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Home My WebLink AboutPermit M12-076 - WESTFIELD SOUTHCENTER MALL - PINK A BELLAPINK A BELLA 1002 SOUTHCENTER MALI. M12 -076 Parcel No.: Address: City o*I'ukwila 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 9202470010 1002 SOUTHCENTER MALL TUKW Project Name: PINK A BELLA Permit Number: M12 -076 Issue Date: 05/15/2012 Permit Expires On: 11/11/2012 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: Address: Email: JAMES DAHLEN 33530 FIRST WY S, SUITE 102 , FEDERAL WAY WA 98003 KDMECI @COMCAST.NET Contractor: Name: K & D MECHANICAL INC Address: 1911 SW CAMPUS DR #321 , FEDERAL WAY 98003 Contractor License No: KDMECI *008CJ Phone: 253 - 945 -8204 Phone: 253 - 945 -8204 Expiration Date: 02/21/2014 DESCRIPTION OF WORK: REPLACE EXISTING 4 REGISTES IN T -BAR CEILING WITH NEW, (2) SUPPLY AIR AND (2) RETURN AIR Value of Mechanical: $1,000.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie The granting of this permit construction or the perfo back of this permit. Signature: Fees Collected: $197.81 International Mechanical Code Edition: 2009 Date: g'_ l J ' I ned this permit and know the same to be true and correct. All provisions of law and ordinances , whether specified herein or not. ume to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this mechanical permit and agree to the conditions on the Print Name: Date: -C-/C /� 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 -076 Printed: 05 -15 -2012 PERMIT CONDITIONS Permit No. M12-076 • M12 -076 Printed: 05 -15 -2012 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TtikwilaWA.gov • Mechanical Permit No. Vt O---0 7 fr Project No. Date Application Accepted: 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 Site Address: /60o;, s0amcr Q( Tenant Name: Pi .1 K41e" / /G4_ King Co Assessor's Tax No.: /? 4 y- SO 3 PROPERTY OWNER Name: ..1-4MtS DaAJed Name: %t)eet- SDu /4 tfil<L6C. City: u /State: w4 Zip f�aos Address: 2;00 SOJACorte Email: f/ J) meet ct) eadef«sl. /lfe( City: se.. r, /C State:WA ZipG J. /kt CONTACT PERSON — person receiving all project communication Name: ..1-4MtS DaAJed Address: 33S30 / 59 "se s. ,s-a, /og City: u /State: w4 Zip f�aos �A Phone: A3' / ys-4z04Vax: otS3'I- S44)s..-- s Email: f/ J) meet ct) eadef«sl. /lfe( Suite Number: 3/ y Floor: New Tenant: '`g Yes ❑..No MECHANICAL CONTRACTOR INFORMATION v Company Name: `A eAeeh4Nie4 -n4 . Address:33s3v / A U)4r S. ,Sucre A/O . City 1 Gt1>A St te: wa Zipq 0 S Phone:grs_ 1.4,14 20 y Fax: %,S1' /.4,.f .FADS` Contr Reg No.: KIJAICG ;4 -Exp Date: AO/ y Tukwila Business License No.: Valuation of project (contractor's bid price): Describe the scope of work in detail: 7 -p /#e/ £k, 1?Af ' Tey /crrrS i:4 7:64C Cel.b / o? -s1 pj4te?d-a- Zr1 &,sir Use: Residential: Commercial: New ❑ Replacement ❑ New ❑ Replacement Fuel Type: Electric ' Gas Other: H:\ Applications \Forms- Applications On Line \2011 Applications\Mechanical Permit Application Revised 8.9 -1 I.