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Permit M03-200 - BOEING - SECOND FLOOR
BOEING - SECOND FLOOR 6840 FORT DENT WAY M03 -200 Parcel No.: 2954900425 Address: 6840 FORT DENT WY TUKW Suite No: Tenant: Name: BOEING Address: 6840 FORT DENT WY, TUKWILA WA Owner: Name: 3OHN C RADOVICH LLC Address: 2000 124TH AVE NE #B 103, BELLEVUE WA Contact Person: Name: DARLA DOLL Address: 7717 DETROIT AV SW, SEATTLE, WA Contractor: Name: MACDONALD /MILLER FAC SOL INC Address: PO BOX 47983, SEATTLE, WA Contractor License No: MACDOFS980RU DESCRIPTION OF WORK: RELOCATE 6 SUPPLY AIR DIFFUSERS; ADDING 1 NEW SUPPLY AIR DIFFUSER, RELOCATE 2 RETURN AIR DIFFUSERS; ADD 1 NEW RETURN AIR DIFFUSERS; RELOCATE 1 PNEUMATIC T -STAT BALANCE 3 ZONES. Value of Construction: $750.00 Type of Fire Protection: Permit Center Authorized Signature: Signature: Print Name: doc: Mech City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 MECHANICAL PERMIT M03 -200 Permit Number: M03 -200 Issue Date: 12/02/2003 Permit Expires On: 05/30/2004 Phone: Phone: 206 768 -4278 Phone: Expiration Date: 12/31/2004 Fees Collected: $63.63 Uniform Mechnical Code Edition: 1997 Date: 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: / ' U — O 3 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: 12 -02 -2003 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 2954900425 Address: 6840 FORT DENT WY TUKW Suite No: Tenant: BOEING PERMIT CONDITIONS Permit Number: M03 -200 Status: ISSUED Applied Date: 11/18/2003 Issue Date: 12/02/2003 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: Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear identification showing the fire performance rating thereof. 6: 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). 7: 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. 8: Manufacturers installation instructions required on site for the building inspectors review. 9: Ventilation is required for all new rooms and spaces of new or existing buildings in conformance with the Uniform Building Code and the Washington State Ventilation and Indoor Quality Code, Chapter 51 -13 WAC. 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: Print Name: A- \ doc: Conditions M03 -200 Date: /a- 0 - - o� Printed: 12 -02 -2003 //,^ King Co Assessor's Tax No.: 29 Se/ 9 C7 0 4 7 / ;-5 — CSC Site Address: L/O rdc 1 ,tom+ L,-) % Suite Number: . Floor: -2 Tenant Name: , 1 rtk New Tenant: '.... Yes El ..No Property Owners Name: A a 0 ,1 i i k Mailing Address: 2L2D ) )u" A-v-(2... MC Name: Company Name: )f\ 4, - VV\ t 11 Mailing Address: 7 7) —) \\ C'Fro 4.02_ JL3 Contact Person: -- K)A2. -LP E -Mail Address: e FM l a c,3 ov Contact Person: E -Mail Address: 'applicationatpennit application (3.2003) 3/2003 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Page 1 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 ** ^ .JLQU e— City w;4 State Rkvv Zip \ .1A o Day ga p � Mailing Address: 1 j ) ‘1_.t, ‘1_.t, }- ,r-0 \-4- � -c S , L - ) �J / q V 661 City � State Zip E -Mail Address: �,�1rt —UP . o n e Iti��c. \t & CAre, Fax Numh..rt.? :GENERAL': C . .. .. a .•: C'. S ' • .. . S - a I +1 City State Zip Day Telephone: �`Y,) 7(0 Fax Number: (P--0 (0 - 7(0 r Contractor Registration Number: ✓VI A Q .: )\=:.S 9 YO 12U Expiration Date: 1 2 3 ( / c� ' * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** ARCHITECT OE RECORD AID plans must be:wet stamped by Architect of Rego Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State S tate Zip Company Name: Mailing Address: Zip City Day Telephone: Fax Number: Valuation of i , oject.