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Home My WebLink AboutPermit PG07-243 - HIGHLINE MEDICAL CENTERHIGHLINE MEDICAL CENTER 12844 MILITARY RD S PGO 7-243 Parcel No.: 1623049001 Address: Suite No: Tenant: Name: Address: 12844 MILITARY RD S TUKW Contact Person: Name: MATTHEW SOUZA Address: 9723 160 ST E , PUYALLUP WA Contractor: Name: MERIDIAN PLUMBING INC Address: 9723 160 ST E , PUYALLUP WA Contractor License No: MERIDPIO24DU Value of Plumbing /Gas Piping: Fees Collected: Plumbing Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet doc: UPC -10/06 Citf 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 HIGHLINE MEDICAL CENTER 12844 MILITARY RD S , TUKWILA WA $4,000.00 $167.50 PLUMBING /GAS PIPING PERMIT Owner: Name: HCH SPECIALTY CENTER Address: ATTN ACCOUNTING DEPT , 12844 MILITARY RD S FIXTURE TYPE AND QUANTITY * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Phone: Phone: 253 - 691 -3038 Phone: 253 -841 -0296 Expiration Date: 03/31/2009 DESCRIPTION OF WORK: EMERGENCY OXYGEN SUPPLY CONSISTING OF NEW 1" COPPER (CLEANED AND CAPPED) PIPING; TWO 1" CHECK VALVES; ONE ISOLATION VALVE AND ONE EMERGENCY OXYGEN CONNECTION BOX; SUPPLIED BY PRAXAIR PGO7 -243 11/26/2007 05/24/2008 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 Plumbing (cont.) 0 Building sewer and each trailer park sewer 0 0 Rain water system - per drain (inside bldg) 0 0 Water heater and/or vent 0 O Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type O grease interceptors 0 0 Repair or alteration of water piping and/or water 0 treatment equipment 0 O Repair or alteration of drainage or vent piping 0 0 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 1 O Medical gas piping (6 +) inlets /outlets 0 O Gas Piping 0 Gas piping outlets (0 -5) 0 O Gas piping outlets (6 +) 0 PG07 -243 Printed: 11 -26 -2007 Permit Center Authorized Signature: I hereby certify that I have read and -x governing this work will be complie • wi Signature:0 Print Name: doc: UPC -10/06 City &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 "V\ i Permit Number: Issue Date: Permit Expires On: PG07 -243 11/26/2007 05/24/2008 f\tdi Date: 101 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 permit does not pre e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Date: /l )6 ) 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. PG07 -243 Printed: 11 -26 -2007 Parcel No.: 1623049001 Address: Suite No: Tenant: 12844 MILITARY RD S TUKW HIGHLINE MEDICAL CENTER 1: ** *PLUMBING AND GAS PIPING * ** 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: Status: Applied Date: Issue Date: PG07 -243 ISSUED 09/13/2007 11/26/2007 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: When special inspection is required, either the owner or the registered design professional in responsible charge, shall employ a special inspection agency and notify the Building Official of the appointment prior to the first building inspection. The special inspector shall furnish inspection reports to the Building Official in a timely manner. 5: A final report documenting required special inspections and correction of any discrepancies noted in the inspections shall be submitted to the Building Official. The final inspection report shall be prepared by the approved special inspection agency and shall be submitted to the Building Official prior to and as a condition of final inspection approval. 6: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 7: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 8: 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. 9: 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. 10: 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. 11: 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. 12: 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. 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. 14: ** *FIRE DEPARTMENT CONDITIONS * ** 15: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the doc: Cond -10/06 PG07 -243 Printed: 11 -26 -2007 following concerns: 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 16: Comply with NFPA Standard # 55, chapter 8, cryogenic fluids. 