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HomeMy WebLinkAboutPermit D12-250 - HILL-ROM - PALLET RACKHILL-ROM 12610 INTERURBAN AV S D12-250 City oiltukwila 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 DEVELOPMENT PERMIT Parcel No.: 0004800003 Address: 12610 INTERURBAN AV S TUKW Suite No: Project Name: HILL -ROM Permit Number: D12 -250 Issue Date: 08/09/2012 Permit Expires On: 02/05/2013 Owner: Name: GATEWAY OLYMPIA INC Address: PO BOX 4900 #207 , SCOTTSDALE AZ 85261 Contact Person: Name: TYLER PETERSON Address: 8531 S 222 ST , KENT WA 98031 Contractor: Name: APPLIED HANDLING NW INC Address: 24217 138 AV SE , KENT, WA 98046 Contractor License No: APPLIHNO33JT Lender: Name: Address: Phone: 253 395 -8500 Phone: 253 - 395 -8500 Expiration Date: 05/09/2014 DESCRIPTION OF WORK: INSTALLATION OF PALLET RACK Value of Construction: $0.00 Fees Collected: $275.43 Type of Fire Protection: SPRINKLERS International Building Code Edition: 2009 Type of Construction: Occupancy per IBC: 0024 Electrical Service Provided by: SEATTLE CITY LIGHT * *continued on next page ** doc: IBC -7/10 D12 -250 Printed: 08 -09 -2012 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving Oversize Load: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie N N N Number: 0 Start 'lime: Volumes: Cut 0 c.y. Size (Inches): 0 End Time: Fill 0 c.y. Start lime: End Time: Private: Profit: N Private: 11 v . Date: Public: Non - Profit: N Public: 1 ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not pr construction or the performance of work to this permit. Signature: e to give authority to violate or cancel the provisions of any other state or local laws regulating • I am authorized to sign and obtain this development permit and agree to the conditions attached Print Name: Date: / This permit shall beEome 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. PERMIT CONDITIONS: 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All 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. 4: When special inspection is required, either the owner or the registered design professional in responsible charge, shall employ a special inspection agency and notify the Building Official of the appointment prior to the first building inspection. The special inspector shall furnish inspection reports to the Building Official in a timely manner. 5: A final report documenting required special inspections and correction of any discrepancies noted in the inspections shall be submitted to the Building Official. The final inspection report shall be prepared by the approved special inspection agency and shall be submitted to the Building Official prior to and as a condition of final inspection approval. doc: IBC -7/10 D12 -250 Printed: 08 -09 -2012 6: All construction shall be done in conform with the approved plans and the requiremeiftf the International Building Code or International Residential CInternational Mechanical Code, Washingtorte Energy Code. 7: All rack storage requires a separate permit issued through the City of Tukwila Permit Center. Rack storage over 8 -feet in height shall be anchored or braced to prevent overturning or displacement during seismic events. The design and calculations for the anchorage or bracing shall be prepared by a registered professional engineer licensed in the State of Washington. 8: Manufacturers installation instructions shall be available on the job site at the time of inspection. 