HomeMy WebLinkAboutPermit M99-0052 - JC PENNEYM99 -0052
1200 Southcenter
Mall
JC Penney
City of Tukwila
(206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MECHANICAL PERMIT
Permit No: M99 -0052
Type: B -MECH
Category: NRES
Address: 1200 SOUTHCENTER MALL St: 01
Location: 1200 SOUTHCENTER MALL
Parcel #: 262304 -9081
Contractor License No: UNITESI176RB
Status: ISSUED
Issued: 03/22/1999
Expires: 09/18/1999
TENANT JC PENNEY Phone:
1200 SOUTHCENTER MALL, TUKWILA, WA 98033
OWNER J C PENNEY CO INC STORE #9
REGIONAL TAX OFFICE, PO BOX 4015, BUENA PARK CA 90624
CONTACT BILL LIEBSACK Phone: 206 -654 -3340
1021 SW KLICKITAT WAY;, SUITE 104, SEATTLE, WA 98134
CONTRACTOR UNITED SYSTEMS INC. Phone: 206 442 -9454
1021 SW K.LICKITAT WY STE 104, SEATTLE, WA 98134
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Permit Description:
INSTALL NEW SUPPLY DIFFUSERS & GRILLS WITH
ASSOCIATED DUCT. WORK. RELOCATE SOME DUCT &
DIFFUSER S PER PLAN.
UMC Edition.: 1997 Valuation: 18.,750.00
Total Permit Fee: 63.63
** k *•k k****************" k*******.*****.***• k * *•k * *•k * * *•k *•k * *'k * *•k * * * * * ** k *•k * * * * *•k*
PermitCente I Authorized Signature
—7)--C-3L
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
construction or the performance of work. I any authorized to sign for and
obtain this kybrilding er it.
Signature:
Print Name:
II
s c`lc
Date: J ga c15
Title fYvltA?SLS„b
This permit shall become .null and vo.i,d:if °the :Work is not commenced within
180 days from the date of issuance, or i'f "the work is suspended or
abandoned for a period of 180 days from the last inspection.
CITY OF• TUKWILA
Address: 1200 SOUTHCENTER MALL St: 01
Suite:
Tenant: JC PENNEY
Type: B -MECH
Parse 1 #: 262304-9081
Permit No: M99 -0052
Status.: ISSUED
Applied: 03/15/1999
issued: 03/22/1999
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Permit Conditions:
1. All electrical wort, and .equipment, shall conform strictly to
the standards of the Nationa 1 E:1ec,tr:ica1 Code (NFPA 70 and
UFC 10.104).. All electrical W:lriflg i..:to-be inspected by
the State Electric•al Ins'pector, Washingtan:tate Department
of Labor and In,du�s,tes ,(UFC, 1',0.104=} `-.''
2 .• No changes will" he madeto3';: tl}, ,a s yn 1 e . a.p.'p`r d by
the
Architect or 'Engineer and'the,Tukwila Building
Division.
All permi ts, - 'inspection records, . and approved pr.lans' h a11 be
available,* the Job: site.,pr for to the tart1af:" any, eons
struct loci: i rI,ese, document. are ,Sto be maintained and ava;t1-
able untyl final inspection•'ap`prova.l is granted.
4. All cof5.truction to be, le in conformance wits }. approved`.;
p lan a:nd.'requ i cement s. of the Uniform Building Code ,J19;97
Edition) a ,ame,ti•ded, ,Uniform: >Mechanica1 Code (1957 Ed1 ion
and,i;Wishinyton- State Energy Code '(•fl 97 Edition) . '
5. Va l i di t,y< Sot.: Perm i t The i s::,uance of .a permit or approval of
plans, spec1ficati.onst and coinputattins``shall not kid u ri,-
str ued to be a permit for;: or 'aff,'' prtwa1` of, any violation
of ny ;of ..the. p,rrov- ision, oifthe` building .code or of ;;any.,
°trier ordinance :of 'the' juriSriict,,ion' {. No.:permit presuming ,t
give authorit;y to ->v..io.lafte.or'.:.`cancel 'the p,rovi:�ion Of tiI.4
code ,sha l 1 be valid. ;' 4
6. MANUFACTURERS`»INSTALLATION IN'S'TRUCTIONS RE~OUIRED ON,- SITE
FOR T.HE;BUILDING INSPECTORS REVIEW.};; <tY' ""
CITY OF T1( "'WILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Permit ',Number
Miscellaneous Permit Application
Application and plans must be complete In order to be accepted for plan review.
