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Home My WebLink AboutPermit D06-399 - Hill Rom - OfficeHILL ROM 12604 INTERURBAN AV S D06 -399 Parcel No.: 0004800003 Address: 12604 INTERURBAN AV S TUKW Suite No: Tenant: Name: HILL ROM Address: 12604 INTERURBAN AV S , TUKWILA WA 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: htto: //www.cttukwila.wa.us DEVELOPMENT PERMIT Owner: Name: GATEWAY OLYMPIA INC Address: C/O MCELROY GEORGE & ASSOC , 3131 S VAUGHN WAY #301 80014 Phone: Contact Person: Name: DAVID KEHLE Address: 1918 BONAIR DR SW , SEATTLE WA 98116 Phone: 208 433 -8997 Contractor: Name: PRECISION BUILDERS INC Address: PO BOX 98609 , DES MOINES WA 98198 -0609 Phone: 206878 -2948 Contractor License No: PRECIBI 15 1 C2 * *continued on next page ** Permit Number: D06 -399 Issue Date: 01/08/2007 Permit Expires On: 07/07/2007 Expiration Date: 01/19/2008 Steven M. Mullet, Mayor Steve Lancaster, Director DESCRIPTION OF WORK: CONSTRUCT NEW OFFICE FOR TENANT TO INCLUDE NON - BEARING WALLS AND SUSPENDED ACOUSTICAL CEILING. Value of Construction: $18,000.00 Fees Collected: $518.28 Type of Fire Protection: SPRINKLERS International Building Code Edition: 2003 Type of Construction: VB Occupancy per IBC: 0008 doc: IBC -10/06 D06 -399 Printed: 01 -08 -2007 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: N Number: 0 Flood Control Zone: Hauling: N Start Time: Land Altering: Volumes: Cut 0 c.y. Landscape Irrigation: Moving Oversize Load: Start Time: Sanitary Side Sewer: Sewer Main Extension: Private: Public: Storm Drainage: Street Use: Profit: N Non - Profit: N Water Main Extension: Private: Public: Water Meter: N Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be compile The granting constructio Signature: Print Name: 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: htto: //www.ci.tukwila.wa.us NMI ed Permit Number: D06 -399 Issue Date: 01/08/2007 Permit Expires On: 07/07/2007 Size (Inches): 0 End Time: Fill 0 c.y. End lime: Date: D' 11 I iK Steven M. Mullet, Mayor Steve Lancaster, Director permit and know the same to be true and correct. All provisions of law and ordinances then specified herein or not. permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating performance of work lam authorized to sign and obtain this development permit. 1 t!/t -dc) Date: I 2 0 )1/1446,4, TaJeKSn 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. doe: IBG10 /06 D06.399 Printed: 01 -08 -2007 Parcel No.: 0004800003 Address: 12604 INTERURBAN AV S TUKW Suite No: Tenant: RILL ROM 1: ** *BUILDING 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 PERMIT CONDITIONS Permit Number: D06 -399 Status: ISSUED Applied Date: 10/24/2006 Issue Date: 01/08/2007 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: 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. 8: All rack storage requires a separate permit issued through the City of Tukwila Permit Center. Rack storage over 8 -feet in height shall be anchored or braced to prevent overturning or displacement during seismic events. The design and calculations for the anchorage or bracing shall be prepared by a registered professional engineer licensed in the State of Washington. 9: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 10: 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. 11: Manufacturers installation instructions shall be available on the job site at the time of inspection. 12: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 13: 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). 14: 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: Cond -10/06 D06 -399 Printed: 01 -08 -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 Building Official from requiring the correction of errors in the construction documents and other data. 15: ** *FIRE DEPARTMENT CONDITIONS * ** 16: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 17: 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) ( Office ) 18: 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) Warehouse) 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 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) 20: 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) 21: Maintain fire extinguisher coverage throughout. 