HomeMy WebLinkAboutPermit D17-0290 - CRISPY TOWN - FINAL INSPECTIONCRISPY TOWN
1379 SOUTHCENTER MALL
D17-0290
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.gov
DEVELOPMENT PERMIT
9202470010 Permit Number: D17-0290
1379 SOUTHCENTER MALL
Project Name: CRISPY TOWN
Issue Date: 10/26/2017
Permit Expires On: 4/24/2018
Owner:
Name:
Address:
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD, WA,
92013
Contact Person:
Name: TOM WITEK
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
3400 CAPITOL BLVD , OLYMPIA, WA,
98501
WEST COAST CONSTRUCTION
3400 CAPITOL BLVD - SUITE 101,
OLYMPIA, WA, 98501
WESTCCC848Q1
Phone: (909) 610-0780
Phone: (951) 774-0677
Expiration Date: 11/30/2018
DESCRIPTION OF WORK:
FINAL INSPECTION ONLY FOR THIS PERMIT. EXPIRED PERMIT NO. D16-0210.
Project Valuation: $0.00
Type of Fire Protection:
Sprinklers:
Fire Alarm:
Type of Construction:
Electrical Service Provided by: TUKWILA
Fees Collected: $148.47
Occupancy per IBC:
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:
International Fuel Gas Code:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
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:
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 regulating construction or the performance of work. I am authorized to sign and obtain this
development perm agr to t 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 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 rack storage requires a separate permit issued through the City of Tukwila Permit Center. Rack storage
over 8 -feet in height shall be anchored or braced to prevent overturning or displacement during seismic
events. The design and calculations for the anchorage or bracing shall be prepared by a registered
professional engineer licensed in the State of Washington. Periodic special inspection is required during
anchorage of storage racks 8 feet or greater in height.
5: There shall be no occupancy of a building until final inspection has been completed and approved by
Tukwila building inspector. No exception.
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**
CITY OF TUK LA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Pe. Ait No.
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
CONSTRUCTION PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
**Please Print**
SITE LOCATION
King Co Assessor's Tax No.:
Site Address: 2'1 "1 S 19° ".-Cl'Ut
-"T1'Z. `(1— Suite Number: 1'`'f (4Floor: I e i-
Tenant Name: ) 1,1j IkS
PROPERTY
OWNER n
Name: to_,rs N_ 1� 1 i 1,I/ v e.,0 ,a.1/
Address: (7L2 6 0 \x--; c riv
City: /44 �� 6 notate: w K. Zip::1,201
CONTACT PERSON — person receiving all project
communication
Name: y
t
City: /('�j1l 4rnO1n_ State: f fi-- Zip1 fir0
O vVI
Address:
Contr Reg No.: Exp Date:
Tukwila Business License No.:
City:
State:
Zip:
Phone:
Fax:
City:
Email:
Zip:
Phone:
GENERAL CONTRACTOR INFORMATION
Company Name: ll jam/ � /rp') /e2 it o j4-
®/
Address: 2 q 00 zfi ci,4IC-vbr
l i t y d�/
City: /('�j1l 4rnO1n_ State: f fi-- Zip1 fir0
O vVI
Phone :/W1ngi eD7',FZ x:
L (J V
Contr Reg No.: Exp Date:
Tukwila Business License No.:
H.\Applications\Forms-Applications On Line \2012 Applications'Permit Application Revised - 2-7-12.docx
Revised: February 2012
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New Tenant: Yes .. No
ARCHITECT OF RECORD
Name:
J
Company Name:
Architect Name:
Address:
City:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Name:
J
Company Name:
Engineer Name:
Address:
City:
City:
State:
Zip:
Phone:
Fax:
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name:
J
J
Address:
City:
State:
Zip:
Page 1 of 4
BUILDING PERMIT INFORMATV — – 206-431-3670
Valuation of Project (contractor's bid price): $ •1-15-r o 6Q
Describe the scope of work (please provide detailed information):
Existing Building Valuation: $
Will there be new rack storage? ❑ ....Yes
)Thio
If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
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? 0 Yes 0 No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0 Sprinklers 0 Automatic Fire Alarm 0 None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes 0 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:Wpplications\Forms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 2 of 4
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1St Floor
2"d Floor
3rd Floor
Floors thru
l
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: Compact: Handicap:
Will there be a change in use? 0 Yes 0 No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
0 Sprinklers 0 Automatic Fire Alarm 0 None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes 0 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:Wpplications\Forms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 2 of 4
PUBLIC WORKS PERMIT INF( VIATION — 206-433-0179
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 0 ...Water District #125
❑ .. Water Availability Provided
Sewer District
❑ .. Tukwila
❑ .. Sewer Use Certificate
❑... Highline
❑ ...Valley View 0...Renton
❑ ...Sewer Availability Provided
❑... Renton
0... 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)
O .. Bond 0...Insurance ❑... Easement(s)
Proposed Activities (mark boxes that apply):
0 .. Right-of-way Use - Nonprofit for less than 72 hours
0 .. Right-of-way Use - No Disturbance
❑ .. Construction/Excavation/Fill - Right-of-way 0
Non Right-of-way El
❑ .. Total Cut
0 .. Total Fill
cubic yards
cubic yards
❑ .. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
❑ .. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑.
