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Permit PG10-125 - SUNRISE DENTAL
SUNRISE DENTAL 7100 FUN CENTER WY SUITE 110 PG10 -125 City oViTukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 -431 -2451 Web site: http: / /www.ci.tukwila.wa.us PLUMBING /GAS PIPING PERMIT Parcel No.: 2423049092 Address: 7100 FUN CENTER WY TUKW Project Name: SUNRISE DENTAL Permit Number: PG10 -125 Issue Date: 10/01/2010 Permit Expires On: 03/30/2011 Owner: Name: H2 OFFICE LLC Address: 7100 FUN CENTER WAY STE 100 , TUKWILA WA 98188 Contact Person: Name: STEVE JOHNSON Address: 309 S CLOVERDALE ST SUITE D20 , SEATTLE WA 98108 Email: SJSMECHANICAL @YAHOO.COM Contractor: Name: SJS MECHANICAL SERVICES LLC Address: 21727 76 AV W, STE C , EDMONDS WA 98026 Contractor License No: SJSMEMS951KL Phone: 206 - 763 -0334 Phone: 425 672 -3247 Expiration Date: 05/17/2011 DESCRIPTION OF WORK: INSTALL VACUUM PUMP AND DENTAL AIR COMPRESSOR AND 1/2" RPPA IN MECHANICAL ROOM . RUN VAC AND AIR PIPING. PROVIDE AND INSTALL ROUGH -IN PLUMBING FOR SINKS, HUB DRAIN. NO WORK IN EXISTING RESTROOMS. INSTALL 1" RPPA ON MAIN WATER SERVICE FOR IN- PREMISE ISOLATION. Value of Plumbing /Gas Piping: $11,920.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $402.94 International Fuel Gas Code Edition: 2009 Permit Center Authorized Signature: Date: 1010( 1 10 I hereby certify that I have read and a ami ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied ith whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the formance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Date: CR;r0 Signature. Print Name: Z4' Well 1 S-60d j�Cl This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: UPC -4/10 PG10 -125 Printed: 10 -01 -2010 �J���A wq� City of Tukwila C 190$ Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: htqx//www.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: PG10 -125 ISSUED 09/13/2010 10/01/2010 1: ** *PLUMBING AND GAS PIPING * ** 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R -3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor /ceiling assemblies and fire - resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. 13: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** 14: Both RPPAs shall be installed per manufacturers specifications and shall be tested an annual basis by a certified tester at owners expense. * *continued on next page ** doc: Cond -10/06 PG10 -125 Printed: 10 -01 -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 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 construction or the performance of work. Signature: Print Name: 61 Kekz) -1 scaciteUe,— - Date: l - /v ordinances governing or local laws regulating doc: Cond -10/06 PG10 -125 Printed: 10 -01 -2010 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. ci. tukwila. wa. us PLUMBING / GAS PIPING PERMIT APPLICATION 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 7100 Site Address:t?8 FUN CENTER WAY Tenant Name: Sunrise Dental Property Owners Name: FAMILY FUN CENTERS TUKWILA Mailing Address: 7300 FUN CENTER WAY King Co Assessor's Tax No.: 2423049689-2 Suite Number: 100 New Tenant: Floor: m Yes ❑ ..No Tukwila City WA State 98168 Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Steve Johnson Mailing Address: 309 S Cloverdale St, Ste D20 E -Mail Address: sjsmechanical@yahoo.com Day Telephone: (206) 763 -0334 Seattle WA City State Fax Number: (206) 763 -0442 98108 Zip PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: SJS Mechanical Services Mailing Address: 309 S Cloverdale St, Ste D20 Contact Person: Steve Johnson E -Mail Address: Contractor Registration Number: SJSMEMS951 KL Seattle City Day Telephone: Fax Number: Expiration Date: 05/17/2011 WA State 98108 Zip ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: Robert Champion