Loading...
HomeMy WebLinkAboutPermit D06-034 - Petsmart / Petshotel - Tenant ImprovementPETSMART/PETSHOTEL 17585 SOUTHCENTER PY D06 -034 City &Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206- 431 -3665 Web site: ct.tukwila.wa.us Parcel No.: 2623049067 Address: 17585 SOUTHCENTER PY TUKW Suite No: Tenant: Name: PETSMART /PETSHOTEL Address: 17585 SOUTHCENTER PY, TUKWILA WA Owner: Name: CLPF - TUKWILA LP Address: C/O 3SH PROPERTIES INC, 14900 INTERURBAN AV 5, #210 98168 Phone: Contact Person: Name: CHRIS MCCOMAS Address: 1327 POST AV #H, TORRANCE CA 90501 Phone: 310 328 -6300 x104 Contractor: Name: WESTWOOD CONTRACTORS INC. Address: 200 S 333RD ST #244, FEDERAL WAY WA 98003 Phone: 206 661 -0800 Contractor License No. WESTWCI088BF Value of Construction: $70,000.00 Fees Collected: $2,457.61 Type of Fire Protection: NONE International Building Code Edition: 2003 Type of Construction: V -N Occupancy per IBC: 0019 DEVELOPMENT PERMIT DESCRIPTION OF WORK: INTERIOR ALTERATION. DEMO EXISTING FIXTURES, INSTALLATION OF FIXTURES, FINISHES, AND DOOR(S). PUBLIC WORKS ACTIVITIES INCLUDE INSTALLATION OF A REDUCED PRESSURE PRINCIPLE ASSEMBLY IN A FREEZE PROTECTION ENCLOSURE AT THE NW CORNER OF THE BUILDING. doc: IBC - PERMIT * *continued on next page ** Expiration Date:09 /09/2006 Steven M Mullet, Mayor Steve Lancaster, Director Permit Number: D06 -034 Issue Date: 04/18/2006 Permit Expires On: 10/15/2006 D06 -034 Printed: 04 -18 -2006 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS• N Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving Oversize Load: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Permit Center Authorized Signature. Print Name: 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: cttukwila.wa.us N N N N N N N N N N N N I hereby certify that I have read and ordinances governing this work will be The granting of this permit does not p regulating construction or the pert Number: 0 Start Time: Volumes: Cut 0 c.y. Start Time: Private: Profit: N Private: Permit Number: Issue Date: Permit Expires On: Size (Inches): 0 End lime: Fill 0 c.y. End lime: Public: Non - Profit: N Public: Steven M. Mullet, Mayor Steve Lancaster, Director D06 -034 04/18/2006 10/15/2006 Date: IY-11 1 !/ this permit and know the same to be true and correct All provisions of law and mplied with, whether specified herein or not. ume to give authority to violate or cancel the provisions of any other state or local laws of work. I am authorized to sign and obtain ) is development permit. r � Signature: C �J /Cl7r�/t't' %�T9^ayv We�.wiss� Date: l% /f - 4r� i otter Sy"-11 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. doe: IBC - PERMIT D06 -034 Printed: 04 -18 -2006 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 2623049067 Permit Number: D06 -034 Address: 17585 SOUTHCENTER PY TUKW Status: ISSUED Suite No: Applied Date: 02/02/2006 Tenant: PETSMART /PETSHOTEL Issue Date: 04/18/2006 1: ** *BUILDING DEPARTMENT CONDITIONS * ** PERMIT CONDITIONS 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: The special inspections for steel elements of buildings and structures shall be required. All welding shall be done by a Washington Association of Building Official Certified welder. 6: 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. 7: 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. 8: New suspended ceiling grid and light fixture installations shall meet the non - building structures seismic design requirements of ASCE 7. 9: Partition walls that are tied to the ceiling and all partitions greater than 6 feet in height shall be laterally braced to the building structure. 10: 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. 11: All rack storage requires a separate permit Issued through the City of Tukwila Permit Center. Rack storage over 8 -feet in height shall be anchored or braced to prevent overturning or displacement during seismic events. The design and calculations for the anchorage or bracing shall be prepared by a registered professional engineer licensed in the State of Washington. 12: Ventilation Is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the International Building Code and the Washington State Ventilation and Indoor Air Quality Code. 13: All plumbing and gas piping work shall be Inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. doc: Conditions D06 -034 Printed: 04-18 -2006 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 14: All electrical work shall be Inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (206/248- 6630). 15: 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. 16: ** *FIRE DEPARTMENT CONDITIONS * ** 17: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 18: The total number of fire extinguishers required for a light hazard occupancy with Class A fire hazards is calculated at one extinguisher for each 3,000 sq. ft. of area. The extinguisher(s) should be of the "all purpose" (2A, 10 B:C) dry chemical type. The travel distance to any extinguisher must be 75' or less. (IFC 906.3) (NFPA 10, 3 -2.1) 19: 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) 20: 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. (IFC 906.6) 21: 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) 22: 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) 23: Egress doors shall be readily openable from the egress side without the use of a key or special knowledge or effort. (IFC 1008.1.8.3 subsection 2.2) 24: Dead bolts are not allowed on auxiliary exit doors unless the dead bolt is automatically retracted when the door handle is engaged from inside the tenant space. (IFC Chapter 10) 25: Door handles, pulls, latches, locks and other operating devices on doors required to be accessible by Chapter 11 of the International Building Code shall not require tight grasping, tight pinching or twisting of the wrist to operate. (IFC 1008.1.8.1) 26: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10) 27: Exits and exit access doors shall be marked by an approved exit sign readily visible from any direction of egress doe: Conditions D06 -034 Printed: 04 -18 -2006 Tukwila City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 travel. Access to exits shall be marked by readily visible exit signs in cases where the exit or the path of egress travel is not immediately visible to the occupants. Exit sign placement shall be such that no point in an exit access corridor Is more than 100 feet (30,480 mm) or the listed viewing distance for the sign, whichever is less, from the nearest visible exit sign. (IFC 1011.1) 28: Every exit sign and directional exit sign shall have plainly legible letters not less than 6 Inches (152 mm) high with . the principal strokes of the letters not less than 0.75 inch (19.1 mm) wide. The word "EXIT" shall have letters having a width not less than 2 inches (51 mm) wide except the letter "I ", and the minimum spacing between letters shall not be less than 0.375 inch (9.5 mm). Signs larger than the minimum established in section 1011.5.1 of the International Fire Code shall have letter widths, strokes and spacing in proportion to their height. The word "EXIT' shall be in high contrast with the background and shall be clearly discernible when the exit sign illumination means is or is not energized. If an arrow is provided as part of the exit sign, the construction shall be such that the arrow direction cannot be readily changed. (IFC 1011.5.1) 29: Exit signs shall be illuminated at all times. To ensure continued illumination for a duration of not less than 90 minutes in case of primary power loss, the sign illumination means shall be connected to an emergency power system provided from storage batteries, unit equipment or on -site generator. (IFC 1006.1, 1006.2, 1006.3) 30: Maintain sprinkler coverage per N.F.P.A. 13. Addition /relocation of walls, closets or partitions may require relocating and /or adding sprinkler heads. (IFC 901.4) 31: Sprinklers shall be installed under fixed obstructions over 4 feet (1.2 m) wide such as ducts, decks, open grate flooring, cutting tables, shelves and overhead doors. (NFPA 13- 8.6.5.3.3) 32: All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department review and approval of drawings prior to installation or modification. New sprinkler systems and all modifications to sprinkler systems Involving more than 50 heads shall have the written approval of the W.S.R.B., Factory Mutual, Industrial Risk Insurers Kemper or any other representative designated and /or recognized by the City of Tukwila, prior to submittal to the Tukwila Fire Prevention Bureau. No sprinkler work shall commence without approved drawings. (City Ordinance #2050) 33: Maintain a 4 foot clear space around the sprinkler riser(s) for emergency access. (NFPA 25) (City Ordinance #2050) 34: Maintain fire alarm system audible /visual notification. Addition /relocation of walls or partitions may require relocation and /or addition of audible /visual notification devices. (City Ordinance #2051) 35: All new fire alarm systems or modifications to existing systems shall have the written approval of The Tukwila Fire Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #2051) (IFC 104.2) 36: All electrical work and equipment shall conform strictly to the standards of the National Electrical Code. (NFPA 70) 37: Contact The Tukwila Fire Prevention Bureau to witness all required Inspections and tests. (City Ordinances #2050 and #2051) 38: Any overlooked hazardous condition and /or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 39: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575 -4407. 40: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** 41: The applicant must notify the City Utility Inspector at (206)433 -0179 upon commencement and completion of work at least doc: Conditions D06 -034 Printed: 04-18-2006 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 24 hours In advance. All inspection requests for utility work must also be made 24 hours in advance. 