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HomeMy WebLinkAboutPermit PG15-0001 - BOEING #9-101 - BACKFLOW PREVENTER AND PIPINGBOEING #9-101 9725 E MARGINAL WAY S PG15-0001 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: htti)://www.TukwilaWA.Rov Parcel No: 0003400018 PLUMBING/GAS PIPING PERMIT Permit Number: PG15-0001 Address: 9725 E MARGINAL WAYS BLDG 9-101 Issue Date: 1/27/2015 Permit Expires On: 7/26/2015 Project Name: BOEING 9-101 BLDDG Owner: Name: BOEING COMPANY THE Address: PO BOX 3707 M/C 20-00 PROPERTY TAX DEPT, SEATTLE, WA, 98124 Contact Person: Name: CONNIE HARDIN Phone: (206) 250-4530 Address: 4600 S 134TH PL , SEATTLE, WA, 98168 Contractor: Name: HOLADAY PARKS, INC. Phone: (206) 248-9700 Address: PO BOX 69208, SEATTLE, WA, 98188 License No: HOLADPI379NO Expiration Date: 9/3/2015 Lender: Name: Address: DESCRIPTION OF WORK: RELOCATING 1 BACKFLOW PREVENTER AND ASSOCIATED PIPING. Valuation of Work: $600.00 Fees Collected: $164.58 Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE,VALLEY VIEW SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-466: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized 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 developmentfKg mit and ggreeAo 4he conditions attached to this permit. Signature: �. Date: (� Print Name: \ tiVa. . --mac f : � , 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: Reduced Pressure Principle Assembly (RPPA) shall be installed per manufacturer's specifications. Upon installation RPPA shall be tested by a certified tester and passing test report forwarded to Tukwila Water Department, Minkler shops, phone 206 433-1860. Thereafter annual backflow test shall be performed and owner's expense, and copies of the test results submitted to Tukwila Water Department. 2: ***PLUMBING/GAS PIPING PERMIT CONDITIONS*** 3: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 4: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 5: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 6: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 7: 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. 8: 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. 9: 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. 10: 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. 11: 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. 12: 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. 13: 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. 14: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit. 15: 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 10 CITY OF TUKWILA Community Development Department 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" ,.o, MT14-ard"Wolm PLJMBIN:G CONTRACTOR INFORiVMATION Company Name: Address City: State: Phon _+ Fax: .�' .JV Zipn ei� L "t b Q Co tr Re Exp Date �� Tukwila Business License No.: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Building Use (per Int'1 Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: H:Wpplications\fmms-Applications On Line\2011 ApplicationsTlumbing Permit Application Revised 8.9-1 Ldoc t Revised: August 2011 Page 1 of 2 bh 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 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 PERMIT APPLICATIONNOTES - Fixture Type Qty Clothes washer, domestic Food -waste grinder, commercial Wash fountain Water closet Industrial waste treatment interceptor, including trap and vent, except for kitchen type ease interceptors Repair or alteration of drainage or vent piping Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 nun) 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 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 Print Name:_l O n A.