HomeMy WebLinkAboutPermit PG14-0146 - WALGREENS INFUSION & RESPIRATORY - SINKS AND GAS PIPING FOR ROOFTOP HVAC UNITWALGREEN INFUSION &
RESPIRATORY
13035 GATEWAY DR
SUITE 131
PG14-0146
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
0004800015
13035 GATEWAY DR 131
WALGREENS INFUSION & RESPIRATO
Permit Number:
Issue Date:
Permit Expires On:
PG 14-0146
12/4/2014
6/15/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
EPROPERTY TAX INC DEPT #207
PO BOX 4900 , SCOTTSDALE, IL, 85261
JEFF GRIFFIN
22 GATEWAY COMMERCE DR W #110,
EDWARDSVILLE, IL, 62025
Contractor:
Name: CLEARVIEW MECHANICAL INC
Address: 6846 48 AV NE, SEATTLE, WA, 98115
License No: CLEARMI051P4
Lender:
Name:
Address:
Phone: (618) 979-4168
Phone: (206) 527-8515
Expiration Date: 11/3/2017
DESCRIPTION OF WORK:
REMOVE (1) EXISTING SINK AND REPLACE WITH UTILITY SINK. INSTALL (1) NEW HAND WASH SINK WITHIN CLEAN
ROOM.
REVISION #1: ADD GAS PIPING FOR (1) ROOFTOP HVAC UNIT
Valuation of Work: $13,924.00
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Fees Collected: $253.52
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
2012
2012
2012
2012
2012
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2012
Permit Center Authorized Signature:
(at Ri
Date: )—1- 1
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 his permit does not presume to give authority to violate or cancel the provisions of any other
state or local law regulating constr tion r the performance of work. I am authorized to sign and obtain this
development per it aryl! agree to tions attached to this permit.
Signature:
Print Name:
Date:
fC
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
2000 GAS PIPING FINAL
2000 GAS PIPING FINAL
8004 GROUNDWORK
1900 PLUMBING FINAL
9002 ROUGH -IN GAS PIPING
8005 ROUGH -IN PLUMBING
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
0004800015
13035 GATEWAY DR 131
WALGREENS INFUSION & RESPIRATO
Permit Number:
Issue Date:
Permit Expires On:
PG 14-0146
12/4/2014
6/2/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
EPROPERTYTAX INC DEPT#207
PO BOX 4900 , SCOTTSDALE, IL, 85261
JEFF GRIFFIN
22 GATEWAY COMMERCE DR W #110 ,
EDWARDSVILLE, IL, 62025
CLEARVIEW MECHANICAL INC
6846 48 AV NE , SEATTLE, WA, 98115
CLEARMI051P4
Phone: (618) 979-4168
Phone: (206) 527-8515
Expiration Date: 11/3/2017
DESCRIPTION OF WORK:
REMOVE (1) EXISTING SINK AND REPLACE WITH UTILITY SINK. INSTALL (10 NEW HAND WASH SINK WITHIN CLEAN
ROOM.
Valuation of Work: $13,924.00
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Fees Collected: $126.76
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
2012
2012
2012
2012
2012
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2012
Permit Center Authorized Signature:
Date: 12-1 011!11
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 granti : of this permit does not presume to give authority to violate or cancel the provisions of any other
state or to j,laws regulating cory.truction or the performance of work. I am authorized to sign and obtain this
developme 'er it d agree i e`onditions attached to this permit.
Signature: Date:
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://www.TukwilaWA.gov
Date Application Accepted: q a--1
Lf
Date Application Expires: %------1S
(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: 13035 Gateway Drive
King Co Assessor's Tax No.: 000480001502
Suite Number: 131 Floor:
New Tenant: El Yes m ..No
Tenant Name: Walgreens Infusion & Respiratory Services
PROPERTY OWNER
Name: RREEF America REIT II Corp. c/o CBRE
Address: 20415 72nd Avenue S, Suite 210
C'n' Kent State: WA Zip: 98032
CONTACT PERSON — person receiving all project
communication
Name: Jeff Griffin
Address: 22 Gateway Commerce Dr W Suite 110
City: Edwardsville State: IL Zip: 62025
Phone: (618) 979-4168 Fax: (618) 931-3535
Email: jgriffin@contegracc.com
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): $ 13,924
Scope of Work (please provide detailed information):
Remove (1) existing sink and replace with utility sink. Install (1) new hand wash sink within clean room.
