HomeMy WebLinkAboutPermit D11-329 - WESTFIELD SOUTHCENTER MALL - CALENDAR CLUB - KIOSKCALENDAR CLUB
2800 SOIJTHCENTER MALL
K-0352
Di 1-329
City ATukwila
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: CALENDAR CLUB
Permit Number: D11 -329
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, OFFICE , TUKWILA WA 98188
Contractor:
Name: N/A
Address:
Contractor License No:
Phone: 206 246 -0423
Phone:
Expiration Date:
DESCRIPTION OF WORK:
INSTALLATION OF 200 SF TEMPORARY KIOSK (R035Z)
Value of Construction: $500.00 Fees Collected: $67.50
Type of Fire Protection: 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
011 -329 Printed: 10 -05 -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:
Date: I O 1 E ((
I hereby certify that I have read and - -d this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied hether 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: I/L7kLT79—Date: d n1 qi
Print Name: Kasa 1 m-r e_
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
D11-329 Printed: 10 -05 -2011
CITY OF TUKWI e"7
Conirurnity Detrelopmenk Department
Public Worlrs Dwc l nent
Permit Center
6300 Southcenter Blvd.,
Tukwila, WA 98188
htip: / /www qi tukwlia.wa.us
Building Permit No,
Mechanical Permit No.
Plumbing/Gas Permit No.
Public Works Permit No.
Project No.
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
Icing Co Assessor's Tax No,:
Site Addressx t-nl thCt.l1 Suite Number:
Tenant Name. C.-1�"
Property Owners Name: L3 e t ■d
Mailing Address:
•
• 66 1 Is
Floor:
New Tenant: [r]�—.Yes ❑..No
LO
City
State
Zip
CONTACT PE i SON - wino do we contact when your permit is ready to be issued
Name: '140,10._ 1 v W 3 t C--. Day Telephone: 074s - 01-f (p - G 3
Mailing Address: a30(D 50lk\ -41CCn +t -r-L-4 L 1, 0
• I I Gity - States— p/Zip-
E -Mail Address: ym PAtOie@j W ez e lei . C O M Fax Number: o?DLE -tom? t- �-1 - o Co 67
LG_ENERAll, CON` RACT° INFORMATION -
Contractou' 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
J
ARCHITECT CF RECORD -All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
,Contact Person: . .
, E -Mail Address:
City
. D.ay.Telephone :... .. ... ... .. .
Fax Dhunber:
State
Zip
ENGINEER ®F' RECORD -• MI plane must be staarapeol by B ngiaee r of ecord
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
H: \Appllcations\Fonns- Applieallons On Line\4010 Applications \7 -4010 - Permit Appllcallon.doo
Revised: 7-2010
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Pages 1 of 6
BUILDING PERMIT Ii'IF'ORPeMATIOP1-2,06431-367G
Valuation of Project (contractor's bid price): $ 6 Des • Existing Building Valuation: $
Scope of Work (please provide detailed information): sihi 5 V3 +efv1 f4
•
o .n 1D4 3111 -- t ` AkcQ
Will there benew rack storage? ❑ ....Yes
E. No If yes, a separate permit and plan submittal will be requited.
Provide AIR Building Areas in Sgteare Footage 1Belovi
•
Existing
Interior Remodel
Addition to
Existing
Structure
N °11/
Type of
Construction per
IBC
Type of r
Occupancy per
IBC
1 Fly
Floor
•
3`d Floor
Floors thru
•
Basement
•
. _t&ucessory_Stiuchue'`
• — A- ttaehed- Qapago
Detached Garage
Attached Carport
•
Detached Carport
Covered Deck
Uncovered Deck
FLANKING 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? D. Yes ❑ No If . "yes ", explain: .
1>;'mE PROTECTION/ HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm 21 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 -12" 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; AppllcollonsSPonns- Appllcallon, On LIno12010 Applications \7 -2010 - Permit ApplIcollon.doc
novi,ed: 7 -2010
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Page 2 of 6
?EI P/dkT APP;LItCAT1OJ T1tOTES— t`..ppiicabie to ali 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 IPlan Review — Applications for which no permit is issued within 180 days following the date of,applicatlon 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 ba requested
in writing and justifiable cause demonstrated. Section 103,4,3 Uniform Plumbing Code (current edition).
THEREBY 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 OW R ®,1�7PiE3i ®IBI�)SIlD AGENT:
Signature: j(.0 -6_qy—,
ra mtyp re_
Print Name:
Mailing Address: &MD <C" 1 O e11+( Tl -LSI1 o: WR- g856-
City Slate Zip
Date: ID/' /ll
Day Telephone: 2LXD ^a I1D— 04x3
Date Application Accepted: Date Application Expires:
Staff Initials:
H;1 AppllcatIonslPorms- Applicallons On LIne12010 Applicatlons17-2010 -Permit AppllcatIon.doo
Revised; 7 -2010
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Pogo 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
ParcelNo.: 9202470010 Permit Number: D11 -329
Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 10/05/2011
Applicant: CALENDAR CLUB Issue Date:
Receipt No.: R11 -02176
Initials:
User ID:
JEM
1165
Payment Amount: $67.50
Payment Date: 10/05/2011 11:38 AM
Balance: $0.00
Payee: SOUTHCENTER MALL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 017414
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
-.INSPECTION NO PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 11.. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Oft -32-1
Project:
Type f Inspecti n
I
Ad r ss:
`` ,, m
Date Called:
Special Instructions:
.
•
Date Wanted:.
j te9 4/
^I'/
'—...km...
p.m.
Requester:
roved per applicable codes.
aCorrections required prior to approval.
COMMENTS:
ePT•44,7---
(ln ector:
I
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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