HomeMy WebLinkAboutPermit D06-287 - Blue Sky - OfficeBLUE SKY
3315 S 116 ST, STE 121
D06 -287
Parcel No.: 0923049068
Address: 3315 S 116 ST TUKW
Suite No: 121
City cam' Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
Tenant:
Name: BLUE SKY
Address: 3315 S 116 ST, STE 121, TUKWILA WA
Owner:
Name: AMB INSTITUTIONAL ALLIANCE
Address: CIO MCELROY GEORGE & ASSOC, 3131 S VAUGHN WAY STE 301, AURORA CO 80014
Phone:
Contact Person:
Name: DAVID KEHLE, ARCHITECT
Address: 12720 GATEWAY DR STE 116, SEATTLE WA, 98168
Phone: 206 433 -8997
Contractor:
Name: DAVIS SCHUELLER INC.
Address: 20700 44 AV W, LYNNWOOD WA 98036
Phone: 206 775 -9400
Contractor License No: DAVISSI105PN
doc: IBC - PERMIT
DEVELOPMENT PERMIT
**continued on next page"
Expiration Date:07 /01/2008
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: D06 -287
Issue Date: 08/24/2006
Permit Expires On: 02/20/2007
DESCRIPTION OF WORK:
REMOVE PORTIONS OF EXISTING NON - BEARING WALLS, INSTALL NEW OFFICE WALLS PER PLAN, ADD 1080 SF OF
NEW OFFICE AREA WITHIN EXISTING BUILDING.
Value of Construction: $21,600.00 Fees Collected: $718.79
Type of Fire Protection: SPRINKLERS International Building Code Edition: 2003
Type of Construction: VB Occupancy per IBC: B /S1
006 -287 Printed: 08 -24 -2006
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant:
Flood Control Zone:
Hauling:
Land Altering:
Landscape Irrigation:
Moving Oversize Load:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
doe: IBC - PERMIT
City tnr Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
N
N
N
Permit Center Authorized Signature: //UAVIA (/WjUta
Print Name: T/kwi S L gam-ft-03
Number: 0 Size (Inches): 0
Start Time: End Time:
Volumes: Cut 0 c.y. Fill 0 c.y.
Start Time: End Time:
Private: Public:
Profit: N Non - Profit: N
Private: Public:
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: D06 -287
Issue Date: 08/24/2006
Permit Expires On: 02/20/2007
Date: 03f2K
I hereby certify that I have read and a I ed t is permit and know the same to be true and correct. All provisions of law and
ordinances governing this work will be mp' with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating construction or the performance of work. I am authorized to sign and obtain this development permit.
Signature: �� g /, ^�C/r Date:
g = 2 y - o 6
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.
006 -287 Printed: 08 -24 -2006
Parcel No.: 0923049068
Address: 3315 S 116 ST TUKW
Suite No:
Tenant: BLUE SKY
City Or' Tukwila
1: ** *BUILDING DEPARTMENT CONDITIONS * **
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
PERMIT CONDITIONS
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: D06 -287
Status: ISSUED
Applied Date: 07/27/2006
Issue Date: 08/24/2006
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: New suspended ceiling grid and light fixture installations shall meet the non - building structures seismic design
requirements of ASCE 7.
5: Partition walls that are tied to the ceiling and all partitions greater than 6 feet in height shall be laterally braced
to the building structure.
6: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
7: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building
inspector. No exception.
8: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the
International Building Code and the Washington State Ventilation and Indoor Air Quality Code.
9: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila
Permit Center.
10: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department
of Labor and Industries (206/248- 6630).
11: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
12: ** *FIRE DEPARTMENT CONDITIONS * **
13: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the
following concerns:
14: The total number of fire extinguishers required for a light hazard occupancy with Class A fire hazards is calculated at
one extinguisher for each 3,000 sq. ft. of area. The extinguisher(s) should be of the "all purpose" (2A, 10 B:C) dry
chemical type. The travel distance to any extinguisher must be 75' or less (IFC 906.3) (NFPA 10, 3 -2.1)
doc: Conditions
D06 -287 Printed: 08 -24 -2006
City & Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
Steven M. Mullet, Mayor
Steve Lancaster, Director
15: Portable fire extinguishers, not housed in cabinets, shall be installed on the hangers or brackets supplied. Hangers or
brackets shall be securely anchored to the mounting surface in accordance with the manufacturer's installation
instructions. Portable fire extinguishers having a gross weight not exceeding 40 pounds (18 kg) shall be installed so
that its top is not more than 5 feet (1524 mm) above the floor. Hand -held portable fire extinguishers having a gross
weight exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 3.5 feet (1067 mm) above the
floor. The clearance between the floor and the bottom of the installed hand -held extinguishers shall not be less than 4
inches (102 mm). (IFC 906.7 and IFC 906.9)
16: The total number of fire extinguishers required for an ordinary hazard occupancy with Class A fire hazards is
calculated at one extinguisher for each 1,500 sq. ft. of area. The extinguisher(s) should be of the "All Purpose" (2A,
20B:C) dry chemical type. Travel distance to any fire extinguisher must be 75' or less (IFC 906.3) (NFPA 10, 3 -2.1)
17: Fire extinguishers shall not be obstructed or obscured from view. In rooms or areas in which visual obstruction cannot
be completely avoided, means shall be provided to indicate the locations of the extinguishers. (IFC 906.6)
18: Extinguishers shall be located in conspicuous locations where they will be readily accessible and immediately available
for use. These locations shall be along normal paths of travel, unless the fire code official determines that the
hazard posed indicates the need for placement away from normal paths of travel. (IFC 906.5)
19: Fire extinguishers require monthly and yearly inspections. They must have a tag or label securely attached that
indicates the month and year that the Inspection was performed and shall identify the company or person performing the
service. Every six years stored pressure extinguishers shall be emptied and subjected to the applicable recharge
procedures. If the required monthly and yearly inspections of the fire extinguisher(s) are not accomplished or the
inspection tag is not completed, a reputable fire extinguisher service company will be required to conduct these
required surveys. (NFPA 10, 4 -3, 4-4)
20: Egress doors shall be readily openable from the egress side without the use of a key or special knowledge or effort.
