HomeMy WebLinkAboutPermit M95-0088 - TUKWILA DENTAL CENTER4
4.4
,sk 44.P
.°q
�W ILA 1)EiLITAL
City of Tukwila
(206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MECHANICAL PERMIT
Permit No: M95 -0088
Type: B -MECH
Category: NRES
Address: 13955 INTERURBAN AV S
Location:
Parcel #: 336590 -0220
Contractor License No: AIRSYE *229KN
Status: ISSUED
Issued: 06/29/1995
Expires:. 12/26/1995
Suite:
TENANT TUKWILA DENTAL CENTER Phone: (206) 431 -0953
13955 INTERURBAN AVE S #A, TUKWILA WA 98168
OWNER SINGH HARCHAND Phone: (206) 431 -0953
13955 INTERURBAN AVE S #A, TUKWILA WA 98168
CONTRACTOR AIR SYSTEMS ENGINEERING Phone: 206 628 -9484
909 SOUTH 28TH STREET, TACOMA, WA 98409
CONTACT DAN HAMILTON Phone: 206 628 -9484
909 S 28 ST, TACOMA WA 98409
******************************************** * * * * * * * * * * * * * * * * * * * ** * * * * * * * * **
Permit Description:
RELOCATE ONE ROOFTOP UNIT & INSTALL ONE NEW UNIT.
IN EXISTING BUILDING.
UMC Edition: 1991
Valuation:
Total Permit Fee:
7,500.00
46.88
* ** ** *******,*.****************•*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
rm ` : Center Authori d Signature
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 this building per It. /
S i gnatu r1j, `� ' Date: O� Q`;
Print Name: 4iWQ/-Q &04e5 Title: Co1J7g4C J
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.
CITY OF TUKWir 1
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
PLAN CHECK
NUMBER
MQ5-UNs
PROJECT NAME
1U kw► la . Den-Lal Ce r
SITE ADDRESS
SUITE NO.
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.
DEPARTMENT:
,TEII
BUILDING -
initial review
10-1-615
DATE..
(oF CLS
OUTED
QUIREMEN.
•
MMEN
CONSULTANT: Date Sent -
Date Approved -
O FIRE
FIRE PROTECTION: • Sprinklers • Detectors • N/A
INIT:
FIRE DEPT. LETTER DATED:
INSPECTOR:
O PLANNING
ZONING:
BAR/LAND USE CONDITIONS? U Yes U No
INIT:
SCREENING REQUIRED? 0 Yes 0 No
REFERENCE FILE NOS.:
O OTHER
INIT:
� BUILDING -
final review
"BUILDING
OFFICIAL
INIT:
UMC EDITION (year):
INIT:
REVIEW COMPLETED
AMOUNT CONTACTED
OWING:
-
DATE NOTIFIED
. I� aivt-
2nd NOTIFICATION
(Init.)
BY:
(init.)
3RD NOTIFICATION
BY:
init.
01/07/93
MECHA,3AL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be filled out
and attached to this application.
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
NUMBER
APPLICATION MUST BE FILLED OUT COMPLETELY
FEES (for staff use only)
DESCRIPTION
AMOUNT
$15.00
RCPT #1 DATE
1
BASIC PERMIT FEE
UNIT(S) FEE
0
t7B 1Q BE DON:
`
TY RATING/ SIZE ' .
NUMBER s . U ITS
tom, .- �� - ' ,F 000 p
PLAN CHECK FEE
EXP. DATE
• l 1- 12-+ r .� O pa,
( 1
dr-e- "X 11.2 -t-2.1.-1 J r a, = 4 ooa
_
OTHER:
BUI USE (office, warehouse, etc.)
1 C_1 C- e FF( c--
TOTAL -
WILL THERE BE A CHANGE IN USE? ,,No ❑ Yes IF YES, EXPLAIN:
WILL THERE :E STO•AGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
IF YES, EXPLAIN o ❑ Yes
SITE ADDRESS SUITE #
S 5 M: ()AS A1±-..--s
VALUE OF CONSTRUCTION - $
SOQ .--
ASS OR ACCOUNT #
'56c ?0 - 0 22. d
Q Other:
P JECT NA ENANT
a-, (I� GI-� - .
TYPE OF WORK: "New /Addition Modifications ❑ Repair
0
t7B 1Q BE DON:
`
TY RATING/ SIZE ' .
NUMBER s . U ITS
tom, .- �� - ' ,F 000 p
-r "fiL4r -c- -tz._ n _' " - 006
EXP. DATE
• l 1- 12-+ r .� O pa,
( 1
dr-e- "X 11.2 -t-2.1.-1 J r a, = 4 ooa
_
�'t�p cs-1 -1 FA --,-.1 '7 0 CFA.
BUI USE (office, warehouse, etc.)
