HomeMy WebLinkAboutPermit 4451 - Hayden Corporation - Pier 1 Imports - HVACCITY OF TUKWILA (
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
Work to be done HVAC
Site Address
Building Use
Property Owner
Address
Contractor
Address
BUILDING PERMIT
PERMIT # yyl
Control #
86 -297
17197 Southcenter Py
Retail
Hayden Corp
900 North Tomahawk Dr.
Central Energy Systems
P.O. Box 2628
Suite # Tenant Pier 1 Imports
Assessors Account #�
Phone
Portland, OR Zip 97217
SE- NT- RI *229MR Phone # 745 -4401
Lynnwggd, WA Zip 98036
FOR BUILDING PERMIT ONLY approved dor issuance by
;cectiir
Sq. Ft.
Office
Storage/ e
Ware hou s
Retail
Other
Occ.
Load
1st F1.
2nd FT-
3rd F1.
Total
Fire Protection: j Sprinklers ❑ Detectors
Zoning Type of Construction
Special Conditions
Fees
sq. ft. @ 1st F1. $
sq. ft. @ 2nd F1. $
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of Construction $ 10,960.00
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
Receipt #33L4/1 $ 15.00
Receipt # $
Receipt # $
Receipt # $
Receipt # $
Receipt # $
$ 15.00
FUR SIGN PERMIT ONLY
0 Permanent 0 Temporary
C1 Single Face El Double Face (J Wall Mounted C1 Free Standing 0 Other
Building face Setbacks: Front Side Side Rear
Square Footage of each sign face Total square footage of sign
Special Conditions
r
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 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 TIIAT 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 TU GIVE AUTHORITY TO
IULATE CANCEL THE PROVI ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
igned _ _ Date 'L^'L 2
LICENSED CONTRACTORS DECLARATION
I hereby affirm that 1 tensed under revisions of the Business and Professions Code, and my license is in full force and effect.
AContractor (signature) Date L ' t 2 - - 7
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
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
HVAC
BUILDING PERMIT
PERMIT #
Control # 86 -297
17197 Southcenter Py
Retail
Hayden Corp
Suite # Tenant Pier 1 Imports
Assessors Account #
Phone #
900 North Tomahawk Dr. Portland, OR
Central Energy Systems SE- NT- RI *229MR
P.O. Box 2628 Lynnwa.d, WA
FOR BUILDING PERMIT ONLY
roved 6or issuance b
Sq.
Warehouse e
Retail
Other
Dec.
Load
1st F1.
2nd F1.
3rd Fl.
Total
Fire Protection: E] Sprinklers El Detectors
Zoning Type of Construction
Special Conditions
Zip 97217
Phone # 745 -4401
Zip 98036
Fees
sq. ft. @ 1st F1. $
sq. ft. @ 2nd Fl. $
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of Construction $ 10,960.00
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
Receipt #"-",./L/ $ 15.00
Receipt # $
Receipt # $
Receipt # $
Receipt # $
Receipt # $
$ 15.00
FOR SIGN. PERMIT ONLY
E] Permanent E] Temporary
El Single Face E] Double Face E] Wall Mounted [] Free Standing E] Other
Building face Setbacks: Front Side Side Rear
Square Footage of each sign face Total square footage of sign
Special Conditions
i
THIS PERMIT BECUMES NULL AND VOID IF WORK OR CONSTRUCTION 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 1S COMMENCED.
I HEREBY CERTIFY THAT l 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
''IOLATE '—OR CANCEL THE PROVISIONS-- OE_„ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Signed_ AAAn .. 11 i.AAi u..- - Date /
LICENSED CONTRACTORS DECLARATION
1 hereby affirm that I,ai- 1Jcensed under arovisions of the Business and Professions Code, and my license is in full force and effect.
/,Contractor (signature) - -. }� 1 �V..41 .t,e _ � Date 1 ' ) / — �
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, as owner of the property, am exclusively contracting with licensed contractor's to construct the project.
Owner (signature) Date
CITY OF TUKWILA
Building Division
Tukwila,�tWashington Boulevard
8188
(206) 433 -1849
.... ,...,.«.w..w,.»......o......w.. .u- .a....«..wvar+.. :us, „ exlvn,rxn.,wvtwa�n+wn..3400%..l .m. ,.n1.1.11eve,Wnoe701.1,..13,64 AY:V&MA.B)}Ve
INSPEC"N RECORD
PERMIT # 195/
Date ///3/%
Type of Inspection h/Vge_ 6/"`� --� Date Wanted ///06. a.m. p.m.
Site Address J9 /91 5, e, Project / ieGi
Requestor Phone #
Special Instructions
Inspection Results /Comments:
Inspector &144
Date /1 /R /S
i
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard MECHANICAL PERMIT APPLICATION
Tukwila, Washington 98188
(206) 433 -1845
Site Address (-7 l SO C, te•S .Q_ Q
Project Name /Tenant p(2.(12. 1 L,ApoYt9cs
Valuation of work 10,6 go
Property Owner P8 Cp(zp
Address ' 00
Suite#
Assessors Account
CONTROL#
Phone
Floor# 1
zip gt>a* V?
Applicant c B-iT . /7,r.i220;Al5'1'.
Address Qp?.,0 ' 2!t„,z L.001,4k Dbr W4- glIEC441no
Architect /Engineer Phone 9(a - -q4a
Address Zip
Contractor - l)1�:1 . :Vr. Et. License# (',~ - p T -tax-42.2.11 wk. Phone ' 9 '- 4 /
Address Q0 2 b - N■JUUV), W04- Zip q$036
Describe work to be done 'D L)3p . R. OLSIc)a4-)e-,
Phone
ZiP
Indicate the type of equipment to be installed, rating /size of equipment, and number of each:
TYPE RATING /SIZE NUMBER
Two (2) sets of plans must be submitted meeting the application requirements of Section 302(b)
and (c), 1985 Uniform Mechanical Code. Roof -top equipment work requires submission of building
elevations.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT AND THAT I HAVE THE PROPERTY OWNER'S AUTHORIZAT ON TO DO THIS WORK.
Applicant /Authorized Agent (signature)
(print name) '},(2L_ Liz tk1A -44U
Contact Person (please print) '$,921.11$- 414-4.41-4W\,5
a" Arr. ! :I%
Date c
Phone 7 -(- Lio J
OFFICE USE ONLY
FEES: Basic Permit Fee (000/322.100) $
Unit Fee (000/322.100)
Plan Check Fee (000/345.830)
Other ( / )
TRACKING
DEPT. DATE IN
BLDG
TOTAL
Recei pt#
Receipt#
Rece i pt#
Recei pt#
(OWES: $
Date Paid
Date Paid
Date Paid
Date Paid
DATE
PLNG
COMMENTS
pprove or ssuance
pprove nitia s
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111'' PROVED -
S E P 8 1986
>IHOFtD
ILDTNG DIVISION