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HomeMy WebLinkAboutPermit PG16-0003 - EXTENDED STAY TUKWILA - SHOWERS IN UNITS 125, 126 AND 127aTENDED STAY AMERICA 15635 W VALLEY HWY PG16-0003 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.Rov PLUMBING/GAS PIPING PERMIT Parcel No: 0005800015 Permit Number: PG16-0003 Address: 15635 W VALLEY HWY Issue Date: 3/11/2016 Permit Expires On: 9/7/2016 Project Name: EXTENDED STAY TUKWILA Owner: 2012 Name: EXTENDED STAY HOTELS Address: PO BOX 49550 ATTN PROPERTY TAX, WA Cities Electrical Code: CHARLOTTE, WA, 28277 Contact Person: 2012 Name: JACOB LECLAIR Address: 1420 MAPLE AVE SW, RENTON, WA, WA State Energy Code: 98057 Contractor: 2012 Name: VITAL MECHANICAL SERVICE INC Address: 1420 MAPLE AVE SW, RENTON, WA, (�(/ 98057 License No: VITALMS964MM Lender: Name: Address: Phone: (206) 629-4828 Phone: (253) 630-6933 Expiration Date: 10/7/2016 DESCRIPTION OF WORK: INSTALL NEW SHOWER DRAIN WITH SEEPAGE FLANGE, NEW SLIDE BAR AND SHOWER SPRAY, NEW WALL HUNG LAVATORY AND NEW ADA WATER CLOSET INTO UNITS 125,126 AND 127 Valuation of Work: $7,439.00 Fees Collected: $381.56 Water District: TUKWILA Sewer District: TUKWILA 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 296-4613: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: ,� '�,' (�(/ Date: Q-3 //�� 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. J Signature:. (--(' Date: 3— /—/6 Print Name:__ 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 masonry 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 111 CITY OF TUKWIL Community Development Department Permit Center 6300 Southeenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.Rov Plumbing/Gas Permit No. T6 `lo ©d 0 3 Project No. Date Application Accepted: Date Application Expires: l le use 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 Kin Co Assessor's Tax No -115720-0031 Site V-5'' a ls��s g rte/ 9, , ,J Suite Number: 25,126,12 Extended Stay Tukwilla / I Tenant Name: Y PROPERTY OWNER Name: BRE/ESA P Portfolio LLC c/o Blackstone Address: 345 Park Ave City: New York State: N, Zip: 10154 CONTACT PERSON — person receiving all project communication Name: Jacob LeClair Address: 1420 Maple Ave SW City: Renton State: WA Zip- 98057 Phone: (206) 629-4828 Fax: (206) 201-6800 Email: jacob.leclair@vitalmechanical.com Valuation of Project (contractor's bid price): S 7,439 New Tenant: Floor: 1 ❑ .....Yes ®..No PLUMBING CONTRACTOR INFORMATION Company Name: Vital Mechanical Service Address: 1420 Maple Ave SW City: Renton State: Wa Zip: 98057 Phone: (206) 629-4828 Fax: (206) 201-6800 Contr Reg No.: VITALMS964MM Exp Date: 07/31/2016 Tukwila Business License No.: Scope of Work (please provide detailed information): Installing new shower drain with seepage flange, new slide bar hose and shower spray, new wall hung lavatory, and new ADA water closet into units 125, 126, and 127. Building Use (per Int'l Building Code): Occupancy (per Int'1 Building Code): Utility Purveyor: Water: Hotel/Motel 844 Water District Sewer: Public H:Wpplicatiom\Forms-Applications On Linc\2011 Applications\Plumbing Permit Application Revised 8-9-1 l.docx Revised: August 2011 Page I of 2 bh Indicate type of plumbing fixtures and/oropiping outlets being installed and the quantity --tow: Fixture Type Qty Bathtub or combination 3 bath/shower 3 Dishwasher, domestic with independent drain 3 Shower, single head trap Sinks 3 Rain water system — per drain (inside building) Grease interceptor for commercial kitchen (>750 gallon capacity) Each additional medical 3 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 3 cooler(per head) Lavatory 3 Urinal Water heater and/or vent 3 Repair or alteration of water piping and/or water treatment equipment Backflow protective device other than atmospheric - type vacuum breakers 2 3 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 3 Food -waste grinder, connnercial Wash fountain Water closet 3 Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interce tors Repair or alteration of 3 drainage or vent piping Backflow protective device other than atmospheric -type vacuum breakers over 2 inch 51 nnn diameter Gas