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HomeMy WebLinkAboutPermit 5126 - Seattle Fur Exchange - Storage RacksCITY OF TUKWILA (. Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 - Igo BUILDING PERMIT Work to be done Site Address Building Use Property Owner Address Contractor Address RACKS PERMIT # 67? 6, Control # 87 -453 (513) 223 ANDOVER PK F WAREHOUSE SEATTLE FUR EXCHANGE 240 ANDOVER PK W. ENGINEERED STORAGE Suite # Tenant SEATTLE FUR EXCHANGE Assessors Account # CCO1ENGINSP142RA FOR BUILDING PERMIT ONLY APPROVED FOR ISSUANCE BY: Ass . Phone # 246 -7611 Zip 98188 Phone # 833 -7776 Zip 98071 Storage/ Sq. Ft. Office warehouse Retail Other Occ. Load 1st F1. 2nd .F1. 3rd Fl. 4 Total Fire Protection: Zoning ® Sprinklers [I Detectors Type of Construction Special Conditions Fees sq. ft. @ sq. ft. @ sq. ft. @ sq. ft. @ 1st F1. $ 2nd F1. $ other $ other $ Total Valuation of Construction $ 2,800.00 Bldg. Permit Fee Receipt # Plan Check Fee Receipt # Demolition Receipt # Surcharges Receipt #_ Other Receipt # Other Receipt # TOTAL $ 369.38 $ 3.50 $ 372.88 FUR SIGN PERMIT ONLY �] Permanent 0 Temporary J Single Face Building face 0 Double Face J Wall Mounted 0 Free Standing Setbacks: Front Side 0 Other Side Rear Square Footage of each sign face Total square footage of sign Special Conditions THIS PERMIT BEGUMES NULL ANU VOID IF ABANDUNEU FUR A PERIOD OF 180 DAYS AT I HEREBY CERTIFY TH T I HAVE R GOVERNING THIS TYPJ OF WORK WI IOLATE UR CA !r THE PR Signed _ DA BE SI0 K NY T 0 EX COMPL S R CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR AFTER WORK IS COMMENCED. NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANU ORDINANCES 0 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT PRESUME TO GIVE AUTHORITY TO ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRU TION R THE PERFORMANCE OF CONSTRUCTION. Date_ /.i- 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 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 'A. 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 - /AP? BUILDING PERMIT Work to be done Site Address . Building Use Property Owner Address Contractor Address RACKS PERMIT # Control # 87 -453 (513) 223 ANDOVER PK. E WAREHOUSE SEATTLE _F'UR EXCHANGE Phone # 246 -7611 240 ANDOVER PK W. Zip 98188 ENGJNE.ERED STORAGE CCO1ENGINSP142RA Phone # 833 -7776 Zip 98071 Office Suite # Tenant SEATTLE FUR EXCHANGE Assessors Account # FOR BUILDING PERMIT ONLY APPROVED FOR ISSUANCE BY: Sq. Ft. 1st F1. Approved for Tssurinre hy: Storage/ Warehouse Retail Other Occ. Load 2nd F1. 3rd Fl. Total Fire Protection:)) Sprinklers [] 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 $ 2,800.00 Bldg. Permit Fee Receipt # $ 369.38 Plan Check Fee Receipt # $ Demolition Receipt # $ Surcharges Receipt # $ 3.50 Other Receipt # $ Other Receipt # $i TOTAL $ 372.86 FOR SIGN PERMIT ONLY ❑ Permanent [] Temporary ❑ Single Face ❑ Double Face [] wall Mounted ❑ Free Standing ❑ Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions 1HIS PERM11 BECOMES NULL ANU VOID IF ABANDONED FUR A PERIOD OF 180 DAYS AT 1 HEREBY CERTIFY