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Permit PG12-161 - COURTYARD BY MARRIOTT
COURTYARD BY MARRIOTT 16038 WEST VALLEY HY PG12 -161 City Tukwila 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 Parcel No.: 0005800005 Address: 16038 WEST VALLEY HY TUKW Project Name: COURTYARD BY MARRIOTT Permit Number: PG12 -161 Issue Date: 09/06/2012 Permit Expires On: 03/05/2013 Owner: Name: CSM CORP Address: C/O STEFFEN TERRY , 500 WASHINGTON AVE #3000 55415 Contact Person: Name: JOHN BIEDLER Address: 8611 S 192 ST , KENT WA 98031 Email: NOT PROVIDED Contractor: Name: BEACON PLUMBING & MECHANICAL INC Address: 16719 SE 149 ST , RENTON WA 98059 Contractor License No: BEACOPM956KS Phone: 206 - 720 -2040 Phone: 425 -277 -1879 Expiration Date: 05/18/2013 DESCRIPTION OF WORK: ALTERATION TO BAR AREA INCLUSIVE OF HANDSINKS, ICE BIN, SODA POP AND TWO 1/2" BACKFLOW DEVICES FOR ESPRESSO AND SODA POP MACHINE. Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: $10,000.00 $225.75 Permit Center Authorized Signature: Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 Date: I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws 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 permit. Signature: Print Name: %k' r 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 PG12 -161 Printed: 09 -06 -2012 • • PERMIT CONDITIONS Permit No. PG 12 -161 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 m 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 m 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: Backflows shall be installed per manufacturer's specifications. 15: Prior to final permit sign -off backflows shall be tested by a certified tester and test reports submitted to the inspector. doc: UPC -4/10 PG12 -161 Printed: 09 -06 -2012 CITY OF TUKWI Community Developmc )epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov 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 ** 8 King Co Assessor's Tax No.: V t2 f Co 0 0 j Site Address: l ti ( 3 8 weS - Y) c-1 t y Law Suite Number: Floor: 1 Tenant Name: ( CXcr 4 )1 lo)' ,M & r ('t” c' T1 New Tenant: ❑ Yes 21... No PR( Name: Cs AA Cc) t, Address:ef© -5) �� -et-[' , - 3-1vo _) 0 City: State: Zip: ), Name: J bin .ti j t Address: City: State: Zip: Phone ,-73e -cigv5 Fax: Email: w'� . Company Name: S c c „,„ 1vlvk,t vlc, Address: 5 6k, ` S Lit 64- v, City: V ej�4_, State: ,i,„7 Zip. o3) Phone: 2,e4 72 v 20 `(p F Contr Reg No.: B es erwet rb) p5 ate: Tukwila Business License No.: Valuation of Project (contractor's bid price): $ /O, Dv 0— Scope of Work (please provide detailed information): 4i /tAc/;, „boy (.,/Pdcc. ,','e/ s, b`' r ;sa!/a_ / i/ i 64. c r /nj S e .. Building Use (per Int'1 Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: H. \Applications \Forms - Applications On Line \2011 Applications\Plumbing Permit Application Revised 8 -9 -11. docx Revised: August 2011 bh Page 1 of 2 Indicate type of plumbing fixtures and/or as piping outlets being installed and the quanti below: .Fixture Type: , Bathtub or combination bath/shower Clothes washer, domestic Dishwasher, domestic with independent drain I Shower, single head trap Sinks .cam Rain water system — per drain (inside building) Grease interceptor for commercial kitchen ( >750 gallon capacity) Each additional medical gas inlets /outlets greater than 5 Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) 2.— Fixture Type . Qty .' Bidet Clothes washer, domestic Drinking fountain or water cooler (per head) Lavatory Urinal Wash fountain 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 Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 2.— FixtureType: Qty .' ..Qty' Clothes washer, domestic Floor drain Food -waste grinder, commercial Building sewer and each trailer park sewer Wash fountain Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity Water closet Each lawn sprinkler system on any one meter including backflow protection devices Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors LACtied— A 1 cc,VL 2.— Repair or alteration of drainage or vent piping ,• Backflow protective device other than atmospheric -type vacuunr,b"reakers over 2 inch (51 mm) diameter • • Gas piping outlets ixture 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 LACtied— A 1 cc,VL 2.— °PERMIT APPLICATION NOTES t. Value of Construction — In all cases, a value of constructiorl 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 OWN,:Y� 1 R AUTHO ED AGENT: Signature: i �GE Print Nam Mailing Address: Date: Day Telephone: City H:\Applications\Forms- Applications On Line \2011 Applications\Plumbing Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh 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 Parcel No.: 0005800005 Address: 16038 WEST VALLEY HY TUB:W Suite No: Applicant: COURTYARD BY MARRIOTT RECEIPT Permit Number: PG12 -161 Status: PENDING Applied Date: 08/23/2012 Issue Date: Receipt No.: R12 -02427 Initials: WER User ID: 1655 Payment Amount: $225.75 Payment Date: 08/23/2012 10:00 AM Balance: $0.00 Payee: BEACON PLUMBING & MECHANICAL INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 43054 225.75 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES PLUMBING - NONRES 000.345.830 45.15 000.322.103.00.00 180.60 Total: $225.75 doc: Receipt -06 Printed: 08 -23 -2012 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 PGI��ih( Project: Type of Inspection: Address: ((aA 3 P3 (A.). UAI lEc.,t Date Called: Special Instructions: Date Waanted:. ' Z S' C? I .m_- P.m. Requester: Phone No: Sq Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 9 Ins c or: p /�^ -� ( '"1ti r- Date' — Z g_ REI . REI SPECTION FEE REQUIRD. Prior to net inspection, fee must be p d p d at 6300 Southcenter Blvd., Suite 100. ll 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 F., (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 P6 /2 -/6 / Project: (10? //'T 94/2!) / 2 Type of Inspection: l ? /4'-Z 41 Address: / 3 o 3 GcJc� --uz / /G/ Date Called: Special Instructions: ' Date Wanted:. 9-7Z 7- /2 (a.m. p.m. Requester: Phone No: V.,.....,.. Approved . per applicable codes. 11 Corrections required prior to approval. COMMENTS: Inspect � 27.9 R NSPECTION FEE REQUI ED. Pri to next inspection. fee must be id at 6300 Southcenter Blvd., Suit 100. Call to schedule reinspection. J_ INSPECTION NO. I I • 1., . • 1 i INSPECTION RECORV. , Retain a copy with--permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 re-- Permit Inspection Request Line (206) 431-2451 Project: neg. ifttivi ic al vvAA dr; crri- Type of Inspection:4., ■ / 61.`,NOI e.)e.N/ Address: 4 1 Cobs q) . 1)SA ■L'N-11.qi I-1(4 Date Called: :.,. • Special Instructions: . 1 ,)-- Date Wanted: CI — 7-- 1-7 p.m. Requester: Phone No: 171AppFoved per applicable codes. 0 Corrections required prior to approval. S N. COMMENTS: Date' C— (.2 ri 13EI,JISPECTION FEE REQpIRED. Prior o next inspection, fee must be at 6300 Southcenterl3lvd., Suite 100. Call to schedule.reinspection. / ;. INSPECTION RECORD; Retain a copy with permit INSPECTION NO. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206).431 -3670 Permit Inspection Request Line (206) 431 -2451 Pro'5ct: fi lJ' a ✓`i n r•.- 6,4 (:,;.411.