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Permit D13-307 - HICKORY FARMS - TENANT IMPROVEMENT
HICKORY FARMS 2800 SOUTHCENTER MALL D13-307 City ogukwila • 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: HICKORY FARMS, INC. Permit Number: D13-307 Issue Date: 10/24/2013 Permit Expires On: 04/22/2014 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD, CA 92013 Contact Person: Name: DEE WALLS Address: 811 MADISON AV, FIFTH FLOOR , TOLEDO, OH 43604 Contractor: Name: OWNER AFFIDAVIT - JEFF IBACH Address: Contractor License No: Lender: Name: Address: Phone: 419 725-9336 Phone: Expiration Date: DESCRIPTION OF WORK: INSTALLATION OF 128 SF SEASONAL KIOSK Value of Construction: $650.00 Fees Collected: $125.94 Type of Fire Protection: SPRINKLERS/AFA International Building Code Edition: 2012 Type of Construction: IIB Occupancy per IBC: 0019 Electrical Service Provided by: PUGET SOUND ENERGY **continued on next page** doc: IBC -7/10 D13-307 Printed: 10-24-2013 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: 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: N Number: 0 Size (Inches): 0 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: '`'l` 13 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 . am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: Print Name: Ark Ar_ y - - Date: P D -Y-1-27 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: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 4: 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. 5: Fire retardant treated wood shall have a flame spread of not greater than 25. All materials shall bear identification showing the fire performance rating thereof. Such identification shall be issued by an approved agency having a service for inspection at the factory. 6: Manufacturers installation instructions shall be available on the job site at the time of inspection. doc: IBC -7/10 D13-307 Printed: 10-24-2013 7: All electrical work shall be inspected and oved under a separate permit issued by theilly 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. 9: ***FIRE DEPARTMENT CONDITIONS*** 10: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 11: Post address on kiosk per approved Westfield standards. 12: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2327 and #2328) 13: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 14: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575-4407. doc: IBC -7/10 D13-307 Printed: 10-24-2013 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Permit No. Project No. Date Application Accepted: Date Application Expires: (For office use only) CONSTRUCTION PERMIT APPLICATION 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: Tenant Name: Aga) So en -i mall aickoc\j harms , rr‘c, King Co Assessor's Tax No.: t 1-0-1.1 - DOl 0 Suite Number: h: •( Floor: New Tenant: Yes .. No PROPERTY OWNER Name: �e-e Walls Name: we c.leui spAcalkx, Address: 8,1' I,YiQot son Ave, Soh Address: . to3 Sc Vran} mall i T it,,O State: 010 City: _'rokw. �6 State: Wei Zip. ciN6 CONTACT PERSON — person receiving all project communication Name: �e-e Walls Company Name: Address: 8,1' I,YiQot son Ave, Soh ...