piping outlets Fixture Type Qty Dental unit, cuspidor Floor drain 3 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 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 OWNER OR AUTHO Z Rianafitre• ����� r/ Print Name Jacob LeClair Mailing Address: 1420 Maple Ave SW 01/12/2016 Day Telephone: (206) 629-4828 Renton WA 98057 City State Zip H:\Applicalions\Fonns-Applications On Line\2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 Page 2 of 2 bh DESCRIPTIONS • QUANTITY PermitTRAK $381.56 PG 16-0003 Address: 15635 W VALLEY HWY Apn: 0005800015 $381.56 PLUMBING $366.88 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $261.00 PLAN CHECK FEE R000.322.103.00.00 0.00 $73.38 TECHNOLOGY FEE $14.68 TECHNOLOGY FEE TOTAL R000.322.900.04.00 0.00 $14.68 Date Paid: Tuesday, January 19, 2016 Paid By: JACOB LECLAIR Pay Method: CREDIT CARD 545900 Printed: Tuesday, January 19, 2016 9:27 AM 1 Of 1 r ff SY57EM5 N INSPECTION RECORD Retain a copy with permit P616 —��®3 k'MSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION WL 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Pro'ect: 4 gn-1 Type f Inspec ion: A dress: -�-6 35- �J tig( fu V Date Calle : Special Instructions: I✓ % z-7 Date an d: % a.m. ' 1 p.m. Request r: p /( Pha No: - 5YCf -- 6a Inspector: / Iuate: L —s--16 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. KC, INSPECTION RECORD Retain a copy with permit fob _pOo 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 Pro' ct: Typ f insp tion: z ddress Date Called: . Special Instructions: I Hate Wanted: a.m. —(0 p.m. Req este . Phone No: ❑ Approved per applicable codes. LJ Corrections required prior to approval. Inspector: r/�� (uate:-� F] REINSPECTION FEE REQUIRED. Prior to next inspection, See must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. W, INSPECTION RECORD Retain a copy with permit � 16 PERMIT T N0. 0 INSPECTION N0. N. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Pro'ct: tt��QQ,��,,,��,,pp�, ( Typ oflnsp ctio�nr:: Address: / Special Instructions: Date Calle : oe Dateantj` d: / I _ a. Requester. Phone No: Approved per applicable codes. Corrections required prior to approval. 1lnspector: a-�i 1Date:3 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 Project. f 4 Type ofpection) Address: �(c� W Date Called: Sp c'al Instructions: �� �N (�f Date Wante .: ( a.m. ✓ p.m. Requester: Phone No: Inspector: � I Date: � / El REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Feb 2416 04:44p Vital Mechanical Serviceo Fax Cover Sheet r4252710254 p.1 3 L Vd* aal Mechanical Service www.vitaImechanicaI.com To: Company: Public Works Administration City of Tukwila Phone: 206.433.0179 Fax: 206.431.3665 From: Administration Company: Vital Mechanical Service, Inc. Phone: 206.629.4828 Fax: 206.201.6800 e-mail: Nikki. seader ax vital mechanical.corr REVIEWED FOR CODE COMPLIANCE. Date: 2/24/2016 3:33 PM APPROVED Reference: Backflow assembly test report MAR 0 4 2016 Pages including this 9 cover page: If all pages are not received, call (253) 630-6933. City of Tukwila BUILDING DIVISION Following please find copies of.the completed backflow prevention assembly test report. Thank you. RECEIVED ` R.ECEIVED CITY OF TUKWILA FEB 24 2016 FEB 2 5 2016 TtlKwli.A. PUBLIC WORKS PERMIT CENTER SERVICE AND REPAIR FOR CRITICAL PAEC-IANICAL SYSTEMS 13106 SE 240th Si i Suite 101 i Kent, WA 98031 i Ph: 253.630.6933 i Fx: 253.630.6934 Feb 2416 04:44p Vital Mechanical Serviceo Stnttle I V, VE Public Utflities RZtU?,n Seattle Public Utilities CSB– Inspections Services 700 511 Ave, Suite 04900 P.O. Box 34018 Seattle, WA 98124.4018 Phone :(206) 684-3536 FAX ; (206) 684-7585 4252710254 p,2 Public Health Seattle & [ding County HEALTHYPEOPLE. HEALTHYC t1 ii FEB 24 2016 SPU Backflow Prevention Assembly Test Repor`t's WORKS NEW ACCOUNT: YES 1 NO EXISTING ACCOUNT MUST INCLUDE ASSEMBLY ID NUMBER: #t NAME OF PREMISE: Cl COMMERCIAL + RESIDENTIAL SERVICE ADDRESS: zip CONTACT PERSON:. `I1v / >}W i/' cri . r �.-� PHONE ( 1 , 'l`5 - t.S GjFAX ( ) LOCATION OF ASSEMBLY: c �L�14.� ���" ('l i � (2 DOWNSTREAM PROCESS: HAZARD: NEW: EXISTING: REPLACEMENT: OLD SER. # APPROVED ORIENTATION: YE NO TYPE OF ASSEMBLY: DCVA )4 RPBA PVBA _ OTHER PASSED ANNUAL TEST: E5 NO MAKE OF ASSEMBLY 1T-6 MODEL i G SERIAL NO.