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Home My WebLink AboutPermit M15-0013 - PROVIDENCE HEALTH & SERVICES - VAV BOXES AND GRIDSPROVIDENCE HEALTH & SERVICES 2811 S 102 ST M15-0013 Parcel No: Address: Project Name: 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 0423049190 Permit Number: M15-0013 2811 S 102ND ST 200 PROVIDENCE HEALTH & SERVICES Issue Date: 2/19/2015 Permit Expires On: 8/18/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: SABEY CORPORATION FOURTH FLOOR 12201 TUKWILA INTERN'L BLVD, SEATTLE, WA, 98168 KEITH RICE 7717 DETROIT AVE SW , SEATTLE, WA, 98106 MACDONALD MILLER FACIL SOLUTIO PO BOX 47983 , SEATTLE, WA, 98146- 7983 MACDOFS980RU ! 11 Phone: (206) 407-2676 Phone: (206) 768-4180 Expiration Date: DESCRIPTION OF WORK: RELOCATED (4) VAV BOXES, RELOCATE APPROX. (12) GRD'S AND INSTALL APPROX. (8) GRD'S PER PLANS. MISC DUCTWORK. Valuation of Work: $8,400.00 Type of Work: REPLACEMENT Fuel type: ELECT Fees Collected: $126.76 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: TUKWILA Sewer District: VALLEY VIEW SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2012 2012 2012 2012 2012 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2012 Permit Center Authorized Signature: Date: 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: Lam/ / S.a Date: 2//9/S 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: Work shall be installed in accordance with the approved construction documents, and any changes made during construction that are not in accordance with the approved construction documents shall be resubmitted for approval. 2: 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. 3: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 4: 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. 5: 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). 6: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 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. 8: ***MECHANICAL PERMIT CONDITIONS*** 9: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431-3670). 10: 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 TUKWL Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Mechanical Permit No. IA t tcj Do Project No. Date Application Accepted: Date Application Expires: -44c' 2-4-16 (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.: 0423049190 Site Address: 2811 S 102ND ST TUKWILA, WA 98168 Suite Number: 200 Floor: 2 Tenant Name: RIVERFRONT TECH PARK - PROVIDENCE PROPERTY OWNER Name: SABEY CORPORATION Address: 12201 TUKWILA INT'L BLVD City: TUKWILA State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: KEITH RICE Address: 7717 DETROIT AVE SW Zip: City: SEATTLE State: WA 98106 Phone: (206) 407-2676 Fax: (206) 407-2677 Email: keith.rice@macmiller.com New Tenant: ❑ Yes 10 ..No MECHANICAL CONTRACTOR INFORMATION Company Name: MACDONALD MILLER Address: 7717 DETROIT AVE SW City: SEATTLE State: WA Zip: 98106 Phone: (206) 768-4278 Fax: (206) 768-4279 Contr Reg No.: MACDOFS980RU Exp Date: 01/03/2017 Tukwila Business License No.: BUS-0100868 Valuation of project (contractor's bid price): $ 8,400 Describe the scope of work in detail: RELOCATE (4) VAV BOXES, RELOCATE APPROX. (12) GRD'S AND INSTALL APPROX. (8) GRD'S PER PLANS. MISC DUCTWORK. Use: Residential: New ❑ Replacement ❑ Commercial: New ❑ Replacement Fuel Type: Electric Gas ❑ Other: H:\Applications\Forms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-1 I.