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Home My WebLink AboutPermit 2860 - Hartong - OfficeCITY OF I3UILDING PERMIT TUKWILA THIS ERMIT MUST BE STED CONSPICUOUSLY ON BUILDING PERMIT NUMBER 2 oO Control Number 83 -067 Job Address 6412 So. 144th Uses Sq.Ft. Tenant /Owner Hartong 1 Dat of Is uance 1f 7 ff Description of Work New - Office Date Rec. Legal Description tt h �]A ac e d Property Owner Lloyd E. Hartong 1500 8 -2 Address 5715 So. 144th Tukwila, WA 98168 15 Phone 244 -4899, 241 -5362 Engineer /Architect § -7 1284 Address Slab Phone Contractor Lloyd Hartong Frame dA dress 5715 So. 144th Tukwila, WA 98168 Bldg. Phone 244 -4899, 241 -5362 Authorized Agent Lloyd Hartong License No. Value of Work 30,000 Fire Protection Demo. Use Zone M -1 Type of Construction App = A66eiggi Issued By: - Sprinklers ]Detectors Size of Unit or Building Uses Sq.Ft. Occ. Occ. Load Fees Amt. Date Rec. 1st Fl. 1500 Office 1500 8 -2 15 P.C. 125.00 § -7 1284 2nd Fl. Slab Frame Bldg. 193.00 Demo. ' Bond Dept. Approvals Total 15nn Tot. 1500 8 -2 Tot. 15 Total 318.00 Special Conditions Approved for Issuance By 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 CONSTRUCT ON OR THE PERFORMANC- OF CONSTRUCTION. 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 Electrical Cert. of Occupancy — Fire Dept. . Date Bldg. Official. Date THESE PREMISES SHALL NOT BE OCCUPIED UNTIL ALL APPROVALS HAVE BEEN SIGNED. CPS No. 1 THIS 1 ILDI PERMIT TUKWILA RMIT MUST BE POSTED CONSPICUOUSLY ON BUILDING PERMIT NUMBER a,6 0 Control Number 83 -067 Job Address ,.,12 >o. 144th Tenant /Owner �1i rtong Date of I.ssuance /) f / (5Li Description of Work New -i:ff i cc , Legal Description :, Attached Date Property Owner Lloyd F Hartorn Address : 'I') SO. 144th fukwi1a, WA 98162 Phone 244-4899, 241 -b36 Engineer /Architect Address Phone ontractor Lloyd Har 0l ?,7 'ddress 4r'1b So. 144th Tukwila, WA 98168 Phone 244-4899, 241-5362 Authorized Agent Lloyd Horton() License No. Value of Work 30,000 Fire Protection CD Sprinklers ICI Detectors Use Zone M -1 Type of Construction App1:.Aeeep -By Issued By: . _.. "ize of Unit or Building Uses Sq.Ft. Occ. Occ. Load Fees Amt. Date Rec. 0 1st F1. 1500 Office 1600 B -2 1:) P.C. 1:25,00 () -;' J-/ i 1,`t ACA , 2nd F1. Approved for Issuance By "e' le Frame 46 Bldg. 193.0 Demo. , )A 7/3/ Rs- Bond Total Vino Tot. 1,U0 B-2 Tot. 1,1 Total 318.00 Special Conditions Type Insp. Date Notes Setback Rebar Footing Fdtn. Approved for Issuance By "e' le 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. r' SignatuGe, of Contactor or Authorized,•Agent DateA / r` / / : c! INSPECTION RECORD - 433 -1845 , Type Insp. Date Notes Setback Rebar Footing Fdtn. Slab Frame 46 _.5,575 Wall Bd. )A 7/3/ Rs- Dept. Approvals Req'd Insp. Date Planning' Div. Health Dept. Public Works Dept. Plumbing Electrical ert. o ccupancy FINAL' APPROVALS: Fire Dept.. _ Date Bldg. Official Date_ THESE PREMISES SHALL NOT BE OCCUPIED UNTIL ALL APPROVALS HAVE BEEN SIGNED. 