{ 10' Mailing Address:, 600J Day Telephone: City Date: 1 — % — X�;' State zip HA ApplianionsWonns-Applications On Line\201 I Applic tions\Plumbing Permit Application Revised 8-9-1 l.docx Revised: August 2011 Page 2 of 2 bh DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $164.58 PG15-0001 Address: 9725 E MARGINAL WAY S BLDG 9-101 Apn: 0003400018 $164.58 PLUMBING $158.25 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $94.10 PLAN CHECK FEE R000.322.103.00.00 0.00 $31.65 TECHNOLOGY FEE $6.33 TECHNOLOGY FEE TOTAL414: R000.322.900.04.00 0.00 $6.33 $164.58 Date Paid: Friday, January 09, 2015 Paid By: HOLADAY PARKS Pay Method: CREDIT CARD 09733G Printed: Friday, January 09, 2015 2:43 PM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permitl 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: Typo Inspection, YPK�w (4114 (L4: Address. J q-7zs E - &O-vq k'KQ L* ic"� Date Called: Special Instructions. I m Date Wanted. a,rn. �-- 12-- (S- p.m. Requester: one No: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. M 4600 S. 134 h Place Phone: (206) 248-9700 rf PO Box 69208 Fax: (206) 248-8700 Seattle, WA 98168 ffmmi- BACKFLOW PREVENTION ASSEMBLY TEST REPORT ACCOUNT # NAME OF PREMISE !��� H �' �D Commercial B'—Residential ❑ SERVICEADDRESS toAy S CITY ' -P ZIPq6166 CONTACT PERSON PHONE( ) FAX( ) LOCATION OF ASSEMBLY 013 10 DOWNSTREAM PROCESS f'��j^""�' �� DCVA ❑ RPBA Er-'PVBA ❑ OTHER NEW INSTALL [. EXISTING ❑ REPLACEMENT ❑ OLD SER. # PROPER INSTALLATION? YES ©NO ❑ MAKE OF ASSEMBLY A).' l MODEL LrOyS A QT SERIALNO. �� ! SIZE �? DCVA /RPBA DCVA /RPBA RPBA PVBA/SVBA INITIAL CHECK VALVE NO.1• CHECK VALVE NO.2 AIR INLET TEST OPENED AT 3, x - PSID OPENED AT PSID LEAKED ❑ LEAKED ❑ # 1 CHECK PSID 6. z PASSED DID NOT OPEN ❑ FAILED ❑ G�, PSID (�, o PSID AIR GAP OK? CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE NEW ❑ ❑ ❑ ❑ ❑ ❑ HELD AT PSID PARTS ❑ ❑ ❑ ❑ ❑ ❑ LEAKED ❑ AND REPAIRS ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ CLEANED REPAIRED ❑ TEST AFTER REPAIRS LEAKED ❑ LEAKED ❑ OPENED AT PSID AIR INLET PSID PASSED ❑ PSID PSID #1 CHECK PSID CHK VALVE PSID FAILED ❑ AIR GAP INSPECTION: Required minimum air gap separation provided? Yes g" o ❑ Detector Meter Reading REMARKS: TESTERS SIGNATURE: TESTERS NAME PRINTED: William Wh LINE PRESSURE &,,) PSI APPROVED DEVICE? YES L'7 NO ❑ CONFINED SPACE? lVb CERT. NO. B4857 DATE / Z • TESTERS PHONE # (206 ) 248-8705 REPAIRED BY: DATE FINAL TEST BY CERT. NO. DATE CALIBRATION DATE 07 /15 /14 GAUGE # 05082538 MODEL 835 SERVICE RESTORED? YES LY NO ❑ I certify that this report is accurate, and I have used WAC 246-290-490 approved test methods and test equipment f .. ADC-54 Cafeteria Backflow Relocation ES-009 Job Name Job Location Engineer . Approval REVIEVOSID FOR City �f Tulwjila Serie, 's 0 LDING Dl`M Contractor CITY OF TUKWILA Approval L 01Q1_ Contractor's P.O. No. Representative PERMIT CENTER Reduced Pressure Zone .� C @FV Assemblies Sizes: 1/4 " — 2° t�...•� �' " Series 009 Reduced Pressure Zone Assemblies are designed4 to protect potable water supplies in accordance with national plumbing codes and water authority requirements. This series is designed to protect drinking water supplies from dangerous cross -connections in accordance with national plumbing codes and water authority requirements for non -potable service appli- cations such as irrigation, fireline, or industrial processing. This series features two in -line, independent check valves, cap- tured springs and replaceable check seats with an intermediate relief valve. Its compact modular design facilitates easy main- tenance and assembly access. Sizes'/a" - 1" shutoffs have tee handles. Features • Single access cover and modular check construction for ease of maintenance • Top entry - all internals immediately accessible • Captured springs for safe maintenance • Internal relief valve for reduced installation clearances • Replaceable seats for economical repair • Bronze body construction for durability'/4" - 2" • Ball valve test cocks — screwdriver slotted'/4" - 2" • Large body passages provides low pressure drop • Compact, space saving design • No special tools required for servicing Specifications A Reduced Pressure Zone Assembly shall be installed at each potential health hazard location to prevent backflow due to backsiphonage and/or backpressure. The assembly shall consist of an internal pressure differential relief valve located in a zone between two positive