HomeMy WebLinkAboutPermit M01-180 - ORTHODONTIC CENTERS OF AMERICAM01-180
Orthodontic
Centers of
America
6720 Fort Dent
Wy
City of Tukwila
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M01 -180
Type: B -MECH
Category: NRES
Address: 6720 FORT DENT WY
Location:
Parcel 4: 295490 -0455
Contractor License No:
MECHANICAL PERMIT
TENANT ORTHODONTIC CENTERS OF AMERICA
6720 FORT DENT WAY, TUKWILA, WA 98188
OWNER RADOVICH JOHN C
2000 124TH NE B -103, BELLEVUE WA 98005
CONTACT JERRY SCOTT
7717 DETROIT AVENUE SW, SEATTLE, WA 98106
* * * * * *'k * *'A'A *•kk*•A**** k•***•**•* **A****** ** * **• ** kk kA AA ***A ** * **A*** **• * *'A k*A**** i
Permit Description:
ADD 1 NEW EXHAUST FAN, ADD 1 NEW SUPPLY DIFFUSER A
ND 3 NEW RETURN AIR GRILLES, RELOCATE 2 SUPPLY DIF
FUSERS AND 2 RETURN AIR GRILLES, MISC DUCTWORK AND
AIR BALANCE.
UMC Edition: 1997 Valuation:
Total Permit Fee:
** * ** ***** *. *'k1c** * * ** ** *'k *'k **A * *•k *** ******** A*** *• *'k * * * *k * ** *** *'kA **•k* * *•k **
Print Name:
de
Perni'i;//Center Authorized Signature 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 for and
obtain this building permit. l /ij
Signature.: j 2 2 Da te:/ /c2
Tam in V _V/9
Title:
(206) 431 -3670
Status: ISSUED
Issued: 10/12/2001
Expires: 04/10/2002
Phone:
Phone: 26 768 -4108
150.00
55.56
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.
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ACTIVITY NUMBER:. M01 -180 DATE: 10 -08 -01
PROJECT NAME: ORTHODONTIC CENTERS OF AMERICA
SITE ADDRESS: 6720 FORT DENT WAY
Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Is Issued
DEPARTMENTS:
Building Division 2
iwc O A (
Public Works
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
TUES /THURS ROUTING:
Please Route
1PRROUTE.00C
5/99
Approved
V
CORRECTION DETERMINATION:
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
n
Fire Prevention
Ala to 1-0i
Structural
Incomplete
Structural Review Required
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS: (ten days)
Approved Ti Approved with Conditions
Approved with Conditions
REVIEWER'S INITIALS:
T1
Planning Division
)0:1 Permit Coordinator
DUE DATE: 10-09-01
Not Applicable
n No further Review Required
DUE DATE 11 -06 -01
DATE:
Not Approved (attach comments) Ti
REVIEWER'S INITIALS: DATE:
DUE DATE
Not Approved (attach comments)
DATE:
we,... on 7ta: 4bouxk .CtSYtYlY:liiti`.�0].^,:tik*', Vst,v1;i ;o':7, ∎.:
ACTIVITY NUMBER: M01 DATE: 10 -08 -01
PROJECT NAME: ORTHODONTIC CENTERS OF AMERICA
SITE ADDRESS: 6720 FORT DENT WAY
XX Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Is Issued
DEPARTMENTS:
Building Division
Public Works
PLAN REVIEW /ROUTING SLIP
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
TUES /THURS ROUTING:
Please Route
REVIEWER'S INITIALS:
REVIEWER'S INITIALS:
Approved
\PRROUTE.DOC
5/99
Structural Revi
equired
CORRECTION DETERMINATION:
Fire Prevention
Structural
Incomplete
APPROVALS OR CORRECTIONS: (ten days)
Approved n Approved w;' nditions
Approved with Conditions
n
Planning Division
Permit Coordinator n
DUE DATE: 10-09-01
Not Applicable
No further Review Required
DATE: (0 -9 -ZOO(
DUE DATE 11 -06 -01
Not Approved (attach comments)
DATE: I -9 - Z.pD(
DUE DATE
Not Approved (attach comments)
REVIEWER'S INITIALS: DATE:
��iL4t L$7.,'i2;a1:r,: 3:ti:3r:afiiu;LS :ii. Sri, ; .., 0 .5
PERMIT NO.: M01 - 160
INSPECTIONS
Additional Conditions:
MECHANICAL PERMIT APPLICATIONS
❑ 00002 Pre - construction
• 00050 WSEC Residential
❑ 00060 WA Ventilation /Indoor AQC
❑ 00610 Chimney Installation /All Types
❑ 00700 Framing
❑ 01080 Woodstove
❑�/ 01090 Smoke Detector Shut Off
Er 01 100 Rough -in Mechanical
❑ 01 101 Mechanical Equipment/Controls
❑ 01102 Mechanical Pip /Duct Insul
❑ 01105 Underground Mech Rough -in
❑ 01115 Motor Inspection
❑__,�+ 1400 Fire Final
l 01800 Final Mechanical
❑ 04015 Special -Smoke Control System
CONDITIONS
00.01 No changes to plans unless approved by Bldg
Div
❑ 0014 Readily accessible access to roof mounted
equipment
N Exposed insulation backing material
019 All construction to be done in conformance
w /approved plans
❑ 0002 Plumbing permits shall be obtained through King
Co
0027 Validity of Permit
003 Electrical permits obtained through L & I
0036 Manufacturers installation instructions required
on site
❑ "BTU maximum allowed per 1997 WA State Energy Code"
❑ 0041 Ventilation is required for all new rooms &
spaces
❑ 0005 All permits, insp records & approved plans
available
❑ . "Fuel burning appliances
❑ "Appliances, which generate...."
