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Home My WebLink AboutPermit M07-129 - GROUP HEALTH COOPERATIVEGROUP HEALTH 12400 EAST MARGINAL WY S M07 -129 Parcel No.: 7340600480 Address: Suite No: Tenant: Name: Address: Contact Person: Name: NEIL BAVINS Address: PO BOX 27073 , TUKWILA WA DESCRIPTION OF WORK: INSTALL WALK -IN COOLER AND REFRIGERATION Value of Mechanical: $90,000.00 Type of Fire Protection: doc: IMC-10 /06 Cit►f Tukwila Owner: Name: GROUP HEALTH COOPERATIVE Address: CONTROLLER , 521 WALL ST Furnace: <100K BTU > 100K BTU Floor Furnace Suspended/Wall/Floor Mounted Heater Appliance Vent Repair or Addition to Heat/Refrig /Cooling System.... Air Handling Unit <10,000 CFM >10,000 CFM Evaporator Cooler Ventilation Fan connected to single duct Ventilation System Hood and Duct Incinerator: Domestic Commercial/Industrial 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 12400 EAST MARGINAL WY 5 TUKW GROUP HEALTH 12400 EAST MARGINAL WY S , TUKWILA WA MECHANICAL PERMIT Contractor: Name: P S R Address: PO BOX 27073 LAKE CITY STATION , SEATTLE WA Contractor License No: PSR * * * *936JP EOUIPMENT TYPE AND OUANTITY 0 0 0 0 0 2 0 0 0 0 0 0 0 0 * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 367 -2500 Phone: 206 367 -2500 Expiration Date: 12/31/2008 M07 -129 06/22/2007 12/19/2007 Fees Collected: $908.13 International Mechanical Code Edition: 2003 Boiler Compressor: 0-3 HP /100,000 BTU 0 3-15 HP /500,000 BTU 0 15-30 HP /1,000,000 BTU.. 0 30-50 HP /1,750,000 BTU.. 0 50+ HP /1,750,000 BTU 0 Fire Damper 0 Diffuser 0 Thermostat 3 Wood/Gas Stove 0 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment 0 M07 -129 Printed: 06-22 -2007 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie Signature: Print Name: doc: IMC-10 /06 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 x wi eeI,JAvls 40A-t- Permit Number: M07 -129 Issue Date: 06/22/2007 Permit Expires On: 12/19/2007 Date: r(.Q f 2Z`t7k ed this permit and know the same to be true and correct. All provisions of law and ordinances , whether specified herein or not. The granting of this pe t does not presume to give authority to violate or cancel the provisions of any other state or local laws regulatinc construction or th rk. I am authorized to sign and obtain this mechanical permit. Date: 6.72-h 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 suspender or abandoned for a period of 180 days from the last inspection. M07 -129 Printed: 06-22 -2007 Parcel No.: 7340600480 Address: 12400 EAST MARGINAL WY S TUKW Suite No: Tenant: GROUP HEALTH 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 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 PERMIT CONDITIONS Permit Number: M07 -129 Status: ISSUED Applied Date: 06/06/2007 Issue Date: 06/22/2007 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431- 3670). 4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 5: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 6: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 7: 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. 8: Readily accessible access to roof mounted equipment is required. 9: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 10: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206 - 431- 3670). 11: 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. 12: ** *FIRE DEPARTMENT CONDITIONS * ** 13: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 14: Maintain sprinkler coverage per N.F.P.A. 13. Addition/relocation of walls, closets or partitions may require relocating and/or adding sprinlder heads. (IFC 901.4)(Extend sprinlder protection to walk -in cooler /freezer.) 