Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Permit PG09-148 - SCHRYVER MEDICAL
SCHRYVER MEDICAL 12668 INTERURBf1N AV S PG09448 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: doc: UPC -7/07 CityQf Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 - 2451 Web site: http: / /www.ci.tukwila.wa.us 2716000030 12668 INTERURBAN AV S TUKW SCHRYVER MEDICAL 12668 INTERURBAN AV SQ , TUKWILA WA RREEF AMERICA REIT II CORP/ PO BOX 4900 #207 , SCOTTSDALE AZ JACOB BROCK 1221 2ND AVE N , KENT WA Contractor: Name: HERMANSON COMPANY LLP Address: 1221 2ND AV N , KENT, WA Contractor License No: HERMACLOO5BJ 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 FIXTURE TYPE AND OUANTITY * *continued on next page ** PLUMBING /GAS PIPING PERMIT Permit Number: Issue Date: Permit Expires On: Expiration Date: 08/25/2010 DESCRIPTION OF WORK: INSTALL (5) NEW WALL DRAINS, (1) NEW SINK, AND REPLACE (1) SINK. ALSO INSTALL ONE RPPA WATTS SERIES 009 BACKFLOW DEVICE FOR IN- PREMISE ISOLATION, SINCE THE LAB IS CLASIFIED AS A MEDICAL FACILITY. Phone: Phone: 206 - 575 -9700 Phone: 206 - 575 -9700 PG09 -148 01/15/2010 07/14/2010 Value of Plumbing /Gas Piping: $1,000.00 Uniform Plumbing Code Edition: 2006 Fees Collected: $245.00 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 5 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 2 Gas Piping 0 Gas piping outlets (0 -5) 0 0 Gas piping outlets (6 +) 0 PG09 -148 Printed: 01 -15 -2010 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complies The granting of this permit does not pre construction or the performance of work. Signature: Print Name: doc: UPC -7/07 S City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206- 431 -2451 Web site: http: / /www.ci.tukwila.wa.us 0 Permit Number: Issue Date: Permit Expires On: PG09 -148 01/15/2010 07/14/2010 Date: 01 116 ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this plumbing /gas piping permit. Date: / / 5 / Z! Co J - (3 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. PG09 -148 Printed: 01 -15 -2010 13: Parcel No.: 2716000030 Address: Suite No: Tenant: doc: Cond -10/06 S 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 12668 INTERURBAN AV S TUKW SCHRYVER MEDICAL 1: ** *PLUMBING AND GAS PIPING * ** PERMIT CONDITIONS 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: 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. * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: PG09 -148 ISSUED 12/23/2009 01/15/2010 PG09 -148 Printed: 01 -15 -2010 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 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. 2 Signature: Date: /17 Print Name: " CaCi b 3 r0 PG09 -148 Printed: 01 -15 -2010 CITY OF TUKWIL" Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.cLtukwila.wa.us PLUMBING / GAS PIPING PERMIT APPLICATION 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.: 2716000030 Site Address: 12668 Interurban Ave Tukwila, WA 98168 Suite Number: Floor: New Tenant: ❑ Yes 0 .. No Tenant Name: Schryver Medical Property Owners Name: Schryver Medical Mailing Address: 12668 Interurban Ave Tukwila, WA 98168 do we contact when your permit is ready to be issued CONTACT PERSON - Name: Jacob Brock Mailing Address: 1221 2nd Ave N Kent, WA 98032 City State E - Mail Address: jbrock @hermanson.com PLUMBING / GAS PIPING CONTRACTOR INFORMATION Hermanson Co LLP Company Name: Mailing Address: 1221 2nd Ave N Kent, WA 98032 City State Zip Contact Person: Jacob Bro Day Telephone: (206) 575 - 9700 E -Mail Address: jbrock @hermanson.com Fax Number: (206) 575 -9800 Expiration Date: 08/25/2010 Contractor Registration Number: HERMACLOO5BJ ust be wet ARCHITECT OF RECORD - All pia amped by Company Name: Mailing Address: City Contact Person: Day Telephone: Fax Number: E -Mail Address: ENGINEER OF RECORD All plans must be wet st by Engineer ofitecord Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: H: Applications Forms-Applications On Line \2009 Applications` 1 -2009 - Plumbing -Gas Piping Permit Application. doc Revised: 1 -2009 bh Gas No. b 9- 1I 9 Project No. City State Day Telephone: (206) 575 -9700 Fax Number: (206) 575 -9800 State State Zip Zip Zip Zip Page I of 2 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty 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 5 Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks 2 Urinals Water Closet Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and /or vent Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment Repair or alteration of drainage or vent piping I Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets Valuation of Project (contractor's bid price): $ 1,000 Scope of Work (please provide detailed information): Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below: PERMIT APPLICATION NOTES 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. The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International 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 0 NER OR AUT ORIZED AGENT: / Signature: Date: 1Z/Z/ Print Name: Jacob Brock Mailing Address: 1221 2nd Ave N Kent, WA 98032 Date Application Expires: t 0 Date Application Accepted: H:' Applications`Fomis- Applications On Line,2009 Applications' -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 2009 bit Install (5) new floor drains, C►) nry S r n '- a., ei ,- C, P /a.c c_ (f) 5 ink City State Staff Initials: Zip Day Telephone: (206) 575 -9700 Page 2 of 2 • y Receipt No.: R09 -02043 Initials: User ID: Payee: WER 1655 HERMANSON CO 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 Credit Crd VISA - Authorization No. 313241 ACCOUNT ITEM LIST: Description PLAN CHECK - NONRES PLUMBING - NONRES RECEIPT Parcel No.: 2716000030 Permit Number: PG09 -148 Address: 12668 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 12/23/2009 Applicant: SCHRYVER MEDICAL Issue Date: 245.00 Total: $245.00 Payment Amount: $245.00 Account Code Current Pmts 000.345.830 49.00 000.322.103.00.00 196.00 Payment Date: 12/23/2009 11:15 AM Balance: $0.00 PAYME RECEIVE doc: Receiot -06 Printed: 12 -23 -2009 Pro'ect � �� VW,) /7 �f� „q � Type of Inspection: / /_ / - ,)4 .