9: 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 presunung 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. 10: ** *FIRE DEPARTMENT CONDITIONS * ** 11: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 12: Clearance between ignition sources, such as light fixtures, heaters and flame - producing devices, and combustible materials shall be maintained in an approved manner. (IFC 305.1) 13: Storage shall be maintained 2 feet or more below the ceiling in nonsprinklered areas of buildings or a minimum of 18 inches below sprinkler head deflectors in sprinklered areas of buildings. (IFC 315.2.1) 14: Flue spaces shall be provided in accordance with International Fire Code Table 2308.3. Required flue spaces shall be maintained. 15: The total number of fire extinguishers required for an ordinary hazard occupancy with Class A fire hazards is calculated at one extinguisher for each 1,500 sq. ft. of area. The extinguisher(s) should be of the "All Purpose" (2A, 20B:C) dry chemical type. Travel distance to any fire extinguisher must be 75' or less. (IFC 906.3) (NFPA 10, 3 -2.1) 16: Portable fire extinguishers, not housed in cabinets, shall be installed on the hangers or brackets supplied. Hangers or brackets shall be securely anchored to the mounting surface in accordance with the manufacturer's installation instructions. Portable fire extinguishers having a gross weight not exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 5 feet (1524 mm) above the floor. Hand -held portable fire extinguishers having a gross weight exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 3.5 feet (1067 min) above the floor. The clearance between the floor and the bottom of the installed hand -held extinguishers shall not be less than 4 inches (102 mm). (IFC 906.7 and IFC 906.9) 17: 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) 18: 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) 19: Fire extinguishers require monthly and yearly inspections. They must have a tag or label securely attached that indicates the month and year that the inspection was performed and shall identify the company or person performing the service. Every six years stored pressure extinguishers shall be emptied and subjected to the applicable recharge procedures. If the required monthly and yearly inspections of the fire extinguisher(s) are not accomplished or the inspection tag is not completed, a reputable fire extinguisher service company will be required to conduct these required surveys. (NFPA 10, 4 -3, 4 -4) 20: Maintain fire extinguisher coverage throughout. 21: Sprinklers shall be installed under fixed obstructions over 4 feet (1.2 m) wide such as ducts, decks, open grate flooring, cutting tables, shelves and overhead doors. (NFPA 13- 8.6.5.3.3) 22: All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department review and approval of drawings prior to installation or modification. New sprinkler systems and all modifications to sprinkler systems involving more than 50 heads shall have the written approval of Factory Mutual or any fire protection engineer licensed by the State of Washington and approved by the Fire Marshal prior to submittal to the Tukwila Fire Prevention Bureau. No sprinkler work shall commence without approved drawings. (City Ordinance No. 2327). 