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Permit PG14-0169 - DOUBLETREE SUITES - ADA SUITE UPGRADE AND SHOWER
DOUBLE TREE SUITES 16500 SOUTHCENTER PKWY PG14-0169 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 PLUMBING/GAS PIPING PERMIT 6437300020 16500 SOUTHCENTER PKWY Project Name: DOUBLETREE SUITES Permit Number: PG14-0169 Issue Date: 12/16/2014 Permit Expires On: 9/16/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: CHA SOUTHCENTER LLC 16500 SOUTHCENTER PKWY , SEATTLE, WA, 98188 KEVIN RISTINE 1911 SW CAMPUS DR, SUITE 321, FEDERAL WAY, WA, 98023 WESTERN MECH CONTRACTORS INC 1911 SW CAMPUS DR #321, FEDERAL WAY, WA, 98023 WESTEMC919QL Phone: (253) 946-9544 Phone: (253) 946-9544 Expiration Date: 1/15/2016 DESCRIPTION OF WORK: ADA SUITE UPGRADE REVISION #1: ADD A SHOWER TO THE SCOPE OF WORK Valuation of Work: $35,000.00 Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Fees Collected: $664.96 Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2012 2012 2012 2012 2012 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2012 Permit Center Authorized Signature: tiet./ t/1 vitv • Date: 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 development permit a d agree to th�.c9ndition,s attached to this permit. Signature: Print Name: Date: Li-w Z� - / 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: ***PLUMBING/GAS PIPING PERMIT CONDITIONS*** 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: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 5: 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. 6: 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. 7: 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. 8: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 9: 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. 10: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 11: 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. 12: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit. 13: All new plumbing fixtures installed in new construction and all remodeling involving replacement of plumbing fixtures in all residential, hotel, motel, school, industrial, commercial use or other occupancies that use significant quantities of water shall comply with Washington States Water Efficiency ad Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section 402 of Washington State Amendments PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 8004 GROUNDWORK 8004 GROUNDWORK 1900 PLUMBING FINAL 8005 ROUGH -IN PLUMBING 8005 ROUGH -IN PLUMBING 8005 ROUGH -IN PLUMBING City of Tukwila Department of Community Development �6300 Southcenter Boulevard, Suite #100 `0 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov Parcel No: Address: PLUMBING/GAS PIPING PERMIT 6437300020 16500 SOUTHCENTER PKWY Project Name: DOUBLETREE SUITES Permit Number: Issue Date: Permit Expires On: PG 14-0169 12/16/2014 6/14/2015 Owner: Name: Address: Contact Person: Name: Address: CHA SOUTHCENTER LLC 16500 SOUTHCENTER PKWY , SEATTLE, WA, 98188 SCOTT GUSTAFSON 12424 48 DR SE , EVERETT, WA, 98208 Contractor: Name: TDS PLUMBING LLC Address: 13300 BOTHEL-EVERETT HWY #303, MILL CREEK, WA, 98012-5312 License No: TDSPLPL893RB Lender: Name: Address: Phone: (425) 244-0573 Phone: Expiration Date: DESCRIPTION OF WORK: ADA SUITE UPGRADE Valuation of Work: $35,000.00 Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Fees Collected: $599.96 Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2012 2012 2012 2012 2012 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2012 Permit Center Authorized Signature: Date: 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 development permit and agree the conditions attached to this permit. Signature: Print Name: Date: /7-J) (�l� 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: ***PLUMBING/GAS PIPING PERMIT CONDITIONS*** 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: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 5: 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. 6: 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. 7: 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. 8: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 9: 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. 10: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 11: 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. 