HomeMy WebLinkAboutPermit PG15-0008 - PROVIDENCE HEALTH AND SERVICES - HOT WATER TANK, BASIN SINKS AND WATER HEATERPROVIDENCE
HEALTH & SERVICES
2811 S 102 ST
PG15-0008
City of Tukwila
Department of Community Development
a • 6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone:206-431-3670
Inspection Request Line: 206-438-9350
Web site: httu://www.TukwilaWA.gov
PLUMBING/GAS PIPING PERMIT
Parcel No: 0423049190 Permit Number: PG15-0008
Address: 2811 S 102ND ST 200 Issue Date: 2/24/2015
Permit Expires On: 8/23/2015.
Project Name: PROVIDENCE HEALTH AND SERVICES
Owner:
Name: SABEY CORPORATION
Address: FOURTH FLOOR 12201 TUKWILA
INTERNT BLVD, SEATTLE, WA, 98168
Contact Person:
Name:
KEITH RICE
Address:
7717 DETROIR AVE SW, SEATTLE, WA,
98106
Contractor:
Name:
MACDONALD MILLER FACIL SOLUTIO
Address:
PO BOX 47983, SEATTLE, WA, 98146-
7983
License No:
MACDOFS980RU
Lender:
Name:
Address:
DESCRIPTION OF WORK:
Phone: (206) 407-2676
Phone: (206) 768-4180
Expiration Date:
INSTALL (1) 207GALLON HOT WATER TANK, (2) SINGLE BASIN SINKS AND (1) 10-GAL WATER HEATER.
Valuation of Work: $16,500.00 Fees Collected: $235.96
Water District: TUKWILA
Sewer District: 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 296-46B:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Sign
l��
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 to the conditions attached to this permit. Signature: �9 _ Date::2& 11 S
Print Name: (L; \ , S-e_
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: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and
the Fuel Gas Code.
5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved.
6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and
Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of
the holder of the permit to make sure that the work will stand the test prescribed before giving notification
that the work is ready for inspection.
7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall
unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes
installed outside the conditioned space shall be insulated to minimum R-3.
8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing
shall be protected by steel nail plates not less than 18 guage.
9: Piping through concrete or masonryy walls shall not be subject to any load from building construction. No
plumbing piping shall be directly embedded in concrete or masonry.
10: All pipes penetrating floor/ceiling assemblies and fire -resistance rated walls or partitions shall be protected
in accordance with the requirements of the building code.
11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin
layers to twelve inches above the top of the piping with clean earth, which shall not contain stones,
boulders, cinderfill, frozen earth, or construction debris.
12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or
an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other
ordinance of the jurisdiction.
13: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit.
14: 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 TUKWIL
•
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Plumbing/Gas Permit No. 00 V (/
Project No.
Date Application Accepted:
Date Application Expires: 7J
or 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
King Co Assessor's Tax No.: 0423049190
Site Address: 2811 S 102ND ST TUKWILA, WA 98168 Suite Number: #200 Floor: 2
Tenant Name: RIVERFRONT TECH PARK - PROVIDENCE New Tenant: ❑ .....Yes O ..No
PROPERTY OWNER
Name: SABEY CORPORATION
Address: 12201 TUKWILA INT'L BLVD
City: TUKWILA State: WA Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: KEITH RICE
Address: 7717 DETROIT AVE SW
City: SEATTLE State: WA Zip: 98106
Phone: (206) 407-2676 Fax: (206) 407-2677
Email: keith.rice@macmiller.com
Valuation of Project (contractor's bid price): $ 16,500
Scope of Work (please provide detailed information):
PLUMBING CONTRACTOR INFORMATION
Company Name: MACDONALD MILLER
Address: 7717 DETROIT AVE SW
City: SEATTLE State: WA Zip: 98106
Phone: (206) 768-4278 Fax: (206) 768-4279
ContrReg No.: MACDOFS980RU Exp Date: 01/03/2017
Tukwila Business License No.: BUS-0100868
INSTALL (1) 20-GAL HOT WATER TANK, (2) SINGLE BASIN SINKS AND (1) 10-GAL WATER HEATER.
