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Permit D06-323 - Highline Medical Center - Remodel
HIGHLINE MEDICAL CENTER 12844 MILITARY RD S D06 -323 CITY OF Tul t': ".I A DEFT. OF 6bvJ ,'J 1;.:. ?diL TUKWILA, WA ,ri3I6t DEVELOPMENT PERMIT Parcel No.: 1623049001 Permit Number: D06 -323 Address: 12844 MILITARY RD S TUKW Issue Date: 09/25/2006 Suite No: Permit Expires On: 03/24/2007 Tenant: Name: HIGHLINE MEDICAL CENTER Address' 12844 MILITARY RD S, TUKWILA WA Owner: Name: HCH SPECIALTY CENTER Address' ATTN ACCOUNTING DEPT, 12844 MILITARY RD S, TUKWILA WA 98168 Phone: Contact Person: Name: DIANNE MUNROE Address' 16251 SYLVESTER RD SW, BURIEN WA, 98166 Phone: 206 431 -5343 Contractor: Name: G L Y CONSTURCTION INC Address' PO BOX 6728, BELLEVUE WA 98008 Phone: 425 451 -8877 Contractor License No: GLYCOI'01809 doc: IBC - PERMIT **continued on next page** PERMIT CENTER Expiration Date:09 /30/2006 DESCRIPTION OF WORK: REMODELING TO ADD AIR CONDITIONING, MEDICAL GASES AND ELECTRICAL IMPROVEMENTS. GENERAL CONSTRUCTION CONSISTS OF DEMOLITION, FINISHES RESTORATION AND OTHER CONSTRUCTION TO FACILITATE MECHANICAL AND ELECTRICAL WORK. Value of Construction: $325,000.00 Fees Collected: $4,613.74 Type of Fire Protection: SPRINKLERS International Building Code Edition: 2003 Type of Construction: II Occupancy per IBC: D06 -323 Printed: 09 -25 -2006 t� yr - PA DEFT I', L..V, :C.:„ NT : I;J.:N I LR CLVD. TUKWILA, WA 9d188 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: Permit Center Authorized Signature: I hereby certify that I have read and ordinances governing this work will b 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: Print Name: doc: IBC - PERMIT N N N kyeR AA k4Fr yrioe Private: Public: Profit: N Non - Profit: N Private: Public: Number: 0 Size (Inches): 0 Start Time: End Time: Volumes: Cut 0 c.y. Fill 0 c.y. Start Time: End Time: SJPERMIT CENTER Permit Number: D06 -323 Issue Date: 09/25/2006 Permit Expires On: 03/24/2007 Date: b is permit and know the same to be true and correct. All provisions of law and with, whether specified herein or not. Date: '7/25/01' 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 -323 Printed: 09-25 -2006 City or Tukwila Parcel No.: 1623049001 Address: 12844 MILITARY RD S TUKW Suite No: Tenant: HIGHLINE MEDICAL CENTER 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: cLtukwila.wa.us PERMIT CONDITIONS Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: D06 -323 Status: ISSUED Applied Date: 08/18/2006 Issue Date: 09/25/2006 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 mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431- 3670). 4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 5: Installation of high- strength bolts shall be periodically inspected in accordance with AISC specifications. 6: When special inspection is required, either the owner or the registered design professional in responsible charge, shall employ a special inspection agency and notify the Building Official of the appointment prior to the first building inspection. The special inspector shall furnish inspection reports to the Building Official in a timely manner. 7: A final report documenting required special Inspections and correction of any discrepancies noted in the inspections shall be submitted to the Building Official. The final inspection report shall be prepared by the approved special inspection agency and shall be submitted to the Building Official prior to and as a condition of final inspection approval. 8: New suspended ceiling grid and light fixture installations shall meet the non - building structures seismic design requirements of ASCE 7. 9: Insulating materials, where exposed as installed in buildings of any type of construction, shall have a flame spread index of not more than 25 and a smoke development index of not more than 450. Where facings are installed in concealed spaces in buildings of Type III, IV, or V construction, the flame spread and smoke - developed limitations do not apply to facings, that are installed behind and In substantial contact with the unexposed surface of the ceiling, wall or floor finish. 10: 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. 11: Special inspection for sprayed fire - resistant materials applied to structural elements and decks is required. Special inspections shall be based on the fire- resistance design as designated in the approved construction documents. 12: 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). 