17: The total number of fire extinguishers required for an extra hazard occupancy with Class A fire hazards is calculated at one extinguisher for each 1,000 sq. ft. of area. The extinguisher(s) should be of the "all purpose" (4A 40 B:C) dry chemical type. The travel distance to any extinguisher must be 75' or less. (IFC 906.3) (NFPA 10, 3 -2.1) 18: Portable fire extinguishers, not housed in cabinets, shall be installed on the hangers or brackets supplied. Hangers or brackets shall be securely anchored to the mounting surface in accordance with the manufacturer's installation instructions. Portable fire extinguishers having a gross weight not exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 5 feet (1524 mm) above the floor. Hand -held portable fire extinguishers having a gross weight exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 3.5 feet (1067 mm) above the floor. The clearance between the floor and the bottom of the installed hand -held extinguishers shall not be less than 4 inches (102 mm). (IFC 906.7 and IFC 906.9) 19: Fire extinguishers shall not be obstructed or obscured from view. In rooms or areas in which visual obstruction cannot be completely avoided, means shall be provided to indicate the locations of the extinguishers. (1FC 906.6) 20: Extinguishers shall be located in conspicuous locations where they will be readily accessible and immediately available for use. These locations shall be along normal paths of travel, unless the fire code official determines that the hazard posed indicates the need for placement away from normal paths of travel. (IFC 906.5) 21: Fire extinguishers require monthly and yearly inspections. They must have a tag or label securely attached that indicates the month and year that the inspection was performed and shall identify the company or person performing the service. Every six years stored pressure extinguishers shall be emptied and subjected to the applicable recharge procedures. If the required monthly and yearly inspections of the fire extinguisher(s) are not accomplished or the inspection tag is not completed, a reputable fire extinguisher service company will be required to conduct these required surveys. (NFPA 10, 4 -3, 4 -4) 22: Visible hazard identification signs shall be placed at entrances to locations where hazardous materials are stored, dispensed, used or handled in quantities requiring a permit. Individual containers, cartons or packages shall be conspicuously marked or labeled in accordance with nationally recognized standards. (IFC 2703.5) (NFPA 704)) 23: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 24: 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 next page ** PG07 -243 Printed: 11 -26 -2007 Signature: / / C City of Tukwila Print Name: V2 v1( doc: Cond -10/06 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 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. Date: /7 026 - dJ PG07 -243 Printed: 11 -26 -2007 SITE LOCATION CITY OF TUKVVILvci Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us 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 Prints* 12844 Military Road South Site Address: Tukwila, WA 98168 Tenant Name: Highline Medical Center Property Owners Name: Mailing Address: Name: Matthew M. Souza Company Name: Mailing Address: Company Name: Mailing Address: Company Name: N/A Contact Person: E-Mail Address: N/A Contact Person: E-Mail Address: QMpplicmon. Fomu- Appliaton. On lined -2006 - runt AppbwUOadoc Revised 9 -2006 bL Building Perm1 No. Mechanical Permit No. Plumbing/Gas Permit No. Public Works Permit No. Project No. (For office use only) King Co Assessor's Tax No.: I49,?-30 [on SuiteNumbeiEast Wing Floor: First Floor New Tenant: ❑ Yes ❑..No City ?(o[f7- a.)-t3 State ZiP CONTACT PERSON — who do we contact when your permit is ready to be issued Day Telephone: 253 - 691 - 3038 Mailing Address: 9723 -160th Street East, Puyallup, WA 98373 -6215 City State ZIP E Address: matt @meridianplumbing. corn Fax Number: 253- 770 -0155 GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Salzetti & Sons Contracting, LLC 414 Ton A Wonda AVE NE, Tacoma, WA 98422 City Contact Person: Dave Salzetti Day Telephone: E-Mail Address: Fax Number: Contractor Registration Number: S AT.7, F S C 9 4 7 nA Expiration Date: State Zip 253 - 297 -6500 9c1- 9c7 -7fA4 01..01—OR ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD — All plans mast be wet stamped by EngineFr of Record Mailing Address: state Zip City Day Telephone: Fax Number: Page 1 of 6 BUILDING PERMIT INFORI HON - 206 -431 -3670 Valuation of Project (contractor's bid price): $ N/A Existing Building Valuation: $ Scope of Work (please provide detailed information): Will there be new rack storage? ❑ Yes 0.. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) 'For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of 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 Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/fiAZARDOUS 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 including 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:\App icaRone\FamrApplianon On line\3 -2006 - Pemdt Applcahoadoc Revised 9 -2006 b Page 2 of 6 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC I' Floor g Floor 3 Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck BUILDING PERMIT INFORI HON - 206 -431 -3670 Valuation of Project (contractor's bid price): $ N/A Existing Building Valuation: $ Scope of Work (please provide detailed information): Will there be new rack storage? ❑ Yes 0.. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) 'For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of 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 Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/fiAZARDOUS 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 including 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:\App icaRone\FamrApplianon On line\3 -2006 - Pemdt Applcahoadoc Revised 9 -2006 b Page 2 of 6 PUBLIC WORKS PERMIT 146RMATION — 206- 433-0179 Scope of Work (please provide detailed information): N /A Water District ❑ ...Tukwila ❑...Water District #125 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate Ft-goosed 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 ❑... ValVue ❑...Sewer Availability Provided cubic yards cubic yards QAApplicaOonr\Fon - Appsa6ar On Line0-2006 - PenitAppliaacndoc Revised: 9 -2006 ee Call before you Dig: 1- 800 - 424 -5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. ❑ .. Highline ❑ .. Renton entic System: On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size —22" x34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑...Traffic Impact Analysis ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑...Hold Harmless — (SAO) ❑ ...Hold Harmless — (ROW) ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Renton ❑ .. Seattle ❑ ...Sanitary Side Sewer ❑ .. Abandon Septic Tank ❑ .. Grease Interceptor ❑ ...Cap or Remove Utilities ❑ .. Curb Cut ❑ .. Channelization ❑ ...Frontage Improvements ❑ .. Pavement Cut ❑ .. Trench Excavation ❑ ...Traffic Control ❑ .. Looped Fire Line ❑ .. Utility Undergrounding ❑ ...Backflow Prevention - Fire Protection " Irrigation Domestic Water ❑ ...Permanent Water Meter Size... WO # ❑ ...Temporary Water Meter Size .. WO # ❑ ...Water Only Meter Size WO # ❑ ...Deduct Water Meter Size ❑ ...Sewer Main Extension Public _ Private _ ❑ ...Water Main Extension Public _ Private 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 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 Emergency Generator 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit <10,000 CFM Incinerator — Comm/Ind MECHANICAL PERMIT INFMATION - 206 - 431 -3670 MECHANICAL CONTRACTOR INFORMATION N/A Company Name: Mailing Address: Contact Person: Day Telephone: E-Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Mechanical work (contractor's bid price): $ Scope of Work (please provide detailed information): Use: Residential: New .... ❑ Replacement .... ❑ Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas .... Other: Indicate type of mechanical work being installed and the quantity below: Q: Wwlicatiau\Forms- nppliallow On tinel7 -2006 - Permit Appliatioadoc Raved: 9 -2006 bh City 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 Additional medical gas inlets/outlets — six or more 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 1 PLUMBING AND GAS PIPINERMIT INFORMATION - 2064340 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: MERIDIAN PLUMBING , INC . Mailing Address: 9723 -160th ST E. Puyallup, WA 98375 -6215 city state zip Contact Person: Matthew M. Souza Day Telephone: 253-691-3038 E- MailAddress: matt (ameridianplumbing. com Fax Number: 253- 770 -01 55 