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HomeMy WebLinkAboutPermit PG13-062 - PUGET SOUND INTERVENTIONAL PAI - ALTERATIONPUGET SOUND INTERVENTIONAL PAIN CLINIC 7200 S 180 ST PG1 3-062 City oftukwila • 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: PG13-062 Issue Date: 05/17/2013 Permit Expires On: 11/13/2013 Owner: Name: KHK INVESTMENT LLC Address: 26329 8TH AVE S , DES MOINES WA 98198 Contact Person: Name: BUDDY MILLER Address: 351 UNION AV NE , RENTON WA 98059 Email: Contractor: Name: T P J INC Address: 351 UNION AVE NE , RENTON WA 98059 Contractor License No: TPJIN**981NR Phone: 425 864-1291 Phone: (425)228-3204 Expiration Date: 08/19/2014 DESCRIPTION OF WORK: INSTALLATION OF (2) SINKS .AND (1) DISHWASHER. PROJECT ON RENTON WATER & INCLUDES INSTALLATION OF TWO (2) PPPA BACKFLOWS FOR INPREMISE ISOLATION: 1/2" WATTS 009gt ABOVE SINK FOR HOT WATER AND 3/4" WATTS 009M2QT ABOVE THE SINK FOR COLD WATER. Value of Plumbing/Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $2,167.57 $154.88 Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: S--17-13 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 ads permit Signature: Print Name: ILIA.1141110 Date: v1A.,L&5-00 t- .7 it 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. ni.. n ncn 0.:.41...1• !1G 4 7 7A1 • • PERMIT CONDITIONS Permit No. PG 13-062 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 new plumbing fixtures installed in new construction and all remodeling involving replacement of plumbing fixtures and fittings in all residential, hotel, motel, school, industrial, commercial use or other occupancies that use significant quantities. of water shall comply with Washington States Water Efficiency and Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section 402 of Washington State Amendments. 11: 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. 12: 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. 13: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. 14: ***PUBLIC WORKS DEPARTMENT CONDITIONS*** 15: All backflows shall be installed per manufacturer's specifications. 16: Prior to final permit sign -off backflows shall be tested by a certified tester and passing backflows test reports forwarded to Mr. Michael Dotson, Renton Water Crossconnection Control Specialist, fax: 425 430-7241, phone: 425 430-7207. waCity of renton doc: UPC -4/10 PG13-062 Printed: 05-17-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbing/Gas Permit No. "VG f �--(Cj Project No. rr (,, Date Application' Accepted: "-�•-- 3 Date Application Expires: 0 \ l � (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: —72_00 9 •• t'o l Si 4/0/ Tenant Name: i -is PA-tN 0.....07,717.34— King om- t King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: Yes ❑ .. No PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON - person receiving all project communication Name: p, /46,40 Address: y -P 00 S -L- `(Z. s - City: NO/ J S . e: Gl/� Zip: `1 d vi - Phone: y ZS23 8 - G {,jFax: Email:Der , B`(Qtrfit PwSegS4k7t'641yl PLUMBING CONTRACTOR INFORMATION Company Name: 774 c p Lv Ai. Ai A, Address: 35i UN ton) A—v<< We City: (4__,,,,i State: (tib Zip: ',Icor) !,i , y � - z Phone: Z5 Z 3 zo Fax: citi 6. (p Contr Reg No.: 77(' 149(N xp Date: �+V���� Tukwila Business License No.: pts( PLowcPrl.,ii Qve norms. C 4-N-(36 Dtt4r7-nuo t'o 6vt 0'tt1lt� 'j'LS'erGK 174( ColvtRa Valuation of Project (contractor's bid price): $ f G 1 6-17 Scope of Work (please provide detailed information): X00 a-ov 6,-4.