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HomeMy WebLinkAboutPermit PG15-0005 - CASCADE BEHAVIORAL HOSPITAL - SHOWERS AND CAPPINGCASCADE BEHAVIORAL HEALTH 12844 MILITARY RD S PG15-0005 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.Rov PLUMBING/GAS PIPING PERMIT Parcel No: 1623049001 Permit Number: PG15-0005 Address: 12844 MILITARY RD S Issue Date: 5/6/2015 Permit Expires On: 11/2/2015 Project Name: CASCADE BEHAVIORAL HOSPITAL Owner: Name: HCH SPECIALTY CENTER Address: 12844 MILITARY RD S ATTN ACCOUNTING DEPT, TUKWILA, WA, 98168 Contact Person: Name: DANIELJARDINE Phone: (206)441-4522 Address: 2025 FIRST AVE, SUITE 300, SEATTLE, WA, 98121 Contractor: Name: HOLMBERG COMPANY Phone: (425) 822-2233 Address: PO BOX 249, KIRKLAND, WA, 98083 License No: HOLMBC*066ME Expiration Date: 9/1/2015 Lender: Name: Address: DESCRIPTION OF WORK: REPLACEMENT OF EXISTING PLUMBING FIXTURES, ADDITION OF SHOWERS, CAPPING OF EXISTING MEDICAL GASES ABOVE CEILINGS. Valuation of Work: $325,000.00 Fees Collected: $1,595.78 Water District: 20 Sewer District: VALLEY VIEW SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-46B: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 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 construc 'on or the performance of work. I am authorized to sign and obtain this development permi nd r e to t e conditions attached to this permit. Signature: Date: .S/W//-> Print 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: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 2: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 3: ***PLUMBING/GAS PIPING PERMIT CONDITIONS*** 4: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 5: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 6: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 7: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 8: 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. 9: 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. 10: 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. 11: 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. 12: 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. 13: 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. 14: 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. 15: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit. 16: 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 1900 PLUMBING FINAL 8005 ROUGH -IN PLUMBING CITY OF TUKW. Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hM2://www.TukwilaWA.p-ov Plumbing/Gas Permit No.F 1 L(� i�J L J l �3 Project No. Date Application Accepted: - L(- (,-j Date Application Expires: 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 King Co Assessor's Tax No.. 162-304-9001 Site Address: 12844 Military Road S. Suite Number: Floor: 2W-2N Tenant Name: Cascade Behavioral Hospital New Tenant: ❑ .....Yes m ..No PROPERTY OWNER Name: Acadia Healthcare Address: 830 Crescent Drive, Suite 610 City: Franklin State: WA Zip: 37067 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 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): $ 325,000 Scope of Work (please provide detailed information): Replacement of existing plumbing fixtures, addition of showers, capping of existing medical gasses above ceilings. Building Use (per Int'l Building Code): Hospital Occupancy (per Int'l Building Code): 1-2 Utility Purveyor: Water: King County Water District #20 Sewer: Valley View H:WpplicationskFmms-Applications On Linet2011 Applications\Plumbing Permit Application Revised g-9-1 I.docx Revised: August 2011 bh Pagel of 2 Indicate type of plumbing fixtures and/ot d piping outlets being installed and the quantity _.;low: Fixture Type Qty Bathtub or combination 0 bath/shower Dishwasher, domestic with 0 independent drain Shower, single head trap 5 Sinks 6 Rain water system — per 0 drain (inside building) Grease interceptor for 0 commercial kitchen (>750 gallon capacity) Each additional medical 0 gas inlets/outlets greater than 5 Atmospheric -type vacuum 0 breakers not included in lawn sprinkler backflow protections 1-5 Fixture Type Qty Bidet 0 Drinking fountain or water 3 cooler(per head Lavatory 0 Urinal 0 Water heater and/or vent 0 Repair or alteration of 15 water piping and/or water treatment equipment Backflow protective device 4 other than atmospheric - type vacuum breakers 2 inch (51 mm) diameter or smaller Atmospheric -type vacuum 0 breakers not included in lawn sprinkler backflow protection s over 5 PERMIT APPLICATION NOTES - Fixture Type Qty Clothes washer, 2 domestic Food -waste grinder, 0 commercial Wash fountain 0 Water closet 28 Industrial waste 0 treatment interceptor, including trap and vent, except for kitchen type ease interceptors Repair or alteration of 15 drainage or vent piping Backflow, protective 0 device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Gas piping outlets 0 Fixture Type Qty Dental unit, cuspidor 0 Floor drain 0 Receptor, indirect waste 1 Building sewer and each trailer ark sewer 0 Each grease trap 0 (connected to not more than 4 fixtures - <750 gallon capacity Medical gas piping 0 system serving 1-5 