HomeMy WebLinkAboutPermit M93-0128 - DOUBLETREE INNPROJECT NAME
SITE ADDRESS
SUITE NO.
PLAN CHECK
NUMBER
E PARTME .
0- BUILDING -
initial review
O FIRE
O PLANNING
O OTHER
BUILDING -
inal review
BUILDING
OFFICIAL
AMOUNT
OWING:
Mechanical Permit Application Tracking
CITY OF TUMID
•
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
REVIEW COMPLETED
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.
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to review . the project.
rE
8 -- 3b-R3
(ROUTED)
CONTACTED
INIT:
INIT:
INIT:
INIT:
INIT:
DATE NOTIFIED
2nd NOTIFICATION
3RD NOTIFICATION
. :ROV :
PR V
ZONING:
FIRE DEPT. LETTER DATED:
REFERENCE FILE NOS.:
UMC EDITION (year):
.................... .
UJR. E M EN..T
SCREENING REQUIRED? Q Yes 0 No
CONSULTANT: Date Sent - Date Approved -
FIRE PROTECTION: Q Sprinklers O Detectors ON/A
BY:
(init.)
BY:
(init.)
BY:
snit
INSPECTOR:
IBAR/LAND USE CONDITIONS? O Yes
ov'
SITE ADDRESS JJ SUITE #
VALUE OF 9ONSTRUCTION - $
ROJECT NAME/TENANT .
k_ - Q - r)
ASSESSOR ACCOUNT # /
5 7-7 d0 — Da , i 1
Other: �`- /
-���Z� d."t7
TYPE OF WORK: ❑ New /Addition ❑ Modifications ❑ Repair
DESCRIBE
` 57 ( a &(6 Abi G ce. w , �� CD 6o7Ze.(, o , virz_ 4
TYPE ; RATI SIZE NUMBE F UNITS
1 (,r ) &2 9 .. ti � � • S /i.
1
/
-- w J� � 1�I�
F_ ) IAN
A�
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? "No ❑ Yes IF YES, EXPLAIN:
WILL THERE : S •IRAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
IF YES, EXPL , _ i No ❑ Yes
I HEREBY;CERTIIFY THAT I HAVE:READ AND: EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE;
AND CORRECT', AND I AM AUTHORI ED TO` APPLY FOR THIS PERM T
BUILDING OWNER
OR
AUTHORIZED
AGENT
SIGNATURE
Q�.. f • /'6 (-.. -h - )C• Az t / -- --
DATE _
. , 3
PRINT NAME / / o ' /
e / C�i4- , „� 7 ` - 7Z-e�
PHONE- >1
c-/ (Ha)
ADDRESS )FDD -\ 7 - »-_- 0 (--.--
CITY/ZIP' •, t C, J/CC -
PH ON E� — l 5 260
CONTACT PERSON /' 3/
��/� rt- / ")C.� ��!') C -Z. Vlc.ft ark (�cu Uo l y
PROPERTY OWNER ti
IJ L)L �� �� �.r2.
'
,
�;
1`f'�! ' 1+�J�
`
I� �
.�
�
PHONE 5-9_ J .� c5.:--„Apo
ADDRESS , , . `�
UNIT(S) FEE
g . / I
PLAN CHECK FEE
ZIP t► I 4 '
CONTRACTOR 7/ 0 -i- n
OTHER:
gig' /
TOTAL -
PHONE
-(, 97
ADDRESS (94 I, C �/ a
/
0 1'_ 14
i jJ
ZIP / /-1
WA. ST. CONTRACTORS LICENSE #
6
0
j 1/ «/7 /
) 3 e 2
EXP. DATE j / 3
DESCRIPTION
AMOUNT
RCPT #
DATE
BASIC PERMIT FEE
$15.00
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
NUMBER
9
APPLICATION MUST B FILLED OUT COMPLETELY
• MECHAN. :AL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be filled out
and attached to this application.
FEES (for staff use only)
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. A completed "Mechanical
Permit Fee Worksheet" must accompany this permit application. Handouts are available at the Building counter which
provide more detailed information on application and plan submittal requirements. 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 que _ gut our process or plan submittal requirements, S��
please contact ,' Y. r Dr - (A of Community Development at 431 -3670. `
DATE APPLICATION ACCCEPTED AUG 3 0 1993 DATE APPLICATION EXPIRES
C e 0 L i ,
raMMiT CEN ER
01/20/93
MECHANICAL
Completed mechanical permit application (one for each structure or tenant)
Two (2) sets of mechanical plans, which include:
SUBMITTAL CHECKLIST
• 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.
