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Home My WebLink AboutPermit D06-456 - Objective Medical Assessments Corp - Tenant ImprovementOBJECTIVE MEDICAL ASSESSMENTS CORP 411 STRANDER BL D06 -456 Parcel No.: 0223200052 Address: 411 STRANDER BL TUKW Suite No: 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 Tenant: Name: OBJECTIVE MEDICAL ASSESSMENTS CORP Address: 411 STRANDER BL, #106 , TUKWILA WA Contact Person: Name: DALE B. NELSON Address: 411 STRANDER BL, #107 , TUKWII,A WA 98188 Phone: 253- 202 -7969 Contractor: Name: OWNER AFFIDAVIT - DALE B. NELSON Address: , Phone: Contractor License No: doc: IBC -10/06 DEVELOPMENT PERMIT Owner: Name: MEDICAL CTRS CO Address: C/O NEWCASTLE REAL ESTATE , 18642 SE 24Th ST 98008 Phone: DESCRIPTION OF WORK: TENANT IMPROVEMENT - INSTALL 8' X 8' X 10' PARTITION WALLS TO CREATE EMPLOYEE BREARROOM SPACE. Value of Construction: $500.00 Fees Collected: $81.35 Type of Fire Protection: AUTOMATIC FA International Building Code Edition: 2003 Type of Construction: VB Occupancy per IBC: 0008 * *continued on next page ** Permit Number: D06 -456 issue Date: 12/22/2006 Permit Expires On: 06/20/2007 Expiration Date: Steven M. Mullet, Mayor Steve Lancaster, Director • • D06 -456 Printed: 12 -22 -2006 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: Hauling: N Start Time: End Time: Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: Moving Oversize Load: Start Time: End 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: Permit Center Authorized Signature I hereby certify that I have read an governing this work will be complie The granting of this p construction or the Signature: doc: IBC-10 /06 e) � 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 N Permit Number: D06 -456 Issue Date: 12/22/2006 Permit Expires On: 06/20/2007 Date: 1,2 -ini Steven M. Mullet, Mayor Steve Lancaster, Director • • • permit and know the same to be true and correct. All provisions of law and ordinances er specified herein or not. it does ot presume to give authority to violate or cancel the provisions of any other state or local laws regulating world. Ian} authorized to sign and obtain this development p t. Date:AV C'. .OA • Print Name: / "AC 3 • G.str r / This permit shall become null and void d 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. • D06-456 Printed: 12-22-2006 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: httn: / /www.ci.tukwila.wa.us 411 STRANDER BL TUKW OBJECTIVE MEDICAL ASSESSMENTS CORP I: ** *BUILDING DEPARTMENT CONDITIONS * ** PERMIT CONDITIONS Permit Number: D06 -456 Status: ISSUED Applied Date: 12/01/2006 Issue Date: 12/22/2006 2: No changes shall be made to the approved plans unless approved by the design professional in responsible chargeand 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: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 9: 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. 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: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 12: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (206/248 - 6630). 13: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. 14: ** *FIRE DEPARTMENT CONDTTIONS * ** • • doc: Cond -10/06 D06 -456 Printed: 12 -22 -2006 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 15: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 16: Maintain automatic fire detector coverage per N.F.P.A. 72. Addition/relocation of walls, closets or partitions may require relocating and/or adding automatic fire detectors. 17: 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) • 18: Fire extinguishers shall not be obstructed or obscured from view. In rooms or areas in which visual obstruction cannot be completely avoided, means shall be provided to indicate the locations of the extinguishers. (IFC 906.6) 19: Extinguishers shall be located in conspicuous locations where they will be readily accessible and immediately available for use. These locations shall be along normal paths of travel, unless the fire code official determines that the hazard posed indicates the need for placement away from normal paths of travel. (IFC 906.5) * *continued on next page ** • 20: Maintain fire extinguisher coverage throughout. 