Contractor Registration Number: MF.R TM) T fl 2 41)U Expiration Date: 03/31/09 Valuation of Plumbing work (contractor's bid price): $ 4,000.00 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed infonmation ): Emergency oxygen supply consisting of new 1" Copper (cleaned & Capped) piping; Two 1" Check Valves; One 1" Isolation Valve and One Emergency Oxygen Suxpr)ly ConnPCfiicn Box, stipp1 i Pd by Pra,Ai r Building Use (per Intl Building Code): Hospital Occupancy (per Intl Building Code): Utility Purveyor: Water: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Qapd on\Poma- Appfiisdon On tin\1 -2006 - Permit Appicationdoc Revved: 9 bh Sewer: 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. Print Name: 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 105.32 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 103.43 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: Mailing Address: 1213 \v.,\t (..t £ - 114-0.)LtN-- Date Application Expires: 3 Date Application Accepted: 9-43 -0"7 Q:N pplicaionsTonne- Applia6on. On rnev -2006 • Panic npplianmaa Raved: 9 -2006 bh Date: 4 /113/ 0 Day Telephone: 7.-04 - 2-q$ 1 3 981 b g City State Zip Staff Initials: Page 6 of 6 Parcel No.: 1623049001 Permit Number: PG07 -243 Address: 12844 MILITARY RD S TUKW Status: PENDING Suite No: Applied Date: 09/13/2007 Applicant: HIGHLINE MEDICAL CENTER Issue Date: Receipt No.: R07 -01973 Initials: WER User ID: 1655 Payee: MERIDIAN PLUMBING TRANSACTION LIST: Type Method Description Amount Payment Check 29997 167.50 ACCOUNT ITEM LIST: Description PLAN CHECK - NONRES PLUMBING - 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 Account Code Current Pmts 000/345.830 19.50 000/322.100 148.00 Total: $167.50 Payment Amount: $167.50 Payment Date: 09/13/2007 01:43 PM Balance: $0.00 2760 C'/ 13 ?710 IOTA! ,! doc: Receipt -06 Printed: 09-13 -2007 Project: , 'Type of Inspection: - 1//1/ e-,)92.-r,b(7 i / Fei 4./ /— 6 4.5 - Ph, Addrtrs1 e, ier iate /2e Call6f _ cf- utare 7 /1), /l/19e3 Special Instructions: Date Wanted: a.m. p.m. Requester: 2 17^ Phone No :.• Po 22 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3 O pproved per applicable codes. COMMENTS: Date * /2,... y27 INSPECTION RECORD Retain a copy with permit Corrections required prior to approval. EJ $58.00 REINS CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: , as; —; a1e 4 • 'nos :.• Po 22 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3 O pproved per applicable codes. COMMENTS: Date * /2,... y27 INSPECTION RECORD Retain a copy with permit Corrections required prior to approval. EJ $58.00 REINS CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: , as; —; a1e 4 • 'nos Project: ■,, I). Sprinklers: Fire Alarm: Type of Inspection: Hood & Duct: Address: Suite #: 12J3 ) ' 4- ' ; r f ` Contact Person: \.;, .._ •-e Occupancy Type: \'Y\ v tiV Special Instructions: Phone No.: a5 - a ,0 1 -- i - 0500 Needs Shift Inspection: ■,, I). Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: T5 INSPECTION RECORD Retain a copy with permit INSPECTION NUMBER , , -_ ; ; j PERMIT NUMBERS CITY OF. TUKWILA FIRE DEPARTMENT Wa. 98188 206 - 575 -4407 Approved per applicable codes. Word /Inspection Record Form.Doc 1/13/06 Rbof -ZA-3 Corrections required prior to approval. COMMENTS: 6 ) „,L Inspector: vf\ Date: I \ ` � U�1 Hrs.: $80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. T.F.D. Form F.P. 113 + . .... ....; ..... . ..... • ... ........ ..... • • 1• ..... • . • ....... ........... • 4.. .1 . • • PAM, 9nA.1 ipr4n.4 11 PAM tra IP4.1•4 1 7' FIVIG1 ARME4 Inc Ammo U,, 01171 in O,,, 01.1111X T1111 01410 1.90.14100 ........... ........ ............ .......... ... ............. ... .... .. .1 .... . ........ VM-VE$ I 14 • . 4!L 1-� h-tex,4). EllEfte4v4cle oxyq.o.,4 pirrsiot. o.r0 Vtrzsr . . • ‘, „itrt 3. rr P7fir . . MERIDIAN PLUMBING 9723 160th St. E. PUYALLUP, WA 98373-9620 (206) 841-0296 FAX (206) 770-0155 r-ift-r.m4(- .t l'i-ryrer FOF4F .r.q.irrC i■tritgosN NF .. f3FED I wr.-1 cItti BC.uP - i i i• • i 1 . . i . . i i , 1 , ........... . ........... • .. .......... . . SEP 1 3 "ZOD7 ... ........ JOB SHEET NO ONE OF OH P. CALCULATED BY VV- DATE 9 - CHECKED BY DATE SCALE 1 5 PI LX October 18, 2007 Matthew Souza 9723 160 St E Puyallup WA 98373 City of Tukwila Department of Community Development Steve Lancaster, Director RE: CORRECTION LETTER #1 Plumbing/Gas Piping Application Number PG07 -243 Highline Medical Center —12844 Military Rd S Dear Mr. Souza, This letter is to inform you of corrections that must be addressed before your mechanical 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 Building Department. At this time the Fire Department has no comments. Building Department: Allen Johannessen, at 206 433 -7163, 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) complete 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 service. If you have any questions, please contact me at (206) 431 -3670. Sincerely, Ct/lev1/4iir Bill Rambo Permit Technician encl xc: File No. PG07 -243 P :1Pemiit Center\Correction Letters12007\PG07 -243 Correction Ltr #1.DOC wer Steven M. Mullet, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Building Division Review Memo Date: September 20, 2007 Project Name: Highline Medical Center Permit #: PG07 -243 Plan Review: Allen Johannessen, Plans Examiner Tukwila Building Division Allen Johannessen, Plan Examiner The Building Division conducted a plan review on the subject permit application. Please address the following comments in an itemized format with revised plans, specifications and/or other applicable documentation. (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. Provide construction drawings prepared, signed and wet stamped by a design professional. 2. Drawings shall Identify all methods of testing and system certification requirements as specified in the 2006 Uniform Plumbing Code. (2006 UPC Chapter 13, 1327.0, 1328.0 including Washington State Amendments. 3. Identify inspection agency that shall perform the testing and certifications. (UPC 1328.2) Should there be questions concerning the above requirements, contact the Building Division at 206.431 -3670. No further comments at this time. DEPARTMENTS: 10/ B I •0 g Division Complete TUES/THURS ROUTING: Please Route Documents/routing slip.doc 2 -28.02 `� PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG07 -243 DATE: 10 -30 -07 PROJECT NAME: HIGHLINE MEDICAL CENTER SITE ADDRESS: 12844 MILITARY RD S Original Plan Submittal Response to Incomplete Letter # X Response to Correction Letter # 1 Revision # After Permit Issued APPROVALS OR CORRECTIONS: Fire Prevention Public Works ❑ Structural ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete Structural Review Required REVIEWER'S INITIALS: Planning Division DUE DATE: 11 -1 -07 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 DATE: DUE DATE: 11 -29 -07 Not Approved (attach comments) ❑ Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DEPARTMENTS: Bfailc n g Ui- vision Public Works Complete TUES/THURS ROUTING: Please Route Documents/routing slip.doc 2 -28 -02 `'HERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG07 -243 DATE: 09 -13 -07 PROJECT NAME: HIGHLINE MEDICAL CENTER SITE ADDRESS: 12844 MILITARY RD S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DETERMINATION OF COMPLETENESS: (Tues., Thurs.) APPROVALS OR CORRECTIONS: Structural Review Required 611 AVe/ loi Fire Prevention Structural ❑ Incomplete Planning Division Permit Coordinator DUE DATE: 09 -18-07 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: DUE DATE: 10 -16 -07 Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) Notation: REVIEWER'S INITIALS: DATE: n Permit Center Use Only CORRECTION LETTER MAILED: Ifs- -19-o7 Departments issued corrections: Bldglir Fire ❑ Ping ❑ PW ❑ Staff Initials: 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 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: /t 3O - Plan Check/Permit Number: 1)60`7— c)—)-13 ❑ Response to Incomplete Letter # I Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: r5/riti /.a1C A4 S t , , , � e� -/ 13 . , - c _ 1 - u/ 49 2 S,• 7 Project Address: Io2 g yq Mi /t74X A S"'oc.Y -t /u�w,Yii,t,tief Contact Person: yO R v ¢ ( Z E 7 7 - / Phone Number: o ? ,-3 " a ? 7.