(IFC 1008.1.8.3 subsection 2.2)
21: Dead bolts are not allowed on auxiliary exit doors unless the dead bolt is automatically retracted when the door handle
is engaged from inside the tenant space. (IFC Chapter 10)
22: Door handles, pulls, latches, locks and other operating devices on doors required to be accessible by Chapter 11 of the
International Building Code shall not require tight grasping, tight pinching or twisting of the wrist to operate. (IFC
1008.1.8.1)
23: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10)
24: Maintain sprinkler coverage per N.F.P.A. 13. Addition /relocation of walls, closets or partitions may require relocating
and /or adding sprinkler heads. (IFC 901.4)
25: All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department review and
approval of drawings prior to Installation or modification. New sprinkler systems and all modifications to sprinkler
systems involving more than 50 heads shall have the written approval of the W.S.R.B., Factory Mutual, Industrial Risk
Insurers Kemper or any other representative designated and /or recognized by the City of Tukwila, prior to submittal to
the Tukwila Fire Prevention Bureau. No sprinkler work shall commence without approved drawings. (City Ordinance #2050)
26: In order to provide you with the fastest police and fire protection under emergency conditions, please post your suite,
room or apartment number in a conspicuous place near the main entry door. (IFC 505.1)
27: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2050 and
#2051)
28: Any overlooked hazardous condition and /or violation of the adopted Fire or Building Codes does not imply approval of
doe: Conditions D06 -287 Printed: 08 -24 -2006
such condition or violation.
doe: Conditions
City Oil Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
Steven M. Mullet, Mayor
Steve Lancaster, Director
29: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at
(206)575 -4407.
"continued on next page**
006 -287 Printed: 08 -24 -2006
City Or' Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
Steven M Mullet, Mayor
Steve Lancaster, Director
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.
�- /J / A
Signature: � � �ir./v
Print Name: lZiUlf L gitke -too
doc: Conditions
Date: S-Zy" °b
D06 -287 Printed: 08 -24 -2006
SITE LOCATION
Site Address:0 l • IImW'9t. 6ut*t FZI
Tenant Name: DLit
,,�4 ✓I ft
r.
Owners Name: %O t�r/If+
- r.
Mailing Address: /# t ' i s f • 1 L .ii•
CONTACT PERSON
Name Q'II �
Mailing Address: ' 20 :a lti* 1�• s% flit
E -Mail Address:2(12111C € ehKehleartii. C&M
elite
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5) )
Company Name: I(✓Y
Mailing Address:
Sane
Contact Person:
E -Mail Address:
Contractor Registration Number.
ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record
Company Name: 1449 f/Gtt(G/ kat rrIth / ���
Mailing Address: 17 +. Ica tttii tV 4 �t
I I(o
Contact Person: 17 In
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:ll www. ci. tkwila. wa. us
E- Mail Address4i at
Building Permit No pcQ'2iv-
Mechanical Permit No
Plumbing/Gas Permit No.
Public Works Permit No.
Project No
roi ce use old
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**
Contact Person:
E -Mail Address:
QVtpplicaio,\Fn- Applic iau On Lift-XS-2006 - Pend Applinnm.mc
Rat 4-2006
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King Co Assessor's Tax No.: 1 'Z D *P,
Suite Number. VZA Floor.
New Tenant: . Yes
City
❑..No
Day Telephone4.69 WI-
/Attire
wb • aglre
City Stale Lp
Fax Number.
City
Day Telephone:
Fax Number.
Expiration Date:
Lp
aartle, W6. N81te
City jj9� Sure tip
Day Telephone 4 344/
Fax Number. U? 240 1041
w
TUK/ILA
W
ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number.
State
Zip
Page l of 6
BUILDING PERMIT INFORN&TION - 206-431-3670
Valuation of Project (contractor's bid price): $2)1 LD �,,.. tom, ,h� Existing Building Valuation: t, $ 5.10:�)�
p
Scope of Work (please provide detailed information): Female Fbatoi is or ale-Ali-t, Rog • Dili f u*,
Will there be new rack storage? ❑ ..Yes ...No (If yes, a separate permit and plan submittal will be required)
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact Handicap:
Will there be a change in use? ❑....Yes jak. No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
if s Sprinklers ❑..Automatic Fire Alarm D..None ❑..Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑.. Yes No
If "yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material e ty Data Sheets.
SEPTIC SYSTEM:
❑ On -site Septic System - For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
Q1ApPaiwicS YamaA fPlicaimu On lloc13-2006 - Permit Applicadon.doc
apiscd: 42016
Page 2 of
M Y'Ti l Oi Irk
Existing
Int erior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
peer IBC
Type of
Occupancy per
IBC
1 Floor
'
1� i3!t
i p o
4
Vie?
ty
Vitt
Y Floor
3" Floor
Floors
thin
_
Basement
Accessory Structure'
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
BUILDING PERMIT INFORN&TION - 206-431-3670
Valuation of Project (contractor's bid price): $2)1 LD �,,.. tom, ,h� Existing Building Valuation: t, $ 5.10:�)�
p
Scope of Work (please provide detailed information): Female Fbatoi is or ale-Ali-t, Rog • Dili f u*,
Will there be new rack storage? ❑ ..Yes ...No (If yes, a separate permit and plan submittal will be required)
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact Handicap:
Will there be a change in use? ❑....Yes jak. No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
if s Sprinklers ❑..Automatic Fire Alarm D..None ❑..Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑.. Yes No
If "yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material e ty Data Sheets.
SEPTIC SYSTEM:
❑ On -site Septic System - For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
Q1ApPaiwicS YamaA fPlicaimu On lloc13-2006 - Permit Applicadon.doc
apiscd: 42016
Page 2 of
PUBLIC WORKS PERMIT INFORMATION - 206 -433 -0179
Scope of Work (please provide detailed information):
lift ,4,,
Water District
❑...Tukwila ❑...Water District 4125
❑ ...Water Availability Provided
Sewer District
❑...Tukwila
❑...Sewer Use Certificate
Submitted with Application (mark boxes which 'only):
❑ ...Civil Plans (Maximum Paper Size — 22" x 34")
❑ ...Technical Information Report (Storm Drainage)
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s)
7rouosed Activities (mark boxes that apply
❑ ...Right -of -way Use - Nonprofit for less than 72 hours
❑ ...Right -of -way Use - No Disturbance
❑ ...Construction/Excavation/Fill - Right-of-way
Non Right -of -way
❑ ...Total Cut cubic yards
❑...Total Fill cubic yards
❑ ...Sanitary Side Sewer
❑ ...Cap or Remove Utilities
❑...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑... ValVue
❑...Sewer Availability Provided
❑...Permanent Water Meter Size...