1 CPS No. 1 Return to: Planning Division Office of Community Development•, 6230 Southcenter Boulevard Tukwila; Washington 98188 .,EGAL DESCRIPTION Entire Parcel The South halt of lots 34 35,36 and 37,• Block 17 of Hillman's. Seattle Garden Tracts, as per plat recorded in.. Volume Il of plats page 24 record of King County,, Washington; Common easement for ingress, egress and utilities The west .13 feet of the south 99 feet of lot 35 AND the east 12 feet of the south 99 feet of lot 36. TMF?r+ .xSl,:.nTN4.R!R.1". CITY OF TUKWI'LA`.; Building Division 6200 Southcenter Blvd. Tukwila; WA 98188 433 =1845. Date i � Job'Address 9 CO.R CTI 0 Nr. TICE e following items are.found to be in violation of Ordinance :and shall be corrected. / 11'.S •& /r% Tee, ,44 . 6de., k. a 0'6 0 Si n d '(% � a Ad ek.1'f5$ A� ' r ,/ �r e.p'',411Y Z." ;, s Zef7/ (911 + ./ ee, �'` .ism•.;.- *�.�G!'�.....- . _ INSPECTION REQUEST ay, ( P Permi t n a2 FC 77 g Q Tenant 161f/evr Y6- Time Address : 71 Date Wanted: a.m. nslvnA7tnsn- �Nap'+� +M4 ded?pw 4+ INSPECTION REQUEST Permit # v`L56O 0 Date 7 Tenan Time /0-',25 Address: 601T %d, Xl• /q(. ,Date Wanted: 7-2 Contr. or Owner / Y(24, j4 Type of . Inspection Taken By, CITY OF TUKWILA Building. Division 6200 Southcenter Blvd. Tukwila, WA 98188 433 -1845 IDOl1 Permit No. c28c Date �L � Job Address 6 f /°2 ch. CORRECTION NOTICE The f.I owing items are found to be in violation of Ordinance and shall be corrected. Signed Building Official /Insp or •Permi.t # Date 1p -ziK • Tenant .ice "�; Time O Address: 1p /.. j, /4/,i� Date Wanted: 7- 1. a.m. p.m. Contr. or Owner Type of Inspection i,e%i , y Taken. INSPECTION REQUEST Permit ;�! -/'(p Date ly --/e Tenant /64/ Time ' /.S Address : (0q/a c5,) . /6/ fir —. Date Wanted: ajiu4i'Yr_g a.m. p.m. Contr. or Owner `S%aa-r7V Type of Inspection 0k.i. Req. By 4(a Taken: By } CITY OF TUKWILA BUILDING PERMIT INBP"CTION RECORD POST AT OR NEAR GWNT OF BUILDING PROTECT ROM WEATHER City of Tukwila Bt'lding Division 433 -1845 JOB ADDRESS &I II. 6. l `/w WORK TO BE DONE- 164. 8/44 OWNER L. CONTRACTOR . bi/f 1 /rr' DATE ISSUED B.P. ♦ ;zoo $ :fe9% Control # $'3 -oi7 Date Issued 7 //3,/, TYPE OCCUPANCY g N ,5-- Z SPECIAL CONDITIONS Inspector must sign all spaces pertaining to this job. TYPE DATE INSP. NOTES Grading (Bldg. 433 - 1845). Setback (Bldg. 433 -1845) Rebar /Footing/Found. (Bldg:'433 -1845) 7 -2446 Slab (Bldg. 433 -1845) Grout (Bldg. 433 -1845) Frame (Bldg. 433 -1845) 67,1k ailb auc4 tilt \u1 ; - RP o 6 ,Roofing (Bldg. 433 -1845) insulation (Bldg. 433 -1845) Mechanical (Bldg. 433 -1845) `!101 is rib . Wall Board (Bldg. 433 -1845) Utilities Water /Sewer /Drainage (Shops 433 -1860) tf � Parking (Ping. 433 -1845) Landscape -...greet Use Pipits (Ping. 433 -1845) 3Akit (PWD 433 -1850) Fire 433 -1859 igmorlp • • Speed . Message 1--49 A-v o e i1+ s-2-0)/441 / 1 ?Z %e' aG/ n s' ass �as ea ?le fd Signed WilsonJones ORAY.INE FORM 44.900 2•PART C1983• PRINTED INU.B.A. ' CITY OF TUKWILA PERMIT NUMBER CONTROL NUMBER "7 -6,6 7 CENTRAL PERMIT SYSTEM - ROUTI( FORM TO: (D BLDG. Q PLNG. P.W. D FIRE Q POLICE Q P. & R. PROJECT Y a'[I ►t-C-rc__-- ADDRE SS 6 14 [ 7_ s a ( (i Cf" 64- DATE TRANSMITTED '1 --Ce RESPONSE REQUESTED BY 5,� 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 LINE(S) ON WHICH THAT CONCERN IS NOTED: fZ 'PLY ri (.112kbIN112 PLA U- Sy MITI tL D.R.C. REVIEW REQUESTED [l PLAN SUBMITTAL REQUESTED (] PLAN APPROVED [] PLAN CHECK DATE COMMENTS PREPARED BY C.P.S. FORM 2 CITY OF TUKWILA Central Permit System Control No �Xv 8� 7 Permit No. oP%'' 4460 //—/F -85— FINAL APPROVAL FORM TO: El Building ❑ Public Works El Police ErPlanning ❑ Fire Dept. ❑ Parks/ Recreation 1 Project Name Cris- r74 Address (gq/a kit/ J Type of Permit(s) C. a �. 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: c) �) �) () �) () () () () () �) () Authorized Signature Date CITY OF TUKWILA Central Permit System Control No 8'3-0607 Permit No ,7'`�11o/ 00 a(A-e --/B-F Arut.iv pis +c /P/-1,3 `--' FINAL APPROVAL FORM TO: ❑ Building ❑ Planning Eil ublic Works ❑ Fire Dept. ❑ Police El Parks/ Recreation Project Name `5 1iDI2a' Address /i // -I 1 / / Type of Permit(s) ‘)--/-- 0. 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: () () () () () () () () () () () () 0% thorized Sign ture Au Date p r. -d ' Authorized Si . nature department: Date CPS Form 3 C i T • OF TUKWILA CENTRAL PERMIT SYSTEM - ROUTING FORM ;28 TO: 0 BLDG. C7 PLNG. [] P.W. �� FIRE B tf}I LI4E7 ,. P. & R. T KWILA FIRE 'F�j;''''' ............ � PROJECT /44g4-0 I�,� (Or (� S- LA> �� c ---I ADDRESS ' 7/Z- 501 / f4Y. " DATE TRANSMITTED -' Z• RESPONSE REQUESTED BY PERMIT NUMBER CONTROL NUMBERe3.. C:)&7 %::7111,4/1CD / so o 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 LINE(S) ON WHICH THAT CONCERN IS NOTED: s'ti Anh,T i' - %rte Sys- &•-/ "4/45 7 pp1-.e 74f- 1:U/-ew b Q __IF 1/4021 p ' coi#ieicm m_, '' j gs(4rfrkt wog -t, 111017?ih ..ey 7 deor marXlig t Aaralware der are. k. G/BC f-rQurr .e.4,1.j Q P ro u► d: (011.e) 4; lb Sc r a,- [ .eoi j d (itch t t c aJ , (I f L t-(csc P__X+cn i.Js r ( al"--S' I "S I D.e) QCfe 55l b le 'to :... Q phlUi4 (On.e) ZAf /aBc rc'edQ 4- &4efrir,ca.4 -41:e. ritia; 6in s'1d ,e) .ea_pe.k - aK '. sea e e _ [� 5i,le • ;IC--es-COD - 4 ,1d. /a •,' 4t AttM 0 -Ap 074 Vie Q (L!d`0`T 4s /gs7Lr�.