Applications will not be accepted through the mail or facsimile.
Project Name/Tenant: .; r�, , �� n A u j ±' v L v�
, l_,O Y
Value of Construction :� (p' 130 UO
Jj V
City State/Zip: :
Site Address: C-
/Rou X,tittc,C_(eV\tfilr Mal r'lli tul t9 l.)3. City
Tax Parcel Number:
,er: 304 - 903 1
Property Owner:
5CU UA C eVitOt 5. v ■-k, Ven-Cute
Phone:
Street Address: City State /Zip:
Fax #:
Contact Person: (i . ,' �CJ
`Jt t \05 36
Phone:
OD& (05q 33 -0
Street Address: Cit tate/Zi :
/UI 13,W I�II� CL. kt& I 5a(4 Ib X'al tx s t al��
Fax #:
O(0 (.0L( (L'IuS
Phone:
06(P qqa ciY5Lf
Fax #:
aUC40 69,L( L(e
Contractor: 1 t �, �-
u� r) .mac
�
Street Address. ity S /
/0).i �,w • Kl 1 C.�,(. t'�� �, liJ 5U. 1.0 l o4 52 Ile l.Oa 1'
Architect: J
Phone:
Street Address: City State /Zip:
Fax #:
Engineer:
Phone:
Street Address: City State /Zip:
Fax #:
MISCELLANEOUS PERMIT REVIEW AND APPROVAL REQUESTED: (TO BE•FILLED OUT :'BY "APPLICANT),':: ,
Description of work to be done:
Ivls4 al Ae,,) ' c '..0 , 1�USeYS ti Y%Iles w ZSSo6 CO cluck °wk..Retoe -sa e duct. c(k ser( t
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes no
Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets
❑ Above Ground Tanks ❑ Antennas /Satellite Dishes ❑ Bulkhead /Docks ❑ Commercial Reroof
❑ Demolition ❑ Fence El Mechanical ❑ Manufactured Housing - Replacement only
❑ Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection /Exit Systems
❑ Temporary Facilities ❑ Tree Cutting
APPLICANT REQUEST,FOR MISCELLANEOUS PUBLIC WORKS PERMITS:
❑ Channelizatlon /Striping
❑ Flood Control Zone
in Landscape Irrigation
❑ Storm Drainage
❑ Water Meter /Exempt #
❑ Water Meter /Permanent
❑ Water Meter Temp ft
❑ Miscellaneous
❑ Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #• Size(s):
❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq. ft.grading /clearing
❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public
❑ Street Use ❑ Water Main Extension 0 Private 0 Public
0 Deduct 0 Water Only
Size(s):
Size(s):
Size(s): Est. quantity: gal Schedule:
❑ Moving Oversized Load /Hauling
MONTHLY SERVICE: BILLINGS TO::
Name:
Phone:
Address:
City /State /Zip:
0 Water
0 Sewer
0 Metro
0 Standby
WATER METER DEPOSIT /REFUND BILLING:
Name:
Phone:
Address:
City /State /Zip:
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.
Dale appll�allof� ptq ^
MISCPMT.DOC 7/11/96
Date aptatlort es: c/i
Applloathgy5n by: (Initials)
ALL MISCELLANEOUS 'MIT APPLICATIONS MUST BE S
TTED WITH THE FOLLOWING:
ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
> BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
• ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT
> STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON
LICENSED STRUCTURAL ENGINEER
• CIVIL/SITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER
(P.E.)
ri
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR
PERMIT REVIEW
.Submit checklist No: M-9
Above Ground Tanks/Water:Tanks - Supported. directly `Upon grade
ekceeding 5;000 gallons and a ratio of height to diameter or width.
which exceeds 2 :1
0
Antennas /Satellite Dishes
Submit checklist': No M -1.
in
Awnings/Canopies •; No signage
Commercial Tenant Improvement
Permit
0
Bulkhead /Dock
Submit checklist : No M -10
CI
Commercial Reroof
Submit checklist No M -6
0
Demolition: ;
' Submit checklist . No M -3 M;,3a
0
Fences - Over 6 feet'in:Height
Submit checklist No M -9
0
Land Altering /Grading /Preloads
Submit checklist No: M -2
El
Loading Docks
Conimercial.Tenant'Improvement
Permit. ;Submit checklist:No: H-17.
