HomeMy WebLinkAboutPermit D16-0294 - MINDFUL THERAPY GROUP / SUITE 220 - TENANT IMPROVEMENTMINDFULTHERAPY
GROUP
7 100 FORT DENT WAY
SUITE 220
D16-0294
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
DEVELOPMENT PERMIT
Parcel No: 2954900440 Permit Number: D16-0294
Address: 7100 FORT DENT WAY 220 Issue Date: 12/2/2016
Permit Expires On: 5/31/2017
Project Name: MINDFUL THERAPY GROUP
Owner:
Name:
JOHN C RADOVICH DEV CO
Address:
2835 82ND AV SE #S-1, MERCER
ISLAND, WA, 98040
Contact Person:
Name:
LINDA DUCEY
Phone: (206) 441-1449
Address:
1500 WESTLAKE AVE N, SUITE 1,
SEATTLE, WA, 98109
Contractor:
Name:
CARROLL CONSTRUCTION INC
Phone:
Address:
PO BOX 21, MERCER ISLAND, WA,
98040
License No:
CARROCIO55LO
Expiration Date: 7/14/2017
Lender:
Name:
JCR DEVELOPMENT
Address:
2835 82ND AVE SE, MERCER ISLAND,
WA, 98040
DESCRIPTION OF WORK:
INTERIOR TI TO AN EXISTING OFFICE SUITE ON THE 2ND FLOOR, SUITE 220 FOR OFFICE USE TO INCLUDE DEMO
OF DOORS. RELITES, AND PARTIANS, NEW CONSTRUCTION OF PARTITION, NEW DOORS AND RELITES, EXISTING
LIGHTING RELOCATED WITH SOME NEW FXITURES NO STRUCTURAL WORK AND NO ALTERATION TO THE
BUILDING CORE
Project Valuation: $250,000.00 Fees Collected: $4,741.72
Type of Fire Protection: Sprinklers:
Fire Alarm:
Type of Construction: Occupancy per IBC:
Electrical Service Provided by: TUKWILA Water District: TUKWILA
Sewer District: TUKWILA
ICurrent Codes adopted by the City of Tukwila: I
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Public Works Activities:
Channelization/Striping:
Curb Cut/Access/Sidewalk:
Fire Loop Hydrant:
Flood Control Zone:
Hauling/Oversize Load:
Land Altering:
Landscape Irrigation:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
2015 National Electrical Code: 2014
2015 WA Cities Electrical Code: 2014
2015 WAC 296-4613: 2014
2015 WA State Energy Code: 2015
2015
Volumes: Cut: 0 Fill: 0
Number: 0
Water Meter: No
Permit Center Authorized Signature. 1014111)l,
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 rmit e to thp conditioAs attached to this permit.
Signature VIYV'; Date:
Print Name: o
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: 'BUILDING PERMIT CONDITIONS'
2: 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.
3: 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.
4: The special inspections and verifications for concrete construction shall be as required by IBC Chapter 17,
Table 1705.3.
5: The special inspections for steel elements of buildings and structures shall be required. All welding shall be
done by a Washington Association of Building Official Certified welder.
6: New suspended ceiling grid and light fixture installations shall meet the seismic design requirements for
nonstructural components. ASCE 7, Chapter 13.
Partition walls shall not be tied to a suspended ceiling grid. All partitions greater than 6 feet in height shall
be laterially braced to the building structure. Such bracing shall be independent of any ceiling splay
bracing.
8: All construction shall be done in conformance with the Washington State Building Code and the
Washington State Energy Code.
9: There shall be no occupancy of a building until final inspection has been completed and approved by
Tukwila building inspector. No exception.
10: 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.
11: Every occupied space other than enclosed parking garages and buildings used for repair of automobiles
shall be ventilated in accordance with the applicable provisions of the International Mechanical Code.
12: 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).
13: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center.
14: 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.
15: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center (206/431-3670).
19: The total number of fire extinguishers required for a light hazard occupancy with Class A fire hazards is
calculated at one extinguisher for each 3,000 sq. ft. of area. The extinguisher(s) should be of the "all
purpose" (2A, 10 B:C) dry chemical type. The travel distance to any extinguisher must be 75' or less. (IFC
906.3) (NFPA 10, 5.4)
16: Portable fire extinguishers, not housed in cabinets, shall be installed on the hangers or brackets supplied.