15: All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department review and doc: Cond -10/06 M07 -129 Printed: 06-22 -2007 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 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 the W.S.R.B., Factory Mutual, Industrial Risk Insurers Kemper or any other representative designated and/or recognized by the City of Tukwila, prior to submittal to the Tukwila Fire Prevention Bureau. No sprinkler work shall commence without approved drawings. (City Ordinance #2050) 16: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2050 and #2051) 17: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 18: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575 -4407. doc: Cond -10/06 * *continued on nest page ** M07 -129 Printed: 06-22 -2007 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 I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and 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 construction or the performance of work. Print Name: / J t 1 gA'Lc 5 , doc: Cond -10/06 M07 -129 Date: Wtz-A7 ordinances governing or local laws regulating Printed: 06-22 -2007 %► CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httc://www.ci.tukwila.wa.us Building Permit No. Mechanical Permit No. j\j1 ( ' `" Plumbing/Gas Permit No. Public Works Permit No. Project No. (For office use only) 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 73zi 0600 King Co Assessor's Tax No.: Site Address: 1 2400 E/45.1" KIV- -61NAt vvOry Suite Number: Floor: / Tenant Name: 61ZOVP tlMiTh New Tenant: ❑ Yes R I.No Property Owners Name: ANNE ARV tq%L A9verrneints t-LG Mailing Address: Company Name: Mailing Address: City State CONTACT PERSON Name: t4 t L 1 S T 01 Day Telephone: PIP" 7 -2-t _ Mailing Address: 1 0- I X 2 �bZ �7 1 \1Ah VIA • q81 City State Zip E -Mail Address: KEW • 10 40,14 c_ P siz- a.1A -L ' c.Dr1 Fax Number: IUD- " (?S t e . GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5) ) State City Contact Person: Day Telephone: E -Mail Address: Fax Number: Expiration Date: Contractor Registration Number: ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record Company Name: Mailing Address: E -Mail Address: Company Name: Mailing Address: 0:\APplications \Forms - Applications On Line \3 -2006 - Permit Application.doc Revised: 4.2006 bh State Zip Zip Zip City Contact Person: Day Telephone: Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record State Zip City Contact Person: Day Telephone: E -Mail Address: Fax Number: Page 1 of 6 BUILDING PERMIT INFORMATION - 206 -431 -3670 Will there be new rack storage? ❑..Yes ❑...No Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): (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): Floor area of principal dwelling: Floor area for accessory dwelling: *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: QMpplications \Forms - Applications On Lin&3 -2006 - Permit Application.doc Revised: 4 -2006 bh Handicap: Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑.. Sprinklers ❑..Automatic Fire Alarm ❑..None ❑..Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑.. Yes ..No If "yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets. 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. Page 2 of 6 • Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1' Floor 2 Floor 3 Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck BUILDING PERMIT INFORMATION - 206 -431 -3670 Will there be new rack storage? ❑..Yes ❑...No Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): (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): Floor area of principal dwelling: Floor area for accessory dwelling: *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: QMpplications \Forms - Applications On Lin&3 -2006 - Permit Application.doc Revised: 4 -2006 bh Handicap: Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑.. Sprinklers ❑..Automatic Fire Alarm ❑..None ❑..Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑.. Yes ..No If "yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets. 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. Page 2 of 6 • • PUBLIC WORKS PERMIT INFORMATION — 206 -433 -0179 Scope of Work (please provide detailed information): Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila 0... Water District #125 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑... Va1Vue ❑ ...Sewer Use Certificate 0... Sewer Availability Provided ❑ .. Approved Septic Plans Provided Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34") ❑ ...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ .. Right -of -way Use — Potential Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way Non Right -of -way ❑ ...Total Cut cubic yards ❑ ...Total Fill cubic yards ❑ ...Sanitary Side Sewer ❑ .. Abandon Septic Tank ❑ ...Cap or Remove Utilities ❑ .. Curb Cut ❑ ...Frontage Improvements ❑ .. Pavement Cut ❑ ...Traffic Control ❑ .. Looped Fire Line ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water Q: ApplicationsTorms- Applications On Line13-2006 - Permit Application.doc Revised: 4 -2006 bh Call before you Dig: 1- 800 - 424 -5555 If ❑ ...Permanent Water Meter Size... " ❑ ...Temporary Water Meter Size.. ❑ ...Water Only Meter Size ❑ ...Sewer Main Extension Public Private ❑ ...Water Main Extension Public Private ❑ .. Highline ❑ .. Renton ❑ .. Seattle ❑ .. Geotechnical Report ❑ .. Maintenance Agreement(s) ❑ .. Work in Flood Zone ❑ .. Storm Drainage ftf ❑ .. Renton ❑...Traffic Impact Analysis ❑ ...Hold Harmless — (SAO) ❑...Hold Harmless — (ROW) ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line ❑ ...Water ❑ ...Sewer Monthly Service Billing to: Name: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: Number of Public Fire Hydrant(s) ❑ ...Sewage Treatment Day Telephone: City State Zip Day Telephone: City State Zip Page 3 of 6 Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace <100K BTU Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Furnace>100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Fumace Ventilation Fan Connected to Single Duct Thermostat 3 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood/Gas Stove 30 -50 HP /1,750,000 BTU Appliance Vent Hood and Duct Water Heater 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System E. Incinerator - Domestic Emergency Generator Air Handling Unit <10,000 CFM Incinerator — Comm/Ind Other Mechanical Equipment MECHANICAL PERMIT INFORMATION — 206 - 431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: PS2 Mailing Address: 313 N6 133rat S T Contact Person: PAUL GOTD E -Mail Address: FAA-. 60 e P5RN VIC . COM Contractor Registration Number: PSR lk ij)( g36JP Valuation of Project (contractor's bid price): $ i 65 Scope of Work (please provide detailed information): I vt 5'179 wit! IC to cerw 4, 4. r te/01 Use: Residential: New .... ❑ Replacement .... ❑ Commercial: New .... Replacement .... ❑ Fuel Type: Electric ❑ Gas .... Other: Indicate type of mechanical work being installed and the quantity below: Q: \Applications \Forms - Applications On Line\3 -2006 - Permit Application.doc Revised: 4 -2006 bh ems SeA7TIC City Day Telephone: 206 — 367 — 2,530 Fax Number: 206 - 365— 6856 Expiration Date: 12/3 //o 7 State Zip Page 4 of 6 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and/or water treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas Additional medical gas inlets/outlets — six or more PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 -431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Q:Wpplications\Forms- Applications On Line .3 -2006 - Permit Application.doc Revised: 4 -2006 bh City State Zip Page 5 of 6 PERMIT APPLICATION NOTES — Applicable to all permits in this application 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. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform 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 OWN ERA UTHORIZED AGENT: Signature: �J / Date: f /‘/i7 Print Name 7 6fid Day Telephone: Zv6 — 3"— ?'`ao Mailing Address: 7/32 N' i3 ff Date Application Accepted: cut a/ Date Application Expires: 12tai *Lio1— Stafflnitials: Q:\Applications \Forms - Applications On Line\3 -2006 - Permit Application.doc Revised: 4 -2006 bh City State 9lizrS Zip Page 6 of 6 Parcel No.: 7340600480 Permit Number: M07 -129 Address: 12400 EAST MARGINAL WY 5 TUKW Status: APPROVED Suite No: Applied Date: 06/06/2007 Applicant: GROUP HEALTH Issue Date: Receipt No.: R07 -01200 Payment Amount: $732.50 Initials: JEM Payment Date: 06/22/2007 08:35 AM User ID: 1165 Balance: $0.00 Payee: PUGET SOUND REFRIGERATION TRANSACTION LIST: Type Method Description Payment Check 11409 732.50 ACCOUNT ITEM LIST: Description MECHANICAL - NONRES 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 Amount Account Code Current Pmts 000/322.100 732.50 Total: $732.50 9607 06/22 9716 TOTAL 732.50 doc: Receipt -06 Printed: 06-22 -2007 Parcel No.: 7340600480 Permit Number: M07 -129 Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 06/06/2007 Applicant: GROUP HEALTH Issue Date: Receipt No.: R07 -01053 Initials: JEM User ID: 1165 City of Tukwila Payee: PUGET SOUND REFRIGERATION TRANSACTION LIST: Type Method Description 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 Amount Payment Check 11398 175.63 ACCOUNT ITEM LIST: Description PLAN CHECK - NONRES Account Code Current Pmts 000/345.830 175.63 Total: $ 175.63 Payment Amount: $ 175.63 Payment Date: 06/06/2007 12:32 PM Balance: $732.50 9013 06/06 9716 TOTAL 175.63 don: Receipt -06 Printed: 06-06 -2007 Proje /4'4 /71/) Type of Inspection:„/V7 Address: 2 A,.5/ /2 //7,- / v Da a Called: / Special Instructions: Date Wanted: / � /� �� /� `-Pm Requester: P ne No: oG -sio _c 7'7 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431 -3 COMMENTS: „ 41/ Inspecto I Date: .00 REINSPECTION E RED IRED. Prior to inspection. fee must be • aid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 1 R-ceipt No.: 'Date: A pproved per applicable codes. Ei Corrections required prior to approval. Projeti: / � , , Type of Inspgction� / Address: Date C d: Special Instructions: Date Wanted: 6,m:., -_ /0- D - 7 p.m. Requester: Ph- ZOG - 5 /b -27 7 / INSPECTION RECORD Retain a copy with permit INSPE ION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. COMMENTS: 1 ` / 4 tor: A A AA/7 NN. ol Jr, .00 REINSPECTION FEE REQUIRED. Prjor to in pection, fee must be d at 6300 Southcenter Blvd., Suite 100./Call the chedule reinspection. 'Receipt No.: Co rrections required prior to approval. l\/sf i) k A Date: 0- n7 'Date: V ' , t1 1 - 1 COMMENTS: / (...„9,7/ �fl�G.. ¢ _ 7 _ 7< __ „..,,,,,,..,,,,f; 4 ,' c.,, f.e7-i,/ /- 4. '4 Sto _ /),,(' i,C J �`S t, (eu / -n / 0 / Q - /-- a ., ii f-F//1r- 4`�z -/-T� ) ,/,'‹...1 /.rte STP 5 A...4 cvi, ne6 /` 4 vec de /./h d IA( e t' ,a/A) --"- 2/ ii ,/, /7 n % ., be // , ze / Y.,,f.% 6,1 cf y2 / i f 71 ,j/ -f J . G .g16` alas 4-- z) Kl1P �3 O/Lf ,of €12-4 3) �e v � 4 \-, tom( P•m• ✓ .fi r /: l 1 Project: ri - 4i. � / Type of Inspection: v /' � �. �/ __ �1Af Address: rzyein / iI., Date Calle Special Instructions: //�� i c,i �/ , / ^vvv �� 6 ° , Date Wanted: —. tom( P•m• ✓ .fi r Requester: . ` S Pone N 006 S/0 ""15, 'Inspector INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 • r If f NO. (206)431 -36 El Approved per applicable codes. Corrections required prior to approval. 