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HomeMy WebLinkAboutPermit PG11-071 - BOEING #9-101BOEING #9 -101 9725 EAST MARGINAL WY S EXPIRED 01-03-12 PG1 1 -071 Parcel No.: Address: City otI'ukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.TukwilaWA.gov PLUMBING /GAS PIPING PERMIT 0003400018 9725 EAST MARGINAL WY S TUKW Project Name: BOEING #9 -101 Permit Number: Issue Date: Permit Expires On: PG11 -071 06/13/2011 12/10/2011 Owner: Name: Address: Contact Person: Name: Address: Email: Contractor: Name: Address: Contractor BOEING COMPANY THE PROPERTY TAX DEPT , PO BOX 3707 M/C 20 -00 98124 ALECSIS SMITH 4600 S 134TH PL , SEATTLE WA 98168 alecsiss@holadayparks.com HOLADAY PARKS, INC. PO BOX 69208 , SEATTLE, WA 98188 License No: HOLADPI379NO Phone: 206 - 835 -8287 Phone: 206 248 -9700 Expiration Date: 09/03/2011 DESCRIPTION OF WORK: ONE NEW FLOOR SINK AND 2" WASTE LINE CONNECTED TO EXISTING UNDERGROUND WASTE LINE. ONE NEW DOMESTIC WATER CONNECTION TO EXISTING BUILDING INTERIOR DISTRIBUTION. INSTALL ONE BACKFLOW DEVICE (RELOCATED FROM WTIHIN BUILDING). 1" WATTS 009M2 BACKFLOW DEVICE. Value of Plumbing /Gas Piping: $9,000.00 Fees Collected: $190.31 Electrical Service Provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie Uniform Plumbing Code Edition: International Fuel Gas Code Edition: Date: 2009 2009 afttbit■ ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does not p constructi or the performance of wor on the ba k o this permit. to give authority to violate or cancel the provisions of any other state or local laws regulating authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions Signature: Print Name: Date: This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: UPC -4/10 PG 11 -071 Printed: 06 -13 -2011 • • PERMIT CONDITIONS Permit No. PG 11 -071 1: ** *PLUMBING AND GAS PIPING * ** 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R -3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor /ceiling assemblies and fire - resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. doc: UPC -4/10 PG11 -071 Printed: 06 -13 -2011 ID CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://www.ci.tukwila.wa.us Plumbing /Gas Permit No (`' i1� d Project No. (For office use only) PLUMBING / GAS PIPING PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION King Co Assessor's Tax No.: Site Address: 9725 East Marginal Way S Tenant Name: Boeing 9 -101 Advanced Developmental Composites Property Owners Name: The Boeing Company Mailing Address: PO Box 3707 Suite Number: Floor: New Tenant: ❑ Yes I..No Seattle City WA 98124 State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Alecsis Smith Mailing Address: 4600 S. 134th Place E -Mail Address: alecsiss @holadayparks.com Day Telephone: Seattle (206) 835 -8287 WA 98168 City State Fax Number: (206) 248 -8700 Zip PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: HOLADAY- PARKS, Inc. Mailing Address: 4600 S. 134th Place Contact Person: Alecsis Smith E -Mail Address: alecsiss @holadayparks.com Contractor Registration Number: HOLADP11379NO Seattle City WA State Day Telephone: (206) 835 -8287 Fax Number: (206) 248 -8700 98168 Zip Expiration Date: 09/30/2011 ARCHITECT OF RECORD — All plans must be stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD —All plans must be stamped by Engineer of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Contact Person: E -Mail Address: State Zip H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 1 of 2 Valuation of Project (contractor's bid pi): $ $9,000.00 al Scope of Work (please provide detailed information): one new floor sink and 2" waste line connected to existing underground waste line. One new domestic water connection to existing building interior distribution. Install one backflow device (relocated from within building) Building Use (per Int'I Building Code): Office and Factory Occupancy (per Int'l Building Code): Group B &F (Office and Fact Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor Drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste 1 Sinks Urinals Water Closet Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment 1 a Repair or alteration of drainage or vent piping 1 ti Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets/outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller 1. el Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International Plumbing Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT: Signature: !1 Date: 5/13/11 Print Name: Kurt Stefanson Day Telephone: (206) 650 -3884 Mailing