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HomeMy WebLinkAboutPermit PG18-0021 - ORGANIC NAIL BAR - INSTALL 11 PEDICURE CHAIRS, 1 DOUBLE SINK AND REPLACE WATER HEATER WITH LARGER 80 GALLON.ORGANIC NAIL BAR 426 SOUTHCENTER MALL EXPIRED 11/17/18 PGI 8-0021 Parcel No: Address: /� \ City of Tukwila a Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206'431'3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov PLUMBING/GAS PIPING PERMIT 9202470130 Permit Number: 426 SOUTHCENTER MALL Project Name: ORGANIC NAIL BAR Issue Date: Permit Expires On: PGl8-0031 3/5/2018 9/1/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: WESTFIELD PROPERTY TAX DEPT POBOX 13O940,CARLSBAD,WA, 92013 HONG PHAN 5651 S 305 ST , AUBURN, WA, 98001 HONG'S GENERAL CONST & PLUMBING 5651 305TM5T^AUBURN, WA, 98001 HONGSGC825D5 ^'' Phone: (206) 227-2275 Phone: (206) 227-2275 Expiration Date: 1/25/2020 DESCRIPTION OF WORK: INSTALL 11 PEDICURE CHAIRS, 1 DOUBLE SINK AND REPLACE WATER HEATER WITH LARGER 80 GALLON. Valuation of Work: $8,000.00 Water District: TUKWILA Sewer District: TUKWILA Fees Collected: $362.61 Current Codes adopted by the City of Tukwila: International Buliding Code Edition: Iriternational Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: Internationat Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code WA Cities Electrical Code: WAC 296-46B: 2017WA State Energy Code: 2017 2017 2015 Permit Center Authorized Signature: Date: 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 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 development permit and agree to the conditions attached to this permit. Signature: Print Name: Date: `)j- S - of This permit shall become null 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: ***PLUMBING/GAS PIPING PERMIT CONDITIONS*** 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 gauge. 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. 13: The applicant agrees that he or she will hire a licensed plumber to perform the work outlined in this permit. 14: All new plumbing fixtures installed in new construction and all remodeling involving replacement of plumbing fixtures 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 ad Conservation Standards in accordance with RCW 19.27.170 and the 2006 Uniform Plumbing Code Section 402 of Washington State Amendments PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 8004 GROUNDWORK 1900 PLUMBING FINAL 8005 ROUGH -IN PLUMBING CITY OF TUKWILr Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 littp://www.TukwilaWA.gov Plumbing/Gas Permit No.T6 / 3 — 00)-1 Project No. �y ! Date Application Accepted: I 0 Date Application Expires: (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: 1416 5 ► Tenant Name: OL-14i\j I (/ King Co Assessor's Tax No.: N) Spkee 4 0 o© Suite Number: PROPERTY OWNER Name: • 4 & P l UfVWl t3 c§ Name: City: fruaU _ I Sta5.lE1- Address: Phone:2P6 -<20q,7-,,_,9:"? 5 - City: State: Zip: CONTACT PERSON - person receiving all project communication Name: • 4 & P l UfVWl t3 c§ Address: - 56 SI 3o s `7r City: fruaU _ I Sta5.lE1- Qisfoo I Phone:2P6 -<20q,7-,,_,9:"? 