Loading...
HomeMy WebLinkAboutPermit 4452 - Brown Residence - FoundationCITY OF TUKWILA r Building Division �i► 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 Work to be done Site Address Building Use Property Owner Address Contractor Address BUILDING PERMIT Residence relocation 16455 51 Av S Residence Charles L. Brown PERMIT # W5:2— Control # 86 -291 - Foundation Suite # Tenant Brown Assessors Account # 537980 -2735 12426 2nd Av S Seattle, WA C & M Brown & Assoc. CMBROA167NA 12426 2 Av S Seattle, FOR BUILDING PERMIT ONLY approved for issuance b S q • Ft. Office Stoehouse rage/ War Retail Other Occ. Load 1st F1. 1,376 R -3 2nd FI. 3rd Fl. Total Fire Protection: Q Sprinklers C1 Detectors Zoning Type of Construction Phone # 246 -2136 Zip 98168 Phone # 246 -2136 Zip 98168 Fees sq. ft. @ 1st Fi. $ sq. ft. @ 2nd Fl. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ 10,000.00 Receipt p $ Receipt 51/6 $ Receipt # $ Receipt #33575 $ Receipt # $ Receipt # $ Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other 1 37,00 TOTAL $P44.5 e" Special Conditions setbacks are to be measured from eaves FOR SIGN PERMIT ONLY 0 Permanent Temporary L] Single Face L] Double Face L] Wall Mounted L] Free Standing [] Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions 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 1S 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 DUES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANC L THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Date e"% C— —9G LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed uu der provisions of the Business and Professions Code, and my license is in full force and effect. Contractor (signature) Date ( ' l S-- gG 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. ( ) 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 Residence relocation Site Address 16455 51 Av S Building Use Residence Property Owner Charles L. Brown Address 12426 2nd Av S Contractor C & M Brown & Assoc. Address 12426 2 Av S PERMIT # /i - Control # 86 -291 Foundation Suite # Tenant Brown Assessors Account # 537980 -2735 Phone # 246 -2136 Seattle, WA Zip 98168 CMBROA1G7NA Phone # 246 -2136 Seattle, WA Zip 98166 f. l te FOR BUILDING PERMIT ONLY approved for issuance by S Ft. Sq. Office Warehou/ Warehouse Retail Other Occ. Load 1st F1. 1,376 ' R -3 2nd F1. 3rd F1. Total Fire Protection: L Sprinklers El Detectors Zoning Type of Construction Fees sq. ft. @ 1st F1. $ sq. ft. @ 2nd Fl. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ 10,000.00 Bldg. Permit Fee Receipt #11 $ 1ir.00 Plan Check Fee Receipt # =;I i,{ $ -7,, co Demolition Receipt # $ Surcharges Receipt #- 5- 1Y56 $ /.:r1() Other Receipt # $ Other Receipt # $ TOTAL $.