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HomeMy WebLinkAboutPermit PG11-054 - PUGET SOUND INTERVENTIONAL PAIN CLINICPUGET SOUND INTERVENTIONAL PAIN CLINIC 7200 S 180 ST PG1 1 -054 City okukwila 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.TukwilaWA.gov PLUMBING /GAS PIPING PERMIT Parcel No.: 3623049013 Address: 7200 S 180 ST TUKW Project Name: PUGET SOUND INTERVENTIONAL PAIN CLINIC Permit Number: Issue Date: Permit Expires On: PG 11 -054 05/16/2011 11/12/2011 Owner: Name: NICK RILEY LLC Address: 7200 S 180TH ST , TUKWILA WA 98188 Contact Person: Name: DAN KIM Address: 26329 8 AV S , DES MOINES WA 98198 Email: Contractor: Name: S & H PLUMBING Address: 5668 S 295 PL , AUBURN WA 98001 Contractor License No: SHPLUHP905K5 Phone: 206 715 -0100 (HELEN) Phone: (206) 999 -3094 Expiration Date: 05/25/2012 DESCRIPTION OF WORK: INSTALLATION OF NEW UNI -SEX BATHROOM AND MULTIPLE HANDSINKS AS WELL AS HOT WATER HEATER AND FLOOR DRAIN. INCLUDES INSTALLATION OF 3/4" RPPA WATTS Series 009 FOR IN PREMISE ISOLATION. BUILDING IS SERVED BY RENTON WATER. Value of Plumbing /Gas Piping: $7,900.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $343.88 International Fuel Gas Code Edition: 2009 Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: -"i'--Q-_,Jie-, Date: 5- t l 1 I hereby certify that I have read and examined this permit and know the same to be true and correct. 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 provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions on the back of this permit. Date: -O —// 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 PG 11 -054 Printed: 05 -16 -2011 • • PERMIT CONDITIONS Permit No. PG11 -054 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, arty 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: The 3/4" Reduced Pressure Principle Assembly (RPPA) for in- premise isolation shall be installed per manufacturer's specifications. 15: Upon installation the RPPA backflow shall be tested by a certified tested and backflow test report submitted to Public: Works Project Inspector, who will forward it to City of Renton. 16: Thereafter RPPA shall have an annual test performed at owner's expense, and copies of of test results forwarded to MIKE DOTSON, Cross - Connection Control Program Manager, City of Renton, 1055 South Grady, Renton, WA 98057. His phone number is 425 - 430 -7207 and his e-mail is mdotson @rentonwa.gov doc: UPC -4/10 PG 11 -054 Printed: 05 -16 -2011 CITY OF TUKWIO Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Gasilermit No. 'PGA V Ii Project No. ?U - (For office use only) 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 Site Address: Name: Property Owners Nam - King Co Assessor's Tax No.: 2 3 6 42 • '.0/3 Suite Number: Floor: • 'i ' / . M Mailing Address: // 3B K. /39- New Tenant: .O Yes ❑.. No City u ur-�4 xic)siFq State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: G(-i Mailing Address: // 3 2 �fil Day Telephone: 3CO — 6 i o-n 5 d-P L w6,0 J 9V 19f City State Zip E -Mail Address: Fax Number: PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: 5 )k // ,G /, Mailing Address: .8/2 e) / +.1 -0- uJ}- ? #423 City State Zip Contact Person: ✓.1L •/;"-l- Day Telephone: 24) 2-3(-- X 3rPtP E -Mail Address: Fax Number: Contractor Registration Number: S fP r (41-1-r, ' ( cr e j- Expiration Date: $ - --('-- ARCHITECT OF RECORD - All plans must be stamped by Architect of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip ENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: Fax Number: State Zip E -Mail Address: H:\Applications\Porms- 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 pt $ 7? 