Architect AIA Mailing Address: 3802 Colby Ave Contact Person: E -Mail Address: robert@championarchitect.net Everett WA City State Zip Day Telephone: (425) 259 -3136 Fax Number: 98201 ENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 1 of 2 Valuation of Project (contractor's bid price): $ 11,920.00 Scope of Work (please provide detailed information): Install vacuum pump and dental air compressor in mechanical room. Run vac and air piping. provide and install rough in plumbing for sinks, hub drain. No work in existing restrooms. Building Use (per Intl Building Code): Occupancy (per Int'I 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 Row. Drain P,nh 1 Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks 3 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 I ` 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 1.b 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 WPrt/ fuel ol;r J (- FAf^) V (M a PERMIT APPLICATION NOTES - 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. The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International 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 STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWN 9110/ JO iveJohnson 206 763 0334 Print Name: Day Telephone: Signature: Date: Mailing Address: 309 S Cloverdale St, Ste D20 Seattle WA 98108 City IDate Application Accepted: 9— 3 f V State Date Application Expires: 2r ( _ 1 1 Staff Initials: H:\Applications\Forms- Applications On Line\2010 Applications \7.2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Zip Vl Page 2 of 2 0 �J,E.�I wq�, City of Tukwila C ,nos � 190a 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.: 2423049092 Permit Number: PG10 -125 Address: 7100 FUN CENTER WY TUKW Status: PENDING Suite No: Applied Date: 09/13/2010 Applicant: SUNRISE DENTAL Issue Date: Receipt No.: R10 -01860 Initials: User ID: Payee: JEM 1165 Payment Amount: $322.35 Payment Date: 09/20/2010 11:16 AM Balance: $0.00 SJS MECHANICAL SERVICES LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 7151 322.35 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 ,322.35 Total: $322.35 � {r� t' I/ 47 r�� l NT doc: Receiot -06 Printed: 09 -20 -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 RECEIPT Parcel No.: 2423049092 Permit Number: PG 10 -125 Address: 7100 FUN CENTER WY TUKW Status: PENDING Suite No: Applied Date: 09/13/2010 Applicant: SUNRISE DENTAL Issue Date: Receipt No.: R10 -01815 Initials: User ID: Payee: WER 1655 Payment Amount: $80.59 Payment Date: 09/13/2010 11:59 AM Balance: $322.35 SJS MECHANICAL TRANSACTION LIST: Type Method Descriptio Amount Payment Check 7144 80.59 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 80.59 Total: $80.59 PAYMENT RECEIVED doc: Receipt -06 Printed: 09 -13 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION P- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: ,l^ S'2 /4/,i Sf •e -�i+J f/5' --/ Type of Inspection: ,Z 1 / — /l r A Address: i/ D D .2/A> 4A/k'1- Date Called: Special Instructions: ` Date Wanted: Ca Requester: Phone No: &0 -- ` 0' 'q0 4 3 ! 1- Approved per applicable codes. N Corrections required prior to approval. I:, I t' COMMENTS: p�� k_ Date: SPECTION FEE REQURED. Prior b next inspection, fee must be paid at 6300 Southcenter Bl d.. Suite 100. Call to schedule reinspection. • 4 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PG(o PERMIT NO. CITY OF TUKWILA BUILDING DIVISION R 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Pro t: cOA/�:S� DPI Type f Inspection: _ p 1 J G �S� J �JJ� Address: 1(O d Fu' Ce4 r Date Called: Special Instructions: Date Wanted: a.m. ,0 --00 —icy, Requester: . Phone No: 7,6(.9- yiq---la-(00 Approved per applicable codes: Corrections required prior to approval. COMMENTS: A^ l 9r Inspector: n Date: /0 -6 —r REI SP CTION FEE REQUIRED. Prior tofiext inspection, fee must be pai / 6300 Southcenter B1.41.