Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Permit D14-0221 - CHAMP SPORTS NIKE YARDLINE - TENANT IMPROVEMENT
CHAMPS SPORTS 1030 SOUTHCENTER MALL D14-0221 CITY OF TUKWILA Community Development Department 6300 Southcenter Boulevard, Suite 100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 http://www.TukwilaWA.gov DEVELOPMENT PERMIT Parcel No.: 9202470010 Permit Number: D14-0221 Address: 1030 Southcenter Mall Issue Date: 09/09/14 Project Name: Champ Sports Nike Yardline Permit Expires On: 03/10/15 Owner: Name: Westfield Address: Contact Person: Name: Tim Schenk Phone: (952) 345-6040 Address: 1120 E 80 Street, Ste 211 Bloomington, MN 55420 Contractor: Name: Horizon Retail Construction Phone: (262) 638-6000 Address: 1500 Horizon Drive Sturtevant, WI 53177 License No.: HORIZRC072N5 Expiration Date: 04/15/15 Lender: Name: Elder Jones Phone: Address: 1120 E 80 Street, Ste 211 Bloomington, MN 55420 Description of Work: remodel new partitions, ceiling, interior finishes, lighting fixtures, etc. Project Valuation: $ 305,000.00 Type of Fire Protection: Sprinklers: Y Fire Alarm: Y Type of Construction: IIB Fees Collected: $ Occupancy per IBC: M Electrical Service Provided by: Puget Sound Energy Water District: Tukwila Sewer District: Tukwila Current Codes adopted by the City of Tukwila International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2102 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Public Works Activities: Chanellization/Striping: Curb Cut/Access/Sidewalk: Fire Loop Hydrant: Flood Control Zone: Land Altering: Volumes: Cut: Fill: Landscape Irrigation: Sanitary Side Sewer: Number: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Permit Center Authorized Signature: Date: I hereby certify that I have read and ex mine ordinances governing this work will be c pli this permit and know the same to be true and correct. All provision of law and d 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: Date: 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: Permit conditions will be distributed under a separate cover. PERMIT INSPECTIONS REQUIRED: Permit Inspection Line: (206)438-9350 See inspection card for required inspections. ti. CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov 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 LOC'A Site Address: 1020 & 1030 SOUTHCENTER MALL King Co Assessor's Tax No.: 9202470010 Suite Number: 324 Floor: 1 Tenant Name: CHAMPS SPORTS NIKE YARDLINE New Tenant: Yes ❑ ..No MP>I;QPEI'Y OVVPTER a 7 Name: WESTFIELD, LLC. Address: 2800 SOUTHCENTER MALL City: SEATTLE State: WA Zip: 98188 C©NrA T PERSO k iul%tlon Name: TIM SCHENK Address: 1120 EAST 80TH STREET, SUITE 211 City: BLOOMINGTON State: MN Zip: 55420 Phone: (952) 345-6040 Fax: (952) 854-4909 Email: tims@elderjones.com GEl'�L1tA1 CD 0li1 N >, 0 OV Company Name: T.B.D. Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: ARci TfET OI RECORD Company Name: TRICARICO ARCHITECTURE Architect Name: NICHOLAS J. TRICARICO Address: 502 VALLEY ROAD City: WAYNE State: NJ Zip: 07470 Phone: (973) 692-0222 Fax: Email: kaitlynl@tricarico.com EN Tt"+TEE O FR'l CORD Company Name: TRICARICO ARCHITECTURE Engineer Name: NICHOLAS J. TRICARICO Address: 502 VALLEY ROAD City: WAYNE State: NJ Zip: 07470 Phone: (973) 692-0222 Fax: Email: kaitlynl@tricarico.com ALE 1ER OND SUED` (•regwred for projects $5,000 or gri "peril ,� 9.27'.095) Name: N/A 6.414 \/° /1/7-- Address: 1 /zi) G ,Qn City: //y7pj,� State: �✓J� Zip: 5; H:\ApplicationTomn-Application On Line \2011 Applications \Per mt Application Revised - 8-9-11.docc Revised: August 2011 bh Page 1 of 4 UmLD P. 3ia. Valuation of Project (contractor's bid price): $ '33S, 000 Describe the scope of work (please provide detailed information): REMODEL OF EXISTING RETAIL SPACE IN SHOPPING CENTER FOR NEW RETAIL TENANT. WORK TO INCLUDE NEW PARTITIONS, CEILINGS, INTERIOR FINISHES, NEW ELECTRICAL WORK & LIGHTING FIXTURES, OUTLETS & SWITCHES. NEW THERMOSTAT & EXHAUST FAN, RELOCATE DRINKING FOUNTAIN. Will there be new rack storage? VI Yes Id Existing Building Valuation: $ ❑.. No If yes, a separate permit and plan submittal will be required. 7,493 0 7,493 litiori'to sting oture„ Type of Type of Construction per Occupancy per IBC , IBC 2B M Floors Accessary Structure* Atta De ted hed it'= k a� 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 m No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: Sprinklers 0 Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes El 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:Wpplicatiaa\Forms-Applications On Line\2011 Applications\Pennit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 2 of 4 Scope of Work (please provide detailed information): Ca11 before you Dig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila ❑ ...Water District #125 0 ...Water Availability Provided ❑ .. Highline Sewer District 0 ...Tukwila ❑ ...Valley View ❑ .. Renton 0 ...Sewer Use Certificate ❑ ...Sewer Availability Provided ❑ .. Renton ❑ .. Seattle 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. Submitted with Application (mark boxes which applv): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34") ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report 0 ...Bond ❑ .. Insurance 0 .. Easement(s) ❑ .. Maintenance Agreement(s) Proposed Activities (mark boxes that apply): 0 ...Right-of-way Use - Nonprofit for less than 72 hours ❑ ...Right-of-way Use - No Disturbance O ...Construction/Excavation/Fill - Right-of-way ❑ Non Right-of-way O ...Total Cut cubic yards O ...Total Fill cubic yards ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities 0 ...Frontage Improvements 0 ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water 0 ...Traffic Impact Analysis ❑ ...Hold Harmless — (SAO) 0 ...Hold Harmless — (ROW) ❑ .. Right-of-way Use - Profit for less than 72 hours ❑ .. Right-of-way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line ❑ ...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size .. ❑ ...Water Only Meter Size ❑ ...Sewer Main Extension Public 0 0 ...Water Main Extension Public 0 ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding wo # WO# WO # ❑ ...Deduct Water Meter Size Private 0 Private 0 FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) O ...Water 0 ...Sewer 0 ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip H:Upplications\Fonns-Applications On Line\2011 Applications\Pennit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 3 of 4 • P; 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). 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 OWNER OR AUTHAGENT: it.A...... Signature: L• Print Name: TIM SCHENK Day Telephone: Date: 07/10/2014 (952) 345-6040 Mailing Address: 1120 EAST 80TH STREET, SUITE 211 BLOOMINGTON MN 55420 City State Zip HAAppliatiore\Forms-Applications On Line \2011 Appliatiols\Pennit Application Revised - 8-9-1I.docx Revised: August 2011 bh Page 4 of 4 CITY FORM NO 1 1912 ADOPTED BY DIVISION OF MUNICIPAL CORPORATIONS. CITY OF TUKWILA TREASURER'S RECEIPT Date O 11(it NE 47833 �908 11A �-%°�� I Cov4,C ry ,ova 1,G0-1 Received of FOR DILA BY Cr(/'(4- 0 OLYMPIC PRINTERS TOTAL%� DEPT: PCw Dol ars, WHITE - Finance Dept. CANARY - Customer PINK - Flle DESCRIPTIONS PermitTRAK Cash Register Receipt City of Tukwila ACCOUNT QUANTITY PAID $4,834.87 Address:1030 SOUTHCENTER MALL Apn: 9202470010 $3,421.31 DEVELOPMENT $3,258.60 PERMIT FEE R000.322.100.00.00 0.00 $3,254.10 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $162.71 TECHNOLOGY FEE R000.322.900.04.00 0.00 $162.71 D14-0222 Address: 0 SOUTHCENTER MALL Apn: 9202470010 $202,22 DEVELOPMENT $192.80 PERMIT FEE R000.322.100.00.00 0.00 $188.30 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $9.42 TECHNOLOGY FEE R000.322.900.04.00 0.00 $9.42 EL14-0675 Address: 1030 SOUTHCENTER MALL Apn: 9202470010 $657.09 ELECTRICAL $625.80 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $625.80 TECHNOLOGY FEE $31.29 TECHNOLOGY FEE R000.322.900.04.00 0.00 $31.29 M1' 0145 Address: , 0 SOUTHCENTER MALL Apn: 9202470010 $451.87 MECHANICAL $430.35 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $397.85 TECHNOLOGY FEE $21.52 TECHNOLOGY FEE R000.322.900.04.00 0.00 $21.52 PG14-0123 Address: 1030 SOUTHCENTER MALL Apn: 9202470010 $102.38 PLUMBING $97.