HomeMy WebLinkAboutPermit M96-0054 - UNIVERSAL HOSPITAL SUPPLYUMIVV fto'pirL •
SUF'PL-'1
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City of Tukwila C
Community Development / Public Works
Permit No: M96 -0054
Type: B- MECHAN
Category: NRES
Address: 12870 INTERURBAN AV S
Location:
Parcel #: 271600 -0010
Contractor License No: INDOOEC077LW
INSTALL:;EXHAUST FAN:
UMC Ed 1 t i -an`: :1994
6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MECHANICAL PERMIT
Permit Center Authorized Signature :Date
Valuation:
Total Permit Fee':
(206) 431 -3670
Status: ISSUED
Issued: 04/15/1996
Expires: 10/12/1996
TENANT UNIVERSAL HOSPITAL SUPPLY
12870 INTERURBAN AV S, TUKWILA WA 98188
OWNER KAISER GATEWAY ASSOC
C/O BEDFORD PROPERTIES, ,.12870 INTERURBAN AVE S, SEATTLE WA 98168
CONTACT DOUG CAMPBELL
201 G ST SW,, AUBURN WA 98001
CONTRACTOR . INDOOR ENVIRONMENTAL ;:CONTROL
201 G STREET SW., AUBURN, WA. 98001
**-k• k• k*• k• k****• k* •k* * * * **•k* *•k ***•k* * *•k * ** **** **** ***** k•ktk•k k *•k ** *** * ** k ******•k**
Permit Description:
Phone: 206 939 -9495
Phone: (206) 623 -1651
500.00
35.63
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it cilo
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 •f this permit does not presume to give authority to violate
or cancel,.th ►rov'sions of any other state or local laws regulating
construction • t - performance of work. I am authorized to sign for and
obtain this ' • ild permit.
Signature � V ' Date:_._�_A�j/
Print Name: Title:
This permit shall be.CAtire .null and...voi,d. if jthe workr'is•'not commenced within
180 days from the date of .,issuance, or if the :*"rk ` is suspended or
abandoned for a period of - 18,0'days from.t,he `;last inspection.
CITY OF TUK•.WILA
Address: 12600 INTEl UF'I3AN AV
Perini t No M96 -004:4
Suite: ELDG 01
1::e4iant : UNIVERSAL HOSPITAAL SUPPLY ' ':.tatty_ ; :. ,.rs uE:D:
Type Et- MEC:HAiV ' App l i ed •04/09/1996
Par'c:eI . #: 1.1600 - 010 Is ueci:'t14!15 >i 1996
' 'h •4 •A , . .* '4 A •A •k •A :1 A 'A •A 4 •A :f 'k •A •A t4 •A •Ai '*'A 'A •A 'A •A 'A N 'k 'A 'A 'M 6 •A 'A e A •A •A •A .4 •A 'A •k •k 'A .F •A k 'A •h 'A •b •A •b •A •A'F, .'+ .* 'A A 'A 'A N .4 •A .F A 4
Pernii t Condit i ort:=..
1::
No changes will he made to the p Ians unless approved by 'the
Arch itect' or Engineer and file ..•, :•iul.w,i._1.a..Bui1ding i'sivis. ion .
, A,11 Permits, in:�pec t ..an t e r df.- -arid appr�o.ved plan_. shall be
avai iab1e et the ,j±ob. -.Ite - 7"Prior to the °• t.a;,: any con
s. truct ion . Thesetei d oc'iintents :it .4re to', be maintaine'd. avail -
able • until fa'na'`f - in ,pec.t`i�in�; c�v 1 is 4t ate;
5;
3. _.
Al 1 contr uct t,.o; =be ;, lor Nii
e n conformance } nt1
?wi th ap,} ov d
p l an: an ,,'r a u I t'e ient.t if the LIn i f grin Bti I itd f ny:' ,1 Cot
Edition :,a ame.ndd. UnX,forrfit'Heenahical Code 9 94 E "c1ition1 s
and wa:a'ti',ngta `' S.tate Energy' Codez ,(1994 Edition)
4'. 5/a 1 i d f•v/ of ' Per'mi t,_, °` The i .:cicanee -. of a per•iii i t or, sa pproiia, , ,,, of
plash{ •- pecificat, .
l in i ;and..` comp(it'artirins. .hal l `not h n' e co .