Mechanical. (Residential & Commercial)
Submit checklist No M -8,
Residential .only. - H -6,. H -16
7
Miscellaneous, Public Works. Permits
Submit checklist :: No: H=9
0
Manufactured Housing'(RED INSIGNIA ONLY)
Submit checklist ` No M -5:
fl
Moving Oversized.Load /Hauling
Submit checklist : No: M-5
0
Parking Lots
Submit checklist No: M -4
El
Residential Reroof - Exempt with following exception: If roof structure.
to be repaired or replaced
Residential Building Permit
Submit checklist :.. No: , M -6
®
Retaining Wails -.Over 4 feet in height
Submit checklist No M -1
0
Temporary: Facilities
Submit checklist' No M -7
E
Temporary %Pedestrian Protection/Exit Systems `:
' Submit checklist No M -4;
Tree Cutting
Submit checklist No: M -2
Copy of Washington State Department of Labor and Industries Valid Contractor's License. If
not available at the time of application, a copy of this license will be required before the
permit is issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit
in Lieu of Contractor Registration ".
Buflding'Owner /Authorized Agent. If the applicant is other than .the .owner, registered architect/engineer, or contractor licensed:
by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit: application and
obtain the permit will be requirod as part of this submittal.
1 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 0 NER OR U- H0171ZED .AGENT:
Signature: \ $6
Date:
3 15
10
, oLq
Print name: J t \ t f(0 SUCK.
Phone: a 1054
3.34
Fax 4t :x44, toa,/ gvob
Address: 103\l 5,�• k tck'l� - Was-j S1,ti•te
(UN
City/State/Zip:
a �1
(�2� ���3�
MISCPMT.DOC 7/11/96
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CITY OF TUKWILA, WO
TRANSMIT
** *A #. ** *t1 ** * ** *A** * **A *a * * ****** ** • '*A ** * *•* * * * * **A4 * *0A0* ***
TRAASMIT Numb s ^r 891300037 Amount: 63.63'03/22/99 14:3f3
Payment Method:. CHECK Natat1 or UNITED SY J f EM:i In i t;: TLB
Permit Not M99-0052 Type: f3 -MECEI MECHANICAL PC.RMIT
Parcel No: 262304-9081.
Site Address: 1.200 S0U1'NCENTER MALL
St: 01 Fl: Unc
Location: 1200 SOU1'HCEN1 ER MALL
Total Fees: 63.63
This Payment 62.63 Total ALL Pmts; 63.E3
Balance: .00
******************'*****AAAAA******** * *• *AAAA** * * * * *•1, *A * * *a * *4 *A *.
Account Code
000/245.830
000/322.100
Description Amount
PLAN CHECK - NONRES 12.73 .
MECHANICAL - U0NI ES
INSPECTION NO,
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 9818
(206)431 -3670
P i ct: q
Ty Ice Inspection:
(4 L
i
A ress:
Date called: ,r ,,
Special instructions:
Date wanted: 40/ o // /
7
��
p.m.
Requester:
.
Zi71 ej
6frife71.45 C
Approved per applicable codes.
COMMENTS:
0 Corrections required prior to approval.
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100, CaII to schedule reinspection.
Receipt No:
Date:
a..x..eavb:k. 4ui�:r:�. ?:. ; :7.r:, .#�. ,.. ..ter- ..�.u' &:4b__..rY� 4; =t..Dr rfk "Y Liaitt ,:sv, :. ,_rtv..
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
PERMIT NO.
(206)431-3670
CPirirei2L -12111A/
Ty le.if Insi:tt
fm ..,...., v...0.,Lia_.
Datallec3..0 91
Special instructions:
5rerifleht
Date want •
''-'' '."6/6) ( a.m.
P.m.
.1171,7 r LA,... .....„--
PecS-14- --di 4-51 (.2.06
g./Ipproved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
tgeliAiD 7266-/-4,'S fAi
A-16» #-.14-f,L(rAict Re0044-
(o Pre f4p4\4
.1//4W telte
721/4.-T- g.6 tc//etfa c2. 777/ Jai
/1
lnsp
$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:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 9818
PERMIT N'
(206)431 -3670
Project:
C:... \Eu aL.{ "c.i
Type f Inspection:
l-r' -- GLI c. H
Address:
(W -* S, C.: VP—. Mai,,
Date called:
Special instructions:
Date wa a.m.
g.4449 / p.m.