�is 4J Cost fe u��t-�Qns res ar.1 12i /4;5"71441/4...n; Q (6i/?' Qr co. 712> see C."' Lc . Sew►nd zoAre e Q � a i C)01:6Ved -1 r a6 dot t %j - ex. I.S`1t'L /4. Q PPS. n,e ( Q 1 - o4 -D I ' /44 4. V` 14,1 6 AP1. N+t i. Gl.t C- 4-4. Go ✓t ` }� i 2 _, 0 `11 (MR 1M Ct" h 1 111 [t � %''tom Oft �l - D t n q m' rt i t tt het ca.. -4eeP /�e10AAne /it.e 6061 -3 U.R.C. REVIEW REQUESTED 0 PLAN CHECK DATE -7(3of P+ PLAN SUBMITTAL REQUESTED 18, Ft1=e. WtQrgt COMMENTS PREPARED BY A.. ..., PLAN APPROVED 4s Na C.P.S. FORM 2 ze Mahan &Smith Inc. `‘ CONSULTING ENGINEERS 1411 Fourth Avenue Blffg. eaijle, Washf gta 98101 (206)124-411-5D (206) 624.4488 L Hil June 18, . 1984 City of Tukwila 6230 Southcenter Boulevard Tukwila, Washington 98188 Attention: Brad Collins Regarding: Hartong Office Building Gentlemen: We have received plans for the proposed office building and have reviewed them for compliance with Chapters 5 through 33 of the 1982 Edition of the Uniform Building Code and the regulations for Barrier Free Facilities. Our comments follow: 1. Uniform Building Code: a. Structural 1 ga- Block all floo a d roof joists over supports per ec ti oii 25U6 g 2. 2 rovide minimum nailing per Table 25 -P (including roof a wall sheathing nailing). Provide positive connection of grit s -to posts and posts -to- footings as requiredby Section 2516(m). ide structural notes indicating grade and species mber, design live loads (including wind loading), 5) Verify adequacy of 2x6 floor joists to support a 2000 lb. concentrated load as required by Table 23 -A. cate anchor bolt spacing at Section A -A. Cityof Tukwila Re:.. Hartong Office, Building June 18, 1984 `Page Two b. Ordinance 1 1'' • idea site plan indicating proximity;.to_,existing -- dings, property lines an.dpa- rkl-n� area /spaces. Regulations for Barrier Free Facilities: 1) Toilet rooms ear to be required to be handicap-Accessible per secti 006 d should meet the requirements outlined in Section (a) and (b). Sincerely, MAHAN & SMITH, INC: A :71;i1 By.: Jay A: Taylor. JAT /bl•; U Mahan &Smith,Inc. CONSULTING ENGINEERS 1411 Fourth Avenue Bldg. Seattle, Washington 98101 (206) 624.8150 (206) 624.4488 .June 18, 1984 City of Tukwila 6230 Southcenter Boulevard Tukwila, Washington 98188 Attention: Brad Collins Regarding: Hartong Office Building Gentlemen: We have received plans for the proposed office building and have reviewed them for compliance with Chapters 5 through 33 of the 1982 Edition of the Uniform Building Code and the regulations for Barrier Free Facilities. Our comments follow: Uniform Building Code: Structural Block all floor and roof joists over supports per Section. 2506(g)2. Provide minimum nailing per Table 25 -P (including roof and wall sheathing nailing). Provide positive connection of girders -to -posts and posts -to- footings as required by Section 2516(m). Provide structural notes indicating grade and species of lumber, design live loads (including wind loading), etc. 5) Verify adequacy of 2x6 floor joists to support a 2000 . lb. concentrated load as required by Table 23 -A. Indicate anchor bolt spacing at Section A -A.. • City of Tukwila Re: Hartong Office Building June 