42: Prior to any domestic water cross connection work applicant shall submit the RPPA (plan, sheet P1 calls for Wilkins Model 975XL) cut sheet to Public Works. 43: The RPPA shall be installed immediately downstream of existing 2" domestic water meter. RPPA shall be anchored to a minimum 4" thick concrete pad. Public Works strongly recommends a power supply for the RPPA. Power supply installation requires a separate electrical permit from Washington State Department of Labor and Industries at (206)835 -1000. doc: Conditions * *continued on next page ** 006-034 Printed: 04 -18 -2006 Signature: City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 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. Print Name: Date: D V—/ g -ear doc: Conditions 006 -034 Printed: 04 -18 -2006 SITE LOCATION CONTACT PERSON Site Address: 11 CB C t u - me--ft- Per .4.1 is t . Tenant Name: Property Owners Name: CL 'F - T' C.c. -e. c F JS Prot .er +itr� Mailing Address: /C4 vo 1 s a a bc, A+4 r S, Sea -rtt .. tom. /r a , 1 6 8 City State Day Telephone: 3to 73t?, 630o6404 1 Mailing Address: 112 on (r P.- Jr k+ To A 7-4-kJ( Cfir el co ro( Name Company Name: Mailing Address: CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 C_,At 2 .S nr r Contact Person: D e r.. ti t s 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 ** P CTS M 4it i / Pert: NO'ra- ( O1— a t� E -Mail Address: f.N 'J(( N tr•A- 1 r` aat2..4..% .... (r r Building Permit No. Mechanical Permit No. Public Works Permit No. Project No. 1 MI (For o Ice use oral.) t ( eV- Mn(p -OI l King Co Assessor's Tax No.: I,,t 1 Suite Number: — Floor: 1 New Tenant: ❑ Yes State Zip Company Name: ailing Address: GENERAL CONTRACTOR INFORMATION - ( Mechanical Contractor information on back page) No City State Zip Fax Number. ( 10 ) 3 28- ,EGeadli, a 4 9 3 Zip City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance ** ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record ho-3 1 1 —lo wCST -- Si Zaa A '►- tt,Nsc.-m4 rat - 7Cc,ty- Cit State Zip Day Telephone: el3. - 7 , E -Mail Address: Fax Number: 81"3- -" Q 9,-1 - ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: D tms PEN CAlGx ctro ti w.. i ' Sinn — ( ft QGv%^ G 1 Tic port City State Contact Person: b t1., ?CNN' Day Telephone: 6 r crt o - '7S s- E -Mail Address: Fax Number: v permits Jul. vx $i.na. Wnnil ,ppbotm (7 -2001) aevi,ed 6-8.05 bh Page 1 Zip BUILDING PERNIIT INFORMATION — 206 -431 -3670 Valuation of Project (contractor's bid price): $ 10, o Oo aw Existing Building Valuation: $ � — Scope of Work (please provide detailed information): -t oti -re. Afire w 1 /rT P 1 "r t —C bra vt.0 PLANNING DIVISION: q ammo plus vcc changoperma application (r.zaw) kayoed &- -U5 w, r✓ r Provide All Building Areas in Square Footage Below Will there be new rack storage? ❑ .. Yes )No If "yes", see Handout No. *For an Accessory dwelling, provide the following: pen- o Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) alp Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided Standard: Compact: Handicap: Will there be a change in use? ❑ .... Yes (No If `yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: P boa.!e ss9*- *n n-re - w ❑.. Sprinklers ❑.. Au tom atic Fire Alarm 9 1.. None ..Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ -. Yes .. No - If "yes", attach list of materials and storage locations on a separate 8-1/2 x 11 paper indicating quantities and Material S fety Data Sheets, bawl_ tat a.xCh L{, Page F Kf fr r.,j4 F11c-r. r,g c 1 rn for requirements. 1 Existing Interior Rernodet Addition to Existing Structure New Type of 'onstruction per IBC Type of Occupancy per IBC I`� Flcwr .1 0 0 0 O o v r l vii „ a-` "' Floor 3 Floor Floors Ihnr 13:IsemenI Accessory Structure• Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck BUILDING PERNIIT INFORMATION — 206 -431 -3670 Valuation of Project (contractor's bid price): $ 10, o Oo aw Existing Building Valuation: $ � — Scope of Work (please provide detailed information): -t oti -re. Afire w 1 /rT P 1 "r t —C bra vt.0 PLANNING DIVISION: q ammo plus vcc changoperma application (r.zaw) kayoed &- -U5 w, r✓ r Provide All Building Areas in Square Footage Below Will there be new rack storage? ❑ .. Yes )No If "yes", see Handout No. *For an Accessory dwelling, provide the following: pen- o Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) alp Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided Standard: Compact: Handicap: Will there be a change in use? ❑ .... Yes (No If `yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: P boa.!e ss9*- *n n-re - w ❑.. Sprinklers ❑.. Au tom atic Fire Alarm 9 1.. None ..Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ -. Yes .. No - If "yes", attach list of materials and storage locations on a separate 8-1/2 x 11 paper indicating quantities and Material S fety Data Sheets, bawl_ tat a.xCh L{, Page F Kf fr r.,j4 F11c-r. r,g c 1 rn for requirements. 1 PUBLIC WORKS PERMIT INFORMATION- 206433-0179 Scope of Work (please provide detailed information): Water District ❑. Tukwila ❑... Water District #125 ❑ Water Availability Provided Submitted with Application (mark boxes which apply): • .Civil Plans (Maximum Paper Sae -22 "x34 ") ❑...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) Pronosed Activities (mark boxes that anolv): ❑ ...Right -of -way Use - Nonprofit for Tess than 72 hours ❑._Right -of-way Use - No Disturbance ❑...Construction/Excavation/Fill - Right -of-way Non Right-of-way ❑ ...Total Cut 0.. Total Fill 2" yrrn iK o - cubic yards cubic yards ❑ ...Sanitary Side Sewer ❑.. Abandon Septic Tank ❑ ...Cap or Remove Utilities ❑ .. Curb Cut ❑...Fron (age Improvements ❑.. Pavement Cut ❑ .Tragic Control ❑ .. Looped Fire Line ij ..Backllow Prevention - Fire Protection Irrigation Domestic Water _t " tts ❑ ,..Permanent Water Meter Size... _ " WON ❑._Temporary Water Meter Size.. WON ❑...Water Only Meter Size " WON ❑ ...Sewer Main Extension Public _ Private ❑...Water Main Extension Public Private FINANCE INFORMATION Fire Line Size at Property Line ❑ ...Water ❑...Sewer Monthly Service Billina to: Name: 4 permits plu. icc chanpe.permit application (7.2004) Re...ed o bh p nlu& tlet. tbOirtale ok doit4i X5 Call before you Dig: 1 -800- 424-5555 Please refer to Public Works Bulletin H1 for fees and estimate sheet. Sewer District ❑...Tukwila ❑...ValVue ❑. Renton ❑ Seattle ❑ ...Sewer Use Certificate ❑...Sewer Availability Provided ❑ .. Approved Septic Plans Provided ❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department. Number of Public Fire Hydrant(s) ❑...Sewa Treatment Mailing Address: City State Zip Water Meter Refund/Billing: Name: Day Telephone: Mailing Address: City State Zip Page 3 ❑ .. Highline ❑ .. Geotechnical Report ❑ .. Maintenance Agreement(s) ❑ .. Renton ❑ .. Right-of-way Use - Profit for less than 72 hours ❑ .. Right -of -way Use -- Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑._Deduct Water Meter Size ❑...Traffic Impact Analysis ❑...Hold Harmless Day Telephone: ' Unit Tope: QIN Unit Trpe: QIN Unit Tspe: cm BoikrlCompressor: T o, , 1 Faui,i c loud; IVFI) Air Handling Unit ItllNM CFM Frye Umnper o -1 Hp I00r10ti1J 14 rturo.ne luck till I Ecainirator Corder Diffuser 1 -4; (3p 5reloilo R H I r1.1, 1 I'illllllµ: Ventilation Fait Connected lo Single l /tact 'I - 1; -1n 41P L, IIIII 11'11! ` I Suspended • ;Outlined I IC:I ICI Ventilation Ss .stem Wot.I lets Stole Ni -jn HP l JS I noti I4111 .19lianw Veal Hot *I and Thiel Watei Ile :nn Sot HI' I.75o coo Hi I! Repair or Addition 10 I teal Itel rlgiConling �\ ,Coll lncincratui - Domestic Fmcrgcnc) 1 icncraiol , tC,f LC) cyrc9 u.. rf4 Scow - 04 •...i I I :1u Handling Unit 1. • o. a, l PM Innueraloi l'onmi Ind 1 ahci Mechanical Equipment MECHANICAL CONTRACTOR INFORMATION / Compare Name r /S J Wiling Address. ; • city Stoic .'ij' vi by Contact Person Day Telephone. ov t F -Mail Address: Fax Number: y' emi actor Registration Number. lispiration Date * *An in final or notarized copy of current Washington State Contractor License must he presented at the time of permit ls;u :uicc Valli:num or Project (contractor's hid pnce) S I 0 t) . •cope of Work (please provide detailed information). -.. t e at if .wit Xl..Ct.trr 0A.1 eY 'ST, ri'v (1/)a ,- RC at.=W - rco fl 4 CC ) (A 0.-fur .0_ K AA.t.trsc tJ' 11 Al '/ Q Cz.-'Try F ri' % e..t -t 6.4?• � ' ( : F C— OCrTC' MECHANICAL PERMIT INFORMATION - 206 -431 -3670 4.' I_1, • krsalcunal Nell ❑ Replacement t Innnercial Ne (x kepi:lecmein I uclIt Jac I Iecllac 4 ( IS ..1/3 Other Iudicale Ispc of mechanical work being installed and the quantity Ix;loa PERMIT APPLICATION NOTES - Applicable to all permits in this application Value of ( 'ontruction - In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and n , lbtecl to Iessible recision by the Pemiit Center to comply with current lee s. hedules. I•.spiration of Man Review - Applications for which no permit is issue; within 180 days following the date ofapplication shall expire by limitation 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 noting and justifiable cause demonstrated. Section 105.3.2 International Budding Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANU KNOW TIIE SAME TO IW - 1 IMF. 1'NI)I.It PENALTY OE PERJURY 13Y TIIE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR FI II S I'F.RAI I I IWILDING OWNER OR AUTHORIZED AGENT •Ignatlire F Print Name J A A,_G s w.t 'r-rr rrt v r C, nQ1.rs tf,rwi) I)ay Telephone (3 lo 5 - 304- 4 i t» Mailing Address: r37. rne -r � -° 14 'rC>r2 ?