11 1P-- I $58.00 REINSPECTIO E REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Date 'Receipt No.: 'Date: P ject: )(j f ///7 Type of kjspectio : -' ( (A/ it — i / C Address: /2 e706 - /)4 Date Called: ... Special Instructions: Dat me Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 COMMENTS: 1--t?. 60/' el/ tf / 6 1/ J() -6." 7/ pai Approved per applicable codes. Corrections required prior to approval. EINSPECTION FEE EQUIRED. P '• r to inspection. fee must be 6300 Southcenter Blvd.. Suite 100 Call the schedule reinspection. Receipt No.: 'Date: Pt: roer /G� /ki7 /7/l Type of Inspecp' n: �= / %°i -► -4 l3 Address: , /-2 z /DO e /17,i.2 •,/ Called: Special Instructions: Date Wanted: Z 7 ( .m, p.m. Requester: Phone No: z06 -/- INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 pproved per applicable codes. COMMENTS: Inspec r: (Date, -Z 7 0' .00 REINSPECTIOII( FEE REQUIRED. Prior to inspection, fee must be P's aid at 6300 Southcen r Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: INSPECTION RECORD Retain a copy with permit (206)431- 67 Corrections required prior to approval. COMMENTS: Type of Inspection: , 1` r- ! -4- - :" -": ', - / " L_7- °- le Address: = L: t : u Suite #: :. , .' , .. 1 ; i f....1,-. .x . , Contact Person: - t . Permits: Phone No.: v 1:[.t.: k = N .,_ 0 tl SLR Project: ;.,-,, , "- t , : L -Iv, Type of Inspection: , 1` r- ! -4- - :" -": ', - / " L_7- °- le Address: = L: t : u Suite #: :. , .' , .. 1 ; i f....1,-. .x . , Contact Person: Special Instructions: Permits: Phone No.: Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: INSPECTION RECORD Retain a copy with permit - INSPECTION NUMBER PERMIT CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206 -575 -4407 F7 Approved per applicable codes. n Corrections required prior to approval. Inspector: ; z' t fo Date: cv.. rs.. $80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. CaII to schedule a reinspection. Word /Inspection Record Form.Doc 1/13/06 T.F.D. Form F.P. 113 COMMENTS: Sprinklers: Type of Inspection: .5 4 ✓��2 Address: /2 yoo e /T'Zq,2g Suite #: WY.a Contact Person: ..Sr cv/Liry Special Instructions: 'e/e/A/ t1_ Go✓W it a l._ v- a ) i ? o & 7) M -. AAA's o - ,6.0 / Z 1-- r . C- r1 �E�ze - c .5 (4_ A/iz 7) • Project: 6 /2w P /1z> itm' Sprinklers: Type of Inspection: .5 4 ✓��2 Address: /2 yoo e /T'Zq,2g Suite #: WY.a Contact Person: ..Sr cv/Liry Special Instructions: Occupancy Type: Phone No.: Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA FIRE DEPARTMENT oq - /2-el a� rS- PERMIT NUMBERS 444 Andover Park East, Tukwila, Wa. 98188 206 575 - 4407 ri Approved per applicable codes. Word /Inspection Record Form.Doc 1/13/06 erections required prior to approval. Inspector: i,i f )2_ Date: g /10 /67 Hrs.: $80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the/City of Tukwila Finance Department. Call to schedule a reinspection. T.F.D. Form F.P. 113 ACTIVITY NUMBER: M07 -129 DATE: 06 -06 -07 PROJECT NAME: GROUP HEALTH SITE ADDRESS: 12400 EAST MARGINAL WY S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Buildi►g Division Public Works Complete Comments: APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28-02 PERMIT COORO COPY PLAN REVIEW /ROUTING SLIP 1I / Fire Prevention Structural DETERMINAT N OF COMPLETENESS: (Tues., Thurs.) Incomplete TUES/THURS ROU ING: Please Route Structural Review Required REVIEWER'S INITIALS: ( - °') DATE: DATE: Planning Division Permit