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HomeMy WebLinkAboutPermit M07-289 - GROUP HEALTH COOPERATIVEGROUP HEALTH 12400 E MARGINAL WY S M07.289 Parcel No.: 7340600480 Address: Suite No: Tenant: Name: Address: 12400 EAST MARGINAL WY S TUKW Owner: Name: ANNE ARUNDEL APARTMENTS LLC Address: 10 W MARKET -1200 MARKET TOWE , INDIANAPOLIS IN Contact Person: Name: PAUL GOTO Address: 3132 NE 133 ST , SEATTLE WA Contractor: Name: P S R Address: PO BOX 27073 LAKE CITY STATION , SEATTLE WA Contractor License No: PSR * * * *936JP DESCRIPTION OF WORK: DEMO AND DISPOSE OF 5 DIFFUSERS, AND 1 RETURN GRILLE RELOCATE 11 SUPPLY DIFFUSERS, 3 RETURN GRILLES AND 7 THERMOSTATS. INSTALL 4 NEW SUPPLY DIFFUSERS, 4 RETURN GRILLES, 1 NEW 8" VAV BOX WITH ELECTRIC HEAT AND 1 NEW 3 TON DUCTLESS SPLIT SYSTEM Value of Mechanical: $15,000.00 Type of Fire Protection: GROUP HEALTH 12400 EAST MARGINAL WAYS , TUKWILA WA 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 doc: IMC -10/06 Cityf 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 MECHANICAL PERMIT EOUIPMENT TYPE AND OUANTITY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * *continued on next page ** Permit Number: M07 -289 Issue Date: 01/18/2008 Permit Expires On: 07/16/2008 Phone: Phone: 206 -367 -2500 Phone: 206 367 -2500 Expiration Date: 12/31/2008 Fees Collected: $327.20 International Mechanical Code Edition: 2006 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 0 Wood/Gas Stove 0 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment 0 M07 -289 Printed: 01 -18 -2008 Permit Center Authorized Signature: doc: IMC-10/06 Print Name: Pi't Gold 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 Number: M07 -289 Issue Date: 01/18/2008 Permit Expires On: 07/16/2008 Date: t,(8-0e 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 regulatinc construction or the performance of work. I am authorized to sign and obtain this mechanical permit. Date: Vik / ay 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 suspende or abandoned for a period of 180 days from the last inspection. M07 -289 Printed: 01 -18 -2008 City of Tukwila Parcel No.: 7340600480 Address: 12400 EAST MARGINAL WY S TUKW Suite No: Tenant: GROUP HEALTH I : ** *BUILDING DEPARTMENT CONDITIONS * ** 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 -289 Status: ISSUED Applied Date: 12/24/2007 Issue Date: 01/18/2008 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: 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. 7: Manufacturers installation instructions shall be available on the job site at the time of inspection. 8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206 - 431- 3670). 10: 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. doc: Cond - 10/06 * *continued on next page ** M07 -289 Printed: 01 -18 -2008 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. Signature 9 Date: 0 81 °Sr Print Name: j'AvL Gory doc: Cond - 10/06 M07 - 289 ordinances governing or local laws regulating Printed: 01 -18 -2008 Name: nAt/L. 6010 Company Name: 7 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Mailing Address: 7132 WE (73(1 %f Company Name: Mailing Address: Q: Applications \Forms-Applications On Line \3 -2006 - Permit Application.doc Revised: 4.2006 bh Building Permit No. Mechanical Permit No. MO-7 _ 2-0 07 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 Site Address: 12.400 EAST MkF•Gih1A1. VAY Sot)TN Tenant Name: GRocP ttr.M.Th ccoPa '9?7ve. Property Owners Name: 6A.00p Cam+ oofn Mailing Address: limo 645r M4fl9(N`AL &Ay !wry CONTACT PERSON Mailing Address: 3I7Z R!