22: 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) 23: The path of egress travel along a means of egress shall not be interrupted by any building element other than a means of egress component as specified in this chapter. Obstructions shall not be placed in the required width of a means of egress except projections permitted by this chapter. The required capacity of the means of egress system shall not be diminished along the path of egress travel (IFC 1003.6) 24: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10) 28. 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: In Group B and M occupancies, the minimum clear aisle width shall be determined by the occupant load served, but shall not be less than 36 inches. (IFC 1013.4.1) 27: All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department review and approval of drawings prior to installation or modification. New sprinkler systems and all modifications to sprinkler systems involving more than 50 heads shall have the written approval of the W.S.R.B., Factory Mutual, Industrial Risk Insurers Kemper or any other representative designated and/or recognized by the City of Tukwila, prior to submittal to the Tukwila Fire Prevention Bureau. No sprinkler work shall commence without approved drawings. (City Ordinance #2050) 28: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2050 and #2051) doe: Cond -10/06 D06 -399 Printed: 01-08 -2007 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 29: 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) 30: 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) 31: 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) 32: An electrical permit from the Washington State Department of Labor and Industries is required for this project. 33: Each circuit breaker shall be legibly marked to indicate it's purpose. (NEC 110 -22) 34: All electrical work and equipment shall conform strictly to the standards of the National Electrical Code. (NFPA 70) 35: Accumulation of combustible waste material is prohibited during the demolition phase of this project. Remove and properly dispose of all waste material prior to the close of the working day and as often throughout the day as needed. 38: All interior demo debris must be removed prior to demo of the automatic sprinkler system. Contact the Tukwila Fire Prevention Bureau at 208/575 -4407 for an inspection of the building prior to shut down of the automatic sprinkler system. 37: Maintain coverage and operability of portable fire extinguishers, sprinkler systems and fire alarm systems during demolition and construction. 38: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 39: These plans were reviewed by Inspector 514. U you have any questions, please call Tukwila Fire Prevention Bureau at (206)578 -4407. * *continued on next page ** D06 -399 Printed: 01- 08-2007 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 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. SignaturA -IF � G Print Name: /I4 Q.I. A AV f rV'v) Date: 8-0 doc: Cond -10/06 006 -399 Printed: 01 -08 -2007 CITY OF TUKWIL Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htta:l(www. ci. t kwila. wa. us SITE LOCATION Site Address: l Wd4 I f I rutha 1 to . Suite Number. Tenant Name: }-h / 1 /W m Property Owners Name: (2 f Imo O . gee F �/ .r- " Mailing Address: )(0000 PMnhif./'ISerl &&1C 4 /0f 1 ti�Ll Gt.. WA 9010% City State Zip CONTACT PERSON �" Day Telephone: AOto-LI33 - Ogg 7 Mailing Address: I2d7ao (3o1j.1i� hr. !w11� i1140 &Olt WA c Mtot atY ZIP Fax Number. A OIO - ,MS - .T 401 Name: .61MA E -Mail Address: d Kph I, Qom. dd yl'e{1 i, arch .' nal GENERAL CONTRACTOR INFORMATION - (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: 1Vl2 Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number. Contractor Registration Number. Expiration Date: ARCHITECT OF RECORD -All plans mast be wet stamped by Architect of Record Company Name: Da Y w Arai SeC."- Mailing Address: la1AO l&otva 1 De/ lit b ust !1!o .6W-fit WA *3/ Got Ciry Tip Day Telephone: AO to - 3 4441 E -Mail Address: t Fax Number. 