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HomeMy WebLinkAboutPermit D14-0223 - HOLLISTER - STOREFRONTHOLLISTER 857 SOUTHCENTER MALL D14-0223 Parcel No: Address: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.aov DEVELOPMENT PERMIT 9202470010 857 SOUTHCENTER MALL Project Name: HOLLISTER Permit Number: D14-0223 Issue Date: 4/24/2015 Permit Expires On: 10/21/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD, CA, 92013 JAMES MATTHEWS 13400 RIVERSIDE DR #202 , SHERMAN OAKS, CA, 91423 MID AMERICA CONSTRUCTION & DES 4408 S MAY AVE , NORMAN, OK, 73072 MIDAMAC881DA HOLLISTER 6301 FITCH PATH , NEW ALBANY, OH, 43054 Phone: (818) 786-8960 Phone: (405) 387-4235 Expiration Date: DESCRIPTION OF WORK: DEMOLITION AND CONSTRUCTION OF STOREFRONT AREA ONLY IN INTERIOR MALL Project Valuation: $137,000.00 Type of Fire Protection: Sprinklers: YES Fire Alarm: YES Type of Construction: IIB Electrical Service Provided by: TUKWILA FIRE SERVICE Fees Collected: $3,108.88 Occupancy per IBC: M Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2012 2012 2012 2012 2012 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2012 Public Works Activities: Channelization/Striping: Curb Cut/Access/Sidewalk: Fire Loop Hydrant: Flood Control Zone: Hauling/Oversize Load: Land Altering: Landscape Irrigation: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Volumes: Cut: 0 Fill: 0 Number: 0 No Permit Center Authorized Signature: Date: _y/e±/71 I hearby certify that I have read and examined this rmit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. is - Signature: Date: o� A P I S Print Name to LTOLA ID This permit shall become null and void if the work is not commenced within 180 days for 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 PERMIT CONDITIONS*** 2: Work shall be installed in accordance with the approved construction documents, and any changes made during construction that are not in accordance with the approved construction documents shall be resubmitted for approval. 3: All permits, inspection record card and approved construction documents shall be kept at the site of work and shall be open to inspection by the Building Inspector until final inspection approval is granted. 4: The special inspections for steel elements of buildings and structures shall be required. All welding shall be done by a Washington Association of Building Official Certified welder. 5: When special inspection is required, either the owner or the registered design professional in responsible charge, shall employ a special inspection agency and notify the Building Official of the appointment prior to the first building inspection. The special inspector shall furnish inspection reports to the Building Official in a timely manner. 6: A final report documenting required special inspections and correction of any discrepancies noted in the inspections shall be submitted to the Building Official. The final inspection report shall be prepared by the approved special inspection agency and shall be submitted to the Building Official prior to and as a condition of final inspection approval. 7: New suspended ceiling grid and light fixture installations shall meet the seismic design requirements for nonstructural components. ASCE 7, Chapter 13. 8: Partition walls shall not be tied to a suspended ceiling grid. All partitions greater than 6 feet in height shall be laterially braced to the building structure. Such bracing shall be independent of any ceiling splay bracing. 9: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 10: Special inspection for sprayed fire-resistant materials applied to structural elements and decks is required. Special inspections shall be based on the fire -resistance design as designated in the approved construction documents. 11: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 12: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 13: 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. 14: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431-3670). 23: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 15: The total number of fire extinguishers required for an ordinary hazard occupancy with Class A fire hazards is calculated at one extinguisher for each 1,500 sq. ft. of area. The extinguisher(s) should be of the "All Purpose" (2A, 20B:C) dry chemical type. Travel distance to any fire extinguisher must be 75' or less. (IFC 906.3) (NFPA 10, 5.4) 16: Maintain fire extinguisher coverage throughout. 