- 6 . $ O Summary of Revision: rtct:ENtD CRY OF TUKWILA OCT 3 0 2fla1 i Sheet Number(s): "Cloud" or highlight all areas of revision including date o revision Received at the City of Tukwila Permit Center by: Entered in Permits Plus on I (') ' 30 "d \applicationslforms- applications on Ime\revision submittal Created: 8 - 13 - 2004 Revised: F625- 052 -000 (3/97) DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT SPECIALTY REGIST_ #$ . =- .EXP.. DATE CCAD MERIDPIO24DU 03/3112009 EFFECTIVE DATE x.03 /31/1998 MERIDIAN PLUMBING INC 9723 160TH ST E PUYALLUP WA 98375 -6215 T60"7 - Ili RECEIVED SEP 13 2007 ; CENTEI- F625-052-0(30 (8/97) F625-052-000 (8/97) SOUZA, MATTHEW M 9723 160TH ST E PUYALLUP WA 98375 DEPARTMENT OF LABOR AND INDUSTRIES ENDORSED AS PROVIDED BY LAW AS MEDICAL GAS PIPING INSTALLER ENDORSEMENT # EXP. DATE MG° 1 .- ^ q_qUZAM 1405014 J 03131 / 2008; EFFECITVE:I T 08 SOUZA - MATTHEW - M 9723 160TH ST E PUYALLUP WA 98375 SEP 1 3 ZUU1 i±htvii GEN License Information License MERIDPIO24DU Licensee Name MERIDIAN PLUMBING INC Licensee Type CONSTRUCTION CONTRACTOR UBI 601845110 Ind. Ins. Account Id #2 Business Type CORPORATION Address 1 9723 160TH ST E Address 2 City PUYALLUP County PIERCE State WA Zip 983756215 Phone 2538410296 Status ACTIVE Specialty 1 PLUMBING Specialty 2 UNUSED Effective Date 3/31/1998 Expiration Date 3/31/2009 Suspend Date Separation Date Parent Company Previous License MERIDP*211KS Next License Associated License Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #2 CBIC SB4051 03/31/2002 Until Cancelled $6,000.00 03/15/2002 #1 CBIC SB4051 03/31/1998 03/31/2002 $4,000.00 Business Owner Information Name Role Effective Date Expiration Date FIRTH, WALTER D JR PRESIDENT 01/01/1980 FIRTH, DEBORAH L VICE PRESIDENT 01/01/1980 Look Up a Contractor, Electrir or Plumber License Detail Page 1 of 2 Smr 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. https:// fortress .wa.gov /lni/bbip /printer.aspx ?License= MERIDPIO24DU 11/26/2007 r OWNER: CONTACT: LEGAL DESCRIPTION PROJECT INFORM,AT ION TAX PARCEL NUMBER: 162 - 304 -9001 IN THE COUNTY OF KING, STATE OF WASHINGTON: JOB SITE ADDRESS: 12844 MILITARY ROAD SOUTH TUKILA, WA HIGHLINE COMMUNITY HOSPITAL 16251 SYVESTER ROAD S.W. BURIEN, WASHINGTON 98166 TRES WEST ENGINEERS, INC. 2702 SOUTH 42ND STREET WEST SUITE 301 TACOMA, WA 98409 PH (253) 472 -3300 FX (253) 472 -3463 THAT PORTION OF THE NORTH ONE -HALF OF THE NORTH NORTHEAST ONE- QUARTER OF SECTION 16, TWP, 23N, RANGE 4E, W.M., IN KING COUNTY, WASHINGTON, LYING EASTERLY OF MILITARY ROAD, EXCEPT THAT PORTION OF THE NORTHEAST ONE- QUARTER OF THE NORTHEAST ONE- QUARTER OF SECTION 16, TWP, 23N RANGE 4E, W.M., IN KING COUNTY, WASHINGTON, DESCRIBED AS FOLLOWS: 1. BEGINNING AT A POINT OF THE SOUTH LINE OF THE NORTHEAST 1/4 OF THE NORTH 1/4 OF SAID SECTION 16, DISTANT EAST 561 FEET FROM THE SOUTHWEST CORNER THEREOF; THENCE NORTH, AT RIGHT ANGLES 184 FEET, THENCE WEST ON A LINE PARALLEL WITH SOUTH LINE OF SAID SUBDIVISION 225 FEET; THENCE NORTH AT RIGHT ANGELS 210 FEET; THENCE WEST ON A LINE PARALLEL WITH SOUTH LINE OF SAID SUBDIVISION TO THE EASTERLY LINE OF MILITARY ROAD; THENCE SOUTHERLY ALONG SAID EASTERLY LINE OF MILITARY ROAD TO AND INTERSECTING WITH THE SOUTH LINE OF SAID SUBDIVISION TO POINT OF BEGINNING. AND EXCEPT THAT PORTION OF THE NORTHEAST 1/4 OF THE NORTHEAST 1/4 OF SECTION 16, TWP, 23N, RANGE 4E, W.M., IN KING COUNTY, WASHINGTON, DESCRIBED AS FOLLOWS: 2. BEGINNING AT THE INTERSECTION OF THE SOUTH LINE OF THE NORTH 160 FEET OF SAID SUBDIVISION WITH THE EASTERLY MARGIN OF MILITARY ROAD; THENCE EASTERLY ALONG SAID SOUTH LINE 200 FEET; THENCE NORTHERLY AT RIGHT ANGLES 160 FEET TO NORTH LINE OF SAID SUBDIVISION; THENCE WESTERLY ALONG SAID NORTH LINE TO THE EASTERLY LINE OF SAID MILITARY ROAD; THENCE SOUTHERLY ALONG SAID EASTERLY LINE TO THE POINT OF BEGINNING; EXCEPT THAT PORTION IF ANY, CONVEYED TO KING COUNTY FOR 128TH STREET, BY DEED RECORDED UNDER AUDITORS FILE NO.5274608. VICINITY PLAN SCALE: NONE SPECIFICATION MEDICAL OXYGEN SYSTEM PART 1 - GENERAL 1.01 MEDICAL GAS AND VACUUM PIPING SYSTEMS - INSTALLATION REQUIREMENTS. THE INSTALLATION OF MEDICAL GAS AND VACUUM PIPING SYSTEMS SHALL BE IN ACCORDANCE WITH THE REQUIREMENTS OF CHAPTER 13 OF THE UNIFORM PLUMBING CODE AND /OR THE APPROPRIATE STANDARDS ADOPTED BY THE AUTHORITY HAVING JURISDICTION. 