_,q_.n.e.e craw Cif City silo Lip Date: Page 4 Dale Application Accepted: rrl -�o� oc� Dale Application Expires - : • b(1° Stall Initials City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 2623049067 Permit Number: D06 -034 Address: 17585 SOUTHCENTER PY TUKW Status: ISSUED Suite No: Applied Date: 02/02/2006 Applicant: PETSMART!PETSHOTEL Issue Date: 04/18/2006 Receipt No.: R06 -01515 Payment Amount: 58.00 Initials: JEM Payment Date: 09/26/2006 04:45 PM User ID: 1165 Balance: $0.00 Payee: ROGER SUNDBY TRANSACTION LIST: Type Method Description Amount RECEIPT Payment Cash 58.00 ACCOUNT ITEM LIST: Description Current Pmts PLAN CHECK - NONRES Account Code 000/345.830 58.00 Total: 58.00 0171 09/27 9716 TOTAL 58.00 doe: Receipt Printed: 09 -26 -2006 Parcel No.: Address: Suite No: Applicant: Receipt No.: Initials: User ID: Payee: TRANSACTION UST: Type Method doc: Receipt Payment ACCOUNT ITEM UST: Description City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 2623049067 17585 SOUTHCENTER PY TUKW PETSMART /PETSHOTEL R06 -00531 ]EM 1165 WESTWOOD CONTRACTORS, INC. BUILDING - NONRES Description Check 132156 Account Code 000/322.100 RECEIPT Permit Number: Status: Applied Date: Issue Date: Payment Amount: 258.05 Payment Date: 04/18/2006 03:08 PM Balance: $1,568.03 Amount 258.05 Current Pmts 258.05 Total: 258.05 D06 -034 APPROVED 02/02/2006 4675 04/18 4716 TOTAL 258.05 Printed: 04-18-2006 Parcel No.: Address: Suite No: Applicant: Receipt No.: R06 -00532 Initials: 3EM User ID: 1165 Payee: ACCOUNT ITEM LIST: Description City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 2623049067 17585 SOUTHCENTER PY TUKW PETSMART /PETSHOTEL ROGER SUNDBY TRANSACTION LIST: Type Method Description Payment Check 18544 BUILDING - NONRES PW BASE APPLICATION FEE PW PERMIT /INSPECTION FEE PW PLAN REVIEW STATE BUILDING SURCHARGE Account Code Current Pmts 000/322.100 000/322.100 000/342.400 000/345.830 000/386.904 RECEIPT Permit Number: Status: Applied Date: Issue Date: Payment Amount: Payment Date: Balance: Amount 1,568.03 713.53 250.00 300.00 300.00 4.50 Total: 1,568.03 D06 -034 APPROVED 02/02/2006 1,568.03 04/18/2006 03:13 PM $0.00 4677 04/19 9716 TOTAL 1568.03 doc: Receipt Printed: 04 -18 -2006 Parcel No.: Address: Suite No: Applicant: Receipt No.: R06 -00151 Initials: User ID• Payee: TRANSACTION UST: Type Method doc: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 2623049067 17585 SOUTHCENTER PY TUKW PETSMART /PETSHOTEL 3EM 1165 EXPRESS PERMITS Payment Check Description 2037 PLAN CHECK - NONRES 000/345.830 RECEIPT ACCOUNT ITEM LIST: Description Account Code Permit Number: Status: Applied Date: Issue Date: Payment Amount: 631.53 Payment Date: 02/02/2006 10:36 AM Balance: $976.08 Amount 631.53 Current Pmts 631.53 Total: 631.53 D06 -034 PENDING 02/02/2006 1961 02/02 9716 TOTAL 631.53 Printed: 02 -02 -2006 Pr ect: - P Pt- 57 r/ /f��'PO71P Type of Inspection: 477.49/ Address: /75 a S S av /h, r Date Called: Special Instructions: O & 7. AFr_ ( L rt/ZKC O P fit"/ — Date Wanted: ate. /Q - /cj- O 6 p.m• Requester: /Q ' r Phone No: c SSG �7 INSPECTION RECORD " Retain a copy with permit INSPE TION NO. CITY OF TUKWILA BUILDING DIVISION 6 -63 PERMIT NO. 6300 Southcenter Blvd., #100, Tukwi a, WA 98188 (206)431 -3 COMMENTS: r: 1 . /.><•i.�.eo Receipt No.: Date: .00 REINSPECTION FEE EQUIRED. Prior to inspection, fee must be d at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Date: Approved per applicable codes. 0 Corrections required prior to approval. \v" Project: Pe h'lar� 11 Type of Inspection: r3 F w D Address: X7585 5octr. PKwy. Date Called: 10 - 6 -06 Special Instructions: Date Wanted: a.m. i 0 -9- o Requester: R oger Phone No: 011- 8116-9771 h ,) Approved per applicable codes. V COMMENTS: INSPECTION RECORD Retain a copy with permit D06 -O2' INSPECTION 140. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 PERMIT NO. Corrections required prior to approval. � V ° r q(es- A <40t Inspector: Date: 1 0(0 ri S58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Project: ftk A / » 1 Type of Inspection: T, LAN) Address: fl .�$V 4C VI Date Called: �CjO Special Instructions: Date Wanted: Id 02Ida P.m. Requester: �--� 3 r ^`^ 11 Phone No: 2 2214 4 -1s I I INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. COMMENTS: lgti /em u I4 V m < ck-e c i l4 J\4 % ,&&L c 1' k c . cere Q 12,c-41- - RAN 1 Reit ot I L� = r15'Kw0w44 t) w(1. Inspector INSPECTION RECORD Retain a copy with permit El Corrections required prior to approval. PERMIT NO. Date: 1.47 El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: .11 •N ❑ 'x III= mssvaYBAa V VA ❑ •N ■ •A U43Z aaSVW Vend 0 2atIVTT ZA1vA 30310 ❑, 102131VS1 ORED MU IV J.AIIS CUB31A'IVAtZIfl MU 1V MOLL 013N 9A1VA 308113 ❑ Lead° CI OTOYA S31N1311Y • :lado OL @'OYs itw131ry MU IN 02000131121 311V CM iv 03Naao Sa7LB93V •N wA was wawa Y430 0 .lTiV218A1VA302S3 to O •N • UA USII 0a6bVi VA30 1 / 103D[va13AWA3O183 au :18711 CISO'D SAWVAX3300 M a 1037tvr ZATVA 309H3 Y MU J IIl,O' L 010073 3A7VA 303U3 DI • MOW= SAWA3t3aH3 T/ •:a0d --"- t ED A. aO'D =A7vA33'Ur "Mu • MOIL 098073 WIVA 231 IS • NA ✓.IA�d1096aVd via avo 71IV anemia nerd • •N • pA 11921.22111U flat :OaQLW>tadv079Y MIAOW, 0 i00IV'17 ZAIVA33ZR3 5 30930u :L8OIL098013 SA'1VA 313923 t! 55 - 211131011 RAW* 313883 If UM= «100138AT'A 233130 10 • :LHDL 0850739A1VA 83983 tf • a097LY11 3098310 III :MOLL 03111o13 fA1VA 313383 t• 016d 0216.19109AIVA3 i 0104 0 1..& QaNaio sAwVAi91111 0191 9AIVA30930 Di UMW 8090134 Ola Lib 8A1VA3t33i7 TS a6O>OV 40110111 FROM : PETSMRRT 377 • • a633 Aa 11:01321•11 PHONE N0. : 206 575 0429 Oct. 02 2006 02:00PM P1 _z h74/±P 0 IMO CUSS/ WO 3iv010va2Ai CLUSILL anYO stiotrotanna _>ml anossed IvH1°'Jfc pus s oy:apeanAMetakfa06i f a4 f uYa Nou }1 C uici us n alglat 13Q0X �j a � M - 7-5-42 54 9 X101 1 0 aaoa rnvzs81raaon ttup uodr £lq�assV A,,c asg 88186 Wit `et qn `PAM i 009 Zt dau aaue�s orIN s o& orlgnd — slthulltil. Jo MO / AI as SUSIE AB 0a81Vd88 9181119N99181119N928 316YN 841CL a1 i7 dlP+mIwgi s I =WA 11E 10U AN1O3 L L VVV�" WI Bxawaa 0 winnow Clara Q wa rm:maa ❑ I'1KUM= 1Y8/4 MI a3 5( V 2J 1 3 2. 61 L3 LL 1 )C + ��1� 00 ++ ,3W Sal, 1 wig --z--- 8216 �ti'lVY14� a 90aw03 NOLW9NNO3SS090 taco AU I, rm . 39 r %A.JaJ C C4 AC }0I. 011 riouvri nnassy Will LLD 0211.343 YYY J LL' E S68IUOV=AMPS 6 assno33v I ' :ISIS d0 9ICLL LY 8Sn879d IIiC1 a1WN t Pr ect: - � _t-.W --A Type of Inspection: f, n/et / Address: / 7585 Sdsr //Mev- xi Date Called: Special Instructions: C � iir A/ /0n^ Date Wanted: /0 -0 C C. P.m. Requester: Phone No: 9/7- 89G -S7 -7 / Approved per applicable codes. Corrections required prior to approval. COMMENTS: 0 c A /API :ea / 7, A. / —A/, #/i_ _ Pt16 /:r Wet-As ) t cice( 6,0 0 62 AL /di/C. Co r e ee' - 7;:m ti-», doe 271.44 47 .^ lap e.A./e f e .,. e/ S Ins a r: p a'vtM / 1�t Datte: /� / I / 0 - � —17 C INSPECTION RECORD Retain a copy with permit INSPECTION NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 'Receipt No.: 'Date: PC,6 -°3q $x$.00 REINSPECT! CI(J FEE REQL$ED. Prior to inspection, fee must be td at 6300 Southcenter Blvd., uite 100. Call to sechedule reinspection. Project: Prs m rt<1 Type of Inspection: G is 01 if attihA Address: /7685 - ne/A + b✓ Date Called: Special Instructions: Date Wanted: /s -3 - /G Requester: Phone No: 19 "Approved per applicable codes. COMMENTS: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKIMILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PE (206)431 -36 El Corrections required prior to approval. Date: io — �3— oG $58.00 REINSPEOTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: Pro' t: t /Sn?fr� — f� Type of Inspection: ., e.,wr y l5 h Address: /7535 San/4&,t,%,Az Date Called: Special Instructions: Date Wwt ed: Q� P.m. N-1-0 c Requester: Phone No: g/7-85' 4 - 97 7 / 1 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. '9corrections required prior to approval. COMMENTS: 7'7 Lj /-4vt Sr PDnn. ©er11i7 // %4 spect INSPECTION RECORD Retain a copy with permit Date: -'tar I' /b -2 —a 8.00 REINSPECTION FE EQUIRED. Pfior to inspection, fee must be aid at 6300 Southcenter BIJJd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: DO -o3 �1 NO. (2 t 6)431.36 Project: Milf�ff7{1IJPK Type o / ,, `l t /,' , v, a 424/li/75 Address: / 75,19s S4 A P #, t f /e' f t -j Date Called: Special Instructions: Date Wanted: a.m. ID - Z - O p.m. Requester: Pho,allo: a /7-89L -q 77/ INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 6)431-36 LJ Approved per applicable codes. ..E4.Cnrrections required prior to approval. COMMENTS: iN v /2 00ryt inspec r: A A... ^"L Date: i0 - L —cr j a 8.00 REINSPECTIONY�EE REQUIRE Prior to`inspection, fee must be id at 6300 Southcenter Blvd., Suit 100. Call to sechedule reinspection. ceipt No.: 'Date: Pro ct: L , � t /n Ni../ ,OeM s7e 1 Type of Inspection: C0 � Z //V L Address: / / 75 - 85 - Swd4&wP,Pt-j Date Called: Special Instructions: Date Wanted: le, —a— G p.m. Requester: Phone No: 877 -89' -q 77/ -7 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 ' • 431 -36 '.Corrections required prior to approval. COMMENTS: a a/455 40 ,a# t+/A t / — rig AO bee 0 eceipt No.; Date: It 2 8.00 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcen er Blvd., Suite 100. Call to sechedule reinspection. Date: Project: p et 5 f mar t Type of Inspection: &T ot4 hd Work /� Address:1 X8 5octr Pkwy Date Called: '3— 2 C —O / _/ 7 t7 Special Instructions: / Date Wanted: a.m. q -Zb-ob Requester: /u�JC�7'" ` �(_ " f t// Phone No: 206 _ 334 - 6 o /o INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit DO 6 - 03 4 PERMIT NO. (206)431 -3670 Corrections required prior to approval. COMMENTS: —2L -C tL4 o„ p (44K c (INAfl jb-b,. 1 P P A vA s W/ e - 9 - A t, a49 (M' i m (4 U s t4O fA� Inspector: Date: 65 z-9 / $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: IDate: COMMENTS: \ Pu 1 Die ( -*v , . -.1 / /J� Pv;S /: Cy r,, y het S i6eatf-7 ,l Oren, ri 4,1 ,_,4...,,, ,`C poi,') ,% sbike te 2) P.eprr; avY , rrt pi< �% D 9 - 2,0-C6- �, tlm /nt ,,/. -I e /-i yg - Y ,pyi it- 6,• -.7. ////./ , >L� f a x , „ (^ ,,, pel �- y i'/ s ,� ,,� ,-7,a, .�r. _.E /./ �- - a. 4 /21dd ved ,, ,l 1»-, l it e lh , Cl1,r ,Jo,n�ki Projec %�/ f j - /�Fa�l l. Type of Inspection: �— //A /Z2 / / .