-Af 6 - Address: /e?Gt� ° %..J7 )i / bg4/ Date Called: Special Instructions: Date Wanted: Requester: Phone No: .3p ---?.- 4 INSPECTION RECORD Retain a copy with permit SPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 El Corrections required prior to approval. Approved p plicable codes. r' r,h27t/ / /f -” -7" COMMENT I - Ipt No.. ,�, .._ .. ...... ......ap,S,, _-...d Date: Date: PERMIT NO. (206)431 -3670 EINSPECTION FEE REOUIRs. Pei to inspection, fee must be pal • • t 6300 Southcenter Blvd., Su) e 1 I O. all to schedule reinspection. Project: cSCH / ?yI/ " (17-4.)>(/4 Type of Inspection: F /A✓4 Address: /2(4R /,4 ,7 .d Al Date ailed: Special Instructions: Date 7 Want d: �K /3 t5 p.m. Requester: Phone No: d6 - 24/5' -0 , C� INSPECTION NO. Approved per applicable codes. COMMENTS: 0 / t SECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431 -3670 orrections required prior to approval. Air P" Pector: /, Date: II $610 REINSPECTION FEE R QUIRE'. Prior to in pection, fee must be paid at 6300 Southcenter.Blvd. Suit 100. Call to schedule reinspection. Receip No.: 'Date: 0 1/ COMMENTS: ai■ G /� / a c., A t1 t,�.�;1/' k ,,0 l . , A-0,- , t, . ` 7 ` 1 -- N . , / v Special Instructions: _Dic. ) (, i x 6 __ ' .L 1 ^ (16. ( ), S e>c/A 5 -\ i,s--- �.G ' J a t..-- c'( �_S 6/ r k_e < . w •_ / Project: SC/ N c / v F < c ' /17r'4/ Type of Inspecti9on: ,. r / t ery h -, Al 7 Address: /2 G• (v , 7� /4":" ?//J.4 r`/ Date Called: Special Instructions: Date Wanted: =- /— /5 — / p.m. Requester: Phone �OG - .3 `7/ - eas" 3 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit PERMIT NO. (206)43 orrections required prior to approval. .3 Date: ❑ $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: ,a COMMENTS: fi�nS l ( eo P er c ,ta CJs - .� -f- e a/ ■ Wei • Caro Vad-in . tvt4eAoll Specie Instructions: Date Wanted: p 10 a.m. z . . Reque er: t - " 3 Phone No. O(2 - 349 - OCe ce(e Pro ect C WA ck Typ f In ecti VIZ ArIca ddres AA•• Date Called: Specie Instructions: Date Wanted: p 10 a.m. z . . Reque er: t - " 3 Phone No. O(2 - 349 - OCe ce(e INSPECTION RECORD (,', r� u A Retain a copy with permit 1 +� 1 � INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. D Corrections required prior to approval. Inspector: [Receipt No.: <2S Date: Date: 213 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. �.7 INITIAL TEST DCVA ; 1' ' 3 CHECK VALVE NO.1 DCVA I' ' B • CHECK VALVE NO.2 RPBA n • PSID PVBA /SVBA OPENED AT _, AIR INLET OPENED AT PSID PSID �{ #1 CHECK 11 ' �/, { PSID DID NOT OPEN • LEAKED • • 7 LEAKED • G /i / / i r PPSID AIR GAP OK? CLEAN REPLACE ' � PASSED CHECK VALVE FIELD AT PSID FAILED • CLEAN REPLACE PART PART NEW PARTS AND REPAIRS CLEAN REPLACE PART • s • ❑ • • • ❑ • • LEAKED ❑ • • • • • • • • CLEANED • REPAIRED • TEST AFTER REPAIRS PSID OPENED AT PSID AIR INLET PSID LEAKED • LEAKED • PSID #1 CHECK PSID CHK VALVE PSID PASSED • FAILED • ACCOUNT # BACKFLOW PREVENTION ASSEMBLY TEST REPORT NAME OF PREMISE 5c4ryVer ivPG[ Commercial Residential ❑ SERVICE ADDRESS /260 .X,PI4ru, ii,, ifve 5 CITY 7iik/A, ZIP CONTACT PERSON PHONE ( ) FAX ( ) LOCATION OF ASSEMBLY 500h £ r CO!'dCr Of aarQp e DOWNSTREAM PROCESS DCVA ❑ RPBA ffi PVBA ❑ OTHER NEW INSTALL EXISTING ❑ REPLACEMENT ❑ OLD SER. # MAKE OF ASSEMBLY I14 /if MODEL 001 fa QT SERIAL NO. 7 S/ SIZE / 11 AIR GAP INSPECTION: Required minimum air gap separation provided? Yes ❑ No ❑ Detector Meter Reading REMARKS: LINE PRESSURE 35 PSI / p 73 CONFINED SPACE? 4 TESTERS SIGNATURE: �2 /Iif/1 CERT. NO. 17517✓ DATE �5 am JP TESTERS NAME PRINTED: 4/44rd LOI 4 REPAIRED BY: FINAL TEST BY: TESTERS PHONE # (206 )376-1/272 CERT. NO. DATE PROPER INSTALLATION? YES XI NO ❑ DATE Goq 19g iliALIBRATION DATE 21 Aa?IIO GAUGE # O7 MODEL g3O SERVICE RESTORED? YES 123 NO ❑ I certify that this report is accurate, and I have used WAC 246- 290 -490 approved test methods and test equipment. BEL GOON R W/ PLAS C RINGS N DESK FLOOR PLAN : ELECTRICA SCALE: 1 =l' -0" V( -3i" :.TH .48 FOR TIME CLOCK N WALL DRAIN NORTH VERIFY MIN HEIGHTS WITH TENANT FILE COPY Permit No. 9-• Plan review approval is subject to errors and omissions. L,i- xoval of construction documents does not authorize ? . violation of any adopted code or ordinance. Receipt approved Field Copy and conditions is acknowledged: B y , /� (� r Date: City Of Tbkwila BUILDING DIVISION LEGBEL EXST►G TIALL TO REMAIN EXSTNG TO BE RECNED 1E8 PETAL 5TUD WALL E IEIAAT AS REOB8ED TO BOROTI CF Dt15T)G CEILING. 518' GYP. BD. CH EACH BEDE 'SEE WALL TTBE ) n !EWDDCR (� EXSTIE DOOR --� r 8' EXI51 G 2 .716E FLUORESCENT MO BATT5) • 1' x 4' EXSTS,* 3.86E FLUORESCENT 188 BATTS) I 1' . 4' EXSRNG 3 -TLEE FLUORESCENT 10 BE RELOCATED r88 FAITS) ® ' 4' 3e5 OR RELOCATED 3 -TEE auaEA 1T (88 WATTS, EXI51N3 RE51ROL31 LENT ILIAPNA1ED ear 51.3! O DOREX CUTLET OCYU 140 V SIMPLEX CURET • WALL 1ELEP1-QE CUTLET. MDR11G, C1) EAT 488 RILL MG ONLY (2 CATS Sr 1EN4141) S ELECTRIC se rw BASE CABINET PROviDE BY T 3.4ANT AND NE T ALL RY d. (d. TO 8(12111 Y AM') MSTAI I TOP DESK HEIGHT TOP TO BE PROOIDED AND INSTALLED BY GC. )4-, spa ? c 1.6 s n c.,vca_ .. pp / . .. l "mss 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 end may include additional plan review fees. t,'c4e,/ -7 NORTH ,1 FFCor or z— FLOOR PLAN : P m , s tip �!