23: Maintain fire alarm system audible /visual notification. Addition/relocation of walls or partitions may require doc: IBC -7/10 D12 -250 Printed: 08 -09 -2012 relocation and/or addition of audible /visu.tification devices. (City Ordinance #2328) 24: All new fire alarm systems or modifications to existing systems shall have the written approval of The Tukwila Fire Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #2328) (IFC 104.2) 25: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2327 and #2328) 26: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 27: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575 -4407. doc: IBC -7/10 D12 -250 Printed: 08 -09 -2012 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Permit No. P Project No. Date Application Accepted: Date Application Expires: lti (For office use only) CONSTRUCTION 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: / v v lO j"/frr°r e411/ Tenant Name: H; 11 -- i0 d King Co Assessor's Tax No.: LOO 4/0— 0003 4v2-S Suite Number: / 0 Floor: /V4 New Tenant: [ Yes ❑..No PROPERTY OWNER Name: 7 /ev Pei -P,f� Name: A--,.t w y ©ty i ku...-- Address: 3 00 49 to k« A ✓fi e 0 / 'ZO City: pasoaeo t_ State:c.ii Zip: CONTACT PERSON — person receiving all project communication Name: 7 /ev Pei -P,f� 7 Address: 35.� i Se °�^— 7 au” -�1" City: / /„,,./-r- State: 1/1/4 Zip: fro/2V Phone:Zs--3- 3.73-4sik j lS- pS %,s Email: -'v %2r /- 0 ownev my. C'OM,, GENERAL CONTRACTOR INFORMATION Company Name: A /0 p teo *oval /i ky___Npi Address: j's3i soy ii,.._ 2122Nd City: �/nu�,r State: ,J Zip: 990 S / rs-ps• / Phone: zs3. 3 /5 B - Fax: Z.> 3 3qS Contr Reg No. :1.-6 Re a:000375 T e: /.� ZO m Tukwila Business License No.: d Rek,d 2 „,Q,c H:WpplicationsWor ms- Applications On Line \20I I ApphcanonsiPeemit Application Revised - 8- 9- 11.docx Revised: August 2011 bh ARCHITECT OF RECORD Company Name: I/ ' ,4 E;,„30_00., Company Name: Address: 2, % / 2,v- / Z iii... /t v'�se, / d �/ �I Phone: F �Sl_730^3 Fax: Architect Name: City: Address: State: Zip: City: ■. State: Zip: Phone: Fax: Email: ENGINEER OF RECORD Company Name: I/ ' ,4 E;,„30_00., Engineer Name:; ( /C 4 1�r Address: 2, % / 2,v- / Z iii... /t v'�se, City: %/ _N .� State: �, Zip: fro 3, (�G Phone: F �Sl_730^3 Fax: /6' I Email: bka- tv /G.@ klOtybll�if . PO/� LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: N 4 ! �/ ''I Address: City: State: Zip: Page 1 of4 • BUILDING PERMIT INFORMATION — 206 - 431 -3670 Valuation of Project (contractor's bid price): $ 3j g0 Describe the scope of work (please provide detailed information): S tot ( pa / /e-r , c CC . Will there be new rack storage? ,....Yes Existing Building Valuation: $ M4 ❑.. No If yes, a separat vri it and plan submittal will be required. Provide All Building Areas in Square Footage Below Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per 1St Floor CI 2 "a Floor 3rd Floor Floors thnr Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Carport Covered Deck Uncovered Deck PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION /HAZARDOUS MATERIALS: VSprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? Pt Yes ❑ No If `yes', attach list of materials and storage locations on a separate 4142- T °paper including quantities and Material ySaafetty, Data Sheets. ern.- c0I/O✓ S itaar—O4_ 2,.. x.2✓, d`�'. