HomeMy WebLinkAboutPermit PG11-030 - WESTFIELD SOUTHCENTER MALL - THINGS REMEMBEREDTHINGS REMEMBERED
1011 SOUTHCENTER MALL
PG1 1 -030
Parcel No.:
Address:
City oftukwila
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.ci.tukwila.wa.us
PLUMBING /GAS PIPING PERMIT
9202470010
1011 SOUTHCENTER MALL TUKW
Project Name: THINGS REMEMBERED
Permit Number:
Issue Date:
Permit Expires On:
PG11 -030
03/23/2011
09/19/2011
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA 92013
Contact Person:
Name:
Address:
Email:
KRAIG ROLLINS Phone: 314 - 721 -1340
1155 OLIVETTE EXECUTIVE PY, SUITE 100 , ST LOUIS MO 63132
ROLLINS @EPOCHDESIGNGROUP.NET
Contractor:
Name: LOYAL MECHANICAL INC
Address: 6747 15 AV NW , SEATTLE WA 98117
Contractor License No: LOYALMI141 OK
Phone: 206 - 789 -8029
Expiration Date: 01/07/2013
DESCRIPTION OF WORK:
RELOCATE EXISTING PLUMBING LINES TO ACCOMODATE NEW LOCATION OF LAVATORY AND
WATER CLOSET.
Value of Plumbing /Gas Piping:
Fees Collected:
Electrical Service Provided by:
$8,900.00 Uniform Plumbing Code Edition: 2009
$171.94 International Fuel Gas Code Edition: 2009
PUGET SOUND ENERGY
Permit Center Authorized Signature: Date: qf
I hereby certify that I have read an
governing this work will be compli
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 p
construction or the performance of work
on the back of this permit.
Signature:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
• am authorized to sign and obtain this plumbing /gas piping permit and agree to the conditions
Print Name: ii)AL-1,7A.,
4.
I■ /ti _ 4,
Date: V-7-201/
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: UPC -4/10
PG 11 -030 Printed: 04 -07 -2011
• •
PERMIT CONDITIONS
Permit No. PG11 -030
1: ** *PLUMBING AND GAS PIPING * **
2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila
Building Division.
3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing
inspector.
4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas
Code.
5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved.
6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code.
Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to
make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection.
7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless,
adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the
conditioned space shall be insulated to minimum R -3.
8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be
protected by steel nail plates not less than 18 guage.
9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing
piping shall be directly embedded in concrete or masonry.
10: All pipes penetrating floor /ceiling assemblies and fire- resistance rated walls or partitions shall be protected in
accordance with the requirements of the building code.
11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to
twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill,
frozen earth, or construction debris.
12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an
approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the
jurisdiction.
doc: UPC -4/10
PG 11 -030 Printed: 04 -07 -2011
•
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd_, Suite 100
Tukwila. WA 98188
huo://www.ci.tukwila.wa.us
•
Building Permit No. l I — 03S--
Mechanical Permit No. ,, 4 t — 0 .14
Plumbing/Gas Permit No. VG IA-- 0 36
Public Works Permit No.
Project No.
(For ()like use milt•,
Applications and plans must be complete in order to be accepted for plan review.
Applications. will not be accepted through the trail or by tax.
"Please Print **
SITE LOCATION
Site Address: 1011 Southcenter Mall Tukwila WA 98188
Tenant Name:
Things Remembered
q)-0)-1-1-7--' 0616
king Co Assessor's Tax No.:
Suite Number 428 Floor: 1
Pr iperay owners Name: Westfield Corp (Southcenter Mali)
New Tenant: m..... Yee No
Mailing Address: 11601 Wilshire Blvd. 11th Floor
Los Angeles, CA
State
CONTACT PERSON - who do we contact when your permit is ready to be issued
90025
Name: Kraig Rollins
Malting Address: 1155 Olivette Executive Pkwy, Suite 100
4 -Wail Address: rollins@epochdesigngroup_net
Day 'Telephone: (314) 7211340
SLLouis, MO 63132
city Man,
Fax Numnber. (314) 721 -0344
GENERAI. CONTRACTOR INFORMATION -
tCoatractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Natne: TBO
Mailing Address:
Contact Person: T8O
E -Mail Address:
Contractor Registration Number.
