HomeMy WebLinkAboutPermit M11-145 - XAVIER HAIR SALONXAVIER HAIR SALON
406 BAKER BL
EXPIRED
04 -07 -12
Mi 1 -145
City ofitikwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Inspection Request Line: 206 -431 -2451
Web site: http: / /www.TukwilaWA.gov
MECHANICAL PERMIT
Parcel No.: 0223100037
Address: 406 BAKER BL TUKW
Project Name: XAVIER HAIR SALON
Permit Number: M11 -145
Issue Date: 10/07 /2011
Permit Expires On: 04/04/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Email:
Contractor:
Name:
Address:
Contractor
7093 VILLAGE PARTNERS SOUTH
3316 FURMAN AVE #200 , SEATTLE WA 98102
TUAN NGO
1201 E 4 ST , TACOMA WA 98404
TANGO 615 @ HO TMAIL. C OM
4 BROS CONSTRUCTION INC
801 S 38 ST , TACOMA WA 98418
License No: 4BROSBC892MG
Phone: 253 - 414 -2647
Phone:
Expiration Date: 07/07/2013
DESCRIPTION OF WORK:
PROVIDE/INSTALL GRILLS FOR EXISTING HVAC SYSTEM ON 1350 SQ FT TENANT IMPROVEMENT
Value of Mechanical: $3,800.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
Fees Collected: $233.13
International Mechanical Code Edition: 2009
Date: ID 'Mill
d this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
The granting of this permit does not pre
construction or the performance of work.
back of this permit.
Signature:
to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this mechanical permit and agree to the conditions on the
Print Name:
Date: / 'F /;
I •
PERMIT CONDITIONS
Permit No. M11-145
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center
(206/431- 3670).
4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
5: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
6: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
doc: IMC -4/10
M11 -145 Printed: 10 -07 -2011
CITY OF TUKWIII
Community Develop nt Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.TukwilaWA.gov
Mechanical Petit No.fn 1
Project No.
(For office use only)
MECHANICAL 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.: O 2-i /o — 06 7`
Site Address: y0(a i;41.2)- a la S .t. t f / -0 Suite Number: /' v Floor:
Tenant Name: Y 4- ✓ ► e t( i4*w $ l/l New Tenant: Er Yes 0.. No
Property Owners Name: 1k (n) rt) 0 -e "
Mailing Address: 7, S(o �N 14- S 1' ' S4 I d 1'4-
c c t�-e : _ 1 r1 1 vo City State Zip
CONTACT PERSON — who do we contact when your permit is ready to be issued
Name: Tub ►Y Or ,/-
Mailing Address: f 2d( f 5 r
E -Mail Address: -64-K00 00 {p (y E% Lot .,r•U,a -c � - (t'w
Day Telephone: 2 S ��y• �6
Cowl /1--
City
Fax Number:
/(///}---
ate Zip
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
T7rv2 6u tS -irvt 6 ),\
Q601 5-. tcl^ S 1L-
Contact Person: .1-14 4- 11y l\ f --r)
( lit C
%Gr> vim/ n4/8/
City State Zip
Day Telephone: 2 C3 • q /'1—_2-- 6 c- 7-
E -Mail Address: f►' U O/r �14 Li firm (- t"Fax Number: 7
Expiration Date: d 7/2 7 l 2-.0/3
Contractor Registration Number:
ARCHITECT OF RECORD — All plans must be stamped by architect of record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
Fax Number:
E -Mail Address:
State
Zip
ENGINEER OF RECORD — All plans must be stamped by engineer of record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Mechanical Permit Application.doc
Revised: May 2011
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Page 1of2
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Valuation of project (contractor's bid price): $ , q-o
Scope of work (please provide detailed information): rJ ✓ r I i
r
Use: Residential: New ❑ Replacement ❑
Commercial: New [ Replacement ❑
Fuel Type: Electric [ Gas ❑ Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Bioler /Compressor
0 -3 hp /100,000 btu
Qty
furnace <100k btu
air handling unit
>10,000 cfm
fire damper
furnace >100k btu
evaporator cooler
diffuser
Tr
3 -15 hp /500,000 btu
floor furnace
ventilation fan connected
to single duct
thermostat
15 -30 hp /1,000,000
btu
suspended/wall/floor
mounted heater
ventilation system
stove
30 -50 hp /1,750,000
btu
appliance vent
hood and duct
emergency
generator
50+ hp /1,750,000 btu
repair or addition to
heat/refrig/cooling system
Incinerator — domestic
other mechanical
equipment
air handling unit <10,000
cfm
incinerator — comm/ind
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 additional periods not to exceed 90 days each. The extension shall be requested in writing
and justifiable cause demonstrated. Section 105.3.2 International Building 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 0 AGENT:
Signature:
Print Name: 7•44---/-7
Mailing Address: l?%7 / L./ f`2- �/
Day Telephone:
City
v
Date: /073/2 3/ Z l
43. 6 ci
kilt
tate Zip
IDate Application Accepted: /a
A.