.;tr cart be a Rermik...i.f 'q•`. hr an,rappraval of any v,iolati,en y
, trer !'• a of 1 a Hy
of ra pi- ovi_ s. „f off re
the./bui1dina code a,ut "fr ;'
otlt'et f ordinance of the iur• i . J"I cti otx. No permit. p•t;esunti'i 't
9 i t, .e" i n a41)0 -i Gtr to v i o'Ta te•�,• cancel the p row i ., i on: of •i
c•: o;�t e f ., h a 1' 1 ' f b e a.
v ax 1 i ', • ` { ' . ,'.- , ' , r_.:.. dJ ;,.•
lo
i. FAC URERS I{±i�;:'i.A.LLA I`ON ;IP #:°�) !IX IO S.. , KC,� UIRE�U :TN• 'SIT E '
r ,tiTH 8u1LPIp"13;..IN'SPLy.p,O RE'VI;E'W. i4 ..': t rt;r,,ws 2: 1`
� by3•i,Ye
. E ,try ca.1 perr t..r :�ha i ,,,Ape %c•rb 1rti d thy,t.l,+.3lt the. Wai .hinat'c.. ,
i# e y ,t,�-i'� i ., j , o {f .,:,i,,�, l � • anti': , d ii t i e a o rid a 1 1 . e I e +gar r• ` `'1
wet i vii Ii ' "M b ey:« p,e w t•e di y. 't t a ' en,�y,„!;246-6630 .y .' { •.. ..
7 Fe!1l
d \ ii R
.t e .lb1
.'. ��'c:c1e, to r'n►lf mou , ;`tat uipm i,
r e' 4Orl r• e. ' t 3 `t y p" ,: t' 1 s ,; .
tiA
�.1 i t 47. ij y IS i 3 i:a 1
AMOUNT
OWING:
. •
CONTACTED
u
BY: t.„1:4
(Init.)
'c i
DATE NOTIFIED
1/1
"t
(0
— —
lJ
2nd NOTIFICATION
(init.)
3RD NOTIFICATION
Bn )
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to review the project.
PLAN CHECK
NUMBER
mq(49- 009-I
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 fill out your section of the tracking chart completely. Where information requested is not
applicable, so note by using "N /A ", date and initial.
DEPARTMENT
:UILDING -
initial review
❑ FIRE
❑ PLANNING
❑ OTHER
' BUILDING -
/ final review
X BUILDING
OFFICIAL
Mechanical Permit Application Tracking
REVIEW COMPLETED
CITY OFTUK14, 4 (_
Department of Community Development -- Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
P OJE T NAME
Can i -G Ms U 1(05 pl. - I
S v
• DATE IN : DATE
NIT:
INIT:
�( G
( - OUT D
INIT: / /
INIT: �. C:
INIT:
CONSULTANT:
FIRE PROTECTION:
ZONING:
SCREENING REQUIRED? 0 Yes 0 No
REFERENCE FILE NOS.:
UMC EDITION (year):
SUITE NO.
QUIREMENTS / 'COMMENTS
Date Sent Date Approved -
0 Sprinklers
U Detectors
FIRE DEPT. LETTER DATED: INSPECTOR:
IBAR/LAND USE CONDITIONS?
UN /A
❑ Yes U
01/07/93
SITE ADDRESS SUITE #
I P ( •1'C- 3-(\ :F::: ►LL• r /.("b /i1:62 Vj! -/) r.
VALUE OF CONSTRUCTION - $
J . ,�-
ASSESSOR ACCOUNT #
a i c. o --co 10
PROJECT NAME/TENANT
( >14 -.•
TYPE OF WORK: 0 New /Addition 19'Modifications 0 Repair
0 Other:
PHONE c .,:�: _ -, (:.),.../c } .::;
-"
DESCRIBE WORK TO BE DONE:
% ,f `1 l__ t .� k•i ..t ;'= . A'
:..: .TYPE : :... ' RATING/SIZE : :: : . :..::.. :NUMBER:OF<UNITS
`, ;.7:A '\) ::,v ( 1 <e r' C
(
`=- r. i
BUILDING USE (office, warehouse, etc.)
0,r-(- IC...E
NATURE OF BUSINESS:
t V i - till - 5 , A) 't
WILL THERE BE A CHANGE IN USE? 0 No 0 Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
�rNo 0 Yes
IF YES, EXPLAIN:
: I.HEREBY CERTIFY:THAT 1 FIAVE READ:AND EXAMINED:THIS APPLICATION'AND KNOW THE SAME TO BE TRUE
AND CORRECT; AND I AMAUTHO fZ D TO APPLY FORTMIS PERMIT.
BUILDING OWNER
OR
AUTHORIZED
AGENT
SIGN 'T
DATE
PRINT NAME ,,.