city
Day .1'ekephone:
Fax Number.
r y,
Expiration Date:
ARCHITECT OF RECORD - AU plans crust be stamped by Architect of Record
Company Nance: Epoch Design Group
Mailing Address: 1155 Olivette Executive Pkwy, Suite 100
Contact Person: Kraig Rollins
E -Mail Address: rollins@epochdesigngroup.net
St. Louis. MO
Coy Stale
Day Telephone: (314) 721 -1340
Fax Number. (314) 721 -0344
[-ENGINEER OF RECORD - AU plans must he stamped by Engineer of Record
63132
rr
Company Nance :. Randall A. Nelson, RE
Mailing Address: 14817 West 95th Street
Contact Person: Same
E -Mail Address:
i! A1gdw:nu.n,Fra1+,..;ppli..fion•. MI.:m:1)14) Al p1 anims7.19- Pnnw .Ngd,ctixan..t,u•
Rn tied ,161
bit
Lenexa, KS
City.
Stile
Day Telephone: (013) 322 -5150
Fax Number:
66215
lir
Page laT6
BUILDING PE RNIIT INFORMATION — 206- 313670
Valuation ofProject (cotttractor's bid price): S 66,200.00 .._ - -- IExisting Building Valuation: S
Scope of Work (please provide derailed information): Tenant space improvement for retail storefront, full interior remodel:
install ducting to new split system; install new condensing unit on roof update sprinkler system layout; connect elec. vs Ap
existing, but relocated panelboard, and install electrical and fighting, indluding low voltage connections to emergency
lighting and new audio system; relocate plumbing.
Will there he new rack storage? m Yes
❑.. No If yes, a separate permit and plan submittal will he required.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single family building footprint (area oldie foundation of all structures. plus any decks over 18 itches and overhangs greater than 1S inches
*For an Accessory dwelling, provide the following:
Lot Alta (sq fit:. _ Floor area of principal dwelling: Elixir area of accessr11- - dwelling:
*Provide documentation that zhow that the principal owner lives in one of the dwellings as his or her primary residence.
Number. of Parking Stalls Provided: Standard: Coaupact: Handicap:
Will there be a change in use? ❑ Yes ❑ No If "yes", explain:
FIRE PROTECTION /ItAZARDOUS MATERIALS:
m Sprinklers ®.......Automatic Fin Alarm ❑ None ❑....._ Other ispecif}'f
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes m No
, attach ha of mazer aJa and .fiarage incananx an a xep/1rafe : -!12 x 11- paper including quantities and .ldawnal & i1' Data /ieetx.
SEP 11C• SYSTEM
EM
0. ....0n-site Septic System -- For on-site septic systtnt, provide. 2 copies of a current septic design approved) by King County Health
Department.
1rq•Il..nnn�t.13I.- Npvt1,a:ot..01,1 Inc Viiii ?4rI 11rnn,7.2c110 .? 1410 una,.n d.w
Rc I'c : .10 I 11
nn
Page 2 ,: r t,
Existing
interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of -
Occupancy per
IBC
t' Floor
1,253
1,253
118
M
Floor
3 Floor
Floors dim
BasrrueMn
Accessory Stricture.*
Attached Garage
Detached Csaragc
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
PLANNING DIVISION:
Single family building footprint (area oldie foundation of all structures. plus any decks over 18 itches and overhangs greater than 1S inches
*For an Accessory dwelling, provide the following:
Lot Alta (sq fit:. _ Floor area of principal dwelling: Elixir area of accessr11- - dwelling:
*Provide documentation that zhow that the principal owner lives in one of the dwellings as his or her primary residence.
