HomeMy WebLinkAboutPermit D09-025 - WESTFIELD SOUTHCENTER MALL - AROS MASSAGE - CABINET AND SIGNAROS MASSAGE
2800 SOUTHCENTER MALL
K -1022
D09 -025
Parcel No.: 6364200010
Address: 2800 SOUTHCENTER MALL TUKW
Suite No:
Tenant:
Name: AROS MASSAGE
Address: 2800 SOUTHCENTERMALL K -1022 , TUKWILA WA
Owner:
Name: WEA SOUTHCENTER LLC BSIP
Address: TOTAL 13 PARCEL NUMBERS , 2010 NEW PLAT MAJOR 920247 00000
Phone:
Contact Person:
Name: MARIAOLA KLEIN
Address: 13040 SE 46 ST , BELLEVUE WA 98006
Phone: 425 - 830 -1437
Contractor:
Name: OWNER AFFIDAVIT - MARIOLA KLEIN
Address:
Phone:
Contractor License No:
doc: IBC -10/06
Citylk Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
DEVELOPMENT PERMIT
DESCRIPTION OF WORK:
CONSTRUCT A FREE STANDING POINT OF SALE CABINET WITH PYLON SIGN
* *continued on next page **
Permit Number: D09 -025
Issue Date: 03/06/2009
Permit Expires On: 09/02/2009
Expiration Date:
Value of Construction: $1,800.00 Fees Collected: $189.30
Type of Fire Protection: SPRINKLERS /AFA International Building Code Edition: 2006
Type of Construction: II -B Occupancy per IBC: 0019
D09 -025 Printed: 03 -06 -2009
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant:
Flood Control Zone:
Hauling:
Land Altering:
Landscape Irrigation:
Moving Oversize Load:
Sanitary Side Sewer:
Sewer Main Extension: Private: Public:
Storm Drainage:
Street Use: Profit: N Non - Profit: N
Water Main Extension: Private: Public:
Water Meter:
Permit Center Authorized Signature:
I hereby certify that I have read and e ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied 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 and obtain this development permit.
Signature:
Print Name:
doc: IBC -10/06
City Tukwila •
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http://www.ci.tukwila.wa.us
N
N
N
/r
/ 4,Q, 0t. rf 4.5/A/
Start Time:
Volumes: Cut 0 c.y.
Start Time:
Permit Number: D09 -025
Issue Date: 03/06/2009
Permit Expires On: 09/02/2009
Number: 0 Size (Inches): 0
End Time:
Fill 0 c.y.
End Time:
Date: DA, b 0c1
Date: ,V61 0 9
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.
D09 -025 Printed: 03 -06 -2009
Parcel No.: 6364200010
Address: 2800 SOUTHCENTER MALL TUKW
Suite No:
Tenant: AROS MASSAGE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
PERMIT CONDITIONS
Permit Number: D09 -025
Status: ISSUED
Applied Date: 02/23/2009
Issue Date: 03/06/2009
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
5: Manufacturers installation instructions shall be available on the job site at the time of inspection.
6: VALIDITY OF PERMIT: The issuance or granting of a permit 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 ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
7: ** *FIRE DEPARTMENT CONDITIONS * **
8: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the
following concerns:
9: New and existing buildings shall have approved address numbers, building numbers or approved building identification
placed in a position that is plainly legible and visible from the street or road fronting the property. These numbers
shall contrast with their background. Address numbers shall be Arabic numbers or alphabet letters. Numbers shall be a
minimum of 4 inches (102mm) high with a minimum stroke width of 0.5 inch (12.7mm). (IFC 505.1) (Post address on kiosk
per approved Westfield mall standards.)
10: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of
such condition or violation.
11: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at
(206)575 -4407.
doc: Cond -10/06
* * continued on next page **
D09 -025 Printed: 03 -06 -2009
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
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: 3/C/0
Print Name: fl,T RIO[. 9 kc-
doc: Cond -10/06
D09 -025 Printed: 03 -06 -2009
•
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.el.tirkwila.wa.us
Building Permit No. boa- O
Mechanical Permit No.
Plumbing/Gas Permit No.
Public Works Permit No.
Project No.
(For off ice use only)
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
SITE LOCATION
King Cc Assessor's Tax No.: ( , } (,0 Li i)- — 0v A 0
Site Address: . S0 t/7// C 5 N % / P.. k L nz? Suite Number:
Tenant Name: ARO S 11 A.S5.4 6'& ZNC
Property Owners Name: /, f p IP,A1 L LC ..
g 33
Mailing Address: 50 ti., 416-64/
1 :�;ovr7-
P-g0"
Name: 1 .4 KLEiN
Mailing Address: / 3 04'0 3 E '/ )q1 Sf
E -Mail Address: k hi S a, Ma, r a h oo . il
Company Name:
Mailing Address:
13715 7,2 ho . o PLei GE (REbMonib
City
Day Telephone:
E -Mail Address: Fax Number:
Contact Person:
Company Name:
Mailing Address:
bh
kJ f3 AR Gil I TECT S , .T NC
1 ,/ELECKi
NA
Contact Person:
E -Mail Address:
H:\ApplicationsWont - Applications On line\2009 Applications \1 -2009 - Permit Application.doc
Revised: 1 -2009
e032,79/e
City
Floor:
New Tenant: ❑ Yes
4A
State
Zip
..No
CONTACT PERSON - who do •(te contact when your permit is ready to be issued
Day Telephone: l{a5 — $3 0 - 14
a.Et vu I 4 9800
City State Zip
Fax Number: 1 1-2.C— h «4 - aO 3 C
GENERAL CONTRACTOR INFORMATION —
(Cqntractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
State
Zip
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration bate:
ARCHITECT OF RECORD - All plans must be wet stamped by
Architect of kecord
2
id ,_ 9103;2,
State Zip
(as) 8 R2 - //.2/
//2 s) $ R .z - 1/.2/
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
Zip
State
City
Day Telephone:
Fax Number:
Page 1 bf 6
BUILDING PERMIT INFORNIPTION - 206 -431 -3670
aluation of Project (contractor's bid price): $ /gOO- — Existing Building Valuation: $
Scope of Work (please provide detailed information): (,O N -ST R UGT , FRED Si 4ND1 Nc, ?O,N'f
OF -AL. E efALVEr !>JI H PYLON 5169 -1V
Will there be new rack storage? ❑ Yes
A .. No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of 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 of No If "yes ", explain:
OE 19 FIRE
[r Sprinklers g Automatic Fire Alarm ❑ None ❑ Other (specify) R E74 PD ("I /sIT fIATIR
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes j, No
If • yes', attach list of materials and storage locations on a separate 8-1/2" x 11" paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -sitc septic system, provide 2 copies of a current septic design approved by King County Health
Department.
FIRE PROTECTION/HAZARDOUS MATERIALS:
H:\ApplicationsWonns- Applications On Line\2009 Applications \I -2009 - Permit Application.doc
Revised: I -2009
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Page 2 of 6
•
Existing
Int or emod
Addition to
Existing
Structure
•
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1 Floor
r Floor
3rd Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
BUILDING PERMIT INFORNIPTION - 206 -431 -3670
aluation of Project (contractor's bid price): $ /gOO- — Existing Building Valuation: $
Scope of Work (please provide detailed information): (,O N -ST R UGT , FRED Si 4ND1 Nc, ?O,N'f
OF -AL. E efALVEr !>JI H PYLON 5169 -1V
Will there be new rack storage? ❑ Yes
A .. No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of 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 of No If "yes ", explain:
OE 19 FIRE
[r Sprinklers g Automatic Fire Alarm ❑ None ❑ Other (specify) R E74 PD ("I /sIT fIATIR
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes j, No
If • yes', attach list of materials and storage locations on a separate 8-1/2" x 11" paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -sitc septic system, provide 2 copies of a current septic design approved by King County Health
Department.