£ r33gP sr E -Mail Address: moc.. Gorr) P S2Hv9G. CM Contact Person: PAUL. GM? E -Mail Address: eir/L. Gc*D 6 PStufvAC. con Contractor Registration Number: f5r Ptitie 'I 36 Jr Company Name: CLAIM 1/ k.10S ARCM ! 1EG15 Mailing Address: 10 SCraa17 AVE Sul"f . tom' Contact Person: MA ZA FIGIaG E -Mail Address: MA'ZKPICACCII GKAR.C*. CQWI Contact Person: E -Mail Address: King Co Assessor's Tax No.: 73406C0 Suite Number: p 2A0 Floor: 2. 9V/rAn /i9 City Day Telephone: 2b6 07- isao futrac kA State Fax Number: 206 - 366 - 611-0 City GENERAL CONTRACTOR INFORMATION - (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5) ) Feirrie City State Zip Day Telephone: 20 - 367 -Z.Sao Fax Number: Za MS-. id5a Expiration Date: iz / /oY ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record rile City Day Telephone: Fax Number: New Tenant: ❑ Yes State gsyxJ' MM qq 1 State Zip 206- 652 0722 7406 - 652 - 072.0 ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record State tikj.. 4P Zip ATP /T.S° Zip Zip City Day Telephone: Fax Number: Page I of 6 BUILDING PERMIT INFORMATION — 206 -431 -3670 Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): Will there be new rack storage? ❑ .. Yes ❑...No (If yes, a separate permit and plan submittal will be required) Provide All Building Areas in Square Footage Below PLANNING DIVISION : • , ' ' Single - family building footprint (area of the foundation of all structures, plus any decks over l8 inchesand bverbangs greater than 1.8.ihches) *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: W ill th@rr be a change in ❑ ....Yes • : , ❑ .,No If "yes ", explain: . FIRE PROTECTION/HAZARDOUS MATERIALS: ❑.. Sprinklers ❑..Automatic Fire Alarm Will there be storage or use of flammable, combustible or hazardous materials in the building? 0.. 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. Q:\Applications\Forms- Applications On Line \3 -2006 - Permit Application.doc Revised: 4 -2006 bh Compact> ; _ Handicap: - .F ❑..None `Other (specify) Page 2 of 6 Existing Interior Remodel Addition to Existing ... Structure New Type of Construction per IBC Type of Occupancy per IBC IS` Floor - r -, ' • • , `. . • 2' Floor . 3r Floor t . , . .. Floors 'thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport ..- e Detached Carport . Covered Deck Uncovered Deck BUILDING PERMIT INFORMATION — 206 -431 -3670 Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): Will there be new rack storage? ❑ .. Yes ❑...No (If yes, a separate permit and plan submittal will be required) Provide All Building Areas in Square Footage Below PLANNING DIVISION : • , ' ' Single - family building footprint (area of the foundation of all structures, plus any decks over l8 inchesand bverbangs greater than 1.8.ihches) *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: W ill th@rr be a change in ❑ ....Yes • : , ❑ .,No If "yes ", explain: . FIRE PROTECTION/HAZARDOUS MATERIALS: ❑.. Sprinklers ❑..Automatic Fire Alarm Will there be storage or use of flammable, combustible or hazardous materials in the building? 