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Permit No: M93 -0205
Type: B -MECH
Category: NRES
Address: 6720 SOUTHCENTER BL
Location:
Parcel *: 295490 -0455
Contractor License No: TRCIN * *171CN
MECHANICAL PERMIT
TENANT DR. DENNIS NORDLUND
6720 SOUTHCENTER BL, TUKWILA, WA 98188
OWNER RADOVICH JOHN C
2000 124TH NE B -103, BELLEVUE WA 98005
CONTRACTOR TRC, INC.
946 INDUSTRY DRIVE, TUKWILA, WA 98188
CONTACT RICHARD FROMHOLD
946 INDUSTRY DR, TUKWILA, WA 98188
Signature:N
Print Name:
(206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
UMC Edition: 1991 Valuation:
Total Permit Fee:
Status: ISSUED
Issued: 01/18/1994
Expires: 07/17/1994
Suite: 200
Phone: 206 575 -0711
Phone: 206 575 -0711
******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Description:
RELOCATE EXISTING DIFFUSERS, ADD 3 EXHAUST FANS,
AND 2 HOODS.
2,500.00
63.13
******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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. 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 thisng per it.
Date: -is
,
Title (.Yyja_�,
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.
AMOUNT
OWING:
*so
CONTACTED
J _ �
l�
1 ,
9 U
BY:
( init.) ~ - mil 1.3
DATE NOTIFIED
2nd NOTIFICATION
53
BY:
(init.)
3RD NOTIFICATION
SUITE NO.
@nn
BY:
(init.)
PROJECT NAME
SITE ADDRESS
(C51 a a
53
t
- er 61
SUITE NO.
@nn
PLAN CHECK
NUMBER
' rfer Oac
DEPARTMENT
XBUILDING -
initial review
BUILDING -
final review
UILDING
OFFICIAL
CITY OF TUKWIL/'
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Building 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 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.
O FIRE
O PLANNING
O PUBLIC
WORKS
O OTHER
INIT:
INIT:
INIT:
INIT:
/ Ai ALI
INIT: Y�4.
INIT: ft
FIRE PROTECTION: ( ) Sprinklers U Detectors (J N/A
FIRE DEPT. LETTER DATED: INSPECTOR:
MINIMUM SETBACKS: N-
UTILITY PERMITS REQUIRED?
PUBLIC WORKS LETTER DATED:
(HAL(
REVIEW COMPLETED
RE QUIREMENTS / COMMENT
CONSULTANT: Date Sent - Date Approved -
ZONING: IBAR/LAND USE CONDITIONS? ( ]Yes (J N
REFERENCE FILE NOS.:
FA ECAL Jtc Ard..
CERT. OF OCCUPANCY?
DYes No
UBC EDITION (year):
I ii
01/08/93
SITE ADDRESS SUITE #
.01 ZO 50A - 1- 1 - ) T7 2.°
VALUE OF CONSTRUCTION - $
--
PROJECT NAME/TENANT
12)12_ Q 01-?-- OL) - DE-..KriaL._. OFT= 1 GE
ASS SSOR ACCOUNT #
a ciLicio-0 LeY5
TYPE OF WORK: 0 New/Addition ,Elvtodifications 0 Repair 0 Other:
DESCRIBE WORK TO BE DONE:
711._ociATE, 5:,‹ VD -- D1 . PVIA,Sg.-, ; ikriD 5
EX , FA -1 \-) A 2— - Hoc eLs .
ADDRESS 01 LI CO IVIDiA,S - 12>Q_AA) E, - 11A
A) I \_1\
ZIP
WA. ST. CONTRACTOR'S LICENSE #17._CI.) .A(._.* .ii C Ki
::1:il:i:::::::::::::::::::iAiji::::::i:i:11::::::::11::::::::::
BUILDING USE (office, warehouse, etc.)
CIF 1
NATURE OF OF BUSINESS: --AL__
WILL THERE BE A CHANGE IN USE? r kNo 0 Yes IF YES, EXPLAIN:
WILL THERE BE TORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
IF YES, EXP . 1 7! No 0 Yes
PROPERTY OWNER 0 - 1 ....0 N c , RAT u 1 a - 1k) , r).