- Type of Inspection: _' p(� ( (lc__2 Address: v Li , /6O i,) (�Ul(`6 LA-) Called: 061a/ i Special Instructions: Date Wanted: ----, Requester: ' • � 2h)1 - 0r- }7:; h f45 Phone No: 1 EiApproved per applicable codes. ElCorrections required prior to approval. COMMENTS: t s fe -pur'S {ece.U/ec'( • �rv+a( epl:- of Inspector: DS Date: n REINSPECTION FEE REQUIRED. Prior to next inspection.. fee. must be paid at 6300 Southcenter Blvd.. Suite 100. Call to Schedule reinspection. / 1Y2" -' 277/8" 263/4" 19Y4" 277/8" 3" 208Y2" 88" 1773/4" 277/8" 277/8" 1Y2" 4 261A 8" REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may include additional plan review fees. 127/8" 30" 21044 Heron Way Lakeville, MN 55044 Office: 952 - 378 -4101 fax: 952 -378 -4103 jd- woodcraft.com R44Y4" 259/8" REVIEWED VIEW D FOR CODE COMPLIANCE APPROVED 25Y2" SEP 0 4 2012 EXISTING FLOOR DRAINS (.7 og T BUOLDO "G Plan review aprival Ls su kpproval of construction ME violation of any a of approved Flip to on and omission" waft does not authorize or ordinance. Receipt OS 2*K4nowledged: \fuL_ 361%2" L� ditlt- -� 1079/8" 411Y18" HAND SINK #TS12HS Cf %kWh GLASS WASH ppy7 �7Mr� ��7 #PKBR UX1iDERIG 1MS ]tO 121" R228" DRAIN BOARD #TS48 25" 4" STAINLESS DRINK 28" City of Tukwila PUILDING DIVISION DRAWN BY: DG DATE DRAWN: 5 -17 -12 vJaie-r (.b1'14‘ b 1'w� / lss vJr At( �l/S�`1 71° k loam Je J trl` 134cr t/11a -it - gaot i ✓` Ts/Pe- ,4 Pe _x lxa+- L Copper er ,4!t /We - b e C1;//'e d ve / 3o'' L;'-' PLAN 3/4" = 1'-0 PG ( 1— i car RECEIVE AUG 232012 POT CENTER REVISION DATES: 1: 7-5-12 2: 7 -17 -12 3: 4: 5: 6: 7: 8: 9: 10: Series 009 Reduced Pressure Zone Assemblies Sizes: 1/4" - 3" (8 - 80mm) • Installation • Service • Repair Kits • Maintenance For field testing procedure, send for IS- TK -DL, IS- TK -9A, IS- TK -99E AND IS- TK -99D. For other repair kits and service parts, send for PL -RP -BPD. �5p teas o '.i Z 000i - Q i 3c1 "S3 °t91 For technical assistance, contact your local Watts representative. REVIEWED FOR CODE COMPLIANCE APPROVED • SEP 0 4 2012 City of Tukwila BUILDING DIVISION So bL �a 1 Li Z 0)0.9 - C c/7 aTt-3 3 9-86ct RP /IS -009 3" (80mm) 009NRS 1(0( CALIFORNIA PROPOSITION 65 WARNING WARNING: This product contains chemicals known to the State of California to cause cancer and birth defects or other reproductive harm. (California law requires this warning to be given to customers in the State of California.) For more information: www.watts.com /prop65 IMPORTANT: Inquire with governing authorities for local installation requirements. NOTE: For Australia and New Zealand: Pipeline strainers should be installed between the upstream shutoff valve and the inlet of the backflow preventer. Its important that this assembly be tested periodically in com- pliance with local codes, but at least once per year or more as service conditions warrant. If installed on a fire sprinkler sys- tem, all mechanical checks, such as alarm checks and back - flow preventers, should be flow tested and inspected internally in accordance with NFPA 13 and NFPA 25. RECEIVED AUG 2 8201Z TUKWILA PUBLIC WORKS RECEIVED AUG 23 2012 PERMIT CENTER Limited Warranty: Watts Regulator Co. (the "Company ") warrants each product to be free from defects in material and workmanship under normal usage for a period of one year from the date of original shipment. In the event of such defects within the warranty period, the Company will, at its option, replace or recondition the product without charge. THE WARRANTY SET FORTH HEREIN IS GIVEN EXPRESSLY AND IS THE ONLY WARRANTY GIVEN BY THE COMPANY WITH RESPECT TO THE PRODUCT. THE COMPANY MAKES NO OTHER WARRANTIES, EXPRESS OR IMPLIED. THE COMPANY HEREBY SPECIFICALLY DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. The remedy described in the first paragraph of this warranty shall constitute the sole and exclu- sive remedy for breach of warranty, and the Company shall not be responsible for any inciden- tal, special or consequential damages, including without limitation, lost profits or the cost of repairing or replacing other property which is damaged if this product does not work properly, other costs resulting from labor charges, delays, vandalism, negligence, fouling caused by for- eign material, damage from adverse water conditions, chemical, or any other circumstances over which the Company has no control. This warranty shall be invalidated by any abuse, misuse, misapplication, improper installation or improper maintenance or alteration of the product. Some States do not allow limitations on how long an implied warranty lasts, and some States do not allow the exclusion or limitation of incidental or consequential damages. Therefore the above limitations may not apply to you. This Limited Warranty gives you specific legal rights, and you may have other rights that vary from State to State. You should consult applicable state laws to determine your rights. SO FAR AS IS CONSISTENT WITH APPLICABLE STATE LAW, ANY IMPLIED WARRANTIES THAT MAY NOT BE DISCLAIMED, INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PUR- POSE, ARE LIMITED IN DURATION TO ONE YEAR FROM THE DATE OF ORIGINAL SHIPMENT. WWATFS® Installation Instructions Indoors - Figure 1 For indoor installations, it is important that the assembly be easily accessible to facilitate testing and servicing. If .it is located in a line close to avail, be sure the test cocks are easily acces- sible. A drain ling and. air gap (see literature ES -AG /EI TC) - should be piped from the relief valve connection as shown, where evidence of discharge will be clearly visible and so that water damage will not occur. Therefore, never install in con- cealed locations. Outside - Figure 2 In an area where freezing conditions do not occur, Series 009 can . be installed outside. The most satisfactory installation is above ground and should be installed in this manner whenever possible. In an area where freezing conditions can occur, Series 009 should be installed above ground in an insulated enclosure. Series 009 must be installed in an accessible location to facili- tate testing and servicing. A discharge line should be piped from the air gap at the relief valve connection making sure that there is adequate drainage. Never pipe the discharge line directly into.a drainage ditch, sewer or sump. Series 009 should neverbe installed where any part of the unit could become submerged in standing water. It is generally recommended that backflow preventers never be placed in pits unless absolutely necessary and then only when approved by local codes. In such cases, a modified pit installa- tion is preferred. Parallel.- Figure 3 Two or more smaller size assemblies can be piped in parallel (when approved),to serve a,iarge supply pipe main. This type of installa- tion is employed where increased capacity is needed beyond that provided;by a..single,valve•and permits testing orservicing of 5n individual' valve without shutting down the complete line." The number of assemblies used in parallel should be deter- mined by the engineer's judgement based on the operating conditions of a specific installation. For parallel valve installations, the total capacity of the assem- blies should equal or exceed that required by the system. Annual inspection of all water system safety and control valves is required and necessary. Regular inspection, testing and cleaning assures maximum life and proper product function. 2 _ Figure 1 Figure 2 Fiberglass Watts3ox,..,,t A cim 7.) � �( -0. 3WOSg1tgt 93,?, 2' /x" _3" (65 -80mm) 009 AU1 k 100 ir' '°S °..id "N.,ate Now available, WattsBox Insulated Enclosures, for more information, send for literature ES -WB. WattsBox n n 11_11_ _ Ai a 1191 Rte^ !,[AeE., "�; �i :�,:4,.:..�:r�4 +: A•;�- ..,�y� 1/a " -2" (80 50 m) Now available, WattsBox Insulated Enclosures, for more information, send for literature ES -WB. Figure 3 21 _ 3" (65 -80mm) 009 Installation Instructions Note: Shutoff Valves: When shutoff valves are removed and reassembly is nec- essary, the shutoff valve with the test cock is to be mounted on the inlet side of the backflow preventer. A. The 009 should always be installed in an accessible location to facilitate testing and servicing (See page 2). Check the state and local codes to ensure that the backflow preventer is installed in compliance, such as the proper height above the ground. B. We recommend a strainer be installed ahead of 009 series assemblies to pro- tect the internal components from unnecessary fouling. Caution: Do not install with strainer when backflow preventer is used on sel- dom -used water lines which are called upon only during emergencies, such as fire sprinkler lines. Start Up: The downstream shutoff should be closed. Open upstream slowly and fill valve. When valve is filled, open the downstream shutoff slowly and fill the water supply system. This is necessary to avoid water hammer or shock damage. C. Water discharge from the relief valve should be vented in accordance with code requirements. The relief valve should never be solidly piped into a drainage ditch, sewer or sump. The discharge should be terminated approximately 12" above the ground or through an air gap piped to a floor drain. NOTE: Relief