Number. of Parking Stalls Provided: Standard: Coaupact: Handicap:
Will there be a change in use? ❑ Yes ❑ No If "yes", explain:
FIRE PROTECTION /ItAZARDOUS MATERIALS:
m Sprinklers ®.......Automatic Fin Alarm ❑ None ❑....._ Other ispecif}'f
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes m No
, attach ha of mazer aJa and .fiarage incananx an a xep/1rafe : -!12 x 11- paper including quantities and .ldawnal & i1' Data /ieetx.
SEP 11C• SYSTEM
EM
0. ....0n-site Septic System -- For on-site septic systtnt, provide. 2 copies of a current septic design approved) by King County Health
Department.
1rq•Il..nnn�t.13I.- Npvt1,a:ot..01,1 Inc Viiii ?4rI 11rnn,7.2c110 .? 1410 una,.n d.w
Rc I'c : .10 I 11
nn
Page 2 ,: r t,
ECHA NICAL PERMIT INFORMATION — 206-431-3670
MEER A NICAl. CONTRACTOR INFORMATION
Company Name: TBD
Mailing Address:
Day Telephone:
l'ax Number:
Contact Person:
E-Mail Address:
Contractor Registration Number: Expiration Date:
Valuation of Mechanical work (contractor's bid pricey S 9.500
Scope of Work (please provide detailed information):
Install new split system, air handler in space and condensor on roof;
installation of new duct work
Ls. Residential: New ....0 Replacement ....
Commercial: New .... 0 Replacement ....
Fuel Iype: Gas .... 0 Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty
Unit Type:
Air Handling Unit >10.000
CFM
Qty
Unit Type:
Fire Damper
Qty
Boiler/Com ressor:
0-3 I IP; 1W1.000 DTI:
Qty_
1
Fumace<100K ETU
Fumacc:,100K RTU
Evaporator COOICT
Diffuser
6
3-15 11P/500,0(0 WTI.
Floor Furnace
Suspenclod/Wall.floor
Mounted Heater
Appliance Vent
Ventilation Fan Connected
to Sinule Duct
Ventilation System
-
1
Thermostat
15-30 11P/1.000,000 R-113
Wood/Gas Stove
30-50 1-11).11.750k00 13 IV
1 lood and Duet
Entergency
Generator
50,- HP 1,750.000 13TU
Repair or Addition to
I leatiReing/Cooling
System
Incinerator - Domestic
Other Mechanical
Equipment
Air I bridling Unit
<10.000 CFM
1
Incinerator — Conutt/Ind
41. Avp11,411,mi. Fmnn.Arphc.alor.,, tr, Asvhcanors,7-201■1 Prrrna Appheatitatdo:
bh
Pap: .4 of
• •
PLUMBING AND GAS PiPING PERMIT INFORMATION — 206 -431 -3670
PLt'di1INC AND GAS PIPING CONTRACTOR INFORMATION
Company Name: 1-8D
Mailing Address:
city Slat, t I'
Contact Person: Dav Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number : Expiration Date:
Valuation of Plumbing wort: (contractor's bid price): S 8,900
Valuation of( ias Pipinxe work (contractor's bid price): S
Scope of Wort (phrase provide detailed information): Relocate existing plumbing lines to accomodate new location
of lavatory and water closet.
Building Use (peer Int'i Building Code):
Occupancy per Int'I Building Code): - tM
Ltd ity Purveyor: Water:
Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets bcint, installed and the quantity helow:
Fixture Type:
Qty •
Fixture Type:
Qty
Fixture Type:
Qty
Fixture Type:
Qty
Bathtub cr combination
bath/shower
Bidet
Clothes washer. domestic
Denial unit. cuspidor
Dishwasher. domestic.
with independent drain
Drinking fountain or
water cooler (per head)
Faxed -waste grinder.
