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HomeMy WebLinkAboutPermit D06-079 - Pacific Medical - PartitionsPACIFIC MEDICAL INC 12658 INTERURBAN AV S D06 -079 City or/Tukwila Parcel No.: 2716000030 Address: 12658 INTERURBAN AV S TUKW Suite No: 71 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us Tenant: Name: PACIFIC MEDICAL INC. Address: 12658 INTERURBAN AV S, TUKWILA WA DEVELOPMENT PERMIT Owner: Name: AMB INSTITUTIONAL ALLIANCE Address: C/O MCELROY GEORGE & ASSOC, 3131 S VAUGHN WAY STE 301, AURORA CO 80014 Phone: Contact Person: Name: DAVID KEHLE Address: 12720 GATEWAY DR, STE 116, SEATTLE WA, 98168 Phone: 206 433 -8997 Contractor: Name: MIKE WERLECH CONSTRUCTION INC Address 4522 49TH AVE SW, SEATTLE WA 98116 Phone: Contractor License No: MIKEWCI044LL doc: IBC - PERMIT **continued on next page** Expiration Date: 07/12/2007 Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: D06 -079 Issue Date: 08/22/2006 Permit Expires On: 02/18/2007 DESCRIPTION OF WORK: INSTALL INTERIOR NON - BEARING OFFICE PARTITIONS. INSTALL FULL HEIGHT PARTITION SEPARATING TWO WAREHOUSE AREAS. MODIFY LIGHTS AS REQUIRED. Value of Construction: $25,000.00 Fees Collected: $804.72 Type of Fire Protection: SPRINKLERS International Building Code Edition: 2003 Type of Construction: VB Occupancy per IBC: 0008 D06 -079 Printed: 08 -22 -2006 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N City or/Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us Sanitary Side Sewer: N Sewer Main Extension: N Private: Storm Drainage: N Street Use: N Profit: N Water Main Extension: N Private: Water Meter: N Permit Center Authorized Signature: doc: IBC - PERMIT Permit Number D06 -079 Issue Date: 08/22/2006 Permit Expires On: 02/18/2007 Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: N Hauling: N Start Time: End Time: Land Altering: N Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: N Moving Oversize Load: N Start Time: End Time: Public: Non - Profit: N Public: 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 construct': performance of work. I am authorized to sign and obtain this development permit. Signature: Date: 6 ^0 Steven M. Mullet, Mayor Steve Lancaster, Director Date: 0!/.11704 Print Name: 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. 006 -079 Printed: 08 -22 -2006 City or Tukwila Parcel No.: 2716000030 Address* 12658 INTERURBAN AV S TUKW Suite No: Tenant: PACIFIC MEDICAL INC. 1: ** *BUILDING DEPARTMENT CONDITIONS * ** Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: ci.tukwila.wa.us PERMIT CONDITIONS Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: 006 -079 Status: ISSUED Applied Date: 03/09/2006 Issue Date: 08/22/2006 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431- 3670). 4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 5: New suspended ceiling grid and light fixture installations shall meet the non - building structures seismic design requirements of ASCE 7. 6: Partition walls that are tied to the ceiling and all partitions greater than 6 feet in height shall be laterally braced to the building structure. 7: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 8: All rack storage requires a separate permit issued through the City of Tukwila Permit Center. Rack storage over 8 -feet in height shall be anchored or braced to prevent overturning or displacement during seismic events. The design and calculations for the anchorage or bracing shall be prepared by a registered professional engineer licensed in the State of Washington. 9: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 10: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (206/248- 6630). 11: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. 