� / -•l. ` O3.f i 3.. Special Conditions setbacks are to be measured from eaves FOR SIGN PERMIT ONLY El Permanent J] Temporary LJ Single Face J] Double Face 0 Wall Mounted LJ Free Standing [J Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK 1S SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 15 COMMENCED. I HEREBY CERTIFY THAT 1 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 CANW. THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Signed ,./ .�. n-.�•- Date - / • fr�> LICENSED CONTRACTORS DECLARATION my license is in full force and effect. Date ''1 • ( .. - eC; I hereby affirm that l am licensed under provisions of the Business and Professions Code, and Contractor (signature) `+c e' 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. ( ) I, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Owner (signature) Date " Y•; x'e Y: tsatN. ttos. lldrlCAaaa 'r.2utrt.:ru+.eMUS•r�l4sta- tin• �: n, txamae omta.,, a.. wmo. u-... K,: r:.... a. s:.+.+. nu«. r., rc.•_. rn... w`..>.. r_... R...-..... e..<......... ....��w..._- ........,.......... CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspec Site Address /IA/ Requestor C ,wwws, .� atiurMds,�!x�,.5�n:?+ tar: r: nr 47nA' 1%. �iPP .�'i?�IYlx`3".ii7aYsA.uaYJv.:. INSPE . -TION RECORD PERMIT # y1/5-2 Date a7 %o -8% noY ) C Special Instructions Date Wanted al -87 a.m .m. Project toin,a7 P Phone # 7/"LP"q�3� f � Inspection Results /Comments: Inspector Date c2/ /9 77 CITY OF TUKWILA Buiiding Division 6200 Southcenter Boulevard - Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection 4.10 iiZL+. c2 Site Address S /64' , 'r5/ e49-e .6( Requestor INSPF.TION RECORD PERMIT #�# 0/74/5,2 Date /0/2 y/ Date Wanted %.y c ��a.m Project rn P rc.4 Phone # Special Instructions Inspection Ressullts /Comments: \ 44pid ,r4n "z o 6 c etile12 Inspector O � Z/'i AL-4;;7 Date . /2/,� // NAIVOI PA' nklItignt lek.M.. tciskafK :;4V6WCandsrVnvnasatmv ✓r..u,e rsuu. .. p. x»,. w.. w...,,« w... rT... ............,......,........,.. CITY OF TUKWILA Building Division Tukwila,,tWashington Boulevard 8188 (206) 433 -1849 (.) INSPE TION RECORD PERMIT # L/1/5� Date /0-Q7046 Type of Inspection /= DO77/?(rY Site Address /616/5-5— 51 % Requestor Special Instructions; _4a-.Cif ,f, g 5 -S' Date Wanted /0-02/-86 Project 411320-21 Phone # ,E -30 4v -io 't'ic+naMw csd.D11.p.m.. Inspection Results /Comments: P Inspector #1,e1.40/ Date / ;/ 2 • CITY OFTLI.WILA Central Permit System Control No. ./.0 ,26/ Permit No. 4./4-/ ° FINAL APPROVAL FORM TO: ❑ Building ❑ Planning 'Public Works ❑ Fire Dept. ❑ Police ❑ Parks/Recreation Project Name Olt 71t, Address /I5 Type of Permit(s) _ -J 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: ( ) 1� ,1C• .�_�'7i i ►� >iC •�i:f fr� C � J � �.�,C '�1, V17i%'l(...