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Home My WebLink AboutPermit M12-010 - COVERALL EXPANSIONCOVERALL EXPANSION 320 ANDOVER PK E M12 -010 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.: 0223200060 Address: 320 ANDOVER PK E TUKW Project Name: COVERALL EXPANSION Permit Number: M12 -010 Issue Date: 01/17/2012 Permit Expires On: 07/15/2012 Owner: Name: WA CITIES INSURANCE AUTHORI Address: C/0 JSH PROPERTIES INC , 14900 INTERURBAN AVE S # 130 98168 Contact Person: Name: SHANE SCOTT Address: 4102 B PL NW , AUBURN WA 98001 Email: SHANES @UNIVERSALREFRIG.COM Contractor: Name: UNIVERSAL REFRIGERATION INC Address: PO BOX 614 , AUBURN WA 98071 -0614 Contractor License No: UNIVERI159RF Phone: 253 939 -5501 Phone: 253 939 -5501 Expiration Date: 04/01/2012 DESCRIPTION OF WORK: HVAC MECHANICAL TO RELCOATE (3) DIFFUSERS Value of Mechanical: $2,245.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied arm ith, V ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. Fees Collected: $221.38 International Mechanical Code Edition: 2009 Date: 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: Date: / — /7-II Print Name: X,rx V'-Q- �C 6 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 M12 -010 Printed: 01 -17 -2012 • PERMIT CONDITIONS Permit No. M12-010 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 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: Manufacturers installation instructions shall be available on the job site at the time of inspection. 5: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms, bathrooms, toilet rooms, storage closets, surgical rooms. 6: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests. 7: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum distance of 4- inches shall be maintained above the controls with the strapping. 8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431- 3670). 10: 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 M12-010 Printed: 01 -17 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov t2- Mechanical Permit No. ti O Project No. 00 yy�� Date Application Accepted: U i Date Application Expires: (For office use onlyl 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 Par. Co Assessor's Tax No.: OZ.Z.�Z_C )6O Site Address: /Zb dove✓- r aNk Suite Number: 270 Floor: Tenant Name: GC Ve 'a � 1 X/44 5' /pvt New Tenant: Yes ❑ ..No PROPERTY OWNER ,/ Name: WA G ► -hes f'NSGwtoi., 2- /QH- or t Address: cid, 4 V Pro pe✓" f-ieS loc.. /414'oo tti{er-wr laa41 "Ipe. S.14./0 e- •vt • T8f6S CONTACT PERSON — person receiving all project communication Name: Gls.A.,.e_ %co ty- Address: 4102 B Plc NW Address: 4102 B Plc NW Phone: (253) 939 -5501 Fax: (253) 735 -3432 City: Auburn State: WA Zip: 98001 Phone: (253) 939 -5501 Fax: Email: shanes @universalrefrig.com MECHANICAL CONTRACTOR INFORMATION Company Name: Universal Refrigeration Address: 4102 B Plc NW City: Auburn State: WA Zip: 98001 Phone: (253) 939 -5501 Fax: (253) 735 -3432 Contr Reg No.: UNNERI159RF Exp Date: 04/01/2012 Tukwila Business License No.: b , c Cw ,cii' J Valuation of project (contractor's bid price): $ Z , 7-4(5. BO Describe the scope of work in detail: Wiee(c.__ 0.-te.c—etowt �C / 1^e low l !?) d ,P.n.s (a) all (mow vo 6-Atz_ w/ v't . r-vtr 713 qt- f4eliZ✓` • Use: Residential: New ❑ Replacement ❑ Commercial: New Replacement ❑ Fuel Type: Electric ❑ Gas ❑ Other: H:\Applications\Forms- Applications On Line \2011 Applications\Mechanical Pennit Application Revised 8- 9.11.docx Revised: August 2011 bh Indicate type of mechanical work being installed and the quantity below: Unit Type Qty Furnace <100k btu Furnace >100k btu G% Floor furnace Z 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 G% Evaporator cooler Z Ventilation fan connected to single duct Ventilation system Hood