( p(.,rn161 nam (i) 51 1uu.- >'1 -i -c U.) 1D . Building Use (per Int'l Building Code). Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer HAApplicationsWorms-Applications On Line 12011 Applications\Plumbing Permit Application Revised 8-9-11.doca Revised: August 2011 bh Page 1 of 2 Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain L� Shower, single head trap Sinks I Rain water system — per drain (inside building) Grease interceptor for commercial kitchen (>750 gallon capacity) Each additional medical gas inlets/outlets greater than 5 Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1-5) Fixture Type Qty Bidet Drinking fountain or water cooler (per head) Lavatory Urinal Water heater and/or vent Repair or alteration of water piping and/or water treatment equipment Backflow protective device other than atmospheric - type vacuum breakers 2 inch (51 mm) diameter or smaller Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Fixture Type Qty Clothes washer, domestic Food -waste grinder, commercial Wash fountain Water closet Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Repair or alteration of drainage or vent piping Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Gas piping outlets Fixture Type Qty Dental unit, cuspidor Floor drain Receptor, indirect waste Building sewer and each trailer park sewer Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity Medical gas piping system serving 1-5 inlets/outlets for a specific gas Each lawn sprinkler system on any one meter including backflow protection devices 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 TH WS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING 0 do,! A I `✓ ED AGENT: Signature: Print Name: Mailing Address: 35 l V N ° ' Date: Lib l if 3 Day Telephone: Wer 2Z9 3 ` `'' r H:\Applications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh City State Zip Page 2 of 2 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 ParcelNo.: 3623049013 Permit Number: PG13-062 Address: 7200 S 180 ST TUKW Status: PENDING Suite No: Applied Date: 04/25/2013 Applicant: PUGET SOUND INTERVENTIONAL PAIN CLINIC Issue Date:. Receipt No.: R13-01427 Payment Amount: $154.88 Initials: WER Payment Date: 04/25/2013 10:33 AM User ID: 1655 Balance: $0.00 Payee: TPJ INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 49325 154.88 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES PLUMBING - NONRES 000.345.830 30.98 000.322.103.00.00 123.90 Total: $154.88 Drintnrl• !1A_9f._9MZ INSPECTION NO. INSPECTION RECORD Retain a copy with permit 1)6(3.46`; PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 ({ij (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: pp r ' p j-• J -• / Type of Inspection: ( i—(� Ec A -L PL '. Address: 1 1,-4o �j`(_'� (c'.S ( '' ( '• Date Called: ' . Special Instructions: Date Wanted:. - /, 4 l a,!]7:. •- (� p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: P e MY—CAD Altett, Inspectotf: n REINSPECTION FEE REQUIRED. Prior ext inspection. fee must be paid at 6300 Southcenter Blvd.,\Suite 100. Call to schedule reinspection. Date: (c) 4—(3 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 g., (206) 431-3670 Permit Inspection Request Line (206) 431-2451 P6I3O('2 Project: P s a re pb Type o �lr�sppectido_n: 1 e J[�- ! //J�1r 1 J 1-140, Address:Date ri 7_0) I $d e---"Sl'-- Called: r-. Special Instructions: a DateWanted:. — 2-4 a.m. — 3 e:m. Requester: Phone No: n.5. -/K(04 - / 29 / Approved per applicable codes. - 'rections required prior to approval. ,t - COMMENTS: 4Ai. 1 H./v.1_, — 1 . Inspeor: Date ""2A-(3 REINSPECTION FEE REQUIRE . 