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Home My WebLink AboutPermit D06-332 - Dr Baruffi - Dental OfficeDR JEROME BARUFFI 411 STRANDER BL D06 -332 Parcel No.: 0223200052 Address: 911 STRANDER BL TUKW Suite No: Cit» sf Tukwila Tenant: Name: DR. JEROME BARUFFI Address: 411 STRANDER BL, STES 107 & 108 , TUKWILA WA Owner: Name: MEDICAL CTRS CO Address: C/O NEWCASTLE REAL ESTATE , 15642 SE 24TH ST 98008 Phone: Contact Person: Name: JOHN SCHUH Address: 810 240 ST SE , BOTHELL WA 98033 Phone: 425 483 -1313 Contractor: Name: ALDRICH & ASSOCIATES INC Address: 810 240 ST SE , BOTHELL WA 98021 Phone: 425 483 -1313 Contractor License No: ALDRIA *202RU Value of Construction: Type of Fire Protection: Type of Construction: Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us $229,600.00 DEVELOPMENT PERMIT DESCRIPTION OF WORK: INTERIOR TENANT IMPROVEMENT OF MEDICAL/DENTAL OFFICE. NO STRUCTURAL CHANGE, NO CHANGE OF USE, AND USE OF SOME GASES (N, 0). * *continued on next page ** Permit Number: D06 -332 Issue Date: 04/19/2007 Permit Expires On: 10/16/2007 Expiration Date: 02/09/2009 Fees Collected: $3,525.90 International Building Code Edition: 2003 Occupancy per IBC: doc: IBC-10 /06 D06-332 Printed: 04-19 -2007 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N City os Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Fax: 206 -431 -3665 Web site: http :/ /www.ci.tukwila.wa.us Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: Hauling: N Start Time: End Rime: Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: Moving Oversize Load: Start Rime: End Rime: Sanitary Side Sewer: Sewer Main Extension: Private: Public: Storm Drainage: Street Use: Profit: N Non - Profit: N Water Main Extension: Private: Public: Water Meter: Permit Center Authorized Signature I hereby certify that I have read and governing this work will be complie N The grantin ! of this pe 't does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction r the pe • nuance o • rk. L• authorized to sign and obtain this development permit. Date: 4 Signature: I---)/3N1/4 Print Name - (F l �1 A ' ( c Permit Number: DO6 -332 Issue Date: 04/19/2007 Permit Expires On: 10/16/2007 Date: Ott Y tot, IlT ed ': permit and know the same to be true and correct. All provisions of law and ordinances e her specified herein or not. 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 fora period of 180 days from the last inspection. doc: IBC -10/06 D06.332 Printed: 04-19-2007 Parcel No.: 0223200052 Address: Suite No: Tenant: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us 411 STRANDER BL TURIN DR. JEROME BARUFFI 1: ** *BUILDING DEPARTMENT CONDITIONS * ** PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: D06 -332 ISSUED 09/06/2006 04/19 /2007 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: New suspended ceiling grid and light fixture installations shall meet the non - building structures seismic design requirements of ASCE 7. 6: 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. 7: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 8: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 9: Manufacturers installation instructions shall be available on the job site at the time of inspection. 10: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be obtained at City Hall in the office of the City Clerk. 11: 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. 12: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum distance of 4- inches shall be maintained above the controls with the strapping. 13: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 14: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206-431-3670). 15: 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 doc: Cond -10/06 D06-332 Printed: 04 -19 -2007 16: ** *FIRE DEPARTMENT CONDITIONS * ** City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us 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. 17: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 18: 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) 19: 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 6 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 nun). (IFC 906.7 and WC 906.9) 20: 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) 21: 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 906.6) 22: 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 4 23: Egress doors shall be readily operable 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: 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) 28: 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) 29: The maximum flame spread class of finish materials used on interior walls and ceilings shall not exceed that set forth doc: Cond -10/06 006 -332 Printed: 04 -19 -2007 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206- 431 -3665 Web site: http: / /www.ci.tukwila.wa.us * *continued on next page ** in Table No. 803.5 of the International Building Code. 30: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 31: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)578 -4407. 