HomeMy WebLinkAboutPermit M03-186 - SHOWA IISHOWA 11
575 AND OVER PARK
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M03 -186
The granting o
regulating co
Signature:
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2623049144
Address: 575 ANDOVER PK W TUKW
Suite No:
Tenant:
Name: SHOWA II
Address: 575 ANDOVER PK W, TUKWILA WA
Owner:
Name: LOWE NORTHWEST INVESTOR PRO
Address: 600 UNIVERSITY ST, SUITE 2820
Contact Person:
Name: RICHARD GARCIA
Address: 4210 B STREET NW, AUBURN WA
Contractor:
Name: FIVE STAR MECHANICAL
Address: 3902 W VALLEY HY STE 200, AUBURN WA
Contractor License No: FIVESM *0103T
DESCRIPTION OF WORK:
RELOCATING 4 SUPPLY AIR GRILLES AND 1 RETURN AIR. RELOCATE 1 EXHAUST FAN
Value of Construction: $1,500.00
Type of Fire Protection: SPRINKLERS
Permit Center Authorized Signature:
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.
Print Name: LA-[ (siliA7 V- - GW.-CA
doc: Mech
MECHANICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
M03 -186
Phone:
Phone: 206 786 -8894
Phone: 253 - 833 -8284
Expiration Date:04 /30/2004
M03-186
11/04/2003
05/02/2004
Fees Collected: $46.50
Uniform Mechnical Code Edition: 1997
Date: /j_ V-'3
pt'psume to give authority to violate or cancel the provisions of any other state or local laws
1 - r f' • -n wee of work. I am authorized to sign and obtain this mechanical permit.
►„�� /� Date: \ 6 7-7
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: 11 -04 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2623049144
Address: 575 ANDOVER PK W TUKW
Suite No:
Tenant: SHOWA II
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: 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 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 con ruct • n c r th - pe ormance of work.
c / /
Signature:
doc: Conditions
Print Name: 1 1 - 1 �—
M03 -186
Permit Number: M03 -186
Status: ISSUED
Applied Date: 11/04/2003
Issue Date: 11/04/2003
Date: /l 6 3
Printed: 11 -04 -2003
Tenant Name:
Name:
E -Mail Address:
Company Name:
Mailing Address:
E -Mail Address:
Company Name:
Mailing Address:
CITY OF TUKWILA
Community Development Department
Public Works Department
' Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
SI'E`yL0•CATI!
King Co Assessor's Tax No.: 2 .2 � ?N '
Site Address: -S j\tttx V S - Suite Number: Floor:
sk'to' J
Property Owners Name:
lapplicationstpetmit application (3.2003)
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 **
Mailing Address:
Zip
N TACT. , : : : ERSON"
1Z— tCA 4Al2—t> • CA1ZC- lA.
Mailing Address: A Q Y3 s r,
IzAl
RACTOR:INFO2MATI
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Contact Person: —t . I 644. - — ( '
Contractor Registration Number: .f t S G l 03T Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
ARCH ITECT O
CORD .
p lans must be wet s by Architect of Recor
s
Contact Person:
E -Mail Address:
)EN CINEEROF RECO
It lens �
lust be'wet stamped by Engmeer of Record
•
Company Name:
Mailing Address:
City State
Contact Person: Da •elepbione:
E -Mail Address:
.,. ,.a.. �� ;x•.t., �.': _..:.T:.. +; k., -taw ..ri 4r ; ;i:r n .; 0?.id ••• t -nz
Page I
City
New Tenant:
Day Telephone:
City
Fax Number:
City
Day Telephone:
Fax Number:
Fax Number:
... Yes
State
Zoly 7 � ' 8glA
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State
..No
`l
Zip
-Via& - , Z • t32.
State Zip
ZZDC. c8`t4
Zip
City
Day Telephone:
Fax Number:
Zip
irt,.mp { ti= 206, =43Y:: 0
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Existing Building Valuation: $
Will there be new rack storage? ❑ ..Yes ❑ .. No If "yes ", see Handout No. for requirements.
rovide All Building Areas in Square Footage Below
1': Floor
2 "0. Floor;
•Basement
•
Accessory; Structure'
:Attached Garage
Deta Garage
Attached Carport:
Detached Carport
Covered Deck
Uncovered Deck
' Interior
Remodel
Addition to
Existing
Structure
'Type. of
Construction
perVBC
Type ofr`
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.
lappliationa permit application (3-2003)
3/2003
Page 2
Scope of Work (please provide detailed information):
.Please "refer. (*Public Works Bulletin ktfor:fees.and;estimate "shee
Water District
❑ ...Tukwila 0... Water District #125
❑ ...Water Availability Provided
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
0 ...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
bpplications\permit application (3 -2003)
3/2003
❑ .
