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Permit 4313 - Boettcher Western Properties - Department of Health and Social Services (DSHS) - Walls and Doors
CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 Work to be done Site Address Building Use Property Owner Address Contractor Address BUILDING PERMIT Tenant Improvement (walls and doors) nterur •11 an v Office Boettcher Western P.O. Box 54 Denver. CO GAN Construction ( #GANENI *160PQ) 14675 Interurban Av S Tukwila WA PERMIT # .� 313 Control # 86 -107 Suite Tenant 1 ' Assessors Account # 359700 - 0006 -0 (Mark Gray 433 -1400) • FOR BUILDING PERMIT ONLY S q • Warehouse ous Retail Other Occ. Load 1st F1. 2nd FT- 1439 B -2 15 3rd F1. Total Fire Protection: ® Sprinklers [I Detectors Zoning_ Type of Construction V -N TOTAL Special Conditions Phone # (303) 628 -8754 Zip 80201 Phone # 433 -1400 Zip 98168 sq. ft. @ sq. ft. @ sq. ft. @ sq. ft. @ 1st F1. 2nd F1. $ other $ other $ Total Valuation of Construction $ 6,500.00 Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other Receipt # 0594 $ �.QO Receipt # 0594 $ 41.OQ P Receipt # 0594 $ 1.50 Receipt # $ Receipt # $ $ 105.50 FOR SIGN PERMIT ONLY E] Permanent [] Temporary [] Single Face [] Double Face [� Wall Mounted Building face Setbacks: Front [] Free Standing (] Other Side Side Square Footage of each sign face Total square footage of sign Special Conditions Rear 11115 PERMII BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FUR A PLRIUD OF 180 DAYS AT ANY TIME AFTER WORK l5 COMMENCED. I HEREBY CE T FY HAT I Ii/VE(R�AD AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING T S T E OF 0 K W141. COM ZED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR C C L RO ON5 THER STATE OR LOCAL LAW REGULATING CONS �IICT ON OK (c / PERFORMANCE OF CONSTRUCTION. Signed Date ¢¢ll -�� l I � 1 c� p VC 9 1 hereby affirm that 1 am lic VContractor (signature) SED CONTRACTORS DECLARATION the 'usi ess and Professions Code, and my lic nse is in full force and effect. Date my OWNER- BUILDER DECLARATION ( ) I, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ( 1 I, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Owner (signature) Date CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 BUILDING PERMIT Work to be done Tenant Improvement (walls and doors) Site Address 14900 Interurban Av Suite #265 Building Use Office Assessors Property Owner Boettcher Western Address P.O. Box 54 Denver, CO Contractor GAN Construction ( #GANENI *160P0) Address 14675 Interurban Av S Tukwila, WA (Mark Gray 433 -1400) , FOR BUILDING PERMIT ONLY aonrovPd for iss mnrP her 91 1.:.., i's`���� I313PERMIT # � Control # 86 -107 Tenant USHS . Account # 359700- 0006 -0 Phone # (303) 628 -8754 Zip 80201 Phone # 433 -1400 Zip 98168 S q • Ft. Office Storage/ e Wareh ous Retail Other Occ. Load 1st F1. 2nd F1. 1439 B -2 15 3rd F1. Total Fire Protection: © Sprinklers [] Detectors Zoning_' "" "Ty%Pe of Construction Special Conditions Fees sq. ft. @ 1st F1. $ sq. ft. @ 2nd Fl. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ 6,500.00 Bldg. Permit Fee Receipt # 0594 $ 63.00 Plan Check Fee Receipt # 0594 $ 41.OD Demolition Receipt # $ Surcharges Receipt # f1594 $ ; 1,50 Other Receipt # $ Other Receipt # $ TOTAL $ 105.50 FOR SIGN PERMIT ONLY [l Permanent [[ Temporary [l Single Face Building face [I Double Face [] Wall Mounted (] Free Standing Ei Other Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions MS PERMIT BECOMES NULL ANU VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEU FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CE T FY HAT 1 H VE(1 AD ND—EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING T, 5 T E OF WO 1`K W141 8 COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR C C O 1IE PRO ONS OFD THER STATE OR LOCAL LAW REGULATING CONST CT)IO' OR i.I.HE PERFORMANCE OF CONSTRUCTION. kS igned Date ( I 'ZS l ' I hereby affirm that I am 1icAi VContractor (signature) fff `.I•CEVSED CONTRACTORS DECLARATION r(PrO157 ons of/the Su_si ess and Professions Code, and my lIc nse is in full force and effect. � 1 Date C".� � ( 2— L 4 OWNER- BUILDER DECLARATION ( ) 1, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ( ) I, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Owner (signature) Date 4.6C,e4au CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433-1849 Type of Inspecti Site Address Requestor Special Instructions 90 INSPECT(1N RECORD PERMIT # 'V3/3 Date Date Wanted Jouorictit.A. atte .101 Project ,D 5 1-4.S a.m. p.m. Phone # Inspection Results/Comments: --- _--- Inspector 7&r/o1 44 Date //2 CITY OF TUKWILA Building Division ( 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 l�?oo_27472RURh4A) ALOE Address INSPECTIOVIECORD Permit t .43/3 44AMg q CUKIL- konrtl� Type of Inspection REQUESTED: 6-16-- a c . P/'i Date /Time Requested Date /Time of Request Requestor Special instructions: INSPECTION (details of actual inspection): GU 4(( 1,7 to � 7S /g l ,�1 /p Guy /6 d/ )fZ -S/ Di . REMARKS (results, descrepancies, etc.) AppQ.ou1zo- CITY OF TUKWILA - BUILDI G DEPARTMENT Inspector �*-' / - -1 Date 63".6 CITY OFTUKWILA Central Permit System a Uontrol No. /x6 - / a 7 Permit No. Y) FINAL APPROVAL FORM TO: ❑ Building El Planning ❑ Public Works 4 Fire Dept. El Police El Parks /Recreation Project Name 4 >.4 5- Address /V 9 °4' /"- Type of Permit(s) . 1 L/ ,/ U Gj 1'1 4 1 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 ar;;;;;;1:Th () () () () () () () () () () () () Authorized Signature Date 1 This project is approved by this department: Authorized Signature (s/ '77/4 (7' 5 74C 7/44 7/741,0", /Y64':" Date CPS Form 3 • City of Tukwila Fire Department Gary VanDusen Mayor Buidling Official City of Tukwila Control #86 -107. Hubert H. Crawley Fire Chief •A .ek 5, 1986 Re: D.S.H.S. - 14900 Interurban Avenue South, #265 Dear Sir: The attached set of building plans have been reviewed by The Fire Prevention Bureau and are acceptable with the following concerns: 1. The total number of fire extinguishers required for your establishment is calculated at one extinguisher for each 3000 sq. ft. of area. The extinguisher(s) should be of the "All Purpose" (2A, 10 B:C) dry chemical type. Travel distance to any fire extinguisher must be 75' or less. (NFPA 10, 3 -1.1 and UFC 10.301b) Extinguishers shall be installed on the hangers or in the brackets supplied, mounted in cabinets, or set on shelves (NFPA 10, 1 -6.6), and shall be installed so that the top of the extinguisher is not more than 5 ft. above the floor. (NFPA 10, 1 -6.9) Extinguishers shall be located so as to be in plain view (if at all possible), or if not in plain view, they shall be identified with a sign stating, "Fire Extinguisher ", with an arrow pointing to the unit. (NFPA 10, 1 -6.3) 2. Exit hardware and marking must meet the requirements of Uniform Fire Code Sections 12.104 & 12.114. Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort. (UFC 12.104b) 3. Maintain sprinkler protection for all enclosed areas. (NFPA 13, 4- 1.1.1) All modifications to sprinkler systems shall have the written approval of the Washington Surveying & Rating Bureau, Factory Mutual Engineering or Industrial Risk Insurers, then by the Tukwila Fire Department. No City of Tukwila Fire Department, 444 Andover Park East, Tukwila, Washington 98188 (206) 575 -4404 • City of Tukwila Gary VanDusen Mayor Fire Department be Hubert H. Crawley " Five Chief sprinkler work shall commence without approved drawings. (City Ordinance #1141 & NFPA 13, 1 -9.1) 4. All electrical wiring is to be inspected by the State Electrical Inspector, Washington State Department of Labor & Industries. 5. In order to provide you with the fastest 'police and fire protection under emergency conditions, please post your suite, room or apartment number in a conspicuous place near the main entry door. Numbers shall contrast with their background. (UFC 10.208) BUILDING DEPARTMENT NOTE: I would hope that both the tenant and the owner are aware that any future change of use from office to conference space without adding the second required exit will result in immediate shut down of operations until building. and 'fire code requirements are net. Yours truly, The Tukwila Fire Prevention Bureau cc: T.F.D. File slj City of Tukwila Fire Department, 444 Andover Park East, Tukwila, Washington 98188 (206) 575 -4404 City of Tukwila Fire Department Building Official City of Tukwila Control *86 -107 Gary VanDusen Mayor Hubert H. Crawley Fire Chief April 9, 1986 Re: D.S.H:S. — 14900 Interurban Avenue South, *265 Dear Sir: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are NOT APPROVED as submitted. The following concerns must accompany the plans . in order to properly evaluate: 1. Exiting that would meet the requirement of the Uniform Fire Code Appendix VI -C and Uniform Building Code Section 3303 and table 33 -A. Yours truly, Tukwila Fire Prevention Bureau City of Tukwila Fire Department, 444 Andover Park East, Tukwila, Washington 98188 (208) 575 -4404 •:a: MOM a ■■E `■ EE Imploilulphl ■11 ■r ■ •■ ■ ■I■gqll�rrMM■ ■ :Cai :A aCAI� =q • ■ ■■ ■■ �■ ■■■rl ■irr: ■ L:A�a " ■Ea9EEa ���! Mi ■■ ■CAA ■A■ ■ ■■MCai i� w► of INEHENww rr■ �i■ swrrl;,;;•. 1191Sed' y'A "�ga°wnNn uaEomiu111 . : ; !'' !- iis"oNiiA°r°■amtC■ C■ ■■ ....> Mu:.:R°uap u. bpi mwdil :.I. * I. i i ■■N■. °■ °■ ■ iimiN�9a.NIopaa au •.: hum. uaalumaaa :mmua■iu . Nor �iiio■��ii°aii� ii°9m■` _'; �C ■G ••UNIgM■uNWU 11"IA0 ■W �U Cie le .r� EEC u a ■ ••UNM°■AUUIII w iu■I ' 'P. I NNUU 0 r ■■ ■N■ l �� ■• l ■■■.■AC as ■■ ■Cu >'.0 in UP ■■yy ■■■ " A■ pi. JIM KHWi ■0■a 1"I NI r" bEINFOPhill ■ ■m ; CM■ ClU e hip :AA m:E�p� ■u.' MI ■ ■■ a r i ■■ ■■ a■ :: ■ ■6111 ■ ■ ■ ■■■ ■O 9� tH ■i.Y®a ■ ■il ■ ■ ■Y ■ ■■ ■ ■ iiitl®Ipllmao star �wa; � atl IM E 0 AC" v UUUNE9u�uU ■ C �C fh ',15:70'' '�r•Siv'i ;Si- '!*;'"'i(� Ri Fd MJPJCi QI pouriWl OP■i . Mi�xavn. `V •1 0.1149 � 41l 9411102 ■ ■3Ap:Cls!A A i ■ .C� .eee .._� �M•Nia i■� 1°1 ui■p■■ . I ■ ■ea A a ■M ■ Eg i idoildnimhr4 rar � a l 1, ���� a II�■Im■ ■N■■ 9■ ■ ■g ■11 ■■ ■■i Y,;• • �C�qi rs ■ter■ ■■ ■■■ :.I •■■rl ■ a■■Caa:::anm. ''.; i °� *RI ■■u ° a:: i E$ � riu I, . M ■ i+ f. 1 ■ ,a,,,,,,,,,„,.!