HomeMy WebLinkAboutPermit M06-113 - COI TRUSTCOI TRUST
16300 CHRISTENSEN RD
STE 340
•
M06 -113 .
Tenant:
Name:
Address:
Owner:
Name:
Address:
City 6n' Tukwila
Parcel No.: 2523049078
Address: 16300 CHRISTENSEN RD TUKW
Suite No:
Contact Person:
Name: GARY WIRTA
Address: PO BOX 82360, KENMORE WA
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
COI TRUST
16300 CHRISTENSEN RD, STE 340, TUKWILA WA
MCELROY GEORGE & ASSOC INC
3131 S VAUGHN WAY STE 301, AURORA CO
Contractor:
Name: CFM HEATING AND COOLING INC
Address: PO BOX 82360, KENMORE WA
Contractor License No: CFMHEHC969CD
DESCRIPTION OF WORK:
RELOCATE (4) SUPPY DIFFUSERS AND ADD (2) RETURN AIR GRILLS.
Value of Mechanical: $1,000.00
Type of Fire Protection:
Furnace: <100K BTU 0
>100K BTU 0
Floor Furnace 0
Suspended/Wall /Floor Mounted Heater 0
Appliance Vent 0
Repair or Addition to Heat/Refrig /Cooling System
Air Handling Unit <10,000 CFM 0
>10,000 CFM 0
Evaporator Cooler 0
Ventilation Fan connected to single duct 0
Ventilation System 0
Hood and Duct 0
Incinerator: Domestic 0
Commercial /Industrial 0
doc: IMC- Permit
MECHANICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EQUIPMENT TYPE AND QUANTITY
* *continued on next page **
M06 -113
Phone:
Phone: 425 481 -3471
Phone: 425- 481 -6239
Expiration Date:02 /04/2008
Steven M. Mullet, Mayor
Steve Lancaster, Director
M06 -113
06/12/2006
12/09/2006
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
Printed: 06 -12 -2006
Permit Center Authorized Signature:
I hereby certify that I have read an
ordinances governing this work will
Signature.
Print Name:
doc: IMC- Permit
City bh Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
AA 04 Al--PV/V1 t
this permit and know the same to be true and correct. All provisions of law and
mpil€d with, whether specified herein or not.
The granting of this pe does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating constru e performance of work. I am authorized to sign and obtain this mechanical permi
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M06413
Issue Date: 06/12/2006
Permit Expires On: 12/09/2006
Date: 1121a.,
Date:
This permit shall become n I 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.
MO6 -113 Printed: 06 -12 -2006
City & Tukwila
1: ** *BUILDING DEPARTMENT CONDITIONS * **
doc: Conditions
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
Parcel No.: 2523049078
Address: 16300 CHRISTENSEN RD TUKW
Suite No:
Tenant: COI TRUST
PERMIT CONDITIONS
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: 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.
* *continued on next page **
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: M06 -113
Status: ISSUED
Applied Date: 06/07/2006
Issue Date: 06/12/2006
M06 -113 Printed: 06 -12 -2006
Signature:
Print Name:
City on Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
doc: Conditions M06-113
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions
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
regulating construction or the performance of work.
Date:
Steven M. Mullet, Mayor
Steve Lancaster, Director
of law and ordinances
other work or local laws
Printed: 06 -12 -2006
Site Address:
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http.' //www ci, tkwila. we. us
SITE LOCATION
Moo GhtistoyAn gaik
Tenant Name: sea-- TYVfrk
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 **
Property Owners Name: FftF? Pr 47 herd-
Mailing Address:
CONTACT PERSON
Name: Col
Mailing Address:
W
Po 6n& eisbo
E -Mail Address:
Company Name: C i t\A COO IN i'u t4ion
Mailing Address: 1 1,449 &!tev, a Or.
Building Permit No.
Mechanical Permit No. Mai - 1(3
Plumbing/Gas Permit No.
Public Works Permit No.
Project No.
(For office use only)
King Co Assessor's Tax No.: ' I V'I y
Suite Number. t� 0 3
Floor:
New Tenant: N Yes ❑..No
city
State
4 yy1 -3Y71
Zip
Day Telephone:
llenMYlorc
City
Fax Number:
lvA 9doz
State Zip
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg S) )
filgt4dc.
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
(04.
State
Zip
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
M
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
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: Applicamota Pomu- Applicatia,s On Lieek3.2 06 - Perak Appliceacn.doc
Revised: 4-2006
bh
State
Zip
Page 1 of 6
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Fumace<100K BTU
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/Retiig/Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
Other Mechanical
Equipment
MECHANICAL PERMIT INFORMATION - 206 -431 -3670
MECHANICAL CONTRACTOR OR INFORMATION
C .
