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Home My WebLink AboutPermit D14-0078 - CASCADE BEHAVIORAL HOSPITAL - GENERAL PSYCHIATRIC CARE This record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. D14-0078 CASCADE BEHAVORIAL HOSPITAL 12844 Military Road South DIGITAL RECORDS (DR) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # Code Exemption Brief Explanatory Description Statute/Rul e The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals’ social security Personal Information – numbers are redacted to protect those individuals’ Social Security Numbers 5 U.S.C. sec. privacy pursuant to 5 U.S.C. sec. 552(a), and are 552(a); RCW DR1 Generally – also exempt from disclosure under section 42.56.070(1) 5 U.S.C. sec. 552(a); 42.56.070(1) of the Washington State Public RCW 42.56.070(1) Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information – expiration dates, or bank or other financial RCW account numbers, which are exempt from DR2 Financial Information – 42.56.230(5) disclosure pursuant to RCW 42.56.230(5), except RCW 42.56.230(4 5) when disclosure is expressly required by or governed by other law. Redactions contain information used to prove Personal Information – RCW identity, age, residential address, social security 42.56.230 DR3 Driver’s License. – number or other personal information required to (7a & c) RCW 42.56.230 (7a & c) apply for a driver’s license or identicard. Redacted content contains a communication between client and attorney for the purpose of 3, 4 obtaining or providing legal advice exempt from RCW Attorney-Client Privilege – disclosure pursuant to RCW 5.60.060(2)(a), 5.60.060(2) DR4 RCW 5.60.060(2)(a); *Staff Note: An unredacted which protects attorney-client privileged (a); RCW RCW 42.56.070(1) copy of these pages from the communications, and RCW 42.56.070(1), which 42.56.070(1) record is available in the protects, under the PRA, information exempt or Staff-only portal.* prohibited from disclosure under another statute. CASCADE BEHAVIORAL HOSPITAL 12844 MILITARY RD S D14-0078 1) i `1 - v0-12 rtk- Michael R. Kenyon Rachel B. Turpin Ann Marie J. Soto Kim Adams Pratt David A. Linehan Charlotte A. Archer Alexandra L. Kenyon Eileen M. Keiffer Hillary E. Graber Kendra R. Comeau KENYON DISEND CONFIDENTIAL MEMORANDUM PROTECTED BY THE ATTORNEY/CLIENT PRIVILEGE NOT FOR PUBLIC DISCLOSURE TO: Minnie Dhaliwal, Planning Supervisor Carol Lumb, Senior Planner FROM: Ann Marie Soto, Assistant City Attorney (116 Hillary Graber DATE: January 16, 2018 RE: Cascade Behavioral Health Doug F. Mosich GI Cuu!�ici Shelley M. Kerslake Kenyon Disend, PLLC The Municipal Law Firm I I Front Street South Issaquah, WA 98027-3820 Tel: (425) 392-7090 Fax: (425) 392-7071 www.kenyondisend.com ' -2- caD Cascade Behavioral Health February 27, 2017 Ms. Carol Lumb Senior Planner, Department of Community Planning City of Tukwila 6200 Southcenter Boulevard Tukwila, WA 98188 Dear Ms. Lumb, received your February 23, 2017 letter addressed to Dr. John Beall that addresses zoning and building permit issues. As you suggest, we will consult with legal counsel about options or reasonable modifications that may be available to the Hospital. We will work with you to expeditiously resolve these issues. If you have any questions, please do not hesitate to contact me and please direct future communication to me. Thank you. Sincerely, ).j\Ac)4A Michael Uradnik Chief Executive Officer, Cascade Behavioral Health 206-248-4550 RECEIVED MAR 03 2011 Community Development Cascade Behavioral Hospital www.Cascadebh.com 12844 Military Road South Tukwila, WA 98168 206.244.0180 City of Tukwila 114-0J-15 Allan Ekberg, Mayor Department of Community Development - Jack Pace, Director February 23, 2017 Dr. John Beall, RN, DNP, NEA-BC Chief Operating Officer/Chief Nursing Officer Cascade Behavioral Hospital 12844 Military Road Tukwila, WA 98168 RE: Cascade Behavioral Hospital Use Issues 12844 Military Road, Tukwila, WA Dear Dr. Beall, We appreciate your efforts to resolve the fire, police and zoning issues at the Cascade Behavioral Hospital site. This letter is a follow-up to our November 8, 2016, meeting regarding the zoning issue related to the operation of Cascade Behavioral Hospital in the Office zoning district. The Cascade Behavioral Hospital site located at 12844 Military Road in Tukwila is situated in the Office and Medium Density Residential zoning districts. The hospital buildings are located in the Office zoned portion of the site. On June 2, 2014, the City issued the tenant improvement building permit, D14-0078, with the following condition: "Approval of this tenant improvement does not include approval of any renovations to accommodate involuntarily committed patients as treating these patients may fall under the City's definition of either a correctional facility or diversion facility. Before adding this component to the hospital, the property owner must ensure this is a permitted use in the office district." The hospital indicated at the November 8th meeting that it has been accepting involuntarily committed patients. However, no city approval was obtained for this change in use. Additionally, it is not clear whether the Hospital received the proper approvals and/or certifications from the Department of Health to accept involuntarily committed patients. This violates the condition of the building permit approval. To remedy this situation, the Hospital cannot accept involuntarily committed patients, as diversion facilities and correctional facilities are not permitted in the Office Zone. Nonetheless, you may wish to consult with your legal counsel on whether you qualify for a reasonable modification or other options that may be available to the Hospital. Please note that this letter only addresses zoning and building permit related issues. Police and fire issues will be addressed separately by those departments as necessary. Tukwila City Hall • 6200 Southcenter Boulevard • Tukwila, WA 98188 • 206-433-1800 • Website: TukwilaWA.gov Dr. John Beall Cascade Behavioral Hospital February 23, 2017 If you have any questions or would like to discuss this issue in person, please do not hesitate to contact me. Sincerely, Crwaf 6604,4/ Carol Lumb, Senior Planner Department of Community Planning cc: Jack Pace, Director, Department of Community Development Minnie, Dhaliwal, Planning Division Manager Police Chief Mike Villa Don Tomaso, Fire Marshall CL Page 2 of 2 2/23/2017 12:19 PM H:\\Generai\2014 Permits\Cascade Behavioral Hospita1\2-17-17 Ltr. City of Tukwila Zj ly-0o-1-E Allan Ekberg, Mayor Police Department - Mike Villa, Chief October 11, 2016 Mr. Matt Crockett CEO Cascade Behavioral Hospital 12844 Military Rd S Tukwila WA 98168 Re: VIOLATION NOTICE under TCM 8.27 Dear Mr. Crockett: After careful review of police activity and the history of the property under your control, Cascade Behavioral Hospital at 12844 Military Rd 5, Tukwila WA, I have declared the Cascade Behavioral Hospital to be a Chronic Nuisance Property per Tukwila Municipal Code 8.27. The cases reviewed as a part of this decision are listed below: 1/23/1616-0532 Staff member assaulted by a patient who was in the process of being diagnosed. 2/18/1616-1327 Officer dispatched to take possession of illegal drugs confiscated from patients in the drug treatment program. 5/13/1616-3648 Fight between two patients in the involuntary commitment wing resulted in injury to one of the patients. 5/24/1616-3946 Assault on a patient by a staff member. 6/14/1616-4445 Assault by one patient with another as a victim. 6/26/1616-4741 Patient who was on regular sedation due to violent behavior assaulted another patient. Victim was injured. 16-5172 - 7-15-16 (occurred, reported 7-21-16) Staff member was assaulted by a patient resulting in a dislocated shoulder. Tukwila City Hall • 6200 Southcenter Boulevard • Tukwila, WA 98188 • 206-433-1800 • Website: TukwilaWA.gov Title or Addressee Date Page 2 16-4867 - 7-2-16 (occurred, reported 7-20-16) A patient housed in the secured area of the facility was assaulted by his roommate resulting in a laceration. The victim was transported to a hospital. 16-5253 — 7-18-16 A patient in the secured area of the facility assaulted another patient causing injuries. 16-5397 — 7-25-16 Two patients were assaulted by a third patient. The assaults stopped when the suspect decided to discontinue 16-5476 — 7-28-16 A staff member was choked by a patient. It took multiple staff members to stop the assault. Victim explained there is an unwritten rule at the facility that staff are not supposed to call 911 for these incidents. 16-5845 — 8-12-16 One patient put another in a headlock. 16-6047 — 8-20-16 A patient assaulted a staff member causing a head injury. The staff member was transported to the hospital. 16-6190 — 8-28-16 Two patients were found by a staff member engaging in sexual activity, which both said was consensual. Later in the day the female participant said the activity was forced. Victim was not cooperative with the investigating officer. 16-6771— 9-27-16 A patient assaulted a staff member causing cuts and a loose tooth. Patient was in the fadlity due to a court order. Victim was treated by a dentist. Tukwila Munidpal Code 8.27 requires the Police Department to provide you with a Violation and Notice outlining measures to correct the above mentioned issues. That Notice and Order must be followed by the owner or person in control of the property. The police department would like to meet with you to discuss the actions you will be required to take as corrective action. Your feedback at that meeting may be incorporated into the Notice and Order. Please contact the Police Department's Community Polidng Coordinator, Chris Partman, at your earliest convenience to schedule this meeting. Chris Partman can be contacted at 206-431-2197 or 206-271-6069. Per Tukwila Municipal Code Section 8.27.080, the owner and other persons in charge of the property can be subject to monetary penalties for maintaining a Chronic Nuisance Property as outlined in Tukwila Municipal Code 8.27. If you have not contacted Chris Partman to schedule a meeting by October 25th, 2016 the police department will be required to issue a Notice and Order without your feedback. Phone: 206-433-1800 • Email: Mayor@TukwilaWA.gov • Website: TukwilaWA.gov Title or Addressee Date Page 3 Thank you for your prompt attention to this matter. Mike Villa Chief of Police Tukwila Police Department Cc: City of Tukwila Fire Marshal City of Tukwila Planning City of Tukwila Mayor's Office City of Tukwila Attorney CEO Cascade Behavioral Hospital Phone: 206-433-1800 • Email: Mayor@TukwilaWA.gov • Website: TukwilaWA.gov 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 1623049001 12844 MILITARY RD S 2 DEVELOPMENT PERMIT Project Name: CASCADE BEHAVIORAL HOSPITAL Permit Number: Issue Date: Permit Expires On: D14-0078 6/2/2014 11/29/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: HCH SPECIALTY CENTER 12844 MILITARY RD S ATTN ACCOUNTING DEPT, TUKWILA, WA, 98168 MICHELLE CURRY Phone: (206) 248-4578 12844 MILITARY RD S, TUKWILA, WA, 98168 ALPA CONSTRUCTION INC 330 FAIRBANK ST, ADDISON, IL, 60101 ALPACCI865C7 ACADIA HEALTHCARE 830 CRESCENT DR, SUITE 610 , FRANKLIN, TN, 37067 Phone: (630) 628-7930 Expiration Date: 2/25/2016 DESCRIPTION OF WORK: INTERIOR REMODELING OF EXISTING PATIENT FLOOR THREE IN THE WEST WING TO CONVERT FROM ACUTE CARE REHABILITATION TO GENERAL PSYCHIATRIC CARE. WORK INCLUDES NEW ROOFTOP HVAC UNIT, NEW HVAC DISTRIBUTION, NEW DOMESTIC WATER PIPING AND REPLACEMENT OF EXISTING DOORS, CEILINGS, FLOORING AND FIXTURES TO CREATE A SAFE ENVIRONMENT. RELATED WORK INCLUDES NEW CONNECTING HALLWAY AT THE FIRST FLOOR TO FACILITATE EASIER PATIENT TRAVEL TO ELEVATORS. Project Valuation: $1,990,000.00 Fees Collected: $22,268.12 Type of Fire Protection: Sprinklers: YES Fire Alarm: YES Type of Construction: IIA Occupancy per IBC: 1-2 Electrical Service Provided by: TUKWILA FIRE SERVICE Water District: 20 Sewer District: VALLEY VIEW SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: 2012 International Fuel Gas Code: 2012 International Residential Code Edition: 2012 WA Cities Electrical Code: 2012 International Mechanical Code Edition: 2012 WA State Energy Code: 2012 Uniform Plumbing Code Edition: 2012 Public Works Activities: Channelization/Striping: Curb Cut/Access/Sidewalk: Fire Loop Hydrant: Flood Control Zone: Hauling/Oversize Load: Land Altering: Landscape Irrigation: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Volumes: Cut: 0 Fill: 0 Number: 0 No Permit Center Authorized Signature: 1 I hearby certify that I have read and 4xami ed this permit and know the same to be true and correct. All provisions of law and ordinances gov@rnin this work will be complied with, whether specified herein or not. J The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Date: Signature: Print Name: \ . Date: Z 1 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: 16: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 4: The total number of fire extinguishers required for a light hazard occupancy with Class A fire hazards is calculated at one extinguisher for each 3,000 sq. ft. of area. The extinguisher(s) should be of the "all purpose" (2A, 10 B:C) dry chemical type. The travel distance to any extinguisher must be 75' or less. (IFC 906.3) (NFPA 10, 3-2.1) 1: Portable fire extinguishers, not housed in cabinets, shall be installed on the hangers or brackets supplied. Hangers or brackets shall be securely anchored to the mounting surface in accordance with the manufacturer's installation instructions. Portable fire extinguishers having a gross weight not exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 5 feet (1524 mm) above the floor. Hand- held portable fire extinguishers having a gross weight exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 3.5 feet (1067 mm) above the floor. The clearance between the floor and the bottom of the installed hand-held extinguishers shall not be less than 4 inches (102 mm). (IFC 906.7 and IFC 906.9) 2: Extinguishers shall be located in conspicuous locations where they will be readily accessible and immediately available for use. These locations shall be along normal paths of travel, unless the fire code official determines that the hazard posed indicates the need for placement away from normal paths of travel. (IFC 906.5) 3: Fire extinguishers require monthly and yearly inspections. They must have a tag or label securely attached that indicates the month and year that the inspection was performed and shall identify the company or person performing the service. Every six years stored pressure extinguishers shall be emptied and subjected to the applicable recharge procedures. If the required monthly and yearly inspections of the fire extinguisher(s) are not accomplished or the inspection tag is not completed, a reputable fire extinguisher service company will be required to conduct these required surveys. (NFPA 10, 4-3, 4-4) 5: Maintain fire extinguisher coverage throughout. 