Building Use (per Int'1 Building Code). Group B
Occupancy (per Int'1 Building Code): Office
Utility Purveyor: Water City of Tukwila
Sewer City of Tukwila
H:\Applications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11.docx
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
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
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
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 THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWN R %/��"'� RAUTH R�GENT:
Signature: Date: 09/22/2014
Print Name: Ryan Hartsuff
Day Telephone: (425) 463-1575
Mailing Address: 1110 112th Avenue NE Suite 500 Bellevue WA 98004
City State Zip
H: Wpplications\Forms-Applications On Line t201 1 Applications\Plumbing Permit Application Revised 8-9-1 I .docx
Revised: August 2011
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS I ACCOUNT QUANTITY
PermitTRAK
I PAID
$126.76
PG14-0146 Address: 13035 GATEWAY DR 131 Apn: 0004800015
$126.76
GAS
$121.88
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$65.00
PLAN CHECK FEE
R000.322.103.00.00
0.00
$24.38
TECHNOLOGY FEE
$4.88
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R4449
R000.322.900.04.00
0.00
$4.88
$126.76
Date Paid: Wednesday, February 04, 2015
Paid By: JEFFREY GRIFFIN
Pay Method: CREDIT CARD 07641D
Printed: Wednesday, February 04, 2015 10:23 AM 1 of 1
WSYSTEMS
DESCRIPTIONS
PermitTRAK
Cash Register Receipt
City of Tukwila
ACCOUNT
QUANTITY PAID
$102.38
PG14-0146 Address: 13035 GATEWAY DR
131
Apn: 0004800015
102.38
PLUMBING
$97.50
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$65.00
TECHNOLOGY FEE
$4.88
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3677
R000.322.900.04.00
0.00
$4.88
$102.38
Date Paid: Tuesday, December 02, 2014
Paid By: CONTEGRA CONSTRUCTION
Pay Method: CHECK 007558
Printed: Tuesday, December 02, 2014 12:57 PM 1 of 1
CarirWSYSTEMS
DESCRIPTIONS
Cash Register Receipt
City of Tukwila
ACCOUNT ( QUANTITY PAID
PermitTRAK
24.
PG14-0146 Address: 13035 GATEWAY DR 131 Apn: 0004800015
24.
PLAN CHECK FEE
TOTAL FEES PAID BY RECEIPT: R3121
R000.322.103.00.00
0.00
$24.38
$24.38
$24.38
Date Paid: Monday, September 22, 2014
Paid By: CONTREGRA CONSTRUCTION COMPANY
Pay Method: CHECK 006787
Printed: Monday, September 22, 2014 4:28 PM 1 of 1
CRWYSTEMS
IN
r_911-1---011c0
INSPECTION RECORD
Retain a copy with permi
PECTION NO. PER IT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project-_ q , , t
WI &reek 5 xe 0( ra
e Type of Inspection: r
It.t&ifi rill- 64(r/Ve F
Address: t
/103 r cvvrf-exicki De, i-(3 (
Date Called:
Special Instructions: '
Date Wanted: _
a.m.
p.m.
Reque ter:
Phone No!
EjApproved per applicable codes.
EJCorrections required prior to approval.
COMMENTS:
Inspector
-Date:
t5
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. (41_
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blyd., #100, Tukvvila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
P6tv-vig
Project- f
IVO (gret-K5 it4C
/
f T
Type of Inspbction:
Adilie
/ 51P , i'-' 6c{f....tilckv
i
I Va
Date Called:
*Special Instructions:
- ( (
Date Wanted: .- - //-
a,rn.
P.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
0 MENTS:
ri 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
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
PGPI—ofq
Project
Project- Type of Inspection
, t•-tiri r art -ei"-C r(ou -/t,‘ (9a/fir-too
Address:43
qr 64fiewtx / Dr Date Cal '
di
io /5--
Special Instructions: ' -Date Wanted: a.rn.
•'1 1 1 - 24 -1 $- p.m.
Requester:
Phone No:
csiApproved per applicable codes.
Corrections required prior to approval.
COMMENTS: (
(504/ 742)r— t,K
RAI( ilerhotrfr 1Gr cacteoe, fe6rre___ Eck
Inspector:
Da e:
—
RE1NSPECTION FEE REQUIRED. Prior to next inspec-tion, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
csiApproved per applicable codes.
Corrections required prior to approval.
