HomeMy WebLinkAboutPermit D18-0377 - DXL - INTERIOR TENANT IMPROVEMENTDXL
17401 SOUTHCENTER PKWY
161
D18-0377
Parcel No:
Address:
City of Tukwila
•
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.Qov
DEVELOPMENT PERMIT
2623049120 Permit Number: D18-0377
17401 SOUTHCENTER PKWY 161 Issue Date: 3/4/2019
Permit Expires On: 9/16/2019
Project Name: DXL
Owner:
Name:
Address:
Contact Person:
Name:
WINNERS 3 LLC
117 E LOUISA ST #230 , SEATTLE, IL,
98102
KEVIN MCKENNA
Address: 111 W WASHINGTON STE 450 ,
CHICAGO, IL, 60602
Contractor:
Name: HORIZON RETAIL CONSTRUCTION INC
Address: 1500 HORIZON DR, STURTEVANT, WI,
53177
License No: HORIZRC072N5
Lender:
Name:
Address:
1
Phone: (312) 260-7074
Phone: (262) 638-6000
Expiration Date: 4/15/2019
DESCRIPTION OF WORK:
INTERIOR FIT -UP FOR DXL STORE.
Project Valuation: $182,858.00
Type of Fire Protection: Sprinklers:
Fire Alarm:
Type of Construction: VB
Electrical Service Provided by: TUKWILA
Fees Collected: $3,869.45
Occupancy per IBC: B
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
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:
0 0
Volumes: Cut: 0 Fill: 0
Number: 0
No
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 agree to the conditions attached to this permit.
Signat
Print Name:
nv. ecam.,
Dater 'a'' 1C(
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: 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.
2: 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.
3: The special inspections and verifications for concrete construction shall be as required by IBC Chapter 17,
Table 1705.3.
4: When special inspection is required, either the owner or the registered design professional in responsible
charge, shall employ a special inspection agency and notify the Building Official of the appointment prior to
the first building inspection. The special inspector shall furnish inspection reports to the Building Official in
a timely manner.
5: A final report documenting required special inspections and correction of any discrepancies noted in the
inspections shall be submitted to the Building Official. The final inspection report shal be prepared by the
approved special inspection agency and shall be submitted to the Building Official prior to and as a
condition of final inspection approval.
6: New suspended ceiling grid and light fixture installations shall meet the seismic design requirements for
nonstructural components. ASCE 7, Chapter 13.
7: Partition walls shall not be tied to a suspended ceiling grid. All partitions greater than 6 feet in height shall
be laterally braced to the building structure. Such bracing shall be independent of any ceiling splay bracing.
• •
8: Structural Observations in accordance with I.B.C. Section 1709 is required. At the conclusion of the work
included in the permit, the structural observer shall submit to the Building Official a written statement that
the site visits have been made and identify any reported deficiencies which, to the best of the structural
observer's knowledge, have not been resolved.
9: All rack storage requires a separate permit issued through the City of Tukwila Permit Center. Rack storage
over 8 -feet in height shall be anchored or braced to prevent overturning or displacement during seismic
events. The design and calculations for the anchorage or bracing shall be prepared by a registered
professional engineer licensed in the State of Washington. Periodic special inspection is required during
anchorage of storage racks 8 feet or greater in height.
10: 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.
11: 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.
12: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
13: 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 less than 4 inches (102 mm). (IFC 906.7 and IFC
906.9)
14: 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)
15: 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 yearsstored 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)
16: The total number of fire extinguishers required for an ordinary hazard occupancy with Class A fire hazards is
calculated at one extinguisher for each 1,500 sq. ft. of area. The extinguisher(s) should be of the "All
Purpose" (3A, 40B:C) dry chemical type. Travel distance to any fire extinguisher must be 75' or less. (IFC
906.3) (NFPA 10, 5.4)
17: Maintain fire extinguisher coverage throughout.
18: Egress doors shall be readily openable from the egress side without the use of a key or special knowledge
or effort. (IFC 1010.1.9)
19: Dead bolts are not allowed on auxiliary exit doors unless the dead bolt is automatically retracted when the
door handle is engaged from inside the tenant space. (IFC Chapter 10)
20: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10)
21: Door handles, pulls, latches, locks and other operating devices on doors required to be accessible by
Chapter 11 of the International Building Code shall not require tight grasping, tight pinching or twisting of
the wrist to operate. (IFC 1010.1.9.1)
22: 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 Tess, from the nearest visible exit sign. (IFC 1013.1)
0 0
23: 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 less than 0.75 inch (19.1 mm) wide. The word "EXIT" shall have
letters having a width not Tess 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
the International Fire Code shall have letter widths, strokes and spacing in proportion to their height. The
word "EXIT" shalt 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 1013.6.1)
24: 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 1013.6.3)
25: 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 1008.3.5)
29: 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)
27: Sprinklers shall be installed under fixed obstructions over 4 feet (1.2 m) wide. (NFPA 13-8.6.5.3.3)
26: 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).
30: 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.
32: 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)
33: An electrical permit from the City of Tukwila Building Department Permit Center (206-431-3670) is required
for this project.
34: All electrical work and equipment shall conform strictly to the standards of the National Electrical Code.
(NFPA 70)
35: The maximum flame spread class of finish materials used on interior walls and ceilings shall not exceed that
set forth in Table No. 803.11 of the International Building Code.
36: In other than Group 1-3, curtains, draperies, fabric hangings and other similar combustible decorative
materials suspended from walls or ceilings shall comply with Section 807.4 and shall not exceed 10 percent
of the specific wall or ceiling area to which they are attached. (IFC 807.1) Where required to exhibit
improved fire performance, curtains, draperies, fabric hangings and other similar combustible decorative
materials suspended from walls or ceilings shall be tested by an approved agency and meet the flame
propagation performance criteria of Test Method 1 or Test Method 2, as appropriate, of NFPA 701 or
exhibit a maximum rate of heat release of 100 kW when tested in accordance with NFPA 289, using the 20
kW ignition source. Reports of test results shall be prepared in accordance with the test method used and
furnished to the fire code official upon request. (IFC 807.4)
39: In order to provide you with the fastest police and fire protection under emergency conditions, please post
your suite, room or apartment number in a conspicuous place near the main entry door.
28: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances
#2436 and #2437)
37: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply
approval of such condition or violation.
• •
38: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention
Bureau at (206)575-4407.
40: Signs are not approved as part of this permit. A separate sign permit is required
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700 BUILDING FINAL**
0611 EMERGENCY LIGHTING
1400 FIRE FINAL
0409 FRAMING
0409 FRAMING
0606 GLAZING
0502 LATH/GYPSUM BOARD
0613 LIGHTING EQUIP/CONT
4039 SI -SEISMIC RESTIST
0406 SUSPENDED CEILING
Parcel No:
Address:
•
City of Tukwila
•
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.Aov
DEVELOPMENT PERMIT
2623049120
17401 SOUTHCENTER PKWY 141
Project Name: DXL
Permit Number: D18-0377
Issue Date: 3/4/2019
Permit Expires On: 8/31/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
WINNERS 3 LLC
117 E LOUISA ST#230, SEATTLE, IL,
98102
KEVIN MCKENNA
111 W WASHINGTON STE 450,
CHICAGO, IL, 60602
HORIZON RETAIL CONSTRUCTION INC
1500 HORIZON DR, STURTEVANT, WI,
53177
HORIZRC072N5
1, I
Phone: (312) 260-7074
Phone: (262) 638-6000
Expiration Date: 4/15/2019
DESCRIPTION OF WORK:
INTERIOR FIT -UP FOR DXL STORE.
