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Permit 4668 - Southcentert Mall - Western Optical - Doors
CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 BUILDING PERMIT Work to be done LI. (Entrance Dogrs) Site Address 759 Southcenter Mall Building Use Retail Property Owner Center Ridge Address 633 Snuthcenter Mall Contractor tlnrgensPn Const. Address PERMIT # 44/ Control # 87 -065 (512) Suite # Tenant Western Optical Assessors Account # 262304 - 9023 -03 Phone # 246 -7400 Zip Phone # 823 -8818 Z'p 98034 WA FOR BUILDING PERMIT ONLY ro S Ft. Sq. Office Warehouse Warehou/ Retail Other Occ. Load 1st F1. 2nd Fl. 3rd Fl. Total Fire Protection: ❑ Sprinklers [] Detectors Zoning Type of Construction Special Conditions Fees sq. ft. sq. ft. sq. ft. sq. ft. Total Valuation Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other TOTAL 1st Fl. 2nd Fl. other other of Construction $ $ $ 2800 Receipt # 6(0( $ 54.00 Receipt # 5980 $__35..00 Receipt # $ ' ) Receipt # 6,15) $ 1.50 Receipt # $ Receipt # $ $ 90.50 FOR SIGN PERMIT ONLY [] Permanent EJ Temporary ❑ Single Face Building face Square Footage of each sign Special Conditions ❑ Double Face [] Wall Mounted Setbacks: f ace Front ❑ Free Standing ❑ Other Side Side Rear Total square footage of sign THIS PERMIT BECOMES NULL AND VOID IF WORM. OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FUR A PERIUU OF 180 DAYS Al ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANU ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE 0R — C7jRCEL PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTR CTIO THE PERFORMANCE OF CONSTRUCTION. Date 77 Signed 1 hereby affirm that Contractor (signature) LICENSED CONTRACTORS DECLARATION islons of the Business and Professions Code, and my 1i /ense ss infull force and effect. �—Q^— Date 3/J,,3J0 OWNER - BUILDER DECLARATION ( ) I, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure 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) Date CITY OF TUKWILA,; Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 Work to be done Site Address Building Use Property Owner Address Contractor Address BUILDING PERMIT rr I. (E tra ce Doors) %59 Southcenter Mali Retail Center Ridge 633 Snuthrenter Mall Jorgensen Const. (4717 NF 139th FOR BUILDING PERMIT ONLY PERMIT # k,g Control # 87 -065 (512) Suite # Assessors Tenant Western Optical Account # 262304- 9023 -03 Phone # 246 -7400 Zip Phone # 823 -8818 Z j p 98034 Kirkland WA S q • Ft. Office storage/ e War ho u s Retail Other Occ. Load 1st F1. 2nd F1. 3rd F1. Total Fire Protection: [] Sprinklers [I Detectors Zoning Type of Con'strucEion Special Conditions Fees sq. ft. @ sq. ft. @ sq. ft. @ sq. ft. @ 1st F1. $ 2nd F1. $ other $ other $ Total Valuation of Construction $ 2800 Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other TOTAL Receipt # 6q/Si $ 54 00 Receipt # 59R0 $ 36.00 Receipt # $ Receipt #6,-//s) $ Receipt # $ Receipt # $ 1.50 $ 90.50 FOR SIGN PERMIT ONLY 0 Permanent [ J Temporary [( Single Face J Double Face [( Wall Mounted [] Free Standing J Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Special Conditions Total square footage of sign THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO `'\ VIOLATE gR---c CEL -NINE. PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRIJC TIO OR THE PERFORMANCE OF CONSTRUCTION. S igned � -" %' r ! . - Date ��� I hereby affirm that -lit d uu der proyisions of the Business and Professions Code, and my license is in full force and effect. Contractor (signature) %/ vt" l �,� '"�"— Date J /S_ F 7 OWNER - BUILDER. DECLARATION ( ) I, as owner of the property, orimy employees, with wages as their sole compensation, will do the work, and the structure 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) Date LICENSED CONTRACTORS DECLARATION CITY OF TUKWILA Building Division 6200 Tukwila, ila,Washington Boulevard 98188 (206) 433 -1849 Type of Inspection INSPE •';1ON RECORD PERMIT # c/( Date -</- 2 ti —4 TU,,,j Date Wanted 7L . "v/PV)-7 a.m Site AddressSe M;/e 7`zerfi Project (L)n.g , a f,..