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Permit D18-0311 - CHAMPS SPORTS - FIXTURES, FINISHES AND LIGHTING
CHAMPS SPORTS 1020 SOUTHCENTER MALL EXPIRED 07/31/2019 D18-0311 Parcel No: Address: Ce) 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 1020 SOUTHCENTER MALL Project Name: CHAMPS SPORTS Permit Number: D18-0311 Issue Date: 1/3/2019 Permit Expires On: 7/2/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD, CA, 92013 JACOB WEBSTER 1236 PORTOLA AVE , TORRANCE, CA, 90501 HORIZON RETAIL CONSTRUCTION INC 1500 HORIZON DR , STURTEVANT, WI, 53177 HORIZRC072N5 FOOTLOCKER INC Address: 330 W 34 ST, NEW YORK, NY, 10001 Phone: (310) 702-7852 Phone: (262) 638-6000 Expiration Date: 4/15/2019 DESCRIPTION OF WORK: MINOR TENANT IMPROVEMENT FOR EXISTING CHAMPS RETAIL STORE. NEW SALES FIXTURES, FLOOR FIXTURES, FITTING ROOM FIXTURES, FINISHES, LIGHTING Project Valuation: $50,000.00 Type of Fire Protection: Sprinklers: YES Fire Alarm: YES Type of Construction: IIB Electrical Service Provided by: TUKWILA Fees Collected: $1,729.52 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: 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: 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 p: it and agree to the conditions attached to this permit. Signa Print Name. Date: 1-3' kC( 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: 4: 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, 40B:C) dry chemical type. Travel distance to any fire extinguisher must be 75' or less. (IFC 906.3) (NFPA 10, 5.4) 1: 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) 2: 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) 3: 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) 5: Maintain fire extinguisher coverage throughout. 6: 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) 7: 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) 8: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10) 9: 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) 10: Exits and exit access doors shall be marked by an approved exit sign readily visible from any direction of egress travel. Access to exits shall be marked by readily visible exit signs in cases where the exit or the path of egress travel is not immediately visible to the occupants. Exit sign placement shall be such that no point in an exit access corridor is more than 100 feet (30,480 mm) or the listed viewing distance for the sign, whichever is less, from the nearest visible exit sign. (IFC 1013.1) 11: Every exit sign and directional exit sign shall have plainly legible letters not less than 6 inches (152 mm) high with the principal strokes of the letters not less than 0.75 inch (19.1 mm) wide. The word "EXIT" shall have letters having a width not less than 2 inches (51 mm) wide except the letter "I", and the minimum spacing between letters shall not be less than 0.375 inch (9.5 mm). Signs larger than the minimum established in the International Fire Code shall have letter widths, strokes and spacing in proportion to their height. The word "EXIT" shall be in high contrast with the background and shall be clearly discernible when the exit sign illumination means is or is not energized. If an arrow is provided as part of the exit sign, the construction shall be such that the arrow direction cannot be readily changed. (IFC 1013.6.1) 12: 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) 13: Exit signs shall be illuminated at all times. To ensure continued illumination for a duration of not less than 90 minutes in case of primary power loss, the sign illumination means shall be connected to an emergency power system provided from storage batteries, unit equipment or on-site generator. (IFC 1013.6.3) 14: Emergency lighting facilities shall be arranged to provide initial illumination that is at least an average of 1 foot-candle (11 lux) and a minimum at any point of 0.1 foot-candle (1 lux) measured along the path of egress at floor level. Illumination levels shall be permitted to decline to 0.6 foot-candle (6 lux) average and a minimum at any point of 0.06 foot-candle (0.6 lux) at the end of the emergency lighting time duration. A maximum -to -minimum illumination uniformity ratio of 40 to 1 shall not be exceeded. (IFC 1008.3.5) 18: 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) 16: Sprinklers shall be installed under fixed obstructions over 4 feet (1.2 m) wide. (NFPA 13-8.6.5.3.3) 15: 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). 19: 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. 