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HomeMy WebLinkAboutPermit 5170 - Mann Residence - Pre-Move Inspection+CITY OF TUKWILA ( T' Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 - MP? BUILDING PERMIT Work to be done Site Address 3404 S. 126TH Building Use RESIDENCE Property Owner SHARON K. MANN Address 3404 c 126TH Contractor DAVF 1 ARSON Address 14244 - 555TH A]IFNOF S. INSPECTION FOR HOUSE TO BE MOVED PERMIT 0 ( 7 0 Control # 8R -041 Suite # Tenant SHARON K MANN Assessors Account # Phone # 241 - 2100/243 -6500 TUKWILA Zip 98168 Phone #I 246 -9249 Zip 98188 TUKWILA FOR BUILDING PERMIT ONLY S q • Ft. Office Strehouorage/ se Wa Retail Other Occ. Load 1st Fl. 2nd F1. 3rd Fl. Total Fire Protection: ❑ Sprinklers [] Detectors Zoning Type of Construction Special Conditions Fees sq. ft. @ 1st F1. $ sq. ft. @ 2nd F1. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ Bldg. Permit Fee Receipt M $ Plan Check Fee Receipt 0 $ Demolition Receipt 0 $ Surcharges Receipt 0 $ Other INSP FOR Receipt # $ Other HOUSE TO BE Receipt # $ an nn MOVED TOTAL $ 30.00 FUR SIGN PERMIT ONLY Permanent D Temporary [] Single Face [j Double Face [] Wall Mounted [] Free Standing [] Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK I5 SUSPENDED OR ABANDONED FUR 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 OF A PERMIT DUES NOT PRESUME TU GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Signed___ Date LICENSED CONTRACTORS DECLARATION 1 hereby affirm that 1 mm licensed under provisions of the Business and Professions Code, and my license is in full force and effect. Date Contractor (signature) OWNER - BUILDER DECLARATION ) I, as owner of the property, or •y employees, with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ( 1 I, 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 -1849 INSPECT .,.N RECORD PERMIT # %// 7C2 3'/R69 Date Type of Inspection 464est04. )1,47dVd.= Date Wanted --A p.m Site Address 3"/ 4' — / ;‘, Project /1%4,/'t/ Requestor Phone # Special Instructions Inspection Results /Comments: /404e5 //e/ 0''62 C144C1441.44 f d ► 5 690 � ) 4i _-.. Inspector Date --.� CITY OF TUKWIIA 6200 SouthcenternBoulevard E' �'" DING PERMIT �PPL'` TION �l TukwH'. ash !Won 98188 1� ,� �o � o� D r� Control # W c� "0(1/ (2d6)-433-1849 7� /90 � �*t Site Address :1'3,474 / Suite# Floor# Assessors Account# Project Name /Tenant hior� Valuation of Construction Property Owner c„ ra Address e, ir) e • Applicant r —‘)C; 1)1 Address Archi tect/Engi neer Address Contractor r5 p . Address n2, Phone v? /-c? /el O e./3 - G S o o eZie, Zip 9'A /U f , Phone Zip Phone Zip License# Phone - 9-v1/9 l ilr /v, '4, . Zip Class of Work: ❑ New ❑ Addition ❑ Tenant Improvement ❑ Remodel (residential) ❑ Reroof ❑ Demolition ❑ Interior Demolition ❑ Other Describe work to be done �So�c��" 4Zcr�5e- LO 6e /wz, -t X14° ? 6 l//, �l Ado' A2/1 AP5e it, J) 40610,711, Type o (UBC) Occ. Group (UBC) Square footage of entire building /6c of,Const. /.f ro,1/4,Square footage of tenant space Building Use A4e r'c /'p -erre_ �.� Will there be a change of use? ❑ Yes jallo 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) (print name) Contact Person (please print) Date Phone FEES: Building Permit Fee Plan Check Fee Bldg Code Sur Charge Energy Sur Charge* Other *New construction only OFFICE USE ONLY (000/322.100) (000/345.830) (000/386.904) (000/386.907) TOTAL $ .3Or 6D Receipt# Date Paid &-&3-?V Receipt Date Paid =561- Receipt# Date Paid Receipt# Date Paid Receipt# Date Paid 30 oo (OWES: $ SQUARE FOOTAGE /BUILDING USE INFORMATION S "uare Foot."