HomeMy WebLinkAboutPermit M96-0005 - ODWALLA0
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City of Tukwila C
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M96 -0005
Type: B- MECHAN
Category: NRES
Address: 3215 S 116 ST
Location:
Parcel #: 092304 -9066
Contractor License No: PACAII *154B2
TENANT ODWALLA
3215 S 116 ST, TUKWILA WA 98168
OWNER BEDFORD PROPERTIES INC
12720 - GATEWAY DR., SUITE...107, SEATTLE WA 98168
CONTACT BOB MULLEN Phone: 206 623 -4004
10421 BURNHAM DR NW, "GIG HARBOR WA 98335
CONTRACTOR PAC -AIRE, INC." Phone: 206 623 -4004
10421 BURNHAM AVENUE NW, GIG HARBOR, .WA':98335
* * * * * * ** * * * * * *.k* ***** * ** * *k *A** * * * * * * * **** ** *k *k * ** *fir ** *fir ** ***k *** *k * ** * **
Permit Descri=pti'on
UMC Edition: 1994
Signature:
Print Name:
MECHANICAL PERMIT
ADD THREE SUPPLY AND THREE;RETURN DIFFUSERS. TO_
'EXISTLNG ,HVAC.
Valuation:,
-Total Permit Fee:.
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VI (0
Permit Center'Authorized Signature 'Date
I hereby, certify that I have'read'end 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 th •erformance of :work. lam authorized to sign for and
obtain this;'bui per
Date: l": /. P/6
1 ev\ Title: _YIjLC
(206) 431-3670
Status: ISSUED
Issued: 01/16/1996
Expires: 07/14/1996
850.00
42.81
This permit shall become null and void if the:work is not commenced within
180 days from the date of issuance, or, i.f the'. work is suspended or
abandoned for a period of 180 days'from'the last inspection.
3215 S 116 ST
CITY OF. TUKWILA
Address:
Suite:
Tenant: ODWALLA
Type,: B- MECHAN
Parcel #: 092304 -9066
a � tg t ' an a .e. ,:t Ui ifor m nerq.
of perm i t Th s
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Permit No: M96 -0005
Status: ISSUED
Applied: 01/12/1996
Issued: 01/16/1996
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Permit. Condition:':
1. No changes will be made
• Architect or Enginee.r:�
.the„ pla unl; approved by the
th . ° .. TIE01'a B uiJdu1: 9 . ,..�.Di v.ision.
All permits, ins and approve` shall be
available at . t 't ' Joh s `fite p i:firr to 4 e start of'- 4 coon -
struct i on . .e .e docl'im't p +ts l are ,,,.to e ma i n�t to J .fi (#' } `�
a'i'ne•d and � aya i l -
d a y t r
O
anti 1 al ins�pe,ct i,on t ap pi ov,a�lt 1 i•s gr, n ed� ,�
All con.,•, , a iota try, be darts i ma e
3.
k p' . ,� ¢,fn cdiifa t W ,kti14,. ppro.de21
plans an
Edition � qu.;i r�e� rte i is f' the ,Un i orm Bti l iii tq C, d 1.9§A
.� ar td&d T
ci Opal Code V9.4 9.a t i •1d
and •W t t E t i r 'r , C de ( 94 EditionY 4
. :Valid � ' Cu nce ot� a permit. oro,�ap r Val
plan � pd �t ica1� an. t e nd car putations shall not tpe -eoopd
• strued to b ra per mi t Or or n ap,pr oval of any vt�ol'3t�.,1
of • a �t build�ing code or of + in:�
other , ord�i,na'nc of he iOtion, rNo;..permit presumi,ngs
• u
aiv�e4 author to,.v"iolate"'onc�a��c r:the �pro .v ti is i ons o f� t
a .c shall � `
P a v a•�l:i d . ,; ,. ; , if r. r;1
k :., t `s t
'P . .,,
. G n Mew:, ?w , ,:7 rtj' .�, y�. +...... _
1: , E . . I i j ..
