HomeMy WebLinkAboutPermit M97-0192 - HIGHLINE COMMUNITY HOSPITAL14‘ ■e\v1,!tz•
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City of Tukwila
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
* **
Permit No: M97 -0192
Type: B -MECH
Category: NRES
Address: 12844 MILITARY RD S
Location:
Parcel #: 162304 -9001
Contractor License No: MCKIN * *372N0
TENANT HIGHLINE COMMUNITY HOSPITAL
12844 MILITARY RD S, TUKWILA WA 98168
OWNER HIGHLINE COMMUNITY HOSPITAL Phone: (206)000 -0000
16251 SYLVESTER RD SW, SEATTLE WA 98166
CONTACT JIM THOMAS Phone: 206 763 -4819
5005 THIRD AV S, SEATTLE WA 98134
CONTRACTOR MCKINSTRY COMPANY Phone: 206 762 -3311
5005 THIRD. AVENUE SOUTH, PO BOX 24567, SEATTLE WA 98134
•
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Permit Description:
INSTALLATION OF EXHAUST FANS,`HEPA FILTER, DUCT
MODIFICATIONS IN T.B. TREATMENT ROOM.
UMC Edition;: 1994 Valuation: 6,000.00
Total Permit Fee: 35.63
*** * * ** ** * * * * ** * * * * * * * ** * * * * * * * ** k * * * * * * ** * * * * * ** * * * * ***
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14 —
Permit Center A thori Signature Date
MECHANICAL PERMIT
`-- (206) 431 -3670
Status: ISSUED
Issued: 12/31/1997
Expires: 06/29/1998
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 "orlocal laws regulating
construction or the performance of work. I am authorized to sign for and
obtain this building permit.
Print Name: l�� �' 7 Title: ,C//"i
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.
Project Name/Tenant:
H tw)tg 7/? Ibz r&4 goV . 773 6X1
5'r 5'r7
Value of Constructi• ' r .-
Lo�G'Ot�
Parcel f��um� r: r qc'o t
Site A Li rL1 j , ' Y / . ' .
City State/Zip;
Pr erty Owner: ,
f Co►ti�644 /i zr L
❑ Demolition ❑ Fence .LJ foteGi anical ❑ Manufactured Housing- Replacement only
Phone:
Street Address:
/G 51 5 G V S' 57/2 10 5A.! ull
City State /Zip:
- 1 9ef&4'
Co tact Person:
.76 II LL — 'I elf .C57it4• Co,
City /State /Zip:
Phone:
Street Address•
50 - AVE 5 , S 7T�e_
Cit State/ •p:
q 1
0 Metro
Contractor:
Phone
Street Address: ,
C
City State/ ip:
L.
Architect:
Phone:
Street Address:
City State/Zip:
Fax #:
Engineer: C Ij I bra f' ( ,
Phone: 7&o - 3 3 if
Street Address: City State /Zip:
n - - 7 ' r vlv_ 51--4 ---1` -
Fax #:
i /6 - 7(.: - 2
MISCELLANEOUS PERMIT REVIEW AND APPROVAL REQUESTED:. (TO BE FILLED OUT BY APPLICANT)
Description of work to be done:
'Zrt5 L 14-4u rl,.f W Fr/1'6d _Due /I - xc.d7 5 - ra 7'" rn+er fT
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes Trta
Attt list of materials and stoma e location on se aarrate8 1/2 X 11 paper indicating uantities & Material Safet�Date Sheets
-I
I_ Above Ground Tanks LJ Antennas /Satellite Dishes LJ Bulkhead/Docks U Commercial Reroof
❑ Demolition ❑ Fence .LJ foteGi anical ❑ Manufactured Housing- Replacement only
❑ Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection /Exit Systems
❑ Temporary Facilities ❑ Tree Cutting
MONTHLY SERVICE. BILLINGS TO:
Name:
Phone:
Address:
City /State /Zip:
0 Water
0 Sewer
0 Metro
0 Standby
❑ Channelization /Striping
❑ Flood Control Zone
❑ Landscape Irrigation
❑ Storm Drainage
❑ Water Meter /Exempt it
❑ Water Meter /Permanent #
❑ Water Meter Temp #
❑ Miscellaneous
Name:
Address:
Date application accepted:
'G _7
MISCPMT.DOC 7/10/96
CITY OF ''UKWI LA
Permit Centel
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Miscellaneous Permit Application
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or facsimile.