Coordinator DUE DATE: 06-07-07 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: No further Review Required DUE DATE: 07-5-07 Approved ❑ Approved with Conditions Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: License Information License PSR * * * *936JP Licensee Name P S R Licensee Type CONSTRUCTION CONTRACTOR UBI 600122060 Ind. Ins. Account Id 34222200 Business Type CORPORATION Address 1 PO BOX 27073 LAKE CITY STATION Address 2 City SEATTLE County KING State WA Zip 981251473 Phone 2063672500 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 4/17/2007 Expiration Date 12/31/2008 Suspend Date Separation Date Parent Company PUGET SOUND REFRIGERATION INC Previous License PUGETSR169CB Next License Associated License Business Owner Information Name Role Effective Date Expiration Date ROCHFORD, JERRY D 04/17/2007 ROCHFORD, BOBBIE J 04/17/2007 MILLER, ROBERT JR 04 /17/2007 ROCHFORD, JERRY D JR 04/17/2007 Washington State Department of Labor and Industries General/Specialty Contractor A business registered as a construction contractor with L &I 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. Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= PSR * * * *936JP 06/22/2007 00210121111•3 UNIT MOM. NOM A air ssee 111s rood Whet r beieO ass letup MO Maws 4111110 - 1 TEZA031 NM 1 47 36 r 033 31 Jib 834 4 3 082 30•8 172 TE2 A•36 lain 47 33 13 32 74 WS 43 X42 30 38 772 TUA0411214 4733 1703 327; S35 43 tail 30 38 172 TQ A Oss li 47 3.3 ?2G3 32 :; 13s 43 :OP 3C 38 771 TEZAOO1i121M. 473E r7b13 32 7.0 DS Al 1002 90,8 712 TEE ls, U U a 3s :7e3 32 1I en 43 x02 as se m TV/AO1e U 56 Si I 7:13 3578 5=i 1 SOS A712 4178 iG64 to AWE i6 SE :413 3S 78 s *r as ?002 41 70 11444 1TZA 11001 SS 54 :40 !S 7• en s3 :C42 41 AQ to U MOOEL 110. of iA11S A 8 G SUCTION CONNECUUONED) SWAT DISTRIBUTOR I MET SIN a ( �� IN h�i 4111110 - 1 1 SOU SO l A (r2Aq (117 IY� Na _ej)_ _ 3 8 pr4� OM i4 11a - -__ S! 71211414 . _ . 8I u _ u tit . 17 - 34 3( __ 064 - 3fi - - 0 f is — 55 5* -- - — 211110 ___ _ — 13s 2&6170 2 31 the am _ 34 . 060 d6 19 1 38 78 3SSM0 3 IIe 14 (3064) 34 (8611 36 • q 1 Sa 74 7161 0 - 3 1111 14 134p4 ii fT 36 - - 0 - 74 . Iia10 4 TX 17 D') _ 36 , R ► l PM 1 SOS 14 4ff�M 4 1 . i r (L!, f , t 1 Si AO r t • NOTE: t ri . Expedia . it N. 1 12 0 E IMlargin a S; . - Tukwila 'WA 98168 =2559 (9 s i st • NO 4 Tukwile • V 411 333rd • __;• Mi cios_ORCoip 61 006 NAViEQ tl � a s,Int. migiriggia MapPoi SITE VICINITY m NTS SITE INFO ADDRESS: OWNER: PARCEL /TAX # LEGAL: KEY PLAN m SCALE AREA OF WORK 12400 EAST MARGINAL WAY S. TUKWILA, WA 98168 GROUP HEALTH COOPERATIVE 7340600480 21 - & 31-32 RIVERSIDE INTERURBAN TRS TR 21 8 22 LESS POR LY NLY OF A LN 789.91 FT N AS MEAS ON ELY MGN CO RD FR SW COR LOT 31 SD SUBD LESS ST HWY TGW ALL TR 31 TGW TR 32 LESS S 200 FT OF POR E OF E LN SQUIRES REPLAT PROD N LESS ST HWY CONDENSING UNITS 1 OON ENSING UNIT EQUIPIVF_i1IT SCHEDULE CU-1 CU-2 LOCATION LOADING DOCK LOADING DOCK CAPACITY AWEIENT (F) 95 95 60,1(10 6Q100 SATURATED su;nON MVP (1-) 29 29 ELECTRICAL REFRIGERANT VOLTAGEPI-IASE RIOIA 46Ur3 R404A 4603 EVAPORATOR EQUIPMENT SCHEDULE MARK LOCATION CAPACLTY• ELELIRtICAL . OPE R WEIGHT' BASIS OF DE5iQ1 MAMFACTURE R MODEL SERVES RBVIARKS E�1 E-2 WALK N COOLER WNW N COOLER 57,200 _ R404A 206 -2301 5.5 5.5 gl I A il. GE ANT VOLTN38PHASE MCA MOCP R VlIBGHT (LB) 57,200 206 -2301 15 15 5.1 51 326 326 TRENTON TRENTON NTON TMP365MA.S2 IM:3651RAS,2 C1 CU-2 LEAD SYSTEM LAG SYSTEM NOTE: REFRIGERATION SYSTEM PROVIDES 100% REDUNDANCY & LEAD /LAG OPERATION. DIMENSIONAL DATA Tr* Owl — r T IS _ � ,. � AIR THROW( ALL MODELS ) APPROX. 75 FEET ( 23 METERS) IN OPENSPACE TOP ViEW Olio MD MEM Medium Temperature Air and Electric Defrost Models s aAter E Raise to1laafeedltrrolosdetlis • MCA 15,5 155 MDCP 25 25 osao•s.