HomeMy WebLinkAboutPermit 5994 - Boeing - Wall and Column BracingAPPROVED FOR BUILDING
ISSUANCE BY: j e OFFICIAL
DATE:
- 5 - 90
I hereby certify t at I have read and examined this permit and know the same to be true and correct. All provisions
of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of
this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating construction or the performan: r work. I am authorized to sign r and obtain this building permit.
'-4-- 4 •
, fo
/
DATE: `Y' . 90 .
SIGNATURE: /-)- t'''
C�� (-17 1 Le-
COMPANY:
- r
PRINT NAME: = /`;'-..S/j�
PROPERTY OWNER TCW Realty Advisors
PHONE 213 -683 -4200
ADDRESS 400 South Hope Street, Los Angeles, CA
ZIP 90071
CONTRACTOR KB Interior Construction
PHONE 889 -9400
ADDRESS 2020 124th Avenue N.E., Bellevue, WA
ZIP 98005
WA. ST. CONTRACTOR'S LICENSE #f KBINTCC160QF
EXP DATE 3 -31 -91
ARCHITECT LPN Architects
PHONE 583 -8030
ADDRESS 1127 Pine, Suite 300 WA
ZIP 98101
TYPE OF CONSTRUCTION: v-N UBC EDITION (year) 88
SETBACKS: N - S -
E -
W -
FIRE PROTECTION: S prinklers 0 Detectors (� N/A
UT ILITY PERMITS REQUIRED?
Yes Q NO
(through
Public Works)
ZONING: C -M BAR /LAND USE CONDITIONS0Yes ® No
4.50
6666
3 -14 -90
CONDITIONS (other than those noted on or attached to permit/plans):
OTHER:
TOTAL -
DESCRIPTION
AMOUNT (RCPT I
DATE
BUILDING PERMIT FEE
126.00 1
82.00
6666
6666
3 -14 -90
3 -14 -90
PLAN CHECK FEE
BUILDING SURCHARGE
4.50
6666
3 -14 -90
ENERGY SURCHARGE
OTHER:
TOTAL -
212.50 1
CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
BUILDING
PERMIT NO.
sccH
DATE ISSUED:
LP- 5- qo
PRO.1FC I INFORMAL
•• •T•^
•
PROJECT NAME/TENANT
DESCRIBE WORK TO BE DONE:
665 Andover Pk W
Boein
TYPE OF 0 New Building Li Addition
WORK: 0 Rack Storage 0 Reroof
PLAN C
UI M
ASSESSOR ACCOUNT
ar 262304- 9075 -00
Tenant Improvement (commercial) Li Demolition (building) Li Grading/Fill
0 Remodel (residential) 0 Other
Exterior wall bracing, column bracing.
BUILDING PERMIT
(POST WITH INSPECTION CARD AND PLANS
IN A CONSPICUOUS LOCATION)
V U
FEES
11,000.00
CO[)[ COMPLIANCE
USE 4
FLOOR 4
SQUARE
FEET
SQUARE
FEET
/
SQUARE
FEET
TOTAL
OCC.
LOAD
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
TOTAL
SQUARE FEET
TOTAL
OCC. LOAD
This permit shall become null and void if the work is not commenced within 180 day )tom the date of
issuance, orif the work is suspended or abandoned for a period of 180 days from the last inspection.
CERTIFICATE OF
OCCUPANCY NO.