20: Fire protection systems shall be maintained in accordance with the original installation standards for that system. Required systems shall be extended, altered or augmented as necessary to maintain and continue protection whenever the building is altered, remodeled or added to. Alterations to fire protection systems shall be done in accordance with applicable standards. (IFC 901.4) 18: Sprinklers shall be installed under fixed obstructions over 4 feet (1.2 m) wide. (NFPA 13-8.6.5.3.3) 17: All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department review and approval of drawings prior to installation or modification. New sprinkler systems and all modifications to sprinkler systems involving more than 50 heads shall have the written approval of Factory Mutual or any fire protection engineer licensed by the State of Washington and approved by the Fire Marshal prior to submittal to the Tukwila Fire Prevention Bureau. No sprinkler work shall commence without approved drawings. (City Ordinance No. 2436). 22: Maintain fire alarm system audible/visual notification. Addition/relocation of walls or partitions may require relocation and/or addition of audible/visual notification devices. (City Ordinance #2437) 21: All new fire alarm systems or modifications to existing systems shall have the written approval of The Tukwila Fire Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #2437) (IFC 901.2) 24: Accumulation of combustible waste material is prohibited during the demolition phase of this project. Remove and properly dispose of all waste material prior to the close of the working day and as often throughout the day as needed. 25: Maintain coverage and operability of portable fire extinguishers, sprinkler systems and fire alarm systems during demolition and construction. 19: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2436 and #2437) 26: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 27: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575-4407. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 1400 FIRE FINAL 0409 FRAMING 0606 GLAZING 0502 LATH & GYPSUM 4025 SI-STEEL CONST 4004 SI-WELDING 0406 SUSPENDED CEILING 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. Project No. Date Application Accepted: Date Application (For vice use only) V V (/3 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 King Co Assessor's Tax No.: q !/v 214 1 D0 t 3 Site Address: fa 51 50 V 1'}-i G Er41- M AL I- t SvA 1 TUcSuite Number: \ 440 Floor: L►ST �` ❑ Tenant Name: � � i. ��. Wpt �1`b � �� New Tenant: Yes jRI..No PROPERTY OWNER Name: VvFiS-i---c:.\EL2D C1/-!!�� pc, 12kT10 Address: ss--1 scxl (..rl"i, N ALl.._ City: State:\NIA Zip: SE LF qcoco CONTACT PERSON - person receiving all project communication Name: sAI\n 0 S /� /1 C� C `�1; Address: 1-Li o0 \,,(1 DE ..17.,,___ ..).off Ci145 14 NWd4 S State: 0v Zia: '-t I`1 2.3 Phone: ax: Email: ka1112-E4Lefm a -place. Cool GENERAL CONTRACTOR INFORMATION Company Name: ,t / D A Q l M p tC AC Address: T (() g J qV - Al v ' 6 City: A vI66 e A 4State /e/7 ii "1 Z Phone:q,5- _ 3g7-Tj x 405587 y23( Contr Reg No..m loam A C es I )� A Date: 3 _iri `' eia Tukwila Business License No.: H:Wpplications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-11.docx Revised: August 2011 bh N5 ARCHITECT OF RECORD Company Name: Vv . 1�s) ?Awl-1 9 C Architect Name: \O+4I,A ` 0 t_. o Q aS Address: 1 00-1 D\f, i, y B\\It City: D1/4s.\31...,\ rA State: 0 Zip: y301-, Phone:t1/1 b �1 .l000 Fax: Email: ENGINEER OF RECORD Company Name: `V,� b pAF_TiNi e �-•F3E Engineer Name: !' �. 5� �7 L Address: -/ bo-.1 -,r)1CQk(E \) -BoviL City: -1)6BLA N State: O IA. Zip4 Jr O11 Phone: kil 1i kost..i ioo6ax: Email: bisiur qNk .7.G2A1sey-g,Wet t LZTNt LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19271.095 Name: . -(; �_ \ 1 " \ ` Address: P , p l k .(j G 1/1 _ "�Zi City: N.i W Al YJ4' gWee:: tj : jj). Page 1 of 4 . coM BUILDING PERMIT INFORMATION 206-431-3670 Valuation of Project (contractor's bid price): $ 1 3} , 0 00 Existing Building Valuation: $ Describe the scope of work (please provide detailed information): 9j er rto O n ± -‘k.c4'iDY1 oT cS ite_C2-croY1, off\ cyc- ca cia 1. Will there be new rack storage? ❑ Yes Et.. