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HomeMy WebLinkAboutPermit PG09-106 - WESTFIELD SOUTHCENTER MALL - BRITE SMILESBRITE SMILES 426 SOUTHCENTER MALL PGO9-106 Parcel No.: 6364200010 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Cityrf 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 426 SOUTHCENTER MALL TUKW BRITE SMILES 426 SOUTHCENTER MALL , TUKWILA WA WEA SOUTHCENTER LLC BSIP TOTAL 13 PARCEL NUMBERS , 2010 NEW PLAT MAJOR 920247 Contact Person: Name: KEITH SMITH Address: 1725 WESTLAKE AVE N SUITE 210 , SEATTLE WA Contractor: Name: EXPRESS CONSTRUCTION SERVICES Address: 851 SE SOMERS DR , SHELTON WA Contractor License No: EXPRECS918N5 DESCRIPTION OF WORK: ADD (4) NEW VANITY SINKS AND INSTALL A 0.75" WILKINS 975XL REDUCED PRESSURE PRINCIPLE ASSEMBLY (RPPA) FOR IN- PREMISE ISOLATION. Value of Plumbing /Gas Piping: Fees Collected: Plumbing Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet doc: UPC -7/07 $2,500.00 $196.25 FIXTURE TYPE AND QUANTITY * *continued on next page ** PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 - 713 -4076 Phone: 360 - 427 -1581 Expiration Date: 08/25/2011 PG09 -106 10/13/2009 04/11/2010 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 Plumbing (cont.) 0 Building sewer and each trailer park sewer 0 0 Rain water system - per drain (inside bldg) 0 0 Water heater and /or vent 0 0 Industrial waste treatment interceptor, including 0 its trap and vent, except for kitchen type 0 grease interceptors 0 0 Repair or alteration of water piping and/or water 0 treatment equipment 0 0 Repair or alteration of drainage or vent piping 0 0 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 1 0 Medical gas piping (6 +) inlets /outlets 1 4 Gas Piping 0 Gas piping outlets (0 -5) 0 0 Gas piping outlets (6 +) 0 PG09 -106 Printed: 10 -13 -2009 Permit Center Authorized Signature: Signature. Print Name: G doc: UPC -7/07 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: PG09 -106 Issue Date: 10/13/2009 Permit Expires On: 04/11/2010 Date: ed this permit and know the same to be true and correct. All provisions of law and ordinances I hereby certify that I have read and governing this work will be complied with whether specified herein or not. The granting of thi- •ermit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction • e erforman of work. I am authorized to sign and obtain this plumbing /gas piping permit. t-- ,� / - Date: /g • This permit shall become nuT1 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. PG09 -106 Printed: 10 -13 -2009 Parcel No.: 6364200010 Address: Suite No: Tenant: BRITE SMILES 1: ** *PLUMBING AND GAS PIPING * ** City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us 426 SOUTHCENTER MALL TUKW PERMIT CONDITIONS a Permit Number: Status: Applied Date: Issue Date: 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. PG09 -106 ISSUED 09/10/2009 10/13/2009 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: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: 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. 13: ** *PUBLIC WORKS DEPARTMENT CONDPI'IONS * ** 14: The RPPA for in- premise isolation shall be installed per manufacturers specifications. doc: Cond -10/06 * * continued on next page ** PG09 -106 Printed: 10 -13 -2009 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 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 construction or the performance of work. doc: Cond -10106 Date: of law and ordinances governing other work or local laws regulating PG09 -106 Printed: 10 -13 -2009 Tenant Name: 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 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.: 63(0'4)-0' 0 1 a Site Address: Suite Number: 1000 Floor: 1st 426 Southcenter Mall, Brite Smiles Property Owners Name: Westfield Mall - Southcenter Mailing Address: 633 Southcenter Mall Parkway, Tukwila, WA Zip CONTACT PERSON - who do we contact when your permit is ready to be issued Name: Keith Smith Mailing Address: 1725 Westlake Ave. N., Suite 210 Seattle, WA 98109 State E -Mail Address: Fax Number: 206 ksmith @smithco.org GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Express Construction Services Company Name: Mailing Address: 851 SE Somers Dr., Shelton, WA 98584 City State Zip Contact Person: Day Telephone: 360 E - Mail Address: craig@expressconstructionservices.com Fax Number: 360 - 427 -1118 Craig