HomeMy WebLinkAboutPermit M95-0172 - TUKWILA DENTAL CENTERt •
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City of Tukwila (
(206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No:
Type:
Category:
M95 -0172
B- MECHAN
NRES
MECHANICAL PERMIT
Address: 13955 INTERURBAN AV S
Location:
Parcel #: 336590 -0220
Contractor License No: AIRSYE *229KN
TENANT
OWNER
CONTRACTOR
CONTACT
Status: ISSUED
Issued: 10/23/1995
Expires: 04/20/1996
Suite:
TUKWILA DENTAL CENTER
13955 INTERURBAN AV S, TUKWILA WA 98188
SINGH HARCHAND Phone: (206) 431 -0953
13955 INTERURBAN AVE S #A, TUKWILA WA 98168
AIR SYSTEMS ENGINEERING
909 SOUTH 28TH STREET, TACOMA, WA 98.409
BARRY ANDERSON
909 S 28 ST; TACOMA WA 98409
************************************************ * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Description
Phone: 206 628 -9484
Phone: (206) 628 -9484
INSTALLATION' OF TWO. SPLIT SYSTEM HEAT PUMPS
TWO EXHAUST FANS, GRILLES 'AND DUCTWORK.
UMC Edition: 1995
AND.
Valuation:
Total Permit Fee:
5.560.00
74.38
********.*******"******************,***** * * * * * * ** * * * * * * * * *• * * * ** ***�It�i * * * * *:k **
Permit .Center Authorized Signature
LQ 23
Date
I hereby'certi.fy that;;I have. :read:and examsned this permit and know the
same to:be true and correct. All provisions of..law and ordinances
governing thi.s..work will be complied with, ..whether specified herein or not
The gran,t,itng <.'of this permit does not presume, togive authority :to violate
or cance'1.,.the•.provisions of any other state or focal laws regulating
construction or the performance of/work., : I am authorized to sign for and
obtain thi's :buildi •ermit.
Date 10. /Z' /(
T1tle: `I '1G
This permit shall becom.e.. nu.11.,,and void if the workis not commenced within
180 days from the date of 'issuance,;,; or :if the work is suspended or
abandoned for a period of 180 days:f.rom' the last inspection.
CITY OF TUKWIL
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
PLAN CHECK
NUMBER
Mg6-01-1 -
PROJECT NAME
UDR- sit k-I
SITE ADDRESS
139 5 iN i �RUR5Pt M ;
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.
PARTMEI
BUILDING -
initial review
TEI
PROV,I
O FIRE
l0 (' 9f
OU D
•UI.REMEN
ME.I
CONSULTANT: Date Sent
Date Approved
FIRE PROTECTION:
Sprinklers
Detectors
N/A
INIT:
FIRE DEPT. LETTER DATED:
INSPECTOR:
O PLANNING
ZONING:
IBAR/LAND USE CONDITIONS? U Yes
SCREENING REQUIRED? Q Yes 0
No
INIT: REFERENCE FILE NOS.:
O OTHER
INIT:
BUILDING -
fi nal review
BUILDING
OFFICIAL
UMC EDITION (year):
REVIEW COMPLETED
AMOU T -\
OVIdN
� ti,sry
Li,
CONTACTED
DATE NOTIFIED
q— (i5
BY:
(init.)
2nd NOTIFICATION
BY:
(init.)
3RD NOTIFICATION
BY:
(init.)
01/07/93
CITY OF TUKWILA 'J
MECHANIIeAL PERMIT
APPLICATION
Mechanical Fee Worksheet must also be filled out
and attached to this application.
Department of Community Development - Building
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
NUMBER 1 - O t� r�
v� o'er
APPLICATION MUST BE FILLED OUT COMPLETELY
FEES (for staff use only)
DESCRIPTION
AMOUNT
RCPT #
DATE
BASIC PERMIT FEE
+4,5108--
42cwi' , grales tj>,,(cif tAiCh'>�-°3.