12: ** *FIRE DEPARTMENT CONDITIONS * ** 13: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 14: The total number of fire extinguishers required for a light hazard occupancy with Class A fire hazards is calculated at one extinguisher for each 3,000 sq. ft. of area. The extinguisher(s) should be of the "all purpose" (2A, 10 B:C) dry doc: Conditions 006 -079 Printed: 08 -22 -2006 City th Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us chemical type. The travel distance to any extinguisher must be 75' or less. (IFC 906.3) (NFPA 10, 3 -2.1) 15: Portable fire extinguishers, not housed in cabinets shall be installed on the hangers or brackets supplied. Hangers or brackets shall be securely anchored to the mounting surface in accordance with the manufacturer's installation instructions. Portable fire extinguishers having a gross weight not exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 5 feet (1524 mm) above the floor. Hand -held portable fire extinguishers having a gross weight exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 3.5 feet (1067 mm) above the floor. The clearance between the floor and the bottom of the installed hand -held extinguishers shall not be less than 4 inches (102 mm). (IFC 906.7 and IFC 906.9) 16: Fire extinguishers shall not be obstructed or obscured from view. In rooms or areas in which visual obstruction cannot be completely avoided, means shall be provided to indicate the locations of the extinguishers. (IFC 906.6) 17: Extinguishers shall be located in conspicuous locations where they will be readily accessible and immediately available for use. These locations shall be along normal paths of travel, unless the fire code official determines that the hazard posed indicates the need for placement away from normal paths of travel. (IFC 906.5) 18: Egress doors shall be readily openable from the egress side without the use of a key or special knowledge or effort. (IFC 1008.1.8.3 subsection 2.2) 19: Dead bolts are not allowed on auxiliary exit doors unless the dead bolt is automatically retracted when the door handle is engaged from inside the tenant space. (IFC Chapter 10) 20: Door handles, pulls, latches, locks and other operating devices on doors required to be accessible by Chapter 11 of the International Building Code shall not require tight grasping, tight pinching or twisting of the wrist to operate. (IFC 1008.1.8.1) 21: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10) 22: Maintain sprinkler coverage per N.F.P.A. 13. Addition /relocation of walls, closets or partitions may require relocating and/or adding sprinkler heads. (IFC 901.4) 23: Sprinklers shall be installed under fixed obstructions over 4 feet (1.2 m) wide such as ducts, decks, open grate flooring, cutting tables, shelves and overhead doors. (NFPA 13 - 8.6.5.3.3) 24: All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department review and approval of drawings prior to installation or modification. New sprinkler systems and all modifications to sprinkler systems involving more than 50 heads shall have the written approval of the W.S.R.B., Factory Mutual, Industrial Risk Insurers Kemper or any other representative designated and /or recognized by the City of Tukwila, prior to submittal to the Tukwila Fire Prevention Bureau. No sprinkler work shall commence without approved drawings. (City Ordinance #2050) 25: All electrical work and equipment shall conform strictly to the standards of the National Electrical Code. (NFPA 70) 26: New and existing buildings shall have approved address numbers, building numbers or approved building identification placed in a position that is plainly legible and visible from the street or road fronting the property. These numbers shall contrast with their background. Address numbers shall be Arabic numbers or alphabet letters. Numbers shall be a minimum of 4 inches (102mm) high with a minimum stroke width of 0.5 Inch (12.7mm). (IFC 505.1) 27: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2050 and #2051) 28: Any overlooked hazardous condition and /or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. doc: Conditions D06-079 Printed: 08 -22 -2006 City drTukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us 30: ***PUBLIC WORKS DEPARTMENT CONDITIONS" * *continued on next page** Steven M. Mullet, Mayor Steve Lancaster, Director 29: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575 -4407. 