13: 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 doc: Conditions D06 -323 Printed: 09 -25 -2006 City o r 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 Building Official from requiring the correction of errors in the construction documents and other data. 14: ** *FIRE DEPARTMENT CONDITIONS*** 15: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 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: 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) 18: 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) 19: 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) 20: 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) 21: Maintain fire extinguisher coverage throughout. 22: Medical gases installations to comply with IFC Chapter 30 and NFPA 99. 23: 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) 24: 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) 25. 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) 26: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10) 27: Exits and exit access doors shall be marked by an approved exit sign readily visible from any direction of egress travel. Access to exits shall be marked by readily visible exit signs in cases where the exit or the path of egress travel is not immediately visible to the occupants. Exit sign placement shall be such that no point in an exit access corridor is more than 100 feet (30,480 mm) or the listed viewing distance for the sign, whichever is less, from the nearest visible exit sign. (IFC 1011.1) doc: Conditions D06 -323 Printed: 09-25 -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 28: Every exit sign and directional exit sign shall have plainly legible letters not less than 6 inches (152 mm) high with the principal strokes of the letters not less than 0.75 inch (19.1 mm) wide. The word "EXIT" shall have letters having a width not less than 2 inches (51 mm) wide except the letter "I ", and the minimum spacing between letters shall not be less than 0.375 inch (9.5 mm). Signs larger than the minimum established in section 1011.5.1 of the International Fire Code shall have letter widths, strokes and spacing in proportion to their height. The word "EXIT" shall be in high contrast with the background and shall be clearly discernible when the exit sign illumination means is or is not energized. If an arrow is provided as part of the exit sign, the construction shall be such that the arrow direction cannot be readily changed. (IFC 1011.5.1) 29: Exit signs shall be illuminated at all times. To ensure continued illumination for a duration of not less than 90 minutes in case of primary power loss, the sign illumination means shall be connected to an emergency power system provided from storage batteries, unit equipment or on -site generator. (IFC 1006.1, 1006.2, 1006.3) 30: Means of egress, including the exit discharge, shall be illuminated at all times the building space served by the means of egress is occupied. The means of egress illumination level shall not be less than 1 foot - candle (11 lux) at the floor level. The power supply for the means of egress illumination shall normally be provided by the premise's electrical supply. In event of a power failure an emergency power system shall provide power for a duration of not less than 90 minutes and shall consist of storage batteries, unit equipment or on -site generator. (IFC 1006.1, 1006.2, 1006.3) 31: 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) 32: Sprinklers shall be installed under fixed obstructions over 4 feet (1.2 m) wide such as ducts, decks, open grate flooring, cutting tables, shelves and overhead doors. (NFPA 13- 8.6.5.3.3) 33: When subject to vehicular damage, protective guard posts or curbs are required around all gas meters, electrical transformers, sprinkler valves and hydrants. Posts and curbs are to be painted yellow. (City Ordinance #2052) 34: Maintain automatic fire detector coverage per N.F.P.A. 72. Addition /relocation of walls, closets or partitions may require relocating and /or adding automatic fire detectors. 35: Maintain fire alarm system audible/visual notification. Addition /relocation of walls or partitions may require relocation and /or addition of audible /visual notification devices (City Ordinance #2051) 36: All new fire alarm systems or modifications to existing systems shall have the written approval of The Tukwila Fire Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #2051) (IFC 104.2) 37: An electrical permit from the Washington State Department of Labor and Industries is required for this project. 