❑ ...Temporary Water Meter Size .. "
❑...Water Only Meter Size
❑ ...Sewer Main Extension. Public
❑...Water Main Extension Public
RUppliratiSMFams/Wplicwiam On Iirc'3 -2016 - Pant Applicdon.doc
Rewind: 4-2006
bb
Call before you Dig: 1-800-424-5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
❑ .. Abandon Septic Tank
❑.. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
Private _
Private
❑ .. Highline
❑ .. Renton
❑ .. Renton ❑.. Seattle
❑ .. Approved Septic Plans Provided
❑ .. Geotechnical Report
❑ .. Maintenance Agreement(s)
❑ .. Right-of-way Use - Profit for less than 72 hours
❑ .. Right-of-way Use — Potential Disturbance
❑ .. Work in Flood Zone
❑ .. Storm Drainage
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑...Deduct Water Meter Size
❑...Traffic Impact Analysis
❑...Hold Harmless — (SAO)
❑...Hold Harmless — (ROW)
F4CE INFORMATION 1 k
Fire Line Size at Property Line , � r
❑...Water ❑...Sewer
Monthly Service Pilling to-
Number of Public Fire Hydrant(s)
❑ ...Sewage Treatment
Name: Day Telephone:
Mailing Address:
City
State
Zap
Water Meter Refund/Billing:
Name: Day Telephone:
Mailing Address:
City State Zip
Page 3 of 6
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor.
OW .
Fumace<100K BTU
Air Handling Unit >10,000
CFM
Fire Damper
0-3 HP /100,000 BTU
Furnace >100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
to Single Duct
Thermostat
15-30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventilation System
Wood/Gas Stove
30-50 HP /1,750,000 BTU
Appliance Vent
Hood and Duct
Water Heater
50 +HP /I,750,000 BTU
Repair or Addition to
Heat/Refrig/Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<10,000 CFM
Incinerator — Comm/Ind
Other Mechanical
Equipment
MECHANICAL PERMIT INFORMATION - 206 -431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City Sum Lp
Contact Person: Day Telephone:
E -Mail Address: Fax Number.
Contractor Registration Number.
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Use: Residential: New .... ❑ Replacement....❑
Commercial: New .... ❑ Replacement .... ❑
Fuel Tyne: Electric ❑ Gas ....0 Other.
Indicate type of mechanical work being installed and the quantity below:
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Reveal: 42006
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Expiration Date:
Page 4 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
Dental unit, cuspidor
Shower, single head trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
Water Closet
Building sewer or trailer
park sewer
Rain water system — per
drain (inside building)
Water heater and/or
vent
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of water
piping and/or water treating
equipment
Repair or alteration
of drainage or vent
Piping
Medical gas piping system
serving one to five
inlets/outlets for specific
gas
Additional medical gas
inlets/outlets — six or more
PLUMBING AND GAS PIPING PERMIT INFORMATION - 206 -431 -3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION ' ' I " t Ibirr
Company Name:
Mailing Address:
Gry Sure tip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number. Expiration Date:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
QAApplimbnnFa ufrApprrwiau On rircn -1106 -Permit Applunliondoc
Revised: 4-2006
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Page 5 of 6
PERMIT APPLICATION NOTES — Applicable to all permits in this application
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
Building and Mechanical Per 2y j
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 T 1+� f i HORIZED AGENT:
Signature: Date:91IVOla"
Print Name: 1 +i1 / / Di Day Telephone:
Mailing Address: AY �(� �`�Q
Date Application Accepted: O1- (21-(*
Q: ApplieaianAraas-Awlicaiops Oe LsU-2006 - Pmnii Applicsiioo.dc
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Date Application Expires:
ot
Staff Initials:
Page 6 of 6
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0923049068
Address: 3315 S 116 ST TUKW
Suite No:
Applicant: BLUE SKY
Payee: DAVID E. KEHLE ARCHITECT
TRANSACTION LIST:
Type Method Description
Amount
ACCOUNT ITEM LIST:
Description
Current Pmts
PLAN CHECK - NONRES
RECEIPT
Receipt No.: R06 -01132 Payment Amount: 281.39
Initials: JEM Payment Date: 07/2712006 03:45 PM
User ID: 1165 Balance: $437.40
Payment Check 17444 281.39
Account Code
000/345.830 281.39
Permit Number: D06 -287
Status: PENDING
Applied Date: 07/27/2006
Issue Date:
Total: 281.39
7743 07/27 9 716 TOTAL 461.22
doc: Receipt Printed: 07 -27 -2006
ACCOUNT ITEM LIST:
Description
Current Pmts
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 0923049068
Address' 3315 S 116 ST TUKW
Suite No:
Applicant: BLUE SKY
Receipt No.: R06 -01336 Payment Amount: 437.40
Initials: JEM Payment Date: 08/24/200611:32 AM
User ID: 1165 Balance: $0.00
Payee: DAVIS SCHUELLER INC
TRANSACTION LIST:
Type Method Description
Amount
Payment Check 3787 437.40
BUILDING - NONRES
STATE BUILDING SURCHARGE
RECEIPT
Account Code
000/322.100 432.90
000/386.904 4.50
Permit Number: D06 -287
Status: APPROVED
Applied Date: 07/27/2006
Issue Date:
Total: 437.40
9009 08/24 9716 TOTAL 437.40
doc: Receipt - Printed: 08 -24 -2006
Project:
f tie.
Type of Inspection: .
i iled: t F7�,.,
Address:
33 /
///
Date a
Special Instructions:
Date Wanted:
/1 — Z7 - O y ,
a.m.