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 it 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 it Evaporator cooler Ventilation fan connected to single duct Ventilation system Hood and duct Incinerator — domestic Incinerator — comm /industrial PERMIT APPLICATION NOTES • Unit Type Qty Fire damper Diffuser it 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/I,000,000 btu 30 -50 hp /I,750,000 btu 50+ hp /1,750,000 btu 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 HA PENALTY OF PERJU t Y BY TH BUILDING 0 Signature: d ' EA 7 AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER •!, 0�"'THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. :1 lii / D AGENT:/ Date: / a Print Name: 64M eS ) k I rN c Day Telephone: a06 -S% �' ��' // Mailing Address: 3 / ST 64- �Y Sa �VD 2 'T e Der. t,�l�i/ (/V/1 7 f-o03 (( City % State Zip H: \Applications \Forms- Applications On Line \2011 Applications \Mechanical Permit Application Revised 8 -9 -I I.docx Revised: August 2011 bh 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.aov RECEIPT Parcel No.: 9202470010 Permit Number: M12 -076 Address: 1002 SOUTHCENTER MALL TUKW Status: APPROVED Suite No: Applied Date: 05/15/2012 Applicant: PINK A BELLA Issue Date: Receipt No.: R12 -01591 Initials: User ID: Payee: WER 1655 Payment Amount: $158.25 Payment Date: 05/15/2012 01:47 PM Balance: $0.00 JAMES DAHLEN TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 090002 ACCOUNT ITEM LIST: Description 158.25 Account Code Current Pmts MECHANICAL - NONRES 000.322.102.00.00 158.25 Total: $158.25 doc: Receiot -06 Printed: 05 -15 -2012 INSPECTION NO. INSPECTION RECORD A412-01 Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION Cilt 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Prod. i j (r 1.7 (lam J TYPe,oflinsp; ctio : �-- V �t r s Address: `' AAA-1/ Date Calle(: Special Instructions: Date Wanted:C. / Sc Y ( � �/ a n. p.m. Requester: IZI- Approved per applicable codes. • Corrections required prior to approval. COMMENTS: (1_,2J-AA"--T—Leq,*(ffX-r InspeGfor: ' kiA Date I REINSPECTION FEE REQUIRED. prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople P ter Friendly Page • General /Specialty Contractor A business registered as a construction contractor with LEI 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 K E D MECHANICAL INC UBI No. 601994103 Phone 2539458204 Status Active Address 33530 1St Way South License No. KDMECI`008CJ Suite##102 Suite /Apt. License Type Construction Contractor City Federal Way Effective Date 2/11/2000 WA Expiration 2/21/2014 Date 98003 Suspend Date King Corporation State Zip County Business Type Parent Company Specialty 1 Heating/Vent/Air-Conditioning And Refrig (Hvac /R) Specialty 2 Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status WESTEMC919QL WESTERN MECH CONTRACTORS INC Construction Contractor General Unused 11 /13/2009 1 /15/2014 Active WESTEMS921BG WESTERN MECHANICAL SYSTEMS INC Construction Contractor General Unused 1/7/2008 1/7/2014 Active PATRIGI927BN PATRIOT GROUP INC, THE Construction Contractor General Unused 1/15/2008 1/15/2010 Inactive Business Owner Information Name Role Effective Date Expiration Date DAHLEN, JIM Agent 02/11/2000 Bond Amount Received Date DAHLEN, JIM L President 10/30/2008 02/01/2012 KACSO, OTTO President 02/11/2000 10/30/2008 DAHLEN, JIM Vice President 02/11/2000 10/30/2008 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 CBIC SJ4600 02/01/2012 Until Cancelled 02/01/2013 $6,000.0001/10/2012 2 OHIO CAS INS CO 3508067 02/01/2002 Until Cancelled 02/02/2012 02/01/2012 $6,000.0002/07/2002 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 11 Liberty Northwest Ins Corp BKA52667068 02/01/2012 02/01/2013 $1,000,000.00 01/20/2012 10 LIBERTY NORTHWEST INS CORP BLW1252667068 02/01/2011 02/01/2012 $1,000,000.00 01/28/2011 9 LIBERTY NORTHWEST INS CO BLW1152667068 02/01/2009 02/01/2011 $1,000,000.00 12/28/2009 https://fortress.wa.gov/lni/bbip/Print.aspx 05/15/2012