FIRE PROTECTION/HAZARDOUS MATERIALS:
H:\ApplicationsWonns- Applications On Line\2009 Applications \I -2009 - Permit Application.doc
Revised: I -2009
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Page 2 of 6
PERMIT APPLICATION NOTES — Applicable to all permits in this application
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.
I 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 OWNER OR AUTHORIZED AGENT:
(Signature:
Print Name:
Building and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
Plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition).
Mailing Address: /30 4 f 7 S1
Day Telephone:
de ll e V
City
Date: X //V j Off
wyt-
State
.6'DO6
Zip
Date Application Expires: 6 e)._-_6,7
Date Application Accepted:
H. Applications\Fortns- Applications On Linc\2009 Applicationst1-2009 - Pcrmit Applicatioo.doc
Reviscd: 1 -2009
bh
Staff Initials:
Page 6 of 6
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
RECEIPT
Parcel No.: 6364200010 Permit Number: D09 -025
Address: 2800 SOUTHCENTER MALL TUKW Status: APPROVED
Suite No: Applied Date: 02/23/2009
Applicant: AROS MASSAGE Issue Date:
Receipt No.: R09 -00366
Initials: JEM Payment Date: 03/06/2009 10:32 AM
User ID: 1165 Balance: $0.00
Payee: AROS MASSAGE, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3133 116.50
ACCOUNT ITEM LIST:
Description
BUILDING - NONRES
STATE BUILDING SURCHARGE
Account Code Current Pmts
000/322.100
640.237.114
Payment Amount: $116.50
112.00
4.50
Total: $116.50
doc: Receipt-06 Printed: 03 -06 -2009
Parcel No.: 6364200010 Permit Number: D09 -025
Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 02/23/2009
Applicant: AROS MASSAGE Issue Date:
Receipt No.: R09 - 00312 Payment Amount: $72.80
Initials: WER Payment Date: 02/23/2009 02:38 PM
User ID: 1655 Balance: $116.50
Payee: MARIALO KLEIN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2023 72.80
ACCOUNT ITEM LIST:
Description
PLAN CHECK - NONRES
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
RECEIPT
Account Code Current Pmts
000/345.830 72.80
Total: $72.80
0905501-1 0054 02/24/2009 001 101
DCD Permits Plus - General Fund $72.80
doc: Receiot -06 Printed: 02 -23 -2009
Project:
A liko s f-i r A s >G'
Type of Inspection:
{= i (J 11 L
Address:
gA30 0 Sal%ikes,
v M4t1
Date Called:
Special Instructions:
Date Wanted:
7_ l y- 2 aU er
a.m:
p.m.
Requester:
Phone No:
N 2"5 -- 9 30 — I L--( 3
— 7
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
COMMENTS:
Insp
154 . A . pproved per applicable codes. Corrections required prior to approval.
Kipz3 Ap(W .�
or:
INSPECTION RECORD
Retain a copy with permit
ar AA rk Pc _ le4e /1=744-
ace
Receipt No.: 'Date:
PERMIT NO.
(L.
Date:
— I L i- a,
(206)431 -370
60.00 REINSPECTION F: E REQUI$ED. Prior to inspection, fee must be
aid at 6300 Southcenter = lvd., Suite 100. Call to schedule reinspection.
Product
Sales Location(s)
Particleboard
Canadian Regional Center
Exposure Limits
80 Tiverton Court, Suite 701
Formaldehyde
Markham, Ontario, Canada, L3R 0G4
<0.1 by weight
Tel: (800) 268 -9830
PEL -TWA 0.75 ppm
PEL -STEL 2 ppm
TLV- Ceiling 0.3 ppm*
Fax: (905) 475 -3827
US Eastern Regional Center
515 River Crossing Drive, Ste 110
Fort Mill, SC 29715
Tel: (877) 273 -7680
Fax: (800) 808 -1454
US Western Regional Center
2550 NE Old Salem Road, Albany, OR 97321
Tel: (888) 650 -6302
Fax: (541) 928 -4116
Name
CAS#
Percent
Agency
Exposure Limits
Comments
Formaldehyde
50 -00 -0
<0.1 by weight
OSHA
ACGIH
PEL -TWA 0.75 ppm
PEL -STEL 2 ppm
TLV- Ceiling 0.3 ppm*
Material Safety Data Sheet
Particleboard
Flakeboard
80 Tiverton Court, Suite 701
Markham, Ontario,
Canada, L3R 0G4
Synonyms: Particleboard, Flakeboard, Duraflake
FILE COPY
Permit No.
-• `- -•. .,.. nrwieein
Phone: (905) 475 -9686
Revision Date: 4/24/200
ea Product Identification'
This MSDS is applicable for all Flakeboard particleboard including specialty products such as moisture -
resistant (MR), fire -rated (FR), (no added urea - formaldehyde resin) VESTA and VESTA FR.
.CHazardous ingrediente /Identityllnformation.
* Based on sensory exposure
azard Identification
Appearance and Odor: Straw yellow (light brown). No distinctive odor. Fire -rated (FR), moisture -
resistant (MR), (no added urea - formaldehyde resin) VESTA and VESTA FR products may have red,
green, blue or purple color additives, respectively.
Primary Health Hazards: Wood dust and formaldehyde vapor.
Primary Route(s) of Exposure:
❑ Ingestion:
® Skin:
® Inhalation:
II Eye:
Medical Conditions Generally Aggravated by Exposure: Wood dust or formaldehyde may aggra
pre- existing respiratory conditions or allergies.
Flakeboard MSDS PB729- 06.doc
Page 1 of 7 Rev. 04/24/2008
O
REVIEWED FOR
CODE COMPLIANCE
APPROVED
MAR 0 3 2009
.1- City of Tukwila
BUILDING DIVISION
COVED
FIB 232009
PERMIT CENTEI
a arclidentifcatio'' (cont: cif
Signs and Symptoms of Exposure (Wood Dust):
Acute: Wood dust can cause eye irritation. Certain species of wood dust can elicit allergic contact
dermatitis in sensitized individuals. Wood dust may cause respiratory irritation, nasal dryness,
coughing, sneezing, wheezing as a result of inhalation.
Chronic: Wood dust, depending on the species, may cause allergic contact dermatitis and respiratory
sensitization with prolonged, repetitive contact or exposure to elevated dust levels. Prolonged
exposure to wood dust has been reported by some observers to be associated with nasal cancer.
Carcinogenicity Listings (Wood Dust):
® NTP: Known Human Carcinogen
® IARC Monographs: Group 1 — Carcinogenic to Humans
❑ OSHA Regulated: Not listed
NTP: According to its Tenth Report on Carcinogens, NTP states, "Wood dust is known to be a human
carcinogen based on sufficient evidence of carcinogenicity from studies in humans. An association
between wood dust exposure and cancer of the nose has been observed in many case reports,
cohort studies, and case- control studies that specifically addressed nasal cancer. Strong and
consistent associations with cancer of the nasal cavities and paranasal sinuses were observed both
in studies of people whose occupations are associated with wood dust exposure and in studies that
directly estimated wood dust exposure."
IARC - Group 1: Carcinogenic to humans; sufficient evidence of carcinogenicity. This classification is
primarily based on studies showing an association between occupational exposure to wood dust and
adenocarcinoma of the nasal cavities and paranasal sinuses. IARC did not find sufficient evidence of
an association between occupational exposure to wood dust and cancers of the oropharynx,
hypopharynx, lung, lymphatic and hematopoietic systems, stomach, colon or rectum.
Signs and Symptoms of Exposure (Formaldehyde):
Acute: Formaldehyde may cause temporary irritation of skin, eyes, or respiratory system. Formaldehyde
may cause sensitization in susceptible individuals.
Chronic: Numerous epidemiological studies have failed to demonstrate a relationship between
formaldehyde exposure and nasal cancer or pulmonary diseases such as emphysema or lung
cancer. Universities Associated for Research and Education in Pathology Inc. (UAREP) concluded
that there was no "convincing evidence" that formaldehyde exposure causes cancer in humans. Rats
exposed to 14ppm of formaldehyde for 24 months in the laboratory developed nasal cancer.
