HomeMy WebLinkAboutPermit M15-0009 - CASCADE BEHAVIORAL HOSPITAL - HVACCASCADE BEHAVIORAL
HOSPITAL
12844 MILITARY RD S
M15-0009
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
MECHANICAL PERMIT
1623049001 Permit Number:
12844 MILITARY RD S Issue Date:
Permit Expires On:
Project Name: CASCADE BEHAVIORAL HOSPITAL
M15-0009
5/6/2015
11/2/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
HCH SPECIALTY CENTER
12844 MILITARY RD S ATTN
ACCOUNTING DEPT, TUKWILA, WA,
98168
DANIEL JARDINE
2025 FIRST AVE STE 300 , SEATTLE,
WA, 98121
Contractor:
Name: HOLMBERG COMPANY
Address: PO BOX 249 , KIRKLAND, WA, 98083
License No: HOLMBC*066ME
Lender:
Name:
Address:
Phone: (206) 441-4522
Phone: (425) 822-2233
Expiration Date: 9/1/2015
DESCRIPTION OF WORK:
MINOR HVAC/MECHANICAL MODIFICATIONS TO THE EXISTING DUCTWORK. ALL EXISTING EQUIPMENT IS BEING
REUSED. NEW CONTROLS AND DIFFUSERS AND GRILLES.
Valuation of Work: $450,000.00
Type of Work: REPLACEMENT
Fuel type:
Fees Collected: $1,364.62
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 20
Sewer District: VALLEY VIEW SEWER SERVICE
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:
Permit Center Authorized Signature:
2012
2012
2012
2012
2012
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2012
Date: V/ Y S-
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 regulatin• •nstruction or the performance of work. I am authorized to sign and obtain this
development perm}: and ; to theptions attached to this permit.
Signature:
Print Name:
Date s
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: Work shall be installed in accordance with the approved construction documents, and any changes made
during construction that are not in accordance with the approved construction documents shall be
resubmitted for approval.
2: All permits, inspection record card and approved construction documents shall be kept at the site of work
and shall be open to inspection by the Building Inspector until final inspection approval is granted.
3: When special inspection is required, either the owner or the registered design professional in responsible
charge, shall employ a special inspection agency and notify the Building Official of the appointment prior to
the first building inspection. The special inspector shall furnish inspection reports to the Building Official in
a timely manner.
4: A final report documenting required special inspections and correction of any discrepancies noted in the
inspections shall be submitted to the Building Official. The final inspection report shall be prepared by the
approved special inspection agency and shall be submitted to the Building Official prior to and as a
condition of final inspection approval.
5: All construction shall be done in conformance with the Washington State Building Code and the
Washington State Energy Code.
6: 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.
7: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the
City of Tukwila Building Department (206-431-3670).
8: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center.
9: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an
approval of, any violation of any of the provisions of the building code or of any other ordinances of the City
of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other
ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction
documents and other data shall not prevent the Building Official from requiring the correction of errors in
the construction documents and other data.
10: ***MECHANICAL PERMIT CONDITIONS***
11: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center (206/431-3670).
12: Manufacturers installation instructions shall be available on the job site at the time of inspection.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1800 MECHANICAL FINAL
0609 PIPE/DUCT INSULATION
0701 ROUGH -IN MECHANICAL
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Mechanical Permit No. 16 ~66 cf
Project No.
Date Application Accepted: 2
Date Application Expires: '1 ' `Ll - I
(For office use only)
MECHANICAL 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:
12844 Military Road S.
Tenant Name: Cascade Behavioral Hospital
PROPERTY OWNER
Name: Acadia Healthcare
Address: 830 Crescent Drive, Suite 610
City: Franklin State: TN
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
King Co Assessor's Tax No.: 162-304-9001
Suite Number: Floor: 2W-2N
New Tenant: ❑ Yes Q]..No
MECHANICAL 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): $ 450,000
Describe the scope of work in detail:
Minor HVAC/Mechanical modifications to the existing ductwork. All existing equipment is being reused. New controls and
diffusers and grilles.
Use: Residential: New ❑ Replacement ❑
Commercial: New ❑ Replacement
Fuel Type: Electric ❑
Gas ❑ Other: Reuse of all existing equipment.
H:Wpplications\Fornts-Applications On Line \ 2011 Applications\Mechanical Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
Page 1 of 2
Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty
Furnace <100k btu
Furnace >100k btu
Floor furnace
Suspended/wall/floor
mounted heater
Appliance vent
Repair or addition to
heat/refrig/cooling
system
Air handling unit
<10,000 cfm
Unit Type
Qty
Air handling unit
>10,000 cfm
Evaporator cooler
Ventilation fan
connected to single duct
Ventilation system
Hood and duct
Incinerator — domestic
Incinerator —
comm/industrial
Unit Type
Qty
Fire damper
Diffuser
158
Thermostat
9
Wood/gas stove
Emergency generator
Other mechanical
equipment
Boiler/Compressor
Qty
0-3 hp/100,000 btu
3-15 hp/500,000 btu
15-30 hp/1,000,000 btu
30-50 hp/1,750,000 btu
50+ hp/1,750,000 btu
*For the most part existing diffusers are simply being replaced with non -tamper type
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 additional periods not to exceed 90 days each. The extension shall be requested in writing
and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
1 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 OWNER OR AUT . " t AG NT:
Signature:
Print Name:
Danniiel C. Jardine
Mailing Address:
2025 First Avenue, Suite 300
Date:
Day Telephone: (206) 441-4522
Seattle WA 98121
City State Zip
n: Applications\Forrts-Applications On Line \2011 ApplicationsWechanical Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$1,689.99
M15-0009 Address: 12844 MILITARY RD S
Apn: 1623049001
$406.69
MECHANICAL
$354.20
PERMIT FEE
I R000.322.100.00.00
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
TOTAL FEES PAID BY RECEIPT: R5175
R000.322.900.04.00
0.00
$62.50
$1,689.99
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
eWSYSTEMS
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
I ACCOUNT
I QUANTITY I
PAID
$957.93
M15-0009 Address: 12844 MILITARY RD S
Apn: 1623049001
$957.93
MECHANICAL
$957.93
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$663.00
PLAN CHECK FEE
TOTAL FEES PAID BY RECEIPT: R5172
R000.322.102.00.00
0.00
$262.43
$957.93
Date Paid: Wednesday, January 21, 2015
Paid By: ALPHA CONSTRUCTION INC
Pay Method: CHECK 009687
Printed: Wednesday, April 29, 2015 11:09 AM 1 of 1
C! fsYSTEMS
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY
PAID
$957.93
$957.93
$957.93
$957.93
$957.93
PermitTRAK
M15-0009 Address: 12844 MILITARY RD S Apn: 1623049001
MECHANICAL
PLAN CHECK FEE
TOTAL FEES PAID BY RECEIPT: R4192
R000.322.102.00.00
0.00
Date Paid: Wednesday, January 21, 2015
Paid By: ALPHA CONSTRUCTION INC
Pay Method: CHECK 009687
Printed: Wednesday, January 21, 2015 2:06 PM
1 of 1
SYSILMS
Rs
V�INSPECTION RECORD
Retain a copy with permit
INION NO.