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Foot Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1gFloor tnaN° s yLJ" Sf P- 2nd Floor 3rd Floor Floors thru Basement Accessory Structure* 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: 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: `1 Compact: Handicap: Will there be a change in use? ❑ Yes 111' No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: III pir Sprinklers 0 Automatic Fire Alarm ❑ None 0 Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes ❑ 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 0 On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Applications\Forms-Applications On Line \2011 Applications\Pemut Application Revised - 8-9-1 I.docx Revised: August 2011 bh Page 2 of 4 PUBLICWORKS PERMIT INFORMATION - 206-433-0179 Scope of Work (please provide detailed information): Teruo\ *\ CSrl& ors—'r J1/4c ri ofl oc-- C:=A:Dt'e nA— ova_ oT* 4 in Ave 0 Call before you Dig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District Tukwila 0 ...Water District #125 O ...Water Availability Provided Sewer District '' .Tukwila 0 ...Sewer Use Certificate ❑...Valley View ❑...Sewer Availability Provided ❑ .. Highline ❑ .. Renton ❑ .. 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 apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34") ❑ ...Technical Information Report (Storm Drainage) 0 .. Geotechnical Report 0 ...Traffic Impact Analysis ❑ ...Bond 0 .. Insurance 0 .. Easement(s) 0 .. Maintenance Agreement(s) 0 ...Hold Harmless — (SAO) 0 ...Hold Harmless — (ROW) Proposed Activities (mark boxes that aimiv): ❑ ...Right-of-way Use - Nonprofit for less than 72 hours ❑ ...Right-of-way Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right-of-way 0 Non Right-of-way 0 ...Total Cut ❑ ...Total Fill ❑ .. Right-of-way Use - Profit for less than 72 hours ❑ .. Right-of-way Use — Potential Disturbance cubic yards 0 .. Work in Flood Zone cubic yards ❑ .. Storm Drainage ❑ ...Sanitary Side Sewer O ...Cap or Remove Utilities ❑ ...Frontage Improvements 0 ...Traffic Control 0 ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line O ...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size .. 0 ...Water Only Meter Size 0 ...Sewer Main Extension Public O ...Water Main Extension Public 13 WO # WO # WO # Private ❑ Private ❑ ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding 0 ...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line 0 ...Water 0 ...Sewer Monthly Service Billing to: Number of Public Fire Hydrant(s) 0 ...Sewage Treatment Name: Day Telephone: Mailing Address: Water Meter Refund/Bilting: Name: Mailing Address: City State Zip Day Telephone: City State Zip H:Wpplications\Forms-Applications On Line\2011 Applications\Permit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 3 of 4 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 Intemational 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 0 AUTHORIZED AGE t it Signature: Date: i J9oL) Print Name: AAM Day Telephone: c611. - 42to - y t `q CD Mailing Address: \�J40O \ VC 1)Q-• *}-�Oa �Ht=�l1�� ks 0\14c}3 City State Zip H:\Applications\Forms-Applications On Line\2011 Applications\Permit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 4 of 4 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT I QUANTITY I PAID $1,794.84 D14-0223 Address: 857 SOUTHCENTER MALL Apn: 9202470010 $1,794.84 DEVELOPMENT $1,703.53 PERMIT FEE R000.322.100.00.00 0.00 $1,699.03 WASHINGTON STATE SURCHARGE 6640.237.114 0.00 $4.50 TECHNOLOGY FEE $91.31 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R5140 R000.322.900.04.00 0.00 $91.31 $1,794.84 Date Paid: Friday, April 24, 2015 Paid By: MID AMERICA CONSTRUCTION & DES Pay Method: CHECK 4542 Printed: Friday, April 24, 2015 7:52 AM 1 of 1 SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK 14.04 D14-0223' Address: 857 SOUTHCENTER MALL Apn: 9202470010 $1,314.04 DEVELOPMENT $1,314.04 PERMIT FEE PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R2613 R000.322.100.00.00 R000.345.830.00.00 0.00 0.00 $127.07 $1,186.97 $1,314.04 Date Paid: Thursday, July 17, 2014 Paid By: WD PARTNERS Pay Method: CHECK 86009 Printed: Thursday, July 17, 2014 10:26 AM 1 of 1 CRWSYS7EMS INSPECTION RECORD Retain a copy with permit CTION NO. PERMIT NO. fY-6ZZ3 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (200 431-3670 Permit Inspection Request Line (206) 438-9350 , re te2 Projemittid Type,o Itsp on: y tiotecs Address: Sri$�c ''` fr("ttIf Date Calalled:L/ Special Instructions: It t Date Wa ted: 2,5-- (S---- a.m. p.m. Reques er: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. OMMENTS: n//4 s tee r c,µTt �tkc - N � cQtA(Y.de visf - S; Inspector: Date:6 L REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit TION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 DI't-azz3 PrQjec : ` o �! ( Type of�Inspection: Ae4 %( t Pe Ce < i* Address: es-7 5)tom. .�-t , &all Date Called: Special Instructions: iA �"t Date yYartsd:�� �� (J !