), ,, v C._ L.�rYv' /`'�7 � "��
PHONE c .,:�: _ -, (:.),.../c } .::;
-"
ADDRESS • -r.1/4., 1 C. '52: ..5'L -' /1,;. kih`:�`i
CITY /Zj1 j.`5, ,, :_,, .
CONTACT PERSON - ), . i , .. � ,
'p' i .._ .. t._.
PHONE: > �� .:
/ :/ / % f i
PROPERTY OWNER t,,z ; (-. c�
e)-1- fG0�
,--,, /.
�.
..�: 1... ,r /
1
, )( I
PHONE
PHONE �. ,.,e.
ZIP
j . < -.) .
( ( U g
c.).�
ADDRESS Ia`g�Q J- : r ru.
CONTRACTOR ,�. r;. },!' ,
c..fr. „ i i 1 1 ! �(_.
ADDRESS 'l \ l . '7:7 --
`=- r. i
ZIP c:
C ��
WA. ST. CONTRACTOR'S LICENSE 1t
I'
EXP. DATE . :' .
n
CITY OF TUKWILA ``—
Department of Community Development - Building
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
NUMBER qQo5L/
APPLICATION MUST BE FILLED OUT COMPLETELY
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.
11 you have any questiorf
please contact the cfipp
DATE APPLICATION ACCEPTED APR 0 9 1996
MECHANI-AL PERMIT
Division
APPLICATION
FEES (for staff use only)
DESCRIPTION
BASIC PERMIT FEE
UNIT(S) FEE
PLAN CHECK FEE
OTHER:
TOTAL
AMOUNT RCPT # DATE
• our process or plan submittal requirements,
e 1. Community Development at 431 -3670.
DATE APPLICATION EXPIRES
10
03/14/94
■ .s.x+.:r.�cx�+.r...r+.+N� w pa. Lt�o. trtxT ab.!rmwrl..0.04K1+^'.NihaPn manor,.
SUBkiiITTAL CHECKLI T
MECHANICAL
I I
Note: Hood and duct systems require a building permit for the duct shaft.
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 maybe.
required if structural work is to be done (2 sets)
Water heaters and vents are included in the UMC — please include any water heaters or
vents being installed or replaced.
tw
E'LC)tFs. •�.
V** k** *A.** * **AA *A. * * * * *h * tAc. * fir:kA * *:S•k* * *:l *A*A
l: N
;ITV OF .,TUI l:LA. wFi w\cc 1 ,.
ROISMT
kti4 s *A•*: A*kh:4h* Ode * *�rfi *kicF:ilr 'l 3c7kk A. 1 — * lh d •kfi * i23
1f ANriMl:'T.: Kuntber t 96003979 Amount: cl ;.63 04/15/96 15:28
Payinc:nw. Method: CHECK Notation: II:C:.i, INC. Init: 51_13
Permit. No: M96-0054 Nips I3••11 CNAi1 MC:CIl(•l•ICAL PERMIT
Ptcr•cel Na: 27160 -001.0
Site Address: 121870 IN•TE(2URUAN AV 13
fota'I Fees: :315.63
This Payment- S5.63 Teta] ALL Pmts: 35.63
Ua1 ante: .00
i•A•AA**1*Ah * ** '•,l•k• * AA st**k*,\*** **kA•k•n•A*k *** *** *A***k ** ** **A* ** ,' **
Account Code Description Amount
000/345.800 PLAN CNI„CI( -• NO FES 7.13
000/322.100 MECHANICAL •- NONRES 28.50
GENERA
TOTAL
CHECK
CHANGE
4635A000
35.63
35.63
35.63
0.00
14:58
Project:
00.M.I. 1 •.\
Type of inspectio
.._
Address:
1Z(9A %-. 1 •
Date called:
Special instructions: instructions:
Date wanted:
Lk i
f
Requester:
Phone No.:
C
COMMENTS:
Inspector:
I I
INSPEpTION RECORD
Retdin a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
NV per applicable codes.
Corrections required prior to approval.
C ) Od
PERMIT NO,
/-412‘179Cp
Date:
06) 431-3670
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
d
100 /160 CAM 200/310 CFM 460/750 OEM
LC)$ONE ®VENTIL,A RS LOSONE® VENTILATORS LOSONE®VENTTLATORS
Model 360 LoSone Ventilator
■ 100 C M. 1.5 Sonea (HVII
• 120 volts, 0.7 amps
■
1 /4" dia. x 3" deep blower wheel
ants 3' « "x 10" duct
=Use with &oan Modcl 57W, 57V
Electronic Speed Control for variable
blower speed and sound Tavel
selection
U Mct-0it grille kit (Model 88)-- available
separately
III Use Model 93 (available separately)
for in -line appllcalions .
