HomeMy WebLinkAboutPermit M09-154 - DSV INCDSV INC
16040 CHRISTENSEN RD
SUITE 212
M09 -154
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Citylitif Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: htgo://www.c i. to kwil a. wa. us
2523049039
16040 CHRISTENSEN RD TUICW
DSV, INC.
16040 CHRISTENSEN RD, STE 212 , TUKWILA WA
BRCP RIVERVIEW PLAZA LLC
248 HOMER AVE , PALO ALTO CA
Contact Person:
Name: STEVE MCDIVITT
Address: PO BOX 789 , MONROE WA
Contractor:
Name: TEAM MECHANICAL INC
Address: 17150 TYE ST SE STE K , MONROE
Contractor License No: TEAMMI *030J8
MECHANICAL PERMIT
DESCRIPTION OF WORK:
ADD (1) CEILING EX FAN, RELOCATE (3) DIFFUSERS, RELOCATE (3) RETURN AIR
GRILLES, RELOCATE (3) SENSORS, AIR BALANCE
Value of Mechanical: $1,800.00
Type of Fire Protection:
Furnace: <100K BTU
>100K BTU
Floor Furnace
Suspended/Wall/Floor Mounted Heater
Appliance Vent
Repair or Addition to Heat /Refrig /Cooling System....
Air Handling Unit <10,000 CFM
>10,000 CFM
Evaporator Cooler
Ventilation Fan connected to single duct
Ventilation System
Hood and Duct
Incinerator: Domestic
Commercial/Industrial
doc: IMC - 10/06
EOUIPMENT TYPE AND OUANTITY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
* * continued on next page **
M09 -154
•
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 396 -8648
Phone:
Expiration Date: 04/23/2010
M09 -154
12/04/2009
06/02/2010
Fees Collected: $196.29
International Mechanical Code Edition: 2006
Boiler Compressor:
0 -3 HP /100,000 BTU 0
3 -15 HP /500,000 BTU 0
15 -30 HP /1,000,000 BTU.. 0
30 -50 HP /1,750,000 BTU.. 0
50+ HP /1,750,000 BTU 0
Fire Damper 0
Diffuser 0
Thermostat 0
Wood/Gas Stove 0
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment
Printed: 12 -04 -2009
Permit Center Authorized Signature:
I hereby certify that I have read and e
doc: IMC -10/06
Print Name: 5 T I WC / c.6
t • t ` `
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite # 100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: ht tp: / /wwwci.tukwila.wa.us
governing this work will be complied isC, hether specified herein or not.
•
Permit Number: M09 -154
Issue Date: 12/04/2009
Permit Expires On: 06/02/2010
Date: I11 C "'
d this permit and know the same to be true and correct. All provisions of law and ordinances
The granting of this permit does not presum- to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I ar, authorized to sign and obtain this mechanical permit.
Signature: �L Date: (2- y O
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.
M09 -154 Printed: 12 -04 -2009
Parcel No.: 2523049039
Address: 16040 CHRISTENSEN RD TUHW
Suite No:
Tenant: DSV, INC.
1: ** *BUILDING DEPARTMENT CONDITIONS * **
• •
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
PERMIT CONDITIONS
Permit Number: M09 -154
Status: ISSUED
Applied Date: 11/20/2009
Issue Date: 12/04/2009
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: 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.
6: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
7: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
8: 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.
doc: Cond -10/06
* * continued on next page **
M09 -154 Printed: 12 -04 -2009
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http://www.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
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
construction or the performance of work.
Signature:
Print Name: l 6._ (L /vl 11/
doc: Cond -10/06
M09 -154
Date: r
ordinances governing
or local laws regulating
Printed: 12 -04 -2009
CITY OF TUKW
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Site Address: 1 (a D `1 O C H 2t 5T EN SE/ go4C Suite Number: - z 1 2 Floor: 2.
New Tenant: Yes ❑..No
Tenant Name: [) 5 1 N C .
Property Owners Name: l 1/■1Go P12o PE/2TtES
Mailing Address: i2 ■Y iZ Y t F_w P LAZA / (, 300 C HI l2t 5'1- ,--s'5 J C1(L tt 1 ° ( /8 9$
State
:CONTACT Who do We' :contact when your permit is ready to beissued
Name: STEVE., M -Z: I v i t�
Mailing Address: P. o . f30rC 7 81 M e (Le
E -Mail Address: 5T15-v to ?GAMnotEcN tc-AL YEA-.
