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HomeMy WebLinkAboutPermit PG11-172 - BOEING #9-101BOEING #9 -101 9725 EAST MARGINAL wys PG1 1 -172 Parcel No.: Address: City okukwila el 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 -172 11/29/2011 05/27/2012 Owner: Name: BOEING COMPANY THE Address: PROPERTY TAX DEPT , PO BOX 3707 M/C 20 -00 98124 Contact Person: Name: Address: Email: CONNIE HARDIN 4600 S 134 PL , SEATTLE WA 98168 C ONNIEH @HOLADAYPARKS. COM Contractor: Name: HOLADAY PARKS, INC. Address: PO BOX 69208 , SEATTLE, WA 98188 Contractor License No: HOLADPI379NO Phone: 206 250 -4530 Phone: 206 248 -9700 Expiration Date: 09/03/2013 DESCRIPTION OF WORK: INSTALL (1) ONE 3/4" RPBP FOR DE- IONIZATION MACHINE Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie $1,500.00 $77.44 xan wit &it Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: it 12�1t Led this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not pr e 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 plumbing /gas piping permit and agree to the conditions on the back of this pe Signature: Print Name: ,,\e.■ --- L. i-Lro„-; Date: / ( ` ; 9 - ( / 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 -172 Printed: 11 -29 -2011 PERMIT CONDITIONS Permit No. PG1 1-172 1: ** *PLUMBING AND GAS PIPING * ** 1 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. 13: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** 14: RPPA shall be installed per manufacturer's specifications and shall be tested by a certified tester prior to final permit sign -off. Copy of passing backflow test report shall be forwarded to Public Works Project Inspector. 15: RPPA annual tests shall be performed by a certified tester at owner's expese and copies of the test results shall be forwarded to City of Tukwila Water Department, Minkler Shops, phone no. 206 433 -1860. doc: UPC -4/10 PG 11 -172 Printed: 11 -29 -2011 1 (-.{"•-50Y va_ss Tk,rojc, lL_ • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbing /Gas Permit No. .\)' 11T— Project No. Date ApplicatimAccepted: Date Application Expires: (For office use only) 1t It 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 Site Address: Tenant Name: q1aS ?6..s to Or i ig Co Assessor's Tax No.:s'� MO:a Suite Number: Floor: PROPERTY:OWNER Name: Name: C-0 City c�ott. " S2- One: g �,/ ociet Address: c�----c1C5-7 .3_41 Email: 0 twa %-e In O\ \aa.x (i -1c,S .0 C►a., City:, State Zipm(D CONTACT PERSON - person receiving all project communication Name: Addressu • / OD ,3�a4, pi J� City c�ott. " S2- One: g �,/ ociet Phone: 19 _,�s_a 4S3gax: .1_4 k g, 70 O .3_41 Email: 0 twa %-e In O\ \aa.x (i -1c,S .0 C►a., New Tenant: ❑ Yes Due640 PLUMBING CONTRACTOR INFORMATION Company Name: p �� r tcS d�I Address: 14( C 14 0e0 - 3 � >Q City: Step iji&I�� Phone: 2,010 )-S.7) L6-3 0 .)_y iC' 70 l .21* Contr Reg No.: Exp Date: t 4OLu4 -laP.t 374i 00 at l� Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 1) Scope of Work (please provide detailed information): l ,c- Building Use (per Int'I Building Code): © Occupancy (per Int'I Building Code): Utility Purveyor: Water: H: \Applications \Forms - Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh 4t�- c•n,z —�- -� Sewer: Page 1 of 2 Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below: Fixture Type Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain Shower, single head trap Sinks Rain water system — per drain (inside building) Grease interceptor for commercial kitchen ( >750 gallon capacity) Each additional medical gas inlets/outlets greater than 5 I Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Fixture