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HomeMy WebLinkAboutPermit D10-266 - SUNRISE DENTAL - WALLSSUNRISE DENTAL 7100 FUN CENTER WY SUITE 100 D10 -266 City ofI'ukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: help: //www.ci.tukwila.wa.us Pazcel No.: 2423049092 Address: 7100 FUN CENTER WY TUKW Suite No: Project Name: SUNRISE DENTAL DEVELOPMENT PERMIT Permit Number: D 10 -266 Issue Date: 10/21/2010 Permit Expires On: 04/19/2011 Owner: Name: H2 OFFICE LLC Address: 7100 FUN CENTER WAY STE 100 , TUKWILA WA 98188 Contact Person: Name: LAUREN WILLS Address: 1200 112 AV NE C -222 , BELLEVUE WA 98004 Phone: 206 - 852 -9093 Contractor: Name: OWNER AFFIDAVIT - SCOTT HUISH Phone: Address: Contractor License No: Expiration Date: DESCRIPTION OF WORK: TENANT IMPROVEMENT: ADD TWO WALLS AND A PONY WALL AND HAVE OPENED UP THE TWO SUITES AND MAKING THEM INTO ONE SUITE Value of Construction: $1,500.00 Fees Collected: $177.75 Type of Fire Protection: SPRINKLERS International Building Code Edition: 2009 Type of Construction: V -B Occupancy per IBC: 0008 * *continued on next page ** doc. IBC -10/06 D10-266 Printed: 10 -21 -2010 City AO-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.tulcwila.wa.us Permit Number: D10-266 Issue Date: 10/21/2010 Permit Expires On: 04/19/2011 Public Works Activities: Channelization / Striping: N Cu::b Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: Flood Control Zone: Hauling: Lard Altering: Lar.dscape Irrigation: Moving Oversize Load: N N Number: 0 Size (Inches): 0 Start Time: Volumes: Cut 0 c.y. End Time: Fill 0 c.y. Start Time: End Time: Saritary 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: 11 OW Date: � �/ b 0 I hereby certify that I have read and ' ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie whether specified herein or not. The granting of thip4s= 't does not pres e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the pe ,ormance of work. I am authorized to sign and obtain this development permit. Date: 1.0 / Zi // D Signature: Print Name: Lobs u. V 4 1 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. doc: IBC -10/06 D10 -266 Printed: 10 -21 -2010 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:/lwww.ci.tukwila.wa.us Parcel No.: 2423049092 Address: Suite No: Tenant: 7100 FUN CENTER WY TUKW SUNRISE DENTAL PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: D10-266 ISSUED 09/23/2010 10/21/2010 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 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 sta:rt of any construction. These documents shall be maintained and made available until final inspection approval is granted. 5: Partition walls that are tied to the ceiling and all partitions greater than 6 feet in height shall be laterally braced to the building structure. 6: construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 7: 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. 8: plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 10: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. 11: ** *FIRE DEPARTMENT CONDI'T'IONS * ** 12: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 13: 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) 14: 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 tha.: its top is not more than 5 feet (1524 mm) above the floor. Hand -held portable fire extinguishers having a gross doc Cond -10/06 D10 -266 Printed: 10 -21 -2010 • 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 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 mrn). (IFC 906.7 and IFC 906.9) 15: 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) 16: 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) 17: 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) 18: 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) 19: 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) 20: 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) 21: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10) 22: Aisles leading to required exits shall be provided from all portions of the building and the required width of the