TH GOVERNING THIS TY /�IULATE OR CA (/ Signed____ T 1 HAVE OF WORK WI THE PR R CONSTRUCTION AUTHORIZED 1S NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION UR .uRH IS ,.EN:•F:) UR E AFTER WORK I5 COMMENCED. NED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAwS ANU SRO :YANCES 0 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT PRESUME TO GIVE AOiORITT TO ANY OTHER STATE OR LOCAL LAW REGULATING C0NSTRU TION OR THE PERFORMANCE Of CONSrRuCT :ON. Date /.1.- 1.1. R• 0 A 0 EX BE OMPL V 5I0 5 LICENSED CONTRACTORS DECLARATION l 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 offered for sale. ( 1 1, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Owner (signature)_,____ Date not ... ..1 ?r CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849. Type of Inspection Xikirj; Site Address �� 3 47, /; 60 . Requester Special Instructions INSPECTrN RECORD PERMIT # y / (.o /a-22- P7 Date Wanted A2-04,2_ Project I5 /, /14G4'S Phone # Date a .m Inspection Results /Comments: C/e61 W A9,47://b/6.- ��cfi S i/ 77/,, 5 411, i v. /1J 712 Q!!f___:::;9 1/42/ /1/111 Inspector Date 7 �1 \ CITY OFTUKWILA Central Permit System LC +; ntrol No. Permit No. FINAL APPROVAL FORM ( TO: ❑ Building ❑ Planning ❑ Public Works ❑ Police } Fire Dept. ❑ Parks /Recreation A Project Name %r- Address �. ss l Type of Permit(s) r 7 • This project is nearing completion. Please investigate your area of responsibility and indicate below either your final approval or necessary corrections. If no response is received within one week, it will be assumed that the project is of no concern to your department and a certificate of occupancy may be issued. 1-7T1Tis project is NOT approved by this department; the following corrections are necessary: () () ) ( ) ( ) ) ) ( ) ( ) ) ( ) ( ) Authorized Signature Date This project is approved by this department: Authorizzd Signature / ;) Date CPS Form 3 City of Tukwila FIRE DEPARTMENT 444 Andover Park East Tukwila, Washington 98188 -7661 (206) 575 -4404 Hubert H. Crawley, Fire Chief Gary L. VanDusen, Mayor December 1, 1987 Fire Department Review Control Number 87 -453 Re: Seattle Fur Exchange - 223 Andover Park East, Tukwila, Wa. Dear Sir: The attached set of building plans have been reviewed by The Fire Prevention Bureau and are acceptable with the following concerns: 1. This review limited to speculative tenant space only - special fire permits may be necessary depending on detailed description of intended use. If the building is to be used for the storage of high -piled combustible material (as defined in UFC, Sec. 9.110); automatic fire- extinguishing systems, smoke- removal systems, fire protection and fire separations are required per Uniform Fire Code - Article 81. A high - piled combustible stock permit is required. 