HomeMy WebLinkAboutPermit PG18-0043 - BECU BUILDING 4 - INSTALL (1) 1/2 BACKFLOW PREVENTERBECU BUILDING 4
12687 GATEWAY DR BLDG
7-33
PGI 8-0043
Parcel No:
Address:
/-\
�.�
City of Tukwila
a
ent of Community Development
63UUSnuthcenterBoulevard, Suite #1OU
Tukwila, Washington 98188
Phone: 206431'3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
PLUMBING/GAS PIPING PERMIT
37I6000040 Permit Number: PG18'0043
12687 GATEWAY DR BLDG 7-33 Issue Date: 4/2/2018
Permit Expires On: 9/29/2018
Project Name: BECU BUILDING 4
Owner:
Name:
Address:
Contact Person:
Name:
BOEING EMPLOYEES CREDIT UN
lZ77OGATEWAY DR,TUKVV|UA,WA,
98168
AMMONE BEMBRY
Address: 77l7DETROIT AVE SVV,SEATTLE, WA,
98106
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
MACDONALD MILLER FAC SOL INC
POBOX 47983'SEATTLE, WA, 98106
k4A[DOK8R026RU
Phone: (206) 768-4062
Phone: (425) 881-7920
Expiration Date: 1/4/2019
DESCRIPTION OF WORK
INSTALL (1) 1/2 BACKFLOW PREVENTER
Valuation of Work: $9,000.00
Water DistrictTUKVV|LA
Sewer District: TUKWILA
Fees Collected: $167.12
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International FueI Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities ElectricaCode:
WAC 296-46B:
WA State Energy Code:
Date:
2017
2017
2017
2015
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.
c,c,oz3w, RiotAx.qt.
Signature: I C6-111.
Print Name: (\ t ` ` i \e•k. V� t2A
Date: l,) 'a— 1
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 gauge.
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
1900 PLUMBING FINAL
8005 ROUGH -IN PLUMBING
r�
CITY OF TUKWIA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
l �
Plumbing/Gas Permit No.
Project No.
1S/0
( f1
Date Application Accepted: tqf t
Date Application Expires: i 9-1 i
(For office use only)
PLUMBING / GAS PIPING PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
**Please Print**
SITE LOCATION
King Co Assessor's Tax No.: 2716000040
Site Address: 12687 GATEWAY DR TUKWILA, WA 98168 Suite Number: 1000 Floor: 1
Tenant Name:
BECU BUILDING 4
PROPERTY OWNER
Name: GATEWAY CORP. CENTER BLDG 4
Address: 12687 GATEWAY DR
City: TUKWILA State: WA Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: AMMONE BEMBRY
Address: 7717 DETROIT AVE SW
City: SEATTLE State: WA Zip: 98106
Phone: (206) 768-4062 Fax:
Email permits@macmiller.com
New Tenant: ❑ Yes ..No
PLUMBING CONTRACTOR INFORMATION
Company Name: MACDONALD MILLER
Address: 7717 DETROIT AVE SW
City: SEATTLE State: WA Zip: 98106
Phone: (206) 768-4062 Fax:
Contr Reg No.: MACDOFS980RU Exp Date: 01/04/2019
Tukwila Business License No.: BUS -0100868
Valuation of Project (contractor's bid price): $ 9,000
Scope of Work (please provide detailed information):
INSTALL (1) 1/2" BACKFLOW PREVENTER.
Building Use (per Int'l Building Code)•
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
1-l:\ Applications \Forms -Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
Sewer
Page 1 of 2
40./ 1 l 1
Indicate type of plumbing fixtures and/orgas piping outlets being installed and the quantity-oelow:
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
1
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
1
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections over 5
Fixture Type
Qty
Clothes washer,
domestic
Food -waste grinder,
commercial
Wash fountain
Water closet
Industrial waste
treatment interceptor,
including trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of
drainage or vent piping
Backflow protective
device other than
atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Gas piping outlets
Fixture Type
Qty
Dental unit, cuspidor
Floor drain
Receptor, indirect waste
Building sewer and each
trailer park sewer
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity
Medical gas piping
system serving 1-5
inlets/outlets for a specific
gas
Each lawn sprinkler
system on any one meter
including backflow
protection devices
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing
and justifiable cause demonstrated. Section 103.4.3 International Plumbing Code (current edition).
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature:Date:
03/14/2018
Print Name: AMMONE BEMBRY Day Telephone: (206) 768-4062
Mailing Address: 7717 DETROIT AVE SW SEATTLE WA 98106
City State Zip
HtWpplications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-I I.docx
Revised: August 2011
bh
Page 2 of 2
;ta
Cash Register Receipt Receir)Numbe
DESCRIPTIONS ACCOUNT 1 QUANTITY
PermitTRAK
PAID
$167.12
PG18-0043 Address: 12687 GATEWAY DR BLDG 7-33 Apn: 2716000040 $167.12
PLUMBING $160.69
R000.322.100.00.00
0.00
$95.40
R000.322.100.00.00
0.00
$33.15
PLAN CHECK FEE
R000.322.103.00.00
0.00
TECHNOLOGY FEE $6.43
TECHNOLOGY FEE R000.322.900.04.00 0.00 $6.43
TOTAL FEES PAID BY RECEIPT: R14007 : $167.12
,..,
Date Paid: Thursday, March 15, 2018
Paid By: MACDONALD MILLER
Pay Method: CHECK 4796
Printed: Thursday, March 15, 2018 10:05 AM
1 of 1
CRINSYSTEMS
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
ovq3
P o' c :
Lel
Corrections required prior to approval.
