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HomeMy WebLinkAboutPermit 2771 - Prudential Insurance - Brass BellThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. 2771 Prudential Insurance — Brass Bell 770 Andover Park East RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. 2, 3, 7 DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. Permit no. 2-77/ 'CITY of TUKV ...A Control no. 84 -066 Central Permit System BUILDING PERMIT 0, 7 / DATE OF ISSUANCE J DR Andover Park East EXPIRES ydhPn no activity fnr 1R(l days LEGAL DESCR. LOT NO. BLOCK TRACT IX SEE ATTACHED SHEET OWNER Prudential Insurance PHONE ADDRESS 18902 Des Moines Way S. Seattle, WA ZIP 98148 CONTRACTOR Tracy Construction PHONE 453 -0035 ADDRESS 12426 104th N.E., Kirkland, WA ZIP 98034 LICENSE NO, TRACYC170LW SST NO. BUILDING USE (%-/L /ot4=-J TENANT Ecimiseat Mr ,L/C pie L60-- CLASS OF WORK Demising Wall NEW ❑ADDITION ) REMODEL ❑REPAIR 0 T.I. ❑OTHER (Specify) BLDG. AREA 1st FL. 2nd FL. BASEMENT GARAGE DECK MEZZANINE # OF STORYS TOTAL S.F. VALUATION 15,379 1 15,379 11,000 I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, THAT THE APPLICABLE CITY OF TUKWILA REQUIREMENTS WILL BE MET, THAT I AM AN AUTHORIZED AGENT FOR THE PROJECT. :Iding Official COMMENTS: FEE DISTRIB. BUILDING PLAN RVW. DEMOLITION a7_oa. 57 00 BOND TOTAL ,,4 4 TYPE CONST. OCC. GROUP OCC. LOAD FIRE ZONE USE ZONE SPRINKLERS SMOKE r TR 1 Hr. N/A N/A - -- C -M IN YES ONO OYES ONO FOR INSPECTION CALL 433 -1849 1. Driveway 2. OK to 3. Roof 4. OK to 5. Wall- 6. Structure approach and pour footing sheathing enclose board complete and/ slope and /or and nailing framing nailing or OK to foundation OK OK occupy TENANT IMPROVEMENT APPROVAL: Date: Fire Department q. Date: Building Official TI-IIQ DCRMIT RAI ICT DE nne -rcn nnni ntni int I['1 \/ i- t.i r i Iii r CPS Form 1 +�aiYrtr �: CITY of TUKVIi'iL A Central Permit System Perhnit no. Control no. 84 -066 BUILDING PERMIT c. 2 -7 / DATE OF ISSUANCE , J9,9,42DRupe . r Park East EXPIRES When no activity far 1811 day LEGAL DESCR. LOT NO, BLOCK TRACT IX) SEE ATTACHED SHEET OWNER Prudential Insurance PHONE ADDRESS 18902 Des Moines Way S. Seattle, WA ZIP 98148 CONTRACTOR Tracy Construction PHONE 453-0035 ADD ESS 12426 104th N.E., Kirk1lrnd, WA ZIP 98034 LICENSE NO. TRACYC17OLW SST NO. BUILDING USE ■ ' , t U c / A r t a ;!ie l/, iZ / o It _3' TENANT i. :,� `i- A r 1 Pj04 - /c. Heil: 4.-- CLASS OF WORK Demising Wall ❑ NEW O ADDITION REMODEL O REPAIR 0 T.I. C OTHER (Specify) BLDG. AREA 1st FL. 2nd FL. BASEMENT GARAGE DECK MEZZANINE # OF STORYS TOTAL S.F. VALUATION 15,379 I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, THAT THE APPLICABLE CITY OF TUKWILA REQUIREMENTS WILL BE MET, AN ,THAT I AM AN AUTHORIZED AGENT FOR THE PROJECT. ) / t?. "'t.71�/tl'Lr,R�.• ff - / Date OWNfq / AGED' SIGNATUR APPROV E' FOR ISSUANCE' C S-026 --arDVe Bbding Official COMMENTS: FEE DISTRIB. 