Exposure of 6 ppm did not result in statistically significant levels. The NCI epidemiology study of
26,000 workers found little evidence linking formaldehyde exposure to cancer. Formaldehyde is
classified by OSHA and NTP as a probable or potential carcinogen. IARC has classified
formaldehyde as carcinogenic to humans.
Carcinogenicity Listings (Formaldehyde):
® NTP: Reasonably Anticipated to be a Human Carcinogen
® IARC Monographs: Group 1 — Carcinogenic to Humans
[H] OSHA Regulated: Formaldehyde Gas
IARC - Group 1: Carcinogenic to humans. A working group of IARC has determined that there is
sufficient evidence that formaldehyde causes nasopharyngeal cancer in humans, a rare cancer in
developed countries.
me�gencj�antl ;First= Aid�Procedu�es
Ingestion: NAP
Eye Contact: Wash material out with clean running water.
Skin Contact: If skin abraded, seek proper first aid or medical treatment.
Skin Absorption: NAP
Inhalation: Remove to fresh air. If irritation or other symptoms persist, consult a physician.
Note to Physician: None
Flakeboard MSDS PB729- 06.doc
Page 2 of 7 Rev. 04/24/2008
5., Fire andjEmlo ion Data
Flash Point (Method Used): NAP
Flammable Limits: LFL = Wood dust: 40 grams per
cubic meter of air
Extinguishing Media: Water spray; carbon dioxide
Autoignition Temperature: 425° — 475 °F
Special Firefighting Procedures: Fire fighting procedures for wood products are well known.
Unusual Fire and Explosion Hazards: Particleboard is not an explosion hazard, Sawing, sanding, or
machining particleboard could result in the by- product wood dust. Wood dust may present a strong
to severe explosion hazard if a dust cloud contacts an ignition source.
NFPA Rating (Scale 0 -4): Health = 0 Fire = 1 Reactivity = 0
UFL = NAP
6 Ac�`ciidenfal. Release Measure
Steps to be Taken In Case Material Is Released or Spilled: Not applicable for product in purchased
form. Dust generated from sawing, sanding, drilling or routing this product may be vacuumed or
shoveled for recovery or disposal. Wood dust clean -up and disposal activities should be
accomplished in a manner to minimize creation of airborne dust.
andlingand Sterage=<
Precautions to be Taken In Handling and Storage: Provide adequate ventilation to reduce the
possible build -up of formaldehyde vapors.
8 Ex iOiy„ a jontrol.Measures Per Protection ?;
Engineering Controls: Due to the explosive potential of wood dust when suspended in air, precautions
should be taken during sanding, sawing or machining of wood products to prevent sparks or other
ignition sources in ventilation equipment. Use of totally enclosed motors is recommended. Provide
local exhaust as necessary to meet OSHA requirements for formaldehyde and wood dust exposure.
Personal Protective Equipment:
Respiratory Protection: Wear NIOSH /MSHA approved respirator when the permissible exposure limits to
formaldehyde and /or wood dust may be exceeded.
Eye Protection: Recommend goggles or safety glasses as conditions indicate when sawing, sanding or
machining wood products.
Skin Protection: Protective equipment such as gloves and outer garments may be needed to reduce skin
contact.
Flakeboard MSDS PB729- 06.doc
Page 3 of 7 Rev. 04/24/2008
Ph_ys ci 11 Chef callekopprbes
Physical Description: A panel product manufactured from particles of wood bonded together with
synthetic resins or other suitable bonding system by a process in which the inter - particle bond is
created by the bonding system.
Boiling Point (@ 760 mm Hg): NAP
Evaporation Rate (Butyl acetate = 1): NAP
Freezing Point: NAP
Melting Point: NAP
Molecular Forrnula: NAP
Molecular Weight: NAP
011-water distribution coefficient: NAP
Odor threshold: NAP
pH: NAP
Solubility in Water (% by weight): Insoluble
Specific Gravity (H = 1): <1
Vapor Density (air = 1; 1 atm): NAP
Vapor Pressure (mm Hg): NAP
Viscosity: NAP
% Volatile by Volume [@ 70 ° F (21 ° C)]: 0
10 Stability and Reactivity
Stability: ❑ Unstable ® Stable
Conditions to Avoid: High relative humidity and high temperatures increase the rate of emission of
formaldehyde from particleboard.
Incompatibility (Materials to Avoid): Strong oxidizing agents, strong acids
Hazardous Decomposition or By- Products: Thermal and /or thermal- oxidative decomposition can
produce irritating and toxic fumes and gases, including carbon monoxide, aldehydes and organic
acids.
Hazardous Polymerization: ❑ May occur ® Will not occur
Sensitivity to Mechanical Impact: NAP
Sensitivity to Static Discharge: NAP
FLakeboard MSDS PB729- 06.doc
Page 4 of 7 Rev. 04/24/2008
11 Toxicological!Information " ;Y` . : �
Wood Dust:
Wood dust (softwood or hardwood): OSHA Hazard Rating = 3.3; moderately toxic with probable oral
lethal dose to humans being 0.5 -5 g /kg (about 1 pound for a 70 kg or 150 pound person). Source:
OSHA Regulated Hazardous Substances, Government Institutes, Inc., February 1990.
Wood dust (generated from sawing, sanding or machining the product) may cause nasal dryness,
irritation, coughing and sinusitis. The International Agency for Research on Cancer (IARC) and the
National Toxicology Program (NTP) classify wood dust as a human carcinogen (IARC Group 1). This
classification is based primarily on increased risk in the occurrence of adenocarcinomas of the nasal
cavities and paranasal sinuses associated with exposure to wood dust. The evaluation did not find
sufficient evidence to associate cancers of the oropharynx, hypopharynx, lung, lymphatic and
hematopoietic systems, stomach, colon or rectum with exposure to wood dust.
Formaldehyde:
OSHA Hazard Rating = 3 for local and systemic acute and chronic exposures; highly toxic. Irritation
studies: human skin, 150 ug /3 days, intermittent exposure produced mild results; human eye, 1
ppm /6 minutes produced mild results. Toxicity studies: human inhalation TC of 8 ppm reported, but
response not specified; human inhalation TC of 17 mg /m for 30 minutes produced eye and
pulmonary results; human inhalation TCL of 300 ug /m3 produced nose and central nervous system
results; LC (rat, inhalation) = 1,000 mg /m 30 minutes; LC (mice, inhalation) = 400 mg /m 2
hours.
Exposure to gaseous formaldehyde may cause temporary irritation to the nose and throat as well as lead
to respiratory disorders. However, in a thorough review of sensory/respiratory irritation studies of
formaldehyde from the standpoint of occupational exposure, an expert panel has observed exposure
up to concentrations of 0.3 ppm failed to produce irritation. With regard to respiratory disorders,
studies have concluded the threshold for long -term chronic pulmonary effects is between 0.4 and 3
ppm and for chronic obstructive pulmonary disease is 2 ppm. Pre - existing respiratory disorders may
be aggravated by exposure.
Epidemiology studies of workers exposed to formaldehyde have failed to consistently identify an
association between formaldehyde exposure and cancer. In animal studies, rats and mice exposed to
high levels of formaldehyde developed nasal cancer while hamsters did not. These exposure levels
are far above those levels normally found in the workplace. Formaldehyde is classified by IARC as
carcinogenic to humans (Group 1). A working group of IARC has determined that there is sufficient
evidence that formaldehyde causes nasopharyngeal cancer in humans, a rare cancer in developed
countries. NTP included formaldehyde in the annual report on carcinogens. OSHA regulates
formaldehyde as a potential carcinogen for exposures exceeding 0.5 ppm.
