HomeMy WebLinkAboutPermit 0006-M - Southcenter Mall - Jeffrey MichaelCITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 - IS*? BUILDING PERMIT
Office
Work to be done HVAC
PERMIT # 000lo f'Y�
Control # 87 -480
Site Address SOLITHCFNTER MALL
Building Use
Property Owner
Address
Contractor
Address
Suite # 321 Tenant JEFFREY MICHAEL
RETAIL Assessors Account #
CENTERRIDGE CORP.
633 SOLITHCENTER MALL TUKWILA
ENERGY RECLAIM HEATING AND VENTILAIIUN
3551 BRIDGEPORT TACOMA /
FOR BUILDING PERMIT ONLY
Sq. Ft.
1st F1.
Phone # 246 -7400
Zip 97188
Phone # 565 -9500
WA Zip 98466
Storage/ Warehouse Retail Other Occ. Load
Znd Fl.
id FT.
Total
Fire Protection: ❑ Sprinklers 0 Detectors
Zoning Type of Construction
Special Conditions
Fees
sq. ft. @
sq. ft. @
sq. ft. @
sq. ft. @
1st F1. $
2nd F1. S
other $
other $
Total Valuation of Construction
$ 5,000
Bldg. Permit Fee Receipt # / I'O $ 15.00
Plan Check Fee Receipt #M-5-0$ _
Demolition Receipt # $
Surcharges Receipt # $
Other Receipt # $
Other Receipt # $
TOTAL
$ 18.75
FOR SIGN PERMIT ONLY
❑ Permanent [] Temporary
0 Single Face 0 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 1S SUSPENDED OR
ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
1 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 HITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR,4CANCEt, THE PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Date l // f 24 PI AL
gned
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I me licensed under provisions of the Business and Professions Code, and my license is in full force and effect.
Date
Contractor (signature)
( ) 1, as owner of the
offered for sale.
( ) I. as owner of the
Owner (signature)
OWNER - BUILDER DECLARATION
property, or my employees, with wages as their sole compensation, will do the work,
and the structure is not intended or
property, um exclusively contracting with licensed contractor's to construct the project.
Date
CITY OF TUKWILA
Building Division
6200 Southcenter B levard
Tukwila, Washington 98188
(206) 433 - (SNP? BUILDING PERMIT
Work to be done HVAC
Site Address SOIITHCFNTFR MALL
Building Use RETAIL
Property Owner CENTERRIDGE CORP.
Address All SOIJTHCENIFR MALL
Contractor ENERGY RECLAIM HEATING
Address
PERMIT #___ j &—` i
Control # 87 -480
uite 321 enant JEFFREY MICHAEL
Assessors Account #
TUKWILA
AP16 VER1 ILA 11UN
1551 BR1DGEPOR
FOR BUILDING PERMIT ONLY
TACOMA
Phone # 246 -740n
Zip 971RR
Phone # 565 -950Q
wA Zip 98466
S q • Ft.
Office
storage/
Retail
Other
Occ.
Load
s"-.
n.
`3rd F1.
Total
Fire Protection: [] Sprinklers J Detectors
Zoning Type of Construction_,_____
Special Conditions
Total
sq. ft. @
sq. ft. @
sq. ft. @
sq. ft. @
1st 1.
2nd F1. $
other S
other S
Valuation of Construction $ 5,000
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL.
Receipt # /:26)0$ 15 _nn
Receipt # / ,9(0C) $
Receipt # $
Receipt # $
Receipt # $
Receipt # $
E
3 75
FUR SIGN PERMIT ONLY
O Permanent [] Temporary
O Single Face
Building face
0 Double Face
0 Wall Mounted Free Standing C1 Other
Setbacks: Front Side
Side Rear
Square Footage of each sign face Total square footage of sign
Special Conditions
THIS PERM1I BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 GAYS, OR IF CONSTRUCTION UR aURK IS .I.;vEsuED OR
ABANDUNtU FuR A PERIOD OF 180 OAYS 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 AMU 'JRO :NANCES
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT DUES NOT PRESUME 1U GIVE AuTKORITY TO
VIOLATE OROCANCE THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
?ivigned F� Cam- Date l / 1 j.1.616
LICENSED CONTRACTORS DECLARATION
1 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 nn' ...a «T nr
offered for sale.