COMMENTS: (
(504/ 742)r— t,K
RAI( ilerhotrfr 1Gr cacteoe, fe6rre___ Eck
Inspector:
Da e:
—
RE1NSPECTION FEE REQUIRED. Prior to next inspec-tion, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
6 N'
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd,, #100, Tukwila. WA 98188 (206) 431-3670
Permit inspection Request Line (206) 438-9350
Project:
r'..ofoe•34
Type of Inspectio:
‘ 04
A dre5s: 1 . ,
-75 .03-) Cn AvAJ e (Ak--1
Date Called:
Special Instr ctions: i
Date Wpted:
/
, /
," a.rii:
'Requester:
t
Phone No:
Apprcived per applicable codes. Corrections required prior to approval.
COMMENTS:
k
\----4-6-(11vIACLI tInSp
I k,
REINSPECTION FEE REQUIRED, Prior to next inspection. fee must be
\.„piid at 6300 Southcenter (30d.. Suite 100. Call to schedule reinspection.
CkL
'alji 7 /iv
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) 438-9350
Lizigic,
t:
Projec'
Type ofinspection:
-Address:
11 -27`. 07) GATtiLi At 0 r.
Date Called:
Special Instructions:
CC--1 7--t I i e 1 \
-
S-ral-L( Ac-, ,(Dc--i:,L5i.i
Date Wanted:
t 2.-- t 5 1 0-1
,
----a.m:-
Requester:
Phone No:
ci,ici _,c1-79 _ Li
0
_
12 Approved per applicable codes.
Corrections required prior to approval,
COMMENTS:
irispe or:
1t
4A41.") i UAANN't I &i._
\ . ,
-- E1NSPECTION FEE REQIRED. Priori to next inspection, fee must be
' Imi/J at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
1 /
Date: / /
124 /Pi
BACKFLOW PREVENTION ASSEMBLY TEST RE ORT
WATER PURVEYOR Or-4�
ASSEMBLY ID/FILE #/UTILITYDEVICE #I
NAME OF PREMISE Commeentiai 0
SERVICE ADDRESS �' CITY 1 t, t a ZIP'
CONTACT PERSON PHONE
LOCATION OF ASSEMBLY
DOWNSTREAM PROCESS
NEW INSTALLIR EXISTING 0 REPLACEMENT 0 OLD SER. #
ACCOUN #,
Meter #
DCVA Q RPBA t'Ir PVBA ❑ OTHER
WASHINGTON STATE PROVED ASSEMBLY? YES I'NO 0 PROPER INSTALLATION? YES NO 0
ry
MAKE OF ASSEMBLY 1S MODEL LSERIAL NO. L SIZE
INITIAL
DCVA / RPBA
DCVA / RPBA
RPBA
PVBA/SVBA '
CHECK VALVE NO.1
CHECK VALVE NO.2
OPENED AT PSID
AIR INLET
OPENED AT
TEST
PASSED ■
FAILED J ,
Min 2.0
#1 CHECK PSID
LEAKED ■
CLOSED TIGHT 0
PSID
LEAKED ■
CLOSED TIGHT 0
PSID
Min 1.t?
DID NOT OPEN ❑
CHECK VALVE
HELD AT PSID
Min 5.0
AIR GAP OK?
Min 1.0
Min 1.0 "
NEW
PARTS
AND
REPAIRS
CLEAN REPLACE PART
• ', t 4 t
CLEAN REPLACE PART
CI CI
CLEAN REPLACE PART
• ® Diaphragm
Min 1.0
0
:
Ili ' ■ ' e'r , X
0 •
E W.,LEAKED
0' 0
• •
■ 0
CLEANED 0
• ■
■ •
❑ ❑
0 •
0 •
REPAIRED ■
Exercised Relief Valve •
TEST AFTER
REPAIRS
LEAKED •
LEAKED ■
�r
OPENED AT..? Q PSID
AIR INLET PSID
CLOSED TIGHT i
PSID
CLOSED TIGHT ■
PSID
Min 2.0
#1 CHECK PSID
Min 1.0
CHK VALVE PSID
PASSED . �
FAILED •
Min 1.0
Min 1.0
Min 5.0
Min 1.0
AIR GAP INSPECTION: Supply Pipe Diameter: Separation:
REMARKS: Usd USC 10th EditionField Test Procedures.