Type Qty Bidet Drinking fountain or water cooler (per head) Lavatory Urinal Water heater and /or vent Repair or alteration of water piping and/or water treatment equipment Backflow protective device other than atmospheric - type vacuum breakers 2 inch (51 mm) diameter or smaller I Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Fixture Type Qty Clothes washer, domestic Food -waste grinder, commercial Wash fountain Water closet Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Repair or alteration of drainage or vent piping Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Gas piping outlets Fixture Type Qty Dental unit, cuspidor Floor drain Receptor, indirect waste Building sewer and each trailer park sewer Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each lawn sprinkler system on any one meter including backflow protection devices 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. BU1LDIN i 1 ► 128 ' AU HORI7,> AGENT: 'rte„ Signature: Print Name: Mailing Address:L-U.Or H:Upplications'Forms- Applications On Line \201 I Applications\Plumbing Permit Application Revised 8 -9 -1 I .docx Revised: August 2011 bh Date: Day Telephone: U (, a S� L-CS (, i Cc F City State Zip 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: PG11 -172 Address: 9725 EAST MARGINAL WY S TUKW Status: APPROVED Suite No: Applied Date: 11/09/2011 Applicant: BOEING #9 -101 Issue Date: Receipt No.: R11 -02576 Payment Amount: $61.95 Initials: JEM Payment Date: 11/29/2011 12:47 PM User ID: 1165 Balance: $0.00 Payee: HOLADAY PARKS, CONNIE HARDIN TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 05359G ACCOUNT ITEM LIST: Description 61.95 Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 61.95 Total: $61.95 doc: Receipt -06 Printed: 11 -29 -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.gov RECEIPT Parcel No.: 0003400018 Permit Number: PG11 -172 Address: 9725 EAST MARGINAL WY S TUKW Status: PENDING Suite No: Applied Date: 11/09/2011 Applicant: BOEING #9 -101 Issue Date: Receipt No.: R11 -02458 Payment Amount: $15.49 Initials: JEM Payment Date: 11/09/2011 03:07 PM User ID: 1165 Balance: $61.95 Payee: CONNIE HARDIN, HOLADAY PARKS FAB INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 01349G ACCOUNT ITEM LIST: Description 15.49 Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 15.49 Total: $15.49 doc: Receipt-06 Printed: 11 -09 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit .11, 1 "Mrl; PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 e-,(206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Prole t: . �,,-,5 � 9 - -/O / Type of Inspection: / P.44.44, .:i Ade `, Date Called: Special Instructions: Date Wanted:. ��U'� 2 a. p.m. Requester: Phone No: • Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 274- 70 24 7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206).431-3670 . Permit Inspection Request Line (206) 431-2451 • Projeotie Type of Inspectpki Adls5;. s cf..41) 5 Date Called: i eg2( • ....P . • '. Special Instructions: //Ot q/Oil at 4.256 i t"OKe 1- ( 47 r Date Wanted: a. . • Requester: ) . , ', , if ei • i (.4 Phone No: .......,..,...- ;,. i fr..; 0..„ ...\1 Appr.oyed per applicable codes. COMMENTS: z, Fit;w4e4 • • 0-Corrections requirediUlOr to appebVal.. 4 !Inspector: 75 Date: r-7 REINSPECTION FEE REQUIRED. Prior to next inspettion. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule' reinapectiOn:. • . • : 4600 S. 134th Place PO Box 69208 Seattle, WA 98168 ACCOUNT # HOLADAYPARKS, INC. 6 - 7 Phone: (206) 248 -9700 Fax: (206) 248 -8700 BACKFLOW PREVENTION ASSEMBLY TEST REPORT NAME OF PREMISE a0eiiUcj 9 —AO i Commercial 181. Residential CI ` SERVICE. ADDRESS qzs t/ Xaser-046.0er CITY rdeadi Ik ;ZIP 90/80 CONTACT PERSON PHONE ( ) FAX ( ) -� LOCATION OF ASSEMBLY /UAL( / 1/kvtAte, Weer, DOWNSTREAM PROCESS 1)-7- W1 DCVA ❑ RPBA111 PVBA ❑ OTHER NEW INSTALL EXISTING ❑ REPLACEMENT ❑ OLD SER. # PROPER INSTALLATION? YES NO ❑ MAKE OF ASSEMBLY V MODEL OO ' # 3 al- SERIAL NO. 2:72-57e) SIZE '`I INITIAL TEST PASSED Z FAILED ❑ DCVA / RPBA pCVA / RPBA RPBA S PSID PVBA/SVBA CHECK VALVE NO.1 CHECK VALVE NO.2 OPENED AT 2• AIR INLET. OPENED AT PSID LEAKED ❑ c T PSID LEAKED • 1- ' - PSID #1 CHECK 8.0 PSID NOT OPEN ❑ AIR GAP OK? , Lite/ e NEW PARTS AND REPAIRS CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE HELD AT PSID ❑ • • ❑ III CI III ❑ • ■ ■ ❑ • ■ ❑ • • ❑ • LEAKED • • ❑ • • • CLEANED • REPAIRED ❑ TEST AFTER REPAIRS PSID PSID OPENED AT PSID AIR INLET PSID LEAKED • LEAKED • #1 CHECK PSID CHK VALVE PSID PASSED • FAILED • AIR GAP INSPECTION: Required minimum air gap separation provided? Yes % No ❑ Detector Meter Reading REMARKS: LINE PRESSURE. /06 PSI WSDOH AP ROVED DEVICE? YES ❑ NO ❑ CONFINED SPACE? TESTERS SIGNATURE: ji CERT. NO. r n J17 DATE V 20/2 TESTERS NAME PRINTED: k4 UUoNs, At-64.4 • TESTERS PHONE #.(2dg' ) ZIO ° REPAIRED BY: DATE FINAL TEST BY: CERT. NO. DATE CALIBRATION DATE 7 i!4 / 11 GAUGE MOS-4We MODEL 6 3• SERVICE RESTORED? YES isz. NO ❑ 1 centijy that this report is accurate, and 1 have used WAC 246-290-490 approved test methods and test equipment ES- LF909S For Health Hazard Applications Job Name Job Location Engineer Approval LEAD FREE* Series LF909 Reduced Pressure Zone Assemblies Contractor Approval Contractor's P.O. No Representative LF9O9 Sizes: 3/4 ", 1" (20, 25mm) LF9O9M1 Sizes: 1'/4 ", 1'/2 ", 2" (32, 40, 5Omm) Series LF909 Reduced Pressure Zone Assemblies are designed to provide superior cross - connection control protection of the potable water supply in accordance with national plumbing codes and containment control for water authority requirements. This series can be utilized in a variety of installations, including health hazard cross - connections in plumbing systems or for containment at the service line entrance. The LF909 features Lead Free* con- struction to comply with Lead Free* installation requirements. With its exclusive, design incorporating the "air -in /water -out" principle it provides maximum relief valve discharge during the emergency conditions of combined backsiphonage and backpressure with both checks fouled. Model LF909QT, standardly furnished with full port, resilient seated and Lead Free* bronze ball valve shutoffs. Sizes 3/4" and 1" (20 and 25mm) shutoffs have tee handles. Features • Modular design • Replaceable seats • Compact for installation ease • Horizontal or vertical (up or down) installation • No special tools required for servicing Specifications A Reduced Pressure Zone Assembly shall be installed at each cross- connection to prevent backsiphonage and backpressure of hazardous materials into the potable water supply. The assembly shall consist of a pressure differential relief valve located in a zone between two positive seating check valves. Backsiphonage pro- tection shall include provision to admit air directly into the reduced pressure zone via a separate channel from the water discharge channel, or directly into the supply pipe via a separate vent. The assembly shall be constructed using Lead Free* bronze materi- als. The Lead Free* reduced pressure zone assembly shall comply with state codes and standards, where applicable, requiring reduced lead