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HomeMy WebLinkAboutPermit M99-0195 - DR POVOLNY ORTHODONTICM99 -0195 411 Strander Blvd. Dr. Povolny Orthodontic City of Tukwila C Address: 411 STRANDER BL Location: Parcel #: 022320 -0052 Contractor License No: HEATT* *20600 RELOCATE EXISTING DIFFUSERS AND GRILLS TO ACCOM- ADATE.NEW FLOOR PLAN. UMC Edition: 1997 Signature: Print Name:_`i r MECHANICAL PERMIT C. Valuation: Total Permit Fee: (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Permit No: M99 -0195 Status: ISSUED Type: B -MECH Issued: 10/27/1999 Category: NRES Expires: 04/24/2000 TENANT DR POVOLNY ORTHODONTIC Phone: 411 STRANDER BL; SUITE 102, TUKWILA, WA 98188 OWNER MEDICAL CENTERS Phone: (206)641 -4564 C/O NEWCASTLE REAL ESTATE, 15642 SE 24TH ST. BELLEVUE WA 98008 CONTACT TOM MCCLOSKEY Phone: 425- 885 -3247 PO BOX 1286, CARNATION, WA 98704 CONTRACTOR HEATTRANSFER COMPANY Phone: 425 885 -3247 PO BOX 1268, CARNATION WA 98014 kkkkkkk kkkk******* ******k************************ *kkk* * ******************** Permit Description: 2.000.00 46.50 ****************** ** ** ************** *** ***********• kkk *************.k•k *k*•k* A hors ente Vi z ed g Si nature Dat 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. Date: /©_,Z - - 0' Title:__/ 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. .„) CITY OF TWWILA Address: 411 STRANDER BL Permit No: M99-0195 Suite: Tenant: DR POVOLNY ORTHODONTIC Status: ISSUED Type: B-MECH Applied: 10/13/1999 Parcel 4: 022320-0052 issued: 10/27/1999 4.A*WAAkkk****k****WAAAA*AkA Permit Conditions: 1. No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division, 2. All permits. inspection records. and aPProved plans shall be available at the job site prior to the start of any con- struction. These documents are to be maintained, and avail- able until final inspection approval is granted. 3. 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). 4. Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be con- strued 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, 5. Manufacturers installation instructions required on site for, the building inspectors review, Project Name /Tenant: 4 sL/ /1' Aim 4/� ( Value of Mecha Equipment: -.2 c /D Site Address : , �� L City State /Zip: l / � `15� -� ^ '� 2 eYUt -/ - 9 t' S l - Tax Parcel Numbe: 1"22 32o Co-7Z_ Property Owner: / _ C / e /Le ee--i c /1.- i Phone: ( ) Zoe - 5 / 63 Street Address: _ � SA4vVe 4/ v �i ityrStac Fax II: ( ) Contractor: 40- 71; -g_47 (S k---A__ • Phone: (z /z S _1 ^_ 3 � ' IFS 5 Street Address: & ./r Cit Statc'lZip: fax 1l: (0 Contact Person: "IC C /a5 /- Phone: ( ) 9 T 35- 3 �V— Street Address: - State /Zip w� City l F ax It: ( ) i `7` ' 3 3 3 ` BUILDING OWNER OR AUTHORIZED AGENT) : - -.. I , „ H, . ,, . ( . Signature: ,. Date: Print name: 770 r g CC , _ y Phone: (ylZ .Fzi4 City /State/Zip: i se/s4 s . ---- Fax ft:, (c ) � ` � v d '� 9IO /5D T Address: l l2 / / �'t0 Mechanical Permit Application 9/7/99 CITY OF Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 R S1AFE USE ONLY Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. kitCNA ItAti otrtmer atviE1i1;AND APl RbVAL;REQUESTEb: (TO BE FILLED O1JTBYAPPL! CANT) Description of work to be done (please be specific): • ,} 70,c, A41) 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. Expiration of Plan Review - Applications for which no permit is Issued within 180 clays 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 114.4 of the Uniform Mechanical Code (current edition). No