Type of Inspec n:
Pit.twl 11 FINIAL
COMMENTS:
Address:
42647 6211:_iihad
Date Called:
Speci.
Actc - - L er,/y
• (Baactock)
Date Wanted:
- -zoi
m.
a,
P. .
Requester,
Phone No:
• &.t k C-Lt)u)
'Kid rblr
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
-Y- pi. b 1
r ) Al rci4--
It
• &.t k C-Lt)u)
'Kid rblr
P7 I hrd
c. .4)
e • _,
._:. - . ,,,
cuAcQ co
a evnioltle,c alt4,- yol
Inspector•M co ,s.IL
Date q -Ig -,201
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
MacDonald -Miller
FACILITY SOLUTIONS
Backflow Prevention Assembly Test Report
ASSEMBLY ID: -414(4) PASSED ANNUAL TEST: YES NO ❑
NAME OF PREMISE_70ea CO COMMERCIALXRESIDENTIAL ❑
SERVICE ADDRESS /2rl' 17 6.4s./.acY #e • CITY / &'/4a ZIP
CONTACT PERSON
//�� Phone ( )
LOCATION OF ASSEMBLY 1 it l /'00s" Gut � M if/ lasde .9 41.
DOWNSTREAM PROCESS /et olie4 DCVA 0 RPBA' PVBA 0 OTHER:
NEW INSTALL' EXISTING 0 REPLACEMENT 0 OLD SER. # PROPER INSTALLATION? YES"NO 0
MAKE OF ASSEMBLY td'S MODEL / 7i? 4,7— SERIAL NO. i G Z 8 3(0 SIZE Vaz,
Fax ( )
INITIAL
TEST
PASS'?
FAIL 0
DCVA/RPBA CHECK
DCVA/RPBA CHECK
RPBA
PVBA SVBA
VALVE NO. 1
VALVE NO. 2
OPENED AT 3.9 PSID -
AIR INLET
OPENED AT PSID
LEAKED 0
PSID
LEAKED ❑
Cr- PSID
#1 CHECK ?' £ PSID
AIR GAP OK? 744
DID NOT OPEN ❑
NEW
PARTS AND
REPAIRS
CLEAN REPLACE PART
0 0
CLEAN REPLACE PART
0 0
CLEAN REPLACE PART
❑ ❑
CHECK VALVE
HELD AT PSID
0 0
0 0
0 0
LEAKED ❑
❑ 0
0 0
0 0
❑ 0
0 0
0 0
CLEANED 0
REPAIRED 0
TEST
LEAKED 0
PSID
LEAKED 0
PSID
OPENED AT PSID
AIR INLET PSID
AI- 1 ER
REPAIRS
PASS 0
FAIL 0
#1 CHECK PSID
CHK VALVE PSID
AIR GAP INSPECTION: Required minimum air gap separation provided? Yes $Jo 0 Detector Meter Reading iti/q'
REMARKS:
PSI l20/i's OP/Z.
TESTERS SIGNATURE: /e
TESTERS NAME (PRINT): 11 tib`- i. d£44J",-)04+4./
REPAIRED BY:
FINAL TEST BY:
,v6
LINE PRESSURE
CONFINED SPACE?
CERT. NO. ad %'l DATE 2 'u -1111
Phone (.0 4 S70 1`"42 -
DATE i✓KI
CERT. NO. 04/4t- DATE tii.
CALIBRATION DATE 40;171// 7 GAUGE #0907P5 31 MODEL wtd i SERVICE RESTORED? YES INO 0
/ certify that this report is accurate, and / have used WAC 246-290-490 approved test methods and test equipment.
PERMIT COMO COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: PG18-0043 DATE: 03/16/18
PROJECT NAME: BECU BUILDING 4
SITE ADDRESS: 12687 GATEWAY DR
X Original Plan Submittal Revision # before Permit Issued
Response to Correction Letter Revision # after Permit Issued
DEPARTMENTS:
AT AwL 21
Building Division 11.
H�
Public orrs
Fire Prevention
Structural
r
Planning Division
riPermit Coordinator
LI
L
PRELIMINARY REVIEW:
Not Applicable
(no approval/review required)
DATE: 03/20/18
Structural Review Required
REVIEWER'S INITIALS: DATE:
r
APPROVALS OR CORRECTIONS: DUE DATE:
Approved Approved with Conditions
Corrections Required Denied
(corrections entered in Reviews) (le: Zoning Issues)
Notation:
04/17/18
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg 0 Fire 0 Ping LJ PW 0 Staff Initials:
12/18/2013
Huhu f?spanul Contact
Safety & Health Claims & Insurance
0 Washington State Department of
Labor & Industries
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MACDONALD/MILLER FAC SOL INC
Owner or tradesperson
Principals
SIMONDS, DERRICK R, PRESIDENT
WEBSTER, MARK E, VICE PRESIDENT
GEBHARDT, STEPHANIE
WETTACH, TREASURER
NOEL, STEPHANIE W, MEMBER
SIGMUND, FREDRIC, PRESIDENT
(End: 01/04/2011)
LOVELY, STEVE C, VICE PRESIDENT
(End: 01/04/2011)
HACK, RICHARD, SECRETARY
(End: 01/04/2011)
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.