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 ID -175 Project:{ �n �/ 1 e,1ul1 ;es Se FD"�7l X Type of Inspection: 0 r iii c# Address: 7/o o 5 n CPwfPr10 Date Called: 6// a i/ Special Instructions: d Date Wanted: o //a y4/ a , p.m Requester: 1-a are".) _ Phone No: ,i)6, g5)-90?-3 Po) Ou'-\ Approved per applicable codes. D Corrections required prior to approval. COMMENTS: — 01 Inspector: "DS Date: IG1-1 /I, ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter. Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan i and may include additional plan review fees. 3 N a 0 0 E202 85 p 0- SEPARATE PERMIT REQUIRED FOR: ritadird Gnawed GCaasP Pipk+o City of Tukwila BUILDING DIVISION ` ( O .o-ZZ 2.P .9.91 Thlrel ?aril vcr; c`Ca4to✓' recto ;r.e4 �W e � (Nir- GAck Vc+C.uuv.- s S* I' , C `� if �ne s e. s y s e1A^3 4-o b e. s LA) wt ►'l e d '0/4∎rk va V Cl/ r 1- ' ktve i r- r GPQ /1)VA 1 �o ?r•s (,la�iu� ��V� W U Liz U U Q Y 2 Z O z zt— �s- i e mit No. Plan review approval is subject to errors and omissions. -royal of construction documents does not authorize clarion of any adopted code or ordinance. Receipt cpproved Field and conditions is acknowledged: By Date: City Of Ti,Ikwila BUILDING DIVISION 0 O N N U O O . O_ 3 a o y L V W O Q aj O O j e131N3311M1 ed 24' r - - x 25-0' 13'$' 23"-r 1 9.-b" NEW SINK AND COUNTER TO MATCH EXISTING Sc- NORTH TUKWILA SUNRISE DENTAL SCALE-132" = 1' -0" NEW LAVATORIES AND COUNTERS TO MATCH EXISTING NEW UPPER AND LOWER CABINETS NEW SINK Robert Champion Architect A.I.A. 3802 Colby Avenue; Everett, Wa. 98201 (425) 259 3136 robert@championarchitect.net - t.,,14n713G, At2 UP5cwu4' S S lAVL4-Aft.1 ► c.4 L. S'ortJt C 3 U_c 309 S ) Ste iv cn 9fs 24'•r 1 0 0 a 25-0' kc e)41 Pk > A,a (S �Y f ' REVIEWED FOR CODE.COMPLIAN APPRf1VED SEP 2 7 2010 1 City of Tukwila BUILDING DIVI41nN No. 1242 11" x 17" 35 °16' ISOMETRIC RECEIVED SEP 13 2010 PERMIT CENTER 4 1 t a` f 1 e 'w +� J��.xZ Ham" 6 e c ar AIVIN No. 1242 11" x 17" 35 °16' ISOMETRIC REVIEWED FOR CODE COMPLIANCE ApDRnvED Stu 2 7 Z1110 City of Tukwila BUILDING DIVISION 7 aO \te vnkst '61_52 6,s, ECEIV�D SEP 13 =01A PERMIT CENTER FILE COPY Permit No. ES -009 For Health Hazard Applications Job Name Job Location Engineer Approval -7t�o F�� �,, w1 S,;�e loo Series 009 Reduced Pressure Zone Assemblies Sizes: 1/4" - 3" (8 - 80mm) Series 009 Reduced Pressure Zone Assemblies are designed to protect potable water supplies in accordance with national plumbing codes and water authority requirements. This series can be used in a variety of installations, including the prevention of health hazard cross connections in piping systems or for con- tainment at the service line entrance. This series features two in -line, independent check valves, cap- tured springs and replaceable check seats with an intermediate relief valve. Its compact modular design facilitates easy mainte- nance and assembly access. Sizes 1/4" - 1" (8 - 25mm) shutoffs have tee handles. Features • Single access cover and modular check construction for ease of maintenance • Top entry - all internals immediately accessible • Captured springs for safe maintenance • Internal relief valve for reduced installation clearances • Replaceable seats for economical repair • Bronze body construction for durability 1/4" - 2" (8 - 50mm) • Fused epoxy coated cast iron body 21/2" and 3" (65 and 80mm) • Ball valve test cocks — screwdriver slotted 1/4" - 2" (8 - 50mm) • Large body passages provides low pressure drop • Compact, space saving design • No special tools required for servicing Specifications A Reduced Pressure Zone Assembly shall be installed at each potential health hazard location to prevent backflow due to backsiphonage and /or