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Permit D03-369 - SOUTHCENTER MALL - DIPPIN DOTS - KIOSK
DIPPIN' DOTS - KIOSK 404 SOUTHCENTER MALL D03 -369 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 5379200330 Permit Number: D03 -369 Address: 404 SOUTHCENTER MALL TUKW Issue Date: 12/09/2003 Suite No: Permit Expires On: 06/06/2004 Tenant: Name: DIPPIN' DOTS Address: 404 SOUTHCENTER MALL, TUKWILA WA Owner: Name: 3G SOUTHCENTER LTD Address: 25425 CENTER RIDGE RD, CLEVELAND OH Contact Person: Name: B 3 GIRT Address: 618 S 17 ST, RENTON WA Contractor: Name: HOLADAY PARKS, INC. Address: 4600 S 134 PL, SEATTLE, WA Contractor License No: HOLADPI379NO INSTALLING NEW 15 X 10 PREMANUFACTURED KIOSK INTO MALL DESCRIPTION OF WORK: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Sanitary Side Sewer: N Sewer Main Extension: N Private: N Storm Drainage: N Street Use: N Profit: N Water Main Extension: N Private: N N Water Meter: doc: Devperm Public Works Activities: DEVELOPMENT PERMIT D03 -369 Phone: Phone: 206 679 -6640 Phone: 206 248 -9700 Expiration Date:09 /03/2005 Value of Construction: $ $34,000.00 Fees Collected: $800.05 Type of Fire Protection: SPRINKLERS /AFA Uniform Building Code Edition: 1997 Type of Construction: Occupancy per UBC: 0023 Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: N Hauling: N Start Time: End Time: Land Altering: N Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: N Moving Oversize Load: N Start Time: End Time: Public: N Non - Profit: N Public: N Printed: 12 -09 -2003 rwZ;t w. •A +44,.•44.44 0.1. .614 .r ate.. ..wa+... ,w .. .....+..,w...' .44:640u�:WrP: �Li= a.:l'Jiu City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature: Date: 4- 2 - d 9 � 3 I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating constructio •r the performance of work. I am authorized to sign and obtain this development permit. Signature: Print Name: 611(2--, doc: Devperm D03 -369 Date: 1 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. Printed: 12 -09 -2003 '.11 w,w:r..wn.ia+L ;:u a�:• 1 doc: Conditions City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS z w cc 2 00 N 0 J H CO u- w 0 u-Q I w z = II— o z I- w Lu U O N O I- 6: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any w • w construction. These documents are to be maintained and available until final inspection approval is granted. t-� u. 0 7: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 iii z Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). v 8: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be z 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. Parcel No.: 5379200330 Permit Number: D03 -369 Address: 404 SOUTHCENTER MALL TUKW Status: ISSUED Suite No: Applied Date: 11/20/2003 Tenant: DIPPIN' DOTS Issue Date: 12/09/2003 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 3: Plumbing permits shall be obtained through the Seattle -King County Department of Public Health. Plumbing will be inspected by that agency, including all gas piping (296- 4722). 4: 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). 5: All mechanical work shall be under separate permit issued by the City of Tukwila. 9: There shall be no occupancy of the building(s) until the final inspection has been completed by the Tukwila Building Inspector. 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: IV - t 'O 3 Print Name: g t, t l A 1g- D03 -369 Printed: 12 -09 -2003 Site Address: Tenant Name: Property Owners Name: LASS j r) ELD Mailing Address: Name: Company Name: Mailing Address: Contact Person: E -Mail Address: Company Name: Mailing Address: Contact Person: E -Mail Address: Mailing Address: 6 1 6 . i r" sr E -Mail Address: 4 ,GENERAL'CONTRACTORINFORMATION Company Name: *Ea H O LAO e.( e... 17_ I-1 L Mailing Address: t i 6 oo S 00 i 1-( t 3 N PL SL A-t 1 l,l- w A- 9` (-6g City State Zip Contact Person: J Ci 1 2 -t Day Telephone: LZc'4) 6:4-q — 6 64 0 E -Mail Address: 6a Cr."r h otc e)Ck.1 e ay Ics ; uS Fax Number: ( d 6) �- e - 81--0 Contractor Registration Number: H o L• A OP I 3 N 0 Expiration Date: e l l► f 09 * *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 must be wet stamped i by Architect of,Record ENGINEER OFRECORD All plans must be Wet stamped by Engineer of Record \applications \permit application (3.2003) 3/2003 CITY OF TUKWILA 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** 5 (7 Rziti P OA, (c p ► to Da ► S ) Page 1 'Building Permit No. Mechanical Permit Works Permit No Project No King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: .... Yes 0 ..No City For office • rise: State Zip Day Telephone: P.D6 6: tzEr- 004 96 05 City State Zip Fax Number: City Day Telephone: Fax Number: State State Zip Zip City Day Telephone: Fax Number: tw•`fwr�fr= ....r:'��:L wa`?`t�!�?'n''<`�7:?E±kGF' BUILDING PERMIT INFORIV- 'M - 206 =431 =3670 • Will there be new rack storage? 0 ..Yes . No If "yes ", see Handout No. for requirements. \applications \permit application (3 -2003) 3/2003 Page 2 Valuation of Project (contractor's bid price): $ , W , Oc2c.) Existing Building Valuation: $ Scope of Work (please provide detailed information): T.,t4 Sr' A c.-t- C • nm!'t t ctai u2-Ci u514.