HomeMy WebLinkAboutPermit PG12-027 - TSEHAY SALONThis 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 12 -027
Tsehay Salon
14661 Tukwila International Boulevard
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
F,age # Code
Exemption � � �� Brief Explsnatoty Description, Statute /Rule
The Privacy Act of 1974 evinces Congress' intent that
Personal Information —
social security numbers are a private concern. As
such, individuals' social security numbers are
Social Security Numbers
redacted to protect those individuals' privacy pursuant
5 U.S.C. sec.
DR1
Generally — 5 U.S.C. sec.
to 5 U.S.C. sec. 552(a), and are also exempt from
552(a); RCW
552(a); RCW
disclosure under section 42.56.070(1) of the
42.56.070(1)
42.56.070(1)
Washington 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
Personal Information —
numbers, electronic check numbers, credit expiration
12
DR2
Financial Information —
dates, or bank or other financial account numbers,
RCW
RCW 42.56.230(4 5)
which are exempt from disclosure pursuant to RCW
42.56.230(5)
42.56.230(5), except when disclosure is expressly
required by or governed by other law.
TSEHAY SALON
14661 TUKWILA
INTERNATIONAL BL
PG1 2-027
City OE-Tukwila •
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila Washington 98188
Phone: 206 .43 1 -3670
Inspection Request Line: 206 -431 -2451
Web site: http: / /www.TukwilaWA.gov
PLUMBING /GAS PIPING PERMIT
Parcel No.: 0040000995 Permit Number: PG 12 -027
Address: 14661 TUKWILA INTERNATIONAL BL TUKW Issue Date: 03/02/2012
Permit Expires On: 08/29/2012
Project Name: TSEHAY SALON
Owner:
Name: O'BRIEN TIMOTHY MR & MRS
Address: 14639 PACIFIC HIGHWAY S , TUKWILA WA 98168
Contact Person:
Name: TYLER BLANCHARD
Address: PO BOX 47013 , SEATTLE WA 98146
Email:
Contractor:
Name:
Address:
Contractor License No:
Phone: 206 300 -7692
Phone:
Expiration Date:
DESCRIPTION OF WORK:
PROVIDE ROUGH IN PLUMBING FOR FUTURE SHAMPOO AND PEDICURE CHAIR. WILL TIE INTO
EXISTING PLUMBING ON SAME WALL.
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
Permit Center Authorized Signature:
$1,580.00
$76.13
Uniform Plumbing Code Edition:
International Fuel Gas Code Edition: 2009
2009
Dat
I hereby certify that I have read and examined thi ermit 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 plumbing /gas piping permit and agree to the conditions
on the back of this permit.
Signature:
Print Name: es64y4.
Date: 3 ' Z - l L
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
PG12 -027 Printed: 03 -02 -2012
PERMIT CONDITIONS
Permit No. PG 12 -027
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.
doc: UPC -4/10
PG12 -027 Printed: 03 -02 -2012
CITY OF TU"� "'
Community Det�, t Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Plumbing/Galermit No. K---) 2 02:1
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 **
SITE LOCATION
Site Address:
Tenant Name:
Property Owners Name:
Mailing Address: 11--t (&'
'ru Kw i 1 l ti Th -� g� Jr . King Co Assessor's Tax No.: ODli 000 - -01- LS
t L s►�11 !1 s .L
•
Suite Number:
Floor:
New Tenant: ® Yes ❑..No
"'Mk vSk \ , VA.1) A
City
w A, Otto?)
State Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: yzjV(,(NC
Mailing Address: y, A 1 O CS
Day Telephone: '3.00 " (D Z
City State Zip
E -Mail Address: Fax Number:( 21)(Q) `1 (.o1 — CPR Co
PLUMBING / GAS PIPING CONTRACTOR INFORMATION
Company Name:
�k S P 0rnlijitl
G4cT g 04.1 ,y ?liett 021,1111/
Mailing Address: P_ 0 (-4-1 0 V-7"
Contact Person: DoU tS C
E -Mail Address: Co 1-)O ' "nc7.'CZe 'P \ t nQ'v
Contractor Registration Number: 31-c> \.) l) IF 234 PPCpp
ul A- ca 1 (v
City State Zip
Day Telephone: ( cx.e> (Q( C -- ( O.--j j
Fax Number: Cz Ou2) —j `j '-v 8 cl to
Expiration Date:
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:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: 7 -2010
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Page 1 of 2
Valuation of Project (contractor's bid pri $ 1 S`e) of
Scope of Work (please provide detailed in ormation): PCOVOCe-
Q,ov h 11 \,0 or
Q
c Q S1r1U Wt�Oc, . CAC C.k\a; C C. � i \i � � Q t� e'-X � �-t rlq
\�LUm\ID \ r\t� J
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Bathtub or combination .
bath/shower
B idet
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
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
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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 1 NER OR ORIZED AGENT:
Signature: . — Date: /C b /7
Print Name: &C.":3"9)7 �C�t —�4 V €V
Day Telephone: ZO 'S8 /03
Mailing Address:
City
State
Zip
IDate Application Accepted:
1 I
f t
Date Application Expires:
OS
1 1 l 1
I
t
Staff Initials: rte`
/'l
I
_
H:\Applications\Porms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc
Revised: 7 -2010
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Page 2 of 2
70.
