HomeMy WebLinkAboutPermit 5481 - Rainbow Valley School - Interior Remodel, Playground and LandscapeCITY OF TUKWILA ( -.
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 - 01 BUILDING PERMIT
Work to be done T.I.
Site Address 15445 53RD AVENUE S.
Building Use SCHOOL
Property Owner BILL T KOBAYASHI
Address 2707 N.E. 145TH ST_
Contractor RALPH SWEITZER
Address
PERMIT #
Control #
Suite # Tenant RAINBOW VAILEY SCHOni
Assessors Account # 11572 -00 5
Phone
Zip 98125
Phone # 24:3_5 ?59
P 98146
11207 - 26TH S.W.
FOR BUILDING PERMIT ONLY
SFATTLF, WA
#RDSWEA1125K
SEATTLE. W
S Ft.
Sq. •
Office
Storagu/
Warehouse
Retail
Other
Occ.
,8-a/
F-I
Load
1(-l'?
1st Fl.
Soo°
2nd F1.
'3rd F1.
octal
Fire Protection: ❑ Sprinklers Detectors
Zoning C-4;2. Type of Construction
Special Conditions
Fees
sq. ft. @
sq. ft. @
sq. ft. @
sq. ft. @
1st F1. $
2nd Fl. $
other $
other $
Total Valuation of Construction $ 10,000.00
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
Receipt # 6060
Receipt # 6060
Receipt #
Receipt # 6060
Receipt #
Receipt # $
$ 117.00
$ 7h_00
$ 350
TOTAL $ 186.50
FOR SIGN PERMIT ONLY
❑ Permanent ❑ Temporary
[] Single Face ❑ Double Face [] Wall Mounted ❑ Free Standing J Other
Building face Setbacks: Front Side Side Rear
Square Footage of each sign face Total square footage of sign
Special Conditions
THIS PERMIT BECUMES 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 I5 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 TO GIVE AUTHORITY TO
VIOLATE OR C/ C L THE PROVI ONS OF NY O RR ,,STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Signed _— `J /rt -riec ____rr.�.� Date // _ /-h -6E-- ___ --
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of the Business and Professions Code, and my license is in full force and effect.
Contractor (signature)— ________ _ Date
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 onn r cting with licensed contractor's to construct the project.
Owner (signature)Y�I- L�-Gef (2 ' % n!ziA1L-2 Date_ // ` 45- e
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 - /go BUILDING PERMIT
Work to be done T.I.
Site Address 15445 53RD AVENUE S.
Building Use SCHOOL
Property Owner BILL T. KOBAYASHI
Address 2707 N.E. 145TH ST.
Contractor RALPH SWEITZER
Address
PERMIT #
Control #
5 —e-/ 9/
88 -319
(513)
Suite # Tenant RAIN &0W VAS LEY Sr.Hnnl
Assessors Account # 115720 -0035
Phone
11207 26TH S.W
FOR BUILDING PERMIT ONLY
SFATTLE, wA
#RDSWEA1125
SEATTLE,
S q • Ft.
Offi
Office
Storrehoage/ use
Mo
Retail
Other
Occ.
Load
1st F1.
sirdromalw
'3rd Fl.
Total
_
Fire Protection: 421 Sprinklers [] Detectors
Zoning G -A Type of Construction
Special Conditions
Zip 98125
Phone # 243 -5259
Tp 98146
Fees
sq. ft. @ 1st Fl. $
sq. ft. @ 2nd F1. $
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of Construction $ 10,000.00
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
Receipt # 6060
Receipt # 6060
Receipt #
Receipt # 6060
Receipt #
Receipt #
$ 117.00
$ 76.00
$
3 5n
TOTAL $ 186.50
FUR SIGN PERMIT ONLY
El Permanent Ei Temporary
[] Single Face [] 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 PERMII BECOMES NULL ANU VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR MURK IS SUSPENDED OR
ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK l5 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 DUES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR C . THE PROV1yj0$ NY
Signed (�— �� R STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
L(_ 4. 1/..9 Date // �� —(
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of the Business and Professions Code, and my license is in full force and effect.
Contractor (signature) Date
( ) 1, as owner of the property, or my employees,
offered for sale.
( ) 1, as owner of the property, am eexclusively on ratting with licensed contractor's to construct the project.