� a.m.p m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. MENTS: »(/\ 410—GyrsuiA-k Inspector: Date:6 ZZ_ /5— REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD IMINRetain a copy with permit CTION N. ➢��- a Zvi PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., *100, Tukwila, WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 j g i a 1 `-v Type is ctioo: I nr( me:IoL&�k AEU( Date Called: Special Instructions: /.,II Date Vntll, (r a.m. Requester: 17Qk.XC Phone No: Approved per applicable codes. Corrections required prior to approval. ro1 f*€&e7L - f&re1t inspector: Data _ (o REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Gall to schedule reinspectian. INSPECTION RECORD Retain a copy with permit DIW -0 ZZ3 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd.. *100, Tukwila. WA 98188 (206) 431-3670 Permit inspection Request Line (206) 438-9350 Pro : fii7 Type of fnspectign: Tess: 677 { '^ Date Cal ed: 1 peciai Instructions: AM Date Wanted: -(f l7 " t a.m. P.m. Requester: Phone No: ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: F./e r _ r to . { -el/ A6e/ ' tt,•-i c• ac ti f r g 'c .4 _SW?I c( e4rf c( ii- C ° CI, r`u - C( irC t LAIC bUtA.-N t 1isl-v a Atilsta. toty 01-rx.cE. far .ftt-t4ciNtit (ram..e 1 ,, d) ti die S C�'t c.JS & JO ' 'cam b s fLicio.k Tiche_ t c_[( 1 rt("5. e oi Inspector: Date: 6 _c ( 5 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcentar Blvd.. Suite 100. Cali to schedule reinspection. IN ION NO. INSPECTION RECORD Retain a copy with permit Dry-40zL3 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Pro ct: - ((r S ' Typ of ins echory �verrw� C�� c� y Add s: Date Caited: ;Special Instructions: Am Date anted is,a.m. 'Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 419 ( Itql11 k0 or , f t 4 (tom l emu((( t CA( ( �v vex ed- o17 Inspector. o ...C.," Dates_ - rs REINSPE TION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPE TION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 P ou3 / x r/tfi-YPe Pa3jeckier ( 3 Qlc) c v3 address: �jCf oat{ fa v A.'t IJ / Date ailed: Special Instructions: Date W ed: a.m. Requester: Phone No: Approved per applkable codes.0 Et Corrections required prior to approval. }9( MMENTS. app icq :cfo cce-41 Inspector: Date—_ r3 REINSPECT1ON FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit .)/y-©zz3 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100,.Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 'Pro' t: c rr5- fir' Type of Inspection Frac4-k.( y ress: 657 Shc ccW-gal( Date Called: Special Instructions. AM Date Wanted: a.m. p.m. Phon No: caApproved per applicable codes. rCOMMENTS: Corrections required prior to approval. Wc(((5 Inspector: Date` �o — REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be 1-3 paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. .r‹ 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) 438-9350 Pcq a `' Type spectiop: Address: �� I Date Caiied: Sppe/ciatrinlstructions: PI Date Wasted: J a.m. p.m. Requer Phone No: ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: rtraffrtc z co-- p ppevicier, P 'e tec- _Ay .-cfrt( ( rrrs s (6ttet-a / lovetc> k C`rtu kely4 re rvs pg-f�rdi ddlq .w¢Adi NM 51eelksf inspecto2r.C... r Dat_ 7 15 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter 8tvd., Suite 100. Cali to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NUMBER D fy- 6 a.& 3 15" - oar PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT Project: ,L , 5 � Type of I spection: r#- fY -r, i 1 t .�l�8 Address. Suite #: d � . C. MA/ . . Contact erson. Special Instructions: Phone No.: Approved per applicable codes. Corrections required prior to approval. COMMENTS: y .� a� % 97 :A}.. -It, - DID -F,c , w./.) Z — c Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector:%K`,1 Date: ‘4 Hrs.: vl Sr $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: Company Name: 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 -- OZZ.:3 1S -5--ep- ? PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 Project: i jj ( Type of ins ection: Address: Suite #: 5S7 CM ( ( Contact Person: Special Instructions: Phone No.: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 4141 ka4e,e_s CVL__ Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector( 9, •-71"/ s Date: 4 ,///h) Hrs.: % • j $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 3/14/14 T.F.D. Form F.P. 113 (-0 City of Tukwila Department of Community Development April 2, 2015 Ben Dariano WD Partners 7007 Discover Blvd Dublin, OH 43017 RE: Request for Application Extension #2 Hollister — 857 Southcenter Mall Dear Mr. Dariano, Jim Haggerton, Mayor Jack Pace, Director