HomeMy WebLinkAboutPermit M08-035 - GROUP HEALTH COOPERATIVEGROUP HEALTH
12400 EAST MARGINAL
wys
M08 -035
Parcel No.: 7340600480
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
12400 EAST MARGINAL WY S TUKW
GROUP HEALTH
12400 EAST MARGINAL WAY S , TUKWILA WA
ANNE ARUNDEL APARTMENTS LLC
10 W MARKET -1200 MARKET TOWE , INDIANAPOLIS IN
Contact Person:
Name: PAUL GOTO
Address: 3132 NE 133 ST , SEATTLE WA
DESCRIPTION OF WORK:
PROVIDE AND INSTALL 1 NEW 2 TON DUCTLESS SPLIT A/C SYSTEM
INDOOR UNIT INSTALLED IN T -BAR CEILING, OUTDOOR UNIT INSTALLED ON SLEEPERS ON
ROOF
Contractor:
Name: P S R
Address: PO BOX 27073 LAKE CITY STATION , SEATTLE WA
Contractor License No: PSR * * * *936JP
Value of Mechanical: $8,000.00
Type of Fire Protection:
CitAf Tukwila
Furnace: <100K BTU
>100K BTU
Floor Furnace
Suspended/WaU/Floor Mounted Heater
Appliance Vent
Repair or Addition to Heat/Refrig /Cooling System....
Air Handling Unit <10,000 CFM
>10,000 CFM
Evaporator Cooler
Ventilation Fan connected to single duct
Ventilation System
Hood and Duct
Incinerator: Domestic
C ommercial/Industrial
doc: IMC -10/06
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http://www.ci.tulcwila.wa.us
MECHANICAL PERMIT
EQUIPMENT TYPE AND QUANTITY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
* *continued on next page **
M08 -035
•
Permit Number: M08 -035
Issue Date: 02/28/2008
Permit Expires On: 08/26/2008
Phone:
Phone: 206 - 367 -2500
Phone: 206 367 -2500
Expiration Date: 12/31/2008
Fees Collected: $246.53
International Mechanical Code Edition: 2006
Boiler Compressor:
0 -3 HP/100,000 BTU 0
3 -15 HP /500,000 BTU 0
15 -30 HP /1,000,000 BTU.. 0
30 -50 HP /1,750,000 BTU.. 0
50+ HP /1,750,000 BTU 0
Fire Damper 0
Diffuser 0
Thermostat 0
Wood/Gas Stove 0
Water Heater 0
Emergency Generator 0
Other Mechanical Equipment
Printed: 02 -28 -2008
Permit Center Authorized Signature:
Print Name:
doc: IMC -10/06
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
•
Permit Number: M08 -035
Issue Date: 02/28/2008
Permit Expires On: 08/26/2008
Date:
09-f2$I4?7
I hereby certify that I have read and an fined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this mechanical permit.
Signature: i Date: 1.7 A
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.
M08 -035 Printed: 02 -28 -2008
1: ** *BUILDING DEPARTMENT CONDITIONS * **
5: Readily accessible access to roof mounted equipment is required.
doc: Cond -10/06
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
PERMIT CONDITIONS
•
Parcel No.: 7340600480 Permit Number: M08 -035
Address: 12400 EAST MARGINAL WY S TUKW Status: ISSUED
Suite No: Applied Date: 02/08/2008
Tenant: GROUP HEALTH Issue Date: 02/28/2008
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431- 3670).
4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
6: 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.
7: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
8: Manufacturers installation instructions shall be available on the job site at the time of inspection.
9: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila
Permit Center.
10: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431- 3670).
11: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
* *continued on next page **
M08 -035 Printed: 02 -28 -2008
• •
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and 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.
Signature:— �■ Z/00
�
Print Name: ) ' - gad
doc: Cond -10/06
M08 -035 Printed: 02 -28 -2008
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Building Permit No.
Mechanical Permit No. l i k()
Plumbing/Gas Permit No.
Public Works Permit No.
Project No.