DATE ISSUED:
va i 1Iy
DESCRIP ION
11110 NT
RCPT R
DATE
BUILDING PERMIT FEE
126.00
820Q _
6666
6666
6666
314 - 90
3
PLAN CHECK FEE
BUILDING SURCHARGE
4.50
a-14-90
ENERGY SURCHARGE
ZIP 98101
OTHER:
TOTAL -
212.60
PROPERTY OWNER -
TCW Realty Adv••
PHONE
213- 683 -4200
' ADDRESS 400 South Hope Street, Los Angeles, CA
ZIP 90071
CONTRACTOR KB Interior Construction
PHONE 889 -9400
ADDRESS 2020 124th Avenue N.E., Bellevue, WA
ZIP 98005
WA. ST. CONTRACTOR'S LICENSE # KBINTCC160QF
EXP. DATE 3• - -
ARCHITECT LPN Architects
PHONE 583 -8030
ADDRESS 1127 Pine Suite 300 WA
ZIP 98101
IJSE
, ,,,
SQUARE
r E
/
OCC.
JQAQ
„'4#. R <igt A'hri.'i:TLr
SQUARE
FEET
/
OCC.
LQ,:.•
.'.Yi.. t W .t
SQUARE
.. - 1
/ .
OCC.
Lt)
. ?u.•..
SQUARE
Fir
T,. ,
/
OW.
_LPL.'
, . `'
1. ' 1...'4'
SQUARE
1I 6„'i,
/
OC.C. I
I. 1
AlI {'{ ':"
TOTAL
SqU - E F
TOTAL
OCC. 4OAO 1
FLooR
I
I
TOTAL
TYPE OF CONSTRUCTION: V -N UBC EDITION (year) 88
SETBACKS:
N - $ -• E -
UTILITY PERMITS REQUIRED ?� Yes Q N o
W -
(through
pybl c Workal
FIRE PROTECTION:E Sprinklers 0 Detectors ® N/A
ZONING: C -M BAR /LAND USE CONDITIONSEyes ®No
CONDITIONS (other than those noted on or attached to permit/plans):
PRINT NAME: C.-/9/� /LL'`= __ ____ .c/
AP1'F•IOVED FOR ��
ISSUANCE BY: A `L 4 _ j
BUILDIN
OFFICIAL
DA TE: r p
4 " 5 - `0
I hereby certify that I have read and examined this permit and
of law and ordinances governing this work will be complied with,
this permit does not presume to give authority to violate or cancel
regulating construction or the performancvr work. I am authorized
know the same to be true and correct. All provisions
whether specified herein or not. The granting of
the provisions of any other state or local laws
to sign for and obtain this building permit.
4/61-
1 DATE: T 6 y� -Xkl
COMPANY: 7 Cex ) l'
SIGNATURE: ->c- .C�l.,-
PRINT NAME: C.-/9/� /LL'`= __ ____ .c/
CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
BUILDING
PERMIT NO.
DATE ISSUED:
SI SS
PROJECT NAAAE/TENANT
Boeir.
TYPE OF Li New Building ❑ Addition
WORK: O Rack Storage 0 Retool
DESCRIBE WORK TO BE DONE:
CERTIFICATE OF
OCCUPANCY NO, A
665 Andover Pk W
D
PLAN
Exterior wall bracing, column bracing.
BUILDIN' PERMIT
(POST WITH INSPECTION CARD AND PLANS
IN A CONSPICUOUS LOCATION)
CHECK #90 -125
DATE ISSUED:
FEES
VALUIb OF • STR ON- $
11,00
ASSESSOR ACCOUNT # 262304 9075 -
Tenant Improvement (commercial) Li Demolition (building) 0 Grading/Fill
0 Remodel (residential) 0 Other:
This permit shall become null and void if the work is not commenced within 180 day om the date of
issuance, orif the work is suspended or abandoned for a period of 180 days from the last inspection.
Type of Inspection
Site Address L.e (I
Requester /41
Special Instructions
Inspection Results /Commen s:
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
a p.v)
INSPECTION RECORD
PERMIT # ? 7
Date
Inspec ` Date 6 72-2-i?
.r.�ev+rew�.r��`�.w - +*�S: "ly*"�r. wLW'•°+' 4Lroew�+. au�. �. w+ n�uurnvw.. �. .»w.:w..w«..wca••.e a
Date Wanted 6 (Z'z -(k' 0
Project ,r 6Z n19 •
Phone #
a.m. p.n
Inspection Results /Comments:
Inspector
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 - 1849
._....�..._. a ...- ..,.�„_...».,,..,�.,N:�,�..