12: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit. 13: All new plumbing fixtures installed in new construction and all remodeling involving replacement of plumbing fixtures in all residential, hotel, motel, school, industrial, commercial use or other occupancies that use significant quantities of water shall comply with Washington States Water Efficiency ad Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section 402 of Washington State Amendments PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 8004 GROUNDWORK 1900 PLUMBING FINAL 8005 ROUGH -IN PLUMBING CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Plumbing/Gas Permit No. ?V Project No. Date Application Accepted: 11 Date Application Expires: (For office use only) PLUMBING / GAS PIPING PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. **Please Print** SITE LOCATION Site Address: Tenant Name: hiSoo SevilicLaia &Au to t/blep.k. 211 .c PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: 6-0 u 56` C co.) Address: 12 yl U vet Oi 5fl City: gitra H Statelj A. Zip 26 Phone: g _ 1 0_, Os-73. Email: (c06. /() 1 J.SP1U,Lb/41,Cc)m King Co Assessor's Tax No.: t %li —0o 9/0 Suite Number: Floor: New Tenant: ❑ Yes El ..No PLUMBING CONTRACTOR INFORMATION Company Name: )5 P/ Loy&iy, ,, LLC_, PIMA: 133360 60-iiii-01/ 14 4 *Z3 City: nt_like & , _ . / ,` State: _ /,,Zip: q 0 Phone: C,ps/d_viit_) 3 Fax: (p. 3) Le (p-I Contr Reg No.: _r_D p •PL /S Date: NGf9- Tukwila Business License No.: (ijcai,3 ` U 1 Valuation of Project (contractor's bid price): $ J f d Scope of Work (please provide detailed information): p A. SJ yips f—ACC Building Use (per Int'1 Building Code) - Occupancy (per Int'I Building Code): Utility Purveyor: Water: Sewer: H:Wpplications\Porns-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page I of 2 Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain Shower, single head trap Sinks Rain water system — per drain (inside building) Grease interceptor for commercial kitchen (>750 gallon capacity) Each additional medical gas inlets/outlets greater than 5 Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1-5) Fixture Type Qty Bidet Drinking fountain or water cooler (per head) Lavatory 119" Urinal Water heater and/or vent Repair or alteration of water piping and/or water treatment equipment Backflow protective device other than atmospheric - type vacuum breakers 2 inch (51 mm) diameter or smaller Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Fixture Type Qty Clothes washer, domestic Food -waste grinder, commercial Wash fountain Water closet7 Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Repair or alteration of drainage or vent piping Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Gas piping outlets Fixture Type Qty Dental unit, cuspidor Floor drain Receptor, indirect waste Building sewer and each trailer park sewer Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity Medical gas piping system serving 1-5 inlets/outlets for a specific gas Each lawn sprinkler system on any one meter including backflow protection devices PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International Plumbing Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWN± OR THO ED AGENT: Signature: Date: / / n / 3 2 0l j Print Name: S e d &1 VSTJ eaiv Day Telephone: (t2S L [ 7 Mailing Address: j ZYZY q 4-1 KJ K (4P ck?7046 City State Zip H:\Applications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-1 Ldocx Revised: August 2011 bh Page 2 of 2 DESCRIPTIONS PermitTRAK Cash Register Receipt City of Tukwila ACCOUNT I QUANTITY PAID $484.58 PG 14-0169 Address: 16500 SOUTHCENTER PKWY Apn: 6437300020 $484.58 PLUMBING $46150 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $429.00 TECHNOLOGY FEE $23.08 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3783 R000.322.900.04.00 0.00 $23.08 $484.58 Date Paid: Tuesday, December 16, 2014 Paid By: JIM L DAVIS Pay Method: CREDIT CARD 391047 Printed: Tuesday, December 16, 2014 12:17 PM 1 of 1 CRWSYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT ( QUANTITY PAID -oPermitTRAI � w . 14-01 ress: 500 SOUTHCENTER PKW n: 6437300021 5 PLUMBING $65.00 ADDITIONAL PLAN REVIEW TOTAL FEES PAID BY RECEIPT: R5173 R000.345.830.00.00 1.00 $65.00 $65.00 Date Paid: Wednesday, April 29, 2015 Paid By: KEVIN RISTINE Pay Method: CREDIT CARD 004384 Printed: Wednesday, April 29, 2015 12:11 PM 1 of 1 CRWSYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY I PAID PermitTRAK L15.38 PG14-0169 Address: 16500 SOUTHCENTER PKWY n:'6437300020 115''3 PLUMBING PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R3544 R000.322.103.00.00 0.00 $115.38 $115.38 Date Paid: Thursday, November 13, 2014 Paid By: TDS PLUMBING Pay Method: CHECK 1298 Printed: Thursday, November 13, 2014 8:43 AM 1 of 1 CRIOVSYSTEMS or INSPECTION RECORD Retain a copy with permit INSP NO. PERMIT NO. ° -71 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: P 6 1.