-t.,City: i T it,,O State: 010 Zip: 00 04 `t Phone:. Fax: gig et _ Email: cruanri.tiOl1SOhickt3rd(Cirrr,s-cicrn GENERAL CONTRACTOR INFORMATION Company Name: ala Company Name: r‘la Il \Cl Address: Engineer Name: Address: City: State: City: Zip: Phone: Fax: Fax: Fax: Contr Reg No.: Email: Exp Date: Tukwila Business License No.: n\Applications\Forms-Applications On Line\2011 Applicalions\Pern it Application Revised - 8-9-11 docN Rerised. August 2011 bh ARCHITECT OF RECORD Name: ola Company Name: r‘la Il \Cl Architect Name: Engineer Name: Address: Address: City: State: Zip: Phone: Fax: Fax: Email: Email: ENGINEER OF RECORD Name: ola Address: Company Name: Il \Cl Engineer Name: Address: City: State: Zip: Phone: Fax: Email: LENDERJBOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: ola Address: City: State: Zip: Page 1 of 4 BUILDING PERMIT INFORMATION — 206-431-3670 Valuation of Project (contractor's bid price): $(F ).00 Describe the scope of work (please provide detailed information): Will there be new rack storage? ❑ Yes Existing Building Valuation: $ Pee' -ea' bworcc3 Sec so ng \ kiosk_ 114.. 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: /I' Lot Area (sq ft): n, el Floor area of principal dwelling: f\'Q Floor area of accessory dwelling: 12,S LB .i *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: rna 11364:111 Compact: Handicap: Will there be a change in use? ❑ Yes ud No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None 5A Other (specify) Mk\ Ski"%(1kteCS Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes 'kJ 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. !1:\Applications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-11. docx Revised: August 2011 bh Page 2 of 4 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1' Floor 2"a Floor 3rd Floor floors thru Basement Accessory Structure* • . �, i 91'2) 9-5 n la 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: /I' Lot Area (sq ft): n, el Floor area of principal dwelling: f\'Q Floor area of accessory dwelling: 12,S LB .i *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: rna 11364:111 Compact: Handicap: Will there be a change in use? ❑ Yes ud No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None 5A Other (specify) Mk\ Ski"%(1kteCS Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes 'kJ 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. !1:\Applications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-11. docx Revised: August 2011 bh Page 2 of 4 i • PERMIT APPLICATION NOTES — 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. 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). 1 HEREBY CERTIFY THAT 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNEUTHORIZED AGENT: Signature: Print Name: Jbe Lobfl, \ t C e Sk efl Date: 2 i, )► 3 Day Telephone: () Mailing Address: }tiCKpfl{ FGC tl :O. eeJo.\s, S ll Medi SOt1 Rhe . S1 -h Ft_, Tol-do, OH t43t.Ot{ City State Zip H:\Applications\Form-Applications On Line\2011 Applications\Permit Application Revised - 8-9-11. docx Revised: August 2011 bh Page 4 of 4 • 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: D13-307 Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 10/01/2013 Applicant: HICKORY FARMS, INC. Issue Date: Receipt No.: R13-02774 Initials: User ID: JEM 1165 Payment Amount: $122.31 Payment Date: 10/01/2013 09:46 AM Balance: $3.63 Payee: HICKORY FARMS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 142794 122.31 Authorization No. ACCOUNT ITEM LIST: Description Account -Code Current Pmts BUILDING - NONRES PLAN CHECK - NONRES STATE BUILDING SURCHARGE 000.322.100 000.345.830 640.237.114 Total: $122.31 69.97 47.84 4.50 Drinrcrl• 1n_n1_7ni • 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: htto://www.TukwilaWA. ov RECEIPT Parcel