38: All electrical work and equipment shall conform strictly to the standards of the National Electrical Code. (NFPA 70) 39: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2050 and #2051) 40: Any overlooked hazardous condition and /or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 41: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575 -4407. doc: Conditions 006 -323 Printed: 09 -25 -2006 doc: Conditions City c r°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 * *continued on next page ** Steven M Mullet, Mayor Steve Lancaster, Director D06-323 Printed: 09 -25 -2006 City &Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -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. Signature: Print Name: doc: Conditions M W rr Date: `0t/ D06.323 Printed: 09-25 -2006 SITE ,LOCATION Site Address: 12,44 1- 11L1.r.647 -f 124, '7 Tenant Name: ',`tr hilt Property Owners Name -t'fl444t .4 MS 1 Mailing Address. CONTACT PERSON::.: Mailing Address• E -Mail Address: CITY OF TUKWILA.," Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. cL tukwila. we. us Building Permit No:; Mechanical Penult N Plumbing /Gas Permit Public Works Pena Project No. 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'* King Co Assessor's Tax No.: ((OZ' 2204 •- °ICY71 Suite Number: New Tenant: Floor: Z d ❑ Yes [c1..No ,mot. ••• • Name: 'nbot1/4.11--1P; tit I Lll2 -rer Mailing Address. ((n? —1 C ttl Sv J E -Mail Address. GENERAL CONTRACTOR INFORMATION - (Contractor "Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name. `L-'( CcMST%t IC-11 4 Mailing Address LS I. le 1 501 L4 ''G%P 'De c. attr. Contact Person:DSie StAiz- It-.16t E -Mail Address: -f J f C. e.G 'f. Contractor Registration Number: G(i 4? i tint ' -c-A 9- P1 ,ARCHITECT OF RECORD - A11 plans must be wet stamped by Architect of Record Company Name (t rt 1G + CH )T14 Contact Person: i 4 •"► ETA" City tr :L.7'tze ICTLAtzJkt ( an v rr Q: ApplicationsWorms.Applications On Lnet3 -21106 - Permit Application.doc Revised: 4-2006 bh State Zip Day Telephone: ZOtn - Y"-A . s344 (�ia• i?5 11n(n State Zip City Fax Number: 2o(v • 2-Ala . 'Zoo 3'7F1 LF• %1 US 1k s ° 17xarc City State Zip Day Telephone: 44•2S .4(o1. 1 10ej Fax Number: 42S . 4161- 1MP\ Expiration Date: 9 /30 /Olc' Company Name- t -1141 e T isstz.44 rrFC5rUtiot t. (Or.tp&s - j Mailing Address:: ZZ01 (cm .RTC 14C:r S4 r-r, P ci9,12 I City State Zip Contact Person: a�►St✓ � '1d, Day Telephone: SC:3Ia. %. 4S7-2— E -Mail Address: t {rSn -1 °� t`l►�A�2 eA o. Cyr l Fax Number: ja a. 4441 . 1 el f [ENGINEER OF RECORD - Aii plans must be wet stamped by Engineer of Record City State Zip Day Telephone: 42.-S. 4''Ls . 3(.01. 101 Fax Number: '2 7 , ‘S Page 1 of 6 BUILDING PERMIT INFORMTON - 206 - 431 -3670 Valuation of Project (contractor's bid price): $ �. , not". W Existing Building Valuation: $ Scope of Work (please provide detailed information): 4‘1 a ± ► U �i vlJ►� 4 — • Sir Irmo meg ►n r iZo m• LZ 011-612-- To .ir.e_ t t-j' 41G46.4 . .A4- ltd 'E et fl-jL.Aet Will there be new rack storage? ❑..Yes t...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 ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 1 . Sprinklers ❑_Automatic Fire Alarm ❑ ..None ❑_Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑.. Yes ❑ No If "yes", attach list ofmaterials and storage locations on a separate 8 - 1/2 x 11 paper indicating quantities and Material Safety Data Sheets. SEPTIC SYSTEM: ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q:Mpplicatione'Forms. Applications On Line3-2006 - Permit Application doe Revised. 4-2006 bA Page 2 of 6 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC In Floor r Floor �1 (( -7i 1ot ? — T i 1 I-. Z — 3`d Floor 1 Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck BUILDING PERMIT INFORMTON - 206 - 431 -3670 Valuation of Project (contractor's bid price): $ �. , not". W Existing Building Valuation: $ Scope of Work (please provide detailed information): 4‘1 a ± ► U �i vlJ►� 4 — • Sir Irmo meg ►n r iZo m• LZ 011-612-- To .ir.e_ t t-j' 41G46.4 . .A4- ltd 'E et fl-jL.Aet Will there be new rack storage? ❑..Yes t...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 ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 1 . Sprinklers ❑_Automatic Fire Alarm ❑ ..None ❑_Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑.. Yes ❑ No If "yes", attach list ofmaterials and storage locations on a separate 8 - 1/2 x 11 paper indicating quantities and Material Safety Data Sheets. SEPTIC SYSTEM: ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q:Mpplicatione'Forms. Applications On Line3-2006 - Permit Application doe Revised. 