1 BUILDING 15,379 11,000 PLAN RVW. PJ 00 DEMOLITION 57 OU BOND • OTHER TOTAL iwee TYPE CONST. - OCC. GROUP OCC, LOAD.. FIRE ZONE USE ZONE SPRINKLERS SMOKE r TR 1 Hr. N/A NIA - -» C -M I,IYES ONO OYES ONO FOR INSPECTION CALL 4 3 -184 1. Driveway 2. OK to 3. Roof 4. OK to �j 5. Wall- LLt� 6. Structure approach and pour footing sheathing enclose `( board p7D1 complete and/ slope and /or and nailing framing ` nailing 'Y or OK to foundation OK /' OK �� occupy sj TENANT IMPROVEMENT APPROVAL: Date: Fire Department 10-C, Date: Building Official TI-I IC DCORAIT I\nI JOT" in nnnTrn nnninnir i i, i Ina j 0"11,1 nr, ,. r■i/tIM CPS Form 1 • CITY OF TUKihrILA Central Permit System CAS" 2 3 7 No g4- 01-0 / ' '`1 '7, . control No. g4- No.,-0-711 7.376, / )49,74p/2 ,v e r5',2- r 7 /64974-* /O4/ ..!� ; /,r FINAL APPROVAL FORM TO: n- Building ❑ Planning ❑ Public Works ❑ Fire Dept. ❑ Police ❑ Parks/Recreation Project Name 3A?// '>--5 -' f Address .7 .20 Type of Permit(s) 4. /j�;��:u%` ( ri �A,,�,y ! t L' / /f . I ?; This project is nearing completion. Please investigate your area of responsibility and indicate below either your final approval or necessary corrections. If no response is received within one week, it will be assumed that the project is of no concern 4 to your department and a certificate of occupancy may be issued. This . P o ec � is . OT* a pp roved by this d e � artmen � ; the,followin 9. corrections/are necessary: � 4 9r4/ :5) -='4 ''l) .mac:- ; vi (Jif'/o i rar / /,/ A .`: .. , f/ E%! jf 4 ( �}.%Ae ;7 ( ) 4 1 f t ! 7 ( r 9 ) .-;3 A, f ,O,-> 5 1 , /' _.mow/ 7-4/7'1-7(''.... - - £ ` " . k ' ' / i ' • 7 . , ( # / S 4 r" .. -11'-',..... (_� /!� f .5 i i ■,G:.� ...... k/ 4 (.210 `.* �7 P 0 0'_ Y'....-4' -- Ai ,!:a r[ 4.4.,, 4;_. '77.,,,,? ,cy ., - / " ,,i,,,"s j(' V ) ..f! iJ "cl /-.raj t /t... r)q' las"r/rw / %•.S"' 14 ;,e .: `l(e,X''.' ;If ,1 `7'1;/ A :1-AP, nif 6.4— .f ,( /14)) / ..7 ,e ragi d� " �/ 44. f/ 4) 1,; J i5. t':- 1-j� "/7 /%f . `7/rrj ,4/ 4'T ,! -i .l.r. t /` . 3 r 1 / ) ∎' ( ) ^,r% P / ,,/,,-,1,4,. ;a1 .— {/ V ti {id "l4,4_,,.0 !i l ... i ,_;(, ) / ,f.;,-- /'(.!) Gr' el 'ft,' " //.r�.1..' 4# (r.'_f" ,`1 ,of-Iii e. .Li- ?. re" )fi_ (/�') /6'f5'rel/F e: .,< . c. ti,� `l l'.�a.4,'. /'t»' „tei'r - ;,er ..- �-, e'3' /” � /,...r.e, de' , f:`�<.a> �( Lac �i i i ii (; /) :9/2,ii U r . 9 ,2 1i ( k e e h 1 / r 7- y ' e l f .€ ' , 7 ;'d,, #7 /71 1- %'.kr.'fj" -f / ' 1 - , ' 2 _ (' ) (.1.. f 1 / 9 / 1.7-4- 14) e l -51M° KT 4° 6 . ; / r % J % ( f ! i a / J /i 7' Ifrui1 Ld j __. ( . ( ) ( i� i / / ( "! t 171 4) !,{:! rob_ 'r'M (J e51 �{.' /72 , tr; Vii`` Authorize Signature Date F V This project is approved by this department: „., • Authorized Signature Date CPS Form 3 J CITY OF !TUKWILA C, • PERMIT NUMBER . CONTROL NUMBER 1J 4 6 CENTRAL PERMIT SYSTEM - ROUTING FORM TO: 0 BLDG. Q PLNG. Q P.W. PROJECT w-a.