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Home My WebLink AboutPermit PG11-103 - XAVIER STYLING HAIR LOUNGEXAVIER STYLING HAIR LOUNGE 406 BAKER BL EXPIRED 02 -04-12 PG1 1 -103 City oilkukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.TukwilaWA.gov PLUMBING /GAS PIPING PERMIT Parcel No.: 0223100037 Address: 406 BAKER BL TUTOR Project Name: XAVIER STYLING HAIR LOUNGE Permit Number: Issue Date: Permit Expires On: PG11 -103 0 %1051W 02(05112 Owner: Name: CHESTERFIELD MORTGAGE INVES Address: 1420 5TH AVE #1850 , SEATTLE WA 98101 Contact Person: Name: TUAN NGO Address: 1201 E 41 ST , TACOMA WA 98404 Email: tango615 @hotmail.com Contractor: Name: 4 BROS CONSTRUCTION INC Address: 801 S 38 ST , TACOMA WA 98418 Contractor License No: 4BROSBC892MG Phone: 253 414 -2647 Phone: Expiration Date: 07/07/2013 DESCRIPTION OF WORK: PROVIDE A RESTROOM AND (4) SINKS Value of Plumbing /Gas Piping: Fees Collected: Electrical Service Provided by: Permit Center Authorized Signature: $5,000.00 $189.00 Uniform Plumbing Code Edition: 2009 International Fuel Gas Code Edition: 2009 X47/ Date. I hereby certify that I have read and examined this permi nd 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 plumbing /gas piping permit and agree to the conditions on the back of this permit. Signature: Print Name: /V4 v Date: e- .0"5-- / / 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. doc: UPC -4/10 PG11 -103 Printed: 08 -05 -2011 • • PERMIT CONDITIONS Permit No. PG 11 -103 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: All new plumbing fixtures installed in new construction and all remodeling involving replacement of plumbing fixtures and fittings 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 and Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section 402 of Washington State Amendments. 13: 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. doc: UPC -4/10 PG 11 -103 Printed: 08 -05 -2011 CITY OF TUK Community Deve /o,ent Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htta://www.TukwilaWA.gov Building Pell/No. Mechanical Permit No. Plumbing/Gas Permit No. Public Works Permit No. Project No. (For office use only) 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 Site Address: Li() (� i� �CQ1� l V� Tenant Name: (4kit'2 14-6 Property Owners Name: i In) t r C�� pi 01i Mailing Address: y `'Co is King Co Assessor's Tax No.: kV- 009Ji i -0 Suite Number: / 5-0 Floor: 1._,,r LeitklApt. New Tenant: Cor� Sf j 014 Sari Er Yes ❑ .. No State Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Name: Tv- 12r14 (n-D Mailing Address: t.)-o ( ice, 1(4.f 4.f s f . E -Mail Address: tA-tom{ 6E-0 (j/ 5 } k i<t4 ett (. Lo .t'\ Day Telephone: .2_5" 3 . q /q' off- 6 Li r State Zip TKGv 41 - City Fax Number: GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: 2>��n� £w" l vl � Mailing Address: l '7' 5 • VA-kit/4.4 I4 re . Contact Person: / u k(•-( a4-3 E -Mail Address: +» 4 6 of- 4/k f- CC 414 Contractor Registration Number: City Day Telephone: Fax Number: Expiration Date: J» ¶ c' State Zap g53 . y /c(. 4 ARCHITECT OF RECORD — All plans must be 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 stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E -Mail Address: H:\App1ications \Forms - Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: May 2011 bh City Day Telephone: Fax Number: State Zip Page 1 of 6 BUILDING PERMIT INFORMATION — 206 -431 -3670 Valuation of Project (contractor's bid pro $ 3lc l .l) Existin ilding Valuation: $ Sco Work (please provide detailed information): [t% feAA r (4.1 ! l. ‘47 #4- tr) A1A Will there be new rack storage? ❑ ....Yes .No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PRECTION/HAZARDOUS MATERIALS: Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No If 'yes', attach list of materials and storage locations on a separate 8 -1/2" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ . On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H;1Applications\Porms- Application3 On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: May 2011 bh Page 2 of 6 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1" Floor ( 572 2id Floor 3rd Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PRECTION/HAZARDOUS MATERIALS: Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No If 'yes', attach list of materials and storage locations on a separate 8 -1/2" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ . On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H;1Applications\Porms- Application3 On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: May 2011 bh Page 2 of 6 4 PLUMBING AND GAS PIPING PER F INFORMATION - 206 -431 -3670 PLUMBING AND GAS PIIPIffNG CONTRACTOR INFORMATION Company Name: 4 �fu4i vt y Mailing Address: 3 Y` t va„ /sat Contact Person: / i,1 4 "4 t�-z► / E -Mail Address: ( �, [�.