6: Egress doors shall be readily openable from the egress side without the use of a key or special knowledge or effort. (IFC 1008.1.8.3 subsection 2.2) 7: Dead bolts are not allowed on auxiliary exit doors unless the dead bolt is automatically retracted when the door handle is engaged from inside the tenant space. (IFC Chapter 10) 8: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10) 9: Door handles, pulls, latches, locks and other operating devices on doors required to be accessible by Chapter 11 of the International Building Code shall not require tight grasping, tight pinching or twisting of the wrist to operate. (IFC 1008.1.8.1) 10: Exits and exit access doors shall be marked by an approved exit sign readily visible from any direction of egress travel. Access to exits shall be marked by readily visible exit signs in cases where the exit or the path of egress travel is not immediately visible to the occupants. Exit sign placement shall be such that no point in an exit access corridor is more than 100 feet (30,480 mm) or the listed viewing distance for the sign, whichever is less, from the nearest visible exit sign. (IFC 1011.1) 11: Every exit sign and directional exit sign shall have plainly legible letters not less than 6 inches (152 mm) high with the principal strokes of the letters not less than 0.75 inch (19.1 mm) wide. The word "EXIT" shall have letters having a width not less than 2 inches (51 mm) wide except the letter "I", and the minimum spacing between letters shall not be Tess than 0.375 inch (9.5 mm). Signs larger than the minimum established in section 1011.5.1 of the International Fire Code shall have letter widths, strokes and spacing in proportion to their height. The word "EXIT" shall be in high contrast with the background and shall be clearly discernible when the exit sign illumination means is or is not energized. If an arrow is provided as part of the exit sign, the construction shall be such that the arrow direction cannot be readily changed. (IFC 1011.5.1) 12: Aisles leading to required exits shall be provided from all portions of the building and the required width of the aisles shall be unobstructed. (IFC 1013.4) 13: Exit signs shall be illuminated at all times. To ensure continued illumination for a duration of not less than 90 minutes in case of primary power loss, the sign illumination means shall be connected to an emergency power system provided from storage batteries, unit equipment or on -site generator. (IFC 1006.1, 1006.2, 1006.3) 14: Emergency lighting facilities shall be arranged to provide initial illumination that is at least an average of 1 foot-candle (11 lux) and a minimum at any point of 0.1 foot-candle (1 lux) measured along the path of egress at floor level. Illumination levels shall be permitted to decline to 0.6 foot-candle (6 lux) average and a minimum at any point of 0.06 foot-candle (0.6 lux) at the end of the emergency lighting time duration. A maximum -to -minimum illumination uniformity ratio of 40 to 1 shall not be exceeded. (IFC 1006.4) 15: Maintain sprinkler coverage per N.F.P.A. 13. Addition/relocation of walls, closets or partitions may require relocating and/or adding sprinkler heads. (IFC 901.4) 18: Sprinklers shall be installed under fixed obstructions over 4 feet (1.2 m) wide such as ducts, decks, open grate flooring, cutting tables, shelves and overhead doors. (NFPA 13-8.6.5.3.3) 17: All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department review and approval of drawings prior to installation or modification. New sprinkler systems and all modifications to sprinkler systems involving more than 50 heads shall have the written approval of Factory Mutual or any fire protection engineer licensed by the State of Washington and approved by the Fire Marshal prior to submittal to the Tukwila Fire Prevention Bureau. No sprinkler work shall commence without approved drawings. (City Ordinance No. 2327). 20: Maintain square foot coverage of detectors per manufacturer's specifications in all areas including: closets, elevator shafts, top of stairwells, etc. (NFPA 72-5.5.2.1) 22: Maintain automatic fire detector coverage per N.F.P.A. 72. Addition/relocation of walls, closets or partitions may require relocating and/or adding automatic fire detectors. 23: Maintain fire alarm system audible/visual notification. Addition/relocation of walls or partitions may require relocation and/or addition of audible/visual notification devices. (City Ordinance #2328) 21: All new fire alarm systems or modifications to existing systems shall have the written approval of The Tukwila Fire Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #2328) (IFC 104.2) 24: An electrical permit from the City of Tukwila Building Department Permit Center (206-431-3670) is required for this project. 25: All electrical work and equipment shall conform strictly to the standards of the National Electrical Code. (NFPA 70) 26: The maximum flame spread class of finish materials used on interior walls and ceilings shall not exceed that set forth in Table No. 803.5 of the International Building Code. 19: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2327 and #2328) 27: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 28: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575-4407. 29: ***BUILDING PERMIT CONDITIONS*** 30: 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. 31: 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. 32: New suspended ceiling grid and light fixture installations shall meet the seismic design requirements for nonstructural components. ASCE 7, Chapter 13. 33: Partition walls shall not be tied to a suspended ceiling grid. All partitions greater than 6 feet in height shall be laterially braced to the building structure. Such bracing shall be independent of any ceiling splay bracing. 34: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 35: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 36: 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. 37: Every occupied space other than enclosed parking garages and buildings used for repair of automobiles shall be ventilated in accordance with the applicable provisions of the International Mechanical Code. 38: 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). 39: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 40: 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. 41: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431-3670). 42: Approval of this tenant improvement does not include approval of any rennovations to accommodate involuntarily committed patients as treating these patients may fall under the City's definition of either a correctional facility or diversion facility. Before adding this component to the hospital, the property owner must ensure this is a permitted use in the Office district. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 0611 EMERGENCY LIGHTING 1400 FIRE FINAL 0409 FRAMING 0606 GLAZING 0502 LATH & GYPSUM 0406 SUSPENDED CEILING CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov •Date Applicatii Date Appllcati CONSTRUCTION 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** ITE UX ATION 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 — communication Name: Matt C>reeket- n14161,66 CV+2!=y Address: 12844 Military Road S. City: Tukwila ,/ QState: WA ( Phone: 2 T9 51 S?"Fax: 206)-53 -6264- Zip: 98168 Email: Matt.exackett@cascadebh.com miChes . G!//Pt� a csscipoesh • CO01 GENERAL CONTRACTOR INFORMATION Company Name: Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: H: Applications \Foms-Applications on Line\2011 ApplicationsTennit Application Revised- 8-9-11.docx Revised: August 2011 bh King Co Assessor's Tax No.: 162-304-9001 Suite Number: ,14//' 4 Floor: 174i j7 New Tenant: ❑ Yes VI „No ARCHITECT:OF RECORD. Company Name: NAC Architecture Architect Name: Dan 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 ENGINI OF RECORD ........ ......... Company Name: Hargis Engineers Engineer Name: Jared Robillard Address: 600 Stewart Street, Suite 1000 City: Seattle State: WA Zip: 98101 Phone: (206) 436-0406 Fax: (206) 448-4450 Email: JaredR@Hargis.biz LENDERfBOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: AC lde P 1 4CA Address: ��` mor 11' City: iitip , KUu State: _} , Zip: 3?0 4 7 Page 1 of 4 Valuation of Project (contractor's bid price): $ 1,990,000 Existing Building Valuation: $ 9,030,600 Describe the scope of work (please provide detailed information): Interior remodeling of existing patient floor three in the West wing to convert from acute care rehabilitation to general psychiatric care. Work includes new rooftop HVAC unit, new HVAC distribution, new domestic water piping, and replacement of existing doors, ceilings, flooring, and fixtures to create a safe environment. Related work includes new connecting hallway at the first floor to facilitate easier patient travel to elevators. Will there be new rack storage? ❑ Yes m.. No If yes, a separate permit and plan submittal will be required. re Fo 19,353 200 0 0 II -A I-2 14,675 0 0 0 II -A I-2 15,403 8,000 0 0 II -A I-2 -. 4' 7,585 0 0 0 II -A I-2 9,400 0 0 0 II -A I-2 Structure* Unf PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? Yes No If "yes", explain: I-2 Acute care to I-2 Psych care FIRE PROTECTION/HAZARDOUS MATERIALS: Sprinklers m Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ] No If `yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. HAApplications\Forns-Applications On Line \2011 Appscations\Permit Application Revised- 8-9-11.docx Revised: August 2011 bh Page 2 of 4 Scope of Work (please provide detailed information): No exterior work is included in this project. Ca11 before you Dig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila ❑ ... Water District #125 D ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate ❑ .. Highline ❑ ...Valley View ❑ .. Renton ❑ ... Sewer Availability Provided D .. Renton ❑ .. Seattle Septic System: ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Submitted with Application (mark boxes which aDDIv): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34") ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑ ...Traffic Impact Analysis ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) 0 ...Hold Harmless — (SAO) ❑ ...Hold Harmless — (ROW) Proposed Activities (mark boxes that sooty): ❑ ...Right-of-way Use - Nonprofit for less than 72 hours ❑ .. Right-of-way Use - Profit for less than 72 hours ❑ ...Right-of-way Use - No Disturbance ❑ .. Right-of-way Use — Potential Disturbance ❑ ...Construction/Excavation/Fill - Right-of-way 0 Non Right-of-way 0 ❑ ...Total Cut cubic yards ❑ .. Work in Flood Zone ❑ ...Total Fill cubic yards 0 .. Storm Drainage ❑ ...Sanitary Side Sewer 0 .. Abandon Septic Tank ❑ .. Grease Interceptor ❑ ...Cap or Remove Utilities 0 .. Curb Cut 0 .. Channelization ❑ ...Frontage Improvements 0 .. Pavement Cut 0 .. Trench Excavation ❑ ...Traffic Control ❑ .. Looped Fire Line ❑ .. Utility Undergrounding ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ ...Permanent Water Meter Size... WO # 0 ...Temporary Water Meter Size .. fl. WO # ❑ ...Water Only Meter Size WO # 0 ...Deduct Water Meter Size O ...Sewer Main Extension Public 0 Private 0 O ...Water Main Extension Public 0 Private 0 FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) O ...Water 0 ...Sewer 0 ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip R Applications\Formo-Applications On Line \2011 Applications\Pe mit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 3 of 4 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 or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURg THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNE ' " T4� ENT: Signature:�j+/��G�D