TESTER'S SIGNATURE:
TESTER'S NAME RINTED• Ron Brown
REPAIRED BY:
Pass 0 Fail ❑ Detector Meter Reading
+T'
LINEAPRESSURE 0PSI ONFIN D SPACE? A+
c coy,
400
CERT. NO. B4203 DATE
TESTER'S PHONE # (206)-226-8019 (425) 8 1-6801
DATE
FINAL TEST BY: * CERT. NO. B4203 DATE
CALIBRATION DATE "' GAUGE tit Mid -West 845-5 of
CALIBRATION DATE GAUGE 4 iPrime 246 Q SERVICE RESTORED? YES,. NO 0
LEFT SERVICE AS FOUND—Meter/Isolation valve: Open 0 Closed 0 SOV#1: Open 0 Closed 0 _ SOV#2: Open ❑ Closed 0
I certify that this report is accurate, and I have used WAC 246-290-490 approved test methods and test equipment
R A Brown Backflow Testing rabrownbft@yahoo.com Ron Brown
14213 95th AVE NE Backflow Specialty Plumber License # Home/ Fax: 425-821-6801
Kirkland, WA 98034-5152 BROWNR*954B8 Cell: 206-226-8019
10-9-14 Gateway Corporate Center Bldg -9 H13153 70065 SFSM - Backflow Prevention Assembly Test.pdf.0.jpg
MITE# FIRE SYSTEMS MANAGEMENT, LLC
BACKELOW PREVENTION ASSEMBLY TEST REPORT
110E 64th Avenu4 East, Tacoma, WA 96424
Phone: (253) 248-2000 Fax: (253) 243-2360 Work Type BACKFLOWS
ACCOUNT 0
TICKET # 70065
NAMEQPPREMLSE Gateway Corporate Center Bldg -9
TER PURVEYOR:
COPy
APPT DATE 10-9-14 CODESrCCpOANCE
Q ❑ enpM^PLIVED
SERVICE ADDRESS 13035 Gateway Dr. CITY
CONTACT PFRON Roxanne Knowle PHONE 253-398-9008 FAX
Tukwila ZIP 061487 2014
LOCATION OF ASSEMBLY Green Irrigation. Box SE Side Of Building 9 about 75ft Ri. ht Of H + rant.. Cf • It>a
DOWNSTR AMPR13C `� Irrigation DCVO QRPBA []PVAA • , DING
DIVISION
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LINE PRESSURE 145 PSI
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CERT. NO, B6003 GATE 10/9/2014
Mike. Magaway
TESTING COMPANY'S PHONE #. (253)148•2000
CALIBRATION DATE 9/29/14 °AWE0 11040988 MODEL__ Wilkins SERVICE RESTORED? ErYFS ONO
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10-9-14 Gateway Corporate Center Bldg -9 A05595 70065 SFSM - Backflow Prevention Assembly Test.pdf.0.jpg
SMITH FIRE SYSTEMS MANAGEMENT, LLC
BACKFLOW PREVENTION ASSEMBLY TEST REPORT
1106 54th Avenue Euul, Tucome, WA 96424
Phone: (253) 248-2000 Fax: (253) 248-2360 Work Type BACKFLOWS
ACCOTJNT TICKET# 70065 APPT DATE 10-9-14
WATiI:RP(JEYOR
SEND TO:
NAMEQFPRt 11SE Gateway Corporate Center Bldq -9 econeeercial OR,Rident 1
SERVICE ADDRESS 13035 Gateway Dr. CITY Tukwila ZIP 98168
CONTACT PERSON Roxanne Knowle PHONE 253-398-9008 FAX
LOCATION OFASSEMBLY Hot Box SE Corner Of BLDG 9 By Dumpsters.