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:' pphcations\Forns- Applications On lane \2011 Apphcations\Permit Application Revised - 8 -9 -1 I.docx Revised: August 2011 bh Page 2 of 4 '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 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). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING 0 1 R 1 UTHORIZED AGENT: ak Signature: Print Name: Mailing Address: Cam.. t Day Telephone: 2.5$— mss '1001 Date: 4, i IA] I L 2-014% S' 1 o 1\,t, S. H:Wpphcations'Fomis- Applications On Line \2011 Applicanons\Petmit Application Revised - 8- 9- 11.docx Revised: August 2011 bh cur �PI l�O Z, State Zip Page 4 of 4 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.gov RECEIPT Parcel No.: 0004800003 Permit Number: D12 -250 Address: 12610 INTERURBAN AV S TUKW Status: APPROVED Suite No: Applied Date: 07/30/2012 Applicant: HILL -ROM Issue Date: Receipt No.: R12 -02324 Payment Amount: $168.70 Initials: JEM Payment Date: 08/09/2012 11:52 AM User ID: 1165 Balance: $0.00 Payee: APPLIED HANDLING NW, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 038923 168.70 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - NONRES STATE BUILDING SURCHARGE 000.322.100 164.20 640.237.114 4.50 Total: $168.70 doc: Receiot -06 Printed: 08 -09 -2012 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206 -431 -3665 Web site: http: / /www.TukwilaWA..ov RECEIPT Parcel No.: 0004800003 Permit Number: D12-250 Address: 12610 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 07/30/2012 Applicant: HILL -ROM Issue Date: Receipt No.: R12 -02224 Payment Amount: $106.73 Initials: JEM Payment Date: 07/30/2012 09:16 AM User ID: 1165 Balance: $168.70 Payee: APPLIED HANDLING NW, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 038912 106.73 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 106.73 Total: $106.73 doc: Receipt-06 Printed: 07 -30 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY. OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 li2.— (206) 431 -3670 Permit Inspection Request Line (2a6) 431 -2451 Project:: ' N-, it / 6.v-i Type o, f Inspection: 1-'1-14/ Address: _ bm /2 60 Jo :_._/c J 1 ?r /i Date Called: Special Instructions: Date anted:. e) — /3'' /'Z 1- 3 P.m. Requester: Phone No: _ a oc„. 2 �5-- 6e/q3. Approved per applicable codes. Corrections required prior to approval. COMMENTS: Pocrw--t (71.7,4,,o/-te. /1:74,4 Datp EINS ECTION FEE REQUIRED. rior tgnext inspection, fee must be aid X16300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPEC ION NO. INSPECTION RECORD Retain a copy with permit- (1 250 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 .,(206)431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: 1 l Type o _Ibspectlo Address: 17_( t0 :.�-. X-dJr8Alti Date Called: ,' Special Instructions: Date Wanted:. = k<i - a.m. p.m. Requester: -^ -.4)%' 7-7 p 6."". /. QS Phone No: r: .... ElApproved per applicable codes. COMMENTS: El Corrections required prior to approval. O m - 51Th Aeu‘ t l Inspector: Date:. n REINSPECTION FEE REQUIRED. Prior to next Inspection Yee must he paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reirispection:. INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit 0/2 - 2 So PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East. Tukwila, Wa. 98188 206- 575 -4407 Project: H . // _ Rom Type of Inspection: \ Address: /2- c iv Suite #: No 1 04 s. Contact Person: Si, chi $ T eZ._G,10 , Special Instructions: Phone No.: 004 . 