- Itre.X-- 0,o f-e-( Type of Inspection; ri(vCIA.00( k r't (Act / Address: 6 ria 0 Sot,C1-1,.._C-1-v- fir Date Called: Special Instructions; rDateXanted: PA4 (o a.m. P.m. Requester: Phone No: pproved per applicable codes. Corrections required prior to approval. OMMENTS: Inspector: E Date:67_ (2, _ c_. REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. rc (1° INSPECTION NO. PERMIT NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 INSPECTION RECORD Retain a copy with permit Project: -Pot4 Crirvt- gale( Pk)/ ,Type gf Inspection: A t--..T-,4_ 1964., b Address: (6Too PuttA--Cfr intz Date Call . Special Instructions: 7 4 Date Wved: 5— / -15" pa...mm: Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Ins ctor: Datt. _f_ RE1NSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD p Retain a copy with permif &I'Ll-ofc INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd,, #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: pi34._.e./ f • 0 f Type of Inspectjont piLttvtbite7 Date Called: go 4 . "" i Address: roo 50ta Cfr e7 1 hLkrh.- Special Instructions: Date Wanted: — a.m. p.m. reFtre. 0 (,--‘-.5 'Requester: Phone No: KApproved per applicable codes. COMMENTS EJCorrections required prior to approval. lnspectorzr...Ee, REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection Cal( INSPECTION RECORD Retain a copy with permit INSPE ON NO. PERMIT NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 )96f q•-e0 ffq Project: 'Type of inspection: &r-outwo,4. Date Called:165 A1100 I 5 uf(A-tr frklt Special Instructions: ,i1- ito, ,hok.,,Requester: Date Wanted: 3— zo --(s- a.m. p.m. , Phone No: Approved per applicable codes. LJ Corrections required prior to approval. COMMENTSiut!.‘ _occ " 6t ply( Loi,/ qdd 0 LArfs- ' Cr;e1 lattc,ca 4476 inspector: E Date: 5 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection INtIC ION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 P6 1/- o(6 INSPECTION RECORD Retain a copy with permit PERMIT NO. Project: 7),b i Tr R.7e 44-12-1 Type of Inspection: iritiat g cppt,tAfevc<A1 t'r /14 Date Called: Address: 'kw/Special Instructions: ii- 1,66 .ff.(5t‘ 13)0 4ttr30 If 1 q012 •• I IMO viti Date Wanted: a,m. 2.— r0 —Cr p.m. Requester: . t g(g//2 r c Phone No: ti 75 — 7:C4,- 36a ).- proved per applicable codes. ElCorrections required priort approval. COMMENTS: C 01— oir4t.ASe +-rap (ewers Ida 304. fie-S Inspector Datti2 to ft, REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 p tz-1-atti Project: 1-,..cncblet er Type of Inspection, tamkc.�ti.-► 'lu.wkID�d( (�(� Cv C �lJl� Date Cal{ed __ Special Instructions; C Pt IIk Date Wanted: a,rtt. 12 - 30- 1� Requester: Phone No: Approved per applicable codes. Corrections required prior to approval.. COMMENTS: lnspec AA. a t p- 3 /7/ f - EI ISPECTION FEE REQ '!RED. Prior o next inspection. fee must be pai at 6300 Southcenter =tvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: i _1•1 .0-., I P � 1 i F' Type of Inspection: i� cRtG �'1 - r Address: I t 5oo E (° Pc —(—I Date Called: Special Instructions: Date Wanted: l 7 ..) — t C a.m. (fiat Requester: Phone No: Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: ii..),A /I� cA1S 13�o—iLl o — 1-;36-1 --2.6 P. I cc. L — , A, /a .t),A /e/e cJ In3 pettor: Date.: r (REINSPECTION FEE RE UIRED. Prior to/next inspection, fee must be plaid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: -Typeof Tr( inspection: Address: / L. CtO () 54_ DA,\AJA1/ Date Called: Special Instructions: / / Date Wanted: i 2 - / came 1 - i 4 P.m. Requester: Phone No: App roved per applicable codes. EiCorrections required prior to approval. COMMENTS: di c - i-t)Alf -r-11 ( Fi;- 1 L fil 0 3 r ,g) r -.7-P I -7---1 — 71 A. <,,./1 r-f i r 0,-, FIOJA 1 I P i ,.._ ./..-1) (,' i „I-7"p pi 6_ -11-- / C-104/ ' I D a,f) r A-11 e 61 /` /1 1 ; A M / - InspecLir Date:/ 0REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Btvd., Suite 100. Call to schedule reinspection. N 1NIVd T 0-1d 1NIVd (AVM1lttH) Z0-1d INIVd :AV V\11VH) ZO-ld 1NIVd (AvM nvH) ZO-ld INIVd LOOT 1 TO-1d 1NIVd (AVMT WH) ZOOT T0-Id ZO-ld 1NIttd 1NIVd (AvM11vH) (.wM11vH) 3DV1i01S ZO-ld 1NIVd T 0-11 (17Zx„ZT) 31Il 11VM NIV1A1321 0121000 DNI1SIX3 r _T (71110M ON)NIVN321 012i00I212100 1310H ONI1SIX3 NI'dW321 0111000 E3NIISIX3 (>1210M ON) 3DV2IOIS DNIISIX3 SEPARATE PERMIT REQUIRED FOR: 'Mechanical Electrical ❑ umbing ri Gas Piping City of Tukwila Ctj r'l G DIVISION 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 End may include additional plan review fees. , FILE COPY Permit No. 