backpressure. The assembly shall con- sist of an internal pressure differential relief valve located in a zone between two positive seating check modules with cap- tured springs and silicone seat discs. Seats and seat discs shall be replaceable in both check modules and the relief valve. There shall be no threads or screws in the waterway exposed to line fluids. Service of all internal components shall be through a single access cover secured with stainless steel bolts. The assembly shall also include two resilient seated isolation valves, four resilient seated test cocks and an air gap drain fitting. The assembly shall meet the requirements of: USC Manual 8th Editiont; ASSE Std. 1013; AWWA Std. C511; CSA 864.4. Shall be a Watts Regulator Co. Series 009. tDoes not indicate approval status. Refer to Page 2 for approved sizes & models. Canada: 5435 North Service Rd., Burlington, ONT L7L 5H7; wwwwattscanada.a Watts product specifications in U.S. customary units and metric are approximate and are provided for reference only. For precise measurements, please contact Watts Technical Service. Watts reserves the right to change or modify product design, construction, specifications, or materials without prior notice and without incurring any obligation to make such changes and modifications on Watts products previously or subsequently sold. P'&10 -5 Contractor Approval Contractor's P.O. No Representative S3 rA —REVIEWED FOR CODE COMPLIANCE APDQnVEO► SEP %72010 City of Tukwila ILDING DIVISION 1" 009QT Test Cock No 3 Ball Type Test Cocks Test Cock No 2 First Check Module Assembly 2" 009M2QTHC Test Cock No. 4 Relief Valve Assembly Second Check Module Assembly Water Outlet Now Available WattsBox Insulated Enclosures. For more information, send for literature ES -WB. IMPORTANT INQUIRE WITH GOVERNING AUTHORITIES RECEIVED FOR LOCAL INSTALLATION REQUIREMENTS cTYoFTUKWILA INCOM P L ET SEP 2 0 2010 LTR# WATTS® REGULATOR PERMIT mEmEliclos USA: 815 Chestnut St., No.Andover, MA 01845- 6098;www.wattsreg.com Available Models: 1/4" - 2" (8 - 50mm) Suffix: QT - quarter -turn ball valves S - bronze strainer LF - without shutoff valves AQT - elbow fittings for 360° rotation 3/4" - 2" (20 - 50mm) only PC - internal Polymer Coating LH - locking handle ball valves (open position) SH - stainless steel ball valve handles HC - 21/2" inlet/outlet fire hydrant fitting (2" valve) Prefix: C - clean and check strainer 3/4" - 1" (20 - 25mm) only U - union connections (see ES-U009) Available Models: 21/2" - 3" (65 - 80mm) Suffix: NRS - non - rising stem resilient seated gate valves OSY - UL/FM outside stem and yoke resilient seated gate valves S -FDA - FDA epoxy coated strainer QT -FDA - FDA epoxy coated quarter -turn ball valve shutoffs LF - without shutoff valves S - cast iron strainer Note: The installation of a drain line is recommended. When installing a drain line, an air gap is necessary (see ES -AG). Materials: 1/4" - 2" (8 - 50mm) Bronze body construction, silicone rubber disc material in the first and second check plus the relief valve. Replaceable poly- mer check seats for first and second checks. Removable stain- less steel relief valve seat. Stainless steel cover bolts. Standardly furnished with NPT body connections. For optional bronze union inlet and outlet connections, specify prefix U (1/2" - 2 "(15 - 50mm)). Series 009QT furnished with quarter turn, full port, resilient seated, bronze ball valve shutoffs. Air Gaps and Elbows Materials: 21/2" and 3" (65 - 80mm) • (FDA approved) Epoxy coated cast iron unibody with bronze seats • Relief valve with stainless steel seat and trim • Bronze body ball valve test cocks Pressure / Temperature Series 0091/4" - 2" (8 - 50mm) Suitable for supply pressure up to 175psi (12 bar). Water temperature: 33 °F - 180°F ( -3 °C - 75 °C). Sizes 21/2" and 3" (65 and 80mm) are suitable for supply pressures up to 175psi (12 bar) and water temperature at 110°F (43 °C) continuous, 140 °F (60 °C) intermittent. Standards USC Manual 8th Editiont ASSE No. 1013 AWWA C511 -92 CSA B64.4 IAPMO File No. 1563. tDoes not indicate approval status. See below for approved models. Approvals ASSE, AWWA, CSA, IAPMO Approved by the Foundation for Cross- Connection Control and Hydraulic Research at the University of Southern California. Approval models QT, AQT, PC, NRS, OSY. UL Classified 3/4" - 2" (20 - 50mm) (LF models only) 21/2" and 3" (65 and 80mm) with OSY gate valves. MODEL for 909, 009 and 993 sizes DRAIN OUTLET in. mm in. DIMENSIONS A mm in. 8 mm WEIGHT lbs. kgs. 909AG -A 1/4" -1/2" 009, 1/2 13 23/8 60 31/2 79 .625 .28 3/4" 009M2/M3 909AG -C 3/a -1 "009/909, 1 25 31/4 83 47A 124 1.50 .68 1 " -11/2" 009M2 909AG -F 1W-2" 009M1, 2 51 43/8 111 63/4 171 3.25 1.47 1W -3" 009/909, 2" 009M2, 4 "-6" 993 909AG -K 4 "-6" 909, 3 76 6% 162 95 /e 243 6.25 2.83 8 " -10" 909M1 909AG -M 8 " -10" 909 4 102 73/a 187 111/4 394 15.50 7.03 909EL -A ' /4 " -1/2" 009, 3/4" 009M2/M3 - - - - - - - - 909EL-C 3/4"-1" 009/909, - - 23/8 60 2% 60 .38 .17 909EL -F 1'/4 " -2" 009M1, - - 35 /a 92 35A 92 2 .91 1W -2" 009/909, 2" 009M2, 4 "-6" 993 909EL -H 21/2" -3" 009/909 - - - - - - - - Vertical A A B B Dimensions and Weight: 1/4" - 2" (8 - 50mm) 009 Suffix HC - Fire Hydrant Fittings dimension 'A' = 25" (637mm) 009 1/4" - 2" SIZE (DN) in. mm in. A mm in. B mm in. DIMENSIONS C mm (APPROX.) D in. mm in. L mm in. STRAINER DIMENSIONS M mm N in. mm WEIGHT lbs. kg. 1/4 8 10 250 45/8 117 3% 86 11/4 32 51/2 140 23A 60 212 64 5 2 3/8 10 10 250 45/8 117 33/8 86 11/4 32 51/2 140 23/8 60 21/2 64 5 2 12 15 10 250 45/8 117 3%8 86 11/4 32 51/2 140 23/4 70 21/4 57 5 2 3/4 20 103/4 273 5 127 31/2 89 11/2 38 63/4 171 33/16 81 23/4 70 6 3 1 25 163/4 425 51/2 140 3 76 212 64 912 241 33/4 95 3 76 12 5 VA 32 17%8 441 6 150 312 89 21/2 64 11% 289 47/6 113 31/2 89 15 6 11/2 40 177/3 454 6 150 31/2 89 212 64 11% 283 4% 124 4 102 16 7 2 50 213/3 543 73/4 197 4'%2 114 31/4 83 13' 343 575/6 151 5 127 30 13 Dimensions and Weight: 21/2" and 3" (65 and 80mm) 009 STRAINER SIZE in. mm DIMENSIONS (approx.) M N Nit in. mm in. mm in. mm WEIGHT lbs. kgs. 212 65 3 80 10 254 6y 165 93/4 248 28 12.7 10% 257 tClearance for servicing 7 178 10 254 34 15.4 .■. Watts G -4000 Series QT - Ball Valves MODEL SIZE DN in. mm in A mm in C mm in DIMENSIONS D mm (APPROX.) E in mm in L mm in R mm in. U mm WEIGHT lbs. kgs. 009LF 2% 65 — — — — 41/ 114 — — 18'%8 460 — — 10%8 270 76 34.5 0090SY 212 65 3314 845 15% 403 412 114 16% 416 18' 460 73/4 197 10% 270 166 75.3 009NRS 212 65 331/4 845 113/e 289 412 114 163/3 416 18% 460 73/4 197 105/3 270 161 73.0 009QT 212 65 3314 845 6 152 412 114 163/8 416 18' 460 73/4 197 105/3 270 150 68.0 009LF 3 80 — — — — 412 114 — — 181/8 460 — — 105/8 270 76 34.5 0090SY 3 80 341A 870 1812 470 412 114 165/8 422 181/8 460 83/4 222 10% 270 198 89.8 009NRS 3 80 3414 870 123/4 324 412 114 165/8 422 181/8 460 83/4 222 105 /8 270 191 86.6 009QT 3 80 341/4 870 7 178 4' 114 165/3 422 18% 460 83/4 222 105/8 270 158 71.7 Capacity Performance as established by an independent testing laboratory. ' //' (8mm) 009QT kPa psi 138 20 117 17 96 14 76 1 55 8 35 5 AP kPa psi 138 20 117 17 96 14 76 11 55 8 35 5 0 AP 0 .25 .95 'Typical maximum system flow rate (7.5 feet/sec., 2.3 meters/sec.) 1' /a" (32mm) 009M2QT kPa psi 172 25 138 20 103 15 69 10 35 5 .60 .75 1.17 gpm 0 0 1.9 2.9 38 4.5 Ipm Op 0 0 '/8" (10mm) 009QT kPa psi 172 25 138 20 103 15 69 10 .25 .50 .75 1 1.25 1.50 2.5 3.1 gpm .95 1.9 2.9 3.8 4.8 5.7 9.4 11.8 1pm %" (15mm) 009QT 35 5 AP 0 kPa psi 207 30 165 24 124 18 83 12 41 6 0 0 02 AP 07.6 2.5 5 7.5 10 12.5 15 gpm 3 8 9 5 19 28.5 38 