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HomeMy WebLinkAboutPermit D13-085 - PUGET SOUND INTERVENTIONAL PAI - TENANT IMPROVEMENTPUGET SOUND INTERVENTIONAL PAIN CLINIC 7200 S 180 ST D13-085 City ofkukwila 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.: 3623049013 Address: 7200 S 180 ST TUKW Suite No: Project Name: PUGET SOUND INTERVENTIONAL PAIN CLINIC Permit Number: D13-085 Issue Date: 03/25/2013 Permit Expires On: 09/21/2013 Owner: Name: KHK INVESTMENT LLC Address: 26329 8TH AVE S , DES MOINES WA 98198 Contact Person: Name: DAN HORD Address: 47400 SE 162 ST , NORTH BEND WA 98045 Contractor: Name: DRYWALL BY DESIGN INC Address: 47400 SE 162 ST , NORTH BEND WA 98045 Contractor License No: DRYWADI875C6 Lender: Name: AMERICAN CONTRACTORS INDEMNITY CO Address: 601 S FIGUEROA ST, SUITE 1600 , LOS ANGELES CA 90017 Phone: 425-238-6663 Phone: 425-238-6663 Expiration Date: 02/26/2015 DESCRIPTION OF WORK: INSTALL 44 FT WALL, (2) INTERIOR DOORS, REMOVE (3) EXISTING JAMBS AND INSTALL NEW DOORS. NEW LINOLEUM AND REPLACE SUSPENDED CEILING TILES. INSTALL NEW CABINETS, BLINDS Value of Construction: $58,626.00 Fees Collected: $1,737.17 Type of Fire Protection: SPRINKLERS International Building Code Edition: 2009 Type of Construction: V -B Occupancy per IBC: 0008 Electrical Service Provided by: PUGET SOUND ENERGY **continued on next page** doc: IBC -7/10 D13-085 Printed: 03-25-2013 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: Flood Control Zone: Hauling: N Start Time: End Time: Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: Moving Oversize Load: Start Time: End Time: N Number: 0 Size (Inches): 0 Sanitary Side Sewer: Sewer Main Extension: Private: Public: Storm Drainage: Street Use: Profit: N Non -Profit: N Water Main Extension: Private: Public: Water Meter: N 1 � c Permit Center Authorized Signature: Date: 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 development permit and agree to the conditions attached to this permit. Signature: Print Name: Date: a 12-1(2.0 1� This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. 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 mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431-3670). 4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 5: New suspended ceiling grid and light fixture installations shall meet the non -building structures seismic design requirements of ASCE 7. 6: Partition walls that are tied to the ceiling and all partitions greater than 6 feet in height shall be laterally braced to the building structure. doc: IBC -7/10 D13-085 Printed: 03-25-2013 7: All construction shall be done in conform with the approved plans and the requirem of the International Building Code or International Residential International Mechanical Code, Washingto to Energy Code. 8: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 9: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 10: Ventilation is required for all new rooms and spaces of new or existing buildings and shall be in conformance with the International Building Code and the Washington State Ventilation and Indoor Air Quality Code. 11: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206-431-3670). 12: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206-431-3670). 13: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. 