0-0 1 Scope of Work (please provide detailed information): 91 ti, 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: ika 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 cp 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 min) 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 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 LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT: Signature: Print Name: yam// /C--e","-1 Mailing Address: ,34j) /� (--1? Date: Z--/./ Day Telephone: 2-4196 z3 S'-3 cfe ze_)." "Joo try / State Zip I Date Application Accepted: 13rJ I I I I I ` D Date Application Expires: ` `) f f I I, 1 S Staff Initials: A A-5.---- H:1Applications\Forms- Applications On Line12010 Applications17 -2010 - Plumbing -Gas Piping Permit Application.doc Revised 7 -2010 bh e2of2 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.TukwilaWA.ov RECEIPT Parcel No.: 3623049013 Permit Number: PG 11 -054 Address: 7200 S 180 ST TUKW Status: APPROVED Suite No: Applied Date: 04/07/2011 Applicant: PUGET SOUND INTERVENTIONAL PAIN CLINIC Issue Date: Receipt No.: R11 -00993 Initials: WER User ID: 1655 Payment Amount: $282.19 Payment Date: 05/16/2011 03:38 PM Balance: $0.00 Payee: S & H PLUMBING TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1097 282.19 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES PLUMBING - NONRES 000.345.830 7.09 000.322.103.00.00 275.10 Total: $282.19 doc: Receiot -06 Printed: 05 -16 -2011 0 City of Tukwila ZDepartment 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 RECEIPT • Parcel No.: 3623049013 Permit Number: PG 11 -054 Address: 7200 S 180 ST TUKW Status: PENDING Suite No: Applied Date: 04/07/2011 Applicant: PUGET SOUND INTERVENTIONAL PAIN CLINIC Issue Date: Receipt No.: R11 -00692 Initials: User ID: JEM 1165 Payment Amount: $61.69 Payment Date: 04/11/2011 04:26 PM Balance: $246.75 Payee: S & H PLUMBING TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1086 61.69 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 61.69 Total: $61.69 doc: Receiot -06 Printed: 04 -11 -2011 ' ' INSPECTION RECORD Retain a copy with permit INSPE ION NO. PERMIT NO. '4m ITY OF TUKWILA BUILDING DIVISION 6300 Sou +.hcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: P7.0,: f ,0 7f /^/e( Type of Inspection: F/, i' i / • Address: 720 s ISo ST. Date Called: Special Instructions: Date Wanted: / / #101 p.m. Requester: Phone No: 02 6 l0- z,f 11 —53 8 • pproved per applicable codes. Corrections required prior to approval. • COMM TS: .9//01/4 an-wp />r`F' /% in' / • • [Dat&.j� r } l'•• REFECTION FEE REQUIRE I Prior to next inspection, fee must be phi at 6300 Southcenter Blvd., ite 100. Call to schedule reinspection.,' �,: • • • INSPECTION RECORD Retain a copy with permit ?Cik -o3 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 1' (206) 431 -3670 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 Pr" ct: �, f F Ll47e% f 5l1L 6.J,(31-.14, v. Type of Inspection: �' i . J A Address: Date Called: Special Instructions: Date Wanted: _ a.m.` Requester: Phone No: !):.f i..