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HomeMy WebLinkAboutPermit D04-186 - SOUTHCENTER MALL - ISLAND INK JET - KIOSKISLAND INK JET SOUTHCENTER 276 SOUTHCENTER MALL D04 -186 �g City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 DEVELOPMENT PERMIT Parcel No.: 2623049004 Address: 276 SOUTHCENTER MALL TUKW Suite No: Tenant: Name: ISLAND INK -JET SOUTHCENTER Address: 276 SOUTHCENTER MALL, TUKWILA WA Owner: Name: JG SOUTHCENTER LTD Address: 25425 CENTER RIDGE RD, CLEVELAND OH Contact Person: Permit Number: Issue Date: Permit Expires On: Phone: D04 -186 07/19/2004 01/15/2005 Phone: 206 439 -8500 Name: GARRY SHULER Address: 20673 MARINE VIEW DR SW, NORMANDY PARK, WA Contractor: Name: ELITE COMMERCIAL CONTRACTING Address: 274 SW 43 ST, RENTON, WA Contractor License No: ELITECCO20CD Phone: 425 - 251 -8141 Expiration Date: 02 /06/2005 DESCRIPTION OF WORK: INSTALLATION /ASSEMBLY OF NEW 150 SF KIOSK Value of Construction: $35,000.00 Type of Fire Protection: SPRINKLERS /AFA Type of Construction: 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 Fees Collected: $496.75 Uniform Building Code Edition: 1997 Occupancy per UBC: 23 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: ** Continued Next Page ** doc: Devperm D04 -186 Printed: 07 -19 -2004 ZZ }- Z �w _3 U U Cl) o J = H DLL w LL ¢ co d =w Z �. I_ O Z w U� ON '13 F_ w U- O LLi Z. U= O~ Z city of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature: Date: 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 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 ;7performa7Z7 rk. I am authorized to sign and obtain this development permit. Signature: Date: �Z/ I d �� Print Name: �� �� S �� G�►- This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: Devperm D04 -186 Printed: 07 -19 -2004 Z a� J— w . � JU UO CO o CO W J � CO LL uJ 0 La CO = ua Z F.. F- O Z F- 2 5 U� O CO, o E- w w UO .Z UCO O Z �. City of Tukwila 1908 Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS Parcel No.: 2623049004 Permit Number D04-186 Address: 276 SOUTHCENTER MALL TUKW Status: ISSUED Suite No: Applied Date: 06/11/2004 Tenant: ISLAND INK -JET SOUTHCENTER Issue Date: 07/19/2004 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division 3: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical work will be inspected by that agency (206- 835 - 1111). 4: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any construction. These documents are to be maintained and available until final inspection approval is granted. 5: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). 6: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations 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 ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this code shall be valid. 7: There shall be no occupancy of the building(s) until the final inspection has been completed by the Tukwila Building Inspector. * *continued on next page ** doe: Conditions D04 -186 Printed: 07 -19 -2004 w,.v�.ti. ✓.{:..� ...J. ,{o.�..�: �'l+.J.. ...+A.... .if.ill .4/..: K.t4.N'r' aii.��µ. rr1�.5 1i1.� :.9 i1. ✓.frt. .:M:'. :t.in.i:i e'f S..(.y t .. � �. �y �::ui�es'� M i . .. z w QQ UO CO) CO W J = t— Nw w 0 9 L¢ C/) =w 1— 0 z 1-- w w U� 0- in f_ wW H� �O .z w CO O �'- z i Cit y of Tukwila 1906 i Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 1 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: �` Date: '-7 /� I zo C ' / Print Name: I doc: Conditions D04 -186 Printed: 07 -19 -2004 Z Z , JU 00 N J = f~ CO) L w 0 J, LL Q' C CY. = w �_ z 1-- z E- w W. U� OSO 011-- LU U' 0 LLi z U U) 0 1— Z � tY g laoo i 1 i CITY OF TUKWIL4 Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 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 r �/ / / / King Co Assessor's Tax No.: Site Address: � so ✓�,� Yt� 1 V"4 1 0 U S— Suite Number: ? 