HomeMy WebLinkAboutPermit M12-149 - JS DENTAL CLINIC7S DENTAL CLINIC
327 TUKWILA PY
M12 -149
City "rukwila �
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.: 0223000010
Address: 327 TUKWILA PY TUKW
Project Name: JS DENTAL CLINIC
Permit Number: All - 1 0
Issue Date: 10/04/2012
Permit Expires On: 04/02/2013
Owner:
Name: BETA HOLDINGS LTD
Address: 18827 BOTHELL WAY NE , BOTHELL WA 98011
Contact Person:
Name: LOLITA SANTOS
Address: 9735 S 222 ST , KENT WA 98031
Email: JSDENTALCLINIC @YAHOO.COM
Contractor:
Name: ES CONTRUCTION LLC
Address: 16901 SE 180 PL , RENTON WA 98058
Contractor License No: ESCONCL924NL
Phone: 206 - 351 -0588
Phone: 425 - 301 -3145
Expiration Date: 08/13/2014
DESCRIPTION OF WORK:
INSTALL 4 EXHAUST FANS AND 1 CLOTHES DRYER VENT
Value of Mechanical: $1,155.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
Fees Collected:
$209.63
International Mechanical Code Edition: 2009
Date:
I hereby certify that I have read and exami ed 's t and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whethe - • ecified 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 p rform;: ce of • rk. I am authorized to sign and obtain this mechanical permit and agree to the conditions on the
back of this permit.
Signature:
Print Name:
Lek
Date: 1 /
lt
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 -149 Printed: 10 -04 -2012
PERMIT CONDITIONS
Permit No. M12-149
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: Manufacturers installation instructions shall be available on the job site at the time of inspection.
8: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
9: Prior to final inspection for this building permit, a copy of the roof membrane manufacturer's warranty certificate
shall be provided to the building inspector.
doc: IMC -4/10
M12 -149 Printed: 10 -04 -2012
Site Address:
Tenant Name:
CITY OF TUKWIAW
Community DevelopmWepurtment
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 **
39.4 King Co Assessor's Tax No.:
�� Suite Number
lJ rAAJ tC ' L/ e. New Tenant:
PROPERTYNOWNER
Name:
Address:
City:
BeiA P,b-wt�S
State:
Zip:
CONTACT PERSON person receiving all project''
, communication F .,
Name: Lv Li ..t .--A ch-mirs Jo i TO ck
Address: (x7-3 S- q ZZ�v� Sl-
City: t"1c o,r }r- State: lu fl- Zip: eigo 3
Phone: 76 36-1 l). -Wax: 2S-3 236 woo
Email: 27r6 b b i a cle) J5 PeittrA t.GL t k
Valuation of project (contractor's bid price): $
Describe the scope of work in detail: 1- 4/ t7( .n Si FA
Floor: 16N C)
Yes ❑.. No
;MECHANICAL; CONTRACTOR INFORMATION°
Company Name: C l c r t
a
Address: tto 41 SE. i 0, i--k f ii
D
City: l p State: J f Zip:
10
Phone: I.[-2j --30 -31 Fax:
.Qontr Reg No.: Exp Date:
Tukwila Business License No.:
ECO ( u C L Z 4QL
f mss` See- OP-ivi1 7
Use:
Fuel Type:
Residential: New
Commercial: New
Replacement
Replacement
Electric [ Gas El Other:
H:\Applications\Forms- Applications On Line\2011 Applications'Mechanical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Page I of 2
Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty
Furnace <100k btu
Furnace >100k btu
Floor furnace
Suspended /wall /floor
mounted heater
ti
Appliance vent
Repair or addition to
heatlrefrig/cooling
system
1
Air handling unit
<10,000 cfm
Unit Type
Qty
Air handling unit
>10,000 cfm
Evaporator cooler
Ventilation fan
connected to single duct
ti
Ventilation system
Hood and duct
1
Incinerator — domestic
Incinerator —
comm/industrial
Unit Type ; t
Qty
Fire damper
Diffuser
Thermostat
Wood /gas stove
Emergency generator
Other mechanical
equipment
-A 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
PER1VII1T TAPPLICATIONfNOTE:
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 OWNER OR AUTHORIZED AGENT:
Signature: Date: [6 [l �z
Print Name:
Day Telephone: '1947 l Ogg D
Mailing Address: q'=-13-- - S - t. vv A CNO3/
City State
H:WpplicationsWorms- Applications On Line \2011 Applications\Mechanical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Zip
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
Parcel No.: 0223000010
Address: 327 TUKWILA PY TUKW
Suite No:
Applicant: JS DENTAL CLINIC
RECEIPT
Permit Number: M12 -149
Status: PENDING
Applied Date: 10/01/2012
Issue Date:
Receipt No.: R12 -02738
Payment Amount: $209.63
Initials: WER Payment Date: 10/01/2012 02:59 PM
User ID: 1655 Balance: $0.00
Payee: JOSELITO SANTOS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 891257
ACCOUNT ITEM LIST:
Description
209.63
Account Code Current Pmts
MECHANICAL - NONRES 000.322.102.00.00
PLAN CHECK - NONRES
167.70 -
000.345.830 41.93
Total: $209.63
doc: Receipt -06 Printed: 10 -01 -2012
INSPECTION RECORD
Retain a copy with permit .' Z- Nc7
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
Pro ect:
;k bE.�trm_ c_1.�
0
Type of Inspection:
,= ItQ At„,
Address:
3277 T ale-VO I LA '
Date Called:
Special Instructions:
Date Wanted: f
V I 1 P"1
rr
Pm-
Request ler:
Phone No:
_,-0(0--398—s57
tikApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
r t-t (eifriq r/
4
Da)e; /i
RE SPECTION FEE REQUIRED. Prio, to next inspection. fee must be
pa d at 6300 Southcenter lvd.. Suite 100.'Catl to schedule reinspection.
