HomeMy WebLinkAboutPermit M03-080 - JC PENNEYJ. C. PENNEY
1200 SOUTHCENTER
MALL
M03 -080
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Signature:
Print Name:
doc: Mech
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2623049081 Permit Number: M03 -080
Address: 1200 SOUTHCENTER MALL TUKW Issue Date: 05/23/2003
Suite No: Permit Expires On: 11/19/2003
Tenant:
Name: JC PENNEY
Address: 1200 SOUTHCENTER MALL, TUKWILA WA
Owner:
Name: J C PENNEY CO INC #9509.1
Address: PROP TAX OFFICE, PO BOX 10001
Contact Person:
Name: MYANN TYNER
Address: 9322 14 AV S, SEATTLE WA
Contractor:
Name: PSF MECHANICAL., INC.
Address: 9322 14TH AVENUE SOUTH, SEATTLE, WA
Contractor License No: PSFMEI *090NZ
DESCRIPTION OF WORK:
MISCELLANEOUS MINOR DUCT AND AIR- DISTRIBUTION MODIFICATIONS AND REPAIRSTO
EXISTING HVAC SYSTEM AS IDENTIFIED BY BUILDING /MECHANICAL INSPECTOR OR AS
NEEDED. WORK TO INCLUDE RE- CONNECTING EXISTING DUCTWOOWRK, RECONNECTING
EXISTING DIFFUSERS AND GRILLES, CAPPING OR REMOVING EXISTING NON FUNCTIONING
DUCTWORK PREVIOUSLY ABANDONED IN PLACE, MINOR RELOCATIONS OF DUCTWORK, GRILLES
AND DIFFUSERS. * *10 HOURS OF ANTICIPATED INSPECTION TIME PER DAVE LARSON -CITY
OF TUKWILA BUILDING DIVISION. **
Value of Construction: $0.00
Type of Fire Protection:
Permit Center Authorized Signature: 4 Date:
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 conjfuct n or the pe rmance of work. I am authorized to sign and obtain this mechanical per 't.
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MECHANICAL PERMIT
M03 -080
Phone:
Phone: 206 - 826 -3514
Phone: 206 764 -9663
Expiration Date:10 /01/2003
Fees Collected: $524.38
Uniform Mechnical Code Edition: 1997
Date:
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
Printed: 05 -23 -2003
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2623049081 Permit Number: M03 -080
Address: 1200 SOUTHCENTER MALL TUKW Status: ISSUED
Suite No: Applied Date: 05/22/2003
Tenant: JC PENNEY Issue Date: 05/23/2003
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 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.
6: 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).
7: 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.
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 performa ce of work.
Signature:
Print Name:
doc: Conditions
M/A/uf 7
PERMIT CONDITIONS
M03 -080
Date: gf �3 /e
Printed: 05 -23 -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 **
'SI TELO.CATI�
King Co Assessor's Tax No.'.
Suite Number:
New Tenant:
Site Address: / Z 0 S C tYLAIQ
Tenant Name: - 5 - c ( (, riy
Property Owners Name:
Mailing Address:
City
CONTACT: PERSO
Name: MyA / N � Ty iu �/� / //� Day Telephone:
Mailing Address: "/ 1 2 2 / ,) `� A i
p ►��t City
E -Mail Address: MT Y 1\-) r(Jf c @ P,5F I „ e� ea 01 Fax Number:
Floor:
... Yes
State
Zip
Cie) Z6 - 3 s"V y
w Qb/
tate Zip
Company Name: G L y CO N I
S I wx-rn 0 1 U
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Mailing Address: / 00 / � / ( We Cr (� Q t rue 1,) A 9 $ 06 9
City start y y jpd v
Contact Person: A ii F'.-I- 0 r / Day Telephone: ( 6 /
E -Mail Address: Fax Number:
p
Contractor Registration Number: T 5 F m G a Z .4 090/0 Expiration Date: / 0/ // a
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
ARCHITECT OF: RECORD. = . 'AU plans must be wet stamped of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
•ENGINEER OF.;RECORD, =All plans must tie wet stamped tiy,Engincer , of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
\applications\pcnnit application (3.2003)
3/2003
Page 1
State
Zip
City
Day Telephone:
Fax Number:
State
Zip
City
Day Telephone:
Fax Number:
raves:..¢ rJa;.+. r., +xtt:::,:µ.�� ?,ii,".�:.t� ✓.i:S' N:I:..". ",C:A;5:3a.�;
M
BUILDING RERMITANF,OIt1V.ATIO 06431-3670:
�:�,;'4'��.�!:,�I;�i- ts.3,�Tpr r :'.:sT 1 f .i i r Ytij s „ •�
Valuation of Project (contractor's bid price): $ Existing Building Valuation: $
Scope of Work (please provide detailed information):
Will there be new rack storage? 0 ..Yes 0.. No If "yes ", see Handout No. for requirements.