602 254 260
PO BOX 47983
SEATTLE, WA 98106
206-768-4180
KING County
Business type
Corporation
Governing persons
FREDRIC
J
SIGMUND
STEVE C LOVELY;
TYLER C KOPET;
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor
License specialties
GENERAL
License no.
MACDOFS980RU
Effective — expiration
12131/2002— 01/04/2019
Active.
Meets current requirements.
Help us improve
Bond
LIBERTY MUTUAL INS CO
Bond account no.
023006951
$12,000.00
Received by L&I Effective date
12/31/2002 12/11/2002
Expiration date
Until Canceled
Insurance
Phoenix Insurance Company, The $1,000,000.00
Policy no
DT-CO-3K790954-PHX-1
Received by L&I Effective date
01/02/2018 12/31/2017
Expiration date
12/31/2018
Liberty Mutual Ins Co
Policy no
TB7-661-066178-033
$2,000,000,00
Received by L&I Effective date
11/20/2017 12/31/2013
Expiration date
12/31/2018
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.
1..841 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
No license violations during the previous 6 year period.
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID
252,457-05
Doing business as
MACDONALD MILLER FACILITY
Estimated workers reported
Quarter 4 of Year 2017 "Greater than 100 Workers"
account contact
T4 / STEPHEN TASSONI (360)902-4819 - Email: TASS235@lni.wa.gov
Account is current.
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
No strikes have been issued against this contractor.
Contractors not allowed to bld
No debarments have been issued against this contractor.
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
Inspection results date
08124/2015
Inspection no
Violations
Help us improve
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317936840
Location
14360 SE Eastgate Way
Bellevue, WA 98007
Inspection results date
08/04/2015
Inspection no.
317937121
Location
530 Fairview Ave N
Seattle, WA 98103
Inspection results date
06/18/2012
Inspection no.
315908400
Location
18650 Alaska Service Rd
SeaTac, WA 98158
No violations
No violations
r y
7' Washington State Dept. of Labor & Industries Use of this site is subject to the laws of the state of Washington
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12
Duwamish River
VICINITY MAP
NO.
EQUIPMENT DESCRIPTION
BFP-1
BACKFLOW PREVENTER - WATTS WLF009QTD, 1/2" SIZE, REDUCED PRESSURE PRINCIPLE ASSEMBLY, COMPLETE WITH PRESSURE DIFFERENTIAL RELIEF VALVE LOCATED BETWEEN
TWO INDEPENDENTLY OPERATED SPRING LOADED CHECK VALVES, BRONZE BODY CONSTRUCTION, TWO RESILIENT SEAT BALL VALVES AND FOUR RESILIENT SEATED BALL TEST
COCKS, AND A "Y" STRAINER. W/AIR GAP AG-8 FOR 1/2" SIZE, OPERATING WEIGHT 10 POUNDS. MEETS LEAD FREE REQUIREMENTS.
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SEPARATE PERMIT
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City of Tukwila
BUILDING DIVISION
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FILE COPY
Permit No. — bow
Plan review approval is subject to error, and omissions.
Approval of construction documents does not authorize
the violation of any adopted code or ord nance. Receipt
of approved Field Copy and conditions is acknowledged:
By: C1-10Pc CAtt
Date: `I"'g`(�
City of Tukwila
BUILDING DIVISION
REVISIONS
No ehntres s !" ha trade to the scope
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Sc fit.. ir*a Divis' ion_
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CODE COMPLIANCE
APPROVED
MAR 27 2018
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MAR 2 0 2018
TUKWILA
PUBLIC WORKS
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CITY OF TUKWILA
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PERMIT CENTER
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ENGINEER:
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CHECKED BY:
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WA Lic No: MACDOFS980RU
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LAST REVISED:
03-14-18
DATE PLOTTED:
G NAN DJAN IAN S 03 —14-18
CAD:
A HAMILTON
DRAWING NUMBER:
C-00
SHEET NUMBER:
ISSUE DATE:
03-14-18
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REVIEWED FOR
CODE COMPLIANCE
APPROVED
MAR 2 7 2018
City of Tukwila
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RECEIVED
CITY OF TUKWILA
MAR 1 5 2013
PERMIT CENTER
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LAST REVISED:
03-1 4-1 8
CHECKED BY: DATE PLOTTED:
G NANADJANIANS03— 1 4-1 8
CAD:
A HAMILTON
DRAWING NUMBER:
C 0 0
SHEET NUMBER:
ISSUE DATE:
03-1 4-1 8
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