4-2006 bA Page 2 of 6 PUBLIC WORKS PERMIT INANIMATION — 206-433-0179 Scope of Work (please provide detailed information): "' Water District ❑...Tukwila ❑...Water District #125 ❑ ...Water Availability Provided ewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size -22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) Proposed Activities (mark boxes that apply): ❑ ...Right-of-way Use - Nonprofit for less than 72 hours ❑ ...Right-of-way Use - No Disturbance ❑ ...Construction /Excavation /Fill - Right-of-way Non Right-of-way ❑ ...Total Cut ❑ ...Total Fill cubic yards cubic yards ❑...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ ...Permanent Water Meter Size... ❑...Tempora Water Meter Size.. ❑ ...Water Only Meter Size ❑ ...Sewer Main Extension Public _ o ...Water Main Extension Public ❑...ValVue ❑...Sewer Availability Provided QMppIication\Fotme- Applicaiions On Linen -2006 • Permit Application.doc Revised: 42006 bb Call before you Dig: 1- 800 - 424 -5555 Please refer to Public Works Bulletin 01 for fees and estimate sheet. ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line Private Private ❑ .. Highline ❑ .. 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 ❑ .. Renton ❑...Deduct Water Meter Size ❑...Traffic Impact Analysis ❑...Hold Harmless — (SAO) ❑...Hold Harmless — (ROW) ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑...Water ❑...Sewer ❑...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: City State Zip Water Meter Refund/Billinp: Name: Day Telephone: Mailing Address: City State Zip Page 3 of 6 Type:: 'i iZty_:UnitType' . ... , • 'Unit Qt:: :::Unit,Typei Qty :: Boiler /C.dinpressa'rd. Qty; Furnace<100K BTU Air Handling Unit >10,000 OEM Fire Damper 0 -3 HP /100,000 BTU Fumace>100K 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+1IP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Emergency Generator Air Handling Unit <10,000 CFM I Incinerator— Comm/Ind Other Mechanical Equipment ht A.. re ar... l.. —,&. So re. Ms 12 MECHANICAL CONTRACTOR INFORMATION reS P 1"I CHA ✓l CA INL Company Name - Mailing Address. 9b2.2- I4-t4 Age S Contact Person: 11Lt- P Gait -� E-Mail Address: t eIDC,t C# ewlefe t . Cori Contractor Registration Number. r5r I I # oclo N Valuation of Project (contractor's bid price): $ 11C> , Cxx-7. oC Scope of Work (please provide detailed information): t'R t,Tc. P Ey^' T To s e_Fcvc- rat ✓C Peat el-7 F- '-tC o r-' 2.t-1, FLOO - - Pfio '—t bi 1'2 1 1z It Va..lI 1 Ori A f I*6T COl Ls FOP- SACH top-e, G0)a'f -+'EC T TO a-»3 rTt r(• t- te-t.- S --c- F CFi l ..l.. E W T CY C 1 E1�Cp (F v t e E.5 t o Y O F `•■ ) 1::t C se: Residential: New Replacement ....0 Commercial: New .... r2' Replacement .... ❑ Fuel Type: Electric ❑ Gas....®. Other: Indicate type of mechanical work being installed and the quantity below: City Day Telephone: Fax Number. Expiration Date: tlU4 et lee - Slot Stale Zip 'lei o.1 test . 9lolo 1o(. "1102. B ,t I NOTE ) /E1 e- -z-eP -1-11 --n L. F ex F°- y.CE 14 e-,urTl . F.2...1-. Ca' t. 'at ,%-b eye-4s T I 1 G Pr112- y• 1T 1;risT11 -•G 6-pits T301 LE1ar Adze 1342.,°--Ttt -G s o v,LCar Q:MppaceuoneVemu.Applic$io s Oa LMelS -2006 -Perron Applicasion.doc Revised: 4-1006 bh Page 4 of 6 „ Fixture Type .. :;. ,Qty Fixture Type: _ ': ; Qty' e: )Fixture Typ ::Qty ture :Type: Fu Qty Q 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 tap 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 36 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: es P t1Et.Cl t 'l CPCL 1P4C- ��� Mailing Address: 1 1 322 [4TId -4(C S 'Tl-E✓ 6 t elf5Tht OZ cit Stale tip Day Telephone: 2c*a 1L04 • tiCeto Fax Number: 20(0. 1192. Expiration Date: 1013/ole Contact Person: t'1tliee lDtot4 cAreini E -Mail Address: tiC t40#k 4 €' t'leCA ca--A Contractor Registration Number: r f l81 # Oet Orn- Valuation of Project (contractor's bid price): $ AO, r . 00 Scope of Work (please provide detailed information): I '1gQ 't b t✓ 3Co "b t. t i- 1(o r - 'A 1 -- t--1 u S4- e� L f s Ox! fl eT 1 - The 1-1t -'iC re'nC -r P^OQrtr F -0t- -i Tr+� E f t s Y 1 r' e s`tcT E i-t-t C t 9 - 1 ED h► IL I I o ac'rCe l--- 6 Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: QNppliwumsWonm- Applicaiom On LinA3.2006• Pmnil Appliuuondoc Revised: 4-2006 bb Page 5 of 6 Value of Construction - In all cases, a value of construction amount should be entered by the applicant. Th is figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Pltunbin Pg ermit 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 0 Signa NER OR AUT I Date Application Accepted: os(is t a ED AGENT: Print Name: . ct.11` � �y e- t 6.