1 C_1 C- e FF( c--
NATURE OF BUSINES
1,-1-7) S
WILL THERE BE A CHANGE IN USE? ,,No ❑ Yes IF YES, EXPLAIN:
WILL THERE :E STO•AGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
IF YES, EXPLAIN o ❑ Yes
PROPERTY OWNER E( 1,1 c.,NL kikA�2st4 ��
PHONE 42
(_ 0 S 3
ZIPG1- /
ADDRESS 1403s— 44.PI/t rr(a.(_ -)12 S �-2.4T(i...e___ (_,LJ,A
CONTRACTOR AIR SYSTEMS ENGINEERING
PHONE628 -9484
ADDRESS 909 S 28TH STREET TACOMA WA
ZiP98409
'2- - I ` 1-6
WA. ST. CONTRACTOR'S LICENSE # AIRSYE *229KN
EXP. DATE
I HEREBY CERTIFY THAT I HAVE ` • 0 AND EXA NED THIS �• ' PLICATION AND KNOW THE SAME TO BE TRUE
ED T • Pr Y FOR Al f RMIT:
AND CORRECT, AND I AM AUTHO' I .' I
BUILDING OWNER
OR
AUTHORIZED
AGENT
SIGNATUR���,
�v CO
!DATE 2 /`
J
PRINT NA
1.-Tri ►--)
1PHONE- -)x _i.fhp er
ADDRESS 909 S 28TH STREET
ICITY/ZIPTACOMA 98409
CONTACT PERSON DAN HAMILTON
!PHONE 628 -9484
APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to rfll 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 questions about our process or plan submittal requirements,
please contact the Deew1„19VribCommunity Development at 431 -3670.
ILA
DATE APPLICATION ACCEPTED . eJIi J 199 ATE APPLICATION EXPIRES
Yt:eMIT
CENTER
01/20/93
.:4
This certifies this is a copy of the original.
Curtis M. Anderson, President
Air Systems Engineering, Inc.
DEPARTMENT OF LABOR AND INDUSTRIES
. THIS CERTIFIES THAT THE PERSON NAMED HEREON. IS REGISTERED AS PROVIDED BY LAW AS A
STATE OF WASHINGTON
..iii...,..\
S
2
�ii�fiVf•Tiii /iYiviiiill �iliii! /ilii /i /ii/ iiii ✓iii /iii /i iiiii iiiiiiiiiiiii i /i /iili /iilif✓•i / %iili iiiiliiiiii iiiiN� �i / / /� /� /�/ /Yi iii /i ii�
F625.052.000 (3.02)
I hereby notarized this copy taken from the original on March 6
19 95
Expires 12/15/96
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981
Mck5-
oun
PERMIT NO.
• . eat: Oe E-
loon .: ion: I N L.-
Special Instructions:
Date Wanted: Q
�
U- - 19 - tS am .q...:_-
Requester: 0ucK.
Phone No.: 423 t _ .6-1 ,g,g
Approved per applicable codes.
COMMENTS:
❑ Corrections required prior to approval.
C pi&
Inspector:
Date: tz((q /c?
❑ $30.00 REINSPECT1ON FEE REQUIRED. Prior to reinspect on, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspectlon.
FISSWRo.:
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERINT N0.
(206) 431 -3670
' Pro', -
. -
Type of Inspedion:
Special Instructions:
- ,
Date Wanted: / r/ / bj�' J
am. p.m.
`
Requester: u, n AA A / ,,
Phone No.:
41--Approved per applicable codes.
❑ Corrections required prior to approval.
(inspector:
❑ $30.00 REINSPECTION FE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
parr-
* ** *t4 * * * *fi•A * * * * * * * *4* ** * *** ********** * * ** * * * * * *•A• *•A * *4•A * * * *st * * **
CITY OF TUKWILA. WA TRANSMIT
*,% 11****• k* k• kAi li tA** i** ***• *•A•kh **•* *•k * ** * * **loW *•AA h **:* **11,4* *AiTA AO *k*
TRANSMIT • Number: 94002549 Amount: 46.008 06/29/.t03
Payment Method: CHECK Notation: AIR SYSTEMS EN(1 InYti /'ACJ
Permit. No: M95 -00008 Type: fl -•MCCH • MECHANICAL PERMIT
Parcel No: 336590.0220
Site Address: 13955 INTERURBAN AV S
Total Fees: 46.80
This Payment 46.08 Total ALL Pmts; 46.08
Balance: .00
k ** * *•h* *•M* * * * ** k •* * * * * * * * ** * * * * ** * *** * * * * * * ** ** i�•4 k.•k *** * * * ** ** *ti4 **
Description
Amount
PLAN CHECK - NONRE$ 9.38
MECHANICAL - NONRE" 37.50
Account Code ,
000/345.830
000/322.100
GENERA
TOTAL.
CHECK.