�� �. SIZE_ INTIAL TEST 7 DCVA / RPVA DCVA f RPVA RPVA RPVA l SVBA CHECK VALVE NO. 1 CHECK VALVE NO.2 OPENED PSID A1R INLET OPENED? PASSED k PSID 1, .5 PSID #1 CHECK PSID YES 1 NO FAILED LEAKED Y N LEAKED Y N AIR GAP APPROVED?Y N OPEN@ PSID NEW PARTS CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VAVLE AND REPAIRS # # _ # HELD @ ASID # # # LEAKED@ PSID # - — # # CLEANED — # # REPAIRED TEST AFTER REPAIRS PASSED PSID PSID PSID PSID FAILED ILEAKED LEAKED LEAKED LEAKED CONFINED SPACE? YES NO ' DETECTOR METER READING: REMARKS: n TESTERS NAME PRINTEE TESTERS SIGNATURe. REPAIRED BY (PRINT):_ REPAIRER SIGNATURE: FINAL TEST BY (PRINT): TESTERS SIGNATURE CALIBRATION DATE:Icy / 1� ! _ IGE I certify that this report is accurate and I have used WAC LINE PRESSURE: i0 -G PSI. CERT. NO. ��� -�_ PHONE: - DATE: CERT. NO. PHONE: ( ) DATE'- CERT. ATE:CERT. NO. ti PHONE: (qC i, ' 1i1 DATE: --I !l�C.- c ,I,stb43 5 MODEL_ -0 SERVICE RESTORED? YES NO !RMYed test methods and test .0003 AT PC7 16 40 Feb 2416 04:44p Vital Mechanical Serviceo 4252710254 p.3 ASSEMBLY ID: _ NAME OF PREMIS SERVICE ADDRESS CONTACT PERSON LOCATION OF ASSEMBLY 0 Viftl Mechanical Service itolmechofiicc1.com BACKFLOW PREVENTION ASSEMBLY TEST REPORT PHONE W-tr C,, Commercial[ Residential ❑ CITY r d ZIPQ FAX ( ) DOWNSTREAM PROCESS �-" e� I DCVA � RPBA ❑ PVBA❑ OTHER NEW INSTALL ❑ EXISTING& REPLACEMENT ❑ OLD SER.# USC APPROVED? YES 1&N0❑ PROPER INSTALLATION?YESA NO ❑ PROPER ORIENTATION? YESkj NO[] C MAKE OF ASSEMBLY UM lg-k ODEL !754)eL SERIAL NO. �V1 dZc: PI SIZE I• S INTIAL DCVA/RPBA DCVA/RPBA RPBA PVBA/SVBA TEST CHECK VALVE N0.1 CHECK VALVE NO.2 AIR INLET OPENED AT PSID OPENED AT PSID PASSED LEAKED ❑ LEAKED ❑ #1 CHECK PSID I FAILED �� ❑ c} PSID PSID AIR CAP OK? DID NOT OPEN ❑ CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECKVALVE NEW ❑ ❑ ❑ ❑ El El HELD AT PSID AND REPAIRS © ❑ ❑ ❑ ❑ ❑ LEAKED ❑ ❑ ❑ ❑ ❑ ❑ ❑ CLEANED ❑ ❑ ❑ ❑ ❑ ❑ ❑ REPAIRED [] TEST AFTER REPAIRS LEAKED ❑ LEAKED ❑ OPENED AT PSID AIR INLET PSID ❑ PASSED PSID PSID #1 CHECK PSID CHKVALVE PSID FAILED ❑ AIR GAP INSPECTION: PASS FAIL❑ AIR GAP SEPERATION(IN INCHES) DETECTOR METER READING AIR GAP SUPPLY PIPE DIAMETER (IN INCHES) LINE PRESSURE PSI CONFINED SPACE? _//I REM TESTER SIGNATURE: CERT NO. BSS56 DA TESTER NAME PRINTE Ed Schafle TESTER PHONE NUMBER ( 206)629.4828 REPAIRED BY: DATE: FINAL TEST BY: CERT NO. B5556 DATE: CALIBRATION DATE: 9/2S/2015 GAUGE # 07092 19 MODEL 845-5 SERVICE RESTORED? YES NO io ❑ BY SIGNING THE TEST REPORT, THE BAT CERTIFIES THAT HE/SNE PERSONALLY INSPECTED AND FIELD TESTED THE BACKFLOW ASSEMBL Y, PREVENTER OR INSPECTED THE AIR GAP OR AVB, USED USC ]0- EDMON FIELD TES!"PROCEDURES, A FIELD TEST KIT COMPLYING WITH THE WAC 241,291.034, AND PROVIDED TRUE,COMPLETE;ANDACCURATEINFORMAnofflONTHE FIELD TESTREPORT ( /J(� 1420 Maple Ave SW j Renton WA 98057 1 Ph: 206 629.4828 FEB 24 20T TUKWI A pUBCi0 WORKS Feb 2416 04:45p Vital Mechanical Serviceo 4252710254 p.4 Vital Mechanical Selmrrice www.vitalmec ianicol.com BACKFLOW( PREVENTION ASSEMBLY TEST REPORT ASSEMBLY ID: j NAME OF PREMISE {{ j4,01, PCO.Commercial[A Residential ❑ SERVICEADDRESS f_ W� CITY l /� L{l F ZIPAW= CONTACT PERSON T r PHONGJ;? 3S% (060: FAX LOCATION OF ASSEMBLY 12-rrov? DOWNSTREAM PROCESS LS OCVA [� RPBA ❑ PVBA ❑ OTHER NEVI! INSTALL ❑ EXISTINGI)d REPLACEMENT ❑ OLD SER.# USC APPROVED? YES[] NOF PROPER INSTALLATION?/AYES [X NO ❑ PROPER ORIENTATION? YES[I NO❑ MAKE OF ASSEMBLY C f MODEL 7L')'c-t 111 1) 3 SERIAL N0. f�7 Cf S f r/1 SIZE 31 INTIAL DCVA RPBA DCVA/RPBA RPBA PVBA SVBA TEST CHECK VALVE NO.1 CHECK VALVE NO.2 AIR INLET OPENED AT PSID OPENED AT PSID PASSED ❑ LEAKED ❑ LEAKED ❑ #1 CHECK PSID FAILED PSID PSID AIR CAP OK? DID NOT OPEN ❑ CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PAR7 CHECK VALVE NEIN 11 ❑ ❑ ❑ ❑ ❑ PARTS ❑ HELD AT PSID AND REPAIRS ❑ ❑ ❑ ❑ D LEAKED ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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: PASS[] FAIL[] AIR GAP SEPERATION(IN INCHES) DETECTOR METER READING AIR GAP SUPPLY PIPE DIAMETER (IN