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Permit M14-0051 - BELFOR - LOWERED DROP IN BATHROOM AND OFFICES
BELFOR 4320 S 131 PL STE 100 M14-0051 Parcel No: Address: 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.gov 7349200095 4320 S 131 PL 100 Project Name: BELFOR MECHANICAL PERMIT Permit Number: Issue Date: Permit Expires On: M14-0051 2/24/2014 8/23/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: NORMED SHAW PTN PO BOX 3644 , SEATTLE, WA, 98124 REX LEWANDOWSKI 12311 21 AVE SE , EVERETT, WA, 98208 PRO CALIBER CONSTRUCTION CO 12311 21 AVE SE , EVERETT, WA, 98208 Phone: (425) 492-6560 Phone: (425) 492-6560 PROCACC890D1 Expiration Date: 3/21/2015 111 DESCRIPTION OF WORK: LOWERED EXISTING DROP IN BATHROOM AND OFFICES FOR TENANT IMPROVEMENT SUBJECT TO FIELD INSPECTION Valuation of Work: $500.00 Type of Work: NEW Fuel type: ELECT Fees Collected: $102.38 Electrical Service Provided by: SEATTLE CITY LIGHT 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 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Permit Center Authorized Signature: ti/` �/ Date: >)'V. 1 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. 9 Signature: Date: d Z V Ze3`1 Print Name: G'f) L I- U �✓ Det-,4 5z 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: ***ELECTRICAL PERMIT CONDITIONS*** 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296-46B WAC. 5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the building, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector. 6: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that presumes to grant this authority are therefore not valid. 7: Any change in the scope of work described by the electrical work permit shall require additional work permits. Where approved plans have been issued, revisions to the plans and additional review may be required. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1800 MECHANICAL FINAL 0701 ROUGH -IN MECHANICAL CITY OF TUKWI Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 littp://www.TukwilaWA.gov Mechanical Pe► .nit No. I" (4 MOOS-J Project No. Date Application Accepted: 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 21 g King Co Assessor's Tax No.: Site Address: 1/32° 5O7W 'J ` — /'e 5;,1,- M0 Suite Number: /44/0 Floor: Tenant Name: PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: r -�,� L -e w "ry Oa tzr$.k- Address: t2 3 It 2\ s ti A ,__. .C.C- City: ..' State: K% J2lL T? Zip: .B Q Phone: Fax: `C ,__ �ZS'y 2-6 5 G 6 Email: New Tenant: ❑ Yes No MECHANICAL CONTRACTOR INFORMATION _ Company Name: (°�l8� ���r Cd ` Address: i2 31, 2� j S'i A,e, F. City: r We— State: um.. Zip:7'24 f Phone: ws^ qZ_of‘U Fax: Contr Reg No p,2 j lLzog? D/ Exp Date: gam/ (6 Tukwila Business License No.: Valuation of project (contractor's bid price): $ SOO r— Describe the scope of work in detail: a.,J10 649_ L J s r©R- 7, 7. clot r¢Tel it-eavtn Use: Residential: New ❑ Replacement ❑ Commercial: New ❑ Replacement ❑ Fuel Type: Electric ❑ 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 >1 ook 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 2 3 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). 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 OR AUT IZE/D� AGENT: Signature: �°r`— Date: 2 2/- 2 / Print Name: Day Telephone: Mailing Address: City State Zip H:\Applications\Forms-Applications On Line \2011 Applications\Mechanical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 2 of 2 AUTHORIZATION FOR ALTERNATE PLAN SUBMITTAL (LIMITED SCOPE OF WORK) IBC & IRC Section 104.1 Date: O2k 1-1 Address: k'Q Permit/Application Number: 1'4 LL1-00S Tukwila, WA 981 Description of Work: M °uft do G v� J\ frrri (Kev-VO IAA is) ?L r ,&.. wove vtisC kIPtKk G L - kANOOk. PCA- (tc The above project permit