HomeMy WebLinkAboutPermit M11-074 - FIDELISFIDELIS
580 INDUSTRY DR
Mi 1 -074
City 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.: 0223400020
Address: 580 INDUSTRY DR TUKW
Project Name: FIDELIS
Permit Number: M11 -074
Issue Date: 06/17/2011
Permit Expires On: 12/14/2011
Owner:
Name: SBP GENERAL PARTNERSHIP
Address: 617 INDUSTRY DR , TUKWILA WA 98188
Contact Person:
Name: BUD WARE
Address: 109 WASHINGTON BL, SUITE B , ALGONA WA 98001
Email: BUDW @FIVESTARMECH.COM
Contractor:
Name: FIVE STAR MECHANICAL
Address: 3902 W VALLEY HY STE 200 , AUBURN WA 98001
Contractor License No: FIVESM *010JT
Phone: 253 - 852 -8284
Phone: 253 -833 -8284
Expiration Date: 04/30/2012
DESCRIPTION OF WORK:
ADDING (2) SUPPLY AIR GRILLS WITH DUCT RUN FOR TENANT IMPROVEMENT
Value of Mechanical: $800.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
I hereby certify that I have read an
governing this work will be comp
Fees Collected: $176.56
International Mechanical Code Edition: 2009
P0-7 Date: o R. l l
ed 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
construction or the performance of wo
back of this permit.
Signature:
Print Name:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this mechanical permit and agree to the conditions on the
Date:
C� /7--//
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 -074 Printed: 06 -17 -2011
PERMIT CONDITIONS
Permit No. M11 -074
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: 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.
6: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
7: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the
International Building Code and the Washington State Ventilation and Indoor Air Quality Code.
8: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
9: 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
M11-074 Printed: 06 -17 -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. tA fl .— 671-1
Project No.
(For 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: 580 industry drive suite 580
Tenant Name:
Fidelis
King Co Assessor's Tax No.: 6)-2:140- O )
Suite Number: Floor:
New Tenant: ❑ Yes ❑ ..No
Property Owners Name: Blue Dog Properties Trust c/o REIT Management & Research LLC
Mailing Address: 617 Industry Drive
Tukwila
WA 98188
City
State Zip
CONTACT PERSON — who do we contact when your permit is ready to be issued
Name: Bud Ware
Mailing Address: 109 Washington Boulevard Suite B
E -Mail Address: budw @fivestarmech.com
Day Telephone: (253) 852 -8284
Algona WA 98001
City State
Fax Number: (253) 852 -8285
Zip
MECHANICAL CONTRACTOR INFORMATION
Company Name: Five Star Mechanical
Mailing Address: 109 Washington Boulevard
Contact Person: Bud Ware
E -Mail Address: budw @fivestarmech.com
Contractor Registration Number: FIVESM'010JT
•41; )ham
WA 98001
State Zip
Day Telephone: (253) 852 -8284
Fax Number: (253) 852 -8285
Expiration Date:
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\Fomts- Apphcatious On Line\2010 Applications \7 -2010 - Mechanical Permit Application.doc
Revised: 7 -2010
bh
City
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
• •
Valuation of project (contractor's bid price): $ 800
Scope of work (please provide detailed information): adding 2 supply grills with duct run.
-T3
Use: Residential: New
Commercial: New
Fuel Type: Electric ❑ Gas
Replacement
Replacement
Other:
Indicate type of mechanical work being installed and the quant.ty 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
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
ethe mechanical
equipp ment
air handling unit <10,000
cfm
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,
BUILDING OWER OR AUTHORIZED AGENT:
��//
Print Name: Bud Ware
Signature:
/
Mailing Address:
109 Washington Boulevard
Date: 06/08/2011
Day Telephone: (253) 852 -8284
Tukwila
City
WA 98001
State Zip
Date Application Accepted: 6- CT t
Date Application Expires: �}— {,>!Li(
Staff Initials: f A 4
H:VApplicationsWonns- Applications On Line\2010 Applications \7 -2010 - Mechanical Penult Applicatiou.doc
Revised: 7 -2010
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Page 2 of 2
• 0
r--a w City of Tukwila
2 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
Parcel No.: 0223400020
Address: 580 INDUSTRY DR TUKW
Suite No:
Applicant: FIDELIS
RECEIPT
Permit Number: M11 -074
Status: PENDING
Applied Date: 06/08/2011
Issue Date:
Receipt No.: R11 -01157
Initials: WER
User ID: 1655
Payment Amount: $176.56
Payment Date: 06/08/2011 12:03 PM
Balance: $0.00
Payee: GERALD WARE
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 00529C
ACCOUNT ITEM LIST:
Description
176.56
Account Code Current Pmts
MECHANICAL - NONRES
PLAN CHECK - NONRES
000.322.102.00.00 141.25
000.345.830 35.31
Total: $176.56
doc: Receiot -06 Printed: 06 -08 -2011
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. �.
a CITY OF TUKWILA BUILDING DIVISION •
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
nai r —off'
Project:
'Fit E LIS
Typ f Inspection:
K (1.) 6 it-
Addsi: O �1--/J US
�
Date Called:
K
S p eciarinstructions:
05053 (.0 -
r'
6 f 7t
Date Wanted:
% - 0 — (% - -am..
Requester:
ye 12.....i A).....827(6,
pproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
1
T\ b i _, '0 IN OCV (SIP (- J
')
-P(2 It 1 t ^ l eiN4Z c. l t Tr ►tern !
- . .
•
•
•
REIN PECTION FEE REQUIRED. riotr to next it spettion: fee must be • :•
REVISIONS
No changes shall he made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may 'nclude additional plan review fees.
FILE COPY
Permit -No., M(,l'1`/l
Plan review approval Is subject to errors and omissions
nts does not authoriz
SEPARATE "# RMIT
REQUIRED', FOR:
❑ Mechan al
Electric
Plumbi
Gas Pip
City of Tuk
BUILDING 4'
9
/Ha
f:S.0N
I cri,
/al
the violation of any adopted
of approved Field, • .y and
BY
Date:
or ordinance. Receip
acknowledge
City Of TJ.
BUILDING 'r -'
kwila
SION
BLDG 6 SPACE 580
iA
7
EVIEWED FOR
DE COMPLIANCE
APPROVED
JUN 1 fi 2011
City of Tukwila
ILDING DIVISION
RECEIVED
JUN 08 2011
P 1.T CENTER
0
IA/MGM
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M11 -074 DATE: 06 -08 -11
PROJECT NAME: FIDELIS
SITE ADDRESS: 580 INDUSTRY DR - SUITE 580
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
drIng'Divisi
Public Works
NIP(
Fire Prevention
Structural
it
Planning Division
Permit Coordinator
(Ni
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete
n
DUE DATE: 06-09 -11
Not Applicable
n
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
nNo further Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 07-07-11
Approved ❑ Approved with Conditions XI 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
a
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•01OJT
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
$12,000.00
06/05 /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
$2,000,000.00
03/21/2011
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
$1,000,000.00
04 /26/2005
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
https: // fortress .wa.gov /lni/bbip/Print.aspx
06/17/2011