HomeMy WebLinkAboutPermit 5121 - City of Tukwila / Tukwila Park - Storage RemovalCITY OF TUKWILA C
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 - is49 BUILDING PERMIT Control # $7 -41;7
PERMIT # 6Jc/
Work to be done
Site Address
Building Use
Property Owner
Address
Contractor
Address
REMOVAL OF STORAGE BLDG FROM TUKWILA PARK
TUKWILA PARK 04 65TH AV S Suite # Tenant STORAGE BLDG - TUKWILA PARK
STORAGE BLDG Assessors Account #
CTTY OF TUKWILA Phone # 433 -0179
620n SOUTHCENTER BLVD (P. FRASER PROJECT COORD.) Zip 98188
,1_M_F_ CONST_ INC. Phone # 575 -3710
552 INDUSTRY nR_ TUKWILA ,,,Zip 98188
FOR BUILDING PERMIT ONLY
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
Fees
sq. ft. @
sq. ft. @
sq. ft. @
sq. ft. @
1st F1. $
2nd Fl. $
other $
other $
Total Valuation of Construction $ 2,975.00
Bldg. Permit Fee Receipt #08/7 $ 15.00
Plan Check Fee Receipt # $
Demolition Receipt # $
Surcharges Receipt # $
Other Receipt # $
Other Receipt # $
TOTAL $ 15.00
FUR SIGN PERMIT ONLY
❑ Permanent ❑ Temporary
❑ Single Face
Building face
[] Double Face
❑ wall Mounted ❑ Free Standing [] Other
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 EX
GOVERNING THIS TYP� Qf WORK WILL BE OMPL
VIOLATE OR CANC THE PROVISIO
?Signed_
4:4 hereby affirm that 1 am lice ;s under
Contractor (signature)_____
INED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
W TH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT PRESUME TO GIVE AUTHORITY TO
ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Date CZ
LICENSED CONTRACTORS DECLARATION
e usiness and Professions Code, and my lice se is in full force and effect.
provis ons• of h
Date ?2— (8--8r7 - -
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 - MP? BUILDING PERMIT
Work to be done
Site Address
Building Use
Property Owner
Address
Contractor
Address
PERMIT # 5/1
Control # 87 -457
REMOVAL OF STORAGE BLDG FROM TUKWILA PARK
TUKWILA PARK ON 65TH AV S Suite # Tenant STORAGE BLDG TUKWILA PARK
STORAGE_81DG Assessors Account #
CITY OF TLIKWII A Phone # 433 -0179
6900 SOUTHCENTER BLVD (P. FRASER PROJECT COORD.) Zip 98188
CONST_ INC. Phone # 575 -3710
Ra2 TNI1fSTRY f1R TUKWILA Zip 98188
FOR BUILDING PERMIT ONLY App.nva4 fnr Tccuanrc
S q • Ft.
Office
Storage/ se
Wareh ou
Retail
Other
Occ.
Load
1st Fl.
2nd Fl.
3rd Fl.
Total
Fire Protection: J Sprinklers [] Detectors
Zoning Type of Construction
Special Conditions
FUR SIGN PERMIT ONLY
tv• %
Fees
sq. ft. @ 1st F1. $
sq. ft. @ 2nd F1. $
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of Construction $ 2,975.00
Bldg. Permit Fee Receipt #
Plan Check Fee Receipt #
Demolition Receipt #
Surcharges Receipt #
Other Receipt #
Other Receipt #
TOTAL
$ 15.00
$
$ 15.00
C1 Permanent [] Temporary
0 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 PERMII BECuMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR TURK IS ',OPENUED OR
ABANDUNtU FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
1 HEREBY CERTIFY THAT I HAVE READ AND EX INED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TYP WORK WILL BE 0MPLI :1 W TH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT PRESUME TU GIVE AUTHORITY TO
,VIOLATE OR CANC THE PRDV1S10 1 AANYA OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
signed L49 "walk Date__4' —( Q�'s a _______ -- -.._..
11 LICENSED CONTRACTORS DECLARATION
under proviisons of he usiness and Professions Code, and my license is in full force and effect.
Date _LZ l 8 — 6'7
hereby affirm that l am lice
Contractor (signature)
OWNER- BUILDER DECLARATION
) 1. as owner of the property, or my employees, with wages as their sole cvnpensation, will do the work, and the structure Is not Intended or
offered for sale.
I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project.
Owner (signaturel_ Oate
��t�ktrutta+nxrerm�.rtt wwr..
CITY OF TUKWILA
Building Division .
