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HomeMy WebLinkAboutPermit PG14-0060 - WA CENTER FOR PAIN MANAGEMENT - SINKS, LAVATORY AND WATER CLOSETWA CENTER FOR PAIN MANAGEMENT 7200 S 180 ST PG1 4-0060 Parcel No: Address: Project Name: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov PLUMBING/GAS PIPING PERMIT 3623049013 7200 S 180 ST WA CENTER FOR PAIN MANAGEMENT Permit Number: PG14-0060 Issue Date: 5/7/2014 Permit Expires On: 11/3/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: KHK INVESTMENT LLC 26329 8TH AVE S , DES MOINES, WA, 98198 CONSTANTINE BUILDERS (MARK) 18486 BALLINGER WAY NE , LAKE FOREST PARK, WA, 98155 ROBSON COMPANY INC, THE 9531 NE 140, KIRKLAND, WA, 98034 ROBS0055QA Phone: (206) 660-6409 Phone: (425) 821-8330 Expiration Date: 11/10/2015 DESCRIPTION OF WORK: INSTALL 2 SINKS, 1 LAVATORY AND 1 WATER CLOSET Valuation of Work: $0.00 Water District: RENTON Sewer District: RENTON SEWER SERVICE Fees Collected: $181.36 Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Permit Center Authorized Signature: Date: I hearby 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 constructio r the performance of work. I am authorized to sign and obtain this development per, it and agree to t�ditions attached to this permit. Signature: Print Name: This permit shall become null and void if the work is not commenced within 180 days for 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: ***PLUMBING/GAS PIPING PERMIT CONDITIONS*** 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from.freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R-3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor/ceiling assemblies and fire -resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. 13: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit. 14: All new plumbing fixtures installed in new construction and all remodeling involving replacement of plumbing fixtures 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 ad Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section 402 of Washington State Amendments PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 8004 GROUNDWORK 1900 PLUMBING FINAL 8005 ROUGH -IN PLUMBING CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:/iwww.TukwilaWA.gov Project NO: Date Application, Accepted:`- ` -` Date Application Expires: ' (For ofce 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 p King Co Assessor's Tax No.: 3 6 23 Oil 'G% O / 3 Site Address: 7 2/Do 5, I /O� o S 7 re�t%u/ II 0 QQ Suite Number. !, Floor: Tenant Name: Z-(/4s k. de k4u1 4 . P01 n M.a Kook t,.0 rv'e, 44 - New Tenant: ❑ Yes ®..No < N K 1.n ✓td'k" d LL Ci 6Fies, p 410-1) PROPERTY OWNER Name: ti N K f� „.,/CS_i_w.e,,.q_s Address: City: State: Zip: CONTACT PERSON — person receiving all project communication r� Name: 'c.v.,-5)61)..4.21� Becclete.f S (at td.IJ Address: / 8#8( . tr 04, A/C rgo//11 City:eree gin/ /P rt� State: Zip:9p of .../ t, Phone: 20`., Rs.? YydO Fax: AaoS7 eyY // Email: rat.. C* Cor,r/�`+.-ticidk,U r$,GOr. PLUMBINGCONTRACTOR INFORMATION r Company Name: -71,e 756 66'\ (0.i cz vket Address: 9s 3/ N i ( `yVS City: 4'11444 ! State: h/A Zip: ge03q e Phons./Zse.szil-td6330 Fax: yrs-' $t© .' 3 5P°1 Contr Reg No.: KA6Sa 'Osr ziE;:p Date: Tukwila Business License No.: g1, 0 6\ `c 2 �1 Valuation of Project (contractor's bid price): $ % z i 6 Scope of Work (please provide detailed information): "_ t/�o i - t ( S f lk5 , t I� Vat Tvn �iu1 (4-1014'er C L— Buliding Use (per lnt'I Building Code). Occupancy (per Int'I Building Code): Utility Purveyor: Water: Sewer: H:\Applications\rornts-Applications On Line\2011 Applications \Plumbing Permit Application Revised 8-9-I I.docs 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 Shower, single head trap Sinks 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). 1 HEREBY CERTIFY THAT 1 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 OR RI ED AGENT: Signature: Date: y 2 Z/i/ Print Name: j t t • »G? b.S 6 h Dayy Telephone: 2PC" g Z f` 3 3 3O Mailing Addressn � i �� . /r �E? '41 7CI6° City State Zip H:\Applications\Forns-Applications On Line \2011 Applications \Plumbing Permit Application Revised 8-9.1 I.docs Revised: August 2011 bh Page 2 of 2 DESCRIPTIONS PermitTRAK Cash Register Receipt City of Tukwila ACCOUNT QUANTITY PAID $146.48 PG14-0060 Address: 7200 S 180 ST Apn: 3623049013 $146.48 PLUMBING $139.