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HomeMy WebLinkAboutPermit D18-0112 - T-MOBILE - TENANT IMPROVEMENTT -MOBILE 984 SOUTHCENTER MALL D18-0112 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 984 SOUTHCENTER MALL Project Name: T -MOBILE Permit Number: D18-0112 Issue Date: 5/30/2018 Permit Expires On: 11/26/2018 Owner: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD, WA, 92013 Contact Person: Name: APRIL HOUSE Address: 3617 SW CHARLESTON ST, SEATTLE, WA, 98126 Contractor: Name: HAWK BUILDING CONTRACTORS INC Address: PO BOX 996 , FERNDALE, WA, 98248 License No: HAWKBCI034PM Lender: Name: T -MOBILE Address: 984 SOUTHCENTER MALL, TUKWILA, WA, 98188 Phone: (206) 478-0844 Phone: (425) 402-1818 Expiration Date: 5/29/2020 DESCRIPTION OF WORK: TENANT IMPROVEMENT Project Valuation: $45,000.00 Type of Fire Protection: Sprinklers: YES Fire Alarm: YES Type of Construction: IIB Electrical Service Provided by: TUKWILA Fees Collected: $1,576.34 Occupancy per IBC: M 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: 2017 2017 2017 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: � "3CI 6 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 permit and agree to the conditions attached to this permit. Signature: Print Name: PYA,} Ai) wNs Date: 3d''/� 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: New suspended ceiling grid and light fixture installations shall meet the seismic design requirements for nonstructural components. ASCE 7, Chapter 13. 5: Partition walls shall not be tied to a suspended ceiling grid. All partitions greater than 6 feet in height shall be laterally braced to the building structure. Such bracing shall be independent of any ceiling splay bracing. 6: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 7: Fire retardant treated wood shall have a flame spread of not greater than 25. All materials shall bear identification showing the fire performance rating thereof. Such identification shall be issued by an approved agency having a service for inspection at the factory. 8: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 9: 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. % 1 N, 10: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206-431-3670). 11: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 12: 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. 13: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431-3670). 36: TO SCHEDULE ALL FIRE DEPARTMENT INSPECTIONS CALL 20-575-4407. 17: 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" (3A, 408:C) dry chemical type. Travel distance to any fire extinguisher must be 75' or less. (IFC 906.3) (NFPA 10, 5.4) 14: Portable fire extinguishers, not housed in cabinets, shall be installed on the hangers or brackets supplied. Hangers or brackets shall be securely anchored to the mounting surface in accordance with the manufacturer's installation instructions. Portable fire extinguishers having a gross weight not exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 5 feet (1524 mm) above the floor. Hand- held portable fire extinguishers having a gross weight exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 3.5 feet (1067 mm) above the floor. The clearance between the floor and the bottom of the installed hand-held extinguishers shall not be less than 4 inches (102 mm). (IFC 906.7 and IFC 906.9) 15: Extinguishers shall be located in conspicuous locations where they will be readily accessible and immediately available for use. These locations shall be along normal paths of travel, unless the fire code official determines that the hazard posed indicates the need for placement away from normal paths of travel. (IFC 906.5) 16: Fire extinguishers require monthly and yearly inspections. They must have a tag or label securely attached that indicates the month and year that the inspection was performed and shall identify the company or person performing the service. Every six years stored pressure extinguishers shall be emptied and subjected to the applicable recharge procedures. If the required monthly and yearly inspections of the fire extinguisher(s) are not accomplished or the inspection tag is not completed, a reputable fire extinguisher service company will be required to conduct these required surveys. (NFPA 10, 7.2, 7.3) 18: Maintain fire extinguisher coverage throughout. 