❑ "Water heater shall be anchored...."
TENANT NAME: L 1 6.a./, ` � I .
FEES
Basic Fee (YIN) ✓
Supplemental Fee (Y/N)
Plan Check Fee (Y/N)
Furnace /Burner
to 100,000 BTU (qty)
Over 100,000 BTU (qty)
Floor Furnace (qty)
Suspended/Wall /Floor- mounted Heater (qty)
Appliance Vent (qty)
Heating/Refrig/Cooling Unit/System (qty)
Boiler /Compressor
to 3 HP /100,000 BTU (qty)
to 15 HP /500,000 BTU (qty)
to 30 HP /1,000,000 BTU (qty)
to 50 HP /1,750,000 BTU (qty)
over 50 HP /1,750,000 BTU (qty)
Air Handling Unit
to 10,000 cfm (qty)
over 10,000 cfm (qty)
Evaporative Cooler (qty)
Ventilation Fan (qty)
Ventilation System (qty)
Hood (qty)
Incinerator — Domestic (qty)
Incinerator — Comm /Ind (qty)
Other Mechanical Equipment (qty)
Other Mechanical Fee (enter $$)
Add'I Fees — Work w/o Permit (Y/N)
Insp Outside Normal Hours (hrs)
Reinspections (hrs)
Miscellaneous Inspections (hrs)
Add'I Plan Review (hrs)
Plan Reviewer:
Permit Tech:
Date:
Date:
� -g -200
ACTIVITY NUMBER: M01 - 180 DATE: 10 -08 -01
PROJECT NAME: ORTHODONTIC CENTERS OF AMERICA
SITE ADDRESS: 6720. FORT DENT WAY
XX Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Is Issued
DEPARTMENTS:
Building Division
Public Works
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
TUES /THURS ROUTING:
Please Route
REVIEWER'S INITIALS:
Approved n
CORRECTION DETERMINATION:
Approved
\PRROUTE.DOC
5/99
11
n
PLAN REVIEW /ROUTING SLIP
n
n
Fire Prevention
Structural
Incomplete Li Not Applicable
tructural Review Required
APPROVALS OR CORRECTIONS: (ten days)
Approved with Conditions
/ 444 \
Planning Division
Permit Coordinator
DUE DATE: 10-09-01
No further Review Required
DATE: ) 6N01
DUE DATE 11 -06 -01
Approved with Conditions n Not Approved (attach comments)
Not Approved (attach comments)
REVIEWER'S INITIALS: DATE:
n
REVIEWER'S INITIALS: DATE:
DUE DATE
OCT 03 '01 03:30PM TUKWILA DCD'PW
CITY OF Tw10WILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application
Project Name/Tenant:
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or facsimile.
ertiO 0cN T c - r S of
Site Address :
jp7�D Fier PENT G✓AV
Property Owner:
AbNA/ ( ?APoVIC 1) E 114C C
Street Address:
Goo /ZV( AvE Al
Valuof M ical equipment:
City State/Zip: Tax Parcel Number:
umber:
7JKW!LA 96e8 z95 S
Phone: (4Z5 ) yS,U _(
Contractor.
1 n(cQ_1ii PASS
Street Address:
D rQ
Contact Person:
,seelto sayT r
Street Address: City State/Zip; Fax #: ( ) 7Cg- Li( o 7
77/1j) r tr 4y15. S t✓ �E rrtE iJA !