(For office use only)
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
SITE LOCATION
King Co Assessor's Tax No.: 7 3 og co K8'O
Site Address: 12.400 EASt NIAR6sNAL. wAy Sovth Suite Number: DZCOC t g Floor: Z-
Tenant Name: GROUP HeAL?ll CotoperAIWG New Tenant: ❑ Yes Er..No
Property Owners Name: 6R)P ct M -114 Qaopersln vC
Mailing Address: %2C( G/K1' Sa*All
17/kwvl /,f
City
State
4'16f
Zip
CONTACT PERSON
Name: PAUL 6
Mailing Address: 1131 Nt 17314D sr
E -Mail Address: PAQ . a 6/07) c2 PSRNVAC. . GoM
Company Name: P5R
Mailing Address: 3J3Z NE / 33$D $T
Contact Person: PAUL Gold
E -Mail Address: PAUL 6d!Ve FSRHVA•C. CAw1
Contractor Registration Number: l?SR jgktk 4134 JP
Company Name:
Mailing Address:
E -Mail Address:
Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 4 -2006
bh
Day Telephone:
so9'll7c
City
to6 3W7- &5 22:
Fax Number: 206- 368- 6831
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5) )
ienine
City
WA
State Zip
wA
State
Day Telephone: 206- 367- LS0
Fax Number: Zo6- 161r- 6dSZ
Expiration Date: t 2 / ? t /e 8
ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record
State
State
Zip
Zip
City
Contact Person: Day Telephone:
Fax Number:
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Zip
Page 1 of 6
• ,
.
Existing
Interior
Remodel
Addition to
Existing
Structure
New • `
Type of
Construction
per IBC
Type of
Occupancy per
IBC
is' Floor
, . ' ,,
a
,..
.
ta Floor
%'
,, .., t ,,
-
3 Floor
• r .1
'`
..
Floors thru
'
..
-
s ' '
*
-
-
Basement
4
Accessory Structure*
s '
f
Attached Garage
'
Detached' Garage
t
�!"
+ ., .
r
•
Attached Carport ,
- .
/I
t '
.,.t' .,
•
,.•
,
Detached Carport
Covered Deck
/
Uncovered Deck
r
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑..Yes ❑...No
•
BUILDING PERMIT INFORMATION — 206 -431 -3670
Existing Building Valuation: $
(If yes, a separate permit and plan submittal will be required)
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:- .
Single- family building fobtprint ": f the foundation of all structures, plus any dec ver 1$ inches `arid bverh:ings greaier•than.18 Inches)
*For an Accessory dwelling/ pro. 'de the following:
Lot Area (sq ft): / Floor area of principal dwelling: Floor area for accessory dwelling:
*Provide documentatio : hat shows that the principal owner lives in one of the ellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change ; ° use? ❑ ....Yes ❑ ..No If "yes ", explain:
r.. .. , . 1
FIRE PROTEC 1 ON/HAZARDOUS MATERIALS:
❑.. Sprin -rs ❑.. Automatic Fire Alarm ❑..None ❑ ..Other (specify)
Will there be::'orage or use of flammable, combustible or hazardous materials in the building? El .. Yes Ill ..No
If "yes attach list of materials and storage locations on a separate 8 -1/2 x 1 / paper indicating quantities and Material Safety Data Sheets.
SEPTIC ' STEM:
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
O \Applications \Forms- Applications On Line \3 -2006 - Permit Applicalion.doc
Revised: 4 -2006
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Page 2 of 6
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Furnace >100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood /Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Water Heater
50+ HP /1,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
I
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Comm /Ind
Other Mechanical
Equipment
•
MECHANICAL PERMIT INFORMATION - 206 - 431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: P5(Z.
Mailing Address: 313 Z. Nth 133 RP sr
Contact Person: PAV(. 6070
E -Mail Address: OWL. 6GIU a RSRMVkC. CAIN
Contractor Registration Number: ftlz- fe q 3Sc) P
Valuation of Project (contractor's bid price): $ B.Ocv
Scope of Work (please provide detailed information): REM Pe. A'Nod /NOM/ 1 J L 7DIt) Do64' Le' SP
Sysftr 1 . In Dent on It friffillat in T QAp. ceviasa, , PorroNL un Ir tmsmiloaL o✓1
SkefreS 0✓/ 2o0E.
Use: Residential: New .... ❑ Replacement .... ❑
Commercial: New .... Replacement .... ❑
Fuel Type: Electric Gas....❑ Other:
Indicate type of mechanical work being installed and the quantity below:
•
Q: \Applications \Forms- Applications On Line\3 -2006 - Permit Application.doc
Revised: 4 -2006
bh
Smile r.•.' $S'i•6'
State Zip
Day Telephone: z "- 10-ago
Fax Number: Lig ' 36r-irrsa
Expiration Date: rZ /7/ AP
City
Page 4 of 6
0
PUBLIC WORKS PERMIT INFORMATION - 206 -433 -0179
Scope of Work (please provide detailed information):
. ' L
Tease refer to Public Works Bulletin #1 for,fees,and estimate sleet.
