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Permit D14-0189 - BIERHAUS - TENANT IMPROVEMENT
BIERHAUS 15901 W VALLEY HWY D14-0189 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Une: 206-438-9350 Web site: http://www.TukwilaWA.Aov DEVELOPMENT PERMIT Parcel No: 0005800030 Permit Number: D14-0189 Address: 15901 W VALLEY HWY Issue Date: 10/23/2014 Permit Expires On: 4/21/2015 Project Name: BIERHAUS Owner: Name: ARBOR WOODS LLC Address: 13821 SE 92ND ST, NEWCASTLE, WA, 98059 Contact Person: Name: BENNY KIM Phone: (206) 384-3317 Address: 7415 LAKE BALLINGER WAY, EDMONDS, WA, 98026 Contractor: Name: A -MEN BUILDERS INC Phone: (253) 226-9449 Address: 33004 44TH AVE S , AUBURN, WA, 98001 License No: MENBUBI900Q4 Expiration Date: 12/4/2014 Lender: Name: TENANT Address: PIP DESCRIPTION OF WORK: EXISTING SUSHI RESTAURANT. REMOVE SUSHI BELT AND REPAIR FLOORING. ADD TABLES AND CHAIRS. ADD ADD BEER BAR COUNTER AND EQUIPMENT. Project Valuation: $30,000.00 Type of Fire Protection: Sprinklers: YES Fire Alarm: YES Type of Construction: VA Fees Collected: $1,155.24 Occupancy per IBC: A-2 Electrical Service Provided by: TUKWILA FIRE SERVICE Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 2012 2014 2012 Public Works Activities: Channelization/Striping: Curb Cut/Access/Sidewalk: Fire Loop Hydrant: Flood Control Zone: Hauling/Oversize Load: Land Altering: Landscape Irrigation: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Volumes: Cut: 0 Fill: 0 Number: 0 No Permit Center Authorized Signature: Date: 1 3. ( 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 p ing con tot pr to give authority to violate or cancel the provisions of any other state or local laws re lating construction or the pe • •s ance of work. I am authorized to sign and obtain this development permit and agre.% he conditions attached t• his permit. Signature: Print Name: This permit shall become nu 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: ***BUILDING PERMIT CONDITIONS*** 2: Work shall be installed in accordance with the approved construction documents, and any changes made during construction that are not in accordance with the approved construction documents shall be resubmitted for approval. 3: All permits, inspection record card and approved construction documents shall be kept at the site of work and shall be open to inspection by the Building Inspector until final inspection approval is granted. 4: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 5: All wood to remain in placed concrete shall be treated wood. 6: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 7: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 8: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206-431-3670). 9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 10: 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. 35: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 14: The total number of fire extinguishers required for a light hazard occupancy with Class A fire hazards is calculated at one extinguisher for each 3,000 sq. ft. of area. The extinguisher(s) should be of the "all purpose" (2A, 10 B:C) dry chemical type. The travel distance to any extinguisher must be 75' or less. (IFC 906.3) (NFPA 10, 5.4) 11: Portable fire extinguishers, not housed in cabinets, shall be installed on the hangers or brackets supplied. Hangers or brackets shall be securely anchored to the mounting surface in accordance with the manufacturer's installation instructions. Portable fire extinguishers having a gross weight not exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 5 feet (1524 mm) above the floor. Hand- held portable fire extinguishers having a gross weight exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 3.5 feet (1067 mm) above the floor. The clearance between the floor and the bottom of the installed hand-held extinguishers shall not be Tess than 4 inches (102 mm). (IFC 906.7 and IFC 906.9) 12: Extinguishers shall be located in conspicuous locations where they will be readily accessible and immediately available for use. These locations shall be along normal paths of travel, unless the fire code official determines that the hazard posed indicates the need for placement away from normal paths of travel. (IFC 906.5) 13: Fire extinguishers require monthly and yearly inspections. They must have a tag or label securely attached that indicates the month and year that the inspection was performed and shall identify the company or person performing the service. Every six years stored pressure extinguishers shall be emptied and subjected to the applicable recharge procedures. If the required monthly and yearly inspections of the fire extinguisher(s) are not accomplished or the inspection tag is not completed, a reputable fire extinguisher service company will be required to conduct these required surveys. (NFPA 10, 7.2, 7.3) 15: Maintain fire extinguisher coverage throughout. 