Project Valuation: $182,858.00
Type of Fire Protection: Sprinklers:
Fire Alarm:
Type of Construction: VB
Electrical Service Provided by: TUKWILA
Fees Collected: $3,869.45
Occupancy per IBC: B
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
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: ?::,__Ll_IGl
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 perand agree to the conditions attached to this permit.
Signat
Print Name:
5 0042,A, NQ.o►iy
Date: 3"4' IC1
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: 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.
2: 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.
3: The special inspections and verifications for concrete construction shall be as required by IBC Chapter 17,
Table 1705.3.
4: When special inspection is required, either the owner or the registered design professional in responsible
charge, shall employ a special inspection agency and notify the Building Official of the appointment prior to
the first building inspection. The special inspector shall furnish inspection reports to the Building Official in
a timely manner.
5: A final report documenting required special inspections and correction of any discrepancies noted in the
inspections shall be submitted to the Building Official. The final inspection report shall be prepared by the
approved special inspection agency and shall be submitted to the Building Official prior to and as a
condition of final inspection approval.
6: New suspended ceiling grid and light fixture installations shall meet the seismic design requirements for
nonstructural components. ASCE 7, Chapter 13.
7: Partition walls shall not be tied to a suspended ceiling grid. All partitions greater than 6 feet in height shall
be laterally braced to the building structure. Such bracing shall be independent of any ceiling splay bracing.
• •
8: Structural Observations in accordance with I.B.C. Section 1709 is required. At the conclusion of the work
included in the permit, the structural observer shall submit to the Building Official a written statement that
the site visits have been made and identify any reported deficiencies which, to the best of the structural
observer's knowledge, have not been resolved.
9: All rack storage requires a separate permit issued through the City of Tukwila Permit Center. Rack storage
over 8 -feet in height shall be anchored or braced to prevent overturning or displacement during seismic
events. The design and calculations for the anchorage or bracing shall be prepared by a registered
professional engineer licensed in the State of Washington. Periodic special inspection is required during
anchorage of storage racks 8 feet or greater in height.
10: 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.
11: 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.
12: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
13: 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 less than 4 inches (102 mm). (IFC 906.7 and IFC
906.9)
14: 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)
15: 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)
16: The total number of fire extinguishers required for an ordinary hazard occupancy with Class A fire hazards is
calculated at one extinguisher for each 1,500 sq. ft. of area. The extinguisher(s) should be of the "All
Purpose" (3A, 40B:C) dry chemical type. Travel distance to any fire extinguisher must be 75' or less. (IFC
906.3) (NFPA 10, 5.4)
17: Maintain fire extinguisher coverage throughout.
18: Egress doors shall be readily openable from the egress side without the use of a key or special knowledge
or effort. (IFC 1010.1.9)
19: Dead bolts are not allowed on auxiliary exit doors unless the dead bolt is automatically retracted when the
door handle is engaged from inside the tenant space. (IFC Chapter 10)
20: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10)
21: Door handles, pulls, latches, locks and other operating devices on doors required to be accessible by
Chapter 11 of the International Building Code shall not require tight grasping, tight pinching or twisting of
the wrist to operate. (IFC 1010.1.9.1)
22: 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 1013.1)
23: 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 less 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
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 1013.6.1)
24: Exit signs shall be illuminated at all times. To ensure continued illumination for a duration of not Tess than
90 minutes in case of primary power loss, the sign illumination means shall be connected to an emergency
power system provided from storage batteries, unit equipment or on-site generator. (IFC 1013.6.3)
25: 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 1008.3.5)
29: 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)
27: Sprinklers shall be installed under fixed obstructions over 4 feet (1.2 m) wide. (NFPA 13-8.6.5.3.3)
26: 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).
30: 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.
32: 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)
33: An electrical permit from the City of Tukwila Building Department Permit Center (206-431-3670) is required
for this project.
34: All electrical work and equipment shall conform strictly to the standards of the National Electrical Code.
(NFPA 70)
35: The maximum flame spread class of finish materials used on interior walls and ceilings shall not exceed that
set forth in Table No. 803.11 of the International Building Code.
36: In other than Group 1-3, curtains, draperies, fabric hangings and other similar combustible decorative
materials suspended from walls or ceilings shall comply with Section 807.4 and shall not exceed 10 percent
of the specific wall or ceiling area to which they are attached. (IFC 807.1) Where required to exhibit
improved fire performance, curtains, draperies, fabric hangings and other similar combustible decorative
materials suspended from walls or ceilings shall be tested by an approved agency and meet the flame
propagation performance criteria of Test Method 1 or Test Method 2, as appropriate, of NFPA 701 or
exhibit a maximum rate of heat release of 100 kW when tested in accordance with NFPA 289, using the 20
kW ignition source. Reports of test results shall be prepared in accordance with the test method used and
furnished to the fire code official upon request. (IFC 807.4)
39: In order to provide you with the fastest police and fire protection under emergency conditions, please post
your suite, room or apartment number in a conspicuous place near the main entry door.
28: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances
#2436 and #2437)
37: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply
approval of such condition or violation.
38: These plans were reviewed by Inspector 511.
Bureau at (206)575-4407.
40: Signs are not approved as part of this permit.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700
0611
1400
0409
0606
0502
0613
4039
0406
BUILDING FINAL**
EMERGENCY LIGHTING
FIRE FINAL
FRAMING
GLAZING
LATH/GYPSUM BOARD
LIGHTING EQUIP/CONT
SI -SEISMIC RESTIST
SUSPENDED CEILING
If you have any questions, please call Tukwila Fire Prevention
A separate sign permit is required
Ohs
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Permit No. D1(61/ U'
Project No. IDate Application Accepted: 11 k'i,1 U
Date Application Expires: 111 i g
(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**
SITE LOCATION
Site Address: 17401 Southcenter Parkway
King Co Assessor's Tax No.: 262304-9120
Suite Number: 141 Floor:
Tenant Name: DXL
PROPERTY OWNER
Name: Christian Schofield - Seattle Retail
Address: 117 E Louisa Street #230
City: Seattle State: WA Zip: 98102
CONTACT PERSON — person receiving all project
communication
Name: Kevin McKenna - Burnham Nationwide
Address: 111 W. Washington, Ste. 450
City: Chicago State: IL Zip: 60602
Phone: (312) 260-7074 Fax:
Email: kmckenna@burnhamnationwide.com
GENERAL CONTRACTOR INFORMATION
Company Name: TBD
Architect Name: Robert J. Sargenti
Address: 461 From Road, Second Floor
City: Paramus State: NJ Zip: 07652
Address:
Email: wshort@sargarch.com ; Wesley Short - PM
City: Minneapolis State: NIlV
City:
State:
Zip:
Phone:
Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.:
H:\Applications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-11.docx
Revised: August 2011
bh
New Tenant: ❑ Yes ❑ ..No
ARCHITECT OF RECORD
Company Name: Sargenti Architects
Architect Name: Robert J. Sargenti
Address: 461 From Road, Second Floor
City: Paramus State: NJ Zip: 07652
Phone: (973) 859-9367 Fax:
Email: wshort@sargarch.com ; Wesley Short - PM
ENGINEER OF RECORD
Name:
Company Name: Dunham
City: State: Zip:
Engineer Name: Greg Steinmetz
Address: 50 South Sixth Street, Ste. 1100
City: Minneapolis State: NIlV
Zip: 55402
Phone: (615) 465-7632 Fax:
Email: melissa.malek@dunhameng.com
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name:
Address:
City: State: Zip:
Page 1 of 4
BUILDING PERMIT INFORMATION — 206-431-3670
Valuation of Project (contractor's bid price): $ 182,858
Describe the scope of work (please provide detailed information):
Interior fit -up for a DXL store.
