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Home My WebLink AboutPermit M14-0073 - BOEING VAULT - 20 - PUMP WITH CONTROL PANEL AND UNIT HEATERBOEING VAULT - 20 8123 E MARGINAL WAY S M14-0073 Parcel No: Address: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov MECHANICAL PERMIT 3324049002 8123 E MARGINAL WAY S Project Name: BOEING VAULT - 20 Permit Number: M14-0073 Issue Date: 4/8/2014 Permit Expires On: 10/5/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: BOEING COMPANY THE PO BOX 3707 M/C 20-00 PROPERTY TAX DEPT, SEATTLE, WA, 98124 CONNIE HARDIN 4600 S 134 PL, TUKWILA, WA, 98168 HOLADAY PARKS, INC. PO BOX 69208 , SEATTLE,'WA, 98188 HOLADP1379N0 Phone: (206) 250-4530 Phone: (206) 248-9700 Expiration Date: 9/3/2015 DESCRIPTION OF WORK: FURNISH AND INSTALL (1) P-1 SIMPLEX PUMP WITH CONTROL PANEL - WIRING TO CONTROL BY OTHERS. FURNISH AND INSTALL (1) SIMPLEX P-2 PUMP FURNISH AND I9NSTALL (1) UNIT HEATER Valuation of Work: $20,000.00 Type of Work: NEW Fuel type: Fees Collected: $454.94 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: SEATTLE,TUKWILA Sewer Distric: TUKWILA SEWER SERVICE,SEATTLE SEWER SERVICE Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Permit Center Authorized Signature: R di Date: The —`if I hearby 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 developmeer+tand agee to th condiyns attached to this permit. Signature: Print Name: _I c DID ✓.it (f 4-,04c Date: This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: Work shall be installed in accordance with the approved construction documents, and any changes made during construction that are not in accordance with the approved construction documents shall be resubmitted for approval. 2: All permits, inspection record card and approved construction documents shall be kept at the site of work and shall be open to inspection by the Building Inspector until final inspection approval is granted. 3: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 4: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 5: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206-431-3670). 6: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 7: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. 8: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431-3670). 9: Manufacturers installation instructions shall be available on the job site at the time of inspection. 10: ***MECHANICAL PERMIT CONDITIONS*** 11: Manufacturers installation instructions shall be available on the job site at the time of inspection. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1800 MECHANICAL FINAL 0701 ROUGH -IN MECHANICAL 4 O V oc" 40,1-0 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov MECHANICAL 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 Address: Tenant Name: Name: 4 4,1sWei reit, I. Address:44a S /3y", Q 77 Sty .✓�//j Phone'/, Zsz 7J:z Fax: 241 Ze fr4J� Valuation of project (contractor's bid price): $ l} i mg Assessor's Tax No.: /rs�1 /Z.S Suite Number: Floor: / New Tenant: ❑ Yes [ :.No Company Name: Addresye 1, 0 t+ / 7(GL' lJ •J wei4 State;/,A Zii e i ` // f/ 7 Pon7Z2063,,E Fax:V4 2eite •n City` e Contr Reg Nq.:/. I ayr, i>]cp Date,.,/ e- Tukwila Business License No.: Describe the scope of work in detail: • Furnish and install (1) P-1 Simplex Pump with control panel — wiring to control panel by others. • Furnish and install (1) P-2 Simplex Pump • Furnish and install (1) Unit Heater Use: Residential: New Commercial: New Replacement Replacement 111 Fuel Type: Electric ❑ Gas ❑ Other: H:\Applications\Forms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-11.docx Revised. August 2011 bh Page 1 of 2 Indicate type of mechanical work being installed and the quantity below: UnitT Furnace <100k btu Furnace >100k btu Floor furnace Suspended/wall/floor mounted heater Appliance vent Repair or addition to heat/refrig/cooling system Air handling unit <10,000 cfm Air handling unit >10,000 cfm Evaporator cooler Ventilation fan connected to single duct Ventilation system Hood and duct Incinerator — domestic Incinerator — comm/industrial Fire damper Diffuser Thermostat Wood/gas stove Emergency generator Other mechanical equipment p-1 504.41 P-.) 