Hangers or brackets shall be securely anchored to the mounting surface in accordance with the
manufacturer's installation instructions. Portable fire extinguishers having a gross weight not exceeding 40
pounds (18 kg) shall be installed so that its top is not more than 5 feet (1524 mm) above the floor. Hand-
held portable fire extinguishers having a gross weight exceeding 40 pounds (18 kg) shall be installed so that
its top is not more than 3.5 feet (1067 mm) above the floor. The clearance between the floor and the
bottom of the installed hand-held extinguishers shall not be less than 4 inches (102 mm). (IFC 906.7 and IFC
906.9)
17: Extinguishers shall be located in conspicuous locations where they will be readily accessible and
immediately available for use. These locations shall be along normal paths of travel, unless the fire code
official determines that the hazard posed indicates the need for placement away from normal paths of
travel. (IFC 906.5)
18: Fire extinguishers require monthly and yearly inspections. They must have a tag or label securely attached
that indicates the month and year that the inspection was performed and shall identify the company or
person performing the service. Every six years stored pressure extinguishers shall be emptied and
subjected to the applicable recharge procedures. if the required monthly and yearly inspections of the fire
extinguisher(s) are not accomplished or the inspection tag is not completed, a reputable fire extinguisher
service company will be required to conduct these required surveys. (NFPA 10, 7.2, 7.3)
20: Maintain fire extinguisher coverage throughout.
21: Egress doors shall be readily openable from the egress side without the use of a key or special knowledge
or effort. (IFC 1008.1.8.3 subsection 2.2)
22: Dead bolts are not allowed on auxiliary exit doors unless the dead bolt is automatically retracted when the
door handle is engaged from inside the tenant space. (IFC Chapter 10)
23: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10)
24: Door handles, pulls, latches, locks and other operating devices on doors required to be accessible by
Chapter 11 of the International Building Code shall not require tight grasping, tight pinching or twisting of
the wrist to operate. (IFC 1008.1.9.1)
25: Exits and exit access doors shall be marked by an approved exit sign readily visible from any direction of
egress travel. Access to exits shall be marked by readily visible exit signs in cases where the exit or the path
of egress travel is not immediately visible to the occupants. Exit sign placement shall be such that no point
in an exit access corridor is more than 100 feet (30,480 mm) or the listed viewing distance for the sign,
whichever is less, from the nearest visible exit sign. (IFC 1011.1)
26: Every exit sign and directional exit sign shall have plainly legible letters not less than 6 inches (152 mm) high
with the principal strokes of the letters not less than 0.75 inch (19.1 mm) wide. The word "EXIT" shall have
letters having a width not less than 2 inches (51 mm) wide except the letter "I", and the minimum spacing
between letters shall not be less than 0.375 inch (9.5 mm). Signs larger than the minimum established in
section 1011.5.1 of the International Fire Code shall have letter widths, strokes and spacing in proportion to
their height. The word "EXIT" shall be in high contrast with the background and shall be clearly discernible
when the exit sign illumination means is or is not energized. If an arrow is provided as part of the exit sign,
the construction shall be such that the arrow direction cannot be readily changed. (IFC 1011.6)
27: Aisles and aisle access ways serving as a portion of the exit access in the means of egress system shall
comply with the requirements of this section. Aisles or aisle access ways shall be provided from all
occupied portions of the exit access which contain seats, tables, furnishings, displays and similar fixtures or
equipment. The required width of aisles shall be unobstructed. (IFC 1017.1)
28: Exit signs shall be illuminated at all times. To ensure continued illumination for a duration of not less than
90 minutes in case of primary power loss, the sign illumination means shall be connected to an emergency
power system provided from storage batteries, unit equipment or on-site generator. (IFC 1011.6.3)
29: Emergency lighting facilities shall be arranged to provide initial illumination that is at least an average of 1
foot-candle (11 lux) and a minimum at any point of 0.1 foot-candle (1 lux) measured along the path of
egress at floor level. Illumination levels shall be permitted to decline to 0.6 foot-candle (6 lux) average and
a minimum at any point of 0.06 foot-candle (0.6 lux) at the end of the emergency lighting time duration. A
maximum -to -minimum illumination uniformity ratio of 40 to 1 shall not be exceeded. (IFC 1006.3.1)
33: Fire protection systems shall be maintained in accordance with the original installation standards for that
system. Required systems shall be extended, altered or augmented as necessary to maintain and continue
protection whenever the building is altered, remodeled or added to. Alterations to fire protection systems
shall be done in accordance with applicable standards. (IFC 901.4)
31: Sprinklers shall be installed under fixed obstructions over 4 feet (1.2 m) wide. (N.FPA 13-8.6.5.3.3)
30: All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department
review and approval of drawings prior to installation or modification. New sprinkler systems and all
modifications to sprinkler systems involving more than 50 heads shall have the written approval of Factory
Mutual or any fire protection engineer licensed by the State of Washington and approved by the Fire
Marshal prior to submittal to the Tukwila Fire Prevention Bureau. No sprinkler work shall commence
without approved drawings. (City Ordinance No. 2436).
