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HomeMy WebLinkAboutPermit 4868 - Petersen Residence - AdditionCITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 Work to be done Site Address 4459 S. 158th Suite # Tenant ERICKPETERSON Building Use Residence Property Owner Erick Petersen Address 4459 S. 158th Tukwila Contractor D & T Construction Address 14420 25th Avenue S. Tukwila Zip 98168 BUILDING PERMIT Addition - Residence PERMIT # Control # 87 -255 Assessors Account # 238650- 0005 -0 Phone # 248 -2085 Zip 98188 Phone # 248-0511 FOR BUILDING PERMIT ONLY Approved for Issuance S Ft. Sq. • Office Se/ Warehouse Retail Other Occ. Load 1st F1. 2nd Fl. 3rd F1. Total Fire Protection: J Sprinklers [J Detectors Zoning R-1 Type of Construction Special Conditions by : 1 ;911/7 4:z , Fees sq. ft. @ sq. ft. @ sq. ft. @ sq. ft. @ 1st F1. 2nd F1. $ other $ other $ $ 10,000 Total Valuation of Construction Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other TOTAL Receipt #8111 $ 117.00 Receipt #8111 $ 76.00 Receipt # $ Receipt #8111 $ 3.50 Receipt # $ Receipt # $ $ 196.50 FOR SIGN PERMIT ONLY [] Permanent J Temporary 0 Single Face 0 Double Face J Wall Mounted ❑ Free Standing [] 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 FUN A PLRIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANU ORDINANCES GOVERNING THI TYPE OF ORK Witt n COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE ANGEL HE OVI ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCT N OR THE PERFORMANCE OF CONSTRUCTION. S ign t Date_ _ CONSTRUCT 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, 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 olafiWropert am 1r,�_ clusl 1 contracting with licensed contractor's to construct e prof t, Owner (signatur Date 5,7 ;,.'y677„r. :T+`l ^ , . CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 Work to be done Site Address 4459 S. 158th Building Use Renidence Property Owner ErickPetersen Address 4459 S. 158th Contractor 1) & '1' Construtitthnn BUILDING PERMIT Addition - Residence PERMIT # Co Control # 87 -255 Suite # Tenant 1 RLCISPL1 ERSeN Assessors Account # :438010-000 .J-u Tukwila Phone # 148 -200 Zip 98108 Phone # 248 -0511 Address 14420 25th Avenue S. Tukwila Zip. 98186 FOR BUILDING PERMIT ONLY Approved for Issuance by: 11i,1 S q • Ft. Office W Stareorage/ e hou s Retail Other Occ. Load 1st F1. 2nd Fl. 3rd Fl. Total Fire Protection: 0 Sprinklers [j Detectors —Zoning- R-1 Special Conditions 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 Other Receipt Cm i i Receipt #3111 Receipt # Receipt #3111 Receipt # Receipt # $ 10,000 $ 117.00 $ 76.0U $ 3.50 $ ..... _.__..� . _..__...$ __ -. • 196.50 FOR SIGN PERMIT ONLY 0 Permanent J Temporary 0 Single Face [[ Double Face [j 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 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 I 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 DUES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE 9R CANCEL HE OVV(ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCT ON OR THE PERFORMANCE OF CONSTRUCTION. Signed 042.1!:- Y "' �s° -''�-- --" Date 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 