- SCALE: 118 " =1' -0" VERIFY RCUGH IN WITH TENANT 1Go9 i98 re DFOR CODE COMPLIANCE APPROVED JAN 14 2010 DI — City of Tukwila BUILDING DIVIRIf M RECEIVED DEC 23 2009 PERMIT CENTER i 2 \\ VAatr4\Daumerts \CAD \1987 = 1989 \870 315CHRYVER MEDICAL \T -1_T -2 T- 3.dw9, 11/10/2009 3:03:49 PM, Acrobat Distiller 24x36.pr3 5c7M -G r <<. IN WA L L QQA t�i Ex15TINCr F,ATHRooM REVIEWED FOR CODE COMPLIANCE APPROVED JAN 1 4 2010 City of Tukwila B UILDING DIVICInM RECEIVED DEC 2 2009 PERMIT CENTEF . RECF DEC 2 s Mi l January 11, 2010 Dear Mr. Larson, Thank you, LINN-DOUGLAS Construction, LLC FILE COPY Permit No. City of Tukwila Department Of Community Development Mr. Dave Larson 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 -2544 Ref: Permit PG09 -148 Sub: Revision Submittal We have attached a letter from Schryver Medical Sales in response to your Determination of Completeness Memo Dated December, 24, 2009 and the Public Works Department Comments Memo also dated December 24, 2009. Additionally, we are proposing to install the below listed backflow device to isolate the tenant water supply. upp Please contact us should you have any questions. Kirk D. Figenshow, Member Linn- Douglas Construction P.O.Box 8019 Covington Wa 98042 -8019 RECEIVED JAN 1 2 ZUIU TUKWILA PUBLIC WORKS INCOMPLETE LTR# P el At e Pride in Quality and Customer Service CITARk JAN 1 1 2010 PERMIT CENTER P.O. Box 8019 • Covington, WA 98042 -8019 • Office 253 - 939 -5190 • Fax 253 - 939 -5189 • build @linn - douglas.com LINNDCL000PC Watts: 009 I Reduced Pressure Zone Assent') rermIL No. Water Safety & Back( low Water Quality. Drainage Brass & Control Potable PEX Quick - Connect Lead OEM Flow Control Prevention Products Prodtcts Tubular Valves Plumbing Solutions Free CAD Drawings Approvals Repair Kits Learn About Literature Support New Products Home > Deaner, Prevention > Reduced Pressure Zeno Asxmbl > 009 / 4. Enlarge Literature Specification Sheet installation Instructiuns Additional Resources rteilef Valve Discharge Bates Loading Models /UPC Codes. . :contact us site map find a rep Keyword or Part .ar 009 Reduced Pressure Zone Assemblies Size(s): 1/4 to 3.1n. (B to:80mm) Description: FILE C PY Page 1 of I Your Country [Change] Division Series 009 Reduced Pressure *one Assemblies prevent the reverse flow .orpolluted water from entering Into the potable. water supply due to backsiphonage and• orb ackpressure ft consists of bronze body'construfction (1/4 to 2 In) or FDA approved epoxy cvattd east lion (2 1/2 to 3 in.), two, in line independent check valves, replaceable'. check seats 8./1h an intermediate relief vat*, anef.ball valve testi cocks. Sertes•009:Is ideal for p vtection of tealth hazard cross- corinections for containment at the.service ::line entrance Check with. local water authorities for installation regdlierfients.`Maximum Working Pressure 175p0 (12.06 bar). RECEIVED JAN 12 Lug) TUKWILA PUBLIC WORKS RECEIVED art OF TU6LA JAN 1 1 2010 -- --pE 1 ENTER- littp:// www .watts:corn/proLproductsFull. asp ?catId =65 &parCat — 99 &Did = 8958tref 2 REVIEWED FO CODE COMPLIANCE APP -° OVED JAN 14 2010 City of Tukwila N INCOMPL =TE LTR# 1 0 1/8/2010 or Hea lthHaiair' d {Applica Job Name Job Location Engineer Approval Series 11x09 Reduced Pressure Zone Assemblies Sizes: 1 /4" - 3" (8 - 80mm) Series 009 Reduced Pressure Zone Assemblies are designed to protect potable water supplies in accordance with national plumbing codes and water authority requirements. This series can be used in a variety of installations, including the preven- tion of health hazard cross connections in piping systems or for containment at the service line entrance. This series features two in -line, independent check valves, captured springs and replaceable check seats with an inter- mediate relief valve. Its compact modular design facilitates easy maintenance and assembly access. Sizes 1" - 1" (8 - 25mm) shutoffs have tee handles. Features U Single access cover and modular check construction for ease of maintenance Top entry - all internals immediately accessible U Captured springs for safe maintenance Internal relief valve for reduced installation clearances U Replaceable seats for economical repair Bronze body construction for durability 1/4" - 2" (8 - 50mm) Fused epoxy coated cast iron body 21/2" and 3" (65 and 80mm) U Ball valve test cocks — screwdriver slotted 1 /4" - 2" (8 - 50mm) O Large body passages provides low pressure drop Compact, space saving design No special tools required for servicing Specifications A Reduced Pressure Zone Assembly shall be installed at each potential health hazard location to prevent backflow due to backsiphonage and /or backpressure. The assembly shall consist of an internal pressure differential relief valve located in a zone between two positive seating check modules with captured springs and silicone seat discs. Seats and seat discs shall be replaceable in both check modules and the relief valve. There shall be no threads or screws in the water - way exposed to line fluids. Service of all internal components shall be through a single access cover secured with stainless steel bolts. The assembly shall also include two resilient seat- ed isolation valves, four resilient seated test cocks and an air gap drain fitting. The assembly shall meet the requirements of: USC Manual 8th Editiont; ASSE Std. 1013; AWWA Std. C511; CSA B64.4. Shall be a Watts Regulator Co. Series 009. 