18, 1984 Page Two Ordinance 1)i Provide a site plan indicating proximity to existing buildings, property lines and parking area/spaces. Regulations for Barrier Free Facilities: 1) Toilet rooms appear to be required to be handicap-accessible per section 003 and should meet the requirements outlined in Section 511(a) and (b). City of Tukwila 6200 Southcenter Boulevard Tukwila Washington 98188 February 5, 1985 via The Planning Department Mr. Lloyd Hartong 6412 South 144th Tukwila, Washington 98168 Re: Utility Permits: Status Report - Project No. CN -83 -067 'Dear Mr. .Hartong: For your information, to date your development has been provided a Water Meter Permit (WMT- 26 -84) and this permit, has been signed off. Also issued on 11/30/84 was Sanitary Side Sewer Permit No. SSS- 49 -84; this permit has yet to be'signed off (expiration date: 2- 3 -85). This permit was issued for the purpose of installation of a sanitary side sewer per your original develop ment to the new structure on your site. Requested is prior to the beginning of the work for this sanitary side sewer, you contact Dave Grage at 433 -1863 for the necessary inspections and testing. If you have any questions regarding this matter, please do not hesitate to call me at 433 -1856. Sincerely, Phillip R. Fraser Senior Engineer /cs (HARTG.F) M.5 cc: Brad Collins Ted Freemire Dave Grage Building Official Project File: No. CN -83 -061 (Utilities).- ..,,.0•— • .w.i .. K .. Y.. " ., �o: i:. •...a.,.«,.. .., ..,w ,u. ......,� ry .� • .....,. . ,.• ,. .,.F • ,,, .. ,.. .... 4110• '}i 1 -.'" ..,,."l.,.,,..,. .,, .,S r t . ":1 •. .' a .—�.., , 7 is t 1 9 gr r 5 i ' • t 1 ,..�,....,j. 1 t f t 7 it Ir : i h ., ¢ 4 iyl+t r" tw, Yiii S�,.., .. �.» _.i ti_...: t ..,{ — t q • L.. y { q . i 1 s 21 44 t i 7} t i . E t sy ,'' i TM i tvt S X _� .� �F. r i f.^ p I iC { .3 , r .. _. . .. ...i.. {y ..e........4-........4.. ..........÷..... ae4 .y,. 4.n .F.r..... i"•• +.? ,(i,.. a..# 4 - ..r "1"..,....A..w.. y { ,.E 1 ( Y3s x ii 3 •' 7 111 t J.. �; . # . r • i fir i . b.,,' 3 ... 4 $ ........R.....«r...w)w«. ..w...... }y5 ..... « '..... t T...,... .. ..+..r �,..j p t . • y • ...4.. 7 .w - ...�.v . --7- -, Ywv...y..f. ".,.t li.n... .rt .Y... .r F,,.F a) }.rc. +. yw ., .. ,a. ... i V if ? n i w'� �..... F F,. ... .r. ' «.,. - - .......} .,.....a.: ,•...w- .,1.•...a. � �•:;.. ''''''4'...",.,.... . .. ., i,.. . t a a y y 7 7. !t. ., r. .. ... ..,..... . .,. «i..., ..1..,. , ,.,....f. .- .r.....,.w ..f.. w. .«... .r. .r.. ,. . ., ., . ., r,.. . .i•. ... . .. .,.}. ,....,F . ......�.� . .1..— ,iw...,.,• - -..,.i . .., .... i i t }}}i4 7 ... y.. t t .t . ......i. ... l l ... a« ± • t s _ . � �.a . .f ..... t t ' cr •$7'0719 U APPLICATION FOR PERMIT BUILDING DEPARTMENT CITY of TUKWI LA 6200 SOUTHCENTER BOULEVARD TUKWILA, WASHINGTON 98188 433.1849 F yE►vED ciry OF TUKWILA JUN 71984 suiLAr> G °Car. • DATE �n� 7— k .