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Permit PG10-122 - DRA PROFESSIONAL BUILDING
DRA PROFESSIONAL BUILDING 13530 53 AV S PG1O-122 Parcel No.: Address: City onukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspectio n Request Line: 206- 431 -2451 Web site: http: / /www.ci.tukwila.wa.us 0003000038 13530 53 AV S TUKW PLUMBING /GAS PIPING PERMIT Project Name: DRA PROFESSIONAL BUILDING Permit Number: Issue Date: Permit Expires On: PG10 -122 09/28/2010 03/27/2011 Owner: Name: Address: Contact Person: Name: Address: Email: Contractor: Name: Address: Contractor PRATEJ LLC 17000 SE 65TH PL , BELLEVUE WA 98006 JEFF ALLEY 37423 239 AV SE , ENUMCLAW WA 98022 JALLEY10 @MSN.COM ALLEY PLUMBING COMPANY 37423 239 AV SE , ENUMCLAW WA 98022 License No: ALLEYPC948KZ Phone: 253 - 569 -5168 Phone: 360 - 802 -0457 Expiration Date: 05/09/2012 DESCRIPTION OF WORK: PROVIDE ALL PHASES OF PLUMBING, (GROUND WORK , ROUGH -IN AND TRIM). PROVIDE AND INSTALL WATER AND WASTE SYSTEM FOR BUILDING Value of Plumbing /Gas Piping: $19,000.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $408.19 International Fuel Gas Code Edition: 2009 Permit Center Authorized Signature: Date: f `d-e--1 U 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 he performance of work. m authorized to sign and obtain this plumbing /gas piping permit. Signature: Print Name: Date: 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. doc: UPC -4/10 PG10 -122 Printed: 09 -28 -2010 • �J��1�Lq wqs 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.ci.tukwila.wa.us Parcel No.: 0003000038 Address: Suite No: Tenant: 13530 53 AV S TUKW DRA PROFESSIONAL BUILDING • PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG10 -122 ISSUED 09/09/2010 09/28/2010 1: ** *PLUMBING AND GAS PIPING * ** 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R -3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor /ceiling assemblies and fire - resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: All new plumbing fixtures installed in new construction and all remodeling involving replacement of plumbing fixtures and fittings in all residential, hotel, motel, school, industrial, commercial use or other occupancies that use significant quantities of water shall comply with Washington States Water Efficiency and Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section 402 of Washington State Amendments. 13: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. * *continued on next page ** doc: Cond -10/06 PG10 -122 Printed: 09 -28 -2010 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: htqx//www.ci.tulcwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: Date: (29(zoco doc: Cond -10/06 PG10 -122 Printed: 09 -28 -2010 CITY OF TUKAPA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://tvww.citukwila.wa.us • Plumbing/Gas Permit No. 17C, J 0— \.3-2. Project No. (For office use only) PLUMBING / GAS PIPING 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: 13530 53rd Ave. S. Tukwila, WA 98168 Tenant Name: King Co Assessor's Tax No.: 000300003803 Suite Number: Floor: New Tenant: ❑ Yes ❑..No Property Owners Name: PRATEJ, LLC Mailing Address: 17000 SE 65TH PL BELLEVUE City WA 98006 State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: JEFF ALLEY Mailing Address: 37423 239TH AVE SE E -Mail Address: lalleyl0 @msn.com Day Telephone: (253) 569 -5168 ENUMCLAW WA City State Fax Number: (360) 802 -0457 98022 Zip PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: ALLEY PLUMBING COMPANY Mailing Address: 37423 239th Ave SE Enumclaw Wa 98022 Contact Person: JEFF ALLEY E -Mail Address: jalleyl0 @msn.com Contractor Registration Number: ALLEYPC948KZ ENUMCLAW WA City State Day Telephone: (253) 569 -5168 Fax Number: (360) 802 -0457 Expiration Date: 05/09/2012 98022 Zip ARCHITECT OF RECORD - All plans must be stamped by Architect of Record Company Name: Kovach Architects Mailing Address: 2115 Colby Ave Contact Person: Austin Kovach E -Mail Address: Austin @kovacharchitects.com Everett City WA State 98201 Day Telephone: (425) 259 -0609 Fax Number: (425) 745 -0897 Zip ENGINEER OF RECORD - All plans must be stamped by Engineer of Record Company Name: DCI. Engineers Mailing Address: 10900 NE 4th St. Contact Person: Greg Gilda E -Mail Address: Bellevue City WA State Day Telephone: (425) 827 -2238 Fax Number: (425) 827 -8986 98004 Zip H:\ApplicationsWonns- Apphcauons On tane\2010 Apphcauons \7 -2010 - Plumbing -Gas Piping Pemut Applicelondoc Revised: 7 -2010 at Page 1 of 2 Valuation of Project (contractor's bid 110: $ 19,000 • Scope of Work (please provide detailed information): PROVIDE ALL PHASES OF PLUMBING,GROUND WORK ROUGH IN AND TRIM .PROVIDE AND INSTALL WATER AND WASTE SYSTEM FOR BUILDING Building Use (per Int'I Building Code): Occupancy (per Intl Building Code): Utility Purveyor: Water: Cascade Water Alliance Sewer: City of Tukwila Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) 2.0 Food -waste grinder, commercial Floor Drain �� Shower, single head trap Lavatory 3 Wash fountain Receptor, indirect waste Sinks 1'� Urinals Water Closet Building sewer and each trailer park sewer tl M Rain water system — per drain (inside building) Water heater and/or vent ) Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment Repair or alteration of drainage or vent piping Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller l Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets PERMIT APPLICATION$IOTES - 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 an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International Plumbing 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 AUTHORIZE Signature: Print Name: JEFF ALLEY Day Telephone: 253 - 569 -5168 Mailing Address: 37423 239th Ave SE Enumclaw WA 98022 Zip Date: 9/9/2010 Date Application Accepted: 1 ,4 City State Staff Initials: I Date Application Expires: r t H:IApplications\Forms- Applications On Line \2010 Applications? -2010 - PhunbingGas Piping Permit Application.doc Revised: 7 -2010 bh Page 2 of 2 Parcel No.: Address: Suite No: Applicant: 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.ci.tukwila.wa.us 0003000038 13530 53 AV S TUKW DRA PROFESSIONAL BUILDING RECEIPT Permit Number: Status: Applied Date: Issue Date: PG10 -122 ISSUED 09/09/2010 09/28/2010 Receipt No.: R10 -02184 Initials: LAW User ID: 1632 Payment Amount: $63.00 Payment Date: 10/28/2010 10:16 AM Balance: $0.00 Payee: ALLEY PLUMBING TRANSACTION LIST: Type Method Descriptio Amount Payment Check Authorization No. 7688 63.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 Total: $63.00 63.00 doc: Receiot -06 Printed: 10 -28 -2010 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.ci.tukwila.wa.us RECEIPT Parcel No.: 0003000038 Permit Number: PG 10 -122 Address: 13530 53 AV S TUKW Status: PENDING Suite No: Applied Date: 09/09/2010 Applicant: DRA PROFESSIONAL BUILDING Issue Date: Receipt No.: R10 -01780 Initials: User ID: WER 1655 Payment Amount: $408.19 Payment Date: 09/09/2010 09:08 AM Balance: $0.00 Payee: ALLEY PLUMBING TRANSACTION LIST: Type Method Descriptio Amount Payment Check 7666 408.19 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES PLUMBING - NONRES 000.345.830 81.64 000.322.103.00.00 326.55 Total: $408.19 PAYMENT R doc: Receiot -06 Printed: 09 -09 -2010 'INSPECTION _RECORD Retain a copy with permit INSPECTION NO. `PERMIT NO. Ito -1), CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: Type of Inspecti n: NI J g Address: ' Address: _ 3 AUK (253 o Date Called: Special Instructions: Date Wanted:. t� ��d.1n, p.m. Requester: Phonne N�o: � ''4 `73 -5373 Approved per applicable codes. Corrections required prior to approval. COMMENTS: "r` go.; L etv.AQ le l =%Ajv1 I nspe •r: Date: ,w--, 1 .J c ...t e- ail- 1 1 EINSPECTION FEE REQUI ° ED. Prior to ext inspection, fee must be at 6300 Southcenter Blva., Suite 100. all to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION IL 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: Type of Inspection: p Address: re 17% X30 �3 A-7A Date Called: �... -- Special Instructions: ,, U'— U Q S e Date Wanted: ,( CJ '-_ wit ...rq,. p.m. Requester: Phone No• _.x'73 _8:373 ElApproved per applicable codes. J Corrections required prior to approval. COMMENTS: CD i6iiNk 11.. -1----1d14)— b'u . (t,1_1 ,,J J , ,,x4,4,,,/ wcfck 1) S A ( (4 -11---,4 , N€' IFJ 6 The 6...1.-sP 60- 1...Apk -ke Ifispectd • r,U,.,...._ 1 n R INSPECTION FEE REQ RED. Prior next inspection, fee must be p id at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: _ , INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION k- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 /22 (206) 431 -3670 Project: A 4) 4- P, ?oPss'oar91 Type of Inspection: . i ?4n,(9 h - / 4./ - )')Ai.,4 A Address: /353, '? Oil S Date Called: Special Instructions: 6, fl ` e/7 ■4/3 — c, / Date Wanted: a.m. ,_?-e--// �n) Requester: Phone No: .2 D 6 2 '2 - 5',?5" 5" Of per applicable codes. ❑ Corrections required prior to approval. COMMENTS: D \J\J J 0/ J ✓J 9--0 /2.6 e)F Inspect Date _ &- — t n 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) 431 -2451 1-- o ec : P/1� (1 �T�lpe . 