6*209 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspect
.Site Address k,
Requestor
Special Instructions
/ 9'_' , 5 o.
INSPECTION RECORD
)
PERMIT #
Date y7.z. / /1jo
/Date Wanted y /2 /A( a.m. p.m.
Project jrok ,(1/4 IU�. /14
Phone #
•
Inspection Results /Comments:
Inspector
Date .2/7//47g/
TELEPHONE MEMO
RE: �''1'8'1'457:i lia. Ci gadik aitat ✓en%ava(
PERSON CONTACTED:
PERSON CALLING:
DATE: lI -,ZS- g7
INFORMATION ITEMS:
Phil LA4 LSki,G G' r�i-clii1C.16qtxr elta
41462'.tt . t4/e i*24 lap/lazy; ems- Avntf
ettai N.I. G. d1/ta 5 fig iatict
-. C Of TUKWfl.A
r
:� \� dsouthcentern8oulevard BUI ' ING PERMIT APPLIC " 'ION
�� Tukw 1e, Washington 98188 Control # %"1.--q57
(206) 433- 1�!'(g
Site Address '17,hvOtwov PA )4:-.- of) ‘544C kVe---19D. Suite# Floor#
Project Name /Tenant le4F,A400Aru. D1` G,Tp e_ Bt.pc1 1 - 4.jtt,,4 p— .
Valuation of Construction 41 21Tr75- ` Assessors Account#
Property Owner Gam( en e= ' p.ot1 -ft Phone
Address ,6",5f Prue Gp , Zip
Applicant ''n"--,,yt .r. Cr.n1S— t1C.-{ -tam, (t.) C.. Phone 5—,--is---v-it o
Address 55-v (1,)Pvs-r 1 D ' 4 �oKWtLPN Zip 99
Architect /Engineer Phone
Address Zip
Contractor 3:61 • j . C v v c r , cNG . License# 84 I Phone 5 7 3 7 1 o
Address ,.SS -2-' (raD - r 4)2 , Th -l■Ji Let Zip �j e 1 o
Class of Work: New [] Addition Tenant Improvement ❑ Remodel (residential) ❑ Reroof
El Demolition 0 Interior Demolition ❑ Other
Describe work to be done oU IN1rU^ L— ;17n' c Bu' t C0(Ai. F r-41.1 $17-"E
Type of Const. (UBC) Occ. Group (UBC)
Square footage of entire building A Pt' Square footage of tenant space
Building Use ..ct,e- Will there be a change of use? 2 Yes [] No
If yes, describe change of use, including square footages of changed areas pC �,yld J
Will there be storage or use of flammable, combustible or hazardous materials on the premise or
area of construction? [] Yes R1 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 AUTHORIZATISN TO DO THIS I'IORK.
Applicant /Authorized Agent (signature) 6 ,•-& Date 1(- ZS-a Nj
(print name) A . 'Fokm Pizzis, .
Contact Person (please print) , '` ,` Phone .5—r75"" :2,*'r /0
OFFICE USE ONLY
FEES: Building Permit Fee (000/322.100) $ Receipt# Date Paid
Plan Check Fee (000/345.830) Receipt# Date Paid
Bldg Code Sur Charge (000/386.904) Receipt# Date Paid
3,50
Energy Sur Charge* (000/386.907) Receipt# Date Paid
Other ( ) Receipt# Date Paid
/5%DO"
*New
construction only TOTAL -,507:7-0 (OWES: $ � )
SQUARE FOOTAGE /BUILDING USE INFORMATION Square Footage of Entirq
Building: ,
FLOOR
USE /Occ Type
SQ.FT.
OLc
LOAD
USE /Occ TYPE
SQ.FT.
0-Ct
LOAD
USE /Occ Tvn
SQ.FT.
OCC
inn
TOTAL
SQ.FT.
TOTAL
OCC.
1
TOTAL
TRACKING
DEPT.
- DATE IN
DATE OUT
COMMEN , _ /
BLDG
' ) '�,rt it 1
1
Approved for Issuance Type of Const.
To Mahan: Date Approved:
FIRE
`
Approved (Initials) Per letter dated
Fire Protection: ❑ Sprinklers ❑ Detectors
PLNG
Approved (Initials) []BAR ❑ LAND USE /SEPA CONDITIONS
Zoning Setbacks: N S E W
Parking stalls required for: Site Tenant Space
Parking stalls provided: Site Tenant Space
ADDITIONAL PARKING STALLS REQUIRED:
PWD/
�A�
r
18i/4�97
Approved (Initials Per letter /plans dated
PP ---)106610 ►Ji4rO
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