5i4•11:4r Rya r/Compir 4 0-3 hp/100,000 btu 3-15 hp/500,000 btu 15-30 hp/1,000,000 btu 30-50 hp/1,750,000 btu 50+ hp/1,750,000 btu 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 additional periods not to exceed 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING Signature: Print Name: Mailing Address: GENT: • Day Telephone: q646) S 4 - 1, vtc City 11)6.,ret#4. Date: 7 -;4 / 7 trio QJ/“ State Zip H:\ApplicationsWorms-Applications On Line\2011 Applications'Mechanical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 2 of 2 DESCRIPTIONS Cash Register Receipt City of Tukwila I ACCOUNT I QUANTITY I PAID PermitTRAK $65.00 M14-0073 Address: 8123 E MARGINAL WAY S Apn: 3324049002 $65.00 MECHANICAL $65.00 ADDITIONAL PLAN REVIEW TOTAL FEES PAID BY RECEIPT: R4344 R000.345.830.00.00 1.00 $65.00 $65.00 Date Paid: Wednesday, January 28, 2015 Paid By: CONNIE HARDIN Pay Method: CREDIT CARD 02646G Printed: Wednesday, January 28, 2015 1:44 PM 1 of 1 SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT QUANTITY I PAID $454.94 M14-0073 Address: 8123 E MARGINAL WAY S Apn: 3324049002 $454.94 MECHANICAL $437.44 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $317.45 PLAN CHECK FEE R000.322.102.00.00 $87.49 TECHNOLOGY FEE $17.50 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R1644 R000.322.900.04.00 $17.50 $454.94 Date Paid: Monday, March 31, 2014 Paid By: CONNIE HARDIN - HOLADAY PARKS Pay Method: CREDIT CARD 04642G Printed: Monday, March 31, 2014 2:12 PM 1 of 1 SYSTEMS INSPECflON NO. INSPECTION RECORD Retain a copy with permit '-/ -0 073 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 . - PQjec , Fe e_..( fry CC(Vt (1- —210 Type of Inspection: bterJ,t,_ r7 kkg Address: 0(7;3 ma:1611,v i ookys,). Date Called: Special Instructions: fr•fil a if rrtvIr‘14446e--FCre (0:50 Date Wanted: a,rn. Requ t • fj1('-di felt 0 Ay ectricx Phone2_,t6No• _ 7,07 _ 6 a Q,s_ Approved per applicable codes. Corrections required prior to approval. OMMENTS: 2r.....c., Inspector: -Date:3 _3 / 5_ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. AA? - 0073 Functional Test Procedure Sump Pump Boeing Plant 2 Project: System: Test Performed By: Date: Retest Date: Boeing Plant 2 Man Hole 130SE - Sump Pump D. Young \ B. Mattis 3\1\2015 System Description Sump pump removes storm water from below grade. Pump system is simplex packaged configuration with integral controls. Components Equipment ID Description — Sump Pump Area Served Man Hole 130SE — vault 20 Sump Pump Installation / Operation Verification Verify the following: MH- 130SE Notes Yes No Install Complete X Power complete X CMCS wiring labels match controls drawings. X Disconnect switch complete X Electrical labeling complete X Electrical GFCI trip works correctly NA Install matches detail X Pump enable depth (fill sump with water to confirm level, Disable after pump starts) X 9" Sump run status received at DDC X Sump High Level Alarm Local and DDC (disable pump and fill to alarm level) X 29" \ 24" Pump disable depth (confirm level when pump is off) X 3" RECEIVED CITY OF TUKWILA MAR 31 2015 PERMIT CENTER Engineering Economics Inc. www.eeiengineers.com Project #: 03-13631 Functional Test Procedure Sump Pump Boeing Plant 2 CMCS Graphics Screenshot L°1 r (1, /\19 A►/ '•� • j� sari, -.�,- ,' ..0 � Page 2 of 3 Functional Test Procedure Sump Pump Boeing Plant 2 Completion of Functional Test Release any overrides and return all systems to automatic control condition. Final Acceptance This certifies that this system has been tested and accepted with any exceptions noted. David Young Engineering Economics Inc. 3\1\2015 Commissioning Engineer Signature Company Date Page 3 of 3 Functional Test Procedure Sump Pump Boeing Plant 2 Project: System: Test Performed By: Date: Retest Date: Boeing Plant 2 Man Hole 130SW - Sump Pump D. Young \ B. Mattis 3\1\2015 System Description Sump pump removes storm water from below grade. Pump system is simplex packaged configuration with integral controls. Components Equipment ID Description — Sump Pump Area Served Man Hole 130SW — Vault 20 Sump Pump Installation / Operation Verification Verify the following: MH- 