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $65.00 TECHNOLOGY FEE $4.88 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3009 R000.322.900.04.00 0.00 $4.88 $4,834.87 Date Paid: Tuesday, September 09, 2014 Paid By: HORIZON RETAIL CONSTRUCTION Pay Method: CHECK 47833 Printed: Tuesday, September 16, 2014 1:32 AM 1 of 1 CirlitWSYSTEMS DESCRIPTIONS PermitTRAK Cash Register Receipt City of Tukwila ACCOUNT QUANTITY PAID $2525.99. D14-0221 Address:1030 SOUTHCENTER MALL Apn: 920247001.0; $2,115.17 DEVELOPMENT $2,115.17 PLAN CHECK FEE R000.345.830.00.00 0.00 $2,115.17 D14-0222 Address:1030 SOUTHCENTER MALL Apn: 9202470010 $122.40 DEVELOPMENT $122.40 PLAN CHECK FEE R000.345.830.00.00 0.00 $122.40 EL14-0675 Address:1030 SOUTHCENTER MALL Apn: 92024700 ELECTRICAL $156.45 $156.45 PLAN CHECK FEE R000.345.832.00.00 0.00 $156.45 M14-0145 Add ress:1030 SOUTHCENTER MAIL Apn: 9202470010 $107.59 MECHANICAL $107.59 PLAN CHECK FEE R000.322.102.00.00 0.00 $107.59 PG14-0123 Address:1030 SOUTHCENTER MALL Apn: 9202470010 $24.38 PLUMBING $24.38 PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R2614 R000.322.103.00.00 0.00 $24.38 $2,525.99 Date Paid: Thursday, July 17, 2014 Paid By: ELDER JONES Pay Method: CHECK 68602 Printed: Thursday, July 17, 2014 10:31 AM 1 of 1 CRW SYSTEMS J 4 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $65.00 D14-0221 Address: 1030 SOUTHCENTER MALL Apn: 9202470010 $65.00 DEVELOPMENT $65.00 ADDITIONAL PLAN REVIEW TOTAL FEES PAID BY RECEIPT: R3263 R000.345.830.00.00 1.00 $65.00 $65.00 Date Paid: Thursday, October 09, 2014 Paid By: ROBERT W CALABRAY Pay Method: CREDIT CARD 05211B Printed: Thursday, October 09, 2014 10:05 AM 1 of 1 SYSTEMS INSPECTIONRECORD Retain a copy with permit INS PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project � - A Type of inspection: Address: ltSd sO inn ai Date 1 ed: Special Instructions: Date Win d: L m Reque el 1( PhhhhhhIe,No 3 Z (1.42,67 'Appr-oved per applicable codes. Corrections required prior to approval. COMMENTS: t=- I rJ AL LE T T"E R 6 4i. tJ ri Il llty CZ.) Co L AZ1 PJG - qp frcV . t c jP l kicti - oPPrzo vE.i, Pe, r rev, f 0C9Yek. I€ e /Ici , NA 4, p NSPECTION FEE REQUIRED. Prior to next inspection, fee must be d at 6300 Southcenter Btvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit IN PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Pro l n PS Type of Inspection cnIfkc4 xy L titfikti, Addresss. ,� Date Called: Special IInnstructions: bate Wanted: i.m // /3 --/ Requester: Phone No: IJApproved per applicable codes. Corrections required prior to approval. COMMENTS: ;•I, tR cjrl 4/5 /Ji LJ )Cicefi5jO4L /TJ.L/i9 c '. uI q v k u s7-6,0K pectr: if 6o ri SPECTION FEE REQU1 ED. Prior to next inspection. fee must be Pd at 6300 Southcenter 81&d.. Suite 100. Gil to schedule reinspection. Date: •, } //_,3 -/ INSPECTION RECORD Retain a copy with permit INSPECTION NO. D\ L - 0Z,21 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: k A t& Type of Inspection: 1 (am) Ad ss: 1to3 t S o_ yvA ALL, Date -Called: Special Instructions: Date i ame ) e Requester L Phone No: ? L 2,` 2.l-LIZ-h7 Approved per applicable codes. Corrections required prior to approval. COMMENTS: t, L, cltrt-. t'(sNazi Vrts rApdaic re 3 , 1 1 i:� N;- 11,p,pr 'b D. ritAttilWe — 4pp/Wei' SPECTON FEE RE at 6300 Southcente Date: // 0 A,/ IRED. Prio next inspection. fee must be lvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit b//-�z2/ INSP PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 "VII A Y31 �O� type f Inspec ion: , Address: 1030 C iM4 Daterca/) Q6� L >>ri'fti Special Instructions: Date Wanted: /0 / i "7 /19 0 Requester: Phone No: Approved per applicable codes. EJCorrections required prior to approval. C9AMENTS: y 1 AS L,d S :s z/)'(7-y 717 or: Date:, I NSPECTION FEE R QUIRED. Prior 1lo next inspection, fee mbst be id at 6300 Southcenter Blvd., Suite 100 Call to schedule reinspection. 1 t INSPECTION RECORD Retain a copy with permit PEMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: 0.�t- A14 o T o Inspection: -UAAii E Address: tom •Se. MAW Date Called: Specia Ins ructions: ' bateWanted; a.m. .IN:, Requester: Phone No: DApproved per applicable codes. D Corrections required prior to approval. COMMENTS: c:::) A. 'al( l(4 r: l i 6'1tsE 1(1LL4(_( (Lit)(/S Date: J j cca ('th / l`/ NSPECTION FEE R'QUIRED. Prior to next inspection, fee must be aid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a co with errrmit"o-?-� IN P N . py p RMIT NO. CITY Of TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: CCNAMP SVC/CWS Tge of Inspection: rT wi► G, Address: I030 rvAIf D to ca led: Ve01►NL Special Instructions: Date Wanted: D el J y p.m. Requester: Phone No: gkpproved per applicable codes. Corrections required prior to approval. COMMENTS: Atl s vit. A 42 0 ! c)-1 \t — A.p7(c'1/ 7ci V sll g< die; l; :' - - 0 p � -I 1,(1 - 4/N Qc .2 Date: ECTION FEE RE IRED. Prior to Next inspection. fee must be 6300 Southcenter lvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 i Pn eg: r1 T e{{��ofnUspect�io1n%�,, Address:• I GC_ vri A ►1 5V i,,.PFAbofD (P/L;Ai( Special Instructions: bate Wante J 1 C) 1( I t p.m. Requester: Phone No: Approved per applicable codes. corrections required prior to approval. COMMENTS: CD t e ifs T'n rJIRP ) (Pry Date: rn �� /y NSPECTION FEE RE IRED. Prior to next inspection. fee must be d at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NUMBER PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila, Wa. 98188 206-575-4407 Project: doni Type of In pection 5 E Ary Address: wat) - )030 Suite #: S• C. 0' l.L Contact Person: Special Instructions: Phone No.: P...Approved per applicable codes. COMMENTS 171Yiro O,s'UU 5P 10 - o Corrections required prior to approval. c,,m(SL 015— owa aim 5p IV,). Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: ®' vl - g•"d Date: / ,/ 2 /// Hrs.: 49.._ n $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: Address: City: Word/Inspection Record Form.Doc Company Name: State: 6/11/10 Zip: T.F.D. Form F.P. 113 INSPECTION RECORD Retain a copy with permit INSPECTION NUMBER ;/ V- 5 z/e PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT Project: f'� Type of Inspection 4'4"e'17ers Address: X/147/oSuite #: �Q � �d .s'Q ontact Pn: Special Instru ons: Phone No.: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 1-...0` A le- : L ) 0 — - - /J / ' ccd C fry „On 71 r..n p A.1 11.4A/g 0 0,7% // A.,e3.- / . -, d `' v i0 b 71 iiksb .%1%.c Aire/ `, AVf /,01(e. r' )a&/ 'n- X•17 - /OP 1 --" fc P lru iti,th;1-tie 14 o , t-` " ''C,' /7d /e f' — Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: Date: Hrs.: $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule.a reinspection. Billin Attn: 9 Address Company Name: Address: City: State: Zip: Word/Inspection Record Form.Doc 3/14/14 T.F.D. Form F.P. 113 INSPECTION RECORD Retain a copy with permit INSPECTION NUMBER l 4-1 - - l` PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 Project: e: (A-in,o_s Type of Inspection: - A-- Address: it) . C , ievi A L I Suite #: /t, -z� Contact Person: Special Instructions: Phone No.: [Approved per applicable codes. Corrections required prior to approval. COMMENTS: A- - Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: Date: / ) H $100.00 REINSPECTION FEE REQUIRED.' You will receive an invoice from the City of Tukwila Finance Department. Cali to schedule a reinspection. Billing Address Attn: Address: Company Name: City: State: Zip: Word/Inspection Record Form.Doc 3/14/14 T.F.D. Form F.P. 113 MAYES TESTING ENGINEERS, INC. Project No. T14252 Project Champs Sports Southcenter Mall Address 1020 Southcenter Mall, Tukwila Permit No. D14-0221 Bldg Dept. City of Tukwila Engineer N.J. Tricarico Contractor Horizon Retail Construction Record No. 001 Date 11-11-14 Weather Indoors Inspection Proprietary Anchors RECE!S EC, CITY OF TUKWIL NOV 14 2014 PERMIT CENTEP Seattle Office 202250sdaValey Road Sub110 Ly snood, WA98006 ph425.7429360 fax425.745.1737 Tacoma Office 10029S. Tacoma Way &iie C 2 Tacoma, WA98499 ph253.584.3720 fax253.584.3707 PP►flandOilice 7911 NE 33rd DrKe Slile 190 Pollard, 0R 97211 ph 503281.7515 fax503281.7579 Inspected installation and torque (25 ft/lbs.) on 3/8" diameter Red Head Wedge Anchors at added shelving in Nike backroom storage area. Installation of wedge anchors conforms to manufacturer's requirements. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Mat Taylor Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Information in this report applies only to the actual items inspected or tested and shall not be reproduced except in hill, without the approval of Mayes Testing Engineers, Inc. Page 1 of 1 STRUCTURAL CALCULATIONS PILE COPY Permit No. PREPARED FOR: Champs/Nike Yardline STORE#14498 SOUTHCENTER MALL 1020 & 1030 SOUTHCENTER MALL SPACE #324 SEATTLE, WA 98188 CALCULATIONS FOR: SUSPENDED CEILINGS AND STOREFRONT FRAMING REVIEWED FOR CODE COMPLIANCE APPROVED AUG 25 2014 City of Tukwila BUILDING DIVISION RECEIVED CITY OF TUKWILA JUL 17 2014 PERMIT CENTER PREPARED BY: JOSEPH LEWIS, P.E. 3260 HENDERSON RD., SUITE 10 COLUMBUS, OHIo 43220 (614) 326-2806 (PH) IEXPIRES 08-13-45 TOTAL NO. SHEETS (NOT INCLUDING THIS SHEET): 2 DATE: 7/03/2014 p 4-02-2-I Joseph Lewis, P.E. CONSULTING STRUCTURAL ENGINEER 3260 W. HENDERSON RD. SUITE 10 CoLUMeus, OH 43220 Ph: 614-326-2806 Fx: 614-326-2805 Design Code: Washington State Building Code Referenced Standards ESR-2196 — Hilti Kwik Pro Self Drilling Screws ESR-2457 — Metal Studs Suspended Ceiling Design Loads: DL = 7 psf (Gyp Board Ceiling) 2 psf (Framing system) 1 psf (Misc.) 10 psf or 200 Ibs conc. load (whichever is greater) Seismic: Ss = 1.597 Si _ .556 Site Class = D (assumed) Fa=1.0 F,=1.5 Sos = (2/3)FaSs = 1.065 SDI = (2/3)F,S, = .556 Occupancy Category = II Seismic Design Category = D Structural element: Ceilings ap=1.0 Rp=2.5 Ip=1.0 z=12' h=20' .4apSDsW z Fp RP 1+2h=.40Wp P lI P Fp(max)=1.6Sips 1pWp=1.6Wp Fp (min.) = .3 SDS Ip Wp = .3 Wp Bracing Wire (4) 12 Ga. Hanger/Bracing Wires @ 4'-0" o.c. each way DL Tension = (1/4)(10 psf)(4')(4')/cos 45° = 57 Ibs OR = (1/4)(200 Ibs)/cos 45° = 71 Ibs (controls) Seismic Tension = (.40)(50 Ibs)/cos 45° = 28 lb Total Tension = 71 Ibs + 28 Ibs = 99 Ibs per wire 7D2 ic(.053)2 Awire— 4 4 =.0088 inz J I" eT — 11.3 ksi wire O.K. O.K. ASTM A641/A641m Fy = 36 ksi min., F„ = 58 ksi F,=.60Fy=21.6ksi OR=.50Fu=29ksi O.K. Structural Calculations Champs/Nike Yardline Southcenter Mall SEATTLE, WA Joseph Lewis, P.E. CONSULTING STRUCTURAL ENGINEER 3260 W. HENDERSON RD. SUITE 10 Cameos, OH 43220 Ph: 614-326-2806 Fx: 614-326-2805 Storefront Framing Structural Calculations Champs/Nike Yardline Southcenter Mall SEATTLE, WA Design Loads: Dead Load: Storefront framing (mtl. stud beams, etc.) conservatively designed for a vertical load of 100 plf. Seismic: See page 1 for additional seismic info. Structural element: Nonstructural Wall Elements ap=1.0 Rp=2.5 Ip=1.0 z=12' h=20' .4ay8ns WP Fp= R pII p (1+21= .35 Wp Fp (max) = 1.6 SDs Ip Wp =1.6 Wp O.K. Fp (min.) = .3 SDS Ip Wp = .3 Wp O.K. Framing Support Beams (2) 12" x 18 ga. MtI. Box Header Max. span L = 18'-7", w = 100 plf Mmax = 8 WL2= 4317 lb-ft < Mallow = 4659 lb-ft Deflection = .58" = L/386 O.K. Framing Support Beams (2) 8" x 18 ga. Mtl. Box Header Max. span L = 12', w = 100 plf Mmax = 8 WL2= 1800 lb-ft < Mallow = 3354 lb-ft (ESR-2457) O.K. Deflection = .17" = L/833 O.K. Lateral Braces 3-5/8" x 20 ga. Studs @ 48" o.c. L = 12'-0" max. (fully unbraced) Brace Loads: Seismic = (.40)(100 plf)(4'-0")/(1.4)/(cos 45°) = 162 Ibs Pallow = 840 Ibs (AISI Eq. C5.2.1-1) O.K. Braces attach to framing with (4) #10 SDS screws Vallow = (4)(188 Ibs per screw) = 752 Ibs (ESR-2196) O.K. O.K. 2 2012 Washington State Energy Code Compliance Forms for Commercial, Group RI, and > 3 story R2 and R3 Mechanical Summary MECH-SUM 2012 Washington State Energy Code Compliance Forms for Commercial, Group R1, and > 3 story R2 and R3 Revised June 2013 Project Info FILECOPY 'ail. Nei. Project Address souther nt r Nell Space 1324 Date 7/14/2014 1020 c 1030 soothe nt.r Nall For Building Dept. Use Seattle, WA 98188 ApplicantName: Nicholas Trioariao ApplicantAddress: 602 Valley Road, Wayne, NJ 07420 ApplicantPhone: (973) 692-0222 Project Description Briefly describe mechanical system type and features. Includes Plans Include documentation requiring compliance with commissioning provisions per Section C408. Compliance Option Simple System Complex System Systems Analysis Equipment Schedules The following information is required to be incorporated with the mechanical equipment schedules on the plans. For projects without plans, fill in the required information below. Cooling Equipment Schedule Equip. ID Equip Type Brand Name1 Model No.1 capadiy2 Btulh OSA CFM or Econo? SEER or EER IPLV3 Econmizer Option or Exception° Heat Recovery Y/N RTU-1 RTU YORK BP102C00P2AAA3C 102000 680 ARU-1 aau YORK BLSN180A33A 96000 800 CU-1 co YORK SiTB180A2SB Heating Equipment Schedule Equip. ID Equip Type Brand Name' Model No.1 Capacity2 Btulh OSA cfm or Econo? Input Btuh Output Btuh Efficiency` Heat Recovery Y/N RTU-1 RTU YORK BP102C00P2AAA3C 100000 ABU-1 ASU YORK FLSR180A33A 76770 CU-1 co mix S1TB180A2SB Fan Equipment Schedule Equip. ID Equip Type Brand Name' Model No.1 CFM sp' HP/BHP Flow Control° Location of Service IF-1 IF NUTONZ QTRN110L 110 0 .1 n RSSTROON Service Water Heating Equipment Schedule Equip. ID Equip Type Brand Name' VRI Input Sub - ry EF1 Location of Service EV1e CODE COMPLIANCE APPROVE AIR I ! 7n1a If available. 2 As tested according to Table applicable. ° Fiat ectrEprEtriable air volu CITY OF TUKWILA JUL 1 7 2014 PERMIT C`FN r o .2.3(1)A thru C403.2.3(8). 3 If req red. • COP, HSPF, Combustion Efficiency, or AFUE, as (VAV), constant volume (CV), or riable speed (VS). ° Economizer exception number per City of Tukwila BUILDING DIVISION PHs- oui Mechanical 2012 Washington tate Permit Plans Checklist - Page 3 of 3 MECH-CHK Cods . Iona Forms for Commented, • . Ri, and > 3 story R2 and R3 - • Jwl. 201 Project Address Southcenter Mall Space #324 IDate 7/14/2014 The following information is necessary to check a mechanical permit application for eommendal provision compliance with the 2012 WSEC. NOTE: Define pant area in Excel prior to printing MECH.CHK pages. APPino,na) Sectl (yes,nona)o Code Provision I Information Required !Location on PlansCOMPLEX Department Build NDtes SYSTEMS, CONTINUED Specific System Requirements No C403.4.2 & C403.2,12 Variable lbw control - fans indicate fans requiring variable flow Control and method No C403.4.2.1 VAV fan static pressure sensors indicate sensor locations on plans; indude at least one sensor per major dud brand) No C403.4.2.2 VAV fan static pressure setpoint Indicate fan system static pressure setpoint based on zone requiring most pressure No C403.4.5 VAV systems serving multi -indicate zones supply air systems serving multiple zones that ere required to be VAV, method of primary air control, and zones served; note exceptions taken No C403.4.5.4 VAV system supply air reset indicate controls that automatically reset supply air temp in response to 10allo C403.4 Large capadty cooling systems Indicate method of multi -stage or variable control for building cooling system capacity > 300 tons No C403.4.7 Hot gas bypass limitation Indicate cooling equipment unloading or capacity modulation method No C403.4.3 Large capadty boilersystems Indicate multi -stage or modulating bumer for single boilers > 500,000 btuh No C403.4.3 Boiler sequencing Indicate automatic controls that sequence operation of multiple boilers No C403.4.3.5 Chliier / bolter plant pump isolation indicate capability to automatically reduce overall plant flow and shut -of flow through dti lers & boners when not In use No C403.4.2 & C403.4.3.8 Namable lbw control - pumps Indicate pumps requiring variable flow control & method No C403.2.12.1 & C403,4.4 Variable flow control - cooling towers Indicate cook fans n9 tower requking variable flow control and method No C403.4.3.4 contrcle I/stem Pal bad aw..,vvw.