Lawson Contractor Registration Number: Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record smith co. LLC Company Name: Mailing Address: 1725 Westlake Ave. N., Suite 210, Seattle, WA 98109 City State Zip Contact Person: Day Telephone: 206 E - Mail Address: ksmith @smithco.org Fax Number: 206- 464 -0700 Keith Smith na • 0 Tukwila, WA Building Permit No. Mechanical Permit No. Plumbing /Gas Permit No. 1 I D (t Public Works Permit No. Project No. (For office use only) City New Tenant: © Yes ❑ ..No State Day Telephone: 206 City ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record State Zip Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Q: Applications\Forms- Applications On Line'3 -2006 - Permit Application.doc Revised: 9 -2006 bh Zip Page 1 of 6 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower _ Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic Floor drain Sinks Ii Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory [4 Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Additional medical gas inlets /outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and /or water treating equipment Repair or alteration of drainage or vent piping I Medical gas piping system serving one to five inlets /outlets for specific gas Q:Wpplications\Fonns- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 - 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: T.B.D. Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Plumbing work (contractor's bid price): $ 2 , 5 0 0 Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): add (4) new vanity sinks Building Use (per Int'l Building Code): M Occupancy (per Int'l Building Code): M Utility Purveyor: Water: Tukwi Sewer: Tukwi Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Page 5 of 6 Signature: Print Name: 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 AUTHORIZED AGENT: Date Application Expires: 3- [D - [� Keith L. Smith Mailing Address: 1725 Westlake Ave. N., Suite 210, Seattle, WA 98109 Date Application Accepted: 9 Q: Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh City Date: 09.10 .0 9 206 - 713 -4076 Day Telephone: State Staff Initials: Zip Page 6 of 6 RECEIPT NO: R09 -01594 Payment Date: 10/13/2009 User ID: 1655 Total Payment: 648.10 Initials: WER Payee: EXPRESS CONSTRUCTION SERVICES SET ID: 1013 SET NAME: BRITE SMILES SET TRANSACTIONS: Set Member D09 -192 EL09 -0575 PG09 -106 TOTAL: ACCOUNT ITEM LIST: Description Ci" 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 Amount 361.10 130.00 157.00 361.10 SET RECEIPT TRANSACTION LIST: Type Method Description Amount Payment Check 1029 648.10 TOTAL: 648.10 BUILDING - NONRES ELECTRICAL PERMIT - NONR PLUMBING - NONRES STATE BUILDING SURCHARGE Account Code Current Pmts 000/322.100 000.322.101.00.0 000.322.103.00.0 640.237.114 356.60 130.00 157.00 4.50 TOTAL: 648.10 PAYMENT RECEIVED Parcel No.: 6364200010 Permit Number: PG09 -106 Address: 426 SOUTHCENTER MALL TUTOR Status: PENDING Suite No: Applied Date: 09/10/2009 Applicant: BRITE SMILES Issue Date: Receipt No.: R09 -01420 Initials: WER Payment Date: 09/10/2009 11:33 AM User ID: 1655 Balance: $157.00 Payee: KEITH SMITH • 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 TRANSACTION LIST: Type Method Descriptio Amount Payment Check 9850 39.25 Authorization No. ACCOUNT ITEM LIST: Description PLAN CHECK - NONRES RECEIPT Account Code Current Pmts 000/345.830 39.25 Total: $39.25 Payment Amount: $39.25 PAY\1 ENT ECEIVE doc: Receiot -06 Printed: 09 -10 -2009 Project: 8r: .S : t.- Type of Insp F; lion P(� �S • Address: 41-c SC. )4 A.-(( Date Called: Special Instructions: i t L itPE'r �■ L i7 (-or IPM;SC .tS6l,Kr: t (� - , 1 Date Wanted: a.m. Requester: Phone No: 3c49 o - 1g1 -9 /Z3 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Nj Approved per applicable codes. COMMENTS: 0'.00 REINSPECTION FEE R QuiRED. Pror to inspection, fee must be aid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 11 SPECTION RECORD l� Retain a copy with permit Corrections required prior to approval. r Date: Date: PERMIT NO. t Project: Pin') r 3 Type of Inspection: ti tcL Address: ya(o Sou r-hce i mall Date Called: /q d..vo Special Instructions: Date Wanted: /O / ?1 .m. Requester: Cia.4 CA Phone No .1p INSPECTION NO. INSPECTION RECORD Retain a copy with permit - Peoq -lo 4 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 ❑ Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: Inspector: V5 Date: 1017-1— IO ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: i�n�e:. =mot .,. nd- " -r wiM s�:�a_�.