130SW Notes Yes No Install Complete X Power complete X CMCS wiring labels match controls drawings. X Disconnect switch complete X Electrical labeling complete X Electrical GFCI trip works correctly NA Install matches detail X Pump enable depth (fill sump with water to confirm level, Disable after pump starts) X 11" Sump run status received at DDC X Sump High Level Alarm Local and DDC (disable pump and fill to alarm level) X 25" \ 20" Pump disable depth (confirm level when pump is off) X 3" Engineering Economics Inc. www.eeiengineers.com Project #: 03-13631 Functional Test Procedure Sump Pump Boeing Plant 2 CMCS Graphics Screenshot risig(tnr e .1Q, ,.. .. i.). _ •4 ....- /' 0 Page 2 of 3 Functional Test Procedure Sump Pump Boeing Plant 2 Completion of Functional Test Release any overrides and return all systems to automatic control condition. Final Acceptance This certifies that this system has been tested and accepted with any exceptions noted. David Young Engineering Economics Inc. 3\1\2015 Commissioning Engineer Signature Company Date Page 3 of 3 Functional Test Procedure Sump Pump Boeing Plant 2 Project: System: Test Performed By: Date: Retest Date: Boeing Plant 2 Vault 20 - Sump Pumps D. Young \ B. Mattis 3\1\2015 System Description Sump pump removes storm water from below grade portions of Vault 20. Pump system is simplex packaged configuration with integral controls. Components Equipment ID: P-1 Description — Sump Pump Area Served Cable Gallery (P-1) Sump Pump Installation / Operation Verification Verify the following: P-1 Notes Yes No Install Complete X Power complete X Disconnect switch X Electrical labeling X Install matches detail X Pump enable depth X 19" Pump disable depth X 17" Local Sump Panel Alarm Functions X 21" above sump floor Redundant Float High Level Alarm Received at DDC X 32" Sump run status received at DDC X Engineering Economics Inc. Project #: 03-13631 www.eeiengineers.com Functional Test Procedure Sump Pump Boeing Plant 2 CMCS Graphics Screenshots ma* Page 2 of 3 Functional Test Procedure Sump Pump Boeing Plant 2 Completion of Functional Test Release any overrides and return all systems to automatic control condition. Final Acceptance This certifies that this system has been tested and accepted with any exceptions noted. 141 David Young Engineering Economics Inc. 3\1\2015 Commissioning Engineer Signature Company Date Page 3of3 Engineering Economics, Inc. 1201 Western Avenue, Suite 325 Seattle, Washington 98101 telephone: 206.622.1001 facsimile: 206.622.5747 Project Communication Report (PCR-22) X Daily Report Construction Test Report Agenda Document Examination Observation Meeting Minutes To: Nick Losh From: Brendon Mattis Project: Boeing Plant 2 Electrical Upgrades Project No. 03-13631 Activity Date(s): 03-01-15 Item: V35 Functional Testing Location: Vault 35 Attendees: BOLD indicates attendance BusinM/Or,,gan_ ization } w ".. Email, Address Brendon.mattis@eeiengineers.com Rhone 206 920.1744 Name .. Brendon Mattis EEI Jeff Chriest Sequoyah Jeff.chriest@sequoyah.com Jan Bloch Sequoyah Jan.bloch@sequoyah.com 425 814.5830 Brian Bashaw Prime Power Brian.e.bashaw@boeing.com Rich Turner Coffman Judson Smith Eaton Chuck Duncan Eaton Andrew Wick Eaton Justin Wing Siemens Al Turnbull Boeing EEI was on site to functionally test the HMI and CMCS systems at both Vault 20 and vault 35, due to trouble shooting during testing we were only able to functionally test the HMI and CMCS at Vault 35. The following items were noted during demonstration and testing of Vault 20. 1. V35 Controls network was lost when V35 transformer A was de -energized. Controls network would need a UPS to maintain control power during a main power outage. This will become a monitoring issue for the switchgear during a normal power outage. Visibility of the substation will be lost through the CMCS. Boeing / Coffman to provide direction. 2. V35 When a transformer is re -energized after being de -energized, there is a temporary high temperature alarm and transformer fan output status seen by the CMCS. Should not be an operational issue. Boeing / Coffman to provide direction. 