'KM— d %Pc/ Plan review approval is subject to errors and omissions. Approval of construction documents does not authorize the violation of any adopted code or ordinance. Receipt of approved Field Cop d c nditions is acknowledged: EXISTING DOOR TO REMAIN By: Date: 12. /I City of Tukwila BUILDING DIVISION EXISTING STORAGE (NO WORK) WALL TILE (12"x24") TL-01 PAINT PT-02 REVIEWED FOR CODE COMPLIANCE APPROVED DEC 12 2014 City of Tukwila BUILDING DIVISION (HALLWAY) PAINT PT-01 1 NEW FLOOR TILE (TL-03) EXISTING HOTEL CORRIDOR TO REMAIN(NO WORK) EXISTING DOOR TO REMAIN (HALLWAY) PAINT PT-02 (HALLWAY) PAINT PT-02 STORAGE (HALLWAY) PAINT PT-01 (HALLWA PAINT PT-02 (HALLWAY) PAINT PT-01 SCALE: 1/4" = 1'-0" RECEIVEr NOV 18 2014 TUKVviv-, PUBLIC WORK' FE`�+'EIVEC CITY OF TUKWI,. NOV 13 2014 PFRPII!T C "7r- . PAINT ,17C7 r7/ D1(09 REVIEWED FOR CODE COMPLIANCE APPROVED DEC 1 2 2014 City of Tukwila BUILDING DIVISION CITY OF TUKWE.1. Nov 1 3 2C14 PERM CENTEP. 1:1113U3d 11y:;‘, E 1 AON Atom! AOAJ °13+t13031-J NOISInIQ JNIQ1in8 BIIM)tnl jo !O 1/10Z T 330 O3AO?lddV 3QNVI1dWOO 3009 ?I0J 02M3In321 \ti REVIEWED FOR CODE COMPLIANCE APPROVED DEC 12 2014 City of Tukwila BUILDING DIVISION kEGEIV;ED CITY OF TUKV'JI NOV 1 3 2:1 PERR g CENTER REVIEWED FOR CODE COMPLIANCE APPROVED DEC 12 2014 City of Tukwila BUILDING DIVISION RECEIVED CITY OF TUKWILf NOV 1 3 2014 PERMIT CENTER REVIEWED FOR CODE COMPLIANCE APPROVED DEC 12 2014 City of Tukwila BUILDING DIVISION r9aCEiYEL CITY OF TUKViih .:` NOV 13 201 PERIVIlT CENTER BACKFLOW PREVENTION ASSEMBLY TEST REPORT Cascade A/arm/ P.O. BOX 7459 - KENT, WASHINGTON 98042 PH: 206-767-5800 EXT # 2 FAX: 253-630-4851 www.cascadealarm.com ACCOUNT # NAME OF PREMISE Double Tree Guest Suites SERVICE ADDRESS 16500 Southcenter Parkway CONTACT PERSON Jim Davis LOCATION OF ASSEMBLY Boller Room PHONE ( CITY Tukwila Commercial © ResidentialEl zip 98188-3388 FAX( ) DOWNSTREAM PROCESS Domestic Water NEW 1NSTALLC EXISTING® REPLACEMENTEOLD SER. MAKE OF ASSEMBLY 1\I.'.1'; . (> MODEL `''r I 01 DCVA ® RPBAM PVBAJ OTHER PROPER INSTALLATION'.? YESFNOE SERIAL NO. I a ; SIZE 4" DCVA / RPBA DCVA / RPBA RPBA PVBA/SVBA INITIAL CHECK VALVE NO.I CHECK VALVE NO.2 OPENED AT . -,-? PSI:D AIR INLET OPENED AT PSID TEST PASSED FAILED LEAKED PSID LEAKED n PSID #1 CHECK t • ,'' PSID DID NOT OPEN AIR GAP OK? i t� NEW CLEAN REPLACE 1 7 I'AIe1 C1.1 j� A J RE PART CI REPLACS PART CHECK VALVE 1 LD AT PSID LEAKED y PARTS ANDL REPAIRS Ei CT FANED REPAIRED — _ TEST AFTER REPAIRS PASSED LEAKED n PSID LEAKED L PSID OPENED AT PSID AIR INLET PSID #1 CHECK PSID CHIC VALVE PSID FAILED J AIR GA.P INSPECTION: Requiredminunum air gap separation provided'? Yes REMARKS: TESTERS SIGNATURE: L •:) TESTERS NAME PRINTED: Sean P. Dennehy REPAIRED BY 1Vo Detector, Meter Reacting LINE PRESSURE 1 3 o PSI CONFINED SPACE? No CERT. NO. B-5145 DATE RECEIVED TESTERS PHONE# (206 ) 919-92 TY OF TUKWILA FINAL TEST BY: CERT. NO. DATE DEC 1 0 2014 DATE PERMIT CENTER CALIBRATION DATE 06 /30 2014GAUGE# 12091422 MODEL845 SERVICE RESTORED? YESE. NOn CORRECTION' that this r epmi is accurate, and I have used 1V'IC 246-290-490 approved test methods' d test equipment. LTR# 11)0+w FILE Cary tJ MOEN® �� Specifications DESCRIPTION • Brass construction 1/2" PEX connections • Pressure balancing, four port, cycle valve OPERATION • Adjustable temperature limit stop to control maximum hot water temperature • Pressure balancing mechanism maintain selected discharge temperature to ± 3°F CARTRIDGE • 1222 cartridge design • Nonmetallic/nonferrous and stainless steel materials • Accommodates back to back installations STANDARDS • Third party certified to meet CSA B-125, ASSE 1016, CSA B-137.5, ASTM F1807, ASME A112.18.1M and all applicable requirements referenced therein WARRANTY • Lifetime limited warranty against leaks, drips and finish defects to the original consumer purchaser • 5 year warranty if used in commercial installations CORRECTION LTR# 4-a REVISION NO.i.L 1/2" PEX SUPPLY SHOWER TUB 4" (102mm) 2" (51mm) MAX WALL FINISHED WALL LINE FACE OF STUD M•PACT POSI-TEMP® VALVE Pressure -Balancing Valve 1/2" MIN. (13mm) 2 1/2" MAX. 4-1/2" (114mm) PLASTER \ (63mm) GROUND SIZE AND WALL OPENING - FLOOR 1-1/16" (27mm) Model: 62380 Bulk Packed (Bulk packed 12 per carton) NOTE: See reverse side for illuskatpfI paos 3-1/2" (89mm) MAX. 2-1/4" (57mm) MIN. DIAMETER WALL OPENING 45" (1143mm)/ 48" (1219mm) - SHOWER 32" (813mm) - TUB OR TUB SHOWER CRITICAL DIMENSIONS �oo�o.