Water District
❑ ...Tukwila ❑...Water District #125
❑ ...Water Availability Provided
t l • 3 .. . ,.. • 4 •
❑ ...Total Cut
❑ ...Total Fill
Water Meter Refund/Billing_
Name:
Mailing Address:
Call before you Dig: 1 800 - 424 - 5555
❑ .. Highline
Sewer District ; ': ,,_ , • i
❑ ...Tukwila El ... ValVue ❑ .. Renton Seattle
❑ ...Sewer Use Certificate ❑...Sewer Availability Provided ❑ .. Approved Septic Plans Provided
Submitted with Application ( L k boxes which apply):
❑ ...Civil Plans (Maximum Pap :t. Size — 22" x 34")
❑ ...Technical Information Report , orm Drainage)
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s)
cubic yards
cubic yards
• L '
❑ ...Sanitary Side Sewer ❑ .. Abandon Se `L Tank
❑ ...Cap or Remove Utilities ❑ .. Curb Cut
❑ ...Frontage Improvements ❑ .. Paveme Cut
❑ ...Traffic Control ❑ .. Loop i Fire Line
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
Qd,ApplicationstFonns- Applications On Line13 -2006 - Permit Application.doc
Revised: 4 -7006
bh
❑ .. Geotechnical Report
❑ .. Maintenance Agreem
Proposed Activities (mark boxes that app „:
❑ ...Right -of -way Use - Nonprofit for Tess th. ` 72 hours ❑ .. Right -of- Use - Profit for less than 72 hours
❑ ...Right -of -way Use - No Disturbance ❑ .. Right ay Use — Potential Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way
Non Right -of -wa
Work in Flood Zone
Storm Drainage
❑ ...Permanent Water Meter Size...
❑ ...Temporary Water Meter Size ..
❑ ...Water Only Meter Size ❑ ...Deduct� ater Meter Size "
❑ ...Sewer Main Extension Pub,' Private
❑ ...Water Main Extension P , i is Private
FINANCE INFORMATION
Fire Line Size at Property Line • Number of Public Fire Hydrant(s)
❑ ...Water •,...Sewer ❑ ...Sewage Treatment
Monthly Service Billin
Name: Day Telephone:
Mailing Address:
City
C ity
•
' ❑ .. Renton
❑ ...Traffic Impact Analysis
❑ ... Hold Harmless — (SAO)
.❑ ...Hold Harmless — (ROW)
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
Stale
State
I
Zip
Day Telephone:
Zip
Page 3 of 6
•
PERMIT APPLICATION NOTES — Applicable to all permits in this application
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
Building and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
Plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing code (current edition).
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature ,e' Date: Ai War
Print Name: f G 617b
Mailing Address: /Ma NI /31/PP
Q:\Applications \Forms - Applications On Line \3 -2006 - Permit Application.don
Revised: 4 -2006
bh
sr
Day Telephone: Z2' 307' Z.
S6.PIIrt
City
(Ad f
State Zip
Page 6 of 6
•
Date Application Accepted:
Date Application Expires: 8 _9-0 g
Staff Initials:
•
Fixture T I e: -
Il t .
'F ' re j t e:
1
Fixture 4 ' e:
•
Fixture A I e:
,.
•
Bathtub or combination
bath/shower
Drink t_ fountain or water
cooler (� ,. head) t
ntain
Gas piping outlets
.. -
'
Bidet
Food -wast inder,
commercial ' .
' - -ptor, indirect
, to
Clothes washer, domestic
Floor drain ' .
,�' inks
Dental unit, cuspidor
Shower, single he: +, trap
f
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
' •
/'
/
Water Closet
Building sewer or trailer
park sewer
Rain water system - per ".
drain (inside building)
!