0.. 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. Q:\Applications\Forms- Applications On Line \3 -2006 - Permit Application.doc Revised: 4 -2006 bh Compact> ; _ Handicap: - .F ❑..None `Other (specify) Page 2 of 6 Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Fumace<100K BTU Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU t Furnace>100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 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 I Incinerator - Domestic Emergency Generator Air Handling Unit <10,000 CFM Incinerator — Comm/Ind Other Mechanical Equipment MECHANICAL CONTRACTOR INFORMATION Company Name: PS R. Mailing Address: 31bZ 1NE L33rd s-r Contact Person: ?AUL &V0 E -Mail Address: PAUL. 6o?OQ fSZ UVAG.Co,A Contractor Registration Number: rSR >k lit * g86jp 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 bit MECHANICAL PERMIT INFORMATION - 206 -431 -3670 fanril wA 4872 City State Zip Day Telephone: 206 3G7- 257,0 Fax Number: 206 — 3er -6S5 Expiration Date: & /31 for Valuation of Project (contractor's bid price): $ Ii 000 Scope of Work (please provide detailed information): gram Aw4. vi p,SA afr g cera71 y rlI f& 'AVM A r► 4 I p- t, N 6a�11C. 1 dOCtlre JI SlvppIy a/A • 3 Refuoui 6a dleS , Ara.. 7 Ii erntaciATs. SUM) hawt tncrAl( lines,/ sypPl7 Digvie, 4 4' Cotlxh stogies s , 4*.pi• l mew r • VA ' 13ex welh Eteot . G lir��r, A14. I luau s Iva # t7cX I1ecX, spi Ir systrrn - Use: Residential: New .... ❑ Replacement .... ❑ Commercial: New .... ( Replacement .... ❑ Fuel Type: Electric fYi Gas — ID Other: Page 4 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 ❑ . ❑ ...Water Availability Provided • r . Sewer - District , ❑ ...Tukwila ❑ ...Sewer Ose Certificate ' �. .. Water District #125 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 - No Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way Non Right -of -way ❑ ...Total Cut ❑ ...Total Fill El ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ... • - • Va1Vue ..Sewer Availability "Prtividea ❑ .i Approved Septic Plans•Provided cubic yards cubic yards Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ ...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size .. ❑ ...Water Only Meter Size ❑ ...Sewer Main Extension Public _ ❑ ...Water Main Extension Public _ ❑ .. Abandon Septic Tank ❑ .. Curb Cut El .. Pavement Cut ❑ .. Looped Fire Line Q:\Applications \Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 4 -2006 bh Call before you Dig: 1- 800 -424 -5555 Private Private El .. Highline ., :• i "a `. a LC. - [( ,. Seattle ❑ .. Geotechnical Report ❑ .. Maintenance Agreement(s) ❑ . Work in Flood Zone ❑ .. Storm Drainage ❑ .. Renton ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ ...Traffic Impact Analysis ❑ . Harmless — (SAO) 0 ...Hold Harmless — (ROW) El .