16: Egress doors shall be readily openable from the egress side without the use of a key or special knowledge or effort. (IFC 1008.1.8.3 subsection 2.2) 17: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10) 18: Exits and exit access doors shall be marked by an approved exit sign readily visible from any direction of egress travel. Access to exits shall be marked by readily visible exit signs in cases where the exit or the path of egress travel is not immediately visible to the occupants. Exit sign placement shall be such that no point in an exit access corridor is more than 100 feet (30,480 mm) or the listed viewing distance for the sign, whichever is less, from the nearest visible exit sign. (IFC 1011.1) 19: Every exit sign and directional exit sign shall have plainly legible letters not less than 6 inches (152 mm) high with the principal strokes of the letters not Tess than 0.75 inch (19.1 mm) wide. The word "EXIT" shall have letters having a width not less than 2 inches (51 mm) wide except the letter "I", and the minimum spacing between letters shall not be less than 0.375 inch (9.5 mm). Signs larger than the minimum established in section 1011.5.1 of the International Fire Code shall have letter widths, strokes and spacing in proportion to their height. The word "EXIT" shall be in high contrast with the background and shall be clearly discernible when the exit sign illumination means is or is not energized. If an arrow is provided as part of the exit sign, the construction shall be such that the arrow direction cannot be readily changed. (IFC 1011.6) 20: Aisles and aisle access ways serving as a portion of the exit access in the means of egress system shall comply with the requirements of this section. Aisles or aisle access ways shall be provided from all occupied portions of the exit access which contain seats, tables, furnishings, displays and similar fixtures or equipment. The required width of aisles shall be unobstructed. (IFC 1017.1) 21: Each door in a means of egress from an occupancy of Group A or E having an occupant load of 50 or more and any Group H occupancy shall not be provided with latch or lock unless it is panic hardware or fire exit hardware. (IFC 1008.1.10) 22: Exit signs shall be illuminated at all times. To ensure continued illumination for a duration of not less than 90 minutes in case of primary power Toss, the sign illumination means shall be connected to an emergency power system provided from storage batteries, unit equipment or on -site generator. (IFC 1011.6.3) 23: Every room or space that is an assembly occupancy shall have the occupancy Toad of the room or space posted in a conspicuous place, near the main exit or exit access doorway from the room or space. Posted signs shall be of an approved legible permanent design and shall be maintained by the owner or authorized agent. (IFC 1004.3) 24: Emergency lighting facilities shall be arranged to provide initial illumination that is at least an average of 1 foot-candle (11 lux) and a minimum at any point of 0.1 foot-candle (1 lux) measured along the path of egress at floor level. Illumination levels shall be permitted to decline to 0.6 foot-candle (6 lux) average and a minimum at any point of 0.06 foot-candle (0.6 lux) at the end of the emergency lighting time duration. A maximum -to -minimum illumination uniformity ratio of 40 to 1 shall not be exceeded. (IFC 1006.3.1) 28: Fire protection systems shall be maintained in accordance with the original installation standards for that system. Required systems shall be extended, altered or augmented as necessary to maintain and continue protection whenever the building is altered, remodeled or added to. Alterations to fire protection systems shall be done in accordance with applicable standards. (IFC 901.4) 26: Sprinklers shall be installed under fixed obstructions over 4 feet (1.2 m) wide. (NFPA 13-8.6.5.3.3) 25: All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department review and approval of drawings prior to installation or modification. New sprinkler systems and all modifications to sprinkler systems involving more than 50 heads shall have the written approval of Factory Mutual or any fire protection engineer licensed by the State of Washington and approved by the Fire Marshal prior to submittal to the Tukwila Fire Prevention Bureau. No sprinkler work shall commence without approved drawings. (City Ordinance No. 2436). 