Company Name:
Mailing Address:
T F A M AN \ c-i4L i - c. •
P.o, f30K -781 ,• i2- r`
Contact Person: ST .V 6.— ,t-■ \\
MECHANICAL PERMIT APPLICATION
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 **
E -Mail Address: T ot- i3 c H AkJ 1 c-#L a AO L •
Contractor Registration Number: T T.At -A M i xR o"3 D S
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
H:Wpplications\Porm.- Application. On Line \7009 Applications \1-2009 - Mechanical Permit Application.doc
Revised: 1-2009
bh
Mechanical Permit No.
P r o j ecti Na . �
(For•ojjlce'us_e only) - ' •
King Co Assessor's Tax No.: 2,.,G2.D 0
City
w
City
Day Telephone: 7-' 39 6 e 6 8
9 8'L7
State
.3 Tax Number: 36c eCt 9 --
N
Zip
Zip
MECHANICAL'CONTRACTOR INFORMATION
9 S2-7
City
Day Telephone:
Fax Number:
State Zip
'36o 83
Expiration Date: 1 / 2.3 / 1 0
ARCHITECT OF RECORD _ All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
State
Zip
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer: of Record
Company Name:
Mailing Address:
Zip
State
City
Day Telephone:
Fax Number:
Page I of 2
'Unit Type:,
Qty
Unit Type:
Qty
Unit Type: ' ;: ' `'
Qty
Boiler /Compressor:
Qty
Furnace <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/I,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
Emergency Generator
50+ HP /1,750,000 BTU
Repair or addition to
Heat/Refrig /Cooling System
Incinerator - Domestic
Other Mechanical
Equipment
Air Handling Unit <10,000
CFM
Incinerator - Comm /Ind
I Date Application Accepted: R �� I
I � �
Date Application Expires: ^ ' i yo ) l
I vC �
Staff Initials: �/
�-
•
Valuation of Project (contractor's bid price): $ / 2 00 • °O
Scope of Work (please provide detailed information): /i t» I C. 1 L 1 N C IX F.4/.
/Z C'L O C 'r - 3 D 1 F F V S rJZ $ I re_ e Le. C T'St 3 ( F. -r011.A) A /Z ca_ l ls_ +�S
$ ff.0 $ o !Z S r A 1 (3A t-
Use: Residential: New ❑ Replacement
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑
Indicate type of mechanical work being installed and the quantity below:
ipERMIT APPLICATION NOTES -
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 extension of time for additional periods not to exceed 90 days each. The extension shall be requested in writing
and justifiable cause demonstrated. Section 105.3.2 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
<
Signature: < �'—
Print Name:
STKVC M � 1 T‘
Mailing Address: P.c., 7 87 Nl oNi208L
H: Appliatioru\Forno- Application On Une\2009 ApplicationsM -2009 - Mechanical Permit Application.doc
Revived: 1-2009
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❑
Gas ❑ Other:
a�-
City
Date: I ( l19 j
Day Telephone: 20 6 9e. S 6 "i 8
State
s-8 2-7 'Z
Zip
2 of 2
Parcel No.: 2523049039 Permit Number: M09 -154
Address: 16040 CHRISTENSEN RD TUKW Status: PENDING
Suite No: Applied Date: 11/20/2009
Applicant: DSV, INC. Issue Date:
Receipt No.: R09 -01862
Initials:
User ID:
Payee:
JEM
1165
ACCOUNT ITEM LIST:
Description
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http://www.ci.tukwila.wa.us
TEAM MECHANICAL INC, STEVE D MCDIVITT
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA -
Authorization No. 006651
MECHANICAL - NONRES
PLAN CHECK - NONRES
RECEIPT
196.29
Total: $196.29
Payment Amount: $196.29
Account Code Current Pmts
000.322.102.00.00 157.03
000.345.830 39.26
Payment Date: 11/20/2009 12:37 PM
Balance: $0.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 11 -20 -2009
Proje /i C�
Type of Inecn: /)
' � '`y ��
Address:
1 lg 010 0 tJ'\f $ " 6ASS.1
Date Called:
Special Instructions:
Date Wanted: i ` - a 1
J
Requester:
Phone 6
- -4 3 _1
av1/
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
I [A A A 4
of L ( t& p ( ,
Inspecto
Date: r i r y
$60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
Projec sv
Type of Ins ecti n:
_
Address:
I&040 ��n t.:,r6ise,
Date Called: ---
r_
Special Instructions:
. 1ki d itaLlgk Yom"
. 71 Z
Date Wanted:
/ L''] "Of
'' �a pi
p.m.
