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Home My WebLink AboutPermit M11-027 - TIC FAIRWAY CENTER - BUILDING BThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. M1 1-027 TIC Fairway Center — Building B 14240 Interurban Avenue South RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION F,age # Code Exemption � � �� Brief Explsnatoty Description, Statute /Rule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 11 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. TIC FAIRWAY CENTER BUILDING B 14240 INTERURBAN AV S M11-027 City ofI'ukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspectio n Request Line: 206- 431 -2451 Web site: http: //www.ci.tukwila.wa.us MECHANICAL PERMIT Parcel No.: 3365901881 Address: 14240 INTERURBAN AV S TUKW Project Name: TIC FAIRWAY CENTER, BLDG B Permit Number: M11 -027 Issue Date: 03/07/2011 Permit Expires On: 09/03/2011 Owner: Name: TIC FAIRWAU CENTER Address: 20415 72ND AVE S #210 , KENT WA 98058 Contact Person: Name: PAUL GOTO Address: 3132 NE 133 ST , SEATTLE WA 98125 Email: PAUL.GOTO @PSRHVAC.COM Contractor: Name: PSR -HVAC & MECHANICAL SERVICES Address: PO BOX 27073 , SEATTLE WA 98165 Contractor License No: PSRHVMS924JT Phone: 206 367 -2500 Phone: 206 - 367 -2500 Expiration Date: 04/30/2012 DESCRIPTION OF WORK: RELOCATE (1) THERMOSTAT (SEPARATE ELECTRICAL PERMIT REQUIRED AS WELL). INSTALL (2) NEW RETURN GRILLES AND DUCT TO EXISTING RETURN DUCT. RELOCATE (2) RETURN AIR TRANSFERS. Value of Mechanical: $2,500.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied anvil vith, Fees Collected: $221.38 International Mechanical Code Edition: 2009 Date: UgI 01 11 ied this permit and know the same to be true and correct. All provisions of law and ordinances 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 and obtain this mechanical permit and agree to the conditions on the back of this permit. Signature: Print Name: Date: ' l 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. doc: IMC -4/10 M11-027 Printed: 03 -07 -2011 • • PERMIT CONDITIONS Permit No. M11 -027 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 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: 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: IMC -4/10 M11 -027 Printed: 03 -07 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us • Mechanical Permit No. Project No. 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 ** SITE LOCATION Site Address: 14240 Interurban Ave S. Building B Tenant Name: King Co Assessor's Tax No.: 3365901881 Suite Number:10° u ZSa Floor: 2 New Tenant: ❑ Yes m .. No Property Owners Name: TIC Fairway Center 061266 Mailing Address: 20415 72nd Ave S #210, Kent, WA 98058 City State Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Name: Paul Goto Mailing Address: 3132 NE 133rd Street, Seattle, WA 98125 E -Mail Address: paul.goto @psrhvac.com Day Telephone: (206) 367 -2500 City State Fax Number: (206) 368 -6856 Zip MECHANICAL CONTRACTOR INFORMATION Company Name: PSR HVAC & Mechanical Services Mailing Address: 3132 NE 133rd Street, Seattle, WA 98125 Contact Person: Paul Goto E -Mail Address: paul.goto @psrhvac.com Contractor Registration Number: PSRHVMS924JT City State Day Telephone: (206) 367 -2500 Fax Number: (206) 368 -6856 Expiration Date: 04/30/2012 Zip ARCHITECT OF RECORD — All plans must be stamped by architect of record Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD — All plans must be stamped by engineer of record Company Name: Mailing Address: Contact Person: E -Mail Address: H:\Applications\Fonns- Applications On Line \2010 Applications \7 -2010 - Mechanical Permit Application. doe Revised- 7 -2010 bh City Day Telephone: Fax Number: State Zip Page 1 of 2 • • Valuation of project (contractor's bid price): $ 2,500 Scope of work (please provide detailed information): Relocate (1) thermostat. Install (2) new return grilles and duct to existing return duct. Relocate (2) return air transfers. Use: Residential: New Commercial: New Replacement Replacement Fuel Type: Electric ❑ Gas ❑ Other: Indicate type of mechanical work being installed and the quantity below: Unit Type: Qty Unit Type: Qty Unit Type: Qty Bioler /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 1 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 emergency generator 50+ hp /1,750,000 btu repair or addition to heat/refrig/cooling system Incinerator — domestic other mechanical equi nen � j 4. 2. air handling unit <10,000 cfm incinerator — comm/ind� t flzicr�tE 2, PERMIT 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 oftime 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). 