p�ii D 1C Date: Print Name: ante • i • '' ' e Day Telephone: (206) 441-4522 Mailing Address: 2025 'ilst Avenue, Suite 300 Seattle WA 98121 H:\Applications Worms -Applications On rine12011 Applications\Pennit Application Revised- 8-9-11.dooc Revised: August 2011 bh City State Zip Page 4 of 4 Cash Register Receipt City of Tukwila DESCRIPTIONS PerrnitTRAK ACCOUNT QUANTITY PAID $130.00 D14-0078 Address: 12844 MILITARY RD S 2 Apn: ;1,623049001 $130.00 DEVELOPMENT ADDITIONAL PLAN REVIEW ADDITIONAL PLAN REVIEW TOTAL FEES PAID BY RECEIPT: R2916 R000.345.830.00.00 R000.345.830.00.00 1.00 1.00 $130.00 $65.00 $65.00 $130.00 Date Paid: Thursday, August 21, 2014 Paid By: JOHN TODAYALPA CONSTRUCTION IN Pay Method: CREDIT CARD 693962 Printed: Thursday, August 21, 2014 2:34 PM 1 of 1 SYS ICMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT I QUANTITY PAID $292.50 D14-0078 Address: 12844 MILITARY RD S 2 Apn: 1623049001 $292.50 DEVELOPMENT $292.50 PERMIT REINSPECTION FEE TOTAL FEES PAID BY RECEIPT: R2495 R000.322.800.00.00 0.00 $292.50 $292.50 Date Paid: Monday, June 30, 2014 Paid By: SCOTT MILLER Pay Method: CREDIT CARD 03094D Printed: Monday, June 30, 2014 1:14 PM 1 of 1 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID Perm $12,638.86 Ad s: 12844 MITI' :1 4" DEVELOPMENT 1,984,05 PERMIT FEE WASHINGTON STATE SURCHARGE R000.322.100.00.00 B640.237.114 0.00 0.00 $11,979.55 $4.50 TECHNOLOGY FEE $654.81 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2251 R000.322.900.04.00 0.00 $654.81 $12,638.86 Date Paid: Monday, June 02, 2014 Paid By: SCOTT T MILLER Pay Method: CREDIT CARD 00557D Printed: Monday, June 02, 2014 12:54 PM 1 of 1 CISYSTEMS Cash Register Receipt City of Tukwila Pe itT! DESCRIPTIONS ACCOUNT QUANTITY PAID D14-0078 Ad DEVELOPMENT $9,629.26 PERMIT FEE PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R1415 R000.322.100.00.00 R000.345.830.00.00 $1,116.70 $8,512.56 $9,629.26 Date Paid: Friday, March 07, 2014 Paid By: ALPA CONSTRUCTION INC Pay Method: CHECK 007911 Printed: Friday, March 07, 2014 1:43 PM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit b14 _ 0678 PERMIT N0. • CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: , ._._A-kL ((-PI,IJ, )/4- Type of Inspection: R F- Qom. (,n �iA1 - Address' r 2: 4 M: I O Called: ^ . ice —.s0r- AE.i' (, 4 Special Instructions: c.i r /fy bate Wanted: Requester: Phone No: Approved per applicable cod COMMENTS: Corrections required prior to approv . es. 014'7 tvAi IcZ° t c -5 Ins Date f 1 REINSPECTION FEE R'EQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Catt to schedule reinspection. INSPECTION N INSPECTION RECORD Retain a copy with permit (4-oo PERMIT NO. c' CITY OF TUKWILA BUILDING DIVISION (J. 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Pro t: tSe- A-2 -- L�A� t f JCA(_,,,, Type f lisp n: • r A Al J 4 A tres_ 4 s:� _4 . Date Called: I � 4r Special Instructions: e7 t Date Wanted: 1 orl . -(i- -a.,tt'k p.m. _- Requester: Phone No: / ElApproved per applicable codes. ElCorrections required prior to approval. COMMENTS: kI p c)e c -it 4-,f, c_fe-1 --•") I I 1-4o fd Inspe Date: ri REINSPECTION FEE REQU ED. 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 D14 -oolx PERMIT NO. C/ ` CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: r f AsLA Af &..�A-U,o/ Type of inspection: A, S - £-g` 1 A6. Address: _ Mi 1 �I*4-r\f Dat lied: iaf Instructions: Spe�7 Date Wanted: j ,0_ - fl `ff� p.m. Requester: Phone No: I ElApproved per applicable codes. (Corrections required prior to approval. COMMENTS: 4 S�. P I)/ � s j,, ,� Vic_ f J Ins or: ti I Date: REtNSPECTION 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 1 i4_ 97 INSPE I N . PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: 6 43 � 6 AV , o'S,-- Type of Inspection:: LAZ., Address: , v Date Called: Special Instructi6ns: / IV ( Date Wanted: f% - 5-- f/ .....:—$0 p.m. Requester: Phone No: QApproved per applicable codes. a Corrections required prior to approval. COMMENTS: Date 0 4 REINSPECTItiN 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 biz( -poi. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Protect: {_A5/A> �ekAJ )r Type.! Inspection: {k AK,fk6 Address: 17 VA Kit:rm. ki Date Called: Speci Instructions: Date Wanted: 0—)-1 p.m. Requester: Phone No: Approved per applicable codes. tJ Corrections required prior to approval. COMMENTS: (i) feCir/11 `t J<_- "Jf S`1"Q.' -. J k S 1=.,A S e ir. i i J /1 1PI j S t C1 11- /l f ray. M ,'/t 6 -e}f< ce,' i, its 1.4 e C' t o `)ram S P '-` _A ---X 6K pett GiA-4/10, eg Inspe Date: REINSPECTION FEE REQWRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. ranINSPECTION RECORD Cj Retain a copy with permitT 1' `"a-�`?g IN • T O N+ PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd:, #100, Tukwila. WA 98188 (206) 431-3670',. Permit Inspection Request Line (206) 431-2451 Project: t: ./Type ^ 4 A --A £ &� /K% . Die insp ction: vikilik _.. Address: , f�� Date Called. t / � t �truc Special ions: Date Wanted: i -5- �/ p.m. 'Requester: Phone No: tJ Approved per applicable codes. Corrections required prior to approval. Co MMENTSpTrDJ1�it/Li C -) 3-dA364 Date:gr ' S 1 ,f 0 REINSPECTION FEE R UIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. t4_ 678 S ` T 0 N PERMIT N0 CITY OF TUKWILA BUILDING DIVISION C 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 431-2451 INSPECTION RECORD Retain a copy with permit pro ect: Type of spectsgn: Addr^es�s• I �, , ` W ► � ivy Date Called: a Special Instructions: Date Wanted: /(� (f 'I`S 4L . p.m. Requester: Phane tp3VN : i7(tt- 6 / Approved per applicable codes. Corrections required prior to approval. COMMENTS: -P/A o 3 we s-T icm_5 op -A rD3AAJ 32.E 73 0 31.1- ADA'`ko lnspeor: Date:k,„ REINSPECTIOi4EE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • f INSPECTION RECORD Retain a copy with permit INSP T • NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Prof t: Lft.l y d�f Type of In 44o�}:I _ t i f� �C r O. Addr s•44 `` '�-` p ate sled: U j 61 Spe ial lnstructions c\ Date Wanted 'in Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: (i.--) jvl UST"` `e: " G eA .er A a r ( - - - ikA e..,f f-Jv L.: 6.-) c • e 44 -90 WA/ 0 '..- 15`f-A. : r t ) i Al-e - --- (---' C;-_-21 Ins ctor: . _ 1 /Af\\ Date: 7- i.. REINSPECTION FEE REQUIRED Pr or to next inspection, fee must be paid at 6300 Southcenter Blvd.: Su'' a 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit { IN P P RMTNO CITY OF TUKWILA BUILDING DIVISION G( 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: cC�5Lr\t'� 8ehcVr 0(4 Type of Inspection: rokA47711 4 Address: ®-- 1 Date Called: Special Instructions: Date Wanted: I — �!' i La 'mom 1 p..m. equester: Phetr;to e3NO' 1 7 6i q " proved per applicable codes. Corrections required prior to approval. COMMENTS: N3` iv)jr3 3X� Al 1\)..g, `14 3-7 8 S.l�t t<r} � �e ©2_ Date: Q 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 parMit INSPECTION NUMBER PERMIT NUMBERS CITY OF TUK VILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206-575-4407- Project: kf& TYpcceRf hn++specti r, . Address: la try i Suite #: oil, Contact Person: Special Instructions: Phone No.: 2146,pproved per applicable codes. COMMENTS: SAP Wit..- nCorrections required prior to, approval. • Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: Date: //f i�-��%ry Hrs.: F--1 $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. CaII to schedule a reinspection. Billing Address Attrt: Address: City: Word/Inspection:Record Form.Doc Company Name: State: Zip: T.F.D. Form F.P. 113 INSPECTION RECORD Retain a copy with permit INSPECTION NUMBER CITY OF TUKWILA FIRE DEPARTMENT 444-Andover Park East, Tukwila, Wa. 98188 206-575-4407 Project: (� ire- �' "' a' L.,P Ty a of Inspection: , r0 t z- 'A Address: / t( w, 11 },,,,, Contact Person: aliy , Suite #: „'� Special Instructions: Phone No.: , ! jog Approved per applicable codes. COMMENTS: I I Corrections required prior to approval. ct)/SG.. Nyhrt. O la moo alp & 1-14bAooff. reg5 -FA — 4643e. 0 k-R_ Aeives SQ got S Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: i"t S a Date: ld ail Hrrs.: a.. n $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. Billing Address Attn: Address: City: Word/Inspection Record Form -.Doc Company Name: State: 6/11/10 Zip: INSPECTION RECORD Retain a copy with permit INSPECTION NUMBER PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT. 444 Andover Park East, Tukwila, Wa. 98188 206-575-4407 Project,, C .I//o - • /+ Sp Type of Inspection: 1/Q Address: Suite #: Contact Person: Special Instructions: -:Phone No.: )(� Approved per applicable cod COMMENTS: riCorrections required prior to approval, ()/( 6_)yee- g//d//f-v Needs Shift Inspection:'` Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: t -L /may lic Date: /o/2 V f Hrs.: J. 0 n $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. Billing Address Attn: Address: City: Word/Inspection Record Form.Doc Company Name: State: 6/11/10 Zip: T.F.D. Form F.P. 113 INSPECTION RECORD Retain a copy with permit INSPECTION NUMBER - GGY 1 V- 5 --157 PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT Project.,--) (�' Type of Inspection: Address: Suite #: r // /A.' -2 tii Contact Person: Special Instructions: , Phone No.: Approved per applicable codes. COMMENTS: Corrections required prior to approval. r/ /v! ,Z c 5-c. 1. f V o k,7` ri ' is j -r' . / . / j/i/(1 J g U //v -- ..e. r SdLt r c C...-.' t E' /% 2 , ✓1" f4 / A . / - Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: Date: Hrs.: $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. Billing Address Attn: Company Name: Address: City: State: Zip: Word/Inspection Record Form.Doc 3/14/14 T.F.D. Form F.P. 113 INSPECTION RECORD Retain a copy with permit INSPECTION NUMBER PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 Project: X ( Type of Inspection: C ---bLKkh Address: Suite #: t 2Zy`( Vikl \, ) Contact Person: . Special Instructions: Phone No.: ;Approved per applicable codes. Corrections required prior to approval. COMMENTS: --,Dvsz. it 4 s Q (Ak((._,If o T,, j {) (oPrnJ Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: re_ M S 3 Date: /0/e/ y Hrs.: /.- 0 $100.00REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. CaII to schedule a reinspection. Billing Address Attn: Company Name: Address: City: State: Zip: Word/Inspection Record Form.Doc 3/14/14 T.F.D. Form F.P. 113 INSPECTION NUMBER PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 Project /-IS �f'9" .eF%-yJ Type of Inspection: Address: ' Suite #: % 0 VV /Pi/44/ Os Contact Person: - Special Instructions: ` Phone No.: Approved per applicable codes. COMMENTS: Corrections required prior to approval. ,1/9/1 f. C6V .5 Neds Shift Inspection: : Sprinklers: Fire Alarm: Hood & Duct: Mnitor: Pre -Fire: Permits: Occupancy Type: Inspector:'' L'`--- ?' 4a' Date: /1 / / Hrs.: / $100.00 REINSPECTION FEE REQUIRED.You will receive 'en invoice from the City of Tukwila Finance Department. CaII to schedule a reinspection. Billing Address Attn: Address: Company Name: City: State: Zip: Word/Inspection Record Form.Doc INSPECTION RECORD Retain a copy with permit INSPECTION NUMBER -CITY OF TtikiWILA FIRE DEPARTMENT 444 Andover Park east, Tukwila, Wa. 98188 206-575-4407 Project: c La nc1/4•4‘or4... Type of Inspection: .5 Address: Suite #: 12.$ 4A - M ,k- % R t. S Contact Person. 56• 6 .. Special Instructions: Phone No (,30—(DZ —1c\3O riApproved per applicable codes. COMMENTS: giCorrections required prior to approval. Ev c,lV cct eiz C Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: s) Date: 1 3 \ ; Hrs.: fl $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reins ion. Billing Address Attn: Address: City: Word/Inspection Record Form.Doc Company Name: State: 6/11/10 Zip: T.F.D. Form F.P. 113 INSPECTION RECORD Di4 y (567 , Retain a copy with permit INSPECTION NUMBER PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206-575-4407 Project: c,Sco, ..r_c\oviocst Type of Inspection: i/..c5,4,."�-, L . Address: Suite #: \ 2:646 \\\ , Contact Person:. Special Instructions: Phone No.: Approved per applicable codes. Cek Corrections required prior to approval COMMENTS: AN* Ztf\, to sic' o x F)\\ r L - ikt Lt)Nmq. c �•� � ca,N\ q f-.(or e. a L. Needs Shot Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type:°,x.: Inspector: Y5 i Date: \3k A Hrs.: ri $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. CaII to schedule a reinspection. Billing Address Attn: Address: City: Word/Inspection Record Form.Doc Company Name: State: 6/11/10 Zip: T.F.D; Form F.P. 113 INSPECTION RECORD Retain a copy with permit Dig - c07d INSPECTION NUMBER CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206-575-4407 PERMIT NUMBERS Project: Q1 iType bbkkmiitoh4-(.. AP of Inspection:0.0"%ecke- 5? Address: La hi LS Suite #: Contact Person: Special Instructions: Phone No.: proved per applicable codes. nCorrections required prior to approval. COMMENTS: Needs Shift. Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type:` Inspector: lk C .,� Date: 0q/f9 Hrs.: / n $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. CaII to schedule a reins ion. Billing Address Attn: Address: City: Word/Inspection Record Form.Doc Company Name: State: 6/11/10 Zip: INSPECTION RECORD Retain a copy with permit INSPECTION NUMBER b14-00 )4-5-1Z3 PERMIT NUMBERS - CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206-575-4407 611Z. Project: CokS Calif.v �o r•� L \ ; � Type of"Inspection: SL`Qcmr-er -Address: Suite #: \-2 4 k -'M'k'kc. S Contact Person: Special Instructions: Phone No.: • n Approved per applicable codes. COMMENTS: Corrections required prior to approval. \\ 4LSYvo 1 t S 4Co1^ alk\ \e‘e er aC-t--111‘ S C. -«c. 4=c-L dI% zap- S-)S ..v- 3N Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector:V,1V151 Date: 6,t 1 t t 14 Hrs.: n $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from thi City of Tukwila Finance Department. Call to schedule a reinspection. Billing Address Attn: Address: City: Word/Inspection Record Form.Doc Company Name: State: 6/11/10 Zip: firwM71 Information IlreMAIToBuild On Enelmedne • CommaNig • , October 29, 2014 Alpa Construction 330 Fairbank Street Addison, WA 60161 Subject: Final Letter Special Inspection and Testing 07421236 Cascade 3 West Renovation Tukwila, Washington Permit #: D14-0078 Dear Mr. Today: RECEIVED CITY OF TUKWIL A NOV 10 2014 PERMIT CENTER In accordance with your request and authorization, Professional Service Industries, Inc. (PSI) has performed special inspection and testing services for the above referenced project. The special inspections provided on this project were: • Fireproofing • Structural Steel Welding and Bolting To the best of our knowledge, all work listed above that PSI was scheduled on -site to verify, has been found to be in general accordance with the approved plans and specifications, approved changes from the FOR and Chapter 17 of the International Building Code. If you have any questions or if we can be of further assistance, please do not hesitate to contact our office at (253) 589-1804. Respectfully submitted, Professional Service Industries, Inc. Mike Kath Bret Reid Branch Manager Principal Consultant Professional Service Industries, Inc. • 10025 South Tacoma Way Lakewood, WA 98499 Phone: 2531589-1804 Fax 2531589-2136 2012 Washington State Energy Code Compliance Forms for Commercial, Group RI, and > 3 story R2 and R3 Mechanical Summary MECH-SUM Revised June 2013 t^' 2012 Washington Stat Energy Code Compliance Forms for Commercial, Group R1, and > 3 story R2 and R3 Project Info Irt . - - !• Project Address Cascade Behavioral Health Date 3/3/2014 12844 Military Road South For Building Dept. Use Tukwila, WA 98168 Applicant Name: Hargis Engineers Inc., Jared Robillard App11C'antAddress: 600 Stewart Street, Seattle WA, 98101 _ EVIEWED FOR COMPI loNr, Applicant Phone: 206-859-5383 CODF Foject Description Briefly describe mechanical system type and features. Includes Plans Drawings must contain notes requiring compliance with commissioning APPROVED MAY 2 3 2014 Novisitiorarita0In Compliance Option Simple System s Complex System Systems;Analysi ; BUILDING DIVISION 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 Name' Model No.' Capacity2 Btu/h OSA CFM or Econo? SEER or EER IPLV3 Econmizer Option or Exceptions Heat Recovery Y/N Refer to plans Heating Equipment Schedule Equip. ID Equip Type Brand Name' Model No.1 Capacity2 Btu/h OSA cfm or Econo? Input Btuh Output Btuh Efficiency Heat Recovery Y/N Refer to plans Fan Equipment Schedule Equip. ID Equip Type Brand Name' Model No.' CFM Sp' HP/BHP Flow Contro15 Location of Service Refer to plans Service Water Heating Equipment Schedule Equip. ID Equip Type Brand Name' Model No.' Input Capacity Sub - Category EFL Location of Service N/A ' If available. 2 As tested according to Table C403.2.3(1)A thru C403.2.3(8). 3 If required. 4 COP, HSPF, Combustion Effi palD as applicable. 5 Flow control types: variable air volume (VAV), constant volume (CV), or variable speed (VS). 6 Economia - ; _ •0• • nraprl `A APR 2 3 2014 CORRECTION PERMIT CENTER Mechanical Permit Plans Checklist - Page 1 of 3 MECH-CHK 2012 Washington State Energy Code Compliance Forms for Commeraal, Group R1, and > 3 story R2 and R3 Revise*June 2013 `t. Project Address Cascade Behavioral Health (Date 3/3/2014 The following information 1s 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 Code Section Code Provision Information Required L on ns ., s ';° Department(yes,no,na) aM• _ GENERAL PROVISIONS Equipment Sizing & Performance Yes C403.2.1 Load calculations Load calculations performed per ASHRAE Std 183 or equivalent per Chapter 3 Attached Yes C403.2.2 Equipment and system sizing Output capacity of heating and cooNng equipment and systems do not exceed calculated Toads, note exceptions taken Attached Yes C40325 .. Minimum ventilation Vendladon (natural or mechanical) provided per IMC; indicate mechanical ventilation is capable of being reduced to minimum requirement per IMC Attached Yes C403.2.3 & C403.2.3.2 & C403.2.12.1 Equipment minimum efficiency Provide equipment schedules or complete MECH-SUM tables with type, capacity, efficiency, test standard (or other efficiency source) for all mechanical equipment MO.OX Yes C403.2.13 Electric motor efficiency Provide equipment schedule with hp, rpm, effdency for all motors; note except MO.OX Yes C403.2.10 Fan power limitationFan system motor hp or bhp does not exceed limits per Table C403.2.10.1(1) M0.03 Yes C403.2.10.3 & C403.2.13 Fractional Fractional hp fan motors Indicate fan motors 1/12 to 1 hp are ECM type or meet minimum efficiency M0.03 C403.2.3 MaximN/A capaddt, air cooled chiller Indicate air-cooled chiller capacity does not exceed air-cooled chiller limit N/A N/A C403.2.1 Non-standard water-cooled chillers Full -load and NPLV values for water-cooled centrifugal chiller adjusted for non-standard operational conditions N/A N/A C403.2.12.1.2 ling oling Ca�yet � coo Large capacity cooling towers with centrifugal fan(s) meet efficiency requirements for axial fan open circuit cooling towers N/A N/A C403.2.3 air fumace and unit heaters Indicate intermittent ignition or IID, flue/draft damper & jacket loss N/A N/A C403.2.3.3 Packaged electric heating/cooling equipment List equipment required to be heat pumps on schedule N/A N/A C403.2.3.4 HumidificationIndicate method of humidification (note requirements for systems with economizer) N/A HVAC System Controls & Criteria Yes C403.2.4.1 Thermostatic controls Indicate locations of thermostatic control zones on plans, including perimeter systems M3.30 N/A C403.2.4.1.1 Heat pump supplementary indicate staged heating (compression/supplemental) & outdoor lock-outheat emp N/A Yes C403.2.4.2 Setpoint overlap (deadband) Indicate 5°F deadband minimum for systems controlling both heating & cooling M10.02 Yes C403.2.4.3 Automatic setback and shutdown Indicate zone t-stat controls with required automatic setback & manual override M10.02 Yes C403.2.4.3.3 Automatic (optimum) start Indicate�nonssystem controls that adjust equip start time to matdi load M10.02 Yes 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 M6.01, Spec N/A C403.2.11 Heating outside a building Indicate radiant heat system and occupancy controls N/A N/A C403.2.4.5 Snow melt systems Indicate shut-off controls based on outdoor conditions N/A N/A C403.2.4.6 Combustion heating Indicate modulating or staged control N/A N/A C403.2.4.7 Group R1 hotel/motel systems Indicate method for guest room automatic setback & set-up of 5°F minimum N/A N/A C403.2.4.8 / 5 Group R2/R3 dwelling unit systems Indicate 5-2 programmable thermostats in primary spaces with minimum of two setback periods; note exceptions taken N/A N/A C403.2.5.1 Demand controlledvn Indicate high -occupancy spaces and systems requiring DCV N/A N/Aalternate C403.2.5.2 Occupancy sensors Indicate spaces requiring occupancy -based system control and method; or means provided to automatically reduce OSA when partially N/A N/A C403.2.5.3 Enclosed loading ventilationo dock/parking garage Indicate enclosed loading dock and endosed parking garage ventilation system activation and control method N/A N/A C403.2.5.4.1 Kitchen exhaust hoods Indicate kitchen hoods requiring make-up air; Indicate make-up air source and conditioning method A N/A N/A 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) N/A N/A C403.2.8.1 Energy recovery - ventilation systems Indicate ventilation systems requiring ER, method & efficiency; note exceptions N/A N/A C403.2.8.2 Energy recovery - condensate systems Indicate on site steam heating systems requiring energy recovery N/A N/A C403.2.8.3 Energy recovery - condenser systems Indicate remote refrig. condensers requiring ER and use of captured energy A N/A Kati r • Mechanical Permit Plans Checklist - Page 2 of 3 2012 Washington pale Energx Code Compliance for Commercial Group R1, and > 3 story R2 and R3 MECH-CHK Revised June 2013 Project Address Cascade Behavioral Health (Date 3/3/2014 The following information is necessary to chedc a medianical permit application for commerdal provision compliance with the 2012 WSEC. NOTE: Define print area in Excel prior to printing MECH-CHK pages. Applicability Oyes,no,nal Code Section Code Provision Information Required Location on Plans Building Department Notes GENERAL PROVISIONS, CONTINUED HVAC System Controls & Criteria, Continued Yes C403.2.12 Variable flow control - fans/pumps Indicate fan & pump motors requiring VF control & method (VSD or equiv controls) M0.03 N/A C403.2.12.1 Variable flow control - cooling towers Indicate cooling tower fans requiring variable flow control and method N/A Yes C403.2.12.2 Large volume fan systems ndicafan I cooling demand` or exception takenw reduction based on heating and M 10.03 N/A C403.2.12.2 Single zone AC systems Indicate method of coding demand based fan control for sys. > 110,000 h N/A M 10.0x Yes C403.2.4.10 DDCsystem capabilities Identify all DDC system input/output control points and indicate capability for trending and demand isigga a setpojnt adjustment Ducting Systems Yes C403.2.7.1 &Duct C403.2.7.3 construction Indicate all ductwork constructed and sealed per IMC, C402 leakage requirements and IBC vapor retarder requirements S p eCS :43.2.7.3.1, Duct pressure classifications Identify location of low, medium and high pressure ductwork on plans Specs N/A C403.2.7.3.3 pressure duct leakage test ietedg requirements on plans; provide testIndicate high pressure dud results to jurisdiction when completed N/A Yes C403.2.7.1 / 2 Duct insulation Indicate R-value of insulation on ductwork Specs Piping Systems Yes C403.2.8 Piping insulation Indicate R-value of insulation on piping Specs Yes C403.2.8.1Pip exposed to weather Indicateinsulation Indic ate method of protection from damage/degredation Specs SIMPLE SYSTEMS Qualifying Systems N/A / C403.3 Qualifying single zone systems Verify unitary or packaged equipment does not exceed capacity limits, does not have active humidifcabon or simultaneous heating/cooling N/A N/A C403.3 Qualifying 2-pipe heating systems Verify 2-pipe heating -only system does not exceed capacity limits N/A N/A C403.3.2 Hydronic system controls Refer to Complex Systems Section C403.4.3 N/A Simple System Economizers Yes C403.3.1 Air economizer required Indicate cooling systems requiring economizer controls; note in equip sailed. M 10.02 Yes C403.3.1.1.1 Air economizer capacity Indicate modulating OSA control capability up to 100% OSA, or exception M10.02 Yes C403.3.1.1.3 Air contreolns°mizer highknit Indicate high limit shutoff oontrol method per Table C403.3.1.1.3(2) M10.02 Yes C403.1.1.2 Integrated air economizer operation Indicate capability for partial air economizer operation for systems with capacity > 85.000 btuh M10.02 N/A C403.3.1 Air economizer exceptions Indicate eligible exception(s) taken and provisions to comply with exception(s) COMPLEX SYSTEMS Complex System Economizers Yes C403.4.1 Air economizer required Indicate cooling systems requiring economizer controls; note in equip ached. M10.02 Yes 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 M10.02 Yes C403.4.1,3 Integrated economizer operation Indicate capability for partial economizer operation for air or water econo systems M10.02 N/A Moved Water economizer capacity Indicate water econo capable of 100% cooling capacity at 50°F db/45°F wb OSA N/A N/A C403.4.1.2 Water economizer maximum pressure drop Indicate precooling cots and heat exchangers do not exceed pressure drop limit N/A N/A C403.3.1 Air economizer exceptions Indicate eligible exception(s) taken and provisions to comply with exception/sl N A / Mechanical Permit Plans Checklist - Page 3 of 3 2012 Washkgton State Energy Code Compliance Forms for Commercial, Group R1, and > 3 story R2 and R3 MECH-CHK • - 2013 Project Address Cascade Behavioral Health (Date 3/3/2014 The following information is necessary to chedc 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 Informaon tiRequired Location on Plans Building Department Notes COMPLEX SYSTEMS, CONTINUED Specific System Requirements Yes 403C4032.12.2.12 C403.4.22.12 Variable flat,control - fans Indicate fans requiring variable flow control and method M0.03 Yes C403.4.2.1 VAV fan static pressure sensors Indicate sensor locations on plans; indude at least one sensor per major duct branch M 10.02 Yes C403.4.2.2 VAV fan static pressure setpoint Indicate fan system static pressure setpoint based on zone requiring most pressure M 10.02 Yes C403.4.5 VAV systems serving multi -Indicate zones supply air systems serving multiple zones that are required to be VAV, method of primary air control, and zones served; note exceptions taken M10.02 Yes C403.4.5.4 VAV system supply air reset Indicate controls that automatically reset supply air temp in response to loads M 10.02 N/A C403.4 Large capacity coding