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Home My WebLink AboutPermit D11-328 - WESTFIELD SOUTHCENTER MALL - SHEEPSKIN GIFTSSHEEPSKIN GIFTS 2800 SOUTHCENTER MAIL K-9010 Dl 1 -328 City oPI'ukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Inspection Request Line: 206- 431 -2451 Web site: http: / /www.TukwilaWA.gov DEVELOPMENT PERMIT Parcel No.: 9202470010 Address: 2800 SOUTHCENTER MALL TUKW Suite No: Project Name: SHEEPSKIN GIFTS Permit Number: D11 -328 Issue Date: 10/05/2011 Permit Expires On: 04/02/2012 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: KARA MOORE Address: 2800 SOUTHCENTER MALL , TUKWILA WA 98055 Contractor: Name: N/A Address: , Contractor License No: Phone: 206 246 -0423 Phone: Expiration Date: DESCRIPTION OF WORK: 165 SF TEMPORARY KIOSK OPEN 10/14/11 THROUGH 02/15/12. Value of Construction: $500.00 Fees Collected: $67.50 Type of Fire Protection: SPRINKLERS /AFA International Building Code Edition: 2009 Type of Construction: IIB Occupancy per IBC: 0019 Electrical Service Provided by: PUGET SOUND ENERGY * *continued on next page ** doc: IBC -7/10 D11 -328 Printed: 10 -05 -2011 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: Storm Drainage: Street Use: N N Water Main Extension: Water Meter: N Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie Number: 0 Size (Inches): 0 Start Time: Volumes: Cut 0 c.y. End Time: Fill 0 c.y. Start Time: End Time: Private: Profit: N Private: Date: Public: Non - Profit: N Public: ned this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not pre construction or the performance of work. to this permit. Signature: e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this development permit and agree to the conditions attached Date: J b /6/ I I Print Name: Jo J' ' n re 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: doc: IBC -7/10 D11-328 Printed: 10 -05 -2011 CITY OF TUKA Community Devallinent Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Pe No. 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: o2100 ,1`t U) II Tenant Name: 11 ' - 116. Property Owners Name: e_ 1 Mailing Address: M S K_ C er,k-tX King Co Assessor's Tax No.: litU 9_41 -'CObZ) Suite Number: Floor: New Tenant: Er Yes 1=1 .. No IU- VAJ7 c., City State Zip CONTACT PERSON — who do we contact when your permit is ready to be issued Name: a-- 1 Y 1 U v�.0 Mailing Address: (Q/i 61) p RA4 (' QXi\--eir E -Mail Address: _ Day Telephone: Ow-01141e 11,41.6∎ l0. l, Gi�DaS City State Zip Fax Number: 020 c21-/ [5-7 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: Fax Number: State Zip E -Mail Address: 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:\Applications\Porms- Applications On Line\2010 Applications \7 -2010 - Permit Application.doc Revised: May 2011 bh Page 1 of 6 BUILDING PERMIT INFORMATION — 206- 431 -3670 Valuation of Project (contractor's bid p . $ 5)0 Existing ilding Valuation: $ Scope of Work (please provide detailed information): i Q (F"D raf tef--- j Os 1 1 P- 11 — a )51)-2 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 ❑ 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:\Applications\Forms- Applications On Line\2010 Applications\7-2010 - Permit Applicationdoc Revised: May 2011 bh Page 2 of 6 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1" Floor 1515 [ ]mil 2nd 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 ❑ 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:\Applications\Forms- Applications On Line\2010 Applications\7-2010 - Permit Applicationdoc Revised: May 2011 bh Page 2 of 6 PLUMBING AND GAS PIPING PERS' INFORMATION — 206 - 431 -3670 K 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'I Building Code): Occupancy (per Int'I 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: May 2011 bh Page 5 of 6 PERMIT APPLICATION NOTES - arable 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 OWN Signature:, Print Name: Mailing Address: R OR AUTHORIZED AGENT: n0- Date: 18 11-1/ 1 I Day Telephoner IDate Application Accepted: City State Zip Date Application Expires: It WpplicationslForms- Applications On Line 12010 Applicationsl7 -2010 • Permit Application.doc Revised' May 2011 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.TukwilaWA.gov RECEIPT Parcel No.: 9202470010 Permit Number: D11 -328 Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 10/05 /2011 Applicant: SHEEPSKIN GIFTS Issue Date: Receipt No.: R11 -02174 Payment Amount: $67.50 Initials: JEM Payment Date: 10/05/2011 09:31 AM User 1D: 1165 Balance: $0.00 Payee: SOUTHCENTER MALL TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 060964 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: 10 -05 -2011 INSPECTION RECORD Retain a copy with permit . • • • INSPECTI NO. PERMIT NO. • CITY OF TUKWILA BUILDING DIVISION • 6300 Southcenter BIvd., #100, Tukwila. WA 98188 te. (206) 431 -3670 • • P'ermit.Inspection Request Line (206) 431 -2451 Project. .. .SGie s� 6. r-33 Type o knspectio : eNA2 13kj . rC•ft‘ Address: ' 22O0 5 c AA 4 (' Date Called: Special Instructions( : . • DateWante�:. (C) '—(1.-- % gym. p.m. Requester: Phone No: Approved per-applicable codes. Corrections required prior to approval. COMMENTS: ,AArre.o 4( ere Dat,:O -14 -- REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule rein pection. • 0 100 0 0 0 0 0 �(r) Ln W LO Z O) 108 0 0 (f) 00 N °1'16 99 ART MAUI CREATIONS 08 Dsf 40' 99 9009 l8Osf 16' J28 < O Ln CD (I) n _ N W m W 0 0 99 632 LiTh 99 b EE SI COSMETIC 2' 99 ( ccxr f\ 1 0,1-)C_C- \An LADa.11 pQ \a \ 48' 9l 00 %C 4 /' 3" ,tiN 0 ra ,on 10 \t /1( BOFA .2)6•//(-2 0 ETC /7 636 L-1--- - (f) 0 c� Ln 1.I r44 Cn O °O a n 0 0 99 6J% 322