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation El .. Utility Undergrounding ❑ ... Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: City City State Zip Water Meter Refund/Billingi Name: Day Telephone: Mailing Address: State Zip Page 3 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 pullets 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: City State Zip Q:Wpplications \Forms-Applications On Line \3 -2006- Permit Application.doc Revised: 4 -2006 bh 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 OWNER OR AUTHORIZED AGENT: Signature, Print Name: PA 60127 Mailing Address: 7! 72 R/E war sr QAApplications \Forms- Applications On Linc43 -2006 - Permit Application.doc Revised: 4 -2006 bh dreArrie City Date: 12-Jay /O 7 Day Telephone: WC — ZSV State Zip Date Application Accepted: Date Application Expires: Staff Initials: La( Page 6 of 6 Parcel No.: 7340600480 Permit Number: MO7 -289 Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 12/24/2007 Applicant: GROUP HEALTH Issue Date: Receipt No.: R07 -02852 Initials: WER User ID: 1655 Payee: PSR TRANSACTION LIST: Type Method Description Payment Check 11479 327.20 ACCOUNT ITEM LIST: Description MECHANICAL - NONRES PLAN CHECK - 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 000/322.100 267.76 000/345.830 59.44 Total: $327.20 Payment Amount: $327.20 Payment Date: 12/24/2007 11:03 AM Balance: $0.00 6390 12/24 9710 TOTAL 327.20 doc: Receipt -06 Printed: 12 -24 -2007 Project: 6/ thy ? i V-A f (A_ Type of Inspecti n: I, n \ A e , ) d/t- 4v•-. I r-4--( Address: I /Moo 1 ,cl j A Date Called: Special Instructions: / Date anted: " - 3 - US' p.m. Requester: Phone No: INSPECTION NO. INSPECTION RECORD Retain a copy with permit i v CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 COMMENTS: AJ-e_J r Insper: lA 'Date: Approved per applicable codes. Corrections required prior to approval. $58.00 REINSPECTION FEE R QUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: COMMENTS: 6,1:0 k w _6(J. (Ott ti v «« r ,_.'.�-� - iLe -7-A) g ,-4 7 (1 7 --- b iT / Aid 07 -es k -c t ,_ , (- & ' tU O i C L /`7 /9 r (;/. Date Waned: > 7?/ar 2 --- e t'. < re Requester: Ph No: __ / - 4/5,, e ,:_r ? kw . ‘ Pro je�76)/P A/ J r1 7 Type of In pect n: j A /1 Addr sst / -i / DO ? AS' A i i/-9 Date Calll ed: /l.. S " Special Instructions: PA Date Waned: > 7?/ar Pte• Requester: Ph No: __ / - 4/5,, e INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 44 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Inspect r. • INSPECTION RECORD Retain a copy with permit AR Corrections required prior to approval. $58.00 REINSPECTION FEE EQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: - Date: 3 -3 - © tk 'Date: kzvop+31 -JO {U' 'Project; rat 1 le F ) 11 Type okInsp tion: Address: t2_ 1 40(...) F potArc.ixiieti Icy Date Called: S Special Instructions: / Date Wanted: 2. (Zt /OS p.m. Requester: Phone No: .2 U6 - 5 rD - S 7 ti 9 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 111 Z eci I PERMIT NO. CITY OF TUKWILA BUILDING DIVISION IZZ 6300 Southcenter Blvd #1 Tukwila WA 98188 Approved per applicable codes. A I mnect e 1 Date: e d El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. tee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: El Corrections required prior to approval. COMMENTS: 2.