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 INSPECIIION 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 • P6(3 -062_ Pr(oject:C :r:Type of Inspection: p( Address: S -1 /.-40 v 1 SS"O Date Called: Special Instructions: Z-Phone Date Wanted:. Wim, Requester: 25 .8-(D-4 - 7 i E4 Approved per applicable codes. Corrections required prior to approval:. COMMENTS: Date:r�. Inspector: n REINSPECTION FEE REQUIRED. Prior to next inspection; fee: must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedulereinspectiont -: I 5,0 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 f6-1--cLot Project: v v ,t 4 Hyl i i�'.1tc.�-i������vF"�1�. Cy Type TY�Pj�e,�V of Pt wW ection: A. (W ,)14 At lyl�`f E ! Address: 1i/Qo Ito 6/1— Date Called: ka (1:-) e-rrA S . (/ Special Instructions: Date Wanted:. `�� a.m. V J �� p.m. ke-KRequester:t i j Phone No: ` ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: (1.61,1fark- ai,-s-- et 'eei(y:Nee_r -fide- opprovo t fF okreklr) !teacA-t1r�Ca 4r- ka (1:-) e-rrA S . (/ 64.c-- f (oW • fest-repvl1-S re ec ivecl Gina (ect Inspector: Date: SIZ'-t (t3 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. HOOD ABOVE EXISTING WINDOWS, TYPICAL 0 N >- 1- 1 4'-0" N q ch 0 M 3'-0" TYP. 3'-8" REVISIONS No changes -ars -Woe made to the -scope oi' work without prior approval of Tukwila.6uilding Division. r!' R : ^visions will require a new plan submittal and nay include additional plan review fees. TYP. COUNTERTOPS AT 34° A.F.F. MAX., TYPICAL 0 3'-8 J L — — — J G.C. TO INSTALL NEW DISHWASHERS 6-10" \\ 2-0" c) z 2 0 CV EEPARATE PERMIT REQUIRED F.R: rit Mechanical I1 Electrical ❑ Plumbing ttGas Piping '3;1y of Tukwila f t :..r.!NG DIVISION EXISTING DOOR TO REMAIN .i 16-6' 0 N 0 G.C. TO CONSTRUCT A NEW NON -LOAD ` BEARING WALL G.C. TO INSTALL BURKE 12 MIL LUXURY VINYL TILE OVER EXISTING CONC. SLAB, TYPICAL IN ALL ROOMS NEW DOOR TYPICAL OF 3 2-0" G.C. TO INSTALL CABINETS & COUNTERTOPS, TYPICAL PROPOSHD ELOOR PLAN SCALE I/4" — 1'—O" 0 16-6" REMOVE EXISTING JAMB AND SIDE LITE. INFILL WALL AT REMOVED SIDE LITE AND INSTALL NEW DOOR, TYP. OF 2 60" MIN. CLF EXISTING CABINETS TO REMAIN 0 G.C. TO • \ INSTALL NEW SINK 7-2° EXISTING WALLS, TYPICAL REVIEWED FOR CODE COMPLIANCE APPROVED MAY 17 2013 EXISTING DOOR TO REMAIN REMOVE EXISTING JAMB FILE COPY AND INSTALL NEW DOOR. Permit No. V' (-7 2) -1D4)2 Man review approval is subject to errors and oma. Approval of construction tents does not authorize the violation of any adopted code or ordinance. Receipt� of approved ' �> , . '-iT , is dgad: io- or BY f 0 City Or cwila BUILDING DIVISION �G l3- 019z T Ila (VISION RECOVEC W O9 2013 "T0.1,-ncl'res EXISTING CABINETS AND SINK TO REMAIN CEIVED CITY OF TUKWILA APR 2 5 2013 PERMIT CENTER 4 ---- V -•4r �2h:N r -------s PA0Pps,-0 �QAiM ?a, FITTING Li x3x \ JL ® 2xllhxIVz LQsr So+11`401-4 `r, ©2 wires Z I24YZ5 itC 9 2x2x32. w'rE eiMirMC) 'to ' -i I I I I I I I I II I 1J(L;N?