� reset supply water temp AND reduce flow by a 50% for systems > 300,000 No C403.4.3.2 Two -pipe changeover systems Indicate deadband, heatng/cooling mode scheduling and changeover temperature range No C403.4.3.3.1 Water loop heat pump - deadband indicate capabilityof central equipment to provide min. 20°F water supply temp deadband between heat refection and heat addition modes No C403.4.3.3 Waterloop heat pump - heat refection Provide heat exchanger that separates cooling tower and heat pump loop In Climate Zone 5 No C403.4.3.3.3 Water loop heat pump - Isolation Indicate 2-way Isolation valve on each heat pump and variable flow control for systems with total punw power > 10 hp N o C403.4.8 ondenser ro water heat Indicate system provided to pre treat service water and efficiency No C403,5 Cooler / freezer - anti -sweat heaters Indicate w/sf & control method for walk-in cooler/freezer door anti -sweat heaters No C403.5 / 8 Cooler /freezer -evaporator and condenser fans Indicate motor type for evaporator and condenser fans < 1 hp SERVICE WATER HEATING Service Water Systems Noefficiency C404.2 Water -heating equip min. Provide equipment schedule or complete MECH-SUM table with type, capacity. efficiency, test standard (or other efficiency source) M2.0 No C404.3 Temperature controls Indicate temperature controls have requked setpdnt capability M2.0 No C404.4 Heat traps indicate piping connected to equipment have heat traps on supply discharge M2.0 No C404 5 insulaton under water heater Indicate R-10 insulation under tank M2.0 No C404.8 Service water piping insulation indicate Indicate R-value of insulation on piping; note exceptions taken No C404.7 18 Circulation systems and heat trace shut-off Indicate shut-off capability based on occupancy and periods of limited. demand M2.0 No C404.9 Group R-2 service hot water meters Indicate method of usage metering for dwell. units served by central HW 0v015m M2.0 Pools & In -Ground Permanently Installed Spas No C404.10.1 Pod heating equip rNn. elNciency Provide equipment schedule or complete MECH-SUM table with type, capacity, eflidenky, test standard (or other eft. source); heat pump heaters t4COP No C404.10.1 / 2 Pod heater on / off controls indicate automatic on/off control based on scheduling & accessible on/off switch on heater that operates independent of thermostat setting: or No C404.10.3 Pod covers indicate vapor retardant cover and insulation rating as required No C404.10.3 Pool assembly insulation Indicate rating of insulation on skies and bottom of pools heated to > 90°F No C404.10.4 Heat recovery Indicate method, exhaust air temperature reduction and recovered energy use Mechanical Permit Plans Checklist - Page 2 of 3 2012 Washington State Energy Code Compliance Forms for Commercial, Group R1 and > 3 story R2 and R3 MECH-CHK Revised June 2013 Project Address Southcenter Mall Space #324 'Date 7/14/2014 The following information is necessary to check a mechanical permit application for commercial provision compliance with the 2012 WSEC. NOTE: Define print area In Excel prior to printing MECH.CHK pages. APPkabilitY (yes,no,na) Code Section Code Provision Information Required Location on Plans Building Department Notes GENERAL PROVISIONS, CONTINUED HVAC System Controls & Criteria, Continued No C403.2.12 Variable flow control - fans/pumps Indicate fan & pump motors requiring VF control & method (VSD or equiv controls) No C403.2.12.1 Variable flow control - Cooling towers Indicate cooling tower fans requiring variable flow control and method No C403.2.12.2 Large volume fan systerrro Indicate fan systems requiring airflow reduction based on heating and cooling demand; or exception taken No C403.2.12.2 Single zone AC systems Indicate method of cooling demand -based fan control for sys. > 110,000 btuh No C403.2.4.10 DDC system capabilities Identify all DDC inAxdput control and indicate capability systefor trendlna and and reue d se setnnt adimet ent Ducting Systems Yes C403.2.7.1 & C403.2.7.3 Duct construction Indicate all ductwork constructed and sealed per IMC, C402 leakage requirements and IBC vapor retarder requirements Yes 7A03.2.7.3.1-: Dud pressure classifications identify location of low, medium and high pressure ductwork on plans Yes C403.2.7.3.3 High pressure duct leakage test indicate high pressure duct leakage testing requirements on plans; provide test results to jurisdiction when completed Yes C403.2.7.1 / 2 Duct insulation Indicate R-value of insulation on ductwork , Piping Systems No C403.2.8 Piping insulation indicate R-value of insulation on piping M1.0 No C.403.2.8.1 Piping ineulaticm "madto indicate method of protection from damage/degredationweather M1.0 SIMPLE SYSTEMS Qualifying Systems No C403.3 Qualifying single zone systems Verify unitary or packaged equipment does not exceed capacity limits, does not have active humldlfcation or simultaneous heating/coolina M 1.0 No C403.3. Qualifying 2-pipe heating systems Verify 2-pipe heating -only system does not exceed capacity limits M1.0 No C403.3.2 Hydronio system controls Refer to Complex Systems Section C403.4.3 M 1.0 Simple System Economizers Yes C403.3.1 Air economizer required indicate cooling systems requiring economizer controls; note in equip itched. M1.0 Yes C403.3.1.1.1 Air economizer capacity indicate modulating OSA control capability up to 100% OSA, or exception MI.0 YescontrolsC403.3.1.1.3 Air economizer high limit indicate high limit shut-off control method per Table C403.3.1.1.3(2) M1.0 Yes C403.1.1.2 integrated air economizer operation Indicate capability for partial air economizer operation for systems with Capacity > 65.000 btuh M1.0 Yes C403.3.1 Air economizer exceptions Ins eligible exception(s) taken and provisions to comply with _exceofiont M1.0 COMPLEX SYSTEMS Complex System Economizers N/A C403.4.1 Air economizer required Indicate cooling systems requiring economizer controts; note in equip ached. N/A C403.4.1.4 Economizer heating system impact Verify control method of HVAC systems with economizers does not increase building heating energy usage during normal operation N/A C403.4.1.3integrated economizer Indicate capability economizer partial econozer operation for air or water econo N/A Moved Water economizer capacityIndicate water econo capable of 100% coding capacity at 50°F db/48°F wb OSA N/A C403.4.1.2 Water economizer mandmum pressure drop Indicate preceding coils and heat exchangers do not exceed pressure drop limit N/A C403.3.1 Air economizer exceptions indicate eligible exception(s) taken and provisions to comply with exceotion/s1 Mechanical Permit Plans Checklist - Page 1 of 3 MECH-CHK 2012 Washington State Energy Code Compliance Forms for Commercial, Group R1, and > 3 story R2 and R3 Revised June 2013 Project Address Southoenter Mall Space 0324 (Date 7/14/2014 The following Information is necessary to check a mechanical perm* application for commercial provision compliance with the 2012 WSEC. NOTE: Define print area in Excel prior to printing MECH.CHKpages. APPI*Y (yes,no,na) Code Section Code Provision Information Required Location on Plans Building Department Notes GENERAL PROVISIONS Equipment Sizing & Performance Yes C403.2. i Load calculationsLoad calculations performed per ASHRAE Std 183 or equivalent per chapter 3 M1,0 Yes C403.2.2 Equipment and system sizing Output capacity of heating and cooling equipment and systems do not exceed calculated loads, note exceptions taken M1.0 Yes C403.2.5 Minimum ventilationVentilation (natural or mechanical) provided per IMC; indicate mechanical ventilation is capable of being reduced to minimum requirement per IMC MI.0 Yes C403.2.3 & C403.2.3.2 & C403.2.12.1 Equipment rtdMm 111(1 emd°ncy Provide equipment schedules or complete MECH-SUM tables with type, capacity, effdency, test standard (or other efficiency source) for all mechanical equipment M1.0 Yes C403.2.13 Electric motor efficiencyPh%vi ` equipment schedule with hp, rpm, etfiddency for all motors; note M1.0 Yes C403.2.10 Fan power limitation Fan system motor hp or bhp does not exceed limits per Table C403.2.10.1(1) M1.0 YES C403.2.10.3 & C403.2.13req. Fractional hp Tan motors Indicate fan motors 1 /12 to 1 hp are ECM type or meet minimum effidency M1,0 Yes C403.2.3 Maximum air cooled chiller capacity Indicale air-cooled ahRler capacity does not exceed air-cooled chlter limit M1,0 Yes C403.2.7 Non-standard water-cooled chillers Full -load and NPLV values for water -coded centrifugal chiller adjusted for non-standard operational conditions M1.0 NO 0103.2.12.1.2 Centrifugal fan cooling Large capacity cooling towers with centrifugal fan(s) meet efficiency requirements for axial fan open dreu* cooling towers C403.2.3 heaters Faced air furnace and unit Indicate Intermittent ignition or IID, flue/draft damper & Jacket loss Yes C403.2.3.3 Packallo hheaadnl000 electricg equipment List equipment required to be heat pumps on schedule MI.0 No C403.2.3.4 HumidificationIndicate method of humidification (note requirements for systems with economizer) ° HVAC System Controls & Criteria YES C403.2.4.1 Thertnoeletic controlsIndicate locations of thermostatic control zones on plans, indudkng perimeter systems M1.0 No C403.2.4.1.1 Heat pump supplementary heat Indicate staged heating (compression/supplemental) & outdoor lock -out temp No C403.2.4.2 Sa1poIM