_ ��;� i'+ 1�{Q4�►PP{tR7l �►Y,, ii�taJ "s. =',cro al�x; ric>xip+'
Description of work to be done (please b e specific):
ADD / Ajw .xHkus - ,�qIQ J aia1 t P ? ust(
Pe-rV /ZN Ate TZIL LAS Lc: _ A- r P 2 sv pP V Al FFJS E',' S 4/n`/D 2
LL/ G /L4—E i
Current copy of Washington State Department of Labor and industries Valid Contractor's License. If not available at the time of
application, a copy of this license will be required before the permit is issued OR submit Form H-4, "Affidavit in Lieu of Contractor
Registration ".
Building Owner /Authorized Agent If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the
State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and obtain the
permit will be required as part of this submittal.
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.
614E1ING'f,O'iti litElTit ORIZED „A'GENTii:
Signature:
Print name: ‘)6gev 56,-r r
Address:
77 P 1 A 51A)
/D— 8• —P/
r l�
/70C T L) r✓, e fit' At)
4
Date: 4 / 5 4,j
Phone: (7D() 7 '-I) l 0e , Fax #: (2_66 )
City /State/Zip: (--,
E ity Sat ip: Fax #: ( /Zs )1/5 - 77 0
4
City State/Zip. 1.10
Phone: (2ce ) 7G3 -9460
Fax #: ( )
Phone: (ZOC' 7C -
(AA
G✓
.' "' . .r .t' '' .l l!'.r ''r•;� '4�, ni%t�.. ' '�i!
WORM
Gt'�Yw�a�t:�;;7jy aiacZ. .
CITY OF TUKWILA
4
Address: 6720 FORT DENT WY Permit No: M01-180 i
Suite:
Tenant: ORTHODONTIC CENTERS OF AMERICA Status: ISSUED
'
Type: B-MECH , Applied: 10/08/2001
Parcel #: 295490-0455 ' Issued: 10/12/2001
***'***4.*************Altk**********A****kA*k*AWA:*****AA.0.1.*AAAA**.Ak**A4.**k** Z
Permit Conditions: 1
I. :Electrical permits shall be obtained through the Washington ,
, w
cc 2
'State Division of Labor and Industries and all electrical
1
work will be inspected,:by that agehcy,(248-6630). a
, 00
a. No changes will to the plans unless approved by the
Engineer andt6e:Xukwtla Building Division.
* CO 111
3. All permitsOnspectioirrebords and approved plans shall be
'available4et-:the'job site prtOr to the start of any con-
. i co ii.
uj 0
structiofiVTheseldocu'ments,are-to be Maintained and'avail- i 2?
able untli finalHnspectiOn approval is granted,; I g 5
• All o0hStr4tiOn'tobe donejn'ponformance with approved
plansand requireMents of theAiniform Building Code' (1997
. CO
- CI
Editlon) amended, Un•fo'rm Mechanical Code'.(1957,,Edition),
1 III
. .. , . .
anct. Code (1997 Edition). .,' ,
. Valy Permit. The issuance of a permit or approva1,6f i
4ans,rsp'acification! and' shall not be : 1 le
sA6Jelf: permit for',, or an approval of, any , .
lEm
of,flany of the provisions �f ,the•bullding,code or of any
• otfier ordinnce'of,the jurisdiction. No ,permit presuming t,o', OP-
.gtve:aqtbority to lata;,or cancel the provisions o f this
, ,
code shall •pe ; ye ri d. — ' .., 1 i 0
, 1—
ManutaAturers installation required on site
6 0
iii z
0 w
I herebyAcertqy that I have read these conditions and will comply 1 PM
.,, , 01-
, with them as•.dutlined. All provisions of law and ordinances governing , z
this workw be 'Complied with, whether 'specified herein or not.
The grantApg of this permit does not presume to give authority to
violate or c ancel the provisions of k any other work or local laws
regulating onstrqcOon or the performance of work.
' ;44Y
• Date : /
4gpature 4
• c'‘ the buildininspectors review.