31: If existing sprinkler system is modified, then Applicant/Owner shall upgrade backflow system(s) as required by Public Works. This includes installation of a new 2 -inch RPPA on domestic with freeze protection cover (Hot Box or approved equal) and upgrading to a 1.5 -inch exempt meter. If required, this system shall be designed by a State of Washington Licensed Engineer. doc: Conditions D06 -079 Printed: 08 -22 -2006 City Or'Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: vw doc: Conditions Steven M. Mullet, Mayor Steve Lancaster, Director Date: Q —Z.Z D06 -079 Printed: 08 -22 -2006 CITY OF TUKWIl Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. **Please Print** SITE LOCATION ^ � King Co Assessor's Tax No.: Al I 10 Do- D030 Site Address: ON & 58 In ux ban �"Y 50 . Suite Number. Floor. Tenant Name: Parr -AC, Medu - al Tn New Tenant: ❑ Yes g.No Property Owners Name: e P_EEF Mailing Address: /(OOCX) Child 0 36m Road IO i1JKl(1ttQ r VVA 9Alss City State Zap CONTACT PERSON Name: 1JQ LM / y( �11J _ Day Telephone: "—A 014 • 4^A f ig 7 Mailing Address: E-Mail Address: d Kch l eZ A $ th re arch . coat W TUKWILA W Building Permit No. Val Mechanical Permit No. Public Works Permit No. Project No. two c e vseo Seat C� WA . City State rip Fax NumberA (D • z ij0• E. l GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page) Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number. Contactor Registration Number. Expiration Date: **An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance** State Zip ARCHITECT OF RECORD - Ml plans must be wet stamped by Architect of Record Company Name: Mailing Address: T 1 Z L1) I� (7 ` 01 ri�)aJ 7)r. .'Sul k /I to Stitt IDA. '8 /(o9 City State Contact Person: DG�W (.l. l if J I7 J ! . Day Telephone: ( to - -4(31 E -Mail Address: CI Ki.hLe- a7 ClKr hie Arch, coat Fax Number. c9f0(0 (9440 X n ,'11/ ENGINEER OF RECORD -Ml plans must be wet stamped by Engineer or Record Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number. aa4va:u Pee= eleateee410aaI appiw awed: 6 Mt (7. Page 1 BUILDING PERMIT INFOR*STION - 206 -431 -3670 Valuation of Project (contractor's bid price): $ t-15, ) Existing Building Valuation: $ Scope of Work (please provide detailed information): I [_ f , e t n pair-4th ). IM.hta t -kW height a.r**It separ1 Warehouse/ areas. /Ylnd&9 /,q &'5 repined . Will there be new rack storage? ❑..Yes i.No If"yes", see Handout No. for requirements. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single- family building footprint (arcs of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling: °Provide documentation that shows that the principal owner lives in one of the dwellings as his or ber primary residence. Number of Parking Stalls Provided: Standard: q \pemdb plMia duegtpermit application (7 -20p) Revised: r a.n! bh Page 2 Compact: Handicap: Will there be a change in use? ❑....Yes ❑..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: S . Sprinklers 0 ..Automatic Fire Alarm ❑..None 0 ..Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0.. Yes No If "yes ", attach list of materials and storage locations on a separate 8 -1/2 s 11 paper indicating quantities and Material ety Data Sheets. Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC l Floor 35, 0 11 150 -- \( 8 5 r nrcJ td SB ,__-_ r Floor 3"' Floor Floors thrn _ _ Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck BUILDING PERMIT INFOR*STION - 206 -431 -3670 Valuation of Project (contractor's bid price): $ t-15, ) Existing Building Valuation: $ Scope of Work (please provide detailed information): I [_ f , e t n pair-4th ). IM.hta t -kW height a.r**It separ1 Warehouse/ areas. /Ylnd&9 /,q &'5 repined . Will there be new rack storage? ❑..Yes i.No If"yes", see Handout No. for requirements. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single- family building footprint (arcs of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling: °Provide documentation that shows that the principal owner lives in one of the dwellings as his or ber primary residence. Number of Parking Stalls Provided: Standard: q \pemdb plMia duegtpermit application (7 -20p) Revised: r a.n! bh Page 2 Compact: Handicap: Will there be a change in use? ❑....Yes ❑..