47.5 57 fpm 5 7.5 15 fps 1.5 2.3 4.6 mps 34" (20mm) 009M3QT * r kPa psi 207 30 172 25 138 20 103 15 69 10 35 5 0 0 AP0 6 10 14 18 22 26 30 34 38 42 46 gpm 23 38 53 68 84 99 114 129 144 160 175 Ipm 7.5 15 fps 2.3 4.6 mps 1" (25mm) 009M2QT * ES -009 0403 kPa psi 207 30 172 25 138 20 103 15 69 10 35 5 0 0 10 20 30 40 50 60 70 80 gpm 38 76 1 4 152 190 228 266 304 Ipm 5 7.5 10 15 fps 1.5 2.3 3.0 4.6 mps 11/2" (40mm) 009M2QT Ap 0 10 20 30 40 50 60 70 80 90 100 110 120 gpm 0 38 76 114 152 190 228 266 304 342 380 418 456 Ipm 5 7.5 10 15 fps 1.5 2.3 3.0 4.6 mps kPa psi 207 30 172 25 138 20 103 15 69 10 35 5 0 0 AP 0 2" (50mm) 009M2QT * kPa psi 172 25 138 20 103 15 69 10 35 5 0 0 AP 0 0 gpm 76 152 228 304 380 456 532 608 684 760 Ipm 5 7.5 10 15 fps 1.5 2.3 3.0 4.6 mps 21/2" (* 65mm) 009 kPa psi 172 25 138 20 103 15 69 10 35 5 0 0 25 50 75 100 125 150 175 200 225 250 gpm 05 10- 295 380 475 570 665 760 885 950 Ipm 5 7.5 10 15 fps 1.5 2.3 3.0 4.6 mps 3" (80mm) 009 * • 0 25 50 75 100 125 150 175 200 225 250 275 300 325 gpm AP 0 95 190 285 380 475 570 665 760 855 950 1045 11401235 Ipm 5 7.5 10 fps 1.5 2.3 3.0 mps 5 10 20 30 40 50 60 70 80 gpm 19 38 76 114 152 190 228 266 304 Ipm 7.5 15 fps 2.3 4.6 mps © Watts Regulator Co., 2002 Printed in U.S.A. '_�- J, 20 40 60 80 100 120 140 160 180 20 kPa psi 172 25 138 20 103 15 69 10 35 5 0 0 AP 0 0 gpm 76 152 228 304 380 456 532 608 684 760 Ipm 5 7.5 10 15 fps 1.5 2.3 3.0 4.6 mps 21/2" (* 65mm) 009 kPa psi 172 25 138 20 103 15 69 10 35 5 0 0 25 50 75 100 125 150 175 200 225 250 gpm 05 10- 295 380 475 570 665 760 885 950 Ipm 5 7.5 10 15 fps 1.5 2.3 3.0 4.6 mps 3" (80mm) 009 * • 0 25 50 75 100 125 150 175 200 225 250 275 300 325 gpm AP 0 95 190 285 380 475 570 665 760 855 950 1045 11401235 Ipm 5 7.5 10 fps 1.5 2.3 3.0 mps 5 10 20 30 40 50 60 70 80 gpm 19 38 76 114 152 190 228 266 304 Ipm 7.5 15 fps 2.3 4.6 mps © Watts Regulator Co., 2002 Printed in U.S.A. • City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director September 14, 2010 Steve Johnson 309 S Cloverdale St Suite D20 Seattle, WA 98108 RE: Letter of Incomplete Application # 1 Plumbing /Gas Piping Permit Application PG10 -125 Sunrise Dental — 7100 Fun Center Wy Suite 100 Dear Mr. Johnson, This letter is to inform you that your permit application received at the City of Tukwila Permit Center on September 13, 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: Public Works Department: Joanna Spencer at 206 431 -2440 if you have any questions concerning the attached comments. Please address the comment above in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that two (2) 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. 1 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, if? Bill Rambo Permit Technician Enclosures File: PG10 -125 W:\Permit Center \Incomplete Letters \2010 \PG10 -125 Incomplete Ltr #1.DOC 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 • • PUBLIC WORKS DEPARTMENT COMMENTS DATE: September 14, 2010 PROJECT: Sunrise Dental 7100 Fun Center Way, Ste 100 PERMIT NO: PG10 -125 PLAN REVIEWER: Contact Joanna Spencer (206) 431 -2440 if you have any questions regarding the following comments. 1) Due to the nature of the dental service business, which is considered a high hazard, a Reduced Pressure Principle Assembly (RPPA) shall be installed as a backflow devise for cross - connection control for in- premise isolation to protect the other tenants from water cross - contamination. Please show location diagram of RPPA installation and specify size, make and model number of the backflow. Please submit RPPA cut sheet. Make sure that the backflow is from the WA State Department of Health Backflow Prevention Assemblies Approved for Installation in Washington State list. W:Other/Joanna /PGIO-125 inc oER T COOR') coped 7 r. e,n PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG10 -125 DATE: 09/20/10 PROJECT NAME: SUNRISE DENTAL SITE ADDRESS: 7100 FUN CENTER WY, STE 100 Original Plan Submittal X Response to Incomplete Letter # 1 Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: _�� �L sion Building Di sion 4 pwf oc\. 