INSPECTIe RECORD
PERMIT #
Date
5r-. / p -90
Date Wanted 5 ` / / -9d a.m.
Project
# S 3 z-
Type of Inspection
Site Address
Requestor / 6' k �.
Special Instructions
Date S-(/-1
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspection_ roc- - h , tr4
Site Address (pGS G -u- yk_ (,)
Requestor V1111(4
Special Instructions
Celesta vvE149 /rJ C) Ly
INSPECT! N RECORD
m.
.
PERMIT # J7q
Date
Date Wanted 5 /5/i a.m. en
Project ,, � (. �c3
Phone #
Inspection Results / Comments: t ,J (Nec-- cJh1/416" Ce5 ra / I . rC.hT
d S'Pc� S . ,Seer r - s' Pc - di.) /4 g-3
Inspector, - Date 5/9/1
EXECUTIVE OFFICES
3220 - 17th Avenue West
Seattle, WA 98119 -1790
(206) 282 -0666
FAX (206) 282 -0710
Date: June 6, 1990
CITY OF TUEWILA
Building Department
6200 Southcenter Boulevard
Tukwila, WA 98188
Attention: Mr. Duane Griffir
Subject: Project Name: I�
Project Address: 665 Andover Park 4�est"
PERMIT NO: 5994
We have completed the requested special
Reviewed by: Meribeth Nordloef, Manage
Nondestructive Examination
• CO - TRUCTION INSP
• CONSULTING ENGIN
PACIFIC TESTING LABORATORIES
[JUN 1319901
. B. 4fiteriorJComstruct on
DT
Our final report, dated May 9, 1990
W QED
Structural Steel Visual Insp.
Wl'a2K INSPDCIED
Structural Steel Visual Insp.
Notes:
A Washington Corporation furnishing Engineering services by and under the supervision of registered professional engineers.
TACOMA DIVISION
2402 Pacific Highway East
Tacoma, WA 98424
(206) 922 -9299
FAX (206) 922 -1512
Certificate No. 9005 -2020
inspections on the subject project.
, is numbered LR 55108
To the best of our knowledge, all work inspected conformed to DCLU- approved
plans, specifications, Directors Rules, SBC, and related codes, and/or
verbal or written instructions from the Engineer of Record.
Sincerely,
.,419;,% Aidr ,
.ames C. -ling, P.E., 's dent
TION • SOILS ANALYSIS • NON- DESTRUCTIVE EXAMINATION • ENVIRONMENTAL DRILLING
RS • LITIGATION CON '• LTATION • CHEMICAL ANALYSIS • CALIBRATION • STRUCTURAL/MECHANICAL LAB
Plan Check #90 -125: Boeing
665 Andover Pk W
THE FOLLOWING COMMENTS APPLY TO D COME PART OF THE APPROVED PLANS UNDER
TUKWILA BUILDING PERMIT NUMBER_
1. No changes will be made to the plans unless approved by the
Architect and the Tukwila Building Division.
2. All permits, inspection records, and approved plans shall be
posted at the job site prior to the start of any construction.
3. When special inspection is required either the owner, architect or
engineer shall notify the Tukwila Building Division of appointment
of the inspection agencies prior to the first building inspection.
Copies of all special inspection reports shall be submitted to the
Building Division in a timely manner. Reports shall contain
address, project name and permit number of the project being
inspected.
4. All structural welding to be done by W.A.B.O. certified welder and
special inspected (Sec. 306, UBC).
5. Any exposed insulations backing material to have Flame. Spread
Rating of 25 or less, and material shall bear identification
showing the fire performance rating thereof.
6. All construction to be done in conformance with approved plans and
requirements of the Uniform Building Code (19GB Edition).