application shall be extended more than once. Date ap lication accepted: :Date app 'cation expires: • L Application taken by: (initials) t • ✓ Submittal Requirements Floor plan and system layout Roof plan required to identify individual equipment and the location of each installation (Uniform Mechanical Code 504 (e)) . Details and elevations (for roof mounted equipment) and proposed screening Heat Loss Calculations or Washington State Energy Code Form #H -15 l- I.V.A.C. over 2,000 CFM (approximately 5 ton and larger) must be provided with smoke detection shut- off and will be routed to the Fire Prevention division for additional comments (Uniform Mechanical Code 1009). Specifications must be provided to show that replacement equipment complies with the efficiency ratings and other applicable requirements of the Washington State Nonresidential Energy Code. Structural engineer's analysis is required for new and the replacement of existing roof equipment weighing 400 pounds and greater (Uniform Building Code 1632.1). Structural documentation shall be stamped by a Washington State licensed Structural Engineer. Mechanical Permits New Single Family Residence I I Heat loss calculations with specifications or Form H -6. W21 /9!) ndscpU.duc Installation of Gas Fireplace COMMERCIAL: Two complete sets of drawings and attachments required with application submittal NOTE: Water heaters and vents are included in the Uniform Mechanical Code - please include any water heaters or vents being installed or replaced. 7 RESIDENTIAL: Two complete sets of attachments required with application submittal Submittal Requirements Change -out or replacement of existing mechanical equipment LI Narrative of work to be done, including modification to duct work. Narrative with specification of equipment and chimney type. If using existing chimney, provide a letter by a certified chimney sweep stating that the chimney is in safe condition. NOTE: Water heaters and vents are included in the Uniform Mechanical Code - please include any water . heaters or vents being installed or replaced. Aurount Code 0escrvntion 0O0/345.830 PLAN CHECK - NOhRE:.; 000/322.100 MECHANICAL ~ NONKEG ^^+A+*o++***Aa++*^wa^ a ** **+a«++*o4*++++*++++*� ':lTY OF TUKNILA. WA U /8AHSmlT y y���D � - ���V ~ �� A�*+x^*+*«*A^*��AA TRANSMIT Number: 119600177 A*ouq: 46.50 10/27y99 12:45 Yovment Method: CHECK Notat/on: K.AITRANUEV In/t: WAD Pe,'m\t Not N99-0195 Tvoe: 8~MECH MECHANICAL P�KNIT Parcel No: O32220~OO:12 S/te Addre`o: 411 SUANDEH UL Tatnl F00e:i 46..50 This Payment Total ALL Put/: Uxlance: .00 ' A +*+ 0+A ++*+ +++*++ *^ *A*^ *^ + a ,^ ^A it+^+^ ^*1% Ammunt 9^]O 37.20 8346 {0/29.97J7 TOTAL ! ���� ProJ vGA/C /"....... I { , Addict 4. sT 47 „ pa ya e called: Special instructions: Date wanted: 12- / O,/ ' ?- 4= • , i�t 't:;', ,`ts. 4AW``.'S - � , f �'S , ,• INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100; Tukwila, WA 9818 I Approved per applicable codes. COMMENTS: Ok 7 0 INSPECTION RECORD Retain a copy with permit I I I Receipt No.: I Date: ';°,7,(t( `NVifIRi7 a PERMIT NO. (206) 431 -3670 Corrections required prior to approval. AA/A Date: it, /' [ $42.00 REINSPECTION FEE REQUIRED. Prior to Inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. COMMENTS: T .nspec io � 1�� Address' / V . Date called: ,I 0 DL- / ,er 9 . 0,q! t -1 :' . / / .� - - E L-E C ./01 C/ O / /cis PV,_ cr7) 'A.t geourziab / %1...7✓(--. . Requester��p, Phone:, . 