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Permit M11-047 - SEARS
SEARS 301 S OUTHCENTER MALL M11-047 City c*'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: http: / /www.TukwilaWA.gov MECHANICAL PERMIT Parcel No.: 9202470010 Address: 301 SOUTHCENTER MALL TUKW Project Name: SEARS Permit Number: Issue Date: Permit Expires On: M11 -047 05/16/2011 11/12/2011 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: JOHN WARE Address: 109 WASHINGTON BL - SUITE B , ALGONA WA 98001 Email: JOHNW @FIVESTARMECH.COM Contractor: Name: FIVE STAR MECHANICAL Address: 3902 W VALLEY HY STE 200 , AUBURN WA 98001 Contractor License No: FIVESM *010JT Phone: 206 - 786 -8278 Phone: 253- 833 -8284 Expiration Date: 04/30/2012 DESCRIPTION OF WORK: INSTALL A MINI -SPLIT SYSTEM AND (3) CONTROL DAMPERS. INSTALL A NEW ELEVATOR PIT LADDER. INSTALL A NEW RAIL IN UPPER ELEVATOR SHAFT ACCESS AREA. Value of Mechanical: $30,000.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: Fees Collected: $551.06 International Mechanical Code Edition: 2009 Loa_ .-_._, Date: -- [(0 ( 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 and obtain this mechanical permit and agree to the conditions on the back of this permit. Z---d,e/----- o.5 /��� nL F- ��_ 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 M11-047 Printed: 05 -16 -2011 • PERMIT CONDITIONS Permit No. M11 -047 1: ** *BUILDING DEPARTMENT CONDmONS * ** 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 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. 4: 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. 5: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 6: 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 M11-047 Printed: 05 -16 -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. MAt-o/-17 (Fo• office use only). 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:3 Tenant Name: ng Co Assessor's Tax No.: �� at Suite Number: Floor: New Tenant: ❑ Yes ❑..No Property Owners Name: ears J t (Q/16fr % Mailing Address: BUJ City State Zip CONTACT PERSON — who do we contact when your permit is ready to be issued - I Name: W Day Telephone: 2[i'6 - 217 (� — 2 7c Mailing Address: o I. 1 L I V SL k OlA& W� ggooI 1 City State Zip E-Mail Address: O Vt ) I i V S 1 ar � COI4Y4 Fax Number: 3 � 8S MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: • Contact Person: E -Mail Address: A Contractor Registration Number: Day Telephone: a Fax Number: Expiration Date: State Zip g27f 1 ARCHITECT OF RECORD — All plans must be stamped by architect of record Company Name: Mailing Address: Contact Person: E -Mail City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD — All plans must be stamped by engineer of record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Addres Fax Number: H:\ Applications \Forms - Applications On Line\2010 Applications \7 -20I0 - Mechanical Permit Application.doc Revised: 7 -2010 bh Page 1 of 2 • Valuation of project (contractor's bid price): $ 30) 6 0 Scope of work s lease provide detailed information): 1 ,.d/ .i — / Use: Residential: New ❑ Commercial: New Fuel Type: Electric Replacement Replacement 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 3 0 -3 hp /100,000 btu 1 furnace >100k btu evaporator cooler diffuser 3-15 hp /500,000 btu floor furnace ventilation fan connected to single duct thermostat 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 e mechanical eqgheuipp ment air handling unit <10,000 cfm I