systems Indicate method of mule -stage or variable control for building cooling system capacity > 300 tons N/A N/A C403.4.7 Hot gas bypass limitation Indicate coding equipment unloading or capacity modulation method N/A N/A C403.4.3 systems ees capacity holier Indicate multi -stage or modulating bumer for single boilers > 500,000 btuh N/A N/A C403.4.3 Boiler sequencing Indicate automatic controls that sequence operation of multiple boilers N/A N/A C403.4.3.5 Chiller / boiler plant pump isolation Indicate capability to automatically reduce overall plant flow and shut-off flow through chillers & boilers when not in use N/A N/A C403.4.2 & C403.4.3.6 Variable flow control - pumps Indicate pumps requiring variable flow control & method N/A N/A C403.2.12.1Variable & C403.4.403.4.4 flow control - cooling towers Indicate cooling tower fans requiring variable flow control and method N/A N/A C403.4.3.4 Hydronic system part load controls `�""a ""`� �� ' '2'""" �•` "„ "' �""", "' automatically reset supply water temp AND reduce flow by t 5096 for N/A N/A C403.4.3.2 Two -pipe changeover systems Indicate deadband, heating/cooling mode scheduling and changeover temperature range A N/A N/A C403.4.3.3.1 Water loop heat pump - deadband Indicate capability of central equipment to provide min. 20°F water supply temp deadband between heat rejection and heat addition modes N/A N/A C403.4.3.3 Water loop heat pump - heat rejection Provide heat exchanger that separates coding tower and heat pump loop in Climate Zone 5 N/A N/A C4°3.4.3.3.3 Water heat pump - isolation isolation for systems with total pump power hpt pump and variable flow control N/A N/A C403.4.6 Condenser water heat recoveryIndicatesystem provided to preheat service water and efficiency N/A N/A C403.5 Cooler / freezer - anti -sweat heaters Indicate w/sf & control method for walk-in cooler/freezer door anti -sweat heaters N/A N/A C403.5 / 6 Cooler / freezer - gyaporato[ and Gp(lenser Indicate motor type for evaporator and condenser fans < 1 hp N/A SERVICE WATER HEATING Service Water Systems N/A C404.2 Water -heating equip min. efficiency Provide equipment schedule or complete MECH-SUM table with type, capacity. efficiency, test standard (or other efficiency source) N/A N/A C404.3 Temperature controls Indicate temperature controls have required setpoint capability N/A N/A C404.4 Heat traps Indicate piping connected to equipment have heat traps on supply & discharge N/A N/A C404.5 Insulation a e don under water Indicate R-10 insulation under tank N/A N/A C404.6 Service water piping insulation Indicate R-value of insulation on piping; note exceptions taken N/A N/A C404.7 / 8 Circulation systems and heat trace shut-off Indicate shut-off capability based on occupancy and periods of limited demand N/A N/A C404.9 Group R-2 service hot water meters Indicate method of usage metering for dwell. units served by central HW system N/A Pools & In -Ground Permanently Installed Spas N/A C404.10.1 Pool heating equip min. efficiency Provide equipment schedule or complete MECH-SUM table with type, capacity, of deny, test standard (or other eff. source); heat pump heaters a4COP N/A N/A C404.10.1 / 2 Pool heater on / off controls indicate automatic on/off control based on scheduling & accessible on/off switch on heater that operates independent of thermostat setting; or N/A _ N/A C404.10.3 Pool covers Indicate vapor retardant cover and insulation rating as required N/A N/A C404.10.3 Pod assembly insulation Indicate rating of insulation on sides and bottom of pools heated to > 90°F N/A N/A C404.10.4 Heat recovery Indicate method, exhaust air temperature reduction and recovered energy use N/A 2012 Washington State Energy Code Compliance Forms for Commercial, Group R1, and > 3 story R2 and R3 Interior Lighting Summary 20 Washington State Energy Code Compliance Forms for Commercial, Group RI , and > 3 story R2 and R3 LGT-SUM Revised June 2013 Project Info * Project Address Cascade Behaviroral Health Date 4/22/2014 12844 Military Road South For Building Department Use Tukwila, WA 98168 Applrca lNr ib! Hargis Engineers Inc, Doug Foreland rant Address: 600 Stewart Street, Seattle WA, 98101 Applicant Phone: 206-448-3376 Project Description I ❑ New Building ❑ Addition ❑ Alteration J Plans Included Lighting Compliance Path ® Lighting Power Density Calculations 0 Total Building Performance (If Total Building Performance then only LGT-CHK is required.) Interior Lighting Compliance Option ® Building Area Method 0 Space -by -spa MetEVIEWED FOR CODE COMPLIANCE Interior Lighting System Description Briefly desaibe lighting system type and features. APPROVD MAY 2 3 2014 City of Tukwila • BUILDING DIVISION Additions and Change of Space Use (C101.4.3 & C101.4.4) J ❑ Addition area or Change of Space Use area complies with all applicable provisions as stand alone project Addition area or Change of Space Use area is combined with existing building lighting systems to demonstrate compliance with all applicable provisions Provide Building Area Method (LTG-INT-BLq or Space -By -mace Method (LTG-INT-SPACE) Compliance Form. Document maximum allowed and proposed (including existing ifapplicable) lighting wattage of Addition orChange of Use scope. Provide applicable lighting controls per C405.2 and commissioning of lighting controls per C405.13. Alterations, Renovations and Repairs (C101.4.3.1) 60% or more of luminaires in space replaced Provide Building Area Method (LTG-INT-BLq or Space -By -Space Method (LTG-INT-SPACE) Compliance Form. Document maximum allowed and proposed (including existing) lighting wattage of project scope ❑ Less than 60% of luminaires in space replaced Provide Space -by -space Method (LTG-INT-SPACE) Compliance Form. Document existing total wattage in space and proposed (including existing) lighting wattage of poject scope ❑ Lamp and/or ballast replacement within existing luminaires only — existing total interior building wattage not increased New wiring installed to serve added fixtures and/or fixtures relocated to new circuit Provide applicable manual lighting controls (C405.2.1), occupancy sensors(C405.2.2.2), daylight zone controls (C405.2.2.3), slecific application controls (C405.2.3), and comnrssioning of lightig controls per C405.13 ❑ New or moved lighting panel Provide all applicable lighting controls asnoted for New Wiring, artomatic time switch controls (C405.2.2.1), and commisioning of lighting controls per C405.13. ❑ Space is reconfigured - luminaires unchanged or moved only Provide all applicable lighting controls as noted for New Wiring and commssioning of lighting controls per C405.13. ❑ No changes are being made to the interior lighting and space use not changed. CORRECTION 1_TR# b'+OO78 RECEIVED CITY OF TUKWILA APR 2 3 2014 PERMIT CENTER 2012 Washington State Energy Code Compliance Forms for Commercial, Group R1, and > 3 story R2 and R3 Interior Lighting Summary - Building Area Method LTG-INT-BLD iui z vvasnfngton crate tnergy t:oae uompuance romis Tor ommeraai, Group K7, ana > 3 story K2 ana K3 Revise June 2Q73 Project Info Project Address Cascade Behaviroral Health Date 4/22/2014 12844 Military Road South For Building Department Use �; 777 Tukwila, WA 98168 Applicant Name: Hargis Engineers Inc, Doug Foralund Maximum Allowed Lighting Wattage Building Area Location (plan #, room #, or ALL) Area Description Allowed Watts per ft2* Gross Intenor Area in ft2 Watts Allowed (watts/ft2 x area) Hospital All Behavioral Hospital 1.20 12600 15120 ' Lighting Power Allowances per Table C405.5.2(1) Total 12600 Provosed Li tin Wattage Building Area Location (plan #, room #, or ALL) Fixture Description (Include exempt equipment per Note 5) Number of Fixtures Watts/ Fixture Watts Proposed Hospital E2.30 i E2.31 A - 2' x 4' - 2-lamp recessed fluoresc 86 59 5074 Hospital 82.30 B - 2' x 4' - 2-lamp recessed fluoresc 22 59 1298 Hospital E2.30 F - 1' x 2' - 1-lamp surface fluoresce 9 19 171 Hospital E2.30 D - 6" x 9" recessed wall fluorescent 22 11 242 Hospital E2.30 E - 2' x 2' - 2-lamp recessed fluoresc 29 59 1711 Hospital E2.30 X - Exit Sign - EXEMPT 6 Hospital E2.30 C - Over bed reading light. 2-lamp 30 38 1140 Notes: 1. Proposed Wattage for each Building Area type shall not exceed the Allowed Wattage for that Building Type. Trading wattage between Building Area types is not allowed under the Building Area Method compliance path. 2. Proposed fixtures must be listed in the building area in which they occur. Include ALL fixtures. 3. For proposed Fixture Description, indicate fixture type, lamp type (e.g. T-8), number of lamps in the fixture, and ballast type (f included). For track lighting, list the length of the track (in feet) in addition to the fixture, lamp, and ballast information. 4. For proposed Watts/Fixture, use manufacturer's listed maximum input wattage of the fixture (not simply the lamp wattage) and other criteria as specked in Section C405.5.1. For line voltage track lighting, list the greater of actual luminaire wattage or length of track multiplied by 50, or as applicable, the wattage of current limiting devices or of the transformer. For low voltage track lighting list the transformer rated wattage. 5. For lighting equipment eligible for exemption per C405.5.1, note exception number and leave Watts/Fixture blank. 2012 Washington State Energy Code Compliance Forms for Commercial, Group R1, and > 3 story R2 and R3 Lighting, Motor, and Transformer Permit Plans Checklist LTG-CHK 2012 Washington State Energy Code Compliance Forms for Commercial, Group R1, and > 3 story R2 and R3 Revised June 2013 Project Address Cascade aehaviroral Health Date 4/22/2014 The following information is necessary to check a permit application for compliance with the lighting, motor, and transformer requirements in the 2012 Washington State Nonresidential Energy Code. Applicability (yes, no, n.a) Code Section Component Information Required Location on Plans Building Department Notes LIGHTING CONTROLS (Section C405.2) 1 yes kW C405.2.1 Manual lighting controls Lighting control schedule with type, locations served, 50% lighting reduction method E2.30 Yea C405.2.2.1 Automatic time switch controls Lighting systemsautomatic shut-off g �9 capability -indicate method and location served on plans. Note locations where automatic shutoff is provided by other method (occupancy sensor, daylight controls, etc) z2.30 No Override switching Schedule with locations served - no single override switch exceeds an area of 5,000 SF Yes C405.2.2.2 Occupancy sensors Schedule of locations served E2.30 Yea C405.2.2.3 Daylight zones E2.30 Yes Vertical fenestration Primary and secondary daylight zone areas indicated on plans N.A. Skylights Skylight daylight zone areas indicated on plans Yes C405.2.2.3.: Daylight zone controls Lighting control schedule with dimming method and locations served - no single daylight control zone exceeds 2,500 SF N.A. • C405.2.3 Specific application controls Specific application lighting controls are independent ofgeneral area lighting and controls for other fighting applications Yes Means of egress lighting Lighting control schedule with method and locations served. Note luminaires that function as both normal and egress. E2.30 N.A. Display lighting Lighting control schedule with type and locations served N.A. Accent fighting Lighting control schedule with type and locations served N.A. Hotel/motel guest rooms Lighting control schedule with type and locations served N.A. Supplemental task lighting Lighting contra schedule with type and locations served Yes Non-exempt fighting equipment Lighting control schedule with type, applications served and locations Yes Non-exempt lighting equipment Lighting control schedule with type, applications served and locations C405.2.4 Exterior lighting controls Lighting control schedule with g g type, features and location served N/A INTERIOR LIGHTING POWER (Section C405.5) Yes C405.5.1 Total connected lighting power Schedule with fixture types, lamps, ballasts, watts per fixture E2.30 Yes Space exceptions Space exceptions taken noted on plans or compliance form E2.30 No Lighting equipment exceptions Equipment exceptions taken noted on plans or compliance form E2.30 Yes C405.5.2 Lighting power calculations E2.30 Yea Building Area Method Compliance form completed — proposed wattage per building area does not exceed maximum allowed wattage E2.30 No Space -By -Space Method Compliance form completed — total proposed wattage does not exceed maximum allowed wattage Yes C405.4 Exit signs All internally illuminated exits sign are < 5 watts per side E2.30 EXTERIOR LIGHTING POWER (Section C405.6) N.A. C405.6.2 Total connected lighting power Schedule with fixture tYPeslamps, ballasts, watts per fxture N.A. Exterior application exceptions Exterior application exceptions taken noted on plans or compliance form N.A. Lighting power calculations Compliance form completed — proposed wattage for ederior lighting plus base site allowed does not exceed max. allowed 2012 Washington State Energy Code Compliance Forms for Commercial. Grouo RI. and > Lighting, Motor, and Transformer Permit Plans Checklist LTG-CHK 2012 Washington State Energy Code Compliance Forms for Commercial, Group R1, and > 3 story R2 and R3 Revised June 24,13 Project Address Cascade Hehaviroral Health Date 4/22/2014 The following information is necessary to check a permit application for compliance with the lighting, motor, and transformer requirements in the 2012 Washington State Nonresidential Energy Code. Applicability (yes, no, n.a.) Code Section _Component Information Required Location on Plans Building Department Notes N.A. C405 61 Exterior building grounds lighting Schedule with fixture types, lamps, ballasts, watts per fixture; lumens per watt for fixtures > 100 watts ELECTRICAL POWER SYSTEMS (Sections C405.7 ,C405.9, C405.12, C409.2.1) N.A. C409.2.1 Electrical energy consumption — whole building Meters provided for whole building electric energy usage N.A. C405.7 Electrical energy consumption — dwelling units Individual dwelling unit electricity meters provided N.A. C405.9 Transformers Indicate transformer size and efficiency on plans N.A. C405.12.1 Variable speed escalators and moving walks Variable speed controls provided N.A. C405.12.2 Regenerative drives' Variable frequency regenerative drives provided for escalators COMMISSIONING (Sections C405.13, C408.3, C409.4.4) Yes C405.13 Commissioning Commissioning procedure developed for all applicable systems Yes C408.3 Lighting controls Commissioning plan and functional test procedure developed N.A. C409.4.4 Electrical energy consumption meters Commissioning plan and functional test procedure developed N.A. Escalators & moving walks Commissioning plan and functional test procedure developed If "no" is circled for any question, provide explanation: OFF HOURS INSPECTION Reimbursement authorization/approval to conduct inspection activities during off hours. Date: ti9(.3o_ 19 Requested By: Permit Number: P ILA - O O 1 Firm/Company: 11.