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Permit 2823 - Property Management Systems - Shaw Parson's Surgical
BUILDING PERMIT TUKWILA THIS ERMIT MUST BE POSTED CONSPICUOUSLY ON BUILDING PERMIT NUMBER 75 �' Control Number 84 -169 Job Address 1071 Andover Park East Tenant /Owner Shaw /Parson's Surgical Date of jssuance 0-1- 1-1 Description of Work Remodel Legal Description E3 Attached Property Owner Property Management Systems Address 18902 Des Moines Way South Phone Engineer /Architect Address Phone Contractor Tracy Construction Address 12426 104th N.E., Kirkland Phone 938 -8168 Authorized Agent Roger Feten License No. TRAC YC 170LW Value of Work 5, 00 Fire Protection Use Zone Type of Construction Remodel ith 4 mm Sprinklers Q Detectors Sys f Unit or Building Uses Sq.Ft. Occ. Occ. Load Fees Amt. Date Rec. 40 1st F1. 4950 s • - ,1 - :- P.C. II _ s: • 2nd F . _ Bldg. 51 nn (0-1 11 ,; Frame Demo. Bond Wall Bd. Total _ Tot. ' Tot. _ Total R4 nn Special Conditions Approved for Issuance NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 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. Signatur- %f C nt a tor or Authorized Agent. AL Date INSPECTION RECORD - 433 -1845 Type Insp. Date Notes Setback Rebar Footing__ Fdtn. Slab Frame Wall Bd. Dept. Approvals Req'd Insp. Date Planning 'Div. Health Dept. Public Works Dept. Plumbing i Electrical Cert. of Occupancy' FINAL APPRQ Fire Dept. Date Bldg. Official Date THESE PREMISES SHALL NOT BE OCCUPIED UNTIL ALL APPROVALS HAVE BEEN SIGNED. CPS No. 1 EUILDING PERMIT TUKWI OF THIS ERMIT ST BE STED CONSPICUOUSLY ON BUILDING PERMIT NUMBER ...( Control Number 84• -169 Job Address 1071 Andover hark East Tenant /Owner Shaw /Parson's Surgical Date of,Issuance (t . f Description of Mork Reiltude1 Legal Description j Attached Date Property wner Property Management Systems A dress 18902 Des Moines Way South Phone Engineer /Architect Address Phone Contractor Tracy Construction Address 12426 104th N.E., Kirkland Phone 938 -8160 Authorized Agent Roger Feten License No. TRAC YC 17OLW Value of Work 5,000 Fire Protection Use Zone Type of Construction Remodel App�l: -Accepted -6-y l,x;ee" 4X Pm Sprinklers D Detectors Size of Unit or Building - Uses Sq.Ft. Occ. Occ. Load Fees Amt. Date Rec. 0 1st F1. 4950 Office /whse B -2 29 P.C. 33.00 S -11 Off(' 2nd F1. Fdtn. Bldg. 51.00 (.1 / 't; •: Frame Demo. Bond Wall Bd. 9,..)g- (it Total Tot. Tot. Total on Special ond b ons Type Insp. Date Notes Setback Rebar Footing Approved for Issuance rBy - (13,-,11„&4-;;;ei NOTICE THIS PERMIT BECOMES NULLAND VOID IF WORKOR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 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. Signature,-'pf Contractor or Authorized Agent Date 11// (c/ / /( FINAL APPROVAL : Fire Dept.. INSPECTION RECORD - 433 -1845 , Type Insp. Date Notes Setback Rebar Footing Fdtn. Slab Frame Wall Bd. 9,..)g- (it Dept. Approvals- Req'd Insp. Date Planning Div. Health Dept. Public Works Dept. Plumbing Electrical Cert. of Occupancy_ _ Date Bldg. Officia Date THESE PREMISES SHALL NOT BE OCCUPIED UNTIL ALL APPROVALS HAVE BEEN SIGNED. CPS No. I Permi t$2;� Date . Tenant `i 1'&J .r 6 Time Address: (bi) Date Wanted: ([I4 Contr. or Owner ' 2ert..