MC'-ocp
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 ofp s�je`ctiron: r
Add r ss. /( �1l/per,
�ZGT� ((,lacy1 "� Sy
I
Date Called:
Special Instructions:
km
1 �( , S
1 r Lf � t
Date pWanted:
-(- z2 - (3
a.m.
p.m.
Requester: (I;') e 4-LI T
Phone No:
_ Lq,o ` %[ 7 '7 t7�j/ c/
il..
Approved per applicable codes. LJ Corrections required prior to approval.
OM MENTS:
0 F-1-6 Ptqf
r
Inspector: '
Date
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
A05ceo
-
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-3670
PrL-- .5 /i �� (`- y/
Type o In�sprecrti-on: , r
f
Address: /y ///[,!/y//}
7 / ,V,//r l ((1c 1
Date Called:
J 6
Special Instructions:
4-4 l
2 t6 „dorm L
Date anted:
16 -1 �,
11 5"
a.m.
p.m.
Requester:
Phoee/No:
EgApproved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
A-
i
v_tva oc_ ,L AC
Inspector:
gi4/
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
Project:`/
ro/
C1rS�� 4v1°6'/ f7
Type of Inspection:
?1p -b� Cbt..5, I/1,—Fl
Address:
/2ye-/ f�i/Ali f
i&S
Date Called:
Special Instructions:
,- t,C,''r'
Date Wanted:
/U—/c
a.m.
p.m.
Requester:
Phone No:
&Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
dtT C'�I2-ll�a`I�R
Inspector:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
0
MalINSPECTION RECORD
Retain a copy with permit
INSP ON NO.
4K.-- (09
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-3670
Pro' ct: /
lSeilit 6-dAd/au /ASP"
Type of Inspection:
koil h li✓ V14€11
Address:
Z.54(/ /////417 Ls
Date Called:
Special Instructions: p
,/
Date Wanted:
d- q 1(
a.m.
p.m.
Requester:
Phone No:
bib 776 7%9
❑ Approved per applicable codes.
[TICorrections required prior to approval.
COMMENTS: lilt
2 ‘ / cif . S447 c,444% cxSii-
3 /WA 4,a, p fc / 1 av -
Inspector:
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
INSP NO. PERMIT NO.
Ass-- 0o
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-3670
Projfiicra
[dr' ,
Type Inspec i�rn: `
(/�,`
A
11
o t
‘114
( (( far
ate Called:
jo ,
Special Instru lions:
1
Date Wanted:
-7 `
�`'�
— (J
a.m.
p.m.
Requester: ,
Phone No:
proved per applicable codes. Corrections required prior to approval.
CO MENTS:
19/ k' 2,-rx
it/- cif
f--
/06 r
06
Inspect
Date:7
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
t"(
I INSPECTION RECORD
'
Retain a copy with permit (00O
I ON NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-3670
Project: -.�
C ai d€(I- e s�
Type of Inspe tion�
L _ -AV' L4
Address:
14 Cf ✓v( (( *kr\/ 4(1,
Date Called:
Special Instructions: //jDate
6.1.1
Wanted•
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
s.
MENTS:
I/ I ZPtd Pvf,
k-vfrcr:de4
Inspector:
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
ON NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-3670
Project: `f.o(Q 1
G S�
Type gf Inspections
f/� tt ,
sl�icC
Address:
(Z 4(((( r%
.fit
Date Called
Special Instructions:
/
/T4 _A4
Date Wanted
- 6 -��_
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
dMEN �'� ie.���u^r��w% .
ro
Aid ifr
rtalCblel t Cf �,�1(.�S
Inspector:
Date:/' J'
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
1Mi.s-000q
AIRTEST Co., Inc.
Preliminary Test and Balance
Report
FIRM: Airtest Co Inc
PO Box 86
Issaquah, WA 98027
PHONE: 425-313-0172
FAX: 425-313-5735
PROJECT: Cascade Behavioral Health - 2nd Floor
12844 Military RD S
Tukwila, WA 98168
DATE: 9/4/2015 PROJECT #: 15-2030-1
CONTACT: Jason Douglas
NOTES:
Airtest Co Inc
RECEIVED
CITY OF TUKWILA
SEP 0 4 2015
PERMIT CENTER
AIRTEST Co., Inc. i3
Air Handling Unit
PROJECT: Cascade Behavioral Health
LOCATION: Tukwila, WA
PROJECT #:
DATE: 9/4/2015
CONTACT: Jason Douglas
SYSTEM/UNIT: AHU-E
AREA:
AHU-E Retum Inlet Summary
Tested By: Jason Douglas
Test Date: August 31, 2015
System / Unit
Area Served
Outlet
Type
Size LxW
I D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Inlet-01
Paitient Room N216
RG
220
170
Inlet-02
Corridor CN203
RG
200
120
Inlet-03
Paitient Room N217
RG
240
150
Inlet-04
West Social N212
RG
155
165
Inlet-05
Paitient Room N211
RG
210
170
Inlet-06
Paitient Room N200
RG
230
220
Inlet-07
Active Social N205
RG
290
270
Inlet-08
Corridor CN202
RG
400
415
Inlet-09
Active Social N205
RG
290
400
Inlet-10
Group Therapy W200
RG
380
r
Inlet-11
Group Therapy W200
EG
380
Inlet-12
Elevator Lobby
RG
260
Inlet-13
VisitorlConsult 2 W221
RG
235
Inlet-14
Active Social W222
RG
200
Intet-15
Active Sociat W222
RG
200
Intet-16
Corridor
RG
260
Inlet-17
Paitient Room W225
RG
220
Inlet-18
Paitient Room W226
RG
220
Inlet-19
Paitient Room W227
RG
220
Inlet-20
Paitient Room W220
RG
200
Inlet-21
Paitient Room W230
RG
-.