- Provide MI Building Areas in Square Footage Below Addition to • Existing Structure 2nD Floor' 3° Floor Floors hrti • Basement Accessory Structure* Attached Garage Detached Garage Attached. Carport Detached Carport. Covered Deck Uncovered Deck Existing Interior Remodel New Type of Construction per UBC Type of Occupancy per UBC PLANNING DIVISION: Single- family building footprint (area of the foundation of all structures, plus any dec . over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwel ' g: Floor area for accessory dwelling: *Provide documentation that shows that the principal owner yes 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? 0 ....Yes ❑ .. ' o If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: W . Sprinklers `]..Automatic Fire Alarm [..None D . 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 indicating quantities and Material Safety Data Sheets. 4 �"' • . = it+,t4t1+r.LkF?'�Y3?` - ,Ht(': S':J:,.nvii. i?iz 4t" IOW ' t Scope of Work (please provide detailed information): ❑ ...Total Cut ❑ ...Total Fill Water District ❑ ...Tukwila 0... Water District #125 ❑...Water Availability Provided Sewer District ❑ ...Tukwila ❑... ValVue ❑ .. Renton ❑ ...Sewer Use Certificate ... Sewer Availability Provided ❑ .. Approved Septic P ❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design Submitted with Application (mark boxes which apply): ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenanc= Agreement(s) ❑...Hold Harmless Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ .. Right -of ay Use - Profit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ .. Right- -way Use — Potential Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way Non Right -of -way cubic yards cubic yards ❑..:Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ ...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size.. ❑ ...Water Only Meter Size ❑ ...Sewer Main Extension Public _ ❑ ...Water Main Extension Public FINANCE INFORMATION Fire Line Size at Property Line ❑ ...Water ❑ ...Sewer Monthly Service Billing to: Name: Mailing Address: Water Meter RefundBillin Name: Mailing Address: ■applicationstparmit application (3.2003) 3/2003 Call before you Dig: 1- 800 - 424 -5555 Please refer. to Public Works Bulletin #1 for fees and es imate sheet. „ ❑. 0. 0. ❑. . Abandon Septic Ta . Curb Cut . Pavement Cut . Looped Fire Li e ,, „ WO# WO Wo# ivate 'mate ❑ .. Highline ❑ ...Renton °❑. ❑ .. Geotechnical eport ❑...Traffic Impact Analysis rk in Flood Zone torm Drainage Number of Public Fire Hydrant(s) ❑ ... Sewage Treatment Page 3 ❑ ...Seattle ans Provided approval by King County Health Department. ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Deduct Water Meter Size Day Telephone: fe City State Zip Day Telephone: City State Zip : i"i ��:'. �3: tr: IW+ TIk:. �:: r�4ll': Y* �Lir". R�fhviClViR��4Wiiw fi.v.+.w�auwwN:H..� •s51 wRWe:kNn./"..r'3usM.wn. :�... Z = f - ' • W �QQ JU 00 N W NIL W 2 QQ LL Q co = � Z = I- 0 Z W O p O co O — O I— W W H 0 W Z W CO 0 Z Unit Type: Qty. Unit Type: Qty Unit Type: Qty.: Boiler/Compressor: - .:.:: Qty Furnace <100K BTU Air Handling Unit >= 10,000 CFM Other Mechanical Equipment 0 -3 HP /100,000 BTU Furnace> 100K 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+ FIP /1,750,000 BTU Heat/Refrig /Cooling System Incinerator - Domestic Air Handling Unit <= 10,000 CFM Incinerator — Comm /Ind iI - PERMIT!INF,O_.wIATION 206- 4370. MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: I-1 o t.P, 0 41 (An -K-S t N C. c) a• i Cl f2-■ E -Mail Address: G'S but Cit't.tya• 16. . L;7 •,"n Contractor Registration Number: H n L.- p 0P 1 3' -ei N 0 * *An original or notarized copy of current Washington State Contractor Lice Valuation of Project (contractor's bid price): $ N /4" Scope of Work (please provide detailed information): Use: Residential: New ....0 Replacement .... Commercial: New ....0 Replacement .... [] Fuel Type: Electric 0 / as ....0 Other: Indicate type of mechanical work being installed and the quantity below: ICATION NOTE Applicable to all :permits; in this' applicatio r 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 PF JURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWN . OR AUTHORIZED AGENT: Signature: /`/' \applicationskperntit application (3.2003) 3/2003 64-1 Print Name: Mailing Address: -, ( '' S . L �^ L Page 4 (A A. City State Zip Day Teleph e: (.o 6, (,?- 1 10 Fax N er: 6 ) - 4 6 - , ( 3 - i -cr 'ration Date: 9 / i / 0 e must be presented at the time of permit issuance ** Day Telephone: Iz City State c e,I Date: I I )2), Jo 3 6 - ,, 6) _ yo wl� coos- _ . Zip Date Application Accepted: // Date Application Expires: 3 Staff Initi / als o : i ectrit � Parcel No.: 2623049004 Permit Number: D03 -369 0 Address: 633 SOUTHCENTER MALL TUKW Status: PENDING o o Suite No: Applied Date: 11/20/2003 w w Applicant: DIPPIN' DOTS Issue Date: -J I w O }} . g J Receipt No.: R03 -01404 Payment Amount: 313.40 u- CO Initials: SKS Payment Date: 11/20/2003 02:50 PM F w User ID: 1165 Balance: $486.65 Z H F- O Z F- Payee: TRANSACTION LIST: ACCOUNT ITEM LIST: Description doc: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Ili • w U � O N O F— w W U Type Method Description Amount W ~O Z Payment Check 1026 313.40 U u — _ O~ G & S GROUP LLC PLAN CHECK - NONRES RECEIPT Account Code Current Pmts 000/345.830 313.40 Total: 313.40 c913 11 121 9716 TOTAL 313.40 . c Printed: 11 -20 -2003 Z Payee: TRANSACTION LIST: ACCOUNT ITEM LIST: Description doc: Receipt City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 z RECEIPT ,_W Parcel No.: 5379200330 Permit Number: D03 -369 t Address: 404 SOUTHCENTER MALL TUKW Status: APPROVED 0 Suite No: Applied Date: 11/20/2003 N W Applicant: DIPPIN' DOTS Issue Date: -J 1- U) u_ W O 2 Receipt No.: R03 -01456 Payment Amount: 486.65 g 5 u,a Initials: SKS Payment Date: 12/09/2003 01:53 PM = w User ID: 1165 Balance: $0.00 Z = F- 0 Z I— W • W O • N O I- W w Type Method Description Amount 1- H LO Payment Check 1041 486.65 LLi H = O ff' G &S GROUP LLC BUILDING - NONRES 000/322.100 STATE BUILDING SURCHARGE 000/386.904 Account Code Current Pmts 482.15 4.50 Total: 486.65 4:"1. 12/09 97:16 TOTAL 406,65 Printed: 12 -09 -2003 ��i:k..w+;w..<:c:a..f:�i:i.u;: rid: iY: c, iJ::.>. J,;:. 4n�.!:; h��Ca :.t.+.i +�i.ira;+:tius•.cna.:at+ Z Proje Ty�e of Inspection: /`- 1Z Address:' Date .Cal led: / Special Ins uctions: Date Wanted: m. 3-- -/•.01-/ P.m. Requester: "'�- 1 Phone No: — — rte INSPE &ION RECORD Retain a copy with permit INSPECTION NO. PERM ' ` • . / CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)41 -3670 Approved per applicable codes. O Corrections required prior to approval. COMMENTS: Inspector 0 Date: //V ~- i V 'I $47. i INSPECTION,/ EE REQ IRED. Prior to inspection, fee mutt be paid at 1300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 'COMMENTS: 4e./ e-fi-e- ir.."--Ai/ / i e.-0-x? Addr s . n4/ S *C r Mal/ ,4" /- -y"% // 4- j 1 G U > 1`" 4 .5.(ka s k ) Ile_ k ...76 /(74 /2-► IP 11 -a - fi - 7 - S, )fr 4 , L'' _ n/e-e-ti d/7*- ezo ( 4 t -Ili 1 ' 2 '4-A4 4-71,4 ? %...„4- (-di-7er ,.. Requester: ) x i P/ A „��/ _ d�7 Q - � e, -/e../ / �►. i.i7 /l /// / / / ./1 l ( ' Y i', ' / ,l� l \ t A .4.1) /1 //l r i ! i1 AL Pr ec I : j Type of Inspectio p a 4.,r Addr s . n4/ S *C r Mal/ Date Called: a l l . . 3 Special Instr ctions: Date Wanted: a.m. Requester: Phone 2 b(a , LQ 19- CUCf'/V wvA i:nm! INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431- 3670”' INSPECTION RECORD Retain a copy with permit PE IT Approved per applicable codes. El Corrections required prior to approval. Insp Date �irnTV, $4`7:00 REINSPE ON FEE REQUIRED. Prior to inspection, fee must lye paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 1 understand subject to err plans does n adopted codE tractor's cop By Date Permit N SEPARA REQUJF ❑ !LA ECi ELEC ❑PLU!�': ❑ GAS CITY OF BUILDIN( 1N3Wf1OOa 3H1 JO JllllbflD 3H1 01 3n si 11 39110N SIHI NVH1 JV313 SS31 SI 3V V d SIHI NI 1 ai /mooa 3H1 di :3011ON L'ZiC`� `J '� f)jj :1�� U 1)05-.64,9 ,� �'�' • dippiiR' IJJIR dOts !��_ • d i�S Ice Cream of the Future ,� P,i' ?u s-' :. .z 2 �Lr.t i1 iU',iQ i' 44 Shill 06:7 V�7J I. r `< DWI t', • i •.7: ll't_17 i��.:'„",- 3 W LL 4Q,:�iRE A N. Pty ME.'dii7 tit .Y G��c Alii60 r-� �-,�;6 WESTFIELD ,_ „ 28' 2" 9 O x 2 8 2 SHOPPINGTOWN SOUTHCENTER Wall Boutique GENERAL NOTES: • Non Flammable Construction: Fire Retardant treated wood to comply with 402.14.1, BOCA1996 • All Kiosk framing shall be non - flammable with non- flammable finishes such as: Fire retardant wood, glass, ceramic, marble, metal, or polymer surfaces • No Canopy Over Kiosk CATY OF RIAU SCHEDULE OF DRAWINGS AFFRONT!) DRAWING # DESCRIPTION DEC - :,l 2003 1 N ;;_. FILE COPY DDW -800 41it:::' are - of FINISH & EQUIPMENT SCHEDULE :.:' _r 7CEI:f 1;4„ �,TMECE;VED„„ } OV 2, 6 2003 PERfv11? CENTER hat the Plan Check approvals c rs and omissions and approval yt authorize the violation of anv or ordinance. Receipt of con of approved plans acknowledged. DDW -801 FLOOR P LAN DDW -802 ELEVATION OF 28' -2" SIDE DDW -803 ELEVATION OF 9' -0" SIDE DDW -804 SINK UNIT DETAILS DDW -805 SIGN SHOP DRAWING ,`�`'� � ^°c' "L ; DDW -806 ELECTRIC PLAN & LEGEND INCOMPLETE � VO3 ��� DDW -807 LOADCENTER SCHEDULE LTR# DDW -808 PLUMBING PLAN & LEGEND " PERMIT a� FOR: 44iCAL TR1CAL DDW -809 SANITARY & WATER RISER DIAGRAM DDW -810 PLUMBING NOTES =A;G CUST :- DIPPIN' DOTS, INC. IPtN,f, T� yr�>> KENN BUTTS A.I.A. Kenneth L Butts, Architect JOB:- WESTFIELD SHOPPINGTOWN SOUTHCENTER JOB LOCATION:- SEATTLE WA t Date: 11/1 1/03 SCALE: As Noted COVER PAGE 924 STAGECOACH ROAD BELL CANYON ,CA. 91307 TEL 818 999 4272 FAX 818 999 4321 ITEM:- INDEX OF DRAWINGS 1)05-.64,9 '1N3Wn00a 3H1 AO 1lllvf1D 3H1013na SI ll 90110N SIHI NVH. 2IV310 SS31 SI 3INV Id SIH. NI 1N301f1000 3H1 3I :30I10N FINISH SCHEDULE: A. SURELL SOLID SURFACE - BLEACHED CONCRETE - HIGH GLOSS FINISH BPI (distributor) TEL. (800) 765 -1274 4. B. AMEROCK - #76313 -26 - POLISHED WIRE PULL WILSONART FUSION MAPLE #7909 -60 TEL. (815) 969 -6308 TEL. (800) 746 -6483 5 . SINKS - SUPPLIED BY NORTHCOAST WOODSMITHS C. FORMICA - MISSION WHITE #933 TEL. (908) 647 -8747 E. PLASTIC LAMINATE PIONITE #SB016 "DEEP TEAL" G. INTERNATIONAL GRANITE & MARBLE (Cambrian Black) TEL. (800) 828 -9074 EQUIPMENT SCHEDULE: 1 SNEEZE GUARD - SUPPLIED BY DIPPIN' DOTS, INC. 7. RHEEM - #81VP2S 2.5 GAL - WATER HEATER 10. DELTA - Dl OOTP WITH DRP6042 SPOUT CITY OF Ti;D°Dti #lA kPI'ROYED 11 PIONEER INDUSTRIES - P447900 DEC - 9 203 }ti I RECEIVED CITY OF TIJKwu A NOV 2 62003 PERMIT CENTER CUST :- DIPPIN' DOTS, INC. JOB:- WESTFIELD SHOPPINGTOWN SOUTHCENTER JOB LOCATION:- SEATTLE, WA ITEM:- FINISH & EQUIPMENT SCHEDULE Date: 11/11/03 SCALE: 1/2" = 12" DWG #DDW -800 KENN BUTTS A.f.A. Kenneth L Butts, Architect 124 STAGECOACH ROAD BELL CANYON ,CA. 91307 TEL 818 999 4272 FAX 818 999 4321 '1N3Wn00a 3H1 AO 1lllvf1D 3H1013na SI ll 90110N SIHI NVH. 2IV310 SS31 SI 3INV Id SIH. NI 1N301f1000 3H1 3I :30I10N FINISH SCHEDULE: A. SURELL SOLID SURFACE - BLEACHED CONCRETE - HIGH GLOSS FINISH BPI (distributor) TEL. (800) 765 -1274 4. B. AMEROCK - #76313 -26 - POLISHED WIRE PULL WILSONART FUSION MAPLE #7909 -60 TEL. (815) 969 -6308 TEL. (800) 746 -6483 5 . SINKS - SUPPLIED BY NORTHCOAST WOODSMITHS C. FORMICA - MISSION WHITE #933 TEL. (908) 647 -8747 E. PLASTIC LAMINATE PIONITE #SB016 "DEEP TEAL" G. INTERNATIONAL GRANITE & MARBLE (Cambrian Black) TEL. (800) 828 -9074 EQUIPMENT SCHEDULE: 1 SNEEZE GUARD - SUPPLIED BY DIPPIN' DOTS, INC. 7. RHEEM - #81VP2S 2.5 GAL - WATER HEATER 10. DELTA - Dl OOTP WITH DRP6042 SPOUT CITY OF Ti;D°Dti #lA kPI'ROYED 11 PIONEER INDUSTRIES - P447900 DEC - 9 203 }ti I RECEIVED CITY OF TIJKwu A NOV 2 62003 PERMIT CENTER CUST :- DIPPIN' DOTS, INC. JOB:- WESTFIELD SHOPPINGTOWN SOUTHCENTER JOB LOCATION:- SEATTLE, WA ITEM:- FINISH & EQUIPMENT SCHEDULE Date: 11/11/03 SCALE: 1/2" = 12" DWG #DDW -800 '1N9Wf100a 9H1 AO Ainv lO 3H1013na 911130110N SIHI NVH12INeB10 SS31 SI 3INVNA SIH1 NI 1N31/M00a 3H1 AI :30110N 28' 8" ► ALL BACKLIT MENU BOARD DWG #DDW -804 ARE CUSTOMDFABR CATED FROM SYSTEM 27" X 87" SOLID SURFACE MATERIAL — open space - . • open space "-- - M -= -_- .- - = _ = - - == " - _ --= '_ -= `= �_• .__-- °v 34 1/4 •4•_24._ Brushed Aluminum Framed Backlit Graphic, Recessed EL-31 Storage Freezer ................ . �_24" �- 341/4" 6' 7" —.. �" "�" O - •: •i�: •: 0 o t O —0 m Flush with Wall 32" H. GATE TO HAVE TOE KICK EXTENDING TO FLOOR . , , O� :•: : :: io tD N 24' ' DWG #DDW -804 DETAIL "A" 7 ,rat{ CA 1 (f�T1lLA DEC, � -• 9 26133 jik Fo 1:13* o 4. o GasFi:. "Re,E e..r • - - -•• :: ...... —• EL -31 Serving Freezer EL -31 Serving Freezer RECEIVED c lT y �F ruxwu a �lOV262003 PERMIT ' 32 116 0 32" -I \ CENTER NOTE: 15' 0" SEE ENCLOSED SCHEDULE ON DWG #DDW 800 EQUIPMENT DIVIDER WALL AND STONE CAP BY L.L. KIOSK IDENTITY SIGN 5/8" CEMENT BOARD AND INTERIOR WALL SEE SHOP DRAWINGS SEE DWG #DDW -810 FINISH BY TENANT ON DWG #DDW -808 FOR HEALTH DEPT NOTES CUST :- DIPPIN' DOTS, INC. iKENN BUTTS A.I.A. Kenneth L Butts, Architect 124 STAGECOACH ROAD BELL CANYON ,CA. 91307 TEL 818 999 4272 FAX 818 999 4321 JOB:- WESTFIELD SHOPPINGTOWN SOUTHCENTER JOB LOCATION : - SEATTLE, WA Date: 11/11/03 SCALE: 3/8" = 12" DWG #DDW -801 \ ITEM : - FLOOR PLAN '1N31/4fl30a 3H130 AlllVflb 3H1013na SI 1130110N SIHJ NVH._21`d310 SS31 SI 3V1V I J SIN' NI 1N3W1100a 3H1 11 :30110N Brushed Aluminum Framed Backlit Graphic, Recessed Flush with Wall EXISTING MALL WALL COLUMN — BACKLIT MENU BOARD SYSTEM 27" X 87" pyr O 4 0 ke wa of the Intone O .f,_94.":.M:�•��•i4iyi::'�• i•!T f•:i f �• :yi'' 4�� /i••'• •'•:• �•'� �: �•�i4• %•i•':?iii o 4 ,•,, ��iN4 �$ii4 �i.��,.. ,4•��'i �s1ry44i„!r!!l�if K;Mat'.4fff;a:WA i f4i:'•p�:4ry�4 /••iS�ri "4i �•�ti /:! �4ii„iy ti. �4 �: '1'• �•r.:• •:'4Y::.y 4' }ry,,rylfy�. H. �6i'4:�,,H:i�i:!.:.'!M:ihL1$r: •ry�i }$ i�i4•:'},i�: r�.:' i i �4iryhnrli�!1w',� i�4il �w9:i,i 28' 2" 15' 0" DIVIDER WALL AND STONE CAP BY L.L. 5/8" CEMENT BOARD AND INTERIOR WALL FINISH BY TENANT ' I•- 24 "---.i CITY Cf Tu:�° ?ttA APpR00 DEC - 9 2003 46. NuiLLI C r ) tzt ) N M • 6' 7" KIOSK IDENTITY SIGN SEE SHOP DRAWINGS ON DWG #DDW -808 28' 8" KENN BUTTS A.I.A. Kenneth L Butts, Architect 124 STAGECOACH ROAD BELL CANYON ,CA. 91307 TEL 818 999 4272 FAX 818 999 4321 t RECEIVED CITY ^,F TI1KWII A 10V 2 6 2003 PERMIT CENTER OUST :- DIPPIN' DOTS, INC. JOB:- WESTFIELD SHOPPINGTOWN SOUTHCENTER JOB LOCATION:- SEATTLE, WA ITEM:- ELEVATION OF 28' -2" SIDE Date: 11/1 1/03 SCALE: 3/8" = 12" DWG #DDW -802 1 A .f,_94.":.M:�•��•i4iyi::'�• i•!T f•:i f �• :yi'' 4�� /i••'• •'•:• �•'� �: �•�i4• %•i•':?iii o 4 ,•,, ��iN4 �$ii4 �i.��,.. ,4•��'i �s1ry44i„!r!!l�if K;Mat'.4fff;a:WA i f4i:'•p�:4ry�4 /••iS�ri "4i �•�ti /:! �4ii„iy ti. �4 �: '1'• �•r.:• •:'4Y::.y 4' }ry,,rylfy�. H. �6i'4:�,,H:i�i:!.:.'!M:ihL1$r: •ry�i }$ i�i4•:'},i�: r�.:' i i �4iryhnrli�!1w',� i�4il �w9:i,i 28' 2" 15' 0" DIVIDER WALL AND STONE CAP BY L.L. 5/8" CEMENT BOARD AND INTERIOR WALL FINISH BY TENANT ' I•- 24 "---.i CITY Cf Tu:�° ?ttA APpR00 DEC - 9 2003 46. NuiLLI C r ) tzt ) N M • 6' 7" KIOSK IDENTITY SIGN SEE SHOP DRAWINGS ON DWG #DDW -808 28' 8" KENN BUTTS A.I.A. Kenneth L Butts, Architect 124 STAGECOACH ROAD BELL CANYON ,CA. 91307 TEL 818 999 4272 FAX 818 999 4321 t RECEIVED CITY ^,F TI1KWII A 10V 2 6 2003 PERMIT CENTER OUST :- DIPPIN' DOTS, INC. JOB:- WESTFIELD SHOPPINGTOWN SOUTHCENTER JOB LOCATION:- SEATTLE, WA ITEM:- ELEVATION OF 28' -2" SIDE Date: 11/1 1/03 SCALE: 3/8" = 12" DWG #DDW -802 - 1N3Wf100a 3H1 AO kJ1VflO 3H1 01 3110 SI 1130I10N SIHI NHH1 NV310 5591 51 91 W:1A SIHI NI 1N31A111000 3H1 AI :30110N EXISTING WALL EXISTING COLUMN 0 O 9- %'I I � © 1/ ;; lt;;tt: ;;�;;:;:t.�;;;<<:lt.,.ft �f, �t;;. tt; �t.. ftt-1;;;;1 �;:t- tt;. tf;- f.t«l- t.