HomeMy WebLinkAboutPermit M98-0056 - VIDEO ONLY•
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City of Tukwila ( (206) 431-3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MECHANICAL PERMIT
Permit No: M98 -0056
Type: B -MECH
Category: NRES
Address: 290 ANDOVER PK E
Location:
Parcel #: 022320 -0030
Contractor License No: UNITESI176RB
UMC Edition: 1994
* * * * * * * * * * * **
Permit Center PP"u "chorized Signature Date
Signature:
Valuation:
Total Permit Fee:
Status: ISSUED
Issued: 03/23/1998
Expires: 09/19/1998
TENANT VIDEO ONLY
290 ANDOVER PK E, TUKWILA WA 98188
OWNER RICHARD PETERSON
11703 N.E. 98TH, KIRKLAND WA 98033
CONTRACTOR UNITED SYSTEMS INC. Phone: 206 442 -9454
1021 SW KLICKITAT WY STE 104, SEATTLE, WA 98134
CONTACT BILL LIEBSACK Phone: 206 -654 -3340
1021 SW KLICKITAT WY STE 104, SEATTLE WA 98134
**** * * * * * * * * * * * * ** * * * * * *•k * * * * * *** k************ * * * *•k* * * * * * * * * ** * * * * * * ** * **k*
Permit Description:
EXTEND DUCT DROPS, ADD TWO RELIEF GRILLS AND
TWO THERMOSTATS.
**********************.***** * * * * * * * * * * * * * * * * * * * * **. * * * * * * **
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 ani authorized to sign for and
obtain this bu,4lding g rm,'t.
Date: ". l ()
Title: PrOJ Co0Y
Print Name:
,600.00
58.13
This permit shall become .null and void if 'the .work -, not commenced within
180 days from the date of .issuan.ce,, or if..the: <work is suspended or
abandoned for a period of 180 days from: -the last inspection.
Project Name/Tenant:
Value of Construction: <6
Site Address: City State Zip:,_
Tax Parcel Number_
,
Property Owner: l
� '
i \ (��!\ -.' -Y!_ .) cc .�� ;' -1
Phone:
Phone:
Street Address: �. , , City Stat /Zipti
1 1101 - ) 11i C 1 n.,,4 .'( 1 _.iv4c.I Y1( 1).a.). (,�)I/ ,,
Fax it:
City /State /Zip:
Contact Person: (
J1 ( ,I PI%;`7 3C,k,
Phone:
0 Sewer
0 Metro
Street Address: City State /Zip:
10).,1 /).u). 1-<1ICVik.r. (.)..0 .)Li / tt'' 10 7:?a 0 ( 1)I "J'
Fax #:
7U1)
(,
2 ) %40
Contractor: - - ,---
Phone:
Street Address: {{ 1 C ity State /Z
)1) 1.1 ") 11 ‘1 ,ll'./ - %/t; I UM2'(), 5) tAl k ( .,l.i} (l),> 'g IJq
Fax #: ^�
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Architect: '
Phone:
Street Address: City State /Zip:
Fax #:
Engineer:
Phone:
Street Address: City State /Zip:
Fax #:
MISCELLANEOUS PERMIT REVIEW AND APPROVAL REQUESTED: (TO BE. FILLED.OUT.BY'APPLICANT)
be done:
Description of work too IX
E yyr t) ,J, dv ,\(c(Jc f - U,u0 , I,.'I■C�( (k( I ((e ��1)i) lL1�1�VkU �.at,5
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes no
list of materials and location on se•arate 8 1/2 X 11 •a•erindicatin• • uantities & Material Safet Data Sheets
— Attach - stora - �e
I 1 Above Ground Tanks I Antennas /Satellite Dishes ■ Bulkhead /Docks • Commercial Reroof
in Demolition ❑ Fence 10, Mechanical ❑ Manufactured Housing - Replacement only
❑ Parking Lots ❑ Retaining Wails ❑ Temporary Pedestrian Protection /Exit Systems
❑ Temporary Facilities ❑ Tree Cutting
MONTHLY SERVICE BILLINGS TO '
Name:
Phone:
Address:
City /State /Zip:
0 Water
0 Sewer
0 Metro
0 Standby
CITY OF T'IKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Miscellaneous Permit Application
Application and plans must be complete In order to be accepted for plan review.
Applications will not be accepted through the mail or facsimile.