21: All electrical work and equipment shall conform strictly to the standards of the National Electrical Code. (NFPA 70) 22: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 23: These plans were reviewed by Inspector 514. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)5754407. • • doc: Cond -10/06 006 -456 Printed: 12 -22 -2006 Signature: 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: httrx / /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 pe; ormance o wor Print Name: 06 • • • • doc: Cond -10/06 D06 -456 Printed: 12 -22 -2006 CITY OF TUKWILA.) Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.ct tukwila. wa. us Building PertutNoo Mechanical Permit No Plumbing/Gas Permit 1 Public Works Penulth Project No oroce 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.: Site Address: .49/ 6T7241/Zt/., so Suite Number: J% Floor: Tenant Name: (' ryi6r. 42va4?n/ e4 'j/74o/94 (17) New // Tenant r .... Yes 0..No Property Owners Name- c/� /PAG. Nn S 41e �K/-te n.o c.R. n . 1 . Mailing Address: CONTACT PERSON - who do we contact when your permit is ready to be issued .; Name: Tyl-F er), ® / Mailing Address: 4/ // ‘ 7 atti ie 34. e C 4 ; A, 7 City � E -Mail Address: 57a iny7 . CO/77 Contact Person: E -Mail Address: Contractor Registration Number: Contact Person: E -Mail Address: Contact Person: E -Mail Address: Q: Applicatiwu\orm.-Applieniwu On Line U3006 - Permit Application.doc Revised: 9-2006 sh City State Zip Day Telephone: 4'3 aj( e9 rei.0 4ii9 S7?/R3r State Zip Fax Number: 576 _ /65S am GENERAL CONTRACTOR INFORMATION - , �i (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: Mailing Address: City Day Telephone Fax Number: State Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Day Telephone: Fax Number: State Zip Zip ENGINEER OF RECORD - Alt plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Day Telephone: Fax Number: State Zip Page 1 of6 Valuation of Project (contractor's bid price): $ 5OC), (T) Sco e of Work (please provide detailed information): 171 Whin Existing Building Valuation: $ �t ../ I A. L ' 'AI • ♦ I ! [:s , rr s_ ■ FIRM Will there be new rack storage? ❑.... Yes No If yes, a separate permit and plan submittal will be required. 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? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers 14 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 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. Q Upplications'$otms- Applications On Line \3 -2006 - Permit Applialion.doc Revised: 9 -2006 bb Page 2 of 6 Fixture Type: - Qty ? Fixture, Type: :; Qty Fixture Type: ; Fixture Type: Bathtub or combination bath/shower Drinking fountai o ate. cooler (per he.. Wash fountain Gas piping outlets Bidet Food -waste ri - . er, commerc• • - Receptor, indirect waste Clothes washer, domestic Floor d : i . Sinks Dental unit, cuspidor Sho r Ingle head trap Urinals Dishwasher, domestic, with independent drain La L !/ Water Closet Building sewer or trailer park sewer , • 'n water system — per ` drain (inside building) er heater and/or ven Additional medical gas inlets/outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors - Repair or alteration of water piping and/or water treating equipment Repai . r alteration of drain a or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City 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 •rk (contractor's bid price): $ Scope of Work (please prov • e detailed information): Building Use (per Intl Building Code). Occupancy (per Int'I Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas pipin Q:Uppliationaonns-Applications On LincU -2106 -Permit Application doc Revised: 9-2ro6 bh e eing installed and the quantity below: State Zip Page 5 of 6 PERMIT APPLICATION NOT — Applicable to all permits in this ap'J:i BUILDING OWNER s Signature: / Print Name: Mailing Address: I Date Application Accepted: 12- -DO N Q: AppliationsWonna- Applications On Line.3-2006 - Permit Appliation.doc Revived: 9 -2006 bh City 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 APtLY FOR THIS PERMIT. //e 12 Day Telephone: Date: / C )ee d»2 �o Slate Date Application Expires: (P - 01 Staff Initials: Zip Page 6 of 1 Receipt No.: R06 -02007 Payee: DALE B NELSON 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.cLtukwila.wa.us RECEIPT Parcel No.: 