HomeMy WebLinkAboutPermit D05-057 - SOUTHCENTER MALL - DELL DIRECT - KIOSKDELL DIRECT STORE
— KIOSK
1705 SOUTHCENTER
MALL
D05 -057
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DEVELOPMENT PERMIT
Parcel No.: 2623049023
Address: 1105 SOUTHCENTER MALL TUKW
Suite No:
Steve Lancaster, Director
Permit Number DOS -057
Issue Date: 03/07/2005
Permit Expires On: 08/31/2005
Tenant:
Name:
DELL DIRECT STORE- KIOSK
Address:
1105 SOUTHCENTER MALL, TUKWILA WA
Owner:
Name:
7G SOUTHCENTER LTD
Address:
25425 CENTER RIDGE RD, CLEVELAND OH
Contact Person:
Name:
SHANNON MATHENA
Address:
ONE DELL WY, MS 8026, ROUND ROCK, TX
Contractor:
Name:
OWNER AFFIDAVIT IN FILE
Address:
,
Contractor
License No:
Phone:
Phone: 512- 728 -4431
Phone:
Expiration Date:
DESCRIPTION OF WORK:
INSTALLING ONE 120 SQ FT KIOSK
Value of Construction: $10,000.00 Fees Collected: $375.06
Type of Fire Protection: SPRINKLERS /AFA International Building Code Edition: 2003
Type of Construction: Occupancy per IBC: 0019
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant: N
Flood Control Zone: N
Hauling: N
Land Altering: N
Landscape Irrigation: N
Moving Oversize Load: N
Sanitary Side Sewer: N
Sewer Main Extension: N
Storm Drainage: N
Street Use: N
Water Main Extension: N
Water Meter: N
Cit y 6Y Tukwila
Steven M. Mullet, Mayor
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206- 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
Number: 0 Size (Inches): 0
Start Time: End Time:
Volumes: Cut 0 C.Y. Fill 0 c.y.
Start Time: End Time:
Private: Public:
Profit: N Non - Profit: N
Private: Public:
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doc: IBC- Permit D05 -057 Printed: 03 -07 -2005
City en Tukwila S teven M. Mullet, Mayor
o Department of Community Development Steve Lancaster, Director
l0 6300 Southcenter Boulevard, Suite #100
, Tukwila, Washington 98188
Phone: 206 -431 -3670
1908 Fax: 206 - 431 -3665
8
Web site: ci. tukwila. wa. its
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Permit Number: D05 -057
Issue Date: 03/07/2005
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Permit Expires On: 08/31/2005 CO o
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Permit Center Authorized Signature: Date:
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I hereby certify that I have read and examine this permit and know the same to be true and correct. All provisions of law and = C1
ordinances governing this work will be complied with, whether specified herein or not. _
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The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws z 0
regulating c t ction r the performance of work. I am authorized to sign and obtain this develop m n permit w w
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Signature: / v " Date: 6 ,
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{ Print Name: v�'� U �l �/ w� = v`
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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 tii Z
} suspended or abandoned for a period of 180 days from the last inspection.
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�g City of Tukwila
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Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 2623049023 Permit Number: DOS-057
Address: 1105 SOUTHCENTER MALL TUKW Status: ISSUED
Suite No: Applied Date: 02/17/2005
Tenant: DELL DIRECT STORE- KIOSK Issue Date: 03/07/2005
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: 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.
4: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
5: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building
inspector. No exception.
6: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department
of Labor and Industries (206/248 - 6630).
7: 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: Conditions D05 -057 Printed: 03 -07 -2005
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�g City of Tukwila
Department of Community Development/ 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 I (206) 431 -3670
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:
V ,
Date: 31 q - 1
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CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
5il i pe C ni e�z,
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 **
�.Y�`!�fl:�. `� Y Y k.as 'Y•.'i xp r�: A .i�.i >+>> ,.�{ -� t� ,n. +� ,��. ���.} t
n� King Co Assessor's Tax No.:
Site Addres Suite Number: Floor:
Tenant Name: D ea,�,"D l Le New Tenant: ]......Yes El No
Property C
Mailing A
Name: � Day Telephone: 12 - -2-'�-6 r - L 4 4 I
Mailing Address G pey,04 t wt) 2-b 4lkO n �LoC.l(
city star t-�
E -Mail Address: Is6 - pmn 6n - M � � _ � eo wig' �G�-�. � Coi Fax Number: 2 �Z IZ r 5. l 6
N E ONTRACTOR FORMATI i
ON S (Mechanical Contractor nformation on back page)
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Company Name:_ ` _ w _ mo l
c -
Mailing Addresses _ ti
City State Zip 1
Contact Person: Day Telephone: _
E -Mail Address: Fax Number: 1
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
ARCHITECT OF RECORD All plans` p y '
must tie wet stem e� b Architect "of Record
Company Name:.
