HomeMy WebLinkAboutPermit 5088 - Jack in the Box - HVACCITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433-11146, mpg BUILDING PERMIT
Work to be done
Site Address
Building Use
Property Owner
Address
Contractor
Address
HVAC
16400 t VALLEY HY
RESTAURANT
FOODMAKER, INC.
t
PERMIT #�j ()136
Control # 87 -368
Suite # Tenant JACK IN BOX
Assessors Account # 87 3 08
3
iv • £1 A►
■ I 11 1 , 11
Phone # 415- 783 -5680
FOR BUILDING PERMIT ONLY
APPROVED FOR ISSUANCE BY:
S Ft.
Sq.
Office
Storage/
Warehouse
Retail
Other
�Occ.
Load
1st F1.
2nd F1.
3rd F1.
Total
Fire Protection: [] Sprinklers [] Detectors
Zoning_ Type of Construction
Special Conditions
Phone #
Zip 94545
p
Fees
sq. ft. @ 1st F1. $
sq. ft. @ 2nd F1. $
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of
BASIC
XM1(d4. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
Construction $
Receipt #()C/ /o7 $ 15.00
Receipt #Lj(P7 $ 12.63
g Receipt # $
UNIT FEE Receipt # $ 35.50
Receipt
TOTAL
$ 63.13
FOR SIGN PERMIT ONLY
❑ Permanent ❑ Temporary
[] Single Face (] Double Face [] Wall Mounted [I Free Standing ❑ Other
Building face Setbacks: Front Side Side Rear
Square Footage of each sign face
Special Conditions
Total square footage of sign
yea_.
1115 PERMII BECOMES NULL ANO 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.
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 DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL 1TE RWFI -31ON �F '•A Y HER STATE OR LOCAL LAW REGULATING CONSTRUCT! N OK THE PERFORMANCE OF CONSTRUCTION.
4i e5E71
Date
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 exclusively contracting with licensed contractor's to construct the project.
Owner (signature)
Date
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845 BUILDING PERMIT
Work to be done HVAC
Site Address 1b4UU t VALLEY HT
Building Use RESIAURA)VI
' Property Owner NUDNAKtR, INC.
Address 2395 AMtRICAN AV
Contractor
Address
PERMIT # 4:5()S6
Control # 87 -303
Suite # Tenant
Assessors Account # o) 03 -'OuyE BOX
Phone # 415 -783 -5680
Zip 94545
Phone #
HAYWARD, CA
FOR BUILDING PERMIT ONLY
APPROVED FOR ISSUANCE BY:
S q • Ft.
Office
Storage/
Warehouse
Retail
Other
Occ.
Load
1st F1.
2nd Fl.
3rd F1.
Total
Fire Protection: j Sprinklers J Detectors
"Zoning
"Type of`Construction
Special Conditions
Fees
sq. ft. @ 1st F1. $
sq. ft. @ 2nd Fl. $
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of Construction $
BASIC r
XO1(d:. Permit Fee Receipt # (�y(Q7 $ 15.00
Plan Check Fee Receipt #r)J,/(07 $ 12.63
Demolition Receipt # $
Surcharggps Receipt # $
Other UNIT FEE Receipt # $ 35.50
Other Receipt # $
TOTAL
FUR SIGN PERMIT ONLY
0 Permanent J Temporary
[] Single Face Double Face [] Wall Mounted J Free Standing [] Other / "0
Building face Setbacks: Front Side Side Rear
Square Footage of each sign face Total square footage of sign
Special Conditions
THIS PERMIT BECUMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDUNEU 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 OR CANCEL T E PyVI I0N5 F A YL.OTHER STATE OR LOCAL LAW REGULATING CONSTRUCT( O �O Rz THE. PERFORMANCE OF CONSTRUCTION.
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
( ) I, 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 exclusively contracting with licensed contractor's to construct the project.
,Owner (signature) Date
us:wrc -.wzwn ,. r...,x.r,w. �...; �r.......�.x.•.r•:�,,...�..s.:
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
INSPECT ()) N RECORD
PERMIT #
Date
dA,N:: •.
Type of Inspectio fie FHa/ Date Wanted J /.../. /.�9 a.m. p.m.
Site Address /4//00 `!%Psi" / % //y , r ee. Project .faek in 7/e x
Requestor / / Phone #
Special Instructions
Inspection Results /Comments:
�p� jrJl�N
Inspector + N., —a"4,1.40.,r.,..,
Date
?W" F.. a "iSftaY.XS.!:.yt'.u?.EHM4zavr. ova» Gct ,� ^sswt:sk�.rr.:�wse,r. «savra
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspection
Site Address /6 O a C4).
Requestor
Special Instructions
Mr.Ar
INSPECTION RECORD
PERMIT # SAO ��
Date .' - / / — t
I se
r%
Date Wantedw a. / ' .c ( p.m•
.6u-k .�1V Th/cf
.23 5 %2 /A
Project
Phone #
Inspection Results /Comments:
Glls i ' t 5/G •v /4 'A?
Inspector
Date 2--%