overlap (deadband) Indicate 5°F deadband minimum for systems controlling both heating & cooling Yes C403.2.4.3 Automatic setback and Indicate zone t-stat controls with required automatic setback & manualshutdown M1.0 Yes C403.2.4.3.3 Automatic (optimum) start Indicate system controls that adjust equip start time to match bad Conditions M1,0 Yes C402.4.5.2 & C4p3.2..4..4 Dares Indicate location of OSA, exhaust, relief and return air dampers; indude AMCA rated leakage and control type (motorized or gravity; note exceptions M1.0 No C403.2.11 Heating outside a building indicate radiant heat system and occupancy controls No C403.2.4.5 Snow melt systems Indicate shut-off controls based on outdoor conditions No C403.2.4.8 Combustion hatingequipment indicate modulating or staged control No C403.2.4.7 Group R1 hotel/motel systems indicate method for guest room automatic seabed( & set-up of5'F minimum No C403.2.4.8 / 9 Group R2/R3 dwelling unit systems Indicate 5-2 programmable thermostats In primary spaces with minimum of two setback periods; note exceptions taken Yes C403.2.5.1 Demand Controlled ventilation h t Indicae high -occupancy spaces and systems requiring DCV M1.0 Yes C4o3.2.5.2 Occupancy sensors spaces requldng occupancy -based system control and method; or alternate alternate means provided to automaticaNy reduce OSA whenpartialN M1.0 No C403.2.8.3 Enclosed loading dock/parting ing garage ventilation Indicate endosed loading dock and enclosed system activation and control method p � ventilation No C403.2.5.4.1 Kitchen exhaust hoods Indicate kitchen hoods requiring make-up air Indicate make-up air source and conditioning method No C403.2.5.4.2 Laboratory exhaust systems Indicate tab exhaust systems requiring heat recovery, method & efficiency; or altemative method taken (VAV, semi -conditioned makeup, or GERM Calculation) No C403.2.8.1 Energy recovery - ventilation systems Indicate ventilation systems requiring ER, method & efidency; note exceptions C403.2.8.2 - EnergNo condensate systems Indicate on -site steam heating systems requiring energy recovery No C403.2.8.3 Energy - condenser er systems Indicate remote mktg. condensers requiring ER and use of captured energy LTG -SUM Interior Lighting Summary 2012 Washington State Energy Code Compliance Forts for Commercial Buildings including R2 & R3 over 3 stories and aH R1 Revised Jan 2014 Project Info Compliance tiornra do not require a password to use, instructional and calculating cells are write- Projed Address Southcentsr Mall Space 0324 Date 7/14/2014 1020 & 1030 Southcentsr Mall For Building Department Use Seattle, Washington 88183 FILE COPY Work - Applicant Name: Nicholas TrfcaNco Applicant Address: 602 Valley Road, Wayne, NJ 07420 ti — -- dill. Applicant Phone: (973) 692-0222 Project Description ■ New Building • Addition IS Alteration i Plans Induded Lighting Compliance Path 0 Lighting Power Density Calculations 0 Total Building Performance (If Total Building Performance then only LGT-CHK is required.) Lighting Power Allowance Method Selection equired to enable LPA forms 0 Building Area Method 0 Space -By -Space Method Interior Lighting System Description Briefly describe lighting system type and features. EVIEWED FOR . *DE COMPLIANCE , APPROVED AUG 2 5 2014 Additions and Change of Space Use (C101.4.3 & C101.4.4) ' • n! �f t�l Tukwila • Addition area or Change of Space Use area complies with all applicable provisions as stand alone is combined with existing building lighting systems to demonstrate compliance with all C101.4.3 Area Method (LTG-INT-BLD) or Space -By -Space Method (LTG-INT-SPACE) Compliance proposed (including existing if applicable) lighting wattage of Addition or Change of Use C405.2 and commissioning of lighting controls per C405.13. . • _ : UILDING DIVISION I. Addition area ap • icaoie Fonn. Document maximum space. Provide applicable lighting provisions per Provide Building allowed and controls per Alterations, Renovations and Repairs (C101.4.3.1) p 60% or more of luminaires in space replaced Area Method (LTG-INT-BLD) or Space -By -Space Method (LTG-INT-SPACE) Compliance Form. Document maximum within the lighting retrofit space in Maximum Allowed Wattage table and proposed (including existing) lighting wattage in table. Retrofit and non -retrofit spaces shall be documented separately using multiple forms. Provide Building allowed wattage Proposed Wattage • Less than 60% of luminaires in space replaced Space -By -Space Method (LTG-INT-SPACE) Compliance Fomm for this retrofit area. Document existing total wattage retrofit space In cell provided in the Maximum Allowed Wattage table. Document proposed (including existing) lighting Proposed Wattage table. Provide a separate within the lighting wattage in the • Lamp and/or ballast replacement within existing luminaires only — existing total interior building wattage not Increased 0 New wiring Installed to serve added fixtures and/or fixtures relocated to new circuit Provide applicable manual lighting controls (C405.2.1), occupancy sensors (C405.2.2.2), daylight zone controls (C405.2.2.3), specific application controls (C405.2.3), and commissioning of lighting controls per C405.13 • New or moved lighting panel lighting controls as noted for New Wiring, automatic time switch controls (C405.2.2.1), and commissioning of lighting C405.13. Provide all applicable controls per - luminaires unchanged or moved only lighting controls as noted for New Wiring and commissioning of lighting controls per C405.13. Space is reconfigured Provide all applicable • No changes are being made to the interior lighting and space use not changed. CITY OF TUKWILA JUL 1 7 2014 PERMIT CENTER p l*D22-I Interior Lighting Summary - Space -By -Space LTG-INT-SPACE 2012 Washington State Energy Code Compliance Forms for Commesde l Buildings Induding R2 & R3 over 3 stories and all R1 Revised Jan 2014 Project Address Southcanter Mall Space 8324 Date 7/14/2014 Lighting Alterations, Renovations & Building Additions O Less than 60% 0 60% or more 0 Stand alone 0 Addition Notes: a. Lighting fixtures in a building addition may comply as a stand alone project, or they may be combined with the overall existing bidg lighting to demonstrate compliance. Refer to C101.4.3. b. For retrofits and building additions, provide Space Types and gross interior areas in the Maximum Allowed Lighting table. If a builddng addition will comply as combined with the overall existing builidng, include all applicable existing Space Types and gross interior areas. c. Document new fixtures and all existing to remain fixtures in the Proposed Lighting table. d. If less than 60% of existing fixtures will be replaced, provide total existing lighting wattage (prior to retrofit) in the space provided in the Maximum Allowed Lighting table. For Building Department Use Maximum Allowed Lighting Wattage Location (plan #, room #) Space Type* Allowed Watts per ft2 Gross Intenor Area in ft2 watts Allowed (wattsl t2 x area) SALES FLOOR Retail: Sales area 1.68 4631 7780 STOCK ROOM Warehouse: Floe material storage 0. 95 2862 2719 Atrium" Enter Haight Existing Lighting Enter Exist. Watt: Retail Display Allowance from LTO4NT-DISPLAY 6983 Select Table C405.5.2(2) category from drop down menu. "' For atriums, indicate height. Allowed wattage for fist 40 feet is 0.03 WM. ht., above 40 feet is 0.02 W/ft. ht. Proposed Lighting Wattage Total Area Allowed Watts 7493 17482 Location (plan #, room #) Fixture Description"* Number of Fixtures Watts/ Fixture Watts Proposed SALES EXISTING DOWNLIGHT 2 100 200 SALES EXISTING DOWNLIGHT 2 100 200 STOCK Ft8' 25 64 1600 SALES T1 9 70 630 SALES R1 6 42 252 SALES A3 2 117 234 SALES F8 2 20 40 SALES A 39 50 1950 SALES DL.01 3 23 69 SALES N2 80 20 1600 SALES LED 9 20 181 SALES R1 2 42 84 SALES R1 1 42 42 STOCK FANILIGHTCOMBO _ 1 100 100 STOCK F18' _ 8 64 512 Retail Display Lighting from LTO4INTDISPLAY 8700 Total Proposed Watts may not exceed Total Allowed Watts for Interior Lighting '""' Include existing to remain lighting fixtures and exempt lighting equipment per notes below. Total Proposed Watt 16394 Notes: 1. Include ALL proposed lighting fixtures. 2. For proposed Fixture Description, indicate fixture type, lamp type (e.g. T-8), number of lamps in the fixture, and ballast type (/f included). For track lighting, list the length of the track (in feet) in addition to the fixture, lamp, and ballast information. 