HomeMy WebLinkAboutPermit 1525 - Dr RobertsonBUILDING PERMIT
CIT TUKWILA BUILDING �4,,NMIT
14475 59th Ave. So. / Tukwila, Washington 98067
Applicant to complete numbered spaces only.
BUILDING
PERMIT NO.
N°
..10B ADDR ESS 411 Strander Blvd Suite #207 i DATE June 2$ 1978
. LEGAL 1 LEGAL.
LOT NO.
BLK
TRACT
(XISEE ATTACHED SHEET)
5ee.;attached
OWNER MAIL ADDRESS ZIP PHONE
Dr. Robert Robertson, 411 Strander, Suite #207, Tukwila, Wa. 98188 575-1158
CONTRACTOR MAIL ADDRESS PHONE L�CF.V. i0.
NCM Enterprises, Inc. 1148 N.W. 52nd, Seattle, Wa 98107 784 -3693
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE U.GEALS -222.
State Lic. #NC- ME- N- 276-BP
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: NEW O ADDITION 4 ALTERATION 0 REPAIR • MOVE • REMOVE
9 Describe work: Office remodel
10 Change of use from
Change of use to Total fee $132.00 e
11 Valuation of work: $ 17 f 000.00
PLAN CHECK FEE 52.00
PERMIT FEE $0.00
SPECIAL CONDITIONS:
Type of
Const. VN
Occupancy
Group B2
Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories 1
Max.
Occ. Load
Fire
Zone 3
Use
Zone CM
Flre Sprinklers
Required • Yes • No
APPLICAT ION ACCEPTED BY.
PLANS CHECKED BY
APPROVED FOR ISSUANCE BY
/V .
r�
` �
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
Covered Uncovered
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK I COM-
MENCED.
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 DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
��mpL_ 1
Special Approvals
Required
Not Required
� �
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE OWNER (1 •WNER -UIL• -
SIGNATURE OR AUTHORIZED AGENT (GATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
OCCUPANCY PERMIT REQUIRED
M.O. CASH
BlilLIM 'G PERMIT
CIT1lCJF TUKWILA BUILDING PERMIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
Applicant to complete numbered spaces only.
BUILDING
PERMIT NO.
N2 t�
JOB AGDR E55
411 Strander Blvd Suite #207
DATE
June 2,197 5
LEGAL
°EB` "'
LOT NO.
5LK
TRACT•
I�j SEE ATTACHED SHEET)
See attached zz
OWNER MAIL ADDRESS ZIP PHONE
2 Dr. Robert Robertson, 411 Strander, Suite #207, Tu_cwila, Wa. 98188 575 -1158
CONTRACTOR MAIL ADDRESS PHONE Ll,rru<r urI
NCM Enterprises, Inc. 114 N.W. 52nd, Seattle, Wa 98107 784 -3693
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LLC.F.O. 8L•
State Lic. #NC —ME—N- 276 —BP
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENOF.R MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: N NEW • ADDITION ER ALTERATION • REPAIR • MOVE 0 REMOVE
9 Describe work: Office remodel
10 Change of use from
Change of use to Total fee $132.00
11 Valuation of work: $ 17 000.00
PLAN CHECK FEE 52.00
PERMIT FEE 80.00
SPECIAL CONDITIONS:
Type of
Const. VN
Occupancy
Group B2
Division
Size of Bldg.
(Total) Sq. Ft.
No. of 1
Stories
Max.
Occ. Load
Fire
Zone 3
Use
Zone CM
Fire Sprinklers
Required Oyes • NO
APPLICATION ACCEPTED BY:
PLANS CHECKED BY
APPROVED FOR ISSUANCE BY
No. of
Dwelling Units
OFFSTREET PARKING
Covered
SPACES:
Uncovered
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
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 DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE OF OWNER Of OWNER BUILDER)
SIGNATURE OR AUTHORIZED AGENT IRATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION
CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
OCCUPANCY PERMIT REQUIRED
CITY OF TUKWILA BUILDING DEPARTM,'T
'200 SOUTHCENTER BOULEVARD
CU KWI LA , WASHINGTON 98188
PHONE: (206) 242 -2177
APPLICATIO11 FOR PERMIT
Location of work /# & St. t411 5TQ Ole_ Scat rg Ze 7
Date of Application :://9/761 Permit Number When Validated
Date Permit Issued
Perrni t Expires
Owners Name QR. o133E.e- Qo T5o /
Owner' s Address S Mw- Ars 403exiell
Phone s .75 -. //S O
£I'tY OF TUKWILA
Legal Description
Zip
Jim 19 1978
BUILDING DEPT.
Contractor's Name NCM ar■jr Q PRISES 1Iue.. Phone 781(- 3693
Contractor's Address 11 $ /J. u.) .
•=oes-'-t` L.= l.03N . • Zi P ci 8 l 07
Registration Number NG-- — - 29e, (4R State Sales Tax Number
Building Use [Nr..f4cel
DO NOT WRITE BELOW THIS LINE
A
E
A
A
A
L
N
E
V
E
W
0
T
H
E
R
G
E
N
C
I
1st
Floor
TYPE
CONS .N
Bldg. Dept.
2nd Base -
I finar ment
P1 an to Pub Wks
Plan to Planning
P1 an to Fire Dept
GRopr
VALUATION: �
Garage/ Deck Mez- # of Total I / (9 0, uU
Carport zanine Stories Area
C %! F Automati c Sprinklers Requi red? (Ord. 730) YES N
Hose Stations Required? .(Ord. 730) YES Ni
Hydrants Required? (Ord. 729) YES N'
Standpipes Required? YES N
Fire Dept. Access Adequate? YES N
Fire Lanes Required? (Ord. 757) YES N
See plans review letter attached for comments.
Date: By:
Sent Returned
Sent Returned
6/27/7a'
Sent Returned
E
D
E
T
PUBLIC WORKS
WATER
Drainage ;.
Curbi ng
Approaches
SEWER
MISC.
1 Hydraulic Cond.
LAND USE MANAGEMENT
LUAC Submitted
Issued
LURC Sent
986 SETA
Cat Exempt / / �n
Neg. Dec. /-7
EIS /-7
FEE DISTRIBUTION
Building
Plan Review
Mechanical
Fire Place
Demoli on
Bond
LEGAL DESCRIPTION.
Andover Industrial. Park #3
Less N 137 feet. or E 165 feet subject to U P RR.
Oper esmt R/W
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