- co Ps — c — e 'Date: Project: & /V)(P /-4"4/1/6 Type of Inspection: Agwy&-,:v Date Called: S A Ie v s // .44 f/ /4 /t, Special Instructions: Date Wanted: /— 31 0/4 Requester: Phone No: INSPECTION RECORD I Retain a copy with permit m0 7 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2O6)431- Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 1 flspr: I 1 J Date: , r I I $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: ACTIVITY NUMBER: M07 -289 DATE: 12 -24 -07 PROJECT NAME: GROUP HEALTH SITE ADDRESS: 12400 EAST MARGINAL WAY S X Original Plan Submittal _ Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued D . ' TS: i Ili if Bui .I • Division Works DETERMINATION 0 COMPLETENESS: (Tues., Thurs.) DUE DATE: 12 -27 -07 Complete TUES/THURS ROUTING: Please Route PLAN /ROUTING SLIP rtti Fire Incomplete Structural Review Required Planning Division Structural ❑ Permit Coordinator Not Applicable Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 01 -24 -08 Approved ❑ Approved with Conditions d 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 C 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 01/18/2008 VAV BOX EQUIPMENT SCHEDULE MARL{ LOCATION CAPACITY ELECTRICAL BASIS OF DESIGN REMARKS MN CFM MAX CFM INLET SIZE VOLTAGEPHASE FLA FP BBC I-EAT8R MANUFACTUFER NIOOB_ 108 2ND FLOOR NO CHANGE ND CHANGE 7' 277/1 TEMPMASTER EXSING EC JPNE1Vr 115 2ND FLOOR NO CHANGE ND a-LANGE 5' 277/1 TEMFMASTER E?4S11NG EG*JPNENT 70 2ND FLOOR NO CHANGE NO CHANGE 10' 277/1 1EIVFMASTER EXS11NG EQUPNENT 89 2ND FLOOR ND C I- I4NIGE ND CHANGE T 277/1 la/MASTER EXS1H3 EQUPNENf 88 2ND FLOOR NO CHANGE NO CHANGE 7' 277/1 TENFMASTER EXISTING EQUPNENIT 65 2ND FLOOR NO D a-IN O a-I NCE 10' 277/1 TENFMASTER E4STIN3 EQUPNENT - 102 2ND FLOOR NO O -IAN NO CHANGE 7' 277/1 TENFMASTER DIMING EQUIPMENT 118 2ND FLOOR NO CHANCE NO CHANGE 6' 277/1 T©1 MASTER E)4S1ING EQUPNENT 69 2ND FLOOR NO CHANGE ND CHANGE S' 277/1 TENFM4STER EXSIING EC IPNENT 87 2ND FLOOR NO CHANGE ND CHANGE 101' 277/1 "ASTER EXISTING EQUPNENT 114 2ND FLOOR NO CHANIGE NO CHANGE 10" 277/1 TENFMASTER E4S11NIG EQUIPMENT 68 2ND FLOOR NO CHANGE NO CHANGE 7' 277/1 TEMFMASTER EXS11NG EC/UPt1//ENT 86 2ND FLOOR NO CHANCE ND CHANGE 10' 277/1 TENFMA,STER DIMING EQUPNENf 66 2ND FLOOR NO CHANGE NO CI-IAN GE S' 277/1 TEJVPMpSTER EXS11N1G EQUIPMENT 117 2ND FLOOR NO CHANGE NO CHANGE 10' 277/1 TESTER E74STINIG EQUIPMENT 109 2ND FLOOR NO ORANGE NO CHANGE 10' 277/1 TENFMA,STER E4S11NG EQUIPMENT 85 2ND FLOOR NO CHANGE NO CHANGE S' 2771 IE VPMASTER ENS11NG EQUIPMENT 84 2ND FLOOR NO a -IANGE NO CHANGE S' 277/1 TENFMASTER E4S11NI3 EQUIPMENT 101 2ND FLOOR NO CHANGE NO CI-IANCE 8' 277/1 TENPII/IA.STER E)4STING EQUPIVENT 118 2ND FLOOR ND CHANGE NO CHANGE 6' 277/1 113vPMASTER D S11N3 EQUPIVENr 99 2ND FLOOR ND CHANGE ND CD -IANGE 8' 277/1 1St/MASTER EXSIING EQUIPMENT 106 2ND FLOOR NO a -LANCE NO CHANGE la' 277/1 lEMPMASTER E4S11N3 EQUPNE(Yr 1068 2ND FLOOR 180 440 8' 277/1 26 1/3 3 KW F_NVIFD.IEC C R 0811 NEW 104 2ND FLOCK NO O -IANGE _ ND CHANCE 1C' 277/1 TENPMASTER EASING ECZUPNENT P General Notes N 1. 