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
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ Yes ❑ No If "yes", explain:
FIRE 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:Wpplications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-I I.docx
Revised: August 2011
bh
Page 2 of 4
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1st Floor
7,086
7,086
0
2B
M
2"d Floor
3`d Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ Yes ❑ No If "yes", explain:
FIRE 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:Wpplications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-I I.docx
Revised: August 2011
bh
Page 2 of 4
Aft
PUBLIC WORKS PERMIT INFORMATION — 206-433-0179
Scope of Work (please provide detailed information):
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ ...Tukwila ❑ ... Water District #125
0 ...Water Availability Provided
Sewer District
❑ ...Tukwila
0 ...Sewer Use Certificate
❑ .. Highline
❑ ... Valley View ❑ .. Renton
❑ ...Sewer Availability Provided
0 .. Renton
❑ .. Seattle
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.
Submitted with Application (mark boxes which apply):
0 ...Civil Plans (Maximum Paper Size — 22" x 34")
0 ...Technical Information Report (Storm Drainage)
0 ...Bond ❑ .. Insurance 0 .. Easement(s)
Proposed Activities (mark boxes that apply):
❑ ...Right-of-way Use - Nonprofit for less than 72 hours
0 ...Right-of-way Use - No Disturbance
❑ ...Construction/Excavation/Fill - Right-of-way 0
Non Right-of-way 0
❑ ...Total Cut
❑ ...Total Fill
cubic yards
cubic yards
❑ ...Sanitary Side Sewer
0 ...Cap or Remove Utilities
0 ...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ .. Geotechnical Report
0 .. Maintenance Agreement(s)
❑... Traffic Impact Analysis
0 ...Hold Harmless — (SAO)
0 ...Hold Harmless — (ROW)
❑ .. Right-of-way Use - Profit for less than 72 hours
0 .. Right-of-way Use — Potential Disturbance
❑ .. Work in Flood Zone
0 .. Storm Drainage
❑ .. Abandon Septic Tank
0 .. Curb Cut
❑ .. Pavement Cut
0 .. Looped Fire Line
17
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ...Permanent Water Meter Size... WO #
❑ ...Temporary Water Meter Size .. II WO #
0 ...Water Only Meter Size 77 WO # 0 ...Deduct Water Meter Size
❑ ...Sewer Main Extension Public 0 Private ❑
0 ...Water Main Extension Public 0 Private ❑
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:Wpplications\Fonns-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 13Y THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature:
Print Name: Kevin McKenna - Burnham Nationwide
Mailing Address: 111 W. Washington St, Ste. 450
H:Wpplications\Fortns-Applications On Line \2011 Applications\Pertnit Application Revised - 8-9-I1.docx
Revised: August 2011
bh
Date: I1(ul1-011(
Day Telephone: (312) 260-7074
Chicago IL 60602
City State Zip
Page 4 of 4
I
Cash Register Receipt
City of Tukwila
Receipt Number
R17058
DESCRIPTIONS ACCOUNT QUANTITY
PermitTRAK
PAID
$2,399.51
D18-0377 Address: 17401 SOUTHCENTER PKWY 141 Apn: 2623049120
$2,399.51
DEVELOPMENT
$2,286.44
PERMIT FEE
R000.322.100.00.00
0.00
$2,261.44
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$25.00
TECHNOLOGY FEE
$113.07
TECHNOLOGY FEE R000.322.900.04.00 0.00
TOTAL FEES PAID BY RECEIPT: R17058
$113.07
$2,399.51
Date Paid: Monday, March 04, 2019
Paid By: HORIZON RETAIL CONSTRUCTION IN
Pay Method: CHECK 453007
Printed: Monday, March 04, 2019 8:48 AM 1 of 1
SYSTEMS
ReceiptNumber
R15927
DESCRIPTIONS I ACCOUNT QUANTITY
PermitTRAK
PAID
$1,722.01
D18-0377 Address: 17401 SOUTHCENTER PKWY 141 Apn: 2623049120
$1,469.94
DEVELOPMENT
$1,469.94
PLAN CHECK FEE R000.345.830.00.00
0.00
$1,469.94
EL18-1016 Address: 17401 SOUTHCENTER PKWY 141 Apn: 2623049120
$173.09
ELECTRICAL
$173.09
PLAN CHECK FEE R000.345.832.00.00
0.00
$173.09
M18-0160 Address: 17401 SOUTHCENTER PKWY 141 Apn: 2623049120
$78.98
MECHANICAL
$78.98
PLAN CHECK FEE R000.322.102.00.00
TOTAL FEES PAID BY RECEIPT: R15927
0.00
$78.98
$1,722.01
Date Paid: Thursday, November 29, 2018
Paid By: DXL GROUP
Pay Method: CHECK 411724
Printed: Thursday, November 29, 2018 9:09 AM 1 of 1
CRWSYSTEMS
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) 438-9350
Project:
1--
Type of Inspection:
lb -4:4,-)6.
rw 4/,
Address:
17401��G'
Date Called:
Special Instructions:
66 /
at Wanted:
�'`-Z 19
a.m.
p.m.
Requester: G if Rep
Phone No:
2hZ. 33/
39s1::›
Approved per applicable codes. EICorrections required prior to approval.
MMENTS:
N-(WcAl
Inspector:
REINSPECTI FEE SQUIRED. Prior to next inspection. fee must be
paid at 6300 Southc nter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION N0. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
0377
Project:
�--
Type of Inspection:
6•1 SPS-,,�l�,n 6Z-Ild‘,4
Address:
ri40 d
wt—
Date Called:
Special Instructions:
1b(
D e Wanted:
2(^6-11
p.m.
Requester:
Phone No:
Approved per applicable codes. ❑ Corrections required prior to approval.
OMMENTS:
Inspector:
,y,
Date:
REINSPECTION FEE REQUIRED. Prior to next inspectfee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
on
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) 438-9350
%e, 0371
Project:
Type of Inspection:
Address:
17MOI 41E ce Xiz
Date Called:
Special lnstruc ions:/ � (
Date Wanted:3.,a)^ 1
Requester:
C 94
Phone No:
2602, g3
his®
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
4
L -l' ADN2es5
P �r7- Cal 7dI rm /
Ay -it hy6" * - t6:.)
Inspector: c .
Date: GC
Q REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Lighting Summary
LTG -SUM
2015 Washington State Energy Code Compliance Forms f
Project Info
Compliance
forms do not
require a
password to
use.
Instructional and
calculating cells
are write -
protected.
Project Title: DXL Tukwila, WA
Date 10/25/2018
Applicant Information. Provide contact information for individual who can
respond to inquiries about compliance form information provided.
For Budding Department Use
Company Name: Dunham Associates
Company Address: 50 South 6th St.
Applicant Name: Jay Rohkohl
Applicant Phone: (612)465-7550
Applicant Email: jay.rohkohl@dunhameng.com
Project DescriptionNew
Building WED ❑ g ❑Addition jED FO
✓ t i No
CJ[K� r C
Include PROJ-SUM form (included in envelope f ms war Q '. h n gce
Lighting Scope
forms.
Interior Lighting
Description
System
Plans IndudedILE
P RO
DEC 18 2018
City of Tukwila
BUILDING DIVISION
1 Interior Lighting
Interior Lighting Power
Allowance Method
-by -space Method
❑ Building Area Method J Space
Select method used in project.