5 d ' ( P--/ `r /i Approved per applicable codes. Corrections required prior to approval. COMMENTS: QGic -74n S Tac/G . Needs Shift Inspection: Sprinklers: \ Fire Alarm: Hood & Duct: Hrs.: Monitor: Pre -Fire: Permits: Occupancy Type: / Inspector: {I,5 3 \ Date: er9,i z Hrs.: $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. Billing Address Attn: Company Name: Address: City: State: Zip: Word /Inspection Record Form.Doc 6/11/10 T.F.D. Form F.P. 113 • . t Fireproofing Aggregates Shotcrete Concrete Masonry A s p h a l t R o o f i n g P i l i n g S t e e l S o i l s W o o d August 13, 2012 File: 12 -468 Building Official City of Tukwila Building Department 6300 Southcenter Blvd. Tukwila, WA 98188 Project: Address: Permit No.: Hill -Rom 12610 Inter`; urban Ave. S. 15112' 250' A.A.R. TESTING LABORATORY, INC. f „;N; '.Rlm :Tlfu; T'. ?ECTION AND ?,i 9TER;RL TLSTING NATIONALLY :.+.^CEPTED LAk;DRATORY This is to advise you that special inspections are completed on the above referenced project. The following inspection was required and a copy of our report is attached. 1. Proprietary anchor installation To the best of our knowledge all work inspected conformed to Tukwila Building Department approved plans, specifications, IBC and related codes and /or verbal or written instructions from the Engineer of Record. Sincerely, A.A.R. TESTING LABORATORY, INC. ketjted alutat5L--- Kimberle Anderson President CC: Applied Handling -Tyler Peterson Tel: (425) 881 -5812 Fax: (425) 881 -5441 • 7126 180th Ave. NE • P.O. Box 2523 * Redmond. WA 98073 Client: Applied Handling NW 8531 S. 222nd St. Kent, WA. 98031 Contact: Tyler Peterson Field Report Report #: 54965 Cos, MO TIMI G Mo Glaa Lea, U22 Rhone ( 3 ';'li Project Number: 12-468 Permit #: D12 -250 Project Name: Hill -Rom Address: 12610 Interurban Ave. S. Inspection Performed: Proprietary Anchors Date: 8/2/2012 Time: Temperature: Anchor bolts for pallet racks per drawing D246 -BP. Verified installation of 1/2" x 4 3/4" Simpson Strongbolt 2, with a 3" minimum embedment, torqued to 50 ft. lbs. All placed per plan. Distribution: Distribute Client ❑ Distribute Contractor ❑ Distribute Engineer ❑ Distribute Owner Distribute Municipality ❑ Distribute Other ❑ Distribute Architect ❑ Distribute Other Inspector: Trow, Michael Reviewed by Mike Blackwell All reports are considered confidential and are the property of the client and A.A.R. Testing Laboratory, Inc. Reproduction except In full without the written consent of A.A.R. 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TndOki$J• 1b tt . ..t,a K- r,9a -p Pc- cit. , 9. kauli 9.14 — �k �w :.42$ n. 3" s .Dot4 Gyp,* s4:so�� 6t s 9.2� I•s► 4 /, !PERMIT COORD COPS. PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D12 -250 PROJECT NAME: HILL -ROM SITE ADDRESS: 12610 INTERURBAN AV S DATE: 07/30/12 X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued DEPARTENTS: ATngNion V® NC 0- ct� /-irFire Prevention Planning Division Public Works ❑ Structural ❑ Permit Coordinator n DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete n DUE DATE: 07/31/12 Not Applicable ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUTING: Please Route Structural Review Required n No further Review Required n REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 08/28/12 Approved Approved with Conditions N Not Approved (attach comments) Ti Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Contractors or Tradespeople Pryer Friendly