14: ***FIRE DEPARTMENT CONDITIONS*** 15: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 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 mm) above the floor. The clearance between the floor and the bottom of the installed hand-held extinguishers shall not be less than 4 inches (102 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: Egress doors shall be readily openable from the egress side without the use of a key or special knowledge or effort. (IFC 1008.1.8.3 subsection 2.2) 21: Dead bolts are not allowed on auxiliary exit doors unless the dead bolt is automatically retracted when the door handle is engaged from inside the tenant space. (IFC Chapter 10) 22: Door handles, pulls, latches, locks and other operating devices on doors required to be accessible by Chapter 11 of the International Building Code shall not require tight grasping, tight pinching or twisting of the wrist to operate. (IFC 1008.1.8.1) 23: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10) 24: Aisles leading to required exits shall be provided from all portions of the building and the required width of the aisles shall be unobstructed. (IFC 1013.4) 25: A fire alarm system is required for this project. The fire alarm system shall meet the requirements of N.F.P.A. 72 and City Ordinance #2328. doc: IBC -7/10 D13-085 Printed: 03-25-2013 26: Maintain square foot coverage of detec er manufacturer's specifications in all arealbuding: closets, elevator shafts, top of stairwells, etc. (NFPA 72-5.5.2.1 27: Maintain automatic fire detector coverage per N.F.P.A. 72. Addition/relocation of walls, closets or partitions may require relocating and/or adding automatic fire detectors. 28: Maintain fire alarm system audible/visual notification. Addition/relocation of walls or partitions may require relocation and/or addition of audible/visual notification devices. (City Ordinance #2328) 29: 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) 30: An electrical permit from the City of Tukwila Building Department Permit Center (206-431-3670) is required for this project. 31: The maximum flame spread class of finish materials used on interior walls and ceilings shall not exceed that set forth in Table No. 803.5 of the International Building Code. 32: In order to provide you with the fastest police and fire protection under emergency conditions, please post your suite, room or apartment number in a conspicuous place near the main entry door. (IFC 505.1) 33: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2327 and #2328) 34: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 35: 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 D13-085 Printed: 03-25-2013 • • CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://www.TukwilaWA.gov Building Permit No. D 13 Q gs— Project No. Date Application Accepted: 3_ '"-( 3 Date Application Expires: q (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: '72-00 S. k.S46ST Tenant Name: ;t -Si n ?cu C Co*J K+10n (IN PROPERTY OWNER Name:(i-ke.- 1(1401Af\19,4 uLO_ Address:c,101eJp.l S Cityrs1,006\nes Stattcip5f411 CONTACT PERSON — person receiving all project communication Company Nam 1.06..M 1 \ �� 1 ��t T1 Q Name: -ban \ \ occi City: ` Iv _ (1 ,_e _ 1 State: 1m a Zipq$045 `_ Address: Lt -1 yDD c,.... k IQZ s� Contr Reg No DQEvtos_ .exp Date a _ xer. ao t5 rJ�L��pp City:© bo,j Stat% Zi"lb Phone: 'x`ni:u_4 oc J Address: ? 0 ZO1 o� `� a EmaiDui51c,no1sioma,,'., it.IS i_ GENERAL CONTRACTOR INFORMATION Company Nam 1.06..M 1 \ �� 1 ��t T1 Q Address: -i� , ��\ � 1.