2. The total number of fire extinguishers required for your establishment is calculated at one extinguisher for each 3000 sq. ft, of area. The extinguisher(s) should be of the "All Purpose" (2A, 10 B:C) dry chemical type. Travel distance to any fire extinguisher must be 75'-or less. (NFPA 10, 3 -1.1 and UFC 10.301b) Extinguishers shall be installed on the hangers or in the brackets supplied, mounted in cabinets, or set on shelves (NFPA 10, 1 -6.6), and shall be installed so that the top of the extinguisher is not more than 5 ft. above the floor, (NFPA 10, 1 -6.9) Extinguishers shall be located so as to be in plain view (if at all possible), or if not in plain view, City of Tukwila FIRE DEPARTMENT 444 Andover Park East Tukwila, Washington 98188 -7661 (206) 575 -4404 Hubert H. Crawley, Fire Chief Gary L. VanDusen, Mayor Page number 2 they shall be identified with a sign stating, "Fire Extinguisher ", with an arrow pointing to the unit. (NFPA 10, 1 -6.3) 3. Exit hardware and marking must meet the requirements of Uniform Fire Code Sections 12.104 & 12.114. Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort. (UFC 12.104b) 4. Maintain sprinkler protection for all enclosed areas. (NFPA 13, 4- 1.1.1) All modifications to sprinkler systems shall have the written approval of the Washington Surveying & Rating Bureau, Factory Mutual Engineering or Industrial Risk Insurers, then by the Tukwila Fire Department. No sprinkler work shall commence without approved drawings. (City Ordinance #1141 & NFPA 13, 1 -9.1) 5. Your street address must be conspicuously posted on the building and shall be plainly visible and legible from the street. Numbers shall contrast with their background. (UFC 10.208) Yours truly, The Tukwila Fire Prevention Bureau cc: T.F.D. File ncd. (7).: FOR CUSTOMER REFUND DATE OF REFUND REQUEST /01--;,41-8 7 AMOUNT OF REFUND, $ 25.00 CUSTOMER NAME BILLING ADDRESS _g_JO6 t n1a�7)) F? ZIP98aS ORIGINAL RECEIPT: DATE /22:01,1-81 RECEIPT NO. D'7 '7 61 REASON FOR REFUND lJ %f -eAf10 -- i/ru't 5 REFUND AUTHORIZED BY: Fa G ATURE )� FINANCE DEPARTMENT REFUND 'CHECK DATE MADE BY CONSULTING ENGINEERS /CIVIL AND STRUCTURAL November 10, 198:7. ,Engineered Storage Products 1421 S. Dearborn Street Seattle, WA 98144 Attn: Mr. Don Robinson RE: Seismic Analysis of Storage Racks for The Seattle Fur Exchange Facility (R.E. Job No. 8711 -209, E.S.P. P.0. #2473) Dear. Don: Inspection of the. Storage Rack drawing revealed five basic geometries and loadings. This situation is summarized..on page 1 of 16 of the Seismic Analysis and the calculations were .performed based on these geometries and loadings. '.Under these conditions, the Storage Racks were found. to be stable with the addition of V" 0 expansion anchor with 311" minimum_ • embedment at each leg of every rack and foot plate modifications . as specified on page 10 of 16. This method of bolting will accept a:resisting force deemed, adequate per the 1985 UBC Standard for seismic loading with respect to overturning. If you have any questions, please contact me.. Sincerely, Alan F. Poe, EIT "u; , RUPERT ENGINE(' INC. 1501 W. Valley Highw ,, Ste. 101 P.O. Box 836 AUBURN, WASHINGTON 98071 (206) 833-7776 JOB 6-5s i i SHEET NO !� kir. P CALCULATED BY CHECKED BY DATE SCALE OF k.6 / DATE (( ( c J 6.4 Ste, ate--_ Fes. Fx c,,� c•� tac��t t�tacu_ 5kLi ) kL1 11V-■•••L .S2., 11 oP \L ',(L , SE_C.t sa■-.