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HomeMy WebLinkAboutPermit M03-185 - 7-ELEVEN7- ELEVEN STORE 74462 34T" AVENUE SOUTH M03 -185 z W re U 00: (0 0: W = W O' g Q Na �w z� _o z w 2 j! UU CI I- W IL: U u. z N' O z Owner: Name: Address: doc: Mech City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 MECHANICAL PERMIT z Parcel No.: 0040000074 Permit Number: M03 -185 1 Address: 14462 34 AV S TUKW Issue Date: 11/03/2003 4— re z Suite No: Permit Expires On: 05/01/2004 6 m J0 00 Tenant: CO w Name: 7- ELEVEN STORE _1 H Address: 14462 34 AV S, TUKWILA WA co w w LQ CD O I-w Contact Person: z H Name: JERRY HITE Phone: 253 833 -9300 — 0 Address: 800 EAST ORAGETHORPE AV, ANAHEIM CA w F— w Contractor: 0 0 Name: SOURCE REFRIGERATION /HVAC INC Phone: o H Address: 800 EAST ORAGETHORPE AVE, HEIM, CA Contractor License No: SOURCRI2795 cc d) Expiration Date:10 /05/200,5 x 0 QQ H49. u' O. di - I O~ THE SOUTHLAND CORPORATION Phone: ATTN: AD VALOREM TAX DEPT, CITY PL CTR E / PO BOX 711 DESCRIPTION OF WORK: RE -ISSUE OF EXPIRED PERMIT MO2 -122 TO COMPLETE WORK : REPLACE EXISTING HEATING PUMP WITH NEW GAS UNIT. Value of Construction: $3,000.00 Fees Collected: $73.00 Type of Fire Protection: N/A Uniform Mechnical Code Edition: 1997 Permit Center Authorized Signature: ? �P� - -� �� -c--c_ Date: L 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. Signature: �' Date: / / % %3 Print Name: t C 22>4/ - 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. M03 -185 Printed: 11 -03 -2003 • z Parcel No.: 0040000074 Address: 14462 34 AV S TUKW Suite No: Tenant: 7- ELEVEN STORE Signature: doc: Conditions City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 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: Plumbing permits shall be obtained through the Seattle -King County Department of Public Health. Plumbing will be inspected by that agency, including all gas piping (296- 4722). 4: 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). 5: 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. 6: Readily accessible access to roof mounted equipment is required. 7: 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). 8: 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. 9: 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 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 regulating construction or the performance of work. Print Name: L 2icr He e+-c_ M03 -185 Permit Number: Status: Applied Date: Issue Date: M03 -185 ISSUED 11/03/2003 11/03/2003 • ordinances or local laws Date: %/ /d.?ic) Printed: 11 -03 -2003 Contact Person: E-Mail Address: Company Name: Mailing Address: Contact Person: E-Mail Address: Contact Person: E-Mail Address: tapplicationsVermit application (3.2003) 3/2003 CITY OF TUKWIL4 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** A Site Address: / ezr( tiVe Suite Number: Floor: Tenant Name: Se veo.t. r)./e ve Property Owners Name: Mailing Address: Name: (Lel Day Telephone: V 59 - 9 3 Mailing Address: 71 L• • ije„tUel tAlt V, /06 Avklu.ifty. City State Zip E-Mail Address: 3 _c. Fax Number: 4 ,75 - 3 e 3 3 — S c_, LA—d-C„.€_ I g—ef7t.7. A-(4-"X 7T' c _ 6)4 Ud A- g 31 02- Li.et(e_ 14tAA/ IV , 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 plans .iwe Company Name: Mailing Address: ApcoRD plaiiiimust be Wet stiamlied by Engineer of Iteeeid - , • . - • Company Name: D.S . ; ei Mailing Address:212 City State Zip Day Telephone: ‘1, - 3 - / 77I Fax Number: shz,, ?. C. Page 1 King Co Assessor's Tax No.: c.,c.) C-( 00 Q — 0 Sc City New Tenant: .... Yes State State State ..No Zip City Day Telephone: Fax Number: Zip City Day Telephone: Fax Number: Zip ='BUII DIN P ERM IT I RM`' 1QN: -=. °206= :431 -3670_ • h `tr 4 l � j!r� '.•rte..':'`t ?.t h!t 4y .d ?�.l • 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 All Building Areas in Square Footage Below l at. Floor: 2 "° Floor 3t° Floor Basement Accessory Structure* • Attached Garage Detached Garage Attached. Carport Detached: Carport'.; Covered Deck' Uncovered Deck Interior Remodel Addition to • Existing Structure 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? p ....