Date application accepted:
ow
MISCPMT.DOC 7/11/96
APPLICANT:.REQUEST,-FOR MISCELLANEOUSPUBLIC WORKS, PERMITS,':;
❑ Channelization /Striping
❑ Flood Control Zone
❑ Landscape Irrigation
❑ Storm Drainage
❑ Water Meter /Exempt #
❑ Water Meter /Permanent #
❑ Water Meter Temp #
❑ Miscellaneous
❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s):
❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq. ft.grading /clearing
❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public
❑ Street Use ❑ Water Main Extension 0 Private 0 Public
0 Deduct 0 Water Only
Size(s):
Size(s):
Size(s) Est. quantity: gal Schedule:
Moving Oversized Load /Hauling
WATER METER DEPOSIT /REFUND BILLING:
Name:
Address:
Phone:
City /State /Zip:
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.
Date application expires: Appllcat� ken by: (initials)
BUILDING O NER OR AUTHORIZED AGENT:
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR
Above Ground Tanks/Water Tanks - Supported directly upon grade
exceeding 5,000 gallons and a ratio of height to diameterorwidth
which exceeds 2:1
PERMIT REVIEW
"Submit checklist No: M -9
Antennas /Satellite Dishes
Signature: i . - �J
0
Awnings /Canopies - No signage
Date: 3
ri
Bulkhead /Dock
Print name:
1 el) - )„ CV,
El
Commercial Reroof
P hone :
S oto (0,-)4
l 0
Fax #:
., ,zoo
. ,zoo ( :)'(
x y0i
Address: /
. , . xit :t .
10 ,4
City /State /Zip:.t,,.
i. y 1 9 3
Submit checklist No: M - 2
Q
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR
Above Ground Tanks/Water Tanks - Supported directly upon grade
exceeding 5,000 gallons and a ratio of height to diameterorwidth
which exceeds 2:1
PERMIT REVIEW
"Submit checklist No: M -9
Antennas /Satellite Dishes
Submit checklist Not M - 1
0
Awnings /Canopies - No signage
Commercial ;Tenant Improvement
Permit
ri
Bulkhead /Dock
Submit. checklist No M -10
El
Commercial Reroof
Submit checklist No: M -6
Demolition.
Submit checklist.,: No M - 3, : - M - 3a
Fences - Over 6 feet in Height
'Submit checklist No: M -9
71
Land Altering /Grading /Preloads
Submit checklist No: M - 2
El
Loading'Docks
Commercial Tenant Improvement
Permit. Submit checklistNo: H -17
Mechanical' (Residential & Commercial)
Submit checklist No M -8,
Residential only - H =6 H -16
Miscellaneous Public:Works Permits
Submit checklist: .No: H-9
Manufactured Housing (RED INSIGNIA ONLY)
Submit checklist No M -5
Moving Oversized Load /Hauling
Submit checklist :. ;No: M -5
in
Parking Lots
Submit checklist No: M -4.
0
' Residential Reroof - Exempt with following exception:: if roof structure.
to be repaired or replaced
Residential Building Permit
Submit checklist No: M -6
lin
Retaining Walls - Over 4 feet in height :"
Submit checklist No , M =1
in
Temporary. Facilities
Submit checklist No M 7
0
Temporary Pedestrian Protection /Exit Systems
Submit checklist No M =4 '
0
Tree Cutting
Submit checklist No: M -2
ALL MISCELLANEOUS PE
T APPLICATIONS MUST BE SUB
D WITH THE FOLLOWING:
• ALL DRAWINGS SMALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
D BI.1LDING SIT.E.PLANS AND UTILITY PLANS ARE TO BE COMBINED
• ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT
> STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON
LICENSED STRUCTURAL ENGINEER
• CIVIUSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER
(P.E.)
0
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, unless the homeowner will be the builder OR submit Form H -4, "Affidavit
in Lieu of Contractor Registration ".
Bullding.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,. authorfzing the agent to submit this permit application and
obtain the permit will be required as part of this submittal.
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.
MISCPMT.DOC % 7/1 t' /96
to f
Address: 290 ANDOVER PI( E
Suite:
Tenant: VIDEO ONLY
Type: B-MECH
Parcel #: 022320-0030
Status: ISSUED
Applied: 03/17/1998
Issued: 03/23/1998
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Permit Conditions:,
1. No changes will be made to the plans unless approved by the
Architect or Engineer and,tne,_JAwtia_Building Division.