5 - Email: At,t\N 6-1- P4- til 0 4-5-6. Q . cum New Tenant: Floor: Yes n.. No PLUMBING CONTRACTOR INFORMATION Companty Name: -+1eno a S CEDNYa ado IQ1b UfVWl t3 c§ Address: S-65-4 S Soso'" ST - City: 4 (3(.t A State: vJ Zitg o I Phone: Fax: 3,06-.x.2'7 2275- Contr Reg No.: Exp Date: A-onNCvs4C$'2sS3s I/ /.2.02v Tukwila Business License No.: Valuation of Project (contractor's bid price): $ go o o Scope of Work (please provide detailed information): .1...0.51-4r-3-9- A A FE -DI l t l? f e*-*- 0 9.1 DN.' Q 1-e. fkiK boa NtrJ N & SJI-lt.onl Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: H:\Applications\Porms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 1 of 2 r � Indicate type of plumbing fixtures and/or ,„ piping outlets being installed and the quantity` tow: Fixture Type Qty Bathtub or combination bath/shower Dishwasher, domestic with independent drain Shower, single head trap Sinks I., Rain water system — per drain (inside building) Grease interceptor for commercial kitchen (>750 gallon capacity) Each additional medical gas inlets/outlets greater than 5 Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1-5) Fixture Type Qty Bidet Drinking fountain or water cooler (per head) Lavatory Urinal Water heater and/or vent Repair or alteration of water piping and/or water treatment equipment Backflow protective device other than atmospheric - type vacuum breakers 2 inch (51 mm) diameter or smaller Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Fixture Type Qty Clothes washer, domestic Food -waste grinder, commercial Wash fountain Water closet Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Repair or alteration of drainage or vent piping ' Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Gas piping outlets Fixture Type Qty Dental unit, cuspidor Floor drain Receptor, indirect waste Building sewer and each trailer park sewer Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity Medical gas piping system serving 1-5 inlets/outlets for a specific gas Each lawn sprinkler system on any one meter including backflow protection devices 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 OWNER OR AUTHORIZED AGENT: Signature: --(Atte"— Date: 9- - 22- ( Q Print Name: *006 Q1t-kik) Mailing Address: 9-1 S �j a5 �1 �FI O (3i(1s� ff W f r 61800 City State Zip Day Telephone: 206 - .2a 7 S H:Wpplications\Forms-Applications On Line \2011 Applications\Plumbing Permit Application Revised 8-9-11.docx Revised; August 2011 bh Page 2 of 2 Cash Register Receipt City of Tukwila ReceiptNumber R13854 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITV PAID $362.61 PG18-0021 Address: 426 SOUTHCENTER MALI Apn: 9202470130 $362.61 Credit Card Fee $10.56 Credit Card Fee R000.369.908.00.00 0.00 $10.56 PLUMBING $338.51 8000.322.100.00.00 0,00 $237.66 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 PLAN CHECK FEE R000.322.103.00.00 0.00 $67.70 TECHNOLOGY FEE $13.54 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R13854 R000.322.900.04.00 0.00 $13.54 $362.61 Date Paid: Thursday, February 22, 2018 Paid By: HONG PHAN Pay Method: CREDIT CARD 185568 Printed: Thursday, February 22, 2018 11:56 AM 1 of 1 CRIffSYSTEMS INSPECTION RECORD Retain a copy with permit N PE TION NO. PERMIT NO. P61?-oo24 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: . 0 AtitnG A) a: L 1311-i- Type of Inspection: FLIAdvisb ip-kk Crif i tits A d ss: Sy -ic' 0141 Date Called: ti Special Instructions: Date Wanted: 5 - c2 I - 20 1 a. . P• • Requester: Phone No: Appr-oved per applicable codes. COMMENTS: *PL-Gurvdo tn. Fil1/4141- §kbrrections required prior to approval. cr".4-.(1 )41e kis 04/ Amic_ J tip ) P-574veDyll7 tol Inspector: 7. 