HomeMy WebLinkAboutPermit D15-0292 - WESTFIELD SOUTHCENTER MALL - GYPSUM WALLBOARDSOU"YHCENTER MALL
2800 SOUTHCENTER MALL
D15-0292
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.gov
DEVELOPMENT PERMIT
Parcel No: 9202470010 Permit Number: D15-0292
Address: 2800 SOUTHCENTER MALL Issue Date: 12/1/2015
Permit Expires On: 5/29/2016
Project Name: SOUTHCENTER MALL
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940, CARLSBAD, WA,
92013
Contact Person:
Name:
DAVID A NELSON
Address:
19419 S 240 ST , COVINGTON, WA,
98042
Contractor:
Name:
PREMIER RENOVATIONS
Address:
19419 SE 240TH ST , COVINGTON,
WA, 98042
License No:
PREMIR*9631H
Lender:
Name:
NATION WIDE MUTUAL INSURANCE
COMPANY
Address:
1100 LOCUST ST, DEPT 1100, DES
MOINES, IA, 50391
DESCRIPTION OF WORK:
Phone: (206) 713-1507
Phone: (425) 413-9195
Expiration Date: 4/8/2016
REMOVE & REPLACE APPROXIMATELY 144 SQ FT OF GYPSUM WALLBOARD ON THE LID OF FIRST FLOOR DUE TO
WATER DAMAGE
Project Valuation: $5,000.00 Fees Collected: $324.62
Type of Fire Protection: Sprinklers: YES
Fire Alarm: YES
Type of Construction: IIB Occupancy per IBC: M
Electrical Service Provided by: TUKWILA FIRE SERVICE Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-46B:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Public Works Activities:
Channelization/Striping:
Curb Cut/Access/Sidewalk:
Fire Loop Hydrant:
Flood Control Zone:
Hauling/Oversize Load:
Land Altering: Volumes: Cut: 0 Fill: 0
Landscape Irrigation:
Sanitary Side Sewer: Number: 0
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter: No �(
Permit Center Authorized Signature: PWr Date: W
I hearby certify that I have read and examined this permit and know the same to be true and correct. All
provisions of law and ordinances governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other
state or local laws regul . g construction or the performance of work. I am authorized to sign and obtain this
development permit agree t conditions attacbed to this permit.
Signature: Date:
Print Name:
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: All construction shall be done in conformance with the Washington State Building Code and the
Washington State Energy Code.
5: 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.
6: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line, (206) 438-9350
1700 BUILDING FINAL"
0502 LATH & GYPSUM
CITY OF TUKJf. _A
Community Development Department
Public Works Department
• Permit Center
6300 Southcenter Blvd., Suite 100
' Tukwila, WA 98188
ft://www.TukwilaWA.go
SITE LOCATION
Site
Tenant Name:
Building Permit No.
Project No.
Date Application Accepted:
Date Application Expires:���^"
use
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"
PROPERTY WNER
Name: l
Address: (
City:. State: Zip: p
CONTACT PERSON — person receiving all project
communic tion
Name: &�)
Address:
City: State: Zip: 0
Phone: x:
Email:
tjawO
GENERAL CONTRACTOR INFORMATION
Company Name:
9
Address:
City:
State: Zip:
Phone:
Fax:
Contr Reg No.
