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HomeMy WebLinkAboutPermit M12-174 - ALLEGIANCE STAFFINGAi.i.FGIENCE STAFFING 400 INDUSTRY DR M12 -174 City a*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.: 0223400010 Address: 400 INDUSTRY DR TUKW Project Name: ALLEGIANCE STAFFING Permit Number: M12 -174 Issue Date: 12/04/2012 Permit Expires On: 06/02/2013 Owner: Name: BLUE DOG PROPERTIES TRUST Address: C/O THOMSON REUTERS PTS , PO BOX 847 92018 Contact Person: Name: JOHN WARE Address: 109 WASHINGTON BL, STE B , ALGONA WA 98188 Email: JOHNW @FIVESTARMECH.COM Contractor: Name: FIVE STAR MECHANICAL Address: 109 WASHINGTON BLVD STE B , ALGONA WA 98001 Contractor License No: FIVESM *010JT Phone: 253 852 -8284 Phone: 253 - 852 -8284 Expiration Date: 05/01/2014 DESCRIPTION OF WORK: INSTALL (1) 300 CFM EXHAUST FAN IN BREAK ROOM, REPLACE 10 EXISTING SUPPLY AIR GRILLES, REPLACE (2) RETURN AIR GRILLS, ADD 14 RETURN AIR JUMPER GRILLS, RELOCATE (2) EXISTING THERMOSTATS, AND MODIFY DUCT WORK TO NEW FLOOR PLAN. Value of Mechanical: $3,500.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: I hereby certify that I have read and ez governing this work will be complied Fees Collected: $233.13 International Mechanical Code Edition: 2009 Date: 12-I042- d this permit and know the same to be true and correct. All provisions of law and ordinances hether 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 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: Print Name: ef\eLje40 Zc 1 41 U r. Date: /2-0- 7 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. (inn. IM(: -4/1(1 M17 -174 Printarl• 17 -(14 -9017 • 1 PERMIT CONDITIONS Permit No. M12 -174 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: 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. 5: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the International Building Code and the Washington State Ventilation and Indoor Air Quality Code. 6: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 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. rinr.• IMC -4/1 fl M12 -174 PrintAri• 17_04_21117 • • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Mechanical Permit No. Project No. Date Application Accepted: Date Application Expires: 11101 lIll3 (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: Tenant Name: 400 industry drive Allegiance Staffing PROPERTY OWNER Name: John Ware Name: Reit Management City: Algona State: WA Zip: 98188 Address: 617 Industry Drive Email: johnw @fivestarmech.com City: Tukwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: John Ware Address: 109 Washington Blvd Suite B City: Algona State: WA Zip: 98188 Phone: (253) 852 -8284 Fax: (253) 852 -8285 Email: johnw @fivestarmech.com King Co Assessor's Tax No.: 0 -22 940 -0010 Suite Number: 180 Floor: 1St New Tenant: ❑ Yes ®..No MECHANICAL CONTRACTOR INFORMATION Company Name: Five Star Mechanical Address: 109 Washington Blvd Suite B Cit': Algona State: WA Zip: 98001 Phone: (253) 852 -8284 Fax: (253) 852 -8285 Contr Reg No.: FIVESM *010JT Exp Date: 05/01/2014 Tukwila Business License No.: BUS- 0992977 Valuation of project (contractor's bid price): $ Describe the scope of work in detail: install 1 300 cfm exhaust fan in break room, replace 10 existing supply air grills, 2 return air grills, add 14 return air jumper grills, relocate 2 existing thermostats and modify duct work to new floor plan. 3,500 Use: Residential: New ❑ Replacement ❑ Commercial: New ❑ Replacement Fuel Type: Electric ❑ Gas ❑ Other: H:\ApplicationslForms- Applications On Line \2011 Applications\Mechanical Permit Application Revised 8 -9 -I I.