0t./I ®•" o Inspection: Iry JA 6 v Jar) Acldress:, �. 1 13)30 53 Arc,k $. Date Called: Special Instructions: D44 0 F--(3( A- ► '? Date Wanted: : P �(0 Zg '--/ 0 Requester: Ph 7.0 C, — e?-4 Z. -'3S Approved per applicable codes. El Corrections required prior to approval. COMMENTS: C ! rt l.G 0.14 l t.Jeil/ - (161-44,/} /1,Ve A/c L./"' � tt V�/ A- 7 P J .<717414 .- ;k Inspe pr: Date: ! l� - z 5 —/O INSPECTION FEE ,EQUIRED. rior- to next inspection, fee must be id at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. 42. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Prooiectt: %� ({)RA Pr1fFs5,�A4/ Type of Inspection: �j /� /� C :i/30Ar.X v"'"/ iz. Address: i Date Called: Special Instructions: Date Wanted: a.m. Requester: Phone No: '? (L " 2-14 7—_--'9355 Approved per applicable codes. • Corrections relied prior to approval. 4 COMMENTS: p �^ 1)4 Fla/41]P - o-N4 or: Date: BB PECTION FEE'EQUIRE . Prior to next inspection, fee must be d at 6300 Southcen er Blvd.. Suite 100. Call to schedule reinspection. Sep 12 11 11:30a Landmark / Mark or Elisa 253 -840 -1157 Woodland Gardens 253 - 881393 Woodland Gardens Construction, INC. 253 -405 -0888 96 10 - f 212 BACKFLOW PREVENTION ASSEMBLY TEST REPORT `pc, I NAME OIL PREMISE _ ZA12;- J 4 L / iito/,✓ Commercial/2( RcshleMiul 0 SERVICE ADOR+SS /3S o J 3(4 j9tAi s CLTY,7 k✓ 114 ZIP C706 CONTACT PERSON PHONE ( ) FAX ( LOCATION 01? ASSEMBLY h✓L'Sf .S'e& of Z )'411Nk PREMISE ISOLATION (or) IN- PREMISE ISOLATION DOWNSTREAM PROCESS ZgR1t,.14l ,_' DCVA RPBA Q PVRA 0 O1 Hi;R NEW INSTALL XIS LNG /❑� REPLACEMENT ❑ 01.D SER. # PROPER INSTALLATION' YE &NO ❑ MAKE OF ASSEMBLY J/J�I..S MODEL 497.5-0 X4-f SERIAL NO.3 `%9 8z 6t SIZE e ,J INITIAL TEST PASSED FAILED 0 DCVA / IIPBA PCVA / RPBA PVRA/SVBA CHECK VALVE NO.I CHECK VALVE NO-? ____► OPENED AT PSID AIR INLET OPENED AT PSID LEAKED ❑ ,Z " PSID LEAKED ❑ 1 d PSID #1 CHECK PSID DID NOT OPEN AIR GAP OK? NEW PARTS AND REPAIRS C MAN NIE►I.ACE PANT CLUAN ❑ ❑ RI:PIACIi PANT 0 0 Cl.f!Ale REM AVE rAMT 0 ❑ ____ ❑ ❑ -"—" CHECK VALVE HELD AT PSID ❑ ❑ ❑ LEAKED ❑ ❑ ❑ ❑ ❑ • ❑ CLEANED ❑ REPAIRED ❑ ❑ 0 0 0 0 '-- TESP AFTER REPAIRS PASSED ❑ FAILED ❑ LEAKED ❑ PSID OPENED AT AIR INLET PSID LEAKED ■ PSID _PSID in CHECK PSID CHK VALVE PSID MR GAP INSPECTION: Required minimum air pyl xeinnaiaa pmrided7 Yes 0 No ❑ Detector Meter Reo4lag REMARKS: v , CONFINED SPACE? "ft) LINE. PRESSURE /2 -'DPSI CERT. NO. 83 354 DATE /. �„ // TASTERS SIGNATURE: TESTERS NAIVE PRIIVTEf: JASON ANDERSON TESTERS PHONE I< ( 253 ) 405-0888 REPAIRED 1IY: FINAL. TEST AY: CERT- NO. DATE DATE CALIIIRATION DATE t / , f I GAUGE r 01070437 MODEL 845 SERVICE RBSToRED? YES kit NU ❑ l cagy that this report It actuate, m ut have and WW4C Z4-2U4 nayy►oref text themllt 17 d lent rgIIluneul. AMC WORKS DEPARTMENT Beck!olw Prevention Assembly Test Report ACCOUNT N p� NAME OF PREMISE 14/TLi4C/14e i SERVICE ADDRESS /2s-..3n �3 �Q CITY 7H!e td iL'/9 Return Report to: Mike Dotson Public Works, Water Utility Division 1055 5. Grady Way, 5'" Floor Renton, WA 98057 (425) 430-7207 FAX (425) 430 -7241 - DrA Comrnercialik Residential 0 �y�'' �`` 9d'/6 CONTACT PERSON tea_ �1� ' r�-�,r ,s, ,�, LOCATION OF ASSEMBLY, 502/-1//12. * M' r T� Olga llr- ei�, ;�w�t - rd4 " ir111 'Y i PHONE if qvD --C96 ZIP FAX( DOWNSTREAM PROCESS .fr7-0.e NEW INSTALL EXISTING ❑ REPLACEMENT ❑ OLO SER. a MAKE OF ASSEMBLY att/ilele/rVS MODEL d OCLUJENIA DNA 1 RPBA INITIAL OIECIL VALVE NQ.1 NECK VALVE NO.2 TEST PASSED,% FAILED ❑ LEAKED ❑ PSID DCVA' RPBAO PVBA OTHER , PROPER INSTALLATION? YENO ❑ lid 75-7V SIZE 4/# LEAKED ❑ 5..9-• PS10 SERIAL NO. NEW PARTS ANO. REPANIS CLEAN IMAct Noy ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ CAN Rf►UC( DART ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ OPENED AT P51D 01 CHECK PSID AIR GAP OK? eamuma AIR INLET . OPENED AT P510 DID NOT OPEN ❑ (JAY RIPIKI DART ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ CHECK VALVE HELD AT PSID LEAKED ❑ CLEANED ❑ REPAIRED ❑ TUT AflTA OPENED AT P510 AIR INLET REPANS LEAKED ❑ LEAKED ❑ PASSED 0 PSID PSI() a1 CHECK PSID CHK VALVE PSID FAILED 0 AIR GAP INSPECTION: Required minimum alr gap separation provided? Yes 0 No 0 Detector Meter Reading l//4 PSID REMARKS: TESTERS SIGNATUR LINE PRESSURE CONFINED SPACE? d 8/1/ CERT. NO.��� DATE - ESTERS PHONE P 1pi°) 5;43-----990 GATE TESTERS NAME PRINTED: REPAIRED BY: FINAL TEST Br: CALIBRATION DATE PSI CERT. NO. DATE 0P -reg17 'r kW'a- ifi4e5�GAUGE n MODEL SERVICE RESTORED? VESA NO D 1 certify that this report is accurate, and 1 hove used WAC 246 - 294490 approved rest methods and rest equipment. Z0 3Jtld SW31SAS A13JVS 38I.I Z£00SZS90Z 80:60 tIOZ /01/80 PUBLIC WORKS DEPARTMENT &KW lova Prevention Assembly Test Report ACCOUNT 0 NAME OF PREMISE /4/715eZleigIgkil A& - DEA Commercial Residential ❑ SERVICE ADDRESS, /35730 3' �3j 4d ` CI / tJ /G� ` CONTACT PERSON P HON E¢ 45/Yd '--dt49 6 FAX ( ) LOCATION OF ASSEMBLY ^CM/A 4 d4l A0311-47- , ri,~ Eft P I,I 0 415#1° DOWNSTREAM PROCESS :/I "iG $4)9 N 0CVA_ RPBA ❑ PVOA OTHER NEW INSTALL EXISTING ❑ REPLACEMENT ❑ OLD SERA. A� 7 PROPER INSTALLATION? YE NO ❑ /J »)L- SERIAL NO... Y + 1 SIZE • 7� MAKE OF ASSEMBLY IW /u��"s MODEL 1 1 �- — _ VIA AIR INLET to Z Return Report to: Mike Dotson Public Works, Water Utility Division. 1055 S. Grady Way, S`" Floor Renton, WA 98057 (425) 4347207 FAX (425) 430-7241 ZIP 9:1 "/ �? INITIAL TEST PASSED % FAILED ❑ MA/ MIA COCK VALVE NO.1 LEAKED ❑ a.6 PSID NEW PARTS AND REPAIRS CLtAr. M►UCE 0 ❑ ❑ ❑ ❑ ❑ O ❑ o4RT QCVA/ RPBA, CNJCK VALVE NO.2 LEAKED ❑ t o' . PSID CRUN RCPV1Ct OPENED AT PSID sil CHECK PSID AIR GAP OK? CLGN ROuCI. ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ auT OPENED AT P510 DID NOT OPEN 0 CHECK VALVE HELD AT PSID LEAKED ❑ CLEANED ❑ REPAIRED ❑ 'MST AFTER OPENED AT PSID AIR INLET PSID RIPAIIO LEAKED 0 LEAKED ❑ PASSED ❑ PSID P510 el CHECK PSID CHK VALVE PSID FAILED ❑ AIR GAP INSPECTION: Required minimum air gap separation provided? Ye, No ❑ Detector Meter Reading LINE PRESSURE f ea PSI REMARKS: CONFINED SPACE? TESTERS SIGNATUR • /! ,��,, y CERT. NO. i'"' v D DATE v// / TESTERS NAME PRINTED: � �/� / �`0A/0/. RESTERS PHONE $ paw1 5:96.7-49.9}51 REPAIRED BY: CERT. NO. DATE FINAL TEST BV: 0 Or (0305 ���� SRVICE RESTORED? YES NO ❑ /.Z // GAUGE $ MODEL CALIBRATION DATE / / I certify that this report is accurate, and I hove used WAC 246- ,25x.490 approved test methods and test equipment. DATE _ E 0 3SVd SW3ISAS AI3JVS 3dId ZCOOSZS90Z 80 :60 ttOZ /0t/80 e PUKLIC WORKS DEPARTMENT aailow Prevention Assembly Test Report ACCOUNT N NAME OF PREMISE ` /f/ e �a� ( ._ b A Commercial Residential 0o SERVICE ADDRESS ! J� 3Q ,5:1746) `"� °o • CITY 7W-4-1....)/4/9 �,�j ZIP / �`fo P PHONE I 1/ - c / 6 / FAX ( ) Return Report to: Mike Dotson Public Works, Water Utility Division 10SS S. Grady Way, 5`' Floor Renton, WA 98057 (425) 430-7207 FAX (425) 430 -7241 CONTACT PERSON, ,,��,,..,�y�qq �a7 t[ T y�y�y �i+�f,'��J LOCATION OF ASSEMBLY 07)e zr /Tai 6 N�'LT � 1 - Al/r DOWNSTREAM PROCESS f'+'77d-0 DCVA 0 RPBAa PVBA OTHER NEW INSTALL EXISTING ❑ REPLACEMENT 0 OLD SER. w MAKE OF ASSEMBLY yuiU4C /Au3 MODEL 97.5–XL. PROPER INSTALLATION? YENO ❑ "' " 2 £? SIZE /' 5- SERIAL NO. 33' INITIAL TEST PASSED FAILED ❑ DCVAL APBA PSID DCVA 1 RPBA S$(CK VALVJ NO.2 LEAKED ❑ PSID REM OPENED AT /' PSID Eabilklb AIR INLET OPENED AT PSID 0 CHECK VALVE NO.l srl CHECK 9 d PSID 010 NOT OPEN LEAKED • 9. 0 AIR GAP OK? NEW PARTS APED REPAIRS CLEAN at*Lact Q Q 0 C3 ❑ • PuY _ CLEAN %MACE ❑ Q ".' - CLEM. 'Eruct AAAY ❑ 0 CHECK VALVE HELD AT SID LEAKED • Q ❑ U w 13 • — o o CLEANED REPAIRED ❑ ❑ ❑ • OPENED AT PSID AIR INLET CHK VALVE P510 PSID _.-- rTEST AFAR -• REPAIRS PASSED ❑ LEAKED ❑ PSID LEAKED ❑ P510 n1 CHECK PSID FAILED • AIR GAP INSPECTION: Required minimum air gap separation provided? Yes 0 No 0 Detector Meter Reading LINE PRESSURE /iA PSI REMARKS: TESTERS SIGNATUR �j,( TESTERS NAME PRINTED: t`DAiCIfSESTERS PHONE # laPlg I -T90 ` REPAIRED BY: C _ FINAL TEST BY: ERT, NO. DATE otog030S �40'�E �aVICE RESTORED? YES NO ❑ CALIBRATION DATE / ZZ / �/ GAUGE 1 _MODEL 1 certify that this report is accurate, and 1 have used WAC 246.290490 approved test methods and rest equipment. CONFINED SPACE? CERT. NO. i•43. v DATE OW DATE 00 30Vd SW3ISAS A13JGS 38ld ZE00SZS90Z 80:60 IIOZ /0I/80 • v PUBLIC WORKS DEPARTMENT Back/low Prevention Assembly Test Report ACCOUNT P NAME OF PREMISE /� id(4€451OV � — DRA- , 2s 30 ,.4-34) .So. CITY Ie�iroa,49 CONTACT PERSON j/raV % PHONEIACif ` 5 < / 6 / FAX ( ) SERVICE ADDRESS Return Report to: Mike Dotson Public Works, Water Utility Division 1055 S. Grady Way, 5'R Floor Renton, WA 98057 (425)430.7207 FAX (425) 430 -7241 21P f /(d „ir LOCATION OF ASSEMBLY �,,, /,�Sr D17c DOWNSTREAM PROCESS 44,4 1 Commercial) Residential ❑ OCVA C] RPBA PVBA " OTHER NEW INSTALL EXISTING ❑ REPLACEMENT ❑ OLD SER. is PROPER INSTALLATION? YE�NO ❑ MAKE OF ASSEMBLY fd?E 44 Ali MODEL 7745-644-.