7. Validity of Permit. The issuance of a permit or approval of
plans, specifications and computations shall not be construed to
be a permit for , or an approval of, any violation of any of the
provisions of this code or of any other ordinance of the
jurisdiction. No permit presuming to give authority or violate or
cancel the provisions of this code shall be valid.
"X"
REQUIRED INSPECTIONS
PHONE
APPROVED
INITIALS
CORRECTION NOTICE ISSUED
1 Footings
433 -1849
2 Foundation
433 -1849
3 Slab and/or Slab Insulation
433 -1849
4 Shear Wall Nailing
433 -1849
5 Roof Sheathing Nailing
433 -1849
8 Masonry Chimney
433 -1849
X
7 Framing
433 -1849
8 Insulation
433 -1849
9 Suspended Ceiling
433 -1849
10 Wall Board Fastening
433 -1849
11
12
13
14 FIRE FINAL Insp:
575 -4404
15 PLANNING FINAL
433-1849
16 PUBLIC WORKS FINAL
433 -0179
X
17 BUILDING FINAL
433 -1849
CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
SITE ADDRESS:
665 Andover Pk W
OTHER AGENCIES:
BUILDJG PERMIT
INSPECTION RECORD
(Post with Building Permit in conspicuous place)
BUILDING
PERMIT NO.
DATE ISSUED:
SUITE NO.: PROJECT:
Boeing
CALL FOR INSPECTIONS AT LEAST 24 HOURS IN ADVANCE
INSPECTION PROCEDURES AND REQUIREMENTS
599'4
Li -5-90
(INSPECTOR COMMENT SECTION
All approved plans and permits shall be maintained available on the site in the same location.
1. FOOTING - When survey stakes and forms are set and rebar is tied in place.
2. FOUNDATION - When forms and rebar are in place.
3. SLAB - If structural slab or if underslab insulation is required.
4. SHEARWALL NAILING - Prior to cover.
5. ROOF SHEATHING NAILING - Prior to cover.
6. MASONRY CHIMNEY - Approximately midpoint.
7. FRAMING - After rough -in inspections such as mechanical, plumbing, gas piping, electrical and fire stopping is in place.
8. INSULATION - After framing approval, but before installation of wallboard. Baffles must be installed to keep attic
ventilation points clear.
9. SUSPENDED CEILING - Fasten diffusers, lights and seismic bracing.
10. WALL BOARD FASTENING - Prior to taping (see UBC Chap. 47 and Table 47G).
11.
12.
13.
14. FINAL FIRE INSPECTION - Contact Fire Department for their requirements.
15. FINAL PLANNING INSPECTION - Contact Planning Department for their requirements.
16. FINAL PUBLIC WORKS INSPECTION - Contact Public Works Department for their requirements.
17. FINAL BUILDING INSPECTION - When all work, corrections, reports and other inspections are complete.
Plumbing (including gas piping) — King County Health Department — 296 -4732
Electrical — Washington State Department of Labor and Industries — 872 -6363
A preconstruction meeting with the Building Inspector may be scheduled prior to starting the job by
contacting the Department of Community Development, Building Division at 433 -1849. Although not
required, a meeting of this type can often eliminate problems, delays and misunderstandings as the
project progresses.
anaoa
"X"
REQUIRED INSPECTIONS
1 Footings
2 Foundation
3 Slab and/or Slab Insulation
4 Shear Wall Nailing
5 Roof Sheathing Nailing
6 Masonry Chimney
X 7
Framing
8 Insulation
9 Suspended Ceiling
10 Wall Board Fastening
11
12
13
14 FIRE FINAL Insp:
15 PLANNING FINAL
16 PUBLIC WORKS FINAL
x{17 BUILDING FINAL
PLAN CHECK
NUMBER
C IO - 125
A
THE FOLLOWING COMMENTS APPLY TO AND BECOME PART OF THE APPROVED PLANS UNDER
TUUKWIILA BUILDING PERMIT NUMBER
V No changes will be made to the plans unless approved by the
Architect and the Tukwila Building Division,
O
O
!b
18
20
Plumbing permit shall be obtained through the King County Health
Department and plumbing will be inspected by that agency,
including all gas piping (296 - 4732).