No.: 9202470010 Permit Number: D13-307 Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 10/01/2013 Applicant: HICKORY FARMS, INC. Issue Date: Receipt No.: R13-02775 Initials: JEM User ID: 1165 Payment Amount: $3.63 Payment Date: 10/01/2013 09:48 AM Balance: $0.00 Payee: JEFF I BACH, EVERGREEN CENTER TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 00512G ACCOUNT ITEM LIST: Description 3.63 Account Code Current Pmts BUILDING - NONRES 000.322.100 3.63 Total: $3.63 Prinlari• in-n1-2n1� INSPECTION NO. INSPECTION RECORD Retain a copy with permit 13-307 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: -!-,CK©rz-t a-iarmc.., Type of Inspection: I- 1 k;A Address: 2 BOO Se 0\,'‘tl Date Called: Special Instructions: Date Wanted: Pm1 Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 4r '?9 `4-0eyvvki. r;AP11 ) Dat : REINSPECTION FEE REQUIRED. Prior tnext inspection, fee must be 34. d at 6300 Southcenter Blvd., Suite 10p011 Call to schedule reinspection. INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit 1113-307 PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206-575-4407 Project: I4 c,. ir ©r i. FAP of s, Z � Typee-of Inspection lr'i re F; 6Address: JJ ' ? .5-81,,,*(2sr Suite #: 2�lla(f Contact Person: K -0/0e7 Special Instructions: Phone No.: Approved per applicable codes. Corrections required prior to approval. COMMENTS: �i rG F j �'�c I— C' K e l e/ -ht,. Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: 1 Inspector: C,F%S"''-1 Date:11/3) /2 Hrs.: $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to -schedule a reinspection. Billing Address Attn: Company Name: Address: City: State: Zip: Word/Inspection Record Form.Doc 6/11/10 T.F.D. Form F.P. 113 (Y 728 740 0 FILE COPY Pehnn No._ 28'-5' 190061°' 150sf 624 n 0 9C7 150sf 50'-8" a 3ERGN AN TRAVEL SHOP 2051sf 0 0 0 SOLSTICE 828sf CS) IND DIR Co �o rn (o 0 00 Cn 0 JEVIEWED FOR CO )E COMPLIANCE APPROVED OCT 14 2013 B►J City of Tukwila LDING DIVISION o � E RECEIVED CITY OF TUKWILA OCT 0 1 2013 PERMIT CENTER 0 0 0 0 0 VICTORIi 9705sf 0 I I Perm[ RIC)._. jj COM J - 1 Mari win a r;‘) r® al h suktc to mit o it o o ommrS�S i os. CLIENT: HICKORY FARMS PROJECT: 2011 MALL KIOSK ITEM: COVER DATE: 08/25/11 REVISION: 4 } 1OF5 1 1 1 h rTl - r� Approval o dOCu e tS 1..: s authorize o,. Receipt _.a .� _. ._ �y 111 ui®I cow adt Westfield Southcenter _ 633 Southcenter Mall al a�� 0 0 0 0 and 1Do0:o or ' ° ° o0 0 00 0 �= � o o.� o' : e o:o ��d: Space 9006 �'AJ of Tukwila, WA 98188 dr 10° GENERAL NOTES Hickory 2 of these SEPARATE REQUIRED L_BUILDING Farms 1:,1 I/ I. -Plumbing it City will use the kiosk layout on page plans. PERMIT FOR. pAnica0 iaeotric al Gas Piping 04 Tukwila DIVISION_, SITE PLAN REVIEWED CODE APPROVED OCT City BUILDING WED FOR COMPLIANCE i 1 4 2013 Pfl titA/ 1 of Ia .� VISION . - - ISOMETRIC I 4 i� z 4.�i � Il .I0 II .11‘14, 0 , i -,1 Vii j 1, ` BCU +fSE+ D City 1110 . 111 Of 1( 14ihO %Wig r �i0 1 !� MERCK I 1 `I �rll CITY • .,��' !