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HomeMy WebLinkAboutPermit 4467 - Gies Residence - Wood StoveCITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 BUILDING PERMIT Work to be done Install woodstoae Site Address __ 14915 62nd Ave S. Building Use Residence Property Owner tarry Gies Address 14915 62nd Ave S. Contractor owner Address PERMIT # -44/p7 Control # 86 -312 Suite # Tenant Larry Gies Assessors Account # Phone # 242 -4090 Tukwila, WA Zip 98168 Phone # FOR BUILDING PERMIT ONLY approved for issuance by 0, Sq. Ft. Office Storage/ Warehouse Retail Other Occ. Load 1st F1. 2nd FT- 3rd Fl. Total Fire Protection: [ Sprinklers C1 Detectors Zoning Type of Construction Special Conditions Zip Fees sq. ft. @ 1st F1. $ sq. ft. @ 2nd F1. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ Bldg. Permit Fee Receipt #344, $ 15.00 Plan Check Fee Receipt # $ Demolition Receipt # $ Surcharges Receipt #x-g $ 1.50 Other Receipt # $ Other_ Receipt # $ TOTAL $ 16.50 FOR SIGN PERMIT ONLY [[ Permanent [i Temporary [� Single Face [] Double Face [] Wall Mounted ['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 1S SUSPENDED OR ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS 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 DUES NOT PRESUME TO GIVE AUTHORITY TO /VIOLATE OR ANCC,EL� �THH►E P OXISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. yS i gned_ G/� %" 4 Date q- Z2-0) LICENSED CONTRACTORS DECLARATION I hereby affirm that 1 am licensed under provisions of the Business and Professions Code, and my license is in full force and effect. Contractor (signature) Date OWNER- BUILDER DECLARATION (ix) 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 roperty, am excl v l contracting with licensed contractor's to construct the project. Owner (signature) 1�� Date `7'Z� -Q� CITY OF TUKWILA ( Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 Work to be done Install woodstove Site Address 14915 62nd Ave S. Building Use Residence Property Owner tarry Gies Address 14915 62nd Ave S. Contractor owner Address BUILDING PERMIT PERMIT # ,I.__ /, Control # 36 -312 Suite # Tenant Larry uses Assessors Account # Phone # z42 -409U' Tukwila, WA Zip 96168 Phone # FOR BUILDING PERMIT ONLY approved for issuance by Zip Sq. Ft. Office Storage/ re e Wa hous Retail Other Occ. Load 1st F1. 2nd Fl. 3rd F1. Total Fire Protection: J Sprinklers [J Detectors Zoning Type of Construction Special Conditions Fees sq. ft. @ 1st F1. $ sq. ft. @ 2nd Fl. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ Bldg. Permit Fee Plan Check Fee Demolition , Surcharges Other Other TOTAL Receipt # .;=,V.r $ Receipt # $ Receipt # $ Receipt #-4 ','(,; $ 1.50 Receipt # $ Receipt # $ 15.00 16.50 FOR SIGN PERMIT ONLY [[ Permanent Ej Temporary E] Single Face [j Double Face [] Wall Mounted 0 Free Standing 0 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 ANU 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 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. )(Signed , ; , ` ( / (. Date LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of the Business and Professions Code, and my license is in full force and effect. Contractor (signature) Date 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 'I t CITY OF TUKWILA BuihHing Division Tukwila,,tWashingtonu198188 (206) 433 -1849 w_.v -VOA r., Type of Inspection GC‘471 Site Address /'' f6" 62- OW SD Requestor L_ M.t/1 66€4. Spe ial Instructions .+.+. �. scnrivs�,: er„• ra. r>: J�+ �Ut.�.�7.v�?.utSn`a6�21;t� +';�: INSPE = =1(N RECORD PERMIT # ►`t�� Date 4.-"Y49 09/0 Date Wanted l ° (�) a.m. Project 9'W, Phone # 24/2 -4 1 Inspection Results /Comments: Inspector Aug LA97 Date 91.3&%76 l:.AVRYCTS :.I4q ?5 6740 Ave S • A- CHIMNEY : :w 10'1(15" 0 -_ 6" b`roVF PIPS, 2.4 GA6e,. L S" 24" �- CHIMNEY :1,I7,,` 10':x.:13 ". ..6„ GTOVe 171P.,/ 2 : ' GA6� . CITY OF TUKWILA ��`f��,,, 1010lJno,ieMcShier8oul9B188 B ING PERMIT APPLI` !ON Control # 3 ' �~ A6) ;' 433 -1845 Site Address )'} 115 G7.Yid A jj . 11fr1 Suite# Floor# 1 Project Name /Tenant &i3 Valuation of Construction Assessors Account# Property Owner Larry 61 ,C5 Phone 2A2.-40qO Address E4q Wild Avt, rill Zip cig1Lk Applicant -- pr(Vl — Phone Address Zip Architect /Engineer Phone Address Zip Contractor ,e,/1.1 License# Phone Address Zip Class of Work: ❑ New ❑ Addition ❑ Tenant Improvement ❑ Remodel (residential) [] Reroof ❑ Demolition ❑ Interior Demolition 11 Other Describe work to be done )05+ .LJUrtlOri U4 we c'{ SOV_ ReS011'A't'>°.g) Type of Const. (UBC) Occ. Group (UBC) Square footage of entire building Square footage of tenant space Building Use Will there be a change of use? ❑ Yes ❑ 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 ❑ 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. 1 Applicant /Authorized Agent (signature) An4/1/� �t -\1J') Date 01 -1 q - g , (print name) )- Ar1Z2, 6!I%5 'Contact Person (please print) Phone OFFICE USE ONLY FEES: Building Permit Fee (000/322.100) $ J5,00 Receipt# 4 Date Paid 6/,/22% Plan Check Fee (000/345.830) Receipt Date Paid Bldg Code Sur Charge (000/386.904) 1.0-- Receipt# ?, (0 Date Paid- Energy Sur Charge* (000/386.907) Receipt# Date Paid Other ( ) Receipt# Date Paid *New construction only TOTAL /(p45(� (OWES: $ /6.50 ) SQUARE FOOTAGE /BUILDING USE INFORMATION Square Foot ge of Entir Building: FLOOR USE /Occ Type SO.FT. occ LOAD USE /Occ Typei SO.FT. OCC LOAD USE /Occ TvD SO.FT. OCC Inn TOTAL SO.FT. TOTAL OCC. 1 TOTAL TRACKING DEPT. DATE IN DATE OUT COMME •S , BLDG '1 p %I ( % pprove or ssuance ype of oust. To Mahan: Date Approved: FIRE Approved (Initials) Perpletter dated Fire Protection: • Sprinklers ❑Detectors PLNG Approved (Initials) ❑BAR ❑ LAND 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