content. The assembly shall include two tightly clos- ing shutoff valves before and after the assembly, test cocks and a protective strainer upstream of the No. 1 shutoff valve. The as- sembly (specify Model LF909 for temperatures up to 140 °F (60 °C) or Model LF909HW for temperatures up to 210 °F (99 °C)) shall meet the requirements of ASSE Std. 1013; AWWA Std. C- 511 -92 CSA B64.4; FCCCHR of USC Manual Section 10. Listed by IAPMO (UPC). SBCCI (Standard Plumbing code). The assembly shall be a Watts LF909QTS or LF909QTSHW. M% V '; ;; ~' 112D FOR CO ' • MPLIANCE APPROVED Nnv 2 8 2011 B City of Tukw BUILDING DIVI Supply Pressure Channel to Relief Valve Relief Valve Assembly II Valve Test Cocks Second Check Module Assembly Water Outlet Air Inlet R.RZori,ECEIVED CITY OF TUKWILA Nnu 0 9 2011 PERMIT CENTER Now Available WattsBox Insulated Enclosures. For more information, send for literature ES -WB. The wetted surface of this product contacted by consumable water contains Tess than one quarter of one percent (0.25 %) of lead by weight Watts product specifications in U.S. customary units and metric are approximate and are provided for reference only. For precise measurements, please contact Watts Techniatl Service. Watts reserves the right to change or modify product design, construction, specifications, or materials with- out prior notice and without inuring any obligation to make such changes and modifications on Watts products previously or subsequently sold. Models Suffix C &T Cap and tether test cocks QT Quarter -turn ball valves S Bronze strainer HW Stainless steel check modules for hot and harsh water conditions LF Without shutoff valves LH Locking ball valve handles (open position) NOTE: The installation of a drain line is recommended. When in- stalling a drain line, an air gap is necessary. Materials Body: Check Seats: Relief Valve Seats: Test Cocks: Lead Free* Bronze 909 Celcon® Stainless steel 909HW Lead Free* Bronze Celcon• is a registered trademark of Celanese, Limited Connections 3/4" - 1" (19 - 25mm) 909 -NPT Female threaded body connection 11/2" - 2" (32 - 50mm) 909- M1 -NPT Male threaded body connection Standards AWWA C- 511 -92 FCCCHR of USC Manual Section 10 IAPMO (UPC), SBCCI (Standard Plumbing code) Approvals Listed by IAPMO Listed by SBCCI *Approved by the Foundation for Cross - Connection Control and Hydraulic Research at the University of Southern California. Horizontal and vertical "flow -up" approval on 3/4" (20mm) and 1" (25mm) sizes (models 909QT, 909PCQT, and U909QT). 1013 B64.4 us Pressure — Temperature Temperature Range: 33 °F - 140 °F (0.5 °C - 60 °C) continuos, 180 °F (82 °C) intermittent Maximum Working Pressure: 175psi (12.1 bar) Series 909HW: Temperature Range: 33 °F - 210 °F (0.5 °C - 99 °C) Maximum Working Pressure: 175psi (12.1 bar) How it Operates The unique relief valve construction incorporates two channels: one for air, one for water. When the relief valve opens, as in the accompanying air - in /water -out diagram, the right -hand channel admits air to the top of the reduced pressure zone, relieving the zone vacuum. The channel on the left then drains the zone to atmosphere. Therefore, if both check valves foul, and simultaneous negative supply and positive backpressure develop, the re- lief valve uses the air -in /water -out principle to stop potential backflow. WATER OUT AIR IN Dimensions — Weights When installing a drain line use 909AG series Air Gaps on Series 909 backflow preventers. *909EL series elbows are for air gaps on backflow preventers in vertical installations. Series 909AG Air Gaps - :009 