29: A fire alarm system is required for this project. The fire alarm system shall meet the requirements of N.F.P.A. 72 and City Ordinance #2437. 30: Maintain square foot coverage of detectors per manufacturer's specifications in all areas including: closets, elevator shafts, top of stairwells, etc. (NFPA 72-17.5.3.1) 32: Maintain automatic fire detector coverage per N.F.P.A. 72. Addition/relocation of walls, closets or partitions may require relocating and/or adding automatic fire detectors. 33: Maintain fire alarm system audible/visual notification. Addition/relocation of walls or partitions may require relocation and/or addition of audible/visual notification devices. (City Ordinance #2437) 31: All new fire alarm systems or modifications to existing systems shall have the written approval of The Tukwila Fire Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #2437) (IFC 901.2) 34: An electrical permit from the City of Tukwila Building Department Permit Center (206-431-3670) is required for this project. 36: The maximum flame spread class of finish materials used on interior walls and ceilings shall not exceed that set forth in Table No. 803.9 of the International Building Code. 37: In occupancies of Groups A, E, I and R-1 and dormitories in Group R-2, curtains, draperies, hangings and other decorative materials suspended from walls or ceilings shall be flame resistant in accordance with NFPA 701 or be noncombustible. Where required to be flame resistant, decorative materials shall be tested by an approved agency and pass Test 1, as described in NFPA 701, or such materials shall be noncombustible. Reports of test results shall be prepared in accordance with NFPA 701 and furnished to the fire code official upon request. (IFC 807.1, 807.2) 27: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2436 and #2437) 38: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 39: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575-4407. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 1400 FIRE FINAL 0412 UNDERFLOOR FRAMING CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.Tukwi1aWA.eov Building Permit No. /4- ©I Project No. Date Application Accepted: © // 7,/1 Date Application Expires: /�//7//t f (For office use only) CONSTRUCTION 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** Irim LOCATION King Co Assessor's Tax No.: 000 Cj $ 000 ?j 0 Site Address: l 9 g O t \1,) V A l ke 1 m Suite Number: Floor: Tenant Name: tile-OA/A..l 5 PROPERTY OWNER Name: jAe L 001- Address: 1 v 10 toL,t VI t ,yy t?:;,tva City: A lA bi n rtn State: V,/ it Zip: ,,pp , CONTACT PERSON — person receiving all project munication Name: h goPe VI%Ay KZ IN !� Address: y City: E� 1 State:(A33114 Zip: oZ-4 y Phone: Q , -77 4A ;31r1Fax: Email: i0eVlh1 L.m 15® `tat 1400. GoIM GENERAL CONTRACTOR INFORMATION Company Name: Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: New Tenant: ❑ Yes E..No ARCHITECT OF RECORD Company Name: ALA 0,,,,v1A V..",L1.— C, Architect Name: Address: ri City: Ltiw State: COA— Zip: / OV1� \ 4 Phone: y..pio , 27. ; ax: Email: (aOVI0NI KW► 55 Q Yet hot.),(804 1 ENGINEER OF RECORD Company Name: Engineer Name: Address: City: State: Zip: Phone: Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: 1_06444Address: City: State: Zip: H:\Applications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 1 of 4 BUILDING PERMIT INFORMATION'- 206-431-3670 Valuation of Project (contractor's bid price): $ 270, tJOO Describe the scope of work (please provide detailed information): Gic15�70 4t,t . (2e4446vie S u 4 t4 114- a"^ el yZ' (74%'41.t- -- j MYNA 14d A -\--�bke 5 ow. d o t �-S . / 4 c beec o e etit,,) p t 4 �LtI/11o� Will there be new rack storage? ❑ Yes Existing Building Valuation: $ ].. No • If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC Floor 2°d Floor 3`d Floor Floors thru 363,3'7 7_17b'1; ebb, 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: .0 /,4 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: 7—.4- L Compact: Handicap: ri Will there be a change in use? ❑ Yes No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: Sprinklers 15 Automatic Fire Alarm 0 None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes 0 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 r�( ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Applications\Forms-Applications On Line\2011 Applications\Permit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 2 of 4 UBLIC WORKS PERMIT INFORMATION — 206-433-0179 Scope of Work (please provide detailed information): \(4 Call before you Dig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila ❑... Water District #125 O ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate 0 .. Highline ❑ ...Valley View 0 .. Renton ❑...Sewer Availability Provided ❑ .. Renton ❑ .. Seattle Septic System: O On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Submitted with Application (mark boxes which apply): 0 ...Civil Plans (Maximum Paper Size — 22" x 34") ❑ ...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) Proposed Activities (mark boxes that apply): O ...Right-of-way Use - Nonprofit for less than 72 hours O ...Right-of-way Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right-of-way 0 Non Right-of-way 0 0 ...Total Cut ❑ ...Total Fill cubic yards cubic yards ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities 0 ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. Geotechnical Report ❑ .. Maintenance Agreement(s) ❑...Traffic Impact Analysis 0 ...Hold Harmless — (SAO) 0 ...Hold Harmless — (ROW) ❑ .. Right-of-way Use - Profit for less than 72 hours ❑ .. Right-of-way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line ❑ ...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size .. O ...Water Only Meter Size ❑ ...Sewer Main Extension Public 0 ❑ ...Water Main Extension Public 0 55 55. 55 WO# WO # WO # Private 0 Private 0 ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) 0 ...Water 0 ...Sewer 0 ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip H:\Applications\Forms-Applications On Line\2011 Applications\Permit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 3 of 4 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 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). 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: Print Name: I'Cv1 V1`1 v✓1 Mailing Address: lc, p Date: C.0 (I (p ! 3,101 Day Telephone: ')--0dp_ "p . 33 / City State Zip H:WpplicationsWorms-Applications On Line\2011 Applications\Pernt Application Revised - 8-9-11.docx Revised: August 2011 bh Page 4 of 4 0 4 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID ermitTR .0189 ess; 5901 W Vd .LEY,HWY n: O'00580 65.00 DEVELOPMENT $65,00 ADDITIONAL PLAN REVIEW TOTAL FEES PAID BY RECEIPT: R3778 R000.345.830.00.00 1.00 $65.00 $65.00 Date Paid: Tuesday, December 16, 2014 Paid By: A -MEN BUILDERS INC Pay Method: CHECK 3569 Printed: Tuesday, December 16, 2014 10:45 AM 1 of 1 C' SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS I ACCOUNT I QUANTITY PermitTRAK I PAID $715.25 D14-0189 Address: 15901 W VALLEY HWY Apn: 0005800030 $715.25 DEVELOPMENT $681.40 PERMIT FEE R000.322.100.00.00 0.00 $676.90 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $33.85 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3380 R000.322.900.04.00 0.00 $33.85 $715.25 Date Paid: Thursday, October 23, 2014 Paid By: A -MEN BUILDERS INC Pay Method: CHECK 3540 Printed: Thursday, October 23, 2014 11:19 AM 1 of 1 SYSTEMS PermitTRAK D14-0189 DESCRIPTIONS Address: 1590 DEVELOPMENT W VALLEY HWY PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R2400 ACCOUNT QUANTITY PAID 0005800030 R000.345.830.00.00 0.00 $439.99 $439,99 $439.99 $439.99 $439.99 Date Paid: Tuesday, June 17, 2014 Paid By: BENNY KIM Pay Method: CREDIT CARD 02385C Printed: Tuesday, June 17, 2014 2:04 PM 1 of 1 TIO INSPECTION RECORD Retain a copy with permit NO. PERMIT NO. l�- f2g CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Pr M�I.`tt4 Type or i sgectia ; t I jj �Q�9 (v^a Address: l sq 0 t (A), Va((eY RI Date Called Special Instructions; AM`�-(r Date nted: a.m. p.m. Requester: Phone No: roved per applicable codes. Corrections required prior to approval. MENTS: of ft) Inspector: Date: 7 -t S— REINSPE T1ON FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd.. R100, Tukwila, WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 pry- 0 (fie' Project: r7 1ter G cwS - /Zc CsvSa Type I ect`on: rr�r 1 A�dress: l Date Called( e,l,1'. ffty��y Specia Instructions: k' 4 Date Wanted: 5 b — (S'' a.m. p.m. 'Requester: Phone No: EJApproved per applicable codes. (Corrections required prior to approval. COMMENTS: f fkkfk ( K.41 Prcf-u(a,€ bL , 0 rr°t- ctddres3 ths('h le___ fl.