Valve Discharge Rates The installation of an air gap with the drain line terminating above a floor drain will handle any normal discharge or nuisance spitting through the relief valve. However, floor drain size may need to be designed to prevent water damage caused by a catastrophic failure condition. Please refer to Figure No. 1 for maximum relief valve discharge rates, size and capacity of typical floor drains. NOTE Do not reduce the size of the drain line from the air gap fitting. Pipe full line size. D. After initial installation, a discharge from the relief valve opening may occur due to inadequate initial flushing of pipe lines to eliminate dirt and pipe compounds. If flushing will not clear, remove the first check valve and clean thoroughly. NOTE: Periodic relief valve discharge may occur on dead end service applica- tions, such as boiler feed lines or cooling tower makeup lines due to fluctuating supply pressure during a static or no flow condition. To avoid this discharge, install a spring - loaded rubber seated check valve ahead of the backflow assembly to "lock -in" the downstream pressure. E. Backflow preventers should never be placed in pits unless absolutely neces- sary and then only when and as approved by local codes. In such cases, pro- vision should be made to always vent above flood level or for a pit drain to ensure an adequate air gap below the relief port. F. It is important that Series 009 backflow preventers be inspected periodically for any discharge from the relief valve which will provide a visual indication of need for cleaning or repair of check valves. Also testing for proper operation of the device should be made periodically in compliance with local codes, but at least once a year or more often, depending upon system conditions. Relief vent will discharge water when, during no -flow periods, (1) the first check valve is fouled or (2) the inlet pressure to the device drops sufficiently due to upstream pressure fluctuations to affect the required operating differen- tial between the inlet pressure and reduced pressure zone. Otherwise, such relief (spitting) can occur when the second check is fouled during emergency backflow or resulting from a water hammer condition. For troubleshooting guide send for S -TSG. NOTE: Special considerations are necessary when testing assemblies installed on Fire Prevention Systems. Fire Protection System Installations: The National Fire protection Agency (NFPA) Guidelines require a confirming flow test be conducted whenever a "main line" valve such as the shutoff valves or a backflow assembly have been operated. Certified testers of backflow assemblies must conduct this confirming test. Figure 1 Flow Rate gpm 45 40 35 30 25 20 15 10 5 00 Relief Valve Discharge Rates 'k" —1" (15 -25mm) 009 x X 350 300 n 250 cn 200 z 150 0 100 50 0 x 10 20 30 40 50 60 70 80 90 Zone Pressure psi 100 150 aYz $3/4" M2 1" M2 1'/4' — 3" (32 -80mm) 009 0 10 20 30 40 50 60 70 80 90 Zone Pressure psi 100 150 I$ 114" -1'/z" M2-- 2" M2 $- 21/2" - 3") TYPICAL FLOW RATES AS SIZED BY FLOOR DRAIN MANUFACTURERS: 2" (50 mm) 55 GPM 3" (80 mm) 112 GPM 4" (100 mm) 170 GPM 5" (125 mm) 350 GPM 6" (150 mm) 450 GPM 8" (200 mm) 760 GPM 3 Servicing the Relief Valve 1/4" - 2" (8 - 50mm) 1. Remove the relief valve cover bolts while holding the cover down. 2. Lift the cover straight off. The stem and diaphragm assem- bly will normally remain with the cover as it is removed. The relief valve spring will be free inside the body at this point. 3. The relief valve seat is located at the bottom of the body bore and can be removed, if necessary, for cleaning. The disc can be cleaned without disassembly of the relief valve module. If it is determined that the relief valve diaphragm and /or disc should be replaced, the relief valve module can be readily disassembled without the use of special tools. Note: the disc rubber is molded into the disc holder and is supplied as a disc holder assembly. 4. To re- assemble the relief valve, press the seat firmly into place in the body, center the spring on the seat, and insert the cover and relief valve module as a unit straight into the bore. Press down on the cover to assure proper alignment. Insert and tighten bolts. Caution: If cover will not press flat against body, stem as- sembly is crooked and damage can result. Re -align stem and cover before bolts are inserted. Test Cock No.2 Test Cock No.3 Test Cock No.4 First Check Module Assembly Relief Valve Assembly Water Outlet Cover — Cover 0-ring Diaphragm Second Check Module Assembly Stem & Diaphragm Assembly Retainer Seat Seat 0-ring Body Replacement Parts — 1/4" - 2" (8 - 50mm) When ordering, specify Ordering Code, Kit number and Valve Size. '/4" –1" (8 – 25mm) ORDERINGCODE- Relief Valve Kits: 0887294 0887509 0887002 0887520 0888524 0887015 0887503 0887785 Kit consists of: Seat, Seat 0 -ring, Stem & diaphragm assembly, Stem 0 -ring, Cover 0- ring and RV spring. -, KITNO. SIZE:' inch RK009VT '/4,3/8,Y RK SS009 VT ' RK 009M2 VT 3/4 RK SS009M2/M3 VT 1/4 – 3/4 RK 009M3 VT 3/4 RK009VT 3/4 -1 RK SS009 VT 1 RK 009M2 VT 1 mm 8,10,15 15 20 8 -20 20 20 -25 25 25 Relief Valve Rubber Parts Kits: 0887295 RK 009 RV 0887510 RK SS009 RV 0886998 RK 009M2 RV 0887519 RK SS009M2 /M3 RV 0888523 RK 009M3 RV 0887181 RK 009 RV 0887529 RK SS009 RV 0887786 RK 009M2 RV Kit consists of: Diaphragm, Disc assembly, Stem 0 -rings, Total Rubber Parts Kits: 0887297 RK 009 RT 0887511 RK SS009 RT 0886999 RK 009M2 RT 0887521 RK SS009M2 RT 0888526 RK 009M3 RT 0888597 RK SS009M3 RT 0887182 RK 009 RT 0887530 RK SS009 RT 0887787 RK 009M2 RT Kit consists of: Diaphragm, Two discs, Two disc asse ring, Two seat 0 -rings and RV seat 0 -ring. Cover Kits: 0887296 RK 009 C 0887500 RK SS009 C 0887004 RK 009M2 C 0887501 RK SS009M2/M3 C 0888525 RK 009M3 C 0887013 RK 009 C 0887502 RK SS009 C 0887788 RK 009M2 C Kit consists of: Cover and Cover 0 -ring. 1/4, 3/8,/2 8,10,15 '/2 15 3/4 20 '/4 – 3/4 8-20 3/4 20 3/4 –1 20 -25 1 25 1 25 Seat 0 -ring and Cover 0 -ring. 1/4,%,1/2 8, 10,15 '/2 15 3/4 20 3/4 20 3/4 20 1/4 – 3/4 8 -20 3/4 –1 20 -25 1 25 1 2 mblies, Stem 0- rings, Cover 0- 1/4, 3/8,'/2 8,10,15 '/2 15 3/4 20 8-20 3/4 20 3/4 –1 20 -25 1 25 1 2 3/4 11/4" — 2" (32 — 50mm) /ORDERING CODE KIT. NO SIZE Relief Valve Total Kit: inch mm 0887307 RK 009M2 VT 11/4 –1'/2 32 -40 0887277 RK 009M1 VT 11/4 – 2 32 -50 0887016 RK 009 VT 11/4 – 2 32 -50 0887545 RK 009M2 VT 2 50 Kit consists of: RV assembly, Seat, Seat 0 -ring, Cover 0 -ring, Sensing passage 0 -ring and Upper stem 0 -ring. Relief Valve Rubber Parts Kit: 0887306 RK 009M2 RV 11/4 –1'/2 32 -40 0887276 RK 009M1 RV 11/4 – 2 32 -50 0887184 RK 009 RV 11/4 – 2 32 -50 0887544 RK 009M2 RV 2 50 Kit consists of: Diaphragm, Seat 0 -ring, Cover 0 -ring and Sensing passage 0 -ring. Complete Rubber Parts Kit: 0887309 RK 009M2 RT 11/4 –1'/2 32 -40 0887280 RK 009M1 RT 11/4 – 2 32 -50 0887185 RK 009 RT 11/4 – 2 32 -50 0887547 RK 009M2 RT 2 50 Kit consists of: Two check assembly 0- rings, Two disc assemblies, One cover 0 -ring, One RV diaphragm, One RV seat 0 -ring, One sensing passage 0 -ring, One diaphragm plate 0 -ring, One RV lower stem 0 -ring, One RV upper stem 0 -ring, One RV disc assembly and One bleed screw 0 -ring. Cover Kit: 0887308 RK 009M2 C 11/4 –1'%2 32 -40 0887278 RK 009M1 C 11/4 – 2 32 -50 0887014 RK 009 C 11/4 – 2 32 -50 0887546 RK 009M2 C 2 5 Kit consists of: Cover, Cover 0 -ring, Sensing passage 0 -ring, Bleed screw 0 -ring, Vent hood and Bleed screw. 4 For additional information, contact your local technical sales representative, see back page. Servicing First & Second Check Valves 1/4 " -2" (8 -50mm) 1. Remove the retainer from the body bore. The check valve modules can now be removed from the valve by hand or with a screwdriver. Note: The seats and springs of the first and second check modules are not interchangeable. The heavier spring and smaller diameter seat belong with the first check module. 2. The check seats are attached to the cage with a bayonet type locking arrangement. Holding the cage in one hand, push the seat inward and rotate clockwise against the cage. The seat, spring cage, spring and disc assembly are now in- dividual components. Note: 3/4" M2 modules snap apart. 