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $107.00 TECHNOLOGY FEE $6.98 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2056 R000.322.900.04.00 $6.98 $146.48 Date Paid: Wednesday, May 07, 2014 Paid By: PHILLIP M ROBSON Pay Method: CREDIT CARD 025827 Printed: Wednesday, May 07, 2014 11:28 AM 1 of 1 YSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT QUANTITY I PAID $34.88 PG 14-0060 Address: 7200 S 180 ST Apn: 3623049013 $34.88 PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R1889 R000.322.103.00.00 $34.88 $34.88 Date Paid: Wednesday, April 23, 2014 Paid By: PHILIP ROBSON Pay Method: CREDIT CARD 025638 Printed: Wednesday, April 23, 2014 9:26 AM 1 of 1 CRWSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 431-2451 F4. (LI-c-xX. Project: V: a.r1 tJ VA Type�nspection: r,NkL--- Address: 77 00 t 2)0 S-- Date Called: ._., Special Instructions: Date Wanted: a.m. Requester: 1 Phone No: Approved per applicable codes. L J Corrections required prior to approval. COMMENTS: rJspector: Die t/ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paidat6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. \1 INSPECTION RECORD Retain a copy with permit P()Il'i c INSPECTION NO. PERMIT NO. p. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project A } Y\t!Ca j� s NA Type of Inspection: �` G ob ND, R,'+- f Address: rib !_ ,�.� f S o Date Called: Special Instructions:j,, a S t L ARequester:m. r Date Wanted ` it + 1 ii P Phone No: 0/ Approved per applicable codes. COMMENTS: QCorrections required prior to approval. dJ Inspector: v\attA > Date:5 — S - 3 6t REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at "6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. r 1 • imak.s. •,..1.11- • Penult Na. pc7t,c-k —octio Plan review approval is subject lo am= and onivions. APPmval of.consiniction documerWINSidatioCeenter for' Pain Management the violation of any adopted code or oidinanai. Receipt backnotmedged: Water Piping0 I ,-.1* te't • e / ar.4 )R EJ s :1 .60 SF :3/1" Connect to existing waste line SEPARATE PERMIT REQUIRED FOR: achanical Electrical 0 Plumbing XGas MOM • - City of Tukwila NG DIVISION AREA OF VV NEW INJECTION ROOM • • tithViSIONS • • • • • NtrchEn-qinade to the scope of work without prior approval of Tukwila Building Division. NOTE: Rev!sions will require a new plan bmittal and may include additional plan revie fees. NEW HALL 110 69 SF R F.VIEVVED FO CODE COMPLIAls CE APPROVED NAY 0 6 2014 City �f(jt4wiIa BU LDING 7 — RECEI-Vg, CITY OF TUKWILA APR 2 3 2014 PERMIT CENTER NEW V1 RECO% 107 Washing Center for Pain Management Water Piping 3/477 Sink' Hot Water Connect to existing water lines REVIEWED FOR CODE COMPLIANCE APPROVED MAY 06 2014 City of Tukwila BUILDING DIVISION Sink Sink RECEIVED CITY OF TUKWILA APR 2 3 2014 PERMIT CENTER • . Washing Center for Pain Waste & Vent Piping Management AREA OF WORK ktyliINJEcTIO C NEW HALL 110 69 SF.. REVIEWELI -OR CODE COMPLIANCE APPROVED APR 2 3 2014 2" w/clean out. v PERMIT CENTEP VTR • RECOI • -107 Connect to existing 3" Vent Lay we Connect to existing waste line 2" w/clean out VTR Sink Sink ti Washing Center for Pain Management Waste & Vent Piping REVIEWED FOR CODE COMPLIANCE APPROVED MAY 0 6 2014 City of Tukwila BUILDING DIVISION RECEIVED CITY OF TUKWILA APR 232014 PERMIT CENTER City of Tukwila Department of Community Development April 30, 2014 CONSTANTINE BUILDERS (PAUL) 18486 BALLINGER WAY NE LAKE FOREST PARK, WA 98155 RE: Correction Letter # 1 PLUMBING/GAS PIPING Permit Application Number PG14-0060 WA CENTER FOR PAIN MANAGEMENT - 7200 S 180 ST Dear CONSTANTINE BUILDERS (PAUL), Jim Haggerton, Mayor Jack Pace, Director This letter is to inform you of corrections that must be addressed before your development permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the following departments: PW - PG DEPARTMENT: Joanna Spencer at 206-431-2440 if you have questions regarding these comments. • Since proposed work is for a medical operation (Table 9 Medical Facility) a Reduced Pressure Principle Assembly (RPPA), if none exists now, shall be installed as in -premise isolation to protect building tenants. Please show proposed RPPA location on plan, specify size/model number/manufacturer and submit backflow cut sheet. Please address the attached comments in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that two (2) sets of revised plan pages, 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. Corrections/revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, I