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Home My WebLink AboutPermit PG08-052 - WESTFIELD SOUTHCENTER MALL - PUMPKIN PATCHPUMPKIN PATCH 1026 SOUTHCENTER MALL PGO8-05 2 Parcel No.: 6364200010 Address: Suite No: CitylIf 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 PLUMBING /GAS PIPING PERMIT 1026 SOUTHCENTER MALL TUKW Permit Number: Issue Date: Permit Expires On: PG08 -052 03/17/2008 09/13/2008 Tenant: Name: PUMPKIN PATCH Address: 1026 SOUTHCENTER MALL , TUKWILA WA Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA Contact Person: Name: TIM SCHENK Address: 1120 E 80 ST, STE 211 , BLOOMINGTON MN Contractor: Name: OAKSTONE CONSTRUCTION INC Address: 4065 YOSEMITE PL , PLACERVILLE CA Contractor License No: OAKSTCI988KC Phone: Phone: 800 541 -0821 Phone: 530 - 642 -8858 Expiration Date: 05/24/2008 DESCRIPTION OF WORK: PLUMBING FOR NEW TI: NEW WATER CLOSET, LAVATORY, AND WATER HEATER Value of Plumbing /Gas Piping: Fees Collected: $12,350.00 $157.00 Plumbing Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial - - -- - - Floor drain Shower, single head trap Lavatory Wash fountain Receptor, indirect Waste Sinks Urinals Water Closet Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 FIXTURE TYPE AND OUANTITY Plumbing (cont.) 0 Building sewer and each trailer park sewer 0 0 Rain water system - per dram (inside bldg) 0 O Water heater and /or vent 1 0 Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type O grease interceptors 0 0 Repair or alteration of water piping and/or water 1 treatment equipment 0 O Repair or alteration of drainage or vent piping 0 1 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 0 0 Medical gas piping (6 +) inlets /outlets 0 0 Gas Piping 0 Gas piping outlets (0 -5) 0 1 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -10/06 PG08 -052 Printed: 03 -17 -2008 City ofTukwila 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: PG08 -052 Issue Date: 03/17/2008 Permit Expires On: 09/13/2008 Permit Center Authorized Signature: I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or th erformance f or k. I authorized to sign and obtain this plumbing /gas piping permit. Signature: � , ,`� Date: J Print Name: 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. doc: UPC -10/06 PG08 -052 Printed: 03 -17 -2008 Parcel No.: 6364200010 Address: Suite No: Tenant: 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 httpr / /www.ci.tukwila.wa.us PERMIT CONDITIONS 1026 SOUTHCENTER MALL TUKW PUMPKIN PATCH Permit Number: Status: Applied Date: Issue Date: PG08 -052 ISSUED 02/19/2008 03/17/2008 1: ** *PLUMBING AND GAS PIPING * ** 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R =3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor /ceiling assemblies and fire - resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. * *continued on next page ** doc: Cond =10/06 PG08 =052 Printed: 03 -17 -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: r Print Name: _ � / i Date: 3 -/ g doc: Cond -10/06 PG08 =052 Printed: 03 -17 -2008 CITY OF TUKWIL Community Development Department Public Works Departinent Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.iva.us Building Permito. Mechanical Permit No. POV 0°1 .01,01 01-IS Plumbing /Gas Permit No. P` - 5j. Public Works Permit No. Project No. n2frO eft° (For office use only) Applications and plans must be complete in order t� be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION 10 Site Address: Ea-3-3 x* C enter. - Mc►.\(- Tenant Name.KY1l∎Y\ aa-CY-\ Property Owners Name: V\1es% t k Ci' oC'U�10f - - Icing Co Assessor's Tax No.: GiS (0 42 - t __ Suite Number: tZ1S Floor: \ New Tenant: ® Yes ❑..No Mailing Address: (1C,O %%II itre .te osd �S AYti�eleSA GOO2S City State Zip CONTACT PERSON - who do we contact when your permit is ready to be issued Name: YAM SCE- err Day Telephone: g6b1 S.41 •OR"Z Mailing Address: AMC) &SA R,I4ASkocie_.e_k a -va = -Z�1 (31zein 1w Oh - MN SS-4 26 City State Zip E -Mail Address: VApticinps. Lbarn Fax Number : - iSZ 1 4-4.QOcj- GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Narfet_ e, . 