HomeMy WebLinkAboutPermit 4726 - Jensen Residence - Living Room•
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
Work to be done tt
Site Address 14477 56tH Avenue S.
Building Use Residence
Property Owner Ronald Jensen
Address 14477 56th Avenue S.
Contractor self
Address
dd'
BUILDING PERMIT
PERMIT # `-(7 .(a
Control # 87-139
Suite # Tenant JENSEN, Rona
Assessors Account # 33bb9U- U096 -0
Tukwila
Phone # 433 -1908
Zip 98168
Phone #
FOR BUILDING PERMIT ONLY
Approved for Issuance by:
S Ft.
Sq.
Office
Storage/
Warehouse
Retail
Other
Occ.
Load
1st F1.
2nd FT—
3rd Fl.
Total
Fire Protection:[] Sprinklers Detectors
Zoning Type of Construction
Special Conditions
Zip
Fees
sq. ft. @ 1st F1. $
sq. ft. @ 2nd Fl. $
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of Construction $ 20,077
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
Receipt #'1.2 7 / $
Receipt #6874 $ _____ 135.��
Receipt # $
Receipt #.7-7..1 $ 1.50
Receipt # $
Receipt # $
$ 343.50
FOR SIGN PERMIT ONLY
[] Permanent El Temporary
(J Single Face [I 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 l5 SUSPENDED OR
ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
D AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANU ORDINANCES
E COMPLI ' ITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
IONS OF OTHER STATE OR LOCAL LAW REGULATING CONSTRUCT ON / OR THE PERFORMANCE OF CONSTRUCTION.
Date 4
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.
Date
I HEREBY CERT
GOVERNING IS TY
VIOLATE OR C
X. Signed
Contractor (signature)
(4)) I, as owner of the
offered for sal
I, as owner .f the operty l Cop co tracting with licensed contractor's to constru ti a roject. 0 41,/,�d04-P wner (signature) >t d L r� Date��
OWNER - BUILDER.DECLARATION
roperty, or my employees, with wages as their sole compensation, will do the work, and the structure is qot intended or
t�
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
Work to be done
Site Address 1447[ 56th Avenue S.
Building Use Residence
Property Owner Ronald Jensen
Address 14477 56th Avenue S.
Contractor self
Address
rion
BUILDING PERMIT
FOR BUILDING PERMIT ONLY
PERMIT # f `.. (v
Control # 87-139
Suite # Tenant JMNSEN, Ron
Assessors Account # 33bb50- 0096 -0
Tukwila
roved for Issuance b :
S q •
Warehouse
Retail
Other
Occ.
Load
1st F1.
2nd Fl.
3rd F1.
Total
Fire Protection: ❑ Sprinklers ❑ Detectors
Zoning ' Type of Construction
Special Conditions
Phone # 4.3J-19U8
Zip
Phone #
981b3
Fees
sq. ft. @ 1st F1. $
sq. ft. @ 2nd F1. $
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of Construction $ 20,077
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
Receipt # '7- " $
Receipt #6814 $ - - -S:W
Receipt # $
Receipt # 7 : , 7 1 $ 1. bU
Receipt # $
Receipt # $
$ 343.50
FOR SIGN PERMIT ONLY
❑ Permanent 0 Temporary
J 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 IS SUSPENDED OR
ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
1 HEREBY CERTIF -Y—T44 T -1— HAVE —RE AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
VIOLATEN(OOR'SC NC`E OF HE 'ROV1 IONSROFIE WHETHER OR LOCAL NOT. THE ON OR DOES
THE NOT PRESUME
PERFORMANCE TO OFVECONSTRUCTION.
` /- f Date l�%`e
Signed 1..0)'lt
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
(y!) 1, as owner of theerty, or
offered for sale,° r,
tI, as owner of the pri '
0 ner (signature) X t •1
OWNER - BUILDER. DECLARATION
my employees, with wages as their sole compensation, will do the work, and the structure is n t intended or
xclu$ive) y conEracting with licensed contractor's to construe to pro ect. (_ 1 :fdr4'D�l7'j��
``19L) Date .s
CITY OF TUKWILA
Building Division
6200 Southaenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspection G/4/3
Site Address API-2i c5 �• �� %�v$ c , Project —
Requestor Rte,
Special Instructions
INSPECT: 7N RECORD
PERMIT # 401 icIR ,p
Date
Date
Wanted 17-16-?
p.m•
Phone # 770 03- j ctoi
Inspection Results /Comments: 6-10 •ef «� � j
Inspector
Date //,6-.A? 7
YV1 .ar.NAJUaVYW.^.YD.`V'siVLLUN.a nw :xf2Ta1(Iit.h'wRfrtiwrwa.rnnto, n�.a....w...aw.r ..