Interior Lighting Controls
Exception 5 Luminaire Level
Controls (LLLC)
lighting power shall comply with the
J All C405.2.1- C405.2.8 Lighting Controls ❑ C405.2
Lighting
❑ Additional Efficiency Package Option
C406.4 Enhanced Digital Lighting Controls
To comply with C406.4, no less than 90% of the total installed interior
required controls per C406.4.
Dwelling Unit Interior
Lighting
Permanently installed interior lighting fixtures in dwelling units comply with: ® No Dwelling
0 C405.2 thru C405.5 Commercial Lighting Controls and LPA Units
Q C406.3 High Efficacy Lighting
Q R404.1 Residential High Efficacy Lighting. Dwelling unit lighting complies with WSEC Residential
provisions in lieu of WSEC Commercial provisions.
Exterior Lighting System
Description
❑ Exterior Lighting Plans Induded
Existing to remain
Building Additions
Refer to Section C502.2.6 for additional
requirements.
�-"
�' 0 R O/ _
f� y�'
G �s O
�� f�✓Or i/I� �,
L r
Compliance Method
Interior lighting
Exterior lighting
Lighting systems in addition area comply with all applicable
provisions as a stand alone new construction project
❑
J
Lighting systems in addition are combined with existing
building lighting systems to demonstrate compliance
❑
J
Addition is combined with existing:
For interior lighting projects, include new + existing -to -remain interior lighting fixture wattage in
Proposed Lighting Wattage table in LTG -INT -BLD or LTG -INT -SPACE form.
For exterior lighting projects, include new + existing -to -remain exterior lighting fixture wattage in
Proposed Tradable and Proposed Non -Tradable Lighting Wattage tables in LTG -ECT form.
DIPyO3.
CITY OF U WILA
NOV 292018
PERMIT CENTER
Lighting Summary, cont.
LTG -SUM
2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2, R3, R4 over 3 stories and all R1 Revised Nov 2017
Project Title: DXL Tukwila, WA
Date 10/25/2018
Change of Space Use
❑ Existing interior lighting systems in areas under -going a change in space use are upgraded to
comply with LPAs for the new space types per Tables C405.4.2(1) or C405.4.2(2).
Identify interior spaces requiring LPD upgrade to the current Code in Proposed Lighting Wattage table in
LTG -INT -BLD or LTG -INT -SPACE form.
Interior and Exterior
Lighting Alterations
Select all Lighting Power and Lighting
Control elements that apply to the scope
of the retrofit project. If project includes a
combination of spaces where less than
50% of the existing fixtures are replaced
in some spaces, and 50% or more of the
fixtures are replaced in others, then
provide separate lighting power
compliance forms for the two retrofit
conditions. Spaces undergoing the same
type of retrofit may be combined into one
lighting power compliance form.
Refer to Section C503.6 for additional
requirements.
All alteration lighting controls shall be
commissioned per C408.3.
❑ No changes are being made to
the interior or exterior lighting
systems and existing space
uses and configuration are not
changed.
Lighting Power
Interior lighting
Parking garage
Exterior lighting
50% or more of existing are replaced
❑
1
Less than 50% of existing are replaced
❑
❑
❑
Lamp and/or ballast replacement only —
existing total wattage not increased
❑
❑
❑
50% or more replaced - Total lighting power of new + existing -to -remain fixtures shall comply with total
LPA per Sections C405.4.2 and C405.5.2. Include new + existing -to -remain fixtures in Proposed
Lighting Wattage table in LTG -INT -BLD, LTG -INT -SPACE or LTG -EXT form.
Less than 50°h replaced - Total lighting power of new + existing -to -remain fixtures shall not exceed the
total lighting power prior to alteration. Include new + existing -to -remain fixtures in the Proposed Lighting
Wattage table in LTG -INT -BLD, LTG -INT -SPACE or LTG -EXT form.
50% threshold applies to number of luminaires for interior spaces and parking garages, and total
installed wattage for exterior luminaires.
Lighting Controls
Interior lighting
Parking garage
Exterior lighting
New wiring installed to serve added
fixtures and/or fixtures relocated to new
circuit(s)
❑
❑
J
New or moved lighting panel
Q
❑
✓
Interior space is reconfigured -
luminaires unchanged or relocated only
❑
New wiring or circuit- For interior lighting, provide required manual controls per C405.2.3, occupancy
sensor controls per C405.2.1, daylight responsive controls per C405.2.4 and application specific lighting
controls per C405.2.5. For exterior lighting, provide required controls per C405.2.7.
New or moved panel - Provide all applicable lighting controls as noted for New Wiring and automatic
time switch controls per C405.2.2.
Reconfigured interior space - Provide all required lighting controls that apply to a new interior space.
Application specific lighting control provisions per C405.2.5 do not apply to reconfigured spaces.
Interior Lighting - Space -By -Space Method
LTG -INT -SPACE
2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2, R3, R4 over 3 stories and all R1 Revised N
Project Title: DXL Tukwila, WA
Date 10/25/2018
Calculation0
Area NOTE 9
New Construction O Addition- O Addition
stand alone + existing
O Spaces where < 50% of O Spaces where >_ 50% of O Spaces where the Use
luminaires are replaced luminaires are replaced is changing (C505)
For Building Department Use
LPA
Calculation
Type
® Standard O Additional Efficiency Package Option
C406.3 Reduced Interior Lighting Power
To comply with C406.3, the Proposed LPD shall be 25% lower than the Target LPA.
Refer to C406.3 for additional requirements.
User Note
Maximum Allowed Lighting Wattage NOTE 1
Location (plan #,
room #)
Space Type
Ceiling
HeightNOTE 2
Gross Interior
Area in ft2
Allowed
Watts per ft2
Watts Allowed
(watts/ft2 x area)
Sales area
11 ' -10"
6099
1.270
7746
Storage room
511
0. 500
256
Corridor: all other
330
0.530
175
Restroom: all other
146
0.780
114
Lobby Art/Exhibit Display Allowance from LTG-INT-DISPLAYNOTE 8
Total Area
Retail Display
7086
LTG -INT -DISPLAY
Allowed Watts
Allowance from
3300
11591
Proposed Lighting Wattage "w"
Location (plan #,
room #)
Fixture Description NOTE 4, 5, 6
Number of
Fixtures
Watts/
Fixture NOTE 7
Sales
Sales
Sales
Sales
Storage
Storage
Corridor
Existing 2x4
N - Pendant
D2 - Down Light
H/I - Pendant
Existing 2x4
J2 - 4FT Strip, 2 -Lamp, T8 Fluorescent
45
2
2
6
3
Restrooms
Existing 2x4
Existing 4FT Strip
6
3
2
128
42
75
50
128
64
128
64
Watts
Proposed
5760
84
150
300
384
384
384
128
Proposed Retail Disp ay Lighting from LTG -INT -DISPLAY
Total Proposed Watts may not exceed Total Allowed Watts for Interior Lighting Total Proposed Watts
3480
11054
Interior Lighting Power Allowance
COMPLIES
Note 1- List all unique space types per Table C405.4.2(2) that occur in the project scope. Select space type category from drop down menu.
Note 2 - Indicate ceiling height for atriums and spaces utilizing the ceiling height adjustment per Table C405.4.2(2), Footnotes d thru f.
Note 3 - List all proposed lighting fixtures including exempt lighting equipment and existing -to -remain fixtures.
Note 4 - For proposed Fixture Description, indicate fixture type, lamp type (e.g. T-8), number of lamps in the fixture, and ballast type (if included). For
track lighting, list the length of the track (in feet) in addition to the fixture, lamp, and ballast information.
Note 5 - For lighting equipment eligible for exemption per C405.4.1, note exception number and leave Watts/Fixture blank.