::::::]1:::::Amoutit,:::::
PHONE
ADDRESS
— eiDer) 1 2Ji-h tql)?__. 13c: 1: y--) b
- 1 2 :Abvi,
PHONE 5--7
ZIP G‘IDDG
5- 0-1, i I
CONTRACTOR --- r12 .. c_ - =t) C.
ADDRESS 01 LI CO IVIDiA,S - 12>Q_AA) E, - 11A
A) I \_1\
ZIP
WA. ST. CONTRACTOR'S LICENSE #17._CI.) .A(._.* .ii C Ki
::1:il:i:::::::::::::::::::iAiji::::::i:i:11::::::::11::::::::::
EXP. DATE
1.„----i— ct H
....
::::::]1:::::Amoutit,:::::
acr.r4,::::::::::::::::::::DATE:::::::
BASIC PERMIT FEE.:::j:::::::',:.:,:.:":.:::::::::1;
::::::..::;::;::,.. is; „.:;„0:,....1;
uNiTtSf fES::::::::::::::::::::::::::::::::::::::::::::
gi'
MEM
PLAN CHECK
::1:il:i:::::::::::::::::::iAiji::::::i:i:11::::::::11::::::::::
MEI
OTHERg
0..i.:'..02::::.if:!1!:.:ini.::::::
:::!::!::::0:::.0.?::1:
•;.:!.:::::iii::::Viin.::::',!::::ii.:.:::::
}:::::::::::1::::::::::.i
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431-3670
PLAN CHECK
NUMBER M 3 0 ao5
APPLICATION MUST BE FILLED OUT COMPLETELY
HEREBY CERTIFY THAT I HAVE READ AND EXAMII
D CORRECT AND I AM A IOAPPIY
BUILDING OWNER
OR
AUTHORIZED
AGENT
CONTACT PERSON
DATE APPLICATION ACCEPTED
MECHAN.:AL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be tilled out
and attached to this application.
FEES (for staff use only)
-uS ,APPLI CATION
IS PERMIT.
PHONE_15-0-1 1
SIGK TUR
PRINT NAM 17,'‘ c hp c is k,o t,C1
ADDRESS 0( La :Co
ciTYiziP Cain
. R1 6-tr)Fr a PHONE (..).-) )
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.
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 0 1:3
DATE APPLICATION EXPIRES
l.D —
Li
C4/07/93
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.
SUiMITTAL CHECKEIST
MECHANICAL
n Completed mechanical permit application (one for each structure or tenant)
n Two (2) sets of mechanical plans, which include: , f
• 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.
**** h*** dr**: h***A**** k:****.**,*,****' A*'** *k * * * * * *k * * * * * * *:k•k*k.ir*i4**
CITY OF TUK'WXLA, . WA'. . ..
* *A, * * *k ** **;40. •k * *'* *A• * * * * • *sk *•A•'y4 * ** # k * *,l ***leA.1r4 *•k•k *k'* * * * *. ..lr *i4
TRANSMIT Number•e : 94a.Q0Q6 Amour►t: 63 i . : :Q1' /1 . fie %
p •.m.ity N'as - M93- 0
'r 2.0S.: 'T.Yps:
MECHANICAL : PERMIT.
Parcel Nod 295490 -Q455 .
ite Address: .67220 5OUTHCI NTCR BL
Payment :`:Method: 'CHECK ., Notation: TRC, INC: In it SL8
k* *******.***** Jk* k* i4*.********* 4(******** *** * ** * ** *kk * * **** * ** *, * * *h
Accour►t.`Coda.. pestcription Paid
000/345:.8 PLAN CHECK NONRI:S 12'.b3
0 MECHANICAL - :NONRE" 50:50
Total.. (This Payment): 63:13.