WATER METER DEPOSIT /REFUND BILLING:
APPLICANT REQUEST FOR MISCELLANEOUS PUBLIC. WORKS PERMITS
❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s):
❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq. ft.grading/clearing
❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public
❑ Street Use ❑ Water Main Extension 0 Private 0 Public
0 Deduct 0 Water Only
Size(s):
Size(s):
Size(s): Est. quantity: gal Schedule:
❑ Moving Oversized Load /Hauling
Date application expires:
W
FeR STAFF USE ONLY
Project Number:
Permit Number: 1 q-
Phone:
City /State /Zip:
Value of Construction -19 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 extend the time for action by the applicant for a period not exceeding 180 days
upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application
shall be extended more than once.
Appligti en by: (initials)
BUILDING OWNER •R AUTHORIZED AGENT:
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR
Above Ground Tanks/Water Tanks - Supported directly Upon grade
exceeding 5,000 gallons and a ratio of height to diameter or width
which exceeds 2:1
Signature: ,;" r
it
0
Antennas /Satellite Dishes
Submit checklist No: M -1
Date: _//
` `U _ q'7
Print nam::. /GY►1 - rtion1/ c ...
4 u
57
c
Ph% o- 76, 474q/q
O
Address: 5 , t2 v
Submit checklist No: M -6
0
Demolition
City /State /Zip: ( q EN
0
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR
Above Ground Tanks/Water Tanks - Supported directly Upon grade
exceeding 5,000 gallons and a ratio of height to diameter or width
which exceeds 2:1
PERMIT REVIEW
. Submit checklist No: M -9
0
Antennas /Satellite Dishes
Submit checklist No: M -1
0
Awnings /Canopies - No signage
Commercial Tenant Improvement
Permit
El
Bulkhead/Dock
Submit checklist . No: M -10
O
Commercial Reroof
Submit checklist No: M -6
0
Demolition
Submit checklist . No: M-3, • M -3a
®
Fences - Over 6 feet in Height
Submit checklist No: M -9
0 •
Land Altering/Grading /Preloads
Submit checklist No: M -2
El
Loading Docks
Commercial Tenant Improvement
Permit. Submit checklist No: H -17
y��
y"`
Mechanical (Residential & Commercial)
Submit checklist � No. M -8,
Residential only - H -6, H -16
0
• Miscellaneous Public Works Permits
Submit checklist No: H -9
El
Manufactured Housing (RED INSIGNIA ONLY)
Submit checklist. No: M -5
ri
Moving Oversized Load /Hauling
Submit checklist No: M -5
El
Parking Lots
Submit checklist No: M -4
0
Residential Reroof - Exempt with following exception: If roof structure
to be repaired or replaced .
Residential Building Permit
Submit checklist No: M -6.
0
Retaining Walls - Over 4 feet in height
Submit checklist No: M -1
fi
Temporary Facilities
Submit checklist • No: M -7
fEl
Temporary Pedestrian Protection/Exit Systems
Submit checklist No: M -4.
0
Tree Cutting
Submit checklist No: M -2
ALL MISCELLANEOUS PE T APPLICATIONS MUST BE SUBM D WITH THE FOLLOWING:
➢ ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
➢ BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
➢ ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT
➢ STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON
LICENSED STRUCTURAL ENGINEER
➢ CIVIUSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER
(P.E.)
Copy of Washington State Department of Labor and Industries Valid Contractor's License. If
not available at the time of application, a copy of this license will be required before the
permit is issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit
in Lieu of Contractor Registration ".
Building Owner /Authorized Agent If the applicant is other than the owner, registered architect/engineer, or contractor licensed
by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and
obtain the permit will be required as part of this submittal.
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.
MISCPMT.DOC 7/10/96
ACTIVITY NUMBER
PROJECT NAME
D ARTMENT:
B II DIVISION
LIC WO RKS � � I I
Pr , -Na "1
DETERMINATION OF COMPLETENESS: (T,Th)
COMPLETE NOT COMPLETE L J
COMMENTS
TUES /THURS ROUTING: PLEASE ROUTE d NO FURTHER REVIEW REQUIRED E
ROUTED BY STAFF ri (If routed by staff, make copy to master file & enter Sierra.)
REVIEWERS INITIAL
APPROVALS OR CORRECTIONS: (ten days)
APPROVED I I APPROVED W/ CONDITIONS n. NOT APPROVED (attach comments) q
REVIEWERS INITIAL
CORRECTION DETERMINATION:
APPROVED l l APPROVED W/ CONDITIONS NOT APPROVED (attach comments) 0
REVIEWERS INITIAL
C :ROUTE -F
Pcnti+ to0
PLAN REVIEW / ROUTIN gL,IP
M97 -0192
FIRE PREVENTION
STRUCTJRAL fl
DATE
DATE
DATE
HIGHLINE /RIVERTON HOSPITAL TB EXHAUST SYSTEM
DATE 12 -22 -97
PLANNING DIVISION 0
W
DUE DATE 12 -23 -97
NOT APPLICABLE 0
DUE DATE
1 -6 -98
DUE DATE
(Cerdficadoa of occupancy required. )
. Addr'es: 12344 . MILITARY
Suitei
Tenant:. HIGHLINE COMMIMUNIT.Y HOSPITAL
k3' -MECH
Parcel #: 162 90.01'
•k* * :** k ** * * *'k,t **.•k * * *. *' *•k*
CITY OF TUt,WILA .