:: NUMBER OF UNITS
TYPE FtATING/SIZE
U N MS) FEE
t v
f
9 c cw + i 0 *t
PLAN CHECK FEE
BUILDING USE (office, warehouse, etc.)
Chi Ge-
OTHER:
WILL THERE BE A CHANGE IN USE? ( No 0 Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
IF YES, EXPLAIt No 0 Yes
TOTAL -
SITE ADDRESS SUITE #
VALUE OF CONSTRUCTION - $ 1 , 1(z,0,5:2‘..;_
PROJECT NAME/TENANT
9r, �w1014 'l. .
ASS _ SOR ACCOUNT #
(p5clo dD) U
0 Other:
TYPE OF WORK: 0 New /Addition A Modifications CD Repair
DESCRIBE WORK TO BE DONE:
Andil ail q 114 eg on litiai rvi/vn , 1 exl't6 W -
42cwi' , grales tj>,,(cif tAiCh'>�-°3.
:: NUMBER OF UNITS
TYPE FtATING/SIZE
IzIP98409
(EXP. DATE a / I G7 9G,
t v
f
9 c cw + i 0 *t
BUILDING USE (office, warehouse, etc.)
Chi Ge-
NATURE OF BUSIN SS:
r✓e&to -I Uf -Oc-e-
WILL THERE BE A CHANGE IN USE? ( No 0 Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
IF YES, EXPLAIt No 0 Yes
PROPERTY OWNER Dn. sib
BUILDING OWNER
AUTHORIZED
AGENT
— �-
SIGNATURE M --
PHONE
IZIP
PHON
I E628 -9484
ADDRESS ) � ej A4e,rtv' (o� 14.4.•
CONTRACTOR AIR SYSTEMS ENGINEERING
ADDRESS 909 S 28TH STREET TACOMA
WA
IzIP98409
(EXP. DATE a / I G7 9G,
WA. ST. CONTRACTOR'S LICENSE # AIRSYE *229KN
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE
AND CORRECT, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER
AUTHORIZED
AGENT
— �-
SIGNATURE M --
DATE to r� (cL 6
! I
PRINT NAME m�0 /...0 C: S
PHONE �.. 644E4
ADDRESS 909 S 28TH STREET
cITY /ZIPTACOMA 98409
CONTACT PERSON 5A(2.4e0 4400cr c»J
PHONE 628 -9484
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. 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 Department of Community Development at 431 -3670.
RFCFLVED
DATE APPLICATION ACCEPTED ` CITY OF TUKWILA
1,0. tg-R5 r`,..I
H
PERMIT CENTER
DATE APPLICATION EXPIRES
- 8-9Co
01/20193
INSPECTION NO,
..... .« �.. n. r�... n�... .�+ +ra..•wc...n,rMt+wt+M.`JFaa4 �st N. �d• at' h'% Y' ctiT•'/. Y6YJ' Sr��<R9i >AN. >.'Y.`ai�R:i?L:YiU: . .
t t. 1.
INSPECTION RECORD
Retain a copy with permit [ %.5.'"OPZ.
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 d`� --.�— 431 -3670
Projec
s 4�., l
Addre :
14,17G/ Type
Date ca
Special instruc ions:
(J h• .y /0 C d u /-4) S,
ate wanted: pa.Ln.
�m
Requester:
Phone No.:
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
Inspector
CA le Date: �--G
$42.00 REINSPECTION PEE REQUIRED. Prior to inspection, tee must
be paid at 6300 Southcenter Blvd„ Suite 100. Call to schedule reinspection.
IReceipt No.:
Date:
.' i::..•..:: L`:,::.' 2�. 3: i�. 7::...... ...::1'�i_t:- 'tL':.t6t'I..b+`G;
- INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206) 431 -3670
Pro : . :
Type of Inspection: �, ^'
• i • -.'
di S 1 Wi ug $NN M G
1 :, a ern:
17-- \`� - °15
Special Instructions:
bate Wanted: 1 Z -- ,q _ cs am. p.m
Requester:/ ,
l j ULC,k1
Phalle Na: I-1 31- 3 -18
❑ Approved per applicable codes. p<C_orrections required prior to approval.