commercial
Floor Drain
Shower. single haul trap
Lavatory
t
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet
1
Building sewer and each
trailer park sewer
__
Ram water system per
drain Inside building)
Water heater and/r vent
Repair of alteration of
water piping andir water
treatment equipment
1
Industrial waste treatment
interceptor. including trap
and vent except for kitchen
type arise interceptors
Repair or alteration of
drainage or vent piping
Each grease trap
(connected to not more
than 4 mixtures - -z.750
gallon capacity)
Medical as piping
system serving', 1 -5
inlets/outlets for a
specific gas
Each lawn sprinkler
system on any one. meter
including back Bow
protection devices
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Each additional medical
Las inlets1outlets greater
than 5
Backtlow protective
device other than
atmxil$ heric -type vacuum
breakers 2 inch (51 mitt)
diameter or smaller
Backtlow prolix:li •e device
other than atmosphoic -type
vacuum breakers over 2
inch (51 mm) diameter
Atnto pi eric -typc Vacuum
breakers nan included in
lawn sprinkler backtlou'
protection (1 -5)
Atmosptheric -type
vacuum breakers not
included in lawn
sprinkler backfi v
protections over 5
Gas piping outlets
11 A1q'luvurin't. +11,- AreliCat,m, ifi 1 r, -> 1° .'l . ms'7441e • Pmxit 04111icmimut
hl.
• •
PERMIT APPLICATION NOTES - Applicable to all permits in this application
aloe of Construction - In all cases. a value of construction amount should be entered by the applicant. This figure will be reviewed and i. �ubjc i
to possible rrs isi.m by the Pcrtnit Center to amply with current fee schedules.
Expiration of Plan Review Applications for which no pe ntit is issued within 1140 days following the date of application shall expire. by Iiniitatttm.
Building and Mechanical rennin
The Building Official may grans one or more extensions of time for additional periods not exceeding 90 days cash. The extension s }tall be
requeisied fat ss•ritins; and jusnifiable eaux ak:monstrated. Section 105.3.2 International Building Code ]current edition),
Plumbing, remit
The Building Official may grans one extension of time for an additiotntl periexl noil exceeding 1210 days. The extension shall be ralneacd
in writing and justifiable cause demonstrated. Section 1014.3 Uniform Plumbing Code (current edition).
I HEREBY CERTIFY "TRAY 1 HAVE READ AND EXAMINED TIM APPLICATION AND KNOW THE SANIF TO HE TRUE. UNDLR
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR TTIIS PFRNI IT
BUILDING OWNER OR AUTHORIZED AGENT:
Signature: , . I /; '
Prim Nate: Kraig Rollins
Mailing Address: 1155 Olivette Executive Pkwy
Ilate Applications Accep cd
Date: 02/10/2008
Day Telephone: (314)721 -0344 x118
SLLouis MO 63132
City Stmt Litt
Date Application Expires: Q 1. t — r
11 Arplkanrm } ram.. \t1.11,11 rt Ue 1.1tic 2t /1ttA IA Jew vmn .7.211111 -Ponta Attrtitcetum Sts
attiix3• ;,ypl
hh.
Stall 1niliats:
we I
Page b oY 5
•
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: PG11 -030
Address: 1011 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 02/11/2011
Applicant: THINGS REMEMBERED Issue Date:
Receipt No.: R11 -00273
Initials:
User ID:
WER
1655
Payment Amount: $171.94
Payment Date: 02/11/2011 02:15 PM
Balance: $0.00
Payee: EPOCH DESIGN GROUP
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 10311 171.94
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLAN CHECK - NONRES
PLUMBING - NONRES
000.345.830 34.39
000.322.103.00.00 137.55
Total: $17 1.94
doc: Receiot -06 Printed: 02 -11 -2011
w,'+•:-:• * i^r7orS,1CC'.T"., "•"' ;`- rAeC^:• P+? Y' o:- Y'?e•.`Y?7r•::'a.�.ar-"'�++}T -'��C+L. -c. •q;,, rf -• .,R,•V .,. • --•. - v--- ;e1
. INSPECTION RECORD
Retain a copy with permit
PG(1- 030
INSPECTION NO. PERMIT
CITY OF TUKWILA BUILDING DIVISION �� \
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:, 1l 5 2P A fil
YPe �nsp�ctiop: p (.% #+L1 i� r ri
l
Address: �,1 C se_
Date Called:
Special Instructions:
-7 A ,f ^
// `" '
,!