Exp Date:
Tukwila Business icense No.:
(t1l(06 � 9 7—
King Co Assessor's Tax No.:
Suite Number:—' %3Flo�r:
New Tenant: ❑ ..... Yes.. No
r.m
ARCHITECT OF RECORD
Company Name:
Architect Name:
Address:
City: State: Zip:
Phone: Fax:
Email:
ENGINEER OF RECORD
Company Name:
Engineer Name: lulk
dress:
City: State: Zip:
Phone: Fax:
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per 4CW 19.27.095)
Name: &AW "_
--�
a
Address: floO
City: �fj�State: / Zips�3
r0
H:Wpplications\Forms-Applications On Linet2012 ApplicationsTermit Application Revised - 2-7-12.docx
Revised: February 2012 Page 1 of 4
BUILDING PERMIT INFORMAT — 206-431-3670
Valuation of Project (contractor's bid price):
Describe the scope of work (please provide detailed information):
Will there be new rack storage? ❑ .... Yes V..No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1" Floor
2 nd Floor
3`d 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:
Will there be a change in use? ❑ ....... Yes
Compact: Handicap:
❑ ....... No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
Sprinklers .......Automatic Fire Alarm El ....... None El ....... Other (specify)
Will the e e storage or use of flammable, combustible or hazardous materials in the building? ❑ .......Yes No
If `yes', attach list of materials and storage locations on a separate 8-112" x I " paper including quantities and Material Sf,KtNata 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:\Applications\Forms-Applications On Line\2012 ApplicationsTermit Application Revised - 2-7-12.docx
Revised: February 2012 Page 2 of 4
t ' PUBLIC WORKS PERMIT INFOIMATION - 206-43�-0179
Scope of Work (please provide detailed information):
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ .. Tukwila ❑ ... Water District # 125 ❑ ... Highline El ... Renton
❑ .. Water Availability Provided
Sewer District
❑ .. Tukwila ❑ ...Valley View El ... Renton El ... Seattle
❑ .. Sewer Use Certificate ❑ ...Sewer Availability Provided
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 an
❑ .. Civil Plans (Maximum Paper Size — 22" x 34"
❑ .. Technical Information Report (Storm Drainage) El ... Geotechnical Report El.. Traffic Impact Analysis
❑ .. Bond ❑... Insurance ❑... Easement(s) ❑... Maintenance Agreement(s) El.. Hold Harmless — (SAO)
El.. Hold Harmless — (ROW)
Proposed Activities (mark boxes that apply):
❑ .. Right-of-way Use - Nonprofit for less than 72 hours El ... Right-of-way Use - Profit for less than 72 hours
❑ .. Right-of-way Use - No Disturbance El ... Right-of-way Use — Potential Disturbance
❑ .. Con struction/Excavation/Fi I I - Right-of-way ❑
Non Right-of-way ❑
❑ .. Total Cut cubic yards
❑ .. Total Fill cubic yards
❑ .. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
❑ .. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
... Work Work in Flood Zone
... Storm Storm Drainage
El ...
Abandon Septic Tank
❑...
Curb Cut
❑...
Pavement Cut
El ...
Looped Fire Line
❑ .. Permanent Water Meter Size (1) "
❑ .. Temporary Water Meter Size (1) "
❑ .. Water Only Meter Size........... "
❑ .. Sewer Main Extension............ Public ❑
❑ .. Water Main Extension............ Public ❑
FINANCE INFORMATION
Fire Line Size at Property Line _
❑ .. Water ❑ .. Sewer
Monthly Service Billing to:
Mailing
Water Meter Refund/Billine:
Mailing
❑ ... Grease Interceptor
El ... Channelization
El ... Trench Excavation
El ... Utility Undergrounding
WO # (2) WO # (3) WO #
WO # (2) WO # (3) WO #
WO # ❑ .. Deduct Water Meter Size "
Private ❑
Private ❑
Number of Public Fire Hydrant(s)
❑ .. Sewage Treatment
Day Telephone:
City
Day Telephone:
State Zip
City
State Zip
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Revised: February 2012 Page 3 of 4
PERMIT APPLICATION NOTES —
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJUR BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWN OR AUTH(ddEB AC//EN3e
Signature:_
Print Na
Mailing
Date: /l a-/ 7 13
City State Zip
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Revised: February 2012 Page 4 of 4
DESCRIPTIONS•
PermitTRAK
QUANTITY
PAID
$324.62
D15-0292 Address: 2800 SOUTHCENTER MALL
Apn: 9202470010
$324.62
DEVELOPMENT
$315.20
PERMIT FEE
R000.322.100.00.00
0.00
$188.30
PLAN CHECK FEE
R000.345.830.00.00
0.00
$122.40
WASHINGTON STATE SURCHARGE
13640.237.114
0.00
$4.50
TECHNOLOGY FEE
$9.42
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R6680
R000.322.900.04.00
0.00
$9.42
$324.62
Date Paid: Wednesday, November 18, 2015
Paid By: DAVID NELSON
Pay Method: CREDIT CARD 07578G
Printed: Wednesday, November 18, 2015 2:39 PM 1 of 1 IA
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 i
Permit Inspection Request Line (206) 438-9350
Project: /
SrJEI�/l Cr�w7`�/ � •' / C
Type of Inspectio
Address: /
Date Called:
Special Instructions:
Date Wanted: m
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
'Inspector: /� � Date:
U REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD �-_,6a
Retain a copy with permit _
INSPECTION 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
Project:
s , �,-
Type of In a tion:
L It C'
04A
Ad2,;
Special Instructions:
Date Wanted:
M
Requester;'`
/Phone
ZJ —r
No:
Approved per applicable codes. EI Corrections required prior to approval.