1.02 GENERAL REQUIREMENTS. A. OXYGEN COMPATIBILITY - TUBES, VALVES, FITTINGS, STATION OUTLETS, AND OTHER PIPING COMPONENTS IN MEDICAL GAS SYSTEMS SHALL HAVE BEEN CLEANED FOR OXYGEN SERVICE BY THE MANUFACTURER PRIOR TO INSTALLATION IN ACCORDANCE WITH CGA 4.1, CLEANING EQUIPMENT FOR OXYGEN SERVICE, EXCEPT THAT FITTINGS SHALL BE PERMITTED TO BE CLEANED BY A SUPPLIER OR AGENCY OTHER THAN THE MANUFACTURER. [NFPA 99 5.1.10.1.1] B. CERTIFICATION OF MEDICAL GAS AND MEDICAL VACUUM SYSTEM SHALL CONFORM TO THE REQUIREMENTS OF SECTION 1328.0 OF THE UPC CODE, THE AUTHORITY HAVING JURISDICTION, AND NEPA 99 STANDARD FOR HEALTH CARE FACILITIES SECTION 5.1.12. C. PRIOR TO ANY INSTALLATION WORK, THE INSTALLER OF MEDICAL GAS AND VACUUM PIPING SHALL PROVIDE AND MAINTAIN DOCUMENTATION ON THE JOB SITE FOR THE QUALIFICATION OF BRAZING PROCEDURES AND INDIVIDUAL BRAZERS THAT IS REQUIRED UNDER SECTION 1311.6 OF THE UPC. PART 2 - PRODUCTS 2.01 GENERAL A. TUBES SHALL BE HARD -DRAWN SEAMLESS COPPER ASTM B 819 MEDICAL GAS TUBE, TYPE L, EXCEPT THAT WHERE OPERATING PRESSURES ARE ABOVE A GAUGE PRESSURE OF 1,275 KPA (185 PSI), TYPE K SHALL BE USED FOR SIZES LARGER THAN DN80. D. TURNS, OFFSETS, AND OTHER CHANGE IN DIRECTION IN WELDED OR BRAZED MEDICAL GAS AND VACUUM PIPING SHALL BE MADE WITH WROUGHT - COPPER CAPILLARY FITTINGS COMPLYING WITH ASME B16.22, WROUGHT COPPER AND COPPER ALLOY SOLDER -JOINT PRESSURE FITTINGS, OR BRAZED FITTINGS COMPLYING WITH ASME B16.50, WROUGHT COPPER AND COPPER ALLOY BRAZE -JOINT PRESSURE FITTINGS. PART 3 - EXECUTION 3.01 CLEANING FOR MEDICAL GAS PIPING SYSTEMS A. THE INTERIOR SURFACES OF TUBE ENDS, FITTINGS, AND OTHER COMPONENTS THAT WERE CLEANED FOR OXYGEN SERVICE BY THE MANUFACTURER, BUT BECOME CONTAMINATED PRIOR TO BEING INSTALLED, SHALL BE PERMITTED TO BE RECLEANED ON -SITE BY THE INSTALLER BY THOROUGHLY SCRUBBING THE INTERIOR SURFACES WITH A CLEAN, HOT WATER - ALKALINE SOLUTION, SUCH AS SODIUM CARBONATE OR TRISODIUM PHOSPHATE 450 G TO 11 L (1 LB. TO 3 GAL.) OF POTABLE WATER AND THOROUGHLY RINSING THEM WITH GEROPSYCH, NOR WI N G\ 4 �a \ \S REGIONAL HOSPITAL WEST WING ADMIN BUILDING WORK AREA SITE PLAN SCALE: NONE CLEAN, HOT POTABLE WATER. OTHER AQUEOUS CLEANING SOLUTIONS SHALL BE PERMITTED TO BE USED FOR ON -SITE RECLEANING PERMITTED ABOVE, PROVIDED THAT THEY ARE AS RECOMMENDED IN CGA PAMPHLET G -4.1, CLEANING EQUIPMENT FOR OXYGEN SERVICE, AND ARE LISTED IN CGA PAMPHLET 02 -DIR, DIRECTORY OF CLEANING AGENTS FOR OXYGEN SERVICE. 3.02 IDENTIFICATION A. PIPING SHALL BE LABELED BY STENCILING OR ADHESIVE MARKERS THAT IDENTIFY THE PATIENT MEDICAL GAS, THE SUPPORT GAS, OR VACUUM SYSTEM, AND INCLUDE: (1) THE NAME OF THE GAS /VACUUM SYSTEM OR THE CHEMICAL SYMBOL PER NFPA 99 TABLE 5.1.11. (2) THE GAS OR VACUUM SYSTEM COLOR CODE PER TABLE 5.1.11. (3) WHERE POSITIVE- PRESSURE GAS PIPING SYSTEMS OPERATE AT PRESSURES OTHER THAN THE STANDARD GAUGE PRESSURE IN NFPA 99 TABLE 5.1.11, THE PIPE LABELING SHALL INCLUDE THE OPERATING PRESSURE IN ADDITION TO THE NAME OF THE GAS. 3.03 TESTING AND INSPECTION. A. INSPECTION AND TESTING SHALL BE PERFORMED ON ALL -NEW PIPED GAS SYSTEMS, ADDITIONS, RENOVATIONS, TEMPORARY INSTALLATIONS, OR REPAIRED SYSTEMS, TO ENSURE THE FACILITY, BY A DOCUMENTED PROCEDURE, THAT ALL APPLICABLE PROVISIONS OF THE DOCUMENT HAVE BEEN ADHERED TO AND SYSTEM INTEGRITY HAS BEEN ACHIEVED OR MAINTAINED. B. ADVANCE NOTICE. IT SHALL BE THE DUTY OF THE PERSON DOING THE WORK AUTHORIZED BY THE PERMIT TO NOTIFY THE AUTHORITY HAVING JURISDICTION, ORALLY OR IN WRITING, THAT SAID WORK IS READY FOR INSPECTION. SUCH NOTIFICATION SHALL BE GIVEN NOT LESS THAN TWENTY -FOUR (24) HOURS BEFORE THE WORK IS TO BE INSPECTED. C. TESTING. THE TEST SHALL BE CONDUCTED IN THE PRESENCE OF THE AUTHORITY HAVING JURISDICTION OR A DULY APPOINTED REPRESENTATIVE. D. RETESTING. IF THE AUTHORITY HAVING JURISDICTION FINDS THAT THE WORK DOES NOT PASS TESTS, NECESSARY CORRECTIONS SHALL BE MADE AND THE WORK SHALL THEN BE RESUBMITTED FOR TEST OR INSPECTION. E. INITIAL PRESSURE TEST -- PIPED GAS SYSTEMS. BEFORE ATTACHMENT OF SYSTEM COMPONENTS (E.G., PRESSURE-ACTUATING SWITCHES FOR ALARMS, MANIFOLDS, PRESSURE GAUGES, OR PRESSURE - RELIEF VALVES), BUT AFTER INSTALLATION OF THE STATION OUTLETS AND INLETS, WITH TEST CAPS IN PLACE, EACH SECTION OF THE PIPING SYSTEM SHALL BE SUBJECTED TO A TEST PRESSURE OF ONE AND A ONE -HALF (1 -1/2) TIMES THE WORKING PRESSURE [MINIMUM ONE HUNDRED -FIFTY (150) PSIG (1 MPA GAUGE)] WITH OIL -FREE DRY NITROGEN. THIS TEST PRESSURE SHALL BE MAINTAINED UNTIL EACH JOINT HAS BEEN EXAMINED FOR LEAKAGE BY MEANS OF SOAPY WATER OR OTHER