HomeMy WebLinkAboutPermit M99-0111 - JC PENNEY}.r
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M99 -0111
1200 Southcenter
Mall
JC Penney
City of Tukwilk.
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100
MECHANICAL PERMIT
Permit No: M99 -0111
Type: B -MECH
Category: NRES
Address: 1200 SOUTHCENTER MALL
Location: 1200 SOUTHCENTER MALL
Parcel #: 262304 -9081
Contractor License No: UNITESI176RB
(206) 431-3670
Tukwila, Washington 98188
Status: ISSUED
Issued: 06/02/1999
Expires: 11/29/1999
TENANT JC PENNEY Phone:
1200 SOUTHCENTER MALL, TUKWILA, WA 98188
OWNER J C PENNEY CO INC STORE #9
REGIONAL TAX OFFICE., PO BOX 4015, BUENA PARK CA 90624
CONTRACTOR UNITED SYSTEMS INC, Phone: 206 442 -9454
1021 SW KLICKITAT WY STE 104, SEATTLE, WA 98134
CONTACT BILL LIEBSACK Phone: 206 - 654 -3340
1021 SW KLICKITAT WY;, SUITE 104, SEATTLE. WA 98134
** ********* * ** i r*******' k• kk**• k******k*******• k• k• k• k ****** *** *k * * **•k***** **k** * **
Permit Description:
INSTALL 18 SUPPLY DIFFFUSERS & 6 RETURN GRILLS
UMC Edition: 1997
Valuation:
Total Permit Fee:
500.00
46.50
*•k * * * *.*A * *'k'* l** k' k*' k' k**• k****** k' k********• k*****' k**' k * **'kk****+Y'k * * **iir **•k ** * * **
Permit .Center 'Authorized Signature
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 am authorized to sign for and
obtain this b lding p mit
Signature: U, $ C1JC,L Date:
Print Name:
Title: fro jec _ .6-E.
This permit shall become null and void if the work is not commenced within
180 days from the date of •issuuance, or if, the work is suspended or
abandoned for a period of 180:days,from,.the: last inspection.
CITY OF TUKWILA
Address: 1200 SOUTHCENTER MALL
Suite:
Tenant: JC PENNEY Status :. ISSUED
Type: B -MECH Applied: 05/25/1999
Parcel #: 262304 -9081 Issued: 06/02/1999
***• k• k•kk' k***•****' kk• k*• k• k'k k' k• k' k***** k• k** kk• k• k***• k*• k* kk' k' k' k** * * *•A *k * *•k•k **'k•k*•k *'k *•k•kk
Permit Conditions:
1. No change: will be made to the plans'unless approved by the
Engineer and the Tukwila Bui 1di.ng...Divisiori,
2. All permits, 1nspection records; rtn:df;appr oved plans shall be
available at the .j,ob Fite :pri c r to 'the `. ta - tt�<<,of any con-
struction. These ;,d.cyruments •arse to-be mainee%i6e;'d. and avail-
able until fiIla:pe,ct.,ion approval is'g*t' anted` #1 s,
a. All construrtion tp be''dane in .coh=formanee .with approved
k -.
plans 'and ir`eluiremetjt'�s,of the U ,1formi Buiid`i�ni�g.,Code° 997
Edition) •ai.ame•ndeed Uniform ''Mec'l an'lca,l.,Code (1,997, Edit:ion>
'and Washing tori 'S ta;t'e Energy Code +. (1997 Ed i e i on ?
4. Vai idi ty cf 'Permit. The i s'sua'nte'.,of a permit or, a�:�provari';,of
f i ca t on
planse�..i i� s, and.��computak:�inns shall' .not''..b'e'ti con'
strue'd,rto 'be a permit for',`'o.r an approval of, an.y 'vi.olati'�iir':`.
of any of "the pravisin . of the building code or'`,of °any' :
other``.or dinance' of the.:.juris,d.Iction, . No permit presuming t
give ,',authori ty' to violate or :cancel .'the provisions of :this
rode, sha i ik.'be va l id . `> x
5, Manti;facturers' in: ta1 lation, inns;t;,•u .
c,tion ..re'uireci on;•s
for:' the, bui ld::i i s @ to rsE; r i
Permit No: M99 -0111
3
CITY OF T' I KWI LA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Miscellaneous Permit Application
Application and plans must be complete In order to be accepted for plan review.
Applications will not be accepted through the mall or facsimile.
Project Name/Tonant: , A
J.c. Penny UQpeir Leve,l . T,.
Value of Construction:
!
