITHOUT MOP,
p P
( r,; ROVE OF TU ILA BUILDING DiViSKZI
NOTE: A . SIONS WELL REQUIRE A NEVU PLAN SUBMITTAL
AND Y INGUIBE ADDRIONAL PLAN REVIEW FEES,
/),- )Jovec (AVALI
A
c ot �•��
FILE COPY
I understand that the Plan Check approvals are
subject to errors and omissions and approval of
plans does not authe; ize the violation of any
adopted code or ordinance. Receipt of con-
tractor's copy of approved plans acknowledged.
GM Of %NU
PPROYED
SEP 2 3 2003
ti
RECEIVED
CITY OF TUKWILA
SEP 16 2003
PERMIT CENTER
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PERIVIIT CENTER
DEPARTMES 4'2•
Building Division gj
Public Works
Complete
TUES /THURS ROUTING:
Please Route
APPROVALS OR CORRECTIONS:
Documents/routing slip.doc
228.02
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M03 -149 DATE: 9 -16 -03
PROJECT NAME: SEATTLE LIGHTING
SITE. ADDRESS: 300 ANDOVER PK W
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Is Issued.
5n kvo,_
Fire Prevention 54
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete ❑
Structural Review Required
❑
REVIEWER'S INITIALS: DATE:
Planning Division
❑ Permit Coordinator
DUE DATE: 9-23-03
4
Not Applicable ❑
Comments:
" Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire 0 Ping ❑: PW ❑ Staff Initials:
No further Review Required
DUE DATE: 10 -21 -03
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Notary Public
State of Washington
EMILY ANNE MUELLER
MY COMMISSION EXPIRES
April 29, 2007
REGISTERED AS PROVIDED BY LAW AS.
CONST CONT GENERAL
REGIST. # EXP. DATE
CCO1 TRIMEI*044KB 05/02/2005
EFFECTIVE DATE 05/02/1996
TRI MECHANICAL INC J;W..
PO BOX 444
REDMOND WA 98073-0444
Signature
Issued by DEPARTMENT OF LABOR AND INDUSTRIES
RECEIVED
CITY OF TUKWILA
SEP 2 5 2003
PERMIT CENTER