P.rsi nt Name: lain M
ItiMI,VW"f• •
vfr tzzr
Reprinted: 10
MECHANICAL PERMIT
i A A*A*A ‘k*A4 A .. Ich,k*A*Isck*t kA
in f Y OF TUKWILA. WA
TR ANSMY'l Number: R 0101335 Amount:
Payment Method: CHECK No tat ion: MACDONA
Per of i t No: 401-180 TypP: 8 -MECH
Parce I Not 235490-0455
Si be Address: 6720 FORT DEN!' WY
To ta 1 Fees: 35.5b
•This Payment 55.56 1 ota 1 ALL rnts: 55.56
Hal Ance t .00
Account Code Descir i pt ion Amount
_
000/345.830 PLAN", CHECK - MONRES 11.11
000/322.100 MECHANILAL - NONRES 44.45
**********A*4
/12/01 08:34 TRANSMIT
A**
55.56 10/12/01 0830
LD MILLER Init. SKS
41
TY7,3 10/12 9719 TOTAL 55.56
Proje t:
6 AAA...* L , A if
Type of I sp ion: # )
MI 4 • '
•
U11 ed wet I i
red j
Date cal‘Pl• •----
D
i / a _.....
Special instructions:
.
1
Date wanted: (p
II 06 ti
Requeger:
uf &e,s,Aaa)
Phone:
cea (oce) SW -ooaf,
••::•1 •
•
+4
3. INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
ii
VII 0 /8
•
PERMIT NO. 5 0
(206)431-3670
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS: •
Inspect° .
')?09/0-
Date:
• 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:
• • • '•:;.• • •'••••,',/
P( ' ject`: _ ` ('
Ty o speCtin:
Address:
(0 Foci ben-i-
Date cal e
I a -? M. p I
Special instructions:
Date wanted:
a.m.
Requester:
�QV
Phone: I
INSPECTION RECORD
Retain,a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 9818
(7)l- leo
PERMIT NO.
(206)431 -3670
Approved per applicable codes. n Corrections required prior to approval.
COMMENTS:
t) r �PCV O,nS Tr/ W\ lP _post
C O;% r\f - �Y ct f r45 ve
InspectorwaR
Date: I
c $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:
p roject:, t '
a
Type Inspec
Ad ress:
11776 Ded 1
Date called:
/0/VC/
Special instructions:
Date wanted: I / /
l> IS d
I . .1
Reques er:
4
Phone:
Cea (x0) S7/ -c
INSPECTION NO.
INSPECTION RECORD
--Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
`6300 Southcenter Blvd, #100, Tukwila, WA 98188
rirai- (SO
PERMIT NO.
(206)431 -3670
Approved per applicable codes. 11 Corrections required prior to approval.
COMMENTS:
/11, c..A / r .�Z p 7 ? � Gc%.s i s. £bee
/( 7 LP /n7
ector
f
$47.00 REINSPECTION
�at 6300 Southcenter BM
Receipt No:
Tjf�'
Date: /
E REQUIRED. Pr' r to inspection, fee must be paid
., Suite 100. Cal to schedule reinspection.
Date:
'�'t}. 3."F,t+L+:�zu� �.vsv+:,::.�,:.ai :'"•�,c.+:';.�i:L.�ia
�d a= 'Jnt:F
Need Current Contractor Registration Card: es t No
Need to Enter Contractor Information in Sierra: , Yes No
� h
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4 ,7 •
tle1"ktatt'' 41o,
FILE COPY
I understand that the PIan Check approvals are
subject to errors and omissions and approval of
plans does not authorize the violation of any
adoPted code or ordinance. Receipt of con-
tractors copy of approved plans acknowledged.
By
Date
Peng No.
SEPARATE PERMIT
REQUIRED FOR:
0 MECHANICAL
• ELECTRICAL
iff LUMBING
Dr CAS PIPING
CITY OF TUKWILA
BUILDING DIVISION
COY Of TUOITA
APPROVEI)
Oct 9 2001
iti_4
fiI DRG S •-•
MacDonald Miller
Company, Inc.
7717 Detroit Ave. S.W.
Seattle. Wa 98106-1903
Phone: (206) 763-9400
Fax: (206) 767-6773
Wash Lic No 223 - MA - CD - OM - 24.9
OCR • - 603a.o. FF01 JS5
0vLI 203-2453 6800 KES
,6y STATE FORM 5Co-2453 KES
A L A.s .e.una -
I., 0 /c/
REVISIONS: DATE
IA
TO00MA0I/EENO2904991 AGO 05/i3/ea
I ra
i7a
DENT
OFFICE BUILDING
U-TOO FOKI_DEt4tT2NA
AFTNrLN54M0 -C4,5
F1T FLDORII
ENGINEER: RI
CHECKED BY: PRO
DRAFTER:
ISSUE DATD 4193
NOT
ISSUED FOR
CONSTRUCTION
LAST REVISED:
AO/Z/01
DATE PLOTTED:
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SHEET NUMBER:
TM-I