Water heater and /or
vent
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of wa, r
piping and/or water trea g
equipment � l
/'
``,
,
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to five
inlets/outlets for specific
gas
Additional medi gas
inlets /outlets - ti' or more
r'
•
PLUMBING AND GAS PIPING PERMIT INFORMATION — 206 - 431 -3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Project (contractor's bid price): $
Scope of Work (plea •,- provide detailed information):
Indicate type of plumbing fixture
•
O:\Applicat ons\Forms- Applications On Line13-2006 • Permit Application.doc
Revised: 4 -2006
bh
•
d/or gas piping outlets being installed and ty'' quantity below:
State
Zip
Page 5 of 6
Payee: PSR MECHANICAL
ACCOUNT ITEM LIST:
Description
MECHANICAL - NONRES
PLAN CHECK - NONRES
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
RECEIPT
Parcel No.: 7340600480 Permit Number: M08 -035
Address: 12400 EAST MARGINAL WY S TUKW Status: PENDING
Suite No: Applied Date: 02/08/2008
Applicant: GROUP HEALTH Issue Date:
Receipt No.: R08 -00359 Payment Amount: $246.53
Initials: WER Payment Date: 02/08/2008 10:38 AM
User ID: 1655 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 011497 246.53
Account Code Current Pmts
000/322.100 203.22
000/345.830 43.31
Total: $246.53
8280 02/08 9710 TOTAL 246.53
doc: Receiot -06 Printed: 02 -08 -2008
Prole
Type of Inspection:
Address:
I «�tL(Ob ? V.� 6 : i v y
Date Called:
Special Instructions:
•
Date Wanted:
3 - t' o - 8 p.m.
Requester:
Pho a No:
v( - > > O " oo 7
INSPECTION RECORD
Retain a copy with permit
INS'ECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
■
AA 6°
Inspeo:5E
D a t e : . ? / � � 1
0 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
Receipt No.:
'Date:
Project
606o - /A77/4
Type Insp tion: ,
P / /,Sr'4 -/16,
Address:
/2 6 Pr / m4�)LM'
Date Called:
Special Instructions:
Date WaY :
„,
pm.
Requ€ster:
Phone No
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION l
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspe tor:
Date: 3 -3 -6N
$58.00 REINSPECTION FEE hEQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
Receipt No.:
Date:
•
Pro( • f iV / 1/4 /7/A
Type I S '�` / /v
/`C
Addr ss1 ..
/ / c�-1 MA/6
D _Called:
Date
Special Instructions:
Date Wante� � �
3 L
, r+�._
�
Requester:
Phone No
a - 566 - .62 7
l Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION V.-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 06)43 1 -3670
in S - "3ss
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
,),■ /57 04
Ins pr tors
Date:?
A i °
$58.00 REINSPECTION FE EQUIRED. Prior o inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspedion.
Receipt No.:
'Date:
�
ACTIVITY NUMBER: M08 -035 DATE: 02 -08 -08
PROJECT NAME: GROUP HEALTH
SITE ADDRESS: 12400 EAST MARGINAL WAY S
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS: rOg
2•
ul �� mg !vision
Public Works ❑
Complete
Documents /routing slip.doc
2 -28 -02
Please Route
* PERMIT COORD COPY to
PLAN REVIEW /ROUTING SLIP
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
TUES/THURS ROUTING:
APPROVALS OR CORRECTIONS:
NA. iql'
Fire Prevention
Structural Review Required
E"1.
Planning Division
Structural ❑ Permit Coordinator
Incomplete
DUE DATE: 02 -12 -08
Not Applicable
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
No further Review Required
REVIEWER'S INITIALS: DATE:
DUE DATE: 03 -11-08
n
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:
License Information
License
PSR * ** *936JP
Licensee Name
P S R
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
600122060
Ind. Ins. Account Id
34222200
Business Type
CORPORATION
Address 1
PO BOX 27073 LAKE CITY STATION
Address 2
City
SEATTLE
County
KING
State
WA
Zip
981251473
Phone
2063672500
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
4/17/2007
Expiration Date
12/31/2008
Suspend Date
Separation Date
Parent Company
PUGET SOUND REFRIGERATION INC
Previous License
PUGETSR169CB
Next License
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
ROCHFORD, JERRY D
04/17/2007
ROCHFORD, BOBBIE J
04/17/2007
MILLER, ROBERT JR
04/17/2007
ROCHFORD, JERRY D JR
04/17/2007
Look Up a Contractor, Elects or Plumber License Detail
Washington State Department of Labor and Industries
General/Specialty Contractor
A business registered as a construction contractor with L &I to perform
construction work within the scope of its specialty. A General or Specialty
construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
•
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
Page 1 of 3
https:// fortress .wa.gov /lni/bbip /printer. aspx ?License =PSR* * * *936JP 02/28/2008
f General Notes N
1. 11 "x17" SHEET SIZE
NTS.