1 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 OWNER OR AUTHORIZED AGENT: Signature: Date: z /'ZN /// Print Name: Paul Goto Day Telephone: (206) 367 -2500 Mailing Address: 3132 NE 133rd Street, Seattle, WA 98125 City State Zip Date Application Accepted: 0c9_,O y /I Date Application Expires: °Irk Staff Initials 4) HApplicai ions \Forms- Applications On Line■2010 Applications \7 -2010- Mechanical Permit Applicalion.doc Revised 7 -2010 bh Page 2 of 2 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 RECEIPT Parcel No.: 3365901881 Permit Number: M11 -027 Address: 14240 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 02/24/2011 Applicant: TIC FAIRWAY CENTER Issue Date: Receipt No.: R11 -00341 Initials: User ID: LAW 1632 Payment Amount: $221.38 Payment Date: 02/24/2011 02:04 PM Balance: $0.00 Payee: PSR HVAC & MECHANICAL SERVICES TRANSACTION LIST: Type Method Descriptio Amount Payment Check 011712 221.38 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - NONRES PLAN CHECK - NONRES 000.322.102.00.00 177.10 000.345.830 44.28 Total: $221.38 doc: Receipt -06 Printed: 02 -24 -2011 INSPECTION NO. `_._ INSPECTION RECORD Retain a copy with permit 11 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Projec f ..wrirt.- Lk) Type f nspectii n: , 4.4 Address: WA, rlrQl J / bilyl Date Called: 1-- -- Speaal structions: Date Wanted: - CF--"1 j m 'a. . p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: P P Inspecto r': Date:s I I I REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • • • INSPECTION RECORD Retain a copy .with permit IN PECTION NO. PERMIT NO. M.II( -o27 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 ct: 1 Pr� e o Type Inspection: 4 J a Address: 142.4° Pf �� Date Called: 1 ,�/ l Special Instructions: 041 gO S- t ` v/ 46 g) J (Q ei kr Date Wanted:2. .... I S a m �� (� P•m. Requester: Phone (0— -71S- - -ine Approved per applicable codes. El Corrections required prior to approval. COMMENTS: D K.._ / - r ' - , dC .. -L- , A) 0 D /on- -• , Ls w r ` 4,r-7 LA) ; ili 01,07- ,- F , -Je ..01-",-) .t-, a ef 7-. et ,t ^ s c ).. . 1 Date: 3 _..2 1`'' 1 ( REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. IOPEWMRCOOAD irpy • PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: M11 -027 DATE: 02/24/11 PROJECT NAME: TIC FAIRWAY CENTER SITE ADDRESS: 14240 INTERURBAN AV S, BLDG B X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: �,, 'n AAA, v ui ding Division Public Works Fire Prevention ❑ Structural Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: irrAi Incomplete ❑ DUE DATE: 03/01/11 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route W Structural Review Required ❑ No further Review Required n DATE: REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: DUE DATE: 04/05/11 Approved ❑ Approved with Conditions Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only' CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 Contractors or Tradespeople liter Friendly Page • General /Specialty Contractor A business registered as a construction contractor with Lai 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 PSR -HVAC a MECHANICAL SERVICES UBI No. 602811195 Phone 2063672500 Status Active Address Po Box 27073 License No. PSRHVMS924JT Suite /Apt. License Type Construction Contractor City Seattle Effective Date 4/30/2008 State WA Expiration Date 4/30/2012 Zip 98165 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status PUGETI *261 CG PUGET SOUND REFRIGERATION INC Construction Contractor Air Conditioning Commercial /Industrial /Refrig 2/7/1974 2/1/1984 Archived PUGETSR169CB PUGET SOUND REFRIGERATION INC Construction Contractor General Unused 2/2/1984 12/31/2008 Inactive PSR****936JP P 5 R Construction Contractor General Unused 4/17/2007 /2008 Re- Re- Licensed Business Owner Information Name Role Effective Date Expiration Date O'DONNELL, STEPHEN 0 Cancel Date 04/30/2008 Amount RIST, STEVEN L 4 04/30/2008 GL0488649700 O'MALLEY, JAMES J Member 04/30/2008 HOGERTY, REAGAN P Member 04/30/2008 HARTFORD CAS INS CO Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 2 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 4/30/2008 Until Released Bond $12,000.00 4/30/2008 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 4 ZURICH AMERICAN INS CO GL0488649700 04/01/2010 04/01/2011 $1,000,000.0004 /05/2010 3 HARTFORD CAS INS CO 37UUNN03345 04/01/2009 04/01/2010 $1,000,000.0003 /31/2009 2 HARTFORD FIRE INS CO 37UUNN03345 06/01/2008 06/01/2009 $1,000,000.0006 /06/2008 1 CONTINENTAL WESTERN INS CO CWP2721539 12/31/2007 12/31/2008 $1,000,000.0004 /30/2008 https://fortress.wa.gov/lni/bbip/Print.aspx 03/07/2011 L Lr- 011 (D ( /L.3, 6 • • - 47: CX...A. FILE COPY 142 _ Li c'T 1. 1 ..1indexempalle to errors and onteebte. „ does mg authorize P violation of any atbpted code or ordnance. Rea* of approved Fitd Copy exlconelons Is adetowledget By cA' Date: 3 - CitY °f-i=g4 - 1-1 L1r7-7, • 114 2-40 ii•iregiXattO AVE S. ELD REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. Rev;sions will require a new plan submktel may in.-;lude additional plan review fess. SEPARATE PERMIT REQUIRED FOR Mechardad Ortleohloal Erkumbing &Ms Piping of Tukwila E& iJG DIVISION A - REVIEWED FOR COMPLIANCE PDIMI/ED tVIARO4 2011 -5-City' of Tukwila BUILDING onnRinni M I I --021