�s..a�. ._._.!�I.keve...•^.— - �va'.�`�7i�t „ `xi a.... ti - 'se.�.ael.. z7�'C COMMENTS: 7 fr Ay I 4J-a ; Address: y_ �2� *, I Date Called: Special Instructions: / 9 r; is f 7 c.�, ,, • ) _r` r Phone 0 —rig/ — 4 I 7 3 C/4 3 .....--., f ' I l 1 . . Project: Sk, Type of Ins ection: (p(d~Y- ozJo�6� 1- k avliftTA Address: y_ �2� *, I Date Called: Special Instructions: / / J Date Wanted: j O ` f p.m. Requester: Phone 0 —rig/ — 4 I 7 3 INSPECTION NO. PERMIT NO. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION K 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36V0 Approved per applicable codes. 11 Corrections required prior to approval. Inspe ( ( C' 17 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: —._ mnraa,m ACCO I UNTO NAME OFFRE ISE Cr; le Crirries `f'�` b S / / / Comm Re identill ❑ SERVICE ADDRESS °�' -4 � P. I- ' J k // ITY _ �u K �-, _ p 7 f /f CONTACT PERSON C r°‘. '/ - PHONE ( / FAX( ) LOCATION OF ASSEMBLY /�'C 4 :4t VS-;-.4 , jC "X p 0 DOWNSTREAM PROCESS t-✓ lei- SIP, DCVA ❑ RPBA A ❑ OTHER NEW INSTALL, ❑ EXISTING _ � 0 OLD SgR. PROPER INSTALLATION? YES° ❑ MAKE OF ASSEMBLY !N * G •� S MODEL / 75 L SERIAL NO. 4 3 C Yf xL(C Xe /e. =ALMA »A D VA IRPSA INITIAL CHECK VALVE NO.1 CHECK VALVE NO2 TEST PASSED ❑ FAI NEW PARTS AND REPAIRS CLEAN REPLALu PART ❑ C ❑ ❑ ❑ . ❑ ❑ ❑ TEST AFTER REPAIRS LEAKED 0 PASSED l`�� /�7� %- -"psID FAILED TESTERS NAIL PRINTED: Jonathan Vangstad REPAIRED BY: FINAL TEST BY: BAC ow.P %oq- iD(p PREVENTION ASSEMBLY TEST REPORT AVAILABLE BACKFLOW TESTING I' 1.808L22S2# LEAKED ❑ CLEAN RZPLACE ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ PSID PART LEAKED ❑ l "' / r'l PSID AIR GAP INSPECTION: Rcgaired minim® sir $6p sepeuition provided? Yes REMARKS:7:; 7( ( - f I [C ( ��,` /a to 4erie d �. OPENED AT PSID #1 CHECK - -t-PSID AIR GAP OK? Zed__ REPLACE PART ❑ ❑ ❑ ❑ ❑ 0 TESTERS PHONE #t 6- 4470 OPENED AT3_ 7 PSID #I CHECK 77 PSID saoTAJa8 Jae 2uimut.ta DATE PVBAJSVBA AIR INLET OPENED AT PSID DID NOT OPEN ❑ CHECK - VALVE HELD AT PSID LEAKED ❑ CLEANED ❑ REPAIRED ❑ AIR INLET PSID CHK VALVE PSID 0 Detector Meter Reading ( / g/ LINE PRESSURE PSI CONFINED SPACE? .BS17! DATE /0(: f �— CERT. NO. DATE CALIBRATION DATE 06 / 1 1S.GAUGE #! 22730 MODEL # Midwest830 SERVICE RESTORED? YES NO ❑ I out& ffialtldprgtorsa accsaurg and &ape axed WIC 246490-490 moved test make* end fad Wd9S :9 8002 L2 200 September 21, 2009 Keith Smith 1725 Westlake Ave N, Ste 210 Seattle, WA 98109 • City of Tukwila Department of Community Development Jack Pace, Director RE: CORRECTION LETTER #1 Plumbing /Gas Piping Permit Application Number PG09 -106 Brite Smiles — 426 Southcenter Mall Dear Mr. Smith, Jim Haggerton, Mayor This letter is to inform you of corrections that must be addressed before your plumbing/gas piping 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 Public Works Department. The Building Department has no comments at this time. 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 two (2) complete sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections /revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at (206) 431 -3670. Sincerely, ifer Marshall <r1\ut Technician enc File: PG09 -106 W:\Pennit Center \Correction Letters \2009\PG09 -106 Correction Letter fl .DOC 6300 Southcenter Boulevard, Suite #100 ® Tukwila, Washington 98188 o Phone: 206 - 431 -3670 0 Fax: 206 - 431 -3665 DATE: September 18, 2009 PERMIT NO: PG09 -106 P: joanna/comments 1PG09 -106 • PUBLIC WORKS DEPARTMENT COMMENTS PROJECT: Brite Smiles 426 Southcenter Mall PLAN REVIEWER: Contact Joanna Spencer (206) 431 -2440 if you have any questions regarding the following comments. 