CHANGE
3926A000
46. B8
46.88
46.88
0.00
.16:28
CITY OF TUKWILA
Address: 13955 INTERURBAN AV S
Suite:
Tenant: TUKWILA DENTAL CENTER
Type: B-MECH
Parcel #: 336590 -0220
k k*** k*** *** k**•k•k*** *•k k kk k k* k***
Perm
Permit No: M95 -0088
Status: ISSUED
Applied: 06/01/1995
Issued: 06/29/1995
k * *•k *•k ** * *'k***'k k k* *'k•k *•k* k'k * *•k'k•k•k *•k*•k'k*k* k**
t Conditions:
1 No changes wi 1 1 be made t6` ;they = 'p1arr`s,;:R:in ie s..approved by the
Architect or Engineer and the Tur:wi la Bui ld.thg{ Division.
2. All permits, insp.ect_ioh records, and? approved p1;anY sha11 be
available at then °'job site *�rpriorri: to,.the sta t,,,of°a`y ^con-
struction. These d,acme, tsk' are t,to� .be: main_ta`;in.ed an•d,.•avai l
� 1 3 ? r�
r t � • � ,� 3 ''Z 1 �'y.
abie unti i, fr. pal ,:i,napeat an approva'i is gr�'an;e'd `
3. A 1 1 cons tr•:.uction to: be 'done ��,5i''rr conto rnance witii,.approv ,;d�i��.
plans and,,�'r ~e9 i r'ements of the ',.1.10 i f orm Bui fcttng C'o.de,' 0195;1,
Edition•) fas arnendeld, Uriiforrn Me,:'h n'lca1 Code ;" t o )
t,:193�:1 Ed icit�);rL
and :Wa 'll�ington 5'taea Energyr;Code (1'p94 Editiony' ",,_ ",`',n,s, "N ;x
rl.r i � lit 1: • ° i '�
4 . Va 1 1 d, 0,y of ,Fermi t >. The uance ,of ' a permit or` ,appr�i�,,va l of
plans 'iVy'speo;l1fications,,'and coinp:ut.a'tions shall not °4 ,co:n- �'},
struue'd tu�,,,be1�a permit ~f,or, orifan. "approval ot, any violation t
of 040 9' of the p`rovisions—of.•,. he bui,iding code or of Ara
othe ordinance of th.e:''.jut isd(iction <<: ;,'No�wpe.rmit presumi.hq to
give' authority, • to,,!V�iolat.e' °'or,;ca c 1�`��tfce'pr,ov:�isions ot thi' `�"
co a 1 s h a 11 ib e valid
. �' -,,, \\ f. ,t ``�l f'' i; A,r° :,, .
5. MAN1IFACTURERSr INSTAL•L`A•T�ION,`I,NGTRUC I�)NS.�REOUIRED ON SITEo >iy•
t , r }
FOR!' THE B14,11DI'NG I'N,:�PC:CT�t RE.VIEV�. \ __.:, ,., v; *�:s .-a_i
6. Eletc rioatl•,�,,per` mits_, shall t bew'obt''aine,d thr ough the Washingtong�
;,tate� Diviskion> of L "ab;or_L,..�,:,and" Iniu�s}tr�ai•e <4.•W:an}i, ^..a11 elects icaul
worf`;rwi 11 1, et inspected by that a, encyr.i't24.'8 -5630) . ;> Vii,
Y l � C .y :, r, E ,,. .� �.J `i �.k
7. Al l �' ern 1 t•s'`° inspection records, an:d °ap" r.oved plans : sha l,,�1.. be
ava'i ah leeat {�the,Y. job site prior t the ; ear V, ant cop.,
structtan U These ,documents are be mai nta.l n d and ava1i,1-
able u011 final in,�specti.on appr,ov a•Ii3 '� ranteia;;, :`'
8. Readily aacessE.i;b 1 e access to roofl mounte,d:.,yequ'i'prment Is
required ``i. `' 'x
.�
i 1
6A5 ME1EZS �F -L
3Y WNG
Iry
Gqs uEw Gas UNE
Gh Lb 7D 1Z Z/ 1 1
645 4n'E 7j A
&
»Eo 3'1-iT uvr
Aral.
LQGJ ,%/e 4711 6
G45 LAW 0 LOW 22fic
230
kEFLAIES-LWE 5ET
L/6- 3f•
501. 3'.
3/4" PVL, T MM lb 165F
Er-2 —\
00 UP )
—MO RO1F ---
LED_Z
50
LOGO 7ZAOF 4fZE4
NO &K 1N 7}ItS AREA
zokJ 77Q1F AREA
7
2ND FLOOR HVAC PLAN
SCALE:1 /4 " =1' -0"
)q5 -0x088
U
Cfry RECEIVED
OF TUKWILA
JUN - 1 1995
PERMIT CENTER
5
rn
g
Uv
vo
a'
z
d
CC
N
13955 INTERURBAN AVE. S., TUKWILA, WA.