(cpntractor's bid price): $ Scope of /otk (ple°a §s;pi'ovide'�d btailed information): Existing Building Valuation: $ Will there be new rack storage? ❑ ..Yes ❑ .. No If "yes ", see Handout No. for requirements. P,rovide:All Building Areas in Square Footage "'Floor. . 2 " Floor 3 Floor Floors Basement Accessory Structure! Attached Garage • Detached Garage Attached Carport Detached Carport :. : : :. Covered Deck Uncovered Deck - 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? 0 ....Yes ❑ ..No If "yes ", explain: \applicationlpermit application (3•2003) 3/2003 Page 2 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 p .. No If "yes", attach list of materials and storage locations on a separate 8 - 1/2 x / / paper indicating quantities and Material Safety Data Sheets. ' VekiRp1. 4s'.'�F xreHRWM•Naws+.!': /: Scope of Work (please provide detailed information): Water District .. .Tukwila 0... Water District #125 0 ... 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 (Storm Drainage) .. .Bond ❑ .. Insurance 0 .. 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 0 ...Total Cut ❑ ...Total Fill appliationstpermit application (3.2003) 3/2003 Please refer,to. public 'Works Bulletin #1 for feekand estimate sheet. - cubic yards cubic yards ❑...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 _ Call before you Dig: 1 800 - 424 - 5555 ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line .. W.O# WO# WO# Private Private Page 3 ❑ .. Highline ❑ .. Geotechnical Report ❑...Traffic Impact Analysis 0 .. 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 p ...Renton .. • Grease Interceptor .. • Channelization ❑ .. Trench Excavation .. • Utility Undergrounding ❑.. .Deduct Water Meter Size " FINANCE INFORMATION Fire Line Size at Property Line 0...Water ❑...Sewer 0 ...Sewage Treatment Monthly Service Billing to: Name: Number of Public Fire Hydrant(s) Day Telephone: Mailing Address: Zip City State Water Meter Refund/Billing: Name: Mailing Address: 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 >I00K 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 MECHANICALTERMIT;INFG. AATION 206=431;;3670 ` ! ^: ?'� y.,.. .�'•.�1.: MECHANICAL CONTRACTOR INFORMATION , Company Name: 11/\ W C_�� 1c-N1 , \sr/ Mailing Address: ` 7 `7 / 1 © Q.4 r-o ; 4- City State Zip Contact Person: (,�— �,. �� � \� Day Telephone:( Z_v (,) '7 (o k — y z 1 2 E -Mail Address:, -VA p \\ (I\uc'Q C,,6\,. -.Fax Number: <2 ( — y .D I `1 Contractor Registration Number: /v\ /1coo F S 0 Expiration Date: / 2-4.7?/ / U y **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 1 Scope of Work (please provide detailed information): V +-e (D Sk.� A C /cluc_tys i /" d & ) A S (..,..e91-td c`∎ f ci „cry t u � .C, t i (t L j U C (-- e .r e_41 n a` r t'•t- u .S e- e7" 7Lct ti / iV C-u') re -\w- r. c... k e A rec., u., 4L4?...1 o r c - e, I ? n 2 stn.. w i't L T- S 4 A f Use: Residential: Commercial: Fuel Type: Electric New ... ❑ New -.4 ❑ Gas ....0 Replacement ....❑ Replacement .... ❑ Other: Indicate type of mechanical work being installed and the quantity below: PERMIT APPLICATION :NOTES.= ;Appli aI 'iu.thi . - 0OplieatipQ•• 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. BUILDIN • • ' ! . AUTHORIZED AGEN : Signature: Print Name: Q$: G2 , :\ Da I ) of Mailing Address: 1 -] / 7 ` tr Th au.a. S�J Date: //I /Ss/ ? Day Telephone: (20c) 7 (� �— Y27 Sl wro\ vj City State Zip Date Application Accepted: / / = 0 3 Date Application Expires: Staff Initials: i \applicationatpermit application (3.2003) 3/2003 Page 4 .Nreintrv,!?.iX %t:iin: �� r' s. 