200
Inlet-22
Paitient Room W231
RG
200
Inlet-23
Paitient Room W232
RG
200
Inlet-24
Meds
RG
280
Inlet-25
Staff Conf. N202
RG
140
220
Inlet-26
Quiet/Consult N231
RG
125
90
Inlet-27
Exam N230
RG
240
215
Inlet-28
Visitor/Consult (1) N220
RG
180
160
Inlet-29
Paitient Room N223
RG
200
155
Inlet-30
Paitient Room N224
RG
270
25
Inlet-31
Corridor
RG
325
75
Inlet-32
Paitient Room N223
RG
210
Inlet-33
Paitient Room N222
RG
180
60
Inlet-34
Paitient Room N221
RG
200
25
Totals :
-
-
7,960
3,105
-
0 %
* Notes
AHU-E / Inlet 30
3-Sep-15 Jason Douglas Item 0001 : Closet shelf blocks read with hood.
Airiest Co Inc
AIRTEST Co., Inc.
Air Handling Unit
PROJECT: Cascade Behavioral Health
LOCATION: Tukwila, WA
PROJECT #:
DATE: 9/4/2015
CONTACT: Jason Douglas
SYSTEM/UNIT: AHU-E / VAV-1
AREA: Active Social N205
Unit Data
VAV Address
1
AHU-E / VAV-1 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 300 CFM
Actual Max Primary CFM 310 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Active Social N205
CD
24 x 24
300
440
310
103
Totals :
-
-
300
440
310
103 %
* Notes
SYSTEM/UNIT: AHU-E / VAV-10
AREA: Paitient Room N223
Unit Data
VAV Address
10
AHU-E / VAV-10 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 280 CFM
Actual Max Primary CFM 275 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitient Room N223
CD
24 x 24
140
180
135
96
Outlet-02
Paitient Room N223
CD
24 x 24
140
100
140
100
Totals :
-
-
280
280
275
98 %
Notes
Alttest Co Inc
AIRTEST Co., Inc.
Air Handling Unit
PROJECT: Cascade Behavioral Health
LOCATION: Tukwila, WA
PROJECT #:
DATE: 9/4/2015
CONTACT: Jason Douglas
SYSTEM/UNIT: AHU-E / VAV-11
AREA: Paitient Room N224
Unit Data
VAV Address
11
AHU-E / VAV-11 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 340 CFM
Actual Max Primary CFM 325 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitient Room N224
CD
8 x 8
100
120
105
105
Outlet-02
Patent Room N224
CD
24 x 24
240
120
220
92
Totals :
-
-
340
240
325
96 %
* Notes
SYSTEM/UN/T-• AHU-E / VAV-12
AREA: Paitient Room N223
Unit Data
VAV Address
12
AHU-E / VAV-12 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 250 CFM
Actual Max Primary CFM 245 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitient Room N223
CD
24 x 24
250
245
245
98
Totals :
-
-
250
245
245
98 %
* Notes
Airiest Co Inc
AIRTEST Co.. Inc.
Air Handling Unit
PROJECT: Cascade Behavioral Health
LOCATION: Tukwila, WA
PROJECT #:
DATE: 9/4/2015
CONTACT: Jason Douglas
SYSTEM/UNIT: AHU-E / VAV-13
AREA: Visitor/Consult (1) N220
Unit Data
VAV Address
13
AHU E / VAV-13 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 280 CFM
Actual Max Primary CFM 270 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Visitor/Consult (1) N220
CD
24 x 24
230
170
220
96
Outlet-02
TLT N229T
CD
8 x 8
50
80
50
100
Totals :
-
-
280
250
270
96 %
Notes
SYSTEM/UNIT: AHU-E / VAV-14
AREA: Exam N230
Unit Data
VAV Address
14
AHU-E / VAV-14 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 240 CFM
Actual Max Primary CFM 245 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Exam N230
CD
24 x 24
240
280
245
102
Totals :
-
-
240
280
245
102 %
* Notes
Airiest Co Inc
AIRTEST Co., Inc.
Air Handling Unit
PROJECT: Cascade Behavioral Health
LOCATION: Tukwila, WA
PROJECT #:
DATE: 9/4/2015
CONTACT: Jason Douglas
SYSTEM/UNIT: AHU-E / VAV-15 low
AREA: Visitor/Consult 2 W221
Unit Data
VAV Address
15
AHU-E / VAV-15 low Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 345 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Staff Conf. N202
CD
24 x 24
220
130
Outlet-02
Visitor/Consult 2 W221
125
50
Totals :
-
-
345
180
-
0
* Notes
AHU-E / VAV-15 low 4-Sep-15 Jason Douglas Item 0004 : Box at max per controls.
SYSTEM/UNIT: AHU-E / VAV-16
AREA: Nurse Manager N234
Unit Data
VAV Address
16
AHU-E / VAV-16 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 350 CFM
Actual Max Primary CFM 355 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Corridor
CD
24 x 24
120
150
150
125
Outlet-02
Nurse Manager N234
CD
10 x 10
100
145
105
105
Outlet-03
Corridor
CD
24 x 24
130
50
100
TT
Totals :
-
-
350
345
355
101 %
* Notes
Airiest Co Inc
AIRTEST Co., Inc.
Air Handling Unit
PROJECT: Cascade Behavioral Health
LOCATION: Tukwila, WA
PROJECT #:
DATE: 9/4/2015
CONTACT: Jason Douglas
SYSTEM/UNIT: AHU-E / VAV-17
AREA: Paitent Laundry
Unit Data
VAV Address
17
AHU-E / VAV-17 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 300 CFM
Actual Max Primary CFM 290 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitent Laundry
CD
24 x 24
100
140
95
95
Outlet-02
Corridor
CD
24 x 24
100
145
100
100
Outlet-03
Soiled Utility
CD
24 x 24
100
145
95
95
Totals :
-
-
300
430
290
97 %
* Notes
SYSTEM/UNIT: AHU-E / VAV-18
AREA: Nurse Station
Unit Data
VAV Address
18
AHU-E/VAV-18 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 780 CFM
Actual Max Primary CFM 710 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ 0
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Nurse Station
CD
24 x 24
125
70
110
88
Outlet-02
Nurse Station
CD
24 x 24
230
245
215
93
Outlet-03
Meds
CD
8 x 8
100
50
95
95
Outlet-04
Nurse Station
CD
24 x 24
125
70
95
76
Outlet-05
Clean Supply
CD '
8 x 8
75
60
75
100
Outlet-06
Nurse Station
CD
24 x 24
125
90
120
96
Totals :
-
-
780
585
710
91 %
* Notes
Airiest Co Inc
AIRTEST Co., Inc.