/ •
Owner (signature)_( /GL =L (_L_' ,4 4. Y //,C i1. Oats /
CO-36--) 3 S
OWNER - BUILDER DECLARATION
with wages as their sole compensation, will do the work, and the structure
is not intended or
CITY OF TUKWILA
auilding Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspection /.4%10,145/2_
Site Address 53
Requestor
Special Instructions
INSPECT .N RECORD
�
w
PERMIT #
Date /.Z — RP
Date Wanted a.m.
Project 8414/ ' &J 5e.,,O 4.
Phone #
Inspection Results /Commen
InspectorJ7��v
Date /02 —/3- PO°
CITY OF TUKWILA INSPECT -1N RECORD
Quilding Division rt
6200 Southcenter Boulevard �r
Tukwila, Washington 98188 PERMIT # 5 -1 FS' (
(206) 433 -1849
Date /;Z —5 -81)
Type of Inspection 4 lit SeE- -; Date Wanted,« i ?. -6_ a .m p.m.
Site Address 1! S ? Project g� y
L
Requestor ).< -..� Phone # c-� - /> : -- U
Special Instructions
Inspection Results /Comments: a2G6..a. "4///G id% rY./j%ro4i / /A /'C
r'r�rlt� i9 iv 6e, ovo' /1G4914-7
/%3 /414i1"5 /4/i 13.E ,74297
.gitT
Inspector
Date /,Z _ y
CITY OF TUKWILA
Building Division
$200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspection S ��
Site Address I s y y S 3-d Aft S•
Requestor
INSPECTfN RECORD
4/ /
PERMIT #
Date
Dated 'F,-c6eat
Project
Phone # `1y /_g-4{S9
Special Instructions
Inspection Results /Comments: (' % ' %/- i
Inspector
Date /z —2 -,(YL7
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspection
Site Address / 5' c(q
Requestor
Special Instructions
INSPECT ''N RECORD
PERMIT # `/S
Date
Date Wanted, (,c) /;?6-4 a.m. p.
ProjectJa.c alyacssort.
Phone # (K.3 - S S"
Inspection Results /Comments:
ieeig e 45 /-4.7-44 5
Inspector
Date /7
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspection i/(/ice S
Site Address
Requestor
Special Instructions
INSPECTrN RECORD
PERMIT #
Date / //”I 2 '
Date Want d // ! F4r a.m. p.m.
Project ,9i4
Phone #
ev, cfr.": 5eAde (
1
Inspection Results /Comments: f// 4,4 /S d %t1r*54-r.
a/Wissr 44 //-a 676 2 e ac �'s X? .4rt.e ra-�- L 4-14.a.-0-l."—
teG'�ti�1 ale9e/T Ce_ / //
SG`oY
Gl�..
Inspector j� / e-���
Date `1. 02 7 <?e
CITY OF TUKWILA
Building Division
6200 Southcenter Blvd.
Tukwila, WA 98188
433 -1845
,.n rttr,r .rt
ooe .
Permit No. .7 7 7J Date //� g Job Address / 0g5
CORRECTION NOTICE
The fol owing items are found to be in violation of Ordinance and shall be corrected.
e e .� ht� �.y/ n c'e..) 1146 . cC) rye )7' 700 ' � rL s' al; y
11,a55. e Seezion, 53/47, Y.) 019 e,
this is ���e (eJf t<% Sc'4 off`
(-hops)
//1/ oir G �'1 o r% - k . /a z . /ice - / t.7 2--/t .s c7 �-r .ti �` � e
/ 4
?— 4eo �/�'!/ Ur' /y;+ G� /�� i 7 , , so
Signed
,mot
Building Official /Inspector
CITY OF TUKWILA
Building Division
'6200 Southcenter Boulevard
INSPECTp N RECORD
Tukw1la. Washington 98188 PERMIT # .,$-?/ P/
(206) 433-1849
Date 11 - 4) 3 -Yi
Type of Inspection 3L-_ � ����.:a -c Date Wanted es.btie a.m.
Site Address '"•,-(,-( `'S S.
