HomeMy WebLinkAboutPermit 4634 - Sanglier - FillCITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
BUILDING PERMIT
Work to be done Fill - 700 Cubic Yards to
Site Address 290 Andover Park E.
Building Use N/A
Property Owner Rirhard Peterson
Address 2qn Andover Park F.
PERMIT #
Control #
y4‘_3 '</
87 -035
raise parking lot to existing dock high floor level.
Suite # Tenant Sanglier Remodel
Assessors Account #
Tukwila
Contractor McCann Constriitinn Co.
Address P_0_ Rnx 88114
FOR BUILDING PERMIT ONLY
Sq.
S Ft.
1.st FT.
Office
Storage/
Warehouse
Retail
Other
Occ.
Load
2nd Fl.
3rd F1.
Total
Fire Protection: ( Sprinklers Detectors
Zoning Type of Construction
Special Conditions
Phone #
Zip
Phone #
Zip
242 -6543
gRl88'
575 -433n
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 G /Fill
Other
TOTAL
Receipt #
Receipt # 564W
Receipt #____
Receipt #
Receipt #_&Q7; Q
Receipt #
$ 22.50
$ 85.50
$
FOR SIGN PERMIT ONLY
E Permanent E Temporary
E[ Single Face [] Double Face [ ( Wall Mounted C1 Free Standing ID Other
Building face
Setbacks: Front Side
Square Footage of each sign face
Special Conditions
Side Rear
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 IS 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 DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE ART CANCEL THE /PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
S igned
Date___ — 1 '11
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provision o the Busin ss and ofessions Code, and my license tiis in full force and effect.
Contractor (signature) esi °C�u�w C o N VC, Date 7- " 1 �j- J,__
0 DER- BUILDER DECLARATION
( 1 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 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
Work to be done
Site Address 290 Andover Park E.
Building Use N/A
Property Owner Rirhard Peterson
)Address 290 Andover Park F.
Contractor McCann Construction
Address P.n. lynx RR114
BUILDING PERMIT
11.
PERMIT #
Control #
r
*asipE P..7 -fl2 5
FOR BUILDING PERMIT ONLY
Suite Tenant
Assessors Account #
Phone # 242..5 51.3
Zip a;3lg8
Phone f q75-4,110
1l5eattle / Zip c coo
( n
Co.
Tukwila
C,ingl ier
Remodel
7
S q • Ft.
-E FT.
Office
Storage/
Warehouse
Retail
Other
Occ.
Load
2nd Fl.
3rd F1.
.Total
Fire Protection: [( Sprinklers [[ Detectors
Zoning Type of Construction
Fees
sq. ft. @
sq. ft. @
sq. ft. @
sq. ft. @
1st F1.
2nd Fl.
other
other
Total Valuation of Construction
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other /G /Fill
Other
TOTAL
Receipt # $
Receipt # 5648 $ 22.50
Receipt # $
Receipt # $
Receipt # r , ,., $ S5.60
Receipt # $
Special Conditions
FOR SIGN PERMIT ONLY
❑ Permanent ❑ Temporary
0 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
1HIS 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 Al ANY TIME AFTER WORK IS COMMENCED.
1 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 W0R WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE (Ok.) CANCEL TH PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Signed -r !^ _ �1T- Date - 9
l_ 1
LICENSED CONTRACTORS DECLARATION
1 hereby affirm that I am licensed under provislo f the Business and- rofessions Code, and my license is in full force and effect.
Contractor (signature))41cC ,iu.,�u••,ST. �(�� -^~-� Date Z f 5- ��
OW ER- 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.
Date
Owner (signature)
CITY OF TUKWILA
Building Division
Tukwila,,tWashingtonul98188
(206) 433 -1849
Type of Inspection
/17/// (/cWi)
Site Address 2 ?O /4A-e`-
Requestor
INSPEC ...I.ON RECORD
PERMIT # 7 3 V
3/57/ Fd
Date Wanted 00n/
Project `j'a -,- /e "eme:1/4e7
Phone #
Date
Special Instructions
a.m. p.m.
Inspection Results /Comments:
Inspector
Date
.6 el9AMr.w,wrwr.
CITY Of TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
'(206) 433 -1849
C
fo
INSPECT -ON RECORD
PERMIT #
Date V025/32
;or. Usavirivtaari...414.1
,�! a,av
Type of. Inspection l illii21/7 w� Date Wanted VYg /Q a.m, p.m.