This letter is in response to your written request for an extension to Application Number D14-0223. The Building Official has reviewed your letter and considered your request to extend the above referenced application. It has been determined that the City of Tukwila Building Division will be extending your permit application an additional 180 days, through October 17, 2015. If you should have any questions, please contact our office at (206) 431-3670 extension 1. Sincerely, Bill Rambo Permit Technician File: Permit D14-0223 WAPertnit Center\Extension Letters'Applications\2014\D14-0223 App Extension Letter #2.docx 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 WDPARTNERS.COM 7007 DISCOVERY BLVD DUBLIN. OH 43017 T 614.634.7000 F 614.634.7777 3/30/2015 City of Tukwila Department of Community Development 6300 Southcenter Blvd. #100 Tukwila WA 98188 Dear Mr. Jack Pace: Received Arhh 012015 Community Development I would like to request a ninety day extension of the building permit, D140223, slated to expire on April 17, 2015, for the Hollister located in the Southcenter Mall. Due to client and landlord revisions the construction start date has been moved back to June 30, 2015. I will resubmit for extension in ninety days as required. Please do not hesitate to contact me if you have any questions. Sincerely,atm t�' Ben Dariano Permitting Specialist Ben.Dariano@wduartners.com 614.634.7219 Request for Extension # Z ( Current Expiration Date: y—17 _ 1l- Extension Request: 'Approved for % d days ❑ Denied (provide explanation) Signature/Initials City of Tukwila Department of Community Development March 5, 2015 James Matthews 13400 Riverside Dr #202 Sherman Oaks, CA 91423 RE: Application No. D14-0223 Hollister 847 Southcenter Mall Dear James Matthews: Jim Haggerton, Mayor Jack Pace, Director Permit application D14-0223 for the work proposed at Hollister (847 Southcenter Mall) has not been issued by the City of Tukwila Permit Center. Per the International Building, Residential, and Mechanical Codes as well as the Uniform Plumbing Code and/or the National Electric Code, every permit application not issued within 180 days from the date of application shall expire and become null and void. Currently your application has a status of Approved and is due to expire 04/17/2015. If you still plan to pursue your project, you are hereby advised to do one of the following: 1) If the plan review is completed for the project and your application is approved, you may pick up the application before the date of expiration. At the time of permit issuance the expiration date will automatically be extended 180 days. -or- 2) If the plan review is not completed submit a written request for application extension (7) seven days in advance of the expiration date. Address your extension request to the Building Official and state your reason(s) for the need to extend your application. The Building Code does allow the Building Official to approve one extension of up to 90 days. If it is determined that your extension request is granted, you will be notified by mail. In the event that your permit is not issued, we do not receive your written request for extension, or your request is denied your permit application will expire and your project will require a new permit application, plans and specifications, and associated fees. Thank you for your cooperation in this matter. Sincerely, '"''"USO Bill Rambo Permit Technician File No: D14-0223 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director December 19, 2014 Ben Dariano WD Partners 7007 Discover Blvd Dublin, OH 43017 RE: Request for Application Extension Hollister — 857 Southcenter Mall Dear Mr. Dariano, This letter is in response to your written request for an extension to Application Number D14-0223. The Building Official has reviewed your letter and considered your request to extend the above referenced application. It has been determined that the City of Tukwila Building Division will be extending your permit application an additional 90 days, through April 17, 2015. If you should have any questions, please contact our office at (206) 431-3670 extension 1. Sincerely, C��LMS�'�6.Q,Q Je ifer Marshall Pe 't Technician File: Permit D14-0223 W:\Permit CenterEExtension Letters\Applications\2014\D14-0223 App Extension Letter.docx 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 WDPARTNERS.COM 7007 DISCOVERY BLVD DUBLIN, OH 43017 T 614.634.7000 F 614.634.7777 RECEIVED DEC 08 2014 COMMUM 1 Y DEVELOPMENT 12/2/2014 City of Tukwila Department of Community Development 6300 Southcenter