` () lei` O O () O O O O O O Authoi 'zed- Signature Date J This project is approved, by this department: • V Authorized Signature Date CPS Form 3 1 (1MPORTANT: ME88AGE) FOR / V rvirl ''"' G I A.M. DATE /10//,/ / TIME /� ' �P M M Jr I'M OF ,10,7(%,10,7(%) ! r 5 ��,,- PHONE v' •f / `� AREA CODE NUMBER EXTENSION TELEPHONED; - 2,,,/,'''..:,:, :,PLE■SE CALL .. CAME TO SEE YOU `. 'WILL CALL AGAIN; WANTS TO SEE YOU .' RUSH. RETURNED YOUR CALL ` SPECIAL ATTENTION , MESSAGE t)di4.75 l /41-( l r QC�GL -ff C �f C� C� n( 0�''I�� NP UJ'I'�- :.7t1i w7L5 you //,(1,(M, • 41 -File / CIo e r��u� 50, C�{ 5'2'o Y t d o (19 rbie Pcktkp5 T SIGNED 1:1704 �1'1 -Q LITHO IN U.S.A. TOPS a FORM 3002P ;1908_ City of Tukwila 6200 Southcenter Boulevard Tukwila Washington 98188 (208) 433 -1800 Gary 1. VanDusen, Mayor September 5, 1986 Mr. Charles L. Brown 12426 Second Ave. South Seattle, WA 98168 RE: New Single Family Residence at Northwest Corner of 51st Avenue South and South 166th Street Dear Charles: The Public Works Department has reviewed and approved your site plan for drainage and access only per the following conditions: The Building Official shall issue a building permit prior to the time the following permits are issued. A drainage permit and curb cut access permit shall be applied for and obtained 24 hours prior to beginning the work. Per your September 3, 1986 letter, as no public thoroughfares within the City are used to move this house onto the property, no house moving permit is required by the City. Water service shall be obtained from Water District #75 and sewer service from Val Vue Sewer District prior to moving this house onto the lot. 1. Curb cut /access permit (Permit fee $25.00) 2. Drainage Permit (Permit fee $25.00) If you have any questions do not hesitate to call me at 433 -1856. Si,ncr ely hil Fra er, Senior Engineer /cd Enclosures (2) xc: Dave Grage Becky Kent Pat Brodin Brad Williams Permit: File' :i (-11 '41 ■/) -76-&-E6-• r3:14,4. e ost 5 77 C mr ir- BARTON ST SW 114,. SI SW NS'. ST I ISTN Pl SM 115tH St SW '19TH 47 _ r NrIGNrS • 1 3.5" 179114 4 T. SW 130r1 r f� Nth: ST SW 13 NO i0 Sw :r X33 ^0 sw SW I35th CITE ..SL N :27,3 3474 ST Set. Mat) ill f 1 Ili 1 5152 Sf'"'” r !.1.. ake Burjen `i: , LAKE REDA `` -17-1 i ! ' '.r17N ST .( \ 444 Safe S' 14411 ©l S1 4-S1 22 " AAA 'loft L _ S LTYSTII .� Sr E861. &1HD18,& P t' .L LUCYy4 SEATTLE TACOMA 1, 1J( :I DOUGLAS. 51 INTERNATIONAL !1" f 'y 15' PL \ � ul 1 s5∎- 7. {,1;1A /RPORTJ� 7g! SEA TACO 5 rot. ST I: r (� Ai JSins, it ' S ?5I ��5T '117: 51 ,...Inn Pl. 111311" 51 • r 5 I/ET11 SI MORN. 5A1(4317l fNRN`hAl lz CGACGURSI .. *0,413, SAMNA( r *RN,hAI II:.1-TA uI S MAD ST .4;71/41i'?, S 1 9380 S 194 TN IH 17ti 3 s- `{'loslyi -T 32 p AFS t511'(1 n rrr' I 5 di 1i 92 '93Y T NF ,rr it l� w .n S425.0 I E [Lo y ,r1 i uao7,v5z �E,L�14 f1ji 6, 51 ST 1'39511 ST RL� ST 176th 5 a 6 IC6 --a., IP S - S'":PL L1 r 1 S 1MTH.' ST I )� G, D U /Y/I.ECTf,11S/ •µ -� ,COS SIN 4194'4 ST S� 5.C1 p•i a St •5 543 “0 Sr ._- 194„157 ,96tH ST 1_ill� S .r' I' . Y'l.n ' I • 1 S 1e1. •HI • S .977. m c S I i• ; ;: S hunt ins S r Y11�51 E. Jln 51 I=' r'6191t � a rtt 97 1(4 A RV -111•141,..GI 713194 SI 04Itt ST .94547745? 