1) Since the teeth whitening procedures are going to be performed by a dentist, installation of a Reduced Pressure Principle Assembly (RPPA) is required as cross - connection protection for in- premise isolation of the water system. Please specify backflow size, manufacturer and model number on plan. Submit cut sheet of the proposed backflow. This requirement came from Mr. Mike Cusick, P.E., PW Senior Water Engineer at (206) 431 -2441. Please contact him directly with any questions regarding this comment. ACTIVITY NUMBER: PG09 - 106 DATE: 10 -07 -09 PROJECT NAME: BRITE SMILES SITE ADDRESS: 426 SOUTHCENTER MALL Original Plan Submittal X Response to Correction Letter # 1 Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: Building Division . wit(' co u llc Complete Comments: REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: 11 Approved Notation: REVIEWER'S INITIALS: Documentrouting slip.doc 2 -28 -02 • PERMIT CORD C4P1A PLAN REVIEW /ROUTING SLIP Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete Approved with Conditions n Permit Coordinator DUE DATE: 10-08 Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUTING: Please Route Structural Review Required ❑ No further Review Required n DATE: DUE DATE: 11-5-09 Not Approved (attach comments) C DATE: Planning Division Not Applicable n Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DATE: 09 -10 -09 ACTIVITY NUMBER: PG09 -106 PROJECT NAME: BRITE SMILES SITE ADDRESS: 426 SOUTHCENTER MALL X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Complete Comments: Please Route Documents /routing slip.doc 2 -28 -02 ao PLAN REVIEW /ROUTING SLIP IN/ Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) TUES /THURS ROUTING: Incomplete Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:_ LETTER OF COMPLETENESS MAILED: Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved n Approved with Conditions Notation: REVIEWER'S INITIALS: n DUE DATE: 09-15-09 No further Review Required DUE DATE: 10-13-09 Not Approved (attach comments) M DATE: Planning Division Permit Coordinator Not Applicable Permit Center Use Only CORRECTION LETTER MAILED: 0111.10 Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW p(] Staff Initials: n 1 n . Sheet Number(s): • 41 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: http: / /www.ci.tukwila.wa.us REVISION .SUBMITTAL 1 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: Plan Check/Permit Number: PG09 -106 ❑ 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: Brite Smiles Project Address: 426 Southcenter Mall Contact Person: � 51/4/V\i‘e■ Phon Numbeer: �& 2 ) I'f ui a(k Summary of Revision: .Y fzif I> J ec CO3 1 l V\ rtAAA,5 "Cloud" or highlight all areas of revision including date of revision RECSVEID CITY OCT 0 7 2009 PERMIT CENTER Received at the City of Tukwila Permit Center by: l k Entered in Permits Plus on 17 \applications \forms- applications on Tine \revision submittal Created: 8 -13 -2004 Revised: �� ���� DIMENSIONS (approximate) WEIGHT I � ' � � VIsoop A UNION B LESS BALL LESS WITH BALL VALVES VALVES C D E F G BALL VALVES BALL VALVES in. mm in. mm in. mm in. mm in. mm in. mm in. mm in. mm in. mm lbs kg lbs. kg 3/4 20 12 305 13 3/4 349 7 3/4 197 2 1/8 54 3 76 3 1/2 89 5 127 16 1/8 410 10 4.5 12 5.5 1 25 13 330 14 1/2 368 7 3/4 197 2 1/8 54 3 76 3 1/2 89 5 127 17 3/8 441 10 4.5 14 6.4 1 1/4 32 17 432 18 13/16 478 10 15/16 278 2 3/4 70 3 1/2 89 5 127 6 3/4 171 22 9/16 573 22 10 28 12.7 1 1/2 40 17 3/8 441 19 3/8 492 10 15/16 278 2 3/4 70 3 1/2 89 5 127 6 3/4 171 24 1/16 611 22 10 28 12.7 2 50 18 1/2 470 20 1/2 521 10 15/16 278 2 3/4 70 3 1/2 89 5 127 6 3/4 171 26 1/2 673 22 10 34 15.4 U C Lit a `compan ssure rinclpleAsse� REVIEWED CODE ®C®' . PL APP O�1 OCT 92 FEATURES Sizes: i:l 3/4" ❑ 1" ❑ 1 Maximum working water pressure Maximum working water temperature Hydrostatic test pressure End connections Threaded OPTIONS (Suffixes can be combined) ACCESSORIES ❑ Air gap (Model AG) - with full port QT ball valves (standard) L - less ball valves U - with union ball valves MS - with integral relief valve monitor switch P - for reclaimed water systems S - with bronze "Y" type strainer BMS - with battery operated monitor switch FDC - with fire hydrant connection; 2" only TCU - with test cocks up ✓ - with union swivel elbows (3/4" & 1 ") SE - with street elbows FT - with integral male 45 flare SAE test fitting .: . RECEIVED„ CITY OF TU L► OCT 0 7 2009 PERMIT CENTER 1/4" ❑ 1 1/2" ❑ 2" (rubber only) al expansion tank (Model XT) d check valve (Model 40XL) c arrester (Model 1250) ET Quick Test Fitting Set II valve handle locks t Cock Lock (Model TCL24) 175 PSI 180 °F 350 PSI ANSI B1.20.1 DIMENSIONS & WEIGHTS (do not include pkg.) City � f '�AIkiil BUILDI SPECIFICATION SUBMITTAL SHEET APPLICATION Designed for installation on potable water lines to protect against both backsiphonage and backpressure of contami- nated water into the potable water supply. Assembly shall provide protection where a potential health hazard exists. STANDARDS