Provide All Building Areas in Square Footage Below
Floor;:
2 "0 Floor
3` Floor
Floors
Basement
Accessory Structure!.
Attached Garage
Detached Garage •
• Attached:Carport ••
Detached Carport=
•
Covered Deck
Uncovered Deck
Interior
•Remodel,
Addition to -
Existing
Structure
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 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 ❑..Automatic Fire Alarm ❑..None
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.
\applications \permit application (3.2003)
3/2003
Page 2
. Other (specify)
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S EEXtMITiNFr IMA►TIO
06413X0179
Scope of Work (please provide detailed information):
Sewer District
❑ ...Tukwila 0... ValVue ❑ .. Renton ❑ ...Seattle
❑ ...Sewer Use Certificate 0... Sewer Availability Provided 0.. Approved Septic Plans Provided
.. .Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department.
%applications\permit application (3.2003)
3/2003
Please referto Public. Works Bulletin #1 for fees and:estimate sheet: :'
Water District
❑ ...Tukwila 0... Water District #125
❑ ...Water Availability Provided
Submitted with Application (mark boxes which apply):
❑...Civil Plans (Maximum Paper Size — 22" x 34 ")
0 ...Technical Information Report (Storm Drainage)
❑ ...Bond 0 .. Insurance ❑ .. Easement(s)
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 hours
❑ ...Right -of -way Use - No Disturbance
.. .Construction /Excavation/Fill - Right -of -way
Non Right -of -way
❑...Total Cut
.. .Total Fill
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 _
„
Call before you Dig: 1- 800 - 424 -5555
.. • Abandon Septic Tank
❑ .. Curb Cut
0.. Pavement Cut
.. • Looped Fire Line
WO#
WO#
WO#
Private
Private
Page 3
0.. Highline
❑ .. Geotechnical Report ❑...Traffic Impact Analysis
❑ .. Maintenance Agreement(s) ❑...Hold Harmless
0 ...Renton
0 .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
.. Work in Flood Zone
❑ .. Storm Drainage
.. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
0 ...Deduct Water Meter Size
FINANCE INFORMATION
Fire Line Size at Property Line
0... Water 0 ...Sewer ❑ ...Sewage Treatment
Monthly Service Billing to:
Name:
Number of Public Fire Hydrant(s)
Day Telephone:
Mailing Address:
City State Zip
Water Meter Refund/Billing:
Name: Day Telephone:
Mailing Address:
City State Zip
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+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm/Ind
\applications\pennit application (3-2003)
3/2003
:.MECHANICAL:' P INEOicMATION ' 206 - 431 =3670
MECHANICAL CONTRACTOR INFORMATION ►A 11
Company Name: P•S r l '1 eel /00 10 A C AL_ / (kJ(
Mailing Address: q .. 2 2 / y a . 5.
g �
n/� City
Contact Person: P1 y A p.0 13/ � �,, Day Telephone: ( 166
E -Mail Address: /V) TVA) �1 @ PS 'F /• vC€t/ , &b Fax Number: (
Contractor Registration Number: P s F m 4 90 OF Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at t
Valuation of Project (contractor's bid price): $ /0 /
Scope of Work (please provide detailed information): /
Miscellaneous minor duct and air - distribution modifications and repairs to existing HVAC system as identified by
building /mechanical inspector or as needed. Work to include re- connecting existing ductwork, reconnecting existing
diffusers and grilles, capping or removing existing non functioning ductwork previously abandoned in place, minor
relocations of ductwork, grilles and diffusers. 10 hrs of anticipated inspection time per Dave Larson - City of Tukwila
Building Division.
Use: Residential: New ....El Replacement ....0
Commercial: New ....El Replacement ....0
Fuel Type: Electric El Gas ...AD Other:
Indicate type of mechanical work being installed and the quantity below:
:PERMIT:;
pl><cable ta permits in tIn appl>cat.04
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.
1 HEREBY CERTIFY TI-IAT 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 0 OIAUTHO ED AGENT:
Signature: (
Print Name: GG ! " `
Mailing Address: 7jM / Y
Date Application Accepted:
ZZ-03
Date: te r,
N N J titc-- Da� Telepho (Z06) g Z6 — gC /V
Date Application Expires:
Page 4
City
- -22
State Zip
8 7.6 -3S7
2
e time of permit issuance **
State Zip
....... .,:�
Staff
Payee:
TRANSACTION LIST:
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT 1Z
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Parcel No.: 2623049081 Permit Number: M03 -080 _1 0
Address: 1200 SOUTHCENTER MALL TUKW Status: APPROVED N p
Suite No: Applied Date: 05/22/2003 w W
Applicant: JC PENNEY Issue Date:
N u.