` REVIEWED FOR CODE COMPLIANCE APPROVED MAY 17 2013 City of Tukwila BUILDING DIVISION EXIST: L.a\/ -co RECEIVED CITY OF TUKWILA APR Z 5 2013 PERMIT CENTER V'sc rk "kf. co,.tb - - - e,1/4k5-r. ^An Pio r 1.1.es.... %loco Com .:ftoa aPoSint frL r Qt,AS,(.71... s101IS REVIEWED FOR CODE COMPLIANCE APPROVED MAY 17.2013 City of Tukwila BUILDING DIVISION r f - 44, • I v-ASINNIel tbTPjt v IL L 7Ll4yTt p.sLa . X. tS1• vdt' wno`. a P20P0cu-D (Nor fro PtCAFtC) \?izobetrwo Wirr 15 OCPt 19/` IOC A. Ce�� RECEIVED CITY OF TUKWILA MAY 0 7 2013 PERMIT CENTER f' 1\0 RECE VEn MAY 09 2013 INCOMPLETE P C7ts Reduced Pressure Principle Assemblies REVIEWED FOR CODE COMPLIANCE APPROVED M Manufacturer O iii Orientation(s) Approved Renewed a Ncv vol City of Tukwila BUILDING DIVISION %- N r .. ° aPUBLIC L o. to MAY 09 ?0 TUKW1 U WC H C Z Watts 009M2PCQT 1 H Jan -99 Jan -11 N (vv), xx, 000, hhhh, pppp N Watts ; 009M2PCQT 1 1/4 ' H Sep -94 Sep -12 N (vv);.:xx :000, hhhh pppp N Watts 009M2PCQT 1 1/2 H Sep -94 Sep -12 N (vv), xx, 000 hhhh, pppp N -_... ;Watts .:' 009M2PCQT 2 H Aug -97 Aug -12 N (vv:). xx. 000, hhhh; pppp N rice Watts 009M2QT 3/4 H Oct -92 Oct -10 N (vv), xx, 000 hhhh, pppp N fn Watts Watts 009M2QT., .. 1 H. May ,.98 May -:10 N. (vv);: xx,.0oo, hhhh; pppp .: Watts 009M2QT 1 1/4 H Aug -93 Aug -11 N (vv), xx, 000, hhhh, pppp N Watts . . 009M2QT : 1.1/2. 11. Aug -93-.:.. Aug -;1 1 N (vv:);xx" 000, hhhh; PPPP N:. Watts 009M2QT 2 H Sep -96 Sep -11 N (vv), xx, 000, hhhh, pppp N Watts :: : 009M3 -FP::. 3/4 : 1-1 .:. Sep -09 : Sep -12 N (eeeee) N a` ,: —I't i30"lf' s- 4-v.."-'-, r01751.511111. (oto w <z o`oo h ;PPP— Cot -3 Watts '.:. 009PCQT:r> • 1/2:: ; H . Feb -95 Fe13�10 N (vv). xx,:o00. hhhh;'pPPP:... N Watts 009PCQT 3/4 H Dec -93 Dec -11 N (vv), xx, 000, hhhh, pppp N RECbIVE Watts ,. 009PCQT: 1 :.: H Dec -93 Dec -;1 1 N` Vicxx, 000. hhhh,Y: PPPP ..: CI 1 Y U:F 1: UK Watts 009PCQT 1 1/4 H Sep -94 Sep -12 N vv, xx, 000, hhhh, pppp Y Watts ::: 009PCQT Q 1 1/2 ` H Sep -94 . :: Sep=12 N vv; xx, 000, hhhh.PPPp.i:. , Y MAY 0 1 Watts 009PCQT 2 H Sep -94 Sep -12 N vv, xx, 000, hhhh; pppp Y Watts . 009QT: ;a14 H: , Aug -95 Aug -10 : N (vv);.xx, 000, hhhh. pppp N PERMIT CE Watts , - _ 009QT 3/8 H Aug -95 Aug -10 N (vv), xx, 000, hhhh, pppp N _.,-,,.....ot,-;.f va=-_00 1 0-1,-.a /`2 ., � SSp �--= ep N ' v• xx 000,iu PPP'.- ' F ;' , : Psre lously:approued 8th. ' -26 `N1ay, 1993 ,, Watts 009QT "3/4 H Jan -88 Jan -12 N (vv), xx, 000, hhhh, pppp N Watts 009QT 1 H Jan -88 Jan -12 N : vv; xx, 000, hhhh, pppp Y Watts 009QT 1 1/4 H Aug -88 Aug -12 N vv, xx, 000, hhhh, pppp Y Watts 009QT 1 1/2 H Aug -88 _Aug -12 _N vv, xx, 000, hhhh, pppp Y Washington State Department of Health Backflow Assemblies List (DOH 331-137) - January 2013 INCOMPLETE LTR# allow 13 RK` D WILA 13 TER WATTS 009, 009M1 WATTS 009 M2, 009 M3 SIZE 1/4", 3/8", 1/2", 3/4", 1", 1 1/4", 1 1/2", 2", 21 /2", 3" DESCRIPTION This is a reduced pressure assembly. Production began in 1989. All versions in. the 12"-2" sizesutilize a bronze body design. The check modules and relief stem assembly can be removed from the top through a single cover. The checks are a modular in-line design and are held in the body by a retainer. All seats are replaceable. Check springs are contained when the modules are removed from the body. Spring tension had to be released to perform a proper repair. There is spring tension exerted on the cover from the relief valve spring. There have been several modifications over the