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M03 -151
Owner:
Name: MCELROY GEORGE & ASSOC INC
Address: 3131 S VAUGHN WAY STE 301, AURORA CO
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: $2,300.00
Type of Fire Protection: N/A
Permit Center Authorized Signature:
Signature:
doc: Mech
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
MECHANICAL PERMIT
Parcel No.: 2523049077 Permit Number: M03 -151
Address: 16000 CHRISTENSEN RD TUKW Issue Date: 10/01/2003
Suite No: Permit Expires On: 03/29/2004
Tenant:
Name: K -LINE
Address: 16000 CHRISTENSEN RD, STE 301, TUKWILA WA
DESCRIPTION OF WORK:
RELOCATE INDOOR DUCTLESS AIR CONDITIONER FOR TENANT RELOCATION
Fees Collected:
Uniform Mechnical Code Edition:
M03 -151
Phone:
Phone: 206 624 -3370
Phone: 206 624 -3370
Expiration Date: 08/23/2004
$46.50
1997
Date: /B� D 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 or the performance of work. I am authorized to sign and obtain this mechanical permit.
Date: (3-t
Print Name: �P,(P.+N�� Mt J1 Qr
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: 10 -01 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 2523049077 Permit Number: M03 -151
Address: 16000 CHRISTENSEN RD TUKW Status: ISSUED
Suite No: Applied Date: 09/24/2003
Tenant: K -LINE Issue Date: 10/01/2003
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: 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: - , Date: 16-1
Print Name:
doc: Conditions
M03 -151
Printed: 10 -01 -2003
Site Address:
Tenant Name:
Property Owners Name: grez,4 OY \‘_(
Mailing Address: \ (DOC° CAA r■ `
CQNTACTPERSON
Name:
Mailing Address:
E-Mail Address:
Company Name:
Mailing Address:
Contact Person:
E-Mail Address:
Contact Person:
E-Mail Address:
Contact Person:
E-Mail Address:
lapplicationstpermit application (3.2003)
3/2003
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
VoCcO \iv ceA r ZcacS
04>
fral 6 fiC.JIY\ e
City
Pa
el
Day Telephone:
ereLIMS
City
Fax Number:
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.: 49 ....17.2 B‘
Suite Number: • C) Floor:
New Tenant: D.... Yes D..No
LuA
State
c f8a52.
State
q1 6 (bCt(C) pZ,
State
City
Day Telephone:
Fax Number:
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 E:RECO
Company Name:
Mailing Address:
State
State
Zip
Zip
Zip
Zip
City
Day Telephone:
Fax Number:
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
-
[ T-INFORMATION: 20 31-367
, .L� .. f3xii' • i; l�. (.a.i'�.. n}, arj S,4,��L.: .
Valuation of Project (contractor's bid price): $
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
:l ". Floor;:: ;
2!°:•F
3'.° Floor •
Floors:
JBaseinent.
:Accessory . Structure■••'.
Attached Garages' ,
Detached :Garage
:Attached Carport. `.
Detach ,C aipo
Covered "Deck .:
: Uncovered Deck.::
• Addition'to
Existing • " '`
- Structure
:TYpe = . •
.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? 0 ....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.
■applicationaipctmit application (3.2003)
3/2003
Page 2
Existing Building Valuation: $
. -... ::.C.�:.^:i�'':'..`i:::.'.:;� 6 ?rYr'.Y:aty�•n..wWx. %:w•r. �. �....�.. p..n(m -;
�iY.4i i•Y:'.
..nww:4.40- 0A4'uxixNr: :.
Scope of Work (please provide detailed information):
1 ..
Please, refer to Public Works Bulletin #1 for fees :and estimate; sheet:
Water District
❑...Tukwila ❑... Water District #I25
❑...Water Availability Provided
Sewer District
❑ ...Tukwila ❑... ValVue ❑ .. Renton ❑ ...Seattle
0 ...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
0. ..Construction/Excavation/Fil1- Right -of -way
Non Right -of -way
❑ ...Total Cut
❑ ...Total Fill
■applicationalpetmit application (3.2003)
3/2003
cubic yards
cubic yards
❑...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑...Fronta 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 _
❑•
❑•
a.
❑•
CaII before you Dig: 1- 800 - 424 -5555
. Abandon Septic Tank
. Curb Cut
. Pavement Cut
. Looped Fire Line
WO#
WO#
WO#
Private
Private
Page 3
❑ .. Highline
❑ ...Renton
❑ .. Geotcchnical 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 "
FINANCE INFORMATION
Fire Line Size at Property Line
❑ ... Water 0 ...Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
0... 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
Fumace>100K BTU
Evaporator Cooler
()k ac
\
3 -15 HP /500,000 BTU
Floor Fumace
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. ,ER1VIIT INFORMATI.ON '4.206431..i,3670
• t Lain.
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registrati
* *An original
2 - i \ 5 2 f A\) e. V�
Valuation of Project (contractor's bid price): $ 2 •
'
Scope of Work (please provide det ed information): \DCOt \ .
COnC) , ('lOiN`e -r ( VQX'Yi V C AD(
Use: Residential: New .... ❑
Commercial: New ....❑
Fuel Type: Electric
Indicate type of mechanical work being installed and the quantity below:
Signature: .{,e,P71 41/67
I
Print Name: `Z ��Y C►/�� / �1UZI \ V'
Mailing Address: ( ) 1'$ 2Y LE
4ppliutionatpetmit application (3 -2003)
Ac 4
City
Day Telephone:
Fax Number:
Wuk "0..5052.