49)O0 -at& b31A Contact Person: Ittlit / 1 ENGINEER OF RECORD -MI plans must be wet stamped by Engineer of Record Company Name: [lucre Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number. Q:WMiwiaesTernsMMiorimu On L¢U -WI6 -P nit MMiorian. Revised: 4-M06 Building Permit No 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 ** King Co Assessor's Tax No.: 000443000 New Tenant: V! TUKWILA w Floor: ❑ .....Yes ONo Sure Mate Zip Zip Page I of 6 ' BUILDING PERMIT INFORMAdION — 206 - 431 -3670 Valuation of Project (contractor's bid price): $ M' ea? • a) Existing Building Valuation: $ 2 MI L-1.40 t4 Scope of Work (please provide detailed information): C4046 lieu) O - Per Anak * inr_lud,. /'Of► -btariq t Jb auSPandlet. Rcou641a l (!etllncf Will there be new rack storage? ❑..Yes Yl Of yes, a separate permit and plan submittal will be required) Provide All Building Areas in Square Footage Below PLANNING DIVISION: Or Single - family building footprint (area of the foundation of all structures, plus any decks over 1E 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: Q:Upplid'cn$Fvms-Applicaione Oe liac\ -2006 - Pent Ap &icerioatoe aevud: 4-206 Ni Compact: Handicap: Will there be a change in use? ❑....Yes ❑..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: . Sprinklers ❑..Automatic Fire Alarm ❑..None ❑ -Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑.. Yes 0.. No If "yes ", attach list ofmateriaLs and storage locations on a separate 8 -1/2 x 11 paper indicating quantifies 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. Page 2 of 6 PERMIT APPLICATION NOTES — Applicable to all permits in this application Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. Building and Mechanical 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 105.32 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING 0 . s i7� �'i'YTx • AGENT: Signature: - '''� Date: i0 Print Name: - 1)Aiibi Day Telephone: Ao 4S3"89Q 7 Mailing Address: /0 fl u & J'. #l'(O SPatiee, WA 98/A0 City Stare Tip Date Application Expires: owl 1 Date Application Accepted: 1012140.47 t Q: ApplicnioSrame- Applieaiau Ou line 3 -20I6 -Pena Applicaionsloc Revised 4-2006 bit Staff Initials: Page 6 of 6 Parcel No.: 0004800003 Permit Number: D06 -399 Address: 12604 INTERURBAN AV S TUICW Status: APPROVED Suite No: Applied Date: 10/24/2006 Applicant: HILL ROM Issue Date: Receipt No.: R07.00031 Initials: JIM Payment Date: 01/08/2007 01:57 PM User ID: 1165 Balance: 50.00 Payee: DAVID E HEHLE ARCHITECT TRANSACTION LIST: Type Method Description Amount Payment Check 17735 315.88 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 Account Code Current Pmts 000/322.100 311.38 000/386.904 4.50 Total: $315.88 Payment Amount: 5315.88 3563 01/03 9716 TOTAL 371.59 doc: Receiot -06 Printed: 01 -08 -2007 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0004800003 Permit Number: D06 -399 Address: 12604 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 10/24/2006 Applicant: HILL ROM Issue Date: Receipt No.: R06 -01707 Payment Amount: 202.40 Initials: JEM Payment Date: 10/24/2006 02:30 PM User ID: 1165 Balance: $315.88 Payee: DAVID E. KEHLE ARCHITECT TRANSACTION LIST: Type Method Description Amount RECEIPT Payment Check 17589 202.40 ACCOUNT ITEM LIST: Description Current Pmts PLAN CHECK - NONRES Account Code 000/345.830 202.40 Total: 202.40 1087 10/24 9716 TOTAL 202.40 doc: Receipt Printed: 10 -24 -2006 Project' , // /14, , Type of Inspec n: /f ��7/./Jc -- Address: Date Called: Spe is Instruc on : Date Wante 3 9 7 a Cy my Requester: Phone No: 2 3Z — /s ' INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 LI Approved per applicable codes. : 206)431 -36 O Corrections required prior to approval. COMMENTS: t/o.,/ -Co- 1 4/4 SJ /(74 ,3) cA /77 ifiAeli, at_7, I " 7 -6) LI $58.o9-R€(N FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: 'Date: Project: 77 ionl Type of Inspection: V Address: /,2 G07 _reaez-4441/e Date Called: Special Instructions: 9 - or) A/14 Date Wanted: (afro.: p.m. Requester: Phone No: .7X — /S2 .5 ----- INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ntl Approved per applicable codes, Corrections required prior to approval. COMMENTS: C $58.00 REI SFECTION FEE EQUIRED. Prior o inspection, fee in st be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Project: 1-/ ti Co►fl Type of Inspection: Fm t.gid49 //`,'rc Enc.1 Address: l26 r4tc,JJh'„ 4v 5. Suite #: Contact Person: Rot) Special Instructions: Phone No.: Zo(. 