19: Egress doors shall be readily openable from the egress side without the use of a key or special knowledge or effort. (IFC 1010.1.9) 20: Dead bolts are not allowed on auxiliary exit doors unless the dead bolt is automatically retracted when the door handle is engaged from inside the tenant space. (IFC Chapter 10) 21: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10) 22: Door handles, pulls, latches, locks and other operating devices on doors required to be accessible by Chapter 11 of the International Building Code shall not require tight grasping, tight pinching or twisting of the wrist to operate. (IFC 1010.1.9.1) 23: Aisles and aisle access ways serving as a portion of the exit access in the means of egress system shall comply with the requirements of this section. Aisles or aisle access ways shall be provided from all occupied portions of the exit access which contain seats, tables, furnishings, displays and similar fixtures or equipment. The required width of aisles shall be unobstructed. (IFC 1018.1) 27: 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) 25: Sprinklers shall be installed under fixed obstructions over 4 feet (1.2 m) wide. (NFPA 13-8.6.5.3.3) \ / 24: 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). 28: A fire alarm system is required for this project. The fire alarm system shall meet the requirements of N.F.P.A. 72 and City Ordinance #2437. 29: 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) 30: 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) 31: An electrical permit from the City of Tukwila Building Department Permit Center (206-431-3670) is required for this project. 32: The maximum flame spread class of finish materials used on interior walls and ceilings shall not exceed that set forth in Table No. 803.11 of the International Building Code. 35: Post address on storefront per approved Westfield standards. 26: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2436 and #2437) 33: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 34: 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 BOARD r1 J' CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Permit No. Project No. //11,,,, Date Application Accepted: ��fi$ t Date Application Expires: � (For office use only) CONSTRUCTION PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. **Please Print** SITE LOCATION Site Address: 984 Southcenter Mall Tenant Name: T Mobile PROPERTY OWNER Name: April House-Paroline and Associates Name: Westfield City: Seattle State: WA Zip: 98126 Address: 835 Market St, Suite 517 Email: april@parolineassociates.com City: San Francisco State: CA Zip: 94103 CONTACT PERSON — person receiving all project communication Name: April House-Paroline and Associates Address: 3617 SW Charlestown St City: Seattle State: WA Zip: 98126 Phone: (206) 478-0844 Fax: Email: april@parolineassociates.com GENERAL CONTRACTOR INFORMATION Company Name: TBD Company Name: Fitch Address: q c.`f S -4-c, C_4v-lT A l Architect Name: Blair S Leach Address: Address: 116435 N Scottsdale Rd City: Scottsdale State: AZ City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: H:Wpplications\Forms-Applications On Line12011 ApplicationsU'ennit Application Revised - 8-4-11.docx Revised: August 2011 bh King Co Assessor's Tax No.: Suite Number: 440 Floor: 1 New Tenant: `Q Yes ❑..No ARCHITECT OF RECORD Name: .--1--- NI obte. Company Name: Fitch Address: q c.`f S -4-c, C_4v-lT A l Architect Name: Blair S Leach City: T� ( ; \ 64_Statej, Address: 116435 N Scottsdale Rd City: Scottsdale State: AZ Zip: 85254 Phone:(480) 998-4200 Fax: Email: courtney.fisher@fitch.com ENGINEER OF RECORD Name: .--1--- NI obte. Company Name: Don Penn Consulting Address: q c.`f S -4-c, C_4v-lT A l Engineer Name: Donald Penn City: T� ( ; \ 64_Statej, Address: 1301 Solana Blvd City: Westlake State: TX Zip: 76262 Phone: (817) 410-2858 Fax: Email: hoplinger@donpenn.com LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: .--1--- NI obte. Address: q c.`f S -4-c, C_4v-lT A l City: T� ( ; \ 64_Statej, Zki,, Page 1 of 4 BUILDING PERMIT INFORMATIO. - 206-431-3670 Valuation of Project (contractor's bid price): $ 45,000 Describe the scope of work (please provide detailed information): Tenant buildout/relocation Existing Building Valuation: $ Will there be new rack storage? m Yes ❑.. No If yes, a separate permit and plan submittal will be required. Under 8' 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? ❑ Yes 0 No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ® 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 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:\Applications\Forms-Applications On Line \2011 Applications'ermit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 2 of 4 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 18` Floor 2,450 2,450 IIB M 2"d 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: Compact: Handicap: Will there be a change in use? ❑ Yes 0 No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ® 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 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:\Applications\Forms-Applications On Line \2011 Applications'ermit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 2 of 4 11 /� PUBLIC WORKS PERMIT INFbi KATION - 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 ❑... Water District #125 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate ❑...Valley View ❑ ...Sewer Availability Provided 0 .. 