00S -- Floor: / Tenant Name: ZS 16thw 1-1, k - 'yy " Jd V �k a4V New Tenant: .... Yes ❑ ..No Property Owners Name: Ga�r�r., SShu le, Mailing Address: 20673 MALrr4e- 'V D+ Sk/ k tl - MIA 4 /`'a, tM- 68 /L�� City State Zip CON PER$ON " Name: Ga skit (4- Day Telephone: 2G 6 y3 9 - gs" o a Mailing Address: 200 Mar-lC i/' pn fG✓ kV4 9pla I City State Zip E -Mail Address: W 0,e {,.. isl�Nt��ke%t Go ,r► Fax Number: 20 6 'y39 - �Sg I ;GENERAL `CONTRACTOR INFQRMATION Company N Mailing Address: l ,• 1 t30,1' 07 1 r, 1 14,. �l �2ZD3 City State Zip Contact Person: Day Telephone: qol (- 633 - 6 9 E -Mail Address: Fax Number: ENGINEER OF RECORD All plans must ,be wet stamped by Engineer of Record t-'e4 a / C b , 4? f Mailing Address: B 0 q !N. V1Z Lr sy ,lC 11 � dO32 City State Zip Contact Person: A li" z� 01 ,1q ar Day Telephone: 2-S3- g93 - 31oo 1 21 E -Mail Address: Fax Number: Contractor Registration Number: f04 Cc o o r- C/ 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 plans must be`wet stamped by Architectof Record t Company Name: o a R }Ng Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Z Z . JU 0 Cl) C0 W J = t LL WO J LL LDd = W Z H X F- O Z !— W� U� C0 a E- W F- LL O Z w U= O Z UYLDI�IG PERMIT INFORMA N 106431-3670 Valuation of Project (contractor's bid price): $ 3! ' o Existing Building Valuation: $ 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 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 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: Handicap: Will there be a change in use? ❑ .... Yes ❑ .. No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ . Sprinklers D.. 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 12 x 11 paper indicating quantities and Material Safety Data Sheets. Z 1 -� ~ W W2 JU 0 NO CO W JF- N U. WO LL Q U) D = a F- w Z �_O Z I— LLI w U� ON o t- WW HF_ U- O j Z W U= O~ Z ��UBLIC RKSPERMIT INF y WO TION` 206 -433 0179 t t, , ,. A i j 4 �i ' i `i f zz- Scope of Work (please provide detailed information): Call before you Dig: 1- 800 - 424 -5555 Please refer to Public Works Bulletin #1 for fees. and estimate sheet. Water District ❑ .. Tukwila ❑ ... Water District # 125 ❑... Highline E].. Renton ❑ .. Water Availability Provided Sewer District ❑ .. Tukwila ❑ ... ValVue ❑ ... Renton ❑ .. Seattle ❑ .. Sewer Use Certificate ❑ ... Sewer Availability Provided El ... Approved Septic Plans Provided ❑ .. Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department. Submitted with Application (mark boxes which apply): ❑ .. Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ .. Technical Information Report (Storm Drainage) ❑ ... Geotechnical Report ❑ ...Traffic Impact Analysis ❑ .. Bond ❑ .. Insurance ❑ .. Easement(s) [I ... Maintenance Agreement(s) ❑ ...Hold Harmless Pronosed Activities (mark box t hat a ❑ .. Right -of -way Use - Nonprofit for less than 72 hours ❑... Right -of -way Use - Profit for less than 72 hours El.. 