_ .uA..<..
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
,'7 /2-/v;
Project:
• 4cA/r8 _.
Type of Inspection:
/ ?en/,h- /,;J
Address:
202 7 1-7,//4t-//i4 ,0 v
Date Called:
Special Instructions:
-
Date Wanted:
/�i / /��
a!m`
p.m.
Requester:
Phone No:
r,20‘ -46/ - asZe)(1
®Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Date:
RESPECTION FEE REQUt IRED. Prior to next inspection. fee must be
bald at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
nn
i
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. ' PERMIT NO.'
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 14.__. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
6s i -Ist-ilr_
Type of Inspection:
AGG1.1C.,N — z)
Address:
3, 27 a_, acv►L41
,p(f
Date Called:
Special Instructions:
Date Wanted:.
J�}- 9- -12_
Vim.
p.m.
Requester:
Phone No:
‘OL-c/ (. -QOZU
ElApproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Ii ( rtk.s5 yVt lc- s i > -X r!e l Ic i To
�k�szlcJ�
C
Date:
n
❑ El SPECTION FEE REQUI ED. Prior to nixt inspection, fee must be
aijl at 6300 Southcenter Blv ., Suite 100. Ball to schedule reinspection.
09 -03 -2013
LOLITA SANTOS
9735 S 222 ST
KENT WA 98031
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Permit No. M12 -149
JS DENTAL CLINIC
327 TUKWILA PY TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 10/07/2013.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 10/07/2013, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerel
Bill Rambo .
Permit Technician
File: Permit File No. M12 -149
6300 Southcenter Boulevard, Suite # 100 • Tukwila, Washington 98188 • Phone 206- 431 -3670 • Fav 206 -431 -3665
April 18, 2013
Lolita Santos, LD
JS Dental Clinic
327 Tukwila Py
Tukwila, WA 98188
City of Tukwila Jim Haggerton, Mayor
Department of COy1unun ty Development Jack Pace, Director
RE: Request for Extension
Mechanical Permit Number M12 -149
JS Dental — 327 Tukwila Py
Dear Ms. Santos,
This letter is in response to your written request for an extension to Permit M12 -149. The Building
Official has reviewed your letter and considered your request to extend the above referenced permit. It
has been determined that the City of Tukwila Building Division will be extending your permit an
additional 180 days from the date of expiration, through October 7, 2013.
If you should have any questions, please contact our office at (206) 431 -3670.
Sincerely,
shall
ician
kx4,
File: Permit No. M12 -149
W: \Permit Center \Extension Letters \Permits\2012\M12 -149 Permit Extension.docx
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 - 431 -3670 • Fax 206 - 431 -3665
04/09/2013 12:32 2532364400 JSDENTAL PAGE 01
JS Dental Clinic
Serving Families with Dental and .Denture needs
327 Tukwila Parkway Tukwila, WA 98188
Phone: (206) 388.3352 Fax: (206) 407.3049 jsdentalclinicayahoo.com
April 9, 2013
To: City of Tukwila
Re: Building permit number M12 -149
I am writing because I have not received an answer from the extension request that I
placed regarding the above permit. The reason why we have not scheduled an
inspection is because we originally thought that since we have obtained a building
permit, the above permit for mechanical was already inspected and was included in the
approval for tenant occupancy.
Please kindly extend our inspection because we are in the process of reaching out to
our general building contractor to help us with this matter.
Please feel free to give us a call should you have any questions.
Sincerely,
Lolita Santos, LD
JS Dental Clinic
0.10
Yedet.