26-_ - 72 -e e> Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Dud: Monitor: - Pre -Fire: Permits: Occupancy Type: 3 INSPECTION NUMBER `��Approved per applicable codes. INSPECTION RECORD Retain a copy with permit Word /Inspection Record Form.Doc 1/13/06 00(0 -3`r`? U7 — s - oa4 PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206 - 575 -4407 n Corrections required prior to approval. COMMENTS: SmG /IC.y€ L , ; 71:5 1' UFe. F,'.-e. t 'n n / 0.1i. Inspector: 54) sir Date: 3 / gio 7 Hrs.: $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 COMMENTS: Sprinklers: 0 ea ea d ccrfs s l .•,h4.. -fo ki,rn.hct it . Address: i 2 G o y T, E lV. Suite #: CO coil 'F'.... (0. 115 -/,r- TSi. Special Instructions: Occupancy Type: s Co✓gn_ y)al c -i c /ec4/ r q J Project: / ) rlI!/ r�O)'Y) Sprinklers: Type of Inspection: `- ZT, ct net // r<sc. Address: i 2 G o y T, E lV. Suite #: S. Contact Person: Aver Special Instructions: Occupancy Type: Phone No.: doC Z SS - - 722-o Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: 2 INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA FIRE DEPARTMENT PERMIT NUMBERS 1)04 - f>7- S -oZ(.... 444 Andover Park East, Tukwila, Wa. 98188 206 - 575 -4407 Approved per applicable codes. R E - orrections required prior to approval. Inspector: j I 5' Date: S /g /o 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 T.F.D. Form F.P. 113 Space Heat Type O Electric resistance %Ail enter (see over for definitions) Glazing Area Calculation Note: Below grade walls may be included in the Gross Exterior Wall Area if they are insulated to the level required for opaque waits. Total Glazing Area Electronic version: these values are automatically taken from ENV -UA -1. (r«gh awning) Gross Exterior (vertical & overhd) &tided by Wall Area times 100 equals % Glazing T X 100 = Concrete/Masonry Option 0 Yes Check here if using this option and if project meets all requirements for the Concrete/Masonry Option. See Decision Flowchart (over) for qualifications. Enter requirements for each qualifying assembly below. Project Info Project Address Date Itt leo 17&Cy4 1 i vl+, � UE e tia hE /0 For Bui Department Use FILE COPY r n � - _ ...- Applicant Name: ItIlt/I / . Applicant Address: Z `nAf ini Mali Applicant Phone: , ,, i 3 �A ?r • ' . Envelope Summary Climate Zone 1 ENV -SUM 7004 Washington Slate Nonresidential Energy Code Compliance Fame Project Description ❑ New Building ❑ Addition aA ❑ Change of Use Compliance Option g Preseriptive ❑ Component Performance ❑ Systems Analysis (See Decision Flowchart (over) for qualifications) Envelope Requirements (enter values as applicable) Fully heated/cooled space Minimum Insulation R- values Roofs Over Attic Al Other Roofs Opaque Walls Below Grade Walls Floors Over Unconditioned Space Slabs -on -Grade Radiant Floors Opaque Doss Vertical Glazing Overhead Glazing Maximum U- factors Maximum SHGC (or SC) VerticaVOvenxad Glazing Semi-heated spaoe Minimum Insulation R- values Roofs Over Semi-Heated Spaces' 1. Assemblies with metal framing must comply with overall U- factors 2. Refer to Section 1310 for qualifications and requirements 2004 Washington State Nonresidential Energy Code Compliance Form Notes: I, •j ON+auv& - t et/wool Nuover Revised May 2006 Opaque Concrete/Masonry Wall Requirements Wall Maximum U- factor is 0.15 (R5.7 continuous ins) CMU block walls with insulated cores comply If project qualifies for ConcreteiMasonry Option, list wails with HC t 9.0 BtuM'-W below (other walls must meet Opaque Wall requirements). Use descriptions and values from Table 10-9 in the Code. Wall Description U factor (including insulation R - value & position) �aai�.,itulisdhct•h. —!!!SIJZ Wiritacahmrem l t1hiis r . I CIRY0��1KWILA OCT 2 4 2006 PERMITCEMER Proje Info Project Project Address � Cfel IZ(OG� � u1�ei)¢r�nl �e� For ui d' mg Department Use LL• FF((JJff"11 Applicant Name: ‘1112 Applicant Address: jZ ,, 7 ( y r '1 � � 7 * Ilfp kitft Applicant Phone: y, �,g 3'C/ l-p1'l Project Description ❑ Plans Included requirements. • New Building • Addition ,Alteration Refer to WSEC Section 1513 for controls and commissioning Compliance Option (1) Prescriptive 0 erg Power Allowance 0 Systems Analysis (See Qualification Checklist (over). Indicate