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 ❑...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 apply): ❑ ...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 cubic yards ❑ .. Work in Flood Zone ❑ ...Total Fill cubic yards 0 .. Storm Drainage ❑ .. Right-of-way Use - Profit for less than 72 hours ❑ .. Right-of-way Use — Potential Disturbance ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. Abandon Septic Tank ❑ .. Curb Cut 0 .. Pavement Cut ❑ .. Looped Fire Line ❑ .. Grease Interceptor ❑ .. Channelization 0 .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Permanent Water Meter Size... >> WO # ❑ ...Temporary Water Meter Size .. WO # ❑ ...Water Only Meter Size » WO # 0 ...Deduct Water Meter Size ❑ ...Sewer Main Extension Public 0 Private 0 ❑ ...Water Main Extension Public 0 Private 0 » FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) 0 ...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:NpplicationsWormt-Applications On Line \2011 Applications\Pennit Application Revised - 8-9.11.docx Revised: August 2011 bh Page 3 of 4 • / PERMIT APPLICATION NOTES — f 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 OR67 ^HORIIZZ �( Signature: Date: 04/23/2018 Print Name: April House Day Telephone: (206) 478-0844 Mailing Address: 3617 SW Charlestown St Seattle WA 98126 City State Zip H:Wpplications\Forms-Applications On Line \2011 Applicatio s\Permit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 4 of 4 i DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $3,321.51 D18-0112 Address: 984 SOUTHCENTER MALL Apn: 9202470010 $1,576.34 DEVELOPMENT $1530.11 PERMIT FEE R000.322.100.00.00 0.00 $924.61 PLAN CHECK FEE R000.345.830.00.00 0.00 $601.00 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $46.23 TECHNOLOGY FEE R000.322.900.04.00 0.00 $46.23 EL18-0388 Address: 984 SOUTHCENTER MALL Apn: 9202470010 $829.69 ELECTRICAL $797.78 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $638.22 PLAN CHECK FEE R000.345.832.00.00 0.00 $159.56 TECHNOLOGY FEE $31.91 TECHNOLOGY FEE R000.322.900.04.00 0.00 $31.91 M18-0054 Address: 984 SOUTHCENTER MALL Apn: 9202470010 $730.51 MECHANICAL $702.41 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 PERMIT FEE R000.322.100.00.00 0.00 $528.78 PLAN CHECK FEE R000.322.102.00.00 0.00 $140.48 TECHNOLOGY FEE $28.10 TECHNOLOGY FEE R000.322.900.04.00 0.00 $28.10 PG18-0062 Address: 984 SOUTHCENTER MALL Apn: 9202470010 $184.97 PLUMBING $177.86 PERMIT FEE R000.322.100.00.00 0.00 $109.14 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 PLAN CHECK FEE R000.322.103.00.00 0.00 $35.57 TECHNOLOGY FEE $7.11 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R14314 R000.322.900.04.00 0.00 $7.11 $3,321.51 Date Paid: Monday, April 23, 2018 Paid By: PRECISION PERMIT Pay Method: CHECK 15894 Printed: Monday, April 23, 2018 12:49 PM 1 of 1 ' SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. l CITY h2- OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Prog i • — . i J L_�� _ I of lrtslpent'on: .j tAi La) 110 Addgr s diti er ti 1 Date Called: Special Instructions: Datian1 3 r m� p.m. Requester: Phone No: y — zoo— 7l ,Approved per applicable codes. Corrections required prior to approval. COMMENTS: Date r /3- e 247 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 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 blg-o) 1Z Pro'ect V fah 1 %x Type of Inspection: GL..►4sz1 Address: ?VI 60E441 0-41k4' MIALL Date Called: c Special Instructions: Date Wanted: 0— L3 -2,g a.m.p p.m. Re ter: I -C -/C Phone No: Q �2 - 24'O 711! 1 Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date. g_ 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 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: I — i'-'1 b b ; Lt. Type of Ins ection: LA - &14,(5,4„) L✓4 i Address: 9s� S-014-41 64 "f1�, Special Instructions: Date Wanted: c-41a. P� Requester: Phone No: yOApproved per applicable codes. Corrections required prior to approval. MMENTS: Inspector: Date: 7_ .3o-2Ag 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 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION Dt$-Ol12 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: M (c Type of Inspectign: Address: 98 .