OWNER- BUILDER DECLARATION ( ) 1, as owner of the property, or my employees, with wages as their sole compensation, will do the work, offered for sale. ( ) I, as owner r of � opert am xclusi ely c racting with licensed Owner (signatur? e -t" �-�-pl and the structure is not intended or contractor's to construct e projQct, ^� , Date CITY OF TUKWILA Building Division 5200 Tukwila,,tWashingtonul98188 (206) 433 -1849 Type of Inspection Site Address /9/5 '?? Requestor Special Instructions INSPECT 'IN RECORD PERMIT # ' f/Q (p0 Date //// //Sr Date Wanted / / 0Sv. a.m. p.m. Project re?. —5 /4' 5 /Vail C r Phone # Inspection Results /Comments: Inspector M'1 CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washineton 98188 (206) 433 -1849 Type of Inspection Site Address Requestor Special Instructions INSPECTION RECORD PERMIT # '-/ Date / / -</- 7 Date Wanted lituto «-S -r7 a.m.) p.m. Project Jt-2,9_�cQ�� Phone # :2Y Er O3—// Inspection Results /Comments: Date %% J - F/ CITY OF TUKWILA Building Division 6200 Southcenter Boulevard .Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection Site Address Requestor - /-77 Special Instructions fetVg .., .....w..�..n...�... �w.`n..uv.h...ar�an �c'h..vnNWSMtU.uf.N'Y.N.J ttYfn S'CS)WX1A➢1YA'i1.7 ?. 1 INSPECT P)■ RECORD , PERMIT # Date IuCQ a y Date Wanted 66 d 8 ' Project Phone # c '_ 051/ Inspection Results /Comments: Inspector Cr7 Date /0.2/x'7 Permit No 17'g6 1 Date c CITY OF TUKWILA Building Division 8200 Southcenter Blvd. Tukwila, WA 98188 433.1845 Job Address 1/4/1 5'7 511. /51?-61' /19/2G� '�'' ?7 f CORRECTION NOTICE The following items are found to be in violation of Ordinance /4 T .i�T[K "uw b and shall be corrected. ` / 7, j�it »i /h • 1,S /1 41 '`: ° ,k,/ 4/ ' l 0 • + ./ J • 1 f FP,G /ooh c1-/. Oftwiram CITY OF TUKWILA Building Division Tukwila,,tWashingtonu198188 (206) 433 -1849 • INSPECTIN RECORD PERMIT # Ulp© Date Type of Inspectio Site Address Requestor Date Want Project Phone # p9c;S -- .7 fpm /6 Special Instructions Inspection Results /Comments:f( Inspector Date 7/0> L1O1987i .1.T..ti'.:O1=:2:,11 KVJ LJ, rv.+.+ �. r... n..... o... en,...... ...,.....i�.�e�,�.ur..+nwraara. n�. .n t<t i`,�r.JF, +•JMit`. .. RE: L ov - TELEPHONE MEMO Pe {erc ^ I11 pY04&v16 - PERSON CONTACTED: 7 `t ` 3 Z44 PERSON CALLING: r,f1* DATE: INFORMATION ITEMS: 111G9($1 c/a/If-0-a D if (.ems fiwcM0h 51 (&,Z9 121144-r-1 tett reo-Pc-4 1 rc) c am 14444,4 611207 kceiz 'W. C. KOSKINEN & ASSOCIATES STRUCTURAL ENGRS. 10611 N.E. 12th ST. B ELLEVUE, WA 96004 SUBJECT 7e3 4r-4.5 7-11,l/ CAR' . c:74e r czwer iitozo o't0.7 44 5 %.0 BY L DATE 7/Z7. SHEET NO. OF CHECKED BY PROJECT NO. rirt4e.Se). Seet.e Vb. • I.: nee G S • /V6ct) Act, 'IN ic,c277-( ,e; ri .4<e.e7e. /4e7- _ _ • * Cg. vie I 0, A ck. (4. :5Y&NAL .60 btRy1-44±,2.04,.. REC cd„wer.i=.7. -swept r. CRY OF TUICIMItA JUL 1 1907 ri''F7c...44- sumo arc ' r W. C..KOSKINEN & ASSOCIATES STRUCTURAL ENGRS. 10611 N.E. 12th ST. BELLEVUE, WA 66004 SUBJECT .. _ C . 