HomeMy WebLinkAboutPermit PG14-0100 - CASCADE BEHAVIORAL HOSPITAL - FIXTURES AND PIPING CONNECTIONS TO FAN COIL UNITSCASCADE BEHAVIORAL
HOSPITAL
12844 MILITARY RD S
PG14-0100
Parcel No:
Address:
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
1623049001
12844 MILITARY RD S
Project Name: CASCADE BEHAVIORAL HOSPITAL
Permit Number: PG14-0100
Issue Date: 6/30/2014
Permit Expires On: 12/27/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
HCH SPECIALTY CENTER
12844 MILITARY RD S ATTN
ACCOUNTING DEPT, TUKWILA, WA,
98168
DANIEL C JARDINE
2025 FIRST AVE SUITE 300 ; SEATTLE,
WA, 98121
ALPA CONSTRUCTION INC
330 FAIRBANK ST, ADDISON, IL, 60101
ALPACCI865C7
Phone: (206) 441-4522
Phone: (630) 628-7930
Expiration Date: 2/25/2016
DESCRIPTION OF WORK:
REPLACEMENT OF EXISTING PLUMBING FIXTURES, ADDITION OF NEW FIXTURES, AND PIPING CONNECTIONS TO
MECHANICAL FAN COIL UNITS.
Valuation of Work: $45,000.00
Water District: 20
Sewer District: VALLEY VIEW SEWER SERVICE
Fees Collected: $163.16
Current Codes adopted by the City of Tukwila:
International 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: OU
9)0
w
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 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:
s U\
Date: CD. ,3 O I ` t
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 TUKW
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Plumbing/Gas Permit No. 6/41-Or D
Project No.
Date Application Accepted: t.7 /(3// 41.
Date Application Expires: /&//3//
(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:
Tenant Name:
12844 Military Road S.
Cascade Behavioral Hospital
PROPERTY OWNER
Name: Acadia Healthcare
Address: 830 Crescent Drive, Suite 610
City: Franklin State: TN
Zip: 98168
CONTACT PERSON —person receiving all project
communication
Name: Daniel C. Jardine
Address: 2025 First Avenue, Suite 300
City: Seattle State: WA Zip:. 98121
Phone: (206) 441-4522 Fax: (206) 441-7917
Email: djardine@nacarchitecture.com
King Co Assessor's Tax No.: 162-304-9001
Suite Number: Floor: 1N
New Tenant: ❑ Yes ..No
PLUMBING CONTRACTOR INFORMATION
Company Name:
Address:
City: State: Zip:
Phone: Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 45,000
Scope of Work (please provide detailed information):
Replacement of existing plumbing fixtures, addition of new fixtures, and piping connections to mechanical fan coil units.
Building Use (per Int'l Building Code): Hospital
Occupancy (per Int'1 Building Code): 1-2
Utility Purveyor: Water: King County Water Distr. #20 Sewer: Valley View
H:\Applications\Porms-Applications On Line12011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
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Page 1 of 2
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity .,.,.ow:
Fixture Type
Qty
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
Shower, single head trap
Sinks
1
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
1
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
1
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 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY B HE LAWS OF HE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER 0 U. OR T 'r ENT:
Signature:
Print Name:
Daniel C. J
V//7/--
Day Telephone: (206) 441-4522
Date:
Mailing Address: 2025 Fi ' venue, Suite 300 Seattle WA 98121
City State Zip
H:WpplicationsWorms-Applications 0n Line\2011 Applications\Plumbing Permit Application Revised 8-9-I l.docx
Revised: August 2011
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS ACCOUNT I QUANTITY
PermitTRAK -
I PAID
$163.16
PG14-0100 Address: 12844 MILITARY RD S Apn: 1623049001
$163.16
PLUMBING
$156.88
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$93.00
PLAN CHECK FEE
R000.322.103.00.00
0.00
$31.38
TECHNOLOGY FEE
$6.28
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R2371
R000.322.900.04.00
0.00
$6.28
$163.16
Date Paid: Friday, June 13, 2014
Paid By: NAC INC
Pay Method: CREDIT CARD 681906
Printed: Friday, June 13, 2014 2:38 PM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
ECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd,, #100, Tukwila. WA 98188 (206) 431-3670
Permit inspection Request Line (206) 438-9350
P6/ y- 0(00
Project: a ; i
fol; f
Wra
TypeAnt inspeFtipn:
nutiab(
kg /
,..Cte-
F.ddres: ,
1 V61-14 'a( ( t iriry got.-bi
Date Called:
Special
1-/
Instructions:
7-- CR rA)beri-1
1%A-to de_(
prm
Date Wanted:
a.rn.