34: A fire alarm system is required for this project. The fire alarm system shall meet the requirements of
N.F.P.A. 72 and City Ordinance #2437.
36: Maintain fire alarm system audible/visual notification. Addition/relocation of walls or partitions may
require relocation and/or addition of audible/visual notification devices. (City Ordinance #2437)
35: All new fire alarm systems or modifications to existing systems shall have the written approval of The
Tukwila Fire Prevention Bureau. No work shall commence until a fire department permit has been
obtained. (City Ordinance #2437) (IFC 901.2)
37: An electrical permit from the City of Tukwila Building Department Permit Center (206-431-3670) is required
for this project.
38: All electrical work and equipment shall conform strictly to the standards of the National Electrical Code.
(NFPA 70)
39: In order to provide you with the fastest police and fire protection under emergency conditions, please post
your suite, room or apartment number in a conspicuous place near the main entry door.
32: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances
#2436 and #2437)
40: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply
approval of such condition or violation.
41: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention
Bureau at (206)575-4407.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700
BUILDING FINAL"
0611
EMERGENCY LIGHTING
1400
FIRE FINAL
0409
FRAMING
0606
GLAZING
LATH & GYPSUM
0406 SUSPENDED CEILING
ILA
4P
0
G)
.P
90B
CITY OF TUKH - A
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
hLtp://www.Tukwi]aWA.jzov
Building Permit No. — V1W_
Project No.
Date Application Accepted: 0 ia�l
Date Application Expires:
(For o
ffice use only)
CONSTRUCTION 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 I
King Co Assessor's Tax No.: 2954900440
SiteAddress: 7100FortDentWay Suite Number: 220 Floor: 2nd floor
Tenant Name: Mindful Therapy Group New Tenant: ..... Yes Fl..No
PROPERTY OWNER
Name: John C. Radovich Development Co.
Address: 2385 82nd Ave. SE, suite 300
City: Mercer Island State: wA Zip: 98040
CONTACT PERSON — person receiving all project
communication
Name: Linda Ducey
Address: 1500 Westlake Ave. N. , suite one
City: Seattle State: wA Zip: 98109
Phone: (206) 441-1449 Fax:
Email: l.ducey@marvinstein.com
GENERAL CONTRACTOR INFORMATION
Company Name: Carroll Construction, Inc.
Address: P.O. Box 21
City: Mercer Island State: wA Zip: 98040
Phone: (206) 818-9556 Fax:
ContrRegNo.: CARROCI-055-LO ExpDate: 07/14/2017
Tukwila Business License No.: BUS -0997269
H:\Applications\Forms-Applications OnLine\2011 ApplicationsTertnit Application Revised - 8-9-1l.docx
Revised: August 2011
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ARCHITECT OF RECORD
Company Name: Marvin Stein Associates
Architect Name: Mark Evans
Address: 1500 Westlake Ave. N. , suite one
City: Seattle State: wA Zip: 98109
Phone: (206) 441-1449 Fax:
Email: m.evans@marvinstein.com
ENGINEER OF RECORD
Company Name:
Engineer Name:
Address:
City: State: Zip:
Phone: Fax:
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name: k ^ _7 ) T�%l Urn%� s, A,. -211A r—
Zip:
Page I of 4
BUILDING PERMIT INFORMATIC 206-431-3670
Valuation of Project (contractor's bid price): $ 250,000 Existing Building Valuation: $
Describe the scope of work (please provide detailed information):
Interior tenant improvements to any existing office suite on the second floor, suite #220, for office use to include demolition of
doors, relites, and partitions, new construction of partition, new doors and relites, existing lighting relocated with some new
fixtures. No structural work and no alterations to the building core.
