HomeMy WebLinkAboutPermit 4815 - Hill Residence - ReroofCITY OF TUKWILA t�
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
Work to be done Reroof
BUILDING PERMIT
Site Address 5618 South 147th
Building Use Residence
Property Owner George n. Hill
Address 561a_Sauth. 147th
Contractor Same
Address
FOR BUILDING PERMIT ONLY
Suite #
Assessors
PERMIT # /s-
Control i $7-,27J
Tenant George D. Hill Residence
Account # '41/ 4-
Phone # 244 -2785
Zip 98188
Phone #
Zi
Tukwila
Sq . Ft.
lit-FT.
2nd-F1-
Office
Warehouse
Retail
Other
Occ.
Load
r--F1.
Total
Fire Protection: [] Sprinklers ❑ Detectors
Zoning Type of Construction
Special Conditions
Fees
sq. ft. @
sq. ft. @
sq. ft. @
sq. ft. @
1st F1. $
2nd F1. $
other $
other $
Total Valuation of Construction $ 2,500.00
Bldg. Permit Fee
Plan Chock Fee
Demolition
Surcharges
Other
Other
TOTAL
Receipt # $ _54.00
Receipt
Receipt # $
Receipt #mac 7J$ __3 ,EL
Receipt # $
Receipt # $
$ 57.50
FOR SIGN PERMIT ONLY
❑ Permanent ❑ Temporary
❑ Single Face ❑ Double Face ❑ Wall Mounted [] Free Standing ❑ Other
Building face Setbacks: Front Side Side Rear
Square Footage of each sign face
Special Conditions
Total square footage of sign
11115 PERMIT BECOMES NULL ANU V010 IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
I 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Or A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE U 114,CANCEL THE PPOV1S NS OF ANY 0 H TATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Signed 1 Date 7"/ ) ^g%
LICENSED C0'!TRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of t!+.. Business and Professions Code, and my license is in full force and effect.
Date
Contractor (signature)
OWNER- BUILDER DECLARATION
4, 1, 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.
( ) I, as owner of the property, am exclusi+ q�y con ctin w licensed contractor's to construct the pr ect.
Owner (signature /(Al .r �� Date _2 —/ 2-- r-
ern �. � , raty °fYfr'x�ir y✓tiwr,,A ry .4err , , , f.ri
CVY OF- TUKWILA.
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845" BUILDING PERMIT
• $ Y t.
Work to be done Reroof
Site Address 5618 South 147th
Building Use Residence
Property Owner Genrgp D. Hill
Address 5618 South 147th
Contractor Same
Address
FOR BUILDING PERMIT ONLY
PERMIT # J. c9 /S
Control l# 37 -.Va
Suite # Tenant George U. Hill Residence
Assessors :account # L4//A1
Phone # 244 -2785
Tukwila Zip T88
Phone #
Sq. Ft.
lit FT.
Office
Storage/ e
Ware hous
Retail
Other
Occ.
Load]
2nd Fl.
-3rd F1.
Total
Fire Protection: ❑ Sprinklers ❑ Detectors
Zoning �_ ,_ .TYPe' oCConstruction.... -
Special Conditions
Total
Fees
sq. ft. @ 1st F1. $
sq. ft. @ 2nd F1. $
sq. ft. @ other $
sq. ft. @ other $
Valuation of Construction $ 2,500.00
Bldg. Permit Fee
-Plan Chock Fee
Demolition
Surcharges
Other
Other
TOTAt..
Receipt # 0-7' $ _a4.nn
Receipt #
Receipt # $
Receipt # c3' 70 .50
Receipt # $
Receipt # $
' FOR SIGN PERMIT ONLY
❑ Permanent ❑ Temporary
❑ Single Face ❑ Double Face ❑ Wall Mounted ❑ Free Standing ❑ Other
Building face
Setbacks: Front Side
Square Footage of each sign face'
Special Conditions
Side Rear
Total square footage of sign
AVM 11••■•=111111111.00• .11111•1
THIS PERMIT BECOMES NULL AND V010 IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PCRIOD OF 100 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
1 HEREBY CERTIFY THAT l 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 Or A PERMIT DUES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PPOVIS NS OF NY 0 EHE TATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION,
S {gned adT�a. l� ✓
1 Date 7--/
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of t'.: Business and Professions Code, and my license is in full force and effect
Date
Contractor (signature)
OWNER- BUILDER DECLARATION
(,4 1, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is net Intended or
offered for sale.