���E, (DO NOT SCALE) REVIEWED FOR CODE COMPLIANCE APPROVED APR 28 2015 • City of Tukwila BUILDING DIVISION FLOOR LINE 3/16" (typ) (5mm) PLASTER GROUND 1 1/2" (38mm) 1-1/16" (27mm) PLASTIC TUB/SHOWER SURROUND RECEIVED CITY OF TUKWILA APR 2 3 2015 MOEN SPECIFIER SERVICES 1-800-321-8809 Ext. 2158 PERMIT CENTER ev. 5/01 PFP1500 Trap Primer Valve Product Features • Delivers potable water to seldom used floor drains • Pressure drop of 5 to 10 PSIG (35 to 70 Kpa) required to activate the priming valve • Must be installed on cold fresh water lines of 1 1/2" diameter or less • Operating range is 35 to 75 PSIG (245 to 525 Kpa) • Adjustable line pressure • PFP1500 primes 3 or 4 floor drains • PFP2500 primes 1 or 2 floor drains • Priming valve must have a minimum elevation of 12 inches (305mm) above the finished floor • Machined of corrosion resistant brass • Piston operated, contains no springs or diaphragms • Easily adjusted to high or low pressures • Metered amount of water from the floor drain trap primer is distributed to as many as four (4) floor drain traps by means of the patented distribution unit • Distribution units are fully guaranteed on a money back basis when installed per manufacturers' recommendations Model No. Drains Dist. Units PFP2500 1 N/A PFP2500 2 P.FPDUU PFP1500 3 PFPDUU PFP1500':' 4 PFPDUU Warranty and Codes This PROFLO product carries a 1-year limited warranty. © 2008 Wolseley EAST TO INSTALL! The priming valve must have a minimum elevation of 12 inches (305MM) above the finished floor. PFP1500 Distribution Unit Installation • Must be installed level • Must be installed with clear plastic cover • Must be installed with access for periodic inspection • Automatically maintains a constant water seal in floor drain traps Avoid direct installation to prevent foreign material from entering directly into the primer. Check Valve Seal Trap Primer Valve Vacuum Breaker Ports Distributed Exclusively by Ferguson, Stock Building Supply and Wolseley Canada 0881 02/08 City of Tukwila Department of Community Development April 14, 2015 KEVIN RISTINE 1911 SW CAMPUS DR, SUITE 321 FEDERAL WAY, WA 98023 RE: Correction Letter # 1 to Revision #1 PLUMBING/GAS PIPING Permit Application Number PG14-0169 DOUBLETREE SUITES - 16500 SOUTHCENTER PKWY Dear KEVIN RISTINE, Jim Haggerton, Mayor Jack Pace, Director This letter is to inform you of corrections that must be addressed before your development permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the following departments: BUILDING - R DEPARTMENT: Allen Johannessen at 206-433-7163 if you have questions regarding these comments. • (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 11x17 to maximum size of 24x36; all sheets shall be the same size. New revised plan sheets shall be the same size sheets as those previously submitted.) (BUILDING REVIEW NOTES) 1. Plumbing plans, to include revisions to previous plumbing permit shall require isometric and plan view plumbing diagrams of the plumbing. Provide plumbing plans (isometric and plan view) to include the new plumbing for shower addition. Plans shall be clear and neatly drawn indicating existing and new plumbing. Show a trap primer (TP) for the shower. Indicate where the TP shall be connected. Trap seal primers shall be accessible for maintenance. (2012 UPC 1007.1) Please address the comments above in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that two (2) sets of revised plan pages, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a 'Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections/revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, I can be reached at 206-431-3655. Sincerely, Bill Rambo Permit Technician File No. PG14-0169 F.?nn Inn T,. /,..,: /.. lll,...1 :.,. ,..,.... 047 QQ - DL. ,,.....')MA. 421 2F'7n - L',... )tI 427 24.