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2
Receipt No.: R03 -00633 Payment Amount: 524.38 g Q :.
Initials: BLH Payment Date: 05/23/2003 09:23 AM Z w .
User ID: ADMIN Balance: $0.00 ~ _
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Type Method Description Amount I — F
Payment Check 012477 524.38 LL O
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PSF MECHANICAL INC
MECHANICAL - NONRES
PLAN CHECK - NONRES
Account Code Current Pmts
000/322.100 518.50
000/345.630 5.88
Total: 524.38
8969 05/23 9716 TOTAL 524.30
Printed: 05 -23 -2003
Project: V
Type of nspec ion:
Address:
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Date Called:
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Special IrfStruc :
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Date Wanted
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Requester:
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Phone N
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INS CTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
56._ Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS
El 547.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
'Receipt No.:
'Date:
INSPECTION RECORD
Retain a copy with permit
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V103
Project: te�aa,�,,
∎"L�'`! "7
Type f Inspection:
1�, J1 C/
7.- i 4/�91.e
Address:
/ztv 6r At/ //
Date Called:
. ,
Special Instructions:
.77) A/ j />f
Date Wan ted:, / ✓ /g -0
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Requeste.
Phone ? No �
6
Lam �- � !- 0/g3
LI Approved per applicable codes.
COMMENTS:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Val
PER
Corrections required prior to approval.
(206)431 -3670
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Inspector:
Date:
:■ ��.. -,.. .
ri $47.00 REINSPECTION FE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
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Ty a of Inspection:
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Address j �� ,/ , /
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Date Called:
-- /7----403'
Special Instructions:
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Date Wanted: Casa,'
7 -71-0 p.m.
Requester:
JDE
P ne No:
f o)7 /f 947 d'"
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION NO.
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
COMMENTS:
CD D..0\A % I.
A lm P e (/ail.(
p
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47.00 REINS
paid at 6300
(206)431 -3670
Corrections required prior to approval.
Date:
5 —° 3
CT FEE REQUI ED. Prior to inspection, fee must be
uthcenter Blvd., S
ite 100. Call to schedule reinspection.
'Receipt No.:
(Date:
.
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Type of Inspection:
Ce )1 Inci ( bye r
ApkIress:
1,2/00 5C - )-1. 4 ii
Date CaJledj -
Cr /5 D 3
Special Instructions:
5. evvi of -Clysi- -O
31,1\nthrS Ch (C5019 r�-
Date Wanteil;
(„a/L0 03
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P.m•
Requester:
,.. ice.
Phone No:
.2ola - 7/ g - ( 16 2 1E
El Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2O6)31-367O
t
PERMIT N
ID Corrections required prior to approval.
COMMENTS:
0 -0 no eft !,Q../(1.,41,42.4
I • spe or:
.'(.A )c
7:60 REINSPECTION EE REQUIRED.
id at 6300 Southcent r Blvd., Suite 1
e pt No.:
Date:
.
i to inspection, fee must be
. Call to schedule reinspection.
Date:
City of Tukwila
Fire Department Thomas P. Keefe, Fire Chief
Project Name
Address / 1 00 -$ Lf /dl (f
TUKWILA FIRE DEPARTMENT
FINAL APPROVAL FORM
_._ _.V.:.. Retain:_ current ins.pe.ct- ior-i.•••schedule,
Needs shift inspection
V Approved without correction notice
Approved with correction notice issued
Sprinklers:
Fire Alarm:
Hood & Duct:
Halon
Monitor:
Pre -Fire:
Permits:
Authorized Signature
FINALAPP.FRM
t 7 6 7)
Rev. 2/19/98
*Nt � .{.€ _ . t
Steven M. Mullet, Mayor
Permit No . / 1 -
/ )(-t /1 Suite #
0;41.2
Date
T.F.D. Form F.P. 85
Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone: 206 -575 -4404 • Fax: 206 -575 -4439
•
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT SPECIALTY
.,P••• SflF.14ECHANICAL. INC' "VC -•.
9.322 . 14TIFiAVE- S • • • •
, 'SEATTLE 'WA :98108
•
F625-052-000 (8/97)
Detach And Display Certificate
I - REGISTERED AS PROVIDED BY LAW AS
CONST CONT SPECIALTY
.REGIST.:V EXP. .DATE
CCCGAF,PSFMEI*090NZ 10/01/2003
EFFECTIVEADATa:::
. PSFJEECHANICAL.INCC:''
9322
SEATTLEW298108 -
Signature
Issued by DEPARTMENT OF LABOR AND INDUSTRIES
Please Remove
And Sign
Identification
Card Before
Placing In
Billfold