Will there be new rack storage? F1 ..... Yes Z.. No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): 87,194 Floor area of principal dwelling: 36,830 Floor area of accessory dwelling: 0
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? El ....... Yes ....... No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0 ....... Sprinklers El ....... Automatic Fire Alarm E] ....... None El ....... Other (specify
Will there be storage or use of flammable, combustible or hazardous materials in the building? El ....... Yes El ....... No
If "yes, attach list ofmaterials and storage locations on a separate 8-112 " x I I " paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
El ....... On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
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Revised: August 2011 Page 2 of 4
Addition to
Type of
Type of
Existing
Construction per
Occupancy per
Existing
Interior Remodel
Structure
New
IBC
IBC
I ' Floor
0
2'd Floor
3,994
0
0
V-13 sprinkler
B -office
3rd Floor
0
Floors thru
0
Basement
0
Accessory Structure*
0
Attached Garage
0
Detached Garage
0
Attached Carport
0
Detached Carport
0
Covered Deck
0
Uncovered Deck
0
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): 87,194 Floor area of principal dwelling: 36,830 Floor area of accessory dwelling: 0
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? El ....... Yes ....... No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0 ....... Sprinklers El ....... Automatic Fire Alarm E] ....... None El ....... Other (specify
Will there be storage or use of flammable, combustible or hazardous materials in the building? El ....... Yes El ....... No
If "yes, attach list ofmaterials and storage locations on a separate 8-112 " x I I " paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
El ....... On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
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Revised: August 2011 Page 2 of 4
" . I .
PUBLIC WORKS PERAUT INFC ATION — 206-433-0179
Scope of Work (please provide detailed information):
Existing one (1) sink to remain in same location.
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
El ... Tukwila E] ... Water District # 125 E] Highline Renton
E] ... Water Availability Provided
Sewer District
El ... Tukwila E] ... Valley View Renton Seattle
El ... Sewer Use Certificate [:] ... Sewer Availability Provided
Septic System:
[] On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department.
Submitted with AnDlication (mark boxes which am
El ... Civil Plans (Maximum Paper Size — 22" x 34")
... Technical Information Report (Storm Drainage) El Geotechnical Report El ... Traffic Impact Analysis
... Bond El .. insurance El .. Easement(s) El Maintenance Agreement(s) [:] ... Hold Harmless — (SAO)
El ... Hold Harmless — (ROW)
Provosed Activities (mark boxes that aggly):
F1 ... Right-of-way Use - Nonprofit for less than 72 hours El Right-of-way Use - Profit for less than 72 hours
... Right-of-way Use - No Disturbance El Rigbt-of-way Use — Potential Disturbance
... Construction/Excavation/Fill - Right-of-way El
Non Right-of-way F1
El ... Total Cut cubic yards
0 ... Total Fill cubic yards
[] ... Sanitary Side Sewer
El ... Cap or Remove Utilities
El ... Frontage Improvements
El ... Traffic Control
El ... Backflow Prevention - Fire Protection
Irrigation
Domestic Water
El Work in Flood Zone
El Storm Drainage
El ..Abandon Septic Tank
El.. Curb Cut
El Pavement Cut
El Looped Fire Line
11
El Grease Interceptor
El Channelization
El Trench Excavation
El Utility Undergrounding
D ... Permanent Water Meter Size... WO #
El ... Temporary Water Meter Size.. WO #
El ... Water Only Meter Size ............ WO # El ... Deduct Water Meter Size
El ... Sewer Main Extension ............. Public El Private F1
El ... Water Main Extension ............. Public 0 Private El
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
n ... Water El ... Sewer El ... Sewage Treatment
Monthly Service Billing to:
Name: Day Telephone:
Mailing Address:
City State Zip
Water Meter Refund/Billinp-:
Name: Day Telephone:
Mailing Address:
city State Zip
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'� I
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 or more extensions of time for additional periods not exceeding 90 days each. Ile 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.