0223200052 Permit Number: D06 -456 Address: 411 STRANDER EL TURIN Status: PENDING Suite No: Applied Date: 12/01/2006 , Applicant: OBJECTIVE MEDICAL ASSESSMENTS CORP Issue Date: Initials: JEM Payment Date: 12/22/2006 10:40 AM User ID: 1165 Balance: 50.00 TRANSACTION LIST: Type Method Description Amount Payment Cash 61.35 ACCOUNT ITEM LIST: Description BUILDING - NONRES STATE BUILDING SURCHARGE Account Code Current Pmts 000/322.100 56.85 000/386.904 4.50 Total: $61.35 Payment Amount: 561.35 • • • • 3021 12/22 9716 TOTAL 61.. -3 doc: Receiot -06 Printed: 12 -22 -2006 Receipt No.: R06 - 01892 Payee: DALE B. NELSON ACCOUNT ITEM LIST: Description BUILDING - NONRES PLAN CHECK - NONRES 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 -456 Address: 411 STRANDER EL TURIN' Status: PENDING Suite No: Applied Date: 12/01/2006 Applicant: OBJECTIVE MEDICAL ASSESSMENTS CORP Issue Date: Initials: BLH Payment Date: 12/01/2006 09:32 AM User ID: ADMIN Balance: $32.35 TRANSACTION LIST: Type Method Description Amount Payment Cash 20.00 Account Code Current Pmts 000/322.100 1.15 000/345.830 18.85 Total: $20.00 Payment Amount: $20.00 2250 12/01 9710 TOTAL 20.00 doc: Receiot -06 Printed: 12 -01 -2006 Proje ,A0 tie. teser Tipe of Inspec : n Addrts. 07,14, ( 'A ate Called: Sped ( Thate Wanted: )1-1707 'Requester: Phone No: 2-- r CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431- INSPECTION NO. g Approved per applicable codes. COMMENTS: INSPECTION RECORD Retain a copy with permit 4 fee) pfneee El Corrections required prior to approval. $58.00 REINSPECTION FEE REQUIRED. Prior o inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Prop 5t: ga 7 Cf•Opt rha Typ;>:If Inspecr /4 Addriss: )7) 4/77 57,-,464- 'ACZ Date Called: Special Instructions: Kt ee7 Date Ca Wa*efl: , _ 4-- Requester: Phone No 20 6 —375=76(5 Approved per applicable codes. g r4 Corrections required prior to approval. COMMENTS: ea - _-,440 ..Se 2.-r7-2-0 - a. IMMInnt elln f a Illtriafrall/Wal 117411r11111111111 r /LA arrarnaMinMPAI nildMIPMngrann rig 17 - d' I Al Zia 0 Ai./ 4401 Apird .it, _. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit ( 06)431-3670 LZ /4, El $58. EINSPECTION EE REQUIRED. Prior o inspection. fee mu t be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. I Date9- 4fr r eceipt No.: IDate: Project: ° ain N A55b3#msTy�of Inspection: - hat ,v4[_ Address: y// 5-n4NOC Suite #: /06 Contact Person: fikinzrc /lv,vrnyrf Special Instructions: Phone No.: 26 Z3-1- '73f3? Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: C7 INSPECTION NUMBER - Approved per applicable codes. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA FIRE DEPARTMENT 206 - 575 -4401 Word /Inspection Record Form.Doc 1/13/06 Doh - y5& PERMIT NUMBERS I I Corrections required prior to approval. COMMENTS: /rlE g/tqz Date: g Hrs.: / Inspector: ,6 i Z_ $80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from City of Tukwila Finance Department. Call to schedule a reinspection. T.F.D. Form F.P. 113 COMMENTS: Type of Inspection: Trj Address: Lip 57 ren,cr�— d Suite #: 76 � ' ` Contact Person: Special Instructions: Fire Alarm: Phone No.: F , et-- r'etek. 1 n; t ,1o+ pa s 5. Hood & Duct: Monitor: 0 /°r;ft 1 5 a i r!.- CO fre-t . ni1 Cl9 . tern 0"i , S Ccn Pre Fire: Permit's: -1 ( ' . , : ' / Q A-'1 /X J. m IYlt � btn / l ?, ) /147.,n'/.f r 7R l y .. . Project: p,bJ caml - ; „c_N9€ ,q Go .,.� t ' - `, ~ Type of Inspection: Trj Address: Lip 57 ren,cr�— d Suite #: 76 � ' ` Contact Person: Special Instructions: Fire Alarm: Phone No.: Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre Fire: Permit's: -1 ( ' . , : ' ` ` V .'‘J` '' f <' titcupancy Type: INSPECTION NUMBER CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 '206- 575 -4407 Approved per applicable codes. - INSPECTION RECORD Retain a copy with permit 1/13/06• PERMIT NUMBERS Corrections required prior to approval. Inspector: 56; Si Date: J2 `1y/07 Hrs.: $80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from he City of Tukwila Finance Department. Call to schedule a reinspection. Word /Inspection Record Form.Doc T.F.D. Form F.P. 113 August 14, 2007 George Gehrett OMAC 401 Second Ave S, Ste 110 Seattle WA 98104 RE: Request for Extension Development Permit No. D06 -456 Objective Medical Assessments — 411 Strander BI Dear Mr. Gehrett, This letter is in response to your written request for an extension to Permit No. D06 -456. 