HomeMy WebLinkAboutPermit 0092-M - Jenny CraigCITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 - BUILDING PERMIT
Work to be done HVAC
Site Address
Building Use
Property Owner
Address
Contractor
Address
PERMIT # 0cw-I%
Control # $8 089 -M
17125 SOUTHCENTER PK
N/A
PHOENIX MUTUAL _LIFE
1607 116TH #111
TEL MECHANICAL
14948 NE 95
Suite # Tenant ,]FNIjV CRAIG INC,
Assessors Account # Nip
Phone #
KJRKLAND, WA ZiP 98033
#TFIMFSCL43RA Phone # 881 -3247
D . , WA Zip 98052
FOR BUILDING PERMIT ONLY
Approved for Issuance By:
S Ft.
Sq. •
Office
Storhges
Warehouse
Retail
Other
Occ.
Load
1st F1.
2nd F1.
-3rd Fl.
Total
Fire Protection: ❑ Sprinklers ❑ Detectors
Zoning Type of Construction
Special Conditions
Date:
Fees
sq. ft. @
sq. ft. @
sq. ft. @
sq. ft. @
1st F1. $
2nd F1. $
other $
other $
Total Valuation of Construction $ 3,200
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
Receipt #J0509 $ 18.75
Receipt # $
Receipt # $
Receipt # $
Receipt # $
Receipt # $
$ 18.75
FUR SIGN PERMIT ONLY
0 Permanent ❑ Temporary
0 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
THIS PERMIT/8
ABANDONED UR
I HEREBY
GOVERNIN
iVIOLATE
XSigned
ES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK 15 SUSPENDED OR
'KIN OF 180 ' S AT ANY TIME AFTER WORK IS COMMENCED.
D EXAMINED THIS APPLICATION AND KNOW THE SANE TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
OMPL 0 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
S .NY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
gal Date
LICENSED CONTRACTORS DECLARATION
the Business and Professions Code, and gay license iiss In full force and effect.
Date ( �''Z -�'- 5 v
R '0
L BE
OVLS10
�I hereby affirm that I
- Contractor (signature)
OWNER - BUILDER DECLARATION
( ) 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 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 - igNP9 BUILDING PERMIT
Work to be done HVAC
Site Address
Building Use
Property Owner
Address
Contractor
Address
17125 SOUTHCENTER PK
N/A
PHOENIX MUTUAL LIFE
1607 116TH 4111
TEL MECHANICAL
14948 NE 95
PERMIT #
Control #
009 0?-10
88 -089 -M
Sufte # Tenant_ ,1FNNY CRATG TN(,
Assessors Account # N/A
Phone it
FOR BUILDING PERMIT ONLY
KIRKLAND, WA Zip 98033.
#TFIMFSC143RA Phone # 881 -3247
RFnMQ , W4 _ Zip 98052
�..1. '1 .�� Da te : / .3
Approved for Issuance By:
Sq. Ft.
Office
Wa ehouse
Retail
Other
Occ.
Load
1st F1.
2nd Fi.
3rd Fl.
_
Total
Fire Protection: [❑ Sprinklers ❑ Detectors
Zoning Type of Construction
Special Conditions
Fees
sq. ft. @ 1st F1. $
sq. ft. @ 2nd F1. S
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
Construction $ 3,200
Receipt #Jo590 S 18.75
Receipt # S
Receipt • S
Receipt # $
Receipt # $
Receipt # $
$ 18.75
FOR SIGN PERMIT ONLY
['Permanent ID Temporary
0 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 PERM!
ABANOONEU
1 HEREBY
GOVERNI
iVIOLATE
X Signed
S NULL AND VOID
'RIOD OF 180
IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
AT ANY TIME AFTER WORK IS COMMENCED.
0 EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
oc ONPL 0 WITH WHETHER SPECIFIED HEREIN ON NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
i,�� `J Date 1 1- "L-'— t
LICENSED CONTRACTORS DECLARATION S
. �J= •• ons o the Business and Professions Code, and my license is in full force and effect.
�► Date ( 1-'Z -5—
�1 hereby affirm that 1
- Contractor (signature)
OWNER- BUILDER DECLARATION
( ) 1. 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, as owner of the property,
Owner (signature)
am exclusively contracting with licensed contractor's to construct the project.
Date
deer kkAtIki :AV-4.1%01a glitirtV4 ;ra. !c eMitik w. e.. .k, «.,.....,.r...,«...,.,.wa,.x ci+,.......m inwu�m�r..:w:.x w+ r'cc.wNCUws+:,u+a .+: yx+rw :rr rµa:rw...r r..,_,,.. �m.,,...wr«,r..,.,.......w..o.. m- xirnxwa'rttAVATU+7.'!'?i£At3? :
t'ITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspection ,ts?//�C
Site Address /7)2 JO'U -Lfrn '� ttf4/ Project . / C a'��
Requester LKklY 1/ /34A-451t-
Special Phone # i .
Special Instructions
INSPECIIN RECORD
PERMIT #
11M`. 6183
Date
nted 1 all % S� a.m.
Date Wante
Results /Comments:
Inspector Date'
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CITY OF TUKWILA
Building Division
6200 Southeenter Boulevard MECHANICAL PERMIT APPLICATION
Tukwila, Washington MSS
(206)- 433 -1849
•■••
Site Address /7 /2 S S0U17-IG(dT7 fAKKw/?Y
Project Name /Tenant ✓/fNi 6vyb m4 ,
Valuation of work 32oU, Assessors Account # (-41h'
Property Owner ? /k(o k /hvi(/41. 1IP - 0 GGFH Phone
Address /&U% //(Dili al /! NNW.
Applicant I /vet/Ad/64c
Address /`'9'/r /6- 15 Xe4rnan/A WA.
Architect /Engineer A/ /A• Phone
Address Zip
Contractor X15 A1"4.23/'NGI tab✓% _ License# 2WMW6/4384 Phone
Address Zip
CONTROL# 96-089-M
Suite#
Floor#
Zip 4,01/ty
Phone (d''. ;a97
Zip
Describe work to be done Ovlra✓o4 /C C /i��l� Ply IGt�✓ No EG'v/rmfi✓r
Indicate the type of equipment to be installed, rating /size of equipment, and number of each:
TYPE RATING /SIZE NUMBER
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 DOW :' AUTHORIZATION TO DO THIS WORK.
Applicant /Authorized Agent (signature Date e /Vein/
(print name) /✓4247 ,, Jr
Contact Person (please print) A/04/1 /1007
Phone M. 321/7
VA ' \BBB
FEES: Basic Permit Fee
Unit Fee
Plan Check Fee
Other
TRACKING
PT D
BLDG
V
ATE IN
A
OFFICE USE ONLY
(000/322.100) $ 45,00 ' Receipt# Date Paid
(000/322.100 3,'1;5 Receipt# Date Paid
(000/345.830) Receipt# Date Paid
( / ,) Receipt# Date Paid
TOTAL
...21621.... (OWES: $ /6,75
11 -8.8$
PLNG
)
COMMENTS
pprove or ssuance
Approved (Initials)