Model 3361 LoSone Ventilator
■ 1 h0 CFM, 3 C!3.5 Banes (HV1)
111600 RPM, 120 volts, 1.0 amps
■ Uthcr katures same as Model 360
Models 300 7
:aa �
RECEIVED
CITY OF TUKWIIA
APR 0 91996
PERMIT . CENTER
Models 314
352
3133
3133
Model 362 LoSone Ventilator
1200 CFM, 2.0, 2.5 Sones •;'HVI)
• 120 volts, 1.3 amps
■ Two 5'4' dia. x 3" deep blower whe
■Fits 31/4" 10" duct
■ U e with l3man Model 57W, 57V
Electronic Speed Control for variable
blower speed and sound level
selection
■ Metal grille kit (Model 89)— available
separately
•Use lvlMlel (14 (available separately)
for in -line applications
Model 363 LoSnne Ventilator
• 300 CFM, 4.0/4.5 Bones (HVI)
U 120 volts, 2.3 amps
■ other features same as Modal 362
Modell 383 LoSone Ventilator
■ 310 CFM, 4.5/ 5.0 Sones (HVI)
• May be installed over cooking
equipment (does not include
insulation in housing)
■ Aluminum filter (99010137) -- available
separately
■ Other features same as Model 363
I
Models 314 I` ` �1- '�‘�
362Vl } ` V.
363 VVII
353
S
Model 365 LoScine Ventilator
■ 4b0
CFM, 4.5 Sones (HVI)
■ 12(1 volts, 3.0 amps
■ White enameled steel grille
■Fits 7" duct
•Use with Broan Model 57W, 57V
Electronic Speed Control for variable
blower speed and sound level
selection
• Use Model 95 (available separately)
for in -line applications
Model 375 LoSone Ventilator
• 750 CFM, 7.0/6,5 Sones (MVO
■ 120 volts, 3.9 amps
'Use with Broan Model 72W, 72V
Electronic Speed Control for
variable blower speed and
sound level selection
• Other features same as Model 365
i1t
Modals 355
375
Models 365
375
410 - 1,.
t'tl \t —.
19
AL, WIT
E u..
40 I
Date
..Y ••• •. --
•
a
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Or
8061• (Mai* 1 criolt W41 *+r9
• ti
oorr .l4 &tr./4N
Permit No. - _ �=
-f
Wfr4 I Gt. YC_
I.1i'r4 k >ft*o atatsii
it:x:4 ter I 6 1604.
L+1�►�I Li1191;6#.3 PijW .
L
I understand that the Plan Check approvals are
i; t;.tect to errors and omissions and approval of
r \n
1i1S dOe<�� 1
ot a 4horize the violation of any
t, �
3 ` ,acrpted cods, c 6 dinance. Receipt of con -
1
tractor's copY o at? )rove plan acknowledged. 1.
Bv
t U i 1 L' �l /.
� 1111 �I
matAxel'Ixi'xa;k7dt'%
vim?. fati «Irt Not F*)
- b( Cu t t2Iati l Tara,
Post-@' Fax No 707
er"Arrze 04-44,41
►favw+ ,3 �•
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e tat,
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Aj. ;FA
II toll' 4
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1d MK Old' 14 troi
SEPARATE PERMIT
REQUIRED FOR
❑'MECHANICA
r
OF TUI :ALA
Ulr,�:D1NG DIVISION
1
tt(4 t Not ffirDIPPAV elr 'rc^v e/* !1. 1i?vl,G
r i.ram C'btili V 41 d12lt 'Oea ' '1I tbb$it °›II I! 11!Niel,
l'kef 4 Rkoihlob tux* ,./ igal aonmvAtive•ei L1411'
rzN'^. ' k r Mh; 40
01CteIIIttfEr lvr t4.
.410c
RECEIVED
CITY OF TUKWILA
APR 0 91996
PERMIT CENTER
' -' REGISTRATION NUMBER .
'EXPIRATION.dATE:
.., .. • �' A A; •. ;
' .Ii,.•N•D :�'i:� ; s. « . �,! :iii
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• '
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t . OVIDER.�&( LAW, AS_ '.A
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SIGNATURE
• , , •
ISSUED BY i PARTMENT OF LABOR AND INDUSTRIES
• ,
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