EQUALLY EFFECTIVE MEANS OF LEAK DETECTION SAFE FOR USE WITH OXYGEN. THE SOURCE SHUTOFF VALVE SHALL BE CLOSED. LEAKS, IF ANY, SHALL BE LOCATED, REPAIRED, AND RETESTED IN ACCORDANCE WITH THIS PARAGRAPH. F. FINAL TESTING STANDING PRESSURE TEST -- PIPED GAS SYSTEMS. TESTS SHALL BE CONDUCTED AFTER THE FINAL INSTALLATION OF SCALE: 1/20".P-0" img 0 20' 40' L� 11F 1ST FLOOR PLAN 1" MEDICA PIPE DOWN GAS (OXYG :N) TO BASEME T EMERGENCY CONNECTION, IN BOX WITH PLUG VALVE, CONNECTION PER GAS SUPPLIER'S STANDARDS. STATION OUTLET VALVE BODIES, FACE PLATES, AND OTHER DISTRIBUTION SYSTEM COMPONENTS (E.G., PRESSURE ALARM DEVICES, PRESSURE INDICATORS, LINE PRESSURE - RELIEF VALVES, MANUFACTURED ASSEMBLIES, HOSE, ETC.). 1. THE SOURCE VALVE SHALL BE CLOSED DURING THIS TEST. 2. THE PIPING SYSTEMS SHALL BE SUBJECTED TO A 24-HOUR STANDING PRESSURE TEST USING OIL -FREE, DRY NITROGEN NF. 3. TEST PRESSURES SHALL BE 20 PERCENT ABOVE THE NORMAL SYSTEM OPERATING LINE PRESSURE. 3.04 SYSTEM CERTIFICATION. A. PRIOR TO ANY MEDICAL GAS SYSTEM BEING PLACED IN SERVICE, EACH AND EVERY SYSTEM SHALL BE CERTIFIED, AS DESCRIBED IN SECTION 1328.2 OF THE UPC. 1. VERIFICATION TESTS SHALL BE PERFORMED ONLY AFTER ALL TESTS REQUIRED IN SECTION 1327.0, INSTALLER - PERFORMED TESTS, HAVE BEEN COMPLETED. TESTING SHALL BE CONDUCTED BY A PARTY TECHNICALLY COMPETENT AND EXPERIENCED IN THE FIELD OF MEDICAL GAS AND VACUUM PIPELINE TESTING AND MEETING THE REQUIREMENTS OF ANSI /ASSE STANDARD 6030, MEDICAL GAS VERIFIERS PROFESSIONAL QUALIFICATIONS STANDARD. TESTING SHALL BE PERFORMED BY A PARTY OTHER THAN THE INSTALLING CONTRACTOR. WHEN SYSTEMS HAVE BEEN INSTALLED BY IN -HOUSE PERSONNEL, TESTING SHALL BE PERMITTED BY PERSONNEL OF THAT ORGANIZATION WHO MEET THE REQUIREMENTS OF THIS SECTION. B. CERTIFICATION TESTS, VERIFIED AND ATTESTED TO BY THE CERTIFICATION AGENCY, SHALL INCLUDE THE FOLLOWING: 1 VERIFYING COMPLIANCE WITH THE INSTALLATION REQUIREMENTS. 2 TESTING AND CHECKING FOR LEAKAGE, CORRECT ZONING, AND IDENTIFICATION OF CONTROL VALVES. 3 CHECKING FOR IDENTIFICATION AND LABELING OF PIPELINES, STATION OUTLETS, AND CONTROL VALVES. 4 TESTING FOR CROSS- CONNECTION, FLOW RATE, SYSTEM PRESSURE DROP, AND SYSTEM PERFORMANCE. 5 FUNCTIONAL TESTING OF PRESSURE RELIEF VALVES AND SAFETY VALVES. 6 FUNCTIONAL TESTING OF ALL SOURCES OF SUPPLY. 7 FUNCTIONAL TESTING OF ALARM SYSTEM, INCLUDING ACCURACY OF SYSTEM COMPONENTS. 8 PURGE FLUSHING OF SYSTEM AND FILLING WITH SPECIFIC SOURCE GASES. 9 TESTING FOR PURITY AND CLEANLINESS OF SOURCE GASES. 10 TESTING FOR SPECIFIC GAS IDENTITY AT EACH STATION OUTLET. C. THE INSPECTION AND TESTING REPORTS SHALL BE SUBMITTED DIRECTLY TO THE PARTY THAT CONTRACTED FOR THE TESTING, WHO SHALL SUBMIT THE REPORT THROUGH CHANNELS TO THE RESPONSIBLE FACILITY AUTHORITY AND ANY OTHERS THAT ARE REQUIRED. [NFPA 99 5.1.12.1.6] D. A REPORT THAT INCLUDES AT LEAST THE SPECIFIC ITEMS MENTIONED IN SECTION 1328.2 AND ALL OTHER INFORMATION REQUIRED BY NFPA 99 STANDARD FOR HEALTH CARE FACILITIES SHALL BE DELIVERED TO THE AUTHORITY HAVING JURISDICTION PRIOR TO ACCEPTANCE OF THE SYSTEM. CONNECT TO EXISTING 1 -1/4" OXYGEN PIPE L SCALE: 1/20"=P-0" 0 20' SEPARATE PERMIT REQUIRED FOR: j 5A5EMENT PLAN Leilechanical Lir Electrical ❑ Plumbing ❑ Gas Piping City of Tukwila BUILDING DIVISION ?G oi 213 " MEDICAL GAS (OXYGEN 40' FILE COPY Permit No. Pier' review approval is subject to wore end anlseIcns. Approve! of construction documents does nota�Ihorize the violation of any adopted code orordinance. Rex* of approved Field Copy andoondRons Is acknowledged Date: /`- 7 City of Tukwila BUILDING DIVISION REVISIONS No changes she!! be made to the scope of work without prior approval of Tukwila Building Division. VOTE: Revisions will require a new plan submittal and may include additional plan review fees. CORRECTION OCT : U 2007 PERMIT CENTEh 6 N 00 2 3 m N - O 0 TRES WEST ENGINEERS. I N C . 2702 S0U114 42ND SINttf, SUITE 301 TACOMA, WA 98409 -7315 TEL (253) 472 - 3300 FAX (253) 472 -3463 W1 W.TRESWEST.COM PROJECT FETTLE 11G1-ILINE HOSPITAL SACICUP MEDICAL GAS SYSTEM PROJECT ADDRESS 12844 MILITARY ROAD SOUTH, TUKWILA, WA KEY PLAN REVISION DWG ISSUE ISSUED SHEET TITLE DRAWN CHECKED TWE JOB # CLIENT JOB # SHEET SCALE &CALE:NONE SHEET NUMBER KEY FLAN M0.0 SHEET OF XXX DATE DATE DATE MYC BJG 071010