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 26 Floor furnace Suspended /wall /floor mounted heater 1 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 26 Evaporator cooler Ventilation fan connected to single duct 1 Ventilation system Hood and duct Incinerator — domestic Incinerator — comm/industrial Unit Type Qty Fire damper Diffuser 26 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 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 O__.:.. ' ; 1 R A - ORIZED AGENT: Signatur Date: 11/06/2012 Print Name: John Ware Day Telephone: (206) 786 -8278 Mailing Address: 109 Washington Blvd. Suite B H:\Applications \Forms- Applications On Line \2011 Applications\Mechanical Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 bh Algona WA 98001 City State 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.: 0223400010 Address: 400 INDUSTRY DR TUKW Suite No: Applicant: ALLEGIANCE STAFFING RECEIPT Permit Number: M12 -174 Status: APPROVED Applied Date: 11/07/2012 Issue Date: Receipt No.: R12 -03241 Payment Amount: $186.50 Initials: JEM Payment Date: 12/04/2012 09:37 AM User ID: 1165 Balance: $0.00 Payee: GERALD L WARE JR TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 035665 ACCOUNT ITEM LIST: Description 186.50 Account Code Current Pmts MECHANICAL - NONRES 000.322.102.00.00 186.50 Total: $186.50 liner Ram:tint -11R Printprl 17- 04 -7n12 • 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.: 0223400010 Address: 400 INDUSTRY DR TUKW Suite No: Applicant: ALLEGIANCE STAFFING RECEIPT Permit Number: M12 -174 Status: PENDING Applied Date: 11/07/2012 Issue Date: Receipt No.: R12 -03062 Payment Amount: $46.63 Initials: JEM Payment Date: 11/07/2012 09:54 AM User ID: 1165 Balance: $186.50 Payee: GERALD WARE, WARE ENTERPRISES INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 117035 ACCOUNT ITEM LIST: Description 46.63 Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 46.63 Total: $46.63 riner Rar pint -0R Printnri 11 -07 -7019 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Pr j ct: I Type of Inspection: Ad h4s- X0s6 ,-O J, Date Called: Special Instructions: Date Wanted:. / Z- -/0 .'". .r '77-11. m. %Z.... Requester: Phone No: Approved per applicable codes. Corrections required prior to approval.', COMMENTS: OPT i .014P( P Inspecfor: 0-4 n REINSPECTION FEE REQUIRED. Prior tonext inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 1 o0 icall to schedule reinspection. Date: 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: 4a6_e /4 Ale F 57-4 r= /n/C-, Type of Inspection: /?U) /GH --r- Address: '40 0 - ,CA/( /MS /el/ ,1.) Q Date Called: Special Instructions: /' " Date Wanted:. = a:m: Requester: - - Phone Na ac26 -75'6 -6'27 4 . . . r�= Approved per applicable codes. COMMENTS: Corrections required prior to approval:. 11 1 t �'N It Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection; fee must -be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection:. O FINISH FLOOR PLAN 0 16' 24' 8' 1 /8" = 1'- 0" FINISH SPECIFICATIONS GENERAL FINISH NOTES SYMBOL MANIFACTURER BASE I I IT COVED RUBBER BASE. COLOR: P193 BACK -BROWN CARPET I. PROAOE 8 -1 11R000M011. LVN. PROYOE 11-1 544000140R, LION. PRWOE DANC44) CARO (0NCRFIE. A00 COCO8 MAN MD CLEAR Cal CONCRETE FLOOR nMW0NOJT. UDR. REFER TO ELEVATIONS AND DENA 9EE15. MEP RURS1184 BETWEEN MATERIALS UNDER DOM PER OCTAE5 SHAW PH IDELPHM- OL111N FELO CARPET. SCOREBOARD 5150 CO.08 10 TO GO. 26 02 RISTNLEO. DIRECT GLUE KEYED SHEET NOTES VINYL COMPOSITION TILE Imo• •I PAINT 4885TRAr1C 12' 112' STANDARD E0CELON 1/4 TURNED. COLOR. 51836 SHELTER WHITE IRNH912N STRIP: MATCH BASE s MISE5 ARE Efi511NC TO REMNN N IN5 AREA PRICE ALTERNATES KELLY WORE ORB EGGSHELL rNOH COOK. 20 BONE LL-10 NE111 MORE WOW 0006/11244E 5(46 -6(055 661511 CALM: 29 NEW LIVER 1L -II PLASTIC LAMINATE 0 WL50NMiT 01.SDI4WT PLASM LMIRUTE NDPo10N1AL SURIACOS /BFCNSPLAS1 LAMN4TE COLOR: CANVO! 