❑.
❑.
❑.
❑ .
❑.
Geotechnical Report
.. Maintenance Agreement(s)
0 .. Traffic Impact Analysis
❑ .. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
0...Right-of-way Use - Profit for less than 72 hours
O ...Right-of-way Use — Potential Disturbance
0...Work in Flood Zone
❑... Storm Drainage
.. Abandon Septic Tank
.. Curb Cut
.. Pavement Cut
.. 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 0
❑ ... Grease Interceptor
0... Channelization
❑...Trench Excavation
0...Utility Undergrounding
WO # (2) " WO # (3)
WO # (2) " WO # (3)
WO # ❑ .. Deduct Water Meter Size
Private ❑
Private 0
" WO#
" WO#
FINANCE INFORMATION
Fire Line Size at Property Line
0 .. Water 0 .. Sewer ❑ .. Sewage Treatment
Monthly Service Billing to:
Name:
Mailing Address:
Number of Public Fire Hydrant(s)
Day Telephone:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State Zip
Day Telephone:
City
State Zip
HAApplications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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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 PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OA
Signature:
Print Name:
Mailing Address:
f§Q
1,011(✓dlth.�
A3z-1 o 0 (,9-%)&( y9/°D
H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Date:
Day Telephone: — /4/c /.7/-Z
City s1440 --
Zip
Page 4 of 4
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
( ACCOUNT
QUANTITY
" PAID
$148.47
D17-0290 Address: 1379 SOUTHCENTER MALL Apn: 9202470010
$148.47
Credit Card Fee
$4.32
Credit Card Fee
R000.369.908.00.00
0.00
$4.32
DEVELOPMENT
$137.50
PERMIT FEE
R000.322.100.00.00
0.00
$133.00
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE
$6.65
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R12654
R000.322.900.04.00
0.00
$6.65
$148.47
Date Paid: Thursday, October 26, 2017
Paid By: WEST COAST CONSTRUCTION
Pay Method: CREDIT CARD 002015
Printed: Thursday, October 26, 2017 12:20 PM 1 of 1
CIMSYSTEMS
INSPECTION RECORD
Retain a copy with permit D17-1590
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
CR /SPY /6fitJAJ
Type of Inspection:
BUILD 1"16— rl Ntft-L
Address:Date
/31'r T
laii�@M—
Called:
Special Instructions:
Date Wanted:
/6—.5® —17
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes. [ Corrections required prior to approval.
COMMENTS: Dj.( rainL Do i_pf/46
REF P t -r I IP -wwd0
Inspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
DR -37.70
6300 Southcenter Blvd., #100, Tukwila: WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-3670
Prooljlect:
CZIsryi6S
o
Type of Inspection:
vtfLb1NG-
A NAL
Address:
L97? &Stl
i-/ t4LL
Date Called:
Special Instructions:
Date Wanted:
ic-3
.17
a
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval:
COMMENTS:
/U/: A -C. C sr /
Inspector:
Date:
/4$=3Q-`7
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.