'di°'?i3iGi`,5•wwLSri.'S,JLxa•. City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT < Z Parcel No.: 2954900425 Permit Number: M03 -20() ix 14 Address: 6840 FORT DENT WY TUKW Status: APPROVED j v Suite No: Applied Date: 11/18/2003 a 0 : Applicant: BOEING Issue Date: w i J ~ co LL w 0 2 Receipt No.: R03 -01440 Payment Amount: 63.63 P ? LL Initials: SKS Payment Date: 12/02/2003 03:22 PM d User ID: 1165 Balance: $0.00 H w z . Zp t— 0 Z I- W uj 0 o O— O H TRANSACTION LIST: w w Type Method Description Amount I U _. I— LL. H O . 111 Z 0 O Payee: MACDONALD- MILLER FACILITY SOLUTIONS INC Payment Check 956673 63.63 ACCOUNT ITEM LIST: Description doc: Receipt MECHANICAL - NONRES PLAN CHECK - NONRES Account Code Current Pmts 000/322.100 50.90 000/345.830 12.73 Total: 63.63 5252 12/03 9716 TOTAL 63.63 Printed: 12 -02 -2003 Z Project: 4 /50 &INA Type of Inspection: rm/ (- Addrgs s.• _ Called: (Z — /0 — a .3 A9)7--Lei-P Special Instructions: 4- . 4 6 6.'1/26Y / 9,.. /4-3557.6.6e Date Wanted: ..7 /- - / - (3 ca.1 P• • . Requelte",2r Phone No: -\ ( 4 7 - " - ) 7// • 41 t kiltir17 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 Ma3- PER 4 6)431-3670 I vi Approved per applicable codes. Corrections required prior to approval. 191, 7; / $ ISIP;NSPECT1ON • REQUIRED. Prior to inspection, fee must e paid at 6300 Southcent Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: File: M03-0200 35mm Drawing #1-2 Public Works ❑ PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: M03 -200 DATE: 11 -18 -03 PROJECT NAME: BOEING SITE ADDRESS: 6840 FORT DENT WY - 2 FLOOR X Original Plan Submittal Response to Incomplete Letter # _ _ Response to Correction Letter # Revision # /before permit is issued DEPA TMENTS: G bW -01) Buil ing ivisio • Fire Prevention JI' Structural ❑ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 11 -20 -03 Complete [V] Incomplete ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS R UTING: Please Route Structural Review Required ❑ No further Review Required Planning Division Permit Coordinator Not Applicable ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 12 -18 -03 Approved ❑ Approved with Conditions N ot 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 PERMIT COORD COPY DATE: - DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONS CONT _ CENERnz ;CCOI .. NiA �PES9:BpR[l�.12 / F FECTI '3E •1,2/31/2002' ill ,CDONALD /N9ILLLR FAC . SOL INC : PO .BOX • 47983 - SEATTLE WA .98106 F625•052-010111. ___ Sri-- r Detach And Display Ccttificate ; 2,S- 02-f » 1807) REGISTERED - .AS .PROVIDED BY LAW AS . .CflNSTF.,CONT. :•GENE . :..... .t, IREGIST • # . ;EXP .• D? 10. _ 0 . MACDOFS980RU : 12/31/210 : 4,. , .gPFE :DATE :. � �. '1.0002.•- MACDONALD /MILLER FAC:_SOL INC PO BOX •47 §B - SEATTLE -,W_A,••'$10. f • Signature Issued by DEPARTMENT OP .LABOR AND INDUSTRIES Please Remove And Sign Identification Card Before Placing In Billfold ,., is .. .. 2/ 2 7/ 0 „3' • seortat z W -J C.) 00 V) 0 W = J H W 0 u- Q = I- _ z � I- 0 Z �. O co • 0, O — • I— I uj H H u_ 6 • O z I unc rsta:nd that the Plan Check �p provaIs are subject to errors and omissions and approval of plans does not authorize the violation of any adopted code or ordinance. Receipt of con - tractor's copy of approved plans acknowledged. B Date Permit No. \\VV : P Z:lc:Sfki .0 ____VO SEPARATE PERMIT REQUIRED FOR: 0 MECHAIIAIICAL L LLECTRICAL LUMB NG 1 .1 1 i'S PIPING CITY OF TUKWILA -BUILDING DIVISION I.1I,,I1 1 1 1 t 111 111 STCOTT' Si O N72 " • 1 or (2. ijit I ;i�l 3 80 III IIIIIIIIIII I I IIIII I IIIIIII I IIIII I II III CFM LACES) 280 SD \ CFM 4 (RE—BALANCE EXISTING) OFFICE 21H2 280 UP 220 DN OFFICE OPNG DRAGS 120 SECOND FLOOR PLAN 4257463737 P.02/03 s/1 o 14/14 12/12 OFFICE 1 214 CEIVED OF ru{��,, • Vi 82003 PERMIT CEN rp CFM (4 PLACES) OFFICE OCT -27 -2003 10:35 CFM (4 PLACES) FOUSHEE '"- -- C 2 621 2/12 -- -- 10/10 8/8 RECEIVED CITY nF TUKWII A NOV 1 8 2003 PERMIT CENTER TOTAL P.03