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: S . Sprinklers 0 ..Automatic Fire Alarm ❑..None 0 ..Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0.. Yes No If "yes ", attach list of materials and storage locations on a separate 8 -1/2 s 11 paper indicating quantities and Material ety Data Sheets. PUBLIC WORKS PERMIT 114FORMATION — 206 -433 -0179 Scope of Work (please provide detailed information): NiPt Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District i] ...Tukwila ❑...Water District #125 ❑...Water Availability Provided Sewer Dlstrtct ❑...Tukwila ❑... ValVue ❑.. Renton 0.. Seattle ❑ ...Sewer Use Certificate ❑ ...Sewer Availability Provided ❑ -Approved Septic Plans Provided ❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department. nbmitted w(th A licalon ark boxes w ch a ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) r000sed Activities (mark boxes that anplv): .. .Right-of-way Use - Nonprofit for less than 72 hours ❑ ...Right-of-way Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way Non Right -of -way ❑...Total Cut cubic yards ❑ ...Total Fill cubic yards ❑...Sanitary Side Sewer ❑ .. Abandon Septic Tank ❑...Cap or Remove Utilities ❑ Curb Cut ❑ ...Frontage Improvements ❑ .. Pavement Cut ❑ ...Traffic Control ❑ .. Looped Fire Line ❑ ...Backflow Prevention - Fire Protection Irrigation •' Domestic Water ` ❑ ...Permanent Water Meter Size... WOO ❑ ...Temporary Water Meter Size .. W O# ❑ ...Water Only Meter Size W O# ❑...Sewer Main Extension Public _ Private _ ❑...Water Main Extension Public _ Private y: \ \pcmiu phAim thaiae tpunit application (7-2(X14) Revisal: 64415 bb Call before you Dig: 1-800-424-5555 Page 3 ❑ .. Highline ❑ .. Geotechnical Report ❑ .. Maintenance Agreement(s) ❑ .. Renton ❑ .. Right-of-way Use - Profit for less than 72 hours ❑ .. Right-of-way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ -Storm Drainage ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Deduct Water Meter Size ❑...Traffic Impact Analysis ❑...Hold Harmless FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrants) ❑...Water ❑...Sewer ❑...Sewage Treatment Monthly Servirr Billing to Name: Day Telephone: Mailing Address: City State Zip Water Meter Refimd/Billina: Name: Day Telephone: Mailing Address: City State tip Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Fumace<100K BTU Air Handling Unit >10,000 CFM Fire Damper 0-3 HP /100,000 BTU Furnace >100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood/Gas Stove 30-50 HP /1,750,000 BTU Appliance Vent Hood and Duct Water Heater - 50 +HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Emergency Generator Air Handling Unit <10,000 CFM Incinerator — Comm/1nd Other Mechanical Equipment MECHANICAL PERMIT INFORMATION — 206 -431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: 1 Mailing Address: N City State Tip IC Contact Person: Day Telephone: E -Mail Address: Fax Number. Contractor Registration Number: Expiration Date: "An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance" Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Use; Residential: New .... ❑ Commercial: New .... ❑ Fuel Tvoe: Electric .....❑ Gas ....0 Other Indicate type of mechanical work being installed and the quantity below: PERMIT APPLICATION NOTES - Applicable to all permits in this application 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 grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.31 International Building Code (current edition). 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING O , p : UT ORIZED AGENT: Signature: / Date: D (O Print Name: , a i d 1 - lit ha. . 