32: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** 33: Prior to fmal building permit signoff Public Works Construction Permit PWOT -028 for installation of new 3" RPPA on domestic water, testing of existing irrigation DCVA and 0.5" RPPA inside Dr Povolny's office, suite #203 is finaled. doc: Cond -10/06 D06 -332 Printed: 04 -19 -2007 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 o 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: Cond -10/06 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us kV -- CAP- 1-4 Date: 4 /107 006 -332 Printed: 04-19 -2007 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htta: /Avww. ci. tukwila. wa. us Building Permit No. 171a '-7, Mechanical Permit No. Plumbing/Gas Permit No. Public Works Permit No. Project No. (For office use only) Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION S Plicti fIM-PE A Kin Co Assessor's Tax No.: OZ 00 0 5 52- 9 81E8 g Site Address: 41 STip/V 1p0t- $L4 'D l TvKwu.er4 ( Suite Number: l // 06� / Floor. J / Tenant Name: DR • JE2 -01,4. BMW PEI / New Tenant: I !� Ye (.y.No Property Owners Name: MEDICAL- CCIJIL/ -1 Co I - fut FaK 0,..„,,, Mailing Address: temonsr: 411 ST1L?uJjs+ t. &- , S✓i if 3og , TVKGvit -A, I..-A- 7(1 tt City State CONTACT PERSON Name: 1:00 N ( X Mailing Address: f O3o 1 PO ST4a `r E -Mail Address: cle ¢ %Xde -th , Cord bh Zip Day Telephone: 42S - 3 - 03 5 5 KitKthdW wA 93 City r State Zip Fax Number: f2- $ - 2-15Z. I GENERAL CONTRACTOR INFORMATION - To P6 perozMl iJCD (Contractor Ioforn ation for Mechanical pg 4) for Plumbing and Gas Piping (pg 5) ) Company Name: ALaKl[h. As,staAccrs, SJ•14 1!1 \� -s Mailing Address: . I D 2 S ,, ST . Contact Person: 11 VE Cakrr E -Mail Address: G c.ARTE (P kt_Dil:Id4- PASSbC .CAM Contractor Registration Number: AL- - DR- IA 4t 202 Al Contact Person: E -Mail Address: A 1802- City � S 9 tate Zip (42-0 Day Telephone: (42-0 T6 3 A3\3 Fax Number: (4ZS ) -10)1 FS Expiration Date: 2-9-6, ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record mite Company Name: Mailing Address: State City Contact Person: Day Telephone: E -Mail Address: Fax Number: Q: App licationsTam,.Applica6uu On tine•33066 - Permit Applicaiien doc Revised: 4206 Zip Page 1 of 6 BUILDING PERMIT INFORMATION - 206 -431 -3670 Est. Valuation of Project (contractor's bid price): $ 229 ( aoo, 00 Existing Building Valuation: $ Scope of Work (please provide detailed information): IN'TFJ a De- T, l e ( 1 4P- -te> f.te/44L.Po *t__ 0hc6 2 2 91. 5, f No S7 Rsft.- ,1/o ciftt.GPa" et- tdSE , SarNE 6+A. - ec (/ 1 0 / FRRST boa of 3 - s7a,4Y Dc-D4. 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 �..No If "yes ", explain: FIRE PROTECTIONMAZARDOUS MATERIALS: 0.. 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 of materials 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 W pl icamu\cn- MDLacau On Line\ -2006 - Pmrvt Revilcmiont Revised: 42006 bh Page 2 of 6 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of' Occupancy per IBC Ist Floor 2,296 72Z—A 6 2n Floor 3" Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck BUILDING PERMIT INFORMATION - 206 -431 -3670 Est. Valuation of Project (contractor's bid price): $ 229 ( aoo, 00 Existing Building Valuation: $ Scope of Work (please provide detailed information): IN'TFJ a De- T, l e ( 1 4P- -te> f.te/44L.Po *t__ 0hc6 2 2 91. 5, f No S7 Rsft.- ,1/o ciftt.GPa" et- tdSE , SarNE 6+A. - ec (/ 1 0 / FRRST boa of 3 - s7a,4Y Dc-D4. 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 �..No If "yes ", explain: FIRE PROTECTIONMAZARDOUS MATERIALS: 0.. 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 of materials 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 W pl icamu\cn- MDLacau On Line\ -2006 - Pmrvt Revilcmiont Revised: 42006 bh Page 2 of 6 1 Dale Application Accepted: 1 „ ' hr _ /a, Date Application Expires: o s l 1 Staff Initials: 1 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. puildinv and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDINC O ER R `L Date: l e / AUTHQ�g1� /6 b Signature: /,(S 4R3 V 3 Print Name: b Met •' Day . Telephoneel) —) —I��'S Mailing Address: sett) t404- Sr CI` \ ' d�41 ` \A a n l Z-1 City State Zip Q AwIioanaWrotm.Appuiuoons On Tine \.2006 - Permit Applicatm.doc Revised 4-2006 Page 6 of 6 Receipt No.: R07 -00616 Initials: JEM User ID: 1165 Payee: SOUTECENTER DENTAL ACCOUNT ITEM LIST: Description BUILDING - NONRES STATE BUILDING SURCHARGE City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us RECEIPT Parcel No.: 0223200052 Permit Number: D06 -332 Address: 411 STRANDER BL TUKW Status: APPROVED Suite No: Applied Date: 09/06/2006 Applicant: DR. JEROME BARUFFI Issue Date: TRANSACTION LIST: Type Method Description Amount Payment Check 14804 2,138.68 Account Code Current Pmts 000/322.100 2,134.18 000/386.904 4.50 Total: $2,138.68 Payment Amount: 52,138.68 Payment Date: 04/19/2007 02:45 PM Balance: $0.00 7287 04/19 9716 TOTAL 2138.68 doc: Receiot -06 Printed: 04-19 -2007 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0223200052 Permit Number: D06 -332 Address: 411 STRANDER BL TUKW Status: PENDING Suite No: Applied Date: 09/06/2006 Applicant: DR. JEROME BARUFFI Issue Date: Receipt No.: R06 -01393 Payment Amount: 1,387.22 Initials: JEM Payment Date: 09/06/2006 11:48 AM User ID: 1165 Balance: $2,138.68 Payee: SOUTHCENTER DENTAL TRANSACTION LIST: Type Method Description Amount RECEIPT Payment Check 14392 1,387.22 ACCOUNT ITEM LIST: Description Current Pmts PLAN CHECK - NONRES Account Code 000/345.830 1,387.22 Total: 1,387.22 9354 09/06 9716 TOTAL 1387.22 doc: Receipt Printed: 09-06 -2006 Project: erem6 SiviST Type of ir fi-/nrel/ ress: 1 72/ .5 8 c_ Date Called: Special Instructions: Date Wanted: 2_ — pi-05 Requester: P h _ 3 C 6- 02-50 IR COMMENTS: 6 ca.,„„/ :L47/x,4 ilfrAtnist SP • TM Peotirhil ceipt No.: IDate: erfrn /Fir INSPECTION RECORD Retain a copy with permit L » 6-33Z IN ON NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-36 Nt Approved per applicable codes. CICorrections required prior to approval. Date: . 0 REINSPECTION kE REQUI4ED. Prior o inspection, fee must be d at 6300 Southcenter Blvd., Suite 100. Cal the schedule reinspection. COMMENTS: d ?he irldp A 4 ( - /1(cal0 d \ 7774,4!/ A/ // 1=,./U41- iq/ Date Wanted: 1— / 7-doj p.m. Requester: 'KP / -;' _ N JF _ ... \ Project: - J) /2 clew, ne /34,urr ' Type of Inspection: /C /,v4 \ Address: 91/ S 7,44 /afe a L Date Called: Special Instructions: Date Wanted: 1— / 7-doj p.m. Requester: Phone No: zoo -354 6 216 INSPECTION RECORD Retain a copy with permit INSPE ION NO. PERMIT NO. CITY /OF TUKWILA BUILDING DIVISION e 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -37 Approved per applicable codes. 00 REINSPECTION FE EQUIR 6 . Prior o inspection, fee must be Id at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Date: eipt No.: Corrections required prior to approval. Project: 0 ffal Type of \ •.i 0 s ti. CSLA -.Li Address: 4 t 1 Sicrsraata. Date Called: , Special Instructions: eLs..1 ei Date Wante : l 21(01 Cn. P.m. Requester: Phone No: 3 INSPECTION RECORD Retain a copy with permit botp 33). PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 1 6300 Southcenter B)vd., #100, Tukwila, WA 98188 (206)431-3 INSPECTION NO. COMMENTS: ,)61Q Cett4.-ats zfc - rp Coos( Approved per applicable codes. Corrections required prior to approval. Inspector: aau.a.g-Rt'ti_o rate 12127(07 D $58.00 REINSPECTION FEE REQUIRED. Prior o inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Cal the schedule reinspection. 'Receipt No.: 'Date: Project: bQ. t rZo FKe1 Type o I AS Addy {s lft` � n Date Called: Special Instructions: t s Date Wanted: 421 2.4.1 o-1 Cm� p.m. Requester: 11 r Phone No: 1 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per, applicable codes. INSPECTION RECORD Retain a copy with permit PERMIT NO. (206)431-36 y0 Corrections required prior to approval. COMMENTS: OSC C•.9> t Gt 8 l( € *LP t-f Ofrici 4.449 rate: (2it(.(o $58.00 REINSPECTION FEE REQUIRED. Prior o inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Inspector: i 'Receipt No.: (Date: 1 Project: / 20 T /t /�� of Inspection: 7 6 A Tess' y// ST/2<I.v4 /? Date Called: Special Instructions: Date 7 a.m !! Requester: Phone No: a 6 -39e-- 0270 INSPECTION RECORD Retain a copy with permit INSPECTION NO. - PERMIT N0. CITY OF TUKWILA BUILDING DIVISION C 6300 Southcenter Blvd., #100, Tukwila, WA 981 B8 (206)431 -3 7 proved per applicable codes. [3 Corrections required prior to approval. COMMENT& WI ' /o to U 1D ,, /, /y fl 0 $58.00 REINS ON FEE REQUIRED. Prior o inspection, fee must be paid at 63 ; outhcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Si ect: / A . _1�dL..' tJ L -_(s Type of In ction: - ') (� A _ • ess: r Specia nstructions: Z� 0 0 Date Wanted: 1 nz 0 n a.m. at 2>- Requester. 