5.15541.1 s :111511 ST S ; 5545 11111 tf, OTT" sw ,1) :A 1191,1 NI. STY 1191,9 ST SW 1,97. SI GOV COruic/77 ? c :3 S•••/'" • TT 0 5 • S /1ST,/ I „N r,Ti" s ■35774 4'1 #Am I ST • sw .1 -""^rwTrirn " 1 130/1,4,1, TIT. 95131:T1; J.11. e sw SW 13 NTT r*B 1.1 SS-11-11■ •31.11 SW ° SW 135" ENT/77.5;C ST SI 51 13 NG 136711 01 1213*,. 5 —k 134f. sr F, s 1 TH et. 74 •171•• i24107.5 1301. SW136141 t 5.1 TV 1377. • ST 18 sw • 139Im ST PjT51 T m_sw 4, 4 50 S 11/TH 138Tw MTH 10)9H LAKE R(DA 154994 5 191111. S 16211) 1 ; voul.s s s, INTERNATIONAL !!" AIRPORT-IL iSCA•TAC,) I MORIN 3,114114 , ,En",.‘ e JT,,,/ I ' : T TA % '.II XL. 9 ‘11)1... '1 s MIND r.1 i zli 5 i8380 4;qL itit:tw 5 ..,1' —1 Ll . ,.41 s—T Sp.timitt" H s 1.'6 32 r — f - - .1.114_ _ 1 .3047 .4 r _;,... 4 il o . . . s 1•18.. ST i.-- I ii \ . . . . , 21 91 1 1\ CVO ; ' • /1<., ,...-) / jr-A/:. , Am ,,,,•,1) •., - 0 ..., • • , (.., S.,,,, ,, . .... •:Sil 195T" S.14 , I StrT• ST ••1 ,si,-.1136,. _s,.. ;... , _1:4 it— •,,t k_ -.... . GT T.'• 11 -P7S. 1-•• ,,,S • ,ttr.t.0-11 197,“ :T--.;;;;;;2:5:11.--;. --", 7----' '.. • : .....: rt, • ST S e. 6: :,. >., ', 5 197 57 51 1 5 •58r" TT. S198, - ST 6 5 ')15,3614T ST iTT:It• - eg,t • • to ' liT 199T. ST 1.1 1,1, ..F.: „ ; -200 - 5 •141■■ -•ST' ; 4, 1 `T, 55 1211.3.1 ,•• 5 t 5 . r5" 168n. L) COM1COURSt 5042147 54,[17I71 110455Al 80W LAO ▪ SY• TOSTII • ST ' 4,144 2'21_5.14 1A131•151 . See Mao -17 L.4-\ ( SA l .r ( C rff r Y? r �� �c� 'T) 61:1 l �� ��� f��.0 (I L� (L C�1 �- G- r fk, pl..±1‘...)N,-„i--(- f\-.1 uf\,: "Tvi L:7 '1). \A. ri) tv-A T => ouciS T,zO 414 (N4- rl,l CJ" �u_t� .Ne-- N D : 4-0(1.3 [ v `s vfi-L 7s (C T . r-1 -2 .1� ' `N\ �� 11\ -T H- ( D '.' - 1(k.; F LICE MEMO CITY of TUKWILA TO: Ric., FROM : . ee2t. _.J DATE: q-'(/- (., SUBJECT: 4OW71 N//1AL 0101/-6. apAke. s, 607,0n ' phk &a5-6v-- nri q -0 1-6 cu/v appoiMy'pL,t 1v cGiocUAA 1115 lit)61/4 poCIA4) 614,10,66AL. the follu■%ing described real estate; situated in the county of King State of Washington: The E. 75 feet of the S•: 1,00 feet of the following cdescxited,. tract: Beginning at a poinjt on the N. line of eyec. 2.7,:. :1,! Twp. 23 N., R. 4 E,W.M., 'distant; N. 89 °59'10" W. 3564Otfee't from the NE corner of said Sec. 27; running thence.' E. 1251.60 feet; thence S. .89 °59' 10" E. 150 feet to 4.0E444 4 ` t of beginning; thence continuing S. 89 °59'10" E. 17,5.51.00 to a line 30 feet W. of a'ndi parallel td—Eli-e- E., line ,o '.spi r Sec. 27; thence along said paralUel line S. 0°14'13"E ._,,,'; 580.80 feet; thence N..89 °59'10 ": W. 175.24 feet; thence:;: N. 0 °15'50 " W. 580.80 feet ,to the true point of begins in being known as the S. 100 feet of Lot 1, Block 14,'. McMic e Heights Division No. 2; per; unrecorded plat thereof, `' . 