SITE ADDRESS SUITE #
3 L s, 1/6 4 r
VALUE OF CONSTRUCTION - $
gs
ASSESSOR ACCOUNT #
PROJECT NAME/TENANT
TYPE OF WORK: Q New /Addition ,.Modifications Q Repair 0 Other:
DESCRIBE WORK TO BE DONE:
DA 3 Sae, _ 1 . �. 1 ' _ LA. � s �-4
. _ :.:TYPE ';: ::: >; <' °RATING /SIZE.:`: :: NUMBER: . :UNITS •
PHONE 6 2
ZIPei g 1 4 k
3 4 od Lr
CONTRACTOR t
ADDRESS 10 ,. / ..Z I ect
-. , ._
BUILDING USE (office, warehouse, etc.)
IN 1 C j [.t.9 4-a_ 1-4-D u- .S Ng_
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? �No Q Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
60--No 0 Yes
IF YES, EXPLAIN:
PROPERTY OWNER B f -
a, .11,,
��
t
PHONE
ADDRESS
•
, • c / v S
G
PHONE 6 2
ZIPei g 1 4 k
3 4 od Lr
CONTRACTOR t
ADDRESS 10 ,. / ..Z I ect
-. , ._
6., Ai. id. 6•%5,1/41--g (v-
ZIP ge 3) S---
WA. ST. CONTRACTOR'S LICENSE #
L
/
-+��- � Ai, e 2
EXP. DATE
DESCRIPTION
AMOUNT
RCPT #
DATE
BASIC PERMIT FEE
-�w
UNIT(S) FEE
PLAN CHECK FEE
OTHER:
TOTAL -
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK l
NUMBER Iv (j" DC-tf i
APPLICATION MUST BE FILLED OUT COMPLETELY
ti HAVE;READ ' ND .EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE
AND CORRECT, AND I AM RUTH. ORI TO APPLY FOR THIS PERMIT.
• SIGNATURE ,f!r / DATE 1- / 2 9‘
BUILDING OWNER
OR
AUTHORIZED
AGENT
CONTACT PERSON
PRINT NAME
gob �U
ADDRESS #4416 1,,
Rol ft/ ( -e
MECHANkAL PERMIT
APPLICATION
FEES (for staff use only)
PHONE d 3 4,A0
CITY/ZIP
PHONE G 2 3 kco L
APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill out the
application completely and follow the plan submittal checklist on the reverse side of this form. Application and plans
must be complete in order to be accepted for plan review.
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.
VALUATION OF CONSTRUCTION The valuation is for the work covered by this permit and must be filled in by the applicant. This
figure is used for budget reporting purposes only and not to calculate your fees.
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 304(d) of the Uniform Mechanical Code (current
edition). No application shall be extended more than once.
If you have any questions about our process or plan submittal requirements,
please contact the Department of Community Development at 431 -3670.
DATE APPLICATION ACCEPTED
DATE APPLICATION EXPIRES
Sr a `j�
03/14/94
MECHANICAL
F
Completed mechanical permit application (one for each structure or tenant)
Two (2) sets of mechanical plans, which include:
• Floor plan
• System layout
• Elevations (for roof mounted equipment)
• Heat Loss Calculations
Structural calculations stamped by a Washington State licensed engineer may be
required if structural work is to be done (2 sets)
Note: Hood and duct systems require a building permit for the duct shaft.
n Water heaters and vents are included in the UMC — please include any water heaters or
vents being installed or replaced.
SUE6AITTAL CHECKL
- ..._
D •
..� -
'DATE .IN:
DATE
APPROVED
R EQUIREMENTS / COMMENTS
2nki NOTIFICATION
- :l- IILDING
initial revit w
, - � V
1-, t(a -q�O 0..
(ROUTEDL
CONSUL rANT: Date Sent - Date Approved -
U FIRE
FIRE PROTECTION: C] Sprinklers U Detectors
UN /A
FIRE DEPT. LETTER DATED: INSPECTOR:
INIT:
C..) PLANNING
ZONING.
IBAR/LAND USE CONDITIONS?
U Yes U No
SCREENING REQUIRED?
UYes 0 No
INIT:
REFERENCE FILE NOS.:
._3 OTHER
INIT:
XBUILDING -.
final review
I _ 1( a l & g
UMO EDITION (year):
— /}�
INIT' 1 _
1 BUILDING
OFFICIAL
A //<.