1j Mailing Address: Contact Person: E =Mail Address:_ Contractor Registration Number: City Day Telephone: Fax Number: Expiration Date: State Zip ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Cock th c\ Pt1A Mailing Address: __ -it k F∎elClet R-4acS , - At\∎ NUrl, .-pc iGoi Z -- City State Contact Person: �ll 2T . p f A 9O r \ Day Telephone: c< r1 r Cti. 3 - S(c g 1 Fax Number: g \'7 I Ca-3.c — ,c-r/A el Zip E -Mail Address 47-'`ryC rc - -hv c=k■k -e • L0 - ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: • Yyte_Y■dtxK Z ASSoc\ 0.§ eS 1 1iCjht t�ec, a' \L Mailing Address: Z 5 -1 -5 E_ _Raul Dr: Nt..J Gi pr_ c srl-�of1 W A '1$33S- I 12-1 gZ At ley Or G ar4er1 Gtc ve 1 City State Zip C,/� Ci f Contact Person: Je k-4‘ El,r ele c\Or42 -3 VM Len Day Telephone: 2531 gS$-S8RrJct I 4.1 R -I Fez E -Mail Address: yalevvy, Ppacbell .i(a/ stnA. lev�pcip = lghiee..Fax Number :� � '$ - G'tiy$' 71'} j S3� -18'04 Corn Q :Wbblications\Forms- Applications On Line\3 -2006 - Pevnit Application.doc Revised: 9 -2006 bh Page 1 of 6 BUILDING PERMIT INFORITION - 206 - 431 -3670 Valuation of Project (contractor's bid price): $ iCQS, COD Existing Building Valuation: $ Scope of Work (please provide detailed information): (3w - o f red c:1 + € Cy\4 c'jp e t Yj Ish t l cbtr - renc�t Will there be new rack storage? ❑ Yes ❑.. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes IS No If "yes ", explain: FIRE PROTECTION /HAZARDOUS MATERIALS: 31 Sprinklers la Automatic Fire Alarm ❑ None Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes is i No If "yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q: Applications\Fonns- Applications On Linel3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 2 of 6 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1St Floor 3, lgg 3, 1gg II N Pi 2nd Floor 3'd Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport • Covered Deck Uncovered Deck PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes IS No If "yes ", explain: FIRE PROTECTION /HAZARDOUS MATERIALS: 31 Sprinklers la Automatic Fire Alarm ❑ None Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes is i No If "yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q: Applications\Fonns- Applications On Linel3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 2 of 6 PUBLIC WORKS PERMIT IN MATION — 206 - 433 -0179 Scope of Work (please provide detailed information), _ Call before you Dig: 1-800-424-5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ :::Tukwila ❑.::Water District #125 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ :.,Sewer Use Certificate ❑ .. Highline ❑::. ValVue ❑ : Renton 0... Sewer Availability Provided ❑ .. Renton ❑ .. Seattle Septic.System: ❑ On -Site Septic System = For on -site septic "system, provide 2 copies of a current septic design approved by King County Health Department. Submitted with Application (mark boxes which apply): :.• .Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ ...Right-of-way Use = No Disturbance ..▪ .Construction/Excavation/Fill - Right-of-Way Non Right -of -way ❑ ...Total Cut _ _ cubic yards ::• :Total Fill _ cubic yards ❑ ...Sanitary Side Sewer ❑ :..Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑. D. ❑. ❑. ❑ .. Geotechnical Report ❑ .: Maintenance Agreement(s) ❑:..Traffic Impact Analysis ❑ ...Hold Harmless — (SAO) ❑...Hold Harmless — (ROW) :: Right =of -way User Profit for Less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage . Abandon Septic Tank . Curb Cut . Pavement Cut . Looped Fire Line ❑ ...