Source: OSHA Regulated Hazardous Substances, Government Institutes, Inc., February 1990; Registry
of Toxic Effects of Chemical Substances (RTECS), National Institute for Occupational Safety and
Health (provided by Canadian Centre for Occupational Health and Safety, CCINFO May 1995).
C12 - Ec_Qlogical jriformation
No information available at this time.
isposal Considerations
Waste Disposal Method: Incinerate or landfill in accordance with local, state, and federal regulations.
This product is not considered hazardous waste under federal hazardous waste regulations 40 CFR
261. Please be advised, however, state and local requirements for waste disposal may be different
than federal regulations. Dry land disposal is acceptable in most states if disposed of or discarded in
its purchased form. It is, however, the user's responsibility to determine at the time of disposal
whether the product meets EPA RCRA criteria for hazardous waste.
tinTtinipaitiliifcirmatio"
Not regulated as a hazardous material by the U.S. Department of Transportation.
.l- lakeboard MSDS PB729- 06.doc
Paae 5 of 7 Rev. 04 /24/2008
>1�5�Regulatorylnformation._ �; ° "�;
rFrrr W ' :• ;0!
•
TSCA: This product complies with TSCA inventory requirements.
CERCLA: NAP
DSL: NAP
OSHA: Wood products are not hazardous under the criteria of the federal OSHA Hazard Communication
Standard 29 CFR 1910.1200. However, formaldehyde emissions from this product and wood dust
generated by sawing, sanding or machining this product may be hazardous.
STATE RIGHT -TO -KNOW:
Minnesota: Minnesota Statutes, 1984, Section 144.495 and 325F.181 require that all particleboard and
medium - density fiberboard used in newly constructed housing units or sold to the public as building
materials in Minnesota meet the HUD Formaldehyde Emission Standard for Particleboard, 24 CFR
Sections 3280.308 and 3280.406. Furniture and fumishings not normally permanently affixed to a
housing unit are not considered "building materials" and are excluded.
New Jersey: Under certain conditions, this product may release free formaldehyde vapor at
concentrations at or above 0.1 parts per million (ppm) but less than 0.5 ppm. Formaldehyde is a
substance which appears on New Jersey's Environmental Hazardous Substance List.
Pennsylvania: Under certain conditions, this product may release free formaldehyde vapor at
concentrations at or above 0.1 parts per million (ppm) but less than 0.5 ppm. Wood dust may be
generated by sawing, sanding or machining this product. Formaldehyde and wood dust (certain
hardwoods as beech and oak) softwood, are substances which appear on Pennsylvania's Appendix
A — Hazardous Substance Lists.
California: California's Safe Drinking Water and Toxic Enforcement Act of 1986 (Initiative Measure,
Proposition 65): Title 22 California Code of Regulations requires that a clear and reasonable warning
be given before exposure to chemicals listed by the State as causing cancer or reproductive toxicity.
Formaldehyde is on Califomia's list of chemicals known to the State to cause cancer.
SARA 313 Information: None
SARA 311/312 Hazard Category: NAP
HUD: Particleboard certified as meeting the Department of Housing and Urban Development (HUD)
Manufacturing Home Construction and Safety Standards, 24 CFR Part 3280, does not emit in excess
of 0.3 ppm free formaldehyde vapor when tested in accordance with ASTM E 1333, Large Scale Test
Method for Determining Formaldehyde Emissions From Wood Products.
FDA: NAP
WHMIS Classification: This product is not considered a controlled product
Flakeboard MSDS PB729 -06.doc
Page 6 of 7 Rev. 04/24/2008
1:6.,Additio' nal "Inforration
Date Prepared: 9/20/87
Date Revised: 09/08/2006
Prepared By: Flakeboard America Limited
Flakeboard MSDS available on: www.flakeboard.com
User's Responsibility: The information contained in this Material Safety Data Sheet is based on the
experience of occupational health and safety professionals and comes from sources believed to be
accurate or otherwise technically correct. It is the user's responsibility to determine if the product is
suitable for its proposed application(s) and to follow necessary safety precautions. The user has the
responsibility to make sure that this sheet is the most up-to -date issue.
Definition of Common Terms:
ACGIH = American Conference of Governmental Industrial Hygienists
C = Ceiling Limit
CAS# = Chemical Abstracts System Number
DOT = U. S. Department of Transportation
DSL = Domestic Substance List
EPA = U.S. Environmental Protection Agency
IARC = International Agency for Research on Cancer
IATA = International Air Transport Association
IMDG = International Maritime Dangerous Goods
LCLo = Lowest concentration in air resulting in death
LC50 = Concentration in air resulting in death to 50% of experimental animals
LDLo = Lowest dose resulting in death
LD50 = Administered dose resulting in death to 50% of experimental animals
LEL = Lower Explosive Limit
LFL = Lower Flammable Limit
MSHA = Mining Safety and Health Administration
NAP = Not Applicable
NAV = Not Available
NIOSH = National Institute for Occupational Safety and Health
NPRI = Canadian National Pollution Release Inventory
NTP = National Toxicology Program
OSHA = Occupational Safety and Health Administration
OSHA = Occupational Safety and Health Administration
PEL = Permissible Exposure Limit
RCRA = Resource Conservation and Recovery Act
STEL = Short-Term Exposure Limit (15 minutes)
TCLo = Lowest concentration in air resulting in a toxic effect
TDG = Canadian Transportation of Dangerous Goods
TDLo = Lowest dose resulting in a toxic effect
TLV = Threshold Limit Value
TSCA = Toxic Substance Control Act
TWA = Time - Weighted Average (8 hours)
UFL = Upper Flammable Limit
WHMIS = Workplace Hazardous Materials Information System
Flakeboard MSDS PB729- 06.doc
Page 7 of 7 Rev. 04/24/2008
FLAKEBOARD AMERICA LIMITED
80 Tiverton Court, Suite 701
Markham, Ontario,
Canada, L3R 0G4
Phone: (905) 475 -9686
www.flakeboard.com
Fire Rated Laminate Technical Bulletin
Product Identification
Pionite Fire Rated laminate is designed for interior horizontal and
vertical applications where a decorative surface must resist
combustion and inhibit smoke production. Fire Rated laminate, Type
K, retains the durability, ease of cleaning, and appearance (including
color) of standard Pionite laminate. Pionite Fire Rated laminate is
classified in the U.S. and Canada by Underwriters Laboratory, Inc.
under File R6581. Pionite Fire Rated Backing Sheets are also
available and provide fire ratings equal to fire rated decorative
laminate of the same thickness.
Product Composition
Pionite Fire Rated laminate is manufactured in a flat press by
combining decorative papers saturated in melamine resin with
phenolic - impregnated kraft layers at pressures exceeding 1000 psi
(6895 kPa) and temperatures approaching 300° F (150 ° C). Special
additives are incorporated into the laminate to impart fire- retardant
properties. The panels are trimmed to size and the backs are sanded
to facilitate bonding. The thickness of the laminate is determined by
the number of kraft layers used. The laminating process combines the
durability of melamine resins with the aesthetics of decorative papers
creating a surfacing material that has been the standard for well over
forty years.
Product Description
Standard Nominal Sizes
Type
K61 (in.)
(mml
K51 (in.)
(mm)
K32 (in.)
(mm)
K88 (in.)
(mm)
Thickness Width
0.060 36, 48, 60 96. 120, 144
1.5 762, 914, 12/9, 1524 2438, 3048, 3658
0.049 36.48,60
1.2 762, 914. 1219, 1524
0.031 36, 48, 60 96. 120. 144 All Solids. Patterns
and Woodgrains
0.8 762, 914, 1219, 1524 2438, 3048, 3658
0.049 36.48, 60
1.2 762, 914. 1219, 1524
Length Colors
KBO (in.) 0.031 36.48.60
(mm) 0.8 762, 914, 1219, 1524 2438, 3048, 3658
Pionite Fire Rated laminate is available in brown core only.