>/ (CS MST, Type of Inspection 'F''2A1114 /AIL, p.m. CITY OF TUKWILA Building Division 8200 Southcentor Blvd. Tukwila, WA 98188 433-1845 Permit No.APA3 Date Job Address -/ 7J , f CORRECTION NOTICE The following items are found to be in violation of Ordinance and shall be corrected. Signed WOW /. . Building Official /Inspector: Tenant / 0 7/ 4 �90 Address : 54 6..2 ?Ale-5 v,1/S • Date Wanted: 1p -Q e a.m. •,m. Contr. or Owner Taken CITY OF TUKWILA Building Division 8200 Soulhcentor Blvd. Tukwila, WA 98188 �ooa 433 -1845 Permit No,c __ Date 4/‘ / Job Address /07 / /T Fi . CORRECTION NOTICE The following items are found to be in violation of Ordinance and shall be corrected. / i k r - 'Pim& — /O 66e-_k ILE /3o M 6 �. L nr► <5 i1 . ®4L / g-QI) 4124p V s • / /�S � %�lc '9 t - oi.cs j p _ Tit- (4 , bb P Xi( °Fcc.‘c 'TO .6)el TbL(, & JA'LLS Q2 r .► S i[r;.� —� _ Tc T Cka c A1Ea.1 Jaya_ OF-ccrc Aek.0 cAraq,s .i' 6G ,'fiic rr o spy ccyr•.Q --• Signed r;-4- o(cll Building Official /Inspector INSPECTION REQL ( T Permit # r ?5 Date Tenant444/dA v,ime Address : /O ?/ /479/f- Date Wanted: (de —7 a.m. p.m. Contr. or Owner ex Type of Inspection IC Permit # 2V3 Date eiO % Tenant °MX.00y/STime / /.`aj Address : /07/ /''6r Date Wanted : ip %a?8 Contr. or Owner f a,, Type of Inspection j Req. By 6-eCir Taken By . 4f- CITY OF,TUKWILA Building Division 6200 Southcenter Blvd. Tukwila, WA 98188 433-1845 Job Address Iv 7/ CORRECTION NOTICE The following items are found to be in violation of Ordinance and shall be corrected. alai /Inspector Type of- Inspection 7 _.5----67 -� / {rte CITY OF TUK VILA _ 6-, ;. iontrol No 7 Central Permit System /permit No ` C(f - 'i° h rook_ /- -77 1 7":3_3 3 /ec /� f %n-e .z r/' ' i'-- / 2 ,Ja FINAL APPROVAL FORM TO: ❑ Building ❑ Planning ❑ Public Works Q.-fire Dept. ❑ Police ❑ Parks/Recreation Project Name k" i r c1.a ... x^ 50,-t.,.s tug 50 O e ?- di— s'i•_ / r /(/a ,t,i Address 112' 7 / /Q - • E. Type of Permit(s) 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 to your department and a certificate of occupancy may be issued. This project is NOT approved by this department; the following corrections are necessary: ( ) did Q 1 :;)/3 M. /0 ,; t'... CIQ he , , e / .,s/ Pt Vc,) r (r) a Za ci% e'P45.!,,,v.ezzed 01 94:• ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) °i d Authorize • gtiature ‘-22-8/ Date This project is approved by this department: r;az Authorized'�igr re D2 /1-'4 / CPS Form 3 EXHIBIT "A" FOR ATTACHMENT TO LEASE AGREEMENT ANDOVER EAST BUSINESS CENTER That portion of the Southeast 1/4 of the Southeast 1/4 of Section 26, Township 23 North, Range 4 East J.M.. described as follows: Beginning at the Southeast corner of said Southeast 1/4 of Section 26; thence North 87 °44'08" West along the South line of said Southeast 1/4 of Section 26 a distance of 949.49 feet; thence North O1 °47'29" East a distance of 155.61 feet to the true point of beginning: thence continuing North 01 °47'29" East a distance. of 362.16 feet; thence along a curve to the right, having a radius of 300.00 feet, an arc distance of 90.34 feet, through a central angle of 17 °15'14" to the North line of Southcenter Industrial Park, being the -North line of that certain tract described in Real Estate Contract recorded under Auditor's File No. 6034786; thence South 88 °12'31" East along said North line of Southcenter Industrial Park a distance of 474.57 feet to the West margin of Andover Park East; thence Southwesterly along a curve to the left on said West margin, the center of which bears