Electrical permit shall be obtained through the Washington State
Division of Labor and Industries and all electrical work will be
inspected by that agency (872- 6363),
All mechanical work shall be under separate permit through the
ity of Tukwila.
All permits, inspection records, and approved plans shall be
posted at the Job site prior to the start of any construction.
When special inspection is required either the owner, architect or
engineer shall notify the Tukwila Building Division of appointment
of the inspection agencies prior to the first building inspection.
Copies of all special inspection reports shall be submitted to the
Building Division in a timely manner. Reports shall contain
address, project name and permit number of the project being
inspected.
�7 All structural concrete to be special inspected (Sec. 306, UBC).
1,53( All structural welding ,to be done by W,A.B.O. certified welder and
special inspected (Sec. 306, UBC).
O All high - strength bolting to be special inspected (Sec. 306, UBC),
10 Any new ceiling grid and light fixture installation is required to
meet lateral bracing requirements for Seismic Zone 3.
l! Partition walls attached to ceiling grid must be laterally braced
if over eight (8) feet in length.
Readily accessible access to roof mounted equipment is required.
Engineereed truss drawings and calculations shall be on site and
available to the building inspector for inspection purposes.
Documents shall bear the seal and signature of a Washington State
Professional Engineer.
Any exposed insulations backing material to have Flame Spread
Rating of 25 or less, and material shall bear identification
showing the fire performance rating thereof.
Subgrade preparation including drainage, excavation, compaction,
and fill requirements shall conform strictly with recommendations
given in the soils report prior to final inspection (see attached
procedure.).
A statement from the roofing contractor verifying fire retardancy
of rook will be required prior to final inspection (see attached
procedure).
All construction to be done in conformance with approved plans and
requirements of the Uniform Building Code (1988 Edition) , iinll44sw.—
..- rc lity it
All food preparation establishments must have King County Health
Department sign -off prior to opening or doing any food processing.
Arrangements for final Health Department inspection should be made
by calling King County Health Department, 296-4787, at least three
working days prior to desire inspection date. On work requiring
Health Department approval, it is the contractor's responsibility
to have a set of plans approved by that agency on the job site.
Fire retardant treated wood shall have a flame spread of not over
25. All materials shall bear identification showing the fire
performance rating thereof. Such identification shall be issued
by an approved agency having a service for inspection at the
factory.
Notify the City of Tukwila Building Division prior to placing any
concrete, This procedure is in addition to any requirements for
special inspection.
21 All spray applied fireproofing as required by U.B.C. Standard No.
43 -8, shall be special inspected.
22 All wood to remain in placed concrete shall be treated wood.
23 All structural masonry shall be special inspected per U.B.C.
Section 306 (a) 7.
1)1Y Validity of Permit. The issuance of a permit or approval of
plans, specifications and computations shall not be construed to
be a permit for , or an approval of, any violation of any of the
provisions of this code or of any other ordinance of the
jurisdiction. No permit presuming to give authority or violate or
cancel the provisions of this code shall be valid.
Plan Review
PROJECT � C comp cT 5Ea)
ADDRESS Cvap 414 oa 24Y2< u
DATE 4_
OCCUPANCY GROUP
TYPE OF CONSTRUCTION
LOCATION ON PROPERTY
BUILDING HT. / NO. STORIES
FLOOR AREA
OCCUPANT LOAD
EXITING REQUIREMENTS
DETAILED REQUIREMENTS �I
OCCUPANCY ►`� f
TYPE OF CONSTRUCTION
PART V, CHAPTER 23, U.B.C.