Date Wanted: --`
S 3 - i/ p.m.
Requester:
Phone N : , `/j
I s ( .r ,� 9 ri .4 1 0 (-
Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:
r
Phut t (.0,441661',1-
.0 661'
Inspe4tor:
Date:
REINSPECTION FEE REQUIREIi. Prior to next inspection• fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
•
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P611-05'6
PERMIT NO.
• • CITY OF TUIfiNILA BUILDING DIVISION
6300 Southcenter BIVd, wrpo, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: . '
77-,i/A4-5 /9"..00,...0y/
/Type of Inspection: ,
gervem—z-A/
Address:
/4//*_,"1,4))
Date,Called: • .
•
Special Instructions:
Date•Wanted: .
'/ 12 — 1.1
•i.
Requester:
Phone No:
GM i — 51-17 -9 o_ec,
Approved Per applicable codes. Corrections required prior•to approval.
'X
COMMENTS! • •- •
001,4,1 — AN •
p
INSPECTION FEE EQUIRED. Pri to next inspection. fee must be
aid at 6300 Southcen er Blvd.. Suite 100. Call to schedule reinspection. •
•
City of Tukwila
Jim Haggerton, Mayor
2 o Department of Community Development Jack Pace, Director
'
March 7, 2011
Kraig Rollins
Epoch Design Group
1155 Olivette Executive Pkwy, Suite 100
St Louis, MO 63132
RE: Correction Letter #1
Plumbing /Gas Piping Permit Application Number PG11 -030
Things Remembered —1011 Southcenter Mall
Dear Mr. Rollins,
This letter is to inform you of corrections that must be addressed before your plumbing/gas piping permit
can be approved. All correction requests from each department must be addressed at the same time and
reflected on your drawings. I have enclosed comments from the Public Works Department. At this time
the Building Department has no corrections.
Public Works Department: Joanna Spencer at 206 - 431 -2440 if you have any questions regarding
the attached memo.
Please address the attached comments in an itemized format with applicable revised plans,
specifications, and /or other documentation. The City requires that two (2) sets of revised plans,
specifications and /or other documentation be resubmitted with the appropriate revision block.
In order to better expedite your resubmittal, a `Revision Submittal Sheet' must accompany every
resubmittal. I have enclosed one for your convenience. Corrections /revisions must be made in person
and will not be accepted through the mail or by a messenger service.
If you have any questions, please contact me at (206) 431 -3670.
Sincerely,
Bill Rambo
Permit Technician
encl
File: PG11 -0030
W:\Petmit Center \Correction Letters \2011\PG11 -030 Correction Letter #1.DOC
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
PUBLIC WORKS DEPARTMENT COMMENTS
DATE: February 17, 2011
PROJECT: Things Remembered
1011 Southcenter Mall
PERMIT NO: PG11 -030
PLAN REVIEWER: Contact Joanna Spencer (206) 431 -2440 if you have any questions regarding the
following comments.
1) Sheet M3.0, III MATERIALS note #13 calls for installation of DCVA backflow preventer.
Please show on your plans the exact location here this backflow is going to be installed and
specify the size /make /model number. In addition please submit a backflow cut sheet and circle the
backflow to be installed.
Please let us know what is this backflow protecting or was it a requirement imposed by the mall?
W:Other /Joanna /PG 11 -030
• PERMIT COORD COR M
PLAN REVIEW /ROUTING SUP
ACTIVITY NUMBER: PG11 -030 DATE: 03/14/11
PROJECT NAME: THINGS REMEMBERED
SITE ADDRESS: 1011 SOUTHCENTER MALL
Original Plan Submittal Response to Incomplete Letter #
X Response to Correction Letter # 1
Revision # after Permit Issued
DEPARTMENTS:
Building Division
33s /v
Public Works
n
3i-tt
Fire Prevention
Structural
Planning Division
❑ Permit Coordinator ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete tyt
Comments:
Incomplete ❑
DUE DATE: 03/15/11
Not Applicable
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS ROUTING:
Please Route xi Structural Review Required n No further Review Required n
REVIEWER'S INITIALS:
DATE:
APPROVALS OR CORRECTIONS:
Approved u Approved with Conditions
Notation:
REVIEWER'S INITIALS:
lx.