—Date Ad 1 s 7 Q) ' 5 C � S tructions: Called: Special I - D 9 - 2,0-C6- a.m. p.m. Requester: Phone No: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. Inspect n INSPECTION RECORD Retain a copy with permit (206)431 -36 RI Corrections required prior to approval. Date:Ti ❑ $5 .00 REINSP& FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Project: 1 nhgA A_ Type f In pection: ., c �4„ / Address: /2-37i5 S9 6 AY Data: Special Instructions: ,Hate Wanted: Requester: Phone No: f' INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431- yi Approved per applicable codes. El Corrections required prior to approval. COMMENTS: Inspector: Date: ri $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: PE y Project: , ?es Type of Inspection: r2 son.4 ttv-6 Address: I -) 5�k - Date Called: Special Instructions: Date Wanted: - 7 - .2 7 - o U a.m. Requester: Phone No: INSP TION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 .Approved per applicable codes. COMMENTS: CI -•^A. 9 \ e 1 t' "v. ". sww` /P.! I� 2 /" Vis 8.00 REINSPECTION E REQUIRED. Apr to inspection, fee must be d at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. ctor: INSPECTION RECORD Retain a copy with permit Corrections required prior to approval. Receipt No.: 'Date: Pr ct: P mAt r Corrections required prior to approval. Type of Inspection: `'i ? 4n 1 'AJ G N. Address: /7,5 Seu.4r�.u/er r 4 Date Date Called: (0 ,rn ioa --- /03 Special lnstructions: Cry 6 c t* / /eNr6 4" _ 1-7pc.,- Wa Wanted: 6-�/ -i 4 4,6 // p.m. Requester: Phone No: 8i7 - 85'G - 577/ Approved per applicable codes. Corrections required prior to approval. COMMENTS: (0 ,rn ioa --- /03 exit. r St 4" _ 1-7pc.,- ion I".0Ws A? dent19 4,6 // .-` INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 58.00 REINSPE ION FEE REQUIRE p. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Su 100. Call to sechedule reinspection. INSPECTION RECORD Retain a copy with permit 1Date: DOG 03 PE N (206)431.3 70 Projec i v sn.. per "7 Type of Inspection: �)/ yo / .rLt�Lf�sas Address: /� n Date Called: Special Instructions: 7 Date Wanted: p ,yy 6.93.: G // ZiC� P.m. Requester: Phone No E /7 - 9S 977/ Approved per applicable codes. INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 206)431-367 Corrections required prior to approval. COMMENTS: / e 4 ,4 b r•c-- - by e �(� $58.00 REINSPECTION FEE EQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Proje{t_ LA/` f�Tfe Type of Inspectiop Shmi Address: /7 3 Cr1W7fl.t#7F02 P y Date Called: Special Instructions: ()ate Wanted: 44 2 S a.m. p.m. Requester: Phone No: Iispec COMMENTS: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 eipt No.: (Date: 039 PER (206)431.3(7 Approved per applicable codes. El Corrections required prior to approval. /)-aft 7 5 ^. Date: Giw /, v, A y 2 *5 .00 REINSPECTION FEE QUIRED. Pi% to inspection, fee must be d at 6300 Southcenter 8lv ., Suite 100. Call to sechedule reinspection. Project: P-g *S Wo�r, / ( mctr" ) Type of Inspection: L ni g l i 4 r /h� Fite Fru, Address: Contact Person Suite #: I7 c Sotiberniet �L� Special Instructions: ,Phone No.: Needs Shift Inspection: AJo Sprinklers: y.- Fire Alarm: /1�I�rn ,o f Hood & Duct: ip Monitor: Pre -Fire: AAJo Permits: 11/pnc_ Occupancy Type: /1 INSPECTION NUMBER Approved per applicable codes. Word /Inspection Record Form.Doc INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206 - 575 -4407 COMMENTS: / c � (i e/b,� -yc I r'� 4/t fps 0-c-- — PcC5 /`r le f -- mncj O K Inspector: QSrTi Date: 1013/0( Hrs.: /, O th $80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from tf City of Tukwila Finance Department. Call to schedule a reinspection. 1/13/06 004-03 PERMIT NUMBERS Corrections required prior to approval. T.F.D. Form F.P. 113 Project: Pet Type of Inspection: Pech (11VAC J-e/9 D Contact Person: / Address: / Suite #: )7.58'4 Sv y4hc_r ci iPv &' Special Instructions: Phone No.: Needs Shift Inspection: 4//4_ Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: INSPECTION NUMBER 'Approved per applicable codes. Word /Inspection Record Form.Doc INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA FIRE DEPARTMENT 006 -ogy rn pLrol o6- r - o2.y PERMIT NUMBERS 444 Andover Park East, Tukwila. Wa. 98188 206 - 575 -4407 [ Corrections required prior to approval. COMMENTS: mec/ Fire F70011 "O r4 F„a — K Inspector: )e 1, ;70 Date C7 /e 2 phi Hrs.: z_ , $80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from thity of Tukwila Finance Department. Call to schedule a reinspection. 1/13/06 T.F.D. Form F.P. 113 COMMENTS: Type of Inspection: Fig Address: 1 Suite #: / Southrp&, 4i w Contact Person: Special Instructions: Phone No.: 'P s k De- Good e Permits: I easfr - ' of i-- k hk flows' Ono," On // ���� <s �� `�cs t a // ^ T/ 5" I . 1 - dot Ad 0 0 kiker /' { j> We-cc"( +o 4--cs f e e c y -V i'n vn Project: Pe 1 Type of Inspection: Fig Address: 1 Suite #: / Southrp&, 4i w Contact Person: Special Instructions: Phone No.: Needs Shift Inspection: f(/ /Kr Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: 3 INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit Do ®6— F -2 O PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206- 575 -4407 n Approved per applicable codes. Word /Inspection Record Form.Doc 1/13/06 Corrections required prior to approval. $80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from C of Tukwila Finance Department. Call to schedule a reinspection. T.F.D. Form F.P. 113 Inspector: Date: o 6 Hrs.:3 Project: 14.-tSrv1in\RT /9 til Type of Inspection: SMii.W .fin Gov° Address: 1 Suite #: S C. e Contact Perpn: 1<u&c'YL crutiDela Special Instructions: Permits: Phone No.: (co 13) S %- 9 ?-? 1 Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: • INSPECTION NUMBER CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206 - 575 -4407 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit D0b - o39 o/0 -5 PERMIT NUMBERS n Corrections required prior to approval. COMMENTS: D K -fn Co tit Inspector: g G iZ Date: 5/2 z /o b Hrs.: / $80.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 444 Andover Park East. Call to schedule reinspection. Receipt No.: Date: Word /Inspection Record Form.Doc 12/2/05 T.F.D. Form F.P. 85 Project: LL / L —) Type of Inspection: Address: Suite #: 17 6 Snu7L2iCe,44r 0 &1/4/ Contac Person: y Special Instructions: Phone No.: Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: 1 INSPECTION NUMBER CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206- 575 -4407 Y Approved per applicable codes. INSPECTION RECORD Retain a copy with permit QOL -os y 0 6 -S -071 PERMIT NUMBERS n Corrections required prior to approval. COMMENTS: Hydro coe i on s1z3As` Ipbp>d Cr*' Co $80.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be p at 444 Andover Park East. Call to schedule reinspection. eceipt No.: Date: Word /Inspection Record Form.Doc Date: CAS/a4, 12/2/05 T.F.D. Form F.P. 85 j Nrazan & ASSOCIATES, INC. GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING & INSPECTION June 15, 2006 ICA No. 066-06130 Permit No. D06 -034 Mr. Greg Anderson Westwood Contractors, Inc. 1142 Broadway, Suite 210 Tacoma, WA 98402 RE: Special lnspection Petsmart Tukwila, Washington Dear Mr. Anderson, In accordance with your request and authorization, our firm performed special inspections for the above - referenced project. The inspections were performed by our inspectors on June 8, 2006. Copies of our inspector's field reports are attached. Unless otherwise indicated, the structural activities noted on the attached daily field reports were in accordance with the approved project plans and specifications. A guarantee that the contractor has necessarily constructed the structure in full accord with the plans and specifications is neither intended nor implied. If you have any questions or if we can be of further assistance, please do not hesitate to contact our office. Respectfully submitted, KRAZAN & ASSOCIATES, INC. Thomas L. Watson Project Manager Auburn Division TLW/pm CC: City of Tukwila RECEIVED ' 21 1006 pcoMMUN P4tl:N7 Offices Serving The Western United States 1501 — 15 Street NW Suite 106 • Auburn, Washington 98002 • (253) 939 -2500 • Fax: (253) 939 - 2556 aza11 & Associates, Inc. GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING AND INSPECTION DATE: 4/ PROJECT #: 046 - n/o /. 30 PROJECT: Prrvm4RT LOCATION: /751/.5 ,Sl7//TNcrivrrA PKWY KRAZAN PROJECT MANAGER: 72!? ® STRUCTURAL STEEL i• FIELD SHOP WELDING tc.0 V.T. ❑ MATERIAL ID ❑ U.T. ❑ M.T. ❑ P.T. item(s) inspected: Rfl/ _STRI/('TIJR4t/ S/ /PPr7RTS Location _ ?QOF / FI'F/ /A RA 4RFA 1g Welder qualification /certification verified for: MAY l /rn Position: ❑ Process: ❑ Weld Type: ❑ Weld Size ❑ Codes: FLAT (RITCAI) FCAW C.P. 1/4" AISC >C NOTES I I DISCREPANCIES I 1 % COMPLETE ,qr APd�ARs5 r4r /$ACTOR/ t- 4nreliz4r 4c cr.e SAS -60 ( n) A�Vf A /c ti. / ' o the best of my knowledge, the abov(WAS / AS uperintendent/Representative: HORIZONTAL GMAW P.P. 5/16" TITLE 21 215 West Dakota Avenue, Clovis, Ca 93612 • (559) 348 -2200 4231 Foster Ave., Bakersfield, CA 93308 • (661) 633 -2200 1025 Lone Palm Ave. Ste. 2E, Modesto, CA 95351 • (209) 572 -2200 545 Parrott St., San Jose, CA 95112 • (408) 271 -2200 123 Commerce Circle. Sacramento, CA 95815 • (916) 564 -2200 WELDING INSPECTION REPORT NO.: 4 4 29 CONTRACTOR: WES71q /D(LO PERMIT NO: P06 - if INSPECTOR: / SI7RA1yf /!V!7 JURISDICTION: 7C/k/y /LA1, WA, WEATHER: J!YS /DE TEMP: CS `F (OVERHEAD) ❑ Filler Metal: SAW ❑ Other: PLUG ❑ Other: 3/8" ❑ Other: TITLE 24 UBC ASME OT performed in accordance with the approved plans, specifications, and regulatory requirements Technician: 226 N"Sherman, Ste. A, Corona, CA 92880 1501 15th Street NW, *106, Auburn, WA 98002 20714 State Route 305 N.E., Ste. 3C, Poulsbo, WA 98370 13434 N. E. 177th Place, Woodinville, WA 98072 11913 N. E. 103rd Avenue, Vancouver, WA 98662 • (909) 549 -1188 • (253) 939 -2500 • (360) 598 -2126 • (425) 485 -5519 • (360) 254 -3200 Permit MB . COPP Plan r° t- PETSMART i. TUKWILA, OVA PROJECT NO. 0610119 STRUCTURAL CALCULATIONS EXPIRES 8 -7 -07 I • THOMAS W. WALLACE, P.E. ENGINEER OF RECORD wallace TULSA KANSAS CITY OKWROMA CITY CASTLE ROCK REVIEWED FOR CODE COMPLIANCE boeonurn MAR 242006 City Or ____ i i_ BUILT nnIN CITY TUKWIIA MAR 08 2006 PERMIT CENTEH CORRECTION LTR #_1__ PO( oI-4 WALLACE ENGINEERING STRUCTURAL CONSULTANTS, INC 201 WEST FIFTH STREET, SUITE 200 TULSA, OKLAHOMA 741034209 918 5845858, FAX 918 5848689 QeM'.n,hc. & nod //2 &rum 7 vetcr ' frieqk tEy • 1 / // _ any _ . S 7 l f Date 2-5 -06 Sheet No. 3 o.. � of Job c6 /O //q -AA/441d- T ken 47 i/, Subject n 5t ,e; c/t • ' M / /076ctieg44 Pk) 4 cit, 4 (k) ' ems) gi Ge -� Rru - - 7r to a 6 - 36 69, RTa- 5 ,`37 3 33 3' 2317/ RTu , 8 •7 /0 26 36 ‘ 5', a emu 9 .V3 3 33 36 Pi, a. Sru -0 -yo 3 33 36 /3.2 Rra- n .v_3 3 33 36 Pi. a. Rru -/2- • y© 3 3 3 36 /.3 , QeM'.n,hc. & nod //2 &rum 7 vetcr ' frieqk tEy • 1 / // _ any _ . S 7 l f Date 2-5 -06 Sheet No. 3 o.. � of Job c6 /O //q -AA/441d- T ken 47 i/, Subject n 5t ,e; c/t • ' M / /076ctieg44 3, Monicane GPe, :, 7 Mr G 1 -/ 2.k.'