aisles shall be unobstructed. (IFC 1013.4) 23: Maintain sprinkler coverage per N.F.P.A. 13. Addition/relocation of walls, closets or partitions may require relocating ancVor adding sprinkler heads. (IFC 901.4) 24: 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) 25: All new sprinlder systems and all modifications to existing sprinkler systems shall have fire department review and approval of drawings prior to installation or modification. New sprinlder systems and all modifications to sprinkler systems involving more than 50 heads shall have the written approval of the W.S.R.B., Factory Mutual, Industrial Risk Insurers Kemper or any other representative designated and /or recognized by the City of Tukwila, prior to submittal to the Tukwila Fire Prevention Bureau. No sprinkler work shall commence without approved drawings. (City Ordinance #2050) 26: An approved manual fire alarm system including audible /visual devices and manual pull stations is required for this project. The fire alarm system shall meet the requirements of Americans With Disabilities' Act (I.B.C.), N.F.P.A. 72 anc. the City of Tukwila Ordinance #2051. 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) doc: Cond -10/06 D10 -266 Printed: 10 -21 -2010 • 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: An electrical permit from the City of Tukwila Building Department Permit Center (206- 431 -3670) is required for this project. 30: The maximum flame spread class of finish materials used on interior walls and ceilings shall not exceed that set forth in '.'able No. 803.5 of the International Building Code. 31: In order to provide you with the fastest police and fire protection under emergency conditions, please post your suite, room or apartment number m a conspicuous place near the main entry door. (IFC 505.1) 32: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2050 and #2051) 33: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 34: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575 -4407. * *continued on next page ** doc Cond -10/06 D10 -266 Printed: 10 -21 -2010 • 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. Signature: / 11(A1/01 Print Name: t/ ' () I S Date: o doc Cond -10/06 D10 -266 Printed: 10 -21 -2010 CITY OF TUKIIIIA Community Develo751fient Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Building Pere No. 1) t Mechanical Permit No. Plumbing/Gas Permit No. Public Works Permit No. Project No. (For ofce 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 Site Address: `71 OD 'Fur Ccvi+CV vny Tenant Name: Ski\h € King Co Assessor's Tax No.: 14)- 301-1 ` L O42 Suite Number: 110 Floor: 1 may" New Tenant: E Yes .. No Property Owners Name: a } 1 1iti f Sl/1 Mailing Address: City State Zip [CONTACT PERSON — who do we contact when your permit is ready to be issued Name: i \� Mailing Address: 12-00 (12(34- I Ctt__22IZ E -Mail Address: I G Ill Y-f/1I e. S1/l h n Y �f1r'�l ►- 6,0 I►n Day Telephone: g I Levvu W A 000 Li City State Fax Number( --L) 0- Q Zip GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: SIA■nrS �Qi ..Q - AhY►\\I\t&P\ CAV v 03500\ C Mailing Address: /al e° a //2 t2) Aire A/c( `R. Eire 1lvnP t„,A- "1 0 O kf City State Zip Day Telephone: (20(.0 g s 2 - 0613 Fax Number: (L42'5) .4 So - S0D2 Contact Person: `LWIw`t� ' p E -Mail Address: 11j U fl V1 1 Sit VI h Ce Ulf Contractor Registration Number: N /i4 — Lye Expiration Date: [ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Atm Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: [ENGINEER OF RECORD — All plans must be stamped by Engineer of Record X1,4 Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: H:Wpplications\Portns- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: 7 -2010 sn Page 1 of 6 BUILDING PERMIT INFORMATIO — 206 - 431 -3670 Valuation of Project (contractor's bid price): $ /5-0 o Existing 1 uilding Valuation: $ Scope of Work (please provide detailed information): �� c e ell oiA N t) o L,..aal IS CQ a r?c. Wall • 1nGfVF - -, U ePvu_ol o .o4€-.' Ot_,tic1 hlakt Will there be new rack storage? ❑ ....Yes /4 ..