�15C�0. 00
Site Address: rr�� [[� ��{{� /� �1(n� ((1 ` (City State/Zip:
i2oo 7CJt�l.Yi _e_ �A t1 TU.�Wt�3 \.1/a Gl D�J
Property Owner: ��"w 1 ( L f evrU _J
U/�'atfa Joi w V' 'e
Tax Parcel Number xn (% �) t
��, 30q- gm
I�
Phone:
Above Ground TanksALJ ntennas /Satellite Dishes ,Bulkhead /Docks ❑ Commercial Reroof
❑ Demolition ❑ Fence Mechanical ❑ Manufactured Housing - Replacement
❑ Parking Lots ❑ Retaining Walls Temporary Pedestrian Protection /Exit Systems
❑ Temporary Facilities ❑ Tree Cutting
Phone:
Street Address:
City State /Zip:
Fax #:
City /State /Zip:
0 Water
Contact Person:
Ul 11 LI 1...1 2W.,
Phone:
20(9
(054.
53(1-o
Street Address
Rat '. , . Kli lkic t W-,
City Stat- /Zip:
5ut--t-e IO'f 462 Wa. ■ t 3
Fax #:
20(.
(k0J 1-1
1/4tO8
Contractor:
/1t-62d
U111-62d
5vn 5 Inc,
90(p
(-14a
q9-51'
Street Address:
o 1 �.w . tc1L; a� W
` City State /Zip:
5,t et l (A °a l tb� lea �l , l 3
Fax #:
G (o
444
' `tO
Architect:
Phone:
Street Address:
City State /Zip:
Fax #:
Engineer:
Phone:
Street Address:
City State /Zip:
Fax #:
MISCELLANEOUS. PERMIT REVIEW .AND APPROVAL REQUESTED: (TO BE FII.LED OUTBYAPPLICANT),
Description of work to be done: p i 1
In all - t <1 /..,0 u ► 1 k11 ucevs t S1 yt-klty t t Its '(i oCa{2 -thee Su •I di (,t .v .1 ULk taxi&
•
Will there be storage of flammable /combustible hazardous material in the building? it yes 0 no
Attach list of materials and stt oraa e location on se arate 8 1/2 X 11 a er indicatinaguantities & Material afet Data Sheets
only
Above Ground TanksALJ ntennas /Satellite Dishes ,Bulkhead /Docks ❑ Commercial Reroof
❑ Demolition ❑ Fence Mechanical ❑ Manufactured Housing - Replacement
❑ Parking Lots ❑ Retaining Walls Temporary Pedestrian Protection /Exit Systems
❑ Temporary Facilities ❑ Tree Cutting
APPL'ICANtREQUEST. FOR MISCELLANEOUS' PUBLIC:WORKS:'PERMITS.:
❑ Channelization /Striping
❑ Flood Control Zone
❑ Landscape Irrigation
❑ Storm Drainage ❑ Street Use
❑ Water Meter /Exempt # Size(s):
❑ Water Meter /Permanent # Size(s):
❑ Water Meter Temp # Size(s): Est. quantity: gal Schedule:
❑ Miscellaneous ❑ Moving Oversized Load /Hauling
❑ 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
❑ Water Main Extension 0 Private 0 Public
0 Deduct
0 Water Only
MONTHLY SERVICE BILLINGS TO:...
:.: .. ,, . ::...:.......... ;
Narne:
Phone:
Address:
City /State /Zip:
0 Water
0 Sewer
0 Metro
0 Standby
nFrFIv n
WATER METER DEPOSIT /RE_FUND'BILLING:
CITY r7F TII A
Name:
Phone:
v A
�,,
Address:
City /State /Zip:
PERMIT CENTEt
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.
Date application accepted:
MISCPMT.DOC 7/11/96
Date appllcatlo expire
•
Appli on taken by: (Initials)
ALL MISCELLANEOUS PE - IT APPLICATIONS MUST BE SUB ED WITH THE FOLLOWING:
• ALL DRAWINGS' SHAltli BE AT A LEGIBLE SCALE AND NEATLY DRAWN
D 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.)
0
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR
PERMIT REVIEW
Submit checklist No: M -9
Above Ground Tanks/Water Tanks - Supported directly upon grade
exceeding 5,000 gallons and a ratio of height to diameter or width
which exceeds 2:1
Antennas /Satellite Dishes
Submit checklist No M =i
J
Awnings /Canopies - No signage
Commercial:Tenaht Improvement
Permit
®
Bulkhead /Dock
Submit checklist No M -10
W v
Commercial Reroof
Submit checklist ' • No: M -6
City /Stale /Zip: L,,e Lb 103 7
Demolition
Submit checklist:. No: M-3 . M =3a . , .