CITY OF TUKWILA
Building Division
6200 Southcunt,r Boulevard
Tukwila, Washington 98188
(206) 433 -1849
INSPEC(ON RECORD
PERMIT # 4-/%0 6
Date 7.--23 -
13 ya-D 4,14
eaftLi
Type of Inspection (-�,A,L, r04,6,Q4&• • Date Wanted r,ti 7/.23/X7 a.m. p•m•
Site Address / (-/L(7 7 sC7 uz.. S. Project
Requestor
Phone # 3.1 -WO 2
Special Instructions 46", L,�-% so Lt Ltr��
o �
_ r L id' :I/ J
Inspection Results /Comments: -fu
( e4
Inspector
c.Q Date 7/ :/' ) 7
punrew.ddWtaMCP •ct .
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
INSPECTON RECORD
PERMIT # U726
Date (0-14—t7
S7
Type of Inspection �UrY — �GD- Oteld, Date Wanted Lo -5-- 87
Site Address /1-114 /7 511 ebv 6 Project '
Requestor Phone # y(pG/ -Q7 ?e3
Special Instructions wiW bPr (ALLM 3 Li/// am, 62 Q,.l i, f
Inspection Results /Comments:
. e..
Inspector )1,-(All
Date 6/s/ 7
TYJr,97,0
�€i ocf e► I1ou /'f"177 - C/h i?v
-L.. 1 c I kQ' 1 Rem V c( a4 "e. ai U' /CJ . 4 7LKIL e S(c 5
u2drictGQ.i- ;IA 11,6- k c,cse cIO 5. '�'lo - t of �LIc'iltiet t ulg)
pro
-2e c/V -rta-n s,kirY7 s. 4r Get Acu6c, s e jitk ateit) p fovn s
I r---
�►? 'h s Otg.6 . 0. cs'e ce r» d . cS , / Ct 4 Ahr
?Wei Ihi444 he Wocdct h( ct Ito 5--Ac) W 71 2 e•X.'v/<< 401,41? Mee./.5
Code - . �409-/ es or elae reolThfe. 5' fvu�-tura ( e-r, c 14,Qey,
s 6c i Abw dvde mrukifewia4A5 4a`/t .. 1-60/50, 74)/(
kaliK wok,ta . ho/c(1 a,i l -CLLY y el�F� �►^ ► � � ,
624/ gI . fa ld lad 44 ( . ),5
0yc h( cf 02,,f4J flay ,.//pd ole ;04ecf Ae., does 2 4cc/ -C/wr 0(g: olt
y &i I[ oi� L .e.xi6./, tOa(I oum( 41 -c .'T .514 oy1- o7
Ilc( ?i r. 006eu(2.Y'. r < do Me /'lair..107-.46-4 .74
1) U.e .. do kc,44 1-c> . nu- /0,&c/ anii (ad
d
X01 to 7/. ...a ale d 7P He 't e. CAM
e4inted ouv..-eu
CITY OF TUKWILA
Building Sou Division BUI )ING PERMIT APPLIC TI ON
6200 southcenter Boulevard
Tukwila, Washington 98188 Control # 5?-/3
(206) 433 -1845
Site Address /1647 4vx- /7W Suite# Floor#
Project Name /Tenant /?th/ -n,7,,44cL56%),/
Valuation of Construction b'g'oz' (26)077 Assessors Account#
Property Owner i VOit.o Phone //33 `/9O
Address /q1/77 br'- 4W- .-to "%'`Gf ttam Zip 91e/6
App 1 i cant f?�,A//9/. -h Phone ./13-/W?
Address / yy?7 v'"�(���'1 4-we- 77i4-t/i4/t- Zip P06gr
Architect /Engineer L(/4I/1/�= ',e',/9-A)1 '4 Phone A-7/ -2430
e s s /2-/..;45/ .- /' ,��,7t/`lo�1/ Zip
tractor License# Phone
Address Zip
Class of Work: ❑ New EX Addition ❑ Tenant Improvement g Remodel (residential) ❑ Reroof
❑ Demolition El Interior Demolition ❑ Other
Describe work to be done /+1'b A/ J//4/47
Type of Const. (UBC) Occ. Group (UBC)
Square footage of entire building // e4E /411g uare footage of tenant space ?
Building Use ill OW67 2?at ' "/ Will there be a change of use? ,I] Yes ❑ No
If yes, describe change of use, including square footages of changed areas ADD/ 770-1-/
Will there be storage or use of flammable, combustible or hazardous materials on the premise or
area of construction? ❑ Yes J1 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 OWNE''. ORI AT 1A TO DO THIS WORK.
Applicant /Authorized Agent (signature) , 4/SWA41/u-----
(print name) JR�N'M2 •.
Contact Person (please print) /// „„/,67,-A./..77k/
OFFICE USE ONLY
FEES: Building Permit Fee (000/322.100) $
Plan Check Fee (000/345.830)
Bldg Code Sur Charge (000/386.904)
Energy Sur Charge* (000/386.907)
Other ( )
*New construction only TOTAL
Date
Receipt# 727/ Date Paid =
OD Receipt# 4015 ,74/ Date Paid
.50 Receipt# 7!1( Date Paid.
Receipt# Date Paid
Receipt# Date Paid
Li 3, (OWES: $ `c O t O )
SQUARE FOOTAGE /BUILDING USE INFORMATION Square Footage of Entire Building:
OC-C OCC OCC TOTAL
FLOOR USE /Occ Typo SQ.FT. LOAD USE /Occ Type SQ.FT. LOAD\ USE /Occ Tvo% SQ.FT. call. SQ.FT.