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size .. ❑ ...Water Only Meter Size ❑ ...Sewer Main Extension -- Public _ ❑ ...Water Main Extension - - - - Public ❑ .. Grease Interceptor ❑ .. Channelization ❑ :: Trench Excavation ❑ .. Utility Undergrounding WO # WO# WO # ❑ ...Deduct Water Meter Size Private Private FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water ❑ .:.Sewer ❑ ...Sewage Titatrrtent Monthly Service Billing to: Name: - Day Telephone: Mailing Address: Water Meter Refund /Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip Q:Wpplications\F'mms- Applications On Linda -2006 - Permit Application.doc Revised: 9 :2006 bh Page 3 of 6 L MECHANICAL PERMIT INF4MATION - 206 - 431 -3670 MECHANICAL CONTRACTOR INFORMATION Company Name: 77. .c.) • Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Mechanical work (contractor's bid price): $ 431 - c° Scope of Work (please provide detailed information): 2. r'e \IAV's , re at.a-LXht -As • a i Rlise ta.? GQht t \ % , 1 hG_u S-t F 1 Use: Residential: New .... ❑ Replacement .... ❑ Commercial: New .... ® Replacement .... ❑ Fuel Type: Electric 11 Gas....❑ Other: Indicate type of mechanical work being installed and the quantity below: 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 19 3 -15 HP /500,000 BTU Floor Fumace Ventilation Fan Connected to Single Duct , Thermostat 2- 15 -30 HP /1,000,000 BTU Suspended/Wall /Floor Mounted Heater Ventilation System Wood/Gas Stove 30 -50 HP/1,750,000 BTU Appliance Vent Hood and Duct Emergency Generator 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig /Cooling System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit <10,000 CFM Z Incinerator — Comm/Ind Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9.2006 bh Page 4 of 6 PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 - 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing. Address: _ City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: _ Expiration Date: of Plumbing work (contractor's bid price): $ tZ13S6. pO Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information):_ f uj L, 'Core-Ats ce∎1c.�[�C'l� 1w)c&k € r'eo k-e Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): tfY1 Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: _Fixture_Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Drinking fountain or water cooler (per head)_ Wash fountain Gas piping outlets Bidet Food -waste grinder; commercial _ Receptor, indirect waste Clothes washer, domestic Floor drain t Sinks Dental unit, cuspidor _ Shower, single head trap Urinals _ _ Dishwasher, domestic, with independent drain Lavatory i Water Closet 1 Building sewer or trailer park sewer_ Rain water system — per drain (inside building) Water heater and /or vent ( Additional medical gas inlets /outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type _ grease interceptors Repair or alteration of water piping and /or water treating equipment Repair or alteration of drainage or vent piping _ _ Medical gas piping system serving one to five inlets /outlets for specific gas Q:\Applications\Fo ms- Applications On Line0-2006 - Permit Application.doc Revised: 92006 bh Page 5 of 6 PERMIT APPLICATION NOTES — Applicable to all permits in this application Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTH R1ZED AGENT: Signature: Print Name: .1"-;nex SL \€x- Date: 1 1'311 OQ Day Telephone: S?0®1S.41 - OR 21 Mailing Address: 112c) e= rn s* g0 th Sire e -i- -emu. * c ?� \ I '(s lec ry t Y19-tatri M City State Zip Date Application Accepted: Date Application Expires: Staff Initials: Q:\Applications\Forms- Applications On Linei3 -2006 - Permit Application.doc Revised: 9.2006 bh Page 6 of 6 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.: 6364200010 Permit Number: PG08 -052 Address: 1026 SOUTHCENTER MALL TUKW Status: APPROVED Suite No: Applied Date: 02/19/2008 Applicant: PUMPKIN PATCH Issue Date: Receipt No:: R08 -00788 Payment Amount: $128.00 Initials: WER Payment Date: 03/17/2008 02:28 PM User ID: 1655 Balance: $0.00 Payee: OAKSTONE CONSTRUCTION TRANSACTION LIST: Type Method Descriptio Amount Payment Check 11674 128.