Address: 4600 S. 134th Place Seattle WA 98168 City State Zip Date Application Accepted: 0 {(/ >h i Date Application Expires: Staff Initials: /ej H:'Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 2 of 2 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax:, 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov RECEIPT Parcel No.: 0003400018 Permit Number: PG 11 -071 Address: 9725 EAST MARGINAL WY S TUKW Status: APPROVED Suite No: Applied Date: 05/13/2011 Applicant: BOEING #9 -101 Issue Date: Receipt No.: R11 -01186 Initials: JEM User ID: 1165 Payment Amount: $109.09 Payment Date: 06/13/2011 11:10 AM Balance: $0.00 Payee: CONNIE HARDIN, HOLADAY PARKS FAB INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 084068 ACCOUNT ITEM LIST: Description 109.09 Account Code Current Pmts PLAN CHECK - NONRES PLUMBING - NONRES 000.345.830 12.33 000.322.103.00.00 96.76 Total: $109.09 doc: Receipt -06 Printed: 06 -13 -2011 0 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.ov RECEIPT Parcel No.: 0003400018 Permit Number: PG 11 -071 Address: 9725 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 05/13/2011 Applicant: BOEING 9 -101 BLDG Issue Date: Receipt No.: R11 -00979 Initials: User ID: LAW 1632 Payment Amount: $81.22 Payment Date: 05/13/2011 04:18 PM Balance: $47.41 Payee: HOLADAY -PARKS INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 183275 81.22 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES PLUMBING - NONRES 000.345.830 25.73 000.322.103.00.00 55.49 Total: $81.22 doc: Receipt -06 Printed: 05 -13 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit Pot \. -o11 PERMIT NO. /t/L CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 . (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: 2,, v�.c ei - 1 J 1 Type of Inspection: n! 1) La A.0 W of i Date Called: i._ Address: 9'?25 £ . (. , y ' Special Instructions: J U Lf e Date Wanted: !(4 G — (� • a.m. m• Requester: Phone No 266 -533 -3o/4 Approved per applicable codes. DCorrections required prior to approval. COMMENTS: -1- - t U Lf e _y J f.eisri��rL_ /lam Vi -/t0(1,,.. io,1 Inspector: Date: 6— (4— if 1 ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Ltd wdi INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431/3670 Permit Inspection Request Line (206) 431 -2451 fc711-0-71 Prpg _, * 9 ^ 101 Type of Inspection: ...-, Address: s� ws Date Called: 7 f 1 it Special Instructions: Date Wanted: /� C -1f7 4 p.m. +f Requester' 1 ,n^ V O � ` Phone o' —6U2 (fit JApproved per applicable codes. Corrections required prior to approval. COMMENTS: F; e 1 ack- plA) 4J4- repUi - (Ce1 V . Inspector: (pc Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • • • • • • • • • • • . - • , .+• +' "' City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director ALECSIS SMITH 4600 S 134TH PL SEATTLE WA 98168 RE: Permit No. PG11 -071 BOEING #9 -101 9725 EAST MARGINAL WY S TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 01/03/2012. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 01/03/2012, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, c Bill Rambo Permit Technician File: Permit File No. PG11 -071 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 • Danielle Rapier From: David McPherson [dmcpherson @ci.tukwila.wa.us] Sent: Tuesday, May 24, 2011 8:28 AM To: Danielle Rapier Subject: Re: FW: Boeing #9 -101 Waterjet Relocate at 9725 East MarginalWaySouth - PG11 -071 Thank you Danielle. David »> "Danielle Rapier" <danieller(aholadavparks.com> 05/23/2011 5:13 PM »> David, Please see attached Submittal information in regards to the Backflow Device at Boeing 9 -101, Permit #PG11- 071. Please let us know if you need any further information. Thank you, Danielle Rapier, Design /Build Coordinator 1 HOLADAY - PARKS, INC. 1 4600 South 134th Pl, Seattle, WA 98168 1(206) 248 -9700 main (206) 248 -8723 direct 1 daniellerAholadayparks.com From: Kurt Stefanson Sent: Monday, May 23, 2011 1:30 PM To: Alecsis Smith; Danielle Rapier Subject: RE: Boeing #9 -101 Waterjet Relocate at 9725 East Marginal WaySouth - PG1 1 -071 Attached is the information on the existing Watts backflow device that is being relocated at the Boeing site from the existing Water Jet location. The backflow device will be re- certified when re- installed at the new location. Thanks, CORRECTION LTR# .PC7 1 I 0 7 RECEIVE JUN 012011 TOEN R w;,,,. Danielle Rapier From: Danielle Rapier Sent: Monday, May 23, 2011 5:13 PM To: 'dmcpherson @ci.tukwila.wa.us' Cc: Kurt Stefanson; Alecsis Smith; Anita Dias Subject: FW: Boeing #9 -101 Waterjet