-k7I City: ` Iv _ (1 ,_e _ 1 State: 1m a Zipq$045 `_ PhonetU . , toto t Fax: Contr Reg No DQEvtos_ .exp Date a _ xer. ao t5 rJ�L��pp Tukwila Business License No.: ADM; cex%61n tr H:\Apphcatmns\Forms-Appltcatwns On Ltne\2011 Apphcations\Pennit Application Revised - 8-9.11.doce Revised: August 2011 bh King Co Assessor's Tax No.: 310 ii-iGl() tW" Suite Number: 1014 Floor: New Tenant: ❑ Yes ..No ARCHITECT OF RECORD Co.Name: ,\ M2Y1CQ1.n i ttu_ iCAOtIANt r C Address:U0 S. %I�WLC t SI-, S e ‘600 Company Name: 5`x rapci in Architect Name: Address: ? 0 ZO1 o� `� a .CX City, 1 t. (k1.. State:W A Zip l 2.2c1 Phone:4 25_ Lei%,,911�e Fax: Fax: Email: �j t ak a axL1'f( (W . 00 m_ ENGINEER OF RECORD Co.Name: ,\ M2Y1CQ1.n i ttu_ iCAOtIANt r C Address:U0 S. %I�WLC t SI-, S e ‘600 Company Name: Engineer Name: Address: City: State: Zip: Phone: Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095)� Co.Name: ,\ M2Y1CQ1.n i ttu_ iCAOtIANt r C Address:U0 S. %I�WLC t SI-, S e ‘600 City: Los i\ sits State: h p Zipq ton Page 1 of 4 • • BUILDING PERMIT INFORMATION — 206-431-3670 Cab O6 Valuation of Project (contractor's bid price): $ t (n - Existing Building Valuation: $ 111 > GOO Describe the scope of work (please provide detailed information): �� Tyr &r& 41-1 W � t Z- 'tQ�olr doorS P�rnovt 3 ,R.Xj,.STt (‘s Jatrvv\bs O-ncd ' .v s-k&t I\42.vV doors . IJL ' \.ro\emst n to - \ cosza CY-p\ac.e_ stAperC 62,Z 11 r 1Zs . -' 54-x l k r»..) cb'‘neAs 1 b\ t e Will there be new rack storage? ❑ Yes (54.. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft):; ; W/ , Sr-r‘Floor area of principal dwelling: B5 30 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: 7 -LC Compact: Handicap: D� Will there be a change in use? 0 Yes 121 No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: *I. Sprinklers 0 Automatic Fire Alarm 0 None 0 Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes [il No If "yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM 0 On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:1AppltcationsWornrs-Applicanons On Lme12011 Apphcattons\Pentut Application Revised - 8-9-11.docx Revised: August 2011 bh Page 2 of 4 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1g Floor 443t530 I 056 2nd Floor 3rd Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft):; ; W/ , Sr-r‘Floor area of principal dwelling: B5 30 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: 7 -LC Compact: Handicap: D� Will there be a change in use? 0 Yes 121 No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: *I. Sprinklers 0 Automatic Fire Alarm 0 None 0 Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes [il No If "yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM 0 On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:1AppltcationsWornrs-Applicanons On Lme12011 Apphcattons\Pentut Application Revised - 8-9-11.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 Signature: Date: 3/ Print Name: * I Day Telephone: 4ZS Zgj D? Mailing Address: M.11—‘0SE ILd2n-d S# IVDA\g.(2,08 WY -1 9 6 H: Appbcations\Forms-Applications On Line\2011 ApplicationsWermn Application Revised - 8.9-11.docx Revised: August 2011 bh City 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.: 3623049013 Permit Number: D13-085 Address: 7200 S 180 ST TUKW Status: APPROVED Suite No: Applied Date: 03/12/2013 Applicant: PUGET SOUND INTERVENTIONAL PAIN CLINIC Issue Date: Receipt No.: R13-01121 Initials: WER User ID: 1655 Payment Amount: $1,054.60 Payment Date: 03/25/2013 10:49 AM Balance: $0.00 Payee: DRYWALL BY DESIGN INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3004 1,054.