INCHES) TESTER SIGNATURE: LINE PRESSURE PSI CONFINED SPACE? CERT NO. 85556 DATE TESTER NAME PRI N Ed Schafle TESTER PHONE NUMBER (206)629.4828 REPAIRED BY: / , DATE: r� ! FINAL TEST BY: CERT NO. 85556 DATF- ,1Fz CALIBRATION DATE: 9/2512015 GAUGE # 07092299 MODEL 845-5 SERVICE RESTORED? YES NO ❑ ❑ 8YSfGNING THE TEST REPORT, THE BAT CERTIFIES THA THE/SNE PERSONALLY INSPECTED AND HELD TESTED THE BACKFLOW ASSEmM Y, PRE1/EN7ER DR INSPECTED THE AIR GAP OR AV8, USED USCIOO/ EDITION FIELD TEST PROCEDURES, A HELD TEST HIT COMPLYING WITH THE WAC 246-Z92-034, AND PROVIDED TRUE COMPLETE AND ACCURATE INFORMATION (m THE HELD TEST REPORT 1420 Maple Ave SW I Renton, WA 98057 1 Ph: 206.629.4828 FEB 24 20T TUKVVILA PUBLIC WORKS Feb 2416 04:46p Vital Mechanical Serviceo 4252710254 iOrtllal Mechanical U rWce www.vilaImec,)anicai.com BACKFLOW PREVENTION ASSEMBLY TEST REPORT A55EMBLY ID: /� NAME OF PREMISE L Vr� L. Comm SERVICE ADDRESS I •.� S �- '. ]� w CITY '74ok, i i Z CONTACT P LOCATION OF ASSEMBLY I, PHDN E V4 j �%-!)FAX ( ) m ResWentiallJEl —zip 9� DDWNSTREAM PROCESS ':f t�-36 4ja (,/ DCVA RLRPBA ❑ PVBA❑ OTHER NEW INSTALL ❑ EXISTING ❑ REPLACEM NT ❑ OLD SER,# USC APPROVED? YES[KNO❑ PROPER INSTALLATION? YES NO ❑ PROPER ORIENTATION? YES& NOS}❑J' MAKE OF ASSEMBLY I MODEL-95SERIAL NO. �1 �`�f �`�/ . 512E A INTIAL DCVA RPBA DCVA/RPBA RPBA PVBA SVBA TEST CHECK VALVE NO.1 CHECK VALVE N0.2 AIR INLET OPENED AT PSID PASSED LEAKED ❑ LEAKEDEl #1 CHECK PSID OPENED AT PSID FAILED ❑ V. g PSID r, 0 ✓' PSID AIR CAP OK? I DID NOTOPEN ❑ CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PARTCHECK VALUE NEW 1:1 El El El❑ ❑ PARTS ❑ HELD AT PSID AND REPAIRS ❑ ❑ [] ❑ ❑ LEAKED ❑ ❑ ❑ ❑ ❑ ❑ ❑ CLEANED El ❑ I ❑ ❑ ❑ ❑ REPAIRED [] TEST AFTER REPAIRS LEAKED ❑ LEAKED ❑ OPENED AT PSID AIR INLET PSID ❑ PASSED PSID PSID #1 CHECK PSID CHK VALVE PSID FAILED ❑ R GAP INSPECTION- PASSi—I PATI M Ala CAD crncoATin►uirt .. �., --— ---.- —• a • -'{ IVI L I CR n[HUIIijQ AIRGAP SUPPLY PIPE DIAMETEIj (IN INCHES] LINE PRESSURE PSI CONFINED SPACE? REMARKS TESTER SIGNATURE: \ CERT NO. 85556 DATE TESTER NAME PRINTED; Ed Schafle TESTER PHONE NUMBER ( 206)629.4828 REPAIRED BY: DATE: FINAL TEST BY: CERT NO. 85556 DATE: IA2q t/16 CALIBRATION DATE: 9/25/2015 GAUGE # 07092 9 MODEL 845-5 SERVICE RESTORED? YES NO F1 BYSIGNING THE TESTREPORT, THE BAT CERTIFIES THATHE/SHE PERSONA U Y INSPECTED AND FIELD TESTED THE BACKFLO W ASSEMBLY, PREVENTER OR INSPECTED THE AIR GAP ORAVB, USED FISC JOIN EDITION FIELD TEST PROCEDURES, A FIELD TEST KIT COMPLYING WITH THE WAC 246-292-034, AND PROVIDED TRUE, COMPLETE, AND ACCURATE INFORMATION ON THE FIELD TEST REPORT 1420 Maple Ave SW Renton, WA 98057 1 Ph. 206.629.4828 FEB 24 2016 TU'KVVIL. A PUBLIC WORKS Feb 2416 04:47p Vital Mechanical Serviceo ASSEMBLY ID: NAME OF PREMISE SERVICE ADDRESS_L_q CONTACT PERSON LOCATION OF ASSEMBLY 4252710254 p.6 Vial Mechanical SesPAce \�;ww.vitoImecnanico1.ccm BACKFLOW PREVENTION ASSEMBLY TEST REPORT itial(!❑,��� DOWNSTREAM PROCESS ��/ 14 �vS%�I DCVA 0 RPBA ❑ PVBA❑ OTHER NEWINSTALL❑ EXISTINGR REPLACEMENT❑ OLDSER.ft USC APPROVED? YES UNO❑ PROPER INSTALLATION? YES NO ❑ PROPER ORIENTATION? YES NOD //ll MAKE OF ASSEMBLY I IYIODEL �QSERIAL N0.� C1 SIZE IU `, A INITIAL TEST DCVA/RPBA CHECK VALVE NO.1 DCVA RPBA CHECK VALVE NO.2 RPBA PVBA SVBA AIR INLET OPENED AT PSID PASSED E4 LEAKED E]LEAKED E]#1 CHECK PSID OPENED AT PSID FAILED ❑ PSID -PART �/ PSID AIR CAP OK? DID NOT OPEN ❑ NEW PARTS AND REPAIRS CLEAN REPLACE El ❑ ❑ CLEAN REPLACE PART ❑ F-1 - ❑ ❑ CLEAN REPLACE PART CHECK VALVE ❑ HELD AT PSID ❑ ❑ LEAKED ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ CLEANED ❑ ❑ ❑ REPAIRED ❑ TEST AFTER REPAIRS LEAKED ❑ LEAKED ❑ OPENED AT PSID AIR INLET PSID PASSED FAILED ❑ PSID PSID #1 CHECK-PSID CHK VALVE PSID R GAP INSPECTION- PA-'S;r%tn FAn M AID r.AD CrIDMATIneul.. I�Irur_ci AIR GAP SUPPLY PIPE DIAMETER (IN INCHES) LINE PRESSURE 0 PSI CONFINED SPACE? REMARKS TESTER SIGNATURE: CERT NO. B5556 DATE TESTER NAME PRINTED: £d Schafle TESTER PHONE NUMBER ) 206)629.4828 REPAIRED BY. DATE: / FINAL TEST BY: CERT NO. 85556 DATE: l 99 CALIBRATION DATE: 9/2512015 GAUGEA07092219 MODEL 845-5 SERVICE RESTORED? YES NO R ❑ BY SIGNING THE TEST REPORT, THE RAT CERTIFIES 774A T HE/SHE PERSONALLY INSPECTED AND FIELD TESTED THE BACKFLOW AS5EM8t Y, PREVFNTfR OR INSPECTED THE AIR GAPOR AVB, USED USC 10- EDITION FIELD TEST PROCEDURES, A FIELD TEST KITCOMPLYING WITH THE WAC246-292-Q34,AND PROVfOED TRUE, COMPLETE, AND ACCURATE INFORMATION ON THE' FIELD TEST REPORT I FEB 24 2016 1420 Maple Ave SW Renton, WA 98057 j Ph. 206.629.4828 -F LAVVI PUBLIC WORKS Feb 2416 04:48p Vital Mechanical Serviceo 0 4252710254 p.7 Vital Mechanical Service —w.vilalmechonicol.c-orn BACKFLOW PREVENTION ASSEMBLY TEST REPORT ASSEMBLY ID: NAME OF PREMISE SERVICE ADDRESS CONTACT PERSON LOCATION OF ASSEMBLY [CL.t.J DOWNSTREAM PROCESS 14W ONE Commercial'] Residential ❑ _CITY '"cul W;/A I:q,?rj "711'4 Q FAX ( ) DCVA ❑ RPBA Ut PVBA ❑ OTHER NEW INSTALL ❑ EXISTING 2 REPLACEMENT ❑ OLD SER.# USC APPROVED? YES (4 NO❑ PROPER INSTALLATION? YES CK , NO ❑ PROPER ORIENTATION? YESg NO❑ MAKE OF ASSEMBLY (,C O I4S MODEL!-POUOI i'A4.9[- -r SERIAL NO. CaIR-i 5 I SIZE r,r INTIAL DCVA/RPBA DNA RPBA RPBA PVBA SVGA TEST CHECK VALVE NO.1 CHECK VALVE NO.2 ;�7 OPENED ATo•PSID AIR INLET PASSED LEAKED ❑ LEAKEDo ❑ #1 CHECK O � � PSID OPENED AT PSID FAILED ❑ • pSlp-r PSID AIR CAP OK? DID NOT OPEN ❑ CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE NEW El E]❑ E]❑ ❑ PARTS ❑ HELD AT PSID AND REPAIRS ❑ ❑ ❑ ❑ ❑ LEAKED ❑ ❑ ❑ ❑ ❑ ❑ ❑ CLEANED ❑ ❑ ❑ ❑ ❑ ❑ ❑ REPAIRED ❑ TEST AFTER REPAIRS LEAKED ❑ LEAKED ❑ OPENEDAT PSID AIR INLET PSID ❑ PASSED PSID PSID #1 CHECK PSID CHK VALVE PSID FAILED ❑ AIR GAP INSPECTION: PASSY FAIL❑ AIR GAPSEPERATION(IN INCHES) I DETECTOR METER READING AIR GAP SUPPLY PIPE DIAMETER (IN INCHES) LI LINE PRESSURE PSI CONFINED SPACE?_�_ REMARKS TESTER SIGNATURE: CERT NO. 85556 DATE TESTER NAME PRINTED: Ed Schafle TESTER PHONE NUMBER ( 206)629.4828 REPAIRED BY: DATE: FINAL TEST BY: CERT NO, 85556 DATE: CALIBRATION DATE: 9/25/2015 GAUGE # 092219 MODEL 845-5 SERVICE RESTORED? YES NO ,® ❑ BY SIGNING THE TEST REPORT THE SATCERTLFIES THAT HE/SHE PERSONALLY INSPECTED AND FIELD TESTED THE BA CKFLOWASSEMBLY, PREVENTER OR INSPECTED THBAIR GAP ORAVB, USED USC 10- EDITION FfFLD TEST PROCEDURES, A FIELD TEST KIT COMPLYING WITH THE WAC 246 292 ABC OFp , E TRUE, COMPLETE, AND ACCURATE INFORMATION ON THE FIELD TEST REPORT �r 1420 Maple Ave SW I Renton, WA 98057 1 Ph: 206.629.4828 FEB 24 2016 TL KWILA PUBLIC WORKS Feb 2416 04:49p Vital Mechanical Serviceo 4252710254 irdal Mechanical SeWrice www.vifolme:honiccl.Com ASSEMBLY ID: NAME OF PREMISE SERVICE ADDRESS CONTACT PERSON LOCATION OF ASSEMBLY BACKFLOW PREVENTION ASSEMBLY TEST REPORT .: 2�rr'TACommerrcialX Residential ❑ CITY 1 I — OCV > FAX ( ) DOWNSTREAM PROCESS ' 1, .eZDCVA ❑ RPBAk PVBA❑ OTHER NEW INSTALL ❑ EXISTINGQ( REPLACEMENT 11 OLD SER.# USC APPROVED? YES® NO[] PROPER INSTALLATION? YES gj NO ❑ PROPER ORIENTATION? YESR[ NO[] j 11 MAKE OF ASSEMBLY l MODEL 1609 ��� SERIAL NO. 4 7�-%q%y SIZE_ INTIAL DCVA/RPBA DCVA RPBA RPBA PVBA SVBA TEST CHECK VALVE NO.1 CHECK VALVE NO.2 AIR INLET !] OPENEDATC9-- PSID OPENED AT PSID PASSED j ' LEAKED ❑ LEAKED ❑ #1CHECK 9`t) PSID FAILED © !J PSID e ASID AIR CAP OK? DID NOT OPEN CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE NEW ❑ ❑ ❑ ❑ El PARTS HEED AT PSID AND REPAIRS ❑ ❑ ❑ ❑ ❑ ❑ LEAKED ❑ ❑ ❑ ❑ ❑ ❑ CLEANED ❑ ❑ ❑ ❑ ❑ ❑ ❑ REPAIRED ❑ TEST AFTER REPAIRS LEAKED ❑ LEAKED ❑ OPENEDAT PSID AIR INLET PSID ❑ PASSED PSID PSID #1 CHECK PSID CHK VALVE PSID FAILED ❑ AIR GAP INSPECTION: PASS® FAIL❑ AIR GAP SEPERATION(IN INCHES) DETECTOR METER READING AIR GAP SUPPLY PIPE DIAMETER (IN INCHES) I LINE PRE55URES PSI CONFINED SPACE?Ad _ REMARKS TESTER SIGNATURE: CERT NO. 85556 DATE TESTER NAME PRINTED: Ed Schafle TESTER PHONE NUMBER ( 206)629.4828 REPAIRED BY: DATE: j FINAL TEST BY: 9 CERT NO. B5556 DATE: I/?q 11,4 CALIBRATION DATE: _ 9/25/2D15_ GAUGE # 070k219 MODEL 845-5 SERVICE RESTORED? YES NO ' , [k ❑ SYSIGNING THE TEST REPORT, THE BAT CERTIFIES THAT HEISHE PERSONALLY INSPECTED AND FfELD TESTED THE BACKFLOW ASSEMBLY, PREVENTER OR INSPECTED THEAIR GAP ORAVB, USED USC IO- EDITION FIELD TEST PROCEDURES, AFIELD TEST KIT COMPLrrNG WITH THE WAC 246-M-034, AND PROVIDED TRUE, COMPLETE AND ACCURATE INFORMATION ON THE HELD TEST REPORT RECEIVED FEB 24 2016 1420 Maple Ave SW Renton, WA 98057 Ph: 206.629.4828 TLJKVV,Lk PUBLIC WORKS Feb 2416 04:49p Vital Mechanical Senriceo 4252710254 p.9 Vital Mechanical Service wevw.