inlets/outlets for a specific as Each lawn sprinkler 0 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 BSf/ RE LAWS OF -PIE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER Signature: Print C. J Mailing Address: 2025 F Suite 300 Date: S Day Telephone: (206) 441-4522 Seattle WA 98121 City State Zip H:\Appliations\Forms-Applications On Line\2011 ApplicationsTiumbing Permit Application Revised 8-9-1I.docx Revised: August 2011 Page 2 of 2 bh DESCRIPTIONS PermitTRAK • QUANTITY PAID $1,689.99 M15-0009 Address: 12844 MILITARY RD S Apn: 1623049001 $406.69- MECHANICAL $354.20 PERMIT FEE R000.322.100.00.00 T 0.00 $354.20 TECHNOLOGY FEE $52.49 TECHNOLOGY FEE R000.322.900.04.00 0.00 $52.49 PG15-0005 Address: 12844 MILITARY RD S Apn: 1623049001 $1,283.30 PLUMBING $1,220.80 PERMIT FEE R000.322.100.00.00 0.00 $1,217.40 PLAN CHECK FEE R000.322.103.00.00 0.00 $3.40 TECHNOLOGY FEE $62.50 TECHNOLOGY FEE TOTALr R000.322.900.04.00 0.00 $62.50 .;... Date Paid: Wednesday, April 29, 2015 Paid By: Colleen - Holmberg Co. Pay Method: CREDIT CARD 683632 Printed: Wednesday, May 06, 2015 3:09 PM 1 of 1 ��"` � .� ti .,` IY57EMS Date Paid: Wednesday, January 21, 2015 Paid By: ALPHA CONSTRUCTION INC Pay Method: CHECK 009687 Printed: Wednesday, January 21, 2015 2:13 PM 1 of 1 w _ SYS 7EPn5 -.49:7k� 9 U INSPECTION RECORD p�-� `pOP Retain a copy with permit INSPECTION N0. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request line (206) 438-9350 Pro'ect:�� Type f inspec�Non) Cj J A r ss: c Date Called: Special Instructions: Date Wanted: / a.m. -- I ' — _ p.m. Reese ter: Jo r Phone N 7 6- c ( nspector: Date:Gj ` _._ J— REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. i / � INSPECTION RECORD 'T Retain a copy with permit QIS OAS �%rfnION N0, PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: cQ®5 l 47 / Type f Inspection: < Address: - i � q cl v ltd ft. Date Called: Special Instructions: Date Wanted: a.m. - ( - Is- p.m. ��v Requester: 1� @� V4 F(v-.L6 Phone No: 6-7 d-�fso Inspector: Dat� REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'I -AD i INSPECTION RECORD , Retain a copy with permit INNWFION 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 Prgject: ` % f! •� k- 94 „t c3N fill 1 slo- Type of Inspec ' n; I Address: ( � Date Call d: Special Instructions: Date Wanted: a.m. e Zjl ---LC p.m. Requester: Phone No: ++ ucc' ,Approved per applicable codes. LJ Corrections required prior to approval. M MENTS: Inspe t r: Date: 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 PGIs-� NSP CTION 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 Project: � � TypeKf Insp ctio Address: '� � I l•k Date Called: Special Instructions: Date ant? a.m. p/i� ' p.m. Requester: Flk Phone No: 12_gd VC�� 1-1 Approved per applicable codes. E Corrections required prior to approval. COMMENTS: I it CA �ZZ kj _ CvlKoo Z Inspector: DataL— REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. io �9z t INSPECTION RECORD Retain a copy with permit IN'P ION 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 Project: / Type of Inspection* Lt GGt/a Address q A r f Date CaI d: Special Instructions: ((� n Date W me a.m. 9b p.m. Requester %uL bep- 1 Phone No: ( © —j-1- Approved per applicable codes. a Corrections required prior to approval. COMMENTS: -o uy-f oul v Inspector: Dat REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: PG15-0005 DATE: 1-21-15 PROJECT NAME: CASCADE BEHAVIORAL HOSPITAL SITE ADDRESS: 12844 MILITARY RD S X Original Plan Submittal Response to Correction Letter # DEPARTMENTS: Bui ing Division W PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved ❑ Corrections Required ❑ (corrections entered in Reviews) Notation: REVIEWER'S INITIALS: Revision # before Permit Issued Revision # after Permit Issued Fire Prevention ❑ Structural ❑ Planning Division ❑ Permit Coordinator ❑ DATE: 1-22-15 Structural Review Required ❑ DUE DATE Approved with Conditions d Denied ❑ (ie: Zoning Issues) DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 2-19-15 12/18/2013 HOLMBERG COMPANY Page 1 of 2 Hone: Inicio en .Fspanol Contact Safety 4nWashington State department of Labor & Industries HOLMBERG COMPANY Search L&I A-G Index Help TRAY Secure L&I Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson 1128 8TH STREET VARRIANO , JON S KIRKLAND, WA98033 426-822-2233 Principals KING County VARRIANO , JON S HOLMBERG, KANDICE K WHITE, JEFF K, PRESIDENT HOLMBERG, A PHER, VICE PRESIDENT WHITE, DIANA, SECRETARY WHITE, DIANA, TREASURER Doing business as HOLMBERG COMPANY WA UBI No. Business type 174 003 387 Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. HOLMBC`066ME Effective — expiration 07/05/1994— 09/01 /2016 Bond ................. HANOVER INSURANCE COMPANY THE $12,000.00 Bond account no. 1959086 Received by L&I Effective date 07/18/2011 09/01 /2011 Expiration date Until Canceled Bond history Insurance American Fire & Casualty Co $1,000,000.00 Policy no. BKA55653106 Received by L&I Effective date 08/05/2014 09/01/2013 Expiration date 09/01/2015 Insurance history https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=174003387&LIC=HOLMBC*066ME&SAW= 5/6/2015