Requestor
Special Instructions ( ) � g Q
Project
Phone #
•
y'/3 —s�,�
Inspection Results/Comments: /-7-07/4-7/1hi 6.-/k 64,
a - G IV : f �rov ��� a:.. e
2
Inspector
Date // 2.33/
CITY OF TUKcJILA Oontrol No. g y
Central Permit System Permit No. 5
FINAL APPROVAL FORM
TO: El Building ❑ Public Works ❑ Police
El Planning -Fire Dept. ❑ Parks/ Recreation
Project Name G41 fie.;
Address / CY ` S ?''"
Type of Permit _ s) � /
5 (
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:
()
()
()
O
()
()
()
()
()
()
( )
()
Authorized Signature
Date
C This project is approved by this department:
Authorized Signature
i
Date
CPS Form 3 /
FIGURE 4 TYPICAL REMOTE ZONE INDICATOR (RZI)
(SUPERVISED CIRCUIT)
TROUBLE
LEO'S
SEE
NOTE
4
NOTE 2
NOTE 3(.
NOTE 5
F'
ZONE ; ; i
Zit T1 I 044I,13
2211 a/ 2 040Z21T8
23sTIZ 3 04.Z3,73
Z4, ,
Z4, T1IZ 4 i �. Z4 73
ALARM
LEO'S
SEE
NOTE
T2
110ZS�{ 28 �T24 AUDIBLE
TROUBLE
TIO,Z5.T. ?904T29 SEE
NOTE
T241bCOM 5
0 0 0 0 0
AL LOCATION FOR VERTIC
ZONE LE ZONE
C/A • �► I/I
I/; • ■
• ► �I
• ► I/I
OUNT
AUDIBLE
TROUBLE
INDICATOR
(OPTIONAL)
TROUBLE SILENCE
SWITCH (OPTIONAL)
N5 OTE NOTE 3 NOTE NQTE
T24 TIO T2 ZI Z2 Z3 Z4
TI TI TI TI
667)..btotzt6
COM S.T. I 2 3 4
ZONES
04000 c2)
T29 128 ZI Z2 Z3 Z4
73 73 T3 T3,
5 NOTE I
TERMINAL LOCATION FOR HORIZONTAL MOUNT
NO
ONNECTIONS
►TO ''+" TERMINAL ON RZI '1
►TO e-4" TERMINAL ON RZI "2
*TO -I-" TERMINAL ON RZI .3
RZS module is required for two or more
mote indicators.
4- V
TBL.
COM
IFIED SCHE
CONNECTION INF
7
RZS
MODULE
8
9
I0
11
12
1
S module installs on master board to any
optional module position available.
RZS outputs must be employed sequentially,
starting with RZS terminal 4. Connect
unused outputs to terminal 12.
All remote indicators must be of the
same type.
n
u ej �� rz l!d TO e+ TERMINAL ON RZ1 '4
NM a.��� TO'i•~ ON RZI "5
MI TO : +" TERMINAL • ' I'6
1• r►TO IF TERMINAL ON RZ
TO $ +" TERMINAL ON RZI "S
REMOTE ZONE SCANNER (RZS) MODULE
1. Zone alarm LED's: a) Remove the jumper(s) from terminal "3 ", on all affected zones. b) Connect each remote alarm L 1 t
terminal "3" on the correspondent zone connector.
2. LED power: a) Single remote installation: Connect the positive terminal "." on the remote Indicator to terminal "2" 'n
any zone connector. b) Multiple remote installations, connect "." terminal on each remote to an RZS module output, as
shown.
3 Ljette. truuUlu LED'c: a) 0tmovo ,caper Ir cm nw.Wr L3r.trul :.Dare termin..t "10" but mau1tan eunnuction ULLAUCI, termin"IC 0 :Old 11. 0) COrw,cct eistem tr .MAO
LC0 to terminal 10.
4. Optional zone trouble LED's: a) Remove the jumper(s) from terminal "1 ", on all affected zone. b) Connect each remot
trouble LED to terminal "i" on the correspondent zone connector.
5. Optional audible trouble indicator: a) Connect audible trouble terminal "29" on remote to terminal "29" on master
contr.pl board. b) Connect trouble resound terminal "28" on remote to terminal "28' on master control board. c) Co nett
common terminal "COM' on remote to master control board terminal "24 ".
6. Maximum wire resistance is 100 ohms for all connections, except connection to "." terminal must not exceed 5 ohms Run a
separate "." feeder for each 20 zone grouping.
7. Denotes field connection.
8. 71, T1 Denotes field connection to zone 1, terminal 1.