.- 54i-.ne /r ti 501W T7 64 Z, 3. 57"- /91/0.0..4 Tic = 2 ( 6 )(36)C q ° ? 3,5 • at. 7/ Ai' /-6 Date 2- f F -06 Sheet No. 2- of 3 Job O(' /0//C7-- t em —.7k AA / 414- Subject La /b* Ie.n 2 rote _ . / 0� -C = . 371" Car kT-!2 /Ci( 1. 575- A ;-(6)(36) e e � =f 3 al" 2/7" 6 u `d2 % C�& 118:01 /1// / /r � � . .1s /. Sher / eoide;rcentc4. eog te tAkt. -_ /k ofr = 90- ?L.,' 6 3C- 87 c E = 56 a r = - sc.n7 = nom L a - 6/1 AL- Ea.-$ = ,30, S'' 6o6J = . ©7734 0 1/1` /7 Date a -// -O 6 Sheet No. 3 of Job o6 /o// L % t }, ,t— 74- 1V 1 Ja;o} KainY`o=!C�rt� Subject G c 2T n J ,bp- � = 9c) - t /6a) - ( = ec, = y-K- et _ /'E 54- ni %R. €6.7= , ty-c fc /X /x rg 2=39 in r 2 - • /% 3' Kam;. 1(303) /55 %r6 V end / yy- yc� . . , 3 ( %SS' 9 3 /026./ Project Info Project Address P•t•mart - Potshots' Date 1/25/2006 17585 Nouthe•nC•r Parkway For Building Department Use ften 1ln °.t�' \ rr�r Tukwila, NA Applicant Name: P•t•mart Applicant Address: 19601 North 27th Avenue, Phoenix, as Applicant Phone: (623) 580-2015 9486.0 Project Description • New Building • Addition 151 Alteration • Plans Induded Indicate controls (Sections 1513) including commissioning requirements on plans. 0.3 W/ft 2 Compliance Option Q Prescriptive Q Lighting Power Allowance 0 Systems Analysis (See Qualification Checklist (over). Indicate Prescriptive & LPA spaces clearly on plans.) Open Parking Alteration Exceptions (check appropriate box) ❑ No changes are being made to the lighting • Less than 60% of the fixtures are new, and installed lighting wattage is not being increased Location Description Allowed Watts per fe or per If Area In ft Allowed (or If for perimeter) Watts x ft (or x If) Covered Parking (standard paint) 2'x4' recessed troffer with 3 Ts lamp. 2 0.2 W/ft 93.0 9486.0 Parking (reflective paint) Compact fluorescent downlight with 2 2611 lamps 0.3 W/ft 2 55.0 1595.0 Open Parking 60N incandescent wall sconce 0.2 W/ft 60.0 360.0 Outdoor Areas 0.2 W/ft Bldg. (by facade) 0.25 W/ft Bldg. (by perim) 7.5 W/If Location (floor /room no.) Fixture Description Number of Fixtures Watts/ Fixture Watts Proposed Pet Sotel 2'x4' recessed troffer with 3 Ts lamp. 102 93.0 9486.0 Lobby Compact fluorescent downlight with 2 2611 lamps 29 55.0 1595.0 Lobby 60N incandescent wall sconce 6 60.0 360.0 Location (floor /room no.) Occupancy Description Allowed Watts per ft i Area In ft Allowed x Area Satire space Stores (Per 2005 NNC Table 220.12) 3.00 7080.0 21240.0 2001 Washington State Nonresidential Energy Code Compliance Form Lighting Summary LTG -SUM 2001 Washington State Nonresidential Energy Code Compliance Forms Maximum Allowed Lighting Wattage (Interior From Table 15-1 (over) - document all exceptions on form LTG -LPA Notes: 1. Use manufacturer's listed maximum input wattage. For hard -wired ballasts only, the default table in the NREC Technical Reference Manual may also be used 2. Include exit lights unless less than 5 watts per fixture. Proposed Lighting Wattage (Interibt )st all fixtures. For exempt lighting, not exception and leave Watts /Fixture blank. Total Proposed Watts may not exceed Total Allowed Watts for Interior Maximum Allowed Lighting Wattage (Exterior Total Allowed Watts June 2001 - KJM 21240.0 Total Proposed Watts 11441.0 Note: for building exterior, choose either the facade area or the perimeter method, bu not both) Total Allowed Watt sl Use mtgr Ilsted maximum Input wattage. For fixtures wlln narct-vhrea oanasts only, Proposed Lighting Wattage (Exterior) the default table in the NREC Technical Reference Manual may also be used. Location Fixture Description Number of Fixtures Watts/ Fixture Watts Proposed Total Proposed tt0©DLCOM for Exterior Total Proposed Watts R I D summitry CITY OF TUKWILA MAR 2 4 2006 FEB 0 2 2006 PERMIT CENTEh aty Of Tukwila _ 81 111 ntnir- nfiltCT(l1' poi- 994 Use' LP/1' (W /sf) Use' LPA' (W /sf) Painting, welding, carpentry, machine shops 2.3 Police and fire stations 1.5 Barber shops, beauty shops 2.0 Atria (atriums) 1.0 Hotel banquet/conference/exhibition hall''' 2.0 Assembly spaces ° , auditoriums, gymnasia heaters 1.0 Laboratories 2.0 Group R -1 common areas 1.0 Aircraft repair hangars 1.5 Process plants 1.0 Cafeterias, fast food establishments 1.5 Restaurants/bars 1.0 Factories, workshops, handlin%areas 1.5 Locker and /or shower facilities 0.8 Gas stations, auto repair shops 1.5 Warehouses'', storage areas 0.5 Institutions 1.5 Aircraft storage hangars 0.4 Libraries' 1.5 Retail retail banking 1.5 Nursing homes and hotel/motel guest rooms 1.5 Parking garages See Section 1532 Wholesale stores (pallet rack shelving) 1.5 Mall concourses 1.4 Plans Submitted for Common Areas Only' Schools buildings (Group E occupancy only), school classrooms, day care centers 1.35 Main floor building lobbies' (except mall concourses) 1.2 Laundries 1.3 Common areas, corridors, toilet facilities and washrooms, elevator lobbies 0.8 Office buildings, office/administrative areas in facilities of other use types (including but not limited to schools hospitals, institutions, museums, banks, churches) 1.2 2001 Washington Stale Nonresidential Energy Code Compliance Forms 2001 Washington State Nonresidential Energy Code Compliance Form Lighting Summary (back) LTG -SUM Prescriptive Spaces Qualification Checklist Note: If occupancy type is "Other and fature answer is checked. then t it' fixtures in the space is n . Clearly Inds s plans. If not - en qualified o A Calculation 'A 40 Occupancy: 0 Warehouses, storage areas or aircraft storage hangers QQ Other Lighting Fixtures ❑ Check here if at least 95% of fixtures in the space meet all four criteria: 1. Fixtures are fluorescent, non - lensed, with only one or two lamps, and 2. Lamps are T -1, T -2, T-4, T -5, T-6, T -8 3. Lamps are 5-50 Watts, and 4. Ballasts are electronic ballasts 5. Exit lights < 5 watts/fixture 6. Screw -in compact fluorescent fixtures do not qualify •(ABLE 15 -1 Unit Lifthtina Power Allowance (LPA Footnotes for Table 15 -1 1) In cases in which a general use and a specific use are listed, the specific use shall apply. In cases In which a use is not mentioned specifically, the Unit Power Allowance shall be determined by the building official. This determination shall be based upon the most comparable use specked in the table. See Section 1512 for exempt areas. 2) The watts per square foot may be increased, by two percent per foot of ceiling height above twenty feet, unless specifically directed otherwise by subsequent footnotes. 3) Watts per square foot of room may be increased by two percent per foot of ceiling height above twelve feet. 4) For all other spaces, such as seating and common areas, use the Unit Light Power Allowance for assembly. 5) Watts per square foot of room may be increased by two percent per foot of ceiling height above nine feet. 6) Includes pump area under canopy. 7) In cases In which a lighting plan is submitted for only a portion of a floor, a Unit Lighting Power Allowance of 1.35 may be used for usable office floor area and 0.80 watts per square foot shall be used for the common areas, which may include elevator space, lobby area and rest roans. Common areas, as herein defined do not Include mall concourses. 8) For the fire engine room, the Unit Lighting Power Allowance is 1.0 watts per square foot. 9) For indoor sport toumament courts with adjacent spectator seating, the Unit Lighting Power Allowance for the court area is 2.6 watts per square foot. 10) Display window illumination installed within 2 feet of the window, lighting for free - standing display where the lighting moves with the display, and building showcase illumination where the lighting is enclosed within the showcase are exempt. An additional 1.5 w/ft of merchandise display luminaires are exempt provided that they comply with all three of the following: a) located on ceiling - mounted track or directly on or recessed Into the ceiling itself (not on the wall). b) adjustable in both the horizontal and vertical axes (vertical axis only is acceptable for fluorescent and other fixtures with two points of track attachment). c) fitted with tungsten halogen, fluorescent, or high intensity discharge lamps. This additional lighting power is allowed only if the lighting is actually installed. 