•47/17/zae
RECEIVED
CITY OF TUKWI
Lq
APR 0 9 2013
PERMIT CENTER
Itj-O 00/1k
e
03 -05 -2013
LOLITA SANTOS
9735 S 222 ST
KENT WA 98031
epartMeni pf Communit
RE: Permit No. M12 -149
JS DENTAL CLINIC
327 TUKWILA PY TUKW
Dear Permit Holder:
1r14',Hagg'ertoh..11 aygr
evelopment Jack Pace, Director•
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 04/09/2013.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 04/09/2013, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
r Marshall
Technician
File: Permit File No. M12-149
'6300 •Southcenter Boulevard.' Suite #100.• Tukwila Washington 98188 •.Phone 20 431 3670 • Fax 206-431 3665
•
pEttptal CO. ® Y
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: M12-149 DATE: 10 -01 -12
PROJECT NAME: JS DENTAL CLINIC
SITE ADDRESS: 327 TUKWILA PY
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Issued
DEPARTMENTS:
PCIAI t. VI,
Divisiori
B iI Ing Divislo
Public Works ❑
Pw N
Fire
Prevention
Structural
Planning Division
❑ Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 10 -02 -12
Complete
Incomplete
n
Not Applicable
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUESITHURS ROUTING:
Please Route n Structural Review Required u No further Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 10 -30 -12
Approved ❑ Approved with Conditions 147R 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:
Documents /routing slip.doc
2-28-02
Contractors or Tradespeople Poer Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with Llt1 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 ES CONSTRUCTION LLC UBI No. 602831698
Phone 4253013145 Status Active
Address 16901 Se 180Th Pl License No. ESCONCL924NL
Suite /Apt. License Type Construction Contractor
City Renton Effective Date 8/13/2008
State WA Expiration Date 8/13/2014
Zip 98058 Suspend Date
County King Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
SANTOS, EDUARDO
Partner /Member
08/13/2008
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
CBIC
SH9729
07/16/2008
Until Cancelled
$12,000.0008/13 /2008
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
1
CBIC
C11SH9729
07/16/2008
07/16/2013
$500,000.00
07/05/2011
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
Infractions /Citations Information No records found for the previous 6 year period
https: // fortress .wa.gov /lni /bbip /Print.aspx 10/04/2012
FILE
Permit No.
Plan review approval is
Approval of
the violation of
of Feld
1
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Avx <4\
17.100— ltt'ii; 1 wt� !!� 1� {i =�■■l� spit" „i mire AIM :1■rallPrIlr,•mis;�
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1
RE TROOM
COPY
1— 14
1,0 t
REVIEWED FOR
CODE COMPLIANCE
APPROVED
. OCT 0 3 2012
iv'
City of Tu ila
BUILDING VISION
SEPARATE PERMIT
REQUIRED FOR:
0 Mechanical
Electrical
Plumbing
Gas Piping
City of Tukwila
BUILDING DIVISION_
to errors and onussions
nts does not authorize
ordinance. Receipt
is acknowledged:
Dental Clinic LLC
a27 u Ita Phi
Yv
ru la WA 98188
www.J,SbentalGlniccom
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees. t
NOTES
• .'
9
.
07
•
EXISTING TENANTDOOR TO REMAIN (3 C F . OPENING)--,
NG)- -,
:EXISTING TENANT. DOOR TO REMAIN—{697 CI.OPENING•)=
EXJ$T!N.G TENANT •'RES f RO TO REMA1Ns
STING TENANT WALL TO RE '
EXTERIOR T FE ?11 N
ALL WALL TYPE'TO=BE• PARTITION TION -T ;5 E IAIN
,111,,, ......... ,
OCT 01 201
PERMIT CENTER
EXIT PATH.
PRO f.ET AREA:': 'f ,'
OCCUPANCY Lf t ' , 1 ° J &F. - ;t' CCU Ai T :
.0 1B R =OF E T(S .RE NRE ' ... .
NUMBER . E T(S)• REQUI-D, "i.
: GENERAL
.,
,........„.,
.
ti.
: .
A _ EFE A 01 FO
AND :ADi ZONAL LNR
.
i .:: B: AL4 ' WALL T
EJ RUE. T( . ‘.0.,
t • EQUIPMENT S SHO
REFERENCE USE ONLY<
......
Gf� 5 t `M 1,,
... .
BE PON TYPE ; N.
• P
'
,L iypES.
:.
:1N i• . MA 14 A
LEGEND
n y, Chien Chan, :AIR:
• ST. CONSTRUE R": T- RE.
1/8'
NEW P Tl a i
•
NEW PARTITION OVERHEAD
PARTITION TO BE DEMOLIS
Ti/
.., :
EXIT PATIO.
MILL R
FIRE EXTINGUISHER .cAst. Er.
. .. . .. <
R ERIOR' ELEVATION
~;,.~..-.. HARDWARE :1"' PE
Client Name: Joseliko Santos
(206) .3:5 i.t.588
mtracfor. vva antos
(425 301 -3145
0001
Description
p�rrrit:Set
Date•.
05!5/12
RECEIVED
Floor
P
,111,,, ......... ,
OCT 01 201
PERMIT CENTER
?IT a Number. 0000.0
Piot Date: .
Dray : By. • Guevarra
n y, Chien Chan, :AIR:
S 16:
1/8'