<4- TERNMECHANICAL CONTRACTORS, INC Western Mechanical Contractors has been contracted to modify and supply the plumbing work for the Doubletree pool plumbing that is specified in permit number PG14-0169. TDS Plumbing LLC had originally been contracted to do this work and had already finished the Underground portion of the work but suddenly dropped out of the project. TDS Plumbing LLC had also already purchased the plumbing permit and Western Mechanical Contractors is requesting the permit contractor name be changed to Western Mechanical Contractors as we are finishing the rest of the job. Western Mechanical Contractors Tukwila Business License number is BUS-0994452 and the expiration date is 12/31/2015. C GzC-� Co,-) —f .t-0 l'-VL.,253 -951-1q Kevin R Ristine Project Manager Western Mechanical Contractors Plts.;e1VED V OF T JKWILA APR .0.2 MS PERMIT CENTER 191 1 SW CAMPUS DR #321 FEDERAL WAY, WA 98023 PHONE: (253) 946-9544 City of Tukwila Department of Public Works December 1, 2014 CHA Southcenter, LLC 16500 Southcenter Parkway Tukwila, WA 98188 SUBJECT: Doubletree Suites 16500 Southcenter Parkway Permit no. PG14-0169 To Whom It May Concern: Jim Haggerton, Mayor Bob Giberson, P.E., Director 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. Since this project includes alterations to the existing plumbing system, the entire plumbing system must be brought up to the current standards as set forth in the Uniform Plumbing Code, including installation / repair of approved backflow prevention on domestic water. The City has determined that the subject building has deficiencies on the domestic water service. Domestic Water There is a 4-inch Reduced Pressure Backflow Assembly (RPBA) installed on the domestic water service for premise isolation in the Doubletree Suites boiler room that failed the last annual test in September, 2014. The City Water Division sent a letter to Doubletree Suites on October 23, 2014, stating that the domestic backflow device needs to be repaired and retested. Please have the domestic backflow repaired and tested and submit the backflow test report to the City Water Division. The Public Works Director will withhold issuance of Plumbing permit no. PG14-0169 until the backflow issues for the domestic water service is resolved. The Applicant may post a bond for the above item in the amount equal to 150% of the repair and testing cost of subject backflows, together with a letter stating the repair and testing date within 90 days. Sincerely, David H. McPherson Development Engineer cc: File no. PG 14-0169 (W:PW Eng/Other/Dave McPherson/Letter CHA Southcenter 120114) 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-433-0179 • Fax: 206-431-3665 City of Tukwila Department of Community Development December 01, 2014 SCOTT GUSTAFSON 12424 48 DR SE EVERETT, WA 98208 RE: Correction Letter # 1 PLUMBING/GAS PIPING Permit Application Number PG14-0169 DOUBLETREE SUITES - 16500 SOUTHCENTER PKWY Dear SCOTT GUSTAFSON, Jim Haggerton, Mayor Jack Pace, Director This letter is to inform you of corrections that must be addressed before your development permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the following departments: PW - PG DEPARTMENT: Dave McPherson at 206-431-2448 if you have questions regarding these comments. • CITY OF TUKWILA PUBLIC WORKS DEPARTMENT REVIEW COMMENTS www.tukwila@tukwilawa.gov Development Guidelines and Design and Construction Standards DATE: November 26, 2014 PROJECT: Doubletree Suites at 16500 Southcenter Blvd. TL no. 643730-0020 1st Review Comments PERMIT NO: PG14-0169 PLAN REVIEWER: Contact David McPherson at (206) 431-2448, if you have any questions/comments regarding the following comments. David.McPherson@TukwilaWA.gov 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. Since this project includes alterations to the existing plumbing system, the entire plumbing system must be brought up to the current standards as set forth in the Uniform Plumbing Code, including installation / repair of approved backflow prevention on domestic water. The City has determined that the subject building has deficiencies on the domestic water service. Domestic Water There is a 4-inch Reduced Pressure Backflow Assembly (RPBA) installed on the domestic water service for premise isolation in the Doubletree Suites boiler room that failed the last annual test in September, 2014. The City Water Division sent a letter to Doubletree Suites on 23 October, 2014 stating that the domestic backflow device needs to be repaired and retested. Please have the domestic backflow repaired and tested and submit the backflow test report to the City Water Division. 