Air Handling Unit
PROJECT: Cascade Behavioral Health
LOCATION: Tukwila, WA
PROJECT #:
DATE: 9/4/2015
CONTACT: Jason Douglas
SYSTEM/UNIT: AHU-E / VAV-19
AREA: Corridor CN203
Unit Data
VAV Address
19
AHU-E / VAV-19 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 140 CFM
Actual Max Primary CFM 140 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Corridor CN203
CD
24 x 24
140
140
140
100
Totals :
-
-
140
140
140
100 %
i1 Notes
SYSTEM/UNIT: AHU-E / VAV-2 high
AREA: Seclusion
Unit Data
VAV Address
2
AHU-E / VAV-2 high Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 500 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Seclusion
CD
24 x 24
100
420
380
380
Outlet-02
Conidor
CD
24 x 24
100
180
165
165
Outlet-03
Active Social N205
CD
24 x 24
300
400
360
120
Totals :
-
-
500
1,000
905
181 %
Notes
AHU-E / VAV-2 high 4-Sep-15 Jason Douglas Item 0003 : Controls do not work.
Ai#est Co Inc
A]IRTEST Co., Into
Air Handling Unit
PROJECT: Cascade Behavioral Health
LOCATION: Tukwila, WA
PROJECT #:
Nrig 013
DATE: 9/4/2015
CONTACT: Jason Douglas
SYSTEM/UNIT: AHU-E / VAV-20 low
AREA: Group Therapy W200
Unit Data
VAV Address
20
AHU-E / VAV-20 low Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 850 CFM
System / Unit
Area Served
Outlet
l\pe
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Group Therapy W200
CD
24 x 24
380
100
Outlet-02
Group Therapy W200
CD
24 x 24
380
100
Outlet-03
Group Therapy W200
CD
24 x 24
90
90
Totals :
-
-
850
290
-
0 %
* Notes
AHU-E / VAV-20 low 4-Sep-15 Jason Douglas Item 0008 : Low airflow at box max
SYSTEM/UNIT: AHU-E / VAV-21 missing grill
AREA: Nurse Staion
Unit Data
VAV Address
21
AHU-E / VAV-21 missing grill Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 1005 CFM
Actual Max Primary CFM 1040 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Corridor
CD
24 x 24
110
135
Outlet-02
Corridor
CD
24 x 24
180
Outlet-03
Corridor
CD
24 x 24
180
215
Outlet-04
Nurse Staion
CD
24 x 24
125
140
Outlet-05
Nurse Staion
CD
24 x 24
310
420
Outlet-08
Elevator Lobby
CD
24 x 24
100
130
Totals :
-
-
1,005
1,040
-
0 %
* Notes
AHU-E / VAV-21 missing 4-Sep-15 Jason Douglas Item 0007 : Grille not installed.
grill / Outlet-02
Airiest Co Inc
AIRTEST Co., Inc.
Air Handling Unit
PROJECT: Cascade Behavioral Health
LOCATION: Tukwila, WA
PROJECT #:
DATE: 9/4/2015
CONTACT: Jason Douglas
SYSTEM/UNIT: AHU-E / VAV-22 missing duct
AREA: Visitor/Consult 2 W221
Unit Data
VAV Address
22
AHU-E / VAV-22 missing duct Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 235 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Visitor/Consult 2 W221
CD
24 x 24
235
Totals :
-
-
235
-
-
0 %
* Notes
AHU-E / VAV-22 missing 4-Sep-15 Jason Douglas Item 0005 : Duct not installed. Room under
duct
construction.
SYSTEM/UNIT: AHU-E / VAV-23 missing grill
AREA: Active Social W222
Unit Data
VAV Address
23
AHU-E / VAV-23 missing grill Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 200 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Active Social W222
CD
24 x 24
200
Totals :
-
-
200
-
-
0 %
* Notes
AHU-E / VAV-23 missing 4-Sep-15 Jason Douglas Item 0006 : Duct not installed. Room under
grill
construction.
SYSTEM/UNIT: AHU-E / VAV-24
AREA: Active Social W222
Unit Data
VAV Address
24
AHU-E / VAV-24 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 270 CFM
Actual Max Primary CFM 200 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Active Social W222
CD
24 x 24
200
40
200
100
Totals :
-
-
200
40
200
100 %
* Notes
Airiest Co Inc
AIRY == Coo, ]In c0
Air Handling Unit
PROJECT: Cascade Behavioral Health
LOCATION: Tukwila, WA
PROJECT #:
DATE: 9/4/2015
CONTACT: Jason Douglas
SYSTEM/UNIT: AHU-E / VAV-25
AREA: Paitient Room W225
Unit Data
VAV Address
25
AHU-E / VAV-25 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 270 CFM
Actual Max Primary CFM 270 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitient Room W225
CD
24 x 24
270
300
270
100
Totals :
-
-
270
300
270
100 °
* Notes
SYSTEM/UNIT: AHU-E / VAV-26
AREA: Paitient Room W226
Unit Data
VAV Address
26
AHU-E / VAV-26 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 270 CFM
Actual Max Primary CFM 275 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outiet-01
Paitient Room W226
CD
24 x 24
270
295
275
102
Totals:
-
-
270
295
275
102 %
* Notes
Airiest Co Inc
AHRTEST Co., Inc.:
Air Handling Unit
PROJECT: Cascade Behavioral Health
LOCATION: Tukwila, WA
PROJECT #:
DATE: 9/4/2015
CONTACT: Jason Douglas
SYSTEM/UNIT: AHU-E / VAV-27
AREA: Paitient Room W227
Unit Data
VAV Address
27
AHU-E / VAV-27 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 340 CFM
Actual Max Primary CFM 320 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitient Room W227
CD
24 x 24
290
230
270
93
Outlet-02
Clean Linen W233B
CD
6 x 6
' 50
100
- 50
100
Totals:
-
-
340
330
320
94 %
* Notes
SYSTEM/UNIT: AHU-E / VAV-28
AREA: Paitient Room W229
Unit Data
VAV Address
28
AHU-E/ VAV-28 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 260 CFM
Actual Max Primary CFM 265 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitient Room W229
CD
24 x 24
260
325
265
102
Totals :
-
-
260
325
265
102 %
* Notes
Airiest Co Inc
•
AIRTEST Co., Inc.
Air Handling Unit
PROJECT: Cascade Behavioral Health
LOCATION: Tukwila, WA
PROJECT #:
DATE: 9/4/2015
CONTACT: Jason Douglas
SYSTEM/UNIT: AHU-E / VAV-29
AREA: Paitient Room W230
Unit Data
VAV Address
29
AHU-E/ VAV-29 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 260 CFM
Actual Max Primary CFM 265 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ 0
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitient Room W230
CD
24 x 24
260
315
265
102
Totals :
-
-
260
315
265
102 %
* Notes
SYSTEM/UNIT: AHU-E / VAV-3
AREA: Paitient Room N209
Unit Data
VAV Address
3
AHU-E / VAV-3 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 330 CFM
Actual Max Primary CFM 310 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitient Room N209
CD
24 x 24
330
390
340
103
Totals :
-
-
330
390
340
103 %
* Notes
SYSTEM/UNIT: AHU-E/ VAV-30
AREA: Paitient Room W231
Unit Data
VAV Address
30
AHU-E / VAV-30 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 260 CFM
Actual Max Primary CFM 245 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitient Room W231
CD
24 x 24
260
220
245
94
Totals :
-
-
260
220
245
94 %
* Notes
Airiest Co Inc
AIRTEST Co., Inc.