OR
Date: 10/26/2016
Print Narn�-/ Rebecca Da I fidson Day Telephone: (206) 267-6061
MailingAddress: 2385 82nd Ave. SE., Suite S -I Mercer Island WA 98040
City State Zip
H:\Applications\Foms-Applications On Line\2011 ApplicationsTennitAppliration Revised -8-9-11.docx
Revised: August 2011
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Page 4 of 4
DESCRIPTIONS
ACCOUNT
QUANTITY
PAID
PermitTRAK
$4,741.72
D16-0294 Address: 7100 FORT DENT WAY 220
Apn:2954900440
$4,741.72
DEVELOPMENT
$4,602.39
PERMIT FEE
ROOO.322.100.00.00
0.00
$2,786.60
PLAN CHECK FEE
ROOO.345.830.00.00
0.00
$1,811.29
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE
$139.33
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R9750
ROOO.322.900.04.00
0.00
$139.33
$4,741.72
Date Paid: Thursday, October 27, 2016
Paid By: REBECCA DAVIDSON
Pay Method: CREDIT CARD 47448G
Printed: Thursday, October 27, 2016 10:48 AM 1 of I rp-WISYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERM
. CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: Type of Inspection:
11411Y,O IV I- Z271kr,69-p Y' BOILDIN6- FINAL
Address: I Date Called:
-7100 tV� Zdr1Y7-,WAy —2-0
Special Instructions: Date Wanted, a.m.
C-07'1
Requester:
Phone No:
5�,Approved per applicable codes. E I Corrections required prior to approval.
COMMENTS:
Inspector: Date
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Catl. to scheclute reinspection.
INSPECTION RECORD
Retain a copy with permit I DI to
INSPECTION NO. PERMIT NO.
CITY OFTUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
1HIAPF01- 7"fAVY CACt)P
Type of Inspection:
64.�W;r
Address:
-71CO )0'-7r-,,D4V7—
Date Called:
- —
Special Instructions:
Date Wanted, A_ Z�
-7
Requester:
Phone No:
IgApproved per applicable codes. 1-1 Corrections required prior to approval.
COMMENTS:
G4/fi—`M�62-7
Inspector: 9 . ::� I Date: q, / 7
F—] REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Catl. to schedule reinspection.
INSPECTION RECORD. - ' C
i& )2qtl
Retain a copy with permit �k
INSPECTION NO. PERMIT NO.
CITY OFTUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
,W
MIA)brV-L- 771W?4)OY K
T of Inspection:
�;�'o�jyba' a&wx-
Address:
Date Called:
-71gy bkv,/
Special Instructions:
Date Wanted: a
p.m.
Requester/ X
—/Zy"
Phone No:
14""l-15f1l Z30711y&-
Approved per applicable codes. MCorrections required prior to approval,
F-1 %.—.r
COMMENTS:
/Hod, MV (-4 L- -/ff
.51(SIVXD oAlf W�zA>tf (IalLIN&- 6RLO
4AL-
Inspector: LI -14-5 I Date: ;- —�3 —1-7
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 OFTUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
Type of Inspection:
Address:
716b
Date Called:
Special Instructions:
.22
Date Wanted: a.m.
77— —14> p. M.
Requester:
Phone No:
KApproved per applicable codes. Corrections required prior to approval.
Inspector: Date-
-a 16-17
F-1 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
INS7F-CTION NU7— PERMIT NO.
CITY OFTUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
Ty�e�nspection:
)A
Address:
Date Called:
)/00 UAV
Special Instructions: ?Z0
Date Want --4: a.m.
m.
Requestef:
FCh4
Phone No: Y
2C6-5-71- 2!93?---, 1
CA LL
MApproved per applicable codes. E] Corrections required prior to approval.
I I paid at 6300 Southcenter Blvd., Suite 100. Catl. to schedule reinspection.
@1
INSPECTION RECORD
Retaiiin a copy with'permit
INSPECTION NUMBER PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project:
IIRItJDF�L
Type of Inspection;-
F7(9,F— �7�,J AL--'
Address:
#: 'Fl6b
Contact Person:
77
-Suite
Special Instructions:
Phone No.:
—1 Corrections required prior to approval.