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - NONRES 000.322.100 STATE BUILDING SURCHARGE 640.237.114 Total: $1,054.60 1,050.10 4.50 �.,�• Poroin+_na Dr,nie.L (1Z_O�_9M4 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 Parcel No.: 3623049013 Address: 7200 S 180 ST TUKW Suite No: Applicant: PUGET SOUND PAIN CENTER RECEIPT Permit Number: D13-085 Status: PENDING Applied Date: 03/12/2013 Issue Date: Receipt No.: R13-01016 Payment Amount: $682.57 Initials: WER Payment Date: 03/12/2013 02:15 PM User ID: 1655 Balance: $1,054.60 Payee: DRYWALL BY DESIGN INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3001 682.57 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 682.57 Total: $682.57 .inn• Dencin4_11i: Drinferl• AZ_1')_9/11 INSPECTION RECORD Retain a copy with permit 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 �j'�' Projecr0-7 c rO 7•• •• PsF Type of Inspection: A.IA - 6Li. I . Address: 'r y., Date Called: ST - Special Instructions: Date Wanted:/. _ 3 a.m. (P.=•. Requester: Phone No:_415 i S` 6 to Approved per applicable codes. Corrections required prior to approval. COMMENTS:�J � `�-- / a>t ,(.� I�(e. '- 6K Js _l' 1 ,t SV to i._.'^ Ij f) k r A- /" < < t/'\- I 4 /.,' Inspector: Date: —4---(1 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 0 Permit Inspection Request Line (206) 431-2451 Ji3 —OK Project:,_._ Type of nspection: Address: Date Called: Special Instructions: Date Wanted:. ---..3.in 5—Z -Z--/3 p.m. Requester: Phone No: 0 Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: (. 0,c__ r.,,,,, 0C„r -e„(6p r'. 0 ,t OF .D . -t 0 f (o ck_e) r47,'tp4 c .Al'@ 0 J? e_ ?A -AA, (e EA) A 44 cS us-. j1 r— Ceik-uti_ Date _2.r- 13 Igsp`ector: °L&.rfn REINSPECTION FEE REQUIRE . Phor to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 431-2451 �.. f N.. .. Projeest">„--t- '"„`.�0 fA- A CA (A,'_ Type of -Inspection: - A"/" I AV Address-.....- (V (kO ,- Date Called: Special Instructions: `' Date Wanted:} S /ap.m _ m. 1 ' 3 Requester: A Pho42 NII - 3 ! 3 - f O 'co Approved per applicable codes. Corrections required prior to approval. COMMENTS: 4 r b f_ –ID 6 f -Q s',' O ti, Mk -- r,v r MP LCI p( L) IN r-ePtC -7-” E--0 n A le e-6 /-el,k IN o (I FO gA..V( ' Ne e '�i� kA A --;1L._ &yt-p Cl“-- ✓). Ssi..J/t.3 tkelS ., AI-ef A_ a -A -Ac - .r– Air esu(f i -Cip Inspect r: Date: 3 _ j_ 1 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit D13 - c5?S PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206-575-4407 P ject: Oct. Ambi(j Ir. T pe Qf Inspe ign: (f-2... s ',JAL_ ddr ss: 79.00 Suite #: S / e3d Contact Person: Special Instructions: .---Hood Phone No.: pproved per applicable codes. Corrections required prior to approval`' COMMENTS: e. ,N dfK6- Needs Shift Inspection: - s 9__- Date: 5 Sprinklers: Fire Alarm: I .---Hood & Duct: Monitor: Pre -Fire: Permits: \ Occupancy Type: Inspector: A , s 9__- Date: 5 vp Hrs.: I r /. `$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 ,! Address: Company Name: City:. State: Zip: ,-- ;;Word/Inspection Record Form.Doc 6/11/10 T.F.D. Form F.P. 113 a INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit D 13- o 3— t-" PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206-575-4407 Project: j Pc;N �-t7+e( Sprinklers: Type of Inspection: 09 _ , e, I fj Address: Suite #: 7200 5, 'goal .