3 gii6N 4 gozs, 5 flo3r 6 g39. 16044 cc 1 /c So r to So • -sr: 60 I 60 /22.5 I Z �I ;0, I� o - 1 N 6 I d 60 � 1 1 $ ■601 2 z If °160 I 123P '16 032 2 I 33. 6 3 1603 s r Z0461604 CO 4 4Uj^ 160 16 2 5 ° :2.5, MO 55 T U K W I L A (_11_27-23-4 343E °23.71/ 30 ..�.. = 4760. =.. • • • F O) 1:1-2, p cimer;',q3 ..0 73 cd 1^ I 1 Ic�v7_1� �Ie 16012 1 r+', cp •4 I 16010 ss Fi 1 9s- 1 B/ s 78.33 4 • \MA smr 16020 16034 • 16048 d. 16056 s5 \O (12.5 O vr'N 162 5J 0 53RD PL ,o 'y 0,06 24 /50 11 1I CI8 02 11 • 1• 0204 11 1 1 In 216 aIZ 24 °01 20 X11 ^1016f0 O (491, • 90 mi Wh lily II III c: 30j 90 j /5 1604 C' 605 ; 6 410 60 '0 br /64TH SS If ST. 1` 7S 1 6 :11� 16207` - _n ie olb 16Z1D9 I� 4 . 1J?1 /41_ , v ___�___. -- .„_IJ6_ -�c — 51 S01/ 53 :r95_• O I � I 1 �IIc .S I5 !2 u 75 75 5 rro ti .,_ Aso 304 I " S 30 atk �N q N 8193 •^ 3' 1 �I 2 - � I X79 79� P;61.1197674,0 s /61sT ST.T n I —�I ME., "I _19 7 79N 0 085 ' ' 'll 1 2 8 a ' 17383 l /30 I " 1 „ r- I . + 75 I^ 6S 1 ir:P: I c I I 13427 - - - -1 ICrl� . �._- j /0 SI Di ti , 31 :I .° r, OI �9 70! it, �73�6''330! 1 2$0•a �� 4tiO4,�.,g 4701 `^I L—`^� MO 55 T U K W I L A (_11_27-23-4 343E °23.71/ 30 ..�.. = 4760. =.. • • • F O) 1:1-2, p cimer;',q3 ..0 73 cd 1^ I 1 Ic�v7_1� �Ie 16012 1 r+', cp •4 I 16010 ss Fi 1 9s- 1 B/ s 78.33 4 • \MA smr 16020 16034 • 16048 d. 16056 s5 \O (12.5 O vr'N 162 5J 0 53RD PL ,o 'y 0,06 24 /50 11 1I CI8 02 11 • 1• 0204 11 1 1 In 216 aIZ 24 °01 20 X11 ^1016f0 O (491, • 90 mi Wh lily II III c: 30j 90 j /5 1604 C' 605 ; 6 410 60 '0 br /64TH SS If ST. 1` 7S 1 6 :11� 16207` - _n ie olb 16Z1D9 I� 4 . 1J?1 /41_ , v ___�___. -- .„_IJ6_ -�c — 51 S01/ 53 :r95_• O I � I 1 �IIc .S I5 !2 u 75 75 5 rro ti .,_ Aso 304 I " S 30 atk �N q N 8193 •^ 3' 1 �I 2 - � I X79 79� P;61.1197674,0 s /61sT ST.T n I —�I ME., "I _19 7 79N 0 085 ' ' 'll 1 2 8 a ' 17383 l /30 I " 1 „ r- I . + 75 I^ 6S 1 ir:P: I c I I 13427 - - - -1 ICrl� . �._- j /0 SI Di ti , 31 :I .° r, OI �9 70! it, �73�6''330! 1 2$0•a �� 4tiO4,�.,g 4701 `^I L—`^� - -- II X11 III -__20_ 411- „l iii ��rVy 111Ic- III sit} I I I 1 I 1 -- �o °° I IEl_ 1v 60 , ii �— _ j�°��*`�'�''''� 60 (STRUYE ST 90 60 I 1fE� ` V I ti+ 1 - -- IZ It I --9-I- i� co 90 1 60 iii) 40,4k 145 40 i B2I 4614. GI - -- - - - - -- a627u sea ea zi p1 1 7)a %15� 1 " 1 „ r- I . + 75 I^ 6S 1 ir:P: I c I I 13427 - - - -1 ICrl� . �._- j /0 SI Di ti , 31 :I .° r, OI �9 70! it, �73�6''330! 