TYPICAL INDICATOR SIZES
'er of Zones, Alarm 6 Trouble
4
8
12
20
tndica 'r Size with Audible Trouble
3 Gang
4 Gang
5 Gang
6 Gang
Indicator e without Audible Trouble
2 Gang
3 Gang
4 Gang
5 Gang
18
TO:
King County
Land Use Controls' »Section
3600 136th Place S.E.
FROM Bellevue, WA 98006 -1400
DO( fltblii1111 Mali Swim
Se na Bldg d Child Coe Asada NSS-io
Sa 98144 2 26th Ave. So.
SUBJECT: RECEIPT OF APPLICATION TO PROVIDE CHILD CARE
This is to inform your office that we have received from:
Marcia C. Williams
NAME
15445 53rd Avenue South
STREET OR BOX NO.
Tukwila, WA 98188
CITY
an application to establish a
431 -8459
ZIP CODE
A Day Care Center 80 or more
for children
TYPE OF FACILITY
above address
at
STREET
CITY ZIP CODE
We will be acting on this application within 90 days of receipt.
While this department does not assume any responsibility for the enforcement of local ordinances, including those pertaining to
zoning, land use permits, etc., we have advised the applicant to contact your agency regarding your requirements.
If your office is not responsible for zoning, land use permits, building code, etc., please forward this notice to the appropriate
agency.
See Instructions on Reverse
DSHS 15-I65 (Rev, 3165) OX A•90
Instructions for Originator
1. This form is to
.. • be u�IsIV M: oArMem iW children.
2. It is unnecessaPP tevitiV(
in
IMion for a day care center, mini -day care center, or group care facility for
�ghl4! long
unless there is also a change of address for the facility.
3. One copy of the completed form shall be forwarded to the appropriate local planning /zoning agency, one to the applicant;'
• and one copy shall be placed in the licensing file.,
4. For day care centers a copy shall also be forwarded` to
Chief Boiler Inspector
Department of Labor and Industries .;
300 West . Harrison, Room 506
Seattle, Washington 98119
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CITY OF TUKWILA
APPROVED
'►v 26 1988
AS NOTED
11 ING flMSInN
•THE FOLLOWING COMMENTS APPLY TO AND BECOME PART OF THE APPROVED PLANS UNDER
TUKWILA BUILDING PERMIT NUMBER /Sf /
1. No changes will be made to plans unless approved by Architect and
Tukwila Building Department.
Plumbing permit to be obtained through King County Health Department
and plumbing will be inspected by that agency (including all gas
piping).
3. Electrical work to be inspected by State Electrical Inspectors and all
required electrical permits obtained through that agency.
• All mechanical work to be under separate permit.
All permits to be posted at Job site prior to start of any
construction
. Any new ceiling grid and light fixture installation to meet
lateral bracing requirements for Seismic Zone 3.
Partition walls attached to ceiling grid must be laterally braced
if over eight (8) feet in length.
• All construction to be done in conformance with approved plans and
reqUirements of the Uniform Building Code (1985 Edition),. Uniform
Mechanical Code (1985 Edition), Washington.State Energy Code (1986
Edition), and Washington. State Regulations for Barrier- Free
Facility (1986 Edition).
City f Tukwila
FIRE DEPARTMENT
444 Andover Park East
Tukwila, Washington 98188 -7661
(206) 575 -4404
Gary L. VanDusen, Mayor
Novmber 10, 1988
Fire Department Review
Control Number 88 -349
(513)
Re: Rainbow Valley School - 15445 -53rd Avenue South,
Tukwila, Wa.
Dear Sir:
The attached set of building plans have been reviewed by
The Fire Prevention Bureau and are acceptable with the
following concerns:
1. The total number of fire extinguishers required for
your establishment is calculated at one extinguisher for
each 3000 sq. ft. of area. The extinguisher(s) should be
of the "All Purpose" (2A, 10 B:C) dry chemical type.
Travel distance to any fire extinguisher must be 75' or
less. (NFPA 10, 3 -1.1) (UFC 10.301b)
Extinguishers shall be installed on the hangers or in
the brackets supplied, mounted in cabinents, or set on
shelves (NFPA 10, 1 -6.6), and shall be installed so
that the top of the extinguisher is not more than 5
ft. above the floor. (NFPA 10, 1 -6.6) (UFC 10.301)
Extinguishers shall be located so as to be in plain
view (if at all possible), or if not in plain view,
they shall be identified with a sign stating, "Fire
Extinguisher," with an arrow pointing to the unit.