'
AMOUNT
OWING:
4 ua�
CONTACTED fsob
II Il BY:
l W a (init.)
BY:
(init.)
DATE NOTIFIED
I .�
2nki NOTIFICATION
3N) NOTIFICATION
BY:
(init.)
PROJECT NAME C ^ Wa /
PLAN CHECK
NUMBER
MG (o
CITY OF . `..
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in writing by staff so
that the status of the project may be ascertained at any time.
• Plan corrections shall be completed and approved prior to sending to the next department.
• Any conditions or requirements for the permit shall be noted in the Sierra system or summarized
concisely in the form of a formal letter or memo, which will be attached to the permit.
• Please III out your section of the tracking chart completely. Where information requested is not
applicable, so note by using "N /A ", date and initial.
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to review the project.
REVIEW COMPLETED
01 /07/93
I
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•
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•
ttveruaDizrot 1
11 -‘ 4 \ 1
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1.66tA5v1L1,-
I! SA I A .
. cdo or ordinate*. Receipt of contractor's
•••
....J omIssiona
authorize the violation
VaitictIMPITUtS'
Data . 7
Permit No.
5 • •
E • COPY
CITY OF TUKWILA
APPROVED
JAN 1 6 1996
AS NUILU
BUILDING DIVISION
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ITV;' r TUI<WIL( :CIA ' (� TRANSMIT
rk•
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'f•f ?, I'SMI:T Number; 96008494 Amount: 42.81 01 ,/1b/ 1 /1+'J ` 3 123
PayMent Me•tNiod: CHECK Notation :' PAC• -AIRE INC. Ini ,: S 0 •
Permit .Noc'. M96- 0005 Type: I3-- MECHAN MECHANICAL PERMIT
Parcel 110: Q92304 -90Gt,
Site _(address: 3215 S 116 SI
fatal Fees: 42.81
This Payment 42.81 'I ot-a ! ALL Pmts: 42.81
Balance: .00
AA * * * *Ak ! * *A *s k.h* * * *#*h * * *kA * *AAkA *Ad * *A *A * **A* *A*
Account Cade
000/345.830
000/322.100
I)escr iption. Amount
PLAN CHECK - NONRES 8.56
MECHANICAL .- NONRES 34.25
GENERA
GENERA
TOTAL
CHECK
CHANGE
1691A000
8.56
34.25
42.81
42.81
0.00
16:26
Project: d
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I ype of I
Address: .- .,. f
(
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DE" Cake '
Special instructions:
Dale Warned: _`6 /
I l . fa � pm.
Requester.
Phone No.:
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
06 4 1-3670
Approved per applicable codes.
❑ Corrections required prior to approval.
COMMENTS:
4.4 75 /
I Inspector (/
CpiAi
9'1/1 I Date: NO / I
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Project: C 1 /00,_, U
Type of Inspection:
Address:�?� , s ,
ff(o 9 1--
'
Date Called:
Special instructions:
Date Wanted:
m. .m.
1// 8 , 16 0
Requests
Phone No.: CS—
(/44_
g Approved per applicable codes.
"' INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206) 431 -3670
0 Corrections required prior to approval.
O $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Cal to schedule reinspection.
�Aq
z
0
co
e-1
/ To
Department of Labor & Industries
Contractor Registration Section
PO Box 44450
Olympia WA 98504 -4450
F625 -036-000 re isuatioo verification 4-93
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171.7 ��,$'d':.dd.��•+St�;
W TA ter . YSli'.IRI�Af3L/
.� d am _ • �I
Eft dU*NFiAlt AYE MI ti 2A
'it 6=HAR /ttN Y1' .08355,
SIGNATURE
ISSUED BY DEPARTMENT OF LABOR AND INDUSTRIES
REGISTRATION VERIFICATION
From
Olympia Headquarters
Reps nude
an nu
(206) 956-5226
SCAN 269.5226
FAX (206) 956 -5228
407 */5y,64 ' , r /1
Contractor: Your Certificate of Registration will be sent • i'• the Olympia office and
should be received within 2 to 3 weeks. Please keep this record until you receive your
Certificate of Registration.
Tiiaatft, you
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