COMPLIANCE • ASSE® Listed 1013 • IAPMO® Listed • UL® Classed (less shut -off valves or with OS &Y valves) • C -UL® Classified • CSA® Certified • AWWA Compliant C511 • Approved by the Foundation for Cross Connection Control and Hydraulic Research at the University of Southern California • NYC MEA 425 -89 -M VOL 3 MATERIALS Main valve body Access covers Fasteners Elastomers Polymers Springs 1�ro°i - bolo Cast Bronze ASTM B 584 Cast Bronze ASTM B 584 Stainless Steel, 300 Series Silicone (FDA Approved) Buna Nitrite (FDA Approved) NorylTM, NSF Listed Stainless steel, 3V u ad 1'S E^ T I O N LT A Relief Valve discharge port: 3/4" - 1" 0.63 sq. in. 1 1/4 " -2" 1.19sq. in. j o OCUMENT kREVISION F-975XL I 6/09 - ( l' Page 1 of 2 WILKINS a Zurn company, 1747 Commerce Way, Paso Robles, CA 93446 Phone:805 /238 -7100 Fax:805/238 -5766 In Canada: ZURN INDUSTRIES LIMITED, 3544 Nashua Dr., Mississauga, Ontario L4V 1L2 Phone:905 /405 -8272 Fax:905/405 -1292 Product Support Help Line: 1- 877 - BACKFLOW (1 -877- 222 -5356) • Website: http: //www.zurn.com Capacity thru Schedule 40 Pipe Pipe size 5 ft/sec 7.5 ft/sec 10 ft/sec 15 ft/sec 1/8" 1 1 2 3 1/4" 2 2 3 5 3/8" 3 4 6 9 1/2" 5 7 9 14 3/4" 8 12 17 25 1" 13 20 27 40 1 1/4" 23 35 47 70 1 1/2" 32 48 63 95 2" 52 78 105 167 ED 0 7 ! 20 0 15 y 10 w a 5 0 FLOW CHARACTERISTICS MODEL 975XL 3/4 ", 1 ", 1 1/4 ", 1 1/2" & 2" (STANDARD & METRIC) FLOW RATES (Ws) 1.26 2.52 3.8 5.0 3.2 6.3 9.5 12.6 20 3/4" (20mm) 1" (25mm) 15 10 20 40 60 80 5 FLOW RATES (GPM) 0 Rated Flow (Established by approval agencies) 1 1/4" (32mm) . 1 1/2' (40m 2" (50mm)— 50 100 150 200 250 158 a 137 - ?- 5 - rn co 103 ° W 69 „ rn w 35 a TYPICAL INSTALLATION Local codes shall govern installation require- ments. To be installed in accordance with the manufacturers' instructions and the latest edition of the Uniform Plumbing Code. Unless otherwise specified, the assembly shall be mounted at a minimum of 12" (305mm) and a maximum of 30" (762mm) above adequate drains with sufficient side clearance for testing and maintenance. The installation shall be made so that no part of the unit can be submerged. CENTRAL STATION ALARM PANEL FLOOR Page 2 of 2 BATTERY MONITOR SWITCH' AIR GAP FITTING FLOOR DRAIN —" 12' MIN. 30' MAX. DIRECTION OF FLOW INDOOR INSTALLATION ( "Shown w/ optional BMS) OPTIONAL WATER METER PROTECTIVE ENCLOSURE INLET SHUT -OFF DIRECTION OF FLOW OUTDOOR INSTALLATION SPECIFICATIONS The Reduced Pressure Principle Backflow Preventer shall be ASSE® Listed 1013, rated to 180 °F and supplied with full port ball valves. The main body and access covers shall be bronze (ASTM B 584), the seat ring and all internal polymers shall be NSF® Listed NoryITM and the seat disc elastomers shall be silicone. The first and second checks shall be accessible for maintenance without removing the relief valve or the entire device from the line. If installed indoors, the installation shall be supplied with an air gap adapter and integral monitor switch. The Reduced Pressure Principle Backflow Preventer shall be a WILKINS Model 975XL. WILKINS a Zum company, 1747 Commerce Way, Paso Robles, CA 93446 Phone:805 /238 -7100 Fax:805/238 -5766 IN CANADA: ZURN INDUSTRIES LIMITED, 3544 Nashua Dr., Mississauga, Ontario L4V 1L2 Phone:905 /405 -8272 Fax:905/405 -1292 Product Support Help Line: 1- 877 - BACKFLOW (1 -877- 222 -5356) • Website: http: / /www.zurn.com • l I th co. October 5, 2009 Joanna Spencer City of Tukwila Building Department Tukwila, WA Re: CORRECTION LETTER #1 Plumbing /Gas Piping Permit Application Number PG09 -106 Brite Smiles Dear Joanna, Below is the responses to your correction letter dated September 21, 2009. Architecture I Design I Planning I Retail I. "Reduced Pressure Assembly Preventer is required......" a. Sheet P -I i. Reduced Pressure Assembly Preventer indicated on plan, with specification, model and size If you require any further information, please don't hesitate to phone me at (206) - 713 -4076. Regards, Keith L. Smith, AIA principal 1725 w e s t l a k e avenue north suite 2 1 0 seattle, Washington 98109 206.838.5485 p 206.464.0700 f Kind of Fixture Fixture Units No. of Fixtures Total Fixture Units Public Private Public Private Bathtub and Shower 4 4 Shower, per head 2 2 Dishwasher 2 2 Drinking fountain (each head) 1 .5 Hose bibb (interior) 2.5 2.5 Clotheswasher or laundry tub 4 2 Sink, bar or lavatory 2 1 Sink, Clinic