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.0 128.00 Total: $128.00 doc: Receibt -06 Printed: 03 -17 -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 : /,4 ww. ci. tukwila. wa. us SET RECEIPT RECEIPT NO: R08 -00472 Initials: JEM Payment Date: 02/19/2008 User ID: 1165 Payee: ELDER -JONES Total Payment: 1,408.35 SET ID: S000000966 SET NAME: Thy set /Initialized Activities SET TRANSACTIONS: Set Member Amount D08 -095 1,12970 EL08 -165 118.90 M08 -048 130:75 PGOIrTYS21 29.00 TOTAL: 1,408.35 TRANSACTION LIST: Type Method Description Payment Check 50782 ACCOUNT ITEM LIST: Description TOTAL: Amount 1,408.35 1,408.35 Account Code Current Pmts ELECTRICAL PLAN - NONRES PLAN CHECK - NONRES 000.34.5.832,:00.0 118.90 000/345.830 1,289.45 TOTAL: 1,408.35 8779 02/19 9710 TOTAL 1 408.35 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION r- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Projec _ Type • Ins. - tion: fi'"%rr -egiir-fQ,4-L. Address: // /12(n m/0 / Date Called: Ft, ra...rd,a To l.rti +."r• pat- Special Instructions: Date Wanted: -'5_ /52— CjL m. .m Requester: Pho No: ® Approved per applicable codes. Corrections required prior to approval. v COMMENTS: 61-4-/4A, Fm4+ oK Cro55 - C4n.trc{1°' ti..e,41; 51e LLC Cfrt'ri( 9F%' a/ M -y Pcrr7 Ft, ra...rd,a To l.rti +."r• pat- Date: 0 $58.00 REINSPECTION FEE REQUIRED. Prior o inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. Receipt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA..98188 INSPECTION RECORD Retain a copy with permit PERMIT NO. (2 06)43 1 -3670 Proj 2 //PIP( ,Av /)47 ( Type of• spection: . A' Al4 -- ,,v 134//1-16 Address: /62 G 5�/ / 10", 4 I/f, -t/ Date Called: Special Instructions: Date Wanted: y J /2 /6 Z a Requester: Phone No: -1 / 6 g. 71' °5 U-j Approved per applicable codes. • Corrections required prior to approval. COMMENTS: pi?‘ K D /c cat,4 1,41 D ,/ 4r ii ete} /t €) T/voiv[ Date: 22,0 $58:ET0 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter-Blvd., Suite 100. Call the schedule reinspection. Receipt No.: Date: CROSS- CONNECTION SPECIALISTS, LLC P.O. Box 731933 Puyallup, WA 98373 BACKFLOW PREVENTION ASSEMBLY TEST REPORT (253) 840 -2501 Fax: (253) 840 -0886 CeII: (253) 318 -3156 v NAME:6(i Il � lN`�� iciA U't/\ttik v(4,AH,R, P&O u ^O•JO SERVICE ADDRESS: 1 C (j SO kl �� , v \C1Q 1TCk lC w ( W 4.‘ LOCATION:\ "• yW Va V Z— CROSS CONNECTION CONTROL FORTP It VY1 1 S`C 1 'SC)1(J l 'i& TYPE ASSEMBLY: Ir 1 )J/^[ MANUFACTURER`S (1 `C (AS MODEL l S L.., SIZE: 3( 1 fl ✓ SERIAL O c ( 7 1 LINE PRESSURE 5 w PS I ASSEMBLY IS: VNEW Li EXISTING ❑ REPLACEMENT ❑ OLD SERIAL # m Pressure Drop No. 1 Check Valve INITIALTESTRESULTS Accross psid 'TEST AFTER REPAIR OR CLEANING Pressure Drop Accross Q� No. 1 Check Valve U • psid Relief Valve Opened ,- . psid Relief Valve Opened psid No. 1 Check: Closed tight X Leaked f; No. 2 Check: Closed tight Leaked Minimum A/G present Yes ' No No. 1 Check: Closed tight ❑ " Leaked .. i. s No. 2 Check: Closed tight E Leaked f: Minimum A/G present Yes X No / Passed Test: Yes �` No ��// Passed Test: Yes No /� V' No. 1 Check: Closed tight LI psid No. 1 Check: Closed tight 7 psid Leaked ❑ No. 2 Check: Closed tight -1 psid Leaked ❑ ? No. 2 Check: Closed tight ❑ psid Leaked . 1 Passed Test: Yes No 0 : ! Leaked ❑ Passed Test: Yes No Air Inlet: Opened psid Air Inlet: Opened psid Failed to open 1 1 Check Valve. psid Failed to open ❑ Check Valve- psid Leaked Ei Passed Test: Yes No Leaked 1 J; Passed Test: Yes No ' ' .': YES 1`. NO �/ Approved Assembly? YES x NO Water Servi/�e � and ON OF, Water e; Service eft ERG Y ��OFF Cpnf'ped Space l� �r' Remarks LQC &Q j VGl (l�l C. (� (� L tit V Air Gap Inspection: Supply Pipe Diameter: Separation - Pass Fail ❑ Is this a proper installation? Test Equipment: Make Used Midwest 845 11040153 Watts TK99E 243078 ❑ Midwest 844P 05021825 I CERTIFY TI-IE_ABT/1 REPORT/' TO B TRUE: Nancy Perry Initial Test By: �`- i---' Cert. No B 2463 Date (( /!