�1 Day Telephone: Mailing Address: i2.o1 (OTF' Ave, S» Scarne City Q: VspphcatlonsWorms- Applications On Linet3 -2006 - Permit Applicationdoc Revised: 4 -2006 bh Date: P7.IS •O(p 2c(o . 441.4422 tit14 99,1 ti State Zip Date Application Expires: 02b $ Io1 Staff Initials: Page 6 of 6 ACCOUNT ITEM LIST: Description Current Pmts doc: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 1623049001 Permit Number: D06 -323 Address' 12844 MILITARY RD S TUKW Status: APPROVED Suite No: Applied Date: 08/18/2006 Applicant: HIGHLINE MEDICAL CENTER Issue Date: Receipt No.: R06 -01497 Payment Amount: 2,778.48 Initials: JEM Payment Date: 09/25/2006 10:17 AM User ID: 1165 Balance: $0.00 Payee: HIGHLINE MEDICAL CENTER TRANSACTION LIST: Type Method Description Amount Payment Check 326205 2,778.48 BUILDING - NONRES STATE BUILDING SURCHARGE RECEIPT Account Code 000/322.100 2,773.98 000/386.904 4.50 Total: 2,778.48 0096 09/25 9716 TOTAL 3654.78 Printed: 09 -25 -2006 RECEIPT NO: R06-01298 Initials: JEM User ID: 1165 Payee: HIGHLINE MEDICAL CENTER SET ID: S000000542 SET TRANSACTIONS: Set Member D06 -323 t M06 -184 TOTAL: ACCOUNT ITEM LIST: Description BUILDING - NONRES PLAN CHECK - NONRES Pity of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 -431 -3665 Amount 1,835.26 211.58 2,046.84 TRANSACTION LIST: Type Method Description SET RECEIPT Steven M Mullet. Mayor Steve Lancaster, Director Payment Date: 08/18/2006 Total Payment: 2,046.84 SET NAME: Tmp set/Initialized Activities Amount Payment Check 324485 2,046.84 TOTAL: 2,046.84 Account Code Current Pmts 000/322.100 19.50 000/345.830 2,027.34 TOTAL: 2,046.84 8784 08/18 9710 TOTAL 2046.84 Project; , } Project; 4 t ` 't . Mt-, Type of Inspection: 17/7) F7 -irte Address: t i t- 1 l- 1 M. /� � /J Y A e at ailed: Spe ial Instructions: l ' t ,5991*- o / Dite Wanted: / _ / ,aim. `~ ,' /�,�� Requester: Phone No: G/ZS 76 S 27g 1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -46p0 COMMENTS: Qj I v teiY< Approved per applicable codes. 0Corrections required prior to approval. ri S58.00 REINSPECT! OthV FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: 6300 Southcenter Blvd., #100, Tukwila, la ...11111MIMINIn_ [Ili d iMilriggill Special Instructions: a ?;: WA 98188 (2Ub)43 I •i • Date Called: Date Wanted: / a.m. / '—d.0 P.m. IiiiiiMalli .r i , � INSPECTION RECORD Retain a copy with permit IN ON NO. PER T O. CITY OF TUKWILA BUILDING DIVISION OMMENTS: Approved per applicable codes. Corrections required prior to approval. Ft $58. INSPECTIOa FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: Proje T , t 4 /,» /l&/. Type of Inspection: yenc 147 �.essi A Ad res Date Called: 6/ Special nstruct ons: Date Wanted. 1 2 K- ; Requester: Phone No: yz s s-2.'63 i INSP NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved applicable codes. Corrections required prior to approval. COMMENT /) 47 / / / l r � �. � J L-76,/ /, t � /51.//, W Date: /A Inspecto ri $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: INSPECTION RECORD Retain a copy with permit PER (206 431-3670 Proje Addre i t 1. i40 A m��' Type of Inspection: U ��y' " Date Called: 2 : y Ad,, , ecial Instructions: Date Wanted: 0/ "----c/ P.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. CO ENTS: /. 1 INSPECTION RECORD Retain a copy with permit IMP ION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Inspector: Pi --4---1411 ate: 3 D $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. (Receipt No.: 'Date: Project: // 4 / )7 , ,w,/ T y a of Inspection: ,� ���, Address: ,y L c o Y /r(ille.0 i Date Called: Special Instructio s / Date Wanted: /0 �7 a.m p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit r ; /1-2t INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 - 3 70 COMMENTS: Approved per applicable codes. ® Corrections required prior to approval. ri $58.00 REINSPECTIO$ FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. (Receipt No.: Date: Proj ct: / /% r/ /X/ e Weed - ;el/ l�Bit Type of Ins ec[ion: Pe h. C -efo„,sdorovi ..‘ Address: /ta6WC7 /2-7:/ ;' 2a/ Date Called: Special Instructions: Date Wanted: /0 - 2 - vC- a.m. p.m. Requester: Phone No: S'z5- 765 - 78 3 • INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20. )431.36 y Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Inspector: Date:fr „/ $58.00 REINSPECTION FLEE REQUI&ED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. 