(NFPA 10, 1 -6.3) (UFC 10.301)
2. Exit doors shall be openable from the inside without
the use of a key or any special knowledge or effort. (UFC
12.104b)
Exit hardware and marking must meet the requirements
of Uniform Fire Code Sections 12.104 & 12.114.
Any room having an occupant load of more than 50 where
City of Tukwila
FIRE DEPARTMENT
444 Andover Park East
Tukwila, Washington 98188 -7661
(206) 575 -4404
Gary L. VanDusen, Mayor
Page number 2
fixed seats are not installed, and which is used for
classroom, assembly or similar purpose, shall have the
capacity of the room posted in a conspicuous place on
an approved sign near the main exit from the room.
(UFC 25.114a)
Exit doors shall swing in the direction of exit travel
when serving an occupant load of 50 or more. (UBC
3303) (UFC 12.101)
Exits serving more than 50 occupants require
illuminated exit signs (UFC 12.114(c)).
Exits shall be illuminated at any time the building is
occupied. An emergency system shall automatically
provide exit illumination upon failure of the main
power supply. (UFC 12.113a)
3. A fire alarm system is required in your occupancy by
city ordinance 1327, Uniform Building Code section 809 and
the Uniform Fire Code Section 10.301. The fire alarm
system shall have the written approval of the fire
department and no work shall commence without approved
drawings. The alarm system shall be monitored by a City of
Tukwila approved U.L. Central Station.
Key box - When access to or within a structure or an
area is unduly difficult because of secured openings
or where immediate access is necessary for life - saving
or fire- fighting purposes, the Chief may require a key
box to be installed in an accessible location. The
key box shall be a type approved by the Chief and
shall contain keys to gain necessary access as
required by the Chief. (UFC 10.209)
A satisfactory contract covering the maintenance,
operation and efficiency of the system shall be
provided by the property owner. The contract shall
provide for periodic inspection and tests, for proper
maintenance service, and for service following
nnprnt i nn of thA nvntem and nhal l hA err entnhl F to the
City of Tukwila
FIRE DEPARTMENT
444 Andover Park East
Tukwila, Washington 98188 -7661
(206) 575 -4404
Gary L. VanDusen, Mayor
Page number 3
authority having jurisdiction. (NFPA 72A, 1- 2.4.1)
(UFC 10.301)
4. Your street address must be conspicuously posted on
the building and shall be plainly visible and legible from
the street. Numbers shall contrast with their background.
(UFC 10.208)
All required occupancy separations, area separation
walls, and draft -stop partitions shall be maintained
and shall be properly repaired, restored or replaced
when damaged, altered, breached, penetrated, removed
or improperly installed. (UFC 10.401)
All interior wall covering materials shall be
fire- resistive or shall be treated to be
fire - resistive, so as to result in a flame- spread
rating as required by UFC Appendix VI -C tables 42A and
42B. A certificate of the flame spread rating is
required to be delivered to the Tukwila Fire
Department. (UBC 4204) (UFC 10.401)
Yours truly,
The Tukwila Fire Prevention Bureau
cc: T.F.D. file
ncd
• ORDINANCE COMPLIANCE - PLAN CHECK
PROJECT: \IALt2U
1
Sheet Z of
Date: 111-VPe
*
The following corrections and /or clarifications are required to complete the plan review.
NCR C1C-U A►1cel 6t9A-1.0.4 lO1,.1
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ORDINANCE COMPLIANcC CHECKLIST
Project: Ali FSOL)
6-3M) AOE
Sheet OF
File # P.6, - .3ai9
MA961,6, bit LL 1&MS 4a -2f
OCCUPANCY GROUP:(E)(ST iC1 ;'j -2) \ o'o,Et, E —\
2. TYPE OF CONSTRUCTION: - T-CiPE VN E_XiSCINCi
3. LOCATION ON PROPERTY: (STGt T LLY O,K,Pt2. 5A NAG,
4.
