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Home My WebLink AboutPermit M13-0234 - MEDIFAST - ALTERATIONMEDIFAST 17250 SOUTHCENTER PKWY SUITE 100 M13-0234 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.Rov Parcel No: 7888920020 Address: MECHANICAL PERMIT Permit Number: M13-0234 17250 SOUTHCENTER PKWY 100 Issue Date: 1/2/2014 Permit Expires On: 7/1/2014 Project Name: MEDIFAST Owner: Name: WIG PROPERTIES LLC -SS Address: 4811 134TH PL SE , BELLEVUE, WA, 98006 Contact Person: Name: DARREN SIMMONS Address: 3215 30 AV SE , PUYALLUP, WA, 98374 Contractor: Name: COMPLETE HEATING/AIR SERVICES Address: 3215 30 AV SE , PUYALLUP, WA, 98374 License No: COMPLHS977NR Lender: Name: Address: Phone: (253) 208-6231 Phone: (253) 840-2673 Expiration Date: 2/4/2015 DESCRIPTION OF WORK: MODIFY DUCTWORK TO WORK WITH NEW TENANT IMPROVEMENT. OPEN AREA IS NOW SPLIT UP INTO OFFICES Valuation of Work: $5,000.00 Type of Work: REPLACEMENT Fuel type: GAS Fees Collected: $249.00 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer Distric: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 2012 2012 2012 Permit Center Authorized Signature: Date: 0 L k 111 I hearby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether 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 development permit and agree to the conditions attached to this permit. Signature: Print Name: Date: — �—� T This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: 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. 2: ***MECHANICAL PERMIT CONDITIONS*** 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 record card and approved construction documents shall be kept at the site of work and shall be open to inspection by the Building Inspector until final inspection approval is granted. 5: Manufacturers installation instructions shall be available on the job site at the time of inspection. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1800 MECHANICAL FINAL 0609 PIPE/DUCT INSULATION 0701 ROUGH -IN MECHANICAL CITY OF TUKW Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Mechanical Permit No. 7 Lf Project No. Date Application Accepted: 12----1 w( 3 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 King Co Assessor's Tax No.: Site Address: `),),S73, ,t4"kL_S.( 'kf-o}/ Tenant Name: rn i �l.4St 1 PROPERTY OWNER Company Name _ „ ( ,.,jam r ` �tA it 'IC` �`lc Name: w. ` p T �S Address:qS ��`j� l 1Y3 q� p L- S E , �/ f City: n�� - State: ti), Zip `4.7 CONTACT PERSON — person receiving all project communication Company Name _ „ ( ,.,jam r ` �tA it 'IC` �`lc Name _t\ ( V timet V /L(3 S City: f "`.Luo State: w� ZiP.ZC3)[` Address: -3)4 s. , `4 ,A ,x s Contr Reg N,,.i 5I 77NR Exp Date:a/ 44! J l y City , / State: i,.57 Zip: �Q32 Phone �-li. _64_3 I F ds13 ..if ` 6 .. 1s_..- EmailCow� I r e r% eG,kkAc a# i r6) S 4'. e. Suite Number: / 0 O Floor: 1 New Tenant: . Yes ❑.. No MECHANICAL CONTRACTOR INFORMATION Company Name _ „ ( ,.,jam r ` �tA it 'IC` �`lc Address? t1�?�G�/124,44._;) Kt L City: f "`.Luo State: w� ZiP.ZC3)[` l Fax:)3 q, ^ 15_25-. Phone _-613 Contr Reg N,,.i 5I 77NR Exp Date:a/ 44! J l y Tukwila Business License No.: R (4S vbyl Its lci Valuation of project (contractor's bid price): $ o d Describe the scope of work in detail: i 0' .-Qi'T' L...50 -k ---k t `�' ti k t,v�'4-t„..� T i 4 . o D �-v ,i.,,e, 44.cs-7.3 glp 1..- - ` e?t c4 s Use: Residential: New ❑ Replacement ❑ Commercial: New ❑ Replacement Fuel Type: Electric 0 Gas Other: H:'Applications\Forms-Applications On Line \2011 Applications\Mechanical Permit Application Revised 8-9-11.