HomeMy WebLinkAboutPermit 4842 - Western Energy - HVACCITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
Work to be done
Site Address
Building Use
Property Owner
Address
Contractor Evergreen ReFrigeration
Address 727 Kenyan, Seattle. WA
BUILDING PERMIT
PERMIT # �� y 4
Control # 87 -293
HVAC
4445 S. 134th P1. Suite # Tenant ktestern Energy
N/A Assessors Account #
N/A
Robert Stnrseth Phone #
Zip
Phone # 763 -1744
Zip 98108
FOR BUILDING PERMIT ONLY Approved for Issuance
Sq. Ft.
Tst —FT.
Office
=ehouse
Retail
Other
Occ.
Load
2nd Fl.
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
Bldg. Permit Fee
Plan Chuck Fee
Demolition
Surcharges
Other
Other
TOTAL
$3,000.00
Receipt #� $ 24.00
Receipt # $ 6.00
Receipt #
Receipt #
Receipt # $
Receipt # $
$ 30.00
FOR SIGN PERMIT ONLY
[] Permanent ❑ Temporary
[] Single Face ❑ Double Face ❑ 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 IS SUSPENDED OR
ABANDONED FOR 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 AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TYPE OF WORK W1LL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR C&10EL 1j PP9)LIS�ONfS�OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Date
Signed_
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I a lic sed Wn isloprpf t usiness and Professions Code and my erase Is in full force and effect.
Contractor (signature)
Co 9
Date 1/61
OWNER - BUILDER DECLARATION
( ) I, as owner of the prcperty, 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
CLA9f KWILA,
Bui ldinct)ivi,.sion
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
Work to be done
Site Address
Building Use
Property Owner
Address
Contractor
Address,
BUILDING PERMIT
PERMIT # / .-'-
Control # 87 -293
HVAC
4445 S. 134th P1. Suite # Tenant Western Energy
N/A Assessors Account # N/A
Pobert Stors'th Phone #
Evergreen ReFrigeration
7273. Kenyon. Seattle. WA
FOR BUILDING PERMIT ONLY Approved for Issuance b :
Sq. Ft. Office stage/
• �lareorhause
1st Tr.
2nd Fl.
-3rd F1.
Retail Other Occ.
Load
-Total
Fire Protection: ❑ Sprinklers E] Detectors
Zoning - `� Type -of Con'st`ruction '
Special Conditions
Zip
Phone # 763 -1744
(7 / Zip 98108
Fees
v
sq. ft. @ _ 1st F1. $
sq. ft. @ 2nd F1. $
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of Construction $3,000.00
Bldg. Permit Fee Receipt #_ $ 24.00
Plan Check Fee Receipt # $ 6.00
Demolition Receipt # $
Surcharges Receipt # $
Other_ Receipt # $
Other Receipt # $
TOTAL
FUR SIGN PERMIT ONLY
E] Permanent El Temporary
[] Single Face [( Double Face Wall Mounted
Building face Setbacks: Front
Square Footage of each sign face
Special Conditions
[] Free Standing E] Other
Side
Side Rear
Total square footage of sign
THIS PERMIT BFCUMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 1S COMMENCED.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING or A PERM
VIOLATE OR CANCEL THE PP9VISjION,S.7)0F ` ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION
Signed_ ;21 `r < , .....> K; = -.. ` Date
LICENSED CONTRACTORS DECLARATION
1 hereby affirm that 1 am licensed under provisiops-9f t`+e Business and Professions Code, and my license is in full force and effect.
,� f' Date T a/ / 7
Contractor (signature)_ ,' .... .. / ,_ ,„,
OWNER- BUILDER DECLARATION
of the >prcperty, or my employees, with wages as their sole compensation, will do the work, and the structure is
of..th� ppfer.ty,,am exglusiyely contracting:with licensed contractor's to construct the project.
,;, +• Date
IF CONSTRUCTION OR WORK IS SUSPENDED OR
. ALL PROVISIONS OF LAWS AND ORDINANCES
IT DUES NOT PRESUME TO GIVE AUTHORITY TO
OR THE PERFORMANCE OF CONSTRUCTION.
( ) 1, as owner
offered for
tpc - ( ) 1,•.as owner
Owner (signature
not intended or
CITY OF TUKWILA
8iylding Division
6200 Southcentsr .Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspection
Site Address cfLl
Requester
Special Instructions
5- ---7« Pc.