years but all versions utilize a similar construction. Be sure which version and size you have because repair parts are different. The 009 was the original model that was produced from 1989-1991. It was modified in 1991 to the 009 MI model in sizes 1 1/4"-2" which was produced from 1991-1992. In the. 009 MI model there was a change in the check seat dimensions. The 009 M2 design began in 1992. The major difference in the M2 design was the down sizing of the body and the internal repair parts. Relief valve sensing line is internal on all models. Internal check hardware is mostly plastic. The 1/2" model 009 was introduced in 1992. The 3/4" 009M3 began in 1998. A model U009 was developedin sizes 1/2"-2". This unit incorporates a union end into the body. The U009A utilizes the same union with a 90 degree elbow for an up and down piping orientation. The model 009 PC is a polymer coated bronze assembly available in sizes 3/4"-2". The model SS 009 is available in 1/4"-I" sizes and is similar to the 009 except the body is made of stainless steel instead of bronze. The 2 12"-3" have the same features as the smaller 009 except the body is made of fused epoxy coated cast iron. The relief valve sensing line is external on 2 1/2"-3". The internal check and RV hardware are mostly bronze. BASIC REPAIR KIT The repair kit contains all disc holders or discs, diaphragms, and O -rings KIT NO SIZE 009M1 009M2 009M3 009 1/4"-1/2" 009RT050 N/A 3/4" 009RT075 N/A 1" 009RT075 N/A. 1 1/4" 009RT125 009M1RT125 1 12" 009RT125 009M1RT125 2" 009RT125 009M1RT125 2 1/2" 009RT250 N/A 3" 009RT250 N/A IMPORTANT FEATURES —1/2 "-2" bronze body —21/2"-3" fused epoxy cast iron body —Replaceable seats -Spring tension when cover is removed —Contained check springs —Factory repair information enclosed N/A 009M2RT075 009M2RT 100 009M2RT 125 009M2RT125 009M2RT200 N/A N/A 21-9 N/A 009M3RT075 N/A N/A N/A N/A N/A N/A AIR GAP DRAIN AGA AGC or AGA AGC AGF AGF AGF AGF AGF BAVCO ...a.. �..,..,...,. IMAM. OM Series 009QT REDUCED PRESSURE ZONE BACKFLOW PREVENTER Sizes: 1/2" - 2" The Watts Series 009QT Reduced Pressure Zone Backflow Preventers are designed to provide protection of the potable water supply in accordance with national plumbing codes and waterutil- ity authority requirements. This series can be utilized in a variety of installations, including high 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 intermediate relief valve. A compact modular design concept facilitates easy mainte- nance and assembly access. All sizes areconstructed with NPT body connections and standardly furnished with ball type test cocks. Series 009QT has quarter turn, full port, resilient seated, bronze ball valve shut-offs.'/2", 3" and 1" 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 sate maintenance • Internal relief valve for right and left hand installations • Replaceableseals for economical repair • Bronze body construction for durability • Ball valve test cocks - screwdriver slotted • Large body passages provides low pressure drop • Compact, space saving design • No special tools required for servicing MATERIALS Bronze body construction, silicone rubber for drip tight disc ma- terial in the first and second check plus the relief valve. Replace- able polymer check seats for first and second checks. Remov- able stainless steel relief valve seat. Stainless steel cover