3. The disc assembly may now be cleaned and re- assembled or, depending on its condition, may be discarded and replaced with a new assembly from the repair kit. O -rings should be cleaned or replaced as necessary and lightly greased with the FDA approved grease. Refer to parts price list, PL -RP -BPD for more information. 4. Re- assemble the check valve modules. Check modules are installed in the valve body with the seat facing the valve inlet. The modules must be securely in place before the retainer can be replaced. On the 3/4" size retainer may have to be tilt- ed slightly into place. Replace relief valve assembly. CHECK ASSEMBLY 3/4" M3 CHECK ASSEMBLY 1/4" — 3/4" 0 -ring Check Injection Molded Stainless Steel Seal /Cage Acetyl Resin Spring Seat Disc Spring Seat 0 -ring Seal 1st Check Silicone Seal Module CHECK ASSEMBLY 1" - 2" (25 — 50mm) Check Cage Spring Disc Assembly Seat 0-ring Relief Valve Module N.6(` �\t5 Cover 0-ring 55b\�l c� P G�`e sec% Retainer Watts reserves the right to change or modify product design, construc- tion, specifications, or materials without prior notice and without incur- ring any obligation to make such changes and modifications on Watts products previously or subsequently sold. For additional information, contact your local Replacement Parts —1/4" - 2" (8 - 50mm) When ordering, specify Ordering Code, Kit number and Valve Size. Y4" —1" (8 — 25mm) ORDERING CODE KIT N0. First Check Kits: 0887291 RK 009 CK1 0887505 RK SS009 CK1 0887000 RK 009M2 CK1 0887515 RK SS009M3 CK1 0888520 RK 009M3 CK1 0887005 RK 009 CK1 0887009 RK 009 CK1SS 0887525 RK SS009 CK1 0887789 RK 009M2 CK1 Kit consists of: Check assembly and Cover 0 -ring. Second Check Kits: 0887292 RK 009 CK2 0887506 RK SS009 CK2 0887001 RK 009M2 CK2 0887516 RK SS009M3 CK2 0888521 RK 009M3 CK2 0887007 RK 009 CK2 0887011 RK 009 CK2SS 0887526 RK SS009 CK2 0887790 RK 009M2 CK2 Kit consists of: Check assembly and Cover 0 -ring. Check Rubber Parts: 0887293 0887003 0888522 0887507 0887517 0888595 0887017 0887527 0887791 0887508 0887518 0888596 0887180 0887528 RK SS009 RC2 0887792 RK 009M2 RC2 Kit consists of: Disc, Cover 0 -ring and Seat 0 -ring. Retainers: inch 1/4, 3/8, 1/2 'h 3/4 SIZE mm 8, 10, 15 15 20 8 -20 20 20 -25 20 -25 25 25 '/4, 3/8,'/2 8,10,15 'h 15 3/4 20 /a -3/4 8,10,15 3/a 15 3/4— 1 15 -25 3/4 —1 15 -25 1 25 1 25 RK 009 RC3 RK 009M2 RC3 RK 009M3 RC3 RK SS009 RC1 RK SS009M2 RC1 RK SS009M3 RC1 RK 009 RC1 RK SS009 RC1 RK 009M2 RC1 RK SS009 RC2 RK SS009M2 RC2 RK SS009M3 RC2 RK 009 RC2 1/4, 3/8,'/2 8, 10,15 3/4 20 3/4 20 h 15 3/4 20 1/4 — 3/4 8 -20 3/4 —1 20 -25 1 25 1 25 1/2 15 3/4 20 1/4 — 3/4 8 -20 3/4 —1 20 -25 1 25 1 25 1047053 1047394 1047001 1047001 1047401 99AB47 99BA47 99FA47 99FA47 99FA47 M2 -M3 M1,2 "M2 M2 8, 10, 15 20 32 -50 32 -50 32 -40 11/4" - 2" (32 — 50mm) ORDERING CODE KIT N0. SIZE 1 First Check Kit: inch mm 0887300 RK 009M2 CK1 1% — 11/2 32 -40 0887270 RK 009M1 CK1 11A — 2 32 -50 0887006 RK 009 CK1 1'A — 2 32 -50 0887010 RK 009 CK1SS 11/4 — 2 32 -50 0887272 RK 009MI CK1 SS 11/4 — 2 32 -50 0887540 RK 009M2 CK1 2 50 Kit consists of: First check assembly, Cover 0 -ring and Sensing passage 0 -ring. Second Check Kit: 0887301 RK 009M2 CK2 0887271 RK 009M1 CK2 0887008 RK 009 CK2 0887012 RK 009 CK2SS 0887273 RK 009 M1 CK2SS 0887541 RK 009M2 CK2 Kit consists of: Second check assembly, Cover 0 -ring and Sensing passage 0 -ring. First Check Rubber Parts Kit: 0887304 RK 009M2 RC1 1% —1'/2 32 -40 0887274 RK 009M1 RC1 11/4 — 2 32 -50 0887018 RK 009 RC1 1'/4 — 2 32 -50 0887542 RK 009M2 RC1 2 50 Kit consists of: First check assembly 0 -ring, Disc holder assembly, Cover 0 -ring and Sensing passage 0 -ring. Second Check Rubber Parts Kit: 0887305 RK 009M2 RC2 1% — 11/2 32 -40 0887275 RK 009M1 RC2 1'/a — 2 32 -50 0887183 RK 009 RC2 11/4 — 2 32 -50 0887543 RK 009M2 RC2 2 50 Kit consists of: Second check assembly 0 -ring, Disc holder assembly, Cover 0 -ring and Sensing passage 0 -ring. technical sales representative, see back page. 1% — 11/2 32 -40 11/4 — 2 32 -50 11/4 — 2 32 -50 11/4 — 2 32 -50 11A — 2 32 -50 2 50 5 Servicing the Relief Valve 21/2" - 3" (65 - 80mm) 1. Remove the four or six relief valve cover bolts while holding the cover down. 2. Lift the cover straight off. The stem and diaphragm assem- bly will normally remain with the cover as it is removed. The relief valve spring will be free inside the body at this point. 3. The relief valve seat is located at the bottom of the body bore, and can be removed, if necessary, for cleaning. The disc can be cleaned without disassembly of the relief valve module. If it is determined that the relief valve diaphragm and /or disc should be replaced, the relief valve module can be readily disassembled without the use of special tools. Note: The disc rubber is molded into the disc holder and is supplied as a disc holder assembly. 4. To reassemble the relief valve, press the seat firmly into place in the body, center the spring on the seat, and insert the cover and relief valve module as a unit straight into the bore. Press down on the cover to assure proper alignment. Insert and tighten bolts. Caution: If cover will not press flat against body, stem assembly is crooked and damage can result. Realign stem and cover before bolts are inserted. NOTE: No special tools required to service Series 009 21/2" - 3" (65 - 80mm). Replacement Parts — 21/2" - 3" (65 - 80mm) When ordering, specify Ordering Code, Kit number and Valve Size. OHDERING�CODE d :KIT NO SIZEti 1 Relief Valve Total Kit: inch mm 0887021 RK 009 VT 21/2 - 3 65 -80 Kit consists of: Seat, Stem assembly, Spring, Two piston 0- rings, Flow tube 0 -rings and Cover 0 -ring. Relief Valve Rubber Parts Kit: 0887206 RK 009 RV 212 - 3 65 -80 Kit consists of: Diaphragm, Disc, Molded disc assembly, Piston 0- rings, Stem 0 -ring and Cover 0 -ring. Ball Type Test Cocks Test Cock No. 2 I Test Cock No. 4 Test Cock No. 3 Second Check Module Assembly MIN First Check Module Assembly Relief Valve Assembly Flow Tube 0-ring R.P. Zone Water Outlet Cover 0-ring Diaphragm Stem Assembly Retainer Seat Seat 0-ring 6 For additional information, contact your local technical sales representative, see back page. Servicing First & Second Check Valves 21/2" - 3" (65 - 80mm) 1. Remove the relief valve assembly as outlined on page 5. 2. Remove the retainer from the body bore. The check valve modules can now be removed from the valve by hand or with a screwdriver. Note: The seats and springs of the first and second check modules are not interchangeable. The heavier spring and smaller diameter seat belong with the first check module. 3. The check seats are attached to the cage with a bayonet type locking arrangement. Holding the cage in one hand, push the seat inward and rotate counterclockwise against the cage. The seat, spring cage, spring and disc assembly are now individual components. 4. The disc assembly may now be cleaned and reassembled or, depending on its condition, may be discarded and replaced with a new assembly from the repair kit. O -rings should be cleaned or replaced as necessary and lightly greased with the FDA approved silicon grease. For more information refer to repair parts price list PL -RP -BPD. 5. Reassemble the check valve modules. Check modules are installed in the valve body with the seat facing the valve inlet. The modules must be securely in place before the retainer can be replaced. Replace relief valve assembly. NOTE: No special tools required to service Series 009 212" — 3" (65 — 80mm) Replacement Parts 21/2" - 3" (65 - 80mm) When ordering, specify Ordering Code, Kit number and Valve Size. EEyy o 171131 G CODE: KIT.NO.;;; } SIZE First Check Kit: inch mm 0887019 RK 009 CK1 21/2 — 3 65 -80 Second Check Kit: 0887020 RK 009 CK2 212 — 3 65 -80 Kit consists of: Check assembly, Cover 0 -ring and Flow tube 0 -ring. First Check Rubber Parts Kit 0887281 RK 009 RC1 212 — 3 65 -80 Second Check Rubber Parts Kit 0887205 RK 009 RC2 212 — 3 65 -80 Kit consists of: Disc, Seat 0 -ring and Flow tube 0 -ring. Total Rubber Parts: 0887207 RK 009 RT 2' — 3 65 -80 Kit consists of: Diaphragm, Two discs, Two molded disc assemblies, Two seat 0- rings, RV 0 -ring, Two piston 0- rings, RV stem 0 -ring, Flow tube 0- rings and Cover 0 -ring. Cover Kit: 0887282 RK 009 C 2' — 3 65 -80 Kit consists of: Cover, Cover 0 -ring and Flow tube 0 -ring. Seat Kit: 0887208 RK 009 S 21/2 — 3 65 -80 Kit consists of: Check seat, Seat 0 -ring and Cover 0 -ring. Check Assemblies Seat Disc ' Spring Assembly Retainer Cage Seat Flow Tube Cover 0 -ring Cover ee"= Relief Valve Assembly c \k•. 