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 The Public Works Director will withhold issuance of Plumbing permit no. PG14-0169 until the backflow issues for the domestic water service is resolved. The Applicant may post a bond for the above item in the amount equal to 150% of the repair and testing cost of subject backflows, together with a letter stating the repair and testing date within 90 days. A separate letter was mailed to the Property Owner — CHA Southcenter, LLC, 16500 Southcenter Parkway, Tukwila, WA 98188. Feel free to contact me (or) call Mike Cusick, P.E., Public Works Senior Water and Sanitary Sewer Engineer at (206) 431-2441, if you have questions/comments. Please address the comments above in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that two (2) sets of revised plan pages, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a 'Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections/revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, I can be reached at 206-431-3655. Sincerely, t 1,0 -J)- Bill Rambo Permit Technician File No. PG14-0169 6300 Southcenter Boulevard Suite #100 • Tukwila Washineton 98188 • Phone 206-431-3670 • Fax 206-431-3665 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP L PERMIT NUMBER: PG14-0169 DATE: 04/23/15 PROJECT NAME: DOUBLETREE SUITES SITE ADDRESS: 16500 SOUTHCENTER PKWY Original Plan Submittal X Response to Correction Letter # 1 Revision # before Permit Issued X Revision # 1 after Permit Issued DEPARTMENTS: 4Building Division um Public Works Fire Prevention Structural n Planning Division Permit Coordinator 111 PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 04/28/15 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 05/26/15 Approved U Approved with Conditions Corrections Required ❑ Denied (ie: Zoning Issues) (corrections entered in Reviews) n n 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: PG14-0169 DATE: 04/02/15 PROJECT NAME: DOUBLETREE SUITES SITE ADDRESS: 16500 SOUTHCENTER PKWY Original Plan Submittal Revision # before Permit Issued Response to Correction Letter # X Revision # 1 after Permit Issued DEPARTMENTS: Cb Building Division 11 Y\1 LbV", Public Works 11111 Fire Prevention Structural n Planning Division Permit Coordinator m PRELIMINARY REVIEW: Not Applicable n (no approval/review required) DATE: 04/07/15 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved DUE DATE: 05/05/15 Approved with Conditions n Corrections Required Denied (ie: Zoning Issues) (corrections entered in Reviews) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: 1 1--1 Departments issued corrections: Bldg Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: PG14-0169 DATE: PROJECT NAME: DOUBLETREE SUITES SITE ADDRESS: 16500 SOUTHCENTER PKWY 12/10/14 Original Plan Submittal Revision # X Response to Correction Letter # 1 Revision # before Permit Issued after Permit Issued DEPARTMENTS: Building Division Public Works n Fire Prevention Structural n Planning Division Permit Coordinator n PRELIMINARY REVIEW: Not Applicable (no approval/review required) DATE: 12/11/14 Structural Review Required REVIEWER'S INITIALS: DATE: n APPROVALS OR CORRECTIONS: Approved Corrections Required n (corrections entered in Reviews) Approved with Conditions Denied (ie: Zoning Issues) DUE DATE: 01/08/15 n 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: PG14-0169 DATE: 11/13/2014 PROJECT NAME: DOUBLETREE SUITES SITE ADDRESS: 16500 SOUTHCENTER PKWY X Original Plan Submittal Response to Correction Letter # Revision # Revision # before Permit Issued after Permit Issued DEPARTMENTS: JC t1 ti t� Building Division II Cowls \\ *\ LI Public Works Fire Prevention Structural Planning Division Permit Coordinator PRELIMINARY REVIEW: Not Applicable (no approval/review required) DATE: 11/18/14 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Approved with Conditions Corrections Required Denied (ie: Zoning Issues) (corrections entered in Reviews) DUE DATE: 12/16/14 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: gqte SV i e_s PERMIT NO: G IL{ — Quo' SITE ADDRESS: So tI..c '� ORIGINAL ISSUE DATE: (-.--(,(D REVISION LOG REVISION NO. DATE RECEIVED STAFF ISSUED DATE STAFF INITIALS DI- `� Summary of Revision: Received by: 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) City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaW A.