<<t!;- t:�;tl- ff;�t;.ft; �,:1,�;;t. F >% wit tf l:iif �t t R ��ii ��iif• iil:�� %iiiifiti ���if�ii �%!�ii S%� tiii S��i: ?if i ��if��%t �ifiii �ti %i%flt�'�.tt �t� i ' "'/""� Y:! /i�C�V tlftl %fit %�! %�f�l l %fit %�f %t lltl l %�f��f %l %�f� � / %<< %�l %! %�tf %f� tll t! %�tN�t %�tt %�tN�t %fI %�J�l�t! • t/i ! >i : t%S� �:4i!:� ifili! % %iii :ii :• iA�titf i �iilSOiftii Sti %itiit: ?i �4i :tl tiiftt :4i �tff!rtff!ftii :4%:4i - :tli St Al %% I BACKLIT MENU BOARD SYSTEM 27" X 87" II O 1 1/2" cV 0 M cm' OF TL K ILA APPROVED DEC - 9 2003 A � iL "" rAftS71 KIOSK IDENTITY SIGN SEE SHOP DRAWINGS M ON DWG #DDW -808 (V 36 " -ADA ) I 9' 0" (:ITY OF TI,IKLDVII A NOV 2 6 2003 PERMIT CENTER KENN BUTTS A.I.A. Kenneth L Butts, Architect 124 STAGECOACH ROAD BELL CANYON ,CA. 91307 TEL 818 999 4272 FAX 818 999 4321 CUST :- DIPPIN' DOTS, INC. JOB:- WESTFIELD SHOPPINGTOWN SOUTHCENTER JOB LOCATION:- SEATTLE, WA ITEM:- ELEVATION OF 9' -0" SIDE Date: 11/11/03 SCALE: 1/2" = 12" DWG #DDW -803 '1N3Wfla0a 3H1 AO A11ldfO 3H1013na 9111 33110N SIHJ NVH11:1V310 SS31 SI 3INVd SIHI NI 1N3W11ooa 3H1 AI :39I10N r r_-7 3/4 3/4" BIRCH PLY (TYP.) OSOLID SURFACE SINK (TYP.) 2" x 3/4" BIRCH PLY SUPPORT (TYP.) 2 3/4" SECTION OF SINK UNIT (TYPICAL OF 2) Co CO DETAIL "A- PLUMBING DETAILS SCALE: NTS DETAIL "B- PLUMBING DETAILS SCALE: NTS Girt CF TU WILA APPROVED DEC - ° 2003 A WILD `yam DM-3M RECEIVED CITY OF TUKWI! A NOV 2 6 2003 PERMIT CENTER KENN BUTTS A.I.A. Kenneth L Butts, Architect 124 STAGECOACH ROAD BELL CANYON ,CA. 91307 TEL 818 999 4272 FAX 818 999 4321 OUST :- DIPPIN' DOTS, INC. JOB:- WESTFIELD SHOPPINGTOWN SOUTHCENTER JOB LOCATION:- SEATTLE, WA ITEM:- SINK UNIT DETAILS Date: 11/1 1/03 SCALE: 1" = 12" DWG #DDW -804 1N3Wf1000 3H1 AO kinvnO 3H1013na SI 11 30110N SIHI NVH12NV310 SS31 SI 3V1VJJ SIH. NI lN31,4f1000 3H1 AI :30I10N SIGN SHOP DRAWING U.L. LISTED SINGLE SIDED SIGN • SIGN CABINET 22" IN DIAMETER AND 6" THICK FABRICATED FROM .125 ALUINUM. • SIGN SUPPORT: RECESSED MOUNT IN FACE WALL OF CABINET • SIGN CONNECTED TO A SEVEN -DAY, 24 HOUR TIME CLOCK, SET TO MALL HOURS. • LIGHT LEAKS ARE NOT PERMITTED, ALL LETTERS AND FACES MUST BE EVENLY ILLUMIATED, WITH NO BRIGHT OR DARK SPOTS. • LABELS ARE NOT PERMITTED ON SIGN FACE OR SIDES • THE SIGN AND ITS INSTALLATION SHALL COMPLY WITH ALL LOCAL CODES "Dots" - Yellow "Dots" - Pink "Dots" - Teal "Dots" - Light Teal Pink Starry Background Black Sides 3/4" black jewelite "Dots" - Yellow "Dots" - Pink "Dots" - Teal "Dots" - Light Teal CITY OF APPR DEC _ 9 0 RECEIVED •ITS' OF TIJI< V11 A NOV 2 6 2003 PERMIT CENTER KENN BUTTS A.I.A. Kenneth L Butts, Architect 124 STAGECOACH ROAD BELL CANYON ,CA. 91307 TEL 818 999 4272 FAX 818 999 4321 N. CUST :- DIPPIN' DOTS, INC. JOB:- WESTFIELD SHOPPINGTOWN SOUTHCENTER JOB LOCATION:- SEATTLE, WA ITEM:- SIGN SHOP DRAWINGS Date: 11/11/03 SCALE: 1/8" = 1" DWG #DDW -805 '1NSWl000 3H1 AO AinvnO 31-11 Ol 3f10 SI 1130110N SIH. NVHJ,21V310 SS31 SI 31NVtId SIHI NI 1N3W11000 3H1 AI :30110N D-4 IggeralaNrk BACKLIT MENU BOARD D -4 D -4 BACKLIT WALL GRAPHICS ELECTRICAL LEGEND PICC "D" STORAGE (Freezer) OUTLET Storage Freezer D-1 9 24" ____.. SERVER (Dipping) OUTLET SINGLE POLE SWITCH, 20A, 120/277V, 48" A.F.F. COLOR SHALL BE IVORY. 0 DUPLEX RECEPTACLE, NEMA 5 20R 18' A.F.F.,OR AS SHOWN, COLOR SHALL BE WHITE. FLOOR OUTLET, FOR TELEPHONE (EXIST) D-6 LIGHT SWITCH EL -31 Serving Freezer EL -31 Serving Freezer D-7 �asFi.:.:. Rec(isfe D -3 D -5 KIOSK IDENTITY SIGN ELECTRICAL POWER PLAN Q FLOOR OUTLET, FOR POWER (EXIST) PANELBOARD. 208Y/120V, 3PH, 4W. BRANCHCIRCUIT WIRING RUN CONCEALED IN WALLS AND /OR MILLWORK CROSSMARKS INDICATE NUMBER OF CONDUCTORS IF OTHER THAN TWO. FLAGGED CROSSMARK INDICATE GROUNDING CONDUCTOR. RUNS WITHOUT CROSSMARKS INDICATE MINIMUM 2 #12 IN 1/Y CONDUIT. TEL O BACKLIT WALL GRAPHICS WATER HEATER OUTLET --A.-- REGISTER OUTLET SERVER (Dipping) OUTLET APPRIWED DEC - 9 2003 As htuLi • TELEPHONE OUTLET, 18' A.F.F., U.O.N. VERIFY EXACT LOCATION WITH OWNER. PROVIDE MINIMUM 4' BOX WITH ONE GANG RAISED COLLAR AND 1' CONDUIT UP TO CEILING. BUSH CONDUIT END. PROVIDE PULL STRING. RECEIVED CITY OF TUKWII A JUNCTION BOX EQUIPMENT CONNECTION NOV 2 6 200 PERMIT CENTER KENN BUTTS A.I.A. Kenneth L Butts, Architect 124 STAGECOACH ROAD BELL CANYON ,CA. 91307 TEL 818 999 4272 FAX 818 999 4321 CUST :- DIPPIN' DOTS, INC. 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I l ti z s�5 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D03 -369 PROJECT NAME: DIPPIN' DOTS SITE ADDRESS: XXX SOUTHCENTER MALL DATE: 1444-13* Original Plan Submittal X Response to Incomplete Letter # I Response to Correction Letter # Revision # after/before permit is issued DEPARTMENTS: L Buildi iv' Public Work /2_-3- Fire Prevention ❑ Planning Division Structural ❑ Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 12 -02 -03 Complete d Incomplete ❑ Comments: Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROyTING: Please Route Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 12 -30 -03 Approved ❑ Approved with Conditions Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: Documents /routlng slIp.doc 2 -28.02 PERMIT COORD COPY PI DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: .i: .ILA':;;aiv:::�:i�,.::i1.4;.:Li x „i:,tS� •. bvso-'�adyY:��;?k MICRO COM SYSTEMS LTD. ATTENTION The next image may be a duplicate of the previous image. [ Please disregard previous image. Please disregard previous 2 images. Please disregard previous 3 images. f Other: NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. DEPARTMENTS: BuildiE bivision Public Wor Complete PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D03 -369 PROJECT NAME: DIPPIN' DOTS SITE ADDRESS: XXX SOUTHCENTER MALL C1 - 26 - 03 DATE: 1.94 - Original Plan Submittal X Response to Incomplete Letter # I Response to Correction Letter # Revision #_after /before permit is issued DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROyTING: Please Route , l_Y , Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 12 -30 -03 Approved ❑ Approved with Conditions Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents /routing slip.doc 2 -28 -02 Fire Prevention ❑ Planning Division Structural ❑ Permit Coordinator PERMIT COORD COPY DUE DATE: 12 -02 -03 Not Applicable ❑ DATE: Spiv S'y.'S is tit 6'Fy,Ife4R4 ACTIVITY NUMBER: D03 -369 PROJECT NAME: DIPPIN' DOTS SITE ADDRESS: XXX SOUTHCENTER MALL X Original Plan Submittal Response to Correction Letter # DATE: 11 -20 -03 Response to Incomplete Letter # Revision # after /before permit is issued DEPARTMENTS: -e" I> /I Z� d 1)�/ la- /z- 6.. Building vision © Fire vrevention Q Public Works ZS�� Structural 1l� DETERMINATION OF COMPLETENESS: (Tues., Thu .) Complete ❑ Comments: Documents /routing slip,doc 2.28.02 !M1T COORD COP T PLAN REVIEW /ROUTING SLIP Incomplete APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions V6' REVIEWER'S INITIALS: PERMIT COORD COPY Planning 'vision on /l z Permit Coordinator DUE DATE: 11 -25 -03 Not Applicable DUE DATE: 12 -23 -03 Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUTING: Please Route ❑ Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: ❑ Not Approved (attach comments) ❑ Notation: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 4F:1ly11;ia i is i City of Tukwila Department of Community Development - Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 (206)431 -3670 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 106/ 3 Plan Check/Permit Number: 0 3 -- 3 [ce Response to Incomplete Letter # ❑ Response to Correction Letter # 111 ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Li E S G ( u P LL L Project Address: Contact Person: \ P-( Summary of Revision: et2 0,1 poTg Phone Number: , ,20,6 -44 J 0 Plcu Pie 6 2003 t l OeNER Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: S Entered in Permits Plus on // Z6 5 .0"4 a «r 08/06/03 Public Health Seattle & King County HEALTHY PEOPLE. HEALTHY COMMUNITIES. Alonzo L. Plough, Ph.D., MPH, Director and Health Officer November 19, 2003 G &S Group LLC, (Dippin Dots) 618 South 17 Street Renton, WA 98055 RE: G & S Group LLC, (Dippin Dots) Southcenter Mall, Space 633 Tukwila, WA 98188 Dear Bijit Giri: We have approved the plans for your food service establishment based on variance approval. Your establishment has been assigned the following business identification number (SR# 1068123). Please use this SR# in all future contact with us. Before you open for business, you must complete the enclosed application for a permit and return with the correct prorated fee of ($243.00) for a (6315) permit. If you open before you obtain your permit, your permit fee will be double. Before you open you need to schedule a pre- operational inspection by the Health Department. Although your application for a food service establishment permit from Public Health Seattle and King County will be approved during this inspection, you may need to obtain additional permits or approvals from other agencies. It is the responsibility of the food service establishment operator /owner to obtain all necessary permits and approvals. Operating the establishment without these required permits or approvals may subject you to legal action by the appropriate agencies. If you open without health inspection, you may be closed. Once your plumbing permit has been finalized, contact me at (206) 205 -1903 to schedule the pre- operational inspection. Failed pre- operational inspections will require a $100.00 fee for a repeat inspection. Be sure all other business inspections are done (plumbing, building, etc.) before you call for your Health Department inspection. Should you have any questions or need additional information, please give me a call. Sincerely, Mike Milbach, Plans Examiner MM:dg Enclosure Alder Square Environmental Health Services 1404 Central Avenue South, Suite 101 • Kent, WA 98032 T (206) 296 -4708 F (206) 296 -0163 • www.metrokc.gov /health ,,, s++.�vL+nMtl,FSL�pN, r,:uyYMft .. . �:,tidni, M .4ssasst.,r.