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. Upplications \permit application (3.2003) 3/2003 Page 2 1 LiICt:?WORK$'PRMITxINTG 4ATIO .. t . . t � t >. ' {: �iY�`k {;��t•.:x•.4:4L y,,, .. �� .�. ; !i < a . 1 .i .. .. .r ... � ... ., .. Scope of Work (please provide detailed information): Water District ❑ ...Tukwila ❑... Water District #125 ❑ ...Water Availability Provided 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. 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 Mailing Address: ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water FINANCE INFORMATION Water Meter Refund/Billing: Name: Mailing Address: Upptiations \permit application (3.2003) 3/2003 Call before you Dig: 1- 800 -424 -5555 :Please'refer'to'Public Works Bulletin #L for fees;and•estimate sheet: cubic yards cubic yards ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line ft 4 3=017 ❑ .. Highline ❑ .. Geotechnical Report ❑...Traffic Impact Analysis ❑ .. Maintenance Agreement(s) ❑...Hold Harmless ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ ...Permanent Water Meter Size... WO# ❑...Temporary Water Meter Size.. WO# ❑ ...Water Only Meter Size WO# ❑ ...Deduct Water Meter Size If ❑ ...Sewer Main Extension Public Private ❑ ...Water Main Extension Public Private Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑...Water ❑...Sewer ❑...Sewage Treatment Monthly Service Billing to: Name: Page 3 Day Telephone: City ❑ ...Renton ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding 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 11P /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+11P/1,750,000 BTU Heat/Refrig/Cooling System Incinerator - Domestic Air Handling Unit <= 10,000 CFM Incinerator — Comm /Ind - MECHANICAL PERMIT INF( MATION - 206 = 4313670' MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Scope of Work (please provide detailed information): Use: Residential: New ....D Commercial: New .... Signature: ja.-0 Mailing Address:. 3 5 U 2 L' Print Name: \applicationskpermit application (3.2003) 3/2003 Replacement .... Replacement .... ©� Page 4 le vZ w Ur 1 1)-.) - tv .oc t �Ub K w►g City Stale Zip Contact Person: ) It` t_ i ,1-1/4 —e— Day Telephone: . 3.- 3 _r E -Mail Address: J 04(...,:_c) Sov..QG.e_LtTi.�r..t.: c . Fax Number: 25 — S3 3 — 4 /5 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 ** Valuation of Project (contractor's bid price): $ ' Ot)c `r Fuel Type: Electric Gas Other: Indicate type of mechanical work being installed and the quantity below: APPI:ICATION,NOTES Applicable:to all permitsin 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 THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT: Date: ///3/0....? e -{ / —� , > Day Telephone: 153 — �J9 " 73' c� l e /L,, /4 4.444? City State Zip Date Application Accepted: Date Application Expires: Staff Initials: ... ...u.�..: tk;. .. :S�tt.' 1S rt« �t. Y 1 r `°�•• s.', S::i&Jd+:v:; �1.:'. �i�. �4t, .wuiLLk�.n ". «:u.a:l::::.::a:,ci :. il r4 2 11J Parcel No.: 0040000074 Permit Number: M03 -185 6 D Address: 14462 34 AV S TUKW Status: PENDING 0 0 Suite No: Applied Date: 11/03/2003 w w Applicant: 7- ELEVEN STORE Issue Date: SQ u w O. Receipt No.: R03 -01328 Payment Amount: 73.00 g a: D. Initials: SKS Payment Date: 11/03/2003 12:08 PM z d User ID: 1165 Balance: $0.00 Z I I~-O Z II- w w Payee: SOURCE REFRIGERATION & HVAC, INC v o M 0 w W Type Method Description Amount I-- O u. H. Payment Check 3299 73.00 lllZ 0 =. O t Z TRANSACTION LIST: ACCOUNT ITEM LIST: Description doc: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 MECHANICAL - NONRES RECEIPT Account Code Current Pmts 000/322.100 73.00 Total: 73.00 47.Y1 11/04 9716 TOTAL 71 Printed: 11 -03 -2003 Project: / / �� Type owl ,sA t /4n:/ Add ss: J y b 2 3 e/ A S Date Called: Oy v e— Special Instructions: Date Wanted ��— Cj -- a.m. p.m. t } r: /� Requeet l /' , P✓(`Pc P3 Phone No: y INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Mos-is5 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: Inspect $47. P 'Receipt No.: Date: r REINSPECTION FEE REQUIRED. Prio to inspection, fee must be at 6300 Southcenter Blvd., Suite 100 all to schedule reinspection. Date: Pro'ect 5 Type Inspgtion: 5 rv‘ a V..