11) Provided that a floor plan, indicating rack location and height, Is submitted, the square footage for a warehouse may be defined, for computing the interior Unit Lighting Power Allowance, as the floor area not covered by racks plus the vertical face area (access side only) of the racks. The height allowance defined in footnote 2 applies only to the floor area not covered by racks. June 2001 - KJM Lighting Permit Plans Checklist LTG -CHK 2001 Washington State Nonresidential Energy Code Compliance Fortes June 2001 • KIM Project Address eetsmert - ¢eteaote1 (Date 1/25/2006 The following Information is necessary to check a lighting permit application for compliance with the lighting requirements in the 1994 Washing on State Nonresidential Energy Code. Applicability (yes, no, n.a.) Code Section 'Component Information Required Location on Plans Building Department Notes LIGHTING CONTROLS (Section 1513) 1513.1 Local control/access Schedule with type, Indicate locations g1 1513.2 Area controls Maximum limit per switch 1513.3 Daylight zone control Schedule with type and features, indicate locations vertical glazing Indicate vertical glazing on plans overhead glazing Indicate overhead glazing on plans 1513.4 Display/exhib/speclal Indicate separate controls 1513.5 Exterior shut -off Schedule with type and features, indicate location (a) timer w /backup Indicate location (b) photocell. Indicate location 1513.6 Inter. auto shut -off Indicate location 1513.6.1 (a) occup. sensors Schedule with type and locations 1513.6.2 (b) auto. switches Schedule with type and features (back -up, override capability); Indicate size of zone on plans 4 1513.7 Commissioning Indicate requirements for lighting controls commissioning a. a. Lighting Sum. Form Completed and attached. Schedule with fixture types, lamps, ballasts, watts per fixture Elec motor efficiency MECH -MOT or Equipment Schedule with hp, rpm, efficiency 2001 Washington State Nonresidential Energy Code Compliance Form If "no" is circled for any question, provide explanation: tunas UEC 2 0 2007 1 2001 Washington State Nonresidential Energy Code Compliance Form Lighting Permit Plans Checklist LTG -CHK 2001 Washington State Nonresidential Energy Code Compliance Forms June 2001 - KJM Lighting - General Requirements 1513 Lighting Controls. Lighting, including exempt lighting in Section 1512, shall comply with this section. Where occupancy sensors are cited, they shall have the features listed in Section 1513.6.1. Where automatic time switches are cited, they shall have the features listed in Section 1513.6.2. 1513.1 Local Control and Accessibility: Each space, enclosed by walls or ceiling- height partitions, shall be provided with lighting controls located within that space. The lighting controls, whether one or more, shall be capable of tuming off all lights within the space. The controls shall be readily accessible, at the point of entry/exit, to personnel occupying or using the space. EXCEPTIONS: The following lighting controls may be centralized in remote locations: 1. Lighting controls for spaces which must be used as a whole. 2. Automatic controls. 3. Controls requiring trained operators. 4. Controls for safety hazards and security. 1513.2 Area Controls: The maximum lighting power that may be controlled from a single switch or automatic control shall not exceed that which is provided by a twenty ampere circuit loaded to not more than eighty percent. A master control may be installed provided the individual switches retain their capability to function independently. Circuit breakers may not be used as the sole means of switching. EXCEPTIONS: 1. Industrial or manufacturing process areas, as may be required for production. 2. Areas less than five percent of footprint for footprints over 100,000 square feet. 1513.3 Daylight Zone Control: All daylighted zones, as defined in Chapter 2, both under overhead glazing and adjacent to vertical glazing, shall be provided with Individual controls, or daylight -or occupant- sensing automatic controls, which control the lights independent of general area lighting. Contiguous daylight zones adjacent to vertical glazing are allowed to be controlled by a single controlling device provided that they do not include zones facing more than two adjacent cardinal orientations (i.e. north, east, south, west). Daylight zones under overhead glazing more than 15 feet from the perimeter shall be controlled separately from daylight zones adjacent to vertical glazing. EXCEPTION: Daylight spaces enclosed by walls or ceiling height partitions and containing 2 or fewer light fixtures are not required to have a separate switch for general area lighting. 1513.4 Display, Exhibition, and Specialty Lighting Controls: All display, exhibition, or specialty lighting shall be controlled independently of general area lighting. 1513.5 Automatic Shut - Off Controls, Exterior: Exterior lighting not intended for 24 -hour continuous use shall be automatically switched by timer, photocell, or a combination of timer and photocell. Automatic time switches must also have program back -up capabilities, which prevent the loss of program and time settings for at least 10 hours, if power is interrupted. 1513.6 Automatic Shut - Off Controls, Interior: Office buildings greater than 5,000 sq. ft. and all school classrooms shall be equipped with separate automatic controls to shut off the lighting during unoccupied hours. Automatic controls may be an occupancy sensor, time switch, or other device capable of automatically shutting off lighting. EXCEPTIONS: 1. Areas that must be continuously illuminated, or illuminated in a manner requiring manual operation of the lighting. 2. Emergency lighting systems. 3. Switching for industrial or manufacturing process facilities as may be required for production. 1513.6.1 Occupancy Sensors: Occupancy sensors shall be capable of automatically tuming off all the lights in an area, no more than 30 minutes after the area has been vacated. 1513.6.2 Automatic Time Switches: Automatic time switches shall have a minimum 7 day clock and be capable of being set' for 7 different day types per week and incorporate an automatic holiday "shut -off' feature, which turns off all loads for at least 24 hours and then resumes normally scheduled operations. Automatic time switches shalfalso have program back -up capabilities, which prevent the loss of program and time settings for at least 10 hours, if power is interrupted. Automatic time switches shall incorporate an over -ride switching device which: a) is readily accessible; b) is located so that a person using the device can see the° lights or the areas controlled by the switch, or so that the area being illuminated is annunciated; and c) is manually operated; d) allows the lighting to remain on for no more than two hours when an over -ride is initiated; and e) controls an area not exceeding 5,000 square feet or 5 percent of footprint for footprints over 100,000 square feet, whichever is greater. 1513.7 Commissioning Requirements: For lighting controls which include daylight or occupant sensing automatic controls, automatic shut-off controls, occupancy sensors, or automatic time switches, the lighting controls shall be tested to ensure that control devices, components, equipment and systems are calibrated, adjusted and operate in accordance with approved plans and specifications. Sequences of operation shall be functionally tested to ensure they operate in accordance with approved plans and specifications. A complete report of test procedures and results shall be prepared and filed with the owner. Drawing notes shall require commissioning in accordance with this paragraph. February 15, 2006 Chris McComas 1327 Post Ave #H Torrance, CA 90501 Dear Mr. McComas: Sincerely encl ifer I4arshall it`F hnician xc: File No. D06 -034 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director RE: CORRECTION LETTER #1 Development Permit Application Number D06 -034 PetsmartlPetshotel —17585 Southcenter Py This letter is to inform you of corrections that must be addressed before your development permit(s) 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 and Public Works Department. At this time the Fire and Planning Departments have no comments. Buildine Department: Ken Nelsen, at 206 431 -3677, if you have questions regarding the attached memo. Public Works Department: Joanna Spencer, at 206 431 -2440, if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that four (4) 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) 433 -7165. P:Venoifer\Conection Letters \2006\D06-034 Correction Ltr HI.DOC inn 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 Date: February 14, 2006 Project Name: Petsmart / Petshotel, permit application Application #: 006-034 Plan Review: Ken Nelsen, Senior Plans Examiner Building Division Review Memo Tukwila Building Division Ken Nelsen, Sr. Plan Examiner '\ An initial Building Division plan review has been conducted on the subject permit application. Only one item of concern has been noted during the architectural review. Please address the following comment with revised plans and /or other applicable documentation. 1. The alteration to the existing fixture layout and composition of the new Petshotel area will compromise the existing emergency illuminated lighting paths. New Egress Illumination paths must be identified the plans reflecting compliance with I.B.C. Section 1006. The intended egress path may by identified as a single route of travel between the required exterior exit access doors. Additionally, the performance of the required illumination system described in I.B.C. Section 1006.4 must be specified in the general notes or otherwise shown on the plans. No further comments at this time. (P:Laurie Admin/Joanna/Comments D06 -034) PUBLIC WORKS DEPARTMENT COMMENTS DATE: February 8, 2006 PROJECT: PETSMART Tenant Improvement PERMIT NO: D06 -034 PLAN REVIEW: Contact Joanna Spencer at (206)431 -2440 if you have any questions regarding the following comments. 1) The City has determined that the multiple tenant building where Petsmart is located has deficiencies on the domestic water supply line, irrigation, and fire prevention lines. a) Domestic Water A Reduced Pressure Principle Assembly (RPPA), previously called a Reduced Pressure Backflow Assembly (RPBA), shall be installed immediately downstream of the permanent water meter for premise isolation. Installation at another location requires the Public Works Director's approval. The RPPA shall be installed in a Hot Box/Hot Rock or equal freeze protection enclosure anchored to a minimum 4" thick concrete pad. Public Works strongly recommends a power supply for the freeze protection enclosure. I have enclosed Development Bulletin C5 that describes the design and installation requirements for cross connection control. 