\--p1,-N., co Inspection Information Project Name: Z. NA \J N Project Address/Location: \Z,5 ** \ Requested Date for Inspection: 0 3 b Requested Time: }1Cv�ivh.Yi rry OF TUK ILA 1JUN 3 0 2014 PERMIT CENTER Z' d c_WPM Contact Name: A d\- \ o �� Phone Number: Co-3 0 - —71 to 7 g (cal Special Conditions for Consideration: ** Contractor will be charged a minimum for three (3) hour inspection time for any off -hours inspection work at $97.50 per hour (minimum total of $292.50). This is to be paid at the time of request. ** The undersigned, as an authorized representative of the above firm, hereby agrees to reimburse the City for its overtime inspections on the above referenced project. A separate invoice will be issued for all inspection time in excess of (3) hours. Signature: Date: (r)•3O \\A Printed Name:\--)\,,\\�-� City Use Only: Approved: Disapproved: Paid: Receipt No: Date of Approval/Disapproval: Remarks: Authorized Reviewer: H:\Permit Center Forms\Off Hours Inspection.docx t ice-vo--7a' City of Tukwila ila Jim Haggerton, May Department of Community Development Jack Pace, Direct May 21, 2014 Ms. Michelle Curry Cascade Behavioral Hospital 12844 Military Road South Tukwila, WA 98168 Re: Proposed interior remodel of the former Highline Hospital to establish Cascade Behavioral Hospital at 12844 Military Road South, Tukwila WA 98168. Dear Ms. Curry: This letter is a follow up to your response to the city's questions related to the proposed use at the above mentioned address. At the preapplication meeting held on January 16, 2014, city staff had asked questions related to the proposed use to determine if the proposed use was permitted in the underlying zone and if a conditional use was required to establish the proposed use. Your response was provided by a letter dated April 14, 2014 from NAC Architecture, which states that the proposed use is licensed as a psychiatric hospital under RCW 71.12 and is credentialed as a hospital by the Joint Commission Center for Medicare and Medicaid Services and the Washington State Department of Health. Based on review of your response it is determined that the proposed use is similar to a "hospital" use as defined by Tukwila Municipal Code TMC 18.06.435. "Psychiatric Hospital" is not specifically listed as a use category in the City's Zoning Code. However per TMC 18.18.020(24), a use that is similar in nature to other permitted uses may be allowed in the Office Zone by the Director if it is a. similar in nature to and compatible with other uses permitted outright within this district; and b. consistent with the stated purpose of this district; and c. consistent with the policies of the Tukwila Comprehensive Plan. Based upon your letter dated April 14, 2014, the proposed use is similar to a hospital as defined by TMC 18.06.435, which is listed as a conditional use in the Office Zone. The existing facility was used as a hospital and was established as a hospital prior to the annexation of the area to the city of Tukwila. Since it is not a change of use per the City's Zoning Code and no expansion of the facility is proposed at this time, a new conditional use permit is not required. The purpose of the Office zone is to provide areas appropriate for professional and administrative offices, mixed with retail uses. The proposed facility is consistent with the stated purpose of this district and the policies of the Tukwila Comprehensive Plan. Please note that this approval or the approval of the building permit D 14-0078 is not an approval for any future expansion of the proposed use that may include involuntarily committed patients. Such an expansion may fall under the City's definition of either a correctional facility or a diversion facility, both of which are not allowed in the Office Zone. If you are considering the addition of these patients please schedule a meeting to discuss potential code issues. If you have any questions, you can reach me at 206-431-3686. Jii C Jack Pace, Director Department of Community Development. Page 2 of 2 13I4-00-7g vi ro Z CASCADE BEHAVIORAL HEALTH HOSPITAL Nearby Search Area (.25mi) 1 1 Search Result Location H E Q Q cu 0 a Cr CJ a 0 0 0 b h Cu Q 0.1 Q1 a C1 42) N • O O Q 0 l.7 Cu a Printed on 11/10/2016 0 0 ar 0 0 0 O Q g- L Cu b Let 492 OO ate, 4 0 v o` a a v v a CITY OF TUKWILA Department of Community Development Building Division - Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 Phone: (206)431-3670 http://www.tukwilawa.gov Pre Application Checklist t)li.(- von Pre -Application File No.: PRE14-0001 Project Name: Cascade Behavioral Hosaital Remodel Meeting Date and Time: 01/16✓2014 CAD 2:30 am Site Address: 12844 Militarv'Rd S The following comments are based on a preliminary review. Additional information may be needed. Other requirements/regulations may need to be met. PLANNING DIVISION - Land Use Information 1. Comply with Tukwila Municipal Code (zoning, land use, sign regulations, etc.) 2. Obtain the following land use permits/approvals: ❑ Binding Site Plan Improvement Plan ❑ Shoreline Substantial Development Permit ❑ Boundary Line Adjustment/Lot Consolidation ❑ Short Subdivision ❑ Comprehensive Plan Amendment ® Sign(s) Any changes to the signs shall comply with TMC Title 19 Sign Code requirements and a sign permit is required prior to changing any signs. ❑ Conditional Use Permit (if the proposed use is deemed to be a hospital and it is considered an expansion of the existing use, see comment section later for additional information requested) ❑ Subdivision ❑ Design Review ❑ Tree Permit ❑ Environmental (SEPA) ❑ Unclassified Use ❑ Planned Mixed Use Development ❑ Variance ❑ Planned Residential Development ❑ Other: ❑ Rezone 3. Zoning designation: Office and MDR Site located in sensitive area? ® Yes ❑ No The developed portion of the site is Office zone, so the development standards below are listed for the office zone. 4. Minimum setback requirements: Front: 25 feet Second Front: 12.5 feet Side: 10 feet Rear: 10 feet 5. Maximum Building Height: 3 stories or 35 feet Height exception area? ❑ Yes ❑ No 6. Minimum parking stalls required: 1 parking space for each bed. No more than 30% of required parking stalls may be compact. Full size parking stall depth can include 2 feet of vehicle overhang into landscaped areas. Vehicle overhang in compact stalls cannot count towards stall depth. Bicycle parking shall be provided as outlined in Section 18.56.130 of the Tukwila Municipal Code. 7. Minimum landscaping required: Front: 15 feet Second Front: 12.5 fee Side: 5 feet Rear: 5 feet 8. Minimum interior parking lot landscaping requirements: See TMC 18.52.035(2) 9. Landscape plans must be stamped by a Washington State licensed landscape architect. All landscape areas require a landscape irrigation system. An irrigation plan is required along with the landscape plan (Utility Permit Required). 10. Roof -top mechanical units, satellite dishes and similar structures must be properly screened. Provide elevations and construction details as part of building permit application submittal. 11. Trash enclosures, recycling and storage areas must be screened to a minimum of 8' in height. These shall be located outside the required setbacks. Provide elevations and construction details as part of building permit application submittal. 12. Building permit plans which deviate from that already approved by the Board of Architectural Review may require re -application for design review approval. http:/hcokapp/CRAKYF9/Attachmema/PROIECTS/PRE140001/Preapp Checklist.dacxx Updated: 7-2013 PLANNING DIVISION Page 2 of 2 Pre -Application Checklist File No.: PRE14-0001 ADDITIONAL NOTES: 1) Hospitals are a conditional use in the Office (0) Zone. The subject property was annexed to the City of Tukwila in 1990 and the structures on the property were built prior to 1990 and the use of the property as a hospital was established prior to the annexation of the area into the city. Therefore if the use and the structures complied with the zoning code at the time of construction they are considered nonconforming. Per TMC 18.70.100, the use may not be expanded or modified without first obtaining a conditional or unclassified use permit. Please provide a detailed explanation of the proposed use and breakdown of the areas that are being proposed to be remodeled (include the previous use information and the proposed use information) so that a determination can be made if the proposed use requires any land use approval. As we discussed at the meeting you can email me directly with this information and this information should be submitted as soon as possible and prior to the submitting the building permit. The detailed description should also include the following information so that a determination can be made if the proposed use is a hospital and if any additional land use approvals are required: a) What type of license is obtained from the Department of Health for the proposed use? b) What if any exterior changes are proposed? Design Review is required if the cost of exterior changes exceeds 10% of the building's assessed value. c) Does the proposed use meet the definition of a correctional facility as defined by TMC 18.06.178? A private correctional facility is not permitted in the Office or MDR zone. The definition of a correctional facility includes facilities that provide for the confinement of persons undergoing treatment for drug or alcohol additions and whose freedom is partially or completely restricted. It is also considered a correctional facility if it is housing offenders who are required to be at the facility as a condition of sentence or release from a correctional facility. d) Does the facility meet the definition of a diversion facility or a diversion interim services facility as defined by TMC 19.06.0234 and 19.06.0235? These facilities are not permitted in the Office or MDR zone. e) Here is the list of definitions from Tukwila Municipal Code: 18.06.435 Hospital "Hospital" means a building requiring a license pursuant to Chapter 70.41 RCW and used for the medical and surgical diagnosis, treatment and housing of persons under the care of doctors and nurses. Rest homes, nursing homes, convalescent homes, diversion facility/diversion interim services facility and outpatient medical clinics are not included. 