5. �K BLDG.HT./ NO of STORIES: ENE I exisitgct t`I,G•
FLOOR AREA: 4 t"] 6RMS
cuss ra=VA
oFF1GE
GLA .4.61?0MA
CLAM VW t 1
6. OCCUPANT LOAD: L4)14e14
P14 F(-
Gt-4 gooW1
14+7 TOTAL
DETAILED REQUIREMENTS:
a Occupancy t-- IA Int9 12STwi,k -z Ay E kZ ,
Q' Type of Construction FP, OF EAT, )ALL OE OK--.) b,K �
1-4.31..E 5A
O Exiting
OCode Regulations
OEngineering Regs. & Reqmts
Compliance w/ W S E C N, A,
N.C...
t 'Comp1 lance w/ Chapter 51 -10 W A C dI K. 'BAIZR(E1 -jteE-C-- 1- e'M ViR006EA
ELSE D,
NOTES: Q�I�I„I AG n..D4 /2MIT4- I66 3 /25 /O cdokicra pE 1/iJ
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D1G4fES
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CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
'Tukwila, Washington 98188
(206)-433-1849
Site Address
BUI( )ING PERMIT APPLIC. TION
Project Name /Tenant
I:-
Valuation of Construction 4fr?,/0(}), ssessors Account #' //S 7020 -
Suite#
Control # Fa'314q
Floor#
Property Owner )5 t G L 7, 1 <e) 1j//0, q .sue Ir ) Phone
Address U7 /%. . / �f1 �' cat f C e_
Applicant 7 DC'/ q, 2, 4), ! //c S, Phone
Address o 0/5- .3 ±)i J17J-e ..9 /�72(ho 7r�v
Architect /Engineer jet y„ f) oor- ,c
act). / 5 21161_ n_.+1 l
f ( License# Phone
Zip
Address
Contractor
Address
Phone
Zip 9W2L
937-;1008"6 3
Zip xec7o
021/6-
zip / 6 ti
Class of Work: [] New Q Addition ® Tenant Improvement El Remodel (residential) 10 Reroof
❑ Demolition Ei Interior Demolition Q Other
Describe work to be done L•t? (e 7",0i" p-to -m ,del `8 l�{�r�i f tlel7'/ (I 7icg,
Type of Const. (UBC V Occ. Group (UBC) £- /
Square footage of entire building $'.70 Q Square footage of tenant space _g 9 % L
Building Use 7' p 1 Will there be a change of use? Inc Yes ❑ No
If yes, describe change of use, including square footages of changed areas 4/0(7027 2
Will there be storage or use of flammable, combustible or hazardous materials on the premise or
area of construction? [] Yes XI 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 10 THIS WORK.
Applicant /Authorized Agent (signature)
(print name) a7"CLa C. 4/'t1 /a n S
Date /0
Contact Person (please print) e� T�� Q �, �T�l� � Z'}ps Phone 4/3/-- S' '
FEES: Building Permit Fee
Plan Check Fee
Bldg Code Sur Charge
Energy Sur Charge*
Other
*New constructio9 only
• ,(I
OFFICE USE ONLY
(000/322.100)
(000/345.830)
(000/386.904)
(000/386.907)
( )
TOTAL
SQUARE FOOTAGE /BUILDING USE INFORMATION
$ 1 i7. oo Receipt# 60 ( o Date Paid /6-26. ky
7..00 Receipt# Date Paid
3.50 Receipt# Date Paid
Receipt# Date Paid
Receipt# \ Date Paid
(OWES: $
Square Foota'e .f Entir- Buildin••
FLOOR USE /Occ T
OCC
ype SQ.FT. LOAD USE /Occ Type SQ.FT. LOAD USE /Occ Tvo; SOFT. InAn
L
SOFT.
A
OCC.
TOTAL
TRACKING
BLDG
v
pprove• or ssuance
To Mahan:
OMMENTS
ate Approved:
FIRE
Approved (Initials)
ype o onst.
Per letter dated
Fire Protection: ❑ rinklers 3541Detectors
5J
,.PLNG
■ L'
N
U
A
Approved ni ti a s //L..- ❑BAR
Zoni ngC -a. Setbacks: N •--- S E W
Parking stalls required for: Site • 1 Tenant Space
Parking stalls provided: Site Tenant Space
ADDITIONAL PARKING STALLS REQUIRED: Q
1 1
LL
PWD
Approved (Initials) Per letter /plans dated
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