seating check modules with captured springs and silicone seat discs. Seats and seat discs shall be -replaceable in both check modules and the relief valve. There shall be no threads or screws in the waterway exposed to line fluids. Service of all intemal components shall be through a single access bronze cover secured with stainless steel bolts. The assembly shall also include two resilient seated isolation valves, four resilient seated test cocks and an air gap drain fit- ting. The assembly shall meet the requirements of: USC; ASSE Std. 1013; AWWA Std. C511-92; CSA B64.4. Shall be a Watts Series 009. tDoes not indicate approval status. Refer to Page 2 for approved sizes & models. 009QT-S 009M2QT Test Cock No. 3 Test Cock No. 4 Ball Type Test Cocks Test Cock Second First Check;;"%'# I Check Module Module Assembly A Assembly --`: R.P. Zone Water Outlet Relief Valve Assembly Now Available WattsBox Insulated Enclosures. For more information, send for literature ES-WB. Inquire with governing authorities for local installation requirements i Watts product specifications in U.S. customary units and metric are approximate and are provided for reference only. For precise measurements, please contact Watts Technical Service. Watts reserves the right to change or modify product design, construction, specifications, or materials with- MNWATW out prior notice and without incurring any obligation to make such changes and modifications on Watts products previously or subsequently sold. v k Available Models:'/4" - 2" Suffix: QT — quarter -turn ball valves S — bronze strainer LF — without shutoff valves AQT — elbow fittings for 360' rotation 3/4" — 2" only PC — internal Polymer Coating SH — stainless steel ball valve handles HC — 21/2" inlet/outlet fire hydrant fitting (2" valve) Prefix: C — clean and check strainer 3/4" - 1" only U — union connections (see ES-0009) Materials:'/4" - 2" Bronze body construction, silicone rubber disc material in the first and second check plus the relief valve. Replaceable poly- mer check seats for first and second checks. Removable stain- less steel relief valve seat. Stainless steel cover bolts. Standardly furnished with NPT body connections. For optional bronze union inlet and outlet connections, specify prefix U (1/2" — 2"). Series 009QT furnished with quarter turn, full port, resilient seated, bronze ball valve shutoffs. Air Gaps and Elbows Pressure / Temperature Series 009 1/4" — 2" Suitable for supply pressure up to 175psi (12.1 bar). Water temperature: 33'F — 180'F (0.5°C — 75'C). Standards USC ASSE No. 1013 AWWA C511-92 CSA B64.4 IAPMO File No. 1563. tDoes not indicate approval status. See below for approved models. 9 & S p 0 UPC Approvals ASSE, AWWA, CSA, IAPMO Approved by the Foundation for Cross -Connection Control and Hydraulic Research at the University of Southern California. UL Classified 3/4" — 2" (LF models only except 009M3LF) MODEL DRAIN for 909, 009 and 993 sizes A B in. mm in. mm in. mm lbs. kgs. 909AGA '/ "-'/2" 009, h 13 2% 60 31/8 79 0.625 0.28 3/" 0091VI2/M3 909AGC %/ 1" 009/909, 1 25 3Yn 83 47/8 124 1.5 0.68 1"-1'/2" 009M2 909AGF 11/"-2" 0091V11, 2 51 4% 111 63/4 171 3.25 1.47 1'/<"-3" 009/909, 2" 009M2, 4"-6" 993 909AGK 4"-6" 909, 3 76 6% 162 9% 244 6.25 2.83 8"-10" 909M1 909AGM 8"-10" 909 4 102 7% 187 11'/a 286 15.5 7.03 909ELA '/4"-'/2" 009. W 009M2/M3 - - - - - - - - 909ELC 3/4'-1" 009/909 - - 2% 60 2% 60 0.38 0.17 ' 909ELF 1'/n"-2" 0091V11, - - 3% 92 3% 92 2 0.91 1'/ "-2" 009/909, 2" 009M2, 4"-6" 993 ' 909ELH 21/2'-3" 009/909 - - - - - - - - Vertical " Epoxy coated Dimensions and Weight:1/4" - 2" 009 0091/4" - 2" DIMENSIONSSIZE in. A in. mm in. B mm in. C mm D in. mm L in. mm M in. mm N in. mm Ibs. kgs. '/4 10 250 4% 117 3% 86 11/4 32 5'/z 140 2% 60 2'/z 64 5 2 % 10 250 45/8 117 33/8 86 1 Y4 32 5'/z 140 2% 60 21/2 64 5 2 '/2 10 250 4% 117 3% 86 1'/4 32 51/2 140 23/4 70 2'/4 57 5 2 % 10'/4 273 5 127 31/2 89 11/2 38 63/4 171 33/6 81 23/4 70 6 3 1 14/2 368 5'/z 140 3 76 2 /2 64 91/2 241 33/4 95 3 76 12 5 1'/4 17% 441 6 150 3Y2 89 2'/2 64 11% 289 4'/i6 113 3'h 89 15 