Water heaters and vents are included in the UMC — please include any water heaters or
vents being installed or replaced.
roec:
it �� _ --
"ire : —
2 5 S' '?'
713o ns n:
PE? --(
Date Called: /
Special Instructions:
Date Wanted:
Requester:
Phone No,:
SPECTION NO.
❑ Approved per applicable codes.
INSPECTION RECORD
'Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
%493
PERMIT NO.
(206) 431 -3670
❑ Corrections required prior to approval.
!PS S' ter
e'r 17 e- $?. 4,40s ..-"c_$(.0 Are (.4.
4 '/'7 i-P. r4P6.�f
❑ $30.00' REI NSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100., Call to schedule reinspection.
• :•.:71' ',.:
Date:
f' -•
, . ; id�; , �.:t; - 't'IOMI�IL•gA8EF1 ` . �' , .
EXPIRATION DATE
s R
s >. C �; h t�� .
1 .✓ ,22i
•
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREIN IS REGISTERED AS PROVIDED BY LAW AS A
cer*fy that, t a., is. a ;tr and c copy. o f the o r i ginal document as
)resented' :.- t:me, b Belinda ' M d ,. Shaffner, on October 19,. • 1993
i .,,:�Y� r +`�' " � 'fir •` ' ";., ?� { "
►r►irt�a'r =e.►r • :s�tJ'uriwrs�ar:
WA;• 98199
•
4.
STATE OF WASHINGTON
•
Tiffany .L.. GOUGH
•
Seattle Office, Please Reply to O .
2800 Thorndyke Ave, West
Seattle, Washington 98199
282 -4700 FAX 284 -7701
To Whom it may Concern:
Tacoma Office, Please Reply to Cl
8201 Durango St. S.W.
Tacoma, Washington 98499
984 -6404 FAX 588-0393
4*.S
"THE ACCENTS ON SERVICE
Enclosed is a notorized copy of my General contractors
license. As per the new state law, I spoke with a lady
down in Olympia ( Dept of L &I) and she stated that as long
as your office has the notorized copy on file, I do not need to
'bring in another copy everytime I apply for a mechanical permit.
If there are any questions she said you may call her at
(206) 956 -5209, ask for Bonnie.
If there is any problems or any other questions you can call
me at 282 -4700.
Thank You
Belinda Shaffner
October 26,1993
Since 1957
• Water Heater
• Heating /Air
EC
OCT ` 2 81993
commumTV
DEVELOPMENT
Everett Office, Please Reply. to O
3110 Hill Street
Everett, Washington .98201
259 -5331 " FAX 258 -4934
•-• °
'COMMERCIAL INSTALLERS INSTii.,CTIONS
WNG8361 -
DATE
11/03/92
JOB NUMBER
91 21 / ( /) 91 2 1 a 1 L/
"
NAME
DOUBLETREE INN
ADDRESS
(XN CITY
205 STRANDER BVD SEATTLE 0 COUNTY
HOME PHONE
WORK PHONE
575 -8220
FAX NUMBER
TYPE OF BUSINESS
SALES REP
GOOCH
INSTALLER
NORTHWEST 152
TO 716
BID BY
JEFF NW & MARK BARNARD
TURNKEY JOB
FROM
TRAN CODE
I I I I
I -2.
SPECIAL LEASE PROVISION APPLIES
INSTALL IN EXISTING LOCATION
ACCT a
W d
RESP CODE
EXISTING EQUIPMENT
0 NEW SERVICE
LEASE
METER ONLY of ADDED LOAD GAS REPLACEMENT
DiXSALE BID SHEET ATTACHED
SCHEDULE DATE
METER SET DATE
12/20/92
ENTRY ARRANGEMENTS
JEFF PORTER CALL JEFF PORTER 575 -8220
1 RUSH
❑ SPECIAL HANDLING DESCRIPTION OF JOB
AO SMITH HW670 BOILER TO WORK WITH ONE PURCHASED AO
500GAL STORAGE TANK. REMOVE EXISTING EQUIP (600GAL108KW
FROM SITE. STORAGE TANK TO SET IN LAUNDRY ROOM,
IN CUSTOMER PROVIDED SHELTER ON ROOF, INSTALL LEASED
BOILER TO SURVE POOL, TO REPLACE AND REMOVE EXISTING
BOILER. GAS,VENT & PERMIT JOB.