-7/c (1,,.(7 Phone # Requestor ,'2 3 - �� /� c v ��Special Instructions - Inspection Results /Comments: Inspector 4/014 2Z0,;7 Date Ofig CITY OF TUKWILA Building Division '6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection Site Address Requestor Special Instructions INSPE TION RECORD 1 PERMIT # /6 ? . Date 9 e'L 4/ %4) ilkl ` t Date Wanted '`rte►/ 8 a .m. 014-) e2,4 1)'' -m Project .-&.. ( -4. ` tri Phone # 17¢ " U Inspection Results /Comments: Inspector j*/41 Date ///r /e� . f: r: ;.ocyt:,s,.z�i��fP'... +N•.'..tt ,,, its ;4;41, wr..,;. e CITY OF TU IWILA Central Permit System Control No. ' t.� Permit No. `Jr. 1. c;. FINAL APPROVAL FORM TO: ❑ Building ❑ Planning ❑ Public Works tiErFire Dept. ❑ Police ❑ Parks/Recreation Project Name t Address 76.9E c, '� me Type of Permit(s) 7` .Z This project is nearing completion. Please investigate your area of responsibility and indicate below either your final approval or necessary corrections. If no response is received within one week, it will be assumed that the project is of no concern to your department and a certificate of occupancy may be issued. This project Is NOT approved by this department; the following corrections are necessary: () ( ) V;; t >,; .r 1. • 1 () () () () () ) () O () Authorized Signature Date J This project is approved by this department: el/ //)/):' u` t& ed Signature Date CPS Form 3 6 (3 City of Tukwila Fire Department Gary VanDusen Mayor Hubert H. Crawley Fire Chief Fire Department Review Control Number 87 -065 February 19, 1987 Re: Western Optical - 759 Southcenter Mall Dear Sir: The attached set of building plans have been reviewed by The Fire Prevention Bureau and are acceptable with the following concerns: 1. Exit hardware and marking must meet the requirements of Uniform Fire Code Sections 12.104 & 12.114. Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort. (UFC 12.104b) 2. All wall and ceiling materials constructed of wood, shall be fire retardant treated. Yours truly, It i The Tu 'la Fire Prevention Bureau cc: T.F.D. File nod City of Tukwila Fire Department, 444 Andover Park East, Tukwila, Washington 98188 (208) 575-4404 CITY OF TUKWILA Building Division Bt SING PERMIT APPLY- ° TION 6200 Southcenter Boulevard //��//,,, .Tukwila, Washington 98188 Control # C/lY•� (2061 433 -1845 Site Address .75? SosJL e7.,eW ' _ 4.1// Suite# Floor# Project Name /Tenant (4:),O, 2(J/,S,�e�✓/U / ( aJ Valuation of Construction ,'2.3'60.`" Assessors Account# a(pa39/4/-4710o73 "03. Property Owner C°C,e Ar Address Z,33 5' te/ w C' �,���� /2e-i�ze/ Applicant JD e - ?5c . Address 9F-2/ 7 /06E 4f-3C-74 ire ,/c.-L (1 Architect/En J //N »I o-,,. ...Tv Address `� Phone i).-yt 7470'0 Zip Phone g23 gr/ . Zip q c)3 Phone ,j;23 - © Z i p Contractor jry, J.ez,,,5.6,, - cc)- --/i/ License# jory rti /9 7/s.? Phone Y.,13 -8-,(8" Address %7 J-7 /01=-/09/-1 / rFici c/ &cJk_ , Zip F'03/ Class of Work: ❑ New 0 Addition FZI Tenant Improvement ❑ Remodel (residential) ❑ Reroof ❑ Demolition ❑ Interior Demolition 0 Other Describe work to be done -y»vci c4 e'.7, -rig -arc_ Via,-; YO s:'7a // Type of Const. (UBC) Occ. Group (UBC) Square footage of entire building Square footage of tenant space Building Use Will there be a change of use? ❑ Yes No If yes, describe change of use, including square footages of changed areas Will there be storage or use of flammable, combustible or hazardous materials on the premise or area of construction? 