Note 6 - Existing -to -remain fixtures shall be included in the Proposed Lighting Wattage table in the same manner as new fixtures. Identify as existing
in fixture description.
Note 7 - For proposed Watts/Fixture enter the luminaire wattage for installed lamp and ballast using manufacturer or other approved source. For
luminaires with screw-in lamps, enter the manufacturer's listed maximum input wattage of the fixture (not the lamp wattage). For low voltage
lighting, enter the wattage of the transformer. For line voltage track/busway systems, enter the larger of the attached luminaire wattage or 50
watts/Iineal foot, or enter the wattage limit of permanent current limiting device.
Note 8 - Lobby Art/Exhibit Display Allowance is independent of the Maximum Allowed Lighting Wattage. Enter all proposed lobby art/exhibit display
fixtures in LTG -INT -DISPLAY form only.
Note 9 - Calculation Area Details:
a. Lighting fixtures in a building addition may comply as a stand alone project, or they may be combined with the overall existing building
lighting systems to demonstrate compliance. Refer to C502.1.
b. For alterations and building additions, provide Space Types and gross interior areas in the Maximum Allowed Lighting Wattage table. If a
building addition will comply as combined with the overall existing building lighting systems, include all applicable existing Space Types
and gross interior areas.
c. If less than 50% of existing lighting fixtures will be replaced, provide total existing lighting wattage (prior to alteration) in the space provided
in the Maximum Allowed Lighting Wattage table.
d. If lighting alteration project includes some building areas or spaces where < 50% of luminaires are replaced, and other areas or spaces
where? 50% of luminaires are replaced, then these areas or spaces may be documented separately. If multiple forms will be completed
to demonstrate compliance for the total scope of the alteration project, describe scope covered in form in User Note section.
Interior Display Lighting - Space -by -Space
LTG -INT -DISPLAY
2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2, R3, R4 over 3 stories and all R1 Revised Nov 2017
Project Title: DXL Tukwila, WA
Date 10/25/2018
General Note - In Sales areas, an increase in lighting power allowance is permitted for lighting installed
specifically for the purpose of highlighting merchandise. Only Sales areas illuminated with eligible
merchandise display lighting may be included in the Gross Interior Area under each Retail category. This
lighting power allowance is the Maximum Retail Display Allowance OR the Total Retail Proposed Display
Watts, whichever is less. Proposed retail display lighting wattage that exceeds this allowance is applied to
general area lighting.
Maximum Allowed Retail Display Lighting Wattage
For Building Department Use
User Note
Watts
Proposed
Location (plan #,
room #)
Retail Sales Area Type NOTE 1
Gross Interior
Area in ft2
Allowed Watts
per ft2 NOTE 2
Watts Allowed
(watts/ft2 x area)
NOTE 3
3480
Retail 3: Fumiture, clothing, cosmetics, artwork
2000
1.40
2800
Total Retail With Display Area
Maximum
2000
Total Watts
ing Base Allowance
Allowance NOTE 4
2800
Retail Display Ligh
Retail Display
500
3300
Proposed Retail Display Lighting Wattage NOTES
Retail Area
Location (plan #,
room #)
Fixture Description NOTE 6
Number of
Fixtures
Watts per
Fixture NOTE 7
Watts
Proposed
Retail 3
Sales
Track current limiters (29A)
1
3480
3480
RETAIL DISPLAY WATTAGE ALLOWANCE - PER LPA
Proposed Retail Display Lighting
Totals from LTG -INT -DISPLAY
Total Retail Proposed Display Watts NOTE 8
Retail Display Power Allowance NOTE
3480
3300
Retail 1
Retail 2
Retail 3
Retail 4
3480
Note 1- Select retail sales areas from drop down menu. Only retail sales areas that comply with C405.4.2.2.1 may be entered in this table.
Note 2 - Retail display lighting power allowances per C405.4.2.2.1, Equation 4-11.
Note 3 - Unlit Message - Enter lighting fixture information for this retail sales area in Proposed Lighting Wattage table to generate Lighting
Power Allowance.
Note 4 - Maximum retail display wattage allowance as calculated per C405.4.2.2.1, Equation 4-11.
Note 5 - Only separately controlled retail display fixtures that are independent of general area lighting per C405.4.2.2.1 may be entered in
this table.
Note 6 - For proposed Fixture Description, list ALL proposed display lighting fixtures. Indicate fixture type, lamp type (e.g. T-8), number of
lamps in the fixture, and ballast type (if included). For track lighting, list the length of the track (in feet) in addition to the fixture,
lamp, and ballast information.
Note 7- For proposed Watts/Fixture enter the luminaire wattage for installed lamp and ballast using manufacturer or other approved source.
For luminaries with screw-in lamps, enter the manufacturer's listed maximum input wattage of the fixture (not the lamp wattage). For
low voltage lighting, enter the wattage of the transformer. For line voltage track/busway systems, enter the larger of the attached
luminaire wattage or 50 watts/lineal foot, or enter the wattage limit of permanent current limiting device.
Note 8 - Total Retail Proposed Display Watts is automatically entered into the Proposed Fixture Wattage table in LTG -INT -SPACE.
Note 9 - Retail display lighting power allowance is the lesser of the Maximum Retail Display Allowance OR the Total Retail Proposed
Display Watts. Retail display wattage allowance is automatically entered in the Maximum Allowed Lighting Wattage table in
LTG -INT -SPACE.
Note 10 - Enter a unique title for each lobby area in the project that has seperately controlled art/exhibit display lighting. A lobby area title
(Column A) and the gross interior sf of the lobby area are are both required to generate the maximum display allowance.
Note 11 - Lobby art and exhibit display wattage allowance per Table C405.4.2(2), Footnote c = 0.5 W/ft2.
Note 12 - Proposed display lighting totals for each lobby area per information entered into Proposed Lobby Art/Display Lighting Wattage table.
Note 13 - Only separately controlled display fixtures installed in lobbies for the purpose of highlighting art and exhibits, that are independent of
general area lighting, may be entered in this table.
Note 14 - Lobby Art/Exhibit Display Allowance is automatically entered in LTG -INT -SPACE.
Interior Display Lighting - Space -by -Space
LTG -INT -DISPLAY
2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2, R3, R4 ove
Project Title: DXL Tukwila, WA
Date 10/25/2018
General Note - In Lobby areas, an additional wattage allowance is permitted for lighting installed specifically
for the purpose of highlighting art and exhibits. Only Lobby areas with eligible display lighting may use this
additional allowance. Proposed display lighting for each Lobby area may not exceed this allowance.
Maximum Allowed Lobby Art/Exhibit Display Lighting Wattage
For Building Department Use
LobbyArea NOTE 10
Lobby Description including (plan # & room #)
Gross Interior
Area in ft2
Maximum Display
Watts Allowed
NOTE 11
Per Area
Proposed Display
Lighting Total
NOTE 12
Per Area
Total Lobby with Display Area
Total Lobby Art/Exhibit Display Allowance NOTE 14
Proposed Lobby Art/Exhibit Display Lighting Wattage NOTE 13
Lobby Area
Location (plan #,
room #)
Fixture Description NOTE 6
Number of
Fixtures
Watts per
Fixture NOTE 6
Watts
Proposed
Total Lobby Art/Exhibit Proposed Display Watts
Interior Lighting Power Allowance
* See footnotes on previous page
lg. •, M• • , . • EI- .I P- C - I P•. 1
LTG-CHK
,
2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2, R3, R4 over 3 stories and at R1 Revised Nov 2017
Project Title: DXL Tukwila, WA
Date 10/25/2018
The following information is necessary to check a permit application for compliance with the lighting, motor, and electrical requirements in the
Washington State Energy Code, Commercial Provisions.