All Solids, Patterns
and Woodgrains
96, 120, 144 All Colors & Patterns
and Woodgrains
2438. 3048, 3658
96. 120. 144 Brown Backer
2438,3048.3658
96. 120. 144 Bmwn Backer
Finish Options
Code Finish Description
N Suede Low gloss. textured finish. 12 ± 3 gloss units.
G Gloss A high gloss. smooth finish. 100 ± 10 gloss units.
J Crystal Fine pebble grained f rash wnh a medium gloss. 15 3 3 gloss units.
C Soft Leather A finely grained leather finish, 14 ± 3 gloss units.
Available in widths of 48" and 60" only.
L Embossed Deeply embossed leather finish. 5 t 1 gloss units.
Leather
W Embossed Slate Deeply embossed slate finish, 7 ± I gloss units.
Manufactured in Limited Sizes.
Z Ashwood A fine wood finish with a cathedral grain. 18 ± 3 gloss units.
NOTE: Gloss units measured with a 60 degree gloss meter.
Typical Uses
Pionite Fire Rated laminate is suited for hospitals, schools,
airports, hotels, and any other public building where strict fire codes
apply.
02S
Manufactured in Limited Sizes.
Pionite Decorative Surfaces • A Subsidiary of Panolam Industries International Inc.
One Planite Road • Auburn, ME 04211 -1014 • Phone: 800 - PIONITE (748 -6483) • 207-784-9111 • Fax: 207 -784 -0392 • www.plonite.com
FILE COPY
Permit No. -
"144 M in errOTS Ind or
REVIEWED FOR
CODE COMPLIANCE
APPROVED
MAR 0 3 2009
City of Tukwila
BUILDING DIVISION
RECEIVED
FEB 232009
PERMIT CENTER
Fabrication Tips
When working with Pionite Fire Rated laminate, these techniques
will produce a quality application.
1. Proper conditioning of the laminate, substrate, and backing sheet
minimizes possible warping, shrinking, or expansion of assembled
panels. Ideally, all components should be conditioned at 70° F to
75 F (21 °C to 25 ° C) and 45 to 50 percent relative humidity for
48 hours prior to assembly.
2. Always bond laminate to a suitable substrate such as inorganic
cement board, UL listed fire retardant particleboard, UL listed fire
retardant MDF, or metals. It should not be glued directly to
plaster walls, gypsum wallboard, or concrete.
3. Maximum performance is gained by utilizing a fire -rated
adhesive, such as Indspec ®G1124 or G1149A/G1131B.
4. The use of Fire Rated backing sheets is recommended to minimize
warpage. The thickness of the backing sheet should be relatively
equal to the thickness of the decorative laminate on the face of the
assembly.
Technical Information
Physical Properties
TEST
Thickness
Appearance
Light Resistance
Cleanabililty
Stain 1 -10
Stain I1 -15
(in.)
(mm)
Boiling Water Resistance 3.5
NEMA TYPICAL NEMA STD.
LD 3 -1995 PIONITE SGF
Test VALUES
Method K61
3.1 Complies
3.3 Slight effect Slight effect
3.4 10
No effect
No effect
High Temperature Resistance 3.6 No effect Slight effect
Ball Impact Resistance (in.) 3.8 60
(mm) 1524
Dimensional Change 3.11
Machine Direction ( %)
Cross Direction ( %)
Wear Resistance (cycles) 3.13
No effect No effect
0.25
0.70
700
Indspec Adhesive is a product of Indspec Chemical Corporation, Pittsburgh, PA 15219
20 (max)
No effect
55 (min.)
1397 (min.)
0.50 (max.)
0.90 (max.)
400 (min.)
5. All saw blades and router bits used for cutting should be carbide
tipped. Feed rate should be slow and tool speed should be high.
To minimize the development of surface scratches caused by
router bits, lubricating the laminate edge with a wax stick is
recommended prior to tooling.
6. All edges of laminate should be filed smooth with file direction
towards substrate to help prevent stress cracks and to minimize
chipping.
7. Inside corners of cutouts for electrical outlets, sinks, etc., should
have a minimum radius of 1/8" (3 mm) and be filed smooth. This
reduces the likelihood of stress cracks.
8. When nails or screws must be used, it is advisable to first drill an
oversized hole through the laminate. This reduces the likelihood
of stress cracks.
9. All work must be designed, assembled, and installed in
compliance with pertinent local fire codes.
10. All laminate is intended for interior use only, and should not be
exposed to extreme humidity, continuous sunlight, or
temperatures above 275° F (135 ° C) for extended periods of time.
TYPICAL NEMA STD.
PIONITE HGF
VALUES
K51
1.5 ± 0.08 1.5 ± 0.12 1.2 ± 0.08 1.2 ± 0.12 0.8 ± 0.08 0.8 ± 0.12
Complies Complies
0.060 ± 0.003 0.059 ± 0.005 0.049 ± 0.003 0.048 ± 0.005 0.031 ± 0.003 0.032 ± 0.005
Slight effect Slight effect Slight effect Slight effect
10 20 (max)
No effect No effect
Moderate effect No effect Moderate effect
TYPICAL NEMA STD.
PIONITE VGF
VALUES
K32
10
No effect
No effect
No effect No effect No effect No effect
No effect Slight effect No effect Slight effect
50 45 (min.) 25 20 (min.)
1270 1143 (min.) 635 508 (min.)
0.25 0.50 (max.) 0.40 0.70 (max.)
0.70 0.90 (max.) 0.80 1.20 (max.)
700 400 (min.) 700 400 (min.)
hionites Decorative Surfaces • A Subsidiary of Panolam Industries International Inc.
One Pionite Road • Auburn, ME 04211 -1014 • Phone: 800 - PIONITE (746 -6483) • 207 -784 -9111 • Fax: 207 - 784.0392 • www.pionite.com
20 (max)
No effect
Moderate effect
Fire Test Data
High pressure decorative laminate is frequently used in
installations governed by local fire codes. Burning characteristics of
laminate are greatly influenced by the adhesive and substrate utilized.
Listed below are typical flame spread index and smoke developed
values for Pionite Fire Rated laminate.
Flame spread index and smoke developed values were determined
by ASTM E -84, "Standard Test Method for Surface Burning
Characteristics of Building Materials." This method is also
designated by other agencies as follows:
UL723 Underwriters Laboratories Inc.
ANSI 2.5 American National Standards Institute
NFPA 255 National Fire Protection Agency
UBC 42 -1 Uniform Building Code
CAN/ULC S 102 -M Surface Burning Characteristics
ASTM E-84 /UL723
"Standard Test Method for Surface Burning
Characteristics of Building Materials"
lYPe
1(61 Unbonded
K51
K32
K61 Bonded• to
K51 Cement Board
K32
K61 Bonded• to
1/2" Fire Rated
Plywood
1(61
K51
K32
Type
K32
K51
K61
Type
K32
K51
K61
K32
K51
K61
Sample
Configuration
Bonded• to
3/8" Fire Rated
Particleboard
G1 -118
01-119
G1 -120
Flame
Spread Index
55-70 (60 -75)
25 (25)
25-40 (25 -45)
20 (20)
5 (5)
5 (5)
50 (55)
15
15
25
(15)
(15)
(25)
•Bonded with Indspec Chemical G 1 124 or G 1149A/G 1131 B 2 -part Resorcinol glue.
1 Values in parenthesis are applicable to Canadian Standards (CNC).
Codes and Certifications
1. Classified by Underwriters Laboratories, Inc., under File R6581,
Pionite Type K32, K51, K61, KB8 and KBO.
2. Classified in accordance with Standard CAN/ULC- S102 -M. by
Underwriters Laboratories Inc., under file R6581, Pionite Types
K32, K51, K61, KB8 and KBO.
3. Lloyds Register of Shipping:
Certificate No.
S VG/F92 /316
SVG/F92 /317
SVG/F92 /318
Smoke
Developed Values
95 -130
95 -120
100 -170
5
5
5
35 -85
55
60
90 -160
4. United States Coast Guard Certificates of Approval:
Approval No.