INSTALL ONE LEASED
SMITH T500 ASME
ELECT) AND ASBESTOS
BOILER TO BE SET
AO SMITH HW300
ELECT 60KW :200KBTU
CUSTOMER WILL PROVIDE
X ELECTRICAL SUPPLY TO UNIT SITE
X STRUCTURAL
ENGINEERING
<A;<
.•
:J= f WNGVPIROVIDIRO OU1PMIENT44: rp4 y x ra;.;e;
SKETCH
16654e'S
ITEM N
_....___.....,__._....__._
.. •
OTY
__.._.._.._._....._._____.._...
I
DESCRIPTION
_.__._._....._.-...___._..._.._...._.._..._...___..__._ ...__........._ ................
DESCRIPTIONtMODEL-M-----
s'._7
4__._ _....._. .__..
I ) ' . 4�k' k % r * 00 ' � u .1;'i ri4j(,�� ,), . �7 °
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TRAN CD - 23
ACCT
OTY
N 3 O
DESCRIPTION
LRESP I 1 �
ITEM B
NEW FUEL LINE:
EXHAUST VENT /DRAFT
WATER LINES:
INDUCER:
RELIEF
INGINSTALLED
�✓ LEAVE
REMOVE
RETURN
CHECK
Q CHECK
SI LE TERM
`.. _. ___
__
.f_�„ +c-�� .
SIZE: LENGTH. TERM*
^i4 Ir A. fi 7 i r : ot`" lliiLi ` a .OAT �F' > ". > ;.el l• Y 5a V,
t} r i re .5��.
'
LENGTH. TERM �//��,,,�//.�
��yy /
INSTALLATION AMOUNT ...•..._• ., �11 OZ.00..IR SJ_._7!.�fp1 .,.,_ -_..
EXCESS AMOUNT
TOTA
SIZE: LENGTH: TERM:
SIZE: LENGTH: TERM:
p ,ie% 1r, I I\ IovH
WITH CUSTOMER
AND JUNK ( „' � ', �',
TO WNG '
WITH OWNER
WITH OWNER
INSTALLED
SERIAL
MODELa
DATE'
NUMBER*
AMT BILLED
• COMBUSTION AIR ADEQUATE?
^��
/pf�J
• MAKE-UP AIR NEEDED
'�•'
• OTHER EQUIPMENT
OLD QUIP
tp T� v OTAyS
PERMITS:
MECHANICAL
B cl PLUMBING
A
r \\
a ELECTRICAL
ORDER RECEIVED BY
MATEN
MATERIAL ISSUED BY'
i / • Z _ Z
�
�+" , j
._.6
PICK UP INSTALLERS: 1. (WHITE) INSTALLER /COMPLETION NTC; , 2. (CANARY) WAREHOUSE; 3. (PINK) INSTALLATIONS; 4. (GOLDENROD) POST INSPECTION
DIRECT DELIVERY: 1. (WHITE) INSTALLER /COMPLETION NTC; 2. (CANARY) INSTALLATIONS, 3. (PINK) INSTALLER, 4. (GOLDENROD) POST INSPECTION
'COMMERCIAL INSTALLERS INSTL.CTIONS • y
WNG B3OE7 •
DATE I
11/03/92
JOB NUMBER
e t 1 Z1 / ■ / L / QQ
1 ZI U l I/
3
NAME
DOUBLET.REE INN
ADDRESS N CITY
205 STRANDER BVQ SEATTLE D COUNTY
HOME PHONE
WORK PHONE
575-8220
FAX NUMBER
TYPE OF BUSINESS
SALES REP
GOOCH
INSTALLER
NORTHWEST 152
BID BY
JEFF NW & MARK BARNARD
0 TURNKEY JOB
FROM
IRAN CODE
TO
I
I I I I I
21)
I 1
SPECIAL LEASE PROVISION APPLIES
fj INSTALL IN EXISTING LOCATION
ACCT n
60 y/
RESP CODE
EXISTING EQUIPMENT
NEW SERVICE
®( LEASE
METER ONLY Ea ADDED LOAD GAS REPLACEMENT
[]XSALE BID SHEET ATTACHED
SCHEDULE DATE
METER SET DATE
12/20/92
EN TRY ARRANGEMENTS
JEFF PORTER CALL JEFF PORTER 575-8220
• I RUSH
�. �
SPECIAL HANDLING DESCRIPTION OF JOB
SMITH HW670 BOILER TO WORK WITH ONE PURCHASED AO
STORAGE TANK. REMOVE EXISTING EQUIP (600GALIOBKW
SITE. STORAGE TANK TO SET IN LAUNDRY ROOM.
