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HomeMy WebLinkAboutPermit M13-074 - BLACK BEAR YOGURT - LANDLORD - ALTERATIONBLACK BEAR YOGURT 17250 SOUTHCENTER PY SUITE 148 M13-074 City oftukwila 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.: 7888920020 Address: 17250 SOUTHCENTER PY TUKW Project Name: BLACK BEAR YOGURT - LANDLORD Permit Number: M13-074 Issue Date: 05/03/2013 Permit Expires On: 10/30/2013 Owner: Name: WIG PROPERTIES LLC -SS Address: 4811 134TH PL SE , BELLEVUE WA 98006 Contact Person: Name: DARREN SIMMONS Address: 3215 30 AV SE , PUALLUP WA 98374 Email: Contractor: Name: COMPLETE HEATING/AIR SERVICES Address: 3215 30 AV SE , PUYALLUP WA 98374 Contractor License No: COMPLHS977NR Phone: 253 208-6231 Phone: 253 840-2673 Expiration Date: 02/04/2015 DESCRIPTION OF WORK: LANDLORD PORTION: INSTALL (2) EXHAUST FANS AND ASSOCIATED VENTING FOR THE (2) NEW BATHROOMS Value of Mechanical: $1,000.00 Type of Fire Protection: SPRINKELRS/AFA Electrical Service Provided by: Permit Center Authorized Signature: Fees Collected: $197.81 International Mechanical Code Edition: 2009 Date: I hereby 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 mechanical permit and agree to the conditions on the back of this pe t. Signature: Print Name: Date: Srt3 /13 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. IAA," A.7A o.�n1...�• AC Al ')Al') PERMIT CONDITIONS Permit No. M13-074 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 plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206-431-3670). 9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206-431-3670). 10: 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. don: IMC -4/10 M13-074 Printed: 05-03-2013 CITY OF TUKV,4.hq Community Developme,. _ department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:/www.Tukw i laW A. Qov 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** `� c -D ( n King Co Assessor's Tax No.: Site Address: t SDt.A.* �C�vLit r 6 Ii LLOV Suite Number: / Lfg Floor: C Tenant Name: k"1 1 [:k. C k Oe VtV'- New Tenant: [ Yes ❑.. No LJ 'PROPERTY4OWNER » ..#.. ._ . j Name: / , -_`1'\ Address: Lta-C j 3 4.W P(_ 5 E City: 1_ State: cti , Zip. 2(f.. CONTAC ` P e e , n s• 1? Q �}�+ �� C((��'x:""`1'..�.�0^s' x Name: 1 City: C State: ��-f Zip. 7(3 7� / Phone 3 a- \Fax: ‘,1S3 Li b b' t ,5__1 S Address: 1 ?3-s6 SDLA. '+ C 4-er K--1-4)% � W � [C1 te: City:' 1- ,G'( Zip: Phone -3 __to ,toa, ax: ^, Email: ^ OAI�1 ('jt / �' PAN''' 1VIE ..0A CT10..RMt TION Company Name: P Y Lov L-, T -e C I ,til t- i , `C� Address: 3� t s 3 Y—Q , / s City: C State: ��-f Zip. 7(3 7� / Phone 3 a- \Fax: ‘,1S3 Li b b' t ,5__1 S Contr Reg No.:co Wv i vt S q7)N izsExp Date: /L/ / s ` Tukwila Business License No.: f2 PLY i Valuation of project (contractor's bid price): $ %©©D Describe the scope of work in detail: ,.1 ----)AS} X k.C-L u_s Fc-tA'l CL SS D Li' V.e-AA 1' A q f of fi'k-.e /V L-0 Use: Residential: New ❑ Commercial: New Fuel Type: Electric Gas Replacement Replacement Other: H\Applications\Forms-Applications On Line \2011 Applications\Mechanical Permit Application Revised 5-9-11.docx Revised. August 2011 bh Page 1 of 2 Indicate type of mechanical work being installed and the quantity below: Unit Type Qty Furnace <IOOk 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 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 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). 1 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 SITER OR AUTH0D AGENT: Signature: Date: Print Name: %)10L.c (-e AA. J i v.2 CNS S u/aK1 13 Day Telephone: Mailing Address: City State Zip H.\Applications \Forms -Applications On Line \20I I Applications\Mechanical Permit Application Revised 8-9-1 l.docx Revised August 2011 bh 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 RECEIPT Parcel No.: 7888920020 Permit Number: M13-074 Address: 17250 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 04/24/2013 Applicant: BLACK BEAR YOGURT Issue Date: Receipt No.: R13-01410 Payment Amount: $197.81 Initials: JEM Payment Date: 04/24/2013 11:28 AM User ID: 1165 Balance: $0.00 Payee: DARREN SIMMONS, COMPLETE HEATING & AIR SERVICES TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5089 197.81 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - NONRES PLAN CHECK - NONRES 000.322.102.00.00 158.25 000.345.830 39.56 Total: $197.81 a..... o......:..a nc Drin*crl• Ad_9d_9MZ 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: 3 t-ACA4 3EAe.`-{O&ure- r•Raltc�t-l-a Type of Inspection: NJ Address:, / 2 S C.) Go C om i OMI Date Called: v- 1 N` . u Special Instructions: \ , Date Wanted a.m: Requester: Phone No: -53-65G-6- 7'7., NZLApproved per applicable codes. COMMENTS: Corrections requiredprior to approval. (I) A-.1.p.