Requester:
Phone No:
INSPCETION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
, 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)4 I -$670
INSPECTION RECORD
Retain a copy with permit
COMMENTS:
/c /
Approved per applicable codes. 0 Corrections required prior to approval.
ri $58.0 REINSPECT! G' FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
'Date:
Project:
a
Type of Inspection:
&4 - �`
• i / AO
Address:
3 /S sa
-
//‘ n
Date Called: 6
Special Instructions:
Date Wanted:
/l''-
(.m„
P.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECT' N NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PER
6)431 -3670
COMMENTS:
Approved per applicable codes. El Corrections required prior to approval.
El $58.0 REINSPECTION WtE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
(Date:
Project:
81744 SKy
Type of Inspection:
(lei/ k5_Zeus .
Address:
3 ?/5 S //G 47
Date Called:
Special Instructions:
Date Wanted: a.m.
/O- /S-U6, ca
Requester:
Phone No:
„Z OC- 3CJ -33 -2 O
5-
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
AoGae7
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Date:
8.00 REINSPECTION FE EQUIRED. Prio o inspection, fee must be
aid at 6300 Southcenter Bl .., Suite 1 t . all to sechedule reinspection.
(Receipt No.:
Date:
Project:
4L2 /F S•C y
Type of Inspection: V
Sv�s, c ,voEv (F, /•A
Address:
33 /5 5 //,
S
Date Called:
Special Instructions:
■
Date Wanted: Ca.nf.
/o — /B—o pm-
Requester:
air ` 3s/- .e 0
Approved
per applicable
codes. U Corrections
required prior to approval.
CO MENTS:
i�
Nur e %
no Nor owe We
..-7.-hr .. -!v S -- tee .i
Inspec
.
/
'Da," ti
NMS N RECORD
Retain a copy with permit .004--2.
INS CTION N PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (jg6)431.3670
95 8.00 REINSPECTION FILE REQUIRED. or to inspection, fee must be
paid at 6300 Southcente Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
Project: n
` /7�f tL SS/
Type o Inspection: 4
(29/ 4.4 %. 5/4
Address: N ,
Date Called:
Special Instruc
ns:
Date Wanted:
/�/
/at
�
-- gym " .
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
206)431 -36
COMMENTS:
Approved per applicable codes. 0Corrections required prior to approval.
$58.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
1
Project:
8/ 7/f Secie
Type of Inspection:
FR4ft11 4.
Address:
.73/S S. //.
9
Date Called:
Special Instructions:
Date Wanted:
/0 — .5 'ThC) 6
Requester:
Phone No
0 C°
- z_
INSPECTION RECORD
Retain a copy with perthit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431-36
k
El Corrections required prior to approval.
pproved per applicable codes.
COMMENTS:
p
LI $51.00 REINSPECTION FE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter lyd., Suite 100. Call to sechedule reinspection.
'Receipt No.:
'Date:
Project:
61„f Stt y
Type of Inspection: • `
S i's OF ,v.' c7c "nJ<
Address: u 3- £ / /G s--71
Date Called:
Special Instructions:
Date Wanted: (LT,
/6 — ..S - d C p.m.
Requester:
Phone No:
g06 - 35 . /-332.0
4r
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
El Approved per applicable codes.
PER
(2061431 -361'0
Corrections required prior to approval.
COMMENTS:
F/• eVi for" / 4 i" — NFF 4f I
/-,, i. 5 r, ,v k /o ✓ '- /l401,
Date , -- —d�
00� PECTION EE REQUIRED. Pfior to inspection, fee must be
id at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.: JDate:
Project -- LA ) F k,y
Type of Inspection:
CPR-It-wiz f �-
N -
Address: >3 iS S , Ill, 9r
Suite #: l z l
Contact Person:
'Th,, -o g,,/
Special Instructions:
Phone No.:
(7469 - Sz1i,
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
INSPECTION NUMBER
proved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
Word /Inspection Record Form.Doc 1/13/06
-221
O h- ! -1
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
444 Andover Park East, Tukwila, Wa. 98188 206 - 575 -4407
n Corrections required prior to approval.
COMMENTS:
Inspector: /. (A J l 5 / Z
Date: /d p9
Hrs.: /
$80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from
City of Tukwila Finance Department. Call to schedule a reinspection.
T.F.D. Form F.P. 113
Project: ¶ wr SK')
Type of Inspection:
Sett t ki a COvn
Address: ;3' 5 S. II& `7
Suite #: 121
Contact Pers
% /o4,iJ
Special Instructions:
Phone No.:
(ZOO 473 —S2 y0
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
INSPECTION NUMBER
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
Word /Inspection Record Form.Doc 1/13/06
bok 227
n & - 5- 192
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
444 Andover Park East. Tukwila. Wa. 98188 206 - 575 -4407
n Corrections required prior to approval.
COMMENTS:
OK- 10 Coul`2
- Ck W MUtJl t M tiN(o Ir! I2M 4. * ON IG #u
Inspector: Q / 6 12_
Date: toIl`btot,
Hrs.: I
$80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from
he City of Tukwila Finance Department. Call to schedule a reinspection.
T.F.D. Form F.P. 113
Space Heat Type
O Electric resistance B Al other (see over for definitions)
Glazing Area Calculation
Note: Below wade wells may be included In the
Gross Exterior Wall free if they we Insulated to
the lewd required for opaque walls.
Total Glazing Area Electronic version: these values are automatically taken from ENV -UA -1.
(mtrgh opening) Gross Exterior
(1ertical & off) divided by Wan Area times 100 equals % Glazing
l�r T = IVY
Z 11•cy IIS X 1 C
Conaete/Masonry Option
O Yee Check here if using this option and if project meets sit requirements for the CorlaetMNasonry
a. Option. See Decision Flowchart (over) for qualifications. Enter requirements for each quaking r>o assembly below.
Envelope Requirements (enter values as applicable)
Fully heated/cooled apace
Minimum Insulation R -values
Roofs Over Attic
�7)I'
HOP', �,yr.te 121
An Other Roofs
0
Opaque Walls'
i.'1
ApPYcantAddress: OW a4m .
Below Grade Walls
Applicant Phone: lea, - 435 - *.