= . \S VF P L...n _ V --NC - L' 31..," oce " czA. ;.. ezf r.-`s ' . , _ dr ,: ' ) k t, !. bkEwwz' S - .. t'/i' k 3' ". ) .\ 4-1 �l\c� v. . 2.rS G f . \ Z u VL AKS 1, \� � \4- l4 \G-`.,:VS 1 ... - ° k 3 . C- L.. • SF'i�J-- �RJaC -Vcr. lL +lGW ) c3c4cu DP • " oP...� l��" .gay -�s.. M . FS A%-tS V/i k 3 4.4F�.s� - ... syTS 13 - l6 : F cow GQ -asz sc. c c 1 .. Pa ,? -Tt:ES ?co-- . C�? a- o€5�� -75a •� i �+-�c �1 E.E.�1fi�• .. PRO CI 7%1(Newtt)la • Woo. Mn n 01471 RUPERT ENGINE( 'IG, INC. 1501 W. Valley Highwa).. Ste. 101 P.O. Box 836 AUBURN, WASHINGTON 98071 (206) 833.7776 CALCULATED BY AF DATE `\ 1 / elq CHECKED BY DATE SCALE C3/0 , o o. -A P* raInJK. Wow. mosMot RUPERT ENGIN ; 'NG, INC. 1501 W. Valley Highw . Ste. 101 P.O. Box 836 AUBURN, WASHINGTON 98071 (206) 833.7776 JOB SHEET NO CALCULATED BY ` P OF \l DATE ( 19 ($1 1 CHECKED BY DATE SCALE 2.iE._S1ST�+ -C„ <"`oK�E -►-ACS C') 6 . te., ' -t• (4° .% k) (c).41:5' 4 ((4'-*.G 3 lc-' 1, 3 ' ,Ln' 4;c7C? vr- ►koouc to i �n7Ix. Waon. Msu outl. RUPERT ENGINE'" 'NG, INC. 1501 W. Valley Highwo, Ste. 101 P.O. Box 836 AUBURN, WASHINGTON 98071 (206) 833-7776 JOB SHEET NO. CALCULATED BY aF-P CHECKED BY SCALE l 6 k-l--S-aVest 't< < 3 L tom.:. 3 k 3 %,. x. t4 Fb L.. lSS'a,.S `r 62-q.Z4 LT. Ott- GLt d* 1 s3 t SG.4 .1.A SI.`4 luF'�.ic ct'4 . l rO Ls G P- b lAIt.xrcA.cv .: 41) t s l S.l. l (5-k% :s34•'s1P : •Sa��b.� 4 -a .r °/ , i. 30 a ZS Z`l \ V-kc .a..6�� - c3o Arr-5Z) */3 s rxoouct to 1 F ds / 1. , Glom Man 01471 RUPERT ENGINE( VG, INC. • 1501 W. Valley Highway, ... Ste. 101 P.O. Box 836 AUBURN, WASHINGTON 98071 (206) 833.7776 SHEET NO .. OF // CALCULATED BY P.FEP' DATE (( / 4 (e) q CHECKED BY DATE SCALE • �4 F3 Fy • 7c, l.� s lc�ora� 'M.P , c d. W .%S" b(..V-vi k... c) raOe.S7 . . 1b�7�1 � lo�Ll lc•z.s S7Li.4.c7 . s. ._ ■AS .417 j I ; . o PoES� = ZZ..L'� r l3v . t i - z,oz- 3= t� .4!77.7t. —C( e-.... ■c•4 ■ ..... ‘.� . 1 • ll' r lo � <' :.. ►IIOD JCI 2Ot-1 (5 iTd1Inc. colon. Mx. O11II RUPERT ENGIN NG, INC. 1501 W. Valley High zy.. Ste. 101 • P.O. Box 836 AUBURN, WASHINGTON 98071 (206) 833-7776 JOB SHEET NO 4O OF (N CALCULATED BY AFB DATE « ( 9 X84 CHECKED BY DATE SCALE s C sv.ct 44-) G , ca ' 4 (so, L♦ S.U3w Z33 f. • \`-'4 4`.1 S 2. 3 .3 4 1•C=.1-1: -3'30c.,:=•• '30 40 /7._ ►P01M1CT2044 fiVra ,7 , Groton 141,3 01411. RUPERT ENGIN NG, INC. 1501 W. Valley Highw >. Ste. 101 P.O. Box 836 AUBURN, WASHINGTON 98071 (206) 833 -7776 JOB SHEET NO OF CALCULATED BY DATE 11.0 1ak ($� CHECKED BY DATE SCALE "TV =Votes .5- .. ;.. UYj‘I' 3k4(4 )c KG& F C�C�L.L •?.� T\a Air+'' 1,,7� -LA . /aGC�cRc 1►` 344oN "R� F k• lS-t , ld -.( P QA- r o (' /. i14 33. Cis. s .415 . 2.tx�a S A -L..... � t- i- C�'�o+� t .: eL, . o �$... �c4!FSL -�M'� = ...3 8 .4 -... F14t -c-w -- . F Cal.-4-449. 9, re,/ '`....... 