1Does not indicate approval status. Refer to Page 2 for approved sizes & models. Contractor Approval Contractor's P.O. No Representative Test Cock No. 3 Ball Type Test Cocks Test Cock No 2 First Check Module Assembly R.P. Zone Watts product specifications in U.S. customary units and metric are approximate and are provided for reference only. For precise measurements, please contact Watts Technical Service. Watts reserves the right to change or modify product design, construction, specifications, or materials with- out prior notice and without incurring any obligation to make such changes and modifications on Watts products previously or subsequently sold. Relief Valve Assembly 1 /2" (15mm) 009QT 2" (50mm) 009M2QTHC Now Available WattsBnx Insulated Enclosures. For more information, send for literature ES -WB. IMPORTANT: INQUIRE WITH GOVERNING AUTHORITIES FOR LOCAL INSTALLATION REQUIREMENTS ES -009 Test Cock No. 4 Second Check Module Assembly Water Outlet WWA PG09 4B 1MOQEL ... °[' Ili P I ' ,. a.: ,� I DRAIN OUTLET 1 °I '':'DIMENSIONS : . r.,, �i ' ;,..I } WEI00 .... for 909, 009 and 993 sizes in mm in. A mm B in mm lbs. kgs. 909AG -A 1 /4 " -1/2" 009, 1/2 13 2% 60 3% 79 .625 .28 3 /4" 009M2/M3 909AG -C 3 /4"-1" 009/909, 1 25 3 83 41/4 124 1.50 .68 1 " -1W 009M2 909A0-F 11/4" -2" 009M1, 2 51 4 111 6% 171 3.25 1.47 11/4" -3" 009/909, 2" 009M2, 4 " -6" 993 909AG -K 4 " -6" 909, 3 76 6% 162 9% 243 6.25 2.83 8 " -10" 909M1 909AG -M 8 " -10" 909 4 102 7% 187 11 394 15.50 7.03 909EL -A 1 /4 "42" 009, 3 /4" 009M2/M3 - - - - - - - - 909EL-C 1/4"-1" 009/909. - - 2% 60 2% 60 .$8 .17 * 909EL -F 11/4"-2" 009M1, - - 3% 92 3% 92 2 .91 11/4"-2" " -2" 009/909, 2" 009M2.4 "-6" 993 * 909EL -H 21/2" -3" 009/909 - - - - - - - - Vertical • Available Models: 1/4" - 2" (8 - 50mm) Suffix: QT - quarter -turn ball valves S - bronze strainer LF - without shutoff valves AQT - elbow fittings for 360° rotation 3 /4" - 2" (20 - 50mm) only PC - internal Polymer Coating LH - locking handle ball valves (open position) SH - stainless steel ball valve handles HC - 21/2" inlet /outlet fire hydrant fitting (2" valve) Prefix: C - clean and check strainer 3 /4" - 1" (20 - 25mm) only U - union connections (see ES-U009) Available Models: 2'/2" - 3" (65 - 80mm) Suffix: NRS - non rising stem resilient seated gate valves OSY - UL /FM outside stem and yoke resilient seated gate valves S -FDA - FDA epoxy coated strainer QT -FDA - FDA epoxy coated quarter -turn ball valve shutoffs LF - without shutoff valves S - cast iron strainer Note: The installation of a drain line is recommended. When installing a drain line, an air gap is necessary (see ES - AG). Materials: 1/4" - 2" (8 - 50mm) Bronze body construction, silicone rubber disc material in the first and second check plus the relief valve. Replaceable polymer check seats for first and second checks. Removable stainless steel relief valve seat. Stainless steel cover bolts. Standardly furnished with NPT body connections. For option- al oronze union inlet and outlet connections, specify prefix U (1/2" - 2 "(15 - 50mm)). Series 009QT furnished with quarter turn, full port, resilient seated, bronze ball valve shutoffs. Air Gaps and Elbows Materials: 21/2" and 3" (65 - 80mm) • (FDA approved) Epoxy coated cast iron unibody with bronze seats • Relief valve with stainless steel seat and trim • Bronze body ball valve test cocks Pressure / Temperature Series 009 1 /4" - 2" (8 - 50mm) Suitable for supply pressure up to 175psi (12 bar). Water temperature: 33 °F - 180 °F (0.5 °C - 75 °C). Sizes 2 and 3" (65 and 80mm) are suitable for supply pressures up to 175psi (12.1 bar) and water temperature at 110°F (43 °C) continuous, 140°F (60 °C) intermittent. Standards USC Manual 8th Editiont ASSE No. 1013 AWWA C511 -92 CSA B64.4 IAPMO File No. 1563. tDoes not indicate approval status. See below for approved models. Approvals ASSE, AWWA, CSA, IAPMO Approved by the Foundation for Cross - Connection Control and Hydraulic Research at the University of Southern California. Approval models QT, AOT, PC, NRS, OSY. UL Classified 3 /4" - 2" (20 - 50mm) (LF models only except 009M3LF) 21/2" and 3" (65 and 80mm) with OSY gate valves. A A B B • SIZE (DN) - I ' . as - I : 1 1 IIIV,I ''. 1111 DIMENSI011 (APPROX j I `.= ; _ ..,I II II Ii) , I ' ; STRAINER DIMENSIONS ° = ,' .,. ,' WEIGHT in. mm in. A mm In. B mm In. C mm D in. mm in L mm in. M mm N in. mm lbs. kg.s 1 /4 8 10 250 4% 117 3% 86 1'/4 32 51/2 140 2% 60 2 64 5 2 % 10 10 250 4% 117 3% 86 11/4 32 51/2 140 2% 60 21/2 64 5 2 'h 15 10 250 4% 117 3% 86 11/4 32 51/2 140 2% 70 21/4 57 5 2 3 /4 20 10 273 5 127 31/2 89 11/2 38 6% 171 3 81 2% 70 6 3 1 25 16 425 51/2 140 3 76 21/2 64 91/2 241 3% 95 3 76 12 5 1 32 17% 441 6 150 31/2 89 21/2 64 11% 289 4'/6 113 31/2 89 15 6 11/2 40 17% 454 6 150 3 89 21/2 64 111/2 283 4% 124 4 102 16 7 2 50 21% 543 7 197 41/2 114 31/4 83 13 343 5 151 5 127 30 13 MODEL II SIZE DN -. ` I I I I I I I t , I ' , ' I , I ' .I, ` ) I' 4 I ' , . ' , I DMENSIONS (APPROI.) ..,I II II Ii) , ��' % ° = ,' .,. }'i WEIGNTi in. mm in. A mm C in. mm in. D mm in. E mm L in. mm in. R mm in. U mm lbs. kgs. 009LF 212 65 — — — — 41/2 114 — — 18 460 — — 10% 270 76 34.5 0090SY 21/2 65 331/4 845 15% 403 41/2 114 16% 416 181/2 460 7% 197 10% 270 166 75.3 009NRS 212 65 3314 845 11% 289 412 114 16% 416 1816 460 7 197 10% 270 161 73.0 0090T 212 65 331/4 845 6 152 412 114 16% 416 18 460 7 197 10% 270 150 68.0 009LF 3 80 — — — — 41/2 114 — — 181/2 460 — — 10% 270 76 34.5 0090SY 3 80 341/4 870 18' 470 41/2 114 16% 422 18 460 8 222 10% 270 198 89.8 009NRS 3 80 341/4 870 870 12 7 324 178 4 41/2 114 114 16% 16% 422 422 18'/a 181/2 460 460 8 8 222 222 10% 10% 270 270 191 158 86.6 71.7 0090T 3 80 341/4 Dimensions and Weight: 1/4" - 2" (8 - 50mm) 009 Suffix HC — Fire Hydrant Fittings dimension 'A' = 25" (637mm) 009 1 /4" — 2" Dimensions and Weight: 2 and 3" (65 and 80mm) 009 STRAINER SIZE,; � ,' ;;` I D(IIIEIISIONS,(approx.) I M in. mm In. mm 2' 6 10 254 3 80 101/2 257 tClearance for servicing N Nit in. mm in. mm 6'2 165 9 24 7 178 10 254 lbs. kgs. 28 12.7 34 15.4 �i ME 12 Watts G -4000 Series QT - Ball Valves C. Capacity Performance as established by an independent testing laboratory. kPa psi 138 20 117 17 96 14 76 1 55 8 35 5 AP kPa psi 138 20 117 17 96 14 76 11 55 8 35 5 0 .25 .50 .75 1.25 1.50 2.5 3. gpm AP 0 .95 1.9 2.9 3 8 4.8 5.7 9.4 11.8 Ipm kPa psi 1" (15mm) 009QT 172 25 138 20 103 15 69 10 35 5 AP 0 kPa psi 207 30 165 24 124 18 83 12 41 6 kPa psi 207 30 172 25 138 20 103 15 69 10 35 5 0 0 0 0 ES -009 0830 ' /a" (8mm) 0090T .25 .60 .75 1.17 gpm .95 1.9 2.9 3 8 4.5 Ipm 3/4" (10mm) 0090T 2.5 5 7.5 10 3 8 9 5 19 28.5 38 5 7.5 1.5 2.3 * 3/4 ' (20mm) 009M3QT 12.5 15 gpm 47.5 57 Ipm 15 fps 4.6 mps ■■■■■■IO■■■■ ■ ■ ■ ■ ■ ■ ■ ■••• ■ ■ ■ ■ ■ ■I I■■■■ ■■ ■■■■■■■■Ir ■■ ■ ••■III ■■ ■ ■ ■ ■ ■■■■ ■■�■ 111111111•1111111111111111111111111 ■ ■ ■ ■ ■�!C=■ ■■ ■■■■■■II■ ■ ■ ■_ ■!!i ■ ■ ■ ■ ■ ■■ ■ ■ ■ ■ ■■■ ■■■■ ■■•■■II■■■■ ■ ■■■ ■ ■ ■ ■■■■ ■ ■■■■■II ■ ■■■ ■■ ■ ■ ■ ■■ ■ ■ ■■ ■■■ ■ ■■II ■ ■ ■■ ■ •■ ■ •■■■ ■■■ ■ ■•■■ ■I M■■■■ ■ ■ ■■ ■ ■■■■I■■ 0 0 0 2 6 10 14 18 22 26 30 34 38 42 46 gpm 1 - 1 P 07.6 23 38 53 68 84 99 114 129 144 160175 Ipm 7.5 15 fps 2.3 4.6 mps 1 " 009M2QT A Watts Water Technologies Company 5 10 20 30 40 50 60 70 80 gpm 19 38 76 114 152 190 228 266 304 Ipm 7.5 15 fps 2.3 4.6 mps `Typical maximum system flow rate (7.5 feet/sec., 2.3 meters /sec.) 1' /a" (32mm) 009M2QT kPa psi 172 25 138 20 103 15 69 10 35 5 0 0 AP O kPa psi 207 30 172 25 138 20 103 15 69 10 35 5 0 0 OP O kPa psi 207 30 172 25 138 20 103 15 69 10 35 5 0 0 APO kPa psi 172 25 138 20 103 15 69 10 35 5 0 0 kPa psi 172 25 138 20 103 15 69 10 35 5 0 00 25 OP O 95 10 20 30 40 50 60 70 80 gpm 38 76 1 4 152 190 228 266 304 Ipm 5 7.5 10 15 fps 1.5 2.3 3.0 4.6 mps 1' /z" (4 0mm) 009M2QT 10 20 30 40 50 60 70 80 90 100 110 120 gpm 38 76 1 4 152 190 228 266 304 342 380 418 456 Ipm 5 7.5 10 15 fps 1.5 2.3 3.0 4.6 mps 2" (50mm) 009M2QT 20 40 60 80 100 120 140 160 180 200 gpm 76 152 228 304 380 456 532 608 684 760 Ipm 5 7.5 10 15 fps 1.5 2.3 3.0 4.6 mps 21/2" (65mm) 009 25 50 75 100 125 150 175 200 225 250 gpm AP 0 05 10- 295 380 475 570 665 760 885 950 Ipm 5 7.5 10 15 fps 1.5 2.3 3.0 4.6 mps 3" (80mm) 009 * 50 75 100 125 150 175 200 225 250 275 300 325 gpm 190 285 380 475 570 665 760 855 950 104511401235 Ipm 5 7.5 10 fps 1.5 2.3 3.0 mps 9001 -2000 CERTIFIED USA: 815 Chestnut St., No. Andover, MA 01845 -6098; www.watts.com Canada: 5435 North Service Rd., Burlington, ONT. L7L 5H7; www.wattscanada.ca © 2009 Watts Jennifer Marshall City of Tukwila Department of Community Development 6300 Southcenter Blvd, Suite 100 Tukwila, WA 981888 Dear Ms. Marshall, We are currently in a multi- tenant building and we do not have such a device.) Thank you, It Ref: Plumbing Permit Application PG096 -148 Sub: Response to City Comment Letters Dave Hall NW Ops Mgr Schryver Medical 206- 295 -4841 SCilKY1iK'irnicAi, ivc. I II I i 2414 SW Andover St. Suite D =210, Seattle, WA 98106 FILE COPY Permit No._ RECEIVED CITY OF TUKWILA JAN 1 1 2010 PERMIT CENTER Schryver Medical, Inc. is in the business of providing off site Imaging and sample draws for testing at the local office. Their business model does not provide for patients to come to the facility and have samples drawn for analysis, but rather the sampling is done off site at the home, long term health care facilities or doctor's offices. After the samples are collected the analysis will be done in this new facility. Blood samples are tested by taking a single drop of blood and placing it in an analyzer for testing. Any remaining amount of the sample is then removed from the site by Stericycle a Company specializing in biomedical waste disposal. We asked the manufacturer of our analyzers to provide the below information concerning what is discharged into the sewer via the testing process, (I wanted to let you know that I've contacted the manufacturer of our analyzers. They referred me to the MSDS sheets, which I have attached. You'll notice that the discharge is saline -based and meets no criteria to be considered hazardous, i.e.: no different from the discharge in any common household. The manufacturer could not estimate our output, for obvious reasons. Therefore, I spoke with our Lab Supervisor in Seattle and our Lab Director in Denver. Both of these gentlemen said that the output varies, based on the volume on any particular day. With that, the estimated output is between one (1) and five (5) gallons per day. This is accomplished by a "trickle" system that the analyzers use to push the discharge through. The reason for the wall drains is that the analyzers use simple pumps to drain into Y:" tubing. We believe that this explanation should answer your questions, but please contact us should you have any additional questions, REVIEWED FOR CODE COMPLIANCE APPROVED JAN 14 2010 City of Tukwila BUILDING DIVISION INCOMPLETE LTR# " 01 - 114 Inhalation BECKMAN COULTER. azardous Ingredients: None Section 4 First Aid Measures 02008 Beckman Coulter, Inc. Global MSDS — English Page 1 of 6 MATERIAL SAFETY DATA SHEET Section 3 Composition and Information on Ingredients Doc. ID: 8547194 AE Revised (year/month/day) 2009/06/02 If product is inhaled, move exposed individual to fresh air. If individual is not breathing, begin artificial respiration immediately and obtain medical attention. Section 2 Hazards Identification Emergency Overview