18.06.178 Correctional Institution "Correctional institution" means public and private facilities providing for: 1. the confinement of adult offenders; or 2. the incarceration, confinement or detention of individuals arrested for or convicted of crimes whose freedom is partially or completely restricted other than a jail owned and operated by the City of Tukwila; or 3. the confinement of persons undergoing treatment for drug or alcohol addictions whose freedom is partially or completely restricted; or 4. transitional housing, such as halfway houses, for offenders who are required to live in such facilities as a condition of sentence or release from a correctional facility, except secure community transitional facilities as defined under RCW 71.09.020._ 18.06.234 Diversion Facility `Diversion facility" is a facility that provides community crisis services, which diverts people from jails, hospitals or other treatment options due to mental illness or chemical dependency, including those facilities that are considered "Triage facilities" under RCW 71.05.020 (43) and those facilities licensed as crisis stabilization units by the State of Washington., 18.06.235 Diversion Interim Services Facility "Diversion interim services facility" is a facility that provides interim or respite services, such as temporary shelter, medical mental health treatment, case management or other support options such as transportation arrangements for patients who are referred to such a facility from a diversion facility. Checklist prepared by (staff): Minnie Dhaliwal Date: 1/24/1418.06.435 Hospital http•nrskappf RAIUMMuch"e"WPROJBCIS/PRE14-000t/Prapp Cleckli".dociot Updated: 7-2013 NAC National talent, local focus CORRECITION ARCH ITECTURE April 14, 2014 Bill Rambo, Permit Technician City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, WA 98188 RE: Cascade Behavioral Hospital Permit #: D14-0078 Dear Mr. Rambo Thank you for you and your staff's review of our submittal. For your convenience we have reproduced the individual comments below followed by our response in italics. RESPONSES TO BUILDING REVIEW NOTES 1. On sheet A3.01 there appeared to be some inconsistencies with the bathrooms for identifying which ones were handicap "HC" and the numbering system indicating "T" & "TLT" for toilet rooms and doors. Some toilet room doors have letter 'T" with the numbers where other toilet room doors did not, on the plan and door schedule. Door to room 314 is indicated as 314B, not sure what the "B" sands for. Room 330 has HC TLT which would indicate a handicap toilet room, however was not shown on sheet A7.01 and did not show grab bars. Another example is room 310 didn't indicate HC for handicap yet is shown to be a handicap toilet room. The toilet rooms that appear to be intended for handicap are 310, 314, 330, and 352. Please show the room numbers and toilet room labels including details and schedules to be consistent and/or provide legends that identify what the different lettering stands for to clear up any misperceptions. Response: All toilet room doors are now indicated with the letter "T"in p/an and on door schedule. Not that new seclusion rooms have been deleted and existing Toilet Room 314 will not be modified. Please refer to revised drawing A3.01. Rooms 314, 330, 351, and 352 are existing handicap accessible toilet rooms in which only the lavatory and toilet are being replaced. 2. The accessible toilet room details shown on sheet A7.10 including sheet A3.01 show the fixtures encroaching into the required maneuvering clearance of the toilet space. No fixtures shall be within the required water closet clearance of 60 inches. Revise plan details to show dimensions from the sinks (or fixtures) to the wall adjacent to the toilet to comply with required 60 inch maneuvering clearance. (2009 ANSI 604.3.3) Response: Note that existing toilet room 310 is no longer being modified. Please ffe� IVE D revised drawings A3.01 andAZ01. CITY OF TUKWILA APR 2 3 2014 PERMIT CENTER NAC Inc 1 2025 First Avenue Suite 300 1 Seattle, Washington 98121-3131 I T: 206.441.4522 1 F: 206.441.7917 www.nacarchitecture.com l'4Wi 8 Tukwila Bunging Division, Permit #D14-0078 April 22, 2014 Page 2 of 4 3. Separate plumbing electrical and mechanical permits shall be required. With those permits separate out the sheets and only provide plan sheets that specifically pertain to those individual permits. Response: Plumbing, electrical, and mechanical will be separated for individual permit applications. 4. The number of occupants per room or space is indicated. However we need the total occupant load of the whole floor and other floor alterations to be indicated on the front sheet or code information sheet. Response: The total occupant load for the tenant improvement and for the whole third floor has been added to the code sheet on G1.02. 5. Provide a completed 2012 Washington State Nonresidential Energy Code lighting budget compliance form. 2012 NREC Compliance Forms for Lighting is available online at: http://www.neec.net/energy-codes, (scroll down to center of page). Note: mechanical compliance forms shall be required for the mechanical permit. Response: Completed 2012 NREC compliance forms are attached. 6. Show emergency illumination provided along the common paths of egress. Emergency illumination shall be specified as having at least an average 1 foot-candle and a minimum at any point of 0.1 foot candle measured along the path of egress at the floor level. Emergency lighting shall also be required for exit discharge doorways and any related discharge components that lead to a public way. Emergency illumination may be shown on the code sheet or reflective ceiling plan. (IBC 107.2.3 & Section 1006) Response: Emergency illumination is shown on the Electrical Lighting P/an E2.30. Spacing provides for average 1 foot-candle and minimum 0.1 foot candle at any point along the path of egress RESPONSES TO PLANNING REVIEW COMMENTS 1) Hospitals are a conditional use in the Office (0) Zone. The subject property was annexed to the City of Tukwila in 1990 and the structures on the property were built prior to 1990 and the use of the property as a hospital was established prior to the annexation of the area into the city. Therefore if the use and the structures complied with the zoning code at the time of construction they are considered nonconforming. Per TMC 18.70.100, the use may not be expanded or modified without first obtaining a conditional or unclassified use permit. Please provide a detailed explanation of the proposed use and breakdown of the areas that are being proposed to be remodeled (include the previous use information and the proposed use information) so that a determination can be made if the proposed use requires any land use approval. As we discussed at the meeting you can email me directly with this information and this information should be submitted as soon as possible and prior to the submitting the building permit. The detailed description should also include the following information so that a determination can be made if the proposed use is a hospital and if any additional land use approvals are required: a) What type of license is obtained from the Department of Health for the proposed use? Tukwila Buuaing Division, Permit #D14-0078 April 22, 2014 Page 3 of 4 Response: The facility is licensed as a psychiatric hospital under RCW 71.12 and is credentialed as a hospital by the Joint Commission, Center for Medicare and Medicaid Services, and the Washington state Department of Health, credential number HPSY.FS.60429197. The facility is classified as 1-2 hospital per the International Building Code. b) What if any exterior changes are proposed? Design Review is required if the cost of exterior changes exceeds 10% of the building's assessed value. Response: No exterior changes are proposed beyond replacement of existing window units with impact resistant security windows. The cost of the window replacement does not exceed 10% of the buildings assessed value. c) Does the proposed use meet the definition of a correctional facility as defined by TMC 18.06.178? A private correctional facility is not permitted in the Office or MDR zone. The definition of a correctional facility includes facilities that provide for the confinement of persons undergoing treatment for drug or alcohol additions and whose freedom is partially or completely restricted. It is also considered a correctional facility if it is housing offenders who are required to be at the facility as a condition of sentence or release from a correctional facility. Response: Cascade is a psychiatric hospital and all patients must meet medical criteria for admission. All patients need continuous skilled observation, evaluation, or treatment available only in a hospital. Treatment of the patient's psychiatric or chemical dependency condition requires services on an inpatient hospital basis requiring 24-hour nursing care under the direction of a psychiatrist, medical doctor or other medical provider. The previous use for the remodel area was acute care physical rehabilitation, classified as an 1-2 hospital occupancy per the International Building Code. d) Does the facility meet the definition of a diversion facility or a diversion interim services facility as defined by TMC 19.06.0234 and 19.06.0235? These facilities are not permitted in the Office or MDR zone. Response: Cascade does not accept diverted patients from jails, hospitals or other treatment options in order to circumnavigate an incarceration. Cascade does not provide respite, temporary shelter, medical mental health treatment, case management or other support options for patient who are referred to a diversion facility. e) Here is the list of definitions from Tukwila Municipal Code: 18.06.435 Hospital "Hospital" means a building requiring a license pursuant to Chapter 70.41 RCW and used for the medical and surgical diagnosis, treatment and housing of persons under the care of doctors and nurses. Rest homes, nursing homes, convalescent homes, diversion facility/diversion interim services facility and outpatient medical clinics are not included. 18.06.178 Correctional Institution "Correctional institution" means public and private facilities providing for: Tukwila Building Division, Permit #D14-0078 April 22, 2014 Page 4 of 4 1. the confinement of adult offenders; or 2. the incarceration, confinement or detention of individuals arrested for or convicted of crimes whose freedom is partially or completely restricted other than a jail owned and operated by the City of Tukwila; or 3. the confinement of persons undergoing treatment for drug or alcohol addictions whose freedom is partially or completely restricted; or 4. transitional housing, such as halfway houses, for offenders who are required to Jive in such facilities as a condition of sentence or release from a correctional facility, except secure community transitional facilities as defined under RCW 71.09.020. 18.06.234 Diversion Facility "Diversion facility" is a facility that provides community crisis services, which diverts people from jails, hospitals or other treatment options due to mental illness or chemical dependency, including those facilities that are considered "Triage facilities" under RCW 71.05.020 (43) and those facilities licensed as crisis stabilization units by the State of Washington. 18.06.235 Diversion Interim Services Facility "Diversion interim services facility" is a facility that provides interim or respite services, such as temporary shelter, medical mental health treatment, case management or other support options such as transportation arrangements for patients who are referred to such a facility from a diversion facility. We have attached 4 copies of revised plan pages as well as other requested documentation. A Revision submittal sheet is also attached to this response. Thank you for your assistance and attention to our project Sinc a ' I C. Jar , AIA NAC Arch't re cc: Michelle Curry, Cascade Behavioral Hospital Michael Uradnik, Cascade Behavioral Hospital enc: Revision Submittal Sheet NREC Compliance Forms \\s121-na l\Projects_SEA\121-13031\500\A504-Tukwila\BuildingDivisionResponseLetter.docc City of Tukwila Department of Community Development April 01, 2014 MICHELLE CURRY 12844 MILITARY RD S TUKWILA, WA 98168 RE: Correction Letter # 1 DEVELOPMENT Permit Application Number D14-0078 CASCADE BEHAVIORAL HOSPITAL - 12844 MILITARY RD S Dear MICHELLE CURRY, 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: BUILDING DEPARTMENT: Allen Johannessen at 206-433-7163 if you have questions regarding these comments. • (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size. New revised plan sheets shall be the same size sheets as those previously submitted.) (BUILDING REVIEW NOTES) 1. On sheet A3.01 there appeared to be some inconsistencies with the bathrooms for identifying which ones were handicap "HC" and the numbering system indicating "TLT" & "T" for toilet rooms and toilet room doors. Some toilet room doors have letter "T" with the numbers where other toilet room doors did not, on the plan and door schedule. Door to room 314 is indicated as 314B, not sure what the "B" sands for. Room 330 has HC TLT which would indicate a handicap toilet room, however was not shown on sheet A7.01 and did not show grab bars. Another example is room 310 didn't indicate HC for handicap yet is shown to be a handicap toilet room. The toilet rooms that appear to be intended for handicap are 310, 314, 330, and 352. Please show the room numbers and toilet room labels including details and schedules to be consistent and/or provide legends that identify what the different lettering stands for to clear up any misperceptions. 2. The accessible toilet room details shown on sheet A7.10 including sheet A3.01 show the fixtures encroaching into the required maneuvering clearance of the toilet space. No fixtures shall be within the required water closet clearance of 60 inches. Revise plan details to show dimensions from the sinks (or fixtures) to the wall adjacent to the toilet to comply with required 60 inch maneuvering clearance. (2009 ANSI 604.3.3) 3. Separate plumbing electrical and mechanical permits shall be required. With those permits separate out the sheets and only provide plan sheets that specifically pertain to those individual permits. 4. The number of occupants per room or space is indicated. However we need the total occupant load of the whole floor and other floor alterations to be indicated on the front sheet or code information sheet. 5. Provide a completed 2012 Washington State Nonresidential Energy Code lighting budget compliance form. 2012 NREC Compliance Forms for Lighting is available online at: http://www.neec.net/energy-codes, (scroll down to center of page). Note: mechanical compliance forms shall be required for the mechanical permit. 