-?5�Approved per applicable codes. I
COMMENTS:
67
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
Inspector: f -W S-�4— Date: Hrs.:
F-] $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from
the City of Tukwila Finance Department. Call to schedule a reinspection.
tiiiiing AOCIreSS
Attn: Company Name:
Address:
city: State: zip:
Word/Inspection Record Form.Doc 3/14/14 T.F.D. Form F.P. 113
INSPECTION RECORD
Retain a copy with permit
INSPECTION NUMBER
U L —1
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project:
Type of Inspection:
Address: -7/ 1 Ob
suite #:
Contact Person:
Special Instructions:
Phone No.:
4 Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
UOC A H T�
inspector: Date: -
�10 2-// Hrs.: 1.0
F� s100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from
the City of Tukwila Finance Department. Call to schedule a reinspection.
timing ACIaress
Attn: Company Name:
Address:
City: State: zip:
Word/Inspection Record Form.Doc 3/14/14 T.F.D. Form F.P. 113
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
inspector: Date: -
�10 2-// Hrs.: 1.0
F� s100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from
the City of Tukwila Finance Department. Call to schedule a reinspection.
timing ACIaress
Attn: Company Name:
Address:
City: State: zip:
Word/Inspection Record Form.Doc 3/14/14 T.F.D. Form F.P. 113
F r
�V.12
AJ
INSPECTION RECORD A, - 5 2 -�;Z-
Retain a copy with permit D, 9
INSPECTION NUMBER PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project:
111111119(,,-,�f / -7-4,"',
Type of Inspection:
var
Address:
Suite #: -7/oo e)
Contact Person:
Monitor:
Pre -Fire:
Special Instructions:
Phone No.:
go'Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
j6l,� It
6OV41 IA,11 �P�o
17 nj
o� JJ IV- 11A-,,&-'� ke
0�� OZ6!�
WI -1 j 1147"
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
Inspecto—r: , 4- z� -
5 � Date: //,� // 21 Hrs.:
[—] $100.00 REINSPECTION FEE REQUIRED.' You will receive an invoice from
the City of Tukwila Finance Department. Call to schedule a reinspection.
Billing Address
I Attn: Fcompany Name:
Address:
city: state: zip:
Word/Inspection Record Form.Doc 3/14/14
T.F.D. Form F.P. 113
r
PERMIT 0`00131) COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: D16-0294
DATE: 11/07/16 1
PROJECT NAME: MINDFUL THERAPY GROUP
SITE ADDRESS: 7100 FORT DENT WAY
X Original Plan Submittal
Response to Correction Letter #
DEPARTMENTS:
/�T 4fAIC
Building Division
,,x
Revision # before Permit Issued
Revision # after Permit Issued
)m ."& 4�0
Fire Prevention
L,Ajf!> tp
Planning Division
Pubric W r s Structural F-1 Permit Coordinator
PRELIMINARY REVIEW: DATE: 11/08/16
Not Applicable El Structural Review Required F]
(no approvallreview required)
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 12/06/16
Approved 1:1 Approved with Conditions El
Corrections Required F1
(corrections entered in Reviews)
Notation:
REVIEWER'S INITIALS:
Denied El
(ie: Zoning Issues)
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg 0 Fire 0 Ping El PW r-1 Staff Initials:
12/18/2013
CARROLL CONSTRUCTION INC Page I of 2
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Washington State Department of
Labor & Industries
I CARROLL CONSTRUCTION INC I
Owner or tradesperson
Principals
CARROLL, KELLY J
Doing business as
CARROLL CONSTRUCTION INC
WA UBI No.
601 637832
P.O. Box 21
MERCER ISLAND, WA 98040
206-232-8040
KING County
Business type
Corporation
ILicense I
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.
CARROCIO55LO
Effective — expiration
06/20111995— 07/1412017
Bond
DEVELOPERS SURETY & INDEMNITY
$12,000.00
Bond account no.
188965C
Received by L&I
Effective date
05130/2002
05/1512002
Expiration date
Until Canceled
I.n.s-urar!ce-
West American Ins Co
$1,000,000.00
Policy 110.
BKW52958436
Received by L&I
Effective date
05111/2016
06/01/2015
Expiration date
06/01/2017
Insurance history
Savings
No iivings accounts during the previous 6 year period.
Lawsuits against the bond, o!��sayings
No fiiiiu- fts'-a-g iin-it-tfii b o' n -d or . s . avings accounts during the previous 6 year period.
L&I Tax debts
461KIiii'dibts are recorded for this contractor license during the previous 6 year period, but some debts
may be recorded by other agencies.
License Violations
No fic, e- n -i e ilo-liflo-ns during the previous 6 year period.
I I
Trades & Licensing
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