� -- /51- ( ?) C?) ADDRESS 7 70 — 7 O • / P L-- DATE TRANSMITTED g Y C.P.S. STAFF COORDINATOR c FIRE POLICE El P. & R. t ., .' CL-C±i- /4) e-a-ct co /8 144 A eat RESPONSE REQUESTED BY fs , r� yq ,' RESPONSE RECEIVED PLEASE REVIEW THE ATTACHED PROJECT PLANS AND RESPOND WITH APPROPRIATE COMMENTS IN THE SPACE BELOW. INDICATE CRUCIAL CONCERNS BY CHECKING THE BOX NEXT TO THE LINE(S) ON WHICH THAT CONCERN IS NOTED: 1615 h-4 // v-,1) 'rah 4 /7 V 0/471e- iL4 / *71 egf./217 Of roof 5-7_574-e,9,,— 7L` 51 -, I/tic --- co 549 litre 71%t, W . s • R - 8. fJ t ^ 7-0 ] e-- /A �--� e 4.'4 SO °I /% ,rh h / % n c- / / / e5 9/ o L % f S 44 4/ 54 Ldi )fr, es 7119 4 6 th d- .8 1)e,21. Q19. e4 7s 41 J 0/%e .-q ©r7 5 5 71-o ar-j. de-74e--01://e- 74.-i/e.7(e-4714/‘.0.7 �.- 3--.2 DCc 4v07 c' • ( th 7 7a 1- 79. 2). T11)5 d ffJ Ce- 445 45 cove -c- 1 71/10 7A 7qp /S ai'7.O o CC L.)/ / C e/ 4, 4;5 71- e (,9-i&oSj-p'14 I7e)- $4o .-/J, 7 -,5 cc-,, 4., c7 Q D.R.C. REVIEW REQUESTED 0 PLAN SUBMITTAL REQUESTED f`X PLAN APPROVED 0 PLAN CHECK DATE COMMENTS PREPARED BY C.P.S. FORM 2 CITY OF 'TUKWILA . (- PERMIT NUMBER . CONTROL NUMBER "?-3.4r-,54g «o CENTRAL. PERMIT SYSTEM - ROUTING FORM TO: ( 3 BLDG. PLNG. Q P.W. [f FIRE Q POLICE Q P. & R. PROJECT co.Ce2Q — IL) () (?) 'ADDRESS X 7 70 — -7 q & - , P L" DATE TRANSMITTED RESPONSE REQUESTED BY C.P.S. STAFF COORDINATOR__SZ RESPONSE RECEIVED PLEASE REVIEW THE ATTACHED PROJECT PLANS AND RESPOND WITH APPROPRIATE COMMENTS IN THE . SPACE BELOW. INDICATE CRUCIAL CONCERNS BY CHECKING THE BOX NEXT TO THE LINE(S) ON WHICH THAT CONCERN IS NOTED: 0 . D. Q Q Q' Q a Q Q a Q Q Q. D.R.C. REVIEW REQUESTED El PLAN SUBMITTAL REQUESTED 0 PLAN APPROVED g PLAN CHECK DATE 3 COMMENTS PREPARED BY C.P.S. FORM 2 rol ,Number BUILDING DEPARTMENT CITY of TUKWILA 6200 SOUTHCENTER BOULEVARD TUKWILA, WASHINGTON 98188 433.1849 APPLICATION FOR PERMIT RECEIVED CITY OF TUKWILA MAR 21981' BUILDING DEPT. DATE -7 " _ g4"/ JOB ADDRESS 7 Lj 5 .� 75Q �.v)o4t.� S 9 �c;gs P" / LEGAL DESCR. LOT NO. BLOCK TRACT ❑ SEE ATTACHED SHEET OWNER '7 r l PuCtea0-%a1 _LNSOt -evict e PHONE ADDRESS ZIP PHONE ,(45-3_0d3�" /� CONTRACTOR I U ctCI.� •C..._07,15_000'j^il'�� ( / ADDRESS (� L(G - (O L/ �( N /--~ I IONIC I c J� - ZIP qg'O t�� c/ LICENSE NO 14Jo 1.4Tre.. �7'' NC' If - T ) Ar y( r 7c) 4 c� SST N0, ( BUILDING USE - s4, ... ` ,, r+ „ - L i -Qh�l kJJTENANT II r g I'`�l55'�2(I l CLASS OF WORK 2) 14i /s %(/(a 14'4 (,Q ❑ NEW ❑ ADDITION ,EIREMODEL ❑ REPAIR ❑ OTHER (Specify) BLDG. AREA 1 2nd FL. BASEMENT GARAGE • DECK MEZZANINE # OF STORES TOTALS.F. VALUATION 75l/,4 l�.ra . / Eivatop A D D D �/ NAME OF APPLICANT (PLEASE PRINT) • I^ -T U`nr e� ^A/ �/ ADDRESS 1 mac. LI ,' -G - (O Li 1 L. , 6. Kid' k (U ua to,pc PHONE. eic3` 03 s-^••' S I CERTIFY THAT THE INFORMATION FURNISHED BY ME I E AND CORRECT AND THAT THE APPLICABLE CITY OF TUKWILA REQUIREMENTS WILL BE MET. • ad.'" SIGNAT E OF A LICANT DO NOT WRITE BELOW THIS LINE SMOKE TYPE CONST. PLAN RVW PLANS: FIRE DEPT, OCC. GROUP OCC. LOAD SENT RETURNED USE ZONE APPROVED PLANNING/ SEPA PUBLIC WKS. Bldg. DivJ FEE DISTR,IB. • UT• SPRINKLERS REQ. 1 DETECTOR YES ❑ NO U YES [] NO BUI DING PLAN RVW. DEMOLITION BOND OTHER TOTAL COMMENTS: Amount Date Paid Receipt # #; BP: rXOw 114...1.-�1' PC: T, vo 1.73. (