7� Day Telephone: Auto-433 - / 0 6 197 Mailing Address: /a / a O n � Oka.), br. ev;k 1110 I l/ kw-ii J & / (A� . tJ - 8 /1O G I Date Application Accepted: v i (IA\pnmin pbu\in: Na, cspamx mMiaim 0- 04 ) Rewind: s-sos bb Replacement .... ❑ Replacetnem .... ❑ Date Application Expires: I � id Page 4 Staff Initials 1 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 2716000030 Permit Number: D06 -079 Address: 12658 INTERURBAN AV S TUKW Status: APPROVED Suite No: Applied Date: 03/09/2006 Applicant: PACIFIC MEDICAL INC. Issue Date: Receipt No.: R06 -01316 Payment Amount: 489.48 Initials: LAW Payment Date: 08/22/2006 12:10 PM User ID: 1632 Balance: $0.00 Payee: MIKE WERLECH CONSTRUCTION INC TRANSACTION LIST: Type Method Description Amount RECEIPT Payment Check 10454 489.48 ACCOUNT ITEM LIST: Description Current Pmts BUILDING - NONRES STATE BUILDING SURCHARGE Account Code 000/322.100 484.98 000/386.904 4.50 Total: 489.48 8911 08/22 9710 TOTAL 489.48 doc: Receipt Printed: 08 -22 -2006 Parcel No.: Address: Suite No: Applicant: Receipt No.: Initials: User ID: Payee: doc: Receipt City of Tukwila TRANSACTION LIST: Type Method 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 2716000030 12658 INTERURBAN AV S TUKW PACIFIC MEDICAL INC. R06 -00324 7EM 1165 DAVID E. KEHLE ARCHITECT Payment Check Description 17195 RECEIPT ACCOUNT ITEM LIST: Description Account Code PLAN CHECK - NONRES 000/345.830 Permit Number: Status: Applied Date: Issue Date: Payment Amount: 315.24 Payment Date: 03/09/2006 03:24 PM Balance: $489.48 Amount 315.24 Current Pmts 315.24 Total: 315.24 D06 -079 PENDING 03/09/2006 3361 03/10 4716 TOTAL 711.86 Printed: 03 -09 -2006 Project: / /Fib' /97,C 4) / if 4 / Type of Inspection: F /, / Address: /2 G S1 j _T //,',f/AN Date Called: 4v5 Special Instructions: Date Wanted: / c/ 0 7 m. p.m. Requester: Phone No: .OG- 57/ — / 7 2 4 / INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ,Approved per applicable codes. COMMENTS: ��r>~► ;' g g le ft r/ •14 / INSPECTION RECORD Retain a copy with permit (2 • )431 -3 Q7 Corrections required prior to approval. 8.00 REINSPECTION FE � REQUIRED. Prj6 to inspection, fee must be paid at 6300 Southcenter vd., Suite 100. Call to sechedule reinspection. Receipt No.: !Date: Project: Am e/ Fie flbH'4t Type of Inspection: N. pRflm /iv '_ Address: /,2 6 Or P indent ( Aik/ Date Called: Special Instructions: Date Wanted: _ - 0 G' �J-i Cm Requester: 1�A VE. Phone No: 20 - ? 1- / 784' INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PER (206)431 -36,7 Approved per applicable codes. Corrections required prior to approval. in / c� ✓_ 53 8.00 REINSPECTION'FEE REQUIRED. 'or to inspection, fee must be paid at 6300 Southcenter Blvd., Suite Call to sechedule reinspection. (Receipt No.: (Date: COMMENTS: eire Project: 7Ac,F M€ Vie Al--- Sprinklers: Y Type of I�nspection: e o V L, ,t - P. r4 4 c— Address: I Zb'IS .1 N11'RVrtr,A PA Suite #: AV 5. Contact Person: ��N - fir -�rc Special Instructions: Occupancy Type: Phone No.: 7C /— RDeS Needs Shift Inspection: As sc th — tAti Sprinklers: Y Fire Alarm: Hood & Duct: '! Monitor: Pre -Fire: Permits: Occupancy Type: INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA FIRE DEPARTMENT Doh - 61 06- S - 263 PERMIT NUMBERS 206 - 575 -4407 Approved per applicable codes. COMI Corrections required prior to approval. O /< 77) Cv t/L7L SP,z /N/< ,iHAZ O/c Fat 40/- Date: I /2 H /o 7 Hrs.: / Inspector: j S + z n $80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. CaII to schedule a reinspection. Word /Inspection Record Form. Doc 1/13/06 T.F.D. Form F.P. 113 October 23, 2006 Marsha Traverso David Kehle Architect 12720 Gateway Dr, Ste 116 Seattle WA 98168 RE: Request for Extension Development Permit No. D06 -079 Pacific Medical Inc. —12658 Interurban Av S Dear Marsha: This letter is in response to your written request for an extension to Permit No. D06 -079. The Building Official has reviewed your letter and considered your request to extend the above referenced permit. A framing inspection was completed for this permit on September 15, 2006 which automatically extended the permit through March 14, 2007. Therefore, the City of Tukwila Building Division will not be further extending the expiration date of the permit. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, arshall rmit echnician A tAM File: Permit No. D06 -079 P:Vennife,Extension Letters \Denials\D06 -079 Permit Extension.doc jem Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director Page 1 of 1 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 - pi Slav d kehle August 15, 2006 City of Tukwila 6300 Southcenter Blvd. Suite 100 Tukwila, Washington 98188 Attn: Building Official Re: Pacific Medical Inc. D06 -079 Dear Building Official, Per our Client, Pacific Medical, we would like to request an extension to their permit. The expiration date for the permit is 9 -5-06 as they have just decided on a contractor to do the project. If you have any questions, please call. Sj(lcerely, Marsha Traverso 8704\pacificmedicaltitylet8 -15-06 ak 4 pAel, fzieX 12720 GATEWAY DRIVE, SUITE 116 SEATTLE, WA 98168 l awl∎ t rat l IsdPto aukvrYl htL (206) 4� 899 1 1 gtzi - F (206) 246 -8369 email: dkehle©dkehlearch.com RECEIVED 'AUG 171006 COMMUNITY DEVELOPMENT 07 -28 -2006 DAVID KEHLE 12720 GATEWAY DR, STE 116 SEATTLE WA 98168 RE: Permit Application No. D06 -079 12658 INTERURBAN AV S TUKW Dear Permit Applicant: In reviewing our current permit application files, it appears that your permit application applied for on 03/09/2006, has not been issued by the City of Tukwila Permit Center. Per the International Building Code and/or the International Mechanical Code, every permit application not issued within 180 days from the date of application shall expire by limitation and become null and void. Your permit application expires on 09/05/2006. If you choose to pursue your project, a written request for extension of your application addressed to the Building Official, demonstrating justifiable cause, will need to be received at the Permit Center prior to your expiration date of 09/05/2006. If it is determined that an extension is granted, your application will be extended for an additional 90 clays from the expiration date.. In the event you do not receive your written request for extension, your permit application will become null and void and your project will require a new permit application, plans and specifications, and associated fees. Thank you for your cooperation in this matter. KC: Permit File No. 006-079 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206431 -3670 • Fax: 206- 431 -3665 ACTIVITY NUMBER: D06 -079 DATE: 03 -09 -06 PROJECT NAME: PACIFIC MEDICAL INC. SITE ADDRESS: 12658 INTERURBAN AV S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPA�RTMEN�T�S�: d��� Buildi D iviis on Public W ` I orks , r' r ' r YIM r, - 4-OV DETERMINATIQN OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUJfING: Please Route u Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved ❑ Notation: REVIEWER'S INITIALS: Documents/routing slip.doc 2 -28-02 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP Structural Incomplete ❑ Approved with Conditions 51( 3-I� -vto Fire P revention Pla li3 nr "ing Divi3ion ❑ Permit Coordinator DUE DATE: 03-14-06 Not Applicable ❑ No further Review Required DATE: DUE DATE: 04-11-06 Not Approved (attach comments) ❑ DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: License MIKEWCI044LL Licensee Name MIKE WERLECH CONST INC Licensee Type CONSTRUCTION CONTRACTOR UBI 601713640 Verify Workers Comp Premium Status Ind. Ins. Account Id Business Type CORPORATION Address 1 4522 49TH AVE SW Address 2 City SEATTLE County KING State WA Zip 98116 Phone 2069372208 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 6/13/1996 Expiration Date 7/12/2007 Suspend Date Separation Date Parent Company Previous License MIC1065J7 Next License Associated License Look Up a Contractor, Electrician or Plumber License Detail " Look Up a Contractor, Electrician or Plumber Printer Friendly Version General /Specialty Contractor A business registered as a construction contractor with LEH to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. License Information Search Home } Safety Claims 13 Insurance Workplace Rights 'trades @ Licensing Find a Law or Rule Get a Form or Publication Topic Index I Contact Info Page 1 of 3 https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= MIKEWCI044LL 08/22/2006 r - . Detach And Display Certificate r DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PRQVIDED BY LAW AS CONST'CONT GENERAL 'Tb PATE 0001:`= MIL WPIQ44 4, 090.2/2007` EFFECTIVE DATE 06/13/1996 MIKCE WERLECH CONST INC 4522 49TH AVE SW SEATTLE WA 98116 Detach And Display Certificate x x