5e .cei Sej c.x`eos e\�� eQat� 5 Retainer 6 Body For additional information, contact your local technical sales representative, see back page. 7 Test Procedures Reduced Pressure Zone Assemblies Reduced Pressure Zone Assemblies must be inspected and test- ed periodically, in accordance with local codes, to ensure proper operation of check valves within the unit. A differential pressure gauge is recommended for Test No. 1 rather than a manometer for the following reasons: It utilizes minimum time to perform the test. It eliminates the necessity of closing the inlet ball valve which could release pipe scale and foreign matter into the backflow preventer. Only a slight amount of water is 'spilled' in test. A mercury manometer could cause a pollution hazard. Test Set Up Reduced Pressure Zone Assembly Close Valves A, B and C on Test Kit. Connect high side hose to test cock #2 Connect low side hose to test cock #3. Close shutoff #2. Open test cocks #2 and #3. Open vent valve C. Open 'high' valve A and bleed to atmosphere until all the air is expelled. Close valve A. Open 'low' valve B and bleed to atmosphere until all air is expelled. Close 'low' valve B. Close 'vent' valve C. Connect vent hose to test cock #4. Test Procedure Reduced Pressure Zone Assembly Field Test Equipment Required Reduced Pressure Zone Backflow Preventer Test Kit Test No. 1 Purpose: To test Check Valve No. 2 for tightness against reverse flow. Requirements: Valve must be tight against reverse flow under all pressure differentials. Slowly open the 'high' valve A and the 'vent' valve C, and keep the 'low' valve B closed. Open test cock #4. Indicated pressure differential will decrease slightly. If pressure differential continues to decrease (until the vent opens), check valve #2 is reported as 'leaking'. Test No. 2 Purpose: To test shutoff #2 for tightness. Requirements: After passing Test No. 1, continue to Test No. 2 by closing test cock #2. The indicated pressure differential will decrease slightly. If pressure differential continues to decrease (approaching "zero "), shutoff #2 is reported to be "leaking ". Test No. 3 Purpose: To test Check Valve No. 1 for tightness. Requirements: Valve must be tight against reverse flow under all pressure differentials. Close 'high' valve A and open test cock #2. Close test cock #4. Disconnect vent hose at test cock #4. Open valves B and C, bleeding to atmosphere. Then closing valve B restores the system to a normal static condition. Observe the pressure differential gauge. If there is a decrease in the indi- cated value, Check Valve No. 1 is reported as "leaking ". Test No. 4 Purpose: To test operation of pressure differential relief valve. Requirements: The pressure differential relief valve must operate to maintain the "zone" between the two check valves at least 2psi less than the supply pressure. Close 'vent' valve C. Open 'high' valve A. Open the 'low' valve B very slowly until the differ- ential gauge needle starts to drop. Hold the valve at this position and observe the gauge reading at the moment the first discharge is noted from the relief valve. Record this as the opening differen- tial pressure of the relief valve. Note: It is important that the differential gauge needle drops slowly. Close test cocks #2 and #3. Use 'vent' hose to relieve pressure from test kit by opening valves A, 'B and C. Remove all test equipment and open shutoff #2. Ball Type Test Valves (A) (C) 0131 *. Co7i Auxiliary Test Cock Test Cock No. 1 Test Cock No. 2 High Hose (Yellow) (B) Needle Valve Vent Hose (Blue) Low Hose (White or Red) i fir_ iir1� h� al11l11„�III� � ELI • Test Cock No. 3 Test Cock No. 4 Caution: To prevent freezing, hold Test Kit vertically to drain differential gauge and hoses prior to placing in case. WWATFS® Backflow Prevention Products RP /IS -009 0829 1 9001 -2000 CERTIFIED USA: 815 Chestnut St., No. Andover, MA 01845 -6098; www.watts.com Canada: 5435 North Service Rd., Burlington, ONT. L7L 5H7; www.wattscanada.ca EDP# 1911300 © Watts 2008 1'erlick Corporation ..; • Model: TS 12I-IS SUBMITTAL SHEET ITEM# 3 - UNDERBAR HAND SINK UNIT Perlick Corporation Model TS12HS (1 REQ'D) TS Series Underbar Hand Sink Unit, 12 ", (1) 10" X 14" sink compartment, no drainboards, 18- 9/16" front to back w /6" splash, s/s construction ACCESSORIES: MFR Qty Model Spec Perlick 1 924GN Faucet w /goose neck spout, wall mounted PG I 1(0l ¢CSM; SeaTAc (BarrEquipment) _ Rapids Foodservice Cdntradt and a.-- Item# rirtte crnrtr RECEIVED AUG 2 8 201 TUKWILA PUBLIC WORKS. RECEIVED AUG 232012 PERMIT CENTER Perlick Corporation Model TS 12HS Item# 3 ONE TANK SINKS - STAINLESS STEEL BOWL MODELS MODELS TS Series TSD Series ❑ TS12HS ❑ TSD12HS Perlick Features • Deep drawn stainless steel bowl NSF listed, commercial grade hot /cold water faucet (must be ordered separately) Underside is sound - deadened • Stainless steel legs install without tools and have "Rust Free "thermoplastic feet ` 5" GENERATIONS OF EXCELLENCE Form No. SK02 Rev. 09.19.2011 8300 West Good Hope Road • Milwaukee. WI 53223 • Phone 414.353.7060 • Fax 414.353.7069 Toll Free 800.558.5592 • E -Mail perlick @perlick.com • www.perlick.com CSM SeaTAcs(Bar,'Equipment) Rapids Foodservice Contract and Deif' ; Perlick Corporation' , , " Model: TS f2FfS •■• Item#: 3 -7] Size and Specifications One Tank Sink - Stainless Steel Bowl Job Area Item No. Model No. MODEL NO. LENGTH IN. (mm) - • ,, ' i' '--• ° TS12HS : , , TS012HS-1; 12"(305) 12"(305) SHIP WEIGHT LB. (kg) .. 1-2:f:1, '..1°71-, .: ' 45:(20)- ' ": ', • ' : 45 (20)..: TOP & SIDES Stainless steel BACK & BOTTOM ....,531Viiiireis steel BACKSPLASH Stainless steel 6" high (4" high optional) with 1" return at the top, mechanically fastened and sealed to hand sink top with steel support brackets. TSD Series: Stainless steel rear deck •LEGS ,1-5/8 steel witl 1" adjustabletherrnoplastic foot. , , , ,.' : ,;-::-,' ' , '...,-'.''''•:' BOWL WATER FAUCET PLUMBING Stainless steel with sound deadening. 10"x14"x9-1/4" deep. All horizontal and vertical edges 1-1/2" radius with balled corners. Furnished with 1-1/2" stainless steel drain socket. 8-1/2" standpipe. Chrome plated hot and cold; goose neck spout faucet Heavy-duty all brass -;.,,k, • ' , • contriictiOri. Must be ordered separatel?,ie"ad free faucet also available. . , - . ,.,- „ ,:1,'. ; ' i• Drain connection: 1-1/2" NPS male. Hot and cold water connection, 3/8" copper supply tubes Drain connection: 1-1/2" NPS male. Hot and cold water connection, 1/2" IPS shanks and nuts *Faucet shown for clarity; must be ordered separately 2" [511 1 9/16' (40) 24" [6101 21 7/16" [5451 1" (25] 16' 6 7/16' [406) [1641 6" [152) TSD END VIEW 1 9/16' 18 9/16" (471) 16' 1" (40) (406) [251 1 5/8" (41] 6' [152] 11" 13051 18 1/2" [470) MAX. 17 1/2" (445] MTN. 2 5/8" [671 Form No. SK02 Rev. 09.19.2011 8300 West Good Hope Road • Mllwaukee,WI 53223 • Phone 414.353.7060 • Fax 414.353.7069 Toll Free 800.558.5592 • E-Mail perlick;_a. perlick.com • www.perlick.com Perlick is committed to continuous improvement.Therefore, we reserve the right to change specifications without prior notice • • , IVP_SeaTAc (Bar Equimepnt), ° -, R ids Foodservice Contractand Design ^ • -• • It 6'.141•:••9°I,a1",',/,...,,,,- Perlick Corporation ' Model: TS48: SUBMITTAL SHEET ITEM# 4 - UNDERBAR DRAINBOARD UNIT Perlick Corporation Model TS48 (1 REQ'D) TS Series Underbar Drainboard, 48 ", embossed s/s top, 18 -5/8" deep w /6" back splash, s/s front, ends and legs ACCESSORIES: MFR Qty Model Spec Perlick 1 CSM• SeaTAc (Bar Equipment) Single Bottle Rail, 48 ", factory installed Rapids Foodservice Contract and Item #: 4 Page: 4- -Perlick Corporation Model: TS48 DRAINBOARDS • Item #:-4 Perlick Features • Embossed stainless steel drainboard. MODEL NOS. MODEL NOS. TS