HomeMy WebLinkAboutPermit M14-0114 - SAPPHIRE - BLDG A - DUCTWORK, GRILLES AND DIFFUSERSSAPHIRE
14220 INTERURBAN AVE S
M14-0114
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
MECHANICAL PERMIT
Parcel No: 3365901881 Permit Number: M14-0114
Address: 14220 INTERURBAN AVE S Issue Date: 6/10/2014
Permit Expires On: 12/7/2014
Project Name: SAPPHIRE - BLDG A
Owner:
Name: BELLTOWN INVESTMENT PARTNER
Address: 2505 2ND AVE #520 , SEATTLE, WA,
98121
Contact Person:
Name: ADRIANA BONILLA Phone: (206) 367-2500
Address: 3132 NE 133RD ST, SEATLE, WA,
98125
Contractor:
Name: PSR-HVAC & MECHANICAL SERVICES
Address: PO BOX 27073 , SEATTLE, WA, 98165
License No: PSRHVMS924JT
Lender:
Name:
Address:
Phone: (206) 367-2500
Expiration Date: 4/30/2016
DESCRIPTION OF WORK:
DUCTWORK MODIFICATIONS, RELOCATING DIFFUSERS AND RETURN GRILLES. INSTALL 2 NEW DIFFUSERS AND 2
NEW RETURN GRILLES.
Valuation of Work:. $15,029.00
Type of Work: REPLACEMENT
Fuel type: GAS
Fees Collected: $402.68
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition: 2012 International Fuel Gas Code:
International Residential Code Edition: 2012 WA Cities Electrical Code:
International Mechanical Code Edition: - 2012 WA State Energy Code:
Uniform Plumbing Code Edition: 2012
Permit Center Authorized Signature:
2012
2012
2012
Date: i k (0'
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:
N)Q\(ikJfi 13G lot LLA
Date: 6 (IU (5.i
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: All construction shall be done in conformance with the Washington State Building Code and the
Washington State Energy Code.
2: 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.
3: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center.
4: 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.
5: ***MECHANICAL PERMIT CONDITIONS***
6: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center (206/431-3670).
7: 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.
8: 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
0701 ROUGH -IN MECHANICAL
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.
rill4ol/Y
Date Application Accepted:
Date Application Expires:
0.Skei// V
(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:
14220 Interurban Avenue South
Sapphire - Bldg A
King Co Assessor's Tax No.: 3365901881
Suite Number: 101A Floor: 1st
PROPERTY OWNER
Name: BELLTOWN INVESTMENT PARTNER
Address: 14220 INTERURBAN AVE S 98168
City: Tukwila State: WA Zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: Adriana Bonilla
Address: 3132 NE 133rd Street
City: Seattle State: WA Zip: 98125
Phone: (206) 367-2500 Fax: (206) 368-6856
Email: adriana.bonilla@psrmechanical.com
New Tenant: ❑ Yes
..No
MECHANICAL CONTRACTOR INFORMATION
Company Name: PSR Mechanical
Address: 3132 NE 133rd Street
City: Seattle State: WA Zip: 98125
Phone: (206) 367-2500 Fax: (206) 368-6856
Contr Reg No.: pSRHVMS924JT Exp Date: 04/30/2014
Tukwila Business License No •
602$1"11.9,5-
0'0 Ti)
Valuation of project (contractor's bid price): $ 15,029
Describe the scope of work in detail:
:Dvdwext raza-Clayho> ccu,-
cold 2 ,v.w 14.11,1Y\ OcylIdes
Use: Residential: New ❑ Replacement ❑
Commercial: New ❑ Replacement
Fuel Type: Electric ❑ Gas
[�] Other:
H:\Applications\Forms-Applications On Line\201 I ApplicationsVvlechanical Permit Application Revised 8-9-11.docx
Revised: August 2011
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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 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+
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 OWNER OR AUTHORIZED AGENT:
Signature:
Print Name: Adriana Bonilla
Mailing Address: 3132 NE 133rd Street
A:\Applications\Forms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-I 1 docx
Revised: August 2011
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Date: 51 .:9 )1/4
Day Telephone: (206) 367-2500
Seattle WA 98125
City State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
I ACCOUNT I QUANTITY
I PAID
$402.68
M14-0114 Address: 14220 INTERURBAN AVE 5 Apn: 3365901881
$402.68
MECHANICAL
$387.19
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$277.25
PLAN CHECK FEE
R000.322.102.00.00
0.00
$77.44
TECHNOLOGY FEE
$15.49
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R2233
'
R000.322.900.04.00
0.00
$15.49
$402.68
Date Paid: Thursday, May 29, 2014
Paid By: PSR MECHANICAL
Pay Method: CHECK 013015
Printed: Thursday, May 29, 2014 2:56 PM 1 of 1
CRWYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
(206) 431-3670
Project: r / f�
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Type of,Inspection:
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Address: j e
14 224 Jt J lJ1AA
Date Called:
Special Instructions:
Date Wanted
!