flushing 8 8 Sink, kitchen 3 2 Sink, other (service) 3 1.5 1 Sink, wash fountain, circle spray 4 3 Urinal, flush valve, 1 GPF 5 2 Urinal, flush valve, >1 GPF 6 2 Urinal, waterless 0 0 Water closet, tank or valve, 1.6 GPF 6 3 Water closet, tank or valve, >1.6 GPF 8 4 . tig King County Department of Natural Resources and Parks Wastewater Treatment Division Non- Residential 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. Please Print or Type r Subdivision Name Lot # Subdiv. # dd Block # Building Name l� V VOA a 'cable, ( �) i I Ow er's Phon umber (with Area Code 7 (9)- . Go9 - IDcp P pe C ntact Phone Nu r Owner's Mailing Address A. Fixture Units Fixture Units x Number of Fixtures = Total Fixture Units Total Fixture Units Residential Customer Equivalent (RCE) 20 fixture units equal 1.0 RCE Total No. of Fixture Units — �y� y-� RCE 20 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 new sewer customers. All future billings can be prepaid at a discounted amount. 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. I 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 corr =trte• • at - • `� determination of a revised capacity charge. ` Signature of Owner /Representative 'K � \ �� Date 070 e Print Name of Owner /Representative B. Other Wastewater Flow (in addition to Fixture Units identified in Section A) Type of Facility /Process: t( Estimated Wastewater Discharge: Gallons /days Residential Customer Equivalents (RCE): 187 gallons per day equals 1.0 RCE Total Discharge (gal /day) _ 187 C. Total Residential Customer Equivalents: (add A & B) A B RCE 1 ngfa 1G ,, O/M1 whim — Kinn Cnnnh, Vniirn., _ 1 nnnt en.... Ann .,.., OEM, _ enumr 6,etnn, , Property Tax ID # Party to be Billed (if different from owner) City or Sewer District Date of Connection Side Sewer Permit # Please report any demolitions of pre - existing building on this property. Credit for a demolition may be given under some circumstances. Demolition of pre- existing building? ❑ Yeses No Was building on Sanitary Sewer? )t Yes ❑ No Was Sewer connected before 2/1/90? )es ❑ No Sewer disconnect date: 0 Type of building demolished? Request to apply demolition credit to multiple buildings? 0 Yes ❑ No RCE RECEIVED SEP 10 2009 PERMIT CENTEF Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 RLI INS CO LSM0095895 08/25/2009 Until Cancelled Ca $12,000.00 08/25/2009 Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 1 OHIO CAS INS CO BHO(10) 53052413 06/08/200906/08 /2010 $1,000,000.0008 /25/2009 Name Role Effective Date Expiration Date Lawson, Marcia Anne OWNER 08/25/2009 Untitled Page Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company SHELTON WA 98584 MASON Individual Business Owner Information Bond Information Insurance Information 1 General /Specialty Contractor A business registered as a construction contractor with LEtI 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. Business and Licensing Information Express Construction Services 3604271581 851 S.E. Somers Dr. https://fortress.wa.gov/lni/bbip/Detail.aspx UBI No. 601074382 Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 0 ACTIVE EXPRECS918N5 CONSTRUCTION CONTRACTOR 8/25/2009 8/25/2011 GE:NERAL UNUSED Page 1 of 1 10/13/2009 MODEL SIZE in. mm PLU vIBING FIXTURE SCHEDULE AN MARK MANUFACTURER MODEL NUMBER NOTES mm B LESS BALL VALVES in. mm C in. LAV ADVANCE 7 -PS -50 STAINLESS STEEL SINK, LEVER OPERATED DRAIN K -26, S.S. BASKET K -6, ADVANCE FAUCET K -9, WCO ZURN -- WALL CLEAN OUT -CAST IRON CLEAN OUT TEE WITH BRONZE THREADED CLEAN OUT PLUG. PLUG TO BE GAS AND WATER TIGHT. WALL C ' ' - N #ZANB- 1460 -9 9 "x9" WALL ACCESS PANEL AND FRAME: SMOOTH NICKEL BRONZE SECURING LUGS. RPPA WILKINS 975XL WITH BALL VALVES lbs. -„_ 3/4 20 12 305 13 3/4 349 7 3/4 197 2 1 /8 54 3 76 3 1/2 89 5 127 16 1/8 410 10 MODEL SIZE in. mm DIMENSIONS (approximate) WEIGHT A in. mm A UNION VALVES in. mm B LESS BALL VALVES in. mm C in. mm D in. mm E in. mm F in. mm G in. mm LESS BALL VALVES Ibs kg WITH BALL VALVES lbs. kg 3/4 20 12 305 13 3/4 349 7 3/4 197 2 1 /8 54 3 76 3 1/2 89 5 127 16 1/8 410 10 4.5 12 5.5 1 25 13 330 14 1/2 368 7 3/4 197 2 1/8 54 3 76 3 1/2 89 5 127 17 3/8 441 10 4.5 14 6.4 1 1/4 32 17 432 18 13/16 478 10 15/16 278 2 3/4 70 3 1/2 89 5 127 6 3/4 171 22 9/16 573 22 10 28 12.7 1 1/2 40 17 3/8 441 19 3/8 492 10 15/16 278 2 3/4 70 3 1/2 89 5 127 6 3/4 171 24 1/16 611 22 10 28 12.7 2 50 18 1/2 470 20 1/2 521 10 15/16 278 2 3/4 70 3 1/2 89 5 127 6 3/4 171 26 1/2 673 22 10 34 15.4 SCALE: N.T.S. P GE \ERAL PLUM BI \G NOTES 1. ALL PLUMBING INSTALLATIONS SHALL COMPLY WITH STATE AND 2. PLUMBING CONTRACTOR SHALL MAKE CORRECTIONS IF WATER S BUILDING ARE REVERSED. 