-r-r4 , ,., , 1) (vu c o o cat 1-7€“_, ct-t r intteti,- (1- -“) ( A,Ft, re. fryoCC-LtAq 4 �- (actc,,� S� tfb;5CC 7e_ '� 0 -fit C�.- )( 4trra tA) () J t)`er k do WA (0`0 CCt IC.4 -tkefil lf" aoo t.J 0 (//qvci cti-e i'vutip 6 fr,t.[A__s vesfrellt (( A- V i & f rs c � Inspector. t/ � Date REINSPECI'ION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Cats to schedule reinspection. grE INSPECTION RECORD Retain a copy with permit INSPECT! N NO. PERMIT Na CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Pry -ore? Pro"eRI ���y Type of Inspection: / i �1/ K Py Add s : 1. ©( w. Va((4e try Date Called: Special Instructions: 1 /4�DateNn_tVlsr.a.m. i9 ! ciS P.m. Requester: A' l t� PI►o q(11-1 / q Approved per applicable codes. © Corrections required prior to approval. ©MMENTS: Inspector: aat ` 7,e _ (Ls— REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., 1100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 B wkac / ''adct `Type of inspection: Fha,u°tc, Date Called: Address: 15rol tr). V/ ((eY Ny Spacial Instructions: j, Date Wgr . e 6 %.. i r p.m. Requester: Phone No: 1"p Approved per applicable codes. Corrections required prior to approval. fekkeite4vsicS reof Ph' Inspector.C, REINSPECrION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Cats to schedule reinspection. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Dlw• or$g Project: z A A r it IL q Ile Type of Inspection: l ress: / t 1/1 Id.V(f 1 Ct41� Date wiled: Special Instructions: k fri. Date Wante Z. w i 1 a.m. - p.m. Requester: 'Phone No: ❑Approved per applicable codes. Corrections required prior to approval. COMMENT& frov(k akcP evcv9eu� 9k.F-�K4 l Inspector. REINSPECTIDN FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Etvd.. Suite 100. Call to schedule rsinspectian. INSPECTION RECORD LQ Retain a copy with permit I i4'0 I�{ ! INS T PERMIT NO. CITY OF TUKWILA BUILDING DIVISION I 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project Type of Inspection: Address: tt `/ Date Called: Special Ins coons: 7 7 Date Wanted: 1 - i 3 ii a.m. Requester Ph D3 ." 2---g44�% Approved per applicable codes. Corrections required prior to approval. COMMENTS: tt-we A-Jn StM i`+" PIa «-cS (A A=N at l,J fan j p/t �. Af ciA rtc5 k-rt cAr ikkj Ick-J.er rbs-t--6A-"ke Ins tar: Date: ll1,3i REINSPECTION QUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Catt to schedule reinspection. INSPECTION RECORD, Retain a copy with permit INSPECTION NUMBER 1 — 06 6 o IFS PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 J//*) Praje gpvi Type of. �I`yn�spe ion: Address: Suite #: AM/ AA/ /41 Contact Person. Special Instructions: Phone No.: Approved per applicable codes. Corrections required prior to approval. COMMENTS: /74', 71 94'...-„,-, ?4-5-s -7.1. cr Aiv5 G/` � /f -' / , :�-- "" c. . 6047, � L./ o till /l `�2 ^t 1r Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: % Date: h-/ — Hrs.: f $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. CaII to schedule a reinspection. Billing Address Attn: Address: Company Name: City: State: Zip: Word/Inspection Record Form.Doc 3/14/14 T.F.D. Form F.P. 113 INSPECTION RECORD Retain a copy with permit INSPECTION NUMBER PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 Proj --2 / l(4-024 / . h Type of Inspection: Address: Suite #: / *h/ +'if gt �// Contact fierson: Special Instructions: / Phone No.: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Oeti Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Hrs.: f 0 $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice fror the City of Tukwila Finance Department. Call to schedule a reinspection. Billing Address Attn: Address: Company Name: City: State: Zip: Word/Inspection Record Form,Doc 3/14/14 T.F.D. Form F.P, 113 INSPECTION RECORD Retain a copy with permit INSPECTION NUMBER /5 -/ Ofv6 PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 Projec Typeof Ins ection: lizaca �t�.� � Address: Suite #: l 5 0 / /A/ V -= Contact Person: ' Special Instructions: / Phone No.: Approved per applicable codes. Corrections required prior to approval. COMMENTS: d t o Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: �S 3 rs.. V $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Calf to schedule a reinspection. Billin 9 Address Attn: Address: Company Name: City: State: Zip: Word/Inspection Record Form.Doc 3/14/14 T.F.D. Form F.P. 113 INSPECTION RECORD Retain a copy with permit INSPECTION NUMBER PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 Proje 0 Type of I spection: F irk --- S r ikr---- Address: Suite #: ISM 0 kAi 1/ Conta Person: i Special Instructions: 1 Phone No.: Approved per applicable codes. )Corrections required prior to approval. COMMENTS: r 1,st ce.)S-e/s. / S-AA4LA.. A-z) 4-e cs-f s 6c)e) emu- ........... Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector::-,� Date: rf Is- Hrs.. �• $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. Billing Address Attn: Address: Company Name: City: State: Zip: Word/Inspection Record Form.Doc 3/14/14 T.F.D. Form F.P. 113 INSPECTION NUMBER PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 Project: Type of Inspection: Address: Suite #: rsc- -j O ( (A) I/ ki--y Contact Person: Special Instructions: Phone No.: Approved per applicable codes. Corrections required prior to approval. COMMENTS: —(, ,� ` (C, v" C. / �' ffiA, f v,� As--..: C 17 Ale. A/M1 i ; - hvl- cio(-4,4-16-47" A 04-A-7/ //f7A/1- C ") 77 ,,,, _ - I,1" / W/y,x Nab 6 0( 1;44 A 5,0 46 7 r 11-e ( 14,4- x /407 --49 - A46/v Zee.1/ /4-4elfc Ad- lxv,e /71 a/:;".70/1-74 )1/(e/fif-e-y- .5-X•74/6•1 Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: fl*,_./_C Date: fri..70 s' rs.. .0 $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. Billing Address Attn: Address: Company Name: City: State: Zip: Word/Inspection Record Form.Doc 3/14/14 T.F.D. Form F.P. 113 Permit Inspections City of Tukwila 11/13/2014 Note CORRECTIO 1. HAVE ARCH SUBMIT EGRESS PLAN AND OCCUPANTf LOADING CALCULATIONS FOR SQ. FOOTAGE FOR SPACE. 2. OVER 8,0005Q. FEET. MUST HAVE 2 MEANS OFEGRESS AND PLAN MUST SHOW PATHWAY TO THESE MEANS OF EGRESS. ***THIS EGRESS LIGHTING MUST AVERAGE ONE FOOT CANDLE TO EXIT DISCHARGE, LIGHTING MUST BE PROVIDED AT THE DISCHARGE. ****WILL PROBABLY NEED TO PULL A ELECTRICAL PERMIT TO INSTALL LIGHTING. 11/13/2014 EMERGENCY LIGHTING Carol Martin NOT APPROVED --1/\(\t/S ik.1 fDrS -SS uL) \AN) Lir A -DE__1-7, iQj)cc, r or ro - v D o So z O F undi/ Pl Ocp rfl1/4JC-1- Ui s S w jki) u`_C. Ike reSS (*=t. 1/\ — Or OC-L-U p Kr A- -- 12, 5( a tA):‘ tk NA.R. JA,,S 0 p e r Acs A:j A A_T-,‘ Neu ST AY\ pc_As Ae_a (0.-Q re\,1J we_ C/N. P-t_L-1 op:11 wt 0.0—r <5 mot. v kAfil wk-e-A Are_ ro(eK rif-C. 5 le s r pri:` A-,SSeit/4)(t/ (3u_LiTAA Printed: Thursday, 13 Nove ber, 2014 2 of 2 2e.sn e - - AANT`Ai SYs rrM s Permit Number: D14-0189 Permit Inspections City of Tukwila Description: BIERHAUS Applied: 6/17/2014 Approved: 10/13/2014 Site Address: 15901 W VALLEY HWY Issued: 10/23/2014 Finaled: City, State Zip Code: TUKWILA, WA 98188 Status: ISSUED Applicant: BIERHAUS Parent Permit: Owner: ARBOR WOODS LLC Parent Project: Contractor: A -MEN BUILDERS INC Details: EXISTING SUSHI RESTAURANT. REMOVE SUSHI BELT AND REPAIR FLOORING. ADD TABLES AND CHAIRS. ADD ADD BEER BAR COUNTER AND EQUIPMENT. SEQ SCHEDULED DATE COMPLETED DATE ID LIST OF INSPECTIONS TYPE INSPECTOR RESULT REMARKS SPRINKLERS Don Tomaso FIRE FINAL BUILDING FINAL** FIRE ALARM Don Tomaso Jim Dunaway Don Tomaso EMERGENCY LIGHTING I SPRINKLER COVER Jim Dunaway Don Tomaso f 11/13/2014 PM 11/13/2014 UNDERFLOOR FRAMING Carol Martin APPROVED ALEX 253 226-9449 Printed: Thursday, 13 November, 2014 1 of 2 ,SYSTCMS Joanna Spencer From: Sent: To: Subject: Todd Reedy Monday, October 06, 2014 3:45 PM Joanna Spencer RE: Bierhaus @ 15901 West Valley Hwy D14-0189 ay is now current on batlalettreVeriterketting. rrent. From: Joanna Spencer Sent: Monday, October 06, 2014 1:52 PM To: Todd Reedy Cc: Han Kirkland; Joanna Spencer Subject: FW: Bierhaus @ 15901 West Valley Hwy D14-0189 Any progress on this one? From: Han Kirkland Sent: Friday, June 20, 2014 3:18 PM To: Joanna Spencer; Todd Reedy Cc: Bryan Still Subject: RE: Bierhaus @ 15901 West Valley Hwy D14-0189 RECEIVED CITY OF TUKWILA OCT 0 7 2014 PERMIT CENTER Joanna, Todd is on vacation until July 7th. This location has the following assemblies that were not tested last year (due September 2013). 1" DCVA Internal Plumbing 8" DCDA Fire 1" DCVA Fire 3" RPBA Premise Isolation 1.5" DCVA Irrigation Thanks, Han From: Joanna Spencer Sent: Thursday, June 19, 2014 9:19 AM To: Todd Reedy Cc: Han Kirkland Subject: Bierhaus @ 15901 West Valley Hwy D14-0189 Good Morning Todd, Are their backflows current? :;ORREC ON _TR#,_ D14-o�sq 1 City of Tukwila Department of Community Development July 02, 2014 BENNY KIM 7415 LAKE BALLINGER WAY EDMONDS, WA 98026 RE: Correction Letter # 1 DEVELOPMENT Permit Application Number D14-0189 BIERHAUS - 15901 W VALLEY HWY Dear BENNY KIM, Jim Haggerton, Mayor Jack Pace, Director This letter is to inform you of corrections that must be addressed before your development permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the following departments: PW DEPARTMENT: Joanna Spencer at 206-431-2440 if you have questions regarding these comments. • In accordance with WA State Dept. of Health guidelines for Group A Public Water Systems, Public Works has implemented a cross -connection control program to protect the public water system from contamination via cross - connection. The subject building has all necessary backflow preventers installed, however all of them are overdue for mandatory annual testing. All the following backflows were due for testing September 2013: a) 3" Reduced Pressure Principle Assembly (RPPA) for domestic water premise isolation b) 8" fire line Detector Double Check Valve Assembly (DDCVA) c) 1.5"irrigation Double Check Valve Assembly (DCVA) d) 1" Double Check Valve Assembly (DCVA) internal plumbing A separate letter addressing backflow deficiencies was mailed out to Stanford Tukwila Hotel Corporation on May 24, 2014. Please have these backflows tested ASAP by a certified tester and submit test reports to Public Works. Please address the comments above in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that four (4) sets of revised plan pages, 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. Corrections/revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, I can be reached at 206-431-3655. Sincerely, Bill Rambo Permit Technician File No. D14-0189 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 City of Tukwila Department of Public Works June 23, 2014 Stanford Tukwila Hotel Corporation 1610 Boundary Blvd Auburn, WA 98001 RE: Bierhaus Tenant Improvement 15901 West Valley Hwy Permit No. D14-0189 To Whom It May Concern: Jim Haggerton, Mayor Bob Giberson, P.E., Director In accordance with Washington State Department of Health guidelines for Group A Public Water Systems, Public Works has implemented a cross -connection control program to protect the public water system from contamination via cross -connection. The program requires elimination or control of any cross -connection between the distribution system and a consumer's water system by the installation of an approved backflow device. The subject building has all necessary backflow preventers installed , however they are overdue for mandatory annual testing. All the following assemblies were due September 2013: a) 3" Reduced Pressure Principle assembly (RPPA) for domestic water premise isolation b) 8" fireline Detector Double Check Valve assembly (DDCVA) c) 1.5" irrigation Double Check Valve Assembly (DCVA) d) 1" Double Check Valve Assembly (DCVA) internal plumbing The Public Works Director will withhold final issuance of the BIERHAUS Tenant Improvement permit until the Permit Center receives test reports for the above backflows. If you need assistance in locating the above backflows in the field, please call Mr. Todd Reedy, Water Department at 206 433-1860. Please contact me at (206) 431-2440 or via email at joanna.spencer@tukwilawa.gov if you have any questions. Sincerely, 0.2AA)11 anna Spencer Development Engineer cc: Benny Kim, applicant D14-0189 Todd Reedy, Water Department (W:PW Eng/Other/Joanna Spencer/Letter Bierhaus 062314) PERMANENT FILE COPS/ 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-433-0179 • Fax: 206-431-3665 PLAN REVIEW I/IinTING SLIP PERMIT NUMBER: D14-0189 PROJECT NAME: BIERHAUS SITE ADDRESS: 15901 W VALLEY HWY Original Plan Submittal Revision # before Permit Issued Response to Correction Letter # X Revision # 2 after Permit Issued DATE: 12/03/14 DEPARTMENTS: 9--44-114 Building Division Public Works Fire Prevention Structural Planning Division Permit Coordinator M PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 12/04/14 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 01/01/15 Approved Corrections Required (corrections entered in Reviews) Approved with Conditions Denied (ie: Zoning Issues) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 /4-3- Building Division Public Works PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D14-0189 PROJECT NAME: BIERHAUS SITE ADDRESS: 15901 "W VALLEY HWY Original Plan Submittal Response to Correction Letter#, Revision # before Permit Issued DEPARTMENTS: 0-1 11 Al\ Ayk 11'44 l'i Fire Prevention s Planning Division Structural Permit Coordinator PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) REVIEWER'S INITIALS: DATE: 11/04/14 Structural Review Required DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required Approved with Conditions Denied (corrections entered in Reviews) (ie: Zoning Issues) DUE DATE: 