TOTAL
OCC.
TRACKING
-trial-. DATE IN
BLDG
—n RE
001\
DATE OUT
O /
PLNG
rd0
I'
fit.,
COM ENT
pprove or ssuance /`s %', Type of Const.
To Mahan: Date Approved:
Approved Initials) Per letter dated
Fire Protection: ❑ Sprinklers ❑ Detectors
Approved (Initials) ❑BAR ❑ LAND USE /SEPA CONDITIONS
Zoning-j-7.2... Setbacks: N 8' S 8' E 3C) W /O
Parking stalls required for: Site 2. Tenant Space A/A-
Parking stalls provided: Site .24 Tenant Space
ADDITIONAL PARKING STALLS REQUIRED: 0
ikrre_ g. ; 37E t l s c Av 4 /17 /3 7 114-k. 1.f.77/87
Approved (Initials) Per letter /plans dated
rq.. ---- -rim , - -an Cr
■■•■•■•••■7■1*
•
I 1
Lj
Lii
E.
_
4
•
--"•••••■•••............
'
1
1
i-r r7 f.,
;EAi 1 TS
OA,
164--!7 4ce-44+
144•7 — Av5-7. -S,f=jr4-+
afATTLS-, cte,vos
Ak19 ELEe-Tva601_ tiLiciRk t 3L
SEPfigATE PE;1111.1-1.,
1
1 1 1 1 1 1 1 1 1 1 T H 1 1 1 ' 1 1 11
.111
I ' 1 2 11111111111111/i1111111111111wiiiiiiii4]
No.18
; tit di I 71I 1 III ; OIT t 16 ; 18 IL i 19 1 19 1 117 1 18 1 1g I 'DI'
I understand that ii-s.
subject o errors ank:
plans does no',
adoptod code 07
copy of
141Y IUMILA
APPROVED
MAY 4 1987
rj R3
NOIED
BUILDING DIVISI(A%
RECEIVED
CITY OF TuKwItA
APR 13 19t37
9UILDING
,-provals .re
.•%nrcval of
-r-ty
;or's
'1
•
•
t51,:f5t.g.
1-11-43-)to LAP 3.19c2W6
_
II-41:1W )4-0°H
0) 4kikA
2:4111...1 4-ef
0‘45...c $44(.1
4,, ,lEal0E.E
ArlaasrE.
4.
PI•1€3!-C t433.41pi
l'walt.1)c4/-01-1-1
Giout;53.-E' tit-4-4,0%
)1,
Pcor,f rAiicA t( COM NNE
0 t'it..1)
1)
..■•■•■■•••••■■•••••••
)‹ 17:- 51-'1
'PLAt-.1 ,4":41'-e7
•Fou'iliv-riz)
1
11.
.63
1
•
I
'
\I .V
. •
-r-
I
T"
-
-1
a
4-
(
0"
CA-1.2.1 tiLigiulayx) T MEET- Z.):0--AE_111-E.1-0-5 •
Or sE-C. Ic6g U.
1
4
, • • -
- - )-i- •
• ,
e
34 MP pP
et.,3CTIT3 034 I,
41"chis-not-4 1-.11)--ILIL.:E-",
i r
}J( i I4 ezez2 -nr.1.64E'S-.3
e-e” 114e7uL_A-ric,-.2
4,4,04
Fotzkr-LITuzE' e-gU-000
6)c„401. Pbcr t
(5,410 44EWE.g.
— Et.t...ex...k..p-lo
14.1"i 6U8Ft.ve3g.
2.7„615 e fortx,
11.4AAALATEnt,-1
2oi-
FIgie-fr *Ft..00Q. 4=-4--dtt
1.74, Me.TAL.
HAI-4 tsE:Wh
1\ it-
(3N1
03(cFb9r. 44(0 'fir
11?"
'414___AL3
This rouNog-ri3J (,J LL ANIIV 0,T 3E ui T'n So i7,06 R1
IIlIIIIlIIIIIIlIIIITIIIII IIIIIIIIIIIIII1 IIIIIIIIIIIIIII IIIIIIIIIIIIII1 111111111111111
I 12 I 13. I .4 I 5 I 6
No.18
tit i 111 Oli 16 ! 18 IL I 19 1 1 i 1 1111171
sn....twArreewirftWawoomwewvinwreitehmmitprraw,
I -.4. EvAe. f...11P11--Vot
ccif< 6AEA11-11401
R- I q 1.1 i-11.411/4Tiot.1
1.-K4
CITY OF Timio
APPROVED
MAY 4 1987
1 ,
bUILDING DIVISION!
3N7-7.C.i757:1175777..
1120A-T.17
1,-I/Vz!cp %. vrAf5.6'
AN') riroRE- FLOOR iDDi 'TIL)
RECEWfl)
CITY OF tuE,ARLA
APR 1 12'37
BUILDING DEPT.
5-5 4Ecrict4
- .3