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 El ... Work in Flood Zone ❑ .. Total Fill cubic yards El ... Storm Drainage ❑ .. Sanitary Side Sewer ❑ .. Abandon Septic Tank ❑... Grease Interceptor ❑ .. Cap or Remove Utilities ❑ .. Curb Cut ❑ ... Channelization ❑ .. Frontage Improvements ❑ .. Pavement Cut ❑ ... Trench Excavation ❑ .. Traffic Control ❑ .. Looped Fire Line El ... Utility Undergrounding ❑ .. Backflow Prevention - Fire Protection " Irrigation " Domestic Water " E1.. Permanent Water Meter Size... 79 WO# ❑ .. Temporary Water Meter Size.. WO# ❑ .. Water Only Meter Size............ WO# El .. Deduct Water Meter Size ........ 21 ❑ .. Sewer Main Extension ............Public Private El.. Water Main Extension .............Public Private FINANCE INFORMATION Fire Line Size at Property Line ❑ .. Water ❑ .. Sewer Monthly Service Billing to: Number of Public Fire Hydrant(s) ❑ .. Sewage Treatment Name: Mailing Day Telephone: City State Zip Day Telephone: Mailing Address City State Zip Water Meter Refund/Billing: Name: -- nena..+aawx+ww.t�+n�.»n+*cen I ZZ W JU UO CO) = F- NLL W } } �J tl Q N� = �W Z F- F- O Z i-- W5 U� O N Q W W F LL Z ll l U= O Z 'i "MECHANICAL PERMIT• INFORMATION; MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: 43t-1670. City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: 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 ** Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Use: Residential: New .... ❑ Commercial: New .... ❑ Fuel Tune Electric ..... ❑ Gas .... ❑ Indicate type of mechanical work being installed and the quantity below: :Unit Type: ' :.'. Unit Type: Qty Unit Type: Oty Boiler/Compressor: Furnace<100K BTU Air Handling Unit >= 10,000 CFM Other Mechanical E ui ment 0 -3 HP /100,000 BTU Furnace>IOOK BTU Evaporator Cooler 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan 15 -30 HP /1 000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System 30 -50 HP /1,750,000 BTU Appliance Vent Hood 50+ HP /1,750 000 BTU Heat/Refrig /Cooling System Incinerator - Domestic Air Handling Unit <= 10,000 CFM Incinerator— Comm /Ind PERMIT APPLICATION NOTES Applicable to atl permits m this appLcation 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 ftir 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. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AU Signature: Date: 7t,".0 ��� Z y o y Print Name: �� Mailing Address: Z06 - 73 M4.,,kt 11,V r Day Telephone 20� y3 9 - lls U ► � P��lc t41A 9d-a( City State Zip Date Application Accepted: Date Application Expires: Staff Init' Is: I i' Replacement .... ❑ Replacement .... ❑ Other: Z ~ W OC � 0 N J = H CO LL WO LLQ fn 0 S W ' Z F— E O Z H W W U O- o I.- W H �O W Z CO O Z o1c IV�n �g City of Tukwila Igoe j 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 2623049004 Address: 633 SOUTHCENTER MALL TUKW Suite No: Applicant: ISLAND INK -JET SOUTHCENTER Receipt No.: R04 -00703 Initials: SKS User ID: 1165 RECEIPT Permit Number: Status: Applied Date: Issue Date: Payment Amount: Payment Date: Balance: D04 -186 PENDING 06/11/2004 100.00 06/11/2004 11:31 AM $396.75 Payee: GARRY SHULER TRANSACTION LIST: Type - - - - -- Method Description - - - - _ - Amount -- - - - - -- --------------------------- Payment Cash 100.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ------------------------ - - - - -- ---------- - - - - -- ------ - - - - -- BUILDING - NONRES 000/322.100 100.00 Total: 100.00 Z UO CO J C0 LL w �Q cf) = UJ ? 