12/02/14 Notation: REVIEWER'S INITIALS: DATE: CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 rcRMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D 14-0189 PROJECT NAME: BIERHAUS DATE: 10/07/2014 SITE ADDRESS: 15901 WEST VALLEY HWY Original Plan Submittal X Response to Correction Letter #_ _ Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: Building Division ❑ Public Works Fire Prevention Structural Planning Division Permit Coordinator PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 10/09/14 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 11/06/14 Approved Corrections Required (corrections entered in Reviews) Approved with Conditions Denied (ie: Zoning Issues) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire ❑ Ping 0 PW ❑ Staff Initials: 12/18/2013 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D14-0189 DATE: 06/17/2014 PROJECT NAME: BIERHAUS SITE ADDRESS: 15901 WEST VALLEY HY X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: 4Wc -t 9 pm Av G 0U• 220 • I( Af 0(Q `(ct'I`t Building Division Planning Division II Public Works ■ • Fire Prevention Structural ■ n Permit Coordinator n PRELIMINARY REVIEW: Not Applicable (no approval/review required) DATE: 06/19/14 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved n Approved with Conditions Corrections Required Denied (corrections entered in Review (ie: Zoning Issues) DUE DATE: 07/17/14 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: 1.3 Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW Staff Initials: 12/18/2013 Date: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwitaWA.gov REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. eC . oZr7lr Plan Check/Permit Number: J /e - /? 9 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: / (6 / 4) /%a'74e / , , Contact Person: //a / //-1 / Phone Number: �S--?<419 Summary of Revision: egeforeilin felre OF 'DEC .032 ° - Cantu Sheet Number(s): "Cloud" or highlight all areas of revision including date oon Received at the City of Tukwila Permit Center by: entered in TRAKiT on City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: Plan Check/Permit Number: ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # -a— Revision # 1 after Permit is Issued ki--Revision requested by a City Building Inspector or Plans Examiner Project Name: v S , Project Address: d l (A) Vet 1(1/ -1/AA( Contact Person:4-.€-- awin. Phone Number: 2-(33 2-.)-(/'* q y Summary of Revision: kut--61 Or t M9eztbt/ aib OF NOV :A.3 26 OIEHRHT Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: /L,( Entered in TRAKiT on t I,-- 3-1 1 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: la' G- I j Plan Check/Permit Number: D I - 0 18 i ❑ Response to Incomplete Letter # Er Response to Correction Letter # % ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: 1 EC H/L,tS Project Address: 1 0 1 \AI VW Contact Person: JO W) - 519.014 -1of BP�vlv1cJ gl t4A Phone Number: 0206 3 gi-33/4 Summary of Revision: II �/ PLO c imme-fs btc-kPpw Verovis Si(AloY' i 4-c7 c4-e' D.:e ' t m 0, Y14 e CITYRECEIVED TV KD KwlLa 0 7 2014 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: Entered in TRAKiT on 10 [°/ l PROJECT NAME: ,1e14,\AUS SITE ADDRESS: Ls-9 p I ii j Uu ILA 411 PERMIT NO: 1114r- [ 0 9 ORIGINAL ISSUE DATE: [0 REVISION LOG REVISION NO. DATE RECEIVED STAFF INITI S ISSUED DATE STAFF INITIALS Summaryof Revision: �1Q1vi (�1�, �'�C9mr r-e1oGt 1- (� �E4-(At �i C�,S t'�Li,/ ea-c� t_ - l Received by: A\ S REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS lifil Summary of Revision: V; Q a,n v re4..S q h .e Irveiri-ortcy Ryak, 1,-- ‘ -- f Oyu') _ Received by: \ o-b� t' i F't (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) A -MEN BUILDERS INC Page 1 of 3 C1741)1 Washington State Department of Labor & Industries A -MEN BUILDERS INC Owner or tradesperson KIM, YOAHN Principals KIM, YOAHN, PRESIDENT KIM, ALAXS YONG, SECRETARY Doing business as A -MEN BUILDERS INC WA UBI No. 603 064 533 33004 44TH AVE S AUBURN, WA98001 253-226-9449 KING County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. MENBUBI900Q4 Effective — expiration 11 /24/2010-12/04/2014 Bond American Contractors Indem CO Bond account no. 100146381 $12,000.00 Received by L&I Effective date 11/24/2010 11 /24/2010 Expiration date Until Canceled Insurance Underwriters at Lloyds $1,000,000.00 Policy no. pfk0452753 Received by L&I Effective date 12/05/2013 11/24/2013 Expiration date https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603064533&LIC=MENBUBI900Q4&SAW= 10/22/2014