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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 bh 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 Hoare Inicio car Iispaiiol Contact Safety Washington State Department of 4j Labor & Industries MACDONALD/MILLER FAC SOL INC Search L&I � a s�;t:SuJ�' A-% Index Help My Secure. L&a Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson PO BOX 47983 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