Series ❑ TS 12 • Screw -in legs for fast installation. ❑ TS 18 ❑ TS24 • Stainless steel legs install without ❑ TS30 tools and have "Rust Free" Thermoplastic feet. ❑ TS36 ❑ TS42 ❑ TS48 Prlick CORPORATION TSD Series ❑ TSD12 ❑ TSD18 ❑ TSD24 ❑ TSD30 ❑ TSD36 ❑ TS D42 ❑ TSD48 8300 West Good Hope Road • Milwaukee, WI 53223 • Phone 414 - 353 -7060 • Fax 414 - 353 -7069 Toll Free 800 - 558 -5592 • E -Mail: Perlick @Perlick.com • www.Perlick.com Form No. DB01 Rev. 03.30.05 CS�Iv1 SeaTAc arEquipment Rapids Foodservice Contract and Design: °Fencck'Corporation . Model• TS48 Sizes and Specifications Drainboards Item #: 4 Job Area Item No. Model No. MODEL NOS. TS(D)12 TS(D)18 TS(D)24 TS(D)30 TS(D)36 TS(D)42 TS(D)48 LENGTH INS. (mm) 12" (305) 18" (457) 24" (610) 30" (762) 36" (914) 42" (1067) 48° (1219) SHIP WT lbs. (kg) 35 (16) 40 (18) 45 (20) 50 (23) 60 (27) 90 (41) 115 (52) FRONT & SIDES Stainless steel. BACKSPLASH General and TS Series: Stainless steel 6" high (4° high optional) with 1" retum at top, mechanically fastened and sealed with steel support brackets. TSD Series: Stainless steel rear deck. BACK Galvanized steel. DRAINBOARD Embossed stainless steel, 16" deep front to back. All horizontal and vertical edges 1/4" radius with balled comers. Underside reinforced with welded brackets. Stainless steel drain socket. LEGS 15/8" tubular, stainless steel with 1" adjustable thermoplastic foot. PLUMBING Drain - connection - 11/2" NPS Male. 9° [229] 1 18 9/16'1471] �— 3 3/8" [86] 24" 1 9/16" [40] C [610] 21 7/16" 1" [545] 6" [152] t [25] 5 7/16" TSD END VIEW 18 9/16" [471] 16" [406] •— LENGTH 1 9/16" [40] 36 1/2 "(927] MAX. 35 1/2" [902] MIN. Prlick CCHPORATION TS END VIEW 1" [25] [138] 8300 West Good Hope Road • Milwaukee, WI 53223 • Phone 414 - 353 -7060 • Fax 414 -353 -7069 Toll Free 800 - 558 -5592 • E -Mail: Perlick@Perlick.com • www.Perlick.com SAM SeaTAei(Bar Egiiipment)r Penick is committed to continuous irnprovement. Therefore, we reserve the right to change specifications without prior notice. Rapids.Foodservice Contract and Destgn `. Form No. DB01 Rev. 03.30.05 Perlicl;njorporation :=`• ' ;;' ' .Model: TS12HS SUBMITTAL SHEET ITEM# 5 - UNDERBAR HAND SINK UNIT Perlick Corporation Model TS12HS (1 REQ'D) TS Series Underbar Hand Sink Unit, 12 ", (1) 10" X 14" sink compartment, no drainboards, 18- 9/16" front to back w /6" splash, s/s construction ACCESSORIES: MFR Qty Model Spec Perlick 1 924GN Faucet w /goose neck spout, wall mounted Perlick 1 7055 -48 Wet Waste Box, perforated, 1/2 size stainless steel pan with 1/8 diameter holes in bottom and 1/4" diameter holes on two sides SeaTAc.(Bar Equ pmen[) 43. RapidsToodservice Contract and:; Perlick Corporation Model: TS12HS Item #• 5 - ONE TANK SINKS - STAINLESS STEEL BOWL NSF. MODELS MODELS TS Series TSD Series o TS12HS o TSD12HS Perlick Features • Deep drawn stainless steel bowl • NSF listed, commercial grade hot /cold water faucet (must be ordered separately) • Underside is sound - deadened • Stainless steel legs install without tools and have "Rust Free "thermoplastic feet ' GENERATIONS OF EXCELLENCE Form No. SK02 Rev. 09.19.2011 Prlick® 8300 West Good Hope Road • Milwaukee, WI 53223 • Phone 414.353.7060 • Fax 414.353.7069 -Toll Free 800.558.5592 • E -Mail perlick @perlick.com • www.perlick.com r CSM SeaTAc,(Bar Equipment). Rapids Foodservice Contract and Design Page: 5 -2'. Perlick Corporation - Size and Specifications One Tank Sink — Stainless Steel Bowl MODEL NO. LENGTH IN. (mm) SHIP WEIGHT LB. (kg) TOP & SIDES BACK & BOTTOM BACKSPLASH LEGS BOWL WATER FAUCET PLUMBING Model: TS12HS ".: Item #: 5 Job Area Item No. Model No. TS12HS TSD12HS ..: 12 "(305) 12" (305) 45 (20)' 45 (20). Stainless steel 5tainless'steel. Stainless steel 6 " high (4 " high optional) with 1 " return at the top, mechanically fastened and sealed to hand sink top with steel support brackets. TSD Series: Stainless steel rear deck ';175/8" tubular, stainless steel with 1" adjustable'thermoplastic foot.' Stainless steel with sound deadening. 10 "x14 "x9 -1/4 "deep. All horizontal and vertical edges 1 -1/2" radius with balled corners. Furnished with 1 -1/2 "stainless steel drain socket. 8 -1/2 "standpipe. tChrome.plated, hot and cold, goose neck 'swing spout faucet. Heavy -duty al( brass .construction: Must be ordered separately. eparately Lead free faucet also available: Drain connection: 1 -1/2" NPS male. Hot and cold water connection, 3/8 "copper supply tubes Drain connection: 1 -1/2" NPS male. Hot and cold water connection, 1 /2" IPS shanks and nuts *Faucet shown for clarity; must be ordered separately 2' [51] TSD END VIEW Form No. SKO2 Rev. 09.19.2011 8300 West Good Hope Road • Milwaukee, WI 53223 • Phone 414.353.7060 • Fax 414.353.7069 Toll Free 800.558.5592 • E -Mail perlickaperlick.com • www.perlick.com Perlick is committed to continuous improvement.Therefore, we reserve the right to change specifications without prior notice CSM, .SeaTAcar Equipment) Rapids - Foodserviice Contract and Design' ; : ; . Page: 5 -3 t.�. Perlick Corporation , • Model: TS 12HS . UNDERBAR ACCESSORIES BLENDERS AND SINKS Item #: 5 Job Area Item No. Model No. WET WASTE BOX- PERFORATED PART NO. 7055 -52 APPLICATION Perforated pan allows liquid to drain from wet waste into 12" and 14" stainless steel Blender Station bowls. Not applicable on full size stainless steel sinks. MATERIAL 1/4 size dear polycarbonate pan (2.7 quart) with 1/8" diameter holes in bottom. WET WASTE BOX - WITH DRAIN TUBE PART NO. 7055A46 APPLICATION TS Series: Drains into standpipe on three and four tank sinks. NOTE: Use on sinks bowls without faucet (faucet body interferes with Wet Waste Box). TSD Series: Drains into standpipe on one, two, three and four tank sinks. MATERIAL 1/3 size stainless steel pan (2.25 quart) with integral strainer and 3" diameter x 2 3/8" long drain tube. WET WASTE BOX- PERFORATED PART NO. 7055 -48 APPLICATION Perforated pan allows liquid to drain from wet waste into any sink with full size stainless steel bowl. Not applicable on 12" and 14" blenders. MATERIAL 1h size stainless steel pan (7 quart) with 1/8" diameter holes in bottom and 16" diameter holes on two sides. WET WASTE BOX - PERFORATED (UNIVERSAL) PART NO. UAC - WWB APPLICATION Perforated pan allows liquid to drain from wet waste into any sink with full size stainless steel bowl. Not applicable on 12" and 14" blenders. MATERIAL Black ABS (11 quart) with 3/16" diameter holes in bottom. } rlick 8300 West Good Hope Road • Milwaukee, WI 53223 • Phone 414 -353 -7060 • Fax 414 -353 -7069 Toll Free 800 - 558 -5592 • E -Mail: Perlick @Perlick.com • www.Perlick.com Perlick is committed to continuous Improvement Therefore, we reserve the right to change spedfications without prior notice. CSIVL SeaTA`ck( ar Equipment) ^" `,.Rapids Foodservice Contract and Desi Form No. ACC -02 Rev. 04.23.10 I;?erlick .Corporation, Model: TS12HS'..;."- UNDERBAR ACCESSORIES BLENDERS AND SINKS Item #: 5 Job Area Item No. Model No. ELECTRONIC "TOUCH-FREE" FAUCET ADAPTER PART NO. UAC -EFA APPLICATION Converts most faucets into an automatic 'Touch -Free" faucet. Simply remove the faucet aerator and install the adapter to end of spout with a simple screw -on installation. FLOW RATE 2.2 GPM Aerator. Infrared sensor stops water flow automatically. 3- minute automatic time -out feature minimizes chance of overflow. Manual on/off over -ride button provides constant flow to fill sink or containers. WATER TEMP. Manually set the faucet handles to desired temperature. POWER SUPPLY (4) AAA Batteries (not included). Low battery indicator. SENSOR RANGE 2 "- 10" (5- 25cm) based on sink type and illumination. WORKING PRESSURE 10 -125 psi AUTOMATIC FAUCET CONTROLLER PART NO. UAC -HWFC APPLICATION Converts any faucet to "Hands - Free ". Simply remove the faucet aerator and install controller to end of spout (supplied with universal adapters). FLOW RATE WATER TEMP Manually set the faucet handles to desired water flow and temperature. MATERIALS Brass and stainless steel with an anti - microbial coated lever OPERATION Automatic self - closing "Hands -Free" full on position PERFORATED COVER-STAINLESS STEEL APPLICATION PART NO. Converts complete bowl opening on TS12HS to a Drainboard. C30872 -1 Converts complete two bowl opening on TS22C to a Drainboard. C30874 -1 DRAIN ASSEMBLES -PVC APPLICATION PART NO. Sinks with two stainless steel bowls (ex.TS22C) 202PVC Sinks with three stainless steel bowls (ex. TS33C) 26482PVC Sinks with four stainless steel bowls (ex. TS44C) 26843PVC 1 FEY1 I 400 14 22 [572] 153/ 4" 3/4 ". 