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Home My WebLink AboutPermit D10-285 - WESTFIELD SOUTHCENTER MALL - HICKORY FARMS - KIOSKHICKORY FARMS KIOSK 2800 SOUTHCENTER MALL K -9007 EXPIRED 04 -24 -I1 D10 -285 City oftukwila 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. tukwi la. wa. us DEVELOPMENT PERMIT Parcel No.: 9202470010 Address: 2800 SOUTHCENTER MALL TUKW Suite No: Project Name: HICKORY FARMS KIOSK Permit Number: D10-285 Issue Date: 10/25/2010 Permit Expires On: 04/23/2011 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: GEOFF MASON Address: 2800 SOUTHCENTER MALL , TUKWILA WA 98188 Contractor: Name: Address: Contractor License No: Phone: 206 - 246 -0423 Phone: Expiration Date: DESCRIPTION OF WORK: INSTALLATION OF TEMPORARY KIOSK FOR THE HOLIDAYS. NO USE OF PERMANENT STRUCTURE. ISSUED OVER THE COUNTER Value of Construction: $500.00 Fees Collected: $130.50 Type of Fire Protection: SPRINXLERS /AFA International Building Code Edition: 2009 Type of Construction: II -B Occupancy per IBC: 0019 * *continued on next page ** doc: IBC -10/06 D10 -285 Printed: 10 -25 -2010 City 641Tukwila 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 Permit Number: Issue Date: Permit Expires On: D10-285 10/25/2010 04/23/2011 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving Oversize Load: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: N Number: 0 Size (Inches): 0 N Water Main Extension: Water Meter: N Permit Center Authorized Signature: Start Time: Volumes: Cut 0 c.y. Start Time: Private: Profit: N Private: k)Aitintut End Time: Fill 0 c.y. End Time: Public: Non - Profit: N Public: Date: I V �- J —f• (/ I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The 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. Signature: 6e/ Date: `SAO Print Name: 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: IBC -10/06 D10 -285 Printed: 10 -25 -2010 • City of Tukwila ti Department of Community Development o i P f Y P G1 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone:206- 431 -3670 19Q8 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 9202470010 Address: Suite No: Tenant: PERMIT CONDITIONS 2800 SOUTHCENTER MALL TUKW HICKORY FARMS KIOSK Permit Number: Status: Applied Date: Issue Date: D10-285 ISSUED 10/25/2010 10/25/2010 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 3: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be obtained at City Hall in the office of the City Clerk. 4: 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. * *continued on next page ** doc: Cond -10/06 D10 -285 Printed: 10 -25 -2010 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa. us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: 6O //hoe, Date: /40�Z0a doc: Cond -10/06 D10 -285 Printed: 10 -25 -2010 CITY OF TUK A Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Building Pere No. ) OS— 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: 2SOO Soidgem ,emu // Tenant Name: #a'2/y /s , Property Owners Name: A✓lSi�' `A/61 So 4'/ c ,X Mailing Address: ZIDD S el i ,d4 King Co Assessor's Tax No.: 'i q47 4d r D Suite Number: 9007 Floor: New Tenant: Q' Yes ❑..No City State 92r/8? Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Name: /Y/�JD�f Mailing Address: 2800 soida i 4 /i4// E -Mail Address: 811OSO', Q s0/ ./Can Day Telephone: (20,) 2.44. 0423 `✓I Pik? 9 State Zip City Fax Number: (2D6) 2,40 8607 GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: City Day Telephone: Fax Number: Expiration Date: State Zip 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:\Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Permit Application.doc Revised: 7 -2010 bh City Day Telephone: Fax Number: State Zip Page 1 of 6 BUILDING PERMIT INFORMATIO 6206- 431 -3670 Valuation of Project (contractor's bid price): $ 5OO Existing Buildin Valuation: $ 500 Scope of Work (please provide detailed information): i/Afi��o1lpe f�°/r1�OGV6U' Rocca / /!/D use 1---rxiirow- /!