0i2 Date: 5 zt REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION PJ-O2I 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: . o Q.,; L. BAR 1,:yp!4 of Inspectio_ri47r"QtkoilC 1; ' KCAA. e-PLLVA 07$ Addrejs: "126, 50Q-14-cenler Mrl-LL Date Call : Special Instructions: * C1144.,1 I 0 MI I1/4) 1 0 v ir- to r 4, Date Wanted: .122.2. q-9- 15v pm Requester: . i 1-40/k) pitActel Phone No: LJApproved per applicable codes. Corrections required prior to approval. COMMENTS: L nspector: 12_ Date:q REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 30'-9• 2. KEEP ALL INTERIOR PARTITION WALLS, DOORS, WC, LAV. AND PLUMBING FIXTURES IN THIS AREA —I 1 INFILL WALL 1�. lo I© L°111 3 '000 3 1. REMOVE ALL INTERIOR PARTITION WALLS, DOORS, COUNTERS, HAND SINKS AND CAP PLUMBING FIXTURES IN THIS AREA. SAVE EXISTING DOOR FOR REUSE REMOVE ALL FLOORING AND PREP FLOOR FOR NEW FINISHES 2 5 0 AS BUILT / DEMOLITION PLAN SCALE: 3/16"-1'-0" DEMOLITION NOTES O REMOVE ALL INTERIOR PARTITION WALLS, DOORS, COUNTERS, HAND SINKS AND CAP PLUMBING FIXTURES IN THIS AREA 0 KEEP ALL INTERIOR PARTITION WALLS, DOORS, WC, LAV. AND PLUMBING FIXTURES IN THIS AREA O3 REMOVE EXISTING INTERIOR PARTITION WALL O4 REMOVE EXISTING INTERIOR DOOR 0 KEEP EXISTING INTERIOR WALL © KEEP ALL EXISTING 7 X 7 CEILING TILE 8 LIGHTING FIXTURES Q7 KEEP ALL EXISTING HVAC DUCT, AIR SUPPLY GRILLS AND AIR RETURN GRILLS OB REMOVE ALL EXISTING LIGHTING FIXTURES 0 REMOVE EXISTING CHAIN LINK DOOR 8 ALL COMPONENT OVERHEAD 4 4 6'- 25 GA. TRACK ATTACHED TO EXISTING CEILING GRID W/ SCREWS A 6'- 25 GA BOTTOM TRACK v E 2 X4' CEILING TILE NOTEW: L USE 41X1/16' PAN HEAD TYPE 8 6041186* SCREW FOR STEEL STUD TO STEEL TRACT. 2. USE 46X1-1/4' TYPE 'S' DRYWALL SCREWS TO STEEL FRAMING. 3. METAL MEMBERS TO BEI ACCORDANCE 53181 THE 4151 SPECIFICATIONS FOR THE DESIGN OF COLD FORMED STRICTURED MEMBER LATEST EDITION. 4. METAL MEMBERS TO BE ACCORDANCE WITH ASTM C645 STANDARD SPECIFICATION -5 FOR NONSTRUCTURAL STEEL FRAMING MEMBERS 2000 000701 BOARD ..-6' -25 GA METAL STUD AT 12' O.C. COVER 0148 SIDE W114 V2 GYPSUM BOARDS PAINTED, VERIFY COLOR W/ OWNER WALLS ARE LATERALLY SUPPORTED BY INTERSECTING WALLS 3/Ib'X I-1/4' MASONRY SCREWS OR POWDER ACTUATED 5CR EUG 12' O.C. CONC. SLAB TYPICAL CHASE COLUMN N.T.S. 4)-0' � iFl7b7IG— ADA COUNTER 14 No changes shall r, made to the scope of work withol.:t prior approval of TGitlAY,+ia B. f ? dr (g Division. l`°^TE, sJ e cns vvi!I rc%I1u:rt ne•v plan submittal mai it �'� s add.tio^tel pbn i rS L NOTE NEL�oRLOD IF ANYO TO Per VA 4qBOOM MOR XIS NMIFIS TO INFORM o. w PRO.Ecnaus BUOO TXE LEASE UNE FILE COPY ill it a1o. R(115' Plan review c: rcvcl is subject to errors and omissions. Approval of constructon documents does not authorize the violation of any ,;,"opted coda or ordinance. Receipt of approved Field Copy and conditions is acknowledged: By:tr.+//C. Date: 3- --'--.J121? COUNTER TOP WI BASE CABINET SERVICE SINK WAX ROOM CLH. 10'-0" NEW CERAMIC TILE CHASE COLUMN TYPICAL - 6 X 18' CHASE COLUMNS'PICAL ALLWET AREAS MUST BE --' WATERPROOFED 17 UP WALLS ABOVE SLAB TO WESTFIELD WATERPROOFING STANDARDS - CIM 1000 TROWEL GRADE - AND UNDERGO A 24-1-1056 FLOOD TEST AT A 4" BENCH MARK- WESTFIELD REP MUST WITNESS PRIOR TO AND AFTER THE 24-HOUR PERIOD - WATERPROOFING REPORT BY WESTFIELD REQUIRED CONSULTANT TENANT/ CONTRACTOR SHALL SUBMIT TILE SAMPLE TO MALL ADMINISTRATION FOR APPROVAL PRIOR CONSTRUCTION NEW CERAMIC