• SERIAL NO. Lv 346 l4l SIZE INITIAL TEST PASSED(*„ FAILED ❑ DCVj / RPBA CHECK VALVE NQ.1 OCVA / RPBA CHECK VALVE NQ a RPBA ' PVBA/SVDA 2�j �/ OPENED AT`r� "W PSID AIR INLET OPENED AT PSID LEAKED ❑ cfl. 0 PSID LEAKED ❑ PSID �1 V$1 CHECKV P o PSID DID NOT OPEN ❑ AIR GAP OK? NEW PARTS AND REPAIRS CLEAN REPLACE PART CLEAN REPLACE PART 0 ❑ CLEAN REPLACE NARY ❑ 0 CHECK VALVE HELD AT PSID • • LEAKED 4 o ❑ ❑ D • 0 • D - • D • CLEANED ❑ REPAIRED ❑ • is • ■ • • TEST AFTER REPAIRS PASSED ❑ FAILED ❑ LEAKED ❑ PSID OPENED AT PSID AIR INLET PSID LEAKED • PSID 111 CHECK P510 CHK VALVE PSID AIR GAP INSPECTION: Required minimum al, gap separation provided? Yes ❑ No 0 Detector Meter Reading REMARKS: LANE PRESSURE S1) PSI TESTERS SIGNATUR !� • �,/ 1`1., ./ L CERT. NO.+R -"`. G d / Lc'o4/C�f, ESTERS PHONE It i) s -/ i? TESTERS NAME PRINTED: ��� REPAIRED BY: DATE FINAL TEST BY: CERT. NO. DATE Z /. !/ aS4S�D3d�4-/ 3?rd�S CALIBRATION DATE / / GAUGE p MODEL SERVICE RESTORED? YES NO ❑ 1 certify that this report is accurate, and 1 have used WAC 246- 250490 approved test methods and test equipment. CONFINED SPACE? DATE �// S0 39Vd SW31SAS A133GS 3i9Id ZE00SZS90Z 80:60 IIOZ /0I/80 PLUMBING PLANS DRA BUILDING BASEMENT WATER AND DISTRIBUTION JEFF ALLEY SEPARATE PERMIT REQUIRED FOR: CUechanicaf lectrical gpanbing Gast City of Tukwila BUILDING DIVISION -o 0 t) 4) ,04 x 0 3 to RTE b-,,s-\-.)\-k-k-t \ 0 To MPPEr - �1oorS Permit No. G (a 2 Plan review approval is subject to errors and omissions. Approval of construction documents does not authorize th violation of any adopted code or ordinance. Receipt of approved Field Copy and conditions is acknowledged. Date: (ZC() REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submiltal and may include additional plan re. 0w PT-3 City Of Tukwila N_ REVIEWED FOR CODE COMPLIANCE APPROVED SEP 2 7 2010 CityofTukwila BUILDING DIVISION RECEIVED SEP 2 3 2uiU TUKWILA PUBLIC WORKS SEP 2 2 2010 PERMIT CENTER CORRECTION LTR# I'G10 wok,' st...??\\( Nit\ 16.t.) 11 Re5 a31N331I14V2l3d To 5hbtC Ptmy Luis 2.st RESk ram 0331 W a*er av'A iS -Vr't b4- iok• `1iCw LEvel �. p12 viEw LFVEs._ 2$_3_ 1.4fiT.ks \Alex? ot M9 40+ ®AELQ '-')•.../q?‘0.400S N"4901‘ nr101 N414)wct 4/10 17 /013AM c9. 819 09 056 '909A 33+ A.Aa4.■ u25 I ObAVWEIScp Z 'X 7zis n+ I 4kvi-P-747-5 tc141.1A- 9-f-Sqm AA 3S *I 11 -334 41 331- s cfl 334 k.rtev..n-as .ob - -334. iv.ke•.‘A s 0! Pb 13.44v1/1d94cns rvkivoi -334. k4 0q1440-7 _shohc-,41 °Twos) Sh 3hrIN 9 oTmo) SI,/ h 334 .1•Azp,ccec, ocilmo-2 shi3PA °S'f°) 3h/ Wir`A a!feAlcrivio, shilmn 3s -adAi np-9m-,s '!-/!d PERMIT CENTER psi 1r7-914 p J.3wasi inen $3isicoi it 11 734. LA Q. 1. Vt S 90 6 t'" sZ h1, :E. 3 ivA2S 7 9 39(T)5 Zvt01 s _.3 34 k;n z v► S Q� S h 311 G[LIA o7... S 6 J ahol T Z k4Q 1 Ve" ► gw►v-� S X713r rN 7. 5.. -3 0”im-7$ Coui '-,J, 1 3_15 rn N N w Cn Res+ v- 0 o -OT _LEVEL 1 WASTE t VENT- V ',LW AM iti)-N View_ Drivd<415 Foci iti2 ho■ ow---- Lev_EL WINSTE Vt v\V Y\PIt\I TNpitPIL vrV • , • r ■■• i31N3311Wt13d 0 Rocky Mountain Colby Pipe Company FILE COPY HOME SALES PRODUCTS ABOUT US INDUSTRY CONTACT I�OClci lMOUNTAIN COLBY BS o1i SUBMITTAL SPECIFICATION DATA SHEET girif 1. PRODUCT NAME Acrylonitrile Bultadiene Styrene (ABS) Plastic Pipe and Fittings for Drainage, Waste and Vent Systems 2. PRODUCT DESCRIPTION Basic Use: Sanitary drainage, waste, and vent systems and storm drainage systems. ABS pipe can be used in residential, commercial and industrial applications. Pipe and fittings are joined by solvent cementing. There is a full complement of ABS drainage pattern fittings available for DWV applications. Pipe and fittings are available in size 1 t/a inch through 6 inches in diameter. Composition and Materials: ABS is a thermoplastic material made with virgin ABS compounds meeting the ASTM requirements of Cell Classification 4- 2 -2 -2 -2 (pipe) and 3- 2- 2 -2 -2- (fittings). Pipe is available in both solid wall and cellular core all. These can be used interchangeably. Grades: ABS pipe is identified as Schedule 40 pipe. This indicates the wall thickness of the pipe. The pipe can als'd be installed above or below grade. Limitations: ABS pipe is intended to be used in any conventional sanitary drainage or storm drainage system. Pipe is resistant to certain chemicals, however, specific analysis must be performed before pipe is considered for any special waste system. Contact the pipe manufacturer for a detailed list of chemicals that can be satisfactorily discharged through ABS pipe. Plastics are affected by ultraviolet (U /V) radiation. Pigments ace- make pipe and fittings resistant to degradation. Pipe and fittings may be exposed to sunlig however, prolonged exposure is not advised. ABS pipe and fittings can withstand the norm encountered in a sanitary and storm drainage system. Recommended maximum temperat drainage applications is 180 ?F. INFT LIANCE ED SEP 2 7 2010 3. TECHNICAL DATA Applicable Standards: ABS Solid Wall DWV conforms to ASTM D -2661. Quality Control: Pipe and fittings are listed and inspected by a third party. They conform Foundation Standard NSF 14, IAPMO - Uniform Plumbing Code and the Canadian Standard Fire Protection: ABS pipe and fittings are combustible materials, however, they may be i buildings. In all cases the model building codes have determined that ABS must be protect walls, floors, ceilings, and fire resistance rated assemblies. The method of protecting the pipe penetration is by a through penetration protection assembly that has been tested and rated in accordance with ASTM E814. This assembly must have been tested and given an "F" rating. The "F" rating must be a minimum of the hourly rating of the fire resistance rated assembly that the ABS plastic pipe penetrates. Verify local code interpretations related to through penetrations with the jurisdiction having authority. Plumbing Codes: ABS pipe is permitted to be used in any sanitary drainage, waste, and vent system and storm drainage system without limitation, in the following model plumbing codes: BOCA National Plumbing Code, NAPHCC National Standard Plumbing Code and SBCCI Standard Plumbing Code. ABS plastic pipe is limited to being installed in buildings three stories above grade or less in height by the IAPMO Uniform Plumbing Code. Verify acceptance and installation of ABS piping systems with local code enforcement authorities having jurisdiction. o Natj al S�jlo�n�. Asso�i4 OI I t, wiIa SA USA Sizes & Packaging ABS SCHEDULE 40 DRAIN, WASTE, AND VENT PIPE WITH A SOLID WALL ASTM D -2661 Listed with NSF and IAPMO Nominal Pipe Size Average O.D. Average Wall Average Length Lift Size Pieces per Lift 1.25" 1.660" 0.140" 20' N/A N/A 1.50" 1.900" 0.145" 20' 5,180' 259 RECEIVED 2.00" 2.375" 0.154" 20' 3,340' http:// www .rmcp.com/abssw_datasheet.html (1 of2)8/26/2010 5:03:05 AM SEP 0 9 2010 PERMIT CENTER Rocky Mountain Colby Pipe Company 3.00" 3.500" 0.216" 20' 1,500' j 75 4.00" 4.500" 0.237" 20' 960' 48 6.00" 6.625" 0.280" 20' N/A I N/A APPROVAL Schedule 40 drain waste and vent pipe shall be Rocky Mountain Colby Pipe Company ABS DWV Solid Wall manufactured to ASTM D2661 and certified by a recognized listing agency. INFORMATION: Contact the Sales Office at (619) 437 -8581, or email to sales @rmcp.com. htt p:// www .rmcp.com/abssw_datasheet.html (2 of 2)8/26/2010 5:03:05 AM CHARLOTTE PIPE AND FOUNDRY COMPANY Suggested Specification System: PVC Schedule 80 Pressure Pipe and Fitting System Sim Pe: This specification covers PVC Schedule 80 pipe and fittings for pressure applications. This system is intended for pressure applications where the operating temperature will not exceed 140 °F. Specification: Pipe and fittings shall be manufactured from virgin rigid PVC (polyvinyl chloride) vinyl compounds with a CeII Class of 12454 as identified in ASTM D 1784. PVC Schedule 80 pipe shall be Iron Pipe Size (IPS) conforming to ASTM D 1785. PVC Schedule 80 fittings shall conform to ASTM D 2467. PVC Schedule 80 threaded fittings shall conform to ASTM D 2464.Pipe and fittings shall be manufactured as a system and be the product of one manufacturer. All pipe and fittings shall be manufactured in the United States. Pipe and fittings shall conform to National Sanitation Foundation (NSF) Standard 61 or the health effects portion of NSF Standard 14. Installation shall comply with the latest installation instructions published by Charlotte Pipe and Foundry and shall conform to all local plumbing, building, and fire code requirements. Buried pipe shall be installed in accordance with ASTM F 1668. Solvent cement joints shall be made in a two step process with primer manufactured for thermoplastic piping systems and solvent cement conforming to ASTM D 2564. The system shall be protected from chemical agents, fire stopping materials, thread sealant, plasticized vinyl products, or other aggressive chemical agents not compatible with PVC compounds. Systems shall be hydrostatically tested after installation. WARNING! Never test with or transport/store compressed air or gas in PVC pipe or fittings. Referenced Standards: ASTM D 1784 ASTM D 1785 ASTM D 2464 or D 2467 PVC ASTM D 2467 ASTM D 2564 ASTM F 1668 NSF Standard 14 NSF Standard 61 (110) PO Box 35430 Rigid Vinyl Compounds PVC Plastic Pipe, Schedule 80 Threaded Fittings, Schedule 80 Threaded Fittings, Schedule 80 PVC Socket Fittings, Schedule 80 Solvent Cements for PVC Pipe and Fittings Procedures for Buried Plastic Pipe Plastic Piping Components and Related Materials Drinking Water System Components - Health Effects Note: Latest revision of each standard applies. Charlotte, NC 28235 USA 704/372 - 5030 800/438 -6091 FAX 800/553 -1605 www.charlotteplpe.com STEM Submittal Package PEX Crimp Fittings For Use With Viega PureFlow Tubing • viega Project: Engineer: Contractor: Submitted By: PureFlow SYSTEM Potable Water El Other VIEGA...The global leader in plumbing and heating systems. 