11 "x17" SHEET SIZE NTS. 1 PERMIT SET 12/13/07 `o. Revision/Issue Date, SITE VICI N TS SITE INFO ADDRESS: NOTE: s 124TH ST SCALE <EY PLAN AREA OF WORK \ITY 12400 EAST MARGINAL WAY S TUKWILA, WA 98168 OWNER: GROUP HEALTH COOPERATIVE PARCEL /TAX # 7340600480 LEGAL: RIVERSIDE INTERURBAN TRS TR 21 & 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 DUCTLESS SPLIT SYSTEM EQUIPMENT SCIEDULE MARK AC- 1 /CU-1 LOCATION SERVER ROOIINROOF CAPACITY 33,100 REFRIGERANT R41QA CFM 706 REFRIGERATION COMECTION LIQUID 3/8 SucnoN 5/8 ELECTRICAL (I MOOR) VOLT /PHASE 208 -234/1 MOCP 30 SEER 15 ELECTRICAL (OUTDOOR) VOLT /PHASE 208 -230'1 MCA 17 MOCP 19 CPER: WBGHT INDOOR 31 OUTDOOR 137 SOUND (CEA) INDOOR 49 OUTDOOR 54 BASIS OF CFSIGN I ARUFACTURER FUJI TSU 36CLX SERVES SERVER ROOM REMARKS 1,23 1) SELF CONTAINED CONTROLS_ PROVIDE PERMENANT MOUNT FOR WIRELESS REMOTE 2 PUMP CONDENSATE TO RoOF•' _ _ 3) OUTDOOR UT (CU-1) LOCATED ON TREATED, GALV. SHEETMETAL CAPPED ROOF SLEEP MOUNT SLEEPERS ON APPROVED ROOF PADS r ABATE PERMIT ;',QUIRED FOR: Oiechanical it Electrical j Plumbing Gas Piping dewila GENERAL NOTES 1) DUCTWORK TO BE SHEET METAL CONSTRUCTED IN ACCORDANCE WITH SMACNA STANDARDS. 2) FLEX DUCT MAY BE USED ON BRANCH DUCTS WHERE ENTIRE LENGTH OF FLEX IS ACCESSIBLE FROM BELOW. MAXIMUM LENGTH OF FLEX DUCT TO BE EIGHT FEET. 3) PROVIDE A VOLUME DAMPER ON THE BRANCH DUCT SERVING ALL SUPPLY REGISTERS AND DIFFUSERS. 4) COORDINATE EXACT LOCATIONS OF ALL THERMOSTATS. 5) COORDINATE EXACT LOCATIONS OF ALL GRILLED, REGISTERS, AND DIFFUSERS WITH REFLECTED CEILING PLAN. 6) NEW DUCTWORK TO BE SEALED IN ACCORDANCE WITH ENERGY CODE SECTION 1414. 7) THERMOSTATS TO BE CONNECTED TO BUILDING CONTROL SYSTEM TO BE 7 DAY PROGRAMMABLE WITH 5 DEGREE DEAD BAND. 8) ECONOMIZERS SHALL BE CAPABLE OF PARTIAL COOLING IN ACCORDANCE WITH ENERGY CODE SECTION 1413.3. 9) NEW DUCTWORK SHALL BE INSTALLED IN ACCORDANCE WITH ENERGY CODE SECTION 1414.2. 10) NEW DUCTWORK SHALL BE SEISMICALLY BRACED IN ACCORDANCE WITH SMACNA GUIDLINES AND LOCAL REQUIREMENTS. 11) SUPPLY AIR TEPERATURE RESET CONTROLS ARE INCLUDED PER ENERGY CODE SECTION 1432.2.1. 12) SIMULTANEOUS HEATING AND COOLING WILL NOT OCCUR EXCEPT AS ALLOWED BY ENERGY CODE SECTION 1435. LEGEND \ � 0 r - --- - --$'FD r2O51 17° ft I t_ AR OF 1 CUBIC FEET PER MINUTE SUPPLY DIFFUSER RETURN GRILLE EXHAUST FAN VOLUME DAMPER RAG - -- 12x2 CAP FLEX DUCT DIRECTION OF AIRFLOW THERMOSTAT POINT OF CONNECTION DEMO MOTORIZED DAMPER FIRE DAMPER ROOM NUMBER EA ROOM TYPE AND NOTE [R] = RELOCATED [N] = NEW [E] = EXISTING SIZE NOTE: [1] PROVIDE RUN —OUT DUCT AND FLEXIBLE CONNECTION SAME SIZE AS DIFFUSER NECK DIAMETER. (FIELD VERIFY BEST LOCATION) By Date: 1 iS / © City of Tukwila BLIP DING DIVISION Mop - 189 'j ,. rh-' �r• h r,e"� No ha.nc.: of a.