Prescriptive & LPA spaces clearly on plans.) Alteration Exceptions (dock appropriate box - sec. 11323) 0.2 W/ft changes we being made to the lighting • No than BO% of the fbdures new, installed wattage not increased, & space use not changed. Location - - Description Allowed Watts per ft or per If Area In tt (or If for perimeter) Allowed Watts x ft (or x If) Covered Parldng (standard paint) 0.2 W/R Covered Penang (reflective paint) 0.3 WAt Open Parking 0.2 we Outdoor Areas 0.2 W/ft Bldg. (by facade) 0.25 WRt Bldg. (by peri n) 7.5 Witt Location (floor /room no.) Fodure Description - Number of Fixtures Watts/ Fbdure Watts Proposed Total Proposed Watts may not exceed Total Allowed Watts for Interior Total Proposed Watts 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 sate NuuwSd.mbal Energy Code Camphors= Forms Proposed Lighting Wattage (Interior) 2004 Washington State Nonresidential Energy Code Compliance Form Lighting Summary LTG-SUM Maximum Allowed Lighting Wattage (Interior) Maximum Allowed Lighting Wattage (Exterior 1. Choose either the facade area or the perimeter method, but not both) Total Allowed Watts Use mgr bsoed maximum input wattage. nor herons with Proposed Lighting Wattage (Exterior) default table In the NREC Technical Reference Manual may also be used. Rafted May 2005 Location (floor/room no.) Occupancy Description Alloyed Watts per 11 Area in It " From Table 15-1 (over) - document all exceptions on form LTG-LPA Total Allowed Watts Allowed x Area Notes: 1. Use manufacturers listed maldmum Input wattage. For hardwired ballasts only, the default table In the NREC Technical Reference Manual may also be used 2. Include endt lights unless less than 5 setts per fixture. a List all fixtures. For exempt lighting, not exception and leave Watts/Fbdure blank ACTIVITY NUMBER: D06 -399 DATE: 10 -24 -06 PROJECT NAME: HILL ROM SITE ADDRESS: 12604 INTERURBAN AV S X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: Orfr Bui g Division Puli W S atel-Ofr DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: APPROVALS OR CORRECTIONS: Approved ❑ Notation: REVIEWER'S INITIALS: Documents/routing slip.doc 2 -28-02 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP PdAt Fire Prevention Structural Incomplete ❑ TUES/THURS ROUTING: Please Route Structural Review Required REVIEWER'S INITIALS: Approved with Conditions w fflitt ng Division l tr At Permit Coordinator ❑ DUE DATE: 10 -26 -06 Not Applicable U Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: No further Review Required DATE: DUE DATE: 11 -23 -06 Not Approved (attach comments) ❑ DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: License Information License PRECIBI15IC2 Licensee Name PRECISION BUILDERS INC Licensee Type CONSTRUCTION CONTRACTOR UBI 600553713 Ind. Ins. Account Id Business Type CORPORATION Address 1 PO BOX 98609 Address 2 City DES MOINES County KING State WA Zip 981980609 Phone 2068782948 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 2/22/1985 Expiration Date 1/19/2008 Suspend Date Separation Date Parent Company Previous License PRECIB•163BR Next License WESTCBII33M3 Associated License Business Owner Information Name Role Effective Date Expiration Date SANBURN, SCOT D AGENT 02/22/1985 Look Up a Contractor, Electrician or Plumber License Detail 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 #4 Bond Company Name DEVELOPERS INS CO Bond Account Number 415171C Effective Date 01/19/2002 Expiration Date Until Cancelled Cancel Date Impaired Date Bond Amount S12,000.00 Received Date 01/14/2002 DEVELOPERS SURETY & Page 1 of 3 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= PRECIBI151C2 01/08/2007 Jan 31 06 0311p M254s•00.27) F5:5a5524t0 i1A): LIZ SAN50RN 2C6-878-0S67 p.1 DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL . 4 ads w —• . � 1>l 'teas -. Et EcTIvc tAt - t2/22 f.:985 PP.EOZSION BUILDERS INC PO BOX 98505 DES MOINES WA 98198 -0609 Dcae4 And D epla, REGISTERED AS PROVIDED BY LAW AS CONST CCNT GE::EP.AI, Please Remove - REGIST. # -EXP DATE And Sign CC01 PRECIBI151C2 01/19/2008 Identification EFFECTIVE LATE 02/22/1985 Card Before PRECISION INC` Placing In PO BOX 98E09 Billfold DES MOINES WA 98198 -0609 Signezuee Ia•uei by DEP.ARTMEN t - F L A3O.a AND INDUSTRIES RI-S x x x