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 an additional 90 days, through December 24, 2007. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, tAtt M4k arshall hnician File: Permit No. D06 -456 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director P:\Pem t Centeaxtension LettersWennits\2006\D06456 Permit Extensioadoc Page 1 of 1 Jem 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665 August 10, 2007 City of Tukwila Dept. of Community Development 6300 Southcenter Boulevard Suite #100 Tukwila, WA 98188 Re: Extension Request Permit No. D06 -456 411 Strander Blvd., Tukwila rg Chief nancial Officer (206) 774 -9221 (direct) OMAC OBJECTIVE MEDICAL ASSESSMENTS RECE E . 0 'AUG l 3 1007 The 7/31/07 letter you mailed to Dale B Nelson re: final inspection pending was forwarded to our Company as we are the tenants in this space. This letter requests a 90 -day extension of time for completing the work with final inspection. The reason for this extension request is due to a change in personnel on the job site. Dale Nelson (who this letter is addressed to) was the engineer employed by the landlord, doing the work in this space. Mr. Nelson's employment was terminated by the landlord. While the work was substantially complete, and we believed this final inspection was completed, we now must arrange for the final inspection, etc. We thank you for any consideration you may provide in granting this extension request. Feel free to contact me should any questions arise in this regard. 014.40 gal 4 dat 4146 o1Iczt W- 12 2 'iloci- 401 Second Avenue South • Suite 110 • Seattle WA 9E 104 • Telephone: 206.324.6622 Toll Free: 1.800.331.6622. Fax: 206.726.8605• www.omacime.com Clinic Locations Throughout the Northwest 07 -31 -2007 DALE B. NELSON 411 STRANDER BL, #107 TUKWILA WA 98188 RE: Permit No.1)06 -456 411 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 09/24/2007 , 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, 4 432 CT Marshall, Permit Technician xc: Permit File No. D06-456 City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite 11100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 December 6, 2006 Dale B. Nelson 411 Strander B1, Ste 107 Tukwila WA 98188 City of Tukwila Department of Community Development Steve Lancaster, Director RE: Letter of Incomplete Application # 1 Development Permit Application D06-456 Objective Medical Assessments Corp — 411 Strander Bl Ste 106 Dear Mr. Nelson: This letter is to inform you that your permit application received at the City of Tukwila Permit Center on December 1, 2006 is determined to be incomplete. Before your application can continue the plan review process the following' item from the following department needs to be addressed: Building Department: Allen Johannessen, at 206 433 -7163, if you have any questions concerning the following comment. 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) 433 -7165. Enclosures File: D06 -456 P:Uenniter \Incomplete Letters\ 2006\Building\D06- 456Incomplete Ltr #1.DOC jem Steven M. Mullet, Mayor • • 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 -431 -3670 • Fax: 206- 431 -3665 Determination of Completeness Memo Date: December 5, 2006 Project Name: Objective Medical Assessments Corp Permit #: 006 -456 Plan Review: Allen Johannessen, Plans Examiner Tukwila Building Division Allen Johannessen, Plan Examin r • The Building Division has deemed the subject permit application incomplete. To assist the applicant in expediting the Department plan review process, please forward the following comments. • GENERAL NOTE PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size). (If applicable) Structural Drawings and structural calculations sheets shall be original signed wet stamped, not copied.) 1. Please provide a building floor plan with a site plan to identify location of the scope of work on the building floor plan. 2. Show a reflective ceiling plan to identify any relative lighting or mechanical changes. 