incinerator - comm/ind 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 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. BUILDIN • " ` • Signat Print Name: D GENT: Mailing Address: 1 09 j ill U SLIA IDate Application Accepted: Lk„ I / Iv Date: K/2- 77 Day Telephone: IzokA tJA— e7t ( State Zip Date Application Expires: LO-I I tai r Staff Initials: HAApplications\Fotms- Applications On Line \2010 Applications \7 -2010 - Mechanical Permit Application.doc Revised: 7.2010 bh lie I Page 2 of 2 Parcel No.: Address: Suite No: Applicant: 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.TukwilaWA.gov 9202470010 301 SOUTHCENTER MALL TUKW SEARS RECEIPT Permit Number: Status: Applied Date: Issue Date: M11-047 APPROVED 04/14/2011 Receipt No.: R11 -00986 Initials: WER User ID: 1655 Payee: Payment Amount: $440.85 Payment Date: 05/16/2011 11:59 AM Balance: $0.00 FIVE STAR MECHANICAL TRANSACTION LIST: Type Method Descriptio Amount Payment Check Authorization No. ACCOUNT ITEM LIST: Description 36061 440.85 Account Code Current Pmts MECHANICAL - NONRES 000.322.102.00.00 Total: $440.85 440.85 doc: Receiot -06 Printed: 05 -16 -2011 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.: 9202470010 Permit Number: M11 -047 Address: 301 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 04/14/2011 Applicant: SEARS Issue Date: Receipt No.: R11 -00719 Initials: User ID: WER 1655 Payment Amount: $110.21 Payment Date: 04/14/2011 11:42 AM Balance: $440.85 Payee: FIVE STAR MECHANICAL TRANSACTION LIST: Type Method Descriptio Amount Payment Check 35940 110.21 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 110.21 Total: $110.21 doc: Receiot -06 Printed: 04 -14 -2011 ,* INSPECTION RECORD Retain a copy with permit INSP. TION NO. CITY OF TUKWILA BUILDING DIVISION 4? 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 /77/1 -49 7 PERMIT NO. Project: ∎Se 9•4‘7 S Type of Inspection: j=- /n1 A L Address: 30 / Y» A // Date Called: Special°Instructions: Date Wanted: 6 _3 _ / / p.m. Requester: Phone No: . ,a06-707-z53- / I� Approved per applicable codes. a Corrections required prior to approval. COMMENTS: 4if/4/1 ( r�; f J spectof: R NS /ECTION FEE REQUIRE • • • Date: • • —... t • next inspection. fee must :be p id t 6300 Southcenter Blvd.. S` ite 10 Call to schedule reinspection. • 25 INSPECTION NO. • INSPECTION RECORD Retain a copy with permit M1(41 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 t. (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Pro of Inspec tion: g-,)u 6 V- j vae-04 Address: 30 i ...c c_ Ai 444... Date Called: Special Instructions: Date Wanted: L) ..— a.m ) .m Requester: Phone No: ---/ (9 7 - '21 4 I Approved per applicable codes. IDCorrections required prior to approval. COM ENTS: spect : Date: NSPECTION FEE 4aulgto. Prig to next inspection, fee-.Muit aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinsPettioth • '.•• • • : • : • • • • INSPECTION NO. INSPECTION RECORD. Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION �- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: Typetat Inspection: 1 A X' Address: AnAll Date Called: 2a.m Special Instructions: Date Wanted: —20- , t p.m. Requester: 2i -la)� Phone No: i06- 3S1 'e3.17 S—,, j ��(j Approved per applicable codes. a Corrections required prior to approval. 4 COMM M NTS: n R PECTION FEE REQLfIRED Prior to next inspection, fee must be p• at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. :!