3. For proposed Watts/Fbdure, use manufacturer's listed maximum input wattage of the fixture (not simply the lamp wattage) and other criteria as specified in Section C405.5.1. For line voltage back lighting, list the greater of actual luminaire wattage or length of back multiplied by 50, or as applicable, the wattage of current limiting devices of the transformer. For low voltage track lighting list the transformer rated wattage. 4. For lighting equipment eligible for exempt/on per C405.5.1, note exception number and leave Watts/Fixture blank. 5. Document existing to remain fixtures in Proposed Lighting table /n the same manner as new fixtures. Identify as existing In fixture description. 6. If #NA appears in Retail Display cells, Information on LTG-INT-DISPLAY is incomplete. Interior Lighting Power Allowance COMPLIES Interior Display Lighting - Space -by -Space LTG-INT-DISPLAY 2012 Washington State Energy Code Compliance Forms for Commercial Buildings indudinp R2 & R3 over 3 stories and aH R1 Revised Jan 2014 Project Info Project Address Southcenter Mall Space #324 Date 7/14/2014 1020 & 1030 Southcenter Mall For Building Department Use Seattle, Washington 98188 Applicant Name: Nicholas Tricarlco Maximum Allowed Display Lighting Wattage Location (plan #, room #) Retail Display Area Type* allowed Watts per ft2** Gross intenor Area in ft2 Watts Allowed (watts/ft2 x area) SALES Retail 3: Furniture, clothing, cosmetics, artwork 1.40 4631 6483 * Only retail sales areas that meet the requirements defined in Table C405.5.2(2) footnote A may be entered here. Select retail sales areas form drop down menu. "" Wattages per Table C405.5.2(2) footnote A. ++ Display light allowance per footnote A ca/culatton. Area Area Watts Totall 4631 6483 Display Lighting Base Allowance DISPLAY WATTAGE ALLOWED - AS CALCULATED BY AREA Proposed Display Lighting Wattage Only separately controlled display fixtures independent of general area fighting per Table C405.5.2(2) footnote A may be ante ++ Total Display Allowance 500 6983 Display Area* Location (plan #, room #) Fixture Description Number of Fixtures Watts/ Fixture Watts Proposed Retail 3 SALES T2 58 50 2900 Retail 3 SALES T1 58 50 _ 2900 Retail3 SALES R2 58 50 2900 " Select retail sales display area from drop down menu. Proposed Display Lighting Totals Total Proposed Watts 8700 Retail 1 Retail 2 Retail 3 Retail 4 8700 Notes: 1. For proposed Display Fixture Description, indicate fixture type, lamp type (e.g. T-8), number of lamps in the fixture, and ballast type (if included). For back lighting, fist the length of the track (in feet) in addition to the fixture, lamp, and ballast information. 2. For proposed Watts/Fixture, use manufacturer's listed maximum input wattage of the fixture (not simply the lamp wattage) and other criteria as specified in Section C405.5.1. For line voltage track lighting, list the greater of actual luminaire wattage or length of track multiplied by 50, or as applicable, the wattage of current limiting devices or of the transformer. For low voltage track lighting list the transformer rated wattage. 3. List all display fixtures. Interior Lighting Summary - Building Area Method LTG-INT-BLD 2012 Washington State Energy Code Compliance Forms for Commercial Buildings Including R2 & R3 over 3 stories and all R1 Revised Jan 2014 Project Address Southcenter Mall Space 0324 Date 7/14/2014 Lighting Alterations, Renovations & Building Additions 0 Less than 60% ® 60% or more 0 Stand alone 0 Addition Notes: a. Lighting fixtures in a building addition may comply as a stand alone project, or they may be combined with the overall existing bldg lighting to demonstrate compliance. Refer to C101.4.3. b. For retrofits and building additions, provide Building Area types and gross interior areas in the Maximum Allowed Lighting table. If a builidng addition will comply as combined with the overall existing builidng, include all applicable existing Building Area types and gross interior areas. c. Document new fixtures and all existing to remain fixtures in the Proposed Lighting table. d. If less than 60% of existing fixtures will be replaced, use LTG-INT-SPACE form. For Building Department Use Space -By -Space method selected. Use LTG-INT-SPACE form. Building Area" Location (plan #, room #, or ALL) Area Description Allowed Watts per ft2 Gross Interior Area in ft Watts Allowed (watts/ft2 x area) ' Select Table C405.5.2(1) Building Area from drop down menu. Total! I Space -By -Space method selected. Use LTG-INT-SPACE form. Building Area" Location (plan #, room #) Fixture Description" Number of Fixtures Watts/ Fixture Watts Proposed " Select Table C405.5.2(1) Building Area from drop down menu. " Include existing to remain lighting and exempt lighting equipment per notes below. Compliance by Building Area Building Area Warnings Total Allowed Watts Total Proposed Watts Interior Lighting Power Allowance Total Notes: 1. Proposed Wattage for each Building Area type shall not exceed the Allowed Wattage for that Building Area type. Trading wattage between Building Area types is not allowed under the Building Area Method compliance path. 2. Proposed fixtures must be listed in the building area in which they occur. Include ALL proposed lighting fixtures. 3. For proposed Fixture Description, indicate fixture type, lamp type (e.g. T-8), number of lamps in the fixture, and ballast type (If included). For tack lighting, list the length of the track (in feet) in addition to the fixture, lamp, and ballast information. 4. For proposed Watts/Fixture, use manufacturer's listed maximum input wattage of the fixture (not simply the lamp wattage) and other criteria as spedfied in Section C405.5.1. For line voltage track lighting, list the greater of actual luminaire wattage or length of track multiplied by 50, or as applicable, the wattage of current limiting devices or of the transformer. For low voltage track lighting list the transformer rated wattage. 5. For lighting equipment eligible for exemption per C405.5.1, note exception number and leave Watts/Fixture blank. 6. Document existing to remain fixtures in Proposed Lighting table in the same manner as new fixtures. Identify as existing in fixture description. Exterior Lighting Summary LTG-EXT 2012 Washington State Energy Code Compliance Forms for Commercial Buildings including R2 & R3 over 3 stories and all R1 Revised Jan 2014 Project Info Project Address: Southcenter Malt Space 9324 Date 7/14/2014 1020 & 1030 Southcenter Mali For Building Department Use Seattle, Washington 98188 Applicant Name: Nicholas Trtcarlco Applicant Addr: 602 Valley Road, Wayne, NJ 07420 Applicant Phone: (973) 692-0222 Project Description ❑ New Building ❑ Addition ❑ Alteration ❑ Plans Included Lighting Zone As specified by Jurisdiction. Zone selection required to enable LTG-EXT fam 0 Zone 1 0 Zone 2 0 Zone 3 0 Zone 4 Compliance Option 0 Lighting Power Density Calculations 0 Total Building Performance Building Grounds Applies to luminaires > 100 Watts ❑ Efficacy > 60 lumens!W ❑ Controlled by motion sensor • Exemption (list) Exterior Lighting Alterations ❑ No changes are being made to the existing exterior lighting ❑ New wiring installed to serve added fixtures and/or fixtures relocated to new dreult Provide applicable exterior lighting controls per C405.2.4 and commissioning per Tradable Maximum Allowed Lighting Wattage Base Site Allowance:I Tradable Surfaces Surface Description Allowed watts per ft2 or per If Area (ft.), perimeter (If) or # of items Allowed JVatts x ft2 (or x If) Total Allowed Tradable Watts:I radable Proposed Lighting Wattage (Use mfgr fisted maximum Input wattage for luminaire.) Tradable Surface Fixture Description Number of Fixtures Watts/ Fixture Watts Proposed Total proposed tradable watts may not exceed the sum of total allowed tradable Total Proposed Tradable Watts: watts plus the base site allowance. Any base site allowance not needed to make tradable watts comply can be applied to incllvidual non -tradable categories. Non -Tradable Maximum Allowed Lighting Wattage Base Site Allowance Remaining: I 0 Non -Tradable Surfaces Surface Description Allowed Watts per ft2 or per If Area (ft2), perimeter (lf) or 6 of items Allowed Watts x ft2 (or x If) Non -Tradable Proposed Lighting Wattage Non -Tradable Surface Fixture Description Number of Fixtures Watts/ Future Watts Proposed Non -tradable proposed watts may not exceed