HomeMy WebLinkAboutPermit M97-0060 - WESTERN MEDICAL CONSULTANTSi.
City of Tukwila {-
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M97 -0060
Type: B -MECH
Category: NRES
Address: 15215 52 AV S
Location:
Parcel #: 115720 -0017
Contractor License No: UNITESI176RB
TENANT WESTERN MEDICAL CONSULTANTS
15215 52 AV S, TUKWILA, WA 98188
OWNER SOUTHCENTER OFFICE PARK Phone: (206)624 -8200
C/O COLLIERS RE SVCES, 20206 72ND AVE S, KENT WA 98032
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 S.W. KLICKITAT WAY #104, SEATTLE, `WA':98134
********************************************** * * * * * *. * * * * * * * * * * * * * * * * * * * * * **
Permit Description:,
INSTALL FOUR NEW TRANSFER GRTLLES, THREE RETURN.
GRILLES, AND ONE DIFFUSER RELOCATE.
UMC Edition: 1994
MECHANICAL PERMIT
******* * * * * * * * * * * * *.' * * * * * * * *. * * * * * * **
:
Permit:Center Authorized Signature Date
I hereby ,certify that I have read and ,examined this permit and know the
same to; be true., and correct. Al l prosioris. 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.;theprovisions of any other state or local laws regulating
construction, or the performance of work. I ,am authorized to sign for and
obtain this by(iidin pef'mit. t ,
Signature:
Print Name:
Cx %l Date:
Valuation:'
Total Permit Fee:
(206) 431 -3670
Status: ISSUED
Issued: 05/14/1997
Expires: 11/10/1997
5- I -cr/
200.00
48.81
Title: Pry :1 l"�
This permit shall become.nul..l and ' void if the work is not commenced within
180 days from the date of issuanceor if .the : .work is suspended or
abandoned for a period of 180 days from the''last inspection.
Project Name/Tenant:
u)estaro Mod( 1 OCA94 t� c
Value of Construction:
A' /a Co. '
Tax Parcel Number:
us
Site Address: 6 s No nom, City State /Zip:
w ilt a
Property Owner: r , /
t^Azi►u Ze iA.(ctrs LIT-e TO �f G eotl 1 es5
Phone:
Street A dress: City State /Zip:
MA a.U(v - 22,!_. kie So. ((.ev> . We.
Fax ft:
Contact o r •
P s
0i ( L i e (2sack
- 5 3Yo
Street Address: - State/
169■( S .w . L�l tll sc.t (k) l 04 � a c caw
b ,
Contractor: t d
U ( - StWAS lit .
Phone:
0 Standby
Street Address: ity Sta a /Z'p
0 a! 5.w. Kt i c k t t (�a Su r�,e 10( ,,Y6 Ct)a 61'W
Architect:
Phone:
Street Address: City State /Zip:
Fax #:
Engineer:
Phone:
Street Address: City State/Zip:
Fax #:
: . MISCELLANEOU REVIEW %'AND.APPROVAL'.REQUESTED: (TO BE FILLED OUTBYAPPLICANT);i'.
Description of work t be done:
` i t�.e� ��,�Sk . CLc-t{user V (oede
e . 1L,
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes ❑ no
Attach list of materials and stora e location on se arate 8 1/2 X 11 •a•er indicatin • uanMies & Material Safet Data Sheets
❑ Above Ground Tanks Antennas /Satellite Dishes ■ Bulkhead /Docks ■ Commercial Reroof
❑ Demolition El Fence El Mechanical ❑ Manufactured Housing - Replacement only
in Parking Lots ❑ Retaining Walls in Temporary Pedestrian Protection /Exit Systems
❑ Temporary Facilities ❑ Tree Cutting
MONTHLY SERVICE
Name:
Phone:
Address:
City /State /Zip:
0 Water
0 Sewer
0 Metro
0 Standby
Miscellaneous Permit Application
❑ 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
❑ Channelization /Striping
El Flood Control Zone
❑ Landscape Irrigation
❑ Storm Drainage
El Water Meter /Exempt # Size(s):
❑ Water Meter /Permanent # Size(s):
❑ Water Meter Temp # : Est. quantity gal Schedule:
❑ Miscellaneous Moving Oversized Load /Hauling
WATER METER DEPOSIT /REFUND BILLING.
Name:
Address:
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 accepted:
MISCPMT.DOC 7/11/96
CITY OF'''UKWILA
Permit Centel
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Date application expires:
Application and plans must be complete In order to be accepted for plan review.
Applications will not be accepted through the mail or facsimile.
APPLICANT.REQUEST:FOR MISCELLANEOUS.PUBLIC WORKS PERMITS
Phone:
City /State /Zip:
9 - 1
Application t ep y: (initials)
BUILDING O NER A HO IZED
Signature: 1 C u)
/O ( A
I
Date: 5 . v. C}
„pit
Print name: t l I t { Dock Ri
Phone: byq $k.i,
Fax #: oy
a
Address:Id,t S.W • K Lt) i
l o T ,
_i_
City /State /Zip: Sek D 9
.3t....