DOWNSTREAM PROCESS Domestic CIDCVA RPBA CIPVBA OTHER
NEW INSTALL. 0 RXIST1NO stiRKPLACEMENT 0 OLD SER, 0 PROPER INSTALLATION? B(YEt9 ONO
MAKE OF ASSEMBLY Watts MODEL 009M2QT
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TESTERS SIC:MATU ;
TESTER" NAME PRINTED; Mike Magaway
CALIBRATION :DATE 9/29/14
REPAIRED EY:
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um, PRESSURE, 145 PSI
WSDOH APPROVED DEVICE? EftlIS 0 NO CONFINED SPACE? ❑ FES NO
CERT.NO. B6003
DATE 10/9/2014
TESTING COMPANY'S PHONED• (253124e•2000
U(1EI11040988 MODEL -__Wilkins SERVICEREST0R9D? RITES ONO
CALIBRATION DATE
W ate
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CI1 f-TUKW1#.A
GAUGE MODEL SERVICE RESTORED? OYES ONO
hunt. rhet,fita wen i, ecermm, end Ilhos grad WAC 246.290.00 appro,Md rat rvusfieda and irit equrprrertu. NOV 0 5 2014
CORRECTION0 b PERMIT CENTER
LTR#
10-9-14 Gateway Corporate Center Bldg -9 0162 70065 SFSM - Backflow Prevention Assembly Test.pdf.0.jpg
SMITH FIRE SYSTEMS MANAGEMENT, LLC
RAM LOW PREVENTION ASSEMBLY TEST REPORT
1106 64th Avenue Es ti, Tecoma, WA 98424
Phone: a53) 246-2000 Fax: (3) 24B-2360 Work Type BACKFLOWS
r
TICKET # 70065 APPT DATE 10-9-14
NAME OF PREMISE Gateway Corporate Center Bldq -9
SERVICE ADDRESS - 13035 Gateway Dr.
WATER RURV YOlt
SEND TO:
CITY Tukwila.
Co
CONTACT PER ON Roxanne Knowle PHONE 253-398-9008 PAX.
rc ir1 DR4044Mie1
ZIP 98168
LOCATION OF ASSEMBLY Vault At Building 9SE Side At PTV And FDC
DOWNSTREAM PROCESS Fire System Bypass RIDCVA CDRPBA IQPVBA OTHER
NEW INSTALL I❑ EXISTING gfRV LACEMENT 0 OLD SER,1W ROPERINSTALLATION? Q YEB DNO
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❑9114 Eel OTH
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k, PERMIT CENTER
10-9-14 Gateway Corporate Center Bldg -9 0531601 70065 SFSM - Backflow Prevention Assembly Test.pdf 0.jpg
SMITH FIRE SYSTEMS MANAGEMENT, LLC
BACKFLOW PREVENTION ASSEMBLY TESTREPORT
1106 64th Avenue E s , Tecome, WA 96424
Phone: Q53) 248-2000 Fax: (253) 248-60 Work Type
SACKFLOWS
ACCOUNT 1
TICKET# 70065 APPT DATE 10-9-14
NAMEOPPREMISE Gateway Corporate Center Bldg -9
SERVICE ADDRESS
13035 Gateway Dr.
CITY Tukwila.
WATER PURVEYOR
SEND TO:
[ CQmrnereLei ❑N ids:4W.
CONTACT PROM Roxanne Knowle PHONE 253-398-9008 FAX.
LOCATIONOFASSEMBLY Vault At Building 9 SE Side At PIV And FDC
ZIP 98168
DOWNSTREAM PROCESS Fire System Main
NEW INSTALL 0 EXI5TIN4 'REPLACEMENT 0 OLD SER, N
MAKE OP ASSEMBLY ( Ames MODEL [-3000
&fDCVA ( RPBA OPVBA OTHER
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;EDITION TEST pRocertuRgs ❑ PTH Elf OTH WSDO1d APPROVED DEVICE?'YES NO CONFINED SPACE? 156E13 ❑ NO
TESTERS S10NAT'URE: CERT. N0, B6003 DATE 10/9/2014
TES NAMEPRINTED; Mike Magaway TIMTIN( COMPANY'S PHONE #: (253) 246.2000
CALIBRATION ,DATE 9/29/ 14
REPAIRED BY:
FINAL TEST BY:
C1ALI0E0 11040988
MODEL Wilkins SERVi eRESTO1 ? gryE9 0140
CERT. NO.: ISATE
CERi',1$1;/t _
RECEIVED
CALIBRATION DATE CAW E M MODEL SERVICE REWRYDP F u N3 A
fdm ihdt,dm wen aeawox gad I11eor wad WAC246290400 qpr ewrd ru rwtlVadi and fill r m}naryic NOV 0 5 2014
W ate 1J
CORRECTION pG1,4,01m6
LTR#
PERMIT CENTER
October 31, 2014
City of Tukwila
Department of Public Works
Plumbing Permit Review
PROJECT NAME & Walgreens Infusion & Respiratory
LOCATION: 13035 Gateway Drive, Tukwila, WA
PERMIT NUMBER: PG14-0146
Comments/Responses
1.) Domestic Water: 2.0" Reduced Pressure Principle Assembly is overdue for
mandatory annual testing. The annual test month is August and a reminder letter
was sent on September 2, 2014 that the assemblies were due for the annual testing;
however, as of today we have not received test reports for 2014.