Permit No.: M97-0192
Status: ISSUED
Appl. Jed: '12/2241997
Issued :, 12/31/:1997
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Permit :Coridi tions
No` changes will be made-to the p .i ans . un l ee:� approved by the
Arch itect` or Engine and the T�i};wi1a viiilding' D1vi .ton.
2' All permits, irispe,ct ion co`rds.,.~ andappir+ove_d plans shall be
avai fable. at the job r:lte "i r�ior to the `Star t; ; of., any con -
structlon. The documen.t.. ar'e to.'be maintaine - • and' avai 1-
ab1°e until'/ ina :itispec•t1on', approval:. is grten.ted
3 Al 1 con.struc.ti:o'n to. be done'. in 'c "onformance wi. approved
Plans and requi r ements of the Uniform But ld 'ng Code ` 01;994
,a
Edition) s-, amem.ded 'Uniform iNc
thanica1 :Code `t1994.:Edit . . :o.n),t
and WaShington St'ate Energv. Code;; (,1994 Erb i ti
4 Va l i d i k:sjr of der mi t The i,,ssuanc'e' of a permit ar•` .approval .`c
plan,`;ppecif - ications, and :comput - a't <l.ons shall not be c..n-
strued,-to ,be' a pe.r°mit 7o.r, `or: an approval of an.+v violaon
of. at��y: of t:he.. provisions of the �•.bu i A d i ng code cir o t.i
f any
othe ; ord'i r r ance- of the jurisdiction, . No permit presumiug ►
give;.. author�it.y,,'`to .violate' or`, :'cancel the provisions of this
oodslra 1 1 `
r1ANUFACTURE N,;TALLATIUW,INSTRUCTIoN'+.. REOUIRECI ON SITE.,
FoR THE:BUI"LDiNG INSPECTORY.REVIEW.
E ft ctric 1.:pe.m3t0ha11 beYcbtainecl { �thr,ough the Washingto
St 4e Di�vl ion of,.L ,brr `ands °'Indus } tr` s and, all electfic.al
wor ,11 ti l i b° i0spec by ted that; `agen6 (248 6630)
� .1' 12 tf 'ii �.Y; F ' ..s
•
'
)j/
MCI 1 .-• I 0 7 _
It hit** 1,4—)ok,c44r %-. A ' irkh k 4,*kk l f• h ktritTr* k/t it er.1.4“ leh.A4ck Pic
11Y OF TUKWILA WA TRHNOM11
*AAkick.OckAA*4'hk4s*A*PAkkk*hAkAh**hkh
1RANSMIT Number: R9700698 Amount; 35.63 12/31/97 1001
Payment Method: CHECK Notation: MCKINSfRY CO ti t: Bi.H
Permit No: M97-0192 Typi,?: 0-MECH MECHANICAL PERMIT
Parcel No: 162304-9001
• Site Address: 12844 MILITARY RD 9
Total •Fees: 35.0
This Payment 35.63 Total AIL Put $: 35.63
Balance: •00
.1,A****io**4**A.A*11,*A***4i4iAApoA4*Ao*ti*AAAAliAik
Account Code Description Amount
000/345.830 •PLAN CHECK - MONRES 7.13
000/322.100 MECHANICAL - ON ES 23.50
.....____
.• 731i 12/31.9717 'TOTAL 35.63.
. . .
CITY OF TUKWILA
cRECEIPT
PW DCD 7.13
PW DCD 28.50
CHECK 35.63
12/31/97 17
16:46 0097 7311
. • •
COMMENTS:
L Ty e of in potion:
T- try,
dr s s I1 J1C
Addrdss• ll • ( `
! /
. NI) TE 1 F1 rtc /S r.-.>
Dpry -, Pert. .Sp� - c., r'-it�
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Special instructions:
�,�c E,�r y (:vr
Date wanted
a r
,Sr A C�"'
w'4 r--q crr f v",4'
WI-I-% .$
c.„1,4 kJ v. C-- v. ?
A , f , -.; -
Tt G.=%i -‘htG
414.4v2
44.E
fl- e
b c u,pri....