1 Ph ro10 - 3q(0 - a in INSPECTION NO. Approved per applicable codes. Inspector: INSPECTION RECORD Retain a copy with permit /' J / (Date: PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Corrections required prior to approval. COMMENTS: 112-21 or It El $58.00 REINSPECTION FEE REQUIRED. Prior o inspection. tee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. (Receipt No.: (Date: Project: De � � s 2 o r - i -P. 6 412 di F r r Type of Inspection: r o-c 1 k A L Address: '/ 0 s' Suite #: / c 4ri PR_ Contact Person: 72. est itcA cam, Special Instructions: Monitor: Phone No.: ;04- 3%- 0 0/ - ° t• Needs Shift Inspection: y Sprinklers: N fire Alarm: MnaJMA L (a I Al) Hood & Duct: XI Monitor: Pre -Fire: Permits: Occupancy Type: /3 INSPECTION NUMBER 'Approved per applicable codes. INSPECTION RECORD ' Retain a copy with permit CITY OF TUKWILA FIRE DEPARTMENT bob - 33a PERMIT NUMBERS 444 Andover Park East, Tukwila, Wa. 98188 206 - 575 -4407 Corrections required prior to approval. COMMENTS: 1 CtOtsi - (_ Inspector: Date: V22/0 g Hrs.: c--/ / $80.00 REINSPECTION FEE REO5JIRED. 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 T.F.D. Form F.P. 113 Location (floor /room no.) Number of Fixture Description Fixtures Watts/ Fixture Watts Proposed Waiting 1 C - Recessed can --- abilFW I' FOR 2 31.0 62.0 Project Description W - Low- Voltage Nall Washer FF f on OM • �NCE A 2 50.0 100.0 Alteration Exceptions (check appropriate box - sec. 1132.3) ❑ No changes are being made to the lighting 1s Waiting 2 C - Recessed Can APPRO . 6 31.0 186.0 �� / � A Rec. A - 2x2 Fluorescent Troffer 2 79.0 158.0 D - Low - Voltage Recessed MR -16 L1//4 t 1 30.0 30.0 P - Low - Voltage Pendant MR -16 )' Of {CWlia 3 30.0 90.0 Corridor / C - Recessed Can I J III !II 0 5 31.0 465.0 Pano. X- LID Backlight (daisy- chained) 8 14.0 112.0 Diana A - 2x2 Fluorescent Troffer 1 79.0 79.0 D - Low - Voltage Recessed MR -16 1 30.0 30.0 Diana / Charts E - 1 :4 Fluorescent Troffer 2 79.0 158.0 Steril. A - 2x2 Fluorescent Troffer 2 79.0 158.0 Pat. Washrm. 1 C - Recessed Can 2 31.0 62.0 D - Low - Voltage recessed MR -16 1 50.0 50.0 Consult. C - Recessed Can 4 31.0 124.0 D - Low - Voltage Recessed MR -16 ft CEIVEL) 1 A 1 50.0 50.0 00.1 - 00.4 (�ff L - Sump. 2x4 Fluorescent Troffer (4 exempt taskf3l r s )F t (�'-- ° 4 85.0 340.0 Op.S B - 2x4 Fluorescent Troffer (1 exempt task) SFP SFP 0 6 70U6 1 85.0 85.0 Staff B - 2x4 Fluorescent Troffer 85.0 170.0 Lab. B - 2x4 Fluorescent Troffer P ER IT CCP1TEk 1 85.0 85.0 Dr. B office e C - Recessed Can ■ ri as 2 31.0 62.0 Project Info Project Address Dr. Jerome Baruffi Date 8/16/2006 411 Strander Blvd. #107/108 For Building Department Use FILE Copy P ^^' r'� Tukwila, WA 98188 Applicant Name: Applicant Address: Applicant Phone: Project Description ❑ New Building ❑ Addition ./ AlSiation • Plans Included Refer to WSEC Section 1513 for controls and commissioning requirements. Compliance Option 0 Prescriptive C) Lighting Power Allowance 0 Systems Analysis (See Qualification Checklist (over). Indicate Prescriptive & LPA spaces clearly on plans.) Alteration Exceptions (check appropriate box - sec. 1132.3) ❑ No changes are being made to the lighting ❑ Less than 60% of the fixtures new, installed wattage not increased, & space use not changed. Location (floor /room no.) Occupancy Description Allowed Watts per ft " Area in ft Allowed x Area Tenant Space Medical Offices 1.20 2296.0 2755.2 " From Table 15 (over) - document all exceptions on form LTG -LPA Total Allowed Watts 2755.2 Proposed Lighting Wattage (Interior) Lighting Summary LTG -SUM 2004 Washington State Nonresidential Energy Code Compliance Forms 2004 Washington State Nonresidential Energy Code Compliance Form Maximum Allowed Lighting Wattage (Interior Revised May 2005 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. 3. List all Mures. For exempt lighting, not exception and leave Watts/Fixture blank. Location Description Allowed Watts per ft or per If Area in ft (or If for perimeter) Allowed Watts x ft (or x It) Covered Parking (standard paint) 0.2 W/ft Covered Parking (reflective paint) 0.3 W/ft Open Parking 0.2 W/ft Outdoor Areas 0.2 W/ft Bldg. (by facade)' 0.25 W/ft Bldg. (by perim) 7.5 W /If Location Fixture Description Number of Fixtures Watts/ Fixture Watts Proposed Total Proposed Watts may not exceed Total Allowed Watts for Exterior Total Proposed Watts 2004 Washington State Nonresidential Energy Code Compliance Form Exists/. Washmm Misc. C - Recessed Can D - Low - Voltage Recessed MR -16 G - task lighting (exempt) Total Proposed Watts may not exceed Total Allowed Watts for Interior 1 1 12 31.0 50.0 Total Proposed Watts 31.0 50.0 2737.0 Maximum Allowed Lighting Wattage (Exterior 1. Choose either the facade area or the perimeter method, but not both) Total Allowed Watts Use mtgr listed maximum Input