HomeMy WebLinkAboutPermit 4846 - Swanson Residence - ReroofCITY 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
Address
self
reroof
5809 144th St.
Residence
Virginia Swancnn
5809 144th St_
FOR BUILDING PERMIT ONLY
BUILDING PERMIT
PERMIT #
Control #
Suite # Tenant VIRGINIA SWANSON
Assessors Account # - X105 -q0./a 3 -0
Phone # 246 -1297
Zip 98168
Phone #
S q •
Warehouse
1st F1.
2nc.
F1.
arc
F1.
Total
Fire Protection: [J Sprinklers Ei 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 $ 2,500
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
Receipt # To $ 54.00
Receipt # $
Receipt # $
Receipt # $ 3.50
Receipt # $
Receipt # $
$ 57.50
FOR SIGN PERMIT ONLY
EI Permanent J Temporary
0 Single Face [] Double Face ❑ Wall Mounted
Building face
EI Free Standing J Other
Setbacks: Front Side
Side Rear
Square Footage of each sign face Total square footage of sign
Special Conditions
THIS PERMII BECOMES NULL ANU 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 1S COMMENCED.
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TOE 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 TU GIVE AUTHORITY TO
VIOLATE OR CANCEL_ THE (PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Date �'
Signed_
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of the Business and Professions Code, and my license is in full force and effect.
lL�
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, and exclusively contracting with licensed
Owner (signature)
contractor's to
Date
construct the project.
' CITY 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 self
Address
BUILDING PERMIT
PERMIT # L/c
Control # 7 c'
5809 111t11 St.
Residence
Virgini-a Swa+isen
5809 1llt11 St.
FOR BUILDING PERMIT ONLY
Suite # Tenant VIRU'T�1IA Sl,ignlSnt�
Assessors Account # ? �
Phone #" 24_1297
Phone # Zip 98168
Sq.
Warehouse
Retail
Other
Occ.
Load
1st F1.
2nd F1.
3rd F1.
•
Total
Fire Protection: [] Sprinklers [[ Detectors.
"'"Zoning 'Type of Construction
Special Conditions
r
Fees
sq. ft. @ 1st F1. $
sq. ft. @ 2nd F1. $
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of Construction $ 2,i00
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
Receipt # 70 / $ 54.00
Receipt # $
Receipt # I $
Receipt # / $ 3.50
Receipt #--T-- $
Receipt #_T $
Gil Fiif)
FUR SIGN PERMIT ONLY
[[ Permanent [] Temporary
[] Single Face [[ Double Face ❑ Wall Mounted (] Free Standing [D Other
Building face Setbacks: Front Side, Side Rear
Square Footage of each sign face Total square footage of sign
Special Conditions
LUIS PERMIT BECOMES NULL ANU VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK I5 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 $AME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING TIIIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCE THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Signed '') - 1. Date (3— 1-
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of the Business and(Professions Code, and my license is in full force and effect.
Date
Contractor (signature)
OWNER - BUILDER DECLARATION
( ) 1, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or
offered for sale.
( ) I, as owner of the property, am exclusiv -ely contracting with license contractor's to construct the project.
�� C
� I t ' Date
L 1` `°
LJ
Owner (signature)4,,,r__
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
'ukwila, Washington 98188
(206) 433 -1849
Type of Inspection
Site Address
Requestor
Special Instructions
( 4. _
52o9 /VI/ s� ,
INSPECT ,ON RECORD
PERMIT # g.re./l0
Date //( f'$
Date Wanted 100g
Project I/i1' i i ia St vdtvi 5041
Phone #
a.m. p.m.
Inspection Results /Comments:
Inspector 97.,.f} -GP-1
Datee/ /e/re
CITY OF TUKWILA ..
Bit DING PERMIT Division IT A ��I I( ^'
6200 5outhcenter Boulevard (2061 433 -1845
Tukwila, Washington 98188
Site Address 5809 140'
Project Name /Tenant \inin,ia Snlaa h
Valuation of Construction 41$01 Assessors Account#
Property 0 ����ner \1vKi„ SwaNm
Address �Q..
Suite#
N Control #
Floor#
Phone 241, —1287
Applicant VAN Otlu►aS ,
Address c 011 —t i;kAt.,
Architect /Engineer alA
Zip
Phone Z —I'th7
Zip c1 IG$
Phone
Address Zip
Contractor 01AP License# Phone
Address Zip
Class of Work: ❑ New El Addition ❑ Tenant Improvement ❑ Remodel (residential) ( Reroof
❑ Demolition ❑ Interior Demolition ❑ Other
Describe work to be doneloaa M6 90.k4 yoq f vv A0,1 344, hkc eft �In�ll� iN ln�{WS !y Y'-Place wl�h
tovUlov*t oenkltXc
D Type of Const. (UBC) Occ. Group (UBC)
Square footage of entire building V900 Square footage of tenant space
Building Use 1.1.S \ &CQ Will there be a change of use? ❑ Yes 2] No
If yes, describe change of use, including square footages of changed areas
Will there be storage or use of flammable, combustible or hazardous materials on the premise or
area of construction? ❑ Yes 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 OWNER'S AUTHORIZATION TO DO THIS WORK. p
Date VIA-7
Applicant /Authorized Agent (signature)
(print name) name) 6grP ItAtTtl -Dt1
Contact Person (please print) .J GI lk-Di y.1'Iah1
Phone W-12.17
OFFICE USE ONLY
FEES: Building Permit Fee (000/322.100) $ 5/. a p Receipt# 7 7c / Date Paid 9 — 7 _5{7
Plan Check Fee (000/345.830) Receipt# Date Paid
Bldg Code Sur Charge (000/386.904) - 3.50 Receipt# Date Paid
Energy Sur Charge* (000/386.907) Receipt# Date Paid
Other ( ) Receipt# Date Paid
*New construction only TOTAL
SQUARE FOOTAGE /BUILDING USE INFORMATION
oGG
FLOOR USE /Occ Type SQ.FT. LOAD USE /Occ Tyro%
(OWES: $
Square Footage 9f Entir-
OCC
SQ.FT. LOAD. USE /Occ TvD:
—G-
B din'•
OCC
SG, FT. I OAD
S 'L
SQ.FT.
OCC
"tOTAL
TRACKING
�L E�DA�IN DATc OUT
BLDG
FIRE
Maw :.arrrL,
•- -•..'
•T mr1mlmr1owr=a! ^�C^ - :_. T ...._ • -. . . • ..• -,SRI - ••••r'^ - l"t mg: warm.-
COMAS
Approved for Issuance Type of Const.
To Mahan: Date Approved:
Approved (Initials) Per letter dated
Fire Protection: 0 Sprinklers 0 Detectors
PLNG
Approved (Initials) p BAR
Zoning Setbacks: N
Parking stalls required for: Site
Parking stalls provided: Site
ADDITIONAL PARKING STALLS REQUIRED:
PW D
OLAND USE /SEPA CONDITIONS
E W
Tenant Space
Tenant Space
Approved (Initials) Per letter /plans dated