Colorless; Clear Liquid; Odorless Nonflammable aqueous solution. Does not meet EU, OSHA or WHMIS criteria for hazardous materials. Physical Hazards No physical hazards were determined from a review of available literature. Potential Health This product does not meet EU, OSHA or WHMIS criteria for hazardous materials. Effects Summary Potential None identified. Environmental Effects Product Hazard Classifications Meets Hazardous Criteria for Preparation/Mixture EU: Not applicable WHMIS: Exempt US OSHA: Not applicable Inhalation BECKMAN COULTER. azardous Ingredients: None Section 4 First Aid Measures 02008 Beckman Coulter, Inc. Global MSDS — English Page 1 of 6 MATERIAL SAFETY DATA SHEET Section 3 Composition and Information on Ingredients Doc. ID: 8547194 AE Revised (year/month/day) 2009/06/02 If product is inhaled, move exposed individual to fresh air. If individual is not breathing, begin artificial respiration immediately and obtain medical attention. Section 1 Company and Product Identification Product Name LH Series Diluent Part Number 8448194, 8547194 Product Use For In Vitro Diagnostic Use. See product literature for details. Manufacturer EC REP Address Beckman Coulter, Inc. 4300 Harbor Blvd. Fullerton, CA 92835 -3100, U.SA Beckman Coulter Ireland Inc. Mervue Business Park Mervue, Galway, Ireland 353 91 774068 Distributor and Emergency Phone No. Refer to attached list, Document ID: 472050, for local distributor and emergency phone numbers. Inhalation BECKMAN COULTER. azardous Ingredients: None Section 4 First Aid Measures 02008 Beckman Coulter, Inc. Global MSDS — English Page 1 of 6 MATERIAL SAFETY DATA SHEET Section 3 Composition and Information on Ingredients Doc. ID: 8547194 AE Revised (year/month/day) 2009/06/02 If product is inhaled, move exposed individual to fresh air. If individual is not breathing, begin artificial respiration immediately and obtain medical attention. LH Series Diluent Eye Contact Skin Contact Ingestion Flammable Properties Extinguishing Media Special Fire and Explosion Hazards Hazardous Combustion Products Protective Equipment for Firefighters Personal Precautions Spill and Leak Procedures Environmental Precautions Handling Precautions Recommended Storage Conditions Exposure Limits US OSHA: ACGIH: DFG MAK: NIOSH Section 4 First Aid Measures (Continued) If product enters eyes, wash eyes gently under running water for 15 minutes or longer, making sure that the eyelids are held open. If pain or irritation occur, obtain medical attention. In case of skin contact, flush with copious amounts of water for at least 15 minutes. If pain or irritation occur, obtain medical attention. If ingested, wash mouth out with water. If irritation or discomfort occurs, seek medical attention, Section 5 Fire Fighting Measures Nonflammable aqueous solution. Use extinguishing media suitable for surrounding fire. No special hazards determined. No combustion products posing significant hazards are expected from this product (a dilute aqueous solution). Self- contained breathing apparatus is recommended for firefighters in all chemical fire situations. Section 6 Accidental Release Measures No special precautions are necessary. Use good laboratory procedures. Absorb spilled material with an appropriate inert, non - flammable absorbent and dispose according to local regulations. Contain spill to prevent migration. Section 7 Handling and Storage Section 8 Exposure Controls and Personal Protection None established None established None established None established Page 2 of 6 Doc. 10: 8547194 AE No special precautions are necessary; use good laboratory procedures. Keep away from incompatible material (see Section 10). To maintain efficacy, store according to the instructions in the product labeling. LH Series Diluent Section 8 Exposure Controls and Personal Protection (Continued) Japan Engineering Controls Respiratory Protection Eye Protection Skin Protection Physical State Color Transparency Odor Odor Threshold pH Freezing Point Boiling Point Flash Point Evaporation Rate Flammability (Solid, Gas) Flammable Limits Vapor Pressure Vapor Density Specific Gravity Solubility Water Organic Coefficient of WateNOil Distribution Autolgnition Temp. Decomposition Temperature Percent Volatiles Page 3 of 6 Doc. ID: 8547194 AE None established No special engineering controls are necessary for normal handling of this product. Under normal conditions, the use of this product should not require respiratory protection. Safety glasses or chemical goggles should be worn to prevent eye contact. Impervious gloves, such as Nitrile or equivalent, should be worn to prevent skin contact. Section 9 Physical and Chemical Properties Liquid Colorless Clear Odorless Not applicable 7.0 Not available Not available Not available Not available Not available Not available Not available Not available 1 @20 °C Miscible Not available Not available Not available Not applicable Not applicable LH Series Diluent Stability Hazardous Incompatibilities Hazardous Decomposition Products Conditions to Avoid Toxicity Data for Hazardous Ingredients Primary Routes of Exposure Potential Effects of Acute Exposure Potential Effects of Chronic Exposure Symptoms of Overexposure Carcinogenicity Other Effects Conditions Aggravated by Exposure Ecotoxicity Biodegradability Bloaccumulation Mobility Other Adverse Effects Section 10 Stability and Reactivity Stable under normal temperatures and pressures. Strong acids Strong bases Strong oxidizers When stored as labeled, no known hazardous decomposition products are formed during the shelf -life of this product. Avoid contact with incompatible