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Home My WebLink AboutPermit M12-148 - RED WING SHOESRED WING SHOES 17135 SOUThCENTER PY M12 -148 City APTukwila 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.: 2623049069 Address: 17135 SOUTHCENTER PY TUKW Project Name: RED WING SHOES Permit Number: M12 -148 Issue Date: 10/10/2012 Permit Expires On: 04/08/2013 Owner: Name: KTM GROUP LLC Address: 635 HIGH SCHOOL RD NE , BAINBRIDGE ISLAND WA 98110 Contact Person: Name: MIKE JENSEN Address: 1423 E 29 ST, STE 233 , TACOMA WA 98404 Email: MIKE @MJCLLC.COM Contractor: Name: MICHAEL JENSEN CONST LLC Address: 7205 MCDONALD AV , GIG HARBOR WA 98335 Contractor License No: MICHAJC934NM Phone: 253 970 -2800 Phone: 253 370 -2800 Expiration Date: 08/23/2013 DESCRIPTION OF WORK: REDUCTING HVAC (EXISTING EQUIPMENT) Value of Mechanical: $2,000.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: Fees Collected: $209.63 International Mechanical Code Edition: 2009 Date: 4/b 1 1 0I 2 I hereby certify that I have read and e4amin d this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied th, hether specified herein or not. The granting of this permit does not pres - - 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: Print Name: 47, JQ X50 "L % 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 -148 Printed: 10 -10 -2012 PERMIT CONDITIONS Permit No. M12-148 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: 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 -148 Printed: 10 -10 -2012 CITY OF TUKWIiiii Community DevelopmWepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov 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 Address: King Co Assessor's Tax No.: 1-4 IL-970 1 ail /?/3s -Pa?, Tenant Name: Red /tAil S)Ave-s PROPERTY OWNER .. . . project ':::::. ';',.-1'...':".• . - '''' Name: ,„, ,-/ii‘e. Name: 4/.4 5,74.2es /5_42_ e,...,,,,24,.„, 5. Address. 2 3 6 5; 4a/.4r Slre CitYeArl■W Zri'la State: Zip: /27/1/ 550/5'3 . , -r • coNTAccr,:PgsoN.•+;peiscin receiving ''...c0.iiWillii4t100..:.:;':;* 4,..': :;. -..',: '''''''.' 7.1.''..:;: •.-f:,-%-'...-z*:'•:-.:'. I:: ..:-. .. . . project ':::::. ';',.-1'...':".• . - '''' Name: ,„, ,-/ii‘e. City: ,.. State: Zip., (rtiae-K Phone: Fax: -e. ,;-___I 370 7 0049 Contr Reg No.: Exp Date: Address: /Y City: ,-- State: ,,q Zi • Phone: ?53 Fax: Fax: 3 7c, ZP,c2 Email:, Suite Number: -- Floor: / New Tenant: 0 Yes 0.. No ME01A:Nickt'tON.:11RA-Orimi:INFOR*AiyioN::;,,,;:;:'..:. '- Company Name:_, /%/ta-bae / -4,....rep.,.. 4:is-v. //e_.- Address: /„../..7, .3 2 q ,4,-/ s'-/e. z Z 3 City: ,.. State: Zip., (rtiae-K Phone: Fax: -e. ,;-___I 370 7 0049 Contr Reg No.: Exp Date: Tukwila Business License No.: Cil Or,' ^ i a {11 IV, 1 ag t • • •••4.-4.,, N 4,1 .4 Valuation of project (contractor's bid price): $ 2 Describe the scope of work in detail: /ee_ Use: Fuel Type: Residential: Commercial: New Replacement 0 New Replacement 1;1* Electric k21- Gas Other: I-1: \ApplicationsWorms-Applications On Line \2011 Applications \Mechamcal Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 1 of 2 Indicate type of mechanical work bein nstalled and the quantity below: Unit Type Qty Furnace <100k btu Furnace >100k btu 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 Evaporator cooler Ventilation fan connected to single duct Ventilation system Hood and duct Incinerator — domestic Incinerator — comm/industrial .Unit Type QtY Fire damper Diffuser Thermostat Wood /gas stove Emergency generator Other mechanical equipment ,Boiler /Compressor 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 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: IY2 Mailing Address: /4/2 3 e- ZR 4 see 23-3 H:\Applications\Forms- Applications On Line\2011 Applications\Mechanical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Date: q1-2-e-/ Day Telephone: 2 573 ' 7b & g City State Zip Page 2 of 2 • 44' 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.: 2623049069 Permit Number: M12 -148 Address: 17135 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 09/28/2012 Applicant: RED WING SHOES Issue Date: Receipt No.: R12 -02726 Payment Amount: $209.63 Initials: JEM Payment Date: 09/28/2012 12:49 PM User ID: 1165 Balance: $0.00 Payee: MICHAEL JENSEN CONSTRUCTION LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3214 209.63 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - NONRES PLAN CHECK - NONRES 000.322.102.00.00 167.70 000.345.830 41.93 Total: $209.63 doc: Receiot -06 Printed: 09 -28 -2012 Z INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431 -3670 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 Project: ,4 -P di i ,),) f Type of Inspe [)ate ion: t_._, Address:' Called. Special Instructions: () #d 'f',: Date Wanted:. / —/5 / a.'m. Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. 1. COMMENTS: 0/t T G7,«( Inspector; Date:! O —/ S: / 7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION C 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 T--' Project: /7t°rl j.1.),..,/5'SI70 5 Type of Inspection: ,,,,,,daahazi.e..... Address: /7/3.5 ,.S' d (7,c// /) 91 Date Called: (,1 E 2p. l o d Special Instructions: _ Date Wanted:. 16j- -//-12 p:m. Requester: Phone No: c23 76- 2000) c---A-t'\ CA) r- Approved per applicable codes. ® e tions required prior to approval. COMMENTS: ci <LAki (,1 E 2p. l o d _ 5t c---A-t'\ CA) r- I. J (o ". ,:�V 6 ,—■ 1\ p S L . Inspector: Date: I 1 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. r • V REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may include additional plan review fees. E TENANT SPACE APPROX. 1,150 5F. SEPARATE PERMIT REQUIRED FOR: ❑ Mechanical Electrical Plumbing Gas Piping City of Tukwila BUILDING DIVISION 1• • • 4L 1 i EX. HYDRANT LOCATION • i • EXIT -mom ,. . k t;a N • .,, ; •,, (---- 1k .. 'i= 6 °:;fir: :._ rte. .. t v .�, - { • \. :C c. •.h.•.M, <,. tt• f � .k' : . w.•,.M1. tir ��: L. ,•> : _.. .. C •;, ` REVIEWED FOR CODE COMPLIANCE APPROVED OCT 0 3 2012 City of I`�' ila BUILDING ► VISION FILg copy PerrinK AM7--I'Yb Ptah review approval is subject to errors and onftioni. Approval of construction documents dons not.auth': a tta violation of any adopted code Dl alI:finance. Re ^: t of approved Field Copy and conditions is acknnowledg'd� By, -,7\ Date: (7c if9 zo / ?_ . City Of Tukwila BUILDING DIVISION Ji • LP RK11 I • i.i.. • X111 ic. ;. I ' 1. SOUTH CENTER PARKWAY • • ,., ..� ,� .L. - l __,2SM;fi;;Qti,, -. -: .0 �kX ti t E f ( EX. HYDRANT LOCATION ci4E0P46,, SEP 282012 PERMIT CENTER EX. DRY STANDPIPE PATCH FLOOR FINISH L �. NEW INT 3 -5/8" 1 GYP BC PART I O STUDS A DECK T REMOVI ADHESI1 TOILET FOR VC CONCRE NEW DEI INSTALL NEW DO WITH PA f 7i:e,2u.•14.,•. 11/4.! T L . REVIEWED-FOR -- - t _CODE - COMPLIANCE _ APPROVED OCT 0 3__20.12 I � --t- i City of Tukwila BUILDING DIVISION -^ '20 10 '7 - 3yy /y/ • CITY SEP 2 8 2012 . PERMIT CENTER *PERMIT cOa►Ra PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: M12 -148 PROJECT NAME: RED WING SHOES SITE ADDRESS: 17135 SOUTHCENTER PY DATE: 09/28/12 X Original Plan Submittal Response to Incomplete Letter #_ Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: � BUHd ing Division I�(1M 1\tV. lni 11, Fire Prevention Planning Division Public Works ❑ Structural ❑ Permit Coordinator ❑ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 10/02/12 Complete Incomplete ❑ Not Applicable ❑ Comments: Permlt 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 ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 10/30/12 Approved ❑ Approved with Conditions /n Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Contractors or Tradespeople Peter Friendly Page General /Specialty Contractor A business registered as a construction contractor with L8tl 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 MICHAEL JENSEN CONST LLC UBI No. 602745560 Phone 2533702800 Status Active Address 7205 Mcdonald Ave License No. MICHAJC934NM Suite /Apt. License Type Construction Contractor City Gig Harbor Effective Date 8/14/2007 State WA Expiration Date 8/23/2013 Zip 98335 Suspend Date County Pierce Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date JENSEN, MICHAEL ALAN Partner /Member 08/14/2007 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 1 DEVELOPERS SURETY & INDEM CO 748053C 08/14/2007 Until Cancelled $12,000.00 08/14/2007 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' 5 Developers Surety f& Indem Co B1S00013644 -01 08/14/2012 08/14/2013 $1,000,000.0008 /17/2012 4 No avigators Ins 46- 10149444 08/14/2011 08/14/2012 $1,000,000.0008 /12/2011 3 NAVIGATORS INS CO 4610122487 08/14/2010 08/14/2011 $1,000,000.0008 /09/2010 2 BANKERS INS 460440000795701 08/14/2008 08/14/2010 $1,000,000.0008 /04/2009 1 WESTERN WORLD INS CO NPP1121985 08/14/2007 08/14/2008 $1,000,000.0008 /14/2007 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 Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount PBER000374 9/28/2009 18.106.020 PLUMBER INFRACTION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 10/10/2012