HomeMy WebLinkAboutPermit M06-024 - STARDUSTVg0 90IAI
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Parcel No.:
Address'
Suite No:
Value of Mechanical: $1,000.00
Type of Fire Protection:
City of Ti.swila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: St. tukwila.wa. us
2523049078
16300 CHRISTENSEN RD TUKW
Tenant:
Name: STARDUST
Address: 16300 CHRISTENSEN RD, STE 310, TUKWILA WA
Owner:
Name: MCELROY GEORGE & ASSOC INC
Address: 3131 S VAUGHN WAY STE 301, AURORA CO
Contact Person:
Name: GARY WIRTA
Address: PO BOX 82360, KENMORE WA
Contractor:
Name: CFM HEATING AND COOLING INC
Address: PO BOX 82360, KENMORE WA
Contractor License No: CFMHEHC969CD
DESCRIPTION OF WORK:
RELOCATE (2) DIFFUSERS AND ADD (4) NEW GRILLES TO EXISTING VAV BOX FOR TI
Furnace: <100K BTU
>100K BTU
Floor Furnace
Suspended/Wall /Floor Mounted Heater
Appliance Vent
Repair or Addition to Heat/Refrig /Cooling System....
Air Handling Unit <10,000 CFM
>10,000 CFM
Evaporator Cooler
Ventilation Fan connected to single duct
Ventilation System
Hood and Duct
Incinerator: Domestic
Commercial/Industrial
doc: IMC- Permit
MECHANICAL PERMIT
EQUIPMENT TYPE AND QUANTITY
* *continued on next page**
Steven M net, Mayor
Steve Lancaster, Director
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 510 -1736
Phone: 425 -481 -6239
Expiration Date:02 /04/2008
M06 -024
02/17/2006
08/16/2006
Fees Collected: $170.40
International Mechanical Code Edition: 2003
Boiler Compressor:
0 -3 HP /100,000 BTU
3 -15 HP /500,000 BTU
15 -30 HP /1,000,000 BTU
30 -50 HP/1,750,000 BTU
50+ HP /1,750,000 BTU
Fire Damper
Diffuser
Thermostat
Wood /Gas Stove
Water Heater
Emergency Generator
Other Mechanical Equipment
11
0
0
0
0
0
M06 -024 Printed: 02 -17 -2006
Permit Center Authorized Signature:
doc: IMC- Permit
City of Thidwila
Department of Community Development
6300 Southcenter Boulevard, Suite 11100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: si.tukwila.wa.us
Steven Mt, Mayor
Steve Lancaster, Director
Permit Number: M06 -024
Issue Date: 02/17/2006
Permit Expires On: 08/16/2006
Date: ey2-1 117,
I hereby certify that I have read and =`f-J ine• s 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 construct'on or the performance of work. I am authorized to sign and obtain this mechanical permit.
Signature: y. "41 Date:
Print Name: lifevgy l b
This permit shall become nul( / 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.
Oz 06
M06 -024 Printed: 02 -17 -2006
City of Thkwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2523049078
Address' 16300 CHRISTENSEN RD TUKW
Suite No:
Tenant: STARDUST
1: ***BUILDING DEPARTMENT CONDITIONS***
PERMIT CONDITIONS
"continued on next page**
Permit Number: M06 -024
Status: ISSUED
Applied Date: 02/13/2006
Issue Date: 02/17/2006
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
5: Manufacturers installation instructions shall be available on the job site at the time of inspection.
6: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department
of Labor and Industries (206/248- 6630).
7: VALIDITY OF PERMIT: The issuance or granting of a permit 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 ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
doc: Conditions M06 -024 Printed: 02-17-2006
City of Tikwila
Signature:
Print Name: areflAy 14,0C/1
doc: Conditions
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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.
Date: in
M06 -024 Printed: 02 -17 -2006
SITE LOCATION::
Site Address: i icriP100 l . r:aertsen 7--00A
Tenant Name: r *acau L
Property Owners Name: t e � k ?rc e f 1j �we *Mk
Mailing Address: ( b?D() ONO \t11•9.A
CONTACT CT'PERSON
1p7c Q_
Mailing Address: I P o Wll 8n
Name:
CITY OF TUKWILA
Community DevelopmentWpartment
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*'
E -Mail Address:
[GE
RAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page) _
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
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 OF RECORD - All plans must be wet stamped by Architect otRecord
Company Name:
Mailing Address:
Contact Person:
E-Mail Address:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number
q: \\letnaa abate riuynbama application (7-2004)
Rewind: 61-05
ae
Page 1
King Co Assessor's Tax No.: 22-Wi —1 10/1 , � I
Floor: 35
Suite Number: '51 0
New Tenant:
InctiAL
city
vA.