1-0 Z F- UJ5 U� O COX OH W u.1 H H LL O: Z W H= O Z n 4732 06/11 4716 TOTAL 100 -o doc: Receipt --- - - -••• • Printed: 06 -11 -2004 r9oe Cit y of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT i Parcel No.: 2623049004 Address: 276 SOUTHCENTER MALL TUKW Suite No: r Applicant: ISLAND INK -JET SOUTHCENTER i 3 Receipt No.: R04 -00903 i i Initials: LAW 3 User ID: 1630 Permit Number D04 -186 Status: APPROVED Applied Date: 06/11/2004 Issue Date: Payment Amount: 396.75 Payment Date: 07/19/200412:48 PM Balance: $0.00 Payee: ISLAND INK -JET SOUTHCENTER MALL I TRANSACTION LIST: Type Method Description Amount + ---- - - - - -- -- - - - - -- --------------------- - - - - -- ------ - - - - -- Payment Check 2032 396.75 ACCOUNT ITEM LIST: Description Account Code Current Pmts ------------------------ - - - - -- ---------- - - - - -- ------ - - - - -- BUILDING - NONRES 000/322.100 392.25 STATE BUILDING SURCHARGE 000/386.904 4.50 Total: 396.75 oc: Receipt ?092 07/20 97I.6 TOTAL 396.7 a Printed:.. 07 -19 -2004 Z '3: W o< � UQ CO) H N w w0 L L N� =d �w Z 2 H z0 Uj 5. U� CO) o F- ! = U u_ O W Z U =: O Z f I INSPECTION RECORD Retain a copy with permit { INSPECTION NO. PERM O. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 q(O 6)431 -3670 Pr � ( YIL , Type of Inspec,�ion: �• Ad ess: � � Date Called: Iq Special nstructions: Date Wanted: i h 6 :trr p.m. R ester: )0 0 Phone N LOU - r 9X00 Approved per applicable codes. Corrections required prior to approval. A r jln§Rv6 Date: F� $ ( RE INSPECTION FEE EQUIRED. Prior o inspection, fee must be p t 6300 Southcenter Blv ., Suite 100. Call to schedule reinspection. Recei No.: Date: z �Z � W Q � JU UO O W LU NLL WO L? U d = W ?P ZO LU �5 UO O N O H WW LL O Z UM O z INSPECTION RECORD D Retain a copy with permit INSPECTION NO. PE T 00. CITY OF TUKWILA BUILDING DIVISIONOO 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 P ' ct: 11VAAA d / Typ pr pection: e I I /P 'm If // aa Address: S Date tall ed: Special Ins ructions: IL Date Wanted. quester: (� Phone No: 0 4- — �I ' — Fl Approved per applicable codes. El Corrections required prior to approval. 4M I Wz' -- E spectyr Date: 4 / 00 . REINSPECTION E REQUIRE .Prior to inspection, fee must be p� at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: I Date: Z �W �U UO. J LLJ TLL WO u_ � = W Z� F- O W ~ W 5 U� N OF- WW H� LL ki N H H O Z � orn T O - a -> -v o O v o MFC. COUPANY ALL DESIGN, MANUFACTURING. USE REPRODUCTION, 2 ILLUMINATED LOGO AND ALL SALES RICHFS. ARE EXPRESSLY RESERYEO BY AND TD RISE RIGHT 2 LOAD KING MFG. COMPANY MO COMM Of O45 WFOR- R[ q � q -9 /s NNNNY r a FL i RESE LIGHT COR ER LEFT m ti_ Tf 7 T( .{ n i �R E.C.N. N TRACK LIGHT LIGHT BACK UNDERSHELF LIGHT D TRACK LIGHT FRONT 8. FLUORESE LIGHT FRONT I n k - i t? tv 4D in C g IC AL PA i O N 130 H� % CL Im ORESE LIGHT CORNER RIGHT RIG NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. ALL INFS+ED w Ox DISCLOSED BY fLK DOCUMENT IS CONSIDERED OEREO C ONFOENxFKIENiULL AND PROPRIETARY BY 10A0 KKM; MFC. COUPANY ALL DESIGN, MANUFACTURING. USE REPRODUCTION, low AND ALL SALES RICHFS. ARE EXPRESSLY RESERYEO BY AND TD RISE LOAD KING MFG. COMPANY MO COMM Of O45 WFOR- UATION TO OTHERS IS PROHIBITED WITHOUT THE PRIOR WRITTEN CONSENT OF LOAD KING MFG. COMPANY lW. r,0 M r . ESE1 O LOAD KING PART N0. (!D(:1 © 2000 ALL KIGI:fS RESEI!VED P0.80X KOLOi 1357 WAVER Si. JACXSO4YUE. fl J2203 DiMENSICIN' ARL IN NCHES 5 TOLERANCE U141.ES ". NOTED KIOSK,MU- 1015 /ISLAND INKJET,WESTFLD SHEET: of 4 FP,A•: •il Y 1 '32 DE:'. �'_ x • 1 BY. : (.I) _A ' ' ' .5 REV. 51- ORN. 3Y: DATE: SCALE: (� DD:�'�: ' �A'E :•';1711• B HWHITE 4/7/2004 1:1 ll NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. POWER STRIP LOCATION DIAGRAM 4 7 ELECTRICAL OUTLET IN MALL FLOOR. e ## FRONT ZS:bti b00Z 0I Nnf -u m • .1N31A111000 3H1 AO Ainvno 3H1 01 3na 91 .1] 30110N SIHI NVH11:1V310 S931 SI 3IIM1 SIH1 NI 1N31A1fl000 3H1 II :30110N POWER STRIP FOR PRINTERS AND PC TO MOUNT TO BACK WALL OF BAY IN PRINTER CABINET. ..s. POWER STRIP EXTENSION CORD RUNS TO POWER STRIP FOR LIGHTS IN RIGHT CORNER CABINET. ROUTING DIAGRAM .