HomeMy WebLinkAboutPermit M95-0162 - COMMUNITY HOME HEALTH CAREmnrum
-ROME i101-Tr
CARE
111615-01t7
City of Tukwila c�
(206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MECHANICAL PERMIT
Permit No: M95 -0162
Type: B- MECHAN
Category: NRES
Address: 1101 ANDOVER PK W
Location:
Parcel #: 883650 -0110
Contractor License No: UNITESI176RB
Status: ISSUED
Issued: 10/12/1995
Expires: 04/09/1996
Suite:
TENANT COMMUNITY HOME HEALTH CARE
1101 ANDOVER PK W, TUKWILA, WA 98188
OWNER BOEING WILLIAM E JR
1325 4TH AVE SUITE 1940, SEATTLE WA 98101
CONTRACTOR UNITED SYSTEMS INC. Phone: 206 442 -9454
1021 SW KLICKITAT WY STE 104, SEATTLE, WA 98134
CONTACT BILL LIEBSACK Phone: 206 442 -9454
1021 S.W. , KLICKITAT'WAY, SEATTLE, WA 98134
kkk * * * * * * * * * * *k ** fir * *k * * * *•k **k * * * ** * *k * * ** ** k*****•k'k**k k**k*** *********** k•kk
Permit Description:
INSTALL'` NEW AND RELOCATE DIFFUSERS AND GRILLS.
UMC Edition' 1994 Valuation:
Total Permit Fee:
950.00
42.81
* * * * * * ** kilt* k**** *** * *k * *k.* *_ * * * ***k * ** * **. *k ** kkk *k ***** * *** *k *** ** *k *•k **k *k
Perm Authorized Sign
1.0 -I.
ture Date
I hereby certify that I have read and'examined this permit .and know the
same to be true and c,orrect.' All provisions of law and ordinances
governing this work will'be complied with,: Whether specified'herein or not.
The granting ohis permit does not presume to give authority to violate
or cance.l.',the provisions of any other state or' local laws regulating
construction or the performance of work. I am.,au,thorized to sign for and
obtain this,, i lding ,pjermit.
Signature' :;
Print Name:
soc,(2t
Date:' LO
Title:
1."A
qS
This permit shall become null and void i.f..the work is not commenced within
180 days from the date.:.:o.f issuance, or if f the..:wor i s suspended or
abandoned for a period of 1;80'.'day,s from the :last' 'inspection.
CITY OF TIJKINIE.4
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
PLAN CHECK
NUMBER
WAS-oil/2Q
PROJECT NAME
SITE ADDRESS
Cos-
SUITE NO.
101 knaweJ Pk W
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
BUILDING -
initial review
DATE II
.DATE':':
PROVED
OUIREME
f1 MENT
l0"lo-q5
IO tZ4.
( OU ED)
CONSULTANT: Date Sent -
-rt� tk
❑ ARE
toomi
Date Approved -
FIRE PROTECTION: U Sprinklers ❑ Detectors QN /A
INIT:
FIRE DEPT. LETTER DATED:
INSPECTOR:
❑ PLANNING
ZONING:
IBAR/LAND USE CONDITIONS? (] Yes U
INIT:
SCREENING REQUIRED? ❑ Yes 0 No
REFERENCE FILE NOS.:
❑ OTHER
INIT:
XBUILDING -
final review
(''BUILDING
OFFICIAL
UMC EDITION (year):
REVIEW COMPLETED
AMOUNT /
OWING: (�
ri
1
4Lt& 5E•
CONTACTED
� i 1 �
l
DATE NOTIFIED
(� C-
lO �O'�- "lam
!
BY:
(init.)
1/4.2A
2nd NOTIFICATION
BY:
(init.)
3RD NOTIFICATION
BY:
(init.)
01/07/93
MECHAF.CAL PERMIT
APPLICATION
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN NUMBER in o) 6.0 R QZQ
APPLICATION MUST BE FILLED OUT COMPLETELY
FEES (for staff use only)
DESCRIPTION
AMOUNT
RCPT #
DATE::::
BASIC PERMIT_FEE:::::' .> :
$15:00::: ;:::.