- 6% tics 7"iz4 I'J-- (• (d Contractor Registration Number: l it 05 .5C. SW-E44 - City State Zip Day Telephone: 2 S4 q (' • L (0 i f ?- Fax Number: Expiration Date: Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): d4 vrtD tit ct2 C, Building Use (per Int'1 Building Code): 12 Occupancy (per Intl Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the qu t ty below: Fixture Type: Qty Fixture Type: � Qty Fixture Type: Qty /Fixture Type: Qty Bathtub or combination bath/shower Bidet �� Clothes washer, domestic 1 <,'D�ental unit, cuspidor 1�' Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) \ `q. Food -waste grinder, commercial /7 'Floor Drain Shower, single head trap Lavatory Wash=fountiiin `' "'"- ' Receptor, indirect waste Sinks q 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 Repair or alteration of drainage or vent piping 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 CITY OF TUKWILA JUL 1 Y 2011 H:\ Applications\Fortns-Applications On Line\2010 Applications? -2010 - Permit Application.dd'c ERMIT CENTER Revised: May 2011 bh 1NCOMP ETE TR# 1,4 PERMIT APPLICATION NOTES — iblicable to all permits in this application • 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. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform 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 Signature: Print Name: Mailing Address: Z 5-6, ). (4 qc /41 st- . IDate Application Accepted: • Date: 0/ /V2.a e 1 Day Telephone: 5,411-4 Gt- Y /oS City State Zip Date Application Expires: Iicatiens On Line\ 10 ipplications1 emit Application.doc 1 0 t k- Staff Initials: Page 6 of 6 1 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.Tukwila WA.gov RECEIPT ParcelNo.: 0223100037 Permit Number: PG11 -103 Address: 406 BAKER BL TUKW Status: APPROVED Suite No: Applied Date: 07/13/2011 Applicant: XAVIER STYLING HAIR LOUNGE Issue Date: Receipt No.: R11 -01689 Initials: User ID: Payee: TLS 1670 Payment Amount: $151.20 Payment Date: 08/05/2011 10:50 AM Balance: $0.00 MISS SAIGON NAILS TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 105001 ACCOUNT ITEM LIST: Description 151.20 Account Code Current Pmts PLUMBING - NONRES 000.322.103.00.00 151.20 Total: $151.20 doc: Receiot -06 Printed: 08 -05 -2011 CiP 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 SET RECEIPT RECEIPT NO: R11 -01455 Initials: JEM User ID: 1165 Payee: MISS SAIGON NAILS BAR LLC Payment Date: 07/13/2011 Total Payment: 524.36 SET ID: S000001530 SET NAME: XAVIER STYLING SET TRANSACTIONS: Set Member Amount D11 -217 486.56 PG11 -103 37.80 TOTAL: 486.56 TRANSACTION LIST: Type Method Description Amount Payment Credit C VISA 524.36 TOTAL: 524.36 ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 TOTAL: 524.36 524.36 • • • • • Retain a copy with permit • INSPECTI.OINO., PERMIT NO. INSPECTION RECORD p«_10_3 CITY OF` TUKWILA BUILDING DIVISION :r:63.00'Southcenter. Blvd.., #100, Tukwila. WA 98188 (206) 431 -367 ;Pe'rm'it Inspection Request Line (206) 431 -2451 • Project: :. . l i 'n.- C.4)4-/�c Type of Inspection: 0 mac - J I A✓ .� ¢ .' Addr ss: rr • tr't''� Date Called: COMMENTS: \ Special Instructions: • f { 03 - `4 4 e3.4 ie 4 s. i ! r Date Wanted: ' a.m. mot' ( p.m. Requester: Zx u7 Re, + S Phone p 4 (41— 2.4 4 7 • Inspector: Date: , IREINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Approved per applicable codes.C•orrections required prior to approval. COMMENTS: '• L •.I.( Zx u7 Re, + S .._.- �.. ; A/ 44 gel e7v 1 )0 • Inspector: Date: , IREINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director TUAN NGO 1201 E 41 ST TACOMA WA 98404 RE: Permit No. PG11 -103 XAVIER STYLING HAIR LOUNGE 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 02/04/2012. 