• of Entir B_i .i OCC FLOOR USE /Occ Type SQ.FT. LOAD. USE /Occ Type SQ.FT. LOAD, USE /Occ TVD: SQ.FT. loan TOTAL L SOFT. OCC. TRACKING DEPT. DATE IN DATE OUT COMMENTS BLDG FIRE Approved for rssuance To Mahan: Date Approved: Approved (Initials) Per letter dated Fire Protection: ❑ Sprinklers ❑ Detectors ype of Const. PLNG Approved (Initials) ❑GAR ❑LAND USE /SEPA CONDITIONS Zoning Setbacks: N S E W Parking stalls required for: Site Tenant Space Parking stalls provided: Site Tenant Space ADDITIONAL PARKING STALLS REQUIRED: PWD Approved (Initials) Per letter /plans dated CITY OF TUKWILA Building Division 6200 Southcenter Boulevard 7ukwl;a; Washington 98188 (206) 433 -1849 Type of Inspection likee ✓lieu /5 Site Address 31-4/ — /aG Requestor Special Instructions INSPECTP'N RECORD PERMIT # %, /7c/ 3 -/ d7o0 Date Date Wanted 3--,;).....yep � � • • Project "11/94/4/ Phone # Inspection Results /Comments: APO W5 /f1.0/ -6#0e %r ir. /1//,-540-4,a %'� ' 'X1'1/�vc /% 1" /iSS .risifi/tdf/oq_ipe $0.- ' a,/;- L 4y.1, 5 /ir d• /1//:".4t) r3� � . -�•� -� ©!/f 72' %o L o w e c c , N asel- Pete-.v R t - .-ieui Z d -ii, Inspector ':y 11,.`_ Date 3 acCA, To, ^ „i`00) City of Tukwila 6200 Southcenter Boulevard Tukwila Washington 98188 (206) 433 -1800 Gary 1. VanDusen, Mayor MEMORANDUM TO: L' y7y J FROM: , DATE: 0? -a i- lq SUBJECT: "f"Y7C11 A4 Q.(.A±iaYL/ [reef .if 414 �C _ a.t~ 2 Lib -9 X19 L)½ L . At, yac, Ii ai.t. Att./L. O?,t.b 1 /'l.[!� ✓' � 1��'� 10,1.4,0 ruA, ai±,6u/11,;tt, c;/ LittALti, LJ1.iL J(: 6,it4J 3 q l j6. 7/0) d. (10 /T2.MEMO) •■ CITY Of TUKWILA _, Building Division ' ' .1. 4 Boulevard MT DING PERMIT APPLY ',TION Control # 8� (206) -433 -1840/ t Site Address '5 4G�'`/ /� 4 Suite# Floor# . Project Name /Tenant 44, -f2/7 /97e7, 12 ' Valuation of Construction Assessors Account# Property Owner �_,XTr.f9- 7-7 a /7T1 Phone VAa2/ 7 ) Address ,/51�,.7.2 a -7 AS Zip -977/ii/ Applicant c___3'/xsie30-,,7 / %G; /9 / Phone ,.,7S// , 2/v (-) Address 1$/,--?...7_2 J .-%/S/ Zi J, /, //p Architect /Engineer ,./.__\<:/a e_ Z54-1 . Phone . 4%. - /1-7 % Address Zip Contractor �Uc <<rso,v,, License# Phone. •21:?/2' Address /e, 3Ge-,, /t . Zip Class of Work: [] New [] Addition ❑ Tenant Improvement ❑ Remodel (residential) [] Reroof ❑ Demolition ❑ Interior Demolition ❑ Other c/ Describe work to be done /2/0.7,c,, j4-, i , :i&-„- . ,504,/ ;5 /.�G x5 7 ' -? 6--71 7 /Lc. ,S1 Type of Const. (UBC) Occ. Group (UBC) Square footage of entire building Square footage of tenant space Building Use //),-(./Z v ,a491 4 Will there be a change of use? ❑ Yes ❑ No If yes, describe change of se, 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 AUT IZATION TO DO THIS WORK. /7 Applicant /Authorized Agent (s i gnatllre „' -- ,�<o -» ,/ /�lt-1-,-72,-/ Date -/-1% (print nam ) ` /4,,v-,2 /-47e-,./2,7 5//j -5'3 co �) Contact Person (please print) ?fi•,6I -i:-2 �l� /)/ -7 Phone -. /-.,?/e I. OFFICE USE ONLY FEES: Building Permit Fee (000/322.100) $ A 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 L`'tyu oy ( , j.Q(,) Receipt# 7QC ci Date Pai da -,Z/ 89 3 1 *New construction only TOTAL a - JE)(OWES: $ ) SQUARE FOOTAGE /BUILDING USE INFORMATION Square Foota'- .f Entir- B i din.. FLOOR USE /Occ Type SQ.FT. 1 LOAD USE /Occ Type SQ.FT. I LOAD, USE /Occ Tyn- SO.FT.) OCC an_ • AL SQ.FT. • ■ OCC. TRACKING 1 . . 1' 1 •' •i COMM N S BLDG 'pprove. or ssuance ype o oust. To Mahan: Date Approved: FIRE Approved (Initials) Per letter dated -- Fire Protection: ❑ Sprinklers ❑ Detectors Approver nitials []B” ❑ L'`' U '' 1 1 IN PLNG Zoning Setbacks: N S E W Parking stalls required for: Site Tenant Space Parking stalls provided: Site Tenant Space ADDITIONAL PARKING STALLS REQUIRED: PWD—° Approved (Initials) Per letter /plans dated v..... i....