2 t Works Fire Prevention Structural Planning Division Permit Coordinator n DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete n DUE DATE: 09/21/10 Not Applicable n Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES /THURS ROUTING: Building Please Route Structural Review Required REVIEWER'S INITIALS: No further Review Required n DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 10/19/10 Not Approved (attach comments) ❑ DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 • • PEROI COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG10 -125 DATE: 09 -13 -10 PROJECT NAME: SUNRISE DENTAL SITE ADDRESS: 7100 FUN CENTER WY SUITE 100 X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: Building Division � �5 . v∎ Public orks :14-(0 Fire Prevention Structural Planning Division ❑ Permit Coordinator ■ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete DUE DATE: 09 -14 -10 Not Applicable n Permit Center Use Only INCOMPLETE LETTER MAILED: CI—V"\---10 LETTER OF COMPLETENESS MA LED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW 4Staff Initials: TUES /THURS ROUTING: Please Route Structural Review Required No further Review Required n REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions n Notation: REVIEWER'S INITIALS: DUE DATE: 10 -12 -10 Not Approved (attach comments) n 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 Steven M. Mullet, Mayor 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 Steve Lancaster, Director Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 1/Z07/ 0 Plan Check/Permit Number: PG 10-125 ® 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: Sunrise Dental Project Address: 7100 Fun Center Wy Suite 100 Contact Person: FV JaLHSa' Phone Number: Summary of Revision: 4/) gpB CITY C- .`F iAtA SEP 2 a 2010 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: /Y'' 041 \Pt) I l9 XEntered in Permits Plus on \applications \forms - applications on line \revision submittal Created: 8 -13 -2004 Revised: Lsi King County Department of Natural Resources and Parks Wastewater Treatment Division T 2 (D' 12.5- • Non - Residential Sewer Use Certification • To be completed for all new sewer connections, reconnections or change of use of existing connections. • This form does not apply to repairs or replacements of existing sewer connections within five years of disconnect. Please Print or Type 77/do Alt Ct:1 L.ia v /00 Property Street Address Cit <y. T J.MnI� )eh -rid State ZIP Owner's Name Subdivision Name Lot # Subdiv. # Block # Building Name (if applicable) Owner's Phone Number (with Area Code) Property Contact Phone Number (with Area Code) Owner's Mailing Address For King County Use Only Account # No. of RCEs Monthly Rate Property Tax ID # Z4f 1) o `f 90 t Z Party to be Billed (if different from owner) City or Sewer District Date of Connection Side Sewer Permit # Please report any demolitions of pre - existing building on this property. Credit for a demolition may be given under some circumstances. Demolition of pre- existing building? ❑ Yes Gllo Was building on Sanitary Sewer? ❑ Yes ❑ No Was Sewer connected before 2/1/90? ❑ Yes ❑ No Sewer disconnect date: Type of building demolished? Request to apply demolition credit to multiple buildings? ❑ Yes ❑ No A. Fixture Units Fixture Units x Number of Fixtures = Total Fixture Units Kind of Fixture Fixture Units No. of Fixtures Total Fixture Units Public Private Public Private Bathtub and Shower 4 4 Shower, per head 2 2 Dishwasher 2 2 