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HomeMy WebLinkAboutPermit 4125 - Roper Fireplace InsertSq. Ft. lit FT. Office Storage/ e dare ho us Retail Other Occ. Load 2nd Fl. raFT. -- Total Work to be done p Site Address Building Use Property Owner Address Contractor Address ssyanc, FOR BUILDING PERMIT ONLY A roved for i ebv ,. _ a _ Fire Protection: L] Sprinklers L( Detectors Zoning Fireplace Insert 6241 So. 153rd Res dance Barbara Roper 6241 So. 153rd St., Tukwila, WA Renton Fireplace Shop 367 Rainier Ave. So., Renton, WA Special Conditions FOR SIGN PERMIT ONLY C1 Permanent ❑ Temporary J Single Face Building face Contractor (signature) Owner (signature),______ CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 J Double Face Type of Construction Setbacks: Front BUILDING PERMIT L PERMIT # 4125 Control # 85 -317 Suit+:. # Tenant Barbara Roper Assessors Acc # _.& 2 4 o 7 Qj�12cz0 Phone # � Zip 98168 Phony ; 255 -1266 ip 98055 Total Valuation of Construction Bldg. Permit. Fee Plan Chock Fee Demolition Surcharges Other Other TOTAL Fees sq. ft. @ 1st F1. sq. ft. @ 2nd Fl. sq. ft. @ other sq. ft. @ _ other • ...,11.12,11U17._.d._...,..o.,1•11 m.111....,..,...o._ 0 Wall Mounted [j Free Standing [ J Other Side Side Date Receipt #1151_ Receipt # ^_ Receipt # Receipt #11 Receipt # Receipt # $ 1 5Q $ $ 15.00 Rear Square Footage of each sign face Total sq!i,are footage of sign Special Conditions .1.1[1 . . f.r lrf a TaR1YlM ..MLNO`/1.0.1+. a fro THIS PERMIT BECOMES NULL AND VOlii IF WORK CP.. CONSTRUCTION AUTHORIZED IS NOT COMMENCED WIThIN i.80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPMED OR ABANUONEU FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 15 C0t'ENCED. I HEREBY CERTIFY THAT I HAVE REAM AND EXAMINE( THIS APPLICATION AND KNOW IaE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED W T11 WHETHEP. SPECIFIED HEREIN OR NOT. THE GRANTING or A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE R CAN - IE PROVISI S OF A OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOPMANCE OF CONSTRUCTIPN. A/ Signer ,�.r . �--s"'�.►� Dates./1.4PV .__..._._._ LICENSED CC,'rRACTORS DECLARATION 1 hereby affirm that I am licensed under provisions of t:.. !lusin =s; and Professions Codc. and my license is in full force and effect. OWNER - BUILDER DECLARATION ( ) I, as owner of the prcilerty, or my ernploye•!s, with wages J5 their sole compensation, will do the work, and the structure is not 'ntended rr offered for sale. ( ) 1, as owner of the property, am exclusive)) contracting with licensed contractor's to construct the project. Date S, . Ft. 1st 77. Office Storage/ Ware house Retail Other .Occ. I.oadl 2nd F1. i Ord FT: Total .1` CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 Work to be done Fireplace Insert Site Address 5241 So. 153rd Building Use Re#idence Property Owner Barbara Roper Address 6241 So. 153rd St., Tukwila, WA Contractor Renton Fireplace Shop Address 367 Rainier Ave. So., Renton, WA FOR BUILDING PERMIT (ONLY A\ proved for issapce by Fire Protection: [[ Sprinklers J Detectors Zoning Type of Construction Special Conditions Contractor (signature) IY/ S igne �:cT�..6 Gif. G� G_ 5� r- 't""�""� y Jris�noow .w.