•• CoPOPPX Kioa OPEI't WEIGHT WEIGHT 470 470 DIMENSIONAL DATA (Models 030 H2/M6 to 100) BASIS OF DESIGN MANUFACTURER 'iFiENTON iRENTON AtR 21.0■V - R'.! • term MODEL TEZAOSOM6 TEZAOKIVB INDOOR DIMENSIONS 1 . - •e•3. •�aao OUTDOOR DIMENSIONS 7 E-1 E-2 letaw: Or+wrecs for :dee.r.ofes eeriebsr if Opt:05Me Grata %Mat lireeleas NOTE Discharge hood and legs areop6onal components 0 1 I. ..i- - -s- r YO a N u I gaol - -- rain . a L_ = - - s . Li '. s+4 • LEAD SYSTEM LA1G SYSTEM C, r.. Oty of Tukwila BUDDING DIVISION SEPARATE PERMIT E QUIRED FOR: O r4edtarkal E'aectrkal t ernbIng Piping City cf Tukwila BUILDIN: DIVISION • Pia- revfevi ar;:ruval Is subject m errors and cmEssiu m iparovzJ c, C edict document does not aathor'.M 20:2pbed code or ordnance Recut et a;.;• _ I.:" •rt oond.3ions TS adoloi Tedged: PECEI'JED 01 E .i ;s "i %.c►'iiera MDT-11,1 3132 N.E. 133 ST Seattle. Washington 98125.4423 PO Box 27073 Seattle. Washington 96t65 -1473 (206) 367 -2500 Fax (206) 3686856 PS II .... W J w O> LIJ w YOz W J 00-2 = z I co 1-tveb UJ u gi g = Q (D O U WO t‘ I Q 0_ ( - 9 w O � r c V ooPTINGFfi NOTICE MS 1AYOUTADE51GN ISA1f usimuSFED YYOAKPPDPUGETSOUND REFRIGERATION HEREBY RESERVES ITS fS OOgN (A RNOW. Pc1RSIWfr TO TITLE 17SECTION20F INEUSA000ETO PREVENT ANY usootssoneso corms. FuOuCATIONOR USE OFMSDESIGN. AND TO MAW MIMES THEIEOF- General Notes 1. 11'x17" SHEET SIZE NTS. P GOTO To MAY 2007 (;r234 'Miller Swags N.BAVINS 11B` =1'B` PEST SET ReTrs•orsIss e M 1 t REFERIGERANT PIPING TO CONDENSING UNITS KEY PLAN m SCALE NOTE: 7/ AREA OF WORK L CONDUIT 9'3" AFF r 10 " DUCT 8'101" AFF CONDENSING UNITS r 1 • • 1 1� i Di ! L r r-7 ;. .; . • EMERGENCY THERMOSTAT 1"93 CONDENSATE DRAIN IE -2 1 • DEMO AND CAP RELOCATE S/A DIFFUSERS 10" DUCT $'2" AFF: 1 in 11 1 S CONDUIT 9'l0" AFF WALK IN COOLER PLAN 1 -{ 1 1 1_ J EXISTING 2" DRAIN e 7.7] X EEES c- :: DOOR ELECTRICAL: 1.30 AMPS TOTAL FOR DOOR & FRAME HEATERS. 3 LIGHTS ARE 1.65 AMPS TOTAL. (1) CONNECTION 120V 1 Jai \Nf 9' [108] 6' -11" [83] WHITE EPDXY WIRED SHELVING 24" 6" X 6" X 36" CORNER GUARD DOOR ELECTRICAL: 5.88 AMPS TOTAL FOR DOOR & FRAME HEATERS. 10 LIGHTS ARE 5.50 AMPS TOTAL. (2) CONNECTIONS 120V ADJUSTABLE SHELVES (TYP) ,�-- DOOR ,..._ VAPOR PROOF LIGHTS (6 -TYP) WHITE EPDXY WIRED SHELVING 24" 0 do 27-9" 273.00001w x 79 118" h 4" SILL 1/4" =1' 0 N WALK IN COOLER DETAIL m � T -BAR CEILING 8'- 7" [ 103] 4"J -5" [17] \7112" 2' -2$" [26.6] 1 1' -84" [20.8] EVAP 24 24'-0" [288.00001 CONDUIT (EXISTING) [ 24] 1/2 " =1' �J REFRIGERATION LINES 3/4 "0 CONDENSATE oRAIN WALK IN COOLER SECTION Aft, 0 12" HIGH DIAM( J M 1/4"=1' D PLATE 60" X 84" WALK IN DOOR 12" HIGH DIAMOND PLATE THERMOSTAT PILOT LIGHT SWITCH 120V DOOR ELECTRICAL: 3.92 AMPS TOTAL FOR DOOR & FRAME HEATERS. 7 LIGHTS ARE 3.85 AMPS TOTAL. (2) CONNECTIONS 120V EXISTING 12" X 12" COLUMN 6" X 6" X 36" CORNER GUARD 30" X 79" GLASS REACH IN DOORS (17 -TYP) D0000 lc LEAD /LAG CONTROL • RENEWED FO- CE 1 CODE COMPLIA APPROVED Juu ? 1 7001 City Of Tukwila ILDING DIVI ION ` E I IE CONDENSING UNIT LAYOUT m 21 -TE'VED L# O ' tin 021 ■ 3132 N.E. 133 ST Seattle. Washington 98125.4423 PO Box 27073 Seattle. Washington 98166 -1473 (206) 367 -2500 Fax (206) 368.6856 PSR•••'906JP P.GOTO 31 MAY 2007 L . Tim evrefaeeayr Des 4234 NS ooPrR GHT NOTIOE MS I AYotmoe •1Gll IS AN LPFUEOSFED PORK AND MOLT SOUND REFRIGERATION M HEREBYRESERVES ITS C ONNORU RICHT. PURSUANT TOTIRE 17 SECTION 2 OF n€ USA CODE TO P PEVENTANY tINPUTHORIZED OOPYINC. PU UCATION CR USE OF TES DESK NO TOOeT 4DANAGESDEREOF. General Notes 1. 11"x17" SHEET SIZE NTS. PERIMTSET NevinceN:we SOUR Dale, M2 1