materials. Section 11 Toxicological Information Not applicable The most likely routes of exposure are skin, eye contact and inhalation. None identified. None identified. Page 4 of 6 Doc. ID: 8547194 AE No specific symptoms identified. This product does not contain a reportable concentration (Z 0.1%) of any ingredient listed as carcinogen by ACGIH, IARC, NTP, OSHA or 67 /548 /EEC Annex I. None identified. None identified. Section 12 Ecological Information No information available. No information available. No information available. No information available. No information available. Section 15 Regulatory Information US Federal and State Regulations SARA 313 Formaldehyde is subject to reporting requirements of Section 313, Title III of SARA. Magnesium Nitrate is subject to reporting requirements of Section 313, Title Ill CERCLA RG's, Formaldehyde is listed. 40 CFR 302.4 Sodium Hydroxide is listed. California Proposition 65 Formaldehyde has been identified by the State of California to cause cancer. The State of California has adopted a regulation which requires a warning be given to individual who may be exposed to chemicals identified by the State to cause cancer or reproductive harm. Accordingly, Beckman Coulter advises you of the following warning: WARNING: This product contains a chemical known to the State of California to cause cancer. Massachusetts MSL Formaldehyde is listed. Sodium Hydroxide is listed. Sodium Sulfate is listed. Magnesium Nitrate is listed. New Jersey Dept. of Formaldehyde is listed. Health RTK List Propylene Glycol is listed. Sodium Hydroxide is listed. Magnesium Nitrate is listed. Pennsylvania RTK Formaldehyde is listed. Propylene Glycol is listed. Sodium Hydroxide is listed. Sodium Sulfate is listed. Magnesium Nitrate is listed. EU Labeling Classification Preparation not classified. Canada This product is exempt from WHMIS label and MSDS requirements. PIN: Not applicable LH Series Diluent Waste Disposal Section 13 Disposal Considerations Page 5 of 6 Doc. ID: 8547194 AE Dispose of waste product, unused product and contaminated packaging in compliance with federal, state and local regulations. If unsure of the applicable requirements, contact the authorities for information. Section 14 Transport Information Transportation of this product is not regulated under ICAO, IMDG, US DOT, European ADR or Canadian TDG. Kirk Figenshow From: Dave Hall [dave.hall @schryvermedical.com] Sent: Friday, January 08, 2010 3:27 PM To: Kirk Figenshow Subject: Analyzer Physical Specs Attachments: KMBT20020100108152301.pdf KMBT2002010 8152301.pdf (1: Note: There is no water supply or consumption listed. Dave Hall Operations Manager, NW Region Schryver Medical dave.hall @schryvermedic:al.com cell: 206 - 295 -4841 IMPORTANT: This message is a privileged and confidential communication protected by the Electronic Communications Act and is intended for the designated recipient(s) only. Duplication or distribution of this email beyond the intended recipients without the prior written consent of the sender is strictly prohibited. If you received this message in error, please disregard its contents, as unintended delivery is not deemed a waiver of attorney /client privilege or confidential work product. - - -- Original Message---- - From: it @schryvermedicatcom [mailto:it @schryvermedical.com] Sent: Friday, January 08, 2010 12:23 PM To: Dave Hall Subject: [NEWSENDER] - [Image File] Dave H,KMBT200, #181 - Message is from, an unknown sender FROM: Image data has been attached to the E -Mail. This message has been scanned for viruses and dangerous content by MailScanner, and is believed to be clean. 1 Physical Specifications Page I of Physical Specifications Reference Information DIMENSIONS Unit Height' Width` Depth* Weight Analyzer /Diluter 88.9 cm 101.6 cm 61 cm 93.2 k (35 in.) (40 in.) (24 in.) (205 lb) Power Supply • 59 cm 35.5 cm 60 cm 56.7 k (23.3 in.) (14 in.) (24 in.) (125 lb) t5.1 cm (2 in:) POWER Input Power Supply: Workstation: 90- 264 Vac, 47 - 63 Hz Consumption 2080 W (5500 BTU /h) maximum Installation Category: per IEC 1010 -1, Category II 90 -135 Vac, 47-63 Hz or 180 -265 Vac, 47 -63 Hz ��e FM ,:,: lusl: mk: @MSITStore:c:1 ADMS\ hlp\ LH750. chm :: /Physical_Specifications.htm 1/8/2010 . ' r��;x�.« o_:, �. x.^r • December 28, 2009 Jacob Brock 1221 2 Ave N Kent, WA 98032 RE: Letter of Incomplete Application # 1 Plumbing /Gas Piping Permit Application PG09 -148 Schryver Medical — 12668 Interurban Av S Dear Mr. Brock, This letter is to inform you that your permit application received at the City of Tukwila Permit Center on December 23, 2009 is determined to be incomplete. Before your application can continue the plan review process the following items from the following departments need to be addressed: Building Department: Dave Larson at 206 431 -3678 if you have any questions concerning the attached comments. Public Works Department: Joanna Spencer at 206 431 -2440 if you have any questions concerning the attached comments. Please address the comment above in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that two (2) 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. 