HomeMy WebLinkAboutPermit D10-334 - WESTFIELD SOUTHCENTER MALL - THE SOCK SHOP - KIOSKTHE SOCK SH
P
2800 SOUTHCENTER MALL
EXPIRED
06-07-11
D10-334
City ofkukwila
0
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: THE SOCK SHOP
Permit Number: D 10 -334
Issue Date: 12/09/2010
Permit Expires On: 06/07/2011
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA 92013
Contact Person:
Name: GEOFF MASON
Address: 2800 SOUTHCENTER MALL , TUKWILA WA 98188
Phone: 206 - 246 -0423
Contractor:
Name: N/A PER DAVE LARSON (ACTING BUILDING OFFICIAL) Phone:
Address:
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
TEMPORARY KIOSK FROM 12 -10 -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
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
doc: IBC -7/10
D10 -334 Printed: 12 -09 -2010
Permit Center Authorized Signature:
Date:
•
11 -9i�G 0
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 and agree to the conditions attached
to this permit.
Signature:
Print Name:
Date:
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ** *BUILDING DEPARTMENT CONDmONS * **
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 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.
4: 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.
5: 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.
doc: IBC -7/10
D10 -334 Printed: 12 -09 -2010
CITY OF TUKSLA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suiteitfi 0=-`:
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Building Permit No. 1)10 - S39
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
King Co Assessor's Tax No.: 924 a- 41 " 5610
Suite Number: 7 Floor: 1.*
New Tenant: 0r Yes ❑ .. No
Site Address: o�s2NZI=C::. ...C:4- L C J \-e-cr.
Tenant Name e _ ......_51,16p �op _
Property Owners Name: ` L}°.
ei d . A-C.
Mailing Address: b �.e:=3(-- C'P-d-
1ul6tl02--
City
L3A G (1121
State Zip
CONTACT PERSON — who do we contact when your permit is ready to be issued
Name: Lit ° nela' cn
Day Telephone: PC 4,- az4 c.,,' amt �3
Mailing Address: of ) )
ukwttc` c�r� � iq
E -Mail Address:
fika.,SciN@V.3C3\--Aekct Ce.rn
City State — Zip
Fax Number: D e4 14-
GENERAL CONTl<tACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
ARCHITECT OF RECORD — All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
State
City
Contact Person: Day Telephone:..
E -Mail Address: Fax Number:
Zip
ENGINEER OF RECORD — All plans must be stamped by Engineer of Record
Company Name:
Mailing Address:
State
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Zip
H:Wppli ations\Forms- Applications On Line \2010 Applications \7 -2010 - Permit Applicatioo.doc
Revised: 7 -2010
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Page 1 of 6
BUILDING PERMIT INFORMAT — 206 - 431 -3670
Valuation of Project (contractor's bid price): $ 500
•
Existing Building Valuation: $
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑ ....Yes
E{..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 21 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:1Applications\Forms- Applications On Line \2010 Applications17 -2010 - Permit Application.doc
Revised: 7 -2010
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Page 2 of 6
Existing
Interior Remodel
Addition to
Existing
Structure
New
'l'ype of
Construction per
IBC
Type of
Occupancy per
IBC
lst Floor
120
2nd Floor
3rd Floor
Floors thru
Basement
_Accessory_StructureL __
Attached -Gar -age
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 21 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:1Applications\Forms- Applications On Line \2010 Applications17 -2010 - Permit Application.doc
Revised: 7 -2010
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Page 2 of 6
PERMIT APPLICATION NOTES litplicable to all permits in this application 0
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 AUT ORIZED AGENT:
Signature:
Print Name:
°la
Mailing Address•t
Date: /2/9/6
Day Telephone: 7c - 2"4 (p- 6L0-3
City
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:WpplicationsTorms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc
Revised: 7 -2010
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Page 6 of 6
PLUMBING AND GAS PIPING PEROf INFORMATION — 206- 431 -3670 •
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
i
Contractor Registration Number: Expiration Date:
Valuation of Plumbing work (c ; ntractor's bid price): $
Valuation of Gas Piping work ( a ntractor's bid price): $
Scope of Work (please provide de filed information):
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code): ° /
Utility Purveyor: Water: r.g.' _ Sewer:
Indicate type of plumbing fixtures and/or gas piping o s being installed and the quantity below:
Fixture Type:
Qty
Fixture Type: ,'
, Qty
Fixture Type:
Qty
Fixture Type:
Qty
Bathtub or combination
bath/shower
Bidet ,y
';
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking foun •,• or
water cooler Jr head)
.
Food -waste grinder,
commercial
Floor Drain
Shower, single head trap
4;
Lavatory
Wash fountain
Receptor, indirect waste
Sinks
Urinals 7
/
.•ter Closet
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
Wat -f+ eater and/or vent
Ind ial waste treatment
inter :.tor, including trap
and ven except for kitchen
type gre interceptors
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Grease interceptor for
commercial kitchen (>750
gallon capacity)
j
��'
j ' epair or alteration of
water piping and/or water
treatment equipment
Repair or .' eration of
drainage or k nt 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 protec e device
other than atmosph is -type
vacuum breakers oval 2
inch (51 mm) diameter
Each lawn sprinkler
system on any one meter
including backflow
protection devices
Atmospheric-typ acuum
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 Applications17 -2010 - Permit Application.doc
Revised: 7 -2010
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Page 5 of 6
•
City of Tukwila
j 2 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
ParcelNo.: 9202470010 Permit Number: ID10 -334
Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 12/09/2010
Applicant: THE SOCK SHOP Issue Date:
Receipt No.: R10 -02466
Payment Amount: $67.50
Initials: WER Payment Date: 12/09/2010 10:55 AM
User ID: 1655 Balance: $0.00
Payee: SOUTHCENTER MALL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 046708
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: Receipt -06 Printed: 12 -09 -2010
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05 -02 -2011
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
GEOFF MASON
2800 SOUTHCENTER MALL
TUKWILA WA 98188
RE: Permit No. D10 -334
2800 SOUTHCENTER MALL TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 06/07/2011.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, , provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 06/07/2011, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Pcs.-ttA
Bill Rambo
Permit Technician
File: Permit File No. D10 -334
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665