'Requester:
Phone No:
qApproved per applicable codes.
COMMENTS:
EJCorrections required prior to approval.
Inspector:
Dat
F REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Cati to schedule reinspection.
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
INSPECTION RECORD
Retain a copy with permit
INSPE ON NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431-3670
e61ti-otico
Project: . .
Ty of Inspection: A, i
U-
Address: , .. i
/A9-/ EX AC( r._rrr P-41
Date Caiitcl:
Special last ctions: Am
Date Wanted:
3-5--- Cr
a.m.
p.m.
[Requester;
Eday e I-total/pep-9
Phone No:
766- 7 36 - Yr° t
0 N Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
ift/kA liri9/77
611,40,( vets-v Eh1ftm t-ikok-(se,
57-
Ins
Date:)
,› (5—
F
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Btvd.. Suite 100. Cali to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKVVILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
p4/y-oloo
Project 1 -Type
(4srcae... 0e/tali/old Hriii)
of Inspection: 1 _i
i(oviyA --T--rk N-44-D(49'
"Address:
1743 Li q Atr'filttry gd ir.
Date Called: v
Special Instructions:
A- A4
Date Wanted:
a.rn.
p.m.
2_— 1/ - TS—
Requester
dv offokAbery
Phone No:
2A6 - 730- i-lis-o /
ElApproved per applicable codes.
Corrections required prior to approval.
'COMM, , -144,4
ti
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/sprieVV/14/
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% 4 fIC 1 (Pte 4 c5K
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id reilkt.c.. , 1/49c.,,ed -r- (0 i"
i
Inspector:
Daly. f( / 5_
.*•••••••.-
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
City of Tukwila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
November 12, 2014
Daniel C. Jardine
NAC Architecture
2025 First Ave, Ste 300
Seattle, WA 98121
RE: Request for Extension
Permits D14-0183, EL14-0558 & PG14-0100
Application M14-0124
Dear Mr. Jardine,
This letter is in response to your written request for an extension to Permits D14-0183, EL14-0558, and
PG14-0100 as well as Permit Application M14-0124 for Cascade Behavioral Health North Remodel. The
Building Official has reviewed and considered your request and has provided extensions as follows:
• D14-0183 and EL14-0558 have been recently issued which resulted in the request for extension
not being valid. Upon issuance the expiration dates were automatically extended 180 days. The
resulting expiration dates are May 3 and April 28, 2015 respectively.
• PG14-0100 was issued quite some time ago and the request for permit expiration date extension
has been granted for 180 days. The updated expiration for this permit is June 25, 2015
• The application for M14-0124 has been granted a 180 day extension through June 11, 2015.
If you should have any questions, please contact our office at (206) 431-3670.
Sincerely,
ifer Marshall
t Technician
File: Permit No. D14-0183, EL14-0558, M14-0124, PG14-0100
W.\Permit CenteAExtension Letters\Permits\2014\PG14-0100 App Extension Letter .docx
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
\ AC
National talent,
local focus
cc:
ARCHITECTURE
November 5, 2014
Mr. Jerry Hight
Building Official
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, WA 98188
RSCSINISD
NpV o 6 2014
RE: Cascade Behavioral Hospital, 1 North Remodel.