ALL
ALL MISCELLANEOUS PE
T APPLICATIONS MUST BE SUBM
D WITH THE FOLLOWING:
• ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
> BUILDING SITE 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
• CIVIL/SITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER
(P.E.)
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR PERMIT REVIEW
❑
❑
a
❑
❑
❑
❑
Above Ground Tanks/Water Tanks - Supported directly upon.grade
exceeding 5,000 gallons a ratio of height to diameter or width
which exceeds .2 :1.>
Awnings /Canopies. - No.signage
Antennas /Satellite Dishes
Bulkhead/Dock
Commercial:Reroof:
Demolition:
Fences - Over 6' feet*n Height
Land Altering/Grading /Preloads
Loading
Mechanicaii(Aesidential &'Commercial
Miscellaneous; Public:Works;Permits:
Manufactured; Housing (RED INSIGNIA, ONLY);
Moving. Oversized • Load/Hauling
Parking Lots
Residential Reroof - Exempt with following exception;'IU,roof :structure
to be re • aired or re .• laced .
Retaining Walls - Over 4 feet In height
Temporary: Facilities
Temporary:Pedestrian Protection/Exit'Systems
Tree Cutting'
MISCPMT.DOC 7/11/96
Submit checklist •:.Ab : : :
Submit checklist:
Commercial Tenant Improveiilent
Permit
Submitschecklis
Submit checklist;:.;
Submit ahaCkiist'•
Submit checklist`: No:: `
Submit checklist'
Commercial:Tenant iniproverpent':
hermit > °S ubmit'checkliat-Not`H =.1. .
�Subrriit�chacklist;.''`: No'
Residential only
Submitphecklist')No:
Submit checklist No: M -4
Residential, Building Permit
Submitcheaklist•.: No::. M -6:
Submit;checklist. No: M -1
Submit. checklist > No :. M-
Submit checklist:.. No:. M-4,,
Submit checklist No: M -2
❑ 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 ".
Building'Owner /Authorized Agent. If the applicant is other:than,the owner, registered arc hitect/englneer, ,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.
CITY OF TUKWIL'A
• Address.: 15215 52 AV; . S
;u. to 15
Tenant : WESTERN MEDICAL'. CONSUL:TANT:; Status ISSUED'
Applied: "05/08!1997;.
Type: B -�MECH •
Parcel #. :..1157240.017' Issued: 05/14/1997
*71(46k*•k:k.k* *•k* k *•k ***•k * *le le* ** *•k1•k.9e * *le lc* *.* * *. k• k' k' k**• k;• k• e. k k:) * **•kk.•k *•k *k *k:k•kle
` ,Permit Cond i ti on
•1 • ; N o . ' ch'anges. w i l l be: made to the plans, unless approved by the
Architect or Engineer and the Tukwila Building.Divisron.
Al 1 :permits. inspections racer d's. :,`„ari l ?ap roved' .plans sha11 be .
available at the j:oh :site prior to the7 _ s tar7q•; of any con
struction.. Thes r ra0,e to'•be maintained, and avail -
able. • 'until fin(a'l `�i'nspe�ct�.;io�n ov gr
appral ,is anted:;
:All .6,onstruc `ioii to 'done i ri''''eonformanc�e `rith. aP bved
plans, n d ;
and emen,.tsj; the Uniform Buil ,.Code ..,(1'994
Edit ion)4es- a mended, -•` Uni form'` M echani"ca.:1.r. Code (1r994,..Edit).on) ,
':and r u `Wash State En'ergy,,,Code;, ,c 1994 Ed'i L ion) • ` ;>
4 . :'Va i ids.ty /of 'pe`rmi t. ,•,``The i stance •,of a perm'i t.:, or app,rova
°
plan s; �. �. pec i f i cat,1 ns, t a.nd; `'c'omputat.ions shall rr n o t fttie,• curs. :, ,,
s t e t o e b,e a .. •,, ' ' ., i 'e
r , y � .permst�,,,t , � an approval of, any v,dl�,t� ,
. of a of:, the provisions of ihe code or <of .an v „, {r •`,.
.o.the orc
tr,. ddi ii`ance of th'e j uri sd''fc ti `on . No permit prr`,e sumin'g
giv'akauthor to v.io`late-o the p rovis ions , : of th.i :s
cod f4sha l Y be, „ t va 1 i d'.'.;!"....--'-t.,,,, it a �, . i, " -:1 '1'
r-
MA • 'ACTUR Rs. INSTALLATION !4 NST - -RE lUIRED ON
F 0
. F'
' �” t 5/ , it u .
TMC.BU LDINt , ..IN�FE.I' TOF S, R EV IEW F r :�
El �,� i.ca l ., pe'i r n ts' "sha`f H,:t.b ne` through the Washingt on
S ta -ire D v�� of,�Lab`br• a,ncd. „, •In,dustr ies and all elecfricai'
• `t S , v, s"<i; ✓ f •4 3 t c f”. -6630) .tit .. ii
(Woe wi 1 '''.be �•inspe ted by that 'ti,age.nc (2
,v -48 -., Kg' '''''f'
0.