COMMENTS: -
.S art,,, t x (4-) M --t-11 CA- (Zce2at_ A-7vz`q f LiYiN c
A N ,'ate ' r-t1 rAA n.-8s. F- .s(i.._ ...:-T-1 &rot t;.-._
11._..-...4..p., % ►s'^ .
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Can to schedule reinspection.
j Receipt No.: Date:
,.....
x....u� �.., -.� �: r�xa 'o::.R:ri:a•• : ?•s7,- .•.: +•t�" v'i.�".i".:Sz ' ' '_
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206) 431 -3670
r . K - `� �'t�'1�pL C-i .
o
an: -- c,,�', t\- i rte\
Address: ) 3
37:1-4\--)?
bate Called:
(1 24
Special Instrlictlom
late Warded:
JJ
Lg1Q r
am. pm
Requester:
Phone No.:
❑ Approved per applicable codes.
Corrections required prior to approval.
COMMENTS: .
A Cpl„^ P t✓�1f.C. 17 % ge---uS ,C"L t ,.1 grA �_c,A- J
z A i m c t k r- - -
r o c 4.\ 0-
3
Fu. 4 E" GIN
,.ISn `3 ✓r;,%si`- 1/2-4.A 'n)
g- %,-) .1 WoLL. AT Ya" eQn... .
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
IRomp No.:
lDOE
i�y..:•4'R't e.t
.,,:
irti•
t *•Rh,4•Ait* *,41,44•14* *\irk *:4•'A **
CITY OF TUU1ILA. NN
A•, A *A•1,. *A *A * *,1k *A•,t *•,k ;*
* *•h * *,4• * k• k* 4k* fiA.* *,5 *cAb *A•,t *t1 *:tlr *A *,� *11** GENERA 14.88
GENERA 59.50
'�,�,tk,4 ** +51,1,,4 *A *� *ak,� *a,�k�+A * ** 'TOTAL' 74.38
CHECK 74.38
CHANGE 0,00
7315A000 10.,0.
TRANSMIT
TRANSMIT Number: 94003145 Amount: 74.313 10/23/95 15 :56
M «'Payment Method: CHECK , Notation: YAlR SYSTEMS ENO �r In
i1 : G
Permit Na ; M95-0172 Type: (••MECHAN MECHANICAL PERMIT
Parcel Na: 336590 -0220
Site Address: 13955 INTERURBAN AV 8
Total Fees:
this .Payment 74.38 Total ALL Potts:
Balance:
74.;38
74.38
.00
44. A*** h*** 4****d* 4*• k*, V*A• A•. * *•k * *A *. * *A *,1 * * *t * * *•hd *k* *,1,44 * * *a *. * * * * **
(account Cade.
000/345.8,30
000/322. 100
Description
PLAN CHECK -- NCNRES 14.88
MECHANICAL — NONl2ES 59.50
Amount
CITY OF TUKWILA
Address.:. 13955 INTERURBAN AV S
Suite:
Tenant: TUK::WILA DENTAL. CENTER.
Type : B- MECHAN
Farce #: 336590 -022.0
Permit No: M95-0172
Status: ISSUED
Applied: 10/18/1995
Issued: 10/23/1995
**•k*•M•k•M•k *•M **1k.k *k•k** k ** Mi4M k*•k k k *•M•k* ** k k k k* M* k k*M•M* k** kk k*•k* k k :M 4* ***•M k k M* M Mk k
Permit Conditions: n. ...•,._.,w- .M..:.w..
1. Na changes wi 1 1 be mad w, to<<;tlie,` pj'firi' .,AJ es,w__approved by the
Architect or Engineer 3and1-. 'th`e 'Tukwi 1 a—Bu'i=1: J:thg Divis ion.
