HomeMy WebLinkAboutPermit M11-160 - EXECUTIVE SUPPORT CENTEREXECUTIVE SUPPORT
CENTER
14900 INTERURBAN AV S
Mi 1 -160
City oikukwila
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.: 0003200009
Address: 14900 INTERURBAN AV S TUKW
Project Name: EXECUTIVE SUPPORT CENTER
Permit Number: M11 -160
Issue Date: 11/18/2011
Permit Expires On: 05/16/2012
Owner:
Name: SCHNEIDER LYLE D
Address: C/O JSH PROPERTIES INC , 14900 INTERURBAN AVE S #130 98168
Contact Person:
Name: BUD WARE
Address: 109 WASHINGTON BL, STE B , ALGONA WA 98001
Email: BUDW @FIVESTARMECH.COM
Phone: 253 - 852 -8284
Contractor:
Name: FIVE STAR MECHANICAL Phone: 253- 852 -8284
Address: 109 WASHINGTON BLVD STE B , ALGONA WA 98001
Contractor License No: FIVESM *010JT Expiration Date: 04/30/2012
DESCRIPTION OF WORK:
REPLACE EXISTING DIFFUSERS
Value of Mechanical: $5,500.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
Fees Collected: $257.06
International Mechanical Code Edition: 2009
Date:
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 •erformance of work. I am authorized to sign and obtain this mechanical permit and agree to the conditions on the
back of this pe
Signature:
Print Name: l l'e ra I r
L, Ld 4 J r,
Date: 1/ — /g
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 -160 Printed: 11 -18 -2011
• •
PERMIT CONDITIONS
Permit No. M11-160
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 -160 Printed: 11 -18 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.Tukwi Ia W A.gov
Mechanical' Per`mit No. .rn 1 ^
Project No. •
Date Application Accepted: / /' ./0 — ( / .
Date Application Expires:
(Foro ice 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.:
Site Address: 14900 Interurban Avenue South
Tenant Name:
Executive Support Center
Suite Number: 255
PROPERTY OWNER
Name: Bud Ware
Name: L.D. Schneider & Associates
City: Algona State: WA Zip: 98001
Address: 14900 Interurban Avenue South
Email: budw @fivestarmech.com
City: Tukwila State: WA
Zip: 98168
CONTACT'PE_ RSON = person receiving all project
cginmunication. '
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
New Tenant:
Floor: 2nd
❑ Yes m .. No
MECHANICAL CONTRACTOR INFORMATION
Company Name: Five Star Mechanical
Address: 109 Washington Boulevard Suite B.
City: A:gpma State: WA Zip: 98001
Phone: (253) 852 -8284 Fax: (253) 852 -8285
Contr Reg No.: FIVESM *010JT Exp Date: 04/30/2012
\Tuw•uinsicen a No f ` 4•
Valuation of project (contractor's bid price): $ 5,500
Describe the scope of work in detail:
replace existing diffusers.
Use:
Residential: New ❑ Replacement ❑
Commercial: New ❑ Replacement IZI
Fuel Type: Electric ❑ Gas ❑
Other:
H:\Applicshous \Forum- Applications On Line12011 ApplicationsWechm ical Pernik Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Page 1 of 2
Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty
Furnace <100k btu
Furnace >100k btu
40
Floor fumace
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
40
Evaporator cooler
Ventilation fan
connected to single duct
Ventilation system
Hood and duct
Incinerator — domestic
Incinerator —
comm/industrial
Unit Type
Qty
Fire damper
Diffuser
40
Thermostat
Wood/gas stove
Emergency generator
Other mechanical
equipment
Boiler /Compressor
Qty
0 -3 hp /100,000 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 Intemational 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 OR H AGENT:
Signature:. e Date: 11 /10/2011
Print Name: Gerald L Ware Jr. Day Telephone: (206) 786 -8276
Mailing Address: 109 Washington Boulevard Suite B. Algona WA 98001
City State Zip
H:\Applicatious \Forme - Applications On Line \2011 Applications\Mechanical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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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.TukwilaWA.gov
RECEIPT
Parcel No.: 0003200009 Permit Number: M11 -160
Address: 14900 INTERURBAN AV S TUKW Status: APPROVED
Suite No: Applied Date: 11/10/2011
Applicant: EXECUTIVE SUPPORT CENTER Issue Date:
Receipt No.: R11 -02521
Payment Amount: $205.65
Initials: LAW Payment Date: 11/18/2011 12:31 PM
User ID: 1632 Balance: $0.00
Payee: FIVE STAR MECHANICAL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 37004 205.65
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - NONRES
000.322.102.00.00 205.65
Total: $205.65
doc: Receiot -06 Printed: 11 -18 -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.Tukwila WA .gov
RECEIPT
Parcel No.: 0003200009 Permit Number: M11 -160
Address: 14900 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 11/10/2011
Applicant: EXECUTIVE SUPPORT CENTER Issue Date:
Receipt No.: R11 -02468
Initials: TLS
User ID: 1670
Payment Amount: $51.41
Payment Date: 11/10/2011 01:30 PM
Balance: $205.65
Payee: GERALDL WARE
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 072916
ACCOUNT ITEM LIST:
Description
51.41
Account Code Current Pmts
PLAN CHECK - NONRES
000.345.830 51.41
Total: $51.41
doc: Receipt -06
Printed: 11 -10 -2011
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWIL'A BUILDING DIVISION C
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
(206) 431 -3670
Pro ct: .�Iype
of Inspecti n:
`i
AddFess: 1/
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Date Ca ed:
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Sp cia Instructions:
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Date Wan d
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Requester:
Phone No:
Approved per applicable codes. • a Corrections required prior to approval. d /
COMMENTS:
L) (J. ‘;71,
1
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ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be i
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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No changes shall be made to the scope
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Tukwila Building Division.
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! and may include additional plan review fees.
Permit. No.
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BUILDING DIVISION
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CODE COMPLIANCE
APPROVED
NOV 1 5 2011
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City of Tukwila
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•
PLAN REVIEW /ROUTING SLIP
, y •
ACTIVITY NUMBER: M11 -160 DATE: 11 -10 -11
PROJECT NAME: EXECUTIVE SUPPORT CENTER
SITE ADDRESS: 14900 INTERURBAN AV S - SUITE 255
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
Division in
Public Works
/ A NSA-- cS4
Fire Prev tion
Structural
Planning Division
Permit Coordinator
1
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 11 -1 5-11
Complete
Comments:
Incomplete
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 1( Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 12 -13-11
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 Peter Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with L &I 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
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty 2
Effective
Date
Expiration
Date
Status
C0MFOM1015LA
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 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
$1,000,000.00
03/27/2006
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
11/18/2011