INSPECTnN RECORD
4,
PERMIT # 47/5`1--Id
Date S - � -- & 7
Date Wanted —
Phone # - •7G 7— 96,9 �4
is
.m.
Inspection Results /Comments:
Inspector
1,diAvi 45>
Date 7/7/S9
d
:i 1.R54; Itv
C!T OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspection , iaLT4
Site Address 4&1c5 6 / Q
Requestor__ f 11, /U., xfiatt. —
Special InstructionsQ�
INSPECT( )N RECORD
PERMIT # (iv/2
Date 13-1/17
Date Wanted - a.m. p.m.
Project- W.64,6,w, A 77
Phone # 76•3-/7W
G e c?N 4e,if C d/—
Inspection Results /Comments: - i� % - -- ���5• - - -- � -� -� � -----------------------------------------
Tnsnector
769-frAl
Date 1' �Ze 7
rv��,
-14 .
• .�
fy
Site
Project
Valuation
Property
Address
Applicant
Address
A.r_s#- i-treet
Address
Contractors
Address
Describe
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard MECHANICAL PERMIT APPLICATION
Tukwila, ti ngton 98188
(206) 433 -1845
CONTROL#
Address 41'¢. -/31 pi SO '7--c2Yw,10_ --Tstrr0. P,& Suite#
7-c2g
Floor#
Name /Tenant
of work
Owner
W `�s7^eriu crnf ery
3 o0 o,oc) Assessors Account #
/3 ,J , -j- Stors''f, Phone
Zip
eu r7a11240 ,v Rt.'- r(9c?ro-17ow Phone 76 3 -1 ?44
72 y --Co k (eNyo /t-) S�74//5 Gvbq Zip per/ oa
-'Engi
yz
neer ',, er, FQF1r1p ev.'t. o -v Phone 7 4 3-- / > ,Liz.
,,r,e.er,
7 5o.Ket-ycN Sce, 1`f Iz Wf",` Zip ?/O,
,eryr'ee,, kcFr!7elsa -7-r,; ti Li tense# EV,C26 -1 20 i b 7 Phone 76 3 -/71-1-
`? 2_ 7 s Z j.,Yo� e:a'7/ -%,,, 1,,,114 Zip Fc9/ 06
+- work
to be done ,Z"n., X7`0, l / Gn- s /e /ecrfr c .2,c u.W � 7- ciiucI r J ..'��ci
Indicate
1ra
the type of equipment to be installed, rating /size of equipment,
TYPE RATING /SIZE
and
number of each:
NUMBER
q C.)7)
e- Gas /c2' /d_ c f- 3 i"o u
4.5/c c) 3 cr,
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
CtRRECT AND THAT I HAVE
Applicant /Authori zed 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) 1,,� ,:i'f, 0_'7- Date 7/? > Ag3 ?
(print name) /y/,G .hap / X). /77"",7'
76 3 - -/?¢51-
1(1;c17,-1/0 I )4 G t. c_'t- Phone
TRACKING
FEES:
Basic Permit Fee
Unit Fee
Plan Check Fee
Other
OFFICE USE ONLY
SLS Date Paid 7- 3 /- l'7
(000/322.100) $ ,-)5,(7) Receipt#
(000/322.100) On Receipt# Date Paid
(000/345.830) �,( Receipt# Date Paid
( / ) Recei pt# Date Pai d
TOTAL �Q,Q� (OWES: $ ,,�Q>,( � )
1 • ,
1' N
1' 1
OMM N
BLDG
1
J
'pprove• or ssuance ;I;!! _
ff.A
W���
PLNG
Approved ( Initials )
JUL 27 1987
CITY OF TIJKWILA
PLANNING [ PT.
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4'
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15 PLAN APPLIE Ths C m aN2cAL EA1J1P 1h15i t1U. TIDN 'ONLV,
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NC wIrr EOuiP S`UPAO T DETAIL
EVZP6REW ft rRikERAr,ON 743,1774 3CAtE Ila 1l1r 1,0',
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CITY OF 'f UI WI1A
APPROV ED
JUL 28198.7
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JUL 27 1987
CITY Ur TUkvviLA
PLANNING C .i"-PT.."
727 South Kenyon 6 Seattle, Washington 98108
EVER- G1- 6201D7
O 7oRIA PA,.�Yl1...._''Q''� -- ¢ i,, Say
(206) 763 -1744
Z'Law1LA
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