applicant, due to the limited scope of work, is authoriz requirements described below: 1. Complete permit application(s): ❑ Building reduced plan Mechanical Plumbing/Gas Piping ❑ Electrical ❑ Other 2. Plan and/or Specification (minimum): ❑ Site Plan ❑ Floor Plan ❑ Cross Sections ❑ Roof Plan ❑ Elevations ❑ Foundation ❑ Structural Calcs ❑ Narrative ❑ Narrative WSEC Compliance 3. Required Inspections (only completed when to be issued over the counter): ❑ Framing ❑ Glazing Final ❑ Other: R019h /3/2e,04 A 4. Other Special Instructions: CAA l6 a- `ro r o t1,c-xEulro0 )4taci Date: / I (Authorization void 30 days after date) 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 431-3670 • Fax: 206 431-3665 W:\Permit Center\Templates\Forms\Auth for Reduced Plan Submittal.docx Cash Register Receipt City of Tukwila DESCRIPTIONS I ACCOUNT I QUANTITY I PermitTRAK PAID $234.16 M14-0051 Address: 4320 S 131 PL 100 Apn: 7349200095 $102.38 MECHANICAL $97.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $65.00 TECHNOLOGY FEE $4.88 TECHNOLOGY FEE R000.322.900.04.00 $4.88 PG14-0027 Address: 4320 S 131 PL 100 Apn: 7349200095 $131.78 PLUMBING $125.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $93.00 TECHNOLOGY FEE $6.28 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R1319 R000.322.900.04.00 $6.28 $234.16 Date Paid: Monday, February 24, 2014 Paid By: PRO CALIBER CONSTRUCTION CO Pay Method: CHECK 3167 Printed: Monday, February 24, 2014 2:48 PM 1 of 1 SYSTEMS 1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 'ermit Inspection Request Line (206) 431-2451 Type of, Inspection: Date Called: ,pecial Instructions: Date Wanted Requester: Phone No: 2Approved per applicable codes. Corrections required prior to approval. COMMENTS: REINSPECTION FEE REQUIRED. Prio ,.to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. T 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 LI-\ Projetb, 6 TYpe1 t�p1c ection:w., Add ess: 2.0 �3 t PC_- Date Called: Special Instructions: Date Wanted: al-m . Requester: Phone No: Approved per applicable codes. L Corrections required prior to approval: COMMENTS: Inspec 8r: t11 V-mil 1 ,A h . REINSPECTION FEE REQUIRED. Priorkto next inspection. fee must be pat 6300 Southcenter 81d.. Suite 100. Call to schedule reinspection. City of Tukwila Department of Community Development 7/1/2014 REX LEWANDOWSKI 12311 21 AVE SE EVERETT, WA 98208 RE: Permit No. M14-0051 BELFOR 4320 S 131 PL, SUITE 100 Dear Permit Holder: Jim Haggerton, Mayor 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 8/25/2014. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 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 8/25/2014, 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, Bill Rambo Permit Technician File No: M14-0051 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Pro Caliber Construction Co Page 1 of 2 4114 Washington State Depar fluent of Labor & industries Pro Caliber Construction Co Owner or tradesperson Lewandowski, Rex Lee Principals Lewandowski, Rex Lee Doing business as Pro Caliber Construction Co WA UBI No. 602 923 143 12311 21st Ave SE EVERETT, WA98208 425-492-6560 SNOHOMISH County Business type Individual Governing persons AMYCLAWANDOWSKI License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor License specialties GENERAL License no. PROCACC890D1 Effective — expiration 03/21/2011 — 03/21/2015 Bond Wesco Insurance Co Bond account no. 46wb020797 Active. Meets current requirements. $12,000.00 Received by L&I Effective date 03/26/2013 03/21/2013 Insurance Ohio Security Ins Co $500,000.00 Policy no. BLS55086927 Received by L&I Effective date 03/13/2013 03/21/2012 Expiration date 03/21/2014 Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602923143&LIC=PROCACC890D 1 &SAW= 02/24/2014