wattage. For fixtures with hard - ea oauasis omy, the default table in the NREC Technical Reference Manual may also be used. Proposed Lighting Wattage (Exterior) Use LPA (W/sf) Use' LPA`(Wlsf) Painting, welding, carpentry, machine shops 2.3 Office buildings, office/administrative areas in facilities of other use types (including but not limited to schools, hospitals, institutions, museums, banks, churches) 1.0 Barber shops, beauty shops 2.0 Police and fire stations 1.0 Hotel banqueUconference/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, handling 1.5 Restaurants/bare 1.0 Gas stations, auto repair shops 1.5 Locker and/or shower facilities 0.8 Institutions 1.5 Warehouses ", storage areas 0.5 Libraries 1.5 Aircraft storage hangars 0.4 Nursing homes and hotel/motel quest 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 0 Other Qualification Checklist Lighting Check if all fixtures are ballasted and at least 95 %• of fixtures are either: Note: If occupancy type is "Omer" and fixture Fixtures: answer is checked, the number of fixtures in (Section 1. Fluorescent fixtures which a) are non - lensed. b) have 1 or 2 two lamps c) have the space is not limited by Code. Clearly 1521) 5-60 watt T -1, T -2, T -4, T -5, T-6, T-8 lamps. d) have hard -wired electronic indicate these spaces on plans. knot dimming ballasts. Screw -in compact fluorescent fixtures 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/fixture. ' Lighting Summary (back) LTG -SUM 2004 Washington State Nonresidential Energy Code Compliance Forms TABLE 15 -1 Unit LiAhtina Power Allowance (LPA 2004 Washington State Nonresidential Energy Code Compliance Form Revised May 2005 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 foot 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 150f9 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 wHl' 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 axis only is acceptable for fluorescent and other fixtures with two points of track attachment). c) fitted with LED, tungsten halogen, fluorescent, or high intensity discharge 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 ovemight patient care, do provide medical, dental, or psychological examination and treatment. These spaces include, but are not limited to , laboratories and treatment centers. October 16, 2007 Dave Carter Aldrich & Associates, Inc. 810 240 St SE Bothell WA 98021 RE: Request for Extension Development Permit No. D06 -332 Dr. Baruffi TI — 411 Strander BI Dear Mr. Carter, This letter is in response to your written request for an extension to Permit No. D06 -332. The Building Official has reviewed your letter and considered your request to extend the above referenced permit. The City of Tukwila Building Division will be extending the expiration date of your permit one time for an additional 180 days, through April 16, 2008. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, File: Permit No. D06 -332 Department of Community Development Steve Lancaster, Director P:\Pemot Center\Extension Letters\Pennite\2006\D06-332 Perrot Exmn,ion.doe Page 1 oil jem Steven M. Mullet, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206- 431 -3665 - OCT - 15 - 0T 12:54 FROM - Aldrich i Associates Aldrich +Associates. Inc. A',, CONSTIticitini SAECIAtISSS 10/15/07 Bob Benedicto City of Tukwila 6300 Southcenter Boulevard Suite 100 Tukwila, WA 98188 RE: Permit No D06 -332 Dr. Baruffi T.I., 411 Strander Blvd., Tukwila, WA Dear Mr. Benedicto, In reference to a letter from Jennifer Marshall dated 8 -30 -07 regarding the building permit referenced above; we are requesting the building permit be extended for a period of 90 days. Aldrich and Associates was delayed in starting construction but started construction a few weeks ago and anticipate completing construction by mid January, 2008. Please contact me at the number below if you have any questions or need additional information. incerely, Carter Manager h and Associates, Inc. W: 425- 483 -1313 ext. 231 425 - 486-1018 T -321 P.001/001 F -110 / 097 810 240th St Se, Bothell WA 98021 T: 425,483.1313 F: 425.486.1018 Lie No. AL- OR -IA' 02Rll Predictable Results... Every Time. RECEIVED CITY OF TIJKWILA OCT 15 20071 PERMIT 6ENT1R 08 -30 -2007 JOHN SCHUH 810 240 ST SE BOTHELL WA 98033 RE: Permit No. 006 -332 411 STRANDER BL TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206. 431 -2451 to schedule for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Building Code does allow the Building Official to approve one or more extensions of time for additional periods not exceeding 90 days each. Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 10/16/2007 , your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, • I Ter Marshall, Permit Technician xc: Permit File No. D06-332 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206- 431 -3665 Aldrich tAssaciates, Inc C O N S T R U C I ' I O N s P E c I A t i s Ts March 26, 2007 TUKWILA PERMIT CENTER 6300 Southcenter Blvd. #100 Tukwila, WA 98188 Reference: Dr. Jerome Baruffi, Southcenter Dental, 411 Strander Blvd. Tukwila, WA To Whom it May Concern: Pursuant to our conversation with Joanna Spencer of the Public Works Dept., this requests that the Permit Center continue their review and issuance of the tenant improvement permit, subject to other permit review comments. Issuance of an occupancy permit for the permitted tenant improvements will be subject to completion of Public Works required work, PW07 -028. Response to other permit review comments accompanies this letter. Thank you for continuing the review process and issuance of the tenant improvement permit. Please don't hesitate to contact me regarding this request. Sincerely, Jonathan Fast President, Aldrich + Associates, Inc. 810 — 240 Street SE Bothell, WA 98021 -9397 Ph(425) 483 -1313 Fax(425) 486-1018 CORRECTION www.aldrich- assoc.com Lic No. AL- DR- IA'202RU DO 352. RECEIVED c1TY OF TUKWILA MAR 28 200T PER Predictable Results... Every Time OCT -04 -2006 16:14 DAN 1�. a INTERIOR OES10N SPACE DEVELOPMESTxveLOPNExr October 4, 2006 Alien Johannessen, Plans Examiner City of Tukwila, Dept. of Community Dev., Building Division 5300 Southcenter Blvd. Tukwila, WA 98188 -2599 FAX: 206 - 431-3665 Re: Permit Application 0: D06332 Location: 411 Strander 8l. Suites 107 & 108 Tukwila, WA 98188 Tenants Dr. Jerome Barufri Description: Tenant Improvement for Commercial Dental Office Parcel Number. 0223200052 P.01 425.828.0955 PHONE 425.822.2158 FAX C10 1090 THIRD STREET BELLEVUE. WA [08088] DANNIXOESIGN.COM Dear Mr. Johannessen, The following Is in response to the review comments listed In your letter of September 16, 2006. Item 1: Clarification. The custom glass waterfall will be 3/8" to 1/2" thick, tempered and designed in (2) vertical sections. It Is supported at the bottom of the stainless steel pan, sitting in neoprene blocks. At the top, the glass Is installed M the slot formed by the 18 to 18 ga. stainless steel shroud which is spaced 1/8" from the face of the glass. Sincerely, Dan Nix Cc: Dr. Jerrname Baruffi 206 -575 -1655 FAX A nc ffeD : (2) ite.//SEG s ( _sT f!v °F 6.415 wAnStenw CORRECTION LTR# Ezo&- %2- RECEIVED cfry OFTUKWII.A MAR 28 2007 TOTI t_ P.0/ March 2, 2007 Jerome R. Baruffi, D.D.S. Medical Centers, LLC 411 Strander Bl #107 Tukwila WA 98188 RE: Request for Permit Application Extension Development Permit Application No. D06 -332 Dr. Jerome Baruffi — 411 Strander BI Dear Dr. Baruffi: This letter is in response to your written request for an extension to Permit Application No. D06- 332. The Building Official has reviewed your letter and considered your request to extend the above referenced permit application. The City of Tukwila Building Division will be extending the expiration date of your permit application for an additional 180 days (through August 31, 2007). If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, arshall it'Fedhnician Akastivu File: Permit No. D06 -332 City of Tukwila Department of Community Development Steve Lancaster, Director P:VennifeAExtension Letten\Pemril Applications \D06 -332 Application Extension4oc jem Steven M. Mullet, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206 - 431 -3665 February 27, 2007 City of TukvVila Department of Community Development Attn: Bob Benedicto 6300 Southcenter Blvd. #100 Tukwila WA 98188 RE: Permit Application No. D06 -332 411 Strander Blvd, Tukwila Dear Mr: Benedicto, This is a written request for an extension of our permit application originally applied for on 9/6/2006. I have hired an underground utility contractor, Green River Construction, to install the required Reduced Pressure Principle assembly. The RPPA is required to be installed in a Hot Box. We have ordered and•been informed that there is a minimum turn around time of 4 -6 weeks for a 3" Hot Box. Very Truly Yours, Jerome R. Baruffi, D.D.S • Medical Centers, LLC 6v p ci r *2j t6l RECEIVED FEB 2 8 2001i commutirrt ceasonsuir 411 Strander Blvd. #107,Tukwila WA 98188 - phone: 206.940.6428 email: diana @medicalcenterslIc.com 02 -02 -2007 DAN NDC 1030 3 ST KIRKLAND WA 98033 RE: Permit Application No. D06 -332 411 STRANDER BL TUKW Dear Permit Applicant: City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director In reviewing our current permit application files, it appears that your permit application applied for on 