301 N. Main, Floor 9 • Wichita, KS 67202 • Ph: 877 -843 -4262 • Fax: 316 - 425 -7618 • E -Mail: service @viega.com • www.viega- na.com SP -PFPC -0908 1 of 11 Submittal Package • v.ega PEX Crimp Fittings For Use With Viega PureFlow Tubing Technical Data Materials: Fittings Crimp Rings MANABLOC® Manifolds PEX Crimp Copper Manifolds PEX Crimp Poly Manifolds Valves ViegaPEXTM, ViegaPEX Ultra Tubing Brass or Polymer Copper (black) Polysulfone (plastic) with Brass or PolyAlloyTM fittings Copper with Brass alloy fittings PolyAlloy crimp connections Brass and PolyAlloy PEX (crosslinked polyethylene) Applications Brass and Polyalloy fittings are intended for use in potable water systems. They can be directly buried in soil but shall be wrapped (fittings used in concrete shall also be wrapped). Fittings are manufactured with PureFlow PEX Crimp barbs for use with ViegaPEX, ViegaPEX Ultra tubing, crimp rings and tools. Installation • Use only ASTM F1807 crimp rings and approved full circle crimp tools to make connections. • Keep flame and excessive heat away from tubing and connections. • Refer to the PureFlow Installation Manual for additional information. Codes Approvals & Standards cNSF. us -pw U.P. Code UPC. ASTM F876 / F877 ASTM F1807 / F2159 ICBO ES ER 5287 ESR 1837 9 THREE SIMPLE STEPS TO A SECURE PEX CRIMP PUREFLOW FITTING CONNECTION. 1 SLIDE CRIMP RING OVER END OF SQUARED OFF TUBING, FULLY INSERT FITTING INTO TUBING AND POSITION THE RING 1 /8 "TO 1/4" FROM THE END OF TUBING. 2 KEEP THE TOOL AT 90° AND CLOSE THE HANDLES COMPLETELTY. DO NOT CRIMP TWICE. 3 CHECK CRIMP WITH GO/ NO GO GAUGE. VIEGA...The global leader in plumbing and heating systems. 301 N. Main, Floor 9 • Wichita, KS 67202 • Ph: 877-843 -4262 • Fax: 316- 425 -7618 • E -Mail: service @viega.com • www.viega- na.com SP -PFPC -0908 2 of 11 Dimensional Documentation PEX Crimp Fittings ViegaPEX and ViegaPEX UltraTubing Material PEX crosslinked polyethylene Temperature /Pressure Ratings200 °F at 80 psi 180 °F at 100 psi 73.4 °F at 160 psi Linear Expansion Rate 1.1 in. /100 ft. /10 °F • fID OD • vrega Nominal Size Inner Diameter Outer Diameter Wall Thickness 3/8" 0.35 0.500±.003 0.070±.010 1/2" 0.47 0.625±.004 0.070 ±.010 3/4" 0.67 0.875 ±.004 0.097±.010 1" 0.86 1.125±.005 0.125±.013 1 -1/4" 1.05 1.375±.005 0.153±.015 1 -1/2" 1.24 1.625±.006 0.181±.019 Brass PEX Crimp X Male NPT Adapters Stock Code d x R (size) L (in) L (mm) 48302 3/8" PEX Crimp x 1/2" M NPT 1.63 41.4 48321 1/2" PEX Crimp x 1/2" M NPT 1.65 41.9 48324 1/2" PEX Crimp x 3/4" M NPT 1.84 46.7 48342 3/4" PEX Crimp x 1/2" M NPT 1.65 41.9 48340 3/4" PEX Crimp x 3/4" M NPT 1.84 46.7 48346 3/4" PEX Crimp x 1" M NPT 2.07 2.07 48361 1" PEX Crimp x 3/4" M NPT 2.07 2.02 48366 1" PEX Crimp x 1" M NPT 2.25 57.2 Brass PEX Crimp X Female NPT Adapters Stock Code d x R (size) L (in) L (mm) 48323 3/8" PEX Crimp x 1/2" F NPT 1.62 41.1 48333 1/2" PEX Crimp x 1/2" F NPT 1.62 41.1 48334 1/2" PEX Crimp x 3/4" F NPT 1.67 42.4 48344 3/4" PEX Crimp x 3/4" F NPT 1.67 42.4 48345 3/4" PEX Crimp x 1" F NPT 1.89 48.0 48355 1" PEX Crimp x 1" F NPT 2.07 52.6 VIEGA ...The global leader in plumbing and heating systems. 301 N. Main, Floor 9 •Wichita, KS 67202 • Ph: 877 -843 -4262 • Fax: 316 -425 -7618 • E -Mail: service @viega.com • www.viega- na.com SP -PFPC -0908 3 of 11 PureFlow. w T Dimensional Documentation PEX Crimp Fittings 1.10 IIVAIZAIZIrfill, 411111111 /.1116. ..ru. T i d- -R ill r • viega Brass PEX Crimp Male Sweat Fitting Adapters Stock Code d x R (size) L (in) L (mm) 40621 3/8" PEX Crimp x 3/8" M Sweat or 1/4" F 1.33 33.8 40622 3/8" PEX Crimp x 1/2" M Sweat or 3/8" F 1.33 33.8 40631 1/2" PEX Crimp x 3/8" M Sweat or 1/4" F 1.46 37.1 40633 1/2" PEX Crimp x 1/2" M Sweat 1.33 33.8 40644 3/4" PEX Crimp x 3/4" M Sweat 1.50 38.1 40654 1" PEX Crimp x 1" M Sweat or 3/4° F 1.92 48.8 Copper PEX Crimp Male Sweat Fitting Adapter Stock Code d x R (size) L (in) L (mm) 60651 1" PEX Crimp x 1°M Sweat 1.97 50.0 Brass PEX Crimp X Female Sweat Fitting Adapters Stock Code d x R (size) L (in) L (mm) 40635 1/2' PEX Crimp x 1/2° F Sweat 1.33 33.8 40645 3/4° PEX Crimp x 3/4° F Sweat 1.57 39.9 Copper PEX Crimp X Female Sweat Fitting Adapters Stock Code d x R (size) L (in) L (mm) 40655 1° PEX Crimp x 1° F Sweat 2.13 54.1 Brass PEX Crimp PB Adapters Stock Code d x R (size) L (Inches) L (mm) 48622 3/8" PEX Crimp x 3/8° PB .1.37 34.8 48633 1/2" PEX Crimp x 1/2° PB 1.37 34.8 48644 3/4" PEX Crimp x 3/4" PB 1.37 34.8 48655 1" PEX Crimp x 1" PB 1.73 43.9 Brass PEX Crimp PE Adapters Stock Code d x R (size) L (Inches) L (mm) 48645 3/4" PEX Crimp x 3/4" PE 1.94 49.3 48656 1" PEX Crimp x 1° PE 2.39 60.7 VIEGA ...The global leader in plumbing and heating systems. 301 N. Main, Floor 9 • Wichita, KS 67202 • Ph: 877 - 843 -4262 • Fax: 316- 425 -7618 • E -Mail: service @viega.com • www.viega- na.com SP -PFPC -0908 4 of 11 PureFiow STEM Dimensional Documentation PEX Crimp Fittings • viega Brass PEX Crimp Couplings Stock Code d x R (size) L (Inches) L (mm) 40422 3/8" x 3/8" PEX Crimp 1.39 35.3 40432 1/2" x 3/8" PEX Crimp 1.39 35.3 40433 1/2" X 1/2" PEX Crimp 1.39 35.3 40443 3/4" X 1/2" PEX Crimp 1.39 35.3 40444 3/4" X 3/4" PEX Crimp 1.39 35.3 40454 1" X 3/4" PEX Crimp 1.57 39.9 40455 1° X 1" PEX Crimp 1.75 44.5 Brass PEX Crimp Tees Stock Code d x R x D (size) L1 (in) L1 (mm) L2 (in) L2 (mm) L3 (in) L3 (mm) 40500 3/8" x 3/8° x 3/8" PEX Crimp 0.89 22.7 0.89 22.7 0.88 22.4 40520 1/2" x 1/2° x 1/2" PEX Crimp 0.95 24.1 0.95 24.1 0.88 22.4 40540 3/4" x 3/4" x 3/4" PEX Crimp 1.07 27.2 1.07 27.2 1.00 25.5 40560 1° x 1" x 1" PEX Crimp 1.38 35.2 1.38 35.2 1.28 32.5 Brass PEX CrimpTest Plugs Stock Code d (size) L (Inches) L (mm) 40702 3/8" PEX Crimp 0.76 19.3 40723 1/2" PEX Crimp 0.76 19.3 40744 3/4" PEX Crimp 0.76 19.3 40765 1" PEX Crimp 0.94 23.9 Brass PEX Crimp X Male NPT Elbows Stock Code d x R (size) L1 (in) L1 (mm) L2 (in) L2 (mm) 40222 3/8" PEX Crimp x 3/8" M NPT 1.03 26.2 0.96 24.4 40232 1/2" PEX Crimp x 3/8" M NPT 1.03 26.2 0.96 24.4 40221 1/2" PEX Crimp x 1/2" M NPT 1.11 28.2 1.19 30.2 40223 3/4° PEX Crimp x 3/4" M NPT 1.54 39.1 1.38 35.1 Brass PEX Crimp Elbows Stock Code d x R (size) L1 (in) L1 (mm) L2 (in) L2 (mm) 48222 3/8" x 3/8" PEX Crimp 0.89 22.7 0.87 22.2 48233 1/2" x 1/2° PEX Crimp 0.95 24.1 0.87 22.2 48243 3/4" x 1/2° PEX Crimp 1.07 27.3 1.00 25.5 48244 3/4" x 3/4" PEX Crimp 1.06 26.9 1.00 25.5 48255 1" x 1° PEX Crimp 1.38 35.1 1.28 32.5 VIEGA ...The global leader in plumbing and heating systems. 301 N. Main, Floor 9 • Wichita, KS 67202 • Ph: 877 - 843 -4262 • Fax: 316 - 425 -7618 • E -Mail: service @viega.com • www.viega- na.com SP -PFPC -0908 5 of 11 PureF!ow. Dimensional Documentation PEX Crimp Fittings • v.ega Copper PEX Crimp Adapters Male Sweat Stock Code d x R (size) L1 (in) L1 (mm) L2 (in) L2 (mm) 44302 3/8" PEX Crimp x 1/2" M Copper 1.65 41.9 1.56 39.6 44320 1/2" PEX Crimp x 1/2' M Copper 1.44 36.6 1.49 37.8 44340 3/4° PEX Crimp x 3/4° M Copper 1.94 49.3 1.87 47.5 Copper PEX Crimp Adapters Female Sweat Stock Code d x R (size) L1 (in) L1 (mm) L2 (in) L2 (mm) 44305 3/8" PEX Crimp x 1/2" F Copper 1.68 42.7 1.46 37.1 44325 1/2" PEX Crimp x 1/2° F Copper 1.43 36.3 1.58 40.1 44345 3/4° PEX Crimp x 3/4' F Copper 2.05 52.1 2.01 51.1 Brass PEX Crimp Reducing Tees Stock Code d x R x D (size) L1 (in) L1 (mm) L2 (in) L2 (mm) L3 (in) L3 (mm) 48524 1/2' x 1/2° x 3/4" PEX Crimp 1.20 30.6 1.20 30.6 1.10 27.9 48433 3/4° x 1/2° x 1/2° PEX Crimp 1.20 30.6 1.20 30.6 1.10 27.9 48434 3/4° x 1/2" x 3/4" PEX Crimp 1.20 30.6 1.20 30.6 1.10 27.9 48443 3/4" x 3/4° x 1/2" PEX Crimp 1.20 30.6 1.20 30.6 1.10 27.9 48445 3/4" x 3/4° x 1° PEX Crimp 1.20 30.6 1.20 30.6 1.28 32.5 48544 1° x 3/4" x 3/4" PEX Crimp 1.38 35.2 1.20 30.6 1.10 27.9 48545 1° x 3/4" x 1° PEX Crimp 1.38 35.2 1.20 30.6 1.28 32.5 48553 1° x 1° x 1/2" PEX Crimp 1.38 35.2 1.38 35.2 1.28 32.5 48554 1' x 1" x 3/4° PEX Crimp 1.38 35.2 1.38 35.2 1.10 27.9 Brass PEX Crimp Drop Ear Elbows Stock Code d x R (size) L1 (in) L1 (mm) L2 (in) L2 (mm) 40233 1/2" PEX Crimp x 1/2° F NPT 0.79 20.1 1.58 40.1 40244 3/4" PEX Crimp x 3/4° F NPT 0.99 25.1 1.98 50.3 L3 (in) L3 (mm) L4 (in) L4 (mm) 1.39 35.3 0.72 18.3 1.46 37.1 1.05 26.7 Copper PEX Crimp Drop Ear Elbows Stock Code d x R (size) L1 (in) L1 (mm) L2 On) L2 (mm) 40224 3/8° PEX Crimp x 1/2' F NPT N/A N/A 1.62 41.1 40343 3/4° PEX Crimp x 1/2" F NPT N/A N/A 1.53 38.9 40245 3/4° PEX Crimp x 3/4" F NPT N/A N/A 1.75 44.5 L3 (in) L3 (mm) L4 (in) L4 (mm) 2.12 54.0 0.61 15.5 2.29 58.3 0.90 22.9 2.37 60.2 1.20 30.5 VIEGA ...The global leader in plumbing and heating systems. 