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206-431-3665
Web site: http: / /www.TukwilaWA.gov
RECEIPT
Parcel No.: 0040000995 Permit Number: PG12 -027
Address: 14661 TUKWILA INTERNATIONAL BL TUKW Status: PENDING
Suite No: Applied Date: 02/17/2012
Applicant: SALON Issue Date:
Receipt No.: R12 -00714
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $76.13
Payment Date: 02/17/2012 03:29 PM
Balance: $0.00
GREGORY K CLEAVER JR
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 620473
ACCOUNT ITEM LIST:
Description
76.13
Account Code Current Pmts
PLAN CHECK - NONRES
PLUMBING - NONRES
000.345.830 15.23
000.322.103.00.00 60.90
Total: $76.13
doc: Receiot -06 Printed: 02 -17 -2012
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) 431 -2451
P6/0-d2 7
Project:
T .11 A (/ S 0 LO/
Type of Inspection:
/ A/42 — ? /X"7 £'' / 6
Address:
J'/ b 6 t z %1
Date Called:
Special Instructions:
Date Wanted:.
_ 2.?--/ ?
rn
"p:m..
Requester:
Phone No:
erz.206, -4ce. 9 w3' 603'
3
CZik•pr.oved per applicable codes.
Corrections required prior to approval.
COMMENTS:
EINSPECTION FEE RF�QUIRED. Pri6r to next inspection, fee must be
paid at 6300 Southcente Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTIO NO. ' PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 TZ (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
P‘r-L-o2?
G
Pro'ect: -
44. y pR� (1,p�/ /� ,�/s
s { _ V
Ty(j0.e of Insppection:I
Ate- ii , (/s
}/�j /// _
/ ` J s
Address:
l.4 L, (. 1-rt
Date Called:
Special Instructions:
od ,6. -re
• A d,�
C vl_. — -S/t t
Date Wanted: -
3 _S
a.._
m
�� p.m'
Requester:
Phone No:
'2,a(
-6.5g- X03/
Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
Inspecto
I
Date:
J .T
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid•at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
FILE COPY
Permit No. TG
Pon review approval is subject to errors and omissions.
of construction documents does not aufoor!ze
any adopted code or ordinance. 91cOt
of Lpproved FiG Id Copy and conditions is acknowledged:
--- ■
hart-Woo ""-y„,=,...=J "7 -
. Ctna.;r r,.......-_-_, ,
, ,
i( 11 ‘,
of rukwib ,........._1
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BJ ...
__....AiL DIVISION L 4.4
For
WATER-
SEMPATE PERMIT
REQUIRED FOR:
ErMechanical
atlectrical
0 Plumbing
04as Piping
(I'ty of Tukwila .
i_rwri DIVISION
Stutmtoo
r NREVISIONS
No chanpe.7; shall be made to the scope
i elf woric •1,19i t h o ut prior approval of
i 7:..!1/41,1ila Building Division. 41s
LA
1 r7.77: 7..7.:',.':::;,:rls will require a new plan submittal 0
::::.i mai i•ri•,-,:i.ide additional plan review fees. .,
j FEB 1 / 2012
PERMIT CENTER / ,„,...0 21
'Iv
?e4;cAnt-e-
Cvla;r
I vrR
J
r 1
a 02-
• ....pqmfe...
CAActi e
a,.
v
REVIEWED FOR
CODE COMPLIANCE
APPROVED
FEB 2 9 2012
kT
City of Tukwila
BUILDING DIVISION
11
(/0
11
CID
WA-
" back-octl'ef valve,
p.
•PERMIT COORD COP'M�
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG12 -027 DATE: 02/17/12
PROJECT NAME: TSEHAY SALON
SITE ADDRESS: 14661 TUKWILA INETERNATIONAL BL
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # after Permit Issued
DEPARTMENTS:
4-T A-W C (),
4
Building Division
---W 4Iic W rk Structural
Fire Prevention
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
cz]
Incomplete
DUE DATE: 02/28/12
Not Applicable
n
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 n No further Review Required n
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 03/27/12
Approved ❑ Approved with Conditions Not Approved (attach comments) n
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
Contractors or Tradespeople Prr Friendly Page
al
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 B & J PLUMBING INC UBI No. 600060826
Phone 2066581031 Status Active
Address Po Box 47013 License No. BJPLU "234B6
Suite /Apt. License Type Construction Contractor
City Seattle Effective Date 1/26/1977
State WA Expiration Date 7/22/2013
Zip 98146 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
HARRIS, BUCKLEY D
Cancel Date
01/01/1980
Bond Amount
HARRIS, JANET S
9
01/01/1980
6416602
HARRIS, DOUGLAS
President
06/12/2000
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
9
AMERICAN STATES INS
6416602
05/26/2006
Until Cancelled
$4,000.00.2/8/1979
$12,000.0005/09
/2006
8
ACCREDITED SURETY
&CAS CO
10034304
05/26/2005
Until Cancelled
05/26/2006
2
$12,000.0005/25
/2005
Assignment of Savings Information
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
3
1/24/1977
2/8/1979
Bond
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
27
NATIONWIDE
MUTUAL INS CO
ACP7561687621
10/25/2010
10/25/2012
$1,000,000.00
09/20/2011
26
NATIONWIDE
MUTUAL INS CO
ACP7541687621
10/25/2008
10/25/2010
$1,000,000.0009
/22/2009
25
NATIONWIDE
MUTUAL INS CO
ACP7521687621
10/25/2006
10/25/2008
$1,000,000.00
10/01/2007
24
NATIONWIDE
MUTUAL INS CO
ACP751168762110/25/2005
10/25/2006
$1,000,000.0010
/12/2005
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
Infractions /Citations Information
Infraction / Citation 1 Date 1 RCW Code I Type Status 1 Violation Amount
https://fortress.wa.gov/lni/bbip/Print.aspx
03/02/2012