Blvd. #100 Tukwila WA 98188 Dear Mr. Jack Pace: I would like to request a ninety day extension of the building permit, D140223, slated to expire on January 17, 2015, for the Hollister located in the Southcenter Mall. Due to client and landlord revisions the construction start date has been moved back to June 30, 2015. I will resubmit for extension in ninety days as required. Please do not hesitate to contact me if you have any questions. Sincerely, •W1 gilt.to"r" Ben Dariano Permitting Specialist Ben.Dariano@wdoartners.com 614.634.7219 M " Request for Extension # I Current Expiration Date: Extension Request: JApproved for qd days E Denied (provide explanation) Signature/Initials V 0 City of Tukwila Department of Community Development December 5, 2014 James Matthews 13400 Riverside Dr #202 Sherman Oaks, CA 91423 RE: Application No. D14-0223 Hollister 857 Southcenter Mall Dear James Matthews: Jim Haggerton, Mayor Jack Pace, Director Permit application D14-0223 for the work proposed at Hollister (857 Southcenter Mall) has not been issued by the City of Tukwila Permit Center. Per the International Building, Residential, and Mechanical Codes as well as the Uniform Plumbing Code and/or the National Electric Code, every permit application not issued within 180 days from the date of application shall expire and become null and void. Currently your application has a status of Approved and is due to expire 01/17/2015. If you still plan to pursue your project, you are hereby advised to do one of the following: 1) If the plan review is completed for the project and your application is approved, you may pick up the application before the date of expiration. At the time of permit issuance the expiration date will automatically be extended 180 days. -or- 2) If the plan review is not completed submit a written request for application extension (7) seven days in advance of the expiration date. Address your extension request to the Building Official and state your reason(s) for the need to extend your application. The Building Code does allow the Building Official to approve one extension of up to 90 days. If it is determined that your extension request is granted, you will be notified by mail. In the event that your permit is not issued, we do not receive your written request for extension, or your request is denied your permit application will expire and your project will require a new permit application, plans and specifications, and associated fees. Thank you for your cooperation in this matter. Sincerely, fer Marshall t Technician o: D14-0223 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: D14-0223 DATE: 07/17/2014 PROJECT NAME: HOLLISTER SITE ADDRESS: 857 SOUTHCENTER MALL X Original Plan Submittal Response to Correction Letter # Revision #_ before Permit Issued Revision # after Permit Issued DEPARTMENTS: uilding Division Public Wo s Inv 01 11'111 Fire Prevention Structural A)/f- Planning Division 11 Permit Coordinator PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) REVIEWER'S INITIALS: DATE: 07/22/14 Structural Review Required DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required (corrections entered in Reviews) Approved with Conditions Denied (ie: Zoning Issues) DUE DATE: 08/19/14 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire 0 Ping ❑ PW ❑ Staff Initials: 12/18/2013 Mid America Const & Design LLC Home Inicio en Espanol Contact Search L&I Page 1 of 2 ....................... SLARC A-Z Index Help My Secure 1..&I Safety Claims & Insurance Workplace Rights Trades & Licensing 0 Washington State Department of Labor & Industries Mid America Const & Design LLC Owner or tradesperson Seabourn, Michael Benjamin Principals Seaboum, Michael Benjamin, PARTNER/MEMBER Incorp Services Inc, AGENT Doing business as Mid America Const & Design LLC WA UBI No. 603 183 360 4408 S May Avenue NORMAN, OK73072 405-387-4235 Business type Limited Liability Company 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. 4. MIDAMAC881DA Effective — expiration 03/04/2012— 03/04/2016 Bond RLI Ins Co Bond account no. LSM0348618 $12,000.00 Received by L&I Effective date 03/01/2012 02/27/2012 Expiration date Until Canceled Insurance ............................. First Mercury Ins Co $1,000,000.00 Policy no. TXCGL0000020067 Received by L&I Effective date 11/17/2014 11/02/2014 Expiration date 11/02/2015 Insurance history Savin s No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&i.Tax debts ..................... ut5 i.Uua og 9 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603183360&LIC=MIDAMAC881 DA&SAW= 4/24/2015