Page • General /Specialty Contractor A business registered as a construction contractor with LEI 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 1 Name APPLIED HANDLING NW INC UBI No. 601773355 Phone 2533958500 Status Active Address 8531 S 222Nd St License No. APPLIHNO33JT Suite /Apt. License Type Construction Contractor City Kent Effective Date 4/30/1997 State WA Expiration Date 5/9/2014 Zip 980311938 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date TUCKER, MICHAEL THOMAS President 04/30/1997 Amount CHAFFEE, ARTHUR RICHARD Secretary 04/30/1997 01C14566292 TUCKER, MARY LYNN Treasurer 04 /30/1997 MARTIN, DANIEL SCOTT Vice President 04 /30/1997 American States Insurance Co CLOUD, JERRY W Vice President 04 /30/1997 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 3 CBIC SA8537 04/30/2002 Until Cancelled $12,000.00 03/18/2002 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 13 American States Insurance Co 01C14566292 05/12/2012 05/12/2013 $1,000,000.0004 /23/2012 12 American States Insurance Co 01C14566291 05/12/2011 05/12/2012 $1,000,000.0005 /04/2011 11 WEST AMERICAN INS CO BKW53084582 05/12/2010 05/12/2011 $1,000,000.0005 /10/2010 10 WEST AMERICAN INS CO BKW53084582 05/12/2005 05/12/2010 $1,000,000.0005 /04/2009 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 08/09/2012 7! 2 3 2645 . MO: AREA OF INSTALLATION D60/ IIP61 O6f ? 81 0666 , ).t' +tj y,,k'7 i k1 Di 1�ti�� y�y.+ /hti 07201 0000 084'4 ri'et:i: I0.0 06/D orY 4 0136 az Jdyf '010 itg38,2r Countyy slop s c'.41 TUKWILA COMMERCE PARK BUILDING LOCATION VICINITY f" 1AP PARCEL /PROPER -1' TAX ACCOUNT4 0004-80-0003 LEGAL DESCIPTON: LEWIS C C -D C # 37 BEG N 81 -44 -15 E 199.17 FT FROM HUB AT END OF CURVE ON CENT LN OF DUWAMISH - RENTON JUNCTION RD SD HUB BEING APPROX 1200 FT N AND 440 FT W OF 1/4 COR BET SECS 14 & 15 -23 -4 TH N 49 -24 -00 W 2535 FT TH N 09 -36- 00 E 52 FT TO TRUE BEG TH S 82 -40 -30 E 590 FT TH N 59 -22 -30 E 643.35 FT TH N 01 -51- 30 W 343 FT TO LEFT BANK OF DUWAMISH RIVER BEING NLY BOUNDRY OF LEWIS D C TH SWLY ALG SD BANK OF RIVER TO PT N 00 -39 -40 W OF TRUE BEG TH S 00 -39 -40 E TO TRUE BEG ALSO POR OF D C LY W OF ABOVE DESCRIBED LAND SLY 16.15 FT AND A 16 FT STRIP ADJ AND PARL TO ELY LN OF R/W OF P S ELEC CO FOR JOINT RD TGW LOT 47 OF PLAT OF RIVERSIDE INTERURBAN TRS Tenant: HILL -ROM COhIPANY 2c30 INTERURBAN AVE. S. SUITE # 100 TUKWILA, WA .081G8 JUDY STRONG (20S) 244 -7720 PARCEL # 000480 -0003 Contractor: Applied Handling NW, Inc. 85.31 South 222nd Street Kent, WA X8031 Th'LER PETERSON (253) 335 -8500 Engineer: BASIL KA ."U_A 21122- 12STH AVE SE KENT, WA .8031 (20G) 851 -7303 Project Description: Installation of pallet rack in warehouse Product stored hospital bed on wire mesh deck- One bed per beam level Occupancy classification S1 Building area 12,000 SF Rack area 4,580 SF Product top of Toad to be less than 14' Sprinkler and building clear height: 24' Anchor inspection to be done by AAR Testing Laboratory of Redmond, WA SEPARATE PERMIT REQUIRED FOR: Rpm Citydf irttiiltavillzt 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 submittal and may include additional plan review fees. FILE COPY Permit No. Plan review approval is subject to errors and omissions. i )r'oval of construction documents does not authorize ,: 3lation of any adopted code or ordinance. Receipt of t pproved Field Copy and #.. It •' . is acknowledged: By Date:. r-7- z0/2, City Of lbkwrila BUILDING DIVISION DRAWINGS: COVER PAGE D-24S-6: OVERALL BUILDING PLAN D-24S-P: RACK RAN VIEW D-24S-E: ELEVATION AND NOTES D- 24G-DET: DETAILS plE CALCWATONS- ATTACHED ?7i Pte- -ks--.._ REVIEWED FOR CODE COMPLIANCE APPROVED AUG 08 2012 City of Tukwila BUILDING DIVISION VIEW RECEIVEr .. CITY OF TUKWILA JUL 3 0 2012 PERMIT CENTER 14-1-6 25 0 DRAWN BY: T. PETERSON PROJECT SALESMAN: • APPROVED BY.