11 1/2" [292] 030874 -1 153/4" [400] C30872 -1 3/4 [20] [20] 8300 West Good Hope Road • Milwaukee, WI 53223 • Phone 414 -353 -7060 • Fax 414 -353 -7069 Toll Free 800 -558 -5592 • E -Mail: Perlick @Perlick.com • www.Perlick.com 26482PVC 202PVC MSeaTAc'(BariEquipment — di‘sr.s...,:s,:rax�r_ Penick is committed to continuous Improvement Therefore, we reserve the right to change specifications without prior notice. Rapids Foodser■ice Contract and Design Form No. ACC -02 Rev. 04.23.10 Page: 5-5; FT; Ii6C67rio-rat- ion-77 777.7.-1-7 77777 • - SUBMITTAL SHEET ITEM# 6- GLASS WASHER, UNDERBAR TYPE Perlick Corporation Model PKBR24 (1 REQ'D) Glass Washer, 24" Batch Rotary, underbar type, low temperature chemical sanitizing, front panel, rotary design, 1/2" water hammer arrestor. & shut off valve, stainless steel construction - ' ronrract and' aM aeaTAc ,(BariEqiiipment), t.! „ ' Terlick:Cotporation PK r s Model: B :;•� GLASSWASHERS r Item #: Perlick Features • All stainless steel construction. • Easy to clean and maintain. • Convenient top- mounted instrument panel is easy to see and use. • Upper and lower wash arms with fan -spray nozzles clean glasses inside and out. • Fill and dump cycle provides clean water for each wash cycle. • Wash tank heater maintains water temperature between cycles. • Pitched, vinyl- coated glass racks help drain excess water off glassware and are removable for more efficient glass handling. • Metal divider separates the Toad and wash areas eliminating the need for curtains. • Divider safety switch stops wash cycle when divider is rotated. • Peristalic metering pumps with hand adjusted controls dispense detergent, sanitizer, and rinse aid. • Illuminated sight glasses permit visual inspection of chemical flows during the wash cycle. 3r-lick.� MODEL NOS. ❑ PKBR24 ❑ PKBR24L ❑ PKBR24R 8300 West Good Hope Road • Milwaukee, WI 53223 • Phone 414- 353 -7060 • Fax 414 - 353 -7069 Toll Free 800 - 558 -5592 • E -Mail: Perlick @Perlick.com • www.Perlick.com CSM SeaTAc • Forth No. 021497 Rev. 05.30.10 Rapids.Foo"dservice Contract and:Design, , a.�.1� �.,A�x;1+�'"`A A .. �V a::t X` "�''k Af; ii'. l' a 4 •�. ab �' r .- Perl[ck C rporation : • Sizes and Specifications PKBR24 Glasswashers Model: PKBR24 • Item#6 Job Area Item No. Model No. MODEL NOS. PKBR24 PKBR24L PKBR24R CABINET DIMENSIONS Length - Inches (mm) 24" (610) 24" (610) 24" (610) Depth - Inches (mm) 24" (610) 24" (610) 24" (610) Height - Inches (mm) 391/1' (1001) / 401/d' (1026) 391/d' (1001) / 401/d' (1026) 391/1' (1001) / 401/4" (1026) WASH TANK CAPACITY (gallons.) 1 1 1 CYCLE TIME (seconds) 120 120 120 WASH TIME (seconds) 60 60 60 SANITIZER TIME (seconds) 35 35 35 GLASSES WASHED PER HR. (21/4" Dia.) 720 720 720 TANK HEATER (watts) 650 650 650 WASH PUMP CAPACITY (gals./min.) 24 24 24 DRAIN FLOW (galsimin.) 1.67 1.67 1.67 EXHAUST REQUIREMENTS None None None MAXIMUM GLASS HEIGHT 10" 10° 10" SHIP WT lbs. (kg) 225 (103) 225 (103) 225 (103) ELECTRICAL 120 Volt, 60 Hz., single phase AC. 5.4 amps, fumished with 6 foot power cord and standard 3 prong NEMA style 5-158 PLUMBING Hot Water Inlet Connection: 1/2" NPTM. Incoming Hot Water: 130 - 140° F, at 30-60 psi with a flow rate of 4.0 gaVmin. Drain: 11/4IPS PVC socket connection to include an air gap. Plumbers Hookup Kit: Includes water hammer arrestor, stop valve and union. Important: Failure to install the Glasswasher with Plumbers Hookup Kit can damage the hot water solenoid valve. Machine failure due to improper installation is not cov- ered by Perlick's warranty. WATER HARNESS Water containing more than 15 GPG will require a water softener. Caution: Parts failure caused by hard water are not covered under Perlick's warranty. DETERGENT, SANITZER and RINSE AID Detergent: A heavy -duty liquid warewashing detergent containing water conditioners. Chlorine Sanitizer: Any EPA registered chlorine can be used. The EPA marking can be found on the container label. Rinse Aid: A low- foaming warewashing rinse aid containing water conditioners. Note: To ensure maximum glasswasher performance. It is important to select the appropriate detergent and rinse aid for specific water conditions. These chemicals can be purchased from a local chemical supplier or food service distributor. OPTIONAL ACCESSORIES • Low sanitizer shut down kit - #61945 • Glass rack - #50470 -2 All plumbing and chemical lines must be routed so that the glasswasher can be pulled out for service. 120 V 3-PRONG PLUG NEMA STYLE 5-15P 6' LONG POWER CORD WASTE DRAIN 4 7/8' 6' [124] [153] 4 7/8' (124] 4 3/4' [121] I1rIII,1111111lillr 24' [610] 2' [51 ] 24' [610] 1 HOT WATER INLET 1/2' [13] MALE N.P.T. (R.H. & STD. UNITS) TOP VIEW • PARTS INCLUDED IN PLUMBERS HOOKUP KIT WATER HAMMER ARRESTOR' 21' FULL FLOW SHUT I [536] OFF VALVE' FRONT VIEW 1 133/4' [ 351] 39 /4' [1001] 40 /4' [1026] 6" [153] TO 7" [179] ADJUSTABLE 8' [204] HOT WATER INLET 1/2' [13] MALE N.P.T. (LH. UNITS) HOT WATER INLET 1/2' [13] MALE N.P.T. (R.H. & STD. UNITS) 38 7/16' [980] 39 7/16" [1006] frij1 1/4 "f321 FEMALE IPS PVC WASTE DRAIN PIPE RIGHT END VIEW 8300 West Good Hope Road • Milwaukee, WI 53223 • Phone 414 - 353 -7060 • Fax 414 - 353 -7069 Toll Free 800 - 558 -5592 • E -Mail: Perlick @Perlick.com • www.Perlick.com Peliidc is committed to continuous improvement. Therefore, we reserve the right to change specifications without prior notice. • Rapids. Foodservic Form No. 021497 Rev. 05.30.10 '4,4y2,Ae; "IV SUBMITTAL SHEET ITEM# 7- TEE TOWER BEER DISPENSER Per lick Corporation Model 4006-4B (1 REQ'D) Tee Tower, single base, for beer system, includes (4) 9-1/2" faucets, (black handles not included), stainless steel finish 74: 001:1 1:Nit'Set.f e '140 ...itintiIRP411mwog Verismo Utility Hook -Up Requirements Power, Water Supply and Drain Requirements Schaerer Espresso Machine Verismo 701 Espresso machine Power outlet located behind machine (see below) Counter top with access hole. Hole located centrally under machine Softener /filter combo system with flush valve Drain pipe (copper or PVC in accordance with local health codes and regulations) Front View of a Finished Installation Machine width: 17 inches Free space (in order to fill bean hoppers) above machine: 7 inches Machine height: 31 inches Machine depth: 21 inches Total counter top foot print: 17" wide x 21" deep x 38" high Ideal under counter space for softener: 30 inches (minimum requirement: 26 inches) Customer must complete all hook -ups and site modifications prior to scheduling of machine installation. 208 Volt / 30 Amp single phase power outlet. Receptacle type: NEMA L6 -30R Breaker Panel: 30 Amp dedicated circuit Access hole for water and drain hose. Diameter: 2 -3 inches. Collar around hole (no sharp edges) Water shut -off valve with 3/8 inch compression fitting Drain pipe to floor drain (copper or PVC in accordance with local health codes and regulations) Diameter: 1 inch The Receptacle, Water Shut -off Valve and Drain Pipe must be within 3 feet ( 36 inches ) of the center of the location (footprint) of the machine. �l54AEDTLER' No. 937 811E Engineer's Computation Pad REVIEWED FOR CODE COMPLIANCE APPROVED SEP 0 4 2012 City of Tukwila BUILDING DIVISION RECEIVED MUU 25201Z 1UKWIW PUBLIC WORKS P FILE Cart petrol Dump �W\ 3 v _ Ad\ � c- _ • PVC_ r v ct� ve�n� -S --Cor< RECEIVED AUG 232012 HERMIT CENTER �� 71° scale_ , G d Bar cv/ sk °-:eibo> 0' to ST S° Fr Sao° IG o �3? ■ r4° \ I lIL • 0 L1-hd° t`�L a to raw Z>V #4,4 ►• jKP FIEF 0!mow. g,r REVIEWED FOR CODE COMPLIANCE APPROVED SEP 0 4 2012 City of Tukwila BUILDING DIVISION RECEIVED AUG 282012 TUKWILA PUBLICWORKS Cd e, D ca; ped uopgndwop s,Jaaul6u3 _Rwun36/15et RECEIVED AUG 2 3 2012 PERMIT CENTER 1 r City of l' ukwila Department of Public Works August 29, 2012 CSM Corporation c/o Steffen Terry 500 Washington Ave #3000 Minneapolis, MN 55415 RE: Courtyard by Marriott 16038 West Valley Hwy, Tukwila, WA Permit Number: PG12 -161 •To Whom It May Concern: Jim Haggerton, Mayor Bob Giberson, P.E., Director Fllj COPY In accordance with Washington State Department of Health guidelines for Group A Public Water Systems, Public Works has implemented a cross - connection control program to protect the public water system from contamination via cross - connection. The program requires elimination or control of any cross - connection between the distribution system and a consumer's water system by the installation of an approved backflow device. The City has determined that the building at the above address has deficiencies on the Landscape irrigation line. The Courtyard Marriott has a 2" irrigation deduct water meter that is not compatible with the City's automatic meter reading (AMR) system and needs to be updated. The current meter is Neptune brand and it shall be replaced with a 2" Sensus SR water meter. If you need any more information about this requirement or assistance in the field, please contact Mr. Todd Reedy, Public Works Water Department Foreman at (206) 433 -1860 or (206) 571 -6309 cell. Replacement of the deduct meter will trigger a Public Works permit. Permit application is enclosed. The permit fee is $25.00. The Public Works Director will withhold final sign -off of Courtyard by Marriott plumbing permit PG 12- 161 until the Permit Center receives the application and plan for a deduct water meter replacement or a bond in the amount of 150 %.of the cost for water meter replacement. If you have any questions, please contact me at (206) 431 -2440 or via email at joanna.spencer a.tukwi lawa.gov . Sincerely, J nna Spencer 50‘i9e- D-velopment Engineer JS:js enclosures: Works Permit Application cc: PG 12 -161 File John Biedler (W:PW Eng/Other /Joanna Spencer /Letter Marriott 09292012) 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 433 -0179 • Fax: 206 - 431 -3665 °PEW CO COP? PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG12 -161 DATE: 08 -23 -12 PROJECT NAME: COURTYARD BY MARRIOTT SITE ADDRESS: 16038 WEST VALLEY HY X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Buil ind Division �! r 4 10� f L 12, Public Works Fire Prevention Structural n Planning Division El ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Incomplete DUE DATE: 08 -28 -12 Not Applicable 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 REVIEWER'S INITIALS: ❑ No further Review Required DATE: APPROVALS OR CORRECTIONS: DUE DATE: 09 -25 -12 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 BAdKFLOW PREVENTION ASSEMBLY TEST REPORT DOMINIC McLAUGHLIN STATE CERTIFIED INDEPENDENT OPERATOR Contractor # MCLAUPB963JE GREATER SEATTLE AREA & PENINSULA PHONE: (206)890 -8337 FAX: (206)588 -1276 mpbackflow @gmail.com ACCOUNT# P611-10 NAME OF PREMISE GOU2r �" '-- Y-11 1-(2-50 7� SERVICE ADDRESS /663 ) Willi-IV /70" CONTACT PERSON AG -1-c '9° P Gd -)WJc- PHONE ( ) FAX LOCATION OF ASSEMBLY 4'') 2- C "tG _) HA-Jo SGJ/C CITY 7111A-)L //1 Commercial21l Residential ❑ ZIP DOWNSTREAM PROCESS GPV- -" 1MA/9-rr&"`) DCVA ❑ RPBA 11 PVBA ❑ OTHER NEW INSTALL C EXISTING ❑ REPLACEMENT ❑ OLD SER. # PROPER INSTALLATION? YES 91 NO ❑ MAKE OF ASSEMBLY 04-03 MODEL 0090 7-- SERIAL NO. 29Z �Gy SIZE /2- i INITIAL TEST DCVA /RPBA DCVA /RPBA RPBA PVBA/SVBA CHECK VALVE NO.1 CHECK VALVE NO.2 OPENED AT PSID AIR INLET OPENED AT PSID # 1 CHECK PSID CLOSED TIGHT • CLOSED TIGHT • LEAKED • PSID LEAKED • PSID AIR GAP OK? DID NOT OPEN • PASSED • FAILED NEW PARTS AND REPAIRS CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE HELD AT PSID k • • • a • ?2 r LEAKED • • -SCE' • ■ • ■ a, • j G q--- j • i N CLEANED • • REPAIRED • TEST AFTER REPAIRS PASSED 4 FAILED ■ CLOSED TIGHT/1 OPENED AT PSID AIR INLET PSID CLOSED TIGHT • LEAKED • LEAKED • # 1 CHECK 7 ! q PSID CHK VALVE PSID PSID PSID AIR GAP INSPECTION: Required minimum air gap separation provided? Yes ❑ No ❑ Detector Meter Reading LINE PRESSURE$- PSI CONFINE SPACE? ❑ TESTERS SIGNATURE: �'~ CERT. NO. BAT 4253 DATE D °%/Z 0L REMARKS: TESTERS NAME PRINTED: D • INIC S. MCLAUGHLIN TESTERS PHONE # ( 206) 890 -8337 REPAIRED BY: I) 0 �'1f �JG- �� GrJ LIC. NO. MCLAUDS960JE DATE �21% FINAL TEST BY: CERT. NO. y �S3 DATE '7/2 G// 2 G�4t1BRATION?DAEI°i= GAUGE =# —WATTS .SERVICE.FOUND_ ON...DOF TK99D SERVICE RESTORED? YES 0 NO 1 certify that this report is accurate, and 1 have used WAC 246 =290 -490 approved test methods and test equipment. BACKFLOW PREVENTION ASSEMBLY TEST REPORT DOMINIC McLAUGHLIN STATE CERTIFIED INDEPENDENT OPERATOR Contractor # MCLAUPB963JE ACCOUNT # NAME OF PREMISE Cal/1r /h zJ rl -71--- SERVICE ADDRESS )6'0 355 LO vt//G / It w7 CONTACT PERSON 8-° P LtI'M./30c.- PHONE ( GREATER SEATTLE AREA & PENINSULA PHONE: (206)890 -8337 FAX: (206)588 -1276 mpbackflow@gmail.com 6R -(G/ Commercia Residential ❑ /r5 CITY TU,L wr/ 4 ZIP FAX ( ) LOCATION OF ASSEMBLY a 771-r"��1:3 4-7 P1-650 G.OV &i U'2 DOWNSTREAM PROCESS (f'/2-G3S0 "'9" -c4 DCVA ❑ RPBA PVBA ❑ OTHER NEW INSTALL tit EXISTING ❑ REPLACEMENT ❑ OLD -SER. #- PROPER INSTALLATION?-YE 7- NO -❑--- MAKE OF ASSEMBLY (4)1/17-5 MODEL 01 627- SERIAL NO. 3 SIZE ,Z INITIAL TEST DCVA/RPBA DCVA /RPBA RPBA PVBA/SVBA CHECK VALVE NO.1 CHECK VALVE N0.2 OPENED AT PSID AIR INLET OPENED AT PSID # 1 CHECK PSID CLOSED TIGHT • CLOSED TIGHT • LEAKED • PSID LEAKED • PSID AIR GAP OK? . DID NOT OPEN • PASSED • FAILED NEW PARTS AND REPAIRS CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART zvzi-c CHECK VALVE HELD AT PSID A • .P-Ls L Ent • D--c c cl • ¢/` LEAKED • il • 5 f 4r-- ! • SP 4-7— 431 • .0 ti ❑ • • • • • CLEANED ❑ • • • • • • REPAIRED • TEST AFTER REPAIRS PASSED FAILED • CLOSED TIGHT OPENED AT' '' PSID AIR INLET PSID CLOSED TIGHT • LEAKED • LEAKED • 1 # 1 CHECK �� PSID CHK VALVE PSID PSID PSID AIR GAP INSPECTION: Required minimum air gap separation provided? Yes ❑ No ❑ Detector Meter Reading LINE PRESSURE PSI CONFINED SPACE? ❑ REMARKS: TESTERS SIGNATURE: TESTERS NAME PRINTED: CERT. NO. BAT 4253 DATE 07/ - //2- MINI . MCLAUGHLIN TESTERS PHONE # ( 206) 890 -8337 LIC. NO. MCLAUDS960JE DATE ma% % / CERT. NO.L /'- 5— DATED 9//ZG/z. REPAIRED BY: DO. FINAL TEST BY eA1- IBRATlON=DATE= S ' VICE OU D ON TK99D SERVICE RESTORED? YES I certify that this report is accurate, and I have used WAC 246 - 290 -490 approved test methods and test equipment. N Contractors or Tradespeople liter 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 BEACON PLUMBING & MECHNCAL INC UBI No. 602125299 Phone 4252771879 Status Active Address 16719 Se 149Th St License No. BEACOPM956KS Suite /Apt. License Type Construction Contractor City Renton Effective Date 5/10/2005 State WA Expiration Date 5/18/2013 Zip 98059 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 BEACOPM013J9 BEACON PLUMBING & MECHANICAL Construction Contractor Plumbing Boiler /Steam Fit /Prot Piping 4/29/1999 5/10/2005 Archived Business Owner Information Name Role Effective Date Expiration Date CAHILL, WILLIAM K President 05/10/2005 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 6 United States Fire Insurance Co 615981195 05/06/2012 Until Cancelled $12,000.0005/24 /2012 5 American Contractors Indem CO 100124386 05/06/2010 Until Cancelled 06/26/2012 $12,000.0005/12 /2010 4 GREAT AMERICAN INS. CO. 3603232 05/06/2008 Until Cancelled 05/08/2010 $12,000.0005/13 /2008 3 PLATTE RIVER INS CO 41065677 02/14/2008 05/06/2008 05/28/2008 $12,000.0005/13 /2008 2 PLATTE RIVER INS CO 41065677 05/06/2006 02/14/2008 $6,000.0005/22/2006 08/20/2008 1 ACCREDITED SURETY Et CAS CO 10034778 05/06/2005 Until Cancelled 11/17/2006 $6,000.0005/10/2005 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 6 Nationwide Mutual Ins Co ACP7510512900009/11/2012 09/11/2013 $1,000,000.0008 /28/2012 5 AMCO Ins Co ACP7505129000 09/10/2011 09/10/2012 $1,000,000.0009 /06/2011 4 CENTURY SURETY CO CP620628 09/11/2010 09/11/2011 $1,000,000.0009 /08/2010 3 CENTURY SURETY CO 2322966 09/11/2009 09/11/2010 $1,000,000.0009 /16/2009 2 OHIO CAS INS BK053262496 09/10/2005 09/10/2009 $1,000,000.00 08/20/2008 Summons /Complaint Information Cause 1 County' Complaint 1 Judgment 1 Status 1 Payment I Paid By https: // fortress .wa.gov /lni/bbip/Print.aspx 09/06/2012