�+rs..pw:,�•,.:,,.,ya. yorsov.wn9rYfl •o : .'t ; �' r .... , BUILDING PERMIT Suitt # Tenant Barbara - Roper Assessors Acc•::unt # Phone # 2L 4=1279 ip 98188 P hol�E; /i� 255 -1266 ip 98055 Bldg. Permit Fee Plan Chock Fee Demolition Surcharges Other Other TOTAL c: ..1..1104I11t1 T.A_.ANYi (— Fees sq. ft. @ sq. ft. @ sq. ft. @ sq. ft. @ PERMIT # 4125 Control # 85 -317 Total Valuation of Construction, F;1. grid Frl. other. other LICENSED CONTRACTORS DECLARATION I hereby affirm that 1 am licensed under provisions of t-.. !tuslnes.: and Professions Codc. and my 1ic?nse is in full force and effect. FOR SIGN PERMIT ONLY j Permanent Temporary [� Single Face [] Double Face [J Wall Mounted El Free Standing Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Special Conditions Receipt # 1157 $ 13.50 Receipt # $ Receipt # $ Receipt #11157 $- 1. 3.Q Receipt # $ Receipt # $ $ 15.00 Total square footage of sign TIIIS PERMIT BFCUMES NULL AND VOID IF WORK VP. CONSTRUCTION AUTHORIZED IS NOT CO4M4ENCED WITIM 18G ,DAYS, OR IF CONSTRUCTION OR WORK 15 SUSPENDED OR ABANDONED FUR A PERIOD OF 1310 DAYS AT ANY TIME AFTER WORK 15 CO1•!'ENCEU. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW tHE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED W)TH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING or A PERMIT DOES NOT PRESUME TU GIVE AUfIIORITY TO •VIQLATE R CAN }•NE PpoV1S1O OF A OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSiRUCTI('N. �'" � Date OWNER - BUILDER DECLARATION ( ) 1, as owner of the property, or my employe•a, with waciec as their sole compensation, will do the work, and the :tr•ucture is not intended or offered for sale. ( ) 1, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Owner (signature)________.__. TYPE `' ' ' ' DATE INSP. NOTES Grading v • (Bldg. 433 -1845) 1711 Setback (Bldg. 433-1845) h� Rebar/Footing/Found. (114: 433 -1845) n� Slab • (Bldg. 433 -1845) Grout (Bldg. 433 -1845) Frame (B1dg. 433.1845) h/W. 101 loe M a w ( id9. viflIV ) 'c if 7.:'`/b fl r tic:.' _7 - BS Rooting (Bldg. 433 - 1845) ?IX Insulation (Bldg. 433 -1845) h Mechanical (Bldg. 433 -1845) 17 /ft . Wall Board (Bldg. 433 - 1845) V YA Utilities Mater /Sewer /Drainage -(Shops 433 -1860) 1741 Parking (Ping. 433 -1845) »� Landscape (Ping. 433 -1845) fl/ Street Use Permits (PWD 433 -1850) Ng Fire (Fire 433 -1859) no FINAL ''(81d9. 433 -1845) 5 .04 //i0 4. SPECIAL CONDITIONS CITY OF TUKWILA BUILDING PERMIT INSPECTION RECORD POST AT OR NEAR FRONT OF BUILDING PROTECT FROM WEATHER City of Tukwila Bolding Division 433 -1845 JOB ADDRESS b?dj/ 60. f f a WORK TO BE DONE OWNER CONTRACTOR DATE ISSUED Inspector.aust. sign all spaces pertelning tothis Job. ESP. • 1 02? Control t Date Issued TYPE OCCUPANCY TENOIRTAININO TO THIS CITY OF TUKWILA ( Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 BUILDING PERMIT APPLICATION (Please Print) Describe work to be done Site Address4:2 Sr . / 6, 3 47 Suite # -- Tenant Assessors Account # Valuation of Construction �IT Building Use l I71f L i Grading: Fill cubic yards Cut Property Owner .9-ie8! ,.eg 124, ?Q Address r" d e / /- S . / 63 'x ° Appl i cant Ze/, /452.-, Address 647 5c9'. Address 36 7- /.,g' /e5-?C . , ie,r 5o, Type of Construction Occ. Group cubic yards Control # Valuation Plan Check Fee Receipt # ✓14 f--e6 / 3,5D 6.1-v0,161 lOO Phone # Zip 9c2/:Rf' Phone # Zip Architect /Engineer Phone # Address Zip Contractor ,fe7YTc"1'c.) �; � ,�'4. � " R License # Phone # Zip I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. Applicant /Authorized Agent � ,���! �� =rte Date 0 2S ©c-7`- — (print name) Contact Person (please Print) /1, ,, e , Phone # c7 7 J (8/85)