<::;; :
;:: ` <'
UNIT(S) FEE. .' :
. .
EXP. DATE t ( , 5. q5
PLAN CHECK FEE
OTHER: f:::: :::
: TOTAL
SITE ADDRESS
PROJECT NAME/TENANT ���
ou t Pbeit. WeS r I in e -
SUITE #
e
TYPE OF WORK: 0 New /Addition lg Modifications
VALI q tfJ)S IA CTION - $
Ca>la._ ASSESSOR ACCOUNT #
e
0 Pb\ Oother: `$` �te53- 'CU(
lb
DESCRIBE WORK TO BE DONE: 1115te(1 4W ?w f feloczfit etLilfiisers snc0
Tin et/1
TY
PE:
- - vt rw6wlcv‘- .: 9vt t is
. ....................:..:.. RA NG SIZE ...... ......:.:...................... .........................NUMBER ORLI .NIT ................ .
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
VvILL THERE BE A CHANGE IN USE? No 0 Yes IF YES, EXPLAIN:
WI
x.,
L THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
No 0 Yes
YES, EXPLAIN:
PROPERTY OWNER 'Rik Un d co, , ocx Unt,s.
PHONE (ii?,1( ,C1
ADDRESS (4u qur. 11vt, . 5t-ta `1 AU
ZIP -I pQ1
CONTRACTOR USA S �(jm S ID- ►C t &1-1-(,
PHONE
C, , �n
ADDRESS tOa( S.w. ��-tJCZI i!.% y J1T (o 5eci -f.
G(,oit�t)
ZIP -1i3�
WA. ST. CONTRACTOR'S LICENSE # u Ikir�'l75 i 1'1 (p R8
EXP. DATE t ( , 5. q5
HEREBY:CERTIF
ND'CORRECT >A
C,
BUILDING OWNER
OR
AUTHORIZED
AGENT
•KNOWTHE<SA
CONTACT PERSON
ADDRESS I(�a 5,t), SI,K(-fl ( w.AAQ
of t t t,ttf95� 1—
DATE jo i 0 q
PHONE f,k
CITY/ZIP6eyeag cog
PHONE l4) q*5
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.
BUILDING OWNER /AUTHORIZED AGENT If the applicant is other than the owner, registered architecVengineer, 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 Department of Community Development at 431 -3670.
DATE APPLICATION ACCEPTED
iC) 0- 45
DATE APPLICATION EXPIRES
10- (Pp
0311410
SUBMITTAL CHECKLIST
MECHANICAL
7 Completed mechanical permit application (one for each structure or tenant)
7 Two (2) sets of mechanical plans, which include:
• Floor plan
• System layout
• Elevations (for robf mounted equipment)
• Heat Loss Calculations
Structural calculations stamped by a Washington State licensed engineer may be
requit'ed if structural workis to be done (2 sets)
1'
. .
Note: Hood and duct systems require a building permit for the duct shaft.
11 Water heaters and vents are included in the UMC — please include any water heaters or
vents being installed or replaced.
•
. •
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981
PERMIT NO.
(206) 431-3670
7rTA:
C-
ype 0 118 • - .
. '
00—
-Kdaress:
i101 l\-tO
D ate CaNed:
I
JR
Special instructions:
Date Wanted:
4 c , ,
Requestec
Phone No.:
0 Approved per applicable codes.
0 Corrections required prior to approval.
o $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, tee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
IReceipt No.:
IDele:
"•., • 4.0 f*'" ;
•
1
-C. =INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO./
(206) 431-3670
' -
C. IA c....-
R
ype o
ion:
Y; I toss:
1
1
N P.W.
• sr. , :
.47,:n
struct .
.