• ved per applicable codes. . Corrections required prior to approval. / COMMENTS: 6-) ?7,bt ;0. ua,,f - OT s GON4ot 147- spec • r. Date: c 7-- 5 -i 1 R SPECTION FEE REQUI D. Prior to ext inspection. fee must be p!d at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. --� -- � _ _.. INSPECTION RECORD 44 Retain a copy with permit 1 -q INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 P ect: �^ � �i teke � NAK3c( Tye of Inspection:, �c11te\ in - I h) cPluAA A do Address: Date Calle Special Instructions: Date Wanted: °a— a~O -1 k aim` p Requester: Phone No: 9DC—z34 5388 Approved per applicable codes. EJCorrections required prior to approval. COMMENTS: PIMA" Date: _5— ?a- 1/ ❑EINSPECTION EE REQ I1IRED. Prior to n9 t inspection. fee must be paid at 6300 Southcenter B{vd., Suite 100. crait to schedule reinspection. r •INSPECTION RECORD Retain a copy with per INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 le— (206).431 =3670 Permit Inspection Request Line (206) 431 -2451 Project: Pze4,-"SivAirt:TAder. Type of Inspection: A7 aZ/611-__I- lui Address: 7,706s/'t$7- Date Called: Special Instructions: Date Wanted: — / / —// Requester: Phone No: -241 5:3e9g ElApproved per applicable codes. DCorrections required prior to approval. COMMENTS:p Q. / 'Re/viol-1;v , , , /dVts.., 4, 1\,..,-,‘ Sa N L/4ACIL /d..;2(1 /-e I )0# i /e .1 a /z rU (wig 6011 / c ---.. 7- \\„. &AAA-47 / -� PECTION FEE REQUIRE Date: k, —i5— r/ Prior to next inspection, fee must be t 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. !• -- +. • t NSPECTION :RECORD • '; •=s• . . . INSPECTION NO. Retain a copy with permit PG 0S11 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION • 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431-2451 (206) 431-3670 Prroject: . 9(,1/4; r CI .C. Type of Inspection: . pu F,,,,.( Addr,ess: S 1 C... 0 -C-14.. Date Called: 7 ko I it Special Instructions: Date Wanted: Cm. Requester: Phone No: JApproved per applicable codes. Corrections required prior to approVal. COMMENTS: bcf ciabko ,fe?- (epori- receiveof. F Inspector: Date: / 7 / / n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must b� paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspeCiiOn.- . . . , • • : • • . Job Name Job Location Engineer PILE COPY CODE COMPLIANCE • APPROVED I MAY 12 2011 Approval Ci yof Tukwila Series 0 9UILDING DIVIAION 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 preven- tion of health hazard cross connections in piping systems or for containment at the service line entrance. This series features two in -line, independent check valves, captured springs and replaceable check seats with an inter- mediate relief valve. Its compact modular design facilitates easy maintenance 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" and 3" (65 and 80mm) • Ball valve test cocks — screwdriver slotted 1/4° - Z• (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 consist of an internal pressure differential relief valve located in a zone between two positive seating check modules with captured 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 water- way exposed to line fluids. Service of all internal components shall be through a single access bronze 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 B64.4. Shall be a Watts Regulator Co. Series 009. tDoes not indicate approval status. Refer to Page 2 for approved sizes & models. Watts product specifications in U.S. customary units and mebic are approidmate and are provided far reference only. For precise measurements, ® ® please contact Watts Technical Service. Watts reserves the right to change or modify product design, construction, specifications, or materials with- out prior notice and without incurring any obligation to make such changes and modifications on Watts products previously or subsequently sold Contractor Approval Contractor's P.O. No Representative ES -009 NECEI Y Fed MAY 037011 TUKVViu+ PUBLIC WOW 1/2" (15mm) 009QT Test Cock No. 3 Ball Type Test Cocks Test Cock No. 2 First Check Module Assembly R.P. Zone 2" (50mm) 009M2QTHC 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 FOR LOCAL INSTALLATION