allowed watts for any individual surface unless the total excess watts for all non -tradable surfaces am less than the remaining site allowance. Total excess Non -Tradable watts: Site Allowance Balance: Exterior Lighting Lighting, Motor, and Transformer Permit Documents Checklist 2012 Washington State Energy Code Compliance Forme for Commerdai Buildings including R2 & R3 over 3 stories and all Rt LTG-CHK Revised Jan 2014 Project Address Southcenter Mall Space ht324 'Date 7/14/2014 The following information is necessary to check a permit application for compliance with the lighting, motor, and transformerrequirements in the Washington State Energy Code, Commercial Provisions. Applicability (yes,no,na) Code Section Component Compliance information required in permit documents Location in Documents Building Department Notes LIGHTING CONTROLS (Section C405 2) =•a C405.2.1.1 C405.2.1.2 Manual Interior lighting controls Indicate on plans the manual control type & locations served; Indicate of plans the 50% lighting load reduction method provided or identify exception taken E2.0 Just Switch Bank, no dimmer Yee C405.2.2.1 Automatic time switch controls and override switching Indicate lighting system automatic shut-off capability - identify lighting zone areas served on plans; N/A Indicate locations of override switches on plans and the areas served, include area sq. ft.; E2.0 On Switch Bank Indicate locations where automatic shutoff i8 provided by other methods (occupancy sensor, daylight controls, etc) WA NA C405.2.2.2 Occupancy sensors Indicate on plans the locations served by occupancy sensors NA C405.2.2.3 Daylight zones - Vertical fenestration and skylights Indicate vertical fenestration primary and secondary daylight zone areas on plans, include sq. ft.; Indicate skylight daylight zone areas on plans, include sq. ft. NA C405.2.2.3.2 Daylight zone controls Indicate on plans the locations served by daylight zone controls; Indicate in plans the lighting load reduction (dimming) method - stepped or continuous dimming NA C405.2.3 Specific application lighting controls - General indicate on plans the locations served by specific application lighting controls 1r•a C405.2.3 - Items 1&2 Display and accent lighting Indicate lighting control method for display and accent lighting, and display case lighting; E2.0 Indicate these fixtures are controlled independently from both general area lighting and other lighting applications within the same space E2.0 NA C405.2.3 - Item 3 Hotel/motel guest rooms Provide a lighting control device at each guest room entry for all permanently installed fixtures In guest room; Indicated whether lighting control is manual or automatic N► C405.2.3 - Item 4 Supplemental task lighting Provide automatic shut-off vacancy controls for supplemental task lighting, including under -shelf or under -cabinet lighting KS C405.2.3 - Item 5 Lighting for non- visual applications Identify eligible non -visual applications and method of lighting Indicate these fixtures are controlled independently from both general area lighting and other lighting applications within the same space Na.Item C405.2.3 - 6 Lighting equipment for sale or demonstration Indicate lighting control method for lighting equipment for sale or demonstration; Indicate these fixtures are controlled independently from both general area lighting and other lighting applications within the same space NA C405.2.3 - Item 7 Means of egress lighting If egress lighting power density is greater than 0.05W/R2, indicate method of automatic shut -oft during unoccupied perms' _ Identify on plans the egress fixtures that function as both normal and emergency means of egress Illumination NA C405.10 C405.11 Cooler and freezer lighting Provide vacancy device or timer to tum off fixtures within 15 minutes of unoccupancy for cooler and freezer lighting fixtures with Tamp efficacy less than 40 lumens per watt NA C405.2.4 Exterior lighting controls Indicate on exterior lighting plans the automatic lighting control method and locations served NA C405.6.1 Exterior building grounds lighting controls Provide motion sensor controls for building grounds fixtures rated at greater than 100 watts with lamp efficacy less than 60 lumens, or identify exception taken _ katfunctional C408.3 Lighting system testing Identify applicable commissioning documentation requirements per Section C408 or eligibility for exception; Provide written procedures for functional testing of all automatic controls and describe the expected system response; Identify in construction documents the party responsible for functional testing of automatic lighting controls INTERIOR LIGHTING POWER & EFFICACY (Sections C405.5, C405.10, C405.11) • Lighting, Motor, and Transformer Permit Documents Checklist LTG-CHK 21)12 Washington State Energy Code Compliance Forms for Commercial Buildings Including R2 & R3 over 3 stories and all R1 Revised Jan 2014 Project Address Southcenter Mall Space 0324 'Date 7/14/2014 The following information is necessary to check a permit application for compliance with the lighting, motor, and transformerrequirements in the Washington State Energy Code, Commercial Provisions. Applicability (yes,no,na) Code Section Component Compliance information required in permit documents Location in Documents Building Department Notes !.a C405.5.1 C405.5.1.1 C405.5.1.2 C406.5.1.3 C405.5.1.4 Total connected interior lighting power Provide fixture schedule with fixture types, lamps, ballasts, and rated watts per fixture; E2.0 Identify spaces eligible for lighting power exemption on plans and in compliance forms; E2.0 Identify lighting equipment eligible for exemption in fixture schedule and in compliance forms; E2.0 Indicate that exempt lighting equipment is in addition to general area lighting and Is controlled independently E2.0 _.• C405.4 Exit signs Provide exit sign types and rated watts per fixture in fixture schedule (maximum 5 watts per fixture) E2.0 NA C405.10 C405.11 Cooler and freezer lighting ,schedule lighting in walk-in coolers and freezers, and refrigerated warehouse coolers and freezers, provide rated Tamp efficacy (in lumens per watt) in fixture schedule E2.0 Lighting Power Calculation - Indicate compliance path taken !•a C405.5.2 Building Area Method Complete required compliance forms — proposed wattage per building area does not exceed maximum allowed wattage per building area. Identify locations of building areas on plans E3.0 !ea C405.5.2 Space -By -Space Method Complete required compliance forms — total proposed wattage does not exceed maximum allowed wattage. Identify locations of space types on plans, including retail display areas as applicable E3.0 EXTERIOR LIGHTING POWER & EFFICACY (Section C405.6) NA C405.6.2 Total connected exterior lighting power Provide fixture schedule with fixture types, lamps, ballasts, and rated watts per fixture; Identify exterior applications eligible for lighting power exemption on plans and in compliance forms; Indicate that exempt exterior lighting is controlled independently from non-exempt exterior lighting NA C405.8.2(1) Exterior Exterior lighting zone Indicate building exterior lighting zone as defined by the AHJ _ t#7► C405.8.1 Exterior building grounds lighting For building grounds fixtures rated at greater than 100 watts, pr0vide rated lamp efficacy (in lumens per watt) in fixture schedule 1O C405.8.2 Exterior lighting power calculations Complete required compliance form — proposed wattage for exterior lighting plus base site allowed does not exceed maximum allowed MOTORS & TRANSFORMERS (Sections C405.8, C405.9) �► C406.8 Electric Motors For motors not part of an HVAC system, provide electric motor schedule on electrical plans with hp, rpm, and rated efficiency NA C405.9 Transformers Provide distribution transformer schedule on electrical plans with transformer size and efficiency If "no" is selected for any question, provide explanation: i To: TRICARICO® Tricarico Architecture and Design PC 500 Valley Road Wayne, NJ 07470 T (973) 692-0222 F (973) 692-0223 www.tricarico.com Nicholas J. Tricarico, Architect Allen Johannessen City of Tukwila Dept. of Community Development 6300 Southcenter Boulvard Suite 100 Tukwila, Washington 98188 Project: Champs/ Yardline Address: South Center Mall 1020 & 1030 Southcenter Mall Seattle, Washington 98188 Permit Application # D14-0221 Mr. Johannessen: 08/13/14 