� - 1/ Contact Person: • Special Instructions: Phone No.: — R °e'erI/»'P Approved per applicable codes. Corrections required prior to approval. COMMENTS: Sprinklers: Fire Alarm: Hood & Duct: Monitor: e r-e_ot! m , ri I>. — R °e'erI/»'P 1th, 14erif-, chei''2 10✓4-42%) Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: 1 Inspector: ( $ F'�'i, / Date: 37g4 Hrs.: $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. Billing Address Attn: Company Name: Address: City: State: Zip: Word/Inspection Record Form.Doc 6/11/10 T.F.D. Form F.P. 113 INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit p13 -o$ T PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206-575-4407 Project: Pt/4-Styliopt 1-n4riven'halo'IPale Lfiajc Type of Inspection: I�;r-c_ 4/011' /73 Address: Suite #: 7200 S / $ 1- Contact Person: Liu-, Mofa( Special Instructions: /� %% -- Fit -t -A1001 err M/f n-eca-ezi Phone No.: . Approved per applicable codes. Corrections required prior to approval. COMMENTS: Sprinklers: Fire Alarm:, Hood & Duct: v /� %% -- Fit -t -A1001 err M/f n-eca-ezi r re. 7'l i0,'1 /coc.0.7 [vT Fc A' /Gi/W--7 vl2 V% G-ef. - F►' re- 4 lot r rn SYc/may /),r.e.is 4-0 .d_ /non I. 7106 -cif p r' t o t- `! c7 S' i s E-, Needs Shift Inspection: Sprinklers: Fire Alarm:, Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: e f $100.00 Date: y// g„, Hrs.: ,5"-- /.5"-- $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 PETCO*? .. - �y PLAN REVIEW/ROUTING SLIP ACTIVITY NUMBER: D13-085 DATE: 03-12-13 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 DEPARTM NTS: Kw\ (r c;I� 'l•Q'` ri-' lyk OA- 3- I LI -13 uilding !In 4 Fire Prevention ® Planning Divisioniii 0: uDIIc Works Structural n Permit Coordinator 1 DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete DUE DATE: 03-14-13 Not Applicable Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials: TUES/THURS ROUTING: Please Route Structural Review Required REVIEWER'S INITIALS: No further Review Required DATE: APPROVALS OR CORRECTIONS: Approved Notation: Approved with Conditions DUE DATE: 04-11-13 Not Approved (attach comments) n REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials: Documents/routing slip.doc 2-28-02 Contractors or Tradespeople Peter 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 Name DRYWALL BY DESIGN INC UBI No. 603278835 Phone 4252386663 Status Active Address 47400 Se 162 St License No. DRYWADI875C6 Suite/Apt. License Type Construction Contractor City North Bend Effective Date 2/26/2013 State WA Expiration Date 2/26/2015 Zip 98045 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status DRYWAD*977J5 DRYWALL BY DESIGN Construction Contractor Dry Wall Unused 4/25/2003 4/25/2005 Archived DRYWAWD965JT DRY WALL BY DESIGN INC Construction Contractor Dry Wall Unused 4/30/2004 4/30/2010 Expired Business Owner Information Name Role Effective Date Expiration Date HORD, DANIEL ALBERT President 02/26/2013 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 100214990 02/01/2013 Until Cancelled $12,000.00 02/26/2013 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 Ohio Security Ins Co BLS55419707 02/01/2013 02/01/2014 $1,000,000.00 02/26/2013 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 Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 03/25/2013 -H 0 EXISTING P.L.= TITLE SHEET AND SITE PLAN EXISTING TRASH ENCLOSURE EXISTING P.L.=303'± 1-20' 0 10 20 40 INA 105'± BSBL EXISTING PARKING EXISTING LANDSCAPE ( EXISTING LANDSCAPE EACCESSIBLE XISTING �/// PARKING EXISTING LANDSCAPE EXISTING SIDEWALK EXISTING TENANT SPACE #1 EXISTING LANDSCAPE 0 EXISTING TENANT SPACE #3 EXISTING TENANT SPACE #2 EXISTING SIDEWALK EXISTING R.O.W.