• •.. f'/ -`0 Z/ INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: ASS Type of Inspection: d),4:xh -,'A1 -- 003 Awl) Address: 20 / /04// Date Called: 3� 41(/((/4,6 /yle % ;A. 7)14er/S,tiv ADiM Special Instructions: GC Date Wanted: / _ // ra Requester: Phone No: r- 04. - 2 .- a275 Approved per applicable codes. Corrections required prior to approval. `COMMENTS: 74.3 /9 40 4./% 71wb /2 9// 4:4-94"V skiff/ 9r" "S S -- 003 Awl) 2 / 4 %/' / F/f', ,.- P11 - 4,,m®✓., • 3� 41(/((/4,6 /yle % ;A. 7)14er/S,tiv ADiM PJet,4r4 ✓ h -'inh 40,//./ ;.4./5 44014 iAld- - 1 spec Date: - i 9-- , / NSPECTION FEE R . UIRED. Pyror to next inspection. fee must be aid at 6300 Southcenter :lvd.. Suite 100. Call to schedule reinspection. Job Name : Purchaser: Engineer : Submitted To : Submitted By : Unit Designation : Schedule No.: Location : P.O. No. : Architect : *. R,� awe Date : For : ❑ Reference ❑ Approval ❑ Construction Model No.: Submittal Data : LS306HV Standard Single Zone Mini -Split System Model # Indoor Model # Outdoor Model # LSN306HV LSU306HV Performance Capacity (Cooling) (Heating) EER SEER HSPF Air Circulation (CFM H /M /L) Fan Speeds Dehumidification (pts /hr) Sound Data - Indoor *3dB(A) Sound Data - Outdoor *3dB(A) 26,400 30,400 8.3 15 7.7 710/640/530 5 /Auto /Chaos 7.2 47/43/41 58 Electrical : Rated Voltage Outdoor (V, Hz, Ph) Rated Voltage Indoor (V, Hz. Ph) Minimum Circuit Ampacity Maximum Overcurrent Protection Running Current (Rated) Cooling (A) Heating (A) A Compressor (A) B Compressor (A) Fan Motor (A) Dimensions : 230/208 , 60, 1 230/208 , 60, 1 17 30 13.6 14.0 6.6 6.4 1.0 Indoor Dimension (WxHxD, inches) 47 5/8 x 13 5/8 x 8 1/16 Indoor Weight (Ibs) 37.5 Outdoor Dimension (WxHxD, inches) 34 5/16 x 31 1/2 x 12 5/8 Outdoor Weight (Ibs) 147.7 Refrigerant Piping : Liquid Side (inches, O.D) Suction Side (inches, O.D) Additional Refrigerant (oz. /ft.) Maximum Pipe Length (ft) Maximum Elevation (ft) 1/4" 5/8" 0.22 98' 49' Operating Range (Outdoor) : Cooling ( °F, standard) Heating ( °F) 14 -115 23 -75 Standard Features : • Limited Five Year Compressor Warranty • Limited Two Year Functional Parts Warranty • Inverter (Variable Speed Compressor) • Plasma Air Purifying System • Chaos Swing Air Circulation • Jet Cool TM • Temperature display on indoor unit • Auto Restart • Gold Fin TM Anti - Corrosion • Built -in Low Ambient Standard down to 23 °F (cooling mode) LSN306HV LT== =TAT - -T 1 LG a2 5/8' B 1 /16- 2 15,16' 2 1,4• 6- — REVIEWED FOR CODE COMPLIANCE LSU306HV APPROVED MAY /161 2 2011 21112 65/16 City of Tukwila BUILDING DIVISI ' ID Inverter 1258 RECEIVED APR 14 2011 PERMIT CENTEF Note: t111%- O'{7 LG Electronics USA, Inc. HVAC Division © LG Electronics USA, Inc. 2010 DFS-SB-AA-019-US 010M14 1000 Sylvan Avenue, Englewood Cliffs, NJ 07632 / www.lg.com www.lghvac.com Specifications and information in this submittal data are subject to change without notice. FL COPY' Pawn* No. 7 Plan review approval is to WOOS and omissions. Approval of construction documents doss not authorize thc violation of any adoptsd or ordinance. Receipt of approved . e if:acknowledged: REVISION S No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE: Rovisions will require a new plan submittal i r.r7.1 may irr;!ude additional plan rview fees. i SEPARATE PERMIT REQUIRED FOR: ID Mechanical !'Electrical grPiumbing EAas Piping City of Tukwila Tag .W++:0,,G fq+.