2:1
CI
r
Requester:
--
No.:
0 Approved per applicable codes. clit Corrections required prior to approval.
COMMENTS:
) (Lirvvil-ti NO— — tJ Z--t.si G fLi Lt HANG- 147S1—
fLJE--,4 i rt -S TA LLZO A-a. tr401 CAl.--D r t-A TitE
rAt- iss (A-.4- ok'-- 0 ,.. cAl.1 a
n.A-74-61.4*-D fre_1/4,4,ruk 4. Avtoe
nspector:
o $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Cal to schedule reinspection.
IReceipt No.:
DM
„ , „
. w�..`':: 5�'{ �� :�..�.,......:�:t:..+._.".i.:L' J�•l.:k." �r . v ' aa: l: �+'va:3z.:•I:Y.::.,•�++'r.U::..
- INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206) 431 -3670
Pr rn. �Om i
►
T .: of Inspeciion:r1 K 77; cTt
A rr8` A1 VbCTm�. 1' Y"--
� : e cad: 18_ 5 f _%S
Special Instructions:
_
Date Wanted: 1 , 1 -95
pm.
Requester:- -f� 5N\ -p , Db`
Phone Na: ,C51-1 _ C14-1 a •
O Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
c-a-0-7ag S 443
O $30.00 REINSPECTION FE r'EDUIRED. Prior to reinspection, lee must be paid at
6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
Heceipl No.:
Oats:
J
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.% *A ****A1, **A *A*:4 *kk **•k *A* *•A k * *A•
CITY OF TUKWI:LA WA �rJ ((j� fRANSMIT
*A* ** *A* * *kA•AJe * *A *A* * * *A *k ** * *• 4•k k * * *“ **'A*** ** *** *A:4
TRANSMIT Number: 94003097 Amount: 42.81 10/12/95 15:24
Payment Method: CHECK Notation: UNITED SYSTEMS twit" i 3/K7P
Permit No: M95.0162 Type: 11 -MECHA MECHANICAL PERMIT
Parcel No: - 003650-0110
Site Address: 1101 ANDOVER PI( 14
Total Fees: 42.E01
This Pi ymer�t 42.81 Total ALL Pmts: 42.01
Balance: .06
*, ik*** k *.A * *4 * * *A ** ** * * *kv1 * *A * * * * * * ** *til ** *zti.*A1 ** *•A* * * *h * * * *.A• **
Account Code
000 /345.830
000/322.100
Description
PLAN CHECK _. MOUES
MECHANICAL -- NONR} S
()mount
0.56 .
GENERA 8.56
GENERA 34.25.
TOTAL 42.81
CHECK 42.81
CHANGE 0.00
7050A000 .: 14:40
CITY OF TUlWILA'
Address: 1101 ANDOVER ;Pt( W
Suite:.
Tenant: COMMUNITY HOME HEALTH CARE
Type: B- MECHAN
Parcee l #: 883650 -0110
Permit No: M95 -0162
Status: ISSUED
Applied: 10/10/1995
Issued: 10/12/1995
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Permit Conditions:
1. No changes will be made ,to!s th`e:" .plans, °unless, approved by the
Architect or Engiriee.r...' j y .
a 1��...tliie.�.T�i`�cw "i la" Bci.i:l;di.r,� Cr i er i s i an
2. All permits, inspecr:ion"recor�.,d: , and appr•ov'ei pTaNs shall be
available at 0,,iA'5i;ab sites, prior; to,t.he start afny con -
str•uction. Th ° ' ,' ;=r �-� -
�, t�'a 'docyirm�ri.ts� a'� OJ��t.�%i �e ma i n;t��fir�ed and '��'bva i 1
able u n • ,.,;n�, « r. `�, 'ai' ,�, i f. T; t '•
tit�,t Eral ,ins�i'e,,ct�onapproval is gr "iht,ei.,„ x`.;45)ti.