3. INSTALL ALL THREADED CLEANOUT PLUGS WITH PIPE DOPE TO FUTURE. 4. IT WILL BE THE RESPONSIBILITY OF THE PLUMBING CONTRACTOR FURNISHED UNDER PLUMBING CONTRACT WILL FIT THE SPACE AVAI SHALL MAKE NECESSARY FIELD MEASUREMENTS TO ASCERTAIN SP THOSE FOR CONNECTIONS AND SHALL FURNISH AND INSTALL SUCH EQUIPMENT THAT ARE THE TRUE INTENT OF THE DRAWINGS AND S 5. GENERAL CONTRACTOR SHALL PROVIDE ALL OPENINGS IN WAL EACH CONTRACTOR RESPONSIBLE FOR VERIFYING LOCATION AND SI REQUIRED UNDER HIS CONTRACT, UNLESS NOTED OTHERWISE ON TI 6. PLUMBING CONTRACTOR SHALL PROVIDE PRESSURE REDUCING V DISCHARGE RANGE WHERE REQUIRED BY LOCAL CODES. 7. ALL PLUMBING FIXTURES SHALL BE NEATLY CAULKED WITH SILI MEETS WALL. 8. PLUMBING CONTRACTOR SHALL BE RESPONSIBLE FOR COORDINA CONNECTIONS TO PLUMBING EQUIPMENT WITH THE ELECTRICAL CON LOCATIONS OF JUNCTION BOXES, DISCONNECTS, AND CIRCUIT BREA SIZE AND NUMBER OF CONDUCTORS AND CONDUITS TO EQUIPMENT VERIFIED BY THE ELECTRICAL CONTRACTOR. IN CASE OF PLUMBING CIRCUIT BREAKER, THE NUMBER AND SIZE OF CONDUCTORS AND C LATEST NATIONAL ELECTRICAL CODE REGULATIONS. ALL MOTOR S DEVICES, ETC., PROVIDED BY THIS CONTRACTOR SHALL BE RECESS THESE ITEMS ARE LOCATED IN MECHANICAL ROOMS. PROVIDE NAM SWITCHES, CONTROL DEVICES, ETC. 9. PLUMBING CONTRACTOR SHALL SUPPLY AND INSTALL GAS PIPIN PIPING SHALL COMPLY WITH LOCAL CODES. PLUMBING CONTRACTO CONNECTIONS TO ALL EQUIPMENT. INSTALL REGULATORS AT EQUIP MANUFACTURER OR CUTS SUPPLIED BY FURNISHING CONTRACTOR. 10. PLUMBING CONTRACTOR SHALL INSTALL SHOCK ABSORBERS AT PLANS AND RISER DIAGRAM. SHOCK ABSORBERS SHALL BE PDI AP LOCAL CODES. UPPLY AND DRAINAGE FOR THE ALLOW EASY REMOVAL IN THE TO INSURE THAT ITEMS TO BE LABLE - PLUMBING CONTRACTOR ACE REQUIREMENTS, INCLUDING SIZES AND SHAPES OF PECIFICATIONS. LS, FLOORS, AND ROOF WITH ZES OF ALL OPENINGS IE PLANS. ALVE, SWEAT TYPE, 30 -60 PSIG CONE COMPOUND WHERE FIXTURE TING ELECTRICAL AND CONTROL TRACTOR. SEE PLANS FOR KERS (PANEL BOARDS). TYPE, SHALL BE COORDINATED WITH & EQUIPMENT CONNECTION TO A ONDUIT SHALL CONFORM TO THE TARTERS, SWITCHES, CONTROL ED IN THE WALLS, EXCEPT WHERE EPLATES FOR ALL EQUIPMENT, G IF SHOWN ON PLANS. ALL GAS R SHALL MAKE FINAL MENT WHERE REQUIRED BY PLACES INDICATED ON THE PROVED. 11. ALL UNDERGROUND DRAINAGE, WASTE AND VENT PIPE SHALL BE CAST IRON OR PVC AS ALLOWED BY LOCAL CODES. ALL ABOVE GROUND DRAINAGE, WASTE AND VENT PIPE SHALL BE PVC. 12. CONTRACTOR SHALL REFER TO ARCHITECTURAL PLANS FOR APPROVED FLOOR PLAN AND DIMENSIONS. DO NOT SCALE PLUMBING DRAWINGS. 13. CONTRACTOR SHALL BE RESPONSIBLE FOR INSTALLING CONDENSATE DRAIN PIPING ON AIR HANDLING UNITS. COORDINATE WORK WITH MECHANICAL CONTRACTOR. 14. CONTRACTOR SHALL INSTALL WATER PIPING SO THAT PIPE JOINTS ARE NOT UNDER FLOOR SLAB. 15. PIPE INSULATION SHALL BE CONTINUOUS THROUGH WALLS OR FLOOR. 16. CONTRACTOR SHALL TEST SOIL, WASTE AND VENT SYSTEMS WITH PEPPERMINT. ALL MECHANICAL SYSTEMS SHALL BE RUNNING WHILE THESE TESTS ARE BEING MADE. CONTRACTOR SHALL FURNISH A CERTIFICATE OF COMPLIANCE AND ACCEPTANCE OF THESE TESTS. 17. CONTRACTOR SHALL INSULATE ALL UNDER SLAB HOT WATER PIPING WITH 1" RIGID URETHANE FOAM INSULATION AND 1" CLOSED CELL RUBBER INSULATION, WITH FIRE RETARDANT COATING ON ALL HOT WATER AND RETURNS LINES ABOVE SLAB. INSULATE ALL COLD WATER LINES ABOVE SLAB WITH 1/2" CLOSED CELL RUBBER FIRE RETARDANT INSULATION. 18. ANY DEVIATIONS FROM SPECIFIED PLUMBING FIXTURES AND TRIM IN FIXTURE SCHEDULE SHALL BE APPROVED PRIOR TO SUBMITTAL FROM THE ALDO'S PROJECT MANAGER. 19. ALL INDIRECT WASTE LINES SHALL HAVE A MINIMUM OF 2" VERTICAL AIR GAP AT FLOOR SINK, DRAIN OR HUB. FLOOR SINKS, DRAINS OR HUBS SHALL EXTEND A MINIMUM 1" ABOVE FINISHED FLOOR WHEN SERVING INDIRECT DRAINS. 20. VACUUM BREAKERS SHALL BE INSTALLED ON ALL HOSE BIBBS AND HYDRANTS. VACUUM BREAKERS /BACK FLOW PREVENTORS TO BE INSTALLED AT ANY POINT WHERE THERE IS DANGER OF THE NON POTABLE WATER SYSTEM COMING IN CONTACT WITH THE PORTABLE WATER SYSTEM OR ANY DANGER OF BACK FLOW. COORDINATE WITH LOCAL INSPECTOR. 21. ALL PLUMBING WORK SHALL BE COORDINATED WITH OTHER PROJECT CONTRACTORS BEFORE INSTALLATION. 