*/ cgliffti "N et: (Nik • • ___'0 0 m renNEMENIIIP 33 w 42k rr▪ A▪ J E Otn -Th" -no CD rn OJ =i1C no gig <=• SIIMEMENE 8' -0" CEI South West corner of building Erma= 9 20% r ri 7'- 1 1 "CEIL. "' -0" CEIL. 8' -0 C G ammo MERCKAND5E FICK —UP KIOSK 8' -0" CEIL. 9' -11" "LG WSW 8' -0" CEIL. 10' -11" CEIL. 0 L 6' X LE X ' .EVELE LIGHTING ELECT. PANELS ti —0" CLG i0' —O" CFI! aoOa+c SNOB IN. r-r UDC coeart 07— 't MIT Cmaax 07-'I I' RI ew elevator pit access ladder ;located at first floor down in pit to the right, where the old one was CE CE LING HEIGHT 11, -0" LING HEIGHT 13' -8" 'N FIROM LEVEL 12' -9" CLG REMOVE DISPUY PLATFORM 12' -9" CLG REMOVE DISPLAY PLATFORM UP 2ND TO LEVEL l b REVIEWED FOR CODE COMPLIANCE APPROVED MAY 12 2011 City ooTukwila BUILDING DIVISION 3i% Th 78AFAF 967[ Pe CITY RBLA MAY 0 6 2011 PERMIT CENTER STAlatO F", Wo ■ 9,1 M- 0t • jU" 1 Tr1.. tr nn WALL (\O& ,``e- roorn:. ekva '- 5 cue • 1veL 1st. 4.0 s . • REVIEW: D FOR CODE CO' a PLIANCE APPR1 . `V D MAY 1 2011 City of altwrila 9UILDIN DIVISION NS4-0-6- �a 4P i/.)I k4 CUk o vikaoot cJ' I ), kaheo Cavk nom jnQ1,J }1n1ri SVi1 CU40-roteot W; +� S6 Irctev\-1 (041 �� 5 '0114- sys S-pt,, vev RECEIV CITY OF TU LA MAY 0 0 2011 PERMIT CENTER (.00l i g eAttu FaiA ) oa"' - - + r�. Coatlkr ° -78 Sek Poi�k Z� tivi011/ A-(40, 3!yN� Kki\9 Od2ti 4/17a-- maid elit !SI 6i'6*' te Z Q u. Q, > c� Ji cm ® u2®� o •CDCE '-' "a2 95112 a: 4 gs Luo.t 5 cc o . OLTE CONSTRUCTION UNcn 402 OLYMPIC AVE. EDMONDS, WA. 98020 LICENSED BONDED & INSURED HOLTECIO44DB '/ b yac,.`h 1) 71" 1 7 11 17" li/1011y. P1/1' I there is 17- inches from floor to first rail and 17- inches from middle rail to top rail Not to scale PHONE (425) 776 -8701 bolteconstinc @comcast.net PERMIT CENTER May 6, 2011 • City of Tukwila • Jim Haggerton, Mayor Department of Community Development Jack Pace, Director John Ware 109 Washington B1, Ste B Algona, WA 98001 RE: Correction Letter #1 Mechanical Permit Application Number M11 -047 Sears — 301 Southcenter Mall Dear Mr. Ware, This letter is to inform you of corrections that must be addressed before your mechanical permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Building and Fire Departments. Building Department: Dave Larson at 206 431 -3678 if you have any questions regarding the attached memo. Fire Department: Al Metzler at 206 575 -4407 if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that two (2) sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections /revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at (206) 431 -3670. Sincerely, er Ma , all t Technician Fi 1 -047 W:\Permit Center \ Correction Letters \201 I\M11 -047 Correction Letter #1.DOC 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 w Tukwila Building Division Dave Larson, Senior Plan Examiner Building Division Review Memo Date: May 4, 2011 Project Name: Sears Permit #: M11 -047 Plan Review: Dave Larson, Senior Plans Examiner The Building Division conducted a plan review on the subject permit application. Please address the following comments in an itemized format with revised plans, specifications and /or other applicable documentation. (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size). (If applicable) Structural Drawings and structural calculations sheets shall be original signed wet stamped, not copied.) 