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: 04/ 2i2015 Plan Check/Permit Number: PG14-0169 Response to Incomplete Letter # Response to Correction Letter # 1 ./ Revision # 1 after Permit is Issued Revision requested by a City Building Inspector or Plans Examiner Project Name: Doubletree Suites Project Address: 16500 Southcenter Pkwy Contact Person: Kevin R Ristine Phone Number: (253) 946-9544 Summary of Revision: Add shower to plumbing permit in area shown on plansanze. Added isometric and piping plan drawing to permit revision. APR 2 3 2015 PONT CENTER Sheet Number(s): A3.0 & A6.0 3-27-15 "Cloud" or highlight all areas of revision including date of revision, Received at the City of Tukwila Permit Center by: •E--Entered in Permits Plus on H:\Applications\Forrns-Applications On Line\2010 Applications\7.2010 - Revision Submittal.doc Revised: May 2011 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: 04/02/2015 Plan Check/Permit Number: PG14-0169 Response to Incomplete Letter # Response to Correction Letter # Revision # t after Permit is Issued Revision requested by a City Building Inspector or Plans Examiner Project Name: Doubletree Suites Project Address: 16500 Southcenter Pkwy Contact Person: Kevin R Ristine Phone Number: (253) 946-9544 Summary of Revision: Add shower to plumbing permit in area shown on plans. Change plumbing contractor name. RECEIVED CITY OF TUKWILA APR :o 2 2015 ?FRUIT CENTER Sheet \ u mber(s): A3.0 & A6.0 3-27-15 "Cloud" or highlight all areas of revision including dat revisi Received at the City of Tukwila Permit Center by: [}--Entered in Permits Plus on `"e`d' 1 c— H:\Applications\Forms-Applications On Line\2010 Applications\7-2010 - Revision Submittal.doc Revised: May 2011 i 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.ct.tulcwila.wa.us REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. pG14-01(0,? Date: to lip 1 i f Plan ChecWPermit Number: T 1 4-ni7 ` ❑ Response to Incomplete Letter # ® Response to Correction Letter # 1 ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Doubletree Suites Project Address: 16500 Southcenter Pkwy Contact Person: i n'1.Z A,) is Phone Number: aO 4, - 9'9 - 3 3 g Summary of Revision: L 0 ► l"S}-' C, JOQeic 1p l ce,S e r e fca e6'4 a j hyec gee, sQe a k eP au< po a) Prc o end-toF\ ASS&yn fo '')I-t=.re fp.--1 reueVED CITY OF 'DEC '1:0 20W Sheet Number(s): s;r"rT ^M'ER "Cloud" or highlight all areas of revision including date of rev' ' n Received at the City of Tukwila Permit Center by: ered in TRAKiT on \applicationslforms-applications on line\revision submittal Created: 8-13-2004 Revised: WESTERN MECH CONTRACTOF c INC Page 1 of 5 Home Inicio en Espanol Contact Search L&I A-Z Index Help My Secure L&I Safety Claims & Insurance Workplace Rights Trades & Licensing 0 Washington State Department of Labor & Industries WESTERN MECH CONTRACTORS INC Owner or tradesperson WELLS, MATTHEW P Principals WELLS, MATTHEW P, PRESIDENT KACSO, OTTO, PRESIDENT (End: 12/01/2011) KACSO, TRACI, SECRETARY (End: 12/02/2011) Doing business as WESTERN MECH CONTRACTORS INC WA UBI No. 602 783 210 1911 SW CAMPUS DR #321 FEDERAL WAY, WA 98023 253-946-9544 KING County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor License specialties GENERAL License no. WESTEMC919QL Effective — expiration 11/13/2009— 01/15/2016 Bond Federated Mutual Ins Co Bond account no. 9916171 Active. Meets current requirements. $12,000.00 Received by L&I Effective date 06/27/2014 07/02/2014 Expiration date Until Canceled Bond history Insurance ............................ Federated Mutual Ins Co $1,000,000.00 Policy no. 9030563 Received by L&I Effective date 02/17/2015 03/18/2015 Expiration date 03/18/2016 Insurance history Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602783210&LIC=WESTEMC919QL&SAW= 04/03/2015 TDS PLUMBING LLC Page 1 of 3 41111114 Washington State Department of Labor & Industries TDS PLUMBING LLC Owner or tradesperson GUSTAFSON, ERIK SCOTT Principals GUSTAFSON, ERIK SCOTT, PARTNER/MEMBER Doing business as TDS PLUMBING LLC WA UBI No. 603 160 472 PMB #690 MILL CREEK, WA98012 425-244-0573 SNOHOMISH County Business type Limited Liability Company License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties PLUMBING License no. TDSPLPL893RB Effective — expiration 12/02/2011-12/02/2015 Bond No bond accounts during the previous 6 year period. Insurance State Farm Fire & Cas Co Policy no. 98BTK0580 Received by L&I 07/22/2014 Insurance history Savings (in lieu of bond) Received by L&I 12/02/2011 $2,000,000.00 Effective date 09/16/2014 Expiration date 09/16/2015 $6,000.00 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603160472&LIC=TDSPLPL893RB&SAW= 12/16/2014