• Al1 permits, insp.ec;l on records:, and) approved plan shall be
available at . the ',j;ab silte =.pr iorrj to :,,the star; tX;of`'ar�y on-
struction; Xhe.e d,ac rnent °s;ar,e:,,,to- he,maintal "n,ed and;;e. ?avai 1-
able unti 1 ..flp•a 1 i,n .p ect'ion appr,oya 1 is gr''ar ted .t'e
3. Al 1 constrtuc't ion, to;, be done -iii'' conformance wi thkz;a'pp,x ovedM
plans and,e/equir en nts of the`:yUn,i -form Buil`di_n9 Code,'`U994
Edition)' a's ann' ended ,I. Uri iform''Me,i: =hai,ica1 Code (199`4 Edit
and Wa hl'ng•ton State Eneg . {;Cade (11 994 Edition) :,, ix=*> ti' ,,.
4. Val i d, ,,,y of ,Perms t,. The:sir✓suance of a perms t or 'ap �r p'v.a'1 o�,f,
plans, >�,:r' pec:ifi cat ions,,,,and computations c,ha11 not be c,on -'
stru:ed,: toy ,be `'a p'ermi t'°fa'r, or:,>;ari approval of , any vaol,a;t:i n
of ar)?, of the provision" -of-the bui.,;ld�ing code or.. of '`;any ;y''
other 'ordInance of the `'3ut;isdlctiorv,- ,''No - pe.rniit pres.umfng to
give authority', to. :violate -0,r1 ca }noel .theFSpr�ov.L ions of, thfS RAY
code „4ha 1 1 'be 'vial id. a ,r , - 1,-,/- , fr
5. MANU AC�TURERS ,:INSTALLATION IN:�TRUCTI0NS . REOL1;IRED ON SITE
FOR :THE BUILDING INSPEC.TORS,...:RtEVIE .'\ ?.,:.,{- r._.' ., ;:: >,f3
6. Ele, , tgrical(,;;per�mits),,,iha�11' b►e,,ot tairied. through the Wash"ing, na•
Stet,A' Dlvisjon' of Labor :- 1.4nd' Indu,str *pie_�•..ai d a;11 electr„ical
wcp' . i1;.1 ‘p% inspected by that aency,•u'(248— '6630) . '' ,,
7. ReaWv acs ss i'b 1 e access to roof r�ro need „•equi pinent<, i s
c't �. "� tt tiA 1a.�.,w : ,tom f �j4 h�.�. !Q, 1, .c�, { .
4 f �1 �.t it 9
This certifies this is a copy of the original.
Air Systems Engineering, Inc.
.Jiv / / /iJJJN / % /jijiYJ% {.iii /yiNiN /.y>vlJN / /JiJ //i /iN�iN���[����JiJiiiiiii YJi {i /iJiiiJiiiiiiii iiiJ ✓iiifiiii /f�! { /ii //ii /ii /i Jiiil
DEPARTMENT OF LABOR AND INDUSTRIES
:,�:ti.• :.1TAIS.9g Err IFIES THAT THE PERSONNAMED HEREON.IS REGISTERED AS PROVIDED BY LAW AS A
ATirlOWOW
i i• C •;s
7•
"Yea.
ti
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STATE OF WASHINGTON
F625 -052- 000(3.92)
I hereby notarized this copy taken from the original on
Expires
RECEIVED
CITY OF TUKWILA
OCT 1 fi 1995
PERMIT CENTER
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CITY OF TUI W1LA
BUILDING DIVISION
Floor, Plan
FILE COPY
- -
understand that the Plan Check aP rra91td9r@
r oroa`aI e
� anY
,ubiectto errors and om`,. _,n„ vmlaespr i non -
plans does not r Of din ance. ReCeio,
eve• ,l ansacknc.,"Ie^yed.
adopted code or o
tractor's copy of a!
Date ca.__
Permit No
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8t/ 5995
PERMIT CENTER
ROrrvEO
CITY OF TUKWILA
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FILE COPY
- -
understand that the Plan Check aP rra91td9r@
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� anY
,ubiectto errors and om`,. _,n„ vmlaespr i non -
plans does not r Of din ance. ReCeio,
eve• ,l ansacknc.,"Ie^yed.
adopted code or o
tractor's copy of a!
Date ca.__
Permit No
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PERMIT CENTER
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