1. Exhibit A appears to have several items that should not be included in the scope of a mechanical permit application. Please eliminate this document and scope should be clearly shown on the plans. Scope should be spelled out on the application as well. 2. Per our discussion, fire dampers would not be required for exterior openings in the elevator machine room penthouse. Motorized dampers interlocked with heating- cooling equipment may be more relevant to conserve energy and to prevent sprinkler pipes from freezing in the case of a wet system. It could be beneficial for these dampers to actually open during a fire to release heat and smoke as opposed to a fire damper that would close upon heat detection. Please note that code does not require the dampers to open upon fire or smoke detection. 3. There is a ladder and a railing shown in detail but not shown in plan as to where they will be installed. Please show where they go and give rail spacing dimensions for the guard rail. Should there be questions concerning the above requirements, contact the Building Division at 206 -431- 3670. No further comments at this time. 1 Tukwila Fire Prevention Bureau Al Metzler, Fire Project Coordinator Fire Prevention Bureau Review Memo Date: April 22, 2011 Project Name: Sears Address: 301 Southcenter Mall Permit #: M11 -047 Plan Reviewer: Al Metzler, Fire Project Coordinator The Fire Prevention Bureau conducted a plan review on the subject permit application. Please address the following comments in an itemized format with revised plans, specifications and /or other applicable documentation. 1. The scope of work description on the permit application and the submitted drawings call for the installation of fire /smoke dampers. The product data sheets submitted are for fire dampers. Are fire /smoke dampers or fire dampers going to be installed? Should there be questions concerning the above requirements, contact the Fire Prevention Bureau at 206- 575 -4407. No further comments at this time. 110 ?Willi II PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: M11 -047 DATE: 05/06/11 PROJECT NAME: SEARS SITE ADDRESS: 301 SOUTHCENTER MALL Original Plan Submittal X Response to Correction Letter # 1 Response to Incomplete Letter # Revision # after Permit Issued DEPARTMENTS: e/ 1oIl16 Midi Division Public Works ' Opt ire Prevention Structural Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete tit Comments: Incomplete n DUE DATE: 05/10/11 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 ❑ Structural Review Required n REVIEWER'S INITIALS: No further Review Required DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 06/07/11 Not Approved (attach comments) n DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 OPE T • PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: M11 -047 DATE: 04 -14 -11 PROJECT NAME: SEARS SITE ADDRESS: 301 SOUTHCENTER MALL X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Public Works AW\ (7lPh J Fire Prevention Structural Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete ❑ DUE DATE: 04 -19-11 Not Applicable Comments: 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 Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Notation: El Approved with Conditions DUE DATE: 05-17-11 Not Approved (attach comments) REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: 04 l t Departments issued corrections: Bldg Fire Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 • • 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 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date Plan Check/Permit Number: M11-047 ❑ Response to Incomplete Letter # ® Response to Correction