Floors Over Unconditioned Space
Slabs-on-Grade
Radiant Floors
Maximum U -factors
Opaque Doors
b. 60
Vertical Glazing
bj. SS—
Overhead Glazing
'
Maximum SHGC (or SC)
Vertical/Overhead Glazing
Project Info
Paled Mamas ME 'q'
D a t eoll11ID(v
�7)I'
HOP', �,yr.te 121
For Building Department Use
CO
FILE Pi
r`
� /b..
�
APWicant Name: L�V ��W
I
i.'1
ApPYcantAddress: OW a4m .
//�����j..b�e�
rt litc, "/WIILC
Applicant Phone: lea, - 435 - *.
Envelope Summary
Climate Zone 1
ENV -SUM
2004 Washington SOW NgxMtl.ntSl Enemy Cole Compliance Fame
Project Description
I 0 New Building ❑ Addition VAlteretion
❑ Change of Use
Compliance Option
Semi-heated
Minimum mfsuiatin It-values
Roofs Over Semi -Heated Spaces
I II
1. Assemblies with metal framing must comply with overall U -factors
2. Refer to Section 1310 for qualifications and requirements
Notes:
2004 Washington State Nonresidential Ene Code Compliance Form
g Prescriptive i> L. Component Perfomvance
(See Decision Flow64rt (over) for qualifications)
❑ Systems Analysis
Rowed May 2006
Opaque Concrete/Masonry Wan Requirements
Wall Maximum U- factor Is 0.15 (R5.7 continuous ins)
CMU block walls with insulated cores comply
If project qualifies for Concrete/Masonry Option, her walls with
HC 2 9.0 Btu/fr F below (other walls must meet Opaque
Wall requirements). Use descriptions and values from Table
10.9Iythe Code.
Wall Description
(including Insulation R -value & position)
U- factor
IL .....,t i va-o
AUG 0 6 ZIKI6
lty Tukwila
6U1W1NG DIVISION
RECEIVED
C TV OF TI
2 1 2006
PERMIT CENTEh
PO(o fl
Envelope Summary (back)
Climate Zone 1
ENV -SUM
2004 Washington Sete Nonresidential Energy Coes Complex. Patna
Decision Flowchart
for Prescriptive Option
Use this now -hart art to determine if project qualifies for the optional Prescriptive Option.
If not, either the Component Performance or Systems Analysis Options must be used.
1302 Slap Hest lypr For re purpose at detwmhsp Wilding aiwlope
requhanene, the blowing two elagates comers all spas rating typsa:
Other Al other space heating systems including ge* solid fuel, Mk and
propene spew hosting systems end arose s t ns rod in the acorn to
electric resistance. (continued at right)
2004 Washi , on State Nonresidential Energy Code Compliance Form
M Insulation Installed?
Below Grd Wall (at)
Below Grd Weil (ah)
Roof Over Attic
Al Other Roof
Raised Floor
Slab -On -Grade
Radial Floor
Opegta Door
R -10
R -19
R-30
R -21
R -19
R -10
R -10
U -0.80
N
•
Masa War Insulation Req
Mass Wall U0.15/R5.7ci
CMU Block Ira Cores
Wood Frame R19
Metal Framed RIB
i
Glazing Craeria Met?
Glazim
Area %
0-30%
30-45%
'45%
Vert CH
UVal UVal SHGC
0.55 0.70 0.45
0.45 0.80 0.40
Na Mowed
Prescriptive I Yes No
Path Mowed
Component Performance
or
Systems Analysis Required
Bacble Resistance: Space heating sterns whir use electric resistance
eenats r the ptesry heeWg system Including baseboard, radiant and
farad ail will range the tor Were octane heat capacity etc ssds 1.0
Wife of the per conditioned Orr anti. Exception: Fleet pane end
temnnal elecbic redsance heating in arable air rune debibutle systems.
i
Al Insulation Installed?
Wood
Below Grd Wall (at) R -10
Below Grd Wall (oth) R -19
Roof Over Attic R-38
M Other Roof R-30
R-30
R -10
R -10
U -0.80
Metal
R -10
U -0.062
U -0.031
U -0.034
U -0.029
R -10
R -10
U -0.60
Wrt CH
UVaI UVal SHGC
040 0.80 040
Not Mowed
Mass Wail Insulation Req
Mass Wall U0.15/R5.7ci
CMU Block Ina Cores
Wood Frame R19
Metal Framed 00.082
Concrete/Masonry Option*
Assembly Description
Wall Heat Capacity (HC)
Assy.Tag
HC'
Area (at)
Totals
Area weighted HC: divide total of (HC x area) by Total Area
HC x Area
Rover May 2005
if the area
weighted heat
capacity (HC) of
the total above
grade wall Is a
minimum of 9.0,
the Concrete
Masonry Option
may be used.
For framed
walls, assume
HC =1.0 unless
calculations are
provided, for all
other walls, use
Section 1009.
Building Permit Plans Checklist ENV -CHK
2001 Waarwann es. Nwreakerdtl Energy Cove Compliance Ferny mess its,
Project Address is:/.2,0 b b.Itf i* elite
r ate 0 7141Ni
requirements
in the
The following information is necessary to check a building permit application for compliance with the building envelope
Washington State Nonresidential Energy Code.
Applicability
(yes, no, n.a.)
Code
Section
!Component
Information Required
Location
I on Plans I
Building Deparbnent
Notes
GENERAL REQUIREMENTS (Sections 1301 -1314)
1301
Scope
Unconditioned spaces identified on plans if allowed
1302
Space heat type:
ltmr,
Indicate on plans that electric resistance heat is not allowed
il
13102
Semi-heated spaces
semi heated spaces identified on plans if allowed
1- I
1311
Insulation
1
- J \
1311.1
kaW. Installation
Indicate densities and dearancaa
' `% t
it
13112
Roof /ceiling kaul.