Mailing Address
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
tapplicationslpertnit application (7 -2004)
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Lity state Zip
Mailing Address
city State Zip
Contact Person: Day Telephone:
E -Mail Address Fax Number:
i//tvi�li�.4`y��'..�Z .. $F� ! iJ�: ^. ; h� },Y'�'{:��' ��%I �st alt' -�'I•. { i..''�.�� 1� A 1 rya �"`�!: z� 'f.1:�, Y. :� '.i7.i ..5 �i. � C..� Y �1 ��7• //�� }S���J>•���y�
Valuation of Project (contractor's bid price): $ r 0 1 D Existing Building Valuation: $ "T
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑ .. Yes No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
PLANNINKi 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 for 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: I Handicap:
Will there be a change in use? E] ..... Yes X. 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 -112 x I I paper indicating quantities and Material Safety Data Sheets.
tnpplicationa\pennit application (7.2004)
Pace 2
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Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
I" Floor
n'. Floor
3`. Floor
Floors thru
Basement
Accessory Structure *, ..
, Attached.Garage.. '
Detached Garage
Attached Carport
Detached Carport
Covered,Deck
Uncovered Deck
PLANNINKi 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 for 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: I Handicap:
Will there be a change in use? E] ..... Yes X. 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 -112 x I I paper indicating quantities and Material Safety Data Sheets.
tnpplicationa\pennit application (7.2004)
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Scope of Work (please provide detailed information):
Call before you Dig: 1- 500-424 -5555
please refer to Public, Works Bulletin #1 for fees and estimate sheet.
Water District
❑ ...Tukwila ❑ ... Water District #125 F1 ... Highline ❑ ...
❑ ... Water Availability Provided
Sewer District
❑ ...Tukwila ❑ ... Va1Vue ❑... Renton ❑ ... Seattle
El... Sewer Use Certificate ❑ ... Sewer Availability Provided El ... Approved Septic P ldns Provided
❑ ... Septic System - For omite septic system, provide 2 copies of a current septic desigKopproval by King County Health Department.
Submitted with Application (mark boxes which a
❑ ... Civil Plans (Maximum Paper Size -22" x 34 ")
❑ ...Technical Information Report (Storm Drainage) El ... Report ❑ ...Traffic Impact Analysis
❑ ...Bond ❑ ... Insurance ❑ ...Easement(s) ❑ Agreement(s) ❑ ...Hold Harmless
Proposed Activities (mark boxes that apply):
❑ ... Right -o f -way Use - Nonprofit for less than 72 hours y Use - Profit for less than 72 hours
❑... Right of- -way Use -No Disturbance Right of- -way Use — Potential Disturbance
❑ ... Construction/Excavation/Fill - Right-of-way
Non Right -of -way
❑ ...Total Cut cubic yards
❑... Work in Flood Zone
❑ ... Total Fill cubic yards
i
❑... Storm Drainage
s.
❑ ... Sanitary Side Sewer
C1 ... Aban n Septic Tank ❑ ...Grease Interceptor
❑ ... Cap or Remove Utilities
❑ ...Curb in ❑ ...Channelization
❑...Frontage Improvements
❑ ...Pa ment Cut ❑ ...Trench Excavation
❑ ...Traffic Control
❑ ...L oped Fire Line ❑ ...Utility Undergrounding
❑ ... Backflow Prevention - Fire Protection
'
Irrigation
"
Domestic Water
I.
"
❑... Permanent Water Meter Size...
WO#
❑ ... Temporary Water Meter Size..
WO#
❑ ... Water Only Meter Size............
WO# ❑ ...Deduct Water Meter Size......... "
❑ ... Sewer Main Extension .............Publ
Private
❑... Water Main Extension .............Pub c
Private
FINANCE INFORMATION
1
Fire Line Size at Property Line
Number of Public Fire Hydrant(s)
❑ ... Water ❑ ...Sew r
❑ ... Sewage Treatment
i
Monthly Service Billing to:
Name;
Day Telephone
Mailing Address
City State Zip
Water Meter Refind/Billing;
Name
Day Telephone
Mailing Address
City State Zip
lapplicationstpertnit application (7.2004)
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M_ ECHA1vICAL P.ERNIT- , INFORMATION 206- 431',:36;70 , `z
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p""�. . 3 P .f .r a+i \ \�. s .; 3 '3•.:: t. 'l � . ;'i S s�. i ., .'• n�.:•• �'•
MECHANICAL CONTRACTOR I
Company Name:
Mailing Address
City s tc Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expirat' n Date:
* *An original or notarized copy of current Washington State Contractor License m be presented at the time of permit issuance"
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): /
Use: Residential: New ..... ❑ Replacement
Commercial: New ..... ❑ Replaceme t
Fuel Tyne Electric......[] Gas ..... her:
Indicate type of mechanical work being installed api the quantity below:
Unit'T e:
Unit Type:
Qty.
