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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