� Date Called989� Special Instructions: Date Wanted: ,p,, a.m. -7-3- zb P.m. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: Inspector: Date: 7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Btvd., Suite 100. Call to schedule reinspection. INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit -730 6 -T Olt 7 PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 Project: _ --- �,� �.�°' Fire Alarm: Type of Inspection �--e" d -4/4i - Address:�, Suite #: 1 c1 + /W7/ Contact Person: Special Instructions: '----- Phone No.: Approved per applicable codes. Corrections required prior to approval. COMMENTS: / ,2- ,�d6/7( ii,,fieec:7 rin Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: '----- / �_ ,ice "''-. I /1-' f '.---- 1 A ', A'_,11 q -IX' ?&) -- Ly -1/Lk U Qw 4, -,is (K s n f! L _ c f cur !,-iseQci,t�, (aft 6 o ) ' - leYC} Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: Tit yG 53 Date: wid if' Hrs.: V 0 ,H, $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 INSPECTION NUMBER INSPECTION RECORD RRn a copy with permit Diq /'5'-S-iz-z- PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 Project:Type T % r Q % z t -e of Inspection: CoJ. Address: l Suite #: 04- 56,pvLott, Contact Person: J( Special Instructions: Phone No.: pproved per applicable codes. Corrections required prior to approval. COMMENTS: A Needs Shift Insp ction: `' r Sprinklers: yi Fire Alarm: Hood & Duct Monitor: v Arl c.- .-_ Pre-Fire: Permits: Occupan Type: n"—t, Gl. Inspector: T --n, 4__ Date: '/ion g" Hrs.: $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. CaII 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 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D18-0112 DATE: 04/25/18 PROJECT NAME: T -MOBILE SITE ADDRESS: 984 SOUTHCENTER MALL X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: A.33— > C 3-2118 Building Division A Lit° e Public Works Awc sN°-1 retet‘fr OA- 4-1-)-(0-(e Fire Prevention Planning Division IN Structural ❑ Permit Coordinator ❑ PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 04/26/18 Structural Review Required REVIEWER'S INITIALS: DATE: El APPROVALS OR CORRECTIONS: DUE DATE: Approved ❑ Approved with Conditions Corrections Required ❑ Denied ❑ (corrections entered in Reviews) (ie: Zoning Issues) Notation: 05/24/18 REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire 0 Ping 0 PW 0 Staff Initials: 12/18/2013 HAWK BUILDING CONTRACTOR -'.INC Washington State Department of SLabor & Industries Hour 1?slrn')ot Cont<ict Safety & Health Claims & Insurance Page 1 of 2 Search L&I A -Z [ndux Help My L&1 Workplace Rights Trades & Licensing HAWK BUILDING CONTRACTORS INC Owner or tradesperson Principals ADKINS, SAMUEL ALAN, PRESIDENT ADKINS, DAYLE, PRESIDENT (End: 01/12/2010) Doing business as HAWK BUILDING CONTRACTORS INC WA UBI No 601 822 387 PO BOX 996 FERNDALE, WA 98248 425-402-1818 WHATCOM County Business type Corporation Governing persons SAM A ADKINS DAYLE ADKINS; License Verify the contractors active registration / license / certification (depending on trade) and any past violations. Construction Contractor License specialties GENERAL License no. HAWKBCI034PM Effective — expiration 10/14/1997— 05/29/2020 Bond DEVELOPERS SURETY & INDEM CO Bond account no. 445499C Received by L&I 10/12/2001 Insurance Ohio Cas Ins Co Policy no 55306837 Received by L&I 08/24/2017 Insurance history Savings Active. Meets current requirements. $12,000.00 Effective date 10/10/2001 Expiration date Until Canceled $1,000,000.00 Effective date 10/10/2013 Expiration date 10/10/2018 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601822387&LIC=HAWKBCI034PM&SAW= 5/30/2018 HAWK BUILDING CONTRACTORS INC No savings accounts during the previous 6 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 No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations ................ No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID 901,755-01 ................ Doing business as HAWK BUILDING CONTRACTORS INC Estimated workers reported Quarter 1 of Year 2018 "1 to 3 Workers" L&I account contact T5 / MELISSA VEST (360)902-5613 - Email: VESM235@Ini.wa.gov Account is current. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health No inspections during the previous 6 year period. Page 2 of 2 Washington State Dept. of Labor & Industries Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601822387&LIC=HAWKBCI034PM&SAW= 5/30/2018