HomeMy WebLinkAboutPermit 4572 - First Interstate Bank - HVACCITY OF TUKWLO
Building Divisitn '
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
Work to be done
Site Address 13028 Interurban Avenue S.
Building Use Office
Property Owner First Interstate Bank
Address 19022 13th Place S.
Contractor Macdonald Miller
Address 11063 Pacific Hw S.
HVAC
BUILDING PERMIT
PERMIT # 4/5' 7
Control # 86 -439
Suite # Tenant First Interstate
Assessors Account # N/A
Phone #
Zip 98148
Phone # 763 -9400
Seattle
FOR BUILDING PERMIT ONLY
S Ft.
Sq.
Office
Storage/
Warehouse
Retail
Other
Occ.
Load
1st Fl.
2nd FT-`
3rd Fl.
Total
Fire Protection: 0 Sprinklers ❑ Detectors
Zoning Type of Construction
Special Conditions
sq. ft. @
sq. ft. @
sq. ft. @
sq. ft. @
1st F1.
2nd F1.
other
other
Total Valuation of Construction
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
Receipt #
Receipt #
Receipt #
Receipt #
Receipt #
Receipt #
$ 1,200
$ 21.50
5.00
26.50
FOR SIGN PERMIT ONLY
J Permanent Q Temporary
0 Single Face ❑ Double Face Wall Mounted ❑ 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 AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FUR ; 'ERIOD 0 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
I HEREBY HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNIN 1 ORK WILL COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE ►► y 1HE PRO / ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCT ON OR �l(dEt PERFORMANCE OF CONSTRUCTION.
Signed �J r
(PO �,J Date 1 G �/2
TIF
THIS
OR
THAT
PE OF
L
I hereby affirm that 1 am
Contractor (signature)_
LICENSED CONTRACTORS DECLARATION
of the Business and Professions Code, and 1 my li ense is in full force and effect.
Date
rovisions
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.
) 1, as owner of the property, am exclusively contracting with licensed contractor's to construct the project.
Owner (signature) Date
CITY OF TUKWILA /
Bkuilding Division ''
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433-1845
Work to be done
Site Address 13028 Interurban Avenue S.
Building Use Office
Property Owner Fjrst Interstate [lank
Address 19022 13th Place S.
Contractor Macdonald Miller
Address 11063 Pacific Hwy S.
HVAC
BUILDING PERMIT
PERMIT # ` / 5"' 7
Control # 36 -439
Suite # Tenant First Interstate
Assessors Account # N/A
Phone #
Seattle
Seattle',
Zip 981Lfl
Phone # 763 -9400
Zip 98363
i
FOR BUILDING PERMIT ONLY
Acceptedofor i ! nce bv: z11/4 `1
Sq.
Warehouse e
Retail
Other
Occ.
Load
1st F1.
2nd F1.
3rd F1.
Total
Fire Protection: [] Sprinklers [j 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 $ 1,200
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
Receipt # $ P1,00
Receipt # $ ;,nn
Receipt # $
Receipt # $
Receipt # $
Receipt # . $
$ 26,60
FOR SIGN PERMIT ONLY
EJ Permanent [[ Temporary
[[ Single Face [I Double Face [] Wall Mounted [[ Free Standing
Building face Setbacks: Front Side
Side
[] Other
Rear
Square Footage of each sign face Total square footage of sign
Special Conditions
AMINOMMINIMINIMMIP
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 ER10D 0 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
I HEREBY ce TIF THAT HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS APE OF ORK WILL E COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE (OR EL HE PRO. ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCT ON OR HE PERFORMANCE OF CONSTRUCTION.
Signed III .� .� Date ! C � f)
LICENSED CONTRACTORS DECLARATION
of the Business and Professions Code, and my 11
Date 12.
1 hereby affirm that I am 1
Contractor (signature)
( ) 1, as owner of the property,
offered for sale.
( ) 1, as owner of the property, am exclusively contracting with licensed contractor's to construct the project.
Owner (signature) Date
or my
ense is in full force and effect.
OWNER - BUILDER DECLARATION
employees, with wages as their sole compensation, will do the work, and the structure
is not intended or
CITY OF TUKWILA
Buildinqgy Division
6200 Salithcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
A sr..
Type of Inspection gfr:g/ (`-///4e, _
Site Address / .2 g;'' MG-e e,44 Rd, /96/e, S'4
Requestor
Special Instructions
INSPECT -L.ON RECORD
PERMIT # 5'72.
Date 1% /f
Date Wanted /1.5"/OF
Project »ii-st
a.m.
Phone #
Inspection Results /Comments:
Inspector %G '? ie
Date �," /r'
OF TUKWILA
ding Division
Southcenter Boulevard
Tukwila, Washington 98188
(200 433 -1845
MECHANICAL PERMIT APPLICATION
CONTROL# ?(,''( /YQ
Site Address 1?3C72 \C-TEkatpk2BAl0 Suite# Floor# f--1 CCP_
Project Name/Tenant t� �� � ,� fi1i • C vA k t- LOA,k)
Valuation of work W Assessors Account # "1/0
Property Owner 1:71(,),-1- � kkD C e5-i-cAN ti �� Phone
Address i9Q22. ( >' -" O \C _ m. Zip C 4 52)
Applicant ; t `r��,4 �� Phone - 7� 3 - -Cf 4c3 O
Address IIC 3 'P \C∎c:(C NLo'
Phone v76i3 c1 Q
Architect ng1 1-\9_77-
Address �tC 3 i�s�C T c. -,(_cy S ZiP °t` 11 h `;-')
Contractor (Lh s p License# Lc\c vu2q - s Phone '7F- ,'�;— c�{((C�J
Address j ICX,•3 Zip Ti-,3-
Describe work to be done =j-- i c it,) A , (.9,0 .
Indicate the type of equipment to be installed, rating /size of equipment, and number of each:
TYPE RATING /SIZE NUMBER
A 1C, t)(i_ (T
c_AR • i @.blot
•
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.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED APPLICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT.
Applicant /Authorized Agent (signature)
(print name)
Contact Person (please print)
Date (2 /lc(
Phone 7703 - -Q4OC.i
OFFICE USE ONLY
FEES: Basic Permit Fee (000/322.100) $ /�.OD Receipt# _S o5V Date Paid /�?_ 3 0-g-4,
Unit Fee (000/322.100) — ' ----675D7---
.j Receipt# Date Paid
Plan Check Fee (000/345.830) 6,00 Receipt# Date Paid
Other ( / ) Receipt# Date Paid J..
TOTAL a fo ,n) (OWES: $ )
TRACKINQ
DEPT. ATE IN
BLDG
DATE DU?'
\( l
PLNG
COMMENTS
Approved for Issuance
Approved (Initials)
:
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DEC '2 3 1986
'1
niNtisint,
•
FIECEIVED t-t-ic)kAycia4 sc•c,
CITY OF TUKWILA
2 1986
pEpr.,•
cbel
I Ili II 1.11 111
- • I . 5 .1. I 6
No.18
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