2) Please submit a signed King County Sewer Use Certification form itemizing all the new plumbing fixtures (form is attached). Do not list fixtures replaced in kind. If there is a zero net decrease in plumbing fixtures, please attach a separate list of fixtures that were removed and not replaced.. A separate letter was mailed to the building owner, CLPF - Tukwila LP, c/o JSH Properties on 02/08/06. The Public Works Director will withhold issuance of this Tenant Improvement permit until the Permit Center receives plans for item la, or a bond for 150% of the design and installation cost of subject device, together with a letter stating the installation by a certain date. DEPARTMENTS: non visi n Public Works Complete Comments: APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28 -02 ,,,PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D06 -034 DATE: 09 -22 -06 PROJECT NAME: PETSMART /PETSHOTEL SITE ADDRESS: 17585 SOUTHCENTER PY Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # X Revision # 1 After Permit Issued Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete ❑ TUESITHURS ROUTING: Please Route d Structural Review Required REVIEWER'S INITIALS: DUE DATE: 09-26 -06 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: DATE: Planning Division Permit Coordinator Not Applicable ❑ DUE DATE: 10-24 -06 Approved Approved with Conditions ❑ Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DEPARTMENTS: 3 g &fin P` bli Works it Aug, 3 2Z •n(. Complete Comments: APPROVALS OR CORRECTIONS: Documents/routing dip.doc 2 -28-02 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D06 -034 DATE: 03 -08 -06 PROJECT NAME: PETSMART /PETSHOTEL SITE ADDRESS: 17585 SOUTHCENTER PY Original Plan Submittal Response to Incomplete Letter # X Response to Correction Letter # 1 Revision # After Permit Issued Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete ❑ Planning Division ❑ Permit Coordinator ❑ DUE DATE: 03-09-06 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROL) NG: ■ Please Route Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: DUE DATE: 04-06-06 Approved ❑ Approved with Conditions Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ACTIVITY NUMBER: D06 -034 DATE: 02 -02 -06 PROJECT NAME: PETSMART /PETSHOTEL SITE ADDRESS: 17585 SOUTHCENTER PY X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: � P/� � Bhilding ivisi ``°PERMIT COORD COPY ‘ PLAN REVIEW /ROUTING SLIP Public Wprks U Structural nnh�f - 104tfr DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: 6-1( re P Pla Wi A S ion Incomplete ❑ Permit Coordinator DUE DATE: 02 -07-06 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUT NG: Please Route Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved ❑ Notation: Documents/routing sIip.doc 2 -21102 Approved with Conditions ❑ DATE: REVIEWER'S INITIALS: DATE: DUE DATE: 03-07-06 Not Approved (attach comments) L'J Permit Center Use Only CORRECTION LETTER MAILED: ' is -0■0 Departments issued corrections: Bldg Fire ❑ Ping ❑ PW,I Staff Initials: Revision No. Date Received. Staff I Initials Date I Issued I ' Staff Initials 01 �t � DL/ �'R�IM 1 t/ l'Zal 01, Summar of Revision: 6-itttl?D e..ic 1T -oa- 11 -%L fje rr perm) •i I AkltflWr Qb nivo (5F :Oar. L ; eceived By: •,„ , A ■ ' :i1■ i.. Revision { Date No.. f Received I Staff Initials Date Issued Staff Initials I I � Summary of Revision: Received By: Revision No. ` Date Received l Staff I Initials I Date i Staff Issued Initials I I 1 Summary of Revision: Received By: Revision No. Date I Received Staff Date I Initials I Issued Staff I Initials 1 _:. 1 1 I Summary of Revision: Received By: Revision No. Date Received I Staff Initials I Date Staff Issued 1 Initials 1 i Summary of Revision: Received By: PROJECT NAME: "T/ lkv1tL PERMIT NO:. Site Address: fier; cerYY - - -- Origirit Issue Date: REVISION LOG (please print) (please print) • (please print) (please print) pl ease print Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 0 9- )- )- — ael Plan ChecWPermit Number: ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # ❑ Revision # after Permit is Issued E . Revision requested by a City Building Inspector or Plans Examiner PERMIT CENTER Project Name: Pe 75 /J ji-T Project Address: / 75 t5 Soldrie.„ v Pkey' Contact Person: Pq - 5;64 ©9o,T fyear-dr 7Phoone Number: 19/7 896 977/ Summary of Revision: PC i ; ti 7 n r 7 or-S t e r PS ri moire "7 9) 0-e6 71'kel E. r ;T pee /s re rov%a't/ Fir Zr / er's /teri /o.ti- //- 72 f tr' -c C0y / /9rc " .7`4 e r % T pdr-1 / dea-T t% ;e4r /e --- e'� / %'kT %.y, 2) e d /Jiir. :de ex • r e.x: r 5 ;9, eit¢ • 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.tukwilawa.us SheetNumber(s): ate T$ F// ;fiti1 D/7xdpr ;)T c /te,4 /O6•y "Iei "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by g i Entered in Permits Plus on ?V 1 ( ',Q 1applications\forms- applications on linesevtston submittal • Created: 8 -13 -2004 Revised: 1) Dab - o� y Steven M Mullet, Mayor Steve Lancaster, Director MEWED CITY Orrthav A SEP222006 1^ e T t / 4 9 r f t.,„.; 7L-4 ./ en.4 7 e PM t6 f t"-, /J /4T.L, shN City of Tukwila Date: 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 SUBMITTAL 1 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. ❑ Response to Incomplete Letter # ® Response to Correction Letter # 1 ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Petsmart/Petshotel Project Address: Contact Person: 17585 Southcenter Py Chris McComas \applicationsVbrms- applications on line\revision submittal Created: 8 -13 -2004 Revised: Plan Check/Permit Number: D06-034 Steven M. Mullet, Mayor Steve Lancaster, Director ent MAR 0 8 zoos Petwr c arrel Phone Number: Summary of Revision: li e d /GR. r.n3st Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: Entered in Permits Plus on tfitfiltla NAM Petsmart #377 SERVICE ADDRESS 17585 SouthSentcr Fkwy CITY Tukwila ASSEMBLY LOCATION BChiac fish tanks CROSS, CONNECTION CONTROL FOR? 1n-premise Protection Backflow Assembly Test Report Form ACCOUNT # 08 -0146 METER$ 14113791 STATE p2 City of Tukwila — Public Works Maintenance Department 600 Minkler Blvd, Tukwila, WA 98I88 ZIP CODE 85080.7749 SIZE 0.75_ MAKE Wotts LINE PRESSURE AT TIME OF TEST? S PSI NEW? QEXISTING? ❑ REPLACEMENT? ❑ INITLAL TEST RESULTS I PSL DROP ACROSS #1 CHECK VAL Ve RELIEF VALVE OPENED #1 CHECK VALVE CLOSED TIGHT? j #1 CHECK VALVE LEAKED? I RPBA I RETESTED BY #2 CHECK VALVE CLOSED TIGHT? 1 #2 CHECK VALVE LEAKED? APPROVED AIR GAP PROVIDED? MOnEL 009M30T TYPE RPBA SN in6J7 TESTS AFTER REPAIR OR CLEANING °•, Ps iDj PSI DROP ACROSS #1 CHECK VALVE 3� f PSID j f RELIEF VALVE OPENED Igo CHECK VALVE. CLOSED TIGHT? I CHECK VALVE LEAKED? #2 CHECK VALVE CLOSED TIGHT? _ i #2 CHECK VALVE LEAKED? ErAPP ROVED AIR GAP PROVIDED? RPBA PASSED TEST? Yes No ❑ . RPBA PASSED TEST? Yes ❑ #I CHECK VALVE CLOSED TIGHT? DCVA #1 CHECK VALVE LEAKED? #2 CHECK VALVE CLOSED TIGHT? #2 CHECK VALVE LEAKED? DCVA PASSED TEST? AIR INLET OPENED AT AIR INLET FAILED TO OPEN? PVBA CHECK VALVE HELD TIGHT AT CHECK VALVE LEAKED? PVBA PASSED TEST? PSID PSID 0 Yes ❑ No Yes ❑ RECEIVED SEP 2 0 2006 PU BL I C WOR #1 CHECK VALVE CLOSED TIGHT? #1 CHECK VALVE LEAKED? PSID PSID ❑ I 0 0 Nu ❑ PSID #2 CHECK VALVE CLOSED TIGHT? PSID #2 CHECK VALVE LEAKED? DCVA PASSED TEST? Yes ❑ No ❑ PSID AIR INLET OPENED AT ❑ AIR INLET FAILED TO OPEN? PSID CHECK VALVE HELD TIGHT AT ❑ CHECK VALVE LEAKED? No ❑ PVBA PASSED TEST? PSID 0 PSID 0 Yes ❑ No ❑ PROPER INSTALLATION? E r INSPECTED BY GCS'. APPROVED ASSEMBLY? REMARKS TEST COMPANY - re/'t>/ Fl OSflsJA7 PHONE a53- old c7 { TEST KIT MAKE IV* - MOD EL s 7 . a SN __ CALIBRATION DATE AV fr' 4 1)-06 I certify that / used WAC 246-290-490 approved Test Methods and Differentia/ Pressure Test Equipment TESTER'S NAME (PRINTED). Te toy F OS/lt-'N CERTIFICATION 14 jS LbR, ss SIGNATURE SJ eE - 212:_alans a n, DATE TESTED 7/4/ REPAIRED BY REPAIR DATE CERT # DATE TESTED DOr O3/ INITIAL TEST RESULTS TESTS Al I ER REPAIR OR CLEANING RPBA PSI DROP ACROSS #1 CHECK VALVE 7, l ; ' 1 PSID PSID ry 0 a 0 3 PSI DROP ACROSS 01 CHECK VALVE PSID PSID ❑ 0 0 fl RELIEF VALVE OPENED 3. U LIEF VALVE OPENED #t CHECK VALVE CLOSED TIGHT? #I CHECK VALVE LEAKED? #2 CHECK VALVE CLOSED TIGHT? #2 CHECK VALVE LEAKED? APPROVED AIR CAP PROVIDED? RPBA PASSED TEST? Yes No # 1 CHECK VALVE CLOSED TIGHT? 111 CHECK VALVE LEAKED? # 2 CHECK VALVE CLOSED TIGHT? 2 CHECK VALVE LEAKED? APPROVED AIR GAP PROVIDED? No RPRA PASSED TEST? Yes s DCVA in CHECK VALVE CLOSED TIGHT? . PSID ❑ PSID 0 fl #I CHECK VALVE CLOSED TIGHT? - PSID III #1 CHECK VALVE LEAKED? #2 CHECK VALVE CLOSED TIGHT? #1 CHECK VALVE LEAKED? #2 CHECK VALVE CLOSED TIGHT? PSID 0 #2 CHECK VALVE LEAKED? DCVA PASSED TEST? Yes 0 No #2 CHECK VALVE LEAKED' DCVA PASSED TEST? Yes ❑ No PVBA AIR INLET OPENED AT PSID ❑ PSID • MR INLET OPENED AT PSID III AIR INLET FAILED TO OPEN? CHECK 'VALVE HELD TIGHT AT AIR INLET FAILED TO OPEN? CHECK VALVE HELD TIGHT AT PSID 0 CHECK VALVE LEAKED? PVBA PASSED TEST? Yes 0 No CHECK VALVE LEAKED? PVBA PASSED TEST? Yes fl No • • LINE PRESSURE AT TIME OF TEST? RECEIVED SEP 2 0 2006 PUBL C WORKS AJ/ CERT# p /eZV`7 City of Tukwila — Public Works Maintenance Department 600 Minkler Blvd, Tukwila, WA 98188 Backflow Assembly Test Report Form NAME , A' Z7.7 ACCOUNT# SERVICE ADDRESS 115 %5 <...14.6; L gie (I TER CITY ( U :A\ A-- 1 STATE OA- ZIP CODE ( fl /V ASSEMBLY LOCATION iN w CO/` ,UC/ u}- £;4'1c// /ny ,ey /{W t&4) K CROSS - CONNECTION CONTROL FOR? PO t» � k w.-i- ±-e/ �j Fon 8 o i i c : ✓t SIZE 2 II MAKE W4 MODEL ooq / r 1 ..�,0t'TYPE / 1p SN .d' QS 3 ? t 0 psi NEW? EXISTING? ❑ REPLACEMENT? ❑ PROPER INSTALLATION? 13 [NSPECTED BY CCS? ❑ APPROVED ASSEMBLY? REMARKS /� , DiL�I�,'tY1( 2 �1 TEST COMPANY TCr / b .�+ S� p u /V,�/ N.