42.40..17 ti c e /z71C g G 2,0x044 4b a 40 66o qr' = 43o7 !38 s!" GI)A. c)o T Coi.sT BY "L DATE `0 SHEET NO.....L.... OF CHECKED BY QQ PROJECT NO. 4�7' r.4 So ; Sri p . • • < < rye m f r^ /-.4u) Acv 7,/ ,) • Try /:'7 rCr>aOFE�D JUL 1 1987 **aria Dem k j� 4 vR,L4. tit% r A //si. F,ar-nr - Y Y '« CITY Of TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 Site Address /7 Project Name /Tenant BU( SING PERMIT APPLIG. i ION / / Valuation of Construction .7.:;3-e.)/ �,/ (-)cpc.> Assessors Account# Property Owner CC '/6y�c �.. Address 6//7/-5-- ��, j ;/' Applicant 'ie 4. ti-h- Address Suite# Control # .'67'5 5 Floor# a 3 bb4/0 -- 06)5-O Phone 4/g , 5._. Zip /S' Phone ,;),/ ,. ;, :3 Zip chS111- 5% Architect /Engineer Phone Address Zip Contractor (✓ : / / (1c5,21, i �� c ,�, License# —re0x )-4 x-/46 P5 Phone ..24/?" -c // Address /42/,,Zc) :7 'c� �t-, Zip i'5 >,? , Class of Work: El New ''Addition J Tenant Improvement fl Remodel (residential) E] Reroof 0 Demolition J Interior Demolition / [ Other D,es.cri be work to be done /�� i X / /41,- 74 -t � �'�7� 1 5� - r� Type of Con t: (UBC) X Occ. Group (UBC) Square footage of entire buil ing c' -' /Square footage of tenant space Building Use ,Reel i`eGz- 1 Will there be a change of use? 0 Yes �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? J 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 AUTHORI ATIO DO THIS WORK. AF61 i cant /Authorized Agent (signature) C �' r '✓.c�iC,� Date 7 ///1g; i7 (print name) 2/eA,),�.,/ ��z°r -- �, 5--,7'1' -32' Contact Person (please print) �'rlc /{ L. Per ? r ,�J Phone:;Zy �F �5 FEES: Building Permit Fee Plan Check Fee Bldg Code Sur Charge Energy Sur Charge* Other *New construction only OFFICE USE ONLY $ //7, (90 76, oc� 50 (000/322.100) (000/345.830) (000/386.904) (000/386.907) Receipt# ; /// Receipt# W/) Receipt# g' /// Receipt# Receipt# Date Paid % Date Paid Date Paid Date Paid Date Paid TOTAL /?6,,567 (OWES: $ SQUARE FOOTAGE /BUILDING USE INFORMATION FLOOR USE /Occ Type SQ.FT. OGG LOAD` USEJ0cc Type Square Footage of Entirq Building: SQ.FT. OCC LOAD USE /Occ Type OCC SO.FT, roan_ TOTAL SQ.FT. TOTAL OCC. 0 TRACKING D'E'PT . DATE IN BLDG DATE OUr COMMENTS FIRE Approved for Issuance !jJ? To Mahan: Date Approved: Approved (Initials) Per letter dated Fire Protection: 0 Sprinklers ODetectors Type of Const. PLNG PWD Approved (Initials) - J BAR Zoning (2-.A. Setbacks: N t) Parking stalls required for: Site Parking stalls provided: Site ADDITIONAL PARKING STALLS REQUIRED: Approved ( 'tials) Q LAND USE /SEPA CONDITIONS S 'i L E �, �) W 6 I Tenant Space Tenant Space Per letter /plans dated f pcke.r,es MOke 171 /III ee f 9h ri 491^ ) as h e or c • 1 understand that the ',m‘l iii Check ap9rw»ct1 are subiect -to° errors and omission ,r,p 'r;vzii .o f plan ., (4Q 0d4 uttip ze the adopted code ;or ordinance. Receipt of contractor's copy'of approved plans a ;k irl d ed. rAM'PitOveo $V: D$44W$ sv DA n: t t. • ,e4.. Mnta� N .11 C 0 0 . 1 1 , 0 0 141.1 14,4a . t .+. U 1 • [i? lilt Illi T IIII £t 1111 1111 ZI lili iiii 1T illi illi OI lili iiii Hil 6 ilii 1111 8 ItiUlli L 1111 MI 9 iiii Hil 9 Iiii MI 1' lili iiii £' llil MIMI Z w3 MI T iiiihild • NM, 1 • '.. • • • : • 4-1 4,(4 rxi• Cri-e) r?%e 14.1-16`ti' cr(r.) _ • • • '',614/*ey71. It II • 6 ?/ q.'19 I 11 4-) 0 r-L;(..90 •.. 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