Indicate R -value an and actions for attics and ether roofs:
Indicate clearances for attic insulation;
Indicate baffles if installed;
r, I
save vents
Indicate face stapling effaced bets
11
"l
1311.3
Wall insulation
Indicate Realms an vial sections;
Indicate face stapling ef faced bells;
Indicate above grade exterior ksulatbn is protected;
Indicate loose-1111 core Insulation for masonry walls as nicest
Indicate heat capacity of masonry wells
if masonry option is used F73;
t
kiiis
1311.4
Floor Insulation
Indicate R-value an floor sections;
Indicate substantial contact weh surface;
Indicate supports not more than 24' on;
Indicate that insulation does not block
aMlowthrough foundation vents
1311.5
Slab-on-grade floor
Indicate R -value on wall section or foundation detail;
Indicate slab insulation attends down vertically 2C from top;
Indicate shove grade edabr insulation is protected
1�t1 l
VT (t,
1311.6
Radiant floor
Indicate R-value an well section or foundation detail;
al insulation I
Indicate slab insulation elands down vertically 3C from the top;
Indicate Wow grade edwior aviation is protected;
Indicate Insulation also under entire slab where rafd. by Official
4
1312
Glazing and doors
Provide both
v. `
calculation of glazing area (including vertical
vertical and overhead) a d percent gross well w
1312.1
U -factors
Indicate glazing and door U-adore on glazing and door
schedule (provide area - weighted calculations as necessary);
Indicate If values are DFRC or default, if values are default
then pacify frame type, Min My gapwidth, bore
coatings, gas fillings
't' • I
IA
13122
SHOO & SC
indicate glazing solar heat gain coefficient or shading
coefficient on glazing schedule (pride area'vue9hled
calculations as necaeM
1'. I
1313
Moisture control
u
13131
Vapor retarders
Indicate vapor retarders on warm side
4•4
+ s IL
1T ft
13132
Roof/ceiling vep.M.
Indicate vapor Harder an rod section;
indicate cup. retard. with sealed seams for non -wood shoo.
`J
- t
13133
Wall vapor retarder
Indicate vapor retards on wag section
.r, I
1313.4
Floor vapor retarder
Indicate vapor retarder on floor section
1 I._
Dr`
1313.5
Crawl space cup. rel.
Indicate six mil black polyethylene overlapped 1T on ground
1314
Air leakage
1
1314.1
Bldg. eovel. sealing
Indicate sealing, caulking, gaketing, and weatherstripping
11
13142
Glazing/door sealing
Indicate weatherstripping
„
7
4I t _ R
tT
Assemb. a ducts
pasting
Indicate sealing, nulling and pasting ng
PRESCRIPTNE/COMPONENT PERFORMANCE (Sections 1320 -23 or 1330-34)
e
�'T
Envelope Sum. Form
Completed and attached.
Provide component performance worksheet if necessary
I
,t/
If "no" Is shown for any question, provide explanation:
2004 Washington State Nonresidential Energy Code Compliance Form
Project Info
Project Address E
•-I
Date of I_Q11t7l-
For Building Department
let a
Use
con
r / OP.
/V',eI I IV V 1'
0 /' e!LY
ertle
Applicant Name: Ian D tjr.}+,ie 1ecti
- 1020.
W 3 r%t111C
Applicant Address: 1
Ikea ' /V'l llx
- 1
Applicant Phone: IMO 4",;46141:1-
"_..
Project Description
■ New Building CI Addltlon
9Utfatibn
for control and commissioning
VA► Poi' Nip kcal t
b c- -- -. c .•:J
NI Plans Pla
Refer to WSEC Section 1513
requirements.
Compliance Option
O Prescriptive ID Lighting
(See Qualification C (over).
'
Power Albrfance O Systems Analysis
Indicate Prescriptive & LPA spaces clearly on plans.)
Alteration Exceptions
(check appropriate box - sec. 1132.3)
to the lighting
• No changes are being made
❑ Less than 80% of the fixtures new, Stalled wattage not increased, & space use not changed. -
Location
( floor /room no.)
Occupancy Description
Allowed
Watts per ft
Area in tt
Allowed x Area
1- ►Q•
ertle
I `
- 1020.
low
1 -I2
zx - at II
to
(Q4'
140
II
VA► Poi' Nip kcal t
I
Le
Z
" From Table 15-1 (over) - document all exceptions on form LTG-LPA Total Allowed Watts
1030
Location
(floor/room no.)
Fbdure Description
Number of
Fixtures
Watts/
Fbdure
Watts
Proposed
1. 12-
2x - 3t'
0
1 -I2
zx - at II
to
(Q4'
140
II
VA► Poi' Nip kcal t
I
Le
Z
Total Proposed Watts may not exceed Total Allowed Watts for Interior Total Proposed Watts
I (:) 11,7
LTG -SUM
.ig,hting Summary
2C04 Wallington State NonrasdenSW Energy Code Cornpliue> Forme
2004 Washington State Nonresidential Energy Code Compliance Form
Revised May 2005
Maximum Allowed Lighting Wattage (Interior
Notes:
1. Use manufacturer's listed maximum input wattage. For hard -wired ballasts only,
the default table in the NREC Technical Reference Manual may also be used
2. Include exit lights unless less than 5 watts per fixture.
Proposed lighting Wattage (Interior) 3. List all fbdures. For exempt lighting, not exception and leave Watts/Fbdure blank.
Maximum Allowed Lighting Wattage (Exterior)
Location
Covered Parking
(standard paint)
Covered Parking
(reflective paint)
Open Parking
Outdoor Areas
Bldg. (by facade)
Bldg. (by perim)
CODE COED ACE
pr••yrt 01! 1 -1)
AUG 0 8 2006
Hl 1 u
Cit Of Tukwila
nnRCION
p1i LIRl916�t
Allowed Watts
per ft or per If
0.2 W/ft
0.3 W/ft
0.2 WM
0.2 WM
0.25 w/ft2
7.5 W/If
Area In ft
(or If for perimeter)
Allowed Watts
x ft (or xlf)
1. Choose either the facade area or the
Total Allowed Watts
Use mtgr wed maximum input wattage. for lectures with Hard W ED
Proposed lighting Wattage (Exterior) default table in the NREC Technical Reference Manual may also b e uS f1F TI I ILP
iteg 7 i 006
PERMIT CENTER
Location
Fbdure Description
Total Proposed Watts may not exceed Total Allowed Watts for Exterior
Number of
Fbdures
Watts/
Fbdure
Total Proposed Watts
ha at
to
Jed: J
Po(0 a1151
Use'
LPA`(W /sf)
Use'
LPA /sf)
1.0
Painting, welding, carpentry, machine shops
2.3
Office buildings, office/administrative areas in
facilities of other use types (Including but not limited
to schools probate, institutions, museums, banks,
churches)
Barber shops beauty shops
2.0
Police and fire station?