Company Name: f M t4e4 i n5 and Coot; ob tele -
Mailing Address: / PO 1%4 EZ? Q
Contact Person: Gat ./ ,"3(4+A
E -Mail Address: /
Contractor Registration Number: C FA4 l4 E fl f qh 9 rD
s
Valuation of Project (contractor's bid price): $ 1000 40
nr
Scope of Work (please provide detailed information): Eetna el) � 5t>�ly & 41 sxC + oki (2I?
Use: Residential: New .... ❑ Replacement
Commercial: New .... Replacement
Type: Electric ❑ Gas....❑ Other:
Indicate type of mechanical work being installed and the quantity below:
Q tApplic. ,\Fomb- Appliwnoos On Line \3-2006 - Permit Applieadm.doc
Revised: 0.2006
bit
Ken rnt
City
Day Telephone:
Fax Number:
Expiration Date:
v4 96025
State Zip
92 C ie&.39 7 1
(Op - 063 - 9 h�l
02.0(/- of3
Page 4 of 6
PERMIT APPLICATION NOTES — Applicable to all permits in 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.
Building and Mechanical Permit
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 lnternational Building Code (current edition).
Phunbin' Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing 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 ONE OR AUTHORIZED AGENT:
Signature: MOGL�-r
Print Name: .1 Mo IRr
Mailing Address: Po finer)
QMppiladaalponm- Apphcaliais On Linda -2006 - Pamir Appliufion.doc
Revised: 4-2006
bli
Day Telephone:
Ken Mp /e
City
Date: a -67 -06,
tips Y 5 97 1
Loa. 9eoLe
State Zip
1 Date Application Accepted: f
Date Application Expires: 174
Staff Initials:
Page 6 of 6
ACCOUNT ITEM LIST:
Description
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2523049078 Permit Number: M06-113
Address: 16300 CHRISTENSEN RD TUKW Status: PENDING
Suite No: Applied Date: 06/07/2006
Applicant: COI TRUST Issue Date:
Receipt No.: R06 -00825 Payment Amount: 170.40
Initials: ]EM Payment Date: 06/07/2006 03:21 PM
User ID: 1165 Balance: $0.00
Payee: CFM HEATING AND COOLING, INC.
TRANSACTION LIST:
Type Method Description Amount
Payment Check 11318 170.40
MECHANICAL - NONRES
PLAN CHECK - NONRES
RECEIPT
Account Code Current Pmts
000/322.100 142.32
000/345.830 28.08
Total: 170.40
6188 06/07 9716 TOTAL 170.40
doc: Receipt Printed: 06 -07 -2006
Project:
-�
! ✓JS9-
Type of Inspection:
(Y
1
Address:
/ 6/
ll
•
Clr �
Date Ca led:
Special InsC
coons:
•
ate Wanted
014
a.m.
PO
Requester:
Phone No:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
h(.I Approved per applicable codes.
INSPECTION RECORD
Retain . a copy with permit
El Corrections required prior to approval.
COMMENTS:
f L
x+, ul
()4 et, F5
UJ EINSPECTION E REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
11 -01 -2006
GARY WIRTA
PO BOX 82360
KENMORE WA 98028
RE: Permit No. M06 -113
16300 CHRISTENSEN RD TUKW
Dear Permit Holder:
In reviewing our conent records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division 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 tin.e after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to
Call the City of Tukwila Inspection Request Line at 206- 431 -2451 to schedule for the next or final inspection..
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 one or more extensions of time for
additional periods not exceeding 90 days each. Extension requests must be in writine 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 and receive an extension prior to 12/17/2006, 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,
ife 1a shall,
Permit Technician
xc:
w-Mibto
Permit File No. M06 -113
City of Tukwila
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
ACTIVITY NUMBER: M06 -113 DATE: 6 -7 -06
PROJECT NAME: COI TRUST
SITE ADDRESS: 16300 CHRISTENSEN RD
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #_
Revision # After Permit Issued
DEPARTMENTS:
Bui di '• Division
Public Works ❑
DETERMINA ON OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 6-8-06
Complete
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS RO}ITING:
Please Route , Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS' DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents/routing sllp.doc
2 -28 -02
SPERMIT COORD COPY rniv
PLAN REVIEW /ROUTING SLIP
v 6(1 &L& &
Fire Prevention
Planning Division
Structural ❑ Permit Coordinator ❑
Incomplete ❑
Not Applicable ❑
DUE DATE: 7-6-06
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
512,000.00
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
Ns"
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 06/12/2006
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