Building Use (per Int'l Building Code). Commercial / Office Bldg
Occupancy (per Int'l Building Code): Commercial / Office Bldg
Utility Purveyor: Water: PUBLIC
Sewer:
PUBLIC
H:\Applications\Fortns-Applications On Line\2011 ApplicationsTlumbing Permit Application Revised 8-9-1 Ldocx
Revised: August 2011 Pagel of 2
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Indicate type of plumbing fixtures and/or t,-., piping outlets being installed and the quantity ,,.,.ow:
Fixture Type
Qty
Bathtub or combination
bath/shower
Dishwasher, domestic with
independent drain
Shower, single head trap
Sinks
2
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 er head
Lavatory
Urinal
Water heater and/or vent
2
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 APPLICATION NOTES -
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 interceotors
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
as
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 Intemational 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 OWATER OR A
Print Name: DARLA DOLL
Mailing Address: 7717 DETROIT AVE SW
02/03/2015
Day Telephone: (206) 768-4278
SEAT ME WA 98106
City State Zip
H:\Applicatiom\Forms-Applications On Line\2011 ApplicationsTlumbing Permit Application Revised 8-9-11.docx
Revised: August 2011 Page 2 of 2
bh
: Indicate type of plumbing fixtures and/or ga. piping outlets being installed and the quantity,. "w:
1
Fixture Type
Qty
Bathtub or combination
bath/shower
Dishwasher, domestic with
1
independent drain
Shower, single head trap
Sinks
2
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
2
Repair or alteration of
water piping and/or water
treatment equipment
Backdlow 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 APPLICATION NOTES -
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 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
as
Each lawn sprinkler
system on any one meter
including bacicflow
protection
...i ce jv)ata'- I a
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
Signature
Print Ni
Mailing
Date: 02/03/2015
DARLA DOLL Day Telephone: (206) 768-4278
s: 7717 DETROIT AVE SW SEATTLE WA 98106
city State zip
REVISION.NORECEIVED
CITY OF TUKWILA
FEB 0 9 2015
PERMIT CENTER
H:Wpplioations\Forms-Applications On Line\2011 ApplicationsTlumbing Permit Application Revised 8-9-1 l.docx
Revised: August 2011 Page 2 of 2
bb
DESCRIPTIONS
PermitTRAK
PAID
$54.60
PG15-0008 Address: 2811 S 102ND ST 200
Apn: 0423049190
$54.60
PLUMBING
$52.50
PERMIT FEE
R000.322.100.00.00
0.00
$42.00
PLAN CHECK FEE
R000.322.103.00.00
0.00
$10.50
TECHNOLOGY FEE
$2.10
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R4648
R000.322.900.04.00 0.00
$2.10
$54.60
Date Paid: Tuesday, February 24, 2015
Paid By: MACDONALD MILLER FACIL SOLLITIO
Pay Method: CHECK 4143
Printed: Tuesday, February 24, 2015 11:03 AM 1 of 1 ��' IL�a!'�,'
WSY57EM5
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$308.12
M15-0013 Address: 2811 S 102ND ST 200
Apn: 0423049190
$126.76
MECHANICAL
$121.88
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$65.00
PLAN CHECK FEE
R000.322.102.00.00
0.00
$24.38
TECHNOLOGY FEE
$4.88
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$4.88
PG15-0008 Address: 2811 S 102ND ST 200
Apn: 0423049190
$181.36
PLUMBING
$174.38
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
PERMIT FEE
R000.322.100.00.00
0.00
$107.00
PLAN CHECK FEE
R000.322.103.00.00
0.00
$34.88
TECHNOLOGY FEE
$6.98
TECHNOLOGY FEE
TOTAL PAID BY RECEIPT: '
R000.322.900.04.00
0.00
$6.98
Date Paid: Wednesday, February 04, 2015
Paid By: MACDONALD MILLER
Pay Method: CHECK 4126
Drimt-4•U/nAnccAmw Fchnian/nd ')n1S 1•11 PM 1 of1 a PIP?
INSPECTION RECORD C) co
I Retain a copy with permiti PERMIT NO I
I N S PWU N 0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98189 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Pirpject"
TypeptAnspectlpn: —
r / ct w-o /"7 c-Q
Address.
Date Called:
Specia instructions:
Date wanted=— a.m.
441
P.m.
PRone NO: 21e6 —5-10 WS,
Inspector. jf5ate!Z
E] REINSPECTION. FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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
1
independent drain
Shower, single head trap
Sinks
2
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
2
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 APPLICATION NOTES -
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 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
as
Each lawn sprinkler
system on any one meter
including backflow
protection
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
Signature:
Date: 02/03/2015
Print Name: DARLA DOLL Day Telephone: (206) 768-4278
Mailing Address: 7717 DETROIT AVE SW SEATTLE WA 98106
City State Zip
REVISION NO.'1
•11;
RECEIVED
CITY OF TUKWILA
FEB 0 9 2015
PERMIT CENTER
H:\AMlications\Fonns-Applications On Line\2011 ApplicationsTlumbing Permit Application Revised 5-9-11.docx
Revised: August 2011 Page 2 of 2
bh
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
February 09, 2015
KEITH RICE
7717 DETROIR AVE SW
SEATTLE, WA 98106
RE: Correction Letter # 1
PLUMBING/GAS PIPING Permit Application Number PG15-0008
PROVIDENCE HEALTH AND SERVICES - 2811 S 102ND ST, SUITE 200
Dear KEITH RICE,
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 - PG DEPARTMENT: Allen Johannessen at 206-433-7163 if you have questions regarding these
comments.
(GENERAL NOTE)
PLAN SUBMITTALS: (Min. size 11xl7 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.)
(If applicable) Structural Drawings and structural calculations sheets by a registered engineer shall have a current
signed stamp -seal. Architectural design sheets and documents by a registered architect shall also have a current
signed stamp -seal.