_W..S._E..
CHAPTER 51 -10, W.A.C.
W6 WA
CITY OF TUKWILA
DEPARTMENT OF COMMUNITY DEVELOPMENT prepared by: ,
PLANNING DIVISION
PLAN CHECK
NUMBER
90- l2b
PERMIT NO.
CONTACTED
Cry
DATE READY
DATE NOTIFIED
J . 9'�
BY: ,,.��,QQ
(init.) --A3
PERMIT EXPIRES
2nd NOTIFICATION
BY:
(snit.)
AMOUNT OWING
Y
3RD NOTIFICATION
BY:
(init.)
PLAN CHECK
NUMBER
90- !�as
REVIEW COMPLETED
BUILDING PERMIT APPLICATION TRACKING
PROJECT NAME
SITE ADDRESS
Q(v5 P\nd ov-ev Pk L )
SUITE NO.
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in writing by staff so that
any time the status of the project may be ascertained.
• Plan corrections shall be completed and approved prior to sending on to the next department.
• Any conditions or requirements for the permit shall be noted on the plans or summarized concisely
in the form of a formal letter or memo, which will be attached to the permit.
• Please fill out your section of the tracking chart completely. Where information requested is not
applicable, so note by using "N /A ".
BUILDING SQUARE FOOTAGE/OCCUPANCY INFORMATION
(to be filled out by Plan Checker)
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
TOTAL
SQUARE FEET
TOTAL OCCU-
PANCY LOAD
DEPARTMENTAL REVIEW
"X" In box Indicates which departments need to review the project.
g BUILDING - J- . 10 _ cl 0
initial review
*FIRE
O PLANNING
INIT:
O PUBLIC
WORKS
O OTHER
INIT:
21 BUILDING -
final review
'R ED>
(ROUTED)
INIT:
INIT:
4-4-96
INITr f?
Q
Q ME
CONSULTANT: Date Sent -
Date Approved -
FIRE PROTECTION: 11 Sprinklers f1 Detectors N /A
FIRE DEPT. LETTER DATED:
INSPECTOR:
ZONING: C
IBAR/LAND USE CONDITIONS? (]Yes j)4 No
REFERENCE FILE NOS.:
MINIMUM SETBACKS: N- S- E- W-
UTILITY PERMITS REQUIRED? (l Yes (Z No
PUBLIC WORKS LETTER DATED:
TYPE OF CONSTRUCTION:
UBC EDITION (year):
U= tY
1 708
031301115
SITE ADDRESS SUITE #
I
5 47c�'oP k75,' E •
V OF CONSTRUCTION - $
VALUE / / D)2 , OD
PROJECT NAME/TENANT
/,p•/)- - i C 14 4)4 SA7J s
ASSESSOR ACCOUNT #
26 230 — 907 S —OD
TYPE OF New Builds g Li Addition ,Tenant Improvement (commercial) U Demolition (building)
WORK: ❑ Rack Storage ❑ Reroof ❑ Remodel (residential) ❑ Other:
DESCRIBE WORK TO BE DONE:
/77.1777 /,c/ /// &7 Cdlvi /6�- c ()1
BUILDING USE (office, warehouse, etc.) /�
/�dM / 4 /S %- 74 �' OT`._4-1/4C- -.-
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? No U Yes IF YES, EXPLAIN:
SQUARE FOOTAGE - Building: Tenant Space: Area of Construction:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE
BUILDING? ❑ No ❑ Yes IF YES, EXPLAIN:
PROPERTY OWNER 7 --w / 9 7 L , , 4 / S D , S IPHONE 273 .. 66,E _ e./000
ADDRESS I�LDD (.5. 674 Goo ye fs . C/4
ZIP 9e0 7 /
CONTRACTOR /4/43 lH�a c„i4 iS 14 jc,),24
E_ - 'crC�0
// ��PH/OON
ADDRESS 2620 /eV 7404 /O," A8e e G�4
ZI Pe9eaeig`"
WA. ST. CONTRACTOR'S LICENSE # ki5/4/7 /6V, /, C/7/—
J .