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 Floor fumace 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 181 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. BUILDI OWNER 0 RIZED AGENT: Signature: ; Print Name: GCA-Ce.A.A Mailing Address: 39- [ .S 'z')44'‘ * i -e SE - H:Wpplications\Forms-Applications On Line \2011 Applications\Mechanical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Date: /-1-7 " i 3 Day Telephone: 3-^ 6 I exit t " g�e 9t21-1 Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID M13-0234 Address: 17250 SOUTHCENTER PKWY 100 Apn: 7888920020 $199.20 MECHANICAL PERMIT FEE PERMIT ISSUANCE BASE FEE TOTAL FEES PAID BY RECEIPT: R543 R000.322.100.00.00 R000.322.100.00.00 $199.20 $166.70 $32.50 $199.20 Date Paid: Thursday, January 02, 2014 Paid By: DARREN SIMMONS, COMPLETE HEATI Pay Method: CREDIT CARD 020516 Printed: Thursday, January 02, 2014 1:05 PM 1 of 1 CRWSYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY ( PAID 49.80 M13-0234 Address: 17250 SOUTHCENTER PKWY 100 Apn: 7888920020 $49.80 MECHANICAL $49.80 PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R427 R000.322.102.00.00 $49.80 $49.80 Date Paid: Tuesday, December 17, 2013 Paid By: DARREN SIMMONS COMPLETE HEATIN Pay Method: CREDIT CARD 063716 Printed: Tuesday, December 17, 2013 1:32 PM 1 of 1 CRWSYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit Pl 13 -oz3 L/ PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 431-2451 Project: Typgf Inspection: Address: 1'12 S.O . PLO Date Called: Special Instructions: Date Wanted:.. ' - Z 7 - I p.m. Requester: I Phone No: X3- Zee, -r,23 pproved per applicable codes. LJ Corrections required prior to approval. ti COMMENTS: / ?C' --r Oemp l [ iv- � r : ti (✓ ~ j€: t?ro./cCo TEA Lg,-0,0 QPive! spec or: AA-AA Date: I_ Z2- fl El SPECTION FEE R QUIRED. , rior to next inspection, fee must be laid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit Mi3-02321 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:. McD11 Type of Inspection: Wil'/•)AL Address: ii p.S0 0, P03 Date Called:( ? 1". " ...... Special Instructions: , Date Wanted:.nr1 1--" 22-1 Requester:A Phone No: roved per applicable codes. .Corrections:required prior to approval. COMMENTS: Cit,—;� , Idd./P6 AOWd\- C3) .Supit ReAu.../►J .A►r o(PE i..)oe., kCZw\. Date: 1 ZZ - .`1 �1 n REIN5PECTION FEE REQUIR D. Prior to ext inspection, fee must be paid kt 6300 Southcenter Blvd.; Suite 100. Call to schedule reinspection: AIR BALANCE REPORT ADDRESS zs� SCP /00 UNIT #1 UNIT #2 Vice, TOTAL CFM /(,Do L(r) o'D 1`3 - 023? TOTAL RETURN 7) -(- SUPPLY CFM `t 0)S- -)ggD 1 /!off cSpF . 1 I b D csg,c,is 2 ax p pr Z 2 C (v S i. 3 0._ o Cr 5 3 I b) c 'S2 7 4 I bt ovpy 4 l_p 4 K 5 /)) pc,r 5 1Y it 6 / 6 I.iro 1° 7LW_ 7 / LD 6 A1 -4,11,00v. af -ek 8 /. h 8 l) lD 6 aLL S4-rn 9 rik 4cc 9 111 0-0-C 10 10 12 12 TOTAL SUPPLY /SOD C PL`1 l C -P1/11 PREPARED BY COMPLETE HEATING AND AIR SERVICES r PLAN PREVIEW/ROUTING SLIP ACTIVITY NUMBER: M13-0234 DATE: 12-17-13 PROJECT NAME: MEDIFAST SITE ADDRESS: 17250 SOUTHCENTER PY - SUITE 100 X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: P }/A- BBu lding ivision ire Prevention Public Works n Structural 0--t943 n Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 12-19-13 Complete Incomplete Not Applicable n Comments: Permit- CenterfUse :Onl y INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW 0 Staff Initials: TUES/THURS ROUTING: Please Route[4:1Structural Review Required n No further Review Required n REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 01-16-14 Approved Approved with Conditions Not Approved (attach comments) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire ❑ Ping 0 PW 0 Staff Initials: Documents/routing slip.doc 2-28-02 COMPLETE HEATING/AIR SERVES 0 Washington State Department of Labor & Industries • Page 1 of 2 COMPLETE HEATING/AIR SERVICES Owner or tradesperson SIMMONS, DARREN F Principals SIMMONS, DARREN F Doing business as COMPLETE HEATING/AIR SERVICES WA UBI No. 602 298 524 3215 30TH AVE SE PUYALLUP, WA98374 253-840-2673 PIERCE, County Business type Individual Governing persons DARRENFREDERICKSIMMONS License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties Heating/Vent/Air-Conditioning and Refrig (HVAC/R) License no. COMPLHS977NR Effective — expiration 08/19/2003 — 02/04/2015 Bond Wesco Insurance Co Bond account no. 46wb013495 Received by L&I 01/08/2013 Insurance Ohio Security Ins Co Policy no. BKS54874869 Received by L&I 07/25/2013 Savings No savings accounts during the previous 6 year period. $6,000.00 Effective date 02/02/2013 $1,000,000.00 Effective date 08/15/2011 Expiration date 08/15/2014 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602298524&LIC=COMPLHS977NR&SAW= 01/02/2014