-[ S i-1 LC- )D (ild Address: 1y4 3LIh) s Date Called: LI_ 8_o Special Instructions: 1 P� Date Wanted: 1—�_�7 _0 y a.m. m Requester: ' MAY ° .P ( 9 c. 5 3 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter'Blvd., #100, Tukwila, WA 98188 17'9?4pproved per applicable codes. 6431 -3670 El Corrections required prior to approval. COMMENTS: 47.00 REINSPE ION FEE REQUIRED. Prior to inspection, fee must be `''paid at 6300 Sout center Blvd., Suite 100. Call to schedule reinspection. J 4' ceiPt No.: Date: Project: • 7 // 5 7 2 Type of Inspection: f Abl Address: / q & 3 `-/ 4 / 5, Date Called: — ?— Special Instructions: Date Wanted: -- U -- () cf a.m. p.m. Requester: 7/41/2 Ce.615 P one No: L 5 ,253 G 86.3 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISIO 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. ",Corrections required prior to approval. COMMENTS: Inspe t•r: S 7.00 REINSPECTION F REQUIRED. Prior t• inspection, fee must be p id at 6300 Southcenter Blvd., Suite 100. Call o schedule reinspection. pt No.: INSPECTION RECORD 'Retain a copy with permit Date: "Date: 06)431 -3670 PE O. U �� Project: _ 7 -/i - 57D,e�- n: / Type of I sectio • : Ad). , I , A dress: Date Caile Special Instructions: i e 44 1)Db /4) S 7 - 0 ,* , /7 /4 ELEC , e Date Wanted: a.m. s e -p r , p.m. Requester: Ph� No -2..33) Vass -163..` INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 J N.-� i9/t/E'G I per applicable codes. 0 Corrections required prior to approval. / COMMENTS: f Inspe tor A �Vw'> 1 \ ". r �fx Date: 1– j 3 Mvc. .00 REINSPECTION FEE SQUIRED. Prior �o inspection, fee must be at 6300 Southcenter Blv�., Suite 100. Cal to schedule reinspection. t No.: (Date: April 1, 2004 Jerry Hite 800 East Oragethorpe Avenue Anaheim, CA 92801 RE: Permit Application No. M03 -185 14462 34th Avenue South Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the Building Official under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Building Code does allow the Building Official to approve a one -time extension up to 180 days. Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection or request and receive an extension prior to May 1, 2004, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Stefania Spencer Permit Technician City of Tukwila • Call the City Of Tukwila Permit Center at (206) 431 -3670 to arrange for the next or final inspection. Xc: Permit File No. M03 -185 Bob Benedicto, Building Official Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 LICENSE DETAIL INFORMATION Form Page 1 of 2 Registration# or License SOURCRH992PB Name SOURCE REFRIGERATION & HVAC Address 800 E ORANGETHORPE AVE Address City ANAHEIM State CA Zip 92801 Phone Number 7145782300 Effective Date 10/5/2001 Expiration Date 10/5/2005 Registration Status ACTIVE Type ELECTRICAL CONTRACTOR Entity CORPORATION Specialty Code HVAC /RFRG LTD ENERGY Other Specialties UNUSED Other License HARRITJ001 QA UBI Number 602140981 LICENSE DETAIL INFORMATION Current Filter: None STATE OF WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES Specialty Compliance Services Division P. O. Box 44000 Olympia, WA 98504 -4000 THE RESULT OF YOUR INQUIRY FOR LICENSE NUMBER SELECTED IS: *VIEW CROSS REFERENCE FILE FOR THIS LICENSE* *VIEW PRINCIPAL OWNER() FOR THIS LICENSE* * * *VIEW CONTRACTOR BOND /SAVINGS INFORMATION * VIEW ADMINISTRATOR INFORMATION * * * ** * ** New inquiry by CITY , NAME , PRINCIPAL OWNER NAME , LICENSE , UBI NUMBER, check the L &I Contractor Industrial Insurance Premium Status or return to the L &I Construction Compliance Home Page https : / /wws2.wa.gov /lni/bbip /TF2Form .asp ?License= SOURCRH992PB 11/03/2003