„„,,,,, A �0 �) i:„.,,,,4,' i al ieati ti q. I �! � a ;Ilia ° ri1NU1 p � C l� lIl�a Nu lip qq . ■ ■E ■ ■■ lit �� °p�gEEaE�E gE9 = �� �__ .C■ ■ ■� ��S a ■;EAaa EamE ■.■�a •. ■ m . EE■ ��E�a ; a 6104611 = iiill imam CAUAC CA■ : C�..� �b� =ee ■ e� �6 = 1 _ • 1/ • l,ev►1 T4? ktK O.O 2.0 (54 (G wh d +0 al II quid 109:6I Fromm %sw GSA. MiTa. 4T) . CITY OF 'UKWlt�1, APPROVE -Jf MAY 7 1986 f. AS WILD 0U LI D1NG D VISION 1 r Scmu. ConC1104‘... , i 1 2#r s' OF ILIK\Nalt R4 1986 ry rikilLOttie 01:.^-11r; STANDARD STUt EDGE CLIPS FOR PROGRESSIVE ERECTION OF VINYL FACED GYPSUMBOARD PANELS This easy to use system gives fine line joints for vinyl faced gypsumboard partitions at a low cost. GENERAL DESCRIPTION These Standard Stud Edge Clips are for con- cealed progressive erection of vinyl faced or other type prefinished gypsumboard. Install clips 16" o.c. along board edges. Plumb boards to line up on stud flange center lines. Fasten board to floor track flange using sheet metal screws. Rollform "Thin Head" needle point sheet metal screws ' / %" long can be used to secure clips to stud flanges. Suitable "Grabber" sheet metal screws may also be used to fasten clips. Subsequent panels can be erected by fastening clips to board edges with clips on one edge slipping under edge of in -place panel and then fastening panel at bottom before securing exposed edge clips. Additional hole allows for cutoff of tongue and use of remainder of clip as a wall starter - no mould required. QUANTITY REQUIRED Using 4' wide panels and a 9' wall height approximately 7 clips are needed per 1.f. of wall. ACCESSIBILITY This system can be blended with certain de- mountable wall systems to provide specified point access. FIRE RATED — ONE HOUR ANSI /ASTM E- 119- 79Fire and Hose Stream Test with 5/8" rated CKNX gypsumboard on 2Y %" 25ga, (.020 ") standard drywall studs with septum board of 5/8" rated gypsumboard in wall cavity wedged at ceiling and floor. Clips were spaced 8" o.c.. Write for more information and copy of test report. T "Thin Head Screw" CM 6�tj i APPROVED M ► 7 1986 1 itu I OIVIS10N 0 Patented l a 11/8-4) ;AM L A 111OLLfORMINCORPORATED TX' P.O. Box 1065 Ann Arbor, Michigan 48106 WILD Telephone: 313/971.1700/1.800-624-0898 .. lci a, illo' lixi 881, '''I./ '68V a 11 b .2 o�� as 0 ` W 3 Q 1l N 1, c 0 co Q H r�1 Nh '--1gI az vs U O H W o m 00 5-'U N a 0 N =. Z H •ri .rl co • H Z ri E-4 I 1 W OU 0 Tr A H Ul • W A r�-1 m N •rI N '.ri 2 a.r{ c r4 U O ct 0 00 c-NI ,611:1 w> 0 ° .1-) Ti • 3 W 41 4to 3 M a •ra 0 4-1 1d RI a+-3 )4 is -X N a•ItN 00r1 3x°'EnN U•zr4 « 4-) r-1 0 •••1 14 •r1 3 • Call (Area 313) 971 -1700 ROLLFORM INCORPORATED 'aa1i a3iiN Sb 986E ! AVIV a3A0tiddb V'INlfll JO AM 0.020 metal thickness 3 3 peti co to U +) • t*) O 4-1-1 'O 0 N g N •rl rri NXrd N1 a A N 4 E 0 44 04 4-1 0 04 ) o 3 U g 4-1-1 OH 0 • 0 X 0 aa rd 3 N •r1 U • cu 0 ( 4.)wiIT x•1-4 Uw '4 4-1 a) U 4 0 no W � .A U 0 4-4 r1:3 N ra U•N N •rl •r-4 N a U •■1 •i rd +� Eat O r-I-1 m U O O 0 0 • .1-1 Q C0 .0 r 1 U d a ' 'tr4 1-1 a 0 (d >4 >I 4-4 •rl 0 ra •P N W 1-1 • r0 Id U) 01000 a4 r� -1•r,X ANA a NU rai! o, 3+1 S-I N N 1-1 •i-1 04 0roQ) b,.0 g • a W C N 171 r0 P r-1 4 N r-I 4-1 (d U b N rd +000) N 4J D 0 O IV 0 rd D� rd 0) 1d UAL 1n Uo0 •N0 +� �= +► 0 N 'O \ O •rl >04 r1 E 4-4 N 0 O N 4-1 0 U >1N •4-1 -lr1 4-) � 4 Id 0 ro 0 'MI ' r-+ 14 :`1 ?I a P-4 04 4J ui ri•3 3��bN W 0 b,•n ?I 0 •rl 'O r4 a a cd ri 4 (1) H •0 r- 4 3 H .) ••rl,"f aN N r-1 .0 'O 4.4 .0 4-) � •rI •r•1 U •rl 4-1 N b 1-1 0 .0" r•i .