\ "Do3 - r ik City of Seattle King County Gregory J. Nickels, Mayor Ron Sims, Executive ('143OF T KW(l A NOV 2 0 2003 PERMIT cENTE, 1 ublic Health Seattle & King County HEALTHY PEOPLE. HEALTHY COMMUNITIES. Alonzo L. Plough, Ph.D., MPH, Director and Health Officer November 19, 2003 Bijit Giri G & S Group, LLC 618 S. 17 St. Renton, WA 98055 RE: Dippin Dots Variance Request Southcenter Mall, Space 633, Tukwila, WA 98188 Dear Mr. Giri: This office has received your request for a waiver from Section 5.20.070 of Title 5 of the King County Code of the Board of Health regarding the requirement of a mop sink. You have proposed use of a mop sink in the Southcenter Mall that is less than 200 feet away from your business. Additionally, Westfield Shoppingtown Southcenter has provided a letter of permission and access to this mop sink. This waiver request has been reviewed by our department. With concurrence from Phil Holmes, Assistant Director, and Gary Kickbusch, Food Program Technical Senior, I hereby approve your waiver request. The approval is subject to the following conditions: • Mop sink must be easily accessible during all business hours of Dippin Dots. • The menu is restricted due to the physical size limitations of the Dippin Dot stand building and the lack of a food processing sink. Any additions or changes to the menu must be pre- authorized by the Health Inspector. • If Westfield Shoppingtown Southcenter transfers ownership, an amendment to the plans are needed (currently $61.00/hour) where the new owner gives written permission for Dippin Dots to use their mop sink. If any problems arise or conditions are not followed, this variance may become null and void and your food service establishment permit may be suspended. Also note, this variance is not transferable to any future owner of Dippin Dots. Alder Square Environmental Health Services 1404 Central Avenue South, Suite 101 • Kent, WA 98032 T (206) 296 -4708 F (206) 296 -0163 • www.metrokc.gov /health ot . ) City of Seattle O King County '/ Gregory J. Nickels, Mayor Ron Sims, Executive `c�tk$irr'i i,�r •+u rww+w.n,...w, wn.nirom�u¢eWfY. r7 If you have any questions, please don't hesitate to call myself, Joe Kurilla, Environmental Health Specialist (EHS), or Mike Milbach, Senior El-IS, at (206) 296 -4708. Sincerely, Gale ue , SPH, R.S. Supervisor Environmental Health Services cc: Phil Holmes, Assistant Director Gary Kickbusch, Food Program Technical Senior EHS Mike Milbach, Sr. EHS, Plans Examiner Joe Kurilla, EHS Tina Tufts, Assistant General Mgr., Westfield Shoppingtown Southcenter Enclosure GY:JK:dg ITY OF TIJKWII A NOV 202003 PERMIT CENTER w��iu w r ae� • •' -L'- `W " JI/a1- i:r4Yitwtit.t�ifL1{Ofi' iNfGL�.IH (dil'J.i;.^415V. v Liar OCT 3 0 2002 ALDEIRE'satslARR VARIANCE FROM Seattle King County Department Public Health SEATTLE -KING COUNTY FOOD CODE Aka Public Health — Seattle King County THE FEE FOR VARIANCE REVIEW IS $154.00 cot to NAME OF ESTABLISHMENT Ci S C LIL- , D tPPi - Doi S TYPE ADDRESS 5oufl -(c `iruTC (1' A-L(-- 433 CITY 'TOK -u' ZIP `f R i gg PERSON TO CONTACT g5 U 1'g.N DAYTIME PHONE • b 5 _C69 0 I request a variance from the following requirement(s): (Y)e P S 1 lL w t it i M T'r K-1 OS1L- I am unable to comply because: 11-1% SQge_ QE 670 at:010't (4-1 11-1 PLoo -e,, T4i r R LA-)ILL. gt; ( -Lebo t C aLS . (,.oS( AT I Gorr �C- �ito�l He%c(I- . MIA I , wNft h Loc.— AP 'D USL I will make the necessary correction to bring my establishment to code by (schedule for work completion attached) (Date) .4 J /a ,.> > ibR's C L - e7 AND /OR I will do the following to protect public health: i 1-te(L iS • t c- 1 MA -(-L- T1 613 1 GIP OWNER (Print Name) VARIANCE ACCEPTED CONDITIONS VARIANCE DENIED Comments /Reasons: ALDER SQUARE 1404 Central Ave S, Ste 101 Kent, WA 98032 (206) 296 -4666 / (206) 296 -4708 Signature of EHS Supervisor J /Request for Variance from SKC Food Code — 5/29/02 Available in alternative format upon request pursuant to ADA Io 3o 03 I� AT We Do Not Write Below This Line EHS Supervisor Date JATArkI /a /o5 _ Date DISTRICT HEALTH CENTERS NORTIISIIORE 10808 NE 145 St Bothell, WA 98011 (206) 296-9791 DATE /0/30/ 0e ag ( 'b urt.: OW SIGNATURE O3 (, Program Manager Concurs Program Manager Concurs If you disagree with this decision, you may appeal in writing to the Chief, Environmental Health NUV (' ft,t DOWNTOWN ENVIRONMENTAL HEALTH 2124 4 Ave, 4" Floor Seattle, WA 98121 (206)296 -4632 L n ars j ........: ri.:dr.ua"'.iit'' " t • : di yf '• iejd.44 JkvxY'+nM ••t*+n�y / . •` • • d pplit r �I pp I R ' �ots . ,,, , 0 s We Cream of the Future ,�� WESTFIELD SHOPPINGTOWN SOUTHCENTER 10' -0" x 15' -0" Kiosk Plans GENERAL NOTES: I • Non- Flammable Construction: Fire Retardant treated wood to comply with 402.14.1, BOCA 1996 • All Kiosk framing shall be non - flammable with non- flammable finishes such as: Fire retardant wood, glass, ceramic, marble, metal, or polymer surfaces • No Canopy Over Kiosk I SCHEDULE OF DRAWINGS DRAWING # DESCRIPTION DDW -800 FINISH & EQUIPMENT SCHEDULE e A, PIP50 nti 06 3405 REGIST ED r HIT 1 UTTS s 0 v DDW -801 FLOOR PLAN DDW -802 ELEVATION OF 15' -0" SIDE DDW -803 ELEVATION OF 10' -0" SIDE DDW -804 DDW -805 COUNTER SECTION VIEW RAIL & LIGHT BAR RV 9 r' 20t SI - i'r ' r `61 S k /° (44 ( UAv', a , ck. r I ysr:) DDW -806 COLUMN SECTION VIEW DDW -807 FRAME DETAILS DDW -808 SIGNAGE SECTION VIEW DDW -809 SIGN SHOP DRAWING DDW -810 ELECTRIC PLAN & LEGEND DDW -811 LOADCENTER SCHEDULE DDW -812 PLUMBING PLAN & LEGEND DDW -813 SANITARY & WATER RISER DIAGRAM DDW -814 PLUMBING NOTES CUST :- DIPPIN' DOTS, INC. / \ \ \\ KENN BUTTS A.I.A. Kenneth L. Butts, Architect 124 STAGECOACH BELL CANYON ,CA. 1307 TEL. 818 FAX 818 JOB:- WESTFIELD SHOPPINGTOWN SOUTHCENTER JOB LOCATION : - SEATTLE, WA Date: 10/15/03 SCALE: 1/2" = 12" COVER PAGE ITEM:- INDEX OF DRAWINGS 2' 5" 2' 5" Service Counter 36" 85 1/2" 167" 10' 2" 15' 0" ALL SINKS AND DRAINBOARDS ARE CUSTOM FABRICATED FROM SOLID SURFACE MATERIAL DWG #DDW -8041 9 ' 7,1 1 3 1/4" 38" A.F.F. FR DIP ZER BY N DOTS 2' 1/4" M — -- i 2 /4 36" WIDE 32" AFF 24" Deep Service Counter per 7.1(1),ADAAG DWG #DDW -804 COLUMN DETAIL "A" NOTE: SEE ENCLOSED SCHEDULE FOR FINISH AND EQUIPMENT ON DWG #DDW -800 SEE DWG #DDW -814 FOR HEALTH DEPT NOTES Probably do not. need .210 DRAINBOARD AREA 0 U210 Swinging door with Lid Add 3.1/2" After Refrigerated Merchandiser 27 1/2" 26" A". 