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Home My WebLink About17215 Smokey Point Dr_BLD517_2026 COMMERCIAL PLUMBING SUBMITTAL CHECKLIST/APPLICATION Department of Community... Page 1 of 3 COMMERCIAL PLUMBING SUBMITTAL CHECKLIST/APPLICATION Department of Community&Economic Development City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 4P Phone (360)403-3551 THIS APPLICATION TO BE USED FOR NEW COMMERCIAL STRUCTURES AND RESIDENTIAL DWELLINGS NOT REGULATED UNDER THE IRC. PLEASE FOLLOW THE SUBMITTAL REQUIREMENTS CHECKLIST TO MAKE SURE THAT ALL THE REQUIRED DOCUMENTS ARE SUBMITTED FOR REVIEW. Type of Permit: ❑ New Installation Addition/Alteration ❑ Industrial Project Address: 7 ro Parcel ID# OO 000 0100 Please enter a value. Lot: L _� Subdivision: Project Valuation: 00 0 Please enter a value. Project Description: —xW0;#►%\ %,f &AW f OFF"a- Please enter a value. Owner: fio 9 De--Vk+%! Please enter a value. Address: V714S S5mbr-s. pm+ Nt%s& Please enter a value. City: Arl; eh State:* ZIP: S�2Z3 * Please enter a value. Contact Person: 56b zq+Ks Phone:* 425r432-1m6Z � Please enter a value Cell Phone: U 6- b-(.2AI Revived Please enter a value. NOV 12 2014 https://adobefonnscentral.com/?f=370BdGUeMd5iju9D65dfvw 10/29/2014 COMMERCIAL PLUMBING SUBMITTAL CHECKLIST/APPLICATION Department of Community... Page 2 of 3 E-mail: Sq}KO a eamc_46 - NQ. Please enter a value. Address: 190 64x I'A9 S. Please enter a value. City: INOOL V I State: ZIP: p® Please enter a value. Please indicate number of fixtures: Water Closet Floor Sink Sump F__f_:_j I F_� Lavatory Laundry Tub Washer 7 11 Urinal Interceptor Sink Cl �- Floor Drain Dishwasher Backflow Hosebib Water Heater Grease Trap Med Gas Drinking Fountain Shower I Miscellaneous +Other General Contractor: Ivwtb i I Phone: Z -432-bLy Please enter a value. Cell Phone: 4ZS—y32-(e(o4'7 Please enter a value. Address: I r0 em (y 9 Please enter a value. City: tick pit. VA R7 —1 State: ZIP:* Please enter a value. License Number: i.oGA� cob3dy https:Hadobeformscentral.com/?f=37OBdGUeMd5iju9D65dfvw 10/29/2014 COMMERCIAL PLUMBING SUBMITTAL CHECKLIST/APPLICATION Department of Community... Page 3 of 3 Please enter a Expiration: value. -23-IS Prev Next i Page 2 of 3 2%Complete Report Abuse Terms of Use Powered by Adobe FormsCentral https://adobefonnscentral.com/?f=370BdGUeMd5iju9D65dfvw 10/29/2014 C GENERAL NOTES KEY w 1. All dental air piping will be installed with type "L" cleaned and capped copper tube for medical use. All joints will be soft E) EXISTING 0 co soldered or Rigid pro-press joints. -f-Qo ABOVE GRADE CLEAN OUT MC CM CID 2. Dental air compressor fresh air intake will be provided from ceiling of another room. Piping to be PVC. +0 PLUMBING LINE UP TO FIXTURE E � _ 3. All dental vacuum piping will be 11/2" PVC schedule 40 pipe with 2-step primer and glue connections. All fittings will be Wye �—� PLUMBING LINE DOWN TO FIXTURE a m and 45 degree type.No 90 degree elbows or tees will be used. POINT OF CONNECTION 4. Dental vacuum pump drainage will be through an amalgam separator, dental vacuum pump, then direct to waste line. Q� DENTAL GAS TANKS 5. Dental vacuum pump will have an independent PVC vent through exterior side of building turned down and screened. P-TRAP 6. Dental vacuum piping will be installed at I/4" per 10' toward the vacuum source equipment. 1 i DENTAL AIR LINE 7. All Nitrous Oxide and Oxygen piping to be type "L" Oxy/Med copper cleaned and capped for medical use. 8. All Nitrous Oxide and Oxygen piping and fittings will be brazed with continuous medical grade "NF" Nitrogen. 