Applicability
(yes,no,na)
Code Section
Component
Compliance information required in permit documents
Location in
Documents
Building Department
Notes
LIGHTING CONTROLS
Yes
C405.2
Lighting controls,
general
For all lighting fixtures, indicate lighting control method on plans
for spaces and lighting zone(s) served, or exception taken
Sheet E3.1
NA
C405.2
Luminaire level
lighting controls
(LLLC)
Indicate on plans all fixtures provided with LLLC in lieu of
C405.2 lighting controls; provide description of control
capabilities and performance parameters
NA
C405.1
Lighting in dwelling
units
For permanently installed lighting fixtures in dwelling units,
indicate lighting control method on plans for spaces and
lighting zone(s) served, or demonstrate compliance with high
efficacy exception
Yes
C405.2.3
C405.2.1.1
C405.2.2.2
C405.2.4
C405.2.5
Manual controls
Indicate on plans the method of manual lighting control (whether
combined with occupancy sensor, automatic light reduction,
daylight responsive or specific application controls), location of
manual control device and area or specific application it serves
Sheet E1.0
Yes
C405.2.2.1
C405.2.2.2
C405.2.3
Manual interior light
reduction controls
Indicate on plans which method of manual 50% lighting load
reduction is provided, or whether lighting load is reduced via
occupancy sensors or daylight responsive controls
Sheet E3.1
Yes
C405.2.2
Method of automatic
shut-off control
Indicate on plans the method of automatic shut-off control
during unoccupied periods (occupancy sensor, time switch or
digital timer switch) for all lighting zones;
Sheet E1.0 and
E3.1
Indicate locations where automatic shutoff is provided by other
methods (occupancy sensor or digital timer switch) or which
time switch control exception applies
NA
C405.2.1
C405.2.1.1
Occupancy sensor
controls
Indicate on plans the spaces served by occupancy sensors;
Indicate whether occupancy sensor controls are configured to
be manual-on, automatic 50%-on, or serve a space eligible for
automatic 100%-on per exception
existing to remain
NA
0405.2.1.2
Occupancy sensor
controls -
warehouses
Indicate aisleways and open areas in warehouse spaces
provided with occupancy sensor controls that reduce lighting
power by 50%
Yes
C405.2.2.1
Automatic time
switch controls
Indicate locations of override switches on plans and the lighting
zone(s) served, include area sq. ft.
Sheet E3.1
Yes
0405.2.6
Digital timer switch
Indicate digital timer switch control includes: manual on/off, time
delay, audible and visual indication of impending time-out
Sheet E3.1
NAFor
C405.2.4.2
C405.2.4.3
Indicate primary and secondary sidelight daylight zone areas on
plans, include sq. ft.;
Daylight zones -
Indicate toplight daylight zone areas on plans, include sq. ft.;
Sidelight and toplight
small vertical fenestration assemblies (rough opening less
( 9 P 9
than 10 percent of primary daylight zone) where daylight
responsive controls are not required, provide fenestration area
to daylight zone calculation(s)
NA
C405.2.4
Indicate on plans lighting zone(s) served by daylight responsive
controls;
Daylight responsive
Identify sidelight and toplight daylight zones that are not
provided with daylight sensing controls and the exception(s) that
apply;
controls
Indicate on plans the lighting load reduction method -
continuous dimming, or stepped dimming that provides at least
two even steps between 0%-100% of rated power;
Indicate that daylight sensing controls are configured to
completely shut off all controlled lights in the lighting zone
NA
C405.2.5
Additional controls
Specific application
lighting controls
Identify spaces and lighting fixtures on plans that require
specific application lighting controls per this section
Yes
C405.2.5 -
Items 1&2 lighting
Display and accent
Indicate on plans that display and accent lighting, and display
case lighting are controlled independently from both general
area lighting and other lighting applications within the same
space;
Sheet E3.1
Indicate manual and automatic lighting control method
ighting, Motor, and Electrical Permit Checklist, Pg. 2
LTG -CHK
and all R1 Revised Nov 2017
2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2, R3, R4 over 3 stories
Project Title: DXL Tukwila, WA
Date 10/25/2018
The following information is necessary to check a permit application for compliance with the lighting, motor, and electrical requirements in the
Applicability
(yes,no,na)
Code Section
Component
Compliance information required in permit documents
Location in
Documents
Building Department
Notes
NA
C405.2.5 -
Item 3
Hotel/motel guest
rooms
Indicate method of automatic control - vacancy or captive key
control of all installed luminaires and switched receptacles in
guest room
NA
C405.2.5 -
Item 4
Supplemental task
fighting
Indicate method and location of automatic shut-off vacancy
control for supplemental task lighting, including under -shelf or
under -cabinet lighting
NA
.
C405.2.5 -
Item 5visual
Lighting for non-
applications
Indicate on plans eligible non -visual lighting applications,
include sq. ft. area of each lighting control zone;
Indicate on plans that non -visual lighting are controlled
independently from both general area lighting and other lighting
applications within the same space;
Indicate method of manual lighting control and applicable
automatic lighting control
NA
C405.2.5 -
Item 6
Li htin
g 9 equipment
for sale or
demonstration
Indicate on plans that lighting equipment for sale or
demonstration are controlled independently from both general
area lighting and other lighting applications within the same
space;
Indicate method of manual lighting control and applicable
automatic lighting control
Yes
C405.2.5 -
Item 7
Means of egress
lighting 9 g
Identify on plans egress fixtures that function as both normal
and emergency means of egress illumination;
Provide calculation of lighting power density of total egress
lighting;
existing
If total egress lighting power density is greater than 0.02 W/sq.
ft., indicate on plans egress fixtures requiring automatic shut-off
during unoccupied periods;
Indicate method of automatic shut-off control
NA
C405.2.7
Exterior lighting
controls
Indicate on exterior lighting plans and fixture schedules the
automatic lighting control method, control sequence, and
locations served;
For building facade and landscape lighting, indicate automatic
controls shut off lighting as a function of dawn/dusk and fixed
opening/closing time;
existing to remain
For all other exterior lighting, indicate automatic controls shut off
lighting as a function of available daylight; include control
sequence that also reduces lighting power by at least 30%
between 12am-6am, or from 1 hour after closing to 1 hour
before opening, or based upon motion sensor
NA
C405.5.1
Exterior building
grounds lighting
controls
For building grounds fixtures greater than 100 watts, indicate on
plans whether fixtures have efficacy greater than 80 lumens or,
are controlled by motion sensor, or are exempt lighting per
C405.5.2
NA
C405.2.5
(listed after
C405.2.7)
Area controls -
Master control
switches and circuit
power limit
Indicate location(s) of master control switch(es) intended to
control multiple independent switches; circuit breaker may not
be used as a master control switch;
Verify that no 20 ampcircuit controlled bya single switch or
ty 9
automatic control is loaded beyond 80%
ADDITIONAL EFFICIENCY PACKAGE
OPTION - ENHANCED DIGITAL LIGHTING CONTROLS
NA
C406.4
Enhanced digital
lighting controls
To comply with additional efficiency package option, indicate on
plans all interior lighting fixtures that are individually addressed
and provided with continuous dimming, or exception taken;
Include calculation of percent total installed interior lighting
power that is configured with required enhanced lighting control
functions (min 90% to comply with additional efficiency package
option)
Lighting, Motor, and Electrical Permit Checklist, Pg. 3
LTG -CHK
2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2, R3, R4 over 3 stories and all R1 Revised Nov 2017
Project Title: DXL Tukwila, WA
Date 10/25/2018
The following information is necessary to check a permit application for compliance with the lighting,motor, and electrical requirements in the
Applicability
(yes,no,na)
Code Section
Component
Compliance information required in permit documents
Location in
Documents
Building Department
Notes
INTERIOR LIGHTING POWER & EFFICACY
Yes
C405.4.1
C405.4.2
Total connected
interior lighting power
Include all luminaires in lighting fixture schedule; indicate fixture
types, lamps, ballasts, and manufacturer's rated watts per
fixture;
Sheet E3.1
Identify spaces eligible for lighting power exemption on plans
and in compliance forms; indicate the exception applied;
Identify lighting equipment eligible for lighting power exemption
in fixture schedule and in compliance forms; indicate the
exception applied;
Indicate that exempt lighting equipment is in addition to general
area lighting and is controlled independently
Yes
C405.3
Exit signs
Indicate location of exit signs on plans and rated watts per
fixture in lighting fixture schedule (maximum 5 watts per side)
existing
NA
C405.1
Lighting in dwelling
units -lamp efficacy
If high efficacy exception is applied to permanently installed
lighting fixtures in dwelling units, indicate in lighting fixture
schedule if lamps in fixtures are high efficacy per R404.1.