Air Handling Unit
PROJECT: Cascade Behavioral Health
LOCATION: Tukwila, WA
PROJECT #:
DATE: 9/4/2015
CONTACT: Jason Douglas
SYSTEM/UNIT: AHU-E / VAV-31
AREA: Paitient Room W232
Unit Data
VAV Address
31
AHU-E / VAV-31 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 260 CFM
Actual Max Primary CFM 280 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitient Room W232
CD
24 x 24
260
275
280
108
Totals :
-
-
260
275
280
108 %
* Notes
SYSTEM/UNIT: AHU-E / VAV-4
AREA: Paitient Room N212
Unit Data
VAV Address
4
AHU-E / VAV-4 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 290 CFM
Actual Max Primary CFM 290 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitient Room N212
CD
24 x 24
290
160
290
100
Totals :
-
-
290
160
290
100 %
* Notes
SYSTEM/UNIT:: AHU-E / VAV-5
AREA: Paitient Room N212
Unit Data
VAV Address
5
AHU-E / VAV-5 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 150 CFM
Actual Max Primary CFM 160 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitient Room N212
CD
24 x 24
155
145
160
103
Totals :
-
155
145
160
103 %
* Notes
Airiest Co Inc
w
AIRTEST Co., Inc.
Air Handling Unit
PROJECT: Cascade Behavioral Health
LOCATION: Tukwila, WA
PROJECT #:
DATE: 9/4/2015
CONTACT: Jason Douglas
SYSTEM/UNIT: AHU-E / VAV-6
AREA: Paitient Room N216
Unit Data
VAV Address
6
AHU-E / VAV-6 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 330 CFM
Actual Max Primary CFM 345 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitient Room N216
CD
24 x 24
330
345
340
103
Totals :
-
-
330
345
340
103 %
* Notes
SYSTEM/UN/T: AHU-E / VAV-7
AREA: Paitient Room N217
Unit Data
VAV Address
7
AHU-E / VAV-7 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 360 CFM
Actual Max Primary CFM 350 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitient Room N217
CD
24 x 24
180
175
175
97
Outlet-02
Paitient Room N217
CD
24 x 24
180
175
175
97
Totals :
-
-
360
350
r 350
97 %
* Notes
Airiest Co Inc
AIRTEST Co., Inc.
Air Handling Unit
PROJECT: Cascade Behavioral Health
LOCATION: Tukwila, WA
PROJECT #:
DATE: 9/4/2015
CONTACT: Jason Douglas
SYSTEM/UNIT: AHU-E / VAV-8
AREA:
Unit Data
VAV Address
8
AHU-E / VAV-8 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 280 CFM
Actual Max Primary CFM 265 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitient Room N221
CD
24 x 24
140
135
135
96
Outlet-02
Paitient Room N221
CD
24 x 24
140
130
130
93
Totals :
-
-
280
265
265
95 %
* Notes
SYSTEM/UNIT: AHU-E / VAV-9
AREA: Paitient Room N222
Unit Data
VAV Address
9
AHU-E / VAV-9 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: September 04, 2015
Air Test Data
Design Primary Max CFM 285 CFM
Actual Max Primary CFM 275 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitient Room N222
CD
24 x 24
130
100
125
96
Outlet-02
Paitient Room N222
CD
24 x 24
155
120
150
97
Totals :
-
-
285
220
275
96 %
* Notes
SYSTEM/UNIT:: AHU-E-01
AREA:
* Notes
Airiest Co Inc
AIRTEST Co.. Inc.
Air Handling Unit
PROJECT: Cascade Behavioral Health
LOCATION: Tukwila, WA
PROJECT #:
NErLP
DATE: 9/4/2015
CONTACT: Jason Douglas
SYSTEM/UN1T: AHU-E-01 / VAV-07
AREA: Paitient Room N217
Unit Data
Controls System Delta
VAV Address
7
AHU-E-01 / VAV-07 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: August 31, 2015
Air Test Data
Design Primary Max CFM 360 CFM
Actual Max Primary CFM 340 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitient Room N217
CD
24 x 24
180
130
170
94
Outlet-02
Paitient Room N217
CD
24 x 24
180
130
170
94
Totals :
-
-
360
260
340
94 %
* Notes
SYSTEM/UN/T: AHU-E-01 / VAV-5
AREA: Paitient Room N212
Unit Data
Controls System
VAV Type
VAV Address
Delta
Shut -Off
5
AHU-E-01 / VAV-5 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: August 31, 2015
Air Test Data
Design Primary Max CFM 155 CFM
Actual Max Primary CFM 145 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitient Room N212
CD
24 x 24
155
145
145
94
Totals:
-
-
155
145
145
94 %
* Notes
Airiest Co Inc
AI[RTIEST Coe, Inc.
Air Handling Unit
PROJECT: Cascade Behavioral Health
LOCATION: Tukwila, WA
PROJECT #:
DATE: 9/4/2015
CONTACT: Jason Douglas
SYSTEM/UNIT: AHU-E-01 / VAV-6
AREA: Paitient Room N216
Unit Data
Controls System
VAV Type
VAV Address
Detta
Shut -Off
6
AHU-E-01 / VAV-6 Supply Outlet Summary
Tested By: Jason Douglas
Test Date: August 31, 2015
Air Test Data
Design Primary Max CFM 330 CFM
Actual Max Primary CFM 345 CFM
System / Unit
Area Served
Outlet
Type
Size LxW
/ D
Design
CFM
Prelim
Reading
Final
Reading
% Final
Outlet-01
Paitient Room N216
CD
24 x 24
330
345
345
105
Totals:
-
-
330
345
345
105 %
* Notes
Airiest Co Inc
2012 Washington State Energy Code Compliance Forms for Commercial, Group R1, and > 3 story R2 and R3
Mechanical Summary
MECH-SUM
01-2,Washingtontate•EnerCompliance Forms for Commercial, Group R1, and > 3 story R2 and R3
Revised June 2013
1'rOY i b ct�Iilt~�.i t' COMPLIANCE
APPROVED
JAN3 0 2015
•
Tukwila, WA 98168
For Building Dept. Use
i OP
"
Applicant Name: CMTA Consulting Engineers, Inc.
Applicant Address: 10411 Meeting Street, Prospect, KY 0,6 rniv !