Response: Backflow Prevention Assembly Test Report dated 10-9-14 is
attached.
2.) Fire prevention: 8" Double Check Detector Assembly is overdue for testing with the
same timeline.
Response: Backflow Prevention Assembly Test Report dated 10-9-14 is
attached.
3.) Landscape irrigation: 1.5" Double Check Valve assembly is also overdue for
testing with the same timeline.
Response: Backflow Prevention Assembly Test Report dated 10-9-14 is
attached.
CORRECTION
LTR#
RECEIVED
CITY OF TUKWILA
NOV 0 5 2014
PERMIT CENTER
engineering consultants i 3 Executive Court, Unit 4, South Barrington, !L 60010
rtmassociates.com I 847.756.4180 ! MBE Certified Business
City of Tukwila
Department of Public Works
October 2, 2014.
E Property Tax Inc.
PO Box 4900
Scottsdale, AZ 85261
RE: Walgreens Infusion & Respiratory
Tenant Improvement
13035 Gateway Drive, Tukwila, WA
Permit No. PG14-0146
To Whom It May Concern:
Jim Haggertorr, Mayor
Bob Giberson, P.E., Director
in accordance with Washington State Department of Health guidelines for Group A Public Water
Systems, Public Works has implemented a cross -connection control program to protect the public water
system from contamination via cross -connection. The program requires elimination or control of any
cross -connection between the distribution system and a consumer's water system by the installation of an
approved backflow device. The City has determined that the building at the above address has correct
backflows installed on the domestic water, fire prevention and landscape irrigation line; however,
required annual backflow test reports are overdue.
a) Domestic water: 2.0" Reduced Pressure Principle Assembly (RPPA) is overdue for
mandatory annual testing. The annual test month is August and a reminder letter was sent
on September 2, 2014 that the assemblies were due for the annual testing; however, as of
today we have not received test reports for 2014.
b) Fire prevention: 8" Double Check Detector Assembly (DCDA) is overdue for testing
with the same timeline.
c) Landscape irrigation: 1.5" Double Check Valve assembly (DCVA) is also overdue for
testing with the same timeline.
Please note that lack of current backflow protection is a violation of Washington State
Department of Health law.
The Public Works Director will withhold final Public Works sign -off of the subject Plumbing
Permit until a passing backflow test report is received by Public Works.
CORRETION
LTR#
%[4QtLf ‚7
RECEIVED
CITY OF TUKWILA
NOV 05 2014
PERMIT CENTER
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-433-0179 • Fax: 206-431-3665
ttm
October 31, 2014
City of Tukwila
Department of Community Development
Plumbing/Gas Piping
Plumbing Permit Review
PROJECT NAME & Walgreens Infusion & Respiratory
LOCATION: 13035 Gateway Drive, Tukwila, WA
PERMIT NUMBER: PG14-0146
Comments/Responses
1.) Due to the nature of Walgreens Infusion & Respiratory Services (infusion, lab,
pharmacy, medical clinic) which is considered a high hazard, a Reduced Pressure
Principle Assembly 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. On your plan please show location diagram of RPPA
installation and specify size, manufacturer 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.
Response: A reduced pressure principle assembly will be installed on the 1-1/2"
tenant water supply line for cross -contamination protection to other tenants within
the building. Cut sheet and revised plan are attached.
2.) Please note that all of the building's premise isolation backflows are now due for the
annual testing and a separate backflow testing deficiency letter was mailed to CBRE
on October 3, 2014.
Response: Backflow Prevention Assembly Test Reports dated 10-9-14 are
attached.
CORRECTION
RECEIVED
CITY OF TUKWILA
1)(7 v+...-o i' � NOV 052014
PERMIT CENTER
engineering consultants I 3 Executive Court, Unit 4, South Barrington, IL 60010
rtmassociates.com I 847.756.4180 I MBE Certified Business
City of Tukwila
Department of Community Development
October 02, 2014
JEFF GRIFFEN
22 GATEWAY COMMERCE DR W #210
EDWARDSVILLE, IL 62025
RE: Correction Letter # 1
PLUMBING/GAS PIPING Permit Application Number PG14-0146
WALGREENS INFUSION & RESPIRATORY - 13035 GATEWAY DR
Dear JEFF GRIFFEN,
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.
