HomeMy WebLinkAboutPermit D10-311 - WESTFIELD SOUTHCENTER MALL - CERES ROASTING COMPANY - KIOSKCERES ROASTING COMPANY
2800 SOUTHCENTER MALI.
K -9150
D10 -311
City oftukwila
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
Parcel No.: 9202470010
Address: 2800 SOUTHCENTER MALL TUKW
Suite No:
Project Name: CERES ROASTING COMPANY KIOSK
Permit Number:
Issue Date:
Permit Expires On:
D10 -311
11/15/2010
05/14/2011
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA 92013
Contact Person:
Name: BRANDI PEETSCH
Address: 2800 SOUTHCENTER MALL , TUKWILA WA 98188
Contractor:
Name:
Address:
Contractor License No:
Phone: 206 - 246 -0423
Phone:
Expiration Date:
DESCRIPTION OF WORK:
TEMPORARY KIOSK FROM 11 -15 -10 TO 12 -31 -10
Value of Construction: $500.00 Fees Collected: $67.50
Type of Fire Protection: SPRINKLERS /AFA International Building Code Edition: 2009
Type of Construction: II-B Occupancy per IBC: 0019
* *continued on next page **
doc: IBC -10/06
D10 -311 Printed: 11 -15 -2010
City o*I'ukwila •
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 Number: D10-311
Issue Date: 11/15/2010
Permit Expires On: 05/14/2011
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant: N Number: 0 Size (Inches): 0
Flood Control Zone:
Hauling: N Start Time: End Time:
Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation:
Moving Oversize Load: Start Time: End Time:
Sanitary Side Sewer:
Sewer Main Extension: Private: Public:
Storm Drainage:
Street Use: Profit: N Non - Profit: N
Water Main Extension: Private: Public:
Water Meter: N
Permit Center Authorized Signature:
rDate: I '
J —LV
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 and obtain this development permit.
Signature: Date: /��.f��
Print Name:
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.
doc: IBC -10/06
D10 -311 Printed: 11 -15 -2010
•
�J�.`N I�4 wq� City of Tukwila
n y
19081
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
Parcel No.: 9202470010
Address:
Suite No:
Tenant:
PERMIT CONDITIONS
2800 SOUTHCENTER MALL TUKW
CERES ROASTING COMPANY KIOSK
Permit Number:
Status:
Applied Date:
Issue Date:
D10 -311
ISSUED
11/15/2010
11/15/2010
1: ** *BUILDING DEPARTMENT CONDITIONS * **
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 m 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: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
obtained at City Hall in the office of the City Clerk.
7: 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.
* *continued on next page **
doc: Cond -10/06
D10 -311 Printed: 11 -15 -2010
•
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. tukwi la. 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:
Print Name:
Date: / / / /s / /!7
doc: Cond -10/06
D10 -311 Printed: 11 -15 -2010
CITY OF TUK A
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite'18=.
Tukwila, WA 98188
htto://Www.ci.tukwila.wa.us
Building Peril No. b(0- 3 ( 1
Mechanical Permit No.
Plumbing/Gas Permit No.
Public Works Permit No.
Project No.
(For office 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
Site Address: 2 O SoudC1r,h,
Tenant Name: /4'1�J / c.OM/po'ay
Property Owners Name: 114,1 LLC
Mailing Address: 2S00 50ce 4 1,41/
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes .. No
4
City
WA ?ff/ rrg
State Zip
CONTACT PERSON — who do we contact when your permit is ready to be issued
Name:
i9/ t Aefisci
Mailing Address: 2860 S u% €, /'/ei //
E -Mail Address: 40e-e4C 4ed 4/1.3 P/4;4/ C0/77
Day Telephone: 069 ?6 .-0423
L4 ii7 v.41 9g/7v
City State Zip
Fax Number: (206) 244 X07
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
State
Zip
ARCHITECT OF RECORD — All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
ENGINEER OF RECORD — All plans must be stamped by Engineer of Record
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
H:\Applieations\Forms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc
Revised: 7 -2010
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Page 1 of 6
BUILDING PERMIT INFORMATIO -206- 431 -3670
Valuation of Project (contractor's bid price): $ 5-00
Scope of Work (please provide detailed information): // /iS//o TO
•
Existing Building Valuation: $
12/11 /O T/nOo % /o. 4
Will there be new rack storage? ❑ ....Yes
❑ ..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 ❑ No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes EK 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 -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H :\ApplicationslForms- Applications On Line12010 Applications17 -2010 - Permit Apptication.doc
Revised: 7 -2010
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Page 2 of 6
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1' Floor
gal
2 "d Floor
3rd Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
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 ❑ No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes EK 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 -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H :\ApplicationslForms- Applications On Line12010 Applications17 -2010 - Permit Apptication.doc
Revised: 7 -2010
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Page 2 of 6
PLUMBING AND GAS PIPING PER•INFORMATION — 206 - 431 -3670
0
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Plumbing work (contractor's bid price): $
Valuation of Gas Piping work (contractor's bid price): $
Scope of Work (please provide detailed information):
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Bathtub or combination
bath/shower
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking fountain or
water cooler (per head)
Food -waste grinder,
commercial
Floor Drain
Shower, single head trap
Lavatory
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
Water heater and/or vent
Industrial waste treatment
interceptor, including trap
and vent, except for kitchen
type grease interceptors
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Repair or alteration of
water piping and/or water
treatment equipment
Repair or alteration of
drainage or vent piping
Medical gas piping
system serving 1 -5
inlets /outlets for a
specific gas
Each additional medical
gas inlets/outlets greater
than 5
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
Backflow protective device
other than atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Each lawn sprinkler
system on any one meter
including backflow
protection devices
Atmospheric -type vacuum
breakers not included in
lawn sprinkler backflow
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc
Revised: 7 -2010
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Page 5 of 6
PERMIT APPLICATION NOTES — A icable 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.
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).
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:
Mailing Address:
GEOCC ��JCyti
2too Seyat�w�i
Day Telephone:
City
Date: / / /AB
(2o)206 -ewe 2s
414- 9Vir
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
HA Applications \Forms - Applications On Line\2010 Applications \7 -2010 - Permit Application.doc
Revised, 7 -2010
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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.: 9202470010 Permit Number: D10-311
Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 11/15/2010
Applicant: CERES ROASTING COMPANY KIOSK Issue Date:
Receipt No.: R10 -02310
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $67.50
Payment Date: 11/15/2010 01:28 PM
Balance: $0.00
GEOFF MASON
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 098336
ACCOUNT ITEM LIST:
Description
67.50
Account Code Current Pmts
BUILDING - NONRES
STATE BUILDING SURCHARGE
000.322.100 63.00
640.237.114 4.50
Total: $67.50
doc: Receiot -06 Printed: 11 -15 -2010
INSPECTION NO.
CITY,OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #106, Tukwila. WA 98188 12_ (206) 431-3670
Permit Inspection Request Line (206) 431-2451
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
Pro' d: .:5 D , _,..s.„1.. , La„,6
ir-dit S 1 in -434 Ni. -51(
Type of Inspection: ,....)
Ai.... A34..)
i .. t .
• 1 4041G
Address: 0 0 se.... mkt 1
Date Called:
Spedal Instructions:
.
Z__
Date Wanted:
1 i — I
a.m.
Requester:
Phone No:
- (o 15
_6411
Approved per applicable codes. Corrections required prior to approval..
ri REINSPECTION FEE REQUIRED. Prior o next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
•
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—REVIEWED FOR
CODE COMPLIANCE
ApponvED
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City of Tukwila
BUILDING DIVISION