Applicant Phone: 502-326-3085
V 4aiY 1 Y:r 13�¢iCA
e 1 e �r 1: 6i
Yl�li� (�� ��i`1�t:�i0�
ExistingSystem VAV with hot water reheat beingreused with minor modifications.
No new equipmentyis added to the building beyond diffusers and grilles.
Include documentation requiring compliance with commissioning provisions per Section C408.
Brieflydfescribe-mechanicalbeing
system type and features.
Includes Plans
Compliance Option
0 Simple System O Complex System O Systems Analysis
Equipment Schedules
The following information is required to be incorporated with the mechanical equipment schedules on
the plans. For projects without plans, fill in the required information below.
Cooling Equipment Schedule
Equip.
ID
Equip
Type
Brand Name1
Model No.1
Capacity2
Btu/h
OSA CFM
or Econo?
SEER
or EER
IPLV3
Econmizer
Option or .
Exception6
Heat
Recovery
Y/N
Heating Equipment Schedule
Equip.
ID
Equip
Type
Brand Name1
Model No.'
Capacity2
Btu/h
OSA cfm
or Econo?
Input Btuh
Output Btuh
Efficiency4
Heat
Recovery
Y/N
Fan Equipment Schedule
Equip.
ID
Equip
Type
Brand Name1
Model No.1
CFM
SP1
HP/BHP
Flow Controls
Location of Service
Service Water
Heating Equipment Schedule
Equip.
ID
Equip
Type
Brand Name1
Model No.1
Input
Capacity
Sub -
Category
EFL
c toci,p vice
n
CrTY OF TUKWII A
JAN 2 1 2015
1 If available. 2 As tested according to Table C403.2.3(1)A thru C403.2.3(8). 3 If required. 4 COP, HSPF, cPeartinftGENTERJE, as
applicable. 6 Flow control types: variable air volume (VAV), constant volume (CV), or variable speed (VS). 6 Economizer exception number per
Ml0009
p
Mechanical Permit Plans Checklist - Page 1 of 3
MECH-CHK
2012 Washington State Energy Code Compliance Forms for Commercial, Group R1, and > 3 story R2 and R3
Revised June 2013
Project Address 12844 Military Road South
Date 1/16/2016
The following information is necessary to check a mechanical permit application for commercial provision compliance with the 2012
WSEC. NOTE: Define print area in Excel prior to printing MECH-CHK pages.
Applicability
(yes,no,na)
Code Section
Code Provision
Information Required
Location on
Plans
Building Department
Notes
GENERAL PROVISIONS
Equipment Sizing & Performance
na
C403.2.1
Load calculations
Load calculations performed per ASHRAE Std 183 or equivalent per
Chapter 3
yes
C403.2.2
Equipment and system
sizing
Output capacity of heating and cooling equipment and systems do not
exceed calculated loads, note exceptions taken
na
C40325
..
Minimum ventilation
Ventilation (natural or mechanical) provided per IMC; indicate mechanical
ventilation is capable of being reduced to minimum requirement per IMC
na
C403.2.3 &
C403.2.3.2 &efficiency
C403.2.12.1
Equipment minimum
Provide equipment schedules or complete MECH-SUM tables with type,
capacity, efficiency, test standard (or other efficiency source) for all
mechanical equipment
na
C403.2.13
Electric motor efficiency
Provide equipment schedule with hp, rpm, efficiencyfor all motors; note
except.
na
C403.2.10
Fan power limitation
Fan system motor hp or bhp does not exceed limits per Table
C403.2.10.1(1)
na
C403.2.10.3
& C403.2.13
Fractional hp fan motors
Indicate fan motors 1/12 to 1 hp are ECM type or meet minimum efficiency
req.
na
C403.2.3
Maximum air cooled chiller
capacity
Indicate air-cooled chiller capacity does not exceed air-cooled chiller limit
na
C403.2.1
Non-standard water-cooled
chillers
Full -load and NPLV values for water-cooled centrifugal chiller adjusted for
non-standard operational conditions
na
C403.2.12.1.2
Centrifugal fan cooling
towers
Large capacity cooling towers with centrifugal fan(s) meet efficiency
requirements for axial fan open circuit cooling towers
na
C403.2.3
Forced air furnace and unit
heaters
Indicate intermittent ignition or !ID, flue/draft damper & jacket loss
na
C403.2.3.3
Packaged electric
heating/cooling equipment
List equipment required to be heat pumps on schedule
na
C403.2.3.4
Humidification
Indicate method of humidification (note requirements for systems with
economizer)
HVAC System Controls & Criteria
yesperimeter
C403.2.4.1
Thermostatic controls
Indicate locations of thermostatic control zones on plans, including
systems
M3.0
na
C403.2.4.1.1
Heat pump supplementary .
heat
Indicate staged heating (compression/supplemental) & outdoor lock -out
temp
Y es
C403.2.4.2
Setpoint overlap (deadband)
Indicate 5°F deadband minimum for systems controlling both heating &
cooling
specs
yes
C403.2.4.3
Automatic setback and
shutdown
Indicate zone t-stat controls with required automatic setback & manual
override
na
C403.2.4.3.3
Automatic (optimum) start
Indicate system controls that adjust equip start time to match load
conditions
na
C402.4.5.2 &Dampers
C403.2.4.4
Indicate location of OSA, exhaust, relief and return air dampers; include
AMCA rated leakage and control type (motorized or gravity note exceptions
na
C403.2.11
Heating outside a building
Indicate radiant heat system and occupancy controls
na
C403.2.4.5
Snow melt systems
Indicate shut-off controls based on outdoor conditions
na
C403.2.4.6
Combustion heating
equipment
Indicate modulating or staged control
na
C403.2.4.7
Group R1 hotel/motel
systems
Indicate method for guest room automatic setback & set-up of 5°F
minimum
na
C403.2.4.8 / g
Group R2/R3 dwelling unit
systems
Indicate 5-2 programmable thermostats in primary spaces with minimum of
two setback periods; note exceptions taken
na
C403.2.5.1
Demand controlled
ventilation
Indicate high -occupancy spaces and systems requiring DCV
na
C403.2.5.2
Occupancy sensors
Indicate spaces requiring occupancy -based system control and method; or
alternate means provided to automatically reduce OSA when partially
na
C403.2.5.3
Enclosed loading
dock/parking garage
ventilation
Indicate enclosed loading dock and enclosed parking garage ventilation
system activation and control method
na
C403.2.5.4.1
Kitchen exhaust hoods
Indicate kitchen hoods requiring make-up air; indicate make-up air source
and conditioning method
na
C403.2.5.4.2
Laboratory exhaust systems
Indicate lab exhaust systems requiring heat recovery, method & efficiency;
or alternative method taken (VAV, semi -conditioned makeup, or CERM
calculation)
na
C403.2.6.1
Energy recovery -
ventilation systems
Indicate ventilation systems requiring ER, method & efficiency; note
exceptions
na
C403.2.6.2
Energy recovery -
condensate systems
Indicate on -site steam heating systems requiring energy recovery
na
C403.2.6.3
Energy recovery -
condenser systems
Indicate remote refrig. condensers requiring ER and use of captured energy
Mechanical Permit Plans Checklist - Page 1 of 3
MECH-CHK
2012 Washington State Energy Code Compliance Forms for Commercial, Group R1, and > 3 story R2 and R3
Revised June 2013
Project Address 12844 Military Road South
Date 1/16/2016
The following information is necessary to check a mechanical permit application for commercial provision compliance with the 2012
WSEC. NOTE: Define print area in Excel prior to prin ing MECH-CHK pages.