Unit Type:
Qt
Boiler/Coinpressor:
Qt
Furnace<100KBTU
Air Handling nit >10,000
CFM
Fire Damper
0 -3 HP /100,000 BTU
Fumace>100K BTU
Evaporato Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilatioh Fan
Thermostat
15 -30 HP /1,000,000 BTU
Suspended/Wall/Floor
Mounted Heater
Ventila on System
Wood/Gas Stove
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood
Water Heater
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Emergency
Generator
Air Handling Unit
<I0,000 CFM
Incinerator — Comm/Ind
Other Mechanical
E ui ment
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 extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as
defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once.
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 R AUTHORIZED AGENT:
Signature: tVt.>t, G2a " Date: lo I :r r
Print Name: V 1 /l " v Co
Mailing Addres
mlt)
Day Telephone:
) 0LOL ( \/1 `?��SZ
City state Zip
Date Application Accepted: Date Application Expires: Staff Initials:
a -/ 7-0 � 6,-. 7-05_ slcg
\applications \penit application (7.2004)
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.. Cit o f Tukwila
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6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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Parcel No.: 3597000240
Address: 1100 SOUTHCENTER MALL TUKW
Suite No:
Applicant: DELL DIRECT STORE- KIOSK
RECEIPT
Permit Number: D05 -057
Status: PENDING
Applied Date: 02/17/2005
Issue Date:
Receipt No.: ROS -00248
Initials: SKS
User ID: 1165
Payment Amount: 145.98
Payment Date: 02/17/2005 04:00 PM
Balance: $229.08
Payee: DELL USA LP
TRANSACTION LIST:
Type Amount
- - - - -- Method Description - - - - --
Payment Check 484750 145.98
i
i ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
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PLAN CHECK - NONRES 000/345.830 145.98
Total: 145.98
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0050 0"/18 71 TOTAL 145.98
doc: Receipt Printed: 02 -17 -2005
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City of Tukwila
rots
s 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 2623049023
Address: 1105 SOUTHCENTER MALL TUKW
Suite No:
Applicant: DELL DIRECT STORE- KIOSK
Permit Number D05 -057
Status: APPROVED
Applied Date: 02/17/2005
Issue Date:
Receipt No.: R05 -00319
Initials: SKS
User ID: 1165
Payment Amount: 229.08
Payment Date: 03/07/2005 09:02 AM
Balance: $0.00
Payee: DELL DIRECT STORE #642061446
.TRANSACTION LIST:
Type Method Description Amount
Payment Check 64206144 229.08
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
BUILDING - NONRES 000/322.100 224.58
STATE BUILDING SURCHARGE 000/386.904 4.50
Total: 229.08
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INSPECTION RECORD
Retain a copy with permit S 05
INSPECTION NO. PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Projec :
Type of Inspection:
Address:
Date Called:
Speaal Instructions:
Date Wanted: a.m.
Requester:
Phone No: S
1
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
_- C 1 _.r
e
Inspector: W -- '` Dade:
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.: Date:
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. IT O. t.
CITY OF TUKWILA BUILDING DIVISIONHJU
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS: -
P o* t:
11- 1> I Z�(! k b
Type of Inspection:
O S lr-
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Address:
11 CC'S Slv�khC� 1
Date Called:
5— y — cif'
Special Instructions:
Date Wanted: '_--- a.m.
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Requester:
IC
Phone No:
C�3-6 3f
7.00 REINSPECTION E REQUIRED. rior to inspection, fee must be
aid at 6300 Southcenter Blvd., Suite 10 . Call to schedule reinspection.
RVeipt No.: ' Date:
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INSPECTION RECORD
Retain a copy with permit 1 S�
INSPECTION N0. PER O.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
e t
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y pe of Inspec 'en:
� Aress:
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Date Called:
Scial Instructions:
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Date Wanted:
P.M.
Requester:
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Phon o:
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proved per applicable codes. Corrections required prior to approval.