EXP. DATE
. L
ARCHITECT /� , ,
PHONE 5583 _
ADDRESS 112 / � (..3G6i
ZIP 9g/ /
<::. a:HEI Y CER 'IFY TI'#AT::I HA VE E AD A Nt XAMINED T IIS i PPi 1GA ION >ANt !;I NgY1f;L
: Ril IC�`�. �lrlt�f;A �! ; .: t'�Ki .�'H .:. :.......: ,..
BUILDING OWNER
AUTHORIZED
AGENT
40110 •
SIGNATU E� `� l'%+! .�
DATE
PRIN 'AdE a _
:r
PHONE 5-75 /0
A'��• • ESS 05-G� /::::). W
CITY /ZIP
CONTACT PERSON 7 - ` . ` . 7 C' IAT5d
PHONE -3 , 36)
CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
PLAN CHECK
NUMBER
C .-
APPLICATION MUST BL
FILLED OUT COMPLETELY
BUILDIF a PERMIT
APPLICATION
FEES
(for staff use only)
DESCRIPTION ..
BUILDING PERMIT. FEE
PLAN CHECK FEE
BUILDING SURCHARGE
ENERGY SURCHARGE
OTHER:';
TOTAL
AMOUNT:: RDPT 0 DATE
"c6D 00
?)-1
APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill
out the application completely and follow the plan submittal checklist on the reverse side of this form. Handouts
are available at the Building counter which provide more detailed information on application and plan submittal
requirements. Application and plans must be complete in order to be accepted for plan review.
VALUATION OF CONSTRUCTION Valuation for new construction and additions are calculated by the Department of
Community Development prior to application submittal. Contact the Permit Coordinator at 433 -1951 prior to
submitting application. In all cases, a valuation amount should be entered by the applicant. This figure will be
reviewed and is subject to possible revision by the Building Division to comply with current fee schedules.
BUILDING OWNER / AUTHORIZED AGENT If the applicant is other than the owner, registered architect/engineer, or
contractor licensed by the State of Washington, a notarized letter from the property owner authorizing the agent
to submit this permit application and obtain the permit will be required as part of this submittal.
EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of
application shall expire by limitations. The building official may extend the time for action by the applicant for a
period not exceeding 180 days upon written request by the applicant as defined in Section 304(d) of the Uniform
Building Code (current edition). No application shall be extended more than once.
If you have any questions about our process or plan submittal requirements, please
contact the Department of Community Development Building Division at 433 -1849.
DATE APPLICATION ACCEPTED
3-1 90
DATE APPLICATION EXPIRES
�1- (L1-10
COMMERCIAL
NEVICOMIliERCIAL �UILOINOSFADDITIONS
. .
Completed balking permit applIcation:(ooe for each structure
E l Assessor Account Number
Two sets (2) of the following
SPectfics.ti°n. lations stamped by a•Wetshi Washington co Sta tta licen
.
•sc,.011giineefr!ports'. stamped , by • Washington state lice nsed Structural calculations engineer
:ToPoir sof**,
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RESIDENTIAL
Sc.i3MI'TTAL CHECV,IST
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APR
FILE COPY
I understand that the Plan Check approvals are
uub:ject to errors and omissions and approval of
plans does not authorize the violation of any
adopted code or ordinance. receipt of contractor's
copy of approved plans acknowledged.
By
Date
Permit No ...
CITY OF TUKWILA _
APPROVED
19
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BUI DI G DI ISION
017
MAR I 1990
PERMIT CENTER
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APPROVED NI
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ENGINEERS
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PERMIT CENTER
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ENGINEERS
CITY OF TIJKWILA
APPROVED
AP 1991
BU D! G r I�1IS
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