• 1) Due to the nature of Walgreens Infusion & Respiratory Services (infusion, lab, pharmacy, 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. On your plan please show location diagram of RPPA installation and specify size,
manufacturer 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.
2) If this is a newly created or an existing medical facility in operation that lacks in -premise isolation, please
proceed with the above item 10.
3) If the existing facility has already an in -premise backflow, please submit a copy of the required annual backflow
test report.
• Please note that all of the building's premise isolation backflows are now due for the annual testing and a separate
backflow testing deficiency letter was mailed to CBRE on October 3, 2014.
Please address the comments above 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. PGI4-0146
6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
Joanna Spencer
From: Todd Reedy
Sent: Thursday, October 02, 2014 7:07 AM
To: Joanna Spencer
Subject: RE: Walgreens Infusion & Respiratory/Pharmacy @ 13035 Gateway Drive
D14-0293 & PG14-0146
Good morning Joanna,
The status is still the same for 13035 Gateway:
The backflow preventers were due for annual testing in September 2014 and we have not yet received test reports at our
office.
Hope you have a great day,
Todd
From: Joanna Spencer
Sent: Wednesday, October 01, 2014 2:48 PM
To: Todd Reedy
Cc: Han Kirkland; Joanna Spencer
Subject: FW: Walgreens Infusion & Respiratory/Pharmacy @ 13035 Gateway Drive D14-0293 & PG14-0146
Good Afternoon Todd,
Any progress?
Joanna
From: Todd Reedy
Sent: Thursday, September 25, 2014 3:59 PM
To: Joanna Spencer
Subject: RE: Walgreens Infusion & Respiratory/Pharmacy @ 13035 Gateway Drive D14-0293
Hello Joanna,
Regarding 13035 Gateway Drive:
- This property is current on backflow preventer installation.
- There is a 2" RPBA for premise isolation installed on domestic service
a 1.5" irrigation DCVA installed for the irrigation system
an 8" DCDA installed on the fireline connection.
All of the backflow preventers are now due for the annual testing. The test month for this property is September. The
last time they were tested was 10/2013. They were sent a reminder letter on 9/2/14 stating that they need to be tested
and we have not yet received test reports for 2014.
Let me know if you have any questions,
Todd
From: Joanna Spencer
Sent: Thursday, September 25, 2014 10:58 AM
To: Todd Reedy
Cc: Han Kirkland; Joanna Spencer
Subject: Walgreens Infusion & Respiratory/Pharmacy @ 13035 Gateway Drive D14-0293
Good Morning Todd,
Are their backflows current?
PERMANENT FILE COPY
PGI14)I4G
PERMIT COO2D CO 'Y
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: PG14-0146
DATE: 01/20/15
PROJECT NAME: WALGREENS INFUSION & RESPIRATORY
SITE ADDRESS: 13035 GATEWAY DR - SUITE 131
Original Plan Submittal Revision # before Permit Issued
Response to Correction Letter #
X Revision # 1 after Permit issued
DEPARTMENTS:
G1,0I
BuilMing Division 11
Public Works
Fire Prevention
Structural
Planning Division
Permit Coordinator II
PRELIMINARY REVIEW:
Not Applicable
(no approval/review required)
DATE: 01/22/15
Structural Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved
Corrections Required
Approved with Conditions
Denied
(corrections entered in Reviews) (ie: Zoning Issues)
DUE DATE: 02/19/15
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: PG14-0146 DATE: 11/05/14
PROJECT NAME: WALGREEN'S INFUSION & RESPIRATORY
SITE ADDRESS: 13035 GATEWAY DR
Original Plan Submittal
X Response to Correction Letter # 1
Revision # before Permit Issued
Revision # after Permit Issued
DEPARTMENTS:
Building Division ❑
Public Work'
Fire Prevention
Structural
Planning Division
Permit Coordinator
•
PRELIMINARY REVIEW:
Not Applicable ❑
(no approval/review required)
DATE: 11/06/14
Structural Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved
Corrections Required
Approved with Conditions
Denied
(corrections entered in Reviews) (ie: Zoning Issues)
DUE DATE: 12/04/14
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: PG14-0146 DATE: 09/22/14
PROJECT NAME: WALGREENS INFUSION & RESPIRATORY
SITE ADDRESS: 13035 GATEWAY DR
X Original Plan Submittal
Response to Correction Letter #
Revision # before Permit Issued
Revision # after Permit Issued
DEPARTMENTS:
kT ,9-vQc.