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 the Permit Center at (206) 431 -3670. Sincerely, Jenriifer Marshall ermit Technician Enclosures File: PG09 -148 • City of T W: \Permit Center \Incomplete Letters\2009 \PG09 -148 Incomplete Ltr # 1.DOC 0 Jim Haggerton, Mayor epartment of Community evelopment Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 o Tukwila, Washington 98188 o Phone: 206 - 431 -3670 8 Fax: 206 - 431 -3665 0 Determination of Completeness Memo Date: December 24, 2009 Project Name: Schryver Medical Permit #: PG09 -148 Plan Review: Dave Larson, Senior Plans Examiner Tukwila ( Building Division Dave ars Senior Plan Examiner I. ,.i l id The Building Division has deemed the subject permit application incomplete. To assist the applicant in expediting the Department plan review process, please forward the following comments. (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size). (If applicable) Structural Drawings and structural calculations sheets shall be original signed wet stamped, not copied.) 1. In the permit application five floor drains are shown but in the plans they are called wall drains. What will these drains be used for? 2. As a medical facility this space may need tenant isolation with one or more backflow devices. Please comment on the intended use of this space regarding need for backflow prevention for equipment and /or this tenant. Should there be questions concerning the above requirements, contact the Building Division at 206 -431 -3670. No further comments at this time. DATE: December 24, 2009 PROJECT: Schryver Medical PERMIT NO: PG09 - 148 PLAN REVIEWER: Contact Joanna Spencer (206) 431 -2440 if you have any questions regarding the following comments. 1) The D09 -239 Schryver Medical Tenant Improvement permit calls for creating office space and labs. As part of the PG09 -148 Plumbing Permit submittal please provide a brief narrative of proposed activities in the labs and what will be discharged to sewer. Provide a brief characteristic of proposed discharge. What is the purpose of installing new five (5) floor drains spelled out on page 2 of 2 of the Plumbing Permit application? joanna Comments 1 PG09 -148 PUBLIC WORKS DEPARTMENT COMMENTS IN- DEPARTME L` S: I_ `O /AJAR, Building Division \S Aix- Works 1 - -tD Public Comments: TUES /THURS ROUTING: Building Please Route n APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28 -02 O PER ,' 9T C n r - RD COPY. PLAN REVIEW/ROUTING SUP ACTIVITY NUMBER: PG09 -148 DATE: 01 -11 -10 PROJECT NAME: SCHRYVER MEDICAL SITE ADDRESS: 12668 INTERURBAN AV S Original Plan Submittal Response to Correction Letter # X Response to Incomplete Letter # 1 Revision # after Permit Issued Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete ' Er Incomplete ❑ Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: Structural Review Required I No further Review Required ❑ ❑ Permit Coordinator REVIEWER'S INITIALS: DATE: Planning Division DUE DATE: 01-12-10 n DUE DATE: 02-09-10 Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ACTIVITY NUMBER: PG09 =148 PROJECT NAME: SCHRYVER MEDICAL SITE ADDRESS: 12668 INTERURBAN AV S X Original Plan Submittal Response to Correction Letter # DATE: 12 -23 -09 Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: uiI•I • 'vision PLtblic Works O PE t - r;.r F, : If PLAN REVIEW /ROUTING SLIP Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 12-24-09 Complete n Incomplete VI Not Applicable ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: VIA ( 0 LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg Fire ❑ Ping ❑ PWI0 Staff Initials: TUES/THURS ROUTING: Please Route Documents /routing slip.doc 2 -28 -02 Structural Review Required n Planning Division ❑ Permit Coordinator ❑ No further Review Required n REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved n Approved with Conditions n Notation: DUE DATE: 01 -21 -10 REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Not Approved (attach comments) n City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. I( Date: - . 2 0 10 Plan Check/Permit Number: Pc:, Response to Incomplete Letter #_24"0":9 l 2/ 29 ! 4 ❑ Response to Correction Letter # RECEIVED ❑ Revision # after Permit is Issued CITV O F TUKLh ❑ Revision requested by a City Building Inspector or Plans Examiner LIAM 1 1 2010 Project Name: �rG -` f.Vp2 144 � �� c�A(ri MIT C TE Project Address: l 2 (Q e2 &pc 27 1 Contact Person: (C / r - A J - ( J Phone Number: er 24c)(0 Summary of Revision: . Ji,‘4 Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: Entered in Permits Plus on n / / / / //U \applic:ations \forms- applications on line\revision submittal Created: 8 -13 -2004 Revised: Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 WESTERN SURETY CO 929381801 01/01/2006 Until Cancelled 8/21 /2002 ARCHIVED $12,000.0012/01 /2005 3 TRAVELERS CAS a SURETY CO 0815103514123BCM07/22/2001 8/30/1979 Until Cancelled 01/01/2006 $12,000.0008/21 /2001 2 TRAVELERS CAS 8 SURETY 081S103514123BCM 01/01/200107/22 /2001 $6,000.00 12/18/2000 UNITED PACIFIC INS CO B2975140 01/01/2000 /01 /20 Until Cancelled 01/01/2001 $6,000.00 License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status HERMAC *016RN HERMANSON CORPORATION CONSTRUCTION CONTRACTOR GENERAL UNUSED 1/11/2000 8/21 /2002 ARCHIVED HERMAC *217NT HERMANSON CORPORATION CONSTRUCTION CONTRACTOR AIR HEAT,VENTILATION,EVAPORAT SHEET METAL 8/30/1979 8/21/2000 ARCHIVED Name Role Effective Date Expiration Date HERMANSON, RICHARD L PARTNER /MEMBER 01/01/1980 ALMON, KEVIN PARTNER /MEMBER 01/01/1980 MACDONALD, JAMES PARTNER /MEMBER 01/01/1980 Untitled Page 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 Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company 2065759700 1221 2ND AVE N KENT WA 980322945 KING Limited Liability Company her Associated Licenses Business Owner Information Bond Information I HERMANSON COMPANY LLP UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602004844 ACTIVE H ERMAC L005 BJ CONSTRUCTION CONTRACTOR 1/11/2000 8/25/2010 GENERAL UNUSED 0 Page 1 of 2 https: // fortress .wa.gov /lni/bbip /Detail.aspx 01/15/2010