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 of 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? 19 Yes ❑ No if "yes ", explain: .spG n1{ FIRE PROTECTION/HAZARDOUS MATERIALS: LL� /� l Sprinklers ❑ Automatic Fire Alarm © None ® Other (specify4eKk '� I'et rnJ( S 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 including 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. H: V+pplications\Forms- Application! On Line\2010 Applications17 -2010 - Permit Application.doc Revised: 7 -2010 bh Page 2 of 6 • Existin: Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1!` Floor rd Floor 3`d Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck 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 of 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? 19 Yes ❑ No if "yes ", explain: .spG n1{ FIRE PROTECTION/HAZARDOUS MATERIALS: LL� /� l Sprinklers ❑ Automatic Fire Alarm © None ® Other (specify4eKk '� I'et rnJ( S 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 including 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. H: V+pplications\Forms- Application! On Line\2010 Applications17 -2010 - Permit Application.doc Revised: 7 -2010 bh Page 2 of 6 • L PERMIT APPLICATION NOTES — icable 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 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT: Signature: iL. Print Name: �* r OkOthA G h r ba'h 11.v. Mailing Address:7yJ? yC./h./114- A(6 [Date Application Accepted: 9, )1__( V Date: c77 /O Day Telephone: °Zb 6— 3/0 3c% gq yARRA0,1 wA 9b'a'Y City State Zip Date Application Expires: 3 Staff Initials: ud FI:\ Applications \Forms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: 7 -2010 bh Page 6 of 6 1 PLUMBING AND GAS PIPING PER. INFORMATION — 206 - 431 -3670 • PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor Drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment Repair or alteration of drainage or vent piping Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets H:1Applications'Forms- Applications On Line12010 Applications17 -2010 - Permit Application.doc Revised: 7 -2010 bh Page 5 of 6 • 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 Parcel No.: 2423049092 Address: 7100 FUN CENTER WY TUKW Suite No: Applicant: SUNRISE DENTAL RECEIPT Permit Number: D10-266 Status: PENDING Applied Date: 09/23/2010 Issue Date: Receipt No.: R10 -01893 Payment Amount: $177.75 Initials: WER Payment Date: 09/23/2010 11:23 AM User ID: 1655 Balance: $0.00 Payee: GHORBANIAN, GU, HWANG & IM DDS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1903 177.75 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - NONRES PLAN CHECK - NONRES STATE BUILDING SURCHARGE 000.322.100 000.345.830 640.237.114 Total: $177.75 105.00 68.25 4.50 doc: Receipt -06 Printed: 09 -23 -2010 f�. 34- INSPECTION RECORD Retain a copy with permit INSPECTION NO. ' 6300 Southcenter Blvd., #100, Tukwila. WA.98188 (206) 431 =3670 • Permit Inspection 'Request Line (206) 431 -2451 PERMIT NO. 1 CITY OF TUKWILA BUILDING DIVISION R' � Projecctr: Type of Inspection: , Address: f '/40,0 ,C-7/"./ e#01.410 /.° Date Called: Special Instructions: „r.. /� —2, 6 4' &''4/' —a ! Date Wanted: a. Requester: Phone No: 2t 0.5 pproved per applicable codes. .4➢ Corrections required prior -to approval. to COMMENTS: , , - trpector: Date: NSPECTION FEE REQUI ED. Prior8 next inspection, fee must be paid at.6300 Southcenter BO d., Suite Y00. Call to schedule reinspection. 1 INSPECTION RECORD Retejza copy with permit • . INSPECTION NO.-- ' • PERMIT NO. ..v.,. z. .. • . . , CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter IllycLi 4:100,,:ilikwila. WA .98188?. (206)-431-3 6.7ti,.:' ... • PerthiSispection Request Lille (206) 431-241 •' . . 06/0-46 6 Project: . ,S2AtiAiSe ' ii)WAire41.- Type of Inspection: . ' ":4,9MiAl L '4'. • . ... . .: Address: 7/00 PVA/ eitAisx : Date Called. w3'. 4. Special Instructions: . . ‘ . Date.Wanted: . t. ! • i:iti: Requetter- Phone•No: •AitZ.-. 646.2. +' -14e,a) V . 