/ 4 RECEIVED OCT - ,. �Ily ", OR MIT 1� c)' TUKWIL 0 1 CENTER 2013 I REVISIONS No changes shall be to the -,.n5\P of rk without prior approval o9 Tukwila Building Division. NOTE: Revisions will require a new plan sul lital and may include additional plan review fees. THIS DRAWING AND THE DESIGN WITHIN CANNOT BE USED OR REPRODUCED IN WHOLE OR IN PART WITHOUT WRITTEN PERMISSION OF EXHIBITS SOUTHWEST, INC. 8270 SOUTH KYRENE RD., STE. 110 TEMPE, AZ 85284 PHONE: 480.763.3333 FAX: 480.783-3339 HICKORY FARMS, INC. 1505 HOLLAND RD., PO BOX 219 MAUMEE, OH 43537 PHONE: 419.893.7611 FAX: 419.893-0164 HICKORY FA 4„ S® EXHIBITS -a SOUTHWEST CLIENT: HICKORY FARMS PROJECT: 2011 MALL KIOSK ITEM: COVER DATE: 08/25/11 REVISION: 4 PAGE 1OF5 UNIT A CASH WRAP 'i 7401.411p,1 I t -41111111111 UNIT B SHELF DISPLAY (REMOVE FOR 8 X 12 CONFIGURATION) I 4,0" ....41111111111111.A! 111111111111111/ riMMIMMil P UNIT C CORNER SHELF DISPLAY 3'-5 1/4" 111114.14, Amme. UNIT D SHELF DISPLAY 3'-0" ...AMIN v,- - ''' 111114111p P ellimillimi 1111111, 141/ __.4 e .-g. la . .• .• .• . . . '1? . . ' eu -N- .-0. 3 / -, / • r r 4 RECEI% -4,- 0 0 a ‘f 1 0 0 ! ! I ! I 0 0 CITY OF T t. •_ : . _ OCT 0 1 .... „ 4 . . .., UNIT E TALL CORNER UIT F N ROLL-OUT 3,0" iore i UNIT G MEAT COUNTER 3,10' ilrar UN IT COOLER 14 SURROUND 4,7 PERMIT C 44-1-1111)11 1 so 5 • : . all • a.:, e„ REVIEWED CODE COMP APPROVED FOR _IANCE t I I OCT 1 4 ...._ 2013 . -. z? i City of Tukwila i? • 0 0 4, . - e, • i — ,.. -•_ - ,.., , . . 1 BUILDING DIVISION UNIT 1 CORNER SHELF DISPLAY 11Wil Ally UNIT J SHELF DISPLAY (REMOVE FOR 8 X 12 CONFIGURATION) 310"17111 Latiji.A rillilliiiiiillW UNIT K STORAGE (SINK CABINET 3'-6 3/4 " 11111illir END UGHT TOWER (2) 5'-0" TICEUTEH-4-ornONFIGURATION) 4,0" •'; . . ,_ . • .._. : '..., . :1, IIIIIIIIll k u -u- "Illiallf e .E. 1 . . -r- SIGN - 48" x 12" . 9 SIGN - 24" x 27 '..r..., Zn ------ 11 c,-, ; , r i ;:t i i•-, 1 6 6 1 z9 - , . z9 I I I I 20 N 3 TER HICKORY FARMS 2011 MALL KIOSK UNIT DIMENSIONS 1- Z i : : • u 0 w ziii W 8 1:1-j 5 .7 ... a LL, 0 a F- 0 w CC PAGE 40F5 CONSTRUCTION MATERIAL • WEYERHAEUSER DURAFLAKE CLASS 1 RATED FIRE RETARDENT PARTICLE BOARD • WILSONART VERTICAL GRADE (.028") HIGH PRESSURE LAMINATE (INTERIOR AND EXTERIOR FINISH) • POWDERCOATED STEEL (AT LIGHT TOWERS) • FOUR SWIVEL CASTERS PER UNIT / TWO AT REAR LOCK Ffateaa+nd DURAFLAKE FRIfireFA1dparticleboard THE PARTICLE800.40 SOLUTION OF CHOICE FOR FIRE SAFETY NEEDS Dordlske. FR nnoon Flakeboard is ane panel at choke wing bolding code and pobric safety speCcatia $ demand Da sahty anagram... OvallalN FR paorleboard is a U!• Napo:eed. Casa A/Clanarated Ere waache panel than ided for Leader, narana orat user <nmats. ad.... hosa na. Mlels. mars. airpons, *fines and public boacE gs. D.vallake•FRofler.- • %peva aergm and dimendanal randka • Lon Lagar espan0on and thickness well • Smooth saran rna.a'xs for baanmrg and Enising • Easy mact2- gand bw yd we.. • vide range W pradocn sd cas Dv -NU, FR Particleboard Segal -gab. (Mbar., ORI Diemen Doe, tat• —. Ova/brie' FA Parwiatamd• Nbaq s •1boAtU.n 1 .:v •;FWnrlpn 47-50 :1`4°x•:'',... 300.0 as -o 250.000 250 +75 025 ELECTRICAL PLAN COOLER NOTES 1 POWER TO BE SOURCED FROM A SINGLE STANDARD 110 / 20 AMP FLOOR RECEPTACLE 2 ALL ELECTRICAL COMPONENTS, INCLUDING LIGHT FIXTURES, RECEPTACLES, POWER CORDS, ETC. ARE UL APPROVED 3 CORDS FOR OVERHEAD LIGHTS PLUG INTO SWITCHED RECEPTACLES AT CASH WRAP 4 CORDS FOR COOLER AND POS EQUIPMENT PLUG INTO UNSWITCHED RECEPTACLE AT CASH WRAP 5 NO EXTENSION CORDS OR POWER STRIPS ARE USED LEGEND is • LIGHT S O 4-PLEX RECEPTACLE SWITCH 20 AMP FLOOR RECEPTACLE CONTINUOUS POWER SWITCHED POWER REVIEWED FOR CODE COMPLIANCE APPROVED OCT 14 2013 City of Tukwila BUILDING DIVISION SCHEDULE HICKORY F EXHIBITS --i SOUTHWEST CLIENT: HICKORY FARMS PROJECT: 2011 MALL KIOSK ITEM: TECHNICAL SPECIFICATIONS DATE: 08/25/11 REVISION: 4 LIGHTS (1B) 9W LED GU -10 1.5A COOLER 6.9A POS EQUIPMENT 3A TOTAL 11.4A RECEIVED CITY OF TUKWILA