- z REVISIONS: COPYRIGHT @1998 BY z Applied Handling material handling and storage products CUSTOMER. 0 W U O wz W c z oz J J Z _ _ &o p W U Z m Zo 0 Z� c � W Q� 0 W 0 Q t- O U Ww c Qo_ o_,, = a 1-- >- N a H 0 Z u_ CC � N 0 O z 0 ul w 0 Z W IN ANY MANNER, z cc PHASE ONE OF INSTA L w DISTRIBUTION OF VIDEO GABLE OVERALL BUILDING PMAN VIEW 1Q._72.50 REVIEWED FOR CODE COMPLIANCE APPROVED AUG 0 8 2012 City of Tukwila BUILDING DIVISION RECEIVE') CITY OF TUKWILA All_ 3 0 2012 PERMIT CENTER DRAWN BY: T. PETERSON PROJECT SALESMAN: T. PETERSON APPROVED BY.- REVISIONS • W COPYRIGHT ©1998 BY z U C I v a a material handling and storage products CUSTOMER. AND SHALL NOT BE REPRODUCED c9 6 z • 50' 99 V V 1 2 3 4 5 1 2 3 4 5 srE G,,, 14'_0" X F X 6,_4" X E 1 2 1 2 1 2 2 1 2 REVIEWED FOR CODE COMPLIANCE APPROVED AUG 08 2012 3 3 3 3 3 City of Tukwila UILDING DIVISION 12 E6)\ RECEIVED. CITY OF TUKWILA JUL 8 0 2012 PERMIT CENTER DRAWN BY: z O w PROJECT SALESMAN: z O w ft APPROVED BY: REVISIONS: COPYRIGHT ©1998 BY z material handling and storage products CUSTOMER: BE REPRODUCED AND SHALL NOT U 0 w CL CL zm Zo zcn z 0 LA W 0_ 0 HE PROPERTY PURPOSE WITHOUT WRITTEN • 4-4" 2' 120' 1 2,000 LB5 120' 2 2,000 LBS 120 3 2,000 LBS 120" 4 2,000 LB5 120" 5 2,000 LBS 38" 120" 1 2,000 LB5 120" 2 2,000 LB5 120" 3 2,000 LB5 120" 4 2,000 LBS 120" 5 2,000 LBS 2,000 LBS 2,000 LBS 2,000 LBS 2,000 LBS 2,000 LB5 2,000 LBS 2,000 LBS 2,000 LBS O 2,000 LBS 2,000 LBS 2,000 LBS 2,000 LBS 2,000 LBS 2,000 LBS 2000 LBS 2,000 LBS 2,000 LBS 2,000 LBS SIDE ELEVATION 44" X120" 4-8" SIDE ELEVATION 48" X 210 44" O FRONT ELEVATION ROW A 144" 1 2,000 LBS 2,000 LBS // 144" 144" 2 2000 , LBS 3 2,000 LB5 2,000 LBS 2,000 LBS 44" 2,000 LBS 2000 LBS 2,000 LBS FRONT ELEVATION ROW G 120" 120" 120" 1 2000 , LBS 2 2000 , LBS 3 2,000 LBS 2,000 LBS 2,000 LBS 2,000 LBS 2,000 LBS 2,000 LBS 2,000 LBS 48" y f� :IN ' bl \ - \ O SIDE ELEVATION 48" X192" 120" 1 2,000 LBS SIDE ELEVATION FRONT ELEVATION ROW B 38" X 144" [ 120" 2 2000 , LBS 120" 3 2,000 LBS i9 N 2,000 LBS 2,000 LBS 2,000 LBS \ \ \ 2,000 LBS 2000 LBS 2000 , LB5 i[ FRONT ELEVATION ROW D 120" 1 2,000 LBS // 120" 2 2,000 LBS 120" 3 2,000 LBS 2000 , LBS 2,000 LBS 2,000 LB5 2,000 LBS 2,000 LBS 2,000 LBS 44„ J' \ SIDE ELEVATION 44" X192" 120" 120" // 1 2,000 LBS 2 2,000 LBS 120" 2,000 LB5 0 1- 2,000 LBS 2000 , LBS 2,000 LBS 2,000 LBS 2,000 LBS 2,000 LBS FRONT ELEVATION ROW E SIDE ELEVATION 44" X144" SIDE ELEVATION 44" X140" FRONT ELEVATION ROW F SIDE ELEVATION FRONT ELEVATION ROW G NOTES: 1) PALLET RACKS ARE MFD BY LOID METAL TECH OF LODI, CA OR EQUAL 2) STEEL USED IN UPRIGHTS AND ROLLED FORMED RACK ELEMENTS CONFORMS TO ASTM A570 OR 50 WITH Fy=50 KSI, AND Fu =S5 KSI. 3) STEEL FOR ALL BRACING STRUTS EE. BASE PLATES SHALL HAVE A MINIMUM YIELD OF 30 KSI, AND A MINIMUM TENSILE 58 KSI. 4) MAXIMUM LOADING PER LEVEL PER PAIR OF BEAMS SHALL BE AS NOTED ON ELEVATION DRAWING: 2,000 IBS PER PAR OF BEAMS LOADING SHALL BE LABELED WITH A SIGN OF GREATER THAN 50 SQUARE INCHES ON ALL ROWS. 5) SLAB GIVEN AS 5" THICK - WITH fc= 2,500 psi. 00) ALLOWABLE SOIL BEARING IS GIVEN AS 1,500 PSF FOR GRAVITY LOADS. 