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7
— (4
<a�Tn.
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
OPIAA ,, z-0()fore
Insspector:
Date: ` J -�] _ (4
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO. PERMIT NO.
i
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
INSPECTION RECORD
Retain a copy with permit
Project.
t
Type of Inspection:_
Address: /
i 491 P
1rLi riItAf'
Date Called:
..._-,
Special Instructions:
Date Wanted:
(�
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4
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— 14 p.m.
Requester:
Phone No:
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6 (40
QApproved per applicable codes. O Corrections required prior to approval.
COMMENTS:
(i0 i r e (j,1,9 A C
Insp'ctor:
Dater ) it
4
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
I
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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
INSPECTION RECORD
Retain a copy with permit
Project:-
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Type o Inspection:
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Address: /
ate `Ca{led:
Special Instructions:
Date Wanted
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Requester:
Phone No:
Approved per applicable codes. EJ Corrections required prior to approval.
COMMENTS:
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Inspector:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd,'Suite 100. Call to schedule reinspection.
_1-44_1,) 1
Date: -14
INSTRUMENT USED: Alnor SERIAL #:
TESTED BY: Randy DATE: 10/28/2014
SYSTEM NO.
ADDRESS: PAGE: 1
Air Balance Report Ver. 1.0
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Bathroom
Storage
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AIR BALANCE DATA SHEET rriot _
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PROJECT: Fairway Center Bldg A Sapphire PROJECT #: P4908 PSDI Mechanical
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DESIGN
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INSTRUMENT USED: Alnor Balometer SERIAL #:
TESTED BY: Randy Horner DATE: 10/28/2014
SYSTEM NO.
ADDRESS: PAGE: 2
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AIR BALANCE DATA SHEET IT
PROJECT: Fairway Center Bldg A Saphire PROJECT #: P4908
PSR Mechanical
Boodinn f tti( ,t no/ .j J Su .t.iinabtli1y
REQUIRED
ROOM OPENING F. CFM TEST 1 CFM TEST 2 CFM TEST 3 CFM FINAL CFM REMARKS
East I 24x24 110 I 265 200 200 200
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INSTRUMENT USED: Alnor Balometer SERIAL #:
TESTED BY: Randy Horner DATE: 10/28/2014
SYSTEM NO.
ADDRESS: PAGE: 3
small office
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AIR BALANCE DATA SHEET
PROJECT: Fairway Center Bldg A Saphire PROJECT #: P4908 PSIt Mechanical
Bu,tding Effhcicncy and Sustanahtt+ty
t s ram.: t . iicor:: ncy
DESIGN
TAG OPENING DIA. CFM TEST 1 CFM TEST 2 CFM TEST 3 CFM FINAL CFM REMARKS
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PERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: M14-0114
PROJECT NAME: SAPPHIRE - BLDG A
DATE: 05/29/2014
SITE ADDRESS: 14220 INTERURBAN AVE S
X Original Plan Submittal
Response to Correction Letter #
Revision #
Revision #
before Permit Issued
after Permit Issued
DEPARTMENTS:
P C. o �H
Building Division
Public Works
PcAl tiY..��
Fire Prevention
Structural
n
Planning Division
Permit Coordinator
PRELIMINARY REVIEW:
Not Applicable
(no approval/review required)
REVIEWER'S INITIALS:
DATE: 06/03/14
Structural Review Required
DATE:
APPROVALS OR CORRECTIONS:
Approved
Corrections Required
(corrections entered in Reviews)
Approved with Conditions
Denied
(ie: Zoning Issues)
DUE DATE: 07/01/14
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping El PW ❑ Staff Initials:
12/18/2013
PSR-HVAC & MECHANICAL SERYTCES
Page 1 of 2
eri) Washington State Department of
Labor & Industries
PSR-HVAC & MECHANICAL SERVICES
Owner or tradesperson
O'MALLEY, JAMES J
Principals
O'MALLEY, JAMES J, MEMBER
HOGERTY, REAGAN P, MEMBER
BAVINS, NEIL JONATHAN, MEMBER
O'DONNELL, STEPHEN 0
(End: 04/12/2012)
RIST, STEVEN L
(End: 04/12/2012)
Doing business as
PSR-HVAC & MECHANICAL SERVICES
WA UBI No.
602 811 195
PO BOX 27073
SEATTLE, WA 98165
206-367-2500
KING County
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor Active.
Meets current requirements.
License specialties
GENERAL
License no.
PSRHVMS924JT
Effective — expiration
04/30/2008— 04/30/2016
Bond
International Fidelity Ins Co
Bond account no.
0649932
$12,000.00
Received by L&I Effective date
03/28/2014 03/26/2014
Expiration date
Until Canceled
Insurance
Zurich American Ins Co $1,000,000.00
Policy no.
GL0488649704
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602811195&LIC=PSRHVMS924JT&SAW= 06/10/2014