(1J cc/ Vii, NM' • 1"A REINSPECTION FEE REQUIRED. Prior to text Inspection. fee must be paid at 6300 Southcenter Blvd) Suite 100/Can't§ �schedule.reinspection V i Date: SEPARATE PERMIT REQUIRED FOR: 0 Mechanical gi Electrical gi Plumbing CrGas Piping City of Tukwila BUILDING DIVISION DOOR SCHEDULE yam Si $f 8 1E a LOA M• • rALILA3 N+I 14" N VARAl1 SA. mA4IGN P OST MOMS XCX010 y AILNN p REMARKS A LLNAo sa,24• A AWN NCO Ie. Awl Alco ver i. .ma it S•,04• e u MAT A1. EAST L TAtO• Hl AK AFr AS Rx••• QOI M AVM A /e.NIAI d IP. DOOR TYPES OEM OTTE SOL WRY.IAN 1.0•0•1010 0004 0 EXIMOR AquN•0,4. LLL. © SM.ALA SOO MWL AOE RXMS N1Proe 3MJL e.M RN I' aA0[ LOOM ALA. nq 00LII TO Mom xELIOLDWOO WESlaws. ulna 01 NM D UNAPT L MEM MO AMKLA' EWE EIELATOOL TIE; OL A.LE1 ILO w MOLL ARY40R10 ODA SEM DOOR HARDWARE A INnu 12912 LOIXOT 1 Dm. OM OE 091 N I= • VALIG•6D ROOM FINISH SCHEDULE WALE LOVER OM (MORA M O=A APP. IKE Not N act Ywx TEM IELIIm A NAME AY 523.03 D POO O. 1AW M.AN1L1Alw.a VANES, TAxo VETE ' TAN sot 900 WALL TYPES /m NMM E@{L 3* NL MOM 2E8E TO AO, 1.92.0 GENERAL NOTES 1 APR= .0 MIO M AMEX. AT "d APP. 1 MEM! XX WEED MAM}tlRTOC.L U010110 ROM NM WM. IG. 10A01.Npl 8911Wl FILE COPY r� Permit No. M \( Plan review approval is subject to errors and omissions. Approval of construction documents does not authorize the violation of any adopted code or ordinance. Receipt of approv Field Copy and conms isadalowledged: REVISIC NS No changes shall be made to the sc of work without prix, approval of Tukwila Building Division. NOTE: Revisions will requir: a new plan submital and may include additional plan review fees. BY q3/13 City Of lbkwila BUILDING DIVISION r ' D sun 148 (AREA 2,887 8.F.( 148 KN) REVIEWED FOR CODE COMPLIANCE APPROVED APR 2 6 2013 lJ "Ad._ City o kwila BUILDING . IVISION O -1w - 0 0 0 ( c 0 =051140o 11' RECEIVED CITY OF TUKWII4 APR 2 4 2013 PERMIT CENTER =1 Mort. now MOM » 'S' BUILDING FLOOR PLAN @ SUITE 148 S 0 1 tool r.Na YY. r4• A3.0 - OA�IM1e NOO 61*RMl 1 t l O CF Yv‘ ,CSV\ v),44,„,„,„ u.+% ;-ti roti U � 1 REVIEWED FOR CODE COMPLIANCE APPROVED APR 2 6 2013 0 0 RECEIVED CITY OF TUKWILA C APR 2 4 2G`3 PERMIT CENTER 0 PERMIT COORD COP'' PLAN REVIEW/ROUTING SLIP ACTIVITY NUMBER: M13-074 DATE: 04/24/13 PROJECT NAME: BLACK BEAR YOGURT SITE ADDRESS: 17250 SOUTHCENTER PY, STE 148 X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: pc J cel. ?,Cit), Bui ing Division Public Works 1\t oq'jj' 13 • Fire Prevention Structural Planning Division ❑ Permit Coordinator ❑ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 04/25/13 Complete i, Incomplete ❑ Not Applicable ❑ Comments: Permit Center Use Only . INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials: TUESITHURS ROUTING: Please Route ❑ Structural Review Required ❑ No further Review Required 7 REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 05/23/13 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 0 Ping 0 PW 0 Staff Initials: Contractors or Tradespeople Pr ter Friendly Page • General/Specialty Contractor A business registered as a construction contractor with Lal 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 COMPLETE HEATING/AIR UBI No. 602298524 SERVICES Phone 2538402673 Status Active Address 3215 30Th Ave Se License No. COMPLHS977NR Suite/Apt. License Type Construction Contractor City Puyallup Effective Date 8/19/2003 State WA Expiration 2/4/2015 Date Zip 98374 Suspend Date County Pierce Specialty 1 Heating/Vent/Air-Conditioning And Refrig (Hvac/R) Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date SIMMONS, DARREN F Owner 08/19/2003 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 5 Wesco Insurance Co 46wb013495 02/02/2013 Until Cancelled $6,000.0001/08/2013 4 Navigators Ins Co 46BCO23052 02/02/2012 02/02/2013 03/15/2013 $6,000.0002/02/2012 3 American Contractors Indem CO 100154917 02/02/2011 02/02/2012 03/18/2012 $6,000.0002/17/2011 2 DEVELOPERS SURETY & INDEM CO (DENS) 357385c 02/02/2009 Until Cancelled 02/18/2011 $6,000.0002/04/2009 02/04/2009 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 7 Ohio Security Ins Co BKS54874869 08/15/2011 08/15/2013 $1,000,000.0007/25/2012 6 CAONKERS INS 46044000129770202/02/2011 02/02/2012 10/10/2011 $1,000,000.0001/28/2011 5 BANKERS INS 460440001297701 02/02/2010 02/02/2011 $300,000.0001/21/2010 4 BANKERS INS CO (BANI) 46044000129770002/02/2009 02/02/2010 $300,000.00 02/04/2009 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 httns://fortress.wa. aov/lni/bbin/Print. asnx 05/03/2013