1
PERMIT SET
2/6/O8
`o.
Revision/Issue
Date
X20 07Jtiiikri53 C611 4 N AV1EQ, and :MPTel Atia � _ , ' _• ,
"4111, ,
SITE VICI
NTS
SITE INFO
ADDRESS: 12400 EAST MARGINAL WAY SOUTH
SEATTLE, WA 98168
OWNER: GROUP HEALTH COOPERATIVE
PARCEL /TAX # 7340600480
LEGAL: RIVERSIDE INTERURBAN TRS TR 21
& 22 LESS POR LY NLY OF A LN
789.91 FT N AS MEAS ON ELY
MGN CO RD FR SW COR LOT 31
SD SUBD LESS ST HWY TGW ALL
TR 31 TGW TR 32 LESS S 200 FT
OF FOR E OF E LN SQUIRES
REPLAT PROD N LESS ST HWY
SCALE
NOTE:
S 124TH ST
s 126TH sr
AREA OF WORK
<EY PLA
ITY
GENERAL NOTES
1) DUCTWORK TO BE SHEET METAL CONSTRUCTED IN ACCORDANCE WITH SMACNA STANDARDS.
2) COORDINATE EXACT LOCATIONS OF ALL THERMOSTATS.
3) NEW DUCTWORK TO BE SEALED IN ACCORDANCE WITH ENERGY CODE SECTION 1414.
4) THERMOSTATS TO BE CONNECTED TO BUILDING CONTROL SYSTEM TO BE 7 DAY
PROGRAMMABLE WITH 5 DEGREE DEAD BAND.
5) ECONOMIZERS SHALL BE CAPABLE OF PARTIAL COOLING IN ACCORDANCE WITH ENERGY
CODE SECTION 1413.3.
6) NEW DUCTWORK SHALL BE INSTALLED IN ACCORDANCE WITH ENERGY CODE SECTION 1414.2.
7) NEW DUCTWORK SHALL BE SEISMICALLY BRACED IN ACCORDANCE WITH SMACNA GUIDLINES
AND LOCAL REQUIREMENTS.
8) SUPPLY AIR TEPERATURE RESET CONTROLS ARE INCLUDED PER ENERGY CODE SECTION
1432.2.1.
9) SIMULTANEOUS HEATING AND COOLING WILL NOT OCCUR EXCEPT AS ALLOWED BY ENERGY
CODE SECTION 1435.
NOTE:
1) CONDENSATE FROM COOLING COILS SHALL BE CONVEYED FROM DRAIN PAN OUTLET TO
AN APPROVED PLACE OF DISPOSAL. [IMC SEC. 307.2.1]
LEGEND
LIJ
FJ-
s
--OFD
CUBIC FEET
PER MINUTE
SUPPLY DIFFUSER
RETURN GRILLE
EXHAUST FAN
VOLUME DAMPER
CAP
FLEX DUCT
DIRECTION OF AIRFLOW
THERMOSTAT
POINT OF CONNECTION
DEMO
MOTORIZED DAMPER
FIRE DAMPER
ROOM
NUMBER
[70 051
129ft
AREA L_
OF ROOM
TYPE
AND NOTE
RAG
_ __
12x2
SIZE
NOTE:
[1] PROVIDE RUN —OUT DUCT AND
FLEXIBLE CONNECTION SAME SIZE
AS DIFFUSER NECK DIAMETER.
(FIELD VERIFY BEST LOCATION)
[R] = RELOCATED
[N] = NEW
[E] = EXISTING
• SEPARATE PE F:;,, ; .
REQUIRED FOR:
❑ Mechanical
yElectrical
a < Plumbin
Gas Piping
City of Tukwila
Di rSIO
FILE COPY
Permft Igo. •
Plar review approval is subject to errors and omissions.