COMMENTS:
&W
Inspector: �j�- Date:���
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
PERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: D15-0292
PROJECT NAME: SOUTHCENTER MALL
DATE: 11/18/15
SITE ADDRESS: 2800 SOUTHCENTER MALL
X Original Plan Submittal Revision # before Permit Issued
Response to Correction Letter #
DEPARTMENTS:
k� MG film
Building Division
IbK zr/s-11--t�--ISPublic 4
PRELIMINARY REVIEW:
Not Applicable ❑
(no approval/review required)
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Approved ❑
Corrections Required ❑
(corrections entered in Reviews)
Notation:
REVIEWER'S INITIALS:
Revision # after Permit Issued
kv� N//� V 1, kf�- li�u
Fire Prevention Planning Division
Structural ❑ Permit Coordinator 11
DATE: 11/19/15
Structural Review Required ❑
DATE:
DUE DATE: 12/17/15
Approved with Conditions ❑
Denied ❑
(ie: Zoning Issues)
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
12/18/2013
PREMIER RENOVATIONS
Page 1 of 2
inWashington State Department of
Labor & Industries
PREMIER RENOVATIONS
Home _ lnicio en Ispanol ;Contact I ,Search L&I J
A-7., Index 1 Help N�y Secure L&I
Safety Claims & Insurance Workplace Rights Trades & Licensing
Owner or tradesperson 19419 SE 240TH ST
COVINGTON, WA98042
Principals 425-413-9195
NELSON, DAVE A, PRESIDENT KING County
NELSON, TERRI L, VICE PRESIDENT
Doing business as
PREMIER RENOVATIONS
WA UBI No.
Business type
602 691 155
Corporation
Parent company
Governing persons
NELDAT INC
DAVID
A
NELSON
TERRI NELSON;
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.
PREMIR`963JH
Effective — expiration
0410812004— 0410812016
Bond
.................
International Fidelity Ins Co
$12,000.00
Bond account no.
SAIFSU0675249
Received by L&I
Effective date
03/27/2015
04105/2015
Expiration date
Until Canceled
Bond history
Insurance
..............................
Nationwide Mutual Ins Co
$1,000,000.00
Policy no.
ACP GLO 3026395204
Received by L&I
Effective date
10/23/2015
10/29/2016
Expiration date
10/29/2016
Insurance history
Savings.
No savings accounts during the previous 6 year period.
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602691155&LIC=PREMIR* 963JH&SAW= 12/1 /2015
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1 j I 696 m �o a o GODIVA CONCEPT 34'-3" C 0° o m fro v' co = w o M 1200 �� 1215 3020 3T-
j 1000 ¢ o ¢ o o v o o * oo rn� rZ >� o I- 00 o_ 29 -7
1 60'-2" 60'-,) 2s'_ 1005 °- - v C14 950 sf 10 I 00 _ "' w I' w Ld ,� 1155 5 2 _ PLAY SPACE
;I 6" 1007 N 120sf 00 616sf ! cn E> 1150 NS COLLECTION m❑ ❑m
s2'-2„ 2s'-o" = 1010 ® �_ ; o . z ¢ w 4�� ?° - s I ®o 0 0 8 D E
19'-t" 5' SUNGLASS �. o z M _ ,4' CROC 9140 �❑ ® o® ;
`M ORANGE NELSON' * 40'-5 36o > 31 13 150sf _ <
CORIOLISS HUT = rn o co � ¢ U � 1145 25,-0" 26'-10"
MASTERCUTS o I PRETZEL TIME 10p ® = 8 °- ` rn w co z 00 Y _ 27'-9" 25'-2"
0 o TREE BOBALICIOUS CORN IN. CUP w ¢ Y W = i 39'-6"
1462sf N BOEING 1 9115 "' 1115 N Lrx z N =,'t ¢ I� u' N 7�''1°„ 12Q5 61 _1' o rn 1310 13 5 1303 1300 „
noo sT7oo B530 B520 B500 6490 =EMP o EE 20sf. cn - - m = 1425 * N �� �� T O _
n a 1140 w -'
ATMt 20'_ 120sf . 34 _8 1120 1R�5 1 cn �, x F 1
249sf 180sf 180sf 150sf 1 sf 1 m m 45 _ 112 1125 1130 1135 LAP w 4 x 450s �� �� Y �' �'n ' r` -
t 1 25 _$" CE 12 12psf 5° 1430 U, ,.