22. USE TYPE "K" SOFT DRAWN COPPER UNDER SLAB. 23. ALL WATER DISTRIBUTION PIPE ABOVE GROUND SHALL BE COPPER OR COPPER ALLOY TUBING. REDUCED PRESSURE PRINCIPLE ASSEMBLY WILKINS MODEL 975XL (RPPA) • WATER RISER DIAGRAM LAV EXISTING WATER HEATER ABOVE TOILET CEILING. PROVIDE 3" DEEP GALV PAN W /SOLDERED SEAMS. LAV LAV EXTEND NEW 4" SS TO EXISTING SYSTEM, VERIFY EXACT LOCATION, FLOW AND DEPTH. SCALE: N.T.S. REDUCED PRESSURE PRINCIPLE- ASSEMBLY ILKINS MODEL 975XL RPPA CONNECT CW TO EXISTING LINE AT CEILING LEVEL IN THIS AREA, VERIFY LOCATION - ANCEsl - ZE'PR1 JR TO - ANY LAV. WHO+ LAV` EXTEND NEW 4" EXISTING SYSTEM, VERIFY A LOCATION FLtW i4ND DEPTH. PROVIDE AND INSTALL 4" V.T.R. WASTE RISER DIAGRAM PLLiME!1NG PLAN 1 SCALE: 1/4" = 1,_0" OPTIONS (Suffixes can be combined) ACCESSORIES ❑ Air gap (Model AG) ❑ Repair kit (rubber only) ❑ Thermal expansion tank (Model XT) ❑ Soft seated check valve (Model 40XL) ❑ Shock arrester (Model 1250) ❑ QT -SET Quick Test Fitting Set ❑ Bali valve handle locks ❑ Test Cock Lock (Model TCL24) ._ Y t EXTEND NEW 4" SS TO EXISTNG S VERIFY EXACTiLO��FIO" "I-.l6W AND DEPTH , FEATURES Sizes: X3/4" ❑ 1" ❑ 1 1/4" ❑ 1 1/2" ❑ 2" Maximum working water pressure 175 PSI Maximum working water temperature 180 °F Hydrostatic test pressure 350 PSI End connections Threaded ANSI B1.20.1 ❑ - with full port QT ball valves (standard) ❑ L - less ball valves ❑ U - with union ball valves ❑ MS - with integral relief valve monitor switch ❑ P - for reclaimed water systems ❑ S - with bronze "Y" type strainer ❑ BMS - with battery operated monitor switch ❑ FDC - with fire hydrant connection; 2" only ❑ TCU - with test cocks up ❑ V - with union swivel elbows (3/4" & 1 ") ❑ SE - with street elbows ❑ FT with integral male 45° flare SAE test fitting DIMENSIONS & WEIGHTS (do not include pkg.) APPLICATION Designed for installation on potable water lines to protect against both backsiphonage and backpressure of contami- nated water into the potable water supply. Assembly shall provide protection where a potential health hazard exists. STANDARDS COMPLIANCE • ASSE® Listed 1013 • IAPMO® Listed • UL® Classified (less shut -off valves or with OS &Y valves) • C -UL® Classified • CSA® Certified • AWWA Compliant C511 EVIEWED F • R Approved by the Foundation for Cross Connecti p„ E' ^ OR Control and Hydraulic Research at the Universi CODE COMPLIA C Southern California • NYC MEA 425 -89 -M VOL 3 MATERIALS Main valve body Access covers Fasteners Elastomers Polymers Springs REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may include additional plan review fees. Cast Bronze ASTM B 584 Cast Bronze ASTM B 584 Stainless Steel, 300 Series Silicone (FDAApproved) Buna Nitrite (FDA Approved) NoryITM, NSF Listed Stainless steel, 300 series i sse bl Relief Valve discharge port: 3/4" - 1" - 0.63 sq. in. 1 1/4" - 2" - 1.19 sq. in. APPROVED OCT 0 9 2009 frs BUILDING NG DIVI 426 Southcenter Mall Tukwila, WA 98188 smith e*. 1725 westlake ave. n. suite 210 seattle, washington 98109 206.838.5485 p 206.713.4076 m 206.464.0700 f ksmith @smithco.org http: / /www.smithco.org/ Consultant PELF C PY Permit No. Plan review approval is subject to errors and omissions. Approval of construction documents does ijot authorize «.' violation of any adopted code or ordinance. Receipt of approve Copy a conditions is acknowledged No. Date B Date: Consultant Registration Issues and Revisions 1 09.09.09 2 09.29.09 Project Name Computer File City Of Tukwila BUILDING DIVISION ititstalhoonral A BRITE SMILE Project Number 02008018.00 Description PLUMBING PLAN CW05- 2009- P1,DWG Scale AS NOTED Template 4.3 (120101) vo\o \2w ©9 CORRECTION All ideas, designs, arrangements, and plans indicated or represented by this drawing are owned by and the property of smith co. Ilc and were created, evolved, and developed for use on and in connection with the specified project. None of such ideas, designs, arrangements or plans shall be used by or disclosed to any person, firm, or corporation for any purpose whatsoever without the written permission of smith co. Ilc. P -1 l:l `t last it MI�`d Ilb';yi5 SEPARATE PERMIT REQUIRED FOR: chanical Electrical 0 P I gybing L"lGas Piping City of Tukwila p,. i�� {� DIVISION 6294 Architect Registration REGISTERED ARCHITECT 4 KEITH L. SMITH STATE OF WASHINGTON Issues By Check PERMIT KLS PERMIT CORRECTIONS KLS CITY RECEIVED TUKWILA OCT 0 7 2009 PERMIT CENTER