\ V v U igna ure Repaired By: li 1 U HC ( 1 Cert. No PERRYNJ94909 Date 1 1 c /0 Repair Test By: / l"` 1 C Sig)I� Cert. No B2463 Date ? / 1 \ k u ature Model Serial# Calibration Date 151' 01/09/07 07/20/07 • PERMIT COORD COPY • PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG08 -052 DATE: 02 -19 -08 PROJECT NAME: PUMPKIN PATCH SITE ADDRESS: 1026 SOUTHCENTER MALL X _ Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: B ild ivision Publi Works 1/14.. _ 2 - co -off Fire Prevention Structural Planning Division Permit Coordinator ERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete 'Comments: Incomplete DUE DATE: 02 -26-08 Not Applicable n Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES/THURS ROUVING: 1Please 1Route REVIEWER'S INITIALS: Structural Review Required n No further Review Required DATE: APPROVALS OR CORRECTIONS: Approved Notation: Approved with Conditions DUE DATE: 03-25-08 Not Approved (attach comments) REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28-02 Look Up a Contractor, Electriin 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. License Information License OAKSTCI988KC Licensee Name OAKSTONE CONSTRUCTION INC Licensee Type CONSTRUCTION CONTRACTOR UBI 602190669 Ind. Ins. Account Id PRESIDENT Business Type CORPORATION Address 1 4065 YOSEMITE PL Address 2 City PLACERVILLE County OUT OF STATE State CA Zip 95667 Phone 5306428858 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 5/24/2002 Expiration Date 5/24/2008 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date MARKWELL, CHARLES AGENT 05/24/2002 Bond Amount KREISL-, WILLIAM A PRESIDENT 05/24/2002 CD7268 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #1 CBIC CD7268 05/01/2002 Until Cancelled $12,000.00 05/03/2002 Page 1 of 2 https // fortress .wa:gov /lni/bbip /printer.aspz ?,License= 0AKSTCI988KC 03/17/2008 FLUMBINe PLAN SCALE: I/4" 1 UNDER LAY 2nV WASTE • AND VENT, VEr LOCATION By Date: ONNECT TO EXISTING XISTlN ATR, FILE COPY Permit No '4! ' • • 3 q--c5y SEPARATE PERMIT! REQUIRED FOR: Lit Mechanical Electrical 0 Plumbing 0 Gas Piping City of Tukwila BUILDING DIVISION City of TAW! BUILDINO DIviS:ON Plar review approval Is subject to errors and om!esions. Approva1 of construction documents does not authorizo the violation of any adopted code or ordinance. Reccirt of approved F. d Copy con s is aeZZIGtedi r 4......-. ........_,....„ =- .__.., REVIEWED I-a? lc 1 CODE COMPLIANCE APPROVE.P. • MAP 9 Ob , 1 A I C Of Tu ilc if L aviLL_LnaprtasnN_ REVISIONS No changes shall be made to the scope 01 work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may include additional plan review fees RECEIVED CITY OF TUKVV1LA FEB 1 9 2008 PERMIT CENTER DATE: Issue For Permit/Construction 1/28/08 JOB NO: 0778 DRAWN: MAH CHECKED: JJE 711 N. FIELDER RD. ARUNGTON, TX 76012 PH: (817) 635-5696 FAX: (817) 635-5699 MIUMMERAMMINEEMEN REVISIONS <00 °C 00 0 Elmendorf & Associates Mechanical Engineers 2518 East Bay Drive, NW Gig Harbor, WA 98335 253-858-5885, 253-85 FAX 1111=115511MENEBOVINI FDL.UMN P1-064 EMENIMMENEMMEgin SHEET NUMBER FLUMSINe Srvi5OLS/L.E6ENI, SYMBOL ABBREVIATION DESCRIPTION SUPPLY ON HI/ SS OR W V (Be) PGO NCO TP VTR (VL) (cTE) (Ac) GOLD WATER LINE HOT WATER LINT= SOIL OR WASTE LINE VENT LINE PIPE BELOW SRADE FLOOR GLEANOUT WALL CLEANOUT TRAP PRIME VET THRU ROOF W/ FLASHING VERIFY LOCATION CONNECT TO !XI TINe ABOVE CEILiNE -- -- - GYAI H1N •. WATER CLOSET ELONGA BOWL HANDICAP r -� I _fo e PF U)t4IN PLUM5INe FIXTURE SCH!UL.! MARK FIXTURE MODEL SUPPLY REMARKS CONNECTIONS JAI v GYAI H1N LINE SIZE WATER CLOSET ELONGA BOWL HANDICAP r -� I _fo e PF AMERICAN STD. 2(68.128 CADET 1 "H EL 1.6/PA MG QUIRE 1- I -I59LK BEMIS OPEN FRONT SEAT 4" 2" I /2" V w LAVATORY' i?.ATOTO t � LAVATORY' f- AMERICAN STD. 0124.024 COMRADE 511 S -6O -H FAUCET TRAP 4 STOP AS REQ`D, INSULATE TRAP 