Calculate percentage of fixtures with high efficacy lamps in
project (min 75% to comply with exception).
Interior Lighting Power Calculation - Indicate compliance path taken
C405.4.2.1
Building Area Method
Complete required compliance forms — proposed wattage per
building area does not exceed maximum allowed wattage per
building area; identify locations of building areas on plans
Yes
C405.4.2.2
Space -By -Space
Method
Complete required compliance forms — total proposed wattage
does not exceed maximum allowed wattage; identify locations
of space types on plans, including retail display areas, lobby art
& exhibit display areas, and ceiling heights as applicable
ADDITIONAL EFFICIENCY PACKAGE OPTION - REDUCED INTERIOR LIGHTING POWER DENSITY
NA
C406.3
Reduced lighting
power density
To comply with additional efficiency package option,
demonstrate in compliance forms that total connected interior
lighting wattage is 25% less than the total maximum allowed
lighting wattage via Building Area Method or Space -By -Space
Method
NA
C406.3
Reduced lighting
power density -
dwelling unit lamp
efficacy
For project with dwelling units, to comply with additional
efficiency package option indicate in lighting fixture schedule if
lamps in interior fixtures have efficacy rating of 60 lumens per
watt or more. Calculate percentage of fixtures with lamps that
have this efficacy rating (min 95% to comply with option)
EXTERIOR LIGHTING POWER & EFFICACY
NA
C405.5.2
Total connected
exterior lighting
power
Include all luminaires in lighting fixture schedule; indicate fixture
types, lamps, ballasts, and manufacturer's rated watts per
fixture;
Identify exterior applications eligible for lighting power
exemption on plans and in compliance forms; indicate exception
applied;
Indicate that exempt exterior lighting is controlled independently
from non-exempt exterior lighting; include exception claimed for
each fixture or group of fixtures under exception category
NA
Table
C405.5.2(1)
Exterior lighting zone
Indicate building exterior lighting zone as defined by the AHJ
NA
C405.5.1
Exterior building
grounds lighting
For building grounds fixtures rated at greater than 100 watts that
are complying based on efficacy, indicate rated lamp efficacy (in
lumens per watt) in fixture schedule
NA
C405.5.2
Exterior lighting
power calculations
Complete required compliance form — proposed wattage for
exterior lighting plus base site allowed does not exceed
maximum allowed
Lighting, Motor, and Electrical Permit Checklist, Pg. 4
and all R1
LTG -CHK
Revised Nov 2017
2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2, R3, R4 over 3 stories
DXL Tukwila, WA
Date 10/25/2018
The following information is necessary to check a permit application for compliance with the lighting, motor, and electrical requirements in the
Applicability
(yes,no,na)
Code Section
Component
Compliance information required in permit documents
Location in
Documents
Building Department
Notes
LIGHTING ALTERATIONS
NA
C503.6
Interior and parking
garage lighting fixture
alterations
Where z 50% of existing luminaires in interior space(s) or
parking garage are replaced; indicate compliance path (building
area or space -by -space method); include all new and existing -to -
remain luminaires in compliance form (LTG -INT -BLD or LTG -
INT -SPACE); indicate proposed lighting wattage does not
exceed maximum allowed per compliance path
Where < 50% of existing luminaires in interior space(s) or
parking garage are replaced; indicate total existing lighting
wattage in each space prior to alteration; include all new and
existing -to -remain luminaires in LTG -INT -SPACE form; indicate
proposed total lighting wattage in alteration area does not
exceed total existing lighting wattage prior to alteration
NA
C503.6
Exterior lighting
fixture alterations
Where z 50% of existing exterior lighting wattage is replaced;
include all new and existing -to -remain luminaires in LTG -EXT
form; indicate proposed total exterior lighting wattage does not
exceed maximum allowed
Where < 50% of existing exterior lighting wattage is replaced;
indicate total existing lighting wattage prior to alteration; include
all new and existing -to -remain luminaires in LTG -EXT form;
indicate proposed total exterior lighting wattage does not
exceed total existing wattage prior to alteration
Yes
C503.6
Interior lighting wiring
alterations
Where new wiring is installed to serve new interior luminaires
and /or luminaires are relocated to a new circuit; indicate
lighting controls are provided (as applicable) - manual
(C405.2.3); occupancy sensor (C405.2.1); daylight responsive
(C405.2.4); specific application (C405.2.5); exit signs (C405.3)
Sheet E3.1
NA
C503.6
Exterior lighting
wiring alterations
Where new wiring is installed to serve new exterior luminaires
and /or luminaires are relocated to new circuit; indicate exterior
lighting controls are provided (C405.2.7)
Yes
C503.6
Lighting panel
alterations
Where a new lighting panel is installed or an existing panel is
moved (all new raceway and conductor wiring); indicate lighting
controls are provided (as applicable) - same provisions as
wiring alterations; time switch controls and manual light
reduction controls (C405.2.2)
NA
C503.6
Interior space
reconfiguration
Where interior space(s) is reconfigured (permanently installed
walls or ceiling -height partitions); indicate lighting controls are
provided (as applicable) - same provisions as lighting panel
alterations
NA
C504.2
Lighting repairs
Identify existing luminaires being upgraded with bulb and / or
ballast replacement; indicate fixture alteration does not increase
existing fixture wattage
NA
C505.1
Change of space use
Identify spaces on plans where the building area type or space
use type is being changed from one type to another per Tables
C405.4.2(1) or (2)
Indicate compliance path (building area or space -by -space
method); include all new and existing -to -remain luminaires in
compliance form (LTG -INT -BLD or LTG -INT -SPACE); indicate
proposed lighting wattage does not exceed maximum allowed
per compliance path
RECEPTACLES
Yes
C405.10
Controlled
receptacles
Identify all controlled and uncontrolled receptacles on electrical
plans in each space in which they are required; include
receptacle configuration such as spacing between controlled
and uncontrolled, duplex devices, etc;
Sheet E3.1
Indicate on plans whether the method of automatic control for
each controlled receptacle zone is by occupant sensor or
programmable time -of -day control
ig • °ti • , M • •', . a - r . I P - C - 1 P • 5 LTG -CHK
, .