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 02/04/2012, 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, Bill Rambo Permit Technician File: Permit File No. PG11 -103 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 July 14, 2011 • City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director Tuan Ngo 1201 E 41 St Tacoma, WA 98404 RE: Letter of Incomplete Application # 1 Plumbing /Gas Piping Permit Application PG11 -103 Xavier Styling Hair Lounge — 406 Baker BI, Suite 150 Dear Mr. Ngo, This letter is to inform you that your permit application received at the City of Tukwila Permit Center on July 13, 2011 is determined to be incomplete. Before your application can continue the plan review process the attached/following items from the following department(s) need(s) to be addressed: Building Department: Allen Johannessen at 206 433 -7163 if you have any questions concerning the following comments. 1) Revise "Code Data" on the cover sheet to show compliance with 2009 codes. 2) Update the fixture counts on the application (water heater and /or washer ?). 3) Only one set of plans was submitted, provide a second set of plans for the plumbing permit. Please address the comment above in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that two (2) sets of revised plans, 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. Revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at the Permit Center at (206) 431 -3670. Sincerely, <1>-40 Bill Rambo Permit Technician Enclosures File: PG11 -103 W:\Permit Center \Incomplete Letters\2011\PG 11 -103 Incomplete Ltr #1.doc 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 ERMIT COORD COPO PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -103 DATE: 07/19/11 PROJECT NAME: XAVIER STYLING HAIR LOUNGE SITE ADDRESS: 406 BAKER BL, STE 150 Original Plan Submittal X Response to Incomplete Letter # 1 Response to Correction Letter # Revision # after Permit Issued DEPARTMMEENTS: B i ing IvD' ision Public Wor s 11 (' Fire Prevention Structural n Planning Division Permit Coordinator n DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete lig[ Incomplete DUE DATE: 07/21/11 Not Applicable n Comments: 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 REVIEWER'S INITIALS: No further Review Required DATE: APPROVALS OR CORRECTIONS: DUE DATE: 08 /18 /11 Approved n Approved with Conditions n Not Approved (attach comments) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents /routing slip.doc 2 -28 -02 COM • PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PG11 -103 DATE: 07/13/11 PROJECT NAME: XAVIER STYLING HAIR LOUNGE SITE ADDRESS: 406 BAKER BL, STE 150 X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # after Permit Issued DEPAR MENTS: tiding ivision Public Works Fire Prevention Structural Planning Division ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete R. DUE DATE: 07/14/11 Not Applicable Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: 1 v LETTER OF COMPLETENESS MAILED: VOL Departments determined incomplete: Bldg Fire ❑ Ping ❑ PW ❑ Staff Initials: W TUES/THURS ROUTING: Please Route ❑ Structural Review Required REVIEWER'S INITIALS: No further Review Required DATE: APPROVALS OR CORRECTIONS: DUE DATE: 08 /11 /11 Approved Approved with Conditions ❑ Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents /routing slip.doc 2 -28 -02 City1110 of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Web site: http: //www.ci.tukwila.wa.us REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 1 l Z° l r Plan Check/Permit Number: PCA ,4 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: Project Address: Contact Person: M-) ( -et- 5 %t i uv / F Vd h giro S Phone Number: 2 5-3 2-c ' Summary of Revision: 4QA LSt4 Ok.dd 6 vim. ce f-- r u444617 9 Z011 PERM17 CEI si Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Ce ter by: r\,--/ Entered in Permits Plus on tn to H:\ApplicationsTotms- Applications On Line\2010 Applications \7 -2010 - Revision Submittal.doc Created: 8 -13 -2004 Revised: 7 -2010 Contractors or Tradespeople Prer Friendly Page 1 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 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 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 08/05/2011