COMMENTS:
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spec io : Uale:
7 $ .00 REINSPECTIO FEE R QUIRED. PH r to inspection, fee must be
a' at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Recftt No.: jDate:
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PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D05 -057 DATE: 02 -17 -05
PROJECT NAME: DELL DIRECT STORE
SITE ADDRESS: I 05 SOUTHCENTER MALL
x Original Plan Submittal
Response to Incomplete Letter #
Response to Correction Letter #_ Revision # after /before permit is issued
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lip Fire Preven ion ❑� Planning Division Q
Public
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS TING:
Please Route 7 "" Structural Review Required
REVIEWER'S INITIALS:
❑ No further Review Required
DATE:
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DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 02 -22 -05
Complete Incomplete ❑ Not Applicable ❑
I APPROVALS OR CORRECTIONS DUE DATE: 03 -22 -05
I
j Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
FEB 04 1 05 03 :03PM TUKWILH u.uirw
CITY OF TUX 11A i'ermit CenterBullding Division:
Community De"dopmnt Alpw*n"t 206-431-3670
Permit Center Public Works Department:
6300 Southcenter Blvd, Suke 100 206 - 433 -0179
Tukwila, WA 98188 Planning Division:
206431 -3670 • -
I AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PIERMIT NO.: VV'�
STATE OF WASHINGTON)
COUN`fY OF KING ) ,
CITY OF TUK ILA
states as follows: FE 1 7 2005
(Plea" Prim! PERMIT CENTER
1. �l have made application for a building permit from the City of Tukwila, Washington.
2. �t understand that state law requires that all building construction contractors be registered with the State of
I 'Washington. The exception to this requirement are stated under Section 18.27.090 of the Revised Code of
Washingt+on, a copy of which Is printed on the reverse side of this Affidavit. I have read or am familiar with ROW
16.27.090.
0
!
I�
I understand that prior to issuance of a building permit for work which Is to tea done by any contractor, the City of
Tukwila must verity either that the contractor is registered by the State of Washington, or that one of the exemptions
stated under RCW 18.27.090 applies.
In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that
after reading the exemptions from the registration requirement of RCW 18.27.090, 1 consider the work authorized
under this building permit to be exempt under No. and will therefore not be performed by a registered
contractor.
that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an
contreator to perform construction work.
r
Signed and sworn to before me this
L day of , 20 o 5
ell
PUBLIC In and fbrJKA State of WashittlIhm, x.
--- Residing at �i�.l.Gf�� -�t --,-rte - �-,-'� _ . Counter.
iarMrt��tr�tl
aessum e110"I Name as commissioned: J Npe.T� -S �'e
My commission expires:
affidavit in Itev of cannew registration
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CITY OF -rUK VIIA
FEB 1 Z I
PERMIT CENTe;
- -
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es a
S H O P P I N G TO W N SOUTHCENTER
SOUTHCENTER Feb 27, 2003
633 SOUTHCENTER MALL SEATTLE, WASHINGTON 98188 LM 1 OF 1
mo
VICINITY MAP E3
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MAR - 2 2005
C:
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1.
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Rear
SCALE
NOTE: KIOSK IS A COMPLETELY
MODULAR UNIT THAT PLUGS INTO TWO
20-AMP CIRCUITS THAT ALREADY EXIST
IN THE FLOOR OF WESTFIELD
SHOPPINGTOWN SOUTHCENTER.
Dell
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7 2005
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Issue Date 02/01/05
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RECENM
CITY OF TUKWItA
FEB 1 7 2005
Dell Sign
REVIEWED FOR
CODE C01
MAR - 2 N
City Of I'Awila
BUILD11r\K
PERMIT CENTER
11
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Issue Date: 0620.02
Revisions
WESTFIELD
SHOPPINGTOWN
SOUTHCENTER
Drown: Pis
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Needs 'at
P—S.
REVIEWED FOR
CODE COMPLIANCE
MAR - 2 2005
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CitY O T r Awila
T-5 INSTALLATION NOTES:
BUILDIN' DIVISION
..Always connect b'th pin s sock6t before M sets on 'the ponnectin i '
g �!REO and,"YELL6W
9 �
wires.
2.. Ground' case. in .accordance with the.Niijo tieciric Op dif
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: : : d'Wtal l L actirldal
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- -C : 13a1Iasttc' te' 6koeedl&b.
=effituire:6ann6t
5. Remote Alitance:V Vries wj
II
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6 . Ballast ca u sed with dim' Meir
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k re
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W.
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e 9 wit St uds Of . men . si
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