PROVIDED SHELTER ON ROOF. INSTALL LEASED
TO SURVE POOL, TO REPLACE AND REMOVE EXISTING
GAS,VENT & PERMIT JOB.
INSTALL ONE LEASED AO
SMITH T500 ASME 500GAL
ELECT) AND ASBESTOS FROM
BOILER TO BE SET IN CUSTOMER
AO SMITH HW300 BOILER
ELECT 60KW :200KBTU BOILER.
CUSTOMER WILL PROVIDE
X ELECTRICAL SUPPLY TO UNIT SITE
X STRUCTURAL
ENGINEERING
I'w ±s`'t
PROVIDED;;EOUIPMEMT41't
OW
}, < r' si, i;, .
DESCRIPTION
SKETCH
•
ITEM II
_-._..._-14139__.
__._......_..1
___...__ SMITH___—__.
OESCRIP .
_......_- __.— .,___NM-300. - - - - --
-.2_
L.
I
.._ t
. .5 _.
-'4. 4"- .....__.._..._........
Y {k. f P''''..
4�.. "*WPM" e I t..' e h• " WI'
TRAN CD -23
ACCT NO. 4 1 6 3 0 I RESP 1 1 1 I 1
ITEM II
OTY
DESCRIPTION
NEW FUEL. LINE:
EXHAUST VENT /DRAFT INDUCER:
WATER LINES: HOT
COLD
RELIEF
0 COMBUSTION AIR ADEQUATE?
SIZE: LENGTH: TERM:
SIZE: LENGTH: TERM:
is„ ' < < . yf ,l;:: '
: :, , '
'. - ' ' ,' f.. :DILL INCI D/ !►1'%►h o f ' if j� ', {''
r ;.
SIZE: LENGTH: 1 s ' TERM:
INSTALLATION
„_,___ EXCESS
AMOUNT
AMOUNT
••t
__........_.._.__. ._.__....___...._
SIZE: LENGTH: TERM:
SIZE. LENGTH: TERM:
TOTAL
�- 6 % • r% h!‘ nil
Pt
•
WITH CUSTOMER
AND JUNK
TO WNO
WITH OWNER
WITH OWNER
n
I l l
•
INSTALLED DATE:
SERIAL NUMBER'
MODEL IS W
C4- A BILLED
J �rD
/3 /
Il MAKE UP AIR NEEDED
l
..300 TOTAL S
III OTHER EQUIPMENT BEING INSTALLED
OLD EQUIPMENT: 0 LEAVE
PERMITS:
MECHANICAL
G u d PLUMBINcI 1 S '
\� `2� y 7
a ELECTRICAL
0 REMOVE
Q RETURN
M �
MATERIAL
-Q Z,
• CHECK
Q CHECK
ISS BY
Q
63+
3 "WASHINGTON NATUF
PICK UP INSTALLERS: 1. (WHITE) INSTALLER /COMPLETION NTC; 2. (CANARY) WAREHOUSE: 3. (PINK) INSTALLATIONS; 4. (GOLDENROD) POST INSPECTION
DIRECT DELIVERY: 1. (WHITE) INSTALLER /COMPLETION NTO; ' 2. (CANARY) INSTALLATIONS, . 3. (PINK) INSTALLER; 4. (GOLDENROD) POST INSPECTION
11YASIlLIPIL2 I UN TVA I UPIAL $.1Ap VUIYIrM .e• r
COMMERCIAL INSTALLERS INST ..CTIONS
WNG 838.7
DAT ^�
11/03/92
JC6NUMBER ,
I g12.1 . i / 1. '7 1 L 10 I Li
a
NAME
DOUBLETREE INN
ADDRESS • (Up CITY
205 STRANDER BVD SEATTLE 0 COUNTY
HOME PHONE
WORK PHONE
515-8220
FAX NUMBER
TYPE OF BUSINESS
SALES REP
GOOCH
INSTALLER '
NORTHWEST 152 •
BID BY
JEFF NW & MARK BARNARD
FROM
TRAN CODE
TO
• TURNKEY JOB
1 1
I -I I I
I 1 1 1
❑ SPECIAL LEASE PROVISION APPLIES
NEW SERVICE
LEASE
ACCT U
6 0/
METER ONLY
a SALE
y ADDED
RESP CODE
LOAD El GAS REPLACEMENT
M INSTALL IN EXISTING LOCATION
EXISTING EQUIPMENT
I
Iii
ATTACHED
I BID SHEET
SCHEDULE DATE
METER SET DATE
12/20/92
ENTRY ARRANGEMENTS
JEFF PORTER CALL JEFF PORTER 575-8220
•
❑ SPECIAL HANDLING DESCRIPTION OF JOB
SMITH HW670 BOILER TO WORK WITH ONE PURCHASED AO
STORAGE TANK. REMOVE EXISTING EQUIP (600GALIO8KW
SITE. STORAGE TANK TO SET IN LAUNDRY ROOM.