0
Fences - Over 6 feet in Height
Submit checklist No: M -9
71
Land Altering /Grading /Preloads
Submit checklist No: M -2
0
Loading Docks
Commercial Tenant Improvement
Permit.. Submit checklist No: H -.17
Mechanical` (Residential & Commercial)
Submit checklist . No M -8,
Residential only = H-6, H-16
Miscellaneous, Public Works Permits
Submit checklist No H =9
O
Manufactured Housing (RED INSIGNIA ONLY)
Submit checklist No M -5
Moving Oversized Load /Hauling
Submit checklist No: M -5
Parking Lots
Submit checklist No: M -4
0
Residential Reroof - Exempt with following exception: If roof structure
to be,repairedsor replaced
Residential Building Permit
Submit checklist . No:. M -6
Retaining Walls -.Over 4 feet in height
Submit checklist No: M -1
J
Tenporary Facilities.
Submit checklist ' No: M-7
El
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 ".
Butlding 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 subtf!t this pernit appllcatlon.and: .
obtain the permit will be required as pad 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 ,. NER OR A HOR ED AGEN •.
Signature: ip 1
_
Date: 5. a5 , o
Print name: 4,1( c..., c..., ��0
S``'•3 c k-
Phone '20u 404 3 q6 Fax 0:.2040 `gy Now
Address:0 540. 1"ttt
W v
5&
104
City /Stale /Zip: L,,e Lb 103 7
MISCPMT.DOC 7/11/96
`,
0
.
•
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h A k^**A.+*^**v*A*A***A+ 4k *+* +**+a++ +**A A++A k*a
CITY OF TUKNILA, NA ' TRAWSMIT
*+*«*+*»++A*A**kk*x+k+kW,»+**AAk*+Ji+�-kk A4+k*Airfr%+**otrkk*****
46.50 06/02/99 14:09
TRANSMIT Number: R9800077 Amount:
Payment Method: CHECK Notation: UNITED SYSTEMS 'Init: CAS'
Permit No: M99''0111 Typo: B-MECH MECHANICAL PERMIT
Parcel No: 262304-9081
Site`Addregn: 12O0 SOUTHCENTER MALL
'Location: 1200 SOUTHCENTER MALL 0
Total Fees.: 413,50
This Payment 46.50 Total ALL Pmtso ` �46~59
Balance: °00
�+A*A+a**Aioa**waaa*aai1*+*:A0*****a7tAA+*+4to*`+1%+*+*a+*+o***04,e*o+*
Account Code Description Amont
000/345.830 PLAN CHECK - NONkES
000/322"100 MECHAN%OAL'~ NONRES
'
- ..:..:r..:.. •..:»: �: isi :::::.i` +':...::,4.:::':::N:: tip+ �= riN�:.wn.+M.+.rr- +•y.!r�r'ralc
INSPECTION NO.
w..
INSPECTION RECORD
Retain a copy with permit,
CITY\OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
li
roi I
PERMIT NO..,..,
670
Project: , ' ?-efrtNt
Type of Inspectio(i:
Ad r s•
/��
Date called: Cl
Special instructions:
Date wanted:' '!v J
it
!h!i1
'-•�.
Requester:
O
��.
Phoge S" q7
3f Z, L
pproved per applicable codes.
Corrections required prior to approval.
OMMENTS:
/774
Inspector:
Date:
C $47.00 REINSPECTIO E REQUIRED, Prior to inspection, fee must be paid
at 6300 Southcenter ti d., Suite 100. CaII 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 98188
(206)431 -3670
roved per applicable
Corrections required prior to approval.
COMMENTS:
A 2-'4
$ 7.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection.
Receipt No:
Date:
? tA r\
Type of Inspect o f r
Project: r
,c.._
A drps o
Y r l j u
Date called: /ZL4
Special instructions:
1
_i-0
Date wanted: a.m.
Requester: r�
0,,,
S �
ho n 2/a s-1 1— 3 /z.2
roved per applicable
Corrections required prior to approval.
COMMENTS:
A 2-'4
$ 7.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Cali 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 98188
PERMIT NO.
(206)431 -3670
Pr T:e 13
T e of Inspection
Ad /r00 .6 ale.
Daje callgc.
/
Special instructions:
a 4
aeOp a �,, .
'1, wa 9d :
�/
0 , � ,' o /fir - /.- e ,p l./Y�
Ruester:
rte/ lip. alli(*) a ttf."), ' ,e1.#!;..,...:1
,`1 _
3 O-S"'
Approved per applicable codes.
rrections required prior to approval
COMMENTS:
,1
' t
CO
L •E`. iciDIA N Wtz-R ',.%
-
t --L f,,�.Ir4' ! 391C,
(S) eK PoS iV c T t f c 14-C-e S
cce .. 4 . au/se
�/
0 , � ,' o /fir - /.- e ,p l./Y�
rte/ lip. alli(*) a ttf."), ' ,e1.#!;..,...:1
I.9 ±470 = 1
Ins
7.00 REINSPECTION FIE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
4
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 981
INSPECTION RECORD''
Retain a copy with pert iit
11,4-07//
PERMIT NO.