301 N. Main, Floor 9 • Wichita, KS 67202 • Ph: 877 - 843 -4262 • Fax: 316 - 425 -7618 • E -Mail: service @viega.com • www.viega- na.com SP -PFPC -0908 6 of 11 iDLImFIOW 7j raw Dimensional Documentation PEX Crimp Fittings 1t L2 1111111111111M R ..,`;..���. L1 • v.ega Copper PEX Crimp Rings Stock Code d (size) L1 (in) L1 (mm) L2 (in) L2 (mm) 43600 3/8" SDR9 0.32 8.3 0.05 1.5 43620 1/2" SDR9 0.32 8.3 0.05 1.4 43640 3/4" SDR9 0.32 8.3 0.05 1.4 43660 1° SDR9 0.36 9.3 0.04 1.2 Brass PEX Crimp Lav Adapters Stock Code d x R (size) L1 (in) L1 (mm) L2 (in) L2 (mm) 40323 3/8° PEX Crimp x 1/2' Lav (plastic nut) 1.65 41.9 1.12 28.5 40324 3/8" PEX Crimp x 1/2" Lav (brass nut) 1.65 41.9 0.87 22.2 40333 1/2" PEX Crimp x 1/2" Lav (plastic nut) 1.65 41.9 1.12 28.5 40334 1/2" PEX Crimp x 1/2" Lav (brass nut) 1.65 41.9 0.87 22.2 40344 3/4" PEX Crimp x 3/4" Lav (brass nut) 1.70 43.2 1.18 30.2 Brass PEX Crimp Lav Adapters Compression Stock Code d x R (size) 1.1 (in) L1 (mm) L2 (in) L2 (mm) 40321 3/8° PEX Crimp x 1/4° CTS (3/8° OD) Comp 1.76 44.7 0.63 16.0 40331 1/2° PEX Crimp�l4p" CTS (3/8" OD) 1.76 44.7 0.63 16.0 Copper PEX Crimp LAV Elbow Stock Code d x R (size) 11 (in) L1 (mm) L2 (in) L2 (mm) L3 (in) L3 (mm) 44201 3/8" PEX Crimp x 1/2° Lav (plastic nut) 2.25 57.2 2.73 69.3 1.12 28.5 VIEGA ...The global leader in plumbing and heating systems. 301 N. Main, Floor 9 • Wichita, KS 67202 • Ph: 877 -843 -4262 • Fax: 316- 425 -7618 • E -Mail: service @viega.com • www.viega- na.com SP -PFPC -0908 7 of 11 FZJIAROW .YI EtlttilYll Dimensional Documentation PEX Crimp Fittings • vrega Brass PEX Crimp Closet Adapters Stock Code d x R (size) L1 (in) L7 (mm) L2 (in) L2 (mm) 44223 3/8' PEX Crimp x 1/2" Closet (plastic nut) 1.36 34.7 1.16 29.5 44233 1/2° PEX Crimp x 1/2° Closet (plastic nut) 1.36 34.7 1.16 29.5 Copper PEX Crimp Closet Elbow Stock Code d x R (size) L1 (in) L1 (mm) L2 (in) L2 (mm) L3 (in) L3 (mm) 44203 3/8" PEX Crimp x 112° Closet (plastic nut) 2.00 50.8 2.73 69.3 1.16 29.5 Brass PEX Crimp Stub -Out Elbows Stock Code d x R (size) L1 (in) L1 (mm) L2 (in) L2 (mm) 44208 3/8° PEX Crimp x 1/2" Copper (3 -1/2" x 8 °) 3.50 88.9 7.75 196.9 44228 1/2" PEX Crimp x 1/2° Copper (3 -1/2° x 8 °) 3.50 88.9 7.75 196.9 44226 1/2" PEX Crimp x 1/2' Copper (3 -1/2' x 6 °) 3.50 88.9 5.75 146.1 44240 1/2' PEX Crimp x 1/2' Copper (3 -1/2' x 8 ") 4.50 114.3 8.00 203.2 Brass PEX Crimp Stub -Out Elbows With Attachment Plate Stock Code d x R (size) L1 (in) L1 (mm) L2 (in) L2 (mm) L3 (in) L3 (mm) 44209 3/8" PEX Crimp x 1/2° Copper (3 -1/2' x 8 °) 3.50 88.9 7.75 196.9 6.00 152.4 44227 1/2" PEX Crimp x 1/2" Copper (3 -1/2° x 6 ") 3.50 88.9 5.75 146.1 4.00 101.6 44229 1/2" PEX Crimp x 1/2° Copper (3 -1/2° x 8 °) 3.50 88.9 7.75 196.9 6.00 152.4 VIEGA ...The global leader in plumbing and heating systems. 301 N. Main, Floor 9 • Wichita, KS 67202 • Ph: 877 - 843 -4262 • Fax: 316 -425 -7618 • E -Mail: service @viega.com • www.viega- na.com SP -PFPC -0908 8 of 11 L 7Z-IFIOW sysTEm Dimensional Documentation PEX Crimp Fittings d1— • v.ega Brass Ice Maker Valve Kit Adapters Stock Code d1 x d2 (size) L1 (in) L1 (mm) L2 (in) L2 (mm) L3 (in) L3 (mm) 40301 3/8' PEX Crimp x 1/8° CTS (1/4" OD) Comp 1.09 27.7 1.17 29.7 0.55 14.0 40322 1/2" PEX Crimp x 118' CTS (1/4' OD) Comp 1.09 27.7 1.17 29.7 0.55 14.0 L3 • Brass Ice Maker Valve Kit Tees Stock Code d1 x d3 (size) 11 (in) L1 (mm) L2 (in) L2 (mm) L3 (in) L3 (mm) 40503 PEX Crimp x 1/8' CTS (1/4' OD) Comp 1.83 46.5 1.03 26.2 0.59 15.0 40524 1/2" PEX Crimp x 1/8° CTS (1/4° OD) Comp 1.83 46.5 1.03 26.2 0.59 15.0 L1 Brass PEX Crimp x Flare Adapter Stock Code d x R (size) L1 (in) 11 (mm) L2 (in) L2 (mm) 40325 1/2' PEX Crimp x 1/2° Flare 1.50 3.81 0.87 22.1 VIEGA ...The global leader in plumbing and heating systems. 301 N. Main, Floor 9 • Wichita, KS 67202 • Ph: 877 - 843 -4262 • Fax: 316 - 425 -7618 • E -Mail: service@viega.com • www.viega- na.com SP -PFPC -0908 9 of 11 PureFlow Dimensional Documentation PEX Crimp Fittings • viega Brass/Copper PEX Crimp Water Heater Swivel Connector Male NPT Stock Code d x R (size) L1 (in) L1 (mm) L2 (in) L2 (mm) L3 (in) L3 (mm) 47640 3/4" PEX Crimp x 3/4° M NPT 20.5 520.7 1.13 28.7 18.0 457.2 Brass/Copper PEX Crimp Water Heater Swivel Connector Female NPT Stock Code d x R (size) L1 (in) L1 (mm) L2 (in) L2 (mm) L3 (in) L3 (mm) 47645 3/4° PEX Crimp x 3/4° F NPT 19.0 482.6 18.0 457.2 18.0 457.2 PEX Crimp Brazed Copper Manifolds Closed Stock Code d x R (size) L1 (in) L1 (mm) L2 (in) L2 (mm) 44844 3/4" x (4) 1/2" PEX Crimp Outlets 10.7 271.8 2.00 50.8 44846 3/4" x (6) 1/2" PEX Crimp Outlets 14.7 373.4 2.00 50.8 44848 3/4' x (8) 1/2" PEX Crimp Outlets 18.7 475.0 2.00 50.8 44840 3/4° x (10) 1/2° PEX Crimp Outlets 22.7 576.6 2.00 50.8 44864 1° x (4) 1/2° PEX Crimp Outlets 11.6 294.6 2.00 50.8 L3 (in) L3 (mm) L4 (in) L4 (mm) 2.00 50.8 1.47 37.3 2.00 50.8 1.47 37.3 2.00 50.8 1.47 37.3 2.00 50.8 1.47 37.3 2.00 50.8 1.47 37.3 PEX Crimp Brazed Copper Manifolds Flow Through Stock Code d x R (size) L1 (in) L1 (mm) L2 (in) L2 (mm) 45844 3/4" X 3/4° X. (4) 1/2' PEX Crimp Outlets 11.0 279.4 2.00 50.8 45846 3/4° X 3/4° X (6) 1/2° PEX Crimp Outlets 15.0 381.0 2.00 50.8 45848 3/4" X 3/4" X (8) 1/2" PEX Crimp Outlets 19.0 482.6 2.00 50.8 45864 1" X 1" X (4) 1/2" PEX Crimp Outlets 12.3 312.4 2.00 50.8 L3 (in) L3 (mm) L4 (in) L4 (mm) 2.00 50.8 1.47 37.3 2.00 50.8 1.47 37.3 2.00 50.8 1.47 37.3 2.00 50.8 1.47 37.3 VIEGA ...The global leader in plumbing and heating systems. 301 N. Main, Floor 9 • Wichita, KS 67202 • Ph: 877 - 843 -4262 • Fax: 316 -425 -7618 • E -Mail: service @viega.com • www.viega- na.com SP -PFPC -0908 10 of 11 PureFlow Dimensional Documentation PEX Crimp Fittings Viea g Brass PEX Crimp Ball Valve - Handle May Vary Stock Code d (size) L1 (in) LI (mm) L2 (in) L2 (mm) 40010 3/8° PEX Crimp 2.27 57.7 1.10 27.9 40020 1/2° PEX Crimp 2.15 54.6 1.10 27.9 40040 3/4" PEX Crimp 2.42 61.5 1.20 30.5 Copper PEX Crimp Ball Valve - Handle May Vary Stock Code d (size) L1 (in) L1 (mm) L2 (in) L2 (mm) 44060 1' X 1" PEX Crimp 5.72 145.3 2.80 71.1 Brass PEX Crimp Ball Valve - Multi-him Stock Code d (size) L1 (in) L1 (mm) L2 (in) L2 (mm) 40011 1/2" PEX Crimp - Multi -turn 2.37 60.2 1.40 35.6 Chrome PEX Crimp Ball Valves - Multi -tum Stock Code d (size) LI (in) Lt (mm) L2 (in) L2 (mm) 42021 1/2° PEX Crimp - Multi-tum 2.17 55.1 1.40 35.6 Chrome PEX Crimp Straight Stop Valve - Handle May Vary Stock Code dl x d2 (size) L1 (in) L1 (mm) L2 (in) L2 (mm) 42001 3/8° PEX Crimp x 1/4" CTS (3/8° OD) Comp - 1/4 turn 2.78 70.6 1.25 31.8 42022 1/2° PEX Crimp x 1/4° CTS (3/8" OD) Comp - Multi -turn 2.12 53.8 1.30 33.0 Chrome PEX Crimp Angle Stop Valve - Multi -turn Stock Code di x d2 (size) L1 (in) L1 (mm) L2 (in) L2 (mm) 42002 3/8* PEX Crimp x 1/4" CTS (3/8° OD) Comp - Multi-turn 2.80 71.1 1.60 40.6 42025 1/2' PEX Crimp x 1/4" CTS (3/8" OD) Comp - Multi -turn 2.15 54.6 0.90 22.9 Chrome Compression Angle Stop Valve - Multi -tum Stock Code di x d2 (size) L1 (in) L1 (mm) L2 (in) L2 (mm) 42023 1/2* CTS (5/8" OD) Comp x 1 /4" CTS (3/8" OD) Comp 2.45 62.2 1.20 30.5 VIEGA ...The global leader in plumbing and heating systems. 301 N. Main, Floor 9 • Wichita, KS 67202 • Ph: 877 -843 -4262 • Fax: 316 -425 -7618 • E -Mail: service @viega.com • www.viega- na.com SP -PFPC -0908 11 of 11 PG►n -12-2 Airgas Airgas Medical Services, Inc Everett, WA 98201 (425)741 -8807 fax (425)968 -4620 http: //www.airgas.com Level 3 Verification Check List Reference NFPA 99(2005ed) Name of Facility: DRA Professional Center Test Date: 08/08816/11 Job Number: 201316 Verifier 1 Inspector: HP Facility: ® New ❑ Existing 1 Type of Facility: ® Dental ❑ Medical ❑ Veterinary Medical Gases ® NONE Oxygen Line ❑ New ❑ Existing Nitrous Oxide Line ❑ New ❑ Existing ❑ NONE Line Pressure: psi Concentration: % Line Pressure: psi Concentration: % Flow Test: SCFH (a3.5 scfm) ❑ PASS ❑ FAIL Flow Test: SCFH (Z3.5 scfm) ❑ PASS ❑ FAIL Particulate Test: ❑ PASS ❑ FAIL Particulate Test: ❑ PASS ❑ FAIL Odor: ❑ PASS (None) ❑ FAIL, Odor: ❑ PASS (None) ❑ FAIL, Crossed Lines: ❑ YES ❑ NO Outlet Brand: Quick Connect Style: Location of Outlets: Cylinder Storace ❑ New ❑ Existing ❑ NONE 1 Hour,ARated: ❑ YES ,❑ -N0 Cylinders Secured: ❑ YES ❑.NO Door Labeled: ❑ YES ❑ NO Cooling Sprinkler: Location: ❑ Inside ❑ Remote • YES ❑ NO Separate from Mechanical Equipment: ❑ YES ❑ NO Electrical Switchesl0utiets 5' above floor: ❑ YES ❑ NO Volume Connected or Stored: ❑ <3000 ft' ❑ )3000 ft' Number of Cylinders Connected: OX N20 Ventilation: ❑ Natural ❑ Inside ❑ Outside Ventilation: ❑ Mechanical 2 Openings within 1' of Floor & Ceiling: ❑ YES ❑ NO Exhaust Fan Runs Continuously: ❑ YES ❑ NO Minimum 72 in Free Area: ❑ YES ❑ NO Draws Air from within 1' of Floor: ❑ YES ❑ NO Vented to Exit Access Corridor: ❑ YES ❑ NO Fan Connected to Essential Power: ❑ YES ❑ NO ❑ nla Manifold ❑ New ❑ Existing ❑ NONE Brand:. Flexible Hoses Less Than 5': ❑ YES ❑ NO Model #: Check Valve DL of Regulator: ❑ YES ❑ NO Serial 0: Relief Valve 50% Above Norman Line Pres: ❑ YES ❑ NO Alarm / Waminc System ❑ New ❑ Existing ❑ NONE ❑ Not Required Non - Cancellable Visual