'Receipt No.: ' Date: Project: p I A Etr.,p , a hi Sprinklers: k Type of I spection: f . PA f SPQ f uK tP I JIVsc / F J Address: 1) 0 4'( M , I,1-r-, Suite #: RD Contact Person: IX S,n. CAA/pod Special Instructions: Pre -Fire: Phone N�.: a6 -0-V ' - Needs Shift Inspection: /J Sprinklers: k Fire Alarm: ; .- Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: a- INSPECTION NUMBER _pproved per applicable codes. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206 - 575 -4407 Word /Inspection Record Form.Doc 1/13/06 006 - 3 a3 Mob - igq PERMIT NUMBERS Corrections required prior to approval. COMMENTS: — c>teA-y SIC,okie& —o ver / ' it-t- C. NA of y Inspector: , J I y Date: / 00, Hrs.: /. n $80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. T.F.D. Form F.P. 113 Project: 104 �J 11 4,5Q, *A'u Fire Alarm: Type of Inspection: c 'n ( eve & Address: Sy" Suite #: % o Contact Person: Fp ,� k 4 c k Pc it Special Instructions: Phone No.: Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East. Tukwila. Wa. 98188 206 - 575 -4407 Approved per applicable codes. COMMENTS: y -r e (I-- Inspector: Ci ti Date: "/370 b Hrs.: $80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. Word /Inspection Record Form.Doc 1/13/06 Doti -3 PERMIT NUMBERS n Corrections required prior to approval. T.F.D. Form F.P. 113 MAYES TESTING ENGINEERS, INC. December 8, 2006 City of Tukwila Building Department 6200 South Center Blvd Tukwila, WA 98188 -8188 Attn.: Building Official Re: Highline Medical Center 2 West HVAC Upgrade I 12844 Military Road SW Tukwila, WA MTE Project No. E6444 Gentlemen, This is to inform you that registered special inspections have been completed for this project as per our reports, copies of which have been sent to you. Special inspection was provided for: Expansion Anchors Structural Steel Erection To the best of our knowledge, all work inspected was either performed in accordance with, or corrected to conform to, the city approved drawings, or engineer approved changes. We trust that this provides you with the information which you require. Should you have any questions give us a call. Sincerely, MAYES TESTING ENGINEERS, IN . til Timothy . Beckerle, P.E. Branch Manager cc: Dave Snaring — GLY Construction Company, Inc. Frank Ackaert — GLY Construction Company, Inc. (— Everett Office 917 -134th Street SW Suite A -1 Everett, WA 98204 ph 425.742.9360 fax 425.745.1737 Tacoma Office RECEIVED Su E-2 Tacoma Way Tacoma, WA 98499 DEC 11 1006 fax 253.4.3 0 COMm uNny Portland Office DEVELOPMENT 7911 NE 33rd Drive Suite 190 Portland, OR 97211 ph 503.281.7515 fax 503.281.7579 Permit # D06 -323 MAYES TESTING ENGINEERS, INC. MTE No.: Project: Address: Permit No.: Bldg Dept.: Owner: Architect: Engineer: Contractor: Page 1 Date: Weather: Inspection: Sample(s): E6444 HIGHLINE MEDICAL CENTER 2 WEST HVAC UPGRADE 12844 Military Road SW, Tukwila, WA D06 -323 City of Tukwila Highling Medical Center Collons Smith GLY Construction Co. Inc. - Bellevue 11/20/06 Cloudy Expansion anchor, visual N/A For HVAC frame, inspected installation of (36) 3/4x4" embed expansion anchors. Per plan, galvanized Hilti KB3 anchors were used. As specified, instructions of ICBO Report ESR 1385 were followed, with holes cleaned of debris and an estimated 150 ft -lb torque applied to set wedges. Inspected welding of frame per plan and AWS D1.1 tolerances. Moment connections at four corners are per Rev. 1 of 9 -20 with (6) A325 bolts snug tight. To the best of our knowledge, items inspected this date are in accordance with approved plans and specifications. REVIEWED BY: y G. Beckerle, P.E. cc: Dave Snari[(g — GLY Construction Co. Inc. — Bellevue; Bldg Dept — City of Tukwila INSPECTOR: Mark Rossow Everett Office 917.134th Street SW Suite A -1 Everett, WA 98204 ph 425.742.9360 fax 425.745.1737 Tacoma Office 10029 S. Tacoma Way Suite E -2 Tacoma, WA 98499 ph 253.584.3720 fax 253.584.3707 Portland Office 7911 NE 33rd Drive Suite 190 Portland, OR 97211 ph 503.281.7515 fax 503.281.7579 Colions +Smith Structural Engineers, Inc 485 Front Street, F-3 • Issaquah, WA 98027 p: (425) 369 -1101 • f: (425) 369 -1157 r Owner Regional Hospital 12844 Military Road South Tukwila, WA 98168 Structural Engineer John Smith, P.E., S.E. Job#: 06 -090 Date: July 28, 2006 P tit. r/ Regional Hospital 2W, HVAC Architect Northwest Architectural Company 2201 Sixth Avenue, Suite 1405 Seattle, WA 98121 REVIEW F NCE CODE COMPLIP w