DRAIN : "" OUTLET.';.. DIMENSIONS • _ ' WEIGHTS Iran Body Sizes Sizes A B No. Desc. in. mm in. mm in. mm in. mm lbs. kg. 909 -AG -C Air Gap 3/4,1 19,25 1 25 31/4 83 47/8 124 11/2 .7 909 -EL -C Elbow* 3/4,1 19,25 - - 2% 60 23/8 60 3/8 .2 909 -AG -F Air Gap 11/4 -2 32 -50 2 50 4% 111 63/4 171 31/4 1.5 909 -EL -F Elbow* 11/4-2 32 -50 - - 35/8 92 35/8 92 2 .9 Capacity As compiled from documented Foundation for Cross - Connection Control and Hydraulic Research of the University of Southern California lab tests. *Typical maximum system flow rate (7.5 feet/sec.) kPa psi 110 16 83 12 55 8 28 4 kPa psi 138 20 103 15 69 10 35 5 '2" (20mm) 0 5 10 5 0 19 38 57 5 7.5 10 1.5 2.3 3.0 20 25 76 95 1 4 15 4.6 30 * 11/4" (32mm) 35 gpm 133 Ipm 20 fps 6.1 mps 0 10 20 30 40 50 60 70 80 90 100 gpm 0 38 76 114 152 190 228 266 304 342 380 Ipm 5 7.5 10 15 20 fps 1.5 2.3 3.0 4.6 6.1 mps kPa psi 138 20 103 15 69 10 35 5 kPa psi 138 20 103 15 69 10 35 5 kPa psi 138 20 103 15 69 10 35 5 2" (50mm) 1" (25mm 0 5 10 5 20 25 30 35 40 45 50 55 60 gpm 0 19 38 57 76 95 114 133 152 171 190 209 228 Ipm 5 7.5 10 15 1.5 2.3 3.0 4.6 11/2" (40mm) * 20 fps 6.1 mps 0 10 20 30 40 50 60 70 80 90 100 gpm 0 38 76 114 152 190 228 266 304 342 380 Ipm 5 7.5 10 15 fps 1.5 2.3 3.0 4.6 mps 0 25 50 75 100 125 150 175 200 gpm 95 190 285 380 475 570 665 760 Ipm 5 7.5 10 15 fps 1.5 2.3 3.0 4.6 mps *909QT, 909QT -S Dimensions OT OT -S lbs. kgs. lbs. kgs. 3/4" 1" 14' 155 365 391 183/4 195/ 459 498 83/4 8% 222 222 4 4 102 102 43/4 4'/. 121 121 6'/. 7 171 178 10Y 11 259 279 75/ 75/. 186 186 3'/ 31/4 98 98 14 15 6.4 6.8 15.6 17.5 7.1 7.9 1% "M1 181/2 470 23'% 595 115 295 5 '/z 140 6'% 165 7'/z 191 123/46 310 1014 264 51/4 133 40 18.1 42.8 19.4 11/2" M1 19 483 245/ 619 115 295 51/2 140 61/2 165 71/2 191 12% 321 10% 264 51/4 133 40 18.1 44.0 20.0 2 "M1 19'/ 495 2515/e 659 115 295 51/2 140 6'% 165 73/4 197 1315/s 354 10'% 264 51/4 133 40 18.1 47.4 21.5 Subscript `S' = strainer model EMIT COORD COP`S PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG 11 -172 DATE: 11/09/11 - PROJECT NAME: BOEING #9 -101 SITE ADDRESS: 9725 EAST MARGINAL WY S X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # after Permit Issued DE ARTMENTS pi ,13 Buil ing Divisron V 'V i .-Z7 AV(' 11.1 mi Public Works Fire Prevention Structural Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete y3 Comments: Incomplete n DUE DATE: 11 /10 /11 Not Applicable • Permit Center Use Only ° • '?' -I.. t`t F 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 n REVIEWER'S IN171ALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 12/08/11 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 Contractors or Tradespeopl`jter Friendly Page • Page 1 of 2 General /Specialty Contractor A business registered as a construction contractor with L8J 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 S 134Th Pl License No. HOLADPI379NO Suite /Apt. License Type Construction Contractor City Seattle Effective Date 1/21/1983 State WA Expiration Date 9/3/2013 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 VAN DER VEEN, JULIE ELIZABETH Member 08/26/2011 CONNELL, DANIEL AARON Member 08/26/2011 GIRI, BUIT Member 08/26/2011 KIEL, RINALD HOWARD Member 08/26/2011 WHITMYRE, CHRISTIAN Member 08/26/2011 BECK, DAVID CLARENCE Vice President 01/21/1983 OCONNOR, BONNY K Vice President 01/21/1983 NAILON, JUNE ANNETTE Vice President 01/21/1983 VAN DER VEEN, ERIC M Vice President 11/04/2010 PIZZEY, GRACE KATHERINE Vice President 08/26/2011 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 https://fortress.wa.gov/lni/bbip/Print. aspx 11/29/2011