Request r:
Phone:
pproved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
Inspe
Date:
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
Receipt No:
'.... ... .....b. r..` , f. ,t.l:YtLd.'.o-'.:t
Date:
a)/
INSPECTION RECORD
Retain a copy with permit
tyc,)449-,;
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION „oh.
6300 Southcenter Blvd, #100, Tukwila, WA 98188 (206)431-3670
PERMIT NO.
Project
t( a p_ A
......) I._ c.44..4.-
, ..
Type binsPectiop:
Addirgb iri.. ./if.
/40
Date called: 5/j)0 m
6) I / Geo
-Special instructio s:
« I( (1 /
1^ v\z e;
Date wanted 6 a
).
p.m.
Requester: K}—/
Phone — v
S , 9 V
proved per applicable codes.
CorrectiOns required prior to approval.
COMMENTS:
7 -/ e' 724,A1
614- TV /AIS, VGA r
6) I / Geo
pieooz26T ,.7.,,g-,trs r7o-
A.c...06_,c,7)-of
Z4A
,
$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:
Ttor'!"1"rr
• -T"'"
'7 "71`"'"'"* .
,
■
-T)
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
M
rOOS?.
PERMIT NO.
(206)431-3670
Proj?ct:
ta ). ..erii4V4* r
TytLTs ction: 71
Arn
z0
Date called:
/-S /91
Special instructio .
a /1,e( sE/Alte-.0
6 r CA/1" OrA3 e
(/JCA-A--e t-1A P-.0k4-2 /Mike
Date wanted
: 5/z771/99
'
4a--
p.m.
Requester: -- 1
-../CA/a
Phone:
V-- 94/37
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
De
Inspector:
../41 . dile I
- ir
ri $47.00 REINSPECTION E REQUIRED. Prior to inspection, fee must be paid
J.
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
Receipt No:
Date:
, • .' A' 4' 'J.'
it SPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
pc4.-oo5,
PERMIT NO,
(206)431 -3670
,P\.‘..ritreL
Alm tbC
� r I
Date call
J(q
Special instructions:
S;
-a
Dae
d
/9,/,
,
m
a
Approved per applicable codes.
Corrections required prior to approval.
COM NTS:
..4 n. e ', re__ rzit ,4 CA-41
Inspector:
Date:
$47.60 REINSPECTI c N FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt,No:
Date:
cio-(rrj- apj
PLAN REVIEW /ROUTING SLI
ACTIVITY NUMBER: M99 -0052 DATE: 3 -15 -99
PROJECT NAME: JC PENNEY
XX Original Plan Submittal Response to Incomplete Letter
Response to Correction Letter # Revision # After Permit Is Issued
DEPARTMENTS:
ng Division DK
u orks I D
/JO
Fire Prevention X Planning Division
Structural D Permit Coordinator
ii4 Gam.
DETERMINATION OF COMPLETENESS: (Tues, Thurs)
Complete Incomplete
Comments:
DUE DATE: 3 -16 -99
Not Applicable D
TUES /THURS ROUTING:
Routed by Staff
Please Route
No further Review Required
(if routed by staff, make copy to master file and enter into Sierra)
REVIEWERS INITIALS:
DATE:
APPROVALS OR CORRECTIONS: (ten days) DUE DATE: 4 -13 -99
Approved
Approved with Conditions Not Approved (attach comments) n
REVIEWERS INITIALS: DATE:
CORRECTION DETERMINATION: DUE DATE:
Approved
Approved with Conditions D Not Approved (attach comments)
REVIEWERS INITIALS:
DATE:
\PR•ROUTE.DOC
6/98
r
State of Washington
County of King
I hereby certify, that this is a copy of a valid Contractors Registration document issued by the
Department of Labor and Industries to United Systems, Inc,
Witness my hand and official seal in King County, State of Washington on the , //. day of
A/0!/EV46 1997
ate.‘t, .
Notary Public residing 4h the State of Washington, County of King
My commission expires: 1/29/00
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❑MECHAMC
LECTRICA
understand that the Plan Check approvals ar
Amect to errors and omrssiens end a
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