2. All permits, inspectIonAcOrgs0400roMed plans shall be
available at the j0 to the-SteMi t ot any con-
struction. These: to be ma inta tOd,„and a va i 1 -
ab 1 e until finWinspeceidhpproal I. grantedN
3. All construct,loh tobe"done in*contormancerth apptoyed
plans and requirements of the UnIforM Butld4ng
Edition),(is amended; Uniform Mechanical Code'(1,9940):tion),
and Wastiingten State Energy Code (1994 Edition)
4. Validity , 'of Permit. The issuance of a pernat or,,approvat!
planspecificattons, and computations shall :not. .be
strued be a permit, for', or an approval of, any violati'on:
of any of the provisions of the building code or',of'any,,
other of the jurisdiction.- No permit presumihb t0°,
give-authorityto violate or 'cancel the provisions
code be valid.
. ,
5. MANUFACTURERS: INSTALLATION.INSTRUCTIONS.REOUIRED ON SITE
FOR THE BUILDING INSPEPTORSREVIEW:
•
CITY OF TUKWILA
Permit No: M98-0056
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\PR•ROUTE.DOC
1/98
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Perm (.co4. eapti
PLAN REVIEW/ROUTING S IP
ACTIVITY NUMBER: M98 -0056 DATE: 3 -17 -98
PROJECT NAME: VIDEO ONLY
DEPARTMENT:
V-- NO NI(
Buiing Division � Fire r vention Plann'r: Division
C. P blic rks Structural Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues, Thurs)
Complete Incomplete E
Comments:
TUES /THURS ROUTING: Please Route
C
Routed by Staff El (if routed by staff, make copy to master file and enter into Sierra)
DUE DATE: 3 -19 -98
Not Applicable El
No further Review Required 0
REVIEWERS INITIALS: DATE:
APPROVALS OR CORRECTIONS: (ten days) DUE DATE: 4 - - 98
Approved Approved with Conditions El Not Approved (attach comments) D
REVIEWERS INITIALS: DATE:
CORRECTION DETERMINATION: DUE DATE.
Approved [J Approved with Conditions E Not Approved (attach comments) El
REVIEWERS INITIALS: DATE:
State of Washington
County of King
Detach And Display Certificate
Notary Public residing 4h the State of Washington, County of King
My commission expires: 1/29/00
DEPARTMENT OF LABOR AND 1NDUSTRIE : ?
REGISTERED, AS PROVIDED BY LAW - AS
CONST CONT GENERAL
REGISTRAT ION f NUMB ER; ti "
UNITESI176RB
9,8
CTIVE-DP,TE;,
EFFE. ':/1.9
UNITED SYSTEMS INC • ••
1021 -.SW KLICKITAT WY STE 104''
SEATTLE WA 98134
I hereby certify, that this is a copy of a valid Contractors Registration document issued by the
Department of Labor and Industries to United Systems, Inc.
Witness my hand and official seal in King County, State of Washington on the 1/ , day of
A/0/1 6177 , 1997
Project: \
Type of iri
-1 lil
Addrej
MD PM
Date called 2
Speci instructions:
Date wants � 'o-1 �j
O .m.
Requester
'
2o &o 6 5 1 5 y , 33 / 1
(COMMENTS:
Approved per applicable codes.
Inspector:
INSPECTION RECORD
Retain a copy with permi
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 9818
Date:
N15.--co
PERMIT NO.
Corrections required prior to approval.
Date:
3/34
4 .6
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
Receipt No.:
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CITY OF TLJIKWIL.A, WA TRANSMIT
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TRANSMIT Number: 019700731. Amount: 58.13 03/23/98 14:59
Payment Method: CHECK NotAtion: UNITED SYSTEMS Init: IJLH
Permit No: M98-0036 Type: 13•-MIICH MECHANICAL PERMIT
Parcel No; 022320 -•0030
Site Address: 290 ANDOVER PI( E
This Payment 5E3.13
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Account. Code
000 /345.830
000/322.100
D
Total Fees.:
Total ALL Pmts:
Balance
Description
PLAN CHECK - M0MRES
MECHANICAL •- NONUls:S'
58.13
.off
Amount
11. 63
- 46.;50
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Balance Due: $56 • ( 3
Need Current Contractor Registration Card:
Contractor Information in Sierra: / Yes
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P1F 'TO PleO,/I E 4EA-Tiklc.. 1 coc,Lit440-
FOQ. RETAI L SPACE , ADD NEW 7 - DAY
PROGRAMMABLE - 11-1ER.MOETAT
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ZETAIL SALES
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PEMO C-ONCEr4TR.IC. 1:71Fuseiz. 4
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