� �. B..... '' a7 R.EF.roris � JOB ADDRESS v/ // v. / q 4. °N RFz D SCR. LO O� o BLOCK / .7 TR .----• .----• TTACHED SHEET 7 OWNER 4("f r-• //42i�1-7,/3/ / PHONE Y47/'-•41/&� ./ ADDRESS tv^% / s-^ 6o . • /V'r ,t, Z 41 CONTRACTOR ,- • 5�� PHONE ��_ ,0/ —5-361-- ADDRESS r • _.50,072 ZIP LICENSE NO SST NO. BUILDING USE (D! e '" TENANT • CLASS OF WORK NEW ❑ ADDITION • ❑ REMODEL ❑ REPAIR ❑ OTHER (Specify) LDG. AREA 1st FL. 2nd FL. BASEMENT GARAGE DECK MEZZANINE • OF STORIES TOTALS.F. VALUATION PLANNING/ SEPA ._ . _. -- (S.4973 C NAME OF APPLI ANT (PLEASE PRINT) ` 'inli 0 G" , i . A/ a,41/4 ; _,�y7_r4 S -zg D • !r 7 C..� `7 /•.C7 ADDRESS S7i 5 a• , / PHONEu�4L/ — 4F7 7 I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRU /• ND CORRECT D THAT T. E APPLICABLE CITY OF TUKWILA REQUIREMENTS WILL BE MET. Of '1_ „(GNAT ARE OF • PPLICANT • DO NOT WRITE BELOW THIS LINE • TYPE CONST. OCC. GROUP OCC. LOAD USE ZONE AUTO SPRINKLERS - ' •'!:; DETECTOR ❑ YES ❑ NO 0 ES D NO PLAN RVW PLANS: SENT RETURNED APPROVED FEE DISTRIB. 'BUILDING ��Q(J FIRE DEPT. VZ Va9i- T 3p /S' PLAN RVW. DEMOLITION PLANNING/ SEPA BOND OTHER PUBLIC WKS. TOTAL Bldg. Div; COMMENTS: Amount Date Paid Receipt 0 BP: • PC: a2, OD &' /% / o?b q on.trul Number • r,r,,, BUILDING DEPARTMENT '• �,CE'VED CITY of TUKWILA �I�YOfTUKA JUN 7 1984 eUN.DIN1 pipror • APPLICATION FOR PERMIT 6200 SOUTHCENTER BOULEVARD TUKWILA, WASHINGTON 98188 433 -1849 Qz• DATE (i1.- / '.` W 1 . JOB ADDRESS 174 v j t v 1 / LDEEG. L � � 36 - 37., BLOCK / 7 TRA �`[- �'---- f%2/ t..----' 43/FriTTACH EDSHEET PHONE / - /may OWNER �- l•c -Oy/ 4. �/ae.;��, ‘ • ADDRESS 6`"7 / S'" 60 / ITT- -ems Z V/—_,C3 S'd CONTRACTOR a.........L PHONE sC 6 t _ ADDRESS .S9/>9E 1 ZIP LICENSE NO S ST NO. BUILDING USE (Op-p1 C �� TENANT CLASS OF WORK NEW ❑ ADDITION ❑ REMODEL ❑ REPAIR ❑ OTHER (Specify) LDG. AREA 1st FL. 2nd FL. BASEMENT GARAGE DECK MEZZANINE •r OF STORES TOTAL S.F. VALUATION DEMOLITION PLANNING/ SEPA - _. — (5110 a NAME OF APPLI ANT (PLEASE PRINT) �Cbx 0 . I H ADDRESS 3-7/ • 5. d , / 4/7 Zt PHONE „29er• -- KF27 I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRU /• ND CORRECT AND THAT T. E APPLICABLE CITY OF TUKWILA REQUIREMENTS WILL BE MET. AL. __Ii-diedieA ....11:2111.4"4111.4111,111r1.1,...l..ad ' IGNAT ARE OF • PPLICANT DO NOT WRITE BELOW THIS LINE TYPE CONST. OCC. GROUP OCC. LOAD USE ZONE AUTO SPRINKLERS REQ. DETECTOR -' -N e- a ..s--- ❑ YES ❑ NO YES [] NO PLAN RVW, PLANS: SENT RETURNED APPROVED FEE DISTRIB. BUILDING / 3 �- PLAN RVW. rj / OO FIRE DEPT. DEMOLITION PLANNING/ SEPA • BOND OTHER PUBLIC WKS. TOTAL Bldg. .Div 1 COMMENTS: ' - "r' Amount Date Paid Receipt f BP: � • PC: � 0 (v /% / R5 `/ • To SSeel?Ze leRd Subject 0 From Speed Message ,$/ 1i fa; .20<43 • Date 19 4 sia I A:5" 4as Signed WilsonJones GRAYLINE FORM 44.900 2•PART 0t983 PRINTED IN U SA 483