1.0
Hotel banquet/conference /exhibition hall'?"
2.0
Atria (atriums)
1.0
Laboratories
1.8
Assembly spaces", auditoriums, gymnasia", heaters
1.0
Aircraft repair hangars
1.5
Group R -1 common areas
1.0
Cafeterias, fast food establishments'
1.5
Process plants
1.0
Factories, workshops, handli • areas
1.5
Restaurants/bars'
1.0
Gas stations, auto repair shops
1.5
Locker and/or shower facilities
0.8
Institution
1.5
Warehouses ", storage areas
0.5
Libraries'
1.5
Aircraft storage hangars
0.4
Nursing homes and hotel/motel guest rooms
1.5
Retail'", retail banking
1.5
Wholesale stores (pallet rack shelving)
1.5
Parking garages (see exterior lighting)
Section 1532
Mall concourses
1.4
Schools buildings (Group E occupancy only),
school classrooms day care centers
1.35
Plans Submitted for Common Areas Only'
Laundries
1.2
Main floor building lobbies' (except mall concourses)
1.2
Medical Offices, Clinics"
1.2
Common areas, corridors, toilet facilities and
washrooms, elevator lobbies
0.8
Prescriptive Spaces
Occupancy
0 Warehouses, storage areas or aircraft storage hangers 8 Other
Qualification Checklist
Li
• Check if all fixtures are ballasted and at least 95 96• of fbdures are either:
Note: If occupancy type Is 'Other and fixture
Fixtures:
answer is checked, the number of fixtures In
(Section
1. Fluorescent fbdures which a) are non - lensed. b) have 1 or 2 two lamps c) have
the space is not limited by code. clearly
1521)
580 watt T -1, T -2, T4, T-5, T -6, T-8 lamps. d) have hard -wired electronic
indicate these spaces on plans. If not
dimming ballasts. Screw -in compact fluorescent fbdures do not qualify.
qualified. do.LPA Calculations.
2. Metal Halide with a) reflector b) ceramic MH lamps < =150w c) electronic ballasts
• - Exit and LED lights can be excluded from count if < 5 watts/fodure.
Lighting Summary (back)
LTG -SUM
2034 Washington Sets Nonrnid.nbai Energy cod. Compliance FORM
2004 Washington State Nonresidential Energy Code Compliance Form
Revised May 2005
TABLE 15-1 Unit Lighting Power Allowance (LPA
Footnotes for Table 15-1
1) In cases in which a general use and a specific use are listed, the specific use shall apply. In cases in which a use is not
mentioned specifically, the Unit Power Allowance shall be determined by the building official. This determination shall be
based upon the most comparable use specified in the table. See Section 1512 for exempt areas.
2) The watts per square loot may be increased, by two percent per foot of ceiling height above twenty feet, unless specifically
directed otherwise by subsequent footnotes.
3) Watts per square Foot of room may be increased by two percent per foot of ceiling height above twelve feet.
4) For all other spaces, such as seating and common areas, use the Unit Light Power Allowance for assembly.
5) Watts per square foot of room may be increased by two percent per foot of ceiling height above nine feet.
6) See Section 1532 for exterior lighting.
7) For conference rooms and offices less than 150ft with full height partitions, a Unit Lighting Power Allowance of 1.20 w/ft'
may be used.
8) For the fire engine room, the Unit Lighting Power Allowance Is 1.0 watts per square foot.
9) For Indoor sport toumament courts with adjacent spectator seating, the Unit Lighting Power Allowance for the court area Is
2.6 watts per square foot.
10) Display window illumination Installed within 2 feet of the window, provided that the display window is separated from the
retail space by walls or at least three - quarter -height partitions (transparent or opaque). and lighting for free- standing display
where the lighting moves with the display are exempt.
An additional 1.5 w /R of merchandise display luminaires are exempt provided that they comply with all three of the
following:
a) located on ceiling- mounted track or directly on or recessed into the ceiling itself (not on the wall).
b) adjustable in both the horizontal and vertical axes (vertical aids only is acceptable for fluorescent and other fixtures
with two points of back attachment).
c) fitted with LED, tungsten halogen, fluorescent, or high Intensity dIsctage lamps.
This additional lighting power is allowed only If the lighting Is actually installed.
11) Provided that a floor plan, Indicating rack location and height, Is submitted, the square footage for a warehouse may be
defined, for computing the Interior Unit Lighting Power Allowance, as the floor area not covered by racks plus the vertical
face area (access side only) of the racks. The height allowance defined in footnote 2 applies only to the floor area not
covered by racks.
12) Medical and clinical offices include those facilities which, although not providing ovemigM patient care, do provide medical,
„ dental, or psychological examination and treatment. These spaces include, but are not limited to , laboratories and
treatment centers.
Lighting Permit Plans Checklist LTG -CHK
2W4 Washington State Noniesi entIa( Energy Code Complienne Fauns Revised May 2005
Pr(ectAddress I /0 . II roe" Sztt iz.i
Nate tri
1 iq 104
The following information is necessary to check a lighting permit application for compliance with the lighting requirements in the
2004 Washington State Nonresidential Energy Code.
Applicability
(yes, no, n.a.)
I Code
Section
!Component
Information Required
Location
on Plans
Building Department
Notes
LIGHTING CONTROLS (Section 1513
I
1513.1
Local control/access
Schedule with type, indicate locations
t-1
�{
1513.2
Area controls
Maximum limit per switch
T„I
µ
1513.3
Daylight zone control
Schedule with type and features, indicate locations
Kist
Y vertical
glazing
Indicate vertical glazing on plans
-t -I
µ/b
overhead glazing
Indicate overhead glazing on plans
1513.4
Display/sahib/special
Indicate separate controls
R 1513.5
n�R
Exterior shut-off
Schedule with type and features, indicate location
, I l
(a) timer w /backup
Indicate location
K R
(b) photocell.