Approval of construction documents does not authorize
the violation of any adopted code or ordinance. Receipt
of approved Field Copy and con is rledged:
By
Date:, ¥&R./or
City of Tukwila
BUILDING DIVISION
No c'i" r
W31:
N G: ROVIEionS ``Wiii `,y T? '�' i � W ' f tees. ' and may include adUi Tonal pia
RECE
F'EB _1E81
8 IVED 2008
PERMIT CENTER
MO 035
qj
sw
(1)
3132 N.E. 133 ST
Seattle, Washington 98125 -4423
PO Box 27073
Seattle, Washington 98165 -1473
(206) 367-2500
Fax (206) 368-6856
PSR ***" 936JP
COPYRIGHT NOTICE
THIS LAYOUT/DESIGN 15 AN UNPUBLISHED
WORK, AND PUGET SOUND
REFRIGERATION HEREBY RESERVES ITS
COMMON LAW RIGHT, PURSUANT TO TITLE
17 SECTION 2 OF THE USA CODE TO
PREVENT ANY UNAUTHORIZED COPYING,
PUBLICATION OR USE OF THIS DESIGN,
AND TO OBTAIN DAMAGES THEREOF.
/Drawn By
P.GOTO
6 FEB 2008
Lead Tech
Engineered By
Date
ti
Pro
P4315
Project Mana
S
N.BAVIN
Scale
VARIES
Sheet
M 1
General Notes ‘
1. 11 "x17" SHEET SIZE
NTS.
1
PERMIT SET
2/6/08
`o.
Revisionllssue
Date f
<EY PLA
SCALE
NOTE:
AREA OF WORK
/2" =1'
PARTIAL 2\3 FLOOR
HVAC VODIFICATIONS
DUCTLESS SPLIT SYSTEM EQUIPMENT SCHEDULE
MARK
AC-1 /CU-1
LOCATION
DATA ROOM/ROOF
CAPACITY
33,100
REFRIGERANT
R410A
CFM
618
REFRIGERATION C MECTION
UQUID
3/8
SUCTION
5/8
ELECTRICAL (INDOOR)
VOLT /PHASE
206 -230
MOCP
20
SEER
15
MCA
20.3
OPER WBGHT
IIr
75
a>.fDOCR
141
SOUND (ORA)
INDOCR
45
aU DooR
53
BASIS OF CESIGN
MANUFACTURER
FUJITSU
MDDB_
24RCLx
SERVES
DATA ROOM
REMARIZ
1,2,3
1) SELF CONTAINED CONTROLS. PROVIDE PERVENANT MOUNT FOR WIRELESS REMOTE
2) PUMP CONEENSATE ID ROOF.
3) OUTDOOR UVfr (CU-1) LOCATED ON TREATED, GALV. SF-EE METAL CAPPED ROOF SLEEPERS. MOUNT SLEEPERS ON APPROVED ROOF PADS
SPLIT SYSTEM AC MOUNTED
IN T —BAR CEILING
Cl
Ic u- 1I
MEIN
MEMO
MEM
■■■ ■u■
IMO
(AC -11
D2OOP �
1
CONDENSING
REFRIGERANT
DRAIN PIPING
NIT ON ROOF
PIPES TO ROOF
TO ROOF
1. CONNECTION DIAGRAMS
INDOOR UNIT
INDOOR
•
a
•
DISCON-
NECT
SWITCH
(FIELD
SUPPLY)
1 ; I L te '
I 1-
CIRCUIT
BREAKER
OR FUSE
(FIELD
SUPPLY)
14AWG
(In to r -un i1)
Poorer lines
230/208
230/208V
230/208V
Grounding
line
OUTDOOR UNIT
TERMINAL
•
•
SPLIT SYSTE
V
WIRI\C DIAGRA
NTS
V
M0 6-03 ,
RECEIVED
FEB -8 2008
PERMIT CENTEI~
k
tan
qj
3132 N.E. 133 ST
Seattle, Washington 98125-4423
PO Box 27073
Seattle, Washington 98165 -1473
(206) 367-2500
Fax (206) 368 -6856
PSR 936J
Z
O 0
1- 0
LL I--
❑ Q
O °
U °
= W
O 0)
f 1
Q
Z �
• W
O Z
COPYRIGHT NOTICE
THIS LAYOUT/DESIGN IS AN UNPUBUSHED
WORK, AND PUGET SOUND
REFRIGERATION HEREBY RESERVES ITS
COMMON LAW RIGHT, PURSUANT TO TITLE
17 SECTION 2 OF THE USA CODE TO
PREVENT ANY UNAUTHORIZED COPYING,
PUBLICATION OR USE OF THIS DESIGN,
AND TO OBTAIN DAMAGES THEREOF.
Drawn By
P_GOTO
Date
6 FEB 2008
Lead Tech
Engineered By
Dale
Project
,4315
Project Manager
N .BAVINS
S cale
1 /2 ° =1 '0"
Sheet
M2