OCT 0 1 2013 PERMIT CENTER THIS DRAWING AND THE DESIGN WITHIN CANNOT 8E USED OR REPRODUCED IN WHOLE OR IN PART WITHOUT WRITTEN PERMISSION OF EXHIBITS SOUTHWEST, INC. 8270 SOUTH KYRENE RD., STE. 110 TEMPE, AZ 85284 PHONE: 480-763-3333 FAX: 480.763.3339 HICKORY FARMS, INC. 1505 HOLLAND RD., PO BOX 219 MAUMEE, OH 43537 PHONE: 419.893.7611 FAX: 419.893.0164 HICKORY F EXHIBITS --i SOUTHWEST CLIENT: HICKORY FARMS PROJECT: 2011 MALL KIOSK ITEM: TECHNICAL SPECIFICATIONS DATE: 08/25/11 REVISION: 4 PAGE 50F5 keboard DURAFLAKE® FR I fire rated particleboard THE PARTICLEBOARD SOLUTION OF CHOICE FOR FIRE SAFETY NEEDS Duraflakew FR from Flakeboard is the panel of choice when building code and public safety specifications demand fire safety compliance. Duraflakeo FR particleboard is a UL0 approved, Class A/Class 1 -rated fire retardant panel that's ideal for interior, non-structural use in restaurants, schools, hospitals, hotels, malls, airports, offices and public buildings. Duraflakee FR offers: • Superior strength and dimensional stability • Low linear expansion and thickness swell • Smooth surface properties for laminating and finishing • Easy machining and low tool wear • Wide range of products and sizes DuraFlakea FR Particleboard Specification (Albany, OR) Grade DuraflakeR Particleboard • Albany Thickness (in)* Specification ClassA/Class 1 Flame Spread 47-50 1,600 300,000 80 250 225 0.40 -.005 11_11._ 1111 1111 Squaranass Ilef �_ 1yk; Density (pcl ) MOR(psi) MOE 1ps) 1 111. Internal Bond (psi).'i. Face Screw Hold (lb) Edge Screw Hold (ib) Linear Expansion (96) Thickness Tolerance lin) Length and Width (7n) le- I Class A/Class 1 Flame Spread 44-47 1,600 250,000 60 250 175 0.35 •i- .005 • t4odu,3+iaiabilryfor a p300UIOr application s iha tespoosiMGty ofthe let,,oatt or tied ase, • Corn5500 web C3'a EPPS308 aod OCR 9312.2 tCytitornia AP6 Compote. Wood AION Ithasis 2 aldol 0 • Matettal Safetyl.. Sheets W po(1 t0N • Ail pariela ai approvedf - f applicatima • ,a 11.016 Racydaddeucemeed Wood • Cont.,. to frnrruphhydee rery'awne tr ha panivetwurd't ANSI A.001 )ilfl4 Yt,'P. are, l+1C of APPLICABLE STANDARD TESTS • ASTM 084 Sta,.lard Tad fo, Suriaea Burni,r,1 Climarielisti,a o3 Goad., Matta, • ASTM C 236 Guarded pot Por Tea: • 01723 Twat I,' Surface Boo .og Characteristics of Building Mateciats BUILDING CODES • ICC • Iniernatlaml Cede C,, cif- 2042loteinntioo.I Kira Coda • 341424-Nat:,n01310 Noted;,,. 0•s.daeo,. NEPA 101 Life Safety Code PUPA 5000 Build-n9':t,,tr,nv.n:Sa AGENCYAPPROVALS Catilnrti. 500 Fire Mani0410660. 1622' lig, City „i Wm Yo:A MEA !II 28 M. City of toe Annalas RP 24+11 Un ".inti ear '3Iatxuatories. Ira. Ciassi0*d Wood 0oto..!ahwrd So lacti Bu nisi, Cl:at..tndsti,. V!. 123!0aaed:so .51,�,na Shead 20 IPA 25 Canada 0,4* Develo.d1 25 00A 25 Canada Thermal Cona.,aivify C.l and Thernai Roaiatame 1103 « 00 0.54 3.88 ,. 2 REVIEWED FOR ,CODE PROVED CE AP OCT 14 2013 tett' Code 0.62 i 0.55 6 11.0'1 45 I C:,01 City of Tukwila BUILDING DIVISION USAGE NOTES ,naa• applied .l /fat PEparticleboard :ha.. h 9 apead 4*: -.i A -3. Soma tionoma, sode adhatives.aye t til pottlems wets tim charroc31idsitanI osi U 1 k 010 he tented tot compafibiaty with dm rh mtai.stator in Petallike". FR yr 0010.aid (‚03.04)01.910 0r Dutaftalte. Mt pat Odebotril if ppm., an wog,". repot las a moot., .statited 1 dwail. los attest. tot side and the' 1 p ams spa..wId�µ MI x}1 be t damped i. ,wu• r,..e.. 4,...,4ttedh tot t. .a8 pet AWl Seddon 500 ,0' ,. :lodes and - 0.0,61,00 1,, is cap.'s., STORAGEANPHANOUNG Dtosaake. FR pa,ut.E„a,d should ott,,be 50000)0 uppt oott The irate. vora, art,...,,;,lr.tio dean.