2 ElApproved per applicable codes. ar• 4Corrections required prior to approval. . t q.4 14v 44, COMMEN Ph,bAsit,6 I ifive6vir;e! //tor/ tat,6 g 4tid$43 ofx/Ph4s-7 k)v • •74 Date: INSPECTION FEE R QUIRED. Pr to next inspection, fee must be paid at 6300 Southcenter Blvd. i te 100. Call to schedule reinspection. • • r '..1094-•4-rt -RV!, • 2r.• 0e=kitc0=9.140,'' 74:1.•70,49.."X INSPECTION•NUMBER : PERMIT NUMBERS • CITY OF TUKWILA..FIRE'DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206 -575 -4407 Project: e. Sprinklers: [ t Type of Inspection: Address: -1- sco Suite #: /IV rkA v- cc, `A ,,,, - Contact Person: LAU r -e4c._ wiiI _ /5t t»�5c ye' i; Special Instructions: Occupancy Type: Phone No .Approved per applicable codes. Corrections required prior to approval. COMMENTS: ere_ C-i- -tai, C ONA INN & r'. 074 ten, / - kt ur rl 1A.l.�.- t - h 41; A.A..Q cc., A' v �r [, r7lfti. .t1 Pie.. /%% r ee r Needs Shift Inspection: _ 1 ,. Sprinklers: [ t Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: ' ' ,'I vvn `1 1 Date: 7. q \ i1- Hrs.: j .0 Vei $80.00 REINSP 3 ON FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance 'Departments Call to schedule a reinspection: • Word /Inspection Record Form.Doc 1/13/06 T.F.D. Form F.P. 113 A INSPECTION NUMBER .r,::,'sfiaf to *.r I. ^•.u+l'� t .yvs sY Yrxq:vi.4.4'NZ ;.�sr.C.+ .i!.w,e+t =i oVrndig,637tiy,.zvr. .•sa. =WO,'A::• •,' R� •+ESL •• ',• mow+: ��. -�... -�� _ • INSPECTION RECORD Retain .a, copy with permit PERMIT NUMBERS CITY OF TUK'WILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206- 575 -4407 Project: Sprinklers: C o - Type of Inspection: Address: 1-loc' Suite #: to a .. c,...1.-, 1..1 Contact Person: `,,,, 6 It V' 4A IN 1' 11C Special Instructions: Permits: Occupancy Type: Phone No.: (2ooc -i 1 On ?.) EiApproved per applicable codes. Corrections required prior to approval. COMMENTS: Sprinklers: C o - Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: 1) "lee J to s J ''VV, : n k /en,- &J . ,n '41,%e G.. 4 ea &us veak. 2 W1 2) 1�e .� ' �i /� .'� Reef } `t� ... -- . . - ... ..... _ 3) II-04C 4,', e.. Y, 6 b o d ¢ G k ;A' 1)1)a,r •, her %+e r! „aaA.. Li) PIA I— bariC ep: , mile ,-.0) &J4 .y i"a et's- Needs Shift Inspection_ Sprinklers: \r Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: • 'Inspector: Y., ,........c.165;.... y . Date:. i 12JJ 1 %% Hrs.: + . 0 $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 add w411S 24'•7 fi 27-0* 27.2' 4'-7 7-0' 13'41' 1= 111 = 111 =1E11 ..t :r REVI ED FOR CODE t'MPLIANCE API) 'nvD ocr 1 5 2010 Pt- CitY la BUIL DIVISIO ORTH TUKWILA SUNRISE DENTAL, SCALE - " = 1' -O" C Lib - c)) E _" .Ci 121 NEW LAVATO ES E I V . D. AND CO iva- ,z, Q MATCH m C: 6- 0 U C3 "0 0 a I g � m NEW SINK AND COUNTER TO MATCH EXISTING NEW UPFIEV LOWER OA NEW SIN;;i DI bb RECEIVE SEP 2 3 2010 PERMITCE TER pion Architect A.I.A. !YP/1UP? Everett. Wo, 98201 188' • October 6, 2010 City of Tukwila Permit Center 6300 Southcenter Blvd., #100 Tukwila, WA 98188 Attention: Dave Larson Dave, www.sunrisedental.com • OCT 0820101 COMMUN;T/ DEVELOPW.E4T In response to the building permit for 7100 Fun Center Way Ste. 110, Tukwila, WA, I am writing this letter to inform you that our dental office will have no medical gas on the premise. Our plumbing only obtains air, vacuum and water. I contacted the fire department to let them know that we will have no medical gas on site. The fire department had asked for a written letter sent to the permit center stating so. I hope this letter clarifies the incomplete request for our building permit. Please let me know if we need to make any further actions to complete our request. Thank you for all of your help and time. Sincerely, Lauren Wills Executive Assistant Sunrise Dental Duo -210‘ INCOMPLETE '.TR #_1 Central Office: 1200 112th Ave NE, Suite C -222 • Bellevue, WA 98004 • Phone: 425.450.9500 • Fax: 425.450.5008 • ity of 1 Jim Haggerton, Mayor Department of Community ,' evelopment Jack Pace, Director September 28, 2010 Lauren Wills 1200 112 Av NE, C -222 Bellevue, WA 98004 RE: Incomplete Letter #1 Development Permit No. D10 -266 Sunrise Dental — 7100 Fun Center Wy Dear Ms. Wills, This letter is to inform you that your permit application received at the City of Tukwila Permit Center on September 23, 2010 is determined to be incomplete. Before your application can continue the plan review process the attached /following items from the following department(s) need(s) to be addressed: Fire Department: Alan Metzler at 206 575 -4407 iff you have any questions regarding the attached comments. 