HomeMy WebLinkAboutPermit 4858 - Kloppel Residence - HVAC4
CITY OF TUKWILA (`'
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
BUILDING PERMIT
Work to be done HVAC
Site Address 16444 - 51 South
Building Use Residence
Property Owner Gordon Klonpel
Address 16444 -51st Avenue S.
Contractor self
Address
FOR BUILDING PERMIT ONLY
PERMIT #
Control #
87 -303
Suite # Tenant KLOPPLL
Assessors Account # 1/441/4
Phone # 244 -6521
Seattle
Approved for Issuance by:
S q •
Warehouse e
Retail
Other
Occ.
Load
1st F1.
2nd Fl.
3rd Fl.
Total
Fire Protection: J Sprinklers J Detectors
Zoning Type of Construction
Special Conditions
Phone #
Zip 98188
Fees
sq. ft. @
sq. ft. @ 2nd Fl. $
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of Construction $
1st F1. $
Bldg. Permit Fee Receipt #;471- $
Plan Check Fee Receipt # $
Demolition Receipt # $
Surcharges Receipt # $
Other Receipt # $
Other Receipt # $
TOTAL
1,500 -00
15.00
18.00
N/A
$ 33.00
FUR SIGN PERMIT ONLY
❑ Permanent [] Temporary
J Single Face ❑ Double Face C1 Wall Mounted [J 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 ANU VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK l5 SUSPENDED OR
ABANIIUNEU 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 THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THI /TYPE OF ORK WILL BE OMPL }ED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR, ANGEL ,,TT1,'E FROG! 4 QP NY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION R T /HE gPERFORMA CE OF CONSTRUCTION.
Signed �// � ��'1ri � (/� Date ---- __L_.L 7
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.
Contractor (signature) Date
OWNER - BUILDER DECLARATION
( 1 1, as owner of the prberty, 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 th roped am'ox:,ul�el ra Ling with licensed contractor's to construct the project. Owner (signature) C • , Date C "—/ pr
.. -"- -r'^-'7�'!.^.x�F, ;T^FT y;F °-v^ :'y ^:n::dc< -�,•�. 'y?u r :n-- +.z%p'.�r: '^ =+^ ''--; �" r......«,' L---..-, x- r.-- w..'+nrrwrr�.,:+�,.. --rr:a
L
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
( ?06) 433 -1845
Work to be done
Site Address
Building Use
Property Owner
Address
Contractor
Address
HVAC
BUILDING PERMIT
VT
•
PERMIT #
Control #
'1 S
37....303
(
16444 - 51 South Suite # Tenant K1✓Ok 't'1
Residence Assessors Account # -.//r
Gordon Klopnel Phone # 244 -0i
16444 -51st Avenue S. Seattle Zip 96i5
self Phone #
FOR BUILDING PERMIT ONLY
Approved for Issuance by:
,Zi
d46/' .
Sq.
Warehouse
Retail
Other
Occ.
Load
1st F1.
2nd F1.
3rd F1.
Total
Fire Protection: 0 Sprinklers I I 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 $ 1 snn_un
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
Receipt #WiY $ 15.00
Receipt # $ 18.00
Receipt # $ N/A
# $
Receipt # $
Receipt # $
$ 33.00
FOR SIGN PERMIT ONLY
[[ Permanent [] Temporary
[� Single Face [ Double Face J 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
11115 PERMIT BECOMES NULL ANU VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONEU FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 1S COMMENCED.
1 HEREBY CERTIp THAT l HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
OF ERKPWILL E,P,OMPL ANY OTHER WHETHER OTHENOPERFORMANCE OOFVECONSTRUCTION.
,Signed
Date
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I an 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 pr Derty, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or
offered for sale. j
( ) 1, as owner of th ' roper a am rex )1 e1fec/ ra ing with licensed contractor's to construct the project
Owner (signature) / 1 Date C'/ "/ ?
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
TJkwila, Washington 98188
(206) 433 -1849
0
Type of Inspection .7)7,L.Aif i Jay-L
mire
Site Address
Requestor
Special Instructions
4.
INSPECT('inN RECORD
PERMIT #
Date /u /
Tail/Kau./ Date Wanted /0 -2-Fs7 a.m. p.m.
Project Wat p j�p.Q ,
Phone 14J4.2 9.2 0 6
Inspection Results /Commen
AdrAmpfmmr"
Inspector
Date
07P--7
s11111s01."6',
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
MECHANICAL PERMIT APPLICATION
Site Address //6 ''- 7 .;,SC) J C.. Suite#
Project Name /Tenant Ca:.',Oc, -L) ,' .,1_..) �._
Valuation of work /5270, Assessors Account #
Property Owner ((";1/Cape,../ /�'% l AP f
Address ! o K % Soy
Applicant
Address /c / .5/ ') ( ?
CONTROL# t39-3p3
Floor#
Phone
Architect /Engineer
Address
Contractor
Address
Phone
Phone
Zip / /Jf
Zip ?.�2/ W
License#
Describe work to be done
'L.'A?Ai/?e . _ `r )S 7-4 L. („/!- 7 ie
Zip
Phone
Zip
Indicate the type of equipment to be installed, rating /size of equipment, and number of each:
TYPE RATING /SIZE NUMBER
G7 cbCt
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 HAVE READ AND EXAMINED THIS APPLICATION A
CURRECT AND THAT I HAVE THE PROPERTY OWNE AUTHORIZATLON TO
Applicant /Authorized Agent (signature)!
(print nam-)
Contact Person (please print)
6;49e f i a,c: -'
KNO THE SAME TO BE TRUE AND
HI ORK.
e' /..r '�� Date ; / /,/69* 7
Phone
FEES: Basic Permit Fee
Unit Fee
Plan Check Fee
Other
OFFICE USE ONLY
(000/322.100) $ 14511.
(000/322.100) )►IOV
(000/345.830) '7,(72)
( /
TOTAL
Receipt#
Receipt#
Receipt#
Receipt#
c Date Paid q--/(7--7
Date Date Paid
Date Paid
Date Paid
(OWES: $
33,1 )
TRACKING
Dm
DATE IN
DATE OUT
COMMENT
BLDG
?)-10-87
(1-1$'-c67
Approved for Issuance •
a.:,
PLNG
Approved (Initials)
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rtj 6 1987
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