164.012/12/0
164.012/13/0
164.012/2/0
5. Canadian Coast Guard Board of Steamship Inspection Certificates
of Approval:
Type Certificate No.
5. The City of New York, Dept. of Buildings, Materials and
Equipment Acceptance Division approval code is as follows:
K32, K51, and K61: MEA 345 -92 -M
6. MIL - STD- 1623D(SH), "Fire Performance Requirements and
Approved Specifications for Interior Finish Materials and
Fumishings (Naval Shipboard Use)." Pionite K61 complies with
this standard.
7. MIL- P- 17171E(SH), "High Pressure Decorative Laminate."
Pionite K51 and K61 comply with Type IV.
8. American National Standards Institute/National Electrical
Manufacturers Association (ANSI/NEMA), LD3 -1995, "High -
Pressure Decorative Laminate." Pionite Type K32, K51, and K61
comply. K32 complies with VGF, K51 complies with HGF and
K61 complies with SGF.
9. Federal Aviation Administration for Transport Category Airplanes
Part 25.853 (a). Pionite K32 and K51 comply.
Care and Maintenance
Pionite decorative laminate provides a durable surface that is easy
to maintain using ordinary care.
To maintain the laminate's lasting beauty, cleaning with a solution
of warm water and liquid dishwashing detergent is all that should be
required in most cases.
Stains may be removed with most non - abrasive household
cleaners such as FORMULA 409 ®, FANTASTIK ®, GLASS PLUS ®,
or WINDEX WITH AMMONIA D ®. Light scrubbing with a soft
bristled brush may be necessary to remove stains from the depth of
the structure on some textured surfaces.
If the stain persists, use a paste of baking soda and water and
apply with a soft bristled brush. Light scrubbing for 10 -20 strokes
should remove most stains. Although baking soda is a low abrasive,
excessive scrubbing or exerting too much force may damage the
decorative surface, especially if it has a gloss finish.
Stubborn stains that resist any of the above cleaning methods may
require the use of undiluted household bleach. Apply the bleach to
the stain and let stand no longer than 1 1/2 minutes. Rinse thoroughly
with warm water and wipe dry. This step may be repeated if the stain
appears to be going away and the color of the laminate has not been
affected. WARNING: Prolonged exposure of the laminate surface to
bleach will cause discoloration.
Many commercially available products contain substances that
may damage or discolor a laminate surface. ABRASIVE
CLEANERS SHOULD NOT BE USED. Particular care should be
used with any products labelled CAUTION or WARNING. Any
questions or concerns should be referred to the product's
manufacturer or call 1- 800 - PIONITE. Do not allow harsh materials
to remain in contact with the laminate surface. Examples of these are
as follows:
Toilet bowl cleaners
Hydrogen Peroxide
Oven cleaners
Drain cleaners
Metal cleaners and polishes
Chlorine bleach
Coffee pot cleaners
Hard water stain removers
Fruit and berry juice
Tub and tile cleaners
Manufacturing
Headquarters
Pionile Decorative Surfaces
One Pionite Rd.
P.O. Box 1014
Auburn, ME 04211 -1014
(207) 784-9111
800 - PIONITE (746 -6483)
www.pionite.com
A Subsidiary of Panolam Industries International, Inc.
Printed on recycled paper
`
Limited Warranty
Subject to the limitations set forth below, Pionite Decorative Surfaces
expressly warrants that our products are reasonably free of defects in material
and workmanship. and when properly handled and fabricated will conform, within
accepted tolerances, to applicable manufacturing specifications as set forth in our
technical brochure. This warranty shall extend to the original buyer for a period of
twelve (12) months from the date of shipment of this product by Pionite' Decorative
Surfaces, and shall not be assignable by the original buyer. This warranty does
not cover damage resulting from accident, misuse, alteration, abuse or lack of
reasonable care.
Due to the variety of uses and applications to which this product may be put,
and because the manufacturer has no control over the end products fabricated,
the warranty set forth above is exclusive and in lieu of all other warranties,
express or implied, in fact or by operation of law or otherwise, or arising by course
of dealing or performance, custom or usage in the trade, including, without
limitation, the implied warranties of fitness for a particular purpose and
merchantility, and Pionile Decorative Surfaces shall have no obligation or liability to
any person or entity in connection with or arising from the fumishing, sale, instal-
lation or repair. use or subsequent sale of any product supplied by it.
The buyer's sole and exclusive remedy for any noncompliance with the
express warranty set forth above shall be limited to repair or replacement of the
defective product, or, in the event that repair or replacement is not feasible, return
of the product and refund of the purchase price.
Under no circumstances shall the manufacturer be liable in excess of the
purchase price of this product, in either tort or contract or otherwise, for any loss,
damage or injury in connection with or arising from the purchase, use, or inability
to use this product, or for any special, indirect, collateral, incidental, consequential
or exemplary damages such as, but not limited to, loss of anticipated profits or
other economic loss. Because some states do not allow the exclusion or
limitation of incidental or consequential damages, this limitation may not apply to
you.
Retaining all documentation after purchasing laminate will significantly
expedite claim resolution.
Formula 409 is a registered trademark for The Clorox Company of Oakland, CA 94612; Glass Plus and Fantastik are registered trademarks for The Dow Chemical Company of Indianapolis,
IN 46268 -0511; Windex is a registered trademark for S.0 Johnson 8 Sons INC. of Racine, WI 53403 -5011
SMPTB000-006 12/00
KJB ARCHITECTS, INC FEB 19, 2009
GENERAL NOTES FOR AROS MASSAGE CABINET PROJECT — SPACE # 9065 SOUTH CENTER
1. NEW WORK SHOWN ON THESE DRAWINGS INCLUDES CONSTRUCTION OF A FREE
STANDING CABINET CONTAINING LOCKABLE BASE CABINETS & DRAWER, TWO LEVEL
COUNTERTOP — TOP SHELF TO BE SAFETY GLASS, ILLUMINATED PYLON SIGN (SUPPLIED
BY OTHERS & FASTENED TO CABINET), DISPLAY SHELVES & TOE KICK BASE. THERE WILL
BE NO ELECTRICAL WIRING. SIGN & TOE KICK LIGHTS ARE UL LISTED PRODUCTS THAT
COME WITH PLUG IN CORDS. ELECTRIC POWER WILL BE DRAWN FROM EXISTING IN-
FLOOR OUTLETS AS PROVIDED BY THE MALL OWNER. SIGN LIGHTS, TOE KICK STRIP
LIGHTS & ANY OTHER POINT OF SALE EQUIPMENT WILL BE SUPPLIED WITH ELECTRICITY
THROUGH A POWER STRIP LOCATED IN THE BASE CABINET & PLUGGED INTO EXISTING
FLOOR OUTLET. KEEP ALL COMBUSTIBLE MATERIALS & CONTENT OF CABINET AWAY
FROM POWER STRIP. ALL OTHER ITEMS SHOWN ON A SPACE PLAN LIKE MASSAGE CHAIRS
& CHAIRS IN WAITING AREA ARE NOT PART OF THIS PROJECT. GENERAL LIGHTING FOR
THE PROJECT AREA IS PROVIDED BY THE EXISTING MALL CORRIDOR LIGHTS. THERE
MIGHT BE UP TO 4 CLIENTS SITTING IN MASSAGE CHAIRS & A COUPLE OF PEOPLE
WAITING AT ONE TIME IN THIS FREE FLOATING BUSINESS SPACE LOCATED IN EXISTING
MALL CORRIDOR THEREFORE OCCUPANT LOAD, EXITING & FIRE FIGHTING SYSTEM IS
NOT AN ISSUE. THIS BUSINESS SPACE HAS NO OWN WALLS, CEILING OR DOORS. AROS
MASSAGE OWNER HAS BEEN WORKING IN THIS MALL FOR A NUMBER OF YEARS & THE
MALL ALREADY APPROVED THIS NEW BUSINESS LOCATION & LOOK.