Relocate at 9725 East Marginal WaySouth - PG11 -071 Attachments: 11.05.23 - Backflow Preventer Submittal, David McPherson @City of Tukwila.pdf David, Please see attached Submittal information in regards to the Backflow Device at Boeing 9 -101, Permit #PG11 -071. Please let us know if you need any further information. Thank you, Danielle Rapier, Design /Build Coordinator 1 HOLADAY- PARKS, INC. 1 4600 South 134th PI, Seattle, WA 98168 1 (206) 248 -9700 main 1 (206) 248 -8723 direct 1 danieller@holadavparks.com From: Kurt Stefanson Sent: Monday, May 23, 2011 1:30 PM To: Alecsis Smith; Danielle Rapier Subject: RE: Boeing #9 -101 Waterjet Relocate at 9725 East Marginal WaySouth - PG11 -071 Attached is the information on the existing Watts backflow device that is being relocated at the Boeing site from the existing Water Jet location. The backflow device will be re- certified when re- installed at the new location. Thanks, Kurt Stefanson Project Manager /Estimator Holaday- Parks, Inc. Direct: 206 - 835 -8292 Cell: 206 - 650 -3884 kurts ©holadavDarks.com From: Alecsis Smith Sent: Friday, May 20, 2011 11:27 AM To: Danielle Rapier Cc: Kurt Stefanson Subject: FW: Boeing #9 -101 Waterjet Relocate at 9725 East Marginal WaySouth - PG11 -071 Danielle, Please provide me the backflow preventer information as requested below. This information will be attached to what HP has already submitted for PG11 -071 Thank you, Alecsis 1 • From: David McPherson fmailto:dmcohersonc ci.tukwila.wa.usl Sent: Thursday, May 19, 2011 11:18 AM To: Alecsis Smith Subject: Boeing #9 -101 Waterjet Relocate at 9725 East Marginal WaySouth - PG11 -071 Alecsis Smith, Ref. Boeing #9 -101 Waterjet Relocate at .9725 East Marginal Way South - PG11 -071. Please provide (e -mail) me the following information regarding this permit. I will attached the backflow information to your submitted plan sheets. Plan sheet 1M112 Construction Note no. 1 refers to a Backf low Preventer. Please provide me with the size, make, and model number of the backflow device. Submit cut sheet(s) for this Backflow Preventer. Backflow Preventer shall be on the Washington State Department of Health Backflow Prevention Assemblies Approved List. Let me know if you have questions /comments. Thank you. Dave David H. McPherson Development Engineer Public Works Department City of Tukwila dmcphersonaci.tukwila.wa.us 206 - 431 -2448 phone 206 - 431 -3665 fax 2 J 1 LQ :.�D4 0 City of Tukwila May 25, 2011 Jim Haggerton, Mayor Department of Community Development Jack Pace, Director Alecsis Smith Holaday Parks Inc 4600 S 134 PI Tukwila,WA 98168 RE: Correction Letter #1 Plumbing /Gas Piping Permit Application Number PG11 -071 Boeing #9-101 — Waterjet Relocate — 9725 East Marginal Wy S Dear Ms. Smith, This letter is to inform you of corrections that must be addressed before your mechanical 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 Building Department. The Fire Department has no corrections at this time. Building Department: Dave Larson at 206 431 -3678 if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that two (2) sets, of revised plans, 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, please contact me at (206) 431 -3670. Sincerely, C-ZA R—f/L Bill Rambo Permit Technician encl File: PG11 -071 W:\Permit Center \Correction Letters \2011\PGl 1 -071 Correction Letter tl1.doc 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Tukwila Building Division Dave Larson, Senior Plan Examiner Building Division Review Memo Date: May 20, 2011 Project Name: Boeing # 9 -101 Waterjet Relocate Permit #: PG11 -071 Plan Review: Dave Larson, Senior Plans Examiner The Building Division conducted a plan review on the subject permit application. Please address the following comments in an itemized format with revised plans, specifications and/or other applicable documentation. (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 1 1x17 to maximum size of 24x36; all sheets shall be the same size). (If applicable) Structural Drawings and structural calculations sheets shall be original signed wet stamped, not copied.) 1. There is a backflow device that is proposed to be relocated. This scope was included under the mechanical permit associated with the Waterjet Relocate. See note 11 on page M593 of Mechanical Permit # M11 -064. Please add the backflow device relocate scope and requirement for recertification to this plumbing permit application. 