ACTIVITY NUMBER M97 -0060
PROJECT NAME WESTERN MEDICAL CONSULTANTS
DEPARTMENT:
ILDING D SION FIRE PREVENTION E PLANNING DIVISION 0
' � �(I �I� NtOsc rr PUBLIC WORKS • �3�r S TURAL ❑ R9TOR
DETERMINATION OF COMPLETENESS: (T,Th)
COMPLETE ® NOT COMPLETE
COMMENTS
REVIEWERS INITIAL
Pe.nk COOflPL3*OT Dopy
PLAN REVIEW / ROUTING SLIP
DATE
DATE 5/08/97
DUEDATE 5/13/97
NOT APPLICABLE
TUES /THURS ROUTING: PLEASE ROUTE ❑ NO FURTHER REVIEW REQUIRED ❑
ROUTED BY STAFF t❑ (If routed by staff, make copy to master file & enter Sierra.)
APPROVALS OR CORRECTIONS: (ten days)
APPROVED n APPROVED W/ CONDITIONS ❑ NOT APPROVED (attach comments) ❑
REVIEWERS INITIAL
CORRECTION DETERMINATION:
REVIEWERS INITIAL
C:ROUTE -F
DATE
DATE
DUE DATE 5/27/97
DUE DATE
APPROVED ❑ APPROVED W/ CONDITIONS [I] NOT APPROVED (attach comments) ❑
(Certification of occupancy required. )
i thaati 0 31461.1LT
Type of inspe?i5n 1444
6z
A‘)
$
Date called:
Special instructions:
-
is
Date wanted:
Requester: 13 ILL
Phone No.: t ot.. 1 . 3
0
e
•
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 9818
Ef Approved per applicable codes.
COMMENTS:
Inspector:
I Receipt No.:
INSPECTION RECORD
Retain a copy with permit
I
. .
•••• ■ N ' vo.A.16/egj•TriAIVI.rie;114.tr I •
Date:
• 0
PERMIT NO.
(206).431-3670
Corrections required prior to approval.
• • -•
/
T1 $42.00 REINSPECTION FEE REQUIRED. Prior to inspectiOn, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
zF *k********* k lr* k*** hkk*** *;t• *4 k***h ****4 * * * * *k * * *kk*k *fir ****•a ** ***
�� hie ** OF ..TUKW w' WA ci `
k * * * ****kk# *h*Akk�k * hk*A' A• * h * #kk k* * *k * *4 *** r ** /*& * **
TRANSMIT Number: R9700580 Amount: 48.81 05/14/97 15 «04
P ym nt Method: CHECK Notations UNITED SYSTEMS 'nit: as "LU
Permit No :. M97• -0O60 Type: t3 -MECH MECHANICAL PERMIT
Parcel No: 115720-0017
5ite'Address« 15215 52 AV S
Total Fees: 4%3.01
This Payment 48.81 Total ALL Pmts: 48.81
Balance: .00
-• k***•***** A********* * * * * * * * * ** * * ** * * ** * ** * *•k *A *i * * * **el * * * * ** * * **
Account Code
000
000/345.830
000/322.100
Description
PHOTOCOPIES /DUP SERVICES
PLAN 'CHECR 7 NONRES
MECHANICAL. NONRES
04713 05/15:9717
TRANSMIT
Amount
5.00
13.56
34.25
•1•)F!Eql•STN4y1,19N • VIctiPON tiMiq'i
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I ;:...: -.,...; • :ir, :
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F ,... 0 .,-4 ; :_.,,•:;,.. - \.;,....; .,.....e ...L., .......4i
Rg.41.....!.:., eblii;vt':. :0 It t.:. 1.2 Z:0 :' 8:3
- DETACH TO DISPLAY CERTIFICATE -;
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
4 DETACH TO DISPLAY CERTIFICATE — 4
RECEIVED
CITY Of
MAI 0 1901
PERMIT GOITER
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152 s- v - s.
- l-L*411 r\ V '9&I
I LE. �
SEPARATE F BMIT
REQUIRED FOR.
0 MECHANICAL
X ELECTRIC AL
0 PLUMBING
❑ GAS PIPING
CITY OF TUKWILA
BUILDING DIVISION
_ a are
Check ta;pro,21's I
Plan Y �,sI�`.c
d that the Pl �,- ace, cP
r�'YOry
dersuaI S and 0I1i s51) ° -
't-
a Necel t
not
u th tI c]
a
CID GIO1 lfl C 0� ot con
:. code or tt a r.: ftwe y t
,co � ?tapP v�dP I fl
F !?
,hR�f 1 It 5.:q
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RECEIVED
CITY OF TUKWILA
MAY 0 8 1997
PERMIT CENTER