GENERA
63.13
TOTAL , 63.13
CHECK 63.13
CHANGE 0.00
8158A000 14:54
Total Feed►; 63; i3
Total/ AllPayment.sp 63 13
. ..
:Balance: .00
Address: 6720 SOUTHCENTER BL
Suite: 200 •
Tenant: OR.'•DENNIS NORDLUND •
Type: 6-MECH
Parcel #: 295490 -0455 .
* * * *•k•k*** * *** * *•k• *** * * *•k * *** *** ** ****
Permit Conditions:
1.• No changes will• be made.,.
:Architect. and the Tuk-'w:itj
" ;thep 'ars xufnles,s.,. approved by the
iii "ldirg Divisi �
2 Electrical ; permit °1-•l' be ,obtained i.through ° `the,` Washington
State Division ,: Labor and Xndust es andlal lele�`
r�electrical
work wi 1 1 be ;, 'nspecte"d b:y; ghat agency „(24 30) .
3. Al 1 permits;, i�r`isp ct iiecords, tr and approved pl > ans shat�1,1 be
maintained fav'�ai ,,abl. the * site"prior to�rthe start of
any cons ,tru'ctir�o are to 'be, maintained
avai1ab< e'untfl, final ins ect:i,onV roval is ^' ran'td:� ,�
4. Any ex `� ei mat'ial shall
approval
have a ''
r �tuid in ulati�ons � ba` � �. 'g Q "
Spread Ran.g of 2.5 or 'le1�s/ and material shall b ide "nti'�!
fica shawing�, the fire per farmace rating thereof
a
5. All c onstr�u.ct�iolY to be7_done ir.� {:�•c'onformance with approved.
plari Viand re�`qu1frements'• °of- .the ;Unifor rn Building Code 91'
Edit n) 'as:. a m, � ended. ' by``'�t���e Wa,�S�Flingtort5• a
t,� Building�l.o:de,
Uni m Mechani pod7e•..,,(199�1 Edi,t;i'ten and.�Washingto "n t 't =e
En ea :gy Co Code S (1,991 ' e c o n,d' E )
6 Val 14:0t�yax Permit �j°Th•e'�issU ofl a per mi {t or. apps pva
pla s °, she;o`ifi�cat•i�6ns,. nff computations shall'' not be cone
str ' d a
t'o be a pen pat r,r or an pp,r.ov,�al, any vioilation
p '{ as.to�f' co
th 1's� de or�.� pf any othe ' '
of of ��e � rov�s�i�o, ,
CITY OF TUKWILA
v
Permit No: M93 -0205
Status: ISSUED
Applied: 12/30/1993
Issued: 01/18/1994
•k* k** * * ** * ** * * *•k * * *•k * * * * * ***** *** ** k**
ord Y.' =n of t},e jurisdiction. No'
auto itro'i vi'blate or cancel t
steal
Pr
`ir ..- 1� c,, 1 1 . , ;cc . , :)
/ V 4,44 L
:ttpe of I
ion: p--
11
'n f &
-sir 8L
-- / '5 -1-
.
• :
stnktions:
• Mete Wanted
_ / , q am. p.m.
Requester
4
pnoneNo.:
5 7 5— 0 71 l
CITY OF TUKWILA BUILDING DIVJSION
6300 Southcenter Blvd., #100, Tukwla, WA 98188
INSPECTION RECORD
Retain a copy with permit
I
ved per applicable codes.
/61 'I 3 _
Q
(206)431 -3670
0.. Corrections required prior to approval.
COMMENTS: ' (04
0 $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. CaN to schedule reinspection.
...ri
u�111lin
f12 ,l,C fib
;
ype � . �j .:. , ifs
C— F . J
Spe Inslnidiorts; A O
O(
a y .
Date Wanted _
_. R Qrn .
Requester:
u .iw-,
Phone No.:
-- t�n (�
C INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98186
Approved per applicable codes.
COMMENTS:
sped or:
Oc o5
PERMIT NO.
(206) 431 -3670
O Corrections required prior to approval.
2.0 I
O $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
R
Date:
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F625-052.000 (3-02)
....