REQUIREMENTS crTYROERSILA APR 29 2011 PERMIT C INCOMPLETE LTR #�_ 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 internal Polymer Coating locking handle ball valves (open position) PC - LH - 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 polymer check seats for first and second checks. Removable stainless steel relief valve seat. Stainless steel cover bolts. Standardly furnished with NPT body connections. For option- al bronze union inlet and outlet connections, specify prefix U (' /z° - 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 009 1/4" - 2" (8 - 50mm) Suitable for supply pressure up to 175psi (12 bar). Water temperature: 33 °F - 180 °F (0.5 °C - 75 °C). Sizes 2'/2" and 3" (65 and 80mm) are suitable for supply pressures up to 175psi (12.1 bar) and water temperature at 110 °F (43 °C) continuous, 140 °F (60 °C) intermittent. Standards USC Manual 8th Editions ASSE No. 1013 AWWA C511 -92 CSA B64.4 IAPMO File No. 1563. tDoes not indicate approval status. See below for approved models. el� 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 except 009M3LF) 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. B mm WEIGHT lbs. kgs. 909AG -A 1/4" -1/2" 009, '/2 13 2% 60 3% 79 .625 .28 3/4" 009M2/M3 909AG -C 3/4"-1" 009/909, 1 25 31/4 83 47/e 124 1.50 .68 1 " -1W 009M2 909AG -F 114 " -2" 009M1, 2 51 4% 111 63/4 171 3.25 1.47 11/4"--3" 009/909, 2" 009M2, 4 " -6" 993 909AG -K 4 " -6" 909, 3 76 6%e 162 9% 243 6.25 2.83 8 " -10" 909M1 909AG -M 8" -10" 909 4 102 7% 187 111/4 394 15.50 7.03 909EL -A 1/4" -1/2" 009, 3 /a" 009M2/M3 - - - - - - - - 909EL-C 3/4 " -1" 009/909. - - 2% 60 2%I 60 .38 .17 * 909EL -F 11/4" -2" 009M1, - - 35/e 92 35/e 92 2 .91 1'/4 " -2" 009/909, 2" 009M2, 4 " -6" 993 ' 909EL -H 2' " -3" 009/909 - - - - - - - - Vertical A e 1 B Dimensions and Weight: 1/4" - 2" (8 - 50mm) 009 N Suffix HC — Fire Hydrant Fittings dimension 'A' = 25' (637mm) 009 1/4" — 2" , SIZE (DN) in. mm in. A mm in. I B min in. ,DIMENSIONS C mm (APPROX.), • D in. mm in. L mm in. STRAINER DIMENSIONS. M mm . N in. . •� mm •WEIGHT lbs. .. kg.s 1/4 8 10 250 45 /8 117 33/3 86 11/4 32 51/2 140 2%s 60 21/2 64 5 2 3/8 10 10 250 45 /e 117 33/8 86 11/4 32 5' 140 23% 60 21/2 64 5 2 1/2 15 10 250 45/8 117 33/8 86 11/4 32 5' 140 23/4 70 21/4 57 5 2 3/4 20 103/4 273 5 127 31/2 89 11 38 63/4 171 33A6 81 2% 70 6 3 1 25 141/2 368 51/2 140 3 76 21/2 64 91/2 241 33/4 95 3 76 12 5 1'/4 32 17%8 441 6 150 312 89 21/2 64 113/8 289 47/i6 113 31 89 15 6 11 40 177/8 454 6 150 312 89 212 64 11% 283 4% 124 4 102 16 7 2 50 213/8 543 7%4 197 41/2 114 31/4 83 131/2 343 515/is 151 5 127 30 13 Dimensions and Weight: 21/2" and 3" (65 and 80mm) 009 STRAINER SIZE ' .. in. DIMENSIONS (approx.(I '. C mm . WEIGHT: ; DMENSIONS D mm ( APPROX.) E in. mm ' in. M in. N in. Nit WEIGHT, lbs. kgs. 009LF in. mm in. — mm in. mm in. mm lbs. kgs. 2' 65 10 105 /8 254 6' 165 93/4 248 28 12.7 3 80 10%8 412 257 7 178 10 254 34 15.4 tClearance for servicing Watts G -4000 Series QT - Ball Valves .MODEL,' ,,. 'SIZE DN in. mm in. A mm in. C mm in. ; DMENSIONS D mm ( APPROX.) E in. mm ' in. L min in. f R mm in. U mm WEIGHT, lbs. kgs. 009LF 21/2 65 — — — — 41/2 114 — — 18% 460 — — 105 /8 270 76 34.5 0090SY 21/2 65 331/4 845 15 %8 403 412 114 16% 416 181/8 460 73/4 197 10%8 270 166 75.3 009NRS 21/2 65 331/4 845 11% 289 41/2 114 163/8 416 18% 460 73/4 197 10%8 270 161 73.0 009QT 212 65 331/4 845 6 152 41 114 163/8 416 181/8 460 73/4 197 10%8 270 150 68.0 009LF 3 80 — — — — 412 114 — — 181/8 460 — — 10%8 270 76 34.5 00905Y 3 80 341/4 870 181/2 470 412 114 16% 422 18'%8 460 83/4 222 10%8 270 198 89.8 009NRS 3 80 