Alarm: ❑ YES ❑ NO Brand: Cancellable Audible Alarm: ❑ YES ❑ NO Model 0: Hi I Low Line Pressure Alarm: ❑ YES ❑ NO Serial #: Reserve In Use Alarm: ❑ YES ❑ NO Verification #: DRA- 08.05.11- 201316 01 -AG -Level 3 Verification Check Ust (2005ed)- Rev2.1 Pg 1 of 2 Airgas Airgas Medical Services, Inc Everett, WA 98201 (425)741 -8807 fax (425)968-4620 http: //www.airgas.com Emergency Shutoff / Zone Valve ❑ New ❑ Existing ❑ NONE ❑ Not Required Brand: 3 Part Valve: ❑ YES ❑ NO I With Down Line Gauges: ❑ YES ❑ NO / Sensor Location: ❑ DL ❑ UL Labeled: Dental Equipment Amalgam Separator ►5 New ❑ Existing ❑ Existing ❑ NONE ❑ Not Required New ❑ Existing ❑ NONE Dental Air System 0 New Dental Vacuum System 0 Brand: Air Techniques Brand: Air Techniques Model #: All Star 70 Model #: All Star 80 Serial #: 706685 Serial #: SD3745 Triplex ❑ Quad ❑ Simplex ❑ Duplex 0 Triplex ❑ Quad ❑ Simplex 0 Duplex ❑ Compressor Type: Recip. Pump Type: Regen. Compressor On: 90 psi 1 Off: 110 psi Vac Level: 9 "HgV Horse Power: 2 hp. Line Pressure: 110 psi Gauge: 0 -300 psi Drain: ❑ Sealed ►5 Open ❑ Floor ►5 Wail Concentration: 21 % Horse Power: 1.5 hp. ❑ NO Flexible Connectors: ►�1 YES Receiver: ►ii YES ❑ NO Drain: ►�I Manual ❑ Auto Air /Water Separator: ►5 YES ❑ NO Moisture Indicator: ►5 YES ❑ NO Exhausted to Outside: 0 YES ❑ NO Dryer: ►5 YES ❑ NO Type: Membrane Location of Discharge: wall (other) ❑ Inside (same) Sch 40 PVC Intake: 0 Outside ❑ Inside Piping: ❑ Hard Copper ►I Amalgam Separator ►5 New ❑ Existing ❑ NONE ❑ Not Required Brand: Solmetex Model #: HG5 Serial #: K -31697 Comments: Verification #: DRA- 08.05.11- 201316 01 -AG -Level 3 Verification Check List (2005ed)- Rev2.1 Pg 2 of 2 r-. 41 '* F610- t2Z P ecob —t-75 FIRE SAFETY SYSTEMS, INC. P.O. Box 25492 SEATTLE, WA 98165 (206) 525,9987 - Bus. (206) 5250032 - FAx F IRESA FETYS i @G MA I L.COM Send to: H.M.S Corporation Attention: Fax Number: 206- 440 -8961 From: Tony Date: 08 -10 -2011 Phone: 206- 440 -8969 OUrgent OReply ASAP OPlease Comment OPlease Review OFor your Information Total pages, including cover: 5 Comments: 1 Here are the backflow prevention assembly test reports for Interurban Building 13530 53rd S. Tukwila, WA 98168 TO 3Jdd FSSI ..... Creating Fire Safe Environments SW3ISAS A133VS 3813 ZE00SZS90Z 8060 TTOZ /0T /B0 PUBLIC WORKS DEPARTMENT Beck Rlow Prevention Assembly Test Report ACCOUNT II �/�'" NAME OF PREMISE `/YI L/€ 4 Return Report to: Mike Dotson Public Works, Water Utility Division 1055 S. Grady Way, S`A Floor Renton, WA 98057 (425) 430-7207 FAX (425) 430-7241 ComrnerciaLL1 Residential ❑ SERVICE ADDRESS 1/25 73° ' SO • _ 7 . / . 4 4 , ) / 4 / 9 ZIP CONTACT PERSON 0IA PHONE1� 45/YD '.. 6 FAX ( ) $vial tot//Q_ AS, /Irii'rr ni * v► " ,vr4 i1GJ i$ LOCATION OF ASSEMBLY DOWNSTREAM PROCESS NEW INSTALL EXISTING ❑ REPLACEMENT ❑ OLD SER. a MAKE OF ASSEMBLY, W /■404',vS MODEL DCVA / RPBA =ALUM RPMA INITIAL (HECK VALVE NQ.L CHECK VALVE NO.2 TEST DCVA, RPBA ❑ PVBA OTHER PROPER INSTALLATION? YE NO ❑ Srd mil' SERIAL NO. Vol 75-7 7 SIZE 15/// PASSED„Z' FAILED ❑ LEAKED ❑ 'f PSID NEW PARTS ANO REPAIRS CLEAN II(PLACE aA.11T ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ LEAKED ❑ PS1D CLEAN •EPLACE AA►T ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ TEST AMU REPAMS PASSED 0 FAILED ❑ LEAKED ❑ LEAKED ❑ PSID P510 BEM OPENED AT PSID 41 CHECK PSID AIR GAP OK? AIR INLET OPENED AT PSID DID NOT OPEN ❑ c:fAN REPLACE OMIT OPENED AT P51D M1 CHECK PS1D CHECK VALVE HELD AT PSID LEAKED LEAKED ❑ CLEANED REPAIRED AIR INLET 0 PSID CHK VALVE PSID isrmom AIR GAP INSPECTION: Required minimum air gap separation provided? Yes 0 No 0 Detector Meter Reading 1 LINE PRESSURE, / P51 CONFINED SPACE ?___.___. DATE C�/ REMARKS: TESTERS SIGNATUR TESTERS NAME PRINTED: REPAIRED BY CERT, NO. ,irxs"�G /44/ . ESTERS PHONE 4 4 ) 5'`c.?! 707 DATE CERT. NO. DATE FINAL TEST BY• �! GAUGE a � 444.1T� S oSD�/O3er MODEL SERVICE RESTORED? MESA, NO 0 CALIBRATION DATE / / I eertt y that this report is accurate, and I hole used WAC 246 - 294490 approved test methods and test equipment. SW3ISAS Al33dS 38I3 Z£005Z590Z 80:60 TT0Z /0T/80 PUBLIC WORKS DEPARTMENT ieckfow Prevention Assembly Test Report ACCOUNT NAME OF PREMISE //R 7 Q.e "Sat, _ bP...ra SERVICE ADDRESS, 2,57 0 453 °d A CITY 7let...)/ 19 CONTACT PERSON /*//1411J PHONET� d/ 0 A c PAX ( ) LOCATION OF ASSEMBLY ✓rAiAl,t 4 - 11 6/9 64/722P4frifC dod #r :a t Return Report to: Mike Dotson Public Works, Water Utility Division 10SS S. Grady Way, S`" Floor Renton, WA 98057 (425) 430.7207 FAX )425) 430-7241 CommercialX Residential 0 ZIP / v /o DOWNSTREAM PROCESS _ �/ IA� 41053- OCvA, RPM 0 PVBA OTHER NEW INSTALL EXISTING ❑ REPLACEMENT ❑ OLD SER. a (/PROPER (INSTALLATION? YE NO ❑ MAKE OF ASSEMBLY /41/4/40•L S. MODEL W40'X1' SERIAL NO. kS fungine INITIAL TEST PASSED % FAILED ❑ NEW PARTS AND REPAIRS TUT AMR I ILMSi PASSED ❑ FAILED ❑ MBA csEdf VALVE NO.1 LEAKED 0 6 CLEAN RfOLACE 04RY ❑ ❑ ❑ o ❑ 0 ❑ ❑ LEAKED 0 PS1D PS1D tCWO RPBA CHECK VALVE NO.2 LEAKED ❑ e+ PSID CLEAN ROUCI O ❑ ❑ ❑ ❑ 0 ❑ ❑ LEAKED ❑ ;ANY P510 gua OPENED AT PSID 111 CHECK P510 AIR GAP OK? CLEAN *OLACt PART ❑ ❑ ❑ ❑ O ❑ 0 ❑ OPENED AT PSID r+1 CHECK PSID AIR INLET OPENED AT PSID DID NOT OPEN ❑ CHECK VALVE HELD AT PSID LEAKED ❑ CLEANED C] REPAIRED ❑ AIR INLET PSID CHK VALVE PSID AIR GAP INSPECTION: Required minimum air gap separation provided? Ye v$11..,' No 0 Detector Meter Reading '_ LINE PRESSURE /0 PSI CONFINED SPACE? REMARKS: ATUR, //_ 1"�,.- /I CERT. NO. D DATE C /0/ TESTERS SIGN ,�. TESTERS NAME PRINTED: / � I.2'44' " ESTERS PHONE q (mow 1 "' 90 7 REPAIRED BY: FINAL TEST BY: A�.h .rii Isis oSDy03�S SERVICE RESTORED? VESA NO ❑ CALIBRATION DATE / �� / !/ GAUGE b MODEL 1 certify that this report is accurate, and 1 have used WAC 246-290490 approved test methods and test equipment. DATE _ CERT NO DATE E0 3Stid SW31SAS M.33VS 38I3 ZE00SZS90Z 8060 t[OZ /0t/80 PUKIC WORKS DEPARTMENT $Itldfow'revention Assembly Test Report ACCOUNT N ems' 'J NAME OF PREMISE ,'4' �e �r�+ � ' bIA Commercial,A Residential ❑o SERVICE ADDRESS /4.?S 3O `-�2� Sid ' CIN !A e� /`: /i ZIP' ` p CONTACT PERSON, PHONE �� yyD ra ! 4 9 FAX ( ) LOCATION OF ASSEMBLY oreeer 4i e'''h meat iiq . AP ° DOWNSTREAM PROCESS 7401 174.0 DCVA O RPB PVBA OTHER Return Report to: Mike Dotson Public Works, Water Utility Division 10SS S. Grady Way, 5"' Floor Renton, WA 98057 (425) 430-7207 FAX (425) 430 -7241 NEW INSTAL' EXISTING ❑ REPLACEMENT ❑ OLD SER. �R. MODEL 17.5".xL MAKE OF ASSEMBLY - W kgiat /5 PROPER INSTALLATION? YE�NO ❑ SERIAL NO. 33.5-701 o3 INITIAL TEST PASSEDY FAILED ❑ DNA LAMA DISLVALVE NQ.I, LEAKED ❑ 9. o PSID NEW PARTS ANO REPAIRS CLEAN NEOLACE °NIT O ❑ ❑ ❑ ❑ ❑ ❑ ❑ TEST AMR REPAEIIS PASSED ❑ FAILED ❑ LEAKED ❑ PSID DNA] RNA UJECK VALVE NO.2 LEAKED ❑ • PSiD RPBA OPENED AT ViPSID EEl CHECK 9 0 PSID AIR GAP OK? SIZE /' 5- AIR INLET OPENED AT PSID DID NOT OPEN 0 CLEAN NEPLAOE ❑ 0 ❑ ❑ ❑ ❑ 0 0 LEAKED ❑ PSID CLEAN AEPLACI ❑ ❑ ❑ ❑ ❑ ❑ PARY CHECK VALVE HELD AT LEAKED P51 D 0 CLEANED ❑ REPAIRED ❑ OPENED AT PSID u1 CHECK PSID AIR INLET PSIO CHK VALVE PSID AIR GAP INSPECTION: Required minimum air gap separation provided? Yes ❑ No 0 Detector Meter Reading p LINE PRESSURE /_PSI REMARKS: — ^ CONFINED SPACE? DATE v TESTERS SIGNATUR ,/ `, TESTERS NAME PRINTED' ' ..I / `O^ ' ESTERS PHONE a ) 9 REPAIRED BY: CERT. NO. DATE FINAL TEST BY: -- �y� oSDS/03�5'� •wE'�RVICE RESTORED? vES j NO 0 CALIBRATION DATE L / �y / l/ GAUGE M MODEL 1 molly that this report is occurote, and 1 have used WAC 246.294490 approved test methods and rest equipment. CERT. NO. DATE 00 3Jtid SN3ISAS Al330S 38Id ZE00SZS90Z 80:60 ILOZ /0L/80 PUBLIC WORKS DEPARTMENT —� !�S(�1fl1�3111 Backflow Prevention Assembly Test Report ACCOUNT 0 NAME OF PREMISE AffedICGif€ �I -- bI2 - SERVICE ADDRESS CONTACT PERSON Return Report to: Mike Dotson Public Works, Water Utility Division 1055 S. Grady Way, 5`" Floor Renton, WA 98057 (425) 4307207 FAX (425) 430-7241 CommercialX Residential ❑ 12S-30 3244 .SO• CITY ?I'tJ /G,¢ ZIP �P /(e I *4 PHONE ) d91 6. FAX ( ) LOCATION OF ASSEMBLY / s r Dffic DOWNSTREAM PROCESS 444!", OCVA ❑ RPBA PVBA - OTHER NEW INSTALL EXISTING ❑ REPLACEMENT ❑ OLD SER. a PROPER INSTALLATION? YEA/NO ❑ MAKE OF ASSEMBLY 44'11 4 Ka " MODEL 4/745—$64.- SERIAL NO. 1.4) 344 ,q SI2E "' INITIAL TEST PASSED(;,, QCVJ / DPBA CHECK VALVE NQ,1 MAIM RPBA 1:NECK VALVE NO,Z RPBA �/ OPENED AT3• 7 PSID PS/SAMBA AIR INLET OPENED AT PSID LEAKED ❑ rj O Q PSID LEAKED 0 PSID y� 01 CHECKV , ° PSID DID NOT OPEN ❑ AIR GAP OK? FAILED • NEW PARTS AND REPAIRS CLEAN REPLACE PART CYAN REPLACE PART ❑ ❑ CLEAN REPLACE PART ❑ ❑ CHECK VALVE HELD AT PSID ❑ N LEAKED 0 ❑ a CI • -- — CLEANED ❑ REPAIRED ❑ ❑ • • • U ❑ TEST AFTER REPAIRS PASSED ❑ FAILED ❑ LEAKED C] PSID OPENED AT PSID AIR INLET PSID LEAKED r PSID al CHECK PSID _ CHK VALVE PSI() AIR GAP INSPECTION: Required minimum air gap separation provided? Yes 0 No D Detector Meter Reading REMARKS: LINE PRESSURE 546 PSI TESTERS SIGNATUR TESTERS NAME PRINTED: REPAIRED BV: /�.�'�') / CONFINED SPACEE?� CERT. NO .