State
.... Yes ❑ ..No
9151
yp
ZOb -No- 1731.,
Day Telephone:
KeiVITYY
City
Fax Number:
luA. %cos
State Zip
city
Day Telephone:
Fax Number:
state
state
Lp
city
Day Telephone:
Fax Number:
State
Zp
Zip
Valuation of (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.
Provide All Building Areas in Square Footage. Below
I" Floor
2 Floor
3' Floor
Floors thru
Basement
Accessory Structure - - -
Attached Garage
Detached Garage
- Attached Carport
.. - '
Detached Cavort -
Covered Deck
Uncovered Deck
Existing
Interior
Remodel'
Addition to
Existing
Stricture
New
Type of
Construction
We IBC
Type of
Occupancy per
IBC
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 R): 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
q a niu pW\ice W,w\pcnra wvac"ion (7.3004)
Revised' 6L05 ...
m
❑..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.
Page 2
PUBLIC WORKS PERMIT INFf ^NATION - 206- 433 - 0179
Scope of Work (please provide detailed information):
Nijjter District
DI...Tukwila ❑... Water District #125
❑ ...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 Aoolication (mark boxes which aoolv):
...Civil Plans (Maximum Paper Size — 22" x 34 ")
❑ ...Technical Information Report (Storm Drainage)
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s)
Pro osed Activities (mark boxes that anolv):
...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
❑ ...Permanent Water Meter Size...
❑...Temporary Water Meter Size..
❑ ...Water Only Meter Sin
❑...Sewer Main Extension Public _
❑ ...Water Main Extension Public
CaII before you Dig: 1- 8004245555
❑...Sanitary Side Sewer
❑...Cap or Remove Utilities
❑ ...Frontage Improvements
❑...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
9 :iVennbe phaMice ehngapwmit application ( 1 - 2004 )
Revised' 6-1-03
ba
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
cubic yards
cubic yards
❑ .. Abandon Septic Tank
❑ ..Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
WON
WO#
WO#
Private
Private
Page 3
❑ .. Highline
❑ .. Geotechnical Report
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑...Renton
0... Traffic Impact Analysis
❑ .. Maintenance Agreement(s) ❑...Hold Harmless
❑ .. 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
FINANCE INFORMATION
Fire Line Size at Property Line
❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment
Monthlv Service Billing to:
Name:
Number of Public Fire Hydrant(s)
Water Meter Refund/Billing
Name:
Mailing Address:
Day Telephone:
Mailing Address:
City
State
T+n
Day Telephone:
- city
State
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor: -
Qty
Fumace<IOOKBTU
Air Handling Unit >10,000
CFM
Fire Damper
0-3 HP /100,000 BTU
Fumace>100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
30-50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Water Heater
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Emergency
Generator
t
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
Other Mechanical
Equipment
i
QR '9G_r' ade G@f j
v
14IEC11ANICAL PERMIT INFOhr.. ATION 206 -431 36
MECHANICAL CONTRACTOR INFORMATION
Company Name: Cf N1. kkaaie(\c (Ants C44AIl5 ..T,nc .
Mailing Address: Pb &t 9iSb0 kenmore. %A A • 9150
/�
City State Zia
Contact Person: (3o t { 1� 1( Day Telephone: 206 • (5l0 ' (1,51,
E -Mail Address: 1 Fax Number: 4 125' 4 1e75"gl6' 1
Contractor Registration Number: (PAK a C 961 C 0 Expiration Date: 02-" De
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuances*
Valuation of Project (contractor's bid price): $ it CO • `` 00
Scope of Work (please provide detailed information): i ' l
Use: Residential: New .... ❑ Replacement ❑
Commercial: New ....0 Replacement El
Fuel Type: Electric ❑ Gas ....0 Other:
Indicate type of mechanical work being installed and the quantity below:
• PERMI APPLICATION NOTES ,'Applicabi
T c:to
er3nits m
ppticahon ._;
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 grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested
in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
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
Signature: OR AW�GENT:
ature A�
Print Name: C / JQfQ,1 prtizr
Mailing Address: R) &v( a
Date Application Expires; _ I I
0511;1 o
I Date ApplicationAccepted :-
q:tlpe s° *slice e6_botyennn WPiirui^n (7-2004)
Revised: 64-03
.
bb
Page 4
Date: 0 /3'06
c f75 . LAS 1 -3
Day Telephone:
Knny►tpre tiA;
cay sate
Staff Initials:
du
Project:
,9i✓rWUS
Type of Inspection: A
,.
/'
, St -
Addressz 30 artectcy.4 '
Called:
Special Instructions:
S C t - ' L 1 /0
t /
Date Wanted: 'n
Z-2
a.r�
p.m.