8 HW 2" 1 -1/2' I/2" 1/2" AIEL AATER HEATER SCHEPULE TAO MODEL GAL. STORAGE REMARKS NH- I CH.ONOMITE S -50L - 3 KW 2O8V/ I4), INSTALL UNDER SINK DRAIN FLOOR R 2-415 LINE SIZE WITH 6" SQUAB STRAINER r, AINAG! S!UL e TAO ITEM MODEL* SIZE REMARKS FD DRAIN FLOOR R 2-415 LINE SIZE WITH 6" SQUAB STRAINER FCO FLOOR CLEANOUT Z -1400 LINE SIZE SECTION 15400 - PLUMBING 1.00 - GENERAL 1.01 SCOPE OF WORK Provide and install complete and operational Plumbing system as indicated on the drawings and in this specification. Work shali include, but not be limited to the following: A. Water, waste and vent piping systems_ a Verifying location of existing and connection to building water, gas and sewer systems. G. Access panels as shown or required by code. E. Hangers, supports and guides. F. Backing, and securing fixtures, trim and piping. G. Caulking and sealing of floor and wall penetrations. H. Plumbing fixtures, trim and accessories. I. Cutting, drilling and patching for plumbing systems_ .1. Cleanup of job site and fixtures. K. Licenses, permits and fees. 1.02 RELATED WORK INCLUDED UNDER OTHER SECTIONS A. HVAC Section 15800 B. Testing and Balancing Section 15900 G. Electrical Section 16000 D. Fire Protection Section 15500 1.03 EXAMINATION OF SITE A. Contractor shall visit s ite and verify all existing conditions prior to submitting bid to familiarize himself with all existing conditions including entrance and exit facilities, elevator limitations, hours of permitted by the building for transportation of equipment and materials. Contractor must satisfy himself as to the nature and scope of the work and difficulties that affect the execution and completion of the w ork. The contractor shall examine all existing the site and determine where the existing sewer, water and gas are located for the purpose of connecting new systems. B. Submission of a bid will be construed as evidence that such an examination has been made and later claims for labor, equipment or materials required, or for any difficulties encountered which could have been avoided had a proper examination been made will not be compensated for or recognized. 1.04 DRAWINGS A. The drawings are generally diagrammatic and indicate general arrangement of equipment, piping, and fixtures. B. The contractor shall coordinate his work with all contract drawings and drawings of other trades. G. The contractor shall without extra charge, make reasonable modifications in the layout as needed to prevent conflict with work of other trades and structural members or for the proper execution of work. 1.05 RULES AND REGULATIONS: A. The work and materials shall conform and comply to the International Plumbing Code, International Mechanical Code, National Energy Code, National Electrical Code, National Fire Protection Association and ail applicable ordinances and codes of the authority having jurisdiction. Furnish without any extra charge, any additional material and labor when required to comply w ith these laws, ordinances and codes though the w ork be not mentioned in this division or shown on the drawings. B. Contractor shall obtain all approvals, tests, inspections and permits, and pay all necessary fees For all work pertaining to this project. All agencies having jurisdiction shall be complied with. 1.06 SHOP DRAWINGS AND MATERIAL SUBMITTALS 1.07 Fl EGTRIGAL 1^40RK A. The following electrical work shall be part of division 15 performed in accordance with division 16 specifications. B. Plumbing contractor shall verify the electrical characteristics required of all equipment w ith the electrical drawings, electrical contractor, and field conditions prior to ordering any equipment. C. All power wiring shall be by electrical contractor. 