bolts. Standardly furnished with NPT body connections. For optional bronze union inlet and outlet connections, specify prefix U (3/4" - 2"). Series 009QT furnished with quarter turn, full port, resilient seated, bronze ball valve shutoffs. PRESSURE -TEMPERATURE Series 009QT is suitable for supply pressure up to 175 PSI and water temperatures up to 140°F constant and 180°F intermittent. STANDARDS COD Go USC Manual 8th Editiont Tested and certified under the following standards for reduced pressure zone backflow preventers: ASSE No. 1013; AWWA C511-89; CSA B64.4; IAPMO Listed, File No. 1563. t Does not indicate approval status. See below for approved models. Ball Type Test Cocks Second Check Module Assy. First Check Relief Module Assy. Valve RY Outlet D Weight Ib ..'/" 009 10" . 5/8" 3 3/8" 5 'A" 4.5 3/8" 009 10" ,4 4 5/8" 3 3/8" 5 '/z" 4.5 'A" 009 10" 4 5/8" 3 3/8" 5 '/2 ' 4.5 3/4" 009 14'%4" 5'/2" 3 1/8" 9'/:" 11.0 3/4" 009M2 10'%4" 5" 3 'A" 6 3/4" 5.75 3/4" 009M3 10 3/4" 5" 3 'A" 6'/4" 5.75 1" 009 16 3/4" 5 'A" 3 1/8" 9 'h" 12.25 1" 009M2 16'/4" 5'/z" 3" 9'A" 12,25 1 1/4" 009 21 1/8 7'/4" 4'1" - 28.12 1 1/4" 009M1 22 1/8 .7 3/4" 4 1/4" - 26.5 1.'/4" 009M2 17 6" 3'A" 11 3/8 14.62 1 '/a" 009 22" 7'/4" 4'/4" - 30.25 1 '/:" 009M1 20'/4" 7 3/4" 4,'/41' - 28.25 1 '/2" 009M2 17 7/8 6" 3 '/z" 11 3/8 16,32 2" 009 23:3A" 7 3/4" 4 '/4" . - 34.25 2" 009M1 21 3/8 73" 4'/"` - 32.25 2" 009M2 21 3/8 7 3/4" 4 ''A" 13 '/s" 30.00 21-10 AIR GAPS Part No • Model Drain Size A B wt lbs AGA 1/4-1/2"009 • 1/2" 2 3/8" 3 1/8" 5/8 3/4" 009M2 AGC . 3/4 - 1" 009 ' 1" '3 1/4" 4 7/8" 1 1/2 1.1/4-1.1/2" 009M2 AGF 1 1/4 - 3" 009 2" 4 3/8' 8" 3 1/4 1 1/4-2" 009M1 2" 009M2 • psi 20 17 14 11 8 5 6P0 PRESSURE DROP • PSIG 20 11 16 14 12 10 1 114' IK" 3/4_.2/1 009 0 10 20 30 40 1/4' (Omm) 0090T 00 SO -70 80 90 -108 110 120 130 140 150 160 170 180 190 200 FLOW - GPM psi 20 17 14 11 e 5 6P PSG 11/4" 009M1 OT ' <0 30 20 v .25 .50 .75 1 1.17'GPM 114• (9mm) 00907 r1 .25 .50 .75 1 1 25 1 50 2.5 3. GPM K- (13mm) 00907 551 25 20 15 10 5 ■titer■■111.11■■1111110111101111111■ ii■it•ii1•ois1111iiPii■■■ ►�i���ii� aii■■i■ ■i\U•Iilliiiiiii■■ii■ ■i■■iiilliiiii■■■ilii 5 20 GPM O 5 10 kPa pal 1 • (25mm) 009M2OT 207 30 172 25 138 20 103 15 69 10 34 5 0 PO 0 19 30 40 5 75 PSG 1 ' 009M1OT 40 30 20 ■1111-------- -- - - - - -- �I - - -- - --/ - - - - - - -- - Pal= MINE Oa 111111111•11 1. 1c` Z e N 3388 Cover Sensing 0 -ring over 0 -ring 76 114 152 7.5 50 190 Piston 0 -ring pper Stem 0 -ring Diaphragm Diaphragm Plate 0 -ring Stem & Diaphragm Assembly 60 228 Lower Stem 0 -ring Retainer Seat grg Sant O-ring U ' ��o Sc 52. � a Spring Body 70 10 b 70 60 C?n 0 FPS 20 30 60 50 60 70 e0 90 0100 110 120 f i 5 75 10 P31G p- 009MIOT 60 30 20 10 O1.rs a 7211257 1.4 20 1.0 15 0.7 10 0.3 5aP 0 0 ia' (19mm) 000M2OT • um usiorm me aims mori_. aim 1111111111111 5 10 5 19 38 7 5 7.5 1.5 2.3 11/4' (32mm) 009M20T pr 20 95 76 15 4.6 Oars 2.3 2.1 1.4 0.7 3 GPM 111 LPM FPS MPS 40 . 30 20 r� 10- - - 0 10 an 00 100 120 140 160 160 201 0 30 40 50 SO 70 SO 0 GPM 38 76 1 4 152 190 220 266 304 LPM 5 7.5 10 15 FPS 1.5 2.3 3.0 4.6 MPS 11/' (38mm) 009M20T Psi 40 30 20 10 Ai, 0 10 20 0 40 50 60 70 80 90 100 111 120 GPM 0 38 76 114 .152 190 226 266 304 942 380 416 458 1PM 5 - 7.5 10 15 FPS 1.5 2.3 3.0 4.6. MPS 80 ppm 266 304 1pm W (20mm) 009M30T 1, • 5 MMMMMM■MtMMMMMM■■MMMMM■ 74 ILA 14 ■MMMMMMMM■■MMMMMMOSiMe■ ■MMMMMMMMM21=MM�es 12 Relief Valve Module 0 u 10 a m 34 34 33 Q 44 Q. Cover 0 -ring 0er1 Esse 21-11 Limit Stops 2' (50mm)009M20T . 