2ERH1R 4842 -60 8TERIOH MELAMME COLOR MO PLASM LNIMRE WARM 51FEACES LA4MU1E COLOR: EBB INTERIOR AWARE COOK EW 1 r ,1 680470E PRICE A004861E FOR CP1 -1 M1E/D OF SINNED CONCRETE. (B FOR REFERENCE ONLY. CONTRACTOR TO BJ6 PREFABRICATED CARNETS. 2' CLP.. EO. E0. MENIII mill Ail If DEEP PAM ADA COMPLIANT YICRONAVE SNN & IALA:EI 5NELF :MIN , .' GIP -FOF REF EC E0. EC 3 CLR f 2D+ BREAK ROOM ELEVATION 3/8' = 1'- 0" LINE OF CEILING ( PLASTIC LAMINATE DOORS. SEE ELEVAT10465 AND FINISH PLAN MELAMINE CABINET INTERIOR *DJ. SHELVES W/ MELAMINE FINISH FOR REFERENCE ONLY. P60640 6000 MRCS TO COMPLY WITH ALL ILA REOVREMEM0. .6'NA,i,n 1 PR0vI0E 4- BACKSPLASH A5 INDICATED ON ELEV. SCRIBE TO WALL CONTERTOP W /PLASTIC LAMINATE PER FINISH SCHEDULE, �I PROVIDE SOLID PANEL, REVISIONS NE no c anges 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. \\ ADA SINK SECTION PROV10E ,"NN WHERE INDICATED:- REFER TO PLUM6I146 DWG5 PROVIDE ADA COMPLIANT 5110 & FAUCET. PROVIDE CLEARANCES. PLUMB1NC'8D0T AS RE0'D BASE AS PER SCHEDULE. TURN INSIDE 0 CABINET OPENING, (141. FINISH FLOOR LINE. RUN TO REAR OF CABIN-EF OPINC. LINE OF CABINET (BEYOND) 2" 3" YY� P -LNI UPPER CARNETS *NTH 1460 ADJUSTABLE 5NEtvE5 v -LAN COUNTERTOP 44 BACKSPLASH 1 -1/2" = 1'- 0" °. P -LAN 10MER WINOS AND DRAWER NTH ONE ADIV5TABLE SHELF REVIEWED FOR CODE COMPLIANCE APP'' OVED NOV 21 2012 City of kwila BUILDING !VISION tenant ALLEGIANCE STAFFING ANDOVER EXECUTIVE PARK. BUILDING 2 400 18000(80 DRIVE, SUITE 180 TUKWILA, WA 98188 A Tenant Improvement for: REIT MANAGEMENT & RESEARCH ANDOVER EXECUTIVE PARK 617 INDUSTRY DRIVE TUKWILA, WA 98188 eel burgess design I lnieriors IO architecture FZUZ Permit No. /lAU2-- I1`4 Pffi InfiGIN approval is subject to errors and om :?*+s. AppTqal of construction documents does e ; . �F - tfic V.ofation of any adopted code of ord;nai,cs:. of approved Field py and *•� is acknowi8d . : By I. Z RECEiV t0 CITY OF TUKWILA NOV 0 7 2012 PERMIT CENTER City Of'Tiukwila BUILDING DIVISION No. 0sue Descri84167 REVIEW SE1 3/1/12 REVIEW SET 3/9/12 PERMIT SIT 3/27/12 Drawn AY: TS P170*e as. KN Proleal No 11- 3408 -00 FINISH FLOOR PLAN / ELEVATIONS / DETAILS or ., >...p a Re . 3 Sc.. er.es ace>a•94 A.2D.1 SEPARATE PERMIT REQUIRED FOR: ❑ Mechanical Eiectricall Plumbing • Gas Piping City of Tukwila BUILDING DIViSIONI AA12-1114 •PERMIT COORD CO Q` PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: M12 -174 DATE: 11/07/12 PROJECT NAME: ALLEGIANCE STAFFING SITE ADDRESS: 400 INDUSTRY DR X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: pu Building Dd vision Division �, 1 Public Works NIA ll -lcl�lti ■ Fire Prevention Structural Planning Division ❑ Permit Coordinator ❑ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 11/08/12 Complete M Incomplete ❑ Not Applicable ❑ Comments: Permit Centel Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route REVIEWER'S INITIALS: DATE: Structural Review Required ❑ No further Review Required ❑ APPROVALS OR CORRECTIONS: DUE DATE: 12/06/12 Approved ❑ Approved with Conditions 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 Pier 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 5/1/2014 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 COMFOM1015LAMECHANICALConstruction COMFORT INC Contractor Heating /Vent /Air -Conditioning And Refrig (Hvac /R) Unused 6/1/1999 4/25/2014 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 Amount WARE, JOHN EDWARD Member 06/10/2010 9434226 ALLEN, ANGELA RENEE Member 06/10/2010 WARE, BETTY J Member 06/10/2010 FEDERATED SERV /MUTINS 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 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 9 Federated Mutual Ins Co 9434226 04/27/2012 04/27/2013 $1,000,000.00 05/01/2012 8 FEDERATED SERV /MUTINS 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 $1,000,000.0003 /27/2006 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 12/04/2012