Requester:
Phone No:
iL
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3
V Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
DL h)D
$58.T EINSPECTION E REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcent r Blvd., Suite 100. Call to sechedule reinspection.
'Receipt No.:
'Date:
Project:
%rrkRN /�
Type of Inspection:
r►oml L RoA: It
-,+v
COMMENTS:
Address: - -
161()0 1¢RIsntsa.R1)
Date Call d
2- 20
Special Instructions:
Date Wanted:
2 —z1 — O6
a.m.
(...
Requester:
i tl� 0 WI r C iC rF
Phone No:
(Approved per applicable codes. Corrections
required prior to approval.
COMMENTS:
On ; E •. bauffir' Le•,.1 II y
i J 4 & - 4,,,,) river re 0
i tl� 0 WI r C iC rF
P t
sp ct
:
G - .es GM / r.
Date'
• L 2. I — of.
REINSPECTION FE REQUIRED. Prior�o inspection, fee must be
53.00
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PER
(206)4313670
•
No.:
Date:
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2523049078 Permit Number: M06 -024
Address: 16300 CHRISTENSEN RD TUKW Status: APPROVED
Suite No: Applied Date' 02/13/2006
Applicant: STARDUST Issue Date:
Receipt No.: R06 -00227 Payment Amount: 142.32
Initials: JEM Payment Date: 02/17/2006 08:37 AM
User ID: 1165 Balance: $0.00
Payee: CFM HEATING AND COOLING, INC.
TRANSACTION LIST:
Type Method Description
Amount
RECEIPT
Payment Check 11079 142.32
ACCOUNT ITEM LIST:
Description
Current Pmts
MECHANICAL - NONRES
Account Code
000/322.100 142.32
Total: 142.32
2624 02/17 9716 TOTAL 142.32
doc: Receipt Printed: 02 -17 -2006
ACCOUP:T ITEM LIST:
I ._:: ;cription
City of Tukwila
630'0 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel Nc.: 2523049078 Permit Number: M06-024
Address: 16300 CHRISTENSEN RD TUKW Status: PENDING
Suite No: Applied Date: 02/13/2006
Applicant: STARDUST Issue Date:
Receipt No.: R06 -00207 Payment Amount: 28.08
Initials: JEM Payment Date: 02/13/2006 03:44 PM
User ID: 1165 Balance: $142.32
Payee: CFM HEATING AND COOLING, INC.
TRANSACTION LIST:
Method Description Amount
Payment Check 11066 28.08
I :,,1N CHECK - NONRES
RECEIPT
Account Code Current Pmts
000/345.830 28.08
Total: 28.08
2428 02/14 9710 TOTAL 28.08
doc: Recei; Printed: 02-13-2006
,,,PERMIT COORD COPY `°-'
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M06 -024 DATE: 02 -13 -06
PROJECT NAME: STARDUST
SITE ADDRESS: 16300 CHRISTENSEN RD, STE 310
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
2- 1 4
Bwl ng Division
Public Works
611 nb- 2 - /I
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Approved ❑
Notation:
REVIEWER'S INITIALS:
Documents/routing slip.doc
2.28 -02
Incomplete ❑
DATE:
Planning Division
Permit Coordinator
DUE DATE: 02-14-06
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 Structural Review Required ❑ No further Review Required ❑
DATE:
DUE DATE: 03-14-06
Approved with Conditions Not Approved (attach comments) ❑
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
License Information
License
CFMHEHC969CD
Licensee Name
C F M HEATING AND COOLING INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602361244
Ind. Ins. Account Id
#1
Business Type
CORPORATION
Address 1
PO BOX 82360
Address 2
City
KENMORE
County
KING
State
WA
Zip
98028
Phone
4254816239
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
2/4/2004
Expiration Date
2/4/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#1
RLI INS
CO
SRS1008639
02/04/2004
Until
Cancelled
$12,000.00
02/04/2004
Business Owner Information
Name
Role
Effective Date
Expiration Date
CLANCY, SHAUN
PRESIDENT
02/04/2004
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
V
Washington State Department of Labor and Industries
General/Specialty Contractor
A business registered as a construction contractor with L &I to perform
construction work within the scope of its specialty. A General or Specialty
construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Savings Information
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= CFMHEHC969CD 02/17/2006
REGISTERED AS PROVIDED BY LAW AS
CONST.CONT GENERAL
REGIST. # EXP. DATE
CCO1 CFMHEHC969CD 02/04/2008
EFFECTIVE DATE 02/04/2004
C F M HEATING'AND COOLING-'-INC
PO BOX 82360
KENMORE WA X80
Signature
Issued by DEPARTMENT OF LA
AND INDUSTRIES
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16300 CHRISTENSEN ROAD
TUKWILA, WA. 98188
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