TILE NEW CERAMIC TILE ADA RECEPTION COUNTER - 34" H. NAIL PRODUCT DISPLAY BOX OUT THIS CORNER TO LEVEL WITH LEASE LINE USE 3.5'8", 20 GA. METAL STUD EX/STING CONTRACTOR TO ENSURE THERE ISA SMOOTH TRANSITION BETWEEN THE MALL FLOOR AND SALES FLOOR. ALL FINISHES MUST BE FLUSH WITH ONE ANOTHER AND NO TRIPPING HAZARDS. LIPS OF MORE THAN 1/16- AND SLOPES OF MORE THAN 1/7 PER FOOT ARE NOT ACCEPTED NEW TEMPERED. GLAS STOREFRONT. GLAZING CONTRACTOR SUBMIT SHOP DRAIMNG FOR APPROVAL PRIOR FABRICATING FLOOR & EQUIPMENT PLAN SCALE: 114"-I'-0" WALL LEGENDS I EXISTING CMU WALL t.. EXISTING INTERIOR PARTITION WALL FINISH SCHEDULES FLOOR CERAMIC TILE CHOSE BY OWNER AND APPROVED BY LANDLORD WALL PAINT COLOR CHOSE 80 OWNER AND APPROVED BY LANDLORD CEILING EXISTING 7 17 CEILING TILE 8 DRYWALL CEILING. SEE SHEET A-2 FOR DETAIL ALL WALL FLOOR 8 CEILING SHALL HAVE FLAME SPREAD INDEX 'C' MATERIAL 140105: 1. ALL FINISHES MUST BE SUBMITTED AND APPROVED 8Y LANDLORD P6106 TO CONSTRUCTION 2. SUBMIT ACTUAL MATERIAL SAMPLE BOARD TO LANDLORD FOR APPROVAL EQUIPMENT LEGENDS CEO I LEI w/D • FE PEDICURE CHAIR TOTAL OF 11 MANICURE STATION TOTAL OF 3 80 GAL. ELECTRICAL W.H. TOTAL OF 2 WASHER/ DRYER MACHINE HAND SINK SERVICE SINK = 2A1OBC FIRE EXTINGUISHER (CAPACITY > 5 LB) SET TOP AT FT. A.F.F. DOOR SCHEDULES SIZE MATERIAL HARDWARE REMARK NOTE ® (2) 3.0k10-0" TEMP. GLASS 6-2 NEW 0/ 3'-007.8" STEEL H-2, 4 EXISTING V 3-708'-6- WOOD H-1,4 EX151160 ® 3-0'061$" HOLLOW CORE H5 EXISTING ®S 3-006'-8" HOLLOW CORE H5 EXISTING DOOR HARDWARE SCHEULES H-1: PRIVACY LOCKSET 6-2: KEYED LOCKSET 63: DEAD BOLT H<: AUTOMATIC DOOR CLOSER 115: LEVERED OPENER HANDLE H5: PANIC HARDWARE P&is 0074 RECEIVED CGTl� OF MAI IELI FEB 22 2018 PE FLET CENTER Cit}/ ciTCiaki a BUILDING DIVISION 01 DESCRIPTIONS F El AI ENGINEERS 16507 NE 50TH ST REDMOND WA 98052 425x91-5111 PROFESSIONAL SEAL Due: 01-10-19 RECEIVED FEB 2 7 2018 TUK ILA PUBLIC WORKS • w REVIEWED FOR r COMPLIANCE I J PPROVED O L " O MAR 01 2018 CI of Tukwila ILDING DIVISION DRAWN KL CHECKED CAD BLE A-1 PROTAT DRAWINGNUMBER A-1 DATE 01-10-16 11 6 Q �kr) Fog D P i .00 I 0 t 9► REVIEWED FOR CODE COMPLIANCE APPROVED u f► p 2- 01 LAN/ 0 � f 1► PAD ;.,at- 1411 \a 0 Pgt)'yCuR t4+44 fL Prpi Doe c�-i t� Pt -0; ccraf Pgpj a�= i 2 4 CPNTR4m =Oi 0 MAR 01 2018 City of Tukwila BUILDING DIMS;' U RECEIVED CITY OF TAMA FEB 22 2018 PER= CENTER tze's cfPf-44g- co A) Pk-UM6iru� �e''crv� 1\ -Q4 -Oro N F e eth20 OT P+1 -74-n) e frnrss i -e Goy, PLc� M f3 FN) f) -.Po\) cloPPLY. 34 1 --o0-6 v It 11.1/ PED) (RE 9` e ILCU PrP 6"e ee ¢p� euve t -a, -z c� pew ettp Mix euge MO Mui, Ct'p' Pmteuit urs t, RECEVE© CTY OF TISKINCLa FEB 22 2018 Ppo3- QPcAA) Ie A-DpR�S1+16 B�� 5 '' 1 a� 6 ca -LA l'�1} n cip c? A4 A-1-2_ C�on�i�2�er©R �tto i # l �v� K� s P9kl.... Co ILI* pa -t Pet F W P; O CyoN A -e1-79 1t N 4+0 of -11/111-1 L , 1 roc ST P* 10/1/2018 City of Tukwila Department of Community Development HONG PHAN 5651 S 305 ST AUBURN, WA 98001 Permit No. PG18-0021 ORGANIC NAIL BAR 426 SOUTHCENTER MALL Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the Intemational 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 11/17/2018. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 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 11/17/2018, 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, a 1 play Perm't Technician File No: PG 18-0021 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 PERMIT COORD COPY' PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: PG18-0021 DATE: 02/22/18 PROJECT NAME: ORGANIC NAIL BAR SITE ADDRESS: 426 SOUTHCENTER MALL X Original Plan Submittal Response to Correction Letter # Revision # Revision # before Permit Issued after Permit Issued DEPARTMENTS: )--)-7--f Building Division Ws Fire Prevention Structural PRELIMINARY REVIEW: Not Applicable (no approval/review required) Planning Division Perrnit Coordinator III DATE: 02/27/18 Structural Review Required REVIEWER'S INITIALS: DATE: LI APPROVALS OR CORRECTIONS: Approved Corrections Required r1 Approved with Conditions .111.••• Denied (corrections entered in Reviews) (ie: Zoning Issues) DUE DATE: 03/27/18 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg E3 Fire E Ping 0 PW El Staff Initials: 12/18/2013 Non -Residential Sewei Jse Certification Sewage Treatment Capacity Charge To be completed for all new sewer connections, reconnections or change of use of existing connections. Please Print or Type 4 ov-V 1 t'e,vkkk' M 9_.L # 1 Property Street Address 1 111 K .iV, -C71 City IWlgi2Q�. Owner's Name Owner's Mailing Address City ()) Pr) State ZIP State ZIP IIgo47 Owner's Phone Number including Area Code Property Contact Phone Number including Area Code Party to be Billed (if different from owner) Address City State ZIP A. Fixture Units Fixture Units x Number of Fixtures = Total Fixture Units Kind of Fixture Fixture Units No. of Fixtures Total Fixture Units Public Private Public Private Bathtub and Shower 4 4 Shower, per head 2 2 Dishwasher 2 2 Drinking fountain (each head) 1 .5 Hose bibb (interior) 2.5 2.5 Clothes washer or laundry tub 4 2 Sink, bar or lavatory 2 1 Sink, Clinic flushing 8 8 Sink, kitchen 3 2 Sink, other (service) 3 1.5 l Sink, wash fountain, circle spray 4 3 ._.- Urinal, flush vaive, 1 GPF 5 2 Urinal, flush valve, >1 GPF 6 2 Water closet, tank or valve, 1.6 GPF 6 3 Water closet, tank or valve, >1.6 GPF 8 4 Total Fixture Units Residential Customer Equivalent (RCE) 20 fixture units equal 1.0 RCE Total Fixture Units 20 C.1 C.) RCE King County Department of Natural Resources and Parks Wastewater Treatment Division For King County Use Only Account # No. of RCEs Monthly Rate Property Tax ID # Subdivision Name Subdiv. # Block # Building Name (if applicable) City or Sewer District Date of Connection Side Sewer Permit # Lot # Please report any demolitions of pre-existing structures on this property. Credit for a demolition may be given under some circumstances. (See King County Code 28.84.050, 0.5) Demolition of pre-existing structure? ❑ Yes ❑ No Was structure on Sanitary Sewer? ❑ Yes ❑ No Was Sewer connected before 2/1/90? ❑ Yes ❑ No Sewer disconnect date Type of structure demolished Request to apply demolition credit to multiple structures? ❑ Yes ❑ No B. Other Wastewater Flow (in addition to Fixture Units identified in Section A) Type of Facility/Process: RECEIVED CITY OF TUKWILA FEB 22 2018 CENTER Estimated Wastewater Discharge: Gallons/days Residential Customer Equivalent 187 gallons per day equals 1.0 Total Discharge (gal/day) _ 187 RCE C. Total Residential Customer Equivalents: (add A & B) A 0 +B Total RCE Pursuant to King County Code 28.84.050, all sewer customers who establish a new service which uses metropolitan sewage facilities shall be subject to a capacity charge. The amount of the charge is established annually by the