State Zip
20 b - �' 3•57&
qz - 21 b - l (00b
EL CA \ ' 2.� 3 tV V. Expiration Date: OE'i
curre Washington State Contractor License must be presented at the time of permit issuance **
r
Replacement .... ❑
Replacement ... l" _
❑ Gas ....0 Other:
xPWI JJ ER APPLICATION`NOT
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 O OR AUTHOR ? AGENT:
Date: g" . 2 7 - 1 1'03
Day Telephone: 20(0 - 62 / - s37()
advrk C WA- G 05
City
State Zip
Date Application Accepted:
Date Application Expires:
2' 2 /-fY
Staff Irkials:�
1
' NM2urNK .i +m. »r.cvrsib
TRANSACTION LIST:
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT 1Z
ow
Parcel No.: 2523049077 Permit Number: M03 -151 6 m
Address: 16000 CHRISTENSEN RD TUKW Status: APPROVED v 0
Suite No: Applied Date: 09/24/2003 N 0
Applicant: K -LINE Issue Date: tu H
N U.
w O
Receipt No.: R03 -01192 Payment Amount: 46.50 g a .
52 a
Initials: SKS Payment Date: 10/01/2003 10:39 AM
User ID: 1165 Balance: $0.00 W
ZH
52f?
Payee: ELECTROMATIC SALES & SERVICE, INC m • 0.
0 O
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WW .
Type Method Description Amount F H
LI O
Payment Check 66211 46.50 LLJ Z
O
z
MECHANICAL - NONRES
PLAN CHECK - NONRES
Account Code Current Pmts
000/322.100 37.20
000/345.830 9.30
Total: 46.50
3241 10/02 9710 TOTAL 46.50
Printed: 10 -01 -2003
Project:. i .
Type of Inspestion:
Address: i . , ,
, t(iji r )Dc_ 01-A--e5tei/i&-i-z
Date Called:
I 0 (a)03
Special Instructions: ,
Date w
W anted:
Requester:
Phone No:
CP —
Retain a copy with permit
INSPECTION NO.
CITY:OFTUKWILA BUILDING DIVISION
Southcenter Blvd., #100, Tukwila, WA 981 88 (206)431-3670
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
•••
15. r Ovo 1,01 1
•
. • •
• „ .
INSPECTION RECORD
rfrt O3-t5' 1
PERMIT N
Inspector:
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
Paid at 300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Recelpt No.:
Date: \ 3 _ 0 _ 5
Date:
S
Project: //
Type o finspec 'on:
Address:
/4 OaC) C Ce-;
0c. •
Date Called
/ D- D / -6 3
Special Instructions:
4
E A•M
?r'Ss o re 4.e Sf
14--Q_
Date Wanted:
� - G 2 -2
�
3
a. m,
� ` p
Re quester::
l, n,,
Phone LVd:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
(206)431 -3670
Approved per applicable codes. 11 Corrections required prior to approval.
COMMENTS:
Rrur 3c PST
Inspector:
Date: 1 0_ -
$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:
•
•
A.
ACTIVITY NUMBER: M03 -151
PROJECT NAME: K -LINE
SITE ADDRESS: 16000 CHRISTENSEN RD
DATE: 09 -24 -03
X Original Plan Submittal Response to Incomplete Letter # _
_ Response to Correction Letter # Revision # after permit Is Issued
DEPARTM ENTS:
'1
Bufkr Division LEJ
Public Works ❑
PERMIT COORD COP''
PLAN REVIEW /ROUTING SLIP
671 ALL '1 -?-s 3
Fire Prevention
Structural ❑
Planning Division
Permit Coordinator
CI
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 09 -25 -03
Complete [ Incomplete El
Comments:
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROUTING:
Please Route 5 f Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 10 -23 -03
Approved ❑ Approved with Conditions [� Not Approved attach comments ❑
PP PP PP ( )
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing slIp.doc
2 -28.02
PERMIT COORD COPY
•
REGISTERED AB 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
NT OF LABOR AND ENDUSTRIES
Signature
[sued by DEPARTM
This is an una.1 original certificate
\,
ELECTROMA AgitiCES & S WkZ It Is1C.
• '
By:
Su
Notary ublil
My Cornmissiori E
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I understand that the flan Check av,prova's are
sub to errors and cmns and apriroval of
plans does net authcize tne vitiation r)f any
adcF,t/N1 code or ordnance Receipt '/f con-
tractor's copy of approved pans ad( c■Medged.
tat
Permit No
FIL OnPY
SEPARATE PERMIT
REQUIRED 70R:
r CHAMCAL
- kl f, :_LECTRICAL
Sie.AS PIPING
CITY OF TUKWILA
BUILDING DIVISION
IVED
r UKWILA
•
INTER
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NO CHANC,E'S 4 E
17 SCOPE OF iK WITHOUT PAzCF?
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author, ,ELEC,OMATtC SALES &
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from theoe Jraoor;E.. ore abcroaerd
by ELES 3ALF-7. & inc
2791 152nd
WASHIV
206 -33 V,
hva,, - -,-,tractor.corr
ELECTROMATIC AXE CONDITIONING
RZFRIOKRATICt
11111VCN aolo
i i LE •
SITE PLAN
HJH •
K-LINE
16000 CHRISTENSEN ROAD
TUKWILA, WA.
.• 'MRIf
r4 ay
..1 En BY
NO DATE BY
RE VISION