12 DENTAL VACUUM LINE 9. All Nitrous Oxide and Oxygen fittings to be cleaned and bagged from factory for medical gases. 111 2�� OXYGEN 10. Nitrous Oxide, Oxygen, Dental air, and dental vacuum labels will be installed every 20'-0" or closer showing direction of now. 2 NITROUS OXIDE J 11. Nitrous Oxide, Oxygen, and Dental air system will be tested at 150 PSIG for 24 hours. —--— HOT WATER (' 12. Dental vacuum system will be tested at 15 PSIG water for 24 hours. —- — COLD WATER Z 0 13. Nitrous Oxide, Oxygen, Dental air, and Dental vacuum to be tested and certified for purity and proper installation by independent ------- HOT WATER RESIRC 11 0,6 3rd party (Nitrox/Airgas)prior to operation. Final certification papers will be sent to the City of Arlington. WASTE 14. Nitrous Oxide Oxygen, Dental air, and Dental vacuum piping installed b licensed 'ourne men lumbers with medical as ------- VENT J Yg p p g Y J Y p g a LU endorsement. 0 15. Endorsement#SATKORM98OL4 Robert Satko #MGO1 Expiration date 6-9-2015. Z 16. No domestic water to dental chairs or hand pieces. Bottled water installed at chairs. 17. A reduced pressure back flow assembly will be installed on water supply to suite located inside of building. NITROUS OXIDE OXYGEN ELECTRICAL DISCONNECT �\ 2' PVC INTAKE VENT WITH SCREEN (;TAKE FROM CEILING OF ANOTHER ROOM 1�- SCHEDULE 40 PVC PI N INTAKE PIPING VACUUM EXHAUST VENTED TO NITROUS OXIDE AND OUTSIDE BUILIIING MINIMUM GEN LEVEL 3 10, FROM ANY OPENABLE MANIFOLD WINDOW DOOR,OPENING, AIR p ONO INTAKE, OR VENT SHAFT, 2 pr O\ SCHEDULE 80 PVC- r3 > -ELECTRICAL DISCONNECT � O PROVIDE CHAIN SUPPORT FOR �, EACH CYLINDER ATTACHED TO 0,n DRAIN CONNECTION AIR LINE FROM WALL BY PLUMBER A A WALL TERMINATING WITH BRASS o o THREADED BALL VALVE VALVE CONDENSATE DRAIN CANISTER _ )4C-WITH w W DATE: 11.7.14 CK AMALGAM WITH 5' ❑F 3/0'PLOYsLOWaSEPER»TOR TUBING PROVIDED WITM�- z zVACUUM LINES INSTALLED COMPRESSOR HIGH PRESSURE AIR HOSE PROVIDED z z PER LOCAL CO➢E _ COMPRESSOR D R Laura Satko SLOPE 1/4" PER 10' Received SHEET# LEVEL 3 LEVEL 3 LEVEL 3 DENTAL VACUUM PUMP DENTAL AIR COMPRESSOR WITH DRYER MEDICAL GAS TANK/ MANIFOLD NOY 12 2014 P C O I O U v � m 4 OPT E �10 i CL @ 3 c � lOP_2 OQ 1 i 108 1107 + ij' VAC. T p' Alp — - TION AOA RR 1 1oc _J CONSULT `f I Z ' r105 '— LU o� fOP t0' + ! ?� - - - op CIIECK-OUT I — !; �116� 1103 .E) > a OP 0 1 117J CH�K,1N\, 102 - (' 118 - l I PANG 101 � LOBBY •� 1� t o fl A N p 000 rvso a —TW- r� — J23 o w -- EQUIPMENT 00 +� ROAM DATE: 11.7.14 Uzi DRAWN: Laura Satko VAC. I' I AIR / SHEET# pgj nN Go OP 4 OP 3, � \ � ts � �111 110 E FL x m 00 m i OP OP-1- _ _ _ It08 � i1or � OP 5 �• N2o STERIV4A110N �--- 11(19 - - I -- — - OP 8 AUA RR 1 � 113 106 i jil ; f, H � CQNSUI.T Q W OP JO 114 ( i i CHECK-IN — Doi] 118 - --- — r l C(' [ 1 TI� a�119 LOBBY > 120 100� ooNo �• N20 N20 02 Q rl L' I. .:• 1 12 2 (E)RR.1 I i 123 � EQUIPMENT -- Q Ii , ROOM t' JtL • r — _ O)ZI 1 DATE: 11.7.14 O I DRAWN:J Laura Satko SHEET# n P 3 C U d ' \ 7 X (6 1 0 cco Ja2i DP 3R4 �\ SINK tS DP 5R6 SINK j, /lll , �\ \ � II STERILE SINK tips W ,� \\ DP NK l J DP 9RIO I NK \• / S / SINK 5 1 �J5 DP IR2 J I\ SINK ! \ i / i \ I `JS I I�• WH A A RRI J RRI J C. \ 1 SINK � I r GH P.D.C. M "IU PRESSURE REDUCED a Qp ADA RRI BACKFLOW O� W.C. ASSEMBLY , STAFF LOUNGE/LAB 00 �A SINK DATE: 11.7.14 DRAWN: Laura Satko SHEET# P4 A 3' VTR II 3' VTR 1 I � co U a� Q 1 n I c T 1 I 1 I a O> 1 I Jam I I OP 3t:4 V SINK i j It N` I OP 5d6 I -1 SINK I Z/ W STERILE 1 �� SINK �� Q W a 08117VI`C8 OP 9LID I I SINK I OP IL2 SINK 1 � 2' VACUUM EXHAUST SEPERATE THROUGH P� �, � `. ,J •�SIDE OF BUILDING P. TURNED DOWN AND SCREENED ` 1 � `� I �.I VACUUM �.