�"'r �'" DATE �/�// / 4d444 V4 ESTERS PHONE q (earl 55—q99 7 DATE FINAL TEST BY: CERT. NO. DATE CALIBRATION DATE 3 / " / i/ GAUGE Idi-01400 J MODEL � ERVICE RESTORED? YESA -NO ❑ 1 certify that this report is accurate, and 1 have used WAC 246 -290490 approved test methods and test equipment. SO 3Jtid SW3ISAS AI33tiS 38I.d 3£005ZS90Z 80 :60 IIOZ /0t/80 08 -01 -2011 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director JEFF ALLEY 37423 239 AV SE ENUMCLAW WA 98022 RE: Permit No. PG10 -122 13530 53 AV S TUKW Dear Permit Holder: 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 09/04/2011. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 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 09/04/2011, 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, 14c)16 Bill Rambo Permit Technician File: Permit File No. PG10 -122 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 03 -02 -2011 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director JEFF ALLEY 37423 239 AV SE ENUMCLAW WA 98022 RE: Permit No. PG10 -122 13530 53 AV S TUKW Dear Permit Holder: 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 04/27/2011. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 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 04/27/2011, 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. Bill Rambo Permit Technician File: Permit File No. PG10 -122 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director October 14, 2010 Jeff Alley 37423 239 Ave SE Enumclaw, WA 98022 RE: Letter of Incomplete Application # 1 for Revision #1 Plumbing /Gas Piping Permit Application PG10 -122 DRA Professional Building —13530 53 Av S Dear Mr. Alley, This letter is to inform you that your permit revision received at the City of Tukwila Permit Center on October 13, 2010 is determined to be incomplete. Before your application can continue the plan review process the attached /following items from the following department(s) need(s) to be addressed: Building Department: Allen Johannessen at 206 433 -7163 if you have any questions concerning the attached comments. Please address the comment above in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that two (2) sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal a Revision Submittal Sheet must accompany every resubmittal. I have enclosed one for your convenience. Revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at the Permit Center at (206) 431 -3670. Sincerely, ifer arshall it Technician Enclosures File: PG10 -122 W: \Permit Center \Incomplete Letters\2010\PG10 -122 Inc Ltr #1 to Rev # 1.DOC 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665 Tukwila Building Division Allen Johannessen, Plan Examiner Determination of Completeness Memo Date: October 14, 2010 Project Name: DRA Professional Building Permit #: PG10 -122 Plan Review: Allen Johannessen, Plans Examiner The Building Division has deemed the subject permit application incomplete. To assist the applicant in expediting the Department plan review process, please forward the following comments. (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size). (If applicable) Structural Drawings and structural calculations sheets shall be original signed wet stamped, not copied.) 1. The revision indicates adding two new restrooms to the building shell. Provide revised architectural drawings clearly identifying the location of the restrooms and show all accessible, barrier free components complete with dimensions for those bathrooms. 2. Plumbing plans shall be professionally drawn, pages numbered, signed and stamped by a design professional. Plumbing plan shall identify all plumbing fixtures combined in the building with all related pipes identified and sizes shown with point of connections identified for all fixtures combined. Provide isometric and plan view of all plumbing. Should there be questions concerning the above requirements, contact the Building Division at 206 -431- 3670. No further comments at this time. • City of Tukwila gTlim_Haggerton, Mayor Department of Community Development September 21, 2010 Jeff Alley 37423 239 Ave SE Enumclaw, WA 98022 RE: Correction Letter #1 Plumbing /Gas Piping Permit Application Number PG10 -122 DRA Professional Building —13530 53 Av S Dear Mr. Alley, Jack Pace, Director This letter is to inform you of corrections that must be addressed before your plumbing/gas piping permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Public Works Department. The Building Department has no comments at this time. Public Works Department: Joanna Spencer at 206 431 -2440 if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that two (2) sets of revised plans, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections /revisions must be made in person and will not be accepted ,through the mail or by a messenger serviEe. If you have any questions, please contact me at (206) 431 -3670. Sincerely, fer Marshall it Technician encl File: PG10 -118 W:\Permit Center \Correction Letters \2010\PG10 -122 Correction Letter #1.DOC 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 PUBLIC WORKS DEPARTMENT COMMENTS DATE: September 17, 2010 PROJECT: DRA Bldg 13530 53r Ave S PERMIT NO: PG10 -122 PLAN REVIEWER: Contact Joanna Spencer (206) 431 -2440 if you have any questions regarding the following comments. 1) Sheet 1 shows an RPPA backflow. Please provide a callout on plan specifying size, make and model number of the proposed backflow. Show a diagram how this backflow is going to be installed. Submit RPPA cut sheet and circle the backflow that is going to be installed. Make sure that the backflow is from the WA State Department of Health Backflow Prevention Assemblies Approved for Installation in Washington State list. W:Other /Joanna /PG10 -122 • PEWIT i4OORD COPY. PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG10 -122 DATE: 10/25/10 PROJECT NAME: DRA PROFESSIONAL CENTER SITE ADDRESS: 13530 53 AV S Original Plan Submittal Response to Correction Letter # X Response to Incomplete Letter # 1 X Revision # 1 after Permit Issued EPARTMENTS: uilding ivision Public Works ❑ Fire Prevention Structural n Planning Division Permit Coordinator u n DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 10/26/10 Complete )(I Comments: Incomplete ❑ Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUTING: Building Please Route REVIEWER'S INITIALS: Structural Review Required n No further Review Required ❑ DATE: APPROVALS OR CORRECTIONS: Approved Notation: Approved with Conditions DUE DATE: 11/23/10 Not Approved (attach comments) ❑ REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 'FM 1 COPY 6 PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG10 -122 DATE: 10/13/10 PROJECT NAME: DRA PROFESSIONAL BUILDING SITE ADDRESS: 13530 53 AV S Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # X Revision # 1 after Permit Issued DEPART EjS: Building ivision N- Public Works Fire Prevention Structural Planning Division n uPermit Coordinator ❑ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete n Incomplete Comments: DUE DATE: 10/14/10 Not Applicable C Permit Center Use Only INCOMPLETE LETTER MAILED: 'O Lt4 l to Departments determined incomplete: Bldg Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES /THURS ROUTING: Building Please Route n Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 11/11/10 Approved ❑ Approved with Conditions n Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 • PERMIT MORD COPY. PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG10 -122 DATE: 09/22/10 PROJECT NAME: DRA PROFESSIONAL BUILDING SITE ADDRESS: 13530 53 AV S Original Plan Submittal X Response to Correction Letter # 1 Response to Incomplete Letter # Revision # after Permit Issued DEPARTMENTS: q-it0 Building D'vi ion Rub`iic Wor s Fire Prevention Structural Planning Division ❑ Permit Coordinator U DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete gJ Comments: Incomplete ❑ DUE DATE: 09/23/10 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUTING: Building Please Route Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 10/21/10 Not Approved (attach comments) ❑ DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 PER • r C PY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG10 -122 DATE: 09 -09 -10 PROJECT NAME: DRA PROFESSIONAL BUILDING SITE ADDRESS: 13530 53 AV S X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: it uli • ing • iuisio Public orks Fire Prevention Structural Planning Division n Permit Coordinator n DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete DUE DATE: 09-14 -10 Not Applicable Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUTING: Please Route Structural Review Required REVIEWER'S INITIALS: No further Review Required DATE: APPROVALS OR CORRECTIONS: Approved n Approved with Conditions DUE DATE: 10-12 -10 Not Approved (attach comments) ,kr Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: t 1IA\, 6� Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PWA Staff Initials: Documents /routing slip.doc 2 -28 -02 PROJECT NAME: 40I ,-�( (nn LA 1j SITE ADDRESS: 19A -1)-0 62, pk✓ 4 PERMIT NO: ORIGINAL ISSUE DATE: REVISION LOG o- 22 oil 27) I/o REVISION NO. DATE RECEIVED - STAFF INITIALS STAFF INITIALS ISSUED DATE STAFF INITIALS 1 IA V22 VO Summary of Revision: Received by: 1i1` /49.0/6 /. Summary of Revision: ; p ► i • — • (( r ►. - Ct (. v S Ala uh k-C ' i (..e, Received by:. • REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) i Oct 18 10 07:01p ALLEY PLUM* CO. () 802 -0457 p.3 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 . Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-43 1 -3665 Web site: hire. //www.ci.tukwila.wa.us■ 1 REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mall, fax, etc. Date: Ib • 25• lb ►Z/ Plan Check/Permit Number: PG 10 -122 Response to Incomplete Letter # 1 Response to Correction Letter # Revision # 1 after Permit is Issued Revision requested by a City Building Inspector or Plans Examiner Project Name: DRA Professional Building Project Address: 13530 53 Av S cirvitevro OCT 25 28/7 Pfirc R Contact Person: Summary of Revision: Phone Number: 1:1),A1 60411 tr t. iNirroAez.Ds 66w Siva-oH- - LLC•e.dlloms . Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Cente by: Entered in Permits Plus on 0 2� 1 \applicationskfor s•applications on iine'revision submittal Created: 8 -13 -2004 Revised: 1 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Web site: http: / /www.ci.tukwila.wa.us REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 1 I / 3/2d (0 Plan Check/Permit Number: PC's to - 122- ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # Revision # ' after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Uv Z v ‘pa - ss1 bt.A. 2 \ f Ll l 18 t v--� Project Address: (31"-To 5 T y et-Lk tC l.e.J 1 ( Li P . Contact Person: t \ E \( Phone Number: 253-S0- ` a Summary of Revision: i % r � (7d1^'k -L r o Sheet Number(s): "Cloud" or highlight all -areas of revision including date of revision Received at the City of Tukwila Permit Center by: 14 Entered in Permits Plus on 113 117 ,l H:Wpplications\ponns- Applications On Line12010 Applications \7 -2010 - Revision Submittal.doc Created: 8 -13 -2004 Revised: 7 -2010 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.ci.tukwila.wa.us 1 REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: September 22, 2010 Plan Check/Permit Number: P910 -122 ❑ Response to Incomplete Letter # ® Response to Correction Letter # 1 ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: DRA Professional Building errstrAZIA SEP222010 PERMIJT mean Project Address: 13530 53rd Ave S Contact Person: Jeff Alley Phone Number: (253) 569 -5168 Summary of Revision: As per my phone conversation with Joanna Spencer on 9/21/2010, We are deleting the Reduced Pressure Backflow Device on page 1 of the water & distribution plan as it is not required at this time. The plumbing at this time is strictly Core plumbing . Backflow preventers will be installed as required as tenant improvement occurs. Sheet Number(s): 1 "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: Entered in Permits Plus on \applications\forms- applications on line \revision submittal Created: 8 -13 -2004 Revised: 1 -2009 Contractors or Tradespeople P1er Friendly Page General /Specialty Contractor A business registered as a construction contractor with L &1 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 ALLEY PLUMBING COMPANY UBI No. 601951079 Phone 3608020457 Status Active Address 37423 239Th Ave Se License No. ALLEYPC948KZ Suite /Apt. License Type Construction Contractor City Enumclaw Effective Date 5/9/2006 State WA Expiration Date 5/9/2012 Zip 98022 Suspend Date County King Specialty 1 Plumbing Business Type Individual Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ALLEYP *012JT PLUMBING PLUMUM BING Construction Contractor Plumbing Carpentry/Framing 4 /30/1999 4/30/2006 Inactive Business Owner Information Name Role Effective Date Expiration Date ALLEY, JEFFREY D Owner 05/09/2006 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 3 WESTERN SURETY COMPANY 70043856 04/30/2006 Until Cancelled $6,000.00 05/09/2006 2 OLD REPUBLIC SURETY CO YLI238167 04/30/2002 Until Cancelled 06/06/2006 $6,000.00 01/15/2002 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 6 TRUCK INS EXCHANGE 035066166 02/03/2006 02/03/2011 $2,000,000.0002 /10/2010 5 MA CAS SCP037917680 05/15/2003 05/15/2006 $500,000.00 05/19/2005 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 https: // fortress .wa.gov /lni/bbip /Print.aspx 09/28/2010 LEVEL 1 ISOMETRIC RISER i)I,AGR,AM DOMESTIC WATER NOT TO SCALE SPRINKLER ROOM ISOMETRIC DIAGRAM NOT TO SCALE BASEMENT LEVEL ISOMETRIC RISER I�I,AGRAM WASTE AND VENT NOT TO SCALE LEVEL 2 ,ANC) 3 ISOMETRIC RISER GI,AGR,AM. DOMESTIC WATER NOT TO SCALE TO WATER METER BASEMENT LEVEL FITTING SCHEDULE LEVEL 1 ISOMETRIC RISER DLAGR�AM WASTE AND VENT NOT TO SCALE MARK FITTING TYPE SIZE 1 WYE / 45° COMBO 6" X 2" 2 LONG SWEEP 90° 2" 3 SANITARY TEE 2" 4 1/8 BEND 45° 6" 5 WYE / 45° COMBO 6" 6 WYE W/ CLEAN OUT 6" 7 1/8 BEND 45° 3" 8 LONG SWEEP 90° 3" 9 WYE W/ GLEAN OUT 3" SERVICE/ LOADING AREA IDockheight) LEVEL 1 FITTING SCHEDULE LEVEL 2 AN 3 ISOMETRIC RISER ©I,AGR,AM WASTE AND VENT NOT TO SCALE MARK FITTING TYPE SIZE 1 WYE / 45° COMBO 3" 2 WYE / 45° COMBO 3" x 2" 3 WYE / 45° COMBO 3" x 2" 4 SANITARY TEE 2" X 11/2" 5 WYE / 45° COMBO 3" 6 WYE / 45° COMBO 3" x 2" 7 WYE / 45° COMBO 2" 8 SANITARY TEE 2" X 2" x 11/2' 9 LONG SWEEP 1/4 BEND 90° 2" 10 WYE /45 °COMBO 2 "X11/2 "X2" 11 LONG SWEEP 90° 11/2" 12 SANITARY TEE 1 1/2" 13 1/B BEND 45° 2 "X11/2 "X2" 14 WYE / 45° COMBO 2" X 2" x 11/2" WYE W/ GLEAN OUT 3" x 2' LEVEL 2/3 FITTING SCHEDULE MARK FITTING TYPE SIZE 1 WYE / 45° COMBO 3" 2 WYE / 45° COMBO 3" x 2" 3 WYE /45 °COMBO 3 "x2" 4 SANITARY TEE 2" X 11/2" 5 LONG SWEEP 1/4 BEND 90° 2" 6 SANITARY TEE 2" X 1 1/2" x 1 1/2' 7 1/4 BEND 9O° 1 1/2" 8 SANITARY TEE 1 1/2" 9 SANITARY TEE 3" x11/2" 2" SUPPLY LINE BELTMCAL RN, GO TO UPPER PQL FLOORS 3„ P9G TO UPPER 4" FLOORS Tian review approval Is sublet to elrners end aellorl . � , provai of construction documents dose not hoII�9 y . violation Field any adopted axle! or ate. Refit V , , ppro ` $ f i ll and �������t Vou: ANDREW S. KOVACH STATE OF WASHINGTON Storage ONTROLLER s3� ELEVATOR 1AUll E RN. Storage Storage ONTROLLER ELEVATOR EMIR REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE: Revisions sions will require a new plan submittal and may i' : ude additional plan review tees. L.I N E L.�•� N W.ATE I N E I=L,•AN CODE COMPLIANCE APPROVED OCT 2 7 2010 Cii�rof Tukwila � BUILDING DIVISION HOSE BIBB (FP) FREEZE PROTECTED REDUCED PRESSURE DOUBLE CHECK VALVE POINT OF CONNECTION W 5 O WASTE LINE STUB -OUT owl r•I 1/2" 1/2° FUTURE LINE FG G GATE VALVE HOT WATER SUPPLY COLD WATER SUPPLY SL -U SUPPLY LINE UP /DOWN VENT THROUGH ROOF STUB -OUT SEPARATE PERMIT REQUIRED FOR: erkkichanksal I Iectrical Plumbing tas Piping �` ^y of Tukwila *� ' _ENVISION -- -- VENT - FUTURE WASTE LINE ChRTIFICATION STATF�MENT Thelundersigned certifies the the bet of their knowledge that th se documents art in conformance to all cutirent plumbing codes and red lations a they may appl I. I J AUTHORIZED PL BIN DESIGNER Owner - Alley Plumbing TITLE 10/25/10 Signature Date: P&tOE-1'2i la,4=6,4,��EMENT PLUMBING DOCUMENT DATE: 10/22/10 46 tech./Elect. /Maim. 3/4" 11/2' u 1. - 1CW•P Restroom 11/2" Entry ANDREW S. KO ACH STATE OF WASHINGTON DRINKING 1" FH L.Y L.I NE 1:=1,-1•4116%N REVIEWED FOR CODE COMPLIANCE APPPflVED OCT 2 7 2010 City of Tukwila BUILDING DIVISION CERTIFICATION STATEMENT The undersigned certifies the the best of their knowledge that these documents are in conformance to all current plumbing codes and regulations as they may apply. HOSE BIBB (FP) FREEZE PROTECTED • REDUCED PRESSURE R.P. DOUBLE CHECK VALVE POINT OF CONNECTION ws WASTE LINE STUB -OUT Owner - Alley Plumbing TITLE FUTURE LINE FUTURE LINE GATE VALVE HOT WATER SUPPLY > C 1G COLD WATER SUPPLY VENT THROUGH ROOF FUTURE WASTE LINE 10/25/10 I"r Signature Date: C OCT 252010 PERMIT CENTER DOCUMENT DATE:10 /22/10 UP ( ®1 r ®I �i1 tech. /Elect / Iaint. 3/4" G :.b/4" U FD) Restroom Lobby a IMAM! I MOB IMIMI 1.11=I 11.1.1 MEM gliir �1J1�' 'L.Y LINE L.,•�N FUTURE LINE FUTURE LINE 1/12° FH 1/12° FC KY HS HB (FP) FREEZE PROTECTED HOSE BI BB 1/2" H GATE VALVE HOT WATER SUPPLY GOLD WATER SUPPLY eJ REDUCED PRESSURE DOUBLE CHECK VALVE 5L SUPPLY LINE UP /DOWN 314 0 STUB —OUT 5.0. I.rr.r+.ru•.r ®1 0i ON UP 11 L ®] 3" WL TO POC WL 101 t<9 1ech.l©ectlaint. -- R 1 I 11/ ':__ _s 11/2° V O wc0 Lobby z a W,416‘STE LINE PL�ANN cyr KEY wC0 WALL GLEAN —OUT V�R 2" \ VENT THROUGH ROOF •A' - -- -- VENT 4" WL iH POINT OF CONNECTION 2 " -6" WASTE LINE - -- 1 - -- FUTURE WASTE LINE FWL L ®] CODE REVIEWED FOR COMPLIANCE APPRflVED OCT 2 7 2010 City of Tukwila BUILDING DIVISION Z-0-0 WASTE LINE STUB —OUT E\/ PP NI 1•••046%N LEVEL 3 SIM. /446% L.- 3/1 Z" "- 1 ' -0" r L® 1 ANDREW S. KO ACH STATE OF WASHINGTON CERTIFICATION STATEMENT The undersigned certifies the the best of their knowledge that these documents are in conformance to all current plumbing codes and regulations as they may apply. AUTHORIZED PLUMING DESIGNER Owner - Alley Plumbing TITLE 10/25/10 Signature Date: carvS9EMIa OCT 2 5 zaio Floor 11 1+3 311 1-2 ERMIT CENTER M DOCUMENT DATE: 10 /22/10