2 PROPOSED WORK SHALL MEET REQUIREMENTS OF 2006 INTERNATIONAL BUILDING
CODE, ELECTRICAL & FIRE CODES AND ALL LOCAL LAWS & REGULATIONS AS
STIPULATED & ENFORCED BY THE JURISDICTION & THE OWNER.
3. PER 2006 IBC SEC. 402.10 - - -
ITEM 1 THE CABINET COMPONENTS SHALL BE CONSTRUCTED OF ANY OF THE
FOLLOWING MATERIALS:
1.1 - FIRE - RETARDANT WOOD COMPLYING WITH SECTION 2303.2 SHALL BE LABELED
LABEL MUST CONTAIN INFORMATION PER SEC 2303-2.1 OF 2006 I.B.C.
1.2 FOAM PLASTIC HAVING A MAXIMUM HEAT RELEASE RATE NOT GREATER THAN 100
KW (105 Btu/h) WHEN TESTED IN ACCORDANCE WITH THE EXHIBIT BOOTH PROTOCOL IN
UL 1975
1.3 ALUMINUM COMPOSITE MATERIAL HAVING A FLAME SPREAD INDEX OF NOT
MORE THAN 450 WHEN TESTED AS AN ASSEMBLY IN THE MAXIMUM THICKNESS
INTENDED FOR USE IN ACCORDANCE WITH ASTM E 84
ITEM 2 KIOSKS OR SIMILAR STRUCTURES LOCATED WITHIN THE MALL SHALL BE
PROVIDED WITH APPROVED FIRE SUPPRESSION & DETECTION DEVICES. THE MALL
CORRIDOR MUST HAVE ITS OWN FIRE SUPPRESSION & DETECTION DEVICES.
ITEM 3 THE MINIMUM HORIZONTAL SEPARATION BETWEEN KIOSKS OR GROUPINGS
THEREOF & OTHER STRUCTURES WITHIN THE MALL SHALL BE 20'.
ITEM 4 EACH KIOSK OR SIMILAR STRUCTURE OR GROUPINGS THEREOF SHALL HAVE A
MAXIMUM AREA OF 300 SQUARE FEET.
4. PLASTIC SIGNS SHALL COMPLY WITH 2006 IBC SECTION 402.15
5. INTERIOR FINISHES FOR WALLS, CEILINGS, FLOORS & DECORATIVE MATERIALS & TRIM
SHALL COMPLY WITH CHAPTER 8 OF 2006 I.B.C.
6. THIS CABINET PROJECT IS BIDDER DESIGNED & INSTALLED. DRAWINGS PROVIDED BY
THE ARCHITECT ARE FOR THE GENERAL DESIGN CONCEPT ONLY. SHOP DRAWINGS MUST
BE DEVELOPED BY THE CABINET MAKER, APPROVED BY HIM & SUBMI'1"1'ED TO
CITY FOR REVIEW. DIMENSIONS CAN BE ADJUSTED SLIGHTLY FOR
ATION WITH SIGN PYLON & GLASS TOP SHELF.
FIRE RATED LAMINATE TYPE K61 OR K51 OR K32 BONDED TO 3/8" FIRE
CLE :OARD FOR THIS UNIT PRODUCTION
PYLON ' ST BE PERMANENTLY ATTACHED TO THE CABINET. THE FASTENING
ST P , VENT ROTATION & ENSURE VERTICAL & HORIZONTAL STABILITY.
NERS SHOULD BE CONCEALED.
REVI
AP
A'S
City of Tukwila
BUILDING DIVISION
•
tO9b 025
£I ‘ovr T
Permit No.
Plan review approval is subject to errors and omissii
RECEIVED
FEB 2 3 2009
PERMIT GENTEF
ACTIVITY NUMBER: D09 -025
DATE: 02 -23 -09
PROJECT NAME: AROS MASSAGE
SITE ADDRESS: 2800 SOUTHCENTER MALL - K -1022
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
EPART ENTS:
Building ivision
Z
PubCic V rks o /
Complete
Comments:
TUES/THURS R UTING:
Please Route IF
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Documents/routing slip.doc
2 -28 -02
• •
PEN :: fT COMff C
PLAN REVIEW /ROUTING SLIP
in 4
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete
Structural Review Required
F
J
u
DATE:
DATE:
C 7K 1 1 074 O
Planning Division
Permit Coordinator
DUE DATE: 02 -24 -09
Not Applicable
Permit Center Use Only
INCOMPLETE LETTER MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
LETTER OF COMPLETENESS MAILED:
U No further Review Required
u
DUE DATE: 03 -24 -09
n
Approved Approved with Conditions n Not Approved (attach comments) n
Notation:
REVIEWER'S INITIALS:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections:
Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
STATE OF WASHINGTON)
COUNTY OF KING
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -3670 FAX (206) 431 -3665
E -mail: tukplan0ci.tukwila.wa.us
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
/la v iola, We
ss.
[please print name]
•
, states as follows:
Permit Center /Building Division
206 431 -3670
Public Works Department
206 433 - 0179
Planning Division
206 431 -3670
PERMIT NO: 901
1. I have made application for a permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW 18.27.090.
3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the
City of Tukwila must verify either that the contractor is registered by the State of Washington, or that
one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number /Z , and will therefore
not be performed by a registered contractor.
5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to
persons making electrical installations on their own property or to regularly employed employees
working on the premises of their employer. The proposed electrical work is not for the construction
of a new building for rent, sale or lease.
I understand that I may be waiving certain rights that I might otherwise have under state law in any decision
to engage an unregistered contractor to perform construction work.
Owner /Owner's Agent*
/j
Signed and sworn to before me this
O IL dr/fie (i
day o '` ' , 20 DP
NOTARY PUBLIC in and for the State of Washington
I��--
Residing at
Name as commissioned:
My commission expires:
, County
- D • • ro c.k
18.27.090 Exemptions. The registration provisions of this chapter do not apply to:
1. An authorized representative of the United States
government, the state of Washington, or any incorporated
city, town, county, township, irrigation district, reclamation
district, or other municipal or political corporation or
subdivision of this state;
2. Officers of a court when they are acting within the scope
of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their own
business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground mine
or mineral deposit when performed by an owner or lessee;
5. The sale of any finished products, materials, or articles of
merchandise that are not fabricated into and do not become
a part of a structure under the common law of fixtures;
6. Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW who shall
warranty service and repairs under chapter 46.7o RCW;
7. Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site or
reservation under the legal jurisdiction of the federal
government;
8. Any person who only furnished materials, supplies, or
equipment without fabricating them into, or consuming
them in the performance of, the work of the contractor;
9. Any work or operation on one undertaking or project by
one or more contracts, the aggregate contract price of
which for labor and materials and all other items is less
than five hundred dollars, such work or operations being
considered as of a casual, minor, or inconsequential nature.