/ xi h1 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 i 8 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 PROTECTION/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:1ApplicationsTorms- Applications On Line\2010 Applications17 -2010 - Permit Application.doc Revised: 7 -2010 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 ZOO 2nd 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 i 8 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 PROTECTION/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:1ApplicationsTorms- Applications On Line\2010 Applications17 -2010 - Permit Application.doc Revised: 7 -2010 bh Page 2 of 6 PERMIT APPLICATION NOTES — licable 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 da a 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 Signature: AUTHORIZED AGENT: Date: /O %ZS/O Print Name: ek— ''Y /Lf4 0/1% (06) 2�6 Oaf 2, T Day Telephone: Z City State Zip Mailing Address: MO Sa+,ocie4/ Ala Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: 7 -2010 bh Page 6 of 6 PLUMBING AND GAS PIPING PER INFORMATION — 206 - 431 -3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Comga�� Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Da Valuation of Plumbing k (contractor's bid price): $ Valuation of Gas Piping wo (contractor's bid price): $ Scope of Work (please provide -tailed information): Building Use (per Int') Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outl eing installed and the quantity below: Fixture Type: Qty Fixture Type: Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking founta' or water cooler head) '•,•d-waste grinder, co `4i• ercial Floor Drain Shower, single head trap Lavatory Wash`k!untain Receptor, indirect waste Sinks Urinals Water Cloy, Building sewer and each trailer park sewer Rain water system — per drain (inside building) Wate eater and/or vent Industrial wast- ^�. eatment interceptor, inclui _ trap and vent, except for `•.' chen type grease intercepto �. Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) epair 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- vacuum breakers not i cluded in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets H:'Applications\Forms- Applications On Lane\2010 Apphcation0-2010 - Permit Appitcation.doc Revised: 7-2010 bh Page 5 of 6 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone : 206-431-3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us RECEIPT Parcel No.: 9202470010 Permit Number: D10-285 Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 10/25/2010 Applicant: HICKORY FARMS KIOSK Issue Date: Receipt No.: R10 -02160 Payment Amount: $130.50 Initials: WER Payment Date: 10/25/2010 02:11 PM User ID: 1655 Balance: $0.00 Payee: GEOFFRY MASON TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 01769B ACCOUNT ITEM LIST: Description 130.50 Account Code Current Pmts BUILDING - NONRES STATE BUILDING SURCHARGE 000.322.100 126.00 640.237.114 4.50 Total: $130.50 doc: Receiot -06 Printed: 10 -25 -2010 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OFtTUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431-3670 . • Permit InspeCtiOn Request Line (206) 431=2451 - 225 .1 Pr j st: h _. r Type,,,of Inspection: K e,itka u E.,_ gin* wed t OK-41 i ettliks fl A dress: 4 I ( 66 L A- Date Called: Special Instructions: If.: oSk. - . • / ' Date Wanted: . 1 . thi'7\1 • . ID -2,49, (0 p.m. Requester:1 • Phone No: 140 to ' -610c44 Approved per applicable codes. . rjCorrections required prior to approval, COMMENTS: i SI Datei 10 ...7je 0 ETNSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. CLlt to schedule reinspeetion. • f i'e Copy • • NORDSTROM AMU UilELS macy FaUil LAMS \ a - -P9ITTTP Fins 7;m/well 1io5, - /0/221/0 Span ill°g%9 7 6 °b °d.. j}" — b _" W' e e °" _"o _" a —ere er" e. p1 oqf / /2 /11 RECEIVED cnvoFTUKMA OCT. 2 5 2010 PERMIT CENTER 58' -7" I O O BEN BRIDGE JEWELERS 2637sf D 1685sf D 00 N- f 9008 inr Zvi I WI 1.-0 9009 150sf 180sf 0 38'_0„ 16'-0"16'— 13' 'f o 628 e 632 I 63 200sf ihrhay' 13' I 1;2. Faims 20' rc I ALLEY KAT .4501 sf N r- w CO O 0 �r- CN 1903sf VERIZON WIRELESS • (0 2411 sf I�nli;� it ri� WB O " RECEIVED OCT. 2 5.101® PERMIT p 03 -02 -2011 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director GEOFF MASON 2800 SOUTHCENTER MALL TUKWILA WA 98188 RE: Permit No. D10 -285 2800 SOUTHCENTER MALL 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 04/24/2011. 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 04/24/2011, 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. D10 -285 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665