62'- 0 17
7°- �� a z� 1 �o 0 1`Q� �� 1
-m CLJ r7 Ln 1560 46'_ »ad =co rn = b V)��� 1550 = 1 _ ❑ c� o® ®� 00 3°!o• 1440 00o fi 1 Lon'' VITAMIN r` ++ 0n 1CSEARS CO
¢YN Y 1545 4" _ B� ❑®8 ova 2° _� = co ,_ 1 z WORLD o 31'-6" In co
�U� o �, , 1540 _ ® 25 _11" 1450 L� 902sf o A77- _
HREE. LEVELS 1 0� _ _M � i = 1535 7" �^ � n
�' 1530 30'-1" D 35'- 1455 co rn , ANNE S
N t-c`t 0v rn w , v w rn .I w FAST FIX o� v
174,6303f ,� O cp �-a' _ _ .. a p z n .. W 1505.. °' �.�' _ .. QI ,' d - N - 648-Sf ce- o .,
-i 152 1460 �.. �. o . 608sfa -
� _ . � 1�. .. ¢ 1470 �,
`!7���j W O m U r W I� m Y u (n CO N_ N ¢¢ S� N = I m. 10)
0)
C/// VV'�// ✓lJ /l/V G/ M1 1 f N a -- N w Ln W �t L'� �+ < r- Oro m ZM _ °' 1�. 1 36'-.11"
+ I z �. O Co wo _ o.- o ERENITY F
¢ N W N i , co 00 �- (n _i 1. 1 NA LS & SPAROEv
A117 I,- I
�c- _73I
N
� Y MPLO E� W
¢ EE AUTOMATED I
U Y ATM3 14 ¢ U FINANCIAL U
� TM9 1 Sf
I 1 sf <<'n Q ARACHA
REVISIONS
No changes shall he made to the scope
Of work Witllcut prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees. �
�`•' E'�`Wtrical�~I
Gas Piping
[� CRYof Tukwila
Cjl Ill 17 1-l�'-.,._'
l H- 0 6326 SfRLE
6R cE _._._ 9150 6 sf w 145 P
kda
{ DOLCE - BRACE Mo
_� EUROP 875sf -
180sf I: $ Permit O. �`� ' U!/ f
o I $
� nroT MOBILE Y, g Platy review aporaval is subject to errors and orniSsians•
1827 sf I + _
2",-$,a CLEARWIRE 00 x _ 44'-4" _ �o, a i ,<
_ = GRACE I x ; Approval o, construction documents does not authorize
cD 916 =I o EMERALD. CI a the violation of any adop coda or ordinance. Receipt
180sf 00 SMOOTHIE
1 r, 1135 sf i W l BJ'S I of approved t field Co nd co ns is a kno� dged:
J „ „
101
,
_ DUKES CHOWDER HOUSE N P r
=1x.
0 1 - 6651 sf a
I
o AT&T _ W I. ,o Date:
�926 sf �i m 1T-4" i City/ G 31� 'titifa
_ L N. „ L LOUNGE =1= 1
_ _. 4- _ o �. x . _
ml x _ -' JOEY'S GRILL & LOU °
BUILDING DIVISION
1 m I w �.
w I- Ln z co ' S1'-11" ` I 6p
o N m 37' _7" PATIO 7844. sf
1 00
Cl v R1 j R3 x 4 -10 + ,, s
32 -4' 1575 1580 88'-1
51 _4' PATIO
1�19'-10„
28'-6" z^C
_,j,
L
Z
15 16 17 �i3' 19 (,20 cl (2 24. 25 26 27 29 <01
1 1 .J J 0 .i
i
i
I
WIEWatf ield I LL%wp
11601 WILSHIRE BLVD. 12TH FLOOR LOS ANGELES CA. 90025 (310) 478-4456
1) M, wal k
This drawing is diagramatic and
shows only approximate conditions,
locations, quantities and proposed
elements. The size, location,
existence or identity of any element
or specific occupant may be added
eliminated or modified at the sole
and absolute discretion of the
Landlord. Failure to verify actual
conditions shall be at the sole risk
and responsibility of the tenant.
0' 20' 40' 80'
SCALE
!t