1. Provide information on any medical gases to be used. If any, provide which type, quantities, and method of storage, use, etc. Please address the comment above in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that four (4) sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at the Permit Center at (206) 431 -3670. Sincerely, r\ nifer lbiarshall it Technician Enclosures File: D10 -266 W:\Permit Center \Incomplete Letters \2010\D10 -266 Incomplete Ltr 4 I.DOC 6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 o Phone: 206 - 431 -3670 0 Fax: 206 - 431 -3665 • tine CO CU 3 COP PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D10 -266 DATE: 10 -06 -10 PROJECT NAME: SUNRISE DENTAL SITE ADDRESS: 7100 FUN CENTER WY - SUITE 110 Original Plan Submittal Response to Correction Letter # X Response to Incomplete Letter # 1 Revision # After Permit Issued DEPARTMENTS: Biding ivision PISVorrks I p' VV\ c)-'4 CAM Ot\-- 11"/ I 17° Planning Division Fire Prevention Structural ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 10-07-10 Complete Xi Incomplete ❑ Not Applicable ❑ 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 Required n No further Review Required n REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: DATE: n DUE DATE: 11-04-10 Not Approved (attach comments) Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 • �' • t; PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D10 -266 DATE: 09 -23 -10 PROJECT NAME: SUNRISE DENTAL SITE ADDRESS: 7100 FUN CENTER WY - SUITE 110 X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Building Division Public Works ftvv%1,1 661e4 Fire Prevention Structural Pr Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete DUE DATE: 09 -28-10 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: Id LETTER OF COMPLETENESS MAILED: Ping ❑ PW ❑ Staff Initials: Departments determined incomplete: Bldg ❑ Fire TUES/THURS ROUTING: Please Route n Structural Review Required REVIEWER'S INITIALS: No further Review Required DATE: APPROVALS OR CORRECTIONS: DUE DATE: 10-26 -10 Approved ❑ Approved with Conditions n Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Web site: http: / /www.ci.tukwila.wa.us REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: /0 — /0 Plan Check/Permit Number: ,0/0 - 2-66 Response to Incomplete Letter # ❑ Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: i� /„ , ` ��j ,Qr'i, Al l O t.eJe/ g /e_ //� GY,i //s Phone Number: 2 46' – A'52-7o9, Summary of Revision: Project Address: Contact Person: Gee" RECEIVED OCT 06 2010 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date evisi - • Received at the City of Tukwila Permit Center by: a— Entered in Permits Plus on 0 ( H:\Applications \Forms - Applications On Line\2010 Applications N7-2010 - Revision Submittal.doc Created: 8 -13 -2004 Revised: 7 -2010 • CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -367o FAX (206) 431 -3665 E -mail: tukplanPci.tukwila.wa.us Permit Center /Building Division 206 431-3670 Public Wor Department 206 433 -0179 Planning Division 206 431 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO: C ,) l STATE OF WASHINGTON) ) ss. COUNTY OF KING ) cAVAALAAA [please print name) , states as follows: 1. 'I have made application for a permit from the City of Tukwila, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized under this permit to be exempt under number 1 '2_, and will therefore not be performed by a registered contractor. 5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. pe0`0000ee00000 4 ',.ede , , E L 0 414 ^° Y s PuBL�G y ,��L•�' :9•';• �'� �� 18 Signed and sworn to before me this /fir day of AI� ,20 ICS N OT PUBLIC in and for the State of Washington Residing at , County Name as commissioned: /1i/ 1,46L OdV My commission expires:. 4G— )y