1 2$0•a �� 4tiO4,�.,g 4701 `^I L—`^� - -- II X11 III -__20_ 411- „l iii ��rVy 111Ic- III sit} I I I 1 I 1 -- �o °° I IEl_ 1v 60 , ii �— _ j�°��*`�'�''''� 60 6 :S I I I 1 * 1 v I -,5— I �b .4.i t \ /5r,,11111P40 —ii ii 0. II IQ` iI� 7s SS /66TH /0 1 J /00 40 I 60 sr fl /00 e Ira 75 4 ST •, LIT uw IUIIIL11 buildin Division - - ' • , i, 6200 Southcint.r boulevard P 'i' 7ING PERMIT APPL` ; TION Wo2CP ,- 4, Tukwila, Washington 96169 's4 I. 433.1945 � ` I ,_ Control # "1. (206) ' .._� % ( .. �; Y7 () 1,'- c' �,, f " v (,) r Site Address lb. L/') �; ') l ({ ,(,' .) 1 0 Suite# Floor# Project Name /Tenant .4 r»&) V7 Valuation of Construction Assessors Account# Gj 37(661) .- .=173 " Property Owner G'H.17z1.__ s 4 13 f,,,_„ ,,, Phone 24 G •L(3 C. Address /2'12C.. 2''' 44. S, _, qe i6° Zip Applicant 1 op :V.(,,�- (J)c�'Le4.. Phone Address ;�G�W/912- JJQ_QsI- C�- 06-074 - Zip Architect /Engineer Phone Address Zip Contractor C'_q 01 (3,2,,,_x, .., i A,so` License# L'/4,3j2o, /6 7 N 4 Phone Address / ' ? C, .<•, v AL,c 5-,"il C.1.. 1.(4... Zip 9e/6 p, Class of Work: • ❑ New ❑ Addition ❑ Tenant Improvement ❑ Remodel (residential) J Reroof Demolition Interior Demolition Other /j/e o, (.'n,Vr" j 3 13,E /(6�L Describe work to be done Sc.c- D rv, =... T,:4.�,� 41 -7Q.-J J Type of Const. (UBC) Occ. Group (UBC) Square footage of entire building / 2,8C,. Square footage of tenant space (000 Building Use '14'L -; ,,),;,4,T ,,4 Will there be a change of use? [] Yes [3, No If yes, describe change of use, including square footages of changed areas Will there be storage or use of flammable, combustible or hazardous materials on the premise or area of construction? [] Yes g No If yes, explain I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT AND THAT I HAVE THE PROPERTY OWNER'S AUTHORIZATION TO DO THIS WORK. Applicant /Authorized Agent (signature) e/eo -LG ..iS r.,; -a•,,-v Date cf - e - F 6 (print name) . - P= «rs L . /31 o 4-, Contact Person (please print) Phone 2-Y6 2 / 3 G OFFICE USE ONLY FEES: Building Permit Fee (000/322.100) $ .?0,0-0 Receipt# 7)),:2- Date Paid -- l/, Plan Check Fee (000/345.830) Receipt# Date Paid Bldg Code Sur Charge (000/386.904) 1.-50— Receipt# Date Paid Energy Sur Charge* (000/386.907) Receipt# Date Paid Other ( ) Receipt# Date Paid *New construction only TOTAL ),(7(7 (OWES: $ ) SQUARE FOOTAGE /BUILDING USE INFORMATION Square Foot.- of En it B i •in•• FLOOR USE /Occ Type SO.FT. LOAD USE /Occ Tvpgi SO.FT. LOAD USE /Occ TYD= SOFT. OCC lnAn 1 'L SO.FT. 1 'L OCC. TOTAL1 TRACKING DEPT.-DATE IN DATE OUT COMM_ T BLDG e� c p / "A' l/ i Approved for Issuance Type of Const. -TE To Mahan: Date Approved: FIRE G ry1 iy D,,/ iMFire c Approved (Initials) Per letter dated Protection: ❑ Sprinklers C1 Detectors c . - - -A41 fCf3 /, r.a.l'i a-44 t/ _ ori'LN. %, 4 •3. 'pprove4 nttia s lair • :�• • •`I •, 00, IJ PLNG \ 9 (#)4 ;: ,,i; Zoning ' , I /,,).. Set s ac sit; N' S -, E" W /0 r` _(7,/ ld',;. Parking stalls required for: Site Tenant Space .'