Applicability
(yes,no,na)
Code Section
Code Provision
Information Required
Location on
Plans
Building Department
Notes
GENERAL PROVISIONS
Equipment Sizing & Performance
na
C403.2.1
Load calculations
Load calculations performed per ASHRAE Std 183 or equivalent per
Chapter 3
yes
C403.2.2
Equipment and system
sizing
Output capacity of heating and cooling equipment and systems do not
exceed calculated loads, note exceptions taken
na
C403.2.5
Minimum ventilation
Ventilation (natural or mechanical) provided per IMC; indicate mechanical
ventilation is capable of being reduced to minimum requirement per IMC
na
C403.2.3 &
C403.2.3.2 &efficiency
C403.2.12.1
Equipment minimum
Provide equipment schedules or complete MECH-SUM tables with type,
capacity, efficiency, test standard (or other efficiency source) for all
mechanical equipment
na
C403.2.13
Electric motor efficiency
Provide equipment schedule with hp, rpm, efficiency for all motors; note
except.
na
C403.2.10
Fan power limitation
Fan system motor hp or bhp does not exceed limits per Table
C403.2.10.1(1)
na
C403.2.10.3
& C403.2.13
Fractional hp fan motors
Indicate fan motors 1/12 to 1 hp are ECM type or meet minimum efficiency
req.
na
C403.2.3
Maximum air cooled chiller
capacity
Indicate air-cooled chiller capacity does not exceed air-cooled chiller limit
na
C403.2.1
Non-standard water-cooled
chillers •
Full -load and NPLV values for water-cooled centrifugal chiller adjusted for
non-standard operational conditions
na
C403.2.12.1.2
Centrifugal fan cooling
towers
Large capacity cooling towers with centrifugal fan(s) meet efficiency
requirements for axial fan open circuit cooling towers
na
C403.2.3
Forced air furnace and unit
heaters
Indicate intermittent ignition or IID, flue/draft damper & jacket loss
na
C403.23.3
Packaged electric '
heating/cooling equipment
List equipment required to be heat pumps on schedule
na
C403.2.3.4
Humidification
Indicate method of humidification (note requirements for systems with
economizer)
HVAC System Controls & Criteria
yes
C403.2.4.1
Thermostatic controls
Indicate locations of thermostatic control zones on plans, including
perimeter systems
M3.0
na
C403.2.4.1.1
Heat pump supplementary
heat
Indicate staged heating (compression/supplemental) & outdoor lock -out
temp
Y 25
C403.2.4.2
Setpoint overlap (deadband)
Indicate 5°F deadband minimum for systems controlling both heating &
cooling
specs
yes
C403.2.4.3
Automatic setback and
shutdown
Indicate zone t-stat controls with required automatic setback & manual
override
na
C403.2.4.3.3
Automatic (optimum) start
Indicate system controls that adjust equip start time to match load
conditions
na
C402.4.5.2 &
C403.2.4.4
Dampers
Indicate location of OSA, exhaust, relief and return air dampers; include
AMCA rated leakage and control type (motorized or gravity; note exceptions
na
C403.2.11
Heating outside a building
Indicate radiant heat system and occupancy controls
na
C403.2.4.5
Snow melt systems
Indicate shut-off controls based on outdoor conditions
na
C403.2.4.6
Combustion heating
equipment
Indicate modulating or staged control
na
C403.2.4.7
Group R1 hotel/motel
systems
Indicate method for guest room automatic setback & set-up of 5°F
minimum
na
C403.2.4.8 / g
Group R2/R3 dwelling unit
systems
Indicate 5-2 programmable thermostats in primary spaces with minimum of
two setback periods; note exceptions taken
na
C403.2.5.1
Demand controlled
ventilation
Indicate high -occupancy spaces and systems requiring DCV
na
C403.2.5.2
Occupancy sensors
Indicate spaces requiring occupancy -based system control and method; or
alternate means provided to automatically reduce OSA when partially
na
C403.2.5.3
Enclosed loading
dock/parking garage ventilation
Indicate enclosed loading dock and enclosed parking garage ventilation
system activation and control method
na
C403.2.5.4.1
Kitchen exhaust hoods
Indicate kitchen hoods requiring make-up air; indicate make-up air source
and conditioning method
na
C403.2.5.4.2
Laboratory exhaust systems
Indicate lab exhaust systems requiring heat recovery, method & efficiency;
or alternative method taken (VAV, semi -conditioned makeup, or GERM
calculation)
na
C403.2.6.1
Energy recovery -
ventilation systems
Indicate ventilation systems requiring ER, method & efficiency; note
exceptions
na
C403.2.6.2
Energy recovery -
condensate systems
Indicate on -site steam heating systems requiring energy recovery
na
C403.2.6.3
Energy recovery -
condenser systems
Indicate remote refrig. condensers requiring ER and use of captured energy
2012 Washington State Energy Code Compliance Forms for Commerc
Mechanical Permit Plans Checklist - Page 2 of 3
jaI Group R1 and > 3 story R2'and R3
MECH-CHK
Revised June 2013
Project Address 12844 Military Road South
Date 1/16/2016
The following information is necessary to check a mechanical permit application for commercial provision compliance with the 2012
WSEC. NOTE: Define print area in Excel prior to printing MECH-CHK pages.