20: 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) 21: 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) 22: An electrical permit from the City of Tukwila Building Department Permit Center (206-431-3670) is required for this project. t�1 l 1 23: All electrical work and equipment shall conform strictly to the standards of the National Electrical Code. (NFPA 70) 24: 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. 25: Post address on storefront per approved Westfield standards. 17: 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. 28: ***BUILDING PERMIT CONDITIONS*** 29: 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. 30: 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. 31: New suspended ceiling grid and light fixture installations shall meet the seismic design requirements for nonstructural components. ASCE 7, Chapter 13. 32: 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. 33: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 34: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 35: 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. 36: 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). 37: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 38: 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. 39: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431-3670). PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 0611 EMERGENCY LIGHTING 1400 FIRE FINAL 0409 FRAMING 0606 GLAZING 0502 LATH/GYPSUM BOARD CITY OF TUK>A Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.Tukwila\VA.gov oak Building Perm No. 11Fi - 63 1 1 Project No. Date Application Accepted: Date Application Expires: (For once 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: 1020 SouthCenter Mall Suite :number: 1020 Floor: 1 New Tenant: ❑ Yes ®..No Tenant Name: Champs Sports PROPERTY OWNER Name: Jacob Webster Name: Westfield Address: 1236 Portola Ave Address: 2049 Century Park East City: Torrance State: CA City: Los Angeles State: CA Zip: 90067 CONTACT PERSON — person receiving all project communication Name: Jacob Webster Address: Address: 1236 Portola Ave Architect Name: James Hamill City: Torrance State: CA zip: 90501 Phone: 310-702-7852 Fax: City: Irving State: TX Email: websterjacob@aol.com Phone: GENERAL CONTRACTOR INFORMATION Company Name: TBD Address: Company Name: Architect Name: James Hamill City: State: City: Irving State: TX Zip: Phone: Fax: Email: State: Contr Reg No.: Phone: Exp Date: . Tukwila Business License No.: H Applications`Forms-Applications On Line 2011 Applications Permit Application Revised - 1-9-1 Ldocx Revised: ,August 2011 bh ARCHITECT OF RECORD Name: Footlocker Inc Company Name: Company Name: Architect Name: James Hamill Address: 580 Decker Dr City: Irving State: TX zip: 75062 Phone: 972-714-0420 Fax: Email: State: ENGINEER OF RECORD Name: Footlocker Inc Address: 330 W 34th St Company Name: Engineer Name: Address: City: State: Zip: Phone: Fax: . Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: Footlocker Inc Address: 330 W 34th St City: New York State: NY Zip: 10001 Page 1 of 4 BUILDING PERMIT INFORMATIOO206-43i-3670 Valuation of Project (contractor's bid price): $ 50,000 Existing Building Valuation: $ Describe the scope of work (please provide detailed information): Minor tenant improvement for existing Champs retail store. New sales fixtures, floor fixtures, fitting room fixtures, finishes, lighting 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 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? 0 Yes FIRE PROTECTION/HAZARDOUS MATERIALS: Compact: Handicap: E6 No If "yes", explain: 121 Sprinklers 1Z1 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 ❑ No If "yes', attach list of materials and storage locations on a separate 8-1/2"x II" 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 ,ApplicationsiForms-applications On Line 2011 ApplicationsPermit Application Revised • 0-9-1 I.docv 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 t" Floor 2"d Floor 7493 1255 NA NA II -B M 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? 0 Yes FIRE PROTECTION/HAZARDOUS MATERIALS: Compact: Handicap: E6 No If "yes", explain: 121 Sprinklers 1Z1 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 ❑ No If "yes', attach list of materials and storage locations on a separate 8-1/2"x II" 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 ,ApplicationsiForms-applications On Line 2011 ApplicationsPermit Application Revised • 0-9-1 I.docv Revised: August 2011 bh Page 2 of 4 PUBLIC WORKS PERMIT INFO .ATION - 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 1;71 ...Tukwila 0... Water District # 125 0 ...Water Availability Provided Sewer District ..• .Tukwila 0 ...