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 > l 00k btu Floor furnace Suspended/wall/floor mounted heater Appliance vent Repair or addition to heat/refrig/cooling system Air handling unit <10,000 cfm 4 Unit Type Qty Air handling unit >10,000 cfin Evaporator cooler Ventilation fan connected to single duct Ventilation system Hood and duct Incinerator — domestic Incinerator — comm/industrial Unit Type Qty Fire damper Diffuser 20 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 0 AUTHORIZED A Signature: �1 Print Name: DARLA DOLL Mailing Address: 7717 DETROIT AVE SW Date: 02/03/2015 Day Telephone: (206) 768-4278 SEATTLE WA 98106 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 Cash Register Receipt City of Tukwila Receipt Number R4460 DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $308.12 M15-0013 Address: 2811 S 102ND ST 200 Apn: 0423049190 $126.76 MECHANICAL $121.88 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $65.00 PLAN CHECK FEE R000.322.102.00.00 0.00 $24.38 TECHNOLOGY FEE $4.88 TECHNOLOGY FEE R000.322.900.04.00 0.00 $4.88 PG15-0008 Address: 2811 S 102ND ST 200 Apn: 0423049190 $181.36 PLUMBING $174.38 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $107.00 PLAN CHECK FEE R000.322.103.00.00 0.00 $34.88 TECHNOLOGY FEE $6.98 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R4460 R000.322.900.04.00 0.00 $6.98 $308.12 Date Paid: Wednesday, February 04, 2015 Paid By: MACDONALD MILLER Pay Method: CHECK 4126 Printed: Wednesday, February 04, 2015 1:11 PM 1 of 1 CRSYSTEMS re_ Irdl.INSPECTION RECORD Retain a copy with permit .fA 15=00 G CITY OF TUKVVILA BUILDING DIVISION I ION N . PERMIT NO. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Pro t: rr )14 &.,/ • ' (-€- Type of Ins extion: A(eC4(P Atm (6 titc;1 ff. Date Called: Special Instructions: 444 Date Wanted: 3- 2-7 --(5—. a.rn. Pan. RequesteLsue, Phone No: IS] Approved per applicable codes. Corrections required prior to approval. COMMENTS: -1664407pL1 c4- z-pkivci Inspector: Date3,2...7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 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) 438-9350 Alc-co f3 Projgct: , POrmlidut-c-e- Type,pf Inspection: go av--TAA 4tex,-4, Address: SI-v-9--t Date Call Special Instructions: t,....2,00 p‘ivi Date Wanted: 3 — ro — (5- a.m. p.m. 'Requester:, Nca 4:5(h- & '41t-qC b Phone No: Approved per applicable codes. Corrections required prior to approval. OMMENTS: Inspector: _ Date:3 ro REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: M15-0013 DATE: 2-4-15 PROJECT NAME: RIVERFRONT TECH PARK - PROVIDENCE SITE ADDRESS: 2811 S 102ND ST, SUITE 200 X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: A.4 Awe, t-44 Building Division Public Works Fire Prevention Structural Planning Division Permit Coordinator PRELIMINARY REVIEW: Not Applicable (no approval/review required) REVIEWER'S INITIALS: DATE: 2-5-15 Structural Review Required DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required n Approved with Conditions Denied (corrections entered in Reviews) (ie: Zoning Issues) Notation: DUE DATE: 3-5-15 REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 MACDONALD/MILLER FAC SOI TNC Page 1 of 3 Horne Inicio en Espanol Contact Search L&I tWalfi A-Z.Index Help My Secure L&I Safety Claims & Insurance Workplace Rights Trades & Licensing 41 Washington State Department of Labor & Industries MACDONALD/MILLER FAC SOL INC Owner or tradesperson SIMONDS, DERRICK R Principals SIMONDS, DERRICK R, PRESIDENT WEBSTER, MARK E, VICE PRESIDENT GEBHARDT, STEPHANIE WETTACH, TREASURER HOEL, STEPHANIE W, MEMBER SIGMUND, FREDRIC, PRESIDENT (End: 01/04/2011) LOVELY, STEVE C, VICE PRESIDENT (End: 01/04/2011) HACK, RICHARD, SECRETARY (End: 01/04/2011) KOPET, TYLER, TREASURER (End: 01/04/2011) TURLEY, DOUGLAS, CHIEF EXECUTIVE OFFICER (End: 01/04/2011) TURLEY, DOUGLAS, CHIEF OPERATING OFFICER (End: 01/04/2011) GOUGH, DAVID ANTHONY, DIRECTOR (End: 08/29/2014) Doing business as MACDONALD/MILLER FAC SOL INC WA UBI No. 602 254 260 PO BOX 47983 SEATTLE, WA98106 206-768-4180 KING County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor License specialties GENERAL License no. MACDOFS980RU Effective — expiration 12/31/2002— 01/03/2017 Bond ............... LIBERTY MUTUAL INS CO Bond account no. 023006951 Active. Meets current requirements. $12,000.00 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602254260&LIC=MACDOFS980RU&SAW= 02/19/2015