1.08 OPERATION MANUALS AND OWNER INSTRUCTIONS A. Contractor shall furnish operating and maintenance instruction at the completion of the installation. Submit three copies of bound manuals. B. At the completion of work the contractor shall in the conjunction with the Pumpkin Patch's representatives, arrange a meeting for full instruction of all details of operation and maintenance for the equipment provided. Contractor shall provide equipment check list shown on the drawings. 1.09 GUTTINS AND PATGHINS A. The contractor shall do all cutting, drilling and patching which may be required for the installation of the work under this specification. B. Patching shall be of the same wo rkmanship, material and finish, and shall match accurately all surrounding construction in a manner satisfactory to the Architect/ Engineer. G. No cutting of the structure shall be permitted without written approval of the Architect/ Engineer. D. Existing utilities, etc. that are damaged during the construction period, whether or not due to the contractor's negligence shall be repaired or replaced by the contractor and left in a condition satisfactory to the Engineer. E. The space around pipes, utilities, etc. penetrating rated walls, shall not exceed 1/2 inch and shall be packed solid with mineral wool or equivalent. Perimeter shall be closed off by tight fitting metal escutcheons on both sides of this construction as required by applicable codes. 1.10 GUARANTEE The Contractor shall leave the entire installation in complete working order free from any defective material, workmanship or finish. He shall guarantee to repair or replace, w ithout charge, defects due to faulty workmanship or material fora period of one year from the date of filing of the Notice of Completion. 2.00 - PRODUCTS 2.02 INSULATION A. Hot and cold water piping shall be insulated with Manville Microlok fiberglass pipe insulation type AP -T pipus or approved equal. I" thick with a "k" factor of 0.23 @ 15 degree f mean temperature. Insulation shall have composite insulation, jacket and adhesive used to adhere the jacket to the insulation. Fire and smoke hazard rating shall not exceed a flame spread of 25 or smoke development of 50. 2.02 HANGERS AND SUPPORTS A. 2.03 A. B. G. key. D. 5.00 5.01 A. B. A. Submit for review to Pumpkin patch (6 copies) a complete and all - inclusive list of all equipment and materials proposed for use, accompanied by manufacturer's data sheets giving sizes, capacities, etc. Data shall be forwarded in a single package written 15 days after award of contract. 5.02 contractor shall not install any equipment without Engineer's approval. B. A set of "as- built" drawings shall be prepared by the contractor showing all equipment and piping as installed in the field, including all sizes and changes to the original design. A set of reproducibles, along with one set of blueprints of these "as builts" shall be delivered to Pumpkin Patch upon completion of the work and prior to final acceptance of this project. G. The contractor shall coordinate his work with architectural drawings and work of other trades. A. 2.01 PIPE AND FITTINGS A. Pipe I. Sanitary, waste and vent: Standard weight cast iron and fittings with "no -hub" couplings_ Hub type shall bve required below grade a. Type DIA1V copper with sanitary drainage fittings may be used. 2. Domestic hot and cold water piping; Type "L" hard drawn copper pipe and wrought copper fittings w ith 95--5 tin -- antimony solder. 3. Condensate drain piping: Type "M" hard drawn copper pipe with wrought copper solder fittings. 4. Gas piping: a. Schedule 40 black steel with screwed MI fittings for interior. b. Schedule 40 black Steel with Screwed MI fittings painted with two coats exterior enamel for exterior. Superstrut, Grinnell or approved equal: Provide where required by code. A layer of 15 ib. felt shall be placed between copper and ferrous material. VALVES Gate Valves: 2" and smaller, Stockholm S --109, bronze valve, rising stem, class 125. Check valves: 2 -1/2" and smaller, Stockholm B509, bronze valve, swing check valve, c lass 125. Hose Bib: Chicago, Woodford model 24 or equal with vacuum breaker and tamper proof with loose Trap Primer: Precision Products Co. P -I or P -2. - INSTALLATION AND EXECUTION INSTALLATION General 1. Install piping and appurtenances in accordance with manufacturer's installation procedures, applicable codes and standards, and as specified. 