HomeMy WebLinkAboutPermit D11-352 - WESTFIELD SOUTHCENTER MALL - THE LAVENDER BUNCH - KIOSKLAVENDER BRANCH
2800 SOUTHCENTER MALL
K-1091
Di 1-352
City ofii'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: THE LAVENDER BUNCH
Permit Number: D11 -352
Issue Date: 10/26/2011
Permit Expires On: 04/23/2012
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA 92013
Contact Person:
Name: KARA MOORE
Address: 2800 SOUTHCENTER MALL , TUKWII,A WA 98188
Contractor:
Name: N/A
Address:
Contractor License No:
Phone: 206 - 246 -0423
Phone:
Expiration Date:
DESCRIPTION OF WORK:
INSTALLATIO OF 270 SQ FT TEMPORARY KIOSK K -1091. 11 -07 -11 THROUGH 12 -25 -11
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
Electrical Service Provided by: PUGET SOUND ENERGY
* *continued on next page **
doc: IBC -7/10
D11-352 Printed: 10 -26 -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:
N Number: 0
N
Start Time:
Volumes: Cut 0 c.y.
Size (Inches): 0
End Time:
Fill 0 c.y.
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:
s `-_ W Date: 6 (Y)-- V I
d' W y
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:
41•15 Mr70-1(e_
Date: 1 c)1 a u ` 1
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 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: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
4: Manufacturers installation instructions shall be available on the j ob site at the time of inspection.
5: 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.
6: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila
Building Department (206- 431 - 3670).
doc: IBC -7/10
D11-352 Printed: 10 -26 -2011
7: All electrical work shall be inspected an roved under a separate permit issued by ti ty of Tukwila Building
Department (206- 431 - 3670).
8: 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
D11 -352 Printed: 10 -26 -2011
CITY OF T UKWI e
Camtriunhhy Dotvefapinerre' Dopar trrent
Public Wrirtrs Doper Ivan 4'
Permit Center_-
6300 Southcenter Blvd., Su1F7. "
Tukwila, WA 98988
httid://wwwsLtukwila.wa.us
Building Permit No. 1)1 I 3
Mechanical Permit No.
Plumbing /Gas Permit No.
Public Works Permit No.
Project No.
(For o�j?ce 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 :IoM �OI.A± t CfMti (\Noa r
King Co Assessor's Tax No,•
Suite Number: Floor: and
Tenant Name: lint La/end 61.11c1e...h, New Tenant: ❑ Yes ❑..No
Property Owners Name: IQ eft e_
Mailing Address:
City
State
CONTACT )PERSON — who do we contact when your permit is ready to be issued
Milne:
Mailing Address:
E -Mail Address: !Ann me C e Q toce+ f ire kta • __0
a_ IYtcore
• w W E J 7 L l2 JI
Day Telephone:, ca206. - OaYi.D - otos
•
•
City —State —
Fax Number: a D(Q • ayt -
GENERAL CONTRACT ®" INFORMATION -
(Contractor Information for Mechanical (pg 4) for Plumbing and (gas Piping (pg 5))
Company Name:
Mailing Address:
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
City
•
State
Zip
ARCHITECT OF RISC®
of
- All plans must be stamped by Architect of Record
Company Name:
Mailing Address:
.C.ontact Person: ..
E -Mail Address: _
City State
. Day.Telephone:... •
Fax Ntunber:
Zip
ENGINEER OF RECORD - Ail plans smug be stamped by Engineer of Record
Company Name:
Mailing Address:
city
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
State
Zip
H: Appliesttons\Porms-Applleallons On LIne\20I0 AppllestlonsW -2010 - Panels Appllcation.doo
Revised: 7 -2010
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Page 1 of6
BUILDING PERMIT]: INFORfilA.TION —2,06-431-3670
, .11140
Valuation of Project (contractor's bid price): $ C)(1.) Existing Building Valuation: $
Scope of Work (please provide detailed information): nisf20.1
•
(??tC(Csill C)'( CACtk'e — -
Will there benew rack storage? 0 —.Yes VNo
If yes, a separate permit and plan submittal will be required.
Provide A Building Areas hi Square Footage Belovi
. .
Existing
.
Interior Remodel
Additionto
Existing
Structure
New
'Type of
Construction per
IBC
Type of '
Occupancy per
IBC
1"t Floor.
.
li itZti4t:
.
_
VI Floor
34 Floor
Floors thru •
•
Basement
•
.
._•Aucessory_Structureo
.
.
,
--A-ftaehed-darag
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
PLANNING DIVISKOM
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:
Williiiereilea change in use? 0. Yes 0 • ii"y es", explain: . . ... .
FIRE PROTECTIONMAZARIDOUS MATERIALS:
0 Sprinklers 0 Automatic Fire Alarm WC None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 .......Yes V No
if "yes', attach list of tnaterials and storage locations on a separate 8-1/2" x 11" paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
D.. ..... On-site Septic System—For on-site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
HAApplIcallonsTorms-ApplIcatIons On LIno12010 Applloallons\7•2010- Perm0 ApplIcatIon.doo
Revised: 7-2010
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Page 2 of 6
PERMIT APPLICATION NOTES — t`..ppiicabie to all permits to this application
Value of Construction — In all cases, avalue 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,
)3uilding 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 bo,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 THB SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THB STATE 01? WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. '
BUILDING 0 NER OR AUTHORIZED AGENT:
O.0
Signature: /lZ.
Print Name: 1 1' `Dr,
Date: I O laLI 1 1(
_ t ,Day Telephone:
Mailing Address: c2201) c2201) H � Aljh1e C M � 14 afl 1 ILK.
City
IAsIIeL
l 98x5‹
Slate Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H :\AppllcatlonssPorms- Applications On LIne%2010 Applleellonsl'1 -4010 - Permit Appllcsllon.doo
Revised: 7-4010
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Pago 6 of 6
• •
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206-431-3665
Web site: http: / /www.TukwilaWA.gov
RECEIPT
Parcel No.: 9202470010 Permit Number: D11-352
Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 10/26/2011
Applicant: THE LAVENDER BUNCH Issue Date:
Receipt No.: RI 1 -02340
Initials:
User ID:
WER
1655
Payment Amount: $67.50
Payment Date: 10/26/2011 09:45 AM
Balance: $0.00
Payee: SOUTHCENTER MALL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 061161
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: 10 -26 -2011
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
INSPECTION RECORD
Retain a copy with permit
Dig -3524
PERMIT NO.
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
Type of In pection:
Address:
7 goo cc_ mkt(
ate Called:
Special Instructions:
/V
Date Wanted: 1.
I( _-� -.II
1
—`ank
p.m.
Requester:
Phone No:
�pproved per applicable codes. a Corrections required prior to app oval.
COMMENTS:
1
pry 60AA (O
P
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectioh.
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RECEIVE®
OCT 26 2011
PERMIT CENTER