Letter # 1 ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner gProject Name: Sears 'AC— Project Address: 301 Southcenter Mall n / Contact Person: ,)QIv■. W (�_ Phone Number: 2ct 72L 32782 Summary of Revision: D'(� T I Ire- : Ne.ia-.ati c 1 ifr _ C lit d P Aa,.,n eAA pp � ` P 6 r i Y ata iM pt be co .ttid& t t LQ: a t,_ C i,vl S; ai _ L'& l - r , VC. . arSa,n "3 Valuation of project (contractor's bid price): $" 0 V Scope of work (please provide detailed informtion): :L 1ILSd -a.t a f J41 Y11 5p114- S y S t G((D.4,d cau_et Received at the City of Tukwila Permit Center by: Entered in Permits Plus on Crimp ?writ* MAY .06 ntli \applications \forms - applications on line \revision submittal Created: 8 -13 -2004 Revised: "I.. �z'Ni Contractors or Tradespeople rinter Friendly Page ND General /Specialty Contractor A business registered as a construction contractor with LEt1 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 FIVE STAR MECHANICAL UBI No. 601937083 Phone 2538528284 Status Active Address 109 Washington Blvd Ste B License No. FIVESM *010JT Suite /Apt. License Type Construction Contractor City Algona Effective Date 4/30/1999 State WA Expiration Date 4/30/2012 Zip 98001 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company ther Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status COMFOM1015LAMECHANICALConstruction COMFORT INC Contractor Heating /Vent /Air -Conditioning And Refrig (Hvac /R) Unused 6/1/1999 6/1/2012 Active COMFOP'064D2 COMFORT PLUS Construction Contractor Air Conditioning Air Heat,Ventilation,Evaporat 3/22/1994 3/21/2000 Archived FIVESSE941KU FIVE STAR ENERGY SOLUTIONS Construction Contractor General Unused 5/24/20065/24/2008 04/27/2005 Expired Business Owner Information Name Role Effective Date Expiration Date WARE, GERALD LAVON Member 01/01/1980 Bond Amount WARE, JOHN EDWARD Member 06/10/2010 9899743 ALLEN, ANGELA RENEE Member 06/10/2010 WARE, BETTY J Member 06/10/2010 OLD REPUBLIC SURETY CO Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 FEDERATED MUTUAL INS CO 9899743 06/25/2006 Until Cancelled $12,000.0006/05 /2006 2 OLD REPUBLIC SURETY CO YLI237591 04/30/2002 Until Cancelled 06/25/2006 $12,000.0003/04 /2002 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 8 FEDERATED SERV /MUT INS CO 9434226 04/27/2007 04/27/2012 $2,000,000.0003 /21/2011 7 FEDERATED MUTUAL INS CO 9434226 04/27/2005 04/27/2007 $1,000,000.0003 /27/2006 6 FEDERATED MUTUAL INS CO 5048251 04/27/2005 04/27/2006 $1,000,000.0004 /26/2005 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 05/16/2011 v N,tiR ,._ FILE COPY Permit No 0,f14p_5c.gh 6RJ.c..' - mr:,0,44 -$ 6auN f`t4i RceoF LINE.: t\AR.H .04 ...Va .Y • 1/4 1• 2112 OAS- �H(L'. CL EbtirY 5auct%1 , 3 R =t1 enu4� v s.ta.a a ci 451°A.- .'.IlilI7GM- WHA ' c 14E.A rzoo v. ON :3Air.Sh ut+.TD 4/1p6.-Q.,,. 7.me:.._'.,1i;Xuae : irF'Powt' upprorr ega.442. I ?Lurk Iwza3. 4 ItATipn1...1Sot A7Q ..rvv4ITELLIK4 l,°i/ 7Z. 4 TO E-`1 . , R6VEase: *thr Lv....."I'HE2M09TQY C-TVi (1-81t1"C�7E •ehuLP,�. A 6:' fa r v.T..R. 'j2I16 . I14c W -t TH F.OPR .. lek.T• .44PrzoK ...1.sa`.•:P" •. -..6 %Loom. vc Q • AeFt 4:-r¢�i Fu vU! Cam" atIBS"I'IG ff W L~gNT•f:. wa up TAW-L. #� «4e-. . AhLlt P 1',.t , 1, _ Qr. 1 Fizrpnn %Nnu_ AMB ksammasummormardinsmWd InaL4'GG:...1' 'FaiVL"C MCA WaglIMMWX.frordre (p'!.416rA AMFAge.r tizr REVIEWED FOR CODE COMPLIANCE Y.q APPROVED MAY 12 2011 CityofTuktvila BUILDING DIVISION RECEIVES APR 14 2011 PERMIT CENTEF 11 7