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Pro ect: r
( r ( ,tY�� 1 ■ 1 L .ILir U`y.r'��1,:��
L Ty e of in potion:
T- try,
dr s s I1 J1C
Addrdss• ll • ( `
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Date call y
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Special instructions:
�,�c E,�r y (:vr
Date wanted
a r
Requester: .r .
Phone No.:
7L 0 3 -:(1 g 17
II
Approved per applicable codes.
Inspector:
INSPECTION RECORD
Retain a copy with pert
a
_.._ -. •••.6_0.1.8...,..,.
07
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431 -3670
PERMIT NO.
Corrections required prior to approval.
Date: 1 f q6-
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
e, 4 r11 �'t p ),7l b ��� s * 1 tt t
1_yt{ l�.rr,
/If !rf/iry/Irrff/rff nw/Yrd/rjrWW /f / /r /f/v /// /, / /rf / /riri�rjii/vw✓/iv�r��Fi ii�flrvrf�/
DEPARTMENT OF LABOR AND INDUSTRIES
RSON NAMED t :• p l�{' EON IS REGISTERED AS PROVIDED BY LAW AS A
i:. 1
Z certify this to be a true copy of ' the
E
STATE OF WASHINGTON
F625-052-0003(3-02)
MMZEMM
orporate Secre
✓
Working Drawings
Floor plan •
-41 41( System layout f
IV Elevations (for roof mounted equipment) and proposed screening
Ali.
Heat Loss Calculations
t(f�
Roof plan required to identify individual equipment and the location of each installation (Uniform
Mechanical Code 504(e)) /qqc( LA n^ C 5F. c Sot /, S
H.V.A.C. over 2,000 CFM (approximately 5 ton and larger) must be provided with smoke detection
shut -off and will be routed to the Fire Prevention division for additional comments, code section
Uniform Mechanical code 1009. / 9 4 7 L( It n1 C_ Sf. C 6
• Number of units
✓
o,Ili}
Document Requirements
Documentation or specifications must be provided to show that replacement equipment complies with
the efficiency ratings and other applicable requirements of the Washington State Nonresidential
Energy Code. .
4i4
Structural engineer's analysis is required to replace existing roof equipment weighing 400 pounds and
greater (Uniform Mechanical Code Section 2336(a))
,,/
� 'Y TT
Water heaters and vents are included in the UMC - please include any water heaters or vents being
installed or replaced.
//
4 r -
Structural calculations stamped by a Washington State licensed Structural Engineer shall be required
if structural work is to be done
• Number of units
Provide 2 sets of manufacturer's installation instructions
✓
Working Drawings
On 8 1/2 x 11 sheet of paper include the following:
Narrative of work to be done (i.e., changeout, replace existing equipment, modifications, etc.)
• Type of unit being installed
• Rating /Size
• Number of units
Provide 2 sets of manufacturer's installation instructions
Note: Water heaters and vents are included in the Uniform Mechanical Code - please include any
water heaters or vents being installed or replaced
Miscellaneous Permits
COMMERCIAL: Five complete sets of drawings and attachments required with application submittal
RESIDENTIAL: Four complete sets of drawings and attachments required with application submittal
7/96
CITY OF T' 'KWILA
Permit Center '_
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
MECHANICAL PERMIT
P i% M -8
Submittal Checklist
E F -I
(N)
RIVERTON HOSPITAL - PARTIAL FLOOR PLAN
EXAM 5
(N) HEPA FILTER RACK
N
(N)
EXAM 6
REGISTRATION
DUTS,O( WPLL.
NEW EQUIPMENT SCHEDULE
TAG
EF -1
DESCRIPTION
Sidewall Exhaust Fan
EER
N/A
MODEL#
CVJD 050AS
CFM
800
Weight
N/A
VOLTAGE
:10 /Single phase
Project Scope:
McKinstry will be installing a new sidewall exhaust fan to serve Exam Room #5. The
fan will be complete with Hepa- Filters and a transfer duct to the hallway for make- up air.
Smok /Rre dawipers
Corridor wwlts/ Gei�th�
ISSUED FOR CONSTRUCTION
PERMIT CENTER
REVISIONS:
f
H.V.A -C., PIPING, PLUMBING,
ENERGY MANAGEMENT
B FIRE PROTECTION
McKINSTRY
MECHANICAL ENGINEERS
AND CONTRACTORS
5005 3rd AVE. S.
P.O. BOX 24557
SEATTLE, WA. 08124
223 -01 NMC -KI -N -372/40
(206) 762 -3311
DRAWN BY' I M
CHECKED BY'
DATE' 121I0J9 t
PROJECT:
PROJECT NUMBER'
I TITLE:
SHEET
M