nnn W cn SEP 192'606 i ila ' gUIL owVIS CITYO TU AUG 18 2006 PERMITCENTER '3 ]Xh 323 Regional Hospital 2W, HVAC Permit Submittal 7/28/2006 Page 2 of 13 Regional Hospital 2W, HVAC Permit Siihmittal 7/28/2006 Page 3 of 13 6 • A:s aWiqt- rzooP--- ty2 T & NAIISTZ ANIGI4PR rIcen4o, r24 AOAV, igoNt: rj..A6Hibie — eirANO k6&LL 4 voor FoRtA CRAWS rt -u%-1 GL gaGI-ST- pixy° 01-As% — WOOF EDGE EAP Regional Hospital 2W, HVAC Permit Submittal 7/28/2006 Page 4 of 13 - r49, tit on. Tx.. °1St 1 , t c d r0. a n In m n 0 24 I 48 72 98 SF1W MIS 127.75 252 14178 4430 LBS 40.95 0 11 L__JI. T® + + O PROJECT H. IL C. 2 WEST AHU JOB Ma 32416 MAW BY 5L 000 IA 32410.0S /OXSS ODE LEFT 011E .6E 15/06 TYPE OUTDOOR 1629 6Y M1 MO CODS= MM WO I ITNIM a1 CT 6An MOM S MO OF MAO B MN:I 016661® MOROI 611 YYMY@ SM E4 OfFEE PANE SEM1LE MIS MIS BERM e WL KONBOY 8196 : LFY-0La IP511PIM A 1HOCIIT : 212 FPM 1YPE: 12 OoM 14) MF x0FEE 2490-15% @.4 5:2024X24 2024 X12 B O PM : lr BSW a1. Mmga* -3 AN FLOW :1500 CFM RPM : 2731 TSP.: 4 lam CLASS :I MOTOR : 5 W. OOP FPICFuE MO/ RPM :M50 sSAIORS : OS 0EF : 2 14 O 9010 a 0X91: W00123-12-8441-1 W00123-12-8441-1 TYPE : S IOU 50511 045X21 CO MI : LEFT PILL EFT : I ORMN : 9fllf 14L.: 441 FPY rA PLWOG : LIT -OUT LUST M 9 a= %IO :212 FPM TYPE ; r 90nn 1) tar %diem Mtn 505:2024x24 2024X12 O Mmoo M OM F MX : WEO11E1. 9M6 X :TA Mon -1000 S0E: 11 X 14 O G EA DAMPER : OPPOSED 9/06 WME :TA Mnnoo -1000 SUE : to x 31 O H Ia11E o 6n WPM s� : 10%31 SN L M PM : POWLIEL OWES I WC :TA Mmbar1000 3102: 31 X 10 O EMI : It IMF IX Mv. q11 3 W FLOG :1900 CPI RPM : 1762 TSP.: 1 • we CUSS :1 IS : 1 W, CLP 0110 -EIL 2011/3/10 RPM :1750 MOORS : OS 06 :2 b IWf 1111104 Is sit 14 `iSigned b M noMYd ea etol 11491: CeM6bb1 61A en discs 1..e6 ..M °1, makes Y R11 .m 10 AO OS UM 9 ALTS .451 ?::L 4�.. ': T . 1..L 9. J. --r7 - -f.iT Address Verified More Data About this Address AM. FM & TV Carrier Route Radius Contributors City Demographics Income Ta Home Sales Labor Statistics Nearest Mailing House Nonprofits Street Detail Address 12844 Military Rd S Tukwila WA 98168 -3045 Maip-G Mapes Mat i Address Type Street Area Code 206 Public Records Search Click here for available Public Records Number of Inquires 1 Click Here to monitor this address Carrier Route - DPC CO23 - 448 ZIP Code Type Standard U.S. Address Lookup & Verify (MELISSA DATA Products & Services Downloads Lookups Support Contact Site m Sign In Newsletters i ode Lcmku Zip + 4, carder route, delivery codes, county,. time zone, area code, cities, company & street names IU.S. Address Lookup & Verify You can verify any U.S. address and get Information on the county, time zone, house of representa member, latitude, longitude, income, home prices and more. Click here to lookup Canadian address Enter a Street Address, City & State OR Street Address and ZIP Code OR ZIP +4 Code OR City. Street Address 12844 MILITARY ROAD SOUTH City 'TUKWILA State WA ZIP Code 98168 I Submit I Clear Regional Raged 1414 Permit Submittal 7/28/2006 Page 6 of 13 http: / /www.melissadata.com/ Lookups /AddressVerify .asp ?Address= 12844+Military+Road... 7/20/2006 County (FIPS Code) King (53033) County Demographics County Map P Time Zone (Local time) Pacific Time ( 7/20/2006 1:32:02 PM ) Consolidated Metro Area (CMSA) SEATTLE- TACOMA - BREMERTON, WA ( 7602 ) Primary Metro Area (PMSA) SEATTLE - BELLEVUE- EVERETT, WA ( 7600 ) Representative, Party & District )im McDermott (DI (07) District Demographics M Latitude & Longitude 47.4883 Degrees North 122.2969 Degrees West Census Tract 0271.00 Block 1 Delivery Post Office RIVERTON HEIGHTS 15250 32ND A S TUKWILA WA 98188 Map -G Map -Y MaD -V Phone: 206- 242 -3522 Prizm Code ' n is c) m , g' I, ^; C s s 1 .; 22 Young Influentiais Once known as the home of the nation's yuppies, Young Infiuentials reflects the fading glow of acquisitive yuppiec Today, the segment is a common address for young, mid singles and couples who are more preoccupied with baiar work and leisure pursuits. Having recently left college doi now live M apartment complexes surrounded by ball field clubs and casual- dining restaurants Learn more about Pt Codes U.S. Address Lookup & Verify Click Here to search for a street named Military in the city of Tukwila, WA Click Her to search for a street named Military nationwide. Click here for a list of cities with a street named Military in Washington. Click here for a list of streets In ZIP Code 98168. Click here for a list of addresses with street number 12844 in ZIP Code 98168. Click here for a