•1';, wnl!- Non. ose ailoss 0340/4141.1.. totparmoi It. I is Soo... imis tif, 12..,,.,. 1. nposita Patiels Amociatiito . B,.Int,ta 0'1201 ori g Par.,l.;.,.o '. o l MO CALIfORNM PROPOSIT1ON 6S RE0UIREMENT a '.Vat r,n9. D: I' I. sm., mod). <h,o,og awood p 010 - ,00 gene , 01.,1. a etes,ant a knew- _a. C0 ala t0 t :Liu .r use a dost nsak c, 00150, ttopeanls lar p.-nsonal potter:d.n. 9 9' o to 40 p _ Y FSC V.01t9331 111111PERMIT QOORD COPY f. PLAN REVIEW/ROUTING SLIP ACTIVITY NUMBER: D13-307 DATE: 10/01/13 PROJECT NAME: HICKORY FARMS, INC. SITE ADDRESS: 2800 SOUTHCENTER MALL, K-109 X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: Building Division El Wk 11°6° Public Works {gymk�wU� •6D'�� P�� Nett �o-v�,�3 Fire Prevention Structural Planning Division ❑ Permit Coordinator ❑ DETERMINATION OF COMPLETENESS:. (Tues., Thurs.) DUE DATE: 10/03/13 Complete Incomplete Not Applicable Comments: 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 REVIEWER'S INITIALS: DATE: Structural Review Required No further Review Required ❑ APPROVALS OR CORRECTIONS: DUE DATE: 10/31/13 Approved ❑ Approved with Conditions IX Not Approved (attach comments) ri Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire ❑ Ping ❑ PW ❑ Staff Initials: • CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-367o FAX (206) 431-3665 E-mail: tukplanpci.tukwila.wa.us Permit Center/Building Division 206 431-3670 Public Works Department 206 433-0179 Planning Division 206 431-3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO: ti\ 7 STATE OF WASHINGTON) ) ss. COUNTY OF KING [please print name] , states as follows: 1. I have made application for a permit from the City of Tukwila, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized under this permit to be exempt under number I I , and will therefore not be performed by a registered contractor. 5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. 1 s IA er/Owner �. ;ent* Signed and sworn to before me this day f ,otz&r C ,20/3. N AR PUBLIC in and for the State of Washington Residing at (/ , County Name as commissioned: My commission expires: Q 5-01-61-/1/ fid%/fie 18.27.090 Exemptions. The registration provisions of this chapter do not apply to: 1. An authorized representative of the United States government, the state of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district, or other municipal or political corporation or subdivision of this state; 2. Officers of a court when they are acting within the scope of their office; 3. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 4. Any construction, repair, or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, or other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 5. The sale of any finished products, materials, or articles of merchandise that are not fabricated into and do not become a part of a structure under the common law of fixtures; 6. Any construction, alteration, improvement, or repair of personal property performed by the registered or legal owner, or by a mobile/manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW who shall warranty service and repairs under chapter 46.70 RCW; 7. Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 8. Any person who only furnished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor; 9. Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials and all other items is less than five hundred dollars, such work or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into contracts of amounts less than five hundred dollars for the purposeofevasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he or she is a contractor, or that he or she is qualified to engage in the business of contractor; 10. Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry raising; or to clearing or other work upon land in rural districts for fire prevention purposes; except when any of the above work is performed by a registered contractor; 11. An owner* who contracts for a project with a registered contractor, except that this exemption shall not deprive the owner of the protections of this chapter against registered and unregistered contractors. The exemption prescribed in this subsection does not apply to a person who performs the activities of a contractor for the purpose of leasing or selling improved property he or she has owned for less than twelve months; 12.* Any person working on his or her own property, - whether occupied by him or her or not, and any person working on his or her personal residence, whether owned by him or her or not but this exemption shall not apply to any person who performs the activities of a contractor on his or her own property for the purpose of selling, demolishing, or leasing the property; - 13. An owner* who performs maintenance, repair, and alteration work in or upon his or her own properties, or who uses his or her own employees to do such work; 14. A licensed architect or civil or professional engineer' acting solely in his or her professional capacity, an electrician certified under the laws of the state of Washington, or a plumber certified under the laws of the state of Washington or licensed by a political subdivision of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the person certified is operating within the scope of his or her certification; 15. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his or her sole compensation or as an employee with wages as his or her sole compensation; 16. Contractors on highway projects who have been prequalified as required by RCW 47.28.070, with the department of transportation to perform highway construction, reconstruction, or maintenance work; 17. A mobile/manufactured home dealer or manufacturer who subcontracts the installation, set-up, or repair work to actively registered contractors. This exemption only applies to the installation, set-up, or repair of the mobile/manufactured homes that were manufactured or sold by the mobile/manufactured home dealer or manufacturer; :„ 18. An entity who holds atvalid•:electrica1 contractor's license under chapter;i9:28 RCW'th at.employs a certified journeyman elect`iei?t1 a•certified•residential specialty electrician, or an;elecfrical trainee meeting the requirements of o71aptet 19.28 RCW to perform plumbing work that is incidentally, directlly,•arid imrheIiately appropriate to the:like-ln-kind replacement, of a household appliance or other slnalhhousehold�utilization equipment car ....,.- .�,� .. • ,: that requires limited electri Lpower and•hmited waste and/or water connectionss'.'Anselecti-ical trainee must be supervised by a certified electrician while performing plumbing work. • Per Washington State Department of Labor and Industries lessee has been interpreted to be equivalent to owner for purposes of exemptions.