=304'± EXISTING SIDEWALK EXISTING SIGNS (NI m EXISTING PARKING 68'± BSBL �m om EXISTING —� TRANSFORMER 0 II cL z 1- X W j 30'± EXISTING DRIVEWAY S..W. 43RD STREET SEPARATE FOR: PERMIREQUIRED 0 Methanical Eta Plumbing Gas Piping City of Tukwila BUILDING DIVISION 30'± EXISTING DRIVEWAY REVISIONS No changes shall be made to the sc o ope of work without prior app Tukwila Building Division- ,,, -. F ti signs will require a new plan submittal include additional plan review fees. REVIEWED FOR CODE COMPLIANCE APPROVED MAR 2 2 2013 City of u iia BUILDING ISION SITE DATA ADDRESS: 7200 SW 43RD STREET TUKWILA, WA98055 (KING COUNT() PARCEL ID: 362304-9013 LOT SIZE: 30,003 SQUARE FEET (.69 ACRES) ZONING: (C/LI) COMMERCIAL LIGHT INDUSTRIAL DISTRICT OCCUPANCY: TENANT SPACE #1: EXISTING OFFICE - B TENANT SPACE #2: EXISTING OFFICE - B TENANT SPACE #3: EXISTING OFFICE - B TENANT IMPROVEMENT SPACE #4: PHARMACY - B BUILDING AREA: TENANT SPACE #1 - 2,132 S.F. TENANT SPACE #2 - 2,132 S.F. TENANT SPACE #3 - 2,132 S.F. TENANT IMPROVEMENT SPACE #4 - 2,132 S.F. TOTAL - 8,530 S.F. PARKING REQUIRED: 3 SPACES PER 1,000 S.F. TENANT SPACE #1 - 2,132/1,000(3) = 7 SPACES TENANT SPACE #2 - 2,132/1,000(3) = 7 SPACES TENANT SPACE #3 - 2,132/1,000(3) = 7 SPACES TENANT SPACE #4 - 2,132/1,000(3) = 7 SPACES TOTAL = 28 SPACES PARKING PROVIDED: 38 SPACES PROVIDED SCOPE OF WORK TENANT IMPROVEMENT TO EXISTING OFFICE SPACE CONSISTING, BUT NOT LIMITED TO: DEMOLITION AND REPLACEMENT OF NON -LOAD BEARING WALLS REPAIR CEILING GRID SYSTEM AND RELOCATE LIGHTING NEW CABINETS & COUNTERTOPS NEW WALL INTERIOR FINISHES AND PAINTING NEW PLUMBING FIXTURES NEW FLOOR FINISH DRAWING INDEX DWG NO. A-1 TITLE SHEET AND SITE PLAN A-2 FLOOR PLAN AND REFLECTED CEILING PLAN FIL COPY Perrnf No. p\-cZR Plan rrvew approval is subject to errors and orris s. Ap: u7a( of construction documents does r;ci & A; . IC .5iation of any adopted code or v�ir�Giil4Cs. R;isii;.4�,:i " 1 ^ Ct} of approved Field Copy and con itions is acknow$edgai: By Date 2'5--2c k3 City Of Tukwila BUILDING DIVISION b130 85 RECEIVED CITY OF TUKWILA MAR 1 2 2013 PERMIT CENTER Date 02/20/13 Designed Drawn CAS Revision E-1 LL SIX DRAFTING P.O. Box 2972 Woodinville, Washington 98072-2972 Phone: (425) 486-9318 Emaik era: sixdrafting.com Project No. xxxxxx xxxxx Sheet No. OF 2 ALTERNATE 1. 25 GA. METAL STUDS MAY BE SUBSTITUTED FOR INTERIOR FRAMING 2. ALL NEW WALLS TO BE BRACED IN ATTIC 0 4'-0" O.C. OR EACH END, IF LESS THAN 4' IN LENGTH. 3. ALL MATERIALS TO BE ICBO APPROVED SUBSTRATE 5/8" GYB. BD. WATER RESISTANT CO SINKS TYP. BOTH SIDES PLAN ALTERNATE 1. INSTALL GYPSUM BOARD IN ACCORDANCE WITH RECOMMENDATIONS OF GYPSUM ASSOCIATION GA -216. 2. SCREWS: SELF -DRILLING, SELF -TAPPING, TYPE "S". SIZES ARE RECOMMENDED BY GYPSUM BOARD MANUFACTURER FOR WALL AND CEILING APPLICATIONS. 2X TREATED PL 1 2 160 NAILS EA SIDE SUBSTRATE. 1/2" GYP. BD. WATER RESISTANT 0 SINKS TYP. BOTH SIDES 2x4 WOOD STUDS HEM FIR OR BETTER 2ND" X 1J" 0 W/ %"O HEAD, POWDER DRIVEN FASTENER SHOT THRU 14GA X 146" 0 WASHER 0 24" 0.C. (RAMSET 3337 OR HILTI DS72. OR EQUAL). CONtRETE • 1AB 4 SECTION TYPICAL NON-BEARING STUD WALL SCALE: 1 1 /2" = 1'-0" EXISTING WINDOWS, TYPICAL HOOD ABOVE 0 4'-0" o� 3'-0" TYP. 3'-8" 1, TYP. COUNTERTOPS AT 34" A.F.F. MAX., TYPICAL 3'-8" L G.C. TO --� INSTALL NEW DISHWASHER 6'-10" 2'-0" co z oa 16'-6" 0 N 0 M NEW DOOR TYPICAL OF 3 G.C. TO INSTALL 7 - CABINETS & COUNTERTOPS, TYPICAL �- G.C. TO CONSTRUCT A NEW NON -LOAD BEARING WALL 16'-6" CC J z 0 F) G.C. TO - INSTALL NEW SINK (131 G.C. TO INSTALL NEW REFRIGERATOR T-2" EXISTING WALLS, TYPICAL