$4 a 4-) aai DHU°iN ■ • 11 'A Note: The Metallic Bronze paint finish simulates the Duranodic Bronze finish used on Aluminum. Prices are as follows: Extension Clip 2 .20 ea. .22 ea. 1 Packaged 144' /carton Prices are F.O.B. Ann Arbor 2 Packaged 250 pcs. /carton CITY OF TUKWILA APPROVED MAY 7 1986 1i PUIkU CiUitfl G WM I would like a sample of this new Ceiling Channel and Stud Extension Clip combination. Company: Street Address: City & State: Attention: Allow 2 weeks for delivery. R‘ 4 1986 riLa l eta b yr,, 3 -1/2" & 3 -3/4" Wall Black or Metallic Bronze 4 -5/8" & 4 -7/8" Wall Black or Metallic Bronze 1 Channel 1 (12'- lengths) .36/1.f. .40 /1.f. Extension Clip 2 .20 ea. .22 ea. 1 Packaged 144' /carton Prices are F.O.B. Ann Arbor 2 Packaged 250 pcs. /carton CITY OF TUKWILA APPROVED MAY 7 1986 1i PUIkU CiUitfl G WM I would like a sample of this new Ceiling Channel and Stud Extension Clip combination. Company: Street Address: City & State: Attention: Allow 2 weeks for delivery. R‘ 4 1986 riLa l eta b yr,, 1 'I8 -h -h :e4ep Lai-e8 # 1O1:11NOO Describe CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 BUILDING PERMIT APPLICATION (Please Print) work to be done !�'m.pr-o ve. Control # g &-%o7 Valuation Plan Check Fee Receipt # (fi3,00 I. 5) Site Address I1-1-ctDti X11 c,-66,v‘ Suite gL05- Assessors Account # Valuation 4- b T:nant t.,1 4 54 cv4e, DS ,S 1 0 onstruction It 6,50 c�- Building Use 4 --(xCe, t'juSirsS Type of Construction Occ. Group Grading: Fill — cubic yards Cut cubic yards Property Owner BOe -140k c w�S-i-�►1 Address P.O, c�vx Go, Applicant Y M CtT,s- f-rvcA-i Dv • Address ' 4(.21 .57 Zit-f-grurban Ave- S. Phone #('3a3) , c6I7S J Phone # 41 IOC, Architect /Engineer (jJ A S+a +e.- 1)Ctl . p-( )a ( Li*+e -Phone # Address &&I€( Y dri-✓►,. Bidet 0(<lyvip►c.., Contractor 1.7PI aOn3'fl'uc.,4- +a''l License #GAINJetAil AOLDOPaPhone # L/3 -/L-100 Address 1 '41.12.7 5 j_04eirurix.in /4Je .,.J . 4=1 (Oc Zip .1814:2? Zip $0201 433 - /4.0(5 Zip en 1�$ /63-/S11-1- zip q o q I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. Applicant /Authorized Agent (signature) (print name) Contact Person (please Print) inita.1-14- (8/85) /14-v "c.J° � Date 4/3/E 6 • Phone # i-fr33-I1 4 b© c SQUARE FOOTAGE /OCCUPANCY LOAD INFORMATION Control # Tenant D514-5 zgid Floor #_�_ USE SQUARE FOOTAGE OCC GROUP OCC LOAD *Pc/ /0(4 )51- 1/ rnyAam) 3-25 as TOTAL Floor # lU39 Ib-a d'G USE SQUARE FOOTAGE OCC GROUP OCC LOAD TOTAL • 7. 1 •••••■••■••••••••.........•••••* • • • 1 ...••••••1.,•114.0".1......./01F.711.1w91.••••••••■•. • e • '1••••••••••■114o • c;77/-aries 1 1. • • • • .• • .• 1 F. room% ow • P•••■■ • at, 47: • . • • I , fg0.zV*- • • • • - ;-. • - • e . • ..• CM . . , 9 1 11 1 • 4 15 .11111101116 iiiIIIIII 111111111 111111111 11111111! 111111.111 11!111111 1 - - - • " • 0 et r." )4 4 "r". 4=14W COPY understand that the Pfrin Check approvals are subikt to errors and ilrells.s!oris ..•nrd approval of plans dOes,mt.auittorl;*e tha vidalit.:1 of anY', adopted code or orc. .eae:r., RIceiot of contractor's copy of apor' piali re 72Z.,) w . • q. v fie 1:: ....iZ,..-‘'.''''''.4-::: : '. ,;. 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