3. V35 HMI cannot detect feeder switch positions or transformer information when both MV switches are in the off position or at a loss of power to the transformer. The SEK transformer monitor does not have any power when both switches are off. Recommend powering the SEL transformer monitor from the substation CPT circuits with generator power backup. Boeing / Coffman to provide direction. 4. The CMCS calls out for a Fan Fault point, a fan fault is not possible without having some sort of fan status feedback. The fan status feedback does not exist. We changed that to a fan command status. If the desire is to have a fan fault we will have to add sensors to provide fan status... (how many? One for each fan?) Boeing / Coffman to provide direction. 5. During testing there were several minor HMI graphical issues corrected as found. 6. Extensive trouble shooting of the switch position monitoring of the MV switches caused delay in testing. March 2, 2015 Page 2 7. All other Siemens monitoring worked out well, there were a few minor wiring issues worked out during testing. Al Turnbull confirmed all points tested during testing. 8. SEL transformer monitoring package was programmed to display LED's and fan start / stop, labeling is needed for those LED's. 9. SEL time was set for local time as directed by Boeing. 10. All three sump pumps were filled with water by LCL and tested. Sump pump operation worked well. 11. No functional testing in Vault 20 was performed, trouble shooting of V35 took much longer than expected. 12. Building 02-10 Panel upgrades were walked as well. There were a few panel schedules to update and some adjustable breakers need trip settings. There were a few existing panels schedules that Prime Power will provide to Sequoyah for installation. By: Brendon Mattis 3.2.15 Commissioning Representative Date City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director September 30, 2014 Connie Hardin Holaday Parks, Inc. 4600 S 134 Place Tukwila, WA 98168 RE: Request for Extension Permit Numbers M14-0073 through M14-0075 Dear Ms. Hardin, This letter is in response to your written request for an extension to Permits M14-0073, M14-0074, and M14-0075. The Building Official, Jerry Hight, has reviewed your letter and considered your request to extend the above referenced permit. It has been determined that the City of Tukwila Building Division will be granting an extension to the permit for an additional 180 days, through April 3, 2015. If you should have any questions, please contact our office at (206) 431-3670. Sincerely, kNON enn\fer Marshall erm t Technician File: Permit No. M14-0073 W:\Permit CenteAExtension Letters\Permits\2014\M14-0073 Permit Extension.docx 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Jennifer Marshall From: Sent: To: Cc: Subject: Connie Hardin <connieh@holadayparks.com> Wednesday, September 17, 2014 12:57 PM Jennifer Marshall Doug Brown FW:4:Qi�7„t3Mmpp74;aiidp14,0075 Jennifer, Can you please extend these for me with the explanation provided below? Thank you. Connie From: Doug Brown Sent: Wednesday, September 17, 2014 12:54 PM To: Connie Hardin Subject: RE: M14-0073, M14-0074, and M14-0075 Connie, we need an extension due to the work not being control. We will be starting in the 2-10 building soon but i work is coming (next couple of months)but no definite d Please consider this our request for an extension. Thanks Doug Brown Project Manager Holaday-Parks, Inc. 206.248.9700 main 206.852.1483 dough@holadayparks.com From: Connie Hardin Sent: Tuesday, September 09, 2014 9:29 AM To: Doug Brown Subject: FW: M14-0073, M14-0074, and M14-0075 Let me know what you want to do about this. r dy. There have been numerous delays that are out of our will not be before the expiration of the permit. The other to yet. From: Jennifer Marshall [mailto:Jennifer.Marshall@TukwilaWA.gov] Sent: Monday, September 08, 2014 11:24 AM To: Connie Hardin Subject: RE: M14-0073, M14-0074, and M14-0075 11 10 ciC`tr-1N 56p -C�CTENI-P. 19A1 mto If you are unable to schedule inspections then a written request for extension is required. You can request a 180 day extension but need to provide an explanation/reason for the extension request. 