7) TIE -DOWN ANCHORS SHALL BE SIMPSON STRONG BOLT 11 WEDGE ANCHORS OR EQUAL. USE 1/2" DIAMETER X 4 -3/4" LONG ANCHORS, WITH 3" MIN. EMBEDMENT. USE 2 ANCHORS PER BASE PLATE. SPECIAL INSPECTION IS REQUIRED. 12,-2.6o SPECIAL INSPECTION FOR STORAGE RACKS (OVER 8 FEET) Periodic special inspection is required during the anchorage of access floors and storage racks 8 feet or greater in height in structures assigned to Seismic Design Category D, E or F. IBC 1707.5 and TABLE 1704.4 (4) Inspection of anchors installed in hardened concrete. REVIEWED FOR CODE COMPLIANCE APPROVED AUG 0 8 2012 City of Tukwila BUILDING DIVISION RECEIVED CITY OF TUKWILA JUL 3 0 2012 PERMIT CENTER DRAWN BY: T. PETERSON PROJECT SALESMAN: T. PETERSON APPROVED BY: REVISIONS: COPYRIGHT @1998 BY z 61 IU 0 Q N 0 0 cn 0 0 0 a0 L. a 0 0 E U AND SHALL NOT BE REPRODUCED U zz J 0 0 w Zm 0 fXfX LLJN G 0 1- V) 1- w 0 0 z 2" Q Q Q O m QC D � QC D D" FRONT VIEW - GRAVITY LOCK A U SIDE VIEW W/0 HOLES G 2" Q O ii) O m Q D � O D D" FRONT VIEW - INTERCHANGE A tt U SIDE VIEW W /HOLES 2" (0, D Q m D , ti o d C" FRONT VIEW - INTERCHANGE -A A 0 0 // 0 0 U SIDE VIEW W /HOLES 0 TUBE CROSS SECTIONS ROW BAY PART NUMBER COLUMN CROSS SECTION A" B" C" T" D" BASE PLATE # OF ANCHORS ANCHOR DIAMETER ANCHOR EMBEDM'T ANCHOR LENGTH A ALL 120X44 IR C 120" 3" 1 -5/8 ".075 3/4 W 2 1/2 3" 4 -3/4" B ALL 144X38 IR C 144" 3" 3" .075 3/4 Y 2 1 /2 3" 4 -3/4" C ALL 216X48 IR C 216" 3" 3" .075 3/4 X 2 1/2 3" 4 -3/4" D ALL 192X48 IR C 192" 3" 3" .075 3/4 X 2 1/2 3" 4 -3/4" E ALL 192X44 IR C 192" 3" 3" .075 3/4 X 2 1/2 3" 4 -3/4" F 1 144X44A IR C 144" 3" 3" .075 3/4 X 2 1/2 3" 4 -3/4" 4 -3/4" 4 -3/4" F 2 -3 140X44A IR C 140" 3" 3" .075 3/4 X 2 1/2 3" G 1 -2 144X448 IR C 144" 3" 3" .075 3/4 X 2 1/2 3" G 3 140X440 _,F COLA \S IR C 140" 3" .075 3/4 X 2 1/2 3" 4-3/4" 3 X 7 BASEPLATE BAS PLA 17/1C 3" 0 0 STANDARD BRACKET 1 7/16" 3" 0/ 3 -PIN BRACKET G LOAD B- AV TO COL v \\ 1/2" -C 3" 2 -PIN BRACKET 0 \S 1 1/2" 3" 3 -PIN BRACKET TB 1 11/ 6 "1— SI 1" 1" 4 -PIN BRACKET A 3.5 X 7 BASEPLATE x 5 X 8 BASEPLATE DIA. a a" z W J SEE CHART 1 FOR SIZE /LOCATION A \C ORS BEAM SECTION ROW BAY LEVEL PART NUMBER BEAM TO COLUMN CONNECTION 0 WELD A" T" LENGTH A ALL ALL 5X120A TBN S 5" .061 120 B ALL 1& 2 5X1208 A S 5" .061 120 B ALL 2& 3 4-1/8X120A A S 4-1/8 .061 120 C ALL ALL 4-1/8 X 144 TBM ,< 4-1/8" .061 144 D ALL ALL 5 X 120D TEN S 5" .061 120 E ALL 1 -2 4-1/8X120A I S 4-1/8 .061 120 E ALL 3 3-1/2 X 120A TBM S 3-1/2 .061 120 F ALL ALL 4-1/8X120D TBM S 4-1/8 .061 120 G ALL 1 5X1208 A S 5" .061 120 G ALL 2 -3 4-1/8X120B TBM S 4-1/8 .061 120 OAD B -AVS TYPE K - WELD TYPE S - STD WELD TYPE C WELD TYPE A WELD ROW QTY X" NA ROW SPAC x N .102" THK -RS .53 .57x1.14 SLOT (2) REQ'D ORIZONTAL m SECTION BAY A" B" T" ALL ALL 1.5 1.5 .064 OR /O \TAL S DIAGONAL ROW BAY A" B" T" ALL ALL 1.5 1.5 .064 D AGO \AL_ STR,, DRAWN BY: T. PETERSON PROJECT MANAGER: PETERSON APPROVED BY: W z REVISIONS.: 1)12:- 2.50 REVIEWED FOR :CODE COMPLIANCE APPROVED AUG 0 8 2012 City of Tukwila BUILDING DIVISION COPYRIGHT ®c 2012 BY z 0 0 CD 0 0 O 0 0 0 1' 0 0 0 0 0 O 0 S0V C I- W RECENEI. CITY OF TUKWLA JUL 3 0 2012 PERMIT CENTER AND SHALL NOT BE REPRODUCED 0 J 0 a J d 0 w a 0 1- U 0 J 0 0 W d 0 CY CY 0 0 0 ANY PURPOSE 0 7 -26 -12 IN ANY MANNER, •