•••1, ... .. POWER STRIP FOR ELECTRICAL EQUIPMENT POWER STRIP FOR LIGHTING EQUIPMENT POWER STRIP FOR POS EQUIPMENT POWER STRIP CORD RUN CV LIGHT SOURCE EXTENSION CORD RUN 0 0 0 rij •• CL, 0 1:11 tn CU 3 3 7c E-1 fD Ct CC ct 3 cr CL: NORDSTROM 1 DIKE LEVELS FOUR LEVELS THREE Westfield Corporation, Inc. LEASE PLAN SCALE JCPenney THREE LEVELS SHOPPINGTOWN SOUTHCENTER 433 SOuTNCERTE• SEATTLE W63.6.610“ se 111 n l J UAISOIRmif 1 - ❑ tz) C3 o o 61 = M Ul. ; The document la dlogrommallc and Is Intended only to show the demised may be required from time to tine. tenant space dimensions, premises of the project (hoiched area.) II does not purport to show unless othervrise noted are to the eenlerhics of tenonl partitions ( ON exact dimensions nor the Until location of any mechanical, electrical, and column grids, lace of eslerior walie and to the outside loco of structural or architectural element. Further, the landlord reserves the service area parlflione odjacenls to lhe•lenonl spoce (vlt, corridors, right to add, eliminate or modify any ouch element, as closets, and slain.) 10' -0" PoI "� Co0E CO JU` � A X004 Ln B t 1 0. ❑ ❑ O ❑ . , v� 1 4 pF PA417 NT SOUTHCENTER EXHIBIT Level 1 A2 02/06/04 9005 ISLAND INK JET 150 S.F. . Z W JU UO W= H N U- w (1. Q N� = �w Z H-. 1- 0 Z H W w O OH w LL LU Z U= O Z 1 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D04 -186 DATE: 06 -11 -04 PROJECT NAME: ISLAND INK -JET SOUTHCENTER SITE ADDRESS: XXX SOUTHCENTER MALL _Original Plan Submittal ❑ Approved with Conditions Response to Correction Letter # Revision # permit is issued DEPARTMENTS: r Building Division [�} Fire Prevention PIanivision U 5 0 Public Works w'M ( L � � Structural ❑ Permit Coordinator IV DETERMINATION OF COMPLETENESS (Tues., Thurs.) DUE DATE: 06 -15 -04 Complete [� Incomplete ❑ Not Applicable ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TOES /THURS R0 TING: Please Route Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS Approved Notation: Response to Incomplete Letter # DUE DATE: 07 -13 -04 [� Not Approved (attach comments) ❑ REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: PERMIT COORD COPY Documents /routing sllp.doc 2 -28.02 z Z �W QQ JU 0 Co Q W = F D LL WO La w = F- W W ZO W5 L) O� of W �O z W U= bF- z DEPARTMENT OF LAPOR AND INDUSTRIES --, REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST 'DATE CCOa :ELITECCO20CD 02/06'/2`005 EFFECTIVE DATE 02/04/T998 ELITE COMMERCIAL CONTRACTING 804 WEST MEEKER STREET KENT WA 98032 �i F62 - - 000 (8/97) Detach And Display Certificate F625- 052 -000 (8/97) REGISTERED AS PROVIDED BY LAW ASS CONST..CONT GENERAL..' Please Remove REGI ST. . ## EXP... DATE And Sign CC01 ELITECCO20CD 02/06/2005' Identification EFFECTIVE DATE 02%04/1998 Card Before ELITE COMMERCIAL CONTRACTING'. Placing In 804 WEST MEEKER STREET Billfold KENT:WA' 98032:::!.-::__. Signature Issued by DEPARTMENT OF LABOR AND INDUSTRIES (n M•� Q M Z Q 2Z. `~ W JU UO Cj) J = F N LL W O J LL. Q N �. Z CY F- U z r_ E_ O w �_ Lu O N' o rr- WW 2 U LL ~O llJ Z. O Z