Metropolitan King County Council at a rate per month, per residential customer or residential customer equivalent, for a period of fifteen years. The purpose of the charge is to recover costs of providing sewage treatment capacity for new sewer customers. All future billings can be prepaid at a discounted amount. Questions regarding the capacity charge or this form should be referred to King County's Wastewater Treatment Division at 206-477-5516. I understand that the information given is correct. I understand that the capacity charge levied will be based on this information. I understand that any deviation may result in a revised capacity charge. Signature of Owner/Representative � Date —2-9)- i Print Name of Owner/Representative kt006 (Q,< VI 1610 6969w nnnres sewer ran chn 10513.indd ?Gto-oso2_1 White — Kinn County Yellow — Lnnal Sewer Anenav Pink — Sewer Custnmer /Rev toil R1 HONG'S GENERAL CONST& PLUMBING Home P..panol Contact Safety & Health Claims & Insurance Clibio Washington State Department of Labor & Industries Search L&I Page 1 of 2 A -Z Index Help My I,&I Workplace Rights Trades & Licensing HONG'S GENERAL CONST& PLUMBING Owner or tradesperson Principals PHAN, HONG, OWNER Doing business as HONG'S GENERAL CONST& PLUMBING WA UBI No. 602 774 379 5651 S 305 ST AUBURN, WA 98001 206-227-2275 KING County Business type Individual Governing persons PHUONG H NGUYEN HONG TAN PHAN; 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. HONGSGC825B5 Effective — expiration 01125/2018— 01125/2020 Bond Wesco Insurance Co Bond account no. 46WB084652 $12,000.00 Received by L&I Effective date 01/2512018 01/2212018 Expiration date Until Canceled Insurance ............. Security National Insurance $1,000,000.00 Policy no. PC143462500 Received by L&I Effective date 01/25/2018 01122/2018 Expiration date 01/22/2019 Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. LAI Tax debts ............................ No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602774379&LIC=HONGSGC825B5&SAW= 3/5/2018 HONG'S GENERAL CONST& PLUMBING • License Violations No license violations during the previous 6 period. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. This company has multiple workers' comp accounts. Active accounts Account no. 225,867-00 Doing business as HONGS GENERAL CONSTRUCTION Certificate of Workers' Comp Coverage Track this contractor Account no. 225,867-02 Doing business as TOP PHO Certificate of Workers' Comp Coverage Track this contractor 2 Account is current. Account is current. Public Works Strikes and Debarments Verify the contractor is efigibfe to perform work on public works projects. Contractor Strikes This contractor received a valid strike(s) for violation or infraction for the following L&I law(s). Learn more about contractor strikes. RCW Violation 51.48.103 Description Failure to obtain a certificate of coverage for industrial insurance Contractors not allowed to bid No debarments have been issued against this contractor. Effective Date 5/7/2012 Workplace safety and (health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 11/1312013 Inspection no. 316833243 Location 1410 Columbian Way Seattle, WA 98144 Violations Page 2 of 2 Washington State Dept. of Laboi & lndustnet Use of this site is subject to the laws of the state of Wa shngton Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602774379&LIC=HONGSGC825B5&SAW= 3/5/2018