.-"" Parking stalls provided: V Site Tenant Space ADDITIONAL PARKING STALLS REQUIRED: PWD AD (A/6 A n (i6 `t Approved (Initials) fj��; ' Per letter/plans dated q -� = a CITY OF TUKWILA 6200aSouthcenter Division Boulevard \ t(,ING PERMIT APPL ', "ION Tukwila, Washington 98188 Control # 01/4 -,2 (206) 433 -1845 Site Address 5/51, 01. 5) /o(, .j,& ( Suite# Floor# Project Name /Tenant •/541-)100 _ Valuation of Construction /O/ 000 Assessors Account# 'J37�165(>'e2% '2-�� _Q Property Owner C 'H.-r,n, l-,= s / /3 go,,,,,...., Phone :24C, 2-i 3 C Address /? Li? C. :-?r'° 4j.. .Sc, .5,_,4 c/E /6 g Zip Appl i cant pi (2 ae i_ - 0)art- (%/j,, Phone Address -._jCt- 07,-L, 0.A_ CL-- rW)7e , Zip Archi tect/Engi neer Phone Address Zip Contractor C' 4( 01 (S�-c.,_... i Aso,:_• License# '/ e3 2O4 /6 7N 4I Phone .2,--(6 2 / 3 G Address / 2 c(? C : .-*-1) /IL, c �:, Jr : ft l-U- -- Zip 90/6p, Class of Work: ❑ New ❑ Addition Tenant Improvement ❑ Remodel (residential) Reroof ❑ Demolition El Interior Demolition ri Other i1 o/`" /'n.s1-•,:y{ : /312 /(b,,, Describe work to be done .mac,, _,r) y ' t i r , . - , , . , . 4 1 - 7 e J Type of Const. (UBC) Occ. Group (UBC) Square footage of entire building /363(,, Square footage of tenant space /000 Building Use ga=s „,,; f., / Ac_ Will there be a change of use? ❑ Yes a No If yes, describe change of use, including square footages of changed areas Will there be storage or use of flammable, combustible or hazardous materials on the premise or area of construction? Yes g No If yes, explain I 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 AUTHORIZATION TO DO THIS WORK. Applicant /Authorized Agent (signature) &/c=c.- I-L- -,.. /S, y, z.., -tom Date c( -2. - 86 (print name) ..',tea, -,,,„s C, /,s;2 0 c4,• .,.. Contact Person (please print) Phone ---T' 2 / 36 OFFICE USE ONLY FEES: Building Permit Fee (000/322.100) $ 07C) Receipt# Date Paid Plan Check Fee (000/345.830) -7/e . Receipt# :=3/);2, Date Paid C74--Z- — Bldg Code Sur Charge (000/386.904) 1.50 Receipt# Date Paid Energy Sur Charge* (000/386.907) Receipt# Date Paid Other ( ) Receipt# Date Paid *New construction only TOTAL Ati, O (OWES: $ ) SQUARE FOOTAGE /BUILDING USE INFORMATION Square Foota'- of Entir- Bi din.. FLOOR USE Occ T •: SI.FT. 11,0 USE Occ T •- SI.FT. LOAD, USE 0 c T 1: Si FT OCC •i I 'L SI.FT. OCC. TOTAL j TRACKING DEPT. DATE IN DATE OUT COMMENTS , BLDG ' Approved for Issuance Type of Const. To Mahan: Date Approved: FIRE Approved (Initials) Per letter dated Fire Protection: ❑ Sprinklers ❑ Detectors PLNG Approved (InitialsY • BAR OLAND USE /SEPA CONDITIONS Zoning Setbacks: N S E W Parking stalls required for: Site Tenant Space Parking stalls provided: Site Tenant Space ADDITIONAL PARKING STALLS REQUIRED: PWD Approved (Initials) Per letter /plans dated