PROVIDED SHELTER ON ROOF. INSTALL LEASED
TO SURVE POOL, TO REPLACE AND REMOVE EXISTING
GAS,VENT & PERMIT JOB.
1 RUSH
INSTALL ONE LEASED AO
SMITH T500 ASME 500GAL
ELECT) AND ASBESTOS FROM
BOILER TO BE SET IN CUSTOMER
AO SMITH HW300 BOILER
ELECT 60KW :200KBTU BOILER,
CUSTOMER WILL PROVIDE
X ELECTRICAL SUPPLY TO UNIT SITE ; ., �t (/--'
• g 4 ft p i i "
' X STRUCTURAL ENGINEERING
SKETCH
, '4 ? WNQ
PROVIDEICEIMt,1.IPMENTJ,`ii
. `. .
- .._.....__...._.
_.._....__.
rR
:_-
DESCRIPTION
.
SMITH..-
.. _.._.__.._..---._...___.......____
`.'a : r
ITEM N
DESCRI .PT.IONtMODEL..- L..-
_.. -.. -.
._._....
_.._..14158..- .__...._
.23.4a_o_._.
,23-2_0L__
23.c/7.___
.__.....HW.- 67.0. ..._
_......__.._._- __._._..__...___
. /�r
TRAN CD - 23
ACCT NO. 4 1 6 3 0 RESP 1 1 1 1 1
ITEM U
—
OTY
DESCRIPTION
O oh
NEW FUEL LINE:
EXHAUST VENT /DRAFT INDUCER:
WATER LINES: HOT
COLD
RELIEF
RELIEF
• COMBUSTION AIR ADEQUATE?
SIZE: LENGTH: TERM'
SIZE; LENGTH:. TERM'
dd df
5
SIZE: LENGTH: TERM*
INSTALLATION AMOUNT
EXCESS AMOUNT 1 _
TOTAL
SIZE: LENGTH: / $ TERM'
.
SIZE: LENGTH: TERM'
'` `I �J
WITH CUSTOMER R C / D NI " . -
AND JUNK DEC.
TO WNG • ' l? E iR 1 '► 1'+"2
WITH OWNER
OWNER
\
INSTALLED DATE'
SERIAL NUMBER'
MO DEL q H
r 4°
AMA BIL
`
/ 1 /
• MAKE - UP AIR NEEDED'
0 OTHER EQUIPMENT BEING INSTALLED
OLD EQUIPMENT: 'LEAVE
/Q TOTAL S
PERMITS: "PIPING
MECHANICAL
�� � 03 ( 4i3 • IA N° ‘k
a ELECTRICAL
❑ REMOVE
❑ RETURN
❑ CHECK
ORDER RECEIVED BY'
NORT E •
MATERIAL ISSUED BY:
!-
I' WK.. • • / ��n 2 i 'Q
i ' - i - 1 •
• CHECK
WITH
4 `
PICK UP INSTALLERS: 1. (WHITE) INSTALLER /COMPLETION NTC; 2. (CANARY) WAREHOUSE; 3. (PINK) INSTALLATIONS; 4. (GOLDENROD) POST INSPECTION
DIRECT DELIVERY: 1. (WHITE) INSTALLER /COMPLETION NTC; 2. (CANARY) INSTALLATIONS; 3. (PINK) INSTALLER; 4. (GOLDENROD) POST INSPECTION