Request for permit extension
Dear Mr. Hight:
This letter is written to request a 6 month permit extension for the above project. The
permit applications were originally submitted on June 17, 2014. The owner temporarily
delayed the project while awaiting funding approvals from their corporate office. The
funding is now in place and the permits were picked up by the owner's contractor
yesterday. We anticipate work to begin immediately.
The following are the project permits that we request be extended:
Building permit D14-0183 oSln�(lc t�At 9
Electrical permit EL14-0558 �t L$ ilk
Mechanical permitM14-0124 i211�j�lut
Plumbing permit PG14-0100 12-I 1-1119
Thank you for your consideration and assistance
Dani-C. Jardine, AIR; LEED AP
Principal
Jennifer Marshal, Permit Technician, Tukwila
Michael Uradnik, CEO, case Request for Extension #
Scott Miller, ALPA Construct Q I , f
William Trivet, ChaseCo, LL( Current Expiration Date: i21� 1
Extension Request: ,j
1Y Approved for / w
\\S121-NA1\Projects_SFA\121-13031\500\A504-Tukwila\1 N
Denied (provide explanation
A tl\‘' L‘f
days Us,
www.nacarchitecture.com
NIA( inr 17fl75 Firct Avenue. Suite 300 1 Se
.'l
Signature/Initials _1/
City of Tukwila
Department of Community Development
11/3/2014
DANIEL C JARDINE
2025 FIRST AVE SUITE 300
SEATTLE, WA 98121
RE: Permit No. PG14-0100
CASCADE BEHAVIORAL HOSPITAL
12844 MILITARY RD S
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of
such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun
for a period of 180 days. Your permit will expire on 12/27/2014.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 12/27/2014, your permit will become null and
void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
er`Marshall
t Technician
i7�Nb: PG14-0100
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
ERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: PG14-0100 DATE: 06/13/2014
PROJECT NAME: CASCADE BEHAVIORAL HOSPITAL
SITE ADDRESS: 12844 MILITARY RD S
X Original Plan Submittal
Response to Correction Letter #
Revision # before Permit Issued
Revision # after Permit Issued
DEPARTMENTS:
ding Division
AYE- H11
Public Wor AY
Fire Prevention
Structural
PRELIMINARY REVIEW:
Not Applicable
(no approval/review required)
REVIEWER'S INITIALS:
Planning Division
Permit Coordinator
DATE: 06/17/14
Structural Review Required
DATE:
APPROVALS OR CORRECTIONS:
Approved
DUE DATE: 07/15/14
Approved with Conditions 4
Corrections Required n Denied
(ie: Zoning Issues)
(corrections entered in Reviews)
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
12/18/2013
ALPA CONSTRUCTION INC
Page 1 of 2
Washington State Department of
Labor & industries
ALPA CONSTRUCTION INC
Owner or tradesperson
IWANIEC, KATARZYNA
Principals
IWANIEC, KATARZYNA, PRESIDENT
Doing business as
ALPA CONSTRUCTION INC
WA UBI No.
603 317 548
330 FAIRBANK ST
ADDISON, IL 60101
630-628-7930
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor
License specialties
GENERAL
License no.
ALPACCI865C7
Effective — expiration
02/25/2014— 02/25/2016
Bond
Ohio Cas Ins Co
Bond account no.
32S426539
Received by L&I
02/25/2014
Insurance
Travelers Indemnity Co of Ame
Policy no,
DTCO7B006888TIA14
Active.
Meets current requirements.
$12,000.00
Effective date
02/21/2014
Expiration date
Until Canceled
$1,000,000.00
Received by L&I Effective date
06/05/2014 06/01/2014
Expiration date
06/01/2015
Insurance history
Savings
No savings accounts during the previous 6 year period.
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603317548&LIC=ALPACCI865C7&SAW= 06/30/2014