South 69 °09'36" East having a radius of 330.00 feet an arc distance of 109.71 feet, through a central angle of 19 °02'55 "; thence South 01 °47'29" West along said West margin of Andover Park East, a distance of 344.01 feet to the Northeast corner of a tract of land conveyed to Nordstrom Best, Inc. by deed recorded under Recording No. 710520 -0140; thence North 88 °08'21" West along North line of said Nordstrom Best, Inc. tract, a distance of 470.00 feet to the true point of beginning;. Situate in the County of King, State of Washington. � _. .: %+.�.:} CITY OF TUKWILA PERMIT NUMBER CENTRAL PERMIT SYSTEM - ROUTING FORM TO: [J BLDG. Q PLNG. Q P.W. PROJECT t �,` ,.^.,' I Y. S 0 S� .(", ADDRESS j r).;..7/ A r E. DATE TRANSMITTED •7 CONTROL NUMBER & FIRE Q POLICE Q & R. 495ortJ gY r_. AY 2 4 1984 TUKWILA FIRE PREVENTION BUREAU RESPONSE REQUESTED BY /' C.P.S. STAFF COORDINATOR • 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 LINES) ON WHICH THAT CONCERN S NOTED: t �' *br'oi'96,2(1 - .5,h ,�i %'t rjgiy't'Liip! Fvl! SP�i�/fr'je� Pr•o e� ,GN 0 • gn9;n ee.-e• d S -ih/tie' d /.�wiy ?.S . j-o iI � WS 1e I� ) j 4 e,,) t 0 Q • V1 e I,,4 ) 4. 1:71 f IG1rgb9 /. f'— /9,9 r0lre 7, ..)E Pr 94 ! e dh e ,i'"/Dg: G. dr,— C.4e.nicq) ex)i9 iiis e.- .e, c_, Q• E /L 9 , /0/ p-ess !mil ; LAG j 3,i,aY.e �}��'/ OIl•���S�J Ci~ III\ ..t/4/',2 01,) -;(;/". /V a•-n11, el- 6-/Y/71- c10,0)- 4 41-oii,f, 4,- e_ . 0 , , pe r- . vfi .... .,,- c:-/c-c_ /,..4,;/--c„,.e.., 74 il.) .•a Q "7 C Pr. o vij e.. Q-G�� 9 Uo7 1 / t7 d 74- e /Qc �ri • c- 4, > U� /It fs . — / i i t.r e- use of ,e c 7L-e 4 s,`o el a� r/ 1,1/) f--- /fa &J• 1 14"4 // GOPe'rJyo h9gfe✓7Q/ J%e c. 74. e /9SS o f24 t' 5 re9 J r44; in; -'.7 Q Q Q • r. • .R.C. REVIEW REQUESTED [] PLAN CHECK DATE AN SUBMITTAL REQUESTED s�'i��-�t�S • COMMENTS PREPARED BY N APPROVED D4 rd's ,cl0)44 Control. hurnber . 2y-7(67 x APPLICATION FOR PERMIT BUILDING DEPARTMENT CITY of TUKWILA 6200 SOUTHCENTER BOULEVARD TUKWILA, WASHINGTON 98188 433.1849 RECEIVED CITY OF TUKWILA 'AIY 1.1 1984 etimaiNG DEpt DATE . S' l'O/ V-1. ( . JOB ADDRESS ' 1 0 '- 1 F� (03L) e•` 1 LC C--.: S 1 LEGAL DESCR. LOT NO. BLOCK TRACT ❑ SEE ATTACHED SHEET OWNER Pro --\.` 1 (�( S `- V14 , v 1 S �n S PHONE ADDRESS 1© OZ Y l°.. 1 wN'eS U� 0 3. S e 8 �_ ziP t �3-- r-�-#� t�-t Tt7 CONTRACTOR Tc.gC-- COt^ S+rt.k c_.,*Vah PHONE ADDRESS Z -� C..; C �1 G cl L.J 1 `�Z�- Ion{ (��' ` \ � �. ZIP C\ 8 ly8 LICENSE NO "1`- lO Q. )/-G ',I c rto L. 10 SST NO. BUILDING USE �zG4 0 0.4c.� Se_ S r• • - TENANTS La 1 AC &c, ,s SL, . • CLASS OF WORK S4 f1) 2‘.. 0 NEW ❑ ADDITION XREMODEL ❑ REPAIR ❑ OT R (Specify) BLDG. AREA 1st FL. 2nd FL. BASEMENT GARAGE DECK MEZZANINE T OF STORES TOTAL S.F. VALUATION yp,o /APPLICANT PUBLIC WKS. TOTAL z`J� ` ,"3, p0 o-i NAME OF • (PLEASE PRINT) j� ©� 1'—CO ADDRESS g-e \I 5� N `$ PHONE C (8 a 1 C8 I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT AND THAT THE APPLICABLE CITY OF TUKWILA REQUIREMENTS WILL BE MET. SIGNATURE OF ICANT DO NOT WRITE BELOW THIS LINE SMOKE TYPE CONST. OCC. GROUP OCC. LOAD USE ZONE UTO SPRINKLERS RE0.1 DETECTOR i--.A 9 YES ❑ NO ❑ YES ❑ NO PLAN RVW PLANS: SENT RETURNED APPROVED FEE DISTRIB. . BUILDING a r/ 0-c) PLAN RVW. 33.d -O..e.11: DEPT. jFIRE -?j DEMOLITION PLANNING/ SEPA BOND OTHER ' PUBLIC WKS. TOTAL CC// $T` a-o Bldg. .Div; fume/ COMMENTS: -""'' " Amount Date Paid Receipt 4/ BP: PC: 33,O-0 $_-/(-' 6 P3.D •