( ) 1, as owner of the property, am exclusi1ve y cont ctin g� w licensed contractor's to construct the project
Owner (signaturej�s � 7 _a��e!� _ �!L�� Date / 2-- 2?
„CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspecti6-jf
Site Address 5po0 )L('7 6',
Requestor
Special Instructions f4_ t h"n 00 k ,C(avv (flLtt, 9614..
�...«r...,,.,......,- __,...._..,....�.....,. A;';'. 4i'�Vi:ti lliimiy.,atYt,h
INSPECT'.ON RECORD
PERMIT # nitT
Date 1-2z-17
Date Wanted 7- (15O10 a.m.
Project
p
.m.
Phone # gqa -3420
Inspection Results /Comments:
Inspector
Date 7 3 7
.CITY OF TUKWILA op-
6100 ou hce ter Bl DING PERMIT APPLIC , . ION
6100 Southcenter Boulevard
Tukwila, Washington 98188 - Control #
(2061 433 -1845
Site Address / ` 5 Q / L} 7 7 & 5'7— Suite# Floor#
Project Name /Tenant 4 G-6=7 j LL_
Valuation of Constructior0r2, m c d a a Assessors Account#
Property Owner 61-6=-4, A24_1,-45- pr)6141 ,s.z_- Phone a. 4:4-2 ? P15
Address 45= Zip 9'7/ rr
Applicant 5-0--/41 mss-- Phone
Address Zip
Architect /Engineer Phone
Address Zip
Contractor 6) !-c■ /VGA -42 Licenser Phone
Address Zip
Class of Work: ❑ New ❑ Addition ❑ Tenant Improvement ❑ Remodel (residential)01 Reroof
❑ Demolition 0 Interior Demolition ❑ Other
Describe work to be done Q C )04-41 - G c- /Loop= _S /#'reo,k
AN
Type of Const. (UBC) Occ. Group (UBC)
Square footage of entire building Square footage of tenant space
Building Use Ge &-5'/ Pew G,4"4—* Will there be a change of use? ❑ Yes �j 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? ❑ Yes No 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 OWNER'S AUTHORIZATION TO DO THIS WORK.
Applicant /Authorized Agent (signature) �,✓_ .,� • .0 ✓ Date (, — f '�7 ,
(print name)
Contact Person (please print) Phone
OFFICE USE ONLY aeZICL 7711, -5/
FEES: Building Permit Fee (000/322.100) $ 54/00 Receipt# Date Paid
Plan Check Fee (000/345.830) Receipt# Date Paid
Bldg Code Sur Charge (000/386.904) 3.50 Receipt# Date Paid
Energy Sur Charge* (000/386.907) Receipt# Date Paid
Other ( ) Receipt# Date Paid
*New construction only TOTAL •j, `'v (OWES: $ )
SQUARE FOOTAGE /BUILDING USE INFORMATION Footage of Entire Building:
FL00
USE /Occ Type
SQ.FT.
(JCL
J.QAD
USE /Occ Type
_Square
SQ.FT.
OCC
LOAD,
USE /Occ Toq
SQ.FT.
OCC '
bj Gals,
TOTAL
SQ.FT.
TOTAL
OCC.
TOTA
TRACKING
e •
I'
II' 11
COMME i
BLDG
1
I� �c,-1
`��
Approved for Issuance -tJ �; Type of Const.
To Mahan: Date Approved:
FIRE
Approved Initials) Per letter dates
Fire Protection:
Approved (Initials)
• Sprinklers ❑Detectors
O BAR [LAND USE /SEPA CONDITIONS
PLNG
Zoning Setbacks: N S E W
Parking stalls required for: Site Tenant Space
Parking stalls provided: Site Tenant Space__
ADDITIONAL PARKING STALLS REQUIRED:
'dair;�3...._..,
PWD
Approved (Initi4h) .. Ir;r )(.tt�sr /pl4n