Building Division
Public Works
Fire Prevention
Structural
n
Planning Division
Permit Coordinator
n
1
PRELIMINARY REVIEW:
Not Applicable n
(no approval/review required)
DATE: 09/25/14
Structural Review Required
REVIEWER'S INITIALS: DATE:
n
APPROVALS OR CORRECTIONS: DUE DATE: 10/23/14
Approved
Corrections Required
Approved with Conditions
Denied
(corrections entered in Reviews) (ie: Zoning Issues)
n
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only 1 j
CORRECTION LETTER MAILED: LO v r M
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW Di--- Staff Initials:
12/18/2013
PROJECT NAME: Uottireevx s PERMIT NO: ? l9 1 LI - 011-4,
SITE ADDRESS: LSD R tj ORIGINAL ISSUE DATE: ()- 1-(--- L L(
131
REVISION LOG
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
IOC -
1
t- -13-
-4- js--
Summary of Revision: ; M rv€U �� p, � p
GS
Received by:
C- q.L,F
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision: -
Received by:
(please print)
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision:
Received by:
(please print)
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision:
Received by:
(please print)
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision:
Received by:
(please print)
REVISION
NO.
DATE RECEIVED
STAFF
INITIALS
ISSUED DATE
STAFF
INITIALS
Summary of Revision:
Received by:
(please nrintl
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Weh site: litt iJi ww,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: 01.15.2015
Nan Check/Permit Number: PG 14-0146
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
a- Revision # I after Permit is Issued
❑X Revision requested by a City Building. .Inspector or Plans Examiner
Project Name: Walgreen WIRS Tukwila Tenant Improvement
Project Address: 13035 Gateway Drive, Suite 131
Contact Person: Jeff Griffin Phone Number: 618.979.4168
Summary' of Revision:
(1) Gas piping outlet to new RTU was missed in fixture table on original application. Also
existing conditions differ from assumed therefore, pipe sizing has been modified to fit the
existing.
RECEIVED
2015
PERMIT CENTER
Sheet Number(s): M 111
"Cloud" or highlight all areas of revision including date o revision
Received at the City of Tukwila Permit Center by:
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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.ci.tukwila.wa.us
REVISION SUBMIT?
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: 11 /04/14
Plan Check/Permit Number: PG14-0146
❑ 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: Walgreens Infusion & Respiratory
Project Address: 13035 Gateway Dr
Contact Person: Jeff Griffin Phone Number: 618-979-4168
Summary of Revision:
A reduced pressure principle assembly will be installed on the 1 1/2" tenant water supply line for cross -
contamination protection to other tenants within the building. Cut sheet and revised plan are attached.
Backflow Prevention Assembly Test Reports dated 10/09/14 are attached.
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NOV.0.5. 201'
Sheet Number(s): P111
"Cloud" or highlight all areas of revision including date of revision
Received at the City -of Tukwila Permit Center by:
(:S3--Entered in TRAKiT on 1 �,'
PERUIT CENTER
\applications\torms-applications on line\revision submittal
Created: 8-13-2004
Revised:
CLEARVIEW MECHANICAL ITT'
Page 1 of 2
Ank ashiington State Department of
abor & Industries
CLEARVIEW MECHANICAL INC
Owner or tradesperson
LEAVER, GREGORY E W
Principals
LEAVER, GREGORY E W, MANAGER
WONG, BENSON D, AGENT
BELL, TRACY W, SECRETARY
(End: 10/09/2014)
Doing business as
CLEARVIEW MECHANICAL INC
WA UBI No.
601 655 738
6846 48TH AVE NE
SEATTLE, WA98115
206-527-8515
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
GENERAL
License no.
CLEARMI051 P4
Effective — expiration
10/24/1995— 11/03/2016
Bond
RLI INS CO
Bond account no.
LSM0095756
Active.
Meets current requirements.
$12,000.00
Received by L&I Effective date
08/12/2009 10/01/2009
Expiration date
Until Canceled
Bond history
Insurance
Continental Western Ins Co
Policy no.
CWP2843929-25
$1, 000, 000.00
Received by L&I Effective date
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601655738&LIC=CLEARMI051 P4&SAW= 12/04/2014