Applicability
(yes,no,na)
Code Section
Code Provision
Information Required
Location on
Plans
Building Department
Notes
GENERAL PROVISIONS, CONTINUED
HVAC System Controls & Criteria, Continued
na
C403.2.12
Variable flow control -
fans/pumps
Indicate fan & pump motors requiring VF control & method (VSD or equiv
controls)
na
C403.2.12.1
Variable flow control -
cooling towers
Indicate cooling tower fans requiring variable flow control and method
na
C403.2.12.2
Large volume fan systems
Indicate fan systems requiring airflow reduction based on heating and
cooling demand; or exception taken
na
C403.2.12.2
Single zone AC systems
Indicate method of cooling demand -based fan control for sys. > 110,000
btuh
na
C403.2.4.10
DDC system capabilities
Identify all DDC system input/output control points and indicate capability
for trendina and demand resoonse setooint adjustment
Ducting Systems
yes
C403.2.7.1 &
C403.2.7.3
Duct construction
Indicate all ductwork constructed and sealed per IMC, C402 leakage
requirements and IBC va or retarder requirements
p
specs
na
;403.2.7.3.1 :
Duct pressure classifications
Identify location of low, medium and high pressure ductwork on plans
na
C403.2.7.3.3
High pressure duct leakage
test
Indicate high pressure duct leakage testing requirements on plans; provide
test results to jurisdiction when completed
yes
C403.2.7.1 / 2
Duct insulation
Indicate R-value of insulation on ductwork
specs
Piping Systems
na
C403.2.8
Piping insulation
Indicate R-value of insulation on piping
na
C403.2.8.1
Piping insulation exposed to
weather
Indicate method of protection from damage/degredation
SIMPLE SYSTEMS
Qualifying Systems
na
C403.3
Qualifying single zone
systems
Verify unitary or packaged equipment does not exceed capacity limits, does
not have active humidification or simultaneous heatinq/cooling
na .
C403.3
Qualifying 2-pipe heating
systemsg
Verify2-pipe heating -only system does not exceed capacity limits
y y p tY
na
C403.3.2
Hydronic system controls
Refer to Complex Systems Section C403.4.3
Simple Sys em Economizers
na
C403.3.1
Air economizer required
Indicate cooling systems requiring economizer controls; note in equip
sched.
na
C403.3.1.1.1
Air economizer capacity
Indicate modulating OSA control capability up to 100% OSA, or exception
na
C403.3.1.1.3
Aireconomizer high limit
controls
Indicate high limit shut-off control method per Table C403.3.1.1.3(2)
na
C403.1.1.2
Integrated air economizer
operation
Indicate capability for partial air economizer operation for systems with
capacity> 65,000 btuh
na
C403.3.1
Air economizer exceptions
Indicate eligible exception(s) taken and provisions to comply with
exceotion(s)
COMPLEX SYSTEMS
Complex System Economizers
na
C403.4.1
Air economizer required
Indicate cooling systems requiring economizer controls; note in equip
sched.
na
C403.4.1.4
Economizer heating system
impact
Verify control method of HVAC systems with economizers does not
increase building heating energy usage during normal operation
na
C403.4.1.3
Integrated economizer
operation
Indicate capability for partial economizer operation for air or water econo
systems
na
Moved
Water economizer capacity
Indicate water econo capable of 100% cooling capacity at 50°F db/45°F wb
OSA
na
C403.4.1.2
Water economizer
maximum pressure drop
Indicate precooling coils and heat exchangers do not exceed pressure drop
limit
na
C403.3.1
Air economizer exceptions
Indicate eligible exception(s) taken and provisions to comply with
exceotion(s)
Bill Rambo
P`►15- 0009
From:
Sent:
To:
Cc:
Subject:
Dan Jardine <djardine@NACARCHITECTURE.com>
Tuesday, April 21, 2015 5:45 PM
John Chapman; Colleen Maute; Scott Miller; John.Today@alpaconstruction.com
Bill Rambo
RE: CBH 2nd floor mechanical permit
Bill Rambo — I would like to support Holmberg's request for change in the valuation of the work associated with
mechanical permit No. M15-009 to $95,000. When I submitted for permit I estimated the value of the work without the
benefit of subcontractor bids. Apparently I was significantly off the mark. Your assistance with making this correction is
appreciated.
Just a heads up that you may see a similar request for other permits as information - • .: -: • me. Thanks.
NAC ,
Dan Jardine, AIA, SEED AP+, Principal
www.nacarchitecrure.com
P 206 441-4522
F 206 441-7917
TECTVRF
From: John Chapman [mailto:jchapman@holmbergco.com]
Sent: Tuesday, April 21, 2015 2:37 PM
To: Dan Jardine; Colleen Maute; Scott Miller; John.Today@alpaconstruction.com
Subject: CBH 2nd floor mechanical permit
RECEIVED
ITY OF TUKWILA
ePR2ry��
PERMIT CENTER
Dan
This e-mail is in regards to the cost of the mechanical permit for the cascade behavioral Hospital
2nd floor renovations. Holmberg contacted the city of Tukwila and was informed that the cost of
the mechanical permit was $ 4,000.00 and change. Holmberg was informed that the mechanical
permit cost were based on the total cost of the mechanical work at the hospital. A city of Tukwila
employee stated that $ 450,000.00 was given for the total cost of the work. This is how they came
up with the cost of the permit.
The overall Mechanical (HVAC), plumbing and all the subs combined to complete this project total
485,000.00. Since the mechanical permit cost is based on the total of the mechanical (HVAC) work
and nothing else, then the total dollar value for the HVAC mechanical portion of this project is
$95,000.00.
Once the city is aware of the cost, Holmberg wilt pay for and pick up the mechanical permit.
John Chapman
Project Manager / Estimator
GONE NY
MECHANICAL CONTRACTORS
1128 8'h Street
Kirkland, WA 98033
1
PERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: M15-0009 DATE: 1-21-15
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:
Buil ing Division
l
Public Works
Fire Prevention
Structural
LA
n
Planning Division
Permit Coordinator
n
PRELIMINARY REVIEW:
Not Applicable
(no approval/review required)
DATE: 1-22-15
Structural Review Required
REVIEEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved
Corrections Required
n
DUE DATE: 2-19-15
Approved with Conditions [-Vf
Denied
(corrections entered in Reviews) (ie: Zoning Issues)
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED.
Departments issued corrections: Bldg 0 Fire ❑ Ping ❑ PW ❑ Staff initials:
12/18/2013
HOLMBERG COMPANY
Page 1 of 2
Home lnicio en Espanol Contact
Search L&I
A-Z Index Help sty Secure 1. ` l
Safety Claims & Insurance Workplace Rights Trades & Licensing
0 Washington State Department of
Labor & Industries
HOLMBERG COMPANY
Owner or tradesperson
VARRIANO , JON S
Principals
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.
174 003 387
1128 8TH STREET
KIRKLAND, WA98033
425-822-2233
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.
HOLMBC*066ME
Effective — expiration
07/05/1994— 09/01/2015
Bond
HANOVER INSURANCE COMPANY THE
Bond account no.
1959086
Active.
Meets current requirements.
$12,000.00
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://secure.lni.wa.gov/verify/Detail.aspx?UBI=174003387&LIC=HOLMBC*066ME&SAW= 5/6/2015