0 Yes )2111Po If yes, explain I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT AND THAT I HAVE THE PROPERTY OW■ERS —At1T 0° ATION TO DO THIS WORK. Applicant /Authorized Agent (signature) � � TO' r Date ` Y / "4'74'7 (print name Contact Person (please print) )-rc ,-//"' 2r- c�i'5efr Phone g.23 gss./ S' 1 OFFICE USE ONLY FEES: Building Permit Fee (000/322.100) $ y, 0-0 Receipt# `/ /Sl Date Paid .3//3/7 Plan Check Fee (000/345.830) , 3 ;' CJD Receipt# 'g Q Date Paid ,;:2 /7 -87 Bldg Code Sur Charge (000/386.904) 1.50 Receipt# y/ ? Date Paid 30/y~, Energy Sur Charge* (000/386.907) Receipt# Date Paid / Other ( ) Receipt# Date Paid *New construction only TOTAL c 5U (OWES: $ 55,50 SQUARE FOOTAGE /BUILDING USE INFORMATION Square Foota•e of Entir- B ildin•• FL00 1 1 OCC R USE /Occ Type SQ.FT. LOAD. USE /Occ Tvae SQ.FT. LOAD, USE /Occ Type SO.FT. roan 1 ' L SO.FT. TOTAL TRACKING OMME VAT BLDG ,�� ,A, Approved for Issuance '�- To Mahan: Date Approved: Approved (Initials) Per letter dated Fire Protection: ❑ prinklers ❑ Detectors FIRE, %6 I \g6 PLNG \wo T ype o Approved (Initials) ❑BAR Zoning Setbacks: N S Parking stalls required for: Site Parking stalls provided: Site ADDITIONAL PARKING STALLS REQUIRED: f C onst. ITIONS E W Tenant Space Tenant Space Approved (Initials) Per letter /plans dated t. • „ • , !. 7 - , „ , ' I ----- -1 r :`,"1 - .1 I „1,, , I • i• - • •••• v, ., ...._•.:.. 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'A7''PPO. PL4/;?.. .PASKA+<1.1.4 4410- &%1.10 • ..-;?j1- •m42-1-t6 fit-11-$ MAP:45, .q146 11/75 rik-fatPA, 64 1A-1414„..4, 1. i • ' 40104,“ 1 {.-.s;;-Ar•ttz..r5;trr?, 5,5,55rtr;5"-T2.4. ,A4•444.-,4N rP1•!,44114X"..kle f'FIK:r1jfk4P› NR .rur .44.5* Um,- ■•• j, Ur.. .1 ,44 /U. I., 4-0.1 A 5 .:....-:-.Zatr.:54-4:;.47,...11--.,-.55M;G:,t'llrAttlet.TM-Y„...:-.. •;.•.•=r-r:..,•57-17.-^.!t-5- -1-ftt*trIttr.-att- !Am* - 1nomi..4). 1 1 1 1 1 6 8 7 9 12 13 11111111i1 11111H11111111111 , Tr4Crr.,4 )1 , / • 15-" • . • 74- H/;"-2- 1-; ;-..;11-!". ! 1-•••• i, • „_. . . .. mir,t,‘,1:....1 K-----,..0..-L0'4":. ra i--.::, ti.-9-- •- -- -- -------- --;4r/v.f.31,-(,..74-4T- r-•''')see..,i.4... k ae="aV Pz:;..i.:1-'??1, ,,<:L , •2:./,'4' f..I Egl .z-L. -.:,,,V-fli<i:5:- tr.:--• tl:S/4 /' .1.;r:Fa> LI _i'd P 4.11414, 14 , -, -,..-.-Y1C--e- - 1: . - 4----- /A 441\1 (b W 6,14!•1465 '7.:. t;41,44,11k,V,V) 5 ,„; 1 ir,k1Kg UNceR 41',A414.014:17_ TP ftildoc*. TU A.g.r3.4- • ! ` I [Al Al .1 r- - • • - r 4.... /7 1 -7r.e..) , / fr'11.2.' 1)C -•'' .i., 543i.-'1Til'l'Us.:47:: ei..".::::---,7r-t7.;ji- , . I , ,, .0- 1.• r , -•/' • , • - -V • / el ''•,-l-,- 1..441 i 1; r' L.,;-1./ lS.; . , 1 / / , ; i ,/ 7 ' l'. ' t.' I • • • • . 1 • ' •.3 /' r F..1 Nj / -1 /- • "7. 7 ! 11.,, 1 3 • ! rr 5550# ite 4". 4uar•nrurular.f vd.k.. nire.Apu f GAELNLEAWR'DIR- " KSTHEASLL CONFORM TO UNIFORM BILDING CODE, LATEST EDITION, AND TO ALL APPLICABLE LOCAL CODES M40 ORDINANCES, AND TO NE LAXORD' S CONTRUCTION STANDARDVqt.) COORDINATE ALL WORK WITH THE LANDLMS PROJECT t4ANAGER, CONTRACTOR TO OBTAIN AND PAY FOR Al REQUIRED PERMITS AIM INSPECTIONS. CONTRACTOR SHALL VERIFY ALL EXISTIN CONDITIONS AND DIMENSIONS AT JOB SI TE AND REPORT ANY DISCREPANCIES OR OMISSIONS TO THE A:HITECT PRIOR TO COMMENCING WORK, CONTRACTOR SHALL COORDINATE HIS WORT AVOID DISTURBANCE OF ADJACENT TENANTS. CON1RKCTOR SHALL REPAIR ALL SURFACE WHICH ARE DAMAGED IN THE PROCESS OF EXECUTING IS CONTRACTOR SHALL BE RESPONSIBLE FORNOWLEDGE ON CONDITIONS UNDER WHICH HIS WORK TS TO PER rbwr o*, WHERE CORING, CUTTING* ANO PENETRATiG. OR ANY EXISTING FLOOR AND/OR CEILING SLAB IS REQUIRF.D, CONTRACTOR SHALL OBTAIN WRITTEN APP41, OF LANDLORD, PENETRATING, CORING, AND CUTTING IS NOT isPIMITtED IN -ANY STRUCTURAL JOIST 0 BEAM, CONTRACTOR TO VERIFY DIM:NSIONS , EL1RICAL REQUIREMENTS , ETC. OF1 E OF1A-IL -OWNETR SttPPL I Ef) ITEMS , INCLUDING SIGN , AND COORDINATE ACCO/MGLY, wORK 5 -1.,:rtre.; F.44 I 1 t.--1 11 Ai • I.. _ _ _I 1 - - ! 1H1 : ', . 1 ...... _ ........ LIlert-n'tt i'''..1 .„......_..._......„...._ ._ .