�' i ``.` 1 ADA RRI PUMP �\\ I 1 RR1 `9f .l SINK W.C. I RRI 1tA , I •� ca. SINK 1 > 1 I 00N0 I g I a o� I I ADA RR1 a i W.C. cn I STAFF oa LOUNGE/LAB SING DATE: 11.7.14 DRAWN: Laura Satko SHEET# 4' WASTE P P.O.C. ' UTY OF ARUNGTON \ , 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 17215 Smokey Point Drive Permit#: 517 Parcel#:00645300000101 Valuation:30000.00 OWNER APPLICANT CONTRACTOR Name:FIRST AMERICAN TAX VALUATION Name:Local Plumbing Name:Local Plumbing Address:ATTN KEYCORP MGMT CO PO BOX Address:PO Box 1496 Address:PO Box 1496 560807 City, State Zip:DALLAS,TX 65367 City, State Zip:Maple Valley,WA 98038 City, State Zip:Maple Valley,WA 98038 Phone: Phone:425-432-6647 Phone:425-432-6647 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Local Plumbing Address: Address:PO Box 1496 City, State, Zip: City,State,Zip:Maple Valley,WA 98038 Phone: Phone:425-432-6647 LIC#: EXP: LIC#:LOCALPC063.19 EXP:8/23/2015 JOB DESCRIPTION PERMIT TYPE: Commercial Plumbing CODE YEAR: STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC1 10. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the Cit rlingt n must be reported on your sales tax return f rm and oded C' of A h it#3101. -� - Signature Print Name Date Release f Date CONDITIONS THIS PERMIT AUTHORIZS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS, SIDEWALKS, DRIVEWAYS,MARQUEES, ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 11/13/2014 Plumbing Permit Base Fee $25.00 11/13/2014 Plumbing Permit Fee(Enter Fixture Fee) $192.00 11/13/2014 Plumbing Plan Review Fees $300.00 11/13/2014 Water Heater $25.00 Total Due: $542.00 Total Payment: $0.00 Balance Due: $542.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon Permit#: 517 Permit Date: 11/12/14 Permit Type: COMMERCIAL PLUMBING Project Name: 8 to 8 Dental Applicant Name: Local Plumbing Applicant Address: PO Box 1496 Applicant, City, State, Zip: Maple Valley,WA 98038 Contact: Bob Satko Phone: 425-432-6647 Email: satko@comcast.net Scope of Work: Plumbing for Tenant Improvement Valuation: 30000.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 12/01/2014 Permit Expires: Permit Form Type: Civic Plus Number: Status: COMPLETE Assigned To: Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00645300000101 17215 SMOKEY POINT FIRST AMERICAN 611 Banking&Bank DR TAX VALUATION Related Functions Contractors Contractor Primary Contact Phone Address Contractor Type License License# Local Plumbing Bob Satko 425-432-6647 PO Box 1496 CONSTRUCTION LOCALPC063J9 CONTRACTOR Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 12/12/2014 C19.PLUMBING DWV and Vacuum lines on 12/12/2014 12/12/2014 z.Christopher Young Completed FINAL test and installed per plan. Plan Reviews Date Review Type Description Assigned To Review Status 11/12/2014 COMMERCIAL OK to issue z.Christopher Young PLUMBING Fees Fee Description Notes Amount Plumbing Base Permit Fee $25.00 Mechanical Commercial Permit Table 4-7;Per Unit $192.00 Plumbing Plan Review Fees $300.00 Water Heater(Tank) $25.00 Total $542.00 Attached Letters Date Letter Description 11/13/2014 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 12/01/2014 Local Plumbing 17215 Smokey Point check#7939 Launa Black $542.00 Drive Outstanding Balance $0.00 Uploaded Files Date File Name 12/01/2014 867707-517 Issued Permit.pdf 11/12/2014 849594-17215 Plans.12-df 11/12/2014 849593-17215 Application.pdf