2. Coordinate piping installation with other work to avoid interference. Coordinate as necessary to ensure that all hangers, supports, sleeves and other built -in devices are incorporated in forms or masonry to avoid necessity of cutting finished structure. 5. All measurements, both horizontal and vertical, shall be based on established lines and levels_ Verify all measurements at site and check the correctness of same as related to the work. 4. Provide valves at all equipment so that it can be easily removed. Piping 1. Install piping as shown on the drawings and straight and direct as possible, forming right angles or parallel lines with building walls, neatly spaced, with risers plumb and true. 2. Piping shall pitch back toward system drain valve and any installed low points or pockets shall have a hose end drain valve. 5. Erect all piping to obtain sufficient flexibility to prevent excessive bending moments at joints or connections. 4. Arrange water piping so that system can be completely drained. Where lines are purposely pitched for drainage, a uniform grade shall be maintained. Lines shall be so supported as to prevent pocketing of w ater. no lines shall have pockets due to changes in elevation unless proper provisions for drainage are made. 5. Installed piping shall not interfere with the operation or accessibility of doors and windows; shall not encroach on aisles, passageways and equipment; and shall not interfere with the servicing or maintenance of any equipment. Adjacent pipelines shall be grouped in the same horizontal or vertical plane. 6. Install insulating unions in water piping between copper piping and ferrous piping. �. install unions adjacent to valves and where necessary to facilitate disassembly of piping. S. Support piping independently of equipment to which it is connected. HYDROSTATIC TESTS Storm and Sanitary Drainage and Vents I. Tightly close all openings in the entire system and fill it with water to the point of overflowing above the roof. The water level shall be maintained for 24 hours. 2. When piping is tested in sections, test piping with a pressure equivalent to a 10 foot water head. The wa ter level shall be maintained for 24 hours. 3. For piping added , relocated or replaced on existing system, install a test tee at the lowest elevation of each added, relocated or replaced piece of pipe and fill it with water to the overflow level of the next highest fixture outlet or drain. The water level shall be maintained for 24 hours. B Domestic Water I. Gap or plug all outlets, apply a hydrostatic pressure of 150 psi and sustain such pressure for 24 hours. 2. For piping added, relocated or replaced on existing systems, apply a hydrostatic pressure of 50 psi above the existing pressure for 24 hours. END OF SECTION NOTE: PROVIDE THE ATWRE CLOSST TRiP LEVER ON THE OPEN SIDE OF THE WATER CLOSET. ALL MODELS ARE ZURN UNLESS NOTED OTHER1NISE TOILET AREA 2 "V 2" N • I FCO 1-2 V 4 "lN HATER ISOMETRI TOILET AREA WASTE ISOMETRIC APPROV ION DVISUN RECEIVED CITY OF TUKWILA FEB 19 2008 PERMIT CENTER ESIENIESIMIIIMMEMESSEISIM DATE: Issue For Permit /Construction JOB NO: 0778 DRAWN: MAH CHECKED: JJE MINEIMISTEMBIRMINEMINIMMEll 711 N. FIELDER RD. ARLINGTON, TX 76012 PH: (817) 635 -5696 FAX: (817) 635-5699 N z N) Elmendorf& Associates Mechanical Engineers 2518 East Say Drive, NW Gig Harbor, WA 98335 253 - 858 -5885, 253 -858 -5884 FAX EXPIRES 3 -3-09 1/28/08 MINSUMMINI REVISIONS eimaimmummummminam 'LUt" i 3 It SGH MDULIS ANC i7EtA I1 S EMBEESEMEMEDEMMEMN SHEET NUMBER 24.1