DUE DATE: 04/12/11
Not Approved (attach comments)
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents/routing slip.doc
2 -28 -02
'MT
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: PG11 -030 DATE: 02-11-11
PROJECT NAME: THINGS REMEMBERED
SITE ADDRESS: 1011 SOUTHCENTER MALL
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # After Permit Issued
DEPARTMENTS:
DL C -14-41
uildin ivisi n it
Public orks
Fire Prevention
Structural
n
Planning Division
n Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
[6
Incomplete
DUE DATE: 02-15-11
Not Applicable
n
Permit Center Use Only
INCOMPLETE LETTER MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
LETTER OF COMPLETENESS MAILED:
TUES/THURS ROUTING:
Please Route rya Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions
Notation:
DUE DATE: 03-15-11
Not Approved (attach comments)
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED: 3''`.- 1
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW Staff Initials:
Documents/routing slip.doc
2 -28 -02
• •
City of Tukwila
Deportment of Community Development
6300 Southcenter Boulevard. Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ht p:J`w�l�u -c i.ltrkwilu.rra.us
REVISION SUBMITTAL
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: 3///<< ' Plan Check/Permit Number: PG 1 1-030
❑ Response to incomplete Letter #
Response to Correction Letter # 1
❑ CRV
Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner MAR 1 4 2011
''EAMIT CENTER
Project Name: Things Remembered
Project Address: 101.1 Southcenter Mall
Contact Person: I/.itA-1L, Ll l �S Phone Number: ,V1,H LI) 7? -1 -13L-0 X i lF
Summary of Revision:
4EPAbr/z" C. 0e./7. dF i3FP
5FP ,, .vaT , ' . - zzviRC,o iti 71g45 .
Sheet Number(s): ,9% ea
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
tkEntered in Permits Plus on
lapplicalionslromu- applications on Iinclrcvision submittal
Created: 8-13-2004
Revised:
Contractors or Tradespeople Peer Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with LEH to perform construction work within the scope of
its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name LOYAL MECHANICAL INC UBI No. 600636538
Phone 2067898029 Status Active
Address 6747 15Th Ave Nw License No. LOYALMI1410K
Suite /Apt. License Type Construction Contractor
City Seattle Effective Date 9/12/1986
State WA Expiration Date 1/7/2013
Zip 98117 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
LARSON, BRIAN L
Cancel Date
01/01/1980
Bond Amount
LARSON, SONIA K
Secretary
09/12/1986
06/27/2000
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
8
RLI INS CO
SRS1017122
11/25/2009
Until Cancelled
$12,000.0011/30
/2009
7
RLI INS CO
SRS1017122
05/26/2005
11/25/2009
$6,000.0005/26/2005
/16/2010
6
CUMBERLAND CAS &
SURETY CO
MB009001588
09/01/2001
Until Cancelled
05/26/2005
$6,000.00
08/29/2001
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
29
Continental
Western Ins Co
CNP2894699
09/19/2010
09/19/2011
$1,000,000.0009
/28/2010
28
TRUCK INS
EXCHANGE
035143064
09/19/2010
09/19/2011
$2,000,000.0009
/16/2010
26
TRUCK INS
EXCHANGE
035143064
09/19/2007
09/19/2010
$2,000,000.00
09/23/2009
25
NATIONWIDE
MUTUAL INS CO
ACP756078038301/01/2007
01/01/2008
$1,000,000.00
12/29/2006
24
NATIONWIDE
MUTUAL INS CO
ACP7550780383
01/01/2006
01/01/2007
$1,000,000.0001
/12/2006
23
NATIONWIDE
MUTUAL INS CO
ACP750078038301/01/2005
01/01/2006
$1,000,000.00
12/27/2004
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
https : / /fortre ss. wa. gov /lni/bbip /Print. aspx
04/07/2011