Site Address p't <(d (IA 0ou.,6 1Q 6 Project �P_1i..�
RequesterL Phone # -61330
Special Instructions
Inspection Results /Comments:
Inspector % JL�i. Date ? -6/x"7
CITY OF TUKWILA
Aullding Division
6200 Southcenter Boulevard
Tukwila, Washlnoton 98188
(206) 433 -1849
Type of Inspection
Site Address
Requestor
a
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Special Instructions
41
INSPECT)nN RECORD
l
PERMIT #
Date 2--2 �7
,�.�.�� `'ate
Date Way Tue
d °y .. -' f a
P ro j : t a.ty/ •
Ph.e# s "75-y3
• 111 •
Inspection Results /Comments:
Inspector
Date 2
TELEPHONE MEMPeY\141 RE: �j'a�l� 1 r'e �' CY0df 4 Ka r T /rca/?�"l
PERSON CONTACTED: E ) e ff S�i }'Z " J% - 9330
PERSON CALLING: 1 , Y'r ree-P-N
DATE: /6 J eb 7
INFORMATION ITEMS:
he, cleat' 4- R If c 91Q %r kc a 71-iCr->, • S 44,1.1 / P /61 u p �P.e � CY � Yl esezt 6 `-/m
o� 7JLe Q�S ihey ��� f ,� r� Pask4is �-
f-ke 1 -.0 )o top, 4 ILe
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v,71 bae Lv,71 I7 Le /e 1/161€ � 1102911 rocLod te ; Ta r
reV i e Lo --$4212.-)21►(esrt-e (( 1m v. 5 4- ("/'2t... 440.4 -e/e'S i I ��
a. hQ l)- /ife y wad f- /pile u n Y o T( 4. )tec¢.. S-A 0 u ld
p bvo kov, u it9 41 /o plPce.s 710 / 10)7 Y /ho-it /o?
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tGRADING
` • ..,
,, "
Site Address
Project
Valuation
Property
Address
Applicant
Address
Architect
Address
Contractor
Address
Hauling
Address
Describe
q-k1
CITY of TuaM1LA
Building Division : 6200 Southcenter Boulevard
` Tukwila, 98188
(206) 433- 1845
29c Rii\
/FILL /EXCAVATION
PERMIT APPLICATION
CONTROL# 57'Q35--
1UC-- Pav \t EcAs* Suite# Floor#
Name /Tenant
of Grading
Owner
S' a vA cA 1 1 ct.r 1� q -vim o A a. 1
l' 5 0, g p q, 6 n Assessors Account# 0 22 1Z-c3 - 0 0 '3 Ci
4? 1 ,1,, u,. ca P a:1' 4Y s a y\ Phone 2-42 —C, 5 y 3
2.c1c3 AvAJUJar `I--) AvV- Cask 1 vttwtlr. Zip 9M8
T11orv.us F SQ-vrz €3 1 ntcAActocf Phone .4 5S 3201
q1° -12.4-tA) I\ va,,,ve ti•C - 1.3`11avu9 Zip el )0o..5
/Engineer
T1,0' wNc,c A , SC.ov, - o / 4,,c1,,,twc- Phone 155 -3203
9 l`-■ - it et t->1 A 4HV e PJ6 , l' * 11 ., vv� Zip °188 0
z31 �- Me��:.A =� i3 Nt.) Phone allatelb
\License#
?0 43 X83 I Q, S a14tH Zip '
Co. 'To b e d cL`t-Cv vim, v, e d Phone
Zip
the purpose and
t\rt,k C\ c le.- t „(,\,\/,
extent of fill, excavation or grading ?) CM 4 c vlc_1v e 1'f t)
�l,,JU,r- 1 -) cJ Cut (c.u.) Fill (c :�) `SOU
I
CORRECT
Applicant
Contact
Two (2) sets of grading /fill /excavation Qlans must be submitted which meet the application
requirements of Section 7006(d), 1985 Uniform Building Code. A soils engineering report and
engineering geology report may also be required.
An Environmental Checklist is required to be submitted ($100.00 Fee) to the Planning Depart-
ment for any
A Hauling permit
grading /fill /excavation 500 cubic yards or more.
is required for any grading /fill /excavation of cubic yards or more.
certificate of insurance, route map, and permit fee of $25.00 are required.
A $2,000 bond,
HEREBY CERTIFY THAT 'I
AND THAT I HAVE
/Authorized Agent
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) M r -CNhv, Cw,s -} tit), /(S&? Date 1 / 2c, (. 3
(print name) Lvcora. .S-}+-tz.
Ev a•y c er S' -h -1' . Phone 5 ”) 5 -13 3 c)
NIMMEMMIMIL
FEES:
Grading Permit Fee
Plan Check Fee
Other
OFFICE USE ONLY
(000/322.100) $ 15.:0 Receipt# Gd30 Date Paid 2-/9-17
Excavation
:' KIN
(000/345.830) —22.5 O Receipt# 21% ca Date Paid i--25'.5.3
( ) Receipt# Date Paid
Ordinance #1341:
TOTAL O (OWES: $ )
❑ Bond Required: $ Cert. of Ins. Amount $
1 • I, N
1. 1
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BLDG
,�cCS
l 1
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Approved for Issuance �1__-
RP ,(- t-0
PLNG
a;/$1
\!1,')
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Apprb"ved (lniti s) ,
SEPA Checklist requi: Xi. Yes ❑ No SEPA Determination : -
SEPA File# g/)L -)
PWD p
I,,i?y
�1
/ing
Permit Requir! ;j ii
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