5 ProjectT)O6for fyzn l � T .nspec io � 1�� Address' / V . Date called: ,I 0 99 Special instructions: .foci Date wanted: /Z„ yl , Requester��p, Phone:, . 5 - INSPECTION RECORD Retain a copy with permit INSPECTION NO. Approved per applicable codes. CITY OF TUKWILA BUILDING DIVISION 4,, 6300 Southcenter Blvd, #100, Tukwila WA 981 c ri F PERMIT NO. (206)431 -3670 Corrections required prior to approval. fl $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: 7 COMMENTS: E(. EC7 IC.,4c. //k SPe-c7>r7 2,- s ii PP() PI Roof toss 7)+40t-,7 H b vc_7 A8otf cert_i .(& 371-0)4 guts Ili 4 if CD GO/lE&t Doe. E) Eic /fiaisr TP v Cr 6 o' ti /v/ -ac.4., 7Z) L dcA. r p .m. Requester: fe J k Phone: ciz.5 zr : A Type f l ecti j 41) D called: t// Special instructions: Date wanted: )/9409 4 r p .m. Requester: fe J k Phone: ciz.5 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 0 Approved per applicable codes. (206)431 -3670 orrections required prior to approval. $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 /244 6 Type rnspectiory , 01 1L-liAl 1777: 1442,d 6 Aid Date ailed: 0 fr ***\ Special instructions: -5/0""'1041 Date wanted: f 0 frj (d:'m. / P.m.,..) Requester: * Phone: K Approved per applicable codes. Ej Corrections required prior to approval. COMMENTS: - ..e i n If c IN5pEFION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter BlvA, #100,Jukwila, WA 98188 INSPECTION RECORD Retain a copy with permit PERMIT NO. (206)431-3670 $47. 0 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No: Date: ACTIVITY NUMBER: M99 -0195 DATE: 10 -13 -99 PROJECT NAME: DR POLVONY XX Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # _ Revision # _ After Permit Is Issued DEPARTMENTS: Building Division f 0 - I4'-'l Pu)lic Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 10 -14 -99 Complete Comments: TUES /THURS ROUTING: Please Route APPROVALS OR CORRECTIONS: (ten days) Approved \PRROUT[,OOC 5/99 P QA r (YU CA07,Yei• PLAN REVIEW /ROUT G SLIP /k/ Fire Prevention ilk 0 Structural Approved with Conditions Incomplete n Not Applicable Structural Review Required REVIEWER'S INITIALS: DATE: REVIEWER'S INITIALS: No further Review Required Planning Division n Permit Coordinator O DUE DATE 11 -11 -99 Not Approved (attach comments) 0 REVIEWER'S INITIALS: DATE: CORRECTION DETERMINATION: DUE DATE Approved Approved with Conditions n Not Approved (attach comments) n DATE: . o C2 -4 71 o m m 171 Cr2: 33 r 625 - 052 -000 (3(V) DEPART`MENT,OF LABOR AND INDUSTRIES REGISTERED. AS PROVIDED BY' LAW AS CONST CONT S PECIALTY GA TT *. *2:06 ATTRA SYEFERN Co. PO BOX 1268 CARNATION WA - 9.8 014 /c/Axte — /4401ges diauve- '7P 1Crof/ 7ee.fcd,re; 7fte.,pc p. 5 "; 4 Akic - . 0 4 2 -7„,/ //mt.,e w..s, •leecbt.il /441 142/0;144 . eg . 4 ‘4 #eedic-rnes 'or Altee-/ 2714/„40,a;., ewe 7414i/ S v / 7 /44;c 01-' dm" /4t.e4 / oT 5 P4L4 Ac/ a 00 4 /m,":t / ir/efs 0-7' //e/-.% 7/.4 ,E" Ave_ ore _ s47 Zieetr-vi, e 7 Z 7X: 4/ /07 # 7 / 14‘elye ar 4;t0t4. -- 04E4 0 - l es , 5 c eit R/Atoe vi49/ 7 _" 4 j /es s.vtre../dC 4cetzvele4 - (44: ir a4V /39- -.-=PARATE peeler PEQUIRED FOR: °MECHANICA 0 ELEC u men4G MONO 7.3v,vcriA W ,00 .6,4 1 , 9117,0fr e2,f 4400 6,57; Atece,/ 4 - 7 ° /ess I understand that the Plan Check appro,als are Sublect to errors and omissions and approyal of plans dOes not authorize the violation Ji any adopted code or ordinance, Receipt of con- I t ziCtoeS COPY of approved plansAk cwledged. , , Ar; .. 0 A log 13 Date Per trill No rY1 -c) &,),/ 644.40.77 dif g .9• 5 #4 r 20 6, c OF TUK\NIU\ PROVED O\CT 2.1cj 1999 737;1 JING.D a4n Eiv ruLA OCT 1 199s PERMIT CENTER •