can be reached at 206-431-3655. Sincerely, Bill Rambo Permit Technician File No. PG14-0060 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Joanna Spencer From: Phil Robson <phil@therobsonco.com> Sent: Monday, May 05, 2014 4:37 PM To: Joanna Spencer Subject: RE: WA Center for Pain Management PG14-0060 Good Afternoon, The existing RPBD is a %" Watts, 009 M3 QT, model number 313588. It is located on the existing building supply. Can we pick-up the permit tomorrow A.M.? Thanks, Phil From: Joanna Spencer[mailto:Joanna.Spencer@TukwilaWA.govj Sent: Monday, May 05, 2014 4:09 PM To: 'phil@therobsonco.com' Cc: Joanna Spencer Subject: WA Center for Pain Management PG14-0060 Per our phone conversation please email information that the plumbing work is for extension of an existing business and that the subject tenant already has an RPPA for in premise isolation. Show existing RPPA location on plan including size/make/model number. Regards, Joanna Spencer Development Engineer City of Tukwila Public Works Department 6300 Southcenter Blvd #100 Tukwila, WA 98188-8548 ph:(206) 431-2440 fax:(206) 431-3665 Joanna.SpencerWTukwilaWA.gov The City of opportunity, the community of choice. RECEIVED CITY OF TUKWI A MAY 0 6 204 PERMIT CENTER No virus found in this message. Checked by AVG - www.avg.com. Version: 2014.0.4570 / Virus Database: 3931/7443 - Release Date: 05/05/14 1 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: PG14-0060 DATE: 05/06/2014 PROJECT NAME: WA CENTER FOR PAIN MANAGEMENT SITE ADDRESS: 7200 S 180 ST Original Plan Submittal X Response to Correction Letter # 1 Revision # Revision # before Permit Issued after Permit Issued DEPARTMENTS: Building Division n Poe U5'dii 1uS Public Works Fire Prevention Structural Planning Division Permit Coordinator PRELIMINARY REVIEW: Not Applicable (no approval/review required) DATE: 05/08/14 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 06/05/14 Approved Approved with Conditions n Corrections Required Denied (corrections entered in Reviews) (ie: Zoning Issues) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: PG14-0060 DATE: 04/23/14 PROJECT NAME: WASHINGTON CENTER FOR PAIN MANAGEMENT SITE ADDRESS: 7200 S 180 ST X Original Plan Submittal Response to Correction Letter # Revision # Revision # before Permit Issued after Permit Issued DEPARTMENTS: IM' .2C.�� Building Division III ,\ff7, COM jZ >L\ -�-� H Public Works lEI Fire Prevention Structural n Planning Division Permit Coordinator IN PRELIMINARY REVIEW: Not Applicable (no approval/review required) DATE: 04/24/14 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required Denied (ie: Zoning Issues) (corrections entered in Reviews) Notation: Approved with Conditions DUE DATE: 05/22/14 n REVIEWER'S INITIALS: DATE: Permit Center Use Only r CORRECTION LETTER MAILED: 31' i Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW Staff Initials: 12/18/2013 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: May 6, 2014 Plan Check/Permit Number: PG14-0060 ❑ Response to Incomplete Letter # • Response to Correction Letter # 1 ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: WA Center for Pain Management Project Address: 7200 S 180 Street Contact Person: Summary of Revision Phone Number: e bLLS/- ess REC IVEO CITY OF TUKWILA Y 0 6 20t4 PERMIT CENTE Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: Entered in TRAKiT on C:\Users\joanna\AppData\Local\Microsoft\Windows\Temporary Internet Files \Content.Outlook\YVOGW99MPG14-0060 Rev Submittal.doc Revised: May 2011 ROBSON COMPANY INC, THE Page 1 of 2 0 Washington State Department of Labor & Industries ROBSON COMPANY INC, THE Owner or tradesperson ROBSON, PHILIP M Principals ROBSON, PHILIP M, PRESIDENT ROBSON, LINDA S, SECRETARY Doing business as ROBSON COMPANY INC, THE WA UBI No. 601 660 265 9531 NE 140TH KIRKLAND, WA98034 425-821-8330 KING County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor License specialties PLUMBING License no. ROBSO**055QA Effective — expiration 11/01/1995-11/10/2015 Bond TRAVELERS CAS & SURETY CO Bond account no. 206708367 Received by L&I 10/03/2001 Insurance American Fire & Casualty Co Policy no. BKA55317940 Received by L&I 10/10/2013 Insurance history Savings Active. Meets current requirements. $6, 000.00 Effective date 10/25/2001 $1,000,000.00 Effective date 10/25/2012 Expiration date 10/25/2014 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601660265&LIC=ROBSO* *055QA&SAW= 05/07/2014