2. Please provide the model and spec. sheet of the backflow device. Should there be questions concerning the above requirements, contact the Building Division at 206 -431- 3670. No further comments at this time. • PE ' cop! PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -071 DATE: 06 -01 -11 PROJECT NAME: BOEING #9 -101 - WATERJET RELOCATE SITE ADDRESS: 9725 EAST MARGINAL WY S Original Plan Submittal Response to Incomplete Letter # - X Response to Correction Letter # 1 Revision # After Permit Issued 1T� DEPA TM(^ WENTS:'R v�' \ V r uildin Division Public Works ❑ Fire Prevention Structural Planning Division n Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 06-02-11 Complete Incomplete ❑ Not Applicable ❑ Comments: Permit Center.Use.Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 06-30-11 Approved ❑ Approved with Conditions Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents /routing slip.doc 2 -28 -02 0 Ys l • PIE PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -071 DATE: 05 -13 -11 PROJECT NAME: BOEING #9 -101 - WATERJET RELOCATE SITE ADDRESS: 9725 EAST MARGINAL WY S X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMEN uil (' Di S: Building g Division ub Ic o ks Fire Prevention Structural n Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 05-17-11 Complete Incomplete ❑ Not Applicable Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUTING: Please Route Structural Review Required No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved n Approved with Conditions Notation: REVIEWER'S INITIALS: DATE: DUE DATE: 06-14 -11 Not Approved (attach comments) Permit Center Use Only CORRECTION LETTER MAILED: s I I Departments issued corrections: Bldg`. Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 a • Citylk Tukwila • Department of Community Development 6300 Southcenter Boulevard, Suite # 100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: Plan ChecWPermit Number: PG 11-071 ❑ 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: Boeing #9 -101 — Waterjet Relocate Project Address: 9725 East Marginal Wy S Contact Person: 1Q-CS■ S --AA-- Phone Number: ,Q8(.p- d— Summary of Revision: Attached is the information on _the existing Watts-hackflow device thaf is -being relocated at the Boeing site from the existing waterjet location. The backflow device will be re- certified when re- installed at the new location Please see attached email correspondence dated 5/23/11 & 5/24/11 Sheet Number(s): RECEIVED MN Tinomm !JUN 012011 "Cloud" or highlight all areas of revision including date o revisi n Received at the City of Tukwila Permit Center by: N---"Entered in Permits Plus on l" t ail CORER \applicationslforms- applications on Iine\revision submittal Created: 8 -13 -2004 Revised: Contractors or Tradespeople P, ter Friendly Page • General /Specialty Contractor A business registered as a construction contractor with L &I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name HOLADAY PARKS INC UBI No. 578004089 Phone 2062489700 Status Active Address 4600 5 134Th Pt License No. HOLADPI379NO Suite /Apt. License Type Construction Contractor City Seattle Effective Date 1/21/1983 State WA Expiration Date 9/3/2011 Zip 98168 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status HOLADI'00105 HOLADAY PARKS INC Electrical Contractor Hvac /Rfrg Ltd Energy Unused 9/25/2000 4/21/2013 Active HOLADPF376NO HOLADAY PARKS FABRCTRS INC Construction Contractor General Unused 8/20/1963 1/1/1983 Archived Business Owner Information Name Role Effective Date Expiration Date PARKS, GERALD T JR Chief Executive Officer 01/21/1983 Amount BECK, DAVID CLARENCE Vice President 01/21/1983 A1CG96431001 OCONNOR, BONNY K Vice President 01/21/1983 NAILON, JUNE ANNETTE Vice President 01/21/1983 OLD REPUBLIC GENERAL INS VAN DER VEEN, ERIC M Vice President 11/04/2010 NELSON, MICHAEL Secretary 01/01/1980 11/04/2010 PARKS, DAVID L Treasurer 01/01/1980 11/04/2010 TALBOT, PAUL Treasurer 01/01/1980 11/04/2010 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 7 LIBERTY MUTUAL INS CO 23000452 09/01/2002 Until Cancelled $12,000.00 08/23/2002 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 23 OLD REPUBLIC GENERAL INS A1CG96431001 11/01/2010 11/01/2011 $1,000,000.00 10/28/2010 22 OLD REPUBLIC GENERAL INS A1CG96430900 11/01/2009 11/01/2010 $1,000,000.00 10/29/2009 21 NATIONAL FIRE INS CO OF HARTFO 2077698833 09/01/2008 11/01/2009 $1,000,000.00 08/26/2009 20 NATIONAL FIRE INS CO OF HAR C2077698833 09/01/2005 09/01/2008 $1,000,000.00 09/02/2005 19 NATIONAL FIRE INS CO OF HART C2077698833 09/01/2004 09/01/2005 $1,000,000.00 08/25/2004 https://fortress.wa.gov/lni/bbip/Print.aspx 06/13/2011