The exemption prescribed in this subsection does not apply
in any instance wherein the work or construction is only a
part of a larger or major operation, whether undertaken by
the same or a different contractor, or in which a division of
the operation is made into contracts of amounts less than
five hundred dollars for the purpose of evasion of this
chapter or otherwise. The exemption prescribed in this
subsection does not apply to a person who advertises or
puts out any sign or card or other device which might
indicate to the public that he or she is a contractor, or that
he or she is qualified to engage in the business of
contractor;
10. Any construction or operation incidental to the
construction and repair of irrigation and drainage ditches
of regularly constituted irrigation districts or reclamation
districts; or to farming, dairying, agriculture, viticulture,
horticulture, or stock or poultry raising; or to clearing or
other work upon land in rural districts for fire prevention
purposes; except when any of the above work is performed
by a registered contractor;
11. An owner* who contracts for a project with a registered
contractor, except that this exemption shall not deprive the
owner of the protections of this chapter against registered
and unregistered contractors. The exemption prescribed in
this subsection does not apply to a person who performs
the activities of a contractor for the purpose of leasing or
selling improved property he or she has owned for less than
twelve months;
12. Any person working on his or her own property,
whether occupied by him or her or not, and any person
working on his or her personal residence, whether owned
by him or her or not but this exemption shall not apply to
any person who performs the activities of a contractor on
his or her own property for the purpose of selling,
demolishing, or leasing the property;
13. An owner* who performs maintenance, repair, and
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
14. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of the
state of Washington or licensed by a political subdivision of
the state of Washington while operating within the
boundaries of such political subdivision. The exemption
provided in this subsection is applicable only when the
person certified is operating within the scope of his or her
certification;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. A mobile /manufactured home dealer or manufacturer
who subcontracts the installation, set -up, or repair work to
actively registered contractors. This exemption only applies
to the installation, set -up, or repair of the
mobile /manufactured homes that were manufactured or
sold by the mobile /manufactured home dealer or
manufacturer;
18. An entity who holds a valid electrical contractor's
license under chapter 19.28 RcW that eNiloys a certified
journeyman electrician, a certified resideitial specialty
electrician, or an electrical trainee meeting,the
requirements of chapter 19.28 RCW to perform plumbing
work that is incidentally, directly, and immediately
appropriate to the like- in- kind-replacement of f household
appliance or other small-household utilization equipment
that requires limited electric power,andnlimited waste
and /or water connections. An electrical trainee must be
supervised by a certified electrician while performing
plumbing work.
• Per Washington State Department of Labor and Industries, lessee has been
interpreted to be equivalent to owner for the purpose of these exemptions.
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•
CODE COMPLIANCE
APPROVED DE
-- MAR 0 3 2009
C ity of Tukwil
BUILDING DIVISION_
6248
REGiGT.Z5 ED
ARCHITECT
l
KRZYS OF J. BIELECKI
STATE OF WASHINGTON 1
/9 009
SEPARATE
REQUIRED FC :
❑ Mechanical
SKIectrical
❑ Plumbing
❑ Gas Piping
Ci of Tukwila
VISION
REVISIONS
No changes shall be made to the scope
Of work without prior approval of
Tukwila Building Divisidn._
NOTE: Revisions will require a nel.v plan s txbm't 4- '
cr, l may inc'ude tdditiona
FILE COPY
Permit No t'1 02 . -
Plan review approval is subject to errors and omissions.
Approval of construction documents does not authorize
the violation of any adopted code or ordinance. Receipt
of approved Field Copy and conditions is acxnowledgeci
Cry
By
Date: 3 — 6 —; zoo 9
City Of Tukwila
BUILDING DIVISION
RECEIVED
FEB 23 2009
PERMIT CENTER
320
324x°
36' — O" PAGOD
AGE PLUS
2U-o
420
KrsxE.rirt1r 065
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REVIEWED FOR
CODE COMPLIANCE
APPROVED
MAR 0 3 2009
City of Tukwila
BUILDING DIVISION
WA I T1 NG
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(4 TOT L.)
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11 ._ MT. J - FEB 232009 P11BtIC
PERMIT CENTEf- T rrc
2.
6248
REGISTERED y
ARC fjITE9T
KRZYSZTOF J. BIELECKI
STATE OF WASP!4CTON
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FIRE It ETA WfrN T LAM! Nk1
REVIEWED FOR
CODE COMPLIANCE
APPROVED
MAR 0 3 21109
City of Tukwila
BUILDING DIVISION
RECEIVED
FEB 23Z009
PERMIT CENTER
1
6248
ARCHITECT
yl _
KRZYSZ J. BIELECK
STATE OF WASPi::3TON
REGISTERED
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REVIEWED FOR
CODE COMPLIANCE
APPROVED
'MAR 03 2009
City of Tukwila
BUILDING DIVISION
RECEIVED
FEB 2 3 2009
PERMIT CENTEF
4.
6248
REGISTERED
ARC TECT
KRZYSZ OF J. BIELECKI
STATE OF WASI-
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REVIEWED PL FOR
CODE
APPROVED
MAR 0 3 2009
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City of Tukwila II
G DIVISION
BUILDING DIVISION,
_
Mina
RECE iVEFe
FEB 2 3 2009
PERMIT GENTEI _
5.
REGISTERED',
ARCHITECT 1
6248
S KRZYSZTOF J. BIELECKI
TATE OF WASN1l'1GTON �.
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GRAPHIC FOR P(LoN Sl_
Manufacturer: Display Signs & Design
Contact:
1.800.782.1558
773.235.2350
Address:
2323 N. Milwaukee Ave.
Chicago IL. 60647
Product description:
•Durable vacuum formed housing
•Extruded "metal look" heavy duty black frame
makes insertion & removal a snap
•White diffuser - clear acrylic face
Bright fluorescent gives even illumination
•3 prong plug. Pull chain switch
U.L. listed components
Extruded sides and injection molded reinforced
corner brackets, result in a rugged, durable, yet -
economical light box complete with bright fluorescent
tubes
Dimension: 12" X 50" X 4.75" depth
LifeGear Deluxe Aluminum Massage Chair
What makes this Deluxe Massage Chair different?
• Incline Adjustment - Easy to Adjust for client height
• Construction - Tubular aluminum is durable and elegant
Manufactured By.
1 4 6 6 , 47;1'0 .
Ce_ r:e icr I:le
6248
REGISTERED
ARC ITECT
/
KRZYSZTOF J. BIELECKI
STATE OF WASHNGTON
� /9 2eoy
• 3 Major incline levels
• 3 Additional adjustments at each level
• Armrest and headrest angle
• Ergonomically- correct design foam padding
• Carry bag included
• Durable tubular aluminum alloy, Soft-touc REVIEWED FOR
• Folds for easy storage
CODE COMPLIANCE
APPROVED
MAR 0 3 2009
City of Tukwila
BUILDING DIVISION
RECEIWF
FEB 2 3 2009
PERMIT CENTE
6.
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to ve)
cs- tL) z
V
cs
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Weight
26 lbs.
Weight Capacity
400 Ibs
Dimensions
14" x 20.5" x 48.5" folded
Dimensions
31.5" x 20.5" x 47" - 50" setup
Warranty
1 year on frame
Warranty
90 day on removable parts
GRAPHIC FOR P(LoN Sl_
Manufacturer: Display Signs & Design
Contact:
1.800.782.1558
773.235.2350
Address:
2323 N. Milwaukee Ave.
Chicago IL. 60647
Product description:
•Durable vacuum formed housing
•Extruded "metal look" heavy duty black frame
makes insertion & removal a snap
•White diffuser - clear acrylic face
Bright fluorescent gives even illumination
•3 prong plug. Pull chain switch
U.L. listed components
Extruded sides and injection molded reinforced
corner brackets, result in a rugged, durable, yet -
economical light box complete with bright fluorescent
tubes
Dimension: 12" X 50" X 4.75" depth
LifeGear Deluxe Aluminum Massage Chair
What makes this Deluxe Massage Chair different?
• Incline Adjustment - Easy to Adjust for client height
• Construction - Tubular aluminum is durable and elegant
Manufactured By.
1 4 6 6 , 47;1'0 .
Ce_ r:e icr I:le
6248
REGISTERED
ARC ITECT
/
KRZYSZTOF J. BIELECKI
STATE OF WASHNGTON
� /9 2eoy
• 3 Major incline levels
• 3 Additional adjustments at each level
• Armrest and headrest angle
• Ergonomically- correct design foam padding
• Carry bag included
• Durable tubular aluminum alloy, Soft-touc REVIEWED FOR
• Folds for easy storage
CODE COMPLIANCE
APPROVED
MAR 0 3 2009
City of Tukwila
BUILDING DIVISION
RECEIWF
FEB 2 3 2009
PERMIT CENTE
6.
a
•
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1--
to ve)
cs- tL) z
V
cs
0 •