�C� ,pp'H^irEf , 7 ^ ..( CO Q ` tl TEST KIT MAKE WA- MODEL t 7q6 SN CO'O Oa CALIBRATION DATE 400- 1 I -0 I certify that 1 used WAC 246 -290 -490 approved Test Methods and Differential Pressure Test Equipment TESTER'S NAME (PRINTS) <�r" K O $ /lei AJ CERTIFICATION # _-A S S SIGNATURE `/ • 7Qyyv/.fy-� DATE TESTED �� /'j10 REPAIRED BY REPAIR DATE RETESTED BY DATE TESTED D06 -034 .a— o —OH: 1:LHV NAME Petsmart x#377 SERVICE ADDRESS ijjj Southcenter Pkwy CITY Tukwila ASSEMBLY LOCATION ,-[ustde De wash area___. —__ ________. ___ _______ CROSS - CONNECTION CONTROL FOR? jurpre 7jse Protection SIZE 1.00' MAKE Watts MODEL i2090 T / TYPE _RE �.� __ SN 14 0C /Z LINE PRESSURE AT TIME OF TEST? 7, Psi NEW? ❑ EXISTING? ❑ REPLACEMENT? RPBA DCVA RELIEF VALVE OPENED 41 CHECK VALVE CLOSED TIGHT ?? #1 CHECK VALVE LEAKED? #2 CHECK VALVE CLOSED TIGHT? #2 CHECK VALVE LEAKED? APPROVED AIR GAP PROVIDED? RPBA PASSED TEST? #1 CHECK VALVE CLOSED TIGHT? 01 CHECK VALVE LEAKED? #2 CHECK VALVE CLOSED TIGHT? #2 CHECK VALVE LEAKED? DCVA PASSED TEST? Al It INLET OPENED AT AIR INLET FAILED TO OPEN? PVBA CHECK VALVE HELD TIGHT AT City of Tukwila — Public Works Maintenance Department 600 Minkler Blvd, Tukwila WA 9818S LNTTIAL TEST RESULTS PSI DROP ACROSS #1 CHECK VALVE Backflow Assembly Test Report Form Yes Yes ❑ [TESTS AFTER REPAIR OR CLEANING PS1D PSI DROP ACROSS 41 CHECK VALVE PSID PSID ACCOUNT ,/ Q8_0146 METERX 14113791 STATE_! i,y ZirCOOE 85,080_7749 9 PSID NI CHECK VALVE CLOSED TIGHT? PSID #i CHECK VALVE LEAKED? PSID 02 CHECK VALVE CLOSED TIGHT? PSID ❑ X2 CHECK VALVE LEAKED? Cj No ❑ DCVA PASSED TEST Yes ❑ No ❑ • AIR INLET OPENED AT PSID PSID 0 PSID LIEF VALVE OPENED 1 CHECK VALVE CLOSED TIGHT? 41 CHECK VALVE LEAKED? CHECK VALVE CLOSED TIGHT? .ra CHECK VALVE LEAKED? APPROVED AIR GAP PROVIDED? RPBA PASSED TEST? Yes ❑ CHECK VALVE LEAKED? ❑ CHECK VALVE LEAKED? PVBA PASSED TEST?' Yes ❑ No ❑ PVBA PASSED TEST? AIR INLET FAILED TO OPEN? CHECK VALVE HELD TIGHT AT MID APPROVED ASSEMBLY? El/ PROPER INSTALLATION? �fr" INSPECTED BY CCS? REMARKS TEST COMPANY W / I Itmes Pluto mt� RECEIVED SEP 2 0 2006 aU B L I C WOR No Yes ❑ No PSID ❑ ❑ I L 1,f ,y— PHONE 2 5 -t SV — 6 i I� ,/ TEST KIT MAKE Lin f MODEL Yg y�SN 0 H 621,2, CALIBRATION DATE q t 1 6 1 tenth that 1 used WAC 246- 290 -490 approved Test Methods and Differential Pressure Test Equipment TESTER'S NAME (PRINTED) Cr bi 0 S P1 UN CERTIFICATION# ... 521_2_5 -5.- " SIGNATURE ...,.1.e7 92C et . . - w r. -- DATE TESTED p Z O iJ L REPAIRED DY ! REPAIR DATE RETESTED BY CERT # DATE TESTED bOG039 Kind of Fixture Flafur Units No. of Fixtures Total Fixture Unite Public Private Public PrMte Bathtub and Shower 4 4 Shaver, per head 2 2 1 d Dishwasher 2 2 l Drinking fountain (each head) 1 .5 Hose Nth (interior) 2.5 2.5 1.4 ;t' Cbtheawesher a laundry tub 4 2 'L Sink, bar sr lavatory 2 1 •.- Sink, Clinic hushing 8 8 Sink, kitchen 3 2 Sink, other (service) 3 1.5 / 1. S Sink, wash fountain, circle spray 4 3 Urinal, flush valve,1 GPF 5 2 Urinal, flush valve, >1 GPF 6 2 Water dose, tank Of valve, 1.6 GPF 6 3 3 p "1 Water closet, tank or valve, >1.6 GPF 8 4 Noneftaidential ` Sewer Use Certification (To be completed for all new sewer connections, reconnections or change of use of existing connections. This form does not apply to repairs or replacements of existing sewer connections within five years of disconnect.) Pursuant to King County Code 28.84, all sewer customers who establish a new service which uses metropolitan sewage facilities shall be subject to a capacity charge. The amount of the charge is established annually by the King County Council at a rate per month per residential customer or residential customer equivalent for a period of fifteen years. The purpose of the charge is to recover costs of providing sewage treatment capacity for (Pisan prim or type) Owner's Name P&TfM41 2T (Last, First, Middle Initial) Subdivision Name Lot # Subdiv. # Block # Building Name (if applicable) Property Street Address • l '(f$r- I4 it T1 r'A!/.-a City, State ZIP V Owner's Phone Number (62. Y O - 2-or Owner's Mailing Address (if different from above) Iu #o r kt Zl /t R ,c, n ta ( ,.n . ( 'fl 6 i71t7 A. Fixture Units Fixture Units x Number of Fixtures = Total Fixture Units Residential Customer Equivalent (RCE) 20 fixture units equal 1.0 RCE Total No. of Fixture Units _ 20 Total F xture Units Cl,.0 1 RCE 1058 (Rev. 1/03) White — King County Dog County Department of Natural Resources and Parks new sewer customers. The charge is collected semi - annually. All future billings can be prepaid at a discounted amount. Questions regarding the capacity charge or this form should be referred to King County's Wastewater Treatment Division at (206) 684 -1740. Property Tax ID it Ter 2 3 D 4 (S .6 160 Party to be Billed (if different from owner) Party's Mailing Address: City or Sewer District Date of Connection Side Sewer Permit # 4D es • Tut./ w#w u `r. Is..f! • 1 ff or Property Contact Phone # ( 1 Demolition of pre- existing building? 0 Yes go Type of building demolished Sewer disconnect date *' 1 — B. Other Wastewater Flow (in addition to Fixture Units identified in Section A) Type of Facility/Process: Pre F r►nrtL_ Estimated Wastewater Discharge: Residential Customer Equivalents (RCE): 187 gallons per day equals 1.0 RCE Total Discharge (gal/day) _ 187 C. Total Residential Customer EquivalentR E Ej (add A & B) CITY OF TUKWILA MAR 08 2006 A B COR LTR# = I Q. $ I RCE •1� ( _ Gallons/days RCE — 03 certify that the information given is correct. I understand that the capacity charge levied will be based on this information and any deviation will require resubmission of corrected data for determination of a revised capacity charge. Signature of Owner/ Representative Print Name of Owner/ Representative jar • Date 3/i /b6 Yellow — Local Sewer Agency Pink — Sewer Customer MP1flhI 4 (few &. UA14 ) THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD' N'" TYPE nE INNIIRANCF POLICY NUMBER POLICY EFFECTIVE RATE IMMIDDM9 POLICY EXPIRATION RATF IMMIbn1YY1 UNITS A INSURERA: Zurich American Ins. Co. GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CP0399432402 6/30/2005 6/30/2006 EACHOCCURRENCE $ 1000000 X PREMISES (Ea E S (Ea o m TED REMIccence) $ 300000 ■■ CLAIMS MADE X OCCUR MEDEXP(Any one person) $ 10000 X $1,000 PD ded PERSONAL &ADV INJURY $ 100000 0 ■ per nc.r llr GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE UMITAPPLIES PER: PRODUCTS - COMP/OP AGG $ 2000000 POLICY I JF a 1 LOC A AUTOMOBILELIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS TAP399432502 6/30/2005 6/30/2006 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 X ■ BODILY INJURY (Per person) $ ■ X BODILY INJURY (Per accident) X PROPERTY DAMAGE (Per accident) $ GARAGELIABILITY ANYAUTO AUTO ONLY- EAACCIDENT $ ■ OTHERTHAN EAAOC $ AUTOONLY: AGG $ B EXCESS/UMBRELLALIABILIIY BE1647799 6/30/2005 6/30/2006 EACH OCCURRENCE $ 5000000 X OCCUR CLAIMS MADE AGGREGATE $ 5000000 DEDUCTIBLE RETENTION $ 10000 ■ $ X $ 4 WORKERS EMPLOYERS'1UU11LTIY ANY CER/ME OFFICER/MEMBER N Yes, describe SPECIAL PROVISIONS COMPENSATION AND WC399432302 6/30/2005 6/30/2006 X I TOORRY! A NITS IFR E.L EACH ACCIDENT $ 1000000 E.L DISEASE-EA EMPLOYEE $ 10 0 0 0 0 0 EXCLUDED? EXCLUDED? under below E.L DISEASE- POUCY LIMIT $ 1000000 c. OTHER Builders Risk -SCOL form* w/ $2,500 ded* QT6605370B316 6/30/2005 6/30/2006 $5M Jobsite & Catastrophe except $1M Frame, BV or Joisted Masonry Conetr $100.000 each Transit /Offsite DESCRIPTION OF OPERATIONS /LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS See Attached ACORD„ CERTIFICA7t'OF LIABILITY INSURAI4SE 4/5/2006 PRODUCER McQueary Henry Bowles Troy, LLP 12700 Park Central Drive Suite 1700 Dallas TX 75251 - 0470 THIS CERTIFICATE IS ISSUED AS A MATTER OF NFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC INSURED Westwood Contractors, Inc. 777 Main St, Suite 950 Fort Worth TX 76102 INSURERA: Zurich American Ins. Co. 16535 INSURER B: Illinois National Ins. Co. 23817 _. INSURERC: Travelers Lloyds Company 41262 INSURER D: INSURER E: COVERAGES CERTIFICATE HOLDER City of Tukwila Attn: Jennifer 6300 Southcenter Blvd. #100 Tukwila WA 98188 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) CANCELLATION (9) ACORD CORPORATION 1988 ACORD 25 (2001/08) IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. Re: Petsmart Pet Hotel Job# 06 -033 DESCRIPTIONS (Continued from Page 1) 10 Days Notice of Cancellation applies for nonpayment of premium. *Windstorm or Hail is excluded for all locations within 25 miles of the Atlantic Ocean or Gulf of Mexico coastline and the entire state of Florida. $2,000,000 Flood for Zones C or X only. - $25,000 ded ea occ., $2,000,000 Earthquake- excluding high hazard areas as shown in the policy - $25,000 ded. Certificate Holder is named additional insured and provided waiver of subrogation (including WC for WOS) with regard to the liability policies of the insured, but only with respect to and to the extent of the liabilities assumed by the insured under written contract. Builder Risk coverage only applies to project if required by written contract. License Information License WESTWCI088BF Licensee Name WESTWOOD CONTRACTORS INC Licensee Type CONSTRUCTION CONTRACTOR UBI 601011419 Ind. Ins. Account Id Business Type CORPORATION Address 1 777 MAIN ST SUITE 950 Address 2 ATTENTION: LILY SEGURA City FORT WORTH County OUT OF STATE State TX Zip 76102 Phone 8178773800 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/6/1992 Expiration Date 9/9/2006 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date BENDA, ROBERT D 01/01/1980 06/11/2002 CHASE, DAVID E 01/01/1980 06/11 /2002 BENDA, JOAN M 01/01/1980 06/11 /2002 Look Up a Contractor, Electric; an or Plumber License Detail Page 1 of 3 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. TRAVELERS CAS & Until 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= WESTWCI088BF 04/18/2006 x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x