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) ❑ .. Geotechnical Report ❑ ...Bond ❑ .. Insurance 0 .. Easement(s) ❑ .. Maintenance Agreement(s) 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 ❑ ...Total Fill cubic yards cubic yards ❑...Traffic Impact Analysis ❑ ...Hold Harmless — (SAO) ❑ ...Hold Harmless — (ROW) ❑ .. Right-of-way Use - Profit for less than 72 hours ❑ .. Right-of-way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ ...Sanitary Side Sewer ❑ .. Abandon Septic Tank ❑ ...Cap or Remove Utilities 0 .. Curb Cut 0 ...Frontage Improvements ❑ .. Pavement Cut ❑ ...Traffic Control El.. Looped Fire Line ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water 0 .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation El.. Utility Undergrounding ❑ ...Permanent Water Meter Size... WO # ❑ ...Temporary Water Meter Size .. WO # ❑ ...Water Only Meter Size WO # ❑...Deduct Water Meter Size ❑ ...Sewer Main Extension Public 0 Private 0 ❑ ...Water Main Extension Public 0 Private ❑ FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) 0 ...Water ❑ ...Sewer Monthly Service Billing to: Name: 0 ...Sewage Treatment Mailing Address: Day Telephone: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip H .1pplicartuns`,Fornts-Apphcat torts On Lint 201 I Applications`Permn Application Revised • R -9-I l.doce Resised: August 2011 bh Page 3 of 4 • PERMIT APPLICATION NOTES — L,r 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 S OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNE Signature: R AUT Date: IV --?—/r /© Print Name: 34(0.6 X/C� 04 Day Telephone: - 7' 7 7x52 Mailing Address: /,23es/4/F H ‘ApphcattonstFortns.Applecat ions On Line 2011 ApplicationsPermit Application Revised - 0-9-11 docx Revised: August 2011 bh Tom. to 94'S.°1 City State Zio Page 4 of 4 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT I QUANTITY . PAID $1,077.79 D18-0311 Address: 1020 SOUTHCENTER MALL Apn: 9202470010 $1,077.79 DEVELOPMENT $1,027.66 PERMIT FEE R000.322.100.00.00 0.00 $1,002.66 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $25.00 TECHNOLOGY FEE $50.13 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R16335 R000.322.900.04.00 0.00 $50.13 $1,077.79 Date Paid: Thursday, January 03, 2019 Paid By: HORIZON RETAIL CONSTRUCTION IN Pay Method: CHECK 449951 Printed: Thursday, January 03, 2019 9:35 AM 1 of 1 SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $698.50 D18-0311 Address: 1020 SOUTHCENTER MALL Apn: 9202470010 $651.73 DEVELOPMENT $651.73 PLAN CHECK FEE R000.345.830.00.00 0.00 $651.73 EL18-0851 Address: 1020 SOUTHCENTER MALL Apn: 9202470010 $46.77 ELECTRICAL $46.77 PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R15541 R000.345.832.00.00 0.00 $46.77 $698.50 Date Paid: Wednesday, October 03, 2018 Paid By: ALL AMERICAN PERMITS Pay Method: CHECK 3161 Printed: Wednesday, October 03, 2018 1:36 PM 1 of 1 CPWSYST • INSPECTION NO. INSPECTION RECORD Retain a copy with permit ivc-03/) PERMIT N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: /y C ,m IL . S /1s T of In�q Y�3j (AA ion: t 6/016 rvir Address: /OW .Saw r ICeryT:21113k— Special Instructions: /1 But l�I. to Wanted: Z/ 2-0 )5 - a.m? p. • Requester: Fw ac a d Phone No: eille4'" L;741`1-1 /4,-019/w4 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: EU.,lat v,,if--,,%,,c -- ,ity-y-, I /1 But l�I. / /tir't..L iS reil ildee lJ eled( Fw ac a d eille4'" L;741`1-1 /4,-019/w4 Inspector: QJ n o� Date:2 2017 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. SPECTION NO. INSPECTION RECORD Retain a copy with permit be 0311 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: �,,/ C 4 t, �S ` Zfi' Type of Inspection: 4/-i'z Ad, Address: iOW �/ G�t,�JG✓Ii - M 4C— Date Called: Special Instructions: Date Wanted: /-ers 19 p.m. Requester: Phone No: pproved per applicable codes. Corrections required prior to approval. OMMENTS: 7s Inspector: Fps 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 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project:Type C"A ' .�Ro&t� of Inspection: ZogatiWI 00AO Address: I'°1 Gz,J`rti1, j14pq/ Date Called: Special Instructions: Date Wanted: '. I.C. 19 I. p.m. Requester: CA ei, Phone No: 2I6,L ; 31 3950 ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: C\1(141 pth622 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 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 1,13p 030 Project: otkiams,N3 Laeog>a? Type of Inspection: wN,.. i Address: �Q , Date Called: Date Sptciavl Instructions: Wanted: 11010-a9 a.m. Requester: CoVkipl5 Phone No: Z4720 ''331' 3% 'O Approved per applicable codes. Corrections required prior to approval. COMMENTS: rr. Is c pic J peiz.14( trz.,14- traA r wAnkti, Inspector: OLCA_ Date: / —10 —z_0 17 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. S f1LA City of Tukwila ) Department of Community Development 190 5/31/2019 JACOB WEBSTER 1236 PORTOLA AVE TORRANCE, CA 90501 RE: Permit No. D18-0311 CHAMPS SPORTS 1020 SOUTHCENTER MALL Allan Ekberg, Mayor Jack Pace, Director Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 7/31/2019. Based on the above, you are hereby advised to: 1) CaII the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 7/31/2019, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, ndace Nichols Permit Technician File No: D18-0311 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 9ERMIT COORD COPY. PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D18-0311 DATE: 10/03/18 PROJECT NAME: CHAMPS SPORTS SITE ADDRESS: 1020 SOUTHCENTER MALL X Original Plan Submittal Revision # before Permit issued Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: PFJ AWO 1i)191 Building Division In Public Works//- 41 kM Awf/ Idig 11 '6 Fire Prevention Structural N` Nr to Planning Division ❑ Permit Coordinator • PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) DATE: 10/04/18 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved DUE DATE: 11/01/18 ❑ Approved with Conditions n Corrections Required Denied (corrections entered in Reviews) (ie: Zoning Issues) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire 0 Ping ❑ PW ❑ Staff Initials: 12/18/2013 HORIZON RETAIL CONST INC home Espanol Contact [Search L&I Safety & Health Claims & Insurance Washington State Department of `) Labor & Industries • Page 1 of 3 A -Z Index help My L&I Workplace Rights Trades & Licensing HORIZON RETAIL CONST INC Owner or tradesperson Principals HENDERSEN, JON E GUSTIN, ROBERT L HENDERSON, JON E JAWORT, DAN, AGENT Doing business as HORIZON RETAIL CONST INC WA UBI No. 601 483 044 1500 HORIZON DRIVE STURTEVANT, WI 53177 262-638-6000 Business type Corporation Governing persons ROBERT L GUSTIN JON E HENDERSEN; PATRICK J CHRISTENSEN; PAT CHRISTENSON; JON E HENDERSEN; ERIC NIEDEFFER; TOM SCHAEFER; DAN SIUDAK; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. ..................... _............ Meets current requirements. License specialties GENERAL License no. HORIZRC072N5 Effective — expiration 08/25/1993— 04/15/2019 Bond HANOVER INS CO Bond account no. 1592447 $12,000.00 Received by L&I Effective date 04/15/2002 04/10/2002 Expiration date Until Canceled Insurance .................... Zurich American Ins Co $1,000,000.00 Policy no. 5919211 Help us improve httos://secure.lni.wa.gov/verify/Detail.aspx?UBI=601483044&LIC=HORIZRC072N5&SAW= 1/3/2019 HORIZON RETAIL CONST INCr Page 2 of 3 Received by L&IEffective date 03/13/2018 03/29/2018 Expiration date 03/29/2019 Insurance history Savings ............_..... No savings accou-,ts during the previous 6 year period. Lawsuits against Ce bond or savings Cause no. 18-2-26268-2KNT Complaint filed by SCOTT COATINGS LLC Complaint date 11/07/2018 Open Complaint against bond(s) or savings 1592447 Complaint amount $79,487.20 L&I Tax debts No L&l tax debts 4-e recorded for this contractor license during the previous 6 year period, but some debts may be recorded try other agencies. License Violations Infraction no. NJONB01457 Issue date 10/02/2017 Violation city STURTEVANT Type of violation CONSTRUCTION INFRACTION Description Subcontracting t ) or using an unregistered contractor. Satisfied ......................... RCW/WAC 18.27.200(1)(e) RCW Violation amount $1,000.00 Workers' c.;mp Do you know if the-•iusiness has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 861,958-00 ........ _.................... Doing business as HORIZON RETAIL CONSTRUCTION Estimated workers reported Quarter 3 of Year ;::018 "4 to 6 Workers" L&I account contact T3 / KENT ANDERSON (360)902-6963 - Email: ANDN235@lni.wa.gov Public Worcs Strikes and Debarments Verify the contractcir is eligible to perform work on public works projects. Contractor Strikes ............ This contractor recc ived a valid strike(s) for violation or infraction for the following L&I law(s). Learn more about contractor strikes. RCW Violation Effective Date 18.27.200 9/24/2009 Description Failure to comp;: with contractor registration requirements, pc r RCW 18.27 Contractors not a .owed to bid ..................._ No debarments h, ;e been issued against this contractor. Workplace :safety and health Check for any past >afety and health violations found on jobsites this business was responsible for. Inspection results date 03/06/2018 No violations Inspection no. • 317948086 Help us improve https://secure.lni wa.gov/verify/Detail.aspx?UBI=601483044&LIC=HORIZRC072N5&SAW= 1/3/2019