2. { 'mss L� 4 5\ 5 P 004c12041(A.Vili Inc . c.aa. Mra 01111. RUPERT ENGINE IG, INC. 1501 W. Valley Highwag. pg. Ste. 101 P.O. Box 836 AUBURN, WASHINGTON 98071 (206) 833-7776 JOB �`" �� SHEET NO, le, OF �/ CALCULATED BY �F'p DATE it ( � ( T)-N CHECKED BY DATE SCALE 'S`-t S'c�E .Tti C.y cstsL— . +1; .S ad Z"c'=vittai4t.bi '' I rt S b mat Nei riv-elpinc, Wotan. Vas 61471 RUPERT ENGIN NG, INC. 1501 W. Valley High: d. Ste. 101 P.O. Box 836 AUBURN, WASHINGTON 98071 (206) 833-7776 JOB j w� SHEET NO. OF / CALCULATED BY AF P' DATE ' ` / 1 / CHECKED BY DATE SCALE S`�lS'c� -\� . \.fir. L F"c•o-7 ... - i 'C.o a\ F" \ c./NT4-N..) cca / S4/ .o• L HE. Y--•AT ►NOWC11011 /NCtJS11K. WIPP WO 014/1 RUPERT ENGINE • NG, INC. 1501 W. Valley Highwaj.... Ste. 101 P.O. Box 836 AUBURN, WASHINGTON 98071 (206) 833-7776 JOB SHEET NO CALCULATED BY AF P OF /« DATE 1 c CHECKED BY DATE Q . taGK.; 5k-m '■r... 4.c 1 )4/.1— J . AN+j �ci A`.� MAVE. Yom" - e c- Pc - ..... �......wc -sue . cb4v si- csrE -rts SCi1��- L- ........ �+.... �� L� : --. A .A Wv \ kCs-- r"ASkAtesvJ ..... TruBolt R Wedge Anchors FEATURES Hole size = bolt size —Ideal when work being attached is drilled while in position, and drilling continues into the concrete,•eliminating the need for templates and double handling. One piece wrap - around expansion sleeve — Provides true 360° hole contact for greater reliability. The large expansion sleeve area also reduces concrete unit stress. Works in bottomless hole —The bottom of the hole is not needed to set the anchor. In most applications, the anchor is set as the object is fastened in place. Supplied as a complete unit —Nuts and washers are packaged with each box of TruBolt anchors to simplify installation and (educe inventories. INSTALLATION Hole is to be drilled the same diameter as anchor, to any depth equal to or greater than the required embedment, using carbide- tipped drill bits conforming to tip diameter tolerances of ANSI B94, 12 -77. Drill hole. Insert anchor in ' Expand anchor by hole. tightening nut. LENGTH IDENTIFICATION CODES Letter Stamp Ow Anchor Length of Anchor (Inches) Letter Stamp Oi Anchor length N Anchor (Inches) • i Up to Bet Not . Including F rowt '' Up to Bit Not Including A B 12 23 23 21/2 womoz 8V 9 D 31 • 91 10 E 31 4 10 11 F 4 41 s 11 12 .G 41/2 5 T 12 13 11• 5 s. 51/2 , U 13 : • 14 J 6 51/2 W 15 16 K 57 7/ X 18 1B M' 71 8 z 18 • .. 19 2 t/d :5 • • E Frin 1!.:14 •.� r• ,: it t ``•'ir, f �� i�.•:t.'.: �'•�j'ii . -... - . i; :a[ .. •{ E.43: .+.5 ":. tj'i`•"' sire: _ ,r ri ty,'.7. 7 N .fir ('�• :i • -,-, ` ! .•, ,t t.- 'J... :: :'.. . .�..1 : re ,W 'k. 1.t..•roi .'.t.L _ ... .. _ % •4j 4.,:i ti +'a r TAT : �t)'.L�i. . {i: •.i 4• H•�eV,�:�1t. 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L.-, rr ra..: i... • ....�. t... •t!. ,...t Vtt 3 • AAJJ,fi I'i`� , x 32 d .L " -- $ t(pe 61 Sp:A. tJ) •170 .ket x.._.:..�I.3a....: • •af • • • 92,2 C-cei:(5,11i,‘,1,1"4 • K — .91‘ • `RoeL* -14 - 4'.111. . 1 41 • • 41 4*i. • • :f• s(Lif -�6-2. —9G. 7 ILA o s x s _ . . 11 lens, .c„ y b 11,1rrtaLA • X - 14.16(01:...... _r- ...:.:._,:;9 r • • • • 4 L-r ft - /en— 0568 y -uy 1t .sYl s-L€A-A, 4'' S Gam. ;10,/),,Let 11/10-4-6€A41 t. °LW' 1• City of Tukwila 6200 Southcenter Boulevard Tukwila Washington 98188 (206) 433 -1800 Gary L. VanDusen, Mayor MEMORANDUM TO: 04-89-q53: ,ear .e Fut FROM: hatut DATE: 1I g :S-7' SUBJECT: n,,L' .' m ati,11111111WilMfavoi /4-/7q a /v/ /q76/ is 1V. = l 7 Cu? B' 137 a = 191 250 3�)g38 at (10 /T2.MEMO) : . : • ; • • 1. tt:•\ • • f‘4? : • • 1 • ; I , • , . • • • • • • • • 7 — 71 F. u, .., ,.,..1 7.: k ..... *--.. 