(206)431 -3670
Project
C P Ar
Typ I
ection:
Alm—
1 SS A 4m"
_
Address:
) _00 C A
l
Date called:
1 S 0Ac ty iL TV(
Pau ,r
4499 --o ///
Special instructions:
"2 — j�
�f
Date
a.m.
P.m,
Reques
7
e _
r,
Phone:
ElApproved per applicable codes.
orrections required prior to approval.
_i1 >ei
COMMENTS: /A �l 637-
42/4
rC- L
Alm—
1 SS A 4m"
_
( ( 7' r
2- 4
1 S 0Ac ty iL TV(
Pau ,r
4499 --o ///
$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:
,',,.rv•;. ,..',•....ia..: kt Asae.C:.'i.,i:t4iti:•∎ 2-. se. a.sy: pjharAtir wfiCak.:. •
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 9818
PERMIT NO.
(206)431-3670
Pr i ct:
Tiz=90.:1 depiel....
Date called:
WOM
dress.
A ress:
AI'
(WO
fr/g/ C
, A, ,449
Special instructions:
_
Date wanted:
65/479,2 t_... •
P.m.
Requester:
"In ..."•.e) //7._ y...s.i
proved per applicable codes. 1:1 Corrections required prior to approval.
COMMENTS:
f-ftf.Vgc
OAS (42-7-7.1- Arose- ,e-60.
6-rAssevete4e... C'eA/7%
6491eantsvat--
PCe-,4S6 Acci(e-tA) itroZS
'4Z7:17.01W
Ins
$47.00 REINSPECTION FEE REQUIRED. Prior to insp ction, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
;. •
Date:
Receipt No:
Date:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 9818
INSPECTION RECORD/
Retain a copy.with permit
PERMIT N
(206)431 -3670
��� (
1 G� Vii` `'
Type of ns ection:
— jli( �. C f4
A( O
m
Date lied:
Special instructions:
Date nt%
��
a.m.
p.m.
Reque:
O1X
Phone:
proved per applicable codes. J Corrections required prior to approval.
COMMENTS:
/"f t'gei 4 ' L - e.
rte /AJ SL1L 41-
& rz) cue -i
J $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:
PLAN �VIE�ROUTI C4LIP
ACTIVITY NUMBER: M99 -01`11 DATE:. 5- 25 -99
PROJECT NAME: j C PENNEY UPPER: ,LEVEL: T.I..
X '.Origirial:Plan:Submittal
Response'to:Correction:Letter #
Response' to- Incomplete! Letter,
Revision #_After.PermitIs Issued_
DEPARTMENTS:
AA,
Building Division Fire Prevention El Planning Division
r
Ai(7� -2 71 �Gc- q'Z71
Public Works r,A n Structural hi • n Permit Coordinator
n
•
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 5 -27 -99
Complete Incomplete Not Applicable
Comments:
TUES /THURS ROUTING: Please Route
Routed by Staff
No further Review Required n
(if routed by staff, make copy to master file and enter into Sierra)
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: (ten days)
Approved n
DUE DATE: 6 -24 -99
Approved with Conditions Not Approved (attach comments) n
REVIEWER'S INITIALS: DATE:
CORRECTION DETERMINATION: DUE DATE:
Approved n Approved with Conditions n Not Approved (attach comments) Li
REVIEWER'S INITIALS: DATE:
\PR.ROUTE,DOC
6/98
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT' GENERAL . '
hs.;:yrREGxSk >; #� ''P•:teATE • :GCO. =�;i LTNITESI�176RB �03 3i. 200.0
'aEF'F'ECTIVE.i? _ f ,..:•....
DA'IE;�:;:,;1 "2/402/,1198,3
�i• L'• l�aiir•. �: Ns•:.,, i.' i:: 2: � ?c.E'.+tliC'`YGlr:�.xr���IRL�S� ; fi !•s:�iii�tL.u":titr_E�+;i�iva::� •wl
UNITED SYSTEMS' INC ;
1021 SW KLICKCITAT WY. STE 404
SEATTLE WA . 98134.. .. '','
F625.052.000 (3/97) '
Detach And Display Certificate
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 1/• day of
,vod� ,•1997
Notary Public residing 9h the State of Washington, County of King
My commission expires: 1/29100
CITY OFT UKWILA
MAY 2 5 1999
PERMIT CENTER
. 111111/111
,,,, .
t
at‘ •••P 5 Fj'p •. — (— 00
s. a; NOTARY . ro
r • ••
1.' . •
r Nis PUBLIC oan
O.
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