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
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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