2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2, R3, R4 over 3 stories and all R1 Revised Nov 2017
DXL Tukwila, WA
Date 10/25/2018
The following information is necessary to check a permit application for compliance with the lighting, motor, and electrical requirements in the
Applicability
(yes,no,na)
Code Section
Component
Compliance information required in permit documents
Location in
Documents
Building Department
Notes
MOTORS, TRANSFORMERS, ELECTRIC METERS, INTERIOR TRANSPORTATION
NA
C405.6
Electrical
transformers
Include electrical transformer schedule on electrical plans;
indicate transformer size, efficiency, or exception taken
NA
C405.7
Dwelling unit
electrical energy
consumption
Indicate on electrical plans that each dwelling unit in Group R-2
has a separate electrical energy meter
Yes
C405.8
Electric motor
efficiency
Include all motors, including fractional hp motors, in electric
motor schedule on electrical plans; indicate hp, rpm, rated
efficiency, or exception applied
Sheet E3.0
For luminaires in each elevator cab, provide calculated average
efficacy of combined fixtures that indicates efficacy is not less
than 35 lumens per watt;
NA
C405.9.1
Elevator cabs
Indicate rated watts per cfm for elevator cab ventilation fans do
not exceed 0.33 watts per cfm;
Indicate automatic controls that de -energize lighting and
ventilation fans when elevator is stopped and unoccupied for a
period of 15 minutes or more
NA
C405.9.2
Escalators and
moving walks
Indicate escalators comply with ASME A17.1/CSA B44;
automatic controls are configured to reduce operational speed
to the minimum permitted when not in use
NA
C405.9.3
Regenerative drive
Indicate all one-way down or reversible escalators are provided
with a variable frequency regenerative drive
DOCUMENTATION AND
SYSTEM REQUIREMENTS TO SUPPORT COMMISSIONING (Cx)
NA
C408.3
Scope of electrical
power and lighting
systems
commissioning
Indicate that all electrical systems (receptacles, transformers,
motors, vertical and horizontal transportation) for which the
WSEC requires control functions and / or configuration to
perform specific functions are required to be commissioned;
Where total building lighting load is > 20 kW, or where total
lighting load of luminaires requiring daylight sensing and / or
occupancy control > 10 kW, indicate that all automatic lighting
control systems are required to be commissioned; or provide
building lighting power calculation demonstrating eligibility for
exception;
NA
C405.13
0408 1 1
C408.1.2
C408.1.4.2
C103.6
Commissioning
requirements in
construction
documents
Indicate Cx requirements in plans and specifications for all
applicable electrical and lighting control systems per C408;
Include general summary with at minimum Items 1 thru 4 of the
Cx plan per C408.1.2 including: narrative description of
activities, responsibilities of the Cx team, schedule of activities
including verification of project close out documentation per
C103.6, and conflict of interest plan (if required);
Include in general summary that a Cx project report or
Compliance Checklist (Figure C408.1.4.2) shall be completed
by the Certified Cx Professional and provided to the owner prior
to the final electrical inspection
NA
C408.3.1
Functional
performance testing
criteria
Identify in plans and specifications the intended operation of all
equipment and controls during all modes of operation, including
interfacing between new and existing -to -remain systems
PROJECT CLOSE OUT DOCUMENTATION
Yes
C103.6.3
Project close out
documentation
requirements
Indicate in plans that project close out documentation is
required including WSEC lighting compliance forms and
calculations that document all interior and exterior lighting area
and / or surface types, lighting power allowances and installed
densities
r any question, provide explanation:
End of Lighting, Motor & Transformer Permit Documents Checklist
PLAN REVIEW/ROUTING SLID
PERMIT NUMBER: D18-0377
PROJECT NAME: DXL
DATE: 11/29/18
SITE ADDRESS: 17401 SOUTHCENTER PKWY #141.
X Original Plan Submittal Revision # before Permit Issued
Response to Correction Letter #
Revision # after Permit Issu-d
DEPARTMENTS:
?,(I1kC =.11(
:,uilding Division
btl
I ublic Works
r 1
MV\ NV/ �\ Nk PAW 0
Fire Prevention Planning Division
Structural
n
Permit Coordirtor
1411p,
PRELIMINARY REVIEW:
Not Applicable
(no approval/review required)
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Approved
Corrections Required
DATE: 12/0418
Structural Review Required
DATE:
n Approved with Conditions
nDenied
(corrections entered in Reviews) (ie: Zoning Issues)
DUE DATE: 1/01419
n
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
12/18/2013
t-loine Espanol Contact
Safety & Health Claims & Insurance
Washington State Department of
Labor & Industries
A-ZIndex Hetp MyI&I
Workplace Rights Trades & Licensing
HORIZON RETAIL CONST INC
Owner or tradesperson
Principals
HENDERSEN, JON E
GUSTIN, ROBERT L
HENDERSON, JON E
JAWORT, DAN, AGENT
Doing business as
HORIZON RETAIL CONST INC
WA UBI No.
601 483 044
1500 HORIZON DRIVE
STURTEVANT, WI 53177
262-638-6000
Business type
Corporation
Governing persons
ROBERT
L
GUSTIN
JON E HENDERSEN;
PATRICK J CHRISTENSEN;
PAT CHRISTENSON;
JON E HENDERSEN;
ERIC NIEDEFFER;
TOM SCHAEFER;
DAN SIUDAK;
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.
HORIZRC072N5
Effective — expiration
08/25/1993— 04/15/2019
Bond
HANOVER INS CO
Bond account no.
1592447
$12,000.00
Received by L&I Effective date
04/15/2002 04/10/2002
Expiration date
Until Canceled
Insurance
Zurich American Ins Co $1,000,000.00
Policy no.
5919211
Received by L&I Effective date
03/13/2018 03/29/2018
Help us improve
Insurance history
c
Savings
No savings accour is during the previous 6 year period.
Lawsuits against tr;e bond or savings
Cause no.
18-2-26268-2KNT
Complaint filed by
SCOTT COATINGS LLC
Expiration date
03/29/2019
Dismissed
Complaint against bond(s) or savings
1592447
Complaint date Complaint amount
11/07/2018 $79,487.20
L&I Tax debts Vic.
No L&I tax debts aL recorded for this contractor license during the previous 6 year period, but some debts
may be recorded t: other agencies.
License Violations
Infraction no. k
NJ0NB01457
Issue date
10/02/2017
Violation city
STURTEVANT
Type of violation
CONSTRUCTION INFRACTION
Description
Subcontracting t . or using an unregistered
contractor.
Satisfied
RCW/WAC
18.27.200(1)(e) RCW
Violation amount
$1,000.00
Workers' cymp
Do you know if the trasiness has employees? If so, verify the business is up-to-date on workers' comp premiums.
Account is current.
L&I Account ID ft
861,958-00
Doing business as a'
HORIZON RETAIL ;.>ONSTRUCTION
Estimated workers reported
Quarter 4 of Year ::J18 "4 to 6 Workers"
L&I account contact
T3 / KENT ANDER:,ON (360)902-6963 - Email: ANDN235@lni.wa.gov
Public
Wors Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
This contractor recEved a valid strike(s) for violation or infraction for the following L&I law(s). Learn more about
contractor strikes.
RCW Violation Effective Date
18.27.200 9/24/2009
Description
Failure to comp/,; with contractor registration
requirements, pc RCW 18.27
Contractors not al -owed to bid
No debarments hake been issued against this contractor.
Workplace :safety and health
Check for any past ••afety and health violations found on jobsites this business was responsible for.
Inspection results :late
03/06/2018
Inspection no.
317948086
Location
No violations
Help us improve
17261 Southcenter parkway
Tukwila, WA 98188
0
Washington State Dept. of Labor & industries. Use of this site is subject to the laws of the state of Washington.
Help us improve