Indicate location
1513.8
Inter. auto shut-off
Indicate location
l FI ' N L
n{P1
1513.6.1
(a) occup. sensors
Schedule with type and locations
1f'
Mt
1513.6.2
(b) auto. switches
Schedule with type and features (back -up, override capability);
Indicate size of zone on plans
I S
1513.7
Commissioning
Indicate requirements for lighting controls commissioning
Lighting Sum. Form
Completed and attached.
Schedule with fidure types,
lamps, ballasts, watts per ficture
µ Ja
1437
Elec motor efficiency
MECH -MOT or Equipment Schedule with hp, rpm, efficiency
2004 Washington State Nonresidential Energy Code Compliance Form
If "no' is circled for any question, provide explanation:
ACTIVITY NUMBER: D06 -287
PROJECT NAME: BLUE SKY
SITE ADDRESS: 3315 S 116 ST, STE 121
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision #
DATE: 07 -27 -06
After Permit Issued
DEPARTMENTS: fly('
Btllcfing Division
U �
Pu�bl Works
( K� �.I,u & I n
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
TUES/THURS ROUTING:
Please Route
Approved ❑
Notation:
Documents/routing slip.doc
2 -28-02
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
REVIEWER'S INITIALS:
i.e./PERMIT COORD COPY "
PLAN REVIEW /ROUTING SLIP
�d� G 34
Fire evention
Structural
Incomplete ❑
Structural Review Required
Approved with Conditions
DATE:
DATE:
Btu. 6-
Planning Division gki
Permit Coordinator
DUE DATE: 08-01-06
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED:
Departments determined incomplete: Bldg ❑
LETTER OF COMPLETENESS MAILED:
Fire ❑ Ping ❑ PW ❑ Staff Initials:
No further Review Required
DUE DATE: 08-29 -06
Not Approved (attach comments) ❑
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑
Staff Initials:
Kind of Fixture
Fdtur
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
e
Sink, Clinic flushing
8
8
Sink, kitchen
3
2
Sink, other (service)
3
1.5
Sink, wash fountain, circle spray
4
3
Urinal, flush valve, 1 GPF
5
2
Urinal, flush valve, >1 GPF
6
2
Water closet, tank or valve, 1.6 GPF
6
3
Water closet, tank or valve, >1.6 GPF
8
4
Non - Residential
Sewer Use Certification
lane County
(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.)
new sewer customers. The charge is collected semi- annually. All future
billings can be prepaid at a discounted amount.
Questions regarding the capacity charge or this form should be referred to
King County's Wastewater Treatment Division at (206) 684 -1740.
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
(Maw pint or ryvy, Property Tax ID N " ! Q v
Owner's Name `YO Wire •
(Last, F , Middle Initial) Party to be Billed (if different from owner)
Subdivision Name Lot a Party's Mailing Address:
Subdiv. a Block I
Building Name (if applicablee)u) Vv mow,
Property Street Address , e'N
•
Owner's Phone Number ('tutu
Owner's Mailing Address (it different from above) ,r 1 M'
/V91Jiv) Flip V ii(4 lV
!Lb, litb •
A. Fixture Units
Fixture Units x Number of Fixtures = Total Fixture Units
Total No. of Fixture Units _
20
1059 (Rev. 1/03)
Total Fixture Units
Residential Customer Equivalent (RCE)
20 fixture units equal 1.0 RCE
l0a1
ACE
White — King County
H
Department of
Natural Resources and Parks
RCE
City or Sewer District
Date of Connection asp
Side Sewer Permit a Dry •
LA•
or Property Contact Phone a (
Demolition of pre- existing building? O Yes %No
Type of building demolished
Sewer disconnect date
B. Other Wastewater Flow
(in addition to Fixture Units identified in Section A)
Type of Facility /Process:
Estimated Wastewater Discharge:
Gallons/days
Residential Customer Equivalents (RCE):
187 gallons per day equals 1.0 RCE
Total Discharge (gaVday) _
187
C. Total Residential Customer Equivalents.
(add A & B) RECEIVED
CITY OF TUKWILP
A JUL 2 7 2006
B PERMIT CENTER
RCE
I certify that the information given Is correct. I understand
that the capacity charge levied will be based on this
intonation and any deviation will require resubmission of
corrected data for determination of a revised capacity
charge.
Signature of Owne
Representative \S�—
Print Name of Owrlefl� _
Representative ' �)y(G
DatetilZ0 tr
Yellow — Local Sewer Agency Pink — Sewer Customer
e.. 6
ar
r k1001 l '3 id = (i4r
OM• ?Xo'xabh { IA �j = N- - 1,5 ?41.5
W-21' to ' = d
IuovYsw w� v lot Gib
_ 1 PA/.S x i &' = %9 gp
'hiitoWdw wf R -l�
btbo v31 : 6*o
44441 )4 $6 '- 't6o1,
a
HE EI
OIN OFTUKWII/
JUL 2 7 2006
PERMIC ;,ENTEF
License Information
License
DAVISSI105PN
Licensee Name
DAVIS SCHUELLER INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
601273797
Ind. Ins. Account Id
SECRETARY
Business Type
CORPORATION
Address 1
20700 44TH AVE W STE 280
Address 2
City
LYNNWOOD
County
SNOHOMISH
State
WA
Zip
98036
Phone
4257759400
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
10/15/1990
Expiration Date
7/1/2008
Suspend Date
Separation Date
Parent Company
Previous License
SEACRMI104DE
Next License
SILVECI988Q0
Associated License
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
DAVIS, BILL E
PRESIDENT
01/15/1990
SCHUELLER, DANETTE
SECRETARY
01/15/1990
DAVIS, BARBARA D
TREASURER
01/15/1990
SCHUELLER, KENNETH
E
VICE
PRESIDENT
01/15/1990
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 3
%
Washington State Department of Labor and Industries
General/Specialty Contractor
A business registered as a construction contractor with L&I to perform
construction work within the scope of its specialty. A General or Specialty
construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Bond Information
Bond Bond
Company ! Account Effective Expiration Cancel Impaired Bond Received
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= DAVISSI105PN 08/24/2006
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