EXISTING DOOR TO REMAIN G.C. TO INSTALL BURKE 12 MIL LUXURY VINYL TILE OVER EXISTING CONC. SLAB, TYPICAL IN ALL ROOMS /Th PROPOSHD FLOOR PLAN REMOVE EXISTING JAMB AND SIDE LITE. iNFILL WALL AT REMOVED SIDE UTE AND INSTALL NEW DOOR, TYP. OF 2 EXISTING DOOR TO REMAIN REMOVE EXISITNG JAMB AND INSTALL NEW DOOR GAL0s I/4" — 1'—O" EXISTING CABINETS TO REMAIN G.C. TO INSTALL RECIRCULATING DUCTLESS HOOD REVIEWE CODE COMPLIANCE APPROVED MAR 2 2 2013 City of Tukwila BUILDING DIVISION l 11 EXISTING 2X4 FLUORESCENT FIXTURES TO REMAIN u 1 J 1 J 1 =1111 1111_ I-- 2X4 WOOD STUDS HEM FIR OR BETTER PLAN ALTERNATE 1. INSTALL GYPSUM BOARD IN ACCORDANCE WITH RECOMMENDATIONS OF GYPSUM ASSOCIATION GA -216. 2. SCREWS: SELF -DRILLING, SELF -TAPPING, TYPE "S". SIZES ARE RECOMMENDED BY GYPSUM BOARD MANUFACTURER FOR WALL AND CEILING APPLICATIONS. 2X TREATED PL 1 2 160 NAILS EA SIDE SUBSTRATE. 1/2" GYP. BD. WATER RESISTANT 0 SINKS TYP. BOTH SIDES 2x4 WOOD STUDS HEM FIR OR BETTER 2ND" X 1J" 0 W/ %"O HEAD, POWDER DRIVEN FASTENER SHOT THRU 14GA X 146" 0 WASHER 0 24" 0.C. (RAMSET 3337 OR HILTI DS72. OR EQUAL). CONtRETE • 1AB 4 SECTION TYPICAL NON-BEARING STUD WALL SCALE: 1 1 /2" = 1'-0" EXISTING WINDOWS, TYPICAL HOOD ABOVE 0 4'-0" o� 3'-0" TYP. 3'-8" 1, TYP. COUNTERTOPS AT 34" A.F.F. MAX., TYPICAL 3'-8" L G.C. TO --� INSTALL NEW DISHWASHER 6'-10" 2'-0" co z oa 16'-6" 0 N 0 M NEW DOOR TYPICAL OF 3 G.C. TO INSTALL 7 - CABINETS & COUNTERTOPS, TYPICAL �- G.C. TO CONSTRUCT A NEW NON -LOAD BEARING WALL 16'-6" CC J z 0 F) G.C. TO - INSTALL NEW SINK (131 G.C. TO INSTALL NEW REFRIGERATOR T-2" EXISTING WALLS, TYPICAL EXISTING DOOR TO REMAIN G.C. TO INSTALL BURKE 12 MIL LUXURY VINYL TILE OVER EXISTING CONC. SLAB, TYPICAL IN ALL ROOMS /Th PROPOSHD FLOOR PLAN REMOVE EXISTING JAMB AND SIDE LITE. iNFILL WALL AT REMOVED SIDE UTE AND INSTALL NEW DOOR, TYP. OF 2 EXISTING DOOR TO REMAIN REMOVE EXISITNG JAMB AND INSTALL NEW DOOR GAL0s I/4" — 1'—O" EXISTING CABINETS TO REMAIN G.C. TO INSTALL RECIRCULATING DUCTLESS HOOD REVIEWE CODE COMPLIANCE APPROVED MAR 2 2 2013 City of Tukwila BUILDING DIVISION l 11 EXISTING 2X4 FLUORESCENT FIXTURES TO REMAIN u 1 J 1 J 1 1>3:1 x PROPOSED PHARMACY / v \ EXISTING CEILING GF ID W/ -Y NEW VINYL FACED TILE 9'-0" A.F.F., TYP CAL >I -1 NEW COUNTER BELOW G.C. TO INSTALL NEW OVERHEAD WALL CABINETS G.C. TO RELOCATE 2X4 FLUORESCENT FIXTURES TYP. OF 5 COMMON AREA 1_ '>< =1111 1111E- EXISTING OFFICE EXISTING OFFICE >31 EXISTING OFRCE REFLHTHD CHILJNG PLAN 8GALL, I/4" — 1 EXISTING OVERHEAD WALL CABINETS EXISTING CABINETS AND SINK TO REMAIN ops RECEIVED CITY OF TUKWILA MAR 12 2013 `3ERMIT CENTER Date 02/20/13 Designed Drawn Revision O c=4 E;1 Pq X RAFTING P.O. Box 2972 Woodinville, Washington 98072-2972 Phone: (425) 486-9318 Email: craig@sixdrafting.com Project No. xxxxxx xxxxx Sheet No. OF 2 =1111 1111_ I-- -� 1>3:1 x PROPOSED PHARMACY / v \ EXISTING CEILING GF ID W/ -Y NEW VINYL FACED TILE 9'-0" A.F.F., TYP CAL >I -1 NEW COUNTER BELOW G.C. TO INSTALL NEW OVERHEAD WALL CABINETS G.C. TO RELOCATE 2X4 FLUORESCENT FIXTURES TYP. OF 5 COMMON AREA 1_ '>< =1111 1111E- EXISTING OFFICE EXISTING OFFICE >31 EXISTING OFRCE REFLHTHD CHILJNG PLAN 8GALL, I/4" — 1 EXISTING OVERHEAD WALL CABINETS EXISTING CABINETS AND SINK TO REMAIN ops RECEIVED CITY OF TUKWILA MAR 12 2013 `3ERMIT CENTER Date 02/20/13 Designed Drawn Revision O c=4 E;1 Pq X RAFTING P.O. Box 2972 Woodinville, Washington 98072-2972 Phone: (425) 486-9318 Email: craig@sixdrafting.com Project No. xxxxxx xxxxx Sheet No. OF 2