•:italr�ccha�iccl.com ASSEMBLY ID: NAME OF PRE SERVICE ADD CONTACT PERSON LOCATION OF ASSEMBLY BACKFLOW PREVENTION ASSEMBLY TEST REPORT 1,552-6 003 FAX ( [ Residential ❑ ZI P_q k DOWNSTREAM PROCESS 'n.— / - < CVA ❑ RPBA K PVBA ❑ OTHER NEW INSTALL❑ EXISTING REPLACEMENT ❑ OLD SER.# USC APPROVED? YES] NO❑ PROPER INSTALLATION? YES M NO ❑ PROPER ORIENTATION? YES® NO[-] MAKE OF ASSEMBLY r MODEL 1 ,K� SERIAL NO. L12 7 SIZE 4� INTIAL DCVA/RPBA DCVA RPBA RPBA PVBA SVBA TEST CHECK VALVE NO.1 CHECK VALVE NO.2 OPENEDAT �-0 PSID AIR INLET PASSED LEAKED ❑ LEAKED ❑ `7 #1 CHECK G' PSID OPENED AT PSID FAILED ❑ PSID PSID AIR CAP OK? L--' DID NOT —— OPEN ❑ CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE NEW ❑ ❑11 ❑ © ❑ PARTS ❑ HELD AT PSID AND REPAIRS ❑ ❑ ❑ ❑ ❑ LEAKED ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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: PASS FAIL❑ AIR GAP SEPERATION(IN INCHES) DETECTOR METER READING AIR GAP SUPPLY PIPE DIAMETER (IN INCHES)_ LINE PRESSURE -_PSI CONFINED SPACE? TESTER SIGNATURE: CERT N0, B5556 DATE TESTER NAME PRINTED: Ed Schafle TESTER PHONE NUMBER (2061629.4828 REPAIRED BY: ! DATE: FINAL TEST BY: CERT NO. B55S6 DATE: 157 CALIBRATION DATE: 9/25/2015 GAUGE # 0709#219 MODEL 845-5 SERVICE RESTORED? YES NO • r 1� ❑ BYSIGNING THE TEST REPORT, THE BAT CERTIF/ES THAT HE/SHE PERSONALLY INSPECTED AND FlELD TESTED THE BACKFLOWASSEMBLY, PREVENTEV OR INSPECTED THEAIR GAP OR AVB, USED USC IO- EM77ON FI ELD TESTPROCEDURES, A FIELD TEST KfT COMPLYING WITH THE WAG 246-291-034, AND PROVIDED TRUE COMPLETE, ANDACCURATEINFORMATIONONTHEREIDTESTREPORT RECEIVED FEB 24 2016 1420 Maple Ave SW J Renton, WA 98057 j Ph: 206.629.4828 PUBLIC WORKS City of Tukwila Allan Ekberg, Mayor Department of Community Development Jack Pace, Director January 29, 2016 JACOB LECLAIR 1420 MAPLE AVE SW RENTON, WA 98057 RE: Correction Letter # l PLUMBING/GAS PIPING Permit Application Number PG 16-0003 EXTENDED STAY TUKWILA - 15635 W VALLEY HWY Dear JACOB LECLAIR, 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 - DEPARTMENT: Joanna Spencer at 206-431-2440 if you have questions regarding these comments. This permit can't be issued until Public Works receives overdue backflow test reports for: 1) 3" DCVA in in the boiler room 2) 6" fire line DCDA 3) 1.5" irrigation DCVA 4) two 1 " RPPA in laundry room for washing machine 5) 0.5" RPPA on dishwasher connection. A separate letter addressing the need for annual mandatory backflow testing was mailed to Eva Peters, Hotel Property Manager, phone 425-235-7160. 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)433-7165. Sincerely, Rachelle Ripley Permit Technician File No. PG 16-0003 6.300.Southcenter Boulevard. Suite #100 • Tukwila Washinvtnn 9RIRR • Phnne 206-431-3670 • Fnr 206 -431 -WF City of Tukwila Allan Ekberg, Mayor Public Works Department - Bob Giberson, Director January 21, 2016 Extended Stay Hotels 380389 Attn: Property Tax P.O. Box 49550 Charlotte, NC 28272 RE: Extended Stay America Plumbing Improvements 15635 West Valley Hwy., Tukwila Permit Number: PG16-0003 To Whom It May Concern: PERMANENT FILE COPY 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. The program requires elimination or control of any cross -connection between the distribution system and a consumer's water system by the installation of an approved backflow device. The subject building has all necessary backflow preventers installed; however, they are overdue for mandatory annual testing. The test month for this property is March and the last test reports we received were performed in March 2014. They were notified in March 2015 that the assemblies were due for the annual testing, however, no test reports were received. Please have the following backflows tested by a certified tester ASAP and submit passing test reports to the City: 1) 3" DCVA installed in the boiler room for premise isolation. 2) 6" fire line DCDA in a vault north of entrance drive. 