09/06/2006 , has not been issued by the City of Tukwila Permit Center. Per the International Building Code and/or the International Mechanical Code, every permit application not issued within 180 days from the date of application shall expire by limitation and become null and void. Your permit application expires on 03/05/2007 . If you choose to pursue your project, a written request for extension of your application addressed to the Building Official, demonstrating justifiable cause, will need to be received at the Permit Center prior to your expiration date of 03/05/2007. If it is determined that an extension is granted, your application will be extended for an additional 90 days from the expiration date. In the event you do not receive your written request for extension, your permit application will become null and void and your project will require a new permit application, plans and specifications, and associated fees. Thank you for your cooperation in this matter. Sincerely, rshall Permit echnician ,cc: AciAsituu Permit File No. D06-332 1- 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-431-3670 • Fax: 206 - 431 -3665 September 18, 2006 Dan Nix 1030 3 Street Kirkland WA 98033 RE: CORRECTION LETTER #1 Development Permit Application Number D06 -332 Dr. Jerome Baruffi — 411 Strander BI, Suites 107 & 108 Dear Mr. Nix: This letter is to inform you of corrections that must be addressed before your development permit(s) can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Building and Public Works Departments. At this time the Fire and Planning Departments have no comments. Building Department: Allen Johannessen, at 206 433 -7163, if you have questions regarding the attached memo. Public Works Department: Joanna Spencer, at 206 431 -2440, if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that four (4) complete sets of revised plans, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections/revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at (206) 433 -7165. Sincere] end File No. D06 -332 City of Tukwila Department of Community Development Steve Lancaster, Director arshalaN "^ chnician P:VenniferCorrection Letten\2006\D06 -332 Correction Ltr MI.DOC Km Steven M. Mullet, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 Building Division Review Memo Date: September 15, 2006 Protect Name: Dr. Jerome Baruffi Permit #: D06 -332 Plan Review: Allen Johannessen, Plans Examiner Tukwila Building Division Allen Johannessen, Plan Examiner A Building Division conducted a plan review on the subject permit application. Please address the following comments in an itemized format with revised plans, specifications and /or other applicable documentation. (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size). (1f applicable) Structural Drawings and structural calculations sheets shall be original signed wet stamped not copied.) 1 Provide additional information with details that show how the custom art glass shall be supported. In addition provide characteristic/specification for the art glass ex rating, size & thickness. (IBC 2403.1, 2403.2, 2403.3 & 2403.4) Should there be questions concerning the above requirements, contact the Building Division at 206-431- 3670. No further comments at this time. DATE: September 13, 2006 PROJECT: Dr. Jerome Baruffi Dental Office Tenant Improvement REVIEW #: 1 PUBLIC WORKS DEPARTMENT COMMENTS www.ci.tukwila.wa.us Development Guidelines and Design and Construction Standards PERMIT NO: D06 -332 PLAN REVIEW: Contact Joanna Spencer at (206)431 -2440 if you have any questions regarding the following comments. 1) The City has determined that the multiple tenant medical dental building has deficiencies on the domestic water supply line and landscape irrigation line. a) Domestic Water A Reduced Pressure Principle Assembly (RPPA), previously called a Reduced Pressure Backflow Assembly (RPBA), shall be installed immediately downstream of the permanent compound water meter for premise isolation. Installation at another location requires the Public Works Director's approval. The RPPA shall be installed in a Hot Box/Hot Rock or equal freeze protection enclosure anchored to a minimum 4" thick concrete pad. Public Works strongly recommends a power supply for the freeze protection enclosure. City records show one 0.5" RPPA inside the building. This RPPA belongs to Dr. Povolny in Suite #104 and it has not been tested since 2003, despite the annual backflow testing requirement. Please have the backflow tested by a qualified tester and test results submitted to Public works as soon as possible. b) Landscape Irrigation Public works records indicate that there is an existing Double Check Valve Assembly (DCVA) on your irrigation system line, however, the City does not have records of required annual backflow test report. Please have this backflow tested by a certified tester as soon as possible. A passing backflow test report shall be submitted to Public Works. I have enclosed Development Bulletin C5 that describes the design and installation requirements for cross connection control. 