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HomeMy WebLinkAboutPermit 4580 - Skarbo - FireplaceCITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 BUILDING PERMIT Work to be done FLVAC (Rais Stove) Site Address 16705 Southcenter Py Building Use N/A Property Owner Peter R Skarho Address 16705 Southcentpr Pkway Contractor --- O Wyee.AK- Address h Be .eitte— PERMIT # 41)-Y0 86 -444 Control # Suite # Tenant Skarbos Assessors Account # Phone # 575 -0726 Zip 98188 Phone # FOR BUILDING PERMIT ONLY S Ft. Sq. • Office Storage/ Warehouse Retail Other IOcc. Load 1st F1. - 2nd F1. 3rd F1. Total Fire Protection: [] Sprinklers ❑ Detectors Zoning Type of Construction Special Conditions 1P.f_447'Zi ..' /. 4 . .4 / PAR'IT ONL sq. ft. @ 1st F1. $ sq. ft. @ 2nd F1. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ 1,500 Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other TOTAL Receipt #04g4 $ Receipt # $ Receipt # $ Receipt # $ N/A Receipt # $ Receipt # $ 15.00 15.00 ❑ Permanent D Temporary [] Single Face [I Double Face ET Wall Mounted ❑ Free Standing ❑ Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Special Conditions Total square footage of sign THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK 15 SUSPENDED OR ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES TYPE THERK RO WILL BC 0 COMPLIED O WITHOTHERHESTATECIOR SPECIFIED HEREIN N LAW NOT. THE DOES THE NOT PRESUME PERF RMANCEO�OF CONSTRU GIVE AUTHORITY ION. Date 11-1 q - `,- ! GOVERNIN VIOLAT %igned LICENSED CONTRACTORS DECLARATION 1 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 CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 BUILDING PERMIT Control # 86 -444i PERMIT # ',' y o Work to be done Site Address. l670 Building Use N/A Property Owner Peter Address 16705 Contractor Address HVAC (Rail Stove) Southceti er Pv P. Skarhn Snuthrentpr Pkway (T)t�)/1P.V'' ..4111.,..._.____# Suite # Tenant Skarbos Assessors Account # 41 /4 Phone # 575 -0726 Zip 98186 Phone # r Zip -98884- FOR BUILDING PERMIT ONLY Approved for Issuance by: S Ft. Sq. • Office Warehous Warehouse Retail Other IOcc. Load 1st F1. 2nd Fl. 3rd Fl. Total _ Fire Protection: E] Sprinklers J Detectors Zoning Type of Construction Special Conditions ),(.. o// FOR SIG PEReT ONL1 Fees sq. ft. @ 1st F1. $ sq. ft. @ 2nd F1. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ 1,500 Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other TOTAL Receipt #CJ-12Cp $ 15,00 Receipt # $ Receipt # $ Receipt # $ NIA Receipt # $ Receipt # $ I 1 •1 :iIM/VMAM i TAW. ./ n t . 15,(0 El Permanent J Temporary 0 Single Face E] Double Face E] Wall Mounted [(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 15 SUSPENDED OR ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 1 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 GOVERNIN TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT PRESUME TO GIVE AUTHORITY TO VIULAT CA CEL THE RO 1-S-10 OF AN OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR %THE PERFORMANCE OF CONSTRUCTION. c'Signed 1 z�t/ /V • - Ji. �'l7- Date /i -1 ``I -g F- (..- ...5-'l j) LICENSED CONTRACTORS DECLARATION 1 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 ( ) 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, ain exclusively contracting with licensed contractor's to construct the project. Owner (signature) Date (CITY OF TUKWILA Building Division Tukwila,,tWashingtonul98188 (206) 433 -1849 Type of Inspection Site Address' Requestor INSPECTI -:N RECORD ccr PERMIT # �Ir�7D Date 1a— 9' -g7 Date Wanted /a -/2-57 /(706- CotA•Uie�� .V zkLx-rat/ Pr oject 5'kccYh0 My 5'ka roc I Special Instructions CD k astute c{w1,e; /aiW pit41 - 2-77f-YA,ne_o .,,.. Phone # 573 -C77 � Inspection Results /Comments: / 111111111211111111121iiiiiiry Date /o//6)/E/2 d $ioac.er 51%44, ytiu t . $ c_t \c� / "cola' Rer Shit7177i ori'ex P714 w R. S kqro. 1cb7o $- scdhcewiev 7ukWLLa. 4g l ge. ne576-07 6 CITY OF fURWLLA APPROVED JAN 5- 1987.. AS flUICQ BUILDING DIVISION "" '';' •••••••• • .• ; :,;:••,,y` • • ■ • ' !..er• 7 I; • tri1:746:^1 • .-4744".."•454:41,00evit,' :" -. titt `y Site Project Valuation Property Address Applicant Address Architect/Engineer Address Contractor Address Describe CITY OF TUKWILA B6u0l0 oug tDhcventeior n Boulevard IValla, Mashington 98188 (206) 433 -1845 Address / 7(75'J' MECHANICAL PERMIT APPLICATION CONTROL# g0 /J" -/ L '?d o�l��jG'�l%L�Y Pk�� Suite #A`t. Floor# — Name /Tenant of work OwnerA /4)705- P et- R, 51-car `l # /Sdd --- Assessors Account # 14.e k- R, S lc/4)-13o Phone 5 76-- O72b / 'T Sob /e/%IG ° &7%ileY- P��L/ 274-W Za.- Zip 9g /FR ✓ ✓d! Phone /�7S- 07 2/' pe.,X .61,- IR, 31(6), o J /6)70 S..'" c5U[/��le6)) (ev PY6 , ►'a�G!!l La_ Zip' /8' ��f Phone --- Zip ---- /7 -/7 - /9 License# /-2/919 CO - /lp 2C4'hone 4/4, r • / p? Jo '4L it) E F 36l ( 'V e' U); U i Zip gd9061 work to be done F !Rs- p l y) c e p x c it .p ,,1J e 5 Indicate the type of equipment to be installed, rating /size of equipment, and number of each: TYPE RATING /SIZE NUMBER Tie R 4- L S S i-D i)6 14 s Pc; e42-6/1--e... ! 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 CORRECT AND THAT I HAVE Applicant /Authorized Agent Contact Person (please print) HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND THE PROPERTY OWNER'S AUTHORIZATION TO DO THIS WORK. (signature) Date "V'2%? -g6 (print name) f, / , ti/' SELF Phone'5S "/ 99O TRACKIN 1 FEES: Basic Permit Fee Unit Fee Plan Check Fee Other OFFICE USE ONLY (000/322.100) $ /15-.00 Receipt# Date Paid • . (000/322.100) Receipt# Date Paid (000/345.830) Receipt# Date Paid ( / ) Receipt# Date Paid 1, N TOTAL (-0 (OWES: $ /5(.O ) _15-, I' 01 0 ' BLDG \,� o 1 'pprovel or ssuance PLNG 'pprove. nitia s '