Drinking fountain (each head) 1 .5 Hose bibb (interior) 2.5 2.5 Clotheswasher or laundry tub 4 2 Sink, bar or lavatory 2 1 Sink, Clinic flushing 8 8 Sink, kitchen 3 2 Sink, other (service) 3 1.5 Sink, wash fountain, circle spray 4 3 Urinal, flush valve, 1 GPF 5 2 Urinal, flush valve, >1 GPF 6 2 Urinal, waterless 0 0 Water closet, tank or valve, 1.6 GPF 6 3 Water closet, tank or valve, >1.6 GPF 8 4 Total Fixture Units Residential Customer Equivalent (RCE) 20 fixture units equal 1.0 RCE Total No. of Fixture Units 20 RCE B. Other Wastewater Flow (in addition to Fixture Units identified in Section A) Type of Facility /Process: Estimated Wastewater Discharge: Gallons /days Residential Customer Equivalents (RCE): 187 gallons per day equals 1.0 RCE Total Discharge (gal /day) _ 187 C. Total Residential Customer Equivalents: (add A & B) A B r36 RCE RCE iE :m' WY L l SEP, a 201oJ PMi' Pursuant to King County Code 28.84, all sewer customers who establish a new service which uses metropolitan sewage facilities shall be subject to a capacity charge. The amount of the charge is established annually by the King County Council at a rate per month per residential customer or residential customer equivalent for a period of fifteen years. The purpose of the charge is to recover costs of providing sewage treatment capacity for new sewer customers. All future billings can be prepaid at a discounted amount. All future billings can be prepaid at a discounted amount. Questions regarding the capacity charge or this form should be referred to King County's Wastewater Treatment Division at 206 - 684 -1740. I certify that the information given is correct. I understand that the capacity charge levied will be based on this information and any deviation will require resubmission of corrected data for determination of a revised capacity charge. Signature of Owner /Representative Date /J / 3- Print Name of Owner /Representative 6r ?/ 7 (/ ' 1058 (Rev. 9/07) White - Kina County Yellow - Local Sewer Aaencv Pink - Sewer Customer . 991E.r.v g§ Contractors or Tradespeople Peter Friendly Page • 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company SJS MECHANICAL SERVICES LLC 2065953529 21727 76Th Ave. W. SUITE C Edmonds WA 98026 Snohomish Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602478200 Active SJSMEMS951KL Construction Contractor 5/13/2005 5/17/2011 Plumbing Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status WILCEPM032OR WILCE PRIMM MECHANICAL LLC Construction Contractor Numbing Air Heat,Ventilation,Evaporat 9/19/1997 9/5/2000 Archived PRIMMML0000G PRIMM MECHANICAL LLC Construction Contractor Plumbing Air Heat,Ventilation,Evaporat 9/7/2000 9/27/2004 Out Of Business Business Owner Information Name Role Effective Date Expiration Date JOHNSON, STEVEN P Partner /Member 05/13/2005 Amount SCODELLER, TERRY R Partner /Member 05/13/2005 BKA115347519005/06/2010 SMITH, BRENT Partner /Member 05/13/2005 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 DEVELOPERS SURETY & INDEM CO 575020C 05/12/2005 Until Cancelled $6,000.00 05/13/2005 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 4 AMERICAN FIRE AND CASUALTY COM BKA115347519005/06/2010 05/06/2011 $1,000,000.0005 /03/2010 3 AMERICAN FIRE & CASUALTY CO BKA53475190 05/06/2008 05/06/2010 $1,000,000.00 05/01/2009 2 WEST AMERICAN INS CO BKW53475190 05/06/2006 05/06/2008 $1,000,000.00 04/13/2007 1 SCOTTSDALE INS CO CLS1114511 05/12/2005 05/12/2006 $1,000,000.00 05/13/2005 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 10/01/2010 F6'5-052-000 13/971 DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONTR PLUMBING REGIST. # EXP. DATE - - CCAD SJSMEMS951KL 5/17/2011 EFFECTIVE DATE 5/13/2005. SJS MECHANICAL SERVICES LLC 21727 76TH AVE. W. SUITE C EDMONDS WA 98026 Detach And Display Certificate