2) Please submit a signed King County Sewer Use Certification form itemizing all the new plumbing fixtures (form is attached). Do not list fixtures replaced in kind. If there is a zero net decrease in plumbing fixtures, please attach a separate list of' fixtures that were removed and not replaced. Otherwise please provide a statement in writing that the amount of plumbing fixtures stays the same as a result of the subject proposed tenant improvement. A separate letter was mailed to the building owner, Medical Centers Co. LLC.450910 c/o Newcastle Services on September 13, 2006. The Public Works Director will withhold issuance of this Tenant Improvement permit until the Permit Center receives plans for item la, or a bond for 150% of the design and installation cost of subject device, together with a letter stating the installation by a certain date. (P:Laurie AdniMoannWCommenu D06 -332) ACTIVITY NUMBER: D06 -332 DATE: 03 -28 -07 PROJECT NAME: DR. JEROME BARUFFI SITE ADDRESS: 411 STRANDER BL Original Plan Submittal Response to Incomplete Letter # X Response to Correction Letter # 1 Revision # After Permit Issued DEPARTMENTS: (� Bu la I re r U 4. d Division IbJ Fire Prevention IS Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Documentstro 2-28-02 ng slip.doc PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP l�l Structural Incomplete ❑ TUES/THURS ROU NG: Please Route Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: El No further Review Required DATE: DATE: Planning Division ❑ Permit Coordinator ❑ DUE DATE: 03-29-07 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DUE DATE: 04-26-07 Not Approved (attach comments) ❑ Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ACTIVITY NUMBER: D06 -332 DATE: 09 -06 -06 PROJECT NAME: DR. JEROME BARUFFI SITE ADDRESS: 411 STRANDER BL, SUITES 107 & 8 X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: Biding Di'vi'sion Public dur Complete Comments: Documents/routing slip.doc 2 -28 -02 PERMIT COORD COPY ‘• PLAN REVIEW /ROUTING SLIP APPROVALS OR CORRECTIONS: 511 Rilk 'i ^ryg Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete ❑ DUE DATE: 09-07-06 Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUESTTHURS ROU ING: Please Route Structural Review Required REVIEWER'S INITIALS: ❑ No further Review Required DATE: DATE: 14-0(0 Planning Division Permit Coordinator Not Applicable ❑ n DUE DATE: 10-05-06 r Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) Notation: REVIEWER'S INITIALS: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: entilky Bldg Fire ❑ Ping ❑ PW Staff Initials: Date: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206- 431 -3665 Web site: Imp : //xnvw.ct tukwila.wa w Revision submittals must be subndtted in person at the Permit Center. Revisions will not be accepted through the mall, fax, eta 3/Z8/7 ❑ Response to Incomplete Letter Response to Correction Letter # 1 ❑ Revision # after Permit is Issued 0 Revision requested by a City Building Inspector or Plans Examiner Project Name: t BRA 1 1 1 Tom• Project Address: 4 t ( �T1L44 . . Syr Ut - (Yt Contact Person: - lvC CAtt — Phone Number: `D3- (3 � Summary of Revision: / Sso�- Qc cow, a, -ss su f pakt Sheet Namber(s): 7 "Cloud" or highlight all arel of revision including date mision Received at the City of Tukwila Permit Center by: IE YI Entered in Permits Plus on J "t' t7 1.pphcuwnstonm,- appheuions on ueeNrevuwn submittal Gated: 1-13 -2004 Revised: Steven M. Mullet, Mayor Steve Lancaster, Director Plan Check/Permit Number: Tb b ( - 33 t:fSN OF TUKWIt. MAR 2 8 2001 u;j License Information License ALDRIA *202RU Licensee Name ALDRICH & ASSOCIATES INC Licensee Type CONSTRUCTION CONTRACTOR UBI 600384678 Ind. Ins. Account Id Business Type CORPORATION Address 1 810 240TH ST SE Address 2 City BOTHELL County KING State WA Zip 98021 Phone 4254831313 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 12/31/1980 Expiration Date 2/9 /2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date Expiration Date ALDRICH, GERALD N 01/01/1980 ALDRICH, ANN G 01/01/1980 FAST, JONATHAN S 01/01/1980 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 TRAVELERS CAS & https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= ALDRIA *202RU 04/19/2007 x x x x x x x x