Requester:
Phones _ 3qlo. _G,
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISIO
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
Moq- /cal NO.
N
(206)431 -3670
Corrections required prior to approval.
COMMENTS:
[� aP nvk c.. 2 e9 o r -
$60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
FILE COPY
Permit No., 10 0° \
Plan review approval is subject to errors and omissions.
Approval of construe documents does not authorize
the violation of any adopted code or ordinance. Receipt
of approved Field Copy and conditions is acknowledged:
B —' g
Date: - 4 - °e?
City Of lUkwila
BUILDING DIVISION
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees.
HVAC PLAN
F PRINT
eREAK
AREA
SEPARATE PERMIT
REQUIRED FOR:
Elec itcaI
numbing
Gas MAO
City of TMniila
BUILDING DIVISION
SCOPE OF WORK
1) Relocate 3 existing supply air grilles.
2) Relocate 3 existing return air grille.
3) Relocate 3 existing temperature sensors.
4) Install 150 CFM ceiling exhaust fan in conference room.
5) Air Balance affected systems.
OFFICE
1
EXPA1640N
JOINT HERE
M
REVIEWED FOR
CODE COMPLIANCE
APPROVED
F L 0 1 2009
City ty ukw;la
BUILDING DIVIRIfN
RECEIVED
CITY OF TUKWILA
NOV ? 0 2009
PERMIT CENTER
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ACTIVITY NUMBER: M09 - 154 DATE: 11 -20 -09
PROJECT NAME: DSV, INC.
SITE ADDRESS: 16040 CHRISTESEN RD, STE 212
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # after Permit Issued
DEPARTMENTS:
C' `b)
Building Division
Public Works
Complete
Comments:
Documents/routing slip.doc
2 -28 -02
APPROVALS OR CORRECTIONS:
• PERMIT Comp COM)
PLAN REVIEW /ROUTING SLIP
Fire Prevention Planning Division
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete ri
❑ Permit Coordinator ❑
DUE DATE: 11-24-09
Not Applicable
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS RO ITING:
Please Route ,�� Structural Review Required n No further Review Required ❑
REVIEWER'S INITIALS:
DATE:
DUE DATE: 12-22-09
Approved n Approved with Conditions Not Approved (attach comments) ri
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
3
OLD
REPUBLIC
SURETY
CO
YLI233630
04/23/2002
Until
Ca
Cancelled
$12,000.00
01/14/2002
2
OLD
REPUBLIC
SURETY
CO
YLI233630
04/23/1998
04/23/2002
$6,000.00
1
OLD
REPUBLIC
SURETY
CO
YL1233630
04/23/1997
04/23/1998
$6,000.00
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
11
WEST
AMERICAN
INS CO
BKW53631001
04/23/2009
04/23/2010
$1,000,000.00
04/02/2009
Name
Role
Effective Date
Expiration Date
SAETHER, JEFFREY D
PRESIDENT
04/28/1997
MCDIVITT, STEVEN D
VICE PRESIDENT
04/28/1997
Untitled Page
General /Specialty Contractor
A business registered as a construction contractor with L&I 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.
Business and Licensing Information
Name TEAM MECHANICAL INC UBI No. 601783505
Phone 3607940671 Status ACTIVE
Address PO BOX 789 License No. TEAMMI *030J8
Suite /Apt. License Type CONSTRUCTION CONTRACTOR
City MONROE Effective Date 4/28/1997
State WA Expiration Date 4/23/2010
Zip 98272 Suspend Date
County SNOHOMISH Specialty 1 GENERAL
Business Type Corporation Specialty 2 UNUSED
Parent Company
Business Owner Information
Bond Information
Insurance Information
1
1
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https:/ / fortress .wa.gov /lni/bbip/Detail.aspx
12/04/2009