1 DWG #DDW -8041 DETAIL "B" 711li ►'.Ct DRAINBOARD AREA 1 2' 5" �/ / I it 14m v Ll \,1Gy t "'�' Iry a� S 54 Q1 r) 2 3/4" v.7 O O En O PIANO HINGE Revised: 11/10/03 KENN BUTTS A.I.A. Kenneth L. Butts, Architect 124 STAGECOACH ROAD BELL CANYON ,CA. 91307 TEL. 818 999 4272 FAX 818 999 4321 CUST :- DIPPIN' DOTS, INC. JOB:- WESTFIELD SHOPPINGTOWN SOUTHCENTER JOB LOCATION:- SEATTLE, WA ITEM:- FLOOR PLAN Date: 10/15/03 SCALE: 1/2" = 12" DWG #DDW -801 J 44M /.4 !iY£✓lt'G r,N,".\ 4'X'^A % '1'".SFW:;hfNrh.'�i !tc Z W J U U0 co c co w J � w 0 • d = Z � Z° w • �_ 0 I- w W LL0 .. Z w • = O ~ Z Kind of Fixture Fixture Units No. of Fixtures Total Fixture Units Public Private Public Private Bathtub and Shower 4 4 Shower, per head 2 2 Dishwasher 2 2 Drinking fountain (each head) 1 .5 Hose bibb (interior) 2.5 2.5 Clotheswasher or laundry tub 4 2 Sink, bar or lavatory 2 1 'L. Sink, Clinic flushing 8 8 Sink, kitchen 3 2 Sink, other (service) 3 1.5 Sink, wash fountain, circle spray 4 3 Urinal, flush valve, 1 GPF 5 2 Urinal, flush valve, >1 GPF 6 2 Water closet, tank or valve, 1.6 GPF 6 3 Water closet, tank or valve, >1.6 GPF 8 4 An- Residential 'Sewer Use Certification (To be completed for all new sewer connections, reconnections or change of use of existing connections. This form does not apply to repairs or replacements of existing sewer connections within five years of disconnect.) Pursuant to King County Code 28.84, all sewer customers who establish a new service which uses metropolitan sewage facilities shall be subject to a capacity charge. The amount of the charge is established annually by the King County Council at a rate per month per residential customer or residential customer equivalent for a period of fifteen years. The purpose of the charge is to recover costs of providing sewage treatment capacity for (Please print or type) Owner's Name W 6Si i=) CLb MALL. - (Last, First, Middle Initial) Subdivision Name Lot # Subdiv. # Block # Building Name (if applicable) .500TH GGJ tiL M A Li— Property Street Address 3 ? Soom c►d-- City, State, ZIP Sept- a-C; I tI1 fk 96186 Owner's Phone Number ( Zo ) 4 94 (7 " 0H7-3 Owner's Mailing Address (if different from above) A. Fixture Units Fixture Units x Number of Fixtures = Total Fixture Units 1058 (Rev. 1/03) 20 Total Fixture Units ?/ Residential Customer Equivalent (RCE) 20 fixture units equal 1.0 RCE Total No. of Fixture Units RCE White - King County King County Department of Natural Resources and Parks new sewer customers. The charge is collected semi - annually. All future billings can be prepaid at a discounted amount. Questions regarding the capacity charge or this form should be referred to King County's Wastewater Treatment Division at (206) 684 -1740. Property Tax ID # Party to be Billed (if different from owner) Party's Mailing Address: 633 S o Sr-'A= till - , w N q 188 LU CST P U Lb City or Sewer District 1V tl✓ (-U t L A Date of Connection Side Sewer Permit # ll 0 or Property Contact Phone # ( ( ) - f L " O II 2. 3 Demolition of pre- existing building? f] Yes 0 No Type of building demolished Sewer disconnect date B. Other Wastewater Flow (in addition to Fixture Units identified in Section A) Type of Facility /Process: Estimated Wastewater Discharge: Gallons /days Residential Customer Equivalents (RCE): 187 gallons per day equals 1.0 RCE Total Discharge (gal /day) _ 187 C. Total Residential Customer Equivalents: (add A & B) A B RCE CITY RECEIVED TIJKWII A NOV 2 6 2003 PERMIT CENTER RCE INCOMPLETE I certify that the information gill—All d&stand that the capacity charge levied will be based on this information and any deviation will require resubmission of corrected data for determination of a revised capacity charge. Signature of Owner/ Representative Print Name of Owner/ g- I�, Representative C� Date //l Z6 / Yellow — Local Sewer Agency Pink — Sewer Customer . ®1t0=.v "•Il;n.. ;. »sr�a. .:Y 4:n rf wl ir: br q= +l frv¢: ?r:..t',t .01440 ro'•410'47l ?' J. '" ,P� 1' 1.0 9 0* c .vwiC••..imJ.. ww Z Z W re 2 UO Co w -I1— U) u_ 0 u) d = • W Z l- O Z I— � o O • N a I— w W � - u. O .• Z O 1— Z I :G25- 052 -OM 0 (1 /97) DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST. # EXP. DATE CCO1 HOLADPI379NO 09/03/2005 EFFECTIVE DATE 01/21/1983 HOLADAY PARKS INC PO BOX 69208 SEATTLE WA 98188 % C Fc.� +hG� is 1 5 a-iwc LYncL Oc J2Lr/aIe y fY1Q',f C�7fNC�CfbY`5 UC.en �2. J rAtit {Ed REN DOLLINQ goi 1 Dl/c� to to Aew oor.�roa 6n. coon.1-9, Y { , YIi4.w.r a :;46, 4 1 C4rUS: