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:
/
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Date /o//6)/E/2
d
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7ukWLLa. 4g l ge.
ne576-07 6
CITY OF fURWLLA
APPROVED
JAN 5- 1987..
AS flUICQ
BUILDING DIVISION ""
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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
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o 1
'pprovel or ssuance
PLNG
'pprove. nitia s
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