1 City of Tukwila Department of Community Development 9/2/2014 CONNIE HARDIN 4600 S 134 PL TUKWILA, WA 98168 RE: Permit No. M14-0073 BOEING VAULT - 20 8123 EAST MARGINAL WAY S Dear Permit Holder: Jim Haggerton, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 10/5/2014. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 10/5/2014, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, er Marshall Technician Fi1hNo1M14-0073 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: M14-0073 DATE: 01/12/15 PROJECT NAME: BOEING VAULT - 20 SITE ADDRESS: 8123 E MARGINAL WAY S Original Plan Submittal Revision # before Permit Issued Response to Correction Letter # X Revision # 1 after Permit Issued DEPARTMENTS: I �� P./ Buil ing ivision Public Works MA AO- htS=13" 1111 Fire Prevention Structural Planning Division Permit Coordinator s PRELIMINARY REVIEW: Not Applicable (no approval/review required) DATE: 01/13/15 Structural Review Required REVIEWER'S INITIALS: DATE: n APPROVALS OR CORRECTIONS: Approved Corrections Required n Approved with Conditions Denied (corrections entered in Reviews) (ie: Zoning Issues) DUE DATE: 02/10/15 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: M14-0073 DATE: 03/31/14 PROJECT NAME: BOEING VAULT 20 SITE ADDRESS: 8123 EAST MARGINAL WAY S X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: PC\IV(/ OBI l t) Building Division Public Works ATP NIA Fire Prevention Structural Planning Division Permit Coordinator 1111 PRELIMINARY REVIEW: Not Applicable (no approval/review required) DATE: 04/01/14 Structural Review Required REVIEWER'S INITIALS: DATE: n APPROVALS OR CORRECTIONS: Approved Corrections Required Denied (corrections entered in Reviews) (ie: Zoning Issues) Approved with Conditions DUE DATE: 04/29/14 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 PROJECT NAME: e\ - SITE ADDRESS: 5 Y ,,„( fill $ a I PERMIT NO: 41-t - (07 3 ORIGINAL ISSUE DATE: 4-9-[2( REVISION LOG REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS I I— 12- w,e- �, �+ r Summary of Revision: C e &cp p f (Cvk, - �d (1 )- Sv vno _ Received by: 0 jt, an , ;P � � ( REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: - Received by: please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) ,.�3s3a Vim- z� City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 1 — k Z.' H Plan Check/Permit Number: ❑ Response to Incomplete Letter # ❑ Response to Correction Letter [Revision # 1 after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner MI IA --Oo�� Project Name: Jc 2„D`f — n r (• D-rio Project Address: g � S z (\ ! ,iJ Contact Person: m t e kianitin one Number: 7,1)(6 '2 Sd--1s 3o Summary of Revision: teekI t .1.l, j\� ? titMa �Al/, • f Piwt.avl ✓- fillitefeb IJAN12 PERMtIT CENTER Sheet Number(s): Cr() y— e;-) oz. ..-2i' "Cloud" or highlight all areas of revision including date of revi' idn Received at the City of Tukwila Permit Center by: {/L .,/ t,\)_.- \, Entered in TRAKiT on C:\Users\Jennifer-m\ ppData'Loca1\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DSTRCME6\Revision Submittal Form.doc Revised: March 2014 HOLADAY PARKS INC Washington State Depart, ent of Labor & Industries LHOLADAY PARKS INC Page 1 of 4 Owner or tradesperson PARKS, GERALD T JR Principals PARKS, GERALD T JR NAILON, JUNE ANNETTEO'CONNOR, BONNY KBECK, DAVID CLARENCEVAN DER VEEN, ERIC M (End: 08/14/2013)PIZZEY, GRACE KATHERINE (End: 08/14/2013)VAN DER VEEN, JULIE ELIZABETH (End: 08/14/2013) CONNELL, DANIEL AARON (End: 08/14/2013) GIRI, BUIT (End: 08/14/2013)KIEL, RINALD HOWARD (End: 08/14/2013)WHITMYRE, CHRISTIAN (End: 08/14/2013)NELSON, MICHAEL (End: 11/04/2010)PARKS, DAVID L (End: 11/04/2010)TALBOT, PAUL (End: 11/04/2010) Doing business as HOLADAY PARKS INC WA UBI No. 578 004 089 4600 S 134TH PL SEATTLE, WA98168 206-248-9700 KING County Business type Corporation Governing persons License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. HOLADPI379NO Effective — expiration 01 /21 /1983 — 09/03/2015 Bond LIBERTY MUTUAL INS CO Bond account no. 23000452 $12,000.00 Received by L&I Effective date 08/23/2002 09/01/2002 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=578004089&LIC=HOLADPI379N0&SAW= 04/08/2014