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HomeMy WebLinkAboutPermit PG10-054 - HAIR CLUB FOR MENThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. PG 10 -054 Hair Club for Men 545 Andover Park West RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 13 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. HAIR CLUB FOR MEN 545 ANDOVER PK W PG1 0-054 Parcel No.: 2623049144 Address: Suite No: City* Tukwila 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.ci.tukwila.wa.us PLUMBING /GAS PIPING PERMIT 545 ANDOVER PK W TUKW Permit Number: Issue Date: Permit Expires On: PG 10 -054 04/26/2010 10/23/2010 Tenant: Name: HAIR CLUB FOR MEN Address: 545 ANDOVER PK W , TUKWULA WA Owner: Name: SOUTHCENTER CORPORATE SQUAR Address: 150 CALIFORNIA ST , SAN FRANCISCO CA Contact Person: Name: DON WYCOFF Address: 8425 219 ST SE #102 , WOODINVILLE WA Contractor: Name: SAGER MECHANICAL INC Address: 8425 219 ST SE, STE 102 , WOODINVILLE WA Contractor License No: SAGERMI088NK Phone: Phone: 206 - 200 -3749 Phone: 425 402 -1930 Expiration Date: 08/10/2011 DESCRIPTION OF WORK: MOVE BREAK ROOM SINK TO NEW LOCATION APPROXIMATELY 2 FEET Value of Plumbing /Gas Piping: Fees Collected: $60.90 $0.00 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 FIXTURE TYPE AND QUANTITY Plumbing Bathtub or combination bath/shower 0 Bidet 0 Clothes washer, domestic 0 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain 0 Drinking fountain or water cooler (per head) 0 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap 0 Lavatory 0 Wash fountain Receptor, indirect waste 0 Sinks 0 Urinals 0 Water Closet 0 0 Plumbing (cont.) Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and /or vent 0 Industrial waste treatment interceptor, including its trap and vent, except for kitchen type grease interceptors 0 Repair or alteration of water piping and/or water treatment equipment 0 Repair or alteration of drainage or vent piping 0 Medical gas piping system serving (1 -5) inlets /outlets for a specific gas 1 Medical gas piping (6 +) inlets /outlets 1 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 * *continued on next page ** doc: UPC -7/07 PG10 -054 Printed: 04 -26 -2010 City o?Tukwila 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.ci.tukwila.wa.us Permit Number: PG 10 -054 Issue Date: 04/26/2010 Permit Expires On: 10/23/2010 Permit Center Authorized Signature: Date: 14-0)-6 -" (�% I hereby 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 grant construe mit does not presume to giv • ' ority to violate or cancel the provisions of any other state or local laws regulating ormance of wo a orized to sign and obtain this plumbing /gas piping permit. Signature: I b)e a) Date: V-26 -/e) , Print Name: a rU Lt1 �O �"/ r This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doe: UPC -7/07 PG10 -054 Printed: 04 -26 -2010 Parcel No.: 2623049144 Address: Suite No: Tenant: • 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.ci.tukwila.wa.us 545 ANDOVER PK W TUKW HAIR CLUB FOR MEN PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG 10 -054 ISSUED 04/26/2010 04/26/2010 1: ** *PLUMBING AND GAS PIPING * ** 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. * *continued on next page ** doc: Cond -10/06 PG10 -054 Printed: 04 -26 -2010 • 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.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting constructio ermit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating erformance of work. Signature: Print Name: &.) to GQ /r Y Date: e/ 26 '/O doc: Cond -10/06 PG10 -054 Printed: 04 -26 -2010 CITY OF TUKWIL. Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us _Plumbing /Gas Permit Project :No. (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 ** King Co Assessor's Tax No.: 2 6 Z 0-7 ye/ Floor: 2_ New Tenant: ❑ Yes . T.No Site Address: J '/r /l"' 144,c Suite Number: 20/ Tenant Name: 114 t2 Clotuq A)!` ,t Ex_) Property Owners Name: 5. v i — C P SQ v /a-/Z e Mailing Address: City State Zip CONTACT. PERSON - Who do we contact when,your pe`rmit is ready to be issued Name: 1)6k) kJ ycoFF Day Telephone: 706 ZOO 3 2 Y7 Mailing Address: 13r25 21.' 57- 3t st /O 2__ 4,00-- Deovit.4 e 4J.¢ g•0 ? City State Zip E -Mail Address: 3)44...'&V _cf" ? �� .i^)rC.4e-co, Number: 1/e-3 - yd 2. G rZZ / PLUMBING :% GAS PhPING CQNTRAC:T.O'R;INFORMATIO Company Name: 540 6/2 G C1f y- •U7C 't/__ Mailing Address »l44t. Contact Person: `' �D E -Mail Address: 5 4M Contractor Registration Number: 54 6762 4 / 6 88 City State Zip Day Telephone: 246. ZOO .3 7 ti o/ Fax Number: YZ S '/v 2% r Z Expiration Date: 253./o / . ARCHITECT`OF RECORD All plans -must be wet stamped. by Architect of. Record Company Name: Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER' OF RECORD- All plans must be wet stamped- by .Engineer ofRecori Company Name: Mailing Address: Contact Person: E -Mail Address: H:\Applications \Forms - Applications On line \2009 Applications \I-2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1 -2009 bh City Day Telephone: Fax Number: State Zip Page 1 of 2 Valuation of Project (contractor's bid price): $ 35-00 Scope of Work (pleas provide detailed information): Afov f 5 !/(J/- re J-A 4-4-) e___.62 L4 F7 ' 4I0)k 21(< • Building Use (per Int'I Building Code): Occupancy (per Int'1 Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below: ;Fixture' Type; Qt :. " Fixture'Type: ' : '. : Qty., : Fixture Type: ` Qty Fixture Type: Qty::'' Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor . Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, •. commercial Floor Drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks d (� Urinals Water Closet Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and /or vent Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment I Repair or alteration of drainage or vent piping I . Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller . Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets ' '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 RTIFY THAT I HAVE READ A XAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY P P URY BY THE LAWS OF j' STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDI G 4 W ' ER OR AUTHO ' - NT: Signatu Print Name: 0 GV GO4.(- Date: 9106 • /0 Day Telephone: Mailing Addess: ?%'2 - Z ('/ ST $ ¢ ./'Z kr.. -o bfiJ ! &I- E City w4- State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications \Forms - Applications On Line \2009 Applications \I -2009 - Plumbing -Gas Piping Permit Application.doc Revised: 1-2009 bh Page 2 of 2 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.ci.tukwila.wa.us Parcel No.: 2623049144 Address: 545 ANDOVER PK W TUKW Suite No: Applicant: HAIR CLUB FOR MEN RECEIPT Permit Number: PG 10 -054 Status: PENDING Applied Date: 04/26/2010 Issue Date: Receipt No.: R10 -00712 Payment Amount: $60.90 Initials: WER Payment Date: 04/26/2010 01:19 PM User ID: 1655 Balance: $0.00 Payee: DON WYCOFF TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 05645C ACCOUNT ITEM LIST: Description 60.90 Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 60.90 Total: $60.90 PAYMENT RECEIVED doc: Receiot -06 Printed: 04 -26 -2010 INSPECTION RECORD Retain a copy with permit p61d INSPECTION NO. PERMIT' NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Pr ect: Type of Inspection: Ai Address: 5-4 S AAJDovif tiz/ Date Called: ....._ Special Instructions: . r- D 1 3 `40 '3 ( - 6 / ./ Date Wanted a.rg,, __,..a. / " (v p.m. r ') Requester: one N .: Ph20. )`'3 _c, S4 i Approved per applicable codes. Corrections required prior to approval. COMMENTS: L,m 1PtQ Inspe "tor: 6.A..A.Q. r Date: C - f n REINSPECTION FEE REQUIRED. Prio \to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit a 0 _ 0514 INSPECTION NO. PERMIT NO. 1 CITY OF TUKWILA BUILDING DIVISION g 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Pro {tect: HA,r■CQ\-,,,t ¢.1 Type of Inspection: 7).,41L— ,,,V Address: 7 A- Ar(d.J -P ✓ PIG +.✓ Date Called: Special Instructions: Date Wanted:; 6. `I c - (C) p.m. Requester: Phone No: ElApproved per applicable codes. J Corrections required prior to approval. COMMENTS: � d e.JctN( � ; NJ -\� < <-� J \ia . (J-4----4-4' ' V w\ ,0 tor: Date: 0.00 REINSPECTION FEE)REQUIRED/Prior to inspection, fee must be aid at 6300 Southcenter Blvd., Suite 1 0. Call to schedule reinspection. Receipt No.: Date: . _S'2'Tn r--. -. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit PERMIT o. (206)431 -3670 Project: t, / ANr( { 9 PV Type of Inspection: • 00611",-111 Address: j S-1-1 S. >>n�fv U.) Date Called: Lt-)--L (0 Special Instructions': Date Wanted: L ')--is 10 J"'. p.m. Requester: � Qv Phone No: 20 - ) 00 — 3 -12-17 © Approved per applicable codes. Corrections required prior to approval. COMMENTS: GV \' N A I zi JeJ -'-- ri)je� — �.Z-� 1 - {� 56 � . d �� ( • birlt-f4 Inspector Date:‘(-zrt —(d r7 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Contractors or Tradespeople Per Friendly Page • General /Specialty Contractor A business registered as a construction contractor with LEI 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 Sager Mechanical Inc UBI No. 602234477 Phone 4254021930 Status Active Address 8425 219Th St Se Ste 102 License No. SAGERMI088NK Suite /Apt. License Type Construction Contractor City Woodinville Effective Date 8/12/1992 State Wa Expiration Date 8/10/2011 Zip 98072 Suspend Date County King Specialty 1 Plumbing Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date Sager, Robert T President 08/12/1992 Bond Amount Sager, Andrew Vincent Vice President 08/12/1992 01/10/2008 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 3 TRAVELERS CAS & SURETY 104575403 07/19/2005 Until Cancelled $4,000.00 $6,000.0008/02/2005 04/28/2009 2 OLD REPUBLIC SURETY CO YLI238326 08/12/2001 Until Cancelled 08/28/2005 $6,000.0007/09/2001 06/27/2008 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 8/11/1992 Until Released Bond 05/01/2010 $4,000.00 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 10 Continental Western Ins Co cnp275882721 05/01/2009 05/01/2010 $1,000,000.00 04/28/2009 9 CONTINENTAL WESTERN INS CNP253520423 05/01/2008 05/01/2009 $1,000,000.00 06/27/2008 8 CONTINENTAL WESTERN GROUP CNP2535204 08/10/2007 08/10/2008 $1,000,000.00 07/31/2007 7 CONTINENTAL WESTERN INS CO CNP2535204 08/10/2005 08/10/2007 $1,000,000.00 08/07/2006 6 CONTINENTAL WESTERN INS CO CNP2535204 08/10/2004 08/10/2005 $1,000,000.00 08/09/2004 5 AMERICAN STATES INS CO 01CG2085973 08/10/2004 08/10/2005 $1,000,000.00 08/03/2004 4 AMERICAN STATES INS CO 01CG2085972 08/10/2003 08/10/2004 $1,000,000.00 08/28/2003 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period https: / /fortress.wa.gov /lni/bbip /Print. aspx 04/26/2010