10 30 to to P n m 40 an 00 100 120 140 160 160 201 GPM 0 76 1 2 226 304 300 456 532 606 684.E 760 1PM 5 7.3 10 15 FPS 1.5 2.3 3.0 4.6 MPS 0 -ring . Chloramine Seal Reslstanl Rubber Goods. Replaceable Seal 11111111111111111 Stem Guide Cb de ell CHECK ASSEMBLY 1/4" - 3/i Bayonet etainer Injection Molded Stainless Steel Acetyl Resin 0 -ring Seal Spring 1st Check Module Silicone Seal CHECK ASSEMBLY 3/i M3 0 -ring Check Cage / Seal polgco\ Seat D se Spring Check Assembly -3/4 - 2" Disc Assembly Che k Cage Se 1). N Spring Seat 0 -ring n Department of Community Developmeflt Jack Pace, Director • City of Tukwila Jim Haggerton, Mayor May 1, 2013 Dan Hord Drywall by Design 47400 SE 162 St North Bend, WA 98045 RE: Incomplete Letter #1 Plumbing/Gas Piping Permit Application PG13-062 Puget Sound Interventional Pain Clinic — 7200 S 180 St Dear Mr. Hord, This letter is to inform you that your permit application received at the City of Tukwila Permit Center April 25, 2013 has been determined incomplete. Before your application can continue the plan review process the attached/following items from the following department(s) need(s) to be addressed: Public Works Department: Joanna Spencer at 206 431-1440 if you have 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 (only the updated/changed sheets), 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, Bill Rambo Permit Technician Enclosures File: PG13-062 W:IPermit CenterlIncomplete Letters 2013IPG13-062 Incomplete Letter #1.docx 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 • • PUBLIC WORKS DEPARTMENT COMMENTS DATE: May 1, 2013 PROJECT: Puget Sound Interventional Pain Clinic 7200 S 180th St PERMIT NO: PG13-062 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 device 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 device spits. Make sure that the backflow is from the WA State Department of Health Backflow Prevention Assemblies Approved for Installation in Washington State list. 2) If this is a newly created medical office or existing medical office in operation that lacks in -premise isolation, please proceed with Item 1). 3) If this is an existing medical office that has an in -premise isolation backflow, please submit a copy of the required annual backflow test report. (W:Other/Joanna Spencer/Comments 1 PG13-062) *EMIT COORD COPIN PLAN REVIEW/ROUTING SLIP ACTIVITY NUMBER: PG13-062 DATE: 05/07/13 PROJECT NAME: PS 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 DEPARTMENTS: Dc.p.,3 Building Division 1111 Ptgi V't Public Works Fire Prevention Structural Planning Division ❑ Permit Coordinator ❑ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete ❑ DUE DATE: 05/09/13 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 REVIEWER'S INITIALS: DATE: Structural Review Required ❑ No further Review Required ❑ APPROVALS OR CORRECTIONS: DUE DATE: 06/06/13 Approved ❑ Approved with Conditions 1, Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW 0 Staff Initials: 'EMT COD C Y/11 PLAN REVIEW/ROUTING SLIP ACTIVITY NUMBER: PG13-062 DATE: 04-25-13 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 DEPARTMENTS: Building Division Public Works Fire Prevention Structural n Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete DUE DATE: 04-30-13 