list of matching cities In Washington. Regional IPc'giala*fI /AC Permit Submittal 7/26/2006 Page 7 of 13 Bookmark this Page I How Can We Improve? I Batch Processing I E-mail Results Free Catalog :6:1:U http: / /www.melissadata.com/ Lookups/ AddressVerify .asp?Address= 12844+Military+Road.. 7/20/2006 2002 Lat/Lon Lookup Output! USGS science for a changing world LOCATION 47.4883 Lat. - 122.2969 Long. The interpolated Probabilistic ground motion values, in 9g, at the requested point are: 10%P8 in 50 yr 2%P8 in 50 yr PGA 33.38 66.49 0.2 sec SA 73.35 149.15 Wit v 1.0 sec SA 24.21 "a 51.42 SEISMIC HAZARD: Harare by LaN.rm. 2002 Regional arl Mfl-f/AC met Submittal 7/28/2006 Page 8 of 13 http:// eqint. cr. usgs.gov /eq- men/cgi- bin/find -ll- 2002 - interp- 06.cgi 7/20/2006 Lat/Lon Lookup Output! USGS science for a changing world LOCATION 47.4883 Lat. - 122.2969 Long. The interpolated Probabilistic ground motion values, in %g, at the requested point are, 104PE in 50 yr 32.87 71.53 61.18 21.43 PGA 0.2 sec 8A 0.3 sec 8A 1.0 sec 8A 54PB in 50 yr 45.26 109.45 98.08 31.26 PROJECT INFO: SEISMIC HAZARD: Hazard by Lat/Lon. 199¢ MB in 50 yr 64.84 140.37 3 ffe env Regional F8 l ZVOill'AC P8miit Submittal 7/28/2006 Page 9 of 13 http: // eqint. cr. usgs. gov /eq- men /cgi- bin/find- ll- interp- 06.cgi 7/20/2006 PROJECT H. M. C. 2 WEST AHU X8 JCL 32416 TAG RW-ID LEFT DRAWN BY $I rmc NO. 324110161P01 CMS ME DA1E JUL 18/06 ME OUTDOOR I 1630 DWG LINOS SOLE 1LTS. of INKS a INNION OW ON Ricy coma 03tuellt Mum Of /MOO OWNS NM= Oaf OF 1143E NONCE& SOLES OFFICE WANE SEATTLE WES DOWER BBL KOWA' In N. e4 0 24 48 72 96 FOOT PRINT DIAGRAM — outline is base channel 1069 LBS 1095 LBS AIRFLOW 1119 LW. 1147 Lir 128.54 251.25 4430 LBS 1/_ o - r r collons + smith structural engineers 485 Front Steet N • Suite F -3 Issaquah, WA 98027 p:425.369.1101 • F. 425.369.1157 r bit e■1 NE . 1 i „a.. t■■■tM- ■■■■■11111firr!t!irAr N■■■ la ■■■�i�■■■ ■ ■ ■ ■M•■U I lt�'!'r[�: s S o rah II Ns NM ISM UT1HHHH MSS. I■ ■■■■■■■ T ■ ■■■a■� ■ Regional Hospital 2W, HVAC Permit Submittal 7/28/2006 Pa e Point Regional tbsplal• HYAl2 G of 13 ;select No. 06-090 Des n X55 !tech abet T r collons•+ smith structural engineers 485 Front Steet N • Suite F -3 Issaquah, WA 98027 p: 425.369.1101 • f..425.369.1157 ME 1E11 11111 MiloCEVERM i ri , 7/`a M�� ■■ -�. lE ut1flt ■■cam Sr9��s■■■■■■■■M ■ ll 11111111 II UHIIIIIHI � ,1 S■■ ■■■■� ■M■ ■■�I� ■ 1111111111111••1•11••• 111:211 A ■■ inMENCTIMITIO SVr11 a__ ■M■ ■■■■n SM ■■ ■■■ ■S■■■ U■■ a■i • MUMS= I 111111 l C �/�'�, __N- ©5 or TATAliffillial 0 1116X7gli a lCr• Illfflialtarnatittolataill LINIMI2101413 of CI IMMINFEllialliWifitatIcirmall P1,9271. III 11.111 NI III I Project Project Ila 06 - 090 Date By Regional Hospital 2W, HVAC Permit Submittal — I 7/28/2006 Pa 813 of 13 Rost raltbspita. INAG J65 98th bet r ACTIVITY NUMBER: D06 -323 DATE: 08 -18 -06 PROJECT NAME: HIGHLINE MEDICAL CENTER SITE ADDRESS: 12844 MILITARY RD S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: g Division Public Wor T54. DETERMINATIQN OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route Structural Review RequiredStructural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved ❑ Notation: REVIEWER'S INITIALS: Documents/routing slip.doc 2 -28-02 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP Structural Incomplete ❑ Approved with Conditions Fire Prevention ❑ Permit Coordinator DUE DATE: 08-22-06 DATE: DATE: Plahriing Division ' -Z Not Applicable No further Review Required DUE DATE: 09-19-06 Not Approved (attach comments) ❑ Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: License Information License GLYCOI *01809 Licensee Name G L Y CONSTRUCTION INC Licensee Type CONSTRUCTION CONTRACTOR UBI 578078500 Ind. Ins. Account Id 26055500 Business Type CORPORATION Address 1 PO BOX 6728 Address 2 City BELLEVUE County KING State WA Zip 980080728 Phone 4254518877 Status ACTIVE Specialty I GENERAL Specialty 2 UNUSED Effective Date 9/29/1999 Expiration Date 9/30/2006 Suspend Date Separation Date Parent Company Previous License GALLLI*337CF Next License HARVAEC978LT Associated License Business Owner Information Name Role Effective Date Expiration Date YOUNG, FRANK N JR PRESIDENT 05/01/1975 ANDERSON, ROGER L VICE PRESIDENT 05/01/1975 HARDY, VAN VICE PRESIDENT 05/01/1975 KILCUP, LEROY C VICE PRESIDENT 05/01/1975 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 Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= GLYCOI *01809 09/25/2006 x x x x x x x X x x x x x x x x x x x x x x