and duct Incinerator — domestic Incinerator — comm/industrial Unit Type Qty Fire damper Diffuser G% Thermostat Z 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 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 OWNER OR AUTHORIZED AGENT: Signature: Print Name: Mailing Address: 4102 B Plc NW H:\Applications\Forms- Applications On Line \2011 Applications\Mechanical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Date: 0 t— t 7-- 7-4 I Day Telephone: (253) 939 -5501 Auburn WA 98001 City State Zip Page 2 of 2 CiiR 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 SET RECEIPT Copy Reprinted on 01 -17 -2012 at 10:56:20 01/17/2012 RECEIPT NO: R12 -00155 Initials: JEM Payment Date: 01/17/2012 User ID: 1165 Total Payment: 248.50 Payee: UNIVERSAL REFRIGERATION (PAID IN FINANCE) SET ID: S000001679 SET NAME: Temporary Set SET TRANSACTIONS: Set Member EL12 -0052 M12 -010 TOTAL: Amount 71.40 177.10 177.10 TRANSACTION LIST: Type Method Description Amount Payment Check 43881 248.50 TOTAL: 248.50 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 MECHANICAL - NONRES 000.322.102.00.0 71.40 177.10 TOTAL: 248.50 INSPECTION NO. INSPECTION RECORD Retain a copy with permit M11 - -O(0 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 ye- (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: (1.- 0 Ue_raj( OXPArtd° Type of Inspe Lion: , 1 M eiirl, , -1---, Address: 1 �. / -3 7.- C1 A' �� c\ !u E. r Date Called: �--� Special Instructions: Date Wanted: 43,.,M„ Requester: P—�e No: Approved per applicable codes. El Corrections required prior to approval. 1/ COMMENTS: 1 i' n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Date;a INSPECTION RECORD Retain a copy with permit INSPECTION■NO. 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 - = '.6 t ii-IA , E-Sed n Type of Inspection: (- u 6 to .-a-\ Q A e. Addres. • / A-ALOduir-61 E. Date Called: Special Instructions: /2 � -' � ";j3E' -LS Date Wanted:. t a m., Requester: Phone No: f E{ Approved "per applicable codes. DCorrections required prior to approval. COMMENTS: V Inspector: 6R_Lu REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Date: I Contractors or Tradespeople lifter Friendly Page • General /Specialty Contractor A business registered as a construction contractor with LEl 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 Phone Address Suite /Apt. City State UNIVERSAL REFRIGERATION INC 2539395501 Po Box 614 Auburn WA Zip 980710614 County King Business Type Corporation Parent Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 600599723 Active UNIVERI159RF Construction Contractor 12/6/1985 4/1/2012 Commercial/ Industrial / Refrig Unused Business Owner Information Name Role Effective Date Expiration Date RAEDER, STEVEN C Cancel Date 01 /01 /1980 Amount VERNON, GUY E 25 01/01/1980 01/01/1980 JACKSON, SHELDON G 04/01/2012 01/01/1980 01/01/1980 OSENBAUGH, CHARLES R 03/07/2011 01/01/1980 01/01/1980 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 5 AMERICAN STATES INS CO EX903622 12/06/2001 Until Cancelled $6,000.00 03/18/2002 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 25 American States Insurance Co 01CG7497627 04/01/2010 04/01/2012 $1,000,000.00 03/07/2011 24 AMERICAN STATES INS CO 01CG7497625 04/01/2009 04/01/2010 $1,000,000.00 03/09/2009 23 AMERICAN STATES INS CO 01CG7497624 04/01/2008 04/01/2009 $1,000,000.00 03/11/2008 22 FIRST NAT'LINS CO OF AMERICA 01CG7497623 04/01/2007 04/01/2008 $1,000,000.00 03/01/2007 21 FIRST NATIONAL INS. CO. OF AME 01CG7497622 04/01/2006 04/01/2007 $1,000,000.00 03/13/2006 20 FIRST NATIONAL INSURANCE CO OF 01CG749762 04/01/2006 04/01/2007 $1,000,000.00 03/10/2006 19 AMERICAN CAS INS CO C2026115262 04/01/2005 04/01/2006 $1,000,000.00 03/23/2005 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 01/17/2012