1- 7; Z . ..• %.i %a k, I ■.I .--J —i- I I 1 I I I I I I I I I 1 I ........., 11 I • 1 • I I Li , t ' 0 • N •r. T • 4. • • • ,;. k e ‘J t . .. • . . • • • u. • : • • • • • ' • rA) r • 4 is jr- • tr% . . - Fr, r • a 45, „t t • - ; -• -•!— - • • • • • CITY OF TUKWILI Building Division 6d,7 Southcenter Boulevard Tulwila, Washington 98188 (206) 433 -1N 65415? Est; DING PERMIT APPLI( TION Control # r4/53 Site Address .121 AN06d6-/2- F'A Rg E457• Suite# Floor# Project Name /Tenant 5-6147.r1....6" {-cte. Cxctl $O Valuation of Construction '4' 2 g oci Assessors Account# Property Owner S ,E Phone 2'/6 -76 t I Address ylp A ou-e 49-AK Q- ----sT Zip c /8 .)t Applicant S Phone Address Zip Architect /Engineer /0 • , i E-E72 Phone 0;g- 7776 Address mil r l/A LL t--T1 I-k- iy A/ ar12714 1 10 ! Zip 98071 Contractor _ .air e. mrip ,tfirL A _- License 01 p 0 Ione bt3; -As% Address /421 So ,. DE'14-RBOR,J ST. ,S--}Q -TALE/ t4)A. Zip o/ /`N 1 Class of Work: ❑ New [] Addition [] Tenant Improvement ❑ Remodel (residential) ❑ Reroof ❑ Demolition ❑ Interior Demolition Other ilinOt►t'y/ 70 41cur 6'0,0 6-5 be done • Describe work to cvezD 00 Tr'lo-&) •-c.-. Dorm • . ST IN RioCK1,J5 ,.1 -sro S-z..uf To r coo -2_ Type of Const. (UBC) ,Sm¢,up,4 -pp Occ. Group (UBC) Square footage of entire building $ 7 le... Square footage of tenant space _5- r' Building Use w gi:47H-oust Will there be a change of use? ❑ Yes [. -No If yes, describe change of use, including square footages of changed areas Will there be storage or use of fi mmable, 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 APPLICAT AND KNOW THE SAME TO BE TRUE AND CORRECT AND THAT I HAVE THE PROPERTY OWNER'S AUT ORIZATI T 0 THIS WORK. Applicant /Authorized Agent (signature) _ Date /0(0/47 (print name) ' rT 4. 6-'4AA -- i Contact Person (please print) ,e &r-7 4. l R- Phone ..V4/6 - 76 (r OFFICE USE ONLY FEES: Building Permit Fee (000/322.100) $ cJ Recei t# • . Date Paid /,?-;a.--3.7 �� ? 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# V Date Paid _ *New construction only TOTAL 7 a ,81 (OWES: $ 372715 ) _3 SQUARE FOOTAGE /BUILDING USE INFORMATION Square Foota•e of Entir- Buildin. FL00'• USE Occ T •e S .FT. SAD USE Occ T .: S .FT. LOAD USE 0 c T •: OCC 1 1!1 Se.FT FT. 'L OCC. U _.. ---_. _... - - - -__ - - -- - TRACKING p . el OMC ME7,�,i BLDG \ - .2.51 c( I� ---u t 'pprove• or ssuance VW - ype o onst. -mad 1 imt . to ea-16 -}� .5== /eF-f-creo e //--2:3-- 8-7 To Mahan: Date A••roved: RE / I� 1,446/1 �Z_ /`�/ Approved Initials) Per letter dated /2- - / - Fs' Fire Protection: 5.. prin lers ❑ Detectors S� PLNG Approved nitials Q BA' • L'N1 U •' I IN Zoning Setbacks: N S E W Parking stalls required for: Site Tenant Space Parking stalls provided: Site Tenant Space ADDITIONAL PARKING STALLS REQUIRED: PWD Approved (Initials) Per letter /plans dated ■ { . [ .BU ±DING DIVISION f • No.i8 .