3. All consttrtt.c ti on eo be done Sxfi,ri=� 'cdnf'di�mance �iil t h approv *d°,,
plans an 1eggAt esme'its ofti'the Un1tarm Bu11`d,ing cideF`"(419 �4
Editionr>" anepde'd Ulriifarr�,..,e,dtipp�ica1 Code ��(19'9,3:�,�.�+ di i y
and Wa li'�ngton '°tatt�e Energ ,Cade (1J�3,94 Edition)�'� ,rcSY }�,, �r
4. Valid of permit: The, i.. u• nce of a permit or• °,�apprc�•va1 \ft
9a i
plans,=ss spe =, ficationshd ccrnputa'tions shall not the •: o -'
struedito;.be =a p'ermit-Or, or* approval of, any vt1o1•Won ".
e { ai"..�the bu i Td�i ng code or of 'zany , �%
of an!" o. th it ovisians�•..
othd rv'ord-inance of .the '' °fur 1sdtictiont',• .:'No.•p,ermit presumifng�"'to
giv.d authority to ..vi'iol`at "orj.ca e1'..;the prav,isions of, thri'a'.
cotd.e' shal 1 ,be ,vali „d - , t° x, 1
5. 'MANUFACSTURERS ,,IN'STALLA.TIONj I; STRUCTI0NS. REQ,U'IRED ON S`ITE`S' °'
FOR THE BUILDING' ...INSPECT,OR'y'' REVIEW. .`;;t'_.,.: - }:' ,� i,,.3.,iw;`
6, e3ctrical�,per,mits,.shel1/ be.obt'ained_througih the Wash�ingt�pnK'
State Division- of Labor .',Od' Industr.>;ies, ,and -,.a,l l electr.'ica }l� `il3,
wor.•.t'wi ldl ybe� inspected by that a`gencv...(2.4.'t3 -66 0) . ,:r 4i
v;, ), ', µ y . . is Mfr.
i ,k� ttS.4` ixs ?;Y 6?• , . ,.. _.... rA S+
0 ik
0
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
NS. .ONT':' "' GENERAL •
REGISTRATION NUMBER •
. EX?tMTNON DATE
01:
.t• •.;. '•..'
^:' UNITES I176R9
;€.F'FECTI•.VE DATE'''12
1130.8/95
/02/.83
UNI.TED;:'SYSTEMS .. .'
1021 :SW':1�LTCK1TAT Y' 5TE' .104 '
SEATTLE WA 98134:
STATE OF WASHINGTON
F825.052.003(3.92)
RECEIVED
CITY OF. TUKWILA
0 C T 11) 1995
161767
1
JF
L01313Y
N
19 "0
® ? 6E �.,7 t4Si F o tg
i a
10 ";�
(TYPI GAL
N
LOO1,2, PLAN
SCALE: 1/3" = 1 -O"
m qs ()
•
®r E
1f
SLOPE. O O Imo, K
T.I. #1:
• One (1) new diffuser
• Two (2) new eggcrate return grilles
• Six (6) diffuser relocates
T.I. #2:
• One (1) new eggcrate return grilles
Ti. #3:
• One (1) diffusers relocate
• One (1) return grille relocate
T.I.'s #1, 2 and 3 ALL INCLUDE:
• Hanging existing flex ductwork per code
• Insulating existing low pressure ductwork per code
• Mechanical engineering, drawing and permit
t.
SEPARATE PERMIT
REQUIRED FOR:
❑ MECHANIC!
'p ELEC T E: .
❑ PLUMB
❑ GAS PIP;::
CITY OF TU4.VJtLA
BUILDING DIVISION
FILE COPY
i understand that the Plan Check approvaiSare
object to errors and omissions and approvelof
E,...!ans does not authorize the Receipt „0 l efliy
Iract ed code or proordinance. ao s
'itractor'so ofaPProv
By
Date
q5
Permit No.
• One (1) return grille relocate
• Two (2) thermostat relocates
RECEI
CITV OF TVUKED
WILA
OCT 1 , 1995
PERMIT CENTER
Project 74 J DD V E R FA K EST. Ti I s
Scale AS LfcTE.A
N
s