Not Applicable Comments: Permit Center Use .Only �E INCOMPLETE LETTER MAILED: '5'143 LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg 0 Fire 0 Ping 0 PW (Staff Initials: IM( TUES/THURS ROUTING: Please Route ❑ Structural Review Required No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved n Approved with Conditions DUE DATE: 05-28-13 Not Approved (attach comments) n Notation: 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 05/05/2013 12:13 2064534136 HAIatN • • City of Tukwila Department of Community Dev$.lopment 6300 Sou hcenter Boulevard, Suite #100 Tukwila. Washington 98188 Phone: 2C 6-431-3670 Fax: 206-431-3665 Web site: http:/Avmv.cltukivilawaus Revision submittals must be Submitted in person at the Permit Center. Revisions t f ill not be accepted through tke mail, jax, eic. Date: s 11 I,2 ® Response to Incomplete Letter # O Response to Correction Letter # Plan CbedWPermil Number: PG 13-062 0 Revision # — after Permit is Issued ❑ Revision requested by a City Building Inspector or Plass Examiner Project Name: Puget Sound Interventional Pain Clink RECEIVED MN" OF TUKWILA MAY 0 7 2013 PERMIT CENTER Project Address: 7200 180 St Contact Person: p` "c'r Phone Number 47-S- 8v9 1291 4 Summary of Revision: Az() L -trtmseo.,-ibukt:s\— (i> ��z Fol 410-r- CO 31�t Ft,k- COLI. Cvr 4 4 // CAP -ktSTi►-�� �o-r Cott 'to l3iZ ��L Vag S�nK- A ►� 2ur+ NCw 4 o -r k CoL-4 - etz-aaisr t2 w. .r-�G F20vn ,�PPt_ir-S fkprti-2 Uc —co OL'WCT' _ cL1 L TE7 t= 2C,W\. -�2 T�rOrrs-rcS . Sheet Number(s): "Cloud" or highlight all areas of revision including date oJl revision Received at the City of Tukwila Permit tenter y: /‘A./"7- 15:1 Entered °Y /"7 - Entered in Permits Plus on Vppirauonavnnns-er{N ions on Cleated: 8-13-2004 Revised: submittal Contractors or Tradespeople #titer 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 T P J INC UBI No. 602212259 Phone 4252283204 Status Active Address 351 Union Ave Ne License No. TPJIN"981NR Suite/Apt. License Type Construction Contractor City Renton Effective Date 8/19/2002 State WA Expiration Date 8/19/2014 Zip 98059 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company e License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status AQUACCJ9270R AQUA CLEAN JET -N -VAC INC Construction Contractor Excavation, Grading And Land Clearing Unused 9/19/2008 9/19/2014 Active PLUMB"132C8 PLUMBING JOINT INC, THE Construction Contractor General Unused 2/2/1987 9/9/2004 Archived PLUMBI*213B5 PLUMBING JOINT INC, THE Construction Contractor Plumbing Sanitation System Side Sewer 1/25/1979 2/3/1987 Archived Business Owner Information Name Role Effective Date Expiration Date PALMER, DONALD L President 08/19/2002 Amount PALMER, CANDANCE L Vice President 08/19/2002 CNP2698764 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 CBIC FA5583 08/20/2002 Until Cancelled $12,000.00 08/19/2002 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 8 Continental Western Ins Co CNP2698764 08/20/2010 08/20/2013 $1,000,000.00 07/10/2012 7 Continental Western Ins Co CNP2698764 08/20/2007 08/20/2010 $1,000,000.00 07/17/2009 6 NATIONWIDE MUTUAL INS CO ACP7521578277 08/20/2006 08/20/2008 $1,000,000.00 08/06/2007 5 NATIONWIDE MUTUAL INS CO ACP7511578277 08/20/2006 08/20/2007 $1,000,000.00 06/19/2006 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 httns://fortress.wa. eov/lni/bbip/Print. aspx 05/17/2013