Date Application Expires:
H:1Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Mechanical Permit Application.doc
Revised: May 2011
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• •
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: http: / /www.TukwilaWA.gov
Parcel No.: 0223100037
Address: 406 BAKER BL TUICW
Suite No:
Applicant: XAVIER HAIR SALON
RECEIPT
Permit Number: M11 -145
Status: PENDING
Applied Date: 10/04/2011
Issue Date:
Receipt No.: R11 -02167
Initials:
User ID:
TLS
1670
Payment Amount: $233.13
Payment Date: 10/04/2011 01:59 PM
Balance: $0.00
Payee: TUAN A NGO LA BELLA NAIL AND SPA
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 716593
ACCOUNT ITEM LIST:
Description
233.13
Account Code Current Pmts
MECHANICAL - NONRES
PLAN CHECK - NONRES
000.322.102.00.00 186.50
000.345.830 46.63
Total: $233.13
doc: Receiot -06 Printed: 10 -04 -2011
INSPECTION N
INSPECTION RECORD
Retain a copy with permit
ME {- 14.E
PERMIT NO.
CITY OFTUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 14 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project. ,.
Type of Inspection:
Address: tr 3 4 J ecr � �&_
Date Cali. )6.
Date Wantted:. m►
Special Instructions:
/
/ t.0 f 41 �, t p.m.
Requester:
Phone , 3 3 - 4 (4 2(.41
Or-
Approved per applicable codes. Corrections required prior to approval. Ile
COMMENTS:
Inspe tor:
LDatei
ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
�._._ __ AWM, ti._ ... x _ . _ 4 ._.
City of f 7'ukwiPa
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
TUAN NGO
1201 E 4 ST
TACOMA WA 98404
RE: Permit No. M11 -145
XAVIER HAIR SALON
406 BAKER BL TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 04/07/2012.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206- 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 04/07/2012, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
--3:::),tifl Tit_
Bill Rambo
Permit Technician
File: Permit File No. MI 1 -145
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
•
PLAN
•
TING SLIP
ACTIVITY NUMBER: M11 -145 DATE: 10 -04 -11
PROJECT NAME: XAVIER HAIR SALON
SITE ADDRESS: 406 BAKER BL — SUITE 150
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
�Tlilinvkio l° .11
Public Works
Fire Prevention
Structural
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 10-06 -11
Complete
Comments:
Incomplete ❑
Not Applicable
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route ❑ Structural Review Required
\I4 No further Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE: 11-03-11
Not Approved (attach comments)
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing slip.doc
2 -28 -02
Contractors or Tradespeople Prir Friendly Page
General /Specialty Contractor
A business registered as a construction contractor with L &I to perform construction work within the scope of
its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name 4 BROS CONSTRUCTION INC UBI No. 603051595
Phone 2067781436 Status Active
Address 801 S 38Th St License No. 4BROSBC892MG
Suite /Apt. License Type Construction Contractor
City Tacoma Effective Date 7/7/2011
State WA Expiration Date 7/7/2013
Zip 98418 Suspend Date
County Pierce Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
LE, TAI MINH
President
07/07/2011
TIET, DAVID NIEM
Secretary
07/07/2011
LE, DUNG THANH
Treasurer
07/07/2011
NGUYEN, CHUONG THE
Vice President
07/07/2011
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
Lexon Ins Co
9806387
06/12/2011
Until Cancelled
$12,000.00
07/07/2011
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
1
Atlantic Cas Ins
Co
L1250014640
06/15/2011
06/15/2012
$1,000,000.00
07/07/2011
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
https: // fortress .wa.gov /lni/bbip /Print.aspx 10/07/2011
EF -1
EF -1
22X22 CRG
22X22 TG
14 /14
CD3-4
450
22x10
CRG
22x10
ECRG
22x10
CRG
CONNECT UP TO ROOF CAP
12X12 TG w/ I- TRANSFER DUCT
CONNECT UP TO ROOF CAP
22x10
`CRGJ
12" 9
34 /18 UP
34 /18 UP
SEPARATE PERMIT
REQUIRED FOR:
D Mechanical
Electrical
lumbing
Gas Piping
City of Tukwila
0 BUILDING DIVISION
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees.
12" 9
14 /14
CD3 -4
375
L
22X22 CR
12"
12" 9
14 /14
CD3 -4
375
14 /14
CD3 -3
400
MECHANICAL PLAN
OTHER
TENANT
REVIEVVEID FOR
CODE COMPLIANCE
APPROVED
OCT 0 6 2011
K-
aty ty of I P°i3
SJ LDING
HVAC UNITS TO PROVIDE BY LANDLORD NOT
TO EXCEED 1 TON PER 350 SF OF SPACE.
ALL HVAC TO MEET THE MINIMUM
REQUIREMENTS OF MECHANICAL CODES.
CONTRACTOR TO
VERIFY EXACT LOCATION
EX
ED
APR 072012
FILE COPY
Permit NO., M
Plan roiew approval is sut ect to errors and omimion3.
ikpproval of construction documents doa rc. auth ,4..3
•+anon of any adopted code or ordinance. Rc2.:t
of approved Field and = owlsd is
BY
Date: , /0787-7(1
City Of Tukwila
BUILDING DIVISION
M I1- Otis
SCALE: 1/4" = 1' -0"
05 -08 -09
w
z
0
z
E-4
F-54
0
0
RECEIVED
OCT 04 2011
PERMITCENTER
SHEET
A2.03