6 1'/2 17'/8 454 6 150 3'/z 89 2Yz 64 11 Ye 283 47/8 124 4 102 16 7 2 21% 543 73/4 197 4'/2 114 TA 83 131/2 343 1 VA6 151 5 127 30 13 Suffix HC — Fire Hydrant Fittings dimension `A' = 25" Capacity Performance as established by an independent testing laboratory. *Typical maximum system flow rate (7.5 feet/sec., 2.3 meters/sec.) kPa psi t/a" 0090T kPa psi 1'/a'*009M2QT 138 20 172 25 117 17 I 138 20 96 14 103 15 76 1 69 10 55 8 35 5 35 5 AP 0 .25 .60 .75 1 1.17 gpm 0 0 0 .95 1.9 2.9 3.8 4.5 Ipm Ap 0 10 20 30 40 50 60 70 80 gpm 0 38 76 114 152 190 228 266 304 Ipm 5 7.5 10 15 fps 1.5 2.3 3.0 4.6 mps 1V2it 009M20T kPa psi 3/s" 0090T kPa psi 138 20 117 17 96 14 76 11 55 8 35 5 AP 0 .25 .50 .75 1 1.25 1.50 2.5 3.1 gpm 0 .95 1.9 2.9 3.8 4.8 5.7 9.4 11.8 Ipm kPa 172 psi 25 V2" 0090T 138 103 20 15 69 10 35 5 0 1 2.5 5 7.5 10 12.5 15 gpm Alp 0 3.8 9.5 19 28.5 38 47.5 57 Ipm 5 7.5 15 fps 1.5 2.3 4.6 mps kPa psi 207 30 165 24 124 18 83 12 41 6 0 0 02 6 AP 07.6 23 kPa psi 207 30 172 25 138 20 103 15 69 10 35 5 0 0 3/a" 009M3QT 10 14 18 22 26 30 34 38 42 46 gpm 38 53 68 84 99 114 129 144 160175 Ipm 7.5 15 fps 2.3 4.6 mps * 1 " 009M20T ©P 0 5 10 20 30 40 50 60 70 80 gpm 0 19 38 76 114 152 190 228 266 304 Ipm 7.5 15 fps 2.3 4.6 mps 207 30 172 25 138 20 103 15 69 10 35 5 0 0 pp 0 10 20 30 40 50 60 70 80 90 100 110120 gpm 0 38 76 114 152 190 228 266 304 342 380 418 456 Ipm 5 7.5 10 15 fps 1.5 2.3 3.0 4.6 mps psi 2"009M20T 207 30 172 25 138 20 103 15 69 10 35 5 EA 0 4P 0 20 40 60 80 100 120 140 160 180 200 gpm 0 76 152 228 304 380 456 532 608 684 760 Ipm 5 7.5 10 15 fps 1.5 2.3 3.0 4.6 mps A Watts Water Technologies Company ES-009 1318 USA: Tel: (978) 688-1811 • Fax: (978) 794-1848 • wwwmatts.com Canada: Tel: (905) 332-4090 • Fax: (905) 332-7068 • wwwmats.ca © 2013 Watts City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director 7/1/2015 CONNIE HARDIN 4600 S 134TH PL SEATTLE, WA 98168 RE: Permit No. PG15-0001 BOEING 9-101 BLDDG 9725 E MARGINAL WAY S Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 8/11/2015. 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. zia 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 8/11/2015, 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, F C Bill Rambo Permit Technician File No: PG15-0001 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 ?EpMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: PG15-0001 DATE: 01/09/15 PROJECT NAME: BOEING #9-101 SITE ADDRESS: 9725 EAST MARGINAL WY S X Original Plan Submittal Response to Correction Letter # DEPARTMENTS: / Revision # before Permit Issued Revision # after Permit Issued BuilHing Division ® Fire Prevention ❑ Planning Division ❑ Public Works Structural ❑ Permit Coordinator ❑ PRELIMINARY REVIEW: DATE: 01/13/15 Not Applicable ❑ Structural Review Required ❑ (no approval/review required) REVIEEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved C Corrections Required ❑ (corrections entered in Reviews) Notation: REVIEWER'S INITIALS: DUE DATE: 02/10/15 Approved with Conditions i Denied ❑ (ie: Zoning Issues) DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 HOLADAY PARKS INC Page I of 4 0 Washington State 'Department of Labor & Industries HOLADAY PARKS INC Owner or tradesperson 4600 S 134TH PL PARKS, GERALD T JR SEATTLE, WA98168 206-248-9700 Principals KING County PARKS, GERALD T JR, PRESIDENT NAILON, JUNE ANNETTE, VICE PRESIDENT O'CONNOR, BONNY K, SECRETARY BECK, DAVID CLARENCE, TREASURER VAN DER VEEN, ERIC M, VICE PRESIDENT (End: 08/14/2013) PIZZEY, GRACE KATHERINE, VICE PRESIDENT (End: 08/14/2013) VAN DER VEEN, JULIE ELIZABETH, MEMBER (End: 08/14/2013) CONNELL, DANIEL AARON, MEMBER (End: 08/14/2013) GIRI, BUTT, MEMBER (End: 08/14/2013) KIEL, RINALD HOWARD, MEMBER (End: 08/14/2013) WHITMYRE, CHRISTIAN, MEMBER (End: 08/14/2013) NELSON, MICHAEL, SECRETARY (End: 11/04/2010) PARKS, DAVID L, TREASURER (End: 11 /04/2010) TALBOT, PAUL, TREASURER (End: 11 /04/2010) Doing business as HOLADAY PARKS INC WA UBI No. Business type 578 004 089 Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=578004089&LIC=HOLADPI379NO&SAW= 1/27/2015