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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