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