6. Show emergency illumination provided along the common paths of egress. Emergency illumination shall be specified as having at least an average 1 foot-candle and a minimum at any point of 0.1 foot candle measured along the path of egress at the floor level. Emergency lighting shall also be required for exit discharge doorways and any related discharge components that lead to a public way. Emergency illumination may be shown on the code sheet or reflective ceiling plan. (IBC 107.2.3 & Section 1006) 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 PLANNING DEPARTMENT: Carol Lumb at 206-431-3661 if you have questions regarding these comments. • Comments were provided at the Pre -Application meeting on January 16, 2014 that must be addressed prior to issuance of a building permit for this site. The comments are repeated below: 1) Hospitals are a conditional use in the Office (0) Zone. The subject property was annexed to the City of Tukwila in 1990 and the structures on the property were built prior to 1990 and the use of the property as a hospital was established prior to the annexation of the area into the city. Therefore if the use and the structures complied with the zoning code at the time of construction they are considered nonconforming. Per TMC 18.70.100, the use may not be expanded or modified without first obtaining a conditional or unclassified use permit. Please provide a detailed explanation of the proposed use and breakdown of the areas that are being proposed to be remodeled (include the previous use information and the proposed use information) so that a determination can be made if the proposed use requires any land use approval. As we discussed at the meeting you can email me directly with this information and this information should be submitted as soon as possible and prior to the submitting the building permit. The detailed description should also include the following information so that a determination can be made if the proposed use is a hospital and if any additional land use approvals are required: a) What type of license is obtained from the Department of Health for the proposed use? b) What if any exterior changes are proposed? Design Review is required if the cost of exterior changes exceeds 10% of the building's assessed value. c) Does the proposed use meet the definition of a correctional facility as defined by TMC 18.06.178? A private correctional facility is not permitted in the Office or MDR zone. The definition of a correctional facility includes facilities that provide for the confinement of persons undergoing treatment for drug or alcohol additions and whose freedom is partially or completely restricted. It is also considered a correctional facility if it is housing offenders who are required to be at the facility as a condition of sentence or release from a correctional facility. d) Does the facility meet the definition of a diversion facility or a diversion interim services facility as defined by TMC 19.06.0234 and 19.06.0235? These facilities are not permitted in the Office or MDR zone. e) Here is the list of definitions from Tukwila Municipal Code: 18.06.435 Hospital "Hospital" means a building requiring a license pursuant to Chapter 70.41 RCW and used for the medical and surgical diagnosis, treatment and housing of persons under the care of doctors and nurses. Rest homes, nursing homes, convalescent homes, diversion facility/diversion interim services facility and outpatient medical clinics are not included. 18.06.178 Correctional Institution "Correctional institution" means public and private facilities providing for: 1. the confinement of adult offenders; or 2. the incarceration, confinement or detention of individuals arrested for or convicted of crimes whose freedom is partially or completely restricted other than a jail owned and operated by the City of Tukwila; or 3. the confinement of persons undergoing treatment for drug or alcohol addictions whose freedom is partially or completely restricted; or 4. transitional housing, such as halfway houses, for offenders who are required to live in such facilities as a condition of sentence or release from a correctional facility, except secure community transitional facilities as defined under RCW 71.09.020. 18.06.234 Diversion Facility "Diversion facility" is a facility that provides community crisis services, which diverts people from jails, hospitals or other treatment options due to mental illness or chemical dependency, including those facilities that are considered "Triage facilities" under RCW 71.05.020 (43) and those facilities licensed as crisis stabilization units by the State of Washington. 18.06.235 Diversion Interim Services Facility "Diversion interim services facility" is a facility that provides interim or respite services, such as temporary shelter, medical mental health treatment, case management or other support options such as transportation arrangements for patients who are referred to such a facility from a diversion facility. 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Please address the attached comments in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that four (4) 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. D14-0078 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D14-0078 DATE: 07/31/14 PROJECT NAME: CASCADE BEHAVIORAL HOSPITAL SITE ADDRESS: 12844 MILITARY DR S Original Plan Submittal Revision #_ before Permit Issued Response to Correction Letter # X Revision # 2 after Permit Issued DEPARTMENTS: Bhilding Division Public Works ❑ Fire Prevention Structural Planning Division Permit Coordinator PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 08/05/14 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: 09/02/14 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: D14-0078 DATE: 07/16/2014 PROJECT NAME: CASCADE BEHAVIORAL HOSPITAL SITE ADDRESS: 12844 MILITARY RD S Original Plan Submittal Revision # Response to Correction Letter #_ X Revision # _ before Permit Issued after Permit Issued DEPARTMENTS: ite Bui ding Division 3)S i IAi— Public Wo s ,ett44 tJJA - Fire Prevention II Structural ❑ C PL Al 8- I-I'f Planning Division NE Permit Coordinator PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) REVIEWER'S INITIALS: DATE: 07/22/14 Structural Review Required DATE: El APPROVALS OR CORRECTIONS: Approved Corrections Required El (corrections entered in Reviews) Approved with Conditions Denied (ie: Zoning Issues) DUE DATE: 08/19/14 Notation: REVIEWER'S INITIALS: DATE: Use CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D14-0078 DATE: 04/23/14 PROJECT NAME: CASCADE BEHAVIORAL HOSPITAL SITE ADDRESS: 12844 MILITARY RD S Original Plan Submittal X Response to Correction Letter # 1 Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: Bui dingtivision Public Works Fire Prevention Structural n CSir Qs-21(N1 Planning Division Permit Coordinator M PRELIMINARY REVIEW: Not Applicable n (no approval/review required) DATE: 04/29/14 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required DUE DATE: 05/27/14 Approved with Conditions ❑ Denied (corrections entered in Reviews) (ie: Zoning Issues) El Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire 0 Ping ❑ PW ❑ Staff Initials: 12/18/2013 RERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D14-0078 DATE: 03/07/14 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: q� ((WV — Building Division c\ciS AM- Irk y Public Works Fire Prevention Structural Planning Division Permit Coordinator s PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) REVIEWER'S INITIALS: DATE: 03/11/14 Structural Review Required DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required (corrections entered in Reviews) Approved with Conditions Denied (ie: Zoning Issues) DUE DATE: 04/08/14 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only { CORRECTION LETTER MAILED: 4`\"`L'k Departments issued corrections: Bldg Fire ❑ PlngStaff Initials: � PW ❑ 12/18/2013 PROJECT NAME: Cascade Behavior Hospital PERMIT NO: SITE ADDRESS: 12844 Military Rd S ORIGINAL ISSUE DATE: REVISION LOG DI0- oo'i 4 ou REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS 1 07/16/2014 JEM D -1-l- [a Summaryof Revision: changes to better facilitate program — elimination o kitchenette in dayrm, dis ensi3 g f P gr' f P g room and charting area — revision to utility room — addition of storage room, quiet room, med room, security gates & screen, exam room, etc. Received by: X..- 7,-9Gica. y REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS � 3 r '7-l— y 6 ))- Summary of Revision: S-}„-ur,-k o,( t{,41,t s `r4) S tiptot l 0'— Vlv4tp -ifV-c vri e- Received by: .Jo 4r 1 �, (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: ease print City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 07/30/2014 Plan Check/Permit Number: D14-0078 Response to Incomplete Letter # Response to Correction Letter # s/ Revision # 2 after Permit is Issued Revision requested by a City Building Inspector or Plans Examiner Project Name: Cascade Beharvioral Hospital 3W/3N Remodel Project Address: 12844 Military Road S. Contact Person: Dan Jardine RIOSIVIED OfW OF TUKWILA JUL 31 2014 PERMIT Wimp Phone Number: (206) 441-4522 Summary of Revision: Provide Structural Engineering drawings for support of rooftop HVAC unit. Sheet Number(s): S1, S2, S3, S4, S5 (all new drawings not previously submitted.) "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: Entered in Permits Plus on . -7() //7 V H:\Applications\Forms-Applications On Line\2010 Applications\7-2010 - Revision Submittal.doc Revised: May 2011 h / 14- City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 07/16/2014 Plan Check/Permit Number: D14-0078 Response to Incomplete Letter # Response to Correction Letter # V. Revision # 1 after Permit is Issued Revision requested by a City Building Inspector or Plans Examiner Project Name: Cascade Behavioral Hospital 3W/3N Remodel Project Address: 12844 Military Road S. Contact Person: Dan Jardine Phone Number: (206) 441-4522 Summary of Revision: Revisions to plans as requested by Owner to better facilitate their program. Changes include: 1940 1. Elimination of kitchenette in Day Room and creation of storage room. N� AF TUI{WitA 2. Elimination of dispensing room and office and creation of quiet room for patients. JUL 1 6 l 3. Elimination of charting area behind nurse station and creation of a medications room. 201 f 4. Revised clean utility room and addition of washer and dryer to soiled utility room. 5. Addition of gates and countertop security screen at nurse station. IJERMITCENTER 6. Addition of communications closets at Exam Room to secure existing telephone and nurse call panels. 7. Addition of interior windows at day room and quiet room. Changes are clouded on the drawings and noted as 'Design Revisions" Sheet Number(s): 29 of 58 drawings are changed. Affected drawings are noted in revision block "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: kEntered in Permits Plus on 01 1 t I'1 A:\Applications\Forns-Applications On Line \2010 Applications\7-2010 - Revision Submittal.doc Revised: May 2011 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 04/14/2014 Plan Check/Permit Number: D14-0078 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: Cascade Behavioral Hospital 3W/3N Conversion Project Address: 12844 Military Road S. Contact Person: Dan Jardine Phone Number: (206) 441-4522 Summary of Revision: Response to comments received from City of Tukwila dated April 1, 2014. Reduced scope of demolition and construction at 3W. Added replacement of acoustic ceilings with GWB ceilings to improve safety at patient rooms at 3N. For convenience a complete replacement set of drawings has been provided. The list of drawings that have been modified include the following: G1.02, A2.01, A3.01, A3.06, A9.01, A9.02, M0.03, M0.05, MD3.30, M2.20, M2.30, M3.30, M3.31, M3.32, M3.40, E2.30, E2.31 (added), E3.30, E4.50, E5.30, E10.01 Changes on the above drawings are clouded aware TUKWILA 'APR 2 2014 PERMIT CENTER Sheet Number(s): See above summary "Cloud" or highlight all areas of revision including d revisio Received at the City of Tukwila Permit Center by: Entered in Permits Plus on H:\Applications\Forms-Applications On Line\2010 Applications\7-2010 - Revision Submittal.doc Revised: May 2011 ALPA CONSTRUCTION INC Page 1 of 2 0 Washington State Department of Labor & Industries ALPA CONSTRUCTION INC Owner or tradesperson IWANIEC, KATARZYNA Principals IWANIEC, KATARZYNA, PRESIDENT Doing business as ALPA CONSTRUCTION INC WA UBI No. 603 317 548 330 FAIRBANK ST ADDISON, IL 60101 630-628-7930 Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Suspended. Does not meet L8d licensing requirements. License specialties GENERAL License no. ALPACCI865C7 Effective — expiration 02/25/2014— 02/25/2016 Bond Ohio Cas Ins Co Bond account no. 32S426539 Suspend date 06/01/2014 $12,000.00 Received by L&I Effective date 02/25/2014 02/21/2014 Insurance No current insurance account. See the insurance history. Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings ................. No lawsuits against the bond or savings accounts during the previous 6 year period. Tax debts No tax debts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Workers' comp https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603317548&LIC=ALPACCI865C7&SAW= 06/02/2014