3. Provide wall detail to show how top of new walls are attached or how they are tied to the ceiling to meet code. 4. Identify room dimensions and hall way dimensions induding door /opening sizes. Location of doors shall meet ADA recommendations. • Should there be questions oonceming the above requirements, contact the Building Division at 206 -431 -3670. No further comments at this time. ACTIVITY NUMBER: D06 -456 DATE: 12 -12 -06 PROJECT NAME: OBJECTIVE MEDICAL ASSESSMENTS CORP SITE ADDRESS: 411 STRANDER BL, STE 106 Original Plan Submittal Response to Correction Letter # X Response to Incomplete Letter # 1 Revision # After Permit Issued DEPARTMENTS: n Bul ng D ivision Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete th Comments: Approved ❑ Notation: Documents/routing slip.doc 2-28-02 ,,PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ' APPROVALS OR CORRECTIONS: REVIEWER'S INITIALS: �l � I CI'" Fire revention Structural Incomplete ❑ TUES/THURS RO TING: Please Route Structural Review Required REVIEWER'S INITIALS: Approved with Conditions DATE: DATE: Planning Division Permit Coordinator ❑ DUE DATE: 12-14-06 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: No further Review Required DUE DATE: 01 -11 -07 Not Approved (attach comments) ❑ Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: • ACTIVITY NUMBER: D06 -456 DATE: 12 -01 -06 PROJECT NAME: OBJECTIVE MEDICAL ASSESSMENTS CORP SITE ADDRESS: 411 STRANDER BL X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: ri 17- Bui ; ing Division Public or s Complete ❑ Comments: PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP Permit Center Use Only t INCOMPLETE LETTER MAILED: 12 d /tat Departments determined incomplete: Bldg tit APPROVALS OR CORRECTIONS: Approved ❑ Notation: REVIEWER'S INITIALS: Documents/routing slip.doc 2-28-02 Awc itc -0( Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete TUES/THURS ROUTING: Please Route ❑ Structural Review Required REVIEWER'S INITIALS: LETTER OF COMPLETENESS MAILED: El 1414. rr•4-o b, Planning Division Permit Coordinator U DUE DATE: 12-05-06 Not Applicable ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: /ele — No further Review Required DATE: DUE DATE: 01-02 -07 Approved with Conditions ❑ Not Approved (attach comments) ❑ DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 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 REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: ry Plan Check/Permit Number: D06-456 ® Response to Incomplete Letter # 1 ❑ Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Objective Medical Assessments Corp Project Address: 411 Strander Bl, Ste 106 Contact Person: � q /F 13. /lc <et/ Summary of Revision: 1A-p? #! -• - 7") , Q.-9/,'; . /21/4 ATT.9t(f7: _r 4 ' . ! t , Phone Number: z7r/iy 1L3 — ,4t O /A/l .lam :A7) /107 to= 'AAA /e, /rte ri e, 4, 47:5‘714 I /V Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: Entered in Permits Plus on 121124 ar `applications \forms-applications on line\revision submittal Created. 8 -13 -2004 Revised: Steven M. Mullet, Mayor Steve Lancaster, Director DEC 1 2 2006 PERMITCENTER CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Permit Center/Building Division: 206 -431 -3670 Public Works Department: 206 -433 -0179 Planning Division: 206 -431 -3670 STATE OF WASHINGTON) ss. COUNTY OF KING AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION [please print] 1. I have made application for a building 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. 1 understand that prior to issuance of a building 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, 1 hereby attest that after reading the exemptions from the registration irement of RCW 18.27.090, I consider the work authorized under this building permit to be exempt under No. r , and will therefore not be performed by a registered contractor. 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. \applications\8 -2004 affidavit in lieu of contractor registration Residing at / t-<-K(,u t I r t Name as commissioned: My commission expires: Signed and swom to before me this p en/ day day of Lrc ni'e r PERMIT NO.: 0" ` states as follows: Y PUBLIC in an or the State of Washington, 20a(. County. mei.; 4G(/Pri-e 1 &99 -l 18.27.090 Exemptions. This chapter shall not apply to: 1. 2. An authorized representative of the United States Government, the State of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district or other municipal or political corporation or subdivision of this state; 3. Officers of the court when they are acting within the scope of their office; 4. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 5. Any construction, repair or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, or other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 6. The sale or installation of any finished products, materials, or articles of merchandise which are not actually fabricated into and do not become a permanent fixed part of the structure; 7. Any construction, alteration, improvement or repair of personal property, except this chapter shall apply to all mobile, manufactured housing. A mobile /manufactured home may be installed, set up, or repaired by the registered or legal owner, by a contractor licensed under this chapter, or by a mobile/manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW; Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 9. Any person who only furnished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor; 10. Any work or operation on one undertaking or project by one or more contractors, the aggregate contract price of which for labor and materials and all other items is less than $500.00, such work, or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in all Instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into \applications\B -2004 affidavit in lieu of contractor registration contracts of amounts Tess than $500.00 for the purpose of the evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he is a contractor, or that he is qualified to engage in the business of contractor; 11. Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry raising; or to clearing or other work upon land in rural districts for fire prevention purposes; except then any of the above work is performed by a registered contractor; 12. An owner who contracts for a project with a registered owner; 13. Any person working on his own property, whether occupied by him or not, and any person working on his residence, whether owned by him or not but his exemption shall not apply to any person otherwise covered by this chapter who constructs an improvement on his own property with the intention and for the purpose of selling the improved property; 14. Owners of commercial properties who use their own employees to do maintenance, repair, and alteration work in or upon their own properties; 15. A licensed architect or civil or professional engineer acting solely in his professional capacity, an electrician licensed under the laws of the state of Washington, or a plumber licensed under the laws of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the licensee is operating within the scope of his license' 16. Any person 'who : engages tin the activities herein regulated.` a§ an` ernployee of a registered contractor with wages as;hissole compensation; 17. Contfdctors on highway >prbjects who have been prequa`lifed chapter 13 of the Laws of 1961; RCW 4728 with the department of transportation to perform highway construction, reconstruction, or maintenance work. R3- RSV p��.P lam' f-•--J • 4 • � • �� {/.rte 4'rt R �: rr, sG REQUIRED FOR.- & echanipi Ulectrical Y �umbing Rs Piping City of Tukwila BUILDING DMSION ram �y �. Permit No. qw- Plan review approval Is subject to &rom and om Approval of construction doannents does not a the violation cf any ccepoed cod q or ordinance, of approved Field py a Bond: ns is adm I � gec Dam. � of Tukwila 8U G DIVISION No changes shall be made to the scope cJ =1% without prior approval of L 1�J XZ.9b BuEl!ding DivWan. t s'. "^ v.0 reqLlre a nevi pIran subm! tai !' \ �.� \ \ ..�/ t��t,. ,.to"a r:cn rviievv fees. —{ \ `° MA Ilir�ljii�i.1�'iii 1►ljlll�i- i "lji�l 1�1�1� iIIII II�I��III 1�1�I�iITl111�i ;!1��.iiClilar�l�ll��lji�� lnch' 1/18 1I 2I , 3� 41 51: 6� ..' . s �.'NTlnll��/'►7�i+f® +a+JJJ11lVJlll1 * f,.«+•^. ti) e � k .�•.:. Slntel8p,� �' 6 t'w SS .0 •7 ;i k ' 5 1,1' .n. ti L ��. nilii�n111 ,1111.111u'i Iiiilii OFT CITY UKWILA DEC; 12 2006 ---- PERMITCENTER INCOMPLETE LTR# 1 PC$t, 00- qC; J 831N3011W83d 5001 Z L 1130 V11MARl -io u io 43A13038 � ' , ME 1 � � M C h� � yU � f ERE '. �III� ICI III �IJIIIII'I�I III -IIIIIII; `�I I. 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