1 l 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
Tukwila,tWashinaton Boulevard
98188
,,(206) 433 -1849
Type of Inspection
Site Address S , C.. J ' 1►.z.-
Requestor
Special Instructions
litaterritittlittOir
PERMIT #
Date
Date Wanted 3 7/0 -mac`
M.14 +.xxx�e
a.m.
Projectv�, :,r yr' ti ,Y dL
Phone #
.r ter_
Inspection Results /Comments 'r yA .
CITY OF TUKWILA
Building Division
Tukwila,,tWashinaton Boulevard
98188
(206) 433 -1849
Type of Inspection
Site Address
Requestor
Special Instructions
i� C
Olda
'Y+r ee'rae+Mwa.eert +.cTiea..n enr.�:we.w....aw w.a.,ua.:.a, asan.nv'acgfat M+Y:f/RRtYf*iv (it+YttLe�Lw.i.B�Mte^cVYIYA"3'fJ M•!0'fA�Y�
INSPECTION RECORD
PERMIT # oe v .
Date ..,2./ /7 /Sg'
Date Wanted / /� /7�� P.
Project 1/477 Pay . ew
Phone #
aJ
Inspection Results/Comments: e )4 l t'M'( / Gre,41.✓'
Inspector aL ;/7 ^V?
Date
6200 Southcenter Boulevard MECHANICAL PERMIT APPLICATION
Tukwila, Washlnotnn G 188
(206)- 433 -1849
CITY OF TUKWILA
Building Division
Site Address `(?- MpctL Suite
Project Name /Tenant 6 .. i .tAl
Valuation of work 5100
CONTROL# i /2 "q
Assessors Account #
Floor#
/11)//4
Property Owner +� �l a 1� 4ra i Phone , LI (4 — " /L/l? U
Address L.53 4 LtrA t�-1 ��1"�,4cu5) tot, '0) Y ( Zip 6 q
Appl i cant ,\04*N 1 i Cs t C kt' Phon >+ - Z1 2
Address 12015 trot i k '1/Ue WA% Zip cjcpc
Architect /Engineer U0411,1 6prp,02Y15 Lc 3 Gd eL, Phone 'k54- z6'7.—
Address p (5 NJPS. ell+ t i L. &Nl—t4 1,04 Zip cig5Cyps
Contractor E - ! • ,,. ,e, (,tcense# EN6ga(0 /3 gill. Phone 2S— 3 ,()
Address 5 J j- tjata, —The (Li4 Zip 8'S!64; --
Describe work to be done RiYXT'a pLicAlkxst -f 414 .t.umit ]
Indicate the type of equipment to be installed, rating /size of equipment, and number of each:
TYPE RATING /SIZE NUMBER
\cole..K EIS jgi bt32.•. 12. 44- , A - 4*A selx Qe t:AZ Most;
Two (2) sets of plans must be submitted meeting the application requirements of Section 302(b)
and (c), 1985 Uniform Mechanical Code. Roof -top equipment work requires submission of building
elevations.
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) C>t ) G'�,�:, Date iEZ, l5� '8/
(print name) ____111 4 ., C_4+f1
Contact Person (please print) Lic s-iJ RU,g4r I Phone k-S4 -44z_
OFFICE USE ONLY
FEES: Basic Permit Fee (000/322.100) $ /6,v C7 Receipt# Date Paid
Unit Fee (000/322.100) 0,105 Receipt# Date Paid
Plan Check Fee (000/345.830) Receipt# Date Paid
Other ( / ) Receipt# Date Paid
BLDG
PLNG
TOTAL �y_ (OWES: $ 75-
a Approved for Issuance
pprove n t a s
1 , Ja13 :s
CWh OR
k; c