34'/4 870 123/4 324 412 114 16% 422 18'%8 460 83/4 222 10% 270 191 86.6 009QT 3 80 341/4 870 7 178 412 114 16%8 422 18%8 460 83/4 222 10% 270 158 71.7 Capacity Performance as established by an independent testing laboratory. *Typical maximum system flow rate (7.5 feet/sec., 2.3 meters /sec.) kPa psi 138 20 117 17 96 14 76 1 55 8 35 5 1/4" (8mm) 009QT AP o kPa psi 138 20 117 17 96 14 76 11 55 8 35 5 .25 .60 .75 1.17 gpm .95 1.9 2.9 3 8 4.5 Ipm 3/4" (10mm) 009QT AP p .25 .50 .75 1.25 1.50 2.5 3.1 gpm .95 1.9 2.9 3 8 4.8 5.7 9.4 11.8 Ipm kPa psi 1" (15mm) 009QT 172 25 138 20 103 15 69 10 35 5- APo kPa psi 207 30 165 24 124 18 83 12 41 6 0 0 0 2 6 10 14 18 22 26 AP 07.6 23 38 53 68 84 99 7.5 15 2.3 4.6 25 5 75 10 12.5 15 gpm 3 8 9 5 19 28.5 38 47.5 57 Ipm 5 7.5 15 fps 1.5 2.3 4.6 mps *3/1" (20mm) 009M3QT kPa psi 207 30 172 25 138 20 103 15 69 10 35 5 0 0 0 30 34 38 42 46 gpm 114 129 144 160 175 Ipm fps mps 1 "„(25mm) 009M2QT 5 10 20 30 40 50 60 70 80 gpm 0 19 38 76 114 152 190 228 266 304 Ipm 7.5 15 fps 2.3 4.6 mps WWATFS® kPa psi 172 25 138 20 103 15 69 10 35 5 0 0 PA" (32mm) 009M2QT AP O kPa psi 207 30 172 25 138 20 103 15 69 10 35 5 0 0 AP 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 /1/2" " (40mm) 009M2QT kPa psi 207 30 172 25 138 20 103 15 69 10 35 5 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 gpm 38 76 1 4 152 190 228 266 304 342 380 418 456 Ipm 5 7.5 10 15 fps 1.5 2.3 3.0 4.6 mps 2" (50mm) 009M2QT APO kPa psi 172 25 138 20 103 15 69 10 35 5 0 0 AP O 20 40 60 80 100 120 140 160 180 200 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 21/4" (65mm) 009 1 kPa psi 172 25 138 20 103 15 69 10 35 5 0 0 25 50 75 05 10- 295 5 1.5 100 125 150 175 200 225 250 gpm 380 475 570 665 760 885 950 Ipm 7.5 10 15 fps 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 104511401235 Ipm 5 7.5 10 fps 1.5 2.3 3.0 mps =9001 -2008 CERTIFIED A Watts Water Technologies Company ES -009 1103 USA: No. Andover, MA • Tel. (978) 688 -1811 • Fax: (978) 794 -1848 • www.watts.com Canada: Burlington, ONT. • (905) 332 -4090 • Fax: (905) 332 -7068 • www.wattscanada.ca © 2011 Watts April 14, 2011 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director Dan Kim 11306 Bridgeport Wy SW, Suite D Lakewood, WA 98499 RE: Letter of Incomplete Application # 1 Plumbing /Gas Piping Permit Application PG11 -054 Puget Sound Interventional Pain Clinic — 7200 S 180 St Dear Mr. Kim, This letter is to inform you that your permit application received at the City of Tukwila Permit Center on April 11, 2011 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: Building Department: Allen Johannessen at 206 433 -7163 if you have any questions concerning the following comment. 1) Show the RPB backflow device on the plans and provide the manufacturers specifications for the device. Public Works Department: Joanna spencer at 206 - 431 -2440 of 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. 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, '4,4412, Bill Rambo Permit Technician Enclosures File: PG11 -039 W:\Permit Center \Incomplete Letters \2011 \PG 11 -054 Incomplete Ltr # 1.DOC 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 • a PUBLIC WORKS DEPARTMENT COMMENTS DATE: March 14, 2011 PROJECT: Puget Sound Interventional Pain Clinic 7200 S 180th St PERMIT NO: PG 11 -054 PLAN REVIEWER: Contact Joanna Spencer (206) 431 -2440 if you have any questions regarding the following comments. 1) Due to the nature of Puget Sound Pain Clinic services (medical clinic), 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 inside the building 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 and circle the RPPA to be installed. Please install a floor drain or other means of drainage outlet since the devise spits. 