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HomeMy WebLinkAboutPermit M11-154 - INSPHERE INSURANCEINSPHERE INSURANCE 14900 INTERURBAN AV S Mi 1 -154 City olhukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.TukwilaWA.gov MECHANICAL PERMIT Parcel No.: 0003200009 Address: 14900 INTERURBAN AV S TUKW Project Name: INSPHERE INSURANCE Permit Number: M11 -154 Issue Date: 11/03/2011 Permit Expires On: 05/01/2012 Owner: Name: SCHNEIDER LYLE D Address: C/O JSH PROPERTIES 1NC , 14900 INTERURBAN AVE S # 130 98168 Contact Person: Name: BUD WARE Address: 109 WAHINGTON 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: INSTALL NEW SUPPLY AIR GRILLS, RETURN GRILLS AND INSULATE EXISTING DUCT WORK. Value of Mechanical: $7,500.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: / I hereby certify that I have read and (Lx governing this work will be complie with, hether specified herein or not. Fees Collected: $281.56 International Mechanical Code Edition: 2009 Date: i I, IV41 ed this permit and know the same to be true and correct. All provisions of law and ordinances The granting of this permit does not pres e 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: ce �� Date: rir 3-/ I Print Name: eft, IA L , GL Ik r i- . 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 -154 Printed: 11 -03 -2011 • d PERMIT CONDITIONS Permit No. M11-154 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: 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 M11-154 Printed: 11 -03 -2011 • • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Mechanical Permit No. Vi l I [S 1 Project No. _ - _ -- _ _ -- Date Application Accepted: I 0` - - t' 4 Date Application Expires: � (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 King Co Assessor's Tax No.: 359700 -0006 Site Address: 14900 Interurban Ave South Suite Number: 145 Floor: 1st Tenant Name: Insphere New Tenant: ® Yes ❑ ..No PROPERTY OWNER Name: Bud Ware Name: L.D. Schneider & Associates City: Algona State: WA Zip: 98001 Address: 14900 Interurban Ave. South Email: budw @fivestarmech.com City: Tukwila State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: Bud Ware Address: 109 Washington Boulevard Suite B City: Algona State: WA Zip: 98001 Phone: (253) 852 -8284 Fax: (253) 852 -8285 Email: budw @fivestarmech.com MECHANICAL CONTRACTOR INFORMATION Company Name: Five Star Mechanical Address: 109 Washington Boulevard Suite B City: Algona State: WA Zip: 98001 Phone: (253) 852 -8284 Fax: (253) 852 -8285 Contr Reg No.: FIVESM *010JT Exp Date: 04/30/2012 Tukwila Business License No.: Valuation of project (contractor's bid price): $ 7,500 Describe the scope of work in detail: Install new supply air grills, return grills insulate existing duct work. Use: Residential: New ❑ Replacement ❑ Commercial: New ❑ Replacement ❑ Fuel Type: Electric ❑ Gas ❑ Other: H :\Applications \Forts- Applications On Line \2011 Applicat ions \Mechanical Permit Application Revised 8- 9.11.docx Revised: August 2011 bb Page 1 of 2 SU.3\ Indicate type of mechanical work being installed and the quantity below: Unit Type Qty Furnace <100k btu Furnace >100k btu 23 Floor furnace Suspended/wall /floor mounted heater Appliance vent Repair or addition to heat/refrig/cooling system Air handling unit <10,000 cfm Unit Type Qty Air handling unit >10,000 cfm 23 Evaporator cooler Ventilation fan connected to single duct Ventilation system Hood and duct Incinerator — domestic Incinerator — comm/industrial Unit Type Qty Fire damper Diffuser 23 Thermostat Wood/gas stove Emergency generator Other mechanical equipment Boiler /Compressor Qty 0 -3 hp /I00,000 btu 3 -15 hp /500,000 btu 15 -30 hp /1,000,000 btu 30 -50 hp /1,750,000 btu 50+ hp/1,750,000 btu 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 O.',` ER 0 ' A Signature: Gerald L are Jr Mailing Address: 109 Washington Boulevard Suite B. HAApplications \Forms- Applications On Line \2011 Applications\Mechanical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Date: Day Telephone: (206) 786 -8276 Algona WA 98001 City State Zip Page 2 of 2 • �J,�`N l�Q wq City of Tukwila ' yz 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.ov RECEIPT Parcel No.: 0003200009 Permit Number: M11 -154 Address: 14900 INTERURBAN AV S TUKW Status: APPROVED Suite No: Applied Date: 10/25/2011 Applicant: INSPHERE INSURANCE Issue Date: Receipt No.: RI1 -02410 Initials: User ID: JEM 1165 Payment Amount: $225.25 Payment Date: 11/03/2011 03:55 PM Balance: $0.00 Payee: GERALD L WARE JR TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 05547C ACCOUNT ITEM LIST: Description 225.25 Account Code Current Pmts MECHANICAL - NONRES 000.322.102.00.00 225.25 Total: $225.25 doc: Receipt-06 Printed: 11 -03 -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.TukwilaWA.gov RECEIPT Parcel No.: 0003200009 Permit Number: M11 -154 Address: 14900 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 10/25/2011 Applicant: INSPHERE INSURANCE Issue Date: Receipt No.: R11 -02333 Payment Amount: $56.31 Initials: WER Payment Date: 10/25/2011 01:14 PM User ID: 1655 Balance: $225.25 Payee: GERALD WARE TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 011316 ACCOUNT ITEM LIST: Description 56.31 Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 56.31 Total: $56.31 doc: Receiot -06 Printed: 10 -25 -2011 .? 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 Pro to TypeT t 1----)A-JA- col. eS Pk El eJ • Address p a te Called: Special Instructions: Date . 1(-- 1.2 - --t'( .m p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. 1 COMMENTS: t Oi dICT.. ,..-t)' A( Pie (Inspector GA/. Y� Date: ( —� n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectioh. INSPECTION N0. INSPECTION RECORD Retain a copy with permit Mgt --TS-4 PERMIT NO. • CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 on. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: . Type of Inspection: ( 'i. Address: i 1-4 46 c) `fcrJib.-r) Date Called: Special Instructions: Date Wanted:. (a) .m 1( -r© —rt .. Requester: Phone No: '') O CD - - b - F2-71 134.Approved per applicable codes. Corrections required prior to approval. COMMENTS: n REI ECTION FEE REQUIRED.. paid a 6300 Southcenter Blvd.. S 1Date: rior to next inspection. fee must be ite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit Mac -154 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Q (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: / ..ice vle TL Typee of Inspection: Ufa k) Alt d a Address: 14 q dd 1117`ely ! b 4601 Date Called:( Special Instructions: Date Wanted:. i ii ri( 4.m./ Requester: Phone Ng: / 1.4(.6 _ 7s6_ rZ7,,, `proved per applicable codes. 1 Corrections required prior to approval. COMMENTS: 1 ❑ REINSCTION FEE REQUIRED. Prior io next inspection, fee must be paid at 00 Southcenter Blvd.. Suite 100. Call to schedule reinspection. i---- REVISIONS No changes shall be made to the scope of work without prior approval of 1 Tukwila Building Division. 1 I`Ff_ 72: Revisions will require a new plan submittal and may include additional plan review fees. first floor - current SEPARATE PERMIT REQUIRED FOR: ❑ Mechanical erElecbical (iPjpmbing Gas Piping City of Tukwila DIVISION FILE COPY Permit No. mview approval is subject to errors and moons. :1 of construction documents does not authorize t+ ato't of any adopted code or ordinance. Receipt a` LoproveO Fief Copy is adm ged: By Date: , J'— i/ City Of TUla BUILDING D REVIEWED FOR CODE COMPLIANCE APPROVED OCT 2 8 2011 City of Tukwila BUILDING DIVISION RECEIVED OCT 2 5 2011 PERMITCENTER 10'/ 7 7 I 1 1 1 1 UNIT UNIT�g2 p- F -- REVIEWED FOR CODE COMPLIANCE APPROVED OCT 2 8 2011 !f City of Tukwila ! BUILDING DIVISION!` ! 1 RECEIVED 1 OCT 25 2011 .;,F_ i•• ' 1 • 117 PLAN �'EVIEW /ROUTING SLIP ACTIVITY NUMBER: M11 -154 DATE: 10 -25 -11 PROJECT NAME: INSPHERE INSURANCE SITE ADDRESS: 14900 INTERURBAN AV S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS. Al.VC 1004 4in6on mi Public Works Ale\ A)-- F re Prevehtion Structural Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 10-27-11 Complete Incomplete a 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 IJ Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: DUE DATE: 11-24-11 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 Peter Friendly Page • General /Specialty Contractor A business registered as a construction contractor with L81 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 COMFOM1015LA COMFORT MECHANICAL INC Construction Contractor Heating /Vent /Air -Conditioning And Refrig (Hvac /R) Unused 6/1/1999 6/1/2012 Active COMFOP'064D2 COMFORT PLUS Construction Contractor Air Conditionin 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 $2,000,000.0003 /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 11/03/2011