I would like to respond to the comments received and dated 08/07/14 for the above referenced project. On all affected drawings, each revision is clouded and contains a revision number `1' inscribed within a delta symbol. This letter has been provided to clarify the building department changes, below describes how each sheet was affected by these changes. Please note that this revision "1" also contains minor landlord and tenant changes as well. This letter only addresses the building department comments. Item 1: Comment: Provide a floor plan that identifies means of egress. Identify path of egress illumination on the plan to shown common paths of egress are provided with emergency illumination. Emergency illumination shall have at least an average 1 foot-candle and a minimum at any point of 0.1 foot candle measured along the path of egress at the floor level. Emergency lighting shall also be required for exit discharge doorways. (IBC Section 107.2.3,1006 & 1008.1.6) Response: Acknowledged, Sheet LS1.0, Life Safety Plan has been added to the set of drawings. Item 2: Comment: The plan shows Masonite installed on the walls through the storage room for the egress path. Also plans specify lacquer finish on some surfaces. The plans do however refer to fire retarded treated wood for other applications. Provide specifications these materials with their specific applications that show these materials meet the Allowable Combustible Materials for Type II construction with specifications for any other related combustible materials. (IBC 603 & 402.6) Page 1 of 8 ' Response: On sheet A1.1, "Part. z Type 1" has been revised . Masonite to longer being proposed to create our egress path through the stock room. Sheets A1.0, and A5. 0 have also been updated to show a GWB partition instead of Masonite backing. On Sheet A3.0 a Flame Spread & Smoke Development chart has been added Thank you for helping us to expedite this project. If you have any additional questions, Please feel free to contact us. Thank you, Kate Hickey Project Manager Page 2 of 8 City of Tukwila Department of Community Development August 07, 2014 TIM SCHENK 1120E 80 ST, STE 211 BLOOMINGTON, MN 55420 RE: Correction Letter # 1 DEVELOPMENT Permit Application Number D14-0221 CHAMP SPORTS NIKE YARDLINE - Dear TIM SCHENK, Jim Haggerton, Mayor Jack Pace, Director This letter is to inform you of corrections that must be addressed before your development 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 following departments: BUILDING DEPARTMENT: Allen Johannessen at 206-433-7163 if you have questions regarding these comments. 1. Provide a floor plan that identifies means of egress. Identify path of egress illumination on the plan to show common paths of egress are provided with emergency illumination. Emergency illumination shall have at least an average 1 foot-candle and a minimum at any point of 0.1 foot candle measured along the path of egress at the floor level. Emergency lighting shall also be required for exit discharge doorways. (IBC Section 107.2.3, 1006 & 1008.1.6) 2. The plan shows Masonite installed on the walls through the storage room for the egress path. Also plans specify lacquer finished on some surfaces. The plans do however refer to fire retarded treated wood for other applications. Provide specifications these materials with their specific applications that show these materials meet the Allowable Combustible materials for Type II construction with specifications for any other related combustible materials. (IBC 603 & 402.6) Please address the comments above in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that four (4) sets of revised plan pages, 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, I can be reached at 206-433-7165. Since ely, Jennifer ars 1 tpermi T hnic an File No. D14-0221 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D14-0221 DATE: 09/26/14 PROJECT NAME: CHAMPS SPORTS NIKE YARDLINE SITE ADDRESS: 1030 SOUTHCENTER MALL Original Plan Submittal Revision # before Permit Issued Response to Correction Letter # X Revision # 1 after Permit Issued DEPARTMENTS: Building Division Public Works ire Prevention Structural 1(0-0(.1(bi Planning Division Permit Coordinator PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 09/30/14 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required Approved with Conditions Denied (corrections entered in Reviews) (ie: Zoning Issues) DUE DATE: 10/28/14 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D14-0221 DATE: 08/19/2014 PROJECT NAME: CHAMP SPORTS NIKE YARDLINE SITE ADDRESS: 1030 SOUTHCENTER MALL Original Plan Submittal X Response to Correction Letter # 1 Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: c Building Division ■ Public Works Fire Prevention Structural Planning Division Permit Coordinator PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 08/21/14 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required Approved with Conditions Denied (corrections entered in Reviews) (ie: Zoning Issues) DUE DATE: 09/18/14 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D14-0221 DATE: 07/17/2014 PROJECT NAME: CHAMPS SPORTS NINE YARDLINE SITE ADDRESS: ` 1030 SOUTHCENTER MALL X Original Plan Submittal Response to Correction Letter # Revision # before Permi Issued after Permit Issued DEPARTMENTS: Ro4- Building Division ■ 2 AP" Public Wor \-\ Fire Pre''ention Structural c pL i// Planning Division II Permit Coordinator PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) REVIEWER'S INITIALS: DATE: 07/22/14 Structural Review Required DATE: El APPROVALS OR CORRECTIONS: Approved ❑ Corrections Required 1 (corrections entered in Reviews; Approved with Conditions Denied (ie: Zoning Issues) DUE DATE: 08/19/14 El 111 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use CORRECTION LETTER MAILED: Departments issued corrections: Bldg Ping ❑ PW ❑ Staff Initials:. 4 VV 12/18/2013 PERMIT NO: L/9O),2 PROJECT NAME: 06r113 SITE ADDRESS: ORIGINAL ISSUE DATE: REVISION LOG REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS A 0----- / 9/6)-(e fig 13K /0/1-V/V Summary of Revision: rafri„ (9 Ciw«rf iv F"oo r Ph<-7 H, Received by: rb-k_ezillovre,i REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) REVISION NO. DATE RECEIVED STAFF INITIALS ISSUED DATE STAFF INITIALS Summary of Revision: Received by: (please print) City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: ^ 7-6 — Plan Check/Permit Number: Dl4 cY2a7 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: C2vv16" Project Address: l b76 —I 65.3o c%k,tfia rlv'+,'C? /t4/41— Contact Person: ".' Summary of Revision: `bJAL(4. 1 ga-roti J `1 5iP4& s Phone Number. 21,z - gas' Ly 1 4� Sty lL c fo-oss onAC>< . V-vUk‹ D ,it to F_etcLz! c..,tA+L.- 9.40-.01t-U2s- .A.6keet_iT" , l91S tK tct 1v oft Y ,,F w1lA StP 2 6 2014 Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: Entered in TRAKiT on 9 1 �ID City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: s k 191 t`4 Plan Check/Permit Number: D 14-0221 ❑ Response to Incomplete Letter # ® Response to Correction Letter # 1 ❑ Revision # aftepPermit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Champ Sports Nike Yardline Project Address: 1030 Southcenter mall Contact Person: TI iv1 SCN EN1 - Phone Number: C1SZ .3 5". 604V Summary of Revision: E•eArsacNen (Sejr4 E C���t1-7rL rIn'i' nr L4 192014 PERMIT CENTER Sheet Number(s): At.0,A1.1, A'4.0 AS.c)tA 6.0 C1A .1.51 .0 "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: f�in Entered in TRAKiT on C:\Users\jennifer-m\Desktop\Revision Submittal Fonn.doc Revised: May 2011 HORIZON RETAIL CONST INC Page 1 of 3 Washington State Department of Labor & Industries HORIZON RETAIL CONST INC Owner or tradesperson HENDERSEN, JON E Principals HENDERSEN, JON E GUSTIN, ROBERT L HENDERSON, JON E JAWORT, DAN, AGENT Doing business as HORIZON RETAIL CONST INC WA UBI No. 601 483 044 1500 HORIZON DRIVE STURTEVANT, WI53177 262-638-6000 Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. HORIZRC072N5 Effective — expiration 08/25/1993— 04/15/2015 Bond HANOVER INS CO Bond account no. 1592447 $12,000.00 Received by L&I Effective date 04/15/2002 04/10/2002 Expiration date Until Canceled Insurance ZURICH AMERICAN INS CO $1,000,000.00 Policy no. 5919211 Received by L&I Effective date 03/17/2014 03/29/2009 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601483044&LIC=HORIZRC072N5&SAW= 09/09/2014