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 /PG 11 -054 3ERM9T COORD COPY. PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -054 DATE: 04/29/11 PROJECT NAME: PUGET SOUND INTERVENTIONAL PAIN CLINIC SITE ADDRESS: 7200 S 180 ST Original Plan Submittal X Response to Incomplete Letter # 1 Response to Correction Letter # Revision # after Permit Issued �D'EPPARTMENTS: 'BU�ding Di ion Pi Works '`t1 Fire Prevention Structural Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete isq- Comments: Incomplete DUE DATE: 05/03/11 Not Applicable ❑ 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 X Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DUE DATE: 05/31/11 DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 lb HERMIT COORD COPYr PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -054 DATE: 04/12/11 PROJECT NAME: PUGET SOUND INTERVENTIONAL PAIN CLINIC SITE ADDRESS: 7200 S 180 ST X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: Building Division Public Works Fire Prevention Structural u Planning Division ❑ Permit Coordinator n DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete ❑ Comments: Incomplete DUE DATE: 04/14/11 Not Applicable n Permit Center Use Only �r INCOMPLETE LETTER MAILED: " ` `L4`'' LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg Fire ❑ Ping ❑ PW Nc..r Staff Initials: `�VV TUES /THURS ROUTING: Please Route ❑ REVIEWER'S INITIALS: Structural Review Required n No further Review Required ❑ DATE: APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DUE DATE: 05/12/11 DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 • 1 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 submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mall, fax, etc. Date: /172q12oq Response to Incomplete Letter # Plan Check/Permit Number: ❑ Response to Correction Letter # ❑ Revision # after Permit is Issued P&P 05q- ❑ Revision requested by a City Building Inspector or Plans Examiner Project Address: , Project Name: Sou/no/ T/'17 ey- ve -176120/ Pa, C 1/ 00 So /i �0M s w,J 1 T� a VU i Al Contact Person: S % /3im /jip Phone Number: C2 06) 23 -'� 3.3:? Summary of Revision: Ch U Tel n'l r PVo✓I f f 71-6 m (orn D/PIe /e O°r #� RECEIVED CITN 'I'1,10F APR292011 PERMIT Sheet Number(s): "Cloud" or highlight all areas of revision including date /of' revision Received at the City of Tukwila Permit Center by: �` W Entered in Permits Plus on Oalb \applications\forms- applications on line\revision submittal Created: 8-13 -2004 Revised: 1 -2009 Contractors or Tradespeople Prl iter 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 S a H PLUMBING UBI No. 601746528 Phone 2069993094 Status Active Address 5668 S 295Th Pl License No. SHPLUHP905K5 Suite /Apt. License Type Construction Contractor City Auburn Effective Date 5/25/2010 State WA Expiration Date 5/25/2012 Zip 98001 Suspend Date County King Specialty 1 General Business Type Individual Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status SHPLUPI938RLSH PLUMBING INC Construction Contractor General Unused 12/13/2007 12/14/2011 Suspended Business Owner Information Name Role Effective Date Expiration Date KIM, CHUL HO Owner 05/25/2010 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 American Contractors Indem CO 100126299 05/24/2010 Until Cancelled $12,000.00 05/25/2010 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 1 CBIC C11SI6330 05/24/2010 05/24/2011 $1,000,000.00 05/25/2010 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 05/16/2011