`1 /ai c ...;..,,` Tukwila BuU i _g, on. NOTE: Revisions will require a i low plan submitt and may include additional plan review fees. FILE C ! PY Permit No. Plan review apps is skied to effOrS does not � Approval of construction the violation of any Receipt of approved Field Copy and cordons is acknowledged: ECE:iVEr DEC 2 4 2007 PERMIT CENTER II 3132 N.E. 133 ST Seattle, Washington 98125 -4423 PO Box 27073 Seattle, Washington 98165 -1473 (206) 367-2500 Fax (206) 368-6858 ` PSR936JP LL 0 W CO ..I z< Q w —' W � C/) Lc 0- W D >0 0 I 00 COPYRIGHT NOTICE THIS LAYOUT/DESIGN IS AN UNPUBUSHED WORK, AND PUGET SOUND REFRIGERATION HEREBY RESERVES ITS COMMON LAW RIGHT, PURSUANT TO TITLE 17 SECTION 2 OF THE USA CODE TO PREVENT ANY UNAUTHORIZED COPYING, PUBUCATION OR USE OF THIS DESIGN, AND TO OBTAIN DAMAGES THEREOF. PGOTO 1 3 DEC 2007 Le ad Tech Engineered By Date [roje ct roject MaVI .BA / ""1 lOtr Sheet M1 l f 1 Notes 1 1. 11 "x17" SHEET SIZE NTS. 1 PERMIT SET 12/13/07 No. Revision/Issue Date" BEY PLA\ SCALE NOTE: AREA OF WORK II 1111111111111111111111111-1111WWW411 1 ■ f== :.. ■ili ■ ■ ■r ■ l��!!■■�1■a ■I ■■L:■Ii1■!1■■■ 0 --‘r--- 1 ��ii���i ►lie ►► `_ � O 13 • h ■1 .,. ��s:■u J3' ■■II °'�'4 ► - •+ ■r rii•ar1r� ■■ e ■1■1■f■Il•1��I.fa.�l1......1w1 17�1P �,!i■ L 1�i 1 ��►.. o © 1 \� / te r. ,ice ig �i:��i�o7rl�� �1 I► !�_.)c_ !,} �! •r ,.. '.••. � ��{{�� ..Cry. �� •aC 111111111E1E11E 1111111 ,;:�'' ,��� ■1 ►t\Etta ,rrr�..,���■■\� ■T■■\■�\ 1 11111 ■ isi iii II �'� °� �;La �� ,111■ ► !!..1 I1 o,....■.... --n �: '_ � III 1 �1 y' T` +•�r�7n ' �. • S 0 I - 1J1111 0 1111111111111111111111111111E111111111111111 li" " 111M11111111111111111111119111111111111r rib I ' I r r � . somon 2 \D FLOOR DE 1 /8" =1' i i I ! I VO PLAID I MO DN. i i i i i AREA OF WORK RECEIVED DEC 2 4 2007 PERMIT CENTEh 3132 N.E. 133 ST Seattle, Washington 98125 - 4423 PO Box 27073 Seattle, Washington 98165 - 1473 (206) 367-2500 Fax (206) 368 -6856 PSR"""936JP I F Z V J W • QW � Ir / 0 in W c 0 O <0 O w u- - _ a- 0 Z COPYRIGHT NOTICE THIS LAYOUT/DESIGN IS AN UNPUBLISHED WORK. AND PUGET SOUND REFRIGERATION HEREBY RESERVES ITS COMMON LAW RIGHT, PURSUANT TO TITLE 17 SECTION 2 OF THE USA CODE TO PREVENT ANY UNAUTHORIZED COPYING, PUBLICATION OR USE OF TI -US DESIGN, AND TO OBTAIN DAMAGES THEREOF. Dra+n1 By P.GOTO Date 13 DEC 2007 Lead Tech Engineered By Date Project P ro j ect Ma nager N.BAVINS 8 1/8"=1 1 0" ` Sheet M2 <EY PLA SCALE NOTE: AREA OF WORK 2 \3 FLOOR HVAC PLAN NOTES: 1) DDC CONTROLS BY E.C. 2) FIELD VERIFY THERMOSTAT LOCATIONS AGAINST EXISTING CONDITIONS AND FURNITURE PLAN SD (R) AREA OF WORK ; ECF VE�t DEC 2 4 2007 PERMIT CENTEFI 3132 N.E. 133 ST Seattle, Washington 98125 -4423 PO Box 27073 Seattle, Washington 98165 -1473 (206) 367-2500 Fax (206) 368 -6856 PSR COPYRIGHT NOTICE THIS LAYOUT/DESIGN IS AN UNPUBLISHED WORK. AND PUGET SOUND REFRIGERATION HEREBY RESERVES ITS COMMON LAW RIGHT, PURSUANT TO TITLE 17 SECTION 2 OF THE USA CODE TO PREVENT ANY UNAUTHORIZED COPYING, PUBLICATION OR USE OF THIS DESIGN, AND TO OBTAIN DAMAGES THEREOF. r General Notes 1. 11 "x17" SHEET SIZE NTS. PERMIT SET Revision/Issue 12/13/07 Date, Drawn B P.GOTO D ate 1 3 DEC 2007 Lead Tech Engineered By Date Project P roect Ma nager N.jBAVINS Scale 1/8 " = 1 ' 0 " Sheet M3 J