STATE OF
WASHINGTON
. — .
JRC INC
. .:11'900INDUSTRY DR
SEATT1E'WA'98188
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTRATIONS AND LICENSES
ORGANIZATION TYPE
DOMESTIC PROFIT CORPORATION
. •
06MESTiC - ' • -
RENEWED BY AUTHORITY OF SECRETARY OF STATE
STATE OF WASHINGTON
;3.
UNIFIED BUSINESS ID #: ,600 464 880
BUSINESS ID #: 001
EXPIRES : 01-31-1994
2
' PR0003550
•02
Dlrocaft, Dopartmont ol Licensing
LEGEND
-1 TELEPHONE` OUTLET +15" UNO
• ®= DUPLEX OUTLET • 415 • UNO
.. FOURPLEX OUTLET +15" UNO
22 0 OUTLET
F RECESS /
FLOOR OUTLET W LON ° VOLTAGE CHASE
O MASTER • SHUTOFF ELECTRICAL
O 'SOLENOID FOR MASTER WATER SHUTOFF - •
• C j TELEPHONE SYSTEM 'BOX •
ELECTRIC PANEL BOX •
CALL LIGHT • LOCA" ,.d,;
TION
• COMPUTER TERMINAL -- DEDICATED `'CIRC
`CU PRINTER; .DEDICATED CIRCUIT
CPU; DEDICATED CIRCUIT
=Q M MODEM
O FAX
TV LOCATION; 'ANTENNA OR `' CABLE HOOKUP
® TRASH COMPACTOR
'WALL ELECTRICAL '
'0 AIR OFUTLEf
FOURPLEX OUTLET
RI TELEPHONE WALL MOUNT
0 ROOM FINISH NOTE
Note: 2 outlet
`boxes for future
plugmold
2 Separate circuits
Recessed Fire Extinguisher
(Rating 2A 10 BC)
'Mount so that top
finishes, 3', to 5'
above finished
floor
Note: Provide
electrical for
future Utility
Center use
UTILITY CENTER FOR DENTAL • UNIT; • AIR, WATER
VACUUM, ELECTRICAL (TEMPLATE BY DENTAL SUPPLIER)
• X—RAY HEAD; ? ? 4/20 AMF'; 2 # 1 8 • TO X--RAY REMOTE
SWITCHES; LOW VOLTAGE; VERIFY WITH DENTAL: SUPPLIER.
X —RAY REMOTE SWITCHES; VERIFY WITH DENTAL SUPPLI
• PANORAMIC •'X RAY ,
X —RAY CONTROL • BOX; VERIFY WITH DENTAL • SUPPLIER'(Recessed
• DENTAL qP • TASK •.LIGHT;
1 1.0; BACKING REQUIRED; VERIFY
• LOCATION WITH `DENTAL SUPPLIER
Utility Center for Dental Unit:
water, vacuum, valves, electrical;
template by Dental Supply House
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E. microfilmed document is less` cleat than thie'
notice, it , iii; due to the qua Lityr ' of the 'origina I document.
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Reception
Note: Outlet box for
owner's existing plug mold_
NOTE:
ELECTRICAL CONTRACTOR TO RUN
WIRES FOR;``SOUND SYSTEM, 'IV .
SYSTEM, AND ' COMPUTERS. VENDORS
TO SUPPLY AND INSTALL CONNECT -
IONS.
NOTE:
EXISTING OUTLETS TO REMAIN UNLESS
LOCATED IN INACCESSIBLE AREA
l�n Cheek apPr��ols ate
I tanie+rstantt Omit-1'e Plan
subject to errors and om
issions and app
oes n ot , tie viols ; t
��t op 'd Roc P
,�.4•.. code or ordinance. ),rdi
By
adopted rovedp ns <
�ractor'S ►
Mete .—
Per5ltt No.
SEPARATE P `
REQUIRED FO:
MECHANICAL
'LlEICA
0 PLUMIN
0 GAB PIPING
CITY OF iUkWtL 4
BUILDING DIVISION