(BUILDING REVIEW NOTES)
1. Plans specify installation of an AAV or Studor vent. Air Admitting Valves (AAV) shall not be allowed in the
City of Tukwila as a method of drain -waste -vent systems. Revise plans to show drain -waste -vent tied to an existing
vent or show directly vented to the outside.
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. C_ orrections/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. PG15-0008
6300Rrnithrantor RnI/lvvnrd .6/ity #lnn • Tukwiln Wn.chinotnn 9R/RR • Phnna ?n6-431.3K7n • Fnr ?nK_d31.3F(i
PERMIT COOPD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: PG15-0008 DATE: 02/09/15
PROJECT NAME: PROVIDENCE HEALTH & SERVICES
SITE ADDRESS: 2811 S 102 ST
Original Plan Submittal X :Revision # 1 before Permit Issued
X Response to Correction Letter # 1 Revision # after Permit Issued
DEPARTMENTS:
/ 2-Il-K
Bui�'ding Division Fire Prevention ❑ Planning Division ❑
Public Works ❑ Structural ❑ Permit Coordinator
PRELIMINARY REVIEW: DATE: 02/10/15
Not Applicable ❑ Structural Review Required ❑
(no approval/review required)
REVIEWER'S INITIALS:
DATE:
APPROVALS OR CORRECTIONS: DUE DATE
Approved ❑ Approved with Conditions
Corrections Required ❑ Denied ❑
(corrections entered in Reviews) (ie: Zoning Issues)
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
03/10/15
12/18/2013
PERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: PG15-0008 DATE: 2-4-15
PROJECT NAME: RIVERFRONT TECH PARK - PROVIDENCE
SITE ADDRESS: 2811 S 102ND ST, SUITE 200
X Original Plan Submittal
Response to Correction Letter #
DEPARTMENTS:
Revision # before Permit Issued
Revision # after Permit Issued
auil
ing Division Fire Prevention ❑ Planning Division ❑
1)011 i�v 2- �t`
Public Works Structural ❑ Permit Coordinator ❑
PRELIMINARY REVIEW: DATE: 2-5-15
Not Applicable ❑ Structural Review Required ❑
(no approval/review required)
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 3-5-15
Approved ❑ Approved with Conditions ❑
Corrections Required ❑" J
(corrections entered in Reviews)
Notation:
Denied ❑
(ie: Zoning Issues)
REVIEWER'S INITIALS: DATE:
Permit Center Use Only �Q� '-(---
CORRECTION LETTER MAILED: 1` 6J
Departments issued corrections: Bldg Fire ❑ Ping ❑ PW ❑ Staff Initials:
12/18/2013
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: httn://www.ci.tukwila.wa.us
REVISION SUBMITTAL
Revision submittals must he submitted in person at the Permit Center. Revisions will not he accepted through
the mail, fax, etc.
Date:
Plan ChecidPermit Number: PG 15-0008
❑ Response to Incomplete Letter #
® Response to Correction # 1
Revision # aPermit is Issued
❑ Revision requested by a City Building Inspector or Plans .Examiner
Project Name: Providence Health and Services
Project Address: 2811 S 102 St Suite 200
Contact Person:
Phone Number:
Summary of Revision: Ve ,-,+5 ( /eA A4 .-0 4o f—OpE
PERMIT CENTER
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revi o
Received at the City of Tukwila Permit Center by:
®Entered in TRAKiT on a-` `
\applicationsWorms-applications on line\revision submittal
Created: 8-13-2004
Revised:
SOT TNC MACDONALD/MILLER FAC
Page 1 of 3
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Washington State Department of
4j Labor & Industries
MACDONALD/MILLER FAC SOL INC
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SIMONDS, DERRICK R SEATTLE, WA 98106
206-768-4180
Principals KING County
SIMONDS, DERRICK R, PRESIDENT
WEBSTER, MARK E, VICE PRESIDENT
GEBHARDT, STEPHANIE
WETTACH, TREASURER
HOEL, STEPHANIE W, MEMBER
SIGMUND, FREDRIC, PRESIDENT
(End: 01 /04/2011)
LOVELY, STEVE C, VICE PRESIDENT
(End: 01 /04/2011)
HACK, RICHARD, SECRETARY
(End: 0 1 /04/2011)
KOPET, TYLER, TREASURER
(End: 01 /04/2011)
TURLEY, DOUGLAS, CHIEF EXECUTIVE
OFFICER
(End: 01 /04/2011)
TURLEY, DOUGLAS, CHIEF OPERATING
OFFICER
(End: 01 /04/2011)
GOUGH, DAVID ANTHONY, DIRECTOR
(End: 08/29/2014)
Doing business as
MACDONALD/MILLER FAC SOL INC
WA UBI No. Business type
602 254 260 Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contrac
....................................................................tor...... Active.
Meets current requirements.
License specialties
GENERAL
License no.
MACDOFS980RU
Effective — expiration
12/31 /2002— 01 /03/2017
Bond
........_......
LIBERTY MUTUAL INS CO $12,000.00
Bond account no.
023006951
https:Hsecure.lni.wa.gov/verify/Detail.aspx?UBI=602254260&LIC=MACDOFS980RU&SAW= 02/24/2015