❑ .
❑ .
❑ .
/ t
Call before you Dig: 1- 800 - 424 -5555
Sewer District
❑ ...Tukwila 0... 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 (Storm Drainage) ❑ .. Geotechnical Report ❑...Traffic Impact Analysis
❑...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑...Hold Harmless
. Abandon Septic Tank
. Curb Cut
. Pavement Cut
. Looped Fire Line
11
WO#
WO#
WO#
Private
Private
Page 3
❑ .. Highline
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ ...Renton
❑ .. 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
It
FINANCE INFORMATION
Fire Line Size at Property Line
❑...Water ❑...Sewer
Monthly Service Billing to:
Name:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
❑ ...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
1
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
AitECHA't . C:At PER1YIIT INF( !I ATION'. 4'206.433.3
.• } "yi'- "�' P }hi pti`�y G'��.t.: G•r. '�t ~ �S lf N � �•SLi�: �;J.r�G, .;.., . 5.�• ,... �. :. ,
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MECHANICAL CONTRACTOR INFORMATION
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Company Name:
Mailing Address: 4'-\ VN\
Contact Person: f u -lt%tt O t\,,—
E -Mail Address: t01 Y 0 1 ' -(t VeSA" 6 -V 1
Contractor Registration Number: 'fir i * D 1 0i1 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): $ •1 60
Scope of Work (please provide detailed information): 11.--
A.14 t) 1 - r uiz -r.! \ ( 1 J t- l '
Use: Residential: New ....I
Commercial: New ....0
Replacement ....El
Replacement ....D
Indicate type of mechanical work being installed and the quantity below:
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Cit
c r bDCD
State Zip
Day Telephone: 2 - 7Cn 8&t4-
Fax Number:
VD V5
f st �p t_y t r--
0121 �l.-S
Fuel Type: Electric Gas ....El Other:
TAP PLICATIOII Q
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 C TIFY HAT I HA READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF RJ p' Y : Y T E A S OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Date Application Accepted:
Date Application Expires:
Staff Initials:
BUILDING O ER 0 i A T . Z • G T:
Signature: t' '
Print Name: 1?..-1L4-I412.p ` l
Mailing Address: 4210 g - S'T1z G`T lV‘
4pptiutions\permit Ipplication (3.2003)
3/2003
Date: 1 1/4-/ 6 3
Day Telephone: 1 ZS. 6'52- - 822e4
�,u�a,,t,c, kr3.a. ct
City State Zip
Z
RECEIPT
re Parcel No.: 2623049144 Permit Number: M03 -186 6 o
Address: 575 ANDOVER PK W TUKW Status: PENDING co 0
Suite No: Applied Date: 11/04/2003 w =
Applicant: SHOWA II Issue Date: —
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Receipt No.: R03 -01332 Payment Amount: 46.50 u-
Initials: SKS Payment Date: 11/04/2003 11:16 AM_ w
User ID: 1165 Balance: $0.00 ? I
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Type Method Description Amount u_ ~O
Payee:
TRANSACTION LIST:
Payment Check 3648 46.50 W
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ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RICHARD GARCIA
MECHANICAL - NONRES
PLAN CHECK - NONRES
Account Code Current Pmts
000/322.100 37.20
000/345.830 9.30
Total: 46.50
4 :367 1.1./04 9716 TOTAL 46.50
Printed: 11 -04 -2003
Pr ca t:
Type of Ins ion: 4;? .....Qt
Address
9
6
Date Called:
I A), itk/�
Speci Ins ructio s:
Date Wanted: a m.
Reque : r ` k '�.0 ci�C..f re'
PhO2No!"— 7C)Ce '.-- O a
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #1(10, Tukwila, WA 98188
Approved per applicable codes.
COMMENTS: ■
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actor:
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V 47.00 REINSPECTION FEE REQU) ED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
(Receipt No.:
••c
INSPECTION RECORD
Retain a copy with permit
El Corrections required prior to approval.
r -r
PE
(206)431 -367
Date:
File: M03 -0186
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DEPARTMENT OF LABOR AND INDusTR1 ES
REGISTERED AS PROVIDED BY LAW AS
coNsTCONT GENERAL
, a1REGTST . ,i#EXP. DATE
CCO1 .FIVESM*010JT 04/30/2004
E FFECTIVE DATE 04/0/1999
FIVE STAR.MECHANICAL
. •
3902 W VALLEY HWY N STE 200
AUBURN WA 98001
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I understand that the Plan Check approvals are
subiect to errors and orris
ons and approval of
plans does not authorize t1 violation of any
adopted code or ordinance. ReCellrWtri-
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SHOWA — TENANT IMPROVEMENT
SOUTH CENTER CORPORATE SQUARE
575 ANDOVER PARK WEST
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CITY TUKWU
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