3) 1.5" irrigation DCVA behind water meter. 4) Two 1" RPPA's in laundry room for washing machine. 5) 0.5" RPPA on dishwasher connection. If you need assistance to locate these backflows in the field, please contact Mr. Todd Reedy, Tukwila Water Department, directly at (206) 571-6309. The Public Works Director will withhold issuance of the Extended Stay Tukwila's Plumbing permit until the Permit Center receives passing test reports for the above backflows. F16 iG w 0()c?3 6300 Building • 6300 Southcenter Boulevard Suite 100 • Tukwila, WA 98188 • 206-433-0179 Tukwila City Hall - 6200 Southcenter Boulevard - Tukwila, WA 98188 • 206-433-1800 Website: TukwilaWA.gov Extended Stay Hotels 380389 January 21, 2016 Page 2 Please contact me (206) 431-2440 or via email at loanna.spencerCO)tukwilawa gov if you have any questions. Sincerely, Y Joanna Spencer Development Engineer JS:lw cc: PG16-0003 File Todd Reedy, Water Department BRE/ESA Portfolio, LLC Jacob LeClair, Applicant Eva Peters, Property Manager (W:PW Eng/Other/Joanna Spencer/Letter Extended Stay Hotels 012116 From: Todd Reedy Sent: Thursday, January 21, 2016 1:01 PN', To: Joanna Spencer Subject: RE: Extended Stay America Hotel @ 15635 W Valley Hwy PG16-0003 Hello Joanna, The status of the backflow testing at 15635 W. Valley Highway is still the same. The last tests we received were completed in March 2014. They were notified in March 2015 that their assemblies were due for the annual testing and we have not yet received test reports. From: Joanna Spencer Sent: Thursday, January 21, 2016 9:35 AM To: Todd Reedy <Todd.Reedy(@TukwilaWA.gov> Cc: Han Kirkland <Han.Kirkland TukwilaWA.gov>; Joanna Spencer <Joanna.Spencer@TukwilaWA.gov> Subject: FW: Extended Stay America Hotel @ 15635 W Valley Hwy PG16-0003 Good Morning Todd, Are their backflow current? Joanna From: Todd Reedy Sent: Thursday, October 15, 2015 9:28 AM To: Joanna Spencer Subject: RE: Extended Stay America Hotel @ 15635 W Valley hwy D15-0263 Good Morning Joanna, Regarding Extended Stay at 15635 W. Valley Highway: The following backflow preventers are overdue for testing. The test month for this property is March and the last test reports we received were performed in March 2014. They were notified in March 2015 that the assemblies were due for the annual testing. 1) 3" DCVA installed in the boiler room for premise isolation. Our current requirement is an RPPA installed outside downstream of the meter for premise isolation. 2) 6" fireline DCDA in a vault north of entrance drive. 3) 1.5" irrigation DCVA behind water meter. 4) Two 1" RPPA's in laundry room for washing machine. 5) 0.5" RPPA on dishwasher connection. Please let me know if you need any additional information, Todd From: Joanna Spencer Sent: Thursday, October 08, 2015 5:59 PM To: Todd Reedy <Todd.Reedy @TukwilaWA.gov> Cc: Joanna Spencer <Joanna.Spencer@TukwilaWA.gov> Subject: Extended Stay America Hotel @ 15635 W Valley hwy D15-0263 Good afternoon Todd, Are their backflows current? Joanna PERMANENT FILE COPY f>(a 1 6- 0 003 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: PG16-0003 DATE: 02/25/16 PROJECT NAME: EXTENDED STAY TUKWILA SITE ADDRESS: 15635 W VALLEY HWY Original Plan Submittal X Response to Correction Letter # 1 DEPARTMENTS: Revision # before Permit Issued Revision # after Permit Issued Building Division ❑ Fire Prevention ❑ Planning Division ❑ 1� 0�( ib� i Public Works Structural ❑ Permit Coordinator PRELIMINARY REVIEW: DATE: 03/01/16 Not Applicable ❑ Structural Review Required ❑ (no approval/review required) REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved ❑ Corrections Required ❑ (corrections entered in Reviews) Notation: REVIEWER'S INITIALS: DATE: DUE DATE: 03/29/16 Approved with Conditions ❑ Denied ❑ (ie: Zoning Issues) 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: PG16-0003 DATE: 01/19/16 PROJECT NAME: EXTENDED STAY TUKWILA SITE ADDRESS: 15635 W VALLEY HWY X Original Plan Submittal Revision # before Permit Issued Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: A� Awl✓ 111"i Building Division �bpj- jj� Public Works PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved ❑ Corrections Required ❑ (corrections entered in Reviews) Notation: REVIEWER'S INITIALS: Fire Prevention ❑ Planning Division ❑ Structural ❑ Permit Coordinator of DATE: 01/21/16 Structural Review Required ❑ DATE: DUE DATE: 02/18/16 Approved with Conditions ❑ Denied ❑ (ie: Zoning Issues) DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 City of TukwilaLs sM T� i Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.Tukwi]aWA.gov Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: OZ a2- ` / 6 Plan Check/Permit Number: l V (,/ 03 ❑ Response to Incomplete Letter # Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: �/y � � 9774Y f -(- Kiv it l a Project Address: /66 - VV Y I�'LLE 5r" HA)' Contact Person: ���vmLj'�' ��� `'ltd Phone Number: Summary of Revision: SOP— V�Aapl-t RECEIVED CITY OF TUKWI FEB 2, 016 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of revisio Received at the City of Tukwila Permit Center by: W- Entered in TRAKiT on �S— VITAL MECHANICAL SERVICE. INC. Home Espanol Contact Safety & Health Claims & Insurance inWashington State Department of Labor & Industries VITAL MECHANICAL SERVICE, INC. Owner or tradesperson Principals ALMON, KEVIN LEWIS, PRESIDENT Doing business as VITAL MECHANICAL SERVICE, INC. WA UBI No. 602 410 867 License 1420 Maple Ave SW RENTON, WA 98057 253-630-6933 KING County Business type Corporation Page 1 of 2 Search L&I A-7.Index Help My L&I Workplace Rights Trades & Licensing Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. ..................._............................................. _...... Meets current requirements. License specialties GENERAL License no. VITALMS964MM Effective — expiration 07121/2004-10107/2016 Bond ................. CBIC $12,000.00 Bond account no. SG8008 Received by L&I Effective date 05/28/2010 05/28/2010 Expiration date Until Canceled Bond history Insurance ............................... Ohio Security Ins Co $1,000,000.00 Policy no. BKS53465203 Received by L&I Effective date 05/21/2015 06/06/2015 Expiration date 06/06/2016 Insurance history Savings .................... No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations .. .. N.1-4; ............_.........- .. _........... o icense violations during the previous 6 year period. https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602410867&LIC=VITALMS964MM&SAW= 03/09/2016 z 2 J U u►1r>I1M 1 UNIT PLANS 11'-10" 2 i 2 vl I Pod I 3'I el��a�c bAlc� ►fvU�� ZeroU� Y2 �a 30"x48" CFA CENTERED ON WALL -MNT k SHOWER WITH 30"x60" CFA I -.v,,.. z r v'c✓ti t 56"x60" CFA AT ENTRY DOOR 30"x48" CFA FOR PARALLEL APPROACH CENTERED ON RANGE CC U CO d - DOOR SWING O/ CFA PER 1003.11.2.1 EXCEPTION 34" MAX HIGH WORKSPACE REF IF 3OX48 CF�-1 L1 ISI c(5'}e- X11 a� T����—� 11'-102" 6'-7" 30"x48" CFA CENTERED ON SINK 34" MAX COUNTER HEIGHT 4'-0" CLR M I N 36" CLR MIN. 5'-0" 1'-3" 1'-6" 11-411 MIN MIN MIN PIC I �OL La-�> I V;lq S ""�q 7 P I T F?� Irl 3 (0R: RrMlebhanicai ❑ Plumbing REVISIONS No changes shad h- rrnde to the scope of work without pdo; Prov^i of Tulwilla Building i fieri la NOT`: Ravisions will require a rc:^i p! ri submittal and may im --ludo additional pian rcv;ava .\Logo\Logo.tif zo Piping 1225 N. 43rd St. j '` of Tµ'k`1'ila Seattle WA 98103 _-�,..,,,,_ it �SFCN 206.457.5657 - �� f:t h I S I Z �J 2 I STRATA ARCHITECTS 2015 G. V Plan raviaES �.! subjeci to errors an-) oral I i'So;."oVn,.l o:..._.....,,._ \U 3/ilJlf.,tAi4. 1 l:l l'.�iy iii..'. .wr�.:iv �d �.:(? i:l t�::�vxt -c. 3{ j 0i appmad Fileld C01 i and rmi i s aC,'k o'xloLi� od: Date ,Z ..z 1.. I qty 0 f �sFSI�3 11 -102 DUI DING DIVISI . S . A. 5'-0" 1'-4" 1'-6" 1'-3" MIN MIN MIN 61-711 l� 30"x48" CFA CENTERED ON SINK & COOKTOP 34" MAX COUNTER HEIGHT UNIT 126 ■01 �PDX48 CFA L 4'-0"CLR MIN 5'-0" DIA CLEAR TURNING SPACE 1 '-6" CLR � MIN � UNIT 127 36" CLR MIN. I z 2 J 0 d - DOOR SWING CFA PER 1003.11.2.1 EXCEPTION 34" C WORKSPACE 56"x60" CFA AT ENTRY DOOR SOUTHCENTER ADA UNITS 15635 WEST VALLEY HWY, T U IOW I LA, WA 98188 DRAWN BY: BB CHECKED BY: ARM REV: DATE: RECEIVED CITY IDE TUKWILA JAN 19 2016 PERMIT CENTER SHEET TITLE: UNIT PLANS PROJECT NO. 15032 BUILUING DIVISION AA 003 ��ftp� P p